2020-05-11T10:22:29-05:00 2019-12-31 200079326 DINGUS ZARECOR & ASSOCIATES PLLC 12015 E MAIN AVE SPOKANE VALLEY WA 99206 990 2019-01-01 841192031 COLORADO RURAL HEALTH CENTER COLO 3038327493 3033 S PARKER ROAD STE 606 AURORA CO 80014 MICHELLE MILLS CEO 3038327493 2020-05-08 true THOMAS DINGUS P00951009 5092420874 2020-05-11 40.112.162.114 2020-05-11 10:22:29 CD P BDB558D2839154CBA244025868728B30AD18FBA5 BDB558D2839154CBA244025868728B30AD18FBA5 2019 2020-09-23 17:36:50Z MICHELLE MILLS 3033 S PARKER ROAD STE 606 AURORA CO 80014 2752592 false X WWW.CORURALHEALTH.ORG X 1991 CO TO ENHANCE HEALTHCARE SERVICES IN THE STATE BY PROVIDING INFORMATION, EDUCATION, LINKAGES, TOOLS AND ENERGY TOWARDS ADDRESSING RURAL HEALTH ISSUES. 7 7 19 0 1635067 2032906 826808 703059 9124 11630 268 4997 2471267 2752592 73737 99753 0 1764583 1576137 0 36229 877050 806232 2715370 2482122 -244103 270470 1528587 1715479 303667 220089 1224920 1495390 X TO ENHANCE HEALTHCARE SERVICES IN THE STATE BY PROVIDING INFORMATION, EDUCATION, LINKAGES, TOOLS AND ENERGY TOWARDS ADDRESSING RURAL HEALTH ISSUES. false false 1675004 99753 306606 THE COLORADO RURAL HEALTH CENTER (CRHC) IS COLORADO'S NONPROFIT STATE OFFICE OF RURAL HEALTH AND RURAL HEALTH ASSOCIATION. CRHC WORKS WITH FEDERAL, STATE AND LOCAL PARTNERS TO OFFER SERVICES AND RESOURCES TO RURAL HEALTHCARE PROVIDERS, FACILITIES, AND COMMUNITIES. SINCE 1991, CRHC HAS WORKED TO ENHANCE HEALTHCARE SERVICES IN THE STATE BY PROVIDING INFORMATION, EDUCATION, LINKAGES, TOOLS, AND ENERGY TOWARD ADDRESSING RURAL HEALTH ISSUES. OUR VISION IS TO IMPROVE HEALTHCARE SERVICES AVAILABLE IN RURAL COMMUNITIES TO ENSURE THAT ALL RURAL COLORADANS HAVE ACCESS TO COMPREHENSIVE, AFFORDABLE, HIGH QUALITY HEALTHCARE. CRHC WORKS TIRELESSLY TO SERVE THE STATE'S 32 CRITICAL ACCESS HOSPITALS (CAHS), 52 RURAL HEALTH CLINICS (RHCS), AND OTHER RURAL HOSPITALS, CLINICS AND HEALTHCARE PROVIDERS. THE ORGANIZATION'S SERVICES ARE DESIGNED TO STRENGTHEN THE ADMINISTRATION OF RURAL HEALTHCARE ORGANIZATIONS. IN 2019, CRHC OFFERED OUT 9,114 TECHNICAL ASSISTANCE ENCOUNTERS TO RURAL MEMBERS AND OFFERED 2.6 MILLION IN FREE TECHNICAL ASSISTANCE, EDUCATION, AND/OR GRANT FUNDING AND BENEFITS. CRHC CONTINUES TO OFFER HEALTHY CLINIC ASSESSMENTS TO IMPROVE THE BASIC BUSINESS OPERATIONS OF CLINICS. IN 2019, CRHC PRIORITIZED EDUCATIONAL WEBINARS. TOPICS RANGED FROM QUALITY IMPROVEMENT, ELECTRONIC HEALTH RECORDS USER GROUPS, SWING BED, UTILIZATION MANAGEMENT, FINANCIAL WORKGROUPS, HIT, BILLING AND CODING, RHC 