2025-11-17T13:15:19-06:00 2024-12-31 410746749 CLIFTONLARSONALLEN LLP 20 EAST THOMAS ROAD SUITE 2300 PHOENIX AZ 85012 990 2024-01-01 201632384 QUALITY HEALTH NETWORK QUAL 9702480033 744 HORIZON COURT 210 GRAND JUNCTION CO 815063939 MELISSA KOTRYS CEO 9702480033 2025-11-14 1 1 ERIN SPARKS P01432691 6022662248 2025-11-12 2024 2025-03-06 01:10:19Z MELISSA KOTRYS 744 HORIZON COURT 210 GRAND JUNCTION CO 815063939 5585480 0 X WWW.QUALITYHEALTHNETWORK.ORG X 2004 CO QHN'S HIE STRENGTHENS CARE COORDINATION AND ACCESS TO TIMELY DATA, FOR UNDERSERVED PROVIDERS. 3 0 32 15 0 0 420000 480000 6571807 4848050 -1193906 193764 0 63666 5797901 5585480 0 0 0 0 4358707 2801539 0 0 185128 2483333 1947242 6842040 4748781 -1044139 836699 8255670 1027180 1167577 190481 7088093 836699 X TO OPTIMIZE THE WHOLE-PERSON HEALTH OF THE MORE THAN 400,000 RESIDENTS OF THE WESTERN COLORADO MEDICAL TRADE AREA QHN SERVES. QHN'S HEALTH INFORMATION EXCHANGE (HIE) IMPROVES THE EFFICIENCY, TIMELINESS, AND QUALITY OF THE HEALTHCARE PROVIDED FOR ALL, WITH A FOCUS ON NON-PROFIT PROVIDERS, RURAL HOSPITALS, AND CLINICS, PUBLIC HEALTH SERVICES, SAFETY-NET PROVIDERS, AND COMMUNITY-BASED ORGANIZATIONS TO REDUCE THE BURDEN ON GOVERNMENT PROGRAMS. THE SERVICES QHN PROVIDES IMPROVE THE ABILITY OF HEALTHCARE PROVIDERS TO COLLABORATE, COORDINATE TREATMENT, MANAGE AND PREVENT ILLNESS, AND REDUCE COSTLY DUPLICATIVE TESTING AND MEDICAL ERRORS THAT ARE ATTRIBUTABLE TO INSUFFICIENT ACCESS TO TIMELY, ACCURATE CLINICAL INFORMATION. 0 0 2377179 0 2834566 DATA MANAGEMENT:QHN UTILIZES A SECURE HIE NETWORK AS THE FOUNDATION FOR THE SERVICES PROVIDED TO HEALTH ORGANIZATIONS AND PROVIDERS TO SUPPORT THE QUADRUPLE AIM IN HEALTHCARE IMPROVING PATIENT OUTCOMES, IMPROVING THE PHYSICIAN EXPERIENCE, IMPROVING PATIENT EXPERIENCE, AND REDUCING THE COST OF HEALTHCARE FOR ALL. SINCE ITS INCEPTION, QHN HAS CONTINUED A STEADY FOCUS ON ITS FOUNDING PURPOSE OF EXPANDING THE OPPORTUNITY, RESOURCES, AND INFRASTRUCTURE NECESSARY TO INCREASE THE WIDESPREAD PROVISION OF HIGHQUALITY COORDINATED HEALTHCARE. THE PROVISION OF SERVICES BY THE QHN NETWORK HAS PLACED WESTERN COLORADO IN A STRONG POSITION TO ACHIEVE INNOVATIVE, MEANINGFUL HEALTHCARE REFORMS. QHN CONTINUES TO SUPPORT CROSS-STATE AND CROSS-REGIONAL HIE-TO-HIE CONNECTIVITY. THIS IS AN EFFORT TO IMPROVE THE COORDINATION AND CONTINUITY OF CARE STATEWIDE, AND AS PEOPLE TRAVEL ACROSS STATE BORDERS. THIS HIE-TO-HIE INFORMATION EXCHANGE WORK WAS ESTABLISHED STATEWIDE WITH CONTEXTURE, THE HIE THAT SERVES THE EASTERN PART OF COLORADO, AND HAS BEEN EXPANDED TO INCLUDE THE HIES IN UTAH (UHIN) AND ARIZONA (CONTEXTURE). THIS TYPE OF EXCHANGE, BASED ON THE PATIENT-CENTERED DATA HOME (PCDH) CONCEPT, IS A COST-EFFECTIVE, SCALABLE METHOD OF EXCHANGING PATIENT DATA AMONG HEALTH INFORMATION EXCHANGES. QHN IS ALSO A PARTICIPANT WITH THE EHEALTH EXCHANGE THAT ENABLES EXCHANGE WITH OTHER EHEALTH EXCHANGE PARTNERS SUCH AS THE VA. HIE-TO-HIE EXCHANGE IS A CRITICAL STEP TOWARD ESTABLISHING A ROBUST NATIONAL INTEROPERABILITY INFRASTRUCTURE BETWEEN REGIONAL AND STATE HIES. CONSIDERING THE SIGNIFICANT PERCENT OF THE COLORADO POPULATION THAT ARE "SNOWBIRDS AND TRAVEL FOR RECREATION, THE SECURE ELECTRONIC TRANSMISSION OF INFORMATION BETWEEN HEALTHCARE PROVIDERS ACROSS REGIONAL AND STATE LINES HAS TRANSLATED INTO A SIGNIFICANT EXCHANGE OF CLINICAL INFORMATION. THIS ROBUST EXCHANGE OF PATIENT INFORMATION BETWEEN AND AMONG HIES TRANSLATES INTO IMPROVEMENTS IN COORDINATED CARE, PATIENT SAFETY, AND REDUCED HEALTHCARE COSTS. QHN DELIVERS REAL-TIME, CRITICAL PATIENT INFORMATION AND PROVIDES