MANCHESTER, Iowa (AP) — The state auditor found more than $250,000 in questionable travel-related expenses at a northeast Iowa hospital that prompted the CEO to resign two years ago. State Auditor Rob Sand issued a report Wednesday about its investigation into spending at the Regional Medical Center in Manchester, Iowa. The report detailed $256,675.52 in improper expenses and another $28,000 in charges that weren’t properly documented.

Hospital Board Chairman Mike Briggs says several additional checks and balances were put in place after these problems were discovered, and the hospital will follow any additional recommendations from the auditor.