Audit 395243

FY End
2025-06-30
Total Expended
$491.87M
Findings
9
Programs
120
Organization: Baylor College of Medicine (TX)
Year: 2025 Accepted: 2026-03-27

Organization Exclusion Status:

Checking exclusion status...

Findings

ID Ref Severity Repeat Requirement
1190958 2025-001 Material Weakness Yes C
1190959 2025-001 Material Weakness Yes C
1190960 2025-001 Material Weakness Yes C
1190961 2025-001 Material Weakness Yes C
1190962 2025-001 Material Weakness Yes C
1190963 2025-001 Material Weakness Yes C
1190964 2025-001 Material Weakness Yes C
1190965 2025-001 Material Weakness Yes C
1190966 2025-001 Material Weakness Yes C

Programs

ALN Program Spent Major Findings
84.268 FEDERAL DIRECT STUDENT LOANS $25.97M Yes 0
10.001 AGRICULTURAL RESEARCH BASIC AND APPLIED RESEARCH $13.07M Yes 0
93.185 IMMUNIZATION RESEARCH, DEMONSTRATION, PUBLIC INFORMATION AND EDUCATION TRAINING AND CLINICAL SKILLS IMPROVEMENT PROJECTS $2.37M Yes 0
93.590 COMMUNITY-BASED CHILD ABUSE PREVENTION GRANTS $2.09M Yes 0
93.494 GLOBAL TUBERCULOSIS:DEVELOPING,EVALUATING,IMPLEMENTING EVIDENCE-BASED AND INNOVATIVE APPROACHES TO FIND, CURE, AND PREVENT TUBERCULOSIS GLOBALLY $1.99M Yes 0
93.233 NATIONAL CENTER ON SLEEP DISORDERS RESEARCH $1.97M Yes 0
21.027 CORONAVIRUS STATE AND LOCAL FISCAL RECOVERY FUNDS $1.70M Yes 0
93.493 CONGRESSIONAL DIRECTIVES $1.39M Yes 0
98.001 USAID FOREIGN ASSISTANCE FOR PROGRAMS OVERSEAS $1.04M Yes 0
93.143 NIEHS SUPERFUND HAZARDOUS SUBSTANCES_BASIC RESEARCH AND EDUCATION $1.00M Yes 0
93.959 BLOCK GRANTS FOR PREVENTION AND TREATMENT OF SUBSTANCE ABUSE $979,952 Yes 0
93.558 TEMPORARY ASSISTANCE FOR NEEDY FAMILIES $806,495 Yes 0
47.076 STEM EDUCATION (FORMERLY EDUCATION AND HUMAN RESOURCES) $776,071 Yes 0
93.104 COMPREHENSIVE COMMUNITY MENTAL HEALTH SERVICES FOR CHILDREN WITH SERIOUS EMOTIONAL DISTURBANCES (SED) $763,661 Yes 0
93.RD CDC #75D30122C14673 $588,018 Yes 0
43.014 CONGRESSIONALLY DIRECTED PROGRAMS $547,816 Yes 1
93.323 EPIDEMIOLOGY AND LABORATORY CAPACITY FOR INFECTIOUS DISEASES (ELC) $374,663 Yes 0
84.038 FEDERAL PERKINS LOAN PROGRAM_FEDERAL CAPITAL CONTRIBUTIONS $373,952 Yes 0
12.750 UNIFORMED SERVICES UNIVERSITY MEDICAL RESEARCH PROJECTS $354,081 Yes 0
93.969 PPHF GERIATRIC EDUCATION CENTERS $349,457 Yes 0
93.172 HUMAN GENOME RESEARCH $338,328 Yes 0
93.186 NATIONAL RESEARCH SERVICE AWARD IN PRIMARY CARE MEDICINE $333,735 Yes 0
93.977 SEXUALLY TRANSMITTED DISEASES (STD) PREVENTION AND CONTROL GRANTS $305,944 Yes 0
93.RD 75N92022F0001 $284,051 Yes 0
93.286 DISCOVERY AND APPLIED RESEARCH FOR TECHNOLOGICAL INNOVATIONS TO IMPROVE HUMAN HEALTH $282,113 Yes 0
93.884 PRIMARY CARE TRAINING AND ENHANCEMENT $254,553 Yes 0
93.946 COOPERATIVE AGREEMENTS TO SUPPORT STATE-BASED SAFE MOTHERHOOD AND INFANT HEALTH INITIATIVE PROGRAMS $231,932 Yes 0
43.001 SCIENCE $228,220 Yes 0
93.RD 75N92022D0001 $219,005 Yes 0
93.242 NATIONAL CENTER ON SLEEP DISORDERS RESEARCH $212,801 Yes 0
