2015-08-13T09:00:31-05:00 2014-12-31 990 2014-01-01 363573805 UCare Minnesota UCAR 6126766500 500 Stinson Blvd NE Minneapolis MN 55413 BETH MONSRUD SVP & CFO/Treasurer 6126766500 2015-08-13 2014 2016-02-25 16:41:14Z James W Eppel Jr 500 Stinson Blvd NE Minneapolis MN 55413 3434308462 0 X www.ucare.org X 1987 MN To operate a health maintenance organization dedicated to promoting the health of the community served by making quality health care available on an economically advantageous prepaid basis. 15 7 963 2700 0 0 0 0 2417633267 3060479025 7880183 12511169 26477 708115 2425539927 3073698309 7910000 17306533 0 0 59836676 75311697 0 0 0 2310545023 2873182773 2378291699 2965801003 47248228 107897306 877217932 1351347598 410921381 778333048 466296551 573014550 X UCare will improve the health of our members through innovative services and partnerships across communities. 0 0 2896069072 17306533 3060479025 UCare operates a health maintenance organization (HMO) providing coordinated health care and coverage for over 451,586 individuals from the community enrolled in state public programs, federal Medicare Advantage programs, and Mnsure marketplace plans, including Medicaid and Medicare, and indivudual and family policies. UCare's programs provide services to seniors, low-income families, those with physical disablilities and other individuals who may have challenges accessing health care. UCare also serves those seeking individual and family plan coverage through Mnsure. UCare's mission is to improve the health of our members through innovative services and partnerships across communities. In 2014, UCare's quality monitoring and program initiatives demonstrated many significant activities and outcomes. The highlights are outlined below.o Statistically significant (p>0.05) clinical improvements for our members were identified in the following Healthcare Effectiveness Data and Information Set ("HEDIS") measurements for Medicare and Medicaid: Care of Older Adults Medication Review, Breast Cancer Screening, Persistence of Beta-Blocker Treatment After a Heart Attack, o Other areas of statistically significant higher scores than the state and national average were identified in the Consumer Assessment of Healthcare Providers and Systems (CAHPS) survey and included: Rating of All Health Care, Rating of Personal Doctor, Rating of Health Plan, Getting Needed Care, Getting Care Quickly, How Well Doctors Communicate, Customer Service, Coordination of Care, Getting Needed Prescriptions. o The Health Outcome Survey (HOS) showed statistically significant increases in: Reducing the Risk of Falling.o UCare's health improvement efforts also were reflected in 2014 by earning 4.5 out of 5 stars in the CMS Medicare Performance Assessment report for its UCare for Seniors product and 3.5 for the Minnesota Senior Health Options product.UCare's Community Benefit Program:In addition to UCare's core business of providing public health care program plans that seek to improve the health of our communities, UCare's community benefit program reaches out to: o Address social determinants of healtho Strengthen providers that serve populations with challenges accessing care.o Encourage the wellness of families and seniorso Support research, programs, and organizations that benefit health care quality and delivery.During 2014, UCare helped fund many community organizations and providers delivering services, research, and programs that reach beyond UCare's membership, including efforts to strengthen the social safety net for at-risk families and seniors. Examples include funding for: HIV-specific housing and supportive services through Clare Housing; Minneapolis Urban League Scholarship Program that provides opportunities for African descendants and other people of color; National Alliance for the Mentally Ill, a grassroots organization dedicated to building better lives for those affected by mental illness; Lutheran Social Services Senior Companion Program as it impacts and enhances the lives of many older adults who are attempting to remain in their own homes; and the Minnesota Academy of Family Physicians Research Forum which provides opportunities for family medicine researchers to share innovations in their field.UCare employees also devoted time to participate in collaborations working to improve health care quality and advance public health and health care access, including projects aimed at reducing language and cultural barriers. Examples of organizations and collaborations with which our