2021-11-03T09:42:18-05:00 2020-12-31 BKD LLP 111 South Tejon Suite 800 Colorado Springs CO 809039848 990 2020-01-01 843764289 DHHA OMC QALICB INC % CHELSEA HELMKAMP DHHA 3036027044 777 BANNOCK STREET MAIL CODE 1925 DENVER CO 80204 CHELSEA HELMKAMP CONTROLLER 3036027045 2021-10-28 true Chelsea Helmkamp 999009999 Adam R Smith CPA P00958966 7194714290 3 2020 2022-09-23 18:48:47Z X SARA CARPENTER 777 BANNOCK STREET MC 1925 DENVER CO 80204 1081151 false X N/A X 2019 CO THE ORGANIZATION WAS CREATED TO ASSIST THE DENVER HEALTH AND HOSPITAL AUTHORITY WITH FINANCING EQUIPMENT IN THE NEW OUTPATIENT MEDICAL CENTER IN DENVER, CO. 3 1 0 0 0 0 837597 0 205283 0 38271 0 0 0 1081151 0 0 0 0 0 0 0 0 0 0 534796 0 534796 0 546355 0 19329468 0 18783113 0 546355 THE ORGANIZATION WAS CREATED TO ASSIST THE DENVER HEALTH AND HOSPITAL AUTHORITY WITH FINANCING EQUIPMENT IN THE NEW OUTPATIENT MEDICAL CENTER IN DENVER, CO. false false 534796 205283 ASSISTANCE WITH FINANCING AND LEASING OF MEDICAL EQUIPMENT FOR THE OUTPATIENT MEDICAL CENTER IN DENVER, CO. 534796 true true 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 0 0 0 false false false false false false false false false false false false X 3 1 true false false false true true true true true false false true true true true true true false false false CO X CHELSEA HELMKAMP 3036027044 777 BANNOCK STREET MAIL CODE 1925 DENVER CO 80204 PEG BURNETTE DIRECTOR 2.0 40.0 X 0 453366 97840 SCOTT HOYE SECRETARY 2.0 40.0 X 0 417692 93602 BRADFORD MEMBEL DIRECTOR (PART YEAR) 2.0 40.0 X 0 235030 55426 CHELSEA HELMKAMP DIRECTOR 2.0 40.0 X 0 143114 43905 FARAZ KHAN VP/TREASURER 2.0 40.0 X 0 146047 10652 REBECCA SUNSHINE DEWITT DIRECTOR 2.0 2.0 X 0 0 0 SARA CARPENTER PRESIDENT/DIRECTOR 2.0 2.0 X X 0 0 0 0 1395249 301425 0 false true false 0 837597 0 837597 Equipment Lease Agreement DHHA 532420 205283 205283 205283 38271 38271 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1081151 205283 38271 0 0 0 0 0 0 0 0 0 0 130320 130320 0 0 0 0 0 77265 77265 0 71081 71081 0 0 0 0 0 0 176894 176894 0 79236 79236 0 534796 534796 0 0 0 7897956 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 11431512 0 11431512 0 0 0 0 0 0 0 0 0 0 0 19329468 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 18705848 0 77265 0 18783113 X 0 546355 0 0 0 546355 0 19329468 546355 X false true X true false X X 2 DENVER HEALTH AND HOSPITAL AUTHORITY 841323242 3 true 0 0 DENVER COMMUNITY HEALTH SERVICES 742480484 7 true 0 0 2 0 0 0.00000 true true false false false false false false false false false false false false false true false SCHEDULE A, PART IV, LINE 2: DHHA OMC QALICAB, INC. SUPPORTS DENVER HEALTH & HOSPITAL AUTHORITY, A GOVERNMENTAL