2022-11-04T14:27:14-05:00 2021-12-31 410746749 CLIFTONLARSONALLEN LLP 220 SOUTH SIXTH STREET SUITE 300 MINNEAPOLIS MN 55402 990 2021-01-01 464795214 UCARE FOUNDATION UCAR 6126766500 500 STINSON BLVD NE MINNEAPOLIS MN 55413 BETH MONSRUD SVP, CFO & TREASURER 6126766500 2022-10-27 1 BETH MONSRUD XXX-XX-XXXX KURT BENNION P01469618 6123764500 2022-10-27 3 AAL1 IAL1 2021 2022-09-23 18:48:47Z HILARY MARDEN-RESNIK 500 STINSON BLVD NE MINNEAPOLIS MN 55413 2352143 0 X WWW.UCARE.ORG X 2014 MN GRANT-MAKING TO IMPROVE THE HEALTH OF UNDER-SERVED POPULATIONS IN MINNESOTA. 15 7 0 8 0 0 1095200 2033600 0 0 104394 318543 0 0 1199594 2352143 1375433 1280323 0 0 0 0 0 0 0 5288 5412 1380721 1285735 -181127 1066408 3890851 4893006 192151 475 3698700 4892531 X THE UCARE FOUNDATION IS A COMMUNITY-DIRECTED INITIATIVE OF UCARE MINNESOTA. THE FOCUS IS GRANT-MAKING TO PROGRAMS AND INITIATIVES THAT IMPROVE THE HEALTH OF UNDERSERVED POPULATIONS IN THE TWIN CITIES AND THROUGHOUT MINNESOTA AND WESTERN WISCONSIN. 0 0 1285735 1280323 0 IN 2021, UCARE FOUNDATION APPROVED AND DISBURSED $1,394,000 IN GRANT FUNDING TO ELEVEN MINNESOTA ORGANIZATIONS WORKING TO IMPROVE HEALTH THROUGH INNOVATIVE SERVICES, EDUCATION, COMMUNITY OUTREACH AND SUPPORTING COVID RELIEF EFFORTS WHICH ALSO HAD CORE VALUES OF DIVERSITY, EQUITY, AND INCLUSION. AN ADDITIONAL $1,000,000 WAS DISTRIBUTED IN GRANTS PROVIDED BY THE FOUNDATION USING FUNDS CONTRIBUTED BY UCARE TO SELECTED MINNESOTA COUNTIES, TRIBES, AND COLLABORATIONS OR OTHER NON-PROFITS ADVANCING LOCAL PUBLIC HEALTH PRIORITIES FOR PROJECTS ADDRESSING SPECIFIC TOPICS LISTED BELOW. - ANTI-RACISM AND HEALTH EQUITY FOCUSED WORK ADDRESSING STRUCTURAL RACISM AND SOCIAL DRIVERS OF HEALTH- DENTAL ACCESS AND ORAL HEALTH- RURAL SPECIFIC NEEDS FOR EXAMPLE, TRANSPORTATION, HEALTHCARE WORKFORCE DEVELOPMENT, AND LOCAL PUBLIC HEALTH PRIORITIES- MATERNAL CHILD HEALTH PARTICULARLY APPROACHES THAT ADDRESS INEQUITIES- INDIGENOUS HEALTH- MENTAL HEALTH, MENTAL WELLBEING, AND SUBSTANCE USE DISORDER PREVENTION AND TREATMENTUCARE FOUNDATION HAS A FORMAL BOARD THAT OVERSEES AND APPROVES ANNUAL GRANT AWARDS. THE BOARD MEETS ANNUALLY TO DETERMINE PRIORITY AREAS OF FOCUS FOR CURRENT YEAR SOLICITATIONS. GRANTEES APPLY VIA AN ONLINE GRANT SYSTEM AND ALL ORGANIZATIONS MUST MEET FUNDING ELIGIBILITY GUIDELINES. GRANT APPLICATIONS ARE REVIEWED BY UCARE MINNESOTA-ASSIGNED INDIVIDUALS AS WELL AS CERTAIN MEMBERS OF THE UCARE FOUNDATION BOARD. ONCE APPROVED, GRANTEES