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← MEMORIALCARE SELECT HEALTH PLAN

Form 990 for tax year 2024

Filed by MEMORIALCARE SELECT HEALTH PLAN.

Totals

Total revenue
$53,892,944
Total expenses
$57,442,817
Contributions and grants received
$0
Grants paid
$0
Program service revenue
$53,871,803
Investment income
$21,141
Other revenue
$0
Total assets, end of year
$18,885,224
Total liabilities, end of year
$13,386,491
Net assets or fund balances, end of year
$5,498,733
Program services expenses (Part IX)
$50,273,494
Management and general expenses
$7,169,323
Fundraising expenses
$0
Program service expenses (Part III)
$50,273,494

Program services were 87.5% 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 $52,603,818 · related or exempt $52,603,818

  • 2b · Program service revenue: PREMIUM REVENUE

    total $1,267,985 · related or exempt $1,267,985

  • 3 · Investment income

    total $21,141 · excluded $21,141

Functional expenses

Part IX, the statement of functional expenses.

  • 5 · Compensation of officers, directors and key employees

    total $1,139,317 · program services $524,086 · management and general $615,231

  • 7 · Other salaries and wages

    total $3,083,887 · program services $1,185,696 · management and general $1,898,191

  • 8 · Pension plan contributions

    total $157,070 · program services $63,590 · management and general $93,480

  • 9 · Other employee benefits

    total $929,592 · program services $226,437 · management and general $703,155

  • 10 · Payroll taxes

    total $284,259 · program services $133,911 · management and general $150,348

  • 11a · Fees: management

    total $1,710,500 · management and general $1,710,500

  • 11b · Fees: legal

    total $23,374 · management and general $23,374

  • 11c · Fees: accounting

    total $35,807 · management and general $35,807

  • 11g · Fees: other

    total $789,403 · program services $287,449 · management and general $501,954

  • 12 · Advertising and promotion

    total $5,419 · program services $5,419

  • 13 · Office expenses

    total $310,692 · program services $11,620 · management and general $299,072

  • 14 · Information technology

    total $754,313 · program services $211,659 · management and general $542,654

  • 16 · Occupancy

    total $193,780 · management and general $193,780

  • 17 · Travel

    total $608 · program services $249 · management and general $359

  • 19 · Conferences, conventions and meetings

    total $8,332 · program services $880 · management and general $7,452

  • 22 · Depreciation, depletion and amortization

    total $92,906 · program services $92,906

  • 23 · Insurance

    total $77,010 · management and general $77,010

  • 24a · Other expenses: MEDICAL EXPENSES

    total $47,525,660 · program services $47,525,660

  • 24b · Other expenses: LICENSES & TAXES

    total $320,384 · program services $3,932 · management and general $316,452

  • 24e · All other expenses

    total $504 · management and general $504

Balance sheet

Part X, book values.

  • 2 · Savings and temporary cash investments

    beginning of year $18,649,283 · end of year $17,793,109

  • 4 · Accounts receivable

    beginning of year $148,761 · end of year $227,354

  • 9 · Prepaid expenses and deferred charges

    beginning of year $7,800 · end of year $15,344

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

    $707,166

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

    $171,147

  • 10c · Land, buildings and equipment, net

    beginning of year $719,631 · end of year $536,019

  • 11 · Investments: publicly traded securities

    beginning of year $304,652 · end of year $313,398

  • 14 · Intangible assets

    beginning of year $4,000,000 · end of year $0

  • 17 · Accounts payable and accrued expenses

    beginning of year $12,143,874 · end of year $12,646,336

  • 25 · Other liabilities

    beginning of year $646,393 · end of year $740,155

  • 27 · Net assets without donor restrictions

    beginning of year $11,039,860 · end of year $5,498,733

Mission and programs · 2024

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 $50,273,494 · Revenue $53,871,803

As filed on the 2024 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
    $7,083,129
    From this org
    $0
    From related orgs
    $5,859,346
    Other
    $1,223,783
    Hours/week
    1 + 59 related

