2023-05-15T18:36:17-05:00 2022-06-30 381357951 PLANTE & MORAN PLLC 8181 E TUFTS AVE SUITE 600 DENVER CO 80237 990 2021-07-01 800348943 POUDRE VALLEY MEDICAL GROUP LLC POUD 9702377000 2315 E HARMONY ROAD 200 FORT COLLINS CO 80528 STEVE SCHWARTZ CFO 9702377000 2023-05-15 1 STEVE SCHWARTZ 999009999 RYAN C HARRIS P00614618 3037409400 2023-05-15 3 AAL1 IAL1 2021 2023-04-26 12:10:37Z UCHEALTH MEDICAL GROUP DR MIKE RANDLE 2315 E HARMONY ROAD 200 FORT COLLINS CO 80528 852791512 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 4187 0 0 0 125265328 287128536 473354517 562105241 -113186 84298 0 3471388 598506659 852789463 3817479 2693393 0 0 536450383 637096614 0 0 0 181699780 213001514 721967642 852791521 -123460983 -2058 73202044 170159400 721553742 824241271 -648351698 -654081871 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 759914955 2693393 562105241 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 2022, THE GROUP HAD 2,247,176 OUTPATIENT VISITS AND 295,549 URGENT CARE VISITS. AT YEAR-END, UCHMG WAS COMPRISED OF MORE THAN 590 EMPLOYED PHYSICIANS AND 400 ADVANCED PRACTICE PROVIDERS REPRESENTING 50 SPECIALTIES. 759914955 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 1 358 0 1 4187 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 DR TODD WHITSITT BOARD MEMBER/ PHYSICIAN 40.00 X 621802 0 46495 LAURIE STEELE BOARD MEMBER 1.00 X 0 0 0 DR MIKE RANDLE PRESIDENT AND CEO 40.00 X 1351484 0 141460 STEVE SCHWARTZ CFO 40.00 X 404545 0 53216 DONNA LANKFORD VP REGIONAL PRACTICE MGMT 40.00 X 267584 0 41908 JENNY BAJAJ CHIEF MEDICAL OFFICER 40.00 X 476807 0 61459 TIMOTHY GRAMANN CHIEF OPERATING OFFICER 40.00 X 406130 0 58866 KIMBERLY DELINE CHIEF NURSING OFFICER 40.00 X 253990 0 53010 JOHNATHAN ROMEO VP REGIONAL PRACTICE MGMT 40.00 X 236073 0 45004 LORI JAPP VP URGENT CARE 40.00 X 311972 0 53829 HANS COESTER MEDICAL DIRECTOR 40.00 X 1764532 0 52557 PETER WALINSKY PHYSICIAN 40.00 X 1583315 0 55329 FREDERIC DELEYIANNIS PHYSICIAN 40.00 X 1461586 0 60001 JOSHUA PETIT PHYSICIAN 40.00 X 1472823 0 55338 BRIAN NELSON PHYSICIAN 40.00 X 1776065 0 47144 12388708 0 825616 1082 0 1 0 UNIVERSITY PHYSICIANS INC 13199 E MONTVIEW BLVD AURORA CO 80045 MEDICAL 10095717 ASPEN CREEK MEDICAL ASSOCIATES 9480 BRIAR VILLAGE POINT DR SUITE COLORADO SPRINGS CO 80920 MEDICAL 2735853 AMERICAN HEALTH STAFFING GROUP PO BOX 670529 DALLAS TX 75267 MEDICAL 2628170 CHG COMPANIES DBA COMPHEALTH PO BOX 972651 DALLAS TX 75397 MEDICAL 1663703 HEALTH CAROUSEL LLC 3805 EDWARDS ROAD SUITE 700 CINCINNATI OH 45209 MEDICAL 1470912 27 280574170 6554366 287128536 NET PATIENT SVC REV 621110 485243995 485243995 COST REIMBURSEMENT 621110 76861246 76861246 562105241 86347 86347 123736 0 123736 123736 123736 2049 -2049 -2049 -2049 MISCELLANEOUS 621110 3347652 3347652 3347652 852789463 565576629 0 84298 2693393 2693393 4885309 667974 4217335 544032060 493999228 50032832 26741994 24282621 2459373 54636036 49611340 5024696 6801215 6175730 625485 550492 2838 547654 72128 72128 20402 20402 27771751 11504557 16267194 3584623 3584623 3319972 2953585 366387 7771144 6670245 1100899 