2025-11-13T16:14:49-05:00 2024-12-31 208019714 JDS PROFESSIONAL GROUP 10303 E DRY CREEK RD STE 400 ENGLEWOOD CO 80112 990 2024-01-01 464915176 COMMUNITY HEALTH PROVIDER ALLIANCE COMM 7209255280 1212 S BROADWAY STE 200 DENVER CO 80210 MARK SANDVIK CFO 3038679504 2025-11-13 true false LORI B BAUER CPA P01260252 3037710123 2025-11-13 2024 2025-03-06 01:10:19Z X MARK SANDVIK 1212 S BROADWAY STE 200 DENVER CO 80210 11539291 false X WWW.CHPANETWORK.COM X 2014 CO OUR MISSION IS TO PROVIDE COST-EFFECTIVE, HIGH-QUALITY INTEGRATED PRIMARY CARE AND PREVENTATIVE SERVICES TO COLORADO'S LOW-INCOME WORKING FAMILIES AND INDIVIDUALS. OUR MEMBERS FORMED CHPA TO ACHIEVE THE TRIPLE AIM AND IMPROVE CARE TRANSITIONS AND BEST PRACTICES IN OUR PATIENT-CENTERED MEDICAL HOME CARE MODEL; AND TO DEVELOP ALTERNATIVE PAYMENT METHODOLOGIES AND PAYMENT REFORM WHICH DECREASE OVERALL HEALTHCARE COSTS AND INCREASE PATIENT SATISFACTION. WE BELIEVE THAT THROUGH THESE ENDEAVORS, OUR PATIENTS WILL HAVE ACCESS TO A HIGH-QUALITY INTEGRATED COMPREHENSIVE PRIMARY CARE DELIVERY SYSTEM. 11 11 19 12 0 500 0 10266726 11135535 264026 401849 1907 10531252 11539291 70751 63344 0 1792170 1917359 0 0 5694544 7803001 7557465 9783704 2973787 1755587 9773360 11935860 627196 1034109 9146164 10901751 X OUR MISSION IS TO PROVIDE COST-EFFECTIVE, HIGH-QUALITY INTEGRATED PRIMARY CARE AND PREVENTATIVE SERVICES TO COLORADO'S LOW-INCOME WORKING FAMILIES AND INDIVIDUALS. OUR MEMBERS FORMED CHPA TO ACHIEVE THE TRIPLE AIM AND IMPROVE CARE TRANSITIONS AND BEST PRACTICES IN OUR PATIENT-CENTERED MEDICAL HOME CARE MODEL; AND TO DEVELOP ALTERNATIVE PAYMENT METHODOLOGIES AND PAYMENT REFORM WHICH DECREASE OVERALL HEALTHCARE COSTS AND INCREASE PATIENT SATISFACTION. WE BELIEVE THAT THROUGH THESE ENDEAVORS, OUR PATIENTS WILL HAVE ACCESS TO A HIGH-QUALITY INTEGRATED COMPREHENSIVE PRIMARY CARE DELIVERY SYSTEM. false false 8674020 63344 11135535 PROGRAM ACCOMPLISHMENTS INCLUDE COMPLETION OF PERFORMANCE YEAR 5 (2024) OF THE CONTRACT PERIOD OF THE MEDICARE SHARED SAVINGS PROGRAM FOR 2020-2024. SHARED SAVINGS FOR PERFORMANCE YEAR 4 (2023) UNDER TRACK E OF THE MSSP PROGRAM TOTALED 17,288,693 OF WHICH 8,471,459 WAS RECEIVED. PARTICIPATING MEMBERS RECEIVED 4,052,719 IN PERFORMANCE PAYMENTS WITH AN ADDITIONAL OUR MSSP PARTICIPATING MEMBERS. AN ADDITIONAL 20% WAS ALLOCATED BY THE BOARD OF DIRECTORS TO FUND MEMBER SPECIFIC IMPROVEMENT EFFORTS, 21% IN FOR ACO NETWORK IMPROVEMENT EFFORTS ALONG WITH 6% FOR THE MEMBER DEVELOPMENT PROGRAM