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ROCKY MOUNTAIN HEALTH MAINTENANCE: Form 990, tax year 2014

View the entire original 990 at ProPublica ↗

Organization
ROCKY MOUNTAIN HEALTH MAINTENANCE (EIN 84-0614905)
Tax period
2014-01-01 to 2014-12-31
Filed
2015-11-16
IRS object ID
201523209349309647
Schema version
2014v5.0
Source
Download XML · Original 990 at ProPublica

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

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2015-11-16T14:53:44-06:00ReturnTs
Tax Period End2014-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN840795096PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1DALBY WENDLAND & CO PCBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1P O BOX 430AddressLine1Txt
CityGRAND JUNCTIONCityNm
State AbbreviationCOStateAbbreviationCd
ZIP81502ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2014-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN840614905EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1ROCKY MOUNTAIN HEALTH MAINTENANCEBusinessNameLine1Txt
Business Name Line2ORGANIZATION INCORPORATEDBusinessNameLine2Txt
FieldValueIRS element (for citing)
Business Name ControlROCKBusinessNameControlTxt
Phone9702447760PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line12775 CROSSROADS BOULEVARDAddressLine1Txt
CityGRAND JUNCTIONCityNm
State AbbreviationCOStateAbbreviationCd
ZIP81506ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonPATRICK J DUNCANPersonNm
Person TitleCHIEF FINANCIAL OFFICERPersonTitleTxt
Phone9702447760PhoneNum
Signature2015-11-13SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonSABRINA J HOYT CPAPreparerPersonNm
PTINP00855363PTIN
Phone9702431921PhoneNum
FieldValueIRS element (for citing)
Tax2014TaxYr
Build TS2016-03-07 17:11:31ZBuildTS

Form 990 IRS990

Doing Business As Name DoingBusinessAsName

FieldValueIRS element (for citing)
Business Name Line1ROCKY MOUNTAIN HEALTH PLANSBusinessNameLine1Txt
FieldValueIRS element (for citing)
Principal OfficerSTEPHEN ERKENBRACKPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line12775 CROSSROADS BOULEVARDAddressLine1Txt
CityGRAND JUNCTIONCityNm
State AbbreviationCOStateAbbreviationCd
ZIP81506ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$672,133,341GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501cYes (X)Organization501cInd
Website AddressWWW.RMHP.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1971FormationYr
Legal Domicile StateCOLegalDomicileStateCd
Activity Or MissionDELIVERY OF HIGH QUALITY HEALTH CARE AND RELATED SERVICES THROUGH COMMUNITY BASED ORGANIZATIONAL STRUCTURE TO A BROAD CROSS-SECTION OF COLORADANS, FOCUSING ON PREVENTATIVE CARE, ACCESS AND QUALITY IMPROVEMENT FOR THE BENEFIT OF MEMBERS AND THE GREATER COMMUNITY.ActivityOrMissionDesc
Voting Members Governing Body15VotingMembersGoverningBodyCnt
Voting Members Independent13VotingMembersIndependentCnt
Total Employee0TotalEmployeeCnt
Total Volunteers0TotalVolunteersCnt
Total Gross UBI$10,307TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$19,824,723PYContributionsGrantsAmt
CY Contributions Grants$836,601CYContributionsGrantsAmt
PY Program Service Revenue$358,355,439PYProgramServiceRevenueAmt
CY Program Service Revenue$578,135,503CYProgramServiceRevenueAmt
PY Investment Income$2,554,013PYInvestmentIncomeAmt
CY Investment Income$3,083,341CYInvestmentIncomeAmt
PY Other Revenue$382,598PYOtherRevenueAmt
CY Other Revenue$402,574CYOtherRevenueAmt
PY Total Revenue$381,116,773PYTotalRevenueAmt
CY Total Revenue$582,458,019CYTotalRevenueAmt
PY Grants And Similar Paid$2,410,310PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$862,780CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$332,832,672PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$538,482,566CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$1,841,300PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$2,217,970CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$39,970,527PYOtherExpensesAmt
CY Other Expenses$54,759,984CYOtherExpensesAmt
PY Total Expenses$377,054,809PYTotalExpensesAmt
CY Total Expenses$596,323,300CYTotalExpensesAmt
PY Revenues Less Expenses$4,061,964PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$13,865,281CYRevenuesLessExpensesAmt
Total Assets BOY$160,006,794TotalAssetsBOYAmt
Total Assets EOY$203,148,763TotalAssetsEOYAmt
Total Liabilities BOY$50,826,706TotalLiabilitiesBOYAmt
Total Liabilities EOY$109,463,852TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$109,180,088NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$93,684,911NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionMISSIONDELIVERY OF HIGH QUALITY HEALTH CARE AND RELATED SERVICES THROUGH COMMUNITY BASED ORGANIZATIONAL STRUCTURE TO A BROAD CROSS-SECTION OF COLORADANS, FOCUSING ON PREVENTATIVE CARE, ACCESS AND QUALITY IMPROVEMENT FOR THE BENEFIT OF MEMBERS AND THE GREATER COMMUNITY.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$285,280,593ExpenseAmt
Revenue$312,355,583RevenueAmt
DescEMPLOYER GROUP AND INDIVIDUAL PLANS:PROVIDED MEDICAL BENEFIT SERVICES AND PROGRAMS TO OVER 49,000 PEOPLE ENROLLED THROUGH EMPLOYER GROUP AND INDIVIDUAL PLANS. OVER 90% OF EMPLOYER GROUPS WERE SMALL BUSINESSES.Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$136,108,633ExpenseAmt
Revenue$151,302,133RevenueAmt
DescMEDICARE PLANS:PROVIDED MEDICAL BENEFIT SERVICES AND PROGRAMS TO OVER 24,000 MEDICARE BENEFICIARIES, OVER HALF OF WHOM RESIDE IN RURAL AREAS NOT SERVED BY ANY OTHER MANAGED CARE PLAN. MEMBERS RECEIVED BROAD ACCESS TO MEDICAL CARE AND WELLNESS PROGRAMS.Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

FieldValueIRS element (for citing)
Expense$116,880,394ExpenseAmt
Revenue$114,477,787RevenueAmt
DescMEDICAID PLANS:UNDER THE MEDICAID ASO AGREEMENT, RMHMO PROVIDED MEDICAL BENEFIT SERVICES AND PROGRAMS TO AN AVERAGE OF 32,000 MEDICAID RECIPIENTS IN 7 RURAL COUNTIES, ENSURING ACCESS TO QUALITY MEDICAL CARE NOT OTHERWISE AVAILABLE. SAVED TAXPAYER DOLLARS WHILE EXCEEDING NATIONAL BENCHMARKS FOR QUALITY.EXPENSES $ 64,785,213. INCLUDING GRANTS OF $ 0. REVENUE $ 58,515,259.ADDITIONALLY, RMHP LAUNCHED A NEW MEDICAID PAYMENT REFORM PILOT KNOWN AS MEDICAID PRIME, WHICH BECAME EFFECTIVE ON SEPTEMBER 1, 2014. MEDICAID PRIME IS AUTHORIZED STATUTORILY BY THE COLORADO GENERAL ASSEMBLY PURSUANT TO HOUSE BILL 12-1281. NEW PAYMENT AND QUALITY MODELS WILL BE TESTED TO IMPROVE ACCESS AND VALUE FOR COLORADO MEDICAID RECIPIENTS IN A RIGOROUS, EXTERNALLY EVALUATED DEMONSTRATION. AN AVERAGE OF 26,000 ENROLLEES WERE SERVED BY RMHP IN MEDICAID PRIME DURING 2014. THE PROGRAM IS SUBJECT TO MEDICAL LOSS RATIO (MLR) RECONCILITION WITH THE STATE OF COLORADO THAT ARE PENDING. 90% OF ANY BALANCE NET OF RMHMO OPERATING EXPENSES AND WILL BE DISTRIBUTED TO PRIMARY CARE AND COMMUNITY MENTAL HEALTH PROVIDERS TO REINVEST IN BETTER SYSTEMS OF CARE. EXPENSES $29,446,830. INCLUDING GRANTS OF $0. REVENUE $31,644,719CHILDREN'S HEALTH PLAN PLUS:THROUGH THE COLORADO DEPARTMENT OF HEALTH CARE POLICY AND FINANCING,, RMHMO PROVIDED MEDICAL BENEFIT SERVICES AND PROGRAMS TO OVER 7,000 CHILDREN IN LOW-INCOME HOUSEHOLDS IN 22 RURAL COUNTIES IN WESTERN COLORADO THROUGH PARTICIPATION IN CHILDREN'S HEALTH PLAN PLUS PROGRAM. THESE CHILDREN GAINED ACCESS TO HIGH QUALITY MEDICAL CARE THROUGH A MANAGED CARE PROGRAM THAT PROVIDES CASE MANAGEMENT AND CARE COORDINATION.EXPENSES $ 13,068,342. INCLUDING GRANTS OF $ 0. REVENUE $ 14,544,940.REGIONAL CARE COLLABORATIVE:AS PART OF A CONTRACT AWARD RECEIVED FROM THE COLORADO DEPARTMENT OF HEALTH CARE POLICY AND FINANCING, RMHMO PROVIDES SERVICES AS PART OF A REGIONAL CARE COLLABORATIVE ORGANIZATION FOR THE MEDICAID PROGRAM, WHOSE GOALS ARE TO IMPROVE HEALTH OUTCOMES OF MEDICAID RECIPIENTS BY ADDRESSING HEALTH NEEDS AND TO CONTROL COSTS BY REDUCING INAPPROPRIATE USE OF HEALTH CARE RESOURCES, EFFORTS FOCUS ON PROVIDING CARE COORDINATION AND CARE MANAGEMENT SERVICES TO MEDICAID RECIPIENTS; PROVIDING A FOCAL POINT OF CARE; ENSURING POSITIVE PATIENT AND PROVIDER EXPERIENCES; AND APPLYING STATEWIDE DATA TO SUPPORT DATA-DRIVEN QUALITY IMPROVEMENT INTERVENTIONS. THE CONTRACT COVERS 22 COUNTIES IN COLORADO AND SERVES OVER 108,000 MEDICAID CLIENTS. EXPENSES $ 9,580,009. INCLUDING GRANTS OF $ 0. REVENUE $ 9,772,869.Desc

Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp (4 entries)

ExpenseExpenseAmtDescDescGrantGrantAmt
$212,946GETTINGUSCOVEREDIN 2010, RMHMO CONTRACTED WITH THE FEDERAL DEPARTMENT OF HEALTH AND HUMAN SERVICES (HHS) TO IMPLEMENT AND OPERATE A TEMPORARY FEDERAL HIGH RISK POOL, AS PROVIDED FOR AND DEFINED IN THE PATIENT PROTECTION AND AFFORDABLE CARE ACT OF 2010. IN COLORADO THIS FEDERAL HIGH RISK POOL WAS REFERRED TO AS "GETTINGUSCOVERED." THIS STATEWIDE PROGRAM PROVIDED A COMPREHENSIVE HEALTH PLAN FOR PEOPLE WITH PRE-EXISTING MEDICAL CONDITIONS THAT WERE UNINSURED FOR AT LEAST SIX MONTHS. IT WAS FUNDED THOUGH INDIVIDUAL PREMIUMS AND A FEDERAL FINANCIAL SUBSIDY.THE HHS HIGH RISK POOL AND RMHMO'S CONTRACT WITH HHS EXPIRED EFFECTIVE JUNE 30, 2013, SUBJECT TO REQUIREMENTS TO PROVIDE "CLOSE-OUT" SERVICES FOR A PERIOD OF 18 MONTHS, UNTIL THE END OF 2014. AS COLORADO'S FEDERAL HIGH-RISK POOL, THE HEALTH PLAN WAS DEVELOPED THROUGH A PARTNERSHIP BETWEEN ROCKY MOUNTAIN HEALTH PLANS, COVERCOLORADO, THE STATE OF COLORADO AND THE U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES. GETTINGUSCOVERED MEMBERS ACCESSED A COMPREHENSIVE BENEFITS PACKAGE AND RMHMO'S STRONG STATEWIDE PROVIDER NETWORK. BENEFITS INCLUDED A PRESCRIPTION DRUG PLAN, COVERAGE FOR PREVENTIVE CARE, MENTAL HEALTH, MATERNITY CARE, AND CARE MANAGEMENT PROGRAMS.
$19,438COLORADO BEACON CONSORTIUMIN MAY 2010, THE COLORADO BEACON CONSORTIUM WAS AWARDED $11,878,279 TO IMPLEMENT A HEALTH INFORMATION TECHNOLOGY PILOT PROJECT IN WESTERN COLORADO. THE COLORADO BEACON CONSORTIUM WAS MADE UP OF EXECUTIVE-LEVEL REPRESENTATION FROM FOUR MISSION-DRIVEN, NOT-FOR-PROFIT, WESTERN COLORADO-BASED ORGANIZATIONS, ALL OF WHICH HAVE A NATIONALLY-ACKNOWLEDGED TRACK RECORD OF COORDINATION TO ACHIEVE SUPERIOR OUTCOMES. THEY INCLUDED MESA COUNTY PHYSICIANS INDEPENDENT PRACTICE ASSOCIATION, QUALITY HEALTH NETWORK, ROCKY MOUNTAIN HEALTH PLANS AND ST. MARY'S REGIONAL MEDICAL CENTER. A REPRESENTATIVE FROM EACH ORGANIZATION SITS ON THE COLORADO BEACON CONSORTIUM'S EXECUTIVE COMMITTEE, ALONG WITH A CONSUMER REPRESENTATIVE-AT-LARGE.THE FUNDS FROM THE GRANT WERE USED TO ENABLE ROBUST COLLECTION OF CLINICAL DATA FROM HEALTH SYSTEMS, PROVIDERS, AND HOSPITALS IN ORDER TO IMPROVE THE QUALITY OF HEALTH CARE AND PATIENT EXPERIENCES WITH THE SYSTEM, WHILE REDUCING COSTS. THE COLORADO BEACON CONSORTIUM'S MISSION IS TO OPTIMIZE THE EFFICIENCY, QUALITY, AND PERFORMANCE OF OUR HEALTH CARE SYSTEM, AND INTEGRATE THE DELIVERY OF CARE AND USE OF CLINICAL INFORMATION TO IMPROVE COMMUNITY HEALTH. THE GEOGRAPHIC FOCUS OF THE CONSORTIUM'S ACTIVITIES INCLUDED THE COLORADO COUNTIES OF MESA, DELTA, MONTROSE, GARFIELD, GUNNISON, PITKIN, AND RIO BLANCO.
$1,286,571MISCELLANEOUS PROGRAMSCOLLABORATED WITH HEALTH CARE PROVIDERS AND COMMUNITY ORGANIZATIONS TO ADDRESS IDENTIFIED NEEDS, TO SUPPORT IMPROVEMENTS IN MEDICAL MANAGEMENT AND QUALITY OF CARE, TO FUND RESEARCH, HEALTH AND ASSIST THOSE AT-RISK AND VULNERABLE IN OUR COMMUNITIES. THE VALUE OF RMHP WELLNESS EDUCATION, AND LEADERSHIP, VOLUNTEER TIME AND IN-KIND SUPPORT HAS NOT BEEN QUANTIFIED.$862,780
TOTAL OTHER PROGRAM SERVICES:CONTRIBUTION & GRANT REVENUE OF $836,597 WAS USED TO SUPPORT THESE OTHER PROGRAM SERVICE COSTS.EXPENSES $ 1,518,954, INCLUDING GRANTS OF $ 862,780. REVENUE $ 0.
FieldValueIRS element (for citing)
Total Other Prog Srvc Expense$1,518,955TotalOtherProgSrvcExpenseAmt
Total Other Prog Srvc Grant$862,780TotalOtherProgSrvcGrantAmt
Total Program Service Expenses$539,788,575TotalProgramServiceExpensesAmt
Described In Section501c30DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Temp Or Permanent Endowments0TempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other AssetsYes (1)ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 Footnote0IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt0ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To OrganizationsYes (1)GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org MemYes (1)BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With Officer EntYes (1)BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl EntYes (1)RelatedOrganizationCtrlEntInd
Transaction With Control EntYes (1)TransactionWithControlEntInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document4325IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee0EmployeeCnt
Unrelated Bus Incm Over LimitYes (1)UnrelatedBusIncmOverLimitInd
Form990 T FiledYes (1)Form990TFiledInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members15GoverningBodyVotingMembersCnt
Independent Voting Member13IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesYes (1)DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or Stockholders0MembersOrStockholdersInd
Election Of Board Members0ElectionOfBoardMembersInd
Decisions Subject To Approva0DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process OtherYes (1)CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1PATRICK J DUNCAN CFOBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone9702447760PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line12775 CROSSROADS BLVDAddressLine1Txt
CityGRAND JUNCTIONCityNm
State AbbreviationCOStateAbbreviationCd
ZIP81506ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (24 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtFormer Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
MICHAEL WAYNE BLACKBURN
CHAIR OF THE BOARD5.00Yes (X)Yes (X)$5,153$0$0
DIANE MARIE SCHWENKE
VICE CHAIR OF THE BOARD5.00Yes (X)Yes (X)$8,013$0$0
CORINNE MARIE JOHNSON
SECRETARY5.00Yes (X)Yes (X)$450$0$0
DENNIS LEE STAHL
BOARD MEMBER5.00Yes (X)$3,871$0$0
PAMELA PATRICIA HANES
BOARD MEMBER5.00Yes (X)$5,993$0$0
DAVID WARREN TERRY DO
BOARD MEMBER5.00Yes (X)$450$0$0
WILLIAM JAMES KIRVEN III
BOARD MEMBER5.00Yes (X)$450$0$0
GARY DALLAS KNAUS MD
BOARD MEMBER5.00Yes (X)$450$0$0
WILLIAM ALFORD KELLEY MD
BOARD MEMBER5.00Yes (X)$225$0$0
ARTHUR CURTIS ROBINSON
BOARD MEMBER5.00Yes (X)$3,586$0$0
EUGENE CHRISTIAN LAUNER
BOARD MEMBER5.00Yes (X)$6,440$0$0
JAY YOUNG WANT MD
BOARD MEMBER5.00Yes (X)$9,071$0$0
ROBERT GLEN WILSON
BOARD MEMBER5.00Yes (X)$7,875$1,200$0
JOHN DAVID SEATON
BOARD MEMBER5.00Yes (X)$6,584$0$0
EDWARD LEROY FORSMAN
BOARD MEMBER5.00Yes (X)$0$0$0
STEPHEN K ERKENBRACK
PRESIDENT AND CEO40.00Yes (X)$0$438,432$187,428
LAUREL D WALTERS
CHIEF OPERATING OFFICER40.00Yes (X)$0$271,291$91,481
PATRICK J DUNCAN
CHIEF FINANCIAL OFFICER40.00Yes (X)$0$296,463$141,525
MICHAEL E HUOTARI
VICE PRESIDENT40.00Yes (X)$0$233,207$67,342
NEIL J WALDRON
VICE PRESIDENT40.00Yes (X)$0$284,145$73,032
KEVIN R FITZGERALD
CHIEF MEDICAL OFFICER40.00Yes (X)$0$264,240$103,869
JANICE L ROHR
FORMER VICE PRESIDENT5.00$0$177,220$7,160Yes (X)
JOHN HOPKINS
FORMER CEO5.00$0$104,202$7,160Yes (X)
JAMES SWAYZE
FORMER VICE PRESIDENT40.00$0$365,864$130,612Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$58,611TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$2,436,264TotReportableCompRltdOrgAmt
Total Other Compensation$809,609TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K0IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedYes (1)FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
EXPRESS SCRIPTS INC
21653 NETWORK PLACECHICAGOIL606731216RX PAYMENTS$116,126,238
ST MARY'S HOSPITAL & MEDICAL CENTER IN
PO BOX 62GRAND JUNCTIONCO81502MEDICAL PAYMENTS$52,343,874
ROCKY MOUNTAIN HEALTH MANAGEMENT CORPORA
2775 CROSSROADS BLVDGRAND JUNCTIONCO81502MANAGEMENT SERVICES$35,489,203
CENTURA HEALTH
PO BOX 2110009DENVERCO80221MEDICAL PAYMENTS$15,789,214
AURORA REGIONAL MEDICAL CENTER
DEPT 24DENVERCO80281MEDICAL PAYMENTS$14,504,217
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K373CntrctRcvdGreaterThan100KCnt
Government Grants$612,950GovernmentGrantsAmt
All Other Contributions$223,651AllOtherContributionsAmt
Total Contributions$836,601TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (4 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
PREMIUMS AND CO-PAYS524114$312,050,904$312,050,904
MEDICARE/MEDICAID PMTS524114$251,154,211$251,154,211
CHILD HEALTH PLAN524114$14,544,940$14,544,940
OTHER PROGRAMS524114$385,448$385,448
FieldValueIRS element (for citing)
Total Program Service Revenue$578,135,503TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$2,157,295TotalRevenueColumnAmt
Unrelated Business Revenue$2,288UnrelatedBusinessRevenueAmt
Exclusion$2,155,007ExclusionAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$134,246RealAmt
Personal$78,821PersonalAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$134,246RealAmt
Personal$78,821PersonalAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$0RealAmt
Personal$0PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$90,387,026SecuritiesAmt
Other$1,275OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$89,457,320SecuritiesAmt
Other$4,935OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$929,706SecuritiesAmt
Other-$3,660OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$926,046TotalRevenueColumnAmt
Exclusion$926,046ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp

FieldValueIRS element (for citing)
DescMISCELLANEOUS INCOMEDesc
Business524114BusinessCd
Total Revenue Column$402,574TotalRevenueColumnAmt
Unrelated Business Revenue$8,019UnrelatedBusinessRevenueAmt
Exclusion$394,555ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$402,574OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$582,458,019TotalRevenueColumnAmt
Related Or Exempt Func Income$578,135,503RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$10,307UnrelatedBusinessRevenueAmt
Exclusion$3,475,608ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$862,780TotalAmt
Program Services$862,780ProgramServicesAmt

Benefits To Members BenefitsToMembersGrp

FieldValueIRS element (for citing)
Total$538,482,566TotalAmt
Program Services$538,482,566ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$2,217,970TotalAmt
Management And General$2,217,970ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$22,549,471TotalAmt
Program Services$158,428ProgramServicesAmt
Management And General$22,391,043ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$688,439TotalAmt
Management And General$688,439ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$339,358TotalAmt
Management And General$339,358ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$126,520TotalAmt
Management And General$126,520ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$189,934TotalAmt
Management And General$189,934ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$1,255,920TotalAmt
Management And General$1,255,920ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$2,129,995TotalAmt
Management And General$2,129,995ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$3,291,452TotalAmt
Management And General$3,291,452ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$825,133TotalAmt
Management And General$825,133ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$101,960TotalAmt
Management And General$101,960ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$3,278,925TotalAmt
Management And General$3,278,925ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$392,869TotalAmt
Program Services$134,076ProgramServicesAmt
Management And General$258,793ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtManagement And GeneralManagementAndGeneralAmtProgram ServicesProgramServicesAmt
BROKER COMMISSIONS$5,375,361$5,375,361
ACA REGULATORY FEE EXPE$4,231,228$4,231,228
REPAIRS AND MAINTENANCE$421,419$421,419
OTHER BEACON PROGRAM EX$19,437$19,437

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$9,542,563TotalAmt
Program Services$131,288ProgramServicesAmt
Management And General$9,411,275ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$596,323,300TotalAmt
Program Services$539,788,575ProgramServicesAmt
Management And General$56,534,725ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$11,304,412BOYAmt
EOY$28,573,363EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$1,882,218BOYAmt
EOY$1,887,844EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$39,794BOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$38,731,694BOYAmt
EOY$106,527,327EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$900,871BOYAmt
EOY$1,087,923EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$42,733,153LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$26,048,598LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$14,005,447BOYAmt
EOY$16,684,555EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$83,074,536BOYAmt
EOY$27,480,622EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
EOY$6,315,303EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$10,067,822BOYAmt
EOY$14,591,826EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$160,006,794BOYAmt
EOY$203,148,763EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$41,130,141BOYAmt
EOY$104,512,222EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$8,007,601BOYAmt
EOY$4,852,450EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$1,688,964BOYAmt
EOY$99,180EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$50,826,706BOYAmt
EOY$109,463,852EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$109,180,088BOYAmt
EOY$93,684,911EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$109,180,088BOYAmt
EOY$93,684,911EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$160,006,794BOYAmt
EOY$203,148,763EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss-$13,865,281ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst-$1,629,896NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
Info In Schedule O Part XIIYes (X)InfoInScheduleOPartXIIInd
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Separate Basis Fincl StmtYes (X)SeparateBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule D IRS990ScheduleD

