2024-05-14T16:05:47-05:00 2023-06-30 381357951 PLANTE & MORAN PLLC 8181 E TUFTS AVE SUITE 600 DENVER CO 80237 990 2022-07-01 800348943 POUDRE VALLEY MEDICAL GROUP LLC POUD 9702377000 2315 E HARMONY ROAD 200 FORT COLLINS CO 80528 STEVE SCHWARTZ CFO 9702377000 2024-05-14 1 STEVE SCHWARTZ 999009999 1 RYAN C HARRIS P00614618 3037409400 2024-05-14 2 AAL1 IAL1 2022 2023-04-26 12:10:37Z UCHEALTH MEDICAL GROUP DR MIKE RANDLE 2315 E HARMONY ROAD 200 FORT COLLINS CO 80528 985510621 0 X N/A X 2013 CO WE IMPROVE LIVES. IN BIG WAYS THROUGH LEARNING, HEALING AND DISCOVERY. IN SMALL, PERSONAL WAYS THROUGH HUMAN CONNECTION. BUT IN ALL WAYS, WE IMPROVE LIVES. 3 2 4785 0 0 0 287128536 339060711 562105241 642350908 84298 2199737 3471388 3944292 852789463 987555648 2693393 3085537 0 0 637096614 738317243 0 0 0 213001514 246159739 852791521 987562519 -2058 -6871 170159400 175162538 824241271 828603902 -654081871 -653441364 WE IMPROVE LIVES. IN BIG WAYS THROUGH LEARNING, HEALING AND DISCOVERY. IN SMALL, PERSONAL WAYS THROUGH HUMAN CONNECTION. BUT IN ALL WAYS, WE IMPROVE LIVES. 0 0 886451325 3085537 646295200 UCHEALTH MEDICAL GROUP (UCHMG) OPERATES MORE THAN 280 CLINICS ACROSS COLORADO, NEBRASKA AND WYOMING. UCHMG PROVIDES A FULL CONTINUUM OF MEDICAL CARE THROUGH AN INTEGRATED, MULTI-SPECIALTY PHYSICIAN GROUP. IN FISICAL YEAR 2023, THE GROUP HAD 2,733,468 OUTPATIENT VISITS AND 355,240 URGENT CARE VISITS. AT YEAR-END, UCHMG WAS COMPRISED OF MORE THAN 654 EMPLOYED PHYSICIANS AND 514 ADVANCED PRACTICE PROVIDERS REPRESENTING 50 SPECIALTIES. 886451325 1 1 0 1 0 0 0 0 0 0 1 0 0 0 1 0 0 1 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 237 0 1 4785 1 0 0 0 0 0 0 0 0 0 0 0 0 X 3 2 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 X STEVE SCHWARTZ 9702377000 2315 E HARMONY ROAD SUITE 200 FORT COLLINS CO 80528 CHRIS OSBORN BOARD CHAIR 1.00 0.00 X 0 0 0 TODD WHITSITT BOARD MEMBER / PHYSICIAN 40.00 0.00 X 517718 0 41491 LAURIE STEELE BOARD MEMBER 1.00 0.00 X 0 0 0 MICHAEL RANDLE PRESIDENT AND CEO 40.00 0.00 X 587368 0 44701 STEVEN SCHWARTZ CHIEF FINANCIAL OFFICER 40.00 0.00 X 331558 0 48430 JENNY BAJAJ CHIEF MEDICAL OFFICER 40.00 0.00 X 423240 0 46645 KEITH JANKUSKI CHIEF OPERATING OFFICER 40.00 0.00 X 314831 0 23659 KIMBERLY DELINE CHIEF NURSING OFFICER UCHMG 40.00 0.00 X 220179 0 51818 DONNA LANKFORD VP REGIONAL PRACTICE MGMT OPER 40.00 0.00 X 246670 0 32597 JOHNATHAN ROMEO VP REGIONAL PRACTICE MGMT OPER 40.00 0.00 X 253757 0 50000 LORI JAPP VP URGENT CARE 40.00 0.00 X 283193 0 39340 ARTHUR LIU