2018-08-09T12:54:14-05:00 2017-09-30 ERNST & YOUNG US LLP 560 MISSION ST STE 1600 SAN FRANCISCO CA 94105 990 2016-10-01 330782099 Scripps Health Plan Services Inc % RICHARD ROTHBERGER SCRI 8586787226 10140 CAMPUS POINT DRIVE SAN DIEGO CA 92121 KARRI RODGERS INTERIM PRESIDENT 2018-08-07 EVA NITTA P01286320 4158948000 2016 2022-09-23 18:48:47Z KARRI RODGERS 10140 CAMPUS POINT DRIVE SAN DIEGO CA 92121 602437261 false X WWW.SCRIPPHEALTH.ORG X 2014 CA SHPS SUPPORTS SCRIPPS HEALTH, ITS TAX EXEMPT PARENT, BY PROVIDING SERVICES INTEGRAL TO SCRIPPS HEALTH'S MISSION TO PROVIDE HEALTH CARE, REGARDLESS OF ABILITY TO PAY. 16 14 138 0 0 0 0 0 531261240 597581615 186605 542286 2412586 4313360 533860431 602437261 0 0 0 0 10748315 12271206 0 0 0 520999024 587753968 531747339 600025174 2113092 2412087 90746229 126815478 61623837 93705999 29122392 33109479 X SHPS SUPPORTS SCRIPPS HEALTH, ITS TAX-EXEMPT PARENT, BY PROVIDING CERTAIN SERVICES FOR SCRIPPS HEALTH THAT ARE AN INTEGRAL PART OF SCRIPPS HEALTH'S MISSION OF PROVIDING HEALTH CARE TO THE MEMBERS OF THE COMMUNITY REGARDLESS OF THEIR ABILITY TO PAY. false false 588518534 601894975 SEE SCHEDULE O 588518534 true false false false false false false false false false true false false false true true false true false false false false false false false false false false false true false false false false false false false false false false false false false true true false false false true 1038 0 true 138 true false false false false false false false false false false X 16 14 true false false false true true true true true false false true true true true true true false true false CA X RICHARD ROTHBERGER 8586786828 10140 CAMPUS POINT DRIVE SAN DIEGO CA 92121 MARY JO ANDERSON CHS VICE CHAIR/DIRECTOR 1.0 14.0 X X 0 0 0 GENE H BARDUSON DIRECTOR 1.0 14.0 X 0 0 0 RICHARD C BIGELOW DIRECTOR 1.0 14.0 X 0 0 0 DOUGLAS A BINGHAM ESQ DIRECTOR 1.0 14.0 X 0 0 0 JEFF BOWMAN DIRECTOR 1.0 14.0 X 0 0 0 JAN CALDWELL DIRECTOR 1.0 14.0 X 0 0 0 JUDY CHURCHILL PHD DIRECTOR 1.0 14.0 X 0 0 0 GORDON R CLARK CHAIRMAN/DIRECTOR 1.0 14.0 X X 0 0 0 NICOLE A CLAY DIRECTOR 1.0 14.0 X 0 0 0 DON GOLDMAN DIRECTOR 1.0 14.0 X 0 0 0 ADOLFO GONZALES DIRECTOR 1.0 14.0 X 0 0 0 KATHERINE A LAUER DIRECTOR 1.0 14.0 X 0 0 0 MARTY J LEVIN DIRECTOR 1.0 14.0 X 0 0 0 ABBY SILVERMAN WEISS DIRECTOR 1.0 14.0 X 0 0 0 CHRISTOPHER VAN GORDER DIRECTOR 1.0 59.0 X 0 2086882 1308805 RICHARD VORTMANN DIRECTOR 1.0 14.0 X 0 0 0 STEVEN BELL TREASURER 40.0 0.0 X 152351 0 17742 BRADLEY ELLIS SECRETARY 1.0 49.0 X 0 434469 54272 MARC A REYNOLDS PRESIDENT 20.0 30.0 X 0 705402 55620 Karri Rodgers Vice President, Managed care 40.0 0.0 X 