2025-11-10T13:06:37-06:00 2024-12-31 390859910 BAKER TILLY ADVISORY GROUP LP 6565 AMERICAS PARKWAY NE STE 600 ALBUQUERQUE NM 87110 990 2024-01-01 201358178 TRICORE LABORATORY SERVICES CORP TRIC 5059388888 1001 WOODWARD PLACE NE ALBUQUERQUE NM 87102 ROBIN DIVINE CEO 5059388888 2025-11-08 1 1 PAMELA ALEXANDERSON P01218925 5058787200 2025-11-08 2024 2025-03-06 01:10:19Z ROBIN DIVINE 1001 WOODWARD PLACE NE ALBUQUERQUE NM 87102 128130450 0 X WWW.TRICORE.ORG X 2004 NM THE ORGANIZATION WAS ORGANIZED AND IS OPERATED AS A COOPERATIVE HOSPITAL SERVICE ORGANIZATION. 8 8 0 8 0 0 0 0 122945986 128130450 -7865 -1667 0 0 122938121 128128783 0 0 0 0 57273404 62848928 0 0 0 65664717 65279855 122938121 128128783 0 0 24397024 23698049 10960109 10261134 13436915 13436915 THE ORGANIZATION PERFORMS LABORATORY SERVICES EXCLUSIVELY FOR ITS MEMBERS, EACH OF WHOM IS A HOSPITAL DESCRIBED IN SECTION 501(E)(1)(B) OF THE INTERNAL REVENUE CODE, AND FOR NO ONE ELSE. 0 0 111753457 128130450 THE ORGANIZATION PERFORMS LABORATORY SERVICES EXCLUSIVELY FOR ITS MEMBERS, EACH OF WHOM IS A HOSPITAL DESCRIBED IN SECTION 501(E)(1)(B) OF THE INTERNAL REVENUE CODE, AND FOR NO ONE ELSE. 111753457 1 0 0 0 0 0 0 0 0 0 1 0 0 1 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 X 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 X 8 8 1 1 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 NM X X KRISTOFER RUDD 5059388926 1001 WOODWARD PL NE ALBUQUERQUE NM 87102 BRAD COOK BOARD CHAIR 1.00 2.00 X 0 0 0 LAUREN MADIGAN BOARD MEMBER 1.00 2.00 X 0 0 0 JASON MITCHELL MD BOARD MEMBER 1.00 2.00 X 0 0 0 ALEXEI BAKHIREV MD BOARD MEMBER 1.00 2.00 X 0 0 0 MICHAEL RICHARDS MD BOARD MEMBER 1.00 2.00 X 0 0 0 JILL KLAR BOARD MEMBER 1.00 2.00 X 0 0 0 BONNIE WHITE BOARD MEMBER 1.00 2.00 X 0 0 0 NANCY JOSTE MD BOARD MEMBER 1.00 2.00 X 0 0 0 CHRIS SPENCER BOARD MEMBER (THRU 7/2/24) 1.00 2.00 X 0 0 0 ROBIN DIVINE CHIEF EXECUTIVE OFFICER 22.00 18.00 X 0 466042 43588 ERIC CARBONNEAU CHIEF OPERATING OFFICER 22.00 18.00 X 0 282620 32907 ELLA WATT CHIEF FINANCIAL OFFICER 22.00 18.00 X 0 302813 17328 DAVID GRENACHE CHIEF SCIENTIFIC OFFICER 22.00 18.00 X 0 308536 31074 ANGELA SANCHEZ MD CHIEF MEDICAL OFFICER 22.00 18.00 X 0 266753 12738 CHRISTOPHER MICHALSKI CHIEF PEOPLE OFFICER 22.00 18.00 X 0 277124 14394 KATHRYN FORT OPERATIONS CONTROLLER 22.00 18.00 X 0 218157 6943 HONGYAN XIE SCIENTIFIC DIRECTOR CYTOGENETICS 17.00 23.00 X 0 223006 21720 SAVVAS MERKOURIOU VP INNOVATION 