Audit 393822

FY End
2025-06-30
Total Expended
$185.72M
Findings
1
Programs
54
Organization: Loma Linda University (CA)
Year: 2025 Accepted: 2026-03-24

Organization Exclusion Status:

Checking exclusion status...

Findings

ID Ref Severity Repeat Requirement
1182413 2025-001 Material Weakness Yes ABL

Programs

ALN Program Spent Major Findings
84.268 FEDERAL DIRECT STUDENT LOANS $125.31M Yes 0
93.342 HEALTH PROFESSIONS STUDENT LOANS, INCLUDING PRIMARY CARE LOANS AND LOANS FOR DISADVANTAGED STUDENTS $24.32M Yes 0
93.364 NURSING STUDENT LOANS $7.94M Yes 0
84.063 FEDERAL PELL GRANT PROGRAM $2.76M Yes 0
93.837 CARDIOVASCULAR DISEASES RESEARCH $2.09M Yes 0
93.732 MENTAL AND BEHAVIORAL HEALTH EDUCATION AND TRAINING GRANTS $1.89M Yes 0
11.028 CONNECTING MINORITY COMMUNITIES PILOT PROGRAM $1.74M Yes 1
84.033 FEDERAL WORK-STUDY PROGRAM $1.47M Yes 0
93.516 PUBLIC HEALTH TRAINING CENTERS PROGRAM $1.45M Yes 0
93.884 PRIMARY CARE TRAINING AND ENHANCEMENT $1.29M Yes 0
93.279 DRUG USE AND ADDICTION RESEARCH PROGRAMS $1.14M Yes 0
93.686 ENDING THE HIV EPIDEMIC: A PLAN FOR AMERICA - RYAN WHITE HIV/AIDS PROGRAM PARTS A AND B $964,795 Yes 0
93.838 LUNG DISEASES RESEARCH $866,229 Yes 0
93.157 CENTERS OF EXCELLENCE $775,973 Yes 0
93.394 CANCER DETECTION AND DIAGNOSIS RESEARCH $640,752 Yes 0
93.925 SCHOLARSHIPS FOR HEALTH PROFESSIONS STUDENTS FROM DISADVANTAGED BACKGROUNDS $629,649 Yes 0
93.213 RESEARCH AND TRAINING IN COMPLEMENTARY AND INTEGRATIVE HEALTH $574,216 Yes 0
84.038 FEDERAL PERKINS LOAN PROGRAM $455,874 Yes 0
93.191 GRADUATE PSYCHOLOGY EDUCATION $430,338 Yes 0
93.117 PREVENTIVE MEDICINE RESIDENCY $360,689 Yes 0
43.003 EXPLORATION $327,498 Yes 0
84.031 HIGHER EDUCATION INSTITUTIONAL AID $316,771 Yes 0
93.924 RYAN WHITE HIV/AIDS DENTAL REIMBURSEMENT AND COMMUNITY BASED DENTAL PARTNERSHIP GRANTS $312,376 Yes 0
93.393 CANCER CAUSE AND PREVENTION RESEARCH $258,314 Yes 0
93.398 CANCER RESEARCH MANPOWER $229,349 Yes 0
