2024-08-11T20:23:35+00:00 2023-09-30 346565596 ERNST & YOUNG US LLP 101 E WASHINGTON ST PHOENIX AZ 85004 990 2022-10-01 330782099 SCRIPPS HEALTH PLAN SERVICES INC SCRI 8586787227 10790 RANCHO BERNARDO RD SAN DIEGO CA 92127 RICHARD NEALE President/CEO 2024-08-12 false Steven T Rutti P00775456 6023223000 2024-08-02 2022 2024-08-08 14:25:15Z RICHARD NEALE 10790 RANCHO BERNARDO RD SAN DIEGO CA 92127 912698166 false X WWW.SCRIPPS.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. 17 16 156 0 0 0 26925 0 856327667 904635216 774968 5864961 1855446 2197989 858985006 912698166 0 0 0 0 16372804 17223525 0 0 0 839377196 892559198 855750000 909782723 3235006 2915443 138354559 142929686 90124559 91787289 48230000 51142397 SHPS supports Scripps Health, it's tax exempt parent, by providing services integral to Scripps Health's mission to provide health care to the members of the community, regardless of ability to pay. false false 897614270 0 906833205 SEE SCHEDULE O. 897614270 true 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 1307 0 true 156 true false false false false false false false false false false false false X 17 16 true false false false true true true true true false false true true true true true true false true false CA X BRETT TANDE 8586787227 10140 CAMPUS POINT DRIVE SAN DIEGO CA 92121 Jan Caldwell CHAIR/TRUSTEE 1.0 13.0 X X 0 0 0 Richard C Bigelow VICE CHAIR/TRUSTEE 1.0 14.0 X X 0 0 0 Christopher Van Gorder SH President / CEO, TRUSTEE 1.0 59.0 X 0 2845338 49258 Dan Feldman TRUSTEE 1.0 13.0 X 0 0 0 Don Goldman TRUSTEE 1.0 13.0 X 0 0 0 Elliot A Scott TRUSTEE 1.0 13.0 X 0 0 0 Gene H Barduson TRUSTEE 1.0 13.0 X 0 0 0 Honorable Irma Gonzalez TRUSTEE 1.0 13.0 X 0 0 0 Jeff Bowman TRUSTEE 1.0 13.0 X 0 0 0 John Boyer PhD TRUSTEE 1.0 13.0 X 0 0 0 Judy Churchill PhD TRUSTEE (THRU 12/31/22) 1.0 13.0 X 0 0 0 Katherine A Lauer TRUSTEE (THRU 12/31/22) 1.0 13.0 X 0 0 0 Kevin T Hamilton TRUSTEE 1.0 14.0 X 0 0 0 Marty J Levin TRUSTEE (THRU 12/31/22) 1.0 13.0 X 0 0 0 Nicole A Clay TRUSTEE 1.0 13.0 X 0 0 0 Richard Vortmann TRUSTEE 1.0 13.0 X 0 0 0 Robert Buell Esq TRUSTEE 1.0 13.0 X 0 0 0 Shireen Matthews Esq TRUSTEE 1.0 13.0 X 0 0 0 Theodore Thomas MD TRUSTEE 1.0 13.0 X 0 0 0 William D Gore TRUSTEE 1.0 13.0 X 0 0 0 Bradley Ellis Secretary 1.0 49.0 X 0 876977 49732 Richard Neale President / CEO (eff. 11/2022) 40.0 10.0 X 0 1310198 53582 Shawn Forrester President / CEO (thru 11/2022) 20.0 20.0 X 0 878432 24795 Steven Bell CFO / Treasurer 40.0 0 X 197352 0 22708 Karri Rodgers Vice President, Managed Care 40.0 0 X 443676 0 39454 Deborah Bennett Dir, Utilization Mgmt 40.0 0 X 187119 0 22651 Linda Pantovic Sr Dir SHPS Compl/Perf Impv 40.0 0 X 196746 0 35237 Melissa Halgas Senior Director 40.0 0 X 193363 0 26325 Richard Andreasen Director, Payment Services 40.0 0 X 207438 0 36981 Ryan Bautista Care Manager 40.0 0 X 169558 0 9440 Anil Keswani Former Key Employee 0.0 50.0 X 0 1244840 52082 1595252 7155785 422245 38 true true false Scripps Health 10140 Campus Point Drive San Diego CA 92121 Medical Services 542604202 Scripps Clinic 10140 Campus Point Drive San Diego CA 92121 Medical Services 51104756 Rady Childrens Hospital 8291 Aero Pl Ste 130 San Diego CA 92123 Medical Services 33406186 UCSD Medical Center 200 W Arbor Drive San Diego CA 92103 Medical Services 24605763 Mercy Physicians Medical Group 3900 Fifth Ave Ste 370 San Diego CA 92103 Medical Services 18127113 