Audit 393032

FY End
2025-06-30
Total Expended
$128.50M
Findings
4
Programs
83
Year: 2025 Accepted: 2026-03-20
Auditor: BDO USA PC

Organization Exclusion Status:

Checking exclusion status...

Findings

ID Ref Severity Repeat Requirement
1181755 2025-001 Material Weakness Yes N
1181756 2025-002 Material Weakness Yes C
1181757 2025-004 Material Weakness Yes L
1181758 2025-003 Material Weakness Yes B

Programs

ALN Program Spent Major Findings
84.268 FEDERAL DIRECT STUDENT LOANS $47.03M Yes 3
84.031 HIGHER EDUCATION INSTITUTIONAL AID $19.48M Yes 0
84.425 EDUCATION STABILIZATION FUND $5.91M Yes 0
11.028 CONNECTING MINORITY COMMUNITIES PILOT PROGRAM $2.11M Yes 0
93.647 SOCIAL SERVICES RESEARCH AND DEMONSTRATION $1.74M Yes 0
93.838 LUNG DISEASES RESEARCH $1.33M Yes 0
93.266 HEALTH SYSTEMS STRENGTHENING AND HIV/AIDS PREVENTION, CARE AND TREATMENT UNDER THE PRESIDENT'S EMERGENCY PLAN FOR AIDS RELIEF $1.23M Yes 0
93.865 CHILD HEALTH AND HUMAN DEVELOPMENT EXTRAMURAL RESEARCH $1.18M Yes 0
93.397 CANCER CENTERS SUPPORT GRANTS $1.03M Yes 0
93.172 HUMAN GENOME RESEARCH $985,485 Yes 0
93.307 MINORITY HEALTH AND HEALTH DISPARITIES RESEARCH $846,765 Yes 0
93.516 PUBLIC HEALTH TRAINING CENTERS PROGRAM $722,432 Yes 0
93.304 RACIAL AND ETHNIC APPROACHES TO COMMUNITY HEALTH $659,300 Yes 0
93.393 CANCER CAUSE AND PREVENTION RESEARCH $568,450 Yes 0
93.853 EXTRAMURAL RESEARCH PROGRAMS IN THE NEUROSCIENCES AND NEUROLOGICAL DISORDERS $528,292 Yes 0
93.297 TEENAGE PREGNANCY PREVENTION PROGRAM $521,446 Yes 0
93.137 COMMUNITY PROGRAMS TO IMPROVE MINORITY HEALTH $519,075 Yes 0
93.310 TRANS-NIH RESEARCH SUPPORT $493,587 Yes 0
93.350 NATIONAL CENTER FOR ADVANCING TRANSLATIONAL SCIENCES $455,795 Yes 0
93.117 PREVENTIVE MEDICINE RESIDENCY $388,326 Yes 0
93.361 NURSING RESEARCH $377,226 Yes 0
93.145 HIV-RELATED TRAINING AND TECHNICAL ASSISTANCE $322,353 Yes 0
93.243 SUBSTANCE ABUSE AND MENTAL HEALTH SERVICES PROJECTS OF REGIONAL AND NATIONAL SIGNIFICANCE $244,851 Yes 0
93.884 PRIMARY CARE TRAINING AND ENHANCEMENT $242,953 Yes 0
93.U03 Dysregulation in Post Acute Sequelae of SARS-CoV-2 Infection (PASC) $232,021 Yes 0
10.855 DISTANCE LEARNING AND TELEMEDICINE LOANS AND GRANTS $211,989 Yes 0
93.355 PUBLIC HEALTH INFORMATICS & TECHNOLOGY WORKFORCE DEVELOPMENT PROGRAM (THE PHIT WORKFORCE DEVELOPMENT PROGRAM) $199,408 Yes 0
20.701 UNIVERSITY TRANSPORTATION CENTERS PROGRAM $195,478 Yes 0
93.837 CARDIOVASCULAR DISEASES RESEARCH $193,428 Yes 0
93.396 CANCER BIOLOGY RESEARCH $159,756 Yes 0
14.889 CHOICE NEIGHBORHOODS IMPLEMENTATION GRANTS $149,306 Yes 0
93.113 ENVIRONMENTAL HEALTH $142,445 Yes 0
93.859 BIOMEDICAL RESEARCH AND RESEARCH TRAINING $131,099 Yes 0
93.855 ALLERGY AND INFECTIOUS DISEASES RESEARCH $116,605 Yes 0
93.233 NATIONAL CENTER ON SLEEP DISORDERS RESEARCH $114,206 Yes 0
47.083 INTEGRATIVE ACTIVITIES $90,197 Yes 0
47.084 NSF TECHNOLOGY, INNOVATION, AND PARTNERSHIPS $71,083 Yes 0
93.638 ACA-TRANSFORMING CLINICAL PRACTICE INITIATIVE: PRACTICE TRANSFORMATION NETWORKS (PTNS) $67,101 Yes 0
47.070 COMPUTER AND INFORMATION SCIENCE AND ENGINEERING $66,630 Yes 0
93.322 CDC PARTNERSHIP: STRENGTHENING PUBLIC HEALTH LABORATORIES $61,071 Yes 0
93.107 AREA HEALTH EDUCATION CENTERS $60,231 Yes 0
