QUALITY HEALTH NETWORK: Form 990, tax year 2016

View the entire original 990 at ProPublica ↗

Organization: QUALITY HEALTH NETWORK (EIN 20-1632384)
Tax period: 2016-01-01 to 2016-12-31
Filed: 2017-10-14
IRS object ID: 201702889349300100
Schema version: 2016v3.0
Source: Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header
Form 990
Schedule A
Schedule B
Schedule D
Schedule J
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2017-10-14T22:00:04-05:00	ReturnTs
Tax Period End	2016-12-31	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Field	Value	IRS element (for citing)
Preparer Firm EIN	814510790	PreparerFirmEIN

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	Grisier Bussey and Kaper CPAs	BusinessNameLine1Txt

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	2135 N Seventh St	AddressLine1Txt
City	Grand Junction	CityNm
State Abbreviation	CO	StateAbbreviationCd
ZIP	81501	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2016-01-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	201632384	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	Quality Health Network	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Business Name Control	QUAL	BusinessNameControlTxt
Phone	9702480033	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	744 Horizon Ct No 210	AddressLine1Txt
City	Grand Junction	CityNm
State Abbreviation	CO	StateAbbreviationCd
ZIP	81506	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	Richard Thompson	PersonNm
Person Title	Executive Director	PersonTitleTxt
Phone	9702480033	PhoneNum
Signature	2017-09-13	SignatureDt
Discuss With Paid Preparer	Yes (1)	DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	James R Grisier CPA	PreparerPersonNm
PTIN	P00018693	PTIN
Phone	9702438245	PhoneNum
Preparation	2017-09-07	PreparationDt
Self Employed	Yes (X)	SelfEmployedInd

Filing Security Information FilingSecurityInformation

IP Address IPAddress

Field	Value	IRS element (for citing)
I Pv4 Address	69.146.254.163	IPv4AddressTxt

Field	Value	IRS element (for citing)
IP	2017-09-13	IPDt
IP Tm	13:17:28	IPTm
IP Timezone	MD	IPTimezoneCd
Filing License Type	P	FilingLicenseTypeCd
At Submission Creation Device Id	E54EEC1ED39D52A69E25421F095AB1B200F3A253	AtSubmissionCreationDeviceId
At Submission Filing Device Id	D9FD5AB353067F81F952FF4E873CF50C8C980E59	AtSubmissionFilingDeviceId

