Form990-PF


Department of the Treasury
Internal Revenue Service

Return of Private Foundation
or Section 4947(a)(1) Trust Treated as Private Foundation
bulletDo not enter social security numbers on this form as it may be made public.
bulletGo to www.irs.gov/Form990PF for instructions and the latest information.
OMB No. 1545-0047
2021
Open to Public Inspection
For calendar year 2021, or tax year beginning 01-01-2021 , and ending 12-31-2021
Name of foundation
Magellan Cares Foundation Inc
 
% Camille N Guillot
Number and street (or P.O. box number if mail is not delivered to street address)14100 Magellan Plaza Ste MO-08 Tax
  Room/suite
City or town, state or province, country, and ZIP or foreign postal code
Maryland Heights, MO63043
A Employer identification number

46-0730555
B Telephone number (see instructions)

(256) 737-3797
C bullet
G Check all that apply:

D 1. Foreign organizations, check here............. bullet
2. Foreign organizations meeting the 85%
test, check here and attach computation ... bullet
E bullet
H Check type of organization:
F bullet
I Fair market value of all assets at end
of year (from Part II, col. (c),
line 16)bullet$910J Accounting method:
 
(Part I, column (d) must be on cash basis.)
Part I Analysis of Revenue and Expenses (The total of amounts in columns (b), (c), and (d) may not necessarily equal the amounts in column (a) (see instructions).) (a) Revenue and
expenses per
books 		(b) Net investment
income 		(c) Adjusted net
income 		(d) Disbursements
for charitable
purposes
(cash basis only)
Revenue 1 Contributions, gifts, grants, etc., received (attach schedule) 495,591
2 Check bullet.............
3 Interest on savings and temporary cash investments      
4 Dividends and interest from securities...      
5a Gross rents............      
b Net rental income or (loss)  
6a Net gain or (loss) from sale of assets not on line 10 0
b Gross sales price for all assets on line 6a  
7 Capital gain net income (from Part IV, line 2)...  
8 Net short-term capital gain.........  
9 Income modifications...........  
10a Gross sales less returns and allowances  
b Less: Cost of goods sold....  
c Gross profit or (loss) (attach schedule)..... 0  
11 Other income (attach schedule)....... 0    
12 Total. Add lines 1 through 11........ 495,591 0  
Operating and Administrative Expenses 13 Compensation of officers, directors, trustees, etc.        
14 Other employee salaries and wages......        
15 Pension plans, employee benefits.......        
16a Legal fees (attach schedule)......... 0      
b Accounting fees (attach schedule)....... 0      
c Other professional fees (attach schedule).... Click to see attachment 22,154     22,154
17 Interest...............        
18 Taxes (attach schedule) (see instructions)... 0      
19 Depreciation (attach schedule) and depletion... 0    
20 Occupancy..............        
21 Travel, conferences, and meetings.......        
22 Printing and publications..........        
23 Other expenses (attach schedule)....... 0      
24 Total operating and administrative expenses.
Add lines 13 through 23.......... 22,154 0   22,154
25 Contributions, gifts, grants paid....... 502,664 502,664
26 Total expenses and disbursements. Add lines 24 and 25 524,818 0   524,818
27 Subtract line 26 from line 12:
a Excess of revenue over expenses and disbursements -29,227
b Net investment income (if negative, enter -0-) 0
c Adjusted net income (if negative, enter -0-)...  
For Paperwork Reduction Act Notice, see instructions.
Cat. No. 11289X Form 990-PF (2021)
Form 990-PF (2021)
Page 2
Part II Balance Sheets Attached schedules and amounts in the description column
should be for end-of-year amounts only. (See instructions.) 		Beginning of year End of year
(a) Book Value (b) Book Value (c) Fair Market Value
Assets 1 Cash—non-interest-bearing............. 12,128 910 910
2 Savings and temporary cash investments.........      
3 Accounts receivable bullet  
Less: allowance for doubtful accounts bullet        
4 Pledges receivable bullet  
Less: allowance for doubtful accounts bullet        
5 Grants receivable.................      
6 Receivables due from officers, directors, trustees, and other
disqualified persons (attach schedule) (see instructions).....   0  
7 Other notes and loans receivable (attach schedule) bullet  
Less: allowance for doubtful accounts bullet     0  
8 Inventories for sale or use..............      
9 Prepaid expenses and deferred charges.......... 18,009    
10a Investments—U.S. and state government obligations (attach schedule)   0  
b Investments—corporate stock (attach schedule).......   0  
c Investments—corporate bonds (attach schedule).......   0  
11 Investments—land, buildings, and equipment: basis bullet  
Less: accumulated depreciation (attach schedule) bullet     0  
12 Investments—mortgage loans.............      
13 Investments—other (attach schedule)..........   0  
14 Land, buildings, and equipment: basis bullet  
Less: accumulated depreciation (attach schedule) bullet     0  
15 Other assets (describe bullet) 0 0 0
16 Total assets (to be completed by all filers—see the
instructions. Also, see page 1, item I) 30,137 910 910
Liabilities 17 Accounts payable and accrued expenses..........    
18 Grants payable.................    
19 Deferred revenue.................    
20 Loans from officers, directors, trustees, and other disqualified persons   0
21 Mortgages and other notes payable (attach schedule)......   0
22 Other liabilities (describe bullet)    
23 Total liabilities (add lines 17 through 22).........   0
Net Assets or Fund Balances Foundations that follow FASB ASC 958, check here bullet
and complete lines 24, 25, 29 and 30.
24 Net assets without donor restrictions...........    
25 Net assets with donor restrictions............    
Foundations that do not follow FASB ASC 958, check here bullet
and complete lines 26 through 30.
26 Capital stock, trust principal, or current funds........ 30,137 910
27 Paid-in or capital surplus, or land, bldg., and equipment fund    
28 Retained earnings, accumulated income, endowment, or other funds    
29 Total net assets or fund balances (see instructions)..... 30,137 910
30 Total liabilities and net assets/fund balances (see instructions). 30,137 910
Part III
Analysis of Changes in Net Assets or Fund Balances
1
Total net assets or fund balances at beginning of year—Part II, column (a), line 29 (must agree with end-of-year figure reported on prior year’s return) ...............
1
30,137
2
Enter amount from Part I, line 27a .....................
2
-29,227
3
Other increases not included in line 2 (itemize) bullet
3
0
4
Add lines 1, 2, and 3 ..........................
4
910
5
Decreases not included in line 2 (itemize) bullet
5
0
6
Total net assets or fund balances at end of year (line 4 minus line 5)—Part II, column (b), line 29 .
6
910
Form 990-PF (2021)
Form 990-PF (2021)
Page 3
Part IV
Capital Gains and Losses for Tax on Investment Income
(a) List and describe the kind(s) of property sold (e.g., real estate,
2-story brick warehouse; or common stock, 200 shs. MLC Co.)		 (b)
How acquired
P—Purchase
D—Donation 		(c)
Date acquired
(mo., day, yr.) 		(d)
Date sold
(mo., day, yr.)
1a
b
c
d
e
(e)
Gross sales price 		(f)
Depreciation allowed
(or allowable) 		(g)
Cost or other basis
plus expense of sale 		(h)
Gain or (loss)
(e) plus (f) minus (g)
a
b
c
d
e
Complete only for assets showing gain in column (h) and owned by the foundation on 12/31/69 (l)
Gains (Col. (h) gain minus
col. (k), but not less than -0-) or
Losses (from col.(h))
(i)
F.M.V. as of 12/31/69 		(j)
Adjusted basis
as of 12/31/69 		(k)
Excess of col. (i)
over col. (j), if any
a
b
c
d
e
2 Capital gain net income or (net capital loss) Bracket If gain, also enter in Part I, line 7
If (loss), enter -0- in Part I, line 7		 Bracket 2  
3 Net short-term capital gain or (loss) as defined in sections 1222(5) and (6):
If gain, also enter in Part I, line 8, column (c) (see instructions). If (loss), enter -0-
in Part I, line 8 ................... 		Bracket 3  
Form 990-PF (2021)
Form 990-PF (2021)
Page 4
Part V
Excise Tax Based on Investment Income (Section 4940(a), 4940(b), 4940(e), or 4948—see instructions)
1a Exempt operating foundations described in section 4940(d)(2), check here Bullet and enter “N/A" on line 1. Bracket for line 1a
Date of ruling or determination letter:   (attach copy of letter if necessary–see instructions)
b All other domestic foundations enter 1.39% (0.0139) of line 27b. Exempt foreign organizations enter 4% (0.04) of Part I, line 12, col. (b)
2 Tax under section 511 (domestic section 4947(a)(1) trusts and taxable foundations only. Others enter -0-) 2 0
3 Add lines 1 and 2........................... 3  
4 Subtitle A (income) tax (domestic section 4947(a)(1) trusts and taxable foundations only. Others enter -0-) 4  
5 Tax based on investment income. Subtract line 4 from line 3. If zero or less, enter -0- ..... 5  
6 Credits/Payments:
a 2021 estimated tax payments and 2020 overpayment credited to 2021 6a  
b Exempt foreign organizations—tax withheld at source...... 6b  
c Tax paid with application for extension of time to file (Form 8868)... 6c  
d Backup withholding erroneously withheld ........... 6d  
7 Total credits and payments. Add lines 6a through 6d.............. 7  
8 Enter any penalty for underpayment of estimated tax. Check here if Form 2220 is attached. 8  
9 Tax due. If the total of lines 5 and 8 is more than line 7, enter amount owed.......Bullet 9  
10 Overpayment. If line 7 is more than the total of lines 5 and 8, enter the amount overpaid...Bullet 10  
11 Enter the amount of line 10 to be: Credited to 2022 estimated taxBullet0 RefundedBullet 11  
Part VI-A
Statements Regarding Activities
1a
During the tax year, did the foundation attempt to influence any national, state, or local legislation or did
Yes
No
it participate or intervene in any political campaign? ....................
1a
 
