2024-11-15T14:53:57+00:00 2023-12-31 440160260 Forvis Mazars LLP 111 South Tejon Suite 800 Colorado Springs CO 809039848 990 2023-01-01 841354846 DENVER HEALTH MEDICAL PLAN INC DENV 3036022100 777 BANNOCK ST MC 6000 DENVER CO 80204 GREG MCCARTHY CEO 3036022100 2024-11-15 true true Adam R Smith P00958966 7194714290 2024-11-15 2023 2024-10-15 13:58:12Z GREG MCCARTHY 777 BANNOCK ST MC 6000 DENVER CO 80204 548038026 false X WWW.DENVERHEALTHMEDICALPLAN.ORG X 1997 CO THE ORGANIZATION'S MISSION IS TO PROVIDE AFFORDABLE, HIGH QUALITY HEALTHCARE COVERAGE FOR ALL, IN PARTNERSHIP WITH DENVER HEALTH. IN PARTNERSHIP WITH OUR PROVIDERS, WE CONTINUALLY SEEK TO IMPROVE THE HEALTH AND WELLBEING OF OUR MEMBERS BY: PROMOTING WELLNESS AND DISEASE PREVENTION, PROVIDING ACCESS TO CULTURALLY DIVERSE COMPREHENSIVE HEALTH SERVICES, ENABLING MEMBERS TO PLAY AN ACTIVE ROLE IN THEIR HEALTH CARE, DELIVERING OUR SERVICES WITH RESPONSIBILITY AND RESPECT TO ALL. 9 6 0 8 0 0 0 0 545703083 529674338 1334309 3139367 0 6518712 547037392 539332417 0 0 427901049 383102159 21014992 22505794 0 0 0 99079615 122826508 547995656 528434461 -958264 10897956 122265011 132596699 85284270 87597006 36980741 44999693 THE ORGANIZATION'S MISSION IS TO PROVIDE AFFORDABLE, HIGH QUALITY HEALTHCARE COVERAGE FOR ALL, IN PARTNERSHIP WITH DENVER HEALTH. IN PARTNERSHIP WITH OUR PROVIDERS WE CONTINUALLY SEEK TO IMPROVE THE HEALTH AND WELLBEING OF OUR MEMBERS BY: PROMOTING WELLNESS AND DISEASE PREVENTION, PROVIDING ACCESS TO CULTURALLY DIVERSECOMPREHENSIVE HEALTH SERVICES, ENABLING MEMBERS TO PLAY AN ACTIVE ROLE IN THEIR HEALTH CARE, DELIVERING OUR SERVICES WITH RESPONSIBILITY AND RESPECT TO ALL. false false 502373092 0 536193050 THE DENVER HEALTH MEDICAL PLAN, INC. IS ORGANIZED AS AN HMO UNDER THE LAWS OF THE STATE OF COLORADO TO PROVIDE MANAGED CARE SERVICES THAT DELIVER QUALITY, ACCESSIBLE, AND AFFORDABLE HEALTH CARE SERVICES. 502373092 false false false false false false false false false true false false false true false true true false false false false false false false false false false false true false false false false false false false false false false false false false true false false true 1421 0 true 0 false false false false false false false false X 9 6 true false false false true true false true true false false false true true true true true false false false X GREGORY MCCARTHY 3036022100 777 BANNOCK ST MC 6000 DENVER CO 80204 Don Fowler CHAIR 2.0 0.0 X X 0 0 0 Helen Atkeson VICE CHAIR 2.0 0.0 X X 0 0 0 Rick Newsome TREASURER 2.0 0.0 X X 0 0 0 Claire Brockbank BOARD MEMBER 2.0 0.0 X 0 0 0 DONNA LYNNE BOARD MEMBER 1.0 41.0 X 0 1141018 33464 Len Dryer BOARD MEMBER 2.0 0.0 X 0 0 0 Liz Kah BOARD MEMBER 2.0 0.0 X 0 0 0 RUS HEISE BOARD MEMBER 1.0 0.0 X 0 246134 53961 SIMON HAMBRIDGE BOARD MEMBER 2.0 38.0 X 0 285313 71511 CHRISTINE SEALS MEDICAL DIRECTOR 40.0 0.0 X 0 306863 47562 GREGORY MCCARTHY CEO 40.0 0.0 X 0 391507 43053 JOSEPH CALDWELL DHMP CFO 40.0 0.0 X 0 276333 46383 MICHAEL WAGNER CHIEF ADMINISTRATIVE OFFICER 40.0 0.0 X 0 218926 32801 Bryant Wiltrout DIR, IT SYSTEMS 40.0 0.0 X 0 180743 38952 Darla Schmidt SR DIR HEALTH PLAN