Field	Value	IRS element (for citing)
Tax	2016	TaxYr
Build TS	2018-03-14 21:41:22Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Principal Officer	Richard Thompson	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	744 Horizon Ct No 210	AddressLine1Txt
City	Grand Junction	CityNm
State Abbreviation	CO	StateAbbreviationCd
ZIP	81506	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$4,062,631	GrossReceiptsAmt
Group Return For Affiliates	0	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	n/a	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	2004	FormationYr
Legal Domicile State	CO	LegalDomicileStateCd
Activity Or Mission	See Schedule O Quality Health Network's (QHN) primary mission is to optimize the health of the more than 400,000 residents that reside in the western Colorado medical trade area QHN serves. QHN's health information exchange(HIE) improves the efficiency, timeliness, and quality of the healthcare provided for all, with a focus on non-profit providers, Critical Access hospitals, public health services and Safety-Net providers, to reduce the burden on government programs. The services QHN provides improves the ability of healthcare providers to collaborate in, coordinate treatment, manage and prevent illness and reduce costly duplicative testing and medical errors that are attributable to insufficient access to timely, accurate clinical information.	ActivityOrMissionDesc
Voting Members Governing Body	7	VotingMembersGoverningBodyCnt
Voting Members Independent	6	VotingMembersIndependentCnt
Total Employee	23	TotalEmployeeCnt
Total Volunteers	0	TotalVolunteersCnt
Total Gross UBI	$0	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$0	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$720,000	PYContributionsGrantsAmt
CY Contributions Grants	$420,000	CYContributionsGrantsAmt
PY Program Service Revenue	$3,112,233	PYProgramServiceRevenueAmt
CY Program Service Revenue	$3,624,015	CYProgramServiceRevenueAmt
PY Investment Income	$13,282	PYInvestmentIncomeAmt
CY Investment Income	$18,616	CYInvestmentIncomeAmt
PY Other Revenue	$0	PYOtherRevenueAmt
CY Other Revenue	$0	CYOtherRevenueAmt
PY Total Revenue	$3,845,515	PYTotalRevenueAmt
CY Total Revenue	$4,062,631	CYTotalRevenueAmt
PY Grants And Similar Paid	$0	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$0	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$2,223,217	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$2,286,418	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$131,642	CYTotalFundraisingExpenseAmt
PY Other Expenses	$827,797	PYOtherExpensesAmt
CY Other Expenses	$745,773	CYOtherExpensesAmt
PY Total Expenses	$3,051,014	PYTotalExpensesAmt
CY Total Expenses	$3,032,191	CYTotalExpensesAmt
PY Revenues Less Expenses	$794,501	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$1,030,440	CYRevenuesLessExpensesAmt
Total Assets BOY	$2,690,599	TotalAssetsBOYAmt
Total Assets EOY	$3,816,136	TotalAssetsEOYAmt
Total Liabilities BOY	$324,040	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$419,137	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$2,366,559	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$3,396,999	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	See Schedule O Quality Health Network's (QHN) primary mission is to optimize the health of the more than 400,000 residents that reside in the western Colorado medical trade area QHN serves. QHN's health information exchange (HIE) improves the efficiency, timeliness, and quality of healthcare provided for all, with a focus on non-profit providers, Critical Access hospitals, public health services and Safety-Net providers, to reduce the burden on government programs. The services QHN provides improves the ability of healthcare providers to collaborate in, coordinate treatment, manage and prevent illness and reduce costly duplicative testing and medical errors that are attributable to insufficient access to timely, accurate clinical information.	MissionDesc
Significant New Program Srvc	0	SignificantNewProgramSrvcInd
Significant Change	0	SignificantChangeInd
Expense	$1,427,868	ExpenseAmt
Revenue	$2,118,894	RevenueAmt
Desc	Clinical Data Acquisition,Aggregation and Delivery: Quality Health Network (QHN) was incorporated in 2004 and successfully launched live operations to improve the quality of healthcare in 2005. QHN utilizes a secure HIE network as the foundation for the services provided to health organizations and providers to support the Institute for Healthcare Improvement's Triple Aim goal of - improving healthcare, improving the health of populations and reducing the cost of healthcare for all. Since its inception QHN has continued a steady focus on its founding mission of expanding the opportunity, resources and infrastructure necessary to increase the widespread provision of high-quality coordinated healthcare. The provision of services by the QHN network has placed western Colorado in a strong position to achieve innovative,meaningful healthcare reforms. As of the end of calendar year 2016, more than 3,500 providers, care team members and other healthcare staff were connected to the QHN network,and they made more than 2 million data repository query requests to the Patient Summary record(patient longitudinal record). QHN facilitates the ability of area healthcare providers to collaborate and coordinate care through the secure exchange of information and securely communicate, in a manner fully compliant with HIPAA and all other patient privacy laws and regulations. During 2016, QHN continued its expansion with the addition of new providers and healthcare services, which currently total more than 325 associated health and human service provider organizations, long-term care facilities, home healthcare agencies and Hospice programs. These expansions are in the western Colorado medical neighborhoods QHN serves: Mesa, Delta, Montrose, Garfield, Pitkin, Hinsdale, Eagle, Ouray, Rio Blanco, San Miguel and Gunnison counties and agreements are in process for the addition of a significant new hospital data source and provider group in Moffat county. This continued expansion will result in more than 96 percent of the providers in our service area being connected to the robust QHN data repository. In 2016 QHN completed the work for cross-state and cross-regional HIE-to-HIE connectivity. This is in an effort to improve the coordination and continuity of care, statewide, and in contiguous states. This HIE-to-HIE information exchange work was established statewide with Colorado Regional Health Information Organization(CORHIO), the HIE that serves the eastern part of Colorado and has been expanded to include the HIEs in Utah(UHIN) and Arizona(Health Current). This type of exchange, based on the Patient-Centered Data Home(PCDH)concept,is a cost effective,scalable method of exchanging patient data among health information exchanges. HIE-to-HIE exchange is a critical step toward establishing a robust national interoperability infrastructure between regional and state HIEs. Considering the significant percent of the Colorado population that are "snowbirds and travel for recreation, the secure electronic transmission of information between healthcare providers across regional and state lines has translated into a significant exchange of clinical information with more than 17,500 messages exchanged in 2016. This robust exchange of patient information between and among HIEs translates into improvements in coordinated care, patient safety and reduced healthcare costs. QHN is also a participant in the federal Health and Human Services program to develop secure infrastructure for the nationwide exchange of health information called the eHealth Exchange. QHN delivers real-time, critical patient information and provides a robust repository of patient clincal data (Patient Summary Record) to treating providers serving patients in life-threatening as well as non-emergent care situations. The ability for treating providers to securely access patient records and send directed, encrypted patient clinical information via QHN's high-speed network improves transitions of care and health outcomes. This immediate access to patient data reduces the burden on Government by decreasing medical errors, duplicative testing and the expense associated with the manual delivery, storage and processing of paper records.	Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

