UCARE HEALTH INC: Form 990, tax year 2016
View the entire original 990 at ProPublica ↗
- Organization
- UCARE HEALTH INC (EIN 20-8295948)
- Tax period
- 2016-01-01 to 2016-12-31
- Filed
- 2017-11-07
- IRS object ID
- 201703119349301485
- Schema version
- 2016v3.0
- 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2017-11-07T12:04:11-06:00 | ReturnTs |
| Tax Period End | 2016-12-31 | TaxPeriodEndDt |
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2016-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 208295948 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | UCare Health Inc | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | UCAR | BusinessNameControlTxt |
| Phone | 6126766500 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 500 Stinson Blvd NE | AddressLine1Txt |
| City | Minneapolis | CityNm |
| State Abbreviation | MN | StateAbbreviationCd |
| ZIP | 55413 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | Beth Monsrud | PersonNm |
| Person Title | SVP & CFO/Treasurer | PersonTitleTxt |
| Phone | 6126766500 | PhoneNum |
| Signature | 2017-11-02 | SignatureDt |
Filing Security Information FilingSecurityInformation
IP Address IPAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| I Pv4 Address | 192.31.188.252 | IPv4AddressTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IP | 2017-11-07 | IPDt |
| IP Tm | 11:58:58 | IPTm |
| IP Timezone | CS | IPTimezoneCd |
| Filing License Type | P | FilingLicenseTypeCd |
| At Submission Creation Device Id | 96BC5637564A7949694375C8E3BA3A57F149EC0A | AtSubmissionCreationDeviceId |
| At Submission Filing Device Id | 9441BAE2D6CDDD596F7D6C51223BC651677B384C | AtSubmissionFilingDeviceId |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2016 | TaxYr |
| Build TS | 2017-02-10 21:41:12Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | Mark W Traynor | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 500 Stinson Blvd NE | AddressLine1Txt |
| City | Minneapolis | CityNm |
| State Abbreviation | MN | StateAbbreviationCd |
| ZIP | 55413 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $1,619,847 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c | Yes (X) | Organization501cInd |
| Website Address | www.ucare.org | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 2006 | FormationYr |
| Legal Domicile State | WI | LegalDomicileStateCd |
| Activity Or Mission | To provide comprehensive health services and care management services to our members. | ActivityOrMissionDesc |
| Voting Members Governing Body | 15 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 7 | VotingMembersIndependentCnt |
| Total Employee | 0 | TotalEmployeeCnt |
| Total Volunteers | 0 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $0 | PYContributionsGrantsAmt |
| CY Contributions Grants | $0 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $55,815,808 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $1,594,729 | CYProgramServiceRevenueAmt |
| PY Investment Income | $2,653 | PYInvestmentIncomeAmt |
| CY Investment Income | $25,118 | CYInvestmentIncomeAmt |
| PY Other Revenue | $0 | PYOtherRevenueAmt |
| CY Other Revenue | $0 | CYOtherRevenueAmt |
| PY Total Revenue | $55,818,461 | PYTotalRevenueAmt |
| CY Total Revenue | $1,619,847 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $0 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $104,614 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $0 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $65,020,236 | PYOtherExpensesAmt |
| CY Other Expenses | -$2,617,970 | CYOtherExpensesAmt |
| PY Total Expenses | $65,124,850 | PYTotalExpensesAmt |
| CY Total Expenses | -$2,617,970 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$9,306,389 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $4,237,817 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $23,072,960 | TotalAssetsBOYAmt |
| Total Assets EOY | $15,722,154 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $39,914,515 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $28,325,892 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | -$16,841,555 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | -$12,603,738 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | UCare Health, Inc. will improve the health of our members through innovative services and partnerships across communities. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | Yes (1) | SignificantChangeInd |
| Expense | -$3,077,285 | ExpenseAmt |
| Grant | $0 | GrantAmt |
| Revenue | $1,594,729 | RevenueAmt |
