Civic Intelligence

Quality Health Network

990 • Fiscal year 2014 • EIN 20-1632384

Jan 01, 2014 to Dec 31, 2014 • Filed on Sep 29, 2015

744 Horizon Court No 210Grand Junction, CO 81506

(970) 248-0033

Siviq Scores

Precomputed percentiles for this filing year versus similar nonprofits in the same peer cohort.

Liabilities / Assets

68th percentile

0.30x

Higher debt load relative to assets than 68% of similar nonprofits.

2014 filings • 501(c)3 • $1M-$5M nonprofits • Source year 2014

Liabilities / Revenue

60th percentile

0.19x

Higher debt load relative to revenue than 60% of similar nonprofits.

2014 filings • 501(c)3 • $1M-$5M nonprofits • Source year 2014

Net Margin

17th percentile

-13%

Higher net margin than 17% of similar nonprofits.

2014 filings • 501(c)3 • $1M-$5M nonprofits • Source year 2014

Top Officer Pay

94th percentile

$296,720

Higher top officer pay than 94% of similar nonprofits.

Top officer pay equals 8.2% of source-year revenue.

2014 filings • 501(c)3 • $1M-$5M nonprofits • Source year 2014

Asset Growth

4th percentile

-27%

Faster asset growth than 4% of similar nonprofits.

2014 filings • 501(c)3 • $1M-$5M nonprofits • Annualized from 2013 to 2014

Revenue Growth

8th percentile

-32%

Faster revenue growth than 8% of similar nonprofits.

2014 filings • 501(c)3 • $1M-$5M nonprofits • Annualized from 2013 to 2014

Assets

Down

$2,263,026

Down $853,101 (-27%) from 2013

Net Assets

Down

$1,581,657

Down $481,678 (-23%) from 2013

Liabilities

Down

$681,369

Down $371,423 (-35%) from 2013

Revenue

Down

$3,614,539

Down $1,709,222 (-32%) from 2013

Expenses

Down

$4,096,217

Down $816,262 (-17%) from 2013

Net Income

Down

-$481,678

Down $892,960 (-217%) from 2013

Historical Trend

Balance Sheet Trend

The highlighted filing sits inside the broader history for assets, liabilities, and net assets.

$15M$10M$5.0M$0Assets 2010: $2,402,978Liabilities 2010: $1,555,157Net Assets 2010: $847,8212010Assets 2011: $2,562,442Liabilities 2011: $1,052,877Net Assets 2011: $1,509,5652011Assets 2012: $3,422,914Liabilities 2012: $1,761,264Net Assets 2012: $1,661,6502012Assets 2013: $3,116,127Liabilities 2013: $1,052,792Net Assets 2013: $2,063,3352013Assets 2014: $2,263,026Liabilities 2014: $681,369Net Assets 2014: $1,581,6572014Assets 2015: $2,690,599Liabilities 2015: $324,040Net Assets 2015: $2,366,5592015Assets 2016: $3,816,136Liabilities 2016: $419,137Net Assets 2016: $3,396,9992016Assets 2017: $5,153,639Liabilities 2017: $461,492Net Assets 2017: $4,692,1472017Assets 2018: $6,247,652Liabilities 2018: $612,469Net Assets 2018: $5,635,1832018Assets 2019: $7,006,596Liabilities 2019: $676,279Net Assets 2019: $6,330,3172019Assets 2020: $8,651,809Liabilities 2020: $977,602Net Assets 2020: $7,674,2072020Assets 2021: $10,220,292Liabilities 2021: $1,281,245Net Assets 2021: $8,939,0472021Assets 2022: $9,301,700Liabilities 2022: $1,169,468Net Assets 2022: $8,132,2322022Assets 2023: $8,255,670Liabilities 2023: $1,167,577Net Assets 2023: $7,088,0932023Assets 2024: $1,027,180Liabilities 2024: $190,481Net Assets 2024: $836,6992024

Highlighted filing

2014

Assets$2,263,026
Liabilities$681,369
Net Assets$1,581,657

Operations Trend

Revenue, expenses, and net income across loaded years, with this filing highlighted.

