Audit 49921

FY End
2022-04-30
Total Expended
$3.83M
Findings
0
Programs
2
Organization: Nemaha County Hospital (NE)
Year: 2022 Accepted: 2022-10-26
Auditor: Seim Johnson LLP

Organization Exclusion Status:

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Findings

No findings recorded

Programs

ALN Program Spent Major Findings
93.498 Provider Relief Fund $3.82M Yes 0
93.301 Small Rural Hospital Improvement Grant Program $11,855 - 0

Contacts

Name Title Type
S7XQDNAUZX32 Stacy Taylor Auditee
4022744366 Jess Paisley Auditor
No contacts on file

Notes to SEFA

Title: Note 4: Provider Relief Funds Accounting Policies: Note 1: Basis of Presentation - The accompanying schedule of expenditures of federal awards (the Schedule) includes the federal award activity of the Hospital under programs of the federal government for the year ended April 30, 2022. The information in this Schedule is presented in accordance with the requirements of Title 2 U.S. Code of Federal Regulations Part 200, Uniform Administrative Requirements, Cost Principles, and Audit Requirements for Federal Awards (Uniform Guidance). Because the Schedule presents only a selected portion of the operations of the Hospital, it is not intended to and does not present the financial position, changes in net assets or cash flows of the Hospital. Note 2: Summary of Significant Accounting Policies - Expenditures reported on the Schedule are reported on the accrual basis of accounting. Such expenditures are recognized following the cost principles contained in Uniform Guidance, wherein certain types of expenditures are not allowable or are limited as to reimbursement. De Minimis Rate Used: N Rate Explanation: The Hospital has elected not to use the 10-percent de minimis indirect cost rate allowed under the Uniform Guidance. The Hospital received amounts from the U.S. Department of Health and Human Services (HHS) through the Provider Relief Fund (PRF) program (Federal Financial Assistance Listing/CFDA #93.498) during the year ended April 30, 2020. The Hospital incurred eligible expenditures (including lost revenue) and, therefore, recognized revenue totaling $2,872,611 and $493,336 for the years ended April 30, 2022 and 2021, respectively in the financial statements. In accordance with the compliance supplement addendum, the PRF expenditures recognized on the schedule are based on the reporting to HHS for the period ending June 30, 2021, as required under the PRF program. The amount of PRF expenditures included on the schedule requires management to make estimates and assumptions that affect the reported amounts. Accordingly, such expenditures are considered a significant estimate. Estimates and assumptions may include reducing actual expenses by amounts that have been reimbursed or are obligated to be reimbursed by other sources, estimating marginal increases in expenses related to coronavirus and the calculation of lost revenue. Actual results could differ from those estimates.