A ROBUST REPOSITORY OF PATIENT CLINICAL DATA (PATIENT SUMMARY RECORD) TO TREATING PROVIDERS SERVING PATIENTS IN LIFE-THREATENING AS WELL AS NON-EMERGENT CARE SITUATIONS. THE ABILITY FOR TREATING PROVIDERS TO SECURELY ACCESS PATIENT RECORDS AND SEND DIRECTED, ENCRYPTED PATIENT CLINICAL INFORMATION VIA QHN'S HIGH-SPEED NETWORK IMPROVES TRANSITIONS OF CARE AND HEALTH OUTCOMES. THIS IMMEDIATE ACCESS TO PATIENT DATA REDUCES THE BURDEN ON GOVERNMENT BY DECREASING MEDICAL ERRORS, DUPLICATIVE TESTING, AND THE EXPENSE ASSOCIATED WITH THE MANUAL DELIVERY, STORAGE AND PROCESSING OF PAPER RECORDS. 1129294 0 1346577 CLINICAL IMPROVEMENT, POPULATION HEALTH MANAGEMENT AND CHRONIC DISEASE MANAGEMENT:WHILE THE CHRONICALLY ILL COMPRISE A RELATIVELY SMALL PERCENTAGE OF THE TOTAL POPULATION, THEY HISTORICALLY ACCOUNT FOR A LARGE PERCENTAGE OF THE HEALTHCARE DELIVERY SYSTEM RESOURCES AND ASSOCIATED EXPENSES. MEDICARE AND MEDICAID ELIGIBLE POPULATIONS SUFFER DISPROPORTIONATELY FROM CHRONIC ILLNESSES. A KEY COMPONENT OF QHN'S QUALITY IMPROVEMENT ACTIVITIES IS THE PROVISION AND IMPLEMENTATION OF HIGH-VALUE TECHNICAL APPLICATIONS TO SUPPORT PROVIDERS' ABILITY TO IDENTIFY AND MANAGE THE CARE OF CHRONICALLY ILL PATIENTS. THESE APPLICATIONS SUPPORT POPULATION HEALTH MANAGEMENT, RISK STRATIFICATION, PREDICTIVE MODELING TOOLS, AND PROACTIVE CARE COORDINATION TO REDUCE THE BURDEN ON THESE GOVERNMENT SUPPORTED PROGRAMS. THESE TOOLS HELP IN THE EARLY IDENTIFICATION AND TREATMENT OF PATIENTS WITH CHRONIC DISEASE TO IMPROVE PATIENT OUTCOMES AND REDUCE HEALTHCARE COSTS. AS THE ELECTRONIC NETWORK CONNECTIVITY WORK IN THE QHN MEDICAL TRADE AREA CONTINUES TO MATURE, THE PROCESS TO IMPROVE EVIDENCE-BASED, COORDINATED CARE FOR CHRONIC DISEASE IS PROGRESSING BY IMPLEMENTING THESE SOPHISTICATED APPLICATIONS. THIS HELPS PROVIDERS MOVE FROM THE CURRENT SYSTEM OF EPISODIC CARE TO A COORDINATED SYSTEM OF CARE THAT CREATES AND MAINTAINS HEALTHY POPULATIONS. QHN'S NETWORK AND ADVANCED ARCHITECTURE SUPPORTS THE DATA NEEDS OF THESE APPLICATIONS TO HELP PROVIDERS INTEGRATE COORDINATED CHRONIC DISEASE MANAGEMENT AND PREVENTIVE CARE INTO THEIR WORKFLOW AND MAKE THEM MORE SUCCESSFUL AS THEY TRANSITION TO NEW VALUE-BASED PAYMENT MODELS. IMPROVEMENTS IN CARE REQUIRE THAT THESE CHRONIC DISEASE STATES BE NOT ONLY MANAGED AND CONTROLLED DURING THE PATIENT VISIT, BUT THAT PROACTIVE MANAGEMENT AND PATIENT ENGAGEMENT OCCUR. THIS LEVEL OF COORDINATED CARE IS ONLY PRACTICAL WITH THE SUPPORT OF THESE APPLICATIONS. QHN ACTIVELY WORKS TO SUPPORT PROVIDERS AS THEY IMPLEMENT AND USE POPULATION HEALTH MANAGEMENT, REGISTRY, AND QUALITY MEASUREMENT APPLICATIONS. THESE APPLICATIONS PROVIDE FOR THE LONGITUDINAL MONITORING CAPABILITIES NEEDED TO PROACTIVELY MANAGE DISEASE AND AGGREGATE OUTCOMES, AND SUPPORT MEASUREMENT, FOR GROUPS OF PATIENTS OR THE ENTIRE PROVIDER'S PATIENT PANEL. REGISTRIES AND OTHER CARE COORDINATION TOOLS ALSO ENABLE PROVIDERS TO INVOLVE CARE TEAM MEMBERS TO EFFICIENTLY SUPPORT THE PATIENT CARE PROCESS AND ACTIVELY ENGAGE PATIENTS IN THEIR DISEASE MANAGEMENT. MANAGING DISEASES VIA A REGISTRY IS THE EXPECTED BEST PRACTICE AS PROVIDERS DEVELOP MORE EFFICIENT MEANS TO CARE FOR PATIENTS. QHN SUPPORTS MOST OF THE NEARLY 5,200 QHN USERS WITH THEIR DATA NEEDS FOR THE UTILIZATION OF POPULATION HEALTH TOOLS EMBEDDED IN THEIR EHRS, OR VIA OTHER SUPPORTING APPLICATIONS. PRESCRIPTION DRUG AND OPIOID ABUSE IS A MAJOR AREA OF CONCERN, NOT ONLY IN THE STATE OF COLORADO BUT NATIONWIDE. QHN PROVIDES SERVICES UNDER A PILOT PROJECT TO IMPROVE ACCESS AND USE OF THE COLORADO PRESCRIPTION DRUG MONITORING