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Geriatric Authority of Holyoke

September 25, 2013 · Read the full official report (PDF) ↗

Published September 25, 2013 Audit covers January 1, 2010 – June 30, 2012 Under Suzanne M. Bump · 2011–2023

In plain English
Auditors found that the Geriatric Authority of Holyoke was poorly managed financially, missed chances to bring in revenue, lacked basic controls, and owed Holyoke about $2.2 million.
source
“As a consequence of these management deficiencies, GAH has had to rely on the City of Holyoke (the City) to provide it with substantial financial support and, as of June 30, 2012, owed the City approximately $2.2 million.”
Read the plain-English breakdown
What is this?

This is a Massachusetts State Auditor performance audit of the Geriatric Authority of Holyoke covering January 1, 2010 through June 30, 2012.

“This report details the audit objectives, scope, methodology, findings, and recommendations for the audit period, January 1, 2010 through June 30, 2012.”
Why was it audited?

Holyoke officials and GAH's board asked for the audit so new board members could understand how the authority was operating and what its financial condition was.

“The Holyoke City Council, in conjunction with the GAH Board of Directors (the Board), requested that the Office of the State Auditor (OSA) perform an audit of GAH in order to provide GAH’s new Board members with a report on GAH’s operations and current fiscal condition.”
Why it matters

The audit matters because the authority provides elder care services and its financial problems could leave it dependent on city support instead of standing on its own.

“Otherwise, GAH’s financial viability will depend on the City’s willingness to continue its financial support.”
What's in it for me?

For a Holyoke resident or taxpayer, the key issue is that the authority’s problems affected city finances because the city was covering costs and tracking money it said GAH owed.

“This occurred because GAH did not have sufficient revenue to pay all its obligations and relied on the City to pay for certain operating expenses.”
The bottom line

The auditors concluded that GAH lacked adequate controls over money coming in and going out, and did not have efficient, effective procedures.

“Based on our audit, we have concluded that, for the period January 1, 2010 through June 30, 2012, the Authority lacked adequate internal controls over revenues and expenditures and did not establish efficient and effective operating policies and procedures, as described below.”
What happens next

The auditor recommended that GAH fix its controls, seek more revenue, cut unnecessary costs, and work with city and state officials to resolve the disputed state funding issue.

“GAH and City officials should obtain a legal opinion as to whether the amounts reported by GAH as City appropriations are actually appropriations or are amounts due the City from GAH.”
Why it's significant

The report is significant because it describes a public elder-care authority with repeated financial losses, weak safeguards, missed income opportunities, and possible improper state payments.

“During our audit period, GAH’s management and Board of Directors did not effectively manage its financial operations.”
Jargon, unpacked

In plain English, 'fixed assets' means things like buildings and equipment that the authority owns and cannot quickly turn into cash.

“Fixed assets, also known as non-current assets or as property, plant, and equipment (PP&E), are assets and property that cannot easily be converted into cash.”

16 figure(s) pending source verification - not shown

What the Auditor checked

What the Auditor found

GAH’s leadership did not effectively manage financial operations, resulting in missed revenue opportunities, questionable spending, and a $2.2 million debt to the City of Holyoke.
internal controlsprocurement/contractsvendor oversightcash handling

Why it matters: GAH had to rely on City subsidies, owed approximately $2.2 million, and risked further debt and loss of financial self-sufficiency.

Standard: Massachusetts Attorney General’s Guide for Board Members of Charitable Organizations, cited as fundamental board oversight guidance. ( Chapter 11, Section 12, of the Massachusetts General Laws; Massachusetts Attorney General’s Guide for Board Members of Charitable Organizations; Chapter 40, Section 14, and Chapter 43, Section 30, of the Massachusetts General Laws; Section 2-349(b)(4) of the City of Holyoke Code of Ordinances )

2 recommendations
  • GAH should develop policies and procedures for capital projects, capital asset purchases, Board directives, legal services, and employment contracts.
  • The Executive Director should continue to identify and implement cost savings to eliminate wasteful spending and improve financial viability.
Agency response & Auditor reply
Agency: "The current Executive Director has and will continue to identify and eliminate any wasteful spending and improve the financial viability of the GAH."
GAH received $150,056 in questionable state funding based on disputed City appropriation information.
grants managementrecordkeeping/documentationinternal controls

Why it matters: The payments may have been inappropriate, additional payments were withheld, and GAH may have to provide documentation or repay funds if the amounts were not appropriations.

Standard: 101 CMR 206.06 governing Certified Public Expenditure payments to municipal nursing facilities. ( 101 CMR 206.06; 101 CMR 206.06(2) )

2 recommendations
  • GAH and City officials should obtain a legal opinion on whether the reported amounts were City appropriations or money due from GAH to the City, then provide documentation to EOHHS.
  • If the amounts are not appropriations, EOHHS should take necessary action to resolve the matter.
Agency response & Auditor reply
Agency: "This continues to be investigated by GAH legal council [sic] and city officials."
Auditor: "Based on this correspondence, the validity of the CPE payments provided to GAH is still in question."

Verified dollar findings

Other identified $404,143 not in headline

Identified dollar findings that do not fall in a named band.

$404,143 - extraordinary loss