2016-08-11T15:19:44-05:00 2015-09-30 ERNST & YOUNG US LLP 560 MISSION STREET SUITE 1600 SAN FRANCISCO CA 941052907 990 2014-10-01 330782099 Scripps Health Plan Services Inc % Richard Rothberger SCRI 8586787226 4275 Campus Point Court San Diego CA 92121 MARC A REYNOLDS PRESIDENT 2016-08-10 EVA NITTA P01286320 4158948000 2014 2016-12-15 16:53:06Z Marc Reynolds 4275 Campus Point Court San Diego CA 92121 489059152 false X www.scrippshealth.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. 14 12 126 0 0 0 0 111159117 488756283 1797 2695 3124333 300174 114285247 489059152 0 0 0 0 2200577 9088650 0 0 0 112012367 479732903 114212944 488821553 72303 237599 78807333 85148964 60135632 62839664 18671701 22309300 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 482318947 489056457 SEE SCHEDULE O 482318947 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 986 0 true 126 true false false false false false false false false false X 14 12 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 4275 Campus Point Court San Diego CA 92121 ABBY SILVERMAN WEISS DIRECTOR 1.0 14.0 X 0 0 0 CHRISTOPHER VAN GORDER DIRECTOR 1.0 59.0 X 0 1870924 -2140466 DOUGLAS A BINGHAM ESQ DIRECTOR 1.0 14.0 X 0 0 0 GORDON R CLARK TRUSTEE/VICE CHAIR 1.0 14.0 X 0 0 0 JAN CALDWELL DIRECTOR 1.0 14.0 X 0 0 0 JEFF BOWMAN DIRECTOR 1.0 14.0 X 0 0 0 JUDY CHURCHILL PHD Director/Chairman 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 MARY JO ANDERSON CHS DIRECTOR 1.0 14.0 X 0 0 0 MAUREEN A STAPLETON DIRECTOR 1.0 14.0 X 0 0 0 RICHARD C BIGELOW DIRECTOR 1.0 14.0 X 0 0 0 RICHARD VORTMANN DIRECTOR 1.0 14.0 X 0 0 0 ROBERT A TJOSVOLD DIRECTOR 1.0 14.0 X 0 0 0 BRADLEY ELLIS SECRETARY 1.0 49.0 X 0 418899 41419 MARC A REYNOLDS PRESIDENT 20.0 30.0 X 0 561121 115180 STEVEN BELL TREASURER 40.0 0.0 X 143290 0 27719 Karri Rodgers Vice President, Managed care 40.0 0.0 X 292275 0 38810 Nancy Maurer Manager, Case Mgmt/UM/QI 40.0 0.0 X 136799 0 23164 Laura Andrade Williams Superviser, Case Mgmt 40.0 0.0 X 123137 0 34760 Cynthia Ray Case Manager 40.0 0.0 X 119446 0 14444 Maureen Yarno Case Manager 40.0 0.0 X 119400 0 22368 Elizabeth Wilson Case Manager 40.0 0.0 X 117712 0 19419 1052059 2850944 -1803183 15 false true false Scripps Health 4275 Campus Point Ct San Diego CA 92121 Medical Services 260998933 Mercy Physicians Medical Group 3900 Fifth Avenue Ste 370 SAN DIEGO CA 92103 MEDICAL SERVICES 7132967 Palomar Health 456 E Grand Ave ESCONDIDO CA 92025 MEDICAL SERVICES 4968666 Rady Children's Hospital San Diego 3020 Childrens Way SAN DIEGO CA 92123 MEDICAL SERVICES 3643935 UCSD Medical Center 200 W Arbor Dr SAN DIEGO CA 92103 MEDICAL SERVICES 2957710 178 0 0 0 CAPITATION REVENUE 622110 475033182 475033182 0 0 MANAGEMENT SERVICE REVENUE 561110 13723101 13723101 0 0 488756283 2695 2695 0 0 0 0 0 0 0 0 0 BLUE CROSS PHARMACEUTICAL INCENTIVE REVENUE 900099 300174 300174 0 0 300174 489059152 489056457 0 2695 0 0 0 0 0 0 0 0 606316 0 606316 0 0 0 0 0 6503152 5356423 1146729 0 274647 226217 48430 0 1141169 939942 201227 0 563366 464025 99341 0 0 0 0 0 68648 0 68648 0 171583 0 171583 0 0 0 0 0 0 0 0 0 0 0 1683516 223380 1460136 0 0 0 0 483120 0 483120 0 0 0 0 0 0 0 0 0 461290 0 461290 0 0 0 0 0 0 0 0 0 0 0 0 0 7323 0 7323 0 0 0 0 0 83849 0 83849 0 29246 0 29246 0 Medical Claims 308760820 308760820 0 0 