Notes to SEFA
Title: Community Facilities Loan Program
Accounting Policies: 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, 2023.
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.
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 Medical Center does not draw for indirect administrative expenses and has not elected to use the 10% 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 $1,181,133,
of which 90% is $1,063,020. If applicable, advances made on the loans during the year are reported on the
Schedule. The Medical Center’s outstanding loan balance for the USDA guaranteed loan as of June 30, 2023, is
$1,120,605.
Title: Provider Relief Funds and American Rescue Plan (ARP) Rural Distribution
Accounting Policies: 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, 2023.
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.
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 Medical Center does not draw for indirect administrative expenses and has not elected to use the 10% 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 4 and 5, defined as payments received between July 1, 2021, and June 30, 2022. As the
total amount of $275,004 was included on the Period 4 report submitted to HHS, that amount is shown on the
accompanying Schedule. The Medical Center did not receive or expend any Period 5 funding.
The amounts of PRF expenditures included in the Schedule requires management to make estimates and
assumptions that affect the reported amounts. Accordingly, such expenditures are considered a significant estimate.
Estimates and assumptions may include reducing actual expenses by amounts that have been reimbursed or are
obligated to be reimbursed by other sources and estimating marginal increases in expenses related to coronavirus.
Actual amounts could differ from those estimates.