MERCY CARE: Form 990, tax year 2020
View the entire original 990 at ProPublica ↗
- Organization
- MERCY CARE (EIN 86-0527381)
- Tax period
- 2020-07-01 to 2021-06-30
- Filed
- 2022-03-08
- IRS object ID
- 202210679349300311
- Schema version
- 2020v4.2
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2022-03-08T10:21:36-06:00 | ReturnTs |
| Tax Period End | 2021-06-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 341884125 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CBIZ MHM LLC | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 4722 N 24TH ST STE 300 | AddressLine1Txt |
| City | PHOENIX | CityNm |
| State Abbreviation | AZ | StateAbbreviationCd |
| ZIP | 85016 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2020-07-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 860527381 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MERCY CARE | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | MERC | BusinessNameControlTxt |
| Phone | 6022633000 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 4500 E COTTON CENTER BLVD | AddressLine1Txt |
| City | PHOENIX | CityNm |
| State Abbreviation | AZ | StateAbbreviationCd |
| ZIP | 85040 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | BOB SMITH | PersonNm |
| Person Title | BOARD CHAIRMAN | PersonTitleTxt |
| Phone | 6022623000 | PhoneNum |
| Signature | 2022-03-01 | SignatureDt |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | BOB | PersonFirstNm |
| Person Last | SMITH | PersonLastNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| SSN | 999009999 | SSN |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | AMY A O'LOUGHLIN | PreparerPersonNm |
| PTIN | P00869687 | PTIN |
| Phone | 6022646835 | PhoneNum |
| Preparation | 2022-03-01 | PreparationDt |
Additional Filer Information AdditionalFilerInformation
Trusted Customer TrustedCustomerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Trusted Customer | 2 | TrustedCustomerCd |
| Authentication Assurance Level | AAL1 | AuthenticationAssuranceLevelCd |
| Identity Assurance Level | IAL1 | IdentityAssuranceLevelCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2020 | TaxYr |
| Build TS | 2022-09-23 18:48:47Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Change | Yes (X) | AddressChangeInd |
| Principal Officer | LORRY BOTTRILL CEO | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 4500 E COTTON CENTER BLVD | AddressLine1Txt |
| City | PHOENIX | CityNm |
| State Abbreviation | AZ | StateAbbreviationCd |
| ZIP | 85040 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $4,326,816,269 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.MERCYCAREAZ.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1985 | FormationYr |
| Legal Domicile State | AZ | LegalDomicileStateCd |
| Activity Or Mission | MERCY CARE IS COMMITTED TO PROMOTING AND FACILITATING QUALITY HEALTHCARE SERVICES WITH SPECIAL CONCERN FOR THE VALUES UPHELD IN CATHOLIC SOCIAL TEACHING, ESPECIALLY THE PREFERENTIAL OPTION FOR THE POOR AND FOR PERSONS WITH SPECIAL NEEDS. | ActivityOrMissionDesc |
| Voting Members Governing Body | 11 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 0 | VotingMembersIndependentCnt |
| Total Employee | 0 | TotalEmployeeCnt |
| Total Volunteers | 0 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $156,672,029 | PYContributionsGrantsAmt |
| CY Contributions Grants | $160,315,659 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $3,625,464,489 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $3,959,804,380 | CYProgramServiceRevenueAmt |
| PY Investment Income | $14,675,509 | PYInvestmentIncomeAmt |
| CY Investment Income | $29,604,283 | CYInvestmentIncomeAmt |
| PY Other Revenue | $0 | PYOtherRevenueAmt |
