Civic Intelligence

Quality Health Network

990 • Fiscal year 2018 • EIN 20-1632384

Jan 01, 2018 to Dec 31, 2018 • Filed on Oct 17, 2019

Organization Profilen/a

View Organization Page

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

42nd percentile

0.10x

Higher debt load relative to assets than 42% of similar nonprofits.

2018 filings • 501(c)3 • $5M-$10M nonprofits • Source year 2018

Liabilities / Revenue

43rd percentile

0.12x

Higher debt load relative to revenue than 43% of similar nonprofits.

2018 filings • 501(c)3 • $5M-$10M nonprofits • Source year 2018

Net Margin

76th percentile

19%

Higher net margin than 76% of similar nonprofits.

2018 filings • 501(c)3 • $5M-$10M nonprofits • Source year 2018

Top Officer Pay

89th percentile

$309,390

Higher top officer pay than 89% of similar nonprofits.

Top officer pay equals 6.1% of source-year revenue.

2018 filings • 501(c)3 • $5M-$10M nonprofits • Source year 2018

Asset Growth

84th percentile

21%

Faster asset growth than 84% of similar nonprofits.

2018 filings • 501(c)3 • $5M-$10M nonprofits • Annualized from 2017 to 2018

Revenue Growth

57th percentile

6.4%

Faster revenue growth than 57% of similar nonprofits.

2018 filings • 501(c)3 • $5M-$10M nonprofits • Annualized from 2017 to 2018

Balance Sheet
Liabilities / Assets42nd percentile

Assets

Up

$6,247,652

Up $1,094,013 (+21%) from 2017

Net Assets

Up

$5,635,183

Up $943,036 (+20%) from 2017

Liabilities

Up

$612,469

Up $150,977 (+33%) from 2017

Revenue And Expenses
Liabilities / Revenue43rd percentileNet Margin76th percentile

Revenue

Up

$5,089,974

Up $306,920 (+6.4%) from 2017

Expenses

Up

$4,146,938

Up $659,031 (+19%) from 2017

Net Income

Down

$943,036

Down $352,111 (-27%) from 2017

Historical Trend

Balance Sheet Trend

Asset Growth84th percentile

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

2018

Assets$6,247,652
Liabilities$612,469
Net Assets$5,635,183
Open 2018 Filing

Operations Trend

Revenue Growth57th percentile

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

2018

Revenue$5,089,974
Expenses$4,146,938
Net Income$943,036
Open 2018 Filing
Jump To
Filing Snapshot
Filing Period
Jan 1, 2018 to Dec 31, 2018
Signed
Oct 17, 2019
Return Version
2018v3.1
Gross Receipts
$5,089,974
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$4,215,134$5,606,290▲ $1,391,156
Accounts Receivable$925,532$560,973▼ $364,559
Cash and Non-Interest-Bearing Accounts-$64,392-
Land, Buildings, and Equipment, Net$0$0→ $0
Total Assets$5,153,639$6,247,652▲ $1,094,013
Other Assets Total$12,973$15,997▲ $3,024
Liabilities
Other Liabilities$404,928$492,262▲ $87,334
Accounts Payable and Accrued Expenses$22,914$89,462▲ $66,548
Deferred Revenue$33,650$30,745▼ $2,905
Total Liabilities$461,492$612,469▲ $150,977
Net Assets / Fund Balance
Unrestricted Net Assets$4,692,147$5,635,183▲ $943,036
Total Net Assets Fund Balance$4,692,147$5,635,183▲ $943,036
Total Liabilities and Net Assets / Fund Balance$5,153,639$6,247,652▲ $1,094,013
Compensation and Service Providers
Top Officer Pay89th percentile

Employees

NameTitleFull / Part TimeBaseOtherTotal
Richard ThompsonExecutive DirectorFT$185,192$124,198$309,390
Marc T LassauxChief Technology OfficerFT$149,567$75,050$224,617
Justin AubertChief Financial OfficerFT$144,272$56,507$200,779
Richard WarnerProject Management CoordinFT$115,864$52,204$168,068
Laura HeadEHR Interface ManagerFT$103,630$38,218$141,848