employees worked include: Community Health Worker Project, Institute for Clinical Systems Improvement, Minnesota Community Measurement, Health Literacy Partnership, Interpreter Stakeholders Group, Metro and Minnesota Public Health Association/Health Plan Collaboration, and the Multilingual Health Resource Exchange.UCare provides many health promotion, disease management, care management and wellness programs. These efforts not only benefit the health of its enrollees, but positively affect their families and larger communities. Examples include: disease management programs for asthma, diabetes, chronic kidney disease and congestive heart failure; falls prevention programs to improve safety of seniors; Management of Maternity Services (M.O.M.S.) programs that provide resources to enrollees and providers to improve pregnancy and post-partum health, car seat distribution and education to pregnant women; and distribution of free materials on health education and proper use of urgent and emergency facilities at community forums. UCare's Mobile Dental Clinic, operated with the University of Minnesota School of Dentistry, offers quality oral health care to UCare members with dental access issues. In 2014, the MDC staff performed 5,403 preventive and restorative procedures for more than 1,170 members at 16 sites in Minnesota.UCare encourages employees and their families to volunteer time and financial resources in the community. UCare provides organizational support for volunteer services to education, social services, and health organizations that build capacity in local communities to improve the welfare of at-risk families and seniors. Examples of employee volunteer efforts include support for the following: Adopt-a-Family Gift Drive, Food/School Supply Drives, Jeremiah House "Cook for Kids", Northeast Dinner Bell, Keystone Community Services, Pratt Community School Reading Program and Little Brothers Friends of the Elderly.UCare provides support for the UCare Foundation, a community-directed initiative of UCare. Grant-making is focused on programs and initiatives that improve the health of underserved populations in the Twin Cities and throughout Greater Minnesota and western Wisconsin with innovative services, education, community outreach, and research. Priority was given in 2014 to projects focusing on preventive health care, quality initiatives for chronic disease management, and promotion of healthy lifestyles and disabilities. Examples of UCare Foundation grants awared in 2014, include support for the following programs and projects: Amherst H. Wilder Foundation: The Twin Cities Mobile Market is a grocery store on wheels that sells healthy foods at below-market prices in low-income neighborhoods. The mobile market beneftis over 275,000 low-income residents in the Twin Cities who do not have ready access to grocery stores that sell fresh, healthy foods. Dakota County Public Health Department: This project identifies low-income families with asthma risk factors and provides cost-effective interventions that reduce illness and health care visits, hospitalizations, and costs.Des Moines Valley Health and Human Services: This project improves active living opportunities in rural communities throughout Cottonwood, Jackson, and Nobles County by increasing physical activity and improving school nutrition. Miller-Dwan Foundation: Funding is used to create exercise space and implement programming that encourages physical activity for adult psychiatric patients.Pillsbury United Communities: This project aims to build on community assets to support improved health for East African immigrants, reduce incidence of diabetes and cardiovascular disease, and evaluate and document effectiveness of this community-based approach.UCare's financial contributions to the University of Minnesota Medical School, Department of Family Medicine nad Community Health supported activities in 2014 to enhance and strengthen family medicine education, research, and innovative health service delivery that improves the health of people and communities of Minnesota. In addition to providing critical funding to support family medicine education, efforts include: the Rural Physician Associate Program; development of global health educational experience for residents and medical students; volunteering to provide preventive health services to underserved populations at homeless and free clinics; mentoring North Minneapolis youth interested in medical careers; working with high risk adolescents at job corps centers; and research in health disparities, post-partum, depression, and smoking cessation programs. 