STRATEGY STUDIO / PUBLIC DATA EXPLORER

DENVER HEALTH MEDICAL PLAN INC: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
DENVER HEALTH MEDICAL PLAN INC (EIN 84-1354846)
Tax period
2012-01-01 to 2012-12-31
Filed
2013-08-15
IRS object ID
201322279349303047
Schema version
2012v2.1
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Timestamp2013-08-15T14:41:33-05:00Timestamp
Tax Period End Date2012-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1BKD LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1111 South Tejon Suite 800AddressLine1
CityColorado SpringsCity
StateCOState
ZIP Code809039848ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2012-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN841354846EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1Denver Health Medical Plan IncBusinessNameLine1
FieldValueIRS element (for citing)
In Care Of Name% LEANN DONOVANInCareOfName
Name ControlDENVNameControl
Phone3036022100Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1777 Bannock St MC 6000AddressLine1
Address Line2SuiteAddressLine2
CityDenverCity
StateCOState
ZIP Code80204ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameLeAnn DonovanName
TitleExecutive Director / CEOTitle
Phone3036022100Phone
Date Signed2013-08-15DateSigned
Authorize Third PartytrueAuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
Phone7194714290Phone
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2016-02-25 16:41:14ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonLEANN DONOVANNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1777 BANNOCK ST MC 6000AddressLine1
CityDENVERCity
StateCOState
ZIP Code80204ZIPCode
FieldValueIRS element (for citing)
Gross Receipts133443283GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501cXOrganization501c
Web Sitewww.denverhealthmedicalplan.comWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1997YearFormation
State Legal DomicileCOStateLegalDomicile
Activity Or Mission DescriptionTHE ORGANIZATION'S MISSION IS TO PROVIDE QUALITY, ACCESSIBLE, AND AFFORDABLE HEALTHCARE SERVICES IN THE DENVER AREA. SEE SCHEDULE O FOR ADDITIONAL INFORMATION.ActivityOrMissionDescription
Nbr Voting Members Governing Body8NbrVotingMembersGoverningBody
Nbr Independent Voting Members4NbrIndependentVotingMembers
Total Nbr Employees0TotalNbrEmployees
Total Nbr Volunteers0TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Contributions Grants Prior Year0ContributionsGrantsPriorYear
Contributions Grants Current Year0ContributionsGrantsCurrentYear
Program Service Revenue Prior Year94686523ProgramServiceRevenuePriorYear
Program Service Revenue CY102632658ProgramServiceRevenueCY
Investment Income Prior Year405077InvestmentIncomePriorYear
Investment Income Current Year673137InvestmentIncomeCurrentYear
Other Revenue Prior Year0OtherRevenuePriorYear
Other Revenue Current Year0OtherRevenueCurrentYear
Total Revenue Prior Year95091600TotalRevenuePriorYear
Total Revenue Current Year103305795TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year0GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year77004998BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY79848177BenefitsPaidToMembersCY
Salaries Etc Prior Year4236559SalariesEtcPriorYear
Salaries Etc Current Year4461351SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year4126838OtherExpensePriorYear
Other Expenses Current Year6220184OtherExpensesCurrentYear
Total Expenses Prior Year85368395TotalExpensesPriorYear
Total Expenses Current Year90529712TotalExpensesCurrentYear
Revenues Less Expenses Prior Year9723205RevenuesLessExpensesPriorYear
Revenues Less Expenses CY12776083RevenuesLessExpensesCY
Total Assets BOY41015037TotalAssetsBOY
Total Assets EOY48210288TotalAssetsEOY
Total Liabilities BOY14572822TotalLiabilitiesBOY
Total Liabilities EOY13052176TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY26442215NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY35158112NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionTHE 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.MissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense85313536Expense
Grants0Grants
Revenue102632658Revenue
DescriptionThe 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.Description
Total Program Service Expense85313536TotalProgramServiceExpense
Described In501 C3falseDescribedIn501C3
Schedule B RequiredfalseScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Subject To Proxy TaxfalseSubjectToProxyTax