| CY Other Revenue | $0 | CYOtherRevenueAmt |
| PY Total Revenue | $3,796,812,027 | PYTotalRevenueAmt |
| CY Total Revenue | $4,149,724,322 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $3,108,381 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $6,234,042 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $0 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $0 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $3,728,678,232 | PYOtherExpensesAmt |
| CY Other Expenses | $4,032,376,660 | CYOtherExpensesAmt |
| PY Total Expenses | $3,731,786,613 | PYTotalExpensesAmt |
| CY Total Expenses | $4,038,610,702 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $65,025,414 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $111,113,620 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $759,245,540 | TotalAssetsBOYAmt |
| Total Assets EOY | $1,018,874,677 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $393,513,520 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $602,357,209 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $365,732,020 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $416,517,468 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | MERCY CARE IS COMMITTED TO PROMOTING AND FACILITATING QUALITY HEALTHCARE SERVICES WITH SPECIAL CONCERN FOR THE VALUES UPHELD IN CATHOLIC SOCIAL TEACHING, ESPECIALLY THE PREFERENTIAL OPTION FOR THE POOR AND FOR PERSONS WITH SPECIAL NEEDS. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $3,624,808,629 | ExpenseAmt |
| Grant | $434,927 | GrantAmt |
| Revenue | $3,959,804,380 | RevenueAmt |
| Desc | MEDICAID/MEDICARE SERVICES MERCY CARE PROVIDES MEDICAL COVERAGE, UNDER VARIOUS CONTRACTS WITH THE ARIZONA HEALTH CARE COST CONTAINMENT SYSTEM (AHCCCS), FOR THE STATE'S INDIGENT POPULATION. MERCY CARE PROVIDES BEHAVIORAL HEALTH AND MEDICAL COVERAGE FOR THE ACC MEMBERS ELIGIBLE UNDER TITLE XIX MEDICAID PROGRAM AND TITLE XXI PROGRAM, INSTITUTIONAL CARE AND HOME AND COMMUNITY BASED SERVICES FOR THE LONG TERM CARE MEMBERS, AND MEDICAL COVERAGE FOR THE ELIGIBLE MEMBERS OF THE DIVISION OF DEVELOPMENTALLY DISABLED. MERCY CARE OPERATES A MEDICARE ADVANTAGE PLAN UNDER THE CENTERS FOR MEDICARE AND MEDICAID SERVICES (CMS), OFFERING MEDICAL AND PRESCRIPTION DRUG BENEFITS TO QUALIFIED MEMBERS. IT IS OPERATED AS A SPECIAL NEEDS PLAN FOR MEMBERS WHO ARE ELIGIBLE FOR BOTH MEDICARE AND MEDICAID COVERAGE. MERCY CARE PROVIDES PHYSICAL AND BEHAVIORAL HEALTH CARE SERVICES ON AN INTEGRATED BASIS TO MEDICAID ELIGIBLE ADULTS WITH SERIOUS MENTAL ILLNESS, AND TO OPERATE AS THE REGIONAL BEHAVIORAL HEALTH AUTHORITY (RBHA) TO COORDINATE THE DELIVERY OF HEALTH CARE SERVICES TO ELIGIBLE PERSONS IN MARICOPA COUNTY. THE ORGANIZATION HAS A WIDE NETWORK OF COMMUNITY PROVIDERS THAT SERVE ITS MEMBERS AND GIVE THEM THE SUPPORT THEY NEED TO REACH THEIR RECOVERY GOALS. MERCY CARE PROVIDES PHYSICAL AND BEHAVIORAL HEALTH CARE SERVICES ON AN INTEGRATED BASIS TO MEDICAID ELIGIBLE ADULTS WITH SERIOUS MENTAL ILLNESS, AND TO OPERATE AS THE REGIONAL BEHAVIORAL HEALTH AUTHORITY (RBHA) TO COORDINATE THE DELIVERY OF HEALTH CARE SERVICES TO ELIGIBLE PERSONS IN MARICOPA COUNTY. THE ORGANIZATION HAS A WIDE NETWORK OF COMMUNITY PROVIDERS THAT SERVE ITS MEMBERS AND GIVE THEM THE SUPPORT THEY NEED TO REACH THEIR RECOVERY GOALS. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $5,799,744 | ExpenseAmt |
| Grant | $5,799,115 | GrantAmt |
