Form990
Click to see attachment
Department of the Treasury
Internal Revenue Service
Return of Organization Exempt From Income Tax
Under section 501(c), 527, or 4947(a)(1) of the Internal Revenue Code (except private foundations)
MediumBullet Do not enter Social Security numbers on this form as it may be made public. By law, the IRS
generally cannot redact the information on the form.
MediumBullet Information about Form 990 and its instructions is at www.IRS.gov/form990.
OMB No. 1545-0047
2013
Open to Public Inspection
A For the 2013 calendar year, or tax year beginning 01-01-2013 , 2013, and ending 12-31-2013
BCheck if applicable:
CName of organization
ROCKY MOUNTAIN HEALTH MAINTENANCE
ORGANIZATION INCORPORATED
Doing Business As
ROCKY MOUNTAIN HEALTH PLANS
 
Number and street (or P.O. box if mail is not delivered to street address)
2775 CROSSROADS BOULEVARD
 
Room/suite
City or town, state or province, country, and ZIP or foreign postal code
GRAND JUNCTION, CO81506
D Employer identification number

84-0614905
E Telephone number

G Gross receipts $ 449,230,898
F Name and address of principal officer:
STEPHEN ERKENBRACK
2775 CROSSROADS BOULEVARD
GRAND JUNCTION,CO81506
I
Tax-exempt status: ( 4 ) LeftBullet (insert no.) or
J
Website:MediumBullet
WWW.RMHP.ORG
H(a)
Is this a group return for
subordinates?
H(b)
Are all subordinates
included?
If "No," attach a list. (see instructions)
H(c)
Group exemption number MediumBullet  
K Form of organization:
 
L Year of formation: 1971
M State of legal domicile: CO
Part I
Summary
Activities & Governance 1 Briefly describe the organization’s mission or most significant activities: DELIVERY OF HIGH QUALITY HEALTH CARE AND RELATED SERVICES THROUGH COMMUNITY BASED ORGANIZATIONAL STRUCTURE TO A BROAD CROSS-SECTION OF COLORADANS, FOCUSING ON PREVENTATIVE CARE, ACCESS AND QUALITY IMPROVEMENT FOR THE BENEFIT OF MEMBERS AND THE GREATER COMMUNITY.
2 Check this box MediumBullet
3 Number of voting members of the governing body (Part VI, line 1a) ........ 3 14
4 Number of independent voting members of the governing body (Part VI, line 1b) ..... 4 12
5 Total number of individuals employed in calendar year 2013 (Part V, line 2a) ...... 5 0
6 Total number of volunteers (estimate if necessary) ............. 6 0
7a Total unrelated business revenue from Part VIII, column (C), line 12 ........ 7a 14,393
b Net unrelated business taxable income from Form 990-T, line 34 ......... 7b 0
Revenues Prior Year Current Year
8 Contributions and grants (Part VIII, line 1h) ......... 48,673,175 19,824,723
9 Program service revenue (Part VIII, line 2g) ......... 351,745,885 358,355,439
10 Investment income (Part VIII, column (A), lines 3, 4, and 7d ) .... 6,443,827 2,554,013
11 Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e) 439,719 382,598
12 Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)................... 407,302,606 381,116,773
Expenses; 13 Grants and similar amounts paid (Part IX, column (A), lines 1–3 )... 4,577,510 2,410,310
14 Benefits paid to or for members (Part IX, column (A), line 4)..... 344,784,109 332,832,672
15 Salaries, other compensation, employee benefits (Part IX, column (A), lines 5–10) 1,872,300 1,841,300
16a Professional fundraising fees (Part IX, column (A), line 11e)..... 0 0
b Total fundraising expenses (Part IX, column (D), line 25) MediumBullet0    
17 Other expenses (Part IX, column (A), lines 11a–11d, 11f–24e).... 41,831,919 39,970,527
18 Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25) 393,065,838 377,054,809
19 Revenue less expenses. Subtract line 18 from line 12....... 14,236,768 4,061,964
Net Assets or Fund Balances; Beginning of Current Year End of Year
20 Total assets (Part X, line 16)............. 181,909,093 160,006,794
21 Total liabilities (Part X, line 26)............. 61,313,305 50,826,706
22 Net assets or fund balances. Subtract line 21 from line 20..... 120,595,788 109,180,088
Part II
Signature Block
Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief, it is true, correct, and complete. Declaration of preparer (other than officer) is based on all information of which preparer has any knowledge.
Sign Here
JumboBullet
Signature of officer Date
JumboBullet
Type or print name and title
Paid Preparer Use Only
Print/Type preparer's name
Preparer's signature
Date
PTIN
Firm's name MediumBullet

Firm's EIN MediumBullet
Firm's address MediumBullet



Phone no.
May the IRS discuss this return with the preparer shown above? (see instructions) ............
For Paperwork Reduction Act Notice, see the separate instructions.
Cat. No. 11282Y
Form 990 (2013)
Form 990 (2013)
Page 2
Part III
Statement of Program Service Accomplishments
Check if Schedule O contains a response or note to any line in this Part III ..............
1
Briefly describe the organization’s mission: DELIVERY OF HIGH QUALITY HEALTH CARE AND RELATED SERVICES THROUGH COMMUNITY BASED ORGANIZATIONAL STRUCTURE TO A BROAD CROSS-SECTION OF COLORADANS, FOCUSING ON PREVENTATIVE CARE, ACCESS AND QUALITY IMPROVEMENT FOR THE BENEFIT OF MEMBERS AND THE GREATER COMMUNITY.
2
Did the organization undertake any significant program services during the year which were not listed on
the prior Form 990 or 990-EZ? ......................
If "Yes," describe these new services on Schedule O.
3
Did the organization cease conducting, or make significant changes in how it conducts, any program services? ............................
If "Yes," describe these changes on Schedule O.
4
Describe the organization’s program service accomplishments for each of its three largest program services, as measured by expenses. Section 501(c)(3) and 501(c)(4) organizations are required to report the amount of grants and allocations to others, the total expenses, and revenue, if any, for each program service reported.
4a (Code:   ) (Expenses $ 94,418,417 including grants of $   ) (Revenue $ 111,280,552 )
EMPLOYER GROUP AND INDIVIDUAL PLANS:PROVIDED MEDICAL BENEFIT SERVICES AND PROGRAMS TO OVER 21,000 PEOPLE ENROLLED THROUGH EMPLOYER GROUP AND INDIVIDUAL PLANS. OVER 90% OF EMPLOYER GROUPS WERE SMALL BUSINESSES.
4b (Code:   ) (Expenses $ 129,033,093 including grants of $   ) (Revenue $ 146,417,963 )
MEDICARE PLANS:PROVIDED MEDICAL BENEFIT SERVICES AND PROGRAMS TO OVER 24,000 MEDICARE BENEFICIARIES, OVER HALF OF WHOM RESIDE IN RURAL AREAS NOT SERVED BY ANY OTHER MANAGED CARE PLAN. MEMBERS RECEIVED BROAD ACCESS TO MEDICAL CARE AND WELLNESS PROGRAMS.
4c (Code:   ) (Expenses $ 89,048,598 including grants of $   ) (Revenue $ 96,856,493 )
MEDICAID PLANS:PROVIDED MEDICAL BENEFIT SERVICES AND PROGRAMS TO OVER 21,000 MEDICAID RECIPIENTS IN 7 RURAL COUNTIES, ENSURING ACCESS TO QUALITY MEDICAL CARE NOT OTHERWISE AVAILABLE. SAVED TAXPAYER DOLLARS WHILE EXCEEDING NATIONAL BENCHMARKS FOR QUALITY.EXPENSES $ 71,468,269. INCLUDING GRANTS OF $ 0. REVENUE $ 72,148,109.CHILDREN'S HEALTH PLAN PLUS:THROUGH THE MEDICAID PROGRAM, PROVIDED MEDICAL BENEFIT SERVICES AND PROGRAMS TO OVER 10,000 NEEDY CHILDREN IN 22 RURAL COUNTIES IN WESTERN COLORADO THROUGH PARTICIPATION IN CHILDREN'S HEALTH PLAN PLUS PROGRAM. THESE CHILDREN GAINED ACCESS TO HIGH QUALITY MEDICAL CARE.EXPENSES $ 14,299,248. INCLUDING GRANTS OF $ 0. REVENUE $ 20,318,776.REGIONAL CARE COLLABORATIVE:AS PART OF AN AWARD RECEIVED FROM STATE MEDICAID PROGRAM, CREATING A REGIONAL CARE COLLABORATIVE ORGANIZATION, WHOSE GOALS ARE TO IMPROVE HEALTH OUTCOMES OF MEDICAID CLIENTS BY ADDRESSING HEALTH NEEDS AND TO CONTROL COSTS BY REDUCING INAPPROPRIATE USE OF HEALTH CARE RESOURCES, EFFORTS WILL FOCUS ON PROVIDING CARE COORDINATION AND CARE MANAGEMENT SERVICES TO MEMBERS; PROVIDING A FOCAL POINT OF CARE; ENSURING POSITIVE MEMBER AND PROVIDER EXPERIENCES; AND APPLYING STATEWIDE DATA TO SUPPORT DATA-DRIVEN QUALITY IMPROVEMENT INTERVENTIONS. THE ADMINISTRATIVE SERVICES CONTRACT COVERS 22 COUNTIES IN COLORADO AND SERVIES OVER 53,000 MEDICAID CLIENTS. EXPENSES $ 3,281,081. INCLUDING GRANTS OF $ 0. REVENUE $ 4,389,608.
(Code:   ) (Expenses $ 21,185,810 including grants of $   ) (Revenue $ 3,800,431 )
GETTINGUSCOVEREDPEOPLE WITH SERIOUS HEALTH CONDITIONS WHO HAVE STRUGGLED TO FIND HEALTH INSURANCE HAVE A NEW OPTION, THANKS TO GETTINGUSCOVERED, A HEALTH PLAN THAT OPENED FOR ENROLLMENT IN COLORADO JULY 6, 2010 GETTINGUSCOVERED IS A STATEWIDE, COMPREHENSIVE HEALTH PLAN FOR PEOPLE WITH PRE-EXISTING MEDICAL CONDITIONS WHO HAVE BEEN UNINSURED FOR AT LEAST SIX MONTHS. AS COLORADO'S FEDERAL HIGH-RISK POOL, THE HEALTH PLAN WAS DEVELOPED THROUGH A PARTNERSHIP BETWEEN ROCKY MOUNTAIN HEALTH PLANS, COVERCOLORADO, THE STATE OF COLORADO AND THE U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES. IT IS FUNDED THOUGH INDIVIDUAL PREMIUMS AND A FEDERAL FINANCIAL SUBSIDY. GETTINGUSCOVERED MEMBERS HAVE ACCESS TO A COMPREHENSIVE BENEFITS PACKAGE AND STRONG STATEWIDE NETWORK. MEMBERS CAN CHOOSE THEIR OWN DOCTOR AND GET ACCESS TO THE ROCKY MOUNTAIN HEALTH PLANS PROVIDER NETWORK, WHICH INCLUDES MORE THAN 2,500 PRIMARY CARE PHYSICIANS, 9,000 SPECIALISTS AND SPECIALTY PROVIDERS AND 99 HOSPITALS STATEWIDE. BENEFITS INCLUDE A PRESCRIPTION DRUG PLAN, COVERAGE FOR PREVENTIVE CARE, MENTAL HEALTH, MATERNITY CARE, AND MORE. CARE MANAGEMENT PROGRAMS WILL ALSO BE OFFERED.WHILE FEDERAL FUNDS WILL SUBSIDIZE THE COST OF GETTINGUSCOVERED, IT WILL ALSO BE FUNDED BY INDIVIDUAL PREMIUMS. PREMIUMS WILL BE BASED ON AN APPLICANT'S AGE, COUNTY OF RESIDENCE AND SMOKING STATUS AND WILL COST NO MORE THAN WHAT A HEALTHY INDIVIDUAL OF THE SAME AGE WOULD PAY.
(Code:   ) (Expenses $ 2,389,001 including grants of $ 1,447,995 ) (Revenue $   )
COLORADO BEACON CONSORTIUMIN MAY 2010, THE COLORADO BEACON CONSORTIUM WAS AWARDED $11,878,279 TO IMPLEMENT A HEALTH INFORMATION TECHNOLOGY PILOT PROJECT IN WESTERN COLORADO. THE COLORADO BEACON CONSORTIUM IS MADE UP OF EXECUTIVE-LEVEL REPRESENTATION FROM FOUR MISSION-DRIVEN, NOT-FOR-PROFIT, WESTERN COLORADO-BASED ORGANIZATIONS, ALL OF WHICH HAVE A NATIONALLY-ACKNOWLEDGED TRACK RECORD OF COORDINATION TO ACHIEVE SUPERIOR OUTCOMES. THEY INCLUDE MESA COUNTY PHYSICIANS INDEPENDENT PRACTICE ASSOCIATION, QUALITY HEALTH NETWORK, ROCKY MOUNTAIN HEALTH PLANS AND ST. MARY'S REGIONAL MEDICAL CENTER. A REPRESENTATIVE FROM EACH ORGANIZATION SITS ON THE COLORADO BEACON CONSORTIUM'S EXECUTIVE COMMITTEE, ALONG WITH A CONSUMER REPRESENTATIVE-AT-LARGE.THE FUNDS FROM THE GRANT WILL BE USED TO ENABLE ROBUST COLLECTION OF CLINICAL DATA FROM HEALTH SYSTEMS, PROVIDERS, AND HOSPITALS IN ORDER TO IMPROVE THE QUALITY OF HEALTH CARE AND PATIENT EXPERIENCES WITH THE SYSTEM, WHILE REDUCING COSTS. THE COLORADO BEACON CONSORTIUM'S MISSION IS TO OPTIMIZE THE EFFICIENCY, QUALITY, AND PERFORMANCE OF OUR HEALTH CARE SYSTEM, AND INTEGRATE THE DELIVERY OF CARE AND USE OF CLINICAL INFORMATION TO IMPROVE COMMUNITY HEALTH. THE GEOGRAPHIC FOCUS OF THE CONSORTIUM'S ACTIVITIES INCLUDES THE COLORADO COUNTIES OF MESA, DELTA, MONTROSE, GARFIELD, GUNNISON, PITKIN, AND RIO BLANCO.
(Code:   ) (Expenses $ 1,412,339 including grants of $ 962,315 ) (Revenue $   )
MISCELLANEOUS PROGRAMSCOLLABORATED WITH HEALTH CARE PROVIDERS AND COMMUNITY ORGANIZATIONS TO ADDRESS IDENTIFIED NEEDS, TO SUPPORT IMPROVEMENTS IN MEDICAL MANAGEMENT AND QUALITY OF CARE, TO FUND RESEARCH, HEALTH AND ASSIST THOSE AT-RISK AND VULNERABLE IN OUR COMMUNITIES. THE VALUE OF RMHP WELLNESS EDUCATION, AND LEADERSHIP, VOLUNTEER TIME AND IN-KIND SUPPORT HAS NOT BEEN QUANTIFIED.
(Code:   ) (Expenses $   including grants of $   ) (Revenue $   )
TOTAL OTHER PROGRAM SERVICES:CONTRIBUTION & GRANT REVENUE OF $19,824,723 WAS USED TO SUPPORT THESE OTHER PROGRAM SERVICE COSTS.EXPENSES $ 24,987,150, INCLUDING GRANTS OF $ 2,410,310. REVENUE $ 3,800,431.
4d Other program services (Describe in Schedule O.)
(Expenses $ 24,987,150 including grants of $ 2,410,310 ) (Revenue $ 3,800,431 )
4e Total program service expensesMediumBullet337,487,258
Form 990 (2013)
Form 990 (2013)
Page 3
Part IV
Checklist of Required Schedules
Yes
No
1
Is the organization described in section 501(c)(3) or 4947(a)(1) (other than a private foundation)? If "Yes," complete Schedule A........................
1
 