$10M$5.0M$0-$5.0MExpenses 2010: $2,076,0662010Expenses 2011: $3,131,8852011Expenses 2012: $6,631,8002012Revenue 2013: $5,323,761Expenses 2013: $4,912,479Net Income 2013: $411,2822013Revenue 2014: $3,614,539Expenses 2014: $4,096,217Net Income 2014: -$481,6782014Revenue 2015: $3,845,515Expenses 2015: $3,051,014Net Income 2015: $794,5012015Revenue 2016: $4,062,631Expenses 2016: $3,032,191Net Income 2016: $1,030,4402016Revenue 2017: $4,783,054Expenses 2017: $3,487,907Net Income 2017: $1,295,1472017Revenue 2018: $5,089,974Expenses 2018: $4,146,938Net Income 2018: $943,0362018Revenue 2019: $5,353,866Expenses 2019: $4,658,732Net Income 2019: $695,1342019Revenue 2020: $6,489,163Expenses 2020: $5,145,273Net Income 2020: $1,343,8902020Revenue 2021: $7,289,603Expenses 2021: $6,024,763Net Income 2021: $1,264,8402021Revenue 2022: $5,273,835Expenses 2022: $6,080,650Net Income 2022: -$806,8152022Revenue 2023: $5,797,901Expenses 2023: $6,842,040Net Income 2023: -$1,044,1392023Revenue 2024: $5,585,480Expenses 2024: $4,748,781Net Income 2024: $836,6992024

Highlighted filing

2014

Revenue$3,614,539
Expenses$4,096,217
Net Income-$481,678
Jump To
Filing Snapshot
Filing Period
Jan 1, 2014 to Dec 31, 2014
Signed
Sep 29, 2015
Return Version
2014v5.0
Gross Receipts
$3,614,539
Mission and Program Overview

Mission

See Schedule O Quality Health Network's (QHN) primary mission is to optimize the health of the more than 400,000 residents that reside in the western Colorado medical trade area QHN serves. QHN's health information exchange (HIE) improves the efficiency, timeliness, and quality of healthcare provided for all, with a focus on non-profit providers, Critical Access hospitals, public health services and Safety-Net providers, to reduce the burden on government programs. The services QHN provides improves the ability of healthcare providers to collaborate in, coordinate treatment, manage and prevent illness and reduce costly duplicative testing and medical errors that are attributable to insufficient access to timely, accurate clinical information.

See Schedule O Quality Health Network's (QHN) primary mission is to optimize the health of the 400,000 residents in the western Colorado medical trade area QHN serves. QHN's health information exchange(HIE) improves the efficiency, timeliness, and quality of the healthcare provided for all patients, with a focus on non-profit providers, Critical Access hospitals, public health services and Safety-Net providers, to reduce the burden on government. The service QHN provides improves the ability of healthcare providers to collaborate in the treatment, management and prevention of illness for all patients by reducing costly duplicative testing and medical errors attributable to insufficient, inaccurate, or untimely access to clinical information.

Balance Sheet Detail
LineBeginningEndChange
Assets
Savings and Temporary Cash Investments$2,940,993$2,172,513▼ $768,480
Accounts Receivable$150,026$70,562▼ $79,464
Land, Buildings, and Equipment, Net$12,892$7,735▼ $5,157
Total Assets$3,116,127$2,263,026▼ $853,101
Other Assets Total$12,216$12,216→ $0
Liabilities
Other Liabilities$224,675$261,428▲ $36,753
Deferred Revenue$471,230$228,611▼ $242,619
Accounts Payable and Accrued Expenses$356,887$191,330▼ $165,557
Total Liabilities$1,052,792$681,369▼ $371,423
Net Assets / Fund Balance
Unrestricted Net Assets$2,053,735$1,572,057▼ $481,678
Temporarily Rstr Net Assets$9,600$9,600→ $0
Total Net Assets Fund Balance$2,063,335$1,581,657▼ $481,678
Total Liabilities and Net Assets / Fund Balance$3,116,127$2,263,026▼ $853,101

Asset Categories

AssetBook ValueDepreciationBasis
Other Land Buildings$7,735$80,042$87,777
Compensation and Service Providers

