Totals
- Total revenue
- $5,500,000
- Total expenses
- $0
- Contributions and grants received
- $5,500,000
- Grants paid
- $0
- Program service revenue
- $0
- Investment income
- $0
- Other revenue
- $0
- Total assets, end of year
- $5,500,000
- Total liabilities, end of year
- $0
- Net assets or fund balances, end of year
- $5,500,000
- Program services expenses (Part IX)
- $0
- Management and general expenses
- $0
- Fundraising expenses
- $0
- Program service expenses (Part III)
- not reported
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.
-
1d · Related organizations
$5,500,000
Balance sheet
Part X, book values.
-
1 · Cash, non-interest-bearing
end of year $5,500,000
-
27 · Net assets without donor restrictions
end of year $5,500,000
Mission and programs · 2022
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 2022 return.
Listed in Part VII
-
Hilary Marden-ResnikHILARY MARDEN-RESNIK
PRESIDENT & CEO
- Total calculated
- $1,162,909
- From this org
- $0
- From related orgs
- $997,449
- Other
- $165,460
- Hours/week
- 0.1 + 40.1 related
Schedule J breakdown matched by us
- Base
- $0 + $829,358 related
- Bonus
- $0 + $109,921 related
- Other
- $0 + $58,170 related
- Deferred
- $0 + $11,000 related
- Nontaxable benefits
- $0 + $154,460 related
- Filer's total
- $0 + $1,162,909 related
-
Mark TraynorMARK TRAYNOR
FORMER CEO
- Total calculated
- $802,077
- From this org
- $0
- From related orgs
- $799,197
- Other
- $2,880
- Hours/week
- 0
Schedule J breakdown matched by us
- Base
- $0 + $417,391 related
- Bonus
- $0 + $219,843 related
- Other
- $0 + $161,963 related
- Deferred
- $0
- Nontaxable benefits
- $0 + $2,880 related
- Filer's total
- $0 + $802,077 related
-
Beth MonsrudBETH MONSRUD
SVP, CFO & TREASURER
- Total calculated
- $695,311
- From this org
- $0
- From related orgs
- $601,270
- Other
- $94,041
- Hours/week
- 0.1 + 40.1 related
Schedule J breakdown matched by us
- Base
- $0 + $453,882 related
- Bonus
- $0 + $86,121 related
- Other
- $0 + $61,267 related
- Deferred
- $0 + $8,250 related
- Nontaxable benefits
- $0 + $85,791 related
- Filer's total
- $0 + $695,311 related
-
Ghitiann WorcesterGHITIANN WORCESTER
EVP CHIEF MARKETING OFFICER
- Total calculated
- $689,936
- From this org
- $0
- From related orgs
- $610,456
- Other
- $79,480
- Hours/week
- 0.1 + 40.1 related
Schedule J breakdown matched by us
- Base
- $0 + $457,768 related
- Bonus
- $0 + $83,774 related
- Other
- $0 + $68,914 related
- Deferred
- $0 + $11,000 related
- Nontaxable benefits
- $0 + $68,480 related
- Filer's total
- $0 + $689,936 related
-
Daniel SantosDANIEL SANTOS
CHIEF LEGAL OFFICER & SECRETARY
- Total calculated
- $653,012
- From this org
- $0
- From related orgs
- $576,434
- Other
- $76,578
- Hours/week
- 0.1 + 40.1 related
Schedule J breakdown matched by us
- Base
- $0 + $428,076 related
- Bonus
- $0 + $77,738 related
- Other
- $0 + $70,620 related
- Deferred
- $0 + $11,000 related
- Nontaxable benefits
- $0 + $65,578 related
- Filer's total
- $0 + $653,012 related
-
James Pacala MDJAMES PACALA MD
DIRECTOR
- Total calculated
- $486,836
- From this org
- $0
- From related orgs
- $424,124
- Other
- $62,712
- Hours/week
- 40.4 + 0.2 related
Schedule J breakdown matched by us
- Base
- $0 + $423,838 related
- Bonus
- $0
- Other
- $0 + $286 related
- Deferred
- $0 + $36,468 related
- Nontaxable benefits
- $0 + $26,244 related
- Filer's total
- $0 + $486,836 related
-
Myron FransMYRON FRANS
DIRECTOR
- Total calculated
- $454,850
- From this org
- $0
- From related orgs
- $392,198
- Other
- $62,652
- Hours/week
- 40.4 + 0.2 related
Schedule J breakdown matched by us
- Base
- $0 + $391,912 related
- Bonus
- $0
- Other
- $0 + $286 related
- Deferred
- $0 + $47,275 related
- Nontaxable benefits
- $0 + $15,377 related
- Filer's total
- $0 + $454,850 related
-
Patricia Adam MDPATRICIA ADAM MD
DIRECTOR
- Total calculated
- $304,798
- From this org
- $0
- From related orgs
- $238,117
- Other
- $66,681
- Hours/week
- 40.4 + 0.2 related
Schedule J breakdown matched by us
- Base
- $0 + $237,881 related
- Bonus
- $0
- Other
- $0 + $236 related
- Deferred
- $0 + $49,560 related
- Nontaxable benefits
- $0 + $17,121 related
- Filer's total
- $0 + $304,798 related
-
Teresa McCarthy MDTERESA MCCARTHY MD
VICE CHAIR
- Total calculated
- $274,603
- From this org
- $0
- From related orgs
- $219,983
- Other
- $54,620
- Hours/week
- 40.4 + 0.2 related
Schedule J breakdown matched by us
- Base