SIGN A CONDITIONS OF GRANT AGREEMENT AND ARE RESPONSIBLE TO SUBMIT AN INTERIM AND FINAL REPORT AS WELL AS PARTICIPATE IN A SITE VISIT BY UCARE STAFF. THE BOARD OF DIRECTORS RECEIVES AN ANNUAL REPORT ON THE USE OF THE FUNDS.UCARE HAS SPONSORED AND SUPPORTED LUTHERAN SOCIAL SERVICE SENIOR COMPANION PROGRAM FOR OVER 15 YEARS. THE PROGRAM IS AVAILABLE ACROSS MINNESOTA AND ASSISTS OLDER ADULTS, SO THEY CAN REMAIN HEALTHY AND ACTIVE IN THEIR OWN HOMESFOR AS LONG AS POSSIBLE. COMPANIONS ARE TRAINED VOLUNTEERS WHO VISIT THREE TO FOUR HOURS PER WEEK TO OFFER SUPPORT, FRIENDSHIP, AND TRANSPORTATION IN THE COMMUNITY. THE PROGRAM ADDRESSES MEMBER ISOLATION AND LONELINESS AS WELL AS ALLOWS ELDERS TO REMAIN LIVING IN THEIR HOMES INDEPENDENTLY. HEALTH OUTCOMES ARE TRACKED WITH THE GOAL TO SEE ENHANCED QUALITY OF LIFE AND HEALTHIER LIVING FOR THOSE RECEIVING SERVICE. 1285735 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 X 15 7 0 1 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 0 0 0 MN X X GREG MARSHALL 6126766500 500 STINSON BLVD NE MINNEAPOLIS MN 55413 JAMES VAN VOOREN MD BOARD CHAIR 0.10 0.20 X X 0 12750 0 PATRICIA ADAM MD DIRECTOR 0.20 40.40 X 0 231163 64057 TOM DEPHILLIPS DIRECTOR 0.20 40.40 X 0 169524 76633 TERESA MCCARTHY MD VICE CHAIR 0.20 40.40 X X 0 211565 52419 MYRON FRANS DIRECTOR 0.20 40.40 X 0 357377 57696 WILLIAM ROBERTS MD DIRECTOR 0.20 40.40 X 0 141335 75794 MICHAEL WOOTTEN MD DIRECTOR 0.20 40.40 X 0 175443 39043 JAMES PACALA MD DIRECTOR 0.20 40.40 X 0 408626 56834 P JAY KIEDROWSKI DIRECTOR 0.10 0.20 X 0 12000 0 JOHN GROSS DIRECTOR 0.10 0.20 X 0 11250 0 PATRICIA NELSON DIRECTOR 0.10 0.20 X 0 12000 0 CHARITY BENNETT DIRECTOR 0.10 0.20 X 0 10080 0 JEFF BANGSBERG DIRECTOR 0.10 0.20 X 0 9750 0 ROBERT RISKIN DIRECTOR 0.10 0.20 X 0 11500 0 ALLISON O'TOOLE DIRECTOR 0.10 0.20 X 0 12500 0 MARK TRAYNOR PRESIDENT & CEO (THROUGH OCT 2021) 0.10 40.10 X 0 1035585 126726 HILARY MARDEN-RESNIK PRESIDENT & CEO (AS OF NOV 2021) 0.10 40.10 X 0 624262 102151 BETH MONSRUD SVP, CFO & TREASURER 0.10 40.10 X 0 564061 90953 DANIEL SANTOS SECRETARY 0.10 40.10 X 0 535830 73241 GHITIANN WORCESTER SVP PUBLIC AFFAIRS & DEVELOPMENT 0.10 40.10 X 0 556361 76588 JULIA JOSEPH-DE CAPRIO SVP CHIEF MEDICAL OFFICER 0.10 40.10 X 0 542591 87990 0 5645553 980125 0 0 1 0 0 2000000 33600 2033600 318543 318543 2352143 0 0 318543 1280323 1280323 5412 5412 1285735 1285735 0 0 3309 8398 897517 1767655 2978820 3106243 11205 10710 3890851 