No
2
Is the organization required to complete Schedule B, Schedule of Contributors (see instructions)? Click to see attachment...
2
Yes
 
3
Did the organization engage in direct or indirect political campaign activities on behalf of or in opposition to candidates for public office? If "Yes," complete Schedule C, Part I..........
3
 
No
4
Section 501(c)(3) organizations. Did the organization engage in lobbying activities, or have a section 501(h) election in effect during the tax year? If "Yes," complete Schedule C, Part II........
4
 
 
5
Is the organization a section 501(c)(4), 501(c)(5), or 501(c)(6) organization that receives membership dues, assessments, or similar amounts as defined in Revenue Procedure 98-19? If "Yes," complete Schedule C,
Part III............................
5
 
No
6
Did the organization maintain any donor advised funds or any similar funds or accounts for which donors have the right to provide advice on the distribution or investment of amounts in such funds or accounts? If "Yes," complete Schedule D, Part IClick to see attachment........................
6
 
No
7
Did the organization receive or hold a conservation easement, including easements to preserve open space,
the environment, historic land areas, or historic structures? If "Yes," complete Schedule D, Part IIClick to see attachment...
7
 
No
8
Did the organization maintain collections of works of art, historical treasures, or other similar assets? If "Yes," complete Schedule D, Part III Click to see attachment....................
8
 
No
9
Did the organization report an amount in Part X, line 21 for escrow or custodial account liability; serve as a custodian for amounts not listed in Part X; or provide credit counseling, debt management, credit repair, or debt negotiation services? If "Yes," complete Schedule D, Part IVClick to see attachment..............
9
 
No
10
Did the organization, directly or through a related organization, hold assets in temporarily restricted endowments, permanent endowments, or quasi-endowments? If "Yes," complete Schedule D, Part VClick to see attachment......
10
 
No
11
If the organization’s answer to any of the following questions is "Yes," then complete Schedule D, Parts VI, VII, VIII, IX, or X as applicable.
a
Did the organization report an amount for land, buildings, and equipment in Part X, line 10?
If "Yes," complete Schedule D, Part VI.Click to see attachment...................
11a
Yes
 
b
Did the organization report an amount for investments—other securities in Part X, line 12 that is 5% or more of its total assets reported in Part X, line 16? If "Yes," complete Schedule D, Part VIIClick to see attachment.......
11b
 
No
c
Did the organization report an amount for investments—program related in Part X, line 13 that is 5% or more of its total assets reported in Part X, line 16? If "Yes," complete Schedule D, Part VIIIClick to see attachment.......
11c
 
No
d
Did the organization report an amount for other assets in Part X, line 15 that is 5% or more of its total assets reported in Part X, line 16? If "Yes," complete Schedule D, Part IXClick to see attachment............
11d
Yes
 
e
Did the organization report an amount for other liabilities in Part X, line 25? If "Yes," complete Schedule D, Part XClick to see attachment
11e
Yes
 
f
Did the organization’s separate or consolidated financial statements for the tax year include a footnote that addresses the organization’s liability for uncertain tax positions under FIN 48 (ASC 740)? If "Yes," complete Schedule D, Part XClick to see attachment.........................
11f
 
No
12a
Did the organization obtain separate, independent audited financial statements for the tax year?
If "Yes," complete Schedule D, Parts XI and XII Click to see attachment.................
12a
 
No
b
Was the organization included in consolidated, independent audited financial statements for the tax year? If "Yes," and if the organization answered "No" to line 12a, then completing Schedule D, Parts XI and XII is optional Click to see attachment
12b
 
No
13
Is the organization a school described in section 170(b)(1)(A)(ii)? If "Yes," complete Schedule E....
13
 
No
14a
Did the organization maintain an office, employees, or agents outside of the United States?.....
14a
 
No
b
Did the organization have aggregate revenues or expenses of more than $10,000 from grantmaking, fundraising, business, investment, and program service activities outside the United States, or aggregate foreign investments valued at $100,000 or more? If "Yes," complete Schedule F, Parts I and IV.........
14b
 
No
15
Did the organization report on Part IX, column (A), line 3, more than $5,000 of grants or other assistance to or for any foreign organization? If “Yes,” complete Schedule F, Parts II and IV
15
 
No
16
Did the organization report on Part IX, column (A), line 3, more than $5,000 of aggregate grants or other assistance to or for foreign individuals? If “Yes,” complete Schedule F, Parts III and IV...
16
 
No
17
Did the organization report a total of more than $15,000 of expenses for professional fundraising services on Part IX, column (A), lines 6 and 11e? If "Yes," complete Schedule G, Part I (see instructions)....
17
 
No
18
Did the organization report more than $15,000 total of fundraising event gross income and contributions on Part VIII, lines 1c and 8a? If "Yes," complete Schedule G, Part II............
18
 
No
19
Did the organization report more than $15,000 of gross income from gaming activities on Part VIII, line 9a? If "Yes," complete Schedule G, Part III...................
19
 
No
20a
Did the organization operate one or more hospital facilities? If "Yes," complete Schedule H....
20a
 
No
b
If "Yes" to line 20a, did the organization attach a copy of its audited financial statements to this return?
20b
 
 
Form 990 (2013)
Form 990 (2013)
Page 4
Part IV
Checklist of Required Schedules (continued)
21
Did the organization report more than $5,000 of grants or other assistance to any domestic organization or government on Part IX, column (A), line 1? If “Yes,” complete Schedule I, Parts I and II... Click to see attachment
21
Yes
 
22
Did the organization report more than $5,000 of grants or other assistance to individuals in the United States on Part IX, column (A), line 2? If “Yes,” complete Schedule I, Parts I and III........ Click to see attachment
22
 
No
23
Did the organization answer "Yes" to Part VII, Section A, line 3, 4, or 5 about compensation of the organization’s current and former officers, directors, trustees, key employees, and highest compensated employees? If "Yes," complete Schedule J....................... Click to see attachment
23
Yes
 
24a
Did the organization have a tax-exempt bond issue with an outstanding principal amount of more than $100,000 as of the last day of the year, that was issued after December 31, 2002? If “Yes,” answer lines 24b through 24d and complete Schedule K. If “No,” go to line 25a................
24a
 
No
b
Did the organization invest any proceeds of tax-exempt bonds beyond a temporary period exception?...
24b
 
 
c
Did the organization maintain an escrow account other than a refunding escrow at any time during the year
to defease any tax-exempt bonds?......................
24c
 
 
d
Did the organization act as an "on behalf of" issuer for bonds outstanding at any time during the year?...
24d
 
 
25a
Section 501(c)(3) and 501(c)(4) organizations. Did the organization engage in an excess benefit transaction with a disqualified person during the year? If "Yes," complete Schedule L, Part I........ Click to see attachment
25a
 
No
b
Is the organization aware that it engaged in an excess benefit transaction with a disqualified person in a prior year, and that the transaction has not been reported on any of the organization’s prior Forms 990 or 990-EZ? If "Yes," complete Schedule L, Part I................... Click to see attachment
25b
 
No
26
Did the organization report any amount on Part X, line 5, 6, or 22 for receivables from or payables to any current or former officers, directors, trustees, key employees, highest compensated employees, or disqualified persons? If so, complete Schedule L, Part II.................... Click to see attachment
26
 
No
27
Did the organization provide a grant or other assistance to an officer, director, trustee, key employee, substantial contributor or employee thereof, a grant selection committee member, or to a 35% controlled entity or family member of any of these persons? If "Yes," complete Schedule L, Part III......... Click to see attachment
27
 
No
28
Was the organization a party to a business transaction with one of the following parties (see Schedule L, Part IV instructions for applicable filing thresholds, conditions, and exceptions):
a
A current or former officer, director, trustee, or key employee? If "Yes," complete Schedule L, Part IV .......................... Click to see attachment
28a
Yes
 
b
A family member of a current or former officer, director, trustee, or key employee? If "Yes,"
complete Schedule L, Part IV..................... Click to see attachment
28b
 
No
c
An entity of which a current or former officer, director, trustee, or key employee (or a family member thereof) was an officer, director, trustee, or direct or indirect owner? If "Yes," complete Schedule L, Part IV... Click to see attachment
28c
Yes
 
29
Did the organization receive more than $25,000 in non-cash contributions? If "Yes," complete Schedule M..
29
 
No
30
Did the organization receive contributions of art, historical treasures, or other similar assets, or qualified conservation contributions? If "Yes," complete Schedule M.............
30
 
No
31
Did the organization liquidate, terminate, or dissolve and cease operations? If "Yes," complete Schedule N,
Part I...........................
31
 
No
32
Did the organization sell, exchange, dispose of, or transfer more than 25% of its net assets? If "Yes," complete Schedule N, Part II......................
32
 
No
33
Did the organization own 100% of an entity disregarded as separate from the organization under Regulations sections 301.7701-2 and 301.7701-3? If "Yes," complete Schedule R, Part I........ Click to see attachment
33
 
No
34
Was the organization related to any tax-exempt or taxable entity? If "Yes," complete Schedule R, Part II, III, or IV, and Part V, line 1........................ Click to see attachment
34
Yes
 
35a
Did the organization have a controlled entity within the meaning of section 512(b)(13)?
35a
Yes
 
b
If ‘Yes’ to line 35a, did the organization receive any payment from or engage in any transaction with a controlled entity within the meaning of section 512(b)(13)? If "Yes," complete Schedule R, Part V, line 2... Click to see attachment
35b
Yes
 
36
Section 501(c)(3) organizations. Did the organization make any transfers to an exempt non-charitable related organization? If "Yes," complete Schedule R, Part V, line 2.............
36
 
 
37
Did the organization conduct more than 5% of its activities through an entity that is not a related organization and that is treated as a partnership for federal income tax purposes? If "Yes," complete Schedule R, Part VIClick to see attachment
37
 
No
38
Did the organization complete Schedule O and provide explanations in Schedule O for Part VI, lines 11b and 19? Note. All Form 990 filers are required to complete Schedule O. ............
38
Yes
 
Form 990 (2013)
Form 990 (2013)
Page 5
Part V
Statements Regarding Other IRS Filings and Tax Compliance
Check if Schedule O contains a response or note to any line in this Part V ..............
Yes
No
1a
Enter the number reported in Box 3 of Form 1096 Enter -0- if not applicable ..
1a
3,078
b
Enter the number of Forms W-2G included in line 1a. Enter -0- if not applicable .
1b
0
c
Did the organization comply with backup withholding rules for reportable payments to vendors and reportable gaming (gambling) winnings to prize winners? ..................
1c
Yes
 
2a
Enter the number of employees reported on Form W-3, Transmittal of Wage and
Tax Statements, filed for the calendar year ending with or within the year covered by this return ..................
2a
0
b
If at least one is reported on line 2a, did the organization file all required federal employment tax returns?
Note. If the sum of lines 1a and 2a is greater than 250, you may be required to e-file (see instructions)
2b
 
 
3a
Did the organization have unrelated business gross income of $1,000 or more during the year?...
3a
Yes
 
b
If “Yes,” has it filed a Form 990-T for this year? If “No” to line 3b, provide an explanation in Schedule O...
3b
Yes
 
4a
At any time during the calendar year, did the organization have an interest in, or a signature or other authority over, a financial account in a foreign country (such as a bank account, securities account, or other financial account)?..........................
4a
 
No
b
If "Yes," enter the name of the foreign country: MediumBullet
See instructions for filing requirements for Form TD F 90-22.1, Report of Foreign Bank and Financial Accounts.
5a
Was the organization a party to a prohibited tax shelter transaction at any time during the tax year?..
5a
 
No
b
Did any taxable party notify the organization that it was or is a party to a prohibited tax shelter transaction?
5b
 
No
c
If "Yes," to line 5a or 5b, did the organization file Form 8886-T? ............
5c
 
 
6a
Does the organization have annual gross receipts that are normally greater than $100,000, and did the organization solicit any contributions that were not tax deductible as charitable contributions?...
6a
 
No
b
If "Yes," did the organization include with every solicitation an express statement that such contributions or gifts were not tax deductible?........................
6b
 
 
7
Organizations that may receive deductible contributions under section 170(c).
a
Did the organization receive a payment in excess of $75 made partly as a contribution and partly for goods and services provided to the payor?....................
7a
 
No
b
If "Yes," did the organization notify the donor of the value of the goods or services provided?.....
7b
 
 
c
Did the organization sell, exchange, or otherwise dispose of tangible personal property for which it was required to file Form 8282?...........................
7c
 
No
d
If "Yes," indicate the number of Forms 8282 filed during the year ....
7d
 
e
Did the organization receive any funds, directly or indirectly, to pay premiums on a personal benefit contract?............................
7e
 
No
f
Did the organization, during the year, pay premiums, directly or indirectly, on a personal benefit contract?..
7f
 
No
g
If the organization received a contribution of qualified intellectual property, did the organization file Form 8899 as required?............................
7g
 
 
h
If the organization received a contribution of cars, boats, airplanes, or other vehicles, did the organization file a Form 1098-C?..........................
7h
 
 
8
Sponsoring organizations maintaining donor advised funds and section 509(a)(3) supporting organizations. Did the supporting organization, or a donor advised fund maintained by a sponsoring organization, have excess business holdings at any time during the year?............
8
 
 
9
Sponsoring organizations maintaining donor advised funds.
a
Did the organization make any taxable distributions under section 4966?..........
9a
 
 
b
Did the organization make a distribution to a donor, donor advisor, or related person?.......
9b
 