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentsfalseTermOrPermanentEndowments
Report Land Bldg EquipfalseReportLandBldgEquip
Report Invest Oth SecuritiesfalseReportInvestOthSecurities
Report Prog Rel InvestfalseReportProgRelInvest
Report Other AssetsfalseReportOtherAssets
Report Other LiabilitiestrueReportOtherLiabilities
Report Fin48 FootnotefalseReportFin48Footnote
Independent Audit Financial StmtfalseIndependentAuditFinancialStmt
Consolidated Audit Financial StmttrueConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiesfalseForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiesfalseFundraisingActivities
GamingfalseGaming
HospitalfalseHospital
Grants To OrganizationsfalseGrantsToOrganizations
Grants To IndividualsfalseGrantsToIndividuals
Schedule J RequiredtrueScheduleJRequired
Tax Exempt BondsfalseTaxExemptBonds
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPfalseLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationfalseBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MemberfalseBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshpfalseOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionsfalseDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntityfalseDisregardedEntity
Related EntitytrueRelatedEntity
Related Org Controlled EntityfalseRelatedOrgControlledEntity
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Info In Schedule O Part VXInfoInScheduleOPartV
Number Forms Transmitted With10961081NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees0NumberOfEmployees
Unrelated Business IncomefalseUnrelatedBusinessIncome
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Non Deductible ContributionsfalseNonDeductibleContributions
Indoor Tanning ServicesfalseIndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members8NbrVotingGoverningBodyMembers
Number Independent Voting Members4NumberIndependentVotingMembers
Family Or Business RelationshiptrueFamilyOrBusinessRelationship
Delegation Of Management DutiesfalseDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholderstrueMembersOrStockholders
Election Of Board MemberstrueElectionOfBoardMembers
Decisions Subject To ApprovalfalseDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChaptersfalseLocalChapters
Form990 Provided To Governing BodytrueForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementtrueRegularMonitoringEnforcement
Whistleblower PolicytrueWhistleblowerPolicy
Document Retention PolicytrueDocumentRetentionPolicy
Compensation Process CEOtrueCompensationProcessCEO
Compensation Process OthertrueCompensationProcessOther
Investment In Joint VenturefalseInvestmentInJointVenture
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonLEANN DONOVANNamePerson
Telephone Number3036022100TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1777 BANNOCK ST MC 6000AddressLine1
CityDENVERCity
StateCOState
ZIP Code80204ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (13 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationKey EmployeeKeyEmployeeHighest Compensated EmployeeHighestCompensatedEmployee
Stephanie W Thomas
Board Chairperson/ President2.0XX032227043878
Arthur A Gonzalez
Board Vice-Chairperson/VP2.0XX018997319230
Peggy J Burnette
Board Treasurer2.0XX030004842534
Paul Melinkovich
Board Secretary2.0XX026067339822
Jon Robinson
Board Member1.0X000
Kenneth Floyd
Board Member1.0X000
Dawn P Bookhardt
Board Member1.0X000
Daryl Edmonds
Board Member1.0X000
Patricia Gabow
Board Vice-Chairperson/VP2.0XX042945261155
Deidra Garcia
Board Member1.0X000
LeAnn Donovan
Executive Director / CEO23.0X021482420536
David Brody
Medical Director14.0020137423647X
Clinton Randolph
Finance Director23.0012994122221X
FieldValueIRS element (for citing)
Total Reportable Comp From Org0TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs2048555TotalReportableCompFrmRltdOrgs
Total Other Compensation273023TotalOtherCompensation
Number Individuals GT100 K0NumberIndividualsGT100K
Formers ListedfalseFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
DENVER HEALTH HOSPITAL AUTHORITY
777 BANNOCK STDENVERCO80204SEE SCHEDULE O53359888
UNIVERSITY OF COLORADO
PO Box 731605DALLASTX75373MEDICAL SERVICES5030546
Medimpact Healthcare Systems
10608 Treena StSAN DIEGOCA92131MEDICAL SERVICES4970108
Children's Hospital
PO Box 911611DENVERCO80291Medical services1856800
HM Life Insurance Co
7301 Southwest 57th Court Suite 45SOUTH MIAMIFL33143Reinsurance1618826
FieldValueIRS element (for citing)
Number Of Contractors GT100 K53NumberOfContractorsGT100K
Total Contributions0TotalContributions

Program Service Revenue ProgramServiceRevenue (2 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
PREMIUMS REVENUE6241009795032897950328
MEDICARE PART D PREMIUMS62410046823304682330
FieldValueIRS element (for citing)
Total Program Service Revenue102632658TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column695127TotalRevenueColumn
Exclusion$695,127ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Royalties Revenue RoyaltiesRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real0Real
Personal0Personal

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities30115498Securities

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities30137488Securities

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities-21990Securities

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column-21990TotalRevenueColumn
Exclusion-$21,990ExclusionAmount

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income From Gaming NetIncomeFromGaming

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income Or Loss NetIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn
FieldValueIRS element (for citing)
Total Other Revenue0TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column103305795TotalRevenueColumn
Related Or Exempt Function Income102632658RelatedOrExemptFunctionIncome
Exclusion$673,137ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total0Total

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total0Total

Foreign Grants ForeignGrants

FieldValueIRS element (for citing)
Total0Total

Benefits To Members BenefitsToMembers

FieldValueIRS element (for citing)
Total79848177Total
Program Services79848177ProgramServices

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total0Total

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total4461351Total
Program Services4015216ProgramServices
Management And General446135ManagementAndGeneral
Fundraising0Fundraising

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total0Total

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total0Total

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total0Total

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total0Total

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total49105Total
Management And General49105ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total819199Total
Management And General819199ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total0Total

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total0Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total0Total

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total1375467Total
Management And General1375467ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total327500Total
Program Services327500ProgramServices

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total406726Total
Management And General406726ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total1329840Total
Management And General1329840ManagementAndGeneral

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total512228Total
Management And General512228ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total65352Total
Management And General65352ManagementAndGeneral

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total24364Total
Management And General24364ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total0Total

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total0Total

Insurance Insurance

FieldValueIRS element (for citing)
Total26419Total
Management And General26419ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
REINSURANCE11226431122643
DUES/MEMBERSHIPS/LICENSES4588145881
SUBSCRIPTIONS/BOOKS59845984
MISCELLANEOUS EXPENSE109476109476

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total90529712Total
Program Services85313536ProgramServices
Management And General5216176ManagementAndGeneral
Fundraising0Fundraising
FieldValueIRS element (for citing)
Info In Schedule O Part XXInfoInScheduleOPartX

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY2696254BOY
EOY1846961EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY1497427BOY
EOY2680833EOY

Receivables From Officers Etc ReceivablesFromOfficersEtc

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Receivables From Disqual Persons ReceivablesFromDisqualPersons

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY65954BOY
EOY270589EOY

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY0BOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY36755402BOY
EOY43411905EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Investments Program Related InvestmentsProgramRelated

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Intangible Assets IntangibleAssets

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY41015037BOY
EOY48210288EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY10322232BOY
EOY10050521EOY

Grants Payable GrantsPayable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY3875037BOY
EOY2256081EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Escrow Account Liability EscrowAccountLiability

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Loans From Officers Directors LoansFromOfficersDirectors

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Unsecured Notes Loans Payable UnsecuredNotesLoansPayable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY375553BOY
EOY745574EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY14572822BOY
EOY13052176EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY26442215BOY
EOY35158112EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY26442215BOY
EOY35158112EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY41015037BOY
EOY48210288EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses12776083ReconcilationRevenueExpenses
Reconciliation Unrealized Invest-60186ReconciliationUnrealizedInvest
Reconcilation Other Changes-4000000ReconcilationOtherChanges
Info In Schedule O Part XIIXInfoInScheduleOPartXII
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited

FS Audited Basis FSAuditedBasis

FieldValueIRS element (for citing)
Financial Statement BothXFinancialStatementBoth
FieldValueIRS element (for citing)
Audit CommitteetrueAuditCommittee
Federal Grant Audit RequiredfalseFederalGrantAuditRequired

