EIN: 161085780
UEI: ZTA3SL68RTN6
Audited by: Bonadio & Co LLP
Oversight agency: 14 [Department of Housing and Urban Development]
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Data as of August 28, 2026
Management decision deadline — for entities that funded this organization
The FAC accepted this audit on April 1, 2026. Under 2 CFR 200.521(d), a pass-through entity that provided federal funds to this organization for this audit period must issue a management decision on these findings by October 1, 2026 (33 days from today).
What is a management decision? →St. Camillus Residential Health Care Facility (the Facility) has an outstanding receivable from its affiliate, Integrity Home Care Services, Inc. (Integrity), amounting to $463,081. 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, 2025. 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, 2025. Recommendation: The Facility management should contact HUD representative if the previously communicated repayment plan changed significantly.
Show full finding ▾Hide full finding ▴Finding 2024-001 - 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 $463,081. 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, 2025. 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, 2025. Recommendation: The Facility management should contact HUD representative if the previously communicated repayment plan changed significantly.
CORRECTIVE ACTION PLAN St. Camillus Residential Health Care Facility respectfully submits the following corrective action plan for the year ended December 31, 2025. Name and address of independent public accounting firm: Bonadio & Co., LLP 432 N. Franklin Street, Suite 100 Syracuse, New York 13204 Audit Period: January 1, 2025 – December 31, 2025 The finding from the 2025 schedule of findings and questioned costs is discussed below. The finding is numbered consistently with the number assigned in the schedule. Finding 2025-001 - Section 232 HUD Insured Mortgage, 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 $463,081. Recommendation: The Facility management should contact HUD representative if the previously communicated repayment plan changed significantly. Action Taken: Integrity Home Care Services, Inc is in the process of being sold to Constant Care 247, LLC. All proceeds from the sale will go towards the repayment of the receivable balance. On December 8, 2025, the Public Health and Health Planning Council approved the change of ownership, certificate of need. The effective date of the change in ownership is expected to be final on or about March 31, 2026. If you have any questions regarding this plan, please contact Michael Zingaro at 315-703-0646 or via email at Michael.Zingaro@St-Camillus.org Sincerely, Michael Zingaro Vice President of Finance St. Camillus RHCF
2024-001
FAC accepted this audit on April 3, 2025 — management decision was due October 3, 2025.
St. Camillus Residential Health Care Facility (the Facility) has an outstanding receivable from its affiliate, Integrity Home Care Services, Inc. (Integrity), amounting to $452,639. 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, 2024. 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, 2024. Recommendation: The Facility management should contact HUD representative if the previously communicated repayment plan changed significantly. Views of Responsible Officials and Planned Corrective Action:
Show full finding ▾Hide full finding ▴Finding 2024-001 - 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 $452,639. 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, 2024. 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, 2024. Recommendation: The Facility management should contact HUD representative if the previously communicated repayment plan changed significantly. Views of Responsible Officials and Planned Corrective Action:
CORRECTIVE ACTION PLAN St. Camillus Residential Health Care Facility 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 432 N. Franklin Street, Suite 100 Syracuse, New York 13204 Audit Period: January 1, 2024 – December 31, 2024 The finding from the 2024 schedule of findings and questioned costs is discussed below. The finding is numbered consistently with the number assigned in the schedule. Finding 2024-001 - Section 232 HUD Insured Mortgage, 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 $452,639. Recommendation: The Facility management should contact HUD representative if the previously communicated repayment plan changed significantly. Action Taken: Integrity Home Care Services, Inc is in the process of being sold to Constant 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. If you have any questions regarding this plan, please contact Michael Zingaro at 315-703-0646 or via email at Michael.Zingaro@St-Camillus.org Sincerely, Michael Zingaro Vice President of Finance St. Camillus RHCF
2023-001
FAC accepted this audit on April 8, 2024 — management decision was due October 8, 2024.
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.
Show full finding ▾Hide full finding ▴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.
CORRECTIVE ACTION PLAN St. Camillus Residential Health Care Facility respectfully submits the following corrective action plan for the year ended December 31, 2023. Name and address of independent public accounting firm: Bonadio & Co., LLP 432 N. Franklin Street, Suite 100 Syracuse, New York 13204 Audit Period: January 1, 2023 – December 31, 2023 The finding from the 2023 schedule of findings and questioned costs is discussed below. The finding is numbered consistently with the number assigned in the schedule. Finding 2023-001 - Section 232 HUD Insured Mortgage, 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. Recommendation: The Facility management should contact HUD representative if the previously communicated repayment plan changed significantly. Action Taken: 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. If you have any questions regarding this plan, please contact Michael Zingaro at 315-703-0646 or via email at Michael.Zingaro@St-Camillus.org Sincerely, Michael Zingaro Vice President of Finance St. Camillus RHCF
2022-001
FAC accepted this audit on September 19, 2023 — management decision was due March 19, 2024.
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.
Show full finding ▾Hide full finding ▴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.
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.
2021-001
The Facility excluded funds received from CARES Act programs in the 2021 surplus cash calculation. Cause: The Facility believes CARES Act funds are excludable from the computation of surplus cash. Effect: Surplus cash was not deposited into residual receipts as required by the regulatory agreement.
Show full finding ▾Hide full finding ▴Criteria: The regulatory agreement prohibits excluding restricted cash from the surplus cash calculation. Condition: The Facility excluded funds received from CARES Act programs in the 2021 surplus cash calculation. Cause: The Facility believes CARES Act funds are excludable from the computation of surplus cash. Effect: Surplus cash was not deposited into residual receipts as required by the regulatory agreement.
calculation. Recommendation: The Facility should recompute surplus cash ensuring CARES Act program cash is captured in the calculation and deposit the surplus cash into their residual receipts account. Action Taken: The Facility will update its computation and the owner-certified 2022 Annual Financial Statement submission. Surplus cash will be deposited into the project?s residual receipts account as soon as practicable.
FAC accepted this audit on September 28, 2022 — management decision was due March 28, 2023.
St. Camillus Residential Health Care Facility (the Facility) has an outstanding receivable from its affiliate, Integrity Home Care Services, Inc. (Integrity), amounting to $278,323. 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, 2021. 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. Recommendation: St. Camillus management will contact HUD representative if the previously communicated repayment plan changes significantly. Views of management and planned corrective action: We concur with this recommendation. 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 qualified clinical staff and the Facility will continue collecting 100% of the net revenue generated by Integrity to apply against the receivable balance.
Show full finding ▾Hide full finding ▴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 $278,323. 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, 2021. 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. Recommendation: St. Camillus management will contact HUD representative if the previously communicated repayment plan changes significantly. Views of management and planned corrective action: We concur with this recommendation. 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 qualified clinical staff and the Facility will continue collecting 100% of the net revenue generated by Integrity to apply against the receivable balance.
Condition: St. Camillus Residential Health Care Facility (the Facility) has an outstanding receivable from its affiliate, Integrity Home Care Services, Inc. (Integrity), amounting to $278,323. Recommendation: St. Camillus management should contact HUD representative if the previously communicated repayment plan changed significantly. Action Taken: Integrity Home Care Services, Inc. (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, St. Camillus 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 St. Camillus. Management continues to look to identify and implement opportunities to enhance revenue while maintaining low expenses. Integrity and St. Camillus? recruiting efforts continue to be a high priority as we attempt to attract and retain qualified clinical staff and St. Camillus will continue collecting 100% of the net revenue generated by Integrity to apply against the receivable balance.
2020-001
Criteria: The Facility is required to submit Period 1 and Period 2 Provider Relief Fund reports to the Department of Health and Human Services (HHS). The reports require providers to account for and certify that eligible expenses and lost revenues are used to determine proper usage and recognition of funds. Condition/Context: As part of our compliance testing, we selected a haphazard sample of 40 expenditures to ensure they were allowable. As a result of this testing, we noted that three expenditures tested totaling $7,466 were not eligible under HHS guidelines. Cause: The Facility included ineligible expenditures in its Period 1 Provider Relief Funds report due to evolving guidance and believed at the time to be in compliance based on HHS portal instructions at the time of the Period 1 submission. Eligible expenditures are required to be reported in accordance with Provider Relief Fund compliance supplement.Effect: The Facility is at risk of having Period 1 Provider Relief Funds returned to HHS services should ineligible expenditures be reported. The Facility was not in compliance with Provider Relief Fund compliance supplement. Recommendation: We recommend that the Facility maintain documentation that notes that while specific expenditures were incorrectly included in the Period 1 submission, the Facility has lost revenue that is in excess of the funding received to qualify to maintain this funding. It is noted that at this time there is not a mechanism to amend the portal submission. Management Response: The three ineligible expenditures were included in the Period 1 Provider Relief report based on the guidance believed at the time of submission. If these expenditures were not included, the Facility would have been eligible to apply these applicable funds against its lost revenue for the period being reported. The total of eligible expenditures and lost revenue, substantially exceeds the amount of Provider Relief Funds received. The Facility did not inappropriately utilize funds and should not be at risk of having any funds returned to HHS. The Facility has maintained documentation of all eligible expenditures and lost revenue calculations to support this assertion.