HOSPITAL TAX EXEMPT AS A GOVERNMENTAL ORGANIZATION THAT WOULD QUALIFY AS A PUBLIC CHARITY AND TAX EXEMPT HOSPITAL UNDER INTERNAL REVENUE CODE SECTIONS 170(B)(1)(A)(III) OR 509(A)(2). RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 5938936 5938936 5492576 5492576 11431512 0 DUE TO/FROM RELATED PARTY 77265 77265 1200983 119832 119832 1081151 1081151 654628 119832 119832 534796 534796 SCHEDULE D, PART X, LINE 2 MANAGEMENT HAS EVALUATED THEIR INCOME TAX POSITIONS UNDER THE GUIDANCE INCLUDED IN ASC 740. BASED ON THEIR REVIEW, MANAGEMENT HAS NOT IDENTIFIED ANY MATERIAL UNCERTAIN TAX POSITIONS TO BE RECORDED OR DISCLOSED IN THE FINANCIAL STATEMENTS. false false false false false false false true false CHELSEA HELMKAMP DIRECTOR 0 122058 0 13168 0 7888 0 14758 0 29147 0 187019 SCOTT HOYE SECRETARY 285430 78174 54088 80395 13207 511294 FARAZ KHAN VP/TREASURER 74012 60000 12035 8674 1978 156699 PEG BURNETTE DIRECTOR 308922 93666 50778 86609 11231 551206 BRADFORD MEMBEL DIRECTOR (PART YEAR) 158466 29764 46800 19364 36062 290456 SCHEDULE J, PART I, LINE 3 COMPENSATION IS DETERMINED AND PAID BY A RELATED PARTY, DENVER HEALTH AND HOSPITAL AUTHORITY. PLEASE SEE SCHEDULE O, PART VI, LINE 15A AND 15B NARRATIVE FOR ESTABLISHING COMPENSATION FOR EXECUTIVES. 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: *PEG BURNETTE - $93,666 *SCOTT HOYE - $78,174 *BRADFORD MEMBEL - $29,764 *CHELSEA HELMKAMP - $13,168 FORM 990, PART VI, SECTION A, LINE 2 THE FOLLOWING DIRECTORS/OFFICERS HAVE A BUSINESS RELATIONSHIP THROUGH THEIR EMPLOYMENT AT DENVER HEALTH AND HOSPITAL AUTHORITY: SCOTT HOYE, PEG BURNETTE, BRADFORD MEMBEL, CHELSEA HELMKAMP, AND FARAZ KHAN. FORM 990, PART VI, SECTION A, LINE 6, 7A & 7B THE VOTING MEMBERS OF THE CORPORATION ARE DENVER HEALTH AND HOSPITAL AUTHORITY (AUTHORITY) AND DENVER COMMUNITY HEALTH SERVICES (DCHS). THE VOTING MEMBERS SHALL BE ENTITLED TO APPOINT DIRECTORS AND TAKE ACTION ON ANY OTHER MATTER REQUIRING MEMBERSHIP APPROVAL OR FOR WHICH MEMBERSHIP APPROVAL IS PERMITTED UNDER THE COLORADO REVISED NONPROFIT CORPORATION ACT, THE ARTICLES OF INCORPORATION OR THE BYLAWS. APPROVAL FROM THE VOTING MEMBERS MUST ALSO BE OBTAINED FOR THE FOLLOWING: 1) THE SALE, EXCHANGE OR OTHER DISPOSITION OR THE MORTGAGE OR ENCUMBRANCE, OF ANY SIGNIFICANT PORTION OF THE CORPORATION'S ASSETS, TO A PARTY OTHER THAN THE CORPORATION; 2) THE LEASE OF ANY SIGNIFICANT PORTION OF THE CORPORATION'S ASSETS, OTHER THAN TO THE CORPORATION; AND 3) ANY INVESTMENT OF FUNDS IN EXCESS OF $50,000 OTHER THAN IN ACCORDANCE WITH INVESTMENT POLICIES APPROVED BY THE SOLE MEMBER; AND 4) OTHER ACTIONS SPECIFICALLY LISTED IN THE BYLAWS OF THE ORGANIZATION. FORM 990, PART VI, SECTION