Civic Intelligence

Denver Health Medical Plan Inc

EIN 84-1354846 • 501(c)4 • Denver, CO

Profile

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.

777 Bannock St Mc 6000Denver, CO 80204

www.denverhealthmedicalplan.com

Siviq Scores

Precomputed percentiles relative to similar nonprofits. These scores are descriptive rather than judgmental.

Liabilities / Assets

96th percentile

1.11x

Higher debt load relative to assets than 96% of similar nonprofits.

$250M-$1B nonprofits • Source year 2024

Liabilities / Revenue

30th percentile

0.18x

Higher debt load relative to revenue than 30% of similar nonprofits.

$250M-$1B nonprofits • Source year 2024

Net Margin

14th percentile

-10%

Higher net margin than 14% of similar nonprofits.

$250M-$1B nonprofits • Source year 2024

Top Officer Pay

77th percentile

$1,312,586

Higher top officer pay than 77% of similar nonprofits.

Top officer pay equals 0.2% of source-year revenue.

$250M-$1B nonprofits • Source year 2024

Asset Growth

2nd percentile

-33%

Faster asset growth than 2% of similar nonprofits.

$250M-$1B nonprofits • Annualized from 2023 to 2024

Revenue Growth

21st percentile

-0.6%

Faster revenue growth than 21% of similar nonprofits.

$250M-$1B nonprofits • Annualized from 2023 to 2024

Assets

Down

$89,049,995

Down $33,215,016 (-27%) from 2022

Liabilities

Up

$98,604,755

Up $13,320,485 (+16%) from 2022

Net Assets

Down

-$9,554,760

Down $46,535,501 (-126%) from 2022

Revenue

Down

$536,017,809

Down $11,019,583 (-2.0%) from 2022

Expenses

Up

$591,954,933

Up $43,959,277 (+8.0%) from 2022

Net Income

Down

-$55,937,124

Down $54,978,860 (-5737%) from 2022

Trend Graphs

Balance Sheet Trend

Grouped bars show assets, liabilities, and net assets across loaded filings.

$150M$100M$50M$0-$50MAssets 2010: $30,137,067Liabilities 2010: $10,484,443Net Assets 2010: $19,652,6242010Assets 2011: $41,015,037Liabilities 2011: $14,572,822Net Assets 2011: $26,442,2152011Assets 2012: $48,210,288Liabilities 2012: $13,052,176Net Assets 2012: $35,158,1122012Assets 2013: $44,035,509Liabilities 2013: $11,026,876Net Assets 2013: $33,008,6332013Assets 2014: $45,713,238Liabilities 2014: $16,110,485Net Assets 2014: $29,602,7532014Assets 2015: $48,508,815Liabilities 2015: $17,471,079Net Assets 2015: $31,037,7362015Assets 2016: $51,786,716Liabilities 2016: $20,139,103Net Assets 2016: $31,647,6132016Assets 2017: $57,494,779Liabilities 2017: $26,416,592Net Assets 2017: $31,078,1872017Assets 2018: $68,063,440Liabilities 2018: $37,545,714Net Assets 2018: $30,517,7262018Assets 2019: $80,694,513Liabilities 2019: $44,624,744Net Assets 2019: $36,069,7692019Assets 2020: $89,033,133Liabilities 2020: $40,077,648Net Assets 2020: $48,955,4852020Assets 2021: $83,331,109Liabilities 2021: $41,753,566Net Assets 2021: $41,577,5432021Assets 2022: $122,265,011Liabilities 2022: $85,284,270Net Assets 2022: $36,980,7412022Assets 2024: $89,049,995Liabilities 2024: $98,604,755Net Assets 2024: -$9,554,7602024

Highlighted filing

2024

Assets$89,049,995
Liabilities$98,604,755
Net Assets-$9,554,760

Operations Trend

Revenue, expenses, and net income by year, with the latest filing highlighted.