93.U10 All of Us Project Cohort 2 $54,145 Yes 1
93.242 MENTAL HEALTH RESEARCH GRANTS $53,333 Yes 0
93.912 RURAL HEALTH CARE SERVICES OUTREACH, RURAL HEALTH NETWORK DEVELOPMENT AND SMALL HEALTH CARE PROVIDER QUALITY IMPROVEMENT $50,906 Yes 0
93.U04 Cobb Scholars Program $47,910 Yes 0
93.959 BLOCK GRANTS FOR PREVENTION AND TREATMENT OF SUBSTANCE ABUSE $47,227 Yes 0
12.420 MILITARY MEDICAL RESEARCH AND DEVELOPMENT $45,305 Yes 0
93.U05 Data Training and Engagement for Academic Libraries Program $43,848 Yes 0
93.184 DISABILITIES PREVENTION $42,978 Yes 0
93.839 BLOOD DISEASES AND RESOURCES RESEARCH $41,575 Yes 0
93.U11 IPA Assignment - Miles-Richardson $39,011 Yes 0
93.136 INJURY PREVENTION AND CONTROL RESEARCH AND STATE AND COMMUNITY BASED PROGRAMS $37,800 Yes 0
93.631 DEVELOPMENTAL DISABILITIES PROJECTS OF NATIONAL SIGNIFICANCE $36,016 Yes 0
93.U08 Precision Environmental and Health Equity Research $35,307 Yes 0
93.084 PREVENTION OF DISEASE, DISABILITY, AND DEATH BY INFECTIOUS DISEASES $34,527 Yes 0
47.076 STEM EDUCATION (FORMERLY EDUCATION AND HUMAN RESOURCES) $32,027 Yes 0
93.399 CANCER CONTROL $28,736 Yes 0
93.456 CDC UNDERGRADUATE PUBLIC HEALTH SCHOLARS PROGRAM (CUPS): A PUBLIC HEALTH EXPERIENCE TO EXPOSE UNDERGRADUATES INTERESTED IN MINORITY HEALTH TO PUBLIC HEALTH AND THE PUBLIC HEALTH PROFESSIONS $21,541 Yes 0
43.002 AERONAUTICS $21,042 Yes 0
12.U01 Discovering Diagnostics, Subtypes and Natural History of Traumatic Brain Injury (TBI) $20,050 Yes 0
47.074 BIOLOGICAL SCIENCES $17,460 Yes 0
93.394 CANCER DETECTION AND DIAGNOSIS RESEARCH $16,903 Yes 0
93.U02 Evidence-Informed Interventions to Improve Provider Communication with Racial and Ethnic Minority Patients $15,320 Yes 0
93.283 CENTERS FOR DISEASE CONTROL AND PREVENTION INVESTIGATIONS AND TECHNICAL ASSISTANCE $14,876 Yes 0
93.866 AGING RESEARCH $13,925 Yes 0
93.989 INTERNATIONAL RESEARCH AND RESEARCH TRAINING $13,083 Yes 0
93.945 ASSISTANCE PROGRAMS FOR CHRONIC DISEASE PREVENTION AND CONTROL $12,575 Yes 0
93.135 CENTERS FOR RESEARCH AND DEMONSTRATION FOR HEALTH PROMOTION AND DISEASE PREVENTION $11,096 Yes 0
16.045 COMMUNITY-BASED VIOLENCE INTERVENTION AND PREVENTION INITIATIVE $10,407 Yes 0
93.958 BLOCK GRANTS FOR COMMUNITY MENTAL HEALTH SERVICES $7,757 Yes 0
93.U01 Examining Legal Gaps in Sociodemographic Data with Disease/Vaccination Reporting $5,777 Yes 0
93.867 VISION RESEARCH $4,827 Yes 0
93.375 DELETED $4,568 Yes 0
93.847 DIABETES, DIGESTIVE, AND KIDNEY DISEASES EXTRAMURAL RESEARCH $3,510 Yes 0
93.110 MATERNAL AND CHILD HEALTH FEDERAL CONSOLIDATED PROGRAMS $2,126 Yes 0
93.279 DRUG USE AND ADDICTION RESEARCH PROGRAMS $1,670 Yes 0
93.011 NATIONAL ORGANIZATIONS FOR STATE AND LOCAL OFFICIALS $1,465 Yes 0
64.054 RESEARCH AND DEVELOPMENT $479 Yes 0
93.U07 Cancer Information Service $2 Yes 0
93.U09 Recover Vital: A Platform Protocol for Evaluation of Interventions for Viral Persistence, Viral Reactivation, and Immune Dysregulation in Post Acute Sequelae of SARS-CoV-2 Infection $0 Yes 0
93.395 CANCER TREATMENT RESEARCH $0 Yes 0
93.U06 Home Automatic External Defibrillator Trial - H.A.T. $0 Yes 0
93.129 TECHNICAL AND NON-FINANCIAL ASSISTANCE TO HEALTH CENTERS $0 Yes 0

