BETA

SCRIPPS HEALTH: Form 990, tax year 2014

View the entire original 990 at ProPublica ↗

Organization
SCRIPPS HEALTH (EIN 95-1684089)
Tax period
2014-10-01 to 2015-09-30
Filed
2016-08-11
IRS object ID
201642249349302974
Schema version
2014v6.0
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2016-08-11T17:18:58-05:00ReturnTs
Tax Period End2015-09-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1ERNST & YOUNG US LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1560 MISSION STREET SUITE 1600AddressLine1Txt
CitySAN FRANCISCOCityNm
State AbbreviationCAStateAbbreviationCd
ZIP94105ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2014-10-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN951684089EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Scripps HealthBusinessNameLine1Txt
FieldValueIRS element (for citing)
In Care Of% Richard RothbergerInCareOfNm
Business Name ControlSCRIBusinessNameControlTxt
Phone8586787226PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line14275 Campus Point CourtAddressLine1Txt
CitySan DiegoCityNm
State AbbreviationCAStateAbbreviationCd
ZIP92121ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonRICHARD SHERIDANPersonNm
Person TitleCORP SR VP, GEN CNSLPersonTitleTxt
Signature2016-08-08SignatureDt

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonEVA NITTAPreparerPersonNm
PTINP01286320PTIN
Phone4158948000PhoneNum
FieldValueIRS element (for citing)
Tax2014TaxYr
Build TS2016-09-27 15:27:22ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerChristopher Van GorderPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line14275 Campus Point CourtAddressLine1Txt
CitySAN DIEGOCityNm
State AbbreviationCAStateAbbreviationCd
ZIP92121ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$4,462,181,028GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website Addresswww.scrippshealth.orgWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1924FormationYr
Legal Domicile StateCALegalDomicileStateCd
Activity Or MissionFounded in 1924 by Philanthropist Ellen Browning Scripps, Scripps Health is a $2.9 billion, private not-for- profit integrated health system in San Diego, Ca. (SEE SCH O)ActivityOrMissionDesc
Voting Members Governing Body14VotingMembersGoverningBodyCnt
Voting Members Independent12VotingMembersIndependentCnt
Total Employee14986TotalEmployeeCnt
Total Volunteers3665TotalVolunteersCnt
Total Gross UBI$5,928,556TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm-$96,854NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$26,873,287PYContributionsGrantsAmt
CY Contributions Grants$39,110,316CYContributionsGrantsAmt
PY Program Service Revenue$2,395,815,994PYProgramServiceRevenueAmt
CY Program Service Revenue$2,635,312,765CYProgramServiceRevenueAmt
PY Investment Income$208,770,591PYInvestmentIncomeAmt
CY Investment Income$211,934,974CYInvestmentIncomeAmt
PY Other Revenue$38,511,975PYOtherRevenueAmt
CY Other Revenue$57,229,925CYOtherRevenueAmt
PY Total Revenue$2,669,971,847PYTotalRevenueAmt
CY Total Revenue$2,943,587,980CYTotalRevenueAmt
PY Grants And Similar Paid$781,225PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$938,981CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$1,133,685,135PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$1,179,375,553CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$9,083,382CYTotalFundraisingExpenseAmt
PY Other Expenses$1,168,441,340PYOtherExpensesAmt
CY Other Expenses$1,391,979,608CYOtherExpensesAmt
PY Total Expenses$2,302,907,700PYTotalExpensesAmt
CY Total Expenses$2,572,294,142CYTotalExpensesAmt
PY Revenues Less Expenses$367,064,147PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$371,293,838CYRevenuesLessExpensesAmt
Total Assets BOY$4,253,258,000TotalAssetsBOYAmt
Total Assets EOY$4,463,807,760TotalAssetsEOYAmt
Total Liabilities BOY$1,298,760,499TotalLiabilitiesBOYAmt
Total Liabilities EOY$1,381,809,214TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$2,954,497,501NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$3,081,998,546NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionFounded in 1924 by Philanthropist Ellen Browning Scripps, Scripps Health is a $2.9 billion, private not-for profit integrated health system in San Diego, CALIFORNIA. (Continued in Schedule O).MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$2,236,282,695ExpenseAmt
Grant$938,981GrantAmt
Revenue$2,688,592,033RevenueAmt
DescSEE SCHEDULE O.Desc
Total Program Service Expenses$2,236,282,695TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredYes (true)ScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesYes (true)LobbyingActivitiesInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsYes (true)ConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingYes (true)CreditCounselingInd
Temp Or Permanent EndowmentsYes (true)TempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecYes (true)ReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsfalseReportOtherAssetsInd
Report Other LiabilitiesYes (true)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (true)IncludeFIN48FootnoteInd
Independent Audit Fincl StmtfalseIndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (true)ConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficeYes (true)ForeignOfficeInd
Foreign ActivitiesYes (true)ForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesYes (true)FundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalYes (true)OperateHospitalInd
Audited Financial Stmt AttYes (true)AuditedFinancialStmtAttInd
Grants To OrganizationsYes (true)GrantsToOrganizationsInd
Grants To IndividualsfalseGrantsToIndividualsInd
Schedule J RequiredYes (true)ScheduleJRequiredInd
Tax Exempt BondsYes (true)TaxExemptBondsInd
Invest Tax Exempt BondsfalseInvestTaxExemptBondsInd
Escrow AccountfalseEscrowAccountInd
On Behalf Of IssuerfalseOnBehalfOfIssuerInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingYes (true)LoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemfalseBusinessRlnWithOrgMemInd
Business Rln With Fam MemYes (true)BusinessRlnWithFamMemInd
Business Rln With Officer EntYes (true)BusinessRlnWithOfficerEntInd
Deductible Non Cash ContriYes (true)DeductibleNonCashContriInd
Deductible Art ContributionYes (true)DeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityYes (true)DisregardedEntityInd
Related EntityYes (true)RelatedEntityInd
Related Organization Ctrl EntYes (true)RelatedOrganizationCtrlEntInd
Transaction With Control EntYes (true)TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document1060IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Employee14986EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitYes (true)UnrelatedBusIncmOverLimitInd
Form990 T FiledYes (true)Form990TFiledInd
Foreign Financial AccountYes (true)ForeignFinancialAccountInd
Foreign CountryCJForeignCountryCd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Quid Pro Quo ContributionsYes (true)QuidProQuoContributionsInd
Quid Pro Quo Contri DisclYes (true)QuidProQuoContriDisclInd
Form8282 Property Disposed OfYes (true)Form8282PropertyDisposedOfInd
Form8282 Filed2Form8282FiledCnt
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members14GoverningBodyVotingMembersCnt
Independent Voting Member12IndependentVotingMemberCnt
Family Or Business RlnfalseFamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersfalseMembersOrStockholdersInd
Election Of Board MembersfalseElectionOfBoardMembersInd
Decisions Subject To ApprovafalseDecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Form990 Provided To Gvrn BodyYes (true)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (true)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (true)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (true)WhistleblowerPolicyInd
Document Retention PolicyYes (true)DocumentRetentionPolicyInd
Compensation Process CEOYes (true)CompensationProcessCEOInd
Compensation Process OtherYes (true)CompensationProcessOtherInd
Investment In Joint VentureYes (true)InvestmentInJointVentureInd
Written Policy Or ProcedureYes (true)WrittenPolicyOrProcedureInd
States Where Copy Of Return Is FldCAStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonRichard RothbergerPersonNm
Phone8586786828PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line14275 Campus Point CourtAddressLine1Txt
CitySan DiegoCityNm
State AbbreviationCAStateAbbreviationCd
ZIP92121ZIPCd
FieldValueIRS element (for citing)
Info In Schedule O Part VIIYes (X)InfoInScheduleOPartVIIInd

Form990 Part VII Section A Form990PartVIISectionAGrp (35 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtOfficerOfficerIndKey EmployeeKeyEmployeeIndHighest Compensated EmployeeHighestCompensatedEmployeeIndFormer Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
MARY JO ANDERSON CHS
TRUSTEE12.03.0Yes (X)$0$0$0
RICHARD C BIGELOW
TRUSTEE12.03.0Yes (X)$0$0$0
DOUGLAS A BINGHAM ESQ
TRUSTEE12.03.0Yes (X)$0$0$0
JEFF BOWMAN
TRUSTEE12.03.0Yes (X)$0$0$0
JAN CALDWELL
TRUSTEE12.03.0Yes (X)$0$0$0
JUDY CHURCHILL PH D
CHAIRMAN/TRUSTEE12.03.0Yes (X)$0$0$0Yes (X)
GORDON R CLARK
VICE CHAIR/TRUSTEE12.03.0Yes (X)$0$0$0Yes (X)
KATHERINE A LAUER
TRUSTEE12.03.0Yes (X)$0$0$0
MARTY J LEVIN
TRUSTEE12.03.0Yes (X)$0$0$0
MAUREEN STAPLETON
TRUSTEE12.03.0Yes (X)$0$0$0
ROBERT TJOSVOLD
TRUSTEE12.03.0Yes (X)$0$0$0
CHRISTOPHER VAN GORDER
PRESIDENT & CEO/TRUSTEE57.03.0Yes (X)$1,870,923$0-$2,140,466Yes (X)
RICHARD VORTMANN
TRUSTEE12.03.0Yes (X)$0$0$0
ABBY SILVERMAN WEISS
TRUSTEE12.03.0Yes (X)$0$0$0
GALE D KEEL
ASSISTANT SECRETARY39.01.0$94,848$0$16,628Yes (X)
VIRGINIA LEARY
ASSISTANT SECRETARY39.01.0$90,867$0$26,549Yes (X)
RICHARD ROTHBERGER
TREASURER/EXECUTIVE VP/CFO53.02.0$1,716,667$0$314,242Yes (X)
RICHARD R SHERIDAN
SEC/CORP SR VP, GEN COUNSEL53.02.0$708,989$0-$1,280,917Yes (X)
ROBIN BROWN
CHIEF EXECUTIVE, SR VP50.00.0$701,258$0-$364,973Yes (X)
VICTOR V BUZACHERO
CORP SR VP INNOVAT/HR/PERF MGT50.00.0$967,090$0$228,106Yes (X)
JOHN ENGLE
CORP SR VP, CHIEF DEVELOPMENT50.00.0$545,730$0$104,546Yes (X)
CARL ETTER
CHIEF EXECUTIVE, SR VP50.00.0$695,590$0$123,042Yes (X)
SHIRAZ FAGAN
CHIEF EXECUTIVE, SR VP50.00.0$753,067$0$148,472Yes (X)
GARY FYBEL
CHIEF EXECUTIVE, SR VP50.00.0$774,079$0$143,493Yes (X)
THOMAS GAMMIERE
CHIEF EXECUTIVE, SR VP50.00.0$964,882$0$170,572Yes (X)
JUNE KOMAR
CORP EXEC VP, STRATEGY & ADMIN50.00.0$932,207$0-$273,788Yes (X)
JAMES LABELLE MD
CORP SR VP, CHIEF MED OFFICER50.00.0$939,955$0$160,167Yes (X)
BARBARA PRICE
CORP SRVP BUS & SERV LINE DEV50.00.0$678,470$0$131,109Yes (X)
MARC A REYNOLDS
CORP SR VP, PAYER RELATIONS30.020.0$561,121$0$115,180Yes (X)
SUSAN CAMPBELL
EXEC DIR, EXTERNAL AFFAIRS50.00.0$527,226$0$96,643Yes (X)
MARY ELLEN DOYLE
CORP VP, NURSING OPS50.00.0$500,395$0$82,821Yes (X)
ROBERT T HOFF
CORP VP, CLINICAL ANC OPS50.00.0$521,478$0$88,584Yes (X)
ANIL KESWANI
CORPORATE VP, CMO SHPS50.00.0$544,729$0$114,756Yes (X)
PATRIC THOMAS
CORP VP, INFORMATION SVCS50.00.0$574,979$0$95,435Yes (X)
ARNOLD BRENT EASTMAN MD
FORMER KEY EMPLOYEE0.00.0$1,225,509$0-$51,891Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$16,890,059TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation-$1,951,690TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K2397IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedYes (true)FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (true)TotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
Scripps Clinic Medical Group
10666 N Torrey Pines RdLa JollaCA92037Physician Services$238,066,934
McCarthy Building Companies
20401 SW Birch St 300Newport BeachCA92006Construction$73,381,825
Scripps Coastal Medical Group
501 Washington Ave 601San DiegoCA92103Physician Services$37,186,108
Emergency Acute Care Med Corp
440 Stevens Ave Suite 150San DiegoCA92075Physician Services$12,761,492
The Whiting-Turner Contracting
PO Box 17596BaltimoreMD21297Construction$12,359,195
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K156CntrctRcvdGreaterThan100KCnt
Fundraising$3,096,730FundraisingAmt
All Other Contributions$36,013,586AllOtherContributionsAmt
Noncash Contributions$5,692,990NoncashContributionsAmt
Total Contributions$39,110,316TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtUnrelated Business RevenueUnrelatedBusinessRevenueAmtExclusionExclusionAmt
Healthcare Delivery Rev622110$2,291,347,828$2,290,108,198$1,239,630$0
Capitation Premium622110$147,560,077$147,560,077$0$0
Provider Fee Revenue622110$152,127,901$152,127,901$0$0
Meaningful Use Incentive900099$2,019,513$2,019,513$0$0
Rental Income - MOB531120$10,823,792$10,823,792$0$0

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

FieldValueIRS element (for citing)
Total Revenue Column$31,433,654TotalRevenueColumnAmt
Related Or Exempt Func Income$30,556,484RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$877,170UnrelatedBusinessRevenueAmt
Exclusion$0ExclusionAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$2,635,312,765TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$40,281,746TotalRevenueColumnAmt
Related Or Exempt Func Income$3,000,958RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$41,645UnrelatedBusinessRevenueAmt
Exclusion$37,239,143ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Royalties Revenue RoyaltiesRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$0RealAmt
Personal$0PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$1,688,145,153SecuritiesAmt
Other$599,000OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$1,517,034,945SecuritiesAmt
Other$55,980OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$171,110,208SecuritiesAmt
Other$543,020OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$171,653,228TotalRevenueColumnAmt
Exclusion$171,653,228ExclusionAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$523,827FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event$3,096,730ContriRptFundraisingEventAmt
Fundraising Direct Expenses$1,502,123FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column-$978,296TotalRevenueColumnAmt
Exclusion-$978,296ExclusionAmt

Net Income From Gaming NetIncomeFromGamingGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Net Income Or Loss NetIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtUnrelated Business RevenueUnrelatedBusinessRevenueAmtExclusionExclusionAmt
Cafeteria722310$6,067,323$6,067,323$0$0
Parking812930$2,450,392$2,274,140$176,252$0
Gift Shop453220$1,179,827$1,179,827$0$0

Miscellaneous Revenue MiscellaneousRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$48,510,679TotalRevenueColumnAmt
Related Or Exempt Func Income$42,873,820RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$3,593,859UnrelatedBusinessRevenueAmt
Exclusion$2,043,000ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$58,208,221OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$2,943,587,980TotalRevenueColumnAmt
Related Or Exempt Func Income$2,688,592,033RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$5,928,556UnrelatedBusinessRevenueAmt
Exclusion$209,957,075ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$938,981TotalAmt
Program Services$938,981ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Foreign Grants ForeignGrantsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
Program Services$0ProgramServicesAmt

Benefits To Members BenefitsToMembersGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
Program Services$0ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$17,359,527TotalAmt
Program Services$0ProgramServicesAmt
Management And General$17,359,527ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$1,736,116TotalAmt
Program Services$843,688ProgramServicesAmt
Management And General$892,428ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$904,634,161TotalAmt
Program Services$762,881,722ProgramServicesAmt
Management And General$136,991,413ManagementAndGeneralAmt
Fundraising$4,761,026FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$36,732,499TotalAmt
Program Services$30,077,894ProgramServicesAmt
Management And General$6,506,171ManagementAndGeneralAmt
Fundraising$148,434FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$151,188,904TotalAmt
Program Services$125,626,099ProgramServicesAmt
Management And General$25,017,611ManagementAndGeneralAmt
Fundraising$545,194FundraisingAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$67,724,346TotalAmt
Program Services$56,565,711ProgramServicesAmt
Management And General$10,863,163ManagementAndGeneralAmt
Fundraising$295,472FundraisingAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
Program Services$0ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$8,753,928TotalAmt
Program Services$4,112,753ProgramServicesAmt
Management And General$4,634,594ManagementAndGeneralAmt
Fundraising$6,581FundraisingAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$993,242TotalAmt
Program Services$120,352ProgramServicesAmt
Management And General$872,890ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$312,644TotalAmt
Program Services$0ProgramServicesAmt
Management And General$312,644ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total$0TotalAmt
Fundraising$0FundraisingAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$2,762,051TotalAmt
Program Services$0ProgramServicesAmt
Management And General$2,762,051ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$492,120,253TotalAmt
Program Services$450,856,355ProgramServicesAmt
Management And General$40,464,999ManagementAndGeneralAmt
Fundraising$798,899FundraisingAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$7,652,738TotalAmt
Program Services$3,640,247ProgramServicesAmt
Management And General$4,008,225ManagementAndGeneralAmt
Fundraising$4,266FundraisingAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$63,735,122TotalAmt
Program Services$49,967,306ProgramServicesAmt
Management And General$12,741,965ManagementAndGeneralAmt
Fundraising$1,025,851FundraisingAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$38,442,703TotalAmt
Program Services$15,779,752ProgramServicesAmt
Management And General$22,662,951ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Royalties RoyaltiesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
Program Services$0ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$79,126,433TotalAmt
Program Services$65,409,295ProgramServicesAmt
Management And General$13,514,515ManagementAndGeneralAmt
Fundraising$202,623FundraisingAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
Program Services$0ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
Program Services$0ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
Program Services$0ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$20,934,236TotalAmt
Program Services$18,900,554ProgramServicesAmt
Management And General$2,033,682ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Payments To Affiliates PaymentsToAffiliatesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
Program Services$0ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$129,246,350TotalAmt
Program Services$117,800,487ProgramServicesAmt
Management And General$11,445,863ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$6,938,485TotalAmt
Program Services$6,922,390ProgramServicesAmt
Management And General$16,095ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmtFundraisingFundraisingAmt
Medical Supplies$386,791,067$386,791,067$0$0
Repairs and Maintenance$27,310,005$13,436,101$13,827,278$46,626
Hospital Fee Program$122,841,703$122,841,703$0$0
ALL OTHER EXPENSES$4,018,648$2,770,238$0$1,248,410

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$2,572,294,142TotalAmt
Program Services$2,236,282,695ProgramServicesAmt
Management And General$326,928,065ManagementAndGeneralAmt
Fundraising$9,083,382FundraisingAmt

Total Joint Costs TotalJointCostsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$458,127,487BOYAmt
EOY$464,627,941EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$18,291,479BOYAmt
EOY$16,820,956EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$307,978,390BOYAmt
EOY$378,340,846EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

FieldValueIRS element (for citing)
BOY$16,710,695BOYAmt
EOY$17,759,611EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

FieldValueIRS element (for citing)
BOY$141,217BOYAmt
EOY$135,624EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$35,991,659BOYAmt
EOY$38,540,480EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$23,979,887BOYAmt
EOY$21,415,901EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$2,996,914,506LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$1,414,385,712LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$1,441,673,410BOYAmt
EOY$1,582,528,794EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$1,454,759,554BOYAmt
EOY$1,360,142,064EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$381,816,000BOYAmt
EOY$421,291,000EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
BOY$18,568,036BOYAmt
EOY$57,760,462EOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
BOY$34,674,201BOYAmt
EOY$45,232,969EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$60,545,985BOYAmt
EOY$59,211,112EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$4,253,258,000BOYAmt
EOY$4,463,807,760EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$333,652,890BOYAmt
EOY$379,566,513EOYAmt

Grants Payable GrantsPayableGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$14,845,504BOYAmt
EOY$14,761,226EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$858,248,606BOYAmt
EOY$842,697,017EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$10,463,011BOYAmt
EOY$46,572,636EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$81,550,488BOYAmt
EOY$98,211,822EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$1,298,760,499BOYAmt
EOY$1,381,809,214EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$2,747,774,920BOYAmt
EOY$2,883,544,657EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$127,888,120BOYAmt
EOY$118,262,384EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$78,834,461BOYAmt
EOY$80,191,505EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$2,954,497,501BOYAmt
EOY$3,081,998,546EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$4,253,258,000BOYAmt
EOY$4,463,807,760EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$371,293,838ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst-$279,694,357NetUnrlzdGainsLossesInvstAmt
Donated Services And Use Fclts-$141,758DonatedServicesAndUseFcltsAmt
Other Changes In Net Assets$36,043,322OtherChangesInNetAssetsAmt
Info In Schedule O Part XIIYes (X)InfoInScheduleOPartXIIInd
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedYes (true)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (true)AuditCommitteeInd
Federal Grant Audit RequiredYes (true)FederalGrantAuditRequiredInd
Federal Grant Audit PerformedYes (true)FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Total Grassroots LobbyingTotalGrassrootsLobbyingGrp
Total Direct LobbyingTotalDirectLobbyingGrp
Total Lobbying ExpendTotalLobbyingExpendGrp
Other Exempt Purpose ExpendOtherExemptPurposeExpendGrp
Total Exempt Purpose ExpendTotalExemptPurposeExpendGrp
Lobbying Nontaxable AmountLobbyingNontaxableAmountGrp
Grassroots NontaxableGrassrootsNontaxableGrp
Tot Lbbyng Grassroot Mns Non TxTotLbbyngGrassrootMnsNonTxGrp
Tot Lbby Expend Mns Lbbyng Non TxTotLbbyExpendMnsLbbyngNonTxGrp
VolunteersfalseVolunteersInd
Paid Staff Or ManagementYes (true)PaidStaffOrManagementInd
Media AdvertisementsfalseMediaAdvertisementsInd
Media Advertisements$0MediaAdvertisementsAmt
Mailings MembersfalseMailingsMembersInd
Mailings Members$0MailingsMembersAmt
Publications Or BroadcastfalsePublicationsOrBroadcastInd
Publications Or Broadcast$0PublicationsOrBroadcastAmt
Grants Other OrganizationsfalseGrantsOtherOrganizationsInd
Grants Other Organizations$0GrantsOtherOrganizationsAmt
Direct Contact LegislatorsYes (true)DirectContactLegislatorsInd
Direct Contact Legislators$389,316DirectContactLegislatorsAmt
Rallies DemonstrationsYes (true)RalliesDemonstrationsInd
Rallies Demonstrations$41,566RalliesDemonstrationsAmt
Other ActivitiesYes (true)OtherActivitiesInd
Other Activities$236,887OtherActivitiesAmt
Total Lobbying Expenditures$667,769TotalLobbyingExpendituresAmt
Not Described Section501c3falseNotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE C, PART II-BFormAndLineReferenceDesc
ExplanationPUBLIC AFFAIRS INFORMATION AND EDUCATION SCRIPPS HEALTH ON ITS OWN BEHALF AND AS A MEMBER OF SEVERAL HOSPITAL ASSOCIATIONS AND HEALTH CARE ORGANIZATIONS PARTICIPATES REGULARLY IN PUBLIC AFFAIRS AND ADVOCACY ACTIVITIES. SOME ACTIVITY IS INDIVIDUALLY OR COLLECTIVELY CONDUCTED BY SCRIPPS HEALTH PERSONNEL DIRECTLY ON THE ORGANIZATION'S BEHALF. OTHER ACTIVITY IS CONDUCTED MORE DIRECTLY BY THE ORGANIZATIONS IN WHICH SCRIPPS HEALTH PARTICIPATES AND IS SUPPORTED BY SCRIPPS HEALTH INVOLVEMENT. THIS ACTIVITY INCLUDES BRIEFING OF LEGISLATORS AND LEGISLATIVE STAFF MEMBERS (FEDERAL, STATE AND LOCAL) ON MATTERS AFFECTING HEALTH CARE AND HEALTH CARE OPERATIONS. MEETINGS OCCUR IN PUBLIC OFFICIAL OFFICES, AT SCRIPPS FACILITIES AND IN VARIOUS OTHER VENUES OF OPPORTUNITY. ACTIVITY IS ON FEDERAL, STATE AND LOCAL LEVELS AND LOCATIONS. SUCH MATTERS INCLUDE: ACCOUNTABLE CARE ACT (HEALTH REFORM); BUDGET AND FISCAL POLICY IMPACTS; REIMBURSEMENT MATTERS; PROVIDER FEES AND OTHER ASSESSMENTS; DATA MANAGEMENT AND REPORTING; QUALITY AND PATIENT SAFETY MATTERS, HEALTH INFORMATION TECHNOLOGY AND THE IMPLEMENTATION OF ELECTRONIC HEALTH RECORDS, EMERGENCY DEPARTMENT OPERATIONS AND IMPACTS; UNINSURED, COST SHIFT IMPACTS AND OTHER SAFETY NET ISSUES; COMMUNITY BENEFIT PROGRAMS; GRADUATE MEDICAL EDUCATION; SITE-NEUTRAL PRICING, VALUE-BASED PURCHASING; BUNDLED PAYMENTS; ACCOUNTABLE CARE ORGANIZATIONS, MEDICARE, MEDICAID. THE ORGANIZATION STAFFS A GOVERNMENT RELATIONS DEPARTMENT THAT COORDINATES INFORMATION AND EDUCATION PROGRAMS ON PUBLIC POLICY AND ADVOCACY MATTERS. ALL WORK IS FOCUSED ON ISSUES. NO ACTIVITY ADDRESSES PARTISAN MATTERS, CANDIDATES OR POLITICAL ACTIVITIES. NO CORPORATE ACTIVITY ADDRESSED PARTISAN CAMPAIGNS. NATIONAL, STATE & LOCAL ORGANIZATIONS WITH WHICH SCRIPPS HEALTH PARTICIPATES IN PART IN LOBBY ACTIVITIES: AMERICAN HOSPITAL ASSOCIATION CALIFORNIA HOSPITAL ASSOCIATION HOSPITAL ASSOCIATION OF SAN DIEGO & IMPERIAL COUNTIES HEALTH MANAGEMENT ACADEMY PRIVATE ESSENTIAL ACCESS COMMUNITY HOSPITALS ALLIANCE FOR CATHOLIC HEALTH CARE PROTON THERAPY CONSORTIUM SAN DIEGO REGIONAL CHAMBER OF COMMERCE SAN DIEGO TAXPAYERS ASSOCIATION SAN DIEGO ECONOMIC DEVELOPMENT CORPORATION COMMUNITY HEALTH IMPROVEMENT PARTNERS DIRECT ACTIVITY TO INFLUENCE LEGISLATION -- LEGISLATIVE MATTERS - FEDERAL H.R, 1250/S. 1012 - MEDICARE AUDIT IMPROVEMENT ACT OF 2013 (113TH CONGRESS) H.R. 2156 - MEDICARE AUDIT IMPROVEMENT ACT OF 2015 (114TH CONGRESS) H.R. 1920/S. 1555 - DSH REDUCTION RELIEF ACT OF 2013 (113TH CONGRESS) H.R. 3288 -- STRENGTHENING DSH AND MEDICARE THROUGH SUBSIDY RECAPTURE AND PAYMENT REFORM ACT OF 2015 (114TH CONGRESS) H.R. 4188 -- ESTABLISHING BENEFICIARY EQUITY IN THE HOSPITAL READMISSION PROGRAM ACT (113TH CONGRESS) H.R. 1343/S. 688 -- ESTABLISHING BENEFICIARY EQUITY IN THE HOSPITAL READMISSION PROGRAM ACT OF 2015 (114TH CONGRESS) H.R. 2 -- MEDICARE ACCESS AND CHIP REAUTHORIZATION ACT OF 2015 (114TH CONGRESS) - REPLACING PHYSICIAN "SUSTAINABLE GROWTH RATE" H.R. 6 - THE 21ST CENTURY CURES ACT (114TH CONGRESS) H.R.2124/S. 1148 -- RESIDENT PHYSICIAN SHORTAGE REDUCTION ACT OF 2015 (114TH CONGRESS) H.R. 2246 -- HELPING FAMILIES IN MENTAL HEALTH CRISIS ACT OF 2015 (114TH CONGRESS) CALIFORNIA SB 346 - HEALTH FACILITIES: COMMUNITY BENEFITS AB 1046 - HOSPITALS: COMMUNITY BENEFITS AB 366/SB 243 - MEDICAL REIMBURSEMENT: PROVIDER RATES AB 579 - FREESTANDING EMERGENCY DEPARTMENTS SB 787 - FREESTANDING EMERGENCY DEPARTMENTS AB 658 - INMATE HEALTH CARE SERVICES: RATES AB 1300 - MENTAL HEALTH: INVOLUNTARY COMMITMENT (LPS ACT REFORM) SB 483 - GENERAL ACUTE CARE HOSPITALS: OBSERVATION SERVICES SB 323 - NURSE PRACTITIONER: SCOPE OF PRACTICE SB 277 - PUBLIC HEALTH: VACCINATIONS SB 128/AB2X 15 - END OF LIFE OPTIONS SB 19 - POLST REGISTRY ACT SB 327 - MEAL PERIOD WAIVERS FOR HOSPITAL EMPLOYEESExplanationTxt

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Historic StructureYes (X)HistoricStructureInd
Total Easements2TotalEasementsCnt
Total Acreage16.00TotalAcreageCnt
Historic Structure Easements2HistoricStructureEasementsCnt
States Easements Held1StatesEasementsHeldCnt
Written Policy MonitoringYes (true)WrittenPolicyMonitoringInd
Staff Hours Spent Enforcement70.00StaffHoursSpentEnforcementCnt
Expenses Incurred Enforcement$1,742ExpensesIncurredEnforcementAmt
Section170h Rqr StsfdYes (true)Section170hRqrStsfdInd
Art Public Exhibition AmountsArtPublicExhibitionAmountsGrp
Held Works ArtHeldWorksArtGrp
Agent Trustee EtcfalseAgentTrusteeEtcInd
Incl Escrow Custodial Acct LiabfalseInclEscrowCustodialAcctLiabInd

CY Endwmt Fund CYEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$117,167,000BeginningYearBalanceAmt
Contributions$1,388,206ContributionsAmt
Investment Earnings Or Losses-$3,512,026InvestmentEarningsOrLossesAmt
Grants Or Scholarships$1,345,734GrantsOrScholarshipsAmt
Other Expenditures$3,632,176OtherExpendituresAmt
Administrative Expenses$1,139,270AdministrativeExpensesAmt
End Year Balance$108,926,000EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$112,290,000BeginningYearBalanceAmt
Contributions$1,480,000ContributionsAmt
Investment Earnings Or Losses$9,068,000InvestmentEarningsOrLossesAmt
Grants Or Scholarships$871,000GrantsOrScholarshipsAmt
Other Expenditures$3,853,000OtherExpendituresAmt
Administrative Expenses$947,000AdministrativeExpensesAmt
End Year Balance$117,167,000EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$103,819,000BeginningYearBalanceAmt
Contributions-$1,051,000ContributionsAmt
Investment Earnings Or Losses$14,066,000InvestmentEarningsOrLossesAmt
Grants Or Scholarships$874,000GrantsOrScholarshipsAmt
Other Expenditures$2,707,000OtherExpendituresAmt
Administrative Expenses$963,000AdministrativeExpensesAmt
End Year Balance$112,290,000EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$94,354,000BeginningYearBalanceAmt
Contributions$745,000ContributionsAmt
Investment Earnings Or Losses$12,924,000InvestmentEarningsOrLossesAmt
Grants Or Scholarships$798,000GrantsOrScholarshipsAmt
Other Expenditures$2,496,000OtherExpendituresAmt
Administrative Expenses$910,000AdministrativeExpensesAmt
End Year Balance$103,819,000EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$87,057,000BeginningYearBalanceAmt
Contributions$2,316,000ContributionsAmt
Investment Earnings Or Losses$657,000InvestmentEarningsOrLossesAmt
Grants Or Scholarships$703,000GrantsOrScholarshipsAmt
Other Expenditures$1,930,000OtherExpendituresAmt
Administrative Expenses$807,000AdministrativeExpensesAmt
End Year Balance$86,590,000EndYearBalanceAmt
FieldValueIRS element (for citing)
Prmnnt Endowment Balance EOY1.00000PrmnntEndowmentBalanceEOYPct
Endowments Held Unrelated OrgfalseEndowmentsHeldUnrelatedOrgInd
Endowments Held Related OrgfalseEndowmentsHeldRelatedOrgInd

Land LandGrp

FieldValueIRS element (for citing)
Investment Cost Or Other Basis$22,198,333InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis$97,001,792OtherCostOrOtherBasisAmt
Book Value$119,200,125BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,479,594,067OtherCostOrOtherBasisAmt
Depreciation$567,412,745DepreciationAmt
Book Value$912,181,322BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$91,164,357OtherCostOrOtherBasisAmt
Depreciation$57,127,399DepreciationAmt
Book Value$34,036,958BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,081,077,533OtherCostOrOtherBasisAmt
Depreciation$789,845,568DepreciationAmt
Book Value$291,231,965BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$225,878,424OtherCostOrOtherBasisAmt
Book Value$225,878,424BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$1,582,528,794TotalBookValueLandBuildingsAmt
Financial DerivativesFinancialDerivativesGrp
Closely Held Equity InterestsCloselyHeldEquityInterestsGrp

Other Securities OtherSecuritiesGrp (2 entries)

DescDescBook ValueBookValueAmtMethod ValuationMethodValuationCd
Multi-Strategy Hedge Funds$395,400,000F
PRIVATE EQUITY FUNDS$25,891,000F
FieldValueIRS element (for citing)
Total Book Value Securities$421,291,000TotalBookValueSecuritiesAmt
Federal Income Tax Liability$0FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (7 entries)

DescDescAmtAmt
Self Insured Worker's Compensation Liability$47,935,277
Deferred Retirement Liability$14,162,727
Self Insured Malpractice Liability$22,052,834
Asset Retirement Obligation$14,393,920
Annuity and Unitrusts$11,379,329
Deposits and Contingencies$120,244
Intercompany Liabilities-$11,832,509
FieldValueIRS element (for citing)
Total Liability$98,211,822TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
SCHEDULE D, PART II, LINE 3Changes to Conservation Easements There were no modified, transferred, released, extinguished, or terminated conservative easements in FY15.
SCHEDULE D, PART II, LINE 9Conservation Easement The historical structure that is considered to be a conservative easement is reported in the Mercy Hospital entity of the consolidated financial statements.
SCHEDULE D, PART V, LINE 1A, COLUMN (D)THE BEGINNING BALANCE DOES NOT ROLL FORWARD FROM THE ENDING BALANCE OF THE PREVIOUS YEAR DUE TO THE WHITTIER INSTITUTE (TWI), $7,764,000. EFFECTIVE FY12, TWI WAS CONSOLIDATED WITH SCRIPPS HEALTH AND NEEDS TO BE REFLECTED IN THIS SCHEDULE. AS THE ROLLFORWARD DOES NOT CONTAIN AN APPROPRIATE LINE FOR THIS TRANSACTION, IT WAS DETERMINED THAT THE MOST APPROPRIATE PRESENTATION WAS TO REFLECT IT IN THE BEGINNING BALANCE.
SCHEDULE D, PART V, LINE 4INTENDED USES OF THE ORGANIZATION'S ENDOWMENT FUNDS CONTRIBUTIONS RECEIVED FOR CAPITAL PROJECTS, INCLUDING BUILDING PROJECTS, MAJOR RENOVATIONS, AND EQUIPMENT PURCHASES $1,086,131. CONTRIBUTIONS RECEIVED TO FUND GRADUATE MEDICAL EDUCATION PROGRAMS, FELLOWS, AND LECTURE SERIES $18,080,421. CONTRIBUTIONS RECEIVED FOR USE IN SPECIFIC DEPARTMENTS OR DIVISIONS IN THE HOSPITALS AND/OR CLINICS $31,235,210. CONTRIBUTIONS RECEIVED TO COVER THE COST OF HEALTHCARE PROVIDED TO INDIVIDUALS WITHOUT INSURANCE OR THE MEANS FOR PAYING FOR THEIR CARE $13,415,279. CONTRIBUTIONS RECEIVED TO FUND RESEARCH PROJECTS IN SPECIFIC AREAS OR DIVISIONS $17,174,460.
SCHEDULE D, PART X, LINE 2UNCERTAIN TAX POSITIONS UNDER ASC 740 (AKA FIN 48) SCRIPPS HEALTH IS GENERALLY NOT SUBJECT TO FEDERAL OR STATE INCOME TAXES. HOWEVER, SCRIPPS HEALTH IS SUBJECT TO INCOME TAXES ON ANY 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 ACCOUNTS FOR INCOME TAXES RELATED TO THE OPERATIONS OF ITS FOR-PROFIT SUBSIDIARIES (SCPO) UNDER THE PROVISIONS OF FASB ASC 740, INCOME TAXES, WHICH PRESCRIBES A RECOGNITION THRESHOLD AND MEASUREMENT ATTRIBUTE FOR THE FINANCIAL STATEMENT RECOGNITION AND MEASUREMENT OF A TAX POSITION TAKEN OR EXPECTED TO BE TAKEN IN A TAX RETURN. UNDER FASB ASC 740, 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 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 TAX BENEFITS, INTEREST OR PENALTIES WAS ACCRUED AT SEPTEMBER 30, 2015 OR 2014. SCRIPPS HEALTH CURRENTLY FILES FORM 990 (INFORMATIONAL RETURN OF ORGANIZATIONS EXEMPT FROM INCOME TAXES) AND Form 990T (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 2007 IN MAJOR TAX JURISDICTIONS.

Schedule F IRS990ScheduleF

Account Activities Outside US AccountActivitiesOutsideUSGrp (5 entries)

RegionRegionTxtEmployeeEmployeeCntType Of Activities ConductedTypeOfActivitiesConductedTxtSpecific Services ProvidedSpecificServicesProvidedTxtRegion Total ExpendituresRegionTotalExpendituresAmt
North America106Program ServicesRecontructive Surgery$319,899
East Asia and the Pacific6Program ServicesMed Care & Training$15,966
Central America and the CaribbeanInvestments$228,847
Central America and the CaribbeanFundraising$25,000
North AmericaFundraising$19,093
FieldValueIRS element (for citing)
Subtotal Employees112SubtotalEmployeesCnt
Total Employee112TotalEmployeeCnt
Subtotal Spent$608,805SubtotalSpentAmt
Total Spent$608,805TotalSpentAmt
Transfer To Foreign CorpYes (true)TransferToForeignCorpInd
Interest In Foreign TrustfalseInterestInForeignTrustInd
Foreign Corp OwnershipYes (true)ForeignCorpOwnershipInd
Passive Foreign Investmest CofalsePassiveForeignInvestmestCoInd
Foreign PartnershipfalseForeignPartnershipInd
Boycott CountriesfalseBoycottCountriesInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE F, PART I, LINE 3, COLUMN FFormAndLineReferenceDesc
ExplanationAccounting Method The accrual method of accounting was used to determine the amounts in column F.ExplanationTxt

Schedule G IRS990ScheduleG

Fundraising Event Information FundraisingEventInformationGrp

FieldValueIRS element (for citing)
Event1SPCI GALAEvent1Nm
Gross Receipts Event1$1,195,956GrossReceiptsEvent1Amt
Charitable Contri Event1$1,103,788CharitableContriEvent1Amt
Gross Revenue Event1$92,168GrossRevenueEvent1Amt
Rent Facility Costs Event1$662,530RentFacilityCostsEvent1Amt
Food And Beverage Event1$10,913FoodAndBeverageEvent1Amt
Entertainment Event1$25,326EntertainmentEvent1Amt
Other Direct Expenses Event1$231,851OtherDirectExpensesEvent1Amt
Event2SPINOFFEvent2Nm
Gross Receipts Event2$780,523GrossReceiptsEvent2Amt
Charitable Contri Event2$619,541CharitableContriEvent2Amt
Gross Revenue Event2$160,982GrossRevenueEvent2Amt
Rent Facility Costs Event2$62,269RentFacilityCostsEvent2Amt
Food And Beverage Event2$4,225FoodAndBeverageEvent2Amt
Entertainment Event2$8,497EntertainmentEvent2Amt
Other Direct Expenses Event2$47,424OtherDirectExpensesEvent2Amt
Other Events Total6OtherEventsTotalCnt
Gross Receipts Other Events$1,644,078GrossReceiptsOtherEventsAmt
Charitable Contri Other Events$1,373,401CharitableContriOtherEventsAmt
Gross Revenue Other Events$270,677GrossRevenueOtherEventsAmt
Rent Fclty Costs Other Events$229,163RentFcltyCostsOtherEventsAmt
Food And Beverage Other Events$20,183FoodAndBeverageOtherEventsAmt
Entertainment Other Events$31,510EntertainmentOtherEventsAmt
Oth Direct Expnss Other Events$168,232OthDirectExpnssOtherEventsAmt
Gross Receipts Total$3,620,557GrossReceiptsTotalAmt
Charitable Contributions Tot$3,096,730CharitableContributionsTotAmt
Gross Revenue Total Events$523,827GrossRevenueTotalEventsAmt
Rent Fclty Costs Total Events$953,962RentFcltyCostsTotalEventsAmt
Food And Beverage Total Events$35,321FoodAndBeverageTotalEventsAmt
Entertainment Total Events$65,333EntertainmentTotalEventsAmt
Oth Direct Expnss Total Events$447,507OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events$1,502,123DirectExpenseSummaryEventsAmt
Net Income Summary-$978,296NetIncomeSummaryAmt

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Financial Assistance PolicyYes (true)FinancialAssistancePolicyInd
Written PolicyYes (true)WrittenPolicyInd
All Hospitals PolicyYes (X)AllHospitalsPolicyInd
FPG Reference Free CareYes (true)FPGReferenceFreeCareInd
Percent200Yes (X)Percent200Ind
FPG Reference Discounted CareYes (true)FPGReferenceDiscountedCareInd
Percent400Yes (X)Percent400Ind
Free Care Medically IndigentYes (true)FreeCareMedicallyIndigentInd
Financial Assistance BudgetYes (true)FinancialAssistanceBudgetInd
Expenses Exceed BudgetYes (true)ExpensesExceedBudgetInd
Unable To Provide CarefalseUnableToProvideCareInd
Annual Community Bnft ReportYes (true)AnnualCommunityBnftReportInd
Report Publically AvailableYes (true)ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$36,894,588TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$36,894,588NetCommunityBenefitExpnsAmt
Total Expense0.01430TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$229,625,152TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$177,342,712DirectOffsettingRevenueAmt
Net Community Benefit Expns$52,282,440NetCommunityBenefitExpnsAmt
Total Expense0.02030TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$0TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$266,519,740TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$177,342,712DirectOffsettingRevenueAmt
Net Community Benefit Expns$89,177,028NetCommunityBenefitExpnsAmt
Total Expense0.03460TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$5,300,797TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$3,159,077DirectOffsettingRevenueAmt
Net Community Benefit Expns$2,141,720NetCommunityBenefitExpnsAmt
Total Expense0.00080TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$30,181,942TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$9,345,670DirectOffsettingRevenueAmt
Net Community Benefit Expns$20,836,272NetCommunityBenefitExpnsAmt
Total Expense0.00810TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$21,352,828TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$14,862,685DirectOffsettingRevenueAmt
Net Community Benefit Expns$6,490,143NetCommunityBenefitExpnsAmt
Total Expense0.00250TotalExpensePct

Research ResearchGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$14,816,955TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$9,469,027DirectOffsettingRevenueAmt
Net Community Benefit Expns$5,347,928NetCommunityBenefitExpnsAmt
Total Expense0.00210TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$929,440TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$929,440NetCommunityBenefitExpnsAmt
Total Expense0.00040TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$72,581,962TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$36,836,459DirectOffsettingRevenueAmt
Net Community Benefit Expns$35,745,503NetCommunityBenefitExpnsAmt
Total Expense0.01390TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$339,101,702TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$214,179,171DirectOffsettingRevenueAmt
Net Community Benefit Expns$124,922,531NetCommunityBenefitExpnsAmt
Total Expense0.04850TotalExpensePct

Physical Imprv And Housing PhysicalImprvAndHousingGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$8,426TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$8,426NetCommunityBenefitExpnsAmt
Total Expense0.00000TotalExpensePct

Economic Development EconomicDevelopmentGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$105,166TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$105,166NetCommunityBenefitExpnsAmt
Total Expense0.00000TotalExpensePct

Community Support CommunitySupportGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$342,232TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$34,620DirectOffsettingRevenueAmt
Net Community Benefit Expns$307,612NetCommunityBenefitExpnsAmt
Total Expense0.00010TotalExpensePct

Environmental Improvements EnvironmentalImprovementsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$0TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.00000TotalExpensePct

Leadership Development LeadershipDevelopmentGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$52,267TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$35,066DirectOffsettingRevenueAmt
Net Community Benefit Expns$17,201NetCommunityBenefitExpnsAmt
Total Expense0.00000TotalExpensePct

Coalition Building CoalitionBuildingGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$938,473TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$98,411DirectOffsettingRevenueAmt
Net Community Benefit Expns$840,062NetCommunityBenefitExpnsAmt
Total Expense0.00030TotalExpensePct

Health Improvement Advocacy HealthImprovementAdvocacyGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$500,535TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$500,535NetCommunityBenefitExpnsAmt
Total Expense0.00020TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$20,147TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$20,147NetCommunityBenefitExpnsAmt
Total Expense0.00000TotalExpensePct

Other Communtity Building Acty OtherCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$0TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.00000TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$1,967,246TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$168,097DirectOffsettingRevenueAmt
Net Community Benefit Expns$1,799,149NetCommunityBenefitExpnsAmt
Total Expense0.00060TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense ReportedYes (true)BadDebtExpenseReportedInd
Bad Debt Expense$40,175,315BadDebtExpenseAmt
Reimbursed By Medicare$376,244,976ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$440,049,237CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall-$63,804,261MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

FieldValueIRS element (for citing)
Cost Accounting SystemYes (X)CostAccountingSystemInd
FieldValueIRS element (for citing)
Written Debt Collection PolicyYes (true)WrittenDebtCollectionPolicyInd
Financial Assistance PrvsnYes (true)FinancialAssistancePrvsnInd

Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp (7 entries)

Primary ActivitiesPrimaryActivitiesTxtOrg Profit Or OwnershipOrgProfitOrOwnershipPctPhysicians Profit Or OwnershipPhysiciansProfitOrOwnershipPct
SCRIPPS ENCINITAS
Ambulatory Surgery Center0.555000.25000
SURGERY CENTER
SCRIPPS MEMORIAL
Medical Office Building0.153000.77200
XIMED MEDICAL
SCRIPPS MERCY ASC
Ambulatory Surgery Center0.735000.26500
SCRIPPSUSP SURGERY
Ambulatory Surgery Center0.500000.27000
CENTERS
FieldValueIRS element (for citing)
Hospital Facilities4HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp (4 entries)

FacilityFacilityNumAddress Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdWebsite AddressWebsiteAddressTxtState LicenseStateLicenseNumLicensed HospitalLicensedHospitalIndGeneral Medical And SurgicalGeneralMedicalAndSurgicalIndTeaching HospitalTeachingHospitalIndResearch FacilityResearchFacilityIndEmergency Room24 HrsEmergencyRoom24HrsIndFacility Reporting GroupFacilityReportingGroupCd
SCRIPPS MERCY HOSPITAL
14077 5TH AVENUESAN DIEGOCA92103WWW.SCRIPPS.ORG090000074Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)A
SCRIPPS MEMORIAL HOSPITAL LA JOLLA
29888 GENESEE AVENUELA JOLLACA92037WWW.SCRIPPS.ORG080000050Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)A
SCRIPPS GREEN HOSPITAL
310666 NORTH TORREY PINES ROADSAN DIEGOCA92037WWW.SCRIPPS.ORG080000139Yes (X)Yes (X)Yes (X)Yes (X)A
SCRIPPS MEMORIAL HOSPITAL ENCINITAS
4354 SANTA FE DRIVEENCINITASCA92024WWW.SCRIPPS.ORG080000148Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)A