| Desc | COMMUNITY REINVESTMENT PROGRAM - IN ACCORDANCE WITH AHCCCS CONTRACT, MERCY CARE HAS APPROVED A COMMUNITY REINVESTMENT PROGRAM. UNDER THE PROGRAM, MERCY CARE WILL DEMONSTRATE A COMMITMENT TO LOCAL COMMUNITES IN WHICH IT OPERATES THROUGH COMMUNITY REINVESTMENT ACTIVITIES INCULDING CONTRIBUTING 6% OF ITS ANNUAL PROFITS FOR ACC, ALTCS, AND RBHA TO COMMUNITY REINVESTMENT. THE PROGRAM FUNDS COMMUNITY PROJECTS THAT ENHANCE THE LIVES OF PEOPLE IN THE COMMUNITIES IN MERCY CARE'S GEOGRAPHIC SERVICE AREA. THESE FUNDS ARE FOR PROJECTS AND SERVICES NOT ELIGIBLE SERVICE PREVENTION DOLLARS. FOR THE YEAR ENDED JUNE 30, 2021, MERCY CARE APPROVED AMOUNTS THAT RESULTED IN GRANTS TO PROVIDERS OF APPROXIMATELY $5,799,744, TO BE SPENT ON VARIOUS HEALTHCARE COMMUNITY PROJECTS. DURING THE FISCAL YEAR, MERCY CARE SPENT $794,000 ON COMMUNITY REINVESTMENT PROJECTS. | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expenses | $3,630,608,373 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | 0 | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | 0 | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | 0 | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | 0 | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (1) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | Yes (1) | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | 0 | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | 0 | OperateHospitalInd |
| Grants To Organizations | Yes (1) | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | 0 | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | 0 | RelatedEntityInd |
| Related Organization Ctrl Ent | 0 | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 0 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Employee | 0 | EmployeeCnt |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | 0 | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | 0 | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 11 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 0 | IndependentVotingMemberCnt |
| Family Or Business Rln | Yes (1) | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | Yes (1) | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (1) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (1) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (1) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | 0 | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | 0 | CompensationProcessCEOInd |
| Compensation Process Other | 0 | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | LORRY BOTTRILL | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 6024538316 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 4500 E COTTON CENTER BLVD | AddressLine1Txt |
| City | PHOENIX | CityNm |
| State Abbreviation | AZ | StateAbbreviationCd |
| ZIP | 85040 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (13 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt |
|---|---|---|---|---|---|---|
| JANET WALKER | ||||||
| BOARD CHAIRPERSON | 4.00 | Yes (X) | Yes (X) | $0 | $0 | $0 |
| ROBERT SMITH | ||||||
| VICE BOARD CHAIRPERSON | 4.00 | Yes (X) | Yes (X) | $0 | $0 | $0 |
| LINDA HUNT | ||||||
| BOARD MEMBER | 2.00 | Yes (X) | $0 | $0 | $0 | |
| KEITH FREY | ||||||
| BOARD MEMBER | 2.00 | Yes (X) | $0 | $0 | $0 | |
| TIM MOORHEAD | ||||||
| BOARD MEMBER | 2.00 | Yes (X) | $0 | $0 | $0 | |
| TAMMY WILCOX | ||||||
| BOARD MEMBER | 2.00 | Yes (X) | $0 | $0 | $0 | |
| DOUG WATSON | ||||||
| BOARD MEMBER | 2.00 | Yes (X) | $0 | $0 | $0 | |
| ADAM DURRAL | ||||||
| BOARD MEMBER | 2.00 | Yes (X) | $0 | $0 | $0 | |
| MARK SLYTER | ||||||
| BOARD MEMBER | 2.00 | Yes (X) | $0 | $0 | $0 | |
| MARINAN WILLIAMS | ||||||
| BOARD MEMBER | 2.00 | Yes (X) | $0 | $0 | $0 | |
| JACKIE ARAGON | ||||||
| BOARD MEMBER | 2.00 | Yes (X) | $0 | $0 | $0 | |
| LORRY BOTTRILL | ||||||
| BOARD MEMBER, PRESIDENT, CEO | 40.00 | Yes (X) | Yes (X) | $478,940 | $0 | $1,583 |
| RANDY EK | ||||||