Board Members and Trustees

NameTitle
Gregory Reicks DOChair
Dan Sullivan MDVice Chair
Andrew Jones MDDirector
Bryce Lokey MDDirector
Chris ThomasDirector
Jeff Kuhr PhDDirector
Jodie AtchleyDirector
Kay RamachandranDirector
Sally SchaeferDirector
J Michael StahlSecretary/Treasurer

Highest Paid Contractors

ContractorServicesLocationCompensation
Rocky Mountain Health PlansHealthcare insurancePO Box 173704, Denver, CO 80217-3704$392,713
Quality Systems IncSoftware licenses and servicePO Box 511449, Los Angeles, CA 90051$250,860
Diameter Health IncSoftware licenses and service10 Executive Health, Farmington, CT 06032$200,000
Revenue and Support

Revenue Composition

Contributions and Grants
$420,000
Program Service Revenue
$4,620,522
Investment Income
$49,452
Other Revenue
$0
Change in Net Assets
$943,036

Audited Revenue Reconciliation

Revenue per Audited Statements
$5,089,974
Revenue Not Reported on Financial Statements
$0
Revenue Not Reported on Form 990
$0
Total Revenue per Audited Statements
$5,089,974
Total Revenue per Form 990
$5,089,974
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Salaries, Compensation, and Employee Benefits$2,819,497
Other Expenses$1,327,441
Total Fundraising Expense$163,743
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$1,096,437$205,581$68,527$1,370,545
Current Officers, Directors, Trustees, and Key Employees$591,068$110,825$36,942$738,835
Other Employee Benefits$327,902$61,482$20,494$409,878
Pension Plan Contributions$150,270$28,176$9,392$187,838
Payroll Taxes$89,921$16,860$5,620$112,401
Occupancy$75,743$8,949$4,474$89,166
Fees for Services Legal$54,532$30,247$2,145$86,924
Travel$57,856$15,428$3,857$77,141
Office Expenses$56,978$6,703$3,352$67,033
Fees for Services Accounting$40,388$22,402$1,588$64,378
All Other Expenses$35,717$17,944$1,593$55,254
Insurance$26,624$3,132$1,566$31,322
Conferences and Meetings$18,421$8,391$687$27,499
Advertising$23,316$1,227-$24,543
Other Expenses$12,910$7,161$508$20,579
Information Technology$4,139$418$222$4,779
Fees for Services Other$2,660$1,475$105$4,240
Total Functional Expenses$3,352,428$630,767$163,743$4,146,938

Audited Expense Reconciliation

Line ItemAmount
Expenses per Audited Statements$4,146,938
Total Expenses per Audited Statements$4,146,938
Total Expenses per Form 990$4,146,938
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$448,114
Accrued payroll$44,148
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
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 Articles of Incorporation and Bylaws to add Mesa County Public Health, a public entity, as a supported organization and to increase the number of possible board members to 11 from 10.”

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

“The board consists of ten members. There are six tax exempt non-profit entities represented on the board and one taxable nonprofit entity. Each entity chooses a member to serve on the board. Three members are at large. All members of the board elect the three members at large.”

Form 990, Part VI, Section B, line 11B

“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. In addition, in 2017 the Board had executive compensation reviewed by a compensation consultant. Line 15b: The Organization uses a compensation survey and/or 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
2019-10-17
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Richard Thompson
Formed
2004
Legal Domicile
Co
Voting Board Members
10
Independent Board Members
6
Employees
27
Volunteers
0

Preparer

Firm
Grisier Bussey and Kaper CPAs
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

“In 2017, QHN launched a new initiative called the Community Resource Network (CRN). This social information exchange is designed to help bridge the gap by combining social, behavioral, and the medical side information to get more comprehensive view of a person. CRN allows those involved in the coordinated care to view pertinent information to more efficiently guide the person to better health. This collaboration is critical to improve the health and safety of those QHN serves, reducing unnecessary duplication, reducing the burden on government supported healthcare programs, and ultimately driving down the cost of healthcare. QHN is doing beta testing of its system in 2019 and hopes to go live with its CRN system early 2020. Funding Sources: Grant contracts help support the work required to build the technology infrastructure, data interoperability exchange capabilities and robust data warehousing essential for the advanced analytics and data needs of new care and payment models. QHN continues to support the efforts of the State Innovation Model (SIM) initiative and 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 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 Medicaid and Medicare providers, expand acquistion of ambulatory data, including data from behavioral health and long-term care providers to enrich the data repository. This supports the common vision of improving outcomes for Medicaid, Medicare and 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.”