AND 5% TO SUPPORT CHPA'S OPERATING COSTS. CHPA MAINTAINED AND ADDED TO ITS PORTFOLIO OF VALUE-BASED ACO CONTRACTS WITH MEDICARE ADVANTAGE AND COMMERCIAL INSURANCE PARTNERS; DEVELOPMENT OF POPULATION HEALTH STRATEGIES; CONTINUED BUSINESS DEVELOPMENT OF THE ACO. 8674020 true false false false false false false false true false false false false false false true true false false false false false false false false false false true false true false false false false false false false false false false false false false false false false false true 13 0 true 19 true false false false false false false false false false false false false X 11 11 false false false false true true true true true false false true true true true false false false false false X THE ORGANIZATION 7209255280 1212 S BROADWAY STE 200 DENVER CO 80210 JANIA ARNOLDI PRESIDENT 1.00 X X 0 0 0 SIMON SMITH VICE PRESIDE 1.00 X X 0 0 0 ALEX CONRAD TREASURER 1.00 X X 0 0 0 KAY RAMACHANDRAN SECRETARY 1.00 X X 0 0 0 DONALD MOORE DIRECTOR 1.00 X 0 0 0 JOHN SANTISTEVAN DIRECTOR 1.00 X 0 0 0 LIBBY GOOD-GRASMICK DIRECTOR 1.00 X 0 0 0 ART FERNANDEZ DIRECTOR 1.00 X 0 0 0 TIMOTHY DUDLEY MD DIRECTOR 1.00 X 0 0 0 CLAIRE REED MD DIRECTOR 1.00 X 0 0 0 SANTOS VERA DIRECTOR 1.00 X 0 0 0 JASON GREER STARTED 6624 CONTRACT CEO 20.00 X 0 0 0 BEN WIEDERHOLT INTERIM CEO 40.00 X 145750 0 0 MARK SANDVIK CFO 40.00 X 193925 0 8670 MICHELE APODACA RN CLINICAL OPE 40.00 X 191092 0 23281 BETTY DEMPSEY PRAC TRANSFO 40.00 X 130228 0 5413 SUSIE STEBBINS HR DIRECTOR 40.00 X 127466 0 17899 788461 55263 5 false true false AUTUMN ORSER 13750 HOLMES RD COLORADO SPRINGS CO 80908 MEDICAL DIR 197748 1 CONTRACT REVENUE 11035535 11035535 CONSULTING REVENUE 100000 100000 11135535 401849 401849 MISCELLANEOUS 1907 1907 1907 11539291 11137442 401849 X 63344 63344 348345 229908 118437 1213438 800868 412570 44585 29426 15159 195419 128977 66442 115572 76278 39294 1259970 903351 356619 9241 6746 2495 103989 75912 28077 24876 16418 8458 59930 43749 16181 36487 21296 15191 CHC INCENTIVE DISTR. 6213242 6213242 MISCELLANEOUS 54758 37770 16988 PROFESSIONAL DEVELOPMENT 27762 18323 9439 RECRUITING FEE 12746 8412 4334 9783704 8674020 1109684 0 225169 329064 9506395 9836450 8694 7217 33102 30540 1732589 9773360 11935860 459696 1034109 167500 627196 1034109 X 9146164 10901751 9146164 10901751 9773360 11935860 1755587 X false true X true X 12750 500 13250 4596429 7058088 7347398 10266726 11135535 40404176 4609179 7058088 7347398 10267226 11135535 