No
b
Did it spend more than $100 during the year (either directly or indirectly) for political purposes? See the instructions
for the definition.................................
1b
 
No
If the answer is "Yes" to 1a or 1b, attach a detailed description of the activities and copies of any materials
published or distributed by the foundation in connection with the activities.
c
Did the foundation file Form 1120-POL for this year?.....................
1c
 
No
d
Enter the amount (if any) of tax on political expenditures (section 4955) imposed during the year:
(1) On the foundation. bullet$   (2) On foundation managers.bullet$  
e
Enter the reimbursement (if any) paid by the foundation during the year for political expenditure tax imposed
on foundation managers.bullet$  
2
Has the foundation engaged in any activities that have not previously been reported to the IRS?.......
2
 
No
If "Yes," attach a detailed description of the activities.
3
Has the foundation made any changes, not previously reported to the IRS, in its governing instrument, articles
of incorporation, or bylaws, or other similar instruments? If "Yes," attach a conformed copy of the changes....
3
 
No
4a
Did the foundation have unrelated business gross income of $1,000 or more during the year?.........
4a
 
No
b
If "Yes," has it filed a tax return on Form 990-T for this year?...................
4b
 
No
5
Was there a liquidation, termination, dissolution, or substantial contraction during the year?.........
5
 
No
If "Yes," attach the statement required by General Instruction T.
6
Are the requirements of section 508(e) (relating to sections 4941 through 4945) satisfied either:
  • By language in the governing instrument, or
  • By state legislation that effectively amends the governing instrument so that no mandatory directions
    • that conflict with the state law remain in the governing instrument?................
    6
    Yes
     
    7
    Did the foundation have at least $5,000 in assets at any time during the year? If "Yes," complete Part II, col. (c),
    and Part XIV..................................
    7
    Yes
     
    8a
    Enter the states to which the foundation reports or with which it is registered (see instructions)
    bulletDE
    b
    If the answer is "Yes" to line 7, has the foundation furnished a copy of Form 990-PF to the Attorney
    General (or designate) of each state as required by General Instruction G? If "No," attach explanation .
    8b
    Yes
     
    9
    Is the foundation claiming status as a private operating foundation within the meaning of section 4942(j)(3)
    or 4942(j)(5) for calendar year 2021 or the taxable year beginning in 2021? See the instructions for Part XIII.
    If "Yes," complete Part XIII .............................
    9
     
    No
    10
    Did any persons become substantial contributors during the tax year? If "Yes," attach a schedule listing their names
    and addresses. Click to see attachment...............................
    10
    Yes
     
    Form 990-PF (2021)
    Form 990-PF (2021)
    Page 5
    Part VI-A
    Statements Regarding Activities (continued)
    11
    At any time during the year, did the foundation, directly or indirectly, own a controlled entity within the
    meaning of section 512(b)(13)? If "Yes," attach schedule. See instructions .............
    11
     
    No
    12
    Did the foundation make a distribution to a donor advised fund over which the foundation or a disqualified person had
    advisory privileges? If "Yes," attach statement. See instructions.................
    12
     
    No
    13
    Did the foundation comply with the public inspection requirements for its annual returns and exemption application?
    13
    Yes
     
    Website addressbullethttps://www.magellanhealth.com/about/magellan-cares/magellan-
    14
    The books are in care ofbulletCAMILLE N GUILLOT Telephone no.bullet (256) 737-3797

    Located atbullet14100 Magellan Plaza Ste MO-08 TaxMaryland HeightsMO ZIP+4bullet63043
    15
    Section 4947(a)(1) nonexempt charitable trusts filing Form 990-PF in lieu of Form 1041 —check here .........bullet
    and enter the amount of tax-exempt interest received or accrued during the year ........bullet
    15
     
    16 At any time during calendar year 2021, did the foundation have an interest in or a signature or other authority over YesNo
    a bank, securities, or other financial account in a foreign country? .................
    16   No
    See the instructions for exceptions and filing requirements for FinCEN Form 114. If "Yes", enter the name of the foreign
    country bullet
    Part VI-B
    Statements Regarding Activities for Which Form 4720 May Be Required
    File Form 4720 if any item is checked in the "Yes" column, unless an exception applies.
    Yes
    No
    1a
    During the year did the foundation (either directly or indirectly):
    (1) Engage in the sale or exchange, or leasing of property with a disqualified person? ...........
    1a(1)
     
