Civic Intelligence

Quality Health Network

990 • Fiscal year 2015 • EIN 20-1632384

Jan 01, 2015 to Dec 31, 2015 • Filed on Aug 02, 2016

744 Horizon Ct 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

52nd percentile

0.12x

Higher debt load relative to assets than 52% of similar nonprofits.

2015 filings • 501(c)3 • $1M-$5M nonprofits • Source year 2015

Liabilities / Revenue

45th percentile

0.08x

Higher debt load relative to revenue than 45% of similar nonprofits.

2015 filings • 501(c)3 • $1M-$5M nonprofits • Source year 2015

Net Margin

80th percentile

21%

Higher net margin than 80% of similar nonprofits.

2015 filings • 501(c)3 • $1M-$5M nonprofits • Source year 2015

Top Officer Pay

94th percentile

$284,788

Higher top officer pay than 94% of similar nonprofits.

Top officer pay equals 7.4% of source-year revenue.

2015 filings • 501(c)3 • $1M-$5M nonprofits • Source year 2015

Asset Growth

81st percentile

19%

Faster asset growth than 81% of similar nonprofits.

2015 filings • 501(c)3 • $1M-$5M nonprofits • Annualized from 2014 to 2015

Revenue Growth

57th percentile

6.4%

Faster revenue growth than 57% of similar nonprofits.

2015 filings • 501(c)3 • $1M-$5M nonprofits • Annualized from 2014 to 2015

Assets

Up

$2,690,599

Up $427,573 (+19%) from 2014

Net Assets

Up

$2,366,559

Up $784,902 (+50%) from 2014

Liabilities

Down

$324,040

Down $357,329 (-52%) from 2014

Revenue

Up

$3,845,515

Up $230,976 (+6.4%) from 2014

Expenses

Down

$3,051,014

Down $1,045,203 (-26%) from 2014

Net Income

Up

$794,501

Up $1,276,179 (+265%) from 2014

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

2015

Assets$2,690,599
Liabilities$324,040
Net Assets$2,366,559

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

2015

Revenue$3,845,515
Expenses$3,051,014
Net Income$794,501
Jump To
Filing Snapshot
Filing Period
Jan 1, 2015 to Dec 31, 2015
Signed
Aug 2, 2016
Return Version
2015v2.1
Gross Receipts
$3,845,515
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 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 the 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.

Balance Sheet Detail
LineBeginningEndChange
Assets
Savings and Temporary Cash Investments$2,172,513$2,264,979▲ $92,466
Accounts Receivable$70,562$410,817▲ $340,255
Land, Buildings, and Equipment, Net$7,735$2,578▼ $5,157
Total Assets$2,263,026$2,690,599▲ $427,573
Other Assets Total$12,216$12,225▲ $9
Liabilities
Other Liabilities$261,428$301,013▲ $39,585
Deferred Revenue$228,611$15,885▼ $212,726
Accounts Payable and Accrued Expenses$191,330$7,142▼ $184,188
Total Liabilities$681,369$324,040▼ $357,329
Net Assets / Fund Balance
Unrestricted Net Assets$1,572,057$2,366,559▲ $794,502
Temporarily Rstr Net Assets$9,600$0▼ $9,600
Total Net Assets Fund Balance$1,581,657$2,366,559▲ $784,902
Total Liabilities and Net Assets / Fund Balance$2,263,026$2,690,599▲ $427,573

Asset Categories

AssetBook ValueDepreciationBasis
Other Land Buildings$2,578$85,199$87,777
Compensation and Service Providers

Employees

NameTitleFull / Part TimeBaseOtherTotal
Richard ThompsonExecutive DirectorFT$169,423$115,365$284,788
Marc T LassauxChief Technology OfficerFT$126,483$61,419$187,902
Justin AubertChief Financial OfficerFT$116,388$44,207$160,595
Richard WarnerProject Management CoordinFT$108,600$43,135$151,735
Jane FosterClinical DirectorFT$104,448$21,565$126,013

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$535,708
Rocky Mountain Health PlansHealthcare insurancePO Box 173704, Denver, CO 80217-3704$234,405
Revenue and Support

Revenue Composition

Contributions and Grants
$720,000
Program Service Revenue
$3,112,233
Investment Income
$13,282
Other Revenue
$0
Change in Net Assets
$794,501

