2024-11-14T21:16:59-06:00 2023-12-31 410746749 CLIFTONLARSONALLEN LLP 220 SOUTH SIXTH STREET SUITE 300 MINNEAPOLIS MN 55402 990 2023-01-01 411796007 UCARE COMMUNITY HEALTH PLAN UCAR 6126766500 500 STINSON BLVD NE MINNEAPOLIS MN 55413 BETH MONSRUD SVP, CFO & TREASURER 6126766500 2024-11-14 1 1 KURT BENNION CPA P01469618 6123764500 2024-11-14 2023 2024-10-15 13:58:12Z X X HILARY MARDEN-RESNIK 500 STINSON BLVD NE MINNEAPOLIS MN 55413 222421 0 X WWW.UCARE.ORG X 1994 MN PROVIDE COMPREHENSIVE PREPAID HEALTH SERVICES FOR THE PEOPLE OF MINNESOTA AND OTHERS, SERVING AS A HEALTH MAINTENANCE ORGANIZATION. 3 0 0 1 0 0 0 0 0 0 20471 27728 0 0 20471 27728 0 0 0 0 0 0 0 0 0 78912 6329 78912 6329 -58441 21399 2579868 2802952 1478433 0 1101435 2802952 PROVIDING COMPREHENSIVE PREPAID HEALTH SERVICES, OR ARRANGING FOR THE PROVISION OF SUCH SERVICES, FOR THE PEOPLE OF MINNESOTA AND OTHERS AND OTHERWISE SERVING AS A HEALTH MAINTENANCE ORGANIZATION (HMO). 0 0 0 0 0 UCARE COMMUNITY HEALTH PLAN INC. IS A NON-PROFIT SERVICE INSURANCE CORPORATION PROVIDING ACCESS TO COMPREHENSIVE HEALTH SERVICES AND CARE MANAGEMENT PROGRAMS DESIGNED TO IMPROVE THE HEALTH AND HEALTH COVERAGE OF OUR ENROLLED MEMBERS. 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 1 0 0 0 0 0 0 0 0 0 0 0 X 3 0 0 1 1 0 1 1 1 1 1 0 0 1 1 1 1 1 1 0 0 0 X GREG MARSHALL 6126766500 500 STINSON BLVD NE MINNEAPOLIS MN 55413 HILARY MARDEN-RESNIK PRESIDENT & CEO 0.10 39.90 X X 0 1198356 182880 BETH MONSRUD SVP, CFO & TREASURER 0.10 39.90 X X 0 713738 98201 DANIEL SANTOS CHIEF LEGAL OFFICER & SECRETARY 0.10 39.90 X 0 663906 82178 MARIE ZIMMERMAN EVP & DIRECTOR 0.10 39.90 X X 0 426273 46157 JOHN BATSON CHAIR (THROUGH MAY 2023) 0.10 0.00 X X 0 0 0 KIMBERLY DEROCHE MD DIRECTOR (THROUGH MAY 2023) 0.10 0.00 X 0 0 0 REBECCA HILLEY DIRECTOR (THROUGH MAY 2023) 0.10 0.00 X 0 0 0 TRUDI TRYSLA DIRECTOR (THROUGH MAY 2023) 0.10 0.00 X 0 0 0 0 3002273 409416 0 0 1 0 0 28343 28343 194078 194693 -615 -615 -615 27728 0 0 27728 963 963 5366 5366 6329 0 6329 0 579955 1079490 3189 3353 1996724 1568344 150000 0 1765 2579868 2802952 849 1477584 1478433 0 X 1101435 2802952 1101435 2802952 2579868 2802952 21399 23451 1656667 0 X 0 1 X 1 0 0 X PART X, LINE 2: UCARE HAD ELECTED TO ADOPT GUIDANCE ON 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 CONSOLIDATED FINANCIAL STATEMENTS. UCARE'S TAX RETURNS ARE SUBJECT TO REVIEW AND EXAMINATION BY FEDERAL, STATE, AND LOCAL AUTHORITIES. 