Totals
- Total revenue
- $0
- Total expenses
- $340
- Contributions and grants received
- $0
- Grants paid
- $0
- Program service revenue
- $0
- Investment income
- $0
- Other revenue
- $0
- Total assets, end of year
- $5,499,660
- Total liabilities, end of year
- $0
- Net assets or fund balances, end of year
- $5,499,660
- Program services expenses (Part IX)
- $0
- Management and general expenses
- $340
- Fundraising expenses
- $0
- Program service expenses (Part III)
- not reported
Program services were 0.0% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.
Line items
Every line the filer filed in Parts VIII, IX and X, as filed and in filed order. Blank columns are left out, and the lines are not forced to add up to the totals above.
Functional expenses
Part IX, the statement of functional expenses.
-
24a · Other expenses: LICENSES AND FEES
total $340 · management and general $340
Balance sheet
Part X, book values.
-
1 · Cash, non-interest-bearing
beginning of year $5,500,000 · end of year $5,499,660
-
27 · Net assets without donor restrictions
beginning of year $5,500,000 · end of year $5,499,660
-
28 · Net assets with donor restrictions
end of year $0
Mission and programs · 2023
Mission
UCARE IOWA WILL IMPROVE THE HEALTH OF OUR MEMBERS THROUGH INNOVATIVE SERVICES AND PARTNERSHIPS ACROSS COMMUNITIES.
Activities or mission (Part I)
TO PROVIDE COMPREHENSIVE HEALTH SERVICES AND CARE MANAGEMENT SERVICES TO OUR MEMBERS.
-
UCARE IOWA INC. IS A NON-PROFIT SERVICE INSURANCE CORPORATION THAT WILL PROVIDE ACCESS TO COMPREHENSIVE HEALTH SERVICES AND CARE MANAGEMENT PROGRAMS DESIGNED TO IMPROVE THE HEALTH AND HEALTH COVERAGE OF OUR ENROLLED MEMBERS.
As filed on the 2023 return.
Listed in Part VII
-
Hilary Marden-ResnikHILARY MARDEN-RESNIK
PRESIDENT & CEO
- Total calculated
- $1,381,236
- From this org
- $0
- From related orgs
- $1,198,356
- Other
- $182,880
- Hours/week
- 0.1 + 39.9 related
Schedule J breakdown matched by us
- Base
- $0 + $909,162 related
- Bonus
- $0 + $244,065 related
- Other
- $0 + $45,129 related
- Deferred
- $0 + $11,000 related
- Nontaxable benefits
- $0 + $171,880 related
- Filer's total
- $0 + $1,381,236 related
-
Beth MonsrudBETH MONSRUD
SVP, CFO & TREASURER
- Total calculated
- $811,939
- From this org
- $0
- From related orgs
- $713,738
- Other
- $98,201
- Hours/week
- 0.1 + 39.9 related
Schedule J breakdown matched by us
- Base
- $0 + $477,761 related
- Bonus
- $0 + $193,431 related
- Other
- $0 + $42,546 related
- Deferred
- $0 + $8,250 related
- Nontaxable benefits
- $0 + $89,951 related
- Filer's total
- $0 + $811,939 related
-
Daniel SantosDANIEL SANTOS
CHIEF LEGAL OFFICER & SECRETARY
- Total calculated
- $746,084
- From this org
- $0
- From related orgs
- $663,906
- Other
- $82,178
- Hours/week
- 0.1 + 39.9 related
Schedule J breakdown matched by us
- Base
- $0 + $458,828 related
- Bonus
- $0 + $169,974 related
- Other
- $0 + $35,104 related
- Deferred
- $0 + $11,002 related
- Nontaxable benefits
- $0 + $71,176 related
- Filer's total
- $0 + $746,084 related
-
Ghitiann Worcester Evp ChiefGHITIANN WORCESTER EVP CHIEF
MARKETING OFFICER (THROUGH SEP 2023)
- Total calculated
- $629,870
- From this org
- $0
- From related orgs
- $602,986
- Other
- $26,884
- Hours/week
- 0.1 + 39.9 related
Schedule J breakdown matched by us
- Base
- $0 + $308,611 related
- Bonus
- $0 + $252,991 related
- Other
- $0 + $41,384 related
- Deferred
- $0 + $10,196 related
- Nontaxable benefits
- $0 + $16,688 related
- Filer's total
- $0 + $629,870 related
-