2896069072 1 0 0 1 0 0 0 0 0 0 1 0 0 0 1 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 1 1 1 0 1 6386 0 963 1 0 0 0 0 0 0 0 0 0 0 X 15 7 0 0 0 0 0 1 0 1 1 0 0 1 1 1 1 1 1 1 1 0 MN X X Greg Marshall 6126766500 500 Stinson Blvd NE Minneapolis MN 55413 Macaran Baird MD Board Chair 0.20 40.20 X X 10000 312843 58456 James Van Vorren MD Vice Chair 0.20 40.20 X X 9617 178233 47195 Patricia Adam MD Director 0.20 40.20 X 6917 171100 44093 Kimberly Carter Director 0.10 0.20 X 8915 0 0 Catherine Godlewski Director 0.20 40.20 X 8000 177477 41590 John Gross Director 0.10 0.20 X 12126 0 0 P Jay Kiedrowski Director 0.10 0.20 X 11130 0 0 Teresa McCarthy MD Director 0.20 40.20 X 10000 177727 47242 Bert McKasy Director 0.10 0.20 X 9152 0 0 James Miller Director 0.10 0.20 X 9611 0 0 Peter Mitsch Director 0.20 40.20 X 11500 207696 49798 William Roberts MD Director 0.20 40.20 X 8363 193997 52747 Sharon Shonka Director 0.10 0.20 X 10202 0 0 Lance Teachworth Director 0.10 0.20 X 2828 0 0 Michael Wootten MD Director 0.20 40.20 X 7000 221041 47224 William Brombach Director 0.10 0.20 X 6428 0 0 Nancy Feldman President & Chief Executive Officer 40.00 0.20 X 1008645 0 129241 Mark Traynor Secretary/SVP & General Counsel 40.00 0.20 X 365251 0 59960 Beth Monsrud Treasurer/SVP & CFO 40.00 0.20 X 408617 0 73682 Edith Dorsey SVP Operations 40.00 0.20 X 231007 0 59093 Russel Kuzel SVP & Chief Medical Officer 40.00 0.20 X 471332 0 63931 Thomas Mahowald SVP Strategy & Product Development 40.00 0.20 X 316666 0 66815 Hilary Marden-Resnik SVP & Chief Administrative Officer 40.00 0.20 X 357647 0 66026 Ghitann Worcester SVP Public Affairs & Development 40.00 0.20 X 375235 0 57231 Michael Lynch Medical Director 40.00 0.10 X 304674 0 29954 Jamie Carsello Chief Informatics Officer 40.00 0.10 X 235303 0 22077 Alan Heaton Pharmacy Director 40.00 0.10 X 196636 0 22043 Patricia Ball Director of Provider Network 40.00 0.10 X 205377 0 8598 Jeri Peters Chief Nursing Officer 40.00 0.10 X 203628 0 8469 4821807 1640114 1055465 110 0 1 0 OPTUMINSIGHT 2771 Momentum Pl Chicago IL 606895327 Chart Review, Actuarial & Consulting 7100365 HEALTH INTEGRATED INC 75 Remittance Dr 6644 Chicago IL 606756644 Synergy Targeted Population Mgmt 4407385 NORTHSHORE RESOURCES 7667 10th St N Oakdale MN 55128 Contract Programming & Consulting 2700341 IKASYSTEMS CORPORATION 134 Turnpike Rd Southborough MA 01772 Billing & Enrollment Services 2190905 AVT CONSULTING LLC 4915 West 35th St Suite 103 St Louis Park MN 55416 Contract Programming & Consulting 1703729 85 Medicare/Medicaid Payments 524114 2908788060 2908788060 Medicare Member Premiums 524114 149226829 149226829 Individual Member Premiums 524114 1740000 1740000 Federal Subsidized Payments 524114 724136 724136 3060479025 11541697 11541697 1247747 572012 675735 675735 675735 361007613 360038141 969472 969472 969472 Misc Revenue 524114 32380 32380 32380 3073698309 3060479025 0 13219284 X 17306533 17306533 4267933 4267933 54739348 46305081 8434267 2429325 1728211 701114 9454964 7100094 2354870 4420127 3579286 840841 310573 310573 496550 187667 308883 103135 103135 501032 501032 2788522511 2783712361 4810150 11336364 11336364 4083250 3168761 914489 19267790 12672532 6595258 4564946 2757901 1807045 459120 322538 136582 630698 306345 324353 6087866 4028425 2059441 277111 183368 93743 Taxes & Assessments 33730319 33730319 Licenses, Fees & Prof A 1090612 752372 338240 Employment Recruitment 971841 971841 Other Misc Expenses 616237 518098 98139 132818 132818 2965801003 2896069072 69731931 0 -18478073 206418299 182839809 285121521 142731277 173261580 1448547 3507656 59087980 24713147 8886995 34374833 542554133 625923855 17235244 22739854 877217932 1351347598 403464093 570279778 3729740 203686460 3727548 4366810 410921381 778333048 X 466296551 573014550 466296551 573014550 877217932 1351347598 107897306 -1179307 0 X 0 1 X 1 0 X 10220 10220 1607219887 1745718082 2233356809 2417633267 3060479025 11064407070 1607230107 1745718082 2233356809 2417633267 3060479025 11064417290 0 0 0 11064417290 16435290 10260886 6339240 6901539 12789444 52726399 16435290 10260886 6339240 6901539 12789444 52726399 19860 45746 83308 25477 32380 206771 1623685257 1756024714 2239779357 2424560283 3073300849 11117350460 0.99520 0.99350 0.00470 0.00640 X Schedule A, Part III, Line 12, Explanation for Other Income Proceeds from class action lawsuits and other misc 1 1 0 0 0 0 1 264294 0 0 264294 0 Part II-B, Line 1: Track legislation, attend legislative hearings and meet with legislators to either support or oppose legislation that affects UCare's public program business on both the state and federal level. 