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Nonprofiteer
← MEMORIAL HERMANN PHARMACY SERVICES LLC

Form 990 for tax year 2022

Filed by MEMORIAL HERMANN PHARMACY SERVICES LLC.

Totals

Total revenue
$123,231,943
Total expenses
$117,178,144
Contributions and grants received
$0
Grants paid
$0
Program service revenue
$122,971,151
Investment income
$260,792
Other revenue
$0
Total assets, end of year
$24,971,636
Total liabilities, end of year
$22,171,973
Net assets or fund balances, end of year
$2,799,663
Program services expenses (Part IX)
$117,162,706
Management and general expenses
$15,438
Fundraising expenses
$0
Program service expenses (Part III)
$117,162,706

Program services were 100.0% 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: PATIENT REVENUE PHARMACY

    total $122,971,151 · related or exempt $122,971,151

  • 3 · Investment income

    total $260,792 · excluded $260,792

  • 4 · Income from investment of tax-exempt bond proceeds

    total $0

  • 5 · Royalties

    total $0

  • 6c · Rental income or loss

    real property $0 · personal property $0

  • 6d · Net rental income or loss

    total $0

  • 7d · Net gain or loss

    total $0

  • 8a · Fundraising events: gross income

    $0

  • 8b · Fundraising events: direct expenses

    $0

  • 8c · Net income from fundraising events

    total $0

  • 9a · Gaming: gross income

    $0

  • 9b · Gaming: direct expenses

    $0

  • 9c · Net income from gaming

    total $0

  • 10a · Gross sales of inventory

    $0

  • 10b · Cost of goods sold

    $0

  • 10c · Net income from sales of inventory

    total $0

  • 11e · Other revenue, total

    $0

Functional expenses

Part IX, the statement of functional expenses.

  • 1 · Grants to domestic organizations and governments

    total $0

  • 2 · Grants to domestic individuals

    total $0

  • 3 · Grants to foreign organizations and individuals

    total $0

  • 4 · Benefits paid to or for members

    total $0

  • 5 · Compensation of officers, directors and key employees

    total $0

  • 6 · Compensation of disqualified persons

    total $0

  • 7 · Other salaries and wages

    total $4,672,673 · program services $4,672,673

  • 8 · Pension plan contributions

    total $192,480 · program services $192,480

  • 9 · Other employee benefits

    total $477,689 · program services $477,689

  • 10 · Payroll taxes

    total $328,267 · program services $328,267

  • 11a · Fees: management

    total $0

  • 11b · Fees: legal

    total $0

  • 11c · Fees: accounting

    total $15,438 · management and general $15,438

  • 11d · Fees: lobbying

    total $0

  • 11e · Fees: professional fundraising services

    total $0

  • 11f · Fees: investment management

    total $0

  • 11g · Fees: other

    total $6,086,324 · program services $6,086,324

  • 12 · Advertising and promotion

    total $0

  • 13 · Office expenses

    total $1,119,524 · program services $1,119,524

  • 14 · Information technology

    total $191,757 · program services $191,757

  • 15 · Royalties

    total $0

  • 16 · Occupancy

    total $756,835 · program services $756,835

  • 17 · Travel

    total $18,262 · program services $18,262

  • 18 · Travel or entertainment for public officials

    total $0

  • 19 · Conferences, conventions and meetings

    total $14,556 · program services $14,556

  • 20 · Interest

    total $0

  • 21 · Payments to affiliates

    total $0

  • 22 · Depreciation, depletion and amortization

    total $395,712 · program services $395,712

  • 23 · Insurance

    total $15,313 · program services $15,313

  • 24a · Other expenses: MEDICAL SUPPLIES

    total $102,566,539 · program services $102,566,539

  • 24b · Other expenses: EQUIPMENT & MAINTENANCE

    total $151,072 · program services $151,072

  • 24c · Other expenses: PUBLICATIONS & SUBSCRIPTIONS

    total $94,330 · program services $94,330

  • 24d · Other expenses: SHARED SERVICES

    total $45,567 · program services $45,567

  • 24e · All other expenses

    total $35,806 · program services $35,806

Balance sheet

Part X, book values.