93.530 TEACHING HEALTH CENTER GRADUATE MEDICAL EDUCATION PAYMENT $187,206 Yes 0
93.155 RURAL HEALTH RESEARCH CENTERS $179,237 Yes 0
93.866 AGING RESEARCH $179,215 Yes 0
93.121 ORAL DISEASES AND DISORDERS RESEARCH $176,713 Yes 0
10.001 AGRICULTURAL RESEARCH BASIC AND APPLIED RESEARCH $170,529 Yes 0
93.867 VISION RESEARCH $145,708 Yes 0
93.368 21ST CENTURY CURES ACT - PRECISION MEDICINE INITIATIVE $135,674 Yes 0
93.264 NURSE FACULTY LOAN PROGRAM (NFLP) $113,676 Yes 0
84.007 FEDERAL SUPPLEMENTAL EDUCATIONAL OPPORTUNITY GRANTS $87,748 Yes 0
93.989 INTERNATIONAL RESEARCH AND RESEARCH TRAINING $86,608 Yes 0
12.400 MILITARY CONSTRUCTION, NATIONAL GUARD $80,688 Yes 0
93.242 MENTAL HEALTH RESEARCH GRANTS $63,069 Yes 0
43.007 SPACE OPERATIONS $50,199 Yes 0
93.243 SUBSTANCE ABUSE AND MENTAL HEALTH SERVICES PROJECTS OF REGIONAL AND NATIONAL SIGNIFICANCE $50,000 Yes 0
93.865 CHILD HEALTH AND HUMAN DEVELOPMENT EXTRAMURAL RESEARCH $48,334 Yes 0
81.RD FLASH X-RAY RADIOGRAPHY (FXR) ACCELERATOR EXPERIMENTS AND DOSIMETRY $45,399 Yes 0
93.853 EXTRAMURAL RESEARCH PROGRAMS IN THE NEUROSCIENCES AND NEUROLOGICAL DISORDERS $40,421 Yes 0
93.889 NATIONAL BIOTERRORISM HOSPITAL PREPAREDNESS PROGRAM $37,500 Yes 0
15.645 MARINE TURTLE CONSERVATION FUND $37,284 Yes 0
93.397 CANCER CENTERS SUPPORT GRANTS $31,408 Yes 0
93.110 MATERNAL AND CHILD HEALTH FEDERAL CONSOLIDATED PROGRAMS $21,291 Yes 0
93.859 BIOMEDICAL RESEARCH AND RESEARCH TRAINING $19,714 Yes 0
93.847 DIABETES, DIGESTIVE, AND KIDNEY DISEASES EXTRAMURAL RESEARCH $16,179 Yes 0
93.307 MINORITY HEALTH AND HEALTH DISPARITIES RESEARCH $14,097 Yes 0
93.286 DISCOVERY AND APPLIED RESEARCH FOR TECHNOLOGICAL INNOVATIONS TO IMPROVE HUMAN HEALTH $12,757 Yes 0
93.395 CANCER TREATMENT RESEARCH $12,600 Yes 0
93.145 HIV-RELATED TRAINING AND TECHNICAL ASSISTANCE $10,801 Yes 0
93.839 BLOOD DISEASES AND RESOURCES RESEARCH $8,100 Yes 0
93.399 CANCER CONTROL $1,000 Yes 0

