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ROCKY MOUNTAIN HEALTH MAINTENANCE: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
ROCKY MOUNTAIN HEALTH MAINTENANCE (EIN 84-0614905)
Tax period
2012-01-01 to 2012-12-31
Filed
2013-11-15
IRS object ID
201343199349309039
Schema version
2012v2.1
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)
Timestamp2013-11-15T15:45:32-06:00Timestamp
Tax Period End Date2012-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

FieldValueIRS element (for citing)
EIN840795096EIN

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1DALBY WENDLAND & CO PCBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1P O BOX 430AddressLine1
CityGRAND JUNCTIONCity
StateCOState
ZIP Code81502ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2012-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN840614905EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1ROCKY MOUNTAIN HEALTH MAINTENANCEBusinessNameLine1
Business Name Line2ORGANIZATION INCORPORATEDBusinessNameLine2
FieldValueIRS element (for citing)
Name ControlROCKNameControl
Phone9702447760Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line12775 CROSSROADS BOULEVARDAddressLine1
CityGRAND JUNCTIONCity
StateCOState
ZIP Code81506ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NamePATRICK J DUNCANName
TitleCHIEF FINANCIAL OFFICERTitle
Phone9702447760Phone
Date Signed2013-11-15DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameJESSICA M MIRACLEName
PTINP01665682PTIN
Phone9702431921Phone
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2016-02-25 16:41:14ZBuildTS

Form 990 IRS990

Doing Business As DoingBusinessAs

FieldValueIRS element (for citing)
Business Name Line1ROCKY MOUNTAIN HEALTH PLANSBusinessNameLine1
FieldValueIRS element (for citing)
Name Of Principal Officer PersonSTEPHEN ERKENBRACKNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line12775 CROSSROADS BOULEVARDAddressLine1
CityGRAND JUNCTIONCity
StateCOState
ZIP Code81506ZIPCode
FieldValueIRS element (for citing)
Gross Receipts452915662GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501cXOrganization501c
Web SiteWWW.RMHP.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1971YearFormation
State Legal DomicileCOStateLegalDomicile
Activity Or Mission DescriptionDELIVERY 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.ActivityOrMissionDescription
Nbr Voting Members Governing Body14NbrVotingMembersGoverningBody
Nbr Independent Voting Members10NbrIndependentVotingMembers
Total Nbr Employees0TotalNbrEmployees
Total Nbr Volunteers0TotalNbrVolunteers
Total Gross UBI12865TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year37327105ContributionsGrantsPriorYear
Contributions Grants Current Year48673175ContributionsGrantsCurrentYear
Program Service Revenue Prior Year350144989ProgramServiceRevenuePriorYear
Program Service Revenue CY351745885ProgramServiceRevenueCY
Investment Income Prior Year4752181InvestmentIncomePriorYear
Investment Income Current Year6443827InvestmentIncomeCurrentYear
Other Revenue Prior Year363464OtherRevenuePriorYear
Other Revenue Current Year439719OtherRevenueCurrentYear
Total Revenue Prior Year392587739TotalRevenuePriorYear
Total Revenue Current Year407302606TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year1653560GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY4577510GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year339034050BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY344784109BenefitsPaidToMembersCY
Salaries Etc Prior Year1996720SalariesEtcPriorYear
Salaries Etc Current Year1872300SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year41876282OtherExpensePriorYear
Other Expenses Current Year41831919OtherExpensesCurrentYear
Total Expenses Prior Year384560612TotalExpensesPriorYear
Total Expenses Current Year393065838TotalExpensesCurrentYear
Revenues Less Expenses Prior Year8027127RevenuesLessExpensesPriorYear
Revenues Less Expenses CY14236768RevenuesLessExpensesCY
Total Assets BOY155063587TotalAssetsBOY
Total Assets EOY181909093TotalAssetsEOY
Total Liabilities BOY46148702TotalLiabilitiesBOY
Total Liabilities EOY61313305TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY108914885NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY120595788NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionDELIVERY 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.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense91605192Expense
Revenue114359611Revenue
DescriptionEMPLOYER GROUP AND INDIVIDUAL PLANS:PROVIDED MEDICAL BENEFIT SERVICES AND PROGRAMS TO OVER 21,000 PEOPLE ENROLLED THROUGH EMPLOYER GROUP AND INDIVIDUAL PLANS. OVER 90% OF EMPLOYER GROUPS WERE SMALL BUSINESSES.Description

