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← MEDICA ONE HEALTH PLAN

Form 990 for tax year 2023

Filed by MEDICA ONE HEALTH PLAN.

Totals

Total revenue
$27,728
Total expenses
$6,329
Contributions and grants received
$0
Grants paid
$0
Program service revenue
$0
Investment income
$27,728
Other revenue
$0
Total assets, end of year
$2,802,952
Total liabilities, end of year
$0
Net assets or fund balances, end of year
$2,802,952
Program services expenses (Part IX)
$0
Management and general expenses
$6,329
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.

Revenue

Part VIII, the statement of revenue.

  • 3 · Investment income

    total $28,343 · excluded $28,343

  • 7a · Gross sales of assets other than inventory

    securities $194,078

  • 7b · Less cost or other basis and sales expenses

    securities $194,693

  • 7c · Gain or loss

    securities -$615

  • 7d · Net gain or loss

    total -$615 · excluded -$615

Functional expenses

Part IX, the statement of functional expenses.

  • 11f · Fees: investment management

    total $963 · management and general $963

  • 13 · Office expenses

    total $5,366 · management and general $5,366

Balance sheet

Part X, book values.

  • 1 · Cash, non-interest-bearing

    beginning of year $579,955 · end of year $1,079,490

  • 2 · Savings and temporary cash investments

    beginning of year $3,189 · end of year $3,353

  • 11 · Investments: publicly traded securities

    beginning of year $1,996,724 · end of year $1,568,344

  • 14 · Intangible assets

    end of year $150,000

  • 15 · Other assets

    beginning of year $0 · end of year $1,765

  • 17 · Accounts payable and accrued expenses

    beginning of year $849

  • 25 · Other liabilities

    beginning of year $1,477,584

  • 27 · Net assets without donor restrictions

    beginning of year $1,101,435 · end of year $2,802,952

Mission and programs · 2023

Mission

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).

Activities or mission (Part I)

PROVIDE COMPREHENSIVE PREPAID HEALTH SERVICES FOR THE PEOPLE OF MINNESOTA AND OTHERS, SERVING AS A HEALTH MAINTENANCE ORGANIZATION.

  • 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.

As filed on the 2023 return.

Listed in Part VII

  • Hilary 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 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 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
  • Marie Zimmerman

    EVP & DIRECTOR

    Total calculated
    $472,430
    From this org
    $0
    From related orgs
    $426,273
    Other
    $46,157
    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 + $35,157 related
    Filer's total
    $0 + $472,430 related
  • John Batson

    CHAIR (THROUGH MAY 2023)

    Total calculated
    $0
    Hours/week
    0.1
  • Kimberly Deroche MD

    DIRECTOR (THROUGH MAY 2023)

    Total calculated
    $0
    Hours/week
    0.1
  • Rebecca Hilley

    DIRECTOR (THROUGH MAY 2023)

    Total calculated
    $0
    Hours/week
    0.1
  • Trudi Trysla

    DIRECTOR (THROUGH MAY 2023)

    Total calculated
    $0
    Hours/week
    0.1

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 DANIEL SANTOS - $58,227 MARIE ZIMMERMAN - $44,211 DISTRIBUTIONS: HILARY MARDEN-RESNIK - $45,079 BETH MONSRUD - $42,496 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.

  • UCARE HEALTH INC

    501(C)(4) · NON-PROFIT SERVICE INSURANCE ORGANIZATION · WI

    Directly controlled by UCARE MINNESOTA

  • UCARE FOUNDATION

    501(C)(3) · COMMUNITY-DIRECTED INITIATIVE OF UCARE MINNESOTA · MN

    Directly controlled by UCARE MINNESOTA

  • UCARE IOWA

    501(C)(4) · NON-PROFIT SERVICE INSURANCE ORGANIZATION · IA

    Directly controlled by UCARE MINNESOTA

  • UCARE KANSAS

    501(C)(4) · NON-PROFIT SERVICE INSURANCE ORGANIZATION · KS

    Directly controlled by UCARE MINNESOTA

  • UCARE MINNESOTA

    501(C)(3) · NOT-FOR-PROFIT HEALTH MAINTENANCE ORGANIZATION · MN

Provenance

Return type
form_990
Tax year
2023
Filed
14 November 2024
IRS schema version
2023v5.1
Source object
202433199349318928

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