2026-06-01T15:47:36-05:00 2025-12-31 410746749 CLIFTONLARSONALLEN LLP 220 SOUTH SIXTH STREET SUITE 300 MINNEAPOLIS MN 55402 990 2025-01-01 464795214 UCARE FOUNDATION 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 1594765 0 X WWW.UCARE.ORG X 2014 MN GRANT-MAKING TO IMPROVE THE HEALTH OF UNDER-SERVED POPULATIONS IN MINNESOTA. 1 1 0 15 0 0 1876 0 0 0 3163214 1594765 0 0 3165090 1594765 3710993 398775 0 0 0 0 0 0 0 102438 121945 3813431 520720 -648341 1074045 35239661 11246333 25140405 9586 10099256 11236747 X THE UCARE FOUNDATION IS A COMMUNITY-DIRECTED INITIATIVE OF UCARE MINNESOTA. THE FOCUS IS GRANT-MAKING TO PROGRAMS AND INITIATIVES THAT IMPROVE THE HEALTH OF UNDERSERVED POPULATIONS IN THE TWIN CITIES AND THROUGHOUT MINNESOTA AND WESTERN WISCONSIN. 0 0 511275 398775 0 SEE SCHEDULE O 511275 1 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 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 0 0 0 0 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 X GREG MARSHALL 6126766500 PO BOX 519 STUART VA 24171 MARIAM MOHAMED DIRECTOR (THROUGH DEC 2025) 0.10 0.30 X 0 15300 0 CHARITY BENNETT DIRECTOR (THROUGH DEC 2025) 0.10 0.30 X 0 14115 0 P JAY KIEDROWSKI DIRECTOR (THROUGH DEC 2025) 0.10 0.30 X 0 18100 0 TERESA MCCARTHY MD DIRECTOR (THROUGH DEC 2025) 0.10 0.30 X 0 10950 0 JAMES VAN VOOREN MD DRIECTOR (THROUGH DEC 2025) 0.10 0.30 X 0 11250 0 TOM DEPHILLIPS DIRECTOR (THROUGH DEC 2025) 0.10 0.30 X 0 12350 0 PATRICIA ADAM MD DIRECTOR (THROUGH DEC 2025) 0.10 0.30 X 0 12000 0 ALLISON O'TOOLE BOARD CHAIR (THROUGH DEC 2025) 0.10 0.30 X X 0 9250 0 JEFF BANGSBERG DIRECTOR (THROUGH DEC 2025) 0.10 0.30 X 0 14100 0 MICHAEL WOOTTEN MD DIRECTOR (THROUGH DEC 2025) 0.10 0.30 X 0 11300 0 WILLIAM ROBERTS MD DIRECTOR (THROUGH DEC 2025) 0.10 0.30 X 0 10413 0 ANTHONY MENDOZA VICE CHAIR (THROUGH DEC 2025) 0.10 0.30 X X 0 10050 0 JAMES KOPPEL DIRECTOR (THROUGH DEC 2025) 0.10 0.30 X 0 11650 0 MARTINA SAGAYAM DIRECTOR (THROUGH DEC 2025) 0.10 0.30 X 0 15500 0 DOROTHY BRIDGES DIRECTOR (THROUGH DEC 2025) 0.10 0.30 X 0 10950 0 DON ROOF SPECIAL DEPUTY COMMISSIONER 1.00 24.00 X 0 0 0 HILARY MARDEN-RESNIK PRESIDENT & CEO 0.10 39.90 X 0 1253081 196636 BETH MONSRUD SVP, CFO & TREASURER 0.10 39.90 X 0 703052 84697 DANIEL SANTOS CHIEF LEGAL OFF. & SECRETARY (THROUGH OCT 2025) 0.10 39.90 X 0 654110 72683 MATT ENTENZA SECRETARY (THROUGH DEC 2025) 0.10 0.50 X 0 0 0 TENBIT EMIRU EVP, CHIEF MEDICAL OFFICER 0.10 39.90 X 0 692295 85675 MARIE ZIMMERMAN-ENGER EVP, CHIEF STRATEGY OFFICER 0.10 39.90 X 0 628951 89729 JAY SIVASAILAM EVP CHIEF GROWTH OFFICER (THROUGH APRIL 2025) 0.10 39.90 X 0 622995 20859 0 4741762 550279 0 0 1 0 0 1594765 1594765 1594765 0 0 1594765 X 398775 398775 3750 3750 112500 112500 5415 5415 255 255 LICENSES/DUES/FEES 25 25 520720 511275 9445 0 7427 6108 32207270 8011066 2820114 3131361 204850 