Genesee Health System

Genesee Health System, a local government-owned behavioral health and community services entity based in Flint, Michigan, receives federal grant funding as a prime recipient and sub-recipient across mental health, housing, and primary care programs, operating without federal procurement contracts or IDVs. The organization is structured as a U.S. local government entity and serves Genesee County's vulnerable populations, including uninsured and underinsured residents, veterans, and individuals experiencing homelessness or behavioral health crises.

Genesee Health System's federal footprint is dominated by grant work across multiple Health and Human Services components. The Department of Health and Human Services Substance Abuse and Mental Health Services Administration (SAMHSA) anchors the prime recipient portfolio with 11 awards, including a multi-year cooperative agreement (CFDA unlisted, awarded September 2023, completing September 2027) to enhance crisis care in Genesee County through mobile crisis response and jail and hospital diversion partnerships. The Department of Housing and Urban Development's Continuum of Care Program (CFDA 14.267) accounts for 9 awards as prime recipient, including a $468,764 project grant awarded August 2026 (performance through July 2027) supporting permanent housing, permanent supportive housing for persons with disabilities, rapid rehousing, transitional housing, and supportive services. The Department of Health and Human Services Health Resources and Services Administration provided 8 awards, including a Teaching Health Center Planning and Development Program grant (awarded April 2023, completing March 2025) to establish an accredited psychiatry residency program in partnership with Hurley Medical Center, McLaren Health Care, and Michigan State University Department of Psychiatry. The Centers for Medicare and Medicaid Services accounts for 6 awards, and SAMHSA carries an additional 5 awards. Recent capability work includes a Certified Community Behavioral Health Clinic improvement grant (CFDA unlisted, SAMHSA, awarded September 2022, completed September 2024) to develop evidence-based outpatient therapy services using cognitive behavioral therapy, dialectical behavioral therapy, and motivational interviewing, and a Bridge Access Program award (Bureau of Primary Health Care, September 2023, completed December 2024).

Genesee Health System splits its federal activity between prime recipient (46% of awards) and sub-recipient status (54%), operating as a sub-recipient on multiple Michigan Department of Health and Human Services pass-through grants from federal sources. Sub-recipient work includes fetal alcohol syndrome diagnostic services, veteran systems navigation, infant and early childhood mental health consultation in child care, and mental health access and juvenile justice diversion expansion programs (awarded October 2025 and October 2024). The organization also receives sub-award funding through the City of Flint under community-based training and response programs, and through Metro Community Development Inc. under Continuum of Care rapid rehousing and permanent supportive housing components.

Activity has grown from four awards in 2022 to a peak of fourteen in 2024, with ten awards in 2025 and one award recorded through August 2026. Only two awards face ultimate completion within the next twenty-four months, limiting near-term recompete exposure. Across both roles, Genesee Health System delivers mobile crisis care, psychiatric residency training, evidence-based outpatient therapy, COVID-19 vaccination support, homeless services coordination, and behavioral health workforce development to Genesee County residents experiencing trauma, housing instability, or mental health crises.