Notes to SEFA
Title: COVID-19 Provider Relief Fund and American Rescue Plan (ARP) Rural Distribu
Accounting Policies: TriHealth exists under the Network Affiliation Agreement (the Agreement) between Bethesda Hospital, Inc. and Subsidiaries (Bethesda) and The Good Samaritan Hospital of Cincinnati, Ohio (Good Samaritan). The Agreement provides for, among other things, the creation of TriHealth to operate and jointly manage Bethesda; Good Samaritan; and TriHealth, Inc. (the Affiliates). Good Samaritan and Bethesda each own 50% of TriHealth, Inc. The Good Samaritan Hospital Foundation and Bethesda Center Reproduction Health and Fertility, legally consolidated subsidiaries of Good Samaritan and Bethesda, respectively, are excluded from the combined TriHealth financial statements in accordance with the Agreement. Bethesda Healthcare, Inc., a subsidiary of Bethesda, Inc., parent company to Bethesda, is included in the combined TriHealth financial statements in accordance with the Agreement. The accompanying schedule of expenditures of federal awards (the Schedule) includes the federal grant activity of TriHealth Inc, and Bethesda, and is presented using the accrual basis of accounting. Any federal awards awarded to The Good Samaritan College of Nursing & Health Sciences are excluded from the accompanying schedule of expenditures of federal awards and are included on the schedule of expenditures of federal awards of CommonSpirit Health, the legal parent organization of The Good Samaritan College of Nursing & Health Sciences. The information in the accompanying schedule of expenditures of federal awards is presented in accordance with 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).
De Minimis Rate Used: Y
Rate Explanation: TriHealth elected to use the 10% de minimis indirect cost rate allowed by the Uniform Guidance.
The Schedule includes $100,956,782 received from the U.S. Department of Health and Human Services (HHS) between July 1, 2020 and June 30, 2021 under the COVID-19 Provider Relief Fund and American Rescue Plan (ARP) Rural Distribution (PRF) program of Assistance Listing No. 93.498. In accordance with guidance from HHS, these amounts are presented as Period 2 and Period 3 in the HHS PRF Reporting Portal. TriHealth recognized $85,334,000 as other revenue in the combined financial statements in the accompanying combined statement of operations and changes in net assets for the year ended June 30, 2021. The remaining $15,622,782 was recognized as other revenue in the combined financial statements in the accompanying combined statement of operations and changes in net assets for the year ended June 30, 2022.