TY 2015 Form 990 Schedule J

(A) Name and Title		(B) Breakdown of W-2 and/or 1099-MISC compensation			(C) Retirement and other deferred compensation	(D) Nontaxable benefits	(E) Total of columns (B)(i)-(D)	(F) Compensation in column(B) reported as deferred on prior Form 990
(A) Name and Title		(i) Base compensation	(ii) Bonus & incentive compensation	(iii) Other reportable compensation	(C) Retirement and other deferred compensation	(D) Nontaxable benefits	(E) Total of columns (B)(i)-(D)
1Christina Fernandez DD JD BCCBoard Member	(i) (ii)	0 ------------- 229,392	0 ------------- 219,809	0 ------------- 13,430	0 ------------- 41,336	0 ------------- 54,956	0 ------------- 558,923	0 ------------- 0
2Keith Frey MDBoard Member	(i) (ii)	0 ------------- 459,506	0 ------------- 211,652	0 ------------- 7,524	0 ------------- 57,458	0 ------------- 24,012	0 ------------- 760,152	0 ------------- 0
3Nanette Mickiewicz MDBoard Member	(i) (ii)	0 ------------- 365,571	0 ------------- 304,521	0 ------------- 11,781	0 ------------- 57,024	0 ------------- 49,639	0 ------------- 788,536	0 ------------- 0
4Marvin O'QuinnEx-officio Board Member	(i) (ii)	0 ------------- 1,108,841	0 ------------- 1,903,624	0 ------------- 354,053	0 ------------- 519,262	0 ------------- 62,846	0 ------------- 3,948,626	0 ------------- 265,387
5Scott Robertson MDBoard Member	(i) (ii)	0 ------------- 356,938	0 ------------- 96,750	0 ------------- 294	0 ------------- 41,663	0 ------------- 27,030	0 ------------- 522,675	0 ------------- 0
6Bruce SwartzBoard Member	(i) (ii)	0 ------------- 442,506	0 ------------- 415,313	0 ------------- 22,318	0 ------------- 71,030	0 ------------- 32,906	0 ------------- 984,073	0 ------------- 0
7Todd A Strumwasser MDBoard Member	(i) (ii)	0 ------------- 500,001	0 ------------- 1,036,990	0 ------------- 344,178	0 ------------- 113,034	0 ------------- 45,299	0 ------------- 2,039,502	0 ------------- 0
8Anthony Scott CarswellSecretary	(i) (ii)	0 ------------- 412,864	0 ------------- 395,887	0 ------------- 6,102	0 ------------- 66,568	0 ------------- 51,486	0 ------------- 932,907	0 ------------- 0
9Gary Greensweig DOChair	(i) (ii)	0 ------------- 450,493	0 ------------- 400,653	0 ------------- 10,505	0 ------------- 70,888	0 ------------- 52,818	0 ------------- 985,357	0 ------------- 0
10Joseph Jasser MDCEO	(i) (ii)	0 ------------- 485,134	0 ------------- 380,449	0 ------------- 2,755	0 ------------- 71,183	0 ------------- 38,042	0 ------------- 977,563	0 ------------- 0
11George LenziCFO (Terminated 1/14/16)	(i) (ii)	266,383 ------------- 0	25,000 ------------- 0	180,811 ------------- 0	26,404 ------------- 0	18,568 ------------- 0	517,166 ------------- 0	0 ------------- 0
12Thomas LowryInterim CFO (Started 12/2015)	(i) (ii)	0 ------------- 312,529	0 ------------- 164,391	0 ------------- 9,897	0 ------------- 40,612	0 ------------- 31,384	0 ------------- 558,813	0 ------------- 0
13Sigrid OwyangVP Clinic Operations	(i) (ii)	259,566 ------------- 0	65,212 ------------- 0	1,022 ------------- 0	31,456 ------------- 0	18,809 ------------- 0	376,065 ------------- 0	0 ------------- 0
14Jennifer SchaabVP Clinic Operations	(i) (ii)	262,820 ------------- 0	65,487 ------------- 0	2,696 ------------- 0	25,337 ------------- 0	2,967 ------------- 0	359,307 ------------- 0	0 ------------- 0
15Jennifer A LloydDirector, Managed Care	(i) (ii)	211,985 ------------- 0	52,561 ------------- 0	1,019 ------------- 0	27,443 ------------- 0	27,110 ------------- 0	320,118 ------------- 0	0 ------------- 0
16Kathryne EggersVP Project Management Office	(i) (ii)	224,896 ------------- 0	56,978 ------------- 0	1,168 ------------- 0	24,050 ------------- 0	17,697 ------------- 0	324,789 ------------- 0	0 ------------- 0
17Sivasubramanian R ManoharanChief Radiation Physicist	(i) (ii)	255,367 ------------- 0	15,771 ------------- 0	740 ------------- 0	25,518 ------------- 0	25,096 ------------- 0	322,492 ------------- 0	0 ------------- 0
18Eric R OsbornProcess & Apps Integration	(i) (ii)	127,935 ------------- 0	29,929 ------------- 0	115,055 ------------- 0	17,018 ------------- 0	23,534 ------------- 0	313,471 ------------- 0	0 ------------- 0
19Dean K WardVice President Operations	(i) (ii)	224,305 ------------- 0	48,966 ------------- 0	599 ------------- 0	22,160 ------------- 0	26,831 ------------- 0	322,861 ------------- 0	0 ------------- 0
20John M PietrzakInterim Exec Dir Clinic Admin	(i) (ii)	266,400 ------------- 0	0 ------------- 0	0 ------------- 0	19,447 ------------- 0	0 ------------- 0	285,847 ------------- 0	0 ------------- 0
21Karl SilbersteinFormer Officer	(i) (ii)	0 ------------- 578,216	0 ------------- 537,311	0 ------------- 90,615	0 ------------- 89,559	0 ------------- 50,045	0 ------------- 1,345,746	0 ------------- 67,914