Field	Value	IRS element (for citing)
Expense	$678,318	ExpenseAmt
Revenue	$1,006,594	RevenueAmt
Desc	Clinical ImprovementPopulation Health Management and Chronic Disease Management: While the chronically ill comprise a relatively small percentage of the total population, they historically account for a large percentage of the healthcare delivery systems resources and associated expenses. Medicare and Medicaid eligible populations suffer disproportionately from chronic illnesses. A key component of QHN's quality improvement activities is the provision and implementation of high value technical applications to support providers' ability to identify and manage chronically ill patients. These applications support population health management, risk stratification and predictive modeling tools, and proactive care coordination to reduce the burden on these government supported programs. These tools help in the early identification and treatment of patients with chronic disease to improve patient outcomes and reduce healthcare costs. As the electronic network connectivity work in the QHN medical trade area continues to mature, the process to improve evidence-based, coordinated care for chronic disease is progressing by implementing these sophisticated applications. This helps providers move from the current system of episodic care to a coordinated system of care that creates and maintains healthy populations. QHN's network and advanced architecture supports the data needs of these applications to help providers integrate coordinated chronic disease management and preventive care into their workflow and make them more successful as they transition to new value-based payment models. Improvements in care require that these chronic disease states are not only managed and controlled during the patient visit, but that proactive management and patient engagement occur. This level of coordinated care is only practical with the support of these applications. QHN actively works to support providers implement and use population health management and registry applications embedded in the provider's electronic health record (EHR) sytems. These registry applications provide for the longitudinal monitoring capabilities needed to proactively manage disease and aggregate outcomes for groups of patients or the entire provider's patient panel. Registries and other care coordination tools also enable providers to involve care team members to efficiently support the patient care process and actively engage patients in their disease management. Managing diseases via a registry is quickly becoming the expected best practice as providers develop more efficient means to care for patients. QHN supports nearly all of the more than 3,500 QHN users with their data needs for the utilization of registry tools embedded in their EHRs. Improving Care Coordination and Care Transitions: The transition of a patient from one care setting to another is frequently the source of reduced system efficiency, duplicative diagnostic testing, and the impetus for increased medical errors. This transition may be from provider to provider, or from care setting to care setting such as, the hospital to rehabilitation facility, home health care or hospice facility. It is common for a patient to receive care and treatment from many disparate providers during a single episode of care. Having real-time, concise & accurate patient medical information available to all providers involved in the care of the patient during these transitions is essential for improved quality, safety and cost reduction. Prior to the availability of the QHN's secure electronic network, processes which transferred patient medical information between providers were paper-based manual processes, utilizing photocopying, fax and courier services. This resulted in many providers being unaware of the outcome of care patients received in other care settings. The QHN patient longitudinal health record (Patient Summary) established for each of the more than 720,000 unique patients in the QHN system, is a comprehensive record of all care a patient receives from disparate sources. The frequency of provider access to the Patient Summary record are significant indicators of providers leveraging patient information across the continuum of care for improved integrated care. In 2016 QHN documented an average of more than 80,000 data repository server requests per month. Referring physicians, consulting physicians, discharge planners, long-term care facilities, hospice organizations & care coordinators frequently access the data repository. Patients receive better, faster and more appropriate treatment due to the QHN system which rapidly exchanges current patient information amongst the patient's care providers when and where it's needed. Duplicative testing, medical errors and loss of crucial time, due to missing or incomplete medical information, are reduced through the use of the QHN system. QHN is pleased that the Grand Junction Veterans Affairs Medical Center(VAMC) recognized the value of this data repository resource and signed an agreement to connect their providers and care team members to QHN in 2014. The providers at the VAMC have recognized the value of the QHN system for improved care coordination, and have continued to expand the number of VAMC users to more than 135 utilizing QHN. Access to the extensive QHN clinical data repository by VAMC providers, continues to support quality of care improvements for the approximately 40,000 VA patients across western Colorado and eastern Utah. The large rural expanse & geographically challenging terrain western Colorado encompasses can make access to VAMC facilities difficult for veterans. Consequently, veterans must seek care from their community's local hospitals, physicians & other healthcare providers. This makes it difficult for VAMC providers to coordinate veterans' care, something critical to improving quality & reducing costs & the burden on government. The vast majority of providers in western Colorado are connected to QHN, allowing them to exchange critical health information when it's needed for care, regardless of where the patient is treated. Historically when veterans are seen at the local VAMC facilities, this information has not been accessible so VAMC providers were often unaware of the services their patients receive outside of the VA system. Care coordination & care transitions rely upon the successful and timely transfer of physician generated patient-centric progress notes & care plans between & among treating providers. This data can be summarized within the providers EHR system in a document called a Continuity of Care Document (CCD) or progress note. Every day thousands of healthcare providers across western Colorado access the QHN Patient Summary record in order to view inpatient and outpatient data, lab and radiology results. The data contained in QHN is of great value to providers and helps create a clinical picture of the patient. In an effort to advance the exchange of ambulatory encounter information throughout 2016 QHN participated in two grant opportunities. The Colorado Advanced Interoperability Initiative (CAII) grant contract work is focused on the acquisition of encounter-based summaries from ambulatory settings, long-term care and behavioral health providers. The Medicaid 90/10 Health Information Technology (HITECH) administrative contract funding supports QHN's work with qualified Medicaid practices to assist providers with enhanced HIE utilization, which may include the exchange of ambulatory encounter information, alert notifications, lab and radiology reports. The goal of this grant contract work is to enrich and create a more complete patient longitudinal health record in the HIE, improve transitions of care and to support ambulatory and long-term / post-acute care providers via the exchange of clinical data. Currently more than 130 providers are exchanging ambulatory encounter data with QHN, which may include, CCDs, care summaries (transcription), progress notes, alert notifications and lab/radiology reports. QHN's secure network and uniquely connected technology, also allows authorized providers to receive hospital (emergency department, etc.,) Admission, Discharge and Transfer (ADT) alerts for real-time notifications of care occurrences that occur on their patients. During 2016, QHN continued to focus on the expansion of the delivery of ADT alerts to providers, care coordinators and organizations. Managing a patient's care across all care settings is the cornerstone of the new Medicaid and Medicare payment models. QHN is providing alerts to the three FQHCs in our service area to support this quality improvement and cost containment work and help reduce the burden on these government programs.	Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