2221498 2221498 17738135 176274 17561861 6733525 2535224 4198301 23077196 15442319 7634877 9317626 6559330 2758296 34374833 Post Retirement Benefit Option 4366810 4366810 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. The tax returns for the years 2011 to 2013 are open to review and examination. 1 KANABEC PINE COMMUNITY HEALTH 905 EAST FOREST AVE 127 MORA MN 55051 472237587 Government 25000 Public Health Nurse Clinic-Adult-Pine County KANABEC PINE COMMUNITY HEALTH 905 EAST FOREST AVE 127 MORA MN 55051 472237587 Government 25000 Dental Varnishing Clinic - Kanabec County AFFILIATED COMMUNITY MEDICAL CENTER PA 101 WILMAR AVE SW WILMAR MN 56201 410850702 125000 Affiliated Community Medical Centers Medical Home Program ALTRU HEALTH FOUNDATIONS 2501 DEMERS AVE GRAND FORKS ND 58201 450368330 501(c)(3) 125000 Medical Home Model in Northwest Minnestoa ENTIRA FAMILY CLINICS 2025 SLOAN PL 35 ST PAUL MN 55117 411817152 125000 Center for Clinical Management Research (CCMR) use for targeted colon cancer screening compliance ESSENTIA HEALTH 502 E 2ND ST DULUTH MN 55805 200360007 501(c)(3) 125000 Post Acute Care Management FAIRVIEW PHYSICIAN ASSOCIATE NETWORK 3400 W 66TH ST 445 EDINA MN 55435 411753325 501(c)(3) 125000 Advancing end-of-life care through Case Management MANKATO CLINIC LTD PO BOX 8674 MANKATO MN 56001 410849339 501(c)(3) 125000 iCare for UCare. Care coordination across providers and between agencies and health care institutions NORTH CLINIC 9201 WEST BROADWAY AVE N 601 BROOKLYN PARK MN 55445 410955922 125000 UCare for Seniors Care Coordination and Case Management / Physician Case Management NORTH MEMORIAL HEALTH CARE 8301 GOLDEN VALLEY RD 300 GOLDEN VALLEY MN 55427 410729979 501(c)(3) 125000 Collaborative Care Transitions Program OLMSTED MEDICAL CENTER 210 - 9 ST SE ROCHESTER MN 55904 410855367 Government 125000 Improving Access to Primary Care Service through Virtual Technology SANFORD HEALTH THIEF RIVER FALLS 3001 SANFORD PARKWAY THIEF RIVER FALLS MN 56071 410709579 501(c)(3) 125000 Obesity Targeted Health Coach HENNEPIN COUNTY MEDICAL CENTER 701 PARK AVE MINNEAPOLIS MN 55415 421707837 Government 240000 HCMC Coordinate Care Proposal ALLINA HEALTH SYSTEMS 2925 CHICAGO AVE MINNEAPOLIS MN 55407 363261413 501(c)(3) 300000 Integrating Mental Health/Disability Program CENTRACARE HEARTLAND 1900 CENTRACARE CIRCLE ST CLOUD MN 56304 411806657 501(c)(3) 300000 Improvement of Chronic Disease and Preventive Services through Advanced Care Coordination and Centralized Data Management AMERICAN REFUGEE COMMITTEE 615 1ST AVE NE 500 MINNEAPOLIS MN 55413 363241033 501(c)(3) 100000 Support for local and preventive Ebola outreach ANOKA COUNTY COMMUNITY HEALTH & ENVIRONMENTAL SERVICES 2100 3RD AVE ANOKA MN 55303 416005752 Government 19000 Breastfeeding Promotion Initiative ARROWHEAD HEALTH ALLIANCE 221 WEST FIRST ST DULUTH MN 55802 273315614 Government 123800 Arrowhead Telepresence Support BECKER COUNTY COMMUNITY HEALTH 712 MINNESOTA AVE DETROIT LAKES MN 56501 416005754 Government 25000 Health Promotion and Wellness BENTON COUNTY HUMAN SERVICES PO BOX 740 FOLEY MN 56329 416005759 Government 25000 Benton For Better Health: Substance Abuse Prevention and Recovery Promotion CARLTON COOK LAKE ST LOUIS COUNTY HEALTH BOARD 404 WEST SUPERIOR ST 220 DULUTH MN 55802 753141103 Government 100000 Healthy Northland Collaboration CARVER COUNTY PUBLIC HEALTH DEPARTMENT 600 FOURTH ST EAST CHASKA MN 55318 416005768 Government 25000 Carver County Breastfeeding-Friendly Business CATHOLIC CHARITIES OF THE ARCHDIOCESSE 1200 SECOND AVE S MINNEAPOLIS MN 55403 411302487 501(c)(3) 75000 Support for Dorothy Day Center programming to homeless and at risk community individuals CENTER FOR ALCOHOL & DRUG TREATMENT 314 W SUPERIOR ST 400 DULUTH MN 55802 410847934 501(c)(3) 630845 Support for methadone maintenance clinic in St Louis County CHILDRENS DEFENSE FUND 555 PARK ST 410 ST PAUL MN 55103 520895622 501(c)(3) 60000 Bridge to Benefits-connect low income families to public support programs CHILDRENS HEALTHCARE NETWORK 910 EAST 26TH ST 330 MINNEAPOLIS MN 55404 463226418 501(c)(3) 125000 Childrens Healthcare Network Data Analytics Management CHISAGO COUNTY 6133 402ND ST NORTH BRANCH MN 55056 416005772 Government 25000 Building Effective Community Health Assessment CITY OF BLOOMINGTON PUBLIC HEALTH 1900 WEST OLD