Employees

NameTitleFull / Part TimeBaseOtherTotal
Richard ThompsonExecutive DirectorFT$162,500$134,220$296,720
Marc T LassauxChief Technology OfficerFT$118,546$55,981$174,527
Justin AubertChief Financial OfficerFT$110,650$30,730$141,380
Richard WarnerProject Management CoordinatorFT$114,096$16,831$130,927
Jane FosterClinical DirectorFT$101,983$19,606$121,589

Board Members and Trustees

NameTitle
Gregory Reicks DOChair
Dan Sullivan MDVice Chair
Bob WilsonDirector
Bryce Lokey MDDirector
Chris ThomasDirector
Kay RamachandranDirector
J Michael StahlSecretary/Director
Reza KaleelTreasurer/Director

Highest Paid Contractors

ContractorServicesLocationCompensation
Mirth CorporationSoftware licenses and service611 Anton Blvd Ste 500, Costa Mesa, CA 92626$810,189
Axolotl CorporationOptumDatabase Software and Support2771 Momentum Place, Chicago, IL 60689-5327$707,292
Rocky Mountain Health PlansHealthcare insurancePO Box 173704, Denver, CO 80217-3704$220,663
Revenue and Support

Revenue Composition

Contributions and Grants
$1,888,232
Program Service Revenue
$1,710,546
Investment Income
$15,761
Other Revenue
$0
All Other Contributions
$1,168,232
Change in Net Assets
$-481,678

Audited Revenue Reconciliation

Revenue per Audited Statements
$3,614,539
Revenue Not Reported on Financial Statements
$0
Revenue Not Reported on Form 990
$0
Total Revenue per Audited Statements
$3,614,539
Total Revenue per Form 990
$3,614,539
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Salaries, Compensation, and Employee Benefits$2,326,858
Other Expenses$1,769,359
Total Fundraising Expense$134,101
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$994,479$186,465$62,155$1,243,099
Current Officers, Directors, Trustees, and Key Employees$381,607$71,551$23,850$477,008
Other Employee Benefits$219,764$41,608$16,020$277,392
Pension Plan Contributions$160,583$29,706$7,753$198,042
Payroll Taxes$105,053$19,698$6,566$131,317
Occupancy$69,975$8,424$4,212$82,611
Travel$42,051$10,513-$52,564
Fees for Services Legal$13,056$30,744$1,146$44,946
Fees for Services Accounting$12,521$29,538$1,101$43,160
All Other Expenses$23,781$7,252$133$31,166
Office Expenses$19,355$2,278$1,139$22,772
Insurance$18,064$2,125$1,063$21,252
Other Expenses$1,491$9,690$3,727$14,908
Conferences and Meetings$-112$11,108$3,665$14,661
Information Technology$11,350--$11,350
Depreciation Depletion$4,383$516$258$5,157
Total Functional Expenses$3,435,647$526,469$134,101$4,096,217

Audited Expense Reconciliation

Line ItemAmount
Expenses per Audited Statements$4,096,217
Total Expenses per Audited Statements$4,096,217
Total Expenses per Form 990$4,096,217
Expenses Not Reported on Financial Statements$0
Expenses Not Reported on Form 990$0
Fundraising, Events, and Gaming
Fundraising activities
No
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Professional Fundraising Fees$0
Political and Lobbying Activity
Political campaign activity
No
Lobbying activity
No
Subject to proxy tax
No
Debt and Bond Financing

Other Reported Liabilities

LiabilityAmount
Contingent Compensation payable$211,540
Accrued payroll$49,888
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Annual disclosure for covered persons
Yes
Audit committee
No
Backup withholding compliance
Yes
Business relationship with family members
No
Business relationship with organization members
No
Material changes to governing documents
No
Compensation from other sources disclosed
No
CEO compensation reviewed
Yes
Other officer compensation reviewed
No
Conflict-of-interest policy
Yes
Audited financial statements prepared
No
Key decisions subject to board approval
No
Management duties delegated
No

Governance Explanations

Form 990, Part VI, Section A, line 7A

The board consists of eight members. There are five tax exempt non-profit entities represented on the board and one taxable nonprofit entity. Each entity chooses a member to serve on the board. Two members are at large. All members of the board elect the two members at large.