$600M$400M$200M$0-$200MExpenses 2010: $81,078,1582010Expenses 2011: $85,368,3952011Expenses 2012: $90,529,7122012Revenue 2013: $110,589,379Expenses 2013: $103,390,244Net Income 2013: $7,199,1352013Revenue 2014: $116,389,019Expenses 2014: $121,406,083Net Income 2014: -$5,017,0642014Revenue 2015: $121,606,641Expenses 2015: $120,405,995Net Income 2015: $1,200,6462015Revenue 2016: $140,820,502Expenses 2016: $134,428,771Net Income 2016: $6,391,7312016Revenue 2017: $160,428,095Expenses 2017: $161,065,952Net Income 2017: -$637,8572017Revenue 2018: $249,937,096Expenses 2018: $250,198,841Net Income 2018: -$261,7452018Revenue 2019: $391,412,406Expenses 2019: $387,344,425Net Income 2019: $4,067,9812019Revenue 2020: $430,680,694Expenses 2020: $419,218,410Net Income 2020: $11,462,2842020Revenue 2021: $481,837,741Expenses 2021: $488,072,452Net Income 2021: -$6,234,7112021Revenue 2022: $547,037,392Expenses 2022: $547,995,656Net Income 2022: -$958,2642022Revenue 2024: $536,017,809Expenses 2024: $591,954,933Net Income 2024: -$55,937,1242024

Highlighted filing

2024

Revenue$536,017,809
Expenses$591,954,933
Net Income-$55,937,124

Filings

Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2024XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$89.0$98.6$9.55$536$592$55.9
2022Facts available. Structured filing facts are available, but richer extracted sections are limited.$122$85.3$37.0$547$548$0.96
2021XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$83.3$41.8$41.6$482$488$6.23
2020XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$89.0$40.1$49.0$431$419$11.5
2019Summary only. Only limited summary data is available for this year.$80.7$44.6$36.1$391$387$4.07
2018XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$68.1$37.5$30.5$250$250$0.26
2017Summary only. Only limited summary data is available for this year.$57.5$26.4$31.1$160$161$0.64
2016XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$51.8$20.1$31.6$141$134$6.39
2015XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$48.5$17.5$31.0$122$120$1.20
2014Detailed filing. Detailed filing data is available for this year.$45.7$16.1$29.6$116$121$5.02
2013Detailed filing. Detailed filing data is available for this year.$44.0$11.0$33.0$111$103$7.20
2012Facts available. Structured filing facts are available, but richer extracted sections are limited.$48.2$13.1$35.2$90.5
2011Facts available. Structured filing facts are available, but richer extracted sections are limited.$41.0$14.6$26.4$85.4
2010Facts available. Structured filing facts are available, but richer extracted sections are limited.$30.1$10.5$19.7$81.1
Latest Detailed Filing

The latest 2024 filing currently has linked XML that has not been fully parsed yet. Showing the latest detailed filing from 2022 below.

Jump To
Filing Snapshot
Filing Period
Jan 1, 2022 to Dec 31, 2022
Signed
Nov 13, 2023
Return Version
2022v5.0
Gross Receipts
$552,843,917
Mission and Program Overview

Mission

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.

The organization's mission is to provide affordable, high quality healthcare coverage for all, in partnership with denver health. See schedule o for additional information.

