Rocky Mountain Health Maintenance Organization Incorporated

Organization Overview

Rocky Mountain Health Maintenance Organization Incorporated, operating under the name Rocky Mountain Health Plans, is located in Grand Junction, CO. Rocky Mountain Health Plans is a 501(c)(4) and as such, is described as a "Civic League, Social Welfare Organization, and Local Association of Employees" by the IRS.

For the year ending 12/2016, Rocky Mountain Health Plans generated $619.0m in total revenue. The organization has seen a slow decline revenue. Over the past 2 years, revenues have fallen by an average of (2.9%) each year. All expenses for the organization totaled $625.7m during the year ending 12/2016. As we would expect to see with falling revenues, expenses have declined by (4.0%) per year over the past 2 years. You can explore the organizations financials more deeply in the financial statements section below.

Mission & Program ActivityExcerpts From the 990 Filing

TAX YEAR

2016

Describe the Organization's Mission:

Part 3 - Line 1

COORDINATE THE FINANCE AND DELIVERY OF HIGH QUALITY HEALTH CARE AND RELATED SERVICES THROUGH A COMMUNITY-BASED ORGANIZATIONAL STRUCTURE TO A BROAD CROSS-SECTION OF COLORADANS, FOCUSING ON PREVENTIVE CARE, ACCESS AND QUALITY IMPROVEMENT FOR THE BENEFIT OF MEMBERS AND THE GREATER COMMUNITY.

Describe the Organization's Program Activity:

Part 3 - Line 4a

EMPLOYER GROUP AND INDIVIDUAL PLANSPROVIDED MEDICAL BENEFIT SERVICES AND PROGRAMS TO OVER 31,000 PEOPLE ENROLLED THROUGH EMPLOYER GROUP AND INDIVIDUAL PLANS. OVER 90% OF EMPLOYER GROUPS WERE SMALL BUSINESSES.


MEDICARE PLANSPROVIDED 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.


MEDICAID PLANSUNDER THE MEDICAID ASO AGREEMENT, RMHMO PROVIDED MEDICAL BENEFIT SERVICES AND PROGRAMS TO MEDICAID RECIPIENTS IN 7 RURAL COUNTIES, ENSURING ACCESS TO QUALITY MEDICAL CARE NOT OTHERWISE AVAILABLE, AND SAVING TAXPAYER DOLLARS WHILE EXCEEDING NATIONAL BENCHMARKS FOR QUALITY. THIS PROGRAM CONTRACTUALLY ENDED IN 2014 BUT THE ORGANIZATION HAD RUN-OUT INTO 2016.EXPENSES $ -183,477. INCLUDING GRANTS OF $ 0. REVENUE $ 24,529.EFFECTIVE ON SEPTEMBER 1, 2014, RMHP LAUNCHED A NEW MEDICAID PAYMENT REFORM PILOT KNOWN AS MEDICAID PRIME, WHICH IS AUTHORIZED STATUTORILY BY THE COLORADO GENERAL ASSEMBLY. NEW PAYMENT METHODS AND QUALITY METRICS ARE BEING TESTED TO IMPROVE ACCESS AND VALUE FOR COLORADO MEDICAID RECIPIENTS IN A RIGOROUS, EXTERNALLY EVALUATED DEMONSTRATION. AN AVERAGE OF 34,000 ENROLLEES WERE SERVED BY RMHP IN MEDICAID PRIME DURING 2016.EXPENSES $ 167,150,377. INCLUDING GRANTS OF $ 0. REVENUE $ 186,805,553. CHILDREN'S HEALTH PLAN PLUS:THROUGH THE COLORADO DEPARTMENT OF HEALTH CARE POLICY AND FINANCING, RMHMO PROVIDED MEDICAL BENEFIT SERVICES AND PROGRAMS TO OVER 10,000 CHILDREN IN LOW-INCOME HOUSEHOLDS 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 THROUGH A MANAGED CARE PROGRAM THAT PROVIDES CASE MANAGEMENT AND CARE COORDINATION.EXPENSES $ 14,808,910. INCLUDING GRANTS OF $ 0. REVENUE $ 18,302,508. REGIONAL CARE COLLABORATIVE:AS PART OF A CONTRACT AWARD RECEIVED FROM THE COLORADO DEPARTMENT OF HEALTH CARE POLICY AND FINANCING, RMHMO PROVIDES SERVICES AS PART OF A REGIONAL CARE COLLABORATIVE ORGANIZATION FOR THE MEDICAID PROGRAM, WHOSE GOALS ARE TO IMPROVE HEALTH OUTCOMES OF MEDICAID RECIPIENTS 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 MEDICAID RECIPIENTS; PROVIDING A FOCAL POINT OF CARE; ENSURING POSITIVE PATIENT AND PROVIDER EXPERIENCES; AND APPLYING STATEWIDE DATA TO SUPPORT DATA-DRIVEN QUALITY IMPROVEMENT INTERVENTIONS. THE CONTRACT COVERS 22 COUNTIES IN COLORADO AND SERVES OVER 135,000 MEDICAID CLIENTS.EXPENSES $ 13,438,700. INCLUDING GRANTS OF $ 0. REVENUE $ 14,917,304.


