Notes to SEFA
Title: Community Facilities Loan Program
Accounting Policies: Expenditures reported on the schedule are reported on the accrual basis of accounting. When applicable, 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. No federal financial assistance has been provided to a subrecipient.
De Minimis Rate Used: N
Rate Explanation: The auditee did not use the de minimis cost rate.
Expenditures reported on this Schedule consists of 90% of the beginning of the year outstanding loan balance of the Medical Center's USDA guaranteed loan. The beginning of the year guaranteed loan balance was $1,238,776, of which 90% is $1,114,898. If applicable, advances made on the loans during the year are reported on the Schedule. The Medical Centers outstanding loan balance for the USDA guaranteed loan as of June 30, 2022, is $1,181,133.
Title: Provider Relief Funds and American Rescue Plan (ARP) Rural Distribution
Accounting Policies: Expenditures reported on the schedule are reported on the accrual basis of accounting. When applicable, 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. No federal financial assistance has been provided to a subrecipient.
De Minimis Rate Used: N
Rate Explanation: The auditee did not use the de minimis cost rate.
The Medical Center received amounts from the U.S. Department of Health and Human Services (HHS) through the Provider Relief Fund and American Rescue Plan (ARP) Rural Distribution (PRF) Program (Federal Financial Assistance Listing #93.498). The PRF expenditures are recognized on the Schedule when the expenditures were included in the reporting to HHS for Period 2 and 3, defined as payments received between July 1, 2020, and June 30, 2021. As the total amount of $53,500 was included on the Period 2 report submitted to HHS, that amount is shown on the accompanying Schedule. The Medical Center did not receive or expend any period 3 funding.
Title: Basis of Presentation
Accounting Policies: Expenditures reported on the schedule are reported on the accrual basis of accounting. When applicable, 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. No federal financial assistance has been provided to a subrecipient.
De Minimis Rate Used: N
Rate Explanation: The auditee did not use the de minimis cost rate.
The accompanying schedule of expenditures of federal awards (the Schedule) includes the federal award activity of Tioga Medical Center (Medical Center) under programs of the federal government for the year ended June 30, 2022. The information 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 Medical Center, it is not intended to and does not present the financial position, changes in net assets, or cash flows of the Medical Center.