COMPASS COOPERATIVE HEALTH PLAN INC: Form 990, tax year 2016
View the entire original 990 at ProPublica ↗
- Organization
- COMPASS COOPERATIVE HEALTH PLAN INC (EIN 46-1509576)
- Tax period
- 2016-01-01 to 2016-12-31
- Filed
- 2017-11-09
- IRS object ID
- 201743139349303114
- Schema version
- 2016v3.0
- 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 | 2017-11-09T15:42:06-06:00 | ReturnTs |
| Tax Period End | 2016-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 860683059 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BEACHFLEISCHMAN PC | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1985 EAST RIVER ROAD SUITE 201 | AddressLine1Txt |
| City | TUCSON | CityNm |
| State Abbreviation | AZ | StateAbbreviationCd |
| ZIP | 85718 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2016-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 461509576 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | COMPASS COOPERATIVE HEALTH PLAN INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | COMP | BusinessNameControlTxt |
| Phone | 6029572113 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 15333 N PIMA RD SUITE 305 | AddressLine1Txt |
| City | SCOTTSDALE | CityNm |
| State Abbreviation | AZ | StateAbbreviationCd |
| ZIP | 852602717 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | DARREN ELLINGSON | PersonNm |
| Person Title | SPECIAL DEPUTY RECEIVER | PersonTitleTxt |
| Phone | 6029572113 | PhoneNum |
| Signature | 2017-11-01 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | KAREN K MCCLOSKEY CPA | PreparerPersonNm |
| PTIN | P00099644 | PTIN |
| Phone | 5203214600 | PhoneNum |
Filing Security Information FilingSecurityInformation
IP Address IPAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| I Pv4 Address | 64.128.200.66 | IPv4AddressTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IP | 2017-11-01 | IPDt |
| IP Tm | 11:00:30 | IPTm |
| IP Timezone | PD | IPTimezoneCd |
| Filing License Type | P | FilingLicenseTypeCd |
| At Submission Creation Device Id | 55503C6901EC926464890FD20C246F2690D179B8 | AtSubmissionCreationDeviceId |
| At Submission Filing Device Id | AFFAC29B9D440C7753BFE4B45ABB66C0235D4EF1 | AtSubmissionFilingDeviceId |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2016 | TaxYr |
| Build TS | 2018-03-14 21:41:22Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Change | Yes (X) | AddressChangeInd |
Doing Business As Name DoingBusinessAsName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MERITUS HEALTH PARTNERS | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | DARREN ELLINGSON | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 15333 N PIMA RD SUITE 305 | AddressLine1Txt |
| City | SCOTTSDALE | CityNm |
| State Abbreviation | AZ | StateAbbreviationCd |
| ZIP | 852602717 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $19,442,192 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c | Yes (X) | Organization501cInd |
| Website Address | WWW.MERITUSAZ.COM | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 2012 | FormationYr |
| Legal Domicile State | AZ | LegalDomicileStateCd |
| Activity Or Mission | MERITUS IS ORGANIZED AS A HEALTH INSURANCE CO-OP PURSUANT TO SECTION 1322 OF THE AFFORDABLE CARE ACT AND PROVIDES HEALTH INSURANCE TO INDIVIDUALS AND SMALL GROUPS IN THE STATE OF ARIZONA BOTH ON AND OFF THE FEDERAL HEALTH INSURANCE EXCHANGE. IN THE YEAR 2016 MERITUS WAS PLACED IN RECEIVERSHIP BY THE ARIZONA DEPARTMENT OF INSURANCE AND DID NOT SELL ANY HEALTH INSURANCE COVERAGE. | ActivityOrMissionDesc |
| Contract Termination | Yes (X) | ContractTerminationInd |
| Voting Members Governing Body | 0 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 0 | VotingMembersIndependentCnt |
| Total Employee | 60 | TotalEmployeeCnt |
| Total Volunteers | 5 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $0 | PYContributionsGrantsAmt |
| CY Contributions Grants | $0 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $98,571,976 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $19,429,719 | CYProgramServiceRevenueAmt |