362271 0 47433 VICSITH CHUNG VP, SALES 40.0 0.0 X 150710 0 13069 JANE FLANAGAN-BROWN DIRECTOR PROVIDER NETWORK MGMT 40.0 0.0 X 137169 0 22896 ANIL KESWANI CORP VP, CMO 40.0 0.0 X 622773 0 60839 VICTOR RODRIGUEZ DIRECTOR, EDI SYSTEMS & OPS 40.0 0.0 X 151077 0 25189 MAUREEN WADE ASST VP, MEDICAL MGMT 40.0 0.0 X 197401 0 25499 1773752 3226753 1631364 30 false true false SCRIPPS HEALTH 10140 CAMPUS POINT DRIVE SAN DIEGO CA 92121 MEDICAL SERVICES 138596260 MERCY PHYSICIANS MEDICAL GROUP 3900 FIFTH AVENUE STE 370 SAN DIEGO CA 92103 MEDICAL SERVICES 10428746 RADY CHILDREN'S HOSPITAL MEDICAL GR PO BOX 843951 LOS ANGELES CA 90084 MEDICAL SERVICES 10236372 UCSD MEDICAL CENTER 200 W ARBOR DRIVE SAN DIEGO CA 92103 MEDICAL SERVICES 9506247 TRI CITY MEDICAL CENTER TRI CITY HEALTHCARE DISTRICT DEPART PASADENA CA 91185 MEDICAL SERVICES 5956144 214 0 CAPITATION REVENUE 622110 581914226 581914226 0 0 MANAGEMENT SERVICE REVENUE 561110 15667389 15667389 0 0 597581615 542286 542286 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 BLUE CROSS PHARMACEUTICAL INCENTIVE REV 900099 4313360 4313360 0 0 4313360 602437261 601894975 0 542286 0 0 0 0 0 0 0 0 627196 0 627196 0 0 0 0 0 9038855 7159269 1879586 0 357352 283042 74310 0 1427035 1130290 296745 0 820768 650093 170675 0 0 0 0 0 11778 0 11778 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2389847 82726 2307121 0 3322 0 3322 0 1197568 0 1197568 0 0 0 0 0 0 0 0 0 1272873 0 1272873 0 0 0 0 0 0 0 0 0 0 0 0 0 346813 0 346813 0 0 0 0 0 330750 0 330750 0 29208 0 29208 0 MEDICAL CLAIMS 395768814 395768814 0 0 CAPITATED SERVICES 183444300 183444300 0 0 SERVICE ALLOCATION 1408915 0 1408915 0 OTHER OPERATING EXPENSES 1549780 0 1549780 0 600025174 588518534 11506640 0 0 0 0 87626146 116863312 0 0 1354592 8367394 0 0 0 0 0 0 0 0 142480 151657 3776063 2645556 1323011 1130507 0 0 0 0 0 0 0 0 300000 302608 90746229 126815478 60263908 92636517 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1359929 1069482 61623837 93705999 X 29122392 33109479 0 0 0 0 29122392 33109479 90746229 126815478 X 2412087 0 0 0 0 1575000 X false true X true false X X X 1 SCRIPPS HEALTH 951684089 3 true 0 0 1 0 false false false false false false false false false false false false false false false true false SCHEDULE A, PART I, LINE 11G, Column VI THOUGH SCRIPPS HEALTH PLAN SERVICES DOES NOT PROVIDE MONETARY SUPPORT, SCRIPPS HEALTH PLAN SERVICES SUPPORTS SCRIPPS HEALTH, ITS TAX-EXEMPT PARENT, BY PROVIDING CERTAIN SERVICES FOR SCRIPPS HEALTH THAT ARE INTEGRAL TO SCRIPPS HEALTHS MISSION OF PROVIDING HEALTHCARE TO THE MEMBERS OF THE COMMUNITY REGARDLESS OF THEIR ABILITY TO PAY. IN CONNECTION WITH THE