22.00 18.00 X 0 199588 22465 KIMBERLY STUEBER EXEC DIR., INFORMATION TECHNOLOGY 22.00 18.00 X 0 228101 8956 KARISSA MCCALL CULBREATH CHIEF MEDICAL DIRECTOR 26.00 14.00 X 0 205962 10250 NICHOLAS DAYAN CHIEF PEOPLE OFFICER (THRU 7/26/23) 0.00 0.00 X 0 253846 0 0 3232548 222363 0 1 1 0 TRIAGE LLC 12020 PACIFIC STREET OMAHA NE 68154 STAFFING AGENCY 2781586 PATHOLOGY ASSOCIATES OF ALBUQUERQUE 1100 CENTRAL AVE SE ALBUQUERQUE NM 87106 PATHOLOGY CONSULTANTS 1360655 UNM MEDICAL GROUP INC PO BOX 27200 ALBUQUERQUE NM 87125 PATHOLOGY CONSULTANTS 937197 CONEXUS MEDSTAFF LLC 11750 KATY FWY SUITE 750 HOUSTON TX 77079 STAFFING AGENCY 467196 QUALIVIS LLC 5930 CORNERSTONE CT W SUITE 300 SAN DIEGO CA 92121 STAFFING AGENCY 313717 5 SALES, NET OF DISCOUNTS 621500 128130450 128130450 128130450 1667 -1667 -1667 -1667 128128783 128130450 0 -1667 X 1197643 1197643 47496788 41723563 5773225 1907359 1706807 200552 8067440 7219485 847955 4179698 3639936 539762 103709 52845 50864 245046 245046 17563603 16215731 1347872 21010 18536 2474 1647199 1424720 222479 3925958 1166974 2758984 1875309 1050964 824345 138160 95916 42244 217863 217863 3985790 2881983 1103807 388755 388755 SUPPLIES 32500730 32500730 EQUIPMENT EXPENSES 2368034 1911329 456705 FEES 189480 137545 51935 VEHICLE EXPENSE 11653 4243 7410 97556 2150 95406 128128783 111753457 16375326 0 2133650 2395387 18421830 15733138 3096247 2688692 19167127 18613970 24397024 23698049 3198557 2784539 7761552 7476595 10960109 10261134 X 13436915 13436915 13436915 13436915 24397024 23698049 0 0 X X 0 1 X 1 0 X 18960 18960 0 2026109 1768524 257585 15232137 12880838 2351299 1144624 1064816 79808 2688692 DUE FROM MEMBERS 10875528 ROU ASSETS 7300476 OTHER RECEIVABLES 68750 DUE FROM TRICORE REFERENCE LABORATORIES AND TRICORE, INC. 369216 18613970 LEASE LIABILITIES 7476595 7476595 X 128128783 0 128128783 0 128128783 128128783 0 128128783 0 128128783 PART X, LINE 2: THE CORPORATION IS EXEMPT FROM FEDERAL INCOME TAX UNDER SECTION 501(C)(3) OF THE CODE. ACCORDINGLY, NO PROVISION FOR FEDERAL OR STATE INCOME TAXES ARE INCLUDING THE ACCOMPANYING FINANCIAL STATEMENTS. X X X X 1 0 0 0 0 1 1 0 0 ROBIN DIVINE CHIEF EXECUTIVE OFFICER 0 406031 0 59231 0 780 0 17250 0 26338 0 509630 0 0 DAVID GRENACHE CHIEF SCIENTIFIC OFFICER 0 306756 0 1000 0 780 0 15300 0 15774 0 339610 0 0 ELLA WATT CHIEF FINANCIAL OFFICER 0 301033 0 1000 0 780 0 10385 0 6943 0 320141 0 0 ERIC CARBONNEAU CHIEF OPERATING OFFICER 0 280840 0 1000 