Field	Value	IRS element (for citing)
Expense	$268,565	ExpenseAmt
Revenue	$398,539	RevenueAmt
Desc	Indigent Care Support In QHN's medical trade area, the estimated underserved (uninsured or underinsured) population approaches 30 percent. This population tends to be transitory in nature, as the area attracts many seasonal & short-term workers in the farming, service and recreational industries. These underserved patients often "float" in and out of eligibility for insurance/financial assistance & other government supported subsidies - and present for care in multiple care settings. To effectively treat this population, access to current patient eligibility and clinical information from previous care episodes is critical. The QHN HIE supports equitable treatment for all patients - wherever they may present for care - by providing accurate patient demographics to authorized providers to assist with ascertaining eligibility and clinical information to support care coordination and continuity. The cohorts of underserved patients positively impacted by this QHN functionality are most frequently Medicaid and/or Medicare eligible. The resulting effect of this system functionality is more efficient, cost effective care for this underserved population, which helps reduce the burden on government. As a recipient of a grant contract with HCPF, QHN has focused on increasing the number, and enhancing the services offered, to QHN participants who serve the Medicaid population and Federally Qualified Health Centers(FQHCs) focused on treating the underserved. QHN not only supports individual care providers and organizations that accept and provide care for the indigent population but also supports the data needs of several programs focused on improving the care delivery models for the Medicaid population. These new models will replace the nation's reliance on fragmented, fee-for-service care. The models QHN is currently supporting include, Colorado's Regional Care Collaborative Organizations(RCCO-1), RCCO "PRIME", the Comprehensive Primary Care initiative (CPCi) and Sustaining Healthcare Across integrated Primary care Efforts (SHAPE). QHN continues to be engaged in a community care coordination pilot project, utilizing a care management toolset provided by QHN, which engages long-term care, home health providers, the Department of Health and Human Services and Rocky Mountain Health Plans for cross-continuum care management. One of the primary goals of this pilot is to decrease Emergency Department utilization and to decrease the burden on government supported healthcare programs.	Desc

Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp

Field	Value	IRS element (for citing)
Expense	$67,379	ExpenseAmt
Revenue	$99,988	RevenueAmt
Desc	Support for Public Health Programs: QHN continues to work with public health and community providers to improve patient care and public health through the timely exchange of, and access to, health information. The Mesa County Health Department (MCHD) has a unidirectional interface with QHN for direct delivery of transcription and laboratory and radiology results and has been actively involved in the community care coordination pilot. In 2016, the Federal Poverty Level Guidelines set the poverty threshold for a family of four at $24,300. According to the MCHD the poverty rate in Mesa County is 14.4%; this is significantly higher than Colorado's rate of 11.5%. In Mesa County, about 8.0% of residents do not have any health insurance coverage compared with 6.7% in Colorado. More than 44,200 Mesa County residents are on Medicaid and more than 1,601 children are CHP+ members. Mesa County is significantly worse than Colorado in eight of the leading causes of years of potential life lost (YPLL). To better serve this population, MCHD and the FQHC in the Grand Junction area, the Marillac Clinic, formed a unique partnership with the Marillac Clinic co-locating a clinic within the health department. This has allowed the patients who seek care at the MCHD to have quick and easy access to a full range of medical services, including vision and dental care. QHN is supporting these public health programs, MCHD and Marillac clinic, through its existing secure high-speed electronic data collection/delivery infrastructure. This infrastructure creates a mechanism to electronically deliver and query critical health information and to alert providers when an important health event occurs.	Desc

