2016-08-12T14:16:29-05:00 2015-12-31 BKD LLP 111 South Tejon Suite 800 Colorado Springs CO 809039848 990 2015-01-01 841354846 Denver Health Medical Plan Inc % CHARLES CREVLING DENV 3036022100 777 Bannock St MC 6000 Denver CO 80204 CHARLES CREVLING interim CEO 3036022100 2016-08-11 true David S Mason CPA P00137279 7194714290 2015 2016-12-15 16:53:06Z CHARLES CREVLING 777 Bannock St MC 6000 Denver CO 80204 126794489 false X www.denverhealthmedicalplan.com X 1997 CO The organization's mission is to provide quality, accessible and affordable healthcare services in the Denver area. See schedule O for additional information. 9 7 0 10 0 0 0 115610643 120846876 778376 759765 0 0 116389019 121606641 0 0 104431093 105228051 6365089 6778759 0 0 0 10609901 8399185 121406083 120405995 -5017064 1200646 45713238 48508815 16110485 17471079 29602753 31037736 X THE ORGANIZATION'S MISSION IS TO PROVIDE QUALITY, ACCESSIBLE AND AFFORDABLE HEALTHCARE SERVICES IN THE DENVER AREA. IN PARTNERSHIP WITH OUR PROVIDERS, WE CONTINUALLY SEEK TO IMPROVE THE HEALTH AND WELL-BEING 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 114926657 0 120846876 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. 114926657 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 1064 0 true 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 CHARLES CREVLING 3036022100 777 BANNOCK ST MC 6000 DENVER CO 80204 X Peggy Burnette Board Treasurer 2.0 38.0 X X 0 469612 129150 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 260721 89545 Carol Lewis Board Secretary 2.0 0.0 X X 0 0 0 Caroline Matthews Board Member 1.0 0.0 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 Leann Donovan Executive Director/CEO 20.0 20.0 X 0 303152 38082 David Brody Medical Director thru 12/2015 27.0 13.0 X 0 258174 37864 Clinton Randolph Associate CFO 21.0 19.0 X 0 149654 36975 Holly Batal - Medical Director effective 12/2015 - see sch o 27.0 13.0 X 0 211273 32999 Michelle Beozzo Pharmacy Director 30.0 10.0 X 0 133800 22945 Lemma Peterson Applications manager 20.0 20.0 X 0 114518 18731 Deborah Markson - Director of Information Systems 20.0 20.0 X 0 157625 27957 Marilyn Gaipa QI & Accreditation Director 25.0 15.0 X 0 121210 23288 Sarah Spillane Director of Case management 15.0 25.0 X 0 119551 18532 0 2299290 476068 0 false true false DENVER HEALTH AND HOSPITAL AUTHORIT 777 BANNOCK ST DENVER CO 80204 SEE SCHEDULE O 76963340 MEDIMPACT 10608 TREENA ST SAN DIEGO CA 92131 pharmacy services 8948475 UNIVERSITY OF COLORADO PO BOX 731605 DALLAS TX 75373 MEDICAL SERVICES 7387440 CHILDREN'S HOSPITAL PO Box 911611 DENVER CO 80291 Medical services 2852972 TRIZETTO CORPORATION DEPT 2140 PO BOX DALLAS TX 753122140 SOFTWARE PROCESSING 2195985 62 0 PREMIUMS REVENUE 624100 120846876 120846876 120846876 774271 774271 0 0 0 0 0 5173342 5187848 -14506 -14506 -14506 0 0 0 0 121606641 120846876 759765 0 0 0 105228051 105228051 0 0 6778759 6100883 677876 0 0 0 0 0 50456 50456 1069773 1069773 0 0 0 1773139 628523 1144616 834167 834167 414283 414283 442164 122735 319429 0 186660 186660 27457 27457 0 13958 13958 0 0 0 27757 27757 REINSURANCE 1489218 1489218 LICENSES AND TAXES 1387222 1387222 CLAIMS PENALTY & INTEREST 523080 523080 MISCELLANEOUS EXPENSE 159851 159851 120405995 114926657 5479338 0 135698 4803862 0 0 0 0 2857829 1389230 0 0 0 0 0 0 0 0 263663 225177 0 42193193 41775484 0 0 0 0 0 0 262855 315062 45713238 48508815 13899263 16072667 0 0 1356939 0 0 0 0 0 0 0 0 0 0 0 854283 1398412 16110485 17471079 X 29602753 31037736 0 0 0 0 29602753 31037736 45713238 48508815 1200646 234337 X false true X true false 0 AUTHORITY 1398412 1398412 120351760 234337 234337 120117423 1489218 1489218 121606641 118916777 118916777 1489218 1489218 120405995 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 1,489,218 SCHEDULE D, PART XII, LINE 4B EXPENSE ON RETURN, NOT ON BOOKS: REINSURANCE PREMIUMS NET WITH REVENUE ON FINANCIALS, RECLASSED TO EXPENSE 1,489,218 false true false false false false false Peggy Burnette Board Treasurer 0 374903 0 80070 0 14639 0 124057 0 5093 0 598762 0 0 Simon Hambidge Board vice-Chairperson 0 211092 0 19518 0 30111 0 79892 0 9653 0 350266 0 0 Leann Donovan Executive Director/CEO 0 208972 0 47292 0 46888 0 34950 0 3132 0 341234 0 0 David Brody Medical Director thru 12/2015 0 191614 0 11864 0 54696 0 33031 0 4833 0 296038 0 0 Clinton Randolph Associate CFO 0 109938 0 11649 0 28067 0 23038 0 13937 0 186629 0 0 Michelle Beozzo Pharmacy Director 0 119825 0 10437 0 3538 0 20074 0 2871 0 156745 0 0 Deborah Markson - Director of Information Systems 0 129220 0 11274 0 17131 0 22887 0 5070 0 185582 0 Holly Batal - Medical Director effective 12/2015 - see sch o 0 180865 0 9277 0 21131 0 29398 0 3601 0 244272 0 0 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 457(f) plan: The organization established a 457(f) plan on January 1, 2014. Vesting occurs after 3 years of service on January 1st of the year immediately following the completion of 3 years of service (prior to age 65). If a participant attains the age of 65 prior to December 31st of the plan year for which a contribution is made, participant is 100% vested at all times with no risk of forfeiture. Leann Donovan, director/ceo participated in the 457(f) plan in 2015. A contribution of $13,280.80 was made in 2015 (which covered the 2014 year). The contributions are based on an annual basis however, the payments for the 457(f) contributions to fidelity are made in the following year. 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 2015 was $6,778,759. 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. Form 990, Part VII, line 13 HOLLY BATAL BEGAN HER POSITION AS MEDICAL DIRECTOR WITH DHMP IN DECEMBER 2015. PRIOR TO THAT, SHE WAS ALREADY AN EMPLOYEE WITH DHHA IN ANOTHER ROLE. THEREFORE, HER COMPENSATION REPORTED ON PART VII AND ON SCHEDULE J INCLUDES THE ENTIRE 2015 TAX YEAR WHILE SHE WAS EMPLOYED IN ANOTHER ROLE WITH DHHA. 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