PROGRAM (PDMP) BY ENABLING ACCESS TO PDMP VIA THE QHN SYSTEM FOR NEARLY 290 QHN USERS. QHN HAS ALSO ENABLED ACCESS TO THE COLORADO DEPARTMENT OF HEALTH CARE POLICY & FINANCING'S (COLORADO MEDICAID) PRESCRIBER TOOL OPIOID RISK MODULE OPISAFE VIA THE QHN PLATFORM. IMPROVING CARE COORDINATION AND CARE TRANSITIONSTHE TRANSITION OF A PATIENT FROM ONE CARE SETTING TO ANOTHER IS FREQUENTLY THE SOURCE OF REDUCED SYSTEM EFFICIENCY, DUPLICATIVE DIAGNOSTIC TESTING, AND THE IMPETUS FOR INCREASED MEDICAL ERRORS. THIS TRANSITION MAY BE FROM PROVIDER TO PROVIDER OR FROM CARE SETTING TO CARE SETTING SUCH AS THE HOSPITAL TO REHABILITATION FACILITY, HOME HEALTH CARE OR HOSPICE FACILITY. IT IS COMMON FOR A PATIENT TO RECEIVE CARE AND TREATMENT FROM MANY DISPARATE PROVIDERS DURING A SINGLE EPISODE OF CARE. HAVING REAL-TIME, CONCISE, AND ACCURATE PATIENT MEDICAL INFORMATION AVAILABLE TO ALL PROVIDERS INVOLVED IN THE CARE OF THE PATIENT DURING THESE TRANSITIONS IS ESSENTIAL FOR IMPROVED QUALITY, SAFETY, AND COST REDUCTION. PRIOR TO THE AVAILABILITY OF QHN'S SECURE ELECTRONIC NETWORK, PROCESSES WHICH TRANSFERRED PATIENT MEDICAL INFORMATION BETWEEN PROVIDERS WERE PAPER-BASED MANUAL PROCESSES, UTILIZING PHOTO-COPYING, FAX AND COURIER SERVICES, AND MANY PROVIDERS WERE UNAWARE OF THE OUTCOME OF CARE PATIENTS RECEIVED IN OTHER CARE SETTINGS. THE QHN PATIENT LONGITUDINAL HEALTH RECORD (PATIENT SUMMARY), ESTABLISHED FOR EACH OF NEARLY 2 MILLION UNIQUE PATIENTS IN THE QHN SYSTEM, IS A COMPREHENSIVE RECORD OF ALL CARE A PATIENT RECEIVES FROM DISPARATE SOURCES. REFERRING PHYSICIANS, CONSULTING PHYSICIANS, DISCHARGE PLANNERS, LONG-TERM CARE FACILITIES, HOSPICE ORGANIZATIONS AND CARE COORDINATORS FREQUENTLY ACCESS THE DATA REPOSITORY. PATIENTS RECEIVE BETTER, FASTER, AND MORE APPROPRIATE TREATMENT DUE TO THE QHN SYSTEM WHICH RAPIDLY EXCHANGES CURRENT PATIENT INFORMATION AMONGST THE PATIENT'S CARE PROVIDERS WHEN AND WHERE IT'S NEEDED. DUPLICATIVE TESTING, MEDICALS ERRORS AND LOSS OF CRUCIAL TIME, DUE TO MISSING OR INCOMPLETE MEDICAL INFORMATION, ARE REDUCED USING THE QHN SYSTEM. CARE COORDINATION AND CARE TRANSITIONS RELY UPON THE SUCCESSFUL AND TIMELY TRANSFER OF PHYSICIAN GENERATED PATIENT-CENTRIC PROGRESS NOTES AND CARE PLANS BETWEEN AND AMONG TREATING PROVIDERS. THIS DATA CAN BE SUMMARIZED WITHIN THE PROVIDER'S EHR SYSTEM IN A DOCUMENT CALLED A CONTINUITY OF CARE DOCUMENT (CCD) OR PROGRESS NOTE AND SHARED WITH QHN. EVERYDAY THOUSANDS OF HEALTHCARE PROVIDERS ACROSS WESTERN COLORADO UTILIZE QHN TO VIEW INPATIENT AND OUTPATIENT DATA, LAB AND RADIOLOGY RESULTS. THE DATA CONTAINED IN THE QHN SYSTEM IS OF GREAT VALUE TO PROVIDERS AND HELPS CREATE A CLINICAL PICTURE OF THE PATIENT. QHN CONTINUED TO PARTICIPATE IN GRANT SERVICE CONTRACTS WITH THE COLORADO DEPARTMENT OF HEALTH CARE POLICY AND FINANCE (COLORADO MEDICAID) DURING 2022. THE MEDICAID MANAGEMENT INFORMATION SYSTEM (MMIS) ADMINISTRATIVE CONTRACT FUNDING SUPPORTS QHN'S WORK WITH QUALIFIED MEDICAID AND REFERRING ORGANIZATIONS TO ASSIST PROVIDERS WITH NEW AND ENHANCED HIE UTILIZATION, WHICH INCLUDES BUT IS NOT LIMITED TO: THE EXCHANGE OF AMBULATORY ENCOUNTER INFORMATION, ALERT NOTIFICATIONS, LAB AND RADIOLOGY REPORTS, SINGLE SIGN ON, AND IMAGE EXCHANGE. QHN'S SECURE NETWORK AND UNIQUELY CONNECTED TECHNOLOGY ALSO ALLOWS AUTHORIZED PROVIDERS TO RECEIVE HOSPITAL (EMERGENCY DEPARTMENT, ETC.), ADMISSION, DISCHARGE, AND TRANSFER (ADT) ALERTS FOR REAL-TIME NOTIFICATIONS OF CARE OCCURRENCES THAT OCCUR ON THEIR PATIENTS. QHN CONTINUES TO FOCUS ON THE EXPANSION OF THE DELIVERY OF ADT ALERTS TO PROVIDERS, CARE