Finding 31380 (2022-002)

Significant Deficiency
Requirement
N
Questioned Costs
-
Year
2022
Accepted
2023-04-23

AI Summary

  • Core Issue: The Hospital did not meet the required debt service coverage ratio of 1.25 and amended its bylaws without government consent.
  • Impacted Requirements: Non-compliance with USDA loan agreements regarding financial reporting and organizational changes.
  • Recommended Follow-Up: Implement ongoing review procedures for grant and loan agreements to ensure compliance with all requirements.

Finding Text

2022-002: Debt Covenant Compliance Federal Program: Community Facilities Loans and Grants Cluster: Community Facilities Loans and Grants Assistance Listing Number: 10.766 Federal Agency: U.S. Department of Agriculture Pass-through Agency: N/A Award Number: N/A Award Year: 2022 Compliance Requirement: Special Tests and Provisions Questioned Costs: None Criteria: Section 4.6 of the USDA's Community Facilities Loan Agreement stipulates that the borrower must maintain a debt service coverage ratio of at least 1.25. Additionally, Section 5(j) of the Community Facilities Loan Resolution Agreement stipulates that the Hospital will not modify or amend its organizational documents, including any articles of incorporation or bylaws without the written consent of the government. Section 4.3 of the USDA's Loan Guarantee Agreement stipulates that the borrower must maintain certain financial reporting covenants, such as debt service coverage ratio of at least 1.25 days cash on hand in excess of 65 days, and obtaining an audited fiscal year-end financial statement audited by independent certified public accountants withing one hundred, ten days subsequent to year end. Condition and Context: The Hospital did not maintain a debt service coverage ratio of at least 1.25 or days cash on hand in excess of 65 days, as of September 30, 2022. Additionally, the Hospital amended its bylaws in September 2022 without written consent of the government. The Hospital?s audited financial statements as of September 30, 2022, were issued subsequent to one hundred, ten days following September 30, 2022. Effect: The Hospital has failed to comply with the debt covenants and subsequently received waivers from the financial institution and federal grantor. Cause: The Hospital did not have sufficient internal controls in place to monitor ongoing compliance with the loan agreement. Recommendation: We recommend that management implement procedures to ensure that all grant and loan agreements are reviewed on an ongoing basis and that compliance requirements are recorded and tracked to ensure ongoing compliance. View of Responsible Officials: Management agrees with this finding and has implemented controls to monitor ongoing compliance with both financial and non-financial covenants. Additionally, when management became aware of the non-compliance, it notified the financial institution and federal grantor and received waivers.

Corrective Action Plan

Finding 2022-002 Federal Program: Community Facilities Loans and Grants Cluster: Community Facilities Loans and Grants Assistance Listing Number: 10.766 Criteria: Section 4.6 of the USDA's Community Facilities Loan Agreement stipulates that the borrower must maintain a debt service coverage ratio of at least 1.25. Additionally, Section 5(j) of the Community Facilities Loan Resolution Agreement stipulates that the Hospital will not modify or amend its organizational documents, including any articles of incorporation or bylaws without the written consent of the Government. Section 4.3 of the USDA's Loan Guarantee Agreement stipulates that the borrower must maintain certain financial reporting covenants, such as debt service coverage ratio of at least 1.25 days cash on hand in excess of 65 days, and obtaining an audited fiscal year-end financial statement audited by independent certified public accountants withing one hundred ten days subsequent to year end. Condition and Context: The Hospital did not maintain a debt service coverage ratio of at least 1.25 or days cash on hand in excess of 65 days, as of September 30, 2022. Additionally, the Hospital amended its bylaws in September 2022 without written consent of the Government. The Hospital?s audited financial statements as of September 30, 2022 were issued subsequent to one hundred ten days following September 30, 2022. Corrective Action Planned: Management has contacted the financial institutions and the United States Department of Agriculture, for waivers of debt covenants to prevent triggering an event of default. Additionally, management has reviewed and modified its internal controls to ensure monitoring of ongoing compliance. Name of Contact Person Responsible for Corrective Action: Amy Downey, Chief Financial Officer, 200 Hospital Drive, Spencer, WV 25276 Anticipated Completion Date: February 17, 2023

Categories

Special Tests & Provisions Reporting Matching / Level of Effort / Earmarking Internal Control / Segregation of Duties

Other Findings in this Audit

  • 607822 2022-002
    Significant Deficiency

Programs in Audit

ALN Program Name Expenditures
10.766 Community Facilities Loans and Grants $23.96M
93.155 Rural Health Research Centers $232,540
93.912 Rural Health Care Services Outreach, Rural Health Network Development and Small Health Care Provider Quality Improvement $198,116
93.498 Covid-19 -Provider Relief Fund $141,150
93.461 Covid-19 Testing for the Uninsured $47,805
93.301 Small Rural Hospital Improvement Grant Program $2,000
93.889 National Bioterrorism Hospital Preparedness Program $1,500