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An Audit Report on Cash Controls at the University of Texas Health Science Center at Houston

October 2004

Report Number 05-006

Overall Conclusion

The University of Texas Health Science Center at Houston (Health Science Center) has significant weaknesses in controls over the receipt and disbursement of cash and does not have accurate and complete recordkeeping for cash collections, revenues, receipts, and disbursements. The problems we identified increase the risk of financial reporting errors, fraud, and theft.

The Health Science Center is a large, decentralized, and complex organization that serves many functions, including education, research, public service, and medical care. Many of the clinics and departments, which are relatively autonomous, have responsibilities relating to cash management. Although our assessment covered a relatively small number of clinics and departments (5 clinics and 13 departments), we found control weaknesses and errors at each one, which appears to indicate institution-wide problems.

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