| CFO | 40.00 | Yes (X) | $301,734 | $0 | $1,583 | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $780,674 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $3,166 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 2 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | Yes (1) | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp
Contractor Name ContractorName
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | AETNA MEDICAID ADMINISTRATORS | BusinessNameLine1Txt |
Contractor Address ContractorAddress
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 4500 E COTTON CENTER BLVD | AddressLine1Txt |
| City | PHOENIX | CityNm |
| State Abbreviation | AZ | StateAbbreviationCd |
| ZIP | 85040 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Services | MANAGEMENT SERVICES | ServicesDesc |
| Compensation | $295,054,905 | CompensationAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 1 | CntrctRcvdGreaterThan100KCnt |
| Government Grants | $160,315,659 | GovernmentGrantsAmt |
| Total Contributions | $160,315,659 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | MEDICARE/MEDICAID | Desc |
| Business | 621400 | BusinessCd |
| Total Revenue Column | $3,959,804,380 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $3,959,804,380 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $3,959,804,380 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $7,367,067 | TotalRevenueColumnAmt |
| Exclusion | $7,367,067 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $199,329,163 | SecuritiesAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $177,091,947 | SecuritiesAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $22,237,216 | SecuritiesAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $22,237,216 | TotalRevenueColumnAmt |
| Exclusion | $22,237,216 | ExclusionAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $4,149,724,322 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $3,959,804,380 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $29,604,283 | ExclusionAmt |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,234,042 | TotalAmt |
| Program Services | $6,234,042 | ProgramServicesAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $295,054,905 | TotalAmt |
| Management And General | $295,054,905 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $27,950 | TotalAmt |
| Management And General | $27,950 | ManagementAndGeneralAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,913,879 | TotalAmt |
| Management And General | $1,913,879 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,299,740 | TotalAmt |
| Management And General | $2,299,740 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $637,570 | TotalAmt |
| Management And General | $637,570 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt |
|---|---|---|
| ANCILLARY & OTHER MEDIC | $2,231,448,976 | $2,231,448,976 |
| HOSPITALIZATION | $523,976,394 | $523,976,394 |
| INSTIT, HOME & COMM SVS | $438,196,175 | $438,196,175 |
| MEDICAL SERVICES | $430,752,786 | $430,752,786 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $108,068,285 | TotalAmt |
| Management And General | $108,068,285 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,038,610,702 | TotalAmt |
| Program Services | $3,630,608,373 | ProgramServicesAmt |
| Management And General | $408,002,329 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $136,872,542 | BOYAmt |
| EOY | $226,978,826 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $51,387,542 | BOYAmt |
| EOY | $81,566,364 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,079,147 | BOYAmt |
| EOY | $2,095,484 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $200,433,040 | BOYAmt |
| EOY | $201,999,969 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,561,536 | BOYAmt |
| EOY | $1,634,472 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $360,354,331 | BOYAmt |
| EOY | $496,579,158 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,557,402 | BOYAmt |
| EOY | $8,020,404 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $759,245,540 | BOYAmt |
| EOY | $1,018,874,677 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $386,087,290 | BOYAmt |
| EOY | $593,085,676 | EOYAmt |
Grants Payable GrantsPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,171,026 | BOYAmt |
| EOY | $1,425,417 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $83,766 | BOYAmt |
| EOY | $835,316 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,171,438 | BOYAmt |
| EOY | $7,010,800 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $393,513,520 | BOYAmt |
| EOY | $602,357,209 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows FASB117 | Yes (X) | OrganizationFollowsFASB117Ind |
No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $365,732,020 | BOYAmt |
| EOY | $416,517,468 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $365,732,020 | BOYAmt |
| EOY | $416,517,468 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $759,245,540 | BOYAmt |
| EOY | $1,018,874,677 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $111,113,620 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $38,957,542 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | -$99,285,714 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Separate Basis Fincl Stmt | Yes (X) | SeparateBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | Yes (1) | FederalGrantAuditRequiredInd |
| Federal Grant Audit Performed | Yes (1) | FederalGrantAuditPerformedInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Organization170 | Yes (X) | PublicOrganization170Ind |
Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $59,150,155 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $65,163,269 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $75,507,088 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $156,672,029 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $160,315,659 | CurrentTaxYearAmt |
| Total | $516,808,200 | TotalAmt |
Total Calendar Year170 TotalCalendarYear170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $59,150,155 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $65,163,269 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $75,507,088 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $156,672,029 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $160,315,659 | CurrentTaxYearAmt |
| Total | $516,808,200 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total170 | $516,808,200 | PublicSupportTotal170Amt |
Gross Investment Income170 GrossInvestmentIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $3,226,815 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $4,836,510 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $6,237,931 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $8,096,527 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $7,367,067 | CurrentTaxYearAmt |
| Total | $29,764,850 | TotalAmt |
Other Income170 OtherIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $8,213,932 | CurrentTaxYearMinus4YearsAmt |
| Total | $8,213,932 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Support | $554,786,982 | TotalSupportAmt |
| Gross Receipts Rltd Activities | $16,086,613,731 | GrossReceiptsRltdActivitiesAmt |
| Public Support CY170 | 0.93150 | PublicSupportCY170Pct |
| Public Support PY170 | 0.87390 | PublicSupportPY170Pct |
| Thirty Thr Pct Suprt Tests CY170 | Yes (X) | ThirtyThrPctSuprtTestsCY170Ind |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $0 | TotalBookValueLandBuildingsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | ACCRUED COMMUNITY REINVESTMENT | Desc |