PHYSICIAN 40.00 0.00 X 1754873 0 56500 BRIAN NELSON PHYSICIAN 40.00 0.00 X 1654456 0 42953 JOSHUA PETIT PHYSICIAN 40.00 0.00 X 1563317 0 49217 HANS COESTER MEDICAL DIRECTOR 40.00 0.00 X 1553592 0 49250 CIHAN CEVIK PHYSICIAN 40.00 0.00 X 1521667 0 46688 11226419 0 623289 1219 0 1 0 UNIVERSITY PHYSICIANS INC 13199 E MONTVIEW BLVD AURORA CO 80045 MEDICAL 11301918 MPT OPERATING PARTNERSHIP LP 1000 URBAN CENTER DR STE 501 BIRMINGHAM AL 35242 MEDICAL 3005925 HCP INC PO BOX 404485 ATLANTA GA 30384 MEDICAL 1627665 WEATHERBY LOCUMS INC 7259 S BINGHAM JUNCTION BLVD MIDVALE UT 84047 MEDICAL 1390601 HEALTH CAROUSEL LLC 3805 EDWARDS ROAD SUITE 700 CINCINNATI OH 45209 MEDICAL 1310384 66 338844530 216181 339060711 NET PATIENT SVC REV 621110 553578244 553578244 COST REIMBURSEMENT 621110 88772664 88772664 642350908 154710 154710 88499 0 88499 88499 88499 -2045027 2045027 2045027 2045027 OTHER REVENUE 621110 3855793 3855793 3855793 987555648 646295200 0 2199737 3085537 3085537 3557193 559209 2997984 624789937 568882332 55907605 34441495 31359593 3081902 67606989 61557364 6049625 7921629 7212784 708845 1752777 1752777 79841 79841 37311 37311 39783090 24141514 15641576 4491452 4491452 3807651 3324541 483110 9767244 8256810 1510434 23121138 22704105 417033 1472550 1305382 167168 20501517 19558638 942879 3219928 3219928 30174924 22988281 7186643 3686002 3409253 276749 MEDICAL SUPPLIES 86742452 86742452 BAD DEBT 10061875 10061875 LAUNDRY 1359532 1359532 REPAIRS & MAINTENANCE 1065898 1060447 5451 5034557 1170296 3864261 987562519 886451325 101111194 0 30839 35940 46733299 46507619 1265785 991909 782393 1115458 220720562 99212100 115329943 121508462 6017141 5003150 170159400 175162538 92938730 79898042 216181 629424 78108382 79826939 652977978 668249497 824241271 828603902 X -654081871 -653441364 -654081871 -653441364 170159400 175162538 X -6871 647378 X X 0 1 X 1 0 X 108683182 129810764 125265328 287128536 339060711 989948521 373117654 412723151 473354517 562105241 646295200 2467595763 481800836 542533915 598619845 849233777 985355911 3457544284 0 0 0 3457544284 64386 74258 110790 86347 154710 490491 64386 74258 110790 86347 154710 490491 481865222 542608173 598730635 849320124 985510621 3458034775 0.99990 0.99990 0.00010 0.00010 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 1 37311 0 0 37311 0 PART II-B, LINE 1: A PORTION OF UCHMG'S DUES PAID TO AMGA ARE ALLOCATED TO DIRECT LOBBYING EXPENSES. IN ADDITION, UCHMG IS ALSO ALLOCATED A PORTION OF GOVERNMENT RELATIONS EXPENSES PAID BY THE UCHEALTH CORPORATE OFFICE. 