Field	Value	IRS element (for citing)
Total Other Prog Srvc Expense	$67,379	TotalOtherProgSrvcExpenseAmt
Total Other Prog Srvc Revenue	$99,988	TotalOtherProgSrvcRevenueAmt
Total Program Service Expenses	$2,442,130	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (1)	DescribedInSection501c3Ind
Schedule B Required	Yes (1)	ScheduleBRequiredInd
Political Campaign Acty	0	PoliticalCampaignActyInd
Lobbying Activities	0	LobbyingActivitiesInd
Subject To Proxy Tax	0	SubjectToProxyTaxInd
Donor Advised Fund	0	DonorAdvisedFundInd
Conservation Easements	0	ConservationEasementsInd
Collections Of Art	0	CollectionsOfArtInd
Credit Counseling	0	CreditCounselingInd
Temp Or Permanent Endowments	0	TempOrPermanentEndowmentsInd
Report Land Building Equipment	Yes (1)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	0	ReportInvestmentsOtherSecInd
Report Program Related Invst	0	ReportProgramRelatedInvstInd
Report Other Assets	0	ReportOtherAssetsInd
Report Other Liabilities	Yes (1)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	0	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	Yes (1)	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	0	ConsolidatedAuditFinclStmtInd
School Operating	0	SchoolOperatingInd
Foreign Office	0	ForeignOfficeInd
Foreign Activities	0	ForeignActivitiesInd
More Than5000 K To Org	0	MoreThan5000KToOrgInd
More Than5000 K To Individuals	0	MoreThan5000KToIndividualsInd
Professional Fundraising	0	ProfessionalFundraisingInd
Fundraising Activities	0	FundraisingActivitiesInd
Gaming Activities	0	GamingActivitiesInd
Operate Hospital	0	OperateHospitalInd
Grants To Organizations	0	GrantsToOrganizationsInd
Grants To Individuals	0	GrantsToIndividualsInd
Schedule J Required	Yes (1)	ScheduleJRequiredInd
Tax Exempt Bonds	0	TaxExemptBondsInd
Engaged In Excess Benefit Trans	0	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	0	PYExcessBenefitTransInd
Loan Outstanding	0	LoanOutstandingInd
Grant To Related Person	0	GrantToRelatedPersonInd
Business Rln With Org Mem	0	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	0	BusinessRlnWithFamMemInd
Business Rln With Officer Ent	0	BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri	0	DeductibleNonCashContriInd
Deductible Art Contribution	0	DeductibleArtContributionInd
Terminate Operations	0	TerminateOperationsInd
Partial Liquidation	0	PartialLiquidationInd
Disregarded Entity	0	DisregardedEntityInd
Related Entity	Yes (1)	RelatedEntityInd
Related Organization Ctrl Ent	0	RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	0	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	0	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (1)	ScheduleORequiredInd
IRP Document	11	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (1)	BackupWthldComplianceInd
Employee	23	EmployeeCnt
Employment Tax Returns Filed	Yes (1)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	0	UnrelatedBusIncmOverLimitInd
Foreign Financial Account	0	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	0	ProhibitedTaxShelterTransInd
Taxable Party Notification	0	TaxablePartyNotificationInd
Nondeductible Contributions	0	NondeductibleContributionsInd
Quid Pro Quo Contributions	0	QuidProQuoContributionsInd
Form8282 Property Disposed Of	0	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	0	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	0	PayPremiumsPrsnlBnftCntrctInd
Form8899 Filedind	0	Form8899Filedind
Form1098 C Filed	0	Form1098CFiledInd
DAF Excess Business Holdings	0	DAFExcessBusinessHoldingsInd
Taxable Distributions	0	TaxableDistributionsInd
Distribution To Donor	0	DistributionToDonorInd
Indoor Tanning Services	0	IndoorTanningServicesInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	7	GoverningBodyVotingMembersCnt
Independent Voting Member	6	IndependentVotingMemberCnt
Family Or Business Rln	0	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	0	DelegationOfMgmtDutiesInd
Change To Org Documents	0	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	0	MaterialDiversionOrMisuseInd
Members Or Stockholders	0	MembersOrStockholdersInd
Election Of Board Members	Yes (1)	ElectionOfBoardMembersInd
Decisions Subject To Approva	0	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (1)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (1)	MinutesOfCommitteesInd
Officer Mailing Address	0	OfficerMailingAddressInd
Local Chapters	0	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (1)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (1)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (1)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (1)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (1)	WhistleblowerPolicyInd
Document Retention Policy	Yes (1)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (1)	CompensationProcessCEOInd
Compensation Process Other	Yes (1)	CompensationProcessOtherInd
Investment In Joint Venture	0	InvestmentInJointVentureInd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	Richard Thompson Executive Director	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Phone	9702480033	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	744 Horizon Ct Ste 210	AddressLine1Txt
City	Grand Junction	CityNm
State Abbreviation	CO	StateAbbreviationCd
ZIP	81506	ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (11 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	OfficerOfficerInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Highest Compensated EmployeeHighestCompensatedEmployeeInd
Gregory Reicks DO
Chair	5.00	Yes (X)	Yes (X)	$0	$0	$0
Dan Sullivan MD
Vice Chair	1.00	Yes (X)	Yes (X)	$0	$0	$0
J Michael Stahl
Secretary/Director	1.00	Yes (X)	Yes (X)	$0	$0	$0
Bob Wilson
Treasurer/Director	1.00	Yes (X)	Yes (X)	$0	$0	$0
Jeff Kuhr PhD
Director	1.00	Yes (X)		$0	$0	$0
Bryce Lokey MD
Director	1.00	Yes (X)		$0	$0	$0
Chris Thomas
Director	1.00	Yes (X)		$0	$0	$0
Richard Thompson
Executive Director	60.00		Yes (X)	$246,869	$0	$66,543
Justin Aubert
Chief Financial Officer	60.00		Yes (X)	$147,572	$0	$34,432
Marc T Lassaux
Chief Technology Officer	45.00		Yes (X)	$163,868	$0	$48,406
Richard Warner
Project Management Coordin	45.00			$118,590	$0	$35,141	Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$676,899	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$0	TotReportableCompRltdOrgAmt
Total Other Compensation	$184,522	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	4	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	0	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (1)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	0	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (3 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
Rocky Mountain Health Plans
PO Box 173704	Denver	CO	802173704	Healthcare insurance	$215,391
Mirth Corporation
611 Anton Blvd Ste 500	Costa Mesa	CA	92626	Software licenses and service	$146,747
Quality Systems Inc
PO Box 511449	Los Angeles	CA	90051	Software licenses and service	$140,225