AFFORDABLE CARE ACT ("ACA"), SCRIPPS HEALTH IS INCREASING ITS HEALTHCARE SERVICES PROVIDING TO PATIENTS UNDER THE MANAGED CARE MODEL OF HEALTHCARE. SCRIPPS HEALTH PLAN SERVICES SUPPORTS VARIOUS PARTS OF SCRIPPS HEALTHS OPERATIONS AND ACTIVITIES BY MANAGING HMO CONTRACTS AND PROVIDING CERTAIN MANAGEMENT SERVICES TO RELATED TAX-EXEMPT ORGANIZATIONS. SCHEDULE A, PART IV, SECTION A, LINE 1 SCRIPPS HEALTH IS MEMBER OF A SUPPORTED CLASS DEFINED IN SCRIPPS HEALTH PLAN SERVICES' ARTICLES OF INCORPORATION AS, "organizations that operate as nonprofit health care systems and that ARE organized as described in Section 501(c)(3) of the Internal Revenue Code..." SCHEDULE A, PART IV, SECTION B, LINE 1 ACCORDING TO ARTICLE IV SECTION 3 OF SCRIPPS HEALTH PLAN SERVICES' BYLAWS, THE ELECTION OF THE MEMBERS OF SCRIPPS HEALTH PLAN SERVICES BOARD ARE SUBJECT TO THE APPROVAL OF ITS SOLE STATUTORY MEMBER, SCRIPPS HEALTH. 0 3759535 2645556 1113979 16528 16528 1130507 0 INTERCOMPANY LIABILITIES 1069482 1069482 X SCHEDULE D, PART X, LINE 2 UNCERTAIN TAX POSITIONS UNDER FIN 48 (ASC 740) SCRIPPS HEALTH PLAN SERVICES IS GENERALLY NOT SUBJECT TO FEDERAL OR STATE INCOME TAXES. HOWEVER, SCRIPPS HEALTH PLAN SERVICES IS SUBJECT TO INCOME TAXES ON ANY NET INCOME THAT IS DERIVED FROM A TRADE OR BUSINESS, REGULARLY CARRIED ON, AND NOT IN FURTHERANCE OF THE PURPOSE FOR WHICH IT WAS GRANTED EXEMPTION. UNDER FASB ASC 740, INCOME TAXES, THE TAX BENEFIT FROM UNCERTAIN TAX POSITIONS MAY BE RECOGNIZED ONLY IF IT IS MORE LIKELY THAN NOT THE TAX POSITION WILL BE SUSTAINED, BASED SOLELY ON ITS TECHNICAL MERITS, WITH THE TAXING AUTHORITY HAVING FULL KNOWLEDGE OF ALL RELEVANT INFORMATION. THE ORGANIZATION RECORDS A LIABILITY FOR UNRECOGNIZED TAX BENEFITS FROM UNCERTAIN TAX POSITIONS AS DISCRETE TAX ADJUSTMENTS IN THE FIRST INTERIM PERIOD THAT THE MORE-LIKELY-THAN-NOT THRESHOLD IS NOT MET. THE ORGANIZATION RECOGNIZES DEFERRED TAX ASSETS AND LIABILITIES FOR TEMPORARY DIFFERENCES BETWEEN THE FINANCIAL REPORTING BASIS AND THE TAX BASIS OF ITS ASSETS AND LIABILITIES ALONG WITH NET OPERATING LOSS AND TAX CREDIT CARRYOVERS ONLY FOR THE TAX POSITIONS THAT MEET THE MORE-LIKELY-THAN-NOT RECOGNITION CRITERIA. NO SIGNIFICANT TAX LIABILITY FOR TAX BENEFITS, INTEREST, OR PENALTIES WAS ACCRUED AT SEPTEMBER 30, 2017 OR 2016. false true false false false false false false false STEVEN BELL TREASURER 137363 0 14748 0 240 0 8954 0 8788 0 170093 0 0 0 VICSITH CHUNG VP, SALES 142604 0 0 0 8106 0 1246 0 11823 0 163779 0 0 0 BRADLEY ELLIS SECRETARY 0 322856 0 72309 0 39304 0 17264 0 37008 0 488741 0 28451 JANE FLANAGAN-BROWN DIRECTOR PROVIDER NETWORK MGMT 136922 0 0 0 