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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) utilizes a secure HIE network as the foundation for the services provided to health organizations and providers to support the Quadruple Aim in Healthcare - improving patient outcomes, improving the physician experience, improving patient experience, 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 2018, more than 3,900 providers, care team members and other healthcare staff were connected to the QHN network and they made nearly 1 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. During 2018, QHN continued its expansion with the addition of new providers and healthcare services, which currently total more than 390 associated health and human service provider organizations, long-term care facilities, home healthcare agencies and Hospice programs. These operations and expansions are in the Western Colorado medical neighborhoods QHN serves: Mesa, Delta, Montrose, Garfield, Pitkin, Hinsdale, Eagle, Ouray, Rio Blanco, San Miguel,Gunnison, Moffat, Routt, and Summit counties. More than 90 percent of the providers in QHN's service area are now connected to the robust QHN network. QHN continues to expand cross-state and cross-regional HIE-to-HIE connectivity. This is in an effort to improve the coordination and continuity of care statewide, and as people travel across state borders. 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 has been expanded to include the HIEs in Utah(UHIN) and Arizona(Health Current). In 2018, QHN continues to work on expanding HIE-to-HIE-exchange to other HIE's throughout the western United States and other parts of the country. 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. HIE-to-HIE exchange is a critical step toward establishing a robust national interoperability 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 translated into a significant exchange of clinical information. This robust exchange of patient information between and among HIEs translates into 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 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 patient clinical information via QHN's high-speed network improves transitions of care and health outcomes. This immediate access to patient data reduces the burden on Government by decreasing medical errors, duplicativ
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IRS990/Form990PartVIISectionAGrp/PersonNm0Gregory Reicks DO
IRS990/Form990PartVIISectionAGrp/PersonNm1Dan Sullivan MD
IRS990/Form990PartVIISectionAGrp/PersonNm2J Michael Stahl
IRS990/Form990PartVIISectionAGrp/PersonNm3Andrew Jones MD
IRS990/Form990PartVIISectionAGrp/PersonNm4Jeff Kuhr PhD
IRS990/Form990PartVIISectionAGrp/PersonNm5Bryce Lokey MD
IRS990/Form990PartVIISectionAGrp/PersonNm6Chris Thomas
IRS990/Form990PartVIISectionAGrp/PersonNm7Sally Schaefer
IRS990/Form990PartVIISectionAGrp/PersonNm8Kay Ramachandran
IRS990/Form990PartVIISectionAGrp/PersonNm9Jodie Atchley
IRS990/Form990PartVIISectionAGrp/PersonNm10Richard Thompson
IRS990/Form990PartVIISectionAGrp/PersonNm11Justin Aubert
IRS990/Form990PartVIISectionAGrp/PersonNm12Marc T Lassaux
IRS990/Form990PartVIISectionAGrp/PersonNm13Richard Warner
IRS990/Form990PartVIISectionAGrp/PersonNm14Laura Head
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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/TotalAmt089166
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IRS990/OfficeExpensesGrp/TotalAmt067033
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IRS990/OtherEmployeeBenefitsGrp/TotalAmt0409878
IRS990/OtherExpensesGrp/Desc0Consultants/Software/Sy
IRS990/OtherExpensesGrp/Desc1Marketing
IRS990/OtherExpensesGrp/Desc2Staff Development
IRS990/OtherExpensesGrp/Desc3Outside consultants
IRS990/OtherExpensesGrp/FundraisingAmt02671
IRS990/OtherExpensesGrp/FundraisingAmt1508
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IRS990/OtherExpensesGrp/ProgramServicesAmt312910
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IRS990/OtherExpensesGrp/TotalAmt153419
IRS990/OtherExpensesGrp/TotalAmt226398
IRS990/OtherExpensesGrp/TotalAmt320579
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IRS990/PayrollTaxesGrp/TotalAmt0112401
IRS990/PensionPlanContributionsGrp/FundraisingAmt09392
IRS990/PensionPlanContributionsGrp/ManagementAndGeneralAmt028176
IRS990/PensionPlanContributionsGrp/ProgramServicesAmt0150270
IRS990/PensionPlanContributionsGrp/TotalAmt0187838
IRS990/PoliticalCampaignActyInd00
IRS990/PrincipalOfficerNm0Richard Thompson
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IRS990/ProgramServiceRevenueGrp/Desc0Data Processing - Serv
IRS990/ProgramServiceRevenueGrp/Desc1Data Processing - Subs
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IRS990/ProgSrvcAccomActy2Grp/Desc0Clinical ImprovementPopulation Health Management and Chronic Disease Management: 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 the care of chronically ill patients. These applications support population health management, risk stratification, predictive modeling tools, and proactive care coordination 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 continues to mature, the process to improve evidence-based, coordinated 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. QHN's network and advanced architecture supports the data needs of these applications to help providers integrate coordinated chronic disease management and preventive care into their workflow and make them more successful as they transition to new value-based payment models. Improvements in care require that these chronic disease states are not only managed and controlled during the patient visit, but 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' implement and use population health management and registry applications embedded in the provider's electronic health record (EHR) systems. 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 and other care coordination tools also enable providers to involve care team members to efficiently support the patient care process and actively engage patients in their disease management. Managing diseases via a registry is the expected best practice as providers develop more efficient means to care for patients. QHN supports nearly all of the more than 3,900 QHN users with their data needs for the utilization of registry tools embedded in their EHRs. Prescription drug and Opiod abuse is a major area of concern, not only in the state of Colorado but nationwide. QHN provides services for a pilot project to improve access and use of the Colorado Prescription Drug Monitoring Program(PDMP) by enabling access to PDMP via the QHN System. 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 these transitions is essential for improved quality, safety and cost reduction. Prior to the availability of the QHN's secure electronic network, processes which transferred patient medical information between providers were paper-based manual processes, utilizing photocopying, fax and courier service
IRS990/ProgSrvcAccomActy2Grp/ExpenseAmt0931159
IRS990/ProgSrvcAccomActy2Grp/RevenueAmt01283380
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 coordination and 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 a grant contract with 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) focused on treating the underserved. 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 Accountable Care Collaborative Program and the Comprehensive Primary Care initiative (CPCi).
IRS990/ProgSrvcAccomActy3Grp/ExpenseAmt0368672
IRS990/ProgSrvcAccomActy3Grp/RevenueAmt0508126
IRS990/ProgSrvcAccomActyOtherGrp/Desc0Support for Public Health Programs: 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 and has been actively involved in the community care coordination pilot. To better serve the poor in Mesa County, MCHD and the FQHC in the Grand Junction area, formed a unique partnership with the Marillac Clinic co-locating a clinic within the health department. This has allowed patients who seek care at the MHCD 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 the Marillac Clinic, through its existing secure high-speed electronic data collection/delivery infrastructure. This infrastructure creates a mechanism to electronically deliver and query critical health information and to alert providers when an important health event occurs.
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IRS990/ProgSrvcAccomActyOtherGrp/RevenueAmt0127482
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IRS990ScheduleA/Form990ScheduleAPartVIGrp/ExplanationTxt0Mesa County Public Health is a governmental unit described in Section 170(b)(1)(A) of the Code as a political subdivision of the State.
IRS990ScheduleA/Form990ScheduleAPartVIGrp/ExplanationTxt1Mesa County Public Health was added as a supported organization. Mesa County Public Health is a public entity and a political subdivision of the State. It is described in Section 170(b)(1)(A) of the Code. Mesa County Public Health was added as a supported organization because the work of the Organization supports the mission of Mesa County Public Health. The Organization has the right to add supported organizations by amending its articles of incorporation and bylaws. The Organization's Board of Directors passed appropriate resolutions to amend the Organization's articles of incorporation and bylaws to add Mesa County Public Health as a supported organization.

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Filings

Displayed year

2018 • Form 990Detailed filing. Detailed filing data is available for this year.

Open filing
Assets
$6,247,652
Liabilities
$612,469
Net assets
$5,635,183
Revenue
$5,089,974
Expenses
$4,146,938
Net income
$943,036
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
2018Detailed filing. Detailed filing data is available for this year.$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