﻿<?xml version="1.0" encoding="utf-8"?>
<Return xmlns="http://www.irs.gov/efile" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" returnVersion="2023v5.1" xsi:schemaLocation="http://www.irs.gov/efile">
  <ReturnHeader binaryAttachmentCnt="0">
    <ReturnTs>2024-10-21T08:01:32-07:00</ReturnTs>
    <TaxPeriodEndDt>2023-12-31</TaxPeriodEndDt>
    <PreparerFirmGrp>
      <PreparerFirmEIN>870325228</PreparerFirmEIN>
      <PreparerFirmName>
        <BusinessNameLine1Txt>HAYNIE &amp; COMPANY</BusinessNameLine1Txt>
      </PreparerFirmName>
      <PreparerUSAddress>
        <AddressLine1Txt>1785 WEST 2300 SOUTH</AddressLine1Txt>
        <CityNm>SALT LAKE CITY</CityNm>
        <StateAbbreviationCd>UT</StateAbbreviationCd>
        <ZIPCd>84119</ZIPCd>
      </PreparerUSAddress>
    </PreparerFirmGrp>
    <ReturnTypeCd>990</ReturnTypeCd>
    <TaxPeriodBeginDt>2023-01-01</TaxPeriodBeginDt>
    <Filer>
      <EIN>841192031</EIN>
      <BusinessName>
        <BusinessNameLine1Txt>COLORADO RURAL HEALTH CENTER</BusinessNameLine1Txt>
      </BusinessName>
      <BusinessNameControlTxt>COLO</BusinessNameControlTxt>
      <PhoneNum>3038327493</PhoneNum>
      <USAddress>
        <AddressLine1Txt>6551 SOUTH REVERE PARKWAY 155</AddressLine1Txt>
        <CityNm>CENTENNIAL</CityNm>
        <StateAbbreviationCd>CO</StateAbbreviationCd>
        <ZIPCd>80111</ZIPCd>
      </USAddress>
    </Filer>
    <BusinessOfficerGrp>
      <PersonNm>MICHELLE MILLS</PersonNm>
      <PersonTitleTxt>CEO</PersonTitleTxt>
      <SignatureDt>2024-10-21</SignatureDt>
      <DiscussWithPaidPreparerInd>true</DiscussWithPaidPreparerInd>
    </BusinessOfficerGrp>
    <IRSResponsiblePrtyInfoCurrInd>true</IRSResponsiblePrtyInfoCurrInd>
    <PreparerPersonGrp>
      <PreparerPersonNm>Andrea Fournier CPA</PreparerPersonNm>
      <PTIN>P01081452</PTIN>
      <PhoneNum>8019724800</PhoneNum>
    </PreparerPersonGrp>
    <TaxYr>2023</TaxYr>
    <BuildTS>2024-10-15 13:58:12Z</BuildTS>
  </ReturnHeader>
  <ReturnData documentCnt="8">
    <IRS990 documentId="IRS990" referenceDocumentId="IRS990ScheduleO" softwareId="23017517" softwareVersionNum="2023v5.1">
      <AddressChangeInd>X</AddressChangeInd>
      <PrincipalOfficerNm>MICHELLE MILLS</PrincipalOfficerNm>
      <USAddress>
        <AddressLine1Txt>6551 SOUTH REVERE PARKWAY 155</AddressLine1Txt>
        <CityNm>CENTENNIAL</CityNm>
        <StateAbbreviationCd>CO</StateAbbreviationCd>
        <ZIPCd>80111</ZIPCd>
      </USAddress>
      <GrossReceiptsAmt>4849278</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>18</TotalEmployeeCnt>
      <TotalGrossUBIAmt>0</TotalGrossUBIAmt>
      <PYContributionsGrantsAmt>8333668</PYContributionsGrantsAmt>
      <CYContributionsGrantsAmt>3524619</CYContributionsGrantsAmt>
      <PYProgramServiceRevenueAmt>676317</PYProgramServiceRevenueAmt>
      <CYProgramServiceRevenueAmt>1236314</CYProgramServiceRevenueAmt>
      <PYInvestmentIncomeAmt>2327</PYInvestmentIncomeAmt>
      <CYInvestmentIncomeAmt>19160</CYInvestmentIncomeAmt>
      <PYOtherRevenueAmt>69185</PYOtherRevenueAmt>
      <CYOtherRevenueAmt>69185</CYOtherRevenueAmt>
      <PYTotalRevenueAmt>9081497</PYTotalRevenueAmt>
      <CYTotalRevenueAmt>4849278</CYTotalRevenueAmt>
      <PYGrantsAndSimilarPaidAmt>5180111</PYGrantsAndSimilarPaidAmt>
      <CYGrantsAndSimilarPaidAmt>1483640</CYGrantsAndSimilarPaidAmt>
      <CYBenefitsPaidToMembersAmt>0</CYBenefitsPaidToMembersAmt>
      <PYSalariesCompEmpBnftPaidAmt>1950915</PYSalariesCompEmpBnftPaidAmt>
      <CYSalariesCompEmpBnftPaidAmt>2088163</CYSalariesCompEmpBnftPaidAmt>
      <CYTotalProfFndrsngExpnsAmt>0</CYTotalProfFndrsngExpnsAmt>
      <CYTotalFundraisingExpenseAmt>14522</CYTotalFundraisingExpenseAmt>
      <PYOtherExpensesAmt>932100</PYOtherExpensesAmt>
      <CYOtherExpensesAmt>909632</CYOtherExpensesAmt>
      <PYTotalExpensesAmt>8063126</PYTotalExpensesAmt>
      <CYTotalExpensesAmt>4481435</CYTotalExpensesAmt>
      <PYRevenuesLessExpensesAmt>1018371</PYRevenuesLessExpensesAmt>
      <CYRevenuesLessExpensesAmt>367843</CYRevenuesLessExpensesAmt>
      <TotalAssetsBOYAmt>3453164</TotalAssetsBOYAmt>
      <TotalAssetsEOYAmt>3672196</TotalAssetsEOYAmt>
      <TotalLiabilitiesBOYAmt>478694</TotalLiabilitiesBOYAmt>
      <TotalLiabilitiesEOYAmt>329883</TotalLiabilitiesEOYAmt>
      <NetAssetsOrFundBalancesBOYAmt>2974470</NetAssetsOrFundBalancesBOYAmt>
      <NetAssetsOrFundBalancesEOYAmt>3342313</NetAssetsOrFundBalancesEOYAmt>
      <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>3506956</ExpenseAmt>
      <GrantAmt>1483640</GrantAmt>
      <RevenueAmt>1036661</RevenueAmt>
      <Desc>PROGRAMS - COLORADO RURAL HEALTH CENTER (CRHC) OFFERS THE COLORADO PROVIDER RECRUITMENT (CPR) PROGRAM AND WORKS WITH 3RNET TO COMPILE RETENTION STATISTICS ANNUALLY AND OFFERS THE 3RNET JOB BOARD AS PART OF AN AFFORDABLE CHOICES FOR RURAL HEALTHCARE FACILITIES TO RECRUIT PROVIDERS AND OTHER HEALTHCARE STAFF WITH A SIGNIFICANTLY HIGHER RETENTION RATE THAN THE NATIONAL AVERAGE.AS PART OF CRHC'S COMMITMENT TO MEMBER EDUCATION, THE ORGANIZATION PRIORITIZED EDUCATION THROUGH THE COLORADO RURAL SUSTAINABILITY PROGRAM (CORS). CRHC'S CORS PROGRAM, AN ONGOING EFFORT TO BUILD CAPACITY OF RURAL HOSPITALS AND CLINCS TO ACHIEVE MEASURABLE IMPROVEMENTS IN THE HEALTH OUTCOMES OF THEIR COMMUNITIES. THE CORS PROGRAM AIMS TO REDUCE ALL CAUSE READMISSIONS, REDUCE CHRONIC DISEASE, INCREASE COMMUNITY ENGAGEMENT AND INCREASE COST SAVINGS. THE CORS PROGRAM IS PARTIALLY FUNDED THROUGH AN ONGOING HEALTH RESOURCES &amp; SERVICES ADMINISTRATION GRANT AND CRHC IS SEEKING ADDITIONAL FUNDING TO FURTHER SUPPORT EFFORTS. THIS YEAR, CORS FOCUSED ON CHRONIC CARE MANAGEMENT (CCM). CCM IS MANAGED AND FACILITATED BY CRHC TO SUPPORT A COHORT OF RURAL CLINICS ACROSS THE STATE WITH IMPLEMENTING A ROBUST PROGRAM THAT MEETS THE NEEDS OF RURAL CHRONIC DISEASE PATIENTS. CRHC DEVELOPED A HYBRID CURRICULUM MODEL THAT CONSIST OF MONTHLY WEBINARS AND ONE-ON-ONE COACHING CALLS, AS WELL AS AN IN-PERSON AND VIRTUAL SITE VISITS OVER THE TWELVE-MONTH PROGRAM.CRHC ADMINISTERED THE RURAL SUSTAINABILITY PROGRAM, A PROGRAM FUNDED BY THE OFFICE OF eHEALTH INNOVATION, DEPARTMENT OF HEALTH CARE POLICY AND FINANCING AND IN PARTNERSHIP WITH THE COLORADO MANAGED CARE NETWORK (CCMCN). THE GOALS ARE TO ESTABLISH A SUSTAINABLE MODEL FOR RURAL CONNECTIVITY, INCLUDING CONNECTING PROVIDERS TO COLORADO'S HEALTH INFORMATION EXCHANGES, SUPPORTING RURAL PROVIDERS TO ADOPT HEALTH INFORMATION, DATA SHARING AND ANALYTICS/TOOLS TO SUPPORT CARE COORDINATION AND QUALITY MEASUREMENT.FINALLY, CRHC CONTINUED TO ADMINISTER HRSA GRANT FUNDS TO ELIGIBLE RURAL HOSPITALS THROUGH THE GENEROUS SUPPORT FROM THE CARES ACT FUNDING.</Desc>
