Audit 408355

FY End
2025-06-30
Total Expended
$213.22M
Findings
91
Programs
67
Organization: Meharry Medical College (TN)
Year: 2025 Accepted: 2026-07-31
Auditor: CROSSLIN PLLC

Organization Exclusion Status:

Checking exclusion status...

Findings

ID Ref Severity Repeat Requirement
1225400 2025-003 Material Weakness Yes M
1225401 2025-003 Material Weakness Yes M
1225402 2025-003 Material Weakness Yes M
1225403 2025-003 Material Weakness Yes M
1225404 2025-003 Material Weakness Yes M
1225405 2025-003 Material Weakness Yes M
1225406 2025-003 Material Weakness Yes M
1225407 2025-003 Material Weakness Yes M
1225408 2025-003 Material Weakness Yes M
1225409 2025-003 Material Weakness Yes M
1225410 2025-003 Material Weakness Yes M
1225411 2025-003 Material Weakness Yes M
1225412 2025-003 Material Weakness Yes M
1225413 2025-003 Material Weakness Yes M
1225414 2025-003 Material Weakness Yes M
1225415 2025-003 Material Weakness Yes M
1225416 2025-003 Material Weakness Yes M
1225417 2025-003 Material Weakness Yes M
1225418 2025-003 Material Weakness Yes M
1225419 2025-003 Material Weakness Yes M
1225420 2025-003 Material Weakness Yes M
1225421 2025-003 Material Weakness Yes M
1225422 2025-003 Material Weakness Yes M
1225423 2025-003 Material Weakness Yes M
1225424 2025-003 Material Weakness Yes M
1225425 2025-003 Material Weakness Yes M
1225426 2025-003 Material Weakness Yes M
1225427 2025-003 Material Weakness Yes M
1225428 2025-003 Material Weakness Yes M
1225429 2025-003 Material Weakness Yes M
1225430 2025-003 Material Weakness Yes M
1225431 2025-003 Material Weakness Yes M
1225432 2025-003 Material Weakness Yes M
1225433 2025-003 Material Weakness Yes M
1225434 2025-003 Material Weakness Yes M
1225435 2025-003 Material Weakness Yes M
1225436 2025-003 Material Weakness Yes M
1225437 2025-003 Material Weakness Yes M
1225438 2025-003 Material Weakness Yes M
1225439 2025-003 Material Weakness Yes M
1225440 2025-003 Material Weakness Yes M
1225441 2025-003 Material Weakness Yes M
1225442 2025-003 Material Weakness Yes M
1225443 2025-003 Material Weakness Yes M
1225444 2025-003 Material Weakness Yes M
1225445 2025-003 Material Weakness Yes M
1225446 2025-003 Material Weakness Yes M
1225447 2025-003 Material Weakness Yes M
1225448 2025-003 Material Weakness Yes M
1225449 2025-003 Material Weakness Yes M
1225450 2025-003 Material Weakness Yes M
1225451 2025-003 Material Weakness Yes M
1225452 2025-003 Material Weakness Yes M
1225453 2025-003 Material Weakness Yes M
1225454 2025-003 Material Weakness Yes M
1225455 2025-003 Material Weakness Yes M
1225456 2025-003 Material Weakness Yes M
1225457 2025-003 Material Weakness Yes M
1225458 2025-003 Material Weakness Yes M
1225459 2025-003 Material Weakness Yes M
1225460 2025-003 Material Weakness Yes M
1225461 2025-003 Material Weakness Yes M
1225462 2025-003 Material Weakness Yes M
1225463 2025-003 Material Weakness Yes M
1225464 2025-003 Material Weakness Yes M
1225465 2025-003 Material Weakness Yes M
1225466 2025-003 Material Weakness Yes M
1225467 2025-003 Material Weakness Yes M
1225468 2025-003 Material Weakness Yes M
1225469 2025-003 Material Weakness Yes M
1225470 2025-003 Material Weakness Yes M
1225471 2025-003 Material Weakness Yes M
1225472 2025-003 Material Weakness Yes M
1225473 2025-003 Material Weakness Yes M
1225474 2025-003 Material Weakness Yes M
1225475 2025-003 Material Weakness Yes M
1225476 2025-003 Material Weakness Yes M
1225477 2025-003 Material Weakness Yes M
1225478 2025-003 Material Weakness Yes M
1225479 2025-003 Material Weakness Yes M
1225480 2025-003 Material Weakness Yes M
1225481 2025-003 Material Weakness Yes M
1225482 2025-003 Material Weakness Yes M
1225483 2025-003 Material Weakness Yes M
1225484 2025-003 Material Weakness Yes M
1225485 2025-003 Material Weakness Yes M
1225486 2025-003 Material Weakness Yes M
1225487 2025-003 Material Weakness Yes M
1225488 2025-003 Material Weakness Yes M
1225489 2025-003 Material Weakness Yes M
1225490 2025-003 Material Weakness Yes M

