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        <Real>3600</Real>
      </RentalIncomeOrLoss>
      <NetRentalIncomeOrLoss>
        <TotalRevenueColumn>3600</TotalRevenueColumn>
        <ExclusionAmount>3600</ExclusionAmount>
      </NetRentalIncomeOrLoss>
      <OtherRevenueMisc>
        <Description>MISCELLANEOUS INCOME</Description>
        <BusinessCode>900099</BusinessCode>
        <TotalRevenueColumn>3335</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>3335</RelatedOrExemptFunctionIncome>
      </OtherRevenueMisc>
      <TotalOtherRevenue>3335</TotalOtherRevenue>
      <TotalRevenue>
        <TotalRevenueColumn>2440677</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>1239844</RelatedOrExemptFunctionIncome>
        <UnrelatedBusinessRevenue>0</UnrelatedBusinessRevenue>
        <ExclusionAmount>9370</ExclusionAmount>
      </TotalRevenue>
      <GrantsToDomesticOrgs>
        <Total>607037</Total>
        <ProgramServices>607037</ProgramServices>
      </GrantsToDomesticOrgs>
      <OtherSalariesAndWages>
        <Total>1183935</Total>
        <ProgramServices>957297</ProgramServices>
        <ManagementAndGeneral>209689</ManagementAndGeneral>
        <Fundraising>16949</Fundraising>
      </OtherSalariesAndWages>
      <PensionPlanContributions>
        <Total>23394</Total>
        <ProgramServices>18916</ProgramServices>
        <ManagementAndGeneral>4143</ManagementAndGeneral>
        <Fundraising>335</Fundraising>
      </PensionPlanContributions>
      <OtherEmployeeBenefits>
        <Total>132017</Total>
        <ProgramServices>106906</ProgramServices>
        <ManagementAndGeneral>23233</ManagementAndGeneral>
        <Fundraising>1878</Fundraising>
      </OtherEmployeeBenefits>
      <PayrollTaxes>
        <Total>96646</Total>
        <ProgramServices>78145</ProgramServices>
        <ManagementAndGeneral>17118</ManagementAndGeneral>
        <Fundraising>1383</Fundraising>
      </PayrollTaxes>
      <FeesForServicesLegal>
        <Total>6192</Total>
        <ProgramServices>2800</ProgramServices>
        <ManagementAndGeneral>3392</ManagementAndGeneral>
      </FeesForServicesLegal>
      <FeesForServicesAccounting>
        <Total>50032</Total>
        <ProgramServices>45356</ProgramServices>
        <ManagementAndGeneral>4373</ManagementAndGeneral>
        <Fundraising>303</Fundraising>
      </FeesForServicesAccounting>
      <FeesForServicesProfFundraising>
        <Total>325</Total>
        <Fundraising>325</Fundraising>
      </FeesForServicesProfFundraising>
      <FeesForServicesOther>
        <Total>703818</Total>
        <ProgramServices>694046</ProgramServices>
        <ManagementAndGeneral>9686</ManagementAndGeneral>
        <Fundraising>86</Fundraising>
      </FeesForServicesOther>
      <Advertising>
        <Total>2029</Total>
        <ProgramServices>2021</ProgramServices>
        <ManagementAndGeneral>7</ManagementAndGeneral>
        <Fundraising>1</Fundraising>
      </Advertising>
      <OfficeExpenses>
        <Total>63034</Total>
        <ProgramServices>58263</ProgramServices>
        <ManagementAndGeneral>4464</ManagementAndGeneral>
        <Fundraising>307</Fundraising>
      </OfficeExpenses>
      <InformationTechnology>