Activity2 Activity2

FieldValueIRS element (for citing)
Expense127866622Expense
Revenue149123066Revenue
DescriptionMEDICARE 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.Description

Activity3 Activity3

FieldValueIRS element (for citing)
Expense84200757Expense
Revenue88263208Revenue
DescriptionMEDICAID PLANS:PROVIDED MEDICAL BENEFIT SERVICES AND PROGRAMS TO OVER 23,000 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 $ 67,504,523. INCLUDING GRANTS OF $ 0. REVENUE $ 67,556,160.CHILDREN'S HEALTH PLAN PLUS:THROUGH THE MEDICAID PROGRAM, PROVIDED MEDICAL BENEFIT SERVICES AND PROGRAMS TO OVER 12,000 NEEDY CHILDREN 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.EXPENSES $ 15,668,782. INCLUDING GRANTS OF $ 0. REVENUE $ 18,510,681.REGIONAL CARE COLLABORATIVE:AS PART OF AN AWARD RECEIVED FROM STATE MEDICAID PROGRAM, CREATING A REGIONAL CARE COLLABORATIVE ORGANIZATION, WHOSE GOALS ARE TO IMPROVE HEALTH OUTCOMES OF MEDICAID CLIENTS BY ADDRESSING HEALTH NEEDS AND TO CONTROL COSTS BY REDUCING INAPPROPRIATE USE OF HEALTH CARE RESOURCES, EFFORTS WILL FOCUS ON PROVIDING CARE COORDINATION AND CARE MANAGEMENT SERVICES TO MEMBERS; PROVIDING A FOCAL POINT OF CARE; ENSURING POSITIVE MEMBER AND PROVIDER EXPERIENCES; AND APPLYING STATEWIDE DATA TO SUPPORT DATA-DRIVEN QUALITY IMPROVEMENT INTERVENTIONS. THE ADMINISTRATIVE SERVICES CONTRACT COVERS 22 COUNTIES IN COLORADO AND SERVIES OVER 17,000 MEDICAID CLIENTS. EXPENSES $ 1,027,452. INCLUDING GRANTS OF $ 0. REVENUE $ 2,196,367.Description

Activity Other ActivityOther (4 entries)