25442675 25442675 1125629 1006383 119246 13686447 13686447 4291614 4291614 24458472 22122120 2336352 3940950 3279617 661333 MEDICAL SUPPLIES 74134577 73944159 190418 BAD DEBT 11018685 11018685 LAUNDRY 1213702 1209221 4481 REPAIRS & MAINTENANCE 810246 806459 3787 9788005 961441 8826564 852791521 759914955 92876566 0 38450 30839 35466277 46733299 443685 1265785 816256 782393 204783062 89453119 34778571 115329943 1658805 6017141 73202044 170159400 93410720 92938730 216181 78108382 628143022 652977978 721553742 824241271 X -648351698 -654081871 -648351698 -654081871 73202044 170159400 X -2058 -5728115 X 0 1 X 1 0 X 97680190 108683182 129810764 125265328 287128536 748568000 308551632 373117654 412723151 473354517 562105241 2129852195 406231822 481800836 542533915 598619845 849233777 2878420195 0 0 0 2878420195 71189 64386 74258 110790 86347 406970 71189 64386 74258 110790 86347 406970 406303011 481865222 542608173 598730635 849320124 2878827165 0.99990 0.00010 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 1 20402 0 0 20402 0 10646782 5631414 5015368 14230786 6533428 7697358 44216126 27640431 16575695 135689368 49647846 86041522 115329943 PAYABLES TO AFFILIATES 645642573 COMP BAL-AUTHORITY 1081329 COPIC TAIL ACCRUAL 6154203 CONTSTRUCTION 56278 RETENTION PAYABLE 43595 652977978 1 UNIVERSITY OF COLORADO SCHOOL OF MEDICINE 13001 17TH PLACE AURORA CO 80045 846000055 501(C)(3) 2608328 0 COMMUNITY HEALTHCARE FRONT RANGE COMMUNITY COLLEGE 3645 W 112TH AVENUE WESTMINSTER CO 80031 383721881 GOVERNMENT 11081 0 COMMUNITY HEALTHCARE UNITED WAY OF LARIMER COUNTY 424 PINE STREET 102 FORT COLLINS CO 80524 846031503 501(C)(3) 14877 0 COMMUNITY HEALTHCARE 3 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 BRIAN NELSON PHYSICIAN 1771195 0 1000 0 3870 0 27434 0 19710 0 1823209 0 0 0 HANS COESTER MEDICAL DIRECTOR 1753648 0 1000 0 9884 0 27434 0 25123 0 1817089 0 0 0 PETER WALINSKY PHYSICIAN 1497372 0 81000 0 4943 0 27434 0 27895 0 1638644 0 0 0 JOSHUA PETIT PHYSICIAN 1470503 0 1000 0 1320 0 27434 0 27904 0 1528161 0 0 0 FREDERIC DELEYIANNIS PHYSICIAN 1457748 0 1000 0 2838 0 27434 0 32567 0 1521587 0 0 0 DR MIKE RANDLE PRESIDENT AND CEO 548893 0 794302 0 8289 0 115284 0 26176 0 1492944 0 0 0 DR TODD WHITSITT BOARD MEMBER/ PHYSICIAN 617519 0 1000 0 3283 0 27434 0 19061 0 668297 0 0 0 JENNY BAJAJ CHIEF MEDICAL OFFICER 365466 0 109456 0 1885 0 40571 0 20888 0 538266 0 0 0 TIMOTHY GRAMANN CHIEF OPERATING OFFICER 271468 0 87647 0 47015 0 33909 0 24957 0 464996 0 0 0 STEVE SCHWARTZ CFO 306736 0 93263 0 4546 0 35625 0 17591 0 457761 0 0 0 LORI JAPP VP URGENT CARE 237938 0 73239 0 795 0 29507 0 24322 0 365801 0 0 0 DONNA LANKFORD VP REGIONAL PRACTICE MGMT 202100 0 63542 0 1942 0 25620 0 16288 0 309492 0 0 0 KIMBERLY DELINE CHIEF NURSING OFFICER 174506 0 79176 0 308 0 24256 0 28754 0 307000 0 0 0 JOHNATHAN ROMEO VP REGIONAL PRACTICE MGMT 196750 0 31339 0 7984 0 22563 0 22441 0 281077 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 XI, LINE 9: LEASE ADJUSTMENTS UNDER NEW GASB STANDARDS -5,728,115. 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