2018-11-26T08:46:32-06:00 2017-12-31 990 2017-01-01 464795214 UCare Foundation UCAR 6126766500 500 Stinson Blvd NE Minneapolis MN 55413 Beth Monsrud SVP & CFO/Treasurer 6126766500 2018-11-13 192.31.188.252 2018-11-26 08:41:21 CS P D3A006131336D2C4A5EA98C6E294D56E138DD4BD D3A006131336D2C4A5EA98C6E294D56E138DD4BD 2017 2019-02-21 02:37:17Z Mark W Traynor 500 Stinson Blvd NE Minneapolis MN 55413 1160311 0 X www.ucare.org X 2014 MN Grant making to improve the health of under-served populations in Minnesota. 15 7 0 0 0 0 0 1017233 0 0 114553 143078 0 0 114553 1160311 1444051 160000 0 0 0 0 0 0 0 5678 5082 1449729 165082 -1335176 995229 3188534 4444171 458 422 3188076 4443749 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 165082 160000 0 In 2017, UCare Foundation distributed 3 community grants to Minnesota organizations working to improve the health of people of all ages, cultures, and abilities through innovative services, education, community outreach and research. UCare Foundation grants were awarded to organizations meeting one of three health improvement-related criteria for 2017:-Preventive health care-Programs for people with disabilities-Promoting health equityExamples of UCare Foundation grants awarded in 2017 include support for organizations that promote education and research related to primary care and family medicine, activities that support health disparities and healthy living among southern Minnesota refugee families, and programs that provide various supports to aging seniors who are struggling to live independently in the community. 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.During the year, UCare staff monitored the activities and received reports related to a number of grants in progress from 2016, including support to organizations that promote access, adventure, and opportunities for those with disabilities, assist refugee families to secure basic needs and resources for self-sufficiency and to acclimate to a new way of life, expansion of the Twin Cities Mobile Market that increased access to healthy, affordable food for low income residents, provide legal supports for seniors, provide online resources and tools to support culturally appropriate delivery of health care, deliver child advocacy programs that address issues related to poverty, abuse or neglect, health care access, and quality education, and provide programs to reduce health and opportunity disparities for North Minneapolis youth by getting them outdoors and active, and setting them on a path for long-term health and success. 165082 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 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 Greg Marshall 6126766500 500 Stinson Blvd NE Minneapolis MN 55413 Macaran Baird MD Board Chair through 10/4/2017 0.20 40.40 X X 0 368488 108730 James Pacala MD Board Chair 0.20 40.40 X X 0 219936 53859 James Van Vorren MD Vice Chair 0.20 40.40 X X 0 197255 76890 Patricia Adam MD Director 0.20 40.40 X 0 197226 68662 Charity Bennett Director 0.10 0.20 X 0 10662 0 Mirella Ceja-Orozco Director 0.10 0.20 X 0 8535 0 Catherine Godlewski Director 0.20 40.40 X 0 156766 68712 John Gross Director 0.10 0.20 X 0 11179 0 P Jay Kiedrowski Director 0.10 0.20 X 0 10354 0 Teresa McCarthy MD Director 0.20 40.40 X 0 191724 54134 Bert McKasy Director 0.10 0.20 X 0 11090 0 James Miller Director 0.10 0.20 X 0 10114 0 Peter Mitsch Director 0.20 40.40 X 0 257761 62551 William Roberts MD Director 0.20 40.40 X 0 176876 79575 Lance Teachworth Director 0.10 0.20 X 0 9323 0 Michael Wootten MD Director 0.20 40.40 X 0 229953 53881 James Eppel Pres & CEO through 4/10/17 0.10 40.10 X 0 730396 53841 Mark Traynor Pres & CEO eff 4/10/17 0.10 40.10 X 0 871915 107723 Beth Monsrud SVP, CFO & Treasurer 0.10 40.10 X 0 604440 80412 Hilary Marden-Resnik Secretary & SVP Chief Administrative Officer 0.10 40.10 X 0 518245 75930 Ghitiann Worcester SVP, Public Affairs & Development 0.10 40.10 X 0 534453 64216 Lawrence Lee SVP Chief Medical Officer 0.10 40.10 X 0 392459 76849 0 