Programs

ALN Program Spent Major Findings
84.268 FEDERAL DIRECT STUDENT LOANS $87.85M Yes 0
93.375 Endowment Grant for Health Disparities $10.00M Yes 1
84.031 HIGHER EDUCATION INSTITUTIONAL AID $6.57M Yes 0
93.157 CENTERS OF EXCELLENCE $5.95M Yes 0
93.266 HEALTH SYSTEMS STRENGTHENING AND HIV/AIDS PREVENTION, CARE AND TREATMENT UNDER THE PRESIDENT'S EMERGENCY PLAN FOR AIDS RELIEF $2.71M Yes 0
84.038 FEDERAL PERKINS LOAN PROGRAM_FEDERAL CAPITAL CONTRIBUTIONS $951,468 Yes 0
93.493 CONGRESSIONAL DIRECTIVES $919,830 Yes 0
93.397 CANCER CENTERS SUPPORT GRANTS $715,017 Yes 1
93.822 HEALTH CAREERS OPPORTUNITY PROGRAM (HCOP) $501,530 Yes 0
84.033 FEDERAL WORK-STUDY PROGRAM $459,010 Yes 0
93.788 OPIOID STR $452,366 Yes 0
93.912 RURAL HEALTHCARE SERVICES PROGRAMS $436,576 Yes 0
93.110 SPECIAL PROJECTS OF REGIONAL AND NATIONAL SIGNIFICANCE $421,537 Yes 0
93.917 HIV CARE FORMULA GRANTS $400,953 Yes 0
93.279 DRUG USE AND ADDICTION RESEARCH PROGRAMS $393,755 Yes 1
93.172 HUMAN GENOME RESEARCH $385,293 Yes 1
93.941 HIV DEMONSTRATION, RESEARCH, PUBLIC AND PROFESSIONAL EDUCATION PROJECTS $350,178 Yes 0
47.076 STEM EDUCATION (FORMERLY EDUCATION AND HUMAN RESOURCES) $312,505 Yes 1
81.117 ENERGY EFFICIENCY AND RENEWABLE ENERGY INFORMATION DISSEMINATION, OUTREACH, TRAINING AND TECHNICAL ANALYSIS/ASSISTANCE $281,236 Yes 1
93.516 PUBLIC HEALTH TRAINING CENTERS PROGRAM $280,492 Yes 0
93.732 MENTAL AND BEHAVIORAL HEALTH EDUCATION AND TRAINING GRANTS $265,827 Yes 0
93.268 IMMUNIZATION COOPERATIVE AGREEMENTS $265,341 Yes 0
47.084 TECHNOLOGY, INNOVATION, AND PARTNERSHIPS $207,945 Yes 1
93.837 CARDIOVASCULAR DISEASES RESEARCH $202,539 Yes 1
12.420 MILITARY MEDICAL RESEARCH AND DEVELOPMENT $189,431 Yes 1
81.137 MINORITY ECONOMIC IMPACT $179,798 Yes 1
93.353 21ST CENTURY CURES ACT - BEAU BIDEN CANCER MOONSHOT $172,683 Yes 1
93.884 PRIMARY CARE TRAINING AND ENHANCEMENT $158,464 Yes 0
93.350 NATIONAL CENTER FOR ADVANCING TRANSLATIONAL SCIENCES $156,650 Yes 1
93.959 BLOCK GRANTS FOR PREVENTION AND TREATMENT OF SUBSTANCE ABUSE $141,435 Yes 0
93.391 ACTIVITIES TO SUPPORT STATE, TRIBAL, LOCAL AND TERRITORIAL (STLT) HEALTH DEPARTMENT RESPONSE TO PUBLIC HEALTH OR HEALTHCARE CRISES $135,327 Yes 0
93.867 VISION RESEARCH $129,360 Yes 1
93.859 BIOMEDICAL RESEARCH AND RESEARCH TRAINING $116,964 Yes 1
93.242 MENTAL HEALTH RESEARCH GRANTS $115,429 Yes 1