ExpenseExpenseRevenueRevenueDescriptionDescriptionGrantsGrants
4241167842411678GETTINGUSCOVEREDPEOPLE WITH SERIOUS HEALTH CONDITIONS WHO HAVE STRUGGLED TO FIND HEALTH INSURANCE HAVE A NEW OPTION, THANKS TO GETTINGUSCOVERED, A HEALTH PLAN THAT OPENED FOR ENROLLMENT IN COLORADO JULY 6, 2010 GETTINGUSCOVERED 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 ROCKY MOUNTAIN HEALTH PLANS, COVERCOLORADO, THE STATE OF COLORADO AND THE U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES. IT IS FUNDED THOUGH INDIVIDUAL PREMIUMS AND A FEDERAL FINANCIAL SUBSIDY. GETTINGUSCOVERED MEMBERS HAVE ACCESS TO A COMPREHENSIVE BENEFITS PACKAGE AND STRONG STATEWIDE NETWORK. MEMBERS CAN CHOOSE THEIR OWN DOCTOR AND GET ACCESS TO THE ROCKY MOUNTAIN HEALTH PLANS PROVIDER NETWORK, WHICH INCLUDES MORE THAN 2,500 PRIMARY CARE PHYSICIANS, 9,000 SPECIALISTS AND SPECIALTY PROVIDERS AND 99 HOSPITALS STATEWIDE. BENEFITS INCLUDE A PRESCRIPTION DRUG PLAN, COVERAGE FOR PREVENTIVE CARE, MENTAL HEALTH, MATERNITY CARE, AND MORE. CARE MANAGEMENT PROGRAMS WILL ALSO BE OFFERED.WHILE FEDERAL FUNDS WILL SUBSIDIZE THE COST OF GETTINGUSCOVERED, IT WILL ALSO BE FUNDED BY INDIVIDUAL PREMIUMS. PREMIUMS WILL BE BASED ON AN APPLICANT'S AGE, COUNTY OF RESIDENCE AND SMOKING STATUS AND WILL COST NO MORE THAN WHAT A HEALTHY INDIVIDUAL OF THE SAME AGE WOULD PAY.
66827346256730COLORADO 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 IS 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 INCLUDE 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 WILL BE 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 INCLUDES THE COLORADO COUNTIES OF MESA, DELTA, MONTROSE, GARFIELD, GUNNISON, PITKIN, AND RIO BLANCO.4219148
8179884766MISCELLANEOUS 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.358362
TOTAL OTHER PROGRAM SERVICES:EXPENSES $ 49,912,400. INCLUDING GRANTS OF $ 4,577,510. REVENUE $ 48,673,174.
FieldValueIRS element (for citing)
Total Of Other Program Service Exp49912400TotalOfOtherProgramServiceExp
Total Of Other Program Service Grnt4577510TotalOfOtherProgramServiceGrnt
Total Of Other Program Service Rev48673174TotalOfOtherProgramServiceRev
Total Program Service Expense353584971TotalProgramServiceExpense
Described In501 C30DescribedIn501C3
Schedule B Required0ScheduleBRequired
Political Activities0PoliticalActivities
Subject To Proxy Tax0SubjectToProxyTax
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments0TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities0ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets0ReportOtherAssets
Report Other Liabilities1ReportOtherLiabilities
Report Fin48 Footnote0ReportFin48Footnote
Independent Audit Financial Stmt0IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt0ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities0FundraisingActivities
Gaming0Gaming
Hospital0Hospital
Grants To Organizations1GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required1ScheduleJRequired
Tax Exempt Bonds0TaxExemptBonds
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization1BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member0BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp1OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity1RelatedEntity
Related Org Controlled Entity1RelatedOrgControlledEntity
Transaction Related Entity1TransactionRelatedEntity
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With10963171NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees0NumberOfEmployees
Unrelated Business Income1UnrelatedBusinessIncome
Form990-T Filed1Form990-TFiled
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions0QuidProQuoContributions
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Form8899 Filed1Form8899Filed
Form1098 C Filed1Form1098CFiled
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members14NbrVotingGoverningBodyMembers
Number Independent Voting Members10NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties1DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders0MembersOrStockholders
Election Of Board Members0ElectionOfBoardMembers
Decisions Subject To Approval0DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other1CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1PATRICK J DUNCAN CFOBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number9702447760TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line12775 CROSSROADS BLVDAddressLine1
CityGRAND JUNCTIONCity
StateCOState
ZIP Code81506ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (23 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationFormerFormer
EUGENE CHRISTIAN LAUNER
CHAIR OF THE BOARD5.00XX910000
MICHAEL WAYNE BLACKBURN
VICE CHAIR OF THE BOARD5.00XX1350000
CORINNE MARIE JOHNSON
SECRETARY5.00XX40000
DENNIS LEE STAHL
BOARD MEMBER5.00X350000
PAMELA PATRICIA HANES
BOARD MEMBER5.00X380000
DAVID WARREN TERRY DO
BOARD MEMBER5.00X40000
WILLIAM JAMES KIRVEN III
BOARD MEMBER5.00X30000
GARY DALLAS KNAUS MD
BOARD MEMBER5.00X40000
WILLIAM ALFORD KELLEY MD
BOARD MEMBER5.00X20000
ARTHUR CURTIS ROBINSON
BOARD MEMBER5.00X330000
DIANE MARIE SCHWENKE
BOARD MEMBER5.00X710000
JAY YOUNG WANT MD
BOARD MEMBER5.00X570000
ROBERT GLEN WILSON
BOARD MEMBER5.00X330000
ANNE WARHOVER
BOARD MEMBER5.00X30000
STEPHEN K ERKENBRACK
PRESIDENT AND CHIEF EXECUT40.00X3810000210000
LAUREL D WALTERS
CHIEF OPERATING OFFICER40.00X2733000107100
PATRICK J DUNCAN
CHIEF FINANCIAL OFFICER40.00X2963000124400
JANICE L ROHR
VICE PRESIDENT40.00X171700017400
MICHAEL E HUOTARI
VICE PRESIDENT40.00X231300061100
NEIL J WALDRON
VICE PRESIDENT40.00X291100073700
KEVIN R FITZGERALD
CHIEF MEDICAL OFFICER40.00X265200097600
JOHN HOPKINS
FORMER CEO20.0010420001100X
JAMES SWAYZE
FORMER OFFICER40.00033680095800X
FieldValueIRS element (for citing)
Total Reportable Comp From Org2065400TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs336800TotalReportableCompFrmRltdOrgs
Total Other Compensation788200TotalOtherCompensation
Number Individuals GT100 K8NumberIndividualsGT100K
Formers Listed1FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources1CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
EXPRESS SCRIPTS INC
21653 NETWORK PLACECHICAGOIL606731216RX PAYMENTS78773559
ST MARY'S HOSPITAL & MEDICAL CENTER IN
PO BOX 62GRAND JUNCTIONCO81502MEDICAL PAYMENTS40000079
ROCKY MOUNTAIN HEALTH MANAGEMENT CORPORA
2775 CROSSROADS BLVDGRAND JUNCTIONCO81502MANAGEMENT SERVICES27546700
COLORADO WEST HEALTHCARE SYSTEM
2021 N 12TH STGRAND JUNCTIONCO815012980MEDICAL PAYMENTS9379408
PRIMARY CARE PARTNERS PC
PO BOX 10700GRAND JUNCTIONCO815025517MEDICAL PAYMENTS7626413
FieldValueIRS element (for citing)
Number Of Contractors GT100 K250NumberOfContractorsGT100K
Government Grants48673175GovernmentGrants
Total Contributions48673175TotalContributions