247 0 2843 0 20053 0 160065 0 0 0 ANIL KESWANI CORP VP, CMO 432999 0 102323 0 87451 0 12639 0 48200 0 683612 0 67403 0 MARC A REYNOLDS PRESIDENT 0 374547 0 114593 0 216262 0 34002 0 21618 0 761022 0 199628 Karri Rodgers Vice President, Managed care 298903 0 53090 0 10278 0 11601 0 35832 0 409704 0 0 0 VICTOR RODRIGUEZ DIRECTOR, EDI SYSTEMS & OPS 150268 0 20 0 789 0 5096 0 20093 0 176266 0 0 0 CHRISTOPHER VAN GORDER DIRECTOR 0 1243009 0 568465 0 275408 0 1281369 0 27436 0 3395687 0 228248 MAUREEN WADE ASST VP, MEDICAL MGMT 187022 0 0 0 10379 0 2130 0 23369 0 222900 0 0 0 SCHEDULE J, PART I, LINE 1B CERTAIN EXECUTIVES REPORTED ON FORM 990, PART VII AND SCHEDULE J, PART II RECEIVE AN AUTOMOBILE ALLOWANCE. THE ALLOWANCE IS INCLUDED IN TAXABLE WAGES AND REPORTED ON THEIR W-2S. Schedule J, Part I, Line 4b SCRIPPS HEALTH SUPPLEMENTAL RETIREMENT PLAN (SERP) PROVIDES SUPPLEMENTAL RETIREMENT BENEFITS TO CERTAIN KEY EMPLOYEES. IT HAS BEEN CLOSED TO NEW PARTICIPANTS SINCE 2001. THE PLAN PROVIDES A BENEFIT DETERMINED BY A FORMULA DRIVEN BY THE EXECUTIVE'S AVERAGE OF THE FIVE HIGHEST YEARS OF PAY AND TAKES IN TO CONSIDERATION TENURE AT SCRIPPS HEALTH, AGE, AND LIFE EXPECTANCY AND ASSUMES MAXIMUM PARTICIPATION IN OTHER RETIREMENT PROGRAMS. EFFECTIVE JANUARY 1, 2014, SCRIPPS HEALTH FROZE ALL BENEFITS UNDER THE EXISTING SERP PLAN FOR FOUR PLAN PARTICIPANTS. EFFECTIVE APRIL 1, 2014, SCRIPPS HEALTH PROVIDED DEFERRED COMPENSATION ARRANGEMENT TO THOSE FOUR EXECUTIVES IN THE FORM OF LOANS TO PURCHASE LIFE INSURANCE PRODUCTS TO FUND POST-RETIREMENT INCOME. SCRIPPS HEALTH EXECUTIVE BENEFITS PROGRAM PROVIDES A 457 PLAN WITH A FLEXIBLE BENEFIT ALLOWANCE THAT CAN BE USED TO PURCHASE ADDITIONAL INSURANCE COVERAGE FOR CERTAIN EXECUTIVE LEVEL EMPLOYEES. ANY REMAINING BENEFIT ALLOWANCE CAN BE DEPOSITED INTO THE SUPPLEMENTAL ACCUMULATION RETIREMENT ACCOUNT (SARA) WITH A FUTURE VESTING DATE. THE FOLLOWING INDIVIDUALS RECEIVED PAYMENT FROM THE SARA PLAN IN CALENDAR YEAR 2016: BRADLEY ELLIS: $ 28,541 ANIL KESWANI: $ 67,403 MARC A. REYNOLDS: $199,628 CHRISTOPHER VAN GORDER: $228,248 FORM 990, PART III, LINE 4A SHPS SUPPORTS SCRIPPS HEALTH, ITS TAX-EXEMPT PARENT, BY PROVIDING CERTAIN SERVICES FOR SCRIPPS HEALTH THAT ARE INTEGRAL TO SCRIPPS HEALTH'S MISSION OF PROVIDING HEALTH CARE TO THE MEMBERS OF THE COMMUNITY REGARDLESS OF THEIR ABILITY TO PAY. IN CONNECTION WITH THE AFFORDABLE CARE ACT ("ACA"), SCRIPPS HEALTH IS INCREASING ITS HEALTH CARE SERVICES PROVIDED TO PATIENTS UNDER THE MANAGED CARE MODEL OF HEALTH CARE. SHPS SUPPORTS VARIOUS PARTS OF SCRIPPS HEALTH'S OPERATIONS AND ACTIVITIES BY MANAGING HMO CONTRACTS AND PROVIDING CERTAIN