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1ABusinessNameLine1Txt
FieldValueIRS element (for citing)
Facility14FacilityNum
First Licensed CY Or PYfalseFirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PYfalseTaxExemptHospitalCYOrPYInd
CHNA ConductedYes (true)CHNAConductedInd
Community DefinitionYes (X)CommunityDefinitionInd
Community DemographicsYes (X)CommunityDemographicsInd
Existing ResourcesYes (X)ExistingResourcesInd
How Data ObtainedYes (X)HowDataObtainedInd
Community Health NeedsYes (X)CommunityHealthNeedsInd
Other Health IssuesYes (X)OtherHealthIssuesInd
Community Hlth Needs Id ProcessYes (X)CommunityHlthNeedsIdProcessInd
Consulting ProcessYes (X)ConsultingProcessInd
Information GapsYes (X)InformationGapsInd
CHNA Conducted12CHNAConductedYr
Take Into Account Others InputYes (true)TakeIntoAccountOthersInputInd
CHNA Conducted With Other FcltsYes (true)CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non FcltsfalseCHNAConductedWithNonFcltsInd
CHNA Report Widely AvailableYes (true)CHNAReportWidelyAvailableInd
Rpt Available On Own WebsiteYes (X)RptAvailableOnOwnWebsiteInd
Own Website URLSEE PART V, SECTION COwnWebsiteURLTxt
Paper Copy Public InspectionYes (X)PaperCopyPublicInspectionInd
Implementation Strategy AdoptYes (true)ImplementationStrategyAdoptInd
Implementation Strategy Adpt14ImplementationStrategyAdptYr
Strategy Posted WebsiteYes (true)StrategyPostedWebsiteInd
Strategy Website URLSEE PART V, SECTION CStrategyWebsiteURLTxt
Strategy AttachedfalseStrategyAttachedInd
Organization Incur Excise TaxfalseOrganizationIncurExciseTaxInd
Elig Criteria ExplainedYes (true)EligCriteriaExplainedInd
FPG Family Incm Lmt Free DscntYes (X)FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care200.FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care400.FPGFamilyIncmLmtDscntCarePct
Income Level CriteriaYes (X)IncomeLevelCriteriaInd
Asset Level CriteriaYes (X)AssetLevelCriteriaInd
Medical Indigency CriteriaYes (X)MedicalIndigencyCriteriaInd
Insurance Status CriteriaYes (X)InsuranceStatusCriteriaInd
Other CriteriaYes (X)OtherCriteriaInd
Explained BasisYes (true)ExplainedBasisInd
App Financial Asst ExplnYes (true)AppFinancialAsstExplnInd
Described InfoYes (X)DescribedInfoInd
Described Suprt DocYes (X)DescribedSuprtDocInd
Provided Hospital ContactYes (X)ProvidedHospitalContactInd
Includes Publicity MeasuresYes (true)IncludesPublicityMeasuresInd
FAP Available On WebsiteYes (X)FAPAvailableOnWebsiteInd
FAP Available On Website URLSEE PART V, SECTION CFAPAvailableOnWebsiteURLTxt
FAP App Available On WebsiteYes (X)FAPAppAvailableOnWebsiteInd
FAP App Available On Website URLSEE PART V, SECTION CFAPAppAvailableOnWebsiteURLTxt
FAP Summary On WebsiteYes (X)FAPSummaryOnWebsiteInd
FAP Summary On Website URLSEE SECTION CFAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No ChargeYes (X)FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No ChrgYes (X)FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No ChrgYes (X)FAPSumAvlblOnRequestNoChrgInd
FAP Notice DisplayedYes (X)FAPNoticeDisplayedInd
Other PublicityYes (X)OtherPublicityInd
FAP Actions On NonpaymentYes (true)FAPActionsOnNonpaymentInd
Permit No ActionsYes (X)PermitNoActionsInd
Collection ActivitiesfalseCollectionActivitiesInd
FAP Notified Upon AdmissionYes (X)FAPNotifiedUponAdmissionInd
FAP Notified Before DischargeYes (X)FAPNotifiedBeforeDischargeInd
FAP Notified All PatientsYes (X)FAPNotifiedAllPatientsInd
Documented Elig DeterminationYes (X)DocumentedEligDeterminationInd
Nondis Emergency Care PolicyYes (true)NondisEmergencyCarePolicyInd
Medicare RatesYes (X)MedicareRatesInd
Amounts Generally BilledfalseAmountsGenerallyBilledInd
Gross ChargesfalseGrossChargesInd

Supplemental Information SupplementalInformationGrp (9 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
SCHEDULE H, PART V, LINE 5REPORTING GROUP A HEALTH EXPERT, COMMUNITY LEADER AND RESIDENT FEEDBACK THE INSTITUTE OF PUBLIC HEALTH (IPH) AND CHNA ADVISORY WORKGROUP SOUGHT FEEDBACK FROM COMMUNITY LEADERS, HEALTH EXPERTS AND RESIDENTS OF VULNERABLE COMMUNITIES. THIS WAS DONE THROUGH THREE METHODS: AN ELECTRONIC SURVEY FOR COMMUNITY LEADERS AND HEALTH EXPERTS; KEY INFORMANT INTERVIEWS; AND COMMUNITY FORUMS FOR RESIDENTS IN VULNERABLE COMMUNITIES THROUGHOUT SAN DIEGO COUNTY. - ONLINE SURVEY OF HEALTH EXPERTS AND LEADERS INITIAL EMAIL SAMPLE (N=120). TOTAL SURVEYS COMPLETED (N=89). - COMMUNITY FORUMS (106 COMMUNITY RESIDENTS)EL CAJON, OCEANSIDE, ESCONDIDO, LOGAN HEIGHTS, AND SAN YSIDRO CONDUCTED IN NEIGHBORHOODS WITH HIGH COMMUNITY NEED INDEX SCORES. - FIVE KEY INFORMANT INTERVIEWS LEADERS CHOSEN BASED ON DISCIPLINE EXPERTISE AND KNOWLEDGE OF HEALTH ISSUES AFFECTING COMMUNITIES. HEALTH EXPERT AND COMMUNITY LEADER ELECTRONIC SURVEY IN ORDER TO PRIORITIZE THE HEALTH CONDITIONS AND HEALTH DRIVERS IDENTIFIED, THE IPH AND THE CHNA ADVISORY WORKGROUP DEVELOPED A LIST OF OVER 100 POSSIBLE COMMUNITY HEALTH EXPERTS AND LEADERS. A HEALTH EXPERT OR LEADER WAS DEFINED AS A PERSON WITH SPECIAL KNOWLEDGE OF OR EXPERTISE IN PUBLIC HEALTH. THE LIST WAS COMPILED TO ENSURE REPRESENTATION OF EXPERTS IN BOTH THE 15 HEALTH CONDITIONS AND 26 HEALTH DRIVERS THAT HAD BEEN IDENTIFIED. HEALTH EXPERTS AND LEADERS WERE IDENTIFIED FROM HOSPITAL SETTINGS, COMMUNITY-BASED ORGANIZATIONS, GOVERNMENT POLICY, LEGAL, AND HEALTH ADVOCACY ORGANIZATIONS. CONTACT INFORMATION WAS VERIFIED AND INITIAL EMAILS WERE SENT TO THE LIST OF HEALTH EXPERTS AND LEADERS IN SAN DIEGO IN ORDER TO GAUGE POTENTIAL INTEREST IN PARTICIPATING IN THE CHNA HEALTH PRIORITIZATION SURVEY. AT THE TIME OF THIS INITIAL E-MAIL, INTERESTED RESPONDENTS WERE ASKED WHICH CONDITIONS THEY HAD EXPERTISE IN, WHAT POPULATIONS THEY SERVED AND WHAT REGIONS THEY WORKED IN. THIS INITIAL FEEDBACK GAVE THE IPH AND THE CHNA ADVISORY WORKGROUP AN IDEA OF THE COVERAGE OF DATA THAT WOULD ULTIMATELY BE GATHERED ON HEALTH CONDITIONS, REGIONS AND POPULATIONS SERVED. TARGETED OUTREACH TO ADDITIONAL HEALTH EXPERTS AND LEADERS WAS THEN INITIATED TO FILL GAPS OF UNDER-REPRESENTED CONDITIONS, REGIONS, OR VULNERABLE POPULATIONS. THE CHNA SURVEY WAS EMAILED TO OVER 120 HEALTH EXPERTS AND LEADERS, WITH 89 PEOPLE COMPLETING THE SURVEY. WHEN DESIGNING THE SURVEY IT WAS TAKEN INTO ACCOUNT THE DIVERSITY OF THE KNOWLEDGE OF THE RESPONDENTS. SOME RESPONDENTS HAD KNOWLEDGE OF SPECIFIC DISEASES OR CONDITIONS AND THE HEALTH DRIVERS AFFECTING THOSE DISEASES. OTHERS HAD A MUCH MORE GENERAL KNOWLEDGE OF HEALTH DRIVERS AND HOW THEY MIGHT AFFECT MULTIPLE HEALTH OUTCOMES. TO ACCOMMODATE THESE DIFFERENT PERSPECTIVES, THE SURVEY WAS CREATED SO THAT THE RESPONDENTS COULD ANSWER THE SURVEY FROM ONE OF THE TWO PERSPECTIVES. BOTH PERSPECTIVES ALLOWED RESPONDENTS TO COMMENT ON POOR HEALTH CONDITIONS AND HEALTH DRIVERS AS THEY COMPLETED THE SURVEY. AS PART OF THE SURVEY, PARTICIPANTS WERE PROVIDED WITH ELECTRONIC LINKS TO THE 15 CONDITION BRIEFS AND THE OPPORTUNITY TO REVIEW THOSE BRIEFS, COMPARING DATA ACROSS THE CONDITIONS PRIOR TO ANSWERING THE SURVEY. USING THE LIST OF 15 HEALTH CONDITIONS AND 26 HEALTH DRIVERS, THE IPH AND CHNA ADVISORY WORKGROUP DEVELOPED AN ELECTRONIC SURVEY THAT ASKED COMMUNITY LEADERS AND HEALTH EXPERTS TO HELP PRIORITIZE HEALTH CONDITIONS THAT MET THE FOLLOWING REQUIREMENTS: - HAVE A SIGNIFICANT PREVALENCE IN THE COMMUNITY, - CONTRIBUTE SIGNIFICANTLY TO THE MORBIDITY AND MORTALITY IN SAN DIEGO COUNTY, - DISPROPORTIONATELY IMPACT VULNERABLE COMMUNITIES, - REFLECT A NEED THAT EXISTS THROUGHOUT SAN DIEGO COUNTY, AND - CAN BE ADDRESSED THROUGH EVIDENCE-BASED PRACTICES BY HOSPITALS AND HEALTHCARE SYSTEMS. KEY INFORMANT INTERVIEWS THE IPH COMPLETED FIVE KEY INFORMANT INTERVIEWS. KEY INFORMANT INTERVIEWS WERE CONDUCTED WITH DR. WILMA WOOTEN, DR. JAMES DUNFORD, DR. CHRISTINE WOOD, DR. PHILIP HANGER, AND GREG KNOLL, ESQ. EACH INTERVIEW LASTED NO LONGER THAN ONE HOUR. THESE LEADERS WERE CHOSEN BASED ON THEIR DISCIPLINE AND KNOWLEDGE OF HEALTH ISSUES AFFECTING SAN DIEGO. KEY INFORMANTS WERE ALSO SELECTED BASED ON THEIR ABILITY TO UNDERSTAND HEALTH POLICY, AND THEIR KNOWLEDGE OF ISSUES THROUGHOUT SAN DIEGO COUNTY. THE 15 HEALTH CONDITIONS WERE SHARED WITH THE PARTICIPANTS DURING THE INTERVIEWS. THE PURPOSE OF THE KEY INFORMANT INTERVIEWS WAS TO: - GATHER MORE IN-DEPTH UNDERSTANDING OF THE HEALTH CONDITIONS MOST AFFECTING SAN DIEGO, - AID IN THE PROCESS OF PRIORITIZING HEALTH CONDITIONS, - MAKE CONNECTIONS BETWEEN THE HEALTH CONDITIONS AND ASSOCIATED HEALTH DRIVERS, - GAIN INFORMATION ABOUT THE SYSTEM OR POLICY CHANGES THAT COULD POTENTIALLY IMPACT HEALTH CONDITIONS, AND - GET HEALTH CONDITIONS SPECIFIC RECOMMENDATIONS AS WELL AS OVERALL RECOMMENDATIONS. COMMUNITY FORUMS THE PURPOSE OF THE COMMUNITY FORUMS WAS TO GAIN RESIDENTS' PERSPECTIVE ON THE HEALTH NEEDS OF THEIR COMMUNITIES, IDENTIFY HEALTH CONDITIONS MOST AFFECTING THEIR COMMUNITIES, AND IDENTIFY COMMUNITY RECOMMENDATIONS ON HOW HOSPITALS COULD HELP TO MEET THEIR HEALTH NEEDS. IN ORDER TO ENSURE UNBIASED COMMUNITY FEEDBACK, NEITHER HEALTHCARE ASSOCIATION OF SAN DIEGO AND IMPERIAL COUNTIES (HASD&IC) NOR THE PARTICIPATING HOSPITALS ATTENDED. COMMUNITIES OF HIGH HEALTH NEED, BASED ON THEIR COMMUNITY NEED INDEX (CNI) SCORE, WERE SELECTED FOR CONDUCTING FOCUS GROUPS WITH COMMUNITY MEMBERS. THE IPH PARTNERED WITH NEIGHBORHOOD COMMUNITY COLLABORATIVE AGENCIES OR ORGANIZATIONS WITHIN EACH NEIGHBORHOOD TO RECRUIT COMMUNITY MEMBERS TO PARTICIPATE IN THE FOCUS GROUPS. RECRUITMENT INCLUDED THE STIPULATION THAT FOCUS GROUP PARTICIPANTS WERE LIVING IN THE NEIGHBORHOOD AND WERE NOT AFFILIATED WITH LOCAL HOSPITALS AND HEALTH CENTERS. FOCUS GROUPS WERE CONDUCTED IN EL CAJON, OCEANSIDE, ESCONDIDO, LOGAN HEIGHTS, AND SAN YSIDRO. DURING THE FOCUS GROUPS, GEOGRAPHICAL INFORMATIONAL SYSTEMS (GIS) MAPS DISPLAYING CNI SCORES BY ZIP CODE IN SAN DIEGO COUNTY AS WELL AS THE HEALTH AND HUMAN SERVICES AGENCY REGION OF THE NEIGHBORHOOD WERE DISPLAYED AND HAND-OUTS IN BOTH ENGLISH AND SPANISH EXPLAINING THE CNI SCORE WERE DISTRIBUTED TO EACH PARTICIPANT. INFORMATION WAS ALSO PROVIDED TO COMMUNITY MEMBERS OF THE HEALTH RESOURCES AVAILABLE TO THEM IN THEIR NEIGHBORHOODS.
SCHEDULE H, PART V, LINE 6AREPORTING GROUP A SCRIPPS CONDUCTED ONE CHNA FOR THE SYSTEM. BEGINNING IN SEPTEMBER 2012 WITH COMPLETION IN APRIL 2013, THE IPH MANAGED THE DESIGN, IMPLEMENTATION AND INTERPRETATION OF THE CHNA PROCESS. PARTICIPATING HOSPITALS AND HEALTHCARE SYSTEMS WERE ALL REPRESENTED IN THE CHNA ADVISORY WORKGROUP: - KAISER FOUNDATION HOSPITAL - SAN DIEGO - PALOMAR HEALTH - RADY CHILDREN'S HOSPITAL - SAN DIEGO - SCRIPPS HEALTH - SHARP HEALTHCARE - TRI-CITY MEDICAL CENTER - UNIVERSITY OF CALIFORNIA SAN DIEGO HEALTH SYSTEM
SCHEDULE H, PART V, LINE 7AREPORTING GROUP A THE COMMUNITY HEALTH NEEDS ASSESSMENT IS AVAILABLE TO THE PUBLIC USING THE FOLLOWING URL: https://www.scripps.org/ABOUT-US__SCRIPPS-IN-THE-COMMUNITY__ASSESSING-COMM UNITY-NEEDS
SCHEDULE H, PART V, LINE 10AREPORTING GROUP A THE IMPLEMENTATION STRATEGY IS AVAILABLE TO THE PUBLIC USING THE FOLLOWING URL: HTTPS://WWW.SCRIPPS.ORG/ABOUT-US__SCRIPPS-IN-THE-COMMUNITY__ASSESSING-COMM UNITY-NEEDS
SCHEDULE H, PART V, LINE 11REPORTING GROUP A THE PURPOSE OF THIS CHNA WAS TO IDENTIFY AND PRIORITIZE HEALTH ISSUES AND NEEDS IN SAN DIEGO COUNTY USING MULTIPLE SOURCES OF INFORMATION. THE ANALYSIS OF SECONDARY DATA INCORPORATED THE FOLLOWING CRITERIA FOR INCLUSION AS AN IDENTIFIED COMMUNITY HEALTH NEEDS: 1. FREQUENCY OF DIAGNOSIS, FROM OSHPD HOSPITAL DISCHARGE DATA. 2. HIGH MORTALITY RATE IN SAN DIEGO. 3. COMMUNITY CONCERN. FIFTEEN CONDITIONS WERE THEN USED AS A STARTING POINT TO SOLICIT INPUT FROM THE HEALTH EXPERTS AND LEADERS, KEY INFORMANTS, AND COMMUNITY MEMBERS. BY COMBINING THE RESULTS OF ALL OF THE METHODS EMPLOYED, I.E. SECONDARY DATA SOURCES, ELECTRONIC HEALTH EXPERT AND LEADER SURVEYS, KEY INFORMANT INTERVIEWS, AND COMMUNITY FOCUS GROUPS, THE TOP 4 HEALTH CONDITIONS THAT WERE PRIORITIZED BY THIS COMMUNITY HEALTH NEEDS ASSESSMENT WERE: 1. DIABETES (TYPE 2) 2. OBESITY 3. CARDIOVASCULAR DISEASE 4. MENTAL/BEHAVIORAL HEALTH FIVE BROAD CATEGORIES OF RECOMMENDATIONS FOR HOSPITALS TO IMPROVE COMMUNITY HEALTH INCLUDED: 1. ACCESS TO CARE OR INSURANCE 2. CARE MANAGEMENT 3. COLLABORATION 4. EDUCATION 5. SCREENING SERVICES THE OTHER ELEVEN CONDITIONS (ACUTE RESPIRATORY INFECTIONS, ASTHMA, BACK PAIN, BREAST CANCER, COLORECTAL CANCER, DEMENTIA/ALZHEIMER'S, HIGH RISK PREGNANCY, LUNG CANCER, PROSTATE CANCER, SKIN CANCER AND UNINTENTIONAL INJURY) WERE NOT ADDRESSED IN DETAIL IN THE SCRIPPS CHNA DUE TO LIMITED FINANCIAL AND STAFFING ISSUES AND BECAUSE SOME OF THESE HEALTH CONDITIONS ARE BEING ADDRESSED BY OTHER PROVIDERS IN THE COMMUNITY.
SCHEDULE H, PART V, LINE 13BREPORTING GROUP A INCOME LEVEL OTHER THAN FPG CRITERIA IF IT IS DETERMINED THAT THE FAMILY INCOME IS ABOVE 400 PERCENT OF THE FPL, SCRIPPS MAY STILL CONSIDER THE PATIENT ELIGIBLE FOR FINANCIAL ASSISTANCE BASED ON EXTENUATING CIRCUMSTANCES. ALL SUCH CASES REQUIRE SPECIFIC MANAGEMENT APPROVAL AND THE FOLLOWING ADDITIONAL INFORMATION MAY BE REQUIRED: - INDIVIDUAL OR FAMILY NET WORTH INCLUDING ASSETS, BOTH LIQUID AND NON-LIQUID; LIABILITIES; AND CLAIMS AGAINST ASSETS. - EMPLOYMENT STATUS, WHICH WILL BE CONSIDERED, BASED ON THE LIKELIHOOD THAT FUTURE EARNINGS WILL BE SUFFICIENT TO MEET THE COST OF PAYING FOR HEALTHCARE SERVICES WITHIN A REASONABLE PERIOD OF TIME. - UNUSUAL EXPENSES OR LIABILITIES. - ADDITIONAL INFORMATION AS REQUIRED FOR SPECIAL CIRCUMSTANCES OR REQUIRED BY MANAGEMENT. PATIENTS DETERMINED TO BE "HOMELESS" AND NOT PARTICIPATING IN ANOTHER FINANCIAL ASSISTANCE PROGRAM WILL BE GRANTED 100 PERCENT FINANCIAL ASSISTANCE. IF THE HOSPITAL IS UNABLE TO OBTAIN ADEQUATE INFORMATION AFTER ATTEMPTS TO ESTABLISH ABILITY TO PAY, THE PATIENT MAY BE GRANTED FINANCIAL ASSISTANCE ONLY AFTER BILLING AND/OR OTHER ATTEMPTS TO COLLECT INFORMATION HAVE BEEN MADE.
SCHEDULE H, PART V, LINE 13HREPORTING GROUP A OTHER CRITERIA TO DETERMINE FINANCIAL ASSISTANCE ELIGIBILITY IF IT IS DETERMINED THAT THE FAMILY INCOME IS ABOVE 400 PERCENT OF THE FPL, SCRIPPS MAY STILL CONSIDER THE PATIENT ELIGIBLE FOR FINANCIAL ASSISTANCE BASED ON EXTENUATING CIRCUMSTANCES SUCH AS CATASTROPHIC MEDICAL EVENTS OR OTHER SPECIAL SITUATIONS. NET WORTH INFORMATION INCLUDED ON THE PATIENT FINANCIAL ASSESSMENT STATEMENT WILL BE USED TO EVALUATE THESE SPECIAL SITUATIONS. THE PRESENCE OF AN APPLICABLE RECENT BANKRUPTCY OF THE PATIENT OR THIRD PARTY PROVIDING COVERAGE FOR THE PATIENT. ALL SUCH CASES REQUIRE SPECIFIC MANAGEMENT APPROVAL AND THE FOLLOWING ADDITIONAL INFORMATION MAY BE REQUIRED: - INDIVIDUAL OR FAMILY NET WORTH INCLUDING ASSETS, BOTH LIQUID AND NON-LIQUID; LIABILITIES; AND CLAIMS AGAINST ASSETS. - EMPLOYMENT STATUS, WHICH WILL BE CONSIDERED, BASED ON THE LIKELIHOOD THAT FUTURE EARNINGS WILL BE SUFFICIENT TO MEET THE COST OF PAYING FOR HEALTHCARE SERVICES WITHIN A REASONABLE PERIOD OF TIME. - UNUSUAL EXPENSES OR LIABILITIES. - ADDITIONAL INFORMATION AS REQUIRED FOR SPECIAL CIRCUMSTANCES OR REQUIRED BY MANAGEMENT.
SCHEDULE H, PART V, LINES 16A, 16B, & 16CREPORTING GROUP A THE FINANCIAL ASSISTANCE POLICY, APPLICATION FORM, AND PLAIN LANGUAGE SUMMARY IS WIDELY AVAILABLE ON THE SCRIPPS HEALTH WEBSITE AT: HTTPS://WWW.SCRIPPS.ORG/PATIENTS-AND-VISITORS__FINANCIAL-ASSISTANCE
SCHEDULE H, PART V, LINE 16IREPORTING GROUP A THE AVAILABILITY OF THE FINANCIAL ASSISTANCE POLICY THE FINANCIAL ASSISTANCE POLICY IS AVAILABLE UPON REQUEST. PAPER COPIES OF OUR FINANCIAL ASSISTANCE POLICY, FINANCIAL ASSISTANCE APPLICATIONS, AND A PLAIN LANGUAGE SUMMARY OF THE POLICY IS MADE AVAILABLE UPON REQUEST AND WITHOUT CHARGE AT ALL SCRIPPS PATIENT REGISTRATION AREAS AND BY MAIL. IN ADDITION, THE AVAILABILITY OF FINANCIAL ASSISTANCE IS POSTED AT ALL POINTS OF REGISTRATION AREAS (I.E. EMERGENCY DEPARTMENT, BILLING OFFICE, MAIN ADMISSION AREAS AND ANCILLARY SERVICE LOCATIONS). PLAIN LANGUAGE SUMMARIES ARE STOCKED AS A PATIENT HANDOUT IN BOTH ENGLISH AND SPANISH. FOR INPATIENTS, THE INFORMATION IS INCLUDED IN THE ESSENTIAL HANDBOOK, A COMPREHENSIVE BROCHURE COVERING MANY ASPECTS OF HOSPITALIZATION. UNFUNDED PATIENTS ARE NOT ALWAYS REFERRED TO FINANCIAL COUNSELORS. SOME SITES DO NOT USE FINANCIAL COUNSELORS, BUT THE STAFF MEMBER WHO REGISTERS THE PATIENT CAN DISCUSS FINANCIAL ASSISTANCE AND THE PLAIN LANGUAGE SUMMARY PROVIDES PATIENTS WITH CONTACT INFORMATION FOR FINANCIAL COUNSELORS. SCRIPPS MAKES EVERY REASONABLE EFFORT TO ASSIST PATIENTS IN MEETING THEIR FINANCIAL OBLIGATION TO PAY FOR HOSPITAL SERVICES, INCLUDING EMERGENCY AND OTHER MEDICALLY NECESSARY HOSPITAL CARE. SCRIPPS FINANCIAL ASSISTANCE IS DESIGNED TO SUPPORT PATIENTS WITH DEMONSTRATED FINANCIAL NEED AND IS NOT INTENDED TO SUPPLEMENT OR CIRCUMVENT THIRD-PARTY COVERAGE INCLUDING MEDICARE. COMMUNITY OUTREACH AND COMMUNICATION REGARDING SCRIPPS FINANCIAL ASSISTANCE IS ACHIEVED THROUGH THE FOLLOWING MEASURES, TO INCLUDE BUT NOT LIMITED TO; - POSTERS IN CONSPICUOUS REGISTRATION AREAS I.E. EMERGENCY DEPARTMENT, BILLING OFFICE, MAIN ADMISSION AREAS AND ANCILLARY SERVICE LOCATIONS. - PAPER COPIES OF SCRIPPS FINANCIAL ASSISTANCE POLICY, FINANCIAL ASSISTANCE APPLICATIONS, AND A SUMMARY OF THE POLICY ARE AVAILABLE UPON REQUEST AND WITHOUT CHARGE AT ALL SCRIPPS PATIENT REGISTRATION AREAS AND BY MAIL. - THE FINANCIAL ASSISTANCE POLICY, A PLAIN LANGUAGE SUMMARY, AND FINANCIAL ASSISTANCE APPLICATIONS ARE CONSPICUOUSLY POSTED ON SCRIPPS WEB SITE TO VIEW, DOWNLOAD AND PRINT FREE OF CHARGE. THE SUMMARY OF THE FINANCIAL ASSISTANCE POLICY CONTAINS THE WEB SITE ADDRESS WHERE THESE DOCUMENTS ARE POSTED. - FINANCIAL ASSISTANCE INFORMATION IS INCLUDED ON ALL PATIENT STATEMENTS. - A SUMMARY OF THE FINANCIAL ASSISTANCE POLICY IS AVAILABLE AT COMMUNITY EVENTS AND IS PROVIDED TO LOCAL AGENCIES THAT PROVIDE CONSUMER ASSISTANCE. TO THE EXTENT REQUIRED BY LAW, SCRIPPS PROVIDES A COPY OF ITS POLICY AND RELATED INFORMATION TO THE CALIFORNIA OFFICE OF STATEWIDE HEALTH PLANNING AND DEVELOPMENT. IN ADDITION, SCRIPPS POLICY IS AVAILABLE TO THE PUBLIC FOR REVIEW UPON REQUEST MADE THROUGH PATIENT FINANCIAL SERVICES CUSTOMER SERVICE. REVIEW IS FACILITATED THROUGH THE USE OF INTERPRETERS (LANGUAGE, VISION, HEARING) OR WRITTEN MATERIALS AS REQUESTED BY THE INDIVIDUAL.
FieldValueIRS element (for citing)
Facility34FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (34 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdFacilityFacilityTxt
Scripps Clinic - Torrey Pines
10666 N Torrey Pines RdLa JollaCA92037Primary care and specialty care services IN AN AMBULATORY ENVIRONMENT
Scripps Clinic - Rancho Bernardo
15004 Innovation DrSan DiegoCA92128Primary care and specialty care services IN AN AMBULATORY ENVIRONMENT
Scripps Clinic - Carmel Valley
3811 Valley Centre DrSan DiegoCA92130Primary care and specialty care services IN AN AMBULATORY ENVIRONMENT
Scripps Medical Lab
9535 Waples St 150San DiegoCA92121Laboratory services
SCMC Cedar
130 Cedar RdVistaCA92083Primary care and specialty care services IN AN AMBULATORY ENVIRONMENT
Scripps Clinic - Encinitas
310 Santa Fe DrEncinitasCA92024Primary care and specialty care services IN AN AMBULATORY ENVIRONMENT
Imaging Healthcare Specialists LLC
150 West Washington StSan DiegoCA92103Medical imaging services
Scripps Home Health Services
9619 Chespeake Dr 300San DiegoCA92123Home health services
SCMC - Carlsbad
2176 Salk AveCarlsbadCA92008Primary care and specialty care services IN AN AMBULATORY ENVIRONMENT
Scripps Clinic -La Jolla Memorial CampuS
9850 Genessee Ave Ximed Bldg 600San DiegoCA92121Primary care and specialty care services IN AN AMBULATORY ENVIRONMENT
Scripps Clinic - Mission Valley
7565 Mission Valley RdSan DiegoCA92108Primary care and specialty care services IN AN AMBULATORY ENVIRONMENT
Scripps Clinic - Rancho San Diego
10862 Calle VerdeLa MesaCA91941Primary care and specialty care services IN AN AMBULATORY ENVIRONMENT
SCMC - Hillcrest
501 Washington St 525 600San DiegoCA92103Primary care and specialty care services IN AN AMBULATORY ENVIRONMENT
Encinitas Surgery Center LLC
320 Santa Fe Dr LL1-2EncinitasCA92024Primary care and specialty care services IN AN AMBULATORY ENVIRONMENT
SCMC - Oceanside
4318 Mission AveOceansideCA92057Primary care and specialty care services IN AN AMBULATORY ENVIRONMENT
Mercy ASC
550 Washington St 1St FloorSan DiegoCA92103Primary care and specialty care services IN AN AMBULATORY ENVIRONMENT
Scripps Clinic - Del Mar
12395 El Camino Real 317 112 120Del MarCA92130Primary care and specialty care services IN AN AMBULATORY ENVIRONMENT
Scripps Cardio & Thoracic Surgery Center
9850 Genessee Ave 560La JollaCA92037Primary care and specialty care services IN AN AMBULATORY ENVIRONMENT
SCMC - Encinitas
477 N El Camino Real A208 B305EncinitasCA92024Primary care and specialty care services IN AN AMBULATORY ENVIRONMENT
SCMC - Eastlake
971 Lane AveChula VistaCA91914Primary care and specialty care services IN AN AMBULATORY ENVIRONMENT
Scripps Hospital Medical Services
4275 Campus Point CourtSan DiegoCA92121Primary care and specialty care services IN AN AMBULATORY ENVIRONMENT
Scripps CL Radiation Therapy Ctr-VISTA
916 Sycamore Ave Ste 100VistaCA92082Primary care and specialty care services IN AN AMBULATORY ENVIRONMENT
SCMC - Vista Way OBGYN
3998 Vista Way 202CVistaCA92056Primary care and specialty care services IN AN AMBULATORY ENVIRONMENT
SCMC - Encinitas OBGYN
332 Santa Fe Dr 115EncinitasCA92024Primary care and specialty care services IN AN AMBULATORY ENVIRONMENT
SCMC - Solana Beach
380 Stevens Ave 100Del MarCA92075Primary care and specialty care services IN AN AMBULATORY ENVIRONMENT
Scripps Clinic - Santee
278 Town Center Pkwy 105SanteeCA92071Primary care and specialty care services IN AN AMBULATORY ENVIRONMENT
Scripps Clinic - La Jolla OBGYN
9850 Genessee Ave 170San DiegoCA92121Primary care and specialty care services IN AN AMBULATORY ENVIRONMENT
SCMC - Escondido
488 E Valley Pkwy 411EscondidoCA92025Primary care and specialty care services IN AN AMBULATORY ENVIRONMENT
SCMC - Alvarado
6386 Alvarado Ct 130San DiegoCA92120Primary care and specialty care services IN AN AMBULATORY ENVIRONMENT
Scripps Clinic - San Diego OBGYN
2918 Fifth Ave Ste 100San DiegoCA92103Primary care and specialty care services IN AN AMBULATORY ENVIRONMENT
Scripps CL Radiation Thrpy Ctr-ENCINITAS
477 North El Camino Real Ste D100EncinitasCA92024Primary care and specialty care services IN AN AMBULATORY ENVIRONMENT
Scripps Clinic - Mercy Campus
4020 Fifth Ave 401San DiegoCA92103Primary care and specialty care services IN AN AMBULATORY ENVIRONMENT
Scripps Clinic - Coronado
1317 A Ynes PlcCoronadoCA92118Primary care and specialty care services IN AN AMBULATORY ENVIRONMENT
Scripps Clinic - Mental Health
15004 Innovation DrSan DiegoCA92128Primary care and specialty care services IN AN AMBULATORY ENVIRONMENT