97798 35239661 11246333 480 211 25000000 139925 9375 25140405 9586 X 10099256 11236747 10099256 11236747 35239661 11246333 1074045 63446 0 X 0 0 0 X X X 1 UCARE MINNESOTA 363573805 10 1 520720 0 1 520720 0 1 0 0 0 0 1 0 0 0 0 0 0 0 0 0 1 0 SECTION A, LINE 6: UCARE FOUNDATION MAKES GRANTS TO COMMUNITY CHARITIES AND GOVERNMENT AGENCIES AS DIRECTED BY THE BOARD OF DIRECTORS AND MANAGEMENT OF UCARE MINNESOTA. ALL GRANTS ARE INTENDED TO SUPPORT THE CHARITABLE PROGRAMS OF THESE ORGANIZATIONS AS THEY SEEK TO IMPROVE THE HEALTH OF INDIVIDUALS. 0 DUE TO RELATED ORGANIZATIONS 9375 9375 1 BLUE EARTH COUNTY 204 S 5TH STREET MANKATO MN 56001 416005763 BLUE EARTH COUNTY 8500 0 SUPPORT AT BLUE EARTH COUNTY MENTAL HEALTH CENTER FOR PROFESSIONAL DEVELOPMENT ACROSS 10-COUNTY REGION BY FUNDING MSSA CONFERENCE REGISTRATIONS, NEUROSCIENCE/MENTAL HEALTH WORKSHOPS, ETHICS TRAINING, RED CROSS FIRST AID TRAINING, AND CARELOGIC EHR PROFICIENCY. OTTER TAIL COUNTY 560 W FIR AVENUE FERGUS FALLS MN 56537 416005861 OTTER TAIL COUNTY 25000 0 FUNDING TO SUPPORT EMERGENCY FOOD PANTRY DONATIONS SOURCED FROM FARM AT ST. FRANCIS AND SUPPORT LAKE REGION HEALTHCARE PRODUCE PRESCRIPTION'S SERVICES TARGETING INDIVIDUALS DIAGNOSED WITH DIABETES. WRIGHT COUNTY COMMUNITY ACTION INC PO BOX 787 MAPLE LAKE MN 55358 410904809 501(C)(3) 30000 0 PROVIDING FOUNDATIONAL SUPPORT FOR DEVELOPING NUTRITION EDUCATION & PRESERVATION CENTER'S STAFF, PROGRAM SUPPLIES, TRAVEL, RECRUITMENT MATERIALS AND OTHER RAMP UP COSTS. HENNEPIN COUNTY PO BOX 1520 300 S 6TH STREET MINNEAPOLIS MN 554871520 416005801 HENNEPIN COUNTY 13000 0 DOLLARS FOR FAMILY HOME VISITING FOOD ASSISTANCE PROJECT WITH EVERY MEAL, SUPPORTING PREGNANT AND PARENTING HENNEPIN COUNTY RESIDENTS - PRIMARILY BIPOC FAMILIES WITH SIGNIFICANT ECONOMIC CHALLENGES. MILLE LACS BAND OF OJIBWE INDIANS 43408 OODENA DRIVE ONAMIA MN 56345 411661577 MILLE LACS BAND 30000 0 A GRANT TO HELP PROVIDE HEALTHY, NUTRITIOUS MEALS AND SNACKS TO SURVIVORS (AND THEIR CHILDREN) OF DOMESTIC ABUSE, HUMAN TRAFFICKING, SEXUAL ASSAULT, AND TO PROMOTE COMMUNITY ACTION/AWARENESS OF ISSUE. SCOTT-CARVER-DAKOTA CAP AGENCY INC 738 1ST AVENUE E SHAKOPEE MN 55379 410903890 501(C)(3) 30000 0 FUNDING FOR ESSENTIAL FOOD SUPPORT ACROSS SCOTT, CARVER, AND DAKOTA COUNTIES IN MINNESOTA THROUGH FOOD SHELVES, MEALS ON WHEELS AND CONVENIENT DROP-OFF LOCATIONS. FAIRVIEW HEALTH SERVICES 45 W 10TH STREET SUITE 2012 SAINT PAUL MN 55102 410991680 501(C)(3) 50000 0 SUPPORT FOR FAIRVIEW COMMUNITY CLINICAL CARE TEAM TO PARTNER WITH UCARE COMMUNITY RELATIONS AND OTHERS IN ORDER TO CONDUCT 18 COMMUNITY-BASED CLINICS ACROSS 13 UNIQUE SITES, EXPANDING ACCESS TO PREVENTIVE CARE AND VACCINATIONS FOR UNDERSERVED COMMUNITIES. DAKOTA COUNTY 1590 HWY 55 HASTINGS MN 55033 416005786 DAKOTA COUNTY 25000 0 FUNDING IN SUPPORT OF DAKOTA COUNTY PUBLIC