COORDINATORS, AND ORGANIZATIONS. MANAGING A PATIENT'S CARE ACROSS ALL CARE SETTINGS IS THE CORNERSTONE OF THE NEW MEDICAID AND MEDICARE PAYMENT MODELS. QHN IS PROVIDING ALERTS TO MULTIPLE FEDERALLY QUALIFIED HEALTH CENTERS IN QHN'S SERVICE AREA TO SUPPORT THIS QUALITY IMPROVEMENT AND COST CONTAINMENT WORK AND HELP REDUCE THE BURDEN ON THESE GOVERNMENT PROGRAMS. WHILE QHN'S HISTORICAL FOCUS HAS PREDOMINATELY BEEN ON THE MEDICAL SIDE OF A PERSON'S HEALTH, THIS DOES NOT INCLUDE THE MANY SOCIAL FACTORS THAT AFFECT A PERSON'S HEALTH. TO ADDRESS THIS CONCERN, QHN PROVIDES A SOCIAL INFORMATION EXCHANGE CALLED THE COMMUNITY RESOURCE NETWORK (CRN). THIS SOCIAL INFORMATION EXCHANGE COMBINES SOCIAL, BEHAVIORAL, AND MEDICAL INFORMATION TO GET MORE COMPREHENSIVE VIEW OF A PERSON. CRN ALLOWS THOSE INVOLVED IN COORDINATED CARE TO VIEW PERTINENT INFORMATION TO GUIDE THE PERSON MORE EFFICIENTLY TO BETTER HEALTH. THIS COLLABORATION IS CRITICAL TO IMPROVE THE HEALTH AND SAFETY OF THOSE QHN SERVES, REDUCING UNNECESSARY DUPLICATION, REDUCING THE BURDEN ON GOVERNMENT SUPPORTED HEALTHCARE PROGRAMS AND ULTIMATELY DRIVING DOWN THE COST OF HEALTH CARE. CRN SYSTEM WENT LIVE IN MID-2020. AT THE END OF 2022, CRN HAD OVER 480 USERS AND 165 NETWORK PARTNERS PARTICIPATING. FUNDING SOURCESGRANT CONTRACTS HELP SUPPORT THE WORK REQUIRED TO BUILD THE TECHNOLOGY INFRASTRUCTURE, DATA INTEROPERABILITY EXCHANGE CAPABILITIES, AND ROBUST DATA WAREHOUSING ESSENTIAL FOR THE ADVANCED ANALYTICS AND DATA NEEDS OF NEW CARE AND PAYMENT MODELS. QHN CONTINUES TO SUPPORT THE EFFORTS OF THE STATE AND VARIOUS HCPF CONTRACTS THAT PROCURE SERVICES TO MAKE IMPROVEMENTS TO THE HEALTH INFORMATION EXCHANGE CAPABILITIES AND INFRASTRUCTURE IN COLORADO. THESE CONTRACTS FOCUS ON THOSE PROVIDERS AND ORGANIZATIONS WHO SERVE THE MEDICAID AND RURAL POPULATIONS. THESE INVESTMENTS HAVE ALLOWED QHN TO INCREASE AND ENHANCE CONNECTIVITY WITH MEDICAID AND MEDICARE PROVIDERS, EXPAND ACQUISITION OF AMBULATORY DATA, INCLUDING DATA FROM BEHAVIORAL HEALTH AND LONG-TERM CARE PROVIDERS, TO ENRICH THE DATA REPOSITORY. THIS SUPPORTS THE COMMON VISION OF IMPROVING OUTCOMES FOR MEDICAID, MEDICARE AND ALL PATIENTS IN WESTERN COLORADO. THE COLLECTIVE IMPACT OF THESE ACQUISITIONS, AND THE PRACTICE TRANSFORMATION WORK THEY SUPPORT, HAS BEEN INSTRUMENTAL IN THE EVOLUTION OF THE HEALTHCARE DELIVERY SYSTEM OF WESTERN COLORADO. 447119 0 533148 INDIGENT CARE SUPPORT IN QHN'S MEDICAL TRADE AREA, THE ESTIMATED UNDERSERVED (UNINSURED OR UNDERINSURED) POPULATION APPROACHES 30 PERCENT. THIS POPULATION TENDS TO BE TRANSITORY IN NATURE, AS THE AREA ATTRACTS MANY SEASONAL AND SHORT-TERM WORKERS IN THE FARMING, SERVICE, AND RECREATIONAL INDUSTRIES. THESE UNDERSERVED PATIENTS OFTEN "FLOAT" IN AND OUT OF ELIGIBILITY FOR INSURANCE/FINANCIAL ASSISTANCE AND OTHER GOVERNMENT SUPPORTED SUBSIDIES AND PRESENT FOR CARE IN MULTIPLE CARE SETTINGS. TO EFFECTIVELY TREAT THIS POPULATION, ACCESS TO CURRENT PATIENT ELIGIBILITY AND CLINICAL INFORMATION FROM PREVIOUS CARE EPISODES IS CRITICAL. THE QHN HIE SUPPORTS EQUITABLE TREATMENT FOR ALL PATIENTS WHEREVER THEY MAY PRESENT FOR CARE BY PROVIDING ACCURATE PATIENT DEMOGRAPHICS TO AUTHORIZED PROVIDERS TO ASSIST WITH ASCERTAINING ELIGIBILITY AND CLINICAL INFORMATION TO SUPPORT CARE COORDINATION AND CONTINUITY. THE COHORTS OF UNDERSERVED PATIENTS POSITIVELY IMPACTED BY THIS QHN FUNCTIONALITY ARE MOST FREQUENTLY MEDICAID AND/OR MEDICARE ELIGIBLE. THE RESULTING EFFECT OF THIS SYSTEM FUNCTIONALITY IS MORE EFFICIENT, COST EFFECTIVE CARE FOR THIS UNDERSERVED POPULATION, WHICH HELPS REDUCE THE BURDEN ON GOVERNMENT. AS