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Memorial Hermann Health SystemNon-Profit

EIN: 741152597

UEI: KDX5Y29YQUL1

Audit also covers 7 related EINs — show all

204923281, 263896170, 473254635, 680511504, 760385980, 760689675, 832803102 · unlinked EINs have no separate FAC filing

Audited by: McConnell & Jones LLP

Cognizant agency: 97 [Department of Homeland Security]

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Data as of September 7, 2026

Memorial Hermann Health System10 audit years2 findings
10
Audit Years
2
Total Findings
0
Repeat Findings
$82.5M
Federal Awards Expended (FY 2025)

FY 2025-06-30

$82,517,075 federal awards expendedNo findings recorded this year

Management decision deadline — for entities that funded this organization

The FAC accepted this audit on March 30, 2026. Under 2 CFR 200.521(d), a pass-through entity that provided federal funds to this organization for this audit period must issue a management decision on these findings by September 30, 2026 (19 days from today).

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FY 2024-06-30

$102,848,873 federal awards expendedNo findings recorded this year

FAC accepted this audit on March 31, 2025 — management decision was due October 1, 2025.

FY 2023-06-30

LOW-RISK AUDITEE$46,882,449 federal awards expended

FAC accepted this audit on March 27, 2024 — management decision was due September 27, 2024.

2023-001
Procurement & Suspension/Debarment
MATERIAL WEAKNESSQUESTIONED COSTSOTHER MATTERS

The Health System did not maintain records for procurements made with federal funds sufficient to detail the history of procurement, including the rationale for the method of procurement, selection of contract type, contractor selection or rejection, and the basis for the contract price. Questioned Costs: $149,194 Context: We selected and tested five procurements with expenditures totaling $149,194 from a population of 12 procurements over $10,000 each with expenditures totaling $411,649. For all five procurements, the Health System did not have sufficient evidence to detail the history of procurement, including the rationale for the method of procurement, selection of contract type, contractor selection or rejection, and the basis for the contract price. We did not observe multiple quotes or sole source justification for any of the five procurements. The Health System’s total R&D expenditures were $6,288,755. Of this amount, $513,467 related to procurements of good and services. Effect: The Health System did not comply with the general procurement standards per the OMB to maintain sufficient detail of the history of the procurement, including the rationale of the method of procurement. Cause: The Health System did not have effective internal controls and procedures in place to ensure the Health System maintained records for procurements sufficient to detail the history of procurement, including the rationale for the method of procurement and other required elements. Identification as a repeat finding, if applicable: Not Applicable Recommendation: The Health System should retain written documentation for procurements documenting the history of the procurement prior to the procurement of goods or services including, but not limited to, the rationale for the method of procurement, selection of contract type, contractor selection or rejection, and the basis for the contract price. This would include obtaining quotes from vendors for competitive procurements and documenting sole source justification for procurements, when applicable. Views of responsible officials and planned corrective actions: Management agrees with the finding and has developed a corrective action plan.

