2013-08-15T14:41:33-05:00 2012-12-31 BKD LLP 111 South Tejon Suite 800 Colorado Springs CO 809039848 990 2012-01-01 841354846 Denver Health Medical Plan Inc % LEANN DONOVAN DENV 3036022100 777 Bannock St MC 6000 Suite Denver CO 80204 LeAnn Donovan 3036022100 2013-08-15 true 7194714290 2012 2016-02-25 16:41:14Z LEANN DONOVAN 777 BANNOCK ST MC 6000 DENVER CO 80204 133443283 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. 8 4 0 0 0 0 0 94686523 102632658 405077 673137 0 0 95091600 103305795 0 0 77004998 79848177 4236559 4461351 0 0 0 4126838 6220184 85368395 90529712 9723205 12776083 41015037 48210288 14572822 13052176 26442215 35158112 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 85313536 0 102632658 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. 85313536 false false false false false false false false false false false false false true false false 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 X 1081 0 true 0 false false false false false false X 8 4 true false false false true true false true true false false true true true true true true true true false X LEANN DONOVAN 3036022100 777 BANNOCK ST MC 6000 DENVER CO 80204 Stephanie W Thomas 2.0 X X 0 322270 43878 Arthur A Gonzalez 2.0 X X 0 189973 19230 Peggy J Burnette 2.0 X X 0 300048 42534 Paul Melinkovich 2.0 X X 0 260673 39822 Jon Robinson 1.0 X 0 0 0 Kenneth Floyd 1.0 X 0 0 0 Dawn P Bookhardt 1.0 X 0 0 0 Daryl Edmonds 1.0 X 0 0 0 Patricia Gabow 2.0 X X 0 429452 61155 Deidra Garcia 1.0 X 0 0 0 LeAnn Donovan 23.0 X 0 214824 20536 David Brody 14.0 X 0 201374 23647 Clinton Randolph 23.0 X 0 129941 22221 0 2048555 273023 0 false true false DENVER HEALTH HOSPITAL AUTHORITY 777 BANNOCK ST DENVER CO 80204 SEE SCHEDULE O 53359888 UNIVERSITY OF COLORADO PO Box 731605 DALLAS TX 75373 MEDICAL SERVICES 5030546 Medimpact Healthcare Systems 10608 Treena St SAN DIEGO CA 92131 MEDICAL SERVICES 4970108 Children's Hospital PO Box 911611 DENVER CO 80291 Medical services 1856800 HM Life Insurance Co 7301 Southwest 57th Court Suite 45 SOUTH MIAMI FL 33143 Reinsurance 1618826 53 0 PREMIUMS REVENUE 624100 97950328 97950328 MEDICARE PART D PREMIUMS 624100 4682330 4682330 102632658 695127 695127 0 0 0 0 0 30115498 30137488 -21990 -21990 -21990 0 0 0 0 103305795 102632658 673137 0 0 0 79848177 79848177 0 0 4461351 4015216 446135 0 0 0 0 0 49105 49105 819199 819199 0 0 0 1375467 1375467 327500 327500 406726 406726 1329840 1329840 0 512228 512228 65352 65352 0 24364 24364 0 0 0 26419 26419 REINSURANCE 1122643 1122643 DUES/MEMBERSHIPS/LICENSES 45881 45881 SUBSCRIPTIONS/BOOKS 5984 5984 MISCELLANEOUS EXPENSE 109476 109476 90529712 85313536 5216176 0 X 2696254 1846961 0 0 0 0 1497427 2680833 0 0 0 0 0 0 0 0 65954 270589 0 36755402 43411905 0 0 0 0 0 0 0 0 41015037 48210288 10322232 10050521 0 0 3875037 2256081 0 0 0 0 0 0 0 0 0 0 375553 745574 14572822 13052176 X 26442215 35158112 0 0 0 0 26442215 35158112 41015037 48210288 X 12776083 -60186 -4000000 X X false true X true false 0 DUE TO DENVER HEALTH & HOSPITAL AUTHORITY 745574 745574 102122966 -60186 -60186 102183152 1122643 1122643 103305795 93407069 4000000 4000000 89407069 1122643 1122643 90529712 ORGANIZATION'S LIABILITY FOR UNCERTAIN TAX POSITIONS SCHEDULE D, PART X, LINE 2 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. OTHER REVENUE ON RETURN, NOT ON BOOKS SCHEDULE D, PART XI, LINE 4B REINSURANCE PREMIUMS NETTED WITH REVENUE, RECLASSED TO EXPENSE 1,122,643 OTHER EXPENSE ON BOOKS, NOT ON RETURN SCHEDULE D, PART XII, LINE 2D DISTRIBUTION TO SOLE MEMBER OF THE ORGANIZATION 4,000,000 OTHER EXPENSE ON RETURN, NOT ON BOOKS SCHEDULE D, PART XII, LINE 4B REINSURANCE PREMIUMS NETTED WITH REVENUE, RECLASSED TO EXPENSE 1,122,643 false false false false false false false Stephanie W Thomas 0 297778 0 960 0 23532 0 40592 0 3286 0 366148 0 0 Arthur A Gonzalez 0 186699 0 320 0 2954 0 18315 0 915 0 209203 0 0 Peggy J Burnette 0 293528 0 960 0 5560 0 38269 0 4265 0 342582 0 0 Paul Melinkovich 0 234054 0 1460 0 25159 0 34121 0 5701 0 300495 0 0 LeAnn Donovan 0 189107 0 960 0 24757 0 17227 0 3309 0 235360 0 0 David Brody 0 196398 0 600 0 4376 0 16633 0 7014 0 225021 0 0 Clinton Randolph 0 101579 0 0 0 28362 0 12234 0 9987 0 152162 0 0 Patricia Gabow 0 398857 0 640 0 29955 0 52858 0 8297 0 490607 0 0 Determination of CEO Compensation Part I, Line 3 Please see Schedule O for disclosure on how CEO compensation is established. EMPLOYEES FOR THE ORGANIZATION FORM 990, PART V, LINE 2A 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 2012 was $4,461,351. BUSINESS OR FAMILY RELATIONSHIPS FORM 990, PART VI, LINE 2 There 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 BODY FORM 990, PART VI, LINE 6, & 7A The 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 990 FORM 990, PART VI, LINE 11B The 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 & ENFORCED FORM 990, PART VI, LINE 12C 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. DETERMINING COMPENSATION FORM 990, PART VI, LINE 15A & 15B 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 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 STATEMENTS FORM 990, PART VI, LINE 19 The 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 AUTHORITY FORM 990, PART VII, SECTION B, COLUMN B MEDICAL & PHARMACY CLAIMS, CAPITATION PAYMENTS, ADMIN & LEGAL SERVICES OTHER CHANGES IN NET ASSETS FORM 990, PART XI, LINE 9 DISTRIBUTION TO SOLE MEMBER OF THE ORGANIZATION (4,000,000) FINANCIAL STATEMENTS & REPORTING FORM 990, PART XII, LINE 2B The 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 PROCESS FORM 990, PART XII, LINE 2C The 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. DENVER HEALTH & HOSPITAL AUTHORITY 777 BANNOCK STREET DENVER CO 80204 841343242 GOVT HOSPITAL CO NA false false false false false false false false false false true true true true true true true true true