Balance Sheet Detail
LineBeginningEndChange
Assets
Investments in Publicly Traded Securities$38,860,381$59,408,737▲ $20,548,356
Accounts Receivable$32,817,421$48,469,505▲ $15,652,084
Prepaid Expenses and Deferred Charges$1,413,072$10,668,582▲ $9,255,510
Savings and Temporary Cash Investments$8,246,731$2,449,920▼ $5,796,811
Land, Buildings, and Equipment, Net$1,700,201$803,269▼ $896,932
Cash and Non-Interest-Bearing Accounts$0$0→ $0
Other Notes and Loans Receivable, Net$0$0→ $0
Pledges and Grants Receivable$0$0→ $0
Receivable From Disqualified Prsn$0$0→ $0
Receivables From Officers Etc$0$0→ $0
Investments Other Securities$0$0→ $0
Investments Program Related$0$0→ $0
Intangible Assets$0$0→ $0
Inventories for Sale or Use$0$0→ $0
Loans From Officers Directors$0$0→ $0
Total Assets$83,331,109$122,265,011▲ $38,933,902
Other Assets Total$293,303$464,998▲ $171,695
Liabilities
Accounts Payable and Accrued Expenses$38,135,238$79,084,652▲ $40,949,414
Other Liabilities$2,690,580$6,199,618▲ $3,509,038
Deferred Revenue$927,748$0▼ $927,748
Grants Payable$0$0→ $0
Mortgage Notes Payable Secured by Investment Property$0$0→ $0
Unsecured Notes Loans Payable$0$0→ $0
Escrow Account Liability$0$0→ $0
Tax Exempt Bond Liabilities$0$0→ $0
Total Liabilities$41,753,566$85,284,270▲ $43,530,704
Net Assets / Fund Balance
Net Assets Without Donor Restrictions$41,577,543$36,980,741▼ $4,596,802
Net Assets With Donor Restrictions$0$0→ $0
Total Net Assets Fund Balance$41,577,543$36,980,741▼ $4,596,802
Total Liabilities and Net Assets / Fund Balance$83,331,109$122,265,011▲ $38,933,902

Asset Categories

AssetBook ValueDepreciationBasis
Other Land Buildings$803,269$4,527,492$5,330,761
Compensation and Service Providers

Employees

NameTitleFull / Part TimeOtherTotal
Joseph CaldwellDhmp CFOFT$148,608$148,608

Board Members and Trustees

NameTitle
Carla Elam-floydChair
Simon HambridgeVice Chair
Donna LynneBoard Member
Helen AtkesonBoard Member
Rus HeiseBoard Member
Sterling Scott CroweBoard Member
Joan HenneberryBoard Member (through 02/22)
Magaly BritoClaims Director
Lucas WilsonDirector Info Systems
Shanique HorneDirector Provider Relations
Norma StiglichFormer Medical Director
Christine SealsMedical Director
Gregory MccarthyCEO
Michael WagnerChief Administrative Officer
Jason PearseMgr Info Systems
Ruie Winters Iii Sr Dir HealthOutcomes, Pharmacy, Managed CA
Robert LodgePharmacy Clinical Specialist
Carol LewisSecretary
Faraz KhanTreasurer

Highest Paid Contractors

ContractorServicesLocationCompensation
Denver Health And Hospital AuthoritSee Schedule O777 BANNOCK ST, Denver, CO 80204$214,710,561
University Of ColoradoMedical ServicesPO BOX 731605, Dallas, TX 75373$34,293,249
Medimpact Healthcare SystemPharmacy10608 TREENA ST, San Diego, CA 92131$27,765,034
Sky Ridge Medical CenterMedical Services10101 RIDGEGATE PARKWAY, Lone Tree, CO 80124$21,857,412
Children's Hospital ColoradoMedical Services13123 East 16th Avenue, Aurora, CO 80045$17,478,476
Revenue and Support

Revenue Composition

Contributions and Grants
$0
Program Service Revenue
$545,703,083
Investment Income
$1,334,309
Other Revenue
$0
Change in Net Assets
$-958,264