Contacts

Name Title Type
X5S7PNXMJMC7 Katherine Napier Auditee
4047521673 Andrea Taylor Auditor
No contacts on file

Notes to SEFA

The accompanying schedule of expenditures of federal awards (the “Schedule”) summarizes federal grant activity of the Morehouse School of Medicine, Inc., Subsidiary and Affiliate (the “School”) under programs of the federal government for the year ended June 30, 2025. The information in the Schedule is presented in accordance with the provisions of Title 2 U.S. Code of Federal Regulations Part 200, Uniform Administrative Requirements, Cost Principles, and Audit Requirements for Federal Awards (the “Uniform Guidance”). Because the Schedule presents only a selected portion of the operations of the School, it is not intended to and does not present the consolidated financial position, changes in net assets, or cash flows of the School. Therefore, some amounts presented in the Schedule may differ from the amounts presented in the financial statements. All of the School’s federal awards were in the form of cash assistance for the year ended June 30, 2025.
Expenditures reported on the Schedule are reported on the accrual basis of accounting. Such expenditures are recognized following the cost principles contained in the Uniform Guidance, wherein certain types of expenditures are not allowable or are limited as to reimbursement. The School has elected not to use the 10-percent de minimis indirect cost rate allowed under the Uniform Guidance.
The School’s federal programs are subject to financial and compliance audits by grantor agencies which, if instances of material noncompliance are found, may result in disallowed expenditures, and affect the School’s continued participation in specific programs. That amount, if any, of expenditures which may be disallowed by the grantor agencies cannot be determined at this time.
The School is responsible for the performance of certain administrative duties with respect to its Federal Direct Student Loan Program and, accordingly, these loans are not included in the basic financial statements. It is not practicable to determine the balance of loans outstanding to students and former students of the School under these programs as of June 30, 2025. Loan advances have been appropriately reflected in the Schedule. The School receives awards to make loans to eligible students under the Health Professions and Student Loan, Primary Care Loan and Loans for disadvantaged Students Programs of the Department of Health and Human Services. Balances and transactions relating to these programs are included in the School's basic financial statements. There were no loan advances for these programs in the year ended June 30, 2025. Cumulative principal advances outstanding for these programs as of June 30, 2025 are as follows: See the Notes to the SEFA for chart/table.