25000 25000 16068664 6772417 9296247 14620253 7992739 6627514 46937495 33170459 13767036 143069150 51276485 91792665 121508462 PAYABLES TO AFFILIATES 658643964 COMP BAL-AUTHORITY 1378189 COPIC TAIL ACCRUAL 6052188 CONTSTRUCTION 2034523 RETENTION PAYABLE 140633 668249497 1 UNIVERSITY OF COLORADO SCHOOL OF MEDICINE 13001 17TH PLACE AURORA CO 80045 846000055 501(C)(3) 3037672 0 COMMUNITY HEALTHCARE FRONT RANGE COMMUNITY COLLEGE 3645 W 112TH AVENUE WESTMINSTER CO 80031 383721881 GOVERNMENT 11505 0 HEALTHCARE EDUCATION CHEYENNE REGIONAL MEDICAL CENTER FOUNDATION 214 E 23RD ST CHEYENNE WY 82001 830236858 501(C)(3) 10401 0 COMMUNITY SUPPORT 3 PART I, LINE 2: THE ORGANIZATION AWARDS GRANTS BASED ON THE BENEFIT TO THE COMMUNITY. THE ORGANIZATION REQUESTS INFORMATION FROM THE GRANTEES TO ENSURE THAT THE FUNDS WILL BE USED FOR THE SPECIFIED PURPOSE. X X X 0 0 0 0 0 0 0 1 0 ARTHUR LIU PHYSICIAN 1194022 0 558190 0 2661 0 27000 0 29500 0 1811373 0 0 0 BRIAN NELSON PHYSICIAN 807821 0 842765 0 3870 0 27000 0 15953 0 1697409 0 0 0 JOSHUA PETIT PHYSICIAN 1011396 0 550438 0 1483 0 20500 0 28717 0 1612534 0 0 0 HANS COESTER MEDICAL DIRECTOR 1301404 0 227966 0 24222 0 27000 0 22250 0 1602842 0 0 0 CIHAN CEVIK PHYSICIAN 1100706 0 419099 0 1862 0 20500 0 26188 0 1568355 0 0 0 MICHAEL RANDLE PRESIDENT AND CEO 578698 0 0 0 8670 0 27000 0 17701 0 632069 0 0 0 TODD WHITSITT BOARD MEMBER / PHYSICIAN 511226 0 0 0 6492 0 27000 0 14491 0 559209 0 0 0 JENNY BAJAJ CHIEF MEDICAL OFFICER 421098 0 0 0 2142 0 27000 0 19645 0 469885 0 0 0 STEVEN SCHWARTZ CHIEF FINANCIAL OFFICER 326830 0 0 0 4728 0 26939 0 21491 0 379988 0 0 0 KEITH JANKUSKI CHIEF OPERATING OFFICER 238853 0 75000 0 978 0 11281 0 12378 0 338490 0 0 0 LORI JAPP VP URGENT CARE 282284 0 0 0 909 0 9990 0 29350 0 322533 0 0 0 JOHNATHAN ROMEO VP REGIONAL PRACTICE MGMT OPER 247668 0 5714 0 375 0 20500 0 29500 0 303757 0 0 0 DONNA LANKFORD VP REGIONAL PRACTICE MGMT OPER 244452 0 0 0 2218 0 12256 0 20341 0 279267 0 0 0 KIMBERLY DELINE CHIEF NURSING OFFICER UCHMG 219501 0 0 0 678 0 20500 0 31318 0 271997 0 0 0 PART I, LINE 7 UCHEALTH IS PROUD TO OFFER A BONUS PLAN THAT PAYS A PERCENTAGE OF AN EMPLOYEE'S BASE PAY. THE INTENT OF THE PLAN IS TO REWARD AN EMPLOYEE'S PERFORMANCE TOWARDS ACHIEVEMENT OF STRATEGIC GOALS DURING THE FISCAL YEAR. SUCCESSFUL ACCOMPLISHMENT OF GOALS THAT CONTRIBUTE TO OUR ORGANIZATION'S OVERALL STRATEGIC DIRECTION RESULT IN VARIABLE PAYMENTS ALIGNED TO OUR TOTAL COMPENSATION STRATEGY. THIS PROGRAM REWARDS EMPLOYEES BASED