Finding 403364 (2023-002)

Significant Deficiency
Requirement
A
Questioned Costs
-
Year
2023
Accepted
2024-06-27
Audit: 310494
Organization: Genesee Health System (MI)

AI Summary

  • Core Issue: Expenditures charged to the grant exceeded the approved budget due to management's misunderstanding of allowable costs.
  • Impacted Requirements: Compliance with 2 CFR 200.402, which outlines allowable costs for federal awards.
  • Recommended Follow-Up: CMHSP should review grant agreements and implement internal controls to ensure only allowable costs are charged.

Finding Text

Finding 2023-002 – ACTIVITIES ALLOWED OR UNALLOWED and ALLOWABLE COSTS/COST PRINCIPLES Type: Significant Deficiency in Internal Control / Noncompliance Program: Health Center Cluster (ALN 93.224) Condition: Expenditures charged to the grant were not authorized in the grant budget. Criteria: As detailed by 2 CFR 200.402, “The total cost of a Federal award is the sum of the allowable direct and allocable indirect costs less any applicable credits.” Cause: Management’s misunderstanding of costs allowed under this grant. Effect: Costs were charged to the grant in excess of approved budgets. Context: Amounts expended for 1 of 3 grant categories exceeded the approved budget for that category. Recommendation: We recommend that the CMHSP review all grant agreements to gain a thorough understanding of allowable costs and then establish internal controls to assure that only allowable costs are charged to the grant. Management’s Resp: We are in agreement with this finding.

Corrective Action Plan

Finding 2023-002: Activities Allowed or Unallowed and Allowable Cost/Cost Principles Description of Finding: Significant Deficiency in Internal Control/Noncompliance – Expenditures charged to the grant were not authorized in the grant budget. Corrective Action: GHS agrees with the finding and the recommendation. GHS grant reporting staff will do a detailed review of all grant agreements to obtain a thorough understanding of allowable costs in the grant budget. Then the following steps will be taken to ensure compliance: • Once the grant budget has been approved by the Board of Directors and submitted to HRSA, staff allocated to the grant will be coded in the payroll system directly to the grant cost center. • Any other costs included in the submitted grant budget will be directly coded to that cost center as incurred on a monthly basis as well. • A review of the costs assigned to the grant cost center will be completed, comparing the actual costs each month to allocated monthly budgeted amount that was approved and submitted to HRSA. • This review will be done by the accounting manager responsible for grant reporting as well as the accounting manager responsible for the FQHC financial reporting as a whole. The Executive Director of the FQHC and the CFO will provide the final review of the monthly expenditures charged to the grant. • Any questions or needed changes will be communicated to the grant accountant for explanation or modification each month. Name of Contact Person: Glen Chipman, CFO 1040 W Bristol Rd Flint, MI 48732 810-496-5487 gchipman@genhs.org Projected Completion Date: The above outlined steps have been put in place as of 6/15/2024 and will be reviewed periodically for continued efficiency.

Categories

Allowable Costs / Cost Principles

Other Findings in this Audit

  • 403363 2023-001
    Material Weakness
  • 979805 2023-001
    Material Weakness
  • 979806 2023-002
    Significant Deficiency

Programs in Audit

ALN Program Name Expenditures
93.224 Consolidated Health Centers (community Health Centers, Migrant Health Centers, Health Care for the Homeless, and Public Housing Primary Care) $2.09M
93.997 Assisted Outpatient Treatment $850,295
93.767 Children's Health Insurance Program $315,307
14.267 Continuum of Care Program $248,709
93.778 Medical Assistance Program $247,917
93.696 Certified Community Behavioral Health Clinic Expansion Grants $229,345
14.218 Community Development Block Grants/entitlement Grants $203,389
93.665 Emergency Grants to Address Mental and Substance Use Disorders During Covid-19 $126,608
93.323 Epidemiology and Laboratory Capacity for Infectious Diseases (elc) $117,541
93.530 Affordable Care Act - Teaching Health Center Graduate Medical Education Payments Program $88,111
93.575 Child Care and Development Block Grant $51,750
93.958 Block Grants for Community Mental Health Services $40,242
93.526 Affordable Care Act (aca) Grants for Capital Development in Health Centers $38,850
93.994 Maternal and Child Health Services Block Grant to the States $16,500
93.268 Immunization Cooperative Agreements $3,225