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← MEMORIALCARE SELECT HEALTH PLAN

Form 990 for tax year 2023

Filed by MEMORIALCARE SELECT HEALTH PLAN.

Totals

Total revenue
$53,674,152
Total expenses
$59,342,816
Contributions and grants received
$0
Grants paid
$0
Program service revenue
$53,652,560
Investment income
$21,592
Other revenue
$0
Total assets, end of year
$23,830,127
Total liabilities, end of year
$12,790,267
Net assets or fund balances, end of year
$11,039,860
Program services expenses (Part IX)
$52,100,160
Management and general expenses
$7,242,656
Fundraising expenses
$0
Program service expenses (Part III)
$52,100,160

Program services were 87.8% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.

Line items

Every line the filer filed in Parts VIII, IX and X, as filed and in filed order. Blank columns are left out, and the lines are not forced to add up to the totals above.

Revenue

Part VIII, the statement of revenue.

  • 2a · Program service revenue: CAPITATION REVENUE

    total $51,332,276 · related or exempt $51,332,276

  • 2b · Program service revenue: PREMIUM REVENUE

    total $2,320,284 · related or exempt $2,320,284

  • 3 · Investment income

    total $21,592 · excluded $21,592

Functional expenses

Part IX, the statement of functional expenses.

  • 5 · Compensation of officers, directors and key employees

    total $1,209,589 · program services $556,411 · management and general $653,178

  • 7 · Other salaries and wages

    total $3,242,492 · program services $1,513,204 · management and general $1,729,288

  • 8 · Pension plan contributions

    total $170,803 · management and general $170,803

  • 9 · Other employee benefits

    total $951,696 · program services $234,583 · management and general $717,113

  • 10 · Payroll taxes

    total $303,110 · program services $157,470 · management and general $145,640

  • 11a · Fees: management

    total $1,660,674 · management and general $1,660,674

  • 11b · Fees: legal

    total $84,924 · management and general $84,924

  • 11c · Fees: accounting

    total $118,996 · management and general $118,996

  • 12 · Advertising and promotion

    total $4,031 · program services $605 · management and general $3,426

  • 13 · Office expenses

    total $999,392 · program services $299,128 · management and general $700,264

  • 14 · Information technology

    total $717,610 · program services $49,744 · management and general $667,866

  • 16 · Occupancy

    total $193,780 · program services $3,050 · management and general $190,730

  • 19 · Conferences, conventions and meetings

    total $20,631 · program services $5,272 · management and general $15,359

  • 22 · Depreciation, depletion and amortization

    total $85,266 · program services $12,790 · management and general $72,476

  • 23 · Insurance

    total $74,280 · management and general $74,280

  • 24a · Other expenses: MEDICAL EXPENSES

    total $49,264,975 · program services $49,264,975

  • 24b · Other expenses: LICENSES & TAXES

    total $240,567 · program services $2,928 · management and general $237,639

Balance sheet

Part X, book values.