UTILIZATION MGMT 40.0 0.0 X 0 158803 17653 Rebecca Stob DIR, ACTUARIAL SERVICES 40.0 0.0 X 0 147825 15125 Robert Novak MGR, IT SYSTEMS 40.0 0.0 X 0 150626 35362 RUIE WINTERS III SR DIR HEALT OUTCOMES, PHARMACY, MANAGED CA 40.0 0.0 X 0 184924 53987 NORMA STIGLICH FORMER MEDICAL DIRECTOR 0.0 0 X 0 208911 49988 0 3897926 539802 12 true true false DENVER HEALTH AND HOSPITAL AUTHORITY 777 BANNOCK STREET DENVER CO 80204 MEDPHARM CLAIMS, CAPITATION PMT, ADMIN/LEGAL SVCS, NURSE LINE, SUBROGATION, LEASED EMPLOYEES. 244261079 MEDIMPACT HEALTHCARE SYSTEM 10608 TREENA ST SAN DIEGO CA 92131 PHARMACY 31918930 UNIVERSITY OF COLORADO PO BOX 731605 DALLAS TX 75373 MEDICAL SERVICES 28508511 SKY RIDGE MEDICAL CENTER 10101 RIDGEGATE PARKWAY LONE TREE CO 80124 MEDICAL SERVICES 21857412 CHILDREN'S HOSPITAL COLORADO 13123 EAST 16TH AVENUE AURORA CO 80045 MEDICAL SERVICES 15394448 171 0 PREMIUMS REVENUE 624100 529674338 529674338 0 0 0 0 529674338 3170626 3170626 0 0 8674350 8705609 -31259 0 -31259 -31259 Administrative Services Revenue 561000 6518712 6518712 0 0 0 0 6518712 539332417 536193050 0 3139367 383102159 383102159 22505794 20255215 2250579 2624891 2624891 2376303 2376303 12840025 3143727 9696298 0 643021 643021 1367529 1367529 6380960 2846629 3534331 87508 87508 15157 15157 594793 594793 106088 106088 REINSURANCE 92204728 92204728 other 3407892 3407892 BAD DEBT EXPENSE 177613 177613 0 0 0 0 528434461 502373092 26061369 0 2449920 13241509 48469505 59594048 0 0 0 0 10668582 1913774 5399933 5122286 803269 277647 59408737 56985277 0 0 464998 584444 122265011 132596699 79084652 78146209 0 0 6199618 9450797 85284270 87597006 X 36980741 44999693 36980741 44999693 122265011 132596699 X 10897956 620996 -3500000 X false true X true false 5399933 5122286 277647 277647 DUE TO DENVER HEALTH & HOSPITAL AUTHORITY 9450797 9450797 444071072 620996 0 620996 443450076 95882341 95882341 539332417 436052120 0 0 436052120 92382341 92382341 528434461 Schedule D, Part X, Line 2 UNCERTAIN TAX POSITIONS: MANAGEMENT HAS EVALUATED THEIR INCOME TAX POSITIONS UNDER THE GUIDANCE INCLUDED IN ASC 740. BASED ON THEIR REVIEW, MANAGMENT HAS NOT IDENTIFIED ANY MATERIAL UNCERTAIN TAX POSITIONS TO BE RECORDED OR DISCLOSED IN THE FINANCIAL STATEMENTS. Schedule D, Part XI, Line 4(b) Other revenues in form 990 not in audited financial statements Declared Dividend - 3500000 Bad debt expense - 177613 REINSURANCE NET RECLASSED TO EXPENSE. - 92204728 Schedule D, Part XII, Line 4(b) Other expenses in form 990 not in audited financial statements Bad debt expense - 177613 REINSURANCE NET RECLASSED TO EXPENSE. - 92204728 false true false false false false false false DONNA LYNNE BOARD MEMBER 0 1117493 0 0 0 23525 0 23507 0 9957 0 1174482 0 0 RUS HEISE BOARD MEMBER 0 245932 0 0 0 202 0 38461 0 15500 0 300095 0 0 SIMON HAMBRIDGE BOARD MEMBER 0 283080 0 0 0 2233 0 62814 0 8697 0 356824 0 0 NORMA STIGLICH FORMER MEDICAL DIRECTOR 0 206214 0 0 0 2698 0 20109 0 29879 0 258899 0 0 GREGORY MCCARTHY CEO 0 389913 0 0 0 1594 0 26256 0 16797 0 434560 0 35571 CHRISTINE SEALS MEDICAL DIRECTOR 0 293070 0 0 0 13793 0 25764 0 21798 0 354425 0 0 MICHAEL WAGNER