UCARE HEALTH INC: Form 990, tax year 2010
View the entire original 990 at ProPublica ↗
- Organization
- UCARE HEALTH INC (EIN 20-8295948)
- Tax period
- 2010-01-01 to 2010-12-31
- Filed
- 2011-08-02
- IRS object ID
- 201142149349300514
- Schema version
- 2010v3.2
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2011-08-02T09:50:27-05:00 | Timestamp |
| Tax Period End Date | 2010-12-31 | TaxPeriodEndDate |
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2010-01-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 208295948 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | UCare Wisconsin | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | UCAR | NameControl |
| Phone | 6126766500 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 500 Stinson Blvd NE | AddressLine1 |
| City | Minneapolis | City |
| State | MN | State |
| ZIP Code | 554132615 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | Beth Monsrud | Name |
| Title | Treasurer | Title |
| Phone | 6126763217 | Phone |
| Date Signed | 2011-08-01 | DateSigned |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2010 | TaxYear |
| Build TS | 2016-02-24 21:20:13Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | Beth Monsrud | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 500 Stinson Blvd NE | AddressLine1 |
| City | Minneapolis | City |
| State | MN | State |
| ZIP Code | 554132615 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 43125932 | GrossReceipts |
| Group Return For Affiliates | 0 | GroupReturnForAffiliates |
| Organization501c | X | Organization501c |
| Web Site | www.ucare.org | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 2006 | YearFormation |
| State Legal Domicile | WI | StateLegalDomicile |
| Activity Or Mission Description | 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. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 15 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 7 | NbrIndependentVotingMembers |
| Total Nbr Employees | 0 | TotalNbrEmployees |
| Total Nbr Volunteers | 0 | TotalNbrVolunteers |
| Total Gross UBI | 0 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 0 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 0 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 0 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 24519786 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 42123904 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 4602 | InvestmentIncomePriorYear |
| Investment Income Current Year | 2028 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 0 | OtherRevenuePriorYear |
| Other Revenue Current Year | 0 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 24524388 | TotalRevenuePriorYear |
| Total Revenue Current Year | 42125932 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 0 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 0 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 250691 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 284972 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 0 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 0 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 26093911 | OtherExpensePriorYear |
| Other Expenses Current Year | 45220442 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 26344602 | TotalExpensesPriorYear |
| Total Expenses Current Year | 45505414 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | -1820214 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | -3379482 | RevenuesLessExpensesCY |
| Total Assets BOY | 8564085 | TotalAssetsBOY |
| Total Assets EOY | 15781065 | TotalAssetsEOY |
| Total Liabilities BOY | 8647039 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 10243501 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | -82954 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 5537564 | NetAssetsOrFundBalancesEOY |
| Mission Description | UCare Wisconsin will improve the health of our members through innovative services and partnerships across communities. | MissionDescription |
| Significant New Program Services | 0 | SignificantNewProgramServices |
| Significant Change | 0 | SignificantChange |
| Expense | 44854055 | Expense |
| Grants | 0 | Grants |
| Revenue | 42125932 | Revenue |