93.867 VISION RESEARCH $207,950 Yes 0
93.213 RESEARCH AND TRAINING IN COMPLEMENTARY AND INTEGRATIVE HEALTH $184,590 Yes 0
93.173 RESEARCH RELATED TO DEAFNESS AND COMMUNICATION DISORDERS $175,266 Yes 0
93.127 EMERGENCY MEDICAL SERVICES FOR CHILDREN $171,046 Yes 0
93.889 NATIONAL BIOTERRORISM HOSPITAL PREPAREDNESS PROGRAM $170,719 Yes 0
93.326 STRENGTHENING PUBLIC HEALTH THROUGH SURVEILLANCE, EPIDEMIOLOGIC RESEARCH, DISEASE DETECTION AND PREVENTION $162,488 Yes 0
12.800 AIR FORCE DEFENSE RESEARCH SCIENCES PROGRAM $151,769 Yes 0
93.989 INTERNATIONAL RESEARCH AND RESEARCH TRAINING $150,778 Yes 0
93.342 HEALTH PROFESSIONS STUDENT LOANS, INCLUDING PRIMARY CARE LOANS AND LOANS FOR DISADVANTAGED STUDENTS $146,083 Yes 0
93.121 ORAL DISEASES AND DISORDERS RESEARCH $143,632 Yes 0
93.365 SICKLE CELL TREATMENT DEMONSTRATION PROGRAM $140,459 Yes 0
66.509 SCIENCE TO ACHIEVE RESULTS (STAR) RESEARCH PROGRAM $138,739 Yes 0
93.321 DIETARY SUPPLEMENT RESEARCH PROGRAM $137,512 Yes 0
93.846 ARTHRITIS, MUSCULOSKELETAL AND SKIN DISEASES RESEARCH $126,345 Yes 0
93.RD HHSP233201500022I $122,867 Yes 0
93.113 ENVIRONMENTAL HEALTH $121,855 Yes 0
10.310 AGRICULTURE AND FOOD RESEARCH INITIATIVE (AFRI) $121,708 Yes 0
93.866 AGING RESEARCH $111,240 Yes 0
93.262 OCCUPATIONAL SAFETY AND HEALTH PROGRAM $108,407 Yes 0
93.283 CENTERS FOR DISEASE CONTROL AND PREVENTION INVESTIGATIONS AND TECHNICAL ASSISTANCE $103,262 Yes 0
10.561 STATE ADMINISTRATIVE MATCHING GRANTS FOR THE SUPPLEMENTAL NUTRITION ASSISTANCE PROGRAM $99,784 Yes 0
93.840 TRANSLATION AND IMPLEMENTATION SCIENCE RESEARCH FOR HEART, LUNG, BLOOD DISEASES, AND SLEEP DISORDERS $99,384 Yes 0
93.393 CANCER CAUSE AND PREVENTION RESEARCH $85,648 Yes 0
93.940 HIV PREVENTION ACTIVITIES HEALTH DEPARTMENT BASED $81,062 Yes 0
93.399 CANCER CONTROL $79,004 Yes 0
93.243 SUBSTANCE ABUSE AND MENTAL HEALTH SERVICES PROJECTS OF REGIONAL AND NATIONAL SIGNIFICANCE $78,806 Yes 0
93.350 NATIONAL CENTER FOR ADVANCING TRANSLATIONAL SCIENCES $77,948 Yes 0
93.839 BLOOD DISEASES AND RESOURCES RESEARCH $73,450 Yes 0
93.084 PREVENTION OF DISEASE, DISABILITY, AND DEATH BY INFECTIOUS DISEASES $73,043 Yes 0
47.041 ENGINEERING $66,237 Yes 0
93.837 CARDIOVASCULAR DISEASES RESEARCH $65,958 Yes 0
93.136 INJURY PREVENTION AND CONTROL RESEARCH AND STATE AND COMMUNITY BASED PROGRAMS $65,278 Yes 0
84.033 FEDERAL WORK-STUDY PROGRAM $62,627 Yes 0
93.732 MENTAL AND BEHAVIORAL HEALTH EDUCATION AND TRAINING GRANTS $61,397 Yes 0
93.RD 75D30118C02646 $56,115 Yes 0
93.395 CANCER TREATMENT RESEARCH $55,976 Yes 0
93.315 RARE DISORDERS: RESEARCH, SURVEILLANCE, HEALTH PROMOTION, AND EDUCATION $55,215 Yes 0
93.838 LUNG DISEASES RESEARCH $55,000 Yes 0
93.353 21ST CENTURY CURES ACT - BEAU BIDEN CANCER MOONSHOT $51,640 Yes 0
84.324 RESEARCH IN SPECIAL EDUCATION $48,791 Yes 0
93.630 DEVELOPMENTAL DISABILITIES BASIC SUPPORT AND ADVOCACY GRANTS $48,681 Yes 0
12.420 MILITARY MEDICAL RESEARCH AND DEVELOPMENT $47,646 Yes 0