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	3	CntrctRcvdGreaterThan100KCnt
Related Organizations	$420,000	RelatedOrganizationsAmt
Total Contributions	$420,000	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
Data Processing - Serv	518210	$1,852,951	$1,852,951
Data Processing - Subs	518210	$1,771,064	$1,771,064

Field	Value	IRS element (for citing)
Total Program Service Revenue	$3,624,015	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$18,616	TotalRevenueColumnAmt
Exclusion	$18,616	ExclusionAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$4,062,631	TotalRevenueColumnAmt
Related Or Exempt Func Income	$3,624,015	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$18,616	ExclusionAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$558,308	TotalAmt
Program Services	$446,647	ProgramServicesAmt
Management And General	$83,746	ManagementAndGeneralAmt
Fundraising	$27,915	FundraisingAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$1,116,036	TotalAmt
Program Services	$892,828	ProgramServicesAmt
Management And General	$167,406	ManagementAndGeneralAmt
Fundraising	$55,802	FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$201,545	TotalAmt
Program Services	$161,236	ProgramServicesAmt
Management And General	$30,232	ManagementAndGeneralAmt
Fundraising	$10,077	FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$288,895	TotalAmt
Program Services	$231,115	ProgramServicesAmt
Management And General	$43,335	ManagementAndGeneralAmt
Fundraising	$14,445	FundraisingAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$121,634	TotalAmt
Program Services	$97,307	ProgramServicesAmt
Management And General	$18,245	ManagementAndGeneralAmt
Fundraising	$6,082	FundraisingAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$66,555	TotalAmt
Program Services	$37,906	ProgramServicesAmt
Management And General	$26,785	ManagementAndGeneralAmt
Fundraising	$1,864	FundraisingAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$28,141	TotalAmt
Program Services	$5,631	ProgramServicesAmt
Management And General	$21,046	ManagementAndGeneralAmt
Fundraising	$1,464	FundraisingAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$36,804	TotalAmt
Program Services	$31,284	ProgramServicesAmt
Management And General	$3,680	ManagementAndGeneralAmt
Fundraising	$1,840	FundraisingAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$5,027	TotalAmt
Program Services	$4,129	ProgramServicesAmt
Management And General	$671	ManagementAndGeneralAmt
Fundraising	$227	FundraisingAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$88,848	TotalAmt
Program Services	$75,481	ProgramServicesAmt
Management And General	$8,912	ManagementAndGeneralAmt
Fundraising	$4,455	FundraisingAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$47,025	TotalAmt
Program Services	$35,269	ProgramServicesAmt
Management And General	$9,405	ManagementAndGeneralAmt
Fundraising	$2,351	FundraisingAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$16,595	TotalAmt
Program Services	$8,006	ProgramServicesAmt
Management And General	$7,614	ManagementAndGeneralAmt
Fundraising	$975	FundraisingAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$2,578	TotalAmt
Program Services	$2,191	ProgramServicesAmt
Management And General	$258	ManagementAndGeneralAmt
Fundraising	$129	FundraisingAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$23,179	TotalAmt
Program Services	$19,702	ProgramServicesAmt
Management And General	$2,318	ManagementAndGeneralAmt
Fundraising	$1,159	FundraisingAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt	FundraisingFundraisingAmt
Consultants/Software/Sy	$365,056	$355,736	$9,320
Telephone	$16,454	$13,986	$1,645	$823
Membership dues	$14,691	$6,555	$8,136
Marketing	$12,310	$2,462	$8,617	$1,231

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$22,510	TotalAmt
Program Services	$14,659	ProgramServicesAmt
Management And General	$7,048	ManagementAndGeneralAmt
Fundraising	$803	FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$3,032,191	TotalAmt
Program Services	$2,442,130	ProgramServicesAmt
Management And General	$458,419	ManagementAndGeneralAmt
Fundraising	$131,642	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
EOY	$33,967	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$2,264,979	BOYAmt
EOY	$3,544,798	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$410,817	BOYAmt
EOY	$224,886	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$87,777	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$87,777	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$2,578	BOYAmt
EOY	$0	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$12,225	BOYAmt
EOY	$12,485	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$2,690,599	BOYAmt
EOY	$3,816,136	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$7,142	BOYAmt
EOY	$15,008	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$15,885	BOYAmt
EOY	$15,297	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$301,013	BOYAmt
EOY	$388,832	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$324,040	BOYAmt
EOY	$419,137	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows SFAS117	Yes (X)	OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$2,366,559	BOYAmt
EOY	$3,396,999	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$2,366,559	BOYAmt
EOY	$3,396,999	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$2,690,599	BOYAmt
EOY	$3,816,136	EOYAmt

Field	Value	IRS element (for citing)
Reconcilation Revenue Expnss	$1,030,440	ReconcilationRevenueExpnssAmt
Other Changes In Net Assets	$0	OtherChangesInNetAssetsAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	0	AccountantCompileOrReviewInd
FS Audited	0	FSAuditedInd
Federal Grant Audit Required	0	FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Supporting Organization509a3	Yes (X)	SupportingOrganization509a3Ind
Supporting Org Type1	Yes (X)	SupportingOrgType1Ind
IRS Written Determination	Yes (X)	IRSWrittenDeterminationInd
Supported Organizations	5	SupportedOrganizationsCnt