| Description | 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 December 2010, it was serving over 5,000 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. | Description |
| Total Program Service Expense | 44854055 | TotalProgramServiceExpense |
| Described In501 C3 | 0 | DescribedIn501C3 |
| Schedule B Required | 0 | ScheduleBRequired |
| Political Activities | 0 | PoliticalActivities |
| Subject To Proxy Tax | 0 | SubjectToProxyTax |
| Donor Advised Funds | 0 | DonorAdvisedFunds |
| Conservation Easements | 0 | ConservationEasements |
| Collections Of Art | 0 | CollectionsOfArt |
| Credit Counseling | 0 | CreditCounseling |
| Term Or Permanent Endowments | 0 | TermOrPermanentEndowments |
| Report Land Bldg Equip | 0 | ReportLandBldgEquip |
| Report Invest Oth Securities | 0 | ReportInvestOthSecurities |
| Report Prog Rel Invest | 0 | ReportProgRelInvest |
| Report Other Assets | 0 | ReportOtherAssets |
| Report Other Liabilities | 1 | ReportOtherLiabilities |
| Report Fin48 Footnote | 1 | ReportFin48Footnote |
| Independent Audit Financial Stmt | 0 | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | 1 | ConsolidatedAuditFinancialStmt |
| School | 0 | School |
| Foreign Office | 0 | ForeignOffice |
| Foreign Activities | 0 | ForeignActivities |
| More Than5000 K To Organizations | 0 | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividuals |
| Professional Fundraising | 0 | ProfessionalFundraising |
| Fundraising Activities | 0 | FundraisingActivities |
| Gaming | 0 | Gaming |
| Hospital | 0 | Hospital |
| Grants To Organizations | 0 | GrantsToOrganizations |
| Grants To Individuals | 0 | GrantsToIndividuals |
| Schedule J Required | 1 | ScheduleJRequired |
| Tax Exempt Bonds | 0 | TaxExemptBonds |
| Excess Benefit Transaction | 0 | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | 0 | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | 0 | LoanToOfficerOrDQP |
| Grant To Related Person | 0 | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | 0 | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | 0 | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | 0 | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | 0 | DeductibleNonCashContributions |
| Deductible Contributions Of Art | 0 | DeductibleContributionsOfArt |
| Terminated | 0 | Terminated |
| Partial Liquidation | 0 | PartialLiquidation |
| Disregarded Entity | 0 | DisregardedEntity |
| Related Entity | 1 | RelatedEntity |
| Related Org Controlled Entity | 0 | RelatedOrgControlledEntity |
| Transaction Related Entity | 0 | TransactionRelatedEntity |
| Activities Conducted Partnership | 0 | ActivitiesConductedPartnership |
| Schedule O Required | 1 | ScheduleORequired |
| Number Forms Transmitted With1096 | 673 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | 1 | ComplianceWithBackupWitholding |
| Number Of Employees | 0 | NumberOfEmployees |
| Unrelated Business Income | 0 | UnrelatedBusinessIncome |
| Foreign Financial Account | 0 | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTrans |
| Taxable Party Notification | 0 | TaxablePartyNotification |
| Non Deductible Contributions | 0 | NonDeductibleContributions |
| Funds To Pay Premiums | 0 | FundsToPayPremiums |
| Premiums Paid | 0 | PremiumsPaid |
| Form8899 Filed | 0 | Form8899Filed |
| Form1098 C Filed | 0 | Form1098CFiled |
| Indoor Tanning Services | 0 | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 15 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 7 | NumberIndependentVotingMembers |
| Family Or Business Relationship | 0 | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | 1 | DelegationOfManagementDuties |
| Changes To Organizing Docs | 0 | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuse |
| Members Or Stockholders | 1 | MembersOrStockholders |
| Election Of Board Members | 1 | ElectionOfBoardMembers |
| Decisions Subject To Approval | 0 | DecisionsSubjectToApproval |
| Minutes Of Governing Body | 1 | MinutesOfGoverningBody |
| Minutes Of Committees | 1 | MinutesOfCommittees |
| Officer Mailing Address | 0 | OfficerMailingAddress |
| Local Chapters | 0 | LocalChapters |