93.394 CANCER DETECTION AND DIAGNOSIS RESEARCH $44,346 Yes 0
11.609 MEASUREMENT AND ENGINEERING RESEARCH AND STANDARDS $44,263 Yes 0
93.351 RESEARCH INFRASTRUCTURE PROGRAMS $43,858 Yes 0
93.279 DRUG USE AND ADDICTION RESEARCH PROGRAMS $39,672 Yes 0
93.687 MATERNAL OPIOID MISUSE MODEL $35,457 Yes 0
93.396 CANCER BIOLOGY RESEARCH $31,609 Yes 0
93.433 ACL NATIONAL INSTITUTE ON DISABILITY, INDEPENDENT LIVING, AND REHABILITATION RESEARCH $30,384 Yes 0
16.812 SECOND CHANCE ACT REENTRY INITIATIVE $27,396 Yes 0
47.084 NSF TECHNOLOGY, INNOVATION, AND PARTNERSHIPS $25,300 Yes 0
43.003 EXPLORATION $25,228 Yes 0
93.RD HHSN275201000003I $24,833 Yes 0
93.398 CANCER RESEARCH MANPOWER $24,352 Yes 0
93.941 HIV DEMONSTRATION, RESEARCH, PUBLIC AND PROFESSIONAL EDUCATION PROJECTS $22,826 Yes 0
93.859 BIOMEDICAL RESEARCH AND RESEARCH TRAINING $22,589 Yes 0
93.273 ALCOHOL RESEARCH PROGRAMS $22,377 Yes 0
93.226 RESEARCH ON HEALTHCARE COSTS, QUALITY AND OUTCOMES $22,351 Yes 0
93.080 BLOOD DISORDER PROGRAM: PREVENTION, SURVEILLANCE, AND RESEARCH $21,721 Yes 0
93.855 ALLERGY AND INFECTIOUS DISEASES RESEARCH $19,573 Yes 0
93.145 HIV-RELATED TRAINING AND TECHNICAL ASSISTANCE $18,558 Yes 0
93.368 21ST CENTURY CURES ACT - PRECISION MEDICINE INITIATIVE $18,026 Yes 0
93.RD NIH 75N93022P00891 $17,912 Yes 0
93.307 MINORITY HEALTH AND HEALTH DISPARITIES RESEARCH $15,195 Yes 0
93.RD 75N92023N00011 $14,521 Yes 0
93.853 EXTRAMURAL RESEARCH PROGRAMS IN THE NEUROSCIENCES AND NEUROLOGICAL DISORDERS $14,348 Yes 0
93.073 BIRTH DEFECTS AND DEVELOPMENTAL DISABILITIES - PREVENTION AND SURVEILLANCE $13,329 Yes 0
93.361 NURSING RESEARCH $12,756 Yes 0
16.560 NATIONAL INSTITUTE OF JUSTICE RESEARCH, EVALUATION, AND DEVELOPMENT PROJECT GRANTS $10,286 Yes 0
47.075 SOCIAL, BEHAVIORAL, AND ECONOMIC SCIENCES $8,876 Yes 0
47.070 COMPUTER AND INFORMATION SCIENCE AND ENGINEERING $8,747 Yes 0
93.110 MATERNAL AND CHILD HEALTH FEDERAL CONSOLIDATED PROGRAMS $8,398 Yes 0
47.049 MATHEMATICAL AND PHYSICAL SCIENCES $7,943 Yes 0
93.RD NCORP $7,698 Yes 0
93.310 TRANS-NIH RESEARCH SUPPORT $7,070 Yes 0
93.RD NUMBER 1903 $6,195 Yes 0
93.879 MEDICAL LIBRARY ASSISTANCE $3,268 Yes 0
47.074 BIOLOGICAL SCIENCES $2,975 Yes 0
12.300 BASIC AND APPLIED SCIENTIFIC RESEARCH $1,470 Yes 0
93.RD NIDDK-TRIALNET $896 Yes 0
93.397 CANCER CENTERS SUPPORT GRANTS $419 Yes 0
93.865 CHILD HEALTH AND HUMAN DEVELOPMENT EXTRAMURAL RESEARCH $206 Yes 0
93.RD NUMBER 1705 $146 Yes 0
93.RD HHSN272201600018C $-595 Yes 0
93.RD 75Q80120D00018 $-2,662 Yes 0
93.RD HHSN27200015 $-3,647 Yes 0
93.077 FAMILY SMOKING PREVENTION AND TOBACCO CONTROL ACT REGULATORY RESEARCH $-4,588 Yes 0
93.103 FOOD AND DRUG ADMINISTRATION RESEARCH $-34,885 Yes 0
93.847 DIABETES, DIGESTIVE, AND KIDNEY DISEASES EXTRAMURAL RESEARCH $-35,440 Yes 0
93.391 ACTIVITIES TO SUPPORT STATE, TRIBAL, LOCAL AND TERRITORIAL (STLT) HEALTH DEPARTMENT RESPONSE TO PUBLIC HEALTH OR HEALTHCARE CRISES $-72,624 Yes 0