SHAKOPEE RD BLOOMINGTON MN 55431 416004990 Government 25000 Metro Alliance for Healthy Families CITY OF BLOOMINGTON PUBLIC HEALTH 1900 WEST OLD SHAKOPEE RD BLOOMINGTON MN 55431 416004990 Government 49250 Healthy Living Hubs CITY OF MINNEAPOLIS 250 S 4TH ST ROOM 414 MINNEAPOLIS MN 55415 416005375 Government 25000 Environmental Asthma in Childrens Homes CLAY COUNTY PUBLIC HEALTH 715 11TH ST NORTH 303 MOORHEAD MN 56560 416005775 Government 25000 Healthy food pantries/ Healthy food donations UNIVERSITY OF MINNESOTA 717 DELAWARE ST SE 166 MINNEAPOLIS MN 55414 416007513 115 25000 Barber shop based health education outreach program COUNTRYSIDE PUBLIC HEALTH DEPARTMENT 201 13TH ST S BENSON MN 56215 411693737 Government 54554 Mental Health Awareness CROW WING COUNTY 326 LAUREL ST BRAINERD MN 56401 416005785 Government 20000 Breastfeeding Peer Counseling Project DAKOTA COUNTY PUBLIC HEALTH DEPT 1 MENDOTA ROAD W 410 WEST ST PAUL MN 55118 416005786 Government 25000 Reducing sexually-transmitted infections in Dakota County DODGE COUNTY PUBLIC HEALTH PO BOX 129 DODGE CENTER MN 55927 416005790 Government 25000 Obesity Reduction-Active Communities DODGE COUNTY PUBLIC HEALTH PO BOX 129 DODGE CENTER MN 55927 416005790 Government 48535 Obesity Prevention and Reduction EASTSIDE MEALS ON WHEELS INC 1510 33RD AVE NE MINNEAPOLIS MN 55418 411228367 501(c)(3) 10000 NE community Meals on Wheels program support FACE TO FACE HEALTH & COUNSELING SERVICE INC 1165 ARCADE ST ST PAUL MN 55106 410986780 501(c)(3) 40000 General grant support for the non FQHC Clinic operations FILLMORE HOUSTON COMMUNITY HEALTH SERVICES 611 VISTA DR 1 CALEDONIA MN 55921 416005804 Government 25000 Volunteer model for seniors and disabled living in their own homes FILLMORE HOUSTON COMMUNITY HEALTH SERVICES 611 VISTA DR 1 CALEDONIA MN 55921 416005804 Government 50000 Increased access to outdoor recreation for people with disabilities HENNEPIN COUNTY PUBLIC HEALTH 525 PORTLAND AVE MCL-963 MINNEAPOLIS MN 55415 416005801 Government 48700 Wellness for Every Body HUMAN SERVICES OF FARIBAULT & MARTIN COUNTIES 115 W 1ST ST FAIRMONT MN 56031 411286683 Government 50000 Health Food Access in Faribault & Martin Counties ISANTI COUNTY FAMILY SERVICES 1700 EAST RUM RIVER DR S A CAMBRIDGE MN 55008 416005808 Government 24850 Access to Child Psychiatry Services ISANTI COUNTY PUBLIC HEALTH 555 18TH AVE SW CAMBRIDGE MN 55008 416005808 Government 25000 Expand Child Find Program KANDIYOHI COUNTY HEALTH & HUMAN SERVICES 2200 23RD ST NE 1080 WILMAR MN 56201 416005818 Government 25000 Kandiyohi County Drug Free Communities (DFC) Coalition LAC QUI PARLE COUNTY FAMILY SERVICE CENTER PO BOX 7 930 1ST AVE MADISON MN 56256 416005824 Government 25000 Challenge Day Treatment for Serious Emotional Disorder (SED) Children LAKEWOOD HEALTH CENTER 600 MAIN AVE S BAUDETTE MN 56623 410758434 501(c)(3) 25000 Mental Health Awareness and Suicide Prevention Program LE SUEUR COUNTY PUBLIC HEALTH 88 S PARK AVE LE CENTER MN 56057 416005828 Government 25000 Le Sueur County Preventative Health Care Initiative LITTLE BROTHERS - FRIENDS OF THE ELDERLY 1845 EAST LAKE ST MINNEAPOLIS MN 55407 410986200 501(c)(3) 5000 Program support for metro area isolated seniors LUTHERAN SOCIAL SERVICE 1605 EUSTIS ST 406 ST PAUL MN 55108 410872993 501(c)(3) 150000 Senior companion program for isolated seniors MILLE LACS COUNTY 635 2ND ST SE MILACA MN 56353 416005845 Government 25000 Shaken Baby Prevention Project MINNESOTA COMMUNITY HEALTH WORKERS ALLIANCE 2610 UNIVERSITY AVE W 550 ST PAUL MN 55114 452787308 501(c)(3) 5000 Increase awareness of Community Health Workers roles and benefits MINNESOTA HEAD START 904 VALLEY DR DULUTH MN 55804 363579547 501(c)(3) 20000 Address children's education and dealth disparities, and foster healthy, family-focused communities. NICOLLET COUNTY PUBLIC HEALTH 501 S MINNESOTA AVE ST PETER MN 56082 416005852 Government 11500 Nicollet County Community Wellness Activities NOBLES COUNTY COMMUNITY SERVICES PO BOX 189 WORTHINGTON MN 56187 416005854 Government 25000 Healthy Homes Project NORMAN COUNTY SOCIAL SERVICES 15 2ND AVE E ADA MN 56510 416005856 Government 25000 Create county wide resource list for residents OLMSTED COUNTY PUBLIC HEALTH SERVICES 2100 CAMPUS DR SE 100 ROCHESTER MN 55904 416005859 Government 25000 Communication for Organizational Intergrated Networking (COIN) OTTER TAIL COUNTY PUBLIC HEALTH 560 FIR AVE W FERGUS FALLS MN 56537 416005861 Government 25000 Public Health Access to Care PEASE CRC- MILLE LACS COUNTY PO BOX 69 PEASE MN 56363 