Strengthening Public Health Systems and Services Through National Partnerships to Improve and Protect the Nation’s Health (ALN 93.421): Nonprofit Single Audit Statistics
147 nonprofits reported spending Strengthening Public Health Systems and Services Through… (ALN 93.421) funds in single audits for audit year 2025, $200,206,853 in total. 4 of 147 of those audits (2.7%) 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 Strengthening Public Health Systems and Services Through National Partnerships to Improve and Protect the Nation’s Health funds?
147 nonprofits reported Strengthening Public Health Systems and Services Through National Partnerships to Improve and Protect the Nation’s Health (ALN 93.421) in single audits for audit year 2025, $200,206,853 in federal awards expended in total. A nonprofit is counted once per audit year.
| Audit year | Nonprofits | Amount expended |
|---|---|---|
| 2021 | 198 | $264,108,005 |
| 2022 | 263 | $504,100,609 |
| 2023 | 281 | $524,483,736 |
| 2024 | 233 | $397,523,923 |
| 2025 | 147 | $200,206,853 |
How often is Strengthening Public Health Systems and Services Through National Partnerships to Improve and Protect the Nation’s Health audited as a major program?
38 of 147 (25.9%) 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.
| Opinion on the program | Audits |
|---|---|
| Unmodified | 38 of 38 (100.0%) |
| Qualified | 0 of 38 (0.0%) |
| Adverse | 0 of 38 (0.0%) |
| Disclaimer | 0 of 38 (0.0%) |
How often do audits report findings on Strengthening Public Health Systems and Services Through National Partnerships to Improve and Protect the Nation’s Health?
4 of 147 (2.7%) 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.
| Audit year | Audits with a finding on the program |
|---|---|
| 2021 | 7 of 198 (3.5%) |
| 2022 | 7 of 263 (2.7%) |
| 2023 | 10 of 281 (3.6%) |
| 2024 | 6 of 233 (2.6%) |
| 2025 | 4 of 147 (2.7%) |
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.
| Requirement | Findings |
|---|---|
| Reporting (L) | 2 |
| Subrecipient monitoring (M) | 2 |
| Procurement and suspension and debarment (I) | 1 |
| Other / not classified (P) | 1 |
Is the money received directly or through a pass-through entity?
49 of 147 (33.3%) 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 | 49 of 147 (33.3%) |
| Only through a pass-through entity | 98 of 147 (66.7%) |
Which states report the most Strengthening Public Health Systems and Services Through National Partnerships to Improve and Protect the Nation’s Health 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 |
|---|---|---|
| California | 13 | $8,069,078 |
| Massachusetts | 12 | $1,712,394 |
| District of Columbia | 11 | $58,691,907 |
| Illinois | 11 | $12,659,295 |
| Maryland | 11 | $12,339,936 |
| New York | 9 | $703,444 |
| Georgia | 7 | $54,218,058 |
| Pennsylvania | 7 | $418,605 |
| Hawaii | 6 | $265,435 |
| Arizona | 5 | $3,094,070 |
Which audit firms were observed on the most filings that report Strengthening Public Health Systems and Services Through National Partnerships to Improve and Protect the Nation’s Health?
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 |
|---|---|
| KPMG LLP | 11 |
| Ernst & Young LLP | 7 |
| Forvis Mazars, LLP | 7 |
| Baker Tilly US, LLP | 6 |
| Deloitte & Touche LLP | 6 |
| Gelman, Rosenberg & Freedman | 6 |
| CBIZ CPAs P.C. | 5 |
| CliftonLarsonAllen LLP | 5 |
| Grant Thornton LLP | 5 |
| Plante & Moran, PLLC | 5 |
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. “Strengthening Public Health Systems… (93.421): Single Audit Data.” https://getauditradar.com/statistics/federal-programs/93-421/. Data as of 2026-11-06.