HEALTH'S FOODRX PROJECT THAT AIMS TO ADDRESS AND SCREEN FOR FOOD INSECURITY IN PUBLIC HEALTH AND VETERAN SERVICES INTAKE PROCESSES, AND PROVIDE SHELF-STABLE FOOD BOX ASSISTANCE UNTIL LONGER-TERM SUPPORT IS ESTABLISHED. TIWAHE FOUNDATION 125 SE MAIN STREET SUITE 222 MINNEAPOLIS MN 55414 264377588 501(C)(3) 30000 0 SUPPORT FOR OLN'S EXPANSION OF COMMUNITY CONVERSATIONS ABOUT NATIVE SOLUTIONS FOR ADDICTION AND HOMELESSNESS, AND TO DEVELOP ONLINE LEARNING MANAGEMENT SYSTEM THAT ACCESSES A LEADERSHIP NETWORKS AND TRADITIONAL KNOWLEDGE HOLDERS ACROSS METRO AND GREATER MINNESOTA. COPAL MN 3702 E LAKE STREET MINNEAPOLIS MN 55406 831380358 501(C)(3) 30000 0 FUNDING FOR TRAINING OF APPROXIMATELY 35 PARTICIPANTS IN MIND-BODY MEDICINE PROTOCOL, WITH SIX BECOMING CERTIFIED FACILITATORS TO CONDUCT WELLNESS TRAINING, HOST MENTAL HEALTH CIRCLES, AND POTENTIAL EXPANSION TO OTHER AREAS IN GREATER MINNESOTA AND METRO. BOUNTIFUL BASKET FOOD SHELF 1600 BAVARIA ROAD CHASKA MN 55318 842309087 501(C)(3) 50000 0 GRANT TO STRENGTHEN FOOD SUPPORT IN CARVER COUNTY WITH FOOD SHELVES IN CHASKA AND COLOGNE, MOBILE FOOD DELIVERY, CULTURALLY SPECIFIC ASSISTANCE IN PARTNERSHIP WITH MI CASA, SCHOOL SNACK PROGRAMS, AND EMERGENCY FOOD SUPPORT FOR FOSTER CARE. YOUNG MENS CHRISTIAN ASSOCIATION OF THE NORTH 651 NICOLLET MALL 500 MINNEAPOLIS MN 55402 452563299 501(C)(3) 15000 0 FUNDING PROVIDED SCHOLARSHIPS FOR ALMOST TWO DOZEN UCARE ENROLLEE CHILDREN WITH ASTHMA, ENABLING THEM TO ATTEND CAMP AND RECEIVE MEDICAL SUPPORT. SOCIAL GOOD FUND INC 12651 SAN PABLO AVENUE 5473 RICHMOND CA 94805 461323531 501(C)(3) 50000 0 SUPPORT FOR EMERGING FARMERS INSTITUTE 10-WEEK PROGRAM EMPOWERING DIVERSE FARMERS WITH ESSENTIAL TOOLS, RESOURCES, SKILLS AND NETWORKING OPPORTUNITIES THAT IMPROVE CROP PRODUCTION, AGRICULTURAL BUSINESS ACUMEN TO PRODUCE AND PROVIDE NUTRITIOUS FOOD FOR UNDERSERVED COMMUNITIES. SABATHANI COMMUNITY CENTER 310 E 38TH STREET 120 MINNEAPOLIS MN 55409 410984859 501(C)(3) 10000 0 GRANT TO SUPPORT PROGRAM OFFERING HOLISTIC APPROACH TO HEALTH, GROUP EXERCISE AND WELL-BEING FOR BLACK WOMEN AGED 35+ IN SOUTH MINNEAPOLIS. 14 0 PART I, LINE 2: UCARE FOUNDATION HAS A FORMAL BOARD THAT OVERSEES AND APPROVES ANNUAL GRANT AWARDS. THE BOARD MEETS ANNUALLY TO DETERMINE PRIORITY AREAS OF FOCUS FOR CURRENT YEAR SOLICITATIONS. GRANTEES APPLY VIA AN ONLINE GRANT SYSTEM AND ALL ORGANIZATIONS MUST MEET FUNDING ELIGIBILITY GUIDELINES. GRANT APPLICATIONS ARE REVIEWED BY UCARE MINNESOTA ASSIGNED INDIVIDUALS AS WELL AS CERTAIN MEMBERS OF THE UCARE FOUNDATION BOARD. ONCE APPROVED GRANTEES SIGN A CONDITIONS OF GRANT AGREEMENT AND ARE RESPONSIBLE TO SUBMIT AN INTERIM AND FINAL REPORT AS WELL AS PARTICIPATE IN A SITE VISIT BY UCARE STAFF. THE BOARD OF DIRECTORS RECEIVES AN ANNUAL REPORT ON THE USE OF THE FUNDS. UCARE ENSURES THE RECIPIENT IS A QUALIFIED CHARITY OR GOVERNMENT AGENCY AND RECEIVES PERIODIC REPORTS FROM THE ORGANIZATIONS. 1 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 TENBIT EMIRU EVP, CHIEF MEDICAL OFFICER 0 534950 0 81097 0 76248 0 63348 0 22327 0 777970 0 76204 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, CHIEF STRATEGY OFFICER 0 489904 0 71588 0 67459 0 57737 0 31992 0 718680 0 67410 JAY SIVASAILAM EVP CHIEF GROWTH OFFICER (THROUGH APRIL 2025) 0 523479 0 68242 0 31274 0 18627 0 2232 0 643854 0 31274 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, LINES 4A-B JAY SIVASAILAM - EVP, CHIEF GROWTH OFFICER - RECEIVED SEVERANCE PAYMENTS OF $235,462 IN 2025 FROM UCARE MINNESOTA, A RELATED ORGANIZATION. 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 TENBIT EMIRU - $52,348 MARIE ZIMMERMAN-ENGER - $46,737 JAY SIVASAILAM - $14,212 DISTRIBUTIONS: HILARY MARDEN-RESNIK - $168,796 DANIEL SANTOS - $66,372 BETH MONSRUD - $67,951 TENBIT EMIRU- $76,204 MARIE ZIMMERMAN-ENGER - $67,410 JAY SIVASAILAM - $31,274 FORM 990, PART III, LINE 4A IN 2025, THE UCARE FOUNDATION APPROVED AND DISBURSED $396,800 IN GRANT FUNDING TO 15 MINNESOTA ORGANIZATIONS AND COUNTY/TRIBAL GOVERNMENTS WORKING TO IMPROVE HEALTH THROUGH INNOVATIVE SERVICES AND EDUCATION IN THE AREAS OF: FOOD SECURITY ASSISTANCE, MOBILE CLINIC VACCINE DELIVERY, HEALTH CARE PROFESSIONAL DEVELOPMENT, AND COMMUNITY LEADERSHIP AT THE INTERSECTION OF SUBSTANCE USE DISORDERS AND HOMELESSNESS. UCARE FOUNDATION HAS A FORMAL BOARD UCARE FOUNDATION COUNCIL THAT OVERSEES AND APPROVES ANNUAL GRANT AWARDS. THE BOARD MEETS ANNUALLY TO DETERMINE PRIORITY AREAS OF FOCUS FOR OPEN SOLICITATIONS. GRANTEES APPLY VIA AN ONLINE GRANT SYSTEM, AND ALL ORGANIZATIONS MUST MEET FUNDING ELIGIBILITY GUIDELINES. GRANT APPLICATIONS ARE REVIEWED BY UCARE MINNESOTA-ASSIGNED INDIVIDUALS AND OFTEN SOME MEMBERS OF THE UCARE FOUNDATION COUNCIL. ONCE APPROVED, GRANTEES SIGN A CONDITION OF GRANT AGREEMENT AND ARE RESPONSIBLE FOR SUBMITTING INTERIM AND FINAL REPORTS AS WELL AS AGREEING TO PARTICIPATE IN A SITE VISIT BY UCARE STAFF. THE BOARD OF DIRECTORS RECEIVES AN ANNUAL REPORT ON THE USE OF THE FUNDS. UCARE ENSURES THE RECIPIENT IS A QUALIFIED CHARITY OR GOVERNMENT AGENCY AND RECEIVES PERIODIC REPORTS FROM THE ORGANIZATIONS. THE UCARE FOUNDATION SUPPORTED FAIRVIEW HEALTH SERVICES' (FHS) MOBILE HEALTH COLLABORATION PILOT, WHICH SERVED AN ESTIMATED 500 COMMUNITY MEMBERS AT 18 COMMUNITY-BASED CLINICS ACROSS 13 UNIQUE SITES IN THE TWIN CITIES METRO. THROUGH THE PILOT, FHS ADMINISTERED 295 VACCINES, COMPLETED 271 BLOOD PRESSURE CHECKS, 48 DIABETES SCREENINGS, AND 142 FLUORIDE VARNISH APPLICATIONS FOR CHILDREN AND ADULTS. UCARE FOUNDATION SUPPORTED BOUNTIFUL BASKET FOOD SHELF'S FOOD SUPPORT PROGRAM SERVING COMMUNITIES IN CARVER COUNTY THROUGH LOCATIONS IN CHASKA AND COLOGNE. THE GRANT