Audited Revenue Reconciliation

Revenue per Audited Statements
$471,746,817
Revenue Not Reported on Financial Statements
$75,290,575
Revenue Not Reported on Form 990
$-3,638,537
Other Revenue Adjustments
$75,290,575
Total Revenue per Audited Statements
$468,108,280
Total Revenue per Form 990
$547,037,392
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Other Expenses$99,079,615
Salaries, Compensation, and Employee Benefits$21,014,992
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Benefits to Members$427,901,049--$427,901,049
Other Salaries and Wages$18,913,493$1,952,891-$20,866,384
Fees for Services Other$1,733,823$3,954,972-$5,688,795
Information Technology$1,375,025$3,562,691-$4,937,716
Other Expenses$75,290,575$4,324,895$0$4,324,895
Fees for Services Accounting-$2,837,872-$2,837,872
Fees for Services Legal-$1,960,768-$1,960,768
Depreciation Depletion-$1,229,654-$1,229,654
Occupancy-$1,168,358-$1,168,358
Office Expenses-$1,088,363-$1,088,363
Advertising$463,916--$463,916
Current Officers, Directors, Trustees, and Key Employees-$148,608-$148,608
Insurance-$84,002-$84,002
Travel-$4,701-$4,701
Total Functional Expenses$525,677,881$22,317,775$0$547,995,656

Audited Expense Reconciliation

Line ItemAmount
Total Expenses per Form 990$547,995,656
Expenses per Audited Statements$472,705,081
Total Expenses per Audited Statements$472,705,081
Expenses Not Reported on Financial Statements$75,290,575
Other Expense Adjustments$75,290,575
Fundraising, Events, and Gaming
Fundraising activities
No
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Fundraising Direct Expenses$0
Fundraising Gross Income$0
Gaming Direct Expenses$0
Gaming Gross Income$0
Professional Fundraising Fees$0
Political and Lobbying Activity
Political campaign activity
No
Subject to proxy tax
No
Insider Transactions and Loans

Loans and Receivables

Line ItemBeginningEndChange
Loans from Officers, Directors, Trustees, and Key Employees$0$0→ $0
Receivables from Disqualified Persons$0$0→ $0
Receivables from Officers, Directors, Trustees, and Key Employees$0$0→ $0
Debt and Bond Financing

Other Reported Liabilities

LiabilityAmount
Due to Denver Health & Hospita$6,199,618
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Annual disclosure for covered persons
Yes
Audit committee
Yes
Business relationship with 35% controlled entity
No
Business relationship with family members
No
Business relationship with organization members
No
Material changes to governing documents
No
Compensation from other sources disclosed
No
CEO compensation reviewed
No
Other officer compensation reviewed
No
Conflict-of-interest policy
Yes
Audited financial statements prepared
Yes
Key decisions subject to board approval
No
Management duties delegated
No

Governance Explanations

Form 990, Part VI, Section A, Line 2

Business or family relationships: there are three directors/board members that are related by common employment by denver health and hospital authority (authority): faraz khan and dr. Simon hambridge are voting board members that are employees of the authority. The executive director/ceo, medical director, and cfo of the plan are also employees of the authority.

Form 990, Part VI, Section A, Line 6 and 7A

Describe circumstances for members electing governing body: the sole member of the denver health medical plan (plan) is the denver health and hospital authority (authority), a political subdivision 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.

Form 990, Part VI, Section B, Line 11B

Process to review the form 990: the tax return is reviewed by executive management prior to being filed. After filing with the irs, management then provides copies to all members of the governing body upon request.

Form 990, Part VI, Section B, Line 12C

Process for monitoring compliance with conflict of interest policy: 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.

Form 990, Part VI, Section C, Line 19

Governing documents available to the public: the plan maintains copies of its governing documents, conflict of interest policy, and financial statements at its company offices in denver, colorado, and makes them available to the public upon request.

Form 990, Part VII, Section A, Column C

Explanation for former officers listed: norma stiglich is a former officer of denver health medical plan, and a current employee of denver health and hospital authority, a related organization. Norma stiglich no longer serves in any role at and provided no services to denver health medical plan at any time during the tax year. All compensation disclosed on 990 part vii and schedule j, part ii is for her services to/for denver health and hospital authority as a current employee of denver health and hospital authority.

Form 990, Part VII, Section B, Column B

Description of services for denver health and hospital authority: medical and pharmacy claims, capitation payments, admin and legal services, nurse call line, subrogation, and leased employees.