        <Total>23776</Total>
        <ProgramServices>23136</ProgramServices>
        <ManagementAndGeneral>449</ManagementAndGeneral>
        <Fundraising>191</Fundraising>
      </InformationTechnology>
      <Occupancy>
        <Total>153628</Total>
        <ProgramServices>139270</ProgramServices>
        <ManagementAndGeneral>13429</ManagementAndGeneral>
        <Fundraising>929</Fundraising>
      </Occupancy>
      <Travel>
        <Total>158521</Total>
        <ProgramServices>135894</ProgramServices>
        <ManagementAndGeneral>22393</ManagementAndGeneral>
        <Fundraising>234</Fundraising>
      </Travel>
      <ConferencesMeetings>
        <Total>115477</Total>
        <ProgramServices>110596</ProgramServices>
        <ManagementAndGeneral>4881</ManagementAndGeneral>
      </ConferencesMeetings>
      <Interest>
        <Total>1059</Total>
        <ProgramServices>960</ProgramServices>
        <ManagementAndGeneral>93</ManagementAndGeneral>
        <Fundraising>6</Fundraising>
      </Interest>
      <DepreciationDepletion>
        <Total>36692</Total>
        <ProgramServices>33263</ProgramServices>
        <ManagementAndGeneral>3207</ManagementAndGeneral>
        <Fundraising>222</Fundraising>
      </DepreciationDepletion>
      <Insurance>
        <Total>3188</Total>
        <ProgramServices>2890</ProgramServices>
        <ManagementAndGeneral>279</ManagementAndGeneral>
        <Fundraising>19</Fundraising>
      </Insurance>
      <OtherExpenses>
        <Description>DUES</Description>
        <Total>86292</Total>
        <ProgramServices>79127</ProgramServices>
        <ManagementAndGeneral>6887</ManagementAndGeneral>
        <Fundraising>278</Fundraising>
      </OtherExpenses>
      <OtherExpenses>
        <Description>PROFESSIONAL DEVELOPMEN</Description>
        <Total>12400</Total>
        <ProgramServices>8293</ProgramServices>
        <ManagementAndGeneral>3934</ManagementAndGeneral>
        <Fundraising>173</Fundraising>
      </OtherExpenses>
      <OtherExpenses>
        <Description>MISCELLANEOUS EXPENSE</Description>
        <Total>338</Total>
        <ProgramServices>327</ProgramServices>
        <ManagementAndGeneral>11</ManagementAndGeneral>
      </OtherExpenses>
      <TotalFunctionalExpenses>
        <Total>3459830</Total>
        <ProgramServices>3104543</ProgramServices>
        <ManagementAndGeneral>331668</ManagementAndGeneral>
        <Fundraising>23619</Fundraising>
      </TotalFunctionalExpenses>
      <CashNonInterestBearing>
        <BOY>389487</BOY>
        <EOY>378224</EOY>
      </CashNonInterestBearing>
      <SavingsAndTempCashInvestments>
        <BOY>1829282</BOY>
        <EOY>1766558</EOY>
      </SavingsAndTempCashInvestments>
      <PledgesAndGrantsReceivable>
        <BOY>1237114</BOY>
        <EOY>249828</EOY>
      </PledgesAndGrantsReceivable>
      <AccountsReceivable>
        <BOY>194366</BOY>
        <EOY>190190</EOY>
      </AccountsReceivable>
      <PrepaidExpensesDeferredCharges>
        <BOY>79724</BOY>
        <EOY>64658</EOY>
      </PrepaidExpensesDeferredCharges>
      <LandBuildingsEquipmentBasis>235890</LandBuildingsEquipmentBasis>
      <LandBldgEquipmentAccumDeprec>137507</LandBldgEquipmentAccumDeprec>
      <LandBuildingsEquipmentBasisNet>
