﻿<?xml version="1.0" encoding="utf-8"?>
<Return xmlns="http://www.irs.gov/efile" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" returnVersion="2018v3.1">
  <ReturnHeader binaryAttachmentCnt="0">
    <ReturnTs>2019-05-13T13:34:57-05:00</ReturnTs>
    <TaxPeriodEndDt>2018-12-31</TaxPeriodEndDt>
    <PreparerFirmGrp>
      <PreparerFirmEIN>200079326</PreparerFirmEIN>
      <PreparerFirmName>
        <BusinessNameLine1Txt>DINGUS ZARECOR &amp; ASSOCIATES PLLC</BusinessNameLine1Txt>
      </PreparerFirmName>
      <PreparerUSAddress>
        <AddressLine1Txt>12015 E MAIN AVE</AddressLine1Txt>
        <CityNm>SPOKANE VALLEY</CityNm>
        <StateAbbreviationCd>WA</StateAbbreviationCd>
        <ZIPCd>99206</ZIPCd>
      </PreparerUSAddress>
    </PreparerFirmGrp>
    <ReturnTypeCd>990</ReturnTypeCd>
    <TaxPeriodBeginDt>2018-01-01</TaxPeriodBeginDt>
    <Filer>
      <EIN>841192031</EIN>
      <BusinessName>
        <BusinessNameLine1Txt>COLORADO RURAL HEALTH CENTER</BusinessNameLine1Txt>
      </BusinessName>
      <BusinessNameControlTxt>COLO</BusinessNameControlTxt>
      <PhoneNum>3038327493</PhoneNum>
      <USAddress>
        <AddressLine1Txt>3033 S PARKER ROAD STE 606</AddressLine1Txt>
        <CityNm>AURORA</CityNm>
        <StateAbbreviationCd>CO</StateAbbreviationCd>
        <ZIPCd>80014</ZIPCd>
      </USAddress>
    </Filer>
    <BusinessOfficerGrp>
      <PersonNm>MICHELLE MILLS</PersonNm>
      <PersonTitleTxt>CEO</PersonTitleTxt>
      <PhoneNum>3038327493</PhoneNum>
      <SignatureDt>2019-04-30</SignatureDt>
      <DiscussWithPaidPreparerInd>true</DiscussWithPaidPreparerInd>
    </BusinessOfficerGrp>
    <PreparerPersonGrp>
      <PreparerPersonNm>THOMAS DINGUS</PreparerPersonNm>
      <PTIN>P00951009</PTIN>
      <PhoneNum>5092420874</PhoneNum>
      <PreparationDt>2019-05-13</PreparationDt>
    </PreparerPersonGrp>
    <FilingSecurityInformation>
      <IPAddress>
        <IPv4AddressTxt>63.131.236.90</IPv4AddressTxt>
      </IPAddress>
      <IPDt>2019-05-13</IPDt>
      <IPTm>13:34:57</IPTm>
      <IPTimezoneCd>CD</IPTimezoneCd>
      <FilingLicenseTypeCd>P</FilingLicenseTypeCd>
      <AtSubmissionCreationDeviceId>2474EFBFE268E1323248D70D812BABF32F861C74</AtSubmissionCreationDeviceId>
      <AtSubmissionFilingDeviceId>AB0260C9A42DF407710DF0D66D93E7824888E325</AtSubmissionFilingDeviceId>
    </FilingSecurityInformation>
    <TaxYr>2018</TaxYr>
    <BuildTS>2019-02-21 02:37:17Z</BuildTS>
  </ReturnHeader>
  <ReturnData documentCnt="7">
    <IRS990 documentId="RetDoc2" referenceDocumentId="RetDoc6">
      <PrincipalOfficerNm>MICHELLE MILLS</PrincipalOfficerNm>
      <USAddress>
        <AddressLine1Txt>3033 S PARKER ROAD STE 606</AddressLine1Txt>
        <CityNm>AURORA</CityNm>
        <StateAbbreviationCd>CO</StateAbbreviationCd>
        <ZIPCd>80014</ZIPCd>
      </USAddress>
      <GrossReceiptsAmt>2471267</GrossReceiptsAmt>
      <GroupReturnForAffiliatesInd>false</GroupReturnForAffiliatesInd>
      <Organization501c3Ind>X</Organization501c3Ind>
      <WebsiteAddressTxt>WWW.CORURALHEALTH.ORG</WebsiteAddressTxt>
      <TypeOfOrganizationCorpInd>X</TypeOfOrganizationCorpInd>
      <FormationYr>1991</FormationYr>
      <LegalDomicileStateCd>CO</LegalDomicileStateCd>
      <ActivityOrMissionDesc>TO ENHANCE HEALTHCARE SERVICES IN THE STATE BY PROVIDING INFORMATION, EDUCATION, LINKAGES, TOOLS AND ENERGY TOWARDS ADDRESSING RURAL HEALTH ISSUES.</ActivityOrMissionDesc>
      <VotingMembersGoverningBodyCnt>6</VotingMembersGoverningBodyCnt>
      <VotingMembersIndependentCnt>6</VotingMembersIndependentCnt>
      <TotalEmployeeCnt>24</TotalEmployeeCnt>
      <TotalGrossUBIAmt>0</TotalGrossUBIAmt>
      <PYContributionsGrantsAmt>2389086</PYContributionsGrantsAmt>
      <CYContributionsGrantsAmt>1635067</CYContributionsGrantsAmt>
      <PYProgramServiceRevenueAmt>659219</PYProgramServiceRevenueAmt>
      <CYProgramServiceRevenueAmt>826808</CYProgramServiceRevenueAmt>
      <PYInvestmentIncomeAmt>5444</PYInvestmentIncomeAmt>
      <CYInvestmentIncomeAmt>9124</CYInvestmentIncomeAmt>
      <PYOtherRevenueAmt>2789</PYOtherRevenueAmt>
      <CYOtherRevenueAmt>268</CYOtherRevenueAmt>
      <PYTotalRevenueAmt>3056538</PYTotalRevenueAmt>
      <CYTotalRevenueAmt>2471267</CYTotalRevenueAmt>
      <PYGrantsAndSimilarPaidAmt>187331</PYGrantsAndSimilarPaidAmt>
      <CYGrantsAndSimilarPaidAmt>73737</CYGrantsAndSimilarPaidAmt>
      <CYBenefitsPaidToMembersAmt>0</CYBenefitsPaidToMembersAmt>
      <PYSalariesCompEmpBnftPaidAmt>1788082</PYSalariesCompEmpBnftPaidAmt>
      <CYSalariesCompEmpBnftPaidAmt>1764583</CYSalariesCompEmpBnftPaidAmt>
      <CYTotalProfFndrsngExpnsAmt>0</CYTotalProfFndrsngExpnsAmt>