101, RHC PERFORMANCE, CONDITIONS OF PARTICIPATION, PATIENT AND FAMILY ADVISORY COUNCILS, STRATEGIES FOR DATA REPORTING, EMS, REVENUE CYCLE WORKFLOW, COMPLIANCE, REIMBURSEMENT, AND SUSTAINABILITY. THE ORGANIZATION PUBLISHES SEVERAL ANNUAL DOCUMENTS AIMED AT IMPROVING RURAL SUSTAINABILITY. PUBLIC HEALTH DOCUMENTS SUCH AS THE HEALTH INDICATORS OVERVIEW REPORTS AND THE REGIONAL AND STATE-WIDE SNAPSHOTS OF RURAL HEALTH (IN ADDITION TO VIDEOS, INFOGRAPHS, WHITE PAPERS, AND PROCEDURAL MANUALS) PROVE TO BE INVALUABLE RESOURCES FOR RURAL COLORADANS SERVING IN HEALTHCARE SETTINGS ACROSS THE STATE. 130964 187893 CRHC SERVES AS THE PRIMARY SOURCE OF INFORMATION RELATED TO THE OPERATION AND ADMINISTRATION OF RURAL HEALTHCARE IN THE STATE OF COLORADO. AS SUCH, THE ORGANIZATION DEVOTES SIGNIFICANT TIME AND RESOURCES TO CLEAR, WIDE- REACHING COMMUNICATION CHANNELS. FROM THE ORGANIZATION'S ROBUST WEBSITE TO WEEKLY AND MONTHLY EMAILS, CRHC MAINTAINS A CLEAR CHANNEL FOR COMMUNICATING WITH RURAL FACILITIES AND PROVIDERS ACROSS THE STATE. THE ANNUAL PUBLICATION OF THE SNAPSHOT OF RURAL HEALTH GREW TO ITS LARGEST EDITION YET IN 2019. THE DOCUMENT COVERS THE BASICS OF THE STATE OF RURAL HEALTH IN COLORADO AND EXPANDED TO INCLUDE COVERAGE OF CLIMATE CHANGE, IMMIGRANT HEALTH, AND NATIVE AMERICAN HEALTH IN 2019. 111178 CRHC IS COMMITTED TO IMPROVING HEALTHCARE SERVICES AVAILABLE IN RURAL COMMUNITIES THROUGH POLICY AND ADVOCACY WORK ON THE STATE AND FEDERAL LEVELS. CRHC EITHER SUPPORTED, OPPOSED OR MONITORED 78 PIECES OF LEGISLATION IN 2019 THAT HAVE OR WOULD HAVE IMPACTED OUR RURAL MEMBERSHIP. CRHC PRESENTED OR TESTIFIED 18 TIMES TO THE COLORADO DELEGATION AND MET WITH LEGISLATORS TO PROVIDE FEEDBACK FOR BILLS ADDRESSING TOPICS AS DIVERSE AS A PUBLIC OPTION, MENTAL HEALTH AND FREESTANDING EMERGENCY DEPARTMENTS. 198024 208560 ASSISTING HEALTHCARE FACILITIES WITH ASSESSING, ADOPTING, AND IMPLEMENTING HEALTH INFORMATION TECHNOLOGY (HIT) SOLUTIONS CONTINUES TO BE AN IMPORTANT COMPONENT OF SUPPORTING RURAL HEALTHCARE ACROSS THE STATE. CRHC OFFERED OUT REMOTE MONITORING, NEW SYSTEM INSTALLS, VACATION RELIEF, REMEDIATION OF HIPAA RELATED ISSUES, MEANINGFUL USE SERVICES, HIPPA COMPLIANCE, EDUCATION, PHISHING CAMPAIGNS, EHR SELECTION, AND REPORT WRITING. EVERY YEAR CRHC HOSTS TWO MAJOR EVENTS IN COLORADO AIMED AT EDUCATING OUR MEMBERS ON TRENDS AND ESSENTIAL KNOWLEDGE IN RURAL HEALTHCARE. THE FORUM SERVES AS AN ESSENTIAL EDUCATIONAL, TRAINING, AND NETWORKING PLACE FOR RURAL HEALTH CLINICS AS WELL AS PRACTICAL HANDS-ON TRAINING THROUGH A HALF-DAY WORKSHOP. THE 2019 FORUM WAS HELD APRIL 3-5 AND ATTENDANCE REACHED 193. THE ANNUAL CONFERENCE WAS HELD OCTOBER 17 - 19, 2019, ATTRACTING 186 PARTICIPANTS, AND TARGETED ALL RURAL AND URBAN STAKEHOLDERS WHO ARE INTERESTED IN LEARNING ABOUT RURAL HEALTHCARE ISSUES, BEST PRACTICES AND SOLUTIONS. 