
Where does the cash fly off to? Medical, Food/Commissary, Federal Monopolies?
How far have monopoly pricing, duplicitous kickbacks, and hidden payments seeped into the administrative bones of the county jail? Public debate and protest recently erupted over escalating profits for the GTL Corporation which charges over 100 times more than the cost of jail phone and tablet services—with the Sheriff skimming off 60% of sales into his private slush fund.
Inquiring minds and county legislators might ask: what’s happening with other agreements and contracts? Here are three more to scrutinize for medical services, food/commissary provisions, and Federal detainees (including ICE).
PrimeCare Medical: death and the missing $664,568?
Following the steady decline in county health funding, the county jail has become for many in recent decades the default regional treatment center. The jail was neither designed for nor is capable of this role. The result has been haphazard services marked by successive lost lawsuits over the abuse of youth (eg. Vaega, youth solitary) and transgender persons (NYCLU/Holland) and multiple wrongful deaths (eg. Rios, Barton, Husar).
The most recent June 2023 SCOC report for a person to die in the jail bluntly stated that “there was a complete failure by the medical staff to properly assess and provide treatment for a gravely ill individual… had Lxxx been timely sent to the hospital for a diagnosis and treatment, his death could have been prevented.” Last year the death rate was higher than in New York City’s notorious Rikers Island. Yet we have no accounting of associated medical/legal costs and financial settlements.
How much $ has the county paid out by lost lawsuits paying lawyers and then victims of abuse and wrongful deaths? We don’t know and they won’t tell. The county hides this: the cost of legal fees and payments has never been revealed much less reported; it is likely to be in the $ millions. Unless sealed by a judge, non-disclosure agreements can’t be used to hide payouts as in the most recent ruling in favor of the Husar family. But despite rulings by the NY State’s Committee on Open Government, the District Attorney’s office refuses to reveal payouts (see the Committee’s ruling here).
To that you can add how much the county has also paid out for medical services never provided by PrimeCare. In 2018 former jail nurses sued the out of state, for profit medical provider at the time, Correctional Medical Care, alleging the company forced them to falsify medical records and backdate call sheets to pass accreditation and maximize profits. The result: missed medications and specialist visits and general medical neglect, including an inmate whose broken arm was denied pain medication and an amputee whose limb became malformed due to a lack of proper care.
It’s a rewarding practice literally: profits of private jail providers across the state are running at 20 to 25 percent. And the firms change names and recompose themselves when faced with medical malfeasance. When Broome’s medical provider CMC was revealed by the State Attorney General to be operating without the required New York State license, it simply renamed itself CBH Medical to register in New York but with a head office in the same suite in Blue Bell Pennsylvania. When CMC lost too many lawsuits and attracted too much bad media coverage, the County found a new medical provider, awarding in February 2022 a bigger contract worth $5.2 million to PrimeCare Medical, another firm based again in Pennsylvania.
Then what community activists and nurses alike warned in 2018 and after came to pass. In 2023 a county audit revealed that the Sheriff had paid PrimeCare for $257,874 from August to December 2022 for medical services and treatments that were never provided.
No fraud charges were leveled, no financial penalties were imposed, no payments of lost interest were required. The Sheriff and County officials cast this as saving money for the County.

The Sheriff called the payments for services not rendered “disparities”. An agreement was announced that PrimeCare would repay the county with monthly payments over the coming year. As for PrimeCare? “We couldn’t be happier with the folks we have here”.
He spoke too soon. A follow-up audit reported on December 9, 2025 found PrimeCare were not overpaid $258,000, it was $664,568. County auditors left it to PrimeCare Medical, the Sheriff and the County to work out “how overpayment of $664,568 should be recouped and what form of credit or repayment is appropriate.”
That could be a problem since the Sheriff responded to the audit by stating that PrimeCare had not met the 2023 agreement to pay back the lost $257,000 in 12 monthly installments. In 2025 the Sheriff said he would be stopping any future payments since PrimeCare was yet to pay back the $257,000 from 2023:
There was no press conference this time on how money was saved for the county. No penalties or fraud charges were announced either.
Contract billing and invoicing fraud against local governments involves intentionally deceiving a county to obtain unearned funds. In New York State, these crimes are typically prosecuted under statutes like Grand Larceny (NY Penal Law Article 155), Offering a False Instrument for Filing (NY Penal Law Article 175), or the federal False Claims Act for federally funded projects.
Legislators all got a copy of the December 9, 2025 audit. But apparently they didn’t read it or were unperturbed: on May 21, 2026 all 14 voted to reward PrimeCare a new $5.2 million contract.
Four days later more than 300 people were treated by PrimeCare at the jail for food poisoning, with a dozen being sent to hospital and many alleging medical neglect.
Incarcerated have now filed grievances over their medical treatment (PrimeCare) and food services (Trinity) while a class action lawsuits seeking damages from the County have begun. Who is going to pay for defending the county legally and for all related medical and compensatory charges? That too as in the past remains unasked, hidden, unknown.