      <CYTotalFundraisingExpenseAmt>27245</CYTotalFundraisingExpenseAmt>
      <PYOtherExpensesAmt>1044394</PYOtherExpensesAmt>
      <CYOtherExpensesAmt>877050</CYOtherExpensesAmt>
      <PYTotalExpensesAmt>3019807</PYTotalExpensesAmt>
      <CYTotalExpensesAmt>2715370</CYTotalExpensesAmt>
      <PYRevenuesLessExpensesAmt>36731</PYRevenuesLessExpensesAmt>
      <CYRevenuesLessExpensesAmt>-244103</CYRevenuesLessExpensesAmt>
      <TotalAssetsBOYAmt>1779215</TotalAssetsBOYAmt>
      <TotalAssetsEOYAmt>1528587</TotalAssetsEOYAmt>
      <TotalLiabilitiesBOYAmt>310192</TotalLiabilitiesBOYAmt>
      <TotalLiabilitiesEOYAmt>303667</TotalLiabilitiesEOYAmt>
      <NetAssetsOrFundBalancesBOYAmt>1469023</NetAssetsOrFundBalancesBOYAmt>
      <NetAssetsOrFundBalancesEOYAmt>1224920</NetAssetsOrFundBalancesEOYAmt>
      <InfoInScheduleOPartIIIInd>X</InfoInScheduleOPartIIIInd>
      <MissionDesc>TO ENHANCE HEALTHCARE SERVICES IN THE STATE BY PROVIDING INFORMATION, EDUCATION, LINKAGES, TOOLS AND ENERGY TOWARDS ADDRESSING RURAL HEALTH ISSUES.</MissionDesc>
      <SignificantNewProgramSrvcInd>false</SignificantNewProgramSrvcInd>
      <SignificantChangeInd>false</SignificantChangeInd>
      <ExpenseAmt>1640693</ExpenseAmt>
      <GrantAmt>73737</GrantAmt>
      <RevenueAmt>665448</RevenueAmt>
      <Desc>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), 48 RURAL HEALTH CLINICS (RHCS), AND OTHER RURAL CLINICS AND HEALTHCARE PROVIDERS. THE ORGANIZATION'S SERVICES ARE DESIGNED TO STRENGTHEN THE ADMINISTRATION OF RURAL HEALTHCARE ORGANIZATIONS. IN 2018, CRHC OFFERED OUT 14,000 TECHNICAL ASSISTANCE ENCOUNTERS TO RURAL MEMBERS AND OFFERED 3.1 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 2018, MORE THAN 130 EDUCATIONAL WEBINARS WERE OFFERED ON TOPICS RANGING FROM QUALITY IMPROVEMENT, EHR USER GROUPS, SWING BED, UTILIZATION MANAGEMENT, FINANCIAL WORKGROUPS, HIT, ORAL HEALTH, 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. ADDITIONALLY, CRHC REVIEWED AND PROVIDED FEEDBACK ON 58 GRANT APPLICATIONS FOR RURAL COMMUNITIES. SINCE 2010, CRHC HAS OFFERED THE IMPROVING COMMUNICATIONS AND READMISSIONS PROGRAM (ICARE), AN INNOVATIVE PROGRAM AIMED AT DECREASING READMISSION RATES AMONGST 43 FACILITIES IN 23 COMMUNITIES. THE ORGANIZATION PUBLISHES SEVERAL ANNUAL DOCUMENTS AIMED AT IMPROVING RURAL SUSTAINABILITY. PUBLIC HEALTH DOCUMENTS SUCH AS THE TOP 3 BOTTOM 3 POPULATION HEALTH REPORT 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.</Desc>
      <ProgSrvcAccomActy2Grp>
        <ExpenseAmt>86714</ExpenseAmt>
        <Desc>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 55 PIECES OF LEGISLATION IN 2018 THAT HAVE OR WOULD HAVE IMPACTED OUR RURAL MEMBERSHIP. CRHC PRESENTED OR TESTIFIED FOUR TIMES TO THE COLORADO DELEGATION AND MET WITH LEGISLATORS TO PROVIDE FEEDBACK FOR BILLS ADDRESSING YOUTH SUICIDE PREVENTION, RURAL HEALTHCARE WORKFORCE, FREESTANDING EMERGENCY ROOM LICENSURE, AND THE CREATION OF AN INTERIM LEGISLATIVE COMMITTEE THAT WOULD VISIT RURAL COLORADO. CRHC'S CEO PRESENTED AT THE NRHA POLICY INSTITUTE ON MEDICAID EXPANSION AND THE IMPACT ON RURAL HOSPITALS IN COLORADO. OVER 40 LEGISLATORS AND RURAL ADVOCATES ATTENDED CRHC'S SAFETY NET CLINIC WEEK ROUND TABLE HIGHLIGHTING RURAL HEALTH CLINICS AND THEIR ROLE IN RURAL COMMUNITIES.</Desc>
      </ProgSrvcAccomActy2Grp>
      <ProgSrvcAccomActy3Grp>
        <ExpenseAmt>74805</ExpenseAmt>
        <RevenueAmt>13950</RevenueAmt>
        <Desc>IN AN EFFORT TO IDENTIFY AND RELIEVE THE HEALTHCARE WORKFORCE AND RETENTION CHALLENGES AND BARRIERS IN RURAL AND UNDERSERVED AREAS OF COLORADO, CRHC CONTRACTS WITH CLINICS AND HOSPITALS TO ASSIST IN THE RECRUITMENT AND RETENTION OF PRIMARY CARE PROVIDERS. IN 2018, CRHC RECRUITED THREE PROVIDERS TO RURAL AND UNDERSERVED COMMUNITIES. THE 10-YEAR RETENTION RATE FOR PROVIDERS PLACED BY CRHC IS 47% AND THE FIVE YEAR RETENTION RATE IS 61%. TECHNICAL ASSISTANCE IN THE FORM OF EDUCATION IS PROVIDED AT THE UNIVERSITY RURAL GRAND ROUNDS AND OTHER LOCAL UNIVERSITIES AND COLLEGES.</Desc>
      </ProgSrvcAccomActy3Grp>
      <ProgSrvcAccomActyOtherGrp>
        <ExpenseAmt>186740</ExpenseAmt>
        <RevenueAmt>147411</RevenueAmt>
        <Desc>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. IN 2018, NEARLY 375 HOURS OF DIRECT HIT SUPPORT WAS PROVIDED. THE CRHC CEO CHAIRS THE EHEALTH COMMISSION, A GOVERNOR APPOINTED COMMISSION TO ADDRESS HIT IN COLORADO. 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 FORUM 2018 WAS HELD IN APRIL AND ATTENDANCE REACHED 195 AND REPRESENTED 46 CLINICS (35 IN 2017). THE ANNUAL CONFERENCE WAS HELD ON OCTOBER 17 - 19, 2018 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 TELEHEALTH, POLICY, GRANT FUNDING, QUALITY IMPROVEMENT, CULTURE AND RETENTION AND NETWORKING.</Desc>