100% OF ATTENDEES RESPONDING TO THE CONFERENCE SURVEY REPORTED THAT THEY WOULD RECOMMEND THE CONFERENCE TO OTHERS AND WERE EITHER SATISFIED OR VERY SATISFIED WITH THE CONFERENCE. THE SURVEY ALSO REVEALED THE TOP ITEMS FOR NEXT YEAR ARE POLICY, WORKPLACE CULTURE, AND GRANTS AND FUNDING. 198024 208560 2115170 true true false true false false false false false false true false false false false true true false false false false false false false false false false false false true false false false false false false false false false false false false false false false false false true 19 0 true 19 true false false false false false false false false false false false false X 7 7 false false false false false false false true true false false true true true true true true true false false X X LORI ARBUCKLE 3038327493 3033 S PARKER ROAD STE 606 AURORA CO 80014 JASON MCCORMICK CHAIR 1.00 X X 0 0 0 ALAN-MICHAEL VARGAS VICE CHAIR 1.00 X X 0 0 0 DOUG MILLER TREASURER 1.00 X X 0 0 0 TAMMY DUNKER BOARD MEMBER 1.00 X 0 0 0 JULIE DRAKE BOARD MEMBER 1.00 X 0 0 0 NANCY KING BOARD MEMBER 1.00 X 0 0 0 PETER EDIS BOARD MEMBER 1.00 X 0 0 0 MICHELLE MILLS CEO 40.00 X 197922 0 5938 LORI ARBUCKLE DIRECTOR OF 40.00 X 100759 0 3023 298681 8961 2 false true false DAVID GINSBERG HEALTHCARE CONSULTING 3 MONTE ALTO WAY SANTA FE NM 87508 HIT CONSULTING 275767 1 152344 1313542 567020 6729 2032906 CONTRACTED SERVICES 900099 377819 377819 CONFERENCES & WORKSHOPS 900099 176520 176520 TECHNICAL ASSISTANCE FEES 900099 148720 148720 703059 11630 11630 MISCELLANEOUS INCOME 900099 4997 4997 4997 2752592 703059 16627 X 99753 99753 307640 216691 84796 6153 1060890 957912 87815 15163 25383 21785 3215 383 85686 73356 10929 1401 96538 82646 12314 1578 2141 2141 20979 20979 307143 293812 13188 143 21 21 92832 83090 9441 301 21190 13393 7072 725 161601 95059 57036 9506 58195 54556 3415 224 105069 101765 3295 9 3992 3480 469 43 9793 9793 OTHER 23276 17872 4825 579 2482122 2115170 330723 36229 633805 665602 716068 727700 71452 232285 44421 33923 55865 52985 280460 277476 6976 2984 1528587 1715479 175249 132445 128418 87644 303667 220089 X 1070495 1128015 154425 367375 