A RECIPIENT OF THE GRANT CONTRACTS FROM HCPF, QHN HAS FOCUSED ON INCREASING THE NUMBER, AND ENHANCING THE SERVICES OFFERED, TO QHN PARTICIPANTS WHO SERVE THE MEDICAID POPULATION AND FEDERALLY QUALIFIED HEALTH CENTERS (FQHCS) FOCUSED ON TREATING THE UNDERSERVED. QHN NOT ONLY SUPPORTS INDIVIDUAL CARE PROVIDERS AND ORGANIZATIONS THAT ACCEPT AND PROVIDE CARE FOR THE INDIGENT POPULATION, BUT ALSO SUPPORTS THE DATA NEEDS OF SEVERAL PROGRAMS FOCUSED ON IMPROVING THE CARE DELIVERY MODELS FOR THE MEDICAID POPULATION. THESE NEW MODELS WILL REPLACE THE NATION'S RELIANCE ON FRAGMENTED, FEE FOR SERVICE CARE. 112176 0 133759 SUPPORT FOR PUBLIC HEALTH PROGRAMS: QHN CONTINUES TO WORK WITH PUBLIC HEALTH AND COMMUNITY PROVIDERS TO IMPROVE PATIENT CARE AND PUBLIC HEALTH THROUGH THE TIMELY EXCHANGE OF, AND ACCESS TO, HEALTH INFORMATION. THE MESA COUNTY HEALTH DEPARTMENT (MCHD) HAS A UNIDIRECTIONAL INTERFACE WITH QHN FOR DIRECT DELIVERY OF TRANSCRIPTION AND LABORATORY AND RADIOLOGY RESULTS, ADT'S AND HAS BEEN ACTIVELY INVOLVED IN THE COMMUNITY CARE COORDINATION PILOT. QHN CONTINUES TO WORK WITH OTHER PUBLIC HEALTH AGENCIES THROUGHOUT WESTERN COLORADO TO SHARE INFORMATION AND IMPROVE THE CONNECTIVITY WITH THE QHN NETWORK. TO BETTER SERVE THE INDIGENT POPULATION IN MESA COUNTY, MCHD PARTNERED WITH MARILLAC CLINIC, THE FEDERALLY QUALIFIED HEALTH CENTER (FQHC) IN THE GRAND JUNCTION AREA, COLOCATING A MARILLAC CLINIC WITHIN THE HEALTH DEPARTMENT. THIS HAS ALLOWED PATIENTS WHO SEEK CARE AT MCHD TO HAVE QUICK AND EASY ACCESS TO A FULL RANGE OF MEDICAL SERVICES, INCLUDING VISION AND DENTAL CARE. QHN SUPPORTS THESE PUBLIC HEALTH PROGRAMS, MCHD AND MARILLAC CLINIC, THROUGH ITS EXISTING SECURE HIGHSPEED ELECTRONIC DATA COLLECTION/DELIVERY INFRASTRUCTURE IN ADDITION TO QHN'S WORK SUPPORTING OTHER FQHCS ACROSS QHN'S SERVICE AREA. THIS INFRASTRUCTURE CREATES A MECHANISM TO ELECTRONICALLY DELIVER AND QUERY CRITICAL HEALTH INFORMATION AND TO ALERT PROVIDERS WHEN AN IMPORTANT HEALTH EVENT OCCURS. IN ADDITION, PUBLIC HEALTH PROGRAMS THROUGHOUT THE QHN SERVICE AREA ARE BEING SUPPORTED BY QHN'S COMMUNITY RESOURCE NETWORK SOCIAL INFORMATION EXCHANGE SYSTEM. 112176 0 133759 4065768 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 20 0 1 32 1 0 0 0 0 0 0 0 0 0 0 0 0 X 3 0 0 1 1 0 1 1 1 1 1 1 0 1 1 1 1 1 1 1 1 0 X MELISSA KOTRYS 8442797120 2901 N CENTRAL AVE SUITE 1100 PHOENIX AZ 85012 MELISSA KOTRYS CHIEF EXECUTIVE OFFICER & TREASURER 1.00 61.00 X X 0 465678 94686 MARC LASSAUX - CEO EXECUTIVE DIRECTOR THEN DIRECTOR 50.00 0.00 X X 413177 0 86307 RICHARD WARNER - CHIEF MGMT PROJECT OFFICER (UNTIL 5/2024) 50.00 0.00 X 302642 0 63882 TINA HOGEMAN CHIEF FINANCIAL OFFICER 1.00 51.00 X X 0 295832 55115 JACKIE SIEVERS COO (UNTIL 5/2024) 50.00 0.00 X 220357 0 53423 LAURA HEAD - INTERFACE PROJECT MANAGER (UNTIL 5/2024) 50.00 0.00 X 168987 0 84291 ANDREW MEYER - MANAGER OF INTEROPERABILITY (UNTIL 5/2024) 50.00 0.00 X 164661 0 71167 BRIAN HOLLINGSWORTH DIRECTOR OF FINANCE (UNTIL 5/2024) 50.00 0.00 X 170287 0 27238 CATHERINE STORY - DIRECTOR OF COMM. COLLABORATION (UNTIL 5/2024) 50.00 0.00 X 155673 0 31269 RYAN ECK - MANAGER OF DATA STRATEGY (UNTIL 5/2024) 50.00 0.00 X 155719 0 27240 SHERRI COREY - DIRECTOR OF COMMUNITY RELATIONS (UNTIL 5/2024) 1.00 0.00 X 0 0 0 JULIE SUSEMIHI DIRECTOR OF HR (UNTIL 5/2024) 1.00 0.00 X 0 0 0 JAMES CURTSINGER - DIRECTOR OF EXTERNAL AFFAIRS (UNTIL 5/2024) 1.00 0.00 X 0 0 0 EMMA COOPER - DIRECTOR OF DATA & QUALITY (UNTIL 5/2024) 1.00 0.00 X 0 0 0 GREGORY REICKS DO PRESIDENT (UNTIL 5/2024) 1.00 0.00 X X 0 0 0 J MICHAEL STAHL SECRETARY/TREASURER (UNTIL 5/2024) 1.00 0.00 X X 0 0 0 JOE ADRAGNA DIRECTOR (UNTIL 5/2024) 1.00 0.00 X 0 0 0 KEVIN FITZGERALD DIRECTOR (UNTIL 5/2024) 1.00 0.00 X 0 0 0 PATRICK GORDON DIRECTOR (UNTIL 5/2024) 1.00 0.00 X 0 0 0 MICHAEL PRAMENKO MD DIRECTOR (UNTIL 5/2024) 1.00 0.00 X 0 0 0 CHARLEEN RAAUM DIRECTOR (UNTIL 5/2024) 1.00 0.00 X 0 0 0 KAY RAMACHANDRAN DIRECTOR (UNTIL 5/2024) 1.00 0.00 X 0 0 0 GEORGE SCOTT MD DIRECTOR (UNTIL 5/2024) 1.00 0.00 X 0 0 0 CHRIS THOMAS DIRECTOR (UNTIL 5/2024) 1.00 0.00 X 0 0 0 1751503 761510 594618 15 0 1 0 HOSKIN FARINA & KAMPF PO BOX 40 GRAND JUNCTION CO 81502 LEGAL SERVICES 131277 1 480000 480000 HIE SUBSCRIPTION FEES 518210 2653741 2653741 DATA PROCESSING 518210 2167063 2167063 OTHER PARTICIPANT FEES 518210 27246 27246 4848050 193764 193764 OTHER REVENUE 900099 63666 63666 63666 5585480 4848050 0 257430 1139968 1071570 68398 1017249 964896 52353 90088 85252 4836 422845 400090 22755 131389 124090 7299 497885 497885 36125 34118 2007 22576 22576 32079 20484 11595 2711 2691 20 1165793 1165793 99539 94009 5530 42448 38911 3537 28900 23019 5881 16423 15511 912 BAD DEBT 2709 2709 MISCELLANEOUS 54 49 5 4748781 4065768 497885 185128 7371515 687586 1027180 196569 0 8255670 1027180 191841 0 325179 190481 650557 0 1167577 190481 X 7088093 836699 7088093 836699 8255670 1027180 X 836699 -7088093 X X 0 1 X 1 0 X 864346 420000 420000 420000 480000 2604346 864346 420000 420000 420000 480000 2604346 134735 2469611 22997 7843 18882 351754 193764 595240 63666 63666 3263252 30427110 0.75680 0.83990 X SCHEDULE A, PART II, LINE 10, EXPLANATION OF OTHER INCOME: OTHER INCOME - 2024 AMOUNT: $ 63,666. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 X PART X, LINE 2: INCOME TAXES ARE NOT PROVIDED FOR IN THE FINANCIAL STATEMENTS, SINCE QUALITY HEALTH NETWORK IS EXEMPT FROM FEDERAL AND STATE INCOME TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE AND SIMILAR STATE PROVISIONS. THE ORGANIZATION IS NOT CLASSIFIED AS A PRIVATE FOUNDATION. THE ORGANIZATION IS SUBJECT TO BOTH FEDERAL AND STATE INCOME TAXES ON INCOME GENERATED FROM UNRELATED BUSINESS INCOME, IF ANY, CONDUCTED THROUGH THE ORGANIZATION. MANAGEMENT BELIEVES THAT THE ORGANIZATION HAS NO UNCERTAIN TAX POSITIONS AS OF DECEMBER 31, 2024. 0 0 0 0 0 1 1 0 0 MELISSA KOTRYS CHIEF EXECUTIVE OFFICER & TREASURER 0 356568 0 108750 0 360 0 20700 0 73986 0 560364 0 0 MARC LASSAUX - CEO EXECUTIVE DIRECTOR THEN DIRECTOR 249134 0 164043 0 0 0 15250 0 71057 0 499484 0 0 0 RICHARD WARNER - CHIEF MGMT PROJECT OFFICER (UNTIL 5/2024) 164945 0 137697 0 0 0 15250 0 48632 0 366524 0 0 0 TINA HOGEMAN CHIEF FINANCIAL OFFICER 0 255326 0 37725 0 2781 0 9514 0 45601 0 350947 0 0 JACKIE SIEVERS COO (UNTIL 5/2024) 148372 0 71985 0 0 0 7419 0 46004 0 273780 0 0 0 LAURA HEAD - INTERFACE PROJECT MANAGER (UNTIL 5/2024) 104883 0 64104 0 0 0 15250 0 69041 0 253278 0 0 0 ANDREW MEYER - MANAGER OF INTEROPERABILITY (UNTIL 5/2024) 113756 0 50905 0 0 0 11500 0 59667 0 235828 0 0 0 BRIAN HOLLINGSWORTH DIRECTOR OF FINANCE (UNTIL 5/2024) 116599 0 53688 0 0 0 5830 0 21408 0 197525 0 0 0 CATHERINE STORY - DIRECTOR OF COMM. COLLABORATION (UNTIL 5/2024) 142673 0 13000 0 0 0 7784 0 23485 0 186942 0 0 0 RYAN ECK - MANAGER OF DATA STRATEGY (UNTIL 5/2024) 105223 0 50496 0 0 0 7749 0 19491 0 182959 0 0 0 PART I, LINE 3 MELISSA KOTRYS AND TINA HOGEMAN ARE COMPENSATED BY THE SOLE MEMBER, CONTEXTURE, WHO USES THE FOLLOWING IN DETERMINING COMPENSATION AND CHECKS THE FOLLOWING BOXES ON THEIR SCHEDULE J FOR THEIR EMPLOYEES LISTED IN PART II OF THIS SCHEDULE J: - COMPENSATION COMMITTEE - INDEPENDENT COMPENSATION CONSULTANT - FORM 