Program Service Revenue ProgramServiceRevenue (4 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
MEDICARE/MEDICAID PMTS524114218776040218776040
PREMIUMS AND CO-PAYS524114114169215114169215
CHILD HEALTH PLAN5241141851066918510669
OTHER PROGRAMS524114289961289961
FieldValueIRS element (for citing)
Total Program Service Revenue351745885TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column3138388TotalRevenueColumn
Unrelated Business Revenue9359UnrelatedBusinessRevenue
Exclusion$3,129,029ExclusionAmount

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real302405Real
Personal65511Personal

Less Rental Expenses LessRentalExpenses

FieldValueIRS element (for citing)
Real302405Real
Personal65511Personal

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real0Real
Personal0Personal

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities48550579Securities

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities45245140Securities

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities3305439Securities

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column3305439TotalRevenueColumn
Exclusion$3,305,439ExclusionAmount

Other Revenue Misc OtherRevenueMisc

FieldValueIRS element (for citing)
DescriptionMISCELLANEOUS INCOMEDescription
Business Code524114BusinessCode
Total Revenue Column439719TotalRevenueColumn
Unrelated Business Revenue3506UnrelatedBusinessRevenue
Exclusion$436,213ExclusionAmount
FieldValueIRS element (for citing)
Total Other Revenue439719TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column407302606TotalRevenueColumn
Related Or Exempt Function Income351745885RelatedOrExemptFunctionIncome
Unrelated Business Revenue12865UnrelatedBusinessRevenue
Exclusion$6,870,681ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total4577510Total
Program Services4577510ProgramServices

Benefits To Members BenefitsToMembers

FieldValueIRS element (for citing)
Total344784109Total
Program Services344784109ProgramServices

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total1872300Total
Management And General1872300ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total20848719Total
Management And General20848719ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total389172Total
Management And General389172ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total179879Total
Management And General179879ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total85817Total
Management And General85817ManagementAndGeneral

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total259668Total
Management And General259668ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total1049183Total
Management And General1049183ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total1098534Total
Management And General1098534ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total2050015Total
Management And General2050015ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total367904Total
Management And General367904ManagementAndGeneral

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total64808Total
Management And General64808ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total1975027Total
Management And General1975027ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total235382Total
Program Services120052ProgramServices
Management And General115330ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
OTHER BEACON PROGRAM EX24635862463586
BROKER COMMISSIONS24178192417819
OTHER GUSC PROGRAM EXPE13001381300138
REPAIRS AND MAINTENANCE317324317324

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total6728944Total
Program Services339576ProgramServices
Management And General6389368ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total393065838Total
Program Services353584971ProgramServices
Management And General39480867ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY8340362BOY
EOY24469647EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY6546578BOY
EOY15242674EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY8023371BOY
EOY7699758EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY28903052BOY
EOY27254533EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY1029642BOY
EOY795840EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis32830392LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec18906836LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY13760231BOY
EOY13923556EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY87530459BOY
EOY84946532EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY370208BOY
EOY695360EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY559684BOY
EOY6881193EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY155063587BOY
EOY181909093EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY40433462BOY
EOY48403388EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY4854111BOY
EOY11743473EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY861129BOY
EOY1166444EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY46148702BOY
EOY61313305EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY108914885BOY
EOY120595788EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY108914885BOY
EOY120595788EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY155063587BOY
EOY181909093EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses14236768ReconcilationRevenueExpenses
Reconciliation Unrealized Invest444135ReconciliationUnrealizedInvest
Reconcilation Other Changes-3000000ReconcilationOtherChanges
Info In Schedule O Part XIIXInfoInScheduleOPartXII
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited

FS Audited Basis FSAuditedBasis

FieldValueIRS element (for citing)
Financial Statement SeparateXFinancialStatementSeparate
FieldValueIRS element (for citing)
Audit Committee1AuditCommittee
Federal Grant Audit Required1FederalGrantAuditRequired
Federal Grant Audit Performed1FederalGrantAuditPerformed

Schedule D IRS990ScheduleD

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis3105818OtherCostOrOtherBasis
Book Value3105818BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis5436052OtherCostOrOtherBasis
Depreciation1625877Depreciation
Book Value3810175BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis255397OtherCostOrOtherBasis
Depreciation157157Depreciation
Book Value98240BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis24033125OtherCostOrOtherBasis
Depreciation17123802Depreciation
Book Value6909323BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings13923556TotalOfBookValueLandBuildings

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
DescriptionCONTINGENCY RESERVEDescription
Amount$1,166,444Amount
FieldValueIRS element (for citing)
Total Of Amounts1166444TotalOfAmounts

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records Maintained1RecordsMaintained

Recipient Table RecipientTable (6 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEIN Of RecipientEINOfRecipientIRC SectionIRCSectionAmount Of Cash GrantAmountOfCashGrantPurpose Of GrantPurposeOfGrant
ROCKY MOUNTAIN HEALTH PLANS FOUNDATION INC
2775 CROSSROADS BLVDGRAND JUNCTIONCO81506841424932501(C)(3)113209CONTRIBUTIONS 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.
MARILLAC CLINIC
2333 N 6TH STREETGRAND JUNCTIONCO81501841085822501(C)(3)30000CONTRIBUTIONS 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)4279148QHN 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 EFFICIENCES 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 RMHMO 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)86000CONTRIBUTION 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)40000PROVIDED GRANT FUNDING TO EXPAND THE COLLEGE'S NURSING PROGRAM IN AN EFFORT TO INCREASE ENROLLMENT RESULTING IN A HIGHER AVAILABILITY OF LICENSED NURSES.
HOSPICE & PALLIATIVE CARE OF WESTERN COLORADO
PO BOX 60307GRAND JUNCTIONCO81506841207388501(C)(3)25000HOSPICE 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.
FieldValueIRS element (for citing)
Total Nbr Of501 C3 And Govt Grants6TotalNbrOf501C3AndGovtGrants
Total Nbr Of Other Organizations0TotalNbrOfOtherOrganizations

Form990 Schedule I Part IV Form990ScheduleIPartIV

FieldValueIRS element (for citing)
IdentifierPROCEDURE FOR MONITORING GRANTS IN THE U.S.:Identifier
Return ReferencePART I, LINE 2:ReturnReference
ExplanationSCHEDULE I, 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.Explanation

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Independent ConsultantXIndependentConsultant
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance Payment0SeverancePayment
Supplemental Nonqual Retire Plan1SupplementalNonqualRetirePlan
Equity Based Comp Arrangement0EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org0CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs0CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org0CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs0CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments0AnyNonFixedPayments
Initial Contract Exception0InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (9 entries)

TitleTitleBase Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
STEPHEN K ERKENBRACK
PRESIDENT AND CHIEF EXECUT381000000001945000155000591000000
LAUREL D WALTERS
CHIEF OPERATING OFFICER227800045500000897000174000380400000
PATRICK J DUNCAN
CHIEF FINANCIAL OFFICER2507000456000001127000117000420700000
JANICE L ROHR
VICE PRESIDENT14490002680000043000131000189100000
MICHAEL E HUOTARI
VICE PRESIDENT199900031400000456000155000292400000
NEIL J WALDRON
VICE PRESIDENT245400045700000546000191000364800000
KEVIN R FITZGERALD
CHIEF MEDICAL OFFICER228800036400000761000215000362800000
JOHN HOPKINS
FORMER CEO00001042000001100010530001030000
JAMES SWAYZE
FORMER OFFICER02669000699000008810007700043260000

