Rural Health Care Services Outreach, Rural Health Network Development and Small Health Care Provider Quality Improvement (ALN 93.912): Nonprofit Single Audit Statistics
291 nonprofits reported spending Rural Health Care Services Outreach, Rural Health Network… (ALN 93.912) funds in single audits for audit year 2025, $138,382,660 in total. 12 of 291 of those audits (4.1%) 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 Rural Health Care Services Outreach, Rural Health Network Development and Small Health Care Provider Quality Improvement funds?
291 nonprofits reported Rural Health Care Services Outreach, Rural Health Network Development and Small Health Care Provider Quality Improvement (ALN 93.912) in single audits for audit year 2025, $138,382,660 in federal awards expended in total. A nonprofit is counted once per audit year.
| Audit year | Nonprofits | Amount expended |
|---|---|---|
| 2021 | 321 | $79,939,070 |
| 2022 | 386 | $124,353,042 |
| 2023 | 364 | $123,952,012 |
| 2024 | 319 | $149,043,273 |
| 2025 | 291 | $138,382,660 |
How often is Rural Health Care Services Outreach, Rural Health Network Development and Small Health Care Provider Quality Improvement audited as a major program?
45 of 291 (15.5%) 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 | 42 of 45 (93.3%) |
| Qualified | 3 of 45 (6.7%) |
| Adverse | 0 of 45 (0.0%) |
| Disclaimer | 0 of 45 (0.0%) |
How often do audits report findings on Rural Health Care Services Outreach, Rural Health Network Development and Small Health Care Provider Quality Improvement?
12 of 291 (4.1%) 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 | 9 of 321 (2.8%) |
| 2022 | 14 of 386 (3.6%) |
| 2023 | 11 of 364 (3.0%) |
| 2024 | 15 of 319 (4.7%) |
| 2025 | 12 of 291 (4.1%) |
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 |
|---|---|
| Allowable costs / cost principles (B) | 8 |
| Activities allowed or unallowed (A) | 7 |
| Cash management (C) | 5 |
| Reporting (L) | 5 |
| Procurement and suspension and debarment (I) | 2 |
| Eligibility (E) | 1 |
| Equipment and real property management (F) | 1 |
| Subrecipient monitoring (M) | 1 |
| Other / not classified (P) | 1 |
Is the money received directly or through a pass-through entity?
186 of 291 (63.9%) 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 | 186 of 291 (63.9%) |
| Only through a pass-through entity | 105 of 291 (36.1%) |
Which states report the most Rural Health Care Services Outreach, Rural Health Network Development and Small Health Care Provider Quality Improvement 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 |
|---|---|---|
| Pennsylvania | 19 | $5,124,885 |
| Missouri | 16 | $9,771,848 |
| West Virginia | 15 | $4,353,249 |
| Illinois | 12 | $5,777,034 |
| California | 11 | $4,771,982 |
| New York | 11 | $2,338,326 |
| Tennessee | 11 | $4,041,555 |
| Arizona | 10 | $4,129,290 |
| Georgia | 10 | $7,153,213 |
| Indiana | 10 | $4,833,753 |
Which audit firms were observed on the most filings that report Rural Health Care Services Outreach, Rural Health Network Development and Small Health Care Provider Quality Improvement?
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 | 27 |
| KPMG LLP | 12 |
| CliftonLarsonAllen LLP | 10 |
| BDMP Assurance, LLP | 9 |
| Baker Tilly US, LLP | 9 |
| Ernst & Young LLP | 9 |
| Eide Bailly LLP | 8 |
| Terry Horne, CPA | 8 |
| Blue & Co., LLC | 6 |
| Plante & Moran, PLLC | 6 |
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. “Rural Health Care Services… (93.912): Single Audit Data.” https://getauditradar.com/statistics/federal-programs/93-912/. Data as of 2026-11-06.