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1230 SIXTH AVENUE

HUNTINGTON, WV 25701

INSTITUTIONAL PLAN AND BUDGET

Tag No.: A0073

Based on the review of documents and staff interview the Hospital's Plan failed to provide for capital expenditures for a three (3) year period. This non-compliance has the potential to interfere with the hospital's financial projections and fiscal responsibility.

Findings include:

1. A review of the hospital's Guidelines for Capitalizing Assets and the Capitalization Policy dated 3/1/04 indicated there was no evidence of a requirement for the hospital plan to provide for capital expenditures for a three (3) year period.

2. During interview with the Chief Financial Officer (CFO) on 3/21/12 at approximately 10:30 a.m. he indicated he projects capital expenditures for only a one (1) year period.

3. The Chief Executive Officer (CEO) stated in interview on 3/22/12 at approximately 11:05 a.m. that in the future he will expand on the hospital's Capital Expenditure Policy and maintain compliance and ensure that the hospital projects capital expenditures for a three (3) year period.

4. These findings were reviewed again during the exit conference on 3/22/12 at 3:00 p.m. with understanding and agreement indicated by both the CFO and CEO.