      </ProgSrvcAccomActyOtherGrp>
      <TotalOtherProgSrvcExpenseAmt>186740</TotalOtherProgSrvcExpenseAmt>
      <TotalOtherProgSrvcRevenueAmt>147411</TotalOtherProgSrvcRevenueAmt>
      <TotalProgramServiceExpensesAmt>1988952</TotalProgramServiceExpensesAmt>
      <DescribedInSection501c3Ind referenceDocumentId="RetDoc7">true</DescribedInSection501c3Ind>
      <ScheduleBRequiredInd referenceDocumentId="RetDoc1">true</ScheduleBRequiredInd>
      <PoliticalCampaignActyInd referenceDocumentId="RetDoc3">false</PoliticalCampaignActyInd>
      <LobbyingActivitiesInd referenceDocumentId="RetDoc3">true</LobbyingActivitiesInd>
      <SubjectToProxyTaxInd referenceDocumentId="RetDoc3">false</SubjectToProxyTaxInd>
      <DonorAdvisedFundInd referenceDocumentId="RetDoc4">false</DonorAdvisedFundInd>
      <ConservationEasementsInd referenceDocumentId="RetDoc4">false</ConservationEasementsInd>
      <CollectionsOfArtInd referenceDocumentId="RetDoc4">false</CollectionsOfArtInd>
      <CreditCounselingInd referenceDocumentId="RetDoc4">false</CreditCounselingInd>
      <TempOrPermanentEndowmentsInd referenceDocumentId="RetDoc4">false</TempOrPermanentEndowmentsInd>
      <ReportLandBuildingEquipmentInd referenceDocumentId="RetDoc4">true</ReportLandBuildingEquipmentInd>
      <ReportInvestmentsOtherSecInd referenceDocumentId="RetDoc4">false</ReportInvestmentsOtherSecInd>
      <ReportProgramRelatedInvstInd referenceDocumentId="RetDoc4">false</ReportProgramRelatedInvstInd>
      <ReportOtherAssetsInd referenceDocumentId="RetDoc4">false</ReportOtherAssetsInd>
      <ReportOtherLiabilitiesInd referenceDocumentId="RetDoc4">false</ReportOtherLiabilitiesInd>
      <IncludeFIN48FootnoteInd referenceDocumentId="RetDoc4">true</IncludeFIN48FootnoteInd>
      <IndependentAuditFinclStmtInd referenceDocumentId="RetDoc4">true</IndependentAuditFinclStmtInd>
      <ConsolidatedAuditFinclStmtInd referenceDocumentId="RetDoc4">false</ConsolidatedAuditFinclStmtInd>
      <SchoolOperatingInd>false</SchoolOperatingInd>
      <ForeignOfficeInd>false</ForeignOfficeInd>
      <ForeignActivitiesInd>false</ForeignActivitiesInd>
      <MoreThan5000KToOrgInd>false</MoreThan5000KToOrgInd>
      <MoreThan5000KToIndividualsInd>false</MoreThan5000KToIndividualsInd>
      <ProfessionalFundraisingInd>false</ProfessionalFundraisingInd>
      <FundraisingActivitiesInd>false</FundraisingActivitiesInd>
      <GamingActivitiesInd>false</GamingActivitiesInd>
      <OperateHospitalInd>false</OperateHospitalInd>
      <GrantsToOrganizationsInd>false</GrantsToOrganizationsInd>
      <GrantsToIndividualsInd>false</GrantsToIndividualsInd>
      <ScheduleJRequiredInd referenceDocumentId="RetDoc5">true</ScheduleJRequiredInd>
      <TaxExemptBondsInd>false</TaxExemptBondsInd>
      <EngagedInExcessBenefitTransInd>false</EngagedInExcessBenefitTransInd>
      <PYExcessBenefitTransInd>false</PYExcessBenefitTransInd>
      <LoanOutstandingInd>false</LoanOutstandingInd>
      <GrantToRelatedPersonInd>false</GrantToRelatedPersonInd>
      <BusinessRlnWithOrgMemInd>false</BusinessRlnWithOrgMemInd>
      <BusinessRlnWithFamMemInd>false</BusinessRlnWithFamMemInd>
      <BusinessRlnWithOfficerEntInd>false</BusinessRlnWithOfficerEntInd>
      <DeductibleNonCashContriInd>false</DeductibleNonCashContriInd>
      <DeductibleArtContributionInd>false</DeductibleArtContributionInd>
      <TerminateOperationsInd>false</TerminateOperationsInd>
      <PartialLiquidationInd>false</PartialLiquidationInd>
      <DisregardedEntityInd>false</DisregardedEntityInd>
      <RelatedEntityInd>false</RelatedEntityInd>
      <RelatedOrganizationCtrlEntInd>false</RelatedOrganizationCtrlEntInd>
      <TrnsfrExmptNonChrtblRltdOrgInd>false</TrnsfrExmptNonChrtblRltdOrgInd>
      <ActivitiesConductedPrtshpInd>false</ActivitiesConductedPrtshpInd>
      <ScheduleORequiredInd>true</ScheduleORequiredInd>
      <IRPDocumentCnt>23</IRPDocumentCnt>
      <IRPDocumentW2GCnt>0</IRPDocumentW2GCnt>
      <BackupWthldComplianceInd>true</BackupWthldComplianceInd>
      <EmployeeCnt>24</EmployeeCnt>
      <EmploymentTaxReturnsFiledInd>true</EmploymentTaxReturnsFiledInd>
      <UnrelatedBusIncmOverLimitInd>false</UnrelatedBusIncmOverLimitInd>
      <ForeignFinancialAccountInd>false</ForeignFinancialAccountInd>
      <ProhibitedTaxShelterTransInd>false</ProhibitedTaxShelterTransInd>
      <TaxablePartyNotificationInd>false</TaxablePartyNotificationInd>
      <NondeductibleContributionsInd>false</NondeductibleContributionsInd>
