Grand County Rural Health Network Inc

Nonprofit profile at a glance

EIN
841587575
IRS 990 coverage
2010–2025
Forms available
Form 990 2025
Location
Hot Sulphur Springs, CO, USA
Phone
9707253477
Rating
85
Verdict
STRONG
Rating confidence
Moderate
Sector
Health - General and Rehabilitative N.E.C.

Official website

Reported finances

Revenue
$1,438,264
Expenses
$1,404,681
Assets
$519,727
Liabilities
$55,541

Source: IRS Form 990. Selected filing: tax year 2025. Amounts in USD.

Leadership & pay

7 people listed

Highest reported compensation

  • AMANDA UEHLEIN (EXEC DIR/PRE): $131,586 total reported compensation

Source: IRS Form 990. Selected filing: tax year 2025. Names and roles reflect this filing, not necessarily current officeholders.

Overview

Mission

We work in partnership to advocate for and support the health of our community.

What it reported doing in 2025

The partners for adults in need of services (p.a.i.n.s.) is a program established by the network and its partners to provide healthcare vouchers for acute, non-emergent medical and mental health services to uninsured adults who qualify financially. In 2025, the p.a.i.n.s. Program served 154 unique clients via 609 vouchers. The health coverage guide program, in partnership with the northwest Colorado community health partnership, provides free, in-person assistance and education for individuals and families enrolling in the state health insurance marketplace. In 2025, the health coverage guides assisted 176 households through 490 appointments. Advocacy for children's health and education services (a.c.h.e.s.) is a collaborative effort of grand county agencies and community groups to promote the well-being of children. The aches program provides medical, dental and mental health vouchers to uninsured children who qualify financially and are in need of acute, non-emergent care or preventative care. In 2025, the a.c.h.e.s. Program served 57 unique clients via 91 healthcare vouchers and one pop-up dental clinic.

Operating model

Revenue model
Mixed. Its operating money came from several sources; no one source provided a clear majority.
Distribution model
Direct operator. The filing allocates 100% of reported program-service expenses outside its grant, affiliate-payment, and member-benefit lines. This expense classification does not rule out separately announced grant awards.

The verdict

STRONG - A large share of available resources goes toward mission work and the filed numbers largely add up. Fundraising costs are high for each dollar raised and expenses are high relative to revenue.

Rating breakdown

  • Financial Efficiency: 79
  • Transparency & Controls: 92
  • Accountability: 95
  • Sustainability: 32
  • Growth: 100

Detailed rating inputs

Financial Efficiency

  • Mission deployment rate: 81.1%; rating input score 81
  • Program expense ratio: 83%; rating input score 83
  • Fundraising efficiency: $21.86 raised per $1 spent on fundraising; rating input score 58; 58th percentile among comparable filings

Transparency & Controls

  • Consistency checks: 100%; rating input score 100; 63rd percentile among comparable filings
  • Pay-setting controls: Limited
  • Foreign activity oversight: Limited
  • Grant itemization coverage: Limited
  • Major donor itemization: Yes; rating input score 100
  • Related-party transparency: Limited

Accountability

  • Independent voting board: 100%; rating input score 100; 64th percentile among comparable filings
  • Governance controls: 7 of 8 controls in place; rating input score 88
    • Conflict-of-interest policy: Pass
    • Whistleblower policy: Pass
    • Document-retention policy: Pass
    • CEO compensation review process: NotApplicable
    • Other executive compensation review process: Pass
    • Form 990 shared with the board: Fail
    • Board meeting minutes documented: Pass
    • Audit committee oversight: Pass
    • Independent financial-statement audit: Pass

Sustainability

  • Operating margin: 2.3%; rating input score 38; 38th percentile among comparable filings
  • Total-asset coverage ratio: 0.37; rating input score 19; 19th percentile among comparable filings
  • Liabilities to assets ratio: 0.11; rating input score 34; 34th percentile among comparable filings
  • Officer compensation ratio: 9.4%; rating input score 39; 39th percentile among comparable filings

Growth

  • Program expense growth: 8.9% per year; rating input score 100; 54th percentile among comparable filings
  • Revenue growth: 9.3% per year; rating input score 100; 58th percentile among comparable filings
  • Asset growth: 7% per year; rating input score 100; 44th percentile among comparable filings

Details

  • Where the money goes: 81.1% of revenue deployed · 83% of spending went to programs
  • Governance: 6 of 6 board members independent · 7 of 8 filing controls reported
  • Programs: 4 filed program accomplishments · $1.2M in reported program spending
  • Leadership: top reported pay $132K · 7 people listed
  • Consistency: 33 of 33 current checks pass
  • Schedules: 5 filed schedules · includes major donors
  • Filing history: 16 filing years from 2010 to 2025
  • Contacts: How to reach this organization
  • Money network: 1 filed money-flow record
  • Grant readiness: Federal tax and exclusion status, award history, and grant-maker relationships.
  • People: Everyone the filings name, and which of them the filings identify by more than a name.

Key Signals

Signals prioritize questions for review. They are not findings of misconduct.

  • Review — Financial Efficiency: Fundraising efficiency scored 58/100.
  • Moderate — Sustainability: Operating margin scored 38/100.
  • High — Sustainability: Total-asset coverage ratio scored 19/100.
  • Review — Accountability: Governance controls: Form 990 shared with the board not reported.
  • Moderate — Sustainability: Liabilities to assets ratio scored 34/100.
  • Moderate — Sustainability: Officer compensation ratio scored 39/100.