IOWA HEALTH SYSTEM: Single Audit Reports and Findings
IOWA HEALTH SYSTEM filed 10 single audits between 2016 and 2025; the most recently observed auditor is KPMG LLP (2025), and the 2025 report lists 2 findings. Data as of 2026-11-06.
Data as of Nov 6, 2026 · Source: Federal Audit Clearinghouse (public data)
Single audits by year
One row per audit year as the Federal Audit Clearinghouse accepted it. The auditor named is the one observed on that filing; IOWA HEALTH SYSTEM is recorded in WEST DES MOINES, Iowa under EIN 421435199, and the Clearinghouse records it as a nonprofit. Each report opens on the Clearinghouse itself; how to search the Federal Audit Clearinghouse explains the rest of the reporting package.
| Audit year | Fiscal year end | Federal expended | Threshold applied | Auditor observed | Findings | MW / SD | FAC report |
|---|---|---|---|---|---|---|---|
| 2025 | 2025-12-31 | $50,494,302 | $1,000,000 | KPMG LLP | 2 | SD | 2025-12-GSAFAC-0000427559 |
| 2024 | 2024-12-31 | $109,387,248 | $750,000 | KPMG LLP | 0 | — | 2024-12-GSAFAC-0000376163 |
| 2023 | 2023-12-31 | $152,072,924 | $750,000 | KPMG LLP | 1 | SD | 2023-12-GSAFAC-0000054559 |
| 2022 | 2022-12-31 | $44,028,886 | $750,000 | KPMG LLP | 2 | SD | 2022-12-CENSUS-0000065449 |
| 2021 | 2021-12-31 | $238,689,308 | $750,000 | KPMG LLP | 0 | — | 2021-12-CENSUS-0000065449 |
| 2020 | 2020-12-31 | $48,089,312 | $750,000 | KPMG LLP | 3 | SD | 2020-12-CENSUS-0000065449 |
| 2019 | 2019-12-31 | $33,043,681 | $750,000 | KPMG LLP | 0 | — | 2019-12-CENSUS-0000065449 |
| 2018 | 2018-12-31 | $28,053,755 | $750,000 | KPMG LLP | 0 | — | 2018-12-CENSUS-0000065449 |
| 2017 | 2017-12-31 | $25,442,492 | $750,000 | KPMG LLP | 0 | — | 2017-12-CENSUS-0000065449 |
| 2016 | 2016-12-31 | $22,292,937 | $750,000 | BKD, LLP | 4 | MW | 2016-12-CENSUS-0000065449 |
When is the next single audit due?
If IOWA HEALTH SYSTEM is again required to have a single audit for the fiscal year ending Dec 31, 2026, the reporting package is due to the Federal Audit Clearinghouse by Sep 30, 2027 at the latest.
Whether an audit is required depends on federal awards expended in that year (the single audit threshold). The rule, 2 CFR 200.512(a): the reporting package is due within 30 calendar days after the auditee receives the auditor's report or nine months after the end of the audit period, whichever is earlier; the date above is the nine-month date, moved to Monday when it falls on a weekend. Last verified: 2026-11-15.
Which federal programs did this organization report?
From the most recent accepted report, as listed on its schedule of expenditures of federal awards (SEFA). "Major" is the designation the auditor made under 2 CFR 200.518, not ours.
