2026-06-01T09:50:44-05:00 2025-12-31 410746749 CLIFTONLARSONALLEN LLP 220 SOUTH SIXTH STREET SUITE 300 MINNEAPOLIS MN 55402 990 2025-01-01 411796007 UCARE COMMUNITY HEALTH PLAN UCAR 6126766500 PO BOX 519 STUART VA 24171 DON ROOF SPECIAL DEPUTY COMMISSIONER 6126766500 2026-05-28 1 KURT BENNION CPA P01469618 6123764500 2026-05-28 2025 2025-03-06 01:10:19Z X DON ROOF PO BOX 519 STUART VA 24171 100285 0 X WWW.UCARE.ORG X 1994 MN TO OPERATE A HEALTH MAINTENANCE ORGANIZATION DEDICATED TO PROMOTING THE HEALTH OF COMMUNITIES SERVED BY MAKING QUALITY HEALTH CARE AVAILABLE ON A PREPAID BASIS THAT IS ECONOMICALLY ADVANTAGEOUS. 1 1 0 0 0 0 0 0 0 0 86170 100285 0 0 86170 100285 0 0 0 0 0 0 0 0 0 52937 25642 52937 25642 33233 74643 2880581 278657942 21496 275716583 2859085 2941359 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. WAS A NON-PROFIT SERVICE INSURANCE CORPORATION THAT PROVIDED ACCESS TO COMPREHENSIVE HEALTH SERVICES AND CARE MANAGEMENT PROGRAMS DESIGNED TO IMPROVE THE HEALTH AND HEALTH COVERAGE OF ENROLLED MEMBERS. 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 1 1 0 1 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 0 0 0 X GREG MARSHALL 6126766500 PO BOX 519 STUART VA 24171 HILARY MARDEN-RESNIK PRESIDENT & CEO 0.10 39.90 X X 0 1253081 196636 BETH MONSRUD SVP, CFO & TREASURER 0.10 39.90 X X 0 703052 84697 MARIE ZIMMERMAN-ENGER EVP & DIRECTOR 0.10 39.90 X X 0 628951 89729 DON ROOF SPECIAL DEPUTY COMMISSIONER 1.00 24.00 X 0 0 0 DANIEL SANTOS CHIEF LEGAL OFF. & SECRETARY (THROUGH OCT 2025) 0.10 39.90 X 0 654110 72683 MATT ENTENZA SECRETARY 0.10 0.50 X 0 0 0 0 3239194 443745 0 0 1 0 0 100285 100285 100285 0 0 100285 1830 1830 1868 1868 LICENSES/FEES/DUES 21944 21944 25642 0 25642 0 80837 252600948 1388719 1447648 23277858 1254419 1175915 150000 150000 6606 5573 2880581 278657942 21496 21500 275695083 21496 275716583 X 2859085 2941359 2859085 2941359 2880581 278657942 74643 7631 0 X 0 0 0 0 1 0 0 0 0 0 0 0 HILARY MARDEN-RESNIK PRESIDENT & CEO 0 980333 0 100000 0 172748 0 163479 0 33157 0 1449717 0 168796 BETH MONSRUD SVP, CFO & TREASURER 0 549748 0 85353 0 67951 0 62046 0 22651 0 787749 0 67951 DANIEL SANTOS CHIEF LEGAL OFF. & SECRETARY (THROUGH OCT 2025) 0 510878 0 76860 0 66372 0 59323 0 13360 0 726793 0 66372 MARIE ZIMMERMAN-ENGER EVP & DIRECTOR 0 489904 0 71588 0 67459 0 57737 0 31992 0 718680 0 67410 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 2025: CONTRIBUTIONS: HILARY MARDEN-RESNIK - $152,479 DANIEL SANTOS - $48,321 BETH MONSRUD - $53,796 MARIE ZIMMERMAN-ENGER - $46,737 DISTRIBUTIONS: HILARY MARDEN-RESNIK - $168,796 DANIEL SANTOS - $66,372 BETH MONSRUD - $67,951 MARIE ZIMMERMAN-ENGER - $67,410 FORM 990, PART VI, SECTION A, LINE 3 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. ON DECEMBER 17, 2025, UCARE WAS PLACED INTO REHABILITATION AND THE COMMISSIONER OF THE MINNESOTA DEPARTMENT OF HEALTH WAS APPOINTED REHABILITATOR. EXAMINATION RESOURCES WAS APPOINTED SPECIAL DEPUTY COMMISSIONER AND IS