2017-07-24T16:02:44-05:00 2016-12-31 390859910 Baker Tilly Virchow Krause LLP 225 S 6th St 2300 Minneapolis MN 55402 990 2016-01-01 522177891 Unitedhealthcare Children's Foundation UNIT 8556984223 MN017-W400 PO Box 41 Minneapolis MN 554400041 DAVID HARVEY TREASURER 9522050420 2017-07-20 1 Lawrence H Mohr CPA P00447603 6128764500 38.88.188.75 2017-07-20 08:56:52 CD P DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 167182DFA60A41E45EAE2F4EF9C72CA9A698CA21 2016 2021-01-29 14:40:06Z MATTHEW W PETERSON MN017-W400 PO Box 41 Minneapolis MN 554400041 6778635 0 X WWW.UHCCF.ORG X 1999 MD TO FACILITATE ACCESS TO HEALTH SERVICES THAT WILL ENHANCE THE CLINICAL CONDITION OR QUALITY OF LIFE OF THE CHILD AND THAT ARE NOT FULLY COVERED BY THE AVAILABLE COMMERCIAL HEALTH BENEFIT. 3 3 0 500 0 0 5281452 6479651 0 0 14469 13342 -920079 -235397 4375842 6257596 3554361 3146965 0 0 0 0 0 0 813523 2307149 2256727 5861510 5403692 -1485668 853904 7375107 7696604 2398155 1865748 4976952 5830856 X THE FOUNDATION IS COMMITTED TO ENHANCING THE QUALITY OF LIFE OF CHILDREN WITH COMMERCIAL HEALTH INSURANCE WHO ARE 16 YEARS OLD AND YOUNGER, LIVING IN THE REGIONS WHERE UNITEDHEALTHCARE DOES BUSINESS ACROSS THE UNITED STATES. THE FOUNDATION SHALL ENDEAVOR TO HELP PAY FOR SERVICES OR ITEMS THAT HAVE THE POTENTIAL OF SIGNIFICANTLY ENHANCING EITHER THE CLINICAL CONDITION OR THE QUALITY OF LIFE OF THE CHILD AND THAT ARE NOT FULLY COVERED BY THE AVAILABLE COMMERCIAL HEALTH INSURANCE. 0 0 4579372 3146965 IN 2016 WE AWARDED GRANTS FOR 2,116 CHILDREN, VALUED AT $4,673,677. GRANTS ARE FOR CHILDREN 16 YRS AND YOUNGER AND LIMITED TO $5,000 ANNUAL AND $10,000 LIFETIME. OUR GRANTS ARE OPEN FOR A MINIMUM OF 12 MONTHS, DURING WHICH TIME WE WILL DIRECTLY PAY FOR GOODS AND SERVICES, AS APPROVED BY OUR REGIONAL COMMITTEES, DIRECTLY RELATED TO THE CHILD'S MEDICAL CONDITION. OUR GOAL IS TO HELP FAMILIES BRIDGE THE GAP BETWEEN WHAT IS COVERED BY THEIR COMMERCIAL HEALTH INSURANCE AND THE FAMILIES SHARE OF THESE COSTS. THIS INCLUDES ITEMS SUCH AS MEDICAL CO-PAYS, DEDUCTIBLES, DURABLE MEDICAL EQUIPMENT, PRESCRIPTIONS AND OTHER NON-PLAN COVERED EXPENSES. 4579372 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0 0 0 0 1 0 0 0 1 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 1 628 0 0 0 0 0 0 0 1 1 0 0 0 0 X 3 3 1 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 0 0 0 AK AR CA CT FL GA HI IL KS KY ME MD MA MI MN MS NH NJ NM NY NC OH OK OR PA RI SC TN UT VA WV WI X X DAVID HARVEY 9522050420 MN017-W400 PO BOX 41 MINNEAPOLIS MN 554400041 X JACK WICKENS CHAIRMAN OF THE BOARD 0.50 X X 0 0 0 JEANNINE RIVET DIRECTOR 0.50 X 0 0 0 Terry Clark DIRECTOR 0.50 X 0 0 0 DAVID S HEFNER DIRECTOR 0.50 X 0 0 0 MATTHEW PETERSON PRESIDENT 1.00 X 0 0 0 GAYLE WOODIS EXECUTIVE DIRECTOR 10.00 X 0 0 0 DAVID HARVEY TREASURER 1.00 X 0 0 0 TERI HOVSEPIAN ASST TREASURER 40.00 X 0 0 0 amy schneider secretary 3.00 X 0 0 0 0 0 0 0 0 0 0 0 2240288 4239363 6479651 13342 13342 285642 2240288 521039 -235397 -235397 6257596 0 0 -222055 X 3146965 3146965 18600 18600 1312313 749562 562751 441178 244191 136 196851 348928 293333 10661 44934 54824 52315 2509 INVENTORY MANAGEMENT 80884 74406 6478 5403692 4579372 10797 813523 7045747 7373102 30780 36570 287108 266609 11472 20323 7375107 7696604 1368768 1160565 989387 600000 40000 105183 2398155 1865748 