410734734 Government 10000 Mille Lacs County Operation Community Connect PENNINGTON COUNTY HUMAN SERVICES PO BOX 340 THEIF RIVER FALLS MN 56701 416005862 Government 25000 Technology-Helping Our Clients PORTICO HEALTHNET 2610 UNIVERSITY AVE NW 550 ST PAUL MN 55114 411814659 501(c)(3) 100000 Uninsured outreach support including Community Health Workers QUIN COMMUNITY HEALTH SERVICES PO BOX 248 NEWFOLDEN MN 56738 416005836 Government 25000 Home visits for infants under 6 months old QUIN COMMUNITY HEALTH SERVICES PO BOX 248 NEWFOLDEN MN 56738 416005836 Government 41700 Promoting physical activities through 5 County Public Health agencies RAMSEY COUNTY COMMUNITY HUMAN SERVICES 15 W KELLOGG BLVD 250 COURTHOUSE SAINT PAUL MN 55102 416005875 Government 25000 A Bridge to American Indian Health REACH OUT AND READ INC 701 PARK AVE MINNEAPOLIS MN 55415 043481253 501(c)(3) 10000 Book purchase for metro clinic-based reading program for children RICE COUNTY PUBLIC HEALTH NURSING SERVICE 320 NW 3RD ST FARIBAULT MN 55021 416005882 Government 24550 Rice County Public Health Outreach & Tapestry ROSEAU COUNTY SOCIAL SERVICES 208 6TH ST SW ROSEAU MN 56751 416005889 Government 15000 Community-based program for adolescents ages 13 -18, who demonstrate issues with alcohol, marijuana and other illegal drugs. SOUTHERN MINNESOTA REGIONAL LEGAL SERVICES INC 55 E 5TH ST 1000 ST PAUL MN 55101 411316151 501(c)(3) 125000 Metro area legal services for seniors including day programs SOUTHSIDE COMMUNITY HEALTH SERVICES 4243 4TH AVE S MINNEAPOLIS MN 55409 237113799 501(c)(3) 20000 Mental Health awareness and primary care support in Hennepin County SOUTHWEST HEALTH AND HUMAN SERVICES 607 W MAIN 200 MARSHALL MN 56258 273107061 Government 50000 Expanding Oral Health Activites in Southwest Minnesota SOUTHWEST HEALTH AND HUMAN SERVICES 607 W MAIN 200 MARSHALL MN 56258 273107061 Government 54350 Impacting the Culture of Sexual Assault and Violence in Southwest Minnesota ST LUKE'S HEALTH CARE SYSTEM 915 E FIRST ST DULUTH MN 55805 410714079 501(c)(3) 124899 St. Luke's Care Coordination Education ST PAUL RAMSEY COUNTY PUBLIC HEALTH 1670 BEAM AVE MAPLEWOOD MN 55109 129999999 Government 25000 Club Dad is a monthly group education session for African American males to help develop skills in becoming successful fathers, employees and individuals STORE TO DOOR 1935 COUNTY RD B2 250 ROSEVILLE MN 55113 411433859 501(c)(3) 25000 Nutrition support for homebound seniors UCARE FOUNDATION 500 STINSON BLVD NE MINNEAPOLIS MN 55413 464795214 501(c)(3) 1000000 Increase Fund balance to support ongoing efforts UNIVERSITY OF MINNESOTA 516 DELAWARE ST SE BOX 381 UMHC MINNEAPOLIS MN 55455 416007513 115 11000000 Support for Medical Education VOLUNTEERS OF AMERICA 7530 MARKET PLACE DR EDEN PRAIRIE MN 55344 411554078 501(c)(3) 50000 Glen Campbell film "I'll Be Me" on Alzheimer's Disease WATONWAN COUNTY HUMAN SERVICES 715 2ND AVE S ST JAMES MN 56081 416005922 Government 25000 Madelia: Rethink Your Drink Project WILDERNESS INQUIRY INC 808 14TH AVE SE MINNEAPOLIS MN 55414 930708637 501(c)(3) 20000 Outdoor adventures for low income disabled and diverse populations WRIGHT COUNTY PUBLIC HEALTH 1004 COMMERICAL DR BUFFALO MN 55302 411268614 Government 25000 Wellness on Wheels Van at WIC site 78 3 Part I, Line 2: UCare Minnesota does not have a formal grant program. Amounts disclosed in Schedule I, Part II, 1a represent one-time cash contributions provided to these organizations based on the parameters outlined in UCare's Board-approved Community Benefit Policy. In addition to UCare's ongoing community benefit efforts, the Board annually determines whether special year-end benefit contributions are appropriate under the provisions of the Policy. The Policy outlines three catagories of contributions and the amounts distributed by catagory are reviewed and approved by the Board of Directors, and the Board receives an annual report on the use of the funds. X X X X X X 0 0 0 0 0 0 0 0 0 Macaran Baird MD Board Chair 10000 312500 0 0 0 343 0 33800 0 24656 10000 371299 0 0 James Van Vorren MD Vice Chair 9617 177890 0 0 0 343 0 25415 0 21780 9617 225428 0 0 Patricia Adam MD Director 6917 170757 0 0 0 343 0 24375 0 19718 6917 215193 0 0 Catherine Godlewski Director 8000 177134 0 0 0 343 0 24463 0 17127 8000 219067 0 0 Teresa McCarthy MD Director 10000 177384 0 0 0 343 0 22750 0 24492 10000 224969 0 0 Peter Mitsch Director 11500 207353 0 0 0 343 0 28373 0 21425 11500 257494 0 0 William Roberts MD Director 8363 193654 0 0 0 343 0 27755 0 24992 8363 