0 780 0 13800 0 19107 0 315527 0 0 CHRISTOPHER MICHALSKI CHIEF PEOPLE OFFICER 0 259354 0 17770 0 0 0 0 0 14394 0 291518 0 0 ANGELA SANCHEZ MD CHIEF MEDICAL OFFICER 0 265753 0 1000 0 0 0 0 0 12738 0 279491 0 0 NICHOLAS DAYAN CHIEF PEOPLE OFFICER (THRU 7/26/23) 0 253846 0 0 0 0 0 0 0 0 0 253846 0 0 HONGYAN XIE SCIENTIFIC DIRECTOR CYTOGENETICS 0 222006 0 1000 0 0 0 9176 0 12544 0 244726 0 0 KIMBERLY STUEBER EXEC DIR., INFORMATION TECHNOLOGY 0 226321 0 1000 0 780 0 0 0 8956 0 237057 0 0 KATHRYN FORT OPERATIONS CONTROLLER 0 217157 0 1000 0 0 0 0 0 6943 0 225100 0 0 SAVVAS MERKOURIOU VP INNOVATION 0 198588 0 1000 0 0 0 9921 0 12544 0 222053 0 0 KARISSA MCCALL CULBREATH CHIEF MEDICAL DIRECTOR 0 204182 0 1000 0 780 0 10250 0 0 0 216212 0 0 PART I, LINE 3 ALTHOUGH THE FILING ORGANIZATION DOES NOT ISSUE FORMS W-2, IT DOES REPORT THE REIMBURSED SALARIES AND RELATED PAYROLL EXPENSES ON FORM 990, PART IX, STATEMENT OF FUNCTIONAL EXPENSES. AS SUCH, THE ORGANIZATION IS ANSWERING SCHEDULE J AS THOUGH THE COMPENSATION IS COMING FROM THE ORGANIZATION. PART I, LINE 4A NICHOLAS DAYAN RECEIVED SEVERANCE PAY OF $253,846 IN 2024. PART I, LINE 6 BONUS COMPENSATION IS PAID BASED ON A COMPARISON OF ACTUAL NET INCOME TO BUDGETED NET INCOME FOR EACH QUARTER. FORM 990, PART V, LINE 2B: OFFICERS AND EMPLOYEES RECEIVE COMPENSATION FROM A RELATED ORGANIZATION. THE FILING ORGANIZATION THEN REIMBURSES THE RELATED ORGANIZATION FOR ITS PORTION OF THE SALARIES AND PAYROLL EXPENSES. ACCORDINGLY, ALTHOUGH THE FILING ORGANIZATION DOES NOT ISSUE FORMS W-2, IT DOES REPORT THE REIMBURSED SALARIES AND RELATED PAYROLL EXPENSES ON FORM 990, PART IX, STATEMENT OF FUNCTIONAL EXPENSES. FORM 990, PART VI, SECTION A, LINE 2 ALL DIRECTORS, OFFICERS AND KEY EMPLOYEES HAVE A BUSINESS RELATIONSHIP WITH EACH OTHER THROUGH THEIR INVOLVEMENT WITH TRICORE REFERENCE LABORATORIES AND TRICORE INC., WHICH ARE BOTH RELATED ORGANIZATIONS. FORM 990, PART VI, SECTION A, LINE 3 TRICORE REFERENCE LABORATORIES (TRL) ACTS AS AGENT FOR TRICORE LABORATORY SERVICES CORPORATION (TLSC). UNDER WRITTEN AGREEMENT, TRL MAY PROVIDE MANAGEMENT, ADMINISTRATIVE RESOURCES AND SHARED EMPLOYEES TO TLSC, WHICH MAY ACCEPT SUCH SERVICES. ACCORDINGLY, THE ORGANIZATION, AS PRINCIPAL, PAYS TRL, AS AGENT, SPECIFIC AND ALLOCATED EXPENSES. ALL OF THE OFFICERS LISTED ON THE 990, PART VII, SECTION A, WERE COMPENSATED BY TRL IN THE AMOUNTS SHOWN ON THAT SCHEDULE. FORM 990, PART VI, SECTION A, LINE 6 