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DENVER HEALTH MEDICAL PLAN INC: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization
DENVER HEALTH MEDICAL PLAN INC (EIN 84-1354846)
Tax period
2011-01-01 to 2011-12-31
Filed
2012-11-15
IRS object ID
201233209349308263
Schema version
2011v1.3
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)
Timestamp2012-11-15T16:12:58-06:00Timestamp
Tax Period End Date2011-12-31TaxPeriodEndDate

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 Date2011-01-01TaxPeriodBeginDate

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
CityDenverCity
StateCOState
ZIP Code80204ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameLeAnn DonovanName
TitleExecutive Director/CEOTitle
Date Signed2012-11-15DateSigned
Authorize Third PartytrueAuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameRita F Worster CPAName
Phone7194714290Phone
FieldValueIRS element (for citing)
Tax Year2011TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

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 Receipts126101182GrossReceipts
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 Body9NbrVotingMembersGoverningBody
Nbr Independent Voting Members5NbrIndependentVotingMembers
Total Nbr Employees0TotalNbrEmployees
Total Nbr Volunteers0TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Contributions Grants Prior Year0ContributionsGrantsPriorYear
Contributions Grants Current Year0ContributionsGrantsCurrentYear
Program Service Revenue Prior Year88388859ProgramServiceRevenuePriorYear
Program Service Revenue CY94686523ProgramServiceRevenueCY
Investment Income Prior Year443304InvestmentIncomePriorYear
Investment Income Current Year405077InvestmentIncomeCurrentYear
Other Revenue Prior Year0OtherRevenuePriorYear
Other Revenue Current Year0OtherRevenueCurrentYear
Total Revenue Prior Year88832163TotalRevenuePriorYear
Total Revenue Current Year95091600TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year0GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year72946223BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY77004998BenefitsPaidToMembersCY
Salaries Etc Prior Year3304694SalariesEtcPriorYear
Salaries Etc Current Year4236559SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year4827241OtherExpensePriorYear
Other Expenses Current Year4126838OtherExpensesCurrentYear
Total Expenses Prior Year81078158TotalExpensesPriorYear
Total Expenses Current Year85368395TotalExpensesCurrentYear
Revenues Less Expenses Prior Year7754005RevenuesLessExpensesPriorYear
Revenues Less Expenses CY9723205RevenuesLessExpensesCY
Total Assets BOY30137067TotalAssetsBOY
Total Assets EOY41015037TotalAssetsEOY
Total Liabilities BOY10484443TotalLiabilitiesBOY
Total Liabilities EOY14572822TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY19652624NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY26442215NetAssetsOrFundBalancesEOY
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
Expense81105494Expense
Revenue94686523Revenue
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 Expense81105494TotalProgramServiceExpense
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
Transaction Related EntityfalseTransactionRelatedEntity
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Info In Schedule O Part VXInfoInScheduleOPartV
Number Forms Transmitted With10961015NumberFormsTransmittedWith1096
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 Members9NbrVotingGoverningBodyMembers
Number Independent Voting Members5NumberIndependentVotingMembers
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
FieldValueIRS element (for citing)
Info In Schedule O Part VIIXInfoInScheduleOPartVII

Form990 Part VII Section A Form990PartVIISectionA (15 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerKey EmployeeKeyEmployeeHighest Compensated EmployeeHighestCompensatedEmployee
Dawn P Bookhardt
Board Member1.0X000
Patricia A Gabow
Board Vice-Chairperson/VP2.0X049180463432X
Peggy J Burnette
Board Treasurer2.0X029449239007X
Stephanie W Thomas
Board Chairperson2.0X030655440804X
Paul Melinkovich
Board Secretary2.0X023788536544X
Kenneth Floyd
Board Member1.0X000
Deidra Garcia
Board Member1.0X000
Ralph Pollack
Board Member1.0X000
Jon Robinson
Board member1.0X
Daryl Edmonds
Board Member1.0X
LeAnn Donovan
Executive Director / CEO23.0021629020717X
David Brody
Medical Director14.0019393425007X
Deb Markson
Information Systems Manager29.0011766914963X
Christina Macgowan
Pharmacy Director13.0010624412671X
Clinton Randolph
Finance Director23.0011030414886X
FieldValueIRS element (for citing)
Total Reportable Comp From Org0TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs2075176TotalReportableCompFrmRltdOrgs
Total Other Compensation268031TotalOtherCompensation
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 STDENVERCO80204MEDICAL/PHARMCY SVCS49846125
CAREMARK
ONE CVS DRIVEWOONSOCKETRI02895PHARMACY SERVICES4697095
UNIVERSITY HOSPITAL
PO BOX 660DENVERCO80256MEDICAL SERVICES3309789
CHILDREN'S HOSPITAL
DEPT 1611DENVERCO80291MEDICAL SERVICES2178705
HM LIFE INSURANCE CO
7301 SOUTHWEST 57TH CT STE 450SOUTH MIAMIFL33143REINSURANCE1984867
FieldValueIRS element (for citing)
Number Of Contractors GT100 K5NumberOfContractorsGT100K
Total Contributions0TotalContributions