      <ProgSrvcAccomActy2Grp>
        <ExpenseAmt>313125</ExpenseAmt>
        <RevenueAmt>625</RevenueAmt>
        <Desc>OUTREACH - CRHC SERVES AS THE PRIMARY SOURCE OF INFORMATION RELATED TO THE OPERATION AND ADMINISTRATION OF RURAL HEALTHCARE IN THE STATE OF COLORADO. AS SUCH, THE ORGANIZATION DEVOTES SIGNIFICANT TIME AND RESOURCES TO CLEAR, WIDE REACHING COMMUNICATION CHANNELS. FROM THE ORGANIZATION'S ROBUST WEBSITE TO WEEKLY AND MONTHLY EMAILS, CRHC MAINTAINS COMMUNICATION WITH RURAL FACILITIES AND PROVIDERS ACROSS THE STATE. ELECTRONIC OUTPUTS OF INFORMATION INCLUDE THE WEEKLY/MONTHLY NEWSLETTERS AND SOCIAL MEDIA. ANNUAL FACT SHEETS, INFOGRAPHS, AN ANNUAL REPORT, VIDEOS, MAPS, AND OTHER RESOURCES ARE PUBLISHED AND MADE AVAILABLE THROUGH ELECTRONIC OUTPUTS AND CRHC'S WEBSITE. YEARLY, CRHC RELEASES THE SNAPSHOT OF RURAL HEALTH AND REGIONAL SNAPSHOTS. THE REPORT CONTAINS EXPANDED COVERAGE OF TOPICS COVERED IN PREVIOUS YEARS AS WELL AS ENTIRELY NEW DATASETS AND STUDIES. THE ANNUAL PUBLICATION HIGHLIGHTS RURAL HEALTH DATA SUCH AS DEMOGRAPHIC TRENDS, POPULATION HEALTH, EDUCATION LEVELS, OPIOID USE, AND THE ECONOMY THROUGH THE USE OF INFOGRAPHIC DATA VISUALIZATION, TEXT, AND MAPS. ANOTHER INTEGRAL PART OF CRHC'S EDUCATIONAL ACCOMPLISHMENTS HAS BEEN MAINTAINING A STRONG SLATE OF COMMUNICATION AVENUES TO KEEP RURAL STAKEHOLDERS INFORMED ABOUT CHANGES IN THE RURAL HEALTHCARE LANDSCAPE.</Desc>
      </ProgSrvcAccomActy2Grp>
      <ProgSrvcAccomActy3Grp>
        <ExpenseAmt>150752</ExpenseAmt>
        <Desc>POLICY - CRHC IS COMMITTED TO IMPROVING HEALTHCARE SERVICES AVAILABLE IN RURAL COMMUNITIES THROUGH POLICY AND ADVOCACY WORK ON THE STATE AND FEDERAL LEVELS. CRHC STAFF MEETS WITH ELECTED OFFICIALS TO COMMUNICATE CRHC'S POSITION ON LEGISLATION IMPACTING MEMBERS. CRHC STAFF REQUESTS THE ELECTED OFFICIAL MIRROR CRHC'S POSITION AND VOTE IN FAVOR OR AGAINST A PIECE OF LEGISLATION.</Desc>
      </ProgSrvcAccomActy3Grp>
      <TotalProgramServiceExpensesAmt>3970833</TotalProgramServiceExpensesAmt>
      <DescribedInSection501c3Ind referenceDocumentId="IRS990ScheduleA">true</DescribedInSection501c3Ind>
      <ScheduleBRequiredInd referenceDocumentId="IRS990ScheduleB">true</ScheduleBRequiredInd>
      <PoliticalCampaignActyInd referenceDocumentId="IRS990ScheduleC">false</PoliticalCampaignActyInd>
      <LobbyingActivitiesInd referenceDocumentId="IRS990ScheduleC">true</LobbyingActivitiesInd>
      <SubjectToProxyTaxInd referenceDocumentId="IRS990ScheduleC">false</SubjectToProxyTaxInd>
      <DonorAdvisedFundInd referenceDocumentId="IRS990ScheduleD">false</DonorAdvisedFundInd>
      <ConservationEasementsInd referenceDocumentId="IRS990ScheduleD">false</ConservationEasementsInd>
      <CollectionsOfArtInd referenceDocumentId="IRS990ScheduleD">false</CollectionsOfArtInd>
      <CreditCounselingInd referenceDocumentId="IRS990ScheduleD">false</CreditCounselingInd>
      <DonorRstrOrQuasiEndowmentsInd referenceDocumentId="IRSScheduleD">false</DonorRstrOrQuasiEndowmentsInd>
      <ReportLandBuildingEquipmentInd referenceDocumentId="IRS990ScheduleD">true</ReportLandBuildingEquipmentInd>
      <ReportInvestmentsOtherSecInd referenceDocumentId="IRS990ScheduleD">false</ReportInvestmentsOtherSecInd>
      <ReportProgramRelatedInvstInd referenceDocumentId="IRS990ScheduleD">false</ReportProgramRelatedInvstInd>
      <ReportOtherAssetsInd referenceDocumentId="IRS990ScheduleD">false</ReportOtherAssetsInd>
      <ReportOtherLiabilitiesInd referenceDocumentId="IRS990ScheduleD">true</ReportOtherLiabilitiesInd>
      <IncludeFIN48FootnoteInd referenceDocumentId="IRS990ScheduleD">true</IncludeFIN48FootnoteInd>
      <IndependentAuditFinclStmtInd referenceDocumentId="IRS990ScheduleD">true</IndependentAuditFinclStmtInd>
      <ConsolidatedAuditFinclStmtInd referenceDocumentId="IRS990ScheduleD">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 referenceDocumentId="IRS990ScheduleI">true</GrantsToOrganizationsInd>
      <GrantsToIndividualsInd referenceDocumentId="IRS990ScheduleI">false</GrantsToIndividualsInd>
      <ScheduleJRequiredInd referenceDocumentId="IRS990ScheduleJ">true</ScheduleJRequiredInd>
      <TaxExemptBondsInd>false</TaxExemptBondsInd>
      <EngagedInExcessBenefitTransInd>false</EngagedInExcessBenefitTransInd>
      <PYExcessBenefitTransInd>false</PYExcessBenefitTransInd>
      <LoanOutstandingInd>false</LoanOutstandingInd>
      <GrantToRelatedPersonInd>false</GrantToRelatedPersonInd>
      <BusinessRlnWithOrgMemInd>false</BusinessRlnWithOrgMemInd>
      <BusinessRlnWithFamMemInd>false</BusinessRlnWithFamMemInd>
      <BusinessRlnWith35CtrlEntInd>false</BusinessRlnWith35CtrlEntInd>
      <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>30</IRPDocumentCnt>
      <IRPDocumentW2GCnt>0</IRPDocumentW2GCnt>
      <BackupWthldComplianceInd>true</BackupWthldComplianceInd>
      <EmployeeCnt>18</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>
      <Form8282FiledCnt>0</Form8282FiledCnt>
      <RcvFndsToPayPrsnlBnftCntrctInd>false</RcvFndsToPayPrsnlBnftCntrctInd>
      <PayPremiumsPrsnlBnftCntrctInd>false</PayPremiumsPrsnlBnftCntrctInd>
      <Form8899Filedind>false</Form8899Filedind>
      <Form1098CFiledInd>false</Form1098CFiledInd>
      <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>
      <UponRequestInd>X</UponRequestInd>
      <BooksInCareOfDetail>
        <PersonNm>LORI ARBUCKLE</PersonNm>
        <PhoneNum>7207497311</PhoneNum>
        <USAddress>
          <AddressLine1Txt>6551 SOUTH REVERE PARKWAY SUITE 155</AddressLine1Txt>
          <CityNm>CENTENNIAL</CityNm>
          <StateAbbreviationCd>CO</StateAbbreviationCd>
          <ZIPCd>80111</ZIPCd>
        </USAddress>
      </BooksInCareOfDetail>
      <Form990PartVIISectionAGrp>
        <PersonNm>MICHELLE MILLS</PersonNm>
        <TitleTxt>CEO</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>360178</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>29990</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>SARA LEAHY</PersonNm>
        <TitleTxt>MEMBER SERVICES DI</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <ReportableCompFromOrgAmt>148016</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>14562</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>LORI ARBUCKLE</PersonNm>