    No
    (2) Borrow money from, lend money to, or otherwise extend credit to (or accept it from)
    a disqualified person? ..............................
    1a(2)
     
    No
    (3) Furnish goods, services, or facilities to (or accept them from) a disqualified person? ...........
    1a(3)
     
    No
    (4) Pay compensation to, or pay or reimburse the expenses of, a disqualified person? ............
    1a(4)
     
    No
    (5) Transfer any income or assets to a disqualified person (or make any of either available
    for the benefit or use of a disqualified person)? ......................
    1a(5)
     
    No
    (6) Agree to pay money or property to a government official? (Exception. Check "No"
    if the foundation agreed to make a grant to or to employ the official for a period
    after termination of government service, if terminating within 90 days.) ...............
    1a(6)
     
    No
    b
    If any answer is "Yes" to 1a(1)–(6), did any of the acts fail to qualify under the exceptions described in Regulations
    section 53.4941(d)-3 or in a current notice regarding disaster assistance? See instructions ..........
    1b
     
    No
    c
    ........bullet
    d
    Did the foundation engage in a prior year in any of the acts described in 1a, other than excepted acts,
    that were not corrected before the first day of the tax year beginning in 2021? .............
    1d
     
    No
    2
    Taxes on failure to distribute income (section 4942) (does not apply for years the foundation was a private
    operating foundation defined in section 4942(j)(3) or 4942(j)(5)):
    a
    At the end of tax year 2021, did the foundation have any undistributed income (lines 6d
    and 6e, Part XII) for tax year(s) beginning before 2021?....................
    2a
     
    No
    If "Yes," list the years bullet20, 20, 20, 20
    b
    Are there any years listed in 2a for which the foundation is not applying the provisions of section 4942(a)(2)
    (relating to incorrect valuation of assets) to the year’s undistributed income? (If applying section 4942(a)(2)
    to all years listed, answer "No" and attach statement—see instructions.) ..............
    2b
     
    No
    c
    If the provisions of section 4942(a)(2) are being applied to any of the years listed in 2a, list the years here.
    bullet20, 20, 20, 20
    3a
    Did the foundation hold more than a 2% direct or indirect interest in any business enterprise at
    any time during the year? ..............................
    3a
     
    No
    b
    If "Yes," did it have excess business holdings in 2021 as a result of (1) any purchase by the foundation
    or disqualified persons after May 26, 1969; (2) the lapse of the 5-year period (or longer period approved
    by the Commissioner under section 4943(c)(7)) to dispose of holdings acquired by gift or bequest; or (3)
    the lapse of the 10-, 15-, or 20-year first phase holding period? (Use Schedule C, Form 4720, to determine
    if the foundation had excess business holdings in 2021.) .....................
    3b
     
    No
    4a
    Did the foundation invest during the year any amount in a manner that would jeopardize its charitable purposes?
    4a
     
    No
    b
    Did the foundation make any investment in a prior year (but after December 31, 1969) that could jeopardize its
    charitable purpose that had not been removed from jeopardy before the first day of the tax year beginning in 2021? ..
    4b
     
    No
    Form 990-PF (2021)
    Form 990-PF (2021)
    Page 6
    Part VI-B
    Statements Regarding Activities for Which Form 4720 May Be Required (continued)
    5a
    During the year did the foundation pay or incur any amount to:
    Yes
    No
    (1) Carry on propaganda, or otherwise attempt to influence legislation (section 4945(e))? ..........
    5a(1)
     
    No
    (2) Influence the outcome of any specific public election (see section 4955); or to carry
    on, directly or indirectly, any voter registration drive? ....................
    5a(2)
     
    No
    (3) Provide a grant to an individual for travel, study, or other similar purposes? .............
    5a(3)
     
    No
    (4) Provide a grant to an organization other than a charitable, etc., organization described
    in section 4945(d)(4)(A)? See instructions ........................
    5a(4)
     
    No
    (5) Provide for any purpose other than religious, charitable, scientific, literary, or
    educational purposes, or for the prevention of cruelty to children or animals? .............
    5a(5)
     
    No
    b
    If any answer is "Yes" to 5a(1)–(5), did any of the transactions fail to qualify under the exceptions described in
    Regulations section 53.4945 or in a current notice regarding disaster assistance? See instructions ........
    5b
     
    No
    c
    .........bullet
    d
    If the answer is "Yes" to question 5a(4), does the foundation claim exemption from the
    tax because it maintained expenditure responsibility for the grant? .................
    5d
     
    No
    If "Yes," attach the statement required by Regulations section 53.4945–5(d).
    6a
    Did the foundation, during the year, receive any funds, directly or indirectly, to pay premiums on
    a personal benefit contract? .............................
    6a
     
    No
    b
    Did the foundation, during the year, pay premiums, directly or indirectly, on a personal benefit contract? ....
    6b
     
    No
    If "Yes" to 6b, file Form 8870.
    7a
    At any time during the tax year, was the foundation a party to a prohibited tax shelter transaction?
    7a
     
    No
    b
    If "Yes", did the foundation receive any proceeds or have any net income attributable to the transaction? .....
    7b
     
    No
    8
    Is the foundation subject to the section 4960 tax on payment(s) of more than $1,000,000 in remuneration or
    excess parachute payment during the year? .........................
    8
     
    No
    Part VII
    Information About Officers, Directors, Trustees, Foundation Managers, Highly Paid Employees,
    and Contractors
    1 List all officers, directors, trustees, foundation managers and their compensation. See instructions
    (a) Name and address (b) Title, and average
    hours per week
    devoted to position     		(c) Compensation
     (If not paid, enter
    -0-)     		(d) Contributions to employee benefit plans and deferred compensation (e) Expense account,
    other allowances
    CAMILLE N GUILLOT ASSISTANT TREASURER
    0.000     		0    
    14100 MAGELLAN PLAZA
    MARYLAND HEIGHTS,MO63043
    ALISA BAHL PRESIDENT
    0.000     		0    
    8621 ROBERT FULTON DRIVE
    COLUMBIA,MD21046
    TONY FROST VP TREASURER
    0.000     		0    
    14100 MAGELLAN PLAZA
    MARYLAND HEIGHTS,MO63043
    ERIKA ROSE VP SECRETARY
    0.000     		0    
    8621 ROBERT FULTON DRIVE
    COLUMBIA,MD21046
    ANNA SEVER DIRECTOR
    0.000     		0    
    14100 MAGELLAN PLAZA
    MARYLAND HEIGHTS,MO63043
    KENNETH FASOLA DIRECTOR
    0.000     		0    
    6303 COWBOYS WAY
    FRISCO,TX75034
    MOSTAFA KAMAL DIRECTOR
    0.000     		0    
    4801 E WASHINGTON
    PHOENIX,AZ85034
    MICHAEL P MCQUILLEN DIRECTOR
    0.000     		0    
    8621 ROBERT FULTON DRIVE
    COLUMBIA,MD21046
    LINDA SMITH DIRECTOR
    0.000     		0    
    8621 ROBERT FULTON DRIVE
    COLUMBIA,MD21046
    DON NELSON DIRECTOR
    0.000     		0    
    14100 MAGELLAN PLAZA
    MARYLAND HEIGHTS,MO63043
    NEELY BURKHARDT DIRECTOR
    0.000     		0    
    4801 E WASHINGTON
    PHOENIX,AZ85034
    LILLY ACKLEY DIRECTOR
    0.000     		0    
    14100 MAGELLAN PLAZA
    MARYLAND HEIGHTS,MO63043
    LEE E MEISS DIRECTOR
    0.000     		0    
    8621 ROBERT FULTON DRIVE
    COLUMBIA,MD21046
    2 Compensation of five highest-paid employees (other than those included on line 1—see instructions). If none, enter “NONE."
    (a) Name and address of each employee paid more than $50,000 (b) Title, and average
    hours per week
    devoted to position     		(c) Compensation (d) Contributions to
    employee benefit
    plans and deferred
    compensation     		(e) Expense account,
    other allowances
     
