SCRIPPS HEALTH: Form 990, tax year 2024

View the entire original 990 at ProPublica ↗

Organization: SCRIPPS HEALTH (EIN 95-1684089)
Tax period: 2024-10-01 to 2025-09-30
Filed: 2026-08-10
IRS object ID: 202642229349300344
Schema version: 2024v5.1
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
Form 990
Schedule A
Schedule B
Schedule C
Schedule D
Schedule F
Schedule G
Schedule H
Schedule I
Schedule J
Schedule K
Schedule K
Schedule L
Schedule M
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2026-08-10T11:43:29+00:00	ReturnTs
Tax Period End	2025-09-30	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Field	Value	IRS element (for citing)
Preparer Firm EIN	346565596	PreparerFirmEIN

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	ERNST & YOUNG US LLP	BusinessNameLine1Txt

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	101 E WASHINGTON ST	AddressLine1Txt
City	PHOENIX	CityNm
State Abbreviation	AZ	StateAbbreviationCd
ZIP	85004	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2024-10-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	951684089	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	SCRIPPS HEALTH	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Business Name Control	SCRI	BusinessNameControlTxt
Phone	8585545712	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	4555 EXECUTIVE DR	AddressLine1Txt
City	SAN DIEGO	CityNm
State Abbreviation	CA	StateAbbreviationCd
ZIP	92121	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	CHRISTOPHER VAN GORDER	PersonNm
Person Title	PRESIDENT & CEO/TRUSTEE	PersonTitleTxt
Signature	2026-08-10	SignatureDt
Discuss With Paid Preparer	false	DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	STEVEN T RUTTI	PreparerPersonNm
PTIN	P00775456	PTIN
Phone	6023223000	PhoneNum
Preparation	2026-07-29	PreparationDt

Field	Value	IRS element (for citing)
Tax	2024	TaxYr
Build TS	2025-03-06 01:10:19Z	BuildTS

Form 990 IRS990

Principal Ofcr Business Name PrincipalOfcrBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	CHRISTOPHER VAN GORDER	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	4555 EXECUTIVE DR	AddressLine1Txt
City	SAN DIEGO	CityNm
State Abbreviation	CA	StateAbbreviationCd
ZIP	92121	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$7,132,894,446	GrossReceiptsAmt
Group Return For Affiliates	false	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	WWW.SCRIPPS.ORG	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1924	FormationYr
Legal Domicile State	CA	LegalDomicileStateCd
Activity Or Mission	FOUNDED IN 1924 BY PHILANTHROPIST ELLEN BROWNING SCRIPPS, SCRIPPS HEALTH IS A $4.8 BILLION, PRIVATE NOT-FOR-PROFIT INTEGRATED HEALTH SYSTEM IN SAN DIEGO, CA. (SEE SCH O)	ActivityOrMissionDesc
Voting Members Governing Body	16	VotingMembersGoverningBodyCnt
Voting Members Independent	15	VotingMembersIndependentCnt
Total Employee	20217	TotalEmployeeCnt
Total Volunteers	2520	TotalVolunteersCnt
Total Gross UBI	$15,753,003	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$438,952	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$43,068,436	PYContributionsGrantsAmt
CY Contributions Grants	$67,400,850	CYContributionsGrantsAmt
PY Program Service Revenue	$4,574,697,762	PYProgramServiceRevenueAmt
CY Program Service Revenue	$4,584,021,245	CYProgramServiceRevenueAmt
PY Investment Income	$123,981,850	PYInvestmentIncomeAmt
CY Investment Income	$356,155,050	CYInvestmentIncomeAmt
PY Other Revenue	$127,717,495	PYOtherRevenueAmt
CY Other Revenue	$126,978,508	CYOtherRevenueAmt
PY Total Revenue	$4,869,465,543	PYTotalRevenueAmt
CY Total Revenue	$5,134,555,653	CYTotalRevenueAmt
PY Grants And Similar Paid	$1,507,500	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$997,683	CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$2,010,509,221	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$2,114,257,295	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$8,719,596	CYTotalFundraisingExpenseAmt
PY Other Expenses	$2,513,892,493	PYOtherExpensesAmt
CY Other Expenses	$2,580,407,382	CYOtherExpensesAmt
PY Total Expenses	$4,525,909,214	PYTotalExpensesAmt
CY Total Expenses	$4,695,662,360	CYTotalExpensesAmt
PY Revenues Less Expenses	$343,556,329	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$438,893,293	CYRevenuesLessExpensesAmt
Total Assets BOY	$9,124,382,316	TotalAssetsBOYAmt
Total Assets EOY	$9,647,312,670	TotalAssetsEOYAmt
Total Liabilities BOY	$3,089,779,778	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$2,924,383,026	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$6,034,602,538	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$6,722,929,644	NetAssetsOrFundBalancesEOYAmt
Mission	SEE SCHEDULE O	MissionDesc
Significant New Program Srvc	false	SignificantNewProgramSrvcInd
Significant Change	false	SignificantChangeInd
Expense	$4,256,539,300	ExpenseAmt
Grant	$997,683	GrantAmt
Revenue	$4,688,544,301	RevenueAmt
Desc	SEE SCHEDULE O.	Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

Field	Value	IRS element (for citing)
Expense	$1,771,662	ExpenseAmt
Grant	$0	GrantAmt
Revenue	$2,590,335	RevenueAmt
Desc	THE MAXWELL H. AND MURIEL GLUCK CHILD CARE CENTER PROVIDES CHILD CARE AND PRE-SCHOOL EDUCATION FOR THE BENEFIT OF INDIVIDUALS IN THE COMMUNITY OF SAN DIEGO, INCLUDING EMPLOYEES AND PATIENTS OF THE NONPROFIT 501(C)(3) ENTITIES OF SCRIPPS HEALTH AND SCRIPPS RESEARCH INSTITUTE. SPECIAL EMPHASIS IS PLACED ON A VARIETY OF LEARNING AND PLAY ACTIVITIES IN THE MUSICAL AND VISUAL ARTS FIELD.	Desc

Field	Value	IRS element (for citing)
Total Program Service Expenses	$4,258,310,962	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (true)	DescribedInSection501c3Ind
Schedule B Required	Yes (true)	ScheduleBRequiredInd
Political Campaign Acty	false	PoliticalCampaignActyInd
Lobbying Activities	Yes (true)	LobbyingActivitiesInd
Subject To Proxy Tax	false	SubjectToProxyTaxInd
Donor Advised Fund	false	DonorAdvisedFundInd
Conservation Easements	Yes (true)	ConservationEasementsInd
Collections Of Art	Yes (true)	CollectionsOfArtInd
Credit Counseling	false	CreditCounselingInd
Donor Rstr Or Quasi Endowments	Yes (true)	DonorRstrOrQuasiEndowmentsInd
Report Land Building Equipment	Yes (true)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	Yes (true)	ReportInvestmentsOtherSecInd
Report Program Related Invst	false	ReportProgramRelatedInvstInd
Report Other Assets	false	ReportOtherAssetsInd
Report Other Liabilities	Yes (true)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	Yes (true)	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	false	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (true)	ConsolidatedAuditFinclStmtInd
School Operating	false	SchoolOperatingInd
Foreign Office	Yes (true)	ForeignOfficeInd
Foreign Activities	Yes (true)	ForeignActivitiesInd
More Than5000 K To Org	false	MoreThan5000KToOrgInd
More Than5000 K To Individuals	false	MoreThan5000KToIndividualsInd
Professional Fundraising	false	ProfessionalFundraisingInd
Fundraising Activities	Yes (true)	FundraisingActivitiesInd
Gaming Activities	false	GamingActivitiesInd
Operate Hospital	Yes (true)	OperateHospitalInd
Audited Financial Stmt Att	Yes (true)	AuditedFinancialStmtAttInd
Grants To Organizations	Yes (true)	GrantsToOrganizationsInd
Grants To Individuals	false	GrantsToIndividualsInd
Schedule J Required	Yes (true)	ScheduleJRequiredInd
Tax Exempt Bonds	Yes (true)	TaxExemptBondsInd
Invest Tax Exempt Bonds	false	InvestTaxExemptBondsInd
Escrow Account	false	EscrowAccountInd
On Behalf Of Issuer	false	OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans	false	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	false	PYExcessBenefitTransInd
Loan Outstanding	Yes (true)	LoanOutstandingInd
Grant To Related Person	false	GrantToRelatedPersonInd
Business Rln With Org Mem	false	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	Yes (true)	BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent	Yes (true)	BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri	Yes (true)	DeductibleNonCashContriInd
Deductible Art Contribution	false	DeductibleArtContributionInd
Terminate Operations	false	TerminateOperationsInd
Partial Liquidation	false	PartialLiquidationInd
Disregarded Entity	Yes (true)	DisregardedEntityInd
Related Entity	Yes (true)	RelatedEntityInd
Related Organization Ctrl Ent	Yes (true)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	Yes (true)	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	false	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	false	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (true)	ScheduleORequiredInd
IRP Document	834	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (true)	BackupWthldComplianceInd
Employee	20217	EmployeeCnt
Employment Tax Returns Filed	Yes (true)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	Yes (true)	UnrelatedBusIncmOverLimitInd
Form990 T Filed	Yes (true)	Form990TFiledInd
Foreign Financial Account	false	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTransInd
Taxable Party Notification	false	TaxablePartyNotificationInd
Nondeductible Contributions	false	NondeductibleContributionsInd
Quid Pro Quo Contributions	Yes (true)	QuidProQuoContributionsInd
Quid Pro Quo Contri Discl	Yes (true)	QuidProQuoContriDisclInd
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	false	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	false	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	false	IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt	Yes (true)	SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc	false	SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	16	GoverningBodyVotingMembersCnt
Independent Voting Member	15	IndependentVotingMemberCnt
Family Or Business Rln	false	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	false	DelegationOfMgmtDutiesInd
Change To Org Documents	false	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	false	MaterialDiversionOrMisuseInd
Members Or Stockholders	false	MembersOrStockholdersInd
Election Of Board Members	false	ElectionOfBoardMembersInd
Decisions Subject To Approva	false	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (true)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (true)	MinutesOfCommitteesInd
Officer Mailing Address	false	OfficerMailingAddressInd
Local Chapters	false	LocalChaptersInd
Policies Reference Chapters	false	PoliciesReferenceChaptersInd
Form990 Provided To Gvrn Body	Yes (true)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (true)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (true)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (true)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (true)	WhistleblowerPolicyInd
Document Retention Policy	Yes (true)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (true)	CompensationProcessCEOInd
Compensation Process Other	Yes (true)	CompensationProcessOtherInd
Investment In Joint Venture	Yes (true)	InvestmentInJointVentureInd
Written Policy Or Procedure	Yes (true)	WrittenPolicyOrProcedureInd
States Where Copy Of Return Is Fld	CA	StatesWhereCopyOfReturnIsFldCd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	BRETT TANDE	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Phone	8586787227	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	4555 EXECUTIVE DR	AddressLine1Txt
City	SAN DIEGO	CityNm
State Abbreviation	CA	StateAbbreviationCd
ZIP	92121	ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (38 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	OfficerOfficerInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Key EmployeeKeyEmployeeInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd	Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
CHRISTOPHER VAN GORDER
PRESIDENT / CEO	58.0	2.0	Yes (X)	Yes (X)	$3,631,482	$0	$58,297
DON GOLDMAN
TRUSTEE, VICE CHAIR	13.0	1.0	Yes (X)	Yes (X)	$0	$0	$0
KEVIN T HAMILTON
TRUSTEE, CHAIR	13.0	1.0	Yes (X)	Yes (X)	$0	$0	$0
DAN FELDMAN
TRUSTEE (PART YEAR)	1.0	13.0	Yes (X)		$0	$0	$0
ELLIOT A SCOTT
TRUSTEE	13.0	1.0	Yes (X)		$0	$0	$0
GENE H BARDUSON
TRUSTEE	13.0	1.0	Yes (X)		$0	$0	$0
HONORABLE IRMA GONZALEZ
TRUSTEE	13.0	1.0	Yes (X)		$0	$0	$0
JAN CALDWELL
TRUSTEE	13.0	1.0	Yes (X)		$0	$0	$0
JEFF BOWMAN
TRUSTEE	13.0	1.0	Yes (X)		$0	$0	$0
JOHN BOYER PHD
TRUSTEE	13.0	1.0	Yes (X)		$0	$0	$0
NICOLE A CLAY
TRUSTEE	13.0	1.0	Yes (X)		$0	$0	$0
RICHARD C BIGELOW
TRUSTEE	13.0	1.0	Yes (X)		$0	$0	$0
RICHARD VORTMANN
TRUSTEE	13.0	1.0	Yes (X)		$0	$0	$0
ROBERT BUELL ESQ
TRUSTEE	13.0	1.0	Yes (X)		$0	$0	$0
SHIREEN MATTHEWS ESQ
TRUSTEE	13.0	1.0	Yes (X)		$0	$0	$0
THEODORE THOMAS MD
TRUSTEE	13.0	1.0	Yes (X)		$0	$0	$0
WILLIAM D GORE
TRUSTEE	13.0	1.0	Yes (X)		$0	$0	$0
BRADLEY ELLIS
CORP SR VP, CHIEF LEGAL COUNSEL	49.0	1.0		Yes (X)	$1,218,320	$0	$59,265
BRETT TANDE
TREASURER / CORP EXEC VP, CFO	54.0	1.0		Yes (X)	$1,450,122	$0	$62,346
MIELLE SCHWARTZ
EXECUTIVE ASSISTANT SR	40.0	0		Yes (X)	$90,680	$0	$36,568
MONIQUE GONZALEZ
EXECUTIVE ASSISTANT TO THE CEO	50.0	0		Yes (X)	$112,595	$0	$51,940
ANIL KESWANI
CORP EVP, CHF MED&OPS OFF-AMB	50.0	0.0			$1,302,787	$0	$65,750	Yes (X)
BARBARA PRICE
CORP SR VP, PLANNING/STRATEGY	50.0	0			$1,096,779	$0	$72,153	Yes (X)
CARL ETTER
CORP SR VP, REGION CHIEF EXEC	50.0	0			$1,720,345	$0	$58,026	Yes (X)
ERIC COLE
CORP SR VP, HUMAN RESOURCES	50.0	0			$1,039,021	$0	$53,099	Yes (X)
GHAZALA SHARIEFF
CORP EVP, CHF MED&OPS OFF-ACUTE	50.0	0			$1,553,595	$0	$62,279	Yes (X)
JOHN ENGLE
CORP SR VP, CHIEF DEVELOPMENT OFFICER	50.0	0			$864,644	$0	$60,418	Yes (X)
JUNE KOMAR
CORP EXEC VP, STRATEGY & ADMIN (PART YEAR)	50.0	0			$1,173,585	$0	$41,287	Yes (X)
RICHARD NEALE
CORP EXEC VP, CHIEF GROWTH OFFICER	40.0	10.0			$1,180,497	$0	$68,449	Yes (X)
SHANE THIELMAN
CORP SR VP, CIDO	50.0	0			$941,851	$0	$68,595	Yes (X)
THOMAS BUCHHOLZ
CORP SR VP, ONCOLOGY SERVICES	50.0	0			$1,386,946	$0	$47,351	Yes (X)
THOMAS GAMMIERE
CORP SR VP, REGION CHIEF EXEC	50.0	0			$1,026,181	$0	$60,769	Yes (X)
CRAIG M UEJO
CORP VP, CHIEF QUALITY OFFICER	50.0	0			$690,631	$0	$61,491		Yes (X)
GERALD SODERSTROM
CORP SR VP, AUDIT / COMPLIANCE/RISK	50.0	0			$706,256	$0	$62,018		Yes (X)
JOHN POOLE
CORP VP, SYSTEM IMPROVEMENT	50.0	0			$769,256	$0	$15,984		Yes (X)
SHERMAN T MOORE
CORP VP, BUSINESS DEVELOPMENT	50.0	0			$669,719	$0	$62,040		Yes (X)
TRACY CHU
CORP VP, POP HLTH/ACO	50.0	0			$768,281	$0	$41,225		Yes (X)
LISA RISSERTHAKUR
FORMER KEY EMPLOYEE	0.0	0			$489,746	$0	$0			Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$23,883,319	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$0	TotReportableCompRltdOrgAmt
Total Other Compensation	$1,169,350	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	5537	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	Yes (true)	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (true)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	false	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
SCRIPPS CLINIC MEDICAL GROUP INC
10666 N TORREY PINES RD	LA JOLLA	CA	92037	PHYSICIAN SERVICES	$529,391,052
SCRIPPS COASTAL MEDICAL GROUP
501 WASHINGTON AVE	SAN DIEGO	CA	92103	PHYSICIAN SERVICES	$85,618,018
MEDIMPACT HEALTHCARE SYSTEMS
10181 SCRIPPS GATEWAY CT	SAN DIEGO	CA	92131	PHARMACEUTICAL SERVICES	$59,006,302
SCRIPPS HEALTH INPATIENT PROVIDERS MED GROUP
4555 EXECUTIVE DR	SAN DIEGO	CA	92121	PHYSICIAN SERVICES	$57,964,872
DPC CONSTRUCTION
1450 VETERANS BLVD	REDWOOD CITY	CA	94063	CONSTRUCTION SERVICES	$44,951,433

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	137	CntrctRcvdGreaterThan100KCnt
Fundraising	$298,068	FundraisingAmt
Government Grants	$2,283,432	GovernmentGrantsAmt
All Other Contributions	$64,819,350	AllOtherContributionsAmt
Noncash Contributions	$3,171,304	NoncashContributionsAmt
Total Contributions	$67,400,850	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt
HEALTHCARE DELIVERY REV	622110	$4,389,130,976	$4,387,417,237	$1,713,739
PROVIDER FEE REVENUE	622110	$67,864,194	$67,864,194
CAPITATION PREMIUM	622110	$44,174,661	$44,174,661
PHARMACEUTICAL REVENUE	446110	$27,248,916	$27,248,916
JOINT VENTURE REVENUE	900099	$21,213,849	$21,213,849

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$34,388,649	TotalRevenueColumnAmt
Related Or Exempt Func Income	$33,974,546	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$414,103	UnrelatedBusinessRevenueAmt
Exclusion	$0	ExclusionAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$4,584,021,245	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$131,079,348	TotalRevenueColumnAmt
Unrelated Business Revenue	-$1,495,773	UnrelatedBusinessRevenueAmt
Exclusion	$132,575,121	ExclusionAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$0	RealAmt
Personal	$0	PersonalAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$2,222,313,806	SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$1,997,238,104	SecuritiesAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$225,075,702	SecuritiesAmt
Other	$0	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$225,075,702	TotalRevenueColumnAmt
Exclusion	$225,075,702	ExclusionAmt

Field	Value	IRS element (for citing)
Fundraising Gross Income	$1,354,384	FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event	$298,068	ContriRptFundraisingEventAmt
Fundraising Direct Expenses	$1,100,689	FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$253,695	TotalRevenueColumnAmt
Exclusion	$253,695	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (2 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt	ExclusionExclusionAmt
ALL OTHER REVENUE	900099	$69,044,509	$64,383,131	$170,890	$4,490,488
MANAGEMENT SERVICES	561110	$57,680,304	$42,730,260	$14,950,044

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt
Related Or Exempt Func Income	$0	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$0	ExclusionAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$126,724,813	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$5,134,555,653	TotalRevenueColumnAmt
Related Or Exempt Func Income	$4,689,006,794	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$15,753,003	UnrelatedBusinessRevenueAmt
Exclusion	$362,395,006	ExclusionAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part IX	Yes (X)	InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$997,683	TotalAmt
Program Services	$997,683	ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$24,708,686	TotalAmt
Management And General	$24,708,686	ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

Field	Value	IRS element (for citing)
Total	$234,401	TotalAmt
Management And General	$234,401	ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$1,750,387,007	TotalAmt
Program Services	$1,544,571,129	ProgramServicesAmt
Management And General	$200,362,195	ManagementAndGeneralAmt
Fundraising	$5,453,683	FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$64,144,990	TotalAmt
Program Services	$55,687,846	ProgramServicesAmt
Management And General	$8,300,532	ManagementAndGeneralAmt
Fundraising	$156,612	FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$147,463,258	TotalAmt
Program Services	$147,007,408	ProgramServicesAmt
Fundraising	$455,850	FundraisingAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$127,318,953	TotalAmt
Program Services	$111,257,792	ProgramServicesAmt
Management And General	$15,788,935	ManagementAndGeneralAmt
Fundraising	$272,226	FundraisingAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$9,653,685	TotalAmt
Program Services	$3,225,550	ProgramServicesAmt
Management And General	$6,427,412	ManagementAndGeneralAmt
Fundraising	$723	FundraisingAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$1,288,886	TotalAmt
Program Services	$14,480	ProgramServicesAmt
Management And General	$1,265,507	ManagementAndGeneralAmt
Fundraising	$8,899	FundraisingAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$765,130	TotalAmt
Management And General	$765,130	ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$7,621,923	TotalAmt
Management And General	$7,621,923	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$939,283,014	TotalAmt
Program Services	$928,520,806	ProgramServicesAmt
Management And General	$10,409,674	ManagementAndGeneralAmt
Fundraising	$352,534	FundraisingAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$2,225,488	TotalAmt
Program Services	$64,870	ProgramServicesAmt
Management And General	$2,160,618	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$91,514,595	TotalAmt
Program Services	$78,971,830	ProgramServicesAmt
Management And General	$11,762,498	ManagementAndGeneralAmt
Fundraising	$780,267	FundraisingAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$67,761,659	TotalAmt
Program Services	$23,599,429	ProgramServicesAmt
Management And General	$44,162,230	ManagementAndGeneralAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$115,869,958	TotalAmt
Program Services	$105,073,383	ProgramServicesAmt
Management And General	$10,626,396	ManagementAndGeneralAmt
Fundraising	$170,179	FundraisingAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$46,598,117	TotalAmt
Program Services	$40,699,712	ProgramServicesAmt
Management And General	$5,898,405	ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$183,716,128	TotalAmt
Program Services	$163,098,819	ProgramServicesAmt
Management And General	$20,617,309	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$28,351,193	TotalAmt
Program Services	$28,332,103	ProgramServicesAmt
Management And General	$19,090	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt	FundraisingFundraisingAmt
MEDICAL SUPPLIES	$846,152,530	$846,152,530
REPAIRS & MAINTENANCE	$99,132,558	$41,601,178	$57,500,861	$30,519
ASSET IMPAIRMENT	$92,533,115	$92,533,115
HOSPITAL FEE PROGRAM	$35,986,006	$35,986,006

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$11,953,397	TotalAmt
Program Services	$10,915,293	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt
Fundraising	$1,038,104	FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$4,695,662,360	TotalAmt
Program Services	$4,258,310,962	ProgramServicesAmt
Management And General	$428,631,802	ManagementAndGeneralAmt
Fundraising	$8,719,596	FundraisingAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$664,366,806	BOYAmt
EOY	$647,035,604	EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$6,731,561	BOYAmt
EOY	$9,019,737	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$680,894,472	BOYAmt
EOY	$746,359,094	EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

Field	Value	IRS element (for citing)
BOY	$23,751,894	BOYAmt
EOY	$24,539,910	EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$72,129,893	BOYAmt
EOY	$72,924,437	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$50,374,375	BOYAmt
EOY	$57,082,061	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$4,671,895,920	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$1,802,569,032	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$2,760,750,938	BOYAmt
EOY	$2,869,326,888	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$3,349,918,598	BOYAmt
EOY	$3,791,881,962	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$854,913,000	BOYAmt
EOY	$1,028,676,000	EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
BOY	$75,271,371	BOYAmt
EOY	$84,480,046	EOYAmt

Intangible Assets IntangibleAssetsGrp

Field	Value	IRS element (for citing)
BOY	$45,109,895	BOYAmt
EOY	$45,109,895	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$540,169,513	BOYAmt
EOY	$270,877,036	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$9,124,382,316	BOYAmt
EOY	$9,647,312,670	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$730,059,359	BOYAmt
EOY	$717,768,568	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$1,416,000,000	BOYAmt
EOY	$1,383,054,000	EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
BOY	$7,378,392	BOYAmt
EOY	$3,290,000	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$936,342,027	BOYAmt
EOY	$820,270,458	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$3,089,779,778	BOYAmt
EOY	$2,924,383,026	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows FASB117	Yes (X)	OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$5,778,276,035	BOYAmt
EOY	$6,455,077,667	EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$256,326,503	BOYAmt
EOY	$267,851,977	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$6,034,602,538	BOYAmt
EOY	$6,722,929,644	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$9,124,382,316	BOYAmt
EOY	$9,647,312,670	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$438,893,293	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$229,345,255	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	$20,088,558	OtherChangesInNetAssetsAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	false	AccountantCompileOrReviewInd
FS Audited	Yes (true)	FSAuditedInd
Audit Committee	Yes (true)	AuditCommitteeInd
Federal Grant Audit Required	Yes (true)	FederalGrantAuditRequiredInd
Federal Grant Audit Performed	Yes (true)	FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital	Yes (X)	HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor US Address ContributorUSAddress

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Total Contributions	RESTRICTED	TotalContributionsAmt

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Volunteers	false	VolunteersInd
Paid Staff Or Management	Yes (true)	PaidStaffOrManagementInd
Media Advertisements	false	MediaAdvertisementsInd
Mailings Members	false	MailingsMembersInd
Publications Or Broadcast	false	PublicationsOrBroadcastInd
Grants Other Organizations	Yes (true)	GrantsOtherOrganizationsInd
Grants Other Organizations	$222,954	GrantsOtherOrganizationsAmt
Direct Contact Legislators	Yes (true)	DirectContactLegislatorsInd
Direct Contact Legislators	$330,250	DirectContactLegislatorsAmt
Rallies Demonstrations	false	RalliesDemonstrationsInd
Other Activities	Yes (true)	OtherActivitiesInd
Other Activities	$421,925	OtherActivitiesAmt
Total Lobbying Expenditures	$975,129	TotalLobbyingExpendituresAmt
Not Described Section501c3	false	NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
SCHEDULE C, PART II-B, LINE 1B	PERSONS AT SCRIPPS HEALTH EXCEEDED 5% OF TOTAL TIME SPENT ON DIRECT CONTACT WITH LEGISLATORS, STAFF AND GOVERNMENT OFFICIALS TO ENGAGE IN LOBBYING ACTIVITIES.
SCHEDULE C, PART II-B, LINE 1F	DISCLOSURE OF A TRANSFER OF SCRIPPS FUNDS IN CALIFORNIA HOSPITAL ASSOCIATION (CHA) ACCOUNT TO THE CALIFORNIA HOSPITALS COMMITTEE ON ISSUES (CHCI) ACCOUNT.
SCHEDULE C, PART II-B, LINE 1G	VALUE DETERMINED UTILIZING GROSS-UP METHOD FOR DIRECT LOBBYING COSTS. LOBBYING LABOR COSTS OF PARTIAL TIME FOR (2) PERSONS AT SCRIPPS HEALTH X 175% + ALLOCABLE THIRD-PARTY COSTS (JGC CONSULTING, SD LAND LAWYERS) SPENT ON DIRECT CONTACT WITH LEGISLATORS, STAFF AND GOVERNMENT OFFICIALS TO ENGAGE IN LOBBYING ACTIVITIES ARE REFERENCED HERE.
SCHEDULE C, PART II-B, LINE 1I	OTHER ACTIVITIES APPROXIMATE VALUE CONSIDERS A PORTION OF THE DUES OF MEMBER ORGANIZATIONS SPENT ON LOBBYING IN ADDITION TO ANY TRAVEL EXPENSES OCCURRED FOR GOVERNMENT RELATIONS: SENIOR DIRECTOR, GOVERNMENT RELATIONS; DIRECTOR, COMMUNITY AND GOVERNMENT RELATIONS RELATED TO LOBBYING ACTIVITIES.
SCHEDULE C, PART II-B, LINE 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY	GOVERNMENT RELATIONS INFORMATION AND EDUCATION SCRIPPS HEALTH ON ITS OWN BEHALF AND AS A MEMBER OF SEVERAL HOSPITAL ASSOCIATIONS AND HEALTH CARE ORGANIZATIONS PARTICIPATES IN PUBLIC AFFAIRS AND ADVOCACY ACTIVITIES. SOME ACTIVITY IS INDIVIDUALLY OR COLLECTIVELY CONDUCTED BY AND SPECIFICALLY ON BEHALF OF SCRIPPS HEALTH. OTHER ACTIVITY IS ORGANIZED BY THESE INVOLVED ORGANIZATIONS SUPPORTED BY SCRIPPS HEALTH PARTICIPATION. 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: BUDGET AND FISCAL POLICY IMPACTS; MEDICARE AND MEDICAID REIMBURSEMENT MATTERS; PROVIDER FEES AND OTHER ASSESSMENTS; DATA MANAGEMENT AND REPORTING; QUALITY AND PATIENT SAFETY MATTERS, HEALTH INFORMATION TECHNOLOGY, EMERGENCY DEPARTMENT OPERATIONS AND IMPACTS; COST SHIFT IMPACTS AND OTHER SAFETY NET ISSUES; COMMUNITY BENEFIT PROGRAMS; GRADUATE MEDICAL EDUCATION; SITE-NEUTRAL PRICING; ACCOUNTABLE CARE ORGANIZATIONS; VIOLENCE AGAINST HEALTH CARE WORKERS; HEALTH CARE WORKERS MINIMUM WAGE; SIESMIC MANDATES; BEHAVIORAL HEALTH CLINICAL WORKFORCE AND OTHER OPERATIONAL ISSUES; LOCAL LAND USE ISSUES LIKE THE LOCAL LANDUSE ADVOACY FOR FUTURE HOSPITAL CONSTRUCTION PROJECTS IN SAN MARCOS. 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. DIRECT COMMUNICATION (MEETINGS, EMAIL, CALLS, LETTERS) WITH SAN DIEGO LEGISLATIVE DELEGATIONS - FEDERAL AND STATE. ON SAN DIEGO LOCAL LEVEL EMPLOYED SD LAND LAWYERS TO REPRESENT INTERESTS ON LAND DEVELOPMENT NEEDS. ON CALIFORNIA STATE LEVEL EMPLOYED LOBBY FIRM JGC GOVERNMENT RELATIONS TO REPRESENT INTERESTS ON CERTAIN MEASURES. SCRIPPS DOES NOT EMPLOY FEDERAL LOBBYISTS. LOBBY FIRM ALSO WORKED WITH OTHER HEALTH SYSTEM CONTRACT LOBBYISTS AND CALIFORNIA HOSPITAL ASSOCIATION LOBBY TEAM ON SELECTED LEGISLATION. WORKED IN CONCERT WITH STATE AND NATIONAL HEALTH CARE ORGANIZATIONS THAT CONDUCTED LOBBY PROGRAMS, INCLUDING: AMERICAN HOSPITAL ASSOCIATION, CALIFORNIA HOSPITAL ASSOCIATION, HOSPITAL ASSOCIATION OF SAN DIEGO AND IMPERIAL COUNTIES, ALLIANCE OF CATHOLIC HEALTH CARE. 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 PRIVATE ESSENTIAL ACCESS COMMUNITY HOSPITALS ALLIANCE FOR CATHOLIC HEALTH CARE ASSOCIATION OF ACADEMIC MEDICAL CENTERS (AAMC) SAN DIEGO REGIONAL CHAMBER OF COMMERCE NATIONAL ASSOCIATION FOR ACCOUNTABLE CARE ORGANIZATIONS (NAACOS)

Schedule D IRS990ScheduleD

Field	Value	IRS element (for citing)
Preservation Public Use	Yes (X)	PreservationPublicUseInd
Historic Structure	Yes (X)	HistoricStructureInd
Total Easements	1	TotalEasementsCnt
Total Acreage	16.0	TotalAcreageCnt
Historic Structure Easements	1	HistoricStructureEasementsCnt
Modified Easements	0	ModifiedEasementsCnt
States Easements Held	1	StatesEasementsHeldCnt
Written Policy Monitoring	Yes (true)	WrittenPolicyMonitoringInd
Staff Hours Spent Enforcement	370.0	StaffHoursSpentEnforcementCnt
Expenses Incurred Enforcement	$1,258	ExpensesIncurredEnforcementAmt
Section170h Rqr Stsfd	Yes (true)	Section170hRqrStsfdInd

Art Public Exhibition Amounts ArtPublicExhibitionAmountsGrp

Field	Value	IRS element (for citing)
Revenues Included	$0	RevenuesIncludedAmt
Assets Included	$742,881	AssetsIncludedAmt

Field	Value	IRS element (for citing)
Collection Used Pub Exhibition	Yes (X)	CollectionUsedPubExhibitionInd
Solicited Assets Sale	false	SolicitedAssetsSaleInd

CY Endwmt Fund CYEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$146,116,426	BeginningYearBalanceAmt
Contributions	$734,195	ContributionsAmt
Investment Earnings Or Losses	$17,908,526	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$0	GrantsOrScholarshipsAmt
Other Expenditures	$4,337,844	OtherExpendituresAmt
Administrative Expenses	$1,309,160	AdministrativeExpensesAmt
End Year Balance	$159,112,143	EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$126,146,630	BeginningYearBalanceAmt
Contributions	$47,685	ContributionsAmt
Investment Earnings Or Losses	$25,766,761	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$0	GrantsOrScholarshipsAmt
Other Expenditures	$4,515,635	OtherExpendituresAmt
Administrative Expenses	$1,329,015	AdministrativeExpensesAmt
End Year Balance	$146,116,426	EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$117,874,000	BeginningYearBalanceAmt
Contributions	$208,670	ContributionsAmt
Investment Earnings Or Losses	$13,935,117	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$0	GrantsOrScholarshipsAmt
Other Expenditures	$4,548,650	OtherExpendituresAmt
Administrative Expenses	$1,322,507	AdministrativeExpensesAmt
End Year Balance	$126,146,630	EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$140,886,000	BeginningYearBalanceAmt
Contributions	$1,207,385	ContributionsAmt
Investment Earnings Or Losses	-$19,713,562	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$0	GrantsOrScholarshipsAmt
Other Expenditures	$3,181,443	OtherExpendituresAmt
Administrative Expenses	$1,324,380	AdministrativeExpensesAmt
End Year Balance	$117,874,000	EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$129,880,000	BeginningYearBalanceAmt
Contributions	$540,474	ContributionsAmt
Investment Earnings Or Losses	$15,126,128	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$897,549	GrantsOrScholarshipsAmt
Other Expenditures	$2,574,215	OtherExpendituresAmt
Administrative Expenses	$1,188,838	AdministrativeExpensesAmt
End Year Balance	$140,886,000	EndYearBalanceAmt