Audited Revenue Reconciliation

Revenue per Audited Statements
$3,835,915
Revenue Not Reported on Financial Statements
$9,600
Revenue Not Reported on Form 990
$0
Other Revenue Adjustments
$9,600
Total Revenue per Audited Statements
$3,835,915
Total Revenue per Form 990
$3,845,515
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Salaries, Compensation, and Employee Benefits$2,223,217
Other Expenses$827,797
Total Fundraising Expense$127,109
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$926,238$173,669$57,890$1,157,797
Current Officers, Directors, Trustees, and Key Employees$403,845$75,721$25,240$504,806
Other Employee Benefits$231,026$43,317$14,439$288,782
Pension Plan Contributions$118,686$22,254$7,418$148,358
Payroll Taxes$98,779$18,521$6,174$123,474
Occupancy$74,409$8,784$4,392$87,585
Travel$36,249$9,667$2,417$48,333
Office Expenses$36,415$4,284$2,142$42,841
All Other Expenses$16,636$22,469$1,329$40,434
Fees for Services Legal$7,786$22,229$865$30,880
Fees for Services Accounting$5,894$17,466$679$24,039
Insurance$18,585$2,186$1,093$21,864
Conferences and Meetings$10,449$6,189$876$17,514
Other Expenses$12,730$1,447$14$14,191
Depreciation Depletion$4,383$516$258$5,157
Information Technology$4,515--$4,515
Total Functional Expenses$2,475,598$448,307$127,109$3,051,014

Audited Expense Reconciliation

Line ItemAmount
Expenses per Audited Statements$3,051,014
Total Expenses per Audited Statements$3,051,014
Total Expenses per Form 990$3,051,014
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$270,249
Accrued payroll$30,764
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Annual disclosure for covered persons
Yes
Audit committee
Yes
Backup withholding compliance
Yes
Business relationship with family members
No
Business relationship with organization members
No
Material changes to governing documents
Yes
Compensation from other sources disclosed
No
CEO compensation reviewed
Yes
Other officer compensation reviewed
Yes
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 4

The Organization amended its bylaws to allow Marillac Clinic, Inc. to appoint a member of the Marillac Clinic, Inc. Board of Directors to serve on the Board of Directors of the Organization.

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 15

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. Line 15b: The Organization used a compensation survey and a third party consultant to review salaries of several key positions including officers.

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 Ct No 210, Grand Junction, CO 81506

Signing Officer

Name
Richard Thompson
Title
Executive Director
Phone
9702480033
Signed
2016-08-02
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
23
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

Managing a patient's care across all care settings is the cornerstone of the new Medicaid and Medicare payment models. QHN is providing alerts to the three FQHCs in our service area to support this quality improvement and cost containment work and help reduce the burden on these government programs. Funding Sources: QHN continues to leverage the investments made by multiple granting sources, past and present, to support the work required to build the technology infrastructure and robust data warehousing essential for the advanced analytics and data needs of new care and payment models. In 2015 QHN began work with the Colorado Department of Health Care Policy and Financing (HCPF) on four separate grant opportunities: (1) the Colorado Care Connections Program (90/10), which supports the expansion of, and enhancement of, health IT for Medicaid providers; (2) The Colorado Advanced Interoperability Initiative (CAII) which has three focus areas, support HIEs acquisition of ambulatory encounter data, the acquisition of CCDs from long-term care and pilots for the exchange of real-time behavioral health information via HIE; (3) the State Innovation Model (SIM) initiative the scope of this work is yet to be fully defined; and (4) the Testing Experience and Functional Tools (TEFT) grant which is designed to demonstrate the use of Personal Health Record (PHR) within the targeted populations of the intellectually and developmentally disabled, elderly, blind and disabled and identify and evaluate an electronic long-term services and supports (e-LTSS) standard in conjunction with the Office of the National Coordinator (ONC). These investments have allowed QHN to increase and enhance connectivity with Medicare providers, expand acquistion of ambulatory data, including data from behavioral health and long-term care providers to enrich the data repository in support of the common vision of improving outcomes for all patients in western Colorado. The collective impact of these acquisitions, and the practice transformation work they support, has been instrumental in the evolution of the healthcare delivery system of western Colorado.

Form 990, Part XI, line 9:

Change in temporarily restricted funds -9,599.

Financial Statement Notes

Part XI, Line 4B - Other Adjustments:

Temporarily restricted income released 9,600.

