2012-06-12T10:07:50-05:00 2011-12-31 390859910 BAKER TILLY VIRCHOW KRAUSE LLP 225 S 6TH ST STE 2300 MINNEAPOLIS MN 55402 990 2011-01-01 522177891 UNITEDHEALTHCARE CHILDREN'S FOUNDATION UNIT 9529924459 MN012-S286 PO BOX 41 MINNEAPOLIS MN 554400041 DAVID HARVEY 9529924459 2012-06-05 1 LAWRENCE H MOHR CPA P00447603 6128764500 2011 2016-02-24 21:20:13Z DAVID HARVEY MN012-S286 PO BOX 41 MINNEAPOLIS MN 554400041 4089478 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. 5 5 0 50 0 0 3385312 3920248 0 0 5014 2909 -79127 -113492 3311199 3809665 1383612 2577507 0 0 0 0 0 0 29414 403319 510249 1786931 3087756 1524268 721909 8685640 9720389 459542 772382 8226098 8948007 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 3058342 2577507 IN 2011 WE AWARDED GRANTS FOR 1,248 CHILDREN, VALUED AT $3,627,635. GRANTS ARE FOR CHILDREN 16 YRS AND YOUNGER AND LIMITED TO $5000 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. 3058342 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 0 0 0 0 0 0 0 0 0 0 0 1 463 0 1 0 0 0 0 0 0 1 1 0 0 0 0 X 5 5 1 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 0 0 0 MN AK AZ CA FL GA IL KS KY LA ME MA MI MS MO NH NJ NM NY ND OH OK RI SC TN UT WA WI AR X X DAVID HARVEY 9529924467 MN 012-S286 PO BOX 41 MINNEAPOLIS MN 554400041 X JACK WICKENS 1.00 X 0 0 0 THOMAS BARBERA 1.00 X 0 0 0 DAVID S HEFNER 1.00 X 0 0 0 JEANNINE RIVET 1.00 X 0 0 0 DAVID WICHMANN 1.00 X 0 0 0 MATTHEW PETERSON 1.20 X 0 0 0 JOAN MOE 10.00 X 0 0 0 GAYLE WOODIS 4.40 X 0 0 0 MICHAEL MORAVEC 38.00 X 0 0 0 DAVID HARVEY 2.00 X 0 0 0 TERI HOVSEPIAN 40.00 X 0 0 0 JEANETTE PFOTENHAUER 8.00 X 0 0 0 0 0 0 0 0 0 0 0 34861 580267 3305120 3920248 2909 2909 166321 580267 279813 -113492 -113492 3809665 0 0 -110583 2577507 2577507 16342 16342 478 478 213502 213502 6777 6777 28406 28406 UNCOLLECTABLE ACCOUNTS 199485 199485 MISCELLANEOUS 45259 15845 29414 3087756 3058342 0 29414 5770713 6533344 2914927 3187045 8685640 9720389 459542 772382 459542 772382 X 8226098 8948007 8226098 8948007 8685640 9720389 721909 0 X X 0 1 1 X 0 X 2154700 2677219 2748617 2888892 3305120 13774548 2154700 2677219 2748617 2888892 3305120 13774548 5918160 7856388 47881 70890 15327 5014 2909 142021 666 42745 43411 13959980 0.56280 0.55410 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 3809665 3087756 721909 721909 4618478 529000 529000 4089478 -279813 -279813 3809665 3896569 529000 279813 808813 3087756 0 3087756 DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: PART X: 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, 2011 AND 2010. THE FOUNDATION'S TAX RETURNS ARE SUBJECT TO REVIEW AND EXAMINATION BY FEDERAL AND STATE AUTHORITIES. THE TAX RETURNS FOR THE CURRENT YEAR AS WELL AS FISCAL YEARS 2008 THROUGH 2010 ARE OPEN TO EXAMINATION BY FEDERAL AND STATE AUTHORITIES. PART XII, LINE 4B, EVENT COSTS: <$279,813> PART XIII, LINE 2D, EVENT COSTS: $279,813 WINGS OF HOPE GOLF 295366 243637 51729 39180 15237 31162 OHIO BANQUET 64547 61300 3247 2000 8592 675 18 386675 275330 111345 82292 53674 625 46376 746588 580267 166321 123472 77503 625 78213 279813 -113492 1 DIRECT CASH ASSISTANCE FOR CHILDREN THAT ARE ILL TO HELP COVER EXPENSES RELATED TO THE CHILD'S MEDICAL CONDITION 1191 2577507 PROCEDURE FOR MONITORING GRANTS IN THE U.S.: PART I, LINE 2: SCHEDULE I, 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 WITH IN THE GUIDELINES OF EACH INDIVIDUAL GRANT. FORM 990, PART VI, SECTION A, LINE 2 BOARD MEMBERS- DAVID WICHMANN, JEANNINE RIVET AND OFFICERS- MATTHEW PETERSON, DAVID HARVEY, JOAN MOE, MICHAEL MORAVEC, GAYLE WOODIS AND TERI HOVSEPIAN ARE EMPLOYED BY THE SAME COMPANY. FORM 990, PART VI, SECTION B, LINE 11 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 HELD WITH THE BOARD TO ADDRESS ANY QUESTIONS OR COMMENTS. FORM 990, PART VI, SECTION B, LINE 12C WE REGULARLY AND CONSISTENTLY MONITOR AND ENFORCE THE POLICY. SPECIFICALLY, WE REQUIRE 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 XII, LINE 2C: NEITHER THE OVERSIGHT PROCESS OF THE AUDIT, NOR THE SELECTION PROCESS OF THE INDEPENDENT ACCOUNTANT CHANGED DURING THE YEAR.