      <QuidProQuoContributionsInd>false</QuidProQuoContributionsInd>
      <Form8282PropertyDisposedOfInd>false</Form8282PropertyDisposedOfInd>
      <RcvFndsToPayPrsnlBnftCntrctInd>false</RcvFndsToPayPrsnlBnftCntrctInd>
      <PayPremiumsPrsnlBnftCntrctInd>false</PayPremiumsPrsnlBnftCntrctInd>
      <IndoorTanningServicesInd>false</IndoorTanningServicesInd>
      <SubjToTaxRmnrtnExPrchtPymtInd>false</SubjToTaxRmnrtnExPrchtPymtInd>
      <SubjectToExcsTaxNetInvstIncInd>false</SubjectToExcsTaxNetInvstIncInd>
      <InfoInScheduleOPartVIInd>X</InfoInScheduleOPartVIInd>
      <GoverningBodyVotingMembersCnt>6</GoverningBodyVotingMembersCnt>
      <IndependentVotingMemberCnt>6</IndependentVotingMemberCnt>
      <FamilyOrBusinessRlnInd>false</FamilyOrBusinessRlnInd>
      <DelegationOfMgmtDutiesInd>false</DelegationOfMgmtDutiesInd>
      <ChangeToOrgDocumentsInd>false</ChangeToOrgDocumentsInd>
      <MaterialDiversionOrMisuseInd>false</MaterialDiversionOrMisuseInd>
      <MembersOrStockholdersInd>false</MembersOrStockholdersInd>
      <ElectionOfBoardMembersInd>false</ElectionOfBoardMembersInd>
      <DecisionsSubjectToApprovaInd>false</DecisionsSubjectToApprovaInd>
      <MinutesOfGoverningBodyInd>true</MinutesOfGoverningBodyInd>
      <MinutesOfCommitteesInd>true</MinutesOfCommitteesInd>
      <OfficerMailingAddressInd>false</OfficerMailingAddressInd>
      <LocalChaptersInd>false</LocalChaptersInd>
      <Form990ProvidedToGvrnBodyInd>true</Form990ProvidedToGvrnBodyInd>
      <ConflictOfInterestPolicyInd>true</ConflictOfInterestPolicyInd>
      <AnnualDisclosureCoveredPrsnInd>true</AnnualDisclosureCoveredPrsnInd>
      <RegularMonitoringEnfrcInd>true</RegularMonitoringEnfrcInd>
      <WhistleblowerPolicyInd>true</WhistleblowerPolicyInd>
      <DocumentRetentionPolicyInd>true</DocumentRetentionPolicyInd>
      <CompensationProcessCEOInd>true</CompensationProcessCEOInd>
      <CompensationProcessOtherInd>false</CompensationProcessOtherInd>
      <InvestmentInJointVentureInd>false</InvestmentInJointVentureInd>
      <OwnWebsiteInd>X</OwnWebsiteInd>
      <UponRequestInd>X</UponRequestInd>
      <BooksInCareOfDetail>
        <PersonNm>LORI ARBUCKLE</PersonNm>
        <PhoneNum>3038327493</PhoneNum>
        <USAddress>
          <AddressLine1Txt>3033 S PARKER ROAD STE 606</AddressLine1Txt>
          <CityNm>AURORA</CityNm>
          <StateAbbreviationCd>CO</StateAbbreviationCd>
          <ZIPCd>80014</ZIPCd>
        </USAddress>
      </BooksInCareOfDetail>
      <Form990PartVIISectionAGrp>
        <PersonNm>JASON MCCORMICK</PersonNm>
        <TitleTxt>CHAIR</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>REBECCA WARREN</PersonNm>
        <TitleTxt>SECRETARY/TR</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>TAMMY DUNKER</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>CRAIG LOVELESS</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>JOHN GARDNER</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>DR MICHAEL VARGAS</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>MICHELLE MILLS</PersonNm>
        <TitleTxt>CEO</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>188375</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>6230</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <TotalReportableCompFromOrgAmt>188375</TotalReportableCompFromOrgAmt>
      <TotalOtherCompensationAmt>6230</TotalOtherCompensationAmt>
      <IndivRcvdGreaterThan100KCnt>1</IndivRcvdGreaterThan100KCnt>
      <FormerOfcrEmployeesListedInd>false</FormerOfcrEmployeesListedInd>
      <TotalCompGreaterThan150KInd>true</TotalCompGreaterThan150KInd>
      <CompensationFromOtherSrcsInd>false</CompensationFromOtherSrcsInd>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>DAVID GINSBERG HEALTHCARE CONSULTING</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>3 MONTE ALTO WAY</AddressLine1Txt>
            <CityNm>SANTA FE</CityNm>
            <StateAbbreviationCd>NM</StateAbbreviationCd>
            <ZIPCd>87508</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>HIT CONSULTING</ServicesDesc>
        <CompensationAmt>241104</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <PersonNm>BETH A KATZENBERG</PersonNm>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>5916E SOUTH JELLISON ST</AddressLine1Txt>
            <CityNm>LITTLETON</CityNm>
            <StateAbbreviationCd>CO</StateAbbreviationCd>
            <ZIPCd>80123</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>PROGRAM CONSULT</ServicesDesc>
        <CompensationAmt>106867</CompensationAmt>
      </ContractorCompensationGrp>
      <CntrctRcvdGreaterThan100KCnt>2</CntrctRcvdGreaterThan100KCnt>
      <MembershipDuesAmt>153763</MembershipDuesAmt>