4893006 441 475 191710 0 192151 475 X 3698700 4892531 3698700 4892531 3890851 4893006 1066408 127423 0 X 0 1 X 1 0 X X X 1 UCARE MINNESOTA 363573805 10 1 1285736 0 1 1285736 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 X PART X, LINE 2: UCARE HAD ELECTED TO ADOPT GUIDANCE ON THE INCOME TAX STANDARD REGARDING THE RECOGNITION AND MEASUREMENT OF UNCERTAIN TAX POSITIONS. UCARE FOLLOWS THE ACCOUNTING STANDARD FOR CONTINGENCIES FOR EVALUATING UNCERTAIN TAX POSITIONS. THE ADOPTION OF THIS STANDARD HAS NO EFFECT ON UCARE'S CONSOLIDATED FINANCIAL STATEMENTS. UCARE'S TAX RETURNS ARE SUBJECT TO REVIEW AND EXAMINATION BY FEDERAL, STATE, AND LOCAL AUTHORITIES. 1 HENNEPIN COUNTY MEDICAL CENTER 701 PARK AVE MINNEAPOLIS MN 55415 421707837 501(C)(3) 12650 0 IMMUNIZATION COMMUNITY CLINIC ISANTI COUNTY 555 18TH AVE SW CAMBRIDGE MN 55008 416005808 ISANTI COUNTY 15000 0 EXPANDING OUR CHILDREN'S DENTAL SERVICES PROGRAM TO FOUR DAYS A MONTH TO HELP MEET NEED. ISD #656 710 17TH ST SW FARIBAULT MN 55021 416003618 ISD #656 50000 0 EXPAND PROGRAMMING OF ADULT AND EARLY CHILDHOOD EDUCATION FOR A LARGELY SOMALI AND LATINX POPULATION. LUTHERAN SOCIAL SERVICE 2485 COMO AVE SAINT PAUL MN 55108 410872993 501(C)(3) 75000 0 PROVIDE FRIENDLY VISITS, SUPPORT, AND ADVOCACY TO AGING NEIGHBORS BY PROVIDING TRANSPORTATION TO MEDICAL/DENTAL APPOINTMENTS AND ERRANDS. LUTHERAN SOCIAL SERVICE 2485 COMO AVE SAINT PAUL MN 55108 410872993 501(C)(3) 75000 0 PREVENT READMISSION TO A HOSPITAL OR LONG-TERM CARE SETTING PROGRAM THROUGH COMMUNITY HEALTH WORKERS. MINNEAPOLIS FOUNDATION 80 S 8TH ST 800 MINNEAPOLIS MN 55402 416029402 501(C)(3) 50000 0 PROGRAM EMPOWERS AND INSPIRES WOMEN TO EMBRACE AND SUPPORT THEIR OWN HEALTH AND WELL-BEING AND IMPROVES THE LONG-TERM HEALTH AND WELL-BEING OF IMMIGRANT AND REFUGEE WOMEN AND THEIR FAMILIES. MINNESOTA HOSPITAL ASSOCIATION 2550 UNIVERSITY AVE W 350 S SAINT PAUL MN 55114 410637595 501(C)(6) 714000 0 STANDARDIZING EVIDENCE-BASED PRACTICES TO SUPPORT, STRENGTHEN AND IMPROVE THE WORKFORCE ACROSS THE CONTINUUM OF CARE. MINNESOTA MEDICAL ASSOCIATION 3433 BROADWAY ST NE 187 MINNEAPOLIS MN 55413 410418625 501(C)(6) 90000 0 PROMOTING HEALTH EQUITY AND IMPROVING HEALTH OUTCOMES IN TRADITIONALLY UNDERSERVED AND DIVERSE POPULATIONS. PORTICO HEALTHNET 1600 UNIVERSITY AVE W 211 SAINT PAUL MN 55104 411814659 501(C)(3) 75000 0 FINANCIAL SUPPORT TO PREPARE FOR THE INFLUX OF MEDICAL ASSISTANCE AND MINNESOTACARE ENROLLEES WHO WILL NEED