Show full finding ▾Hide full finding ▴Criteria: The Facility is required to submit Period 1 and Period 2 Provider Relief Fund reports to the Department of Health and Human Services (HHS). The reports require providers to account for and certify that eligible expenses and lost revenues are used to determine proper usage and recognition of funds. Condition/Context: As part of our compliance testing, we selected a haphazard sample of 40 expenditures to ensure they were allowable. As a result of this testing, we noted that three expenditures tested totaling $7,466 were not eligible under HHS guidelines. Cause: The Facility included ineligible expenditures in its Period 1 Provider Relief Funds report due to evolving guidance and believed at the time to be in compliance based on HHS portal instructions at the time of the Period 1 submission. Eligible expenditures are required to be reported in accordance with Provider Relief Fund compliance supplement.Effect: The Facility is at risk of having Period 1 Provider Relief Funds returned to HHS services should ineligible expenditures be reported. The Facility was not in compliance with Provider Relief Fund compliance supplement. Recommendation: We recommend that the Facility maintain documentation that notes that while specific expenditures were incorrectly included in the Period 1 submission, the Facility has lost revenue that is in excess of the funding received to qualify to maintain this funding. It is noted that at this time there is not a mechanism to amend the portal submission. Management Response: The three ineligible expenditures were included in the Period 1 Provider Relief report based on the guidance believed at the time of submission. If these expenditures were not included, the Facility would have been eligible to apply these applicable funds against its lost revenue for the period being reported. The total of eligible expenditures and lost revenue, substantially exceeds the amount of Provider Relief Funds received. The Facility did not inappropriately utilize funds and should not be at risk of having any funds returned to HHS. The Facility has maintained documentation of all eligible expenditures and lost revenue calculations to support this assertion.
Condition: As part of our compliance testing, we selected a haphazard sample of 40 expenditures to ensure they were allowable. As a result of this testing, we noted that three expenditures tested totaling $7,466 were not eligible under HHS guidelines. Recommendation: St. Camillus will maintain documentation that notes that while specific expenses were incorrectly included in the Period 1 submission, St. Camillus has lost revenue that is in excess of the funding received to qualify to maintain this funding. It is noted that at this time there is not a mechanism to amend the portal submission.Action Taken: The ineligible expenses were included in the period 1 provider relief report based on the guidance believed at the time of submission. If these expenses were not included, St. Camillus would have been eligible to apply these applicable funds against its lost revenue for the period being reported. The total of eligible expenses and lost revenue substantially exceeds the amount of provider relief funding received. St. Camillus did not inappropriately utilize funds and should not be at risk of having any funds returned to the Department of Health and Human Services. St. Camillus has maintained documentation of all eligible expenses and lost revenue calculations to support this assertion.
FAC accepted this audit on March 22, 2022 — management decision was due September 22, 2022.
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. St. Camillus Residential Health Care Facility (the Facility) has an outstanding receivable from its affiliate, Integrity Home Care Services, Inc. (Integrity), amounting to $429,846.
Show full finding ▾Hide full finding ▴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. St. Camillus Residential Health Care Facility (the Facility) has an outstanding receivable from its affiliate, Integrity Home Care Services, Inc. (Integrity), amounting to $429,846.
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 $360,000 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 qualified clinical staff and the Facility will continue collecting 100% of the net revenue generated by Integrity to apply against the receivable balance.
2019-001
FAC accepted this audit on June 23, 2020 — management decision was due December 23, 2020.
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 expenses and necessary repairs of the Project. St. Camillus Residential Health Care Facility (St. Camillus) has an outstanding receivable from its affiliate, Integrity Home Care Services, Inc., amounting to $581,427.
Show full finding ▾Hide full finding ▴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 expenses and necessary repairs of the Project. St. Camillus Residential Health Care Facility (St. Camillus) has an outstanding receivable from its affiliate, Integrity Home Care Services, Inc., amounting to $581,427.
Integrity Home Care Services, Inc. (Integrity) has not historically been as profitable as originally projected but its performance has improved recently. As of February 2020, the receivable balance has been reduced by approximately $115,000 since 2015. As requested by HUD, St. Camillus 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 St. Camillus. Management continues to look to identify and implement opportunities to enhance revenue while maintaining low expenses. Integrity and St. Camillus? recruiting efforts continue to be a high priority as we attempt to attract and retain qualified clinical staff and St. Camillus will continue collecting 100% of the net revenue generated by Integrity to apply against the receivable balance.
2018-001
FAC accepted this audit on April 21, 2019 — management decision was due October 21, 2019.
GSA_MIGRATION
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GSA_MIGRATION
2017-001
FAC accepted this audit on September 26, 2018 — management decision was due March 26, 2019.
GSA_MIGRATION
Show full finding ▾Hide full finding ▴FAC accepted this audit on April 23, 2017 — management decision was due October 23, 2017.
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