Supplemental Information Detail SupplementalInformationDetail (16 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
SCHEDULE H, PART I, LINE 3CALL STANDARD EVALUATIONS FOR CHARITY ELIGIBILITY ARE DETERMINED USING FEDERAL POVERTY LEVEL (FPL). (BELOW 200% = FULL CHARITY. 201 - 400% = 70% DISCOUNT OFF CHARGES). STANDARD ELIGIBILITY EVALUATIONS ARE CONDUCTED WHEN WE HAVE FINANCIAL ASSISTANCE APPLICATIONS AND ANNUAL INCOME LEVEL VERIFICATION. IF THE PATIENT EXCEEDS THE 400% FPL, WE MAY APPLY AB774 REGULATIONS WHICH LIMITS THE AMOUNT DUE FROM THE PATIENT TO 10% OF THEIR ANNUAL GROSS INCOME, SHOULD THE PATIENT HAVE A HIGH MEDICAL COST. WHEN WE DO NOT HAVE THIS BACK-UP AND INFORMATION FROM THE PATIENT, THEN WE MAY VERIFY ELIGIBILITY THROUGH THE USE OF A CREDIT REPORT OR THROUGH AN AUTOMATED CHARITY CALCULATOR THAT USES PAYMENT HISTORY AND OUR POLICIES TO CREATE AN ALGORITHM. THIS ALGORITHM IS APPLIED TO INDIVIDUAL PATIENTS AND PRODUCES A DOES OR DOES NOT QUALIFY FOR CHARITY SCORE.
SCHEDULE H, PART I, LINE 6ASCRIPPS HEALTH COMMUNITY BENEFIT REPORT IS PREPARED FOR THE HEALTH SYSTEM AS A WHOLE AND CAN BE FOUND AT HTTPS://WWW.SCRIPPS.ORG/ABOUT-US__SCRIPPS-IN-THE-COMMUNITY
SCHEDULE H, PART I, LINE 7, COLUMN FA COST-TO-CHARGE RATIO FROM THE COST ACCOUNTING SYSTEM WAS USED TO DETERMINE THE COST OF ALL PATIENT SEGMENTS REPORTED AS CHARITY CARE AND OTHER COMMUNITY BENEFITS AT COST.
SCHEDULE H, PART I, LINE 7GSUBSIDIZED HEALTH SERVICES ARE CLINICAL PROGRAMS PROVIDED DESPITE A FINANCIAL LOSS SO SIGNIFICANT THAT NEGATIVE MARGINS REMAIN EVEN AFTER REMOVING THE EFFECTS OF CHARITY CARE, BAD DEBT AND MEDI-CAL SHORTFALLS. SCRIPPS PROVIDES SUCH SERVICES BECAUSE THEY MEET AN IDENTIFIED COMMUNITY NEED AND, IF NO LONGER OFFERED, THEY WOULD EITHER BE UNAVAILABLE IN THE AREA OR FALL TO GOVERNMENT OR ANOTHER NOT-FOR-PROFIT ORGANIZATION TO PROVIDE. SUBSIDIZED SERVICES DO NOT INCLUDE SUCH ANCILLARY SERVICES AS LAB WORK AND RADIOLOGY. IF THESE SERVICES ARE PROVIDED TO LOW-INCOME PERSONS, THEY ARE REPORTED AS CHARITY CARE/FINANCIAL ASSISTANCE. SCRIPPS' TOTAL NET COST FOR SUBSIDIZED HEALTH SERVICES FOR FY15 WAS $6,490,143. THIS INCLUDES SCRIPPS INPATIENT AND OUTPATIENT BEHAVIORAL HEALTH SERVICES AND MERCY CLINIC. MERCY CLINIC OF SCRIPPS MERCY HOSPITAL SAN DIEGO - FACILITY A-1 FOUNDED IN 1930 AND ADOPTED BY THE SISTERS OF MERCY IN 1961, MERCY CLINIC OF SCRIPPS MERCY HOSPITAL IS A PRIMARY CARE CLINIC THAT TREATS MORE THAN 1,000 PATIENTS EACH MONTH. TOTAL PATIENT VISITS FOR PRIMARY AND SUBSPECIALTY CARE AT THE CLINIC IN FY15 WERE 10,120. A FULL TIME CLINIC STAFF OF NURSES AND OTHER PERSONNEL WORK HAND-IN-HAND WITH PHYSICIANS FROM SCRIPPS MERCY HOSPITAL. AS AN INTEGRAL PART OF TREATING ITS PATIENTS, MERCY CLINIC SERVES AS A TRAINING GROUND FOR MORE THAN 50 RESIDENTS EACH YEAR FROM THE SCRIPPS MERCY HOSPITAL GRADUATE MEDICAL EDUCATION PROGRAM. ESTABLISHED WITH THE INTENT OF CARING FOR THE POOR, MERCY CLINIC HAS BECOME A CRITICAL SOURCE OF MEDICAL CARE FOR SAN DIEGO'S "WORKING AND DISABLED POOR". EACH YEAR, 90 PERCENT OF PATIENT VISITS ARE PAID THROUGH MEDI-CAL, MEDICARE OR SOME OTHER INSURANCE PLAN. THE REMAINING 10 PERCENT PAY WHAT, AND IF, THEY CAN. THOUSANDS OF PEOPLE IN THE REGION RELY ON MERCY CLINIC; MOST ARE LOW-INCOME, MEDICALLY UNDERSERVED ADULTS AND SENIORS WHO OTHERWISE WOULD HAVE NO ACCESS TO HEALTH CARE. THE TOTAL SUBSIDIZED NET COST FOR MERCY CLINIC FOR FY15 WAS $2.0 MILLION (EXCLUDES MEDI-CAL, BAD DEBT AND CHARITY CARE).
SCHEDULE H, PART I, LINE 7FINANCIAL SUPPORT REFLECTS THE COST (LABOR, SUPPLIES, OVERHEAD, ETC) ASSOCIATED WITH THE PROGRAMS/SERVICE LESS DIRECT REVENUE. THE FIGURE DOES NOT INCLUDE A CALCULATION FOR PHYSICIAN AND STAFF VOLUNTEER LABOR HOURS. IN SOME INSTANCES, AN ENTIRE COMMUNITY BENEFIT PROGRAM COST CENTER HAS BEEN DIVIDED BETWEEN SEVERAL INITIATIVES. SCRIPPS EMPLOYEES TRACK COMMUNITY BENEFIT PROGRAMS/ACTIVITIES VIA LYON SOFTWARE'S COMMUNITY BENEFIT INVENTORY FOR SOCIAL ACCOUNTABILITY (CBISA). THE CBISA WAS DEVELOPED IN COOPERATION WITH LYON SOFTWARE, THE CATHOLIC HEALTH ASSOCIATION (CHA) AND THE VETERANS HEALTH ADMINISTRATION. THE SOFTWARE SUPPLEMENTED THE ORIGINAL SOCIAL ACCOUNTABILITY BUDGET: A PROCESS FOR PLANNING AND REPORTING COMMUNITY SERVICE IN A TIME FOR FISCAL CONSTRAINT, PUBLISHED IN 1989, AND HAS BEEN REGULARLY UPGRADED AS COMMUNITY BENEFIT ACCOUNTING AND REPORTING METHODS HAVE EVOLVED AND AS COMMUNITY BENEFIT REPORTING HAS BECOME A FEDERAL REPORTING REQUIREMENT. THE CBISA DATABASE HELPS COLLECT, TRACK AND REPORT COMMUNITY BENEFIT EFFORTS AND IS ALIGNED TO THE SCHEDULE H 990 CATEGORIES AND REPORTING CRITERIA. THE DATABASE IS USED TO RECORD INFORMATION FOR EACH ACTIVITY (SERVICE OR PROGRAM) WHICH PROVIDES COMMUNITY BENEFIT. THIS DATABASE IS USED TO RECORD ACTUAL EXPENSES AND FUNDING/OFFSETTING REVENUE FOR SINGLE OR MULTIPLE OCCURRENCES OF AN "ACTIVITY". FINANCE WORKS TO RECONCILE UNCOMPENSATED CARE NUMBERS ACCORDING TO THE SCHEDULE H METHODOLOGY. FINANCIAL PLANNING EXCEL WORKSHEETS ARE USED TO RECONCILE COMMUNITY BENEFIT NUMBERS INCLUDING UNCOMPENSATED CARE NUMBERS. WHERE COST ACCOUNTING IS USED, SCRIPPS HEALTH ADDRESSES ALL PATIENT SEGMENTS FOR HOSPITAL FACILITIES. SCRIPPS UNCOMPENSATED CARE FY2015 METHODOLOGY SCRIPPS CONTINUES TO CONTRIBUTE RESOURCES TO PROVIDE LOW- AND NO-COST HEALTH CARE SERVICES TO POPULATIONS IN NEED. CALCULATIONS FOR CHARITY CARE ARE ESTIMATED BY EXTRACTING THE GROSS WRITE-OFFS OF CHARITY CARE CHARGES AND APPLYING THE HOSPITAL RATIO OF COST TO CHARGES (RCC) TO ESTIMATE THE COST OF CARE. CALCULATIONS FOR MEDI-CAL AND OTHER MEANS-TESTED GOVERNMENT PROGRAMS AND MEDICARE SHORTFALL ARE DERIVED USING THE PAYOR-BASED COST ALLOCATION METHODOLOGY. HOSPITAL FEE PROGRAM (REFLECTED IN PART I, LINE 7B & 7I) THIRTY-MONTH HOSPITAL FEE PROGRAM DURING THE YEAR ENDED SEPTEMBER 30, 2015, SCRIPPS HEALTH RECOGNIZED SUPPLEMENTAL PROVIDER FEE AMOUNTS OF $5,485,000. THIS AMOUNT WAS RECOGNIZED AS NET PATIENT REVENUE IN THE CONSOLIDATED STATEMENT OF OPERATIONS. SCRIPPS HEALTH RECOGNIZED QUALITY ASSURANCE FEES OF $8,977,000. THIS AMOUNT WAS RECORDED AS PROVIDER FEE EXPENSES IN THE CONSOLIDATED STATEMENT OF OPERATIONS. SCRIPPS HEALTH RECORDED $203,000 INCOME FOR CHARITABLE CONTRIBUTIONS TO CHFT AS AN OFFSET TO THE PROVIDER FEE EXPENSES IN THE STATEMENT OF OPERATIONS. THE NET OPERATING LOSS RECOGNIZED BY SCRIPPS HEATH FROM PROVIDER FEE WAS $3,289,000 IN FISCAL YEAR 2015. CALENDAR YEAR 2014 - CALENDAR YEAR 2016 HOSPITAL FEE PROGRAM IN SEPTEMBER 2013, SB 239 WAS APPROVED AND CREATED A THREE-YEAR HOSPITAL FEE PROGRAM EFFECTIVE JANUARY 1, 2014 THROUGH DECEMBER 31, 2016. ON DECEMBER 10, 2014, CALIFORNIA HOSPITAL ASSOCIATION (CHA) ANNOUNCED THAT CMS APPROVED THE FEE-FOR-SERVICE PAYMENTS FOR THE PERIOD JANUARY 1, 2014 TO DECEMBER 31, 2016. ON JUNE 30, 2015, CMS APPROVED THE NON-EXPANSION MANAGED CARE RATES FOR THE FIRST SIX MONTHS OF THE THIRTY-SIX MONTH HOSPITAL FEE PROGRAM. DURING THE YEAR ENDED SEPTEMBER 30, 2015, SCRIPPS HEALTH RECOGNIZED SUPPLEMENTAL PROVIDER FEE AMOUNTS OF $146,643,000. THIS AMOUNT WAS RECOGNIZED AS NET PATIENT REVENUE IN THE CONSOLIDATED STATEMENT OF OPERATIONS. SCRIPPS HEALTH RECOGNIZED QUALITY ASSURANCE FEES OF $113,491,000. THIS AMOUNT WAS RECORDED AS PROVIDER FEE EXPENSES IN THE CONSOLIDATED STATEMENT OF OPERATIONS. IN ADDITION, SCRIPPS HEALTH WAS ASSESSED AND ACCRUED CHARITABLE CONTRIBUTIONS TO CHFT OF $577,000 IN THE STATEMENT OF OPERATIONS. THE NET OPERATING INCOME RECOGNIZED BY SCRIPPS HEATH FROM PROVIDER FEE WAS $32,575,000 IN FISCAL YEAR 2015.
SCHEDULE H, PART IICOMMUNITY BUILDING ACTIVITIES PHYSICAL IMPROVEMENTS AND HOUSING - THE COSTS ASSOCIATED WITH THE FOLLOWING PROGRAMS ARE REPORTED ON SCHEDULE H, PART II, LINE 1: SCRIPPS MERCY HOSPITAL LEADERSHIP RETREAT VOLUNTEER SERVICE DAY FOUR HOURS OF VOLUNTEER SERVICE THAT ENTAILED PAINTING, CLEANING AND ENHANCING NOT-FOR-PROFIT, HOMELESS SERVICE PROVIDER AGENCY BUILDINGS. SPECIALLY, PROJECTS OF CATHOLIC CHARITIES AND ST. VINCENT DE PAUL AND JOAN KROC CENTER. SAN DIEGO REGIONAL CONTINUUM OF CARE COLLABORATIVE GOVERNANCE BOARD THE MISSION OF THE REGIONAL CONTINUUM OF CARE COUNCIL (RCCC) IS TO ENGAGE STAKEHOLDERS IN A COMMUNITY-BASED PROCESS THAT WORKS TO: 1) END HOMELESSNESS FOR ALL INDIVIDUALS AND FAMILIES THROUGHOUT THE REGION. 2) ADDRESS THE UNDERLYING CAUSES OF HOMELESSNESS. 3) LESSEN THE NEGATIVE IMPACT OF HOMELESSNESS ON INDIVIDUALS, FAMILIES AND COMMUNITIES. MEMBERS OF THE GOVERNANCE BOARD ARE BEING SELECTED BY A COMMUNITY PROCESS. BOARD SEATS ARE IDENTIFIED BY THE TYPE OF ORGANIZATION OR REPRESENTATIVE THAT IS NEEDED. SMH CHIEF EXECUTIVE WAS DESIGNATED TO PARTICIPATE REPRESENTING THE HEALTH CARE SECTOR; THE DIRECTOR OF COMMUNITY PROGRAMS DEVELOPMENT ATTENDS ON THE CHIEF EXECUTIVES BEHALF. ECONOMIC DEVELOPMENT - THE COSTS ASSOCIATED WITH THE FOLLOWING PROGRAMS ARE REPORTED ON SCHEDULE H, PART II, LINE 2: EXECUTIVE LEADERSHIP EXECUTIVE LEADERSHIP, SPONSORED BY THE OFFICE OF THE PRESIDENT, DONATES TIME ON NOT-FOR PROFIT BOARDS REPRESENTING SCRIPPS HEALTH, INCLUDING THE FOLLOWING ORGANIZATIONS AND BOARDS: SAN DIEGO REGIONAL CHAMBER OF COMMERCE (CHAMBER BOARD, CHAMBER CEO ROUNDTABLE AND POLICY COMMITTEE ASSIGNMENTS); SAN DIEGO COUNTY TAXPAYERS ASSOCIATION (SDCTA BOARD, EXECUTIVE COMMITTEE AND HEALTH COMMITTEE WORK ASSIGNMENTS); SAN DIEGO REGIONAL ECONOMIC DEVELOPMENT CORPORATION (EDC BOARD AND POLICY COMMITTEE ASSIGNMENTS); AND THE DOWNTOWN SAN DIEGO PARTNERSHIP (DSDP BOARD AND WORKING COMMITTEE ASSIGNMENTS). SPONSORED BY THE OFFICE OF THE PRESIDENT. COMMUNITY SUPPORT - THE COSTS ASSOCIATED WITH THE FOLLOWING PROGRAMS ARE REPORTED ON SCHEDULE H, PART II, LINE 3: SCRIPPS IN-LIEU OF FUNDS SCRIPPS IN-LIEU OF FUNDS ARE USED FOR UNFUNDED OR UNDERFUNDED PATIENTS AND THEIR POST-DISCHARGE NEEDS INCLUDING BOARD AND CARE, SKILLED NURSING FACILITIES, LONG-TERM ACUTE CARE AND HOME HEALTH. IN ADDITION, THE FUNDS MAY BE USED FOR MEDICATIONS, EQUIPMENT AND TRANSPORTATION SERVICES. AMERICAN HEART ASSOCIATION HEART WALK SPONSORSHIP GIVEN TO THE AMERICAN HEART ASSOCIATION, SCRIPPS ALLOCATED MORE THAN $30,000 IN OPERATIONAL FUNDS TO SUPPORT THE AMERICAN HEART ASSOCIATION'S EFFORTS TO FIGHT HEART DISEASE AND STROKE, IN ADDITION, SCRIPPS EMPLOYEE VOLUNTEERS COORDINATED WALKER PARTICIPATION AND FUNDRAISING EFFORTS. IN 2015, MORE THAN 2,280 SCRIPPS HEART WALK PARTICIPANTS - EMPLOYEES, FAMILIES, AND FRIENDS - WALKED TO HELP RAISE MORE THAN $158,000. ADDITIONALLY, SCRIPPS REACHED OUT TO THE COMMUNITY AT THE EVENT BY PROVIDING HEALTH EDUCATION MATERIALS AND MORE. SPONSORED BY SCRIPPS HEALTH COMMUNITY BENEFIT SERVICES. SAN DIEGO POLICE FOUNDATION - GOLD SHIELD GALA TO SUPPORT THE SAN DIEGO POLICE FOUNDATION TO ENSURE THAT THOSE WHO PROTECT AND SERVE HAVE WHAT THEY NEED TO DO THEIR JOBS SAFELY AND WITH EXCELLENCE. HONORARY DEPUTY SHERIFF'S ASSOCIATION - EVENING UNDER THE STARS GALA FUNDRAISING EVENT TO SUPPORT LOCAL LAW ENFORCEMENT OFFICIALS BY PROVIDING MUCH NEEDED FUNDS FOR EQUIPMENT AND TRAINING. SUSAN G. KOMEN RACE FOR THE CURE KOMEN SAN DIEGO CONTINUES TO BE THE COUNTY'S LARGEST PROVIDER OF FREE BREAST CANCER TREATMENTS, SERVICES AND SUPPORT. IT'S AN ANNUAL FUNDRAISING EVENT FOR BREAST CANCER AWARENESS AND CURE. SUSAN G. KOMEN 3 DAY WALK FOR THE CURE KOMEN SAN DIEGO CONTINUES TO BE THE COUNTY'S LARGEST PROVIDER OF FREE BREAST CANCER TREATMENTS, SERVICES AND SUPPORT. IT'S AN ANNUAL FUNDRAISING EVENT FOR BREAST CANCER AWARENESS AND CURE. DISASTER PREPAREDNESS - COMMUNITY OUTREACH AND EDUCATION HAVING THE ABILITY TO PROVIDE EMERGENCY SERVICES TO THOSE INJURED IN A LOCAL DISASTER WHILE CONTINUING TO CARE FOR HOSPITALIZED PATIENTS IS A CRITICAL COMMUNITY NEED. SCRIPPS PARTICIPATES IN SAN DIEGO COUNTY AND STATE OF CALIFORNIA ADVISORY GROUPS TO PLAN, IMPLEMENT, AND EVALUATE KEY DISASTER PREPAREDNESS RESPONSE PLANS AND FUNDING EFFORTS.IN ADDITION, SCRIPPS MAINTAINS ACTIVE READINESS FOR THE SCRIPPS HOSPITAL MEDICAL RESPONSE TEAM OR THE SCRIPPS HOSPITAL ADMINISTRATION UNIT. BOTH ARE LEAD TEAMS FOR THE STATE OF CALIFORNIA MOBILE FIELD HOSPITAL DEPLOYMENT. THESE EFFORTS ARE LED BY THE DISASTER PREPAREDNESS PROGRAM UNDER THE DIRECTION OF THE CHIEF MEDICAL OFFICER. MASS RESCUE OPERATION EXERCISE FULL SCALE EXERCISE PLANNED FOR EIGHT HOURS, SPANNING ONE HALF MILE OFF OF OCEAN BEACH AND INTO MISSION BAY. EXERCISE PLAY IS LIMITED TO THE RESCUE, TRANSPORT, AND TREATMENT OF A SIMULATED, SURVIVABLE AIRLINER CRASH. ASSESSMENT OF THE EXERCISE WILL BE A COORDINATED RESPONSE FROM FEDERAL, STATE AND LOCAL AGENCIES, ALONG WITH US COAST GUARD, SAN DIEGO FIRE LIFE GUARD SERVICES, SCRIPPS HEALTH, AND THE SAN DIEGO POLICE DEPARTMENT. SAN DIEGO HUNGER COALITION - FOOD STAMP ASSISTANCE- CITY HEIGHTS WELLNESS CENTER - COMMUNITY SUPPORT THE CITY HEIGHTS WELLNESS CENTER (CHWC) HOSTS ELIGIBILITY WORKERS FROM THE SAN DIEGO HUNGER COALITION WHO ARE AVAILABLE TO COUNSEL PEOPLE AND HELP FILL OUT APPLICATIONS FOR FOOD STAMP ASSISTANCE. CHWC NOT ONLY PROVIDES THE NEEDED SPACE FOR THIS ACTIVITY, BUT ALSO ACTIVELY PARTICIPATES BY DEVELOPING OUTREACH FLYERS, SCHEDULING COMMUNITY RESIDENTS, AND OVERALL COORDINATION FOR THE CLASS. LATINOS Y LATINAS EN ACCION LATINOS Y LATINAS EN ACCION IS A GRASSROOTS LEADERSHIP DEVELOPMENT PROJECT THAT SEEKS TO INCREASE THE CAPACITY OF THE LATINO COMMUNITY OF MID-CITY TO ADVOCATE FOR ISSUES IMPORTANT TO THEM. MID-CITY CAN-SAY SAN DIEGO - CITY HEIGHTS WELLNESS CENTER - COMMUNITY SUPPORT CITY HEIGHTS WELLNESS CENTER HOSTS AND PARTICIPATES IN MONTHLY NETWORKING MEETINGS FOR MID-CITY CAN (COMMUNITY ADVOCACY NETWORK). THESE MEETINGS PROVIDE AN OPPORTUNITY FOR COMMUNITY RESIDENTS AND REPRESENTATIVES FROM PRIVATE AND PUBLIC ORGANIZATIONS, FAITH COMMUNITIES, SCHOOLS, AND BUSINESSES TO COME TOGETHER FOR ACTION ON AREAS OF COMMON INTEREST. IN ASSOCIATION WITH THESE MEETINGS, SELF-DIRECTED MOMENTUM TEAMS HAVE BEEN DEVELOPED TO PROVIDE DIRECTION AND LEADERSHIP AS NEEDS AND ISSUES ARISE WITHIN THE COMMUNITY. SAN DIEGO COMMUNITY ACTION NETWORK (SANDI-CAN) THE CITY HEIGHTS WELLNESS CENTER HOSTS MONTHLY MEETINGS FOR SANDI-CAN, A COMMUNITY PARTNERSHIP OF 200 CONSUMERS, VOLUNTEERS, CAREGIVERS, AND SERVICE PROVIDERS DEDICATED TO WORKING TOGETHER ON PROJECTS THAT ENHANCE THE LIVES OF OLDER ADULTS AND ADULTS WITH DISABILITIES LIVING IN THE CITY OF SAN DIEGO. SANDI-CAN OFFERS HEALTH, WELLNESS AND COMMUNITY OPTIONS FOR SENIORS AND THEIR FAMILIES AND CAREGIVERS. LEADERSHIP DEVELOPMENT AND TRAINING FOR COMMUNITY MEMBERS - THE COSTS ASSOCIATED WITH THE FOLLOWING PROGRAMS ARE REPORTED ON SCHEDULE H, PART II, LINE 5. CITY HEIGHTS EAST AFRICAN ALLIANCE (CHEA) - HEALTH ADVOCACY PROJECT THE CITY HEIGHTS WELLNESS CENTER HEALTH ADVOCACY PROJECT IS SUPPORTED BY A GRANT FROM THE CALIFORNIA ENDOWMENT FOUNDATION AND IS DESIGNED TO STRENGTHEN THE CAPACITY TO DELIVER CULTURALLY AND RELIGIOUSLY COMPETENT HEALTH PROMOTION SERVICES TO SOMALI AND EAST AFRICAN WOMEN AND THEIR FAMILIES. THIS PROGRAM ADDRESSES UNMET NEEDS LIKE PRENATAL OUTREACH AND EDUCATION, CULTURALLY ADAPTED NUTRITION AND FITNESS EDUCATION, BREASTFEEDING EDUCATION, EARLY CHILDHOOD HEALTH, AND NUTRITION AND SAFETY CLASSES. THE PROJECT IS SPONSORED BY SCRIPPS MERCY HOSPITAL SAN DIEGO COMMUNITY BENEFIT SERVICES. LEAD SAN DIEGO VISIONARY AWARDS THE LEAD VISIONARY AWARDS IS AN ANNUAL FUNDRAISING DINNER THAT HIGHLIGHTS THE PEOPLE WHO HAVE HELPED SHAPE THE SAN DIEGO REGION. IT ATTRACTS 1000 PEOPLE TO THIS AWARDS BANQUET. THIS IS A GROUP OF VISIONARIES WHO HAVE HELPED SHAPE SAN DIEGO OVER THE DECADES. COALITION BUILDING - THE COSTS ASSOCIATED WITH THE FOLLOWING PROGRAMS ARE REPORTED ON SCHEDULE H, PART II, LINE 6. CASTLE PARK ELEMENTARY WELLNESS COMMITTEE MEETING CASTLE PARK ELEMENTARY WELLNESS COMMITTEE PLANS AND FACILITATES WELLNESS VENTS, SCHOOL READINESS PRESENTATIONS, HEALTH RELATED CLASSES, AND ACTIVITIES FOR PARENTS, SCHOOL STAFF, AND STUDENTS TO INCREASE HEALTH AWARENESS AND HEALTHY LIFESTYLES IN CASTLE PARK AREA. SPONSORED BY SCRIPPS CHULA VISTA WELL-BEING CENTER. CHULA VISTA COMMUNITY COLLABORATIVE - SCRIPPS MERCY HOSPITAL CHULA VISTA - COALITION - A COALITION OF AGENCIES THAT COME TOGETHER TO SHARE PROGRESS, SERVICES, AND NETWORK. THE CHULA VISTA COMMUNITY COLLABORATIVE (CVCC) DRAWS TOGETHER ALL SECTORS OF THE LOCAL COMMUNITY TO DEVELOP COORDINATED STRATEGIES AND SYSTEMS THAT PROTECT THE HEALTH AND SAFETY OF RESIDENTS, DEVELOP ECONOMIC RESOURCES, PROMOTE LOCAL LEADERSHIP, ENHANCE THE ENVIRONMENT, AND CONTRIBUTE TO THE CELEBRATION OF AND RESPECT FOR CULTURAL DIVERSITY. THE CVCC CURRENTLY HAS OVER 150 MEMBER ORGANIZATIONS AND OVER 600 MEMBERS. CVCC
SCHEDULE H, PART III, LINE 2METHODOLOGY FOR CALCULATING BAD DEBT UNCOMPENSATED COST IS ESTIMATED BY APPLYING RATIO-COST-TO-CHARGE (RCC) PERCENTAGES FOR THE HOSPITAL TO THE GROSS BAD-DEBT ADJUSTMENTS, LESS RECOVERIES. THE FOLLOWING COSTS ARE EXCLUDED: BAD DEBT ADJUSTMENTS AT COST FOR MEDI-CAL AND CMS PATIENTS, COMMUNITY HEALTH SERVICES, PROFESSIONAL EDUCATION AND RESEARCH, AND EXPENSES EXCLUDED IN THE MEDICARE COST REPORT. THE AMOUNT ON PART III, LINE 2 REPRESENTS PATIENT CARE CHARGES WRITTEN OFF TO BAD DEBT WHERE THE PATIENT HAD THE ABILITY TO PAY. WHERE A PATIENT QUALIFIED FOR PARTIAL OR FULL CHARITY CARE, THE UNPAID AMOUNT IS NOT CONSIDERED BAD DEBT. WE BELIEVE THAT BAD DEBT PERTAINING TO PATIENT CARE CHARGES SHOULD BE INCLUDED AS A COMMUNITY BENEFIT BECAUSE THESE PATIENTS RECEIVE TREATMENT REGARDLESS OF WHETHER WE COLLECT PAYMENT FOR THE SERVICES PERFORMED.
SCHEDULE H, PART III, LINE 4FOOTNOTE FOR BAD DEBT EXPENSE THE ORGANIZATION ADOPTED THE ACCOUNTING STANDARD ADDRESSING THE PRESENTATION OF THE PROVISION FOR BAD DEBTS AS OF THE CURRENT REPORTING PERIOD AND AS SUCH, NET PATIENT SERVICE REVENUES ARE REPORTED NET OF THE PROVISION FOR BAD DEBTS ON THE STATEMENTS OF OPERATIONS. THE ORGANIZATION RECORDS ITS PROVISION FOR DOUBTFUL ACCOUNTS BASED UPON HISTORICAL EXPERIENCE, AS WELL AS COLLECTION TRENDS FOR MAJOR PAYOR TYPES.
SCHEDULE H, PART III, LINE 8MEDICARE AND MEDICARE HMO: HOSPITALS MEDICARE ALLOWABLE COSTS ARE DETERMINED USING A COST TO CHARGE RATIO. THE FOLLOWING COSTS ARE EXCLUDED: CHARITY AND BAD DEBT ADJUSTMENTS AT COST FOR MEDICARE AND MEDICARE SENIOR PATIENTS, COMMUNITY HEALTH SERVICES, PROFESSIONAL EDUCATION AND RESEARCH, SUBSIDIZED HEALTH SERVICES PROVIDED TO MEDICARE PATIENTS AND EXPENSES EXCLUDED IN THE MEDICARE COST REPORT. AS A NOT-FOR-PROFIT, COMMUNITY BENEFIT 501(C)(3) ORGANIZATION, SCRIPPS HEALTH'S PURPOSE IS TO MEET THE MEDICAL NEEDS OF THE COMMUNITIES SERVED. MEDICARE COVERS A SIGNIFICANT PROPORTION OF THE SAN DIEGO COMMUNITY PATIENT POPULATION, INPATIENT AND OUTPATIENT. THE LEVEL OF QUALITY AND ACCESS TO CARE IS THE SAME, REGARDLESS OF PAYER. HOSPITALS DO NOT DETERMINE THE LEVEL OF PAYMENT FOR MEDICARE; RATHER, IT IS SUBJECT TO GOVERNMENT REIMBURSEMENT POLICY. THERE IS A WELL-DOCUMENTED MEDICARE REIMBURSEMENT SHORTFALL OF PAYMENT FOR CARE NOT MEETING THE COST OF DELIVERING CARE. THAT SHORTFALL IS AN UNREIMBURSED AMOUNT THAT MUST BE ACCOUNTED FOR IN THE HOSPITAL'S FINANCIAL STATEMENTS. IT IS REAL AND SUBSTANTIAL. IT SHOULD BE ACCEPTED AS A SHORTFALL IN IRS REPORTING STANDARDS. SCRIPPS MUST ACCEPT THE PATIENTS REGARDLESS OF REIMBURSEMENT RATES FROM MEDICARE AND IF PATIENTS ARE NOT CARED FOR BY SCRIPPS IT IS LIKELY THAT ANOTHER COMMUNITY OR GOVERNMENT AGENCY WOULD HAVE TO COVER THE CARE OF THE PATIENT.
SCHEDULE H, PART III, LINE 9BCOLLECTION POLICY ALL PATIENT FINANCIAL RESOURCES ARE EXPLORED PRIOR TO USING A COLLECTION AGENCY OR OTHER MEANS TO COLLECT ON ACCOUNTS. THE ORGANIZATION ALSO SCREENS PATIENTS WHO CANNOT AFFORD TO PAY CO-INSURANCE AND DEDUCTIBLES TO SEE WHETHER THEY QUALIFY FOR FINANCIAL ASSISTANCE OR CHARITY CARE PROGRAM. IF THE PATIENT DOES NOT QUALIFY, OR IF THERE IS A LACK OF INFORMATION AVAILABLE TO MAKE A DETERMINATION AND NO CONTACT IS ESTABLISHED WITH THE PATIENT, THEN THE ORGANIZATION MAY USE A COLLECTION AGENCY OR INTERNAL STAFF TO COLLECT THE ACCOUNT. WHEN A COLLECTION AGENCY OR THE ORGANIZATION STAFF DETERMINES THAT A PATIENT CANNOT PAY ON THE ACCOUNT, THE ORGANIZATION WRITES THE ACCOUNT OFF AS CHARITY. SHOULD A PATIENT MAKE A PAYMENT ON AN ACCOUNT THAT HAS BEEN WRITTEN OFF TO BAD-DEBT EXPENSE, BAD-DEBT EXPENSE IS REDUCED TO THE EXTENT OF THE PAYMENT.
SCHEDULE H, PART VI, LINE 2NEEDS ASSESSMENT COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) ORIGINATED FROM CALIFORNIA STATEWIDE LEGISLATION IN THE EARLY 1990S. SB 697 TOOK EFFECT IN 1995, WHICH REQUIRED PRIVATE NON-PROFIT HOSPITALS TO SUBMIT DETAILED INFORMATION TO THE OFFICE OF STATEWIDE HEALTH PLANNING AND DEVELOPMENT (OSHPD) ON THEIR COMMUNITY BENEFIT CONTRIBUTIONS. ANNUAL HOSPITAL COMMUNITY BENEFIT REPORTS ARE SUMMARIZED BY OSHPD IN A REPORT TO THE LEGISLATURE, WHICH PROVIDES VALUABLE INFORMATION FOR GOVERNMENT OFFICIALS TO ASSESS THE CARE AND SERVICES PROVIDED TO THEIR CONSTITUENTS. AS PART OF THE COMMUNITY BENEFIT REPORTS FILED, NON-PROFIT HOSPITALS ARE REQUIRED TO CONDUCT A CHNA EVERY THREE YEARS. THIS COMPREHENSIVE ACCOUNT OF HEALTH NEEDS IN THE COMMUNITY IS DESIGNED FOR HOSPITALS TO PLAN THEIR COMMUNITY BENEFIT PROGRAMS TOGETHER WITH OTHER LOCAL HEALTH CARE INSTITUTIONS, COMMUNITY BASED ORGANIZATIONS, AND CONSUMER GROUPS. IN SAN DIEGO COUNTY, THE LONG HISTORY OF COLLABORATION AMONG HOSPITALS, HEALTHCARE SYSTEMS AND COMMUNITY PARTNERS HAS RESULTED IN SUCCESSFUL PARTNERSHIP ON PAST CHNAS. WHILE PUBLIC INSTITUTIONS AND DISTRICT HOSPITALS DO NOT HAVE TO REPORT UNDER SB 697, THESE INSTITUTIONS HAVE BECOME AN INTEGRAL PART OF THE CHNA IN SAN DIEGO COUNTY. INFORMATION IS GATHERED THROUGH THE CHNA FOR THE PURPOSES OF REPORTING COMMUNITY BENEFIT, DEVELOPING STRATEGIC PLANS, CREATING ANNUAL REPORTS, PROVIDING INPUT ON LEGISLATIVE DECISIONS, AND INFORMING THE GENERAL COMMUNITY OF HEALTH ISSUES AND TRENDS. SCRIPPS STRIVES TO IMPROVE COMMUNITY HEALTH THROUGH COLLABORATION. WORKING WITH OTHER HEALTH SYSTEMS, COMMUNITY GROUPS, GOVERNMENT AGENCIES, BUSINESSES AND GRASSROOTS MOVEMENTS, SCRIPPS IS BETTER ABLE TO BUILD UPON EXISTING ASSETS TO ACHIEVE BROAD COMMUNITY HEALTH GOALS. GROUNDED IN A LONGSTANDING COMMITMENT TO ADDRESS COMMUNITY HEALTH NEEDS IN SAN DIEGO, SEVEN HOSPITALS AND HEALTHCARE SYSTEMS CAME TOGETHER UNDER THE AUSPICES OF THE HOSPITAL ASSOCIATION OF SAN DIEGO AND IMPERIAL COUNTIES (HASD&IC) TO CONDUCT A TRIENNIAL COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) THAT IDENTIFIES AND PRIORITIZES THE MOST CRITICAL HEALTH-RELATED NEEDS OF SAN DIEGO COUNTY RESIDENTS. PARTICIPATING HOSPITALS WILL USE THE FINDINGS TO GUIDE THEIR COMMUNITY PROGRAMS AND TO MEET IRS REGULATORY REQUIREMENTS THAT NOT FOR PROFIT (TAX EXEMPT)HOSPITALS CONDUCT A HEALTH NEEDS ASSESSMENT IN THE COMMUNITY ONCE EVERY THREE YEARS. PER GUIDANCE FROM AN ADVISORY GROUP OF HOSPITAL REPRESENTATIVES, HASD&IC CONTRACTED WITH THE INSTITUTE OF PUBLIC HEALTH (IPH) AT SAN DIEGO STATE UNIVERSITY TO DESIGN AND IMPLEMENT THE CHNA. THE IPH EMPLOYED A RIGOROUS METHODOLOGY USING BOTH COMMUNITY INPUT (PRIMARY DATA SOURCES) AND QUANTITATIVE ANALYSIS (SECONDARY DATA SOURCES) TO IDENTIFY AND PRIORITIZE THE TOP HEALTH CONDITIONS IN SAN DIEGO COUNTY. SAN DIEGO COUNTY IS A SOCIALLY AND ETHNICALLY DIVERSE COMMUNITY WITH A POPULATION OF 3.2 MILLION PEOPLE. ALTHOUGH THE STUDY AREA FOR THIS CHNA IS THE ENTIRE COUNTY, EACH HOSPITAL HAS THE ABILITY TO USE THE COUNTY-WIDE FINDINGS OR ADAPT THE FINDINGS TO REFLECT THE COMMUNITIES THEY SERVE, AS MUCH OF THE DATA IS AVAILABLE AT ZIP CODE LEVEL. IN ORDER TO PRIORITIZE THE COMMUNITY HEALTH NEEDS, THE IPH DEVELOPED A METHODOLOGY THAT INCLUDED BOTH QUALITATIVE AND QUANTITATIVE DATA SOURCES. QUANTITATIVE DATA INCLUDED HOSPITAL DISCHARGE DATA, STATISTICS FROM THE SAN DIEGO COUNTY HEALTH AND HUMAN SERVICES AGENCY, THE US CENSUS BUREAU, THE CENTERS FOR DISEASE CONTROL, AND OTHERS. THE IPH ALSO SOUGHT DIRECT INPUT FROM THE COMMUNITY THROUGH AN ELECTRONIC SURVEY TO HEALTH EXPERTS AND COMMUNITY LEADERS, KEY INFORMANT INTERVIEWS, AND COMMUNITY FORUMS. RECOGNIZING THAT HEALTH NEEDS DIFFER ACROSS THE REGION AND THAT SOCIOECONOMIC FACTORS IMPACT HEALTH OUTCOMES, THE IPH USED THE DIGNITY HEALTH COMMUNITY NEED INDEX (CNI) TO IDENTIFY COMMUNITIES WITH THE HIGHEST LEVEL OF HEALTH DISPARITIES AND NEEDS. THESE HIGH NEED REGIONS WERE SELECTED AS LOCATIONS FOR THE COMMUNITY FORUMS. SAN DIEGO COUNTY COMMUNITY HEALTH NEEDS: WHEN THE IPH COMBINED THE RESULTS OF ALL THE DATA AND INFORMATION GATHERED, FOUR CONDITIONS EMERGED CLEARLY AS THE TOP COMMUNITY HEALTH NEEDS IN SAN DIEGO COUNTY (IN ALPHABETICAL ORDER): - CARDIOVASCULAR DISEASE - DIABETES (TYPE 2) - MENTAL/BEHAVIORAL HEALTH - OBESITY THE IPH THEN ASSIMILATED ALL THE COMMUNITY INPUT (SURVEY RESPONDENTS, KEY INTERVIEWEES, COMMUNITY FORUM PARTICIPANTS) INTO FIVE BROAD CATEGORIES OF RECOMMENDATIONS FOR HOSPITALS TO IMPROVE COMMUNITY HEALTH: - ACCESS TO CARE OR INSURANCE - CARE MANAGEMENT - EDUCATION SCREENING SERVICES - COLLABORATION THE INFORMATION ABOVE PROVIDES A HIGH-LEVEL SUMMARY OF THE HASD & IC 2013 CHNA METHODOLOGY AND FINDINGS. UPON COMPLETION OF THE HASD&IC 2013 CHNA PROCESS, THE IPH CREATED A CHNA TOOLKIT WITH IN-DEPTH INFORMATION AND DATA THAT PARTICIPATING HOSPITALS AND HEALTHCARE SYSTEMS COULD USE TO EVALUATE THE HEALTH NEEDS OF THEIR PATIENTS AND DETERMINE, ADAPT, OR CREATE PROGRAMS AT THEIR FACILITIES. LINKS THROUGHOUT THIS DOCUMENT ALLOW INTERESTED PARTIES, INCLUDING PARTICIPATING HOSPITALS AND HEALTHCARE SYSTEMS AND MEMBERS OF THE COMMUNITY, A MECHANISM TO ACCESS THE FULL SPECTRUM OF INFORMATION RELATIVE TO THE DEVELOPMENT OF THE HASD&IC 2013 CHNA. THE HOSPITAL ASSOCIATION OF SAN DIEGO AND IMPERIAL COUNTIES 2013 COMMUNITY HEALTH NEEDS ASSESSMENT (HASD&IC 2013 CHNA) USED A MULTI-LEVEL, HOSPITAL-FOCUSED ANALYSIS TO IDENTIFY THE PRIORITY COMMUNITY HEALTH NEEDS IN SAN DIEGO COUNTY. AS PART OF THEIR ONGOING EFFORTS TO CREATE STRONGER PARTNERSHIPS WITHIN SAN DIEGO COMMUNITIES, THE PARTICIPATING HOSPITALS DESIGNED A COLLABORATIVE FOLLOW-UP PROCESS (PHASE II) TO REVIEW METHODOLOGY AND GAIN A DEEPER UNDERSTANDING OF THE 2013 CHNA RESULTS. THE GOAL OF PHASE II WAS TO ENSURE THE RESULTS OF THE 2013 CHNA ACCURATELY REFLECTED THE HEALTH NEEDS OF THE COMMUNITY. THE INSTITUTE FOR PUBLIC HEALTH (IPH) AT SAN DIEGO STATE UNIVERSITY (SDSU) WAS CONTRACTED TO PROVIDE ASSISTANCE WITH THE IMPLEMENTATION AND INTERPRETATION OF PHASE II THROUGH TWO MAIN ACTIVITIES: 1. CONDUCT COMMUNITY DIALOGUES TO SHARE THE RESULTS OF THE 2013 CHNA WITH THE COMMUNITY AND COLLECT COMMUNITY MEMBER FEEDBACK ON HOSPITAL PROGRAMS THAT WERE GUIDED AND INFORMED BY THE RESULTS OF THE 2013 CHNA. 2. CREATE AND ANALYZE AN ELECTRONIC SURVEY FOR COMMUNITY LEADERS AND HEALTH EXPERTS TO REVIEW THE METHODOLOGY AND FINDINGS FROM THE 2013 CHNA. OVERALL THERE WAS POSITIVE FEEDBACK FROM ALL COMMUNITY DIALOGUES AND A HIGH DEGREE OF INTEREST IN PARTICIPATING IN HOSPITAL PROGRAMS. HOWEVER, THE MAJORITY OF PARTICIPANTS HAD NOT HEARD OF THE HOSPITAL PROGRAMS THAT WERE DESCRIBED. OTHER BARRIERS TO PARTICIPATION MOST OFTEN CITED DURING THE COMMUNITY DIALOGUES WERE LOCATION, LANGUAGE, TRANSPORTATION AND FEAR OF DOCUMENTATION REQUIREMENTS. BASED ON FEEDBACK FROM THE HEALTH EXPERT AND LEADER SURVEY, IT APPEARS THAT THE RESULTS OF THE 2013 CHNA ACCURATELY REFLECTED THE HEALTH NEEDS OF SAN DIEGO COUNTY AND PROVIDED USEFUL INFORMATION TO HELP RESPONDENTS DEVELOP PROGRAMMING IN THEIR ORGANIZATIONS. HOWEVER, RESPONDENTS IDENTIFIED SEVERAL AREAS THAT COULD BE IMPROVED IN FUTURE CHNAS, SUCH AS INCLUDING A LARGER SAMPLE SIZE, BROADENING THE NUMBER OF HEALTH NEEDS ADDRESSED, INCREASING DIVERSITY IN THE SAMPLE IN TERMS OF AGE, ETHNICITY, AND GEOGRAPHIC LOCATION, AND INCLUDING MORE SECTORS OF THE COMMUNITY. THE MAJORITY OF RESPONDENTS AGREED THAT A MORE FOCUSED EXAMINATION OF THE PRIORITY COMMUNITY HEALTH NEEDS IDENTIFIED IN THE 2013 CHNA WOULD BE BENEFICIAL IN FUTURE CHNAS.
SCHEDULE H, PART VI, LINE 3PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE DESCRIBE HOW THE ORGANIZATION INFORMS AND EDUCATES PATIENTS AND PERSONS WHO MAY BE BILLED FOR PATIENT CARE ABOUT THEIR ELIGIBILITY FOR ASSISTANCE UNDER FEDERAL, STATE OR LOCAL GOVERNMENT PROGRAMS OR UNDER THE ORGANIZATION'S FINANCIAL ASSISTANCE POLICY. HOSPITAL CARE CAN BE EXPENSIVE AND IS OFTEN UNEXPECTED. TO HELP MEET THE NEEDS OF LOW-INCOME UNINSURED AND UNDERINSURED PATIENTS WHO USE SCRIPPS HOSPITALS, SCRIPPS HAS A PATIENT FINANCIAL ASSISTANCE POLICY CONSISTENT WITH CALIFORNIA AB774 "FAIR PRICING POLICY" LEGISLATION, CHAPTERED IN 2006. FOLLOWING PRINCIPLES AND GUIDELINES SET BY THE AMERICAN HOSPITAL ASSOCIATION AND THE CALIFORNIA HOSPITAL ASSOCIATION, THE POLICY ESTABLISHES STANDARDS FOR CHARITY CARE, BILLING AND DEBT COLLECTION PRACTICES AND LOW-INCOME PATIENT ASSISTANCE THROUGH DISCOUNTED HOSPITAL CHARGES. SCRIPPS ACTIVELY SCREENS, MONITORS AND IDENTIFIES PATIENT ACCOUNTS THAT MAY BENEFIT FROM FINANCIAL ASSISTANCE, PROVIDES COUNSELING, INFORMATION AND LANGUAGE INTERPRETATION AND MAKES EVERY REASONABLE EFFORT TO ASSIST PATIENTS IN MEETING FINANCIAL OBLIGATIONS. WHEN NECESSARY, SCRIPPS ALSO HELPS PATIENTS UNDERSTAND AND PARTICIPATE IN FINANCIAL ASSISTANCE OPTIONS. THIS INCLUDES BILLING STATEMENTS THAT ALERT PATIENTS TO THE AVAILABILITY OF ASSISTANCE AS WELL AS LIMITS ON ACCOUNT COLLECTION ACTIVITIES. (SCRIPPS DOES NOT, FOR EXAMPLE, APPLY WAGE GARNISHMENT OR LIENS ON PRIMARY RESIDENCES AS A MEANS OF COLLECTING UNPAID HOSPITAL BILLS.) ELIGIBILITY FOR FINANCIAL ASSISTANCE IS BASED ON AN EVALUATION OF INCOME AND EXPENSE INFORMATION. FOR LOW-INCOME, UNINSURED PATIENTS EARNING LESS THAN 200 PERCENT OF THE FEDERAL POVERTY GUIDELINES (FPG), SCRIPPS FULLY FORGIVES THE ENTIRE BILL. FOR INDIVIDUALS WHO EARN BETWEEN 201-400 PERCENT OF THE FPG, FINANCIAL ASSISTANCE IS BASED ON A SCHEDULE WITH SHARE-OF-COST DISCOUNTS. SCRIPPS POSTS A SUMMARY OF ITS CHARITY CARE POLICY ON THE SCRIPPS WEB SITE AND FINANCIAL ASSISTANCE CONTACT INFORMATION IN ADMISSIONS AREAS, EMERGENCY ROOMS, AND OTHER AREAS OF THE ORGANIZATION'S FACILITIES WHERE ELIGIBLE PATIENTS ARE LIKELY TO BE PRESENT. THE FINANCIAL ASSISTANCE POLICY SETS FORTH SCRIPPS POLICIES REGARDING DISCOUNT PAYMENTS AND 100 PERCENT FINANCIAL ASSISTANCE FOR QUALIFIED PATIENTS AND IS IN WRITTEN FORM TO DIRECT AND GUIDE STAFF, AND EFFECTIVELY COMMUNICATE HOW OUR COMMITMENT WILL BE APPLIED CONSISTENTLY TO ALL PATIENTS. THE POLICY INITIALLY ESTABLISHED IN 2001 WAS REVISED TO BE CONSISTENT WITH STATE AND FEDERAL LEGISLATION. THE PRACTICES ESTABLISHED IN THE POLICY REFLECT SCRIPPS' CONTINUING COMMITMENT TO ASSISTING LOW-INCOME UNINSURED PATIENTS WITH DISCOUNTED HOSPITAL CHARGES, CHARITY CARE, BILLING AND DEBT COLLECTION PRACTICES. POLICY HIGHLIGHTS INCLUDE: - SCRIPPS HEALTH WILL RESPECT THE DIGNITY OF EACH PATIENT, ACT ETHICALLY IN ALL PATIENT FINANCIAL MATTERS AND COMMUNICATE EFFECTIVELY TO ASSIST PATIENTS IN RESOLVING THEIR FINANCIAL OBLIGATIONS. EVERY REASONABLE EFFORT IS MADE TO ASSIST PATIENTS IN MEETING THEIR FINANCIAL OBLIGATION TO PAY FOR HOSPITAL SERVICES. SCRIPPS FINANCIAL ASSISTANCE IS DESIGNED TO SUPPORT PATIENTS WITH DEMONSTRATED FINANCIAL NEED AND IS NOT INTENDED TO SUPPLEMENT OR CIRCUMVENT THIRD PARTY COVERAGE INCLUDING MEDICARE. - COMMUNITY OUTREACH AND COMMUNICATION REGARDING SCRIPPS FINANCIAL ASSISTANCE IS ACHIEVED THROUGH THE FOLLOWING MEASURES, TO INCLUDE BUT NOT LIMITED TO: 1. POSTERS IN CONSPICUOUS REGISTRATION AREAS (I.E. EMERGENCY DEPARTMENT, BILLING OFFICE, MAIN ADMISSION AREAS AND ANCILLARY SERVICE LOCATIONS). 2. PAPER COPIES OF OUR FINANCIAL ASSISTANCE POLICY, FINANCIAL ASSISTANCE APPLICATIONS, AND A PLAIN LANGUAGE SUMMARY OF THE POLICY ARE MADE AVAILABLE UPON REQUEST AND WITHOUT CHARGE AT ALL SCRIPPS PATIENT REGISTRATION AREAS AND BY MAIL. 3. THE FINANCIAL ASSISTANCE POLICY, A PLAIN LANGUAGE SUMMARY, AND FINANCIAL ASSISTANCE APPLICATIONS ARE CONSPICUOUSLY POSTED ON SCRIPPS WEBSITE TO VIEW, DOWNLOAD AND PRINT FREE OF CHARGE. THE SUMMARY OF THE FINANCIAL ASSISTANCE POLICY WILL CONTAIN THE WEBSITE ADDRESS WHERE THESE DOCUMENTS ARE POSTED. 4. FINANCIAL ASSISTANCE INFORMATION IS INCLUDED ON ALL PATIENT STATEMENTS. 5. A SUMMARY OF THE FINANCIAL ASSISTANCE POLICY WILL BE AVAILABLE AT COMMUNITY EVENTS AND WILL BE PROVIDED TO LOCAL AGENCIES THAT PROVIDE CONSUMER ASSISTANCE. - TO THE EXTENT REQUIRED BY LAW, SCRIPPS WILL PROVIDE A COPY OF THE POLICY AND RELATED INFORMATION TO THE OFFICE OF STATEWIDE HEALTH PLANNING AND DEVELOPMENT. IN ADDITION, SCRIPPS' POLICY WILL BE AVAILABLE TO INDIVIDUALS OF THE PUBLIC FOR REVIEW UPON REQUEST MADE THROUGH PATIENT FINANCIAL SERVICES CUSTOMER SERVICE. REVIEW WILL BE FACILITATED THROUGH THE USE OF INTERPRETERS (LANGUAGE, VISION, AND HEARING) OR WRITTEN MATERIALS AS REQUESTED BY THE INDIVIDUAL. - SELF-PAY PATIENTS ARE PROVIDED WITH COUNSELING AND WRITTEN INFORMATION REGARDING FINANCIAL ASSISTANCE. THE PATIENT FINANCIAL ASSESSMENT STATEMENT IS AVAILABLE AND WILL BE PROVIDED TO PATIENTS WHO EXPRESS AN INTEREST IN, OR WHO HAVE BEEN IDENTIFIED AS, NEEDING FINANCIAL ASSISTANCE WHEN POSSIBLE. WRITTEN MATERIALS WILL BE AVAILABLE IN ENGLISH AND SPANISH. LANGUAGE INTERPRETIVE SERVICES ARE PROVIDED WHENEVER NECESSARY TO FACILITATE THE PATIENT'S UNDERSTANDING AND PARTICIPATION IN OPTIONS FOR FINANCIAL ASSISTANCE. - PATIENT ACCOUNTS THAT MAY BENEFIT FROM FINANCIAL ASSISTANCE ARE ACTIVELY SCREENED, MONITORED AND IDENTIFIED AS SOON AS POSSIBLE. PATIENTS ARE SCREENED FOR THE ABILITY TO PAY AND/OR TO DETERMINE ELIGIBILITY FOR PAYMENT PROGRAMS INCLUDING THOSE OFFERED DIRECTLY THROUGH SCRIPPS HEALTH. OUR PERSONNEL WILL MAKE ALL REASONABLE EFFORTS TO OBTAIN INFORMATION FROM PATIENTS ABOUT WHETHER PRIVATE OR PUBLIC HEALTH INSURANCE MAY FULLY OR PARTIALLY COVER THE CHARGES FOR CARE. SCRIPPS WILL PROVIDE ASSISTANCE IN ASSESSING THE PATIENT'S ELIGIBILITY FOR MEDI-CAL, COUNTY MEDICAL SERVICES (CMS) OR ANY OTHER-THIRD PARTY COVERAGE AS PART OF THE APPLICATION PROCESS FOR FINANCIAL ASSISTANCE. EVALUATION FOR FINANCIAL ASSISTANCE ELIGIBILITY IS BASED ON THE EVALUATION OF INCOME AND EXPENSE INFORMATION PROVIDED BY THE PATIENT. - SCRIPPS HEALTH WILL WORK TO ASSIST ANY PATIENT UNABLE TO PAY FOR SERVICES, WHO COOPERATIVELY PROVIDES INFORMATION ABOUT HIS/HER ABILITY TO PAY. FAILURE BY THE PATIENT TO COOPERATE MAY RESULT IN THE INABILITY OF THE HOSPITAL TO PROVIDE FINANCIAL ASSISTANCE DETERMINATION. - FINANCIAL ASSISTANCE APPLIES TO INDIVIDUALS WHOSE FAMILY INCOME LEVEL IS 400 PERCENT OF THE FEDERAL POVERTY GUIDELINES OR BELOW. DETERMINATION IS MADE ON AN ALL OR PARTIAL BASIS USING THE APPROVED DISCOUNT SCHEDULE. IF THE HOSPITAL IS UNABLE TO OBTAIN ADEQUATE INFORMATION AFTER DILIGENT EFFORTS REGARDING ABILITY TO PAY FOR ANY PATIENT TREATED IN THE EMERGENCY DEPARTMENT, THE PATIENT MAY BE GRANTED 100 PERCENT FINANCIAL ASSISTANCE ONLY AFTER APPROPRIATE BILLING AND/OR OTHER ATTEMPTS TO COLLECT INFORMATION HAVE BEEN MADE.
SCHEDULE H, PART VI, LINE 4COMMUNITY INFORMATION MEETING THE CHALLENGES OF A DIVERSE BORDER COMMUNITY SAN DIEGO COUNTY (SDC) IS AN INTERNATIONAL BORDER COMMUNITY COMPRISED OF 3.2 MILLION PEOPLE. GEOGRAPHICALLY DISPERSED OVER 4,200 SQUARE MILES, THE POPULATION REPRESENTS MULTIPLE ETHNIC GROUPS. THE SAN DIEGO ASSOCIATION OF GOVERNMENT'S (SANDAG) POPULATION GROWTH PROJECTIONS ARE JUST OVER 1 PERCENT PER YEAR, EXTENDING OUT 25 YEARS TO THE YEAR 2030. THE SANDAG 2050 SUB-REGIONAL GROWTH FORECAST PROJECTS POPULATION GROWTH TO 4.4 MILLION BY 2050. THIS IS A 40.0% INCREASE IN POPULATION GROWTH. DEMOGRAPHIC PROFILE OF SAN DIEGO COUNTY CURRENT POPULATION DEMOGRAPHICS AND CHANGES IN DEMOGRAPHIC COMPOSITION OVER TIME PLAY A DETERMINING ROLE IN THE TYPES OF HEALTH AND SOCIAL SERVICES NEEDED BY COMMUNITIES. POPULATION SIZE, CHANGE IN POPULATION, RACE AND ETHNICITY, AND AGE OF A POPULATION ARE ALL IMPORTANT IN UNDERSTANDING COMMUNITIES AND ITS RESIDENTS. POPULATION: OVER 3 MILLION PEOPLE (3,138,265) LIVE IN THE 4,205 SQUARE MILE AREA OF SDC ACCORDING TO THE U.S. CENSUS BUREAU AMERICAN COMMUNITY SURVEY 2009-13, 5-YEAR ESTIMATES. THE POPULATION DENSITY FOR THIS AREA, ESTIMATED AT 746 PERSONS PER SQUARE MILE, IS GREATER THAN THE NATIONAL AVERAGE POPULATION DENSITY OF APPROXIMATELY 88 PERSONS PER SQUARE MILE. APPROXIMATELY 96.7% OF THE POPULATION LIVES IN AN URBAN AREA COMPARED TO JUST 3.3% LIVING IN RURAL AREAS. POPULATION CHANGE: ACCORDING TO THE U.S. CENSUS BUREAU DECENNIAL CENSUS, BETWEEN 2000 AND 2010 THE POPULATION IN SDC GREW BY 281,480 PERSONS, A CHANGE OF 10.0%. THIS IS SIMILAR TO THE PERCENTAGE POPULATION CHANGE SEEN DURING THE SAME TIME PERIOD IN CALIFORNIA (10.0%) AND THE UNITED STATES (9.7%). A SIGNIFICANT SHIFT IN TOTAL POPULATION OVER TIME IMPACTS THE DEMAND FOR HEALTH CARE PROVIDERS AND THE UTILIZATION OF COMMUNITY RESOURCES. RACE/ETHNICITY: IN THE AMERICAN COMMUNITY SURVEY, DATA FOR RACE AND ETHNICITY ARE COLLECTED SEPARATELY. OF THOSE WHO IDENTIFIED AS NON-HISPANIC (67.7%) IN SDC, THE MAJORITY IDENTIFIED THEIR RACE AS WHITE (70.9%), FOLLOWED BY ASIAN (16.1%), BLACK (7.1%), MULTIPLE RACES (4.5%), NATIVE HAWAIIAN/PACIFIC ISLANDER (0.6%), AND AMERICAN INDIAN/ALASKAN NATIVE (0.5%). OF THOSE WHO IDENTIFIED AS HISPANIC OR LATINO (32.4%) IN SDC, THE MAJORITY ALSO IDENTIFIED THEIR RACE AS WHITE (72.4%), FOLLOWED BY OTHER (19.9%), MULTIPLE RACES (5.1%), AMERICAN INDIAN/ALASKAN NATIVE (1.1%), BLACK (0.8%), ASIAN (0.6%), AND NATIVE HAWAIIAN/PACIFIC ISLANDER (0.1%). PLEASE SEE THE FIGURES BELOW FOR MORE DETAILS. DEMOGRAPHIC ESTIMATES AND PROJECTIONS ARE BASED ON SANDAG 2010 ESTIMATES AND ARE AVAILABLE AT THE ZIP CODE LEVEL AT: HTTP://DATAWAREHOUSE.SANDAG.ORG A BREAKDOWN OF THE REGIONAL DEMOGRAPHICS CAN BE FOUND IN THE REGIONAL FORUM SECTIONS OF THE CHARTING THE COURSE VI: HEALTH NEEDS ASSESSMENT FOR SAN DIEGO COUNTY (APPENDIX SECTION) AT: HTTP://WWW.SDCHIP.ORG SCRIPPS SERVES A QUARTER OF THE TOTAL COUNTY POPULATION, CONCENTRATING SERVICES IN THE NORTH COASTAL, NORTH CENTRAL, CENTRAL AND SOUTH REGIONS OF SAN DIEGO COUNTY WHERE SCRIPPS FACILITIES ARE LOCATED. PER CALENDAR YEAR 2014 OSHPD ANNUAL FINANCIAL DATA THERE ARE 21 OTHER HOSPITAL FACILITIES SERVING THE SAN DIEGO COMMUNITY. SCRIPPS MERCY HOSPITAL (INCLUDING SAN DIEGO AND CHULA VISTA CAMPUSES) PROVIDES 59 PERCENT OF THE CHARITY CARE WITHIN THE SCRIPPS SYSTEM. SCRIPPS MERCY'S SERVICE AREA HAS A MORE ECONOMICALLY DISADVANTAGED POPULATION COMPARED TO THE COUNTY AS A WHOLE, WITH THE LOWEST NUMBERS OF INSURED ADULTS IN THE COUNTY AND A MUCH HIGHER PERCENTAGE OF ETHNIC MINORITIES, PRIMARILY HISPANIC AND ASIAN. AS A DISPROPORTIONATE-SHARE HOSPITAL, SCRIPPS MERCY SAN DIEGO AND CHULA VISTA CAMPUSES PLAY IMPORTANT HEALTH CARE SERVICE ROLES IN THE CENTRAL/SOUTHERN SAN DIEGO COUNTY SERVICE AREA (RANGING FROM INTERSTATE 8 TO THE UNITED STATES-MEXICO BORDER). MORE THAN HALF OF SCRIPPS MERCY SAN DIEGO AND CHULA VISTA PATIENTS ARE GOVERNMENT INSURED-MEDICARE AND MEDI-CAL. SCRIPPS HOSPITALS HOUSE 25.3 PERCENT OF THE COUNTY'S GENERAL ACUTE-CARE LICENSED BEDS. SCRIPPS PROVIDES SIGNIFICANT AND GROWING VOLUMES OF EMERGENCY, OUTPATIENT AND PRIMARY CARE. IN FY15, SCRIPPS PROVIDED 2,380,674 OUTPATIENT VISITS. NEARLY HALF (42.0%) OF SAN DIEGO COUNTY'S 76,204 SAFETY NET DISCHARGES ARE FROM CENTRAL AND SOUTH SUBURBAN REGIONS. SAFETY NET DISCHARGES INCLUDE COUNTY INDIGENT PROGRAMS, MEDI-CAL AND SELF PAY. OSHPD 2014 DATA (MOST RECENT YEAR AVAILABLE) SCRIPPS HAS A TOTAL OF 1,333 ACUTE CARE LICENSED BEDS. SAN DIEGO HAS A TOTAL OF 5,266 GENERAL ACUTE CARE LICENSED BEDS. % OF SCRIPPS BEDS IS 1,333/5,266 =25.31% COUNTY SAFETY NET DISCHARGES CY14: SAFETY NET DISCHARGES INCLUDE PAYER CATEGORIES: COUNTY INDIGENT PROGRAMS, MEDI-CAL AND SELF PAY. - CENTRAL DISCHARGES - 17,810 - SOUTH SUBURBAN DISCHARGES - 14,197 SCRIPPS OSHPD SAFETY NET DISCHARGES CY14: - SCRIPPS CENTRAL DISCHARGES - 6,008 - SCRIPPS SOUTH SUBURBAN DISCHARGES - 4,557 THE HEALTH CARE SAFETY NET IN SAN DIEGO COUNTY IS HIGHLY DEPENDENT UPON HOSPITALS AND COMMUNITY HEALTH CLINICS TO CARE FOR UNINSURED AND MEDICALLY UNDERSERVED COMMUNITIES. FINDING MORE EFFECTIVE WAYS TO COORDINATE AND ENHANCE THE SAFETY NET IS A CRITICAL POLICY CHALLENGE. WHILE PUBLIC SUBSIDIES (E.G., COUNTY MEDICAL SERVICES) HELP FINANCE SERVICES FOR SAN DIEGO COUNTY'S UNINSURED POPULATIONS, THESE SUBSIDIES DO NOT COVER THE FULL COST OF CARE. COMBINED WITH MEDI-CAL AND MEDICARE FUNDING SHORTFALLS, SCRIPPS AND OTHER LOCAL HOSPITALS ARE LEFT TO ABSORB THE COST INVOLVED IN CARING FOR UNINSURED PATIENTS INTO THEIR OPERATING BUDGETS. THE FINANCIAL BURDEN PLACED ON HOSPITALS AND PHYSICIANS CARING FOR UNINSURED PATIENTS IS SIGNIFICANT. SAN DIEGO MEDI-CAL REIMBURSEMENT IS AMONG THE LOWEST IN CALIFORNIA, ALREADY THE STATE WITH THE NATION'S LOWEST MEDICAID REIMBURSEMENT RATE. SAN DIEGO'S UNINSURED THE LACK OF HEALTH INSURANCE IS CONSIDERED A KEY DRIVER OF HEALTH STATUS. BETWEEN 2010 AND 2013 UNINSURED RATE WAS RELATIVELY STABLE IN THE UNITED STATES, CALIFORNIA AND IN SAN DIEGO COUNTY. IN 2014, THE UNINSURED RATE SHARPLY DECREASED TO 12.3%, WHICH WAS THE LARGEST CHANGE IN THE UNINSURED RATE THROUGHOUT THIS PERIOD. THIS DECREASE CAN BE ATTRIBUTED IN LARGE PART TO THE AFFORDABLE CARE ACT (ACA). SOURCE: U.S. CENSUS BUREAU, 2010 TO 2014 1-YEAR AMERICAN COMMUNITY SURVEYS. ACS UNINSURED RATE IS BASED ON WHETHER AN INDIVIDUAL HAD INSURANCE AT THE TIME OF THE SURVEY. NOTE: THE AMERICAN COMMUNITY SURVEY, ESTIMATES ARE FOR THE CIVILIAN NONINSTITUTIONALIZED POPULATION. THERE ARE THREE INDICATORS DETERMINED TO BE THE MOST POWERFUL PREDICTORS OF POPULATION HEALTH: POVERTY RATE, PERCENT OF POPULATION UNINSURED, AND EDUCATIONAL ATTAINMENT. LOW-INCOME, UNINSURED, AND UNDEREDUCATED INDIVIDUALS HAVE BEEN FOUND TO BE MOST AT RISK FOR POOR HEALTH STATUS. FIVE-YEAR ESTIMATES FROM THE 2009-2013 AMERICAN COMMUNITY SURVEY (ACS) SHOW HOW THESE INDICATORS IMPACT THE SAN DIEGO COMMUNITY. EVALUATING THESE RISK FACTORS IS IMPORTANT FOR IDENTIFYING COMMUNITIES WITH THE MOST SIGNIFICANT HEALTH NEEDS AND HEALTH DISPARITIES. POVERTY: WITHIN SDC, 14.5% OR 441,648 INDIVIDUALS ARE LIVING IN HOUSEHOLDS WITH INCOME BELOW 100% OF THE FEDERAL POVERTY LEVEL (FPL). FOR CHILDREN 0-17, THE PERCENTAGE LIVING 100% BELOW THE FPL INCREASES TO 18.8%. FOR A HOUSEHOLD SIZE OF 3 THE 100% POVERTY LEVEL IS $20,090 PER YEAR. POVERTY CREATES BARRIERS TO ACCESSING SERVICES THAT PROMOTE WELL-BEING INCLUDING HEALTH SERVICES, HEALTHY FOOD, AND OTHER NECESSITIES THAT CONTRIBUTE TO IMPROVED HEALTH STATUS. UNINSURED: BETWEEN 2010 AND 2013 UNINSURED RATE WAS RELATIVELY STABLE IN THE UNITED STATES, CALIFORNIA AND IN SDC. IN 2014, THE UNINSURED RATE SHARPLY DECREASED, WHICH WAS THE LARGEST CHANGE IN THE UNINSURED RATE THROUGHOUT THIS PERIOD. THIS DECREASE CAN BE ATTRIBUTED IN LARGE PART TO THE AFFORDABLE CARE ACT (ACA). LACK OF INSURANCE IS A PRIMARY BARRIER TO HEALTH CARE ACCESS INCLUDING REGULAR PRIMARY CARE, SPECIALTY CARE, AND OTHER HEALTH SERVICES THAT CONTRIBUTES TO POOR HEALTH STATUS. EDUCATIONAL ATTAINMENT: EDUCATIONAL ATTAINMENT IS LINKED TO POSITIVE HEALTH OUTCOMES (FREUDENBERG & RUGLIS, 2007). WITHIN THE COUNTY OF SAN DIEGO, ALMOST 15% OF THE TOTAL POPULATION AGED 25 AND OLDER (297,188) HAVE NO HIGH SCHOOL DIPLOMA (OR EQUIVALENCY) OR HIGHER. OF CHILDREN AGED 3-4, THE 2009-2013 ACS FOUND THAT 48.9% WERE ENROLLED IN SCHOOL. AS A PRIMARY SOCIAL DETERMINANT OF HEALTH, INCREASING EDUCATIONAL OPPORTUNITIES FOR YOUNG CHILDREN IS IMPORTANT IN ORDER TO IMPROVE FUTURE EDUCATIONAL ATTAINMENT AND INCREASE ECONOMIC OPPORTUNITY.
SCHEDULE H, PART VI, LINE 5PROMOTION OF COMMUNITY HEALTH FOUNDED IN 1924 BY PHILANTHROPIST ELLEN BROWNING SCRIPPS, SCRIPPS HEALTH IS A $2.8 BILLION, PRIVATE, NOT-FOR-PROFIT COMMUNITY HEALTH SYSTEM IN SAN DIEGO, CALIFORNIA. SCRIPPS TREATS A HALF-MILLION PATIENTS ANNUALLY THROUGH THE DEDICATION OF MORE THAN 2,900 AFFILIATED PHYSICIANS AND 14,600 EMPLOYEES AMONG ITS FIVE ACUTE-CARE HOSPITAL CAMPUSES, HOME HEALTH CARE, AND AN AMBULATORY CARE NETWORK OF CLINICS, PHYSICIAN OFFICES AND OUTPATIENT CENTERS THROUGHOUT THE SAN DIEGO REGION. SCRIPPS IS A RECOGNIZED LEADER IN THE PREVENTION, DIAGNOSIS AND TREATMENT OF DISEASE AND IS AT THE FOREFRONT OF CLINICAL RESEARCH AND GRADUATE MEDICAL EDUCATION. AS A TAX EXEMPT HEALTH CARE SYSTEM, SCRIPPS TAKES PRIDE IN ITS SERVICE TO THE COMMUNITY. THE SCRIPPS SYSTEM IS GOVERNED BY A 14-MEMBER VOLUNTEER BOARD OF TRUSTEES. THIS SINGLE POINT OF AUTHORITY FOR ORGANIZATIONAL POLICY ENSURES A UNIFIED APPROACH TO SERVING PATIENTS ACROSS THE REGION. THE BOARD IS RESPONSIBLE FOR PROMOTING CORPORATE PURSUIT OF ITS MISSION, APPROVAL OF THE BUDGET AND ASSURING THROUGH OVERSIGHT THE EFFECTIVE FUNCTIONING OF THE CORPORATION. ITS PURPOSE IS TO ESTABLISH AND MAINTAIN A NONPROFIT PUBLIC BENEFIT CORPORATION ORGANIZED EXCLUSIVELY FOR CHARITABLE, SCIENTIFIC AND EDUCATIONAL PURPOSES, WHOSE ACTIVITIES ARE CONDUCTED IN SUCH A MANNER THAT NO PART OF ITS NET EARNINGS WILL BENEFIT OF ANY TRUSTEE, OFFICER OR OTHER INDIVIDUAL. THESE VOLUNTEERS GIVE COUNTLESS HOURS OF SERVICE TO THE HOSPITAL SYSTEM IN THEIR OVERSIGHT ROLE, PARTICIPATION IN VARIOUS BOARD COMMITTEES AND GENERAL STEWARDSHIP. ALL FIVE ACUTE-CARE HOSPITAL CAMPUSES HAVE AN OPEN MEDICAL STAFF FOR ALL QUALIFIED PHYSICIANS. THE BOARD OF TRUSTEES HAS AUTHORITY TO APPROVE BYLAWS, RULES AND REGULATIONS FOR THE MEDICAL STAFF OF EACH HOSPITAL, SURGERY CENTER OR SIMILAR FACILITY, AND TO APPOINT, SUSPEND OR REMOVE ANY PHYSICIAN FROM THE MEDICAL STAFF. ALL FIVE ACUTE-CARE HOSPITAL CAMPUSES PARTICIPATE IN MEDI-CAL AND MEDICARE CONTRACTS. SCRIPPS SURPLUS FUNDS ARE REINVESTED BACK INTO THE SAN DIEGO COMMUNITY. SURPLUS FUNDS ARE UTILIZED FOR NEW FACILITIES, EQUIPMENT, SEISMIC RETROFITTING, PROFESSIONAL EDUCATION AND HEALTH RESEARCH, ACCESS TO PATIENT CARE AND COMMUNITY BENEFIT PROGRAMS. EACH YEAR, SCRIPPS ALLOCATES RESOURCES TO ADVANCE HEALTH CARE SERVICES THROUGH CLINICAL RESEARCH AND MEDICAL EDUCATION PROGRAMS. DURING FY15 (OCTOBER 2014 TO SEPTEMBER 2015), SCRIPPS INVESTED $26,184,190 IN PROFESSIONAL TRAINING PROGRAMS AND HEALTH RESEARCH TO ENHANCE SERVICE DELIVERY AND TREATMENT PRACTICES FOR SAN DIEGO COUNTY. QUALITY HEALTH CARE DEPENDS ON HEALTH EDUCATION SYSTEMS AND MEDICAL RESEARCH PROGRAMS. WITHOUT THE ABILITY TO TRAIN AND INSPIRE A NEW GENERATION OF HEALTH CARE PROVIDERS OR TO OFFER CONTINUING EDUCATION TO EXISTING HEALTH CARE PROFESSIONALS, THE QUALITY OF HEALTH CARE WOULD BE GREATLY DIMINISHED. MEDICAL RESEARCH ALSO PLAYS AN IMPORTANT ROLE IN IMPROVING THE COMMUNITY'S OVERALL HEALTH THROUGH THE DEVELOPMENT OF NEW AND INNOVATIVE TREATMENT OPTIONS. PROFESSIONAL EDUCATION AND HEALTH RESEARCH REFLECTS CLINICAL RESEARCH, AS WELL AS PROFESSIONAL EDUCATION FOR NON-SCRIPPS EMPLOYEES INCLUDING GRADUATE MEDICAL EDUCATION, NURSING RESOURCE DEVELOPMENT AND OTHER HEALTH CARE PROFESSIONAL EDUCATION. RESEARCH TAKES PLACE PRIMARILY AT SCRIPPS CLINICAL RESEARCH SERVICES, SCRIPPS WHITTIER DIABETES INSTITUTE, SCRIPPS GENOMIC MEDICINE AND SCRIPPS TRANSLATIONAL SCIENCE INSTITUTE. CALCULATIONS ARE BASED ON TOTAL PROGRAM EXPENSES LESS APPLICABLE DIRECT-OFFSETTING REVENUE, WHICH INCLUDES ANY REVENUE GENERATED BY THE ACTIVITY OR PROGRAM, SUCH AS PAYMENT OR REIMBURSEMENT FOR SERVICES PROVIDED TO PROGRAM PATIENTS. ACCORDING TO THE 2014 SCHEDULE H 990 IRS GUIDELINES; "DIRECT OFFSETTING REVENUE" ALSO INCLUDES RESTRICTED GRANTS OR CONTRIBUTIONS THAT THE ORGANIZATION USES TO PROVIDE A COMMUNITY BENEFIT. BECAUSE OF THIS NEW PROVISION, SCRIPPS SAW A SUBSTANTIAL DECREASE IN RESEARCH FOR FY15. A LACK OF HEALTH INSURANCE AND ACCESS TO SPECIALTY AND PRIMARY CARE PROVIDERS ARE TWO OF THE PRIMARY BARRIERS TO HEALTH CARE ON BOTH A LOCAL AND NATIONAL LEVEL. WITHOUT ACCESS TO BASIC HEALTH CARE SERVICES, INDIVIDUALS SUFFER FROM MORE ACUTE EPISODES OF ILLNESS, INJURY AND MORTALITY. LACK OF INSURANCE ALSO INCREASES THE BURDEN ON HOSPITALS AND HEALTH PROVIDERS. IN AN EFFORT TO PROVIDE FOR POPULATIONS IN NEED, SCRIPPS ASSISTED IN FY15 WITH THE FOLLOWING HEALTH CARE PROGRAMS AND PROJECTS. MERCY OUTREACH SURGICAL TEAM (MOST) REACHING OUT TO THOSE WHO HAVE LIMITED ACCESS TO HEALTH CARE, THE MERCY OUTREACH SURGICAL TEAM (MOST) PROVIDES MEDICAL AND SURGICAL CARE TO UNDERPRIVILEGED CHILDREN AND ADULTS FROM OTHER COUNTRIES. THE VOLUNTEER GROUP OF PHYSICIANS, NURSES, TECHNICIANS AND OTHERS PERFORM LIFE-CHANGING SURGERIES TO CORRECT CLEFT LIPS, CLEFT PALATES, BURN SCARS, CROSSED EYES, HERNIAS AND A VARIETY OF OTHER CONDITIONS. DURING FY15, THE MOST TEAM SERVED IN TWO OUTREACH TRIPS. THE MOST TEAM VOLUNTEERED 2,568 HOURS TO PROVIDE RECONSTRUCTIVE SURGERIES FOR MORE THAN 400 CHILDREN. GRADUATE MEDICAL EDUCATION STAFF SUPPORT TO ST. VINCENT DE PAUL VILLAGE MEDICAL CENTER AND ST. LEO'S MISSION COMMUNITY CLINIC. THE GRADUATE MEDICAL EDUCATION (GME) PROGRAM AT SCRIPPS GREEN HOSPITAL AND SCRIPPS CLINIC FOCUSES ON PHYSICIAN TRAINING AND CLINICAL RESEARCH, WITH 36 RESIDENTS AND 38 FELLOWS. THE PROGRAM ALSO GIVES BACK TO THE COMMUNITY BY STAFFING EVENING CLINICS AT ST. VINCENT DE PAUL VILLAGE AND ST. LEO'S MISSION COMMUNITY CLINIC. SCRIPPS RESIDENTS AND STAFF PROVIDED MEDICAL CARE TO APPROXIMATELY 800 OF OUR COUNTY'S MOST VULNERABLE RESIDENTS DURING FY15. SCRIPPS RECUPERATIVE CARE PROGRAM (RCU) THE SCRIPPS RESCUE MISSION PROJECT PROVIDES A SAFE DISCHARGE FOR CHRONICALLY HOMELESS PATIENTS WITH ONGOING MEDICAL NEEDS. ALL PATIENTS ARE UNFUNDED OR UNDERFUNDED. MOST HAVE SUBSTANCE ABUSE AND/OR MENTAL HEALTH ISSUES. THE LACK OF FUNDING, AND MENTAL ILLNESS, ALONG WITH ALCOHOL AND/OR SUBSTANCE ABUSE, MAKE POST-ACUTE PLACEMENT OF THESE HOMELESS PATIENTS DIFFICULT. RN CASE MANAGEMENT OVERSIGHT IS PROVIDED BY SCRIPPS WITH PHYSICIAN BACKUP TO ENSURE COMPLETION OF THEIR MEDICAL RECOVERY GOALS. SCRIPPS PAYS THE RESCUE MISSION A DAILY RATE FOR HOUSING AND SERVICES PROVIDED TO THE PATIENT. THEY PROVIDE A SAFE, SECURE ENVIRONMENT WITH 24 HOUR SUPERVISION, MEDICATION OVERSIGHT, MEALS, CLOTHING, COUNSELING, ASSISTANCE WITH COUNTY MEDICAL SERVICES, MEDI-CAL AND DISABILITY APPLICATIONS, PLUS HELP FIND PERMANENT OR TRANSITIONAL HOUSING. PATIENT TRANSPORTATION NEEDS ARE COORDINATED AND PROVIDED BY BOTH THE RESCUE MISSION AND SCRIPPS. TO MAINTAIN THE PATIENT'S MEDICAL STABILITY, MEDICATIONS, DME AND OTHER SERVICES ARE PROVIDED BY SCRIPPS UNTIL INSURANCE FUNDING HAS BEEN ESTABLISHED. PATIENTS WITH PSYCHIATRIC DISORDERS ARE ESTABLISHED WITH A PSYCHIATRIST IN THE COMMUNITY AND ALL PATIENTS ARE CONNECTED WITH A MEDICAL HOME IN THE COMMUNITY. FOR FY15, TOTAL COST SAVINGS FOR SCRIPPS HAS BEEN OVER $1.9 MILLION. IN 2015, 42 PATIENTS HAD A CUMULATIVE 751 HOSPITAL DAYS OF STAY BEFORE GOING TO THE RCU. THE RCU TAKES MEDICALLY COMPLEX PATIENTS INCLUDING PATIENTS WITH TRACH, TUBE FEEDS, IV ANTIBIOTICS, WOUND VACS, MULTIPLE FRACTURES, SPINAL EPIDURAL ABCESS, PARAPLEGIA, ESRD ON DIALYSIS, END STAGE LIVER DISEASE, HEART VALVE REPLACEMENT, DIABETES, TRAUMATIC BRAIN INJURY, OSTOMIES, CRANIECTOMY, COMPLEX TRAUMA, CANCER AND HIV. ONE HUNDRED PERCENT OF PATIENTS WERE CONNECTED TO A PRIMARY CARE PROVIDER AT ONE OF THE COMMUNITY CLINICS WITH AN APPOINTMENT MADE. FIFTEEN PERCENT OF THESE HAD VERY SHORT STAYS AT THE RCU AND MAY NOT HAVE FOLLOWED UP WITH THE APPOINTMENTS ON THEIR OWN. 76% OF THE RCU DISCHARGED PATIENTS DID NOT RETURN TO THE STREETS. THEY WENT EITHER TO A RECOVERY PROGRAM OR TRANSITIONAL HOUSING (14%), SRO OR APARTMENT (10%), BACK TO MEXICO (10%), TO FAMILY OR FRIEND (7%), BOARD AND CARE (2%), HEALTHCARE, HOSPICE OR A LOWER LEVEL OF CARE (2%). ONE CLIENT IS DECEASED. THIS YEAR 24 % OF CLIENTS DID RETURN TO THE STREETS. 21% OF THIS YEAR'S CLIENTS ARE STILL ACTIVE PARTICIPANTS AT THE RCU. OF NOTE, 15% WERE HOSPITALIZED, USUALLY VERY BRIEFLY, AT SOME POINT AND RETURNED TO THE RCU. (SPONSORED BY SCRIPPS MERCY HOSPITAL, SAN DIEGO). SCRIPPS HEALTH COMMUNITY BENEFIT GRANTING IN FY2015, SCRIPPS AWARDED A TOTAL OF $215,000 IN COMMUNITY GRANTS TO PROGRAMS BASED THROUGHOUT SAN DIEGO, RANGING FROM $10,000 TO $120,000 EACH. THE PROJECTS THAT RECEIVED FUNDING ADDRESS SOME OF SAN DIEGO COUNTY'S HIGH-PRIORITY HEALTH NEEDS WITH THE GOAL OF IMPROVING ACCESS TO VITAL HEALTH CARE SERVICES FOR A VARIETY OF AT-RISK POPULATIONS, INCLUDING PEOPLE WHO ARE HOMELESS, ECONOMICALLY DISADVANTAGED, AND MENTALLY ILL. SINCE THE COMMUNITY BENEFIT FUND BEGAN, SCRIPPS HAS AWARDED $3.1 MILLION DOLLARS. PROGRAMS FUNDED DURING FISCAL YEAR 2015 INCLUDE: - CONSUMER CENTER FOR HEALTH EDUCATION AND ADVOCACY (CCHEA) FUNDING PROVIDES LOW-INCOME, UNINSURED MERCY CLINIC AND BEHAVIORAL HEALTH PATIENTS HELP OBTAINING HEALTH CARE BENEFITS, SSI A
SCHEDULE H, PART VI, LINE 6AFFILIATED HEALTH CARE SYSTEM SCRIPPS HEALTH IS AN INTEGRATED HEALTH SYSTEM, OPERATING FIVE ACUTE CARE HOSPITALS AND TWENTY-SEVEN PRIMARY AND SPECIALTY CARE OUTPATIENT CENTERS. IN 2013, SCRIPPS HOSPICE PROGRAM WAS ESTABLISHED AND PROVIDES END OF LIFE CARE.
SCHEDULE H, PART VI, LINE 7CALIFORNIA. SCRIPPS HEALTH COMMUNITY BENEFIT REPORT CAN BE FOUND AT: HTTPS://WWW.SCRIPPS.ORG/ABOUT-US__SCRIPPS-IN-THE-COMMUNITY

