2025-05-08T10:19:27-05:00 2024-06-30 331498605 PLANTE & MORAN PLLC 8181 E TUFTS AVE SUITE 600 DENVER CO 80237 990 2023-07-01 800348943 POUDRE VALLEY MEDICAL GROUP LLC POUD 9702377000 2315 E HARMONY ROAD 200 FORT COLLINS CO 80528 STEVE SCHWARTZ CFO 9702377000 2025-05-05 1 1 RYAN C HARRIS P00614618 3037409400 2025-05-05 2023 2025-03-06 01:10:19Z UCHEALTH MEDICAL GROUP DR DAVID WILLIAMS 2315 E HARMONY ROAD 200 FORT COLLINS CO 80528 1032219684 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 4985 2 0 0 339060711 324812001 642350908 705275317 2199737 2009530 3944292 122836 987555648 1032219684 3085537 5019583 0 0 738317243 779616848 0 0 0 246159739 247586055 987562519 1032222486 -6871 -2802 175162538 194934951 828603902 848526640 -653441364 -653591689 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 940642630 5019583 705275317 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 2024, THE GROUP HAD 3,311,709 OUTPATIENT VISITS AND 458,670 URGENT CARE VISITS. AT YEAR-END, UCHMG WAS COMPRISED OF MORE THAN 818 EMPLOYED PHYSICIANS AND 659 ADVANCED PRACTICE PROVIDERS REPRESENTING 53 SPECIALTIES. 940642630 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 1 212 0 1 4985 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 X 0 0 0 TODD WHITSITT BOARD MEMBER/PHYSICIAN 40.00 X 335087 0 42749 LAURIE STEELE BOARD MEMBER 1.00 X 0 0 0 MICHAEL RANDLE PRESIDENT AND CEO 40.00 X 822157 0 43759 STEVEN SCHWARTZ CHIEF FINANCIAL OFFICER 40.00 X 405354 0 41711 JENNY BAJAJ CHIEF MEDICAL OFFICER 40.00 X 539749 0 50285 KEITH JANKUSKI CHIEF OPERATING OFFICER 40.00 X 589374 0 51126 KIMBERLY DELINE CHIEF NURSING OFFICER UCHMG 40.00 X 162640 0 49533 MARGARET MORGAN ASSOC CHIEF MEDICAL OFFICER SOUTHERN CO 40.00 X 286372 0 43626 AMY SCANLAN CHIEF MEDICAL OFFICER CIN 40.00 X 54436 0 42593 CHRIS CRIBARI MEDICAL DIRECTOR 40.00 X 460340 0 56129 JULIE DUNN MEDICAL DIRECTOR 40.00 X 209356 0 38069 ARTHUR LIU PHYSICIAN 40.00 X 1938237 0 51126 BRIAR NELSON PHYSICIAN 40.00 X 1896316 0 43249 HANS COESTER MEDICAL DIRECTOR 40.00 X 1602021 0 51126 CIHAN CEVIK PHYSICIAN 40.00 X 1570011 0 43626 PETER WALINSKY PHYSICIAN 40.00 X 1499306 0 51126 12370756 0 699833 1381 0 1 0 UNIVERSITY PHYSICIANS INC 13199 E MONTVIEW BLVD AURORA CO 80045 MEDICAL 13309445 ASPEN CREEK MEDICAL ASSOCIATES 9480 BRIAR VILLAGE POINT SUITE 200 COLORADO SPRINGS CO 80920 MEDICAL 4756312 MPT OPERATING PARTNERSHIP LP 1000 URBAN CENTER DR STE 501 BIRMINGHAM AL 35242 MEDICAL 3213156 WEATHERBY LOCUMS INC 7259 S BINGHAM JUNCTION BLVD MIDVALE UT 84047 MEDICAL 2867077 ALTERA PRINTERS'S PARK LLC 5910 N CENTRAL EXPRESSWAY STE 1360 DALLAS TX 75206 MEDICAL 1489728 74 324812001 324812001 NET PATIENT SVC REV 621110 614623703 614623703 COST REIMBURSEMENT 621110 89275480 89275480 OTHER PROGRAM REVENUE 621110 1376134 1376134 705275317 152162 152162 122836 0 122836 122836 122836 1857368 0 1857368 1857368 1857368 1032219684 705275317 0 2132366 5019583 5019583 4230249 1004782 3225467 666449717 615269841 51179876 35086495 32356595 2729900 64883905 59835622 5048283 8966482 8268846 697636 452928 452928 47139 47139 2100 2100 30200822 15084803 15116019 2394513 2394513 3558471 3072297 486174 8564195 7466882 1097313 23963459 23496555 466904 