X 4976952 5830856 4976952 5830856 7375107 7696604 853904 0 X X 0 1 X 1 0 X 4557728 4841025 2063884 5281452 6479651 23223740 4557728 4841025 2063884 5281452 6479651 23223740 7202995 16020745 4568 7360 16286 14469 13342 56025 23279765 0.68820 0.64340 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 X 7007719 514726 235397 750123 6257596 0 6257596 6153815 514726 235397 750123 5403692 0 5403692 Part X, Line 2: The Foundation follows the accounting standards for contingencies in evaluating uncertain tax positions. This guidance prescribes recognition threshold principles for the financial statement recognition of tax positions taken or expected to be taken on a tax return that are not certain to be realized. No liability has been recognized by the Foundation for uncertain tax positions as of December 31, 2016 and 2015. The Foundation's tax returns are subject to review and examination by federal and state authorities. Part XI, Line 2d - Other Adjustments: fundraising events 235,397. Part XII, Line 2d - Other Adjustments: fundraising events 235,397. HAZELTINE GOLF 1583402 1425476 157926 86555 71371 6742 105225 mn century ride 479429 479429 55663 12 463099 335383 127716 61122 66595 7275 60491 2525930 2240288 285642 147677 137966 14017 221379 521039 -235397 1 Medical Grants 2512 3146965 Part I, Line 2: Grant payments are only made when proof of services or goods are provided by the grantees. We review the documentation to ensure the costs fall within the guidelines of each individual grant. UNITEDHEALTH GROUP two directors and all officers OF THE FOUNDATION ARE EMPLOYEES OF UHG. 954000 UnitedHealth Group provides certain administrative, overhead, and accounting services to the Foundation. The Foundation pays UnitedHealth Group for a portion of the services provided to the Foundation. The total amount of these services billed to the Foundation was $954,000 for the year ended December 31, 2016 and is included in consulting expenses on the statement of functional expenses. 0 Form 990, Part VI, Section A, line 2 Board Member-Jeannine Rivet and Officers-Matthew Peterson, David Harvey, Gayle Woodis, and Teri Hovsepian are employed by the same company. Form 990, Part VI, Section B, line 11b A draft version of the 990, either electronic or paper is supplied to each board member prior to filing. They are asked to review and raise any questions about the content of the form. If needed, a discussion may be held with the board to address any questions or comments. Form 990, Part VI, Section B, line 12c The Foundation requires the completion of an annual disclosure form which is reviewed for any conflicts of interest. We also have a policy in place to determine if any conflicts of interest issues are present in any particular transaction. Form 990, Part VI, Section C, line 19 The governing documents, conflict of interest policy, and the financial statements are available upon request. Contact information is available at the website at (http://www.uhccf.org/contactus.html). Form 990, Part IX, line 11g consulting: Program service expenses 749,562. Management and general expenses 0. Fundraising expenses 562,751. Total expenses 1,312,313. FORM 990, PART XII, LINE 2C: NEITHER THE OVERSIGHT PROCESS OF THE AUDIT, NOR THE SELECTION PROCESS OF THE INDEPENDENT ACCOUNTANT CHANGED DURING THE YEAR.