81.049 OFFICE OF SCIENCE FINANCIAL ASSISTANCE PROGRAM $108,650 Yes 1
93.262 OCCUPATIONAL SAFETY AND HEALTH PROGRAM $100,721 Yes 1
93.865 CHILD HEALTH AND HUMAN DEVELOPMENT EXTRAMURAL RESEARCH $88,287 Yes 1
93.243 SUBSTANCE ABUSE AND MENTAL HEALTH SERVICES PROJECTS OF REGIONAL AND NATIONAL SIGNIFICANCE $86,639 Yes 0
47.075 SOCIAL, BEHAVIORAL, AND ECONOMIC SCIENCES $83,835 Yes 1
93.107 AREA HEALTH EDUCATION CENTERS $77,208 Yes 0
93.488 NATIONAL HARM REDUCTION TECHNICAL ASSISTANCE AND SYRINGE SERVICES PROGRAM (SSP) MONITORING AND EVALUATION FUNDING OPPORTUNITY $59,027 Yes 0
93.918 GRANTS TO PROVIDE OUTPATIENT EARLY INTERVENTION SERVICES WITH RESPECT TO HIV DISEASE $49,304 Yes 0
16.830 REDUCING RECIDIVISM FOR FEMALE JUVENILE DELINQUENTS $45,432 Yes 0
93.879 MEDICAL LIBRARY ASSISTANCE $44,776 Yes 1
14.241 HOUSING OPPORTUNITIES FOR PERSONS WITH AIDS $44,209 Yes 0
43.008 OFFICE OF STEM ENGAGEMENT (OSTEM) $41,782 Yes 1
93.558 TEMPORARY ASSISTANCE FOR NEEDY FAMILIES $36,943 Yes 0
93.310 TRANS-NIH RESEARCH SUPPORT $31,755 Yes 1
93.969 PPHF GERIATRIC EDUCATION CENTERS $30,882 Yes 0
93.426 THE NATIONAL CARDIOVASCULAR HEALTH PROGRAM $27,540 Yes 0
93.352 CONSTRUCTION SUPPORT $25,343 Yes 1
47.083 INTEGRATIVE ACTIVITIES $16,276 Yes 1
93.121 ORAL DISEASES AND DISORDERS RESEARCH $16,242 Yes 1
10.216 1890 INSTITUTION CAPACITY BUILDING GRANTS $16,143 Yes 1
93.226 RESEARCH ON HEALTHCARE COSTS, QUALITY AND OUTCOMES $14,940 Yes 1
47.070 COMPUTER AND INFORMATION SCIENCE AND ENGINEERING $7,560 Yes 1
93.307 MINORITY HEALTH AND HEALTH DISPARITIES RESEARCH $6,089 Yes 1
93.136 INJURY PREVENTION AND CONTROL RESEARCH AND STATE AND COMMUNITY BASED PROGRAMS $5,508 Yes 0
12.902 INFORMATION SECURITY GRANTS $5,288 Yes 1
81.U01 Sustainable Solutions for Treating PFAS Containing $4,913 Yes 1
93.994 MATERNAL AND CHILD HEALTH SERVICES BLOCK GRANT TO THE STATES $4,802 Yes 0
93.855 ALLERGY AND INFECTIOUS DISEASES RESEARCH $4,487 Yes 1
93.838 LUNG DISEASES RESEARCH $3,256 Yes 1
84.002 ADULT EDUCATION - BASIC GRANTS TO STATES $800 Yes 0
66.509 SCIENCE TO ACHIEVE RESULTS (STAR) RESEARCH PROGRAM $770 Yes 1
93.145 HIV-RELATED TRAINING AND TECHNICAL ASSISTANCE $279 Yes 0
93.393 CANCER CAUSE AND PREVENTION RESEARCH $217 Yes 1

Contacts

Name Title Type
DLTJBDQBGBC9 Jay Perkins Auditee
6153275885 Jennifer Manternach Auditor
No contacts on file