246744 0 0 Michael Wootten MD Director 7000 220698 0 0 0 343 0 27755 0 19469 7000 268265 0 0 Nancy Feldman President & Chief Executive Officer 669712 0 233417 0 105516 0 116320 0 12921 0 1137886 0 105516 0 Mark Traynor Secretary/SVP & General Counsel 269232 0 61118 0 34901 0 45779 0 14181 0 425211 0 34901 0 Beth Monsrud Treasurer/SVP & CFO 331122 0 77495 0 0 0 51837 0 21845 0 482299 0 0 0 Edith Dorsey SVP Operations 231007 0 0 0 0 0 37536 0 21557 0 290100 0 0 0 Russel Kuzel SVP & Chief Medical Officer 344720 0 78596 0 48016 0 54184 0 9747 0 535263 0 48016 0 Thomas Mahowald SVP Strategy & Product Development 258365 0 58301 0 0 0 44307 0 22508 0 383481 0 0 0 Hilary Marden-Resnik SVP & Chief Administrative Officer 265235 0 62507 0 29905 0 43401 0 22625 0 423673 0 29905 0 Ghitann Worcester SVP Public Affairs & Development 277041 0 66793 0 31401 0 46383 0 10848 0 432466 0 31401 0 Michael Lynch Medical Director 255155 0 49519 0 0 0 9449 0 20505 0 334628 0 0 0 Jamie Carsello Chief Informatics Officer 198838 0 36465 0 0 0 8976 0 13101 0 257380 0 0 0 Alan Heaton Pharmacy Director 165364 0 31272 0 0 0 7783 0 14260 0 218679 0 0 0 Patricia Ball Director of Provider Network 174843 0 30534 0 0 0 8443 0 155 0 213975 0 0 0 Jeri Peters Chief Nursing Officer 171603 0 32025 0 0 0 8315 0 154 0 212097 0 0 0 Form 990, Part VI, Section A, line 1 Eight Directors affiliated with the University of Minnesota Medical School, Department of Family Medicine are reported here as not independent. The Medical School/Department is not a traditional parent organization of UCare, and does not directly appoint or elect all of these Directors. The Department also does not have direct removal authority for all of these Directors, and removal of a Director under the bylaws requires the vote of at least one Director not affiliated with the Medical School/Department. However, the Medical School/Department has indirect control of the appointment and election process of these eight directors. One Director is appointed by the Dean of the Medical School, two Directors (including the Chair) are on the Board by virtue of their positions at the Department, and the Chair appoints five physicians on faculty at the Department. UCare's current Board includes seven independent Directors: six Directors who are enrollees of UCare's plan, and an at-large Director from the community. Under Minnesota law, the Board is charged to act in the best interests of the Corporation. See Minn. Stat. Sections 62D.12, subd. 9 and 317A.251. UCare's bylaws describe an executive committee subject to the control of the Board and with the authority to only meet between scheduled meetings of the Board and to take actions on certain matters. This Executive Committee rarely is convened and did not meet during 2014. Form 990, Part VI, Section A, line 7a UCare's Board of Directors consists of 15 Directors. Under UCare's bylaws, the Chair of the Board has the authority to appoint five physician Directors from the University of Minnesota Medical School, Department of Family Medicine and the Dean of the Medical School appoints one Director. In addition, two Directors (including the Chair) are Directors by virtue of their positions in the Department. Individuals enrolled in UCare's health plans have the right under the bylaws, and consistent with Minn. Stat. 62D.06, to elect six of the Board of Directors among the enrolled members. Form 990, Part VI, Section B, line 11 The 990 Form is prepared by the Controller and reviewed by an independent accounting firm. UCare provides a copy and reviews the detail 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 the 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 B, line 15 On an annual basis, UCare's Compensation Committee reviews and approves the President and CEO's total cash compensation, including base pay and incentive pay. Benefits are reviewed, as described below, every two to three years, with the most recent review in 2014. The Compensation Committee is composed of independent members of the Board of Directors. UCare engages an independent consultant organization that specializes in advising health care organizations about Executive compensation issues. The independent consultant organization conducts a comparability analysis that incorporates multiple industry surveys and compensation for comparable positions at peer organizations. The independent consultant organization then shares the results of this comparability analysis with the Compensation Committee. After deliberation about the