256 0 CAPITATION REVENUE 622110 877971994 877971994 MANAGEMENT SERVICE REVENUE 561110 26663222 26663222 0 0 0 0 904635216 5864961 5864961 0 0 0 0 SCAN 900099 1287848 1287848 Cigna 900099 474694 474694 Blue Shield 900099 239466 239466 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Part I, Line 12g SCHEDULE A, PART I, LINE 12G, 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 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 PROVIDING TO PATIENTS UNDER THE MANAGED CARE OF HEALTHCARE. SCRIPPS HEALTH PLAN SERVICES 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 B, Line 1 ACCORDING TO ARTICLE IV SECTION 3 OF SCRIPPS HEALTH PLAN SERVICES' BY LAWS, THE ELECTION OF THE MEMBERS OF SCRIPPS HEALTH PLAN SERVICES BOARD ARE SUBJECT TO THE APPROVAL OF ITS SOLE STATUTORY MEMBER, SCRIPPS HEALTH. Schedule A, Part IV, Section A, Line 1 SUPPORTED ORGS LISTED BY NAME SCRIPPS HEALTH IS MEMBER OF A SUPPORTED CLASS DEFINED IN SCRIPPS HEALTH PLAN SERVICES' ARTICLES OF INCORPORATION AS, GANIZATIONS THAT OPERATE AS NONPROFIT HEALTH CARE SYSTEMS AND THAT ARE ORGANIZED AS DESCRIBED IN SECTION 501 (C) (3) OF THE INTERNAL REVENUE CODE..." 1273434 1027359 246075 246075 INTERCOMPANY LIABILITIES 3718519 3718519 X Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnote SCRIPPS HEALTH IS GENERALLY NOT SUBJECT TO FEDERAL OR STATE INCOME TAXES. HOWEVER, SCRIPPS HEALTH 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 TAX POSITIONS THAT MEET THE MORE- LIKELY-THAN-NOT RECOGNITION CRITERIA. NO SIGNIFICANT TAX LIABILITY FOR TAXES, INTEREST, OR PENALTIES AND NO SIGNIFICANT TAX ASSET FOR TAX BENEFITS WAS ACCRUED AT SEPTEMBER 30, 2023 OR 2022. SCRIPPS HEALTH CURRENTLY FILES FORM 990 (INFORMATIONAL RETURN OF ORGANIZATIONS EXEMPT FROM INCOME TAXES) AND FORM 990-T (BUSINESS INCOME TAX RETURN FOR AN EXEMPT ORGANIZATION) IN THE U.S. FEDERAL JURISDICTION AND THE STATE OF CALIFORNIA. SCRIPPS HEALTH IS NOT SUBJECT TO INCOME TAX EXAMINATIONS PRIOR TO 2018 IN MAJOR TAX JURISDICTIONS. X true true true true false false false false false false false Christopher Van Gorder SH President / CEO, TRUSTEE 0 1667067 0 1087364 0 90907 0 21350 0 27908 0 2894595 0 0 Anil Keswani Former Key Employee 0 698376 0 292436 0 254028 0 12200 0 39882 0 1296922 0 206599 Steven Bell CFO / Treasurer 167525 0 22865 0 6962 0 13894 0 8814 0 220060 0 0 0 Bradley Ellis Secretary 0 601520 0 155029 0 120429 0 21350 0 28382 0 926709 0 106826 Shawn Forrester President / CEO (thru 11/2022) 0 459364 0 175682 0 243387 0 0 0 24795 0 903228 0 225700 Richard Neale President / CEO (eff. 11/2022) 0 612697 0 336219 0 361282 0 15250 0 38332 0 1363780 0 311574 Karri Rodgers Vice President, Managed Care 349087 0 83447 0 11142 0 12200 0 27254 0 483130 0 0 0 Richard Andreasen Director, Payment Services 183366 0 23710 0 362 0 8509 0 28472 0 244419 0 0 0 Ryan Bautista Care Manager 169467 0 0 0 91 0 1711 0 7729 0 178998 0 0 0 Deborah Bennett Dir, Utilization Mgmt 167102 0 11740 0 8277 0 7558 0 15093 0 209770 0 0 0 Melissa Halgas Senior Director 171927 0 21243 0 193 0 7878 0 18447 0 219688 0 0 0 Linda Pantovic Sr Dir SHPS Compl/Perf Impv 176825 0 19707 0 214 0 14042 0 21195 0 231983 0 0 0 Schedule J, Part I, Line 1a Discretionary spending account 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 RESPECTIVE W-2. Schedule J, Part I, Line 4a Severance or change-of-control payment THE FOLLOWING INDIVIDUALS RECEIVED SEVERANCE PAY IN