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MERCY CARE
PHOENIX, AZ · EIN 860527381 · Form 990 · FY2021 · NTEE Z99 · Unknown · Very Large (>$50M) · www.mercycareaz.org
revenue
$4.5B
expenses
$4.4B
net assets
$412.2M
employees
0
program ratio
89%
mission · from form 990

TO ADDRESS AND ADVOCATE FOR THE COMPREHENSIVE HEALTH OF OUR MEMBERS AND FAMILIES, INCLUDING CIRCUMSTANCES THAT IMPACT THEIR WELL-BEING, WITH SPECIAL CONSIDERATION FOR THE UNDERSERVED AND THOSE WITH COMPLEX HEALTH NEEDS REGARDLESS OF RACE, COLOR, RELIGION, ETHNICITY, NATIONAL ORIGIN, SEX, SEXUAL ORIENTATION, GENDER IDENTITY, AGE OR DISABILITY.

profile · synthesized from sources

Mercy Care is a non-profit managed care organization providing health coverage to individuals eligible for Arizona Health Care Cost Containment System (AHCCCS) benefits and Medicare services. They offer integrated physical and behavioral healthcare through various plans tailored for specific populations across Arizona, including those with serious mental illness, long-term care needs, developmental disabilities, and children in foster care.

irs program accomplishments · form 990 part iii · fy2021

what they reported doing

Program narrative the organization filed with the IRS. Ordered by program spending.

  1. #1 primary $7.25M
    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.
named programs · 9 · from sources

what they call their work

Children's Liaisons
Provides support for services and navigating the healthcare system, including Jacob's Law support and Children's Behavioral Health Liaison services.
Community Resource Guide
Provides resources on various topics from tobacco cessation to life care planning, and support for disabilities, veterans, and tribal communities.
Get well Phoenix
Offers no-cost behavioral health services to residents in Phoenix.
Mercy Care ACC-RBHA
Provides physical and behavioral health care coverage for AHCCCS members, including those with a serious mental illness (SMI) designation, in Maricopa, Pinal, and Gila counties.
Mercy Care Advantage (HMO SNP)
A Health Maintenance Organization Special Needs Plan (HMO SNP) that provides Medicare benefits to people who qualify for both Medicaid and Medicare Parts A and B across various counties in Arizona.
Mercy Care DCS CHP
Provides physical and behavioral health care coverage for all children and youth in foster (out-of-home) care statewide.
Mercy Care Developmental Disabilities
Provides physical and behavioral health care coverage with limited long-term services and support for members of the Division of Developmental Disabilities (DDD) and Arizona Long Term Care System (ALTCS) statewide.
Mercy Care Long Term Care
Provides physical and behavioral health care coverage for Elderly and Physically Disabled (EPD) Long Term Care (LTC) members as part of the Arizona Long Term Care System (ALTCS) in Maricopa, Gila, Pima, and Pinal counties.
Nurse Line
Offers general health advice 24 hours a day, 7 days a week.
activities · 7 groups

