2012-07-23T13:14:05-05:00 2011-12-31 420714325 MCGLADREY LLP 201 N HARRISON STREET SUITE 300 DAVENPORT IA 528011999 990 2011-01-01 841192031 COLORADO RURAL HEALTH CENTER COLO 3038327493 3033 SOUTH PARKER ROAD STE 606 AURORA CO 80014 MICHELLE MILLS 3038327493 2012-07-12 1 JOHN J ROMANO P00227323 5638884000 2011 2016-02-24 21:20:13Z MICHELLE MILLS 3033 SOUTH PARKER ROAD STE 606 AURORA CO 80014 2766310 0 X WWW.CORURALHEALTH.ORG X 1991 CO OUR MISSION IS TO ENHANCE HEALTHCARE SERVICES IN THE STATE BY PROVIDING INFORMATION, EDUCATION, LINKAGES, TOOLS, AND ENERGY TOWARD ADDRESSING RURAL HEALTH ISSUES. 11 10 33 0 0 0 3200186 1366334 1136399 1371530 8561 8901 16961 15834 4362107 2762599 645883 653198 0 0 1391719 1629969 7728 13415 60132 993044 1413235 3038374 3709817 1323733 -947218 4638106 3886622 638144 833877 3999962 3052745 X OUR MISSION IS TO ENHANCE HEALTHCARE SERVICES IN THE STATE BY PROVIDING INFORMATION, EDUCATION, LINKAGES, TOOLS, AND ENERGY TOWARD ADDRESSING RURAL HEALTH ISSUES. THE ORGANIZATION WAS ESTABLISHED TO MAXIMIZE THE QUALITY, DELIVERY, AND COORDINATION OF HEALTH CARE SERVICES THROUGHOUT THE RURAL AREAS OF THE STATE OF COLORADO. 0 0 1672199 441142 584582 CRHC SUPPORTS THE FRAGILE HEALTHCARE DELIVERY SYSTEM IN COLORADO BY PROVIDING PROGRAMS TO RURAL HOSPITALS AND CLINICS THAT IMPROVE QUALITY OF CARE, INCREASE FUNDING AND REIMBURSEMENT, AND ASSIST WITH EMERGENCY PREPAREDNESS. IN 2011, CRHC SUPPORTED 29 CRITICAL ACCESS HOSPITALS THROUGH THE MEDICARE FLEXIBILITY GRANT BY OFFERING QUALITY IMPROVEMENT SERVICES, HIT SUPPORT AND CAPACITY BUILDING AWARDS. CRHC ALSO SERVED COLORADO'S 52 RURAL HEALTH CLINICS THROUGH MOCK SURVEYS, BILLING AND CODING WORKSHOPS, HEALTHY CLINIC ASSESSMENTS, GAP ANALYSIS STUDIES, HIT SUPPORT, FEASIBILITY STUDIES AND PROCESS MAPPING. THE EMERGENCY PREPAREDNESS PROGRAM PROVIDED FUNDING FOR HOSPITALS, COLLEGES AND RHCS TO SUPPORT PURCHASING EMERGENCY PREPAREDNESS SUPPLIES, EQUIPMENT AND TRAINING. 637556 70233 675984 IN AN EFFORT TO IDENTIFY AND RELIEVE THE WORKFORCE PROBLEMS IN COLORADO, CRHC ADMINISTERS A VARIETY OF PROGRAMS THAT IMPROVE PROVIDER RECRUITMENT AND RETENTION AND FUND LOAN REPAYMENT FOR HEALTHCARE WORKERS. IN 2011, CRHC PLACED 14 CLINICIANS IN RURAL AND UNDERSERVED AREAS, INCREASING ACCESS TO HEALTHCARE THROUGHOUT THE STATE. COLORADO STRIDES DEVELOPED NEW COMMUNITY HEALTH NEEDS ASSESSMENT SERVICES FOR 501C3 HOSPITALS AND ACCOMPLISHED TWO CHNAS FROM THIS INITIAL ROLL OUT. ADDITIONALLY, COLORADO STRIDES WORKED WITH NUMEROUS STATE, FEDERAL, AND PHILANTHROPIC RESOURCES TO SUPPORT FUTURE COMMUNITY DEVELOPMENT PLANNING ACTIVITIES TO ENHANCE THE ABILITY OF THE COMMUNITIES TO BOTH RECRUIT AND RETAIN QUALITY HEALTHCARE PROVIDERS. 