1319183 1075872 243311 21462681 20781034 681647 4834946 4834946 30949047 23552573 7396474 4294957 4183884 111073 MEDICAL SUPPLIES 95532937 95532937 BAD DEBT 13963466 13963466 LAUNDRY 1593360 1591596 1764 REPAIRS & MAINTENANCE 934803 930878 3925 3517048 925125 2591923 1032222486 940642630 91579856 0 35940 38555 46507619 55488809 991909 615302 1115458 1544221 236005693 104251133 121508462 131754560 5003150 5493504 175162538 194934951 79898042 93868826 629424 0 79826939 83469141 668249497 671188673 828603902 848526640 X -653441364 -653591689 -653441364 -653591689 175162538 194934951 -2802 -147523 0 X X 0 1 X 1 0 X 129810764 125265328 287128536 339060711 324812001 1206077340 412723151 473354517 562105241 646295200 705275317 2799753426 542533915 598619845 849233777 985355911 1030087318 4005830766 0 0 0 4005830766 74258 110790 86347 154710 152162 578267 74258 110790 86347 154710 152162 578267 542608173 598730635 849320124 985510621 1030239480 4006409033 0.99990 0.99990 0.00010 0.00010 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 1 2100 0 0 2100 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 8039279 8029385 15918468 9724360 6194108 50218573 38319441 11899132 153774988 48168053 105606935 131754560 PAYABLES TO AFFILIATES 656847231 COMP BAL-AUTHORITY 1389231 COPIC TAIL ACCRUAL 8016865 CONTSTRUCTION 4499298 RETENTION PAYABLE 436048 671188673 1 IVINSON MEMORIAL HOSPITAL FOUNDATION 255 N 30TH ST LARAMIE WY 82072 300975387 501(C )(3) 6309 0 COMMUNITY HEALTHCARE FRONT RANGE COMMUNITY COLLEGE 3645 W 112TH AVENUE WESTMINSTER CO 80031 383721881 GOVERNMENT 5952 0 HEALTHCARE EDUCATION CHEYENEE REGIONAL MEDICAL CENTER FOUNDATION 214 E 23RD ST CHEYENNE WY 82001 830236858 501(C )(3) 5773 0 COMMUNITY HEALTHCARE UNIVERSITY OF COLORADO SCHOOL OF MEDICINE 13001 17TH PLACE AURORA CO 80045 846000055 501(C )(3) 4988065 0 COMMUNITY HEALTHCARE 4 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 1299715 0 635080 0 3442 0 30000 0 21126 0 1989363 0 0 0 BRIAR NELSON PHYSICIAN 811104 0 1079272 0 5940 0 30000 0 13249 0 1939565 0 0 0 HANS COESTER MEDICAL DIRECTOR 1301404 0 270899 0 29718 0 30000 0 21126 0 1653147 0 0 0 CIHAN CEVIK PHYSICIAN 1197787 0 370214 0 2010 0 22500 0 21126 0 1613637 0 0 0 PETER WALINSKY PHYSICIAN 1124457 0 366476 0 8373 0 30000 0 21126 0 1550432 0 0 0 MICHAEL RANDLE PRESIDENT AND CEO 606977 0 206016 0 9164 0 30000 0 13759 0 865916 0 0 0 KEITH JANKUSKI CHIEF OPERATING OFFICER 491253 0 93340 0 4781 0 30000 0 21126 0 640500 0 0 0 JENNY BAJAJ CHIEF MEDICAL OFFICER 453735 0 83690 0 2324 0 30000 0 20285 0 590034 0 0 0 CHRIS CRIBARI MEDICAL DIRECTOR 243163 0 213193 0 3984 0 23790 0 32339 0 516469 0 0 0 STEVEN SCHWARTZ CHIEF FINANCIAL OFFICER 337481 0 62991 0 4882 0 27952 0 13759 0 447065 0 0 0 TODD WHITSITT BOARD MEMBER/PHYSICIAN 331701 0 0 0 3386 0 28990 0 13759 0 377836 0 0 0 MARGARET MORGAN ASSOC CHIEF MEDICAL OFFICER SOUTHERN 243163 0 42494 0 715 0 22500 0 21126 0 329998 0 0 0 JULIE DUNN MEDICAL DIRECTOR 196098 0 7500 0 5758 0 24310 0 13759 0 247425 0 0 0 KIMBERLY DELINE CHIEF NURSING OFFICER UCHMG 161832 0 0 0 808 0 17194 0 32339 0 212173 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 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