      <GovernmentGrantsAmt>1055010</GovernmentGrantsAmt>
      <AllOtherContributionsAmt>426294</AllOtherContributionsAmt>
      <NoncashContributionsAmt>6961</NoncashContributionsAmt>
      <TotalContributionsAmt>1635067</TotalContributionsAmt>
      <ProgramServiceRevenueGrp>
        <Desc>CONTRACTED SERVICES</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>546122</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>546122</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>CONFERENCES &amp; WORKSHOPS</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>145290</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>145290</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>TECHNICAL ASSISTANCE FEES</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>105042</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>105042</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>HIT REVENUE</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>30354</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>30354</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <TotalProgramServiceRevenueAmt>826808</TotalProgramServiceRevenueAmt>
      <InvestmentIncomeGrp>
        <TotalRevenueColumnAmt>9124</TotalRevenueColumnAmt>
        <ExclusionAmt>9124</ExclusionAmt>
      </InvestmentIncomeGrp>
      <OtherRevenueMiscGrp>
        <Desc>MISCELLANEOUS INCOME</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>268</TotalRevenueColumnAmt>
        <ExclusionAmt>268</ExclusionAmt>
      </OtherRevenueMiscGrp>
      <OtherRevenueTotalAmt>268</OtherRevenueTotalAmt>
      <TotalRevenueGrp>
        <TotalRevenueColumnAmt>2471267</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>826808</RelatedOrExemptFuncIncomeAmt>
        <ExclusionAmt>9392</ExclusionAmt>
      </TotalRevenueGrp>
      <InfoInScheduleOPartIXInd>X</InfoInScheduleOPartIXInd>
      <GrantsToDomesticOrgsGrp>
        <TotalAmt>73737</TotalAmt>
        <ProgramServicesAmt>73737</ProgramServicesAmt>
      </GrantsToDomesticOrgsGrp>
      <CompCurrentOfcrDirectorsGrp>
        <TotalAmt>291128</TotalAmt>
        <ProgramServicesAmt>203789</ProgramServicesAmt>
        <ManagementAndGeneralAmt>81516</ManagementAndGeneralAmt>
        <FundraisingAmt>5823</FundraisingAmt>
      </CompCurrentOfcrDirectorsGrp>
      <OtherSalariesAndWagesGrp>
        <TotalAmt>1221513</TotalAmt>
        <ProgramServicesAmt>827959</ProgramServicesAmt>
        <ManagementAndGeneralAmt>380836</ManagementAndGeneralAmt>
        <FundraisingAmt>12718</FundraisingAmt>
      </OtherSalariesAndWagesGrp>
      <PensionPlanContributionsGrp>
        <TotalAmt>27565</TotalAmt>
        <ProgramServicesAmt>18645</ProgramServicesAmt>
        <ManagementAndGeneralAmt>8650</ManagementAndGeneralAmt>
        <FundraisingAmt>270</FundraisingAmt>
      </PensionPlanContributionsGrp>
      <OtherEmployeeBenefitsGrp>
        <TotalAmt>109214</TotalAmt>
        <ProgramServicesAmt>74347</ProgramServicesAmt>
        <ManagementAndGeneralAmt>33591</ManagementAndGeneralAmt>
        <FundraisingAmt>1276</FundraisingAmt>
      </OtherEmployeeBenefitsGrp>
      <PayrollTaxesGrp>
        <TotalAmt>115163</TotalAmt>
        <ProgramServicesAmt>78530</ProgramServicesAmt>
        <ManagementAndGeneralAmt>35231</ManagementAndGeneralAmt>
        <FundraisingAmt>1402</FundraisingAmt>
      </PayrollTaxesGrp>
      <FeesForServicesLegalGrp>
        <TotalAmt>809</TotalAmt>
        <ManagementAndGeneralAmt>809</ManagementAndGeneralAmt>
      </FeesForServicesLegalGrp>
      <FeesForServicesAccountingGrp>
        <TotalAmt>28184</TotalAmt>
        <ManagementAndGeneralAmt>28184</ManagementAndGeneralAmt>
      </FeesForServicesAccountingGrp>
      <FeesForServicesOtherGrp>
        <TotalAmt>319335</TotalAmt>
        <ProgramServicesAmt>294565</ProgramServicesAmt>
        <ManagementAndGeneralAmt>21661</ManagementAndGeneralAmt>
        <FundraisingAmt>3109</FundraisingAmt>
      </FeesForServicesOtherGrp>
      <OfficeExpensesGrp>
        <TotalAmt>99107</TotalAmt>
        <ProgramServicesAmt>81371</ProgramServicesAmt>
        <ManagementAndGeneralAmt>17554</ManagementAndGeneralAmt>
        <FundraisingAmt>182</FundraisingAmt>
      </OfficeExpensesGrp>
      <InformationTechnologyGrp>
        <TotalAmt>16961</TotalAmt>
        <ProgramServicesAmt>16491</ProgramServicesAmt>
        <ManagementAndGeneralAmt>452</ManagementAndGeneralAmt>
        <FundraisingAmt>18</FundraisingAmt>
      </InformationTechnologyGrp>
      <OccupancyGrp>
        <TotalAmt>154455</TotalAmt>
        <ProgramServicesAmt>105323</ProgramServicesAmt>
        <ManagementAndGeneralAmt>47251</ManagementAndGeneralAmt>
