2012-08-15T14:54:57-05:00 2011-12-31 990 2011-01-01 208295948 UCare Wisconsin UCAR 6126766500 500 Stinson Blvd NE Minneapolis MN 554132615 Beth Monsrud 6126763217 2012-08-15 2011 2016-02-24 21:20:13Z Beth Monsrud 500 Stinson Blvd NE Minneapolis MN 554132615 58923957 0 X www.ucare.org X 2006 WI The primary tax-exempt activity of the organization is providing either directly or through arrangements with health providers, comprehensive health services and care management services. 15 7 0 0 0 0 0 0 42123904 58922246 2028 1711 0 0 42125932 58923957 0 0 0 0 284972 435417 0 0 0 45220442 64343809 45505414 64779226 -3379482 -5855269 15781065 16190863 10243501 14008568 5537564 2182295 X UCare Wisconsin will improve the health of our members through innovative services and partnerships across communities. 0 0 64194172 58923957 UCare Wisconsin is a non-profit service insurance corporation providing access to comprehensive health services and to care management programs designed to improve the health of our enrolled members.UCare Wisconsin is committed to serving individuals in public health care programs; its sole program activity is to provide Medicare Advantage coordinated care plan services to seniors. As of April 2012, it was serving over 7,200 Medicare beneficiaries. UCare Wisconsin is a wholly owned subsidiary of UCare Minnesota, a tax-exempt organization serving Medicaid and Medicare recipients in Minnesota. This activity is intended to further the organization's mission to improve the health of our members through innovative services and partnerships across communities. In 2011, UCare's quality monitoring and program initiatives demonstrated many significant activities and outcomes. The highlights are outlined below.Satisfaction in UCare's health improvement efforts from members was demonstrated in 2011 by the following measures. UCare scored 4.5 stars out of 5 in the CMS Medicare Performance Assessment report for its Medicare plans for overall health plan quality. In the CMS Medicare CAHPS survey, UCare performed significantly higher than the national average on the following measures: overall rating of health plan; overall rating of care received; and overall rating of prescription drug coverage. It also performed at a high level on other Medicare measures. 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: Controlling High-Blood Pressure, Managing Diabetes by Controlling LDL-C, Spirometry Testing for COPD, Colorectal Cancer Screening, Adult BMI Assessment, Glaucoma Screening, Managing Diabetes by Controlling HbA1c, and Care for Older AdultsPain Screenings & Functional Status Assessments. Additional significant clinical improvements include: The Aspirin Therapy in Ischemic Heart Disease and Diabetes Mellitus Performance Improvement Project aimed at increasing aspirin utilization among members, 65 to 84 years of age, realized significant gains. UCare offers a telemonitoring program for qualifying members with heart failure. Members report a 92% satisfaction rate with the program. Ninety percent of participants "agree" that they have learned to make changes in the way they take care of their heart failure. Program participants were also 41% less likely to have an inpatient event for heart failure than their non-program counterparts. The telemonitoring program is offered to qualifying members in Wisconsin.In addition to quality improvement, UCare supports community activities and collaborations. Examples include participating in the Institute for Clinical Systems Improvement and the Coalition of WI Aging Group Convention. 