2023-11-14T12:02:13-06:00 2022-12-31 FORVIS LLP 111 South Tejon Suite 800 Colorado Springs CO 809039848 990 2022-01-01 841354846 DENVER HEALTH MEDICAL PLAN INC % GREGORY MCCARTHY DENV 3036022100 777 BANNOCK ST MC 6000 DENVER CO 80204 Gregory McCarthy EXEC DIRECTOR/CEO 3036022100 2023-11-13 true Gregory McCarthy 999009999 Adam R Smith CPA P00958966 7194714290 2023-11-13 2 2022 2023-04-26 12:10:37Z GREG MCCARTHY 777 BANNOCK ST MC 6000 DENVER CO 80204 552843917 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. SEE SCHEDULE O FOR ADDITIONAL INFORMATION. 9 6 0 8 0 4112143 0 476390505 545703083 1335093 1334309 0 0 481837741 547037392 0 0 440180204 427901049 22279132 21014992 0 0 0 25613116 99079615 488072452 547995656 -6234711 -958264 83331109 122265011 41753566 85284270 41577543 36980741 X 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. false false 525677881 545703083 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. 525677881 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 X 1364 0 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 X FARAZ KHAN TREASURER 2.0 40.0 X X 0 690368 36748 GREGORY MCCARTHY CEO 40.0 0.0 X 0 456859 48173 CHRISTINE SEALS MEDICAL DIRECTOR 40.0 0.0 X 0 302970 45801 SIMON HAMBRIDGE VICE CHAIR 2.0 38.0 X X 0 278407 65155 DONNA LYNNE BOARD MEMBER 1.0 41.0 X 0 252299 25330 NORMA STIGLICH FORMER MEDICAL DIRECTOR 0.0 40.0 X 0 209502 45872 MICHAEL WAGNER CHIEF ADMINISTRATIVE OFFICER 40.0 0.0 X 0 212467 31187 LUCAS WILSON DIR INFO SYSTEMS 40.0 0.0 X 0 196082 41645 RUIE WINTERS III SR DIR HEALTH OUTCOMES, PHARMACY, MANAGED CA 40.0 0.0 X 0 167425 50083 SHANIQUE HORNE DIR PROVIDER RELATIONS 40.0 0.0 X 0 148532 36689 JASON PEARSE MGR INFO SYSTEMS 40.0 0.0 X 0 135890 46393 ROBERT LODGE PHARMACY CLINICAL SPECIALIST 40.0 0.0 X 0 149586 31633 MAGALY BRITO CLAIMS DIRECTOR 40.0 0.0 X 0 161281 15964 JOSEPH CALDWELL DHMP CFO 40.0 0.0 X 0 125327 23281 CARLA ELAM-FLOYD CHAIR 2.0 0.0 X X 0 0 0 CAROL LEWIS SECRETARY 2.0 0.0 X X 0 0 0 STERLING SCOTT CROWE BOARD MEMBER 1.0 0.0 X 0 0 0 HELEN ATKESON BOARD MEMBER 1.0 0.0 X 0 0 0 RUS HEISE BOARD MEMBER 1.0 0.0 X 0 0 0 JOAN HENNEBERRY BOARD MEMBER (THROUGH 02/22) 1.0 0.0 X 0 0 0 0 3486995 543954 14 true true false DENVER HEALTH AND HOSPITAL AUTHORIT 777 BANNOCK ST DENVER CO 80204 SEE SCHEDULE O 214710561 CHILDREN'S HOSPITAL COLORADO 13123 East 16th Avenue AURORA CO 80045 MEDICAL SERVICES 17478476 UNIVERSITY OF COLORADO PO BOX 731605 DALLAS TX 75373 MEDICAL SERVICES 34293249 MEDIMPACT HEALTHCARE SYSTEM 10608 TREENA ST SAN DIEGO CA 92131 PHARMACY 27765034 SKY RIDGE MEDICAL CENTER 10101 RIDGEGATE PARKWAY LONE TREE CO 80124 MEDICAL SERVICES 21857412 171 0 PREMIUMS REVENUE 624100 545703083 545703083 545703083 1323488 1323488 0 0 0 0 0 5817346 5806525 10821 10821 10821 0 0 0 0 0 0 0 0 0 0 547037392 545703083 1334309 0 0 0 427901049 427901049 148608 148608 0 20866384 18913493 1952891 0 0 0 0 1960768 1960768 2837872 2837872 0 0 0 5688795 1733823 3954972 463916 463916 1088363 1088363 4937716 1375025 3562691 0 1168358 1168358 4701 4701 0 0 0 0 1229654 1229654 84002 84002 REINSURANCE 75290575 75290575 OTHER 4324895 4324895 0 547995656 525677881 22317775 0 0 0 8246731 2449920 0 0 32817421 48469505 0 0 0 0 0 0 0 0 1413072 10668582 5330761 4527492 1700201 803269 38860381 59408737 0 0 0 0 0 0 293303 464998 83331109 