        <FundraisingAmt>1881</FundraisingAmt>
      </OccupancyGrp>
      <TravelGrp>
        <TotalAmt>70196</TotalAmt>
        <ProgramServicesAmt>64272</ProgramServicesAmt>
        <ManagementAndGeneralAmt>5786</ManagementAndGeneralAmt>
        <FundraisingAmt>138</FundraisingAmt>
      </TravelGrp>
      <ConferencesMeetingsGrp>
        <TotalAmt>120455</TotalAmt>
        <ProgramServicesAmt>107991</ProgramServicesAmt>
        <ManagementAndGeneralAmt>12464</ManagementAndGeneralAmt>
      </ConferencesMeetingsGrp>
      <DepreciationDepletionGrp>
        <TotalAmt>34861</TotalAmt>
        <ProgramServicesAmt>25903</ProgramServicesAmt>
        <ManagementAndGeneralAmt>8622</ManagementAndGeneralAmt>
        <FundraisingAmt>336</FundraisingAmt>
      </DepreciationDepletionGrp>
      <InsuranceGrp>
        <TotalAmt>9525</TotalAmt>
        <ManagementAndGeneralAmt>9525</ManagementAndGeneralAmt>
      </InsuranceGrp>
      <OtherExpensesGrp>
        <Desc>OTHER</Desc>
        <TotalAmt>23162</TotalAmt>
        <ProgramServicesAmt>16029</ProgramServicesAmt>
        <ManagementAndGeneralAmt>7041</ManagementAndGeneralAmt>
        <FundraisingAmt>92</FundraisingAmt>
      </OtherExpensesGrp>
      <TotalFunctionalExpensesGrp>
        <TotalAmt>2715370</TotalAmt>
        <ProgramServicesAmt>1988952</ProgramServicesAmt>
        <ManagementAndGeneralAmt>699173</ManagementAndGeneralAmt>
        <FundraisingAmt>27245</FundraisingAmt>
      </TotalFunctionalExpensesGrp>
      <CashNonInterestBearingGrp>
        <BOYAmt>716584</BOYAmt>
        <EOYAmt>633805</EOYAmt>
      </CashNonInterestBearingGrp>
      <SavingsAndTempCashInvstGrp>
        <BOYAmt>689624</BOYAmt>
        <EOYAmt>716068</EOYAmt>
      </SavingsAndTempCashInvstGrp>
      <PledgesAndGrantsReceivableGrp>
        <BOYAmt>215795</BOYAmt>
        <EOYAmt>71452</EOYAmt>
      </PledgesAndGrantsReceivableGrp>
      <AccountsReceivableGrp>
        <BOYAmt>61386</BOYAmt>
        <EOYAmt>44421</EOYAmt>
      </AccountsReceivableGrp>
      <PrepaidExpensesDefrdChargesGrp>
        <BOYAmt>41421</BOYAmt>
        <EOYAmt>55865</EOYAmt>
      </PrepaidExpensesDefrdChargesGrp>
      <LandBldgEquipCostOrOtherBssAmt>280460</LandBldgEquipCostOrOtherBssAmt>
      <LandBldgEquipAccumDeprecAmt>273484</LandBldgEquipAccumDeprecAmt>
      <LandBldgEquipBasisNetGrp>
        <BOYAmt>41837</BOYAmt>
        <EOYAmt>6976</EOYAmt>
      </LandBldgEquipBasisNetGrp>
      <OtherAssetsTotalGrp>
        <BOYAmt>12568</BOYAmt>
      </OtherAssetsTotalGrp>
      <TotalAssetsGrp>
        <BOYAmt>1779215</BOYAmt>
        <EOYAmt>1528587</EOYAmt>
      </TotalAssetsGrp>
      <AccountsPayableAccrExpnssGrp>
        <BOYAmt>181463</BOYAmt>
        <EOYAmt>175249</EOYAmt>
      </AccountsPayableAccrExpnssGrp>
      <DeferredRevenueGrp>
        <BOYAmt>128729</BOYAmt>
        <EOYAmt>128418</EOYAmt>
      </DeferredRevenueGrp>
      <TotalLiabilitiesGrp>
        <BOYAmt>310192</BOYAmt>
        <EOYAmt>303667</EOYAmt>
      </TotalLiabilitiesGrp>
      <OrganizationFollowsSFAS117Ind>X</OrganizationFollowsSFAS117Ind>
      <UnrestrictedNetAssetsGrp>
        <BOYAmt>1076584</BOYAmt>
        <EOYAmt>1070495</EOYAmt>
      </UnrestrictedNetAssetsGrp>
      <TemporarilyRstrNetAssetsGrp>
        <BOYAmt>392439</BOYAmt>
        <EOYAmt>154425</EOYAmt>
      </TemporarilyRstrNetAssetsGrp>
      <TotalNetAssetsFundBalanceGrp>
        <BOYAmt>1469023</BOYAmt>
        <EOYAmt>1224920</EOYAmt>
      </TotalNetAssetsFundBalanceGrp>
      <TotLiabNetAssetsFundBalanceGrp>
        <BOYAmt>1779215</BOYAmt>
        <EOYAmt>1528587</EOYAmt>
      </TotLiabNetAssetsFundBalanceGrp>
      <ReconcilationRevenueExpnssAmt>-244103</ReconcilationRevenueExpnssAmt>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>false</AccountantCompileOrReviewInd>
      <FSAuditedInd>true</FSAuditedInd>
      <FSAuditedBasisGrp>
        <SeparateBasisFinclStmtInd>X</SeparateBasisFinclStmtInd>
      </FSAuditedBasisGrp>
      <AuditCommitteeInd>true</AuditCommitteeInd>
      <FederalGrantAuditRequiredInd>true</FederalGrantAuditRequiredInd>
      <FederalGrantAuditPerformedInd>true</FederalGrantAuditPerformedInd>
    </IRS990>
    <IRS990ScheduleA documentId="RetDoc7">
      <PublicOrganization170Ind>X</PublicOrganization170Ind>
      <GiftsGrantsContriRcvd170Grp>
        <CurrentTaxYearMinus4YearsAmt>2456762</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>3223416</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>2485415</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>2389086</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>1635067</CurrentTaxYearAmt>
