2011-08-02T09:39:27-05:00 2010-12-31 990 2010-01-01 363573805 UCare Minnesota UCAR 6126766500 500 Stinson Blvd NE Minneapolis MN 554132615 Beth Monsrud 6126763217 2011-08-01 2010 2016-02-24 21:20:13Z Beth Monsrud 500 Stinson Blvd NE Minneapolis MN 554132615 1884759064 0 X www.ucare.org X 1987 MN The primary tax-exempt activity of the organization is to organize and operate a health maintenance organization that is dedicated to promoting the health of the community served by the organization and that will make quality health care available on an economically advantageous prepaid basis to that community. This activity is intended to further the organization's mission to improve the health of our members through innovative services and partnerships across communities. 15 7 522 1290 -766000 0 7143 10220 1463563211 1607219887 21090610 16435290 6717 19860 1484667681 1623685257 10290000 16025000 0 0 35086541 38904477 0 0 0 1391092209 1506217289 1436468750 1561146766 48198931 62538491 515123968 573408907 256739021 261485469 258384947 311923438 X UCare Minnesota will improve the health of our members through innovative services and partnerships across communities. See also response to Part 1, Line 1. 0 0 1529977352 16025000 1613980058 Operates a HMO providing coordinated health care and coverage for 195,608 individuals from the community enrolled in state and federal public health care programs, including Medicaid and Medicare. UCare's programs provide services to seniors, low-income families, the physically disabled and other individuals who may have challenges accessing care. UCare does not offer any traditional commercial HMO or insurance products.UCare's mission is to improve the health of our members through innovative services and partnerships across communities. In 2010, UCare's quality monitoring and program initiatives demonstrated many significant activities and outcomes. The highlights are outlined below.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: Pharmacy Treatment of Chronic Obstructive Pulmonary Disease; Monitoring of Persistent Medications; Adult Access to Practitioners; Well-Child Visits; Controlling High-Blood Pressure; Managing Diabetes by LCL-C and Blood Pressure Controls; and Chlamydia Screening.Additional significant clinical improvements included exceeding the goal of improving the rate of: Pneumococcal vaccine in a Medicare special needs plan community population; colon cancer screening for Medicaid enrollees; breast cancer screening for Medicare enrollees; and Chlamydia screening in Medicaid enrollees.Satisfaction in UCare's health improvement efforts from members was demonstrated in 2010 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 2009. 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, and on the Medicaid CAHPS survey.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 provides community benefit through a variety of activities that reach beyond its everyday commitment to its enrollees. Through UCare's community benefit program, UCare reaches out to the larger community to: address social needs that may undermine the health of the community; strengthen the providers that serve populations with challenges accessing care; encourage the wellness of families and seniors; and support research, programs, and organizations that benefit health care quality and delivery.UCare engaged in the following examples of additional community benefit activities in 2010. During 2010, UCare helped fund many community organizations and providers delivering services, research, and programs that reach beyond UCare's membership into the larger community, including efforts to strengthen the social safety net for at-risk families and seniors. Examples include funding for the following: Human Rights Campaign; Minneapolis Urban League Scholarship Program; National Alliance of the Mentally Ill (NAMI); Lutheran Social Services; Neighborhood Health Care Network; and Minnesota Academy of Family Physicians Research Forum. In addition to funding quality improvement and public health efforts in the community, UCare employees devoted substantial time to participate in many collaborations working to improve health care quality and to advance public health and health care access, including projects that seek to break down language and cultural barriers between the traditional health care system and minority communities. Examples include participating in the following: Community Health Work