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Colorado Perinatal Care Quality CollaborativeNon-Profit

EIN: 742119506

UEI: JAHED3GM2VN1

Audited by: Stockman Kast Ryan & CO, LLP

Oversight agency: 93 [Department of Health and Human Services]

View federal awards & risk assessment →

Data as of August 28, 2026

Colorado Perinatal Care Quality Collaborative3 audit years2 findings
3
Audit Years
2
Total Findings
0
Repeat Findings
$2.8M
Federal Awards Expended (FY 2025)

FY 2025-06-30

$2,779,932 federal awards expendedNo findings recorded this year

Management decision deadline — for entities that funded this organization

The FAC accepted this audit on December 16, 2025. Under 2 CFR 200.521(d), a pass-through entity that provided federal funds to this organization for this audit period must issue a management decision on these findings by June 16, 2026 (76 days ago).

What is a management decision? →

FY 2024-06-30

$2,476,957 federal awards expendedNo findings recorded this year

FAC accepted this audit on November 12, 2024 — management decision was due May 12, 2025.

FY 2023-06-30

$1,778,066 federal awards expended

FAC accepted this audit on January 10, 2024 — management decision was due July 10, 2024.

2023-001
Activities Allowed or Unallowed
SIGNIFICANT DEFICIENCY

Criteria or Specific Requirement – Management is required to establish and maintain effective internal control over the federal award that provides reasonable assurance the entity is applying the proper allocation of payroll related costs based on actual time and effort toward the federal award. Condition –The Organization does not have sufficient internal controls to ensure proper allocations of payroll related to various programs. Context – During the year under audit employees did not track their time using timesheets, as all employees were salaried employees. Subsequent to year end, time tracking procedures were put into place. Cause – During the review of payroll costs, we were unable to identify all the time and effort coded to the programs. Per our discussion with management, it was determined that the Organization did not have a policy in place and these program costs were being estimated each month. Effect or Potential Effect – Program compliance requirements are at risk of not being met. Questioned Costs – There are no questioned costs. Recommendation – We recommend the Organization implement a policy in which employees are required to track their time based on the specific programs in order to ensure that the time and effort costs are properly allocated to federal awards. Views of Responsible Officials and Planned Corrective Actions – Management agrees with the finding and has taken steps to ensure the accuracy of time and effort costs.

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Full finding narrative

Criteria or Specific Requirement – Management is required to establish and maintain effective internal control over the federal award that provides reasonable assurance the entity is applying the proper allocation of payroll related costs based on actual time and effort toward the federal award. Condition –The Organization does not have sufficient internal controls to ensure proper allocations of payroll related to various programs. Context – During the year under audit employees did not track their time using timesheets, as all employees were salaried employees. Subsequent to year end, time tracking procedures were put into place. Cause – During the review of payroll costs, we were unable to identify all the time and effort coded to the programs. Per our discussion with management, it was determined that the Organization did not have a policy in place and these program costs were being estimated each month. Effect or Potential Effect – Program compliance requirements are at risk of not being met. Questioned Costs – There are no questioned costs. Recommendation – We recommend the Organization implement a policy in which employees are required to track their time based on the specific programs in order to ensure that the time and effort costs are properly allocated to federal awards. Views of Responsible Officials and Planned Corrective Actions – Management agrees with the finding and has taken steps to ensure the accuracy of time and effort costs.

Corrective Action Plan

Condition – The Organization does not have sufficient internal controls to ensure proper allocations of payroll related to various programs. Recommendation – We recommend the Organization implements a policy in which employees are required to track their time based on the specific programs in order to ensure that the time and effort costs are properly allocated to federal awards. Views of Responsible Officials and Planned Corrective Actions – Management agrees with the finding and has taken steps to ensure the accuracy of time and effort costs. Date of Completion – 9/30/2023 Action Taken – Management has implemented additional procedures for time tracking within their payroll system to ensure the proper allocation and approval of payroll related costs are based on actual time and effort toward the federal award. Person Responsible for Corrective Action Plan – Rebecca Alderfer, Chief Executive Officer

About Activities Allowed or Unallowed →
2023-002
Activities Allowed or Unallowed
SIGNIFICANT DEFICIENCY

Criteria or Specific Requirement – Management is required to establish and maintain effective internal control over the federal award that provides reasonable assurance the entity is managing the federal award in compliance with federal statutes, regulations, and the terms and conditions of the federal award. Condition – The Organization does not have sufficient internal controls to ensure proper approval of invoices of federal award expenses. Approval documentation for the payment of seven invoices was not maintained. Context – A sample of nineteen expenses related to federal award programs was selected. Our testing found seven expenses without proper approval documentation. Cause – During the year under testing, there was a period of time when invoices of federal award expenses were approved during periodic meetings. While there is evidence of the meetings occurring, there is no documentation of the specific invoices approved during the meetings. During the year, this process was changed to include formal documentation of approval. Effect or Potential Effect – Program compliance requirements are at risk of not being met. Questioned Costs – There are no questioned costs. Recommendation – We recommend the Organization implement a policy to ensure retention of approval documentation. Views of Responsible Officials and Planned Corrective Actions – Management agrees with the finding and has taken steps to ensure documentation and processes are adhered to.

Show full finding ▾
Full finding narrative

Criteria or Specific Requirement – Management is required to establish and maintain effective internal control over the federal award that provides reasonable assurance the entity is managing the federal award in compliance with federal statutes, regulations, and the terms and conditions of the federal award. Condition – The Organization does not have sufficient internal controls to ensure proper approval of invoices of federal award expenses. Approval documentation for the payment of seven invoices was not maintained. Context – A sample of nineteen expenses related to federal award programs was selected. Our testing found seven expenses without proper approval documentation. Cause – During the year under testing, there was a period of time when invoices of federal award expenses were approved during periodic meetings. While there is evidence of the meetings occurring, there is no documentation of the specific invoices approved during the meetings. During the year, this process was changed to include formal documentation of approval. Effect or Potential Effect – Program compliance requirements are at risk of not being met. Questioned Costs – There are no questioned costs. Recommendation – We recommend the Organization implement a policy to ensure retention of approval documentation. Views of Responsible Officials and Planned Corrective Actions – Management agrees with the finding and has taken steps to ensure documentation and processes are adhered to.

Corrective Action Plan

Condition – The Organization does not have sufficient internal controls to ensure proper approval of invoices of federal award expenses. Approval documentation for the payment of seven invoices was not maintained. Recommendation – We recommend the Organization implements a policy to ensure retention of approval documentation. Views of Responsible Officials and Planned Corrective Actions – Management agrees with the finding and has taken steps to ensure documentation and processes are adhered to. Date of Completion – 7/31/2023 Action Taken – Management has implemented additional procedures for invoice approvals to ensure documentation and processes are adhered to including educating staff with an approval matrix, incorporating approvals process into project management system and new system for retention of written approvals. Person Responsible for Corrective Action Plan – Rebecca Alderfer, Chief Executive Officer

About Activities Allowed or Unallowed →

Data source: This information comes from the Federal Audit Clearinghouse, the official repository of Single Audit data. All data is public domain. Verify this organization's audit history at fac.gov.

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