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, LEADERSHIP, VOLUNTEER TIME, AND IN-KIND SUPPORT HAS NOT BEEN QUANTIFIED.EXPENSES $ 1,835,985. INCLUDING GRANTS OF $ 1,173,409. REVENUE $ 0. TOTAL OTHER PROGRAM SERVICES:CONTRIBUTION & GRANT REVENUE OF $ 1,244,229 WAS USED TO SUPPORT THESE OTHER PROGRAM SERVICE COSTS.


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Outside Vendors & Contractors

Vendor Name (Service)Compensation
Rocky Mountain Health Management Corpora
Management Services
$40,508,649
Colorado West Healthcare System Dba Co
Medical Payments
$20,021,815
Medimpact Healthcare Systems Inc
Rx Payments - Pharmacy Benefit Manager
$110,477,722
Catholic Health Initiatives Colorado
Medical Payments
$17,991,833
St Mary's Hospital & Medical Center In
Medical Payments
$63,498,247
View All Vendors

Financial Statements

Statement of Revenue
Federated campaigns$0
Membership dues$0
Fundraising events$0
Related organizations$0
Government grants $1,158,249
All other contributions, gifts, grants, and similar amounts not included above$85,980
Noncash contributions included in lines 1a–1f $0
Total Revenue from Contributions, Gifts, Grants & Similar$1,244,229
Total Program Service Revenue$616,510,530
Investment income $424,227
Tax Exempt Bond Proceeds $0
Royalties $0
Net Rental Income $0
Net Gain/Loss on Asset Sales -$1,474
Net Income from Fundraising Events $0
Net Income from Gaming Activities $0
Net Income from Sales of Inventory $0
Miscellaneous Revenue$0
Total Revenue $618,950,733

Grants Awarded

Over the last fiscal year, Rocky Mountain Health Maintenance Organization Incorporated has awarded $1,173,409 in support to 11 organizations.

