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Nonprofiteer
← DRISCOLL CHILDRENS HEALTH PLAN

Form 990 for tax year 2023

Filed by DRISCOLL CHILDRENS HEALTH PLAN.

Totals

Total revenue
$1,225,578,447
Total expenses
$1,252,765,152
Contributions and grants received
$0
Grants paid
$0
Program services expenses (Part IX)
$1,145,403,268
Management and general expenses
$107,361,884
Fundraising expenses
$0
Program service expenses (Part III)
$1,145,403,268

Program services were 91.4% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.

Listed in Part VII

  • ERIC HAMON

    Board Member/SECRETARY

    Total calculated
    $1,984,008
    From this org
    $0
    From related orgs
    $1,688,545
    Other
    $295,463
    Hours/week
    1 + 39 related

    Schedule J breakdown matched by us

    Base
    $0 + $1,199,428 related
    Bonus
    $0 + $355,028 related
    Other
    $0 + $134,089 related
    Deferred
    $0 + $266,970 related
    Nontaxable benefits
    $0 + $28,493 related
    Filer's total
    $0 + $1,984,007 related
  • BOB PARKER

    Board Member

    Total calculated
    $0
    Hours/week
    1 + 1 related
  • BOB SHOCKNEY

    Board Vice Chair

    Total calculated
    $0
    Hours/week
    1 + 2 related
  • JIM DEVLIN

    BOARD CHAIR

    Total calculated
    $0
    Hours/week
    1 + 1 related
  • MIKE CARRELL

    Board Member

    Total calculated
    $0
    Hours/week
    1 + 1 related
  • VAL LAMANTIA PEISEN

    Board Member

    Total calculated
    $0
    Hours/week
    1 + 1 related
  • GREGORY A WARD

    CHIEF FINANCIAL OFFICER

    Total calculated
    $632,709
    From this org
    $0
    From related orgs
    $505,714
    Other
    $126,995
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $0 + $379,879 related
    Bonus
    $0 + $85,514 related
    Other
    $0 + $40,321 related
    Deferred
    $0 + $99,280 related
    Nontaxable benefits
    $0 + $27,715 related
    Filer's total
    $0 + $632,709 related
  • JAMES SMITH

    PRESIDENT & CHIEF EXECUTIVE OFFICER

    Total calculated
    $735,130
    From this org
    $0
    From related orgs
    $626,827
    Other
    $108,303
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $0 + $479,476 related
    Bonus
    $0 + $105,857 related
    Other
    $0 + $41,493 related
    Deferred
    $0 + $83,628 related
    Nontaxable benefits
    $0 + $24,675 related
    Filer's total
    $0 + $735,129 related
  • JENNIFER S BROOKS

    CHIEF OPERATING OFFICER

    Total calculated
    $389,830
    From this org
    $0
    From related orgs
    $308,606
    Other
    $81,224
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $0 + $234,216 related
    Bonus
    $0 + $49,228 related
    Other
    $0 + $25,162 related
    Deferred
    $0 + $57,739 related
    Nontaxable benefits
    $0 + $23,484 related
    Filer's total
    $0 + $389,829 related
  • STEPHEN P COLLINS

    VP Provider Relations & Network Strategy

    Total calculated
    $548,377
    From this org
    $0
    From related orgs
    $463,613
    Other
    $84,764
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $0 + $279,848 related
    Bonus
    $0 + $65,126 related
    Other
    $0 + $118,639 related
    Deferred
    $0 + $57,447 related
    Nontaxable benefits
    $0 + $27,316 related
    Filer's total
    $0 + $548,376 related
  • TIMOTHY NEYER

    Senior Director Finance DCHP

    Total calculated
    $247,883
    From this org
    $0
    From related orgs
    $216,767
    Other
    $31,116
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $0 + $189,401 related
    Bonus
    $0 + $25,037 related
    Other
    $0 + $2,328 related
    Deferred
    $0 + $15,896 related
    Nontaxable benefits
    $0 + $15,220 related
    Filer's total
    $0 + $247,883 related
  • DANIEL DOUCET

    Medical Director

    Total calculated
    $350,839
    From this org
    $0
    From related orgs
    $319,083
    Other
    $31,756
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $0 + $281,168 related
    Bonus
    $0 + $36,653 related
    Other
    $0 + $1,262 related
    Deferred
    $0 + $8,090 related
    Nontaxable benefits
    $0 + $23,667 related
    Filer's total
    $0 + $350,839 related
  • HEATHER PIGOTT