        <TitleTxt>DIRECTOR OF FIN</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>153323</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>4733</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>SUZANNE RICK</PersonNm>
        <TitleTxt>DIRECTOR OF HR</TitleTxt>
        <AverageHoursPerWeekRt>4.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <ReportableCompFromOrgAmt>130575</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>24119</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>JAMES STEPHENSON</PersonNm>
        <TitleTxt>ASSOC DIR HEALTH I</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <ReportableCompFromOrgAmt>107899</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>30000</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>MARCY CAMERON</PersonNm>
        <TitleTxt>DIR OF PROGRAMS</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <ReportableCompFromOrgAmt>123528</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>12641</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>KELLY ERB</PersonNm>
        <TitleTxt>ASSOC DIR POLICY &amp;</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <ReportableCompFromOrgAmt>109521</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>5554</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>DOUG MILLER</PersonNm>
        <TitleTxt>CHAIR</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>MICHAEL VARGAS</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>JENNIFER RILEY</PersonNm>
        <TitleTxt>VICE CHAIR</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>TAMMY DUNKER</PersonNm>
        <TitleTxt>SECRETARY/TRESU</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>JOHN LEAVITT</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>KAY WHITLEY</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <TotalReportableCompFromOrgAmt>1133040</TotalReportableCompFromOrgAmt>
      <TotalOtherCompensationAmt>121599</TotalOtherCompensationAmt>
      <IndivRcvdGreaterThan100KCnt>7</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>289131</CompensationAmt>
      </ContractorCompensationGrp>
      <CntrctRcvdGreaterThan100KCnt>1</CntrctRcvdGreaterThan100KCnt>
      <MembershipDuesAmt>99714</MembershipDuesAmt>
      <GovernmentGrantsAmt>3123922</GovernmentGrantsAmt>
      <AllOtherContributionsAmt>300983</AllOtherContributionsAmt>
      <NoncashContributionsAmt>6480</NoncashContributionsAmt>
      <TotalContributionsAmt>3524619</TotalContributionsAmt>
      <ProgramServiceRevenueGrp>
        <Desc>CONFERENCES &amp; WORKSHOPS</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>186331</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>186331</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>CONTRACTED SERVICES</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>984301</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>984301</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>TECHNICAL ASSISTANCE FEES</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>65682</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>65682</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <TotalProgramServiceRevenueAmt>1236314</TotalProgramServiceRevenueAmt>
      <InvestmentIncomeGrp>
        <TotalRevenueColumnAmt>19160</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>19160</RelatedOrExemptFuncIncomeAmt>
      </InvestmentIncomeGrp>
      <IncmFromInvestBondProceedsGrp>
        <TotalRevenueColumnAmt>0</TotalRevenueColumnAmt>
      </IncmFromInvestBondProceedsGrp>
      <RoyaltiesRevenueGrp>
        <TotalRevenueColumnAmt>0</TotalRevenueColumnAmt>
      </RoyaltiesRevenueGrp>
      <GrossRentsGrp>
        <RealAmt>69185</RealAmt>
      </GrossRentsGrp>
      <RentalIncomeOrLossGrp>
        <RealAmt>69185</RealAmt>
      </RentalIncomeOrLossGrp>
      <NetRentalIncomeOrLossGrp>
        <TotalRevenueColumnAmt>69185</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>69185</RelatedOrExemptFuncIncomeAmt>
      </NetRentalIncomeOrLossGrp>
      <NetGainOrLossInvestmentsGrp>
        <TotalRevenueColumnAmt>0</TotalRevenueColumnAmt>
      </NetGainOrLossInvestmentsGrp>
      <NetIncmFromFundraisingEvtGrp>
        <TotalRevenueColumnAmt>0</TotalRevenueColumnAmt>
      </NetIncmFromFundraisingEvtGrp>
      <NetIncomeFromGamingGrp>
        <TotalRevenueColumnAmt>0</TotalRevenueColumnAmt>
      </NetIncomeFromGamingGrp>
      <NetIncomeOrLossGrp>
        <TotalRevenueColumnAmt>0</TotalRevenueColumnAmt>
      </NetIncomeOrLossGrp>
      <OtherRevenueTotalAmt>0</OtherRevenueTotalAmt>
      <TotalRevenueGrp>
        <TotalRevenueColumnAmt>4849278</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>1324659</RelatedOrExemptFuncIncomeAmt>
      </TotalRevenueGrp>
      <GrantsToDomesticOrgsGrp>
        <TotalAmt>1483640</TotalAmt>
        <ProgramServicesAmt>1483640</ProgramServicesAmt>
      </GrantsToDomesticOrgsGrp>
      <GrantsToDomesticIndividualsGrp>
        <TotalAmt>0</TotalAmt>
      </GrantsToDomesticIndividualsGrp>
      <ForeignGrantsGrp>
        <TotalAmt>0</TotalAmt>
      </ForeignGrantsGrp>
      <BenefitsToMembersGrp>
        <TotalAmt>0</TotalAmt>
      </BenefitsToMembersGrp>
      <CompCurrentOfcrDirectorsGrp>
        <TotalAmt>548224</TotalAmt>
        <ProgramServicesAmt>442962</ProgramServicesAmt>
        <ManagementAndGeneralAmt>104368</ManagementAndGeneralAmt>
        <FundraisingAmt>894</FundraisingAmt>
      </CompCurrentOfcrDirectorsGrp>
      <CompDisqualPersonsGrp>
        <TotalAmt>0</TotalAmt>
      </CompDisqualPersonsGrp>
      <OtherSalariesAndWagesGrp>
        <TotalAmt>1236254</TotalAmt>
        <ProgramServicesAmt>998887</ProgramServicesAmt>
        <ManagementAndGeneralAmt>235352</ManagementAndGeneralAmt>
        <FundraisingAmt>2015</FundraisingAmt>
      </OtherSalariesAndWagesGrp>
      <PensionPlanContributionsGrp>
        <TotalAmt>0</TotalAmt>
      </PensionPlanContributionsGrp>
      <OtherEmployeeBenefitsGrp>
        <TotalAmt>182211</TotalAmt>
        <ProgramServicesAmt>142914</ProgramServicesAmt>
        <ManagementAndGeneralAmt>37457</ManagementAndGeneralAmt>
        <FundraisingAmt>1840</FundraisingAmt>
      </OtherEmployeeBenefitsGrp>
      <PayrollTaxesGrp>
        <TotalAmt>121474</TotalAmt>
        <ProgramServicesAmt>95736</ProgramServicesAmt>