64194172 0 0 0 0 0 0 0 0 0 1 0 0 0 1 1 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 784 0 1 0 0 0 0 0 0 0 0 0 0 0 X 15 7 0 1 0 0 1 1 0 1 1 0 0 1 1 1 1 1 1 1 1 0 X Greg Marshall 6126766500 500 Stinson Blvd NE Minneapolis MN 554132615 Macaran Baird MD 0.10 X 0 338097 44386 William Brombach 0.10 X 0 1910 0 Catherine Godlewski 0.10 X 0 155772 33091 P Jay Kiedrowski 0.10 X 0 2600 0 Teresa McCarthy MD 0.10 X 0 143139 35487 Bert McKasy 0.10 X 0 1165 0 Peter Mitsch 0.10 X 0 204381 43052 William Roberts MD 0.10 X 0 180387 36702 Mary Jeanne Schneeman 0.10 X 0 2020 0 Sharon Shonka 0.10 X 0 1600 0 James Van Vooren MD 0.10 X 0 170119 38657 Kimberly Carter 0.10 X 0 3075 0 James Miller 0.10 X 0 2020 0 Patricia Adam MD 0.10 X 0 171994 39083 Michael Wootten MD 0.10 X 0 186445 40984 Nancy Feldman 0.10 X 0 725765 107626 Mark Traynor 0.10 X 0 303407 50372 Beth Monsrud 0.10 X 0 346629 61485 Laurie Heyer 0.10 X 0 296692 48005 Russel Kuzel MD 0.10 X 0 400962 76981 Hilary Marden-Resnik 0.10 X 0 243044 39038 Thomas Mahowald 0.10 X 0 282268 55214 Ghitann Worcester 0.10 X 0 307478 50626 Robert Beauchamp 0.10 X 0 213390 23849 Craig Christianson 0.10 X 0 241264 42074 Brian Eck 0.10 X 0 241941 24052 Alan Heaton 0.10 X 0 202416 24695 Cheryl Swenson 0.10 X 0 194743 25025 Barry Baines 0.10 X 0 250469 15758 0 5815192 956242 0 1 1 0 0 Medicare Payments 524114 50464999 50464999 Medicare Member Premiu 524114 8457247 8457247 58922246 1711 1711 58923957 58923957 0 0 375655 375655 8213 8213 32422 32422 19127 19127 1042290 743437 298853 90 90 47961 26049 21912 62057216 61893889 163327 793799 793799 124218 94073 30145 5758 5758 11290 11252 38 80549 79554 995 78949 78949 36619 36619 4506 3214 1292 Other Misc Expenses 33940 28781 5159 Taxes & Assessments 26624 26624 64779226 64194172 585054 0 326309 300522 6385798 15720737 9068958 135955 38155 4506 0 33649 15781065 16190863 6807575 10674465 435926 334103 3000000 3000000 10243501 14008568 X 5537564 2182295 5537564 2182295 15781065 16190863 X -5855269 2500000 X 0 1 1 X 0 3589 257 3332 13286 2403 10883 21280 1846 19434 33649 Surplus Note Payable to UCare Minnesota 3000000 3000000 Description of Uncertain Tax Positions Under FIN 48: Part X: 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 n 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 2007 to 2010 are open to review and examinations. Total capital and surplus includes a surplus note payable to UCare Minnesota of $3,000,000 issued on February 21, 2007 in exchange for cash. The surplus note accrues interest annually on December 31 of each year at the 1 Year LIBOR Rate of interest as published in The Wall Street Journal on the first day of business of each January thereafter. Interest rates were 1.28% and 0.78% at December 31, 2011 and 2010, respectively. Payment of principal and interest are subject to certain restrictions regarding the overall level of surplus of UCare Wisconsin and subject to the prior written approval of the Commissioner of Insurance. Payment of interest and principal are subordinate to the claims of all policyholders and of all contract creditors and all other obligations of UCare Wisconsin. X X X X X X 1 0 0 0 0 1 1 0 0 Macaran Baird MD 0 335725 0 0 0 2372 0 31850 0 12536 0 382483 0 0 Catherine Godlewski 0 154109 0 0 0 1663 0 22764 0 10327 0 188863 0 0 Teresa McCarthy MD 0 141298 0 0 0 1841 0 18544 0 16943 0 178626 0 0 Peter Mitsch 0 200839 0 0 0 3542 0 26109 0 16943 0 247433 0 0 William Roberts MD 0 178283 0 0 0 2104 0 24687 0 12015 0 217089 0 0 James Van Vooren MD 0 167034 0 0 0 3085 0 21714 0 16943 0 208776 0 0 Patricia Adam MD 0 170304 0 0 0 1690 0 22140 0 16943 0 211077 0 0 Michael Wootten MD 0 184930 0 0 0 1515 0 24041 0 16943 0 227429 0 0 Nancy Feldman 0 499527 0 162975 0 63263 0 9800 0 97826 0 833391 0 0 Mark Traynor 0 218575 0 61732 0 23100 0 9667 0 40705 0 353779 0 0 Beth Monsrud 0 264162 0 63066 0 19401 0 7350 0 54135 0 408114 0 0 Laurie Heyer 0 215304 0 61111 0 20277 0 9800 0 38205 0 344697 0 0 Russel Kuzel MD 0 316500 0 84462 0 0 0 8656 0 68325 0 477943 0 0 Hilary Marden-Resnik 0 214911 0 28133 0 0 0 7873 0 31165 0 282082 0 0 Thomas Mahowald 0 218651 0 63617 0 0 0 8575 0 46639 0 337482 0 0 Ghitann Worcester 0 225023 0 63057 0 19398 0 9406 0 41220 0 358104 0 0 Robert Beauchamp 0 171879 0 41511 0 0 0 6342 0 17507 0 237239 0 0 Craig Christianson 0 171511 0 42222 0 27531 0 7620 0 34454 0 283338 0 0 Brian Eck 0 209984 0 31957 0 