        <BOY>135075</BOY>
        <EOY>98383</EOY>
      </LandBuildingsEquipmentBasisNet>
      <OtherAssetsTotal>
        <BOY>21574</BOY>
        <EOY>14630</EOY>
      </OtherAssetsTotal>
      <TotalAssets>
        <BOY>3886622</BOY>
        <EOY>2762471</EOY>
      </TotalAssets>
      <AccountsPayableAccruedExpenses>
        <BOY>198537</BOY>
        <EOY>173137</EOY>
      </AccountsPayableAccruedExpenses>
      <DeferredRevenue>
        <BOY>614115</BOY>
        <EOY>538882</EOY>
      </DeferredRevenue>
      <MortNotesPyblSecuredInvestProp>
        <BOY>21225</BOY>
        <EOY>16860</EOY>
      </MortNotesPyblSecuredInvestProp>
      <TotalLiabilities>
        <BOY>833877</BOY>
        <EOY>728879</EOY>
      </TotalLiabilities>
      <FollowSFAS117>X</FollowSFAS117>
      <UnrestrictedNetAssets>
        <BOY>1343336</BOY>
        <EOY>1384969</EOY>
      </UnrestrictedNetAssets>
      <TemporarilyRestrictedNetAssets>
        <BOY>1709409</BOY>
        <EOY>648623</EOY>
      </TemporarilyRestrictedNetAssets>
      <TotalNetAssetsFundBalances>
        <BOY>3052745</BOY>
        <EOY>2033592</EOY>
      </TotalNetAssetsFundBalances>
      <TotalLiabNetAssetsFundBalances>
        <BOY>3886622</BOY>
        <EOY>2762471</EOY>
      </TotalLiabNetAssetsFundBalances>
      <ReconcilationRevenueExpenses>-1019153</ReconcilationRevenueExpenses>
      <ReconcilationOtherChanges>0</ReconcilationOtherChanges>
      <InfoInScheduleOPartXII>X</InfoInScheduleOPartXII>
      <MethodOfAccountingAccrual>X</MethodOfAccountingAccrual>
      <AccountantCompileOrReview>0</AccountantCompileOrReview>
      <FSAudited>1</FSAudited>
      <FSAuditedBasis>
        <FinancialStatementSeparate>X</FinancialStatementSeparate>
      </FSAuditedBasis>
      <AuditCommittee>1</AuditCommittee>
      <FederalGrantAuditRequired>1</FederalGrantAuditRequired>
      <FederalGrantAuditPerformed>1</FederalGrantAuditPerformed>
    </IRS990>
    <IRS990ScheduleA documentId="RetDoc1039100001">
      <PubliclySupportedOrg170b1Avi>X</PubliclySupportedOrg170b1Avi>
      <GiftsGrantsContribReceived170>
        <CurrentTaxYearMinus4Years>2079118</CurrentTaxYearMinus4Years>
        <CurrentTaxYearMinus3Years>2395278</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>3200186</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>1366334</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>1191463</CurrentTaxYear>
        <Total>10232379</Total>
      </GiftsGrantsContribReceived170>
      <Total170>
        <CurrentTaxYearMinus4Years>2079118</CurrentTaxYearMinus4Years>
        <CurrentTaxYearMinus3Years>2395278</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>3200186</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>1366334</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>1191463</CurrentTaxYear>
        <Total>10232379</Total>
      </Total170>
      <AmountsSubstContributorsTotal>984870</AmountsSubstContributorsTotal>
      <PublicSupportTotal170>9247509</PublicSupportTotal170>
      <GrossInvestmentIncome170>
        <CurrentTaxYearMinus4Years>29702</CurrentTaxYearMinus4Years>