what they do

  • Integrated Physical and Behavioral Health Coverage 10 activities
    • Health Care Coverage for AHCCCS Members
      Provides physical and behavioral health care coverage to AHCCCS members, including those with serious mental illness, in Maricopa, Pinal, and Gila counties, and offers integrated health care services to children, adults, and seniors eligible for AHCCCS.
    • Health Care Coverage for AHCCCS Members
      Provides physical and behavioral health care coverage to AHCCCS members, including those with serious mental illness, in Maricopa, Pinal, and Gila counties, and offers integrated health care services to children, adults, and seniors eligible for AHCCCS.
    • Health Care Coverage for Elderly and Physically Disabled Long Term Care Members
      Provides physical and behavioral health care coverage to Elderly and Physically Disabled Long Term Care members through ALTCS in Maricopa, Gila, Pima, and Pinal counties, and across Arizona.
    • Health Care Coverage for Elderly and Physically Disabled Long Term Care Members
      Provides physical and behavioral health care coverage to Elderly and Physically Disabled Long Term Care members through ALTCS in Maricopa, Gila, Pima, and Pinal counties, and through the Arizona Long Term Care System.
    • Health Care Coverage for Individuals with Developmental or Cognitive Disabilities
      Provides physical and behavioral health care coverage and limited long-term services and supports to members with developmental or cognitive disabilities through DDD and ALTCS across Arizona.
    • Health Care Coverage for Individuals with Developmental or Cognitive Disabilities
      Provides physical and behavioral health care coverage and limited long-term services and supports to members with developmental or cognitive disabilities through DDD and ALTCS across Arizona.
    • Health care for Elderly and Physically Disabled Long Term Care members via ALTCS
      Provides physical and behavioral health care coverage and medical services to Elderly and Physically Disabled Long Term Care members through the Arizona Long Term Care System (ALTCS) in Maricopa, Gila, Pima, and Pinal counties.
    • Health care for individuals with developmental or cognitive disabilities
      Provides physical and behavioral health care coverage, along with limited long-term services and supports, to individuals with developmental or cognitive disabilities enrolled through DDD or ALTCS across Arizona.
    • Long-term care health services for elderly and disabled adults
      Provides physical and behavioral health care and long-term services and supports to Elderly and Physically Disabled Long Term Care members through ALTCS across Maricopa, Gila, Pima, and Pinal counties.
    • Physical and behavioral health care for AHCCCS members
      Provides integrated physical and behavioral health care coverage to AHCCCS members, including those with serious mental illness, in Maricopa, Pinal, and Gila counties. Services include general mental health and substance use disorder support.
  • 24/7 Crisis Hotline Operations 6 activities
    • 24/7 Nurse Line for member health advice
      Operates a 24/7 Nurse Line that provides general health advice to members at any time, supporting access to care and health guidance outside regular business hours.
    • 24/7 Nurse Line for member health advice
      Operates a 24/7 Nurse Line that provides general health advice to members at any time.
    • Member Support and Health Advice Lines
      Operates a member support line, a 24/7 Nurse Line for general health advice, and a behavioral health crisis line and text service for members.
    • Member Support and Health Advice Lines
      Operates a member support line, a 24/7 Nurse Line for general health advice, and a behavioral health crisis line and text service for members.
    • Member support and care navigation services
      Operates a member support line (7 a.m. to 6 p.m., Monday–Friday) and offers a network of healthcare providers, care coordination, and dedicated Children's Liaisons to help members access services and navigate the health care system, including support under Jacob’s Law.
    • Member support and care navigation services
      Operates a member support line available Monday to Friday, 7 a.m. to 6 p.m., and offers a network of healthcare providers and support staff to help members access care and understand their health coverage.
  • Child Trafficking Survivor Support 4 activities
    • Comprehensive health care for children and youth in foster care
      Provides behavioral and physical health care coverage to all children and youth in Arizona foster care through the Department of Child Safety Comprehensive Health Plan, including crisis response and dedicated case navigation support.
    • Comprehensive health services for children and youth in foster care
      Provides behavioral and physical health care coverage to all children and youth in Arizona foster care through the Department of Child Safety Comprehensive Health Plan, including crisis response via phone or text and dedicated Children's Liaisons to support care navigation, including under Jacob’s Law.
    • Health Care Coverage for Children and Youth in Foster Care