    Schedule J breakdown matched by us

    Base
    $0 + $1,872,262 related
    Bonus
    $0 + $2,355,278 related
    Other
    $0 + $1,631,806 related
    Deferred
    $0 + $1,189,582 related
    Nontaxable benefits
    $0 + $34,201 related
    Filer's total
    $0 + $7,083,129 related

  • Yair Katz Board Mem

    CHIEF EX, MCWH&SVP PED(THRU 2/25)

    Total calculated
    $1,185,909
    From this org
    $0
    From related orgs
    $987,252
    Other
    $198,657
    Hours/week
    1 + 59 related

    Schedule J breakdown matched by us

    Base
    $0 + $628,671 related
    Bonus
    $0 + $345,321 related
    Other
    $0 + $13,260 related
    Deferred
    $0 + $177,728 related
    Nontaxable benefits
    $0 + $20,929 related
    Filer's total
    $0 + $1,185,909 related

  • Stephen McNamara

    VP PFS AND CFO SHP

    Total calculated
    $745,381
    From this org
    $0
    From related orgs
    $590,781
    Other
    $154,600
    Hours/week
    4 + 56 related

    Schedule J breakdown matched by us

    Base
    $0 + $386,468 related
    Bonus
    $0 + $181,074 related
    Other
    $0 + $23,239 related
    Deferred
    $0 + $133,447 related
    Nontaxable benefits
    $0 + $21,153 related
    Filer's total
    $0 + $745,381 related

  • Scott Ferer MD

    CHIEF MEDICAL OFFICER

    Total calculated
    $598,502
    From this org
    $524,427
    From related orgs
    $0
    Other
    $74,075
    Hours/week
    60

    Schedule J breakdown matched by us

    Base
    $396,206
    Bonus
    $112,038
    Other
    $16,183
    Deferred
    $52,602
    Nontaxable benefits
    $21,473
    Filer's total
    $598,502

  • Maribel Ferrer

    BOARD MEMBER, CEO, SHP

    Total calculated
    $558,977
    From this org
    $497,389
    From related orgs
    $0
    Other
    $61,588
    Hours/week
    1 + 59 related

    Schedule J breakdown matched by us

    Base
    $374,798
    Bonus
    $104,672
    Other
    $17,919
    Deferred
    $50,830
    Nontaxable benefits
    $10,758
    Filer's total
    $558,977

  • Indira Gowda

    MEDICAL DIRECTOR

    Total calculated
    $354,924
    From this org
    $327,263
    From related orgs
    $0
    Other
    $27,661
    Hours/week
    60

    Schedule J breakdown matched by us

    Base
    $299,484
    Bonus
    $27,499
    Other
    $280
    Deferred
    $16,499
    Nontaxable benefits
    $11,162
    Filer's total
    $354,924

  • Mark Gunter

    DIRECTOR, FINANCE

    Total calculated
    $224,665
    From this org
    $202,276
    From related orgs
    $0
    Other
    $22,389
    Hours/week
    60

    Schedule J breakdown matched by us

    Base
    $179,950
    Bonus
    $21,225
    Other
    $1,101
    Deferred
    $10,483
    Nontaxable benefits
    $11,906
    Filer's total
    $224,665

  • Sandra K Jensen

    RN, CASE MANAGER, LEAD

    Total calculated
    $167,850
    From this org
    $151,243
    From related orgs
    $0
    Other
    $16,607
    Hours/week
    60

    Schedule J breakdown matched by us

    Base
    $150,885
    Bonus
    $0
    Other
    $358
    Deferred
    $8,074
    Nontaxable benefits
    $8,533
    Filer's total
    $167,850

  • Hieu Han

    MANAGER, ENROLLMENT

    Total calculated
    $143,622
    From this org
    $121,243
    From related orgs
    $0
    Other
    $22,379
    Hours/week
    60

  • Leticia Lopez

    MANAGER, CLAIMS

    Total calculated
    $127,651
    From this org
    $104,672
    From related orgs
    $0
    Other
    $22,979
    Hours/week
    60

  • Maria Chandler MD

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    1

  • Abigail Fletcher MD

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    1

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. CONTRIBUTIONS 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).
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
2024
Filed
11 May 2026
IRS schema version
2024v5.5
Source object
202601339349302740

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