comparability analysis and recommendations, the Committee evaluates the annual cash compensation package for the President and CEO. The Committee brings recommendations about CEO base compensation and incentive opportunity to the Board for approval, and reports other actions taken by the Committee to the Board. Minutes are recorded contemporaneously to accurately document the Committee's discussions and actions, and the independent consultant organization's report is retained for recordkeeping purposes. The Compensation Committee also participates in the compensation process for other Senior Executives, including the Treasurer and Chief Financial Officer, the Secretary and General Counsel, the Chief Medical Officer, the Senior Vice President and Chief Administrative Officer, the Senior Vice President of Operations, the Senior Vice President of Public Affairs and Marketing, and the Senior Vice President of Strategy and Product Management. The process for determining compensation for these positions follows a compensation philosophy approved by the Board of Directors. Every two to three years, an independent consultant organization conducts a comparability analysis for these positions, focusing on total compensation data including base pay, incentive pay, and benefits for comparable positions at peer organizations. The President and CEO's position is also included in this comparability analysis. The most recent analysis occurred in 2014. The Compensation Committee receives and discusses the analysis and recommendations with the independent consultant organization, and provides input for the President and CEO in determining cash compensation for the Officers and Senior Executives. The Compensation Committee has delegated specific cash compensation approval for these leaders to the President & CEO, who in an independent person with respect to these compensation determinations, provided that the President and CEO follows the board-approved compensation philosophy, takes into account the comparability analysis, and obtains annual review by the committee. The Committee's discussion and input are reflected in contemporaneous documentation, and a copy of the independent consultant organization's report is retained. Form 990, Part VI, Section C, line 18 UCare Minnesota'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 files its governing documents and Conflict of Interest Policy with the Minnesota Department of Health, and this public information is available from this agency upon request. UCare's financial statements are available upon request. Form 990, Part IX, line 11g Medical Service Expenses: Program service expenses 2,736,174,963. Management and general expenses 0. Fundraising expenses 0. Total expenses 2,736,174,963. Purchased Services: Program service expenses 12,272,630. Management and general expenses 3,179,002. Fundraising expenses 0. Total expenses 15,451,632. Temporary Employment Services: Program service expenses 3,448,247. Management and general expenses 346,308. Fundraising expenses 0. Total expenses 3,794,555. Mayo Service Fees: Program service expenses 2,513,247. Management and general expenses 1,284,840. Fundraising expenses 0. Total expenses 3,798,087. Broker Commissions: Program service expenses 3,424,869. Management and general expenses 0. Fundraising expenses 0. Total expenses 3,424,869. Disease Management: Program service expenses 920,024. Management and general expenses 0. Fundraising expenses 0. Total expenses 920,024. Health Promotions: Program service expenses 1,186,058. Management and general expenses 0. Fundraising expenses 0. Total expenses 1,186,058. Outsourced Services: Program service expenses 23,772,323. Management and general expenses 0. Fundraising expenses 0. Total expenses 23,772,323. UCare Health Inc 500 Stinson Blvd NE Minneapolis MN 554132615 208295948 Non-Profit Service Insurance Organization WI 501(c)(4) UCare Minnesota 1 U of Mn Med SchoolDept of Family Practice 516 Delaware St 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 11a, I UCare Minnesota 1 0 1 0 1 0 0 0 0 0 0 0 1 0 1 1 1 1 0 0 UCare Health Inc - Issue Surplus Note D 5000000 Actual Cost UCare Health Inc - Transfer of Rx Rebates Subrogation Member Deposits P 1056311 Actual Cost UCare Health Inc - Direct Expense Reimbursement Q 12940135 Actual Cost UCare Health Inc - Reimburse management services L 959292 Actual Cost Univ of Minnesota Dept of Family Medicine & Community Health B 11000000 Actual Cost UCare Foundation - Funding of Grants B 1000000 Actual Cost