        <ManagementAndGeneralAmt>24675</ManagementAndGeneralAmt>
        <FundraisingAmt>1063</FundraisingAmt>
      </PayrollTaxesGrp>
      <FeesForServicesManagementGrp>
        <TotalAmt>0</TotalAmt>
      </FeesForServicesManagementGrp>
      <FeesForServicesLegalGrp>
        <TotalAmt>0</TotalAmt>
      </FeesForServicesLegalGrp>
      <FeesForServicesAccountingGrp>
        <TotalAmt>0</TotalAmt>
      </FeesForServicesAccountingGrp>
      <FeesForServicesLobbyingGrp>
        <TotalAmt>0</TotalAmt>
      </FeesForServicesLobbyingGrp>
      <FeesForServicesProfFundraising>
        <TotalAmt>0</TotalAmt>
      </FeesForServicesProfFundraising>
      <FeesForSrvcInvstMgmntFeesGrp>
        <TotalAmt>0</TotalAmt>
      </FeesForSrvcInvstMgmntFeesGrp>
      <FeesForServicesOtherGrp>
        <TotalAmt>0</TotalAmt>
      </FeesForServicesOtherGrp>
      <AdvertisingGrp>
        <TotalAmt>0</TotalAmt>
      </AdvertisingGrp>
      <OfficeExpensesGrp>
        <TotalAmt>0</TotalAmt>
      </OfficeExpensesGrp>
      <InformationTechnologyGrp>
        <TotalAmt>0</TotalAmt>
      </InformationTechnologyGrp>
      <RoyaltiesGrp>
        <TotalAmt>0</TotalAmt>
      </RoyaltiesGrp>
      <OccupancyGrp>
        <TotalAmt>159341</TotalAmt>
        <ProgramServicesAmt>117162</ProgramServicesAmt>
        <ManagementAndGeneralAmt>37492</ManagementAndGeneralAmt>
        <FundraisingAmt>4687</FundraisingAmt>
      </OccupancyGrp>
      <TravelGrp>
        <TotalAmt>0</TotalAmt>
      </TravelGrp>
      <PymtTravelEntrtnmntPubOfclGrp>
        <TotalAmt>84267</TotalAmt>
        <ProgramServicesAmt>79691</ProgramServicesAmt>
        <ManagementAndGeneralAmt>4435</ManagementAndGeneralAmt>
        <FundraisingAmt>141</FundraisingAmt>
      </PymtTravelEntrtnmntPubOfclGrp>
      <ConferencesMeetingsGrp>
        <TotalAmt>130173</TotalAmt>
        <ProgramServicesAmt>127107</ProgramServicesAmt>
        <ManagementAndGeneralAmt>2813</ManagementAndGeneralAmt>
        <FundraisingAmt>253</FundraisingAmt>
      </ConferencesMeetingsGrp>
      <InterestGrp>
        <TotalAmt>0</TotalAmt>
      </InterestGrp>
      <PaymentsToAffiliatesGrp>
        <TotalAmt>0</TotalAmt>
      </PaymentsToAffiliatesGrp>
      <DepreciationDepletionGrp>
        <TotalAmt>5482</TotalAmt>
        <ProgramServicesAmt>4550</ProgramServicesAmt>
        <ManagementAndGeneralAmt>921</ManagementAndGeneralAmt>
        <FundraisingAmt>11</FundraisingAmt>
      </DepreciationDepletionGrp>
      <InsuranceGrp>
        <TotalAmt>11834</TotalAmt>
        <ManagementAndGeneralAmt>11834</ManagementAndGeneralAmt>
      </InsuranceGrp>
      <OtherExpensesGrp>
        <Desc>PROFESSIONAL FEES</Desc>
        <TotalAmt>395232</TotalAmt>
        <ProgramServicesAmt>374403</ProgramServicesAmt>
        <ManagementAndGeneralAmt>17781</ManagementAndGeneralAmt>
        <FundraisingAmt>3048</FundraisingAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>DUES</Desc>
        <TotalAmt>65855</TotalAmt>
        <ProgramServicesAmt>62724</ProgramServicesAmt>
        <ManagementAndGeneralAmt>3095</ManagementAndGeneralAmt>
        <FundraisingAmt>36</FundraisingAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>MINOR EQUIPMENT</Desc>
        <TotalAmt>27712</TotalAmt>
        <ProgramServicesAmt>24772</ProgramServicesAmt>
        <ManagementAndGeneralAmt>2674</ManagementAndGeneralAmt>
        <FundraisingAmt>266</FundraisingAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>PROFESSIONAL DEVELOPMENT</Desc>
        <TotalAmt>13897</TotalAmt>
        <ProgramServicesAmt>11465</ProgramServicesAmt>
        <ManagementAndGeneralAmt>2190</ManagementAndGeneralAmt>
        <FundraisingAmt>242</FundraisingAmt>
      </OtherExpensesGrp>
      <AllOtherExpensesGrp>
        <TotalAmt>15839</TotalAmt>
        <ProgramServicesAmt>4820</ProgramServicesAmt>
        <ManagementAndGeneralAmt>10993</ManagementAndGeneralAmt>
        <FundraisingAmt>26</FundraisingAmt>
      </AllOtherExpensesGrp>
      <TotalFunctionalExpensesGrp>
        <TotalAmt>4481435</TotalAmt>
        <ProgramServicesAmt>3970833</ProgramServicesAmt>
        <ManagementAndGeneralAmt>496080</ManagementAndGeneralAmt>
        <FundraisingAmt>14522</FundraisingAmt>
      </TotalFunctionalExpensesGrp>
      <CashNonInterestBearingGrp>
        <BOYAmt>2574371</BOYAmt>
        <EOYAmt>2205118</EOYAmt>
      </CashNonInterestBearingGrp>
      <SavingsAndTempCashInvstGrp>
        <BOYAmt>231200</BOYAmt>
        <EOYAmt>972973</EOYAmt>
      </SavingsAndTempCashInvstGrp>
      <PledgesAndGrantsReceivableGrp>
        <BOYAmt>204338</BOYAmt>
        <EOYAmt>192280</EOYAmt>
      </PledgesAndGrantsReceivableGrp>
      <AccountsReceivableGrp>
        <BOYAmt>174955</BOYAmt>
        <EOYAmt>192047</EOYAmt>
      </AccountsReceivableGrp>
      <ReceivablesFromOfficersEtcGrp>
        <EOYAmt>0</EOYAmt>
      </ReceivablesFromOfficersEtcGrp>
      <RcvblFromDisqualifiedPrsnGrp>
        <EOYAmt>0</EOYAmt>
      </RcvblFromDisqualifiedPrsnGrp>
      <OthNotesLoansReceivableNetGrp>
        <EOYAmt>0</EOYAmt>
      </OthNotesLoansReceivableNetGrp>
      <InventoriesForSaleOrUseGrp>
        <EOYAmt>0</EOYAmt>
      </InventoriesForSaleOrUseGrp>
      <PrepaidExpensesDefrdChargesGrp>
        <BOYAmt>98922</BOYAmt>
        <EOYAmt>91522</EOYAmt>
      </PrepaidExpensesDefrdChargesGrp>
      <LandBldgEquipCostOrOtherBssAmt>218458</LandBldgEquipCostOrOtherBssAmt>
      <LandBldgEquipAccumDeprecAmt>218002</LandBldgEquipAccumDeprecAmt>
      <LandBldgEquipBasisNetGrp>
        <BOYAmt>5938</BOYAmt>
        <EOYAmt>456</EOYAmt>
      </LandBldgEquipBasisNetGrp>
      <InvestmentsPubTradedSecGrp>
        <EOYAmt>0</EOYAmt>
      </InvestmentsPubTradedSecGrp>
      <InvestmentsOtherSecuritiesGrp>
        <EOYAmt>0</EOYAmt>
      </InvestmentsOtherSecuritiesGrp>
      <InvestmentsProgramRelatedGrp>
        <EOYAmt>0</EOYAmt>
      </InvestmentsProgramRelatedGrp>
      <IntangibleAssetsGrp>
        <EOYAmt>0</EOYAmt>
      </IntangibleAssetsGrp>
      <OtherAssetsTotalGrp>
        <BOYAmt>163440</BOYAmt>
        <EOYAmt>17800</EOYAmt>
      </OtherAssetsTotalGrp>
      <TotalAssetsGrp>
        <BOYAmt>3453164</BOYAmt>
        <EOYAmt>3672196</EOYAmt>
      </TotalAssetsGrp>
      <AccountsPayableAccrExpnssGrp>
        <BOYAmt>174266</BOYAmt>
        <EOYAmt>212509</EOYAmt>
      </AccountsPayableAccrExpnssGrp>
      <DeferredRevenueGrp>
        <BOYAmt>119607</BOYAmt>
        <EOYAmt>103157</EOYAmt>