Field	Value	IRS element (for citing)
Board Designated Balance EOY	0.0	BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY	1.0	PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY	0.0	TermEndowmentBalanceEOYPct
Endowments Held Unrelated Org	false	EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org	false	EndowmentsHeldRelatedOrgInd

Land LandGrp

Field	Value	IRS element (for citing)
Investment Cost Or Other Basis	$44,458,644	InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis	$163,614,504	OtherCostOrOtherBasisAmt
Book Value	$208,073,148	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$2,517,497,720	OtherCostOrOtherBasisAmt
Depreciation	$817,456,943	DepreciationAmt
Book Value	$1,700,040,777	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$82,856,399	OtherCostOrOtherBasisAmt
Depreciation	$58,775,590	DepreciationAmt
Book Value	$24,080,809	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$1,457,318,039	OtherCostOrOtherBasisAmt
Depreciation	$924,443,419	DepreciationAmt
Book Value	$532,874,620	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$406,150,614	OtherCostOrOtherBasisAmt
Depreciation	$1,893,080	DepreciationAmt
Book Value	$404,257,534	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$2,869,326,888	TotalBookValueLandBuildingsAmt

Other Securities OtherSecuritiesGrp (5 entries)

DescDesc	Book ValueBookValueAmt	Method ValuationMethodValuationCd
CLOSELY-HELD EQUITY INTERESTS
FINANCIAL DERIVATIVES
MULTI-STRATEGY FUNDS	$499,667,000	F
PRIVATE EQUITY FUNDS	$481,009,000	F
LIMITED PARTNERSHIP	$48,000,000	F

Field	Value	IRS element (for citing)
Total Book Value Securities	$1,028,676,000	TotalBookValueSecuritiesAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (10 entries)

DescDesc	AmtAmt
FEDERAL INCOME TAXES
TAXABLE DEBT	$549,348,640
LEASE LIABILITIES	$142,393,701
SELF-INSURED MALPRACTICE LIABILITY	$56,540,674
SELF-INSURED WORKER'S COMPENSATION	$35,723,849
ASSET RETIREMENT OBLIGATION	$21,150,549
ANNUITY AND UNITRUSTS	$11,878,331
DEFERRED RETIREMENT	$2,676,163
PROVIDER FEE LIABILITY	$180,547
DEPOSITS AND CONTINGENCIES	$378,004

Field	Value	IRS element (for citing)
Total Liability	$820,270,458	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd
Other Revenue	$0	OtherRevenueAmt
Revenue Not Reported	$0	RevenueNotReportedAmt
Revenue Subtotal	$0	RevenueSubtotalAmt
Other Revenues Not Included	$0	OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt	$0	RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990	$0	TotalRevenuePerForm990Amt
Other Expenses Included	$0	OtherExpensesIncludedAmt
Expenses Not Reported	$0	ExpensesNotReportedAmt
Expenses Subtotal	$0	ExpensesSubtotalAmt
Other Expenses Not Included	$0	OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt	$0	ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990	$0	TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
SCHEDULE D, PART II, LINE 9 CONSERVATION EASEMENTS FINANCIAL REPORTING	THE HISTORICAL STRUCTURE THAT IS CONSIDERED TO BE A CONSERVATION EASEMENT IS REPORTED IN THE MERCY HOSPITAL ENTITY OF THE CONSOLIDATED FINANCIAL STATEMENTS.
SCHEDULE D, PART III, LINE 4 COLLECTIONS OF ART - DESCRIPTION OF COLLECTIONS	SCRIPPS HEALTH ACCEPTS AND MAINTAINS GIFTS-IN-KIND CONTRIBUTIONS FOR ART AND SCULPTURES ("COLLECTIONS"). COLLECTIONS DONATED WITH AN APPRAISED VALUE GREATER THAN $10,000 ARE RECORDED IN THE GENERAL LEDGER AND CLASSIFIED AS OTHER ASSETS AND DONOR WITHOUT RESTRICTION CONTRIBUTIONS. THE COLLECTIONS ARE MAINTAINED BY SCRIPPS HEALTH AND ARE PUBLICLY DISPLAYED. AN ANNUAL INVENTORY TO ASSESS CONDITION OF THE COLLECTIONS IS PERFORMED. SCRIPPS DOES NOT INTEND TO SELL THE COLLECTIONS FOR ANY FINANCIAL BENEFIT. SCRIPPS HEALTH'S COLLECTIONS PROVIDES A CLEAR CONTRIBUTION TO MAKE AND OFFER OPPORTUNITIES IN DELIVERY OF BETTER HEALTH, WELLBEING AND IMPROVED EXPERIENCE FOR PATIENTS, SERVICE USERS AND STAFF ACROSS THE SYSTEM.
SCHEDULE D, PART V, LINE 4 INTENDED USES OF ENDOWMENT FUNDS	CONTRIBUTIONS RECEIVED FOR CAPITAL PROJECTS, INCLUDING BUILDING PROJECTS, MAJOR RENOVATIONS, AND EQUIPMENT PURCHASES: $636,131 CONTRIBUTIONS RECEIVED TO FUND GRADUATE MEDICAL EDUCATION PROGRAMS, FELLOWS, AND LECTURE SERIES: $17,026,946 CONTRIBUTIONS RECEIVED FOR USE IN THE SPECIFIC DEPARTMENTS OR DIVISIONS IN THE HOSPITALS AND/OR CLINICS: $42,035,135 CONTRIBUTIONS RECEIVED TO COVER THE COST OF HEALTHCARE PROVIDED TO INDIVIDUALS WITHOUT INSURANCE OR THE MEANS FOR PAYING FOR THEIR CARE: $12,785,414 CONTRIBUTIONS RECEIVED TO FUND RESEARCH PROJECTS IN SPECIFIC AREAS OR DIVISIONS: $13,325,510
SCHEDULE D, PART X, LINE 2 FIN 48 (ASC 740) FOOTNOTE	SCRIPPS HEALTH IS GENERALLY NOT SUBJECT TO FEDERAL OR STATE INCOME TAXES. HOWEVER, SCRIPPS HEALTH IS SUBJECT TO INCOME TAXES ON ANY NET INCOME THAT IS DERIVED FROM A TRADE OF BUSINESS, REGULARLY CARRIED ON, AND NOT IN THE FURTHERANCE OF THE PURPOSED FOR WHICH IT WAS GRANTED EXEMPTION. UNDER FASB ASC 740, INCOME TAXES, THE TAX BENEFIT FROM UNCERTAIN TAX POSITIONS MAY BE RECOGNIZED ONLY IF IT IS MORE LIKELY THAN NOT THE TAX POSITION WILL BE SUSTAINED, BASED SOLELY ON ITS TECHNICAL MERITS, WITH THE TAXING AUTHORITY HAVING FULL KNOWLEDGE OF ALL RELEVANT INFORMATION. THE ORGANIZATION RECORDS A LIABILITY FOR UNRECOGNIZED TAX BENEFITS FROM UNCERTAIN TAX POSITIONS AS DISCRETE TAX ADJUSTMENTS IN THE FIRST INTERIM PERIOD THAT THE MORE LIKELY THAN NOT THRESHOLD IS MET. THE ORGANIZATION RECOGNIZES DEFERRED TAX ASSETS AND LIABILITIES FOR TEMPORARY DIFFERENCES BETWEEN THE FINANCIAL REPORTING BASIS AND THE TAX BASIS OF ITS ASSETS AND LIABILITIES ALONG WITH NET OPERATING LOSS AND TAX CREDIT CARRYOVERS ONLY FOR TAX POSITIONS THAT MEET THE MORE LIKELY THAN NOT RECOGNITION CRITERIA. NO SIGNIFICANT TAX LIABILITY FOR TAXES, INTEREST OR PENALTIES AND NO SIGNIFICANT TAX ASSETS FOR TAX BENEFITS WAS ACCRUED AT SEPTEMBER 30, 2025 OR 2024. 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 2020 IN MAJOR TAX JURISDICTIONS.

Schedule F IRS990ScheduleF

Account Activities Outside US AccountActivitiesOutsideUSGrp (3 entries)

RegionRegionTxt	EmployeeEmployeeCnt	Type Of Activities ConductedTypeOfActivitiesConductedTxt	Specific Services ProvidedSpecificServicesProvidedTxt	Region Total ExpendituresRegionTotalExpendituresAmt
NORTH AMERICA (CANADA & MEXICO ONLY)	23	PROGRAM SERVICES	RECONSTRUCTIVE SURGERY	$387,886
CENTRAL AMERICA AND THE CARIBBEAN	0	INVESTMENTS		$713,167,884
EUROPE (INCLUDING ICELAND AND GREENLAND)	0	INVESTMENTS		$71,317,126

Field	Value	IRS element (for citing)
Subtotal Offices	0	SubtotalOfficesCnt
Subtotal Employees	23	SubtotalEmployeesCnt
Continuation Total Office	0	ContinuationTotalOfficeCnt
Continuation Total Employee	0	ContinuationTotalEmployeeCnt
Total Office	0	TotalOfficeCnt
Total Employee	23	TotalEmployeeCnt
Subtotal Spent	$784,872,896	SubtotalSpentAmt
Continuation Spent	$0	ContinuationSpentAmt
Total Spent	$784,872,896	TotalSpentAmt
Transfer To Foreign Corp	Yes (true)	TransferToForeignCorpInd
Interest In Foreign Trust	false	InterestInForeignTrustInd
Foreign Corp Ownership	Yes (true)	ForeignCorpOwnershipInd
Passive Foreign Investmest Co	Yes (true)	PassiveForeignInvestmestCoInd
Foreign Partnership	Yes (true)	ForeignPartnershipInd
Boycott Countries	false	BoycottCountriesInd

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	SCHEDULE F, PART I, LINE 3 METHOD USED TO ACCOUNT FOR EXPENDITURES ON ORG'S FINANCIAL STATEMENTS	FormAndLineReferenceDesc
Explanation	CENTRAL AMERICA AND THE CARIBBEAN-ACCRUAL; EUROPE (INCLUDING ICELAND AND GREENLAND)-ACCRUAL; NORTH AMERICA (CANADA & MEXICO ONLY)-ACCRUAL	ExplanationTxt

Schedule G IRS990ScheduleG

Fundraising Event Information FundraisingEventInformationGrp

Field	Value	IRS element (for citing)
Event1	CANDLELIGHT BALL	Event1Nm
Gross Receipts Event1	$682,266	GrossReceiptsEvent1Amt
Charitable Contri Event1	$156,598	CharitableContriEvent1Amt
Gross Revenue Event1	$525,668	GrossRevenueEvent1Amt
Rent Facility Costs Event1	$113,087	RentFacilityCostsEvent1Amt
Entertainment Event1	$18,223	EntertainmentEvent1Amt
Other Direct Expenses Event1	$552,160	OtherDirectExpensesEvent1Amt
Event2	CLINIC GOLF	Event2Nm
Gross Receipts Event2	$426,676	GrossReceiptsEvent2Amt
Charitable Contri Event2	$96,185	CharitableContriEvent2Amt
Gross Revenue Event2	$330,491	GrossRevenueEvent2Amt
Rent Facility Costs Event2	$114,290	RentFacilityCostsEvent2Amt
Entertainment Event2	$2,500	EntertainmentEvent2Amt
Other Direct Expenses Event2	$46,551	OtherDirectExpensesEvent2Amt
Other Events Total	3	OtherEventsTotalCnt
Gross Receipts Other Events	$543,510	GrossReceiptsOtherEventsAmt
Charitable Contri Other Events	$45,285	CharitableContriOtherEventsAmt
Gross Revenue Other Events	$498,225	GrossRevenueOtherEventsAmt
Rent Fclty Costs Other Events	$152,836	RentFcltyCostsOtherEventsAmt
Entertainment Other Events	$11,525	EntertainmentOtherEventsAmt
Oth Direct Expnss Other Events	$89,517	OthDirectExpnssOtherEventsAmt
Gross Receipts Total	$1,652,452	GrossReceiptsTotalAmt
Charitable Contributions Tot	$298,068	CharitableContributionsTotAmt
Gross Revenue Total Events	$1,354,384	GrossRevenueTotalEventsAmt
Rent Fclty Costs Total Events	$380,213	RentFcltyCostsTotalEventsAmt
Entertainment Total Events	$32,248	EntertainmentTotalEventsAmt
Oth Direct Expnss Total Events	$688,228	OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events	$1,100,689	DirectExpenseSummaryEventsAmt
Net Income Summary	$253,695	NetIncomeSummaryAmt

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (true)	FinancialAssistancePolicyInd
Written Policy	Yes (true)	WrittenPolicyInd
All Hospitals Policy	Yes (X)	AllHospitalsPolicyInd
FPG Reference Free Care	Yes (true)	FPGReferenceFreeCareInd
Percent200	Yes (X)	Percent200Ind
FPG Reference Discounted Care	Yes (true)	FPGReferenceDiscountedCareInd
Percent400	Yes (X)	Percent400Ind
Free Care Medically Indigent	Yes (true)	FreeCareMedicallyIndigentInd
Financial Assistance Budget	Yes (true)	FinancialAssistanceBudgetInd
Expenses Exceed Budget	Yes (true)	ExpensesExceedBudgetInd
Unable To Provide Care	false	UnableToProvideCareInd
Annual Community Bnft Report	Yes (true)	AnnualCommunityBnftReportInd
Report Publically Available	Yes (true)	ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$18,663,224	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$18,663,224	NetCommunityBenefitExpnsAmt
Total Expense	0.00397	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$521,162,252	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$298,065,911	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$223,096,341	NetCommunityBenefitExpnsAmt
Total Expense	0.04751	TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$0	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$539,825,476	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$298,065,911	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$241,759,565	NetCommunityBenefitExpnsAmt
Total Expense	0.05149	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$9,599,327	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$2,441,782	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$7,157,545	NetCommunityBenefitExpnsAmt
Total Expense	0.00152	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$58,618,967	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$12,948,325	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$45,670,642	NetCommunityBenefitExpnsAmt
Total Expense	0.00973	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$17,228,058	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$13,871,139	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$3,356,919	NetCommunityBenefitExpnsAmt
Total Expense	0.00071	TotalExpensePct

Research ResearchGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$18,842,407	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$13,008,479	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$5,833,928	NetCommunityBenefitExpnsAmt
Total Expense	0.00124	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$1,027,760	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,027,760	NetCommunityBenefitExpnsAmt
Total Expense	0.00022	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$105,316,519	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$42,269,725	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$63,046,794	NetCommunityBenefitExpnsAmt
Total Expense	0.01343	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$645,141,995	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$340,335,636	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$304,806,359	NetCommunityBenefitExpnsAmt
Total Expense	0.06491	TotalExpensePct

Physical Imprv And Housing PhysicalImprvAndHousingGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$47,432	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$47,432	NetCommunityBenefitExpnsAmt
Total Expense	0.00001	TotalExpensePct

Economic Development EconomicDevelopmentGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$58,388	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$58,388	NetCommunityBenefitExpnsAmt
Total Expense	0.00001	TotalExpensePct

Community Support CommunitySupportGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$29,300	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$29,300	NetCommunityBenefitExpnsAmt
Total Expense	0.00001	TotalExpensePct

Environmental Improvements EnvironmentalImprovementsGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Leadership Development LeadershipDevelopmentGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$93,025	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$29,850	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$63,175	NetCommunityBenefitExpnsAmt
Total Expense	0.00001	TotalExpensePct

Coalition Building CoalitionBuildingGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Health Improvement Advocacy HealthImprovementAdvocacyGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$444,603	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$108,207	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$336,396	NetCommunityBenefitExpnsAmt
Total Expense	0.00007	TotalExpensePct

Other Communtity Building Acty OtherCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$672,748	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$138,057	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$534,691	NetCommunityBenefitExpnsAmt
Total Expense	0.00011	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (true)	BadDebtExpenseReportedInd
Bad Debt Expense	$78,414,318	BadDebtExpenseAmt
Reimbursed By Medicare	$689,133,247	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$828,981,695	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$139,848,448	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

Field	Value	IRS element (for citing)
Cost To Charge Ratio	Yes (X)	CostToChargeRatioInd

Field	Value	IRS element (for citing)
Written Debt Collection Policy	Yes (true)	WrittenDebtCollectionPolicyInd
Financial Assistance Prvsn	Yes (true)	FinancialAssistancePrvsnInd

Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp (4 entries)

Primary ActivitiesPrimaryActivitiesTxt	Org Profit Or OwnershipOrgProfitOrOwnershipPct	Ofcr Etc Profit Or OwnershipOfcrEtcProfitOrOwnershipPct	Physicians Profit Or OwnershipPhysiciansProfitOrOwnershipPct
SCRIPPS ENCINITAS SURGERY CENTER
AMBULATORY SURGERY CENTER	0.5747	0	0.2011
SCRIPPS MEMORIAL XIMED MEDICAL
MEDICAL OFFICE BUILDING	0.153	0	0.772
SCRIPPS MERCY ASC
AMBULATORY SURGERY CENTER	0.825	0	0.175
SCRIPPSUSP SURGERY CENTERS
AMBULATORY SURGERY CENTER	0.5	0	0.36

Field	Value	IRS element (for citing)
Hospital Facilities	5	HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp (5 entries)

FacilityFacilityNum	Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Website AddressWebsiteAddressTxt	State LicenseStateLicenseNum	Licensed HospitalLicensedHospitalInd	General Medical And SurgicalGeneralMedicalAndSurgicalInd	Teaching HospitalTeachingHospitalInd	Research FacilityResearchFacilityInd	Emergency Room24 HrsEmergencyRoom24HrsInd	Facility Reporting GroupFacilityReportingGroupCd
SCRIPPS MERCY HOSPITAL
2	4077 5TH AVENUE	SAN DIEGO	CA	92103	WWW.SCRIPPS.ORG	090000074	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	A
SCRIPPS MEMORIAL HOSPITAL LA JOLLA
1	9888 GENESEE AVENUE	LA JOLLA	CA	92037	WWW.SCRIPPS.ORG	080000050	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	A
SCRIPPS MEMORIAL HOSPITAL ENCINITAS
4	354 SANTA FE DRIVE	SAN DIEGO	CA	92034	WWW.SCRIPPS.ORG	080000148	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	A
SCRIPPS GREEN HOSPITAL
3	10666 NORTH TORREY PINES RD	SAN DIEGO	CA	92037	WWW.SCRIPPS.ORG	080000139	Yes (X)	Yes (X)	Yes (X)	Yes (X)		A
VIBRA HOSPITAL OF SAN DIEGO (DBA SELECT HOSPITAL OF SAN DIEGO)
5	555 WASHINGTON ST	SAN DIEGO	CA	92103	WWW.SELECTSPECIALTYHOSPITALS.COM	1466122	Yes (X)					B

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp (2 entries)

FacilityFacilityNum	First Licensed CY Or PYFirstLicensedCYOrPYInd	Tax Exempt Hospital CY Or PYTaxExemptHospitalCYOrPYInd	CHNA ConductedCHNAConductedInd	Community DefinitionCommunityDefinitionInd	Community DemographicsCommunityDemographicsInd	Existing ResourcesExistingResourcesInd	How Data ObtainedHowDataObtainedInd	Community Health NeedsCommunityHealthNeedsInd	Other Health IssuesOtherHealthIssuesInd	Community Hlth Needs Id ProcessCommunityHlthNeedsIdProcessInd	Consulting ProcessConsultingProcessInd	Prior CHNA ImpactPriorCHNAImpactInd	CHNA ConductedCHNAConductedYr	Take Into Account Others InputTakeIntoAccountOthersInputInd	CHNA Conducted With Other FcltsCHNAConductedWithOtherFcltsInd	CHNA Conducted With Non FcltsCHNAConductedWithNonFcltsInd	CHNA Report Widely AvailableCHNAReportWidelyAvailableInd	Rpt Available On Own WebsiteRptAvailableOnOwnWebsiteInd	Own Website URLOwnWebsiteURLTxt	Paper Copy Public InspectionPaperCopyPublicInspectionInd	Implementation Strategy AdoptImplementationStrategyAdoptInd	Implementation Strategy AdptImplementationStrategyAdptYr	Strategy Posted WebsiteStrategyPostedWebsiteInd	Strategy Website URLStrategyWebsiteURLTxt	Organization Incur Excise TaxOrganizationIncurExciseTaxInd	Elig Criteria ExplainedEligCriteriaExplainedInd	FPG Family Incm Lmt Free DscntFPGFamilyIncmLmtFreeDscntInd	FPG Family Incm Lmt Free CareFPGFamilyIncmLmtFreeCarePct	FPG Family Incm Lmt Dscnt CareFPGFamilyIncmLmtDscntCarePct	Asset Level CriteriaAssetLevelCriteriaInd	Medical Indigency CriteriaMedicalIndigencyCriteriaInd	Insurance Status CriteriaInsuranceStatusCriteriaInd	Other CriteriaOtherCriteriaInd	Explained BasisExplainedBasisInd	App Financial Asst ExplnAppFinancialAsstExplnInd	Described InfoDescribedInfoInd	Described Suprt DocDescribedSuprtDocInd	Provided Hospital ContactProvidedHospitalContactInd	Provided Nonprofit ContactProvidedNonprofitContactInd	Includes Publicity MeasuresIncludesPublicityMeasuresInd	FAP Available On WebsiteFAPAvailableOnWebsiteInd	FAP Available On Website URLFAPAvailableOnWebsiteURLTxt	FAP App Available On WebsiteFAPAppAvailableOnWebsiteInd	FAP App Available On Website URLFAPAppAvailableOnWebsiteURLTxt	FAP Summary On WebsiteFAPSummaryOnWebsiteInd	FAP Summary On Website URLFAPSummaryOnWebsiteURLTxt	FAP Avlbl On Request No ChargeFAPAvlblOnRequestNoChargeInd	FAP App Avlbl On Request No ChrgFAPAppAvlblOnRequestNoChrgInd	FAP Sum Avlbl On Request No ChrgFAPSumAvlblOnRequestNoChrgInd	Notified FAP Copy Bill DisplayNotifiedFAPCopyBillDisplayInd	Communtity Notified FAPCommuntityNotifiedFAPInd	FAP TranslatedFAPTranslatedInd	Other PublicityOtherPublicityInd	FAP Actions On NonpaymentFAPActionsOnNonpaymentInd	Permit No ActionsPermitNoActionsInd	Collection ActivitiesCollectionActivitiesInd	Provided Written NoticeProvidedWrittenNoticeInd	Made Effort Orally NotifyMadeEffortOrallyNotifyInd	Processed FAP ApplicationProcessedFAPApplicationInd	Made Presumptive Elig DetermMadePresumptiveEligDetermInd	Nondis Emergency Care PolicyNondisEmergencyCarePolicyInd	Prospective Medicare MedicaidProspectiveMedicareMedicaidInd	Amounts Generally BilledAmountsGenerallyBilledInd	Gross ChargesGrossChargesInd	Other Website URLOtherWebsiteURLTxt	Underinsurance Stat CriteriaUnderinsuranceStatCriteriaInd	Residency CriteriaResidencyCriteriaInd	No Emergency CareNoEmergencyCareInd	Look Back MedicareLookBackMedicareInd
A
4	false	false	Yes (true)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	24	Yes (true)	Yes (true)	Yes (true)	Yes (true)	Yes (X)	https://www.scripps.org/about-us/scripps-in-the-community	Yes (X)	Yes (true)	24	Yes (true)	https://www.scripps.org/about-us/scripps-in-the-community	false	Yes (true)	Yes (X)	200.0	400.0	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (true)	Yes (true)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (true)	Yes (X)	https://www.scripps.org/patients-and-visitors/help-paying-your-bill	Yes (X)	https://www.scripps.org/patients-and-visitors/help-paying-your-bill	Yes (X)	https://www.scripps.org/patients-and-visitors/help-paying-your-bill	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (true)	Yes (X)	false	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (true)	Yes (X)	false	false
B
1	false	false	Yes (true)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	24	Yes (true)	Yes (true)	Yes (true)	Yes (true)	Yes (X)	https://www.selectspecialtyhospitals.com/locations-and-tours/ca/san-diego/san-diego/	Yes (X)	Yes (true)	24	Yes (true)	https://www.selectspecialtyhospitals.com/locations-and-tours/ca/san-diego/san-diego/	false	Yes (true)	Yes (X)	200.0	400.0		Yes (X)	Yes (X)		Yes (true)	Yes (true)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (true)	Yes (X)	https://www.selectspecialtyhospitals.com/locations-and-tours/ca/san-diego/san-diego/?ty=xt	Yes (X)	https://www.selectspecialtyhospitals.com/locations-and-tours/ca/san-diego/san-diego/?ty=xt	Yes (X)	https://www.selectspecialtyhospitals.com/locations-and-tours/ca/san-diego/san-diego/?ty=xt	Yes (X)	Yes (X)	Yes (X)	Yes (X)		Yes (X)		Yes (true)	Yes (X)	false	Yes (X)	Yes (X)	Yes (X)		false		false	false	https://www.scripps.org/about-us/scripps-in-the-community	Yes (X)	Yes (X)	Yes (X)	Yes (X)