Form 990, Part VI, Section B, line 11

A copy of form 990 is provided to each board member before its' filing. Each board member is given an opportunity to comment on the 990 and ask questions before it is filed.

Form 990, Part VI, Section B, line 12C

Conflict of interest disclosure statements are reviewed by the Executive Director and legal counsel. All Board members, officers and key employees are covered under the policy. Before each Board meeting legal counsel and the Executive Director 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 and the Executive Director are present to do the same. If there is a potential for a conflict, legal counsel advises the Board 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 15A

The process is used for Executive Director (who is the top management official) compensation. The Board Chair, Board Vice Chair and Treasurer meet to determine the compensation amount relying on data of compensation rates for executives involved in health care in the Mesa County area. Their determination is documented contemporaneously in e-mail exchanges.

Form 990, Part VI, Section C, line 19

No requests for these documents have been received. However, if such a request were made, we would provide a copy of these documents to the extent required by applicable law for 501(c)(3) organizations.

Filing and Contact Details

Filer

Filer Name
Quality Health Network
EIN
20-1632384
Phone
9702480033
Address
744 Horizon Court No 210, Grand Junction, CO 81506

Signing Officer

Name
Richard Thompson
Title
Executive Director
Phone
9702480033
Signed
2015-09-29
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Richard Thompson
Formed
2004
Legal Domicile
Co
Voting Board Members
8
Independent Board Members
5
Employees
26
Volunteers
0

Preparer

Firm
James R Grisier & Associates LLC
Address
2135 N Seventh St, Grand Junction, CO 81501
Preparer
James R Grisier CPA
Phone
9702438245
Supplemental Narrative

Additional Explanations

Form 990, Part III, Line 4B

Colorado Regional Extension Center(CO-REC): In 2014, QHN concluded the work funded as part of the HITECH Act as a subcontractor with CORHIO to perform Regional Extension Center(REC) services under a cooperative agreement with the Office of the National Coordinator. Under the agreement, QHN provided consulting services to assist MU eligible professionals (EP's) to adopt, implement, and achieve meaningful use of Certified Electronic Health Record Technology (CEHRT). This work to support EP's in western Colorado successfully achieve MU, reduces medical errors, duplicative testing and the associated expense with the manual delivery of paper records. Supporting providers' adoption and meaningful use of electronic health records, reduces the healthcare cost burden on government.