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records MaintainedYes (true)GrantRecordsMaintainedInd

Recipient Table RecipientTable (14 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdRecipient EINRecipientEINIRC SectionIRCSectionDescCash GrantCashGrantAmtPurpose Of GrantPurposeOfGrantTxtNon Cash AssistanceNonCashAssistanceAmtValuation Method UsedValuationMethodUsedDescNon Cash AssistanceNonCashAssistanceDesc
California Health Foundation & Trust (CHFT)
1215 K Street Ste 800SacramentoCA95814941498697501(c)(3)$577,000CA HOSP FEE PROGRAM
Consumer CNTR of Legal Aid Society of SD
1764 San Diego Ave Ste 200San DiegoCA92110981869806501(c)(3)$120,000PROGRAM SUPPORT
Catholic Charities
349 Cedar StreetSan DiegoCA92101237334012501(c)(3)$70,000PROGRAM SUPPORT
AHA In-Kind Donation
9404 Genesee Ave Ste 240La JollaCA92037135613797501(c)(3)PROGRAM SUPPORT$28,648FMVSUPPLIES
Alzhiemer's Association
6632 Convoy CourtSan DiegoCA92111133039601501(c)(3)$25,000PROGRAM SUPPORT
211 San Diego - HealthCare Navigation
5251 Viewridge Court Ste 30San DiegoCA92123331029843501(c)(3)$15,000PROGRAM SUPPORT
Eric Paredes Save a Life Foundation
PMB79 2514 Jamacha Rd Ste 502El CajonCA92019800636157501(c)(3)$15,000PROGRAM SUPPORT
CMTY HLTH IMPRVMT PTNRS Crew Rendevous
9370 Chesapeake Dr Ste 220San DiegoCA92123330496092501(c)(3)$12,100PROGRAM SUPPORT
AHA - Sponsorship
9404 Genesee Ave Ste 240La JollaCA92037135613797501(c)(3)$10,000PROGRAM SUPPORT
AHA - Go Red For Women Luncheon
9404 Genesee Ave Ste 240La JollaCA92037135613797501(c)(3)$10,000PROGRAM SUPPORT
LEAD San Diego Visionary Awards
110 WA Street 960San DiegoCA92101953699122501(c)(3)$10,000PROGRAM SUPPORT
SAN DIEGO Police FDN - Gold Shield Gala
444 W Beech St 250San DiegoCA92101330785173501(c)(3)$10,000PROGRAM SUPPORT
AHA - Teaching Garden
9404 Genesee Ave Ste 240La JollaCA92037135613797501(c)(3)$8,333PROGRAM SUPPORT
ACS Making Strides Against Breast Cancer
2655 Camino del Rio N Ste 100San DiegoCA92108131788491501(c)(3)$5,000PROGRAM SUPPORT$2,500FMVEVENT SUPPLIES
FieldValueIRS element (for citing)
Total501c3 Org14Total501c3OrgCnt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE I, PART I, LINE 2FormAndLineReferenceDesc
ExplanationDESCRIPTION OF ORGANIZATION'S PROCEDURES FOR MONITORING THE USE OF GRANTS GRANTEE SHALL SUBMIT TO SCRIPPS HEALTH, ATTENTION MANAGER OF COMMUNITY BENEFIT SERVICES AT 4275 CAMPUS POINT COURT, CP113, SAN DIEGO, CA 92121, THE FOLLOWING: A. A SEMI-ANNUAL SUMMARY PROGRESS REPORT AND A LINE ITEM FINANCIAL ACCOUNTING OF THE GRANT DISBURSEMENT IS REQUIRED. REPORTS SHALL INCLUDE, BUT NOT BE LIMITED TO, PROGRESS MADE TOWARD MEETING OBJECTIVES OUTLINED IN THE GRANT APPLICATION. B. WITHIN THIRTY (30) DAYS FOLLOWING THE EXPIRATION DATE OF THE GRANT A FINAL PROGRESS REPORT SHALL BE SUBMITTED TO SCRIPPS HEALTH. IN ADDITION TO THE PROGRESS MADE TOWARD MEETING THE OBJECTIVES OUTLINED IN THE GRANT APPLICATION, THE FINAL REPORT SHOULD INCLUDE QUANTITATIVE AND QUALITATIVE RESULTS OF THE PROGRAM AGAINST ITS STATED GOALS AND OBJECTIVES. A LINE ITEM FINANCIAL ACCOUNTING OF THE GRANT DISBURSEMENT AGAINST THE BUDGET MUST BE INCLUDED AS PART OF THIS FINAL REPORT. C. THE GRANTEE SHALL PROVIDE SCRIPPS HEALTH WITH ANY ADDITIONAL INFORMATION OR PROGRESS UPDATES, RELATIVE TO GRANT PROJECT, AS REASONABLY REQUESTED. D. SCRIPPS HEALTH RESERVES THE RIGHT TO AUDIT EXPENDITURES AND SUPPORTING DOCUMENTATION.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Discretionary Spending AcctYes (X)DiscretionarySpendingAcctInd
Club Dues Or FeesYes (X)ClubDuesOrFeesInd
Written Policy Ref T And E ExpnssYes (true)WrittenPolicyRefTAndEExpnssInd
Substantiation RequiredYes (true)SubstantiationRequiredInd
Compensation CommitteeYes (X)CompensationCommitteeInd
Independent ConsultantYes (X)IndependentConsultantInd
Form990 Of Other OrganizationsYes (X)Form990OfOtherOrganizationsInd
Written Employment ContractYes (X)WrittenEmploymentContractInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance PaymentYes (true)SeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (true)SupplementalNonqualRtrPlanInd
Equity Based Comp ArrngmfalseEquityBasedCompArrngmInd
Comp Based On Revenue Of Flng OrgfalseCompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related OrgsfalseCompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng OrgfalseCompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd OrgsfalseCompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsfalseAnyNonFixedPaymentsInd
Initial Contract ExceptionfalseInitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (18 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
ROBIN BROWN
CHIEF EXECUTIVE, SR VP$469,129$0$178,255$0$53,874$0-$392,379$0$27,406$0$336,285$0$22,947$0
VICTOR V BUZACHERO
CORP SR VP INNOVAT/HR/PERF MGT$550,221$0$242,044$0$174,825$0$175,975$0$52,131$0$1,195,196$0$147,270$0
SUSAN CAMPBELL
EXEC DIR, EXTERNAL AFFAIRS$388,940$0$105,831$0$32,455$0$56,010$0$40,633$0$623,869$0$0$0
MARY ELLEN DOYLE
CORP VP, NURSING OPS$343,469$0$100,901$0$56,025$0$53,056$0$29,765$0$583,216$0$41,460$0
ARNOLD BRENT EASTMAN MD
FORMER KEY EMPLOYEE$1,139,908$0$20,464$0$65,137$0-$51,891$0$0$0$1,173,618$0$0$0
JOHN ENGLE
CORP SR VP, CHIEF DEVELOPMENT$345,888$0$132,054$0$67,788$0$60,059$0$44,487$0$650,276$0$39,724$0
CARL ETTER
CHIEF EXECUTIVE, SR VP$441,372$0$160,163$0$94,055$0$76,079$0$46,963$0$818,632$0$57,963$0
SHIRAZ FAGAN
CHIEF EXECUTIVE, SR VP$507,708$0$177,862$0$67,497$0$101,633$0$46,839$0$901,539$0$55,546$0
GARY FYBEL
CHIEF EXECUTIVE, SR VP$525,990$0$203,367$0$44,722$0$96,912$0$46,581$0$917,572$0$0$0
THOMAS GAMMIERE
CHIEF EXECUTIVE, SR VP$542,509$0$207,250$0$215,123$0$107,633$0$62,939$0$1,135,454$0$195,260$0
ROBERT T HOFF
CORP VP, CLINICAL ANC OPS$328,756$0$99,507$0$93,215$0$51,971$0$36,613$0$610,062$0$67,613$0
ANIL KESWANI
CORPORATE VP, CMO SHPS$400,659$0$109,221$0$34,849$0$71,287$0$43,469$0$659,485$0$0$0
JUNE KOMAR
CORP EXEC VP, STRATEGY & ADMIN$539,871$0$252,783$0$139,553$0-$289,934$0$16,146$0$658,419$0$104,600$0
JAMES LABELLE MD
CORP SR VP, CHIEF MED OFFICER$583,570$0$190,179$0$166,206$0$121,833$0$38,334$0$1,100,122$0$138,578$0
BARBARA PRICE
CORP SRVP BUS & SERV LINE DEV$433,938$0$165,617$0$78,915$0$86,506$0$44,603$0$809,579$0$68,635$0
MARC A REYNOLDS
CORP SR VP, PAYER RELATIONS$350,146$0$132,880$0$78,095$0$80,976$0$34,204$0$676,301$0$60,924$0
RICHARD ROTHBERGER
TREASURER/EXECUTIVE VP/CFO$697,346$0$321,625$0$697,696$0$245,458$0$68,784$0$2,030,909$0$661,502$0
PATRIC THOMAS
CORP VP, INFORMATION SVCS$407,736$0$113,503$0$53,740$0$75,504$0$19,931$0$670,414$0$35,533$0

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
SCHEDULE J, PART I, LINE 1ASUPPLEMENTAL COMPENSATION INFORMATION SCRIPPS HEALTH INCURS THE COST OF A MEMBERSHIP FOR A BUSINESS NETWORKING CLUB IN SAN DIEGO FOR THE CHIEF EXECUTIVE OFFICER. THIS MEMBERSHIP IS USED 100% FOR BUSINESS PURPOSES AND ACCORDINGLY, NO PART OF THIS BENEFIT IS INCLUDED WITHIN THE CHIEF EXECUTIVE OFFICER'S TAXABLE COMPENSATION. THE MEMBERSHIP FEE IS $129 PER MONTH. 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 4ARECEIVE A SEVERANCE PAYMENT OR CHANGE-OF-CONTROL PAYMENT THE FOLLOWING INDIVIDUAL RECEIVED SEVERANCE PAY IN CALENDAR YEAR 2014: ARNOLD BRENT EASTMAN $100,000
SCHEDULE J, PART I, LINE 4BSUPPLEMENTAL EXECUTIVE RETIREMENT PLAN 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 INTO CONSIDERATION TENURE AT SCRIPPS HEALTH, AGE AND LIFE EXPECTANCY AND ASSUMES MAXIMUM PARTICIPATION IN OTHER RETIREMENT PROGRAMS. 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 2014: RICHARD ROTHBERGER $661,502 RICHARD SHERIDAN $34,082 VICTOR V. BUZACHERO $147,270 THOMAS GAMMIERE $195,260 JUNE KOMAR $104,600 BARBARA PRICE $68,635 JAMES LABELLE, MD $138,578 CARL ETTER $57,963 ROBIN BROWN $22,947 MARC A. REYNOLDS $60,924 JOHN ENGLE $39,724 SHIRAZ FAGAN $55,546 PATRIC THOMAS $35,533 MARY ELLEN DOYLE $41,460 ROBERT HOFF $67,613 EFFECTIVE JANUARY 1, 2014, SCRIPPS HEALTH FROZE ALL BENEFITS UNDER THE EXISTING SERP PLAN FOR FOUR PLAN PARTICIPANTS RESULTING IN A DECREASE IN THE NPV OF THE BENEFIT PROVIDED BY SUCH PLAN. THIS DECREASE IS REFLECTED IN FORM 990, PART VII, COLUMN F AND SCHEDULE J, PART II, COLUMN C FOR THE IMPACTED INDIVIDUALS. EFFECTIVE APRIL 1, 2014, SCRIPPS HEALTH PROVIDED DEFERRED COMPENSATION ARRANGEMENTS TO THOSE FOUR EXECUTIVES IN THE FORM OF LOANS TO PURCHASE LIFE INSURANCE PRODUCTS TO FUND POST-RETIREMENT INCOME.
SCHEDULE J, PART IIAS NOTED ABOVE, SCRIPPS HEALTH FROZE ITS SERP FOR THE FOLLOWING EXECUTIVES WHICH RESULTED IN THE ACTUARIAL VALUE OF THE SERP PROJECTED BENEFIT TO DECREASE ONE-TIME BY THE FOLLOWING AMOUNTS: - CHRISTOPHER VAN GORDER $3,056,821 - RICHARD SHERIDAN $1,524,411 - ROBIN BROWN $665,928 - JUNE KOMAR $410,780 THE ABOVE DECREASES WERE PREVIOUSLY REPORTED AS DEFERRED COMPENSATION IN MULTIPLE PRIOR YEARS. IN THE CURRENT YEAR, THE DECREASES RESULTED IN THE COMPENSATION FOR CHRISTOPHER VAN GORDER AND RICHARD SHERIDAN BEING BELOW THE SCHEDULE J, PART II REPORTING THRESHOLD; THEREFORE, THEY ARE ONLY REPORTED ON FORM 990, PART VII. IF THE INDIVIDUALS 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 RICHARD SHERIDAN COLUMN B(I) - BASE COMPENSATION: $480,644 COLUMN B(II) - BONUS & INCENTIVE COMPENSATION: $182,501 COLUMN B(III) - OTHER REPORTABLE COMPENSATION: $45,845 COLUMN C - RETIREMENT AND OTHER DEFERRED COMPENSATION: ($1,307,131) COLUMN D - NONTAXABLE BENEFITS: $26,214 COLUMN E - TOTAL OF COLUMNS: ($571,927) COLUMN F - COMPENSATION IN COLUMN (B) REPORTED AS DEFERRED IN PRIOR FORM 990: $34,082

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (4 entries)

Bond ReferenceBondReferenceCdBond Issuer EINBondIssuerEINCUSIPCUSIPNumBond IssuedBondIssuedDtIssue PriceIssuePriceAmtPurposePurposeDescDefeasedDefeasedIndOn Behalf Of IssuerOnBehalfOfIssuerIndPool FinancingPoolFinancingInd
California Statewide Communities Development Auth
A6801646101309116Y12007-03-02$49,995,000SEE PART VIfalsefalseYes (true)
California Health Facilities Financing Authority
B52164382813033F5A42008-08-14$99,830,304SEE PART VIfalsefalsefalse
California Health Facilities Financing Authority
C52164382813033F5L02008-08-14$221,230,000SEE PART VIfalsefalsefalse
California Health Facilities Financing Authority
D52164382813033FWK22005-06-02$40,975,000SEE PART VIfalsefalsefalse

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (4 entries)

Bond ReferenceBondReferenceCdRetiredRetiredAmtBond DefeasedBondDefeasedAmtTotal ProceedsTotalProceedsAmtIn Reserve FundInReserveFundAmtCapitalized InterestCapitalizedInterestAmtRefunding EscrowRefundingEscrowAmtIssuance Costs From ProceedsIssuanceCostsFromProceedsAmtCredit EnhancementCreditEnhancementAmtWorking Capital ExpendituresWorkingCapitalExpendituresAmtCapital ExpendituresCapitalExpendituresAmtOther Spent ProceedsOtherSpentProceedsAmtUnspentUnspentAmtSubstantial CompletionSubstantialCompletionYrCurrent RefundingCurrentRefundingIndAdvance RefundingAdvanceRefundingIndFinal Allocation MadeFinalAllocationMadeIndAdequate Books And Rec MaintAdequateBooksAndRecMaintInd
A$0$0$49,995,000$0$0$0$146,070$0$0$0$49,848,930$02005Yes (true)falseYes (true)Yes (true)
B$6,090,000$0$99,830,304$9,909,993$0$0$0$0$0$0$0$02008Yes (true)falseYes (true)Yes (true)
C$52,735,000$0$221,230,000$0$0$0$0$5,544$0$0$0$02008Yes (true)falseYes (true)Yes (true)
D$21,350,000$0$40,975,000$0$0$0$280,659$918,283$0$0$0$02008falseYes (true)Yes (true)Yes (true)

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (4 entries)

Bond ReferenceBondReferenceCdOwning Bond Financed PropertyOwningBondFinancedPropertyIndAny Lease ArrangementsAnyLeaseArrangementsIndMgmt Contract Bond Fincd PropMgmtContractBondFincdPropIndEngage Bond Counsel ContractsEngageBondCounselContractsIndAny Research AgreementsAnyResearchAgreementsIndEngage Bond Counsel ResearchEngageBondCounselResearchIndPrivate Bus Use By OthersPrivateBusUseByOthersPctPrivate Bus Concerning UBIPrivateBusConcerningUBIPctTotal Private Business UseTotalPrivateBusinessUsePctBond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestIndChange In Use Bond Financed PropChangeInUseBondFinancedPropIndChange In Use Bond Financed PropChangeInUseBondFinancedPropPctRemedial Action TakenRemedialActionTakenIndProcs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
AfalsefalseYes (true)Yes (true)Yes (true)Yes (true)0.000000.000000.00000falsefalse0.00000falseYes (true)
B0.000000.000000.000000.00000
CfalsefalseYes (true)Yes (true)Yes (true)Yes (true)0.000000.000000.00000falsefalse0.00000falseYes (true)
D0.000000.000000.000000.00000

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (4 entries)

Bond ReferenceBondReferenceCdForm8038 T FiledForm8038TFiledIndVariable Rate IssueVariableRateIssueIndHedge Identified In Bks And RecHedgeIdentifiedInBksAndRecIndGross Proceeds Invested In GICGrossProceedsInvestedInGICIndBusiness Name Line1GICProviderName/BusinessNameLine1TxtGross Proceeds InvestedGrossProceedsInvestedIndWritten Proc To Monitor ReqsWrittenProcToMonitorReqsIndRebate Not Due YetRebateNotDueYetIndException To RebateExceptionToRebateIndNo Rebate DueNoRebateDueIndTerm Of HedgeTermOfHedgePctSuperintegrated HedgeSuperintegratedHedgeIndHedge TerminatedHedgeTerminatedInd
0
AYes (true)Yes (true)falsefalse0Yes (true)Yes (true)
0
Bfalsefalsefalsefalse0falseYes (true)falsefalseYes (true)
Wells Fargo UBOC
CfalseYes (true)Yes (true)false0falseYes (true)falsefalseYes (true)26.falsefalse
Wells Fargo Bank
DfalseYes (true)Yes (true)false0Yes (true)Yes (true)falsefalseYes (true)14.falsefalse

Procedures Corrective Action ProceduresCorrectiveActionGrp (4 entries)

Bond ReferenceBondReferenceCdProcedures Corrective ActionProceduresCorrectiveActionInd
AYes (true)
BYes (true)
CYes (true)
DYes (true)

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE K, PART I, COLUMN (C) - CUSIP NUMBERFormAndLineReferenceDesc
ExplanationBOND ISSUE D (2005A/2008G): The Series 2005A Bonds, CUSIP 13033FWK2, were exchanged for the California Health Facilities Finance Authority Variable Rate Revenue Bonds, Series 2008G, CUSIP 13033F5M8 (Scripps Health), on August 14, 2008. SCHEDULE K, PART I, COLUMN (E) - ISSUE PRICE BOND ISSUE A (2007A): The stated par of $49,995,000 differs from the $149,875,000 reported on the 8038 tax form as the $49,995,000 amount represents only Scripps Health's portion in a pool bond loan program. BOND ISSUE B (2008A): The stated par of $99,020,000 differs from the $99,830,304 listed in form 8038 Part III line 21 (b) because of an $810,304 original issue premium. SCHEDULE K, PART I, COLUMN (F) - DESCRIPTION OF PURPOSE BOND ISSUE A (2007A): POOL BOND. PROCEEDS WERE USED TO REFUND COMMERCIAL PAPER REVENUE NOTES, SERIES 2005A, WHICH WERE USED TO PURCHASE EQUIPMENT. BOND ISSUE B (2008A): REFUNDING OF PRIOR ISSUES 07/07/2005 BOND ISSUE C (2008B-F): The $221,230,000 (2008B - F) refunded the 2005B - F bonds. The issue date for the 2005 B - F was 6/17/2005. BOND ISSUE D (2005A/2008G): The $40,975,000 (2008G) exchanged the 2005A bond. The issue date for the 2005A was 6/2/2005. The proceeds of the California Health Facilities Finance Authority Variable Rate Revenue Bonds, Series 2005A (Scripps Health), were issued for the purpose, together with other available funds, of advance refunding the Organizations Series 1998C Bonds. The Series 2005A Bonds, were exchanged for the California Health Facilities Finance Authority Variable Rate Revenue Bonds, Series 2008G (Scripps Health), on August 14, 2008. Based on the advice of bond counsel, the Organization is treating the Series 2008G Bonds as the same issue as the Series 2005A Bonds for federal income tax purposes. Further information regarding the Series 2008G Bonds: - Issuer Name: California Health Facilities Financing Authority; - Issuer EIN: 52-1643828; - CUSIP #: 13033F5M8; - Date Exchanged: 8/14/2008; - Issue Price: N/A; - Description of Purpose: Exchange for Series 2005A Bonds (same issue). BOND ISSUE 2-A (2010A): PROCEEDS USED FOR CAPITAL EXPENDITURES FOR HEALTHCARE BUILDINGS,RENOVATION AND EQUIPMENT. BOND ISSUE 2-B (2010B & C): PROCEEDS USED FOR CAPITAL EXPENDITURES FOR HEALTHCARE BUILDINGS,RENOVATION AND EQUIPMENT. BOND ISSUE 2-C (2012A-C): PROCEEDS USED FOR CAPITAL EXPENDITURES FOR HEALTHCARE BUILDINGS,RENOVATION AND EQUIPMENT. SCHEDULE K, PART II, LINE 3 BOND ISSUE 2-C (2012A-C): The amount shown in Part II, Line 3 consists of the issue price of the bonds $288,143,095 plus investment earnings of $17,234. SCHEDULE K, PART III - PRIVATE BUSINESS USE BOND ISSUE B (2008A): The Series 2008A bonds refunded prior bonds originally issued before 2003. Accordingly, Part III reporting is not required. BOND ISSUE D (2005A/2008G): The Series 2005A Bonds refunded prior bonds originally issued before 2003. Accordingly, Part III reporting is not required. SCHEDULE K, PART III, LINE 3B THE OBLIGOR'S LEGAL DEPARTMENT REVIEWS CONTRACTS AND AGREEMENTS TO ENSURE COMPLIANCE WITH PRIVATE BUSINESS USE REGULATIONS, ENGAGING OUTSIDE LEGAL COUNSEL, AS NECESSARY. SCHEDULE K, PART IV, LINE 2C BOND ISSUE B (2008A): The 2008A rebate computation was recently performed on August 14, 2015. No rebate amount has accrued as of the end of the computation period. BOND ISSUE C (2008B-F): The 2008B-F rebate computation was recently performed on August 14, 2015. No rebate amount has accrued as of the end of the computation period. BOND ISSUE D (2005A/2008G): The 2005A/2008G rebate computation was recently performed on June 2, 2015. No rebate amount has accrued as of the end of the computation period. BOND ISSUE 2-A (2010A): The 2010A rebate computation was recently performed on February 4, 2015. No rebate amount has accrued as of the end of the computation period. BOND ISSUE 2-B (2010B/C): The 2010B/C rebate computation was recently performed on February 4, 2015. No rebate amount has accrued as of the end of the computation period. BOND ISSUE 2-C (2012A-C): The 2012A-C rebate computation was recently performed on February 1, 2015. No rebate amount has accrued as of the end of the computation period. SCHEDULE K, PART IV, LINE 3 BOND ISSUE 2-C (2012A-C): THE 2012A ISSUE TOTALING $188,143,094.65 IS A FIXED RATE ISSUE WHEREAS THE 2010B&C TOTALING $100,000,000 IS A VARIABLE RATE ISSUE. BOND ISSUE C (2008B-F): ON SEPTEMBER 18, 2012 THE ORGANIZATION ENTERED INTO INTEREST RATE SWAP NOVATIONS WITH WELLS FARGO BANK, N.A. AND UNION BANK, N.A., AS COUNTERPARTY, REPLACING THEN-EXISTING INTEREST RATE SWAPS WITH CITIBANK, N.A. BOND ISSUE D (2005A/2008G): ON SEPTEMBER 18, 2012 THE ORGANIZATION ENTERED INTO INTEREST RATE SWAP NOVATIONS WITH WELLS FARGO BANK, N.A., AS COUNTERPARTY, REPLACING THEN-EXISTING INTEREST RATE SWAPS WITH CITIBANK, N.A. SCHEDULE K, PART IV, LINE 6 BOND ISSUE A (2007A): AN AMOUNT IN THE COSTS OF ISSUANCE FUND NOT EXCEEDING $100,000 WAS NOT DISBURSED UNTIL MAY 2008. BOND ISSUE D (2005A/2008G): THE ISSUE DATE FOR THE 2005A WAS 6/17/2005. THE COST OF ISSUANCE WAS NOT EXPENDED UNTIL 1/4/2006. PER THE TAX CERTIFICATE IT WAS EXPECTED TO BE EXPENDED WITHIN 180 DAYS. SCHEDULE K, PART V PROCEDURES TO UNDERTAKE CORRECTIVE ACTION THE ORGANIZATION HAS ADOPTED TAX-EXEMPT BOND COMPLIANCE PROCEDURES, INCLUDING PROCEDURES TO MONITOR PRIVATE BUSINESS USE OF FINANCED PROPERTY AND TAKING REMEDIAL ACTIONS, IF NECESSARY. THE ORGANIZATION IS AWARE OF THE SERVICE'S VOLUNTARY CLOSING AGREEMENT PROGRAM FOR TAX-EXEMPT BONDS, AND HAS DISCUSSED THAT PROGRAM WITH COUNSEL. THE ORGANIZATION IS SUPPLEMENTING ITS WRITTEN PROCEDURES TO SPECIFICALLY MAKE REFERENCE TO THE SERVICE'S VOLUNTARY CLOSING AGREEMENT PROGRAM FOR TAX-EXEMPT BONDS.ExplanationTxt

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (3 entries)

Bond ReferenceBondReferenceCdBond Issuer EINBondIssuerEINCUSIPCUSIPNumBond IssuedBondIssuedDtIssue PriceIssuePriceAmtPurposePurposeDescDefeasedDefeasedIndOn Behalf Of IssuerOnBehalfOfIssuerIndPool FinancingPoolFinancingInd
California Health Facilities Financing Authority
A52164382813033LFH52010-02-04$119,458,924SEE PART VIfalsefalsefalse
California Health Facilities Financing Authority
B52164382813033LFL62010-02-04$100,000,000SEE PART VIfalsefalsefalse
California Health Facilities Financing Authority
C52164382813033LVZ72012-02-01$288,143,095SEE PART VIfalsefalsefalse

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (3 entries)

Bond ReferenceBondReferenceCdRetiredRetiredAmtBond DefeasedBondDefeasedAmtTotal ProceedsTotalProceedsAmtIn Reserve FundInReserveFundAmtCapitalized InterestCapitalizedInterestAmtRefunding EscrowRefundingEscrowAmtIssuance Costs From ProceedsIssuanceCostsFromProceedsAmtCredit EnhancementCreditEnhancementAmtWorking Capital ExpendituresWorkingCapitalExpendituresAmtCapital ExpendituresCapitalExpendituresAmtOther Spent ProceedsOtherSpentProceedsAmtUnspentUnspentAmtSubstantial CompletionSubstantialCompletionYrCurrent RefundingCurrentRefundingIndAdvance RefundingAdvanceRefundingIndFinal Allocation MadeFinalAllocationMadeIndAdequate Books And Rec MaintAdequateBooksAndRecMaintInd
A$5,425,000$0$119,581,432$0$0$0$0$0$0$119,458,924$0$122,5082011falsefalseYes (true)Yes (true)
B$0$0$100,005,060$0$0$0$0$0$0$100,002,530$0$2,5302011falsefalseYes (true)Yes (true)
C$0$0$288,160,329$0$0$0$0$0$0$288,160,329$0$17,2342013falsefalseYes (true)Yes (true)

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (3 entries)

Bond ReferenceBondReferenceCdOwning Bond Financed PropertyOwningBondFinancedPropertyIndAny Lease ArrangementsAnyLeaseArrangementsIndMgmt Contract Bond Fincd PropMgmtContractBondFincdPropIndEngage Bond Counsel ContractsEngageBondCounselContractsIndAny Research AgreementsAnyResearchAgreementsIndEngage Bond Counsel ResearchEngageBondCounselResearchIndPrivate Bus Use By OthersPrivateBusUseByOthersPctPrivate Bus Concerning UBIPrivateBusConcerningUBIPctTotal Private Business UseTotalPrivateBusinessUsePctBond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestIndChange In Use Bond Financed PropChangeInUseBondFinancedPropIndChange In Use Bond Financed PropChangeInUseBondFinancedPropPctRemedial Action TakenRemedialActionTakenIndProcs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
AfalsefalseYes (true)Yes (true)Yes (true)Yes (true)0.000000.000000.00000falsefalse0.00000falseYes (true)
BfalsefalseYes (true)Yes (true)Yes (true)Yes (true)0.000000.000000.00000falsefalse0.00000falseYes (true)
CfalsefalseYes (true)Yes (true)Yes (true)Yes (true)0.000000.000000.00000falsefalse0.00000falseYes (true)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (3 entries)

Bond ReferenceBondReferenceCdForm8038 T FiledForm8038TFiledIndRebate Not Due YetRebateNotDueYetIndException To RebateExceptionToRebateIndNo Rebate DueNoRebateDueIndVariable Rate IssueVariableRateIssueIndHedge Identified In Bks And RecHedgeIdentifiedInBksAndRecIndGross Proceeds Invested In GICGrossProceedsInvestedInGICIndBusiness Name Line1GICProviderName/BusinessNameLine1TxtGross Proceeds InvestedGrossProceedsInvestedIndWritten Proc To Monitor ReqsWrittenProcToMonitorReqsInd
0
AfalsefalsefalseYes (true)falsefalsefalse0falseYes (true)
0
BfalsefalseYes (true)falseYes (true)falsefalse0falseYes (true)
0
CfalsefalsefalseYes (true)Yes (true)falsefalse0falseYes (true)

Procedures Corrective Action ProceduresCorrectiveActionGrp (3 entries)

Bond ReferenceBondReferenceCdProcedures Corrective ActionProceduresCorrectiveActionInd
AYes (true)
BYes (true)
CYes (true)

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line Reference0FormAndLineReferenceDesc

Schedule L IRS990ScheduleL

Loans Btwn Org Interested Prsn LoansBtwnOrgInterestedPrsnGrp (4 entries)

Relationship With OrgRelationshipWithOrgTxtLoan PurposeLoanPurposeTxtLoan From OrganizationLoanFromOrganizationIndOriginal PrincipalOriginalPrincipalAmtBalance DueBalanceDueAmtDefaultDefaultIndBoard Or Committee ApprovalBoardOrCommitteeApprovalIndWritten AgreementWrittenAgreementInd
Christopher Van GORDER
OFFICERDeferred CompensatioYes (X)$10,023,866$10,526,352falseYes (true)Yes (true)
June Komar
EXECUTIVEDeferred CompensatioYes (X)$2,769,010$2,907,818falseYes (true)Yes (true)
Richard Sheridan
EXECUTIVEDeferred CompensatioYes (X)$4,063,606$4,267,310falseYes (true)Yes (true)
Robin Brown
EXECUTIVEDeferred CompensatioYes (X)$2,668,899$2,802,688falseYes (true)Yes (true)
FieldValueIRS element (for citing)
Total Balance Due$20,504,168TotalBalanceDueAmt

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (24 entries)

Relationship DescriptionRelationshipDescriptionTxtTransactionTransactionAmtTransactionTransactionDescSharing Of RevenuesSharingOfRevenuesInd
SCHEDULE B DONOR 135
SUBSTANTIAL CONTRIBUTOR$74,600,257CONSTRUCTION SERVICESfalse
SCHEDULE B DONOR 138
SUBSTANTIAL CONTRIBUTOR$71,050,271MEDICAL SERVICESfalse
SCHEDULE B DONOR 374
SUBSTANTIAL CONTRIBUTOR$9,106,450MEDICAL SERVICESfalse
SCHEDULE B DONOR 69
SUBSTANTIAL CONTRIBUTOR$7,134,120MEDICAL SERVICESfalse
SCHEDULE B DONOR 389
SUBSTANTIAL CONTRIBUTOR$4,015,888MEDICAL SERVICESfalse
SCHEDULE B DONOR 100
SUBSTANTIAL CONTRIBUTOR$2,533,757LEGAL SERVICESfalse
SCHEDULE B DONOR 10
SUBSTANTIAL CONTRIBUTOR$2,146,980MEDICAL SERVICESfalse
SCHEDULE B DONOR 409
SUBSTANTIAL CONTRIBUTOR$1,626,244INSURANCE SERVICESfalse
SCHEDULE B DONOR 440
SUBSTANTIAL CONTRIBUTOR$1,460,013LEGAL SERVICESfalse
SCHEDULE B DONOR 98
SUBSTANTIAL CONTRIBUTOR$1,030,537LEGAL SERVICESfalse
SCHEDULE B DONOR 19
SUBSTANTIAL CONTRIBUTOR$802,239CONSTRUCTION SERVICESfalse
SCHEDULE B DONOR 36
SUBSTANTIAL CONTRIBUTOR$637,365CONSTRUCTION SERVICESfalse
SCHEDULE B DONOR 276
SUBSTANTIAL CONTRIBUTOR$426,086PAYROLLfalse
SCHEDULE B DONOR 361
SUBSTANTIAL CONTRIBUTOR$402,001MEDICAL SERVICESfalse
SCHEDULE B DONOR 364
SUBSTANTIAL CONTRIBUTOR$393,886MEDICAL SERVICESfalse
SCHEDULE B DONOR 337
SUBSTANTIAL CONTRIBUTOR$342,269PAYROLLfalse
SCHEDULE B DONOR 64
SUBSTANTIAL CONTRIBUTOR$255,750PHYSICIAN SERVICESfalse
SCHEDULE B DONOR 61
SUBSTANTIAL CONTRIBUTOR$236,771PAYROLLfalse
SCHEDULE B DONOR 301
SUBSTANTIAL CONTRIBUTOR$208,527PAYROLLfalse
SCHEDULE B DONOR 433
SUBSTANTIAL CONTRIBUTOR$198,267RECRUITING SERVICESfalse
SCHEDULE B DONOR 254
SUBSTANTIAL CONTRIBUTOR$147,627PAYROLLfalse
SCHEDULE B DONOR 357
SUBSTANTIAL CONTRIBUTOR$123,675PAYROLLfalse
SCHEDULE B DONOR 338
SUBSTANTIAL CONTRIBUTOR$120,724PAYROLLfalse
MATTHEW BALOGH
SEE PART V$81,944SEE PART Vfalse

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
SCHEDULE L, PART IILoans to and from Interested Persons 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 aggrangements to those four executives in the form of loans to purchase life insurance products to fund post-retirement income.
SCHEDULE L, PART IVMATTHEW BALOGH, SON-IN-LAW OF BOARD MEMBER GORDON R. CLARK, IS EMPLOYED BY SCRIPPS HEALTH.