ASSISTANCE RENEWING THEIR COVERAGE WHEN THE CURRENT PUBLIC HEALTH EMERGENCY ENDS. STRATIS HEALTH 2901 METRO DR 400 BLOOMINGTON MN 55425 410971557 501(C)(3) 100000 0 UPDATING CULTURE CARE CONNECTION WEBSITE TO PROVIDE AWARENESS OF HEALTH INEQUITIES UNIVERSITY OF MINNESOTA FOUNDATION 200 OAK ST SE 500 MINNEAPOLIS MN 55455 416042488 501(C)(3) 12000 0 THE WOMEN'S ENVIRONMENTAL INSTITUTE WILL PROVIDE FRESH PRODUCE BIWEEKLY TO FAIRVIEW CLINICS IN CENTRAL MINNESOTA. PRODUCE BOXES ARE GIVEN TO FOOD INSECURE PATIENTS IN ORDER TO INCREASE FOOD SECURITY AND HEALTHY EATING IN PATIENTS. WATONWAN COUNTY PO BOX 31 ST JAMES MN 55081 416005922 WATONWAN COUNTY 10000 0 CHILDREN'S DENTAL SERVICES WILL TRANSPORT EQUIPMENT AND STAFF TO HOST A MOBILE DENTAL CLINIC MONTHLY FOR UNDERSERVED POPULATIONS IN WATONWAN COUNTY. 9 2 PART I, LINE 2: UCARE FOUNDATION HAS A FORMAL BOARD THAT OVERSEES AND APPROVES ANNUAL GRANT AWARDS. THE BOARD MEETS ANNUALLY TO DETERMINE PRIORITY AREAS OF FOCUS FOR CURRENT YEAR SOLICITATIONS. GRANTEES APPLY VIA AN ONLINE GRANT SYSTEM AND ALL ORGANIZATIONS MUST MEET FUNDING ELIGIBILITY GUIDELINES. GRANT APPLICATIONS ARE REVIEWED BY UCARE MINNESOTA ASSIGNED INDIVIDUALS AS WELL AS CERTAIN MEMBERS OF THE UCARE FOUNDATION BOARD. ONCE APPROVED GRANTEES SIGN A CONDITIONS OF GRANT AGREEMENT AND ARE RESPONSIBLE TO SUBMIT AN INTERIM AND FINAL REPORT AS WELL AS PARTICIPATE IN A SITE VISIT BY UCARE STAFF. THE BOARD OF DIRECTORS RECEIVES AN ANNUAL REPORT ON THE USE OF THE FUNDS. UCARE ENSURES THE RECIPIENT IS A QUALIFIED CHARITY OR GOVERNMENT AGENCY AND RECEIVES PERIODIC REPORTS FROM THE ORGANIZATIONS. 0 1 0 0 0 0 0 0 0 MARK TRAYNOR PRESIDENT & CEO (THROUGH OCT 2021) 0 655463 0 259334 0 120788 0 11000 0 115726 0 1162311 0 0 HILARY MARDEN-RESNIK PRESIDENT & CEO (AS OF NOV 2021) 0 487305 0 88334 0 48623 0 9774 0 92377 0 726413 0 0 BETH MONSRUD SVP, CFO & TREASURER 0 428370 0 89694 0 45997 0 8250 0 82703 0 655014 0 0 GHITIANN WORCESTER SVP PUBLIC AFFAIRS & DEVELOPMENT 0 416733 0 86380 0 53248 0 11000 0 65588 0 632949 0 0 JULIA JOSEPH-DE CAPRIO SVP CHIEF MEDICAL OFFICER 0 409021 0 84418 0 49152 0 13252 0 74738 0 630581 0 0 DANIEL SANTOS SECRETARY 0 441848 0 80615 0 13367 0 11000 0 62241 0 609071 0 0 JAMES PACALA MD DIRECTOR 0 408351 0 0 0 275 0 31697 0 25137 0 465460 0 0 MYRON FRANS DIRECTOR 0 357091 0 0 0 286 0 44950 0 12746 0 415073 0 0 PATRICIA ADAM MD DIRECTOR 0 230938 0 0 0 225 0 47636 0 16421 0 295220 0 0 TERESA MCCARTHY MD VICE