Project; Institute for Clinical Systems Improvement; Minnesota Community Measures; Health Literacy Partnership; Interpreter Stakeholders Group; Metro Local Public Health Association/Health Plan Collaboration; Multilingual Health Resource Exchange; and Twin Cities Health Start. UCare also provides many health promotion, disease management, care management and wellness programs. These efforts not only benefit the health of its enrollees, but also positively affect their families and larger communities. Examples include: disease management programs for asthma, diabetes, chronic kidney disease and congestive heart failure designed to improve health outcomes for individuals suffering from these conditions; falls prevention programs to improve safety of seniors living at home; Management of Maternity Services (M.O.M.S.) Program that provides resources to enrollees and providers to improve pregnancy and post-partum health; car seat distribution and education to pregnant women; and providing free health education materials at a variety of community forums. UCare also 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 include support for the following: Adopt-a-Family Gift Drive; Food and School Supply Drives; Jeremiah House Cook for Kids; Meals on Wheels Northeast Dinner Bell; and Pratt Community School Reading and E-mentor Programs. In addition, UCare provides funding to community partners and providers to help cover gaps in reimbursement, improve access to dental services, provide outreach to the uninsured and diverse communities, support obesity initiatives, community clinic infrastructure and improve quality of care. Examples include funding for the following: Culture Care Connection on-line cultural competence resource center for providers; Rural Palliative Care Project; Neighborhood Health Care Network & Clinics; Lutheran Social Services; Just Kids Dental in Duluth Minnesota; Honoring Choices Minnesota; and Southern Minnesota Regional Legal Services. UCare also provides support for the UCare Fund. The UCare Fund of the Minnesota Medical Foundation is a community-directed initiative providing financial support for health care research projects and special programs by practitioners affiliated with the University of Minnesota Medical School as well as community healthcare providers. Funding focuses on programs and projects that improve the health of underserved populations through innovative services, education, community outreach, and research. Priority was given in 2010 to projects focusing on obesity reduction, promoting healthy lifestyles and cultural diversity. Examples include support for the following: Accessibility Inc, Sabathani Community Clinic, Parenting Resource Center Inc, Willmar Women and Family Center, and Otter Tail County Public Health.UCare's financial contributions to the University of Minnesota Medical School, Department of Family Medicine and Community Health supported activities in 2010 to strengthen family medicine and preventive health services, particularly for communities that may experience difficulty forming connections with a medical home. The contribution also funds research and education that broadly benefits the health and wellness of the community. Examples of funded efforts include: Advanced Primary Care CMS demonstration project; clinical services to underserved populations; curriculum development for delivering team-based care to chronically ill patients; conducting childhood obesity prevention programs including implementing the breakfast to go school based program to encourage kids to eat breakfast each day; Palliative Care Fellowship; and Rural Physician Associate Program. 1529977352 1 1 0 1 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 0 0 1 0 1 5140 0 1 522 1 0 0 0 0 0 0 0 0 0 0 0 0 X 15 7 0 0 0 0 1 1 0 1 1 0 0 1 1 1 1 1 1 1 1 1 1 MN X X Greg Marshall 6126766500 500 Stinson Blvd NE Minneapolis MN 554132615 Macaran Baird MD 0.20 X 1600 334304 43532 Bill Brombach 0.20 X 1855 0 0 Cathy Godlewski 0.20 X 1200 153456 29644 John Harris 0.20 X 2200 0 0 Jay Kiedrowski 0.20 X 2400 0 0 Teresa McCarthy MD 0.20 X 2000 124836 32348 Peter Mitsch 0.20 X 2600 199987 40715 William Roberts MD 0.20 X 1800 191298 35338 Mary Jeanne Schneeman 0.20 X 1965 0 0 Sharon Shonka 0.20 X 1800 0 0 James Van Vooren MD 0.20 X 2200 166326 37215 Kimberly Carter 0.20 X 1765 0 0 James Miller 0.20 X 2020 0 0 Patricia Adam MD 0.20 X 1400 164247 36800 Michael Wootten MD 0.20 X 800 184128 38953 