FAC Explorer

Audit 409116

FY End
2025-12-31
Total Expended
$7.89M
Findings
1
Programs
12
Organization: Finger Lakes Migrant Health Care Proj INC Dba Finger Lakes Comm Health (NY)
Year: 2025 Accepted: 2026-08-14
Auditor: COHNREZNICK LLP

Organization Exclusion Status:

Findings

ID Ref Severity Repeat Requirement
1226484 2025-001 Material Weakness Yes I

Programs

ALN Program Spent Major Findings
93.224 HEALTH CENTER PROGRAM $6.73M Yes 1
93.778 GRANTS TO STATES FOR MEDICAID $340,426 Yes 0
93.526 GRANTS FOR CAPITAL DEVELOPMENT IN HEALTH CENTERS $151,226 Yes 0
93.217 FAMILY PLANNING SERVICES $141,275 Yes 0
93.994 MATERNAL AND CHILD HEALTH SERVICES BLOCK GRANT TO THE STATES $96,801 Yes 0
93.991 PREVENTIVE HEALTH AND HEALTH SERVICES BLOCK GRANT $61,240 Yes 0
93.912 RURAL HEALTHCARE SERVICES PROGRAM $33,514 Yes 0
93.767 CHILDREN'S HEALTH INSURANCE PROGRAM $26,321 Yes 0
93.145 HIV-RELATED TRAINING AND TECHNICAL ASSISTANCE $7,000 Yes 0
93.247 ADVANCED NURSING EDUCATION WORKFORCE GRANT PROGRAM $5,000 Yes 0
93.211 TELEHEALTH PROGRAMS $2,633 Yes 0
93.600 HEAD START $518 Yes 0

Contacts

Name Title Type
TCFZVKJUDZU8 Jamie Wetherell Auditee
3155319102 Steven Schwartz Auditor
No contacts on file

Notes to SEFA

The accompanying schedule of expenditures of federal awards (the "Schedule") includes the federal awards of Finger Lakes Community Health, Inc. ("FLCH") under programs of the federal government for the year ended December 31, 2025. The information in this Schedule is presented in accordance with the requirements of Title 2 U.S. Code of Federal Regulations Part 200, Uniform Administrative Requirements, Cost Principles, and Audit Requirements for Federal Awards ("Uniform Guidance"). Because the Schedule presents only a selected portion of the operations of FLCH, it is not intended to and does not present the financial position, change in net assets, or cash flows of FLCH.

Finding Details

Finding 2025-001
Item 2025-001 - Procurement, Suspension and Debarment - U.S. Department of Health and Human Services, Health Center Program Cluster (Assistance Listing Number 93.224) Notice of Award Number 6 H80CS00849-23-05 and 6 H8NCS53876-01-03 - (Significant Deficiency) Criteria: Recipients and subrecipients are subject to the procurement, suspension and debarment regulations implementing Executive Orders 12549 and 12689, as well as 2 CFR part 180. The regulations in 2 CFR part 180 restrict making Federal awards, subawards, and contracts with certain parties that are debarred, suspended, or otherwise excluded from receiving or participating in Federal awards. The U.S. Department of Health and Human Services Grants Policy Statement indicates that charges made to HHS grants for the salary of individuals who have been debarred, suspended or declared ineligible or who have been voluntarily excluded from covered transactions are unallowable. Statement of Condition: During our audit, we noted that there is no evidence that any exclusion search was conducted from January 2025 to May 2025. Cause: The FLCH's internal control procedures over suspension and debarment were not consistently followed. Effect: Failure in conducting exclusion searches raises the risk that salaries of employees who are suspended or debarred may be charged to federally-funded programs which is not allowed. Questioned Costs: None. Context: Although FLCH did not consistently conduct exclusion searches in 2025, none of the sample employees tested were found to be suspended or debarred. Identification as a Repeat Finding: This is a repeat of prior year's finding (Finding 2024-001). Recommendation: We recommend that FLCH train its employees in relation to their policies and procedures on conducting exclusion screening and on proper documentation thereof. Management Response: Management agrees with the finding and will be conducting training for its personnel to help ensure the accuracy, completeness and timeliness of exclusion searches. Effective June 2025, a new internal control procedure was implemented to ensure that verification of suspension and debarment is consistently done.