MANAGING THE OPERATIONS OF UCARE MINNESOTA AND UCARE COMMUNITY HEALTH PLAN. FORM 990, PART VI, SECTION A, LINE 6 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)(4) 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 THE DIRECTORS ARE ELECTED AUTOMATICALLY BY VIRTUE OF THEIR ELECTION TO THE UCARE MINNESOTA BOARD OF DIRECTORS, UNLESS A DIFFERENT DIRECTOR IS ELECTED BY UCARE MINNESOTA AS CORPORATE MEMBER ACTING THROUGH ITS BOARD OF DIRECTORS. SUCH DIFFERENT DIRECTORS NEED NOT BE RESIDENT OF COMMUNITY HEALTH PLAN, AND MAY OR MAY NOT BE ENROLLEES RECEIVING COVERAGE OR SERVICES FROM THE CORPORATION ALTHOUGH AT LEAST 40% OF THE DIRECTORS SHALL BE ENROLLEES OF THE CORPORATION OR UCARE MINNESOTA. ON DECEMBER 17, 2025, UCARE WAS PLACED INTO REHABILITATION AND THE COMMISSIONER OF THE MINNESOTA DEPARTMENT OF HEALTH WAS APPOINTED REHABILITATOR. EXAMINATION RESOURCES WAS APPOINTED SPECIAL DEPUTY COMMISSIONER. UPON THE APPOINTMENT OF THE REHABILITATOR, THE BOARD OF DIRECTORS WAS DISSOLVED. FORM 990, PART VI, SECTION A, LINE 7B IN ADDITION TO THE POWERS SET FORTH IN COMMUNITY HEALTH PLAN FOR MEMBERS, UCARE MINNESOTA HAS RESERVED TO ITSELF THE FOLLOWING POWERS CONCERNING THE GOVERNANCE OF THE CORPORATION, WHICH SHALL BE EXPRESSED THROUGH THE UCARE MINNESOTA BOARD OF DIRECTORS: (A) THE APPROVAL OF ANY PLANS OF MERGER OR CONSOLIDATION BY THE CORPORATION WITH ANY FOREIGN OR DOMESTIC CORPORATION, VOLUNTARY DISSOLUTION OF THE CORPORATION, OR ANY SALES, LEASE, OR TRANSFER OF ALL OR SUBSTANTIALLY ALL OF THE CORPORATION'S ASSETS; (B) THE APPROVAL OF THE GRANT OF A SECURITY INTEREST IN ALL OR SUBSTANTIALLY ALL OF THE CORPORATION'S ASSETS OR THE GUARANTEE OF ANY INDEBTEDNESS BEFORE SUCH ECURITY INTEREST OR GUARANTEE BECOMES LEGALLY BINDING, AND (C) THE AMENDMENT OF THE ARTICLES OF INCORPORATION OR BY LAWS. ON DECEMBER 17, 2025, UCARE WAS PLACED INTO REHABILITATION AND THE COMMISSIONER OF THE MINNESOTA DEPARTMENT OF HEALTH WAS APPOINTED REHABILITATOR. EXAMINATION RESOURCES WAS APPOINTED SPECIAL DEPUTY COMMISSIONER. UPON THE APPOINTMENT OF THE REHABILITATOR, THE BOARD OF DIRECTORS WAS DISSOLVED. 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 990 FORM WITH THE SPECIAL DEPUTY COMMISSIONER. UPON APPROVAL BY THE SPECIAL DEPUTY COMMISSIONER, THE 990 FORM 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/OR FINANCIAL STATEMENTS UPON REQUEST. UCARE HEALTH INC PO BOX 519 STUART VA 24171 208295948 NON-PROFIT SERVICE INSURANCE ORGANIZATION MN 501(C)(4) UCARE MINNESOTA 0 UCARE FOUNDATION PO BOX 519 STUART VA 24171 464795214 COMMUNITY-DIRECTED INITIATIVE OF UCARE MINNESOTA MN 501(C)(3) LINE 12A, I UCARE MINNESOTA 0 UCARE IOWA PO BOX 519 STUART VA 24171 880661315 NON-PROFIT SERVICE INSURANCE ORGANIZATION IA 501(C)(3) LINE 10 UCARE MINNESOTA 0 UCARE KANSAS PO BOX 519 STUART VA 24171 932931013 NON-PROFIT SERVICE INSURANCE ORGANIZATION KS 501(C)(4) UCARE MINNESOTA 0 UCARE MINNESOTA PO BOX 519 STUART VA 24171 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