5719150 1085965 0 0 1 0 0 1000000 15673 1560 1017233 143078 143078 1160311 0 0 143078 160000 160000 5082 5082 165082 165082 0 0 59584 11700 171051 1214128 2957899 3218343 3188534 4444171 458 422 458 422 X 3188076 4443749 3188076 4443749 3188534 4444171 995229 260444 0 X 0 1 X 1 0 X X X 1 UCare Minnesota 363573805 10 1 165082 0 1 165082 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 X Part X, Line 2: UCare has elected to adopt guidance in 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 Financial Statements. UCare's tax returns are subject to review and examination by federal, state and local authorities. 1 LUTHERAN SOCIAL SERVICE 2485 COMO AVE ST PAUL MN 55108 410872993 501(c)3 130000 Program that provides various supports to aging seniors who are struggling to live independently in the community. UNIVERSITY OF MINNESOTA FOUNDATION 200 OAK ST MINNEAPOLIS MN 55455 416042488 501(c)3 5000 Contribution in honor of Dr. Macaran Baird, on his retirement as Chairman of UCare's Board of Directors. The funds were designated for the benefit of the Department of Family Medicine that supports family medicine education and research. ISD # 656 710 17TH ST SW FARIBAULT MN 55021 416003618 ISD #656 25000 School based wellness & personal support activities that promote healthy living & wellness among refugee families. 3 0 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. 0 0 0 0 0 0 0 0 0 Macaran Baird MD Board Chair through 10/4/2017 0 368148 0 0 0 340 0 83850 0 24880 0 477218 0 0 James Pacala MD Board Chair 0 219936 0 0 0 0 0 32644 0 21215 0 273795 0 0 James Van Vorren MD Vice Chair 0 196912 0 0 0 343 0 54475 0 22415 0 274145 0 0 Patricia Adam MD Director 0 196883 0 0 0 343 0 54335 0 14327 0 265888 0 0 Catherine Godlewski Director 0 156423 0 0 0 343 0 54335 0 14377 0 225478 0 0 Teresa McCarthy MD Director 0 191381 0 0 0 343 0 27900 0 26234 0 245858 0 0 Peter Mitsch Director 0 257418 0 0 0 343 0 39920 0 22631 0 320312 0 0 William Roberts MD Director 0 176533 0 0 0 343 0 53442 0 26133 0 256451 0 0 Michael Wootten MD Director 0 229610 0 0 0 343 0 33480 0 20401 0 283834 0 0 James Eppel Pres & CEO through 4/10/17 0 485457 0 247156 0 -2217 0 39384 0 14457 0 784237 0 0 Mark Traynor Pres & CEO eff 4/10/17 0 579725 0 213499 0 78691 0 92070 0 15653 0 979638 0 81978 Beth Monsrud SVP, CFO & Treasurer 0 379649 0 186691 0 38100 0 56323 0 24089 0 684852 0 44260 Hilary Marden-Resnik Secretary & SVP Chief Administrative 0 327082 0 157204 0 33959 0 51664 0 24266 0 594175 0 40268 Ghitiann Worcester SVP, Public Affairs & Development 0 335678 0 157204 0 41571 0 53704 0 10512 0 598669 0 39973 Lawrence Lee SVP Chief Medical Officer 0 340050 0 58585 0 -6176 0 54697 0 22152 0 469308 0 0 Supplemental Information 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; and (6) approval by the Board or Compensation Committee. 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, 2017, 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 Directors, (2) the terms of each Board member, (3) any elected or appointed Director may be removed from office with or without case 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 is prepared by the controller and reviewed by an independent accounting firm. UCare Foundation provides a copy and reviews the details of the completed 990 Form with the Board's Finance and Audit Committee. UCare Foundation also provides a copy of the completed 990 Form to all members of the Board of Directors via email, and the Board's 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 is 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 363573805 Non-Profit HMO MN 501(c)(3) Line 10 U of M Medical SchoolDepartment of Family Practice 0 UCare Health Inc 500 Stinson Blvd NE Minneapolis MN 55413 208294948 Non-Profit Service Insurance Organization WI 501(c)(4) UCare Minnesota 0 U of M Med SchoolDept of Family Practice 516 Delaware St Minneapolis MN 55455 416007513 Medical Education MN 115 University of Minnesota 0 0 1 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 0 0