 
10
Section 501(c)(7) organizations. Enter:
a
Initiation fees and capital contributions included on Part VIII, line 12 ...
10a
 
b
Gross receipts, included on Form 990, Part VIII, line 12, for public use of club facilities
10b
 
11
Section 501(c)(12) organizations. Enter:
a
Gross income from members or shareholders .........
11a
 
b
Gross income from other sources (Do not net amounts due or paid to other sources against amounts due or received from them.) ..........
11b
 
12a
Section 4947(a)(1) non-exempt charitable trusts. Is the organization filing Form 990 in lieu of Form 1041?
12a
 
 
b
If "Yes," enter the amount of tax-exempt interest received or accrued during the year. ....................
12b
 
13
Section 501(c)(29) qualified nonprofit health insurance issuers.
a
Is the organization licensed to issue qualified health plans in more than one state?
Note. See the instructions for additional information the organization must report on Schedule O.
13a
 
 
b
Enter the amount of reserves the organization is required to maintain by the states in which the organization is licensed to issue qualified health plans ....
13b
 
c
Enter the amount of reserves on hand ............
13c
 
14a
Did the organization receive any payments for indoor tanning services during the tax year?.....
14a
 
No
b
If "Yes," has it filed a Form 720 to report these payments? If "No," provide an explanation in Schedule O..
14b
 
 
Form 990 (2013)
Form 990 (2013)
Page 6
Part VI
Governance, Management, and Disclosure For each "Yes" response to lines 2 through 7b below, and for a "No" response to lines 8a, 8b, or 10b below, describe the circumstances, processes, or changes in Schedule O. See instructions.
Check if Schedule O contains a response or note to any line in this Part VI ..............
Section A. Governing Body and Management
Yes
No
1a
Enter the number of voting members of the governing body at the end of the tax year .....................
1a
14
If there are material differences in voting rights among members of the governing body, or if the governing body delegated broad authority to an executive committee or similar committee, explain in Schedule O.
b
Enter the number of voting members included in line 1a, above, who are independent ...................
1b
12
2
Did any officer, director, trustee, or key employee have a family relationship or a business relationship with any other officer, director, trustee, or key employee? .................
2
 
No
3
Did the organization delegate control over management duties customarily performed by or under the direct supervision of officers, directors or trustees, or key employees to a management company or other person? .
3
Yes
 
4
Did the organization make any significant changes to its governing documents since the prior Form 990 was filed? ...........................
4
 
No
5
Did the organization become aware during the year of a significant diversion of the organization’s assets? .
5
 
No
6
Did the organization have members or stockholders? ................
6
 
No
7a
Did the organization have members, stockholders, or other persons who had the power to elect or appoint one or more members of the governing body? ....................
7a
 
No
b
Are any governance decisions of the organization reserved to (or subject to approval by) members, stockholders, or persons other than the governing body? ...................
7b
 
No
8
Did the organization contemporaneously document the meetings held or written actions undertaken during the year by the following:
a
The governing body? .........................
8a
Yes
 
b
Each committee with authority to act on behalf of the governing body? ............
8b
Yes
 
9
Is there any officer, director, trustee, or key employee listed in Part VII, Section A, who cannot be reached at the organization’s mailing address? If "Yes," provide the names and addresses in Schedule O.......
9
 
No
Section B. Policies (This Section B requests information about policies not required by the Internal Revenue Code.)
Yes
No
10a
Did the organization have local chapters, branches, or affiliates? ............
10a
 
No
b
If "Yes," did the organization have written policies and procedures governing the activities of such chapters, affiliates, and branches to ensure their operations are consistent with the organization's exempt purposes?
10b
 
 
11a
Has the organization provided a complete copy of this Form 990 to all members of its governing body before filing the form? ............................
11a
Yes
 
b
Describe in Schedule O the process, if any, used by the organization to review this Form 990. .....
12a
Did the organization have a written conflict of interest policy? If "No," go to line 13.......
12a
Yes
 
b
Were officers, directors, or trustees, and key employees required to disclose annually interests that could give rise to conflicts? ..........................
12b
Yes
 
c
Did the organization regularly and consistently monitor and enforce compliance with the policy? If "Yes," describe in Schedule O how this was done.......................
12c
Yes
 
13
Did the organization have a written whistleblower policy? ...............
13
Yes
 
14
Did the organization have a written document retention and destruction policy? .........
14
Yes
 
15
Did the process for determining compensation of the following persons include a review and approval by independent persons, comparability data, and contemporaneous substantiation of the deliberation and decision?
a
The organization’s CEO, Executive Director, or top management official ...........
15a
Yes
 
b
Other officers or key employees of the organization ................
15b
Yes
 
If "Yes" to line 15a or 15b, describe the process in Schedule O (see instructions).
16a
Did the organization invest in, contribute assets to, or participate in a joint venture or similar arrangement with a taxable entity during the year? ......................
16a
 
No
b
If "Yes," did the organization follow a written policy or procedure requiring the organization to evaluate its participation in joint venture arrangements under applicable federal tax law, and take steps to safeguard the organization’s exempt status with respect to such arrangements? ............
16b
 
 
Section C. Disclosure
17
List the States with which a copy of this Form 990 is required to be filedMediumBullet
18
Section 6104 requires an organization to make its Form 1023 (or 1024 if applicable), 990, and 990-T (501(c)(3)s only) available for public inspection. Indicate how you made these available. Check all that apply.
19
Describe in Schedule O whether (and if so, how) the organization made its governing documents, conflict of interest policy, and financial statements available to the public during the tax year.
20
State the name, physical address, and telephone number of the person who possesses the books and records of the organization:
MediumBulletPATRICK J DUNCAN CFO2775 CROSSROADS BLVDGRAND JUNCTIONCO81506 (970) 244-7760
Form 990 (2013)
Form 990 (2013)
Page 7
Part VII
Compensation of Officers, Directors,Trustees, Key Employees, Highest Compensated Employees, and Independent Contractors
Check if Schedule O contains a response or note to any line in this Part VII ..............
Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees
1a Complete this table for all persons required to be listed. Report compensation for the calendar year ending with or within the organization’s tax year.
RoundBullet List all of the organization’s current officers, directors, trustees (whether individuals or organizations), regardless of amount
of compensation. Enter -0- in columns (D), (E), and (F) if no compensation was paid.

RoundBullet List all of the organization’s current key employees, if any. See instructions for definition of "key employee."
RoundBullet List the organization’s five current highest compensated employees (other than an officer, director, trustee or key employee)
who received reportable compensation (Box 5 of Form W-2 and/or Box 7 of Form 1099-MISC) of more than $100,000 from the
organization and any related organizations.

RoundBullet List all of the organization’s former officers, key employees, or highest compensated employees who received more than $100,000
of reportable compensation from the organization and any related organizations.

RoundBullet List all of the organization’s former directors or trustees that received, in the capacity as a former director or trustee of the
organization, more than $10,000 of reportable compensation from the organization and any related organizations.

List persons in the following order: individual trustees or directors; institutional trustees; officers; key employees; highest
compensated employees; and former such persons.
Check this box if neither the organization nor any related organization compensated any current officer, director, or trustee.
(A)
Name and Title 		(B)
Average hours per week (list any hours for related organizations below dotted line) 		(C)
Position (do not check more than one box, unless person is both an officer and a director/trustee) 		(D)
Reportable compensation from the organization (W- 2/1099-MISC) 		(E)
Reportable compensation from related organizations (W- 2/1099-MISC) 		(F)
Estimated amount of other compensation from the organization and related organizations
Individual Trustee or Director; Institutional Trustee; OfficerInd; Key Employee; Highest compensated employee; FormerOfcrDirectorTrusteeInd;
(1) EUGENE CHRISTIAN LAUNER........................................................................
CHAIR OF THE BOARD
 5.00
.......................   		X   X       10,300 0 0
(2) MICHAEL WAYNE BLACKBURN........................................................................
VICE CHAIR OF THE BOARD
 5.00
.......................   		X   X       11,300 0 0
(3) CORINNE MARIE JOHNSON........................................................................
SECRETARY
 5.00
.......................   		X   X       500 0 0
(4) DENNIS LEE STAHL........................................................................
BOARD MEMBER
 5.00
.......................   		X           3,700 0 0
(5) PAMELA PATRICIA HANES........................................................................
BOARD MEMBER
 5.00
.......................   		X           2,600 0 0
(6) DAVID WARREN TERRY DO........................................................................
BOARD MEMBER
 5.00
.......................   		X           500 0 0
(7) WILLIAM JAMES KIRVEN III........................................................................
BOARD MEMBER
 5.00
.......................   		X           500 0 0
(8) GARY DALLAS KNAUS MD........................................................................
BOARD MEMBER
 5.00
.......................   		X           400 0 0
(9) WILLIAM ALFORD KELLEY MD........................................................................
BOARD MEMBER
 5.00
.......................   		X           500 0 0
(10) ARTHUR CURTIS ROBINSON........................................................................
BOARD MEMBER
 5.00
.......................   		X           3,500 0 0
(11) DIANE MARIE SCHWENKE........................................................................
BOARD MEMBER
 5.00
.......................   		X           7,200 0 0
(12) JAY YOUNG WANT MD........................................................................
BOARD MEMBER
 5.00
.......................   		X           6,400 0 0
(13) ROBERT GLEN WILSON........................................................................
BOARD MEMBER
 5.00
.......................   		X           3,000 0 0
(14) JOHN DAVID SEATON........................................................................
BOARD MEMBER
 5.00
.......................   		X           1,200 0 0
(15) STEPHEN K ERKENBRACK........................................................................
PRESIDENT AND CHIEF EXECUT
 40.00
.......................   		    X       439,400 0 187,100
(16) LAUREL D WALTERS........................................................................
CHIEF OPERATING OFFICER
 40.00
.......................   		    X       271,800 0 114,300
(17) PATRICK J DUNCAN........................................................................
CHIEF FINANCIAL OFFICER
 40.00
.......................   		    X       295,600 0 117,200
Form 990 (2013)
Form 990 (2013)
Page 8
Part VII
Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees (continued)
(A)
Name and Title 		(B)
Average hours per week (list any hours for related organizations below dotted line) 		(C)
Position (do not check more than one box, unless person is both an officer and a director/trustee) 		(D)
Reportable compensation from the organization (W- 2/1099-MISC) 		(E)
Reportable compensation from related organizations (W- 2/1099-MISC) 		(F)
Estimated amount of other compensation from the organization and related organizations
Individual Trustee or Director; Institutional Trustee; OfficerInd; Key Employee; Highest compensated employee; FormerOfcrDirectorTrusteeInd;
(18) JANICE L ROHR........................................................................
VICE PRESIDENT
 40.00
.......................   		    X       162,200 0 10,500
(19) MICHAEL E HUOTARI........................................................................
VICE PRESIDENT
 40.00
.......................   		    X       234,100 0 67,100
(20) NEIL J WALDRON........................................................................
VICE PRESIDENT
 40.00
.......................   		    X       284,000 0 79,600
(21) KEVIN R FITZGERALD........................................................................
CHIEF MEDICAL OFFICER
 40.00
.......................   		    X       265,400 0 103,900
(22) JOHN HOPKINS........................................................................
FORMER CEO
 20.00
.......................   		          X 104,200 0 0
(23) JAMES SWAYZE........................................................................
FORMER OFFICER
 40.00
.......................   		          X 0 391,600 122,800














1b Sub-Total................MediumBullet
c Total from continuation sheets to Part VII, Section A....MediumBullet
d Total (add lines 1b and 1c)............MediumBullet 2,108,300 391,600 802,500
2
Total number of individuals (including but not limited to those listed above) who received more than $100,000 of reportable compensation from the organizationMediumBullet8
Yes
No
3
Did the organization list any former officer, director or trustee, key employee, or highest compensated employee on line 1a? If "Yes," complete Schedule J for such individual ..............
3
Yes
 
4
For any individual listed on line 1a, is the sum of reportable compensation and other compensation from the organization and related organizations greater than $150,000? If "Yes," complete Schedule J for such individual...........................
4
Yes
 
5
Did any person listed on line 1a receive or accrue compensation from any unrelated organization or individual for services rendered to the organization? If "Yes," complete Schedule J for such person ........
5
Yes
 