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IRS990/ActivityOrMissionDesc0See 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 the 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.
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IRS990/Desc0Clinical Data Acquisition,Aggregation 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 for the services provided to health organizations and providers 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. Since its inception QHN has continued a steady focus on its founding mission of expanding the opportunity, resources and infrastructure necessary to increase the widespread provision of high-quality coordinated healthcare. 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 2015, more than 3,300 providers, care team members and other healthcare staff were connected to the QHN network,and they made more than 1.2 million data repository query requests to the Patient Summary record(patient longitudinal record). QHN facilitates the ability of area healthcare providers to collaborate and coordinate care through the secure exchange of information and securely communicate, in a manner fully compliant with HIPAA and all other patient privacy laws and regulations. The QHN security and data encryption model, which protects the privacy of patient data, has been nationally recognized for its safety and effectiveness. During 2015, QHN continued its expansion with the addition of new providers and healthcare services associated with the Grand Junction Veterans Affairs Medical Center, West Springs Health (both inpatient and outpatient behavioral health service locations), long-term care facilities, home healthcare agencies Hospice Programs. These expansions are in the western Colorado medical neighborhoods QHN serves: Mesa, Delta, Montrose, Garfield, Pitkin, Hinsdale, Eagle, Ouray, Rio Blanco, San Miguel and Gunnison counties. This continued expansion has resulted in more than 94 percent of the providers in our service area being connected to the robust QHN data repository. QHN began to establish the groundwork for cross state and cross-regional HIE-to-HIE connectivty in 2015. This is in an effort to improve the coordination and continuity of both statewide and in contiguous states. This HIE-to-HIE information exchange work was established statewide with Colorado Regional Health Information Organization (CORHIO), the HIE that serves the eastern part of Colorado, and will immediately expand to Utah and Arizona. This type of exchange, based on the "patient-centered data home(PCDH)" concept, is a cost-effective, scalable method of exchanging patient data among health information exchanges. PCDH uses triggering episode alerts, which notify providers that a care event has occurred outside of the patients "home" HIE, and confirms the availability and the specific location of the clinical data. This enables providers to initiate a simple query to access real-time information across state and regional lines and throughout the care continuum. HIE-to-HIE exchange is a critical step toward establishing a robust national infrastructure between regional and state HIEs. Considering the significant percent of the Colorado population that are "snowbirds and travel for recreation, the secure electronic transmission of information between healthcare providers across regional and state lines has the potential to translate into significant improvements in coordinated care, patient safety and reduced healthcare costs. 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 the eHealth Exchange. QHN delivers real-time, critical patient information and provides a robust repository of patient clincal data (Patient Summary Record) to treating providers serv
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IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt50
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IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt1046419
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt1121565
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt1231135
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/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 Coordin
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IRS990/MissionDesc0See 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.
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IRS990/OccupancyGrp/ManagementAndGeneralAmt08784
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IRS990/OtherExpensesGrp/Desc2Telephone
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IRS990/OtherExpensesGrp/FundraisingAmt214
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IRS990/PayrollTaxesGrp/FundraisingAmt06174
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IRS990/PensionPlanContributionsGrp/ManagementAndGeneralAmt022254
IRS990/PensionPlanContributionsGrp/ProgramServicesAmt0118686
IRS990/PensionPlanContributionsGrp/TotalAmt0148358
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IRS990/PrincipalOfficerNm0Richard Thompson
IRS990/ProfessionalFundraisingInd00
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IRS990/ProgramServiceRevenueGrp/Desc0Data Processing - Subs
IRS990/ProgramServiceRevenueGrp/Desc1Data Processing - Serv
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IRS990/ProgramServiceRevenueGrp/RelatedOrExemptFuncIncomeAmt11500997
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IRS990/ProgramServiceRevenueGrp/TotalRevenueColumnAmt11500997