1224920 1495390 1528587 1715479 270470 X false true X true true true X 3223416 2485415 2389086 1635067 2032906 11765890 3223416 2485415 2389086 1635067 2032906 11765890 11765890 1572 2247 5444 9124 11630 30017 268 268 11796175 3589332 0.99740 0.99840 X PART II, LINE 10 OTHER INCOME 268 RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false true false false false false true 9317 false false 9317 false SCHEDULE C, PART IV COLORADO RURAL HEALTH CENTER'S POLICY ANALYST MEETS WITH ELECTED OFFICIALS TO COMMUNICATE CRHC'S POSITION (WHETHER IT IS IN SUPPORT OR OPPOSITION) ON LEGISLATION IMPACTING MEMBERS, AND PROVIDES INFORMATION REGARDING HOW THE LEGISLATION WILL IMPACT MEMBERS. THE POLICY ANALYST REQUESTS THE ELECTED OFFICIAL MIRROR CRHC'S POSITION AND VOTE IN SUPPORT OR OPPOSITION OF THAT PARTICULAR PIECE OF LEGISLATION. 60617 60617 219843 216859 2984 2984 X 2752592 2752592 2752592 2482122 2482122 2482122 SCHEDULE D, PAGE 3, PART X CRHC IS EXEMPT FROM FEDERAL INCOME TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. ACCORDINGLY, NO PROVISION FOR INCOME TAX IS NECESSARY. CRHC EVALUATES UNCERTAIN TAX POSITIONS WHEREBY THE EFFECT OF THE UNCERTAINTY WOULD BE RECORDED IF THE OUTCOME WAS CONSIDERED PROBABLE AND REASONABLY ESTIMABLE. AS OF DECEMBER 31, 2019 AND 2018, CRHC HAD NO UNCERTAIN TAX POSITIONS REQUIRING ACCRUAL. X X X false false false false false false false true false MICHELLE MILLS CEO 171952 25970 5938 203860 SCHEDULE J, PAGE 1, PART I, LINE 7 MICHELLE MILLS RECEIVED A DISCRETIONARY BONUS DURING 2019 THAT WAS BASED ON PERFORMANCE AND GOALS. THE BOARD REVIEWED AND APPROVED THE BONUS. FORM 990, PAGE 2, PART III, LINE 4A THE COLORADO RURAL HEALTH CENTER (CRHC) IS COLORADO'S NONPROFIT STATE OFFICE OF RURAL HEALTH AND RURAL HEALTH ASSOCIATION. CRHC WORKS WITH FEDERAL, STATE AND LOCAL PARTNERS TO OFFER SERVICES AND RESOURCES TO RURAL HEALTHCARE PROVIDERS, FACILITIES, AND COMMUNITIES. SINCE 1991, CRHC HAS WORKED TO ENHANCE HEALTHCARE SERVICES IN THE STATE BY PROVIDING INFORMATION, EDUCATION, LINKAGES, TOOLS, AND ENERGY TOWARD ADDRESSING RURAL HEALTH ISSUES. OUR VISION IS TO IMPROVE HEALTHCARE SERVICES AVAILABLE IN RURAL COMMUNITIES TO ENSURE THAT ALL RURAL COLORADANS HAVE ACCESS TO COMPREHENSIVE, AFFORDABLE, HIGH QUALITY HEALTHCARE. CRHC WORKS TIRELESSLY TO SERVE THE STATE'S 32 CRITICAL ACCESS HOSPITALS (CAHS), 52 RURAL HEALTH CLINICS (RHCS), AND OTHER RURAL HOSPITALS, CLINICS AND HEALTHCARE PROVIDERS. THE ORGANIZATION'S SERVICES ARE DESIGNED TO STRENGTHEN THE