Capitated Services 166348140 166348140 0 0 Service Allocation 1323873 0 1323873 0 Other Operating Expenses 311495 0 311495 0 488821553 482318947 6502606 0 0 0 0 76905578 82237145 0 0 1203436 2183798 0 0 0 0 0 0 0 0 181265 230699 2398326 2203573 214517 194753 0 0 0 0 0 0 0 0 302537 302569 78807333 85148964 59589343 61932427 0 0 0 0 0 0 0 0 0 0 0 0 0 0 546289 907237 60135632 62839664 X 18671701 22309300 0 0 0 0 18671701 22309300 78807333 85148964 X 237599 3400000 X false true X true false X X X 1 Scripps Health 951684089 3 true 0 0 1 0 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 SHPS does not provide monetary support, 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 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 provided to patients under the managed care model of healthcare. 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. 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 SHPS bylaws, the election of the members of SHPS board are subject to the approval of its sole statutory member, Scripps Health. 2398326 2203573 194753 194753 0 Intercompany Liabilities 907237 907237 X SHEDULE D, PART X, LINE 2 FIN 48(ASC740) Footnote SHPS is generally not subject to federal or state income taxes. However, SHPS is subject to income taxes on any net income that is derived from a trade or business, regularly carried on and not in the furtherance of the purpose for which it was granted exemption. The organization reviews its tax positions annually and has determined that there are no uncertain tax positions as of September 30, 2015 or September 30, 2014. false true false false false false false false false BRADLEY ELLIS SECRETARY 0 287583 0 80979 0 50337 0 15375 0 26044 0 460318 0 28398 MARC A REYNOLDS PRESIDENT 0 350146 0 132880 0 78095 0 80976 0 34204 0 676301 0 60924 STEVEN BELL TREASURER 122869 0 20217 0 204 0 8716 0 19003 0 171009 0 0 0 Karri Rodgers Vice President, Managed care 282028 0 0 0 10247 0 8657 0 30153 0 331085 0 0 0 Nancy Maurer Manager, Case Mgmt/UM/QI 121402 0 9991 0 5406 0 5626 0 17538 0 159963 0 0 0 Laura Andrade Williams Superviser, Case Mgmt 118713 0 953 0 3471 0 7754 0 27006 0 157897 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 457F 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 2014: Marc A Reynolds $60,924 Bradley Ellis $28,398 Schedule J, Part II AS NOTED ABOVE, SCRIPPS HEALTH FROZE ITS SERP FOR THE FOLLOWING EXECUTIVE WHICH RESULTED IN THE ACTUARIAL VALUE OF THE SERP PROJECTED BENEFIT TO DECREASE ONE-TIME BY THE FOLLOWING AMOUNT: - CHRISTOPHER VAN GORDER $3,056,821 THE ABOVE DECREASE WAS PREVIOUSLY REPORTED AS DEFERRED COMPENSATION IN MULTIPLE PRIOR YEARS. IN THE CURRENT YEAR, THE DECREASE RESULTED IN THE COMPENSATION FOR CHRISTOPHER VAN GORDER BEING BELOW THE SCHEDULE J, PART II REPORTING THRESHOLD; THEREFORE, HE IS ONLY REPORTED ON FORM 990, PART VII. IF THE INDIVIDUAL DID MEET THE REPORTING THRESHOLD, THEIR COMPENSATION WOULD HAVE BEEN REPORTED ON SCHEDULE J, PART II AS FOLLOWS: CHRISTOPHER VAN GORDER COLUMN B(I) - BASE COMPENSATION: $1,170,765 COLUMN B(II) - BONUS & INCENTIVE COMPENSATION: $659,752 COLUMN B(III) - OTHER REPORTABLE COMPENSATION: $40,407 COLUMN C - RETIREMENT AND OTHER DEFERRED COMPENSATION: ($2,181,077) COLUMN D - NONTAXABLE BENEFITS: $40,611 COLUMN E - TOTAL OF COLUMNS: ($269,543) COLUMN F - COMPENSATION IN COLUMN (B) REPORTED AS DEFERRED IN PRIOR FORM 990: $0 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 MEMBERS OR STOCKHOLDERS 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 CORPORATION'S DIRECTORS, APPROVE THE DISPOSITION OF ALL OR SUBSTANTIALLY ALL OF THE CORPORATION'S 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 11 THE FORM 990 WAS PREPARED BY AN OUTSIDE ACCOUNTING FIRM WITH THE SUPPORT OF THE CORPORATE FINANCE TEAM WITH INPUT FROM HUMAN RESOURCES AND THE 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, LINES 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 OFFICES & POSITIONS FOR WHICH PROCESS WAS USED, & YEAR PROCESS WAS BEGUN 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 BOARD OF TRUSTEES TO COMPENSATE THE CORPORATION'S EXECUTIVES FAIRLY RELATIVE TO THE MEDIAN COMPENSATION OF PEER ORGANIZATIONS, CONSIDERING AND MAKING APPROPRIATE ADJUSMENTS 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 REPORT WAS REVIEWED ON MARCH 28, 2015. 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 Contributed Capital $3,400,000 Horizon Hospice 4275 Campus Point Ct San Diego CA 92121 330220777 Hospice Care CA 501(c)(3) 9 Scripps HLTH true Scripps Health 4275 Campus Point Ct San Diego CA 92121 951684089 Hospital CA 501(c)(3) 3 NA false Mercy Hospital Foundation 4275 Campus Point Ct San Diego CA 92121 942958094 Fundraising CA 501(c)(3) 11-I Scripps HLTH true Maxwell H & Muriel Gluck Child Care Ctr 4275 Campus Point Ct Campus Point Ct CA 92121 350504809 Childcare CA 501(c)(3) 2 Scripps HLTH true Scripps Encinitas Surgery Ctr 15305 Dallas Pkwy Ste 1600 LB 28 Addison TX 75001 205942958 AMBUL SURGERY CTR CA NA 0 0 false false ScrippsUSP Surgery Centers LLC 15305 Dallas Pkwy Ste 1600 LB 28 Addison TX 75001 205942911 AMBUL SURGERY CTR CA NA 0 0 false false Scripps IDN Mgmt LLC 4275 Campus Point Ct San Diego CA 92121 454557426 HEALTHCARE SVCS CA NA 0 0 false false Scripps Mercy Ambulatory Surgery Ctr LL 4275 Campus Point Ct San Diego CA 92121 450503246 AMBUL SURGERY CTR CA NA 0 0 false false Scripps Health & Healing Center 4275 Campus Point Ct San Diego CA 92121 205156965 Patient Education CA scripps health C Corp 0 0 true ScrippsCare 4275 Campus Point Ct San Diego CA 92121 452870638 Healthcare Servic CA scripps health C Corp 0 0 true Scripps Clinical Science Center 4275 Campus Point Ct San Diego CA 92121 264479543 Research CA scripps health C Corp 0 0 true Charitable Lead Trust (2) 4275 Campus Point Ct San Diego CA 92121 330796247 Hospital Support CA N/A Trust Charitable Remainder Trust (55) 4275 Campus Point Ct San Diego CA 92121 205156965 Hospital Support CA N/A Trust false false false false false false false false false false false false true false false true true false true SCHEDULE R, PART III IDENTIFICATION OF RELATED ORGANIZATIONS TAXABLE AS A PARTNERSHIP SCRIPPS ENCINITAS SURGERY CENTER, LLC EIN: 20-5942958 ADDRESS: 15305 DALLAS PKWY, STE 1600, LB 28 ADDISON TX 75001 SCRIPPS IDN MANAGEMENT, LLC EIN: 45-4557426 ADDRESS: 4275 CAMPUS POINT COURT, SAN DIEGO CA 92121 SCRIPPS MERCY AMBULATORY SURGERY CENTER LLC EIN:45-0503246 ADDRESS: 4275 CAMPUS POINT COURT, SAN DIEGO CA 92121 SCRIPPS/USP SURGERY CENTER LLC EIN: 20-5942911 ADDRESS: 15305 DALLA PKWY, STE 1600, LB 28 ADDISON TX 75001