        <TotalAmt>12189746</TotalAmt>
      </GiftsGrantsContriRcvd170Grp>
      <TotalCalendarYear170Grp>
        <CurrentTaxYearMinus4YearsAmt>2456762</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>3223416</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>2485415</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>2389086</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>1635067</CurrentTaxYearAmt>
        <TotalAmt>12189746</TotalAmt>
      </TotalCalendarYear170Grp>
      <PublicSupportTotal170Amt>12189746</PublicSupportTotal170Amt>
      <GrossInvestmentIncome170Grp>
        <CurrentTaxYearMinus4YearsAmt>517</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>1572</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>2247</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>5444</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>9124</CurrentTaxYearAmt>
        <TotalAmt>18904</TotalAmt>
      </GrossInvestmentIncome170Grp>
      <OtherIncome170Grp>
        <CurrentTaxYearAmt>268</CurrentTaxYearAmt>
        <TotalAmt>268</TotalAmt>
      </OtherIncome170Grp>
      <TotalSupportAmt>12208918</TotalSupportAmt>
      <GrossReceiptsRltdActivitiesAmt>3573213</GrossReceiptsRltdActivitiesAmt>
      <PublicSupportCY170Pct>0.99840</PublicSupportCY170Pct>
      <PublicSupportPY170Pct>0.99910</PublicSupportPY170Pct>
      <ThirtyThrPctSuprtTestsCY170Ind>X</ThirtyThrPctSuprtTestsCY170Ind>
      <Form990ScheduleAPartVIGrp>
        <FormAndLineReferenceDesc>PART II, LINE 10</FormAndLineReferenceDesc>
        <ExplanationTxt>OTHER INCOME 268</ExplanationTxt>
      </Form990ScheduleAPartVIGrp>
    </IRS990ScheduleA>
    <IRS990ScheduleB documentId="RetDoc1" />
    <IRS990ScheduleC documentId="RetDoc3">
      <VolunteersInd>false</VolunteersInd>
      <PaidStaffOrManagementInd>true</PaidStaffOrManagementInd>
      <MediaAdvertisementsInd>false</MediaAdvertisementsInd>
      <MailingsMembersInd>false</MailingsMembersInd>
      <PublicationsOrBroadcastInd>false</PublicationsOrBroadcastInd>
      <GrantsOtherOrganizationsInd>false</GrantsOtherOrganizationsInd>
      <DirectContactLegislatorsInd>true</DirectContactLegislatorsInd>
      <DirectContactLegislatorsAmt>4255</DirectContactLegislatorsAmt>
      <RalliesDemonstrationsInd>false</RalliesDemonstrationsInd>
      <OtherActivitiesInd>false</OtherActivitiesInd>
      <TotalLobbyingExpendituresAmt>4255</TotalLobbyingExpendituresAmt>
      <NotDescribedSection501c3Ind>false</NotDescribedSection501c3Ind>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE C, PART IV</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleC>
    <IRS990ScheduleD documentId="RetDoc4">
      <LeaseholdImprovementsGrp>
        <OtherCostOrOtherBasisAmt>60617</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>60617</DepreciationAmt>
      </LeaseholdImprovementsGrp>
      <EquipmentGrp>
        <OtherCostOrOtherBasisAmt>219843</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>212867</DepreciationAmt>
        <BookValueAmt>6976</BookValueAmt>
      </EquipmentGrp>
      <TotalBookValueLandBuildingsAmt>6976</TotalBookValueLandBuildingsAmt>
      <FootnoteTextInd>X</FootnoteTextInd>
      <TotalRevEtcAuditedFinclStmtAmt>2471267</TotalRevEtcAuditedFinclStmtAmt>
      <RevenueSubtotalAmt>2471267</RevenueSubtotalAmt>
      <TotalRevenuePerForm990Amt>2471267</TotalRevenuePerForm990Amt>
      <TotExpnsEtcAuditedFinclStmtAmt>2715370</TotExpnsEtcAuditedFinclStmtAmt>
      <ExpensesSubtotalAmt>2715370</ExpensesSubtotalAmt>
      <TotalExpensesPerForm990Amt>2715370</TotalExpensesPerForm990Amt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE D, PAGE 3, PART X</FormAndLineReferenceDesc>
        <ExplanationTxt>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, 2018 AND 2017, CRHC HAD NO UNCERTAIN TAX POSITIONS REQUIRING ACCRUAL.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleD>
    <IRS990ScheduleJ documentId="RetDoc5">
      <WrittenEmploymentContractInd>X</WrittenEmploymentContractInd>
      <CompensationSurveyInd>X</CompensationSurveyInd>
      <BoardOrCommitteeApprovalInd>X</BoardOrCommitteeApprovalInd>
      <SeverancePaymentInd>false</SeverancePaymentInd>
      <SupplementalNonqualRtrPlanInd>false</SupplementalNonqualRtrPlanInd>
      <EquityBasedCompArrngmInd>false</EquityBasedCompArrngmInd>
      <CompBasedOnRevenueOfFlngOrgInd>false</CompBasedOnRevenueOfFlngOrgInd>
      <CompBsdOnRevRelatedOrgsInd>false</CompBsdOnRevRelatedOrgsInd>
      <CompBsdNetEarnsFlngOrgInd>false</CompBsdNetEarnsFlngOrgInd>
      <CompBsdNetEarnsRltdOrgsInd>false</CompBsdNetEarnsRltdOrgsInd>
      <AnyNonFixedPaymentsInd>true</AnyNonFixedPaymentsInd>