| Amt | $7,010,800 | Amt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $7,010,800 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
| Total Rev Etc Audited Fincl Stmt | $4,120,119,000 | TotalRevEtcAuditedFinclStmtAmt |
| Revenue Not Reported | $0 | RevenueNotReportedAmt |
| Revenue Subtotal | $4,120,119,000 | RevenueSubtotalAmt |
| Other Revenues Not Included | $29,605,322 | OtherRevenuesNotIncludedAmt |
| Revenue Not Reported Fincl Stmt | $29,605,322 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $4,149,724,322 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $4,030,899,000 | TotExpnsEtcAuditedFinclStmtAmt |
| Other Expenses Included | $1,921 | OtherExpensesIncludedAmt |
| Expenses Not Reported | $1,921 | ExpensesNotReportedAmt |
| Expenses Subtotal | $4,030,897,079 | ExpensesSubtotalAmt |
| Investment Expenses Not Incld2 | $1,913,879 | InvestmentExpensesNotIncld2Amt |
| Other Expenses Not Included | $5,799,744 | OtherExpensesNotIncludedAmt |
| Expenses Not Rpt Fincl Stmt | $7,713,623 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $4,038,610,702 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (4 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART X, LINE 2: | FASB ASC 740 - 10, INCOME TAXES, RELATES TO THE ACCOUNTING FOR UNCERTAINTY INCOME TAXES WHICH REQUIRES THE APPLICATION OF A "MORE LIKELY THAN NOT" THRESHOLD RECOGNITION AND DE-RECOGNITION OF UNCERTAIN TAX POSITIONS IN OPERATIONS IN THE YEAR OF SUCH CHANGE. MERCY CARE EVALUATES THEIR UNCERTAIN TAX POSITIONS, IF ANY, ON A CONTINUAL BASIS THROUGH REVIEW OF THEIR POLICIES AND PROCEDURES, REVIEW OF THEIR REGULAR TAX FILINGS, AND DISCUSSIONS WITH OUTSIDE EXPERTS. AT JUNE 30, 2021, MERCY CARE DID NOT HAVE ANY UNCERTAIN TAX POSITIONS. |
| PART XI, LINE 4B - OTHER ADJUSTMENTS: | REALIZED GAIN ON INVESTMENT 22,237,216. INVESTMENT INCOME 7,367,067. ROUNDING 1,039. |
| PART XII, LINE 2D - OTHER ADJUSTMENTS: | ROUNDING 1,921. |
| PART XII, LINE 4B - OTHER ADJUSTMENTS: | COMMUNITY REINVESTMENT 5,799,744. |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (1) | GrantRecordsMaintainedInd |
Recipient Table RecipientTable (29 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | Recipient EINRecipientEIN | IRC SectionIRCSectionDesc | Cash GrantCashGrantAmt | Purpose Of GrantPurposeOfGrantTxt |
|---|---|---|---|---|---|---|---|
| 1N10 | |||||||
| 1101 N CENTRAL AVE SUITE 202 | PHOENIX | AZ | 85004 | 860728990 | 501(C)(3) | $10,000 | PROGRAM SUPPORT |
| ACTIVE FOOD ARIZONA | |||||||
| 221 E INDIANOLA AVE | PHOENIX | AZ | 85014 | 272255896 | 501(C)(3) | $102,500 | PROGRAM SUPPORT |
| ALZHEIMER'S DISEASE AND RESEARCH | |||||||
| 340 E PALM LN STE 230 | PHOENIX | AZ | 85004 | 133039601 | 501(C)(3) | $10,000 | PROGRAM SUPPORT |
| ARIZONA BEHAV HEALTH CO | |||||||
| 501 E THOMAS RD | PHOENIX | AZ | 85012 | 860888064 | 501(C)(3) | $5,500 | PROGRAM SUPPORT |
| ARIZONA COUNCIL OF HUMAN | |||||||
| 2100 N CENTRAL AVE STE 225 | PHOENIX | AZ | 85018 | 860549096 | 501(C)(6) | $18,500 | PROGRAM SUPPORT |
| ARIZONA HEALTH CARE ASSOCIATION | |||||||
| 1440 E MISSOURI AVE STE C-109 | PHOENIX | AZ | 85034 | 860227208 | 501(C)(6) | $17,000 | PROGRAM SUPPORT |
| ARIZONA HOUSING COALITION | |||||||
| 1495 E OSBORN | PHOENIX | AZ | 85014 | 860909029 | 501(C)(3) | $10,000 | PROGRAM SUPPORT |
| ARIZONA STATE UNIVERSITY | |||||||
| 411 N CENTRAL AVE STE 800 | PHOENIX | AZ | 85012 | 860196696 | 501(C)(3) | $15,000 | PROGRAM SUPPORT |
| AUNT RITAS FOUNDATION | |||||||
| 1101 N CENTRAL AVE SUITE 212 | PHOENIX | AZ | 85014 | 412176501 | 501(C)(3) | $7,500 | PROGRAM SUPPORT |
| DIGNITY HEALTH FOUNDATION | |||||||
| 1727 W FRYE RD STE 230 | CHANDLER | AZ | 86312 | 742418514 | 501(C)(3) | $15,000 | PROGRAM SUPPORT |