| Desc | UCare Health, Inc. is a non-profit service insurance corporation providing comprehensive health services designed to improve the health coverage for individuals, including those federally subsidized. As a wholly owned subsidiary of UCare Minnesota, a tax-exempt organization serving Medicaid, Medicare, and individual health exchange recipients, UCare Health, Inc. provides supporting coverage for services delivered outside the service area for an individual comprehensive health plan obtained via Minnesota's health insurance exchange. UCare Health, Inc. does not have membership in 2016 due to the closing of its Medicare Advantage products due to ongoing financial losses incurred. However, UCare Health remained committed to its Medicare enrollees through the transition to new coverage by providing special customer service and provider support to ensure members needs were met. | Desc |
| Total Program Service Expenses | -$3,077,285 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | 0 | DescribedInSection501c3Ind |
| Schedule B Required | 0 | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Temp Or Permanent Endowments | 0 | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | 0 | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | 0 | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (1) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (1) | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | 0 | OperateHospitalInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | 0 | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | 0 | RelatedOrganizationCtrlEntInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 438 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Employee | 0 | EmployeeCnt |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 15 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 7 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | Yes (1) | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (1) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (1) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (1) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | 0 | CompensationProcessCEOInd |
| Compensation Process Other | 0 | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Greg Marshall | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 6126766500 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 500 Stinson Blvd NE | AddressLine1Txt |
| City | Minneapolis | CityNm |
| State Abbreviation | MN | StateAbbreviationCd |
| ZIP | 55413 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (23 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Key EmployeeKeyEmployeeInd |
|---|---|---|---|---|---|---|---|---|
| Macaran Baird MD | ||||||||
| Board Chair | 0.20 | 40.40 | Yes (X) | Yes (X) | $0 | $364,302 | $107,646 | |
| James Van Vooren MD | ||||||||
| Vice Chair | 0.20 | 40.40 | Yes (X) | Yes (X) | $0 | $195,344 | $76,823 | |
| Patricia Adam MD | ||||||||
| Director | 0.20 | 40.40 | Yes (X) | $0 | $185,501 | $72,481 | ||
| Charity Bennett | ||||||||
| Director | 0.10 | 0.20 | Yes (X) | $0 | $3,393 | $0 | ||
| Mirella Ceja-Orozco | ||||||||
| Director | 0.10 | 0.20 | Yes (X) | $0 | $4,008 | $0 | ||
| Catherine Godlewski | ||||||||
| Director | 0.20 | 40.40 | Yes (X) | $0 | $172,205 | $36,550 | ||
| John Gross | ||||||||
| Director | 0.10 | 0.20 | Yes (X) | $0 | $8,501 | $0 | ||
| P Jay Kiedrowski | ||||||||
| Director | 0.10 | 0.20 | Yes (X) | $0 | $11,407 | $0 | ||
| Teresa McCarthy MD | ||||||||
| Director | 0.20 | 40.40 | Yes (X) | $0 | $194,607 | $53,767 | ||
| Bert McKasy | ||||||||
| Director | 0.10 | 0.20 | Yes (X) | $0 | $12,466 | $0 | ||
| James Miller | ||||||||
| Director | 0.10 | 0.20 | Yes (X) | $0 | $9,164 | $0 | ||
| Peter Mitsch | ||||||||
| Director | 0.20 | 40.40 | Yes (X) | $0 | $254,582 | $61,225 | ||
| William Roberts MD | ||||||||
| Director | 0.20 | 40.40 | Yes (X) | $0 | $177,998 | $78,822 | ||
| Sharon Shonka | ||||||||
| Former Director Aug-16 | 0.10 | 0.20 | Yes (X) | $0 | $6,198 | $0 | ||
| Lance Teachworth | ||||||||
| Director | 0.10 | 0.20 | Yes (X) | $0 | $7,075 | $0 | ||
| Michael Wootten MD | ||||||||
| Director | 0.20 | 40.40 | Yes (X) | $0 | $229,844 | $53,609 | ||
| James Eppel Jr | ||||||||
| President & Chief Executive Officer | 0.10 | 40.10 | Yes (X) | $0 | $813,573 | $113,309 | ||
| Mark Traynor | ||||||||
| Secretary/SVP & General Counsel | 0.10 | 40.10 | Yes (X) | $0 | $407,644 | $60,620 | ||
| Beth Monsrud | ||||||||
| Treasurer/SVP & CFO | 0.10 | 40.10 | Yes (X) | $0 | $462,830 | $69,117 | ||
