The accompanying schedule of expenditures of federal awards and state financial assistance (the “Schedule”) includes the federal and state award activity of St. Jude Children’s Research Hospital, Inc. and its wholly owned subsidiaries (collectively, the “Hospital”) under programs of the federal government and State of Tennessee (“the State”) for the year ended June 30, 2025, in accordance with the requirements of Title 2 US Code of Federal Regulations Part 200, Uniform Administrative Requirements and Audit Requirements for Federal Awards (the “Uniform Guidance”), Title 45 US Code of Federal Regulations Part 75, Appendix IX, Cost Principles for Hospitals, and the State’s reporting requirements. Because the Schedule presents only a selected portion of the operations of the Hospital, it is not intended to, and does not, present the financial position, changes in net assets, or cash flows of the Hospital. Federal direct programs are presented by federal department and by individual federal awards. Assistance Listing Number (ALN) for federal programs, and pass-through entity are presented for all individual awards, where applicable. State financial assistance is presented by state department and contract numbers in accordance with the reporting requirements of the State reporting and auditing requirements.
For purposes of the Schedule, expenditures of federal award programs are recognized on the accrual basis of accounting and prepared in accordance with accounting principles generally accepted in the United States of America (“U.S. GAAP”). These expenditures are recognized following the cost principles contained in Title 2 U.S. Code of Federal Regulations Part 200, Subpart E. An award is considered expended when the activity related to the award occurs. The Hospital has elected not to use the 10 percent de minimis indirect cost rate as allowed under the Uniform Guidance. Negative amounts shown in the Schedule represent adjustments or credits made in the normal course of business to amounts reported as expenditures in prior years. During the current fiscal year, the Homeland Security Operational Analysis Center (“HSOAC”), in support of the COVID-19 response of the Federal Emergency Management Agency (“FEMA”), conducted a standard review of claimed costs for potential duplication of benefits with patient care revenue (“duplication of benefit review”) based on the allowable ceilings set uniformly under the FEMA Public Assistance (COVID-19) program. HSOAC assessed the claimed costs submitted by the Hospital to determine if any claimed cost exceeded allowable ceilings. While the duplication of benefit review is not an accusation of noncompliance but rather a standard safeguard imposed by FEMA, costs identified as excess over the allowable ceiling were adjusted for the reimbursement claim FEMA 4514-DR-TN. As a result, a refund of $191,250 was processed: $143,438 for the federal share (shown as a negative expenditure) and $47,812 for the State of Tennessee’s matching funds reported separately within the State Financial Assistance section of this Schedule.
The Hospital has no federal or state loans.
Uniform Guidance defines a subrecipient as a non-federal entity that receives a subaward from a passthrough entity to carry out part of a federal program but does not include an individual who is a beneficiary of such program or payments to a contractor. A contractor is an entity that receives a contract by which a non-federal entity purchases property or services needed to carry out the project or program under a federal award. A non-federal entity may concurrently receive federal funds as a recipient, subrecipient, and contractor, depending on the substance of its agreements with federal awarding agencies and pass-through entities. Therefore, the Hospital must make case-by-case determinations whether each agreement it makes for the disbursement of federal program and state funds casts the party receiving the funds as a subrecipient or a contractor based on the Uniform Guidance definitions and management’s judgement. For the fiscal year ended June 30, 2025, there was no subrecipient activity related to state financial assistance. Of the federal expenditures presented in the Schedule, the Hospital provided federal awards to subrecipients as follows: - 39 - ST. JUDE CHILDREN’S RESEARCH HOSPITAL, INC. AND SUBSIDIARIES SCHEDULE OF AMOUNTS PROVIDED TO