Finding 1157230 (2024-001)

Material Weakness Repeat Finding
Requirement
P
Questioned Costs
-
Year
2024
Accepted
2025-09-30
Audit: 369546
Auditor: Bonadio & CO LLP

AI Summary

  • Core Issue: The Home took a related-party loan of $250,000 without prior HUD approval, violating the HUD regulatory agreement.
  • Impacted Requirements: HUD regulations require written approval before entering any loan agreements or incurring liabilities.
  • Recommended Follow-Up: Ensure compliance with HUD regulations by obtaining necessary approvals before securing any future loans.

Finding Text

Program: U.S. Department of Housing and Urban Development (HUD) Mortgage Insurance - Nursing Homes, Intermediate Care Facilities, Board and Care Homes, and Assisted Living Facilities (Section 232) Assistance Listing #14.129. Condition: During 2024, the Home received an additional related-party loan without obtaining prior HUD approval. Criteria: The HUD regulatory agreement states the borrower shall not enter into any contract, agreement or arrangement to borrow funds or finance any purchase or incur any liability, direct or contingent, other than in accordance the loan documents without prior written approval of HUD. Context: During testing of debt, it was noted that the Home entered into a loan agreement with a related party. Cause: The Home continued to experience decreased occupancy, increased labor, benefits, and supply expenditures as a lingering impact of the COVID-19 pandemic. It utilized the loan as a means to cover operating expenses. Effect: Failure to obtain written approval from HUD constitutes noncompliance with the HUD regulatory agreement. Gross amount loaned from the related party amounted to $250,000 during 2024. Recommendation: Adhere to the HUD regulatory agreement in relation to obtaining prior written approval from HUD before encumbering the Project. Views of Responsible Official of the Auditee: The Home obtained the related party loan as a prudent business decision to meet operating expenses.

Corrective Action Plan

September 29, 2025 U.S. Department of Housing and Urban Development St. John’s Health Care Corporation respectfully submits the following corrective action plan for the year ended December 31, 2024. Name and address of independent public accounting firm: Bonadio & Co., LLP 171 Sully’s Trail Pittsford, NY 14534 Audit Period: January 1, 2024 – December 31, 2024 The findings from the December 31, 2024, schedule of findings and questioned costs are discussed below. The findings are numbered consistently with the number assigned in the schedule. FINDINGS – FEDERAL AWARD PROGRAMS AUDIT FINDING 2024-001: Section 232, CFDA 14.129 Recommendation: Adhere to the HUD regulatory agreement in relation to obtaining prior written approval from HUD before encumbering the Project. Action Taken: The Home obtained the additional related-party loan as a prudent business decision to meet operating expenses. The Home has implemented procedures to ensure that prior written approval is obtained from HUD before encumbering the Project in the future. If the U.S. Department of Housing and Urban Development has questions regarding this plan, please call Sabrina McLeod at (585)-760-1401. Sincerely yours, _______________________________ Sabrina McLeod Chief Financial Officer

Categories

HUD Housing Programs Procurement, Suspension & Debarment Matching / Level of Effort / Earmarking

Programs in Audit

ALN Program Name Expenditures
14.129 Mortgage Insurance Nursing Homes, Intermediate Care Facilities, Board and Care Homes and Assisted Living Facilities $10.00M