Contacts

Name Title Type
FXKMA43NTV21 Chryll Batiste Auditee
7137984369 Cassie Johnson Auditor
No contacts on file

Notes to SEFA

Outstanding loans under administered federal loan programs as of June 30, 2025, were as follows:
The College participated in the Federal Direct Student Loans Program (ALN 84.268), including Unsubsidized Stafford Loans and PLUS Loans. The College was not the recipient of the funds. The programs are considered as a component of the student financial assistance cluster. For the year ended June 30, 2025, loan disbursements under the programs totaled $25,973,654.

Finding Details

Finding 2025-001 Cash Management Identification of the federal program: U.S. Department of Health and Human Services National Institutes of Health Research and Development Cluster Assistance Listing No. Federal Program Title 43.014 Congressionally Directed Programs 47.049 Mathematical and Physical Sciences 93.172 Human Genome Research 93.393 Cancer Cause and Prevention Research 93.396 Cancer Biology Research 93.837 Cardiovascular Diseases Research 93.847 Diabetes, Digestive, and Kidney Diseases Extramural Research 93.853 Extramural Research Programs in the Neurosciences and Neurological Disorders 93.865 Child Health and Human Development Extramural Research Criteria or specific requirement (including statutory, regulatory or other citation): 2 CFR 200.303(a) requires that a 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 and the “Internal Control Integrated Framework”, issued by the Committee of Sponsoring Organizations of the Treadway Commission (COSO).” 2 CFR 200.305(b)(3) requires that when the reimbursement method is used, the Federal agency or pass-through entity must make payment within 30 calendar days after receipt of the payment request unless the Federal agency or pass-through entity reasonably believes the request to be improper. Condition: The College did not provide evidence of effectively designed internal controls to ensure subrecipients are paid by the College within 30 days of requests for reimbursements received by the College. Cause: The College did not ensure that its established internal control processes were operating effectively to verify that invoices from subrecipients were paid within the required 30‑day period from the date the payment request was received. Effect or potential effect: The College did not comply with the cash management requirements of Uniform Guidance to pay subrecipients within 30 days of their requests for reimbursements. Questioned costs: None. Context: EY selected and tested a sample of 44 payments to subrecipients with expenditures totaling $5,843,778 from a population of $56,294,523 during the year ended June 30, 2025. Of the 44 samples selected for testing, 12 payments to subrecipients totaling $3,490,135 were made outside the required 30‑day payment window. Identification as a repeat finding, if applicable: Not a repeat finding. Recommendation: The College should strengthen its disbursement controls by ensuring that invoices received from subrecipients are promptly identified, logged, and tracked against the 30‑day payment requirement. Views of responsible officials: Management agrees with the finding and has developed a plan to ensure subrecipients are paid within 30 days of their requests for reimbursement.