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$2,671,913OtherCostOrOtherBasisAmt
Book Value$2,671,913BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$8,320,956OtherCostOrOtherBasisAmt
Depreciation$2,234,702DepreciationAmt
Book Value$6,086,254BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$255,397OtherCostOrOtherBasisAmt
Depreciation$248,201DepreciationAmt
Book Value$7,196BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$31,484,887OtherCostOrOtherBasisAmt
Depreciation$23,565,695DepreciationAmt
Book Value$7,919,192BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$16,684,555TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (3 entries)

DescDescBook ValueBookValueAmt
ACCRUED INTEREST RECEIVABLE$103,597
SURPLUS NOTE TO ROCKY MOUNTAIN HEALTHCARE OPTIONS, INC$14,148,438
INVESTMENT RECEIVABLE - IN PROCESS OF SETTLEMENT$339,791
FieldValueIRS element (for citing)
Total Book Value Other Assets$14,591,826TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp

FieldValueIRS element (for citing)
DescCONTINGENCY RESERVEDesc
Amt$99,180Amt
FieldValueIRS element (for citing)
Total Liability$99,180TotalLiabilityAmt

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records MaintainedYes (1)GrantRecordsMaintainedInd

Recipient Table RecipientTable (8 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdRecipient EINRecipientEINIRC SectionIRCSectionDescCash GrantCashGrantAmtPurpose Of GrantPurposeOfGrantTxt
ROCKY MOUNTAIN HEALTH PLANS FOUNDATION INC
2775 CROSSROADS BLVDGRAND JUNCTIONCO81506841424932501(C)(3)$114,646CONTRIBUTIONS SUPPORT VARIOUS INITIATIVES INCLUDING, BUT NOT LIMITED TO, FUNDS TO SUPPORT INDIVIDUALS IN A HEALTHCARE CRISIS THAT NEED ACCESS TO SERVICES OR CARE, AN INNOVATIVE MEDICAL RESEARCH PROGRAM TO STUDY CONCUSSION TREATMENT AND THE "BABY AND ME - TOBACCO FREE" PROGRAM RUN BY THE FOUNDATION THAT HELPS KEEP WOMEN FROM SMOKING DURING AND AFTER PREGNANCY.THE CONTRIBUTIONS ALSO FUND A BEHAVIORAL HEALTH CLINIC THAT RESIDES WITH THE LARGEST PRIMARY CARE PRACTICE IN MESA COUNTY, COLORADO, WHICH AMONG OTHER THINGS, COORDINATED MENTAL HEALTH AND MEDICAL CARE FOR PATIENTS FROM SEVEN COUNTIES ON THE WESTERN SLOPE OF COLORADO.
MARILLAC CLINIC
2333 N 6TH STREETGRAND JUNCTIONCO81501841085822501(C)(3)$33,000CONTRIBUTIONS SUPPORT VARIOUS INTITIATIVES INCLUDING, BUT NOT LIMITED TO, ACCESS FOR PROPER DENTAL CARE FOR PREGNANT WOMEN WHO ARE EITHER UNDERINSURED OR UNINSURED WHICH HELPS TO PREVENT PREMATURE BIRTHS AND LOW BIRTH RATES.
QUALITY HEALTH NETWORK
2764 COMPASS DRGRAND JUNCTIONCO81506201632384501(C)(3)$300,000QHN HAS DEVELOPED AN ELECTRONIC HEALTH INFORMATION EXCHANGE THAT PROVIDES A SECURE INFRASTRUCTURE AND ELECTRONIC TOOLS TO AREA PROVIDERS WHICH PROMOTE AND ENABLE SHARING OF CLINICAL INFORMATION AT THE POINT OF CARE. PARTICIPANTS INCLUDE HEALTHCARE ORGANIZATIONS, WITH A FOCUS ON NON-PROFIT HOSPITALS, PUBLIC HEALTH, SAFETY NET CLINICS, HOME HEALTH AGENCIES, EXTENDED CARE FACILITIES, URGENT CARE CENTERS, SURGICAL CENTERS, BEHAVIOR HEALTH PROVIDERS, PHARMACIES, AMBULATORY PHYSICIAN PRACTICES, AND OTHER AGENCIES. QHN'S MISSION IS TO IMPROVE THE HEALTH OF AREA RESIDENTS BY IMPROVING TREATING CLINICIANS' ACCESS TO INFORMATION, IMPROVE EFFICIENCIES AND ELIMINATE REDUNDANCIES, AND IMPROVE THE SATISFACTION OF PATIENTS AND PROVIDERS WITH THE HEALTHCARE DELIVERY SYSTEM. QHN WAS FORMED THROUGH THE COLLABORATION AND CONTRIBUTIONS BY AND BETWEEN RHMHO AND LOCAL AREA PHYSICIANS AND HOSPITALS. THE CONTRIBUTION PROVIDES FOR THE ON-GOING FINANCIAL SUPPORT OF THE ORGANIZATION AND ITS MISSION.
HILLTOP COMMUNITY RESOURCES
1331 HERMOSA AVEGRAND JUNCTIONCO81506742321009501(C)(3)$98,000CONTRIBUTION HELPS SUPPORT THE WESTERN SLOPE OUTREACH AND ENROLLMENT PROGRAM (B4 BABIES AND BEYOND) THAT PROMOTES HEALTHY WOMEN AND CHILDREN BY PROVIDING EARLY ACCESS TO PRENATAL HEALTH CARE.
COLORADO MESA UNIVERSITY FOUNDATION
1450 NORTH 12TH STREETGRAND JUNCTIONCO81501846037667501(C)(3)$50,000PROVIDED GRANT FUNDING TO EXPAND THE COLLEGE'S NURSING PROGRAM IN AN EFFORT TO INCREASE ENROLLMENT RESULTING IN A HIGHER AVAILABILITY OF LICENSED NURSES.
HOPEWEST
PO BOX 60307GRAND JUNCTIONCO81506841207388501(C)(3)$240,000HOSPICE IS BASED UPON A PHILOSOPHY OF COMPASSION, COMFORT, PERSONAL CHOICE, AND MOST IMPORTANTLY, HOPE. HOSPICE & PALLIATIVE CARE OF WESTERN COLORADO OFFERS MANY PROGRAMS AND SERVICES TO HELP PATIENTS, FAMILIES, AND THE COMMUNITIES THEY SERVE UNDERSTAND AND COPE WITH THE MULTIPLE ISSUES THAT ARISE WHEN FACING ILLNESS, GRIEF, AND THE END OF LIFE. THE PURPOSE OF THE CONTRIBUTION WAS TO ASSIST WITH OPERATIONAL EXPENSES FOR THE MISSION OF THE HOSPICE AND TO PROVIDE A CAPITAL CONTRIBUTION FOR A NEW HOSPICE FACILITY IN MONTROSE, COLORADO.
STRIVE
950 GRAND AVEGRAND JUNCTIONCO81506846044855501(C)(3)$12,034CONTRIBUTIONS SUPPORT VARIOUS ACTIVITIES INCLUDING ASSISTING INDIVIDUALS, YOUNG AND OLD, WHO LIVE WITH DEVELOPMENTAL DISABILITIES TO HAVE ACCESS AND SUPPORT TO COMMUNITY SERVICES AND OTHER GENERAL PROGRAM SERVICES THAT PROMOTE THE NON-PROFIT MISSION.
DELTA COUNTY ECONOMIC DEVELOPMENT INC
428 MAIN STDELTACO81416841332310501(C)(3)$15,000CONTRIBUTION HELPS SUPPORT THEIR MISSION TO DEVELOP A STRONG ECONOMY IN DELTA COUNTY BY PROVIDING FUNDS FOR THE 2014 HEALTH CAREERS INSTITUTE. DCED AND THE CU SCHOOL OF MEDICINE IN PARTNERSHIP WITH DELTA COUNTY MEMORIAL HOSPITAL, DELTA COUNTY SCHOOL DISTRICT, DELTA-MONTROSE TECHNICAL COLLEGE AND THE ANSCHUTZ MEDICAL CAMPUS HOSTED THE EVENT IN HOPES OF GIVING DELTA COUNTY STUDENTS EXPOSURE TO THE OPPORTUNITIES OF A CAREER IN RURAL HEALTHCARE.
FieldValueIRS element (for citing)
Total501c3 Org8Total501c3OrgCnt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART I, LINE 2:FormAndLineReferenceDesc
ExplanationTHE ORGANIZATION'S BOARD OF DIRECTORS OR EXECUTIVE COMMITTEE REVIEWS IN DETAIL THE UNDERLYING MERIT OF AN ORGANIZATION'S REQUEST PRIOR TO GRANTING FUNDS. THE BOARD, ITS COMMITTEES AND/OR MANAGEMENT ALSO MONITOR AND INQUIRE ON THE UNDERLYING PROGRAM AS A WHOLE.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Independent ConsultantYes (X)IndependentConsultantInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance Payment0SeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (1)SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments0AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (9 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
STEPHEN K ERKENBRACK
PRESIDENT AND CEO$0$380,531$0$57,901$0$0$0$165,625$0$21,803$0$625,860$0$0
LAUREL D WALTERS
CHIEF OPERATING OFFICER$0$235,140$0$36,151$0$0$0$81,213$0$10,268$0$362,772$0$0
PATRICK J DUNCAN
CHIEF FINANCIAL OFFICER$0$257,313$0$39,150$0$0$0$125,467$0$16,058$0$437,988$0$0
MICHAEL E HUOTARI
VICE PRESIDENT$0$202,153$0$31,054$0$0$0$45,538$0$21,804$0$300,549$0$0
NEIL J WALDRON
VICE PRESIDENT$0$246,344$0$37,801$0$0$0$54,575$0$18,457$0$357,177$0$0
KEVIN R FITZGERALD
CHIEF MEDICAL OFFICER$0$228,237$0$36,003$0$0$0$76,075$0$27,794$0$368,109$0$0
JANICE L ROHR
FORMER VICE PRESIDENT$0$0$0$0$0$177,220$0$0$0$7,160$0$184,380$0$176,020
JOHN HOPKINS
FORMER CEO$0$0$0$0$0$104,202$0$0$0$7,160$0$111,362$0$103,002
JAMES SWAYZE
FORMER VICE PRESIDENT$0$281,202$0$84,662$0$0$0$122,883$0$7,729$0$496,476$0$0