      </DeferredRevenueGrp>
      <OtherLiabilitiesGrp>
        <BOYAmt>184821</BOYAmt>
        <EOYAmt>14217</EOYAmt>
      </OtherLiabilitiesGrp>
      <TotalLiabilitiesGrp>
        <BOYAmt>478694</BOYAmt>
        <EOYAmt>329883</EOYAmt>
      </TotalLiabilitiesGrp>
      <OrganizationFollowsFASB117Ind>X</OrganizationFollowsFASB117Ind>
      <NoDonorRestrictionNetAssetsGrp>
        <BOYAmt>2337794</BOYAmt>
        <EOYAmt>2886184</EOYAmt>
      </NoDonorRestrictionNetAssetsGrp>
      <DonorRestrictionNetAssetsGrp>
        <BOYAmt>636676</BOYAmt>
        <EOYAmt>456129</EOYAmt>
      </DonorRestrictionNetAssetsGrp>
      <TotalNetAssetsFundBalanceGrp>
        <BOYAmt>2974470</BOYAmt>
        <EOYAmt>3342313</EOYAmt>
      </TotalNetAssetsFundBalanceGrp>
      <TotLiabNetAssetsFundBalanceGrp>
        <BOYAmt>3453164</BOYAmt>
        <EOYAmt>3672196</EOYAmt>
      </TotLiabNetAssetsFundBalanceGrp>
      <ReconcilationRevenueExpnssAmt>367843</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="IRS990ScheduleA" softwareId="23017517" softwareVersionNum="2023v5.1">
      <PublicOrganization170Ind>X</PublicOrganization170Ind>
      <GiftsGrantsContriRcvd170Grp>
        <CurrentTaxYearMinus4YearsAmt>2032906</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>1875192</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>2131945</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>8333668</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>3524619</CurrentTaxYearAmt>
        <TotalAmt>17898330</TotalAmt>
      </GiftsGrantsContriRcvd170Grp>
      <TaxRevLeviedOrgnztnlBnft170Grp>
        <TotalAmt>0</TotalAmt>
      </TaxRevLeviedOrgnztnlBnft170Grp>
      <GovtFurnSrvcFcltsVl170Grp>
        <TotalAmt>0</TotalAmt>
      </GovtFurnSrvcFcltsVl170Grp>
      <TotalCalendarYear170Grp>
        <CurrentTaxYearMinus4YearsAmt>2032906</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>1875192</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>2131945</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>8333668</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>3524619</CurrentTaxYearAmt>
        <TotalAmt>17898330</TotalAmt>
      </TotalCalendarYear170Grp>
      <SubstantialContributorsTotAmt>0</SubstantialContributorsTotAmt>
      <PublicSupportTotal170Amt>17898330</PublicSupportTotal170Amt>
      <GrossInvestmentIncome170Grp>
        <CurrentTaxYearMinus4YearsAmt>11630</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>7043</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>2185</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>2327</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>19160</CurrentTaxYearAmt>
        <TotalAmt>42345</TotalAmt>
      </GrossInvestmentIncome170Grp>
      <UnrelatedBusinessNetIncm170Grp>
        <TotalAmt>0</TotalAmt>
      </UnrelatedBusinessNetIncm170Grp>
      <OtherIncome170Grp>
        <CurrentTaxYearMinus4YearsAmt>4997</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>1403</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>7121</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>69185</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>69185</CurrentTaxYearAmt>
        <TotalAmt>151891</TotalAmt>
      </OtherIncome170Grp>
      <TotalSupportAmt>18092566</TotalSupportAmt>
      <GrossReceiptsRltdActivitiesAmt>4663737</GrossReceiptsRltdActivitiesAmt>
      <PublicSupportCY170Pct>0.98930</PublicSupportCY170Pct>
      <PublicSupportPY170Pct>0.95480</PublicSupportPY170Pct>
      <ThirtyThrPctSuprtTestsCY170Ind>X</ThirtyThrPctSuprtTestsCY170Ind>
    </IRS990ScheduleA>
    <IRS990ScheduleB documentId="IRS990ScheduleB" softwareId="23017517" softwareVersionNum="2023v5.1">
      <ContributorInformationGrp>
        <ContributorNum>RESTRICTED</ContributorNum>
        <ContributorBusinessName>
          <BusinessNameLine1>RESTRICTED</BusinessNameLine1>
        </ContributorBusinessName>
        <ContributorUSAddress>
          <AddressLine1>RESTRICTED</AddressLine1>
          <AddressLine2>RESTRICTED</AddressLine2>
          <City>RESTRICTED</City>
          <State>RESTRICTED</State>
          <ZIPCode>RESTRICTED</ZIPCode>
        </ContributorUSAddress>
        <TotalContributionsAmt>RESTRICTED</TotalContributionsAmt>
      </ContributorInformationGrp>
    </IRS990ScheduleB>
    <IRS990ScheduleC documentId="IRS990ScheduleC" softwareId="23017517" softwareVersionNum="2023v5.1">
      <Form4720FiledSection4955TaxInd>false</Form4720FiledSection4955TaxInd>
      <CorrectionMadeInd>false</CorrectionMadeInd>
      <VolunteersInd>false</VolunteersInd>
      <PaidStaffOrManagementInd>true</PaidStaffOrManagementInd>
      <MediaAdvertisementsInd>false</MediaAdvertisementsInd>
      <MailingsMembersInd>false</MailingsMembersInd>
      <PublicationsOrBroadcastInd>false</PublicationsOrBroadcastInd>
      <GrantsOtherOrganizationsInd>false</GrantsOtherOrganizationsInd>
      <DirectContactLegislatorsInd>true</DirectContactLegislatorsInd>
      <DirectContactLegislatorsAmt>19081</DirectContactLegislatorsAmt>
      <RalliesDemonstrationsInd>false</RalliesDemonstrationsInd>
      <OtherActivitiesInd>false</OtherActivitiesInd>
      <TotalLobbyingExpendituresAmt>19081</TotalLobbyingExpendituresAmt>
      <NotDescribedSection501c3Ind>false</NotDescribedSection501c3Ind>
      <Form4720Filed4912TaxInd>false</Form4720Filed4912TaxInd>
    </IRS990ScheduleC>
    <IRS990ScheduleD documentId="IRS990ScheduleD" softwareId="23017517" softwareVersionNum="2023v5.1">
      <LeaseholdImprovementsGrp>
        <OtherCostOrOtherBasisAmt>72037</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>71581</DepreciationAmt>
        <BookValueAmt>456</BookValueAmt>
      </LeaseholdImprovementsGrp>
      <EquipmentGrp>
        <OtherCostOrOtherBasisAmt>29903</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>29903</DepreciationAmt>
      </EquipmentGrp>
      <OtherLandBuildingsGrp>
        <OtherCostOrOtherBasisAmt>116518</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>116518</DepreciationAmt>
      </OtherLandBuildingsGrp>
      <TotalBookValueLandBuildingsAmt>456</TotalBookValueLandBuildingsAmt>
      <OtherLiabilitiesOrgGrp>
        <Desc>Operating Lease Liability</Desc>
        <Amt>14217</Amt>
      </OtherLiabilitiesOrgGrp>
      <TotalLiabilityAmt>14217</TotalLiabilityAmt>
      <FootnoteTextInd>X</FootnoteTextInd>
      <TotalRevEtcAuditedFinclStmtAmt>4849278</TotalRevEtcAuditedFinclStmtAmt>