    Senior Director of Utilization Management

    Total calculated
    $263,693
    From this org
    $0
    From related orgs
    $225,280
    Other
    $38,413
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $0 + $189,133 related
    Bonus
    $0 + $24,396 related
    Other
    $0 + $11,751 related
    Deferred
    $0 + $24,433 related
    Nontaxable benefits
    $0 + $13,980 related
    Filer's total
    $0 + $263,693 related
  • KARL SERRAO MD

    CHIEF MEDICAL OFFICER

    Total calculated
    $690,934
    From this org
    $0
    From related orgs
    $556,893
    Other
    $134,041
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $0 + $361,588 related
    Bonus
    $0 + $166,924 related
    Other
    $0 + $28,381 related
    Deferred
    $0 + $105,987 related
    Nontaxable benefits
    $0 + $28,055 related
    Filer's total
    $0 + $690,934 related
  • LISA D SPRENGER

    Pharmacy Program Director

    Total calculated
    $282,199
    From this org
    $0
    From related orgs
    $234,328
    Other
    $47,871
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $0 + $198,668 related
    Bonus
    $0 + $26,445 related
    Other
    $0 + $9,214 related
    Deferred
    $0 + $24,501 related
    Nontaxable benefits
    $0 + $23,369 related
    Filer's total
    $0 + $282,199 related
  • ROY OAKS

    SENIOR DIRECTOR DATA ANALYTICS

    Total calculated
    $254,481
    From this org
    $0
    From related orgs
    $215,280
    Other
    $39,201
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $0 + $182,581 related
    Bonus
    $0 + $24,224 related
    Other
    $0 + $8,475 related
    Deferred
    $0 + $16,174 related
    Nontaxable benefits
    $0 + $23,026 related
    Filer's total
    $0 + $254,481 related
  • ERNEST BUCK MD

    Former Chief Medical Director

    Total calculated
    $470,818
    From this org
    $0
    From related orgs
    $422,766
    Other
    $48,052
    Hours/week
    1 + 39 related

    Schedule J breakdown matched by us

    Base
    $0 + $344,204 related
    Bonus
    $0 + $50,255 related
    Other
    $0 + $28,307 related
    Deferred
    $0 + $28,275 related
    Nontaxable benefits
    $0 + $19,777 related
    Filer's total
    $0 + $470,819 related
  • MARY D PETERSON MD

    Former President

    Total calculated
    $988,772
    From this org
    $0
    From related orgs
    $859,900
    Other
    $128,872
    Hours/week
    1 + 39 related

    Schedule J breakdown matched by us

    Base
    $0 + $670,876 related
    Bonus
    $0 + $152,754 related
    Other
    $0 + $36,271 related
    Deferred
    $0 + $101,930 related
    Nontaxable benefits
    $0 + $26,942 related
    Filer's total
    $0 + $988,772 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 — 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

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
  • 7 · Other non-fixed payments
  • 8 · Paid under the initial-contract exception

The filer's explanations (Part III)

Schedule J, Part I, Line 3 Arrangement used to establish the top management official's compensation
THE FILING ORGANIZATION, DRISCOLL CHILDREN'S HEALTH PLAN, DOES NOT COMPENSATE OR PROVIDE BENEFITS. ALL COMPENSATION AND BENEFITS ARE DETERMINED AND PAID BY DRISCOLL CHILDREN'S HOSPITAL, A RELATED TAX EXEMPT ORGANIZATION.
Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan
THE NONQUALIFIED 457(F) PLAN COVERED THE EXECUTIVE LEADERSHIP TEAM DURING 2023. VESTING OCCURS WHEN EMPLOYEES MEET A PRESELECTED DATE THEY CHOOSE AT THE TIME OF ENROLLMENT. THE FOLLOWING INDIVIDUAL RECEIVED A TAXABLE DISTRIBUTION FROM THE PLAN IN 2023. THE AMOUNT WAS INCLUDED IN COLUMN (B)(III) AS OTHER COMPENSATION. STEPHEN COLLINS $90,160
Schedule J, Part I, Line 7 NON-FIXED PAYMENTS
CERTAIN EXECUTIVES AND MANAGEMENT TEAM MEMBERS ARE ELIGIBLE FOR DISCRETIONARY INCENTIVE BONUSES DETERMINED THROUGH A REVIEW OF SYSTEM AND INDIVIDUAL ACCOMPLISHED GOALS. ALL BONUSES REQUIRE BOARD APPROVAL.

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.

Provenance

Return type
form_990
Tax year
2023
Filed
12 November 2024
IRS schema version
2023v5.1
Source object
202423179349304502

Check it against the return as filed: the GivingTuesday Data Lake hosts a public copy of the original XML.

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