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
SCHEDULE J, PART I, LINE 4BJAMES SWAYZE PARTICIPATED IN A SUPPLEMENTAL NONQUALIFIED DEFERRED COMPENSATION PLAN WITH CNIC, A RELATED ORGANIZATION. NO AMOUNTS HAVE BEEN PAID TO OR RECEIVED BY JAMES SWAYZE FROM THIS PLAN. STEPHEN K ERKENBRACK, LAUREL D WALTERS, PATRICK J DUNCAN, MICHAEL E. HUOTARI, NEIL J WALDRON, AND KEVIN R. FITZGERALD PARTICIPATED IN A SUPPLEMENTAL NONQUALIFIED DEFERRED COMPENSATION PLAN WITH ROCKY MOUNTAIN HEALTH MANAGEMENT CORPORATION (HMC), A RELATED ORGANIZATION. NO AMOUNTS HAVE BEEN PAID TO OR RECEIVED BY THOSE LISTED FROM THIS PLAN. JANICE L. ROHR AND JOHN HOPKINS PARTICIPATED IN A SUPPLEMENTAL NONQUALIFIED DEFERRED COMPENSATION PLAN WITH ROCKY MOUNTAIN HEALTH MANAGEMENT CORPORATION (HMC), A RELATED ORGANIZATION. JANICE ROHR RECEIVED $176,020 AND JOHN HOPKINS RECEIVED $103,002 FROM THIS PLAN.
SCHEDULE J, PART IIEXCEPT FOR JAMES SWAYZE, ALL THE COMPENSATION INCLUDED ON SCHEDULE J IS PAID BY ROCKY MOUNTAIN HEALTH MANAGEMENT CORPORATION (HMC). HMC IS A RELATED ORGANIZATION WITH WHOM ROCKY MOUNTAIN HEALTH MAINTENANCE ORGANIZATION, INCORPORATED (RMHMO) HAS A CONTRACT FOR MANAGEMENT SERVICES. HMC ALSO HAS A MANAGEMENT CONTRACT WITH ROCKY MOUNTAIN HEALTHCARE OPTIONS (HCO) WHICH IS A RELATED ORGANIZATION TO RMHMO AND IS LISTED IN PART IV OF SCHEDULE R. THE COMPENSATION ON SCHEDULE J AND LISTED IN PART VII OF THE FORM 990 FOR THE INDIVIDUALS LISTED ON SCHEDULE J (EXCEPT JAMES SWAYZE) IS 100% OF THE COMPENSATION PAID BY HMC TO THESE INDIVIDUALS. HOWEVER, APPROXIMATELY 88% OF THE SERVICES PROVIDED BY THESE INDIVIDUALS IS ALLOCATED UNDER THE MANAGEMENT CONTRACT WITH RMHMO AND 12% IS ALLOCATED UNDER THE MANAGEMENT CONTRACT WITH HCO. JAMES SWAYZE'S COMPENSATION (INCLUDING AMOUNTS REPORTED UNDER DEFERRED COMPENSATION) IS INCURRED BY CNIC HEALTH SOLUTIONS, INC. (CNIC). CNIC IS A WHOLLY-OWNED SUBSIDIARY OF ROCKY MOUNTAIN HEALTHCARE OPTIONS, INC. (RMHCO) AND THEREFORE A RELATED ORGANIZATION. MR. SWAYZE IS THE CEO AND PRESIDENT OF CNIC AND DEDICATES SUBSTANTIALLY ALL HIS EFFORTS TO THE DAY-TO-DAY OPERATIONS OF CNIC.

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (9 entries)

Relationship DescriptionRelationshipDescriptionTxtTransactionTransactionAmtTransactionTransactionDescSharing Of RevenuesSharingOfRevenuesInd
MESA COUNTY PHYSICIANS IPA INC
BOARD MEMBER, DAVID TERRY, IS A DIRECTOR OF MESA COUNTY PHYSICIANS IPA, INC$2,992,930CONTRACTUAL MEDICAL PAYMENTS0
DAVID WARREN TERRY DO
BOARD MEMBER$121,220MEDICAL PROVIDER PAYMENTS0
HOSKINFARINA & KAMPF PC
B.O.D ASS'T SEC., DAVID SCANGA, IS A HOSKIN, FARINA & KAMPF SHAREHOLDER$513,991GENERAL LEGAL SERVICES0
LAUREL D WALTERS
CHIEF OPERATING OFFICER$927,180PURCHASE OF ROCKY MOUNTAIN HEALTH MANAGEMENT CORP STOCK0
PATRICK J DUNCAN
CHIEF FINANCIAL OFFICER$936,360PURCHASE OF ROCKY MOUNTAIN HEALTH MANAGEMENT CORP STOCK0
MICHAEL E HUOTARI
VICE PRESIDENT$321,300PURCHASE OF ROCKY MOUNTAIN HEALTH MANAGEMENT CORP STOCK0
NEIL J WALDRON
VICE PRESIDENT$229,500PURCHASE OF ROCKY MOUNTAIN HEALTH MANAGEMENT CORP STOCK0
JANICE L ROHR
FORMER VICE PRESIDENT$378,216PURCHASE OF ROCKY MOUNTAIN HEALTH MANAGEMENT CORP STOCK0
JOHN HOPKINS
FORMER CHIEF EXECUTIVE OFFICER$835,380PURCHASE OF ROCKY MOUNTAIN HEALTH MANAGEMENT CORP STOCK0