Section B. Independent Contractors
1
Complete this table for your five highest compensated independent contractors that received more than $100,000 of compensation from the organization. Report compensation for the calendar year ending with or within the organization’s tax year.
(A)
Name and business address 		(B)
Description of services 		(C)
Compensation
EXPRESS SCRIPTS INC21653 NETWORK PLACECHICAGOIL606731216 RX PAYMENTS 80,239,420
ST MARY'S HOSPITAL & MEDICAL CENTER INPO BOX 62GRAND JUNCTIONCO81502 MEDICAL PAYMENTS 41,283,769
ROCKY MOUNTAIN HEALTH MANAGEMENT CORPORA2775 CROSSROADS BLVDGRAND JUNCTIONCO81502 MANAGEMENT SERVICES 27,696,813
COLORADO WEST HEALTHCARE SYSTEM2021 N 12TH STGRAND JUNCTIONCO815012980 MEDICAL PAYMENTS 9,389,880
PRIMARY CARE PARTNERS PCPO BOX 10700GRAND JUNCTIONCO815025517 MEDICAL PAYMENTS 8,810,387
2
Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 of compensation from the organization MediumBullet263
Form 990 (2013)
Form 990 (2013)
Page 9
Part VIII
Statement of Revenue
Check if Schedule O contains a response or note to any line in this Part VIII .............
(A)
Total revenue 		(B)
Related or
exempt
function
revenue 		(C)
Unrelated
business
revenue 		(D)
Revenue
excluded from
tax under sections
512-514
Contributions, Gifts, GrantAmt and OtherAmt Similar Amounts 1a Federated campaigns..1a  
b Membership dues....1b  
c Fundraising events....1c  
d Related organizations...1d  
e Government grants (contributions)1e 19,716,784
f All other contributions, gifts, grants, and
similar amounts not included above1f 		107,939
g Noncash contributions included in lines
1a-1f:$ 		 
h Total. Add lines 1a-1f.......MediumBullet 19,824,723
Program Service RevenueAmt Business Code
2a MEDICARE/MEDICAID PMTS 524114 222,887,581 222,887,581    
b PREMIUMS AND CO-PAYS 524114 111,023,550 111,023,550    
c CHILD HEALTH PLAN 524114 20,318,776 20,318,776    
d GUSC PREMIUM 524114 3,800,431 3,800,431    
e OTHER PROGRAMS 524114 325,101 325,101    
f All other program service revenue .        
g Total. Add lines 2a–2f........MediumBullet 358,355,439
OtherAmt RevenueAmt 3 Investment income (including dividends, interest, and other similar amounts).......MediumBullet 2,481,582   5,943 2,475,639
4 Income from investment of tax-exempt bond proceeds..MediumBullet        
5 Royalties...........MediumBullet        
(i) Real (ii) Personal
6a Gross rents 273,248 68,927
b Less: rental expenses 273,248 68,927
c Rental income or (loss) 0 0
d Net rental income or (loss).......MediumBullet 0      
(i) Securities (ii) Other
7a Gross amount from sales of assets other than inventory 67,844,381  
b Less: cost or other basis and sales expenses 66,055,552 1,716,398
c Gain or (loss) 1,788,829 -1,716,398
d Net gain or (loss)..........MediumBullet 72,431     72,431
8a Gross income from fundraising events (not including
$  
of contributions reported on line 1c). See Part IV, line 18 ..
a  
b Less: direct expenses ...b  
c Net income or (loss) from fundraising events..MediumBullet      
9a Gross income from gaming activities.
See Part IV, line 19 ...
a  
b Less: direct expenses ...b  
c Net income or (loss) from gaming activities...MediumBullet        
10a Gross sales of inventory, less
returns and allowances .
a  
b Less: cost of goods sold ..b  
c Net income or (loss) from sales of inventory..MediumBullet        
Miscellaneous Revenue Business Code
11a MISCELLANEOUS INCOME 524114 382,598   8,450 374,148
b            
c            
d All other revenue ....        
e Total. Add lines 11a–11d ...... MediumBullet 382,598
12 Total revenue. See Instructions......MediumBullet 381,116,773 358,355,439 14,393 2,922,218
Form 990 (2013)
Form 990 (2013)
Page 10
Part IX
Statement of Functional Expenses
Section 501(c)(3) and 501(c)(4) organizations must complete all columns. All other organizations must complete column (A).Check if Schedule O contains a response or note to any line in this Part IX ...............
Do not include amounts reported on lines 6b,
7b, 8b, 9b, and 10b of Part VIII. 		(A)
Total expenses 		(B)
Program service expenses 		(C)
Management and general expenses 		(D)
Fundraising expenses
1 Grants and other assistance to governments and organizations in the United States. See Part IV, line 21 2,410,310 2,410,310
2 Grants and other assistance to individuals in the United States. See Part IV, line 22    
3 Grants and other assistance to governments, organizations, and individuals outside the United States. See Part IV, lines 15 and 16    
4 Benefits paid to or for members 332,832,672 332,832,672
5 Compensation of current officers, directors, trustees, and key employees .... 1,841,300   1,841,300  
6 Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) ....        
7 Other salaries and wages        
8 Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) ....        
9 Other employee benefits .......        
10 Payroll taxes ...........        
11 Fees for services (non-employees):        
a Management ...... 19,217,805 104,057 19,113,748  
b Legal ......... 712,829   712,829  
c Accounting ........... 177,738   177,738  
d Lobbying ........... 57,500   57,500  
e Professional fundraising services. See Part IV, line 17    
f Investment management fees ...... 244,441   244,441  
g Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O) ........ 477,157   477,157  
12 Advertising and promotion .... 2,380,341   2,380,341  
13 Office expenses .......        
14 Information technology ...... 2,028,823   2,028,823  
15 Royalties ..        
16 Occupancy ........... 419,525   419,525  
17 Travel ............        
18 Payments of travel or entertainment expenses for any federal, state, or local public officials ......        
19 Conferences, conventions, and meetings .... 72,403   72,403  
20 Interest ...........        
21 Payments to affiliates .......        
22 Depreciation, depletion, and amortization ..... 2,297,378   2,297,378  
23 Insurance .............. 285,768 121,108 164,660  
24 Other expenses. Itemize expenses not covered above (List miscellaneous expenses in line 24e. If line 24e amount exceeds 10% of line 25, column (A) amount, list line 24e expenses on Schedule O.)
a BROKER COMMISSIONS 2,459,700   2,459,700  
b OTHER BEACON PROGRAM EX 941,006 941,006    
c OTHER GUSC PROGRAM EXPE 853,245 853,245    
d REPAIRS AND MAINTENANCE 393,693   393,693  
e All other expenses 6,951,175 224,860 6,726,315  
25 Total functional expenses. Add lines 1 through 24e 377,054,809 337,487,258 39,567,551 0
26 Joint costs. Complete this line only if the organization reported in column (B) joint costs from a combined educational campaign and fundraising solicitation. Check here MediumBullet if following SOP 98-2 (ASC 958-720).        
Form 990 (2013)
Form 990 (2013)
Page 11
Part X Balance Sheet Check if Schedule O contains a response or note to any line in this Part X ..............
(A)
Beginning of year 		(B)
End of year
Assets 1 Cash–non-interest-bearing ............. 24,469,647 1 11,304,412
2 Savings and temporary cash investments ......... 15,242,674 2 1,882,218
3 Pledges and grants receivable, net ........... 7,699,758 3 39,794
4 Accounts receivable, net ............. 27,254,533 4 38,731,694
5 Loans and other receivables from current and former officers, directors, trustees, key employees, and highest compensated employees. Complete Part II of
Schedule L ..................
  5  
6 Loans and other receivables from other disqualified persons (as defined under section 4958(f)(1)), persons described in section 4958(c)(3)(B), and contributing employers and sponsoring organizations of section 501(c)(9) voluntary employees' beneficiary organizations (see instructions) Complete Part II of Schedule L
  6  
7 Notes and loans receivable, net .............   7  
8 Inventories for sale or use ..............   8  
9 Prepaid expenses and deferred charges .......... 795,840 9 900,871
10a Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D 10a 35,951,739
b Less: accumulated depreciation ..... 10b 21,946,292 13,923,556 10c 14,005,447
11 Investments—publicly traded securities .......... 84,946,532 11 83,074,536
12 Investments—other securities. See Part IV, line 11 ..... 695,360 12 0
13 Investments—program-related. See Part IV, line 11 .....   13  
14 Intangible assets ...............   14  
15 Other assets. See Part IV, line 11 ........... 6,881,193 15 10,067,822
16 Total assets. Add lines 1 through 15 (must equal line 34)...... 181,909,093 16 160,006,794
Liabilities 17 Accounts payable and accrued expenses ......... 48,403,388 17 41,130,141
18 Grants payable .................   18  
19 Deferred revenue ................ 11,743,473 19 8,007,601
20 Tax-exempt bond liabilities .............   20  
21 Escrow or custodial account liability. Complete Part IV of Schedule D..   21  
22 Loans and other payables to current and former officers, directors, trustees, key employees, highest compensated employees, and disqualified
persons. Complete Part II of Schedule L..........   22  
23 Secured mortgages and notes payable to unrelated third parties ..   23  
24 Unsecured notes and loans payable to unrelated third parties ....   24  
25 Other liabilities (including federal income tax, payables to related third parties, and other liabilities not included on lines 17-24). Complete Part X of Schedule D.................... 1,166,444 25 1,688,964
26 Total liabilities. Add lines 17 through 25......... 61,313,305 26 50,826,706
Net Assets or Fund Balance Organizations that follow SFAS 117 (ASC 958), check here MediumBullet and complete lines 27 through 29, and lines 33 and 34.
27 Unrestricted net assets .............. 120,595,788 27 109,180,088
28 Temporarily restricted net assets ...........   28  
29 Permanently restricted net assets ...........   29  
Organizations that do not follow SFAS 117 (ASC 958), check here MediumBullet and complete lines 30 through 34.
30 Capital stock or trust principal, or current funds ........   30  
31 Paid-in or capital surplus, or land, building or equipment fund .....   31  
32 Retained earnings, endowment, accumulated income, or other funds   32  
33 Total net assets or fund balances ........... 120,595,788 33 109,180,088
34 Total liabilities and net assets/fund balances ........ 181,909,093 34 160,006,794
Form 990 (2013)
Form 990 (2013)
Page 12
Part XI
Reconcilliation of Net Assets
Check if Schedule O contains a response or note to any line in this Part XI ..............
1
Total revenue (must equal Part VIII, column (A), line 12) ............
1
381,116,773
2
Total expenses (must equal Part IX, column (A), line 25) ............
2
377,054,809
3
Revenue less expenses. Subtract line 2 from line 1 ..............
3
4,061,964
4
Net assets or fund balances at beginning of year (must equal Part X, line 33, column (A)) ..
4
120,595,788
5
Net unrealized gains (losses) on investments ...............
5
2,058,581
6
Donated services and use of facilities .................
6
 
7
Investment expenses .....................
7
 
8
Prior period adjustments .....................
8
-16,659,635
9
Other changes in net assets or fund balances (explain in Schedule O) ........
9
-876,610
10
Net assets or fund balances at end of year. Combine lines 3 through 9 (must equal Part X, line 33, column (B))
10
109,180,088
Part XII
Financial Statements and Reporting
Check if Schedule O contains a response or note to any line in this Part XII .............
Yes
No
1
Accounting method used to prepare the Form 990:  
If the organization changed its method of accounting from a prior year or checked "Other," explain in
Schedule O.
2a
Were the organization’s financial statements compiled or reviewed by an independent accountant?
2a
 
No
If ‘Yes,’ check a box below to indicate whether the financial statements for the year were compiled or reviewed on a separate basis, consolidated basis, or both:
b
Were the organization’s financial statements audited by an independent accountant?
2b
Yes
 
If ‘Yes,’ check a box below to indicate whether the financial statements for the year were audited on a separate basis, consolidated basis, or both:
c
If "Yes," to line 2a or 2b, does the organization have a committee that assumes responsibility for oversight of the audit, review, or compilation of its financial statements and selection of an independent accountant?
2c
Yes
 
If the organization changed either its oversight process or selection process during the tax year, explain in Schedule O.
3a
As a result of a federal award, was the organization required to undergo an audit or audits as set forth in the Single Audit Act and OMB Circular A-133?
3a
Yes
 
b
If "Yes," did the organization undergo the required audit or audits? If the organization did not undergo the required audit or audits, explain why in Schedule O and describe any steps taken to undergo such audits.
3b
Yes
 
Form 990 (2013)
Form 990, Special Condition Description:
Special Condition Description
Additional Data


Software ID:  
Software Version:  
Schedule B
(Form 990, 990-EZ,
or 990-PF)
Department of the Treasury
Internal Revenue Service
Schedule of Contributors
Arrow Bullet Attach to Form 990, 990-EZ, or 990-PF.
Arrow Bullet Information about Schedule B (Form 990, 990-EZ, or 990-PF) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2013
Name of the organization
ROCKY MOUNTAIN HEALTH MAINTENANCE
ORGANIZATION INCORPORATED
Employer identification number

84-0614905
Organization type (check one):
Filers of:
Section:
Form 990 or 990-EZ





Form 990-PF




Check if your organization is covered by the General Rule or a Special Rule.  
Note. Only a section 501(c)(7), (8), or (10) organization can check boxes for both the General Rule and a Special Rule. See instructions.
General Rule
Special Rules
......................... Arrow Bullet $  
Caution. An organization that is not covered by the General Rule and/or the Special Rules does not file Schedule B (Form 990,
990-EZ, or 990-PF), but it must answer “No” on Part IV, line 2, of its Form 990; or check the box on line H of its
Form 990-EZ or on its Form 990PF, Part I, line 2, to certify that it does not meet the filing requirements of Schedule B (Form 990,
990-EZ, or 990-PF).
For Paperwork Reduction Act Notice, see the Instructions
for Form 990, 990-EZ, or 990-PF.
Cat. No. 30613XSchedule B (Form 990, 990-EZ, or 990-PF) (2013)

Schedule B (Form 990, 990-EZ, or 990-PF) (2013)
Page 2
Name of organization
ROCKY MOUNTAIN HEALTH MAINTENANCE
ORGANIZATION INCORPORATED 		Employer identification number

84-0614905
Part I
Contributors (see instructions). Use duplicate copies of Part I if additional space is needed.
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Total contributions		 (d)
Type of contribution
RESTRICTED
RESTRICTED
 

   
RESTRICTED
RESTRICTED
RESTRICTED, RESTRICTEDRESTRICTED

$RESTRICTED


(Complete Part II for noncash contributions.)
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Total contributions		 (d)
Type of contribution
 
 
 

   
 
 

$  


(Complete Part II for noncash contributions.)
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Total contributions		 (d)
Type of contribution
 
 
 

   
 
 

$  


(Complete Part II for noncash contributions.)
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Total contributions		 (d)
Type of contribution
 
 
 

   
 
 

$  


(Complete Part II for noncash contributions.)
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Total contributions		 (d)
Type of contribution
 
 
 

   
 
 

$  


(Complete Part II for noncash contributions.)
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Total contributions		 (d)
Type of contribution
 
 
 

   
 
 

$  


(Complete Part II for noncash contributions.)
Schedule B (Form 990, 990-EZ, or 990-PF) (2013)

Schedule B (Form 990, 990-EZ, or 990-PF) (2013)
Page 3
Name of organization
ROCKY MOUNTAIN HEALTH MAINTENANCE
ORGANIZATION INCORPORATED 		Employer identification number

84-0614905
Part II
Noncash Property (see instructions). Use duplicate copies of Part II if additional space is needed.
(a) No.
from
Part I		 (b)
Description of noncash property given		 (c)
FMV (or estimate)
(see instructions) 		(d)
Date received
 
$    
(a) No.
from
Part I		 (b)
Description of noncash property given		 (c)
FMV (or estimate)
(see instructions) 		(d)
Date received
 
$    
(a) No.
from
Part I		 (b)
Description of noncash property given		 (c)
FMV (or estimate)
(see instructions) 		(d)
Date received
 
$    
(a) No.
from
Part I		 (b)
Description of noncash property given		 (c)
FMV (or estimate)
(see instructions) 		(d)
Date received
 
$    
(a) No.
from
Part I		 (b)
Description of noncash property given		 (c)
FMV (or estimate)
(see instructions) 		(d)
Date received
 
$    
(a) No.
from
Part I		 (b)
Description of noncash property given		 (c)
FMV (or estimate)
(see instructions) 		(d)
Date received
 
$    
Schedule B (Form 990, 990-EZ, or 990-PF) (2013)

Schedule B (Form 990, 990-EZ, or 990-PF) (2013)
Page 4
Name of organization
ROCKY MOUNTAIN HEALTH MAINTENANCE
ORGANIZATION INCORPORATED 		Employer identification number

84-0614905
Part III
Exclusively religious, charitable, etc., individual contributions to section 501(c)(7), (8), or (10) organizations
that total more than $1,000 for the year. Complete columns (a) through (e) and the following line entry.
For organizations completing Part III, enter the total of exclusively religious, charitable, etc.,
contributions of $1,000 or less for the year. (Enter this information once. See instructions.) Arrow Bullet$  
Use duplicate copies of Part III if additional space is needed.
(a) No.
from
Part I		 (b) Purpose of gift (c) Use of gift (d) Description of how gift is held
 