Filing and Contact Details

Filer

Filer Name
Denver Health Medical Plan Inc
EIN
84-1354846
In Care Of
% GREGORY MCCARTHY
Phone
3036022100
Address
777 BANNOCK ST MC 6000, DENVER, CO 80204

Signing Officer

Name
Gregory McCarthy
Title
Exec Director/CEO
Phone
3036022100
Signed
2023-11-13
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Greg Mccarthy
Formed
1997
Legal Domicile
Co
Voting Board Members
9
Independent Board Members
6
Employees
0
Volunteers
8

Preparer

Firm
Forvis Llp
Address
111 South Tejon Suite 800, Colorado Springs, CO 80903-9848
Preparer
Adam R Smith CPA
Phone
7194714290
Supplemental Narrative

Additional Explanations

Form 990, Part V, Line 2A

Employees for the organization: denver health medical plan (plan) has no employees. It pays denver health hospital authority (authority), a political subdivision of the state of colorado, for a portion the time of certain authority employees that is spent on the plan's initiatives and operations.

Form 990, Part XII, Line 2B

Financial statements and reporting: the plan is a discretely presented component 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 generally accepted 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.

Form 990, Part XII, Line 2C

Organization's oversight process: the denver health and hospital authority finance committee assumes responsibility for the oversight of the audit and selection of the independent accountant.

Financial Statement Notes

Schedule D, Part X, Line 2

Uncertain tax positions: management has evaluated their income tax positions under the guidance included in asc 740. Based on their review, managment has not identified any material uncertain tax positions to be recorded or disclosed in the financial statements.

Schedule D, Part XI, Line 4B

Revenue on the return, not on the books: 75,290,575 reinsurance net reclassed to expense.

Schedule D, Part XII, Line 4B

Expense on return, not on books: 75,290,575 reinsurance premiums net with revenue on financials reclassed to expense.

Raw XML AppendixShowing 400 of 783 raw XML fields

This appendix keeps the raw XML leaves available for debugging and edge-case review. The human report above is the primary experience.

Path#Value
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IRS990/AccountsPayableAccrExpnssGrp/BOYAmt038135238
IRS990/AccountsPayableAccrExpnssGrp/EOYAmt079084652
IRS990/AccountsReceivableGrp/BOYAmt032817421
IRS990/AccountsReceivableGrp/EOYAmt048469505
IRS990/ActivitiesConductedPrtshpInd0false
IRS990/ActivityOrMissionDesc0THE ORGANIZATION'S MISSION IS TO PROVIDE AFFORDABLE, HIGH QUALITY HEALTHCARE COVERAGE FOR ALL, IN PARTNERSHIP WITH DENVER HEALTH. SEE SCHEDULE O FOR ADDITIONAL INFORMATION.
IRS990/AdvertisingGrp/ProgramServicesAmt0463916
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IRS990/BooksInCareOfDetail/PhoneNum03036022100
IRS990/BooksInCareOfDetail/USAddress/AddressLine1Txt0777 BANNOCK ST MC 6000
IRS990/BooksInCareOfDetail/USAddress/CityNm0DENVER
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IRS990/BooksInCareOfDetail/USAddress/ZIPCd080204
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IRS990/ChangeToOrgDocumentsInd0false
IRS990/CntrctRcvdGreaterThan100KCnt0171
IRS990/CollectionsOfArtInd0false
IRS990/CompCurrentOfcrDirectorsGrp/ManagementAndGeneralAmt0148608
IRS990/CompCurrentOfcrDirectorsGrp/TotalAmt0148608
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IRS990/ContractorCompensationGrp/ServicesDesc2MEDICAL SERVICES
IRS990/ContractorCompensationGrp/ServicesDesc3PHARMACY
IRS990/ContractorCompensationGrp/ServicesDesc4MEDICAL SERVICES
IRS990/CostOfGoodsSoldAmt00
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IRS990/Desc0THE 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.
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