Notes to SEFA
Title: Basis of Presentation
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 the Uniform Guidance, wherein certain types of expenditures are not allowable or are not limited as to reimbursement. Pass-through identifying numbers are presented when available. The Organization has elected not to use the 10% de minimis indirect costs rate as followed under the Uniform Guidance.
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 includes the federal grants activity of Mississippi County Hospital System, and is presented on the accrual basis of accounting. The information in the 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). Therefore, some amounts presented in the schedule may differ from amount presented in, or used in the preparation of the financial statements.
Title: Subrecipients
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 the Uniform Guidance, wherein certain types of expenditures are not allowable or are not limited as to reimbursement. Pass-through identifying numbers are presented when available. The Organization has elected not to use the 10% de minimis indirect costs rate as followed under the Uniform Guidance.
De Minimis Rate Used: N
Rate Explanation: The auditee did not use the de minimis cost rate.
No awards were provided to subrecipients.
Title: Contingencies
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 the Uniform Guidance, wherein certain types of expenditures are not allowable or are not limited as to reimbursement. Pass-through identifying numbers are presented when available. The Organization has elected not to use the 10% de minimis indirect costs rate as followed under the Uniform Guidance.
De Minimis Rate Used: N
Rate Explanation: The auditee did not use the de minimis cost rate.
In connection with various federal grant programs, the Hospital is obligated to administer related programs and spend the funds in accordance with regulatory restrictions, and is subject to audit by grantor agencies and other auditors. In cases of noncompliance, the agencies involved may require the Hospital to refund program funds.
Title: Provider Relief Funds
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 the Uniform Guidance, wherein certain types of expenditures are not allowable or are not limited as to reimbursement. Pass-through identifying numbers are presented when available. The Organization has elected not to use the 10% de minimis indirect costs rate as followed under the Uniform Guidance.
De Minimis Rate Used: N
Rate Explanation: The auditee did not use the de minimis cost rate.
Expenditures reportedon the schedule of expenditures and federal awards is based on the latest guidance of qualifying expenditures and calculated lost revenues during fiscal year ended December 31, 2022. Mississippi County Hospital Systme reported the expended Provider Relief Funds by the due date of March 31, 2023.
Title: Medicaid Funding
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 the Uniform Guidance, wherein certain types of expenditures are not allowable or are not limited as to reimbursement. Pass-through identifying numbers are presented when available. The Organization has elected not to use the 10% de minimis indirect costs rate as followed under the Uniform Guidance.
De Minimis Rate Used: N
Rate Explanation: The auditee did not use the de minimis cost rate.
Mississippi County Hospital System received Medicaid reimbursement for services provided to qualifying beneficiaries for the year ending December 31, 2022, as follows: