2026-03-02T11:16:14-08:00 2025-12-31 870325228 HAYNIE & COMPANY 1785 WEST 2300 SOUTH SALT LAKE CITY UT 84119 990 2025-01-01 841192031 COLORADO RURAL HEALTH CENTER COLO 3038327493 6551 SOUTH REVERE PARKWAY 155 CENTENNIAL CO 80111 MICHELLE MILLS CEO 2026-03-02 true Brian S Jacobson CPA P00668876 8019724800 2025 2025-03-06 01:10:19Z MICHELLE MILLS 6551 SOUTH REVERE PARKWAY 155 CENTENNIAL CO 80111 3986451 false X WWW.CORURALHEALTH.ORG X 1991 CO TO ENHANCE HEALTHCARE SERVICES IN THE STATE BY PROVIDING INFORMATION, EDUCATION, LINKAGES, TOOLS AND ENERGY TOWARDS ADDRESSING RURAL HEALTH ISSUES. 8 8 20 0 2821107 2117660 1664829 1848472 27264 20319 13661 0 4526861 3986451 842019 309392 0 2581968 2806186 0 0 1100291 925710 4524278 4041288 2583 -54837 3804300 3798495 459404 508436 3344896 3290059 TO ENHANCE HEALTHCARE SERVICES IN THE STATE BY PROVIDING INFORMATION, EDUCATION, LINKAGES, TOOLS AND ENERGY TOWARDS ADDRESSING RURAL HEALTH ISSUES. false false 1931861 309392 3986451 RURAL CONNECTIVITY PROGRAM:The Rural Connectivity Program was designed to develop a sustainable model for affordable health information management and technology infrastructure, shared analytics, and technical support for rural healthcare facilities. The goal for the Rural Connectivity Program is to enable safety-net rural health clinics such as Rural Health Clinics (RHCs), Critical Access Hospitals (CAHs), Non-Certified/Independent Rural Health Clinics, and qualifying rural PPS hospitals to make data-driven improvements to patient care by leveraging two primary technologies: Analytics and Health Information Exchange.CRHC provides continual outreach and technical assistance to rural facilities to improve the engagement and use of analytics, which includes support of dashboards and connection to the health information exchange. CRHC emphasizes the importance of utilizing quality data to inform changes and improvements. Heres what we accomplished this year:Platform Additions and Upgrades - Launched the Child & Youth dashboard in the Community Analytics Platform Unlocking new data insights into pay for performance childrens health metrics via the Rural Well-Child KPI report. - Enhanced the Community Analytic Platforms Cancer Screening and Diagnosis report in July. - Introduced Innovaccer to empower healthcare organizations with actionable insights into cost and utilization trends. - Enrolled 12 new participating facilities to the Rural Connectivity Program, increasing the number of total facilities to 117 and total attributed members in the CAP to over 700,000 an increase of nearly 100,000 unique patients since December 2024.Expanded Technical Assistance & Shared Learning - Delivered remote and on-site technical support and training on dashboard access, usage, and visual analytics. - Facilitated Super User Group and presented on Rural Connectivity Programs impact on analytics and CRHCs role in rural quality improvement.Quality Improvement Initiatives and Financial Impact - Supported facilities projects through: - Identifying new service lines - Development and workflow optimization for cancer screenings and Chronic Care Management (CCM) programs - Improve data collection in practices - Provided Sustainability Payments to 111 eligible facilities. Each Critical Access Hospital and Rural Health Clinic who met the criteria received $100,000 and $20,000, respectively - Released two Innovaccer Modules: - Cost Management Module includes trends on cost and utilization by inpatient, outpatient, medication, and professional services - Risk Management Module includes data on payer performance, gap to potential risk, and RAF scores 1083851 SNAPSHOT OF RURAL HEALTH:As Colorados State Office of Rural Health and member-based association for rural health facilities, CRHC is a clearinghouse for rural health information and resources, helping providers throughout Colorado enhance healthcare services available in rural communities, and helping elected officials make informed decisions about healthcare policy.The 2025 edition of its Snapshot of Rural Health was released in January 2025. Each year, the publication highlights rural health data such as demographic trends, chronic disease, the rural healthcare delivery system, substance use, and the rural economy using infographic data visualization, case studies, text, and maps. The 2025 edition of the Snapshot is the largest volume yet. The report has expanded analysis of healthcare in rural Colorado, illustrated with useful statistics, data, and maps that can all be used for education, advocacy, and grant writing. This year, the report analyzes 29 different topics and features 55 maps, all in a digestible visual format with rigorous citations. The 2025 edition expanded coverage of chronic disease in rural Colorado and analyzes rural Emergency Medical Services (EMS) deserts while featuring unique data points for each region in Colorado. The Snapshot is designed from the ground up to be a useful tool for healthcare facilities, policy makers, providers, and members of the public. All of this is provided free of charge in the interest of advancing CRHCs vision of improving healthcare services available in rural communities to ensure that all rural Coloradans have access to comprehensive, affordable, high quality healthcare. The Snapshot of Rural Health includes data collected and analyzed by CRHCs Public Health Data Specialist. A comprehensive citations page makes sourcing each fact from the 104 page report quick and easy.The Snapshot of Rural Health is available for download at https://coruralhealth.org/snapshotof-rural-health - For additional resources, visit the CRHC resource center at http://coruralhealth.org/resources. 252511 ADVOCACY:The 2025 Colorado legislative session convened on January 14, 2025, and ended 120 days later. This session was marked by a significant state budget shortfall, pushback to proposals from the federal Administration, and a historical battle between Colorado hospitals and the pharmaceutical industry. Of the 657 bills introduced, 476 bills (72%) passed, and Governor Polis vetoed 11 bills. The Colorado Rural Health Center (CRHC) tracked 93 bills and took positions on 25 bills with 93% of the bills CRHC supported passing. The Policy and Legislative Committee is a board lead committee with CRHC Director of Policy and Advocacy providing support for this committee including tracking bills pertinent to rural communities in Colorado. CRHC bill positions are decided by majority vote of the CRHC Policy and Legislative Committee (PLC) and approved by the CRHC Board of Directors. CRHC uses a bill tracker which contains links to Colorado Capitol Watch, where you can find the most recent bill text, fiscal note, bill history and bill sponsors. CRHC regularly publishes policy information in the monthly Special Delivery to inform members, partners and collaborators on policy related information. CRHC tracked 93 bills this session, voting to take positions on twenty-five bills, each corresponding to a CRHC policy priority. CRHC supported fourteen bills (56% of the positions taken), opposed four bills (16% of the positions taken) monitored six bills (24% of the positions taken) and an amend position on one bill (.04% of positions taken). All the bills with a CRHC position correlated with the 2025 Policy Priorities: Facility Reimbursement, Healthcare Workforce, Healthcare Access, Administrative and Regulatory Burdens, and Rural Health Investments and Sustainability.Throughout the session, CRHC testified ten times in committee hearings and coordinated numerous member testimonies, hosted 12 member-driven PLC meetings, secured numerous bill amendments, and made over 200 state policymaker touchpoints to achieve our policy goals. A summary of the 2025 bills, and their rural impact, are outlined in the final report which is available on CRHCs website.2025 was unique in the amount of effort that CRHC put into federal policy. With the Administration taking over in January 2025, we have seen an unprecedented number of Executive Orders impacting healthcare, public health and the standard operations of the federal government. These Executive Orders initially frozen federal funding impacting CRHCs ability to pull down funding of awarded grants and grants were zeroed out leaving an uncertainty of federal funding. Due to these changes CRHC made additional connections at the state and federal levels including to the CO General Assembly, Governor and HCPF.With CRHCs CEO serving as the Chair of the National Rural Health Association, this has afforded CRHC the opportunity to raise the rural voice for Colorado as well as all rural communities nationally. These meetings included Federal Democrat Delegation, HHS Secretary Kennedy and CMS Administrator Dr. Oz. Additionally, CRHC conducted many posts on social media, created a dedicated page on the CRHC website, and participated in many interviews. 3268223 true false false true false false false false false false true false false false true true true false false false false false false false false false false true false true false false false false false false false false false false false false false false false false false true 17 0 true 20 true false false false false false false false 0 false false false false false false false X 8 8 false false false false false false false true true false false true true true true true true true false false X LORI ARBUCKLE 7207497311 6551 SOUTH REVERE PARKWAY SUITE 155 CENTENNIAL CO 80111 MICHELLE MILLS CEO 40.00 0.00 X 434962 0 0 LORI ARBUCKLE DIR OF FINANCE 40.00 0.00 209425 0 0 SARA LEAHY DIR OF MEMBER SERV 40.00 0.00 171765 0 0 MARCY CAMERON DIR OF PROGRAMS 40.00 0.00 169279 0 0 SUZANNE RICK DIR OF HR 40.00 0.00 153143 0 0 TAMMY DUNKER BOARD CHAIR 0.00 0.00 X X 0 0 0 JAYDEN MIRACLE CHAIR ELECT 0.00 0.00 X X 0 0 0 DEEANN SIERRA SECRETARY/TREAS 0.00 0.00 X X 0 0 0 JENNIFER RILEY PAST CHAIR 0.00 0.00 X X 0 0 0 DOUG MILLER BOARD MEMBER 0.00 0.00 X 0 0 0 DR MICHAEL VARGAS BOARD MEMBER 0.00 0.00 X 0 0 0 KAY WHITLEY BOARD MEMBER 0.00 0.00 X 0 0 0 JOHN LEAVITT BOARD MEMBER 0.00 0.00 X 0 0 0 1138574 5 false true false DAVID GINSBERG HEALTHCARE CONSULTING 3 MONTE ALTO WAY SANTA FE NM 87508 HIT CONSULTING 218368 1 119144 1540530 457986 2117660 CONFERENCES & WORKSHOPS 900099 150147 150147 CONTRACTED SERVICES 900099 1641135 1641135 TECHNICAL ASSISTANCE FEES 900099 57190 57190 1848472 20319 20319 0 0 0 0 0 0 0 0 3986451 1868791 X 309392 309392 0 0 0 434962 339270 95692 0 1776473 1326159 450314 0 398906 309644 89262 195845 152021 43824 0 0 0 0 0 0 551308 509134 42174 0 0 0 0 25298 19972 5326 75475 70160 5315 0 123057 120318 2739 0 0 0 12409 12409 DUES 72768 65739 7029 PROFESSIONAL DEVELOPMENT 21091 18142 2949 MINOR EQUIPMENT 12733 7874 4859 TELEPHONE 12401 10093 2308 19170 10305 8865 4041288 3268223 773065 0 2338046 2834009 988836 487609 149311 259529 164495 48289 0 0 0 0 58226 61851 218458 218458 0 0 0 0 0 105386 107208 3804300 3798495 269783 324547 83050 99172 106571 84717 459404 508436 X 3207317 3125838 137579 164221 3344896 3290059 3804300 3798495 -54837 X false true X true true true X 2131945 8333668 3524619 2821107 2117660 18928999 0 0 2131945 8333668 3524619 2821107 2117660 18928999 0 18928999 2185 2327 19160 27264 20319 71255 0 7121 69185 69185 5765 151256 19151510 3624197 0.98840 0.98890 X false false false true true true false false true 17152 false false 17152 false false 72037 72037 29903 29903 116518 116518 OPERATING LEASE LIABILITY 23457 OPERATING LEASES NONCURRENT PORTION 61260 84717 X 3986451 3986451 3986451 4041288 4041288 4041288 Part X : FIN48 Footnote CRHC IS EXEMPT FROM FEDERAL INCOME TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. ACCORDINGLY, NO PROVISION FOR INCOME TAX IS NECESSARY. CRHC EVALUATES UNCERTAIN TAX POSITIONS WHEREBY THE EFFECT OF THE UNCERTAINTY WOULD BE RECORDED IF THE OUTCOME WAS CONSIDERED PROBABLE AND REASONABLY ESTIMABLE. AS OF DECEMBER 31, 2025 AND 2024, CRHC HAD NO UNCERTAIN TAX POSITIONS REQUIRING ACCRUAL. true BRIGHTON FIRE RESCUE DISTRICT 500 S 4TH ST 3RD FLOOR BRIGHTON CO 80601 840865202 31413 0 GRANT PASSTHROUGH BYERS FIRE PROTECTION DISTRIC PO BOX 85 BYERS CO 80103 841492601 7576 0 GRANT PASSTHROUGH CANON CITY AREA FIRE PROTECT 3016 E MAIN STREET CANON CITY CO 81212 840841565 17904 0 GRANT PASSTHROUGH CITY OF PUEBLO 1551 BONFORTE BLVD PUEBLO CO 81001 846000615 13463 0 GRANT PASSTHROUGH DOVE CREEK AMBULANCE DISTRICT PO BOX 825 DOVE CREEK CO 81324 820880089 9322 0 GRANT PASSTHROUGH FAMILY HEALTH WEST HOSPITAL 300 W OTTLEY AVENUE FRUITA CO 81521 840447998 7797 0 GRANT PASSTHROUGH GRAND COUNTY EMS PO BOX GRANBY CO 80446 846000769 22638 0 GRANT PASSTHROUGH GRAND RIVER HOSPITAL DISTRICT 501 AIRPORT ROAD RIFFLE CO 81650 840513889 7797 0 GRANT PASSTHROUGH GUNNISON VALLEY HOSPITAL 711 N TAYLOR GUNNISON CO 81230 846008116 7797 0 GRANT PASSTHROUGH HIGHLAND RESCUE TEAM AMBULANC 317 SOUTH LOOKOUT MOUNTAIN RD GOLDEN CO 80401 760771309 9680 0 GRANT PASSTHROUGH KEEFE MEMORIAL HEALH SERVICE 602 N 6TH STREET W CHEYENNE WILLS CO 80180 472340447 7797 0 GRANT PASSTHROUGH MELISSA MEMORIAL HOSPITAL 1001 EAST JOHNBSON STREET HOLYOKE CO 80734 846014138 7797 0 GRANT PASSTHROUGH MEMORIAL HOSPITAL 750 HOSPITAL LOOP CRAIG CO 81625 840399209 7797 0 GRANT PASSTHROUGH RANGELY HOSPITAL DISTRICT 225 EAGLE CREST DRIVE RANGELY CO 81645 846014785 7797 0 GRANT PASSTHROUGH SLV HEALTH CONEJOS COUNTY 19021 US HWY 285 LA JARA CO 81140 840255530 7797 0 GRANT PASSTHROUGH SLV HEALTH RMC 106 BLANCA AVE ALAMOSA CO 81101 840255530 7797 0 GRANT PASSTHROUGH SPANISH PEAKS REG HEALTH CTR 23500 US HIGHWAY 160 WALSENBURG CO 81089 846027322 7547 0 GRANT PASSTHROUGH ST VINCENT HEALTH 816 W 4TH ST LEADVILLE CO 80461 840424585 7797 0 GRANT PASSTHROUGH TELLURIDE FIRE PROTECTION PO BOX 1645 TELLURIDE CO 81435 841132437 16138 0 GRANT PASSTHROUGH UTE PASS REGIONAL HEALTH SERV PO BOX 149 WOODLAND PARK CO 80866 432074301 6850 0 GRANT PASSTHROUGH VALLEY VIEW HOSPITAL 1906 BLAKE AVENUE GLENWOOD SPRING CO 81601 840446259 7797 0 GRANT PASSTHROUGH WRAY COMMUNITY DISTRICT HOSPI 1017 W 7THG STREET WRAY CO 80758 840370617 7797 0 GRANT PASSTHROUGH 6 16 Additional Supplemental Information COLORADO RURAL HEALTH CENTER (CRHC) GRANTS SUBAWARDS TO CONSTITUENTS LOCATED IN RURAL AREAS OF COLORADO WHEN THE PARTICIPANT HAS MET THE REQUIREMENTS FOR PAYMENT OR REIMBURSEMENT OUTLINED IN THE GRANT AGREEMENT. ONCE A SUBAWARD IS MADE, CRHC MONITORS SUBRECIPIENT DISTRIBUTIONS BY REFERENCING THE GRANT AGREEMENT AND DISTRIBUTING FUNDS ACCORDING TO THE APPROVED BUDGET TO ENSURE THAT THE SUBRECIPIENT HAS ADMINISTERED ANY PASS-THROUGH FUNDING IN COMPLIANCE WITH THE LAWS, REGULATIONS, AND THE PROVISIONS OF THE AWARD, AND THAT THE REQUIRED PERFORMANCE GOALS ARE BEING ACHIEVED. X X X X false false false false false false false false false LORI ARBUCKLE DIR OF FINANCE 195205 14220 209425 MARCY CAMERON DIR OF PROGRAMS 157814 11465 169279 MICHELLE MILLS CEO 362140 72822 434962 SARA LEAHY DIR OF MEMBER SERV 160076 11689 171765 SUZANNE RICK DIR OF HR 141435 11708 153143 Form 990, Part VI, Section B, Line 11b A COPY OF THE 990 IS PROVIDED TO CEO AND DIRECTOR OF FINANCE WHO REVIEW THE FORM, SCHEDULES AND RELATED ATTACHMENTS. ANY COMMENTS OR QUESTIONS ARE ADDRESSED WITH THE PREPARER. ONCE MANAGEMENT IS SATISFIED WITH THE 990, THE CEO SIGNS THE FORM 8879-TE AUTHORIZING THE PREPARER TO E-FILE THE RETURN. Form 990, Part VI, Section B, Line 12c ANY DIRECTOR, PRINCIPAL OFFICER, OR MEMBER OF A COMMITTEE WITH GOVERNING BOARD DELEGATED POWER, WHO HAS A DIRECT OR INDIRECT FINANCIAL INTEREST, IS CONSIDERED AN INTERESTED PERSON WITH RESPECT TO THE CONFLICT OF INTEREST POLICY OF THE COLORADO RURAL HEALTH CENTER. IN CONNECTION WITH ANY ACTUAL OR POSSIBLE CONFLICT OF INTEREST, AN INTERESTED PERSON MUST DISCLOSE THE EXISTENCE OF THE FINANCIAL INTEREST AND BE GIVEN THE OPPORTUNITY TO DISCLOSE ALL MATERIAL FACTS TO THE DIRECTORS AND MEMBERS OF COMMITTEES WITH GOVERNING BOARD DELEGATED POWERS CONSIDERING THE PROPOSED TRANSACTION OF ARRANGEMENT. AFTER DISCLOSURE OF THE FINANCIAL INTEREST AND ALL MATERIAL FACTS, AND AFTER ANY DISCUSSION WITH THE INTEREST PERSON, HE/SHE SHALL LEAVE THE GOVERNING BOARD OR COMMITTEE MEETING WHILE THE DETERMINATION OF A CONFLICT OF INTEREST IS DISCUSSED AND VOTED UPON. THE REMAINING BOARD OR COMMITTEE MEMBERS SHALL DECIDE IF A CONFLICT OF INTEREST EXISTS. AN INTERESTED PERSON MAY MAKE A PRESENTATION AT THE GOVERNING BOARD OR COMMITTEE MEETING, BUT AFTER THE PRESENTATION, HE/SHE SHALL LEAVE THE MEETING DURING THE DISCUSSION OF, AND THE VOTE ON, THE TRANSACTION OR ARRANGEMENT INVOLVING THE POSSIBLE CONFLICT OF INTEREST. TO ENSURE COMPLIANCE WITH THE ABOVE, EACH INTERESTED PERSON MUST ANNUALLY SIGN A STATEMENT WHICH AFFIRMS HE/SHE HAS RECEIVED A COPY OF THE CONFLICT OF INTEREST POLICY; HAS READ AND UNDERSTANDS THE POLICY; AGREES TO COMPLY WITH THE POLICY, AND UNDERSTANDS THE ORGANIZATION IS CHARITABLE AND IN ORDER TO MAINTAIN ITS FEDERAL TAX EXEMPTION IT MUST ENGAGE PRIMARILY IN ACTIVITIES WHICH ACCOMPLISH ONE OR MORE OF ITS TAX EXEMPT PURPOSES. Form 990, Part VI, Section B, Line 15a THE BOARD CONDUCTS A REVIEW OF THE CEO'S PERFORMANCE USING COMPENSATION INFORMATION FROM BUREAU OF LABOR STATISTICS, 990 INFORMATION FROM LIKE ORGANIZATIONS, ALONG WITH OTHER RELEVANT DATA. THE BOARD DISCUSSES THE CEO'S COMPENSATION THEN VOTES TO APPROVE CEO COMPENSATION. THE BOARD'S DECISION IS DOCUMENTED IN THE BOARD MINUTES. Form 990, Part VI, Section C, Line 19 COLORADO RURAL HEALTH CENTER MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST.