2015-11-16T14:53:44-06:00 2014-12-31 840795096 DALBY WENDLAND & CO PC P O BOX 430 GRAND JUNCTION CO 81502 990 2014-01-01 840614905 ROCKY MOUNTAIN HEALTH MAINTENANCE ORGANIZATION INCORPORATED ROCK 9702447760 2775 CROSSROADS BOULEVARD GRAND JUNCTION CO 81506 PATRICK J DUNCAN CHIEF FINANCIAL OFFICER 9702447760 2015-11-13 1 SABRINA J HOYT CPA P00855363 9702431921 2014 2016-03-07 17:11:31Z ROCKY MOUNTAIN HEALTH PLANS STEPHEN ERKENBRACK 2775 CROSSROADS BOULEVARD GRAND JUNCTION CO 81506 672133341 0 X WWW.RMHP.ORG X 1971 CO DELIVERY 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. 15 13 0 0 10307 0 19824723 836601 358355439 578135503 2554013 3083341 382598 402574 381116773 582458019 2410310 862780 332832672 538482566 1841300 2217970 0 0 0 39970527 54759984 377054809 596323300 4061964 -13865281 160006794 203148763 50826706 109463852 109180088 93684911 X 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. 0 0 285280593 312355583 EMPLOYER 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. 136108633 151302133 MEDICARE 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. 116880394 114477787 MEDICAID 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. 212946 GETTINGUSCOVEREDIN 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. 19438 COLORADO 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. 1286571 862780 MISCELLANEOUS 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. 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. 1518955 862780 539788575 0 1 0 0 0 0 0 0 0 1 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 0 0 1 0 1 0 0 0 0 0 1 1 1 0 1 4325 0 1 0 1 1 0 0 0 0 0 0 0 0 0 X 15 13 0 1 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 X PATRICK J DUNCAN CFO 9702447760 2775 CROSSROADS BLVD GRAND JUNCTION CO 81506 MICHAEL WAYNE BLACKBURN CHAIR OF THE BOARD 5.00 X X 5153 0 0 DIANE MARIE SCHWENKE VICE CHAIR OF THE BOARD 5.00 X X 8013 0 0 CORINNE MARIE JOHNSON SECRETARY 5.00 X X 450 0 0 DENNIS LEE STAHL BOARD MEMBER 5.00 X 3871 0 0 PAMELA PATRICIA HANES BOARD MEMBER 5.00 X 5993 0 0 DAVID WARREN TERRY DO BOARD MEMBER 5.00 X 450 0 0 WILLIAM JAMES KIRVEN III BOARD MEMBER 5.00 X 450 0 0 GARY DALLAS KNAUS MD BOARD MEMBER 5.00 X 450 0 0 WILLIAM ALFORD KELLEY MD BOARD MEMBER 5.00 X 225 0 0 ARTHUR CURTIS ROBINSON BOARD MEMBER 5.00 X 3586 0 0 EUGENE CHRISTIAN LAUNER BOARD MEMBER 5.00 X 6440 0 0 JAY YOUNG WANT MD BOARD MEMBER 5.00 X 9071 0 0 ROBERT GLEN WILSON BOARD MEMBER 5.00 X 7875 1200 0 JOHN DAVID SEATON BOARD MEMBER 5.00 X 6584 0 0 EDWARD LEROY FORSMAN BOARD MEMBER 5.00 X 0 0 0 STEPHEN K ERKENBRACK PRESIDENT AND CEO 40.00 X 0 438432 187428 LAUREL D WALTERS CHIEF OPERATING OFFICER 40.00 X 0 271291 91481 PATRICK J DUNCAN CHIEF FINANCIAL OFFICER 40.00 X 0 296463 141525 MICHAEL E HUOTARI VICE PRESIDENT 40.00 X 0 233207 67342 NEIL J WALDRON VICE PRESIDENT 40.00 X 0 284145 73032 KEVIN R FITZGERALD CHIEF MEDICAL OFFICER 40.00 X 0 264240 103869 JANICE L ROHR FORMER VICE PRESIDENT 5.00 X 0 177220 7160 JOHN HOPKINS FORMER CEO 5.00 X 0 104202 7160 JAMES SWAYZE FORMER VICE PRESIDENT 40.00 X 0 365864 130612 58611 2436264 809609 0 1 1 0 EXPRESS SCRIPTS INC 21653 NETWORK PLACE CHICAGO IL 