        <CurrentTaxYearMinus3Years>18331</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>22961</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>8042</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>5770</CurrentTaxYear>
        <Total>84806</Total>
      </GrossInvestmentIncome170>
      <OtherIncome170>
        <CurrentTaxYearMinus2Years>2561</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>1434</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>3335</CurrentTaxYear>
        <Total>7330</Total>
      </OtherIncome170>
      <TotalSupport>10324515</TotalSupport>
      <PublicSupportPertcentage170>0.89570</PublicSupportPertcentage170>
      <PublicSupportPertcentPriorYear>0.91160</PublicSupportPertcentPriorYear>
      <ThirtyThreePercntTestsCY170>X</ThirtyThreePercntTestsCY170>
      <GeneralExplanation>SCHEDULE A, PART II, LINE 10, EXPLANATION OF OTHER INCOME: MISCELLANEOUS INCOME</GeneralExplanation>
    </IRS990ScheduleA>
    <IRS990ScheduleB documentId="RetDoc1234500001">
      <ContributorInfo>
        <ContributorNumber>RESTRICTED</ContributorNumber>
        <ContributorNameBusiness>
          <BusinessNameLine1>RESTRICTED</BusinessNameLine1>
        </ContributorNameBusiness>
        <ContributorAddressUS>
          <AddressLine1>RESTRICTED</AddressLine1>
          <AddressLine2>RESTRICTED</AddressLine2>
          <City>RESTRICTED</City>
          <State>RESTRICTED</State>
          <ZIPCode>RESTRICTED</ZIPCode>
        </ContributorAddressUS>
        <AggregateContributions>RESTRICTED</AggregateContributions>
      </ContributorInfo>
    </IRS990ScheduleB>
    <IRS990ScheduleC documentId="RetDoc1039700001">
      <Volunteers>0</Volunteers>
      <PaidStaffOrManagement>1</PaidStaffOrManagement>
      <MediaAdvertisements>0</MediaAdvertisements>
      <MailingsMembers>0</MailingsMembers>
      <PublicationsOrBroadcast>0</PublicationsOrBroadcast>
      <GrantsOtherOrganizations>0</GrantsOtherOrganizations>
      <DirectContactLegislators>1</DirectContactLegislators>
      <DirectContactLegislatorsAmount>791</DirectContactLegislatorsAmount>
      <RalliesDemonstrations>0</RalliesDemonstrations>
      <OtherActivities>0</OtherActivities>
      <TotalLobbyingExpendituresIIB>791</TotalLobbyingExpendituresIIB>
      <NotDescribedIn501c3>0</NotDescribedIn501c3>
    </IRS990ScheduleC>
    <IRS990ScheduleD documentId="RetDoc1040000001">
      <LeaseholdImprovements>
        <OtherCostOrOtherBasis>60617</OtherCostOrOtherBasis>
        <Depreciation>27915</Depreciation>
        <BookValue>32702</BookValue>
      </LeaseholdImprovements>
      <Equipment>
        <OtherCostOrOtherBasis>79442</OtherCostOrOtherBasis>
        <Depreciation>53726</Depreciation>
        <BookValue>25716</BookValue>
      </Equipment>
      <OtherLandBuildings>
        <OtherCostOrOtherBasis>95831</OtherCostOrOtherBasis>
        <Depreciation>55866</Depreciation>
        <BookValue>39965</BookValue>
      </OtherLandBuildings>
      <TotalOfBookValueLandBuildings>98383</TotalOfBookValueLandBuildings>
      <FootnoteInPartXIII>X</FootnoteInPartXIII>
      <TotRevenueEtcAuditedFinclStmt>2440677</TotRevenueEtcAuditedFinclStmt>
      <RevenueNotRptdF990>0</RevenueNotRptdF990>
      <RevenueSubtotal>2440677</RevenueSubtotal>
      <RevenueNotRptdOnFinStmt>0</RevenueNotRptdOnFinStmt>