B, LINE 11B PRIOR TO FILING THE FORM 990, THE DRAFT RETURN, PREPARED BY AN EXTERNAL PARTY IS REVIEWED BY AUTHORITY ACCOUNTING MANAGERS AND PRESENTED TO THE ORGANIZATION'S BOARD OF DIRECTORS FOR REVIEW AND APPROVAL PRIOR TO FILING. FORM 990, PART VI, SECTION B, LINE 12C THE ORGANIZATION'S CONFLICT OF INTEREST POLICY COVERS ALL EMPLOYEES OF THE AUTHORITY AND BOARD MEMBERS OF THE ORGANIZATION. AN ANNUAL REVIEW AND QUESTIONNAIRE IS COMPLETED BY THE AUTHORITY'S OFFICE OF COMPLIANCE, WITH RESULTS REPORTED ANNUALLY TO THE AUTHORITY'S BOARD OF DIRECTORS AND THE ORGANIZATION'S BOARD OF DIRECTORS. THE POLICY ALSO GIVES THE AUTHORITY'S COMPLIANCE COMMITTEE THE POWER TO DETERMINE IF AN INDIVIDUAL HAS IN FACT FAILED TO DISCLOSE AN ACTUAL OR POSSIBLE CONFLICT OF INTEREST, AND DETERMINES THE APPROPRIATE CORRECTIVE ACTION. FORM 990, PART VI, SECTION B, LINE 15A & 15B COMPENSATION IS DETERMINED AND PAID BY A RELATED PARTY, DENVER HEALTH & HOSPITAL AUTHORITY. FOR ALL AUTHORITY EMPLOYEES, THERE IS AN ANNUAL WAGE SURVEY THAT IS PERFORMED. THE AUTHORITY ADJUSTS NON-MEDICAL PROVIDER POSITIONS TO BE AT 50% OF THE METROPOLITAN AREA BENCHMARK FOR COMPARABLE POSITIONS. THIS WAGE SURVEY DETERMINES COMPENSATION OF THE VARIOUS POSITIONS, INCLUDING THE TOP MANAGEMENT POSITIONS OF THE AUTHORITY. FORM 990, PART VI, SECTION C, LINE 19 THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE MADE AVAILABLE UPON REQUEST. THE POLICIES ARE MAINTAINED BY DENVER HEALTH AND HOSPITAL AUTHORITY. FORM 990 PART IX LINE 11G DESCRIPTION:EQUIPMENT SERVICES PERFORMED TOTAL FEES:77265 Denver Community Health Services 777 Bannock St Denver CO 80204 742480484 Management CO 501(c)(3) Line 7 NA false Denver Health & Hospital Authority 777 Bannock ST Mail Code 1925 Denver CO 80204 841323242 Hospital CO GOVERNMENT NA false 601 Broadway Inc 777 BANNOCK ST MAIL CODE 1925 Denver CO 80204 474295757 Rental CO 501(c)(3) Line 7 DHHA false 550 Acoma 777 BANNOCK ST MAIL CODE 1925 Denver CO 80204 831723828 Financing CO 501(c)(3) Line 10 DHHA false DHHA Southwest Clinic Inc 777 Bannock St Mail Code 1925 Denver CO 80204 371764469 Financing CO 501(c)(3) Line 12A DHHA false Rocky Mountain Drug Safety 777 BANNOCK ST MAIL CODE 1925 DENVER CO 80204 475158056 Data Analysis CO 501(c)(3) Line 12A DHHA false CANADIAN CONSUMER PRODUCT & PHARMACEUTIC 100 King St W First Canada Toronto CA M5X 1E Pharmacy Ops CA RMDS false false false true false false false false true false true false false false true false false false false false DENVER HEALTH AND HOSPITAL AUTHORITY C 837597 BOOK/CASH VALUE DENVER HEALTH AND HOSPITAL AUTHORITY H 11431512 BALANCE SHEET DENVER HEALTH AND HOSPITAL AUTHORITY J 205283 BOOK/CASH VALUE