Tenbit EmiruTENBIT EMIRU
EVP, CHIEF MEDICAL OFFICER
- Total calculated
- $594,468
- From this org
- $0
- From related orgs
- $504,508
- Other
- $89,960
- Hours/week
- 0.1 + 39.9 related
Schedule J breakdown matched by us
- Base
- $0 + $461,273 related
- Bonus
- $0 + $43,185 related
- Other
- $0 + $50 related
- Deferred
- $0 + $11,000 related
- Nontaxable benefits
- $0 + $78,960 related
- Filer's total
- $0 + $594,468 related
-
Marie ZimmermanMARIE ZIMMERMAN
EVP, CHIEF STRATEGY OFFICER
- Total calculated
- $481,528
- From this org
- $0
- From related orgs
- $426,273
- Other
- $55,255
- Hours/week
- 0.1 + 39.9 related
Schedule J breakdown matched by us
- Base
- $0 + $384,006 related
- Bonus
- $0 + $42,217 related
- Other
- $0 + $50 related
- Deferred
- $0 + $11,000 related
- Nontaxable benefits
- $0 + $44,255 related
- Filer's total
- $0 + $481,528 related
-
Jay SivasailamJAY SIVASAILAM
EVP, CHIEF GROWTH OFFICER
- Total calculated
- $301,801
- From this org
- $0
- From related orgs
- $268,127
- Other
- $33,674
- Hours/week
- 0.1 + 39.9 related
Schedule J breakdown matched by us
- Base
- $0 + $268,077 related
- Bonus
- $0
- Other
- $0 + $50 related
- Deferred
- $0 + $4,415 related
- Nontaxable benefits
- $0 + $29,259 related
- Filer's total
- $0 + $301,801 related
-
Meriam MohamedMERIAM MOHAMED
DIRECTOR
- Total calculated
- $15,000
- From this org
- $0
- From related orgs
- $15,000
- Other
- $0
- Hours/week
- 0.1 + 0.4 related
-
Charity BennettCHARITY BENNETT
DIRECTOR
- Total calculated
- $14,963
- From this org
- $0
- From related orgs
- $14,963
- Other
- $0
- Hours/week
- 0.1 + 0.4 related
-
P Jay KiedrowskiP JAY KIEDROWSKI
DIRECTOR
- Total calculated
- $14,750
- From this org
- $0
- From related orgs
- $14,750
- Other
- $0
- Hours/week
- 0.1 + 0.4 related
-
Robert RiskinROBERT RISKIN
DIRECTOR
- Total calculated
- $13,000
- From this org
- $0
- From related orgs
- $13,000
- Other
- $0
- Hours/week
- 0.1 + 0.4 related
-
James Van Vooren MDJAMES VAN VOOREN MD
BOARD CHAIR
- Total calculated
- $11,500
- From this org
- $0
- From related orgs
- $11,500
- Other
- $0
- Hours/week
- 0.1 + 0.4 related
-
Teresa McCarthy MDTERESA MCCARTHY MD
VICE CHAIR
- Total calculated
- $11,500
- From this org
- $0
- From related orgs
- $11,500
- Other
- $0
- Hours/week
- 0.1 + 0.4 related
-
Tom DephillipsTOM DEPHILLIPS
DIRECTOR
- Total calculated
- $10,500
- From this org
- $0
- From related orgs
- $10,500
- Other
- $0
- Hours/week
- 0.1 + 0.4 related
-
Patricia Adam MDPATRICIA ADAM MD
DIRECTOR
- Total calculated
- $10,250
- From this org
- $0
- From related orgs
- $10,250
- Other
- $0
- Hours/week
- 0.1 + 0.4 related
-
Allison O'TooleALLISON O'TOOLE
DIRECTOR
- Total calculated
- $10,250
- From this org
- $0
- From related orgs
- $10,250
- Other
- $0
- Hours/week
- 0.1 + 0.4 related
-
Jeff BangsbergJEFF BANGSBERG
DIRECTOR
- Total calculated
- $10,000
- From this org
- $0
- From related orgs
- $10,000
- Other
- $0
- Hours/week
- 0.1 + 0.4 related
-
Patricia NelsonPATRICIA NELSON
DIRECTOR
- Total calculated
- $10,000
- From this org
- $0
- From related orgs
- $10,000
- Other
- $0
- Hours/week
- 0.1 + 0.4 related
-
Michael Wootten MDMICHAEL WOOTTEN MD
DIRECTOR
- Total calculated
- $10,000
- From this org
- $0
- From related orgs
- $10,000
- Other
- $0
- Hours/week
- 0.1 + 0.4 related
-
William Roberts MDWILLIAM ROBERTS MD
DIRECTOR
- Total calculated
- $9,000
- From this org
- $0
- From related orgs
- $9,000
- Other
- $0
- Hours/week
- 0.1 + 0.4 related
-
James Pacala MDJAMES PACALA MD
DIRECTOR (THROUGH AUG 2023)