Supplemental Information SupplementalInformationGrp (13 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
SCHEDULE H, PART V, SECTION B, LINE 3E	2025 CHNA PRIORITIZATION OF THE TOP COMMUNITY NEEDS SEVERAL CRITERIA WERE APPLIED TO THE DATA TO DETERMINE WHICH TOP COMMUNITY NEEDS WERE OF THE HIGHEST PRIORITY IN SAN DIEGO COUNTY. THESE CRITERIA INCLUDED: THE SEVERITY OF THE NEED: THIS REFERS TO HOW SEVERE THE HEALTH NEED IS (SUCH AS ITS POTENTIAL TO CAUSE DEATH OR DISABILITY) AND ITS DEGREE OF POOR PERFORMANCE AGAINST THE RELEVANT BENCHMARK. THE MAGNITUDE/SCALE OF THE NEED: THE MAGNITUDE REFERS TO THE NUMBER OF PEOPLE AFFECTED BY THE HEALTH NEED. DISPARITIES OR INEQUITIES: THIS REFERS TO DIFFERENCES IN HEALTH OUTCOMES BY SUBGROUPS. SUBGROUPS MAY BE BASED ON GEOGRAPHY, LANGUAGES, ETHNICITY, CULTURE, CITIZENSHIP STATUS, ECONOMIC STATUS, SEXUAL ORIENTATION, AGE, GENDER, OR OTHERS. AND CHANGE OVER TIME: THIS REFERS TO WHETHER THE NEED HAS IMPROVED, STAYED THE SAME, OR WORSENED. THOSE HEALTH CONDITIONS AND SOCIAL DETERMINANTS OF HEALTH (SDOH) THAT MET THE LARGEST NUMBER OF CRITERIA WERE THEN SELECTED AS TOP PRIORITY COMMUNITY HEALTH NEEDS. 2025 CHNA TOP COMMUNITY NEEDS THROUGH THE PRIORITIZATION PROCESS DESCRIBED IN THE METHODOLOGY SECTION, THE CHNA COMMITTEE IDENTIFIED THE MOST CRITICAL TOP COMMUNITY NEEDS WITHIN SAN DIEGO COUNTY. THE FINDINGS COME DIRECTLY FROM THE CHNA PROCESS AND SERVE AS THE FOUNDATION FOR THE STRATEGIES OUTLINED IN THE HOSPITALS IMPLEMENTATION STRATEGY. THE 2025 CHNA IDENTIFIED THAT SAN DIEGANS ARE EXPERIENCING DEBILITATING STRESS. CHRONIC STRESS WAS CONSISTENTLY HIGHLIGHTED AS A SIGNIFICANT THEME ACROSS ALL METHODS OF DATA COLLECTION. THIS STRESS, THE COMMUNITY SAID, IS CAUSED BY THE HIGH COST OF LIVING IN SAN DIEGO, RISING LEVELS OF RACISM, PREJUDICE, AND DISCRIMINATION, ONGOING CHALLENGES FROM COVID 19, AND RECENT PUBLIC HEALTH EMERGENCIES. THIS STRESS HAS RESULTED IN A HEALTH CARE SYSTEM TRYING TO HELP MORE PATIENTS WHILE HEALTH CARE WORKERS ARE, THEMSELVES, EXPERIENCING HARDSHIP. CHRONIC STRESS IS RECOGNIZED AS A PRIMARY FINDING, INDICATING ITS ROLE AS A BARRIER AFFECTING COMMUNITY MEMBERS CAPACITY TO MANAGE THEIR HEALTH AND HEALTHCARE EFFECTIVELY. THE 2025 CHNA ALSO EXPLORED WAYS IN WHICH HOSPITALS AND HEALTHCARE SYSTEMS COULD ALLEVIATE CHRONIC STRESS TO ENHANCE COMMUNITY HEALTH. SEVERAL HEALTH IMPROVEMENT STRATEGIES WERE RECOMMENDED, WHICH ARE HIGHLIGHTED AS OTHER KEY FINDINGS. THESE STRATEGIES AIM TO ADDRESS THE IDENTIFIED BARRIERS AND IMPROVE THE OVERALL WELL-BEING OF THE COMMUNITY. OTHER KEY FINDINGS LISTED BELOW IN NO SPECIFIC ORDER: HELP MANAGING HEALTH CONDITIONS. THE COMMUNITY NAMED SEVERAL SPECIFIC HEALTH CONDITIONS THEY NEED MORE ASSISTANCE WITH MANAGING (ASTHMA, BLOOD PRESSURE, CANCER, DENTAL HEALTH, DIABETES, MENTAL HEALTH) A DIFFERENT KIND OF HEALTH EXPERIENCE. THEY NEED HEALTH CARE TO BE RESPECTFUL OF THEIR TIME, TO OFFER CARE WHEN THEY NEED IT. THEY WANT EASIER WAYS TO GET TO HEALTH CARE, A BETTER RELATIONSHIP WITH CARE PROVIDERS AND HELP WITH NAVIGATING SYSTEMS. THIS, THEY INDICATED, WAS WHERE THE HEALTH CARE COMMUNITY SHOULD BE CONCENTRATING ITS EFFORTS. PROTECTION AND CARE FOR THEIR SERVICE PROVIDERS. WHILE ASKING FOR CHANGE IN THE WAY THEY EXPERIENCE HEALTH CARE, THE COMMUNITY WAS ALSO EMPHATIC THAT THEY APPRECIATE THEIR HEALTH CARE WORKERS, UNDERSTAND THE PRESSURES THEY ARE UNDER, AND WANT THEM TO BE CARED FOR AS WELL. THEY OFFERED PRAISE FOR HEALTH CARE WORKERS AND CONCERN ABOUT STAFF SHORTAGES, WORKER BURN-OUT, AND VICARIOUS TRAUMA. RECOGNITION AND ASSISTANCE WITH DISABILITES AND TRAUMA. ONE IN 10 SAN DIEGANS LIVES WITH A DISABILITY, AND MANY HAVE EXPERIENCED TRAUMATIC EVENTS. THE COMMUNITY EMPHASIZED THAT PEOPLE WHO ARE DISABLED OR LIVING WITH TRAUMA NEED ACCOMMODATIONS, COMPASSION, AND ASSISTANCE WITH RESOURCES. HELP WITH CRISES. SAN DIEGO COUNTY RESIDENTS HAVE EXPERIENCED SIGNIFICANT CLIMATE-RELATED AND PUBLIC HEALTH CRISES IN RECENT YEARS AND EXPRESSED AN URGENT NEED FOR HELP ADDRESSING THESE CRISES, INCLUDING BETTER DATA COLLECTION AND MORE RESOURCES. BETTER DATA COLLECTION SHARING AND COORDINATION. THE COMMUNITY NEEDS BETTER DATA COLLECTION, SHARING, AND COORDINATION ACROSS SYSTEMS, INCLUDING HOSPITALS AND COMMUNITY CLINICS, SOCIAL SERVICE PROVIDERS, AND SCHOOLS. THE LACK OF DATA COORDINATION CREATES UNNECESSARY CHALLENGES TO GOOD HEALTH. LESS BURDEN ON EMERGENCY DEPARTMENTS. THE COMMUNITY IS CONCERNED ABOUT THE CAPACITY OF SAN DIEGO COUNTY'S EMERGENCY DEPARTMENTS (EDS), NOTING THAT MANY PEOPLE MUST RELY ON THEM FOR CARE THAT COULD BE MANAGED OUTSIDE OF EMERGENCY SETTINGS. THE COMMUNITY REPORTED SEVERAL UNDERLYING CAUSES FOR THIS USAGE, INCLUDING DIFFICULTY OBTAINING PRIMARY AND SPECIALTY CARE IN A TIMELY MANNER AND A LACK OF ALTERNATIVE OPTIONS FOR ACUTE CONDITIONS LIKE MENTAL HEALTH. COMMUNITY NEEDS SCRIPPS IS ADDRESSING AND NOT DIRECTLY ADDRESSING TO BETTER SERVE SAN DIEGO COUNTY RESIDENTS FACING HEALTH INEQUITIES, SCRIPPS USES THE FINDINGS FROM THE HOSPITAL ASSOCIATION 2025 COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) TO GUIDE THE DEVELOPMENT AND REFINEMENT OF HOSPITAL PROGRAMS AND STRATEGIES. HEALTH PRIORITIES IN THE CHNA WERE IDENTIFIED THROUGH A COMPREHENSIVE PROCESS INVOLVING RESEARCH, DATA COLLECTION, ANALYSIS, COMMUNITY INPUT, AND PRIORITIZATION. SCRIPPS WILL ADDRESS ALL IDENTIFIED PRIORITIES FROM THE 2025 CHNA EXCEPT FOR DENTAL HEALTH AND ASTHMA. WHILE DENTAL HEALTH IS A CRITICAL COMPONENT OF OVERALL WELL-BEING, IT FALLS OUTSIDE THE DIRECT CLINICAL SCOPE OF SCRIPPS AND IS MORE APPROPRIATELY ADDRESSED BY DENTAL PROVIDERS. ASTHMA, THOUGH A SIGNIFICANT ISSUE, IS PRIMARILY MANAGED IN OUTPATIENT SETTINGS THROUGH SCRIPPS CLINIC MEDICAL GROUP'S ALLERGY, ASTHMA & IMMUNOLOGY SPECIALISTS. AS THERE IS CURRENTLY NO COORDINATED, COMMUNITY-WIDE ASTHMA INITIATIVE THAT ALIGNS WITH HOSPITAL-BASED STRATEGIES, IT WILL NOT BE INCLUDED IN THIS IMPLEMENTATION CYCLE. SCRIPPS WILL CONTINUE TO COLLABORATE WITH PARTNERS BETTER POSITIONED TO MEET THIS NEED. SCRIPPS DIRECTS ITS RESOURCES TOWARD INITIATIVES THAT ALIGN WITH ITS MISSION, CLINICAL STRENGTHS, AND AREAS OF EXPERTISE. THIS INCLUDES ADDRESSING KEY REGIONAL HEALTH ISSUES, INTEGRATING CHNA FINDINGS INTO EXISTING PROGRAMS, AND COLLABORATING WITH COMMUNITY PARTNERS ON SHARED PRIORITIES. TO GUIDE THIS WORK, SCRIPPS HAS GROUPED THE CHNA IDENTIFIED NEEDS INTO THREE FOCUS AREAS: MANAGING HEALTH CONDITIONS, IMPROVING ACCESS TO CARE AND ENHANCING COMMUNITY SAFETY. MANY OF THESE HEALTH CONCERNS ARE CLOSELY TIED TO SOCIAL DETERMINANTS OF HEALTH, SUCH AS FOOD INSECURITY, HOUSING, TRANSPORTATION, EDUCATION, AND SOCIAL SUPPORT, WHICH SCRIPPS ADDRESSES THROUGH A BROAD RANGE OF PROGRAMS AND PARTNERSHIPS.
SCHEDULE H, PART V, SECTION B, LINE 5 FACILITY A, 1	FACILITY A, 1 - REPORTING GROUP A. DESCRIPTION: COMMUNITY ENGAGEMENT THE GOAL OF THE COMMUNITY ENGAGEMENT PROCESS WAS TO GATHER INPUT FROM A BROAD AND REPRESENTATIVE SAMPLE OF SAN DIEGO COUNTY RESIDENTS, WITH A FOCUS ON THOSE EXPERIENCING HEALTH INEQUITIES. SPECIAL EFFORTS WERE MADE TO INCLUDE BOTH COMMUNITY MEMBERS FROM HISTORICALLY UNDERSERVED POPULATIONS AND SERVICE PROVIDERS WHO WORK CLOSELY WITH THEM. IN TOTAL, FEEDBACK WAS GATHERED FROM 1,625 COMMUNITY MEMBERS ACROSS THE REGION. ENGAGEMENT METHODS THE CHNA TEAM, LED BY RESEARCHERS AT THE IPH, COLLECTED DATA THROUGH FOCUS GROUPS, KEY INFORMANT INTERVIEWS, FIELD INTERVIEWS, AND AN ONLINE SURVEY DESCRIBED BELOW. THESE PRIMARY DATA COLLECTION EFFORTS WERE COMPLEMENTED BY THE REVIEW OF PUBLICLY AVAILABLE DEMOGRAPHIC DATA, HOSPITAL AND EMERGENCY DEPARTMENT DISCHARGE RECORDS, AND RELEVANT PUBLISHED RESEARCH TO DEVELOP A COMPREHENSIVE UNDERSTANDING OF COMMUNITY HEALTH NEEDS. THIS MIXED-METHODS APPROACH AIMED TO ANSWER TWO CENTRAL QUESTIONS: * WHAT ARE THE MOST PRESSING NEEDS OF OUR COMMUNITY? * HOW CAN HOSPITALS AND HEALTH SYSTEMS HELP ADDRESS THOSE NEEDS? A CENTRAL GOAL OF THE 2025 CHNA WAS TO INVOLVE COMMUNITY HEALTH WORKERS (CHWS), LOCAL PARTNERS, AND COMMUNITY MEMBERS AS RESEARCH COLLABORATORS. SDRCC AND SDCPC PLAYED KEY ROLES IN DESIGNING CULTURALLY SENSITIVE DATA COLLECTION TOOLS, CONDUCTING INTERVIEWS, AND SUPPORTING DATA ANALYSIS. THEIR EFFORTS HELPED ENSURE THIS WAS THE MOST REPRESENTATIVE CHNA SAMPLE IN SAN DIEGO TO DATE. COMMUNITY INPUT * 465 FIELD INTERVIEWS CONDUCTED BY THE SAN DIEGO REFUGEE COMMUNITIES COALITION (SDRCC) AND SAN DIEGO COUNTY PROMOTORES COALITION (SDCPC) * 1,037 ONLINE SURVEY RESPONSES * 123 PARTICIPANTS IN 40 FOCUS GROUPS AND KEY INFORMANT INTERVIEWS FIELD INTERVIEWS SHORT, IN-PERSON FIELD INTERVIEWS WERE CONDUCTED IN PUBLIC SPACES SUCH AS TRANSIT STOPS AND STORE ENTRANCES TO ENGAGE INDIVIDUALS NOT TYPICALLY CONNECTED TO MEDICAL OR SOCIAL SERVICE SYSTEMS. PARTICIPANTS WERE ELIGIBLE IF THEY WERE 18 YEARS OR OLDER AND LIVED IN SAN DIEGO COUNTY. AS A THANK-YOU, PARTICIPANTS RECEIVED A GIFT CARD. FIELD INTERVIEWS INCLUDED THREE "TRACKS," ALLOWING PARTICIPANTS TO SHARE CONCERNS RELATED TO: * THEIR CHILDREN * THEMSELVES OR A LOVED ONE * THE BROADER COMMUNITY THE TOOL WAS DEVELOPED COLLABORATIVELY WITH CHWS AND TRANSLATED INTO SPANISH. INTERVIEWS WERE ALSO CONDUCTED IN OVER 20 LANGUAGES THANKS TO MULTILINGUAL INTERVIEWERS. DEPENDING ON RESPONSES AND TRANSLATION NEEDS, INTERVIEWS LASTED FROM 5 TO 45 MINUTES. FOCUS GROUPS AND KEY INFORMANT INTERVIEWS POPULATIONS OF FOCUS WERE SELECTED USING FINDINGS FROM THE 2022 CHNA, THE HEALTHY PLACES INDEX, AND RESEARCH ON HEALTH DISPARITIES. PARTICIPANTS WERE RECRUITED USING PURPOSIVE SAMPLING THROUGH TRUSTED COMMUNITY ORGANIZATIONS AND PROFESSIONAL NETWORKS. FOCUS GROUPS AND INTERVIEWS WERE SEMI-STRUCTURED TO ALLOW FOR OPEN DISCUSSION WHILE ENSURING CORE RESEARCH QUESTIONS WERE ADDRESSED. TOPICS INCLUDED: * PRESSING HEALTH AND SOCIAL NEEDS * EXISTING SERVICES AND GAPS * COMMUNITY SUGGESTIONS * RECOMMENDATIONS FOR HOSPITALS AND HEALTH SYSTEMS ALL SESSIONS WERE FACILITATED BY RESEARCHERS FROM IPH WITH EXPERTISE IN QUALITATIVE METHODS. INTERVIEWS WERE CONDUCTED OVER ZOOM (EXCEPT FOR ONE IN-PERSON GROUP), RECORDED WITH CONSENT, AND TRANSCRIBED. TWO RESEARCHERS INDEPENDENTLY ANALYZED TRANSCRIPTS USING ITERATIVE THEMATIC ANALYSIS, COMBINING DEDUCTIVE AND INDUCTIVE CODING TO IDENTIFY MAJOR THEMES, SUBTHEMES, AND ILLUSTRATIVE QUOTES. THE TEAM MET TO REFINE THE FINDINGS, AND FOLLOW-UP WAS CONDUCTED WITH PARTICIPANTS WHEN NEEDED FOR CLARIFICATION. ONLINE SURVEY THE ONLINE SURVEY WAS ADAPTED FROM THE 2022 CHNA SURVEY AND OFFERED IN ENGLISH AND SPANISH. IT WAS DISTRIBUTED VIA: * COMMUNITY PARTNERS * THE COUNTY OF SAN DIEGO'S LIVE WELL REGIONAL GROUPS * PUBLIC HEALTH LISTSERVS AND REGIONAL COMMUNITY UPDATES A SNOWBALL SAMPLING STRATEGY WAS USED, ENCOURAGING ORGANIZATIONS TO SHARE THE LINK WITH STAFF AND CLIENTS. THE SURVEY WAS COMPLETED 1,037 TIMES, HELPING BROADEN PARTICIPATION BEYOND THOSE REACHED THROUGH INTERVIEWS AND FOCUS GROUPS.
SCHEDULE H, PART V, SECTION B, LINE 6A FACILITY A, 1	FACILITY A, 1 - REPORTING GROUP A. 2025 CHNA PARTICIPATING HOSPITALS AND HEALTH SYSTEMS THE 2025 COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) REPRESENTS A COUNTYWIDE COLLABORATIVE EFFORT AMONG ALL HOSPITALS AND HEALTH CARE SYSTEMS IN SAN DIEGO COUNTY TO BETTER UNDERSTAND THE HEALTH AND SOCIAL NEEDS OF LOCAL COMMUNITIES. THE MAJORITY OF 2025 CHNA COLLABORATIVE MEMBERS ARE HOSPITALS AND HEALTH SYSTEMS THAT ARE NOT SUBJECT TO ANY CHNA REQUIREMENTS BUT ARE DEEPLY ENGAGED IN THE COMMUNITIES THEY SERVE AND COMMITTED TO THE GOALS OF A COLLABORATIVE CHNA. FINDINGS FROM THE CHNA ARE USED TO DEVELOP, ENHANCE, AND EXPAND HEALTH AND SOCIAL SERVICE PROGRAMS ACROSS THE REGION. THE 2025 CHNA WAS GUIDED BY A HEALTH EQUITY FRAMEWORK AND EMPHASIZED COMMUNITY-BASED PARTICIPATORY RESEARCH THAT IS ACADEMIC, ANALYTICAL, ACTIONABLE, AND ACCOUNTABLE. EVERY HEALTH SYSTEM, HEALTH DISTRICT, PRIVATE HOSPITAL, AND BEHAVIORAL HEALTH HOSPITAL IN SAN DIEGO COUNTY PARTICIPATED IN THIS INITIATIVE. THEIR SUPPORT CAME THROUGH ACTIVE INVOLVEMENT IN THE COMMUNITY NEEDS ASSESSMENT COMMITTEE AND SUPPORTED THE HASD&IC BOARD OF DIRECTORS. PARTICIPATING HOSPITALS AND HEALTH SYSTEMS: * ALVARADO PARKWAY INSTITUTE BEHAVIORAL HEALTH SYSTEM * AURORA BEHAVIORAL HEALTH CARE SAN DIEGO * GROSSMONT HEALTHCARE DISTRICT * KAISER PERMANENTE SAN DIEGO * PALOMAR HEALTH * PARADISE VALLEY HOSPITAL * RADY CHILDREN'S HOSPITAL - SAN DIEGO * SAN DIEGO COUNTY PSYCHIATRIC HOSPITAL * SCRIPPS HEALTH * SHARP HEALTHCARE * TRI-CITY MEDICAL CENTER * UC SAN DIEGO HEALTH * VA SAN DIEGO HEALTHCARE SYSTEM * SELECT SPECIALTY HOSPITAL
SCHEDULE H, PART V, SECTION B, LINE 6B FACILITY A, 1	FACILITY A, 1 - REPORTING GROUP A. RESEARCH AND COLLABORATION PARTNERS FOR THE 2025 COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA), THE HOSPITAL ASSOCIATION OF SAN DIEGO AND IMPERIAL COUNTIES (HASD&IC) CONTRACTED WITH THE SAN DIEGO STATE UNIVERSITY (SDSU) INSTITUTE FOR PUBLIC HEALTH (IPH). AS THE PRACTICE ARM OF THE SDSU SCHOOL OF PUBLIC HEALTH, IPH FACILITATES PUBLIC HEALTH PRACTICE ACROSS SAN DIEGO COMMUNITIES. TOGETHER, HASD&IC AND IPH LED THE RESEARCH DESIGN, DATA COLLECTION, ANALYSIS, AND SUMMARY OF FINDINGS FOR THIS REPORT. IN ADDITION TO PARTICIPATING IN THE HASD&IC FACILITATED CHNA COLLABORATIVE, KAISER PERMANENTE - SAN DIEGO, ZION, AND SAN MARCOS MEDICAL CENTERS CONDUCTED THEIR OWN CHNAS IN PARTNERSHIP WITH HARDER+COMPANY COMMUNITY RESEARCH. THESE EFFORTS WERE INTENTIONALLY ALIGNED AND CONDUCTED SIMULTANEOUSLY, WITH CONTINUOUS FEEDBACK BETWEEN BOTH RESEARCH TEAMS. THIS COORDINATION ENSURED THAT THEIR WORK WAS COMPLEMENTARY RATHER THAN DUPLICATIVE. BY LEVERAGING ONE ANOTHER'S COMMUNITY RELATIONSHIPS AND SHARING DATA THROUGHOUT THE PROCESS, HASD&IC AND KAISER PERMANENTE EXPANDED COMMUNITY REPRESENTATION AND MADE MORE EFFICIENT USE OF RESOURCES. THIS INNOVATIVE AND COLLABORATIVE APPROACH RESULTED IN A MORE COMPREHENSIVE AND INCLUSIVE CHNA FOR ALL SAN DIEGO COUNTY HOSPITALS AND HEALTH CARE SYSTEMS.
SCHEDULE H, PART V, SECTION B, LINE 11 FACILITY A, 1	FACILITY A, 1 - REPORTING GROUP A. SCRIPPS HEALTH IMPLEMENTATION STRATEGY SUMMARY AND COMMUNITY NEEDS IDENTIFIED. WITH THE COMPLETION OF THE 2025 COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) AND IDENTIFICATION OF PRIORITY HEALTH AREAS, SCRIPPS HEALTH HAS DEVELOPED A CORRESPONDING IMPLEMENTATION STRATEGY-A MULTI-FACETED, MULTI-STAKEHOLDER PLAN DESIGNED TO ADDRESS THE COMMUNITY HEALTH NEEDS OUTLINED IN THE CHNA. THIS THREE-YEAR STRATEGY (FY26-FY28) TRANSLATES CHNA RESEARCH AND ANALYSIS INTO MEASURABLE, ACTIONABLE OBJECTIVES AIMED AT IMPROVING HEALTH OUTCOMES ACROSS SAN DIEGO COUNTY. EVALUATION AND RESOURCE COMMITMENT SCRIPPS HEALTH EVALUATES ITS IMPLEMENTATION STRATEGY ANNUALLY TO STAY RESPONSIVE TO EVOLVING COMMUNITY NEEDS. THIS INCLUDES REVIEWING PROGRAM INTERVENTIONS, RESOURCE ALLOCATIONS, AND PROGRESS TOWARD DEFINED GOALS. EACH OBJECTIVE INCLUDES A TAILORED MONITORING PLAN WITH KEY PERFORMANCE INDICATORS SUCH AS: * NUMBER OF PEOPLE SERVED * PARTICIPATION AND SATISFACTION RATES * FINANCIAL AND IN-KIND INVESTMENTS * MEASURABLE HEALTH OUTCOMES, WHERE FEASIBLE CHALLENGES ARE DOCUMENTED AND ADDRESSED THROUGH PROGRAM MODIFICATIONS TO MAINTAIN EFFECTIVENESS. SCRIPPS ALSO SUBMITS ITS IMPLEMENTATION STRATEGY ANNUALLY TO THE IRS VIA FORM 990, SCHEDULE H, AND SUPPORTS THIS WORK THROUGH BOTH FINANCIAL AND IN-KIND CONTRIBUTIONS, INCLUDING STAFF TIME, DIRECT SERVICES, AND COMMUNITY PROGRAMS COMMUNITY NEEDS SCRIPPS IS ADDRESSING AND NOT DIRECTLY ADDRESSING TO BETTER SERVE SAN DIEGO COUNTY RESIDENTS FACING HEALTH INEQUITIES, SCRIPPS USES THE FINDINGS FROM THE 2025 COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) TO GUIDE THE DEVELOPMENT AND REFINEMENT OF HOSPITAL PROGRAMS AND STRATEGIES. HEALTH PRIORITIES IN THE CHNA WERE IDENTIFIED THROUGH A COMPREHENSIVE PROCESS INVOLVING RESEARCH, DATA COLLECTION, ANALYSIS, COMMUNITY INPUT, AND PRIORITIZATION. SCRIPPS' IMPLEMENTATION STRATEGY (IS) ADDRESSES ALL IDENTIFIED PRIORITIES FROM THE 2025 CHNA EXCEPT FOR DENTAL HEALTH AND ASTHMA. WHILE DENTAL HEALTH IS A CRITICAL COMPONENT OF OVERALL WELL-BEING, IT FALLS OUTSIDE THE DIRECT CLINICAL SCOPE OF SCRIPPS AND IS MORE APPROPRIATELY ADDRESSED BY DENTAL PROVIDERS. ASTHMA, THOUGH A SIGNIFICANT ISSUE, IS PRIMARILY MANAGED IN OUTPATIENT SETTINGS THROUGH SCRIPPS CLINIC MEDICAL GROUP'S ALLERGY, ASTHMA & IMMUNOLOGY SPECIALISTS. AS THERE IS CURRENTLY NO COORDINATED, COMMUNITY-WIDE ASTHMA INITIATIVE THAT ALIGNS WITH HOSPITAL-BASED STRATEGIES, IT WAS NOT INCLUDED IN THIS IMPLEMENTATION CYCLE. SCRIPPS WILL CONTINUE TO COLLABORATE WITH PARTNERS BETTER POSITIONED TO MEET THIS NEED. SCRIPPS DIRECTS ITS RESOURCES TOWARD INITIATIVES THAT ALIGN WITH ITS MISSION, CLINICAL STRENGTHS, AND AREAS OF EXPERTISE. THIS INCLUDES ADDRESSING KEY REGIONAL HEALTH ISSUES, INTEGRATING CHNA FINDINGS INTO EXISTING PROGRAMS, AND COLLABORATING WITH COMMUNITY PARTNERS ON SHARED PRIORITIES. TO GUIDE ITS EFFORTS, SCRIPPS HAS ORGANIZED CHNA-IDENTIFIED NEEDS INTO THREE PRIMARY FOCUS AREAS: 1. MANAGING HEALTH CONDITIONS * AGING CARE AND SUPPORT * BEHAVIORAL HEATH * CANCER * CARDIOVASCULAR DISEASE, STROKE, HYPERTENSION * DIABETES 2. IMPROVING ACCESS TO CARE * A DIFFERENT KIND OF HEALTHCARE EXPERIENCE * LESS BURDEN ON EMERGEMCY DEPARTMENTS * BETTER DATA COLLECTION, SHARING AND COORDINATION * RECOGNITION AND ASSISTANCE WITH DISABILITIES AND TRAUMA 3. ENHANCING COMMUNITY SAFETY * TRAUMA AND INJURY PREVENTION * PROTECTION AND CARE FOR SERVICE PROVIDERS * ENHANCE CRISIS SUPPORT MANY OF THESE NEEDS ARE LINKED TO SOCIAL DETERMINANTS OF HEALTH-INCLUDING FOOD INSECURITY, HOUSING INSTABILITY, TRANSPORTATION, EDUCATION, AND LACK OF SOCIAL SUPPORT-WHICH SCRIPPS ADDRESSES THROUGH A WIDE RANGE OF PROGRAMS AND PARTNERSHIPS. THE COMPLETE REPORTS ARE AVAILABLE TO THE PUBLIC AT SCRIPPS.ORG.
SCHEDULE H, PART V, SECTION B, LINE 13 FACILITY A, 1	FACILITY A, 1 - REPORTING GROUP A. * FINANCIAL ASSISTANCE (CHARITY CARE): FOR PATIENTS WITHOUT INSURANCE WHO EARN LESS THAN 200% OF THE FEDERAL POVERTY LEVEL, WE WILL FULLY FORGIVE THE ENTIRE BILL. * DISCOUNTED PAYMENT: FOR PATIENTS WHO EARN BETWEEN 201% AND 400% OF THE FEDERAL POVERTY LEVEL, WE WILL FORGIVE A PORTION OF YOUR BILL. SCRIPPS WILL NOT BILL QUALIFIED PATIENTS FOR EMERGENCY OR OTHER MEDICALLY NECESSARY CARE MORE THAN THE AMOUNT WE GENERALLY BILL PATIENTS HAVING MEDICARE COVERAGE. * WHENEVER POSSIBLE, ELIGIBILITY DETERMINATION IS MADE WITHIN 20 BUSINESS DAYS OF RECEIVING DOCUMENTATION INCLUDING LANGUAGE TRANSLATIONS IF NECESSARY. THE SENIOR DIRECTOR OF PATIENT FINANCIAL SERVICES IS THE AUTHORITY FOR DETERMINING THAT THE HOSPITAL HAS MADE REASONABLE EFFORTS TO DETERMINE WHETHER AN INDIVIDUAL IS ELIGIBLE FOR FINANCIAL ASSISTANCE. * PATIENTS ARE INFORMED OF THE ASSISTANCE DETAILS. THE ELIGIBILITY DETERMINATION IS VALID FOR SIX MONTHS FROM THE DATE OF DETERMINATION UNLESS CIRCUMSTANCES CHANGE.
SCHEDULE H, PART V, SECTION B, LINE 16 FACILITY A, 1	FACILITY A, 1 - REPORTING GROUP A. * POSTERS ALERTING INDIVIDUALS TO SCRIPPS FINANCIAL ASSISTANCE AND CHARITY CARE PROGRAMS ARE DISPLAYED IN REGISTRATION AREAS IN THE HOSPITALS, INCLUDING THE EMERGENCY DEPARTMENTS, OUTPATIENT SETTINGS, AND MAIN ADMISSION AREAS. * SCRIPPS WORKS WITH THE CALIFORNIA HOSPITAL ASSOCIATION TO INFORM THOSE LIKELY TO NEED FINANCIAL HELP. THE SCRIPPS FINANCIAL ASSISTANCE NOTICE AND POLICY PLAIN LANGUAGE SUMMARY IS AVAILABLE AT COMMUNITY EVENTS AND IS PROVIDED TO LOCAL AGENCIES THAT OFFER CONSUMER ASSISTANCE. * SCRIPPS WEBSITE PROMINENTLY DISPLAYS LINKS TO "HELPING PAY YOUR BILL". INFORMATION AND RESOURCES ARE AVAILABLE IN MULTIPLE LANGUAGES. INFORMATION INCLUDES BUT IS NOT LIMITED TO; FINANCIAL ASSISTANCE OPTIONS, LANGUAGE ASSISTANCE, CONSUMER ASSISTANCE, AND GOVERNMENT SPONSORED PROGRAMS AND SCRIPPS RESOURCES CAN BE FOUND. * SCRIPPS FINANCIAL ASSISTANCE POLICIES AND RELATED INFORMATION IS ALSO PROVIDED TO THE CALIFORNIA DEPARTMENT OF HEALTH CARE ACCESS AND INFORMATION(HCAI) AS REQUIRED BY LAW. * ALL PATIENTS ARE SCREENED FOR PAYMENT ABILITY AND PROGRAM ELIGIBILITY, INCLUDING FINANCIAL ASSISTANCE. SCRIPPS STAFF WILL: A. MAKE REASONABLE EFFORTS TO OBTAIN INFORMATION FROM PATIENTS TO DETERMINE IF THEIR HEALTH INSURANCE, WHETHER IT'S PRIVATE OR PUBLIC, MIGHT COVER ALL OR PART OF THEIR MEDICAL EXPENSES. B. PROVIDE UNINSURED PATIENTS WITH A "GOOD FAITH" ESTIMATE OF THE EXPECTED COSTS FOR MEDICAL SERVICES AND ITEMS, ALONG WITH A FINANCIAL ASSISTANCE APPLICATION. C. ASSIST PATIENTS IN DETERMINING IF THEY QUALIFY FOR MEDI-CAL, COUNTY MEDICAL SERVICES (CMS), THE CALIFORNIA HEALTH BENEFIT EXCHANGE, OR ANY OTHER THIRD-PARTY INSURANCE. D. PATIENTS APPLYING FOR CHARITY CARE SHOULD SEEK OUT AND APPLY FOR ANY AVAILABLE PUBLIC OR PRIVATE HEALTH INSURANCE. E. PATIENTS APPLYING FOR CHARITY CARE MUST COOPERATE WITH SCRIPPS HEALTH IN THE APPLICATION PROCESS.
SCHEDULE H, PART V, SECTION B, LINE 3E	2025 CHNA PRIORITIZATION OF THE TOP COMMUNITY NEEDS SEVERAL CRITERIA WERE APPLIED TO THE DATA TO DETERMINE WHICH TOP COMMUNITY NEEDS WERE OF THE HIGHEST PRIORITY IN SAN DIEGO COUNTY. THESE CRITERIA INCLUDED: THE SEVERITY OF THE NEED: THIS REFERS TO HOW SEVERE THE HEALTH NEED IS (SUCH AS ITS POTENTIAL TO CAUSE DEATH OR DISABILITY) AND ITS DEGREE OF POOR PERFORMANCE AGAINST THE RELEVANT BENCHMARK. THE MAGNITUDE/SCALE OF THE NEED: THE MAGNITUDE REFERS TO THE NUMBER OF PEOPLE AFFECTED BY THE HEALTH NEED. DISPARITIES OR INEQUITIES: THIS REFERS TO DIFFERENCES IN HEALTH OUTCOMES BY SUBGROUPS. SUBGROUPS MAY BE BASED ON GEOGRAPHY, LANGUAGES, ETHNICITY, CULTURE, CITIZENSHIP STATUS, ECONOMIC STATUS, SEXUAL ORIENTATION, AGE, GENDER, OR OTHERS. AND CHANGE OVER TIME: THIS REFERS TO WHETHER THE NEED HAS IMPROVED, STAYED THE SAME, OR WORSENED. THOSE HEALTH CONDITIONS AND SOCIAL DETERMINANTS OF HEALTH (SDOH) THAT MET THE LARGEST NUMBER OF CRITERIA WERE THEN SELECTED AS TOP PRIORITY COMMUNITY HEALTH NEEDS. 2025 CHNA TOP COMMUNITY NEEDS THROUGH THE PRIORITIZATION PROCESS DESCRIBED IN THE METHODOLOGY SECTION, THE CHNA COMMITTEE IDENTIFIED THE MOST CRITICAL TOP COMMUNITY NEEDS WITHIN SAN DIEGO COUNTY. THE FINDINGS COME DIRECTLY FROM THE CHNA PROCESS AND SERVE AS THE FOUNDATION FOR THE STRATEGIES OUTLINED IN THE HOSPITALS IMPLEMENTATION STRATEGY. THE 2025 CHNA IDENTIFIED THAT SAN DIEGANS ARE EXPERIENCING DEBILITATING STRESS. CHRONIC STRESS WAS CONSISTENTLY HIGHLIGHTED AS A SIGNIFICANT THEME ACROSS ALL METHODS OF DATA COLLECTION. THIS STRESS, THE COMMUNITY SAID, IS CAUSED BY THE HIGH COST OF LIVING IN SAN DIEGO, RISING LEVELS OF RACISM, PREJUDICE, AND DISCRIMINATION, ONGOING CHALLENGES FROM COVID 19, AND RECENT PUBLIC HEALTH EMERGENCIES. THIS STRESS HAS RESULTED IN A HEALTH CARE SYSTEM TRYING TO HELP MORE PATIENTS WHILE HEALTH CARE WORKERS ARE, THEMSELVES, EXPERIENCING HARDSHIP. CHRONIC STRESS IS RECOGNIZED AS A PRIMARY FINDING, INDICATING ITS ROLE AS A BARRIER AFFECTING COMMUNITY MEMBERS CAPACITY TO MANAGE THEIR HEALTH AND HEALTHCARE EFFECTIVELY. THE 2025 CHNA ALSO EXPLORED WAYS IN WHICH HOSPITALS AND HEALTHCARE SYSTEMS COULD ALLEVIATE CHRONIC STRESS TO ENHANCE COMMUNITY HEALTH. SEVERAL HEALTH IMPROVEMENT STRATEGIES WERE RECOMMENDED, WHICH ARE HIGHLIGHTED AS OTHER KEY FINDINGS. THESE STRATEGIES AIM TO ADDRESS THE IDENTIFIED BARRIERS AND IMPROVE THE OVERALL WELL-BEING OF THE COMMUNITY. OTHER KEY FINDINGS LISTED BELOW IN NO SPECIFIC ORDER: HELP MANAGING HEALTH CONDITIONS. THE COMMUNITY NAMED SEVERAL SPECIFIC HEALTH CONDITIONS THEY NEED MORE ASSISTANCE WITH MANAGING (ASTHMA, BLOOD PRESSURE, CANCER, DENTAL HEALTH, DIABETES, MENTAL HEALTH) A DIFFERENT KIND OF HEALTH EXPERIENCE. THEY NEED HEALTH CARE TO BE RESPECTFUL OF THEIR TIME, TO OFFER CARE WHEN THEY NEED IT. THEY WANT EASIER WAYS TO GET TO HEALTH CARE, A BETTER RELATIONSHIP WITH CARE PROVIDERS AND HELP WITH NAVIGATING SYSTEMS. THIS, THEY INDICATED, WAS WHERE THE HEALTH CARE COMMUNITY SHOULD BE CONCENTRATING ITS EFFORTS. PROTECTION AND CARE FOR THEIR SERVICE PROVIDERS. WHILE ASKING FOR CHANGE IN THE WAY THEY EXPERIENCE HEALTH CARE, THE COMMUNITY WAS ALSO EMPHATIC THAT THEY APPRECIATE THEIR HEALTH CARE WORKERS, UNDERSTAND THE PRESSURES THEY ARE UNDER, AND WANT THEM TO BE CARED FOR AS WELL. THEY OFFERED PRAISE FOR HEALTH CARE WORKERS AND CONCERN ABOUT STAFF SHORTAGES, WORKER BURN-OUT, AND VICARIOUS TRAUMA. RECOGNITION AND ASSISTANCE WITH DISABILITES AND TRAUMA. ONE IN 10 SAN DIEGANS LIVES WITH A DISABILITY, AND MANY HAVE EXPERIENCED TRAUMATIC EVENTS. THE COMMUNITY EMPHASIZED THAT PEOPLE WHO ARE DISABLED OR LIVING WITH TRAUMA NEED ACCOMMODATIONS, COMPASSION, AND ASSISTANCE WITH RESOURCES. HELP WITH CRISES. SAN DIEGO COUNTY RESIDENTS HAVE EXPERIENCED SIGNIFICANT CLIMATE-RELATED AND PUBLIC HEALTH CRISES IN RECENT YEARS AND EXPRESSED AN URGENT NEED FOR HELP ADDRESSING THESE CRISES, INCLUDING BETTER DATA COLLECTION AND MORE RESOURCES. BETTER DATA COLLECTION SHARING AND COORDINATION. THE COMMUNITY NEEDS BETTER DATA COLLECTION, SHARING, AND COORDINATION ACROSS SYSTEMS, INCLUDING HOSPITALS AND COMMUNITY CLINICS, SOCIAL SERVICE PROVIDERS, AND SCHOOLS. THE LACK OF DATA COORDINATION CREATES UNNECESSARY CHALLENGES TO GOOD HEALTH. LESS BURDEN ON EMERGENCY DEPARTMENTS. THE COMMUNITY IS CONCERNED ABOUT THE CAPACITY OF SAN DIEGO COUNTY'S EMERGENCY DEPARTMENTS (EDS), NOTING THAT MANY PEOPLE MUST RELY ON THEM FOR CARE THAT COULD BE MANAGED OUTSIDE OF EMERGENCY SETTINGS. THE COMMUNITY REPORTED SEVERAL UNDERLYING CAUSES FOR THIS USAGE, INCLUDING DIFFICULTY OBTAINING PRIMARY AND SPECIALTY CARE IN A TIMELY MANNER AND A LACK OF ALTERNATIVE OPTIONS FOR ACUTE CONDITIONS LIKE MENTAL HEALTH. COMMUNITY NEEDS SCRIPPS IS ADDRESSING AND NOT DIRECTLY ADDRESSING TO BETTER SERVE SAN DIEGO COUNTY RESIDENTS FACING HEALTH INEQUITIES, SCRIPPS USES THE FINDINGS FROM THE HOSPITAL ASSOCIATION 2025 COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) TO GUIDE THE DEVELOPMENT AND REFINEMENT OF HOSPITAL PROGRAMS AND STRATEGIES. HEALTH PRIORITIES IN THE CHNA WERE IDENTIFIED THROUGH A COMPREHENSIVE PROCESS INVOLVING RESEARCH, DATA COLLECTION, ANALYSIS, COMMUNITY INPUT, AND PRIORITIZATION. SCRIPPS WILL ADDRESS ALL IDENTIFIED PRIORITIES FROM THE 2025 CHNA EXCEPT FOR DENTAL HEALTH AND ASTHMA. WHILE DENTAL HEALTH IS A CRITICAL COMPONENT OF OVERALL WELL-BEING, IT FALLS OUTSIDE THE DIRECT CLINICAL SCOPE OF SCRIPPS AND IS MORE APPROPRIATELY ADDRESSED BY DENTAL PROVIDERS. ASTHMA, THOUGH A SIGNIFICANT ISSUE, IS PRIMARILY MANAGED IN OUTPATIENT SETTINGS THROUGH SCRIPPS CLINIC MEDICAL GROUP'S ALLERGY, ASTHMA & IMMUNOLOGY SPECIALISTS. AS THERE IS CURRENTLY NO COORDINATED, COMMUNITY-WIDE ASTHMA INITIATIVE THAT ALIGNS WITH HOSPITAL-BASED STRATEGIES, IT WILL NOT BE INCLUDED IN THIS IMPLEMENTATION CYCLE. SCRIPPS WILL CONTINUE TO COLLABORATE WITH PARTNERS BETTER POSITIONED TO MEET THIS NEED. SCRIPPS DIRECTS ITS RESOURCES TOWARD INITIATIVES THAT ALIGN WITH ITS MISSION, CLINICAL STRENGTHS, AND AREAS OF EXPERTISE. THIS INCLUDES ADDRESSING KEY REGIONAL HEALTH ISSUES, INTEGRATING CHNA FINDINGS INTO EXISTING PROGRAMS, AND COLLABORATING WITH COMMUNITY PARTNERS ON SHARED PRIORITIES. TO GUIDE THIS WORK, SCRIPPS HAS GROUPED THE CHNA IDENTIFIED NEEDS INTO THREE FOCUS AREAS: MANAGING HEALTH CONDITIONS, IMPROVING ACCESS TO CARE AND ENHANCING COMMUNITY SAFETY. MANY OF THESE HEALTH CONCERNS ARE CLOSELY TIED TO SOCIAL DETERMINANTS OF HEALTH, SUCH AS FOOD INSECURITY, HOUSING, TRANSPORTATION, EDUCATION, AND SOCIAL SUPPORT, WHICH SCRIPPS ADDRESSES THROUGH A BROAD RANGE OF PROGRAMS AND PARTNERSHIPS.
SCHEDULE H, PART V, SECTION B, LINE 5 FACILITY B, 1	FACILITY B, 1 - REPORTING GROUP B - SELECT HOSPITAL. DESCRIPTION: COMMUNITY ENGAGEMENT THE GOAL OF THE COMMUNITY ENGAGEMENT PROCESS WAS TO GATHER INPUT FROM A BROAD AND REPRESENTATIVE SAMPLE OF SAN DIEGO COUNTY RESIDENTS, WITH A FOCUS ON THOSE EXPERIENCING HEALTH INEQUITIES. SPECIAL EFFORTS WERE MADE TO INCLUDE BOTH COMMUNITY MEMBERS FROM HISTORICALLY UNDERSERVED POPULATIONS AND SERVICE PROVIDERS WHO WORK CLOSELY WITH THEM. IN TOTAL, FEEDBACK WAS GATHERED FROM 1,625 COMMUNITY MEMBERS ACROSS THE REGION. ENGAGEMENT METHODS THE CHNA TEAM, LED BY RESEARCHERS AT THE IPH, COLLECTED DATA THROUGH FOCUS GROUPS, KEY INFORMANT INTERVIEWS, FIELD INTERVIEWS, AND AN ONLINE SURVEY DESCRIBED BELOW. THESE PRIMARY DATA COLLECTION EFFORTS WERE COMPLEMENTED BY THE REVIEW OF PUBLICLY AVAILABLE DEMOGRAPHIC DATA, HOSPITAL AND EMERGENCY DEPARTMENT DISCHARGE RECORDS, AND RELEVANT PUBLISHED RESEARCH TO DEVELOP A COMPREHENSIVE UNDERSTANDING OF COMMUNITY HEALTH NEEDS. THIS MIXED-METHODS APPROACH AIMED TO ANSWER TWO CENTRAL QUESTIONS: * WHAT ARE THE MOST PRESSING NEEDS OF OUR COMMUNITY? * HOW CAN HOSPITALS AND HEALTH SYSTEMS HELP ADDRESS THOSE NEEDS? A CENTRAL GOAL OF THE 2025 CHNA WAS TO INVOLVE COMMUNITY HEALTH WORKERS (CHWS), LOCAL PARTNERS, AND COMMUNITY MEMBERS AS RESEARCH COLLABORATORS. SDRCC AND SDCPC PLAYED KEY ROLES IN DESIGNING CULTURALLY SENSITIVE DATA COLLECTION TOOLS, CONDUCTING INTERVIEWS, AND SUPPORTING DATA ANALYSIS. THEIR EFFORTS HELPED ENSURE THIS WAS THE MOST REPRESENTATIVE CHNA SAMPLE IN SAN DIEGO TO DATE. COMMUNITY INPUT * 465 FIELD INTERVIEWS CONDUCTED BY THE SAN DIEGO REFUGEE COMMUNITIES COALITION (SDRCC) AND SAN DIEGO COUNTY PROMOTORES COALITION (SDCPC) * 1,037 ONLINE SURVEY RESPONSES * 123 PARTICIPANTS IN 40 FOCUS GROUPS AND KEY INFORMANT INTERVIEWS FIELD INTERVIEWS SHORT, IN-PERSON FIELD INTERVIEWS WERE CONDUCTED IN PUBLIC SPACES SUCH AS TRANSIT STOPS AND STORE ENTRANCES TO ENGAGE INDIVIDUALS NOT TYPICALLY CONNECTED TO MEDICAL OR SOCIAL SERVICE SYSTEMS. PARTICIPANTS WERE ELIGIBLE IF THEY WERE 18 YEARS OR OLDER AND LIVED IN SAN DIEGO COUNTY. AS A THANK-YOU, PARTICIPANTS RECEIVED A GIFT CARD. FIELD INTERVIEWS INCLUDED THREE "TRACKS," ALLOWING PARTICIPANTS TO SHARE CONCERNS RELATED TO: * THEIR CHILDREN * THEMSELVES OR A LOVED ONE * THE BROADER COMMUNITY THE TOOL WAS DEVELOPED COLLABORATIVELY WITH CHWS AND TRANSLATED INTO SPANISH. INTERVIEWS WERE ALSO CONDUCTED IN OVER 20 LANGUAGES THANKS TO MULTILINGUAL INTERVIEWERS. DEPENDING ON RESPONSES AND TRANSLATION NEEDS, INTERVIEWS LASTED FROM 5 TO 45 MINUTES. FOCUS GROUPS AND KEY INFORMANT INTERVIEWS POPULATIONS OF FOCUS WERE SELECTED USING FINDINGS FROM THE 2022 CHNA, THE HEALTHY PLACES INDEX, AND RESEARCH ON HEALTH DISPARITIES. PARTICIPANTS WERE RECRUITED USING PURPOSIVE SAMPLING THROUGH TRUSTED COMMUNITY ORGANIZATIONS AND PROFESSIONAL NETWORKS. FOCUS GROUPS AND INTERVIEWS WERE SEMI-STRUCTURED TO ALLOW FOR OPEN DISCUSSION WHILE ENSURING CORE RESEARCH QUESTIONS WERE ADDRESSED. TOPICS INCLUDED: * PRESSING HEALTH AND SOCIAL NEEDS * EXISTING SERVICES AND GAPS * COMMUNITY SUGGESTIONS * RECOMMENDATIONS FOR HOSPITALS AND HEALTH SYSTEMS ALL SESSIONS WERE FACILITATED BY RESEARCHERS FROM IPH WITH EXPERTISE IN QUALITATIVE METHODS. INTERVIEWS WERE CONDUCTED OVER ZOOM (EXCEPT FOR ONE IN-PERSON GROUP), RECORDED WITH CONSENT, AND TRANSCRIBED. TWO RESEARCHERS INDEPENDENTLY ANALYZED TRANSCRIPTS USING ITERATIVE THEMATIC ANALYSIS, COMBINING DEDUCTIVE AND INDUCTIVE CODING TO IDENTIFY MAJOR THEMES, SUBTHEMES, AND ILLUSTRATIVE QUOTES. THE TEAM MET TO REFINE THE FINDINGS, AND FOLLOW-UP WAS CONDUCTED WITH PARTICIPANTS WHEN NEEDED FOR CLARIFICATION. ONLINE SURVEY THE ONLINE SURVEY WAS ADAPTED FROM THE 2022 CHNA SURVEY AND OFFERED IN ENGLISH AND SPANISH. IT WAS DISTRIBUTED VIA: * COMMUNITY PARTNERS * THE COUNTY OF SAN DIEGO'S LIVE WELL REGIONAL GROUPS * PUBLIC HEALTH LISTSERVS AND REGIONAL COMMUNITY UPDATES A SNOWBALL SAMPLING STRATEGY WAS USED, ENCOURAGING ORGANIZATIONS TO SHARE THE LINK WITH STAFF AND CLIENTS. THE SURVEY WAS COMPLETED 1,037 TIMES, HELPING BROADEN PARTICIPATION BEYOND THOSE REACHED THROUGH INTERVIEWS AND FOCUS GROUPS.
SCHEDULE H, PART V, SECTION B, LINE 6A FACILITY B, 1	FACILITY B, 1 - REPORTING GROUP B - SELECT HOSPITAL. 2025 CHNA PARTICIPATING HOSPITALS AND HEALTH SYSTEMS THE 2025 COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) REPRESENTS A COUNTYWIDE COLLABORATIVE EFFORT AMONG ALL HOSPITALS AND HEALTH CARE SYSTEMS IN SAN DIEGO COUNTY TO BETTER UNDERSTAND THE HEALTH AND SOCIAL NEEDS OF LOCAL COMMUNITIES. THE MAJORITY OF 2025 CHNA COLLABORATIVE MEMBERS ARE HOSPITALS AND HEALTH SYSTEMS THAT ARE NOT SUBJECT TO ANY CHNA REQUIREMENTS BUT ARE DEEPLY ENGAGED IN THE COMMUNITIES THEY SERVE AND COMMITTED TO THE GOALS OF A COLLABORATIVE CHNA. FINDINGS FROM THE CHNA ARE USED TO DEVELOP, ENHANCE, AND EXPAND HEALTH AND SOCIAL SERVICE PROGRAMS ACROSS THE REGION. THE 2025 CHNA WAS GUIDED BY A HEALTH EQUITY FRAMEWORK AND EMPHASIZED COMMUNITY-BASED PARTICIPATORY RESEARCH THAT IS ACADEMIC, ANALYTICAL, ACTIONABLE, AND ACCOUNTABLE. EVERY HEALTH SYSTEM, HEALTH DISTRICT, PRIVATE HOSPITAL, AND BEHAVIORAL HEALTH HOSPITAL IN SAN DIEGO COUNTY PARTICIPATED IN THIS INITIATIVE. THEIR SUPPORT CAME THROUGH ACTIVE INVOLVEMENT IN THE COMMUNITY NEEDS ASSESSMENT COMMITTEE AND SUPPORTED THE HASD&IC BOARD OF DIRECTORS. PARTICIPATING HOSPITALS AND HEALTH SYSTEMS: * ALVARADO PARKWAY INSTITUTE BEHAVIORAL HEALTH SYSTEM * AURORA BEHAVIORAL HEALTH CARE SAN DIEGO * GROSSMONT HEALTHCARE DISTRICT * KAISER PERMANENTE SAN DIEGO * PALOMAR HEALTH * PARADISE VALLEY HOSPITAL * RADY CHILDREN'S HOSPITAL - SAN DIEGO * SAN DIEGO COUNTY PSYCHIATRIC HOSPITAL * SCRIPPS HEALTH * SHARP HEALTHCARE * TRI-CITY MEDICAL CENTER * UC SAN DIEGO HEALTH * VA SAN DIEGO HEALTHCARE SYSTEM * SELECT SPECIALTY HOSPITAL
SCHEDULE H, PART V, SECTION B, LINE 6B FACILITY B, 1	FACILITY B, 1 - REPORTING GROUP B - SELECT HOSPITAL. RESEARCH AND COLLABORATION PARTNERS FOR THE 2025 COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA), THE HOSPITAL ASSOCIATION OF SAN DIEGO AND IMPERIAL COUNTIES (HASD&IC) CONTRACTED WITH THE SAN DIEGO STATE UNIVERSITY (SDSU) INSTITUTE FOR PUBLIC HEALTH (IPH). AS THE PRACTICE ARM OF THE SDSU SCHOOL OF PUBLIC HEALTH, IPH FACILITATES PUBLIC HEALTH PRACTICE ACROSS SAN DIEGO COMMUNITIES. TOGETHER, HASD&IC AND IPH LED THE RESEARCH DESIGN, DATA COLLECTION, ANALYSIS, AND SUMMARY OF FINDINGS FOR THIS REPORT. IN ADDITION TO PARTICIPATING IN THE HASD&IC FACILITATED CHNA COLLABORATIVE, KAISER PERMANENTE - SAN DIEGO, ZION, AND SAN MARCOS MEDICAL CENTERS CONDUCTED THEIR OWN CHNAS IN PARTNERSHIP WITH HARDER+COMPANY COMMUNITY RESEARCH. THESE EFFORTS WERE INTENTIONALLY ALIGNED AND CONDUCTED SIMULTANEOUSLY, WITH CONTINUOUS FEEDBACK BETWEEN BOTH RESEARCH TEAMS. THIS COORDINATION ENSURED THAT THEIR WORK WAS COMPLEMENTARY RATHER THAN DUPLICATIVE. BY LEVERAGING ONE ANOTHER'S COMMUNITY RELATIONSHIPS AND SHARING DATA THROUGHOUT THE PROCESS, HASD&IC AND KAISER PERMANENTE EXPANDED COMMUNITY REPRESENTATION AND MADE MORE EFFICIENT USE OF RESOURCES. THIS INNOVATIVE AND COLLABORATIVE APPROACH RESULTED IN A MORE COMPREHENSIVE AND INCLUSIVE CHNA FOR ALL SAN DIEGO COUNTY HOSPITALS AND HEALTH CARE SYSTEMS.
SCHEDULE H, PART V, SECTION B, LINE 11 FACILITY B, 1	FACILITY B, 1 - REPORTING GROUP B - SELECT HOSPITAL. SCRIPPS HEALTH AND SELECT HOSPITAL IMPLEMENTATION STRATEGY SUMMARY AND COMMUNITY NEEDS IDENTIFIED WITH THE COMPLETION OF THE 2025 COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) AND IDENTIFICATION OF PRIORITY HEALTH AREAS. COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) AND IDENTIFICATION OF PRIORITY HEALTH AREAS. SCRIPPS HEALTH HAS DEVELOPED A CORRESPONDING IMPLEMENTATION STRATEGY-A MULTI-FACETED, MULTI-STAKEHOLDER PLAN DESIGNED TO ADDRESS THE COMMUNITY HEALTH NEEDS OUTLINED IN THE CHNA. THIS THREE-YEAR STRATEGY (FY26-FY28) TRANSLATES CHNA RESEARCH AND ANALYSIS INTO MEASURABLE, ACTIONABLE OBJECTIVES AIMED AT IMPROVING HEALTH OUTCOMES ACROSS SAN DIEGO COUNTY. EVALUATION AND RESOURCE COMMITMENT SCRIPPS HEALTH EVALUATES ITS IMPLEMENTATION STRATEGY ANNUALLY TO STAY RESPONSIVE TO EVOLVING COMMUNITY NEEDS. THIS INCLUDES REVIEWING PROGRAM INTERVENTIONS, RESOURCE ALLOCATIONS, AND PROGRESS TOWARD DEFINED GOALS. EACH OBJECTIVE INCLUDES A TAILORED MONITORING PLAN WITH KEY PERFORMANCE INDICATORS SUCH AS: * NUMBER OF PEOPLE SERVED * PARTICIPATION AND SATISFACTION RATES * FINANCIAL AND IN-KIND INVESTMENTS * MEASURABLE HEALTH OUTCOMES, WHERE FEASIBLE CHALLENGES ARE DOCUMENTED AND ADDRESSED THROUGH PROGRAM MODIFICATIONS TO MAINTAIN EFFECTIVENESS. SCRIPPS ALSO SUBMITS ITS IMPLEMENTATION STRATEGY ANNUALLY TO THE IRS VIA FORM 990, SCHEDULE H, AND SUPPORTS THIS WORK THROUGH BOTH FINANCIAL AND IN-KIND CONTRIBUTIONS, INCLUDING STAFF TIME, DIRECT SERVICES, AND COMMUNITY PROGRAMS COMMUNITY NEEDS SCRIPPS IS ADDRESSING AND NOT DIRECTLY ADDRESSING TO BETTER SERVE SAN DIEGO COUNTY RESIDENTS FACING HEALTH INEQUITIES, SCRIPPS USES THE FINDINGS FROM THE 2025 COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) TO GUIDE THE DEVELOPMENT AND REFINEMENT OF HOSPITAL PROGRAMS AND STRATEGIES. HEALTH PRIORITIES IN THE CHNA WERE IDENTIFIED THROUGH A COMPREHENSIVE PROCESS INVOLVING RESEARCH, DATA COLLECTION, ANALYSIS, COMMUNITY INPUT, AND PRIORITIZATION. SCRIPPS' IMPLEMENTATION STRATEGY (IS) ADDRESSES ALL IDENTIFIED PRIORITIES FROM THE 2025 CHNA EXCEPT FOR DENTAL HEALTH AND ASTHMA. WHILE DENTAL HEALTH IS A CRITICAL COMPONENT OF OVERALL WELL-BEING, IT FALLS OUTSIDE THE DIRECT CLINICAL SCOPE OF SCRIPPS AND IS MORE APPROPRIATELY ADDRESSED BY DENTAL PROVIDERS. ASTHMA, THOUGH A SIGNIFICANT ISSUE, IS PRIMARILY MANAGED IN OUTPATIENT SETTINGS THROUGH SCRIPPS CLINIC MEDICAL GROUP'S ALLERGY, ASTHMA & IMMUNOLOGY SPECIALISTS. AS THERE IS CURRENTLY NO COORDINATED, COMMUNITY-WIDE ASTHMA INITIATIVE THAT ALIGNS WITH HOSPITAL-BASED STRATEGIES, IT WAS NOT INCLUDED IN THIS IMPLEMENTATION CYCLE. SCRIPPS WILL CONTINUE TO COLLABORATE WITH PARTNERS BETTER POSITIONED TO MEET THIS NEED. SCRIPPS DIRECTS ITS RESOURCES TOWARD INITIATIVES THAT ALIGN WITH ITS MISSION, CLINICAL STRENGTHS, AND AREAS OF EXPERTISE. THIS INCLUDES ADDRESSING KEY REGIONAL HEALTH ISSUES, INTEGRATING CHNA FINDINGS INTO EXISTING PROGRAMS, AND COLLABORATING WITH COMMUNITY PARTNERS ON SHARED PRIORITIES. TO GUIDE ITS EFFORTS, SCRIPPS HAS ORGANIZED CHNA-IDENTIFIED NEEDS INTO THREE PRIMARY FOCUS AREAS: 1. MANAGING HEALTH CONDITIONS * AGING CARE AND SUPPORT * BEHAVIORAL HEATH * CANCER * CARDIOVASCULAR DISEASE, STROKE, HYPERTENSION * DIABETES 2. IMPROVING ACCESS TO CARE * A DIFFERENT KIND OF HEALTHCARE EXPERIENCE * LESS BURDEN ON EMERGEMCY DEPARTMENTS * BETTER DATA COLLECTION, SHARING AND COORDINATION * RECOGNITION AND ASSISTANCE WITH DISABILITIES AND TRAUMA 3. ENHANCING COMMUNITY SAFETY * TRAUMA AND INJURY PREVENTION * PROTECTION AND CARE FOR SERVICE PROVIDERS * ENHANCE CRISIS SUPPORT MANY OF THESE NEEDS ARE LINKED TO SOCIAL DETERMINANTS OF HEALTH-INCLUDING FOOD INSECURITY, HOUSING INSTABILITY, TRANSPORTATION, EDUCATION, AND LACK OF SOCIAL SUPPORT-WHICH SCRIPPS ADDRESSES THROUGH A WIDE RANGE OF PROGRAMS AND PARTNERSHIPS. THE COMPLETE REPORTS ARE AVAILABLE TO THE PUBLIC AT SCRIPPS.ORG.
SCHEDULE H, PART V, SECTION B, LINE 20 FACILITY B, 1	FACILITY B, 1 - REPORTING GROUP B. SELECT SPECIALTY HOSPITAL DOES NOT MAKE PRESUMPTIVE ELIGIBILITY DETERMINATIONS. REASONABLE EFFORTS TO DETERMINE ELIGIBILITY INCLUDE: NOTIFICATION TO THE PATIENT OF THE POLICY UPON ADMISSION AND IN WRITTEN AND ORAL COMMUNICATIONS WITH THE PATIENT REGARDING THE PATIENT'S BILL, AN EFFORT TO NOTIFY THE INDIVIDUAL BY TELEPHONE ABOUT THE POLICY AND THE PROCESS FOR APPLYING FOR ASSISTANCE AT LEAST 30 DAYS BEFORE TAKING ACTION TO INITIATE ANY LAWSUIT, AND A WRITTEN RESPONSE TO ANY FINANCIAL ASSISTANCE APPLICATION FOR ASSISTANCE UNDER THIS POLICY SUBMITTED WITHIN 240 DAYS OF THE FIRST BILLING STATEMENT WITH RESPECT TO THE UNPAID BALANCE OR, IF LATER, THE DATE ON WHICH A COLLECTION AGENCY WORKING ON BEHALF OF SELECT SPECIALTY HOSPITAL SAN DIEGO RETURNS THE UNPAID BALANCE TO THE HOSPITAL.