CALENDAR YEAR 2022: SHAWN FORRESTER - $53,414 Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan 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 PAYMENTS FROM THE SARA PLAN IN CALENDAR YEAR 2022 INCLUDED IN OTHER REPORTABLE COMPENSATION IN SCHEDULE J, (B)(III): ANIL KESWANI - $85,217 RICHARD NEALE - $103,356 BRADLEY ELLIS - $55,312 SHAWN FORRESTER - $147,003 EFFECTIVE JANUARY 1, 2021, SCRIPPS HEALTH TRANSITIONED PART OF ITS' EXECUTIVE BENEFITS PROGRAM FROM THE 457F PLAN TO A SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN (SERP). THIS SERP PROVIDES COMPETITIVE SUPPLEMENTAL RETIREMENT BENEFITS TO THE PARTICIPANTS TO ENCOURAGE CONTINUED EMPLOYMENT AND CONTINUED INTEREST IN THE SUCCESS OF THE SYSTEM. THE SYSTEM CREDITS A TARGETED PERCENT PER YEAR OF SERVICE, UP TO A MAXIMUM PERCENT OF THE FINAL AVERAGE SALARY AT AGE 70 FOR 25 YEARS OF SERVICE. THE TARGET BENEFIT IS OFFSET BY (I) BENEFITS UNDER THE FROZEN SARA PLAN, (II) THE SYSTEM-PAID PORTION OF SOCIAL SECURITY RETIREMENT BENEFITS, AND (III) QUALIFIED RETIREMENT PLANS ATTRIBUTABLE TO THE SYSTEM'S CREDITS UNDER THOSE PLANS. ALTHOUGH THE BENEFIT IS TARGETED AT AGE 70, THE SYSTEM MAY ELECT TO CONTINUE CREDITS TOWARD THE BENEFIT SO LONG AS THE PARTICIPANT REMAINS EMPLOYED WITH THE SYSTEM. Form 990, Part III, Line 4a ORGANIZATION'S PROGRAM SERVICE ACCOMPLISHMENTS SCRIPPS HEALTH PLAN SERVICES, INC. (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 FAMILY/BUSINESS RELATIONSHIPS AMONGST INTERESTED PERSONS SHAWN FORRESTER, RICHARD NEALE, BRADLEY ELLIS, CHRISTOPHER VAN GORDER, AND ANIL KESWANI HAVE A BUSINESS RELATIONSHIP WITH SCRIPPS HEALTH, THE TAX EXEMPT PARENT OF SCRIPPS HEALTH PLAN. Form 990, Part VI, Line 15a PROCESS TO ESTABLISH COMPENSATION OF TOP MANAGEMENT OFFICIAL OFFICES & POSITIONS FOR WHICH PROCESS WAS USED, & YEAR PROCESS WAS BEGUN 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 PRESIDENT/CEO 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 OF SIMILAR SIZE AND COMPLEXITY, CONSIDERING AND MAKING APPROPRIATE ADJUSTMENTS FOR THE COST OF LIVING IN 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 +8.0% GEOGRAPHIC DIFFERENTIAL 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 WILL USE A NATIONAL PEER GROUP OF MEDICAL DELIVERY SYSTEMS OF SIMILAR REVENUE SIZE AND COMPLEXITY. THE PEER GROUP WILL BE REVIEWED AND APPROVED BY THE HUMAN RESOURCES AND COMPENSATION COMMITTEE. SALARIES ARE TARGETED AT APPROXIMATELY THE 65TH PERCENTILE +8.0% GEROGRAPHIC DIFFERENTIAL OF THE PEER GROUP AND WILL REFLECT THE PERFORMANCE OF THE INDIVIDUAL. TOTAL CASH COMPENSATION IS POSITIONED AT APPROXIMATELY THE 75TH PERCENTILE +8.0% GEOGRAPHIC DIFFERENTIAL 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 +8.0% GEOGRAPHIC DIFFERENTIAL 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 +8.0% GEOGRAPHIC DIFFERENTIAL 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 DECEMBER 07, 2022, JANUARY 25, 2023, AND MARCH 29, 2023. REVIEW AND DISCUSSION OF SUCH REPORT IS DOCUMENTED IN THE MINUTES. Form 990, Part VI, Line 11b Review of form 990 by governing body 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 Conflict of interest policy 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 HEALTHCARE 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 15b Process to establish compensation of other employees OFFICES & POSITIONS FOR WHICH PROCESS WAS USED, & YEAR PROCESS WAS BEGUN 