HELPED TO FUND MOBILE FOOD DELIVERY, CULTURALLY SPECIFIC ASSISTANCE, SCHOOL SNACK PROGRAMS, AND EMERGENCY FOOD SUPPORT FOR FOSTER CARE. OVER 7000 COUNTY RESIDENTS ARE ESTIMATED TO HAVE BEEN HELPED. A GRANT FOR ROUTE 1 MN BOLSTERED THE ORGANIZATION'S EMERGING FARMER INSTITUTE, A NO COST 10-WEEK PROGRAM THAT SUPPORTS AND EMPOWERS FARMERS FROM A VARIETY OF BACKGROUNDS. PARTICIPANTS ARE PROVIDED WITH ESSENTIAL TOOLS, RESOURCES, AND NETWORKING OPPORTUNTIIES TO IMPROVE CROP PRODUCTION, DEVELOP FARM BUSINESS SKILLS, AND PRODUCE NUTRITIOUS FOOD FOR SALE TO LOCAL BUSINESSES AND SHARED WITH UNDERSERVED COMMUNITIES STATEWIDE. FORM 990, PART VI, SECTION A, LINE 3 UCARE FOUNDATION HAS AN ADMINISTRATIVE SERVICE AGREEMENT WITH UCARE MINNESOTA TO PROVIDE OVERALL MANAGEMENT AND ADMINISTRATION OF UCARE FOUNDATION'S BUSINESS. 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 THE UCARE FOUNDATION. FORM 990, PART VI, SECTION A, LINE 6 THE SOLE MEMBER OF THIS CORPORATION IS UCARE MINNESOTA, A MINNESOTA NONPROFIT CORPORATION. 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 7A THE SOLE CORPORATE MEMBER OF UCARE FOUNDATION IS UCARE MINNESOTA, WHICH ELECTS THE DIRECTORS FOR THE UCARE FOUNDATION. 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 THE FOLLOWING RIGHTS ARE RESERVED TO THE POWER OF THE MEMBER OF THE ORGANIZATION: (1) THE NUMBER OF BOARD OF MEMBERS, (2) THE TERMS OF EACH BOARD MEMBER, (3) ANY ELECTED OR APPOINTED DIRECTOR MAY BE REMOVED FROM OFFICE WITH OR WITHOUT CAUSE BY THE MEMBER, (4) VACANCIES IN THE BOARD OF DIRECTORS SHALL BE FILLED BY THE MEMBER, (5) APPOINT AN EXECUTIVE COMMITTEE, (6) APPOINT A FINANCE AND AUDIT COMMITTEE, (7) APPOINT INDIVIDUALS TO SERVE AS THE UCARE FOUNDATION COUNCIL. 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 FOUNDATION 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 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 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 18 UCARE FOUNDATION'S 990 FORM IS AVAILABLE ON THIRD-PARTY WEBSITES SUCH AS GUIDESTAR AND PROPUBLICA, IN ADDITION TO BEING MADE AVAILABLE UPON REQUEST. FORM 990, PART VI, SECTION C, LINE 19 UCARE FOUNDATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST. FORM 990, PART IX, LINE 11G PROFESSIONAL FEES: PROGRAM SERVICE EXPENSES 112,500. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 112,500. UCARE MINNESOTA PO BOX 519 STUART VA 24171 363573805 NOT FOR PROFIT HEALTH MAINTENANCE ORGANIZATION MN 501(C)(3) LINE 10 N/A 0 UCARE HEALTH INC PO BOX 519 STUART VA 24171 208295948 NON-PROFIT SERVICE INSURANCE ORGANIZATION MN 501(C)(4) 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 COMMUNITY HEALTH PLAN PO BOX 519 STUART VA 24171 411796007 NON-PROFIT SERVICE INSURANCE ORGANIZATION MN 501(C)(4) UCARE MINNESOTA 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 0 0