  • 2 · Savings and temporary cash investments

    beginning of year $21,700,897 · end of year $18,649,283

  • 4 · Accounts receivable

    beginning of year $855,864 · end of year $148,761

  • 9 · Prepaid expenses and deferred charges

    beginning of year $7,479 · end of year $7,800

  • 10a · Land, buildings and equipment: cost or other basis

    $868,667

  • 10b · Land, buildings and equipment: accumulated depreciation

    $149,036

  • 10c · Land, buildings and equipment, net

    beginning of year $900,088 · end of year $719,631

  • 11 · Investments: publicly traded securities

    beginning of year $316,622 · end of year $304,652

  • 14 · Intangible assets

    beginning of year $4,000,000 · end of year $4,000,000

  • 17 · Accounts payable and accrued expenses

    beginning of year $15,394,904 · end of year $12,143,874

  • 25 · Other liabilities

    beginning of year $665,552 · end of year $646,393

  • 27 · Net assets without donor restrictions

    beginning of year $11,720,494 · end of year $11,039,860

Mission and programs · 2023

Mission

THE SPECIFIC PURPOSE OF MEMORIALCARE SELECT HEALTH PLAN (MCSHP) IS TO PROMOTE THE SOCIAL COMMON GOOD AND GENERAL WELFARE OF THE COMMUNITIES SERVED BY MCSHP BY OPERATING, DIRECTLY OR THROUGH DIVISIONS, SUBSIDIARIES OR JOINT VENTURES WITH OTHER HEALTH PROVIDERS, A CALIFORNIA KNOX KEENE HEALTH CARE SERVICE PLAN (THE "PLAN") AS DEFINED IN THE KNOX-KEENE HEALTH CARE SERVICES PLAN ACT OF 1975, AS AMENDED, AND TO ENGAGE IN ALL ACTIVITIES THAT SUPPORT, FURTHER OR RELATE TO THE OPERATION OF THE PLAN. WITHOUT LIMITING THE GENERALITY OF THE FOREGOING, THE PRIMARY INITIAL PURPOSE OF THE CORPORATION IS TO SUPPORT MANAGED MEDI-CAL MEMBERS IN PREPARATION OF THE CALIFORNIA CHILDREN'S SERVICES DEMONSTRATION PROJECTS UNDERTAKEN BY THE CALIFORNIA DEPARTMENT OF HEALTH SERVICES.

  • THE SPECIFIC PURPOSE OF MEMORIALCARE SELECT HEALTH PLAN (MCSHP) IS TO PROMOTE THE SOCIAL COMMON GOOD AND GENERAL WELFARE OF THE COMMUNITIES SERVED BY MCSHP BY OPERATING, DIRECTLY OR THROUGH DIVISIONS, SUBSIDIARIES OR JOINT VENTURES WITH OTHER HEALTH PROVIDERS, A CALIFORNIA KNOX KEENE HEALTH CARE SERVICE PLAN (THE "PLAN") AS DEFINED IN THE KNOX-KEENE HEALTH CARE SERVICES PLAN ACT OF 1975, AS AMENDED, AND TO ENGAGE IN ALL ACTIVITIES THAT SUPPORT, FURTHER OR RELATE TO THE OPERATION OF THE PLAN. WITHOUT LIMITING THE GENERALITY OF THE FOREGOING, THE PRIMARY INITIAL PURPOSE OF THE CORPORATION IS TO SUPPORT MANAGED MEDI-CAL MEMBERS IN PREPARATION OF THE CALIFORNIA CHILDREN'S SERVICES DEMONSTRATION PROJECTS UNDERTAKEN BY THE CALIFORNIA DEPARTMENT OF HEALTH SERVICES.

    Expenses $52,100,160 · Revenue $53,652,560

As filed on the 2023 return. The filer continues this part on Schedule O, which is not shown here.

Listed in Part VII

  • Barry S Arbuckle

    BOARD CHAIR, MHS PRESIDENT/CEO

    Total calculated
    $6,579,110
    From this org
    $0
    From related orgs
    $4,599,033
    Other
    $1,980,077
    Hours/week
    1 + 59 related

    Schedule J breakdown matched by us

    Base
    $0 + $1,793,299 related
    Bonus
    $0 + $1,927,310 related
    Other
    $0 + $878,424 related
    Deferred
    $0 + $1,947,562 related
    Nontaxable benefits
    $0 + $32,515 related
    Filer's total
    $0 + $6,579,110 related

  • Maribel Ferrer

    BOARD MEMBER, CEO, SHP

    Total calculated
    $600,590
    From this org
    $0
    From related orgs
    $577,508
    Other
    $23,082
    Hours/week
    1 + 59 related

    Schedule J breakdown matched by us

    Base
    $0 + $361,170 related
    Bonus
    $0 + $92,134 related
    Other
    $0 + $124,204 related
    Deferred
    $0 + $16,500 related
    Nontaxable benefits
    $0 + $6,582 related
    Filer's total
    $0 + $600,590 related

  • Maria Chandler MD

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    1

  • Yair Katz

    BOARD MEM.,CHIEF EX, MCWH&SVP PED

    Total calculated
    $1,141,675
    From this org
    $0
    From related orgs
    $917,226
    Other
    $224,449
    Hours/week
    1 + 59 related

    Schedule J breakdown matched by us

    Base
    $0 + $601,073 related
    Bonus
    $0 + $178,011 related
    Other
    $0 + $138,142 related
    Deferred
    $0 + $209,835 related
    Nontaxable benefits
    $0 + $14,614 related
    Filer's total
    $0 + $1,141,675 related

  • Abigail Fletcher MD

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    1

  • Stephen McNamara

    VP PFS AND CFO SHP

    Total calculated
    $635,946
    From this org
    $0
    From related orgs
    $557,350
    Other
    $78,596
    Hours/week
    4 + 56 related