Form990 Schedule J Part III Form990ScheduleJPartIII

FieldValueIRS element (for citing)
IdentifierSUPPLEMENTAL INFORMATIONIdentifier
Return ReferencePART IIIReturnReference
ExplanationPART I, 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. PART II. EXCEPT FOR JAMES SWAYZE, ALL THE COMPENSATION INCLUDED ON SCHEDULE J IS PAID BY ROCKY MOUNTAIN HEALTH MANAGEMENT CORPORATION (HMC). HMC IS AN UNRELATED 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 70% OF THE SERVICES PROVIDED BY THESE INDIVIDUALS IS ALLOCATED UNDER THE MANAGEMENT CONTRACT WITH RMHMO AND 30% 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 RMHMO 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.Explanation

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV (4 entries)

RelationshipRelationshipAmount Of TransactionAmountOfTransactionDescription Of TransactionDescriptionOfTransactionSharing Of RevenuesSharingOfRevenues
DAVID WARREN TERRY DO
BOARD SECRETARY99709MEDICAL PROVIDER PAYMENTS0
WILLIAM A KELLEY MD
BOARD MEMBER74993MEDICAL PROVIDER PAYMENTS0
GARY KNAUS MD
BOARD MEMBER11185MEDICAL PROVIDER PAYMENTS0
ROCKY MOUNTAIN HEALTH MANAGEMENT CO
ENTITY OWNED >35% BUT NOT >50% BY CURRENT OR FORMER OFFICERS AND DIRECTORS27546700MANAGEMENT FEES0

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (9 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
FORM 990, PART VI, SECTION A, LINE 3THE ORGANIZATION CONTRACTS WITH ROCKY MOUNTAIN HEALTH MANAGEMENT CORPORATION (HMC) TO PERFORM MANAGEMENT SERVICES OF THE ORGANIZATION. HMC IS NOT A RELATED ORGANIZATION AND 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 ARE LISTED AS OFFICERS 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 TAX RETURN IS APPROVED BY THE FINANCE AND AUDIT COMMITTEE OF THE BOARD AS PREPARED FOR 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 2012.
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 XI, LINE 9:CONTRIBUTED CAPITAL TO ROCKY MOUNTAIN HEALTHCARE OPTIONS, INC. -3,000,000.CHANGES IN NET ASSETS OR FUND BALANCES:
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). HMC IS AN UNRELATED 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 70% OF THE SERVICES PROVIDED BY THESE INDIVIDUALS IS ALLOCATED UNDER THE MANAGEMENT CONTRACT WITH RMHMO AND 30% 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 ALMOST 40 YEARS. RMHMO UNIQUELY UNDERSTANDS COLORADO'S HEALTH CARE CONSUMERS. WE PROVIDE ACCESS TO AFFORDABLE, QUALITY HEALTH CARE ENABLING OUR MORE THAN 97,000 MEMBERS TO LIVE LONGER, HEALTHIER LIVES. RMHMO BELIEVES RECEIVING PREVENTIVE CARE IS KEY TO MAINTAINING GOOD HEALTH, WHICH IS WHY IT IS INCLUDED AS A STANDARD COMPONENT IN OUR 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 2012, RMHMO SERVED OVER 12,000 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 SIGNIFIES THE ALMOST 40 YEAR COMMITMENT ROCKY MOUNTAIN HEALTH PLANS HAS TAKEN 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 23,000 MEDICAID RECIPIENTS IN 2012. 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. AS PART OF AN AWARD RECEIVED FROM THE STATE MEDICAID PROGRAM, RMHMO HAS CREATED A REGIONAL CARE COLLABORATIVE ORGANIZATION, WHOSE GOALS ARE TO IMPROVE HEALTH OUTCOMES OF MEDICAID CLIENTS BY ADDRESSING HEALTH NEEDS AND TO CONTROL COSTS BY REDUCING INAPPROPRIATE USE OF HEALTH CARE RESOURCES. EFFORTS WILL FOCUS ON PROVIDING CARE COORDINATION AND CARE MANAGEMENT SERVICES TO MEMBERS; PROVIDING A FOCAL POINT OF CARE; ENSURING POSITIVE MEMBER AND PROVIDER EXPERIENCES; AND APPLYING STATEWIDE DATA TO SUPPORT DATA-DRIVEN QUALITY IMPROVEMENT INTERVENTIONS. THE ADMINISTRATIVE SERVICES CONTRACT COVERS 22 COUNTIES IN COLORADO AND SERVICES OVER 17,000 MEDICAID CLIENTS. ADDITIONAL COMMUNITY BENEFITS AND CHARITABLE CONTRIBUTIONS: COPAYMENT COLLECTIONS RMHMO IS 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 IS THE COLORADO INSURANCE PROGRAM THAT PROVIDES COVERAGE TO INDIVIDUALS WHO CANNOT OBTAIN INSURANCE DUE TO THEIR HEALTH CONDITION. RMHMO PROVIDES CONCURRENT HOSPITAL NURSING REVIEWS FREE OF CHARGE IN MESA COUNTY FOR INDIVIDUALS COVERED BY COVERCOLORADO. 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) 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 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, INC. 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. 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 WILL BE FUNDED THROUGH 2013. 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. COLORADO BEACON CONSORTIUM AS DESCRIBED IN MORE DETAIL IN SCHEDULE O, THE COLORADO BEACON CONSORTIUM WAS FORMED WITH SEVERAL ORGANIZATION 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 EH NATIONWIDE ELECTRONIC EXCHANGE AND USE OF HEALTH INFORMATION IN A SECURE, PRIVATE AND ACCURATE MANNER. THE PROGRAM PERIOD IS APRIL 1, 2010 THROUGH MAY 31, 2013.