| Form990 Provided To Governing Body | 1 | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | 1 | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | 1 | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | 1 | RegularMonitoringEnforcement |
| Whistleblower Policy | 1 | WhistleblowerPolicy |
| Document Retention Policy | 1 | DocumentRetentionPolicy |
| Compensation Process CEO | 1 | CompensationProcessCEO |
| Compensation Process Other | 1 | CompensationProcessOther |
| Investment In Joint Venture | 0 | InvestmentInJointVenture |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
Name Business NameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Greg Marshall | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Telephone Number | 6126766500 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 500 Stinson Blvd NE | AddressLine1 |
| City | Minneapolis | City |
| State | MN | State |
| ZIP Code | 554132615 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionA (28 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | OfficerOfficer | Key EmployeeKeyEmployee | Highest Compensated EmployeeHighestCompensatedEmployee | FormerFormer |
|---|---|---|---|---|---|---|---|---|---|
| Macaran Baird MD | |||||||||
| Director | 0.10 | X | 0 | 335904 | 43532 | ||||
| Bill Brombach | |||||||||
| Director | 0.10 | X | 0 | 1855 | 0 | ||||
| Cathy Godlewski | |||||||||
| Director | 0.10 | X | 0 | 154656 | 29644 | ||||
| John Harris | |||||||||
| Director | 0.10 | X | 0 | 2000 | 0 | ||||
| Jay Kiedrowski | |||||||||
| Director | 0.10 | X | 0 | 2400 | 0 | ||||
| Teresa McCarthy MD | |||||||||
| Director | 0.10 | X | 0 | 126836 | 32348 | ||||
| Peter Mitsch | |||||||||
| Director | 0.10 | X | 0 | 202587 | 40715 | ||||
| William Roberts MD | |||||||||
| Director | 0.10 | X | 0 | 193098 | 35338 | ||||
| Mary Jeanne Schneeman | |||||||||
| Director | 0.10 | X | 0 | 1965 | 0 | ||||
| Sharon Shonka | |||||||||
| Director | 0.10 | X | 0 | 1800 | 0 | ||||
| James Van Vooren MD | |||||||||
| Director | 0.10 | X | 0 | 168526 | 37215 | ||||
| Kimberly Carter | |||||||||
| Director | 0.10 | X | 0 | 1765 | 0 | ||||
| James Miller | |||||||||
| Director | 0.10 | X | 0 | 2020 | 0 | ||||
| Patricia Adam MD | |||||||||
| Director | 0.10 | X | 0 | 165647 | 36800 | ||||
| Michael Wootten MD | |||||||||
| Director | 0.10 | X | 0 | 184928 | 38953 | ||||
| Nancy Feldman | |||||||||
| President & Chief Executive Officer | 40.00 | 0 | 641798 | 99006 | X | ||||
| Mark Traynor | |||||||||
| Secretary | 40.00 | 0 | 272055 | 40779 | X | ||||
| Beth A Monsrud | |||||||||
| Treasurer | 40.00 | 0 | 272888 | 46174 | X | ||||
| Laurie Heyer-Dean | |||||||||
| SVP Operations | 40.00 | 0 | 277755 | 39945 | X | ||||
| Russel Kuzel MD | |||||||||
| Chief Medical Officer | 40.00 | 0 | 335572 | 58569 | X | ||||
| Thomas Mahowald | |||||||||
| SVP Product Development | 40.00 | 0 | 267854 | 47081 | X | ||||
| Ghitann Worcester | |||||||||
| SVP Public Affairs & Development | 40.00 | 0 | 278636 | 41194 | X | ||||
| Barry Baines | |||||||||
| Associate Medical Officer | 40.00 | 0 | 288709 | 48994 | X | ||||
| Robert Beauchamp | |||||||||
| Chief Information Officer | 40.00 | 0 | 187434 | 22795 | X | ||||
| Craig Christianson | |||||||||
| Associate Medical Director | 40.00 | 0 | 255401 | 44911 | X | ||||
| Brian Eck | |||||||||
| Sales Director | 40.00 | 0 | 201080 | 8047 | X | ||||
| Cheryl Swenson | |||||||||
| Sales Manager | 40.00 | 0 | 187027 | 24317 | X | ||||
| Terry Chism | |||||||||
| Former SVP Administration | 40.00 | 0 | 241969 | 34263 | X | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 0 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 5254165 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 850620 | TotalOtherCompensation |
| Number Individuals GT100 K | 0 | NumberIndividualsGT100K |
| Formers Listed | 1 | FormersListed |
| Total Comp GT150 K | 1 | TotalCompGT150K |
| Compensation From Other Sources | 0 | CompensationFromOtherSources |
| Number Of Contractors GT100 K | 0 | NumberOfContractorsGT100K |
Program Service Revenue ProgramServiceRevenue (2 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome |
|---|---|---|---|
| Medicare Payments | 524114 | 36670034 | 36670034 |
| Medicare member Premiu | 524114 | 5453870 | 5453870 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 42123904 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 2028 | TotalRevenueColumn |
