Civic Intelligence

Quality Health Network

990 • Fiscal year 2019 • EIN 20-1632384

Jan 01, 2019 to Dec 31, 2019 • Filed on Nov 16, 2020

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.

2019 filings • 501(c)3 • $5M-$10M nonprofits • Source year 2019

Liabilities / Revenue

44th percentile

0.13x

Higher debt load relative to revenue than 44% of similar nonprofits.

2019 filings • 501(c)3 • $5M-$10M nonprofits • Source year 2019

Net Margin

71st percentile

13%

Higher net margin than 71% of similar nonprofits.

2019 filings • 501(c)3 • $5M-$10M nonprofits • Source year 2019

Top Officer Pay

90th percentile

$328,831

Higher top officer pay than 90% of similar nonprofits.

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

2019 filings • 501(c)3 • $5M-$10M nonprofits • Source year 2019

Asset Growth

72nd percentile

12%

Faster asset growth than 72% of similar nonprofits.

2019 filings • 501(c)3 • $5M-$10M nonprofits • Annualized from 2018 to 2019

Revenue Growth

54th percentile

5.2%

Faster revenue growth than 54% of similar nonprofits.

2019 filings • 501(c)3 • $5M-$10M nonprofits • Annualized from 2018 to 2019

Assets

Up

$7,006,596

Up $758,944 (+12%) from 2018

Net Assets

Up

$6,330,317

Up $695,134 (+12%) from 2018

Liabilities

Up

$676,279

Up $63,810 (+10%) from 2018

Revenue

Up

$5,353,866

Up $263,892 (+5.2%) from 2018

Expenses

Up

$4,658,732

Up $511,794 (+12%) from 2018

Net Income

Down

$695,134

Down $247,902 (-26%) from 2018

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

2019

Assets$7,006,596
Liabilities$676,279
Net Assets$6,330,317

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

2019

Revenue$5,353,866
Expenses$4,658,732
Net Income$695,134
Jump To
Filing Snapshot
Filing Period
Jan 1, 2019 to Dec 31, 2019
Signed
Nov 16, 2020
Return Version
2019v5.1
Gross Receipts
$5,353,866
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$5,606,290$5,876,386▲ $270,096
Accounts Receivable$560,973$574,037▲ $13,064
Investments Other Securities-$456,500-
Cash and Non-Interest-Bearing Accounts$64,392$59,083▼ $5,309
Total Assets$6,247,652$7,006,596▲ $758,944
Other Assets Total$15,997$40,590▲ $24,593
Liabilities
Other Liabilities$492,262$604,516▲ $112,254
Accounts Payable and Accrued Expenses$89,462$57,984▼ $31,478
Deferred Revenue$30,745$13,779▼ $16,966
Total Liabilities$612,469$676,279▲ $63,810
Net Assets / Fund Balance
Net Assets Without Donor Restrictions$5,635,183$6,330,317▲ $695,134
Total Net Assets Fund Balance$5,635,183$6,330,317▲ $695,134
Total Liabilities and Net Assets / Fund Balance$6,247,652$7,006,596▲ $758,944

Asset Categories

AssetBook ValueDepreciationBasis
Closely Held Equity Interests$456,500--
Compensation and Service Providers

Employees

NameTitleFull / Part TimeBaseOtherTotal
Richard ThompsonExecutive DirectorFT$190,962$137,869$328,831
Marc T LassauxChief Technology OfficerFT$154,171$80,852$235,023
Justin AubertChief Financial OfficerFT$143,170$57,368$200,538
Richard WarnerChief Project Management OfficerFT$119,458$53,839$173,297

Board Members and Trustees

NameTitle
Gregory Reicks DOChair
Dan Sullivan MDVice Chair
Andrew Jones MDDirector
Charleen RaaumDirector
Chris ThomasDirector
Jeff Kuhr PhDDirector
Jodie AtchleyDirector
Joe Adragna MDDirector
Kay RamachandranDirector
J Michael StahlSecretary/Treasurer

Highest Paid Contractors

ContractorServicesLocationCompensation
Stella TechnologyPlatform development services6203 San Ignacio Avenue Ste 100, San Jose, CA 95119$456,500
Rocky Mountain Health PlansHealthcare insurancePO Box 173704, Denver, CO 80217-3704$397,861
NextGen Healthcare IncSoftware licenses and servicePO Box 511449, Los Angeles, CA 90051$394,361
Diameter Health IncSoftware licenses and service10 Executive Health, Farmington, CT 06032$180,000
Hoskin Farina & Kampf Professional CorpLegal servicesPO Box 40, Grand Junction, CO 81502$125,049
Revenue and Support

Revenue Composition

Contributions and Grants
$420,000
Program Service Revenue
$4,850,421
Investment Income
$83,445
Other Revenue
$0
Change in Net Assets
$695,134