Schedule M IRS990ScheduleM

Works Of Art WorksOfArtGrp

FieldValueIRS element (for citing)
Non Cash CheckboxYes (X)NonCashCheckboxInd
Contribution3ContributionCnt
Noncash Contributions Rpt F990$55,980NoncashContributionsRptF990Amt
Method Of Determining RevenuesOpinion of expertsMethodOfDeterminingRevenuesTxt
FieldValueIRS element (for citing)
Art Historical TreasuresArtHistoricalTreasuresGrp
Art Fractional InterestArtFractionalInterestGrp
Books And PublicationsBooksAndPublicationsGrp
Clothing And Household GoodsClothingAndHouseholdGoodsGrp
Cars And Other VehiclesCarsAndOtherVehiclesGrp
Boats And PlanesBoatsAndPlanesGrp
Intellectual PropertyIntellectualPropertyGrp

Securities Publicly Traded SecuritiesPubliclyTradedGrp

FieldValueIRS element (for citing)
Non Cash CheckboxYes (X)NonCashCheckboxInd
Contribution30ContributionCnt
Noncash Contributions Rpt F990$5,374,363NoncashContributionsRptF990Amt
Method Of Determining RevenuesCost/selling priceMethodOfDeterminingRevenuesTxt
FieldValueIRS element (for citing)
Securities Closely Held StockSecuritiesCloselyHeldStockGrp
Secur Prtnrshp Trust IntrstsSecurPrtnrshpTrustIntrstsGrp
Securities MiscellaneousSecuritiesMiscellaneousGrp
Qualified Contrib Hist StructQualifiedContribHistStructGrp
Qualified Contrib OtherQualifiedContribOtherGrp

Real Estate Residential RealEstateResidentialGrp

FieldValueIRS element (for citing)
Non Cash CheckboxYes (X)NonCashCheckboxInd
Contribution1ContributionCnt
Noncash Contributions Rpt F990$262,647NoncashContributionsRptF990Amt
Method Of Determining RevenuesOpinion of ExpertsMethodOfDeterminingRevenuesTxt
FieldValueIRS element (for citing)
Real Estate CommercialRealEstateCommercialGrp
Real Estate OtherRealEstateOtherGrp
CollectiblesCollectiblesGrp
Food InventoryFoodInventoryGrp
Drugs And Medical SuppliesDrugsAndMedicalSuppliesGrp
TaxidermyTaxidermyGrp
Historical ArtifactsHistoricalArtifactsGrp
Scientific SpecimensScientificSpecimensGrp
Archaeological ArtifactsArchaeologicalArtifactsGrp
Form8283 Received3Form8283ReceivedCnt
Any Property That Must Be HeldfalseAnyPropertyThatMustBeHeldInd
Review Process Unusual NC GiftsYes (true)ReviewProcessUnusualNCGiftsInd
Third Parties UsedYes (true)ThirdPartiesUsedInd

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
SCHEDULE M, PART I, COLUMN (B)CONTRIBUTIONS REPORTED THE NUMBER OF TRANSACTIONS, WHICH MOST CLOSELY APPROXIMATES THE NUMBER OF ITEMS CONTRIBUTED, IS BEING REPORTED IN COLUMN B.
SCHEDULE M, PART I, LINE 32BTHIRD PARTIES ENGAGED TO SOLICIT, PROCESS, AND SELL NON-CASH CONTRIBUTIONS GIFTS. GIFTS OF REAL ESTATE ARE LIQUIDATED THROUGH LICENSED REAL ESTATE BROKERS.