Field	Value	IRS element (for citing)
Facility	44	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (44 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	FacilityFacilityTxt
SCRIPPS CLINIC - TORREY PINES
10666 N TORREY PINES RD	LA JOLLA	CA	92037	PRIMARY AND SPECIALTY CARE SERVICES IN AN AMBULATORY ENVIRONMENT
SCRIPPS CLINIC - RANCHO BERNARDO
15004 INNOVATION DR	SAN DIEGO	CA	92128	PRIMARY AND SPECIALTY CARE SERVICES IN AN AMBULATORY ENVIRONMENT
SCRIPPS CLINIC - CARMEL VALLEY
3811 VALLEY CENTER DR	SAN DIEGO	CA	92130	PRIMARY AND SPECIALTY CARE SERVICES IN AN AMBULATORY ENVIRONMENT
SCRIPPS MEDICAL LAB
9235 WAPLES ST 150	SAN DIEGO	CA	92121	LABORATORY SERVICES
SCRIPPS CLINIC - JEFFERSON
2205 VISTA WAY	OCEANSIDE	CA	92054	PRIMARY AND SPECIALTY CARE SERVICES IN AN AMBULATORY ENVIRONMENT
SCRIPPS CLINIC - ANDERSON MEDICAL PAVILION
9898 GENESSE AVE	LA JOLLA	CA	92037	PRIMARY AND SPECIALTY CARE SERVICES IN AN AMBULATORY ENVIRONMENT
SCRIPPS CLINIC - ENCINITAS
310 SANTA FE DR	ENCINITAS	CA	92024	PRIMARY AND SPECIALTY CARE SERVICES IN AN AMBULATORY ENVIRONMENT
SCRIPPS CLINIC - MISSION VALLEY
7565 MISSION VALLEY RD	SAN DIEGO	CA	92108	PRIMARY AND SPECIALTY CARE SERVICES IN AN AMBULATORY ENVIRONMENT
SCRIPPS HOSPITAL MEDICAL SERVICES
10140 CAMPUS POINT DR	SAN DIEGO	CA	92121	PRIMARY AND SPECIALTY CARE SERVICES IN AN AMBULATORY ENVIRONMENT
SCRIPPS CLINIC - LA JOLLA MEMORIAL CAMPUS
9850 GENESEE AVE XIMED BLDG 600	SAN DIEGO	CA	92121	PRIMARY AND SPECIALTY CARE SERVICES IN AN AMBULATORY ENVIRONMENT
SCMC - ENCINITAS
477 N EL CAMINO REAL	ENCINITAS	CA	92024	PRIMARY AND SPECIALTY CARE SERVICES IN AN AMBULATORY ENVIRONMENT
SCMC - JEFFERSON
2205 VISTA WAY	OCEANSIDE	CA	92054	PRIMARY AND SPECIALTY CARE SERVICES IN AN AMBULATORY ENVIRONMENT
SCMC HILLCREST
501 WASHINGTON ST	SAN DIEGO	CA	92103	PRIMARY AND SPECIALTY CARE SERVICES IN AN AMBULATORY ENVIRONMENT
SCRIPPS CLINIC - RANCHO SAN DIEGO
10862 CALLE VERDE	LA MESA	CA	91941	PRIMARY AND SPECIALTY CARE SERVICES IN AN AMBULATORY ENVIRONMENT
SCMC - CARLSBAD
2176 SALK AVE	CARLSBAD	CA	92008	PRIMARY AND SPECIALTY CARE SERVICES IN AN AMBULATORY ENVIRONMENT
SCMC - OCEANSIDE
4318 MISSION AVE	OCEANSIDE	CA	92057	PRIMARY AND SPECIALTY CARE SERVICES IN AN AMBULATORY ENVIRONMENT
SCRIPPS CL RADIATION THERAPY CTR - VISTA
916 SYCAMORE AVE 100	VISTA	CA	92082	PRIMARY AND SPECIALTY CARE SERVICES IN AN AMBULATORY ENVIRONMENT
MERCY ASC
550 WASHINGTON ST 1ST FL	SAN DIEGO	CA	92103	PRIMARY AND SPECIALTY CARE SERVICES IN AN AMBULATORY ENVIRONMENT
SCRIPPS CLINIC - DEL MAR
12395 EL CAMINO REAL 317	DEL MAR	CA	92130	PRIMARY AND SPECIALTY CARE SERVICES IN AN AMBULATORY ENVIRONMENT
LA JOLLA RADIOLOGY - LA JOLLA
9888 GENESEE AVE	LA JOLLA	CA	92037	PRIMARY AND SPECIALTY CARE SERVICES IN AN AMBULATORY ENVIRONMENT
SCMC - CEDAR
130 CEDAR RD	VISTA	CA	92083	PRIMARY AND SPECIALTY CARE SERVICES IN AN AMBULATORY ENVIRONMENT
SCRIPPS CLINIC - ENCINITAS OP REHAB CLINICAL
1092 EL CAMINO REAL	ENCINITAS	CA	92024	REHABILITATION SERVICES
SCMC - ENCINITAS OBGYN
332 SANTA FE DR 115	ENCINITAS	CA	92024	PRIMARY AND SPECIALTY CARE SERVICES IN AN AMBULATORY ENVIRONMENT
ENCINITAS SURGERY CENTER LLC
320 SANTA FE DR LL1-2	ENCINITAS	CA	92024	PRIMARY AND SPECIALTY CARE SERVICES IN AN AMBULATORY ENVIRONMENT
LA JOLLA RADIOLOGY - ENCINITAS
354 SANT FE DR	ENCINITAS	CA	92024	PRIMARY AND SPECIALTY CARE SERVICES IN AN AMBULATORY ENVIRONMENT
SCMC - EASTLAKE
971 LANE AVE	CHULA VISTA	CA	91914	PRIMARY AND SPECIALTY CARE SERVICES IN AN AMBULATORY ENVIRONMENT
SCRIPPS CLINIC - MERCY CAMPUS
4020 FIFTH AVE 401	SAN DIEGO	CA	92103	PRIMARY AND SPECIALTY CARE SERVICES IN AN AMBULATORY ENVIRONMENT
SCRIPPS CARDIO&THOR SURG CTR - LA JOLLA
9850 GENESEE AVE 560	LA JOLLA	CA	92037	PRIMARY AND SPECIALTY CARE SERVICES IN AN AMBULATORY ENVIRONMENT
SCMC - SAN MARCOS
111 CAMPUS WAY STE 301	SAN MARCOS	CA	92078	PRIMARY AND SPECIALTY CARE SERVICES IN AN AMBULATORY ENVIRONMENT
SCRIPPS CLINIC - SANTEE
278 TOWN CENTER PKWY 105	SANTEE	CA	92071	PRIMARY AND SPECIALTY CARE SERVICES IN AN AMBULATORY ENVIRONMENT
SCRIPPS CLINIC - LIBERTY STATION
2445 TRUXTUN RD	SAN DIEGO	CA	92106	PRIMARY AND SPECIALTY CARE SERVICES IN AN AMBULATORY ENVIRONMENT
SCRIPPS CLINIC - SAN DIEGO OBGYN
2918 FIFTH AVE	SAN DIEGO	CA	92103	PRIMARY AND SPECIALTY CARE SERVICES IN AN AMBULATORY ENVIRONMENT
SCRIPPS CLINIC - LA JOLLA OBGYN
9850 GENESEE AVE 170	SAN DIEGO	CA	92121	PRIMARY AND SPECIALTY CARE SERVICES IN AN AMBULATORY ENVIRONMENT
SCMC - SOLANA BEACH
380 STEVEN AVE 100	SOLANA BEACH	CA	92075	PRIMARY AND SPECIALTY CARE SERVICES IN AN AMBULATORY ENVIRONMENT
SCRIPPS CLINIC - MD ANDERSON CANCER CTR
10670 JOHN JAY HOPKINS DRIVE	LA JOLLA	CA	92121	PRIMARY AND SPECIALTY CARE SERVICES IN AN AMBULATORY ENVIRONMENT
SCRIPPS CLINIC - HILLCREST SURGERY
4060 FOURTH AVE 330	SAN DIEGO	CA	92103	PRIMARY AND SPECIALTY CARE SERVICES IN AN AMBULATORY ENVIRONMENT
SCRIPPS CARDIO&THOR SURG CTR - HILLCREST
501 WASHINGTON ST 525	SAN DIEGO	CA	92103	PRIMARY AND SPECIALTY CARE SERVICES IN AN AMBULATORY ENVIRONMENT
SCRIPPS CL RADIATION THERAPY CTR - ENCINITAS
477 N EL CAMINO REAL D100	ENCINITAS	CA	92024	PRIMARY AND SPECIALTY CARE SERVICES IN AN AMBULATORY ENVIRONMENT
SCRIPPS CLINIC - EASTLAKE SPECIALTY
971 LANE AVE	CHULA VISTA	CA	91914	PRIMARY AND SPECIALTY CARE SERVICES IN AN AMBULATORY ENVIRONMENT
SCRIPPS CLINIC - CORONADO
1317 A YNES PLACE	CORONADO	CA	92118	PRIMARY AND SPECIALTY CARE SERVICES IN AN AMBULATORY ENVIRONMENT
SCRIPPS CLINIC - CEDAR SPECIALTY
130 CEDAR RD	VISTA	CA	92083	PRIMARY AND SPECIALTY CARE SERVICES IN AN AMBULATORY ENVIRONMENT
SCRIPPS CLINIC - CHULA VISTA
450 FOURTH AVE	CHULA VISTA	CA	91910	PRIMARY AND SPECIALTY CARE SERVICES IN AN AMBULATORY ENVIRONMENT
SCRIPPS CLINIC - UTC
9333 GENESEE AVE 170	SAN DIEGO	CA	92121	PRIMARY AND SPECIALTY CARE SERVICES IN AN AMBULATORY ENVIRONMENT
SCRIPPS USP SURGERY CENTERS LLC
15305 DALLAS PKWY	ADDISON	TX	75001	PRIMARY AND SPECIALTY CARE SERVICES IN AN AMBULATORY ENVIRONMENT