Supported Org Information SupportedOrgInformationGrp (5 entries)

EINEIN	Organization TypeOrganizationTypeCd	Governing Document ListedGoverningDocumentListedInd	SupportSupportAmt	Other SupportOtherSupportAmt
Hilltop Health Services Corporation
742321009	10	Yes (1)	$0	$0
St Mary's Hospital
840425720	3	Yes (1)	$0	$0
Colorado West Healthcare System
840469270	3	Yes (1)	$0	$0
Rocky Mountain Health Maintenance Organization
840614905	10	Yes (1)	$0	$0
Marillac Clinic Inc
841085822	3	Yes (1)	$0	$0

Field	Value	IRS element (for citing)
Supported Organizations Total	5	SupportedOrganizationsTotalCnt
Support Sum	$0	SupportSumAmt
Other Support Sum	$0	OtherSupportSumAmt

Form990 Sch A Supporting Org Form990SchASupportingOrgGrp

Field	Value	IRS element (for citing)
Listed By Name Governing Doc	Yes (1)	ListedByNameGoverningDocInd
Suprt Org No IRS Determination	0	SuprtOrgNoIRSDeterminationInd
Supported Org Section C456	Yes (1)	SupportedOrgSectionC456Ind
Supported Org Qualified	Yes (1)	SupportedOrgQualifiedInd
Suprt Exclusively Sec170c2 B	Yes (1)	SuprtExclusivelySec170c2BInd
Supported Org Not Organized US	0	SupportedOrgNotOrganizedUSInd
Organization Change Suprt Org	0	OrganizationChangeSuprtOrgInd
Support Non Supported Org	0	SupportNonSupportedOrgInd
Payment Substantial Contribtr	0	PaymentSubstantialContribtrInd
Loan Disqualified Person	0	LoanDisqualifiedPersonInd
Controlled Disqualified Prsn	0	ControlledDisqualifiedPrsnInd
Disqualified Prsn Controll Int	0	DisqualifiedPrsnControllIntInd
Disqualified Prsn Ownr Int	0	DisqualifiedPrsnOwnrIntInd
Excess Business Holdings Rules	0	ExcessBusinessHoldingsRulesInd
Contribution Controller	0	ContributionControllerInd
Contribution Family	0	ContributionFamilyInd
Contribution35 Controlled	0	Contribution35ControlledInd

Form990 Sch A Type1 Suprt Org Form990SchAType1SuprtOrgGrp

Field	Value	IRS element (for citing)
Power Appoint Majority Dir Trst	Yes (1)	PowerAppointMajorityDirTrstInd
Operate Benefit Non Suprt Org	0	OperateBenefitNonSuprtOrgInd

Form990 Schedule A Part VI Form990ScheduleAPartVIGrp (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc

ExplanationExplanationTxt

Part IV, Section A, Line 3b:

The Organization confirmed that a supported organization qualified under 501(c)(4) satisfied the public support test initially when the filing Organization sent a letter to the Service on February 15, 2008, changing the filing Organization status to that of a supporting organization. This letter described the application of the test to the supported organization. The test showed that the supported organization's public support percentage was 97%. The supported organization's business operation with regard to public support has not changed since the date of the filing of the letter with the Service. Therefore, it is unnecessary to continue to test the application of the public support test for this supported organization.

Part IV, Section A, Line 3c:

All support given to the 501(c)(4) organization which is a supported organization is controlled by the filing Organization because the support is in the form of services provided by the filing Organization.

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor US Address ContributorUSAddress

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Total Contributions	RESTRICTED	TotalContributionsAmt

Schedule D IRS990ScheduleD

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$87,777	OtherCostOrOtherBasisAmt
Depreciation	$87,777	DepreciationAmt
Book Value	$0	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$0	TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)

DescDesc	AmtAmt
Accrued payroll	$35,259
Contingent Compensation payable	$353,573

Field	Value	IRS element (for citing)
Total Liability	$388,832	TotalLiabilityAmt
Total Rev Etc Audited Fincl Stmt	$4,062,631	TotalRevEtcAuditedFinclStmtAmt
Revenue Not Reported	$0	RevenueNotReportedAmt
Revenue Subtotal	$4,062,631	RevenueSubtotalAmt
Revenue Not Reported Fincl Stmt	$0	RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990	$4,062,631	TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt	$3,032,191	TotExpnsEtcAuditedFinclStmtAmt
Expenses Not Reported	$0	ExpensesNotReportedAmt
Expenses Subtotal	$3,032,191	ExpensesSubtotalAmt
Expenses Not Rpt Fincl Stmt	$0	ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990	$3,032,191	TotalExpensesPerForm990Amt