40417426 40417426 1655 343 28505 264026 401849 696378 1655 343 28505 264026 401849 696378 210 1907 2117 4611044 7058431 7375903 10531252 11539291 41115921 0.98300 0.99020 0.02000 0.01000 X PART III, LINE 12 MISC 2,117 true 211736 10736 222472 false X 11539291 11539291 11539291 9783704 9783704 9783704 SCHEDULE D, PAGE 2, PART IV, LINE 1B ESCROW ACCOUNT WITH CMS MEDICARE SCHEDULE D, PAGE 3, PART X MANAGEMENT BELIEVES THAT THE ORGANIZATION HAS APPROPRIATE SUPPORT FOR ANY TAX POSITIONS TAKEN AFFECTING ITS ANNUAL FILING REQUIREMENTS, AND AS SUCH, DOES NOT HAVE ANY UNCERTAIN TAX POSITIONS THAT ARE MATERIAL TO THE FINANCIAL STATEMENTS. THE ORGANIZATION WOULD RECOGNIZE FUTURE ACCRUED INTEREST AND PENALTIES RELATED TO UNRECOGNIZED TAX BENEFITS AND LIABILITIES IN INCOME TAX EXPENSE IF SUCH INTEREST AND PENALTIES ARE INCURRED. true CLINICA CAMPESINA FAMILY HEALTH SER 1735 S PUBLIC ROAD 2ND FLOOR LAFAYETTE CO 80026 840743432 501C3 20541 STAFF TRAINING REGENTS OF THE UNIV OF COLORADO 3525 W OXFORD G3 DENVER CO 80236 846000555 GOV 7788 STAFF TRAINING 2 X X X false false false false false false false false false MARK SANDVIK CFO 163428 30497 6966 1704 202595 MICHELE APODACA RN CLINICAL OPER. DIR 160595 30497 7025 16256 214373 FORM 990 - ORGANIZATION'S MISSION OUR MISSION IS TO PROVIDE COST-EFFECTIVE, HIGH-QUALITY INTEGRATED PRIMARY CARE AND PREVENTATIVE SERVICES TO COLORADO'S LOW-INCOME WORKING FAMILIES AND INDIVIDUALS. OUR MEMBERS FORMED CHPA TO ACHIEVE THE TRIPLE AIM AND IMPROVE CARE TRANSITIONS AND BEST PRACTICES IN OUR PATIENT-CENTERED MEDICAL HOME CARE MODEL; AND TO DEVELOP ALTERNATIVE PAYMENT METHODOLOGIES AND PAYMENT REFORM WHICH DECREASE OVERALL HEALTHCARE COSTS AND INCREASE PATIENT SATISFACTION. WE BELIEVE THAT THROUGH THESE ENDEAVORS, OUR PATIENTS WILL HAVE ACCESS TO A HIGH-QUALITY INTEGRATED COMPREHENSIVE PRIMARY CARE DELIVERY SYSTEM. FORM 990 NETWORK ("CCMCM") EFFECTIVE JANUARY 1, 2025. CCMCN IS RECOGNIZED AS EXEMPT FROM FEDERAL INCOME TAX UNDER SECTION 501 ( C )(3). THE BINDING LEGAL DOCUMENTS OF THE TRANSACTION DESCRIBE THE TRANSACTION AS A MERGER. CCMCM WILL BE THE SURVIVING ENTITY IN THE MERGER AND CHPA WILL CEASE TO EXIST AS A SEPARATE ENTITY. FORM 990, PAGE 2, PART III, LINE 4A PROGRAM ACCOMPLISHMENTS INCLUDE COMPLETION OF PERFORMANCE YEAR 5 (2024) OF THE CONTRACT PERIOD OF THE MEDICARE SHARED SAVINGS PROGRAM FOR 2020-2024. SHARED SAVINGS FOR PERFORMANCE YEAR 4 (2023) UNDER TRACK E OF THE MSSP PROGRAM TOTALED 17,288,693 OF WHICH 8,471,459 WAS