122265011 38135238 79084652 0 0 927748 0 0 0 0 0 0 0 0 0 0 0 2690580 6199618 41753566 85284270 X 41577543 36980741 0 0 41577543 36980741 83331109 122265011 -958264 -3638538 X X false true X true false 5330761 4527492 803269 803269 0 DUE TO DENVER HEALTH & HOSPITA 6199618 6199618 468108280 -3638537 -3638537 471746817 75290575 75290575 547037392 472705081 472705081 75290575 75290575 547995656 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 4B REVENUE ON THE RETURN, NOT ON THE BOOKS: 75,290,575 REINSURANCE NET RECLASSED TO EXPENSE. SCHEDULE D, PART XII, LINE 4B EXPENSE ON RETURN, NOT ON BOOKS: 75,290,575 REINSURANCE PREMIUMS NET WITH REVENUE ON FINANCIALS RECLASSED TO EXPENSE. false true false false false false false true GREGORY MCCARTHY CEO 324832 89725 42302 24235 23938 505032 39170 CHRISTINE SEALS MEDICAL DIRECTOR 288275 14695 24235 21566 348771 MICHAEL WAGNER CHIEF ADMINISTRATIVE OFFICER 210874 1593 18866 12321 243654 LUCAS WILSON DIR INFO SYSTEMS 194685 1397 18340 23305 237727 RUIE WINTERS III SR DIR HEALTH OUTCOMES, PHARMACY, MANAGED CA 166535 890 15294 34789 217508 MAGALY BRITO CLAIMS DIRECTOR 160004 1277 15964 177245 ROBERT LODGE PHARMACY CLINICAL SPECIALIST 148472 77 1037 14941 16692 181219 SHANIQUE HORNE DIR PROVIDER RELATIONS 147258 1274 14854 21835 185221 JASON PEARSE MGR INFO SYSTEMS 134768 1122 14292 32101 182283 FARAZ KHAN TREASURER 540346 144875 5147 24235 12513 727116 SIMON HAMBRIDGE VICE CHAIR 274700 3707 55929 9226 343562 NORMA STIGLICH FORMER MEDICAL DIRECTOR 205724 3778 19308 26564 255374 DONNA LYNNE BOARD MEMBER 251093 1206 23436 1894 277629 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. SCHEDULE J, PART I, LINE 4b NONQUALIFIED RETIREMENT PLANS: CERTAIN DENVER HEALTH AND HOSPITAL AUTHORITY EMPLOYEES SERVING AS BOARD MEMBERS AND/OR OFFICERS OF DENVER HEALTH AND HOSPITALS FOUNDATION PARTICIPATE IN A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN WITH DENVER HEALTH AND HOSPITAL AUTHORITY. THE FOLLOWING PERSONS REPORTED THE FOLLOWING AMOUNTS AS INCLUDIBLE IN INCOME UNDER THIS PLAN. * Gregory McCarthy - $39,170 SCHEDULE J, PART I, LINE 7 EXPLANATION FOR NON-FIXED PAYMENTS: THE FOLLOWING INDIVIDUALS LISTED ON 990 PART VII, SECTION A, WERE COMPENSATED BY DENVER HEALTH AND HOSPITAL AUTHORITY AND PARTICIPATED IN THE MANAGEMENT INCENTIVE PLAN (MIP). UNDER THIS PLAN, THESE INDIVIDUALS RECEIVED THE FOLLOWING PAYMENTS: GREGORY MCCARTHY- $89,725 FARAZ KHAN- $144,875 ROBERT LODGE- $77 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 VI, SECTION A, LINE 2 BUSINESS OR FAMILY RELATIONSHIPS: THERE ARE THREE DIRECTORS/BOARD MEMBERS THAT ARE RELATED BY COMMON EMPLOYMENT BY DENVER HEALTH AND HOSPITAL AUTHORITY (AUTHORITY): FARAZ KHAN AND DR. SIMON HAMBRIDGE ARE VOTING BOARD MEMBERS THAT ARE EMPLOYEES OF THE AUTHORITY. THE EXECUTIVE DIRECTOR/CEO, MEDICAL DIRECTOR, AND CFO OF THE PLAN ARE ALSO EMPLOYEES OF THE AUTHORITY. FORM 990, PART VI, SECTION A, LINE 6 AND 7A 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, SECTION B, LINE 11B 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, SECTION B, LINE 12C 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, SECTION C, LINE 19 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 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. 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