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (25 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART I AND PART III, LINE 1MISSION STATEMENT FOUNDED IN 1924 BY PHILANTHROPIST ELLEN BROWNING SCRIPPS, SCRIPPS HEALTH IS A $2.9 BILLION, PRIVATE NOT-FOR-PROFIT INTEGRATED HEALTH SYSTEM IN SAN DIEGO, CALIFORNIA. SCRIPPS TREATS OVER HALF A MILLION PATIENTS ANNUALLY THROUGH THE DEDICATION OF 2,600 AFFILIATED PHYSICIANS AND 13,000 EMPLOYEES AMONG ITS FIVE ACUTE-CARE HOSPITAL CAMPUSES, HOME HEALTH CARE, AND AN AMBULATORY CARE NETWORK OF CLINICS, PHYSICIANS' OFFICES AND OUTPATIENT CENTERS THROUGHOUT THE SAN DIEGO REGION. RECOGNIZED AS A LEADER IN THE PREVENTION, DIAGNOSIS AND TREATMENT OF DISEASE, SCRIPPS IS ALSO AT THE FOREFRONT OF CLINICAL RESEARCH, GENOMIC MEDICINE, WIRELESS HEALTH AND GRADUATE MEDICAL EDUCATION. WITH THREE HIGHLY RESPECTED GRADUATE MEDICAL EDUCATION PROGRAMS, SCRIPPS IS A LONG STANDING MEMBER OF THE ASSOCIATION OF AMERICAN MEDICAL COLLEGES. MORE INFORMATION CAN BE FOUND AT WWW.SCRIPPS.ORG. TODAY, THE HEALTH SYSTEM EXTENDS FROM CHULA VISTA TO OCEANSIDE, WITH 26 PRIMARY AND SPECIALTY CARE OUTPATIENT CENTERS. A LEADER IN THE PREVENTION, DIAGNOSIS AND TREATMENT OF DISEASE, SCRIPPS HAS BEEN RANKED FOUR TIMES AS ONE OF THE NATION'S BEST HEALTH CARE SYSTEMS BY TRUVEN HEALTH ANALYTICS. ON THE FOREFRONT OF GENOMIC MEDICINE AND WIRELESS HEALTH TECHNOLOGY, THE ORGANIZATION IS DEDICATED TO IMPROVING COMMUNITY HEALTH WHILE ADVANCING MEDICINE THROUGH CLINICAL RESEARCH AND GRADUATE MEDICAL EDUCATION. SCRIPPS HAS ALSO EARNED A NATIONAL REPUTATION AS A PREMIER EMPLOYER, NAMED BY FORTUNE MAGAZINE AS ONE OF AMERICA'S "100 BEST COMPANIES TO WORK FOR" EVERY YEAR SINCE 2008. SCRIPPS HEALTH'S MISSION STATEMENT IS AS FOLLOWS: SCRIPPS STRIVES TO PROVIDE SUPERIOR HEALTH SERVICES IN A CARING ENVIRONMENT AND TO MAKE A POSITIVE MEASURABLE DIFFERENCE IN THE HEALTH OF INDIVIDUALS IN THE COMMUNITIES WE SERVE. WE DEVOTE OUR RESOURCES TO DELIVERING QUALITY, SAFE, COST-EFFECTIVE, AND SOCIALLY RESPONSIBLE HEALTH CARE SERVICES. WE ADVANCE CLINICAL RESEARCH, HEALTH EDUCATION, EDUCATION OF PHYSICIANS AND HEALTH CARE PROFESSIONALS, AND SPONSOR GRADUATE MEDICAL EDUCATION. WE COLLABORATE WITH OTHERS TO DELIVER THE CONTINUUM OF CARE THAT IMPROVES THE HEALTH OF OUR COMMUNITY.
FORM 990, PART III, LINE 4APROGRAM SERVICE ACCOMPLISHMENTS FULFILLING THE SCRIPPS MISSION DURING THIS FISCAL YEAR, SCRIPPS DEVOTED $353,578,378 TO COMMUNITY BENEFIT PROGRAMS AND SERVICES IN THE AREAS OF UNCOMPENSATED CARE, COMMUNITY HEALTH SERVICES, PROFESSIONAL EDUCATION AND HEALTH RESEARCH. OUR PROGRAMS EMPHASIZE COMMUNITY-BASED PREVENTION EFFORTS AND USE INNOVATIVE APPROACHES TO REACH RESIDENTS AT GREATEST RISK FOR HEALTH PROBLEMS. WE MAKE COMMITMENTS TO IMPROVE THE HEALTH OF OUR PATIENTS AND OUR SAN DIEGO COMMUNITIES. AS A LONG-STANDING MEMBER OF THESE COMMUNITIES, AND AS A NOT-FOR-PROFIT COMMUNITY RESOURCE, OUR GOAL AND RESPONSIBILITY ARE TO PROVIDE HELP AND ASSISTANCE FOR ALL WHO COME TO US FOR CARE, AND TO REACH OUT ESPECIALLY TO THOSE WHO FIND THEMSELVES VULNERABLE AND WITHOUT SUPPORT. THIS RESPONSIBILITY IS AN INTRINSIC PART OF OUR MISSION. THROUGH OUR CONTINUED ACTIONS AND COMMUNITY PARTNERSHIPS, WE STRIVE TO RAISE THE QUALITY OF LIFE IN THE COMMUNITY AS A WHOLE. ASSESSING COMMUNITY NEED CALIFORNIA SENATE BILL 697 REQUIRES THE UPDATING OF A COMMUNITY HEALTH NEEDS ASSESSMENT AT LEAST EVERY THREE YEARS. IDENTIFYING SAN DIEGO COUNTY'S HEALTH PRIORITIES IS A COMPLEX PROCESS OUTLINED IN THE FOLLOWING PAGES. SCRIPPS STRIVES TO IMPROVE COMMUNITY HEALTH THROUGH COLLABORATION. WORKING WITH OTHER HEALTH SYSTEMS, COMMUNITY GROUPS, GOVERNMENT AGENCIES, BUSINESSES AND GRASSROOTS MOVEMENTS, WE ARE BETTER ABLE TO BUILD UPON EXISTING ASSETS TO ACHIEVE BROAD COMMUNITY HEALTH GOALS. COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) ORIGINATED FROM CALIFORNIA STATEWIDE LEGISLATION IN THE EARLY 1990S. SB 697 TOOK EFFECT IN 1995, WHICH REQUIRED PRIVATE NON-PROFIT HOSPITALS TO SUBMIT DETAILED INFORMATION TO THE OFFICE OF STATEWIDE HEALTH PLANNING AND DEVELOPMENT (OSHPD) ON THEIR COMMUNITY BENEFIT CONTRIBUTIONS. ANNUAL HOSPITAL COMMUNITY BENEFIT REPORTS ARE SUMMARIZED BY OSHPD IN A REPORT TO THE LEGISLATURE, WHICH PROVIDES VALUABLE INFORMATION FOR GOVERNMENT OFFICIALS TO ASSESS THE CARE AND SERVICES PROVIDED TO THEIR CONSTITUENTS. AS PART OF THE COMMUNITY BENEFIT REPORTS FILED, NON-PROFIT HOSPITALS ARE REQUIRED TO CONDUCT A CHNA EVERY THREE YEARS. THIS COMPREHENSIVE ACCOUNT OF HEALTH NEEDS IN THE COMMUNITY IS DESIGNED FOR HOSPITALS TO PLAN THEIR COMMUNITY BENEFIT PROGRAMS TOGETHER WITH OTHER LOCAL HEALTH CARE INSTITUTIONS, COMMUNITY BASED ORGANIZATIONS, AND CONSUMER GROUPS. IN SAN DIEGO COUNTY, THE LONG HISTORY OF COLLABORATION AMONG HOSPITALS, HEALTHCARE SYSTEMS AND COMMUNITY PARTNERS HAS RESULTED IN SUCCESSFUL PARTNERSHIP ON PAST CHNAS. WHILE PUBLIC INSTITUTIONS AND DISTRICT HOSPITALS DO NOT HAVE TO REPORT UNDER SB 697, THESE INSTITUTIONS HAVE BECOME AN INTEGRAL PART OF THE CHNA IN SAN DIEGO COUNTY. INFORMATION IS GATHERED THROUGH THE CHNA FOR THE PURPOSES OF REPORTING COMMUNITY BENEFIT, DEVELOPING STRATEGIC PLANS, CREATING ANNUAL REPORTS, PROVIDING INPUT ON LEGISLATIVE DECISIONS, AND INFORMING THE GENERAL COMMUNITY OF HEALTH ISSUES AND TRENDS. SCRIPPS STRIVES TO IMPROVE COMMUNITY HEALTH THROUGH COLLABORATION. WORKING WITH OTHER HEALTH SYSTEMS, COMMUNITY GROUPS, GOVERNMENT AGENCIES, BUSINESSES AND GRASSROOTS MOVEMENTS, SCRIPPS IS BETTER ABLE TO BUILD UPON EXISTING ASSETS TO ACHIEVE BROAD COMMUNITY HEALTH GOALS. VIEW THE FULL SUMMARY OF THE SCRIPPS HEALTH FY2013 COMMUNITY HEALTH NEEDS ASSESSMENT REPORT AT HTTPS://WWW.SCRIPPS.ORG/ABOUT-US__SCRIPPS-IN-THE-COMMUNITY__ASSESSING-COMM UNITY-NEEDS. THIS DOCUMENT ALLOWS INTERESTED PARTIES AND MEMBERS OF THE COMMUNITY, A MECHANISM TO ACCESS THE FULL SPECTRUM OF INFORMATION RELATIVE TO THE DEVELOPMENT OF THE SCRIPPS HEALTH FY2013 COMMUNITY HEALTH NEEDS ASSESSMENT REPORT. BACKGROUND/REQUIRED COMPONENTS OF THE ASSESSMENT SCRIPPS HEALTH HAS A LONG HISTORY OF RESPONDING TO THE HEALTH NEEDS OF THE COMMUNITIES IT SERVES, EXTENDING BEYOND TRADITIONAL HOSPITAL CARE TO ADDRESS THE HEALTH CARE NEEDS OF THE REGION'S MOST VULNERABLE POPULATIONS. SINCE 1994, THESE PROGRAMS HAVE BEEN CREATED BASED ON AN ASSESSMENT OF NEEDS IDENTIFIED THROUGH HOSPITAL DATA, COMMUNITY INPUT, AND MAJOR TRENDS. PREVIOUS COLLABORATIONS AMONG NON-PROFIT HOSPITALS, HEALTHCARE SYSTEMS, AND OTHER COMMUNITY PARTNERS HAVE RESULTED IN NUMEROUS WELL-REGARDED COMMUNITY HEALTH NEEDS ASSESSMENTS (CHNA) REPORTS. THE PATIENT PROTECTION AND AFFORDABLE CARE ACT ("AFFORDABLE CARE ACT" OR "ACA") OF 2010 IS BRINGING ABOUT SIGNIFICANT REGULATORY CHANGES IN THE HEALTHCARE INDUSTRY. SCRIPPS HEALTH WAS GIVEN THE TASK OF CONDUCTING AN EXPANDED COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) THAT MET THE NEW FEDERAL REQUIREMENTS. ADDITIONAL INFORMATION ON THE ACA REQUIREMENTS FOR NONPROFIT HOSPITALS CAN BE FOUND AT WWW.IRS.GOV, KEYWORD: "CHARITABLE ORGANIZATIONS". AS A NONPROFIT HOSPITAL, SCRIPPS HEALTH HAS FULFILLED THIS REQUIREMENT THROUGH THE DEVELOPMENT AND DISTRIBUTION OF THIS ASSESSMENT. WHILE THIS IS A FEDERALLY MANDATED EXERCISE, SCRIPPS HEALTH HOPES TO LEVERAGE THE INFORMATION COLLECTED FOR THIS REPORT TO BENEFIT THE COMMUNITY AT-LARGE IN OTHER FUTURE PLANNING INITIATIVES. THE IRS ALSO REQUIRED HOSPITAL ORGANIZATIONS THAT CONDUCT A CHNA TO MAKE THE REPORT WIDELY AVAILABLE BY POSTING IT ON A PUBLICLY ACCESSIBLE WEBSITE. VIEW THE FULL SUMMARY OF THE Scripps Health FY2013 Community Health Needs Assessment Report AT HTTPS://WWW.SCRIPPS.ORG/ABOUT-US__SCRIPPS-IN-THE-COMMUNITY__ASSESSING-COMM UNITY-NEEDS. REQUIRED COMPONENTS OF THE ASSESSMENT PER IRS REQUIREMENTS THERE ARE FIVE COMPONENTS THE CHNA MUST INCLUDE: - A DESCRIPTION OF THE COMMUNITY SERVED BY THE HEALTH SYSTEM AND HOW IT WAS DETERMINED. - A DESCRIPTION OF THE PROCESSES AND METHODS USED TO CONDUCT THE ASSESSMENT. - A DESCRIPTION OF HOW THE HOSPITAL ORGANIZATION TOOK INTO ACCOUNT INPUT FROM PERSONS WHO REPRESENT THE BROAD INTERESTS OF THE COMMUNITY SERVED BY THE HOSPITAL FACILITY. - A PRIORITIZED DESCRIPTION OF ALL OF THE COMMUNITY HEALTH NEEDS IDENTIFIED THROUGH THE CHNA, AS WELL AS A DESCRIPTION OF THE PROCESS AND CRITERIA USED IN PRIORITIZING SUCH HEALTH NEEDS. - A DESCRIPTION OF THE EXISTING HEALTH CARE FACILITIES AND OTHER RESOURCES WITHIN THE COMMUNITY AVAILABLE TO MEET THE COMMUNITY HEALTH NEEDS IDENTIFIED THROUGH THE CHNA. EXECUTIVE SUMMARY GROUNDED IN A LONGSTANDING COMMITMENT TO ADDRESS COMMUNITY HEALTH NEEDS IN SAN DIEGO, SEVEN HOSPITALS AND HEALTHCARE SYSTEMS CAME TOGETHER UNDER THE AUSPICES OF THE HOSPITAL ASSOCIATION OF SAN DIEGO AND IMPERIAL COUNTIES (HASD&IC) TO CONDUCT A TRIENNIAL COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) THAT IDENTIFIES AND PRIORITIZES THE MOST CRITICAL HEALTH-RELATED NEEDS OF SAN DIEGO COUNTY RESIDENTS. PARTICIPATING HOSPITALS WILL USE THE FINDINGS TO GUIDE THEIR COMMUNITY PROGRAMS AND TO MEET IRS REGULATORY REQUIREMENTS THAT NOT FOR PROFIT (TAX EXEMPT) HOSPITALS CONDUCT A HEALTH NEEDS ASSESSMENT IN THE COMMUNITY ONCE EVERY THREE YEARS. PER GUIDANCE FROM AN ADVISORY GROUP OF HOSPITAL REPRESENTATIVES, HASD&IC CONTRACTED WITH THE INSTITUTE OF PUBLIC HEALTH (IPH) AT SAN DIEGO STATE UNIVERSITY TO DESIGN AND IMPLEMENT THE CHNA. THE IPH EMPLOYED A RIGOROUS METHODOLOGY USING BOTH COMMUNITY INPUT (PRIMARY DATA SOURCES) AND QUANTITATIVE ANALYSIS (SECONDARY DATA SOURCES) TO IDENTIFY AND PRIORITIZE THE TOP HEALTH CONDITIONS IN SAN DIEGO COUNTY. SAN DIEGO COUNTY IS A SOCIALLY AND ETHNICALLY DIVERSE COMMUNITY WITH A POPULATION OF 3.2 MILLION PEOPLE. ALTHOUGH THE STUDY AREA FOR THIS CHNA IS THE ENTIRE COUNTY, EACH HOSPITAL HAS THE ABILITY TO USE THE COUNTY-WIDE FINDINGS OR ADAPT THE FINDINGS TO REFLECT THE COMMUNITIES THEY SERVE, AS MUCH OF THE DATA IS AVAILABLE AT ZIP CODE LEVEL. IN ORDER TO PRIORITIZE THE COMMUNITY HEALTH NEEDS, THE IPH DEVELOPED A METHODOLOGY THAT INCLUDED BOTH QUALITATIVE AND QUANTITATIVE DATA SOURCES. QUANTITATIVE DATA INCLUDED HOSPITAL DISCHARGE DATA, STATISTICS FROM THE SAN DIEGO COUNTY HEALTH AND HUMAN SERVICES AGENCY, THE US CENSUS BUREAU, THE CENTERS FOR DISEASE CONTROL, AND OTHERS. THE IPH ALSO SOUGHT DIRECT INPUT FROM THE COMMUNITY THROUGH AN ELECTRONIC SURVEY TO HEALTH EXPERTS AND COMMUNITY LEADERS, KEY INFORMANT INTERVIEWS, AND COMMUNITY FORUMS. HEALTH EXPERT, COMMUNITY LEADER AND RESIDENT FEEDBACK THE IPH AND CHNA ADVISORY WORKGROUP SOUGHT FEEDBACK FROM COMMUNITY LEADERS, HEALTH EXPERTS AND RESIDENTS OF VULNERABLE COMMUNITIES. THIS WAS DONE THROUGH THREE METHODS: AN ELECTRONIC SURVEY FOR COMMUNITY LEADERS AND HEALTH EXPERTS; KEY INFORMANT INTERVIEWS; AND COMMUNITY FORUMS FOR RESIDENTS IN VULNERABLE COMMUNITIES THROUGHOUT SAN DIEGO COUNTY. - ONLINE SURVEY OF HEALTH EXPERTS AND LEADERS INITIAL EMAIL SAMPLE (N=120). TOTAL SURVEYS COMPLETED (N=89) - COMMUNITY FORUMS (106 COMMUNITY RESIDENTS) EL CAJON, OCEANSIDE, ESCONDIDO, LOGAN HEIGHTS, AND SAN YSIDRO CONDUCTED IN NEIGHBORHOODS WITH HIGH COMMUNITY NEED INDEX SCORES - FIVE KEY INFORMANT INTERVIEWS LEADERS CHOSEN BASED ON DISCIPLINE EXPERTISE AND KNOWLEDGE OF HEALTH ISSUES AFFECTING COMMUNITIES
FORM 990, PART III, LINE 4A (CONTINUED)PRIORITIZED HEALTH CONDITIONS PRIORITIZED SAN DIEGO COUNTY COMMUNITY HEALTH NEEDS: THE HEALTH NEEDS WERE PRIORITIZED BASED ON THE FOLLOWING CRITERIA: - HAVE A SIGNIFICANT PREVALENCE IN THE COMMUNITY, - CONTRIBUTE SIGNIFICANTLY TO THE MORBIDITY AND MORTALITY IN SAN DIEGO COUNTY, - DISPROPORTIONATELY IMPACT VULNERABLE COMMUNITIES, - REFLECT A NEED THAT EXISTS THROUGHOUT SAN DIEGO COUNTY, AND - CAN BE ADDRESSED THROUGH EVIDENCE-BASED PRACTICES BY HOSPITALS AND HEALTH CARE SYSTEMS. REPORT FINDINGS SAN DIEGO COUNTY COMMUNITY HEALTH NEEDS WHEN THE IPH COMBINED THE RESULTS OF ALL THE DATA AND INFORMATION GATHERED, FOUR CONDITIONS EMERGED CLEARLY AS THE TOP COMMUNITY HEALTH NEEDS IN SAN DIEGO COUNTY (IN ALPHABETICAL ORDER): - CARDIOVASCULAR DISEASE - MENTAL/BEHAVIORAL HEALTH - DIABETES (TYPE 2) - OBESITY HEALTH THEMES IDENTIFIED IN THE COMMUNITY HEALTH NEEDS ASSESSMENT ONCE ALL THE COMMUNITY INPUT WAS INTEGRATED (SURVEY RESPONDENTS, KEY INTERVIEWEES, AND COMMUNITY FORUM PARTICIPANTS) THE FOLLOWING FIVE BROAD CATEGORIES EMERGED AS RECOMMENDATIONS FOR HOSPITALS TO ORGANIZE COMMUNITY HEALTH PROGRAMS: - ACCESS TO CARE OR INSURANCE - CARE MANAGEMENT - EDUCATION - SCREENING SERVICES - COLLABORATION SCRIPPS HEALTH IMPLEMENTATION PLAN SCRIPPS HEALTH HAS A LONG HISTORY (SINCE OCTOBER 1994) OF RESPONDING TO THE HEALTH NEEDS OF THE COMMUNITIES THEY SERVE, EXTENDING BEYOND TRADITIONAL HOSPITAL CARE TO PROVIDE COMMUNITY BENEFIT PROGRAMS THAT ADDRESS THE HEALTH CARE NEEDS OF THE REGION'S MOST VULNERABLE POPULATIONS. WITH THE CHNA COMPLETE AND HEALTH PRIORITY AREAS IDENTIFIED, SCRIPPS HEALTH DEVELOPED A SYSTEM-WIDE CORRESPONDING IMPLEMENTATION PLAN. THE IMPLEMENTATION PLAN TRANSLATES THE RESEARCH AND ANALYSIS PRESENTED IN THE ASSESSMENT INTO ACTUAL, MEASURABLE STRATEGIES AND OBJECTIVES THAT CAN BE CARRIED OUT TO IMPROVE COMMUNITY HEALTH OUTCOMES. IN FY2013, SCRIPPS HEALTH CONVENED AN INTERNAL WORKGROUP COMPRISED OF SCRIPPS EXECUTIVES, COMMUNITY BENEFIT REPRESENTATIVES AND CLINICAL CARE LINE LEADERS TO LEAD THE DEVELOPMENT OF THE SCRIPPS HEALTH IMPLEMENTATION PLAN. WHILE SCRIPPS HEALTH CANNOT REALISTICALLY ADDRESS EVERY ISSUE, SCRIPPS HEALTH WILL ENDEAVOR TO RESOLVE THOSE THAT MOST HEAVILY AFFECT OUR PATIENT POPULATIONS, SERVICE AREA AND ARE CONSISTENT WITH OUR STRATEGY AND RESOURCE AVAILABILITY. IN ADDITION TO THE CHNA AND IMPLEMENTATION PLAN, SCRIPPS HEALTH WILL CONTINUE TO MEET COMMUNITY NEEDS BY PROVIDING CHARITY CARE AND UNCOMPENSATED CARE, PROFESSIONAL EDUCATION AND COMMUNITY BENEFIT PROGRAMS. SCRIPPS OFFERS COMMUNITY BENEFIT SERVICES THROUGH OUR FIVE ACUTE-CARE HOSPITAL CAMPUSES, HOME HEALTH SERVICES, WELLNESS CENTERS AND CLINICS. SCRIPPS HEALTH ANTICIPATES THE IMPLEMENTATION STRATEGIES MAY EVOLVE DUE TO THE FAST PACE AT WHICH THE COMMUNITY AND HEALTH CARE INDUSTRY CHANGES. THEREFORE, A FLEXIBLE APPROACH IS BEST SUITED FOR THE DEVELOPMENT OF ITS RESPONSE TO THE SCRIPPS HEALTH COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA). ON AN ANNUAL BASIS SCRIPPS HEALTH EVALUATES THE IMPLEMENTATION STRATEGY AND ITS RESOURCES AND INTERVENTIONS; AND MAKES ADJUSTMENTS AS NEEDED TO ACHIEVE ITS STATED GOALS AND OUTCOME MEASURES AS WELL AS TO ADAPT TO THE CHANGES AND RESOURCES AVAILABLE. SCRIPPS DESCRIBES ANY CHALLENGES ENCOUNTERED TO ACHIEVE THE OUTCOMES DESCRIBED AND MAKES MODIFICATIONS AS NEEDED. IN SUPPORT OF THE FY2013 COMMUNITY HEALTH NEEDS ASSESSMENT, AND ONGOING COMMUNITY BENEFIT INITIATIVES, A DETAILED DESCRIPTION OF SCRIPPS STRATEGIES AND CORRESPONDING MEASURES/METRICS FOR THE FOUR HEALTH ISSUES CAN BE FOUND AT SCRIPPS.ORG/COMMUNITYBENEFIT. LISTED BELOW ARE THE PROGRAMS SCRIPPS HEALTH IS ADDRESSING FOR THE HEALTH PRIORITY AREAS IDENTIFIED IN THE CHNA (METRICS ARE AS CURRENT AS FY15): CARDIOVASCULAR DISEASE HEART DISEASE IS THE LEADING CAUSE OF DEATH FOR PEOPLE OF MOST RACIAL/ETHNIC GROUPS IN THE UNITED STATES, INCLUDING AFRICAN AMERICANS, HISPANICS AND CAUCASIANS. BETWEEN 70 PERCENT AND 89 PERCENT OF SUDDEN CARDIAC EVENTS OCCUR IN MEN. ABOUT TWO-THIRDS (64 PERCENT) OF WOMEN WHO DIE SUDDENLY OF CORONARY HEART DISEASE HAVE NO PREVIOUS SYMPTOMS. AS A SPONSOR OF THE ERIC PAREDES SAVE A LIFE FOUNDATION, SCRIPPS HAS HELD MORE THAN 10,000 FREE CARDIAC SCREENINGS FOR LOCAL TEENS, INCLUDING THE HOMELESS AND THE UNDERINSURED. SCRIPPS PROVIDES FINANCIAL CONTRIBUTION ANNUALLY TO HELP PAY FOR THE SCREENINGS. IN 2014, SCRIPPS SUPPORTED SCREENING EVENTS AT HIGH SCHOOLS THROUGHOUT THE COUNTY AND SCREENED MORE THAN 4,188 TEENS, IDENTIFYING 85 WITH ABNORMALITIES AND 38 WHO WERE AT RISK. THE GOAL OF THE ERIC PAREDES SAVE A LIFE FOUNDATION SCREENINGS IS TO PREVENT SUDDEN CARDIAC ARREST AND DEATH IN MIDDLE AND HIGH SCHOOL AGED CHILDREN, INCLUDING UNDERSERVED AREAS IN SAN DIEGO COUNTY, THROUGH AWARENESS, EDUCATION AND ACTION. EACH YEAR 7,000 TEENS IN THE UNITED STATES LOSE THEIR LIVES DUE TO SUDDEN CARDIAC ARREST (SCA). SCA IS NOT A HEART ATTACK - IT IS CAUSED BY AN ABNORMALITY IN THE HEART'S ELECTRICAL SYSTEM THAT CAN BE EASILY DETECTED WITH A SIMPLE EKG. UNFORTUNATELY, HEART SCREENINGS ARE NOT PART OF A REGULAR, WELL CHILD EXAM OR PRE-PARTICIPATION SPORTS PHYSICAL. THE FIRST SYMPTOM OF SCA COULD BE DEATH. SAN DIEGO ALONE ANNUALLY LOSES THREE TO FIVE TEENS FROM SCA. SCREENINGS ARE NON-INVASIVE AND INCLUDE A HEALTH HISTORY AND EKG. SINCE 2010, NEARLY 18,500 YOUTH HAVE BEEN SCREENED. OF THOSE, ABOUT 375 HAD HEART ABNORMALITIES, AND 158 WERE FOUND TO BE AT RISK FOR SUDDEN CARDIAC ARREST IN ADDITION, HALF OF SCREENED YOUTH REPRESENT DIVERSE ETHNICITIES AND 40% OF YOUTH ARE FROM MODERATE TO EXTREMELY LOW-INCOME HOUSEHOLDS. HUNDREDS ARE WITHOUT REGULAR DOCTORS AND DOZENS WITHOUT HEALTH INSURANCE. THIRTY-SIX PERCENT OF THE SCHOOLS REPRESENTED ARE TITLE I SCHOOLS, IN WHICH THE MAJORITY OF THE STUDENTS AT THE SCHOOLS MEET POVERTY GUIDELINES. THE SCHOOLS QUALIFY FOR FEDERAL GOVERNMENT ASSISTANCE FUNDING SUCH AS FREE OR REDUCED FEE LUNCH PROGRAMS. WHEN FINDINGS ARE POSITIVE, SCRIPPS TAKES THE FOLLOWING STEPS: - CHECKS FOR AN ABNORMAL HEARTBEAT THAT COULD SIGNAL AN UNDERLYING HEART CONDITION USING AN ECHOCARDIOGRAM. - NOTIFIES PARENTS OF THE RESULTS FOR FOLLOW UP WITH THEIR FAMILY PHYSICIANS. IN FY 15, 4,138 ADOLESCENTS WERE SCREENED AND 61 HAD POSITIVE FINDINGS OF HEART ABNORMALITIES. TWENTY SIX ADOLESCENTS WERE IDENTIFIED AS HIGH RISK. POLICY IMPLICATIONS: A SUDDEN CARDIAC ARREST PREVENTION LEGISLATION HAS RECENTLY BEEN APPROVED BY A STATE ASSEMBLY COMMITTEE. IF THIS PROPOSED LEGISLATION BECOMES LAW, IT COULD BROADEN THE MESSAGE OF AWARENESS TO REACH KIDS THROUGHOUT CALIFORNIA. THE BILL WHICH WAS SPONSORED BY ASSEMBLYMAN BRIAN MAIENSCHEIN, WOULD REQUIRE A COACH OR SOMEONE IN A SIMILAR POSITION TO REMOVE A STUDENT WHO PASSES OUT OR FAINTS DURING ATHLETIC ACTIVITY. THE STUDENTS WOULD NEED TO BE CLEARED BY A MEDICAL PROFESSIONAL BEFORE GETTING BACK ON THE FIELD. ADDITIONALLY, COACHES WOULD HAVE TO COMPLETE SUDDEN CARDIAC ARREST PREVENTION TRAINING ONCE A YEAR. AS WRITTEN, THE PROPOSED LAW WOULD APPLY TO KINDERGARTENERS THROUGH 12TH-GRADERS AT PRIVATE, PUBLIC AND CHARTER SCHOOLS. IF IT PASSES, CALIFORNIA WILL JOIN NINE STATES THAT HAVE IMPLEMENTED PREVENTION REQUIREMENTS. PROPOSALS ARE PENDING IN SIX MORE STATES. DIABETES THERE ARE 29 MILLION PEOPLE WITH DIABETES IN THE UNITED STATES AND 382 MILLION WORLDWIDE, AND THE RATES ARE HIGHEST IN DIVERSE RACIAL AND ETHNIC COMMUNITIES AND LOW-INCOME POPULATIONS. TYPE 2 DIABETES HAS REACHED EPIDEMIC PROPORTIONS, AND PEOPLE OF HISPANIC ORIGIN HAVE DRAMATICALLY HIGHER RATES OF THE DISEASE AND THE COMPLICATIONS THAT GO ALONG WITH ITS POOR MANAGEMENT, INCLUDING CARDIOVASCULAR DISEASE, EYE DISEASE AND LIMB AMPUTATION. IN FACT, IT IS ESTIMATED THAT ONE OUT OF EVERY TWO HISPANIC CHILDREN BORN IN 2000 WILL DEVELOP DIABETES IN ADULTHOOD. THIS IS ESPECIALLY TRUE IN THE SOUTH BAY COMMUNITIES IN SAN DIEGO. SPECIFICALLY, THE CITY OF CHULA VISTA IS HOME TO 26,000 LATINOS WITH DIAGNOSED DIABETES AND TENS OF THOUSANDS MORE WHO ARE UNDIAGNOSED, HAVE PRE-DIABETES AND AT HIGH RISK OF DEVELOPING DIABETES. 1. DIABETES COMMUNITY HEALTH EDUCATION AND OUTREACH PROGRAM THE SCRIPPS WHITTIER DIABETES INSTITUTE COLLABORATES WITH COMMUNITY CLINICS AND ORGANIZATIONS TO PROVIDE MUCH NEEDED SERVICES AND SOLUTIONS. THE DIABETES COMMUNITY HEALTH EDUCATION AND OUTREACH PROGRAM IMPLEMENTS OUTREACH AND EDUCATIONAL PROGRAMS THAT INCREASE KNOWLEDGE ABOUT DIABETES AND PROVIDE ACCESS FOR THE COMMUNITY AND UNDERSERVED POPULATIONS. FOR THOSE THAT HAVE POSITIVE SCREENINGS AT OUTREACH EVENTS, A MEMBER OF THE SCRIPPS WHITTIER DIABETES TEAM FOLLOWS-UP WITH INDIVIDUALS WITHIN ONE WEEK OR SOONER IF THE FINDINGS ARE DANGEROUSLY OUT OF RANGE. THE FOLLOW-UP ENSURES THAT THE INDIVIDUALS ARE CONNECTED TO A PROVIDER IF THEY DO NOT HAVE ONE AT THE TIME, AND THAT THEY SCHEDULE AN APPOINTMENT WITH THEIR EXISTING PROVIDER (IF THEY HAVE ONE) OR REGISTERED TO ATTEND A PROJECT DULCE CLASS. AT SELECTED FEDERAL QUALIFIED HEALTH CENTERS (FQHC'S) WHITTIER STAFF HAVE DIRECT ACCESS TO SCHEDULING AN APPOINTMENT IN REAL-TIM
FORM 990, PART III, LINE 4A (CONTINUED)OBESITY DULCE MOTHERS BETWEEN 2007-2010, ONE OUT OF THREE AMERICAN ADULTS WAS CONSIDERED OBESE. OBESE INDIVIDUALS HAVE A 50 PERCENT TO 100 PERCENT INCREASED RISK OF PREMATURE DEATH FROM ALL CAUSES COMPARED TO INDIVIDUALS AT A HEALTHY WEIGHT. OBESITY-RELATED CONDITIONS INCLUDE HEART DISEASE, STROKE, TYPE 2 DIABETES AND CERTAIN TYPES OF CANCER, WHICH ARE SOME OF THE LEADING CAUSES OF PREVENTABLE DEATH. SCRIPPS BEGAN A PILOT PROGRAM, DULCE MOTHERS, WITH THE GOAL OF DECREASING THE INCIDENCE OF TYPE 2 DIABETES BY MANAGING A MAJOR RISK FACTOR - OBESITY - IN UNDERSERVED, ETHNICALLY DIVERSE POPULATIONS THROUGH TESTING THE EFFECTIVENESS OF A WEIGHT MANAGEMENT CURRICULUM DESIGNED FOR LATINO WOMEN WITH GESTATIONAL DIABETES (GDM). WOMEN WITH A HISTORY OF GDM AND WHO MEET THE CRITERIA FOR BEING OVERWEIGHT (BMI ABOVE 25) ARE REFERRED TO THE DULCE MOTHERS PROGRAM. DULCE MOTHERS BEGAN AS A PILOT PROGRAM WITH THE GOAL OF DECREASING THE INCIDENCE OF TYPE 2 DIABETES BY MANAGING A MAJOR RISK FACTOR - OBESITY - IN UNDERSERVED, ETHNICALLY DIVERSE POPULATIONS BY TESTING THE EFFECTIVENESS OF A WEIGHT MANAGEMENT CURRICULUM DESIGNED FOR LATINO WOMEN WITH GESTATIONAL DIABETES (GDM). WOMEN WITH A HISTORY OF GDM AND WHO MEET THE CRITERIA FOR BEING OVERWEIGHT (BMI ABOVE 25) ARE REFERRED TO SCRIPPS DULCE MOTHERS. CHALLENGES: THERE WAS NO DATA CAPTURED IN FY14, AS DULCE MOTHERS HAD SOME CHALLENGES IN INITIATING THE PILOT PROGRAM. THESE INCLUDED: SECURING COMMUNITY CLINIC PARTNERSHIPS THAT WOULD GENERATE PARTICIPANTS FOR THE PROGRAM IN A TIMELY MANNER. AS A RESULT, DULCE MOTHERS ADDED A SECOND ARM OF THE STUDY-PROGRAM NUESTRA VIDA, GEARED TOWARD 40 MIDDLE AGED WOMEN WHO ARE AT HIGH-RISK FOR CARDIO METABOLIC CONDITIONS. THIS PART OF THE PROGRAM IS BEING ADMINISTERED IN CHULA VISTA. SEE THE IDENTIFIED COMMUNITY NEED OBESITY CHART BREAKDOWN IN DETAILED IMPLEMENTATION PLAN UNDER NUESTRA VIDA FOR RESULTS. DULCE MOTHER'S WAS ADMINISTERED IN NORTH COUNTY (ESCONDIDO) AND BECAME AN ACTIVE OUTREACH PROGRAM IN FY15. IN FY15, THE DULCE MOTHERS PROGRAM CONTINUED TO BE AN INNOVATIVE OPPORTUNITY FOR HIGH-RISK LATINA WOMEN WITH A HISTORY GESTATIONAL DIABETES. THE OBJECTIVE OF THE PROGRAM IS TO PROVIDE THESE MOTHERS WITH TOOLS TO EMPOWER THEM TO TAKE OWNERSHIP OF THEIR WELL-BEING BY ULTIMATELY PREVENTING THE DEVELOPMENT OF TYPE 2 DIABETES FOR THEM AND THEIR CHILDREN; BOTH MOTHER AND BABY ARE AT GREAT RISK OF DEVELOPING THIS CHRONIC CONDITION IN THEIR LIFETIME. SOME OF THE LESSONS LEARNED FROM THIS PROGRAM IS THAT THIS POPULATION IS DIFFICULT TO RECRUIT FOR THE FOLLOWING REASONS: - MANY OF THESE WOMEN DO NOT HAVE TRANSPORTATION - THEIR HEALTHCARE COVERAGE STOPS AFTER THEIR BABY IS BORN MAKING IT DIFFICULT FOR THEM TO OBTAIN FOLLOW-UP CARE OR REACH THEM - MOST DO NOT SHOW UP FOR CARE UNTIL THEY ARE PREGNANT AGAIN AND AT THAT POINT DO NOT MEET THE INCLUSION CRITERIA TO PARTICIPATE IN THE PROGRAM THE SCRIPPS WHITTIER TEAM WAS ABLE TO RECRUIT 27 WOMEN WHO STARTED LATE IN QUARTER 4 OF FY15. THE PROGRAM IS A 6 MONTH INTERVENTION THEREFORE MOST OF THESE WOMEN COMPLETED THE PROGRAM LATE IN 2015 AND EARLY 2016. THE POST OUTCOMES OF THE PROGRAM WILL BE AVAILABLE IN THE FY2016'S Q2 REPORT. IN ADDITION TO THE CHNA AND IMPLEMENTATION PLAN, SCRIPPS HEALTH WILL CONTINUE TO MEET COMMUNITY NEEDS BY PROVIDING CHARITY CARE AND UNCOMPENSATED CARE, PROFESSIONAL EDUCATION AND COMMUNITY BENEFIT PROGRAMS. SCRIPPS OFFERS COMMUNITY BENEFIT SERVICES THROUGH OUR FIVE ACUTE-CARE HOSPITAL CAMPUSES, HOME HEALTH SERVICES, WELLNESS CENTERS AND CLINICS. SCRIPPS SERVES A QUARTER OF THE TOTAL COUNTY POPULATION, CONCENTRATING SERVICES IN THE NORTH COASTAL, NORTH CENTRAL, CENTRAL AND SOUTH REGIONS OF SAN DIEGO COUNTY WHERE SCRIPPS FACILITIES ARE LOCATED. UNCOMPENSATED HEALTH CARE SCRIPPS CONTRIBUTES SIGNIFICANT RESOURCES TO PROVIDE LOW AND NO-COST HEALTH CARE FOR OUR PATIENTS IN NEED. DURING FISCAL YEAR 2015, SCRIPPS CONTRIBUTED $316,033,736 IN UNCOMPENSATED HEALTH CARE, INCLUDING $36,894,588 IN CHARITY CARE, $269,492,715 IN MEDI-CAL AND OTHER MEANS-TESTED GOVERNMENT PROGRAMS AND MEDICARE SHORTFALL, AND $9,646,432 IN BAD DEBT. SCRIPPS PROVIDES HOSPITAL SERVICES FOR ONE-QUARTER OF THE COUNTY'S UNINSURED PATIENTS. SCRIPPS MERCY HOSPITAL, SAN DIEGO AND SCRIPPS MERCY HOSPITAL, CHULA VISTA PROVIDE 59 PERCENT OF SCRIPPS' CHARITY CARE. THE HEALTH CARE SAFETY NET IN SAN DIEGO COUNTY (SDC) IS HIGHLY DEPENDENT UPON HOSPITALS AND COMMUNITY HEALTH CLINICS TO CARE FOR UNINSURED AND MEDICALLY UNDERSERVED COMMUNITIES. FINDING MORE EFFECTIVE WAYS TO COORDINATE AND ENHANCE THE SAFETY NET IS A CRITICAL POLICY CHALLENGE. WHILE PUBLIC SUBSIDIES (E.G., COUNTY MEDICAL SERVICES) HELP FINANCE SERVICES FOR SAN DIEGO COUNTY'S UNINSURED POPULATIONS, THESE SUBSIDIES DO NOT COVER THE FULL COST OF CARE. COMBINED WITH MEDI-CAL AND MEDICARE FUNDING SHORTFALLS, SCRIPPS AND OTHER LOCAL HOSPITALS ABSORB THE COST OF CARING FOR UNINSURED PATIENTS IN THEIR OPERATING BUDGETS. THIS PLACES A SIGNIFICANT FINANCIAL BURDEN ON HOSPITALS AND PHYSICIANS. DEMOGRAPHIC PROFILE OF SAN DIEGO COUNTY CURRENT POPULATION DEMOGRAPHICS AND CHANGES IN DEMOGRAPHIC COMPOSITION OVER TIME PLAY A DETERMINING ROLE IN THE TYPES OF HEALTH AND SOCIAL SERVICES NEEDED BY COMMUNITIES. POPULATION SIZE, CHANGE IN POPULATION, RACE AND ETHNICITY, AND AGE OF A POPULATION ARE ALL IMPORTANT IN UNDERSTANDING COMMUNITIES AND ITS RESIDENTS. POPULATION: OVER THREE MILLION PEOPLE (3,138,265) LIVE IN THE 4,205 SQUARE MILE AREA OF SDC ACCORDING TO THE U.S. CENSUS BUREAU AMERICAN COMMUNITY SURVEY 2009-13, 5-YEAR ESTIMATES. THE POPULATION DENSITY FOR THIS AREA, ESTIMATED AT 746 PERSONS PER SQUARE MILE, IS GREATER THAN THE NATIONAL AVERAGE POPULATION DENSITY OF APPROXIMATELY 88 PERSONS PER SQUARE MILE. APPROXIMATELY 96.7% OF THE POPULATION LIVES IN AN URBAN AREA COMPARED TO JUST 3.3% LIVING IN RURAL AREAS. POPULATION CHANGE: ACCORDING TO THE U.S. CENSUS BUREAU DECENNIAL CENSUS, BETWEEN 2000 AND 2010 THE POPULATION IN SDC GREW BY 281,480 PERSONS, A CHANGE OF 10.0%.THIS IS SIMILAR TO THE PERCENTAGE POPULATION CHANGE SEEN DURING THE SAME TIME PERIOD IN CALIFORNIA (10.0%) AND THE UNITED STATES (9.7%). A SIGNIFICANT SHIFT IN TOTAL POPULATION OVER TIME IMPACTS THE DEMAND FOR HEALTH CARE PROVIDERS AND THE UTILIZATION OF COMMUNITY RESOURCES. RACE/ETHNICITY: IN THE AMERICAN COMMUNITY SURVEY, DATA FOR RACE AND ETHNICITY ARE COLLECTED SEPARATELY. OF THOSE WHO IDENTIFIED AS NON-HISPANIC (67.7%) IN SDC, THE MAJORITY IDENTIFIED THEIR RACE AS WHITE (70.9%), FOLLOWED BY ASIAN (16.1%), BLACK (7.1%), MULTIPLE RACES (4.5%), NATIVE HAWAIIAN/PACIFIC ISLANDER (0.6%), AND AMERICAN INDIAN/ALASKAN NATIVE (0.5%). OF THOSE WHO IDENTIFIED AS HISPANIC OR LATINO (32.4%) IN SDC, THE MAJORITY ALSO IDENTIFIED THEIR RACE AS WHITE (72.4%), FOLLOWED BY OTHER (19.9%), MULTIPLE RACES (5.1%), AMERICAN INDIAN/ALASKAN NATIVE (1.1%), BLACK (0.8%), ASIAN (0.6%), AND NATIVE HAWAIIAN/PACIFIC ISLANDER (0.1%). PLEASE SEE THE FIGURES BELOW FOR MORE DETAILS. SAN DIEGO'S UNINSURED THE LACK OF HEALTH INSURANCE IS CONSIDERED A KEY DRIVER OF HEALTH STATUS. BETWEEN 2010 AND 2013 UNINSURED RATE WAS RELATIVELY STABLE IN THE UNITED STATES, CALIFORNIA AND IN SAN DIEGO COUNTY. IN 2014, THE UNINSURED RATE SHARPLY DECREASED TO 12.3% WHICH WAS THE LARGEST CHANGE IN THE UNINSURED RATE THROUGHOUT THIS PERIOD. THIS DECREASE CAN BE ATTRIBUTED IN LARGE PART TO THE AFFORDABLE CARE ACT (ACA). THE CHANGING LANDSCAPE UNDER THE AFFORDABLE CARE ACT* THE AFFORDABLE CARE ACT (ACA) HAS PLAYED A SIGNIFICANT ROLE IN INCREASING ACCESS TO HEALTHCARE. IN 2014, A NUMBER OF CHANGES TOOK EFFECT IN CALIFORNIA INCLUDING: - THE EXPANSION OF MEDI-CAL TO INDIVIDUALS MAKING LESS THAN 138% OF THE POVERTY LEVEL - THE ESTABLISHMENT OF COVERED CALIFORNIA FOR INDIVIDUALS WHO MAKE UP TO 400% OF THE POVERTY LEVEL TO PURCHASE SUBSIDIZED HEALTH INSURANCE - THE ELIMINATION OF DISCRIMINATION DUE TO PRE-EXISTING CONDITIONS - THE REQUIREMENT TO OBTAIN HEALTH INSURANCE COVERAGE THESE HEALTHCARE REFORMS HAVE RESULTED IN A LARGE NUMBER OF NEWLY INSURED INDIVIDUALS. RECENT DATA FROM THE US CENSUS BUREAU DEMONSTRATES THE FOLLOWING CHANGES IN COVERAGE AS OF 2014: - DECREASE IN THE PERCENTAGE OF UNINSURED OVERALL IN THE US FROM 13.3% IN 2013 TO 10.4% IN 2014 - DECREASE IN THE PERCENTAGE OF UNINSURED CHILDREN UNDER AGE 19 FROM 7.5% TO 6.2% - DECREASE IN THE PERCENTAGE OF UNINSURED ACROSS ETHNIC GROUPS TO 19.9%, 11.8%, 9.3% AND 7.6% FOR HISPANICS, BLACKS, ASIANS, AND NON-HISPANICS WHITES, RESPECTIVELY. STILL, DISCREPANCIES REMAIN WITH THOSE AGED 19-64 LEAST LIKELY TO BE INSURED AND ROUGHLY 1 IN 5 HISPANICS STILL LACKING HEALTH INSURANCE. *SMITH, JESSICA C. AND CARLA MEDALIA, U.S. CENSUS BUREAU, CURRENT POPULATION REPORTS, P60-253, HEALTH INSURANCE COVERAGE IN THE UNITED STATES: 2014, U.S. GOVERNMENT PRINTING OFFICE, WASHINGTON, DC, 2015. THERE ARE THREE INDICATORS DETERMINED TO BE THE MOST POWERFUL PREDICTORS OF POPULATION HEALTH: POVERTY RATE, PERCENT OF POPULATION UNINSURED, AND EDUCATIONAL ATTAINMENT. LOW-INC
FORM 990, PART III, LINE 4A (CONTINUED)SCRIPPS RECUPERATIVE CARE PROGRAM (RCU) THE SCRIPPS RESCUE MISSION PROJECT PROVIDES A SAFE DISCHARGE FOR CHRONICALLY HOMELESS PATIENTS WITH ONGOING MEDICAL NEEDS. ALL PATIENTS ARE UNFUNDED OR UNDERFUNDED. MOST HAVE SUBSTANCE ABUSE AND/OR MENTAL HEALTH ISSUES. THE LACK OF FUNDING, AND MENTAL ILLNESS, ALONG WITH ALCOHOL AND/OR SUBSTANCE ABUSE, MAKE POST-ACUTE PLACEMENT OF THESE HOMELESS PATIENTS DIFFICULT. RN CASE MANAGEMENT OVERSIGHT IS PROVIDED BY SCRIPPS WITH PHYSICIAN BACKUP TO ENSURE COMPLETION OF THEIR MEDICAL RECOVERY GOALS. SCRIPPS PAYS THE RESCUE MISSION A DAILY RATE FOR HOUSING AND SERVICES PROVIDED TO THE PATIENT. THEY PROVIDE A SAFE, SECURE ENVIRONMENT WITH 24 HOUR SUPERVISION, MEDICATION OVERSIGHT, MEALS, CLOTHING, COUNSELING, ASSISTANCE WITH COUNTY MEDICAL SERVICES, MEDI-CAL AND DISABILITY APPLICATIONS, PLUS HELP FIND PERMANENT OR TRANSITIONAL HOUSING. PATIENT TRANSPORTATION NEEDS ARE COORDINATED AND PROVIDED BY BOTH THE RESCUE MISSION AND SCRIPPS. TO MAINTAIN THE PATIENT'S MEDICAL STABILITY, MEDICATIONS, DME AND OTHER SERVICES ARE PROVIDED BY SCRIPPS UNTIL INSURANCE FUNDING HAS BEEN ESTABLISHED. PATIENTS WITH PSYCHIATRIC DISORDERS ARE ESTABLISHED WITH A PSYCHIATRIST IN THE COMMUNITY AND ALL PATIENTS ARE CONNECTED WITH A MEDICAL HOME IN THE COMMUNITY. IN 2015, 42 PATIENTS HAD A CUMULATIVE 1446 HOSPITAL DAYS OF STAY BEFORE GOING TO THE RCU. THE RCU TAKES MEDICALLY COMPLEX PATIENTS INCLUDING PATIENTS WITH TRACH, TUBE FEEDS, IV ANTIBIOTICS, WOUND VACS, MULTIPLE FRACTURES, SPINAL EPIDURAL ABSCESS, PARAPLEGIA, ESRD ON DIALYSIS, END STAGE LIVER DISEASE, HEART VALVE REPLACEMENT, DIABETES, TRAUMATIC BRAIN INJURY, OSTOMIES, CRANIOTOMY, COMPLEX TRAUMA, CANCER AND HIV. ONE HUNDRED PERCENT OF PATIENTS WERE CONNECTED TO A PRIMARY CARE PROVIDER AT ONE OF THE COMMUNITY CLINICS WITH AN APPOINTMENT MADE. FIFTEEN PERCENT OF THESE HAD VERY SHORT STAYS AT THE RCU AND MAY NOT HAVE FOLLOWED UP WITH THE APPOINTMENTS ON THEIR OWN. 76% OF THE RCU DISCHARGED PATIENTS DID NOT RETURN TO THE STREETS. THEY WENT EITHER TO A RECOVERY PROGRAM OR TRANSITIONAL HOUSING (14%), SRO OR APARTMENT (10%), BACK TO MEXICO (10%), TO FAMILY OR FRIEND (7%), BOARD AND CARE (2%), HEALTHCARE, HOSPICE OR A LOWER LEVEL OF CARE (2%). ONE CLIENT IS DECEASED. THIS YEAR 24 % OF CLIENTS DID RETURN TO THE STREETS. 21% OF THIS YEAR'S CLIENTS ARE STILL ACTIVE PARTICIPANTS AT THE RCU. OF NOTE, 15% WERE HOSPITALIZED, USUALLY VERY BRIEFLY, AT SOME POINT AND RETURNED TO THE RCU. (SPONSORED BY SCRIPPS MERCY HOSPITAL, SAN DIEGO) GRADUATE MEDICAL EDUCATION STAFF SUPPORT ST. VINCENT DE PAUL VILLAGE MEDICAL CENTER AND ST. LEO'S CLINIC THE GRADUATE MEDICAL EDUCATION (GME) PROGRAM AT SCRIPPS GREEN HOSPITAL AND SCRIPPS CLINIC FOCUSES ON PHYSICIAN TRAINING AND CLINICAL RESEARCH, WITH 36 RESIDENTS AND 38 FELLOWS. WEEKLY COMMUNITY CLINICS WERE HELD AT THE ST. VINCENT DE PAUL AND ST. LEO'S CLINICS. STAFFED BY SCRIPPS GREEN HOSPITAL AND SCRIPPS CLINIC INTERNAL MEDICINE RESIDENTS, THESE CLINICS CARED FOR APPROXIMATELY 800 OF OUR COUNTY'S MOST VULNERABLE RESIDENTS DURING FISCAL YEAR 2015. (SPONSORED BY SCRIPPS CLINIC/GREEN HOSPITAL) FIJI ALLIANCE PROJECT IN PARTNERSHIP WITH THE INTERNATIONAL RELIEF TEAMS OF SAN DIEGO AND THE LOLOMA FOUNDATION, SCRIPPS EMPLOYEES, SCRIPPS CLINIC PHYSICIANS AND OTHER SCRIPPS-AFFILIATED PHYSICIANS PROVIDED MEDICAL AND SURGICAL SERVICES IN FIJI. AS ONE OF THEIR ROTATIONS, RESIDENTS FROM SCRIPPS CLINIC AND SCRIPPS GREEN HOSPITAL HAVE THE OPPORTUNITY TO PARTICIPATE IN THESE MEDICAL MISSIONS. THE TEAM PERFORMS PROCEDURES TO REMEDY CLEFT LIPS AND PALATES, EYELID, FACE AND FEET DEFORMITIES, BURN SCARS, BREAST MASSES AND HERNIAS, AS WELL AS PROVIDING DIABETES MANAGEMENT. ALL SURGICAL SUPPLIES WERE DONATED BY PROFESSIONAL HOSPITAL SUPPLY CORPORATION (PHS), THE SUPPLIER FOR SCRIPPS HEALTH. THE SUPPLIES INCLUDED SURGICAL GOWNS, GLOVES, DRAPES, DRESSINGS, BANDAGES, SUTURES, ETC. CARDINAL HEALTH SYSTEMS, WHICH PROVIDES PHARMACEUTICALS AND OTHER SUPPLIES FOR SCRIPPS HEALTH, DONATED ALL MEDICATIONS. (SPONSORED BY SCRIPPS CLINIC/GREEN HOSPITAL) SCRIPPS HEALTH COMMUNITY BENEFIT (CB) FUND IN FISCAL YEAR 2015, SCRIPPS HEALTH CONTINUED TO DEEPEN ITS COMMITMENT TO PHILANTHROPY WITH THE ESTABLISHMENT OF ITS COMMUNITY BENEFIT FUND. OVER THE COURSE OF THE YEAR, IT AWARDED $215,000 IN COMMUNITY GRANTS TO PROGRAMS IN SAN DIEGO (FIVE GRANTS RANGING FROM $10,000 TO $120,000). THE FUNDED PROJECTS ADDRESS SOME OF SAN DIEGO COUNTY'S HIGH-PRIORITY HEALTH NEEDS, SEEKING TO IMPROVE ACCESS TO VITAL HEALTH CARE SERVICES FOR AT-RISK POPULATIONS, INCLUDING THE HOMELESS, ECONOMICALLY DISADVANTAGED, MENTALLY ILL AND OTHERS. SINCE THE COMMUNITY BENEFIT FUND BEGAN, SCRIPPS HAS AWARDED $3.1 MILLION. PROGRAMS FUNDED DURING FISCAL YEAR 2015 INCLUDE: CONSUMER CENTER FOR HEALTH EDUCATION AND ADVOCACY (CCHEA) FUNDING PROVIDES LOW-INCOME, UNINSURED MERCY CLINIC AND BEHAVIORAL HEALTH PATIENTS HELP OBTAINING HEALTH CARE BENEFITS, SSI AND RELATED SERVICES, WHILE REDUCING UNCOMPENSATED CARE EXPENSES AT MERCY. THE PROJECT PROVIDES ADVOCACY SERVICES FOR TIME-INTENSIVE GOVERNMENT BENEFIT CASES. (SPONSORED BY SCRIPPS MERCY HOSPITAL ADMINISTRATION) CATHOLIC CHARITIES FUNDING PROVIDES SHORT-TERM EMERGENCY SHELTER FOR MEDICALLY FRAGILE HOMELESS PATIENTS BEING DISCHARGED FROM SCRIPPS MERCY HOSPITAL, SAN DIEGO. THE PROGRAM IS BEING EXPANDED TO SCRIPPS MERCY HOSPITAL, CHULA VISTA. CASE MANAGEMENT AND SHELTER ARE PROVIDED FOR HOMELESS PATIENTS DISCHARGED FROM SCRIPPS MERCY HOSPITAL. WHILE THESE PATIENTS NO LONGER REQUIRE HOSPITAL CARE, THEY DO NEED A SHORT-TERM RECUPERATIVE ENVIRONMENT. PATIENTS WHO DEMONSTRATE A WILLINGNESS TO CHANGE RECEIVE ONE WEEK IN A HOTEL, ALONG WITH FOOD AND BUS FARE TO PURSUE A CASE PLAN. THE FOCUS OF THE CASE MANAGEMENT IS TO STABILIZE THE CLIENT BY HELPING THEM CONNECT TO MORE PERMANENT SOURCES OF INCOME, HOUSING AND OTHER SELF-RELIANCE MEASURES. THE PARTNERSHIP SEEKS TO REDUCE EMERGENCY ROOM RECIDIVISM IN THIS POPULATION AND IMPROVE THEIR QUALITY OF LIFE. 2-1-1 HEALTH CARE NAVIGATION PROGRAM LOCALLY, 2-1-1 SAN DIEGO WAS LAUNCHED IN JUNE 2005 AS A MULTILINGUAL AND CONFIDENTIAL SERVICE COMMITTED TO PROVIDING ACCESS 24/7. THERE WAS AN OVERWHELMING NEED FOR A DEPENDABLE SERVICE TO HELP PEOPLE NAVIGATE TODAY'S COMPLEX HEALTH CARE SYSTEM, AND SINCE THE IMPLEMENTATION OF THE PATIENT PROTECTION AND AFFORDABLE CARE ACT (PPACA), CALLS TO 2-1-1 SPECIFICALLY FOR HEALTH-RELATED NEEDS HAVE INCREASED BY 31%. FROM JULY 2014-JUNE 2015, 2-1-1 SAN DIEGO RESPONDED TO 32,489 CALLS FROM CLIENTS SPECIALLY SEEKING HEALTH-RELATED RESOURCES. IN JULY 2015, 2,549 CALLERS WERE INTERESTED IN SERVICES THROUGH HEALTH LINES, 22% WERE INTERESTED IN OUTPATIENT MENTAL HEALTH RESOURCES AND 19% WERE SEEKING HEALTH SUPPORTIVE SERVICES. IN ADDITION, 1,025 CLIENTS WERE SCREENED FOR BREAST HEALTH NEEDS AND 8,039 WERE EDUCATED ON COVERED CALIFORNIA. THROUGH THE HEALTH NAVIGATION LINE, THE HIGHEST STATED HEALTH NEEDS WAS HEALTH INSURANCE, MEDICAL HOME AND NON-EMERGENCY HEALTH CONDITION. DUE THE COMMUNITY RESPONSE TO INDIVIDUALS HEALTH NEEDS, THE HEALTH NAVIGATION TEAM CONTINUES TO GROW AND ADDRESS THESE COMPLEX ISSUES. (SPONSORED BY SCRIPPS CORPORATE COMMUNITY BENEFITS) AMERICAN HEART ASSOCIATION SCRIPPS PROVIDED FUNDING FOR THE 2015 HEART WALK THROUGH CORPORATE SPONSORSHIP. HEART DISEASE AND STROKE ARE THE NUMBER ONE AND THREE CAUSES OF DEATH IN THE NATION. HEART DISEASE CLAIMS MORE THAN 950,000 AMERICANS EACH YEAR. SCRIPPS PARTNERS WITH THE AMERICAN HEART ASSOCIATION ON ITS ANNUAL HEART WALK TO RAISE FUNDS FOR RESEARCH, PROFESSIONAL AND PUBLIC EDUCATION AND ADVOCACY. (SPONSORED BY SCRIPPS CORPORATE COMMUNITY BENEFITS) BACK PAIN MOST PEOPLE IN THE UNITED STATES WILL EXPERIENCE LOWER BACK PAIN AT LEAST ONCE DURING THEIR LIVES. BACK PAIN IS ONE OF THE MOST COMMON REASONS PEOPLE GO TO THE DOCTOR OR MISS WORK. SOME CAUSES OF BACK PAIN INCLUDE MUSCLE OR LIGAMENT STRAIN, BULGING OR RUPTURED DISKS, ARTHRITIS, SKELETAL IRREGULARITIES AND OSTEOPOROSIS. RISK FACTORS FOR BACK PAIN INCLUDE: - EXCESS WEIGHT OR OBESITY - LACK OF EXERCISE - IMPROPER LIFTING - THOSE WITH PSYCHOLOGICAL ISSUES, SUCH AS DEPRESSION AND ANXIETY (REASONS UNKNOWN) DISPARITIES IN THE UNITED STATES (NHIS, 2010): - ADULTS WITHOUT A HIGH SCHOOL DIPLOMA WERE MORE LIKELY TO HAVE LOWER BACK PAIN. - ADULTS IN POOR FAMILIES WERE MORE LIKELY TO EXPERIENCE LOWER BACK PAIN. - WOMEN ARE MORE LIKELY THAN MALES TO HAVE EXPERIENCED PAIN IN THE LOWER BACK (30.0% VERSUS 26.0%). HEALTHY PEOPLE 2020: - GOAL: REDUCED ACTIVITY LIMITATION DUE TO CHRONIC BACK CONDITIONS. - TARGET: 27.6 PER 1,000. - BASELINE: 30.7 IN 2008 DATA SOURCE: NATIONAL HEALTH INTERVIEW SURVEY, CDC, NCHS BURDEN: - LOWER BACK PAIN HAS BEEN REPORTED AS THE 6TH MOST COSTLY CONDITION IN THE UNITED STATES. - 29% OF ADULTS OVER THE AGE OF 18 HAVE PAIN IN THE LOWER BACK. - BACK PAIN AFFECTS 60% TO 80% OF PEOPLE IN THEIR LIFETIME. DURING FISCAL YEAR 2015, SCRIPPS ENGAGED IN THE FOLLOWING HEALTHY BACK PAIN PREVENTION AND TREATMENT ACTIVITI
FORM 990, PART III, LINE 4A (CONTINUED)COLORECTAL CANCER NCI DEFINES COLORECTAL CANCER AS ANY CANCER "THAT FORMS IN THE TISSUES OF THE COLON OR RECTUM." MOST COLON CANCERS ARE ADENOCARCINOMAS (CANCERS THAT BEGIN IN CELLS THAT MAKE AND RELEASE MUCUS AND OTHER FLUIDS). OF CANCERS THAT AFFECT BOTH MEN AND WOMEN, COLORECTAL CANCER IS THE SECOND LEADING CAUSE OF CANCER-RELATED DEATHS IN THE UNITED STATES. COLORECTAL CANCER ALSO IS ONE OF THE MOST COMMONLY DIAGNOSED CANCERS IN THE UNITED STATES; AMONG ALL MEN AND WOMEN IT IS THE THIRD MOST COMMON CANCER IN THE US TODAY. CLINICAL SYMPTOMS INCLUDE BLOOD IN/ON THE STOOL, PERSISTENT CRAMPING, PAINS, AND ACHING IN THE STOMACH, AND UNEXPLAINED WEIGHT-LOSS. RISK FACTORS FOR COLORECTAL CANCER INCLUDE: - AGE: 90% OF ALL CASES DIAGNOSED ARE IN PEOPLE ABOVE THE AGE OF 50 YEARS. - INFLAMMATORY BOWEL DISEASE. - A PERSONAL OR FAMILY HISTORY OF COLORECTAL CANCER OR COLORECTAL POLYPS. - A GENETIC SYNDROME OR HEREDITARY NON-POLYPOSIS COLORECTAL CANCER (LYNCH SYNDROME). - LIFESTYLE FACTORS SUCH AS, LACK OF REGULAR PHYSICAL ACTIVITY, LOW FRUIT AND VEGETABLE INTAKE, LOW-FIBER AND HIGH-FAT DIETS, ALCOHOL CONSUMPTION, TOBACCO USE, AND BEING OVERWEIGHT OR OBESE. COLORECTAL CANCER PREVALENCE IN THE UNITED STATES: SEER ESTIMATES THAT 1,140,161 MEN AND WOMEN CURRENTLY HAVE BEEN DIAGNOSED WITH COLORECTAL CANCERS. LUNG CANCER LUNG CANCER IS THE LEADING CAUSE OF CANCER DEATH AND THE SECOND MOST DIAGNOSED CANCER IN BOTH MEN AND WOMEN IN THE UNITED STATES. IN 2008, 14% OF ALL CANCER DIAGNOSES AND 28% OF ALL CANCER DEATHS WERE DUE TO LUNG CANCER. LUNG CANCERS USUALLY ARE GROUPED INTO TWO MAIN TYPES CALLED SMALL CELL AND NON-SMALL CELL. THESE TYPES OF LUNG CANCER PROGRESS IN DIFFERENT MANNERS, AND THEREFORE REQUIRE DIFFERENT COURSES OF TREATMENT. NON-SMALL CELL LUNG CANCER IS MORE COMMON THAN SMALL CELL LUNG CANCER. CLINICAL SYMPTOMS CAN INCLUDE, CHEST PAIN, SHORTNESS OF BREATH, WHEEZING, COUGHING UP BLOOD, CONSTANT FATIGUE, UNEXPLAINED WEIGHT LOSS, AND COUGHING THAT PROGRESSIVELY WORSENS AND DOES NOT SUBSIDE. SOME FACTS ABOUT LUNG CANCER IN 2008: - 208,493 PEOPLE IN THE UNITED STATES WERE DIAGNOSED WITH LUNG CANCER, INCLUDING 111,886 MEN AND 96,607 WOMEN. - 158,592 PEOPLE IN THE UNITED STATES DIED FROM LUNG CANCER, INCLUDING 88,541 MEN AND 70,051 WOMEN. LUNG CANCER PREVALENCE IN THE UNITED STATES: ON JANUARY 1, 2009, IN THE UNITED STATES THERE WERE APPROXIMATELY 387,762 MEN AND WOMEN ALIVE WHO HAD A HISTORY OF CANCER OF THE LUNG AND BRONCHUS -- 178,490 MEN AND 209,272 WOMEN. PROSTATE CANCER NCI DEFINES PROSTATE CANCER AS A CANCER THAT FORMS IN TISSUES OF THE PROSTATE, A GLAND IN THE MALE REPRODUCTIVE SYSTEM FOUND BELOW THE BLADDER AND IN FRONT OF THE RECTUM. WHILE CANCEROUS CELLS WITHIN THE PROSTATE ITSELF ARE GENERALLY NOT DEADLY ON THEIR OWN, AS A CANCEROUS TUMOR GROWS SOME OF THE CELLS CAN BREAK OFF AND SPREAD TO OTHER PARTS OF THE BODY THROUGH THE LYMPH OR THE BLOOD, THROUGH THE PROCESS OF METASTASIS. PROSTATE CANCER USUALLY OCCURS IN OLDER MEN. CLINICAL SYMPTOMS INCLUDE: DIFFICULTY STARTING URINATION, WEAK/INTERRUPTED FLOW OF URINE, PAIN/BURNING DURING URINATION, FREQUENT URINATION, BLOOD IN URINE OR SEMEN, AND UNSPECIFIED PAIN IN THE BACK, HIPS OR PELVIS. NOT COUNTING SOME FORMS OF SKIN CANCER, PROSTATE CANCER IN THE UNITED STATES IS: - THE MOST COMMON CANCER IN MEN, NO MATTER YOUR RACE OR ETHNICITY. - THE SECOND MOST COMMON CAUSE OF DEATH FROM CANCER AMONG WHITE, AFRICAN AMERICAN, AMERICAN INDIAN/ALASKA NATIVE, AND HISPANIC MEN. - THE FOURTH MOST COMMON CAUSE OF DEATH FROM CANCER AMONG ASIAN/PACIFIC ISLANDER MEN. RISK FACTORS FOR PROSTATE CANCER INCLUDE: - AGE: THE OLDER A MAN IS, THE GREATER HIS RISK FOR GETTING PROSTATE CANCER. - FAMILY HISTORY: A MAN WITH A FATHER, BROTHER, OR SON WHO HAS HAD PROSTATE CANCER IS TWO TO THREE TIMES MORE LIKELY TO DEVELOP THE DISEASE HIMSELF. - RACE: PROSTATE CANCER IS MORE COMMON IN SOME RACIAL AND ETHNIC GROUPS THAN IN OTHERS. PROSTATE CANCER PREVALENCE IN THE UNITED STATES: SEER ESTIMATES THAT 2,496,784 MALES CURRENTLY HAVE BEEN DIAGNOSED WITH CANCER OF THE PROSTATE. SKIN CANCER SKIN CANCER IS A CANCER THAT FORMS IN THE VARIOUS TISSUES OF THE SKIN, AND IS THE MOST COMMON FORM OF CANCER IN THE UNITED STATES. THE TWO MOST PREVALENT TYPES OF SKIN CANCER-BASAL CELL (FORMS IN THE LOWER PART OF THE EPIDERMIS) AND SQUAMOUS CELL (FORMS IN THE FLAT CELLS THAT FORM THE SURFACE OF THE SKIN) CARCINOMAS-ARE HIGHLY CURABLE. HOWEVER, THE THIRD MOST COMMON SKIN CANCER, MELANOMA, FORMS IN THE CELLS THAT MAKE THE PIGMENT MELANIN AND ARE CONSIDERED MORE DANGEROUS. ABOUT 65%-90% OF MELANOMAS ARE CAUSED BY EXPOSURE TO ULTRAVIOLET (UV) LIGHT. CLINICAL SYMPTOMS INCLUDE MOLES THAT ARE ASYMMETRICAL, HAVE IRREGULAR BORDERS, UNEVEN COLORATION, EXPERIENCE INCREASES IN DIAMETER, OR HAVE EVOLVED OR CHANGED IN RECENT WEEKS OR MONTHS. RISK FACTORS FOR THE THREE MOST COMMON TYPES OF SKIN CANCER: - SUNLIGHT - SEVERE, BLISTERING SUNBURNS - LIFETIME SUN EXPOSURE - TANNING MELANOMA OF THE SKIN PREVALENCE IN THE UNITED STATES: SEER ESTIMATES THAT 876,344 PERSONS CURRENTLY HAVE BEEN DIAGNOSED WITH MELANOMA OF THE SKIN. SCRIPPS HAS DEVELOPED A SERIES OF PREVENTION AND WELLNESS PROGRAMS TO EDUCATE PEOPLE ABOUT THE IMPORTANCE OF EARLY DETECTION AND TREATMENT FOR SOME OF THE MOST COMMON FORMS OF CANCER. AT SCRIPPS CANCER CARE IS MORE THAN JUST MEDICAL TREATMENT, AND A WIDE ARRAY OF RESOURCES ARE PROVIDED SUCH AS COUNSELING, SUPPORT GROUPS, COMPLEMENTARY THERAPIES AND EDUCATIONAL WORKSHOPS. HERE ARE A FEW EXAMPLES OF SCRIPPS CANCER PROGRAMS DURING FISCAL YEAR 2015. SCRIPPS CANCER CENTER DIRECTORY OF COMMUNITY RESOURCES SCRIPPS COLLABORATES WITH THE COMMUNITY AND DEVELOPS A CANCER DIRECTORY OF A COMPREHENSIVE LIST OF RESOURCES AVAILABLE FOR CANCER SURVIVORS, THEIR FAMILIES, AND THE COMMUNITY. (SPONSORED BY SCRIPPS GREEN CANCER CENTER) SCRIPPS GREEN HOSPITAL CANCER SUPPORT GROUPS SCRIPPS GREEN SUPPORT GROUPS OFFER CANCER PATIENTS THE OPPORTUNITY TO EXPRESS THE EMOTIONS THAT COME WITH A CANCER DIAGNOSIS AND HELP THEM COPE MORE EFFECTIVELY WITH THEIR TREATMENT REGIMENS BY THE SUPPORT GROUPS NURTURE THEIR PHYSICAL, EMOTIONAL AND SPIRITUAL WELL-BEING. CLASSES AT SCRIPPS GREEN HOSPITAL, SUCH AS THE FREE CANCER WRITING WORKSHOP, WHEN WORDS HEAL, USE EXPRESSIVE WRITING TO HELP PATIENTS NAVIGATE THEIR JOURNEY WITH CANCER. (SPONSORED BY SCRIPPS GREEN CANCER CENTER) FIREFIGHTERS, LIFEGUARDS & COMMUNITY SKIN CANCER SCREENINGS A TOTAL OF 263 FIREFIGHTERS AND LIFEGUARDS OVER A TWO DAY SCREENING (AUGUST 10TH AND AUGUST 14) WERE SCREENED. IN ADDITION, 102 PATIENTS WERE SCREENED AT AN OCEANSIDE SKIN CANCER SCREENING ON JULY 27, 2015 (SPONSORED BY SCRIPPS MARKET OUTREACH) PROSTATE CANCER SCREENINGS PROSTATE CANCER IS THE SECOND-LEADING CAUSE OF CANCER DEATH IN AMERICAN MEN, BEHIND ONLY LUNG CANCER. SCRIPPS HEALTH OFFERED FREE PROSTATE CANCER SCREENINGS DURING THE SAN DIEGO PADRES' SEPTEMBER 3RD, 2015 GAME AGAINST THE LOS ANGELES DODGERS AT PETCO PARK. THE SCREENINGS WERE HELD IN CONJUNCTION WITH SEPTEMBER'S NATIONAL PROSTATE CANCER AWARENESS MONTH. SCREENINGS WERE MADE AVAILABLE TO MALES BETWEEN THE AGES OF 50 AND OLDER (OR AGE 40 AND UP FOR THOSE WITH A FAMILY HISTORY OF PROSTATE CANCER). TOTAL SCREENINGS CONDUCTED WERE 63 AND 7 ABNORMAL RESULTS. (SPONSORED BY SCRIPPS MARKET OUTREACH) HEALTHY WOMEN, HEALTHY LIFESTYLES: SCRIPPS MERCY BREAST HEALTH OUTREACH AND EDUCATION PROGRAM A PROMOTORA-LED HEALTH AND WELLNESS PROGRAM THAT AIMS TO IMPROVE THE LIVES OF WOMEN IN SAN DIEGO'S SOUTH BAY WITH BREAST CANCER EDUCATION, PREVENTION AND TREATMENT SUPPORT. PROMOTORA'S TEACH BREAST HEALTH TO WOMEN WHO HAVE LIMITED OR NO ACCESS TO HEALTH CARE. PROMOTORA'S TEACH WOMEN IN THEIR NATIVE LANGUAGE WITH SENSITIVITY TO A WOMAN'S ETHNIC AND CULTURAL NORMS. THE PROGRAM MODEL INCLUDES A PROMOTORA, CANCER SURVIVOR AND A NURSE NAVIGATOR. THE PROMOTORA HAS KNOWLEDGE OF BREAST CANCER, OFFERS EDUCATION AND EMOTIONAL SUPPORT. SHE ALSO PROVIDES REFERRALS IN A CULTURALLY APPROPRIATE AND LANGUAGE SENSITIVE WAY. A BREAST CANCER SURVIVOR AND VOLUNTEER STRENGTHENS THE BENEFITS OF BREAST CANCER EDUCATION AND PREVENTION BY TALKING TO SOMEONE WHO HAS BEEN THERE AND CAN PROVIDE INSIGHT AND SUGGESTIONS, AND IS LIVING PROOF THAT THE DISEASE IS NOT FATAL. WORKING HAND-IN-HAND, THE PROMOTORA AND VOLUNTEER PRESENT A VERY STRONG FRONT FOR BREAST CANCER AWARENESS AND A FULL SUPPORT SYSTEM FOR THOSE ALREADY DIAGNOSED. MOREOVER, THE FACT THEY ARE BI-LINGUAL LATINAS LENDS AN AIR OF AUTOMATIC TRUST AMONG THE HISPANIC COMMUNITY AS THEY CAN CONNECT WITH THE RESIDENTS ON A CULTURAL LEVEL. (SPONSORED BY SCRIPPS MERCY HOSPITAL, CHULA VISTA, COMMUNITY BENEFITS.) SCRIPPS MERCY HOSPITAL, CHULA VISTA: BREAST HEALTH CLINICAL SERVICES A TOTAL OF 1,369 WOMEN WERE REFERRED TO CLINICAL BREAST HEALTH SERVICES AT COMMUNITY AND SCRIPPS MERCY HOSPITAL, CHULA VISTA RADIOLOGY SERVICES. A TOTAL OF 3,420 SERVICES WERE PROVIDED, INCLUDING TELEPHONE REMINDERS, OUTREACH AND EDUCATION, CASE MANAGEMENT AND A VARIETY OF PRESENTATIONS. (SPONSORED BY
FORM 990, PART III, LINE 4A (CONTINUED)SCRIPPS POLSTER BREAST CARE CENTER (SPBCC) SCRIPPS POLSTER BREAST CARE CENTER (SPBCC) SPONSORS THE YOUNG WOMEN'S SUPPORT GROUP WHICH PROVIDE A VENUE FOR WOMEN UNDER THE AGE OF 40 TO COME TOGETHER, DISCUSS ISSUES RELATING TO DIAGNOSES AND RECEIVE SUPPORT. THE GROUPS ARE OFFERED TO WOMEN IN THE SAN DIEGO COMMUNITY. TOPICS RELATED TO BREAST HEALTH ARE ALSO OFFERED TO THE COMMUNITY. (SPONSORED BY SCRIPPS POLSTER BREAST CARE CENTER.) AMERICAN CANCER SOCIETY (ACS) MAKING STRIDES AGAINST BREAST CANCER SCRIPPS HEALTH PARTICIPATES IN THIS FUNDRAISING EVENT TO RAISE MONEY FOR BREAST CANCER RESEARCH. SCRIPPS ALSO PARTICIPATES IN HOSTING LOOK GOOD FEEL BETTER CLASSES PUT ON BY THE ACS. (SPONSORED BY SCRIPPS CORPORATE) SUSAN G. KOMEN RACE FOR THE CURE SCRIPPS HEALTH PARTICIPATES IN THIS FUNDRAISING EVENT TO SUPPORT BREAST CANCER RESEARCH AND LOCAL BREAST HEALTH INITIATIVES. THE KOMEN RACE FOR THE CURE SERIES RAISES SIGNIFICANT FUNDS AND AWARENESS FOR THE FIGHT AGAINST BREAST CANCER, CELEBRATES BREAST CANCER SURVIVORSHIP AND HONORS THOSE WHO HAVE LOST THEIR BATTLE WITH THE DISEASE. (SPONSORED BY SCRIPPS CORPORATE) NINE GIRLS ASK (FOR A CURE FOR OVARIAN CANCER). SCRIPPS HEALTH PARTICIPATES IN THIS FUNDRAISING EVENT TO SUPPORT OVARIAN CANCER RESEARCH AND INITIATIVES. (SPONSORED BY SCRIPPS CORPORATE) CANCER AWARENESS AND EDUCATIONAL EVENTS A SERIES OF EDUCATIONAL EVENTS ARE COORDINATED WITH AMERICAN CANCER SOCIETY AWARENESS MONTHS. THE EVENTS FOCUS ON VARIOUS TYPES OF CANCER, INCLUDING BREAST, LUNG, CERVICAL, COLORECTAL, SKIN, OVARIAN/GYNECOLOGICAL AND PROSTATE. A REGISTERED NURSE CLINICIAN ANSWERS QUESTIONS AND PROVIDES EDUCATIONAL MATERIALS. (SPONSORED BY SCRIPPS MEMORIAL HOSPITAL LA JOLLA CANCER CENTER.) HEALTH EDUCATION AND SUPPORT GROUPS EDUCATION AND SUPPORT GROUPS ARE PROVIDED TO SAN DIEGO COUNTY RESIDENTS FOR A WIDE VARIETY OF HEALTH CONCERNS. TOPICS INCLUDE FAMILIES WHO HAVE EXPERIENCED THE LOSS OF A CHILD, CHILDREN WHO HAVE LOST A PARENT TO CANCER, INFERTILITY, PARENTING TWINS, IMPROVING CHILDREN'S READING ABILITIES, HUNTINGTON'S DISEASE, PARKINSON'S DISEASE, MENTAL ILLNESS, OSTOMY, POSTPARTUM ISSUES, GYNECOLOGICAL CANCER, CHRONIC PAIN AND MULTIPLE SCLEROSIS. (SPONSORED BY SCRIPPS MEMORIAL HOSPITAL LA JOLLA, COMMUNITY BENEFITS.) CARDIOVASCULAR DISEASE CORONARY HEART DISEASE AND STROKE ARE THE NUMBER ONE AND THREE CAUSES OF DEATH IN THE NATION. HEART DISEASE CLAIMS MORE THAN 950,000 AMERICANS EVERY YEAR. STROKE KILLED 137,119 PEOPLE IN 2006 AND IS A LEADING CAUSE OF SERIOUS, LONG-TERM DISABILITY. THE WORLD HEALTH ORGANIZATION DEFINES CARDIOVASCULAR DISEASE (CVD) AS A GROUP OF DISORDERS OF THE HEART AND BLOOD VESSELS THAT INCLUDE CORONARY HEART DISEASE, CEREBROVASCULAR DISEASE, PERIPHERAL ARTERIAL DISEASE, RHEUMATIC HEART DISEASE, CONGENITAL HEART DISEASE, DEEP VEIN THROMBOSIS AND PULMONARY EMBOLISM. CORONARY HEART DISEASE IS THE MOST COMMON FORM OF HEART DISEASE. HIGH BLOOD PRESSURE, HIGH CHOLESTEROL, AND SMOKING ARE ALL RISK FACTORS THAT COULD LEAD TO CVD AND STROKE. ABOUT HALF OF AMERICANS (49%) HAVE AT LEAST ONE OF THESE THREE RISK FACTORS. RISK FACTORS FOR CARDIOVASCULAR DISEASE: - BEHAVIORS: TOBACCO USE, OBESITY, POOR DIET THAT IS HIGH IN SATURATED FATS, AND EXCESSIVE ALCOHOL USE. - CONDITIONS: HIGH CHOLESTEROL LEVELS, HIGH BLOOD PRESSURE AND DIABETES. - HEREDITY: GENETIC FACTORS LIKELY PLAY A ROLE IN HEART DISEASE AND CAN INCREASE RISK. HEART DISEASE IS THE LEADING CAUSE OF DEATH IN THE UNITED STATES. - HEART DISEASE IS THE LEADING CAUSE OF DEATH FOR PEOPLE OF MOST RACIAL/ETHNIC GROUPS IN THE UNITED STATES, INCLUDING AFRICAN AMERICANS, HISPANICS AND WHITES. - BETWEEN 70% AND 89% OF SUDDEN CARDIAC EVENTS OCCUR IN MEN. - ABOUT TWO-THIRDS (64%) OF WOMEN WHO DIE SUDDENLY OF CORONARY HEART DISEASE HAVE NO PREVIOUS SYMPTOMS. PREVALENCE DATA: IN 2010 4.1% OF ADULTS LIVING IN SAN DIEGO HAD EVER HAD CORONARY HEART DISEASE. IN 2010 3.6% OF ADULTS LIVING IN CALIFORNIA HAD EVER HAD CORONARY HEART DISEASE. DURING FISCAL YEAR 2015, SCRIPPS ENGAGED IN THE FOLLOWING HEART HEALTH, CARDIOVASCULAR DISEASE PREVENTION AND TREATMENT ACTIVITIES. AMERICAN HEART WALK IN ADDITION, SCRIPPS EMPLOYEES VOLUNTEERED THEIR TIME TO COORDINATE WALKER PARTICIPATION AND FUNDRAISING EFFORTS. THE SAN DIEGO HEART WALK RAISED MORE THAN $1.3 MILLION. IN 2015, MORE THAN 2,300 SCRIPPS HEART WALK PARTICIPANTS - EMPLOYEES, FAMILIES, AND FRIENDS - WALKED TO HELP RAISE MORE THAN $158K. ADDITIONALLY, SCRIPPS REACHED OUT TO THE COMMUNITY AT THE EVENT AND PROVIDED HEALTH EDUCATION MATERIALS AND GIVEAWAYS. (SPONSORED BY SCRIPPS CORPORATE, COMMUNITY BENEFIT SERVICES.) COMMUNITY HEALTH EDUCATION PROGRAMS THE COMMUNITY HEALTH EDUCATION PROGRAMS COVER A WIDE VARIETY OF TOPICS ON DISEASE MANAGEMENT, HEALTH CARE UPDATES AND PREVENTION. THE PROGRAMS COVER HYSTERECTOMY, STROKE, STRESS, VARICOSE VEINS, INFERTILITY, CARDIAC, DEPRESSION, MACULAR DEGENERATION, MEMORY, BRAIN, ORTHOPEDIC CARE, ROBOTIC SURGERY, SKIN CARE, BACK CARE, MIGRAINES, KNEE PAIN, PELVIC FLOOR INCONTINENCE, SAFETY AND FALL PREVENTION, BLADDER HEALTH, HEALTHY DINING, EXERCISE, VOICE, FLU PREVENTION, SLEEP DISORDERS, NUTRITION, HYPERTENSION, FOOT CARE, SPINE SURGERY, JOINT REPLACEMENT, BREATHING, PAIN MANAGEMENT AND MEDICATION. (SPONSORED BY SCRIPPS LA JOLLA COMMUNITY BENEFIT SERVICES) CPR CLASSES FOR PATIENTS AND FAMILIES OF THE CARDIAC TREATMENT CENTER CPR CLASSES ARE OFFERED FOUR TIMES A YEAR TO CARDIAC TREATMENT CENTER PATIENTS AND THEIR FAMILIES. THE PROGRAM IMPROVES COMMUNITY HEALTH BY INCREASING KNOWLEDGE OF CARDIOPULMONARY RESUSCITATION PRACTICES. (SPONSORED BY CARDIAC TREATMENT CENTER AT SCRIPPS MEMORIAL HOSPITAL LA JOLLA) CARDIAC TREATMENT CENTER GROUP EXERCISE PROGRAMS CARDIAC TREATMENT CENTER GROUP EXERCISE PROGRAMS INCLUDE TAI CHI, OFFERED TWICE WEEKLY; CLASSES TO DECREASE STRESS AND IMPROVE BALANCE, STRENGTH AND FLEXIBILITY; RESTORATIVE YOGA, OFFERED THREE TIMES A WEEK; FIT BALL, OFFERED TWICE A WEEK; CLASSES TO IMPROVE STRENGTH, POSTURE AND CORE STABILITY; YOGA FOR CANCER RECOVERY, OFFERED WEEKLY; CLASSES TO DECREASE STRESS, IMPROVE CIRCULATORY FLOW, AND EASE TENSION DURING HEALING; CLASSES CENTERING ON BALANCE, OFFERED WEEKLY; CLASSES TO BUILD BALANCE, POSTURE AND COORDINATION; POWER YOGA, OFFERED TWICE WEEKLY; CLASSES TO IMPROVE STRENGTH AND FLEXIBILITY; WEEKLY PILATES CLASSES, YOGA FOR MULTIPLE SCLEROSIS, OFFERED WEEKLY; CLASSES TO PROMOTE HEALING AND IMPROVE STRENGTH AND FLEXIBILITY; AND WEEKLY MEDITATION CLASSES. (SPONSORED BY THE CARDIAC TREATMENT CENTER, SCRIPPS MEMORIAL HOSPITAL LA JOLLA) STROKE CARE PROGRAMS SCRIPPS SPONSORED A WIDE VARIETY OF STROKE-RELATED EDUCATION AND AWARENESS PROGRAMS. (SPONSORED BY SCRIPPS MERCY HOSPITAL STROKE PROGRAM) HEART HEALTH, SCRIPPS HOME HEALTH SERVICES SCRIPPS HOME HEALTH PROVIDED COMMUNITY EDUCATION TO PROMOTE INDEPENDENT CONGESTIVE HEART FAILURE (CHF) MANAGEMENT TO PREVENT EXACERBATIONS AND HOSPITALIZATIONS. PATIENTS RECEIVED INFORMATION ON WHAT CHF IS, MEDICATIONS, DIET, WEIGHT AND EXERCISE. (SPONSORED BY SCRIPPS HOME HEALTH SERVICES.) EDUCATING WOMEN ABOUT HEART HEALTH TOGETHER WITH WOMENHEART NATIONAL HOSPITAL ALLIANCE, SCRIPPS CARDIOVASCULAR DEVELOPED A WOMEN AND HEART DISEASE EDUCATION PROGRAM. THE EFFORTS EDUCATE WOMEN ON THE IMPORTANCE OF HEART HEALTH, PROVIDE SUPPORT GROUPS AND ADVOCATE FOR RESEARCH FUNDING AND POLICIES. (SPONSORED BY SCRIPPS WOMENHEART PHYSICIAN ADVISORY COUNCIL) THE ERIC PAREDES SAVE A LIFE FOUNDATION EACH YEAR, 7,000 TEENS LOSE THEIR LIVES DUE TO SUDDEN CARDIAC ARREST (SCA). SCA IS NOT A HEART ATTACK - IT IS CAUSED BY AN ABNORMALITY IN THE HEART'S ELECTRICAL SYSTEM THAT CAN EASILY BE DETECTED WITH A SIMPLE EKG. UNFORTUNATELY, HEART SCREENINGS ARE NOT PART OF A REGULAR, WELL-CHILD EXAM OR PRE-PARTICIPATION SPORTS PHYSICAL. THE FIRST SYMPTOM OF SCA COULD BE DEATH. SAN DIEGO ALONE LOSES THREE TO FIVE TEENS FROM SCA. AS A SPONSOR FOR THE ERIC PAREDES SAVE A LIFE FOUNDATION, SCRIPPS HAS HELD MORE THAN 15,000 FREE CARDIAC SCREENINGS TO LOCAL TEENS, INCLUDING THE HOMELESS, UNINSURED AND UNDERINSURED. IN 2015, SCRIPPS MADE A $15,000 DONATION TO HELP PAY FOR THE SCREENINGS. IN 2015, SCRIPPS SUPPORTED SCREENING EVENTS AT AREA HIGH SCHOOLS AND SCREENED 4,138 TEENS, IDENTIFYING 61 WITH ABNORMALITIES AND 26 WHO WERE AT RISK. (SPONSORED BY SCRIPPS MARKETING DEPARTMENT.) SU VIDA, SU CORAZON/YOUR HEART, YOUR LIFE, YOUR HEART COMMUNITY INTERVENTION TO IMPROVE EDUCATION AND AWARENESS OF HEART DISEASE HEART DISEASE IS ONE OF THE MOST WIDESPREAD AND COSTLY HEALTH PROBLEMS FACING OUR NATION, EVEN THOUGH IT'S ALSO ONE OF MOST PREVENTABLE. HEART FAILURE AND STROKE ACCOUNT FOR MORE THAN $500 BILLION IN HEALTH CARE COSTS PER YEAR. HEART FAILURE IS A PROGRESSIVE DISEASE, PRIMARILY CAUSED BY HIGH BLOOD PRESSURE, HIGH CHOLESTEROL/LIPIDS AND DAMAGE TO THE HEART MUSCLE FROM CORONARY ARTERY DISEASE. SCRIPPS HEALTH ADDRESSES THIS HEALTH ISSUE THROUGH A FIVE-WEEK EDUCATIONAL BASED COMMUNITY INTERVENTION PROGRAM TO SUPPORT IMPROVED QUALITY OF LIFE FOR PATIENTS DIAGNOSED W