MANAGEMENT SERVICES TO RELATED TAX-EXEMPT ORGANIZATIONS. SUPPORTED OPERATIONS INCLUDE SCRIPPS CLINIC, SCRIPPS COASTAL MEDICAL CENTER, SCRIPPS GREEN HOSPITAL, SCRIPPS MERCY HOSPITAL, AND SCRIPPS MEMORIAL HOSPITAL LA JOLLA. THESE ARE LICENSED HOSPITALS AND MULTI-SPECIALTY MEDICAL CLINICS IN THE STATE OF CALIFORNIA THAT ARE OPERATED WITHIN SCRIPPS HEALTH, A TAX-EXEMPT ORGANIZATION. SHPS ALSO MANAGES THE PROVIDER NETWORK FOR THE SCRIPPS EMPLOYEE MEDICAL PLAN,THE HEALTH PLAN THAT COVERS THE EMPLOYEES OF SCRIPPS HEALTH, THE TAX-EXEMPT PARENT OF SHPS. FORM 990, PART VI, LINE 2 THE BOARD OF DIRECTORS OF SCRIPPS HEALTH PLAN SERVICES HAS A BUSINESS RELATIONSHIP WITH MARC A. REYNOLDS, BRADLEY ELLIS, AND CHRISTOPHER VAN GORDER AS THESE INDIVIDUALS ARE ALSO OFFICERS AND EMPLOYEES OF SCRIPPS HEALTH, THE TAX EXEMPT PARENT OF SCRIPPS HEALTH PLAN SERVICES. FORM 990, PART VI, LINE 6 SCRIPPS HEALTH IS THE SOLE CORPORATE MEMBER OF SCRIPPS HEALTH PLAN SERVICES. FORM 990, PART VI, LINE 7A THE MEMBERS OF THE BOARD MAY BE ELECTED BY THE BOARD AT THE ANNUAL MEETING OF THE BOARD OR AT SUCH OTHER TIMES AT THE DISCRETION OF THE BOARD, SUBJECT IN EACH CASE TO THE APPROVAL OF THE SOLE STATUTORY MEMBER, SCRIPPS HEALTH. FORM 990, PART VI, LINE 7B SCRIPPS HEALTH, AS SOLE STATUTORY MEMBER, HAS THE RIGHT TO VOTE, APPROVE THE CORPORATIONS DIRECTORS, APPROVE THE DISPOSITION OF ALL OR SUBSTANTIALLY ALL OF THE CORPORATIONS ASSETS, APPROVE ANY MERGER AND ITS PRINCIPAL TERMS AND ANY AMENDMENT OF THOSE TERMS, APPROVE ANY ELECTION TO DISSOLVE THE CORPORATION, AND OTHER DECISIONS PERMITTED UNDER THE CALIFORNIA NONPROFIT PUBLIC BENEFIT CORPORATION LAW. FORM 990, PART VI, LINE 11B THE FORM 990 WAS PREPARED BY AN OUTSIDE ACCOUNTING FIRM WITH SUPPORT OF THE CORPORATE FINANCE TEAM WITH INPUT FROM HUMAN RESOURCES AND LEGAL OFFICE. THE FORM 990 WAS REVIEWED BY THE PRESIDENT, LEGAL COUNSEL, CHIEF FINANCIAL OFFICER, AUDIT COMMITTEE, HUMAN RESOURCES AND COMPENSATION COMMITTEE PRIOR TO FILING. IN ADDITION, A FULL COPY OF THE 990 WAS PROVIDED TO THE BOARD OF TRUSTEES VIA EMAIL IN ADVANCE OF FILING FORM 990 WITH THE IRS. FORM 990, PART VI, LINE 12C COMPLIANCE POLICY MONITORING WITHIN 60 DAYS OF HIRE AND ANNUALLY THEREAFTER ALL SUPERVISORS AND ABOVE; ALL EMPLOYEES IN THE SUPPLY CHAIN MANAGEMENT DEPARTMENT, AUDIT & COMPLIANCE SERVICES DEPARTMENT, AND CASE MANAGEMENT DEPARTMENT OR FUNCTION; AND ANY OTHER EMPLOYEE WHO IS IN A POSITION TO REFER PATIENTS THAT ARE FEDERALLY FUNDED HEALTH CARE BENEFICIARIES TO OTHER PROVIDERS AND SERVICES; AND OTHERS AS DETERMINED BY THE CONFLICTS AND BUSINESS PRACTICES REVIEW COMMITTEE WILL BE REQUIRED TO COMPLETE AND SIGN