    Total number of other employees paid over $50,000...................bullet  
    Form 990-PF (2021)
    Form 990-PF (2021)
    Page 7
    Part VII
    Information About Officers, Directors, Trustees, Foundation Managers, Highly Paid Employees,
    and Contractors (continued)
    3 Five highest-paid independent contractors for professional services (see instructions). If none, enter "NONE".
    (a) Name and address of each person paid more than $50,000 (b) Type of service (c) Compensation
     
    Total number of others receiving over $50,000 for professional services.............bullet  
    Part VIII-A
    Summary of Direct Charitable Activities
    List the foundation’s four largest direct charitable activities during the tax year. Include relevant statistical information such as the number of organizations and other beneficiaries served, conferences convened, research papers produced, etc. Expenses
    1 NA 0
    2  
    3  
    4  
    Part VIII-B
    Summary of Program-Related Investments (see instructions)
    Describe the two largest program-related investments made by the foundation during the tax year on lines 1 and 2. Amount
    1 NONE  
    2 NONE  
    All other program-related investments. See instructions.
    3 0
    Total. Add lines 1 through 3.........................bullet  
    Form 990-PF (2021)
    Form 990-PF (2021)
    Page 8
    Part IX
    Minimum Investment Return (All domestic foundations must complete this part. Foreign foundations, see instructions.)
    1
    Fair market value of assets not used (or held for use) directly in carrying out charitable, etc.,
    purposes:
    a
    Average monthly fair market value of securities...................
    1a
    0
    b
    Average of monthly cash balances.......................
    1b
    2,938
    c
    Fair market value of all other assets (see instructions)................
    1c
    0
    d
    Total (add lines 1a, b, and c).........................
    1d
    2,938
    e
    Reduction claimed for blockage or other factors reported on lines 1a and
    1c (attach detailed explanation) .............
    1e
    0
    2
    Acquisition indebtedness applicable to line 1 assets..................
    2
     
    3
    Subtract line 2 from line 1d.........................
    3
    2,938
    4
    Cash deemed held for charitable activities. Enter 1.5% (0.015) of line 3 (for greater amount, see
    instructions) .............................
    4
    44
    5
    Net value of noncharitable-use assets. Subtract line 4 from line 3. .......
    5
    2,894
    6
    Minimum investment return. Enter 5% (0.05) of line 5................
    6
    145
    Part X
    Distributable Amount (see instructions) (Section 4942(j)(3) and (j)(5) private operating foundations and certain foreign organizations check here right arrow and do not complete this part.)
    1
    Minimum investment return from Part IX, line 6..................
    1
    145
    2a
    Tax on investment income for 2021 from Part V, line 5.......
    2a
     
    b
    Income tax for 2021. (This does not include the tax from Part V.) ...
    2b
     
    c
    Add lines 2a and 2b............................
    2c
     
    3
    Distributable amount before adjustments. Subtract line 2c from line 1............
    3
    145
    4
    Recoveries of amounts treated as qualifying distributions................
    4
     
    5
    Add lines 3 and 4............................
    5
    145
    6
    Deduction from distributable amount (see instructions).................
    6
     
    7
    Distributable amount as adjusted. Subtract line 6 from line 5. Enter here and on Part XII, line 1 ...
    7
    145
    Part XI
    Qualifying Distributions (see instructions)
    1
    Amounts paid (including administrative expenses) to accomplish charitable, etc., purposes:
    a
    Expenses, contributions, gifts, etc.—total from Part I, column (d), line 26 ..........
    1a
     
    b
    Program-related investments—total from Part VIII-B..................
    1b
     
    2
    Amounts paid to acquire assets used (or held for use) directly in carrying out charitable, etc.,
    purposes...............................
    2
     
    3
    Amounts set aside for specific charitable projects that satisfy the:
    a
    Suitability test (prior IRS approval required)....................
    3a
     
    b
    Cash distribution test (attach the required schedule) .................
    3b
     
    4
    Qualifying distributions. Add lines 1a through 3b. Enter here and on Part XII, line 4.
    4
     
    Form 990-PF (2021)
    Form 990-PF (2021)
    Page 9
    Part XII
    Undistributed Income (see instructions)
    (a)
    Corpus     		(b)
    Years prior to 2020     		(c)
    2020     		(d)
    2021
    1 Distributable amount for 2021 from Part X, line 7 145
    2 Undistributed income, if any, as of the end of 2021:
    a Enter amount for 2020 only.......  
    b Total for prior years:20, 20, 20  
    3 Excess distributions carryover, if any, to 2021:
    a From 2016......  
    b From 2017...... 595,220
    c From 2018...... 563,290
    d From 2019...... 611,536
    e From 2020...... 604,751
    f Total of lines 3a through e ........ 2,374,797
    4Qualifying distributions for 2021 from Part
    XI, line 4: bullet$ 524,818
    a Applied to 2020, but not more than line 2a  
    b Applied to undistributed income of prior years
    (Election required—see instructions).....     		0
    c Treated as distributions out of corpus (Election
    required—see instructions)........     		0
    d Applied to 2021 distributable amount..... 145
    e Remaining amount distributed out of corpus 524,673
    5 Excess distributions carryover applied to 2021.    
    (If an amount appears in column (d), the
    same amount must be shown in column (a).)
    6Enter the net total of each column as
    indicated below:
    a Corpus. Add lines 3f, 4c, and 4e. Subtract line 5 2,899,470
    b Prior years’ undistributed income. Subtract
    line 4b from line 2b ..........     		 
    c Enter the amount of prior years’ undistributed
    income for which a notice of deficiency has
    been issued, or on which the section 4942(a)
    tax has been previously assessed......     		 
    d Subtract line 6c from line 6b. Taxable amount
    —see instructions ...........     		 
    e Undistributed income for 2019. Subtract line
    4a from line 2a. Taxable amount—see
    instructions .............     		 
    f Undistributed income for 2021. Subtract
    lines 4d and 5 from line 1. This amount must
    be distributed in 2022 ..........     		0
    7 Amounts treated as distributions out of
    corpus to satisfy requirements imposed by
    section 170(b)(1)(F) or 4942(g)(3) (Election may
    be required - see instructions) .......     		 
    8 Excess distributions carryover from 2016 not
    applied on line 5 or line 7 (see instructions) ...     		 
    9 Excess distributions carryover to 2022.
    Subtract lines 7 and 8 from line 6a ......     		2,899,470
    10 Analysis of line 9:
    a Excess from 2017.... 595,220
    b Excess from 2018.... 563,290
    c Excess from 2019.... 611,536
    d Excess from 2020.... 604,751
    e Excess from 2021.... 524,673
    Form 990-PF (2021)
    Form 990-PF (2021)
    Page 10
    Part XIII
    Private Operating Foundations (see instructions and Part VI-A, question 9)
    1a If the foundation has received a ruling or determination letter that it is a private operating
    foundation, and the ruling is effective for 2021, enter the date of the ruling ....... bullet
     
