Notes to SEFA
Title: Basis of Presentation
Accounting Policies: Expenditures reported in the Schedule are reported on the accrual basis of accounting. Such expenditures arerecognized following the cost principles contained in the Uniform Guidance, wherein certain types ofexpenditures are not allowed or are limited as to reimbursement. No federal financial assistance has beenprovided to a subrecipient.
De Minimis Rate Used: N
Rate Explanation: The Health Center does not draw for indirect administrative expenses and has not elected to use the 10% deminimis cost rate.
The accompanying schedule of expenditures of federal awards (Schedule) includes the federal award activity ofCoal Country Community Health Center, Inc. (Health Center) under programs of the federal government for theyear ended April 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 AuditRequirements for Federal Awards (Uniform Guidance). Because the Schedule presents only a selected portion ofthe operations of the Health Center, it is not intended to and does not present the financial position, changes innet assets, or cash flows of the Health Center.
Title: Provider Relief Funds
Accounting Policies: Expenditures reported in the Schedule are reported on the accrual basis of accounting. Such expenditures arerecognized following the cost principles contained in the Uniform Guidance, wherein certain types ofexpenditures are not allowed or are limited as to reimbursement. No federal financial assistance has beenprovided to a subrecipient.
De Minimis Rate Used: N
Rate Explanation: The Health Center does not draw for indirect administrative expenses and has not elected to use the 10% deminimis cost rate.
The Health Center received amounts from the U.S. Department of Health and Human Services (HHS) through theProvider Relief Fund and American Rescue Plan Rural Distribution (PRF) program (Federal Financial AssistanceListing/CFDA #93.498) during the years ended April 30, 2022 and 2021. The Health Center incurred eligibleexpenses, including lost revenue, and therefore recognized revenue totaling $588,090 and $319,009 for theyears ended April 30, 2022 and 2021 on the financial statements. As of April 30, 2022 and 2021, the HealthCenter had total refundable advance balances of $0 and $297,539. However, the PRF expenditures wererecognized on the Schedule when the expenditures were included in the reporting to HHS for Period 1, definedas payments received between April 10, 2020 and June 30, 2020. As the total amount of $625,265 was includedon the Period 1 reports submitted to HHS, that amount is shown on the accompanying Schedule.The amount of PRF expenditures included on the Schedule requires management to make estimates andassumptions that affect the reported amounts. Accordingly, such expenditures are considered a significantestimate. Estimates and assumptions may include reducing actual expenses by amounts that have beenreimbursed or are obligated to be reimbursed by other sources and estimating marginal increases in expensesrelated to coronavirus. Actual amounts could differ from those estimates.