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IRS990/ActivityOrMissionDesc0See Schedule O Quality Health Network's (QHN) primary mission is to optimize the health of the 400,000 residents in the western Colorado medical trade area QHN serves. QHN's health information exchange(HIE) improves the efficiency, timeliness, and quality of the healthcare provided for all patients, with a focus on non-profit providers, Critical Access hospitals, public health services and Safety-Net providers, to reduce the burden on government. The service QHN provides improves the ability of healthcare providers to collaborate in the treatment, management and prevention of illness for all patients by reducing costly duplicative testing and medical errors attributable to insufficient, inaccurate, or untimely access to clinical information.
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IRS990/Desc0Clinical Data Collection and Delivery: Quality Health Network (QHN) was incorporated in 2004 and successfully launched live operations to improve the quality of healthcare in 2005. QHN utilizes a secure HIE network as the foundation to support the Institute for Healthcare Improvement's Triple Aim goal of - improving healthcare, improving the health of populations and reducing the cost of healthcare for all. QHN has continued to systematically focus on its founding mission of expanding the opportunity, resources and infrastructure necessary to increase the widespread provision of high-quality coordinated healthcare amongst health systems and providers. The provision of services by the QHN network has placed western Colorado in a strong position to achieve innovative,meaningful healthcare reforms. As of the end of calendar year 2014, more than 3,200 providers, care team members and other healthcare staff were connected to the QHN network and they have made more than 1 million data repository requests to the Patient Summary record. QHN facilitates the ability of all area healthcare participants to collaborate, coordinate care and timely and securely communicate, in a manner fully compliant with HIPAA and all other patient privacy laws. The QHN security & data encryption model, which protects the privacy of patient data, has been nationally recognized for its safety and effectiveness. During 2014, QHN continued its expansion with the addition of new providers and healthcare services which, included the Grand Junction Veterans Affairs Medical Center, West Springs (behavioral health) Hospital, Mind Springs outpatient service locations, long-term care facilities, home health, Hospice and PACE Programs (Program of All-inclusive Care for the Elderly). These newly connected services expanded into the Colorado medical neighborhoods of Mesa, Delta, Montrose, Glenwood Springs, Meeker, Rifle, Rangely, Hinsdale County, Aspen and Gunnison. This continued expansion has resulted in more than 93 percent of the providers in our service area being connected to the robust QHN data repository. During 2014, QHN in an effort to improve healthcare statewide, began to exchange unidirectional data with Colorado Regional Health Information Organization(CORHIO). This is a critical step toward establishing a robust infrastructure between two regional HIE's in the state of Colorado. Considering the geographical challenges in Colorado, the secure electronic transmission of information between healthcare providers across the state has substantial potential to translate into significant improvements in coordinated care, patient safety and reduced healthcare costs for all Coloradoans. CORHIO and QHN have also linked to enable seamless Direct messaging across the state as Direct Trust Certified partners. This functionality allows providers to communicate using secure, encrypted email, called Direct messaging. QHN has also similarly linked its network with the Utah Health Information Network (UHIN) to support better Transitions of Care for eastern Utah patients who receive specialty care in Grand Junction. QHN is also a participant in the federal Health and Human Services program to develop secure infrastructure for the nationwide exchange of health information called eHealth Exchange. QHN delivers real-time, critical patient information and provides a robust repository of patient healthcare data (Patient Summary Record) to treating providers serving patients in life-threatening as well as non-emergent care situations. The ability for treating providers to securely access patient records and send directed, encrypted messages via QHN's high-speed network improves healthcare outcomes. This immediate access to patient data reduces the burden on Government by decreasing medical errors, duplicative testing and the expense associated with the manual delivery, storage and processing of paper records.
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IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt40
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt50
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt60
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt70
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IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt930730
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt1040981
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt1119606
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt1216831
IRS990/Form990PartVIISectionAGrp/PersonNm0Gregory Reicks DO
IRS990/Form990PartVIISectionAGrp/PersonNm1Dan Sullivan MD
IRS990/Form990PartVIISectionAGrp/PersonNm2J Michael Stahl
IRS990/Form990PartVIISectionAGrp/PersonNm3Reza Kaleel
IRS990/Form990PartVIISectionAGrp/PersonNm4Bob Wilson
IRS990/Form990PartVIISectionAGrp/PersonNm5Bryce Lokey MD
IRS990/Form990PartVIISectionAGrp/PersonNm6Chris Thomas
IRS990/Form990PartVIISectionAGrp/PersonNm7Kay Ramachandran
IRS990/Form990PartVIISectionAGrp/PersonNm8Richard Thompson
IRS990/Form990PartVIISectionAGrp/PersonNm9Justin Aubert
IRS990/Form990PartVIISectionAGrp/PersonNm10Marc T Lassaux
IRS990/Form990PartVIISectionAGrp/PersonNm11Jane Foster
IRS990/Form990PartVIISectionAGrp/PersonNm12Richard Warner
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IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt20
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IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt70
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IRS990/Form990PartVIISectionAGrp/TitleTxt0Chair
IRS990/Form990PartVIISectionAGrp/TitleTxt1Vice Chair
IRS990/Form990PartVIISectionAGrp/TitleTxt2Secretary/Director
IRS990/Form990PartVIISectionAGrp/TitleTxt3Treasurer/Director
IRS990/Form990PartVIISectionAGrp/TitleTxt4Director
IRS990/Form990PartVIISectionAGrp/TitleTxt5Director
IRS990/Form990PartVIISectionAGrp/TitleTxt6Director
IRS990/Form990PartVIISectionAGrp/TitleTxt7Director
IRS990/Form990PartVIISectionAGrp/TitleTxt8Executive Director
IRS990/Form990PartVIISectionAGrp/TitleTxt9Chief Financial Officer