      <RevenueSubtotalAmt>4849278</RevenueSubtotalAmt>
      <TotalRevenuePerForm990Amt>4849278</TotalRevenuePerForm990Amt>
      <TotExpnsEtcAuditedFinclStmtAmt>4481435</TotExpnsEtcAuditedFinclStmtAmt>
      <ExpensesSubtotalAmt>4481435</ExpensesSubtotalAmt>
      <TotalExpensesPerForm990Amt>4481435</TotalExpensesPerForm990Amt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part X : FIN48 Footnote</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, 2023 AND 2022, CRHC HAD NO UNCERTAIN TAX POSITIONS REQUIRING ACCRUAL.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleD>
    <IRS990ScheduleI documentId="IRS990ScheduleI" softwareId="23017517" softwareVersionNum="2023v5.1">
      <GrantRecordsMaintainedInd>true</GrantRecordsMaintainedInd>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>DELTA COUNTY MEMORIAL HOSPITA</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>1501 E THIRD STREET</AddressLine1Txt>
          <CityNm>DELTA</CityNm>
          <StateAbbreviationCd>CO</StateAbbreviationCd>
          <ZIPCd>81416</ZIPCd>
        </USAddress>
        <RecipientEIN>840428757</RecipientEIN>
        <IRCSectionDesc>GOV</IRCSectionDesc>
        <CashGrantAmt>73493</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>GRANT PASSTHROUGH</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>EAST MORGAN COUNTY HOSPITAL</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>2400 W EDISON STREET</AddressLine1Txt>
          <CityNm>BRUSH</CityNm>
          <StateAbbreviationCd>CO</StateAbbreviationCd>
          <ZIPCd>80723</ZIPCd>
        </USAddress>
        <RecipientEIN>450233470</RecipientEIN>
        <IRCSectionDesc>GOV</IRCSectionDesc>
        <CashGrantAmt>43083</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>GRANT PASSTHROUGH</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>ESTES PARK HEALTH</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>555 PROSPECT AVE</AddressLine1Txt>
          <CityNm>ESTES PARK</CityNm>
          <StateAbbreviationCd>CO</StateAbbreviationCd>
          <ZIPCd>80517</ZIPCd>
        </USAddress>
        <RecipientEIN>840601621</RecipientEIN>
        <IRCSectionDesc>GOV</IRCSectionDesc>
        <CashGrantAmt>7652</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>GRANT PASSTHROUGH</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>FAMILY HEALTH WEST HOSPITAL</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>300 W OTTLEY AVENUE</AddressLine1Txt>
          <CityNm>FRUITA</CityNm>
          <StateAbbreviationCd>CO</StateAbbreviationCd>
          <ZIPCd>81521</ZIPCd>
        </USAddress>
        <RecipientEIN>840447998</RecipientEIN>
        <IRCSectionDesc>501C3</IRCSectionDesc>
        <CashGrantAmt>110850</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>GRANT PASSTHROUGH</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>GUNNISON VALLEY HOSPITAL</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>711 N TAYLOR</AddressLine1Txt>
          <CityNm>GUNNISON</CityNm>
          <StateAbbreviationCd>CO</StateAbbreviationCd>
          <ZIPCd>81230</ZIPCd>
        </USAddress>
        <RecipientEIN>846008116</RecipientEIN>
        <IRCSectionDesc>501c3</IRCSectionDesc>
        <CashGrantAmt>7652</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>GRANT PASSTHROUGH</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>HAXTUN HEALTH</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>235 W FLETCHER STREET</AddressLine1Txt>
          <CityNm>HAXTUN</CityNm>
          <StateAbbreviationCd>CO</StateAbbreviationCd>
          <ZIPCd>81201</ZIPCd>
        </USAddress>
        <RecipientEIN>840574271</RecipientEIN>
        <IRCSectionDesc>GOV</IRCSectionDesc>
        <CashGrantAmt>10152</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>GRANT PASSTHROUGH</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>HEART OF THE ROCKIES REGIONAL</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>1000 RUSH DRIVE</AddressLine1Txt>
          <CityNm>SALIDA</CityNm>
          <StateAbbreviationCd>CO</StateAbbreviationCd>
          <ZIPCd>81201</ZIPCd>
        </USAddress>
        <RecipientEIN>840631509</RecipientEIN>
        <IRCSectionDesc>GOV</IRCSectionDesc>
        <CashGrantAmt>7652</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>GRANT PASSTHROUGH</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>KEEFE MEMORIAL HEALH SERVICE</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>602 N 6TH STREET W</AddressLine1Txt>
          <CityNm>CHEYENNE WILLS</CityNm>
          <StateAbbreviationCd>CO</StateAbbreviationCd>
          <ZIPCd>80180</ZIPCd>
        </USAddress>
        <RecipientEIN>472340447</RecipientEIN>
        <IRCSectionDesc>GOV</IRCSectionDesc>
        <CashGrantAmt>6150</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>GRANT PASSTHROUGH</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>KIOWA COUNTY HOSPITAL DISTRIC</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>1208 LUTHER STREET</AddressLine1Txt>
          <CityNm>EADS</CityNm>
          <StateAbbreviationCd>CO</StateAbbreviationCd>
          <ZIPCd>81036</ZIPCd>
        </USAddress>
        <RecipientEIN>840837008</RecipientEIN>
        <IRCSectionDesc>GOV</IRCSectionDesc>
        <CashGrantAmt>10152</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>GRANT PASSTHROUGH</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>KIT CARSON COUNTY HEALTH SERV</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>286 16TH STREET</AddressLine1Txt>
          <CityNm>BURLINGTON</CityNm>
          <StateAbbreviationCd>CO</StateAbbreviationCd>
          <ZIPCd>80807</ZIPCd>
        </USAddress>
        <RecipientEIN>841435504</RecipientEIN>
        <IRCSectionDesc>GOV</IRCSectionDesc>
        <CashGrantAmt>170527</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>GRANT PASSTHROUGH</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>LINCOLN COMMUNIY HOSPITAL</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>111 6TH STREET</AddressLine1Txt>
          <CityNm>HUGH</CityNm>
          <StateAbbreviationCd>CO</StateAbbreviationCd>
          <ZIPCd>80821</ZIPCd>
        </USAddress>
        <RecipientEIN>840484566</RecipientEIN>
        <IRCSectionDesc>GOV</IRCSectionDesc>
        <CashGrantAmt>127102</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>GRANT PASSTHROUGH</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>MELISSA MEMORIAL HOSPITAL</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>1001 EAST JOHNBSON STREET</AddressLine1Txt>
          <CityNm>HOLYOKE</CityNm>
          <StateAbbreviationCd>CO</StateAbbreviationCd>
          <ZIPCd>80734</ZIPCd>
        </USAddress>
        <RecipientEIN>846014138</RecipientEIN>
        <IRCSectionDesc>GOV</IRCSectionDesc>
        <CashGrantAmt>84542</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>GRANT PASSTHROUGH</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>MT SAN RAFAEL HOSPITAL</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>410 BENEDICTA AVE</AddressLine1Txt>
          <CityNm>TRINIDAD</CityNm>
          <StateAbbreviationCd>CO</StateAbbreviationCd>
          <ZIPCd>81082</ZIPCd>
        </USAddress>
        <RecipientEIN>840586742</RecipientEIN>
        <IRCSectionDesc>501C3</IRCSectionDesc>
        <CashGrantAmt>28105</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>GRANT PASSTHROUGH</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>PAGOSA SPRINGS MEDICAL CENTER</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>95 S PAGOSA BLVD</AddressLine1Txt>
          <CityNm>PAGOSA SPRINGS</CityNm>
          <StateAbbreviationCd>CO</StateAbbreviationCd>
          <ZIPCd>81147</ZIPCd>
        </USAddress>
        <RecipientEIN>840586742</RecipientEIN>
        <CashGrantAmt>11958</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>GRANT PASSTHROUGH</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>PIKES PEAK REGIONAL HOSPITAL</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>16420 W HWY 24</AddressLine1Txt>
          <CityNm>WOODLAND PARK</CityNm>
          <StateAbbreviationCd>CO</StateAbbreviationCd>
          <ZIPCd>80863</ZIPCd>
        </USAddress>
        <RecipientEIN>030582147</RecipientEIN>
        <IRCSectionDesc>501C3</IRCSectionDesc>
        <CashGrantAmt>208703</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>GRANT PASSTHROUGH</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>PIONEERS MEDICAL CENTER</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>100 PIONEERS MEDICAL CENTER D</AddressLine1Txt>
          <CityNm>MEEKER</CityNm>
          <StateAbbreviationCd>CO</StateAbbreviationCd>
          <ZIPCd>81641</ZIPCd>
        </USAddress>
        <RecipientEIN>870788731</RecipientEIN>
        <IRCSectionDesc>GOV</IRCSectionDesc>
        <CashGrantAmt>118714</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>GRANT PASSTHROUGH</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>RANGELY HOSPITAL DISTRICT</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>225 EAGLE CREST DRIVE</AddressLine1Txt>
          <CityNm>RANGELY</CityNm>
          <StateAbbreviationCd>CO</StateAbbreviationCd>
          <ZIPCd>81645</ZIPCd>
        </USAddress>
        <RecipientEIN>846014785</RecipientEIN>
        <IRCSectionDesc>GOV</IRCSectionDesc>
        <CashGrantAmt>227326</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>GRANT PASSTHROUGH</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>RIO GRANDE HOSPITAL</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>1033 2ND SAVE</AddressLine1Txt>
          <CityNm>MONTE VISTA</CityNm>
          <StateAbbreviationCd>CO</StateAbbreviationCd>
          <ZIPCd>81144</ZIPCd>
        </USAddress>
        <RecipientEIN>841276376</RecipientEIN>
        <CashGrantAmt>6600</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>GRANT PASSTHROUGH</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>RIO GRANDE HOSPITAL</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>310 COUNTY ROAD 14</AddressLine1Txt>
          <CityNm>DEL NORTE</CityNm>
          <StateAbbreviationCd>CO</StateAbbreviationCd>
          <ZIPCd>81132</ZIPCd>
        </USAddress>
        <RecipientEIN>841276376</RecipientEIN>
        <IRCSectionDesc>501C3</IRCSectionDesc>
        <CashGrantAmt>9252</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>GRANT PASSTHROUGH</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>SAN LUIS VALLEY HEALTH</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>19021 US HWY 285</AddressLine1Txt>
          <CityNm>LA JARA</CityNm>
          <StateAbbreviationCd>CO</StateAbbreviationCd>
          <ZIPCd>81101</ZIPCd>
        </USAddress>
        <RecipientEIN>840255530</RecipientEIN>
        <CashGrantAmt>15304</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>GRANT PASSTHROUGH</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>SOUTHWEST HEALTH SYSTEM INC</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>1311 N MILDRED ROAD</AddressLine1Txt>
          <CityNm>CORTEZ</CityNm>
          <StateAbbreviationCd>CO</StateAbbreviationCd>
          <ZIPCd>81321</ZIPCd>
        </USAddress>
        <RecipientEIN>841337350</RecipientEIN>
        <IRCSectionDesc>501C3</IRCSectionDesc>
        <CashGrantAmt>8577</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>GRANT PASSTHROUGH</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>ST VINCENT GENERAL HOSPITAL D</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>822 W 4TH STREET</AddressLine1Txt>
          <CityNm>LEADVILLE</CityNm>
          <StateAbbreviationCd>CO</StateAbbreviationCd>
          <ZIPCd>80461</ZIPCd>
        </USAddress>
        <RecipientEIN>840424585</RecipientEIN>
        <IRCSectionDesc>GOV</IRCSectionDesc>
        <CashGrantAmt>105289</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>GRANT PASSTHROUGH</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>THE MEMORIAL HOSPITAL</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>750 HOSPITAL LOOP</AddressLine1Txt>
          <CityNm>CRAIG</CityNm>
          <StateAbbreviationCd>CO</StateAbbreviationCd>
          <ZIPCd>81625</ZIPCd>
        </USAddress>
        <RecipientEIN>840399209</RecipientEIN>
        <IRCSectionDesc>GOV</IRCSectionDesc>
        <CashGrantAmt>12128</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>GRANT PASSTHROUGH</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>VALLEY VIEW HOSPITAL</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>1906 BLAKE AVENUE</AddressLine1Txt>
          <CityNm>GLENWOOD SPRING</CityNm>
          <StateAbbreviationCd>CO</StateAbbreviationCd>
          <ZIPCd>81601</ZIPCd>
        </USAddress>
        <RecipientEIN>840446259</RecipientEIN>
        <IRCSectionDesc>501C3</IRCSectionDesc>
        <CashGrantAmt>7652</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>GRANT PASSTHROUGH</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>WRAY COMMUNITY DISTRICT HOSPI</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>1017 W 7THG STREET</AddressLine1Txt>
          <CityNm>WRAY</CityNm>
          <StateAbbreviationCd>CO</StateAbbreviationCd>
          <ZIPCd>80758</ZIPCd>
        </USAddress>
        <RecipientEIN>840370617</RecipientEIN>
        <IRCSectionDesc>501C3</IRCSectionDesc>
        <CashGrantAmt>7652</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>GRANT PASSTHROUGH</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>YUMA DISTRICT HOSPITAL</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>1000 W 8TH AVENUE</AddressLine1Txt>
          <CityNm>YUMA</CityNm>
          <StateAbbreviationCd>CO</StateAbbreviationCd>
          <ZIPCd>80759</ZIPCd>
        </USAddress>
        <RecipientEIN>840420041</RecipientEIN>
        <IRCSectionDesc>GOV</IRCSectionDesc>
        <CashGrantAmt>29706</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>GRANT PASSTHROUGH</PurposeOfGrantTxt>
      </RecipientTable>
      <Total501c3OrgCnt>15</Total501c3OrgCnt>
      <TotalOtherOrgCnt>11</TotalOtherOrgCnt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Additional Supplemental Information</FormAndLineReferenceDesc>
        <ExplanationTxt>COLORADO RURAL HEALTH CENTER (CRHC) GRANTS SUBAWARDS TO CONSTITUENTS LOCATED IN RURAL AREAS OF COLORADO WHEN THE PARTICIPANT HAS MET THE REQUIREMENTS FOR PAYMENT OR REIMBURSEMENT OUTLINED IN THE GRANT AGREEMENT. ONCE A SUBAWARD IS MADE, CRHC MONITORS SUBRECIPIENT DISTRIBUTIONS BY REFERENCING THE GRANT AGREEMENT AND DISTRIBUTING FUNDS ACCORDING TO THE APPROVED BUDGET TO ENSURE THAT THE SUBRECIPIENT HAS ADMINISTERED ANY PASS-THROUGH FUNDING IN COMPLIANCE WITH THE LAWS, REGULATIONS, AND THE PROVISIONS OF THE AWARD, AND THAT THE REQUIRED PERFORMANCE GOALS ARE BEING ACHIEVED.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleI>
    <IRS990ScheduleJ documentId="IRS990ScheduleJ" softwareId="23017517" softwareVersionNum="2023v5.1">
      <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>LORI ARBUCKLE</PersonNm>
        <TitleTxt>DIRECTOR OF FIN</TitleTxt>
        <BaseCompensationFilingOrgAmt>153323</BaseCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>4733</DeferredCompensationFlngOrgAmt>
        <TotalCompensationFilingOrgAmt>158056</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>MICHELLE MILLS</PersonNm>
        <TitleTxt>CEO</TitleTxt>
        <BaseCompensationFilingOrgAmt>360178</BaseCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>29990</DeferredCompensationFlngOrgAmt>
        <TotalCompensationFilingOrgAmt>390168</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>SARA LEAHY</PersonNm>
        <TitleTxt>MEMBER SERVICES DI</TitleTxt>
        <BaseCompensationFilingOrgAmt>148016</BaseCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>14562</DeferredCompensationFlngOrgAmt>
        <TotalCompensationFilingOrgAmt>162578</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>SUZANNE RICK</PersonNm>
        <TitleTxt>DIRECTOR OF HR</TitleTxt>
        <BaseCompensationFilingOrgAmt>130575</BaseCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>24119</DeferredCompensationFlngOrgAmt>
        <TotalCompensationFilingOrgAmt>154694</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part I, Line 7: Non-Fixed payments not listed above</FormAndLineReferenceDesc>
        <ExplanationTxt>THE CEO RECEIVED A DISCRETIONARY BONUS DURING 2023 THAT WAS BASED ON PERFORMANCE AND GOALS. THE BOARD REVIEWED AND APPROVED THE BONUS.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleJ>
    <IRS990ScheduleO documentId="IRS990ScheduleO" softwareId="23017517" softwareVersionNum="2023v5.1">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, Line 11b</FormAndLineReferenceDesc>
        <ExplanationTxt>A COPY OF THE 990 IS PROVIDED TO CEO AND DIRECTOR OF FINANCE WHO REVIEW THE FORM, SCHEDULES AND RELATED ATTACHMENTS. ANY COMMENTS OR QUESTIONS ARE ADDRESSED WITH THE PREPARER. ONCE MANAGEMENT IS SATISFIED WITH THE 990, THE CEO SIGNS THE FORM 8879-TE AUTHORIZING THE PREPARER TO E-FILE THE RETURN.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, 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 MATERIAL FACTS, AND AFTER ANY DISCUSSION WITH THE INTEREST PERSON, HE/SHE SHALL LEAVE THE GOVERNING BOARD OR COMMITTEE MEETING WHILE THE DETERMINATION OF A CONFLICT OF INTEREST IS DISCUSSED AND VOTED UPON. THE REMAINING BOARD OR COMMITTEE MEMBERS SHALL DECIDE IF A CONFLICT OF INTEREST EXISTS. AN INTERESTED PERSON MAY MAKE A PRESENTATION AT THE GOVERNING BOARD OR COMMITTEE MEETING, BUT AFTER THE PRESENTATION, HE/SHE SHALL LEAVE THE MEETING DURING THE DISCUSSION OF, AND THE VOTE ON, THE TRANSACTION OR ARRANGEMENT INVOLVING THE POSSIBLE CONFLICT OF INTEREST. TO ENSURE COMPLIANCE WITH THE ABOVE, EACH INTERESTED PERSON MUST ANNUALLY SIGN A STATEMENT WHICH AFFIRMS HE/SHE HAS RECEIVED A COPY OF THE CONFLICT OF INTEREST POLICY; HAS READ AND UNDERSTANDS THE POLICY; AGREES TO COMPLY WITH THE POLICY, AND UNDERSTANDS THE ORGANIZATION IS CHARITABLE AND IN ORDER TO MAINTAIN ITS FEDERAL TAX EXEMPTION IT MUST ENGAGE PRIMARILY IN ACTIVITIES WHICH ACCOMPLISH ONE OR MORE OF ITS TAX EXEMPT PURPOSES.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, Line 15a</FormAndLineReferenceDesc>
        <ExplanationTxt>THE BOARD CONDUCTS A REVIEW OF THE CEO'S PERFORMANCE USING COMPENSATION INFORMATION FROM BUREAU OF LABOR STATISTICS, 990 INFORMATION FROM LIKE ORGANIZATIONS, 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, Part VI, Section C, 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>ADDITIONAL INFORMATION</FormAndLineReferenceDesc>
        <ExplanationTxt>DIVERSITY, EQUITY AND INCLUSION - THE COLORADO RURAL HEALTH CENTER RECOGNIZES THAT MANY FACTORS IMPACT THE HEALTH OF INDIVIDUAL AND COMMUNITIES, INCLUDING GEOGRAPHY, INCOME, AND RACE. WE RECOGNIZE THE EXISTENCE AND POWER OF HISTORICAL AND ONGOING SYSTEMATIC STRUCTURES THAT HAVE EXCLUDED INDIVIDUALS FROM LEADING THEIR MOST HEALTHY LIVES. WE ARE COMMITTED TO REPAIRING INJUSTICES BY CHAMPIONING POLICIES THAT RECOGNIZE THESE INEQUITIES AND FOSTER COMMUNITY-LED SOLUTIONS. WE ARE ACTIVELY WORKING TO INCLUDE DIVERSE OPINIONS AND PERSPECTIVES IN OUR DECISION-MAKING PROCESSES AND ADVOCACY WORK AND RECOGNIZE THAT WE ALL LIVE BETTER LIVES WHEN EVERYONE HAS A SEAT AT THE TABLE.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
  </ReturnData>
</Return>