| Russel Kuzel | ||||||||
| Chief Medical Officer Thru Mar-16 | 0.10 | 40.10 | $0 | $177,159 | $27,944 | Yes (X) | ||
| Hilary Marden-Resnik | ||||||||
| SVP & Chief Administrative Officer | 0.10 | 40.10 | $0 | $385,617 | $59,468 | Yes (X) | ||
| Ghitann Worcester | ||||||||
| SVP Public Affairs & Development | 0.10 | 40.10 | $0 | $398,866 | $58,232 | Yes (X) | ||
| Lawrence Lee MD | ||||||||
| Chief Medical Officer | 0.10 | 40.10 | $0 | $224,866 | $47,153 | Yes (X) | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $0 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $4,707,150 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $976,766 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 0 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
| Cntrct Rcvd Greater Than100 K | 0 | CntrctRcvdGreaterThan100KCnt |
Program Service Revenue ProgramServiceRevenueGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| Medicare/Medicaid Payments | 524114 | $1,592,892 | $1,592,892 |
| Medicare Member Premiums | 524114 | $1,837 | $1,837 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $1,594,729 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $25,118 | TotalRevenueColumnAmt |
| Exclusion | $25,118 | ExclusionAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $1,619,847 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $1,594,729 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $25,118 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | -$3,083,295 | TotalAmt |
| Program Services | -$3,083,295 | ProgramServicesAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $440,745 | TotalAmt |
| Management And General | $440,745 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (3 entries)
| DescDesc | TotalTotalAmt | Management And GeneralManagementAndGeneralAmt | Program ServicesProgramServicesAmt |
|---|---|---|---|
| Taxes & Assessments | $18,429 | $18,429 | |
| Bad Debt Expense | $5,751 | $0 | $5,751 |
| Licenses/Fees/Dues | $400 | $141 | $259 |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | -$2,617,970 | TotalAmt |
| Program Services | -$3,077,285 | ProgramServicesAmt |
| Management And General | $459,315 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $225,021 | BOYAmt |
| EOY | $94,686 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $13,732,117 | BOYAmt |
| EOY | $14,651,234 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,115,822 | BOYAmt |
| EOY | $697,357 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $8,000,000 | BOYAmt |
| EOY | $278,877 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $23,072,960 | BOYAmt |
| EOY | $15,722,154 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $12,707,458 | BOYAmt |
| EOY | $2,285,630 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $33,635 | BOYAmt |
| EOY | $40,262 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $27,173,422 | BOYAmt |
| EOY | $26,000,000 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $39,914,515 | BOYAmt |
| EOY | $28,325,892 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -$16,841,555 | BOYAmt |
| EOY | -$12,603,738 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -$16,841,555 | BOYAmt |
| EOY | -$12,603,738 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $23,072,960 | BOYAmt |
| EOY | $15,722,154 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | $4,237,817 | ReconcilationRevenueExpnssAmt |
| Other Changes In Net Assets | $0 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequiredInd |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $0 | TotalBookValueLandBuildingsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | Surplus Note Payable to UCare Minnesota | Desc |
| Amt | $26,000,000 | Amt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $26,000,000 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Part X, Line 2: | FormAndLineReferenceDesc |
| Explanation | 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 evaulating 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 examinatin by federal, state and local authorities. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | 0 | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (15 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Macaran Baird MD | ||||||||||||||
| Board Chair | $0 | $363,972 | $0 | $0 | $0 | $330 | $0 | $83,075 | $0 | $24,571 | $0 | $471,948 | $0 | $0 |
| James Van Vooren MD | ||||||||||||||
| Vice Chair | $0 | $195,001 | $0 | $0 | $0 | $343 | $0 | $54,087 | $0 | $22,736 | $0 | $272,167 | $0 | $0 |
| Patricia Adam MD | ||||||||||||||