606731216 RX PAYMENTS 116126238 ST MARY'S HOSPITAL & MEDICAL CENTER IN PO BOX 62 GRAND JUNCTION CO 81502 MEDICAL PAYMENTS 52343874 ROCKY MOUNTAIN HEALTH MANAGEMENT CORPORA 2775 CROSSROADS BLVD GRAND JUNCTION CO 81502 MANAGEMENT SERVICES 35489203 CENTURA HEALTH PO BOX 2110009 DENVER CO 80221 MEDICAL PAYMENTS 15789214 AURORA REGIONAL MEDICAL CENTER DEPT 24 DENVER CO 80281 MEDICAL PAYMENTS 14504217 373 612950 223651 836601 PREMIUMS AND CO-PAYS 524114 312050904 312050904 MEDICARE/MEDICAID PMTS 524114 251154211 251154211 CHILD HEALTH PLAN 524114 14544940 14544940 OTHER PROGRAMS 524114 385448 385448 578135503 2157295 2288 2155007 134246 78821 134246 78821 0 0 0 90387026 1275 89457320 4935 929706 -3660 926046 926046 MISCELLANEOUS INCOME 524114 402574 8019 394555 402574 582458019 578135503 10307 3475608 862780 862780 538482566 538482566 2217970 2217970 22549471 158428 22391043 688439 688439 339358 339358 126520 126520 189934 189934 1255920 1255920 2129995 2129995 3291452 3291452 825133 825133 101960 101960 3278925 3278925 392869 134076 258793 BROKER COMMISSIONS 5375361 5375361 ACA REGULATORY FEE EXPE 4231228 4231228 REPAIRS AND MAINTENANCE 421419 421419 OTHER BEACON PROGRAM EX 19437 19437 9542563 131288 9411275 596323300 539788575 56534725 0 11304412 28573363 1882218 1887844 39794 38731694 106527327 900871 1087923 42733153 26048598 14005447 16684555 83074536 27480622 6315303 10067822 14591826 160006794 203148763 41130141 104512222 8007601 4852450 1688964 99180 50826706 109463852 X 109180088 93684911 109180088 93684911 160006794 203148763 -13865281 -1629896 0 X X 0 1 X 1 0 RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 2671913 2671913 8320956 2234702 6086254 255397 248201 7196 31484887 23565695 7919192 16684555 ACCRUED INTEREST RECEIVABLE 103597 SURPLUS NOTE TO ROCKY MOUNTAIN HEALTHCARE OPTIONS, INC 14148438 INVESTMENT RECEIVABLE - IN PROCESS OF SETTLEMENT 339791 14591826 CONTINGENCY RESERVE 99180 99180 1 ROCKY MOUNTAIN HEALTH PLANS FOUNDATION INC 2775 CROSSROADS BLVD GRAND JUNCTION CO 81506 841424932 501(C)(3) 114646 CONTRIBUTIONS 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 STREET GRAND JUNCTION CO 81501 841085822 501(C)(3) 33000 CONTRIBUTIONS 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 DR GRAND JUNCTION CO 81506 201632384 501(C)(3) 300000 QHN 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 AVE GRAND JUNCTION CO 81506 742321009 501(C)(3) 98000 CONTRIBUTION 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 STREET GRAND JUNCTION CO 81501 846037667 501(C)(3) 50000 PROVIDED 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 60307 GRAND JUNCTION CO 81506 841207388 501(C)(3) 240000 HOSPICE 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 AVE GRAND JUNCTION CO 81506 846044855 501(C)(3) 12034 CONTRIBUTIONS 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 ST DELTA CO 81416 841332310 501(C)(3) 15000 CONTRIBUTION 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. 