Nancy Feldman 40.00 X 641798 0 99006 Mark Traynor 40.00 X 272055 0 40779 Beth A Monsrud 40.00 X 272888 0 46174 Laurie Heyer-Dean 40.00 X 277755 0 39945 Russel Kuzel MD 40.00 X 335572 0 58569 Thomas Mahowald 40.00 X 267854 0 47081 Ghitann Worcester 40.00 X 278636 0 41194 Barry Baines 20.00 X 288709 0 48994 Robert Beauchamp 40.00 X 187434 0 22795 Craig Christianson 20.00 X 255401 0 44911 Brian Eck 40.00 X 201080 0 8047 Cheryl Swenson 40.00 X 187027 0 24317 Terry Chism 40.00 X 241969 0 34263 3735783 1518582 850620 45 1 1 0 Ingenix 2771 Monentum Pl Chicago IL 606895327 Chart Review, Actuarial & Consulting 2362391 AVT Consulting LLC 4915 S 35th St 103 St Louis Park MN 55416 Contract Programming & Consulting 1652593 Dennis Breitenfeldt Health Insurance Age PO Box 238 Long Prairie MN 56347 Sales Brokerage Services 775458 Leprechaun LLC 6000 Western Pl 900 Fort Worth TX 76107 Chart Review 449611 Wells Capital Management 525 Market St San Francisco CA 94105 Investment Management 432983 20 10220 10220 Medicare/Medicaid Paym 524114 1508832996 1508832996 Medicare Member Premiu 524114 98386891 98386891 1607219887 9694979 -766000 10460979 267814118 261061715 12092 6752403 -12092 6740311 6740311 19860 19860 19860 1623685257 1613980058 -766000 10460979 16025000 16025000 3839465 3839465 27170551 24236315 2934236 1396069 948678 447391 4182356 3180765 1001591 2316036 1864501 451535 34021 34021 264148 105299 158849 44667 44667 531983 531983 1466741802 1463407384 3334418 7296104 7296104 3259870 2594684 665186 7511319 5412299 2099020 2334133 1505222 828911 311133 245204 65929 640500 375766 264734 1447891 1020253 427638 210223 146948 63275 Taxes & Assessments 13417410 13417410 Miscellaneous 2172085 1612930 559155 1561146766 1529977352 31169414 0 -10434238 11955638 126212310 106574687 44854183 53259329 3000000 3000000 3100126 2349977 15668918 9869548 2943211 5799370 340609386 385966505 4838990 4503401 515123968 573408907 242808413 248198749 11788928 10632009 2141680 2654711 256739021 261485469 X 258384947 311923438 258384947 311923438 515123968 573408907 X 62538491 -9000000 X 0 1 1 X 0 X 5000 7143 7143 10220 29506 891218024 1016691215 1153860214 1463563213 1607219887 6132552553 891218024 1016696215 1153867357 1463570356 1607230107 6132582059 0 0 0 6132582059 14836796 22148986 6730149 21057525 16435290 81208746 14836796 22148986 6730149 21057525 16435290 81208746 43094 64886 250456 6717 19860 385013 906097914 1038910087 1160847962 1484634598 1623685257 6214175818 0.98690 0.98660 0.01310 0.01330 X Schedule A, Part II, Line 12, Explanation of Other Income: Proceeds from class action lawsuits and other misc income. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1 1 0 0 0 0 1 94032 0 0 94032 0 750202 281321 468881 7285169 3661356 3623813 7633547 5926871 1706676 5799370 Accumulated Post Retirement Benefit Option 2654711 2654711 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 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 2007 to 2010 are open to review and examination. 1 Apple Tree Dental 8960 Springbrook Dr 150 Minneapolis MN 55433 363411437 501(C)(3) 50000 Support mobile dental program in nursing homes. Lutheran Social Services 2485 Como Ave St Paul MN 55108 410872993 501(C)(3) 150000 Support Senior Companion Program. Minnesota Community Foundation 55 5th St E 600 St Paul MN 55101 410832480 501(C)(3) 25000 Support Give MN Program. Minnesota Medical Foundation 200 Oak St SE 300 Minneapolis MN 55455 416027707 115 2000000 Support health research, medical education, and community health programs. Stratis Health 2901 Metro Dr 400 Bloomington MN 55425 410971557 501(C)(3) 400000 Support Palliative Care Program. Stratis Health 2901 Metro Dr 400 Bloomington MN 55425 410971557 501(C)(3) 400000 Support Cultural Competency Program. University of Minnesota Dept of Family Medicine & Community Health 516 Delaware St Box 381 UMHC Minneapolis MN 55455 416007513 115 13000000 Support medical education and community health programs. 