FORM 990, PART III, LINE 4A (CONTINUED)DIABETES THE 2014 NATIONAL DIABETES FACT SHEET (THE MOST RECENT YEAR DATA IS AVAILABLE) ESTIMATES 29.1 MILLION CHILDREN AND ADULTS IN THE U.S., THAT IS ABOUT 1 OUR OF EVERY 11 PEOPLE ARE LIVING WITH DIABETES. EIGHTY SIX MILLION PEOPLE, THAT IS ONE IN THREE ADULTS IN THE U.S. ARE PRE-DIABETICE AND HAVE NO IDEA THEIR HEALTH IS IN DANGER. MORE THAN 90 MILLION AMERICANS (33 PERCENT) LIVE WITH A CHRONIC DISEASE. WHILE THERE ARE MANY DISABLING CHRONIC DISEASES, DIABETES HAS BEEN IDENTIFIED AS ONE OF THE PRIMARY CHRONIC CONDITIONS IN SAN DIEGO COUNTY. THE DIABETES DEATH RATE WAS 17.4 PER 100,000 IN 2009. THERE ARE THREE MAJOR TYPES OF DIABETES: TYPE 1, TYPE 2 AND GESTATIONAL. ALL THREE TYPES SHARE SIMILAR CHARACTERISTICS - THE BODY LOSES THE ABILITY TO EITHER MAKE OR TO USE INSULIN. WITHOUT ENOUGH INSULIN, GLUCOSE STAYS IN THE BLOOD, CREATING DANGEROUS BLOOD SUGAR LEVELS. OVER TIME, THIS BUILDUP DAMAGES KIDNEYS, HEART, NERVES, EYES AND OTHER ORGANS. TYPE 2 DIABETES, ONCE KNOWN AS ADULT-ONSET OR NONINSULIN-DEPENDENT DIABETES, IS A CHRONIC CONDITION THAT AFFECTS THE WAY YOUR BODY METABOLIZES SUGAR (GLUCOSE), WHICH IS YOUR BODY'S MAIN SOURCE OF FUEL. WITH TYPE 2 DIABETES, YOUR BODY EITHER RESISTS THE EFFECTS OF INSULIN - A HORMONE THAT REGULATES THE MOVEMENT OF SUGAR INTO YOUR CELLS - OR DOESN'T PRODUCE ENOUGH INSULIN TO MAINTAIN A NORMAL GLUCOSE level. IF LEFT UNTREATED, TYPE 2 DIABETES CAN BE LIFE-THREATENING. CLINICAL SYMPTOMS CAN INCLUDE: FREQUENT URINATION, EXCESSIVE THIRST, EXTREME HUNGER, SUDDEN VISION CHANGES, UNEXPLAINED WEIGHT LOSS, EXTREME FATIGUE, SORES THAT ARE SLOW TO HEAL, AND INCREASED NUMBER OF INFECTIONS. TYPE 2 DIABETES HAS REACHED EPIDEMIC PROPORTIONS, AND PEOPLE OF HISPANIC ORIGIN HAVE DRAMATICALLY HIGHER RATES OF THE DISEASE AND THE COMPLICATIONS THAT GO ALONG WITH ITS POOR MANAGEMENT, INCLUDING CARDIOVASCULAR DISEASE, EYE DISEASE AND LIMB AMPUTATION. IN FACT, IT IS ESTIMATED THAT ONE OUT OF EVERY TWO HISPANIC CHILDREN BORN IN 2000 WILL DEVELOP DIABETES IN ADULTHOOD. THIS IS ESPECIALLY TRUE IN THE SOUTH BAY COMMUNITIES IN SAN DIEGO. SPECIFICALLY, THE CITY OF CHULA VISTA IS HOME TO 26,000 LATINOS WITH DIAGNOSED DIABETES AND TENS OF THOUSANDS MORE WHO ARE UNDIAGNOSED, HAVE PRE-DIABETES AND AT HIGH RISK OF DEVELOPING DIABETES. SOME ALARMING FACTS ABOUT TYPE 2 DIABETES: - WITHOUT WEIGHT LOSS AND MODERATE PHYSICAL ACTIVITY 15-30% OF PEOPLE WITH PREDIABETES WILL DEVELOP TYPE 2 DIABETES WITHIN 5 YEARS. - DIABETES IS THE LEADING CAUSE OF KIDNEY FAILURE, NON-TRAUMATIC LOWER-LIMB AMPUTATIONS, AND NEW CASES OF BLINDNESS AMONG ADULTS IN THE UNITED STATES. - DIABETES IS A MAJOR CAUSE OF HEART DISEASE AND STROKE, AND IS THE 7TH LEADING CAUSE OF DEATH IN THE UNITED STATES. SOME RISK FACTORS FOR DEVELOPING DIABETES INCLUDE: - BEING OVERWEIGHT OR OBESE. - HAVING A PARENT, BROTHER, OR SISTER WITH DIABETES. - HAVING HIGH BLOOD PRESSURE MEASURING 140/90 OR HIGHER. - BEING PHYSICALLY INACTIVE-EXERCISING FEWER THAN THREE TIMES A WEEK. DIABETES PREVALENCE: U.S. AGE-ADJUSTED PREVALENCE RATES FOR ADULT DIAGNOSED DIABETES FOR THE YEAR OF 2010 WERE 8.7%, AS COMPARED TO A RATE OF 3.7% RATE IN 1980. THE STATE OF CALIFORNIA REPORTED A RATE OF 8.9% FOR THE SAME YEAR. MORE THAN SEVEN MILLION AMERICANS ARE UNAWARE THEY HAVE DIABETES. THE COMPLICATIONS RELATED TO DIABETES ARE SERIOUS AND CAN BE REDUCED WITH PREVENTIVE PRACTICES. DIABETES IS A SERIOUS COMMUNITY HEALTH PROBLEM, LEADING TO SCHOOL AND WORK ABSENTEEISM, ELEVATED HOSPITALIZATION RATES, FREQUENT EMERGENCY ROOM VISITS, PERMANENT PHYSICAL DISABILITIES AND SOMETIMES DEATH. DURING FISCAL YEAR 2015, SCRIPPS SPONSORED THE FOLLOWING DIABETES MANAGEMENT INITIATIVES. PROJECT DULCE A COLLABORATION BETWEEN THE WHITTIER DIABETES INSTITUTE, THE COUNCIL OF COMMUNITY CLINICS AND COMMUNITY HEALTH IMPROVEMENT PARTNERS (CHIP), PROJECT DULCE IS A COMPREHENSIVE, CULTURALLY SENSITIVE DIABETES MANAGEMENT PROGRAM FOR UNDERSERVED AND UNINSURED PEOPLE IN SAN DIEGO COUNTY. THE PROGRAM IS TEAM-BASED AND INCORPORATES THE CHRONIC CARE MODEL. PROJECT DULCE HAS BEEN ACTIVE IN COMMUNITIES ACROSS SAN DIEGO FOR THE PAST 18 YEARS, PROVIDING DIABETES CARE AND SELF-MANAGEMENT EDUCATION. NURSE-LED TEAMS STRIVE FOR MEASURABLE IMPROVEMENTS IN THEIR PATIENTS' HEALTH; NURSE EDUCATORS LEAD MULTIDISCIPLINARY TEAMS THAT PROVIDE CLINICAL MANAGEMENT; AND PEER EDUCATORS FROM EACH CULTURAL GROUP, KNOWN AS PROMOTORAS, PROVIDE PUBLIC AND PATIENT EDUCATION FOR THEIR COMMUNITIES. THIS INNOVATIVE PROGRAM COMBINES STATE-OF-THE-ART CLINICAL DIABETES MANAGEMENT WITH PROVEN EDUCATIONAL AND BEHAVIORAL INTERVENTIONS. IN FISCAL YEAR 2015, PROJECT DULCE PROVIDED 7,671 DIABETES CARE, RETINAL SCREENINGS AND EDUCATION VISITS FOR LOW-INCOME AND UNDERSERVED INDIVIDUALS THROUGHOUT SAN DIEGO AND ENROLLED MORE THAN 1,284 NEW PROJECT DULCE PATIENTS. THE PROGRAM ALSO INITIATED FOUR NEW PROJECTS: PREVENTION FOR WOMEN WITH A HISTORY OF GESTATIONAL DIABETES, REPLICATING PROJECT DULCE IN TIJUANA, DIABETES PEER CARE COORDINATION AT SCRIPPS MERCY HOSPITAL, CHULA VISTA AND THE DIABETES GENE BANK PROGRAM. (SPONSORED BY SCRIPPS WHITTIER DIABETES INSTITUTE) DULCE MOTHERS IN 2013, SCRIPPS DIABETES CARE EXPANDED THE PROJECT DULCE PROGRAM TO CREATE A PREVENTION-FOCUSED ARM OF THE MODEL: DULCE MOTHERS, A PILOT STUDY SPECIFICALLY AIMED AT REDUCING TYPE 2 DIABETES AND CARDIOVASCULAR RISK AMONG LOW-INCOME, SPANISH-SPEAKING LATINA WOMEN THROUGH A CULTURALLY TAILORED CURRICULUM. THE PROGRAM INCLUDED 84 PARTICIPANTS BETWEEN THE AGES OF 18 AND 45 WITH A HISTORY OF GESTATIONAL DIABETES MELLITUS (GDM). THESE WOMEN UNDERWENT AN EIGHT-WEEK, PEER EDUCATOR-LED DIABETES PREVENTION PROGRAM GROUP INTERVENTION THAT EMPHASIZED THE IMPORTANCE OF BEHAVIORAL AND LIFESTYLE CHANGES. IN ADDITION TO ASSESSING THEIR KNOWLEDGE, ATTITUDES AND HEALTHY FOOD CONSUMPTION NEEDED TO PREVENT DIABETES, THEIR RISK FOR CARDIO METABOLIC CONDITIONS (DIABETES, HYPERTENSION AND CARDIOVASCULAR DISEASES) WAS ASSESSED IN PARTICIPANTS AT THE BEGINNING OF THE STUDY, AND AT THREE AND SIX MONTHS. THE RESULTS HAVE BEEN EXTREMELY POSITIVE, WITH THE WOMEN SHOWING SIGNIFICANT IMPROVEMENTS IN LIPIDS, BLOOD PRESSURE LEVELS, PHYSICAL ACTIVITY AND DIETARY FAT INTAKE. A KEY FACTOR IN THE PREVENTION OF DIABETES IS WEIGHT MANAGEMENT, THEREFORE AN ADAPTED VERSION OF DULCE MOTHERS IS CURRENTLY PILOTING. THE PILOT ADDED AN ADDITIONAL 4 SESSIONS, FROM THE ORIGINAL 8 WEEK PROGRAM, FOR A 12-WEEK PROGRAM THAT WILL TEST THE EFFECTIVENESS OF A WEIGHT MANAGEMENT CURRICULUM DESIGNED FOR LATINA WOMEN WITH A HISTORY OF GESTATIONAL DIABETES. A SECOND ARM WAS ADDED TO THE PILOT CALLED NUESTRA SALUD/NUESTRA SALUD. THIS ARM/COHORT REACHES MIDDLE AGED PREDIABETES, PREMENOPAUSAL LATINA WOMEN, WITH THE GOAL OF PREVENTING THE DEVELOPMENT OF TYPE 2 DIABETES IN THIS HIGH-RISK POPULATION. (SPONSORED BY SCRIPPS WHITTIER DIABETES INSTITUTE) THE WHITTIER DIABETES INSTITUTE PROFESSIONAL EDUCATION AND TRAINING THE WHITTIER DIABETES INSTITUTE PROFESSIONAL EDUCATION TEAMS PROVIDE STATE-OF-THE-ART EDUCATION AND TRAINING FOR PEOPLE WHO WISH TO INCREASE THEIR DIABETES MANAGEMENT KNOWLEDGE AND SKILLS. WITH THE RISE IN DIABETES, MEDICATION UPGRADES, NUTRITIONAL ADJUSTMENTS AND CHANGES IN DIABETES-RELATED DEVICES, THERE IS A GREAT NEED TO EQUIP CLINICIANS WITH THE LATEST INFORMATION AND CLINICAL SKILLS. THE WHITTIER INSTITUTE'S PROFESSIONAL EDUCATION PROGRAM IS LED BY A TEAM OF EXPERTS, INCLUDING: ENDOCRINOLOGISTS, NURSES, DIETICIANS, PSYCHOLOGISTS AND OTHER DIABETES SPECIALISTS. THESE INDIVIDUALS TRAIN PRACTICING PROFESSIONALS TO DELIVER THE BEST POSSIBLE CARE FOR THEIR DIABETES PATIENTS. COURSES RESPOND TO THE NEEDS OF ALLIED HEALTH PROFESSIONALS SEEKING TO UNDERSTAND NEW AND COMPLEX CLINICAL TREATMENT OPTIONS FOR TYPE 1, TYPE 2 AND GESTATIONAL DIABETES. PROFESSIONAL EDUCATION WAS PROVIDED FOR 331 PEOPLE ON INSULIN MANAGEMENT, INCRETIN THERAPY, THE DIABETES DIET AND DIABETES BASICS. PARTICIPANTS CAME FROM LOCAL HEALTH INSTITUTIONS AND THROUGHOUT THE UNITED STATES TO LEARN FROM THE WHITTIER INSTITUTE'S MOST EXPERIENCED DIABETES EXPERTS. OVER THE LAST FISCAL YEAR, THE WHITTIER INSTITUTE'S PROFESSIONAL EDUCATION DEPARTMENT PROVIDED 12 SEPARATE PROGRAMS FOR PHYSICIANS, NURSES, PHARMACISTS, DIETITIANS, MIDLEVEL PROVIDERS AND SOCIAL WORKERS. SKINNY GENE PROJECT THE CITY HEIGHTS WELLNESS CENTER IS A PARTNER WITH THE SKINNY GENE PROJECT TO PROVIDE THE CENTERS FOR DISEASE CONTROL AND PREVENTION (CDC) DIABETES PREVENTION PROGRAM. THE GOAL OF THE PROGRAM IS IN PREVENTING THE ONSET OF DIABETES BY PROVIDING AT-RISK INDIVIDUALS WITH SCIENTIFICALLY PROVEN, NUTRITION-BASED THERAPIES, AND CREATING A SUPPORTIVE COMMUNITY CULTURE THAT SUPPORTS THE ADOPTION OF A HEALTHY LIFESTYLE FOR THE UNDERSERVED POPULATION OF PEOPLE WITH PREDIABETES. (SPONSORED BY CITY HEIGHTS WELLNESS CENTER) RETINAL SCREENING PROGRAM IT IS ESTIMATED THAT EVERY 24 HOURS, 55 PEOPLE WILL LOSE THEIR VISION AS A RESULT OF DIABETIC RETINOPATHY. WITH EARLY DIAGNOSIS AND APPROPRIATE TREATMENT, 95 PERCENT OF DIABETIC BLINDN
FORM 990, PART III, LINE 4A (CONTINUED)COMMUNITY HEALTH IMPROVEMENT PARTNERS (CHIP) AND RESIDENT LEADERSHIP ACADEMY MODEL SCRIPPS IS A PARTNER WITH CHIP AND COLLABORATIVELY WORKS ON A RESIDENT LEADERSHIP MODEL THAT HAS EMPOWERED 700+ CITIZENS ACROSS THE COUNTY (AND BEYOND) TO AFFECT CHANGE IN A WIDE RANGE OF COMMUNITY HEALTH AREAS SUCH A PUBLIC SAFETY, ACCESS TO HEALTHY FOODS, AND INCREASED OPPORTUNITIES FOR PHYSICAL ACTIVITY. DEMENTIA AND ALZHEIMER'S DISEASE DEMENTIA IS A CLINICAL SYNDROME OF DECLINE IN MEMORY AND OTHER THINKING ABILITIES. IT IS CAUSED BY VARIOUS DISEASES AND CONDITIONS THAT RESULT IN DAMAGE TO BRAIN CELLS AND LEAD TO DISTINCT SYMPTOM PATTERNS AND DISTINGUISHING BRAIN ABNORMALITIES. ALZHEIMER 'S DISEASE (AD) IS A PROGRESSIVE BRAIN DISORDER THAT GRADUALLY DESTROYS A PERSON'S MEMORY AND ABILITY TO LEARN, REASON, MAKE JUDGMENTS, COMMUNICATE AND CARRY OUT DAILY ACTIVITIES SUCH AS BATHING AND EATING. ALZHEIMER'S IS THE SIXTH LEADING CAUSE OF DEATH IN THE UNITED STATES. - AD IS THE MOST COMMON FORM OF DEMENTIA ACCOUNTING FOR 70% OF ALL CAUSES OF DEMENTIA. - CURRENTLY 60,000 SAN DIEGANS ARE ESTIMATED TO LIVING WITH ALZHEIMER'S DISEASE OR OTHER DEMENTIAS (ADOD). - MOST PEOPLE WITH AD ARE DIAGNOSED AT AGE 65 OR OLDER. IN SAN DIEGO COUNTY, THOSE 85 YEARS AND OLDER ARE THE FASTEST GROWING AGE GROUP, PROJECTED TO INCREASE BY 40% BY 2030. - WOMEN ARE MORE LIKELY THAN MEN TO HAVE ADOD. - PEOPLE LIVING WITH DEMENTIA ARE AT GREATER RISK FOR GENERAL DISABILITY AND EXPERIENCE FREQUENT INJURY FROM FALLS. - OLDER ADULTS WITH DEMENTIA ARE 3 TIMES MORE LIKELY TO HAVE PREVENTABLE HOSPITALIZATIONS. FINANCIAL BURDEN: - IN 2012, THERE WERE 137,000 UNPAID CAREGIVERS, OR 2.3 CAREGIVERS FOR EACH OF THE LOCAL 60,000 RESIDENTS LIVING WITH ADOD. DUE TO THE NEGATIVE EFFECTS OF CAREGIVING ON THEIR OWN HEALTH, THE COST OF PROVIDING HEALTH CARE TO THESE RESIDENTS IN 2013 WAS APPROXIMATELY $75.4 MILLION. - AT THE NATIONAL LEVEL, PAYMENTS FOR ADOD CARE ARE ESTIMATED AT $200 BILLION IN 2012 WITHIN THE UNITED STATES. PREVALENCE: - THERE ARE MORE THAN 5.2 MILLION PEOPLE IN THE UNITED STATES LIVING WITH ADOD. AS THE POPULATION AGES THE NUMBER IS EXPECTED TO TRIPLE BY 2050. - IN CALIFORNIA THERE ARE 588,208 PEOPLE 55 YEARS AND OLDER LIVING WITH ADOD. ONE TENTH OF AD PATIENTS LIVE IN CALIFORNIA. - IN SAN DIEGO COUNTY, THE NUMBER OF THOSE 55 YEARS AND OLDER WITH ADOD IS EXPECTED TO INCREASE BY 56% BETWEEN 2012 AND 2030, FROM 60,000 TO NEARLY 94,000 RESIDENTS. CURRENTLY, THE EAST COUNTY REGION HAS THE GREATEST NUMBER (14,765) AND PROPORTION (12.4%) OF RESIDENTS 55 YEARS AND OLDER WITH ALZHEIMER'S DISEASE AND OTHER DEMENTIAS. THE REGION WITH THE LARGEST ANTICIPATED INCREASE IN ADOD IS THE NORTH CENTRAL AREA, WITH A PROJECTED INCREASE OF 76.8% FROM 2012 TO 2030. HOWEVER, IT IS ESTIMATED THAT BY 2030, NEARLY ONE OUT OF FOUR SAN DIEGANS 55 YEARS AND OLDER WITH ADOD WILL LIVE IN EAST COUNTY. DURING FISCAL YEAR 2015, SCRIPPS ENGAGED IN THE FOLLOWING ALZHEIMER'S AND DEMENTIA PREVENTION AND TREATMENT ACTIVITIES. SENIOR HEALTH AND WELL-BEING PROGRAMS THE GOAL IS TO INCREASE HEALTH CARE, INFORMATION AND PREVENTATIVE SERVICES FOR SENIORS/OLDER ADULTS IN THE SOUTH BAY. EACH MONTH A VARIETY OF SENIOR PROGRAMS ARE HELD AT LOCAL SENIOR CENTERS, CHURCHES AND SENIOR HOUSING. SOME OF THESE ACTIVITIES INCLUDED DEMENTIA, ALZHEIMER'S AND PAIN MANAGEMENT, AND SPONSORSHIP OF THE ALZHEIMER'S ASSOCIATION CAREGIVER CONFERENCE. (SPONSORED BY SCRIPPS MERCY HOSPITAL, CHULA VISTA, COMMUNITY BENEFITS) THE ALZHEIMER'S PROJECT - SAN DIEGO UNITES FOR A CURE AND CARE THE ALZHEIMER'S PROJECT IS A COUNTYWIDE INITIATIVE AIMED AT ACCELERATING THE SEARCH FOR A CURE AND HELPING THE ESTIMATED 60,000 SAN DIEGANS WITH THE DISEASE, ALONG WITH THEIR CAREGIVERS. PARTICIPANTS BEGAN MEETING IN IN EARLY 2014 TO CRAFT A REGIONAL ROADMAP TO ADDRESS THE DISEASE, FOCUSING ON CURE, CARE, CLINICAL, AND PUBLIC AWARENESS AND EDUCATION INITIATIVES. THE BOARD OF SUPERVISORS APPROVED THE ROADMAP IN DECEMBER 2014 AND LATER VOTED IN SUPPORT OF AN IMPLEMENTATION TIMETABLE. DR. MICHAEL LOBATZ FROM SCRIPPS HEALTH IS A LEADING PARTICIPANT OF THIS INITIATIVE AS A CO-CHAIRPERSON OF THE CLINICAL ROUNDTABLE AND IS A MEMBER OF THE STEERING COMMITTEE. ALZHEIMER'S ASSOCIATION CAREGIVER CONFERENCE IN THIS FREE HALF-DAY CAREGIVER CONFERENCE ATTENDEES HAD AN OPPORTUNITY TO LEARN MORE ABOUT ALZHEIMER'S AND DEMENTIA FROM EXPERTS AND GET QUESTIONS ANSWERED. TOPICS INCLUDED: UNDERSTANDING THE BASICS OF ALZHEIMER'S DISEASE, HOW TO PARTNER WITH YOUR DOCTOR TO GET A DIAGNOSIS, ADDRESSING BEHAVIOR THROUGH COMPASSIONATE COMMUNICATION. OBESITY OBESITY IS A MEDICAL CONDITION IN WHICH EXCESS BODY FAT HAS ACCUMULATED TO THE EXTENT THAT IT MAY HAVE AN ADVERSE EFFECT ON HEALTH. OVERWEIGHT AND OBESITY RANGES ARE DETERMINED USING WEIGHT AND HEIGHT TO CALCULATE A NUMBER KNOWN AS "BODY MASS INDEX" (BMI). AN ADULT WITH A BMI BETWEEN 25 AND 29.9 IS CONSIDERED OVERWEIGHT, WHILE AN ADULT WHO HAS A BMI OF 30 OR HIGHER IS CONSIDERED OBESE. FOR CHILDREN AND ADOLESCENTS AGED 2-19, OVERWEIGHT IS DEFINED AS A BMI AT OR ABOVE THE 85TH PERCENTILE AND LOWER THAN THE 95TH PERCENTILE FOR CHILDREN OF THE SAME AGE AND SEX, WHILE OBESE IS DEFINED AS A BMI AT OR ABOVE THE 95TH PERCENTILE FOR CHILDREN OF THE SAME AGE AND SEX. IN SAN DIEGO COUNTY, ACCORDING TO THE 2009 CALIFORNIA HEALTH INTERVIEW SURVEY, 22.1% OF ADULTS AGED 20 YEARS AND OLDER WERE OBESE (BMI 30.0 OR HIGHER) BASED ON THEIR HEIGHT AND WEIGHT. SOME FACTS ABOUT OBESITY IN THE UNITED STATES: - IN 2009, MORE THAN ONE-THIRD OF U.S. ADULTS (35.7%) WERE OBESE AND 16.9% OF CHILDREN AND ADOLESCENTS WERE CONSIDERED OBESE. - OBESITY-RELATED CONDITIONS INCLUDE HEART DISEASE, STROKE, TYPE 2 DIABETES AND CERTAIN TYPES OF CANCER, WHICH ARE SOME OF THE LEADING CAUSES OF PREVENTABLE DEATH. HEALTH CONSEQUENCES DUE TO OVERWEIGHT AND OBESITY: RESEARCH HAS SHOWN THAT AS WEIGHT INCREASES TO REACH THE LEVELS OF "OVERWEIGHT" AND "OBESITY," THE RISKS FOR THE FOLLOWING CONDITIONS ALSO INCREASES: - CORONARY HEART DISEASE - TYPE 2 DIABETES - CANCERS (ENDOMETRIAL, BREAST, AND COLON) - HYPERTENSION (HIGH BLOOD PRESSURE) - STROKE - LIVER AND GALLBLADDER DISEASE - SLEEP APNEA AND RESPIRATORY PROBLEMS - OSTEOARTHRITIS OVERWEIGHT AND OBESITY ASSOCIATED COSTS: IN 2008, MEDICAL COSTS ASSOCIATED WITH OBESITY WERE ESTIMATED AT $147 BILLION; THE MEDICAL COSTS FOR PEOPLE WHO ARE OBESE WERE $1,429 HIGHER THAN THOSE OF NORMAL WEIGHT. DULCE MOTHERS PILOT PROGRAM IN FISCAL YEAR 2014, DULCE MOTHERS WAS PILOTED WITH THE GOAL OF DECREASING THE INCIDENCE OF TYPE 2 DIABETES BY MANAGING A MAJOR DIABETES RISK FACTOR - OBESITY - IN UNDERSERVED, ETHNICALLY DIVERSE POPULATIONS. THE PROGRAM CONTINUES TO TEST THE EFFECTIVENESS OF A WEIGHT MANAGEMENT CURRICULUM DESIGNED FOR LATINO WOMEN WITH GESTATIONAL DIABETES. (SPONSORED BY SCRIPPS WHITTIER DIABETES INSTITUTE) COMMUNITY HEALTH IMPROVEMENT PROJECT (CHIP) AND CHILDHOOD OBESITY INITIATIVE THE SAN DIEGO COUNTY CHILDHOOD OBESITY INITIATIVE (INITIATIVE) IS A PUBLIC-PRIVATE PARTNERSHIP WITH THE MISSION OF REDUCING AND PREVENTING CHILDHOOD OBESITY THROUGH POLICY, SYSTEMS, AND ENVIRONMENTAL CHANGE. THE INITIATIVE IS FACILITATED BY COMMUNITY HEALTH IMPROVEMENT PARTNERS. CORE FUNDING FOR THE INITIATIVE IS PROVIDED BY THE COUNTY OF SAN DIEGO, FIRST 5 COMMISSION OF SAN DIEGO COUNTY, THE CALIFORNIA ENDOWMENT, AND KAISER PERMANENTE. SCRIPPS IS A STRONG PARTNER WITH CHIP AND THE OUTCOMES OF THIS INITIATIVE HAVE SHOWN A DECREASED CHILDHOOD OBESITY FROM 4% FROM 2005-2010, THE LARGEST DROP IN SOUTHERN CALIFORNIA (MANY AREAS HAVE SEEN INCREASES). PROMISE NEIGHBORHOOD INITIATIVE SCRIPPS ALSO ADDRESSES CHILDHOOD OBESITY AT THE HIGH-SCHOOL LEVEL IN SAN DIEGO'S SOUTH BAY COMMUNITIES THROUGH ITS PARTNERSHIP WITH THE PROMISE NEIGHBORHOOD INITIATIVE, WHICH IMPLEMENTS ACTIVITIES RELATED TO THE NATIONAL 5-2-1-0 CAMPAIGN. THE PROGRAM ENCOURAGES: EATING FIVE OR MORE FRUITS A DAY; LIMITING TV SCREEN TIME TO TWO HOURS; ONE HOUR OF DAILY PHYSICAL ACTIVITY; AND DRINKING 0 SUGAR-FILLED BEVERAGES. SCHOOL ADMINISTRATORS AND STAFF ARE CLOSELY INVOLVED IN THE PROGRAM, WHICH INCLUDES FIVE EDUCATIONAL SESSIONS, A HEALTH ASSESSMENT SURVEY AND HEALTH PLAN, AND SUPPORT TO HELP THE STUDENTS PASS THEIR YEARLY PHYSICAL EDUCATION REQUIREMENTS. SINCE 2013, MORE THAN 400 CHILDREN AND 100 PARENTS HAVE PARTICIPATED IN WELLNESS ACTIVITIES ON CAMPUS - AND RESULTS SHOW A 50 PERCENT INCREASE IN THEIR PHYSICAL ACTIVITY, AND FRUIT AND VEGETABLE CONSUMPTION. NUTRITION IN COOKING CLASSES, A LOCAL INTERVENTION AT TWO ELEMENTARY SCHOOLS (FAMILY MEDICINE AND COMMUNITY BENEFITS COLLABORATION) STUDENTS OF SOUTHWEST HIGH SCHOOL AND THEIR PARENTS ARE TAUGHT PRACTICAL SKILLS TO PLAN AND PREPARE HEALTHY, COST-EFFECTIVE, CULTURALLY-RELEVANT MEALS IN A WEEKLY THREE SESSION HEALTHY EATING AND COOKING CLASS. THE PURPOSE OF THE STUDY IS TO UNDERSTAND IF THIS INFORMATION TRANSLATES INTO BEHAVIOR CHANGE FOR STUDENTS AND THEIR PARENTS. PARTICIPANTS IN THE PROJECT LEARN FROM MEDICAL RESIDENTS ABOUT THE CONNECTION BETWEEN HE
FORM 990, PART III, LINE 4A (CONTINUED)MATERNAL CHILD HEALTH & HIGH RISK PREGNANCY MOTHERS, INFANTS AND CHILDREN MAKEUP A LARGE SEGMENT OF THE U.S. POPULATION AND THEIR WELL-BEING IS A HEALTH PREDICTOR FOR THE NEXT GENERATION. THERE IS TREMENDOUS FOCUS ON MATERNAL ILLNESS AND DEATH, AND INFANT HEALTH AND SURVIVAL, INCLUDING INFANT MORTALITY RATES, ACCESS TO PREVENTIVE CARE, AND FETAL, PERINATAL AND OTHER INFANT DEATHS. MATERNAL AND INFANT HEALTH ISSUES INCLUDE: - ALCOHOL, TOBACCO AND ILLEGAL SUBSTANCES DURING PREGNANCY, WHICH ARE MAJOR RISK FACTORS FOR LOW BIRTH WEIGHT AND OTHER POOR OUTCOMES. - VERY LOW BIRTH WEIGHT ASSOCIATED WITH PRETERM BIRTH, SPONTANEOUS ABORTION, LOW PRE-PREGNANCY WEIGHT AND SMOKING. - INFANT DEATH RATES ARE HIGHEST AMONG INFANTS BORN TO YOUNG TEENAGERS AND MOTHERS 44 AND OLDER. BEING PREGNANT, OR TRYING TO BECOME PREGNANT, IS ONLY A SMALL PORTION OF A WOMAN'S LIFE. UNINTENDED PREGNANCY, EITHER MISTIMED OR UNWANTED AT THE TIME OF CONCEPTION, ACCOUNTS FOR AN ESTIMATED 49 PERCENT OF PREGNANCIES IN THE U.S. THESE PREGNANCIES ARE ASSOCIATED WITH INCREASED MORBIDITY, AS WELL AS BEHAVIORS LINKED TO ADVERSE HEALTH. WOMEN WHO CAN PLAN THE NUMBER AND TIMING OF THEIR CHILDREN EXPERIENCE IMPROVED HEALTH, FEWER UNPLANNED PREGNANCIES AND BIRTHS, AND LOWER ABORTION RATES. HIGH RISK PREGNANCY HIGH RISK PREGNANCY CAN BE THE RESULT OF A MEDICAL CONDITION PRESENT BEFORE PREGNANCY OR A MEDICAL CONDITION THAT DEVELOPS DURING PREGNANCY FOR EITHER MOM OR BABY AND CAUSES THE PREGNANCY TO BECOME HIGH RISK. A HIGH RISK PREGNANCY CAN POSE PROBLEMS BEFORE, DURING OR AFTER DELIVERY AND MIGHT REQUIRE SPECIAL MONITORING THROUGHOUT THE PREGNANCY. RISK FACTORS: - ADVANCED MATERNAL AGE: INCREASED RISK FOR MOTHERS 35 YEARS AND OLDER. - LIFESTYLE CHOICES: SMOKING, ALCOHOL CONSUMPTION, USE OF ILLEGAL DRUGS. - MEDICAL HISTORY: PRIOR HIGH RISK PREGNANCIES OR DELIVERIES, FETAL GENETIC CONDITIONS, FAMILY HISTORY OF GENETIC CONDITIONS. - UNDERLYING CONDITIONS: DIABETES, HIGH BLOOD PRESSURE AND EPILEPSY. - MULTIPLE PREGNANCIES. - OBESITY DURING PREGNANCY. UNITED STATES GENERAL STATISTICS: - THE NUMBER OF BIRTHS DECLINED BY 3% FROM 2009 TO 2010. - GENERAL FERTILITY RATE ALSO DECLINED BY 3%. - TEENAGE BIRTH RATE FELL 10% FROM 2009 TO 2010. - THE BIRTH RATE OF WOMEN AGED 40-44 YEARS CONTINUED TO RISE. - CESAREAN DELIVERY RATE WAS DOWN FOR THE FIRST YEAR SINCE 1996, TO 32.8% - IN SAN DIEGO COUNTY, THE INFANT MORTALITY RATE WAS 4.4 DEATHS PER 1,000 LIVE BIRTHS IN 2009. SCRIPPS HEALTH CONTINUED TO ENHANCE PRENATAL EDUCATION FOR LOW-INCOME WOMEN IN SAN DIEGO COUNTY IN FISCAL YEAR 2015. THE FOLLOWING ARE SOME EXAMPLES. SCRIPPS MEMORIAL HOSPITAL LA JOLLA COMMUNITY BENEFIT SERVICES - OFFERED MORE THAN 1,000 MATERNAL CHILD HEALTH CLASSES THROUGHOUT SAN DIEGO COUNTY TO ENHANCE PARENTING SKILLS. LOW-INCOME WOMEN IN SAN DIEGO WHO WERE ELIGIBLE ATTEND CLASSES AT NO CHARGE OR ON A SLIDING-FEE SCHEDULE. - MAINTAINED EXISTING PRENATAL EDUCATION SERVICES IN ALL REGIONS OF THE COUNTY, ENSURING THAT PROGRAMS CONTINUED TO DEMONSTRATE A SATISFACTION RATING ABOVE 90 PERCENT. - PROVIDED AND SUPPORTED WEEKLY BREASTFEEDING SUPPORT GROUPS AT SEVEN LOCATIONS THROUGHOUT SAN DIEGO COUNTY, INCLUDING TWO WITH BILINGUAL SERVICES. - OFFERED A MATERNAL CHILD HEALTH EDUCATION SERIES IN NORTHERN AND COASTAL SAN DIEGO COVERING DOGS AND BABIES, SAFETY, GRAND PARENTING AND BABY SITTER SAFETY. - OFFERED MATERNAL CHILD HEALTH CLASSES AT THE THROUGHOUT THE COMMUNITY, SUCH AS BASIC TRAINING FOR DADS, GETTING READY FOR THE BABY, INFANT CPR AND SAFETY, PARENT CONNECTION PROGRAMS AND REDIRECTING CHILDREN'S BEHAVIOR. - OFFERED THE DOGS AND BABIES PROGRAMS QUARTERLY, WITH MORE THAN 40 ATTENDEES. - OFFERED WEEKLY MOMMY AND ME YOGA PROGRAMS FOR NEW PARENTS. - OFFERED A PRENATAL YOGA PROGRAM FOR EXPECTANT WOMEN IN SAN DIEGO COUNTY. - OFFERED A PREGNANCY NUTRITION PROGRAM QUARTERLY AT SCRIPPS MEMORIAL HOSPITAL LA JOLLA. - OFFERED CLASSES IN PELVIC FLOOR AND PREGNANCY CHANGES FOR EXPECTANT FAMILIES AT SCRIPPS MEMORIAL HOSPITAL LA JOLLA. - OFFERED CLASSES IN PELVIC FLOOR AND POSTPARTUM CHANGES FOR NEW MOTHER'S THROUGHOUT THE COMMUNITY. (SPONSORED BY SCRIPPS MEMORIAL HOSPITAL LA JOLLA, COMMUNITY BENEFITS) FIRST 5 AND PROMISE NEIGHBORHOODS MORE THAN 350 SERVICES WERE RECEIVED FOR FIRST TIME MOTHERS INCLUDING: HOME VISITS, REFERRALS RECEIVED, DATA ENTRY, FOLLOW UP PHONE CALLS, PARENTING CLASSES AND OTHER SUPPORT SERVICES. A TOTAL OF 284 PARENTS PARTICIPATED IN PARENTING CLASSES; 241 SESSIONS PROVIDED.(SPONSORED BY SCRIPPS MERCY HOSPITAL, CHULA VISTA, COMMUNITY BENEFITS) SCRIPPS MERCY'S SUPPLEMENTAL NUTRITION PROGRAM FOR WOMEN, INFANTS AND CHILDREN (WIC) SCRIPPS MERCY HOSPITAL IS ONE OF FIVE REGIONAL ORGANIZATIONS THAT ADMINISTER THE STATE-FUNDED WIC PROGRAM. THE PROGRAM SERVES SIX LOCATIONS CONVENIENTLY SITUATED NEAR COMMUNITY CLINICS AND/OR HOSPITALS IN CENTRAL SAN DIEGO AREA. WIC TARGETS LOW-INCOME PREGNANT AND POSTPARTUM WOMEN, INFANTS AND CHILDREN (AGES 0 TO 5). SCRIPPS MERCY WIC SERVES APPROXIMATELY 7,500 WOMEN AND CHILDREN ANNUALLY, 44 PERCENT IN THE CITY HEIGHTS COMMUNITY. IN CITY HEIGHTS, CLIENTS ARE 91 PERCENT HISPANIC AND INCLUDE PREGNANT AND POSTPARTUM WOMEN (24 PERCENT), INFANTS (20 PERCENT) AND CHILDREN (56 PERCENT). IN FISCAL YEAR 2015, THE PROGRAM PROVIDED NUTRITION SERVICES, COUNSELING AND FOOD VOUCHERS FOR 86,117 WOMEN AND CHILDREN IN SOUTH AND CENTRAL SAN DIEGO. THE SCRIPPS MERCY WIC PROGRAM PLAYS A KEY ROLE IN MATERNITY CARE BY REACHING LOW-INCOME WOMEN TO PROMOTE PRENATAL CARE, GOOD NUTRITION AND BREASTFEEDING. NUTRITION STAFF EDUCATE WOMEN ABOUT THE IMPORTANCE OF BREASTFEEDING DURING PREGNANCY AND OFFER LACTATION SUPPORT (ONE-ON-ONE AND GROUP), AS WELL AS SUPPLIES - PUMPS AND BREAST PADS - DURING THE POSTPARTUM PERIOD. (SPONSORED BY SCRIPPS MERCY HOSPITAL, SAN DIEGO) SCRIPPS FAMILY MEDICINE PROGRAM AT SCRIPPS MERCY HOSPITAL, CHULA VISTA RAISING HEALTHY FAMILIES AND CARING FOR THE NEXT GENERATION OF SAN DIEGANS - BEFORE THEY'RE EVEN BORN - HELP CREATE A HEALTHIER COMMUNITY FOR YEARS TO COME. THE SCRIPPS FAMILY MEDICINE PROGRAM AT SCRIPPS MERCY HOSPITAL, CHULA VISTA, IS PROVIDING ACCESS, EDUCATION AND CLINICAL SERVICES TO NEARLY 200 PREGNANT WOMEN IN SOUTH SAN DIEGO COUNTY. THE GOAL OF THE PROGRAM, "IMPROVING PERINATAL CARE FOR UNDERSERVED LATINA WOMEN - HEALTHY WOMEN, HEALTHY BABIES," IS TO PROVIDE ACCESS TO PERINATAL CARE FOR UNDERSERVED LATINO WOMEN IN ORDER TO IMPROVE BIRTH OUTCOMES. WITH FUNDING FROM THE MARCH OF DIMES, THE PROGRAM APPLIES THE PRINCIPLES OF THE CENTERING HEALTHCARE INSTITUTE AND FOCUSES ON CHANGING THE WAY PATIENTS EXPERIENCE THEIR CARE THROUGH ASSESSMENT, EDUCATION AND GROUP SUPPORT. CENTERING PREGNANCY IS THE INSTITUTE'S MODEL DEVOTED SPECIFICALLY TO IMPROVING MATERNAL AND CHILD HEALTH, AND HAS BEEN SHOWN TO RESULT IN INCREASED PRENATAL VISITS, GREATER LEVELS OF BREAST FEEDING AND STRONGER RELATIONSHIPS BETWEEN MOTHERS AND THEIR HEALTH CARE PROVIDERS BEFORE, DURING AND AFTER PREGNANCY. THE RESULTS ARE PROMISING. WOMEN WHO GAVE BIRTH REPORTED AN ENHANCED PRENATAL EXPERIENCE, GAINED LESS WEIGHT THROUGHOUT THEIR PREGNANCY AND SHOWED IMPROVED HEALTH CARE KNOWLEDGE. AS THE PROGRAM CONTINUES, PATIENT NAVIGATORS WILL FOLLOW-UP WITH PARTICIPANTS TO GAUGE OTHER IMPORTANT FACTORS AND HELP THEM MAINTAIN HEALTHY LIFESTYLES. (SPONSORED BY SCRIPPS MERCY HOSPITAL, CHULA VISTA COMMUNITY BENEFITS) UNINTENTIONAL INJURY AND VIOLENCE IN CALIFORNIA, INJURIES ARE THE NUMBER ONE KILLER AND DISABLER OF PEOPLE AGED 1 TO 44 (CDPH, 2010). UNINTENTIONAL INJURIES OCCUR AT HOME, AT WORK, WHILE PARTICIPATING IN SPORTS AND RECREATION, ON THE STREETS AND AT SCHOOL AND ARE ASSOCIATED WITH MOTOR VEHICLE ACCIDENTS, FALLS, FIREARMS, FIRE/BURNS, DROWNING, POISONING (INCLUDING DRUGS AND CAUSTIC SUBSTANCES), ALCOHOL, GAS, CLEANERS AND MANY OTHER CAUSES. THE DEATHS ASSOCIATED WITH UNINTENTIONAL INJURIES ARE SIGNIFICANT, YET REPRESENT ONLY A SMALL PART OF A MUCH LARGER PUBLIC HEALTH PROBLEM. HOSPITALIZATION DATA IS A BETTER MEASURE OF THE INJURY PROBLEM THAN DEATH DATA ALONE. IN SAN DIEGO COUNTY DURING 2009, THERE WERE MORE THAN 949 DEATHS, MORE THAN 21,149 HOSPITALIZATIONS, AND NEARLY 150,000 EMERGENCY DEPARTMENT VISITS FOR UNINTENTIONAL INJURIES. THE NUMBER OF UNINTENTIONAL INJURIES TREATED IN PHYSICIANS' OFFICES AND CLINICS, WHILE UNKNOWN, IS LIKELY MUCH HIGHER THAN THE NUMBER OF EMERGENCY DEPARTMENT VISITS. UNINTENTIONAL INJURIES ARE ONE OF THE LEADING CAUSES OF DEATH FOR SAN DIEGO COUNTY FOR RESIDENTS OF ALL AGES, REGARDLESS OF GENDER, RACE OR REGION. FALLS WERE THE MOST COMMON CAUSE OF UNINTENTIONAL INJURY IN 2009, FOLLOWED BY MOTOR-VEHICLE INJURIES. THE FOLLOWING ARE A NUMBER OF SCRIPPS HEALTH PROGRAMS THAT ADDRESSED UNINTENTIONAL INJURIES AND VIOLENCE FOR FISCAL YEAR 2015. AARP DRIVER SAFETY PROGRAM AN EIGHT-HOUR DRIVER IMPROVEMENT COURSE ESPECIALLY DESIGNED FOR MOTORISTS AGE 50 AND OLDER. THE COURSE HELPS DRIVERS REFINE EXISTING SKILLS AND DEVELOP SAFE, DEFENSIVE DRIVING TECHNIQUES. OPEN TO AARP MEMBERS AND NON-MEMBERS ALIKE. (SPONSO
FORM 990, PART III, LINE 4A (CONTINUED)BEACH AREA COMMUNITY COURT PROGRAM THE PROGRAM IS AN EDUCATIONAL PROGRAM FOR FIRST TIME OFFENDERS FOR QUALITY OF LIFE CRIMES. THIS IS A COLLABORATION WITH THE SAN DIEGO POLICE DEPARTMENT, PARKS AND RECREATION, DISTRICT ATTORNEY'S OFFICE AND DISCOVER PACIFIC BEACH. EDUCATION IS PROVIDED TO THE PARTICIPANTS REGARDING THESE QUALITY OF LIFE CRIMES AND THEIR EFFECTS ON THE COMMUNITY; THE EFFECTS OF SMOKING AND ALCOHOL CONSUMPTION AND THE RULES AND REGULATIONS FOR THE BEACH COMMUNITY. (SPONSORED BY SMH LA JOLLA, TRAUMA DEPARTMENT). HEALTH AND WELLNESS, SCRIPPS HOME HEALTH SERVICES THIS PROGRAM EDUCATES SENIORS ABOUT FALL PREVENTION (THE PRIMARY CAUSE OF FRACTURES) AND FIRE SAFETY. HOME HEALTH NURSES ALSO TEACH SENIORS AND THEIR FAMILIES ABOUT CONTINUUM-OF-CARE OPTIONS. (SPONSORED BY HOME HEALTH SERVICES) SAN DIEGO FALL PREVENTION TASK FORCE THIS COUNTY HHSA-AGING AND INDEPENDENCE SERVICE-SUPPORTED TASK FORCE SEEKS TO REDUCE FALLS AND THEIR DEVASTATING CONSEQUENCES. THE TASK FORCE INCREASES CONNECTIONS BETWEEN PHYSICIANS AND OTHER COMMUNITY FALL PREVENTION SERVICES, AS WELL AS INCREASING AWARENESS AMONG OLDER ADULTS. SCRIPPS MERCY HOSPITAL TRAUMA CENTER PARTICIPATES IN THIS TASK FORCE. (SPONSORED BY SCRIPPS MERCY HOSPITAL) HEALTH AND WELLNESS, SCRIPPS HOME HEALTH SERVICES THIS PROGRAM EDUCATES SENIORS ABOUT FALL PREVENTION (THE PRIMARY CAUSE OF FRACTURES) AND FIRE SAFETY. HOME HEALTH NURSES ALSO TEACH SENIORS AND THEIR FAMILIES ABOUT CONTINUUM-OF-CARE OPTIONS. WEIGHT STATUS, NUTRITION, ACTIVITY AND FITNESS THE NUMBERS SPEAK FOR THEMSELVES - 63 PERCENT OF AMERICAN ADULTS ARE EITHER OVERWEIGHT OR OBESE. NATIONALLY, THE PREVALENCE OF OBESE ADULTS (THOSE WITH A BODY MASS INDEX (BMI) OF 30 OR MORE) HAS INCREASED BY 68 PERCENT SINCE 1995, FROM 16 PERCENT TO ALMOST 27 PERCENT. DURING THIS SAME PERIOD, THE PREVALENCE OF OVERWEIGHT ADULTS (BMI BETWEEN 25.0 AND 29.99) HAS INCREASED BY ONLY TWO PERCENT, FROM 35.5 PERCENT TO 36.2 PERCENT. SAN DIEGO COUNTY BEHAVIORAL RISK FACTOR SURVEILLANCE SYSTEM (BRFSS) DATA FOR 2009 INDICATES THAT ALMOST 59 PERCENT OF ADULTS ARE CONSIDERED EITHER OVERWEIGHT OR OBESE. SINCE 2005, THE FIRST YEAR BRFSS DATA WAS REPORTED FOR SAN DIEGO COUNTY, THE PREVALENCE OF OBESE ADULTS HAS RANGED FROM 20 PERCENT IN 2005 TO 26.7 PERCENT IN 2006, WITH THE MOST CURRENT MEASURE AT 21.6 PERCENT. SINCE 2006, THE PREVALENCE OF OVERWEIGHT ADULTS IN SAN DIEGO COUNTY HAS INCREASED SLIGHTLY FROM 36.5 PERCENT TO 37.7 PERCENT. AT THE NATIONAL, STATE AND COUNTY LEVELS, OBESITY PREVALENCE RATES AMONG LATINOS AND AFRICAN-AMERICANS ARE SIGNIFICANTLY HIGHER THAN THOSE FOR WHITES. OBESITY RATES BY GENDER ALSO VARIED SIGNIFICANTLY IN THE 2007 CHIS, THE MOST RECENT COUNTY DATA BY GENDER, WITH 25.4 PERCENT OF MALES AND 18.1 PERCENT OF FEMALES HAVING A BMI 30 OR HIGHER. MALES WERE SIGNIFICANTLY MORE LIKELY TO BE OVERWEIGHT THAN FEMALES, 40.5 PERCENT AND 25.8 PERCENT, RESPECTIVELY. CAUSES MANY FACTORS PLAY A ROLE IN OBESITY, MAKING IT A COMPLEX HEALTH ISSUE TO ADDRESS. FACTORS INCLUDE (DH&HS, 2010): - GENETIC PREDISPOSITION - BEHAVIOR (DIETARY PATTERNS AND PHYSICAL ACTIVITY) - ENVIRONMENTAL INFLUENCES - CULTURAL INFLUENCES - SOCIOECONOMIC STATUS TO IMPLEMENT PREVENTION STRATEGIES, IT IS IMPORTANT TO UNDERSTAND THE EFFECT EACH OF THESE FACTORS HAS ON OBESITY AND WHICH CAN BE CHANGED. THE FOLLOWING ARE SOME EXAMPLES OF SCRIPPS PROGRAMS THAT ADDRESS THESE HEALTH ISSUES. NUTRITION SERVICES AND PHYSICAL ACTIVITY ACCORDING TO THE 2009 BEHAVIORAL RISK FACTOR SURVEILLANCE SYSTEM (BRFSS) DATA FOR SAN DIEGO COUNTY, MORE THAN 59 PERCENT OF ADULTS ARE OVERWEIGHT OR OBESE. OBESITY INCREASES THE RISK FOR HEART DISEASE, TYPE 2 DIABETES, HIGH BLOOD PRESSURE, STROKE AND SOME FORMS OF CANCER. THE NATION'S LOW-INCOME, MINORITY POPULATIONS ARE AT EVEN GREATER RISK. IN AN EFFORT TO ADDRESS THIS CRITICAL HEALTH CONCERN, STAFF MEMBERS AT THE CITY HEIGHTS WELLNESS CENTER HAVE ESTABLISHED A VARIETY OF NUTRITION EDUCATION PROGRAMS TO MEET THE NEEDS OF LOW-INCOME, MINORITY POPULATIONS. THE CENTER USES A COMBINATION OF APPROACHES TO ADDRESS A BROAD ARRAY OF COMMUNITY HEALTH PRIORITIES, INCLUDING NUTRITION, ACCESS TO SERVICES AND COMMUNITY ENGAGEMENT. THE GOAL IS TO PREVENT DISEASE BY STRENGTHENING COMMUNITY PARTNERSHIPS AND LINK EXISTING SERVICES TO PROVIDE CITY HEIGHTS' RESIDENTS WITH OPPORTUNITIES TO BECOME MORE INVOLVED IN MANAGING THEIR OWN HEALTH. THE "HUB" OF THE WELLNESS CENTER IS THEIR TEACHING KITCHEN - A HANDS-ON INTERACTIVE SETTING FOR COOKING DEMONSTRATIONS, WEIGHT MANAGEMENT, MEAL PREPARATION, NUTRITION EDUCATION AND COUNSELING. THE CENTER, WHICH SERVES MORE THAN 18,000 CULTURALLY DIVERSE FAMILIES A YEAR, IS BASED ON THE BELIEF THAT KEEPING PEOPLE HEALTHIER IS ONE OF THE MOST EFFECTIVE WAYS TO REDUCE HEALTH CARE COSTS. THE CENTER STRIVES TO BE THE HUB OF HEALTH EDUCATION ADDRESSING NUTRITION, HEALTHY LIFESTYLE BEHAVIORS AND CHILDHOOD INJURY PREVENTION THROUGH A VARIETY OF HEALTH AND WELLNESS PROGRAMS. THE CENTER HAS EARNED A REPUTATION FOR BEING (1) A SAFE PLACE TO COME AND SEEK HELP FOR A VARIETY OF HEALTH AND SOCIAL NEEDS; (2) A RESOURCE FOR OBTAINING EASY ACCESS TO INFORMATION ABOUT HEALTH AND COMMUNITY RESOURCES; (3) A FLEXIBLE MEETING PLACE THAT HAS THE CAPACITY TO BRING PEOPLE TOGETHER AROUND COMMUNITY HEALTH ISSUES, ESPECIALLY FOOD AND NUTRITION. (SPONSORED BY SCRIPPS MERCY HOSPITAL, SAN DIEGO COMMUNITY BENEFIT SERVICES) LIVE HEALTHY FAMILY NUTRITION PROGRAM USING THE COOPERATIVE EXTENSION'S RESEARCH-BASED CURRICULUMS AND BILINGUAL STAFF, A REGISTERED DIETITIAN IMPLEMENTED WEEKLY NUTRITION EDUCATION CLASSES IN SPANISH. THE PROGRAM TARGETS LOW-INCOME PEOPLE WHO USE FOOD STAMPS AND OFFERS A SERIES OF EIGHT WEEKLY CLASSES. THE PROGRAM INCREASES RESIDENTS' KNOWLEDGE, SKILLS AND MOTIVATION TO HELP THEM PRACTICE HEALTHY EATING AND RELATED BEHAVIORS. CLASSES FOCUS ON NUTRITION, PHYSICAL FITNESS, FOOD SAFETY, MEAL PLANNING AND FOOD SHOPPING. (SPONSORED BY SCRIPPS MERCY HOSPITAL, COMMUNITY BENEFIT SERVICES) COLLABORATE FOR HEALTHY WEIGHT THIS ADVISORY GROUP MEETS MONTHLY. DRS. SERPAS AND BRANDSTEIN ARE THE LEADERS OF THIS COLLABORATION. COLLABORATE FOR HEALTHY WEIGHT IS A PROGRAM OF THE HEALTH RESOURCES AND SERVICES ADMINISTRATION (HRSA) AND THE NATIONAL INITIATIVE FOR CHILDREN'S HEALTHCARE QUALITY (NICHQ). THE SHARED VISION IS TO CREATE PARTNERSHIPS BETWEEN PRIMARY CARE, PUBLIC HEALTH, AND COMMUNITY ORGANIZATIONS TO DISCOVER SUSTAINABLE WAYS TO PROMOTE HEALTHY WEIGHT AND ELIMINATE HEALTH DISPARITIES IN COMMUNITIES ACROSS THE UNITED STATES. ALL THREE SECTORS MUST COLLABORATE, USING EVIDENCE-BASED APPROACHES, TO REVERSE THE OBESITY EPIDEMIC AND IMPROVE THE HEALTH OF OUR COMMUNITIES; 120 MEMBERS. SEVERAL MANUSCRIPTS ARE UNDER DEVELOPMENT. (SPONSORED BY SCRIPPS MERCY HOSPITAL, CHULA VISTA, COMMUNITY BENEFIT SERVICES) CHULA VISTA PROMISE NEIGHBORHOOD (CVPN) SCRIPPS MERCY HOSPITAL CHULA VISTA WELL-BEING CENTER AND SCRIPPS FAMILY MEDICINE RESIDENCY ARE PARTNERS IN THE CHULA VISTA PROMISE NEIGHBORHOOD (CVPN) EFFORTS FUNDED BY THE DEPARTMENT OF EDUCATION. CVPN BRINGS TOGETHER A COLLABORATION OF PARTNERS FOCUSED ON FAMILY, EDUCATION, HEALTH AND COMMUNITY TO PROVIDE CHILDREN AND FAMILIES IN THE CASTLE PARK NEIGHBORHOOD WITH OPPORTUNITIES THEY NEED TO EXCEL IN SCHOOL, GET INTO COLLEGE, FIND GOOD JOBS AND LEAD HEALTHY LIVES. TOGETHER, THE SCRIPPS FAMILY MEDICINE RESIDENCY AND THE SCRIPPS MERCY HOSPITAL CHULA VISTA WELL BEING CENTER IMPLEMENT HEALTH AND WELLNESS ACTIVITIES AT CASTLE PARK ELEMENTARY FOR THE STUDENTS AND THEIR PARENTS FOCUSING ON THE 5210 MESSAGE IN AN EFFORT TO PROMOTE HEALTHY LIVING IN THE CASTLE PARK AREA. THE 5210 MESSAGE EMPHASIZES TEACHING FAMILIES ON EATING MORE FRUITS AND VEGETABLES, LIMITING SCREEN TIME, INCORPORATING ONE HOUR OF PHYSICAL ACTIVITY A DAY AND PROMOTING ZERO SUGARY DRINKS. (SPONSORED BY SCRIPPS MERCY HOSPITAL CHULA VISTA WELL BEING CENTER) MENTAL HEALTH AND ILLNESS MENTAL HEALTH IS DEFINED AS "A STATE OF COMPLETE PHYSICAL, MENTAL AND SOCIAL WELL-BEING, AND NOT MERELY THE ABSENCE OF DISEASE". MENTAL ILLNESS IS DEFINED AS "COLLECTIVELY ALL DIAGNOSABLE MENTAL DISORDERS" OR "HEALTH CONDITIONS THAT ARE CHARACTERIZED BY ALTERATIONS IN THINKING, MOOD, OR BEHAVIOR (OR SOME COMBINATION THEREOF) ASSOCIATED WITH DISTRESS AND/OR IMPAIRED FUNCTIONING". DEPRESSION: - DEPRESSION IS THE MOST COMMON TYPE OF MENTAL ILLNESS, AFFECTING MORE THAN 26% OF THE U.S. ADULT POPULATION. - IT HAS BEEN ESTIMATED THAT BY THE YEAR 2020, DEPRESSION WILL BE THE SECOND LEADING CAUSE OF DISABILITY THROUGHOUT THE WORLD, TRAILING ONLY ISCHEMIC HEART DISEASE. DISPARITIES: - MALES COMMIT SUICIDE FOUR TIMES MORE THAN FEMALES. - YOUNGER AMERICAN ADULTS, AGED 18-24 YEARS, SUFFERED THE MOST MENTAL HEALTH DISTRESS. - ADULTS WITH THE LOWEST INCOME OR EDUCATION REPORT MORE UNHEALTHY DAYS THAN THOSE WITH HIGHER INCOME OR EDUCATION. - MENTAL ILLNESS IS ASSOCIATED WITH CHRONIC DISEASES SUCH AS CARDIOVASCULAR DISEASE, DIABETES, AND OBESITY. PREVALENCE: - ABOUT 25% OF U.S. ADULTS HAVE A MENTAL
FORM 990, PART III, LINE 4A (CONTINUED)SUICIDE AND SUICIDE ATTEMPTS SUICIDE IS A MAJOR COMPLICATION OF DEPRESSION AND A LEADING CAUSE OF NON-NATURAL DEATH FOR ALL AGES IN SAN DIEGO COUNTY, SECOND ONLY TO MOTOR VEHICLE ACCIDENTS. IN 2010, 372 SAN DIEGANS DIED BY SUICIDE, A RATE OF 11.5 PER 100,000. THIS WAS HIGHER THAN CALIFORNIA OVERALL (9.9 PER 100,000) AND SLIGHTLY LOWER THAN THE NATIONAL RATE (11.9 PER 100,000). SUICIDE DEATHS ARE ONLY PART OF THE PROBLEM; MORE PEOPLE SURVIVE SUICIDE ATTEMPTS THAN DIE. THOSE WHO ATTEMPT SUICIDE ARE OFTEN SERIOUSLY INJURED AND REQUIRE MEDICAL AND PSYCHIATRIC CARE. BETWEEN 2000 AND 2008, 2,896 SAN DIEGANS DIED FROM SUICIDE. ON AVERAGE, ONE SUICIDE AFFECTS THE LIVES OF AT LEAST SIX PEOPLE, CAUSING CONSIDERABLE GRIEF, SOCIAL STIGMA AND, IN SOME CASES, ELEVATED RISK OF ADDITIONAL SUICIDES. IN 2010, THE COUNTY OF SAN DIEGO HEALTH AND HUMAN SERVICES AGENCY (HHSA) LAUNCHED A SUICIDE PREVENTION PLANNING PROCESS, WHICH WAS INFORMED BY THE NATIONAL STRATEGY FOR SUICIDE PREVENTION AND THE CALIFORNIA STRATEGIC PLAN ON SUICIDE PREVENTION. SCRIPPS IS A MEMBER OF THE COMMUNITY HEALTH IMPROVEMENT PARTNERS (CHIP), WHICH COLLABORATES WITH THE COUNTY ON THIS INITIATIVE. SCRIPPS OFFERS BOTH INPATIENT AND OUTPATIENT ADULT BEHAVIORAL HEALTH SERVICES AT SCRIPPS MERCY HOSPITAL, SAN DIEGO. THE BEHAVIORAL HEALTH PROGRAM AT SCRIPPS MERCY ALSO SUPPORTS COMMUNITY PROGRAMS TO REDUCE THE STIGMA OF MENTAL ILLNESS AND HELP AFFECTED INDIVIDUALS LIVE AND WORK IN THE COMMUNITY. SCRIPPS HEALTH BEHAVIORAL HEALTH INPATIENT PROGRAMS INDIVIDUALS SUFFERING FROM ACUTE PSYCHIATRIC DISORDERS ARE SOMETIMES UNABLE TO LIVE INDEPENDENTLY OR MAY EVEN POSE A DANGER TO THEMSELVES OR OTHERS. IN SUCH CASES, HOSPITALIZATION MAY BE THE MOST APPROPRIATE ALTERNATIVE. THE BEHAVIORAL HEALTH INPATIENT PROGRAM AT SCRIPPS MERCY HOSPITAL HELPS PATIENTS AND THEIR LOVED ONES WORK THROUGH SHORT-TERM CRISES, MANAGE MENTAL ILLNESS AND RESUME THEIR DAILY LIVES. CHALLENGES - LIKE MANY BEHAVIORAL HEALTH PROGRAMS ACROSS THE COUNTRY, FUNDING IS DIFFICULT, AS PAYMENT RATES HAVE NOT KEPT PACE WITH THE COST TO PROVIDE CARE. - IN 2015, THE SCRIPPS MERCY BEHAVIORAL HEALTH PROGRAM LOST $4.4 MILLION. - IN 2015, 3.2 PERCENT OF PATIENTS IN THE INPATIENT UNIT WERE UNINSURED. SCRIPPS HEALTH BEHAVIORAL HEALTH OUTPATIENT PROGRAMS SCRIPPS MERCY PROVIDES COMMUNITY-BASED ADULT PSYCHIATRIC TREATMENT AT SCRIPPS MERCY HOSPITAL, SAN DIEGO. THE INTENSIVE DAY PROGRAM HELPS PARTICIPANTS REDUCE THEIR SYMPTOMS WHILE THEY CONTINUE TO LIVE IN THE COMMUNITY. THE OUTPATIENT PROGRAM OFFERS PATIENTS ONE TO FOUR TREATMENT DAYS PER WEEK. MENTAL HEALTH OUTREACH SERVICES, A-VISION SERVICE PROGRAM BEHAVIORAL HEALTH SERVICES AT SCRIPPS MERCY HOSPITAL, IN PARTNERSHIPS WITH THE SAN DIEGO MENTAL HEALTH ASSOCIATION, ESTABLISHED THE A-VISIONS VOCATIONAL TRAINING PROGRAM (SOCIAL REHABILITATION AND PREVOCATIONAL SERVICES FOR PEOPLE LIVING WITH MENTAL ILLNESS) TO HELP DECREASE THE STIGMA OF MENTAL ILLNESS. THE PROGRAM PROVIDES VOCATIONAL TRAINING FOR PEOPLE RECEIVING MENTAL HEALTH TREATMENT, POTENTIALLY LEADING TO GREATER INDEPENDENCE. THIS YEAR, BEHAVIORAL HEALTH SERVICES CONTINUED PARTICIPATING IN THE A-VISIONS PROGRAM. SINCE ITS INCEPTION, 93 CLIENTS HAVE BEEN SERVED, AND 46 ENROLLED AT SCRIPPS, INCLUDING 3 AS VOLUNTEERS AND 23 AS SCRIPPS MERCY HOSPITAL EMPLOYEES. CURRENTLY, THERE IS A TOTAL OF 26 ACTIVE CANDIDATES, 23 EMPLOYEES AND 3 VOLUNTEERING WHICH ARE PARTICIPATING IN SUPPORTIVE EMPLOYMENT. A-VISIONS PARTICIPANTS HAVE BEEN EMPLOYED ON A PER-DIEM BASIS BY SCRIPPS IN ENVIRONMENTAL SERVICES, FOOD SERVICES AND CLERICAL SUPPORT FOR HEALTH AND INFORMATION SERVICES, EMERGENCY SERVICES, NURSING RESEARCH, HUMAN RESOURCES AND PALLIATIVE CARE SERVICES. PAID A-VISIONS CANDIDATES TYPICALLY LIMIT THEIR WORK TO EIGHT HOURS PER WEEK, WHICH ALLOWS THEM TO MAINTAIN ELIGIBILITY FOR THE DISABILITY BENEFITS, MEDICATIONS AND ONGOING BEHAVIORAL HEALTHCARE THAT SUPPORTS THEIR WORK. THE TOTAL EXPENSE FOR THE A-VISIONS PROGRAM FOR FISCAL YEAR 2014 WAS $90,902 (SPONSORED BY SCRIPPS MERCY BEHAVIORAL HEALTH DEPARTMENT) INCREASING AWARENESS OF MENTAL HEALTH AND GERIATRIC PSYCHIATRIC ISSUES IN FISCAL YEAR 2015, SCRIPPS BEHAVIORAL HEALTH SERVICES IMPROVES AWARENESS OF MENTAL HEALTH AND GERIATRIC ISSUES BY PROVIDING INFORMATION AND SUPPORTIVE SERVICES FOR MORE THAN 1,000 PEOPLE AT COMMUNITY EVENTS. DEPRESSION SCREENINGS IN OCTOBER 2015, SCRIPPS AGAIN PARTICIPATED IN NATIONAL DEPRESSION SCREENING DAY, AN ANNUAL EVENT AIMED AT HELPING PEOPLE IDENTIFY THE SIGNS OF DEPRESSION AND PROVIDING RESOURCES TO ASSIST THOSE AT RISK. IN THE PAST TWO YEARS, SCRIPPS HAS EXPANDED THE AVAILABILITY OF FREE DEPRESSION SCREENINGS BY MAKING THEM AVAILABLE IN THE COMMUNITY IN A PARTNERSHIP WITH THE YMCA'S. THE SCREENINGS ARE OPEN TO ADULTS OF ALL AGES ON A WALK-IN-BASIS AND INCLUDE REFERRALS TO MENTAL HEALTH PROFESSIONALS, AS WELL AS LITERATURE THAT CAN BE SHARED WITH FRIENDS AND FAMILY MEMBERS. IN 2015, SCRIPPS STAFF CARED FOR MORE THAN 114 PEOPLE AND CONDUCTED 72 DEPRESSION SCREENING SERVICES AND INFORMATION IN BOTH ENGLISH AND SPANISH. (SPONSORED BY SCRIPPS MERCY BEHAVIORAL HEALTH DEPARTMENT) COMMUNITY HEALTH IMPROVEMENT PROJECT (CHIP) AND SUICIDE PREVENTION COUNCIL SCRIPPS IS A STRONG PARTNER OF CHIP. CHIP TRAINED APPROXIMATELY 8,000 COMMUNITY MEMBERS IN SUICIDE PREVENTION TO HELP ADDRESS RISING RATES OF SUICIDE IN THE COUNTY. GUIDING VETERAN'S TO MENTAL HEALTH SERVICES SAN DIEGO IS HOME TO MORE THAN 250,000 VETERANS. A SUBSTANTIAL NUMBER OF OUR SERVICE MEMBERS HAVE SUFFERED OR ARE STRUGGLING WITH POST-TRAUMATIC STRESS DISORDER (PTSD), DEPRESSION, ANXIETY AND OTHER PSYCHOLOGICAL CONDITIONS RELATED TO MILITARY SERVICE AND REPEATED DEPLOYMENTS. PARTNERING WITH COMMUNITY-BASED ORGANIZATIONS, SCRIPPS IS ACTIVELY WORKING TO ASSIST THESE VETERANS THROUGH INFORMATIONAL SESSIONS DESIGNED TO IMPROVE KNOWLEDGE OF VETERANS' MENTAL HEALTH ISSUES AND ACCESS TO COMMUNITY-BASED SERVICES. LAST YEAR, SCRIPPS PERSONNEL SPOKE WITH MORE THAN 150 INDIVIDUALS INVOLVED IN VETERANS' HEALTH CARE. MENTAL HEALTH SUPPORT SERVICES AT LOCAL SCHOOL-BASED CLINICS SCRIPPS FAMILY MEDICINE RESIDENCY AND THE SCRIPPS MERCY HOSPITAL CHULA VISTA WELL-BEING CENTER HAVE PARTNERED TO OFFER CLINICAL TRAINING OPPORTUNITIES FOR MASTER SOCIAL WORK STUDENTS IN TRAINING FROM SAN DIEGO STATE UNIVERSITY AT SOUTHWEST AND PALOMAR HIGH SCHOOLS. THESE STUDENTS WORK WITH LOCAL FACULTY TO ENGAGE HIGH SCHOOL STUDENTS IN COUNSELING AND REFERRALS TO PSYCHIATRISTS AND OTHER PROVIDERS THAT ADDRESS THE MENTAL HEALTH NEEDS OF VULNERABLE ADOLESCENTS. A VARIETY OF MENTAL HEALTH ISSUES ARE PRESENT FOR LOCAL HIGH SCHOOL STUDENTS. MANY OF THESE ISSUES INCLUDE DEPRESSION, ANXIETY AND SUICIDE RELATED CONCERNS. THE PROGRAM WORKS TO IMPROVE OVERALL MENTAL HEALTH CARE FOR LOCAL STUDENTS THROUGH A SCHOOL-BASED CLINIC. THERE WERE A TOTAL OF 1,085 MEDICAL VISITS AT THE SCHOOL BASED CLINICS AND ONE THIRD OF THESE WERE MENTAL HEALTH, 400. (SPONSORED BY SCRIPPS MERCY HOSPITAL CHULA VISTA WELL-BEING CENTER) VOLUNTEERS OF AMERICA (VOA) THROUGH A CONTRACT WITH THE VOLUNTEERS OF AMERICA SCRIPPS PROVIDES SAFE DETOX UP TO FIVE PATIENTS PER WEEK WITH CASE MANAGEMENT FROM THE SCRIPPS DRUG AND ALCOHOL RESOURCE NURSES TO HELP THEM INTO COMMUNITY BASED PROGRAMS. THE GOAL IS TO INCREASE THE ABILITY TO PROVIDE TREATMENT TO THOSE WHO ARE UNFUNDED OR UNDERFUNDED. (SPONSORED BY SCRIPPS DRUG AND ALCOHOL DEPARTMENT) LATINOS Y LATINAS EN ACCION LATINOS Y LATINAS EN ACCION IS AN ORGANIZATION THAT WORKS WITH THE LATINO COMMUNITY THROUGH EDUCATION ON RIGHTS AND HEALTH OPPORTUNITIES. THE NEED FOR MENTAL HEALTH COUNSELING WAS IDENTIFIED IN THE LATINO COMMUNITY SO A SERIES OF CLASSES WERE FORMULATED TO MEET THE IDENTIFIED NEEDS OF LATINOS IN CENTRAL SAN DIEGO. THE SERIES WAS CALLED "EMOTIONAL HEALING TO MAINTAIN EMOTIONAL HEALTH." THE SIX WEEK SERIES INCLUDED THE FOLLOWING TOPICS: ANXIETY, DEPRESSION, STRESS, CO-DEPENDENCY, EMOTIONALITY, AND QUALITY OF LIFE. (SPONSORED BY CITY HEIGHTS WELLNESS CENTER) ACUTE RESPIRATORY INFECTIONS/PNEUMONIA RESPIRATORY DISEASES, SUCH AS ASTHMA AND CHRONIC OBSTRUCTIVE PULMONARY DISEASE (COPD), ARE A SIGNIFICANT PUBLIC HEALTH BURDEN IN THE UNITED STATES. ASTHMA AND COPD ARE AMONG THE 10 LEADING CHRONIC CONDITIONS THAT RESTRICT ACTIVITY. AFTER CHRONIC SINUSITIS, ASTHMA IS THE MOST COMMON CHRONIC ILLNESS IN CHILDREN. DEATH RATES FROM COPD HAVE DECLINED FROM 2000 TO 2009 AT THE NATIONAL, STATE, AND LOCAL LEVELS. INFLUENZA, ALSO KNOWN AS THE "FLU", IS A CONTAGIOUS RESPIRATORY ILLNESS CAUSED BY INFLUENZA VIRUSES THAT INFECT THE NOSE, THROAT, AND LUNGS. IT CAN CAUSE MILD TO SEVERE ILLNESS, AND AT TIMES CAN LEAD TO DEATH. COMPLICATIONS OF FLU CAN INCLUDE BACTERIAL PNEUMONIA (PARTICULARLY FOR OLDER AND IMMUNOCOMPROMISED INDIVIDUALS), EAR INFECTIONS, SINUS INFECTIONS, DEHYDRATION, AND WORSENING OF CHRONIC MEDICAL CONDITIONS, SUCH AS CONGESTIVE HEART FAILURE, ASTHMA, OR DIABETES. CLINICAL SYMPTOMS INCLUDE FEVER, COUGH, SORE THROAT, CHILLS, MUSCLE AND BODY ACHES, RUNNY OR
FORM 990, PART III, LINE 4A (CONTINUED)ASTHMA ASTHMA IS A CHRONIC BREATHING CONDITION DUE TO INFLAMMATION OF THE AIR PASSAGES IN THE LUNGS. ASTHMA AFFECTS THE SENSITIVITY OF THE NERVE ENDINGS IN THE AIRWAYS CAUSING THEM TO BECOME EASILY IRRITATED. DURING AN ASTHMA ATTACK, THE LINING OF THESE PASSAGES SWELL CAUSING THE AIRWAYS TO NARROW THEREBY REDUCING THE FLOW OF AIR IN AND OUT OF THE LUNGS. ASTHMA ATTACKS CAN RANGE IN SEVERITY FROM MILD TO LIFE-THREATENING. CLINICAL SYMPTOMS INCLUDE COUGHING, SHORTNESS OF BREATH, WHEEZING, AND TIGHTNESS OR PAIN IN THE CHEST. IN 2009, 12.3% OF SAN DIEGO COUNTY RESIDENTS REPORTED EVER BEING DIAGNOSED WITH ASTHMA. THE COUNTY AGE-ADJUSTED ASTHMA RATES DECREASED SLIGHTLY BETWEEN 2001 AND 2004, BEFORE INCREASING AGAIN IN 2005. IT THEN DECREASED AGAIN IN 2006 AND HIT A NEW LOW IN 2009. TRIGGERS OF ASTHMA ATTACKS INCLUDE: - ALLERGENS (LIKE POLLEN, MOLD, ANIMAL DANDER, AND DUST MITES) - EXERCISE - OCCUPATIONAL HAZARDS - TOBACCO SMOKE - AIR POLLUTION - AIRWAY INFECTIONS - SOME RISK FACTORS FOR DEVELOPING ASTHMA INCLUDE: - DEMOGRAPHIC VARIABLES SUCH AS GENDER, AGE, RACE/ETHNICITY - EDUCATIONAL LEVEL - INCOME LEVEL - SMOKING - OBESITY SCRIPPS BELIEVES THAT HEALTH IMPROVEMENT BEGINS WHEN PEOPLE TAKE AN ACTIVE ROLE IN MAKING A POSITIVE IMPACT ON THEIR COMMUNITY. FOR THIS REASON, SCRIPPS SUPPORTS VOLUNTEER PROGRAMS FOR SCRIPPS EMPLOYEES AND AFFILIATED PHYSICIANS WHO WANT TO MAKE AN EVEN LARGER IMPACT ON THEIR COMMUNITY. THE SCRIPPSASSISTS EMPLOYEE VOLUNTEER CLUB IS ONE WAY SCRIPPS MATCHES THE TALENTS AND INTERESTS OF EMPLOYEES AND PHYSICIANS WITH COMMUNITY NEEDS, SUCH AS MENTORING PARTNERSHIPS WITH LOCAL SCHOOLS AND PROVIDING FREE MEDICAL AND SURGICAL CARE FOR PATIENTS IN NEED. IN ADDITION TO THE FINANCIAL COMMUNITY BENEFIT CONTRIBUTIONS MADE DURING FISCAL YEAR 2015, SCRIPPS EMPLOYEES AND AFFILIATED PHYSICIANS DONATED A SIGNIFICANT PORTION OF THEIR PERSONAL TIME VOLUNTEERING TO SUPPORT SCRIPPS-SPONSORED COMMUNITY BENEFIT PROGRAMS. WITH CLOSE TO 7,737 HOURS, THE ESTIMATED DOLLAR VALUE OF THIS VOLUNTEER LABOR IS $364,388.81*, WHICH IS NOT INCLUDED IN THE SCRIPPS FISCAL YEAR 2015 COMMUNITY BENEFIT PROGRAMS AND SERVICES TOTALS. PROFESSIONAL EDUCATION & HEALTH RESEARCH QUALITY HEALTH CARE IS HIGHLY DEPENDENT UPON HEALTH EDUCATION SYSTEMS AND MEDICAL RESEARCH PROGRAMS. WITHOUT THE ABILITY TO TRAIN AND INSPIRE A NEW GENERATION OF HEALTH CARE PROVIDERS, OR TO OFFER CONTINUING EDUCATION TO EXISTING HEALTH CARE PROFESSIONALS, THE QUALITY OF HEALTH CARE WILL BE GREATLY DIMINISHED. MEDICAL RESEARCH ALSO PLAYS AN IMPORTANT ROLE IN IMPROVING THE COMMUNITY'S OVERALL HEALTH BY DEVELOPING NEW AND INNOVATIVE TREATMENTS. EACH YEAR, SCRIPPS ALLOCATES RESOURCES TO ADVANCE HEALTH CARE SERVICES THROUGH CLINICAL RESEARCH, MEDICAL EDUCATION AND HEALTH PROFESSIONAL EDUCATION. DURING FISCAL YEAR 2015 (OCTOBER 2014 TO SEPTEMBER 2015), SCRIPPS INVESTED $26,184,190 IN PROFESSIONAL TRAINING PROGRAMS AND CLINICAL RESEARCH TO ENHANCE SERVICE DELIVERY AND TREATMENT PRACTICES IN SAN DIEGO COUNTY. THIS SECTION HIGHLIGHTS SOME OF OUR PROFESSIONAL EDUCATION AND HEALTH RESEARCH ACTIVITIES. HEALTH PROFESSIONS TRAINING: INTERNSHIPS SCRIPPS' COMMITMENT TO ONGOING LEARNING AND HEALTH CARE EXCELLENCE EXTENDS BEYOND OUR ORGANIZATION. OUR INTERNSHIP PROGRAMS HELP PROMOTE HEALTH CARE CAREERS TO A NEW GENERATION, SHAPE THE FUTURE WORKFORCE AND DEVELOP FUTURE LEADERS IN OUR COMMUNITY. INTERACTING WITH HEALTH CARE PROFESSIONALS IN THE FIELD EXPANDS EDUCATION OUTSIDE THE CLASSROOM. SCRIPPS EMPLOYEES PLAY AN IMPORTANT ROLE AS PRECEPTORS BY INVESTING THEIR TIME TO CREATE A VALUABLE EXPERIENCE FOR THE COMMUNITY. IN FISCAL YEAR 2015, SCRIPPS HOSTED 2,488 INTERNS WITHIN OUR SYSTEM AND PROVIDED 356,474 DEVELOPMENT HOURS SPANNING NURSING AND ANCILLARY SETTINGS. COLLEGE AND UNIVERSITY AFFILIATIONS SCRIPPS COLLABORATES WITH LOCAL HIGH SCHOOLS, COLLEGES AND UNIVERSITIES TO HELP STUDENTS EXPLORE HEALTH CARE ROLES AND GAIN FIRSTHAND EXPERIENCE AS THEY WORK WITH SCRIPPS PROFESSIONALS. SCRIPPS IS AFFILIATED WITH MORE THAN 110 SCHOOLS AND PROGRAMS, INCLUDING CLINICAL AND NONCLINICAL PARTNERSHIPS. LOCAL SCHOOLS INCLUDE, BUT ARE NOT LIMITED TO, POINT LOMA NAZARENE UNIVERSITY (PLNU), UNIVERSITY OF CALIFORNIA SAN DIEGO (UCSD), CALIFORNIA STATE UNIVERSITY SAN MARCOS (CSUSM), SAN DIEGO STATE UNIVERSITY (SDSU), UNIVERSITY OF SAN DIEGO (USD), MESA COLLEGE, SAN DIEGO CITY COLLEGE, GROSSMONT COLLEGE, PALOMAR COLLEGE AND MIRA COSTA COLLEGE. SCRIPPS IS REGULARLY ACCEPTING NEW PARTNERSHIPS, BASED ON COMMUNITY AND WORKFORCE NEEDS, AND ESTABLISHED AN AFFILIATION AGREEMENT COMMITTEE TO REVIEW ALL REQUESTS AND PROVIDE A SYSTEM WIDE APPROACH TO SECURING NEW STUDENT PLACEMENTS. THIS INTERDISCIPLINARY COMMITTEE REPRESENTS EDUCATION AND DEPARTMENT LEADERSHIP ACROSS THE SCRIPPS SYSTEM, ENSURING A PROACTIVE APPROACH TO BUILDING A CAREER PIPELINE FOR TOP TALENT. RESEARCH STUDENTS SCRIPPS SUPPORTS GRADUATE RESEARCH FOR MASTERS AND DOCTORAL STUDENTS AT UNIVERSITIES WITH AFFILIATION AGREEMENTS. SCRIPPS CENTER FOR LEARNING & INNOVATION OVERSEES THE STUDENT PLACEMENT PROCESS. NON-PHYSICIAN STUDENTS WHO CONDUCT RESEARCH AT SCRIPPS REPRESENT A VARIETY OF HEALTH CARE DISCIPLINES, INCLUDING PUBLIC HEALTH, PHYSICAL THERAPY, PHARMACY AND NURSING. IN FISCAL YEAR 2015, SCRIPPS RESEARCH INCLUDED STUDENTS FROM USD, WESTERN GOVERNORS, SDSU, PLNU LOMA LINDA UNIVERSITY AND POSTDOCTORAL PHARMACY RESIDENCY PROGRAMS, INCLUDING THE PGY1 PHARMACY RESIDENCY PROGRAM. COLLEGE COLLABORATIONS SCRIPPS PARTNERED WITH PLNU TO CREATE HEALTH CARE FOCUS COURSES, INCLUDING HEALTH CARE FINANCE AND HEALTH CARE OPERATIONS. PLNU STUDENTS (NON-SCRIPPS EMPLOYEES) MAY ELECT TO TAKE THESE COURSES TOWARDS THEIR MBA. HIGH SCHOOL PROGRAMS SCRIPPS IS DEDICATED TO PROMOTING HEALTH CARE AS A REWARDING CAREER, COLLABORATING WITH A NUMBER OF HIGH SCHOOLS TO OFFER STUDENTS OPPORTUNITIES TO EXPLORE A ROLE IN HEALTH CARE AND GAIN FIRSTHAND EXPERIENCE WORKING WITH SCRIPPS HEALTH CARE PROFESSIONALS. HERE IS A SUMMARY OF THE HIGH SCHOOL PROGRAMS SCRIPPS MADE AVAILABLE TO THE COMMUNITY. SCRIPPS HIGH SCHOOL EXPLORATION PROGRAM AND HEALTH AND SCIENCE PIPELINE INITIATIVE (HASPI) THIS PROGRAM REACHES OUT TO SAN DIEGO HIGH SCHOOL STUDENTS INTERESTED IN EXPLORING A CAREER IN HEALTH CARE. IN FISCAL YEAR 2015, SCRIPPS HIRED 25 STUDENTS TO PARTICIPATE IN THE PROGRAM. DURING THEIR PAID FIVE-WEEK ROTATION, THE STUDENTS WORK IN DIFFERENT DEPARTMENTS, EXPLORING CAREER OPTIONS AND LEARNING VALUABLE LIFE LESSONS ABOUT HEALTH AND HEALING.
FORM 990, PART III, LINE 4A (CONTINUED)UC HIGH SCHOOL COLLABORATION UC HIGH SCHOOL AND SCRIPPS PARTNERED TO PROVIDE A REAL-LIFE CONTEXT TO THE SCHOOL'S HEALTH CARE ESSENTIALS COURSE. FOR FISCAL YEAR 2015, SIXTEEN STUDENTS WERE SELECTED TO ROTATE THROUGH FIVE DIFFERENT SCRIPPS LOCATIONS, DURING THE SPRING SEMESTER, TO INCREASE THEIR AWARENESS OF HEALTH CARE CAREERS. UC HIGH STUDENTS VISITED SCRIPPS CLINIC TORREY PINES, CARMEL VALLEY, RANCHO BERNARDO, MERCY SAN DIEGO, SCRIPPS MEMORIAL HOSPITAL LA JOLLA AND GREEN. THE STUDENTS WERE ABLE TO VIEW SURGERIES AND SHADOWING HEALTHCARE PROFESSIONALS IN THE EMERGENCY DEPARTMENT, ICU, PHARMACY, URGENT CARE, INTERNAL MEDICINE, PEDIATRICS, AMBULATORY SERVICES, REHAB THERAPY, PATIENT LOGISTICS, LAB AND TRAUMA. YOUNG LEADERS IN HEALTH CARE AN OUTREACH PROGRAM AT SCRIPPS HOSPITAL ENCINITAS, YOUNG LEADERS IN HEALTH CARE TARGETS LOCAL HIGH SCHOOL STUDENTS INTERESTED IN EXPLORING HEALTH CARE CAREERS. STUDENT'S GRADES 9-12 PARTICIPATE IN THE PROGRAM, WHICH PROVIDES A FORUM FOR HIGH SCHOOL STUDENTS TO LEARN ABOUT THE HEALTH CARE SYSTEM AND ITS CAREER OPPORTUNITIES. THIS COMBINED EXPERIENCE INCLUDES WEEKLY MEETINGS AT LOCAL SCHOOLS FACILITATED BY TEACHERS AND ADVISORS, AS WELL AS MONTHLY MEETINGS AT SCRIPPS HOSPITAL ENCINITAS. THE PROGRAM MENTORS STUDENTS ON LEADERSHIP AND PROVIDES TOOLS FOR DAILY LIFE CHALLENGES. YOUNG LEADERS IN HEALTH CARE ALSO INCLUDES A SERVICE PROJECT TO MEET HIGH SCHOOL REQUIREMENTS AND MAKE A POSITIVE IMPACT ON THE COMMUNITY. THE PROGRAM CLOSES THE YEAR WITH A PRESENTATION ALIGNED WITH THE YEARLY FOCUS. MORE THAN 100 STUDENTS, COMMUNITY MEMBERS AND HEALTH CARE SPECIALISTS ATTENDED THE YOUNG LEADER IN HEALTH CARE FINAL MEETING, CULMINATING WITH STUDENT PRESENTATIONS ON SPORTS INJURIES AND PREVENTION. STUDENTS THAT PARTICIPATE IN THE PROGRAM ARE ELIGIBLE TO APPLY TO THE HIGH SCHOOL EXPLORER SUMMER INTERNSHIP PROGRAM. SCRIPPS HEALTH GRADUATE MEDICAL EDUCATION FOR MORE THAN 70 YEARS PHYSICIANS IN SCRIPPS GRADUATE MEDICAL EDUCATION PROGRAMS HAVE HELPED CARE FOR UNDERSERVED POPULATIONS THROUGHOUT THE REGION. SCRIPPS HAS A COMPREHENSIVE RANGE OF GRADUATE MEDICAL EDUCATION PROGRAMS AT SCRIPPS MERCY HOSPITAL, SCRIPPS FAMILY PRACTICE RESIDENCY PROGRAM AND SCRIPPS GREEN HOSPITAL. SCRIPPS GRADUATE MEDICAL EDUCATION PROGRAMS ARE WELL-RECOGNIZED FOR EXCELLENCE, PROVIDE A HANDS-ON CURRICULUM THAT FOCUSES ON PATIENT-CENTERED CARE AND OFFER RESIDENCIES IN A VARIETY OF PRACTICES, INCLUDING INTERNAL MEDICINE, FAMILY MEDICINE, PODIATRY, PHARMACY AND PALLIATIVE CARE. SCRIPPS HAS A PHARMACY RESIDENCY PROGRAM WHICH TRAIN RESIDENTS WITH DOCTOR OF PHARMACY DEGREES. IN 2015, SCRIPPS HAD A TOTAL OF 131 RESIDENTS AND 36 FELLOWS ENROLLED THROUGHOUT THE SCRIPPS HEALTH SYSTEM. MORE DETAIL ON THESE PROGRAMS IS INCLUDED IN THE COMMUNITY BENEFIT REPORT. UCSD/SCRIPPS HEALTH HOSPICE AND PALLIATIVE MEDICINE FELLOWSHIP PROGRAM IN 2015, SCRIPPS CONTINUED THE HOSPICE AND PALLIATIVE MEDICINE FELLOWSHIP PROGRAM. THE UCSD/SCRIPPS HEALTH HOSPICE AND PALLIATIVE MEDICINE FELLOWSHIP PROGRAM IS A ONE-YEAR PROGRAM DESIGNED FOR PHYSICIANS WHO WISH TO BECOME SUB-SPECIALISTS AND HAVE A LONG-TERM CAREER IN HOSPICE AND PALLIATIVE MEDICINE. THIS IS A UNIQUE PARTNERSHIP IN WHICH UCSD AND SCRIPPS HEALTH SHARE RESPONSIBILITY FOR THE FELLOWS, WITH TRAINEES SPENDING EQUAL TIME IN BOTH INSTITUTIONS WITH ALL THE BENEFITS OF BOTH INSTITUTIONS. THE PROGRAM PREPARES TRAINEES TO WORK IN A VARIETY OF ROLES, INCLUDING LEADERSHIP POSITIONS WITHIN THE FIELD. GRADUATES HAVE SUCCESSFULLY BECOME HOSPICE MEDICAL DIRECTORS AND PALLIATIVE MEDICINE CONSULTANTS IN OUTPATIENT AND INPATIENT SETTINGS ACROSS THE UNITED STATES. THE PROGRAM IS A CONTINUATION OF THE LEGACY OF THE SAN DIEGO HOSPICE AND THE INSTITUTE FOR PALLIATIVE MEDICINE FELLOWSHIP PROGRAM, IN WHICH BOTH SCRIPPS MERCY HOSPITAL/SCRIPPS HEALTH AND UCSD PLAYED INTEGRAL ROLES TO GRADUATE MORE THAN 80 FELLOWS. FELLOWS WHO COMPLETE THE UCSD/SCRIPPS HEALTH PROGRAM ARE WELL EQUIPPED TO PRACTICE IN DIVERSE SETTINGS, INCLUDING: ACUTE PALLIATIVE CARE UNITS, INPATIENT CONSULTATION, OUTPATIENT CONSULTATION, PATIENTS' HOMES, AND LONG-TERM CARE FACILITIES. THERE ARE CURRENTLY FOUR FELLOWS AND FOR THE 2015-2016 YEAR THE PROGRAM WILL GROW TO SIX FELLOWS.
FORM 990, PART VI, LINE 11990 REVIEW PROCESS WITH THE GOVERNING BODY THE FORM 990 WAS PREPARED BY AN OUTSIDE ACCOUNTING FIRM WITH THE SUPPORT OF THE CORPORATE FINANCE TEAM WITH INPUT FROM HUMAN RESOURCES, FOUNDATION, 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, LINE 12CCOMPLIANCE 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 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. 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.
FORM 990, PART VI, LINE 15A & 15BOFFICES & 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, 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 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 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 25, 2015. REVIEW AND DISCUSSION OF SUCH REPORT IS DOCUMENTED IN THE MINUTES.
FORM 990, PART VI, LINE 16JOINT VENTURES SCRIPPS HEALTH HAS MAINTAINED A LONG STANDING PRACTICE OF REVIEWING ALL POTENTIAL JOINT VENTURE OR SIMILAR ARRANGEMENTS TO ENSURE THAT CONTRACT TERMS ARE CONSISTENT WITH THE PROTECTION OF ITS TAX-EXEMPT STATUS.
FORM 990, PART VI, LINE 19AVAILABILITY OF DOCUMENTS TO THE GENERAL 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 AND GOVERNING DOCUMENTS ARE AVAILABLE UPON REQUEST.
FORM 990, PART XI, LINE 9OTHER CHANGES IN NET ASSETS CHANGE IN VALUE IN DEFERRED GIFTS (824,157) JOINT VENTURES DISTRIBUTION 2,530,664 OTHER CHANGES IN FUND BALANCES - IHS 35,972,066 OTHER (1,635,251) ---------------- TOTAL $36,043,322
FORM 990 PART IX LINE 11GDESCRIPTION:PHYS FEES-PROVIDER SVS AGRMENT TOTAL FEES:XXX-XX-XXXX
FORM 990 PART IX LINE 11GDESCRIPTION:OTHER PURCHASED SVS - NON MED TOTAL FEES:61501551
FORM 990 PART IX LINE 11GDESCRIPTION:PHYSICIAN FEES TOTAL FEES:56244986
FORM 990 PART IX LINE 11GDESCRIPTION:PUCHASED MEDICAL SERVICES TOTAL FEES:25003824
FORM 990 PART IX LINE 11GDESCRIPTION:ALL OTHER FEES FOR SERVICES TOTAL FEES:34506446