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (9 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 3THE ORGANIZATION CONTRACTS WITH A RELATED ENTITY, ROCKY MOUNTAIN HEALTH MANAGEMENT CORPORATION (HMC), TO PERFORM MANAGEMENT SERVICES FOR THE ORGANIZATION. HMC HAS A SEPARATE GOVERNING BOARD. THE COMPENSATION REPORTED ON PART VII AND SCHEDULE J FOR THOSE INDIVIDUALS WHO ARE NOT DIRECTORS OF THE ORGANIZATION BUT WHO ARE LISTED AS OFFICERS OR OTHER EMPLOYEES OF THE ORGANIZATION WAS PAID BY HMC.
FORM 990, PART VI, SECTION B, LINE 11THE ENTIRE 990 IS DISTRIBUTED TO EACH DIRECTOR. EACH DIRECTOR IS GIVEN THE OPPORTUNITY TO ASK QUESTIONS AND/OR PROVIDE COMMENTS PRIOR TO FILING. THE FORM 990 AND TAX RETURN IS APPROVED BY THE FINANCE AND AUDIT COMMITTEE OF THE BOARD PRIOR TO FILING.
FORM 990, PART VI, SECTION B, LINE 12CEACH YEAR BOARD MEMBERS, OFFICERS AND KEY EMPLOYEES ARE REQUIRED TO COMPLETE COMPREHENSIVE CONFLICT OF INTEREST DISCLOSURE STATEMENTS. THE CONFLICT OF INTEREST DISCLOSURE STATEMENTS ARE MAINTAINED BY THE ORGANIZATION AND ARE REVIEWED ANNUALLY BY THE ORGANIZATION'S LEGAL COUNSEL. BOARD MEMBERS, OFFICERS AND KEY EMPLOYEES ARE COVERED UNDER THE POLICY. BEFORE EACH BOARD MEETING, LEGAL COUNSEL, THE CHAIR OF THE BOARD, AND THE CEO REVIEW THE AGENDA AND DETERMINE IF THERE IS A CONFLICT OF INTEREST POTENTIAL FOR EACH BOARD ACTION ITEM, AND DURING EACH BOARD MEETING LEGAL COUNSEL, THE CHAIR OF THE BOARD AND THE CEO ARE PRESENT AND DO THE SAME. IF THERE IS A POTENTIAL FOR A CONFLICT, THE BOARD IS ADVISED AND THE BOARD ACTS IN ACCORDANCE WITH ITS CONFLICT OF INTEREST POLICY. IF SOMEONE HAS A CONFLICT, THAT PERSON CANNOT PARTICIPATE IN THE DELIBERATIONS OR DECISION ON THE TRANSACTION.
FORM 990, PART VI, SECTION B, LINE 15THE OFFICERS INCLUDED ARE CEO, CFO, COO, MEDICAL DIRECTOR AND VICE PRESIDENTS. COMPARABILITY DATA IS USED TO DETERMINE COMPENSATION. A THIRD PARTY COMPENSATION EXPERT REPORT CERTIFIES THE REASONABLENESS OF THE COMPENSATION AMOUNTS. THIS PROCESS WAS USED IN 2014.
FORM 990, PART VI, SECTION C, LINE 19COPIES OF THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE PROVIDED UPON REQUEST TO THE EXTENT REQUIRED BY APPLICABLE LAW.
FORM 990 PART XII LINE 2CTHE BOARD ASSUMES RESPONSIBILITY FOR THE AUDIT, WHICH IS DONE ON THE STATUTORY BASIS OF ACCOUNTING, AND SELECTION OF AN INDEPENDENT AUDITOR.
FORM 990, PART VII, SECTION A, LINE 1A, COMPENSATION INFORMATION:EXCEPT FOR JAMES SWAYZE, ALL THE COMPENSATION INCLUDED ON SCHEDULE J IS PAID BY ROCKY MOUNTAIN HEALTH MANAGEMENT CORPORATION (HMC) A RELATED ORGANIZATION. HMC ALSO HAS A MANAGEMENT CONTRACT WITH ROCKY MOUNTAIN HEALTHCARE OPTIONS (HCO) WHICH IS A RELATED ORGANIZATION TO RMHMO AND IS LISTED IN PART IV OF SCHEDULE R. THE COMPENSATION ON SCHEDULE J AND LISTED IN PART VII OF THE FORM 990 FOR THE INDIVIDUALS LISTED ON SCHEDULE J (EXCEPT JAMES SWAYZE) IS 100% OF THE COMPENSATION PAID BY HMC TO THESE INDIVIDUALS. HOWEVER, APPROXIMATELY 88% OF THE SERVICES PROVIDED BY THESE INDIVIDUALS IS ALLOCATED UNDER THE MANAGEMENT CONTRACT WITH RMHMO AND 12% IS ALLOCATED UNDER THE MANAGEMENT CONTRACT WITH HCO.
FORM 990, NARRATIVE STATEMENT:ROCKY MOUNTAIN HEALTH MAINTENANCE ORGANIZATION, INCORPORATED (RMHMO)D/B/A ROCKY MOUNTAIN HEALTH PLANS IS AN INDEPENDENT, NOT-FOR-PROFIT HEALTH BENEFITS PROVIDER THAT HAS SERVED THE HEALTH CARE NEEDS OF COLORADANS FOR OVER 40 YEARS. RMHMO UNIQUELY UNDERSTANDS COLORADO'S HEALTH CARE CONSUMERS. WE PROVIDE ACCESS TO AFFORDABLE, QUALITY HEALTH CARE ENABLING OUR MORE THAN 210,000 MEMBERS TO LIVE LONGER, HEALTHIER LIVES. FOR MANY YEARS EVEN BEFORE ENACTMENT OF THE AFFORDABLE CARE ACT RMHMO HAS INCLUDED PREVENTIVE CARE AS A STANDARD COMPONENT IN ITS BENEFIT PLANS. RMHMO IS KNOWN AS A STRONG AND TRUSTED LEADER IN HEALTH CARE AND IS EVER COMMITTED TO ITS COMMUNITY BENEFIT GOALS. THE ORGANIZATION IS DILIGENT AND DEVOTED TO PROVIDING INNOVATIVE, QUALITY HEALTH PLANS, IMPROVING ACCESS TO HEALTH CARE COVERAGE, AND IMPROVING THE WELL BEING OF INDIVIDUALS, FAMILIES, AND THE COMMUNITIES WE SERVE. VISION WE ARE A COST EFFECTIVE, EFFICIENTLY RUN ORGANIZATION IN THE HEALTH CARE INDUSTRY. WE ADD VALUE TO EVERYONE WE TOUCH. MISSION WE TAKE THE INITIATIVE TO IMPROVE THE LIVES OF OUR MEMBERS AND THE HEALTH OF OUR COMMUNITIES BY OFFERING INNOVATIVE HEALTH PLANS, PROVIDING EXCELLENCE IN SERVICE AND CARE OF OUR MEMBERS, AND STAYING TRUE TO OUR TRADITION OF PUTTING PEOPLE BEFORE PROFITS. VALUES WE MAKE DECISIONS BASED ON THE WELL BEING OF OUR MEMBERS. WE ARE RESPECTFUL, COMPASSIONATE, AND FAIR. WE ARE INNOVATIVE AND ACTION-ORIENTED. WE HONOR THE RIGHTS OF PHYSICIANS AND PATIENTS IN MEDICAL DECISION-MAKING. WE ARE CATALYSTS FOR CONTINUOUS QUALITY IMPROVEMENT. WE BELIEVE THAT THE QUALITY OF OUR RELATIONSHIPS SHAPES OUR FUTURE. SERVING THE UNDERSERVED CHILDREN'S HEALTH PLANS PLUS (CHP+) & CHILDREN'S HEALTH PLAN PRENATAL SERVICES RMHMO OFFERS CHP+ COVERAGE TO INDIGENT CHILDREN AND CHILDREN'S HEALTH PLAN PRENATAL SERVICES TO PREGNANT WOMEN. IN 2014, RMHMO SERVED OVER 7,000 INDIGENT CHILDREN AND PREGNANT WOMEN UNDER THE CHP+ AND CHILDREN'S HEALTH PLAN PRENATAL SERVICES PROGRAM THROUGHOUT 22 COLORADO COUNTIES. THE RMHMO MEDICAID AND CHP+ PROGRAMS CONTINUALLY RECEIVE THE HIGHEST APPROVAL RATING IN ALL PROGRAM CATEGORIES, INCLUDING OVERALL RATING OF HEALTH PLAN. THIS ACHIEVEMENT EXEMPLIFIES A 40-PLUS YEAR COMMITMENT THAT ROCKY MOUNTAIN HEALTH PLANS HAS MADE TO PROVIDE QUALITY HEALTH CARE SERVICES TO THE UNDERSERVED IN COLORADO. MEDICAID UNDER A MEDICAID AGREEMENT BETWEEN RMHMO AND THE COLORADO DEPARTMENT OF HEALTH CARE POLICY AND FINANCING RMHMO PROVIDED COST-SAVING MEDICAL SERVICES TO NEARLY 32,000 MEDICAID RECIPIENTS IN 2014. THE COUNTIES SERVED BY RMHMO UNDER THE MEDICAID AGREEMENT ARE DELTA, MESA, MOFFAT, MONTROSE, OURAY, RIO BLANCO, AND SAN MIGUEL. UNDER THIS PROGRAM RMHMO PROVIDED ACCESS FOR MEDICAID RECIPIENTS TO NEARLY ALL PHYSICIANS (PRIMARY CARE AND SPECIALISTS) WHO PRACTICE IN THESE COUNTIES. RMHMO IS THE ONLY MANAGED CARE ORGANIZATION IN WESTERN COLORADO PROVIDING SERVICES FOR PEOPLE COVERED BY MEDICAID. MEDICAID PRIME: DURING THE 4TH QUARTER OF 2014, RMHMO AND THE DEPARTMENT OF HEALTH CARE POLICY & FINANCING ("HCPF") ENTERED INTO A NEW PROGRAM REFERRED TO AS "MEDICAID PRIME" TO REPLACE RMMHO'S EXISTING MEDICAID PROGRAM. THE MEDICAID PRIME PROGRAM WAS THE RESULT OF A COLLABORATIVE EFFORT BETWEEN RMHMO AND HCPF. MEDICAID PRIME IS A PROGRAM DESIGNED WITH THE OBJECTIVE TO REFORM HOW THE MEDICAID POPULATION IS SERVED AND ENCOMPASSES AND ATTEMPTS TO INTEGRATE PHYSICAL HEALTH, BEHAVIORAL HEALTH AND SUBSTANCE ABUSE SERVICES. THE EFFORT TARGETS THE ENTIRE POPULATION BELOW 250 PERCENT OF THE FEDERAL POVERTY LEVEL,. AS OF THE END OF THE 4TH QUARTER OF 2014 ABOUT 26,000 MEMBERS WERE ENROLLED IN THIS PROGRAM AND THE ENROLLMENT IN 2015 IS EXPECTED TO EXCEED 30,000 MEMBERS MAJOR PROGRAM THEMES UNDER THE PRIME