Audit 302792

FY End
2023-12-31
Total Expended
$5.56M
Findings
2
Programs
3
Year: 2023 Accepted: 2024-04-08
Auditor: Bonadio & CO LLP

Organization Exclusion Status:

Checking exclusion status...

Findings

ID Ref Severity Repeat Requirement
392476 2023-001 - Yes N
968918 2023-001 - Yes N

Contacts

Name Title Type
ZTA3SL68RTN6 Michael Zingaro Auditee
3154882951 Michelle Mundy Auditor
No contacts on file

Notes to SEFA

Accounting Policies: Basis of Presentation The accompanying schedule of expenditures of federal awards (the Schedule) includes the federal grant activity of St. Camillus Residential Health Care Facility, HUD Project No. 014-10073 (the Facility) and is presented in accordance with accounting principles generally accepted in the United States of America. The information in the Schedule is presented in accordance with the requirements of Title 2 U.S. Code of Federal Regulations (CFR) Part 200, Uniform Administrative Requirements, Cost Principles, and Audit Requirements for Federal Awards. Because the schedule presents only a selected portion of the operations of the Facility, it is not intended to and does not present the financial position, change in net assets, or cash flows of the Facility. Basis of Accounting Expenditures reported on the Schedule are reported on the accrual basis of accounting. Such expenditures are recognized following the cost principles contained in the Uniform Guidance, wherein certain types of expenditures are not allowable or are limited as to reimbursement. Insured Mortgage The Facility obtained a mortgage guarantee from HUD. The outstanding balance of the mortgage at December 31, 2023 was $3,753,580. Provider Relief Funds The amounted included in the schedule of expenditures of federal awards is based upon the reporting period September 30, 2023. Indirect Costs The Facility has elected not to use the 10% de minimis indirect cost rate as allowed under the Uniform Guidance. De Minimis Rate Used: N Rate Explanation: Indirect Costs The Facility has elected not to use the 10% de minimis indirect cost rate as allowed under the Uniform Guidance.

Finding Details

Finding 2023-001 - Section 232 - Mortgage Insurance - Nursing Homes, Intermediate Care Facilities, and Board and Care Homes and Assisted Living Facilities, Assistance Listing # 14.129 Condition: St. Camillus Residential Health Care Facility (the Facility) has an outstanding receivable from its affiliate, Integrity Home Care Services, Inc. (Integrity), amounting to $435,362. Criteria: The HUD regulatory agreement prohibits, without the prior written approval of the HUD secretary the disbursement or payment of any funds except for the usual operating expenses and necessary repairs of the Project. Cause: Due to the past financial performance of Integrity it was necessary to provide operating funds to Integrity and repayment of the receivable balance was not able to be achieved by December 31, 2023. Effect: Funds have been provided to an affiliate through affiliate transactions that were not repaid as of the end of the year resulting in an outstanding receivable balance at December 31, 2023. Recommendation: The Facility management should contact HUD representative if the previously communicated repayment plan changed significantly. Views of Responsible Officials and Planned Corrective Action: Integrity Home Care Services, Inc is in the process of being sold to Comfort Care 247. All proceeds from the sale will go towards the repayment of the receivable balance. The sale is currently under review by the New York State Department of Health.
Finding 2023-001 - Section 232 - Mortgage Insurance - Nursing Homes, Intermediate Care Facilities, and Board and Care Homes and Assisted Living Facilities, Assistance Listing # 14.129 Condition: St. Camillus Residential Health Care Facility (the Facility) has an outstanding receivable from its affiliate, Integrity Home Care Services, Inc. (Integrity), amounting to $435,362. Criteria: The HUD regulatory agreement prohibits, without the prior written approval of the HUD secretary the disbursement or payment of any funds except for the usual operating expenses and necessary repairs of the Project. Cause: Due to the past financial performance of Integrity it was necessary to provide operating funds to Integrity and repayment of the receivable balance was not able to be achieved by December 31, 2023. Effect: Funds have been provided to an affiliate through affiliate transactions that were not repaid as of the end of the year resulting in an outstanding receivable balance at December 31, 2023. Recommendation: The Facility management should contact HUD representative if the previously communicated repayment plan changed significantly. Views of Responsible Officials and Planned Corrective Action: Integrity Home Care Services, Inc is in the process of being sold to Comfort Care 247. All proceeds from the sale will go towards the repayment of the receivable balance. The sale is currently under review by the New York State Department of Health.