Comprehensive Opioid, Stimulant, and other Substances Use Program (ALN 16.838): Nonprofit Single Audit Statistics
138 nonprofits reported spending Comprehensive Opioid, Stimulant, and other Substances Use… (ALN 16.838) funds in single audits for audit year 2025, $32,506,443 in total. 2 of 138 of those audits (1.4%) reported at least one finding on the program. Data as of 2026-11-06.
Data as of Nov 6, 2026 · Source: Federal Audit Clearinghouse (public data)
How many nonprofits report spending Comprehensive Opioid, Stimulant, and other Substances Use Program funds?
138 nonprofits reported Comprehensive Opioid, Stimulant, and other Substances Use Program (ALN 16.838) in single audits for audit year 2025, $32,506,443 in federal awards expended in total. A nonprofit is counted once per audit year.
| Audit year | Nonprofits | Amount expended |
|---|---|---|
| 2021 | 98 | $28,442,162 |
| 2022 | 121 | $32,570,454 |
| 2023 | 141 | $36,258,156 |
| 2024 | 145 | $34,622,148 |
| 2025 | 138 | $32,506,443 |
How often is Comprehensive Opioid, Stimulant, and other Substances Use Program audited as a major program?
13 of 138 (9.4%) of these audits for audit year 2025 audited the program as a major program, one the auditor tests in depth under 2 CFR 200.518. The table gives the auditor’s opinion on the program in those audits.
| Opinion on the program | Audits |
|---|---|
| Unmodified | 13 of 13 (100.0%) |
| Qualified | 0 of 13 (0.0%) |
| Adverse | 0 of 13 (0.0%) |
| Disclaimer | 0 of 13 (0.0%) |
How often do audits report findings on Comprehensive Opioid, Stimulant, and other Substances Use Program?
2 of 138 (1.4%) of these audits for audit year 2025 reported at least one finding on the program. A finding counts for the program when the filing links it to an award under this Assistance Listing.
| Audit year | Audits with a finding on the program |
|---|---|
| 2021 | 1 of 98 (1.0%) |
| 2022 | 2 of 121 (1.7%) |
| 2023 | 2 of 141 (1.4%) |
| 2024 | 4 of 145 (2.8%) |
| 2025 | 2 of 138 (1.4%) |
Which compliance requirements do those findings cite?
A finding can cite more than one requirement. The counts can add to more than the number of findings.
| Requirement | Findings |
|---|---|
| Reporting (L) | 1 |
| Other / not classified (P) | 1 |
Is the money received directly or through a pass-through entity?
18 of 138 (13.0%) of these audits reported at least one award received directly from the federal agency; the others report the program through a pass-through entity.
| How the award was received | Audits |
|---|---|
| At least one award directly from the federal agency | 18 of 138 (13.0%) |
| Only through a pass-through entity | 120 of 138 (87.0%) |
Which states report the most Comprehensive Opioid, Stimulant, and other Substances Use Program spending by nonprofits?
The ten states with the most nonprofits reporting the program for audit year 2025, with the federal awards those nonprofits expended.
| State | Nonprofits | Amount expended |
|---|---|---|
| Tennessee | 13 | $3,600,408 |
| Massachusetts | 11 | $1,863,796 |
| Ohio | 11 | $1,826,728 |
| California | 7 | $842,881 |
| West Virginia | 7 | $251,541 |
| Florida | 6 | $5,177,735 |
| Maryland | 6 | $613,568 |
| New York | 6 | $1,843,855 |
| Kansas | 5 | $322,503 |
| Michigan | 5 | $1,907,130 |
Which audit firms were observed on the most filings that report Comprehensive Opioid, Stimulant, and other Substances Use Program?
The auditor is the firm observed on each filing; this is not a client list. A firm is shown once under the name it files with, ranked by the nonprofits whose filing reports the program.
| Audit firm observed | Nonprofits |
|---|---|
| Forvis Mazars, LLP | 8 |
| Baker Tilly US, LLP | 5 |
| CliftonLarsonAllen LLP | 4 |
| Plante & Moran, PLLC | 4 |
| AAFCPAs, Inc. | 3 |
| Altman, Rogers & Co. | 3 |
| CBIZ CPAs P.C. | 3 |
| Clark Schaefer Hackett | 3 |
| Ernst & Young LLP | 3 |
| BDO USA, P.C. | 2 |
Read next
- All federal programs nonprofits report
- Single audit findings by compliance requirement
- All AuditRadar statistics
How we computed this
Counts cover single audit filings by non-profit organizations for audit year 2025 in the Federal Audit Clearinghouse. A nonprofit is counted once per program. Amounts are federal awards expended as reported on the schedule of expenditures of federal awards. A finding is counted for a program when the filing links it to an award under this Assistance Listing. Listings reported by fewer than 100 nonprofits have no page.
Cite this page
AuditRadar. “Comprehensive Opioid, Stimulant… (16.838): Single Audit Data.” https://getauditradar.com/statistics/federal-programs/16-838/. Data as of 2026-11-06.