Contacts

Name Title Type
SZAKFNU35ZX5 Andrew Ray Auditee
9096514878 Scott Enos Auditor
No contacts on file

Notes to SEFA

Basis of Accounting: The accompanying Schedule of Expenditures of Federal Awards (SEFA) includes the federal grant activity of Loma Linda University (LLU) and is presented on the accrual basis of accounting. The information in the SEFA is presented in accordance with the requirements of Title 2 U.S. Code of Federal Regulations Part 200, Uniform Administrative Requirements, Cost Principles, and Audit Requirement for Federal Awards (Uniform Guidance). The SEFA does not include payments received under the traditional Medicare and Medicaid reimbursement programs, as these programs are outside the scope of the Uniform Guidance. There were no donated goods and personal protective equipment received from federal sources that required recognition or disclosure in the notes to the SEFA.
LLU does not use the 10 percent de minimis indirect cost rate provided for in the Uniform Guidance.
The federal student loan programs listed subsequently are administered directly by LLU and balances and transactions relating to these programs are included in LLU’s financial statements. The outstanding loan balances at July 1, 2024, and the loans awarded for the fiscal year ended June 30, 2025, are considered current year federal expenditures. These amounts are reported in the SEFA. The balance of loans outstanding at June 30, 2025, consists of: See the Notes to the SEFA for table. During the fiscal year ended June 30, 2025, LLU processed $125,314,008 of new loans under Assistance Listing Number 84.268 – Federal Direct Student Loans. Since this loan program is administered by outside financial institutions, new loans made in the fiscal year ended June 30, 2025, relating to this program are considered current year federal expenditures, whereas the outstanding loan balances are not. The new loans made in the fiscal year ended June 30, 2025, are reported in the SEFA. The calculation for Assistance Listing Number 84.268 – Federal Direct Student Loans awarded during the fiscal year takes the total disbursements made during the fiscal year including loan activity posted outside the current fiscal year that is related to the current fiscal year. Time period for the subsequent period reviewed was based on LLU’s accounting policy. This methodology is utilized to capture loan activity pertaining to the current fiscal year.
Research and Development programs included in the SEFA are presented by federal agency. Pass-through awards have been presented by pass-through entity, Assistance Listing Number, and sponsor’s award number, when available. In accordance with instruction distributed by the Federal Audit Clearinghouse, when Assistance Listing Numbers are not available, the federal awards are presented by agency and the suffix “U” followed by a two-digit number (e.g., U01, U02, etc.) for the federal identification numbers. If the federal program is part of the research and development cluster and the Assistance Listing Number is unknown, the federal awards are presented by agency and the suffix “RD” in the Assistance Listing three-digit extension field.