PILOT PROGRAM INCLUDE: - PAYING FOR VALUE, NOT VOLUME - HEALTH EQUITY FOR VULNERABLE POPULATIONS - BEHAVIORAL HEALTH INTEGRATION AND "WHOLE PERSON CARE" - MORE FLEXIBILITY IN PROGRAM RULES, NOT MORE MONEY IN HEALTH CARE - PRIORITIZING RESOURCES WHILE ACCOUNTING FOR EVERYONE - ACCOUNTABLE COMMUNITIES, NOT ISOLATED PROVIDER SYSTEMS - SHARING DATA TO IMPROVE POPULATION HEALTH - SHARING BURDENS AND BENEFITS WITH PARTNERS - IMPROVING HEALTH CARE EFFICIENCY AS HEALTH INSURANCE COVERAGE EXPANDS THE GEOGRAPHIC AREA INCLUDED WITHIN RMHMO'S PLAN INCLUDES MESA, GARFIELD, PITKIN, GUNNISON, RIO BLANCO, MONTROSE AND DELTA COUNTIES. THE PROJECT IS THE OUTCOME OF NEARLY THREE YEARS OF DISCUSSION AMONG RMHMO, PHYSICIAN, HOSPITAL AND COMMUNITY MENTAL HEALTH CENTER LEADERS. ADDITIONAL PARTNERS INCLUDE THE MESA COUNTY DEPARTMENT OF PUBLIC HEALTH, FQHCS, INDEPENDENT PRIMARY CARE PRACTICES, AN ASPEN VALLEY EMPLOYER INITIATIVE, AND THE UNIVERSITY OF COLORADO DEPT. OF FAMILY MEDICINE. RMHMO AND HCPF WILL COLLABORATE TO STREAMLINE PROGRAM ADMINISTRATION, REFORM PAYMENT AT ALL LEVELS AND CREATE A MORE SUSTAINABLE, VALUE-ORIENTED MEDICAID DELIVERY MODEL IN WESTERN COLORADO. THE PURPOSE OF THIS REFORM IS TO ALIGN THE PAYMENT MODEL AT THE POINT OF CARE WITH QUALITY IMPROVEMENT AND COST CONTAINMENT OBJECTIVES FOR THE MEDICAID PROGRAM AS A WHOLE. AS PART OF A CONTRACT AWARD RECEIVED FROM THE COLORADO DEPARTMENT OF HEALTH CARE POLICY AND FINANCING, RMHMO PROVIDES SERVICES AS PART OF A REGIONAL CARE COLLABORATIVE ORGANIZATION FOR THE MEDICAID PROGRAM, WHOSE GOALS ARE TO IMPROVE HEALTH OUTCOMES OF MEDICAID RECIPIENTS BY ADDRESSING HEALTH NEEDS AND TO CONTROL COSTS BY REDUCING INAPPROPRIATE USE OF HEALTH CARE RESOURCES, EFFORTS FOCUS ON PROVIDING CARE COORDINATION AND CARE MANAGEMENT SERVICES TO MEDICAID RECIPIENTS; PROVIDING A FOCAL POINT OF CARE; ENSURING POSITIVE PATIENT AND PROVIDER EXPERIENCES; AND APPLYING STATEWIDE DATA TO SUPPORT DATA-DRIVEN QUALITY IMPROVEMENT INTERVENTIONS. THE CONTRACT COVERS 22 COUNTIES IN COLORADO AND SERVES OVER 108,000 MEDICAID CLIENTS. ADDITIONAL COMMUNITY BENEFITS AND CHARITABLE CONTRIBUTIONS: COPAYMENT COLLECTIONS IN 2014 RMHMO WAS THE ONLY HEALTH PLAN IN COLORADO THAT BILLS AND COLLECTS COPAYMENTS ON BEHALF OF ITS MEMBERS. THIS SERVICE ELIMINATES THE BARRIER FOR PEOPLE SEEKING AND NEEDING CARE THAT DO NOT HAVE THE MONEY TO PAY THEIR COPAYMENT AT THE TIME OF THEIR VISIT. MEMBERS AND FAMILIES ARE RELIEVED OF THIS BURDEN AS ARE PHYSICIANS WHO STRUGGLE TO COLLECT FROM PATIENTS WHO NEED CARE, BUT CAN NOT PAY AT THE TIME OF THE SERVICE. COVERCOLORADO COVERCOLORADO WAS THE COLORADO INSURANCE PROGRAM THAT PROVIDED COVERAGE TO INDIVIDUALS WHO COULD NOT OBTAIN INSURANCE DUE TO THEIR HEALTH CONDITION. RMHMO PROVIDED CONCURRENT HOSPITAL NURSING REVIEWS FREE OF CHARGE IN MESA COUNTY FOR INDIVIDUALS COVERED BY COVERCOLORADO. THIS PROGRAM OFFICIALLY ENDED EFFECTIVE DECEMBER 31, 2013 BUT PROVIDED FOR A TRANSITIONARY PERIOD FOR THOSE MEMBERS DURING THE FIRST QUARTER OF 2014. GRAND VALLEY HEALTH FAIR CONTRIBUTION AS A MAJOR SPONSOR WITH MORE THAN 100 HOURS OF LABOR CONTRIBUTED TO THE PROGRAM THAT HELPS TO PROVIDE MESA COUNTY WITH COMMUNITY HEALTH AND AWARENESS SCREENINGS. STRIVE (F/K/A MESA DEVELOPMENTAL SERVICES) IS A TAX EXEMPT ENTITY THAT PROVIDES SERVICES FOR DEVELOPMENTALLY DISABLED INDIVIDUALS. THE RMHMO CONTRIBUTION ASSISTS INDIVIDUALS, YOUNG AND OLD, WHO LIVE WITH DEVELOPMENTAL DISABILITIES TO HAVE ACCESS AND SUPPORT TO COMMUNITY SERVICES. COLORADO MESA UNIVERSITY (F/K/A MESA STATE COLLEGE) NURSING PROGRAM PROVIDE GRANT FUNDING TO EXPAND THE COLLEGE'S NURSING PROGRAM IN AN EFFORT TO INCREASE ENROLLMENT RESULTING IN A HIGHER AVAILABILITY OF LICENSED NURSES. QUALITY HEALTH NETWORK IS A TAX EXEMPT ENTITY WHICH PROVIDES HEALTH INFORMATION EXCHANGE SERVICES. THE RMHMO CONTRIBUTION HELPS IN THE DEVELOPMENT, IMPLEMENTATION, AND SUPPORT OF ELECTRONIC MEDICAL SERVICE DATA AND NATIONALLY RECOGNIZED FOR HELPING COORDINATE AND SUPPORT CARE FOR OVER 300,000 PATIENTS. ROCKY MOUNTAIN HEALTH PLANS FOUNDATION IS A TAX EXEMPT PUBLIC CHARITY. RMHMO'S CONTRIBUTION OFFERS SUPPORT TO NUMEROUS COMMUNITY PROJECTS AROUND THE STATE, SUCH AS: - HELPING INDIVIDUALS IN A HEALTHCARE CRISIS THAT NEED ACCESS TO SERVICES OR CARE, - CREATING INCENTIVES FOR PREGNANT WOMEN TO STOP SMOKING, - HELPING SCHOOLS OFFER MORE PHYSICAL ACTIVITY FOR STUDENTS TO DECREASE OBESITY AND INCREASE TEST SCORES. - SPEARHEAD, WITH GRANT FUNDS, A BEHAVIORAL HEALTH CLINIC THAT RESIDES WITH THE LARGEST PRIMARY CARE PRACTICE IN MESA COUNTY, COLORADO, WHICH AMONG OTHER THINGS, COORDINATED MENTAL HEALTH AND MEDICAL CARE FOR PATIENTS FROM SEVEN COUNTIES ON THE WESTERN SLOPE OF COLORADO.
WORKSITE WELLNESS PROGRAMSPROVIDE TOOLS, RESOURCES, AND TRAINING TO ASSIST EMPLOYERS IN IMPROVING THE HEALTH OF THEIR EMPLOYEES. THIS COMPREHENSIVE PROGRAM FOCUSES ON PROMOTING WELLNESS AND PREVENTING ILLNESS. RMHMO IS NAMED A GOLD WELL WORKPLACE BY THE WELLNESS COUNCIL OF AMERICA. RECOGNITION IS EARNED BY SUCCESSFULLY MEETING RIGOROUS HEALTH PROMOTION STANDARDS. BY EARNING THIS PRESTIGIOUS DESIGNATION, WE ARE RECOGNIZED AS ONE OF THE AMERICA'S HEALTHIEST COMPANIES. PHYSICIAN RECRUITMENT EFFORT IN 2009, RMHMO COMMITTED SIGNIFICANT FUNDING TO COORDINATE, RECRUIT, ATTRACT AND MAINTAIN ADDITIONAL PRIMARY CARE PHYSICIANS IN CERTAIN COMMUNITIES. THIS EFFORT WAS INITIATED TO ADDRESS THE PRIMARY CARE PHYSICIAN SHORTAGE AND WILL STRIVE TO ACQUIRE AND MAINTAIN A SUFFICIENT NUMBER OF QUALIFIED PHYSICIANS TO ADEQUATELY SERVE THE HEALTH CARE NEEDS OF OUR MEMBERS IN KEY AREAS. THE COMMITMENT WAS FUNDED THROUGH 2014. GETTINGUSCOVERED (GUSC) AS DESCRIBED IN MORE DETAIL IN SCHEDULE O, RMHMO WAS AWARDED THE COLORADO HIGH RISK POOL IN 2010. GUSC IS A STATEWIDE, COMPREHENSIVE HEALTH PLAN FOR PEOPLE WITH PRE-EXISTING MEDICAL CONDITIONS WHO HAVE BEEN UNINSURED FOR AT LEAST SIX MONTHS. AS COLORADO'S FEDERAL HIGH RISK POOL, THE HEALTH PLAN WAS DEVELOPED THROUGH A PARTNERSHIP BETWEEN RMHMO, COVERCOLORADO, THE STATE OF COLORADO AND THE US DEPARTMENT OF HEALTH AND HUMAN SERVICES. IT IS FUNDED THROUGH INDIVIDUAL PREMIUMS AND A FEDERAL FINANCIAL SUBSIDY. HHS ENDED ENROLLMENT AND COVERAGE UNDER THE HIGH RISK POOL AS OF THE END OF JUNE, 2013, AND THE GUSC PROGRAM AND RMHMO'S INVOLVEMENT WAS CLOSED OUT AT THE END OF 2014. COLORADO BEACON CONSORTIUM AS DESCRIBED IN MORE DETAIL IN SCHEDULE O, THE COLORADO BEACON CONSORTIUM WAS FORMED WITH SEVERAL ORGANIZATIONS IN MESA COUNTY INCLUDING RMHMO AS LEAD AND WAS AWARDED A BEACON COMMUNITY COOPERATIVE AGREEMENT THROUGH FUNDING PROVIDED BY THE AMERICAN RECOVERY AND REINVESTMENT ACT OF 2009. THE PROGRAM WILL SEEK TO ADVANCE A HEALTH IT INFRASTRUCTURE THAT WILL SUPPORT THE NATIONWIDE ELECTRONIC EXCHANGE AND USE OF HEALTH INFORMATION IN A SECURE, PRIVATE AND ACCURATE MANNER. THE PROGRAM PERIOD WAS APRIL 1, 2010 THROUGH MAY 31, 2013