THE CONFLICT OF INTEREST COMMITMENT DISCLOSURE FORM. IT IS THE RESPONSIBILITY OF ANY EMPLOYEE WHO HAS A CHANGE IN OUTSIDE PROFESSIONAL ACTIVITIES, SIGNIFICANT FINANCIAL INTERESTS, OR POTENTIAL OR ACTUAL CONFLICT OF INTEREST, OR COMMITMENT SITUATIONS THAT ARISE DURING THE YEAR TO DISCLOSE THE INFORMATION TO THEIR SUPERVISORS AS SOON AS THE EMPLOYEE BECOMES AWARE OF THE POTENTIAL OR ACTUAL SITUATION CREATING A POSSIBLE CONFLICT OF INTEREST OR CONFLICT COMMITMENT. SUPERVISORS WILL ASSESS THE SITUATION AND REFER TO THEIR BUSINESS UNIT MANAGEMENT AND/OR THE CONFLICTS AND BUSINESS PRACTICES REVIEW COMMITTEE, AS APPROPRIATE. IN ADDITION, EACH PERSON ENTRUSTED WITH A POSITION OF RESPONSIBILITY IN THE GOVERNANCE AND MANAGEMENT IS REQUIRED TO COMPLETE AND SUBMIT DISCLOSURE STATEMENTS AS FOLLOWS: 1. INITIAL CONFLICT OF INTEREST AND 990 TAX RETURN DISCLOSURE STATEMENT (INITIAL DISCLOSURES) 2. ANNUAL CONFLICT OF INTEREST AND 990 TAX RETURN DISCLOSURE STATEMENT 3. SUBSEQUENT OCCURRENCES REPORTING UPON THE OCCURRENCE OF ANY NEW POTENTIAL CONFLICT OF INTEREST. ACTUAL OR POTENTIAL CONFLICT DISCLOSURES REGARDING EMPLOYEES ARE REVIEWED BY THE CONFLICTS AND BUSINESS PRACTICES REVIEW COMMITTEE. DISCLOSURES REQUIRING MITIGATION ARE DISCUSSED WITH THE BUSINESS UNIT CHIEF EXECUTIVE AND EMPLOYEE'S SUPERVISOR. LEGAL COUNSEL REVIEWS EACH BOARD OF TRUSTEES' MEETING AGENDA PRIOR TO THE MEETING AND POTENTIAL CONFLICTS OF INTERESTS ARE IDENTIFIED, CONSIDERED AND AN APPROPRIATE COURSE OF ACTION IS DETERMINED BY THE MEMBER AND LEGAL COUNSEL WITH THE INVOLVEMENT OF THE PRESIDENT AND BOARD CHAIR, WHERE APPROPRIATE. COURSE OF ACTION MAY INCLUDE THE CONFLICTED BOARD MEMBER RECUSING THEMSELVES, ABSTAINING FROM VOTING AND/OR READING A STATEMENT INTO THE BOARD MINUTES REGARDING SUCH CONFLICT. AS IT RELATES TO BOARD OF TRUSTEES, WHEN A DETERMINATION IS THAT AN ACTUAL CONFLICT OF INTEREST EXISTS AND A COVERED INDIVIDUAL IS AN "INTERESTED PERSON" UNDER CALIFORNIA LAW, THE TRANSACTION BEING CONSIDERED WILL COMPLY WITH APPLICABLE STATUTORY REQUIREMENTS TO AVOID PARTICIPATION IN THE DECISION MAKING PROCESS BY THE COVERED INDIVIDUAL. THE MINUTES OF BOARD MEETINGS SHALL DOCUMENT ALL RECUSALS FROM DISCUSSION AND VOTING. FORM 990, PART VI, LINE 15A & 15B OFFICERS & POSITIONS FOR WHICH PROCESS WAS USED, & YEAR PROCESS BEGAN THE ORGANIZATION'S PRESIDENT AND SECRETARY ARE PAID BY ITS TAX EXEMPT PARENT, SCRIPPS HEALTH, AND IS DISCLOSED AS A PERSON PAID BY A RELATED ORGANIZATION. THE COMPENSATION OF THE TREASURER AND KEY EMPLOYEES IS APPROVED BY THE ORGANIZATION'S BOARD AND PAID DIRECTLY BY THE ORGANIZATION. PURSUANT TO PROCEDURES REQUIRED BY TAX EQUITY