| PY Investment Income | $6,190 | PYInvestmentIncomeAmt |
| CY Investment Income | $12,473 | CYInvestmentIncomeAmt |
| PY Other Revenue | $0 | PYOtherRevenueAmt |
| CY Other Revenue | $0 | CYOtherRevenueAmt |
| PY Total Revenue | $98,578,166 | PYTotalRevenueAmt |
| CY Total Revenue | $19,442,192 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $3,315 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $6,270,835 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $3,181,313 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $118,035,152 | PYOtherExpensesAmt |
| CY Other Expenses | $87,622,582 | CYOtherExpensesAmt |
| PY Total Expenses | $124,309,302 | PYTotalExpensesAmt |
| CY Total Expenses | $90,803,895 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$25,731,136 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$71,361,703 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | -$1,621,558 | TotalAssetsBOYAmt |
| Total Assets EOY | $5,479,761 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $24,854,349 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $114,979,404 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | -$26,475,907 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | -$109,499,643 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | MERITUS WAS ESTABLISHED AS A HEALTH INSURANCE COMPANY THAT WOULD FACILITATE THE DELIVERY OF QUALITY CARE PROVIDING HEALTH INSURANCE TO INDIVIDUALS AND SMALL GROUPS. IN 2016 MERITUS CEASED SELLING HEALTH INSURANCE COVERAGE AND WAS PLACED INTO RECEIVERSHIP BY THE MARICOPA COUNTY SUPERIOR COURT. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | Yes (1) | SignificantChangeInd |
| Desc | THE COMPANY WAS ORGANIZED AS A NONPROFIT HEALTH PLAN COOPERATIVE. THE AFFORDABLE CARE ACT ENABLED A NEW TYPE OF HEALTH INSURER CALLED A CONSUMER ORIENTED AND OPERATED PLAN, MORE COMMONLY KNOWN AS A CO-OP. CO-OPS, REGULATED BY EACH STATE'S DEPARTMENT OF INSURANCE, ARE DIRECTED BY THEIR CUSTOMERS AND DESIGNED TO OFFER INDIVIDUALS, FAMILIES AND SMALL BUSINESSES MORE AFFORDABLE, CONSUMER-FRIENDLY AND HIGH-QUALITY HEALTH INSURANCE OPTIONS. ON OR BEFORE DECEMBER 31, 2016 MERITUS SUSPENDED THE ISSUANCE OF NEW OR RENEWAL BUSINESS AND CANCELLED ALL EXISTING POLICIES. IN ADDITION, MERITUS WAS PLACES UNDER THE ARIZONA DEPARTMENT OF INSURANCE SUPERVISION AND SUBSEQUENTLY ON AUGUST 10, 2016 INTO LIQUIDATION BY THE MARICOPA COUNTY SUPERIOR COURT. | Desc |
| Described In Section501c3 | 0 | DescribedInSection501c3Ind |
| Schedule B Required | 0 | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Temp Or Permanent Endowments | 0 | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | 0 | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | Yes (1) | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | 0 | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | 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 | 0 | 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 With Officer Ent | 0 | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | Yes (1) | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | 0 | RelatedOrganizationCtrlEntInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 621 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 60 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| 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 |
| Licensed More Than One State | 0 | LicensedMoreThanOneStateInd |
| State Required Reserves | $0 | StateRequiredReservesAmt |
| Reserves Maintained | $0 | ReservesMaintainedAmt |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 0 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 0 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | 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 | 0 | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | 0 | 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 | Yes (1) | 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 | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (1) | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | AZ | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | DARREN ELLINGSON SPECIAL DEPUTY RECEIVER | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 6029572113 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1533 N PIMA RD SUITE 305 | AddressLine1Txt |