    Schedule J breakdown matched by us

    Base
    $0 + $357,945 related
    Bonus
    $0 + $72,481 related
    Other
    $0 + $126,924 related
    Deferred
    $0 + $62,218 related
    Nontaxable benefits
    $0 + $16,378 related
    Filer's total
    $0 + $635,946 related

  • Scott Ferer

    CHIEF MEDICAL OFFICER

    Total calculated
    $551,136
    From this org
    $0
    From related orgs
    $509,446
    Other
    $41,690
    Hours/week
    59 + 1 related

    Schedule J breakdown matched by us

    Base
    $0 + $375,904 related
    Bonus
    $0 + $87,275 related
    Other
    $0 + $46,267 related
    Deferred
    $0 + $16,500 related
    Nontaxable benefits
    $0 + $25,190 related
    Filer's total
    $0 + $551,136 related

  • Sandra K Jensen

    RN, CASE MANAGER, LEAD

    Total calculated
    $193,360
    From this org
    $175,661
    From related orgs
    $0
    Other
    $17,699
    Hours/week
    60

    Schedule J breakdown matched by us

    Base
    $175,358
    Bonus
    $0
    Other
    $303
    Deferred
    $9,277
    Nontaxable benefits
    $8,422
    Filer's total
    $193,360

  • Mark Gunter

    DIRECTOR, FINANCE

    Total calculated
    $267,121
    From this org
    $242,909
    From related orgs
    $0
    Other
    $24,212
    Hours/week
    60

    Schedule J breakdown matched by us

    Base
    $174,102
    Bonus
    $16,215
    Other
    $52,592
    Deferred
    $12,500
    Nontaxable benefits
    $11,712
    Filer's total
    $267,121

  • Deborah R Schutz

    DIRECTOR, MEDICAL MANAGEMENT

    Total calculated
    $217,515
    From this org
    $201,297
    From related orgs
    $0
    Other
    $16,218
    Hours/week
    60

    Schedule J breakdown matched by us

    Base
    $173,352
    Bonus
    $15,472
    Other
    $12,473
    Deferred
    $9,997
    Nontaxable benefits
    $6,221
    Filer's total
    $217,515

  • Hieu Han

    MANAGER, ENROLLMENT

    Total calculated
    $132,525
    From this org
    $111,614
    From related orgs
    $0
    Other
    $20,911
    Hours/week
    60

  • Indira Gowda

    MEDICAL DIRECTOR

    Total calculated
    $305,803
    From this org
    $284,111
    From related orgs
    $0
    Other
    $21,692
    Hours/week
    60

    Schedule J breakdown matched by us

    Base
    $264,329
    Bonus
    $10,000
    Other
    $9,782
    Deferred
    $13,466
    Nontaxable benefits
    $8,226
    Filer's total
    $305,803

Compensation is as filed in Part VII: reportable pay from this organization and from related organizations, other compensation, and hours per week. The total, marked calculated, is our sum of the three dollar columns, with a blank column counted as $0; the form itself has no total. On a Form 990-EZ the columns are Part IV's instead, and on a Form 990-PF Part VIII's — compensation, contributions to benefit plans, and expense account — and the total sums those. A Schedule J breakdown is as filed: base pay, bonus, other, deferred compensation and nontaxable benefits from this organization, with any from related organizations beside each, and the filer's own total. It is shown with the Part VII listing of the same name on the same return. The form gives no key between the two, so that pairing is ours, and is marked matched by us.

Schedule J

Answered yes

  • 4b · Supplemental nonqualified retirement plan
  • 7 · Other non-fixed payments

Answered no

  • 4a · Severance or change-of-control payment
  • 4c · Equity-based compensation arrangement
  • 5a · Pay contingent on this organization's revenues
  • 5b · Pay contingent on a related organization's revenues
  • 6a · Pay contingent on this organization's net earnings
  • 6b · Pay contingent on a related organization's net earnings
  • 8 · Paid under the initial-contract exception

The filer's explanations (Part III)

PART I, LINE 3
THE COMPENSATION OF THE ORGANIZATION'S CHIEF EXECUTIVE OFFICER IS DETERMINED BY MEMORIAL HEALTH SERVICES (MHS), THE TAX-EXEMPT PARENT OF MEMORIALCARE SELECT HEALTH PLAN. SEE SCHEDULE O FORM 990, PART VI, LINES 15A AND 15B FOR THE PROCESS USED BY MHS TO DETERMINE COMPENSATION.
PART I, LINE 4B
4B: SUPPLEMENTAL NON-QUALIFIED RETIREMENT PLAN: THE ORGANIZATION MAINTAINS A DEFINED CONTRIBUTION PLAN UNDER WHICH, WITH LIMITED EXCEPTIONS REFERENCED BELOW, EACH YEAR'S CONTRIBUTION VESTS AFTER THREE YEARS CONDITIONED UPON THE RECIPIENT'S CONTINUED EMPLOYMENT WITH THE ORGANIZATION AS OF SUCH DATE. DURING THE 2023 CALENDAR YEAR, THE ORGANIZATION MADE THE FOLLOWING CONTRIBUTIONS TO THE PLAN ON BEHALF OF THE FOLLOWING INDIVIDUALS. CONTRIBUTION THAT ARE SUBJECT TO A FUTURE VESTING CONDITION OR EVENT ARE REPORTED AS "RETIREMENT AND DEFERRED COMPENSATION" ON SCHEDULE J, PART II, COLUMN (C). CONTRIBUTIONS THAT ARE IMMEDIATELY VESTED UNDER THE CIRCUMSTANCES REFERENCED BELOW ARE REPORTED AS "OTHER REPORTABLE COMPENSATION" ON SCHEDULE J, PART II, COLUMN (B)(III). BARRY S. ARBUCKLE - $494,388 YAIR KATZ - $83,797
PART I, LINE 7
CERTAIN EXECUTIVES RECEIVE PART OF THEIR OVERALL COMPENSATION IN THE FORM OF AN ANNUAL INCENTIVE PAYMENT. SEVERAL FINANCIAL AND NON-FINANCIAL METRICS ARE UTILIZED IN THE FORMULA FOR THE INCENTIVE COMPENSATION, AND THESE METRICS AND THE FORMULA ARE REVIEWED AND APPROVED EACH YEAR IN ADVANCE BY THE COMPENSATION COMMITTEE OF THE ORGANIZATION'S BOARD OF DIRECTORS. PAYMENT OF ANY INCENTIVE COMPENSATION MUST BE APPROVED BY THE COMPENSATION COMMITTEE AFTER IT HAS REVIEWED THE METRICS TO DETERMINE WHETHER THEY HAVE BEEN MET AND THE AMOUNT OF THE PAYMENTS (IF ANY) BASED ON THE APPROVED FORMULA.

Part I's answers as filed. A line not listed was left unanswered; on lines 1a and 3 that means the box was not checked.

Grants on this return

No itemized grants to organizations on this return.

Related organizations on this return

Schedule R Part II: tax-exempt organizations related to the filer by control. It does not record shared board members or money.

Taxable family on this return

Schedule R Parts I, III and IV, as filed. These record ownership and control, not shared board members or money moved.

Related partnerships

Part III: related organizations taxable as a partnership, with the filer's share.

  • MEMORIALCARE HOME HEALTH LLC

    HEALTHCARE · CA

  • BEACH SURGICAL HOLDINGS LLC

    HEALTHCARE · CA

  • MEMORIALCARE INNOVATION FUND

    INVESTMENTS · CA

  • SUMMATION HEALTH VENTURES

    INVESTMENTS · DE

  • MC FV MOB I LLC

    OWN, OPERATE, LEASE, MAINTAIN THE MEDICAL OFFICE BUILDING PROPERTY · CA

  • RMV MOB I LLC

    OWN, OPERATE, LEASE, MAINTAIN THE MEDICAL OFFICE BUILDING PROPERTY · CA

  • BRISTOL PARK INVESTMENT GROUP I LP

    OWN, LEASE, PROVIDE MANAGEMENT SERVICES FOR MEDICAL OFFICE BUILDING · CA

  • BRISTOL PARK INVESTMENT GROUP II LP

    OWN, LEASE, PROVIDE MANAGEMENT SERVICES FOR MEDICAL OFFICE BUILDING · CA

  • BRISTOL PARK INVESTMENT GROUP III LP

    OWN, LEASE, PROVIDE MANAGEMENT SERVICES FOR MEDICAL OFFICE BUILDING · CA

  • BRISTOL PARK INVESTMENT GROUP V LP

    OWN, LEASE, PROVIDE MANAGEMENT SERVICES FOR MEDICAL OFFICE BUILDING · CA

Related corporations and trusts

Part IV: related organizations taxable as a corporation or trust.

  • NATIONAL HEALTHCARE SERVICES

    C · MEDICAL INVESTING · CA

Provenance

Return type
form_990
Tax year
2023
Filed
6 May 2025
IRS schema version
2023v6.0
Source object
202521359349311367

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