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Compensation Committee	Yes (X)	CompensationCommitteeInd
Written Employment Contract	Yes (X)	WrittenEmploymentContractInd
Board Or Committee Approval	Yes (X)	BoardOrCommitteeApprovalInd
Severance Payment	0	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	0	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	0	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	0	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	0	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	0	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	0	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	0	AnyNonFixedPaymentsInd
Initial Contract Exception	0	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (4 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
Richard Thompson
Executive Director	$180,000	$0	$48,869	$0	$18,000	$0	$26,691	$0	$39,852	$0	$313,412	$0	$0	$0
Justin Aubert
Chief Financial Officer	$127,572	$0	$20,000	$0	$0	$0	$17,548	$0	$16,884	$0	$182,004	$0	$0	$0
Marc T Lassaux
Chief Technology Officer	$143,868	$0	$20,000	$0	$0	$0	$17,548	$0	$30,858	$0	$212,274	$0	$0	$0
Richard Warner
Project Management Coordin	$106,590	$0	$12,000	$0	$0	$0	$12,480	$0	$22,661	$0	$153,731	$0	$0	$0

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (6 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Form 990, Part III, Line 4b	Funding Sources: QHN continues to leverage the investments made by multiple grant contracts, past and present, to support the work required to build the technology infrastructure data inoperability exchange capabilities and robust data warehousing essential for the advanced analytics and data needs of new care and payment models. In 2016 QHN began work with the Colorado Department of Health Care Policy and Financing (HCPF) on several separate grant opportunities. In addition QHN continues to support the efforts of the State Innovation Model (SIM) initiative and the Testing Experience and Functional Tools (TEFT) grant which is designed to demonstrate the use of Personal Health Record (PHR) within the targeted populations of the intellectually and developmentally disabled, elderly, blind and disabled and identify and evaluate electronic long-term services and supports (e-LTSS) standard in conjunction with the Office of the National Coordinator (ONC). These investments have allowed QHN to increase and enhance connectivity with Medicare providers, expand acquistion of ambulatory data, including data from behavioral health and long-term care providers to enrich the data repository in support of the common vision of improving outcomes for Medicare and all patients in western Colorado. The collective impact of these acquisitions, and the practice transformation work they support, has been instrumental in the evolution of the healthcare delivery system of western Colorado.
Form 990, Part VI, Section A, line 7a	The board consists of eight members. There are five tax exempt non-profit entities represented on the board and one taxable nonprofit entity. Each entity chooses a member to serve on the board. Two members are at large. All members of the board elect the two members at large. One position on the Board was vacant as of the end of the tax year.
Form 990, Part VI, Section B, line 11b	A copy of form 990 is provided to each board member before its' filing. Each board member is given an opportunity to comment on the 990 and ask questions before it is filed.
Form 990, Part VI, Section B, line 12c	Conflict of interest disclosure statements are reviewed by the Executive Director and legal counsel. All Board members, officers and key employees are covered under the policy. Before each Board meeting legal counsel and the Executive Director review the agenda and determine if there is a conflict of interest potential for each board action item and during each board meeting legal counsel and the Executive Director are present to do the same. If there is a potential for a conflict, legal counsel advises the Board and the Board acts in accordance with its' conflict of interest policy. If someone has a conflict that person cannot participate in the deliberations or decision on the transaction.
Form 990, Part VI, Section B, line 15	Line 15a: The process is used for Executive Director (who is the top management official) compensation. The Board Chair, Board Vice Chair and Treasurer meet to determine the compensation amount relying on data of compensation rates for executives involved in health care in the Mesa County area. Their determination is documented contemporaneously in e-mail exchanges. Line 15b: The Organization used a compensation survey and a third party consultant to review salaries of several key positions including officers.
Form 990, Part VI, Section C, line 19	No requests for these documents have been received. However, if such a request were made, we would provide a copy of these documents to the extent required by applicable law for 501(c)(3) organizations.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (5 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Direct Controlling NADirectControllingNACd	Controlled OrganizationControlledOrganizationInd
Hilltop Health Services Corporation
1331 Hermosa Ave	Grand Junction	CO	81501	742321009	Rehabilitation services	CO	501(c)(3)	10	N/A	0
St Mary's Hospital and Medical Center
2635 N Seventh St	Grand Junction	CO	81501	840425720	Full service hospital	CO	501(c)(3)	3	N/A	0
Colorado West Healthcare System
2021 N 12th St	Grand Junction	CO	81501	840469270	Full service hospital	CO	501(c)(3)	3	N/A	0
Rocky Mountain Health Maintenance Organization Inc
2775 Crossroads Blvd	Grand Junction	CO	81506	840614905	Health maintenance organization	CO	501(c)(4)		N/A	0
Marillac Clinic
2333 N 6th	Grand Junction	CO	81501	841085822	Health care to indigent population	CO	501(c)(3)	3		0

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	0	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	0	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	Yes (1)	GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org	0	LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org	0	LoansOrGuaranteesFromOthOrgInd
Div Related Organization	0	DivRelatedOrganizationInd
Asset Sale To Other Org	0	AssetSaleToOtherOrgInd
Asset Purchase From Other Org	0	AssetPurchaseFromOtherOrgInd
Asset Exchange	0	AssetExchangeInd
Rental Of Facilities To Oth Org	0	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	0	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	0	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	0	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	0	SharingOfFacilitiesInd
Paid Employees Sharing	0	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	0	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	0	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	0	TransferToOtherOrgInd
Transfer From Other Org	0	TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (2 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt
St Mary's Hospital and Medical Center
C	$300,000
Colorado West Healthcare System
C	$120,000