| Director | $0 | $185,158 | $0 | $0 | $0 | $343 | $0 | $52,087 | $0 | $20,394 | $0 | $257,982 | $0 | $0 |
| Catherine Godlewski | ||||||||||||||
| Director | $0 | $171,862 | $0 | $0 | $0 | $343 | $0 | $26,251 | $0 | $10,299 | $0 | $208,755 | $0 | $0 |
| Teresa McCarthy MD | ||||||||||||||
| Director | $0 | $194,264 | $0 | $0 | $0 | $343 | $0 | $27,900 | $0 | $25,867 | $0 | $248,374 | $0 | $0 |
| Peter Mitsch | ||||||||||||||
| Director | $0 | $254,239 | $0 | $0 | $0 | $343 | $0 | $39,137 | $0 | $22,088 | $0 | $315,807 | $0 | $0 |
| William Roberts MD | ||||||||||||||
| Director | $0 | $177,655 | $0 | $0 | $0 | $343 | $0 | $53,005 | $0 | $25,817 | $0 | $256,820 | $0 | $0 |
| Michael Wootten MD | ||||||||||||||
| Director | $0 | $229,501 | $0 | $0 | $0 | $343 | $0 | $33,480 | $0 | $20,129 | $0 | $283,453 | $0 | $0 |
| James Eppel Jr | ||||||||||||||
| President & Chief Executive Officer | $0 | $711,853 | $0 | $105,000 | $0 | -$3,280 | $0 | $99,752 | $0 | $13,557 | $0 | $926,882 | $0 | $0 |
| Mark Traynor | ||||||||||||||
| Secretary/SVP & General Counsel | $0 | $314,305 | $0 | $61,433 | $0 | $31,906 | $0 | $51,628 | $0 | $8,992 | $0 | $468,264 | $0 | $35,278 |
| Beth Monsrud | ||||||||||||||
| Treasurer/SVP & CFO | $0 | $371,283 | $0 | $55,956 | $0 | $35,591 | $0 | $56,322 | $0 | $12,795 | $0 | $531,947 | $0 | $41,610 |
| Russel Kuzel | ||||||||||||||
| Chief Medical Officer Thru Mar-16 | $0 | $120,684 | $0 | $56,475 | $0 | $0 | $0 | $18,606 | $0 | $9,338 | $0 | $205,103 | $0 | $27,945 |
| Hilary Marden-Resnik | ||||||||||||||
| SVP & Chief Administrative Officer | $0 | $309,304 | $0 | $46,704 | $0 | $29,609 | $0 | $50,179 | $0 | $9,289 | $0 | $445,085 | $0 | $34,986 |
| Ghitann Worcester | ||||||||||||||
| SVP Public Affairs & Development | $0 | $314,562 | $0 | $46,534 | $0 | $37,770 | $0 | $51,628 | $0 | $6,604 | $0 | $457,098 | $0 | $36,188 |
| Lawrence Lee MD | ||||||||||||||
| Chief Medical Officer | $0 | $228,876 | $0 | $0 | $0 | -$4,010 | $0 | $36,290 | $0 | $10,863 | $0 | $272,019 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Supplemental Information | FormAndLineReferenceDesc |
| Explanation | 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. | ExplanationTxt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (10 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Form 990, Part III, line 3 | UCare Health, Inc. management reviewed its plan options in consideration with the 2016 Medicare bid and concluded due to significant losses, the financial viability of continuing to offer Medicare Advantage products in 2016 and 2017 was not feasible. As a result, the remaining Medicare Advantage product offerings were closed effective January 1, 2016. UCare Health, Inc. no longer has enrollment in the Medicare Advantage products, however, there is continued activity from prior years in 2016 for provider claims run out on incurred but not reported claim liability and preliminary settlements with CMS on a number of subsidy programs between CMS and UCare Health, Inc. that will be finalized in 2018. |
| Form 990, Part VI, Section A, line 3 | UCare Health, Inc. has an administrative service agreement with UCare Minnesota to provide overall management and administration of UCare Health, Inc.'s business. UCare Health, Inc.'s business, includes but is not limited to, administrative management, financial management, provider contracting services, marketing services and public affairs services, and other tasks as may be necessary to carry out any policies related to UCare Health, Inc.'s business. UCare Health, Inc. reimburses UCare Minnesota for all costs and expenses directly and indirectly incurred and associated with the business and operation of UCare Health, Inc. |
| Form 990, Part VI, Section A, line 6 | The corporation's sole member is UCare Minnesota, a Minnesota non-profit corporation organized to operate as a health maintenance organization under Minnesota Statutes, Chapter 62D and exempt from taxation under section 501(c)(3) of the Internal Revenue Service Code. UCare Minnesota as the corporate member, has all powers and voting rights afforded by law to voting members of service insurance corporations under Wisconsin Statutes, Chapter 613 and applicable sections of Wisconsin Statutes. |
| Form 990, Part VI, Section A, line 7a | The Board of Directors consists of 15 Directors. The Directors are elected automatically by virtue of their election to the UCare Minnesota Board of Directors, unless a different Director is elected by UCare Minnesota as corporate member acting through its Board of Directors. Such different Directors need not be resident of Wisconsin, and may or may not be enrollees receiving coverage or services from the Corporation although at least 40% of the Directors shall be enrollees of the Corporation or UCare Minnesota. |