    b Check box to indicate whether the organization is a private operating foundation described in section or
    2a Enter the lesser of the adjusted net
    income from Part I or the minimum
    investment return from Part X for each
    year listed ..........     		Tax year Prior 3 years (e) Total
    (a) 2021 (b) 2020 (c) 2019 (d) 2018
    0       0
    b 85% (0.85) of line 2a .........          
    c Qualifying distributions from Part XI,
    line 4 for each year listed .....     		        0
    d Amounts included in line 2c not used directly
    for active conduct of exempt activities ..........     		         
    e Qualifying distributions made directly
    for active conduct of exempt activities.
    Subtract line 2d from line 2c ....     		         
    3 Complete 3a, b, or c for the
    alternative test relied upon:
    a “Assets" alternative test—enter:
    (1) Value of all assets ......         0
    (2) Value of assets qualifying
    under section 4942(j)(3)(B)(i)    		         0
    b “Endowment" alternative test— enter 2/3
    of minimum investment return shown in
    Part IX, line 6 for each year listed ..     		        0
    c “Support" alternative test—enter:
    (1) Total support other than gross
    investment income (interest,
    dividends, rents, payments
    on securities loans (section
    512(a)(5)), or royalties) ....     		        0
    (2) Support from general public
    and 5 or more exempt
    organizations as provided in
    section 4942(j)(3)(B)(iii)....     		        0
    (3) Largest amount of support
    from an exempt organization    		         0
    (4) Gross investment income         0
    Part XIV
    Supplementary Information (Complete this part only if the foundation had $5,000 or more in
    assets at any time during the year—see instructions.)
    1Information Regarding Foundation Managers:
    aList any managers of the foundation who have contributed more than 2% of the total contributions received by the foundation
    before the close of any tax year (but only if they have contributed more than $5,000). (See section 507(d)(2).)
    NONE
    bList any managers of the foundation who own 10% or more of the stock of a corporation (or an equally large portion of the
    ownership of a partnership or other entity) of which the foundation has a 10% or greater interest.
    NONE
    2Information Regarding Contribution, Grant, Gift, Loan, Scholarship, etc., Programs:
    Check here bullet
    aThe name, address, and telephone number or e-mail address of the person to whom applications should be addressed:
    LILLY ACKLEY
    14100 MAGELLAN PLAZA
    MARYLAND HEIGHTS,MO63043
    (314) 387-4000
    ACKLEYL@MAGELLANHEALTH.COM
    bThe form in which applications should be submitted and information and materials they should include:
    APPLY ONLINE AT httpsapplyyourcausegrantscom
    cAny submission deadlines:
    NONE
    dAny restrictions or limitations on awards, such as by geographical areas, charitable fields, kinds of institutions, or other
    factors:
    Support Foundations mission to improve health in communities
    Form 990-PF (2021)
    Form 990-PF (2021)
    Page 11
    Part XIV
    Supplementary Information (continued)
    3 Grants and Contributions Paid During the Year or Approved for Future Payment
    Recipient If recipient is an individual,
    show any relationship to
    any foundation manager
    or substantial contributor
    		 Foundation
    status of
    recipient     		Purpose of grant or
    contribution     		Amount
    Name and address (home or business)
    aPaid during the year
    AID ATLANTA
    1650 PEACHTREE ST NE
    ATLANTA,GA30309     		  PC Community assistance reHIVAIDS 2,500
    AIDS UNITED
    1101 14ST NW 300
    Washington,DC20005     		  PC assist ending AIDS epidemic 20,000
    ALZHEIMERS ASSOCIATION
    9370 OLIVE BLVD
    SAINT LOUIS,MO63132     		  PC ALZHEIMERS SUPPORT 22,500
    AMERICAN CANCER SOCIETY
    PO BOX 28566
    SAINT LOUIS,MO63146     		  PC CANCER RESEARCH PATIENT SUPPORT 2,500
    AMERICAN HEART ASSOCIATION
    7272 GREENVILLE AVENUE
    DALLAS,TX75231     		  PC ASSISTANCE OF HEARTRELATED DISEASE 35,000
    ARIZONA AUTISM UNITED
    5025 E WASHINGTON 212
    PHOENIX,AZ85034     		  PC RESEARCH SUPPORT FOR AUTISMAFFECTED 10,000
    ARMED SERVICES ARTS PARTN
    901 W ST NW 807
    WASHINGTON,DC20001     		  PC Arts for Vetsmilitarycaregivers 10,000
    ASK CHILDHOOD CANCER FOUND
    5211 W BROAD ST 100
    RICHMOND,VA23230     		  PC Support children with cancerfamilies 2,500
    BATON ROUGE CRISIS INTERVENTION
    3013 OLD FORGE DRIVE
    BATON ROUGE,LA70808     		  PC CRISIS INTERVENTION 2,500
    BETHLEHEM AREA EDUCATION FDN
    PO BOX 646
    BETHLEHEM,PA18016     		  PC STUDENT SUPPORT 2,500
    BLACK APPLIED BEHAVIORAL ANALYSTS
    2611 GILLSVILLE HWY
    GAINESVILLE,GA30507     		  PC MENTAL HEALTH SUPPORT OF BLACK COMMUNITY 10,000
    BLESS YOUR HEART NONPROFIT
    PO BOX 1435
    LAROSE,LA70373     		  PC BAYOU REGION SUPPORT 1,500
    BOYS & GIRLS CLUB OF CHEYENNE
    515 W JEFFERSON RD
    CHEYENNE,WY82001     		  PC SUPPORT TEENS 5,000
    CATCH PROGRAM
    503 S AMERICNA BLVD
    BOISE,ID83702     		  PC HOMELESS FAMILY SUPPORT 3,000
    CHILD & FAMILY SVCS NEWPORT
    31 JOHN CLARKE RD
    MIDDLETOWN,RI02842     		  PC HEAL STRENGTHEN LIVES 2,500
    COLORECTAL CANCER ALLIANCE
    1025 VERMOND AVE NW 1066
    WASHINGTON,DC20005     		  PC CANCER SUPPORT SERVICES 2,500
    COMMUN OUTREACH TO PREVENT EATING DISORDERS(COPE)
    PO BOX 128
    FLAGLER BEACH,FL32136     		  PC EATING DISORDERS PREVENTION 2,500
    DEEP RUN VALLEY SPORTS ASSN
    953 CALLOWHILL RD
    PERKASIE,PA18944     		  PC CHILDRENS TEENS SUPPORT 7,500
    DOGS FOR OUR BRAVE
    6244 Ste CLAYTON AV
    SAINT LOUIS,MO63139     		  PC SERVICEDOGS FOR SERVICEMENWOMEN 1,250
    ELIZABETH DOLE FOUNDATION
    600 NEW HAMPSHIRE AVE NW 1020
    WASHINGTON,DC20037     		  PC SUPPORT MILITARY VETERAN CAREGIVERS 10,000
    EMILY WHITEHEAD FOUNDATION
    606 PAULINE ST
    PHILIPSBURG,PA16866     		  PC CHILDHOOD CANCER AWARENESSTREATMENT 2,500
    EMPOWER 225
    8733 SIEGEN LN
    BATON ROUGE,LA70810     		  PC YOUTH ISSUESFOSTER CARE 2,500
    EPILEPSY FOUNDATION EASTER
    919 WALNUT ST 700
    PHILADELPHIA,PA19107     		  PC ASSIST FAMILIES 4,000
    EQUAL JUSTICE INITIATIVE
    122 COMMERCE ST
    MONTGOMERY,AL36104     		  PC RACIAL ECONOMIC INJUSTICE CONCERNS 10,000
    EQUALITY CALIFORNIA INSTITUTE
    3701 WILSHIRE BLVD 725
    LOS ANGELES,CA90010     		  PC COMMUNITY SUPPORT 2,500
    ERIC MARSH FOUNDATION FOR WILDLAND FIREFIGHTERS
    PO BOX 1574
    CHINO VALLEY,AZ86323     		  PC FIREFIGHTERS SUPPORT HONOR 2,500
    FAMILIES FIRST
    80 JOSEPH E LOWERY BLVD NW
    ATLANTA,GA30314     		  PC FAMILY SUPPORT 2,500
    FAMILY & CHILDREN FAITH COALITION DBA HOPE FOR MIAMI
    550 NW 42ND AVE
    MIAMI,FL33126     		  PC FAMILY SUPPORT 2,500
    FEEDING AMERICA
    161 N CLARK ST 700
    CHICAGO,IL60601     		  PC INDIGENT FAMILY SUPPORT 36,000