      <InitialContractExceptionInd>false</InitialContractExceptionInd>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>MICHELLE MILLS</PersonNm>
        <TitleTxt>CEO</TitleTxt>
        <BaseCompensationFilingOrgAmt>163761</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>24614</BonusFilingOrganizationAmount>
        <DeferredCompensationFlngOrgAmt>5654</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>576</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>194605</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE J, PAGE 1, PART I, LINE 7</FormAndLineReferenceDesc>
        <ExplanationTxt>MICHELLE MILLS RECEIVED A DISCRETIONARY BONUS DURING 2018 THAT WAS BASED ON PERFORMANCE AND GOALS. THE BOARD REVIEWED AND APPROVED THE BONUS IN NOVEMBER 2018.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleJ>
    <IRS990ScheduleO documentId="RetDoc6">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 2, PART III, LINE 4A</FormAndLineReferenceDesc>
        <ExplanationTxt>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), 48 RURAL HEALTH CLINICS (RHCS), AND OTHER RURAL CLINICS AND HEALTHCARE PROVIDERS. THE ORGANIZATION'S SERVICES ARE DESIGNED TO STRENGTHEN THE ADMINISTRATION OF RURAL HEALTHCARE ORGANIZATIONS. IN 2018, CRHC OFFERED OUT 14,000 TECHNICAL ASSISTANCE ENCOUNTERS TO RURAL MEMBERS AND OFFERED 3.1 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 2018, MORE THAN 130 EDUCATIONAL WEBINARS WERE OFFERED ON TOPICS RANGING FROM QUALITY IMPROVEMENT, EHR USER GROUPS, SWING BED, UTILIZATION MANAGEMENT, FINANCIAL WORKGROUPS, HIT, ORAL HEALTH, 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. ADDITIONALLY, CRHC REVIEWED AND PROVIDED FEEDBACK ON 58 GRANT APPLICATIONS FOR RURAL COMMUNITIES. SINCE 2010, CRHC HAS OFFERED THE IMPROVING COMMUNICATIONS AND READMISSIONS PROGRAM (ICARE), AN INNOVATIVE PROGRAM AIMED AT DECREASING READMISSION RATES AMONGST 43 FACILITIES IN 23 COMMUNITIES. THE ORGANIZATION PUBLISHES SEVERAL ANNUAL DOCUMENTS AIMED AT IMPROVING RURAL SUSTAINABILITY. PUBLIC HEALTH DOCUMENTS SUCH AS THE TOP 3 BOTTOM 3 POPULATION HEALTH REPORT 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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 2, PART III, LINE 4B</FormAndLineReferenceDesc>
        <ExplanationTxt>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 55 PIECES OF LEGISLATION IN 2018 THAT HAVE OR WOULD HAVE IMPACTED OUR RURAL MEMBERSHIP. CRHC PRESENTED OR TESTIFIED FOUR TIMES TO THE COLORADO DELEGATION AND MET WITH LEGISLATORS TO PROVIDE FEEDBACK FOR BILLS ADDRESSING YOUTH SUICIDE PREVENTION, RURAL HEALTHCARE WORKFORCE, FREESTANDING EMERGENCY ROOM LICENSURE, AND THE CREATION OF AN INTERIM LEGISLATIVE COMMITTEE THAT WOULD VISIT RURAL COLORADO. CRHC'S CEO PRESENTED AT THE NRHA POLICY INSTITUTE ON MEDICAID EXPANSION AND THE IMPACT ON RURAL HOSPITALS IN COLORADO. OVER 40 LEGISLATORS AND RURAL ADVOCATES ATTENDED CRHC'S SAFETY NET CLINIC WEEK ROUND TABLE HIGHLIGHTING RURAL HEALTH CLINICS AND THEIR ROLE IN RURAL COMMUNITIES.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 2, PART III, LINE 4D</FormAndLineReferenceDesc>
        <ExplanationTxt>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. IN 2018, NEARLY 375 HOURS OF DIRECT HIT SUPPORT WAS PROVIDED. THE CRHC CEO CHAIRS THE EHEALTH COMMISSION, A GOVERNOR APPOINTED COMMISSION TO ADDRESS HIT IN COLORADO. 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 FORUM 2018 WAS HELD IN APRIL AND ATTENDANCE REACHED 195 AND REPRESENTED 46 CLINICS (35 IN 2017). THE ANNUAL CONFERENCE WAS HELD ON OCTOBER 17 - 19, 2018 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 TELEHEALTH, POLICY, GRANT FUNDING, QUALITY IMPROVEMENT, CULTURE AND RETENTION AND NETWORKING.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>A COPY OF THE 990 IS PROVIDED TO THE CEO AND CFO WHO REVIEW THE FORM, SCHEDULES AND RELATED ATTACHMENTS. ANY COMMENTS OR QUESTIONS ARE ADDRESSED WITH THE PREPARER AND A FINAL DRAFT IS APPROVED BY THE BOARD OF DIRECTORS. ONCE MANAGEMENT IS SATISFIED WITH THE 990, THE CEO SIGNS THE FORM 8879-EO AUTHORIZING THE PREPARER TO E-FILE THE RETURN.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>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 SHE/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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 15A</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>COLORADO RURAL HEALTH CENTER MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART IX, LINE 11G</FormAndLineReferenceDesc>
        <ExplanationTxt>294,565 21,661 3,109</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
  </ReturnData>
</Return>