584167 584582 CRHC'S TECHNOLOGY FOR HEALTHCARE EXCELLENCE (THE) CONSORTIUM PROVIDES FACILITIES WITH ACCESS TO TRUSTED RESOURCES TO ASSIST THEM WITH THEIR JOURNEY TO ASSESS, ADOPT AND IMPLEMENT HEALTH INFORMATION TECHNOLOGY SOLUTIONS. THIS PROGRAM ASSISTED 80 RURAL AND SAFETY NET CLINIC AND 33 RURAL HOSPITALS WITH TECHNOLOGY ASSESSMENTS AND ELECTRONIC HEALTH RECORD VENDOR SELECTION AND IMPLEMENTATION IN 2011. 423177 141823 759666 CRHC ADMINISTERS OUTREACH PROGRAMS TO PROVIDE TECHNICAL ASSISTANCE, GRANT DOLALRS, GRANT WRITING ASSISTANCE AND OTHER RESOURCES FOR OUR RURAL MEMBERS. IN 2011, CRHC AWARDED $8,310 IN SEED GRANTS TO SUPPORT RURAL HEALTHCARE. THE COLORADO RURAL HEALTH CARE GRANTS PROGRAM AWARDED MONEY TO 54 ORGANIZATIONS TO SUPPORT RURAL PRIMARY CARE INFRASTRUCTURE PROJECTS, THROUGH FUNDING FROM THE STATE OF COLORADO. APPROXIMATELY 140 PARTICIPANTS ATTENDED OUR 20TH ANNIVERSARY ANNUAL CONFERNECE TO HEAR ABOUT HEALTHCARE REFORM, HIT, FUNDING OPPORTUNITIES AND INNOVATIVE PROJECTS. 423177 141823 759666 3317099 1 1 0 1 0 0 0 0 0 0 1 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 24 0 1 33 1 0 0 0 0 0 0 0 0 0 0 X 11 10 0 0 0 0 1 0 0 1 1 0 0 1 1 1 1 1 0 1 0 0 X THE ORGANIZATION 3038327493 3033 SOUTH PARKER ROAD STE 606 AURORA CO 80014 LOU ANN WILROY 40.00 X X 73899 0 5446 ALAN SPIDEL 40.00 X X 35192 0 3279 THERESA ANSELMO 1.00 X 0 0 0 JACQUELINE BROWN 1.00 X 0 0 0 BRYAN HESS 1.00 X 0 0 0 RICHARD EVELEIGH 1.00 X 0 0 0 SHERYL HIEBER 1.00 X 0 0 0 LARRY KIPE 1.00 X 0 0 0 ARLENE HARMS 1.00 X X 0 0 0 PAM NICHOLSON 1.00 X X 0 0 0 ROBERT OMER 1.00 X X 0 0 0 KAREN TOMKY 1.00 X 0 0 0 JENNIFER JONES 40.00 X 48361 0 7811 157452 0 16536 0 0 0 0 DAVID A GINSBERG 3 MONTE ALTO WAY SANTE FE NM 87508 HEALTHCARE IT CONSULTING 252338 1 133050 1145411 87873 1366334 CONTRACTED SERVICES 900099 636422 636422 FISCAL AGENT FEES 900099 507855 507855 TECHNICAL ASSISTANCE F 900099 117669 117669 WORKSHOPS AND TRAINING 900099 64005 64005 REGISTRATION FEES 900099 45579 45579 1371530 8042 8042 14400 14400 14400 14400 4570 3711 859 859 859 MISCELLANEOUS INCOME 900099 1434 1434 1434 2762599 1372964 0 23301 653198 653198 1359844 1132568 198455 28821 18777 15639 2740 398 142176 118414 20749 3013 109172 90925 15933 2314 1714 1639 56 19 27300 26110 894 296 1985 1682 267 36 13415 13415 722840 691328 23679 7833 5414 5387 24 3 73807 64986 8287 534 36832 35310 1331 191 152304 134718 15373 2213 180866 159807 20690 369 97275 95452 1768 55 896 792 91 13 38048 33654 3841 553 3170 2804 320 46 DUES 42461 36058 6393 10 PROFESSIONAL DEVELOPMEN 28323 16628 11695 3709817 3317099 332586 60132 398125 389487 1923596 1829282 1902051 1237114 147556 194366 70801 79724 235890 100815 153170 135075 42807 21574 4638106 3886622 222026 198537 410722 614115 5396 21225 638144 833877 X 1225149 1343336 2774813 1709409 3999962 3052745 4638106 3886622 -947218 0 X X 0 1 1 X 1 1 X 2768103 2079118 2395278 3200186 1366334 11809019 39318 39318 2807421 2079118 2395278 3200186 1366334 11848337 919999 10928338 56855 29702 18331 22961 8042 135891 2561 1434 3995 11988223 0.91160 0.85740 X SCHEDULE A, PART II, LINE 10, EXPLANATION OF OTHER INCOME: MISCELLANEOUS INCOME RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 1 0 0 0 0 1 1985 0 0 1985 0 60617 21534 39083 79442 37105 42337 95831 42176 53655 135075 2762599 3709817 -947218 -947218 2763128 528 528 2762600 0 2762600 3710345 528 528 3709817 0 3709817 DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: PART X: 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 2008. AS OF DECEMBER 31, 2011, CRHC HAS ADDRESSED UNCERTAINTY IN ITS INCOME TAX POSITIONS UNDER THIS GUIDANCE AND DETERMINED THERE ARE NO UNRECOGNIZED/DERECOGNIZED TAX BENEFITS REQUIRING AN ACCRUAL. PART XII, LINE 2D - OTHER ADJUSTMENTS: MISCELLANEOUS RECLASSIFICATION OF REVENUES AND EXPENSES 528. PART XIII, LINE 2D - OTHER ADJUSTMENTS: MISCELLANEOUS RECLASSIFICATION OF REVENUES AND EXPENSES 528. 1 ASPEN VALLEY HOSPITAL DISTRICT 401 CASTLE CREEK ROAD ASPEN CO 81611 840720309 5824 CAH TECHNICAL ASSISTANCE COLORADO PLAINS MEDICAL CENTER 1000 LINCOLN STREET CS 4200 FT MORGAN CO 80701 270113173 5824 CAH TECHNICAL ASSISTANCE CONEJOS COUNTY HOSPITAL 19021 US HIGHWAY 285 LA JARA CO 81140 710947623 501(C)(3) 10824 CAH TECHNICAL ASSISTANCE DELTA COUNTY MEMORIAL HOSPITAL PO BOX 10100 DELTA CO 81416 840428757 15824 WORKFORCE; CAH TECHNICAL ASSISTANCE EAST CENTRAL BOCES 820 2ND STREET LIMON CO 80828 840625351 10000 WORKFORCE EAST MORGAN COUNTY HOSPITAL 2400 WEST EDISON STREET BRUSH CO 80723 450233470 501(C)(3) 5824 CAH TECHNICAL ASSISTANCE ESTES PARK MEDICAL CENTER 555 PROSPECT AVENUE ESTES PARK CO 80517 840601621 10824 CAH TECHNICAL ASSISTANCE FAMILY HEALTH WEST PO BOX 130 FRUITA CO 81648 840447998 5331 CAH TECHNICAL ASSISTANCE GRAND RIVER HOSPITAL DISTRICT PO BOX 912 RIFLE CO 81650 840513889 15824 WORKFORCE; CAH TECHNICAL ASSISTANCE GUNNISON VALLEY HOSPITAL 711 NORTH TAYLOR STREET GUNNISON CO 81230 846008116 501(C)(3) 10824 CAH TECHNICAL ASSISTANCE HAXTUN HOSPITAL DISTRICT 235 WEST FLETCHER HAXTUN CO 80731 840574271 9259 CAH TECHNICAL ASSISTANCE HEART OF THE ROCKIES REGIONAL MEDICAL CENTER 1000 RUSH DRIVE SALIDA CO 81201 840631509 10609 CAH TECHNICAL ASSISTANCE KIT CARSON COUNTY MEMORIAL HOSPITAL 286 16TH STREET BURLINGTON CO 80807 840435504 10552 CAH TECHNICAL ASSISTANCE KREMMLING MEMORIAL HOSPITAL DISTRICT 214 SOUTH 4TH STREET KREMMLING CO 80459 840676212 6824 CAH TECHNICAL ASSISTANCE; EDUCATION LINCOLN COMMUNITY HOSPITAL 111 6TH STREET HUGO CO 80821 840484566 20086 CAH TECHNICAL ASSISTANCE; WORKFORCE MELISSA MEMORIAL HOSPITAL 1001 EAST JOHNSON STREET HOLYOKE CO 80734 743173873 501(C)(3) 10824 CAH TECHNICAL ASSISTANCE MT SAN RAFAEL HOSPITAL 410 BENEDICTA AVENUE TRINIDAD CO 81082 840586742 501(C)(3) 11824 CAH TECHNICAL ASSISTANCE PAGOSA MOUNTAIN