Supplemental Information Detail SupplementalInformationDetail (21 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
SCHEDULE H, PART I, LINE 3C	AT LEAST ONE OF THE FOLLOWING CRITERIA MUST BE MET TO QUALIFY FOR FINANCIAL ASSISTANCE FOR FULL OR PARTIAL BILL COVERAGE: * THE PAYMENT AMOUNT IS NOT COVERED OR REIMBURSED BY MEDI-CAL, MEDICARE OR ANY OTHER THIRD-PARTY INSURANCE. * IN THE PAST 12 MONTHS, THE DOCUMENTED ANNUAL OUT-OF-POCKET MEDICAL EXPENSES AFTER INSURANCE COVERAGE WAS HIGHER THAN 10% OF THE FAMILY INCOME. * THE PATIENT HAS HIGH MEDICAL COSTS AS DEFINED BY STATE AND FEDERAL REGULATIONS. * INCOME IS BELOW 400% OF THE FEDERAL POVERTY LEVEL (FPL). * PATIENTS DETERMINED TO BE "HOMELESS 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 I, LINE 6A SCHEDULE H, PART I, LINE 6A	AS A TAX-EXEMPT HEALTH CARE SYSTEM, SCRIPPS TAKES PRIDE IN ITS SERVICE TO THE COMMUNITY. THE SCRIPPS SYSTEM IS GOVERNED BY A 16-MEMBERVOLUNTEER BOARD OF TRUSTEES. THIS SINGLE POINT OF AUTHORITY FOR ORGANIZATIONAL POLICY ENSURES A UNIFIED APPROACH TO SERVING PATIENTS ACROSS THE REGION. THE 2025 COMMUNITY BENEFIT PLAN AND REPORT WAS ADOPTED BY THE SCRIPPS BOARD ON MARCH 2025 AND MADE PUBLIC ON HTTPS://WWW.SCRIPPS.ORG/ABOUT-US/SCRIPPS-IN-THE-COMMUNITY. THE SCRIPPS HEALTH BOARD OF TRUSTEES AND THE STRATEGIC PLANNING COMMITTEE OF THE BOARD APPROVED BOTH THE TRIENNIAL 2025 CHNA REPORT AND CORRESPONDING FY26-FY28 IMPLEMENTATION STRATEGY DURING ITS 2024 TAX YEAR AS REQUIRED BY STATE AND FEDERAL LAW. THE CHNA AND IMPLEMENTATION STRATEGY REPORTS ARE POSTED SEPARATELY ON THE SCRIPPS HEALTH AND SELECT HOSPITAL WEBSITES, SCRIPPS HEALTH CHNA REPORT AND SELECT HOSPITAL - SAN DIEGO CHNA REPORT.
SCHEDULE H, PART II DESCRIBE HOW COMMUNITY BUILDING ACTIVITIES PROMOTE THE HEALTH OF THE COMMUNITY	LEGISLATIVE DAY AT THE SCRIPPS MERCY HOSPITAL CHULA VISTA SCRIPPS HOSTED 11 LEGISLATIVE STAFFERS FROM LOCAL, STATE, AND FEDERAL OFFICES AT SCRIPPS MERCY HOSPITAL CHULA, SHOWCASING THE CHULA VISTA WELLBEING CENTER'S SCHOOL TO HEALTH CAREER PATHWAY PROGRAM. DURING THE VISIT, 22 SWEETWATER HIGH SCHOOL STUDENTS PARTICIPATED IN A HANDS-ON CASTING AND SPLINTING SESSION WHICH ALLOWED THE STAFFERS TO OBSERVE AND ENGAGE DIRECTLY WITH THE STUDENTS AND SCRIPPS STAFF. THE EVENT HIGHLIGHTED SCRIPPS' COMMUNITY BENEFIT INITIATIVES, INCLUDING EFFORTS TO SUPPORT HEALTH EQUITY, INTRODUCE HIGH SCHOOL STUDENTS TO HEALTHCARE CAREERS, AND SHARE UPDATES ON THE EMERGENCY DEPARTMENT EXPANSION AND LEADERSHIP CHANGES. MANA DE SAN DIEGO (MANASD) SCRIPPS SPONSORED MANASD, THE LARGEST CHAPTER OF A NATIONAL LATINA ORGANIZATION FOUNDED IN 1986. MANASD'S MISSION IS TO EMPOWER LATINAS FOR UPWARD MOBILITY AND A BETTER QUALITY OF LIFE. THIS SISTERHOOD SUPPORTS LATINAS THROUGH EDUCATION, LEADERSHIP DEVELOPMENT, COMMUNITY SERVICE, AND ADVOCACY. PROGRAMS LIKE THE HERMANITAS INITIATIVE FOR MIDDLE AND HIGH SCHOOL STUDENTS AND THE LATINA SUCCESS LEADERSHIP PROGRAM FOR MID-LEVEL PROFESSIONALS HELP LATINAS AT ALL STAGES OF LIFE. NORTH COUNTY AFRICAN AMERICAN WOMEN'S ASSOCIATION SCRIPPS SPONSORED A FUNDRAISER SUPPORTING SCHOLARSHIPS FOR GIRLS AND WOMEN OF AFRICAN AMERICAN DESCENT. THE PROGRAM HELPS WOMEN PURSUE CAREER, VOCATIONAL, AND TECHNICAL EDUCATION WHILE PROMOTING LIFE SKILLS AND HEALTH AWARENESS. THROUGH ITS EFFORTS, NCAAWA HAS ENABLED HUNDREDS OF WOMEN TO REENTER THE WORKFORCE, COMPLETE THEIR EDUCATION, AND LEAD HEALTHY, SELF-SUFFICIENT LIVES. SAN YSIDRO WOMEN'S CLUB SCRIPPS SPONSORED THE SAN YSIDRO WOMEN'S CLUB FIESTA CELEBRATING ITS 25TH ANNIVERSARY RANCHERA. OVER THE PAST 25 YEARS, THE CLUB HAS PROUDLY AWARDED MORE THAN 600 SCHOLARSHIPS TO HARDWORKING STUDENTS FROM SAN YSIDRO HIGH SCHOOL. SCRIPPS HIGH SCHOOL EXPLORATION INTERNSHIP PROGRAM SCRIPPS HEALTH INITIATED THE SCRIPPS HIGH SCHOOL EXPLORATION INTERNSHIP PROGRAM TO ENGAGE YOUNG INDIVIDUALS AND CULTIVATE THEIR INTEREST IN HEALTHCARE PROFESSIONS FACING A SHORTAGE OF SKILLED PROFESSIONALS. EACH YEAR, 25-30 STUDENTS GAIN EXPOSURE TO VARIOUS HOSPITAL AND CLINICAL DEPARTMENTS, INCLUDING THE EMERGENCY ROOM AND SURGERY, ALLOWING THEM TO EXPLORE DIFFERENT CAREER POSSIBILITIES IN HEALTH CARE WHILE ALSO ACQUIRING VALUABLE INSIGHTS INTO HEALTH AND HEALING. IN TOTAL, SCRIPPS DEDICATED 2,875 HOURS TO THE PROGRAM, WITH EACH STUDENT COMPLETING 120 HOURS ALONGSIDE A SCRIPPS HOST. THE PROGRAM ALSO EXPANDED SITES TO TWO ADDITIONAL SITES: SCRIPPS CLINIC RANCHO BERNARDO AND SCRIPPS CLINIC JEFFERSON. SCRIPPS SCHOOL TO HEALTH CAREER PATHWAY PROGRAMS SCRIPPS MERCY HOSPITAL CHULA VISTA INTRODUCED A DIVERSE ARRAY OF YOUTH INTO HEALTH PROFESSIONS ACTIVITIES, BENEFITING OVER 2,175 YOUNG INDIVIDUALS. THESE ACTIVITIES ENCOMPASS MENTORING PROGRAMS, CLASSROOM PRESENTATIONS BY HEALTH PROFESSIONALS, SURGICAL OBSERVATIONS, PARTICIPATION IN THE CRISTO REY WORK STUDY PROGRAM, AND INVOLVEMENT IN THE SCRIPPS HEALTH CAREERS OPPORTUNITY CAMP. THE SAN DIEGO ORGANIZATION OF HEALTHCARE LEADERS (SOHL) SCRIPPS SPONSORED THE SAN DIEGO ORGANIZATION OF HEALTHCARE LEADERS (SOHL) ANNUAL CONFERENCE. FOUNDED IN 2001, THE SOHL IS AN OFFICIAL COMBINED CHAPTER OF THE AMERICAN COLLEGE OF HEALTHCARE EXECUTIVES (ACHE), AN INTERNATIONAL PROFESSIONAL SOCIETY OF MORE THAN 49,000 HEALTHCARE EXECUTIVES. YOUNG LEADERS IN HEALTHCARE PROGRAM SCRIPPS ENCINITAS HOSTED THE YOUNG LEADERS IN HEALTH CARE PROGRAM FOR LOCAL HIGH SCHOOL STUDENTS DURING THE 2024-2025 SCHOOL YEAR. THE PROGRAM INCLUDED EIGHT MEETINGS WITH MORE THAN 802 PARTICIPANTS IN TOTAL, COVERING VARIOUS HEALTH-RELATED TOPICS AND PRESENTATIONS. AFTER COMPLETING THIS INITIATIVE, STUDENTS CAN APPLY FOR THE HIGH SCHOOL EXPLORATION SUMMER INTERNSHIP PROGRAM.
SCHEDULE H, PART VI, LINE 7 STATE FILING OF COMMUNITY BENEFIT REPORT	SCRIPPS HEALTH COMMUNITY BENEFIT PLAN AND REPORT CAN BE FOUND AT:HTTP://WWW.SCRIPPS.ORG/ABOUT-US__SCRIPPS-IN-THE-COMMUNITY. THE FAP AND RELATED INFORMATION IS ALSO PROVIDED TO THE CALIFORNIA DEPARTMENT OF HEALTH CARE ACCESS AND INFORMATION (HCAI) AS REQUIRED BY LAW.
SCHEDULE H, PART I, LINE 7G SUBSIDIZED HEALTH SERVICES	SUBSIDIZED HEALTH SERVICES ARE CLINICAL PROGRAMS THAT ARE PROVIDED DESPITE A FINANCIAL LOSS SO SIGNIFICANT THAT NEGATIVE MARGINS REMAIN AFTER REMOVING THE EFFECTS OF CHARITY CARE, BAD DEBT AND MEDI-CAL SHORTFALLS. NEVERTHELESS, THE SERVICE IS PROVIDED BECAUSE IT MEETS AN IDENTIFIED COMMUNITY NEED, WHICH IF NO LONGER OFFERED WOULD EITHER BE UNAVAILABLE IN THE AREA OR FALL TO GOVERNMENT OR ANOTHER NOT-FOR-PROFIT ORGANIZATION. SUBSIDIZED SERVICES DO NOT INCLUDE ANCILLARY SERVICES THAT SUPPORT LINES, SUCH AS LAB AND RADIOLOGY (IF THESE SERVICES ARE PROVIDED TO LOW-INCOME PERSONS, THEY ARE REPORTED AS CHARITY CARE/FINANCIAL ASSISTANCE). THE TOTAL EXPENSE FOR SUBSIDIZED HEALTH SERVICES FOR SCRIPPS MERCY FISCAL YEAR 2025 WAS $3,356,919. SUBSIDIZED HEALTH ONLY INCLUDES SCRIPPS INPATIENT BEHAVIORAL HEALTH. THE COSTS ASSOCIATED WITH THE SCRIPPS RESIDENT CLINIC AT FAMILY HEALTH CENTERS OF SAN DIEGO WAS MOVED TO THE PROFESSIONAL EDUCATION CATEGORY. SCRIPPS OFFERS INPATIENT ADULT BEHAVIORAL HEALTH SERVICES AT THE SCRIPPS MERCY HOSPITAL, SAN DIEGO CAMPUS. THE SCRIPPS MERCY BEHAVIORAL HEALTH PROGRAM ALSO ACTIVELY SUPPORTS COMMUNITY PROGRAMS TO REDUCE THE STIGMA OF MENTAL ILLNESS AND HELP AFFECTED INDIVIDUALS LIVE AND WORK IN THE COMMUNITY. THESE COSTS ARE INCLUDED IN THE IRS FORM 990 SCHEDULE H PART I LINES 7G. SCRIPPS HEALTH OFFERS INPATIENT BEHAVIORAL HEALTH CARE FOR ADULTS ADMITTED THROUGH OUR EMERGENCY DEPARTMENTS OR URGENT CARE CENTERS. OUR OUTPATIENT BEHAVIORAL HEALTH SERVICES ARE AVAILABLE THROUGH PARTNERSHIPS WITH VARIOUS COMMUNITY ORGANIZATIONS. LIKE MANY BEHAVIORAL HEALTH PROGRAMS NATIONWIDE, FUNDING REMAINS A CHALLENGE, AS PAYMENT RATES HAVE NOT KEPT PACE WITH THE ACTUAL COST OF CARE. IN FISCAL YEAR 2025, THE SCRIPPS MERCY BEHAVIORAL HEALTH PROGRAM REPORTED A TOTAL OPERATIONAL LOSS OF $9.4 MILLION, WITH $5.8 MILLION ATTRIBUTED TO MEDI-CAL, OR OTHER MEANS TESTED GOVERNMENT PROGRAMS AND CHARITY CARE. NOTABLY, 1.2% OF PATIENTS IN THE INPATIENT UNIT WERE UNINSURED, UNDERSCORING THE FINANCIAL PRESSURES FACED BY THESE PROGRAMS. PROVIDE AN EXPLANATION OF THE COSTING METHODOLOGY USED TO CALCULATE THE AMOUNTS REPORTED FOR EACH LINE IN PART I, LINE 7 TABLE SCRIPPS UNCOMPENSATED CARE METHODOLOGY FISCAL YEAR 2025. SCRIPPS CONTRIBUTES SIGNIFICANT RESOURCES TO PROVIDING LOW AND NO-COST HEALTH CARE FOR OUR PATIENTS IN NEED. THE COSTS OF PROVIDING THESE SERVICES ARE NOT FULLY REIMBURSED. DURING FISCAL YEAR 2025, SCRIPPS CONTRIBUTED $752,318,951 IN UNCOMPENSATED HEALTH CARE, INCLUDING $18,663,224IN CHARITY CARE, $721,588,751 IN MEDI-CAL AND MEDICARE SHORTFALL, AND $12,066,976 IN BAD DEBT. SCHEDULE H METHODOLOGY - BAD DEBT AND MEDICARE SHORTFALLS ARE REPORTABLE UNDER THE SCHEDULE H GUIDELINES BUT DO NOT COUNT TOWARDS THE COMMUNITY BENEFIT TOTALS. THUS, THE CATEGORIES ARE REPORTED IN A SPECIFIC ORDER/HIERARCHY. CHARITY CARE AND UNDER-REIMBURSED MEDI-CAL AND OTHER MEANS-TESTED GOVERNMENT PROGRAMS ARE COUNTED FIRST. CHARITY CARE METHODOLOGY - UNCOMPENSATED COST IS ESTIMATED BY APPLYING RATIO-COST-TO-CHARGE (RCC) PERCENTAGES FOR THE HOSPITAL TO THE GROSS CHARITY ADJUSTMENTS. THE FOLLOWING COSTS ARE EXCLUDED: COMMUNITY HEALTH SERVICES, PROFESSIONAL EDUCATION AND RESEARCH, AND EXPENSES EXCLUDED IN THE MEDICARE COST REPORT. TRADITIONAL CHARITY CARE IS INCLUDED IN THE INTERNAL REVENUE SERVICE (IRS) FORM 990 SCHEDULE H PART I LINE 7A. MEDI-CAL SHORTFALL - THE SHORTFALL IS DERIVED BY COMPUTING OPERATING MARGIN AT THE PATIENT LEVEL AND SUMMARIZING THE PATIENTS WITH MEDICARE, MEDICARE PPO, MEDICARE HMO, MEDICARE CAPITATED PROGRAM AT THE HOSPITALS, MEDI-CAL, MEDI-CAL HMO, AND CMS PRIMARY INSURANCE CARRIERS. OPERATING MARGIN IS DEFINED AS NET REVENUE LESS ALL VARIABLE, FIXED, AND OVERHEAD COSTS. PROFITABILITY IS ESTIMATED AS FOLLOWS: NET REVENUE IS EQUIVALENT TO PAYMENTS PLUS AN ESTIMATION OF THE ACCOUNT BALANCE FOR ALL OPEN ACCOUNTS. COST IS DERIVED USING THE RELATIVE VALUE ALLOCATION METHODOLOGY PER THE SYNTELLIS PERFORMANCE SOLUTIONS. THE FOLLOWING COSTS ARE EXCLUDED: CHARITY ADJUSTMENTS AT COST FOR MEDI-CAL PATIENTS, COMMUNITY HEALTH SERVICES, PROFESSIONAL EDUCATION AND RESEARCH, AND EXPENSES EXCLUDED IN THE MEDICARE COST REPORT. THESE COSTS ARE INCLUDED IN THE IRS FORM 990 SCHEDULE H PART I LINE 7B. IN THE STATE OF CALIFORNIA, THE MEDICAID PROGRAM IS CALLED MEDI-CAL. MEDICARE AND MEDICARE HMO HOSPITALS - SHORTFALL IS DERIVED BY COMPUTING OPERATING MARGIN AT THE PATIENT LEVEL AND SUMMARIZING THE PATIENTS WITH MEDICARE AND MEDICARE SENIOR PRIMARY INSURANCE CARRIERS. OPERATING MARGIN IS DEFINED AS NET REVENUE LESS ALL VARIABLE, FIXED, AND OVERHEAD COSTS. PROFITABILITY IS ESTIMATED AS FOLLOWS: NET REVENUE IS EQUIVALENT TO PAYMENTS PLUS AN ESTIMATION OF THE CAPITATION ACCOUNT BALANCE FOR ALL OPEN ACCOUNTS, PLUS OTHER REVENUE INCLUDING. COST IS DERIVED USING THE RELATIVE VALUE ALLOCATION METHODOLOGY PER THE MCKESSON HPM COST ACCOUNTING SYSTEM. THESE COSTS ARE INCLUDED IN THE IRS FORM 990 SCHEDULE H PART III SECTION B. BAD DEBT METHODOLOGY - 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. THESE COSTS ARE INCLUDED IN THE IRS FORM 990 SCHEDULE H PART III SECTION A. SHORTFALL METHODOLOGY CLINICS - SHORTFALL IS DERIVED BY COMPUTING OPERATING MARGIN AT THE PATIENT LEVEL AND SUMMARIZING THE PATIENTS WITH MEDICARE AND MEDICARE SENIOR PRIMARY INSURANCE CARRIERS. OPERATING MARGIN IS DEFINED AS NET REVENUE LESS ALL VARIABLE, FIXED, AND OVERHEAD COSTS. PROFITABILITY IS ESTIMATED AS FOLLOWS: NET REVENUE IS EQUIVALENT TO PAYMENTS PLUS AN ESTIMATION OF THE CAPITATION ACCOUNT BALANCE FOR ALL OPEN ACCOUNTS, PLUS OTHER REVENUE INCLUDING. COST IS DERIVED USING THE RELATIVE VALUE ALLOCATION METHODOLOGY PER THE MCKESSON HPM COST ACCOUNTING SYSTEM. THESE COSTS ARE INCLUDED IN THE IRS FORM 990 SCHEDULE H PART III SECTION B. SELECT HOSPITAL - SCRIPPS HAS A 24.5% OWNERSHIP PERCENTAGE WITH SELECT HOSPITAL. THEREFORE, SCRIPPS REPORTED AMOUNTS IN SCHEDULE H, PARTS I THROUGH III, FROM SELECT HOSPITAL BASED ON SCRIPPS OWNERSHIP PERCENTAGE.
SCHEDULE H, PART I, LINE 7 COSTING METHODOLOGY USED TO CALCULATE FINANCIAL ASSISTANCE	SCRIPPS UNCOMPENSATED CARE METHODOLOGY FISCAL YEAR 2025. SCRIPPS CONTRIBUTES SIGNIFICANT RESOURCES TO PROVIDING LOW AND NO-COST HEALTH CARE FOR OUR PATIENTS IN NEED. THE COSTS OF PROVIDING THESE SERVICES ARE NOT FULLY REIMBURSED. DURING FISCAL YEAR 2025, SCRIPPS CONTRIBUTED $752,318,951 IN UNCOMPENSATED HEALTH CARE, INCLUDING $18,663,224IN CHARITY CARE, $721,588,751 IN MEDI-CAL AND MEDICARE SHORTFALL, AND $12,066,976 IN BAD DEBT. SCHEDULE H METHODOLOGY - BAD DEBT AND MEDICARE SHORTFALLS ARE REPORTABLE UNDER THE SCHEDULE H GUIDELINES BUT DO NOT COUNT TOWARDS THE COMMUNITY BENEFIT TOTALS. THUS, THE CATEGORIES ARE REPORTED IN A SPECIFIC ORDER/HIERARCHY. CHARITY CARE AND UNDER-REIMBURSED MEDI-CAL AND OTHER MEANS-TESTED GOVERNMENT PROGRAMS ARE COUNTED FIRST. CHARITY CARE METHODOLOGY - UNCOMPENSATED COST IS ESTIMATED BY APPLYING RATIO-COST-TO-CHARGE (RCC) PERCENTAGES FOR THE HOSPITAL TO THE GROSS CHARITY ADJUSTMENTS. THE FOLLOWING COSTS ARE EXCLUDED: COMMUNITY HEALTH SERVICES, PROFESSIONAL EDUCATION AND RESEARCH, AND EXPENSES EXCLUDED IN THE MEDICARE COST REPORT. TRADITIONAL CHARITY CARE IS INCLUDED IN THE INTERNAL REVENUE SERVICE (IRS) FORM 990 SCHEDULE H PART I LINE 7A. MEDI-CAL SHORTFALL - THE SHORTFALL IS DERIVED BY COMPUTING OPERATING MARGIN AT THE PATIENT LEVEL AND SUMMARIZING THE PATIENTS WITH MEDICARE, MEDICARE PPO, MEDICARE HMO, MEDICARE CAPITATED PROGRAM AT THE HOSPITALS, MEDI-CAL, MEDI-CAL HMO, AND CMS PRIMARY INSURANCE CARRIERS. OPERATING MARGIN IS DEFINED AS NET REVENUE LESS ALL VARIABLE, FIXED, AND OVERHEAD COSTS. PROFITABILITY IS ESTIMATED AS FOLLOWS: NET REVENUE IS EQUIVALENT TO PAYMENTS PLUS AN ESTIMATION OF THE ACCOUNT BALANCE FOR ALL OPEN ACCOUNTS. COST IS DERIVED USING THE RELATIVE VALUE ALLOCATION METHODOLOGY PER THE SYNTELLIS PERFORMANCE SOLUTIONS. THE FOLLOWING COSTS ARE EXCLUDED: CHARITY ADJUSTMENTS AT COST FOR MEDI-CAL PATIENTS, COMMUNITY HEALTH SERVICES, PROFESSIONAL EDUCATION AND RESEARCH, AND EXPENSES EXCLUDED IN THE MEDICARE COST REPORT. THESE COSTS ARE INCLUDED IN THE IRS FORM 990 SCHEDULE H PART I LINE 7B. IN THE STATE OF CALIFORNIA, THE MEDICAID PROGRAM IS CALLED MEDI-CAL. MEDICARE AND MEDICARE HMO HOSPITALS - SHORTFALL IS DERIVED BY COMPUTING OPERATING MARGIN AT THE PATIENT LEVEL AND SUMMARIZING THE PATIENTS WITH MEDICARE AND MEDICARE SENIOR PRIMARY INSURANCE CARRIERS. OPERATING MARGIN IS DEFINED AS NET REVENUE LESS ALL VARIABLE, FIXED, AND OVERHEAD COSTS. PROFITABILITY IS ESTIMATED AS FOLLOWS: NET REVENUE IS EQUIVALENT TO PAYMENTS PLUS AN ESTIMATION OF THE CAPITATION ACCOUNT BALANCE FOR ALL OPEN ACCOUNTS, PLUS OTHER REVENUE INCLUDING. COST IS DERIVED USING THE RELATIVE VALUE ALLOCATION METHODOLOGY PER THE MCKESSON HPM COST ACCOUNTING SYSTEM. THESE COSTS ARE INCLUDED IN THE IRS FORM 990 SCHEDULE H PART III SECTION B. BAD DEBT METHODOLOGY - 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. THESE COSTS ARE INCLUDED IN THE IRS FORM 990 SCHEDULE H PART III SECTION A. SHORTFALL METHODOLOGY CLINICS - SHORTFALL IS DERIVED BY COMPUTING OPERATING MARGIN AT THE PATIENT LEVEL AND SUMMARIZING THE PATIENTS WITH MEDICARE AND MEDICARE SENIOR PRIMARY INSURANCE CARRIERS. OPERATING MARGIN IS DEFINED AS NET REVENUE LESS ALL VARIABLE, FIXED, AND OVERHEAD COSTS. PROFITABILITY IS ESTIMATED AS FOLLOWS: NET REVENUE IS EQUIVALENT TO PAYMENTS PLUS AN ESTIMATION OF THE CAPITATION ACCOUNT BALANCE FOR ALL OPEN ACCOUNTS, PLUS OTHER REVENUE INCLUDING. COST IS DERIVED USING THE RELATIVE VALUE ALLOCATION METHODOLOGY PER THE MCKESSON HPM COST ACCOUNTING SYSTEM. THESE COSTS ARE INCLUDED IN THE IRS FORM 990 SCHEDULE H PART III SECTION B. SELECT HOSPITAL - SCRIPPS HAS A 24.5% OWNERSHIP PERCENTAGE WITH SELECT HOSPITAL. THEREFORE, SCRIPPS REPORTED AMOUNTS IN SCHEDULE H, PARTS I THROUGH III, FROM SELECT HOSPITAL BASED ON SCRIPPS OWNERSHIP PERCENTAGE.
SCHEDULE H, PART II COMMUNITY BUILDING ACTIVITIES	F1 - PHYSICAL IMPROVEMENTS AND HOUSING - THE COSTS ASSOCIATED WITH THE FOLLOWING PROGRAMS ARE REPORTED ON SCHEDULE H, PART II, LINE 1 LEADERSHIP RETREAT VOLUNTEER SERVICE DAY SCRIPPS ORGANIZED A LEADERSHIP RETREAT VOLUNTEER SERVICE DAY, WHERE LEADERS PAINTED, CLEANED, AND IMPROVED FACILITIES AT NONPROFIT HOMELESS SERVICE PROVIDERS SUCH AS LA MAESTRA GARDEN OF LIFE, SOUTH BAY COMMUNITY SERVICES, FATHER JOE'S VILLAGES, AND MERCY HOUSING & GARDENS. F2 - ECONOMIC DEVELOPMENT - THE COSTS ASSOCIATED WITH THE FOLLOWING PROGRAMS ARE REPORTED ON SCHEDULE H, PART II, LINE 2 EXECUTIVE LEADERSHIP: COMMUNITY BOARDS AND BUSINESS ORGANIZATIONS SCRIPPS PARTICIPATED ON VARIOUS COMMUNITY BOARDS AND BUSINESS ORGANIZATIONS, REPRESENTING THE ORGANIZATION'S POSITIONS ON HEALTH ISSUES AND ADDRESSING MATTERS CONCERNING HEALTH AND SAFETY WITHIN THE COMMUNITY. MERCY SAN DIEGO: COMMUNITY BOARDS AND BUSINESS ORGANIZATIONS SCRIPPS MERCY SAN DIEGO PARTICIPATED ON VARIOUS COMMUNITY BOARDS AND BUSINESS ORGANIZATIONS, INCLUDING THE SAN DIEGO DOWNTOWN PARTNERSHIP, SAN DIEGO REGIONAL TASK FORCE ON HOMELESSNESS, HILLCREST BUSINESS ASSOCIATION (HBA) IN SUPPORT OF ADVOCATING FOR SCRIPPS MERCY'S MISSION IN THE COMMUNITY. F3 - COMMUNITY SUPPORT - THE COSTS ASSOCIATED WITH THE FOLLOWING PROGRAMS ARE REPORTED ON SCHEDULE H, PART II, LINE 3. CELEBRANDO LATINAS CELEBRANDO LATINAS IS THE LARGEST LATINA CONFERENCE IN SPANISH NATIONWIDE. ITS AN EMPOWERING EXPERIENCE OF MOTIVATION AND EDUCATION FOR LATINA WOMEN. CELEBRANDO LATINAS IS AN UNFORGETTABLE AND UNIQUE DAY COMPLETELY IN SPANISH. NETWORKING, RESOURCES, HEALTH AND WELLNESS TESTING AND INFORMATION AND MUCH MORE. CHICANO FEDERATION SCRIPPS SPONSORED THE "UNITY LUNCHEON "CESAR CHAVEZ DAY OF SERVICE." THE CHICANO FEDERATION OF SAN DIEGO COUNTY IS A NONPROFIT, COMMUNITY-BASED ORGANIZATION THAT OFFERS A RANGE OF FAMILY, CHILDCARE, HOUSING, COMMUNITY DEVELOPMENT AND ADVOCACY SERVICES. DISASTER PREPAREDNESS - ACTIVE SHOOTER DRILL (VIOLENT THREAT EXERCISE CONDUCTED AT NEW LA JOLLA TOWER) SCRIPPS SECURITY AND CLINICAL STAFF PARTNERED WITH LOCAL AND FEDERAL LAW ENFORCEMENT-INCLUDING THE FBI, DEA, AND LOCAL FIRE AND POLICE DEPARTMENTS-FOR AN ACTIVE SHOOTER DRILL AT THE NEW LA JOLLA TOWER. THE EXERCISE ALLOWED FIRST RESPONDERS TO TRAIN IN A REALISTIC HOSPITAL ENVIRONMENT, WITH SCRIPPS EMPLOYEES VOLUNTEERING AS MOCK PATIENTS, STAFF, AND FAMILY MEMBERS. SCRIPPS HAS A LONG HISTORY OF SUPPORTING SUCH PREPAREDNESS EFFORTS, THROUGHOUT THE PAST TWO DECADES. IN FY25, 125 INDIVIDUALS PARTICIPATED IN THE DRILL WITH 1,300 STAFF HOURS. DISASTER PREPAREDNESS - COMMUNITY SUPPORT AND OUTREACH EDUCATION SCRIPPS LEADS IN DISASTER PREPAREDNESS, COLLABORATING WITH VARIOUS LEVELS OF GOVERNMENT AND COMMUNITY LEADERS. THESE EFFORTS FOCUS ON PLANNING FOR EMERGENCIES AND ACTIVELY PROMOTE COMMUNITY AWARENESS AND PARTICIPATION IN PREPAREDNESS ACTIVITIES TO HELP CARE FOR DISASTER VICTIMS. EQUALITY CALIFORNIA SCRIPPS SPONSORED THE EQUALITY CALIFORNIA "EQUALITY AWARDS" SAN DIEGO. EQUALITY CALIFORNIA IS THE NATION'S LARGEST STATEWIDE LGBTQIA+ CIVIL RIGHTS ORGANIZATION. EQUALITY CALIFORNIA BRINGS THE VOICES OF LGBTQIA+ PEOPLE AND ALLIES TO INSTITUTIONS OF POWER IN CALIFORNIA AND ACROSS THE UNITED STATES, STRIVING TO CREATE A WORLD THAT IS HEALTHY, JUST, AND FULLY EQUAL FOR ALL LGBTQIA+ PEOPLE. HOSPITAL INCIDENT COMMAND SYSTEM (HICS) NATIONAL ADVISORY COMMITTEE SCRIPPS HEALTH IS AN ACTIVE MEMBER IN THE HOSPITAL INCIDENT COMMAND SYSTEM NATIONAL ADVISORY COMMITTEE (HICS). THE TRAINING IS FOCUSED SPECIFICALLY ON HICS, AN INCIDENT MANAGEMENT SYSTEM THAT CAN BE USED BY HOSPITALS TO MANAGE THREATS, PLANNED EVENTS OR EMERGENCIES. LGBTQIA+ VICTORY INSTITUTE SCRIPPS SPONSORED A FUNDRAISING EVENT "CHAMPAGNE BRUNCH FUNDRAISER". LGBTQIA+ VICTORY INSTITUTE WORKS TO ACHIEVE AND SUSTAIN EQUALITY THROUGH LEADERSHIP DEVELOPMENT, TRAININGS, RESEARCH AND CONVENINGS. SAN DIEGO COUNTY COALITION SURGE TEST NO NOTICE EXERCISE SCRIPPS PARTICIPATED IN THE SAN DIEGO COUNTY COALITION SURGE TEST NO NOTICE EXERCISE, A DRILL SIMULATING AN ACTIVE SHOOTER SCENARIO INVOLVING APPROXIMATELY 100 PATIENTS, PREDOMINANTLY PEDIATRIC CASES. SAN DIEGO COUNTY OPERATIONAL AREA FULL SCALE EXERCISE SCRIPPS PARTICIPATED IN THE SAN DIEGO REGIONAL FULL-SCALE EXERCISE, ENHANCING THE REGION'S RESPONSE TO COMPLEX MASS CASUALTY INCIDENTS. THE EXERCISE SIMULATED A PEDIATRIC SURGE FROM MULTIPLE INCIDENTS ACROSS SAN DIEGO COUNTY, INVOLVING VARIOUS AGENCIES, INCLUDING HOSPITALS. SAN DIEGO COUNTY AND STATE OF CALIFRONIA ADVISORY GROUPS SCRIPPS PARTICIPATED IN SAN DIEGO COUNTY AND STATE OF CALIFORNIA ADVISORY GROUPS TO PLAN, IMPLEMENT, AND EVALUATE KEY DISASTER PREPAREDNESS RESPONSE PLANS AND EXERCISES. IN ADDITION, SCRIPPS IS AN ADVISOR TO SAN DIEGO COUNTY FOR FEDERAL AND STATE GRANT DEVELOPMENT AND PLANNING. SAN DIEGO HEALTHCARE COALITION ADVISORY COMMITTEE(SDHDC) SCRIPPS HEALTH ACTIVELY COLLABORATES WITH THE SAN DIEGO HEALTHCARE COALITION ADVISORY COMMITTEE (SDHDC)TO IMPROVE EMERGENCY PREPAREDNESS AND RESPONSE PLANNING. SAN DIEGO PRIDE INC SCRIPPS SPONSORED THE ANNUAL SAN DIEGO LGBTQIA+ PRIDE PARADE. SCRIPPS EMPLOYEES PARTICPATED IN THE PARADE AND 5K WALK PRESENTED BY FRONT RUNNERS & WALKERS SAN DIEGO. SAN DIEGO PRIDE INCORPORATED AS A 501(C)(3) NONPROFIT ORGANIZATION IN 1994, AND TODAY IT CONTINUES TO BRING TOGETHER THE SKILLS, TALENTS, AND VISIONS OF OUR DIVERSE COMMUNITY THROUGH NUMEROUS PROGRAMS. SAN DIEGO REGIONAL FULL-SCALE EXERCISE SCRIPPS PARTICIPATED IN THE COUNTY WIDE EXERCISE MEDICAL AND HEALTH FULL SCALE EXERCISE. ALL HOSPITALS PARTICIPATED, TESTED AND EVALUATED THE CAPABILITIES OF THE COMMAND CENTER AND THE RESPONSE PLAN FOR PATIENT SURGE AND EVACUATION. IN FY25,500 PEOPLE WERE SERVED. SCRIPPS MEDICAL RESPONSE TEAM (SMRT) SCRIPPS HAS A SYSTEM-WIDE DISASTER PREPAREDNESS PROGRAM THAT INCLUDES THE VOLUNTEER SCRIPPS MEDICAL RESPONSE TEAM (SMRT). SMRT IS READY TO DEPLOY WHEN REQUESTED BY THE CALIFORNIA MEDICAL ASSISTANCE TEAM (CAL-MAT) DURING STATE EMERGENCIES LIKE WILDFIRES OR EARTHQUAKES. ALTHOUGH THERE WERE NO DEPLOYMENTS IN 2025, THE TEAM REMAINS PREPARED FOR FUTURE CALLS FOR ASSISTANCE. F4 - ENVIRONMENTAL IMPROVEMENTS F5 - LEADERSHIP DEVELOPMENT AND TRAINING FOR COMMUNITY MEMBERS - THE COSTS ASSOCIATED WITH THE FOLLOWING PROGRAMS ARE REPORTED ON SCHEDULE H, PART II, LINE 5. F6 - COALITION BUILDING - THE COSTS ASSOCIATED WITH THE FOLLOWING PROGRAMS ARE REPORTED ON SCHEDULE H, PART II, LINE 6. CHULA VISTA COMMUNITY COLLABORATIVE (CVCC) SCRIPPS TOOK PART IN THE CHULA VISTA COMMUNITY COLLABORATIVE (CVCC), A MONTHLY GATHERING OF OVER 150 LOCAL ORGANIZATIONS FOCUSED ON IMPROVING RESIDENT HEALTH, SAFETY, ECONOMIC RESOURCES, LEADERSHIP EMPOWERMENT, ENVIRONMENTAL QUALITY, AND CULTURAL DIVERSITY IN THE COMMUNITY. STAFF DEDICATED 24 HOURS TO THIS COLLABORATIVE. COMMUNITY ENGAGEMENT PARTNERSHIPS AND ADVISORY BOARDS THROUGH COMMUNITY ADVISORY BOARDS (CABS) GATHER INPUT FROM COMMUNITY MEMBERS, ENSURING PROGRAMS AND INITIATIVES ARE ALIGNED WITH COMMUNITY PRIORITIES AND PROVIDE VALUABLE INPUT ON RESEARCH PROJECTS, PROGRAM DESIGN, AND EVALUATION, ULTIMATELY LEADING TO MORE EFFECTIVE AND CULTURALLY SENSITIVE INTERVENTIONS. SOUTH COUNTY ACTION NETWORK (SOCAN) SCRIPPS PARTICIPATED IN THE SOUTH COUNTY ACTION NETWORK (SOCAN), A COLLABORATIVE NETWORK OF INDIVIDUALS AND SERVICE PROVIDERS DEDICATED TO ADVOCATING FOR AND ENHANCING SERVICES FOR OLDER ADULTS AND ADULTS WITH DISABILITIES IN THE SOUTH COUNTY REGION. THERE ARE OVER 75 NETWORK PARTNERS. STAFF DEDICATED 12 HOURS TO THIS COLLABORATIVE. F7 - COMMUNITY HEALTH IMPROVEMENT ADVOCACY - THE COSTS ASSOCIATED WITH THE FOLLOWING PROGRAMS ARE REPORTED ON SCHEDULE H, PART II, LINE 7. F8-WORKFORCE DEVELOPMENT - THE COSTS ASSOCIATED WITH THE FOLLOWING PROGRAMS ARE REPORTED ON SCHEDULE H, PART II, LINE 8. CRISTO REY WORK STUDY PROGRAM SCRIPPS COLLABORATES WITH CRISTO REY SAN DIEGO HIGH SCHOOL, A COLLEGE-PREPARATORY SCHOOL SERVING STUDENTS FROM BOTH SIDES OF THE BORDER. CRISTO REY FOLLOWS A UNIQUE MODEL WHERE STUDENTS ATTEND CLASSES FOUR DAYS A WEEK AND SPEND THE FIFTH DAY WORKING IN PROFESSIONAL SETTINGS-SUCH AS LAW FIRMS, LABS, AND HOSPITALS. THIS PROGRAM INTRODUCES STUDENTS TO HEALTHCARE CAREERS, PROVIDES INSIGHTS INTO HOSPITAL OPERATIONS, AND DEVELOPS JOB READINESS SKILLS, HELPING PREPARE THEM FOR FUTURE CAREERS IN HEALTH AND LEADERSHIP ROLES. IN FY25, SCRIPPS SPONSORED EIGHT STUDENTS TO WORK IN VARIOUS DEPARTMENTS AT MERCY CHULA VISTA, MERCY SD AND THE SCRIPPS WELL-BEING CENTER.