SUBRICIPIENTS FOR THE YEAR ENDED JUNE 30, 2025 Payments To Subrecipient Subrecipient Ann & Robert H. Lurie Children's Hospital of Chicago $ 59,023 Arietis Corporation (269,604) Baylor College of Medicine 109,553 Beckman Research Institute of City of Hope 22,051 Ben Gurion University (157,716) Board of Regents of University of Wisconsin System 254,486 Boston Children's Hospital 668,194 Boston College (272,758) Brown University 8,682 Carnegie Mellon University (37,076) Case Western Reserve University 63,107 Centro Medico Imbanaco de California 9,009 Children's Hospital of Philadelphia 288,481 Children's Hospital Colorado 27,745 Children's Hospital Los Angeles 61,560 Children's National Medical Center 40,205 Cincinnati Children's Hospital Medical Center 112,538 City of Hope National Medical Center 30,845 Colorado State University 208,657 Dana-Farber Cancer Institute 357,490 Duke University 23,226 Ecole Nationale Vétérinaire de Toulouse ( 189,849) Emory University 327,401 Fred Hutchinson Cancer Center 646,703 Fundación Ayudame a Vivir 1,042 Fundación Salud Para el Tropic Tropical Health Foundation 116,476 Fundacion Universidad Del Norte 106,877 Health Research Inc. 17,980 (Continued) - 40 - ST. JUDE CHILDREN’S RESEARCH HOSPITAL, INC. AND SUBSIDIARIES SCHEDULE OF AMOUNTS PROVIDED TO SUBRECIPIENTS FOR THE YEAR ENDED JUNE 30, 2025 Payments To Subrecipient Subrecepient Hudson Alpha Institute $ 5 90,615 Human Link 867,332 Icahn School of Medicine at Mount Sinai 469,723 Institute of Environmental Science and Research Ltd. 2 ,217,461 Jackson Laboratory 128,533 Johns Hopkins University 49,106 Juan Fernando Arias Morales 37,387 Kansas State University 364,648 King Hussein Cancer Center 1,000 La Jolla Institute for Immunology 174,678 Lausanne Collegiate School 2,455 Massachusetts General Hospital 16,112 Mayo Clinic (247,523) Mayo Clinic Jacksonville 404,440 MD Anderson Cancer Center (55,195) Memorial Sloan Kettering Cancer Center 229,161 National University of Singapore 153,083 Nationwide Children's Hospital 50,380 NYU School of Medicine ( 126,480) Ohio State University 994,785 Phoenix Children's Hospital (1,726) Pontificia Universidad 61,250 President and Fellows of Harvard College 46,020 Public Health Institute 71,819 Regents of University of Colorado 18,589 Research Institute of Mcgill University Health Center 40,339 Seattle Children's Hospital 56,899 Sir Mortimer B Davis Jewish General Hospital Foundation 89,917 South Dakota State University 8,368 St. Jude Children's Research Hospital 90,787 Stanford University 242,818 (Continued) - 41 - ST. JUDE CHILDREN’S RESEARCH HOSPITAL, INC. AND SUBSIDIARIES SCHEDULE OF AMOUNTS PROVIDED TO SUBRECIPIENTS FOR THE YEAR ENDED JUNE 30, 2025 Payments To Subrecipient Subrecipient State of Maryland $ ( 11,080) Sustainable Sciences Institute 583,030 The Broad Institute Inc. 288,455 The Hospital For Sick Children 60,382 The Research Institute At Nationwide Children's Hospital 4,506 The Scripps Research Institute 92,103 The University of Melbourne 72,400 The University of Memphis 23,354 The University of Texas At Austin 40,512 The University of Texas At San Antonio (16,655) Toptal LLC 170,751 University of Georgia Research Foundation, Inc. 330,283 University of California-San Francisco 11,963 Univ of Wisconsin-Madison 50,002 Universidad de Chile 61,250 University of Alabama Birmingham 34,448 University of California San Diego 1,011,135 University of Cambridge 215,441 University of Cincinnati (42,890) University of Florida (5,714) University of Florida Research Foundation Inc. 54,894 University of Hong Kong 1,123,879 University of Illinois 241,917 University of Michigan 1,358,011 University of Minnesota 445,986 University of Missouri 83,947 University of Pennsylvania 181,733 University of Pittsburgh 42,889 University of Rochester 218,375 University of Southern California 4,901 (Continued) - 42 - ST. JUDE CHILDREN’S RESEARCH HOSPITAL, INC. AND SUBSIDIARIES SCHEDULE OF AMOUNTS PROVIDED TO SUBRECIPIENTS FOR THE YEAR ENDED JUNE 30, 2025 Payments To Subrecipient Subrecipient University of Tennessee $ 35,673 University of Texas Southwestern Medical Center (706) University of Virginia 237,286 University of Washington (3) University of Wuerzburg 15,574 Walter & Eliza Hall Institute of Medical Research 8,333 Washington University 717,289 Weill Medical College of Cornell University 483,529 Grand Total $ 17,908,292 (Concluded)