Finding Details

FINDING 2025-001 Federal Program Information: Federal Direct Student Loan Program (ALN: 84.268) Criteria or Specific Requirement (Including Statutory, Regulatory or Other Citation): N. NSLDS Reporting – The School is required to report enrollment information under the Federal Direct Student Loan Program via the National Student Loan Data System (“NSLDS”) (OMB No. 1845-0035). There are two categories of enrollment information, “Campus Level” and “Program Level,” both of which need to be reported accurately and have separate record types. Campus Level: Institutions are responsible for accurately and timely reporting certain significant data elements under the Campus-Level Record that the U.S. Department of Education considers high risk, including enrollment status, which is the student’s enrollment status as of the reporting date; full-time (F), three-quarter time (Q), half-time (H), less than half-time (L), leave of absence (A), graduated (G), withdrawn (W), deceased (D), never attended (X) and record not found (Z). At a minimum, institutions are required to certify enrollment every 60 days or every other month. Program Level: Institutions are responsible for accurately and timely reporting certain significant data elements under the Program Level Record that the U.S. Department of Education considers high risk, including OPEID number, CIP code, CIP year, credit level, program enrollment status, program enrollment effective date, program length, and program begin date. Condition: During our testing of student enrollment reporting, we noted the following exceptions: • For 30 of 40 selected students, the campus level enrollment effective date was not correctly reported to NSLDS. • For 13 of 40 selected students, the campus level enrollment status was not correctly reported to the NSLDS. • For 33 of 40 selected students, the campus level enrollment effective date was not certified in NSLDS within the required timeframe. • For 37 of 40 selected students, the School did not accurately report the student’s program level information to NSLDS. Cause: Insufficient administrative oversight and internal controls with respect to enrollment reporting requirements. Effect or Potential Effect: The School is not properly following its policies and procedures to ensure that compliance is maintained with respect to all aspects of enrollment reporting. Questioned Costs: None. Context: We tested a sample of students and found exceptions as noted in the condition. Identification as a Repeat Finding: This is a repeat finding from prior the year. This was reported as finding 2024-001 in the 2024 report. Recommendation: We recommend that the School enhance its procedures and internal controls to ensure that all status changes are submitted to the NSLDS website within the required timeframe and all required data elements are reported on the NSLDS website. Views of Responsible Officials and Planned Corrective Actions: We concur. Due in part to frequent turnover in the Registrar's Office, there have been reporting errors in Clearinghouse which have been reflected in NSLDS. In addition to changes in personnel, the Office of the Dean will provide joint oversight with the Office of Student Affairs on matters impacting regulatory requirements. Specifically, there will be a monthly review of the NSLDS database on the second Monday of each month with a regular tracking system. The Registrar, Associate Dean of Students and Dean’s Office representative will provide quarterly “audits” to the Dean on accuracy of data and reporting compliance. Annual NSLDS training, appropriate to the role, will be provided for all team members in the Registrar's Office and others as appropriate.
FINDING 2025-002 Federal Program Information: Federal Direct Student Loan Program (ALN: 84.268) Criteria or Specific Requirement (Including Statutory, Regulatory or Other Citation): C. Cash Management – Institutions are permitted to draw down Title IV funds prior to disbursing funds to eligible students and parents. The institution’s request must not exceed the amount immediately needed to disburse funds to students or parents. A disbursement of funds occurs on the date an institution credits a student’s account or pays a student or parent directly with either student financial aid funds or institutional funds. The institution must make the disbursements as soon as administratively feasible, but no later than 3 business days following the receipt of funds. Any amounts not disbursed by the end of the third business day are considered to be excess cash and generally are required to be promptly returned to the U.S. Department of Education (the “ED”) (34 CFR section 668.166(a)(1)). Excess cash includes any funds received from the ED that are deposited or transferred to the institution’s Federal account as a result of an award adjustment, cancellation, or recovery. However, an excess cash balance tolerance is allowed if that balance: (1) is less than one percent of its prior-year drawdowns; and (2) is eliminated within the next 7 calendar days (34 CFR sections 668.166(a) and (b)). Condition: During our cash management testing, we noted multiple instances during the fiscal year where funds drawn were held in excess of the allowable time frame and/or allowable thresholds for the Federal Direct Student Loan Program. ` Cause: Insufficient administrative oversight and internal controls with respect to cash management compliance requirements. Effect or Potential Effect: The School is not properly following its policies and procedures to ensure that excess cash is eliminated within the allowable timeframe. Questioned Costs: None. Context: We examined all draws of Title IV aid and identified multiple instances of cash held in excess of the allowable time frame and/or allowable thresholds as noted in the condition. Identification as a Repeat Finding: No similar finding was identified during the prior year. Recommendation: We recommend that the School enhance procedures and internal controls over the applicable cash management requirements to include more frequent reconciliations to ensure excess cash balances are eliminated timely. Views of Responsible Officials and Planned Corrective Actions: We concur. There were adjustments to students’ accounts resulting in funds required to be returned to the ED. The adjustment amounts were drawn down in error. Once the error was identified, the funds were returned to the ED prior to the end of the award year/fiscal year. We are implementing a second review of awards that result in adjustments, cancellation, or recovery requiring return to the DOE to ensure funds are returned within a timely manner. In addition to this review, we are instituting a weekly report that will identify timing of funds drawn and returned to ensure adherence to this requirement within 7 calendar days.
