Title: Nature of Activities
Accounting Policies: 1. Summary of Significant Accounting Policies: Basis of Accounting: The accompanying schedule of expenditures of federal awards (SEFA) includes the federal award activity of Presbyterian Healthcare Services and Affiliates (PHS) under programs of the federal government for the year ended December 31, 2022. The information in the SEFA is presented in accordance with the requirements of the provisions 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 SEFA presents only a selected portion of the operations of PHS, it is not intended to and does not present the combined financial position, changes in net assets, or cash flows of PHS. Expenditures reported on the SEFA are reported on the accrual basis of accounting. Such expenditures are recognized following the cost principles contained in the Uniform Guidance, wherein certain types of expenditures are not allowable or are limited as to reimbursement. Therefore, some amounts presented in the SEFA may differ from amounts presented in, or used in the preparation of, the combined financial statements. The SEFA does not include payments received under the traditional Medicare and Medicaid reimbursement programs, as these programs are outside the scope of the Uniform Guidance. There were no donated goods and personal protective equipment received from federal sources that required recognition or disclosure in the notes to the SEFA.
De Minimis Rate Used: Y
Rate Explanation: 2. Indirect Costs: PHS has elected to use the 10% de minimis indirect cost rate allowed under the Uniform Guidance.
3. Nature of Activities: PHS receives grants to cover costs of specified programs. Final determination of eligibility of costs will be made by the grantors. Should any costs be found ineligible, PHS will be responsible for reimbursing the grantors for these amounts. Additionally, expenditures incurred for various programs may exceed the amounts awarded from the respective federal agency. The amounts reported on the SEFA are limited to the award amounts. Amounts in excess of this amount are paid out of non-federal sources.
Title: Provider Relief Fund
Accounting Policies: 1. Summary of Significant Accounting Policies: Basis of Accounting: The accompanying schedule of expenditures of federal awards (SEFA) includes the federal award activity of Presbyterian Healthcare Services and Affiliates (PHS) under programs of the federal government for the year ended December 31, 2022. The information in the SEFA is presented in accordance with the requirements of the provisions 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 SEFA presents only a selected portion of the operations of PHS, it is not intended to and does not present the combined financial position, changes in net assets, or cash flows of PHS. Expenditures reported on the SEFA are reported on the accrual basis of accounting. Such expenditures are recognized following the cost principles contained in the Uniform Guidance, wherein certain types of expenditures are not allowable or are limited as to reimbursement. Therefore, some amounts presented in the SEFA may differ from amounts presented in, or used in the preparation of, the combined financial statements. The SEFA does not include payments received under the traditional Medicare and Medicaid reimbursement programs, as these programs are outside the scope of the Uniform Guidance. There were no donated goods and personal protective equipment received from federal sources that required recognition or disclosure in the notes to the SEFA.
De Minimis Rate Used: Y
Rate Explanation: 2. Indirect Costs: PHS has elected to use the 10% de minimis indirect cost rate allowed under the Uniform Guidance.
4. Provider Relief Fund: The amount presented on the SEFA for Assistance Listing Number 93.498, COVID-19 - Provider Relief Fund and American Rescue Plan (ARP) Rural Distribution (PRF Funds) is for the year ended December 31, 2022. The amounts presented in the table below reconcile to the Provider Relief Fund (PRF) information reported to the Health Resources and Services Administration (HRSA) as follows: See the Notes to the SEFA for table. Health and Human Services (HHS) has indicated the PRF Funds on the SEFA be reported corresponding to reporting requirements of the HRSA PRF Reporting Portal. Payments from HHS for PRF are assigned to Payment Received Periods (each, a Period) based upon the date each payment from the PRF was received. Each Period has a specified Period of Availability and timing of reporting requirements. Entities report into the HRSA PRF Reporting Portal after each Periods deadline to use the funds (i.e., after the end of the Period of Availability). The SEFA includes $19,461,407 of PRF Funds received from HHS from January 1, 2021 through December 31, 2021. In accordance with guidance from HHS, these amounts are presented as Period 3 and Period 4. Such amounts were recognized as other operating revenues in PHS combined financial statements in the year ended December 31, 2021.
Title: Disaster Grants - Public Assistance (Presidentially Declared Disasters)
Accounting Policies: 1. Summary of Significant Accounting Policies: Basis of Accounting: The accompanying schedule of expenditures of federal awards (SEFA) includes the federal award activity of Presbyterian Healthcare Services and Affiliates (PHS) under programs of the federal government for the year ended December 31, 2022. The information in the SEFA is presented in accordance with the requirements of the provisions 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 SEFA presents only a selected portion of the operations of PHS, it is not intended to and does not present the combined financial position, changes in net assets, or cash flows of PHS. Expenditures reported on the SEFA are reported on the accrual basis of accounting. Such expenditures are recognized following the cost principles contained in the Uniform Guidance, wherein certain types of expenditures are not allowable or are limited as to reimbursement. Therefore, some amounts presented in the SEFA may differ from amounts presented in, or used in the preparation of, the combined financial statements. The SEFA does not include payments received under the traditional Medicare and Medicaid reimbursement programs, as these programs are outside the scope of the Uniform Guidance. There were no donated goods and personal protective equipment received from federal sources that required recognition or disclosure in the notes to the SEFA.
De Minimis Rate Used: Y
Rate Explanation: 2. Indirect Costs: PHS has elected to use the 10% de minimis indirect cost rate allowed under the Uniform Guidance.
5. Disaster Grants - Public Assistance (Presidentially Declared Disasters): In accordance with guidance from the U.S. Department of Homeland Security, the amount presented on the SEFA for Assistance Listing Number 97.036, Disaster Grants - Public Assistance (Presidentially Declared Disasters), represents expenditures that were incurred as of the end of the fiscal year, related to project worksheets approved by the Federal Emergency Management Agency (FEMA) during the fiscal year. PHS recognized $30,850,643 in COVID-19 related funding from FEMA during the fiscal year ended December 31, 2022 through a subaward from the New Mexico Department of Homeland Security and Emergency Management. Of this amount, $30,848,998 in expenditures were incurred prior to the beginning of the fiscal year.