SCHEDULE H, PART III, LINE 2 BAD DEBT EXPENSE - METHODOLOGY USED TO ESTIMATE AMOUNT	UNCOMPENSATED COST IS DERIVED 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 ADJUSTMNTS AT COST FOR MEDI-CAL AND CMS PATIENTS, COMMUNITY HEALTH SERVICES, PROFESSIONAL EDUCATION AND RESEARCH, AND EXPENSES EXCLUDED IN THE MEDICARE COST REPORT. SCHEDULE H, 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 BENFIT BECAUSE THESE PATIENTS RECEIVE TREATMENT REGRDLESS OF WHETHER WE COLLECT PAYMENT FOR THE SERVICES PERFORMED.
SCHEDULE H, PART III, LINE 3 BAD DEBT EXPENSE METHODOLOGY	BAD DEBT WRITE-OFFS REPRESENT THE AMOUNT A PATIENT OR OTHER PAYER CANNOT (OR WILL NOT) PAY OF ITS PORTION OF THE BILL. THE HOSPITAL CONSIDERS BAD DEBT UNRECOVERABLE AND, THEREFORE, IT DIRECTLY DECREASES REVENUE AND IS CONSIDERED A COMMUNITY BENEFIT.
SCHEDULE H, PART III, LINE 4 BAD DEBT EXPENSE - FINANCIAL STATEMENT FOOTNOTE	FOOTNOTE 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 8 COMMUNITY BENEFIT & METHODOLOGY FOR DETERMINING MEDICARE COSTS	MEDICARE 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 9B COLLECTION PRACTICES FOR PATIENTS ELIGIBLE FOR FINANCIAL ASSISTANCE	ALL COLLECTION EFFORTS ARE SUSPENDED AS LONG AS THE PATIENT IS MAKING A GOOD FAITH EFFORT TO APPLY FOR A FEDERAL OR STATE PROGRAM OR THE HOSPITAL'S FINANCIAL ASSISTANCE PROGRAM. COLLECTION EFFORTS WILL RESUME IF THE PATIENT FAILS TO COMPLY WITH REQUESTS MADE IN CONNECTION WITH THESE PROGRAMS.
SCHEDULE H, PART V, SECTION B, LINE 16A FAP WEBSITE	A - SCRIPPS MEMORIAL HOSPITAL LA JOLLA: LINE 16A URL: HTTPS://WWW.SCRIPPS.ORG/PATIENTS-AND-VISITORS/HELP-PAYING-YOUR-BILL; B - VIBRA HOSPITAL OF SAN DIEGO (DBA SELECT HOSPITAL OF SAN DIEGO): LINE 16A URL: HTTPS://WWW.SELECTSPECIALTYHOSPITALS.COM/LOCATIONS-AND-TOURS/CA/SAN-DIEGO/SAN-DIEGO/?TY=XT;
SCHEDULE H, PART V, SECTION B, LINE 16B FAP APPLICATION WEBSITE	A - SCRIPPS MEMORIAL HOSPITAL LA JOLLA: LINE 16B URL: HTTPS://WWW.SCRIPPS.ORG/PATIENTS-AND-VISITORS/HELP-PAYING-YOUR-BILL; B - VIBRA HOSPITAL OF SAN DIEGO (DBA SELECT HOSPITAL OF SAN DIEGO): LINE 16B URL: HTTPS://WWW.SELECTSPECIALTYHOSPITALS.COM/LOCATIONS-AND-TOURS/CA/SAN-DIEGO/SAN-DIEGO/?TY=XT;
SCHEDULE H, PART V, SECTION B, LINE 16C FAP PLAIN LANGUAGE SUMMARY WEBSITE	A - SCRIPPS MEMORIAL HOSPITAL LA JOLLA: LINE 16C URL: HTTPS://WWW.SCRIPPS.ORG/PATIENTS-AND-VISITORS/HELP-PAYING-YOUR-BILL; B - VIBRA HOSPITAL OF SAN DIEGO (DBA SELECT HOSPITAL OF SAN DIEGO): LINE 16C URL: HTTPS://WWW.SELECTSPECIALTYHOSPITALS.COM/LOCATIONS-AND-TOURS/CA/SAN-DIEGO/SAN-DIEGO/?TY=XT;
SCHEDULE H, PART VI, LINE 2 NEEDS ASSESSMENT	NEEDS ASSESSMENT AS PART OF FEDERAL REPORTING REQUIREMENTS FOR PRIVATE, NOT-FOR-PROFIT (TAX-EXEMPT) HOSPITALS, SCRIPPS HEALTH CONDUCTS A CONSOLIDATED COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) AND A CORRESPONDING JOINT IMPLEMENTATION STRATEGY FOR ITS LICENSED HOSPITAL FACILITIES. THESE EFFORTS ARE DESIGNED TO SUPPORT PLANNING FOR COMMUNITY BENEFIT PROGRAMS IN COLLABORATION WITH OTHER LOCAL HEALTH CARE INSTITUTIONS, COMMUNITY-BASED ORGANIZATIONS, AND CONSUMER GROUPS. SCRIPPS HAS BEEN ACTIVELY ENGAGED IN THE TRIENNIAL CHNA PROCESS SINCE 1995, IN COMPLIANCE WITH CALIFORNIA SENATE BILL 697, WHICH REQUIRES NONPROFIT HOSPITALS TO IDENTIFY AND RESPOND TO COMMUNITY HEALTH NEEDS. ADDITIONALLY, THE 2025 SCRIPPS HEALTH CHNA MEETS THE FEDERAL REQUIREMENTS OF INTERNAL REVENUE CODE SECTION 501(R), WHICH MANDATES THAT TAX-EXEMPT HOSPITALS UNDER SECTION 501(C)(3) CONDUCT AND PUBLICLY REPORT A CHNA AND ASSOCIATED IMPLEMENTATION STRATEGY EVERY THREE YEARS. THE IMPLEMENTATION STRATEGY IDENTIFIES THE HOSPITAL'S PLANNED OR ONGOING ACTIVITIES TO ADDRESS THE NEEDS OUTLINED IN THE CHNA. SCRIPPS HEALTH PARTICIPATES IN A REGIONAL COLLABORATIVE CHNA PROCESS LED BY THE HOSPITAL ASSOCIATION OF SAN DIEGO & IMPERIAL COUNTIES (HASD&IC). ALTHOUGH CHNA COMPLIANCE IS ONLY REQUIRED FOR 501(C)(3) HOSPITALS, THE COLLABORATIVE MODEL REFLECTS A SHARED COMMITMENT TO IDENTIFYING AND ADDRESSING THE REGION'S MOST PRESSING HEALTH NEEDS. PURPOSE OF THE 2025 CHNA THE 2025 CHNA INCLUDES EXTENSIVE QUANTITATIVE ANALYSIS OF EMERGENCY DEPARTMENT AND INPATIENT HOSPITAL DISCHARGE DATA, ALONG WITH OTHER SECONDARY DATA SOURCES, PAIRED WITH QUALITATIVE INSIGHTS FROM BROAD COMMUNITY ENGAGEMENT EFFORTS. THIS MIXED-METHODS APPROACH ALLOWS THE CHNA TO CAPTURE A COMPREHENSIVE AND MULTIDIMENSIONAL PICTURE OF COMMUNITY HEALTH NEEDS ACROSS SAN DIEGO COUNTY. THE 2025 SCRIPPS HEALTH CHNA IS DESIGNED TO PROVIDE A DEEPER UNDERSTANDING OF BARRIERS TO HEALTH IMPROVEMENT IN SAN DIEGO COUNTY. KEEPING PATIENTS AT THE CENTER OF EVERYTHING WE DO, SCRIPPS STRIVES TO IMPROVE COMMUNITY HEALTH THROUGH COLLABORATION WITH A WIDE RANGE OF PARTNERS AND LIKE-MINDED ORGANIZATIONS. WORKING WITH OTHER HEALTH SYSTEMS, COMMUNITY GROUPS, GOVERNMENT AGENCIES, BUSINESSES AND COMMUNITY CLINICS, SCRIPPS IS BETTER ABLE TO BUILD UPON EFFORTS TO ACHIEVE BROAD COMMUNITY HEALTH GOALS. THEREFORE, THE REPORT WILL HELP US BETTER UNDERSTAND OUR COMMUNITY'S HEALTH NEEDS AND INFORM COMMUNITY BENEFIT PLANNING AND THE IMPLEMENTATION STRATEGY FOR SCRIPPS HEALTH. THE CHNA REPORT IS ALSO A RESOURCE FOR STAKEHOLDERS, ADVANCING TRANSPARENCY, ACCESSIBILITY, AND INFORMED COLLABORATION ACROSS SECTORS. THE FINDINGS WILL HELP GUIDE BOTH THE FY26-FY28 IMPLEMENTATION STRATEGY AND FUTURE PLANNING INITIATIVES. FOR MORE INFORMATION, VISIT WWW.SCRIPPSHEALTH.ORG. COMMUNITY DESCRIPTION PER IRS REGULATIONS, THE CHNA MUST DEFINE THE COMMUNITY SERVED BY THE HOSPITAL(S). GIVEN THE REGIONAL SCOPE OF THE COLLABORATIVE CHNA PROCESS, SAN DIEGO COUNTY AS A WHOLE IS CONSIDERED THE COMMUNITY SERVED. THE CHNA PRIORITIZED ENGAGING POPULATIONS AT HEIGHTENED RISK OF HEALTH INEQUITIES, INCLUDING: - RESIDENTS IN RURAL AREAS - PEOPLE EXPERIENCING HOMELESSNESS - OLDER ADULTS - CHILDREN AND YOUTH - INDIVIDUALS IMPACTED BY HUMAN TRAFFICKING RESEARCH METHODS AND APPROACH TO UNDERSTAND THE HEALTH-RELATED NEEDS OF SAN DIEGO COUNTY RESIDENTS, THE CHNA USED TWO PRIMARY METHODS: 1. QUANTITATIVE ANALYSIS PUBLICLY AVAILABLE DATA SOURCES WERE ANALYZED TO: - DESCRIBE THE DEMOGRAPHICS AND HEALTH CONDITIONS OF SAN DIEGO COUNTY - INFORM THE DESIGN OF THE COMMUNITY ENGAGEMENT STRATEGY - SUPPORT THE PRIORITIZATION OF HEALTH ISSUES AMONG UNDERSERVED POPULATIONS 2. QUALITATIVE COMMUNITY ENGAGEMENT A WIDE RANGE OF COMMUNITY MEMBERS AND STAKEHOLDERS WERE ENGAGED TO BETTER UNDERSTAND LIVED EXPERIENCES AND BARRIERS TO HEALTH. THIS APPROACH ENSURED THE INCLUSION OF VOICES MOST IMPACTED BY INEQUITIES AND INFORMED THE PRIORITIZATION OF HEALTH NEEDS. PRIORITIZATION ONCE INITIAL DATA ANALYSIS WAS COMPLETE, THE CHNA COMMITTEE IDENTIFIED KEY HEALTH NEEDS USING THE FOLLOWING CRITERIA: - SEVERITY - POTENTIAL TO CAUSE DEATH, DISABILITY, OR REDUCED QUALITY OF LIFE - MAGNITUDE - NUMBER OF PEOPLE AFFECTED - DISPARITIES - IMPACT ON POPULATIONS FACING SOCIAL OR ECONOMIC BARRIERS (E.G., GEOGRAPHY, RACE/ETHNICITY, CITIZENSHIP STATUS, LANGUAGE, INCOME, AGE, GENDER, SEXUAL ORIENTATION) - TREND - WHETHER THE CONDITION IS IMPROVING, STABLE, OR WORSENING OVER TIME COMMUNITY RECOMMENDATIONS - WHAT IS ALREADY WORKING COMMUNITY MEMBERS WERE ASKED TO IDENTIFY PROGRAMS AND SERVICES THEY FOUND EFFECTIVE AND WOULD LIKE TO SEE EXPANDED. CURRENT SUCCESSES INCLUDE 1. PARTNERSHIPS BETWEEN SCHOOLS AND CLINICS 2. DENTAL OFFICES IN CLINICS WITH A SLIDING FEE SCALE 3. HOME VISITS FOR CHORNIC CONDITION MANGEMENT 4. MOBILE HEALTH SERVICES 5. TAXI VOUCHER PROGRAMS 6. VOLUNTARY IDENTIFICATION FOR DISABLED INDIVIDUALS COMMUNITY SUGGESTIONS THE COMMUNITY ALSO MADE SEVERAL SUGGESTIONS FOR WAYS IN WHICH HOSPITALS AND HEALTH CARE SYSTEMS COULD HELP REDUCE THEIR STRESS AND IMPROVE THEIR HEALTH. 1. SUPPORT FOR PATIENTS - IMPROVE CARE NAVIGATION - ENABLE REAL-TIME FEEDBACK ABOUT CARE EXPERIENCES - ENCOURAGE AND SUPPORT PATIENT ADVOCATES DURING MEDICAL APPOINTMENTS - DESIGNATE STAFF TO ADDRESS DISABILITY ACCOMMODATIONS AND RIGHTS CONCERNS 2. SUPPORT FOR HEALTH CARE WORKERS - INCREASE COMMUNITY INVOLVEMENT - OFFER ADDITIONAL TRAINING AND EDUCATION - REDUCE STAFF TURNOVER AND BURNOUT 3. DISCHARGE ENHANCEMENT - EXPAND ACCESS TO MEDICATIONS UPON DISCHARGE - IMPROVE DISCHARGE COORDINATION - INCREASE RECUPERATIVE CARE BEDS AND HOME-BASED SERVICES - IMPLEMENT POST-DISCHARGE HOME VISITS 4. SYSTEMIC EFFORTS - ADVOCATE FOR POLICY CHANGE THAT ADDRESSES ROOT CAUSES OF POOR HEALTH - INCREASE COMMUNITY CONSULTATION AND TRANSPARENCY - ENGAGE IN ONGOING DIALOGUE WITH RESIDENTS TO INFORM HEALTH STRATEGIES NEXT STEPS THE CHNA REPORT IS PUBLICLY AVAILABLE AS A RESOURCE FOR BOTH RESIDENTS AND SERVICE PROVIDERS WORKING TO IMPROVE COMMUNITY HEALTH. HASD&IC AND THE CHNA COMMITTEE REMAIN COMMITTED TO ENGAGING THE COMMUNITY REGULARLY TO GUIDE THE DEVELOPMENT OF FUTURE HEALTH INITIATIVES. PLANNING FOR THE 2028 CHNA IS ALREADY UNDERWAY, DEMONSTRATING A CONTINUED COMMITMENT TO ITERATIVE LEARNING, TIMELY REASSESSMENT, AND IMPROVING HEALTH OUTCOMES ACROSS SAN DIEGO COUNTY.
SCHEDULE H, PART VI, LINE 3 PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE	PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE - POSTERS ALERTING INDIVIDUALS TO SCRIPPS FINANCIAL ASSISTANCE AND CHARITY CARE PROGRAMS ARE DISPLAYED IN REGISTRATION AREAS IN THE HOSPITALS, INCLUDING THE EMERGENCY DEPARTMENTS, OUTPATIENT SETTINGS, AND MAIN ADMISSION AREAS. - THE FOLLOWING FINANCIAL ASSISTANCE DOCUMENTS INFORMING PATIENTS OF THEIR ELIGIBILITY FOR FINANCIAL ASSISTANCE ARE AVAILABLE FOR ALL PATIENTS, BY ASKING A REPRESENTATIVE OR BY OBTAINING A COPY ONLINE AT SCRIPPS.ORG. -PATIENT FINANCIAL ASSISTANCE POLICY, INCLUDING DISCOUNTED PAYMENTS AND CHARITY CARE (FAP) -SCRIPPS PATIENT ACCOUNT MANAGEMENT, BILLING AND COLLECTIONS POLICY, S-FW-LD-5400. -SCRIPPS FINANCIAL ASSISTANCE NOTICE AND POLICY PLAIN LANGUAGE SUMMARY - ASUMMARY OF THE FINANCIAL ASSISTANCE POLICY, IS OFFERED TO ALL PATIENTS AT REGISTRATION OR PRIOR TO DISCHARGE AND A COPY IS INCLUDED IN ALL BILLING STATEMENTS. SCRIPPS WILL MAIL A COPY TO THE PATIENT WITHIN 72 HOURS IF NOT RECEIVED AT THE HOSPITAL. - FINANCIAL ASSISTANCE APPLICATION WITH INSTRUCTIONS INFORMS INDIVIDUALS ABOUT CHARITY AND DISCOUNTED CARE. PAPER APPLICATIONS ARE AVAILABLE FREE OF CHARGE IN THE EMERGENCY DEPARTMENT AND MAIN REGISTRATION AREAS. PATIENTS MAY REQUEST A COPY BE SENT TO THEM ELECTRONICALLY. - THE DOCUMENTS LISTED ABOVE, ARE AVAILABLE ONLINE FREE OF CHARGE IN MULTIPLE LANGUAGES INCLUDING THE PRIMARY LANGUAGES OF PATIENT POPULATIONS WITH LIMITED ENGLISH PROFICIENCY (LEP). - SCRIPPS WORKS WITH THE CALIFORNIA HOSPITAL ASSOCIATION TO INFORM THOSE LIKELY TO NEED FINANCIAL HELP. THE SCRIPPS FINANCIAL ASSISTANCE NOTICE AND POLICY PLAIN LANGUAGE SUMMARY IS TO BE AVAILABLE AT COMMUNITY EVENTS AND IS PROVIDED TO LOCAL AGENCIES THAT OFFER CONSUMER ASSISTANCE. - SCRIPPS FINANCIAL ASSISTANCE POLICIES AND RELATED INFORMATION IS ALSO PROVIDED TO THE CALIFORNIA DEPARTMENT OF HEALTH CARE ACCESS AND INFORMATION (HCAI) AS REQUIRED BY LAW. - FACILITY POSTERS ALERT INDIVIDUALS TO FREE CONSUMER ADVOCACY ORGANIZATIONS THAT ARE AVAILABLE FOR ASSISTANCE IN UNDERSTANDING THE BILLING AND PAYMENT PROCESS. - SCRIPPS FINANCIAL ASSISTANCE NOTICE AND POLICY PLAIN LANGUAGE SUMMARY IS OFFERED ON ADMISSION AND PROVIDED AT DISCHARGE AND WITH EACH BILLING STATEMENT. THIS COMMUNICATION ALSO INFORMS INDIVIDUALS ABOUT: - GOVERNMENT-SPONSORED PROGRAMS THEY MAY QUALIFY FOR. THE MEDI-CAL HOSPITAL PRESUMPTIVE ELIGIBILITY PROGRAM PROVIDES QUALIFIED INDIVIDUALS IMMEDIATE ACCESS TO TEMPORARY, NO-COST MEDI-CAL, APPLICATIONS ARE AVAILABLE FROM HOSPITAL REGISTRATION STAFF. CURRENT INCOME AND PROGRAM REQUIREMENTS CHANGE FREQUENTLY. TO OBTAIN ASSISTANCE WITH AN APPLICATION FOR MEDI-CAL, PLEASE CALL 1-866-262-9881. THE CALIFORNIA HEALTH BENEFIT EXCHANGE MAY OFFER AN INSURANCE PLAN WITH THE HELP OF GOVERNMENT SUBSIDIES THAT REDUCE THE COST OF YOUR MONTHLY PREMIUM, DEPENDING ON YOUR INCOME LEVEL. TO LEARN MORE, VISIT COVEREDCA.COM OR CALL 1-800-300-1506. - HOSPITAL BILL COMPLAINT PROGRAM. THE HOSPITAL BILL COMPLAINT PROGRAM IS A STATE PROGRAM, WHICH REVIEWS HOSPITAL DECISIONS ABOUT WHETHER AN INDIVIDUAL QUALIFIES FOR HELP PAYING THIER HOSPITAL BILL. A PATIENT MAY FILE A COMPLAINT WITH THE HOSPITAL BILL COMPLAINT PROGRAM, HOSPITALBILLPROGRAM.HCAI.CA.GOV - LOCAL CONSUMER ASSISTANCE. FREE CONSUMER ADVOCACY ORGANIZATIONS ASSIST PATIENTS IN UNDERSTANDING THE BILLING AND PAYMENT PROCESS. HEALTH CONSUMER ALLIANCE AT 888-804-3536, HEALTHCONSUMER.ORG FOR MORE INFORMATION.
SCHEDULE H, PART VI, LINE 4 COMMUNITY INFORMATION	SCRIPPS HEALTH COMMUNITY SERVED SCRIPPS HEALTH COMMUNITY SERVED HOSPITALS AND HEALTH CARE SYSTEMS DEFINE THE COMMUNITY SERVED AS THOSE INDIVIDUALS RESIDING WITHIN ITS SERVICE AREA. A HOSPITAL OR HEALTH CARE SYSTEM SERVICE AREA INCLUDES ALL RESIDENTS IN A DEFINED GEOGRAPHIC AREA SURROUNDING THE HOSPITAL AND DOES NOT EXCLUDE LOW INCOME OR UNDERSERVED POPULATIONS. SCRIPPS SERVES THE ENTIRE SAN DIEGO COUNTY REGION WITH SERVICES CONCENTRATED IN NORTH COASTAL, NORTH CENTRAL, CENTRAL AND SOUTHERN REGION OF SAN DIEGO. SCRIPPS PROVIDES SIGNIFICANT VOLUMES OF INPATIENT, EMERGENCY, OUTPATIENT, AND PRIMARY CARE. IN FISCAL YEAR 2025, SCRIPPS PROVIDED 3,179,701 OUTPATIENT VISITS AND 72,896 HOSPITAL DISCHARGES. COMMUNITY OUTREACH EFFORTS ARE FOCUSED IN THOSE AREAS WITH PROXIMITY TO A SCRIPPS FACILITY. THE HOSPITAL'S PATIENT POPULATION INCLUDES ALL WHO RECEIVE CARE WITHOUT REGARD TO INSURANCE COVERAGE OR ELIGIBILITY FOR ASSISTANCE. SCRIPPS MERCY HOSPITAL SAN DIEGO AND SCRIPPS MERCY HOSPITAL 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 PATIENTS AT SCRIPPS MERCY SAN DIEGO AND CHULA VISTA ARE COVERED BY GOVERNMENT INSURANCE, INCLUDING MEDICARE AND MEDI-CAL.
SCHEDULE H, PART VI, LINE 5 PROMOTION OF COMMUNITY HEALTH	SCRIPPS PROVIDES A COMPREHENSIVE RANGE OF INPATIENT AND AMBULATORY SERVICES THROUGH OUR SYSTEM OF HOSPITALS AND CLINICS. SCRIPPS STRIVES TO IMPROVE COMMUNITY HEALTH THROUGH COLLABORATION WITH A WIDE RANGE OF PARTNERS AND LIKE-MINDED ORGANIZATIONS. WORKING WITH OTHER HEALTH SYSTEMS, COMMUNITY GROUPS AND ORGANIZATIONS, GOVERNMENT AGENCIES, BUSINESSES AND COMMUNITY CLINICS, SCRIPPS IS BETTER ABLE TO BUILD UPON EFFORTS TO ACHIEVE BROAD COMMUNITY HEALTH GOALS AND PARTNER WITH A WIDE VARIETY OF ORGANIZATIONS ON COMMUNITY HEALTH IMPROVEMENT PROGRAMS. OUR COLLABORATIONS EXTEND BEYOND OUR LOCAL COMMUNITY TO INCLUDE STATE, NATIONAL, AND GLOBAL EFFORTS IN DISASTER PREPAREDNESS AND RELIEF, EMERGENCY MEDICAL SERVICES, HEALTHCARE ADVOCACY, PHYSICIAN EDUCATION, AND DIRECT PATIENT CARE. IN ALL THAT WE DO, WE ARE COMMITTED TO QUALITY PATIENT OUTCOMES, SERVICE EXCELLENCE, OPERATING EFFICIENCY, CARING FOR THOSE IN NEED TODAY WHILE PLANNING FOR THE HEALTHCARE NEEDS OF FUTURE GENERATIONS. ALL FOUR ACUTE-CARE HOSPITALS ON FIVE 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. IRS FORM 990, SCHEDULE H INSTRUCTIONS DEFINE COMMUNITY BENEFIT AS ACTIVITIES OR PROGRAMS THAT RESPOND TO COMMUNITY HEALTH NEEDS AND SEEK TO ACHIEVE ONE OR MORE OF THE FOLLOWING OBJECTIVES: IMPROVING ACCESS TO HEALTH SERVICES, ENABLING LOW-INCOME PERSONS TO AFFORD HEALTH CARE, ENHANCING PUBLIC HEALTH, ADVANCING GENERALIZABLE KNOWLEDGE, EDUCATING HEALTH PROFESSIONALS, AND RELIEVING THE GOVERNMENT BURDEN TO IMPROVE HEALTH. MEDICARE SHORTFALL, BAD DEBT, AND COMMUNITY BUILDING ACTIVITIES ARE REPORTABLE UNDER SCHEDULE H GUIDELINES BUT ARE EXCLUDED FROM THE COMMUNITY BENEFIT TOTALS. HOWEVER, SCRIPPS INCLUDES THESE TOTALS IN OUR OVERALL COMMUNITY BENEFIT CALCULATIONS IN THE ANNUAL COMMUNITY BENEFIT PLAN AND REPORT. FOR MORE INFORMATION SEE HTTPS://WWW.SCRIPPS.ORG/ABOUT-US/SCRIPPS-IN-THE-COMMUNITY. THE IRS IDENTIFIES CATEGORIES OF COMMUNITY BENEFIT THAT ARE REPORTABLE ON TAX-EXEMPT HOSPITALS FORM 990,SCHEDULE H: FINANCIAL ASSISTANCE AT COST (ALSO KNOWN AS CHARITY CARE),MEDI-CAL SHORTFALL, COSTS OF OTHER MEANS-TESTED GOVERNMENT PROGRAMS,COMMUNITY HEALTH IMPROVEMENT SERVICES AND COMMUNITY BENEFIT OPERATIONS,HEALTH PROFESSIONS EDUCATION, SUBSIDIZED HEALTH SERVICES, RESEARCH, AND CASH AND IN-KIND CONTRIBUTIONS. SCRIPPS ALIGNED ITS 2025 COMMUNITY BENEFIT PLAN AND REPORT WITH THESE CATEGORIES. FOR FULL CATEGORY DEFINITIONS AND ACCOUNTING METHODS SEE IRS SCHEDULE H (FORM 990)(2024) INSTRUCTIONS. COVERING THE PERIOD OF FISCAL YEAR 2025 (OCTOBER 1, 2024, THROUGH SEPTEMBER 30, 2025), SCRIPPS CONTRIBUTED $815,900,436 IN COMMUNITY BENEFIT CONTRIBUTIONS AS DETAILED BELOW BY IRS CATEGORIES. - SCRIPPS CONTRIBUTES SIGNIFICANT RESOURCES PROVIDING LOW AND NO-COST HEALTH CARE FOR OUR PATIENTS IN NEED. THE COSTS OF PROVIDING THESE SERVICES ARE NOT FULLY REIMBURSED. DURING FISCAL YEAR 2024, SCRIPPS CONTRIBUTED $752,318,951 IN UNCOMPENSATED HEALTH CARE, INCLUDING $18,663,224 IN CHARITY CARE, $721,588,751 IN MEDI-CAL AND MEDICARE SHORTFALL, AND $12,066,976 IN BAD DEBT. - SCRIPPS INVESTED $7,157,545 IN COMMUNITY HEALTH IMPROVEMENT SERVICES AND COMMUNITY BENEFIT OPERATIONS. THIS INVESTMENT INCLUDES IN-LIEU OF FUNDS WHICH PROVIDES CRITICAL SUPPORT FOR VULNERABLE POPULATIONS, COVERING ESSENTIAL POST-DISCHARGE NEEDS FOR UNFUNDED OR UNDERFUNDED PATIENTS. THESE FUNDS HELP ENSURE ACCESS TO NECESSARY HEALTH CARE SUPPORT SERVICES BEYOND HOSPITAL CARE. - COMMUNITY HEALTH IMPROVEMENT SERVICES AND COMMUNITY BENEFIT OPERATIONS INCLUDE PREVENTION AND WELLNESS PROGRAMS, SCREENINGS, HEALTH EDUCATION, SUPPORT GROUPS, HEALTH FAIRS AND OTHER PROGRAMS SUPPORTED BY OPERATIONAL FUNDS, GRANTS, AND IN-KIND DONATIONS AND PHILANTHROPY. CALCULATIONS ARE BASED ON COST, LESS "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 SCHEDULE H 990 IRS GUIDELINES, "DIRECT OFFSETTING REVENUE" ALSO INCLUDES RESTRICTED GRANTS OR CONTRIBUTIONS THAT THE ORGANIZATION USES TO PROVIDE A COMMUNITY BENEFIT. - EACH YEAR, SCRIPPS ALLOCATES RESOURCES TO ADVANCE HEALTH CARE SERVICES THROUGH HEALTH PROFESSIONAL EDUCATION. DURING FISCAL YEAR 2025, SCRIPPS INVESTED $45,670,641 IN PROFESSIONAL TRAINING PROGRAMS TO ENHANCE SERVICE DELIVERY AND TREATMENT PRACTICES IN SAN DIEGO COUNTY. THIS REFLECTS PROFESSIONAL EDUCATION FOR NON-SCRIPPS EMPLOYEES, INCLUDING GRADUATE MEDICAL EDUCATION, NURSING RESOURCE DEVELOPMENT AND OTHER HEALTH CARE PROFESSIONAL EDUCATION. - SCRIPPS INVESTED $5,833,928 IN HEALTH RESEARCH AND SCRIPPS CLINIC AND CLINICAL RESEARCH SERVICES SUPPORTED MORE THAN 45 PRINCIPAL INVESTIGATORS AND ABOUT 111 ACTIVE CLINICAL RESEARCH PROTOCOLS CROSSING INTERDISCIPLINARY DISEASE CATEGORIES. SCRIPPS HEALTH IS COMMITTED TO PROVIDING THE BEST POSSIBLE PATIENT CARE, AND RESEARCH IS A CRITICAL PART OF THAT MISSION. IN ADDITION TO BRINGING THE LATEST TREATMENTS TO OUR PATIENTS, THE KNOWLEDGE GAINED FROM THESE RESEARCH STUDIES ADVANCES THE QUALITY OF CARE FOR PEOPLE AROUND THE WORLD. SCRIPPS HEALTH PHYSICIANS STUDY NEW MEDICATIONS AND DEVICES, TRACK PATIENT OUTCOMES FOR YEARS OR EVEN DECADES AND GATHER EVIDENCE FOR SOPHISTICATED EDUCATION AND TREATMENT PROGRAMS. THIS INFORMATION IS THEN DISSEMINATED INTO THE SCRIPPS SYSTEM THROUGH GRADUATE AND CONTINUING MEDICAL EDUCATION AND TO THE SCIENTIFIC COMMUNITY THROUGH PEER-REVIEWED PUBLICATIONS. CALCULATIONS ARE BASED ON COST, LESS "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 SCHEDULE H 990 IRS GUIDELINES, "DIRECT OFFSETTING REVENUE" ALSO INCLUDES RESTRICTED GRANTS OR CONTRIBUTIONS THAT THE ORGANIZATION USES TO PROVIDE A COMMUNITY BENEFIT. - SCRIPPS INVESTED $1,027,760 CASH, GRANTS AND IN-KIND CONTRIBUTIONS MADE BY THE ORGANIZATION TO COMMUNITY GROUPS AND NONPROFIT ORGANIZATIONS. - SCRIPPS INVESTED $3,356,919 IN SUBSIDIZED HEALTH SERVICES. THIS FIGURE INCLUDES SCRIPPS INPATIENT BEHAVIORAL HEALTH. SCRIPPS OFFERS INPATIENT ADULT BEHAVIORAL HEALTH SERVICES AT THE SCRIPPS MERCY HOSPITAL, SAN DIEGO CAMPUS. THE SCRIPPS MERCY BEHAVIORAL HEALTH PROGRAM ACTIVELY SUPPORTS COMMUNITY PROGRAMS TO REDUCE THE STIGMA OF MENTAL ILLNESS AND HELP AFFECTED INDIVIDUALS LIVE AND WORK IN THE COMMUNITY. SCRIPPS HEALTH OFFERS INPATIENT BEHAVIORAL HEALTH CARE FOR ADULTS ADMITTED THROUGH OUR EMERGENCY DEPARTMENTS OR URGENT CARE CENTERS. OUR OUTPATIENT BEHAVIORAL HEALTH SERVICES ARE AVAILABLE THROUGH PARTNERSHIPS WITH VARIOUS COMMUNITY ORGANIZATIONS.
SCHEDULE H, PART VI, LINE 6 AFFILIATED HEALTH CARE SYSTEM	AFFILIATED HEALTH CARE SYSTEM FOUNDED IN 1924 BY PHILANTHROPIST ELLEN BROWNING SCRIPPS, SCRIPPS HEALTH IS A $4.9 BILLION PRIVATE, TAX EXEMPT, INTEGRATED HEALTH SYSTEM BASED IN SAN DIEGO, CALIFORNIA. SCRIPPS TREATS MORE THAN 650,000 PATIENTS ANNUALLY AT ITS FOUR ACUTE-CARE HOSPITALS ON FIVE CAMPUSES, ALONG WITH A ROBUST NETWORK OF 32 OUTPATIENT CENTERS (INCLUDING 12 HEALTH EXPRESS LOCATIONS), PALLIATIVE CARE, CLINICAL RESEARCH, AND ANCILLARY SERVICES TO SERVE OUR SAN DIEGO COMMUNITY AND BEYOND. SCRIPPS IS ALSO ONE OF THE LARGEST EMPLOYERS IN SAN DIEGO, WITH 3,300 AFFILIATED PHYSICIANS AND MORE THAN 17,600 EMPLOYEES, AND IS RECOGNIZED AS ONE OF THE COUNTRY'S BEST COMPANIES TO WORK FOR. SCRIPPS OFFERS PAYER PRODUCTS AND POPULATION HEALTH SERVICES THROUGH SCRIPPS ACCOUNTABLE CARE ORGANIZATION, SCRIPPS HEALTH PLAN, AND CUSTOMIZED NARROW NETWORK PLANS IN COLLABORATION WITH THIRD-PARTY PAYERS. SCRIPPS HEALTH IS A LEADING PROVIDER OF MEDICAL CARE, DEDICATED TO IMPROVING COMMUNITY HEALTH AND ADVANCING MEDICINE IN SAN DIEGO COUNTY. RECOGNIZED AS A LEADER IN THE PREVENTION, DIAGNOSIS, AND TREATMENT OF DISEASE, SCRIPPS IS ALSO AT THE FOREFRONT OF CLINICAL RESEARCH AND IS THE ONLY HEALTH SYSTEM IN THE REGION WITH TWO LEVEL 1 TRAUMA CENTERS. BOTH SCRIPPS MERCY HOSPITAL IN SAN DIEGO AND SCRIPPS MEMORIAL HOSPITAL LA JOLLA HAVE BEEN VERIFIED AS LEVEL 1 TRAUMA CENTERS-THE HIGHEST DESIGNATION AWARDED BY THE AMERICAN COLLEGE OF SURGEONS (ACS), SIGNIFYING THE MOST COMPREHENSIVE LEVEL OF INJURY CARE AVAILABLE. WITH THESE DESIGNATIONS, SCRIPPS HEALTH NOW OPERATES TWO OF THE THREE LEVEL 1 ADULT TRAUMA CENTERS IN SAN DIEGO COUNTY. WITH THREE HIGHLY RESPECTED GRADUATE MEDICAL EDUCATION (GME) PROGRAMS, SCRIPPS IS A LONGSTANDING MEMBER OF THE ASSOCIATION OF AMERICAN MEDICAL COLLEGES. OUR HOSPITALS ARE CONSISTENTLY RANKED AMONG THE NATION'S BEST BY U.S. NEWS & WORLD REPORT AND NUMEROUS OTHER ORGANIZATIONS. SCRIPPS IS FREQUENTLY RECOGNIZED BY FORTUNE MAGAZINE, WORKING MOTHER MAGAZINE, AND THE ADVISORY BOARD AS ONE OF THE BEST PLACES IN THE NATION TO WORK. IMPORTANTLY, SCRIPPS CULTURE IS ONE OF CARING. THE SPIRIT AND CULTURE ESTABLISHED BY OUR TWO PIONEERING FOUNDERS, ELLEN BROWNING SCRIPPS AND MOTHER MARY MICHAEL CUMMINGS, STILL DEFINE WHO WE ARE TODAY. MORE INFORMATION CAN BE FOUND AT WWW.SCRIPPS.ORG EXCELLENCE IN PRIMARY AND SPECIALTY CARE THE SYSTEM IS KNOWN FOR ITS EXPERTISE IN VARIOUS AREAS, INCLUDING CANCER CARE, CARDIOVASCULAR DISEASE PREVENTION AND TREATMENT, ORTHOPEDICS, WOMEN'S HEALTH, AND NEUROCOGNITIVE CARE. GENERATIONS OF SAN DIEGANS HAVE RELIED ON SCRIPPS FOR EXCELLENCE IN HEALTH CARE, STARTING WITH PRIMARY CARE DOCTORS WHO ACT AS THE PATIENT'S PERSONAL HEALTH ADVOCATE INCLUDING A FOCUS ON PREVENTIVE CARE AND WELLNESS. FOR PATIENTS' CONVENIENCE, SCRIPPS PHYSICIANS OFFER SEVERAL OPTIONS FOR ONGOING CARE, INCLUDING EXTENDED OFFICE HOURS, TELEMEDICINE OPTIONS, THREE URGENT CARE CENTERS AND HEALTHEXPRESS WALK-IN CLINICS THROUGHOUT THE COUNTY FOR SAME-DAY TREATMENT OF MINOR ILLNESSES AND INJURIES. WITH SOME OF THE MOST ADVANCED TECHNOLOGY AVAILABLE TODAY FOR THE DIAGNOSIS AND TREATMENT OF ACUTE AND CHRONIC ILLNESSES, SCRIPPS OFFERS PATIENTS A COMPLETE RANGE OF MEDICAL AND SURGICAL SERVICES INCLUDING MANY THAT HAVE BEEN NATIONALLY RECOGNIZED FOR CLINICAL QUALITY AND PATIENT OUTCOMES.
SCHEDULE H, PART VI, LINE 7 STATE FILING OF COMMUNITY BENEFIT REPORT	CA