IRS990/Form990PartVIISectionAGrp/TitleTxt10Chief Technology Officer
IRS990/Form990PartVIISectionAGrp/TitleTxt11Clinical Director
IRS990/Form990PartVIISectionAGrp/TitleTxt12Project Management Coordinator
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IRS990/MissionDesc0See Schedule O Quality Health Network's (QHN) primary mission is to optimize the health of the 400,000 residents in the western Colorado medical trade area QHN serves. QHN's health information exchange (HIE) improves the efficiency, timeliness, and quality of healthcare provided for all patients, with a focus on non-profit providers, Critical Access hospitals, public health services and Safety-Net providers, to reduce the burden on government. The service QHN provides improves the ability of healthcare providers to collaborate in the treatment, management and prevention of illness for all patients by reducing costly duplicative testing and medical errors attributable to insufficient, inaccurate, or untimely access to clinical information.
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IRS990/OtherExpensesGrp/FundraisingAmt13727
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IRS990/OtherExpensesGrp/ManagementAndGeneralAmt29690
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IRS990/PayrollTaxesGrp/TotalAmt0131317
IRS990/PensionPlanContributionsGrp/FundraisingAmt07753
IRS990/PensionPlanContributionsGrp/ManagementAndGeneralAmt029706
IRS990/PensionPlanContributionsGrp/ProgramServicesAmt0160583
IRS990/PensionPlanContributionsGrp/TotalAmt0198042
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IRS990/PrincipalOfficerNm0Richard Thompson
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IRS990/ProgSrvcAccomActy2Grp/Desc0Clinical ImprovementPopulation Management and Chronic Disease Registry: While the chronically ill comprise a relatively small percentage of the total population, they historically account for a large percentage of the healthcare delivery systems resources and associated expenses. Medicare and Medicaid eligible populations suffer disproportionately from chronic illnesses. A key component of QHN's quality improvement activities is the provision and implementation of high value technical applications to support providers' ability to identify and manage chronically ill patients. These applications support population health management, risk stratification and predictive modeling tools to reduce the burden on these government supported programs. These tools help in the early identification and treatment of patients with chronic disease to improve patient outcomes and reduce healthcare costs. As the network connectivity work in the QHN medical trade area matures, this process to improve evidence-based care for chronic disease progresses through the implementation of these sophisticated applications, helping providers move from the current system of episodic care to a system that creates and maintains healthy populations. The QHN network supports the data needs of these applications to help providers integrate into their workflow the coordination of chronic care management and preventative care. Improvements in care require that chronic disease not only be managed and controlled during the patient visit, but that proactive management and patient engagement occur, which is only practical with the support of these applications. QHN actively works to support providers implement and use population health management registry applications either through the use of QHN's 3rd party registry tool, or registries embedded in the providers EHR systems. These registry applications provide for the longitudinal monitoring capabilities needed to proactively manage disease and aggregate outcomes and the care needs for groups of patients or the entire provider's patient panel. Registries also enable providers to involve care team members to efficiently support the patient care process and actively engage patients in their disease management. Funds provided by a Beacon Grant supported QHN's investment in a standalone 3rd party registry tool. This patient centric tool has been implemented in multiple disparate healthcare settings within the medical trade area of western Colorado. The Registry utilizes evidence-based guidelines to track care interventions for patients with asthma, diabetes, ischemic vascular disease, depression, tobacco use, and provides compelling point of care reminders to identify recommended preventative care measures (e.g. vaccinations, mammograms, etc). Managing diseases via a registry is quickly becoming the expected best practice as providers develop more efficient means to care for patients; QHN is pleased to be able to offer its participants this tool & support their data needs for the utilization of registry tools embedded in their EHRs. In total, 357 western Colorado providers (39 practices/clinics) utilize a population management registry tool, to manage their patient population and provide evidence-based care. This provider group benefits more than 350,000 western Colorado patients. Improving Care Coordination and Care Transitions: The transition of a patient from one care setting to another is frequently the source of reduced system efficiency, duplicative diagnostic testing, and the impetus for increased medical errors. This transition may be from provider to provider or from the hospital to a rehabilitation facility, home health care, hospice or other care setting. It is common for a patient to receive care & treatment from many disparate providers during a single episode of care. Having real-time, concise & accurate patient medical information available to all providers involved in the care of the patient during these tr
IRS990/ProgSrvcAccomActy2Grp/ExpenseAmt0954273
IRS990/ProgSrvcAccomActy2Grp/RevenueAmt0475115
IRS990/ProgSrvcAccomActy3Grp/Desc0Indigent Care Support In QHN's medical trade area, the estimated underserved (uninsured or underinsured) population approaches 25 percent. This population tends to be transitory in nature, as the area attracts many seasonal & short-term workers in the farming, recreational & oil and gas industries. These underserved patients often "float" in and out of eligibility for insurance/financial assistance & other government supported subsidies - and present for care in multiple care settings. To effectively treat this population, access to current patient eligibility information is critical. The QHN HIE supports equitable treatment for all patients - wherever they may present for care - by providing accurate patient demographic information to authorized providers to assist with ascertaining eligibility. The cohorts of underserved patients positively impacted by this QHN functionality are most frequently Medicaid and/or Medicare eligible. The resulting effect of this system functionality is more efficient, cost effective care for this underserved population, which helps