Grant RecipientAmount

Grand Junction, CO

PURPOSE: THE MAJORITY OF THE FUNDS ARE TO PROVIDE FUNDING TO REIMBURSE THE PARTNERS FOR THE CARE AND SERVICES THEY ARE PROVIDING TO INDIVIDUALS WHO QUALIFY FOR THE INTELLECTUAL AND /OR DEVELOPMENTAL DISABILITIES (IDD) CRISIS CENTER PILOT PROJECT. THE PURPOSE OF THE GRANT IS TO ESTABLISH A PILOT PROGRAM TO PROVIDE CRITICAL BEHAVIORAL CRISIS CARE FOR THOSE MEMBERS THAT HAVE A DUAL DIAGNOSIS OF AN IDD AND A MENTAL OR BEHAVIORAL HEALTH DIAGNOSIS. THE PILOT PARTNERS WORK TOGETHER TO ASSESS CLIENTS, MANAGE THE CRISIS AND CREATE FOLLOW UP PLANS. THE PARTNERS ALSO COLLABORATE IN PROFESSIONAL LEARNING COMMUNITIES THAT TEACH THEM HOW TO MANAGE CRISIS FOR CLIENTS WITH IDD AND TRACK AND SHARE DATA. CONTRIBUTIONS ALSO SUPPORT VARIOUS ACTIVITIES INCLUDING ASSISTING INDIVIDUALS, YOUNG AND OLD, WHO LIVE WITH DEVELOPMENTAL DISABILITIES TO HAVE ACCESS AND SUPPORT TO COMMUNITY SERVICES AND OTHER GENERAL PROGRAM SERVICES THAT PROMOTE THE NON-PROFIT MISSION.

$535,276

FOOTHILLS GATEWAY INC

Org PageRecipient Profile

Fort Collins, CO

PURPOSE: PROVIDED GRANT FUNDING TO REIMBURSE THE PARTNERS FOR THE CARE AND SERVICES THEY ARE PROVIDING TO INDIVIDUALS WHO QUALIFY FOR THE INTELLECTUAL AND /OR DEVELOPMENTAL DISABILITIES (IDD) CRISIS CENTER PILOT PROJECT. THE PURPOSE OF THE GRANT IS TO ESTABLISH A PILOT PROGRAM TO PROVIDE CRITICAL BEHAVIORAL CRISIS CARE FOR THOSE MEMBERS THAT HAVE A DUAL DIAGNOSIS OF AN IDD AND A MENTAL OR BEHAVIORAL HEALTH DIAGNOSIS. THE PILOT PARTNERS WORK TOGETHER TO ASSESS CLIENTS, MANAGE THE CRISIS AND CREATE FOLLOW UP PLANS. THE PARTNERS ALSO COLLABORATE IN PROFESSIONAL LEARNING COMMUNITIES THAT TEACH THEM HOW TO MANAGE CRISIS FOR CLIENTS WITH IDD AND TRACK AND SHARE DATA.

$198,997

ROCKY MOUNTAIN HEALTH PLANS FOUNDATION INC

Org PageRecipient Profile

Grand Junction, CO

PURPOSE: 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.

$107,696

COLORADO MESA UNIVERSITY FOUNDATION

Org PageRecipient Profile

Grand Junciton, CO

PURPOSE: PROVIDED GRANT FUNDING TO SUSTAIN AND EXPAND THE UNIVERSITY'S NURSING PROGRAM IN AN EFFORT TO INCREASE ENROLLMENT RESULTING IN A HIGHER AVAILABILITY OF LICENSED NURSES.

$100,000

HILLTOP COMMUNITY RESOURCES

Org PageRecipient Profile

Grand Junction, CO

PURPOSE: 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.

$98,000

Grand Junction, CO

PURPOSE: 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.

$40,000
View Grant Profile

Peer Organizations

Organization NameAssets
Integris Baptist Medical Center Inc
Oklahoma City, OK
$1,074,971,636
Western Governors University
Salt Lake City, UT
$1,020,118,520
Scott & White Clinic
Dallas, TX
$977,412,932
St Lukes Hospital Of Kansas City
Kansas City, MO
$1,070,641,998
Saint Thomas West Hospital
St Louis, MO
$1,081,181,844
Driscoll Childrens Health Plan
Corpus Christi, TX
$1,055,125,455
Baptist Health
Little Rock, AR
$1,059,132,631
Woodmen Of The World Life Insurance Society
Omaha, NE
$1,020,619,814
Mercy Hospital Springfield
Springfield, MO
$1,115,699,805
Ssm Health Care Corporation
St Louis, MO
$1,033,534,741
Ascension St John Hospital
St Louis, MO
$965,978,781
Healthtexas Provider Network
Dallas, TX
$958,731,143

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