0 1 0 0 0 0 0 0 0 HILARY MARDEN-RESNIK PRESIDENT & CEO 0 909162 0 244065 0 45129 0 11000 0 171880 0 1381236 0 0 BETH MONSRUD SVP, CFO & TREASURER 0 477761 0 193431 0 42546 0 8250 0 89951 0 811939 0 0 DANIEL SANTOS CHIEF LEGAL OFFICER & SECRETARY 0 458828 0 169974 0 35104 0 11002 0 71176 0 746084 0 0 MARIE ZIMMERMAN EVP & DIRECTOR 0 384006 0 42217 0 50 0 11000 0 35157 0 472430 0 0 PART I, LINE 3 THE COMPENSATION FOR THE PRESIDENT AND CEO IS DETERMINED BY UCARE MINNESOTA, THE SOLE MEMBER. THE FOLLOWING METHODS ARE USED BY UCARE MINNESOTA WHEN DETERMINING THE PRESIDENT AND CEO'S COMPENSATION: (1) COMPENSATION COMMITTEE (2) INDEPENDENT COMPENSATION CONSULTANT (3) FORM 990 OF OTHER ORGANIZATIONS (4) WRITTEN EMPLOYMENT CONTRACT (5) COMPENSATION SURVEY OR STUDY (6) APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE PART I, LINE 4B THE FOLLOWING INDIVIDUALS PARTICIPATED IN UCARE MINNESOTA'S 457(F) PLAN IN 2023: CONTRIBUTIONS: HILARY MARDEN-RESNIK - $144,248 BETH MONSRUD - $63,408 DANIEL SANTOS - $58,227 MARIE ZIMMERMAN - $44,211 DISTRIBUTIONS: HILARY MARDEN-RESNIK - $45,079 BETH MONSRUD - $42,496 DANIEL SANTOS - $34,979 FORM 990, PART VI, SECTION A, LINE 3 BEGINNING IN MAY 2023, UCARE COMMUNITY HEALTH PLAN, INC. HAS AN ADMINISTRATIVE SERVICE AGREEMENT WITH UCARE MINNESOTA TO PROVIDE OVERALL MANAGEMENT AND ADMINISTRATION OF UCARE COMMUNITY HEALTH PLAN, INC.'S BUSINESS. UCARE COMMUNITY HEALTH PLAN, INC.'S BUSINESS, INCLUDES BUT IS NOT LIMITED TO, ADMINISTRATIVE MANAGEMENT, FINANCIAL MANAGEMENT, PROVIDER CONTRACTING SERVICES, MARKETING SERVICES AND PUBLIC AFFAIRS SERVICES, AND OTHER TASKS AS MAY BE NECESSARY TO CARRY OUT ANY POLICIES RELATED TO UCARE COMMUNITY HEALTH PLAN, INC.'S BUSINESS. UCARE COMMUNITY HEALTH PLAN, INC. REIMBURSES UCARE MINNESOTA FOR ALL COSTS AND EXPENSES DIRECTLY AND INDIRECTLY INCURRED AND ASSOCIATED WITH THE BUSINESS AND OPERATION OF UCARE COMMUNITY HEALTH PLAN, INC. FORM 990, PART VI, SECTION A, LINE 4 ARTICLES OF AMENDMENT WERE FILED IN MAY 2023 TO CHANGE THE ORGANIZATION'S NAME TO "UCARE COMMUNITY HEALTH PLAN AND TO DESIGNATE UCARE MINNESOTA AS THE SOLE MEMBER. FORM 990, PART VI, SECTION A, LINE 6 THROUGH MAY 2023, MEMBERS CONSISTED OF THE PARTICIPANTS OF THE BOARD OF DIRECTORS. THE BOARD OF DIRECTORS CONSISTED OF A CONTRIBUTING MEMBER, COMPOSED OF EMPLOYEES OF PROVIDED OWNERS THAT HAVE CONTRIBUTED CAPITAL TO PREFERREDONE COMMUNITY HEALTH PLAN (PCHP) AND ENROLLEE DIRECTORS, WHICH WERE ENROLLED EMPLOYEES OF EMPLOYER GROUPS THAT HAVE PURCHASED HEALTH INSURANCE COVERAGE OR HEALTH ADMINISTRATIVE SERVICES THROUGH PCHP OR IT