AS AN IRC SECTION 501(E) ORGANIZATION, TLSC IS ORGANIZED AND OPERATED SOLELY TO PERFORM, ON A CENTRALIZED BASIS, FOR ITS MEMBERS AND ONLY FOR ITS MEMBERS, LABORATORY SERVICES AND NOT OTHERS, EXCEPT THOSE SERVICES REFERRED TO IN TREAS. REG. 1.501(E)-1(B)(4) THAT ARE INCIDENTAL TO THE CONDUCT OF THE CORPORATION'S TAX-EXEMPT FUNCTION AND PURPOSE. ACCORDINGLY, THE UNIVERSITY OF NEW MEXICO HOSPITAL (UNMH), A HOSPITAL OWNED AND OPERATED BY THE UNIVERSITY OF NEW MEXICO, AND PRESBYTERIAN, A TAX-EXEMPT ORGANIZATION UNDER IRC SECTION 501(C)(3), ARE EQUAL VOTING MEMBERS AND PATRON HOSPITALS OF TLSC. FORM 990, PART VI, SECTION A, LINE 7A AS THE ORIGINAL AND ONLY VOTING MEMBERS OF TLSC, PRESBYTERIAN AND UNMH EFFECTIVELY CONTROL TLSC THROUGH THEIR RESPECTIVE RIGHTS TO APPOINT AN EQUAL NUMBER OF DIRECTORS TO THE CORPORATION'S BOARD OF DIRECTORS. FORM 990, PART VI, SECTION A, LINE 7B THE OFFICERS ARE SUBJECT TO AN AUTHORITY MATRIX (WRITTEN POLICY), WHICH IS REVIEWED ANNUALLY AND UPDATED IF NECESSARY. CERTAIN ACTIONS OF THE OFFICERS ARE SUBJECT TO BOARD APPROVAL AND ARE PRESENTED AT EACH BOARD MEETING. THE BOARD IS COMPOSED OF 4 INDIVIDUALS FROM EACH OF THE ORIGINAL MEMBERS (UNMH AND PRESBYTERIAN HEALTH SERVICES), SO THEY REPRESENT THE MEMBER HOSPITALS DIRECTLY IN THEIR ACTIONS. FORM 990, PART VI, SECTION B, LINE 11B FORM 990 AND SUPPORTING SCHEDULES ARE DELIVERED TO THE FINANCE COMMITTEE, AS APPOINTED BY THE BOARD OF DIRECTORS, IMMEDIATELY PRECEDING FILING, FOR REVIEW AND DISCUSSION. THE FINANCE COMMITTEE THEN FORWARDS A COPY OF THE FORM 990 TO BOARD MEMBERS FOR REVIEW AND DISCUSSION. FORM 990, PART VI, SECTION B, LINE 12C THE CONFLICT OF INTEREST (COI) STATEMENT IS DISTRIBUTED ANNUALLY TO THE OFFICERS, BOARD MEMBERS, AND BOARD SUB-COMMITTEE MEMBERS. THE CEO'S ADMINISTRATIVE ASSISTANT ENSURES THAT THE OFFICERS, BOARD MEMBERS, AND SUB-COMMITTEE MEMBERS RETURN THEIR SIGNED COI TIMELY FOR REVIEW BY THE CHIEF PEOPLE OFFICER (CPO). IF THERE IS A COI STATED, THE CPO ADVISES THE BOARD OF DIRECTORS. THE BOARD THEN DETERMINES ON A CASE-BY-CASE BASIS IF THE MEMBER IS DISALLOWED FROM VOTING ON THE MATTER INVOLVED. COPIES OF THE SIGNED COI'S ARE MAINTAINED IN THE BOARD FILES. FORM 990, PART VI, SECTION B, LINE 15 CEO COMPENSATION DETERMINATIONS AND REVIEWS ARE INDEPENDENTLY PERFORMED BY THE CHAIRMAN OF THE BOARD OF DIRECTORS, THE BOARD OF DIRECTORS, AND THE CHIEF PEOPLE OFFICER. DELIBERATIONS AND DECISIONS ARE BASED UPON THE ADVICE OF