      Provides behavioral and physical health care coverage to all children and youth in Arizona foster care through the Department of Child Safety Comprehensive Health Plan, including a crisis response line and dedicated Children's Liaisons.
    • Health Care Coverage for Children and Youth in Foster Care
      Provides behavioral and physical health care coverage to all children and youth in Arizona foster care through the Department of Child Safety Comprehensive Health Plan, including a crisis response line and dedicated Children's Liaisons.
  • Medicare and Public Benefits Assistance 4 activities
    • Medicare Special Needs Plan
      Offers a Medicare special needs plan (HMO SNP) providing Medicare Parts A and B benefits to individuals dually eligible for Medicaid and Medicare.
    • Medicare Special Needs Plan (HMO SNP)
      Offers a Medicare special needs plan (HMO SNP) providing Medicare Parts A and B benefits to individuals dually eligible for Medicaid and Medicare.
    • Medicare Special Needs Plan for dually eligible individuals
      Offers a Medicare special needs plan (HMO SNP) providing Medicare Parts A and B benefits to individuals dually eligible for Medicaid and Medicare, under the Mercy Care Advantage program.
    • Medicare special needs plan for dually eligible individuals
      Offers a Medicare special needs plan (HMO SNP) providing Medicare Parts A and B benefits to individuals dually eligible for Medicaid and Medicare, branded as Mercy Care Advantage.
  • Vaccination Access and Education Services 2 activities
    • Free flu vaccinations for participants
      Provides no-cost, no-prescription flu vaccinations to eligible participants.
    • Influenza Vaccinations
      Provides influenza vaccinations without a prescription or cost to participants.
  • Health Insurance Enrollment Assistance 2 activities
    • Healthcare Navigation and Access
      Offers a network of healthcare providers and support to help members access care, understand their health coverage, and navigate the healthcare system through the Office of Individual and Family Affairs (OIFA) team.
    • Healthcare Navigation and Provider Network
      Offers a network of healthcare providers and support to help members access care and understand their health coverage, including an Office of Individual and Family Affairs (OIFA) team to assist with navigation and concerns.
  • Uncategorized 9 activities
    • Behavioral Health Services and Substance Use Disorder Treatment
      Provides free behavioral health services to residents in the city of Phoenix and offers information and access to treatment for mental health conditions or substance use disorders (SUDs) for individuals without coverage, leveraging state and federal grants.
    • Behavioral Health Services for Uninsured Individuals
      Provides information and access to treatment for mental health conditions or substance use disorders (SUDs) for individuals without coverage, leveraging state and federal grants, and offers free behavioral health services to Phoenix residents.
    • Capacity-building grants to community organizations
      Provides financial support to community-based organizations through the Mercy C.A.R.E.S. program, such as a $130,000 grant to El Consejo Pima on Aging to strengthen local service capacity.
    • Capacity-building grants to community organizations
      Provides financial grants to community-based organizations through the Mercy C.A.R.E.S. program, such as a $130,000 grant to El Consejo Pima on Aging.
    • Community Grants
      Awards grants to community organizations through the Mercy C.A.R.E.S. program, such as a $130,000 grant to El Consejo Pima sobre el Envejecimiento.
    • Community Grants
      Awards grants to community organizations through the Mercy C.A.R.E.S. program, such as a $130,000 grant to El Consejo Pima sobre el Envejecimiento.
    • Free behavioral health services and flu vaccines for Phoenix residents
      Provides free behavioral health services to residents in the city of Phoenix and offers no-cost, no-prescription-needed flu vaccines to participants, expanding access to preventive and mental health care.
    • Free behavioral health services for uninsured Phoenix residents
      Provides free behavioral health services to uninsured individuals in the city of Phoenix, funded through state and federal grants.
    • Free mental health and substance use treatment for uninsured individuals
      Provides information and access to treatment for mental health conditions or substance use disorders (SUDs) for individuals without health coverage, using state and federal grants to fund services.
financials · form 990 · fy2021
revenue
Total revenue$4.51B
Contributions & grants$149.72M3%
Program service revenue$4.34B96%
Investment income$27.22M1%
Other revenue$0
expenses
Total expenses$4.39B
Program expenses89%
Admin / overhead11%
Fundraising0%
Salaries & benefits$837K
Grants paid out$7.82M
Largest expense lineProfessional Fees
balance sheet
Total assets$1.20B
Cash$565.85M
Investments$437.09M
Liabilities$784.44M
Net assets$412.24M
Liquid reserves2.7 mo
3 years on record · 2019–2021 · YoY revenue +8.7%
leadership · form 990 part vii · fy2021