- Total calculated
- $6,500
- From this org
- $0
- From related orgs
- $6,500
- Other
- $0
- Hours/week
- 0.1 + 0.4 related
-
Anthony MendozaANTHONY MENDOZA
DIRECTOR
- Total calculated
- $3,500
- From this org
- $0
- From related orgs
- $3,500
- Other
- $0
- Hours/week
- 0.1 + 0.4 related
-
Martina SagayamMARTINA SAGAYAM
DIRECTOR
- Total calculated
- $2,750
- From this org
- $0
- From related orgs
- $2,750
- Other
- $0
- Hours/week
- 0.1 + 0.4 related
-
James KoppelJAMES KOPPEL
DIRECTOR
- Total calculated
- $2,750
- From this org
- $0
- From related orgs
- $2,750
- Other
- $0
- Hours/week
- 0.1 + 0.4 related
-
Dorothy BridgesDOROTHY BRIDGES
DIRECTOR
- Total calculated
- $0
- Hours/week
- 0.1 + 0.4 related
-
Myron FransMYRON FRANS
DIRECTOR (THROUGH AUG 2023)
- Total calculated
- $0
- Hours/week
- 0.1 + 0.4 related
Compensation is as filed in Part VII: reportable pay from this organization and from related organizations, other compensation, and hours per week. The total, marked calculated, is our sum of the three dollar columns, with a blank column counted as $0; the form itself has no total. On a Form 990-EZ the columns are Part IV's instead, and on a Form 990-PF Part VIII's — compensation, contributions to benefit plans, and expense account — and the total sums those. A Schedule J breakdown is as filed: base pay, bonus, other, deferred compensation and nontaxable benefits from this organization, with any from related organizations beside each, and the filer's own total. It is shown with the Part VII listing of the same name on the same return. The form gives no key between the two, so that pairing is ours, and is marked matched by us.
Schedule J
Answered yes
- 4b · Supplemental nonqualified retirement plan
Answered no
- 4a · Severance or change-of-control payment
- 4c · Equity-based compensation arrangement
- 5a · Pay contingent on this organization's revenues
- 5b · Pay contingent on a related organization's revenues
- 6a · Pay contingent on this organization's net earnings
- 6b · Pay contingent on a related organization's net earnings
- 7 · Other non-fixed payments
- 8 · Paid under the initial-contract exception
The filer's explanations (Part III)
- 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 GHITIANN WORCESTER - $15,108 DANIEL SANTOS - $58,227 TENBIT EMIRU - $60,162 MARIE ZIMMERMAN - $44,211 JAY SIVASAILAM - $26,650 DISTRIBUTIONS: HILARY MARDEN-RESNIK - $45,079 BETH MONSRUD - $42,496 GHITIANN WORCESTER - $41,384 DANIEL SANTOS - $34,979
Part I's answers as filed. A line not listed was left unanswered; on lines 1a and 3 that means the box was not checked.
Grants on this return
No itemized grants to organizations on this return.
Related organizations on this return
Schedule R Part II: tax-exempt organizations related to the filer by control. It does not record shared board members or money.
-
501(C)(3) · COMMUNITY-DIRECTED INITIATIVE OF UCARE MINNESOTA · MN
Directly controlled by UCARE MINNESOTA
-
501(C)(3) · NOT-FOR-PROFIT HEALTH MAINTENANCE ORGANIZATION · MN
-
501(C)(4) · NON-PROFIT SERVICE INSURANCE ORGANIZATION · WI
Directly controlled by UCARE MINNESOTA
-
501(C)(4) · NON-PROFIT SERVICE INSURANCE ORGANIZATION · KS
Directly controlled by UCARE MINNESOTA
-
501(C)(4) · NON-PROFIT SERVICE INSURANCE ORGANIZATION · MN
Directly controlled by UCARE MINNESOTA
Provenance
- Return type
- form_990
- Tax year
- 2023
- Filed
- 14 November 2024
- IRS schema version
- 2023v5.1
- Source object
- 202423199349312487
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