| Related Or Exempt Function Income | 2028 | RelatedOrExemptFunctionIncome |
Gross Amount Sales Assets GrossAmountSalesAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 1000000 | Securities |
Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 1000000 | Securities |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 0 | Securities |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 42125932 | TotalRevenueColumn |
| Related Or Exempt Function Income | 42125932 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | $0 | ExclusionAmount |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 250940 | Total |
| Program Services | 250940 | ProgramServices |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 6720 | Total |
| Program Services | 6720 | ProgramServices |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 13872 | Total |
| Program Services | 13872 | ProgramServices |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 13440 | Total |
| Program Services | 13440 | ProgramServices |
Fees For Services Management FeesForServicesManagement
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1460044 | Total |
| Program Services | 1020589 | ProgramServices |
| Management And General | 439455 | ManagementAndGeneral |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1261 | Total |
| Management And General | 1261 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 32624 | Total |
| Program Services | 11745 | ProgramServices |
| Management And General | 20879 | ManagementAndGeneral |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 42731110 | Total |
| Program Services | 42620876 | ProgramServices |
| Management And General | 110234 | ManagementAndGeneral |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 727636 | Total |
| Program Services | 727636 | ProgramServices |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 79129 | Total |
| Program Services | 48479 | ProgramServices |
| Management And General | 30650 | ManagementAndGeneral |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 9660 | Total |
| Program Services | 9660 | ProgramServices |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 49198 | Total |
| Program Services | 49011 | ProgramServices |
| Management And General | 187 | ManagementAndGeneral |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 63013 | Total |
| Program Services | 63013 | ProgramServices |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 25114 | Total |
| Management And General | 25114 | ManagementAndGeneral |
Other Expenses OtherExpenses (2 entries)
| DescriptionDescription | TotalTotal | Management And GeneralManagementAndGeneral | Program ServicesProgramServices |
|---|---|---|---|
| Taxes & Assessments | 22729 | 22729 | |
| Other Misc Expenses | 18924 | 850 | 18074 |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 45505414 | Total |
| Program Services | 44854055 | ProgramServices |
| Management And General | 651359 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -148970 | BOY |
| EOY | 326309 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 7643037 | BOY |
| EOY | 6385798 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 70678 | BOY |
| EOY | 9068958 | EOY |
Investments Pub Traded Securities InvestmentsPubTradedSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 999340 | BOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 8564085 | BOY |
| EOY | 15781065 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 5359221 | BOY |
| EOY | 6807575 | EOY |
Deferred Revenue DeferredRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 287818 | BOY |
| EOY | 435926 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3000000 | BOY |
| EOY | 3000000 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 8647039 | BOY |
| EOY | 10243501 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -82954 | BOY |
| EOY | 5537564 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -82954 | BOY |
| EOY | 5537564 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 8564085 | BOY |
| EOY | 15781065 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | X | InfoInScheduleOPartXI |
| Reconcilation Revenue Expenses | -3379482 | ReconcilationRevenueExpenses |