| EMPACT SUICIDE PREVENTION | |||||||
| 618 S MADISON DR | TEMPE | AZ | 85064 | 742562293 | 501(C)(3) | $5,500 | PROGRAM SUPPORT |
| HEALTH CURRENT | |||||||
| 3877 N 7TH ST SUITE 150 | PHOENIX | AZ | 85004 | 208381131 | 501(C)(3) | $19,500 | PROGRAM SUPPORT |
| HUSHABYE NURSERY | |||||||
| 2473 HIGHLEY RD SUITE 104 | GILBERT | AZ | 85295 | 822737849 | 501(C)(3) | $98,000 | PROGRAM SUPPORT |
| JDRF INTERNATIONAL | |||||||
| 4343 E CAMELBACK RD STE 230 | PHOENIX | AZ | 85345 | 231907729 | 501(C)(3) | $10,000 | PROGRAM SUPPORT |
| JEWISH FAMILY AND CHILDRENS SERVICES | |||||||
| 4747 N 7TH STREET STE 100 | PHOENIX | AZ | 85012 | 860096781 | 501(C)(3) | $20,000 | PROGRAM SUPPORT |
| MARCH OF DIMES | |||||||
| PO BOX 18819 | ATLANTA | GA | 31126 | 131846366 | 501(C)(3) | $35,000 | PROGRAM SUPPORT |
| MARCH OF DIMES FOUNDATION | |||||||
| 3550 N CENTRAL AV 610 | PHOENIX | AZ | 85012 | 131846366 | 501(C)(3) | $20,000 | PROGRAM SUPPORT |
| NAMI ARIZONA | |||||||
| 5025 E WASHINGTON ST STE 112 | PHOENIX | AZ | 85226 | 860464872 | 501(C)(3) | $15,000 | PROGRAM SUPPORT |
| NAMI VALLEY OF THE SUN | |||||||
| 5025 E WASHINGTON ST STE 112 | PHOENIX | AZ | 85226 | 860586718 | 501(C)(3) | $16,000 | PROGRAM SUPPORT |
| PIMA COUNCIL ON AGING | |||||||
| 8467 E BROADWAY BLVD | TUCSON | AZ | 85710 | 860251768 | 501(C)(3) | $10,500 | PROGRAM SUPPORT |
| PINNACLE PREVENTION | |||||||
| 3100 WEST RAY RD STE 201 | CHANDLER | AZ | 85226 | 464574172 | 501(C)(3) | $75,000 | PROGRAM SUPPORT |
| PREVENT CHILD ABUSE ARIZONA | |||||||
| PO BOX 26495 | PRESCOTT VALLEY | AZ | 86312 | 860832901 | 501(C)(3) | $15,000 | PROGRAM SUPPORT |
| RESILIENT HEALTH | |||||||
| 2255 W NORTHERN AVE SUITE B100 | PHOENIX | AZ | 85013 | 860220306 | 501(C)(3) | $25,000 | PROGRAM SUPPORT |
| SPECIAL OLYMPICS ARIZONA | |||||||
| 2455 N CITRUS RD BLDG 64 | GOODYEAR | AZ | 85395 | 860307564 | 501(C)(3) | $25,000 | PROGRAM SUPPORT |
| TECHNICAL ASSISTANCE PARTNERSHIP OF ARIZONA | |||||||
| 2929 N CENTRAL AVENUE SUITE 1550 | PHOENIX | AZ | 85012 | 860975231 | 501(C)(3) | $17,500 | PROGRAM SUPPORT |
| TEEN LIFELINE | |||||||
| PO BOX 10745 | PHOENIX | AZ | 85064 | 860966427 | 501(C)(3) | $25,000 | PROGRAM SUPPORT |
| TERROS | |||||||
| 3003 N CENTRAL AVE STE 200 | PHOENIX | AZ | 85012 | 860252067 | 501(C)(3) | $10,000 | PROGRAM SUPPORT |
| THE ELLIOT FOUNDATION | |||||||
| 9210 E HACKAMORE DRIVE | SCOTTSDALE | AZ | 85255 | 823434555 | 501(C)(3) | $25,000 | PROGRAM SUPPORT |
| THE LEUKEMIA & LYMPHOMA SOCIETY | |||||||
| 3 INTERNATIONAL DRIVE SUITE 200 | RYE BROOK | NY | 10573 | 135644916 | 501(C)(3) | $5,500 | PROGRAM SUPPORT |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 27 | Total501c3OrgCnt |
| Total Other Org | 2 | TotalOtherOrgCnt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART I, LINE 2: | FormAndLineReferenceDesc |
| Explanation | MERCY CARE AWARDS FUNDS TO RECIPIENTS THAT DEMONSTRATE THE NEED AND ABILITY TO FOLLOW THROUGH ON AN INITIATIVE IDENTIFIED IN THE COMMUNITY REINVESTMENT PROJECT PLAN. FUNDS ARE PAID OUT TO THE AWARDED RECIPIENTS AS DESIGNATED PER THE APPROVED COMMUNITY REINVESTMENT PLAN. RECIPIENTS SIGN AN AGREEMENT WITH MERCY CARE TO USE THE FUNDS ONLY FOR THE DESIGNATED PURPOSES, AND WITHIN A SPECIFIC TIMELINE. MERCY CARE SUPPORTS PUBLIC CHARITIES IN ARIZONA. AFTER PAYMENT IS MADE, NO FURTHER MONITORING IS CONSIDERED NECESSARY. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | 0 | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (2 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| LORRY BOTTRILL | ||||||||||||||
| BOARD MEMBER, PRESIDENT, CEO | $317,850 | $0 | $160,184 | $0 | $906 | $0 | $0 | $0 | $1,583 | $0 | $480,523 | $0 | $0 | $0 |
| RANDY EK | ||||||||||||||