| City | SCOTTSDALE | CityNm |
| State Abbreviation | AZ | StateAbbreviationCd |
| ZIP | 85260 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (13 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | OfficerOfficerInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|
| LANCE DONKERBROOK | ||||||||
| DIRECTOR | 2.20 | 0.40 | Yes (X) | $0 | $0 | $0 | ||
| CARRIE MATTESON | ||||||||
| DIRECTOR | 2.20 | 0.40 | Yes (X) | $0 | $0 | $0 | ||
| RICHARD J VOTH SR | ||||||||
| DIRECTOR | 2.20 | 0.40 | Yes (X) | $0 | $0 | $0 | ||
| MARILYN TEPLITZ | ||||||||
| DIRECTOR | 2.20 | 0.40 | Yes (X) | $0 | $0 | $0 | ||
| LAWRENCE ALDRICH | ||||||||
| SECRETARY | 2.20 | 0.40 | Yes (X) | $0 | $0 | $0 | Yes (X) | |
| THOMAS S ZUMTOBEL | ||||||||
| CHIEF EXEC. OFFICER (THRU 8/11/16) | 36.00 | 4.00 | $231,945 | $25,771 | $0 | Yes (X) | ||
| THOMAS J NAPOLITANO | ||||||||
| CHIEF FIN. OFFICER (THRU 11/26/16) | 36.00 | 4.00 | $374,175 | $41,575 | $14,253 | Yes (X) | ||
| JAMES J WALSH JR | ||||||||
| CHIEF OP. OFFICER (THRU 1/9/16) | 36.00 | 4.00 | $63,139 | $7,015 | $0 | Yes (X) | ||
| LAURIE A BLAKE | ||||||||
| DIRECTOR, QUALITY (THRU 12/31/16) | 36.00 | 4.00 | $196,383 | $21,820 | $15,488 | Yes (X) | ||
| JEANICE CADY | ||||||||
| SENIOR ACCOUNTANT | 36.00 | 4.00 | $114,114 | $12,679 | $5,033 | Yes (X) | ||
| KEVIN M GIBBS | ||||||||
| CONTROLLER (THRU 7/20/16) | 36.00 | 4.00 | $137,862 | $15,318 | $562 | Yes (X) | ||
| THERESA M MAHLER | ||||||||
| DIR. BUS. TRANS. (THRU 5/14/16) | 36.00 | 4.00 | $112,368 | $12,485 | $2,168 | Yes (X) | ||
| DEBRA M SINGPRADITH | ||||||||
| MANAGER NETWORK DEVELPOMENT | 36.00 | 4.00 | $117,169 | $13,019 | $8,953 | Yes (X) | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $1,347,155 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $149,682 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $46,457 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 5 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| CARE1ST | |||||
| 2355 E CAMELBACK ROAD SUITE 300 | PHOENIX | AZ | 85016 | TPA | $1,996,455 |
| ITEME CONSULTING | |||||
| 1806 CREEKSIDE LANE | DARIEN | IL | 60561 | IT CONSULTING | $194,885 |
| BUSINESS & DECISION NORTH AMERICA | |||||
| 900 WEST VALLEY ROAD 1000 | WAYNE | PA | 19087 | IT CONSULTING | $171,460 |
| SPERIDIAN TECHNOLOGIES | |||||
| 2400 LOUISIANA BLVD NE BLDG 3 | ALBUQUERQUE | NM | 87110 | IT CONSULTING | $120,000 |
| MICROSOFT CORPORATION | |||||
| PO BOX 842103 | DALLAS | TX | 752842103 | SOFTWARE | $114,779 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 5 | CntrctRcvdGreaterThan100KCnt |
Program Service Revenue ProgramServiceRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | CHANGE IN RISK CORRIDOR | Desc |
| Business | 524114 | BusinessCd |
| Total Revenue Column | $19,429,719 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $19,429,719 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $19,429,719 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $12,473 | TotalRevenueColumnAmt |
| Exclusion | $12,473 | ExclusionAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $19,442,192 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $19,429,719 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $12,473 | ExclusionAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $682,087 | TotalAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,174,682 | TotalAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $12,308 | TotalAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $118,576 | TotalAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $193,660 | TotalAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $30,225 | TotalAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $206,012 | TotalAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,940,100 | TotalAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $9,819 | TotalAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $176,052 | TotalAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $231,238 | TotalAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $263,549 | TotalAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,107 | TotalAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $19 | TotalAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $134,222 | TotalAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt |
|---|---|
| BAD DEBT EXPENSE | $76,327,312 |
| MEDICAL AND HOSPITAL EX | $7,085,616 |
| REINSURANCE RECOVERIES | $1,202,237 |
| TAXES AND FEES | $9,074 |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $90,803,895 | TotalAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $17,279,611 | BOYAmt |
| EOY | $4,679,375 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $836,351 | BOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $230,614 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,915,823 | BOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -$23,653,343 | BOYAmt |
| EOY | $569,772 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -$1,621,558 | BOYAmt |
| EOY | $5,479,761 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,176,208 | BOYAmt |
| EOY | $788,575 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $18,678,141 | BOYAmt |
| EOY | $114,190,829 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $24,854,349 | BOYAmt |
| EOY | $114,979,404 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Org Does Not Follow SFAS117 | Yes (X) | OrgDoesNotFollowSFAS117Ind |
Cap Stk Tr Prin Current Funds CapStkTrPrinCurrentFundsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Pd In Cap Srpls Land Bldg Eqp Fund PdInCapSrplsLandBldgEqpFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $51,652,071 | BOYAmt |
| EOY | $0 | EOYAmt |
Rtn Earn Endowment Incm Oth Fnds RtnEarnEndowmentIncmOthFndsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -$78,127,978 | BOYAmt |
| EOY | -$109,499,643 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -$26,475,907 | BOYAmt |
| EOY | -$109,499,643 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -$1,621,558 | BOYAmt |
| EOY | $5,479,761 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | -$71,361,703 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $39,990,038 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | -$51,652,071 | OtherChangesInNetAssetsAmt |
| Info In Schedule O Part XII | Yes (X) | InfoInScheduleOPartXIIInd |
| Method Of Accounting Other | Yes (X) | MethodOfAccountingOtherInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | 0 | FSAuditedInd |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequiredInd |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $0 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp (7 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| AMOUNTS RECOVERABLE FROM REINSURERS | $54,870 |
| AMOUNTS DUE FROM AFFILIATE | $62,716 |
| HEALTHCARE AND OTHER AMOUNTS RECEIVABLE | $288,752 |
| ACCRUED RISK CORRIDOR | $55,513,299 |
| RESERVED CMS RECEIVABLE | -$62,684,619 |
| ACCRUED FEDERAL REINSURANCE | $7,171,320 |
| NEGATIVE BALANCE CLAIMS | $163,434 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $569,772 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (8 entries)
| DescDesc | AmtAmt |
|---|---|
| CLAIMS UNPAID | $8,648,279 |
| LIABILITY FOR CSR CLAIMS | $3,807,544 |
| MEMBER MEDICAL REIMBURSEMENTS | $13,110 |
| RISK ADJUSTMENT TRANSFER | $49,285,083 |
| SOLVENCY LOAN TO MMHP | $510,975 |
| PICORRO TAX | $100,464 |
| VENDOR PAYABLES | $173,303 |
| SOLVENCY LOAN PAYABLE TO MMHP | $51,652,071 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $114,190,829 | TotalLiabilityAmt |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| SCHEDULE D, PART IX, OTHER ASSETS | OTHER ASSETS IS SUBJECT TO CHANGE BASED UPON FURTHER INVESTIGATION OF THE RECEIVER. |