CHAIR 0 211363 0 0 0 202 0 19045 0 33374 0 263984 0 0 TOM DEPHILLIPS DIRECTOR 0 169249 0 0 0 275 0 48512 0 28121 0 246157 0 0 WILLIAM ROBERTS MD DIRECTOR 0 141212 0 0 0 123 0 42170 0 33624 0 217129 0 0 MICHAEL WOOTTEN MD DIRECTOR 0 175296 0 0 0 147 0 13841 0 25202 0 214486 0 0 PART I, LINE 3 THE COMPENSATION FOR THE PRESIDENT AND CEO IS DETERMINED BY UCARE MINNESOTA, THE SOLE MEMBER. THE FOLLOWING METHODS ARE USED BY UCARE MINNESOTA WHEN DETERMINING THE PRESIDENT AND CEO'S COMPENSATION: (1) COMPENSATION COMMITTEE (2) INDEPENDENT COMPENSATION CONSULTANT (3) FORM 990 OF OTHER ORGANIZATIONS (4) WRITTEN EMPLOYMENT CONTRACT (5) COMPENSATION SURVEY OR STUDY (6) APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE PART I, LINE 4B THE FOLLOWING INDIVIDUALS PARTICIPATED IN UCARE MINNESOTA'S 457(F) PLAN IN 2021: CONTRIBUTIONS: MARK W TRAYNOR - $91,680 HILARY MARDEN-RESNIK - $65,287 BETH MONSRUD - $55,801 GHITIANN WORCHESTER - $54,340 JULIA JOSEPH-DI CAPRIO - $53,385 DANIEL SANTOS - $50,397 DISTRIBUTIONS: MARK W TRAYNOR - $126,593 HILARY MARDEN-RESNIK - $55,572 BETH MONSRUD - $52,628 GHITIANN WORCHESTER - $50,651 JULIA JOSEPH-DI CAPRIO - $54,847 DANIEL SANTOS - $14,048 FORM 990, PART VI, SECTION A, LINE 3 UCARE FOUNDATION HAS AN ADMINISTRATIVE SERVICE AGREEMENT WITH UCARE MINNESOTA TO PROVIDE OVERALL MANAGEMENT AND ADMINISTRATION OF UCARE FOUNDATION'S BUSINESS. UCARE FOUNDATION'S BUSINESS INCLUDES, BUT IS NOT LIMITED TO, ACCOUNTING, INVESTMENT MANAGEMENT, AND GRANT ADMINISTRATION SERVICES. FOR THE YEAR ENDED DECEMBER 31, 2020, UCARE MINNESOTA PROVIDED THESE SERVICES TO UCARE FOUNDATION AS A DONATION OF THEIR TIME AND TALENT. THE VALUE OF THESE SERVICES AREN'T REFLECTED AS NON-CASH CONTRIBUTIONS ON PART VIII, LINE 1 AS THE IRS DOESN'T ALLOW FOR THE REPORTING OF DONATED SERVICES IN THE FORM 990. FORM 990, PART VI, SECTION A, LINE 6 THE SOLE MEMBER OF THIS CORPORATION IS UCARE MINNESOTA, A MINNESOTA NONPROFIT CORPORATION. FORM 990, PART VI, SECTION A, LINE 7A THE SOLE CORPORATE MEMBER OF UCARE FOUNDATION IS UCARE MINNESOTA, WHICH ELECTS THE DIRECTORS FOR THE UCARE FOUNDATION. FORM 990, PART VI, SECTION A, LINE 7B THE FOLLOWING RIGHTS ARE RESERVED TO THE POWER OF THE MEMBER OF THE ORGANIZATION: (1) THE NUMBER OF BOARD OF MEMBERS, (2) THE TERMS OF EACH BOARD MEMBER, (3) ANY ELECTED OR APPOINTED DIRECTOR MAY BE REMOVED FROM OFFICE WITH OR WITHOUT CAUSE BY THE MEMBER, (4) VACANCIES IN THE BOARD OF DIRECTORS SHALL BE FILLED BY THE