Immunization Cooperative Agreements (ALN 93.268): Nonprofit Single Audit Statistics

293 nonprofits reported spending Immunization Cooperative Agreements (ALN 93.268) funds in single audits for audit year 2025, $122,409,847 in total. 2 of 293 of those audits (0.7%) 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 Immunization Cooperative Agreements funds?

293 nonprofits reported Immunization Cooperative Agreements (ALN 93.268) in single audits for audit year 2025, $122,409,847 in federal awards expended in total. A nonprofit is counted once per audit year.

Nonprofits reporting Immunization Cooperative Agreements, by audit year
Audit yearNonprofitsAmount expended
2021329$111,005,662
2022497$303,299,493
2023502$276,023,985
2024424$230,637,726
2025293$122,409,847

How often is Immunization Cooperative Agreements audited as a major program?

35 of 293 (11.9%) 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.

Auditor opinion on Immunization Cooperative Agreements where it was a major program
Opinion on the programAudits
Unmodified35 of 35 (100.0%)
Qualified0 of 35 (0.0%)
Adverse0 of 35 (0.0%)
Disclaimer0 of 35 (0.0%)

How often do audits report findings on Immunization Cooperative Agreements?

2 of 293 (0.7%) 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.

Audits with a finding on Immunization Cooperative Agreements, by audit year
Audit yearAudits with a finding on the program
20213 of 329 (0.9%)
202221 of 497 (4.2%)
202322 of 502 (4.4%)
202414 of 424 (3.3%)
20252 of 293 (0.7%)

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.

Compliance requirements cited by findings on Immunization Cooperative Agreements
RequirementFindings
Allowable costs / cost principles (B)1
Cash management (C)1
Reporting (L)1

Is the money received directly or through a pass-through entity?

19 of 293 (6.5%) 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 nonprofits received Immunization Cooperative Agreements
How the award was receivedAudits
At least one award directly from the federal agency19 of 293 (6.5%)
Only through a pass-through entity274 of 293 (93.5%)

Which states report the most Immunization Cooperative Agreements spending by nonprofits?

The ten states with the most nonprofits reporting the program for audit year 2025, with the federal awards those nonprofits expended.

States by nonprofits reporting Immunization Cooperative Agreements
StateNonprofitsAmount expended
Pennsylvania32$18,295,168
New York25$27,840,391
New Jersey18$5,188,482
Wisconsin18$1,976,861
Connecticut17$10,783,077
Illinois15$2,820,021
Missouri13$6,774,482
California11$5,332,229
New Hampshire11$2,425,262
Massachusetts10$4,842,970

Which audit firms were observed on the most filings that report Immunization Cooperative Agreements?

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 firms observed on filings that report Immunization Cooperative Agreements
Audit firm observedNonprofits
CohnReznick LLP28
Forvis Mazars, LLP27
CliftonLarsonAllen LLP16
Baker Tilly US, LLP15
Wipfli LLP11
BDMP Assurance, LLP9
Ernst & Young LLP9
WithumSmith+Brown, PC7
PricewaterhouseCoopers LLP6
AAFCPAs, Inc.5

Read next

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. “Immunization Cooperative Agreements (93.268): Single Audit Data.” https://getauditradar.com/statistics/federal-programs/93-268/. Data as of 2026-11-06.