| SCHEDULE D, PART X, OTHER LIABILITIES | THE MARICOPA COUNTY SUPERIOR COURT WILL MAKE A FINAL DETERMINATION OF LIABILITIES UPON THE RECEIVER COMPLETING THE PROOF OF CLAIM PROCESS AND MAKING A RECOMMENDATION TO THE COURT. |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| Written Employment Contract | Yes (X) | WrittenEmploymentContractInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | Yes (1) | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | 0 | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (4 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| THOMAS S ZUMTOBEL | ||||||||||||||
| CHIEF EXEC. OFFICER (THRU 8/11/16) | $38,099 | $4,233 | $0 | $0 | $193,846 | $21,538 | $0 | $0 | $0 | $0 | $231,945 | $25,771 | $0 | $0 |
| THOMAS J NAPOLITANO | ||||||||||||||
| CHIEF FIN. OFFICER (THRU 11/26/16) | $194,175 | $21,575 | $0 | $0 | $180,000 | $20,000 | $0 | $0 | $12,828 | $1,425 | $387,003 | $43,000 | $0 | $0 |
| LAURIE A BLAKE | ||||||||||||||
| DIRECTOR, QUALITY (THRU 12/31/16) | $130,953 | $14,550 | $0 | $0 | $65,430 | $7,270 | $0 | $0 | $13,939 | $1,549 | $210,322 | $23,369 | $0 | $0 |
| KEVIN M GIBBS | ||||||||||||||
| CONTROLLER (THRU 7/20/16) | $74,862 | $8,318 | $0 | $0 | $63,000 | $7,000 | $0 | $0 | $506 | $56 | $138,368 | $15,374 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART I, LINE 4A | FormAndLineReferenceDesc |
| Explanation | THE FOLLOWING INDIVIDUALS RECEIVED SEVERANCE PAYMENTS FROM MERITUS MUTUAL HEALTH PARTNERS AND MERITUS HEALTH PARTNERS: THOMAS S ZUMTOBEL $215,384.64, THOMAS J NAPOLITANO $200,000, JAMES J WALSH JR. $45,000, LAURIE A BLAKE $72,700.01, KEVIN M GIBBS $70,000, THERESA M MAHLER $65,000. THE FOLLOWING INDIVIDUALS RECEIVED RETENTION PAYMENTS FROM MERITUS MUTUAL HEALTH PARTNERS AND MERITUS HEALTH PARTNERS: JEANICE CADY $41,500, DEBRA M SINGPRADITH $43,800. THESE AMOUNTS REPRESENT THE TOTAL RECEIVED FROM THE TWO MERITUS ENTITIES COMBINED. | ExplanationTxt |
Schedule N IRS990ScheduleN
Disposition Of Assets Detail DispositionOfAssetsDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Assets Distri Or Expnss Paid | SEE PART III | AssetsDistriOrExpnssPaidDesc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Director Of Successor2 | 0 | DirectorOfSuccessor2Ind |
| Employee Of Successor2 | 0 | EmployeeOfSuccessor2Ind |
| Owner Of Successor2 | 0 | OwnerOfSuccessor2Ind |
| Receive Compensation2 | 0 | ReceiveCompensation2Ind |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE N, PART II, LINE 1 | FormAndLineReferenceDesc |
| Explanation | ON AUGUST 10, 2016, THE MARICOPA COUNTY SUPERIOR COURT ISSUED A RECEIVERSHIP ORDER AGAINST COMPASS COOPERATIVE MUTUAL HEALTH NETWORK (MERITUS MUTUAL HEALTH PARTNERS) AND COMPASS COOPERATIVE HEALTH PLAN (MERITUS HEALTH PLAN), COLLECTIVELY REFERRED TO AS MERITUS. UNDER THE RECEIVERSHIP ORDER, THE INTERIM DIRECTOR OF THE DEPARTMENT OF INSURANCE WAS APPOINTED AS RECEIVER AND LIQUIDATOR OF MERITUS AND WAS ORDERED TO TAKE POSSESSION OF THE ASSETS OF THE COMPANIES (WHEREVER LOCATED) AND TO ADMINISTER THE ASSETS UNDER THE ORDERS OF THE COURT. THE RECEIVER HAS BEEN VESTED BY OPERATION OF LAW WITH THE TITLE TO ALL OF THE PROPERTY, CONTRACTS AND RIGHTS OF ACTION, AND BOOKS AND RECORDS OF MERITUS AND HAS BEEN ORDERED TO LIQUIDATE MERITUS. | ExplanationTxt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (10 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART III, LINE 3 | IN 2016 MERITUS CEASED SELLING HEALTH INSURANCE POLICIES. ON AUGUST 10, 2016 THE MARICOPA COUNTY SUPERIOR COURT PLACED MERITUS INTO RECEIVERSHIP AND APPOINTED THE DIRECTOR OF ARIZONA DEPARTMENT OF INSURANCE AS RECEIVER. THE SOLE MISSION OF THE RECEIVER IS TO MARTIAL ASSETS AND LIQUIDATE THE COMPANY FOR THE BENEFIT OF ALL CREDITORS IN ACCORDANCE WITH ARIZONA LAW. |
| FORM 990, PART V, LINE 13A | AZ |
| FORM 990, PART VI, SECTION A, LINE 3 | IN 2016 MERITUS MUTUAL HEALTH PARTNERS TERMINATED EMPLOYMENT AGREEMENTS WITH THE CEO, COO, AND CFO. MERITUS WAS PLACED INTO RECEIVERSHIP BY THE MARICOPA COUNTY SUPERIOR COURT. |
| FORM 990, PART VI, SECTION A, LINE 6 | COMPASS COOPERATIVE MUTUAL HEALTH NETWORK, INC. (DBA MERITUS MUTUAL HEALTH PARTNERS) IS THE SOLE MEMBER OF THE CORPORATION. |
| FORM 990, PART VI, SECTION B, LINE 11B | FORM 990 IS PREPARED BY AN INDEPENDENT CPA USING INFORMATION PROVIDED BY THE ORGANIZATION. THE 990 FORM WILL BE REVIEWED BY DARREN ELLINGSON, SPECIAL DEPUTY RECEIVER APPOINTED BY THE DIRECTOR OF ARIZONA DEPARTMENT OF INSURANCE AS RECEIVER. |
| FORM 990, PART VI, SECTION B, LINE 12C | ON MARCH 11, 2014 THE MERITUS BOARD OF DIRECTORS APPROVED A "CONFLICTS OF INTEREST" POLICY REQUIRING THE DIRECTORS AND OFFICERS TO DISCLOSE ANY CONFLICTS OF INTEREST BETWEEN THEM AND THE ORGANIZATION FOR THE PURPOSE OF FULFILLING THEIR ETHICAL AND LEGAL DUTIES TO THE COMPANY AND ITS MEMBERS. THE POLICY REQUIRES "EACH MEMBER OF MERITUS LEADERSHIP WILL DISCLOSE ANY CONFLICTS OF INTEREST OR APPARENT CONFLICTS THROUGH AN ANNUAL DISCLOSURE STATEMENT." |
| FORM 990, PART VI, SECTION B, LINE 15 | IN 2016 MERITUS MUTUAL HEALTH PARTNERS TERMINATED EMPLOYMENT AGREEMENTS WITH THE CEO, COO, AND CFO. MERITUS WAS PLACED INTO RECEIVERSHIP BY THE MARICOPA COUNTY SUPERIOR COURT. |
| FORM 990, PART VI, SECTION C, LINE 19 | THRU AUGUST 2016 QUARTERLY AND ANNUAL FINANCIAL STATEMENTS, WHICH CONTAIN A DESCRIPTION OF THE CONFLICT OF INTEREST POLICY, ARE FILED WITH THE ARIZONA DEPARTMENT OF INSURANCE AND BECOME PUBLIC DOCUMENTS UPON THEIR FILING. ON AUGUST 10, 2016 THE MARICOPA COUNTY SUPERIOR COURT PLACED MERITUS INTO RECEIVERSHIP. FROM THAT POINT ON, THE COMPANY PREPARED FINANCIAL STATEMENTS IN ACCORDANCE WITH STATUTORY LIQUIDATION BASIS ACCOUNTING IN ACCORDANCE WITH GAAP PRINCIPLES. |
| FORM 990, PART XI, LINE 9: | SOLVENCY LOAN RECLASSIFIED FROM APIC TO DEBT -51,652,071. |
| FORM 990, PART XII, LINE 1: | THRU AUGUST 2016 THE FINANCIAL STATEMENTS HAVE BEEN PREPARED IN ACCORDANCE WITH THE NATIONAL ASSOCIATION OF INSURANCE COMMISSIONERS (NAIC) ACCOUNTING PRACTICES AND PROCEDURES MANUAL AND THE STATUTORY ACCOUNTING PRINCIPLES AS PRESCRIBED BY THE ARIZONA DEPARTMENT OF INSURANCE. ON AUGUST 10, 2016 THE MARICOPA COUNTY SUPERIOR COURT PLACED MERITUS INTO RECEIVERSHIP. FROM THAT POINT ON THE COMPANY NO LONGER FOLLOWS STATUTORY ACCOUNTING PRINCIPALS, INSTEAD FINANCIAL STATEMENTS ARE PREPARED IN ACCORDANCE WITH STATUTORY LIQUIDATION BASIS ACCOUNTING IN ACCORDANCE WITH GAAP PRINCIPLES. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp
Disregarded Entity Name DisregardedEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | COMPASS COOPERATIVE MUTUAL HEALTH NETWORK INC | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 15333 N PIMA RD SUITE 305 | AddressLine1Txt |
| City | SCOTTSDALE | CityNm |
| State Abbreviation | AZ | StateAbbreviationCd |
| ZIP | 85260 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 273835905 | EIN |
| Primary Activities | HEALTH CARE SERVICES | PrimaryActivitiesTxt |
| Legal Domicile State | AZ | LegalDomicileStateCd |
| Exempt Code Section | 501(C)(29) | ExemptCodeSectionTxt |
| Controlled Organization | 0 | ControlledOrganizationInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | 0 | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | 0 | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | Yes (1) | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | 0 | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | 0 | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | 0 | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | 0 | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | Yes (1) | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (1) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (1) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (1) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | 0 | TransferToOtherOrgInd |
| Transfer From Other Org | 0 | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (2 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| COMPASS COOPERATIVE MUTUAL HEALTH NETWORK | ||
| E | $51,652,071 | AMOUNT OF SURPLUS NOTES |
| COMPASS COOPERATIVE MUTUAL HEALTH NETWORK | ||
| P | $62,716 | AMOUNT DUE AT YEAR END |
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