FINDING 2025-004 Federal Program Information: Federal Direct Student Loan Program (ALN: 84.268) Criteria or Specific Requirement (Including Statutory, Regulatory or Other Citation) L. Reporting – Financial Reporting – Federal regulations, 34 CFR 690.83, require that the School submit origination records for students to the Common Origination and Disbursement (“COD”) system. Items considered key in student origination records, if applicable, are: award amount, enrollment date, verification status code (when the applicant is selected for verification), transaction number, cost of attendance, and the “Academic Start Date” and “Academic End Date”. Condition: During our testing of the Federal Direct Student Loan origination records, we noted the following exceptions: • For 7 of 25 students tested, certain key items within the students’ origination records reported to the COD did not agree to School’s supporting documentation. Cause: Insufficient administrative oversight and internal controls with respect to reporting of origination records. Effect or Potential Effect: The School is not properly following it policies and procedures in place to ensure that compliance is maintained with respect to origination record reporting. Failure to submit accurate COD origination records could result in improper awards of Direct Loans. Questioned Costs: None. Context: We tested a sample of 25 students and identified 7 exceptions as noted in the condition for which certain key items within students’ origination records reported to the COD did not agree to the School’s supporting documentation. Identification as a Repeat Finding: No similar finding was identified during the prior year. Recommendation: We recommend that the School adhere to its procedures and internal controls over the applicable compliance requirements for Federal Direct Student Loan origination records to ensure that the origination records submitted to COD match the School’s own records before file submission. Views of Responsible Officials and Planned Corrective Actions: We concur. The Registrar prepares the program calendars with input from the programs on an annual basis. MSM has a diversity of programs with different start and end dates. We understand that this needs to be accurately reflected in our calendars and in the Banner system or other enrollment platform. Academic calendars will be reviewed by the Registrar and program staff on an annual basis. Any changes to the academic calendars will need to be communicated to all members of the team. Updated calendars will be posted annually on the website and in the student handbook. After the Registrar’s Office confirms the academic start date and academic end date, Student Fiscal Affairs will continue to input this information in our Student Information System Banner to allow accuracy in our student records sent to the Department of Education Common Origination and Disbursement. If there is a change in the academic start dates and/or academic end dates, the Registrar’s Office will notify Student Fiscal Affairs, Admissions, and Student Accounts to allow for updates within the institution.
FINDING 2025-003 Federal Program Information: Research and Development Cluster (ALN: 93.U10) Criteria or Specific Requirement (Including Statutory, Regulatory or Other Citation) B. Allowable Cost/Cost Principles - Federal grant requirements, § 200.430, provide that salaries and wages charged to federal awards must be based on records that accurately reflect the work performed; be supported by a system of internal control which provides reasonable assurance that the charges are accurate, allowable and properly allocated; be incorporated into the official records of the institution; reasonably reflect the total activity for which the employee is compensated; and support the distribution of the employee's salary or wages among specific activities or cost objectives if the employee works on more than one Federal award. Condition: During our testing of expenditures, we noted the following exceptions: • For 1 of 40 selected Research and Development Cluster expenditures, a level of effort certification to support the payroll costs charged to the federal program was not performed timely. Cause: Insufficient administrative oversight and internal controls with respect to allowable cost/cost principles compliance requirements. Effect or Potential Effect: The School is not properly following it policies and procedures to ensure that compliance is maintained with respect to supporting payroll costs charged to the federal programs which could result in unallowable costs charged to the federal agency. Questioned Costs: None. Context: We tested a sample of 40 expenditures across the major programs and noted 1 exception as noted in the condition. Identification as a Repeat Finding: This is a repeat finding from prior year. This was reported as finding 2024-003 in the 2024 report. Recommendation: We recommend that the School adhere to its procedures and internal controls over the applicable compliance requirements of allowable costs/cost principles requirements to ensure that the School is appropriately monitoring level of effort reporting in a timely manner. Views of Responsible Officials and Planned Corrective Actions: We concur. Due to a change that occurred after the reporting period appropriately reallocating one employee’s effort to the federal funding source, the certification was not displayed on the effort report. The employee has certified that this effort was charged appropriately to this award. We are reviewing our policies and procedures to ensure redistribution of labor is performed within a timely manner. We have moved to an annual effort reporting process aligned to the federal regulations and are implementing the Cayuse Effort Reporting module that will more effectively track and report effort. The system will be implemented during our next effort reporting cycle.