CHIEF ADMINISTRATIVE OFFICER 0 218594 0 0 0 331 0 19308 0 13493 0 251727 0 0 JOSEPH CALDWELL DHMP CFO 0 276067 0 0 0 267 0 24214 0 22169 0 322717 0 0 RUIE WINTERS III SR DIR HEALT OUTCOMES, PHARMACY, MANAGED CA 0 184496 0 0 0 428 0 17655 0 36332 0 238911 0 0 Bryant Wiltrout DIR, IT SYSTEMS 0 180348 0 0 0 395 0 15912 0 23041 0 219695 0 0 Darla Schmidt SR DIR HEALTH PLAN UTILIZATION MGMT 0 158445 0 0 0 358 0 16894 0 758 0 176455 0 0 Rebecca Stob DIR, ACTUARIAL SERVICES 0 147683 0 0 0 142 0 14973 0 152 0 162950 0 0 Robert Novak MGR, IT SYSTEMS 0 150626 0 0 0 0 0 13745 0 21617 0 185989 0 0 Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan NONQUALIFIED RETIREMENT PLANS: CERTAIN DENVER HEALTH AND HOSPITAL AUTHORITY EMPLOYEES SERVING AS BOARD MEMBERS AND/OR OFFICERS OF DENVER HEALTH MEDICAL PLAN PARTICIPATE IN A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN WITH DENVER HEALTH AND HOSPITAL AUTHORITY. THE FOLLOWING PERSON REPORTED THE FOLLOWING AMOUNTS AS INCLUDIBLE IN INCOME UNDER THIS PLAN. * GREGORY MCCARTHY - 35,571 Schedule J, Part I, Line 3 DETERMINATION OF CEO COMPENSATION: COMPENSATION IS PAID BY A RELATED ORGANIZATION, DENVER HEALTH AND HOSPITAL AUTHORITY. PLEASE SEE SCHEDULE O FOR DISCLOSURE ON HOW CEO COMPENSATION IS ESTABLISHED. Form 990, Part VI, Line 2 Family/business relationships amongst interested persons FARAZ KHAN AND DR. SIMON HAMBRIDGE - Business relationship Form 990, Part VI, Line 6 Classes of members or stockholders DESCRIBE CIRCUMSTANCES FOR MEMBERS ELECTING GOVERNING BODY: THE SOLE MEMBER OF THE DENVER HEALTH MEDICAL PLAN (PLAN) IS THE DENVER HEALTH AND HOSPITAL AUTHORITY (AUTHORITY), A POLITICAL SUBDIVISION OF THE STATE OF COLORADO. THE BOARD OF THE AUTHORITY APPOINTS THE BOARD MEMBERS OF THE PLAN. THE PLAN WAS ORGANIZED FOR THE BENEFIT OF THE AUTHORITY, AND UPON DISSOLUTION, THE NET ASSETS MUST BE DISTRIBUTED TO THE AUTHORITY. Form 990, Part VI, Line 7a Members or stockholders electing members of governing body DESCRIBE CIRCUMSTANCES FOR MEMBERS ELECTING GOVERNING BODY: THE SOLE MEMBER OF THE DENVER HEALTH MEDICAL PLAN (PLAN) IS THE DENVER HEALTH AND HOSPITAL AUTHORITY (AUTHORITY), A POLITICAL SUBDIVISION OF THE STATE OF COLORADO. THE BOARD OF THE AUTHORITY APPOINTS THE BOARD MEMBERS OF THE PLAN. THE PLAN WAS ORGANIZED FOR THE BENEFIT OF THE AUTHORITY, AND UPON DISSOLUTION, THE NET ASSETS MUST BE DISTRIBUTED TO THE AUTHORITY. Form 990, Part VI, Line 11b Review of form 990 by governing body PROCESS TO REVIEW THE FORM 990: THE TAX RETURN IS REVIEWED BY EXECUTIVE MANAGEMENT PRIOR TO BEING FILED. AFTER FILING WITH THE IRS, MANAGEMENT THEN PROVIDES COPIES TO ALL MEMBERS OF THE GOVERNING BODY UPON REQUEST. Form 990, Part VI, Line 12c Conflict of interest policy PROCESS FOR MONITORING COMPLIANCE WITH CONFLICT OF INTEREST POLICY: THE ORGANIZATION'S CONFLICT OF INTEREST POLICY COVERS ALL EMPLOYEES AND BOARD MEMBERS. AN ANNUAL REVIEW AND QUESTIONNAIRE IS COMPLETED BY THE AUTHORITY'S OFFICE OF COMPLIANCE, WITH RESULTS REPORTED ANNUALLY TO THE PLAN'S BOARD OF DIRECTORS. THE POLICY ALSO GIVES THE PLAN'S COMPLIANCE COMMITTEE THE POWER TO DETERMINE IF THE PERSON HAS IN