HOSPITAL 95 SOUTH PAGOSA BOULEVARD PAGOSA SPRINGS CO 81147 840866061 10824 CAH TECHNICAL ASSISTANCE PIKES PEAK REGIONAL HOSPITAL 16420 WEST HIGHWAY 24 WOODLAND PARK CO 80863 030582147 8265 CAH TECHNICAL ASSISTANCE PIONEERS MEDICAL CENTER 345 CLEVELAND STREET MEEKER CO 81641 870788731 11824 EDUCATION; CAH TECHNICAL ASSISTANCE PROWERS MEDICAL CENTER 401 KENDALL DRIVE LAMAR CO 81052 840584583 501(C)(3) 10574 CAH TECHNICAL ASSISTANCE RANGELY DISTRICT HOSPITAL 511 SOUTH WHITE AVENUE RANGELY CO 81648 846014785 10824 CAH TECHNICAL ASSISTANCE RIO GRANDE HOSPITAL 0310 COUNTY ROAD 14 DEL NORTE CO 81132 841276376 10024 CAH TECHNICAL ASSISTANCE ROCKY MOUTAIN FAMILY PRACTICE 735 HIGHWAY 24 SOUTH LEADVILLE CO 80461 431999407 6500 WORKFORCE SEDGWICK COUNTY HEALTH CENTER 900 CEDAR STREET JULESBURG CO 80737 840816593 501(C)(3) 10099 CAH TECHNICAL ASSISTANCE SOUTHEAST COLORADO HOSPITAL DISTRICT 373 EAST 10TH AVENUE SPRINGFIELD CO 81073 840592527 9664 CAH TECHNICAL ASSISTANCE SOUTHWEST HEALTH SYSTEM INC 1311 NORTH MILDRED ROAD CORTEZ CO 81320 841337350 10824 CAH TECHNICAL ASSISTANCE SPANISH PEAKS REGIONAL HEALTH CENTER 23500 US HIGHWAY 160 WALSENBURG CO 81089 846027322 501(C)(3) 11824 CAH TECHNICAL ASSISTANCE; EDUCATION ST VINCENT GENERAL HOSPITAL DISTRICT 822 WEST 4TH STREET LEADVILLE CO 80461 840424585 5824 CAH TECHNICAL ASSISTANCE STERLING REGIONAL MEDICAL CENTER 615 FAIRHURST STREET STERLING CO 80751 450233470 5824 CAH TECHNICAL ASSISTANCE THE MEMORIAL HOSPITAL 750 HOSPITAL LOOP CRAIG CO 81625 840399209 5824 CAH TECHNICAL ASSISTANCE VALLEY-WIDE HEALTH SYSTEMS 128 MARKET STREET ALAMOSA CO 81101 840706945 501(C)(3) 15000 WORKFORCE WEISBROD MEMORIAL HOSPITAL 1208 LUTHER EADS CO 81036 840537008 8275 CAH TECHNICAL ASSISTANCE WRAY COMMUNITY DISTRICT HOSPITAL 1017 WEST 7TH STREET WRAY CO 80758 840370617 10824 CAH TECHNICAL ASSISTANCE YAMPA VALLEY MEDICAL CENTER 1024 CENTRAL PARK DRIVE STEAMBOAT SPRINGS CO 80487 840398876 5824 CAH TECHNICAL ASSISTANCE YUMA DISTRICT HOSPITAL 1000 WEST 8TH AVENUE YUMA CO 80759 840420041 8260 CAH TECHNICAL ASSISTANCE, EDUCATION 11 25 PROCEDURE FOR MONITORING GRANTS IN THE U.S.: PART I, LINE 2: 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. FORM 990, PART VI, SECTION A, LINE 6 COLORADO RURAL HEALTH CENTER HAS VARIOUS CLASSES OF MEMBERS WITH RIGHTS AND PRIVILEGES AS INDICATED BY THE BOARD OF DIRECTORS. FORM 990, PART VI, SECTION B, LINE 11 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. FORM 990, PART VI, SECTION B, LINE 12C 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. FORM 990, PART VI, SECTION B, LINE 15A 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. FORM 990, PART VI, SECTION C, LINE 19 COLORADO RURAL HEALTH CENTER MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART XII, LINE 2C THE OVERSIGHT PROCESS HAS NOT CHANGED FROM THE PRIOR TAX YEAR.