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp (6 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdTotal IncomeTotalIncomeAmtEnd Of Year AssetsEndOfYearAssetsAmtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Txt
Scripps Cardio&Thoracic Surgery Billing
4275 Campus Point CourtSan DiegoCA92121270620996HLTHCR ADMINCA$5,500,863$0SCRIPPS HLTH
Scripps Hospital Billing Services LLC
4275 Campus Point CourtSan DiegoCA92121611677183HLTHCR ADMINCA$3,096,194$0SCRIPPS HLTH
Scripps Clinic Billing LLC
4275 Campus Point CourtSan DiegoCA92121870737749HLTHCR ADMINCA$322,515,217$0SCRIPPS HLTH
Scripps Mercy Billing LLC
4275 Campus Point CourtSan DiegoCA92121870737748HLTHCR ADMINCA$38,431,156$0SCRIPPS HLTH
IHS Holding Company LLC
4275 Campus Point CourtSan DiegoCA92121473437677HLTHCR ADMINCA$0$35,945,315SCRIPPS HLTH
IMAGING HEALTHCARE SPECIALISTS LLC
4275 CAMPUS POINT COURTSAN DIEGOCA92121203872122HLTHCR ADMINCA$0$0IHS HOLDING

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (4 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtControlled OrganizationControlledOrganizationInd
Maxwell H & Muriel Gluck Child Care Ctr
10660 John J Hopkins DrSan DiegoCA92121350504809ChildcareCA501(c)(3)2Scripps HLTHYes (true)
Mercy Hospital Foundation
4275 Campus Point CourtSan DiegoCA92121942958094FundraisingCA501(c)(3)11,IScripps HLTHYes (true)
Scripps Health Plan Services Inc
4275 Campus Point CourtSan DiegoCA92121330782099Healthcare SVCA501(c)(3)11,IScripps HLTHYes (true)
Horizon Hospice
4275 Campus Point CourtSan DiegoCA92121330220777Hospice CareCA501(c)(3)9Scripps HLTHYes (true)

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (4 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtPredominant Income TypePredominantIncomeTypeTxtShare Of Total IncomeShareOfTotalIncomeAmtShare Of EOY AssetsShareOfEOYAssetsAmtDisproportionate AllocationsDisproportionateAllocationsIndUBI Code VUBICodeVAmtGeneral Or Managing PartnerGeneralOrManagingPartnerIndOwnershipOwnershipPct
Scripps Encinitas Surgery Ctr
15035 DALLAS PKWY STE 1600 LB 28ADDISONTX75001205942958Ambul SurgeryCAScripps HealthRelated$1,883,616$68,569false$0false0.55500
ScrippsUSP Surgery Centers
15305 Dallas Pkwy Ste 1600 LB28AddisonTX75001205942911Ambul SurgeryCANARelated$658,656$1,093,396false$0false0.50000
Scripps Mercy Ambul Surg Ctr
4275 Campus Point CtSan DiegoCA92121450503246Ambul SurgeryCAScripps HealthRelated$1,099,801$3,415,931false$0Yes (true)0.73500
Scripps IDN Mgmt LLC
4275 Campus Point CtSan DiegoCA92121454557426Healthcare SVCANARelated$0$16,126false$0false0.50000

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (5 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtEntity TypeEntityTypeTxtShare Of Total IncomeShareOfTotalIncomeAmtShare Of EOY AssetsShareOfEOYAssetsAmtOwnershipOwnershipPctControlled OrganizationControlledOrganizationInd
Scripps Health & Healing Center
4275 Campus Point CtSan DiegoCA92121205156965Patient EducationCAScripps HealthC Corp$0$01.00000Yes (true)
ScrippsCare
4275 Campus Point CtSan DiegoCA92121452870638Healthcare SVCSCAScripps HealthC Corp$0$01.00000Yes (true)
Scripps Clinical Science Center
4275 Campus Point CtSan DiegoCA92121264479543ResearchCAScripps HealthC Corp$0$01.00000Yes (true)
Charitable Remainder Trust (55)
4275 Campus Point CtSan DiegoCA92121Hospital SupportCANATrust
Charitable Lead Trust (2)
4275 Campus Point CtSan DiegoCA92121Hospital SupportCANATrust
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts RyltsYes (true)ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgfalseGiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgfalseGiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgfalseLoansOrGuaranteesFromOthOrgInd
Div Related OrganizationfalseDivRelatedOrganizationInd
Asset Sale To Other OrgfalseAssetSaleToOtherOrgInd
Asset Purchase From Other OrgfalseAssetPurchaseFromOtherOrgInd
Asset ExchangefalseAssetExchangeInd
Rental Of Facilities To Oth OrgfalseRentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgfalseRentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgYes (true)PerformOfServicesForOthOrgInd
Perform Of Services By Other OrgYes (true)PerformOfServicesByOtherOrgInd
Sharing Of FacilitiesYes (true)SharingOfFacilitiesInd
Paid Employees SharingfalsePaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (true)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (true)ReimbursementPaidByOtherOrgInd
Transfer To Other OrgYes (true)TransferToOtherOrgInd
Transfer From Other OrgYes (true)TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (5 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
Scripps Health Plan Services (SHPS)
l$143,145,345Accrual
Scripps Health Plan Services (SHPS)
p$31,504,117Accrual
Scripps Encinitas Surgery Center LLC
a(iv)$362,123Accrual
Scripps Mercy Ambulatory Surgery Center
a(iv)$564,803Accrual
Horizon Hospice
q$3,433,835Accrual

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE R, PART IIIFormAndLineReferenceDesc
ExplanationRELATED 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 CENTERS, LLC EIN: 20-5942911 ADDRESS: 15305 DALLAS PKWY, STE 1600, LB 28, ADDISON, TX 75001 SCRIPPS MERCY AMBULATORY SURGERY CENTER, LLC EIN: 45-0503246 ADDRESS: 4275 CAMPUS POINT COURT, SAN DIEGO, CA 92121 SCRIPPS IDN MANAGEMENT, LLC EIN: 45-4557426 ADDRESS: 4275 CAMPUS POINT COURT, SAN DIEGO, CA 92121ExplanationTxt

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