MEMBER, (5) APPOINT AN EXECUTIVE COMMITTEE, (6) APPOINT A FINANCE AND AUDIT COMMITTEE, (7) APPOINT INDIVIDUALS TO SERVE AS THE UCARE FOUNDATION COUNCIL. FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 WAS PREPARED BY THE CONTROLLER AND REVIEWED BY AN INDEPENDENT ACCOUNTING FIRM. UCARE PROVIDED A COPY AND REVIEWED THE DETAIL OF THE COMPLETED 990 FORM WITH THE BOARD'S FINANCE AND AUDIT COMMITTEE. UCARE ALSO PROVIDED A COPY OF THE COMPLETED 990 FORM TO ALL MEMBERS OF THE BOARD OF DIRECTORS VIA ON-LINE PORTAL PRIOR TO THE FINANCE AND AUDIT COMMITTEE'S REPORT TO THE BOARD. UPON APPROVAL BY THE BOARD OF DIRECTORS, THE 990 FORM WAS FILED WITH THE INTERNAL REVENUE SERVICE. FORM 990, PART VI, SECTION B, LINE 12C UCARE FOUNDATION REQUIRES COMPLETION OF AN ANNUAL QUESTIONNAIRE BY ITS BOARD MEMBERS, OFFICERS, AND SENIOR EXECUTIVES, WHICH IS DESIGNED TO SURFACE POTENTIAL CONFLICTS OF INTEREST. IN ADDITION, UCARE'S POLICY REQUIRES DISCLOSURE TO THE BOARD CHAIR AND/OR CEO OF A POTENTIAL CONFLICT INVOLVING A DIRECTOR, OFFICER, OR MANAGEMENT STAFF WHEN A PARTICULAR TRANSACTION ARISES. IF THE BOARD OR DESIGNATED BOARD COMMITTEE DETERMINES THAT A POTENTIAL CONFLICT EXISTS RELATED TO A TRANSACTION REQUIRING ACTION BY THE BOARD, THE POLICY CALLS FOR THE BOARD MEMBER WITH THE POTENTIAL CONFLICT TO ABSTAIN FROM VOTING. IN ADDITION, A MAJORITY OF THE DISINTERESTED DIRECTORS MUST FIND THAT THE TRANSACTION IS FAIR AND REASONABLE TO THE OPERATION AND THAT THE ORGANIZATION COULD NOT REASONABLY FIND A MORE ADVANTAGEOUS TRANSACTION FROM ANOTHER ENTITY WITHOUT A POTENTIAL CONFLICT. THE POLICY REQUIRES DISCLOSURE OF POTENTIAL CONFLICTS TO THE BOARD OR DESIGNATED COMMITTEE EVEN FOR TRANSACTIONS NOT REQUIRING BOARD ACTION. FORM 990, PART VI, SECTION C, LINE 18 UCARE FOUNDATION'S 990 FORM IS AVAILABLE ON WWW.GUIDESTAR.ORG IN ADDITION TO BEING MADE AVAILABLE UPON REQUEST. FORM 990, PART VI, SECTION C, LINE 19 UCARE FOUNDATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST. UCARE MINNESOTA 500 STINSON BLVD NE MINNEAPOLIS MN 55413 208295948 NOT FOR PROFIT HEALTH MAINTENANCE ORGANIZATION MN 501(C)(3) LINE 10 U OF M DEPARTMENT OF FAMILY PRACTICE 0 UCARE HEALTH INC 500 STINSON BLVD NE MINNEAPOLIS MN 55413 416007513 NON-PROFIT SERVICE INSURANCE ORGANIZATION MN 501(C)(4) UCARE MINNESOTA 0 U OF MDEPT OF FAMILY PRACTICE 516 DELAWARE ST MINNEAPOLIS MN 55455 464795214 MEDICAL EDUCATION MN UNIVERSITY OF MINNESOTA 0 0 0 1 0 0 0 0 0 0 0 0 0 1 1 1 0 0 0 0