| ALN | Program | Expended | Major |
|---|---|---|---|
| 97.036 | COVID-19 DISASTER GRANTS - PUBLIC ASSISTANCE (PRESIDENTIALLY DECLARED DISASTERS) | $22,862,457 | No |
| 84.268 | FEDERAL DIRECT STUDENT LOANS | $6,214,638 | Yes |
| 21.027 | CORONAVIRUS STATE AND LOCAL FISCAL RECOVERY FUNDS | $2,501,500 | Yes |
| 93.364 | NURSING STUDENT LOANS | $1,372,056 | Yes |
| 93.696 | CERTIFIED COMMUNITY BEHAVIORAL HEALTH CLINIC EXPANSION GRANTS | $1,270,351 | No |
| 84.063 | FEDERAL PELL GRANT PROGRAM | $1,234,615 | Yes |
| 93.696 | CERTIFIED COMMUNITY BEHAVIORAL HEALTH CLINIC EXPANSION GRANTS | $1,154,355 | No |
| 93.696 | CERTIFIED COMMUNITY BEHAVIORAL HEALTH CLINIC EXPANSION GRANTS | $1,088,551 | No |
| 10.557 | WIC SPECIAL SUPPLEMENTAL NUTRITION PROGRAM FOR WOMEN, INFANTS, AND CHILDREN | $944,960 | No |
| 93.778 | MEDICAL ASSISTANCE PROGRAM | $913,705 | Yes |
| 93.696 | CERTIFIED COMMUNITY BEHAVIORAL HEALTH CLINIC EXPANSION GRANTS | $901,315 | No |
| 10.766 | COMMUNITY FACILITIES GRANT | $736,531 | No |
| 93.958 | BLOCK GRANTS FOR COMMUNITY MENTAL HEALTH SERVICES | $582,235 | No |
| 21.027 | CORONAVIRUS STATE AND LOCAL FISCAL RECOVERY FUNDS | $484,335 | Yes |
| 93.958 | BLOCK GRANTS FOR COMMUNITY MENTAL HEALTH SERVICES | $374,757 | No |
| 93.889 | NATIONAL BIOTERRORISM HOSPITAL PREPAREDNESS PROGRAM | $350,268 | No |
| 20.600 | STATE AND COMMUNITY HIGHWAY SAFETY | $322,050 | No |
| 84.116 | FUND FOR THE IMPROVEMENT OF POSTSECONDARY EDUCATION | $287,797 | No |
| 93.958 | BLOCK GRANTS FOR COMMUNITY MENTAL HEALTH SERVICES | $275,434 | No |
| 93.696 | CERTIFIED COMMUNITY BEHAVIORAL HEALTH CLINIC EXPANSION GRANTS | $270,848 | No |
| 93.959 | BLOCK GRANTS FOR PREVENTION AND TREATMENT OF SUBSTANCE ABUSE | $270,446 | No |
| 93.958 | BLOCK GRANTS FOR COMMUNITY MENTAL HEALTH SERVICES | $252,407 | No |
| 93.459 | National Bioterrorism Hospital Preparedness Program | $244,557 | No |
| 93.912 | RURAL HEALTH CARE SERVICES OUTREACH, RURAL HEALTH NETWORK DEVELOPMENT AND SMALL HEALTH CARE PROVIDER QUALITY IMPROVEMENT | $243,369 | No |
| 93.958 | BLOCK GRANTS FOR COMMUNITY MENTAL HEALTH SERVICES | $231,816 | No |
What findings did the auditor report?
The reference is the auditor’s; the requirement is the Compliance Supplement category the auditor selected. The finding text itself is not reproduced here; the FAC report linked above carries it in full. What the two severity levels mean: material weakness vs significant deficiency.
| Reference | Requirement | Severity | Repeat |
|---|---|---|---|
| 2025-001 | Activities allowed or unallowed (A); Allowable costs / cost principles (B) | Significant deficiency | No |
| 2025-002 | Procurement and suspension and debarment (I) | Significant deficiency | No |
Form 990 and IRS registration
Form 990 "accounting fees" (Part IX line 11c) cover all accounting services reported by the organization and are not the price of an audit engagement.
Where to find the return itself, and what our Form 990 data covers: Form 990 lookup.
- Most recent return
- 990 for 2024-12
- Total revenue
- $442,361,665
- Total assets
- $1,157,835,703
- Accounting fees (Part IX line 11c)
- $978,100
- IRS object id
- 202523179349312502
- NTEE code
- E02
- Exempt under
- 501(c)(3)
- Ruling year
- 1996
- BMF release
- 2026-10-20
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How we computed this
Every row comes from the Federal Audit Clearinghouse record named beside it, one report per audit year, with a resubmission superseding the filing it replaces. The auditor is the one named on that filing — it is not a statement about who audits IOWA HEALTH SYSTEM now. Form 990 figures come from the IRS e-filed return named by its object id. This page exists because the organization filed at least two single audits, or one with a finding.
Cite this page
AuditRadar. “Iowa Health System Single Audits 2016–2025.” https://getauditradar.com/single-audits/ia/iowa-health-system-421435199/. Data as of 2026-11-06.