  • 1 · Cash, non-interest-bearing

    beginning of year $470 · end of year $484

  • 2 · Savings and temporary cash investments

    beginning of year $4,645,191 · end of year $7,234,542

  • 3 · Pledges and grants receivable

    beginning of year $0 · end of year $0

  • 4 · Accounts receivable

    beginning of year $7,039,234 · end of year $6,534,763

  • 5 · Loans and receivables from officers and key people

    beginning of year $0 · end of year $0

  • 6 · Loans and receivables from disqualified persons

    beginning of year $0 · end of year $0

  • 7 · Other notes and loans receivable

    beginning of year $0 · end of year $0

  • 8 · Inventories for sale or use

    beginning of year $4,806,066 · end of year $5,023,753

  • 9 · Prepaid expenses and deferred charges

    beginning of year $108,585 · end of year $364,161

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

    $8,574,797

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

    $2,760,864

  • 10c · Land, buildings and equipment, net

    beginning of year $6,474,786 · end of year $5,813,933

  • 11 · Investments: publicly traded securities

    beginning of year $0 · end of year $0

  • 12 · Investments: other securities

    beginning of year $0 · end of year $0

  • 13 · Investments: program-related

    beginning of year $0 · end of year $0

  • 14 · Intangible assets

    beginning of year $0 · end of year $0

  • 15 · Other assets

    beginning of year $0 · end of year $0

  • 17 · Accounts payable and accrued expenses

    beginning of year $945,763 · end of year $872,454

  • 18 · Grants payable

    beginning of year $0 · end of year $0

  • 19 · Deferred revenue

    beginning of year $0 · end of year $0

  • 20 · Tax-exempt bond liabilities

    beginning of year $0 · end of year $0

  • 21 · Escrow or custodial account liability

    beginning of year $0 · end of year $0

  • 22 · Loans and payables to officers and key people

    beginning of year $0 · end of year $0

  • 23 · Secured mortgages and notes payable

    beginning of year $0 · end of year $0

  • 24 · Unsecured notes and loans payable

    beginning of year $0 · end of year $0

  • 25 · Other liabilities

    beginning of year $25,382,705 · end of year $21,299,519

  • 27 · Net assets without donor restrictions

    beginning of year -$3,254,136 · end of year $2,799,663

  • 28 · Net assets with donor restrictions

    beginning of year $0 · end of year $0

Mission and programs · 2022

Mission

MEMORIAL HERMANN HEALTH SYSTEM IS A NONPROFIT, VALUES-DRIVEN, COMMUNITY-OWNED HEALTH SYSTEM DEDICATED TO IMPROVING HEALTH. OUR VISION IS TO CREATE HEALTHIER COMMUNITIES, NOW AND FOR GENERATIONS TO COME. OUR VALUES ARE COMMUNITY, COMPASSION, CREDIBILITY, AND COURAGE.

Activities or mission (Part I)

MEMORIAL HERMANN HEALTH SYSTEM IS A NONPROFIT, VALUES-DRIVEN, COMMUNITY-OWNED HEALTH SYSTEM DEDICATED TO IMPROVING HEALTH.

  • Memorial Hermann prides itself in offering pharmacy services to it's hospitals on the leading edge of technology, extensive clinical programs, shared system formulary, with interdisciplinary collaboration utilizing several innovative pharmacy practice models. The Pharmacy estimates that 95% of the individuals receiving services will be filling prescriptions (whether initial or refill) received in connection with care provided as a patient of one of Memorial Hermann's section 501(c)(3) hospitals. While there may be some incidental sales to the general public, the Pharmacy's purpose, and substantially all of its activities, is directed at addressing the pharmaceutical needs of patients of the Memorial Hermann 501(c)(3) hospitals.

    Expenses $117,162,706 · Revenue $122,971,152

As filed on the 2022 return. The filer continues this part on Schedule O, which is not shown here.

Listed in Part VII

  • David L Callender MD

    President

    Total calculated
    $4,017,427
    From this org
    $0
    From related orgs
    $3,539,897
    Other
    $477,530
    Hours/week
    1 + 1 related

    Schedule J breakdown matched by us

    Base
    $0 + $1,623,035 related
    Bonus
    $0 + $1,872,998 related
    Other
    $0 + $43,864 related
    Deferred
    $0 + $464,845 related
    Nontaxable benefits
    $0 + $12,685 related
    Filer's total
    $0 + $4,017,427 related

  • Deborah Gordon

    Director

    Total calculated
    $1,870,900
    From this org
    $0
    From related orgs
    $1,617,976
    Other
    $252,924
    Hours/week
    1 + 1 related

    Schedule J breakdown matched by us

    Base
    $0 + $773,062 related
    Bonus
    $0 + $820,079 related
    Other
    $0 + $24,835 related
    Deferred
    $0 + $222,672 related
    Nontaxable benefits
    $0 + $30,252 related
    Filer's total
    $0 + $1,870,900 related

  • Joshua Urban

    Vice President

    Total calculated
    $1,605,751
    From this org
    $0
    From related orgs
    $1,393,222
    Other
    $212,529
    Hours/week
    1 + 1 related

    Schedule J breakdown matched by us

    Base
    $0 + $761,037 related
    Bonus
    $0 + $607,506 related
    Other
    $0 + $24,679 related
    Deferred
    $0 + $208,221 related
    Nontaxable benefits
    $0 + $4,308 related
    Filer's total
    $0 + $1,605,751 related

  • Binita Patel

    Secretary

    Total calculated
    $435,050
    From this org
    $0
    From related orgs
    $362,596
    Other
    $72,454
    Hours/week
    40 + 1 related

    Schedule J breakdown matched by us

    Base
    $0 + $236,265 related
    Bonus
    $0 + $105,249 related
    Other
    $0 + $21,082 related
    Deferred
    $0 + $44,113 related
    Nontaxable benefits
    $0 + $28,341 related
    Filer's total
    $0 + $435,050 related

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

  • 3 · Compensation committee
  • 3 · Independent compensation consultant
  • 3 · Form 990 of other organizations
  • 3 · Compensation survey or study
  • 3 · Approval by the board or compensation committee
  • 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)

FORM 990 Schedule Line 4B
SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN: MEMORIAL HERMANN HEALTH SYSTEM SPONSERS TWO SUPPLEMENTAL NONQUALIFIED RETIREMENT PLANS; MEMORIAL HERMANN SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN (SERP); EXECUTIVE DEFERRED COMPENSATION PLAN (EDCP).THE FOLLOWING INDIVIDUAL(S) PARTICIPATED IN AND/OR RECEIVED PAYMENTS (NOTED IN PARENTHESIS FOR SERP AND EDCP RESPECTIVELY) FROM MEMORIAL HERMANN HEALTH SYSTEM'S SUPPLEMENTAL NON-QUALIFIED RETIREMENT PLAN DURING THE TAX YEAR: DEBORAH GORDON ($0/$188,242.21); Joshua Urban ($25,973.40/$86,854.78).
Schedule J Part I, Line 7
Memorial Hermann Health System has two incentive programs in which certain management individuals may participate, the management incentive bonus and long-term incentive plan. The management incentive bonus is an annual incentive designed to attract and retain key leaders and establish greater accountability and alignment to business performance. Payment amount targets are based upon a percentage of base salary, developed by independent third-party experts. Memorial Hermann's compensation committee and governing board have final discretion whether to award amounts to individuals and to adjust the payment at their sole discretion. The long-term incentive plan is based on a three-year performance plan, which rewards key senior leaders by aligning their compensation to strategic initiatives of Memorial Hermann. Performance targets are based upon a percentage of the individual's base salary and are developed by independent third-party experts using market competitive data within the guides of reasonableness. At the end of a three-year period, Memorial Hermann's compensation committee reviews performance against goals to determine appropriate payout. Memorial Hermann's compensation committee and governing board have final discretion whether to award amounts to individuals and to adjust the payment at their sole discretion.

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.

  • MHUSP Surgery CTR III LLP

    N/A · AMB SURGERY CTR · TX

    Directly controlled by NA

  • MHUSP Surgery Centers IV LLP

    N/A · AMB SURGERY CTR · TX

    Directly controlled by NA

  • Mh Katy Rehab Hospital LLC

    N/A · REHABILITATION · TX

    Directly controlled by NA

  • Virtus Memorial WLZ LLC

    N/A · Investment · DE

    Directly controlled by NA

  • Intrepid Private Equity SPVNMP LP

    N/A · Investment · NY

    Directly controlled by NA

  • MHUSP SURGERY CENTERS VI LLC

    N/A · AMB SURGERY CTR · TX

    Directly controlled by NA

  • MHUSP Surgery Centers VII LLC

    N/A · Amb Surgery Ctr · TX

    Directly controlled by NA

  • SP Taum Sauk Mountain LLC

    N/A · Investment · TX

    Directly controlled by NA

  • Redbird Vida Co- Invest LP

    N/A · Investment · FL

    Directly controlled by NA

  • Community First Development LP

    N/A · Investment · TX

    Directly controlled by NA

  • SL3 Trinity Holdings LLC

    N/A · Investment · TX

    Directly controlled by NA

Related corporations and trusts

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

  • MHMD

    C Corp · INTEGRATED PN · TX

    Directly controlled by NA

  • Memorial Hermann Health Solutions

    C Corp · Insurance · TX

    Directly controlled by NA

  • Memorial Hermann Health Insurance Co

    C Corp · Insurance · TX

    Directly controlled by NA

  • The Health Professionals Ins Company LTD

    Foreign · INVESTMENTS · CJ

    Directly controlled by NA

  • Memorial Hermann Health Plan Inc

    C Corp · Insurance · TX

    Directly controlled by NA

  • Memorial Hermann Health Plan Holding LLC

    C Corp · Insurance · TX

    Directly controlled by NA

  • MH Commercial Health Plan Inc

    C Corp · Insurance · TX

    Directly controlled by NA

  • Memorial Hermann Ventures LLC

    C Corp · HOLDING COMPANY · TX

    Directly controlled by NA

  • Memorial Hermann Urgent Care PLLC

    C Corp · Urgent Care CTR · TX

    Directly controlled by NA

  • MH Holdco LLC

    C Corp · Holding Company · TX

    Directly controlled by NA

Provenance

Return type
form_990
Tax year
2022
Filed
15 May 2024
IRS schema version
2022v5.0
Source object
202411319349304516

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