Finding Details

Finding 2025-001: Internal control deficiency and noncompliance over Activities Allowed or Unallowed, Allowable Costs/Cost Principles, and Reporting related to broadband services expenditures. Identification of the federal program: Assistance Listing Number 11.028 • Connecting Minority Communities Pilot Program • U.S. Department of Commerce • Federal award identification number: 06-09-C13050 • Federal award year: January 15, 2023 through January 14, 2026 Criteria or specific requirement (including statutory, regulatory or other citation): Title 2, Subtitle A, Chapter II, Part 200, Subpart D, 200.303 – Internal controls. The non-Federal entity must: (a) Establish and maintain effective internal control over the Federal award that provides reasonable assurance that the non-Federal entity is managing the Federal award in compliance with Federal statutes, regulations, and the terms and conditions of the Federal award. These internal controls should be in compliance with guidance in “Standards for Internal Control in the Federal Government” issued by the Comptroller General of the United States or the “Internal Control Integrated Framework”, issued by the Committee of Sponsoring Organizations of the Treadway Commission (COSO). Title 2, Subtitle A, Chapter II, Part 200, Subpart E, 200.400 – Policy guide. The application of these cost principles is based on the fundamental premises that: (b) The non-Federal entity assumes responsibility for administering Federal funds in a manner consistent with underlying agreements, program objectives, and the terms and conditions of the Federal award. Title 2, Subtitle A, Chapter II, Part 200, Subpart E, 200.403 – Factors affecting allowability of costs. Except where otherwise authorized by statute, costs must meet the following general criteria in order to be allowable under Federal awards: (a) Be necessary and reasonable for the performance of the Federal award and be allocable thereto under these principles. (b) Conform to any limitations or exclusions set forth in these principles or in the Federal award as to types or amount of cost items. (c) Be consistent with policies and procedures that apply uniformly to both federally-financed and other activities of the non-Federal entity. (e) Be determined in accordance with generally accepted accounting principles (GAAP), except, for state and local governments and Indian tribes only, as otherwise provided for in this part. (g) Be adequately documented. According to the Connecting Minority Communities Pilot Program Post-Award Frequently Asked Questions: Q. Can a CMC grantee use grant funds to prepay for multiple years of qualifying broadband service? A. Yes, so long as the cost and terms are reasonable, eligible under the NOFO, and the grantee makes full payment for that service during the grant’s two-year period of performance. Q. What is the process for disbursement of funds? What is the typical timeframe? A. Unless otherwise stated in a Specific Award Condition, the advance method of payment will be authorized. Non-Federal entities must time advance payment requests so that Federal funds are on hand for no more than 30 calendar days before being disbursed by Non-Federal entity for allowable award costs. According to the Federal Financial Report Instructions: • Federal Cash 10b – Cash Disbursements – Enter the cumulative amount of Federal fund disbursements (such as cash or checks) as of the reporting period end date. Disbursements are the sum of actual cash disbursements for direct charges for goods and services, the amount of indirect expenses charged to the award, and the amount of cash advances and payments made to subrecipients and contractors. • Federal Expenditures and Unobligated Balance 10e – Federal Share of Expenditures – Enter the amount of Federal fund expenditures. For reports prepared on a cash basis, expenditures are the sum of cash disbursements for direct charges for property and services; the amount of indirect expenses charged; and the amount of cash advance payments and payments made to subrecipients. For reports prepared on an accrual basis, expenditures are the sum of cash disbursements for direct charges for property and services; the amount of indirect expense incurred; and the net increase or decrease in the amounts owned by the recipient for (1) goods and other property received; (2) services performed by employees, contractors, subrecipients, and other payees; and (3) programs for which no current services or performance are required. Condition: During our testing over activities allowed or unallowed and allowable costs/cost principles, we observed management did not make full payment to prepay for multiple years of qualifying broadband services expenditures during the period under audit and submitted and received reimbursement for the broadband services expenditures greater than 30 calendar days before disbursement. In addition, during our testing over reporting, we observed management included the broadband services expenditures in the federal financial report for federal cash 10b – cash disbursements and federal expenditures and unobligated balance 10e – federal share of expenditures line items; however, as full payment was not made, these line items should exclude the broadband services expenditures. Cause: Management did not have effective internal controls in place over the compliance requirement as stated in the criteria or specific requirement section above. Effect or potential effect: Management submitted and received reimbursement from the grantor for broadband services expenditures without making full payment during the period under audit. In addition, the federal financial report incorrectly included the broadband services expenditures. Without effective internal controls, unallowed expenditures and incorrectly reporting expenditures could occur in the future. Questioned costs: $176,003 – Assistance Listing Number 11.028 – Federal award identification number – 06-09-C13050 Questioned costs were computed as the one individually significant expenditure selected for testing procedures. Questioned costs means an amount, expended or received from a Federal award, that (1) is noncompliance or suspected noncompliance with Federal statutes, regulations, or the terms and conditions of the Federal award or (2) at the time of the audit, lacked adequate documentation to support compliance. Context: During our testing over activities allowed or unallowed and allowable costs/cost principles, we observed an individually significant expenditure in the amount of $176,003 that was selected for testing procedures. The sampling was a statistically valid sample. The expenditure represented multiple years of qualifying broadband services to be incurred after the audit period. Management did not make full payment to prepay for multiple years of qualifying broadband services expenditures during the period under audit and submitted and received reimbursement for the broadband services expenditures greater than 30 calendar days before disbursement. In addition, management included the broadband services expenditures in the federal financial report for federal cash 10b – cash disbursements and federal expenditures and unobligated balance 10e – federal share of expenditures line items; however, as full payment was not made, these line items should exclude the broadband services expenditures. Identification as a repeat finding, if applicable: No. Recommendation: Management should make full payment of the broadband services expenditures prior to the end of the period of performance and develop and implement effective internal controls to ensure prepaid expenditures are in compliance with the activities allowed or unallowed and allowable costs/cost principles compliance requirements and reported correctly in the federal financial report. Views of responsible officials: Management has made full pre-payment for broadband services before the project period end date of January 14, 2026 to be in compliance and will implement a review of future prepaid expenditures, if applicable to any grants. Management has reviewed the reporting requirements of the Federal Financial Report and will implement a review to ensure that cash disbursements are accurately reported in future reports. Any discrepancies between sponsor communications and award agreements will be reviewed by management for correct interpretation and financial presentation.