5 2 Procedure for Monitoring Grants in the U.S.: Part I, Line 2: Schedule I, Part I, Line 2: UCare Minnesota does not have a formal grant program. Transactions disclosed in Schedule I, Part II, 1a represent a one time cash assistance 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 community benefit contributions are appropriate under the provisions of the Policy. The Policy outlines three categories of contributions and the amounts distributed by category are reviewed and approved by the Board of Directors, and the Board receives an annual report on the use of the funds. X 1 1 X X X X X 0 0 0 0 0 1 0 0 0 Macaran Baird MD 0 333783 0 0 1600 521 0 31850 0 11682 1600 377836 1600 392205 Cathy Godlewski 0 153217 0 0 1200 239 0 20025 0 9619 1200 183100 1400 202597 Teresa McCarthy MD 0 124642 0 0 2000 194 0 16550 0 15798 2000 157184 1400 163093 Peter Mitsch 0 199676 0 0 2600 311 0 24917 0 15798 2600 240702 2400 233594 William Roberts MD 0 191000 0 0 1800 298 0 24161 0 11177 1800 226636 1200 220069 James Van Vooren MD 0 166067 0 0 2200 259 0 21417 0 15798 2200 203541 2400 199805 Patricia Adam MD 0 163991 0 0 1400 256 0 21002 0 15798 1400 201047 1000 191155 Michael Wootten MD 0 183841 0 0 800 287 0 23155 0 15798 800 223081 0 0 Nancy Feldman 395494 0 166079 0 80225 0 9800 0 89206 0 740804 0 658027 0 Mark Traynor 199136 0 48121 0 24798 0 9800 0 30979 0 312834 0 298693 0 Beth A Monsrud 197080 0 50131 0 25677 0 7850 0 38324 0 319062 0 289072 0 Laurie Heyer-Dean 197261 0 47637 0 32857 0 9800 0 30145 0 317700 0 302372 0 Russel Kuzel MD 281539 0 10000 0 44033 0 5423 0 53146 0 394141 0 0 0 Thomas Mahowald 198802 0 48040 0 21012 0 9742 0 37339 0 314935 0 307308 0 Ghitann Worcester 197182 0 50124 0 31330 0 9747 0 31447 0 319830 0 298877 0 Barry Baines 213189 0 62627 0 12893 0 9800 0 39194 0 337703 0 394392 0 Robert Beauchamp 159657 0 27777 0 0 0 5623 0 17172 0 210229 0 153678 0 Craig Christianson 168888 0 49500 0 37013 0 9113 0 35798 0 300312 0 341308 0 Brian Eck 176995 0 24085 0 0 0 6032 0 2015 0 209127 0 218666 0 Cheryl Swenson 178402 0 8625 0 0 0 7481 0 16836 0 211344 0 237188 0 Terry Chism 158148 0 50144 0 33677 0 8543 0 25720 0 276232 0 300727 0 Part I, Line 6 Incentive compensation is not available unless the organization has net positive earnings. Amounts paid are based on the calender 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 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. In addition to the above directors, UCare's current board includes seven independent directors: six directors who are enrollees of UCare's plans, 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. Form 990, Part VI, Section A, line 6 Individuals enrolled in UCare's health plans are considered members, although they do not elect all of the directors in the board. Their only right is to elect six of the board's directors who are enrolled members. There are no classes of member or other rights. Form 990, Part VI, Section A, line 7a Under Minnesota law, at least 40% of a HMO's board must consist of members of the HMO elected by the membership. Accordingly, UCare's board includes six members nominated by its Governance Committee and elected by its enrolled members. In addition, 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. 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 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 Financial 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 Product Management. The process for determining compensation for these positions follows a compensation philosophy approved by the Board of Directors. Every 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 3-year 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's 990 Form is available on the Minnesota Department of Health website at www.health.state.mn.us/divs/hpsc/mcs/financial.htm. UCare's year-end financial statements are also available on this site. UCare files its governing documents and Conflict of Interest Policy with the Minnesota Department of Health, and this public information would be available from this agency upon request. In addition, UCare would provide copies of these documents, if requested. Changes in Net Assets or Fund Balances: Form 990, Part XI, line 5: UCare contr Paid-in capital to its wholly owned subsidiary UCare Wisconsin -9,000,000. Total to Form 990, Part XI, Line 5: -9,000,000. UCare Wisconsin 500 Stinson Blvd Minneapolis MN 554132615 208295948 Non-Profit Service Insurance Corporation WI 501(c)(4) UCare Minnesota 0 Univ of Minn Medical SchoolDept of Family Medicine & Community Health 516 Delaware St Box 381 Minneapolis MN 55455 416007513 Medical Education MN 115 0 0 1 0 0 0 0 0 0 0 0 1 0 1 1 0 1 0 0 UCare Wisconsin - Direct expense reimbursement P 8726618 Actual Cost UCare Wisconsin - Reimburse management services K 1371410 Actual Cost UCare Wisconsin - Contributed Capital B 9000000 Actual Cost Univ of Minnesota Dept of Family Medicine & Community Health B 13000000 Actual Cost