| Reconcilation Other Changes | 9000000 | ReconcilationOtherChanges |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | 0 | AccountantCompileOrReview |
| FS Audited | 1 | FSAudited |
| Audit Committee | 1 | AuditCommittee |
| Financial Statement Consolidated | X | FinancialStatementConsolidated |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequired |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 0 | TotalOfBookValueLandBuildings |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | Surplus Note Payable to UCare Minnesota | Description |
| Amount | $3,000,000 | Amount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 3000000 | TotalOfAmounts |
Form990 Schedule D Part XIV Form990ScheduleDPartXIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | Description of Uncertain Tax Positions Under FIN 48: | Identifier |
| Return Reference | Part X: | ReturnReference |
| Explanation | 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. | Explanation |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Idemnification Gross Up Payments | X | IdemnificationGrossUpPayments |
| Written Policy Re T And E Expenses | 1 | WrittenPolicyReTAndEExpenses |
| Substantiation Required | 1 | SubstantiationRequired |
| Compensation Committee | X | CompensationCommittee |
| Independent Consultant | X | IndependentConsultant |
| Written Employment Contract | X | WrittenEmploymentContract |
| Compensation Survey | X | CompensationSurvey |
| Board Or Committee Approval | X | BoardOrCommitteeApproval |
| Severance Payment | 0 | SeverancePayment |
| Supplemental Nonqual Retire Plan | 0 | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | 0 | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | 0 | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | 0 | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | 1 | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | 1 | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | 0 | AnyNonFixedPayments |
| Initial Contract Exception | 0 | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII (21 entries)
| Base Compensation Filing OrgBaseCompensationFilingOrg | Comp Based On Related OrgsCompBasedOnRelatedOrgs | Bonus Filing OrgBonusFilingOrg | Bonus Related OrgsBonusRelatedOrgs | Other Compensation Filing OrgOtherCompensationFilingOrg | Other Compensation Related OrgsOtherCompensationRelatedOrgs | Deferred Comp Filing OrgDeferredCompFilingOrg | Deferred Comp Related OrgsDeferredCompRelatedOrgs | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg | Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs | Total Compensation Filing OrgTotalCompensationFilingOrg | Total Compensation Related OrgsTotalCompensationRelatedOrgs | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg | Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Macaran Baird MD | |||||||||||||
| 0 | 333783 | 0 | 0 | 0 | 2121 | 0 | 31850 | 0 | 11682 | 0 | 379436 | 0 | 393805 |
| Cathy Godlewski | |||||||||||||
| 0 | 153217 | 0 | 0 | 0 | 1439 | 0 | 20025 | 0 | 9619 | 0 | 184300 | 0 | 203997 |
| Teresa McCarthy MD | |||||||||||||
| 0 | 124642 | 0 | 0 | 0 | 2194 | 0 | 16550 | 0 | 15798 | 0 | 159184 | 0 | 164493 |
| Peter Mitsch | |||||||||||||
| 0 | 199676 | 0 | 0 | 0 | 2911 | 0 | 24917 | 0 | 15798 | 0 | 243302 | 0 | 235994 |
| William Roberts MD | |||||||||||||
| 0 | 191000 | 0 | 0 | 0 | 2098 | 0 | 24161 | 0 | 11177 | 0 | 228436 | 0 | 221269 |
| James Van Vooren MD | |||||||||||||
| 0 | 166067 | 0 | 0 | 0 | 2459 | 0 | 21417 | 0 | 15798 | 0 | 205741 | 0 | 202205 |
| Patricia Adam MD | |||||||||||||
| 0 | 163991 | 0 | 0 | 0 | 1656 | 0 | 21002 | 0 | 15798 | 0 | 202447 | 0 | 192155 |
| Michael Wootten MD | |||||||||||||
| 0 | 183841 | 0 | 0 | 0 | 1087 | 0 | 23155 | 0 | 15798 | 0 | 223881 | 0 | 0 |
| Nancy Feldman | |||||||||||||
| 0 | 395494 | 0 | 166079 | 0 | 80225 | 0 | 9800 | 0 | 89206 | 0 | 740804 | 0 | 658027 |
| Mark Traynor | |||||||||||||
| 0 | 199136 | 0 | 48121 | 0 | 24798 | 0 | 9800 | 0 | 30979 | 0 | 312834 | 0 | 298693 |
| Beth A Monsrud | |||||||||||||
| 0 | 197080 | 0 | 50131 | 0 | 25677 | 0 | 7850 | 0 | 38324 | 0 | 319062 | 0 | 289072 |
| Laurie Heyer-Dean | |||||||||||||
| 0 | 197261 | 0 | 47637 | 0 | 32857 | 0 | 9800 | 0 | 30145 | 0 | 317700 | 0 | 302372 |