      <TotalRevenuePerForm990>2440677</TotalRevenuePerForm990>
      <TotExpensesEtcAuditedFinclStmt>3459830</TotExpensesEtcAuditedFinclStmt>
      <ExpensesNotRptdF990>0</ExpensesNotRptdF990>
      <ExpensesSubtotal>3459830</ExpensesSubtotal>
      <ExpensesNotRptdOnFinStmt>0</ExpensesNotRptdOnFinStmt>
      <TotalExpensesPerForm990>3459830</TotalExpensesPerForm990>
      <Form990ScheduleDPartXIII>
        <Identifier>DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48:</Identifier>
        <ReturnReference>PART X, LINE 2:</ReturnReference>
        <Explanation>COLORADO RURAL HEALTH CENTER (CRHC) IS EXEMPT FROM FEDERAL INCOME TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. HOWEVER, CRHC IS SUBJECT TO FEDERAL INCOME TAX ON ANY UNRELATED BUSINESS INCOME. NO PROVISION FOR FEDERAL INCOME TAXES HAS BEEN INCLUDED IN THE ACCOMPANYING FINANCIAL STATEMENTS. MANAGEMENT EVALUATED CRHC'S TAX POSITIONS AND CONCLUDED THAT CRHC HAS TAKEN NO UNCERTAIN TAX POSITIONS THAT REQUIRE ADJUSTMENT TO THE FINANCIAL STATEMENTS TO COMPLY WITH THE PROVISIONS OF ACCOUNTING GUIDANCE REALTED TO INCOME TAXES. WITH FEW EXCEPTIONS, CRHC IS NO LONGER SUBJECT TO INCOME TAX EXAMINATIONS BY THE U.S. FEDERAL, STATE OR LOCAL AUTHORITIES FOR YEARS BEFORE 2009. AS OF DECEMBER 31, 2012, CRHC HAS ADDRESSED UNCERTAINTY IN ITS INCOME TAX POSITIONS UNDER THIS GUIDANCE AND DETERMINED THERE ARE NO UNRECOGNIZED/DERECOGNIZED TAX BENEFITS REQUIRING AN ACCRUAL.</Explanation>
      </Form990ScheduleDPartXIII>
    </IRS990ScheduleD>
    <IRS990ScheduleI documentId="RetDoc1041900001">
      <RecordsMaintained>1</RecordsMaintained>
      <RecipientTable>
        <RecipientNameBusiness>
          <BusinessNameLine1>HEART OF THE ROCKIES REGIONAL MEDICAL CENTER</BusinessNameLine1>
        </RecipientNameBusiness>
        <AddressUS>
          <AddressLine1>1000 RUSH DRIVE</AddressLine1>
          <City>SALIDA</City>
          <State>CO</State>
          <ZIPCode>81201</ZIPCode>
        </AddressUS>
        <EINOfRecipient>840631509</EINOfRecipient>
        <AmountOfCashGrant>10000</AmountOfCashGrant>
        <PurposeOfGrant>CAH TECHNICAL ASSISTANCE</PurposeOfGrant>
      </RecipientTable>
      <RecipientTable>
        <RecipientNameBusiness>
          <BusinessNameLine1>KIT CARSON COUNTY MEMORIAL HOSPITAL</BusinessNameLine1>
        </RecipientNameBusiness>
        <AddressUS>
          <AddressLine1>286 16TH STREET</AddressLine1>
          <City>BURLINGTON</City>
          <State>CO</State>
          <ZIPCode>80807</ZIPCode>
        </AddressUS>
        <EINOfRecipient>840435504</EINOfRecipient>
        <AmountOfCashGrant>7051</AmountOfCashGrant>
        <PurposeOfGrant>CAH TECHNICAL ASSISTANCE</PurposeOfGrant>
      </RecipientTable>
      <RecipientTable>
        <RecipientNameBusiness>
          <BusinessNameLine1>RIO GRANDE HOSPITAL</BusinessNameLine1>
        </RecipientNameBusiness>
        <AddressUS>
          <AddressLine1>0310 COUNTY ROAD 14</AddressLine1>
          <City>DEL NORTE</City>
          <State>CO</State>
          <ZIPCode>81132</ZIPCode>
        </AddressUS>
        <EINOfRecipient>841276376</EINOfRecipient>
        <AmountOfCashGrant>15000</AmountOfCashGrant>
        <PurposeOfGrant>CAH TECHNICAL ASSISTANCE AND WORKFORCE</PurposeOfGrant>
