Finding 1236205 (2025-004)

Material Weakness Repeat Finding
Requirement
CN
Questioned Costs
-
Year
2025
Accepted
2026-09-23
Audit: 411818
Organization: Excelsior Springs Hospital (MO)
Auditor: WIPFLI LLP

AI Summary

  • Core Issue: The Hospital has not been funding the required debt reserve account since resuming loan payments, violating loan agreements with the USDA.
  • Impacted Requirements: The Hospital must fund 10% of annual principal and interest payments into the reserve account to comply with the workout agreement.
  • Recommended Follow-Up: The Hospital should start monthly funding of the reserve account and address any missed deposits as part of its financial review.

Finding Text

2025.004 Funding of Debt Reserve Account Condition: The Hospital’s loan agreements with the U.S. Department of Agriculture (“USDA”) require certain debt service reserve accounts to be established and then funded to a specific level based on annual deposits. Criteria: Pursuant to the “workout agreement” between the Hospital and USDA from reestablishing a loan amortization and required payments, dated in 2022, at the point when the Hospital resumed principal and interest payments on a routine basis, the Hospital was also to start funding a debt reserve account which was previously established and withdrawn from, with approval, in a prior year. The Hospital is to fund 10% of the annual principal and interest payments required on the USDA related debt over a ten year period, or until the deposits plus accrued interest reach the annual required principal and interest payments. Effect: As a result of not funding the required payments when principal and interest payments on the debt resumed, the Hospital is not in compliance with a certain requirement of the loan and workout agreements.Recommendation: We recommend, when possible, the Hospital resumes monthly funding and monitor the balance of the debt reserve account in the future, as well as make-up any missing required deposits to this fund. Corrective Action Plan: The Hospital is currently reviewing its financial situation and plans to resume deposits to the reserve account in the future

Corrective Action Plan

Corrective Action Plan: The Hospital is currently reviewing its financial situation and plans to resume deposits to the reserve account in the future.

Categories

Matching / Level of Effort / Earmarking

Other Findings in this Audit

  • 1236203 2025-004
    Material Weakness Repeat
  • 1236204 2025-004
    Material Weakness Repeat

Programs in Audit

ALN Program Name Expenditures
10.766 COMMUNITY FACILITIES LOANS AND GRANTS $1.83M
93.276 DRUG-FREE COMMUNITIES SUPPORT PROGRAM GRANTS $125,000
97.036 DISASTER GRANTS - PUBLIC ASSISTANCE (PRESIDENTIALLY DECLARED DISASTERS) $82,044
93.301 SMALL RURAL HOSPITAL IMPROVEMENT GRANT PROGRAM $11,871