Notes to SEFA

The schedule of expenditures of federal awards includes the federal grant activity of Meharry Medical College, and is presented in accordance with accounting principles generally accepted in the United State of America, which is the same basis of accounting as the basic financial statements. The information in this schedule is presented as required by Title 2 U.S. Code of Federal Regulations (CFR) Part 200, Uniform Administrative Requirements, Cost Principles, and Audit Requirements for Federal Awards. The accompanying Schedules of Expenditures of Federal and State Awards (the Schedules) summarize the expenditures and disbursements of Meharry Medical College (the College) under programs of the federal and state governments for the year ended June 30, 2025. Because the Schedules present only a selected portion of the operations of the College, they are not intended to and do not present the financial position, changes in net assets or cash flows of the College. For the purposes of the schedules, federal awards include all grants, contracts, and similar agreements entered into directly between the College and agencies or departments of the federal government and all sub awards to the College by non-federal organizations pursuant to federal grants, contracts, and similar agreements. The awards are classified into major program and nonmajor program categories as required by Title 2 U.S. Code of Federal Regulations (CFR) Part 200, Uniform Administrative Requirements, Cost Principles, and Audit Requirements for Federal Awards. The College has not elected to use the 10% de minimis indirect cost rate.
General For purposes of the Schedules, expenditures for federal and state programs are recognized on the accrual basis of accounting. Expenditures for federal student financial aid programs are recognized as incurred and include Federal Work-Study program earnings, certain other federal financial assistance grants for students and administrative cost allowances, where applicable. Expenditures for non-financial aid awards include indirect costs. Indirect costs allocated to applicable awards for the year ended June 30, 2025, were based on predetermined fixed rates negotiated with the College’s cognizant federal agency, the Department of Health and Human Services and with the State of Tennessee. Indirect costs and recoveries of those costs under sponsored programs are classified as unrestricted expenditures and revenues, respectively, in the College’s consolidated financial statements.
The College administers certain federal loan programs. These loan programs are part of the student financial aid program cluster for reporting purposes and related loan balances are reported in student loans receivable, net, in the consolidated financial statements. Total loan disbursements from the Department of Education and the Department of Health and Human Services for student financial assistance programs for the fiscal year ended June 30, 2025, are identified below: Assistance Listing Outstanding Number Disbursements Balance Federal Perkins Loans 84.038 $ - $1,015,749 Primary Care Loans 93.342 - 994,719 Health Professions Student Loans 93.342 256,716 1,085,659 Loans for Disadvantaged Students 93.342 - 202,739
The College is responsible only for the performance of certain administrative duties with respect to federal direct student loans and accordingly, these loans are not included in the consolidated financial statements. The loans processed are included in the Schedule of Expenditures of Federal Awards as part of the student financial aid cluster. During the fiscal year ending June 30, 2025, the College processed the following amount of new loans under the Federal Direct Student Loan program: Assistance Listing Number Disbursements Federal Direct Student Loans 84.268 $87,853,983

Finding Details

Federal Program: Research and Development Cluster Criteria The College, as a pass-through entity, is required to monitor the activities of subrecipients as necessary to ensure subawards are used for authorized purposes and in compliance with Federal statutes, regulations, and the terms and conditions of the subaward. Such monitoring includes reviewing financial and programmatic reports, following up on identified deficiencies, ensuring timely corrective action, and maintaining adequate documentation evidencing the performance of monitoring and oversight procedures. Condition During testing of subrecipient monitoring procedures for the Research and Development Cluster, the College was unable to provide documentation evidencing that required subrecipient monitoring confirmations and related monitoring procedures were performed for one of their subrecipients during the period July 1, 2024 through June 30, 2025. Management indicated that due to staffing turnover within the Grants & Contracts Office, the College could not verify whether monitoring confirmations were requested or received during the audit period. In addition, supporting documentation evidencing the performance of monitoring activities was not maintained or available for audit review. Cause The College experienced staffing turnover within the Grants & Contracts Office which resulted in a breakdown in controls over subrecipient monitoring documentation retention and oversight procedures. Effect The College was unable to demonstrate compliance with subrecipient monitoring requirements in accordance with 2 CFR §200.332. As a result, there is an increased risk that noncompliance by subrecipients may not be identified, monitored, or addressed in a timely manner. Questioned Costs None. Recommendation We recommend the College strengthen controls over subrecipient monitoring by: implementing formalized monitoring procedures and documentation retention requirements, maintaining centralized records of monitoring activities and confirmations, assigning clear responsibility for monitoring oversight, and implementing supervisory review controls to ensure compliance with Uniform Guidance requirements. Views of Responsible Officials See Management Corrective Action Plan. The College had no prior year findings reported.