- $0 + $219,771 related
- Bonus
- $0
- Other
- $0 + $212 related
- Deferred
- $0 + $19,893 related
- Nontaxable benefits
- $0 + $34,727 related
- Filer's total
- $0 + $274,603 related
-
Tom DephillipsTOM DEPHILLIPS
DIRECTOR
- Total calculated
- $263,401
- From this org
- $0
- From related orgs
- $178,003
- Other
- $85,398
- Hours/week
- 40.4 + 0.2 related
Schedule J breakdown matched by us
- Base
- $0 + $177,717 related
- Bonus
- $0
- Other
- $0 + $286 related
- Deferred
- $0 + $57,370 related
- Nontaxable benefits
- $0 + $28,028 related
- Filer's total
- $0 + $263,401 related
-
William Roberts MDWILLIAM ROBERTS MD
DIRECTOR
- Total calculated
- $240,809
- From this org
- $0
- From related orgs
- $162,436
- Other
- $78,373
- Hours/week
- 40.4 + 0.2 related
Schedule J breakdown matched by us
- Base
- $0 + $162,304 related
- Bonus
- $0
- Other
- $0 + $132 related
- Deferred
- $0 + $43,396 related
- Nontaxable benefits
- $0 + $34,977 related
- Filer's total
- $0 + $240,809 related
-
Michael Wootten MDMICHAEL WOOTTEN MD
DIRECTOR
- Total calculated
- $218,114
- From this org
- $0
- From related orgs
- $176,181
- Other
- $41,933
- Hours/week
- 40.4 + 0.2 related
Schedule J breakdown matched by us
- Base
- $0 + $176,028 related
- Bonus
- $0
- Other
- $0 + $153 related
- Deferred
- $0 + $14,381 related
- Nontaxable benefits
- $0 + $27,552 related
- Filer's total
- $0 + $218,114 related
-
Tenbit Emiru Evp ChiefTENBIT EMIRU EVP CHIEF
MEDICAL OFFICER (EFFECTIVE 8/22/22)
- Total calculated
- $201,299
- From this org
- $0
- From related orgs
- $157,896
- Other
- $43,403
- Hours/week
- 0 + 40 related
Schedule J breakdown matched by us
- Base
- $0 + $159,650 related
- Bonus
- $0
- Other
- $0 + -$1,754 related
- Deferred
- $0 + $8,250 related
- Nontaxable benefits
- $0 + $35,153 related
- Filer's total
- $0 + $201,299 related
-
Robert RiskinROBERT RISKIN
DIRECTOR
- Total calculated
- $13,250
- From this org
- $0
- From related orgs
- $13,250
- Other
- $0
- Hours/week
- 0.1 + 0.2 related
-
Charity BennettCHARITY BENNETT
DIRECTOR
- Total calculated
- $12,560
- From this org
- $0
- From related orgs
- $12,560
- Other
- $0
- Hours/week
- 0.1 + 0.2 related
-
Allison O'TooleALLISON O'TOOLE
DIRECTOR
- Total calculated
- $12,500
- From this org
- $0
- From related orgs
- $12,500
- Other
- $0
- Hours/week
- 0.1 + 0.2 related
-
P Jay KiedrowskiP JAY KIEDROWSKI
DIRECTOR
- Total calculated
- $12,000
- From this org
- $0
- From related orgs
- $12,000
- Other
- $0
- Hours/week
- 0.1 + 0.2 related
-
Patricia NelsonPATRICIA NELSON
DIRECTOR
- Total calculated
- $12,000
- From this org
- $0
- From related orgs
- $12,000
- Other
- $0
- Hours/week
- 0.1 + 0.2 related
-
James Van Vooren MDJAMES VAN VOOREN MD
BOARD CHAIR
- Total calculated
- $11,250
- From this org
- $0
- From related orgs
- $11,250
- Other
- $0
- Hours/week
- 0.2 + 0.4 related
-
Jeff BangsbergJEFF BANGSBERG
DIRECTOR
- Total calculated
- $9,500
- From this org
- $0
- From related orgs
- $9,500
- Other
- $0
- Hours/week
- 0.1 + 0.2 related
-
John GrossJOHN GROSS
DIRECTOR (THRU 8/31/22)
- Total calculated
- $8,000
- From this org
- $0
- From related orgs
- $8,000
- Other
- $0
- Hours/week
- 0.1 + 0.2 related
-
Mariam MohamedMARIAM MOHAMED
DIRECTOR (EFFECTIVE 8/31/22)
- Total calculated
- $4,750
- From this org
- $0
- From related orgs
- $4,750
- Other
- $0
- Hours/week
- 0.1 + 0.2 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 THE ORGANIZATION'S 457(F) PLAN IN 2022: CONTRIBUTIONS: HILARY MARDEN-RESNIK - $126,828 BETH MONSRUD - $59,247 GHITIANN WORCESTER - $57,682 TENBIT EMIRU - $29,120 DISTRIBUTIONS: HILARY MARDEN-RESNIK - $65,678 DANIEL SANTOS - $54,053 MARK W TRAYNOR - $161,963 BETH MONSRUD - $68,415 GHITIANN WORCESTER - $66,110 DANIEL SANTOS - $71,380
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.
-
U OF MN SCHOOLDEPT OF FAMILY MEDICINE & COMMUNITY HEALTH
MEDICAL EDUCATION · MN
Directly controlled by UNIVERSITY OF MINNESOTA
-
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
Directly controlled by U OF M DEPARTMENT OF FAMILY PRACTICE
-
501(C)(4) · NON-PROFIT SERVICE INSURANCE ORGANIZATION · WI
Directly controlled by UCARE MINNESOTA
Provenance
- Return type
- form_990
- Tax year
- 2022
- Filed
- 18 October 2023
- IRS schema version
- 2022v5.0
- Source object
- 202312939349300721
Check it against the return as filed: the GivingTuesday Data Lake hosts a public copy of the original XML.
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