who runs it

paid leadership · 2
NameTitleHours/wkCompensation
LORRY BOTTRILL BOARD MEMBER, PRESIDENT, AND CEO 40 $523K
RANDY EK CFO 40 $313K
board members · 10
  • ADAM DURRAL — BOARD MEMBER
  • DR BRIAN TIFFANY — BOARD MEMBER
  • JON SOHN — BOARD MEMBER
  • LARRY BLUMENTHAL — BOARD MEMBER
  • LINDA HUNT — BOARD MEMBER
  • MARINAN WILLIAMS — BOARD MEMBER
  • MARK SLYTER — BOARD MEMBER
  • ROBERT SMITH — BOARD CHAIRPERSON
  • TAMMY WILCOX — BOARD MEMBER
  • TIM MOORHEAD — BOARD MEMBER
relationships · 23

who they work with

  • Arizona Health Care Cost Containment System Government — Primary state agency through which Mercy Care delivers Medicaid-covered services.
  • Arizona Health Care Cost Containment System Government — Provides Medicaid coverage through AHCCCS, with Mercy Care serving as a managed care plan.
  • Arizona Health Care Cost Containment System (AHCCCS) Government — Collaborates with AHCCCS for identity verification and integrated coverage for Medicaid and Medicare beneficiaries.
  • Arizona Health Care Cost Containment System (AHCCCS) Government — Operates under contracts with AHCCCS to provide health plans.
  • Arizona Health Care Cost Containment System (AHCCCS) Government — Works with AHCCCS for renewal of coverage and eligibility determination for ACC-RBHA and ACC-RBHA with SMI plans.
  • Arizona Long Term Care System Government — Delivers long-term care services to EPD and DDD members as part of ALTCS.
  • Arizona Long Term Care System Government — Provides care and services as part of the Arizona Long Term Care System (ALTCS).
  • Arizona Long Term Care System (ALTCS) Government — Directs members to ALTCS for updating contact information and renewals for Mercy Care Long Term Care plans.
  • Centers for Medicare & Medicaid Services (CMS) Government — Follows CMS policies such as the Best Available Evidence (BAE) policy to determine cost-sharing for low-income members.
  • Department of Child Safety Government — Implements the Comprehensive Health Plan for children and youth in foster care under contract with DCS.
  • Department of Child Safety Government — Provides comprehensive health plan services for children and youth in foster care under DCS CHP.
  • Department of Child Safety Government — State agency through which Mercy Care provides health care coverage to children and youth in foster care.
  • Division of Developmental Disabilities Government — Partners with DDD to provide health care and long-term services to members with developmental disabilities.
  • Division of Developmental Disabilities Government — State agency partner for delivering long-term care services to individuals with developmental disabilities.
  • Division of Developmental Disabilities (DDD) Government — Directs members to DDD for updating contact information and renewals for Mercy Care Developmental Disabilities plans.
  • Division of Developmental Disabilities (DDD) Government — Provides services to members statewide under the DDD program.
  • El Consejo Pima sobre el Envejecimiento Partner — Organización receptora de una subvención del programa Mercy C.A.R.E.S. para servicios comunitarios.
  • Health Insurance Marketplace® Partner — Refers individuals who no longer qualify for benefits to the Health Insurance Marketplace® for alternative health coverage options.
  • Health-e-Arizona Plus Partner — Directs members to Health-e-Arizona Plus to update contact information and check renewal status for ACC-RBHA and ACC-RBHA with SMI plans.
  • Indian Health Services Partner — Collaborates to provide health services to tribal children and youth in foster care.
  • Tribally Operated 638 Health Care Facilities Partner — Provides access to health services for tribal children and youth in foster care.
  • Urban Indian Health Programs Partner — Offers health services to urban Native American children and youth in foster care.
  • مجلس بيما للشيخوخة Partner — تلقى دعمًا ماليًا بقيمة 130 ألف دولار من برنامج Mercy C.A.R.E.S.