    FREDERICKSBURG AREA HIV AIDS
    4701 MARKET ST b
    FREDERICKSBURG,VA22408     		  PC SUPPORT TO END AIDS 2,500
    GAUCHER COMMUNITY ALLIANCE
    309 FRANCE ST
    SONOMA,CA95476     		  PC ASSIST FOR GAUCHER DISEASE VICTIMS 500
    GEOFF HIGGINBOTHAM FOUNDATION
    135 MANCHESTER ST
    NASHUA,NH03064     		  PC CYSTIC FIBROSIS FOUNDATION SUPPORT 3,000
    GEORGIA APPLESEED INC
    1600 PARKWOOD CIRCLE 200
    ATLANTA,GA30339     		  PC SUPPORT HEALTHY HOUSING CONDITIONS 2,500
    GEORGIA PARENT SUPPORT NETWORK
    1381 METROPOLITAN PKWY SW
    ATLANTA,GA30310     		  PC CHILD MENTAL ILLNESSEMOTIONAL DISTURBANCES 2,500
    GIRLS ON THE RUN
    PO BOX 19602
    SACRAMENTO,CA95819     		  PC INSPIRES GIRLSINTEGRATES RUNNING 1,000
    HEROES CARE INC
    330 SUN VALLEY CIRCLE
    FENTON,MO63026     		  PC SUPPORT MILITARY FAMILIESCOMMUNITY 1,250
    HEALTH BRIGADE
    1010 N THOMPSON ST
    RICHMOND,VA23230     		  PC ENCOURAGE HEALTH 2,500
    HELIO FOUNDATION
    8358 MAIN ST
    HOUMA,LA70363     		  PC PROMOTE RECOVERY HEALTH 2,500
    HERE TO SERVE INC
    2444 BRANDONWOOD RD
    TUSCALOOSA,AL35406     		  PC FAMILY SUPPORT 1,500
    HOPE AND HELP INC
    4122 METRIC DR 800
    WINTER PARK,FL32792     		  PC END HIVSTI EPIDEMIC IN FLORIDA 2,500
    IDAHO COMMUNITY HEALTH WORKERS
    1874 N HEATH AVE
    BOISE,ID83713     		  PC SUPPORT HEALTH WORKERS 3,000
    INDEPENDENT HEALTH ASOC
    511 FARBER LAKES DR
    BUFFALO,NY14221     		  PC SUPPORT COMMUNITY 5,500
    INSURE THE UNINSURED PROJECT
    400 CAPITOL MALL 900
    SACRAMENTO,CA95814     		  PC EXPAND HEALTHCARE ACCESSIMPROVE HEALTH 5,000
    JAMES SAMARITAN
    1 N MARIGOLD DR
    COVINGTON,LA70433     		  PC SUPPORT COMMUNITY 2,500
    JOURNEY HOME INC
    255 MAIN ST 2ND FL
    HARTFORD,CT06106     		  PC END HOMELESSNESS IN CT CAPITAL REGION 10,000
    LEUKEMIA & LYMPHOMA SOCIETY
    PO BOX 22488
    NEW YORK,NY10087     		  PC SUPPORT RESEARCH ASSIST 1,000
    LITERACY VOLUNTEERS
    30 ARBOR ST
    HARTFORD,CT06106     		  PC ENCOURAGE LITERACY 500
    LOAVES AND FISHES INC
    206 E 8TH ST
    APOPKA,FL32703     		  PC PROVIDE FOOD FOR THE NEEDY 2,500
    MARCH OF DIMES
    PO BOX 18819
    ATLANTA,GA31126     		  PC SUPPORT RESEARCH FOR HEALTHY BABIES 5,000
    MISCELLANEOUS-ALL OTHERS
    14100 MAGELLAN PLAZA
    MARYLAND HEIGHTS,MO63043     		  PC ASSIST FAMILIES COMMUNITY 68,164
    NAT'L ASSN OF MENTAL ILLNESS(NAMI)
    4301 WILSON BLVD 300
    ARLINGTON,VA22203     		  PC SUPPORTASSIST DUE TO MENTAL ILLNESS 29,000
    NATIONAL ACADEMY OF SOCIAL INS
    1441 L ST 530
    WASHINGTON,DC20005     		  PC ECONOMIC SECURITY AND HEALTH EQUITY ISSUES 5,000
    NATIONAL ALLIANCE ON MENTAL ILLNESS
    4301 WILSON BLVD Ste 300
    Arlington,VA22203     		  PC RESEARCH ASSIST DUE TO MENTAL ILLNESS 5,000
    NATIONAL ASSOC OF PEER SUPPORT
    530 S LAKE AVE 766
    PASADENA,CA91101     		  PC PEER SUPPORT IN HEALTHCARE COMMUN SYSTEMS 2,500
    NEWPORT YMCA
    792 VALLEY RD
    MIDDLETOWN,RI02842     		  PC ENCOURAGE HEALTH SUPPORT FAMILIES 5,000
    ORLANDO UNION RESCUE MISSION
    1521 W WASHINGTON ST
    ORLANDO,FL32805     		  PC HELP FOR HUNGRYHURTING HOMELESS 2,500
    OUR DAILY BREAD
    PO BOX 1476
    HAMMOND,LA70403     		  PC ALLEVIATE HUNGER 1,500
    PARENTS AS TEACHERS INC
    1401 AIRPORT PARKWAY STE 225
    CHEYENNE,WY82009     		  PC ASSIST PARENTS AND CHILDREN 2,500
    PREVENTION 305
    400 ALTON RD 3007
    MIAMI BEACH,FL33139     		  PC HEALTH SERVICES ASSISTANCE 2,500
    PROJECT RESPONSE
    745 S APOLLO BLVD
    MELBOURNE,FL32901     		  PC ASSIST SUPPORT DUE TO AIDS 2,500
    PROVISION PACKS
    289 WALNUT ST
    ORMOND BEACH,FL32174     		  PC NUTRITIONAL FOOD FOR CHILDREN 2,500
    RECOVERY IDAHO INC
    3313 W CHERRY LN 128
    MERIDIAN,ID83642     		  PC RECOVERY SUPPORT SERVICES 1,000
    RECOVERY UNITED INC
    7091 W EMERALD ST
    BOISE,ID83704     		  PC HELP FOR RECOVERING ADULTS 2,500
    RESURRECTED COMMUNITY DEVELOPMENT
    144 NORTH 9TH STREET
    ALLENTOWN,PA18102     		  PC KIDS SUMMER LEARNING ENVIRONMENT 2,500
    SECOND HARVEST FOOD BANK
    411 MERCY DR
    ORLANDO,FL32805     		  PC FIGHT AGAINST HUNGER 3,500
    ST JUDE CHILDRENS RESEARCH
    501 ST JUDE PLACE
    MEMPHIS,TN38105     		  PC CHILDHOOD CANCER 5,000
    THE NETWORK FOR GOOD INC NEW LEADER SCHOLARSHIP
    5 HAMILTON LANDING 200
    NOVATO,CA94949     		  PC SUPPORT DISADVANTAGED IN COMMUNITY 10,000
    ST LOUIS CRISIS NURSERY
    11710 ADMINISTRATION DR 18
    SAINT LOUIS,MO63146     		  PC CRISIS NURSERY ASSISTANCE 2,500
    STRAY RESCUE OF ST LOUIS
    2320 PINE ST
    SAINT LOUIS,MO63103     		  PC ASSIST IN PREVENTION OF ANIMAL CRUELTY 2,500
    SUBSTANCE MENTAL HEALTH LEADERSHIP COUNCIL
    200 METRO CENTER BLVD 10
    WARWICK,RI02886     		  PC MENTAL HEALTH SUPPORT 5,000
    THE CARTER CENTER
    453 JOHN LEWIS FREEDOM PKWY NE
    ATLANTA,GA30307     		  PC ACCESS TO BEHAVHEALTH TREATMENT 10,000
    VIBRANT EMOTIONAL HEALTH
    50 BROADWAY 19TH FLOOR
    NEW YORK,NY10004     		  PC SUICIDE PREVENTION ASSISTANCE 10,000
    VIRGINIA HEALTHCARE FOUNDATION
    707 E MAIN ST 1350
    RICHMOND,VA23219     		  PC HEALTHCARE SUPPORT 22,500
    THE LEUKEMIA & LYMPHOMA SOC
    1 MARCUS BLVD STE104
    ALBANY,NY12205     		  PC CURE LEUKEMIA HELP FAMILIES 4,000
    THE NATIONAL HISPANIC HLTH
    1920 L ST NW STE725
    WASHINGTON,DC20036     		  PC HEALTH WELLNESS IN HISPANIC COMMUNITY 15,000
    Total .................................bullet 3a 502,664
    bApproved for future payment
    Total .................................bullet 3b  
    Form 990-PF (2021)
    Form 990-PF (2021)
    Page 12
    Part XV-A
    Analysis of Income-Producing Activities
    Enter gross amounts unless otherwise indicated. Unrelated business income Excluded by section 512, 513, or 514 (e)
    Related or exempt
    function income
    (See instructions.)
    1Program service revenue: (a)
    Business code     		(b)
    Amount     		(c)
    Exclusion code     		(d)
    Amount
    a
    b
    c
    d
    e
    f
    gFees and contracts from government agencies          
    2 Membership dues and assessments ....          
    3 Interest on savings and temporary cash
    investments ...........     		         
    4 Dividends and interest from securities ....          
    5 Net rental income or (loss) from real estate:
    aDebt-financed property......          
    bNot debt-financed property.....          
    6 Net rental income or (loss) from personal property          
    7 Other investment income .....          
    8 Gain or (loss) from sales of assets other than
    inventory ............     		         
    9 Net income or (loss) from special events:          
    10 Gross profit or (loss) from sales of inventory          
    11 Other revenue: a
    b
    c
    d
    e
    12 Subtotal. Add columns (b), (d), and (e) ..      
    13Total. Add line 12, columns (b), (d), and (e)..................
    13
     