reduce the burden on government. As a recipient of grant funds from The Colorado Health Foundation (TCHF), QHN embarked upon a program to increase the number of QHN connected participants with a focus on those treating the underserved. The stakeholders involved in the leadership of this program established a focus on care for the underserved with the philosophy of "no wrong door". The goal of this philosophy was to provide real-time data to treating providers wherever a patient may present for care. This effort focused on Safety-Net providers such as St. Mary's Family Practice Residency, Mesa County Public Health Dept, B4Babies, Colorado West Regional Mental Health, Primary Care Partners, Hilltop Resources & the Federaly Qualified Health Centers(FQHCs) in our area, the Marillac Clinic and Mountain Family Health Centers. Other connected Safety-Net providers in the area include rural health clinics, Critical Access hospitals & their emergency departments, home health agencies, school-based & community health centers, & health departments that provide primary care to patients in western Colorado's medical trade area. To date QHN is connected or contracted with 69 Safety-Net organizations. QHN not only supports individual care providers and organizations that accept and provide care for the indigent population but also supports the data needs of several programs focused on improving the care delivery models for the Medicaid population. These new models will replace the nation's reliance on fragmented, fee-for-service care. The models QHN is currently supporting include: Colorado's Regional Care Collaborative Organizations(RCCO-1), RCCO "PRIME", the Comprehensive Primary Care initiative (CPCi) and Sustaining Healthcare Across integrated Primary care Efforts (SHAPE). QHN also recently engaged in a 75 patient pilot community care coordination project, utilizing a care management toolset provided by QHN, which engages long-term care, home health, the Department of Human Services and Rocky Mountain Health Plans for cross-continuum care management. One of the primary goals of this pilot is to decrease Emergency Department utilization, to decrease the burden on government supported healthcare programs.
IRS990/ProgSrvcAccomActy3Grp/ExpenseAmt0377824
IRS990/ProgSrvcAccomActy3Grp/RevenueAmt0188111
IRS990/ProgSrvcAccomActyOtherGrp/Desc0Public HealthImmunization Programs:QHN remains committed to support The Colorado Department of Public Health and Environment's Colorado Immunization Information System (CIIS), which began with a local focus on pneumonia immunization in 2006. QHN continues to explore options with the Colorado Department of Public Health and Environment wherein the data collection and delivery system of QHN is leveraged to improve the health of the area population, through accurate, timely access to immunization records. The initial results of the pneumonia immunization program were successful. However, many other adult and childhood diseases can be prevented via immunization. As was reported in the 2014 Vaccine-Preventable Diseases in Colorado's Children Report, released February 2015, which summarizes the rates of childhood vaccination, Colorado ranked 45th among U.S. states for childhood immunizations. Over 27.9 percent of Colorado children are under-immunized at 36 months of age and in 2013, 538 Colorado children were hospitalized with vaccine-preventable diseases, resulting in $29.2 million in hospital charges. Based on the success of the pneumonia immunization program, QHN continues to promote and support additional campaigns from multiple agencies to improve immunization rates, improve the health of the population, and save healthcare costs. QHN continues to explore the options with CIIS to establish the system to exchange immunization information through QHN's Clinical Messaging System.Public Health Reporting & Notification Program: QHN continues to work with public health & community providers to improve patient care & public health through the timely exchange of health information. In 2013 QHN began working on the delivery newborn screening(NBS) results from the state laboratory to medical providers' EHRs via QHN. This functionality is being evaluated for expansion as it has the capability to dramatically improve the speed and accuracy of NBS results delivery; which will have a significant impact on the lives of Colorado's youngest residents. The Mesa County Health Department(MCHD) has acquired access for several of their nurses to the QHN data repository (Patient Summary Record). This invaluable resource is used extensively by the MCHD nursing team as they prepare the required clinical background information for their monthly pediatric sub-specialty clinics. In preparation for these clinics, the nurses "pull" between 1,000-1,550 critical patient results from QHN per month. QHN also leverages its existing secure high-speed electronic data collection/delivery infrastructure to create a mechanism to electronically communicate critical health information to alert providers when an important health event occurs in this area. QHN continues to work with local providers and public health agencies to see how this functionality can be maximized.
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IRS990/ProgSrvcAccomActyOtherGrp/RevenueAmt047195
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IRS990/PYOtherRevenueAmt00
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IRS990ScheduleA/Form990SchAType1SuprtOrgGrp/PowerAppointMajorityDirTrstInd01
IRS990ScheduleA/Form990ScheduleAPartVIGrp/ExplanationTxt0The Organization confirmed that a supported organization qualified under 501(c)(4) satisfied the public support test initially when the filing Organization sent a letter to the Service on February 15, 2008, changing the filing Organization status to that of a supporting organization. This letter described the application of the test to the supported organization. The test showed that the supported organization's public support percentage was 97%. The supported organization's business operation with regard to public support has not changed since the date of the filing of the letter with the Service. Therefore, it is unnecessary to continue to test the application of the public support test for this supported organization.
IRS990ScheduleA/Form990ScheduleAPartVIGrp/ExplanationTxt1All support given to the 501(c)(4) organization which is a supported organization is controlled by the filing Organization because the support is in the form of services provided by the filing Organization.
IRS990ScheduleA/Form990ScheduleAPartVIGrp/FormAndLineReferenceDesc0Part IV, Section A, Line 3b:
IRS990ScheduleA/Form990ScheduleAPartVIGrp/FormAndLineReferenceDesc1Part IV, Section A, Line 3c:
IRS990ScheduleA/IRSWrittenDeterminationInd0X
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IRS990ScheduleA/SupportedOrgInformationGrp/OtherSupportAmt10