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Grant Records Maintained	Yes (true)	GrantRecordsMaintainedInd

Recipient Table RecipientTable (10 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Recipient EINRecipientEIN	IRC SectionIRCSectionDesc	Cash GrantCashGrantAmt	Purpose Of GrantPurposeOfGrantTxt	Non Cash AssistanceNonCashAssistanceAmt	Valuation Method UsedValuationMethodUsedDesc	Non Cash AssistanceNonCashAssistanceDesc	Business Name Line2RecipientBusinessName/BusinessNameLine2Txt
CALIFORNIA HEALTH FOUNDATION AND TRUST (CHFT)
1215 K STREET STE 800	SACRAMENTO	CA	95814	951684089	501(C)3	$479,521	CA HOSPITAL FEE PROGRAM
CONSUMER CENTER FOR HEALTH EDUCATION AND ADVOCACY (CCHEA)
1764 SAN DIEGO AVE STE 200	SAN DIEGO	CA	92110	751835298	501(C)3	$120,000	PROGRAM SUPPORT
RAD-AID INTERNATIONAL
8004 ELLINGSON DR	CHEVY CHASE	MD	20815	263914931	501(C)3		PROGRAM SUPPORT	$21,000	FMV	DONATION OF EQUIPMENT
FAMILY HEALTH CENTER OF SD INTERNAL MEDICINE OUTPATIENT TEACHING CLINIC PAR
823 GATEWAY CENTER WAY	SAN DIEGO	CA	92012	952833205	501(C)3	$309,000	PROGRAM SUPPORT				TNERSHIP
FACILITATING ACCESS TO COORDINATED TRANSPORTATION
516 CIVIC CENTER DR	OCEANSIDE	CA	92054	320173841	501(C)3	$7,500	PROGRAM SUPPORT
FATHER JOE'S VILLAGES
3350 E STREET	SAN DIEGO	CA	92102	223746050	501(C)3		PROGRAM SUPPORT	$8,162	FMV	DONATION OF BLANKETS AND SOCKS
SAN YSIDRO HEALTH CENTER
3350 E STREET	SAN DIEGO	CA	92102	223746050	501(C)3	$25,000	PROGRAM SUPPORT
FAMILY HEALTH CENTER OF SD - SPIRIT OF THE BARRIO
823 GATEWAY CENTER WAY	SAN DIEGO	CA	92012	952833205	501(C)3	$7,500	PROGRAM SUPPORT
THE SAN DIEGO LGBT COMMUNITY CENTER
3909 CENTRE STREET	SAN DIEGO	CA	92103	237332048	501(C)3	$10,000	PROGRAM SUPPORT
LA MAESTRA FAMILY CLINIC
4060 FAIRMOUNT AVE	SAN DIEGO	CA	92105	330473171	501(C)3	$10,000	PROGRAM SUPPORT

Field	Value	IRS element (for citing)
Total501c3 Org	10	Total501c3OrgCnt
Total Other Org	0	TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	SCHEDULE I, PART I, LINE 2 PROCEDURES FOR MONITORING USE OF GRANT FUNDS	FormAndLineReferenceDesc
Explanation	GRANTEE SHALL SUBMIT TO SCRIPPS HEALTH, ATTENTION DIRECTOR OF COMMUNITY BENEFIT SERVICES AT 4555 EXECUTIVE DR. MAIL CODE HQ301, 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

Field	Value	IRS element (for citing)
Idemnification Gross Up Pmts	Yes (X)	IdemnificationGrossUpPmtsInd
Discretionary Spending Acct	Yes (X)	DiscretionarySpendingAcctInd
Club Dues Or Fees	Yes (X)	ClubDuesOrFeesInd
Personal Services	Yes (X)	PersonalServicesInd
Written Policy Ref T And E Expnss	Yes (true)	WrittenPolicyRefTAndEExpnssInd
Substantiation Required	Yes (true)	SubstantiationRequiredInd
Compensation Committee	Yes (X)	CompensationCommitteeInd
Independent Consultant	Yes (X)	IndependentConsultantInd
Form990 Of Other Organizations	Yes (X)	Form990OfOtherOrganizationsInd
Written Employment Contract	Yes (X)	WrittenEmploymentContractInd
Compensation Survey	Yes (X)	CompensationSurveyInd
Board Or Committee Approval	Yes (X)	BoardOrCommitteeApprovalInd
Severance Payment	Yes (true)	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	Yes (true)	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	false	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	false	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	false	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	false	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	false	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	false	AnyNonFixedPaymentsInd
Initial Contract Exception	false	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (21 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
CHRISTOPHER VAN GORDER
PRESIDENT / CEO	$2,257,067	$0	$1,270,818	$0	$103,597	$0	$24,500	$0	$33,797	$0	$3,689,779	$0	$0	$0
BRADLEY ELLIS
CORP SR VP, CHIEF LEGAL COUNSEL	$1,014,864	$0	$184,547	$0	$18,909	$0	$24,500	$0	$34,765	$0	$1,277,585	$0	$0	$0
MONIQUE GONZALEZ
EXECUTIVE ASSISTANT TO THE CEO	$106,706	$0	$2,518	$0	$3,371	$0	$8,824	$0	$43,116	$0	$164,535	$0	$0	$0
BRETT TANDE
TREASURER / CORP EXEC VP, CFO	$1,161,044	$0	$230,709	$0	$58,369	$0	$14,000	$0	$48,346	$0	$1,512,468	$0	$0	$0
LISA RISSERTHAKUR
FORMER KEY EMPLOYEE	$320,930	$0	$146,098	$0	$22,718	$0	$0	$0	$0	$0	$489,746	$0	$0	$0
ANIL KESWANI
CORP EVP, CHF MED&OPS OFF-AMB	$1,022,396	$0	$220,203	$0	$60,188	$0	$17,500	$0	$48,250	$0	$1,368,537	$0	$0	$0
THOMAS BUCHHOLZ
CORP SR VP, ONCOLOGY SERVICES	$1,136,419	$0	$234,544	$0	$15,983	$0	$14,000	$0	$33,351	$0	$1,434,297	$0	$0	$0
ERIC COLE
CORP SR VP, HUMAN RESOURCES	$799,458	$0	$190,331	$0	$49,232	$0	$17,500	$0	$35,599	$0	$1,092,120	$0	$0	$0
JOHN ENGLE
CORP SR VP, CHIEF DEVELOPMENT OFFICER	$645,649	$0	$158,962	$0	$60,033	$0	$24,500	$0	$35,918	$0	$925,062	$0	$0	$0
CARL ETTER
CORP SR VP, REGION CHIEF EXEC	$1,368,692	$0	$244,557	$0	$107,096	$0	$24,500	$0	$33,526	$0	$1,778,371	$0	$0	$0
THOMAS GAMMIERE
CORP SR VP, REGION CHIEF EXEC	$792,649	$0	$200,259	$0	$33,273	$0	$24,500	$0	$36,269	$0	$1,086,950	$0	$0	$0
JUNE KOMAR
CORP EXEC VP, STRATEGY & ADMIN (PART YEAR)	$765,171	$0	$362,111	$0	$46,303	$0	$24,500	$0	$16,787	$0	$1,214,872	$0	$0	$0
RICHARD NEALE
CORP EXEC VP, CHIEF GROWTH OFFICER	$891,316	$0	$232,716	$0	$56,465	$0	$21,000	$0	$47,449	$0	$1,248,946	$0	$0	$0
BARBARA PRICE
CORP SR VP, PLANNING/STRATEGY	$843,852	$0	$210,057	$0	$42,870	$0	$24,500	$0	$47,653	$0	$1,168,932	$0	$0	$0
GHAZALA SHARIEFF
CORP EVP, CHF MED&OPS OFF-ACUTE	$1,268,778	$0	$264,017	$0	$20,800	$0	$17,500	$0	$44,779	$0	$1,615,874	$0	$0	$0
SHANE THIELMAN
CORP SR VP, CIDO	$715,151	$0	$177,354	$0	$49,346	$0	$21,000	$0	$47,595	$0	$1,010,446	$0	$0	$0
TRACY CHU
CORP VP, POP HLTH/ACO	$639,028	$0	$118,359	$0	$10,894	$0	$24,500	$0	$16,725	$0	$809,506	$0	$0	$0
SHERMAN T MOORE
CORP VP, BUSINESS DEVELOPMENT	$547,832	$0	$99,296	$0	$22,591	$0	$14,000	$0	$48,040	$0	$731,759	$0	$0	$0
JOHN POOLE
CORP VP, SYSTEM IMPROVEMENT	$637,484	$0	$118,396	$0	$13,376	$0	$14,000	$0	$1,984	$0	$785,240	$0	$0	$0
GERALD SODERSTROM
CORP SR VP, AUDIT / COMPLIANCE/RISK	$550,777	$0	$118,772	$0	$36,707	$0	$14,000	$0	$48,018	$0	$768,274	$0	$0	$0
CRAIG M UEJO
CORP VP, CHIEF QUALITY OFFICER	$545,236	$0	$133,596	$0	$11,799	$0	$14,000	$0	$47,491	$0	$752,122	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail (6 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
SCHEDULE J, PART I, LINE 1A TAX INDEMNIFICATION AND GROSS-UP PAYMENTS	CERTAIN EXECUTIVES REPORTED ON FORM 990, PART VII AND SCHEDULE J, PART II RECEIVE TAX GROSS- UP PAYMENTS RELATED TO CERTAIN EXECUTIVE BENEFIT PROGRAMS. THESE AMOUNTS ARE INCLUDED IN TAXABLE WAGES AND REPORTED ON THEIR RESPECTIVE W-2.
SCHEDULE J, PART I, LINE 1A DISCRETIONARY SPENDING ACCOUNT	CERTAIN EXECUTIVES REPORTED ON FORM 990, PART VII AND SCHEDULE J, PART II RECEIVE AN AUTOMOBILE ALLOWANCE. THE ALLOWANCE IS INCLUDED IN TAXABLE WAGES AND REPORTED ON THEIR RESPECTIVE W-2.
SCHEDULE J, PART I, LINE 1A HEALTH OR SOCIAL CLUB DUES OR INITIATION FEES	SCRIPPS HEALTH INCURS THE MEMBERSHIP COST OF A BUSINESS NETWORKING CLUB IN SAN DIEGO FOR ITS CHIEF EXECUTIVE OFFICER AT AN APPROXIMATE MONTHLY COST OF $234. THE MEMBERSHIP IS USED 100% FOR BUSINESS PURPOSES AND ACCORDINGLY, NO PART OF THIS BENEFIT IS INCLUDED WITHIN THE CHIEF EXECUTIVE OFFICER'S TAXABLE COMPENSATION.
SCHEDULE J, PART I, LINE 1A PERSONAL SERVICES	CERTAIN EXECUTIVES REPORTED ON FORM 990, PART VII AND SCHEDULE J, PART II RECEIVE REIMBURSEMENT FOR FINANCIAL PLANNING SERVICES AND AN ANNUAL PHYSICAL. THE REIMBURSEMENT IS APPROPRIATELY INCLUDED IN TAXABLE WAGES AND REPORTED ON THEIR RESPECTIVE W-2 WHERE APPLICABLE.
SCHEDULE J, PART I, LINE 4A SEVERANCE OR CHANGE-OF-CONTROL PAYMENT	RECEIVE A SEVERANCE PAYMENT OR CHANGE-OF CONTROL PAYMENT THE FOLLOWING INDIVIDUALS RECEIVED SEVERANCE PAY IN CALENDAR YEAR 2024: LISA RISSER/THAKUR - $320,726
SCHEDULE J, PART I, LINE 4B SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN	SCRIPPS HEALTH EXECUTIVE BENEFITS PROGRAM PROVIDES A 457F PLAN WITH A FLEXIBLE BENEFIT ALLOWANCE THAT CAN BE USED TO PURCHASE ADDITIONAL INSURANCE COVERAGE FOR CERTAIN EXECUTIVE LEVEL EMPLOYEES. ANY REMAINING BENEFIT ALLOWANCE CAN BE DEPOSITED INTO THE SUPPLEMENTAL ACCUMULATION RETIREMENT ACCOUNT (SARA) WITH A FUTURE VESTING DATE. NO INDIVIDUALS RECEIVED PAYMENTS FROM THE SARA PLAN IN CALENDAR YEAR 2024. EFFECTIVE JANUARY 1, 2021, SCRIPPS HEALTH TRANSITIONED PART OF ITS' EXECUTIVE BENEFITS PROGRAM FROM THE 457F PLAN TO A SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN (SERP). THIS SERP PROVIDES COMPETITIVE SUPPLEMENTAL RETIREMENT BENEFITS TO THE PARTICIPANTS TO ENCOURAGE CONTINUED EMPLOYMENT AND CONTINUED INTEREST IN THE SUCCESS OF THE SYSTEM. THE SYSTEM CREDITS A TARGETED PERCENT PER YEAR OF SERVICE, UP TO A MAXIMUM PERCENT OF THE FINAL AVERAGE SALARY AT AGE 70 FOR 25 YEARS OF SERVICE. THE TARGET BENEFIT IS OFFSET BY (I) BENEFITS UNDER THE FROZEN SARA PLAN, (II) THE SYSTEM-PAID PORTION OF SOCIAL SECURITY RETIREMENT BENEFITS, AND (III) QUALIFIED RETIREMENT PLANS ATTRIBUTABLE TO THE SYSTEM'S CREDITS UNDER THOSE PLANS. ALTHOUGH THE BENEFIT IS TARGETED AT AGE 70, THE SYSTEM MAY ELECT TO CONTINUE CREDITS TOWARD THE BENEFIT SO LONG AS THE PARTICIPANT REMAINS EMPLOYED WITH THE SYSTEM. CERTAIN EXECUTIVES OF SCRIPPS HEALTH PARTICIPATE IN A SPLIT DOLLAR LIFE INSURANCE ARRANGEMENT. SEE SCHEDULE L, PART V FOR A BROADER DESCRIPTION OF THE ARRANGEMENT.

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (4 entries)

Bond ReferenceBondReferenceCd	Bond Issuer EINBondIssuerEIN	CUSIPCUSIPNum	Bond IssuedBondIssuedDt	Issue PriceIssuePriceAmt	PurposePurposeDesc	DefeasedDefeasedInd	On Behalf Of IssuerOnBehalfOfIssuerInd	Pool FinancingPoolFinancingInd
CALIFORNIA STATEWIDE COMMUNITIES DEVELOPMENT AUTHORITY
A	680164610	1309116Y1	2007-03-02	$49,995,000	SEE PART VI	false	false	Yes (true)
CALIFORNIA HEALTH FACILITIES FINANCING AUTHORITY
B	521643828	000000000	2016-02-29	$150,000,000	SEE PART VI	false	false	false
CALIFORNIA HEALTH FACILITIES FINANCING AUTHORITY
C	521643828	000000000	2017-01-31	$160,000,000	SEE PART VI	false	false	false
CALIFORNIA HEALTH FACILITIES FINANCING AUTHORITY
D	521643828	000000000	2019-11-15	$99,360,000	SEE PART VI	false	false	false

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (4 entries)

Bond ReferenceBondReferenceCd	RetiredRetiredAmt	Bond DefeasedBondDefeasedAmt	Total ProceedsTotalProceedsAmt	In Reserve FundInReserveFundAmt	Capitalized InterestCapitalizedInterestAmt	Refunding EscrowRefundingEscrowAmt	Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt	Credit EnhancementCreditEnhancementAmt	Working Capital ExpendituresWorkingCapitalExpendituresAmt	Capital ExpendituresCapitalExpendituresAmt	Other Spent ProceedsOtherSpentProceedsAmt	UnspentUnspentAmt	Substantial CompletionSubstantialCompletionYr	Refunding Tax Exempt BondsRefundingTaxExemptBondsInd	Refunding Taxable BondsRefundingTaxableBondsInd	Final Allocation MadeFinalAllocationMadeInd	Adequate Books And Rec MaintAdequateBooksAndRecMaintInd
A	$500,000	$0	$49,995,000	$0	$0	$0	$146,070	$0	$0	$49,848,930	$0	$0	2007	Yes (true)	false	Yes (true)	Yes (true)
B	$137,420,000	$0	$150,000,000	$0	$0	$0	$0	$0	$0	$150,000,000	$0	$0	2016	false	false	Yes (true)	Yes (true)
C	$28,945,000	$0	$160,000,000	$0	$0	$0	$0	$0	$0	$0	$160,000,000	$0	2017	Yes (true)	false	Yes (true)	Yes (true)
D	$4,185,000	$0	$99,360,000	$0	$0	$0	$0	$0	$0	$0	$99,360,000	$0	2019	Yes (true)	false	Yes (true)	Yes (true)

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (4 entries)

Bond ReferenceBondReferenceCd	Owning Bond Financed PropertyOwningBondFinancedPropertyInd	Any Lease ArrangementsAnyLeaseArrangementsInd	Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd	Engage Bond Counsel ContractsEngageBondCounselContractsInd	Any Research AgreementsAnyResearchAgreementsInd	Engage Bond Counsel ResearchEngageBondCounselResearchInd	Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd	Change In Use Bond Financed PropChangeInUseBondFinancedPropInd	Remedial Action TakenRemedialActionTakenInd	Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
A	false	false	Yes (true)	Yes (true)	Yes (true)	Yes (true)	false	false	false	Yes (true)
B	false	false	Yes (true)	Yes (true)	Yes (true)	Yes (true)	false	false	false	Yes (true)
C	false	false	Yes (true)	Yes (true)	Yes (true)	Yes (true)	false	false	false	Yes (true)
D	false	false	Yes (true)	Yes (true)	Yes (true)	Yes (true)	false	false	false	Yes (true)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (4 entries)

Bond ReferenceBondReferenceCd	Form8038 T FiledForm8038TFiledInd	Rebate Not Due YetRebateNotDueYetInd	Exception To RebateExceptionToRebateInd	No Rebate DueNoRebateDueInd	Variable Rate IssueVariableRateIssueInd	Hedge Identified In Bks And RecHedgeIdentifiedInBksAndRecInd	Superintegrated HedgeSuperintegratedHedgeInd	Hedge TerminatedHedgeTerminatedInd	Gross Proceeds Invested In GICGrossProceedsInvestedInGICInd	Regulatory Safe Harbor StsfdRegulatorySafeHarborStsfdInd	Gross Proceeds InvestedGrossProceedsInvestedInd	Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd
A	false	false	false	Yes (true)	Yes (true)	false	false	false	false	false	Yes (true)	Yes (true)
B	false	false	false	Yes (true)	false	false	false	false	false	false	false	Yes (true)
C	false	false	false	Yes (true)	false	false	false	false	false	false	false	Yes (true)
D	false	false	false	Yes (true)	false	false	false	false	false	false	false	Yes (true)

Procedures Corrective Action ProceduresCorrectiveActionGrp (4 entries)

Bond ReferenceBondReferenceCd	Procedures Corrective ActionProceduresCorrectiveActionInd
A	Yes (true)
B	Yes (true)
C	Yes (true)
D	Yes (true)

Supplemental Information Detail SupplementalInformationDetail (6 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
SCHEDULE K, PART I, COLUMN (E) ISSUE PRICE	BOND ISSUE 1-A (2007A): THE STATED PAR OF $49,995,000 DIFFERS FROM THE $149,875,000 REPORTED ON FORM 8038 AS THE $49,995,000 AMOUNT REPRESENTS THE SCRIPPS HEALTH'S PORTION ON IN A POOL BOND LOAN PROGRAM.
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 6	BOND ISSUE 1-A (2007A): AN AMOUNT IN THE COST OF ISSUANCE FUND NOT EXCEEDING $100,000 WAS NOT DISBURSED UNTIL MAY 2008.
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 HAS REVISED ITS WRITTEN PROCEDURES TO SPECIFICALLY MAKE REFERENCE TO THE SERVICE'S VOLUNTARY CLOSING AGREEMENT PROGRAM FOR TAX-EXEMPT BONDS.
SCHEDULE K, PART I, COLUMN (F) DESCRIPTION OF PURPOSE	BOND ISSUE 1-A (2007A): POOL BOND. PROCEEDS WERE USED TO REFUND COMMERCIAL PAPER REVENUE NOTES, SERIES 2005A, WHICH WERE USED TO PURCHASE EQUIPMENT. BOND ISSUE 1-B (2016A/B): PROCEEDS USED FOR CAPITAL EXPENDITURES FOR HEALTHCARE BUILDINGS, RENOVATION AND EQUIPMENT. BOND ISSUE 1-C (2017A): THE $160,000,000 (2017A) REFUNDED THE 2008B-F BONDS. THE ISSUE DATE FOR THE 2008B-F BONDS WAS 8/14/2008. BOND ISSUE 1-D (2019A): THE 2019A ISSUE REFUNDED THE 2010A ISSUE. BOND ISSUE 1-A & 1-B (2024): PROCEEDS USED FOR CAPITAL EXPENDITURES INCURRED AT SCRIPPS MEMORIAL HOSPITAL - LA JOLLA, SCRIPPS ENCINITAS HOSPITAL, ENCINITAS, CALIFORNIA AND SCRIPPS CORPORATE HEADQUARTERS IN SAN DIEGO, CALIFORNIA. PROCEEDS WERE ALSO USED TO REFUND SERIES 2010B, 2010C, 2012A, 2012B, AND 2012C BONDS.
SCHEDULE K, PART IV, LINE 2C DATE THE REBATE COMPUTATION WAS PERFORMED	BOND ISSUE 1-A (2007A): THE 2007A REBATE COMPUTATION WAS RECENTLY PERFORMED ON MARCH 2, 2024. NO REBATE AMOUNT HAS ACCRUED AS OF THE END OF THE COMPUTATION PERIOD. BOND ISSUE 1-B (2016A/C): THE 2016A/C REBATE COMPUTATION WAS RECENTLY PERFORMED ON FEBRUARY 28, 2024. NO REBATE AMOUNT HAS ACCRUED AS OF THE END OF THE COMPUTATION PERIOD. BOND ISSUE 1-C (2017A): THE 2017A REBATE COMPUTATION WAS RECENTLY PERFORMED ON JANUARY 31, 2024. NO REBATE AMOUNT HAS ACCRUED AS OF THE END OF THE COMPUTATION PERIOD. BOND ISSUE 1-D (2019A) THE 2019A REBATE COMPUTATION WAS RECENTLY PERFORMED ON NOVEMBER 15, 2023. NO REBATE AMOUNT HAS ACCRUED AS OF THE END OF THE COMPUTATION PERIOD.

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (2 entries)

Bond ReferenceBondReferenceCd	Bond Issuer EINBondIssuerEIN	CUSIPCUSIPNum	Bond IssuedBondIssuedDt	Issue PriceIssuePriceAmt	PurposePurposeDesc	DefeasedDefeasedInd	On Behalf Of IssuerOnBehalfOfIssuerInd	Pool FinancingPoolFinancingInd
CALIFORNIA HEALTH FACILITIES FINANCING AUTHORITY
A	521643828	13032UL48	2024-02-07	$918,959,458	SEE PART VI	false	false	false
CALIFORNIA HEALTH FACILITIES FINANCING AUTHORITY
B	521643828	13032UN95	2024-02-07	$191,600,000	SEE PART VI	false	false	false

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (2 entries)

Bond ReferenceBondReferenceCd	RetiredRetiredAmt	Bond DefeasedBondDefeasedAmt	Total ProceedsTotalProceedsAmt	In Reserve FundInReserveFundAmt	Capitalized InterestCapitalizedInterestAmt	Refunding EscrowRefundingEscrowAmt	Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt	Credit EnhancementCreditEnhancementAmt	Working Capital ExpendituresWorkingCapitalExpendituresAmt	Capital ExpendituresCapitalExpendituresAmt	Other Spent ProceedsOtherSpentProceedsAmt	UnspentUnspentAmt	Substantial CompletionSubstantialCompletionYr	Refunding Tax Exempt BondsRefundingTaxExemptBondsInd	Refunding Taxable BondsRefundingTaxableBondsInd	Final Allocation MadeFinalAllocationMadeInd	Adequate Books And Rec MaintAdequateBooksAndRecMaintInd
A	$0	$0	$918,959,458	$0	$0	$0	$0	$0	$0	$558,400,000	$360,559,458	$0	2024	Yes (true)	false	false	Yes (true)
B	$0	$0	$191,600,000	$0	$0	$0	$0	$0	$0	$191,600,000	$0	$0	2024	false	false	false	Yes (true)

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (2 entries)

Bond ReferenceBondReferenceCd	Owning Bond Financed PropertyOwningBondFinancedPropertyInd	Any Lease ArrangementsAnyLeaseArrangementsInd	Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd	Engage Bond Counsel ContractsEngageBondCounselContractsInd	Any Research AgreementsAnyResearchAgreementsInd	Engage Bond Counsel ResearchEngageBondCounselResearchInd	Private Bus Use By OthersPrivateBusUseByOthersPct	Private Bus Concerning UBIPrivateBusConcerningUBIPct	Total Private Business UseTotalPrivateBusinessUsePct	Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd	Change In Use Bond Financed PropChangeInUseBondFinancedPropInd	Change In Use Bond Financed PropChangeInUseBondFinancedPropPct	Remedial Action TakenRemedialActionTakenInd	Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
A	false	false	Yes (true)	Yes (true)	Yes (true)	Yes (true)	0.0	0.0	0.0	false	false	0	false	Yes (true)
B	false	false	Yes (true)	Yes (true)	Yes (true)	Yes (true)	0.0	0.0	0.0	false	false	0	false	Yes (true)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (2 entries)

Bond ReferenceBondReferenceCd	Form8038 T FiledForm8038TFiledInd	Rebate Not Due YetRebateNotDueYetInd	Exception To RebateExceptionToRebateInd	No Rebate DueNoRebateDueInd	Variable Rate IssueVariableRateIssueInd	Hedge Identified In Bks And RecHedgeIdentifiedInBksAndRecInd	Term Of HedgeTermOfHedgePct	Superintegrated HedgeSuperintegratedHedgeInd	Hedge TerminatedHedgeTerminatedInd	Gross Proceeds Invested In GICGrossProceedsInvestedInGICInd	Term Of GICTermOfGICPct	Regulatory Safe Harbor StsfdRegulatorySafeHarborStsfdInd	Gross Proceeds InvestedGrossProceedsInvestedInd	Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd
A	false	Yes (true)	false	false	false	false	0	false	false	false	0	false	false	Yes (true)
B	false	Yes (true)	false	false	Yes (true)	false	0	false	false	false	0	false	false	Yes (true)

Procedures Corrective Action ProceduresCorrectiveActionGrp (2 entries)

Bond ReferenceBondReferenceCd	Procedures Corrective ActionProceduresCorrectiveActionInd
A	Yes (true)
B	Yes (true)

Schedule L IRS990ScheduleL

Loans Btwn Org Interested Prsn LoansBtwnOrgInterestedPrsnGrp (3 entries)

Relationship With OrgRelationshipWithOrgTxt	Loan PurposeLoanPurposeTxt	Loan From OrganizationLoanFromOrganizationInd	Original PrincipalOriginalPrincipalAmt	Balance DueBalanceDueAmt	DefaultDefaultInd	Board Or Committee ApprovalBoardOrCommitteeApprovalInd	Written AgreementWrittenAgreementInd
CHRIS VAN GORDER
OFFICER	CUMULATIVE DEF COMP (SEE PG 186)	Yes (X)	$10,023,866	$14,592,889	false	Yes (true)	Yes (true)
JUNE KOMAR
EXECUTIVE	CUMULATIVE DEF COMP (SEE PG 186)	Yes (X)	$2,769,010	$4,031,165	false	Yes (true)	Yes (true)
RICHARD SHERIDAN
FORMER OFFICER	CUMULATIVE DEF COMP (SEE PG 186)	Yes (X)	$4,063,606	$5,915,856	false	Yes (true)	Yes (true)

Field	Value	IRS element (for citing)
Total Balance Due	$24,539,910	TotalBalanceDueAmt

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (18 entries)

Relationship DescriptionRelationshipDescriptionTxt	TransactionTransactionAmt	TransactionTransactionDesc	Sharing Of RevenuesSharingOfRevenuesInd
SUBSTANTIAL CONTRIBUTOR
SUBSTANTIAL CONTRIBUTOR	$528,537,555	MEDICAL SERVICES	false
SUBSTANTIAL CONTRIBUTOR
SUBSTANTIAL CONTRIBUTOR	$126,584,217	CONSTRUCTION	false
SUBSTANTIAL CONTRIBUTOR
SUBSTANTIAL CONTRIBUTOR	$90,888,081	MEDICAL SERVICES	false
SUBSTANTIAL CONTRIBUTOR
SUBSTANTIAL CONTRIBUTOR	$75,455,062	MEDICAL SERVICES	false
SUBSTANTIAL CONTRIBUTOR
SUBSTANTIAL CONTRIBUTOR	$64,390,368	CONSTRUCTION	false
SUBSTANTIAL CONTRIBUTOR
SUBSTANTIAL CONTRIBUTOR	$21,328,223	MEDICAL SERVICES	false
SUBSTANTIAL CONTRIBUTOR
SUBSTANTIAL CONTRIBUTOR	$7,935,280	MEDICAL SERVICES	false
SUBSTANTIAL CONTRIBUTOR
SUBSTANTIAL CONTRIBUTOR	$6,253,423	CONSTRUCTION	false
SUBSTANTIAL CONTRIBUTOR
SUBSTANTIAL CONTRIBUTOR	$3,368,261	MEDICAL SERVICES	false
SUBSTANTIAL CONTRIBUTOR
SUBSTANTIAL CONTRIBUTOR	$1,847,969	MEDICAL SERVICES	false
SUBSTANTIAL CONTRIBUTOR
SUBSTANTIAL CONTRIBUTOR	$513,849	COMPENSATION	false
SUBSTANTIAL CONTRIBUTOR
SUBSTANTIAL CONTRIBUTOR	$479,224	CONSTRUCTION	false
SUBSTANTIAL CONTRIBUTOR
SUBSTANTIAL CONTRIBUTOR	$318,000	MEDICAL SERVICES	false
SUBSTANTIAL CONTRIBUTOR
SUBSTANTIAL CONTRIBUTOR	$283,917	COMPENSATION	false
SUBSTANTIAL CONTRIBUTOR
SUBSTANTIAL CONTRIBUTOR	$186,267	COMPENSATION	false
LINDSEY VAN GORDER
SEE PART V	$112,070	SEE PART V	false
DAVID VAN GORDER
SEE PART V	$93,217	SEE PART V	false
KATIE WOODHEAD
EMPLOYEE / KEY EMPLOYEE'S DAUGHTER	$29,114	SEE PART V	false

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc

ExplanationExplanationTxt

SCHEDULE L, PART II LOANS TO AND FROM INTERESTED PERSONS

EFFECTIVE JANUARY 1, 2014, SCRIPPS HEALTH FROZE ALL BENEFITS UNDER THE EXISTING SERP PLAN FOR THREE PLAN PARTICIPANTS. EFFECTIVE APRIL 1, 2014, SCRIPPS HEALTH PROVIDED TO THOSE THREE EXECUTIVES DEFERRED SUPPLEMENTAL RETIREMENT BENEFITS THROUGH A SPLIT DOLLAR LIFE INSURANCE ARRANGEMENT. ALTHOUGH THE IRS REQUIRES REPORTING IN THE LOAN SECTION OF SCHEDULE L, NO FUNDS ARE TRANSFERRED TO THE EXECUTIVE. RATHER, THE FUNDS ARE SET ASIDE FOR THE INITIAL PREMIUM PAYMENTS OF SPLIT DOLLAR LIFE INSURANCE POLICIES. "LOAN" TREATMENT APPLIES BECAUSE AFTER THE EXECUTIVE HAS PASSED AWAY, SCRIPPS HEALTH RECOVERS ALL OF ITS PAYMENTS FOR THE INITIAL PREMIUMS. THE PARTICIPATING EXECUTIVES ARE SUBJECT TO TAXATION ANNUALLY FOR THE IMPUTED INTEREST. PART II INCLUDES ALL PARTICIPANTS IN THE SPLIT DOLLAR LIFE INSURANCE ARRANGEMENT THAT ARE INTERESTED PERSONS OF SCRIPPS HEALTH.