      </RecipientTable>
      <RecipientTable>
        <RecipientNameBusiness>
          <BusinessNameLine1>SOUTHWEST HEALTH SYSTEM INC</BusinessNameLine1>
        </RecipientNameBusiness>
        <AddressUS>
          <AddressLine1>1311 NORTH MILDRED ROAD</AddressLine1>
          <City>CORTEZ</City>
          <State>CO</State>
          <ZIPCode>81321</ZIPCode>
        </AddressUS>
        <EINOfRecipient>841337350</EINOfRecipient>
        <AmountOfCashGrant>10000</AmountOfCashGrant>
        <PurposeOfGrant>CAH TECHNICAL ASSISTANCE</PurposeOfGrant>
      </RecipientTable>
      <RecipientTable>
        <RecipientNameBusiness>
          <BusinessNameLine1>CASTLE VALLEY CHILDERN'S CLINIC</BusinessNameLine1>
        </RecipientNameBusiness>
        <AddressUS>
          <AddressLine1>820 CASTLE VALLEY BLVD STE 204</AddressLine1>
          <City>NEW CASTLE</City>
          <State>CO</State>
          <ZIPCode>81647</ZIPCode>
        </AddressUS>
        <EINOfRecipient>710903044</EINOfRecipient>
        <AmountOfCashGrant>10000</AmountOfCashGrant>
        <PurposeOfGrant>WORKFORCE</PurposeOfGrant>
      </RecipientTable>
      <RecipientTable>
        <RecipientNameBusiness>
          <BusinessNameLine1>COLORADO PLAINS PHYSICIAN PRACTICES</BusinessNameLine1>
        </RecipientNameBusiness>
        <AddressUS>
          <AddressLine1>1000 LINCOLN STREET SUITE 102</AddressLine1>
          <City>FORT MORGAN</City>
          <State>CO</State>
          <ZIPCode>80701</ZIPCode>
        </AddressUS>
        <EINOfRecipient>203730510</EINOfRecipient>
        <AmountOfCashGrant>6000</AmountOfCashGrant>
        <PurposeOfGrant>WORKFORCE</PurposeOfGrant>
      </RecipientTable>
      <RecipientTable>
        <RecipientNameBusiness>
          <BusinessNameLine1>PAGOSA PREGNANCY SUPPORT CENTER</BusinessNameLine1>
        </RecipientNameBusiness>
        <AddressUS>
          <AddressLine1>PO BOX 5437</AddressLine1>
          <City>PAGOSA SPRINGS</City>
          <State>CO</State>
          <ZIPCode>81147</ZIPCode>
        </AddressUS>
        <EINOfRecipient>841393680</EINOfRecipient>
        <AmountOfCashGrant>10000</AmountOfCashGrant>
        <PurposeOfGrant>WORKFORCE</PurposeOfGrant>
      </RecipientTable>
      <RecipientTable>
        <RecipientNameBusiness>
          <BusinessNameLine1>ROARING FORK FAMILY PHYSICIANS</BusinessNameLine1>
        </RecipientNameBusiness>
        <AddressUS>
          <AddressLine1>1340 STATE HIGHWAY 133</AddressLine1>
          <City>CARBONDALE</City>
          <State>CO</State>
          <ZIPCode>81623</ZIPCode>
        </AddressUS>
        <EINOfRecipient>840827299</EINOfRecipient>
        <AmountOfCashGrant>7500</AmountOfCashGrant>
        <PurposeOfGrant>WORKFORCE</PurposeOfGrant>
      </RecipientTable>
      <TotalNbrOf501C3AndGovtGrants>0</TotalNbrOf501C3AndGovtGrants>
      <TotalNbrOfOtherOrganizations>8</TotalNbrOfOtherOrganizations>
      <Form990ScheduleIPartIV>
        <Identifier>PROCEDURE FOR MONITORING GRANTS IN THE U.S.:</Identifier>
        <ReturnReference>PART I, LINE 2:</ReturnReference>