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Art Public Exhibition AmtsArtPublicExhibitionAmts
Held Works Of Art AmtsHeldWorksOfArtAmts
Current Year Minus3 YearsCurrentYearMinus3Years
Current Year Minus4 YearsCurrentYearMinus4Years
LandLand
BuildingsBuildings
Leasehold ImprovementsLeaseholdImprovements
EquipmentEquipment
Other Land BuildingsOtherLandBuildings
Federal Income Tax Liability0FederalIncomeTaxLiability

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
DescriptionDUE TO DENVER HEALTH & HOSPITAL AUTHORITYDescription
Amount$745,574Amount
FieldValueIRS element (for citing)
Total Of Amounts745574TotalOfAmounts
Tot Revenue Etc Audited Fincl Stmt102122966TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments-60186NetUnrealizedGainsInvestments
Revenue Not Rptd F990-60186RevenueNotRptdF990
Revenue Subtotal102183152RevenueSubtotal
Other Revenues Not Included1122643OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt1122643RevenueNotRptdOnFinStmt
Total Revenue Per Form990103305795TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt93407069TotExpensesEtcAuditedFinclStmt
Other Expenses Included4000000OtherExpensesIncluded
Expenses Not Rptd F9904000000ExpensesNotRptdF990
Expenses Subtotal89407069ExpensesSubtotal
Other Expenses Not Included1122643OtherExpensesNotIncluded
Expenses Not Rptd On Fin Stmt1122643ExpensesNotRptdOnFinStmt
Total Expenses Per Form99090529712TotalExpensesPerForm990

Form990 Schedule D Part XIII Form990ScheduleDPartXIII (4 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
ORGANIZATION'S LIABILITY FOR UNCERTAIN TAX POSITIONSSCHEDULE D, PART X, LINE 2MANAGEMENT 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.
OTHER REVENUE ON RETURN, NOT ON BOOKSSCHEDULE D, PART XI, LINE 4BREINSURANCE PREMIUMS NETTED WITH REVENUE, RECLASSED TO EXPENSE 1,122,643
OTHER EXPENSE ON BOOKS, NOT ON RETURNSCHEDULE D, PART XII, LINE 2DDISTRIBUTION TO SOLE MEMBER OF THE ORGANIZATION 4,000,000
OTHER EXPENSE ON RETURN, NOT ON BOOKSSCHEDULE D, PART XII, LINE 4BREINSURANCE PREMIUMS NETTED WITH REVENUE, RECLASSED TO EXPENSE 1,122,643

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance PaymentfalseSeverancePayment
Supplemental Nonqual Retire PlanfalseSupplementalNonqualRetirePlan
Equity Based Comp ArrangementfalseEquityBasedCompArrangement
Comp Based On Revenue Of Filing OrgfalseCompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related OrgsfalseCompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing OrgfalseCompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate OrgsfalseCompBasedNetEarningsRelateOrgs

Form990 Schedule J Part II Form990ScheduleJPartII (8 entries)

TitleTitleBase Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
Stephanie W Thomas
Board Chairperson/ President0297778096002353204059203286036614800
Arthur A Gonzalez
Board Vice-Chairperson/VP01866990320029540183150915020920300
Peggy J Burnette
Board Treasurer029352809600556003826904265034258200
Paul Melinkovich
Board Secretary02340540146002515903412105701030049500
LeAnn Donovan
Executive Director / CEO0189107096002475701722703309023536000
David Brody
Medical Director019639806000437601663307014022502100
Clinton Randolph
Finance Director01015790002836201223409987015216200
Patricia Gabow
Board Vice-Chairperson/VP0398857064002995505285808297049060700

Form990 Schedule J Part III Form990ScheduleJPartIII

FieldValueIRS element (for citing)
IdentifierDetermination of CEO CompensationIdentifier
Return ReferencePart I, Line 3ReturnReference
ExplanationPlease see Schedule O for disclosure on how CEO compensation is established.Explanation