ON ORGANIZATIONAL PERFORMANCE MEASURES AND INDIVIDUAL EMPLOYEE GOAL PERFORMANCE. THE ANNUAL PERFORMANCE BONUS IS GENERALLY PAID OUT IN OCTOBER. ALL PAYOUTS ARE CONTINGENT BASED ON UCHEALTH BOARD OF DIRECTORS APPROVAL EACH FISCAL YEAR. FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 IS PREPARED BY INDEPENDENT CPAS. A PRELIMINARY DRAFT IS REVIEWED BY THE INTERNAL FINANCE DEPARTMENT. THE FINAL COPY OF THE FORM 990 IS PROVIDED IN AN ELECTRONIC FORMAT TO ALL BOARD OF DIRECTORS PRIOR TO FILING WITH THE IRS. FORM 990, PART VI, SECTION B, LINE 12C THE ORGANIZATION'S CONFLICT OF INTEREST POLICY REQUIRES COMPLETION OF THE FORM ON AN ANNUAL BASIS BY THE BOARD MEMBERS, OFFICERS AND KEY EMPLOYEES OF THE ORGANIZATION. COMPLETED FORMS ARE SUBMITTED AND REVIEWED BY THE INTERNAL COMPLIANCE DEPARTMENT TO ENSURE COMPLIANCE WITH THE WRITTEN POLICY. ANY QUESTIONS OR ULTIMATE ENFORCEMENT WOULD BE HANDLED BY THE COMPLIANCE DEPARTMENT. FORM 990, PART VI, SECTION B, LINE 15 UCHEALTH CONTRACTS WITH SULLIVAN COTTER FOR EXECUTIVE COMPENSATION CONSULTING SERVICES. ON OUR BEHALF, SULLIVAN COTTER COLLECTS AND REVIEWS COMPENSATION LEVELS FROM LIKE-ORGANIZATION FOR LIKE-JOBS AND PROVIDES UCHEALTH WITH THE COMPARATIVE MARKET DATA. THE DATA IS SUBMITTED TO THE CHIEF HUMAN RESOURCES OFFICER, WHO ADVISES THE SYSTEM PRESIDENT AND CEO ON COMPENSATION DECISIONS FOR SENIOR EXECUTIVES. BASED ON THE MARKET DATA, THE SYSTEM PRESIDENT AND CEO DETERMINES THE SALARY OF THE ENTITY CEO'S COMPENSATION ANNUALLY. FORM 990, PART VI, SECTION C, LINE 19 GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICIES, AND FINANCIAL STATEMENTS ARE PROVIDED TO THE PUBLIC BASED ON THE BUSINESS PURPOSE FOR THE REQUEST. THESE REQUESTS ARE ADDRESSED BY THE SENIOR MANAGEMENT TEAM ON A CASE-BY-CASE BASIS. FORM 990, PART XI, LINE 9: TRANSFERS OF ASSETS FROM POUDRE VALLEY HEALTHCARE 647,378. FORM 990, PART XII, LINE 2C: THIS PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR. POUDRE VALLEY HEALTHCARE INC 2315 E HARMONY ROAD SUITE 200 FORT COLLINS CO 80528 841262971 TERTIARY CARE CO 501(C)(3) LINE 3 0 UNIVERSITY OF COLORADO HEALTH 7901 E LOWRY BLVD SUITE 350 DENVER CO 80230 454552631 HEALTHCARE MANAGEMENT CO 501(C)(3) LINE 7 0 MEDICAL CENTER OF THE ROCKIES 2315 E HARMONY RD STE 200 FORT COLLINS CO 80528 043730045 TERTIARY CARE CO 501(C)(3) LINE 3 PVHC INC 0 UCHEALTH NORTHERN COLORADO FOUNDATION 2315 E HARMONY RD STE 200 FORT COLLINS CO 80528 741894581 BENEFIT HEALTH CO 501(C)(3) LINE 7 PVHC INC 0 0 0 1 0 0 0 0 0 0 1 1 1 1 1 0 0 0 0 0