FACT FAILED TO DISCLOSE AN ACTUAL OR POSSIBLE CONFLICT OF INTEREST, AND DETERMINES THE APPROPRIATE CORRECTIVE ACTION. Form 990, Part VI, Line 19 Required documents available to the public GOVERNING DOCUMENTS AVAILABLE TO THE PUBLIC: THE PLAN MAINTAINS COPIES OF ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AT ITS COMPANY OFFICES IN DENVER, COLORADO, AND MAKES THEM AVAILABLE TO THE PUBLIC UPON REQUEST. Form 990, Part XI, Line 9 Other changes in net assets or fund balances Declared Dividend - -3500000; FORM 990, PART V, LINE 2A EMPLOYEES FOR THE ORGANIZATION: DENVER HEALTH MEDICAL PLAN (PLAN) HAS NO EMPLOYEES. IT PAYS DENVER HEALTH HOSPITAL AUTHORITY (AUTHORITY), A POLITICAL SUBDIVISION OF THE STATE OF COLORADO, FOR A PORTION THE TIME OF CERTAIN AUTHORITY EMPLOYEES THAT IS SPENT ON THE PLAN'S INITIATIVES AND OPERATIONS. FORM 990, PART VII, SECTION A, COLUMN C EXPLANATION FOR FORMER OFFICERS LISTED: NORMA STIGLICH IS A FORMER OFFICER OF DENVER HEALTH MEDICAL PLAN, AND A CURRENT EMPLOYEE OF DENVER HEALTH AND HOSPITAL AUTHORITY, A RELATED ORGANIZATION. NORMA STIGLICH NO LONGER SERVES IN ANY ROLE AT AND PROVIDED NO SERVICES TO DENVER HEALTH MEDICAL PLAN AT ANY TIME DURING THE TAX YEAR. ALL COMPENSATION DISCLOSED ON 990 PART VII AND SCHEDULE J, PART II IS FOR HER SERVICES TO/FOR DENVER HEALTH AND HOSPITAL AUTHORITY AS A CURRENT EMPLOYEE OF DENVER HEALTH AND HOSPITAL AUTHORITY. FORM 990, PART VII, SECTION B, COLUMN B DESCRIPTION OF SERVICES FOR DENVER HEALTH AND HOSPITAL AUTHORITY: MEDICAL AND PHARMACY CLAIMS, CAPITATION PAYMENTS, ADMIN AND LEGAL SERVICES, NURSE CALL LINE, SUBROGATION, AND LEASED EMPLOYEES. FORM 990, PART XII, LINE 2B FINANCIAL STATEMENTS AND REPORTING: THE PLAN IS A DISCRETELY PRESENTED COMPONENT IN THE AUDITED FINANCIAL STATEMENTS FOR THE AUTHORITY WHICH ARE PREPARED IN ACCORDANCE WITH GENERALLY ACCEPTED GOVERNMENTAL ACCOUNTING PRINCIPLES. IN ADDITION, THE PLAN PREPARES STATUTORY FINANCIAL STATEMENTS IN ACCORDANCE WITH GENERALLY ACCEPTED ACCOUNTING PRACTICES PRESCRIBED BY THE DIVISION OF INSURANCE OF THE DEPARTMENT OF REGULATORY AGENCIES OF THE STATE OF COLORADO. THESE STATUTORY FINANCIAL STATEMENTS ARE SEPARATELY AUDITED. FORM 990, PART XII, LINE 2C ORGANIZATION'S OVERSIGHT PROCESS: THE DENVER HEALTH AND HOSPITAL AUTHORITY FINANCE COMMITTEE ASSUMES RESPONSIBILITY FOR THE OVERSIGHT OF THE AUDIT AND SELECTION OF THE INDEPENDENT ACCOUNTANT. DENVER HEALTH AND HOSPITAL AUTHORITY 777 BANNOCK ST DENVER CO 80204 841343242 GOVT HOSPITAL CO 501(c)(1) N/A false 550 ACOMA 777 BANNOCK ST DENVER CO 80204 831723828 FINANCING CO 501(c)(3) 10 DHHA false ROCKY MOUNTAIN DRUG SAFETY 777 BANNOCK ST DENVER CO 80204 475158056 DATA ANALYSIS CO 501(c)(3) Type I DHHA false CANADIAN CONSUMER PRODUCT AND PHARMACEUT 100 KING ST W FIRST CANADA FIRST CANADA TORONTO CA M5X1E PHARMACY OPS CA RMDS false DHHA OMC QUALICAB INC 777 BANNOCK ST DENVER CO 80204 843764289 EQUIP. LEASE CO 501(c)(3) DHHA false DHHA SOUTHWEST CLINIC 777 BANNOCK ST DENVER CO 80204 371764469 FINANCING CO 501(c)(3) DHHA false false false true true true false false false false false true true true true true true true false false