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 electronic network connectivity work in the QHN medical trade area matures, the process to improve evidence-based care for chronic disease is progressing by implementing these sophisticated applications. This helps providers move from the current system of episodic care to a coordinated system of care that creates and maintains healthy populations. The QHN network supports the data needs of these applications to help providers integrate coordinated chronic disease management and preventative care into their workflow. Improvements in care require that chronic disease states be managed and controlled during the patient visit, and that proactive management and patient engagement occur. This level of coordinated care is only practical with the support of these applications. QHN actively works to support providers with implementing and using population health management and registry applications embedded in the provider's electronic health record (EHR) sytems. These registry applications provide for the longitudinal monitoring capabilities needed to proactively manage disease and aggregate outcomes 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 third party registry tool; however, as EHR technology has evolved, registry tools are embedded in the more robust EHR systems. Most providers are transitioning to the utilization of these EHR embedded registries for the improved workflow and ease of quality reporting. Registries utilize evidence-based guidelines to track care interventions for patients with asthma, diabetes, ischemic vascular disease, depression, and tobacco use and provide compelling point of care reminders to identify recommended preventative care measures. Managing diseases via a registry is becoming the expected best practice as providers develop more efficient means to care for patients. QHN is pleased to support providers' data needs for the utilization of registry tools embedded in their EHRs. In total, 26 western Colorado practices/clinics utilize a population management registry tool, to manage their patient population and provide evidence-based care. This benefits more than 50,000 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 care setting to care setting such as, the hospital to rehabilitation facility, home health care or hospice facility. It is common for a patient to receive care and 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 the
IRS990/ProgSrvcAccomActy2Grp/ExpenseAmt0687614
IRS990/ProgSrvcAccomActy2Grp/RevenueAmt0864443
IRS990/ProgSrvcAccomActy3Grp/Desc0Indigent Care Support In QHN's medical trade area, the estimated underserved (uninsured or underinsured) population approaches 30 percent. This population tends to be transitory in nature, as the area attracts many seasonal & short-term workers in the farming, service and recreational 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 and clinical information from previous care episodes is critical. The QHN HIE supports equitable treatment for all patients - wherever they may present for care - by providing accurate patient demographics to authorized providers to assist with ascertaining eligibility and clinical information to support care continuity. 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 HCPF, QHN has focused on increasing the number, and enhancing the services offered, to QHN participants who serve the Medicaid population and Federally Qualified Health Centers(FQHCs) who focus on treating the underserved. This includes providers such as St. Mary's Family Medical Center, Mesa County Public Health Dept, the Marillac Clinic, River Valley Family Health Clinic and Mountain Family Health Centers. Other connected Safety-Net providers in the area include 23 rural health clinics and six Critical Access hospitals & their emergency departments, home health agencies, school-based & community health centers, and health departments that provide primary care to patients in western Colorado's medical trade area. 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 is also 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/ExpenseAmt0272245
IRS990/ProgSrvcAccomActy3Grp/RevenueAmt0342257
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. QHN continues to support the campaigns from multiple agencies to improve immunization rates, improve the health of the population, and explore the options with CIIS to establish a system to exchange immunization information through QHN's Clinical Messaging System.Support for Public Health: QHN continues to work with public health and community providers to improve patient care and public health through the timely exchange of, and access to, health information. The Mesa County Health Department (MCHD) has a unidirectional interface with QHN for direct delivery of transcription and laboratory and radiology results. The MCDH has also acquired access for their providers and nurses to the QHN data repository (Patient Summary Record). This invaluable resource is used extensively by the MCHD care team as they prepare the required clinical background information for their monthly sub-specialty clinics. In preparation for these clinics the nurses "pull" between 1,000-1,550 critical patient results from QHN per month. According to the MCHD, approximately 33 percent of county residence live below 200 percent of the federal poverty line, which is 4 percent higher than the overall Colorado rate of 29 percent. More than 45,200 Mesa County residence are on Medicaid and more than 1,700 children are CHP+ members. To better serve this population, in 2015, MCHD and the FQHC in the Grand Junction area, the Marillac Clinic, formed a unique partnership with the Marillac Clinic co-locating a clinic within the health department. This has allowed the patients who seek care at the MCHD to have quick and easy access to a full range of medical services, including vision and dental care. QHN is supporting these public health programs, MCHD and Marillac Clinic, through its existing secure high-speed electronic data collection/delivery infrastructure. This infrastructure creates a mechanism to electronically deliver and query health information and to alert providers when an important health event occurs.
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IRS990/ProgSrvcAccomActyOtherGrp/RevenueAmt085868
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IRS990/RegularMonitoringEnfrcInd01
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IRS990ScheduleA/Form990SchAType1SuprtOrgGrp/OperateBenefitNonSuprtOrgInd00
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
IRS990ScheduleA/OtherSupportSumAmt00
IRS990ScheduleA/SupportedOrganizationsCnt05
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IRS990ScheduleA/SupportedOrgInformationGrp/EIN0742321009
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IRS990ScheduleA/SupportedOrgInformationGrp/EIN2840469270
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IRS990ScheduleA/SupportedOrgInformationGrp/OrganizationTypeCd43
IRS990ScheduleA/SupportedOrgInformationGrp/OtherSupportAmt00
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
2014XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$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