Return Reference	Explanation
Sched J, PART I, LINE 3	DIGNITY HEALTH MEDICAL FOUNDATION RELIED ON A RELATED ORGANIZATION, DIGNITY HEALTH THAT USED A COMPENSATION COMMITTEE, COMPENSATION SURVEY OR STUDY, AND APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE TO ESTABLISH DIGNITY HEALTH MEDICAL FOUNDATION'S TOP MANAGEMENT OFFICIAL'S COMPENSATION. SEE SCHEDULE O DISCLOSURE FOR FORM 990, PART VI, SECTION B, LINE 15A FOR ADDITIONAL INFORMATION.
Sched J, PART I, LINE 4A	CERTAIN LISTED PERSONS PARTICIPATE IN DIGNITY HEALTH'S SEVERANCE PLAN THAT PROVIDES MARKET-STANDARD COMPENSATION, RANGING FROM PAYMENTS OF 6 MONTHS TO 2 YEARS OF BASE COMPENSATION, DEPENDING ON THE EXECUTIVE'S POSITION, IN THE EVENT OF A POSITION ELIMINATION OR OTHER INVOLUNTARY TERMINATION, IN ACCORDANCE WITH THE GUIDELINES OF THE PLAN. PAYMENTS RELATED TO THIS PLAN FOR ONE OFFICER AND ONE HIGHEST COMPENSATED EMPLOYEE OCCURED IN 2015 INCLUDE G LENZI; $153,123, AND E OSBORN; $84,444.
Sched J, PART I, LINE 4B	CERTAIN LISTED PERSONS PARTICIPATE IN DIGNITY HEALTH'S EXCESS BENEFIT PLAN, A NONQUALIFIED SUPPLEMENTAL BENEFIT PLAN LIMITED TO PARTICIPANTS IN THE DIGNITY HEALTH RETIREMENT PLAN WHOSE BENEFITS ARE AFFECTED BY THE LIMITATIONS IMPOSED BY SECTIONS 401(A)(17) AND 415 OF THE INTERNAL REVENUE CODE. BENEFIT SERVICE UNDER THIS PLAN WAS FROZEN AS OF JANUARY 1, 2008. NO PAYMENTS WERE MADE UNDER THE PLAN DURING 2015. CERTAIN LISTED PERSONS are eligible to participate in one of two non-qualified 457(f) plans that are subject to substantial risk of forfeiture, as required by the IRS. The 2007 Executive Deferred Compensation Plan is for executives hired prior to June 30, 2006. The benefit is intended to bridge the difference, if any, between the benefit provided under the Dignity Health Excess Benefit Plan had benefit service not been frozen at January 1, 2008, and the benefits provided from all other qualified and non-qualified plans. Benefits vest under this 457(f) plan at the later of the date the participant attains age 62 or is credited with 15 years of service. The 2010 Executive Deferred Compensation Plan is for certain officers and key employees, primarily those who are not eligible to participate in the Dignity Health Excess Benefit Plan or the 2007 Executive Deferred Compensation Plan described above. This benefit provides an annual accrual of 10% of total compensation and is payable annually on July 1 once vested, which is age 62 with 5 years of service; the plan also allows for special awards. Payments pursuant to the plan arrangements for one board member occurred during 2015 include M. O'Quinn, $265,387. Certain listed persons participate in the Dignity Health Key Employee Share Option Plan (KeySOP), which was frozen in May 2002. The KeySOP program was established in 2001 with the purpose of providing income deferral opportunities to employees eligible for the company's key employee retention program. Payments pursuant to the plan for one former key employee occurred during 2015 include K. Silberstein, $67,914. Compensation amounts for the supplemental nonqualified retirement plans discussed above are reported as deferred compensation in the year accrued (Schedule J, Part II, column C) and are reflected again as reportable compensation in the year paid (Schedule J, Part II, column B(iii)).
Sched J, PART II	THE ORGANIZATION'S EXECUTIVE COMPENSATION PHILOSOPHY IS designed to assist the organization in attracting and retaining the caliber of executives required to enable to fulfill its mission of providing high quality healthcare for all persons regardless of their ability to pay for services, improving the quality of life in the communities it serves, promoting patient and employee satisfaction, and ensuring financial stability. A substantial portion of executive compensation is performance based and is linked to organizational goals approved in advance by the Human Resources and Compensation Committee. These goals include attainment of annual and long-term financial performance, certain healthcare quality standards and the organization's commitment to serving the poor and disenfranchised in the communities it serves. Total compensation, which includes base salary, annual and long-term incentive compensation, is established to approximate the prevailing market conditions for executives of companies of similar size, revenues and complexity.

Software ID:
Software Version: