Finding 1190966 (2025-001)

Material Weakness Repeat Finding
Requirement
C
Questioned Costs
-
Year
2025
Accepted
2026-03-27
Audit: 395243
Organization: Baylor College of Medicine (TX)

AI Summary

  • Core Issue: The College failed to pay subrecipients within the required 30-day period for reimbursement requests, violating cash management requirements.
  • Impacted Requirements: Non-compliance with 2 CFR 200.303(a) and 2 CFR 200.305(b)(3) regarding effective internal controls and timely payments.
  • Recommended Follow-Up: Strengthen disbursement controls by promptly logging and tracking invoices to ensure compliance with the 30-day payment rule.

Finding Text

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.

Corrective Action Plan

2025-001 Cash Management ALN: Research and Development Cluster (R&D) - Various ALNs Finding: 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. Corrective Action Plan: Management acknowledges that some of the payments to subrecipients selected for audit were not made within 30 days of receipt. We value the relationships with our subrecipient partners and endeavor to pay all of them timely. Substantially all subrecipient payments are made by the College within the prescribed timeline subject to the underlying transactions being properly approved. This includes the approval by principal investigators and approval of supply chain personnel after the performance of standard controls surrounding disbursements. Management will continue to identify root causes around identified delayed payments and evaluate go-forward process improvements with supply chain services, treasury and academic department personnel. Person(s) Responsible: Rob Falivene, Vice President, Supply Chain Services, and Oswaldo Ramirez, Vice President, Treasurer Expected Completion: December 2026

Categories

Subrecipient Monitoring Cash Management

Other Findings in this Audit

  • 1190958 2025-001
    Material Weakness Repeat
  • 1190959 2025-001
    Material Weakness Repeat
  • 1190960 2025-001
    Material Weakness Repeat
  • 1190961 2025-001
    Material Weakness Repeat
  • 1190962 2025-001
    Material Weakness Repeat
  • 1190963 2025-001
    Material Weakness Repeat
  • 1190964 2025-001
    Material Weakness Repeat
  • 1190965 2025-001
    Material Weakness Repeat

Programs in Audit

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