Trinity Commissary: missing audits, implausible accounts, no registered contract?
At least PrimeCare has a contract. It isn’t so clear with the commissary provider Trinity Corporation.
State law (9 CRR-NY 7016.1: §(a)) requires the “regular” auditing by the county of sheriffs’ commissary operations which are required to have “modest return above costs” with profits “utilized only for the purpose of prisoner welfare and rehabilitation. Profits must be kept in “a separate bank account,” which can “fully substantiate all purchases, sales and expenditures.”
Broome county has never met these requirements according to available documents and audits.
For years audits were slim and perfunctory, revealing only one figure, the total in the Commissary Fund derived from profits on sales. Ten years ago the balance was $ 112,052.39, with no purchases, sales or expenditures reported. The one-page report simply asserted without any details “it is our opinion that the Sheriff’s Office is in compliance with State Law regarding the commissary fund.” The same words, paragraphs, and conclusions were repeated word for word in 2017 and 2018. And then audits stopped.
In May 2019 Justice and Unity for the Southern Tier wrote a letter to the Broome County Executive and State Commission of Correction requesting a commissary audit given 200-600% profit rates on sales, the use of profits well outside any interpretation of “rehabilitation purposes,” and the illegal use of profits for mandatory hygiene items–among other items derived from freedom of information requests and information from persons inside the jail. No county audit was reported for 2019, 2020, 2021, 2022, and 2023.
After a five year wait a new audit was posted in 2024. It too failed to include figures on revenues or expenditures. Those apparently were not available with auditors reporting that “during the course of our audit, we noted that the Broome County Sheriff’s Office does not have any written policies and procedures regarding the Commissary fund.”
And the reasonable profits from sales as required by state law? Auditors found no records, no ability to verify commissions. “Currently, the vendor does not provide a detailed Sales and Commission report. Therefore, there is no process in place to readily verify the accuracy of the calculated commission.”
Even more striking was the absence of any legally registered county contract with Trinity: the Sheriff had personally signed an extension of the previous contract without informing the County Law Department; it lacked county approval. Auditors also noted vendors from news subscriptions to cable and internet service were also not under contract. The Sheriff perfunctorily agreed to rectify all the items concerned.
A year later the December 3, 2025, audit (also distributed to all legislators but not the County Executive) was similarly unable to follow prices, sales, expenditures, revenues. Still, it was curiously able to conclude the “Commissary Account to be appropriate in accordance with New York State Law.” To be fair, the audit only partially examined one month of accounts, November 1-30, 2024. How the conclusion of even appropriate expenditures was reached is clear: as auditors stated, “approval forms (for commissary disbursements) were not completed for purchases made under existing contracts.” contravening “New York State Commission of Correction regulation 9 CRR-NY § 7016”.
Why does this matter? Its $ millions flowing unaccountably through county hands. Many families and friends of incarcerated persons spend hundreds of dollars a month so person have access to supplemental food and hygiene products. The Sheriff can raise prices at his own, monopoly capitalist, discretion. Price markups in the past have varied from 100-600% including on even Bibles and Korans. A single packet of Ramen that might cost 50 cents at Walmart now (and far less if bought in bulk) is priced at over $1 in the jail commissary–before the prices were increased last month. But New York State does dictate limits on prices, profits? Ten years of required audits demonstrate state laws, transparency, and even the most basic audits demonstrate county jail contracts, purchases, and expenditures are beyond all basic oversight. And it’s the incarcerated and their families who pay.
U.S. Federal Marshals Service: $2.8 million+ lost in 2025?
Signed by the Sheriff in 2002, this agreement imprisons people in the county jail for the Federal government, including in the last year hundreds of ICE detainees. There is no requirement to have such an agreement.
In 2025 the new Trump administration arrived and the number of persons held, fed, cared, and transported for the Federal government exploded with the arrival of new ICE detainees. The number rose from 18 per day in the previous ten years to over 80 a day in March 2025. Its currently running 60 to 70.
What does this cost? When state prison officers went on an illegal strike in February 2025 and the jail could not send convicted and sentenced persons on to state prisons, the Sheriff protested to WBNG that it cost the him $274/day to keep a “state ready” in the jail while the county only received $100/day in reimbursement from the state.

If you apply the Sheriff’s daily figure of $274 to the housing of Federal and ICE detainees, and deduct the $110/day Federal reimbursement, it costs the county $164/day to house Federal detainees. The total cost for 2025?
17,440 federal days reported x $164/day = $ 2,860,160.
And that’s before the county pays for additional transport, liability, food, and medical expenses.
The Sheriff retorts that jail costs are fixed no matter whether the jail holds 50 or 500 persons, enforced by the State Commission of Correction which dictates staffing for a rated capacity of 535. But capacities are regularly changed for jails. The solution here is simple: cancel the Federal agreement and officially downsize to a capacity reflecting the maximum number used in recent years to house local residents plus a small buffer. Such variances are regularly granted; the form to apply to the SCOC to do so is here and they have 60 days to reply.
What number? Since 2020 the average annual count minus Federal detainees (but including even state readies) is 332 persons per day (see state DCJS data here). Not 535, but over one-third less, 332. We don’t need a supersized jail and can easily reduce its rated maximum by at least 25%. And save the county $ millions.


AI generated
At the 
































New Cameras from Axis Communications now capture details in color and across the spectrum, something that never could have been done with old analog cameras. “It’s amazing how good they are,” says BUPD Deputy Chief Reilly in an 










A Broome County 


























Local newspapers in 
































Recent Comments