2011-07-05T14:28:57-05:00 2010-12-31 BAKER TILLY VIRCHOW KRAUSE LLP 225 S 6TH ST STE 2300 MINNEAPOLIS MN 55402 990 2010-01-01 522177891 UNITEDHEALTHCARE CHILDREN'S FOUNDATION UNIT 9529924459 MN012-S286 PO BOX 41 MINNEAPOLIS MN 554400041 DAVID HARVEY 9529924459 2011-06-29 1 LAWRENCE H MOHR CPA 6128764500 2011-06-29 2010 2016-03-07 17:11:31Z DAVID HARVEY MN012-S286 PO BOX 41 MINNEAPOLIS MN 554400041 3731283 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 25 0 0 2748617 3385312 0 0 15327 5014 266112 -79127 3030056 3311199 1079157 1383612 0 0 0 0 4730 0 0 273482 403319 1357369 1786931 1672687 1524268 6932830 8685640 231000 459542 6701830 8226098 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 1616712 1383612 IN 2010 WE MADE GRANTS FOR 787 CHILDREN, VALUED AT $2,662,918. GRANTS ARE FOR CHILDREN 16 YRS AND YOUNGER AND LIMITED TO $5000 ANNUAL AND $7500 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. 1616712 1 1 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 1 279 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 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 1.00 X 0 0 0 JOAN MOE 10.00 X 0 0 0 MICHAEL MORAVEC 38.00 X 0 0 0 DAVID HARVEY 2.00 X 0 0 0 TERI HOVSEPIAN 24.00 X 0 0 0 0 0 0 0 0 0 0 0 496420 2888892 3385312 5014 5014 298212 496420 420084 -121872 -121872 MISCELLANEOUS 900099 42745 42745 42745 3311199 42745 0 -116858 1383612 1383612 15637 15637 996 996 164660 164660 4384 1342 3042 46467 46467 UNCOLLECTABLE ACCOUNTS 166914 166914 MISCELLANEOUS 4261 3998 263 1786931 1616712 170219 0 4245949 5770713 2686881 2914927 6932830 8685640 231000 459542 231000 459542 X 6701830 8226098 6701830 8226098 6932830 8685640 1524268 X X 0 1 1 X 0 X 2503027 2154700 2677219 2748617 2888892 12972455 2503027 2154700 2677219 2748617 2888892 12972455 5675473 7296982 13159 47881 70890 15327 5014 152271 666 42745 43411 13168137 0.55410 0.58860 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 3311199 1786931 1524268 0 1524268 4110562 379279 379279 3731283 -420084 -420084 3311199 2586294 379279 420084 799363 1786931 0 1786931 DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: PART X: THE INTERNAL REVENUE SERVICE HAS DETERMINED THAT THE FOUNDATION IS EXEMPT FROM FEDERAL INCOME TAX UNDER 501(C)(3) OF THE U.S. INTERNAL REVENUE CODE. IT IS ALSO EXEMPT FROM STATE INCOME TAX. HOWEVER, ANY UNRELATED BUSINESS INCOME MAY BE SUBJECT TO TAXATION. IN ACCORDANCE WITH THE ACCOUNTING STANDARD ON ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES, THE FOUNDATION ADDRESSES THE DETERMINATION OF WHETHER TAX BENEFITS CLAIMED ON A TAX RETURN SHOULD BE RECORDED IN THE FINANCIAL STATEMENTS. UNDER THIS GUIDANCE, THE FOUNDATION MAY RECOGNIZE THE TAX BENEFIT FROM AN UNCERTAIN TAX POSITION ONLY IF IT IS MORE LIKELY THAN NOT THAT THE TAX POSITION WILL BE SUSTAINED ON EXAMINATION BY TAXING AUTHORITIES, BASED ON THE TECHNICAL MERIT OF THE POSITION. EXAMPLES OF TAX POSITIONS INCLUDE THE TAX-EXEMPT STATUS OF THE FOUNDATION AND VARIOUS POSITIONS RELATED TO THE POTENTIAL SOURCES OF UNRELATED BUSINESS TAXABLE INCOME. THERE WERE NO UNRECOGNIZED TAX BENEFITS IDENTIFIED OR RECORDED AS LIABILITIES DURING FISCAL YEARS 2010 AND 2009. THE FOUNDATION IS NO LONGER SUBJECT TO U.S. FEDERAL, STATE OR LOCAL INCOME TAX EXAMINATIONS BY TAX AUTHORITIES FOR THE YEARS BEFORE 2007. THE COMPANY IS NOT CURRENTLY UNDER EXAMINATION BY ANY TAXING JURISDICTION. PART XII, LINE 4B, EVENT COSTS: <$420,084> PART XIII, LINE 2D, EVENT COSTS: $420,084 HAZELTINE GOLF 160460 103030 57430 41096 9574 1020 31855 FIREROCK GOLF 122810 97010 25800 6240 11885 19823 15 511362 296380 214982 75000 100000 123591 794632 496420 298212 122336 121459 1020 175269 420084 -121872 1 DIRECT CASH ASSISTANCE FOR CHILDREN THAT ARE ILL TO HELP COVER EXPENSES RELATED TO THE CHILD'S MEDICAL CONDITION 782 1383612 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 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.