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 OF SIMILAR SIZE AND COMPLEXITY, CONSIDERING AND MAKING APPROPRIATE ADJUSTMENTS FOR THE COST OF LIVING IN 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 +8.0% GEOGRAPHIC DIFFERENTIAL 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 WILL USE A NATIONAL PEER GROUP OF MEDICAL DELIVERY SYSTEMS OF SIMILAR REVENUE SIZE AND COMPLEXITY. THE PEER GROUP WILL BE REVIEWED AND APPROVED BY THE HUMAN RESOURCES AND COMPENSATION COMMITTEE. - SALARIES ARE TARGETED AT APPROXIMATELY THE 65TH PERCENTILE +8.0% GEROGRAPHIC DIFFERENTIAL OF THE PEER GROUP AND WILL REFLECT THE PERFORMANCE OF THE INDIVIDUAL. - TOTAL CASH COMPENSATION IS POSITIONED AT APPROXIMATELY THE 75TH PERCENTILE +8.0% GEOGRAPHIC DIFFERENTIAL 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 +8.0% GEOGRAPHIC DIFFERENTIAL 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 +8.0% GEOGRAPHIC DIFFERENTIAL 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 DECEMBER 07,2022, JANUARY 25, 2023, AND MARCH 29, 2023. REVIEW AND DISCUSSION OF SUCH REPORT IS DOCUMENTED IN THE MINUTES. Form 990, Part VI, Line 19 Required documents available to the public 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. THE AUDITED FINANCIAL STATEMENTS ARE ALSO ATTACHED TO THIS FORM 990, IN ACCORDANCE WITH THE IRS INSTRUCTIONS. SCRIPPS HEALTH'S CONFLICT OF INTEREST POLICY IS AVAILABLE UPON REQUEST. Form 990, Part VIII, Line 11d Other Miscellaneous Revenue United - Total Revenue: 113223, Related or Exempt Function Revenue: 113223, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; Other - Total Revenue: 82758, Related or Exempt Function Revenue: 82758, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; Form 990, Part XI, Line 9 Other changes in net assets or fund balances Other - -3046; Form 990, Part VI, Line 6 CLASSES OF MEMBERS OR STOCKHOLDERS SCRIPPS HEALTH IS THE SOLE CORPORATE MEMBER OF SCRIPPS HEALTH PLAN SERVICES. Form 990, Part VI, Line 7A MEMBERS OR STOCKHOLDERS ELECTING MEMBERS OF GOVERNING BODY THE MEMBER 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 DECISIONS REQUIRING APPROVAL BY MEMBERS OR STOCKHOLDERS 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. HORIZON HOSPICE 10140 CAMPUS POINT DRIVE SAN DIEGO CA 92121 330220777 HOSPICE CARE CA 501(c)(3) 10 SCRIPPS HEALTH true MERCY HOSPITAL FOUNDATION SAN DIEGO 10140 CAMPUS POINT DRIVE SAN DIEGO CA 92121 942958094 FUNDRAISING CA 501(c)(3) Type I SCRIPPS HEALTH true SCRIPPS HEALTH 10140 CAMPUS POINT DRIVE SAN DIEGO CA 92121 951684089 HOSPITAL CA 501(c)(3) 3 NA false SCRIPPS ENCINITAS SURGERY CTR 15305 DALLAS PKWY STE 1600 LB 28 ADDISON TX 75001 205942958 AMBUL SURGERY CTR CA NA false 0 false SCRIPPSUSP SURGERY CTR 15305 DALLAS PKWY STE 1600 LB 28 ADDISON TX 75001 205942911 AMBUL SURGERY CTR CA NA false 0 false SCRIPPS MERCY AMBUL SURG CTR 10140 CAMPUS POINT DRIVE SAN DIEGO CA 92121 450503246 AMBUL SURGERY CTR CA NA false 0 false SCRIPPS MEMORIAL XIMED MED CTR 9850 GENESEE AVE STE 900 LA JOLLA CA 92037 330475481 REAL ESTATE CA NA false 0 false CHARITABLE LEAD TRUST (1) 10140 CAMPUS POINT DRIVE SAN DIEGO CA 92121 330796247 HOSPITAL SUPPORT CA SCRIPPS HEALTH Trust 0 0 false CHARITABLE REMAINDER TRUST (30) 10140 CAMPUS POINT DRIVE SAN DIEGO CA 92121 HOSPITAL SUPPORT CA SCRIPPS HEALTH Trust 0 0 false false false false false false false false false false false true true true false false true true false false