990 OF OTHER ORGANIZATIONS - COMPENSATION SURVEY OR STUDY - APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE PART I, LINE 6 THE SOLE MEMBER, CONTEXTURE, PAID MELISSA KOTRYS AND TINA HOGEMAN'S YEAR-END AND QUARTERLY BONUSES BASED ON QUARTERLY AND ANNUAL FINANCIAL PERFORMANCE. FORM 990, PART VI, SECTION A, LINE 1A THERE SHALL BE AN EXECUTIVE COMMITTEE OF THE BOARD OF DIRECTORS WHICH SHALL CONSIST OF THE BOARD-APPOINTED OFFICERS OF THE CORPORATION WHO ARE ALSO DIRECTORS, INCLUDING THE EX OFFICIO NON-VOTING MEMBERS OF THE BOARD WHO SHALL BE NON-VOTING MEMBERS OF THE EXECUTIVE COMMITTEE, AND UP TO TWO AT-LARGE DIRECTORS, AS APPOINTED BY THE BOARD OF DIRECTORS. THE EXECUTIVE COMMITTEE SHALL HAVE THE POWER TO TRANSACT ALL REGULAR BUSINESS OF THE CORPORATION DURING THE PERIOD BETWEEN BOARD MEETINGS, SUBJECT TO ANY LIMITATIONS IMPOSED BY THE BOARD OF DIRECTORS, BY THE BYLAWS, OR BY THE LAW. FORM 990, PART VI, SECTION A, LINE 3 IN SEPTEMBER 2020, TWO ENTITIES (COLORADO REGIONAL HEALTH INFORMATION ORGANIZATION (CORHIO) AND HEALTH CURRENT) WITH HEALTH INFORMATION EXCHANGES ENTERED INTO A LETTER OF INTENT REGARDING A PROPOSED AFFILIATION AGREEMENT. THE AFFILIATION AGREEMENT IMPROVES EACH ORGANIZATIONS' ABILITY TO SERVE THEIR RESPECTIVE COMMUNITIES BY LEVERAGING THE COMBINED EXPERTISE, CREATING A LARGER REGIONAL DATA UTILITY TO IMPROVE PUBLIC AND POPULATION HEALTH, AND OPENING BROADER REVENUE OPPORTUNITIES FOR DEEPER COMMUNITY-LEVEL SERVICES AND SUSTAINABILITY. BOTH ORGANIZATIONS' BOARDS OF DIRECTORS APPROVED THE AFFILIATION AGREEMENT TO BE EFFECTIVE AS OF JULY 1, 2021, ESTABLISHING CONTEXTURE. BOTH ENTITIES HAVE MAINTAINED THEIR SEPARATE TAX-EXEMPT STATUS. EFFECTIVE JULY 1, 2021, THE PARENT ORGANIZATION CONTEXTURE WAS ESTABLISHED AND BECAME THE SOLE MEMBER OF HEALTH CURRENT AND CORHIO. EFFECTIVE JANUARY 1, 2022, CONTEXTURE ESTABLISHED CONTEXTURE, LLC AS AN ADMINISTRATIVE HUB HOUSING THE FINANCIAL ADMINISTRATION AND EMPLOYEES OF THE TWO ENTITIES. THE ACTIVITIES OF CONTEXTURE LLC, COLORADO REGIONAL HEALTH INFORMATION ORGANIZATION AND HEALTH CURRENT HAVE BEEN CONSOLIDATED WITHIN CONTEXTURE, AS CONTEXTURE EXERCISES CONTROL OVER THESE ENTITIES. EFFECTIVE MAY 1, 2024, CONTEXTURE AFFILIATED WITH ANOTHER ENTITY, QUALITY HEALTH NETWORK (QHN). THE STRUCTURE OF THE AFFILIATION WAS THE SAME AS WITH THE HEALTH CURRENT-CORHIO AFFILIATION. CONTEXTURE IS THE SOLE MEMBER OF QHN AND CONTROLS ITS OPERATIONS. FORM 990, PART VI, SECTION A, LINE 4 DURING THE FISCAL YEAR, QHN AMENDED ITS ARTICLES OF INCORPORATION TO REMOVE ITS SIX SUPPORTED ORGANIZATIONS, DESIGNATE CONTEXTURE AS ITS SOLE SUPPORTED ORGANIZATION AND SOLE VOTING MEMBER, AND REQUIRE CONTEXTURE'S APPROVAL FOR ANY FUTURE AMENDMENTS TO THE ARTICLES. ADDITIONALLY, QHN AMENDED ITS BYLAWS TO GIVE THE CONTEXTURE BOARD OF DIRECTORS THE AUTHORITY TO APPOINT AND REMOVE QHN'S BOARD MEMBERS AND OFFICERS WITHOUT CAUSE OR NOTICE, REDUCE THE NUMBER OF QHN BOARD MEMBERS FROM ELEVEN TO TWO, AND REQUIRE CONTEXTURE'S APPROVAL FOR ANY FUTURE BYLAW AMENDMENTS. FORM 990, PART VI, SECTION A, LINE 6 THE CORPORATION SHALL HAVE ONE MEMBER. THE SOLE MEMBER OF THE CORPORATION IS CONTEXTURE, A COLORADO NONPROFIT RECOGNIZED AS TAX-EXEMPT UNDER SECTION 501(C)(3) OF THE CODE. FORM 990, PART VI, SECTION A, LINE 7A THE SOLE MEMBER, CONTEXTURE, HAS THE POWER AND AUTHORITY TO APPOINT THE MEMBERS OF THE BOARD. FORM 990, PART VI, SECTION A, LINE 7B THE SOLE MEMBER, CONTEXTURE, HAS THE POWER TO AMEND AND RESTATE THE ARTICLES OF INCORPORATION AND BYLAWS. FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 IS PREPARED BY THE ORGANIZATION'S INDEPENDENT PUBLIC ACCOUNTING FIRM BASED ON INFORMATION PROVIDED BY MANAGEMENT. ONCE THE DRAFT IS AVAILABLE, IT IS REVIEWED BY MANAGEMENT AND ANY CHANGES INCORPORATED INTO THE FILING. ONCE THIS DETAILED REVIEW IS COMPLETE, THE DRAFT OF THE FORM 990 IS PRESENTED TO THE BOARD OF DIRECTORS FOR THEIR REVIEW AND COMMENTS PRIOR TO THE FILING WITH THE IRS. FORM 990, PART VI, SECTION B, LINE 12C IN CONNECTION WITH ANY ACTUAL OR POSSIBLE CONFLICT OF INTEREST, AN INTERESTED PERSON MUST DISCLOSE THE EXISTENCE OF THE FINANCIAL INTEREST AND BE GIVEN THE OPPORTUNITY TO DISCLOSE ALL MATERIAL FACTS TO THE BOARD OF DIRECTORS REGARDING THE PROPOSED TRANSACTION OR ARRANGEMENT. AFTER DISCLOSURE OF THE FINANCIAL INTEREST AND ALL MATERIAL FACTS, AND AFTER ANY DISCUSSION WITH THE INTERESTED PERSON, THE INTERESTED PERSON SHALL LEAVE THE BOARD OF DIRECTORS MEETING WHILE THE DETERMINATION OF A CONFLICT OF INTEREST IS DISCUSSED AND VOTED UPON. THE REMAINING MEMBERS OF THE BOARD OF DIRECTORS SHALL DECIDE IF A CONFLICT OF INTEREST EXISTS. THE MINUTES OF THE BOARD OF DIRECTORS SHALL CONTAIN THE NAMES OF THE PERSONS, THE NATURE OF THE FINANCIAL INTEREST AND DECISION AS TO WHETHER A CONFLICT OF INTEREST IN FACT EXISTED. TO ENSURE THE CORPORATION OPERATES IN A MANNER CONSISTENT WITH CHARITABLE PURPOSES AND DOES NOT ENGAGE IN ACTIVITIES THAT COULD JEOPARDIZE ITS TAX-EXEMPT STATUS, PERIODIC REVIEWS SHALL BE CONDUCTED. THE PERIODIC REVIEWS SHALL, AT A MINIMUM, INCLUDE A REVIEW OF WHETHER PARTNERSHIPS, JOINT VENTURES, AND ARRANGEMENTS WITH MANAGEMENT ORGANIZATIONS CONFORM TO THE CORPORATION'S WRITTEN POLICIES, ARE PROPERLY RECORDED, REFLECT REASONABLE INVESTMENT OR PAYMENT FOR GOODS AND SERVICES, FURTHER CHARITABLE PURPOSES AND DO NOT RESULT IN INUREMENT, IMPERMISSIBLE PRIVATE BENEFIT OR AN EXCESS BENEFIT TRANSACTION. FORM 990, PART VI, SECTION B, LINE 15 THE ORGANIZATION'S OFFICERS AND EMPLOYEES ARE COMPENSATED BY THE SOLE MEMBER, CONTEXTURE. CEO COMPENSATION IS DETERMINED BY THE EXECUTIVE COMMITTEE AND APPROVED BY THE ENTIRE BOARD. AN OUTSIDE CONSULTANT PROVIDED A BENCHMARK SURVEY FOR ALL EXECUTIVE POSITIONS WHICH WAS USED TO DETERMINE IF SALARIES ARE IN PROPER RANGES. THIS WAS THEN DOCUMENTED IN THE CEO'S PERSONNEL FILE. NEW OR RECLASSIFIED POSITIONS ARE REVIEWED BY THE MANAGER AND DIRECTOR OF HUMAN RESOURCES TO EVALUATE THE DUTIES AND SEE IF ADJUSTMENTS ARE NECESSARY. AN OUTSIDE CONSULTANT PREPARED A COMPREHENSIVE SALARY ANALYSIS OF ALL POSITIONS WITHIN THE ORGANIZATION (EXCEPT EXECUTIVE LEADERSHIP) AND ASSIGNED A PAY GRADE TO EACH JOB TITLE. COMPA RATIOS ARE USED TO DETERMINE INDIVIDUAL SALARIES AND ANY INCREASES ARE DETERMINED THROUGH ANNUAL PERFORMANCE EVALUATIONS. EVALUATIONS ARE DOCUMENTED AND KEPT IN THE EMPLOYEE'S PERSONNEL FILE. THE PROCESS DESCRIBED HERE WAS LAST COMPLETED IN 2024. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART XI, LINE 9: NET ASSET ADJUSTMENT DUE TO AFFILIATION -361,834. CONTRIBUTION OF NET ASSETS TO CONEXTURE DUE TO AFFILIATION -6,726,259. FORM 990, PART XII, LINE 2C: THERE HAS BEEN NO CHANGE IN EITHER THE OVERSIGHT PROCESS OR THE SELECTION PROCESS DURING THE YEAR. HEALTH CURRENT 2901 N CENTRAL AVE SUITE 1100 PHOENIX AZ 85012 208381131 HEALTH INFORMATION EXCHANGE AZ 501(C)(3) LINE 7 CONTEXTURE 0 COLORADO REGIONAL HEALTH INFORMATION ORGANIZATION 2000 S COLORADO BLVD DENVER CO 80222 300558038 HEALTH INFORMATION EXCHANGE CO 501(C)(3) LINE 7 CONTEXTURE 0 CONTEXTURE 2000 S COLORADO BLVD DENVER CO 80222 862878952 HEALTH INFORMATION EXCHANGE CO 501(C)(3) LINE 10 N/A 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0