| Russel Kuzel MD | |||||||||||||
| 0 | 281539 | 0 | 10000 | 0 | 44033 | 0 | 5423 | 0 | 53146 | 0 | 394141 | 0 | 0 |
| Thomas Mahowald | |||||||||||||
| 0 | 198802 | 0 | 48040 | 0 | 21012 | 0 | 9742 | 0 | 37339 | 0 | 314935 | 0 | 307308 |
| Ghitann Worcester | |||||||||||||
| 0 | 197182 | 0 | 50124 | 0 | 31330 | 0 | 9747 | 0 | 31447 | 0 | 319830 | 0 | 298877 |
| Barry Baines | |||||||||||||
| 0 | 213189 | 0 | 62627 | 0 | 12893 | 0 | 9800 | 0 | 39194 | 0 | 337703 | 0 | 394392 |
| Robert Beauchamp | |||||||||||||
| 0 | 159657 | 0 | 27777 | 0 | 0 | 0 | 5623 | 0 | 17172 | 0 | 210229 | 0 | 153678 |
| Craig Christianson | |||||||||||||
| 0 | 168888 | 0 | 49500 | 0 | 37013 | 0 | 9113 | 0 | 35798 | 0 | 300312 | 0 | 341308 |
| Brian Eck | |||||||||||||
| 0 | 176995 | 0 | 24085 | 0 | 0 | 0 | 6032 | 0 | 2015 | 0 | 209127 | 0 | 218666 |
| Cheryl Swenson | |||||||||||||
| 0 | 178402 | 0 | 8625 | 0 | 0 | 0 | 7481 | 0 | 16836 | 0 | 211344 | 0 | 237188 |
| Terry Chism | |||||||||||||
| 0 | 158148 | 0 | 50144 | 0 | 33677 | 0 | 8543 | 0 | 25720 | 0 | 276232 | 0 | 300727 |
Form990 Schedule J Part III Form990ScheduleJPartIII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Reference | Part I, Line 6 | ReturnReference |
| Explanation | 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. | Explanation |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (8 entries)
| IdentifierIdentifier | ExplanationExplanation | Return ReferenceReturnReference |
|---|---|---|
| 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. | |
| 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 12c | |
| 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 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 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 B, line 15 | |
| UCare will provide year-end financial statements, governing documents and Conflict of Interest Policy upon request. | Form 990, Part VI, Section C, line 19 | |
| Changes in Net Assets or Fund Balances: | Contributed Capital from UCare Minnesota 9,000,000. Total to Form 990, Part XI, Line 5: 9,000,000. | Form 990, Part XI, line 5: |
Schedule R IRS990ScheduleR
Form990 Schedule R Part II Form990ScheduleRPartII (2 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivities | Legal Domicile StateLegalDomicileState | Exempt Code SectionExemptCodeSection | Public Charity StatusPublicCharityStatus | Direct Controlling Entity NADirectControllingEntityNA | Controlled OrgControlledOrg |
|---|---|---|---|---|---|---|---|---|---|---|
| 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 Deleware St SE Box 381 | Minneapolis | MN | 55455 | 416007513 | Medical Eduction | MN | 115 | 0 | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | 0 | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | 0 | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | 1 | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | 0 | LoansOrGuaranteesFromOtherOrg |
| Sale Of Assets To Other Org | 0 | SaleOfAssetsToOtherOrg |
| Purchase Of Assets From Other Org | 0 | PurchaseOfAssetsFromOtherOrg |
| Exchange Of Assets | 0 | ExchangeOfAssets |
| Rental Of Facilities To Other Orgs | 0 | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | 0 | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | 0 | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | 1 | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | 1 | SharingOfFacilities |
| Sharing Of Paid Employees | 1 | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | 1 | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | 1 | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | 0 | OtherTransferToOtherOrg |
| Other Transfer From Other Org | 0 | OtherTransferFromOtherOrg |
Transactions Related Orgs Table TransactionsRelatedOrgsTable (3 entries)
| Transaction TypeTransactionType | Amount InvolvedAmountInvolved | Method Of Amt DeterminationMethodOfAmtDetermination |
|---|---|---|
| UCare Minnesota - Direct expense reimbursement | ||
| O | 8726618 | Actual Cost |
| UCare Minnesota - Reimburse management services | ||
| L | 1371410 | Actual Cost |
| UCare Minnesota - Contributed Capital | ||
| C | 9000000 | Actual Cost |
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