0 0 6448 0 17604 0 265993 0 0 Alan Heaton 0 162756 0 39660 0 0 0 6510 0 18185 0 227111 0 0 Cheryl Swenson 0 181176 0 13567 0 0 0 7790 0 17235 0 219768 0 0 Barry Baines 0 250469 0 0 0 0 0 1854 0 13904 0 266227 0 0 Part I, Line 6 Incentive compensation is not available unless the organization and UCare Minnesota, its parent have consolidated net positive earnings. Amounts paid are based on the calander year performance in relation to pre-established criteria that are not necessarily, but can be tied to net earnings. Payments are made in March following the completion of the incentive plan year. Form 990, Part VI, Section A, line 3 UCare Wisconsin (UCare) has an administrative service agreement with UCare Minnesota to provide overall management and administration of UCare Wisconsin's business. UCare Wisconsin reimburses UCare Minnesota for all costs and expenses directly and indirectly incurred and associated with the business and operation of UCare Wisconsin. Form 990, Part VI, Section A, line 6 Individuals enrolled in UCare's health plans are considered members, although they do not elect directors or have other powers. There are no classes of member or other rights. UCare Minnesota is a coprorate memeber of UCare Wisconsin, Inc. Form 990, Part VI, Section A, line 7a The corporation's sole member is UCare Minnesota, a Minnesota nonprofit 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 B, line 11 UCare provides a copy and reviews the detail of the 990 with the Finance and Audit Committee. UCare also provides a copy of the 990 to all Board of Directors members via e-mail, prior to the Finance and Audit Committee's report to the Board. Upon approval by the Board of Directors, the 990 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 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 a 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 corporation, 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 or 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 2010. 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 data 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 approves the annual cash compensation package for the President & CEO. 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 reports its actions to the Board. The Compensation Committee also participates in the compensation process for other senior executives, including the Treasurer & Chief Finance Officer, the Secretary & General Counsel, the Chief Medical Officer, the Senior Vice President of Administration, the Senior Vice President of Operations, the Senior Vice President of Public Affairs & 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 2010. The Compensation Committee receives and discusses the analysis and recommendations with the independent consultant organization, and provides input for the President & CEO in determining cash compensation for the officers and senior executives. All changes in the benefit structure are approved 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 19 UCare will provide year-end financial statements, governing documents and Conflict of Interest Policy upon request. Changes in Net Assets or Fund Balances: Form 990, Part XI, line 5: Contributed Capital from UCare Minnesota 2,500,000. Total to Form 990, Part XI, Line 5: 2,500,000. UCare Minnesota 500 Stinson Blvd NE Minneapolis MN 554132615 363573805 Not for Profit Health Maintenance Organization MN 501(c)(3) Pub Support Sched A N/A 0 Univ of Minn Medical SchoolDept of Family Practice 516 Delaware St SE Box 381 Minneapolis MN 55455 416007513 Medical Education MN 115 0 0 0 1 0 0 0 0 0 0 0 0 1 1 1 1 1 0 1 UCare Minnesota - Contributed Capital C 2500000 Actual Cost UCare Minnesota - Management Services Paid L 1077508 Actual Cost UCare Minnesota - Direct Expense Paid O 9135190 Actual Cost UCare Minnesota - Transfer of Cash for 2010 Capital Contribution R 9000000 Actual Cost UCare Minnesota - Transfer of Pharmacy Rebates & Plan to Plan P 308078 Actual Cost