Document Assets

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Filings

Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2024Detailed filing. Detailed filing data is available for this year.$1.03$0.19$0.84$5.59$4.75$0.84
2023XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$8.26$1.17$7.09$5.80$6.84$1.04
2022Detailed filing. Detailed filing data is available for this year.$9.30$1.17$8.13$5.27$6.08$0.81
2021Detailed filing. Detailed filing data is available for this year.$10.2$1.28$8.94$7.29$6.02$1.26
2020XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$8.65$0.98$7.67$6.49$5.15$1.34
2019Detailed filing. Detailed filing data is available for this year.$7.01$0.68$6.33$5.35$4.66$0.70
2018XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$6.25$0.61$5.64$5.09$4.15$0.94
2017XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$5.15$0.46$4.69$4.78$3.49$1.30
2016Detailed filing. Detailed filing data is available for this year.$3.82$0.42$3.40$4.06$3.03$1.03
2015Detailed filing. Detailed filing data is available for this year.$2.69$0.32$2.37$3.85$3.05$0.79
2014Detailed filing. Detailed filing data is available for this year.$2.26$0.68$1.58$3.61$4.10$0.48
2013XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$3.12$1.05$2.06$5.32$4.91$0.41
2012Facts available. Structured filing facts are available, but richer extracted sections are limited.$3.42$1.76$1.66$6.63
2011Facts available. Structured filing facts are available, but richer extracted sections are limited.$2.56$1.05$1.51$3.13
2010Facts available. Structured filing facts are available, but richer extracted sections are limited.$2.40$1.56$0.85$2.08