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Hudson Headwaters Health Network, Inc.Non-Profit

EIN: 141628237

UEI: DZYNX32HX2Y4

Audited by: CohnReznick LLP

Oversight agency: 93 [Department of Health and Human Services]

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Data as of September 7, 2026

Hudson Headwaters Health Network, Inc.10 audit years2 findings
10
Audit Years
2
Total Findings
0
Repeat Findings
$6.6M
Federal Awards Expended (FY 2025)

FY 2025-12-31

LOW-RISK AUDITEE$6,638,114 federal awards expendedNo findings recorded this year

FY 2024-12-31

LOW-RISK AUDITEE$8,361,328 federal awards expendedNo findings recorded this year

FAC accepted this audit on June 11, 2025 — management decision was due December 11, 2025.

FY 2023-12-31

LOW-RISK AUDITEE$13,309,904 federal awards expended

FAC accepted this audit on May 31, 2024 — management decision was due December 1, 2024.

2023-001
Reporting
SIGNIFICANT DEFICIENCYOTHER MATTERS

Finding 2023.001: Reporting Grantor: U.S. Department of Health and Human Services Federal Program Name: COVID-19 - Provider Relief Fund and American Rescue Plan (ARP) Rural Distribution Federal Assistance Listing Number: 93.498 Criteria In accordance with the reporting requirements of the U.S. Department of Health and Human Services, the Network is required to accurately report to HRSA the methodology applied to the provider relief funds received. Condition/Context In connection with the Reporting test for the Provider Relief Fund Award, we noted that the Network’s final reconciliation of the Provider Relief Fund Award did not agree to the reports submitted to HRSA due to the fact that the lost revenue option II was used rather than option III. Cause The Network inadvertently reported the incorrect methodology. Once identified, adjustments were required for final reconciliation to Provider Relief Funding, however, the Network was unable to revise or resubmit prior reports via the Provider Relief Portal. Questioned Costs None. Effect The Network did not comply with the appropriate rules and regulations as per the reporting requirements of the Provider Relief Fund program. Identification of Repeat Finding No Recommendation The Network should ensure that the reporting over the provider relief funds is accurate prior to submission. Views of Responsible Officials Procedures will be put in place to review accuracy of reporting prior to submission and management will maintain supporting documentation related to revisions identified on behalf of the Network.

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Full finding narrative

Finding 2023.001: Reporting Grantor: U.S. Department of Health and Human Services Federal Program Name: COVID-19 - Provider Relief Fund and American Rescue Plan (ARP) Rural Distribution Federal Assistance Listing Number: 93.498 Criteria In accordance with the reporting requirements of the U.S. Department of Health and Human Services, the Network is required to accurately report to HRSA the methodology applied to the provider relief funds received. Condition/Context In connection with the Reporting test for the Provider Relief Fund Award, we noted that the Network’s final reconciliation of the Provider Relief Fund Award did not agree to the reports submitted to HRSA due to the fact that the lost revenue option II was used rather than option III. Cause The Network inadvertently reported the incorrect methodology. Once identified, adjustments were required for final reconciliation to Provider Relief Funding, however, the Network was unable to revise or resubmit prior reports via the Provider Relief Portal. Questioned Costs None. Effect The Network did not comply with the appropriate rules and regulations as per the reporting requirements of the Provider Relief Fund program. Identification of Repeat Finding No Recommendation The Network should ensure that the reporting over the provider relief funds is accurate prior to submission. Views of Responsible Officials Procedures will be put in place to review accuracy of reporting prior to submission and management will maintain supporting documentation related to revisions identified on behalf of the Network.

Corrective Action Plan

May 23, 2024 Year Ended December 31, 2023 To Health Resources and Services Administration GEORGE PURDUE ADMINISTRATIVE BUILDING 9 CAREY ROAD QUEENSBURY, NY 12804 518-761-0300 WWW.HHHN.ORG Hudson Headwaters Health Network and Affiliates (the Network) respectfully submits the following corrective action plan for the year ended December 31, 2023. CohnReznick LLP 350 Church Street Hartford, CT 06103 Audit Period: December 31, 2023 The findings from the December 31, 2023 schedule of findings and questioned costs are discussed below. The findings are numbered consistently with the number assigned in the schedule. Federal Award Findings: Finding 2023.001 - Reporting Recommendation The Network should ensure that the reporting over the provider relief funds is accurate prior to submission. Action Taken The Network has all supporting documentation for provider relief reports previously submitted and any corrected adjustments that were required. No further action needed. If there are any question regarding this plan, please e-mail Laura Pasco at LPasco@hhhn.org, Chief Financial Officer

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FY 2022-12-31

LOW-RISK AUDITEE$13,766,740 federal awards expendedNo findings recorded this year

FAC accepted this audit on June 26, 2023 — management decision was due December 26, 2023.

FY 2021-12-31

LOW-RISK AUDITEE$13,038,908 federal awards expendedNo findings recorded this year

FAC accepted this audit on June 13, 2022 — management decision was due December 13, 2022.

FY 2020-12-31

LOW-RISK AUDITEE$10,399,045 federal awards expendedNo findings recorded this year

FAC accepted this audit on September 26, 2021 — management decision was due March 26, 2022.

FY 2019-12-31

LOW-RISK AUDITEE$6,709,423 federal awards expendedNo findings recorded this year

FAC accepted this audit on June 4, 2020 — management decision was due December 4, 2020.

FY 2018-12-31

LOW-RISK AUDITEE$6,684,904 federal awards expended

FAC accepted this audit on June 12, 2019 — management decision was due December 12, 2019.

2018-001
Activities Allowed or Unallowed
SIGNIFICANT DEFICIENCYOTHER MATTERS

GSA_MIGRATION

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GSA_MIGRATION

Corrective Action Plan

GSA_MIGRATION

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FY 2017-12-31

LOW-RISK AUDITEE$6,970,366 federal awards expendedNo findings recorded this year

FAC accepted this audit on July 1, 2018 — management decision was due January 1, 2019.

FY 2016-12-31

LOW-RISK AUDITEE$7,628,711 federal awards expendedNo findings recorded this year

FAC accepted this audit on July 31, 2017 — management decision was due January 31, 2018.

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