| CFO | $212,283 | $0 | $88,367 | $0 | $1,084 | $0 | $0 | $0 | $1,583 | $0 | $303,317 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | FORM 990, SCHEDULE J | FormAndLineReferenceDesc |
| Explanation | SCHEDULE J, PART II - COMPENSATION REPORTED FOR SERVICES PROVIDED BY THE CEO AND CFO IS PAID BY AN UNRELATED PARTY, AETNA MEDICAID ADMINISTRATORS. | ExplanationTxt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (10 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION A, LINE 2 | MERCY CARE HAS BOARD MEMBERS WHO WORK FOR THE SPONSOR ORGANIZATIONS, DIGNITY HEALTH AND ASCENSION CARE MANAGEMENT. LINDA HUNT, DOUG WATSON, TAMMY WILCOX, KEITH FREY, JACKIE ARAGON AND MARK SLYTER HAVE A BUSINESS RELATIONSHIP THROUGH EMPLOYMENT WITH DIGNITY HEALTH. ROBERT SMITH, JANET WALKER, TIM MOORHEAD, ADAM DURRALL, AND MARINAN WILLIAMS HAVE A BUSINESS RELATIONSHIP WITH ASCENSION CARE MANAGEMENT. |
| FORM 990, PART VI, SECTION A, LINE 3 | MERCY CARE HAS A MANAGEMENT AGREEMENT WITH AETNA MEDICAID ADMINISTRATORS TO COVER EMPLOYEE SALARY AND BENEFIT COSTS AND GENERAL AND ADMINISTRATIVE EXPENSES INCURRED TO OPERATE THE ORGANIZATION. MERCY CARE HAS NO DIRECT EMPLOYEES. |
| FORM 990, PART VI, SECTION A, LINE 6 | MERCY CARE IS A NONPROFIT CORPORATION WHOSE SPONSOR (MEMBER) ORGANIZATIONS ARE DIGNITY HEALTH AND ASCENSION CARE MANAGEMENT. |
| FORM 990, PART VI, SECTION A, LINE 7A | BOTH DIGNITY HEALTH AND ASCENSION CARE MANAGEMENT SHALL EACH HAVE THE POWER TO NOMINATE AN EVEN NUMBER OF PERSONS UP TO FOUR (4) TO THE BOARD OF DIRECTORS OF THIS CORPORATION. |
| FORM 990, PART VI, SECTION A, LINE 7B | ANY ACTION REQUIRED OR PERMITTED TO BE TAKEN PURSUANT TO THESE ARTICLES BY THE CORPORATE MEMBERS SHALL BE VALID ONLY IF SUCH ACTION HAS RECEIVED THE APPROPRIATE INTERNAL APPROVAL OF EACH VOTING MEMBER ORGANIZATION. IT IS ACKNOWLEDGED THAT THE AUTHORITY OF THE VOTING MEMBER TO GRANT APPROVAL OF THE ACTIONS SET FORTH ABOVE IS, IN CERTAIN INSTANCES, SUBJECT TO RESTRICTIONS WHICH MAY REQUIRE THE MEMBERS TO OBTAIN THE APPROVAL OF CONSENT OF OTHERS WITHIN THE SPONSORING ORGANIZATIONS. |
| FORM 990, PART VI, SECTION B, LINE 11B | THE FORM 990 IS REVIEWED BY THE MERCY CARE EXECUTIVE MANAGEMENT, EXTERNAL ACCOUNTANTS AND THE MERCY CARE AUDIT AND COMPLIANCE COMMITTEE. |
| FORM 990, PART VI, SECTION B, LINE 12C | MERCY CARE HAS A CONFLICT OF INTEREST POLICY. ALL MERCY CARE CORPORATE MEMBERS, BOARD OF DIRECTORS AND COMMITTEES, AND THE CORPORATE OFFICERS OF MERCY CARE SHALL PREPARE AND SUBMIT TO THE FILING OFFICER ON AN ANNUAL BASIS, NO LATER THAN JULY 31 OF EACH CALENDAR YEAR, AN ANNUAL CONFLICTS OF INTEREST DISCLOSURE STATEMENT. THE CONFLICT OF INTEREST MUST BE FULLY DISCLOSED TO THE BOARD OR COMMITTEE PRIOR TO CONSIDERATION OF AN AFFECTED BUSINESS TRANSACTION. THE INTERESTED PERSON WILL BE COUNTED IN DETERMINING THE PRESENCE OF A QUORUM, BUT WILL NOT BE ELIGIBLE TO VOTE ON THE CONTRACT OR TRANSACTION. THE INTERESTED PERSON MAY PARTICIPATE IN DISCUSSIONS REGARDING THE AFFECTED BUSINESS TRANSACTION, BUT WILL BE EXCUSED FROM THE MEETING PRIOR TO COMPLETION OF THE DISCUSSION, AND DOES NOT RETURN UNTIL DISCUSSION AND VOTING ON THE MATTER HAVE BEEN CONCLUDED. |
| FORM 990, PART VI, SECTION B, LINE 15 | MERCY CARE CONTRACTS WITH AETNA MEDICAID ADMINISTRATORS TO PROVIDE ALL MANAGEMENT SERVICES FOR MERCY CARE. THIS ENTITY DOES NOT HAVE ANY DIRECT EMPLOYEES. |
| FORM 990, PART VI, SECTION C, LINE 19 | THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND AUDITED FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST. |
| FORM 990, PART XI, LINE 9: | DISTRIBUTION TO ASCENSION CARE MANAGEMENT -49,750,000. DISTRIBUTION TO DIGNITY HEALTH -49,750,000. DECREASE IN NOTE RECEIVABLE FROM EQUALITY FOUNDATION 214,286. |