Finding 979806 (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.

Categories

Allowable Costs / Cost Principles

Other Findings in this Audit

  • 403363 2023-001
    Material Weakness
  • 403364 2023-002
    Significant Deficiency
  • 979805 2023-001
    Material Weakness

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