    (See worksheet in line 13 instructions to verify calculations.)
    Part XV-B
    Relationship of Activities to the Accomplishment of Exempt Purposes
    Line No.
    DownArrow     		Explain below how each activity for which income is reported in column (e) of Part XV-A contributed importantly to
    the accomplishment of the foundation’s exempt purposes (other than by providing funds for such purposes). (See
    instructions.)
    Form 990-PF (2021)
    Form 990-PF (2021)
    Page 13
    Part XVI
    Information Regarding Transfers To and Transactions and Relationships With Noncharitable Exempt Organizations
    1
    Did the organization directly or indirectly engage in any of the following with any other organization described in section 501(c) (other than section 501(c)(3) organizations) or in section 527, relating to political organizations?
    Yes
    No
    a
    Transfers from the reporting foundation to a noncharitable exempt organization of:
    (1) Cash...................................
    1a(1)
     
    No
    (2) Other assets.................................
    1a(2)
     
    No
    b
    Other transactions:
    (1) Sales of assets to a noncharitable exempt organization....................
    1b(1)
     
    No
    (2) Purchases of assets from a noncharitable exempt organization..................
    1b(2)
     
    No
    (3) Rental of facilities, equipment, or other assets.......................
    1b(3)
     
    No
    (4) Reimbursement arrangements...........................
    1b(4)
     
    No
    (5) Loans or loan guarantees.............................
    1b(5)
     
    No
    (6) Performance of services or membership or fundraising solicitations................
    1b(6)
     
    No
    c
    Sharing of facilities, equipment, mailing lists, other assets, or paid employees..............
    1c
     
    No
    d
    If the answer to any of the above is "Yes," complete the following schedule. Column (b) should always show the fair market value
    of the goods, other assets, or services given by the reporting foundation. If the foundation received less than fair market value
    in any transaction or sharing arrangement, show in column (d) the value of the goods, other assets, or services received.
    (a) Line No. (b) Amount involved (c) Name of noncharitable exempt organization (d) Description of transfers, transactions, and sharing arrangements
    2a
    Is the foundation directly or indirectly affiliated with, or related to, one or more tax-exempt organizations
    described in section 501(c) (other than section 501(c)(3)) or in section 527? ...........
    b
    If "Yes," complete the following schedule.

    (a) Name of organization (b) Type of organization (c) Description of relationship
    Sign Here
    Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief, it is true, correct, and complete. Declaration of preparer (other than taxpayer) is based on all information of which preparer has any knowledge.
    Bullet Bullet
    May the IRS discuss this return
    with the preparer shown below?
    See instructions.
    Signature of officer or trustee Date Title
    Paid Preparer Use Only Print/Type preparer's name Preparer's Signature Date PTIN
    Firm's name SmallBullet
    		 Firm's EIN SmallBullet
    Firm's address SmallBullet


    		 Phone no.
    Form 990-PF (2021)
    Additional Data


    Software ID: 21013244
    Software Version: ta21mefv1.0


    Form 990PF - Special Condition Description:
    Special Condition Description
    Schedule B
    (Form 990)
    Department of the Treasury
    Internal Revenue Service
    Schedule of Contributors

    Arrow Bullet Attach to Form 990, 990-EZ, or 990-PF.
    Arrow Bullet Go to www.irs.gov/Form990 for the latest information.
    OMB No. 1545-0047
    2021
    Name of the organization
    Magellan Cares Foundation Inc
     
    Employer identification number

    46-0730555
    Organization type (check one):
    Filers of:
    Section:
    Form 990 or 990-EZ






    Form 990-PF




    Check if your organization is covered by the General Rule or a Special Rule.  
    Note: Only a section 501(c)(7), (8), or (10) organization can check boxes for both the General Rule and a Special Rule. See instructions.
    General Rule
    Special Rules
    ......... Arrow Bullet $  
    Caution: An organization that isn't covered by the General Rule and/or the Special Rules doesn't file Schedule B (Form 990,
    990-EZ, or 990-PF), but it must answer “No” on Part IV, line 2, of its Form 990; or check the box on line H of its Form 990-EZ
    or on its Form 990PF, Part I, line 2, to certify that it doesn't meet the filing requirements of Schedule B (Form 990,
    990-EZ, or 990-PF).
    For Paperwork Reduction Act Notice, see the Instructions
    for Form 990, 990-EZ, or 990-PF.
    Cat. No. 30613XSchedule B (Form 990) (2021)
    Schedule B (Form 990) (2021) Page 2
    Name of organization
    Magellan Cares Foundation Inc
          		Employer identification number
    46-0730555
    Part I
    Contributors
    Contributors (see instructions). Use duplicate copies of Part I if additional space is needed.
    (a)
    No.    		 (b)
    Name, address, and ZIP + 4    		 (c)
    Total contributions    		 (d)
    Type of contribution
    1
    MAGELLAN HEALTH INC
     
    4801 E WASHINGTON STREET
     
    PHOENIX, AZ85034

    		$ 459,591


    (Complete Part II for noncash contributions.)
    (a)
    No.    		 (b)
    Name, address, and ZIP + 4    		 (c)
    Total contributions    		 (d)
    Type of contribution
     
     
     
     

    		$  


    (Complete Part II for noncash contributions.)
    (a)
    No.    		 (b)
    Name, address, and ZIP + 4    		 (c)
    Total contributions    		 (d)
    Type of contribution
     
     
     
     

    		$  


    (Complete Part II for noncash contributions.)
    (a)
    No.    		 (b)
    Name, address, and ZIP + 4    		 (c)
    Total contributions    		 (d)
    Type of contribution
     
     
     
     

    		$  


    (Complete Part II for noncash contributions.)
    (a)
    No.    		 (b)
    Name, address, and ZIP + 4    		 (c)
    Total contributions    		 (d)
    Type of contribution
     
     
     
     

    		$  


    (Complete Part II for noncash contributions.)
    (a)
    No.    		 (b)
    Name, address, and ZIP + 4    		 (c)
    Total contributions    		 (d)
    Type of contribution
     
     
     
     

    		$  


    (Complete Part II for noncash contributions.)
    Schedule B (Form 990) (2021)
    Schedule B (Form 990) (2021)
    Page 3
    Name of organization
    Magellan Cares Foundation Inc
          		Employer identification number

    46-0730555
    Part II
    Noncash Property (see instructions). Use duplicate copies of Part II if additional space is needed.
    (a)
    No. from Part I    		 (b)
    Description of noncash property given    		 (c)
    FMV (or estimate)
    (See instructions)     		(d)
    Date received
     
    		$    
    (a)
    No. from Part I    		 (b)
    Description of noncash property given    		 (c)
    FMV (or estimate)
    (See instructions)     		(d)
    Date received
     
    		$    
    (a)
    No. from Part I    		 (b)
    Description of noncash property given    		 (c)
    FMV (or estimate)
    (See instructions)     		(d)
    Date received
     
    		$    
    (a)
    No. from Part I    		 (b)
    Description of noncash property given    		 (c)
    FMV (or estimate)
    (See instructions)     		(d)
    Date received
     
    		$    
    (a)
    No. from Part I    		 (b)
    Description of noncash property given    		 (c)
    FMV (or estimate)
    (See instructions)     		(d)
    Date received
     
    		$    
    (a)
    No. from Part I    		 (b)
    Description of noncash property given    		 (c)
    FMV (or estimate)
    (See instructions)     		(d)
    Date received
     
    		$    
    Schedule B (Form 990) (2021)
    Schedule B (Form 990) (2021)
    Page 4
    Name of organization
    Magellan Cares Foundation Inc
          		Employer identification number

    46-0730555
    Part III
    Exclusively religious, charitable, etc., contributions to organizations described in section 501(c)(7), (8), or (10) that total more than $1,000 for the year from any one contributor. Complete columns (a) through (e) and the following line entry. For organizations completing Part III, enter the total of exclusively religious, charitable, etc., contributions of $1,000 or less for the year. (Enter this information once. See instructions.) Arrow Bullet$  
    Use duplicate copies of Part III if additional space is needed.
    (a)
    No. from Part I    		 (b) Purpose of gift (c) Use of gift (d) Description of how gift is held
     
    (e) Transfer of gift
    Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
     
     
         
     
    (a)
    No. from Part I    		 (b) Purpose of gift (c) Use of gift (d) Description of how gift is held
     
    (e) Transfer of gift
    Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
     
     
         
     
    (a)
    No. from Part I    		 (b) Purpose of gift (c) Use of gift (d) Description of how gift is held
     
    (e) Transfer of gift
    Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
     
     
         
     
    (a)
    No. from Part I    		 (b) Purpose of gift (c) Use of gift (d) Description of how gift is held
     
    (e) Transfer of gift
    Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
     
     
         
     
    Schedule B (Form 990) (2021)
    Additional Data


    Software ID: 21013244
    Software Version: ta21mefv1.0

    TY 2021 OtherProfessionalFeesSchedule
    Name:
    Magellan Cares Foundation Inc
    EIN:
    46-0730555
    Software ID:
    21013244
    Software Version:
    ta21mefv1.0
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    BANK FEES 255     255
    DONATION TRANSACTION FEES 1,021     1,021
    SOFTWARE MAINTENANCE 20,878     20,878


    TY 2021 SubstantialContributorsSch
    Name:
    Magellan Cares Foundation Inc
    EIN:
    46-0730555
    Software ID:
    21013244
    Software Version:
    ta21mefv1.0
    Name Address
    MAGELLAN HEALTH INC
          		4801 E WASHINGTON STREET
    PHOENIX,AZ85034