2018-10-31T17:24:16-05:00 2017-12-31 BKD LLP 111 South Tejon Suite 800 Colorado Springs CO 809039848 990 2017-01-01 841354846 Denver Health Medical Plan Inc % GREGORY MCCARTHY DENV 3036022100 777 Bannock St MC 6000 Denver CO 80204 GREGORY MCCARTHY EXEC DIRECTOR/CEO 3036022100 2018-11-15 true ADAM R SMITH CPA P00958966 7194714290 167.68.126.162 84022720183045000001 2018-10-31 P ED42049D66F1046E576A4D4BB44938B540F74564 19466AA61A357D31F4873695DF4DFE6460C1305A 2017 2019-02-21 02:37:17Z Greg McCarthy 777 Bannock St MC 6000 Denver CO 80204 167342518 false X www.denverhealthmedicalplan.com 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 7 0 9 0 0 0 139735152 159410286 1085350 1017809 0 0 140820502 160428095 0 0 118407414 145985519 6942162 6099670 0 0 0 9079195 8980763 134428771 161065952 6391731 -637857 51786716 57494779 20139103 26416592 31647613 31078187 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 156137722 159410286 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. See Schedule O, Attachment 1 for additional information. 156137722 false false false false false false false false false false 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 1294 0 0 false false false false false false X 9 7 true false false false true true false true true false false true true true true true true false false false X GREGORY MCCARTHY 3036022100 777 BANNOCK ST MC 6000 DENVER CO 80204 X Peggy Burnette Board Treasurer 2.0 38.0 X X 0 398931 104302 Jon Robinson Board Chairperson/President 2.0 0.0 X X 0 0 0 Simon Hambidge Board vice-Chairperson 2.0 38.0 X X 0 244145 81784 Carol Lewis Board Secretary 2.0 0.0 X X 0 0 0 Sterling Scott Crowe Board Member 1.0 0.0 X 0 0 0 Lisa Latts Board Member 1.0 0.0 X 0 0 0 Carla Elam-Floyd Board Member 1.0 0.0 X 0 0 0 Angela P Baier Board Member 1.0 0.0 X 0 0 0 Rus Heise Board Member 1.0 0.0 X 0 0 0 Mark Pavlik CFO 21.0 19.0 X 0 153165 24989 Norma Stiglich Medical Director 27.0 13.0 X 0 271254 47239 Gregory MCCARTHY CEO, DHMP 21.0 21.0 X 0 176996 26957 Michael Wagner Chief Administrative Officer 21.0 19.0 X 0 126311 26134 Joshua Raines Pharmacist Clinical Specialist 30.0 10.0 X 0 116134 25098 Cynthia ChaChas Pharmacist Clinical Specialist 30.0 10.0 X 0 109345 30984 Gregg Kamas Director of QI & Accrediation 25.0 15.0 X 0 110223 23544 Lorna Pate Compliance and Privacy Officer 20.0 20.0 X 0 110048 28487 MIchelle Anderson Director of Pharmacy 30.0 10.0 X 0 127688 28324 0 1944240 447842 0 false true false DENVER HEALTH AND HOSPITAL AUTHORIT 777 BANNOCK ST DENVER CO 80204 SEE SCHEDULE O 76998296 MEDIMPACT 10608 TREENA ST SAN DIEGO CA 92131 pharmacy services 14246187 UNIVERSITY OF COLORADO PO BOX 731605 DALLAS TX 75373 MEDICAL SERVICES 13569426 CHILDREN'S HOSPITAL PO Box 911611 DENVER CO 80291 Medical services 6364071 University Physician Inc 13199 East Montview Blvd AURORA TX 800421719 Medical Services 3519199 83 0 PREMIUMS REVENUE 624100 159410286 159410286 159410286 1047024 1047024 0 0 0 0 0 6885208 6914423 -29215 -29215 -29215 0 0 0 0 0 0 0 0 0 0 160428095 159410286 1017809 0 0 0 145985519 145985519 0 0 6099670 5489703 609967 0 0 0 0 39471 39471 1036141 1036141 0 0 0 2420100 1154953 1265147 604324 604324 702218 702218 688900 411825 277075 0 313337 313337 8529 8529 0 3298 3298 0 0 0 64792 64792 REINSURANCE 2491398 2491398 MISCELLANEOUS EXPENSE 608255 608255 0 161065952 156137722 4928230 0 0 0 238958 2461265 0 0 5386817 10793535 0 0 0 0 0 0 0 0 279173 348277 0 0 45560641 43621699 0 0 0 0 0 0 321127 270003 51786716 57494779 18801648 21850576 0 0 0 1190809 0 0 0 0 0 0 0 0 0 0 1337455 3375207 20139103 26416592 X 31647613 31078187 0 0 0 0 31647613 31078187 51786716 57494779 -637857 68431 X X false true X true false 0 AUTHORITY 3375207 3375207 158005128 68431 68431 157936697 2491398 2491398 160428095 158574554 158574554 2491398 2491398 161065952 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, MANAGEMENT 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 RETURN, NOT ON BOOKS: REINSURANCE PREMIUMS NET WITH REVENUE ON FINANCIALS, RECLASSED TO EXPENSE 2,491,398 Schedule D, Part XII, Line 4b Expense on return, not on books: REINSURANCE PREMIUMS NET WITH REVENUE ON FINANCIALS, RECLASSED TO EXPENSE 2,491,398 false false false false false false false Peggy Burnette Board Treasurer 385225 13706 97229 7073 503233 Simon Hambidge Board vice-Chairperson 173117 71028 77089 4695 325929 Mark Pavlik CFO 145465 7700 24605 384 178154 Norma Stiglich Medical Director 213462 57792 38160 9079 318493 Gregory MCCARTHY CEO, DHMP 128939 48057 22279 4678 203953 Michael Wagner Chief Administrative Officer 96117 30194 21586 4548 152445 MIchelle Anderson Director of Pharmacy 118926 8762 21965 6359 156012 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 V, LINE 2A EMPLOYEES FOR THE ORGANIZATION: Denver Health Medical Plan (Plan) has no employees. It pays Denver Health and Hospital Authority (Authority), a political subdivision of the state of Colorado, for a portion of the time of certain Authority employees that is spent on the Plan's initiatives and operations. The total amount paid to the Authority for Employees in 2017 was $6,099,670. Form 990, Part VI, Section A, Line 2 BUSINESS OR FAMILY RELATIONSHIPS: There are two Directors/Board Members that are related by common employment by Denver Health and Hospital Authority (Authority): Peggy Burnette and Dr. Simon Hambridge are voting Board Members that are employees of the Authority. The Executive Director/CEO, Medical Director, and associate CFO of the Plan are also employees of the Authority. Form 990, Part VI, Section A, Line 6 & 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 FIRST REVIEWED BY MANAGEMENT PRIOR TO BEING FILED. MANAGEMENT WILL THEN EMAIL COPIES TO ALL MEMBERS OF THE GOVERNING BODY TO REVIEW AND RESPOND WITH COMMENTS. ANY APPLICABLE REVISIONS WILL THEN BE MADE TO THE RETURN PRIOR TO FILING IT WITH THE IRS. 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 B, line 15a Describe THE process for determining compensation: FOR ALL AUTHORITY EMPLOYEES, OF WHICH THE PLAN LEASES/REIMBURSES THE AUTHORITY FOR THE USE OF CERTAIN 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 FOR THE VARIOUS POSITIONS, INCLUDING THE TOP MANAGEMENT POSITIONS OF THE AUTHORITY. FOR THE EXECUTIVE DIRECTOR/ CEO AND THE OFFICERS/ DIRECTORS OF THE PLAN WHO ARE ALSO EMPLOYED BY THE AUTHORITY, THE SALARY SURVEY RESULTS ARE BROUGHT TO A PERSONNEL COMPENSATION COMMITTEE OF THE AUTHORITY'S BOARD WHO REVIEW AND DOCUMENT THE SURVEY RESULTS AND MAKE THE FINAL RECOMMENDATION REGARDING THOSE SALARIES. 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 B, COLUMN B DESCRIPTION OF SERVICES FOR DENVER HEALTH AND HOSPITAL AUTHORITY: MEDICAL & PHARMACY CLAIMS, CAPITATION PAYMENTS, ADMIN & LEGAL SERVICES, NURSE CALL LINE, SUBROGATION, AND LEASED EMPLOYEES. FORM 990, PART XII, LINE 2B FINANCIAL STATEMENTS & REPORTING: The Plan is a discretely presented component unit 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 the 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 oversight of the audit and selection of the independent accountant. DENVER HEALTH and HOSPITAL AUTHORITY 777 BANNOCK STREET DENVER CO 80204 841343242 GOVT HOSPITAL CO NA false false false false true true false false false false false true true true true true true true false false