AFFILIATES. AS OF MAY 2023, THE CORPORATION'S SOLE MEMBER IS UCARE MINNESOTA, A MINNESOTA NON-PROFIT 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 COMMUNITY HEALTH PLAN STATUTES. FORM 990, PART VI, SECTION A, LINE 7A THROUGH MAY 2023, THE CONTRIBUTING MEMBER APPOINTED (AND FILLED VACANCIES OF) UP TO FOUR DIRECTORS. THE VACANCIES THAT AROSE WITH RESPECT TO ENROLLEE DIRECTORS WERE FILLED BY MAJORITY VOTE OF OTHER ENROLLEE DIRECTORS FOR THE REMAINDER OF THE UNEXPIRED TERM. FORM 990, PART VI, SECTION A, LINE 7B AS OF MAY 2023, AMENDMENTS TO THE ARTICLES OF INCORPORATION OR BYLAWS REQUIRE THE APPROVAL OF THE SOLE MEMBER. FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 WAS PREPARED BY THE CONTROLLER AND REVIEWED BY AN INDEPENDENT ACCOUNTING FIRM. UCARE PROVIDED A COPY AND REVIEWED THE DETAIL OF THE COMPLETED FORM 990 WITH THE BOARD'S FINANCE, AUDIT & BUSINESS DEVELOPMENT COMMITTEE. UCARE ALSO PROVIDED A COPY OF THE COMPLETED FORM 990 TO ALL MEMBERS OF THE BOARD OF DIRECTORS VIA ON-LINE PORTAL PRIOR TO THE FINANCE, AUDIT & BUSINESS DEVELOPMENT COMMITTEE'S REPORT TO THE BOARD. UPON APPROVAL BY THE BOARD OF DIRECTORS, THE FORM 990 WAS 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 CONFLICT OF INTEREST 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 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. IN ADDITION, A MAJORITY OF THE DISINTERESTED DIRECTORS MUST FIND THAT THE TRANSACTION IS FAIR AND REASONABLE TO THE OPERATION AND THAT THE ORGANIZATION COULD NOT REASONABLY FIND A MORE ADVANTAGEOUS TRANSACTION FROM ANOTHER ENTITY WITHOUT A POTENTIAL CONFLICT. 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 C, LINE 19 UCARE COMMUNITY HEALTH PLAN'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST. UCARE HEALTH INC 500 STINSON BLVD NE MINNEAPOLIS MN 55413 208295948 NON-PROFIT SERVICE INSURANCE ORGANIZATION WI 501(C)(4) UCARE MINNESOTA 0 UCARE FOUNDATION 500 STINSON BLVD NE MINNEAPOLIS MN 55413 464795214 COMMUNITY-DIRECTED INITIATIVE OF UCARE MINNESOTA MN 501(C)(3) LINE 12A, I UCARE MINNESOTA 0 UCARE IOWA 500 STINSON BLVD NE MINNEAPOLIS MN 55413 880661315 NON-PROFIT SERVICE INSURANCE ORGANIZATION IA 501(C)(4) UCARE MINNESOTA 0 UCARE KANSAS 500 STINSON BLVD NE MINNEAPOLIS MN 55413 932931013 NON-PROFIT SERVICE INSURANCE ORGANIZATION KS 501(C)(4) UCARE MINNESOTA 0 UCARE MINNESOTA 500 STINSON BLVD NE MINNEAPOLIS MN 55413 363573805 NOT-FOR-PROFIT HEALTH MAINTENANCE ORGANIZATION MN 501(C)(3) LINE 10 N/A 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 0 0