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Full finding narrative

Federal Program:Research and Development Cluster Assistance Listing Nos.93.432, 93.369, 93.433, 93.421 Federal Award Numbers and Grant Period - see Table. 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 D, 200.318(i) – General procurement standards states: The non-Federal entity must maintain records sufficient to detail the history of procurement. These records will include, but are not necessarily limited to, the following: Rationale for the method of procurement, selection of contract type, contractor selection or rejection, and the basis for the contract price. Title 2, Subtitle A, Chapter II, Part 200, Subpart D, 200.320 – Methods of procurement to be followed – the non-Federal entity must have and use documented procurements procedures, consistent with the standards of this section and 200.317, 200.318, and 200.319 for any of the following methods of procurement used for the acquisition of property or services required under a Federal award or sub-award: (a) (2) Small purchases – (i) small purchase procedures – the acquisition of property or services, the aggregate dollar amount of which is higher than the micro-purchase threshold but does not exceed the simplified acquisition threshold. If small purchase procedures are used, price or rate quotations must be obtained from an adequate number of qualified sources as determined appropriate by the non-Federal entity. Condition: The Health System did not maintain records for procurements made with federal funds sufficient to detail the history of procurement, including the rationale for the method of procurement, selection of contract type, contractor selection or rejection, and the basis for the contract price. Questioned Costs: $149,194 Context: We selected and tested five procurements with expenditures totaling $149,194 from a population of 12 procurements over $10,000 each with expenditures totaling $411,649. For all five procurements, the Health System did not have sufficient evidence to detail the history of procurement, including the rationale for the method of procurement, selection of contract type, contractor selection or rejection, and the basis for the contract price. We did not observe multiple quotes or sole source justification for any of the five procurements. The Health System’s total R&D expenditures were $6,288,755. Of this amount, $513,467 related to procurements of good and services. Effect: The Health System did not comply with the general procurement standards per the OMB to maintain sufficient detail of the history of the procurement, including the rationale of the method of procurement. Cause: The Health System did not have effective internal controls and procedures in place to ensure the Health System maintained records for procurements sufficient to detail the history of procurement, including the rationale for the method of procurement and other required elements. Identification as a repeat finding, if applicable: Not Applicable Recommendation: The Health System should retain written documentation for procurements documenting the history of the procurement prior to the procurement of goods or services including, but not limited to, the rationale for the method of procurement, selection of contract type, contractor selection or rejection, and the basis for the contract price. This would include obtaining quotes from vendors for competitive procurements and documenting sole source justification for procurements, when applicable. Views of responsible officials and planned corrective actions: Management agrees with the finding and has developed a corrective action plan.

Corrective Action Plan

Memorial Hermann Health System Corrective Action Plan Finding 2023-001 Procurement and Suspension and Debarment Federal Program: various Assistance Listing Number – Research and Development Cluster Condition: The system did not maintain records for procurement made with federal funds sufficient to detail the history of procurement, including the rationale for method of procurement, selection of contract type, contractor selection or rejection, and the basis for the contract price. Corrective Action: As part of the Uniform Guidance Audit, Memorial Hermann Health System follows general procurement standards per the OMB. However, sufficient documentation was not found which detailed the history of procurement including the rationale for the method of procurement and other required elements. To ensure internal controls are set and documented to the level necessary under current audit standards, Memorial Hermann Health System will require a Sole / Single Source Justification Form or other required procurement processes at the time of applicable contract initiation. This supporting documentation will be reviewed by management and retained within an audit folder on a shared drive. Responsible Official: Farhaan S. Vahidy, AVP – Research Anticipated completion date: April 30, 2024 See Table for Sole/Single Source Justification for Federal Grants Template and Single/Sole Source Justification Guidelines

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FY 2022-06-30

LOW-RISK AUDITEE$268,409,557 federal awards expendedNo findings recorded this year

FAC accepted this audit on March 12, 2023 — management decision was due September 12, 2023.

FY 2021-06-30

LOW-RISK AUDITEE$147,325,860 federal awards expendedNo findings recorded this year

FAC accepted this audit on September 28, 2022 — management decision was due March 28, 2023.

FY 2020-06-30

LOW-RISK AUDITEE$23,440,681 federal awards expendedNo findings recorded this year

FAC accepted this audit on May 26, 2021 — management decision was due November 26, 2021.

FY 2019-06-30

LOW-RISK AUDITEE$6,832,294 federal awards expendedNo findings recorded this year

FAC accepted this audit on March 15, 2020 — management decision was due September 15, 2020.

FY 2018-06-30

LOW-RISK AUDITEE$5,870,307 federal awards expendedNo findings recorded this year

FAC accepted this audit on March 27, 2019 — management decision was due September 27, 2019.

FY 2017-06-30

LOW-RISK AUDITEE$5,246,298 federal awards expendedNo findings recorded this year

FAC accepted this audit on March 18, 2018 — management decision was due September 18, 2018.

FY 2016-06-30

LOW-RISK AUDITEE$5,322,782 federal awards expended

FAC accepted this audit on March 13, 2017 — management decision was due September 13, 2017.

2016-001
Cost Allowability
SIGNIFICANT DEFICIENCY

GSA_MIGRATION

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GSA_MIGRATION

Corrective Action Plan

GSA_MIGRATION

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