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (2 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Controlled OrgControlledOrgDirect Controlling Entity NADirectControllingEntityNA
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

Form990 Schedule R Part IV Form990ScheduleRPartIV (3 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Type Of EntityTypeOfEntityShare Of Total IncomeShareOfTotalIncomeShare Of EOY AssetsShareOfEOYAssetsPercentage OwnershipPercentageOwnershipControlled OrgControlledOrg
ROCKY MOUNTAIN HEALTHCARE OPTIONS INC
2775 CROSSROADS BLVDGRAND JUNCTIONCO81506841224718OFFERS ALTERNATIVE HEALTH CARE PRODUCTS IN THE AREA SERVICED BY RMHMO.COROCKY MOUNTAIN HEALTH MAINTENANCE ORGANIZATION INCORPORATEDC205638865534416051.000001
CNIC HEALTH SOLUTIONS INC
6251 GREENWOOD PLAZA BLVD STE 300GREENWOOD VILLAGECO80111710873411PROVIDES ADMIN SVCS FOR MEDICAL, DENTAL, AND CONSUMER DRIVEN HEALTH PLANS.COROCKY MOUNTAIN HEALTH MAINTENANCE ORGANIZATION INCORPORATEDC1623470930117571.000001
LEIF ASSOCIATES INC
1515 ARAPAHOE ST STE 530 TOWER 1DENVERCO80202841324324PROVIDES ACTUARIAL AND DATA CONSULTING.COROCKY MOUNTAIN HEALTHCARE OPTIONS INCORPORATEDC128097811946681
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents Royalties0ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org1GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org0GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org1LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org0LoansOrGuaranteesFromOtherOrg
Dividends Related Organization0DividendsRelatedOrganization
Sale Of Assets To Other Org0SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org0PurchaseOfAssetsFromOtherOrg
Exchange Of Assets0ExchangeOfAssets
Rental Of Facilities To Other Orgs1RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs0RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs0PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs1PerformOfServicesByOtherOrgs
Sharing Of Facilities1SharingOfFacilities
Sharing Of Paid Employees0SharingOfPaidEmployees
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org1ReimbursementPaidByOtherOrg
Other Transfer To Other Org0OtherTransferToOtherOrg
Other Transfer From Other Org0OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (9 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolved
ROCKY MOUNTAIN HEALTHCARE OPTIONS INC
B3000000
ROCKY MOUNTAIN HEALTHCARE OPTIONS INC
N302405
CNIC HEALTH SOLUTIONS INC
J74870
CNIC HEALTH SOLUTIONS INC
Q683000
QUALITY HEALTH NETWORK
B4279148
ROCKY MOUNTAIN HEALTH PLANS FOUNDATION INC
B113209
ROCKY MOUNTAIN HEALTHCARE OPTIONS INC
Q4630000
LEIF ASSOCIATES INC
M268000
ROCKY MOUNTAIN HEALTHCARE OPTIONS INC
D6384000