Finding 1224364 (2022-004)

Material Weakness Repeat Finding
Requirement
L
Questioned Costs
-
Year
2022
Accepted
2026-07-22
Audit: 407672
Organization: Russellville Hospital, Inc. (AL)
Auditor: WARREN AVERETT

AI Summary

  • Core Issue: The Hospital did not meet key compliance requirements for the USDA loan, including establishing a Debt Service Reserve Fund and maintaining a Debt Service Coverage Ratio of at least 1.0.
  • Impacted Requirements: Noncompliance with three out of eight ongoing requirements outlined in the USDA Loan Agreement, including annual audit report submissions.
  • Recommended Follow-Up: Strengthen internal controls for USDA compliance and maintain regular communication with USDA representatives to ensure all requirements are met.

Finding Text

FINDING 2022-004 – Reporting, Non-compliance (Material Weakness) Federal Program: U.S. Department of Agriculture – ALN 10.766, USDA Community Facilities Loans and Grants Cluster Criteria: 7 CFR Part 1942, Subpart A – Community Facility Loans, which governs loan servicing and post‑closing requirements for Community Facilities Loans, including borrower financial viability and compliance with loan covenants. USDA Rural Development Community Facilities Loan Agreement / Letter of Conditions, which requires: Establishment of a Debt Service Reserve Fund equal to at least one annual loan installment that accumulates at the rate of 10% of one annual payment per year for ten years or until the balance is equal to one annual loan payment; and Maintenance of a minimum Debt Service Coverage Ratio (DSCR) of at least 1.0 beginning with fiscal year ending December 31, 2016, demonstrating sufficient net operating revenues to meet annual debt service obligations; and Furnishing the USDA with audit reports annually. Condition: The Hospital failed to establish and maintain the required Debt Service Reserve Fund in accordance with the USDA Loan Agreement. The Hospital did not maintain a Debt Service Coverage Ratio of at least 1.0, as required by the loan covenants, based on audited financial results for the year ended December 31, 2022. The Hospital did not furnish the USDA with audit reports annually. Context: The USDA Loan Letter of Conditions details eight continuing compliance requirements that were tested. Noncompliance with the ongoing compliance requirements was noted for three of the eight requirements. Cause and Effect: The Hospital inherited the USDA loan from the previous owner of the Hospital and did not receive any correspondence from the USDA; therefore, the Hospital was unaware of the required ongoing compliance requirements necessary in addition to the required loan payments. As a result, some USDA loan compliance requirements were not met. Questioned Costs: None Repeat Finding: No Recommendation: We recommend that the Hospital strengthen its internal controls related to USDA compliance and establish regular contact with USDA representatives to ensure future compliance requirements are met. Views of Responsible Officials of the Auditee: Management agrees with the finding and the auditors’ recommendation. See Management’s full response in the Corrective Action Plan at the end of this report.

Corrective Action Plan

The loan was acquired from previous owners of the hospital and was obtained by current owners at the time of purchase. This year was the first year the program was required to be audited. We are actively working to ensure this condition is met by ensuring the reserve fund is met, the debt service coverage ratio of at least 1.0 is obtained, and audited financials available to USDA annually. Anticipated completion date: 09/30/2026

Categories

Material Weakness Reporting Matching / Level of Effort / Earmarking Internal Control / Segregation of Duties

Other Findings in this Audit

  • 1224363 2022-003
    Material Weakness Repeat
  • 1224365 2022-003
    Material Weakness Repeat

Programs in Audit

ALN Program Name Expenditures
10.766 COMMUNITY FACILITIES LOANS AND GRANTS $3.82M
93.498 Covid-19 Provider Relief Fund $1.22M
21.027 Covid-19 Coronavirus State and Local Fiscal Recovery Funds $725,329
93.155 Covid-19 Rural Health Research Centers $255,876
93.697 COVID-19 TESTING AND MITIGATION FOR RURAL HEALTH CLINICS $200,000
93.301 SMALL RURAL HOSPITAL IMPROVEMENT GRANT PROGRAM $11,915