Program Service Revenue ProgramServiceRevenue (2 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
PREMIUMS REVENUE, NET OF REINSURANCE6241009041954290419542
MEDICARE PART D PREMIUMS62410042669814266981
FieldValueIRS element (for citing)
Total Program Service Revenue94686523TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column404659TotalRevenueColumn
Exclusion$404,659ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Royalties Revenue RoyaltiesRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities31010000Securities

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities31009582Securities

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities418Securities

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column418TotalRevenueColumn
Exclusion$418ExclusionAmount

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 Column95091600TotalRevenueColumn
Related Or Exempt Function Income94686523RelatedOrExemptFunctionIncome
Exclusion$405,077ExclusionAmount

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)
Total77004998Total
Program Services77004998ProgramServices

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)
Total4236559Total
Program Services3812903ProgramServices
Management And General423656ManagementAndGeneral
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)
Total71304Total
Management And General71304ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total648787Total
Management And General648787ManagementAndGeneral

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)
Total840454Total
Management And General840454ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total287593Total
Program Services287593ProgramServices

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total540463Total
Management And General540463ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total936933Total
Management And General936933ManagementAndGeneral

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total505449Total
Management And General505449ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total72692Total
Management And General72692ManagementAndGeneral

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total33094Total
Management And General33094ManagementAndGeneral

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)
Total26302Total
Management And General26302ManagementAndGeneral

Other Expenses OtherExpenses (3 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneralFundraisingFundraising
DUES/MEMBERSHIPS/LICENSES449420449420
SUBSCRIPTIONS/BOOKS241580241580
MISCELLANEOUS EXPENSE946670946670

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total85368395Total
Program Services81105494ProgramServices
Management And General4262901ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY1997295BOY
EOY2696254EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY341355BOY
EOY1497427EOY

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)
BOY76743BOY
EOY65954EOY

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY0BOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY27721674BOY
EOY36755402EOY

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)
BOY30137067BOY
EOY41015037EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY8236766BOY
EOY10322232EOY

Grants Payable GrantsPayable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY1732871BOY
EOY3875037EOY

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)
BOY514806BOY
EOY375553EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY10484443BOY
EOY14572822EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY19652624BOY
EOY26442215EOY

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)
BOY19652624BOY
EOY26442215EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY30137067BOY
EOY41015037EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses9723205ReconcilationRevenueExpenses
Reconcilation Other Changes-2933614ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited
Audit CommitteetrueAuditCommittee
Financial Statement BothXFinancialStatementBoth
Federal Grant Audit RequiredfalseFederalGrantAuditRequired

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Art Public Exhibition AmtsArtPublicExhibitionAmts
Held Works Of Art AmtsHeldWorksOfArtAmts
Current Year Minus3 YearsCurrentYearMinus3Years
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$375,553Amount
FieldValueIRS element (for citing)
Total Of Amounts375553TotalOfAmounts
Total Revenue95091600TotalRevenue
Total Expenses85368395TotalExpenses
Excess Or Deficit For Year9723205ExcessOrDeficitForYear
Net Unrealized GL On Investments66386NetUnrealizedGLOnInvestments
Other-$3,000,000OtherAmount
Total Adjustments-2933614TotalAdjustments
Excess Or Deficit Per FS6789591ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt95157986TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments66386NetUnrealizedGainsInvestments
Revenue Not Rptd F99066386RevenueNotRptdF990
Revenue Subtotal95091600RevenueSubtotal
Total Revenue Per Form99095091600TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt88368395TotExpensesEtcAuditedFinclStmt
Other Expenses Included3000000OtherExpensesIncluded
Expenses Not Rptd F9903000000ExpensesNotRptdF990
Expenses Subtotal85368395ExpensesSubtotal
Total Expenses Per Form99085368395TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (3 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 EXPENSE ON BOOKS, NOT ON RETURNSCHEDULE D, PART XIII, LINE 2DDISTRIBUTION TO SOLE MEMBER OF THE ORGANIZATION 3,000,000
OTHER CHANGES IN NET ASSETSSCHEDULE D, PART XI, LINE 8DISTRIBUTION TO SOLE MEMBER OF THE ORGANIZATION (3,000,000)

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 (6 entries)

Base 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
Patricia A Gabow
0458596096003224805499908433055523600
Peggy J Burnette
028797209600556003476304244033349900
Stephanie W Thomas
0283970096002162403735203452034735800
Paul Melinkovich
02132610104002358402936707177027442900
LeAnn Donovan
01840450146003078501726003457023700700
David Brody
019185005000158401617408833021894100

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (14 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 2010 was $4,236,559.
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): Dr. Patricia Gabow, 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 mail 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 of 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.
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.
FINANCIAL STATEMENTS & REPORTINGFORM 990, PART XII, LINE 2DThe 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.
OTHER CHANGES IN NET ASSETSFORM 990, PART XI, LINE 5DISTRIBUTION TO SOLE MEMBER OF THE ORGANIZATION (3,000,000) UNREALIZED GAIN 66,386 TOTAL (2,933,614)
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:Patricia A. Gabow TITLE:Board Vice-Chairperson/VP HOURS:40
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:Peggy J. Burnette TITLE:Board Treasurer HOURS:40
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:Stephanie W. Thomas TITLE:Board Chairperson HOURS:40
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:Paul Melinkovich TITLE:Board Secretary HOURS:40

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 OrgfalseOtherTransferFromOtherOrg