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (11 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
EMPLOYEES FOR THE ORGANIZATIONFORM 990, PART V, LINE 2ADenver 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 2012 was $4,461,351.
BUSINESS OR FAMILY RELATIONSHIPSFORM 990, PART VI, LINE 2There are four Directors/Board Members that are related by common employment by Denver Health and Hospital Authority (Authority): Arthur Gonzalez, Peggy Burnette, Stephanie Thomas, and Dr. Paul Melinkovich are voting Board Members that are all employees of the Authority. The Executive Director/CEO and Medical Director of the Plan are also employees of the Authority.
DESCRIBE CIRCUMSTANCES FOR MEMBERS ELECTING GOVERNING BODYFORM 990, PART VI, LINE 6, & 7AThe sole member of the Denver Health Medical Plan (Plan) is the Denver Health & Hospital Authority (Authority), a political subidivision 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.
PROCESS TO REVIEW THE FORM 990FORM 990, PART VI, LINE 11BThe tax return is first reviewed by management prior to being filed. Members of the finance committee of the governing body will then meet with management to review and approve the tax return. Comments will be solicited and changes made, if applicable. Management will then email copies to all members of the governing body to review and will have one week to respond with comments. Any applicable revisions will then be made to the return prior to filing it with the IRS.
DESCRIBE HOW THE CONFLICT OF INTEREST POLICY IS MONITORED & ENFORCEDFORM 990, PART VI, LINE 12CThe 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.
DETERMINING COMPENSATIONFORM 990, PART VI, LINE 15A & 15BFor 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 fo 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.
DISCLOSURE OF FINANCIAL STATEMENTSFORM 990, PART VI, LINE 19The Plan maintains copies of its governing documents, Conflict of Interest policy, and financial statements in the office of the Finance Director and are available to the public upon request.
DESCRIPTION OF SERVICES FOR DENVER HEALTH & HOSPITAL AUTHORITYFORM 990, PART VII, SECTION B, COLUMN BMEDICAL & PHARMACY CLAIMS, CAPITATION PAYMENTS, ADMIN & LEGAL SERVICES
OTHER CHANGES IN NET ASSETSFORM 990, PART XI, LINE 9DISTRIBUTION TO SOLE MEMBER OF THE ORGANIZATION (4,000,000)
FINANCIAL STATEMENTS & REPORTINGFORM 990, PART XII, LINE 2BThe Plan is discretely presented 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.
ORGANIZATION'S OVERSIGHT PROCESSFORM 990, PART XII, LINE 2CThe Denver Health and Hospital Authority Finance Committee serves as the Audit Committee for the Denver Health Medical Plan. It assumes responsibility for oversight of the audit and selection of the independent accountant.

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII

Name Of Disregarded Entity NameOfDisregardedEntity

FieldValueIRS element (for citing)
Business Name Line1DENVER HEALTH & HOSPITAL AUTHORITYBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1777 BANNOCK STREETAddressLine1
CityDENVERCity
StateCOState
ZIP Code80204ZIPCode
FieldValueIRS element (for citing)
EIN841343242EIN
Primary ActivitiesGOVT HOSPITALPrimaryActivities
Legal Domicile StateCOLegalDomicileState

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1NABusinessNameLine1
FieldValueIRS element (for citing)
Controlled OrgfalseControlledOrg
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents RoyaltiesfalseReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other OrgfalseGiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other OrgfalseGiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other OrgfalseLoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other OrgfalseSaleOfAssetsToOtherOrg
Purchase Of Assets From Other OrgfalsePurchaseOfAssetsFromOtherOrg
Exchange Of AssetsfalseExchangeOfAssets
Rental Of Facilities To Other OrgsfalseRentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other OrgstrueRentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other OrgstruePerformOfServicesForOtherOrgs
Perform Of Services By Other OrgstruePerformOfServicesByOtherOrgs
Sharing Of FacilitiestrueSharingOfFacilities
Sharing Of Paid EmployeestrueSharingOfPaidEmployees
Reimbursement Paid To Other OrgtrueReimbursementPaidToOtherOrg
Reimbursement Paid By Other OrgtrueReimbursementPaidByOtherOrg
Other Transfer To Other OrgtrueOtherTransferToOtherOrg
Other Transfer From Other OrgtrueOtherTransferFromOtherOrg