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (2 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtControlled OrganizationControlledOrganizationIndDirect Controlling NADirectControllingNACd
ROCKY MOUNTAIN HEALTH PLANS FOUNDATION INC
2775 CROSSROADS BLVDGRAND JUNCTIONCO81506841424932TO FACILITATE PHILANTHROPIC SUPPORT FOR INNOVATIVE HEALTHCARE APPROACHES.CO501(C)(3)7ROCKY MOUNTAIN HEALTH MAINTENANCE ORGANIZATION INCORPORATED0
QUALITY HEALTH NETWORK
2764 COMPASS DRIVEGRAND JUNCTIONCO81506201632384DEVELOPMENT, IMPLEMENT, & SUPPORT OF THE HEALTH INFORMATION EXCHANGE.CO501(C)(3)11, TYPE 10N/A

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (4 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtEntity TypeEntityTypeTxtShare Of Total IncomeShareOfTotalIncomeAmtShare Of EOY AssetsShareOfEOYAssetsAmtOwnershipOwnershipPctControlled OrganizationControlledOrganizationInd
ROCKY MOUNTAIN HEALTHCARE OPTIONS INC
2775 CROSSROADS BLVDGRAND JUNCTIONCO81506841224718OFFERS ALTERNATIVE HEALTH CARE PRODUCTS IN THE AREA SERVICED BY RMHMO.COROCKY MOUNTAIN HEALTH MAINTENANCE ORGANIZATION INCORPORATEDC$123,063,541$50,133,9881.00000Yes (1)
CNIC HEALTH SOLUTIONS INC
6251 GREENWOOD PLAZA BLVD STE 300GREENWOOD VILLAGECO80111710873411PROVIDES ADMIN SVCS FOR MEDICAL, DENTAL, AND CONSUMER DRIVEN HEALTH PLANS.COROCKY MOUNTAIN HEALTHCARE OPTIONS INCC$13,461,242$5,323,7111.00000Yes (1)
LEIF ASSOCIATES INC
1515 ARAPAHOE ST STE 530 TOWER 1DENVERCO80202841324324PROVIDES ACTUARIAL AND DATA CONSULTING.COROCKY MOUNTAIN HEALTHCARE OPTIONS INCC$2,583,697$1,088,9001.00000Yes (1)
ROCKY MOUNTAIN HEALTH MANAGEMENT CORP
2775 CROSSROADS BLVDGRAND JUNCTIONCO81506841009248PROVIDES MANAGEMENT SERVICES.COROCKY MOUNTAIN HEALTH MAINTENANCE ORGANIZATION INCORPORATEDC$41,199,009$8,732,3911.00000Yes (1)
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgYes (1)GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org0GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgYes (1)LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org0LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth OrgYes (1)RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org0RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org0PerformOfServicesForOthOrgInd
Perform Of Services By Other OrgYes (1)PerformOfServicesByOtherOrgInd
Sharing Of FacilitiesYes (1)SharingOfFacilitiesInd
Paid Employees Sharing0PaidEmployeesSharingInd
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (1)ReimbursementPaidByOtherOrgInd
Transfer To Other Org0TransferToOtherOrgInd
Transfer From Other Org0TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (9 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmt
ROCKY MOUNTAIN HEALTHCARE OPTIONS INC
N$105,079
CNIC HEALTH SOLUTIONS INC
J$81,109
CNIC HEALTH SOLUTIONS INC
Q$377,000
QUALITY HEALTH NETWORK
B$300,000
ROCKY MOUNTAIN HEALTH PLANS FOUNDATION INC
B$114,646
ROCKY MOUNTAIN HEALTHCARE OPTIONS INC
Q$2,962,300
LEIF ASSOCIATES INC
M$746,400
ROCKY MOUNTAIN HEALTHCARE OPTIONS INC
D$4,500,000
ROCKY MOUNTAIN HEALTH MANAGEMENT CORP
M$35,489,200