RECEIVED. PARTICIPATING MEMBERS RECEIVED 4,052,719 IN PERFORMANCE PAYMENTS WITH AN ADDITIONAL OUR MSSP PARTICIPATING MEMBERS. AN ADDITIONAL 20% WAS ALLOCATED BY THE BOARD OF DIRECTORS TO FUND MEMBER SPECIFIC IMPROVEMENT EFFORTS, 21% IN FOR ACO NETWORK IMPROVEMENT EFFORTS ALONG WITH 6% FOR THE MEMBER DEVELOPMENT PROGRAM AND 5% TO SUPPORT CHPA'S OPERATING COSTS. CHPA MAINTAINED AND ADDED TO ITS PORTFOLIO OF VALUE-BASED ACO CONTRACTS WITH MEDICARE ADVANTAGE AND COMMERCIAL INSURANCE PARTNERS; DEVELOPMENT OF POPULATION HEALTH STRATEGIES; CONTINUED BUSINESS DEVELOPMENT OF THE ACO. FORM 990, PAGE 6, PART VI, LINE 6 CHPA'S 19 PARTICIPATING MEMBER ORGANIZATIONS CONSIST OF FEDERALLY-QUALIFIED HEALTH CENTERS (FQHCS) WHICH OPERATE CLINIC SITES AND CARE FOR PATIENTS THROUGHOUT COLORADO. MEMBERSHIP IS VOLUNTARY. FORM 990, PAGE 6, PART VI, LINE 7A EACH MEMBER IN THE ORGANIZATION HAS EQUAL VOTING RIGHTS AND ELECTS THE DIRECTORS TO THE BOARD OF DIRECTORS THROUGH AN ANNUAL ELECTION PROCESS, WHICH IS DOCUMENTED IN THE BYLAWS. FORM 990, PAGE 6, PART VI, LINE 7B THE BOARD GOVERNS THE DAY-TO-DAY OPERATIONS OF THE ORGANIZATION. THE BOARD OF DIRECTORS MAY ALTER THE BYLAWS OF THE ORGANIZATION BUT IF A BYLAW CHANGE IMPACTS OR CHANGES MEMBER'S RIGHTS OR PRIVILEGES, THE AMENDMENT REQUIRES AN APPROVAL FROM THE MAJORITY OF THE MEMBERS. THIS HAS NOT OCCURRED. THE MEMBERS OF THE ORGANIZATION ALSO ELECT THE DIRECTORS TO THE GOVERNING BODY OF THE ORGANIZATION. FORM 990, PAGE 6, PART VI, LINE 11B COLORADO HEALTH PROVIDER ALLIANCE (CHPA) SHARES THE COMPLETED FORM 990 WITH ALL MEMBERS OF THE BOARD OF DIRECTORS AND FINANCE COMMITTEE . THE BOARD OF DIRECTORS DISCUSS THE INFORMATION AND VOTE TO APPROVE THE FORM BEFORE THE FORM IS SIGNED BY THE CHIEF FINANCIAL OFFICER OR THE PRESIDENT OF THE BOARD AND THEN FILED. FORM 990, PAGE 6, PART VI, LINE 12C COMMUNITY HEALTH PROVIDER ALLIANCE (CHPA) HAS WRITTEN AND SIGNED CONFLICT OF INTEREST POLICIES WITH ALL DIRECTORS ON THE BOARD. THESE ARE UPDATED AND SIGNED ANNUALLY BY EACH DIRECTOR. CONFLICT OF INTEREST DISCLOSURES ARE REQUIRED PRIOR TO AND DURING EVERY BOARD MEETING. THIS IS MONITORED CONSISTENTLY BY HAVING CONFLICT OF INTEREST DISCLOSURES AS A STANDING AGENDA ITEM FOR ALL BOARD MEETINGS. BOARD DIRECTORS ALSO PARTICIPATE IN ANNUAL CONFLICT OF INTEREST LEGAL TRAINING. FORM 990, PAGE 6, PART VI, LINE 19 AVAILABLE UPON REQUEST FORM 990, PART IX, LINE 11G CONTRACT LABOR 347,293 128,451 0 PROFESSIONAL SERVICES 556,058 228,168 0 TOTAL 903,351 356,619 0