AN INDEPENDENT CONSULTANT(S) AS WELL AS EXTERNAL COMPENSATION SURVEYS. THE ORGANIZATION MAINTAINS CONTEMPORANEOUS DOCUMENTATION OF ALL DELIBERATIONS AND DECISIONS. ALL OTHER OFFICER, KEY EMPLOYEE AND MANAGEMENT COMPENSATION DETERMINATIONS ARE PERFORMED IN HOUSE. APPROVAL IS REQUIRED BY THE CEO AND/OR EXECUTIVE MANAGEMENT TEAM AND HUMAN CAPITAL MANAGEMENT (HCM). THE COMPENSATION DETERMINATIONS ARE ANALYZED AGAINST SALARY SOURCES. THESE SALARY SOURCES MAY INCLUDE, BUT ARE NOT LIMITED TO, COMPARABLE DATA FROM OTHER HEALTH-CARE ORGANIZATIONS, DEPARTMENT OF LABOR STUDIES, AND SPECIALIZED COMPENSATION SURVEYS. THE PAY PHILOSOPHY OF THE ORGANIZATION IS TO HAVE COMPENSATION THAT IS MARKET-DRIVEN. THE ORGANIZATION MAINTAINS CONTEMPORANEOUS DOCUMENTATION OF ALL COMPENSATION DECISIONS. THIS OCCURS AS PART OF THE REGULAR RECRUITING AND HIRING PROCESSES. THE OVERALL COMPENSATION STRUCTURE WAS LAST REVIEWED IN 2025 AND WILL BE REVIEWED ON AN ANNUAL BASIS. FORM 990, PART VI, SECTION C, LINE 19 THE GOVERNING DOCUMENTS AND FINANCIAL STATEMENTS ARE AVAILABLE ON THE NEW MEXICO ATTORNEY GENERAL'S WEBSITE. THE CONFLICT OF INTEREST POLICY IS NOT AVAILABLE TO THE PUBLIC. FORM 990, PART IX, LINE 11G SHARED PERSONNEL - PRESBYTERIAN: PROGRAM SERVICE EXPENSES 4,038,204. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 4,038,204. SHARED PERSONNEL - UNIVERSITY OF NM HOSPITAL: PROGRAM SERVICE EXPENSES 4,868,416. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 4,868,416. PATHOLOGY GROUP PROFESSIONAL AND CONSULTING: PROGRAM SERVICE EXPENSES 2,502,804. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,502,804. SHARED PERSONNEL - OTHER: PROGRAM SERVICE EXPENSES 97,396. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 97,396. OTHER CONTRACT LABOR AND PATIENT CARE: PROGRAM SERVICE EXPENSES 4,659,570. MANAGEMENT AND GENERAL EXPENSES 1,116,314. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 5,775,884. CONSULTANT FEES: PROGRAM SERVICE EXPENSES 49,341. MANAGEMENT AND GENERAL EXPENSES 231,558. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 280,899. FORM 990, PART XII, LINE 2C: NO CHANGE HAS BEEN MADE TO THE OVERSIGHT OR SELECTION PROCESSES. TRICORE INC 1001 WOODWARD PLACE NE ALBUQUERQUE NM 87102 843909066 MEDICAL REFERENCE & CLINICAL LABORATORIES NM 501(C)(3) LINE 10 0 TRICORE REFERENCE LABORATORIES 1001 WOODWARD PLACE NE ALBUQUERQUE NM 87102 850444170 LABORATORY TESTING NM N/A C 0 0 0 0 1 1 0 0 0 0 0 1 0 0 1 1 1 1 0 0