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Harris County Hospital DistrictNon-Profit

EIN: 741536936

UEI: R68MDCGVWQ15

Audited by: Forvis Mazars

Oversight agency: 93 [Department of Health and Human Services]

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Data as of August 28, 2026

Harris County Hospital District12 audit years2 findings
12
Audit Years
2
Total Findings
0
Repeat Findings
$24.6M
Federal Awards Expended (FY 2025)

FY 2025-09-30

LOW-RISK AUDITEE$24,610,098 federal awards expendedNo findings recorded this year

Management decision deadline — for entities that funded this organization

The FAC accepted this audit on February 13, 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 August 13, 2026 (17 days ago).

What is a management decision? →

FY 2024-09-30

LOW-RISK AUDITEE$19,616,790 federal awards expendedNo findings recorded this year

FAC accepted this audit on February 20, 2025 — management decision was due August 20, 2025.

FY 2024-09-30

LOW-RISK AUDITEE$19,616,790 federal awards expendedNo findings recorded this year

FAC accepted this audit on February 21, 2025 — management decision was due August 21, 2025.

FY 2023-09-30

LOW-RISK AUDITEE$40,018,215 federal awards expendedNo findings recorded this year

FAC accepted this audit on March 5, 2024 — management decision was due September 5, 2024.

FY 2022-09-30

LOW-RISK AUDITEE$10,419,988 federal awards expendedNo findings recorded this year

FAC accepted this audit on March 14, 2023 — management decision was due September 14, 2023.

FY 2022-02-28

LOW-RISK AUDITEE$182,225,943 federal awards expended

FAC accepted this audit on November 1, 2022 — management decision was due May 1, 2023.

2022-001
Activities Allowed or Unallowed / Cost Allowability / Reporting
QUESTIONED COSTSOTHER MATTERS

COVID-19 Provider Relief Fund and American Rescue Plan (ARP) Rural Distribution ALN 93.498 U.S. Department of Health and Human Services Period 1 Distribution Criteria or specific requirement ? Activities Allowed or Unallowed ? Law (Pub. L. No 116-136, 134 Stat. 563 and Pub. L. No 116-139, 134 Stat. 622 and 623); Allowable Costs/Cost Principles ? Charges to PRF must be necessary, reasonable, accorded consistent treatment, and conform to the limitations and exclusions of the terms and conditions of the award; and Reporting ? Provider Relief Fund Portal Condition ? The System?s records reflected an invoice in the total other PRF expenses of $1,040, but the supporting invoice and payment support was for $225. Questioned costs - $815 Context ? Out of a population of 3,780 other PRF expenses reported in the PRF Reporting Portal, a sample of 40 was selected for testing. Our sample was not, and was not intended to be, statistically valid. Support for one expense was less than what was reflected in the System?s records. Effect ? Other PRF expenses were overstated. Cause ? A purchase order was improperly marked in the system as fully received, resulting in the full amount being accrued when only part of the invoice had been received. Identification as a repeat finding, if applicable ? N/A Recommendation ? We recommend the System?s controls be updated to ensure there is full support for all amounts charged to grants. Views of responsible officials and planned corrective actions ? Management agrees with this finding and will review procedures regarding receipt accruals for purchase orders to ensure only amounts received are receipted into the system.

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Full finding narrative

COVID-19 Provider Relief Fund and American Rescue Plan (ARP) Rural Distribution ALN 93.498 U.S. Department of Health and Human Services Period 1 Distribution Criteria or specific requirement ? Activities Allowed or Unallowed ? Law (Pub. L. No 116-136, 134 Stat. 563 and Pub. L. No 116-139, 134 Stat. 622 and 623); Allowable Costs/Cost Principles ? Charges to PRF must be necessary, reasonable, accorded consistent treatment, and conform to the limitations and exclusions of the terms and conditions of the award; and Reporting ? Provider Relief Fund Portal Condition ? The System?s records reflected an invoice in the total other PRF expenses of $1,040, but the supporting invoice and payment support was for $225. Questioned costs - $815 Context ? Out of a population of 3,780 other PRF expenses reported in the PRF Reporting Portal, a sample of 40 was selected for testing. Our sample was not, and was not intended to be, statistically valid. Support for one expense was less than what was reflected in the System?s records. Effect ? Other PRF expenses were overstated. Cause ? A purchase order was improperly marked in the system as fully received, resulting in the full amount being accrued when only part of the invoice had been received. Identification as a repeat finding, if applicable ? N/A Recommendation ? We recommend the System?s controls be updated to ensure there is full support for all amounts charged to grants. Views of responsible officials and planned corrective actions ? Management agrees with this finding and will review procedures regarding receipt accruals for purchase orders to ensure only amounts received are receipted into the system.

Corrective Action Plan

Finding Number: 2022-001 Management?s Corrective Action Plan: Management will review procedures regarding receipt accruals for purchase orders to ensure only amounts received are receipted into the system. Responsible Official: Kari McMichael, Vice President - Controller Estimated Completion Date: Procedures will be reviewed and processes corrected by February 28, 2023.

About Activities Allowed or Unallowed, Allowable Costs / Cost Principles, Reporting →

FY 2021-02-28

LOW-RISK AUDITEE$130,345,034 federal awards expendedNo findings recorded this year

FAC accepted this audit on October 20, 2021 — management decision was due April 20, 2022.

FY 2020-02-29

LOW-RISK AUDITEE$18,340,074 federal awards expendedNo findings recorded this year

FAC accepted this audit on July 30, 2020 — management decision was due January 30, 2021.

FY 2019-02-28

LOW-RISK AUDITEE$15,924,103 federal awards expendedNo findings recorded this year

FAC accepted this audit on July 11, 2019 — management decision was due January 11, 2020.

FY 2018-02-28

LOW-RISK AUDITEE$13,833,228 federal awards expendedNo findings recorded this year

FAC accepted this audit on July 5, 2018 — management decision was due January 5, 2019.

FY 2017-02-28

LOW-RISK AUDITEE$14,111,260 federal awards expendedNo findings recorded this year

FAC accepted this audit on July 27, 2017 — management decision was due January 27, 2018.

FY 2016-02-29

LOW-RISK AUDITEE$13,906,520 federal awards expended

FAC accepted this audit on August 1, 2016 — management decision was due February 1, 2017.

2016-001
Reporting
SIGNIFICANT DEFICIENCY

GSA_MIGRATION

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Full finding narrative

GSA_MIGRATION

Corrective Action Plan

GSA_MIGRATION

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Data source: This information comes from the Federal Audit Clearinghouse, the official repository of Single Audit data. All data is public domain. Verify this organization's audit history at fac.gov.

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