Finding 38919 (2022-001)

- Repeat Finding
Requirement
B
Questioned Costs
-
Year
2022
Accepted
2023-09-19

AI Summary

  • Core Issue: St. Camillus Residential Health Care Facility has a $394,768 receivable from its affiliate, Integrity Home Care Services, which remains unpaid.
  • Impacted Requirements: The regulatory agreement restricts fund disbursement without HUD's prior approval, which has not been obtained for these transactions.
  • Recommended Follow-Up: Review the financial performance of Integrity and seek HUD's approval for any necessary fund disbursements to address the outstanding receivable.

Finding Text

Criteria: The regulatory agreement prohibits, without the prior written approval of the HUD secretary the disbursement or payment of any funds except for the usual operating expense and necessary repairs of the Project. Condition: St. Camillus Residential Health Care Facility (the Facility) has an outstanding receivable from its affiliate, Integrity Home Care Services, Inc. (Integrity), amounting to $394,768. Cause: Due to the past financial performance of Integrity, repayment of the receivable balance was not able to be achieved by the end of the year. 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, 2022.

Corrective Action Plan

Condition: St. Camillus Residential Health Care Facility (the Facility) has an outstanding receivable from its affiliate, Integrity Home Care Services, Inc. (Integrity), amounting to $394,768. Recommendation: The Facility management should contact HUD representative if the previously communicated repayment plan changed significantly. Action Taken: Integrity has not historically been as profitable as originally projected but its performance has improved recently. As of December 2021, the receivable balance has been reduced by approximately $382,000 since 2015. As requested by HUD, the Facility has previously submitted written correspondence to disclose and update a payment plan to reduce the receivable balance. Integrity remains a vital component of the spectrum of services offered by the Facility. Management continues to look to identify and implement opportunities to enhance revenue while maintaining low expenses. Integrity and the Facility?s recruiting efforts continue to be a high priority as we attempt to attract and retain qualified clinical staff and the Facility will continue collecting 100% of the net revenue generated by Integrity to apply against the receivable balance.

Categories

HUD Housing Programs

Other Findings in this Audit

Programs in Audit

ALN Program Name Expenditures
14.129 Mortgage Insurance_nursing Homes, Intermediate Care Facilities, Board and Care Homes and Assisted Living Facilities $4.66M
93.498 Provider Relief Fund $67,850