(e) Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
     
 
(a) No.
from
Part I		 (b) Purpose of gift (c) Use of gift (d) Description of how gift is held
 
(e) Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
     
 
(a) No.
from
Part I		 (b) Purpose of gift (c) Use of gift (d) Description of how gift is held
 
(e) Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
     
 
(a) No.
from
Part I		 (b) Purpose of gift (c) Use of gift (d) Description of how gift is held
 
(e) Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
     
 
Schedule B (Form 990, 990-EZ, or 990-PF) (2013)

Additional Data


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SCHEDULE D
(Form 990)
Department of the Treasury
Internal Revenue Service
Supplemental Financial Statements
SchDMd Bullet Complete if the organization answered "Yes," to Form 990,
Part IV, line 6, 7, 8, 9, 10, 11a, 11b, 11c, 11d, 11e, 11f, 12a, or 12b
SchDMd Bullet Attach to Form 990. SchDMd Bullet See separate instructions. SchDMd Bullet Information about Schedule D (Form 990) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2013
Open to Public Inspection
Name of the organization
ROCKY MOUNTAIN HEALTH MAINTENANCE
ORGANIZATION INCORPORATED
Employer identification number

84-0614905
Part I
Organizations Maintaining Donor Advised Funds or Other Similar Funds or Accounts. Complete if the organization answered "Yes" to Form 990, Part IV, line 6.
(a) Donor advised funds (b) Funds and other accounts
1 Total number at end of year .........    
2 Aggregate contributions to (during year) ...    
3 Aggregate grants from (during year) .....    
4 Aggregate value at end of year ........    
5
Did the organization inform all donors and donor advisors in writing that the assets held in donor advised
funds are the organization's property, subject to the organization's exclusive legal control? ............
6
Did the organization inform all grantees, donors, and donor advisors in writing that grant funds can be
used only for charitable purposes and not for the benefit of the donor or donor advisor, or for any other purpose conferring impermissible private benefit? ...................................
Part II
Conservation Easements. Complete if the organization answered "Yes" to Form 990, Part IV, line 7.
1
Purpose(s) of conservation easements held by the organization (check all that apply).
2
Complete lines 2a through 2d if the organization held a qualified conservation contribution in the form of a conservation easement on the last day of the tax year.
Held at the End of the Year
a Total number of conservation easements ....................... 2a  
b Total acreage restricted by conservation easements .................. 2b  
c Number of conservation easements on a certified historic structure included in (a) ..... 2c  
d Number of conservation easements included in (c) acquired after 8/17/06, and not on a historic structure listed in the National Register .................... 2d  
3
Number of conservation easements modified, transferred, released, extinguished, or terminated by the organization during
the tax year SchDMd Bullet  
4
Number of states where property subject to conservation easement is located SchDMd Bullet  
5
Does the organization have a written policy regarding the periodic monitoring, inspection, handling of violations, and
enforcement of the conservation easements it holds? .............................
6
Staff and volunteer hours devoted to monitoring, inspecting, and enforcing conservation easements during the year
SchDMd Bullet  
7
Amount of expenses incurred in monitoring, inspecting, and enforcing conservation easements during the year
SchDMd Bullet $  
8
Does each conservation easement reported on line 2(d) above satisfy the requirements of section 170(h)(4)(B)(i) and section 170(h)(4)(B)(ii)? .......................................
9
In Part XIII, describe how the organization reports conservation easements in its revenue and expense statement, and
balance sheet, and include, if applicable, the text of the footnote to the organization’s financial statements that describes
the organization’s accounting for conservation easements.
Part III
Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets.
Complete if the organization answered "Yes" to Form 990, Part IV, line 8.
1a
If the organization elected, as permitted under SFAS 116 (ASC 958), not to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide, in Part XIII, the text of the footnote to its financial statements that describes these items.
b
If the organization elected, as permitted under SFAS 116 (ASC 958), to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide the following amounts relating to these items:
(i)
Revenues included in Form 990, Part VIII, line 1 ........................SchDMd Bullet $  
(ii)
Assets included in Form 990, Part X ..............................SchDMd Bullet $  
2
If the organization received or held works of art, historical treasures, or other similar assets for financial gain, provide the
following amounts required to be reported under SFAS 116 (ASC 958) relating to these items:
a
Revenues included in Form 990, Part VIII, line 1 ..........................SchDMd Bullet $  
b
Assets included in Form 990, Part X ...............................SchDMd Bullet $  
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 52283D
Schedule D (Form 990) 2013

Schedule D (Form 990) 2013
Page 2
Part III
Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets (continued)
3
Using the organization’s acquisition, accession, and other records, check any of the following that are a significant use of its collection items (check all that apply):
a
d
b
e
 
c
4
Provide a description of the organization’s collections and explain how they further the organization’s exempt purpose in
Part XIII.
5
During the year, did the organization solicit or receive donations of art, historical treasures or other similar
assets to be sold to raise funds rather than to be maintained as part of the organization’s collection?........
Part IV
Escrow and Custodial Arrangements. Complete if the organization answered "Yes" to Form 990,
Part IV, line 9, or reported an amount on Form 990, Part X, line 21.
1a
Is the organization an agent, trustee, custodian or other intermediary for contributions or other assets not
included on Form 990, Part X? ....................................
b
If "Yes," explain the arrangement in Part XIII and complete the following table:
Amount
c Beginning balance ................................. 1c  
d Additions during the year .............................. 1d  
e Distributions during the year ............................. 1e  
f Ending balance ................................... 1f  
2a
Did the organization include an amount on Form 990, Part X, line 21? .....................
b
If "Yes," explain the arrangement in Part XIII. Check here if the explanation has been provided in Part XIII ........
Part V
Endowment Funds. Complete if the organization answered "Yes" to Form 990, Part IV, line 10.
(a)Current year (b)Prior year b (c)Two years back (d)Three years back (e)Four years back
1a Beginning of year balance ....          
b Contributions ........          
c Net investment earnings, gains, and losses          
d Grants or scholarships .....          
e Other expenditures for facilities
and programs ........ 		         
f Administrative expenses ....          
g End of year balance ......          
2
Provide the estimated percentage of the current year end balance (line 1g, column (a)) held as:
a
Board designated or quasi-endowment SchDMd Bullet  
b
Permanent endowment SchDMd Bullet  
c
Temporarily restricted endowment SchDMd Bullet  
The percentages in lines 2a, 2b, and 2c should equal 100%.
3a
Are there endowment funds not in the possession of the organization that are held and administered for the
organization by:

Yes
No
(i) unrelated organizations ........................
3a(i)
 
 
(ii) related organizations ........................
3a(ii)
 
 
b
If "Yes" to 3a(ii), are the related organizations listed as required on Schedule R? .........
3b
 
 
4
Describe in Part XIII the intended uses of the organization's endowment funds.
Part VI
Land, Buildings, and Equipment. Complete if the organization answered 'Yes' to Form 990, Part IV, line 11a. See Form 990, Part X, line 10.
Description of property (a) Cost or other basis (investment) (b)Cost or other basis (other) (c) Accumulated depreciation (d) Book value
1a Land .................   2,671,913 2,671,913
b Buildings ................   5,532,314 1,910,254 3,622,060
c Leasehold improvements ............   255,397 202,679 52,718
d Equipment ................   27,492,115 19,833,359 7,658,756
e Other .................        
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).).......SchDMdBullet 14,005,447
Schedule D (Form 990) 2013

Schedule D (Form 990) 2013
Page 3
Part VII
Investments—Other Securities. Complete if the organization answered 'Yes' to Form 990, Part IV, line 11b. See Form 990, Part X, line 12.
(a) Description of security or category
(including name of security)		 (b)Book value (c) Method of valuation:
Cost or end-of-year market value
(1)Financial derivatives    
(2)Closely-held equity interests    
Other








Total. (Column (b) must equal Form 990, Part X, col. (B) line 12.)Small Bullet  
Part VIII
Investments—Program Related. Complete if the organization answered 'Yes' to Form 990, Part IV, line 11c. See Form 990, Part X, line 13.
(a) Description of investment (b) Book value (c) Method of valuation:
Cost or end-of-year market value








Total. (Column (b) must equal Form 990, Part X, col.(B) line 13.)Small Bullet  
Part IX
Other Assets. Complete if the organization answered 'Yes' to Form 990, Part IV, line 11d. See Form 990, Part X, line 15.
(a) Description (b) Book value
(1) ACCRUED INTEREST RECEIVABLE 419,384
(2) SURPLUS NOTE TO ROCKY MOUNTAIN HEALTHCARE OPTIONS, INC 9,648,438







Total. (Column (b) must equal Form 990, Part X, col.(B) line 15.)...........Small Bullet 10,067,822
Part X
Other Liabilities. Complete if the organization answered 'Yes' to Form 990, Part IV, line 11e or 11f. See Form 990, Part X, line 25.
1.(a) Description of liability (b) Book value
Federal income taxes  
CONTINGENCY RESERVE 1,688,964








Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)Small Bullet 1,688,964
2. Liability for uncertain tax positions In Part XIII, provide the text of the footnote to the organization's financial statements that reports the organization's liability for uncertain tax positions under FIN 48 (ASC 740). Check here if the text of the footnote has been provided in Part XIII ..................................................
Schedule D (Form 990) 2013

Schedule D (Form 990) 2013
Page 4
Part XI Reconciliation of Revenue per Audited Financial Statements With Revenue per Return Complete if the organization answered 'Yes' to Form 990, Part IV, line 12a.
1 Total revenue, gains, and other support per audited financial statements ....... 1  
2 Amounts included on line 1 but not on Form 990, Part VIII, line 12:
a Net unrealized gains on investments .......... 2a  
b Donated services and use of facilities ......... 2b  
c Recoveries of prior year grants ........... 2c  
d Other (Describe in Part XIII.) ............ 2d  
e Add lines 2a through 2d ..................... 2e  
3 Subtract line 2e from line 1..................... 3  
4 Amounts included on Form 990, Part VIII, line 12, but not on line 1:
a Investment expenses not included on Form 990, Part VIII, line 7b . 4a  
b Other (Describe in Part XIII.) ........... 4b  
c Add lines 4a and 4b....................... 4c  
5 Total revenue. Add lines 3 and 4c. (This must equal Form 990, Part I, line 12.) ...... 5  
Part XII Reconciliation of Expenses per Audited Financial Statements With Expenses per Return. Complete if the organization answered 'Yes' to Form 990, Part IV, line 12a.
1 Total expenses and losses per audited financial statements ........... 1  
2 Amounts included on line 1 but not on Form 990, Part IX, line 25:
a Donated services and use of facilities .......... 2a  
b Prior year adjustments .............. 2b  
c Other losses ................ 2c  
d Other (Describe in Part XIII.) ............ 2d  
e Add lines 2a through 2d...................... 2e  
3 Subtract line 2e from line 1..................... 3  
4 Amounts included on Form 990, Part IX, line 25, but not on line 1:
a Investment expenses not included on Form 990, Part VIII, line 7b .. 4a  
b Other (Describe in Part XIII.) ............ 4b  
c Add lines 4a and 4b....................... 4c  
5 Total expenses. Add lines 3 and 4c. (This must equal Form 990, Part I, line 18.) ...... 5  
Part XIII
Supplemental Information
Provide the descriptions required for Part II, lines 3, 5, and 9; Part III, lines 1a and 4; Part lV, lines 1b and 2b;
Part V, line 4; Part X, line 2; Part XI, lines 2d and 4b; and Part XII, lines 2d and 4b. Also complete this part to provide any additional information.
Return Reference Explanation
Schedule D (Form 990) 2013