Audited Revenue Reconciliation

Revenue per Audited Statements
$5,353,866
Revenue Not Reported on Financial Statements
$0
Revenue Not Reported on Form 990
$0
Total Revenue per Audited Statements
$5,353,866
Total Revenue per Form 990
$5,353,866
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Salaries, Compensation, and Employee Benefits$3,065,308
Other Expenses$1,593,424
Total Fundraising Expense$186,166
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$1,226,931$230,049$76,683$1,533,663
Current Officers, Directors, Trustees, and Key Employees$613,763$115,081$38,360$767,204
Other Employee Benefits$350,667$65,750$21,917$438,334
Pension Plan Contributions$162,054$30,385$10,128$202,567
Payroll Taxes$98,832$18,531$6,177$123,540
Fees for Services Legal$80,698$39,248$3,007$122,953
Occupancy$78,501$9,276$4,638$92,415
Travel$60,679$16,181$4,045$80,905
Office Expenses$58,082$6,832$3,414$68,328
Insurance$45,615$5,367$2,683$53,665
All Other Expenses$33,717$17,525$2,042$53,284
Conferences and Meetings$31,477$9,323$1,046$41,846
Fees for Services Accounting$25,375$12,341$946$38,662
Advertising$24,999$3,125$3,125$31,249
Other Expenses$19,226$4,765$19$24,010
Fees for Services Other$10,584$5,148$394$16,126
Information Technology$6,604$776$351$7,731
Total Functional Expenses$3,803,972$668,594$186,166$4,658,732

Audited Expense Reconciliation

Line ItemAmount
Expenses per Audited Statements$4,658,732
Total Expenses per Audited Statements$4,658,732
Total Expenses per Form 990$4,658,732
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$552,806
Accrued payroll$51,710
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 35% controlled entity
No
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 Articles of Incorporation and Bylaws of the Organization were amended in 2019. The Articles of Incorporation were amended effective January 1, 2019 to remove Rocky Mountain Health Foundation as a supported organization and to add SummitWest Care as a supported organization. Corresponding changes were also made to the Organization's Bylaws at the same time.

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
2020-11-16
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Richard Thompson
Formed
2004
Legal Domicile
Co
Voting Board Members
10
Independent Board Members
5
Employees
29
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

Clinical Improvement Code 4B

While QHN's historical focus has predominately been on the medical side of a person's health, this does not include the many social factors that affect a person's health. 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 medical 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 did development and beta testing of its system in 2019 and went live with its CRN system in mid-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 HCPF 90-10 contract that procures services to make improvements to the Health Information Exchange capabilities and infrastructure in Colorado. This 90-10 contract focuses on those providers and organizations who serve the Medicaid population. 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 2019, more than 4,600 providers, care team members and other healthcare staff were connected to the QHN network and they made over 1.1 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 2019, QHN continued its expansion with the addition of new providers and healthcare services, which currently total more than 430 associated health and human service provider organizations, long-term care facilities, home healthcare agencies, behavior health 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 2019, 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 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 error
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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/PersonNm5Charleen Raaum
IRS990/Form990PartVIISectionAGrp/PersonNm6Chris Thomas
IRS990/Form990PartVIISectionAGrp/PersonNm7Kay Ramachandran
IRS990/Form990PartVIISectionAGrp/PersonNm8Jodie Atchley
IRS990/Form990PartVIISectionAGrp/PersonNm9Joe Adragna MD
IRS990/Form990PartVIISectionAGrp/PersonNm10Richard Thompson
IRS990/Form990PartVIISectionAGrp/PersonNm11Justin Aubert
IRS990/Form990PartVIISectionAGrp/PersonNm12Richard Warner
IRS990/Form990PartVIISectionAGrp/PersonNm13Marc T Lassaux
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IRS990/Form990PartVIISectionAGrp/TitleTxt13Chief Technology Officer
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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/ManagementAndGeneralAmt09276
IRS990/OccupancyGrp/ProgramServicesAmt078501
IRS990/OccupancyGrp/TotalAmt092415
IRS990/OfficeExpensesGrp/FundraisingAmt03414
IRS990/OfficeExpensesGrp/ManagementAndGeneralAmt06832
IRS990/OfficeExpensesGrp/ProgramServicesAmt058082
IRS990/OfficeExpensesGrp/TotalAmt068328
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IRS990/OtherChangesInNetAssetsAmt00
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IRS990/OtherEmployeeBenefitsGrp/ManagementAndGeneralAmt065750
IRS990/OtherEmployeeBenefitsGrp/ProgramServicesAmt0350667
IRS990/OtherEmployeeBenefitsGrp/TotalAmt0438334
IRS990/OtherExpensesGrp/Desc0Consultants/Software/Sy
IRS990/OtherExpensesGrp/Desc1Outside consultants
IRS990/OtherExpensesGrp/Desc2Marketing
IRS990/OtherExpensesGrp/Desc3Staff Development
IRS990/OtherExpensesGrp/FundraisingAmt01801
IRS990/OtherExpensesGrp/FundraisingAmt15390
IRS990/OtherExpensesGrp/FundraisingAmt219
IRS990/OtherExpensesGrp/ManagementAndGeneralAmt039213
IRS990/OtherExpensesGrp/ManagementAndGeneralAmt123507
IRS990/OtherExpensesGrp/ManagementAndGeneralAmt216171
IRS990/OtherExpensesGrp/ManagementAndGeneralAmt34765
IRS990/OtherExpensesGrp/ProgramServicesAmt0795494
IRS990/OtherExpensesGrp/ProgramServicesAmt148332
IRS990/OtherExpensesGrp/ProgramServicesAmt232342
IRS990/OtherExpensesGrp/ProgramServicesAmt319226
IRS990/OtherExpensesGrp/TotalAmt0834707
IRS990/OtherExpensesGrp/TotalAmt173640
IRS990/OtherExpensesGrp/TotalAmt253903
IRS990/OtherExpensesGrp/TotalAmt324010
IRS990/OtherLiabilitiesGrp/BOYAmt0492262
IRS990/OtherLiabilitiesGrp/EOYAmt0604516
IRS990/OtherSalariesAndWagesGrp/FundraisingAmt076683
IRS990/OtherSalariesAndWagesGrp/ManagementAndGeneralAmt0230049
IRS990/OtherSalariesAndWagesGrp/ProgramServicesAmt01226931
IRS990/OtherSalariesAndWagesGrp/TotalAmt01533663
IRS990/PartialLiquidationInd00
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IRS990/PayrollTaxesGrp/FundraisingAmt06177
IRS990/PayrollTaxesGrp/ManagementAndGeneralAmt018531
IRS990/PayrollTaxesGrp/ProgramServicesAmt098832
IRS990/PayrollTaxesGrp/TotalAmt0123540
IRS990/PensionPlanContributionsGrp/FundraisingAmt010128
IRS990/PensionPlanContributionsGrp/ManagementAndGeneralAmt030385
IRS990/PensionPlanContributionsGrp/ProgramServicesAmt0162054
IRS990/PensionPlanContributionsGrp/TotalAmt0202567
IRS990/PoliticalCampaignActyInd00
IRS990/PrincipalOfficerNm0Richard Thompson
IRS990/ProfessionalFundraisingInd00
IRS990/ProgramServiceRevenueGrp/BusinessCd0518210
IRS990/ProgramServiceRevenueGrp/BusinessCd1518210
IRS990/ProgramServiceRevenueGrp/Desc0Data Processing - Serv
IRS990/ProgramServiceRevenueGrp/Desc1Data Processing - Subs
IRS990/ProgramServiceRevenueGrp/RelatedOrExemptFuncIncomeAmt02744852
IRS990/ProgramServiceRevenueGrp/RelatedOrExemptFuncIncomeAmt12105569
IRS990/ProgramServiceRevenueGrp/TotalRevenueColumnAmt02744852
IRS990/ProgramServiceRevenueGrp/TotalRevenueColumnAmt12105569
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 as they 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 most of the 4,300 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 under 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 for nearly 300 QHN users. 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 an
IRS990/ProgSrvcAccomActy2Grp/ExpenseAmt01056578
IRS990/ProgSrvcAccomActy2Grp/RevenueAmt01347236
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 the 90-10 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/ExpenseAmt0418329
IRS990/ProgSrvcAccomActy3Grp/RevenueAmt0533409
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, ADT's and has been actively involved in the community care coordination pilot. To better serve the indigent in Mesa County, MCHD partnered with Marillac Clinic, the FQHC inc the Grand Junction area, co-locating a Marillac Clinic within the health department. This has allowed patients who seek care at 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 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.
IRS990/ProgSrvcAccomActyOtherGrp/ExpenseAmt0104953
IRS990/ProgSrvcAccomActyOtherGrp/RevenueAmt0133825
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IRS990/PYOtherExpensesAmt01327441
IRS990/PYOtherRevenueAmt00
IRS990/PYProgramServiceRevenueAmt04620522
IRS990/PYRevenuesLessExpensesAmt0943036
IRS990/PYSalariesCompEmpBnftPaidAmt02819497
IRS990/PYTotalExpensesAmt04146938
IRS990/PYTotalProfFndrsngExpnsAmt00
IRS990/PYTotalRevenueAmt05089974
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IRS990/RcvFndsToPayPrsnlBnftCntrctInd00
IRS990/ReconcilationRevenueExpnssAmt0695134
IRS990/RegularMonitoringEnfrcInd01
IRS990/RelatedEntityInd01
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IRS990ScheduleA/Form990SchASupportingOrgGrp/OrganizationChangeSuprtOrgInd01

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