8 PART I, LINE 2: THE 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. X X X 0 1 0 0 0 0 0 0 0 STEPHEN K ERKENBRACK PRESIDENT AND CEO 0 380531 0 57901 0 0 0 165625 0 21803 0 625860 0 0 LAUREL D WALTERS CHIEF OPERATING OFFICER 0 235140 0 36151 0 0 0 81213 0 10268 0 362772 0 0 PATRICK J DUNCAN CHIEF FINANCIAL OFFICER 0 257313 0 39150 0 0 0 125467 0 16058 0 437988 0 0 MICHAEL E HUOTARI VICE PRESIDENT 0 202153 0 31054 0 0 0 45538 0 21804 0 300549 0 0 NEIL J WALDRON VICE PRESIDENT 0 246344 0 37801 0 0 0 54575 0 18457 0 357177 0 0 KEVIN R FITZGERALD CHIEF MEDICAL OFFICER 0 228237 0 36003 0 0 0 76075 0 27794 0 368109 0 0 JANICE L ROHR FORMER VICE PRESIDENT 0 0 0 0 0 177220 0 0 0 7160 0 184380 0 176020 JOHN HOPKINS FORMER CEO 0 0 0 0 0 104202 0 0 0 7160 0 111362 0 103002 JAMES SWAYZE FORMER VICE PRESIDENT 0 281202 0 84662 0 0 0 122883 0 7729 0 496476 0 0 SCHEDULE J, PART I, LINE 4B JAMES 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 II EXCEPT 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. MESA COUNTY PHYSICIANS IPA INC BOARD MEMBER, DAVID TERRY, IS A DIRECTOR OF MESA COUNTY PHYSICIANS IPA, INC 2992930 CONTRACTUAL MEDICAL PAYMENTS 0 DAVID WARREN TERRY DO BOARD MEMBER 121220 MEDICAL PROVIDER PAYMENTS 0 HOSKINFARINA & KAMPF PC B.O.D ASS'T SEC., DAVID SCANGA, IS A HOSKIN, FARINA & KAMPF SHAREHOLDER 513991 GENERAL LEGAL SERVICES 0 LAUREL D WALTERS CHIEF OPERATING OFFICER 927180 PURCHASE OF ROCKY MOUNTAIN HEALTH MANAGEMENT CORP STOCK 0 PATRICK J DUNCAN CHIEF FINANCIAL OFFICER 936360 PURCHASE OF ROCKY MOUNTAIN HEALTH MANAGEMENT CORP STOCK 0 MICHAEL E HUOTARI VICE PRESIDENT 321300 PURCHASE OF ROCKY MOUNTAIN HEALTH MANAGEMENT CORP STOCK 0 NEIL J WALDRON VICE PRESIDENT 229500 PURCHASE OF ROCKY MOUNTAIN HEALTH MANAGEMENT CORP STOCK 0 JANICE L ROHR FORMER VICE PRESIDENT 378216 PURCHASE OF ROCKY MOUNTAIN HEALTH MANAGEMENT CORP STOCK 0 JOHN HOPKINS FORMER CHIEF EXECUTIVE OFFICER 835380 PURCHASE OF ROCKY MOUNTAIN HEALTH MANAGEMENT CORP STOCK 0 FORM 990, PART VI, SECTION A, LINE 3 THE 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 11 THE 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 12C EACH 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 15 THE 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 19 COPIES 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 2C THE 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 PROGRAMS PROVIDE 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 ROCKY MOUNTAIN HEALTH PLANS FOUNDATION INC 2775 CROSSROADS BLVD GRAND JUNCTION CO 81506 841424932 TO FACILITATE PHILANTHROPIC SUPPORT FOR INNOVATIVE HEALTHCARE APPROACHES. CO 501(C)(3) 7 ROCKY MOUNTAIN HEALTH MAINTENANCE ORGANIZATION INCORPORATED 0 QUALITY HEALTH NETWORK 2764 COMPASS DRIVE GRAND JUNCTION CO 81506 201632384 DEVELOPMENT, IMPLEMENT, & SUPPORT OF THE HEALTH INFORMATION EXCHANGE. CO 501(C)(3) 11, TYPE 1 N/A 0 ROCKY MOUNTAIN HEALTHCARE OPTIONS INC 2775 CROSSROADS BLVD GRAND JUNCTION CO 81506 841224718 OFFERS ALTERNATIVE HEALTH CARE PRODUCTS IN THE AREA SERVICED BY RMHMO. CO ROCKY MOUNTAIN HEALTH MAINTENANCE ORGANIZATION INCORPORATED C 123063541 50133988 1.00000 1 CNIC HEALTH SOLUTIONS INC 6251 GREENWOOD PLAZA BLVD STE 300 GREENWOOD VILLAGE CO 80111 710873411 PROVIDES ADMIN SVCS FOR MEDICAL, DENTAL, AND CONSUMER DRIVEN HEALTH PLANS. 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