Additional Data


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Schedule I
(Form 990)
Department of the Treasury
Internal Revenue Service
Grants and Other Assistance to Organizations,
Governments and Individuals in the United States
Complete if the organization answered "Yes," to Form 990, Part IV, line 21 or 22.
lBullet Attach to Form 990
lBullet Information about Schedule I (Form 990) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2013
Open to Public
Inspection
Name of the organization
ROCKY MOUNTAIN HEALTH MAINTENANCE
ORGANIZATION INCORPORATED
Employer identification number
84-0614905
Part I
General Information on Grants and Assistance
1
Does the organization maintain records to substantiate the amount of the grants or assistance, the grantees' eligibility for the grants or assistance, and
the selection criteria used to award the grants or assistance? ....................................
2
Describe in Part IV the organization's procedures for monitoring the use of grant funds in the United States.
Part II
Grants and Other Assistance to Governments and Organizations in the United States. Complete if the organization answered "Yes" to
Form 990, Part IV, line 21, for any recipient that received more than $5,000. Part II can be duplicated if additional space is needed.
(a) Name and address of organization
or government		 (b) EIN (c) IRC Code section
if applicable		 (d) Amount of cash grant (e) Amount of non-cash
assistance		 (f) Method of valuation
(book, FMV, appraisal,
other)		 (g) Description of
non-cash assistance		 (h) Purpose of grant
or assistance
(1) ROCKY MOUNTAIN HEALTH PLANS FOUNDATION INC
2775 CROSSROADS BLVD
GRAND JUNCTION,CO81506 		84-1424932 501(C)(3) 208,060       CONTRIBUTIONS SUPPORT VARIOUS INITIATIVES INCLUDING, BUT NOT LIMITED TO, FUNDS TO SUPPORT INDIVIDUALS IN A HEALTHCARE CRISIS THAT NEED ACCESS TO SERVICES OR CARE, AN INNOVATIVE MEDICAL RESEARCH PROGRAM TO STUDY CONCUSSION TREATMENT AND THE "BABY AND ME - TOBACCO FREE" PROGRAM RUN BY THE FOUNDATION THAT HELPS KEEP WOMEN FROM SMOKING DURING AND AFTER PREGNANCY.THE CONTRIBUTIONS ALSO FUND A BEHAVIORAL HEALTH CLINIC THAT RESIDES WITH THE LARGEST PRIMARY CARE PRACTICE IN MESA COUNTY, COLORADO, WHICH AMONG OTHER THINGS, COORDINATED MENTAL HEALTH AND MEDICAL CARE FOR PATIENTS FROM SEVEN COUNTIES ON THE WESTERN SLOPE OF COLORADO.
(2) MARILLAC CLINIC
2333 N 6TH STREET
GRAND JUNCTION,CO81501 		84-1085822 501(C)(3) 33,000       CONTRIBUTIONS SUPPORT VARIOUS INTITIATIVES INCLUDING, BUT NOT LIMITED TO, ACCESS FOR PROPER DENTAL CARE FOR PREGNANT WOMEN WHO ARE EITHER UNDERINSURED OR UNINSURED WHICH HELPS TO PREVENT PREMATURE BIRTHS AND LOW BIRTH RATES.
(3) QUALITY HEALTH NETWORK
2764 COMPASS DR
GRAND JUNCTION,CO81506 		20-1632384 501(C)(3) 1,747,995       QHN HAS DEVELOPED AN ELECTRONIC HEALTH INFORMATION EXCHANGE THAT PROVIDES A SECURE INFRASTRUCTURE AND ELECTRONIC TOOLS TO AREA PROVIDERS WHICH PROMOTE AND ENABLE SHARING OF CLINICAL INFORMATION AT THE POINT OF CARE. PARTICIPANTS INCLUDE HEALTHCARE ORGANIZATIONS, WITH A FOCUS ON NON-PROFIT HOSPITALS, PUBLIC HEALTH, SAFETY NET CLINICS, HOME HEALTH AGENCIES, EXTENDED CARE FACILITIES, URGENT CARE CENTERS, SURGICAL CENTERS, BEHAVIOR HEALTH PROVIDERS, PHARMACIES, AMBULATORY PHYSICIAN PRACTICES, AND OTHER AGENCIES. QHN'S MISSION IS TO IMPROVE THE HEALTH OF AREA RESIDENTS BY IMPROVING TREATING CLINICIANS' ACCESS TO INFORMATION, IMPROVE EFFICIENCES AND ELIMINATE REDUNDANCIES, AND IMPROVE THE SATISFACTION OF PATIENTS AND PROVIDERS WITH THE HEALTHCARE DELIVERY SYSTEM. QHN WAS FORMED THROUGH THE COLLABORATION AND CONTRIBUTIONS BY AND BETWEEN RMHMO AND LOCAL AREA PHYSICIANS AND HOSPITALS. THE CONTRIBUTION PROVIDES FOR THE ON-GOING FINANCIAL SUPPORT OF THE ORGANIZATION AND ITS MISSION.
(4) HILLTOP COMMUNITY RESOURCES
1331 HERMOSA AVE
GRAND JUNCTION,CO81506 		74-2321009 501(C)(3) 98,000       CONTRIBUTION HELPS SUPPORT THE WESTERN SLOPE OUTREACH AND ENROLLMENT PROGRAM (B4 BABIES AND BEYOND) THAT PROMOTES HEALTHY WOMEN AND CHILDREN BY PROVIDING EARLY ACCESS TO PRENATAL HEALTH CARE.
(5) COLORADO MESA UNIVERSITY FOUNDATION
1450 NORTH 12TH STREET
GRAND JUNCTION,CO81501 		84-6037667 501(C)(3) 80,000       PROVIDED GRANT FUNDING TO EXPAND THE COLLEGE'S NURSING PROGRAM IN AN EFFORT TO INCREASE ENROLLMENT RESULTING IN A HIGHER AVAILABILITY OF LICENSED NURSES.
(6) HOSPICE & PALLIATIVE CARE OF WESTERN COLORADO
PO BOX 60307
GRAND JUNCTION,CO81506 		84-1207388 501(C)(3) 240,000       HOSPICE IS BASED UPON A PHILOSOPHY OF COMPASSION, COMFORT, PERSONAL CHOICE, AND MOST IMPORTANTLY, HOPE. HOSPICE & PALLIATIVE CARE OF WESTERN COLORADO OFFERS MANY PROGRAMS AND SERVICES TO HELP PATIENTS, FAMILIES, AND THE COMMUNITIES THEY SERVE UNDERSTAND AND COPE WITH THE MULTIPLE ISSUES THAT ARISE WHEN FACING ILLNESS, GRIEF, AND THE END OF LIFE. THE PURPOSE OF THE CONTRIBUTION WAS TO ASSIST WITH OPERATIONAL EXPENSES FOR THE MISSION OF THE HOSPICE AND TO PROVIDE A CAPITAL CONTRIBUTION FOR A NEW HOSPICE FACILITY IN MONTROSE, COLORADO.












2
Enter total number of section 501(c)(3) and government organizations listed in the line 1 table ................ Bullet Image
6
3
Enter total number of other organizations listed in the line 1 table ........................ . Bullet Image
0
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50055P
Schedule I (Form 990) 2013

Schedule I (Form 990) 2013
Page 2
Part III
Grants and Other Assistance to Individuals in the United States. Complete if the organization answered "Yes" to Form 990, Part IV, line 22.
Part III can be duplicated if additional space is needed.
(a)Type of grant or assistance (b)Number of
recipients		 (c)Amount of
cash grant		 (d)Amount of
non-cash assistance		 (e)Method of valuation (book,
FMV, appraisal, other)		 (f)Description of non-cash assistance












Part IV
Supplemental Information. Provide the information required in Part I, line 2, Part III, column (b), and any other additional information.
Return Reference Explanation
PART I, LINE 2: THE ORGANIZATION'S BOARD OF DIRECTORS OR EXECUTIVE COMMITTEE REVIEWS IN DETAIL THE UNDERLYING MERIT OF AN ORGANIZATION'S REQUEST PRIOR TO GRANTING FUNDS. THE BOARD, ITS COMMITTEES AND/OR MANAGEMENT ALSO MONITOR AND INQUIRE ON THE UNDERLYING PROGRAM AS A WHOLE.
Schedule I (Form 990) 2013


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Schedule J
(Form 990)
Department of the Treasury
Internal Revenue Service
Compensation Information
For certain Officers, Directors, Trustees, Key Employees, and Highest
Compensated Employees
SchJMediumBullet Complete if the organization answered "Yes" to Form 990, Part IV, line 23.
SchJMediumBullet Attach to Form 990. SchJMediumBullet See separate instructions.
SchJMediumBullet Information about Schedule J (Form 990) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2013
Open to Public Inspection
Name of the organization
ROCKY MOUNTAIN HEALTH MAINTENANCE
ORGANIZATION INCORPORATED
Employer identification number

84-0614905
Part I
Questions Regarding Compensation
Yes
No
1a
Check the appropiate box(es) if the organization provided any of the following to or for a person listed in Form
990, Part VII, Section A, line 1a. Complete Part III to provide any relevant information regarding these items.
b
If any of the boxes in line 1a are checked, did the organization follow a written policy regarding payment or reimbursement or provision of all of the expenses described above? If "No," complete Part III to explain....
1b
 
 
2
Did the organization require substantiation prior to reimbursing or allowing expenses incurred by all
directors, trustees, officers, including the CEO/Executive Director, regarding the items checked in line 1a? ..
2
 
 
3
Indicate which, if any, of the following the filing organization used to establish the compensation of the
organization's CEO/Executive Director. Check all that apply. Do not check any boxes for methods
used by a related organization to establish compensation of the CEO/Executive Director, but explain in Part III.
4
During the year, did any person listed in Form 990, Part VII, Section A, line 1a with respect to the filing organization or a related organization:
a
Receive a severance payment or change-of-control payment? ................
4a
 
No
b
Participate in, or receive payment from, a supplemental nonqualified retirement plan? .........
4b
Yes
 
c
Participate in, or receive payment from, an equity-based compensation arrangement? .........
4c
 
No
If "Yes" to any of lines 4a-c, list the persons and provide the applicable amounts for each item in Part III.
Only 501(c)(3) and 501(c)(4) organizations only must complete lines 5-9.
5
For persons listed in Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the revenues of:
a
The organization? ...........................
5a
 
No
b
Any related organization? .........................
5b
 
No
If "Yes," to line 5a or 5b, describe in Part III.
6
For persons listed in Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the net earnings of:
a
The organization? ...........................
6a
 
No
b
Any related organization? .........................
6b
 
No
If "Yes," to line 6a or 6b, describe in Part III.
7
For persons listed in Form 990, Part VII, Section A, line 1a, did the organization provide any non-fixed
payments not described in lines 5 and 6? If "Yes," describe in Part III ............
7
 
No
8
Were any amounts reported in Form 990, Part VII, paid or accured pursuant to a contract that was
subject to the initial contract exception described in Regulations section 53.4958-4(a)(3)? If "Yes," describe
in Part III .............................
8
 
No
9
If "Yes" to line 8, did the organization also follow the rebuttable presumption procedure described in Regulations section 53.4958-6(c)? .........................
9
 
 
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50053T
Schedule J (Form 990) 2013

Schedule J (Form 990) 2013
Page 2
Part II
Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees. Use duplicate copies if additional space is needed.
For each individual whose compensation must be reported in Schedule J, report compensation from the organization on row (i) and from related organizations, described in the
instructions, on row (ii). Do not list any individuals that are not listed on Form 990, Part VII.
Note. The sum of columns (B)(i)-(iii) for each listed individual must equal the total amount of Form 990, Part VII, Section A, line 1a, applicable column (D) and (E) amounts for that individual.
(A) Name and Title (B) Breakdown of W-2 and/or 1099-MISC compensation (C) Retirement and other deferred compensation (D) Nontaxable
benefits		 (E) Total of columns
(B)(i)-(D) 		(F) Compensation
reported as deferred
in prior Form 990
(i) Base compensation (ii) Bonus & incentive compensation (iii) Other reportable compensation
(1)STEPHEN K ERKENBRACKPRESIDENT AND CHIEF EXECUT (i)
(ii)		 380,900
0 		58,500
0 		0
0 		170,000
0 		17,100
0 		626,500
0 		0
0
(2)LAUREL D WALTERSCHIEF OPERATING OFFICER (i)
(ii)		 235,000
0 		36,800
0 		0
0 		104,800
0 		9,500
0 		386,100
0 		0
0
(3)PATRICK J DUNCANCHIEF FINANCIAL OFFICER (i)
(ii)		 255,800
0 		39,800
0 		0
0 		104,100
0 		13,100
0 		412,800
0 		0
0
(4)JANICE L ROHRVICE PRESIDENT (i)
(ii)		 65,800
0 		22,500
0 		73,900
0 		4,400
0 		6,100
0 		172,700
0 		73,300
0
(5)MICHAEL E HUOTARIVICE PRESIDENT (i)
(ii)		 202,400
0 		31,700
0 		0
0 		50,000
0 		17,100
0 		301,200
0 		0
0
(6)NEIL J WALDRONVICE PRESIDENT (i)
(ii)		 245,600
0 		38,400
0 		0
0 		59,000
0 		20,600
0 		363,600
0 		0
0
(7)KEVIN R FITZGERALDCHIEF MEDICAL OFFICER (i)
(ii)		 228,800
0 		36,600
0 		0
0 		80,500
0 		23,400
0 		369,300
0 		0
0
(8)JOHN HOPKINSFORMER CEO (i)
(ii)		 0
0 		0
0 		104,200
0 		0
0 		0
0 		104,200
0 		103,000
0
(9)JAMES SWAYZEFORMER OFFICER (i)
(ii)		 0
277,300 		0
114,300 		0
0 		0
115,100 		0
7,700 		0
514,400 		0
0
Schedule J (Form 990) 2013

Schedule J (Form 990) 2013
Page 3
Part III
Supplemental Information
Provide the information, explanation, or descriptions required for Part I, lines 1a, 1b, 3, 4a, 4b, 4c, 5a, 5b, 6a, 6b, 7, and 8, and for Part II.
Also complete this part for any additional information.
Return Reference Explanation
SCHEDULE J, PART I, LINE 4B PART I, 4B. JAMES SWAYZE PARTICIPATED IN A SUPPLEMENTAL NONQUALIFIED DEFERRED COMPENSATION PLAN WITH CNIC, A RELATED ORGANIZATION. NO AMOUNTS HAVE BEEN PAID TO OR RECEIVED BY JAMES SWAYZE FROM THIS PLAN.
SCHEDULE J, PART II PART II. EXCEPT FOR JAMES SWAYZE, ALL THE COMPENSATION INCLUDED ON SCHEDULE J IS PAID BY ROCKY MOUNTAIN HEALTH MANAGEMENT CORPORATION (HMC). HMC IS AN UNRELATED ORGANIZATION WITH WHOM ROCKY MOUNTAIN HEALTH MAINTENANCE ORGANIZATION, INCORPORATED (RMHMO) HAS A CONTRACT FOR MANAGEMENT SERVICES. HMC ALSO HAS A MANAGEMENT CONTRACT WITH ROCKY MOUNTAIN HEALTHCARE OPTIONS (HCO) WHICH IS A RELATED ORGANIZATION TO RMHMO AND IS LISTED IN PART IV OF SCHEDULE R. THE COMPENSATION ON SCHEDULE J AND LISTED IN PART VII OF THE FORM 990 FOR THE INDIVIDUALS LISTED ON SCHEDULE J (EXCEPT JAMES SWAYZE) IS 100% OF THE COMPENSATION PAID BY HMC TO THESE INDIVIDUALS. HOWEVER, APPROXIMATELY 68% OF THE SERVICES PROVIDED BY THESE INDIVIDUALS IS ALLOCATED UNDER THE MANAGEMENT CONTRACT WITH RMHMO AND 32% IS ALLOCATED UNDER THE MANAGEMENT CONTRACT WITH HCO. JAMES SWAYZE'S COMPENSATION (INCLUDING AMOUNTS REPORTED UNDER DEFERRED COMPENSATION) IS INCURRED BY CNIC HEALTH SOLUTIONS, INC. (CNIC). CNIC IS A WHOLLY-OWNED SUBSIDIARY OF ROCKY MOUNTAIN HEALTHCARE OPTIONS, INC. (RMHCO) AND THEREFORE A RELATED ORGANIZATION. MR. SWAYZE IS THE CEO AND PRESIDENT OF CNIC AND DEDICATES SUBSTANTIALLY ALL HIS EFFORTS TO THE DAY-TO-DAY OPERATIONS OF CNIC.
Schedule J (Form 990) 2013

Additional Data


Software ID:  
Software Version:  
Schedule L
(Form 990 or 990-EZ)
Department of the Treasury
Internal Revenue Service
Transactions with Interested Persons
MediumBullet Complete if the organization answered
"Yes" on Form 990, Part IV, lines 25a, 25b, 26, 27, 28a, 28b, or 28c,
or Form 990-EZ, Part V, line 38a or 40b.
MediumBullet Attach to Form 990 or Form 990-EZ. MediumBullet See separate instructions.
MediumBulletInformation about Schedule L (Form 990 or 990-EZ) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2013
Open to Public Inspection
Name of the organization
ROCKY MOUNTAIN HEALTH MAINTENANCE
ORGANIZATION INCORPORATED
Employer identification number

84-0614905
Part I
Excess Benefit Transactions (section 501(c)(3) and section 501(c)(4) organizations only).
Complete if the organization answered "Yes" on Form 990, Part IV, line 25a or 25b, or Form 990-EZ, Part V, line 40b.
1(a) Name of disqualified person (b) Relationship between disqualified person and organization (c) Description of transaction (d) Corrected?
Yes No





2
Enter the amount of tax incurred by organization managers or disqualified persons during the year under section 4958. ........................... Bullet Image$
 
3
Enter the amount of tax, if any, on line 2, above, reimbursed by the organization ....... Bullet Image$
 

Part II
Loans to and/or From Interested Persons.
Complete if the organization answered "Yes" on Form 990-EZ, Part V, line 38a, or Form 990, Part IV, line 26; or if the organization reported an amount on Form 990, Part X, line 5, 6, or 22
(a) Name of interested person (b) Relationship with organization (c) Purpose of loan (d) Loan to or from the organization? (e)Original principal amount (f)Balance due (g) In default? (h) Approved by board or committee? (i)Written agreement?
To From Yes No Yes No Yes No
Total ......Small Bullet $  
Part III
Grants or Assistance Benefitting Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 27.
(a) Name of interested person (b) Relationship between interested person and the organization (c) Amount of assistance (d) Type of assistance (e) Purpose of assistance
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.
Cat. No. 50056A
Schedule L (Form 990 or 990-EZ) 2013
Schedule L (Form 990 or 990-EZ) 2013
Page 2
Part IV
Business Transactions Involving Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 28a, 28b, or 28c.
(a) Name of interested person (b) Relationship between interested person and the organization (c) Amount of transaction (d) Description of transaction (e) Sharing of organization's revenues?
Yes No
(1) MESA COUNTY PHYSICIANS IPA INC
  		BOARD MEMBER, DAVID TEERY, IS A DIRECTOR OF MESA COUNTY PHYSICIANS IPA, INC 3,236,228 CONTRACTUAL MEDICAL PAYMENTS   No
(2) ROCKY MOUNTAIN HEALTH MANAGEMENT CORPORATION
  		ENTITY OWNED >35% BUT NOT >50% BY CURRENT OR FORMER OFFICERS AND DIRECTORS 27,696,813 MANAGEMENT FEES   No
(3) DAVID WARREN TERRY DO BOARD MEMBER 127,143 MEDICAL PROVIDER PAYMENTS   No
(4) HOSKINFARINA & KAMPF PC
  		B.O.D ASS'T SEC., DAVID SCANGA, IS A HOSKIN, FARINA & KAMPF SHAREHOLER 493,465 GENERAL LEGAL COUNCEL   No
Part V
Supplemental Information
Provide additional information for responses to questions on Schedule L (see instructions).
Return Reference Explanation
Schedule L (Form 990 or 990-EZ) 2013

Additional Data


Software ID:  
Software Version:  




SCHEDULE O
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service
Supplemental Information to Form 990 or 990-EZ

Complete to provide information for responses to specific questions on
Form 990 or to provide any additional information.
MediumBullet Attach to Form 990 or 990-EZ.
MediumBullet Information about Schedule O (Form 990 or 990-EZ) and its instructions is at
www.irs.gov/form990.
OMB No. 1545-0047
2013
Open to Public
Inspection
Name of the organization
ROCKY MOUNTAIN HEALTH MAINTENANCE
ORGANIZATION INCORPORATED
Employer identification number

84-0614905
Return Reference Explanation
FORM 990, PART VI, SECTION A, LINE 3 THE ORGANIZATION CONTRACTS WITH ROCKY MOUNTAIN HEALTH MANAGEMENT CORPORATION (HMC) TO PERFORM MANAGEMENT SERVICES OF THE ORGANIZATION. HMC IS NOT A RELATED ORGANIZATION AND HAS A SEPARATE GOVERNING BOARD. THE COMPENSATION REPORTED ON PART VII AND SCHEDULE J FOR THOSE INDIVIDUALS WHO ARE NOT DIRECTORS OF THE ORGANIZATION BUT ARE LISTED AS OFFICERS OF THE ORGANIZATION WAS PAID BY HMC.
FORM 990, PART VI, SECTION B, LINE 11 THE ENTIRE 990 IS DISTRIBUTED TO EACH DIRECTOR. EACH DIRECTOR IS GIVEN THE OPPORTUNITY TO ASK QUESTIONS AND/OR PROVIDE COMMENTS PRIOR TO FILING. THE TAX RETURN IS APPROVED BY THE FINANCE AND AUDIT COMMITTEE OF THE BOARD AS PREPARED FOR FILING.
FORM 990, PART VI, SECTION B, LINE 12C EACH YEAR BOARD MEMBERS, OFFICERS AND KEY EMPLOYEES ARE REQUIRED TO COMPLETE COMPREHENSIVE CONFLICT OF INTEREST DISCLOSURE STATEMENTS. THE CONFLICT OF INTEREST DISCLOSURE STATEMENTS ARE MAINTAINED BY THE ORGANIZATION AND ARE REVIEWED ANNUALLY BY THE ORGANIZATION'S LEGAL COUNSEL. BOARD MEMBERS, OFFICERS AND KEY EMPLOYEES ARE COVERED UNDER THE POLICY. BEFORE EACH BOARD MEETING, LEGAL COUNSEL, THE CHAIR OF THE BOARD, AND THE CEO 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, THE CHAIR OF THE BOARD AND THE CEO ARE PRESENT AND DO THE SAME. IF THERE IS A POTENTIAL FOR A CONFLICT, THE BOARD IS ADVISED 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 THE OFFICERS INCLUDED ARE CEO, CFO, COO, MEDICAL DIRECTOR AND VICE PRESIDENTS. COMPARABILITY DATA IS USED TO DETERMINE COMPENSATION. A THIRD PARTY COMPENSATION EXPERT REPORT CERTIFIES THE REASONABLENESS OF THE COMPENSATION AMOUNTS. THIS PROCESS WAS USED IN 2013.
FORM 990, PART VI, SECTION C, LINE 19 COPIES OF THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE PROVIDED UPON REQUEST TO THE EXTENT REQUIRED BY APPLICABLE LAW.
FORM 990, PART XI, LINE 9: CONTRIBUTED CAPITAL TO ROCKY MOUNTAIN HEALTHCARE OPTIONS, INC. -876,610.
FORM 990 PART XII LINE 2C THE BOARD ASSUMES RESPONSIBILITY FOR THE AUDIT, WHICH IS DONE ON THE STATUTORY BASIS OF ACCOUNTING, AND SELECTION OF AN INDEPENDENT AUDITOR.
FORM 990, PART VII, SECTION A, LINE 1A, COMPENSATION INFORMATION: EXCEPT FOR JAMES SWAYZE, ALL THE COMPENSATION INCLUDED ON SCHEDULE J IS PAID BY ROCKY MOUNTAIN HEALTH MANAGEMENT CORPORATION (HMC). HMC IS AN UNRELATED ORGANIZATION WITH WHOM ROCKY MOUNTAIN HEALTH MAINTENANCE ORGANIZATION, INCORPORATED (RMHMO) HAS A CONTRACT FOR MANAGEMENT SERVICES. HMC ALSO HAS A MANAGEMENT CONTRACT WITH ROCKY MOUNTAIN HEALTHCARE OPTIONS (HCO) WHICH IS A RELATED ORGANIZATION TO RMHMO AND IS LISTED IN PART IV OF SCHEDULE R. THE COMPENSATION ON SCHEDULE J AND LISTED IN PART VII OF THE FORM 990 FOR THE INDIVIDUALS LISTED ON SCHEDULE J (EXCEPT JAMES SWAYZE) IS 100% OF THE COMPENSATION PAID BY HMC TO THESE INDIVIDUALS. HOWEVER, APPROXIMATELY 68% OF THE SERVICES PROVIDED BY THESE INDIVIDUALS IS ALLOCATED UNDER THE MANAGEMENT CONTRACT WITH RMHMO AND 32% IS ALLOCATED UNDER THE MANAGEMENT CONTRACT WITH HCO.
FORM 990, NARRATIVE STATEMENT: ROCKY MOUNTAIN HEALTH MAINTENANCE ORGANIZATION, INCORPORATED (RMHMO)D/B/A ROCKY MOUNTAIN HEALTH PLANS IS AN INDEPENDENT, NOT-FOR-PROFIT HEALTH BENEFITS PROVIDER THAT HAS SERVED THE HEALTH CARE NEEDS OF COLORADANS FOR ALMOST 40 YEARS. RMHMO UNIQUELY UNDERSTANDS COLORADO'S HEALTH CARE CONSUMERS. WE PROVIDE ACCESS TO AFFORDABLE, QUALITY HEALTH CARE ENABLING OUR MORE THAN 130,000 MEMBERS TO LIVE LONGER, HEALTHIER LIVES. FOR MANY YEARS EVEN BEFORE ENACTMENT OF THE AFFORDABLE CARE ACT RMHMO INCLUDED PREVENTIVE CARE AS A STANDARD COMPONENT IN ITS BENEFIT PLANS. RMHMO IS KNOWN AS A STRONG AND TRUSTED LEADER IN HEALTH CARE AND IS EVER COMMITTED TO ITS COMMUNITY BENEFIT GOALS. THE ORGANIZATION IS DILIGENT AND DEVOTED TO PROVIDING INNOVATIVE,QUALITY HEALTH PLANS, IMPROVING ACCESS TO HEALTH CARE COVERAGE, AND IMPROVING THE WELL BEING OF INDIVIDUALS, FAMILIES, AND THE COMMUNITIES WE SERVE. VISION WE ARE A COST EFFECTIVE, EFFICIENTLY RUN ORGANIZATION IN THE HEALTH CARE INDUSTRY. WE ADD VALUE TO EVERYONE WE TOUCH. MISSION WE TAKE THE INITIATIVE TO IMPROVE THE LIVES OF OUR MEMBERS AND THE HEALTH OF OUR COMMUNITIES BY OFFERING INNOVATIVE HEALTH PLANS,PROVIDING EXCELLENCE IN SERVICE AND CARE OF OUR MEMBERS, AND STAYING TRUE TO OUR TRADITION OF PUTTING PEOPLE BEFORE PROFITS. VALUES WE MAKE DECISIONS BASED ON THE WELL BEING OF OUR MEMBERS. WE ARE RESPECTFUL, COMPASSIONATE, AND FAIR. WE ARE INNOVATIVE AND ACTION-ORIENTED. WE HONOR THE RIGHTS OF PHYSICIANS AND PATIENTS IN MEDICAL DECISION-MAKING. WE ARE CATALYSTS FOR CONTINUOUS QUALITY IMPROVEMENT. WE BELIEVE THAT THE QUALITY OF OUR RELATIONSHIPS SHAPES OUR FUTURE. SERVING THE UNDERSERVED CHILDREN'S HEALTH PLANS PLUS (CHP+) & CHILDREN'S HEALTH PLAN PRENATAL SERVICES RMHMO OFFERS CHP+ COVERAGE TO INDIGENT CHILDREN AND CHILDREN'S HEALTH PLAN PRENATAL SERVICES TO PREGNANT WOMEN. IN 2013, RMHMO SERVED OVER 10,000 INDIGENT CHILDREN AND PREGNANT WOMEN UNDER THE CHP+ AND CHILDREN'S HEALTH PLAN PRENATAL SERVICES PROGRAM THROUGHOUT 22 COLORADO COUNTIES. THE RMHMO MEDICAID AND CHP+ PROGRAMS CONTINUALLY RECEIVE THE HIGHEST APPROVAL RATING IN ALL PROGRAM CATEGORIES, INCLUDING OVERALL RATING OF HEALTH PLAN. THIS ACHIEVEMENT SIGNIFIES THE ALMOST 40 YEAR COMMITMENT ROCKY MOUNTAIN HEALTH PLANS HAS TAKEN TO PROVIDE QUALITY HEALTH CARE SERVICES TO THE UNDERSERVED IN COLORADO. MEDICAID UNDER A MEDICAID AGREEMENT BETWEEN RMHMO AND THE COLORADO DEPARTMENT OF HEALTH CARE POLICY AND FINANCING RMHMO PROVIDED COST-SAVING MEDICAL SERVICES TO NEARLY 21,000 MEDICAID RECIPIENTS IN 2013. THE COUNTIES SERVED BY RMHMO UNDER THE MEDICAID AGREEMENT ARE DELTA, MESA, MOFFAT, MONTROSE, OURAY,RIO BLANCO, AND SAN MIGUEL. UNDER THIS PROGRAM RMHMO PROVIDED ACCESS FOR MEDICAID RECIPIENTS TO NEARLY ALL PHYSICIANS (PRIMARY CARE AND SPECIALISTS) WHO PRACTICE IN THESE COUNTIES. RMHMO IS THE ONLY MANAGED CARE ORGANIZATION IN WESTERN COLORADO PROVIDING SERVICES FOR PEOPLE COVERED BY MEDICAID. AS PART OF AN AWARD RECEIVED FROM THE STATE MEDICAID PROGRAM, RMHMO HAS CREATED A REGIONAL CARE COLLABORATIVE ORGANIZATION, WHOSE GOALS ARE TO IMPROVE HEALTH OUTCOMES OF MEDICAID CLIENTS BY ADDRESSING HEALTH NEEDS AND TO CONTROL COSTS BY REDUCING INAPPROPRIATE USE OF HEALTH CARE RESOURCES. EFFORTS FOCUS ON PROVIDING CARE COORDINATION AND CARE MANAGEMENT SERVICES TO MEMBERS; PROVIDING A FOCAL POINT OF CARE; ENSURING POSITIVE MEMBER AND PROVIDER EXPERIENCES; AND APPLYING STATEWIDE DATA TO SUPPORT DATA-DRIVEN QUALITY IMPROVEMENT INTERVENTIONS. THE ADMINISTRATIVE SERVICES CONTRACT COVERS 22 COUNTIES IN COLORADO AND SERVICES OVER 53,000 MEDICAID CLIENTS. ADDITIONAL COMMUNITY BENEFITS AND CHARITABLE CONTRIBUTIONS: COPAYMENT COLLECTIONS RMHMO IS THE ONLY HEALTH PLAN IN COLORADO THAT BILLS AND COLLECTS COPAYMENTS ON BEHALF OF ITS MEMBERS. THIS SERVICE ELIMINATES THE BARRIER FOR PEOPLE SEEKING AND NEEDING CARE THAT DO NOT HAVE THE MONEY TO PAY THEIR COPAYMENT AT THE TIME OF THEIR VISIT. MEMBERS AND FAMILIES ARE RELIEVED OF THIS BURDEN AS ARE PHYSICIANS WHO STRUGGLE TO COLLECT FROM PATIENTS WHO NEED CARE, BUT CAN NOT PAY AT THE TIME OF THE SERVICE. COVERCOLORADO COVERCOLORADO IS THE COLORADO INSURANCE PROGRAM THAT PROVIDES COVERAGE TO INDIVIDUALS WHO CANNOT OBTAIN INSURANCE DUE TO THEIR HEALTH CONDITION. RMHMO PROVIDES CONCURRENT HOSPITAL NURSING REVIEWS FREE OF CHARGE IN MESA COUNTY FOR INDIVIDUALS COVERED BY COVERCOLORADO. GRAND VALLEY HEALTH FAIR CONTRIBUTION AS A MAJOR SPONSOR WITH MORE THAN 100 HOURS OF LABOR CONTRIBUTED TO THE PROGRAM THAT HELPS TO PROVIDE MESA COUNTY WITH COMMUNITY HEALTH AND AWARENESS SCREENINGS. STRIVE (F/K/A MESA DEVELOPMENTAL SERVICES) CONTRIBUTION ASSISTS INDIVIDUALS, YOUNG AND OLD, WHO LIVE WITH DEVELOPMENTAL DISABILITIES TO HAVE ACCESS AND SUPPORT TO COMMUNITY SERVICES. COLORADO MESA UNIVERSITY (F/K/A MESA STATE COLLEGE) NURSING PROGRAM PROVIDE GRANT FUNDING TO EXPAND THE COLLEGE'S NURSING PROGRAM IN AN EFFORT TO INCREASE ENROLLMENT RESULTING IN A HIGHER AVAILABILITY OF LICENSED NURSES. QUALITY HEALTH NETWORK CONTRIBUTION HELPS IN THE DEVELOPMENT, IMPLEMENTATION, AND SUPPORT OF ELECTRONIC MEDICAL SERVICE DATA AND NATIONALLY RECOGNIZED FOR HELPING COORDINATE AND SUPPORT CARE FOR OVER 300,000 PATIENTS. ROCKY MOUNTAIN HEALTH PLANS FOUNDATION, INC. CONTRIBUTION OFFERS SUPPORT TO NUMEROUS COMMUNITY PROJECTS AROUND THE STATE, SUCH AS: - HELPING INDIVIDUALS IN A HEALTHCARE CRISIS THAT NEED ACCESS TO SERVICES OR CARE, - CREATING INCENTIVES FOR PREGNANT WOMEN TO STOP SMOKING, - HELPING SCHOOLS OFFER MORE PHYSICAL ACTIVITY FOR STUDENTS TO DECREASE OBESITY AND INCREASE TEST SCORES. - SPEARHEAD, WITH GRANT FUNDS, A BEHAVIORAL HEALTH CLINIC THAT RESIDES WITH THE LARGEST PRIMARY CARE PRACTICE IN MESA COUNTY, COLORADO, WHICH AMONG OTHER THINGS, COORDINATED MENTAL HEALTH AND MEDICAL CARE FOR PATIENTS FROM SEVEN COUNTIES ON THE WESTERN SLOPE OF COLORADO. WORKSITE WELLNESS PROGRAMS PROVIDE TOOLS, RESOURCES, AND TRAINING TO ASSIST EMPLOYERS IN IMPROVING THE HEALTH OF THEIR EMPLOYEES. THIS COMPREHENSIVE PROGRAM FOCUSES ON PROMOTING WELLNESS AND PREVENTING ILLNESS. RMHMO IS NAMED A GOLD WELL WORKPLACE BY THE WELLNESS COUNCIL OF AMERICA. RECOGNITION IS EARNED BY SUCCESSFULLY MEETING RIGOROUS HEALTH PROMOTION STANDARDS. BY EARNING THIS PRESTIGIOUS DESIGNATION, WE ARE RECOGNIZED AS ONE OF THE AMERICA'S HEALTHIEST COMPANIES. PHYSICIAN RECRUITMENT EFFORT IN 2009, RMHMO COMMITTED SIGNIFICANT FUNDING TO COORDINATE, RECRUIT, ATTRACT AND MAINTAIN ADDITIONAL PRIMARY CARE PHYSICIANS IN CERTAIN COMMUNITIES. THIS EFFORT WAS INITIATED TO ADDRESS THE PRIMARY CARE PHYSICIAN SHORTAGE AND WILL STRIVE TO ACQUIRE AND MAINTAIN A SUFFICIENT NUMBER OF QUALIFIED PHYSICIANS TO ADEQUATELY SERVE THE HEALTH CARE NEEDS OF OUR MEMBERS IN KEY AREAS. THE COMMITMENT WAS FUNDED THROUGH 2013. GETTINGUSCOVERED (GUSC) AS DESCRIBED IN MORE DETAIL IN SCHEDULE O, RMHMO WAS AWARDED THE COLORADO HIGH RISK POOL IN 2010. GUSC IS A STATEWIDE, COMPREHENSIVE HEALTH PLAN FOR PEOPLE WITH PRE-EXISTING MEDICAL CONDITIONS WHO HAVE BEEN UNINSURED FOR AT LEAST SIX MONTHS. AS COLORADO'S FEDERAL HIGH RISK POOL, THE HEALTH PLAN WAS DEVELOPED THROUGH A PARTNERSHIP BETWEEN RMHMO, COVERCOLORADO, THE STATE OF COLORADO AND THE US DEPARTMENT OF HEALTH AND HUMAN SERVICES. IT IS FUNDED THROUGH INDIVIDUAL PREMIUMS AND A FEDERAL FINANCIAL SUBSIDY. COLORADO BEACON CONSORTIUM AS DESCRIBED IN MORE DETAIL IN SCHEDULE O, THE COLORADO BEACON CONSORTIUM WAS FORMED WITH SEVERAL ORGANIZATION IN MESA COUNTY INCLUDING RMHMO AS LEAD AND WAS AWARDED A BEACON COMMUNITY COOPERATIVE AGREEMENT THROUGH FUNDING PROVIDED BY THE AMERICAN RECOVERY AND REINVESTMENT ACT OF 2009. THE PROGRAM WILL SEEK TO ADVANCE A HEALTH IT INFRASTRUCTURE THAT WILL SUPPORT THE NATIONWIDE ELECTRONIC EXCHANGE AND USE OF HEALTH INFORMATION IN A SECURE, PRIVATE AND ACCURATE MANNER. THE PROGRAM PERIOD WAS APRIL 1, 2010 THROUGH MAY 31, 2013.
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.
Cat. No. 51056K
Schedule O (Form 990 or 990-EZ) 2013

Additional Data


Software ID:  
Software Version:  
SCHEDULE R
(Form 990)
Department of the Treasury
Internal Revenue Service
Related Organizations and Unrelated Partnerships
MediumBulletComplete if the organization answered "Yes" on Form 990, Part IV, line 33, 34, 35b, 36, or 37.
MediumBulletAttach to Form 990. MediumBullet See separate instructions.
MediumBullet Information about Schedule R (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047
2013
Open to Public Inspection
Name of the organization
ROCKY MOUNTAIN HEALTH MAINTENANCE
ORGANIZATION INCORPORATED
Employer identification number

84-0614905
Part I
Identification of Disregarded Entities Complete if the organization answered "Yes" on Form 990, Part IV, line 33.
(a)
Name, address, and EIN (if applicable) of disregarded entity


(b)
Primary activity


 		(c)
Legal domicile (state
or foreign country)

 		(d)
Total income


 		(e)
End-of-year assets


 		(f)
Direct controlling
entity










Part II
Identification of Related Tax-Exempt Organizations Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related tax-exempt organizations during the tax year.
(a)
Name, address, and EIN of related organization


(b)
Primary activity


 		(c)
Legal domicile (state
or foreign country)

 		(d)
Exempt Code section


 		(e)
Public charity status
(if section 501(c)(3))

 		(f)
Direct controlling
entity

 		(g)
Section 512(b)(13) controlled entity?
Yes No
(1) ROCKY MOUNTAIN HEALTH PLANS FOUNDATION INC

2775 CROSSROADS BLVD

GRAND JUNCTION,CO81506
84-1424932 		TO FACILITATE PHILANTHROPIC SUPPORT FOR INNOVATIVE HEALTHCARE APPROACHES. CO 501(C)(3) 7 ROCKY MOUNTAIN HEALTH MAINTENANCE ORGANIZATION INCORPORATED
 
 
No
(2) QUALITY HEALTH NETWORK

2764 COMPASS DRIVE

GRAND JUNCTION,CO81506
20-1632384 		DEVELOPMENT, IMPLEMENT, & SUPPORT OF THE HEALTH INFORMATION EXCHANGE. CO 501(C)(3) 11, TYPE 1 N/A
 
No










For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50135Y
Schedule R (Form 990) 2013
Schedule R (Form 990) 2013
Page 2
Part III
Identification of Related Organizations Taxable as a Partnership Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a partnership during the tax year.
(a)
Name, address, and EIN of
related organization



 		(b)
Primary activity




 		(c)
Legal
domicile
(state or foreign
country)


 		(d)
Direct controlling
entity



 		(e)
Predominant income(related, unrelated, excluded from tax under sections 512-514)

(f)
Share of total income




 		(g)
Share of end-of-year
assets



 		(h)
Disproprtionate allocations?




 		(i)
Code V-UBI
amount in box 20 of
Schedule K-1
(Form 1065)
 		(j)
General or
managing
partner?



 		(k)
Percentage
ownership
Yes No Yes No












Part IV
Identification of Related Organizations Taxable as a Corporation or Trust Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a corporation or trust during the tax year.
(a)
Name, address, and EIN of
related organization
 		(b)
Primary activity
 		(c)
Legal
domicile
(state or foreign
country)
 		(d)
Direct controlling
entity
 		(e)
Type of entity
(C corp, S corp,
or trust) 		(f)
Share of total income
 		(g)
Share of end-of-year
assets
 		(h)
Percentage
ownership
 		(i)
Section 512(b)(13) controlled entity?
Yes No
(1) ROCKY MOUNTAIN HEALTHCARE OPTIONS INC

2775 CROSSROADS BLVD
GRAND JUNCTION,CO81506
84-1224718 		OFFERS ALTERNATIVE HEALTH CARE PRODUCTS IN THE AREA SERVICED BY RMHMO. CO ROCKY MOUNTAIN HEALTH MAINTENANCE ORGANIZATION INCORPORATED
  		C 205,438,115 49,759,756 100.000 % Yes  
(2) CNIC HEALTH SOLUTIONS INC

6251 GREENWOOD PLAZA BLVD STE 300
GREENWOOD VILLAGE,CO80111
71-0873411 		PROVIDES ADMIN SVCS FOR MEDICAL, DENTAL, AND CONSUMER DRIVEN HEALTH PLANS. CO ROCKY MOUNTAIN HEALTHCARE OPTIONS INC
  		C 15,507,192 3,467,477 100.000 % Yes  
(3) LEIF ASSOCIATES INC

1515 ARAPAHOE ST STE 530 TOWER 1
DENVER,CO80202
84-1324324 		PROVIDES ACTUARIAL AND DATA CONSULTING. CO ROCKY MOUNTAIN HEALTHCARE OPTIONS INC
  		C 2,486,994 1,124,306 100.000 % Yes  








Schedule R (Form 990) 2013
Schedule R (Form 990) 2013
Page 3
Part V
Transactions With Related Organizations Complete if the organization answered "Yes" on Form 990, Part IV, line 34, 35b, or 36.
Note. Complete line 1 if any entity is listed in Parts II, III, or IV of this schedule.
Yes
No
1 During the tax year, did the orgranization engage in any of the following transactions with one or more related organizations listed in Parts II-IV?
a Receipt of (i) interest (ii) annuities (iii) royalties or (iv) rent from a controlled entity . . . . . . . . . . . . . . . . . . . . . . .
1a
 
No
b Gift, grant, or capital contribution to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1b
Yes
 
c Gift, grant, or capital contribution from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1c
 
No
d Loans or loan guarantees to or for related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1d
Yes
 
e Loans or loan guarantees by related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1e
 
No
f Dividends from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1f
 
No
g Sale of assets to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1g
 
No
h Purchase of assets from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1h
 
No
i Exchange of assets with related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1i
 
No
j Lease of facilities, equipment, or other assets to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1j
Yes
 
k Lease of facilities, equipment, or other assets from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . .
1k
 
No
l Performance of services or membership or fundraising solicitations for related organization(s) . . . . . . . . . . . . . . . . . . . .
1l
 
No
m Performance of services or membership or fundraising solicitations by related organization(s) . . . . . . . . . . . . . . . . . . . .
1m
Yes
 
n Sharing of facilities, equipment, mailing lists, or other assets with related organization(s) . . . . . . . . . . . . . . . . . . . . .
1n
Yes
 
o Sharing of paid employees with related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1o
 
No
p Reimbursement paid to related organization(s) for expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1p
 
No
q Reimbursement paid by related organization(s) for expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1q
Yes
 
r Other transfer of cash or property to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1r
 
No
s Other transfer of cash or property from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1s
 
No
2
If the answer to any of the above is "Yes," see the instructions for information on who must complete this line, including covered relationships and transaction thresholds.
(a)
Name of related organization 		(b)
Transaction
type (a-s) 		(c)
Amount involved 		(d)
Method of determining amount involved
(1) ROCKY MOUNTAIN HEALTHCARE OPTIONS INC

 B 876,610  
(2) ROCKY MOUNTAIN HEALTHCARE OPTIONS INC

 N 273,248  
(3) CNIC HEALTH SOLUTIONS INC

 J 74,870  
(4) CNIC HEALTH SOLUTIONS INC

 Q 562,000  
(5) QUALITY HEALTH NETWORK

 B 1,747,995  
(6) ROCKY MOUNTAIN HEALTH PLANS FOUNDATION INC

 B 208,060  
(7) ROCKY MOUNTAIN HEALTHCARE OPTIONS INC

 Q 4,806,000  
(8) LEIF ASSOCIATES INC

 M 551,000  
(9) ROCKY MOUNTAIN HEALTHCARE OPTIONS INC

 D 3,264,000  
Schedule R (Form 990) 2013
Schedule R (Form 990) 2013
Page 4
Part VI
Unrelated Organizations Taxable as a Partnership Complete if the organization answered "Yes" on Form 990, Part IV, line 37.
Provide the following information for each entity taxed as a partnership through which the organization conducted more than five percent of its activities (measured by total assets or gross revenue) that was not a related organization. See instructions regarding exclusion for certain investment partnerships.
(a)
Name, address, and EIN of entity 		(b)
Primary activity 		(c)
Legal domicile
(state or foreign
country) 		(d)
Predominant income (related, unrelated, excluded from tax under sections 512-514)

(e)
Are all partners
section
501(c)(3)
organizations? 		(f)
Share of total income




 		(g)
Share of
end-of-year
assets 		(h)
Disproprtionate allocations? 		(i)
Code V?UBI
amount in box 20
of Schedule K-1
(Form 1065) 		(j)
General or
managing
partner? 		(k)
Percentage
ownership
Yes No Yes No Yes No






























Schedule R (Form 990) 2013
Schedule R (Form 990) 2013
Page 5
Part VII
Supplemental Information
Provide additional information for responses to questions on Schedule R (see instructions).
Return Reference Explanation
Schedule R (Form 990) 2013
Additional Data


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