ADMINISTRATION OF RURAL HEALTHCARE ORGANIZATIONS. IN 2019, CRHC OFFERED OUT 9,114 TECHNICAL ASSISTANCE ENCOUNTERS TO RURAL MEMBERS AND OFFERED 2.6 MILLION IN FREE TECHNICAL ASSISTANCE, EDUCATION, AND/OR GRANT FUNDING AND BENEFITS. CRHC CONTINUES TO OFFER HEALTHY CLINIC ASSESSMENTS TO IMPROVE THE BASIC BUSINESS OPERATIONS OF CLINICS. IN 2019, CRHC PRIORITIZED EDUCATIONAL WEBINARS. TOPICS RANGED FROM QUALITY IMPROVEMENT, ELECTRONIC HEALTH RECORDS USER GROUPS, SWING BED, UTILIZATION MANAGEMENT, FINANCIAL WORKGROUPS, HIT, BILLING AND CODING, RHC 101, RHC PERFORMANCE, CONDITIONS OF PARTICIPATION, PATIENT AND FAMILY ADVISORY COUNCILS, STRATEGIES FOR DATA REPORTING, EMS, REVENUE CYCLE WORKFLOW, COMPLIANCE, REIMBURSEMENT, AND SUSTAINABILITY. THE ORGANIZATION PUBLISHES SEVERAL ANNUAL DOCUMENTS AIMED AT IMPROVING RURAL SUSTAINABILITY. PUBLIC HEALTH DOCUMENTS SUCH AS THE HEALTH INDICATORS OVERVIEW REPORTS AND THE REGIONAL AND STATE-WIDE SNAPSHOTS OF RURAL HEALTH (IN ADDITION TO VIDEOS, INFOGRAPHS, WHITE PAPERS, AND PROCEDURAL MANUALS) PROVE TO BE INVALUABLE RESOURCES FOR RURAL COLORADANS SERVING IN HEALTHCARE SETTINGS ACROSS THE STATE. FORM 990, PAGE 2, PART III, LINE 4D ASSISTING HEALTHCARE FACILITIES WITH ASSESSING, ADOPTING, AND IMPLEMENTING HEALTH INFORMATION TECHNOLOGY (HIT) SOLUTIONS CONTINUES TO BE AN IMPORTANT COMPONENT OF SUPPORTING RURAL HEALTHCARE ACROSS THE STATE. CRHC OFFERED OUT REMOTE MONITORING, NEW SYSTEM INSTALLS, VACATION RELIEF, REMEDIATION OF HIPAA RELATED ISSUES, MEANINGFUL USE SERVICES, HIPPA COMPLIANCE, EDUCATION, PHISHING CAMPAIGNS, EHR SELECTION, AND REPORT WRITING. EVERY YEAR CRHC HOSTS TWO MAJOR EVENTS IN COLORADO AIMED AT EDUCATING OUR MEMBERS ON TRENDS AND ESSENTIAL KNOWLEDGE IN RURAL HEALTHCARE. THE FORUM SERVES AS AN ESSENTIAL EDUCATIONAL, TRAINING, AND NETWORKING PLACE FOR RURAL HEALTH CLINICS AS WELL AS PRACTICAL HANDS-ON TRAINING THROUGH A HALF-DAY WORKSHOP. THE 2019 FORUM WAS HELD APRIL 3-5 AND ATTENDANCE REACHED 193. THE ANNUAL CONFERENCE WAS HELD OCTOBER 17 - 19, 2019, ATTRACTING 186 PARTICIPANTS, AND TARGETED ALL RURAL AND URBAN STAKEHOLDERS WHO ARE INTERESTED IN LEARNING ABOUT RURAL HEALTHCARE ISSUES, BEST PRACTICES AND SOLUTIONS. 100% OF ATTENDEES RESPONDING TO THE CONFERENCE SURVEY REPORTED THAT THEY WOULD RECOMMEND THE CONFERENCE TO OTHERS AND WERE EITHER SATISFIED OR VERY SATISFIED WITH THE CONFERENCE. THE SURVEY ALSO REVEALED THE TOP ITEMS FOR NEXT YEAR ARE POLICY, WORKPLACE CULTURE, AND GRANTS AND FUNDING. FORM 990, PAGE 6, PART VI, LINE 11B A COPY OF THE 990 IS PROVIDED TO THE CEO AND DIRECTOR OF FINANCE WHO REVIEW THE FORM, SCHEDULES AND RELATED ATTACHMENTS. ANY COMMENTS OR QUESTIONS ARE ADDRESSED WITH THE PREPARER. ONCE MANAGEMENT IS SATISFIED WITH THE 990, THE CEO SIGNS THE FORM 8879-EO AUTHORIZING THE PREPARER TO E-FILE THE RETURN. FORM 990, PAGE 6, PART VI, LINE 12C ANY DIRECTOR, PRINCIPAL OFFICER, OR MEMBER OF A COMMITTEE WITH GOVERNING BOARD DELEGATED POWER, WHO HAS A DIRECT OR INDIRECT FINANCIAL INTEREST, IS CONSIDERED AN INTERESTED PERSON WITH RESPECT TO THE CONFLICT OF INTEREST POLICY OF THE COLORADO RURAL HEALTH CENTER. IN CONNECTION WITH ANY ACTUAL OR POSSIBLE CONFLICT OF INTEREST, AN INTERESTED PERSON MUST DISCLOSE THE EXISTENCE OF THE FINANCIAL INTEREST AND BE GIVEN THE OPPORTUNITY TO DISCLOSE ALL MATERIAL FACTS TO THE DIRECTORS AND MEMBERS OF COMMITTEES WITH GOVERNING BOARD DELEGATED POWERS CONSIDERING THE PROPOSED TRANSACTION OF ARRANGEMENT. AFTER DISCLOSURE OF THE FINANCIAL INTEREST AND ALL MATERIALS FACTS, AND AFTER ANY DISCUSSION WITH THE INTERESTED PERSON, HE/SHE SHALL LEAVE THE GOVERNING BOARD OR COMMITTEE MEETING WHILE THE DETERMINATION OF A CONFLICT OF INTEREST IS DISCUSSED AND VOTED UPON. THE REMAINING BOARD OR COMMITTEE MEMBERS SHALL DECIDE IF A CONFLICT OF INTEREST EXISTS. AN INTERESTED PERSON MAY MAKE A PRESENTATION AT THE GOVERNING BOARD OR COMMITTEE MEETING, BUT AFTER THE PRESENTATION, HE/SHE SHALL LEAVE THE MEETING DURING THE DISCUSSION OF, AND THE VOTE ON, THE TRANSACTION OR ARRANGEMENT INVOLVING THE POSSIBLE CONFLICT OF INTEREST. TO ENSURE COMPLIANCE WITH THE ABOVE, EACH INTERESTED PERSON MUST ANNUALLY SIGN A STATEMENT WHICH AFFIRMS HE/SHE HAS RECEIVED A COPY OF THE CONFLICT OF INTEREST POLICY; HAS READ AND UNDERSTANDS THE POLICY; AGREES TO COMPLY WITH THE POLICY, AND UNDERSTANDS THE ORGANIZATION IS CHARITABLE AND IN ORDER TO MAINTAIN ITS FEDERAL TAX EXEMPTION IT MUST ENGAGE PRIMARILY IN ACTIVITIES WHICH ACCOMPLISH ONE OR MORE OF ITS TAX- EXEMPT PURPOSES. FORM 990, PAGE 6, PART VI, LINE 15A THE BOARD CONDUCTS A REVIEW OF THE CEO'S PERFORMANCE USING COMPENSATION INFORMATION FROM COLORADO NONPROFIT ASSOCIATION AND THE BUREAU OF LABOR STATISTICS, ALONG WITH OTHER RELEVANT DATA. THE BOARD DISCUSSES THE CEO'S COMPENSATION THEN VOTES TO APPROVE CEO COMPENSATION. THE BOARD'S DECISION IS DOCUMENTED IN THE BOARD MINUTES. FORM 990, PAGE 6, PART VI, LINE 19 COLORADO RURAL HEALTH CENTER MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART IX, LINE 11G 293,812 13,188 143