        <Explanation>SCHEDULE I, PART I, LINE 2: COLORADO RURAL HEALTH CENTER (CRHC) AWARDS GRANTS TO RURAL CONSTITUENTS LOCATED IN RURAL AREAS OF COLORADO. AS PART OF THE GRANT REPORTING PROCESS, CRHC REQUIRES GRANTEES TO DESCRIBE THE USE OF THE GRANT FUNDS. ADDITIONALLY, CRHC RETAINS THE RIGHT TO VISIT THE SITE AND CONFIRM THE GRANTS WERE USED IN THE MANNER DESCRIBED.</Explanation>
      </Form990ScheduleIPartIV>
    </IRS990ScheduleI>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART VI, SECTION A, LINE 6</ReturnReference>
        <Explanation>COLORADO RURAL HEALTH CENTER HAS VARIOUS CLASSES OF MEMBERS WITH RIGHTS AND PRIVILEGES AS INDICATED BY THE BOARD OF DIRECTORS.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART VI, SECTION B, LINE 11</ReturnReference>
        <Explanation>AN ELECTRONIC COPY OF THE DRAFT FORM 990 WILL BE PROVIDED TO THE BOARD OF DIRECTORS FOR REVIEW PRIOR TO FILING WITH THE INTERNAL REVENUE SERVICE. THE BOARD OF DIRECTORS WILL CONDUCT A VOTE TO APPROVE THE FORM 990 AT EITHER A REGULARLY SCHEDULED BOARD MEETING OR VIA EMAIL.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART VI, SECTION B, LINE 12C</ReturnReference>
        <Explanation>ANY DIRECTOR, PRINCIPAL OFFICER, OR MEMBER OF A COMMITTEE WITH GOVERNING BOARD DELEGATED POWERS, 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 DISLCLOSE ALL MATERIAL FACTS TO THE DIRECTORS AND MEMBERS OF COMMITTEES WITH GOVERNING BOARD DELEGATED POWERS CONSIDERING THE PROPOSED TRANSACTION OR ARRANGEMENT. TO ENSURE COMPLIANCE WITH THE ABOVE, EACH INTERESTED PERSON MUST ANNUALLY SIGN A STATEMENT WHICH AFFIRMS HE/SHE HAS RECEIVED A COPY OF THE CONFLICT OF INTEREST POLICY; 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 EXEMPTIONS IT MUST ENGAGE PRIMARILY IN ACTIVITIES WHICH ACCOMPLISH ONE OR MORE OF ITS TAX-EXEMPT PURPOSES.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART VI, SECTION B, LINE 15A</ReturnReference>
        <Explanation>THE EXECUTIVE COMMITTEE OF THE BOARD OF DIRECTORS CONDUCTS AN ANNUAL REVIEW FOR THE CHIEF EXECUTIVE OFFICER, INCLUDING GATHERING FEEDBACK FROM THE STAFF AND OUTSIDE PROVIDERS. THE COMMITTEE DETERMINES THE CHIEF EXECUTIVE OFFICER'S SALARY INCREASE BASED ON PERFORMANCE AND THE COLORADO RURAL HEALTH CENTER'S ANNUAL BUDGET. THE CHIEF EXECUTIVE OFFICER IS ALSO ELIGIBLE FOR AN ANNUAL BONUS UPON ATTAINING CERTAIN GOALS ESTABLISHED DURING THE PRIOR YEAR'S ANNUAL REVIEW. THIS REVIEW PROCESS LAST TOOK PLACE IN JANUARY 2011. IN AUGUST 2012, A NEW CHIEF EXECUTIVE OFFICER WAS HIRED. THE EXECUTIVE COMMITTEE OF THE BOARD SET HER INITIAL SALARY AND WORKED WITH THE CEO TO SET PERFORMANCE GOALS FOR 2013. THE NORMAL REVIEW PROCESS WILL BE CONDUCTED IN 2013.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART VI, SECTION C, LINE 19</ReturnReference>
        <Explanation>COLORADO RURAL HEALTH CENTER MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>OTHER FEES</Identifier>
        <ReturnReference>FORM 990, PART IX, LINE 11G</ReturnReference>
        <Explanation>OTHER SERVICES: PROGRAM SERVICE EXPENSES 694,046. MANAGEMENT AND GENERAL EXPENSES 9,686. FUNDRAISING EXPENSES 86. TOTAL EXPENSES 703,818.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART XII, LINE 2C</ReturnReference>
        <Explanation>THE OVERSIGHT PROCESS HAS NOT CHANGED FROM THE PRIOR TAX YEAR.</Explanation>
      </GeneralExplanation>
    </IRS990ScheduleO>
  </ReturnData>
</Return>