| Form 990, Part VI, Section A, line 7b | In addition to the powers set forth in Wisconsin law for members, UCare Minnesota has reserved to itself the following powers concerning the governance of the Corporation, which shall be expressed through the UCare Minnesota Board of Directors: (a) The approval of any plans of merger or consolidation by the Corporation with any foreign or domestic Corporation, voluntary dissolution of the Corporation, or any sales, lease, or transfer of all or substantially all of the Corporation's assets; (b) the approval of the grant of a security interest in all or substantially all of the Corporation's assets or the guarantee of any indebtedness before such security interest or guarantee becomes legally binding, and (c) the amendment of the articles of incorporation or bylaws. |
| Form 990, Part VI, Section B, line 11b | The 990 Form is prepared by the controller and reviewed by an independent accounting firm. UCare provides a copy and reviews the details of the completed 990 Form with the Board's Finance and Audit Committee. UCare 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 requires completion of an annual questionnaire by its Board members, Officers, and Senior Executives, which is designed to identify 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 and for a majority of the disinterested Directors to 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. In practice, UCare seeks to manage certain business matters so that they are not subject to action by the Board or Senior Executives where a potential conflict exists. For example, the Board includes members who are enrolled in UCare's health plans, and the benefit designs and premium amounts of such plans are not brought before the Board for action. The policy also requires disclosure of potential conflicts to the Board to the designated committee even for transactions not requiring Board action. |
| Form 990, Part VI, Section C, line 18 | UCare Health, Inc.'s Form 990 is available upon request. |
| Form 990, Part VI, Section C, line 19 | UCare will provide governing documents,Conflict of Interest Policy and/or Financial Statements upon request. |
| Form 990, Part IX, line 11g | Incurred Medical Costs reduced by change in estimates for runout: Program service expenses -2,979,473. Management and general expenses 0. Fundraising expenses 0. Total expenses -2,979,473. Other Purchased Services: Program service expenses 75. Management and general expenses 0. Fundraising expenses 0. Total expenses 75. Broker Commissions: Program service expenses 135. Management and general expenses 0. Fundraising expenses 0. Total expenses 135. Outsourced Services: Program service expenses -104,032. Management and general expenses 0. Fundraising expenses 0. Total expenses -104,032. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (3 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|---|
| UCare Minnesota | ||||||||||
| 500 Stinson Blvd NE | Minneapolis | MN | 554132615 | 363573805 | Not for Profit Health Maintenance Organization | MN | 501(c)(3) | Line 10 | U of MDept of Family Practice | 0 |
| U of Mn Med SchoolDept of Family Practice | ||||||||||
| 516 Deleware St SE | Minneapolis | MN | 55455 | 416007513 | Medical Education | MN | 115 | University of Minnesota | 0 | |
| UCare Foundation | ||||||||||
| 500 Stinson Blvd NE | Minneapolis | MN | 554132615 | 464795214 | Community-directed initiative of UCare Minnesota | MN | 501(c)(3) | Line 12a, I | UCare Minnesota | 0 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | 0 | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | 0 | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | 0 | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | 0 | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | 0 | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | 0 | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | Yes (1) | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | Yes (1) | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (1) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (1) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (1) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | 0 | TransferToOtherOrgInd |
| Transfer From Other Org | 0 | TransferFromOtherOrgInd |
Comments