AND FISCAL RESPONSIBILITY ACT OF 1983 (TEFRA), SCRIPPS HEALTH'S PROCEDURES ARE AS FOLLOWS: THE BOARD OF TRUSTEES REVIEWS EXECUTIVE COMPENSATION FOR OFFICERS AND ALL KEY EMPLOYEES ON AN ANNUAL BASIS UTILIZING COMPARABILITY DATA OBTAINED BY AN EXTERNAL CONSULTANT. IT IS THE PHILOSOPHY OF THE SCRIPPS HEALTH BOARD OF TRUSTEES TO COMPENSATE THE CORPORATION'S EXECUTIVES FAIRLY RELATIVE TO THE MEDIAN COMPENSATION OF PEER ORGANIZATIONS, CONSIDERING AND MAKING APPROPRIATE ADJUSTMENTS FOR THE COST OF LIVING IN SAN DIEGO, CALIFORNIA AND OTHER RELEVANT FACTORS. TO ACCOMPLISH THIS, THE BOARD HAS ADOPTED A PHILOSOPHY OF TARGETING EXECUTIVE SALARIES AT APPROXIMATELY THE 65TH PERCENTILE OF A NATIONAL PEER GROUP OF ORGANIZATIONS AS DETERMINED THROUGH AN INDEPENDENT OUTSIDE CONSULTANT ENGAGED BY THE BOARD AND WILL RELY ON THEIR RECOMMENDATIONS USING A DATABASE OF INDEPENDENTLY COLLECTED DATA. THE PHILOSOPHY STATES: - FOR PURPOSES OF EXECUTIVE COMPENSATION COMPARISONS, SCRIPPS USES A NATIONAL PEER GROUP OF MEDICAL DELIVERY SYSTEMS OF SIMILAR REVENUE SIZE AND COMPLEXITY. THE PEER GROUP IS REVIEWED AND APPROVED BY THE HUMAN RESOURCES AND COMPENSATION COMMITTEE. - SALARIES ARE TARGETED AT APPROXIMATELY THE 65TH PERCENTILE OF THE PEER GROUP AND WILL REFLECT THE PERFORMANCE OF THE INDIVIDUAL. - TOTAL CASH COMPENSATION IS POSITIONED AT APPROXIMATELY THE 75TH PERCENTILE OF THE PEER GROUP WHEN MAXIMUM LEVEL INCENTIVES ARE PAID FOR ACHIEVEMENT OF MAXIMUM LEVEL OF PREDETERMINED OBJECTIVES AGREED UPON BY THE BOARD. - THE BOARD SELECTS THE 65TH PERCENTILE FOR BASE COMPENSATION OF PEER GROUP ADJUSTED FOR COST OF LIVING OF URBAN WEST COAST MARKET AT THE 50TH PERCENTILE (I.E. THE 50TH PERCENTILE OF CALIFORNIA MARKET IS THE 65TH PERCENTILE OF NATIONAL PEER MARKET AS OUR EXECUTIVE RECRUITMENT MARKET IS NATIONAL). - ANNUALLY, TOTAL CASH COMPENSATION FOR EACH POSITION WILL NOT EXCEED THE BASE SALARY ESTABLISHED FOR THE PERIOD PLUS THE MAXIMUM INCENTIVE PERCENTAGE PAYOUT ALLOWABLE AS DETERMINED BY THE SCRIPPS MANAGEMENT INCENTIVE PLAN APPROVED BY THE BOARD OF TRUSTEES FOR THE RESPECTIVE POSITION. THE REPORT FROM THE EXTERNAL CONSULTANT ENGAGED TO REVIEW EXECUTIVE COMPENSATION IS PRESENTED TO THE HUMAN RESOURCES AND COMPENSATION COMMITTEE ON AN ANNUAL BASIS AND THE MOST RECENT REPORTS WERE REVIEWED ON JANUARY 25, 2017 AND MARCH 29, 2017. REVIEW AND DISCUSSION OF SUCH REPORT IS DOCUMENTED IN THE MINUTES. FORM 990, PART VI, LINE 19 FINANCIAL STATEMENTS ARE POSTED QUARTERLY ON THE DAC (DIGITAL ASSURANCE CERTIFICATION) WEBSITE AND THE MUNICIPAL SECURITIES RULEMAKING BOARD'S (MSRB) ELECTRONIC MUNICIPAL MARKET ACCESS (EMMA) WEBSITE IN SATISFACTION OF CONTINUING DISCLOSURE REQUIREMENTS RELATING TO THE ORGANIZATION'S TAX-EXEMPT DEBT ISSUANCES. SCRIPPS HEALTH'S CONFLICT OF INTEREST POLICY AND GOVERNING DOCUMENTS ARE AVAILABLE UPON REQUEST. FORM 990, PART XI, LINE 9 OTHER CHANGES IN NET ASSETS TRANSFER FROM SCRIPPS HEALTH $1,575,000 SCRIPPS HEALTH 10140 CAMPUS POINT DRIVE SAN DIEGO CA 92121 951684089 HOSPITAL CA 501(c)(3) 3 NA false MERCY HOSPITAL FOUNDATION 10140 CAMPUS POINT DRIVE SAN DIEGO CA 92121 942958094 FUNDRAISING CA 501(c)(3) 12a SCRIPPS HLTH true MAXWELL H & MURIEL GLUCK CHILD CARE CTR 10140 CAMPUS POINT DRIVE SAN DIEGO CA 92121 350504809 CHILDCARE CA 501(c)(3) 2 SCRIPPS HLTH true HORIZON HOSPICE 10140 CAMPUS POINT DRIVE SAN DIEGO CA 92121 330220777 HOSPICE CARE CA 501(c)(3) 10 SCRIPPS HLTH true SCRIPPS ENCINITAS SURGERY CTR 15305 DALLAS PKWY STE 1600 LB 28 ADDISON TX 75001 205942958 AMBUL SURGERY CTR CA NA N/A 0 0 false 0 false SCRIPPSUSP SURGERY CENTER 15305 DALLAS PKWY STE 1600 LB 28 ADDISON TX 75001 205942911 AMBUL SURGERY CTR CA NA N/A 0 0 false 0 false SCRIPPS IDN MANAGEMENT LLC 10140 CAMPUS POINT DRIVE SAN DIEGO CA 92121 454557426 HEALTHCARE SVCS CA NA N/A 0 0 false 0 false SCRIPPS MEMORIAL XIMED MED CTR 9850 GENESEE AVE STE 900 LA JOLLA CA 92037 330475481 REAL ESTATE CA NA N/A 0 0 false 0 false SCRIPPS MERCY AMBULATORY SURGERY CENTER 10140 CAMPUS POINT DRIVE SAN DIEGO CA 92121 450503246 AMBUL SURGERY CTR CA NA N/A 0 0 false 0 false SCRIPPSCARE 10140 CAMPUS POINT DRIVE SAN DIEGO CA 92121 452870638 HEALTHCARE SVCS CA SCRIPPS HEALTH C Corp 0 0 false SCRIPPS CLINICAL SCIENCE CENTER 10140 CAMPUS POINT DRIVE SAN DIEGO CA 92121 264479543 RESEARCH CA SCRIPPS HEALTH C Corp 0 0 false CHARITABLE LEAD TRUST (3) 10140 CAMPUS POINT DRIVE SAN DIEGO CA 92121 330796247 HOSPITAL SUPPORT CA NA Trust false CHARITABLE REMAINDER TRUST (47) 10140 CAMPUS POINT DRIVE SAN DIEGO CA 92121 205156965 HOSPITAL SUPPORT CA NA Trust false false false true false false false false false false false true true true false false true true false false SCHEDULE R, PART III RELATED ORGANIZATIONS TAXABLE AS PARTNERSHIPS SCRIPPS ENCINITAS SURGERY CENTER, LLC EIN: 20-5942958 ADDRESS: 15305 DALLAS PKWY, STE 1600, LB 28, ADDISON, TX 75001 SCRIPPS/USP SURGERY CENTER LLC EIN: 20-5942911 ADDRESS: 15305 DALLAS PKWY, STE 1600, LB 28, ADDISON, TX 75001 SCRIPPS IDN MANAGEMENT, LLC EIN: 45-4557426 ADDRESS: 10140 CAMPUS POINT DRIVE, SAN DIEGO, CA 92121 SCRIPPS MERCY AMBULATORY SURGERY CENTER LLC EIN: 45-0503246 ADDRESS: 10140 CAMPUS POINT DRIVE, SAN DIEGO, CA 92121 SCRIPPS MEMORIAL - XIMED MEDICAL CENTER, LP EIN: 33-0475481 ADDRESS: 9850 GENESEE AVE, STE 900, LA JOLLA, CA 92037