SCHEDULE L, PART IV BUSINESS TRANSACTIONS INVOLVING INTERESTED PERSONS

LINDSEY VAN GORDER, DAUGHTER-IN-LAW OF BOARD MEMBER AND OFFICER CHRIS VAN GORDER, IS EMPLOYED BY SCRIPPS HEALTH. DAVID VAN GORDER, SON OF BOARD MEMBER AND OFFICER CHRIS VAN GORDER, IS EMPLOYED BY SCRIPPS HEALTH. KATIE WOODHEAD, DAUGHTER OF KEY EMPLOYEE JOHN ENGLE, IS EMPLOYED BY SCRIPPS HEALTH.

Schedule M IRS990ScheduleM

Securities Publicly Traded SecuritiesPubliclyTradedGrp

Field	Value	IRS element (for citing)
Contribution	111	ContributionCnt
Noncash Contributions Rpt F990	$3,079,722	NoncashContributionsRptF990Amt
Method Of Determining Revenues	MARKET VALUE	MethodOfDeterminingRevenuesTxt

Other Non Cash Contri Table OtherNonCashContriTableGrp (3 entries)

Non Cash CheckboxNonCashCheckboxInd	DescDesc	ContributionContributionCnt	Noncash Contributions Rpt F990NoncashContributionsRptF990Amt	Method Of Determining RevenuesMethodOfDeterminingRevenuesTxt
Yes (X)	TABLE FOR EXECUTIVE HEADQUARTERS	1	$64,282	MARKET VALUE
Yes (X)	FITNESS EQUIPMENT	1	$16,000	MARKET VALUE
Yes (X)	DONATED RESORT STAY (LODGING PACKAGE)	1	$11,300	MARKET VALUE

Field	Value	IRS element (for citing)
Form8283 Received	0	Form8283ReceivedCnt
Any Property That Must Be Held	false	AnyPropertyThatMustBeHeldInd
Review Process Unusual NC Gifts	Yes (true)	ReviewProcessUnusualNCGiftsInd
Third Parties Used	Yes (true)	ThirdPartiesUsedInd

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
SCHEDULE M, PART I COLUMN (B)	SCRIPPS HEALTH IS REPORTING THE NUMBER OF ITEMS CONTRIBUTED IN COLUMN B.
SCHEDULE M, PART I, LINE 32B THIRD PARTIES USED TO SOLICIT, PROCESS, OR SELL NONCASH CONTRIBUTIONS	GIFTS OF SECURITIES ARE LIQUIDATED THROUGH LICENSED SECURITIES BROKERS.
SCHEDULE M, PART I EXPLANATIONS OF REPORTING METHOD FOR NUMBER OF CONTRIBUTIONS	SECURITIES - PUBLICLY TRADED - CONTRIBUTIONS BY DONOR OTHER - TABLE FOR EXECUTIVE HEADQUARTERS ITEM RECEIVED

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (17 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FORM 990, PART I, LINE 1 FORM 990, PART III, LINE 1 (CONTINUED)	SCRIPPS TREATS OVER HALF A MILLION PATIENTS ANNUALLY THROUGH THE DEDICATION OF 3,000 AFFILIATED PHYSICIANS AND 17,600 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 WAS NAMED BY TRUVEN IN 2013 AS ONE OF THE TOP 15 LARGE HEALTH SYSTEMS IN THE NATION FOR PROVIDING HIGH-QUALITY, SAFE AND EFFICIENT PATIENT CARE. 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 4A PROGRAM SERVICE ACCOMPLISHMENTS	SEE SCRIPPS HEALTH ANNUAL COMMUNITY BENEFIT PLAN AND REPORT AT SCRIPPS COMMUNITY BENEFITS - SAN DIEGO - SCRIPPS HEALTH. FOUNDED IN 1924 BY PHILANTHROPIST ELLEN BROWNING SCRIPPS, SCRIPPS HEALTH IS A $4.98 BILLION PRIVATE, TAX EXEMPT INTEGRATED HEALTH SYSTEM BASED IN SAN DIEGO, CALIFORNIA. SCRIPPS TREATS MORE THAN 650,000 PATIENTS ANNUALLY THROUGH THE DEDICATION OF MORE THAN 3,000 AFFILIATED PHYSICIANS AND MORE THAN 17,600 EMPLOYEES. SCRIPPS CARES FOR PEOPLE THROUGHOUT THE SAN DIEGO REGION WITH FOUR ACUTE CARE HOSPITALS ON FIVE CAMPUSES, 32 OUTPATIENT CLINICS, AND 12 SCRIPPS HEALTHEXPRESS SITES. SCRIPPS ALSO OFFERS PAYER PRODUCTS AND POPULATION HEALTH SERVICES THROUGH SCRIPPS ACCOUNTABLE CARE ORGANIZATION, SCRIPPS HEALTH PLAN, AND CUSTOMIZED NARROW NETWORK PLANS IN COLLABORATION WITH THIRD-PARTY PAYERS. SCRIPPS IS A LEADING PROVIDER OF MEDICAL CARE, DEDICATED TO IMPROVING COMMUNITY HEALTH AND ADVANCING MEDICINE IN SAN DIEGO COUNTY. RECOGNIZED AS A LEADER IN THE PREVENTION, DIAGNOSIS, AND TREATMENT OF DISEASE, SCRIPPS IS ALSO AT THE FOREFRONT OF CLINICAL RESEARCH AND IS THE ONLY HEALTH SYSTEM IN THE REGION WITH TWO LEVEL 1 TRAUMA CENTERS. BOTH SCRIPPS MERCY HOSPITAL IN SAN DIEGO AND SCRIPPS MEMORIAL HOSPITAL LA JOLLA HAVE BEEN VERIFIED AS LEVEL 1 TRAUMA CENTERS-THE HIGHEST DESIGNATION AWARDED BY THE AMERICAN COLLEGE OF SURGEONS (ACS), SIGNIFYING THE MOST COMPREHENSIVE LEVEL OF INJURY CARE AVAILABLE. WITH THREE HIGHLY RESPECTED GRADUATE MEDICAL EDUCATION (GME) PROGRAMS, SCRIPPS IS A LONGSTANDING MEMBER OF THE ASSOCIATION OF AMERICAN MEDICAL COLLEGES (AAMC). SCRIPPS HOSPITALS ARE CONSISTENTLY RANKED AMONG THE NATION'S BEST BY U.S. NEWS & WORLD REPORT AND NUMEROUS OTHER ORGANIZATIONS. SCRIPPS IS FREQUENTLY RECOGNIZED BY FORTUNE MAGAZINE, WORKING MOTHER MAGAZINE, AND THE ADVISORY BOARD AS ONE OF THE BEST PLACES IN THE NATION TO WORK. IMPORTANTLY, SCRIPPS' CULTURE IS ONE OF CARING. THE SPIRIT AND CULTURE ESTABLISHED BY TWO PIONEERING FOUNDERS, ELLEN BROWNING SCRIPPS AND MOTHER MARY MICHAEL CUMMINGS, STILL DEFINE WHO WE ARE TODAY. MORE INFORMATION CAN BE FOUND AT WWW.SCRIPPS.ORG. EXCELLENCE IN PRIMARY AND SPECIALTY CARE THE SYSTEM IS KNOWN FOR ITS EXPERTISE IN VARIOUS AREAS, INCLUDING CANCER CARE, CARDIOVASCULAR DISEASE PREVENTION AND TREATMENT, ORTHOPEDICS, WOMEN'S HEALTH, AND NEUROCOGNITIVE CARE. GENERATIONS OF SAN DIEGANS HAVE RELIED ON SCRIPPS FOR EXCELLENCE IN HEALTH CARE, STARTING WITH PRIMARY CARE DOCTORS WHO ACT AS THE PATIENT'S PERSONAL HEALTH ADVOCATE INCLUDING A FOCUS ON PREVENTIVE CARE AND WELLNESS. FOR PATIENTS' CONVENIENCE, SCRIPPS PHYSICIANS OFFER SEVERAL OPTIONS FOR ONGOING CARE, INCLUDING EXTENDED OFFICE HOURS, TELEMEDICINE OPTIONS, THREE URGENT CARE CENTERS AND HEALTHEXPRESS WALK-IN CLINICS THROUGHOUT THE COUNTY FOR SAME-DAY TREATMENT OF MINOR ILLNESSES AND INJURIES. WITH SOME OF THE MOST ADVANCED TECHNOLOGY AVAILABLE TODAY FOR THE DIAGNOSIS AND TREATMENT OF ACUTE AND CHRONIC ILLNESSES, SCRIPPS OFFERS PATIENTS A COMPLETE RANGE OF MEDICAL AND SURGICAL SERVICES INCLUDING MANY THAT HAVE BEEN NATIONALLY RECOGNIZED FOR CLINICAL QUALITY AND PATIENT OUTCOMES. GOVERNANCE AS A TAX-EXEMPT HEALTH CARE SYSTEM, SCRIPPS TAKES PRIDE IN ITS SERVICE TO THE COMMUNITY. THE SCRIPPS SYSTEM IS GOVERNED BY A 17-MEMBER VOLUNTEER BOARD OF TRUSTEES. THIS SINGLE POINT OF AUTHORITY FOR ORGANIZATIONAL POLICY ENSURES A UNIFIED APPROACH TO SERVING PATIENTS ACROSS THE REGION. ORGANIZATIONAL FOUNDATION SCRIPPS PROVIDES A COMPREHENSIVE RANGE OF INPATIENT AND AMBULATORY SERVICES THROUGH OUR SYSTEM OF HOSPITALS AND CLINICS. IN ADDITION, SCRIPPS PARTICIPATES IN MANY PARTNERSHIPS WITH GOVERNMENT AND NOT-FOR-PROFIT AGENCIES ACROSS OUR REGION TO IMPROVE OUR COMMUNITY'S HEALTH. AND OUR PARTNERSHIPS DO NOT STOP AT OUR LOCAL BORDERS. OUR COLLABORATIONS EXTEND BEYOND OUR LOCAL COMMUNITY TO INCLUDE STATE, NATIONAL, AND GLOBAL EFFORTS IN DISASTER PREPAREDNESS AND RELIEF, EMERGENCY MEDICAL SERVICES, HEALTHCARE ADVOCACY, PHYSICIAN EDUCATION, AND DIRECT PATIENT CARE. IN ALL THAT WE DO, WE ARE COMMITTED TO QUALITY PATIENT OUTCOMES, SERVICE EXCELLENCE, OPERATING EFFICIENCY, CARING FOR THOSE IN NEED TODAY WHILE PLANNING FOR THE HEALTHCARE NEEDS OF FUTURE GENERATIONS. SCRIPPS HEALTH COMMUNITY SERVED HOSPITALS AND HEALTH SYSTEMS DEFINE THE COMMUNITY SERVED AS INDIVIDUALS RESIDING WITHIN THE SERVICE AREA, ENCOMPASSING ALL RESIDENTS IN A SPECIFIED GEOGRAPHIC VICINITY SURROUNDING THE HOSPITAL, WITHOUT EXCLUSION BASED ON INCOME OR UNDERSERVED STATUS. GIVEN THE DIVERSE RANGE OF HOSPITALS IN THE REGION, THE SERVICE AREA IS DESIGNATED AS THE ENTIRE COUNTY OF SAN DIEGO FOR BOTH SCRIPPS AND THE COMMUNITY HEALTH NEEDS ASSESSMENT. THE SAN DIEGO COUNTY HEALTH AND HUMAN SERVICE AGENCY (HHSA) ORGANIZES ITS PLANNING AREAS INTO SIX GEOGRAPHIC REGIONS: CENTRAL, EAST, NORTH CENTRAL, NORTH COASTAL, NORTH INLAND, AND SOUTH. SCRIPPS SERVES THE ENTIRE SAN DIEGO COUNTY REGION WITH SERVICES CONCENTRATED IN NORTH COASTAL, NORTH CENTRAL, CENTRAL AND SOUTHERN REGION OF SAN DIEGO. SCRIPPS PROVIDES SIGNIFICANT VOLUMES OF INPATIENT, EMERGENCY, OUTPATIENT, SPECIALTY AND PRIMARY CARE. IN FISCAL YEAR 2025, SCRIPPS PROVIDED A TOTAL OF 3,179,701OUTPATIENT VISITS AND FACILITATED 72,896 HOSPITAL DISCHARGES. COMMUNITY OUTREACH EFFORTS ARE FOCUSED IN THOSE AREAS WITH PROXIMITY TO A SCRIPPS FACILITY. THE HOSPITAL'S PATIENT POPULATION INCLUDES ALL WHO RECEIVE CARE WITHOUT REGARD TO INSURANCE COVERAGE OR ELIGIBILITY FOR ASSISTANCE. SCRIPPS HEALTH COMMUNITY HEALTH NEEDS ASSESSMENT SCRIPPS HEALTH CONDUCTS A TRIENNIAL COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) TO GUIDE ITS COMMUNITY BENEFIT PLANNING EFFORTS. THE CHNA IS DESIGNED TO IDENTIFY, UNDERSTAND, AND PRIORITIZE THE HEALTH-RELATED NEEDS OF SAN DIEGO COUNTY RESIDENTS, PARTICULARLY THOSE EXPERIENCING INEQUITIES. THE FINDINGS FROM THE 2025 CHNA SERVE AS A BASIS FOR ADAPTING HOSPITAL PROGRAMS AND STRATEGIES TO MORE EFFECTIVELY ADDRESS THE HEALTH NEEDS OF THE COMMUNITY. THE 2025 CHNA PROCESS REVEALED SEVERAL KEY FINDINGS THAT INFORM THE SCRIPPS IMPLEMENTATION STRATEGY. ONE MAJOR THEME IDENTIFIED ACROSS VARIOUS QUALITATIVE DATA COLLECTION METHODS WAS CHRONIC STRESS, WHICH EMERGED AS A SIGNIFICANT BARRIER IMPACTING INDIVIDUALS' ABILITY TO MANAGE THEIR HEALTH AND ACCESS HEALTHCARE EFFECTIVELY. CHRONIC STRESS WAS RECOGNIZED AS A PRIMARY CONCERN REQUIRING ATTENTION TO IMPROVE COMMUNITY HEALTH OUTCOMES. IN ADDITION TO IDENTIFYING CHRONIC STRESS, THE CHNA EXPLORED ACTIONABLE STRATEGIES FOR HOSPITALS AND HEALTHCARE SYSTEMS TO HELP ALLEVIATE ITS EFFECTS. THESE RECOMMENDED STRATEGIES AIM TO ADDRESS BARRIERS, REDUCE STRESS, AND ENHANCE OVERALL COMMUNITY WELL-BEING. THESE FINDINGS FORM THE FOUNDATION FOR SCRIPPS HEALTH'S EFFORTS TO SUPPORT HEALTHIER COMMUNITIES ACROSS SAN DIEGO COUNTY. TO BETTER SERVE SAN DIEGO COUNTY RESIDENTS FACING THESE CHALLENGES, SCRIPPS IS USING THE 2025 CHNA FINDINGS TO GUIDE THE DEVELOPMENT AND REFINEMENT OF HOSPITAL PROGRAMS AND COMMUNITY BENEFIT INITIATIVES. KEY FINDINGS FROM THE 2025 CHNA THESE FINDINGS HIGHLIGHT THE CRITICAL AREAS WHERE SCRIPPS HEALTH CAN FOCUS ITS EFFORTS TO IMPROVE HEALTH EQUITY AND OUTCOMES FOR SAN DIEGO COUNTY RESIDENTS. BY ADDRESSING THESE PRIORITIES, SCRIPPS AIMS TO CREATE A MORE ACCESSIBLE, EQUITABLE, AND EFFECTIVE HEALTHCARE SYSTEM FOR ALL. 1. SUPPORT FOR MANAGING HEALTH CONDITIONS - INCREASED ACCESS TO HEALTH SCREENINGS - ASSISTANCE WITH CARE NAVIGATION AND COORDINATION - EFFORTS TO LOWER HEALTHCARE COSTS 2. A MORE PATIENT-CENTERED HEALTH EXPERIENCE - ACCESSIBLE, EMPATHETIC, AND CULTURALLY COMPETENT CARE - SHORTER WAIT TIMES AND CLEARER COMMUNICATION 3. CARE AND SUPPORT FOR HEALTHCARE PROVIDERS - RECOGNITION OF THE PRESSURES ON HEALTHCARE WORKERS - SUPPORT TO ENSURE THEIR WELL-BEING 4. RECOGNITION AND ASSISTANCE FOR DISABILITIES AND TRAUMA - IMPROVED ACCOMMODATIONS FOR INDIVIDUALS WITH DISABILITIES - INCREASED USE OF TRAUMA-SENSITIVE APPROACHES IN CARE 5. IMPROVED CRISIS RESPONSE - BETTER PLANNING AND TRACKING FOR CRISIS RESPONSE - ENHANCED DATA COLLECTION TO SUPPORT CRISIS INTERVENTIONS 6. ENHANCED DATA COLLECTION AND COORDINATION - ADDRESSING GAPS IN CARE CAUSED BY A LACK OF DATA SHARING - IMPROVING EFFICIENCY THROUGH BETTER COORDINATION ACROSS SYSTEMS 7. REDUCING EMERGENCY DEPARTMENT (ED) OVERLOAD - ADDRESSING OVERBURDENED EDS BY IMPROVING ACCESS TO PRIMARY AND SPECIALTY CARE
FORM 990, PART III, LINE 4A PROGRAM SERVICE ACCOMPLISHMENTS (CONTINUED)	SELECT SPECIALTY HOSPITAL - SAN DIEGO SELECT SPECIALTY HOSPITAL SAN DIEGO IS A 110-BED, FREE-STANDING CRITICAL ILLNESS RECOVERY HOSPITAL (LICENSED BY MEDICARE AS A LONG-TERM ACUTE CARE HOSPITAL LTACH) WHICH SPECIALIZES IN TREATING PATIENTS RECOVERING FROM CATASTROPHIC CRITICAL ILLNESS. THIS UNIQUE LEVEL OF ACUTE HOSPITAL CARE FOCUSES ON PULMONARY/VENTILATOR LIBERATION, AND THE TREATMENT OF MEDICALLY COMPLEX, WOUND CARE, RENAL DISORDERS, INFECTIOUS DISEASE, CARDIAC CONDITIONS, BRAIN INJURY AND OTHER NEUROLOGIC CONDITIONS. SELECT SPECIALTY HOSPITAL SAN DIEGO IS PART OF SELECT MEDICAL, ONE OF THE LARGEST PROVIDERS OF POST-ACUTE RECOVERY AND REHABILITATION IN THE UNITED STATES. THE SCRIPPS HEALTH BOARD OF TRUSTEES AND THE STRATEGIC PLANNING COMMITTEE OF THE BOARD APPROVED BOTH THE TRIENNIAL 2025 CHNA REPORT AND CORRESPONDING FY26-FY28 IMPLEMENTATION STRATEGY DURING ITS 2024 TAX YEAR AS REQUIRED BY STATE AND FEDERAL LAW. THE CHNA AND IMPLEMENTATION STRATEGY REPORTS ARE POSTED SEPARATELY ON THE SCRIPPS HEALTH AND SELECT HOSPITAL WEBSITES, SCRIPPS HEALTH CHNA REPORT AND SELECT HOSPITAL - SAN DIEGO CHNA REPORT. SCRIPPS HEALTH 2026 COMMUNITY BENEFIT PLAN AND REPORT THE SCRIPPS COMMUNITY BENEFIT PLAN AND REPORT WAS DEVELOPED IN RESPONSE TO SENATE BILL 697. PASSED IN 1994, THE BILL REQUIRES CALIFORNIA'S NOT-FOR-PROFIT HOSPITALS TO ANNUALLY DESCRIBE AND DOCUMENT THE FULL RANGE OF COMMUNITY BENEFITS THEY PROVIDE. THE REPORT INCORPORATES NOT ONLY DOCUMENTATION OF COMMUNITY BENEFITS, BUT ALSO A MORE DETAILED EXPLANATION OF THE SPECIFIC COMMUNITY BENEFIT ACTIVITIES PROVIDED BY OUR FIVE ACUTE-CARE HOSPITAL CAMPUSES, WELLNESS CENTERS AND AMBULATORY CARE CLINICS. SCRIPPS HEALTH STRIVES TO IMPROVE COMMUNITY HEALTH THROUGH COLLABORATION WITH A WIDE RANGE OF PARTNERS AND LIKE-MINDED ORGANIZATIONS. WORKING WITH OTHER HEALTH SYSTEMS, COMMUNITY GROUPS, GOVERNMENT AGENCIES, BUSINESSES AND COMMUNITY CLINICS, SCRIPPS IS BETTER ABLE TO BUILD UPON EFFORTS TO ACHIEVE BROAD COMMUNITY HEALTH GOALS AND PARTNER WITH A WIDE VARIETY OF ORGANIZATIONS ON COMMUNITY HEALTH IMPROVEMENT PROGRAMS. THE DOCUMENTED ACTIVITIES IN THIS REPORT REFLECT OUR COMMITMENTS TO IMPROVING THE HEALTH OF BOTH OUR PATIENTS AND THE DIVERSE COMMUNITIES OF SAN DIEGO. AS A LONGSTANDING MEMBER OF THESE COMMUNITIES AND AS A NOT-FOR-PROFIT COMMUNITY RESOURCE, OUR GOAL AND RESPONSIBILITY ARE TO ASSIST ALL WHO SEEK CARE, PARTICULARLY THOSE WHO ARE VULNERABLE AND LACK SUPPORT. THIS RESPONSIBILITY IS AN INTRINSIC PART OF OUR MISSION. THROUGH OUR CONTINUED ACTIONS AND COMMUNITY PARTNERSHIPS, WE STRIVE TO ENHANCE THE QUALITY OF LIFE ACROSS THE ENTIRE COMMUNITY. COMMUNITY BENEFIT SERVICES ARE PROGRAMS AND SERVICES DESIGNED TO IMPROVE HEALTH IN COMMUNITIES. IRS FORM 990, SCHEDULE H INSTRUCTIONS DEFINE COMMUNITY BENEFIT AS ACTIVITIES OR PROGRAMS THAT RESPOND TO COMMUNITY HEALTH NEEDS AND SEEK TO ACHIEVE ONE OR MORE OF THE FOLLOWING OBJECTIVES: IMPROVING ACCESS TO HEALTH SERVICES, ENABLING LOW-INCOME PERSONS TO AFFORD HEALTH CARE, ENHANCING PUBLIC HEALTH, ADVANCING GENERALIZABLE KNOWLEDGE, EDUCATING HEALTH PROFESSIONALS, AND RELIEVING THE GOVERNMENT BURDEN TO IMPROVE HEALTH. THE 2026 COMMUNITY BENEFIT PLAN AND REPORT COVERS THE PERIOD OF FISCAL YEAR 2025 (OCTOBER 1, 2024, THROUGH SEPTEMBER 30, 2025). DURING THIS FISCAL YEAR, SCRIPPS DEVOTED $815,900,436 TO COMMUNITY BENEFIT PROGRAMS AND SERVICES. COMMUNITY OUTREACH EFFORTS ARE FOCUSED IN THOSE AREAS WITH PROXIMITY TO A SCRIPPS FACILITY. SCRIPPS HOSTS, SPONSORS, AND PARTICIPATES IN MANY COMMUNITY-BUILDING EVENTS THROUGHOUT THE YEAR. OUR PROGRAMS EMPHASIZE COMMUNITY-BASED PREVENTION EFFORTS AND USE EFFECTIVE APPROACHES TO REACH RESIDENTS AT THE HIGHEST RISK FOR HEALTH PROBLEMS. SCRIPPS ALIGNS ITS 2026 COMMUNITY BENEFIT PLAN AND REPORT WITH THE IRS ESTABLISHED CATEGORIES AS DETAILED BELOW. COMMUNITY HEALTH IMPROVEMENT SERVICES AND COMMUNITY BENEFIT OPERATIONS DURING FISCAL YEAR 2025 (OCTOBER 2024 TO SEPTEMBER 2025), SCRIPPS INVESTED $7,157,545 IN COMMUNITY HEALTH IMPROVEMENT SERVICES AND COMMUNITY BENEFIT OPERATIONS. THIS INVESTMENT INCLUDES IN-LIEU OF FUNDS WHICH PROVIDES CRITICAL SUPPORT FOR VULNERABLE POPULATIONS, COVERING ESSENTIAL POST-DISCHARGE NEEDS FOR UNFUNDED OR UNDERFUNDED PATIENTS. THESE FUNDS HELP ENSURE ACCESS TO NECESSARY HEALTH CARE SUPPORT SERVICES BEYOND HOSPITAL CARE. COMMUNITY HEALTH IMPROVEMENT SERVICES AND COMMUNITY BENEFIT OPERATIONS INCLUDE PREVENTION AND WELLNESS PROGRAMS, SCREENINGS, HEALTH EDUCATION, SUPPORT GROUPS, HEALTH FAIRS AND OTHER PROGRAMS SUPPORTED BY OPERATIONAL FUNDS, GRANTS, AND IN-KIND DONATIONS AND PHILANTHROPY. CALCULATIONS ARE BASED ON COST, LESS "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 SCHEDULE H 990 IRS GUIDELINES, "DIRECT OFFSETTING REVENUE" ALSO INCLUDES RESTRICTED GRANTS OR CONTRIBUTIONS THAT THE ORGANIZATION USES TO PROVIDE A COMMUNITY BENEFIT. THE FOLLOWING IS A SNAPSHOT OF SCRIPPS COMMUNITY HEALTH IMPROVEMENT SERVICES PROVIDED IN FY25. FOR MORE DETAILED INFORMATION, SEE SCRIPPS HEALTH ANNUAL COMMUNITY BENEFIT PLAN AND REPORT AT SCRIPPS COMMUNITY BENEFITS - SAN DIEGO - SCRIPPS HEALTH. THESE COSTS ARE INCLUDED IN THE IRS FORM 990 SCHEDULE H PART I-LINE 7E, AND 7I. - ADDRESSING CARDIOVASCULAR DISEASE AND SUDDEN CARDIAC ARREST (SCA) IN TEENS: A PARTNERSHIP WITH THE ERIC PAREDES SAVE A LIFE FOUNDATION FOCUSED ON SCREENING FOR SCA IN TEENAGERS. - AMERICAN RED CROSS BLOOD DRIVES: A PARTNERSHIP FACILITATED BLOOD DONATION DRIVES. - BEHAVIORAL HEALTH PARTNERSHIP WITH FAMILY HEALTH CENTERS OF SAN DIEGO (FHCSD): THIS COLLABORATION AIMED TO STRENGTHEN INTEGRATED PRIMARY AND MENTAL HEALTH SERVICES FOR MEDI-CAL PATIENTS RECEIVING CARE AT SCRIPPS MERCY HOSPITAL. - CANCER PROGRAMS AND SUPPORT SERVICES: THESE SERVICES INCLUDED COUNSELING, SUPPORT GROUPS, COMPLEMENTARY THERAPIES, AND EDUCATIONAL WORKSHOPS. - DIABETES CARE MANAGEMENT PROGRAMS: SCRIPPS PROVIDED COMPREHENSIVE AND CULTURALLY SENSITIVE CARE TO HIGH-RISK, UNDERSERVED COMMUNITIES THROUGH PROJECT DULCE, USING A SPECIALIZED TEAM TO COUNSEL DIABETES PATIENTS. - ENGAGEMENT IN COMMUNITY INITIATIVES: SCRIPPS EXECUTIVE LEADERSHIP AND STAFF ACTIVELY PARTICIPATED IN VARIOUS COMMUNITY ORGANIZATIONS, COMMITTEES, AND COALITIONS TO ENHANCE COMMUNITY HEALTH. - FATHER JOE'S VILLAGE STREET HEALTH PROJECT COLLABORATION: A JOINT EFFORT WITH SCRIPPS MERCY HOSPITAL AIMED AT REACHING UNSHELTERED DISCHARGED PATIENTS FOR FOLLOW-UP VISITS WITHIN THEIR COMMUNITIES. - FOOD INSECURITY SUPPORT: ASSISTANCE INCLUDED CALFRESH SCREENING, THE SCRIPPS MERCY WIC PROGRAM, AND IDENTIFICATION OF SOCIAL DETERMINANTS OF HEALTH. - GRADUATE MEDICAL EDUCATION DIVERSITY, EQUITY, INCLUSION, AND BELONGING COMMITTEE: THIS COMMITTEE AND CURRICULUM FOSTER A MORE DIVERSE HEALTHCARE WORKFORCE BY ENSURING THAT RESIDENTS AND FELLOWS ARE EDUCATED IN AN ENVIRONMENT THAT REFLECTS AND RESPECTS DIVERSITY. - HEALTH EDUCATION AND COMMUNITY ENGAGEMENT: SCRIPPS DELIVERED CLASSES, PREVENTION LECTURES, SUPPORT GROUPS, AND PARTICIPATED IN HEALTH FAIRS AND EVENTS TO ADDRESS COMMUNITY NEEDS. - HEART HEALTH AND CARDIOVASCULAR DISEASE PREVENTION: ACTIVITIES AND PROGRAMS TARGETED HEART HEALTH, STROKE, AND CARDIOVASCULAR DISEASE PREVENTION AND TREATMENT. - MEDICAL LEGAL PARTNERSHIP WITH CONSUMER CENTER FOR HEALTH EDUCATION AND ADVOCACY: THIS PARTNERSHIP EDUCATED CONSUMERS ON HEALTHCARE BENEFITS, ELIGIBILITY, AND COVERAGE PROGRAM CHANGES. - MEDICATION PATIENT FINANCIAL ASSISTANCE PROGRAM: THE PROGRAM SERVES UNINSURED, UNDERINSURED, AND INSURED PATIENTS BY IDENTIFYING GRANTS AND MANUFACTURER FUNDING FOR COSTLY MEDICATIONS, ENSURING ACCESS WITHOUT FINANCIAL HARDSHIP. - MEDICALLY TAILORED MEALS: SCRIPPS REFERS CONGESTIVE HEART FAILURE (CHF) PATIENTS TO MAMA'S KITCHEN FOR MEDICALLY TAILORED MEALS AIMED AT REDUCING HOSPITAL READMISSIONS AND ENHANCING QUALITY OF LIFE. - MOBILE HEALTH AND RESOURCE FAIR IN SOUTHEAST SAN DIEGO: SCRIPPS PARTNERED WITH THIS YMCA-BASED FAIR TO ADDRESS HEALTHCARE NEEDS, OFFERING CARDIOVASCULAR AND NEUROCOGNITIVE SCREENINGS, RESOURCES, AND BREAST CANCER SCREENING REFERRALS TO UNDERSERVED POPULATIONS. - PROMOTORAS IN ACTION: PREVENTION, EDUCATION, AND WELLNESS: THIS COMMUNITY-BASED INITIATIVE TRAINS 20 COMMUNITY HEALTH WORKERS-KNOWN AS PROMOTORAS-WHO SHARE CULTURALLY RELEVANT HEALTH INFORMATION AND CONNECT RESIDENTS TO HEALTHCARE RESOURCES IN SAN DIEGO'S SOUTH BAY. - RECUPERATIVE CARE PARTNERSHIPS: THIS INITIATIVE OFFERED SAFE DISCHARGES FOR CHRONICALLY HOMELESS PATIENTS WITH ONGOING MEDICAL NEEDS. - RESIDENTS AT SCRIPPS GREEN COMMUNITY SERVICE PROJECTS: RESIDENTS PARTICIPATED IN GROUP-LED INITIATIVES ADDRESSING SOCIAL BARRIERS TO HEALTH AS PART OF THE INTERNAL MEDICINE CURRICULUM. - SERVICES FOR SENIORS: PROGRAMS INCLUDED FALL PREVENTION, WELLNESS EDUCATION, AND THE ADVANCED CARE CLINIC FOR ADULTS WITH MULTIPLE CHRONIC DISEASES.
FORM 990, PART III, LINE 4A PROGRAM SERVICE ACCOMPLISHMENTS (CONTINUED)	- SCRIPPS MERCY SAN DIEGO INTERNAL MEDICINE FACULTY AND RESIDENTS FLU VACCINE OUTREACH: IN FY2025, FACULTY AND RESIDENTS ADMINISTERED FLU VACCINES TO 68 SHELTER RESIDENTS FROM LOCAL COMMUNITY-BASED PROGRAMS. - SUBSTANCE USE DISORDER SERVICE (SUDS): SUDS NURSES ASSISTED PATIENTS AT RISK FOR OR EXPERIENCING DETOX FROM ADDICTIVE SUBSTANCES WITHIN THE SCRIPPS HEALTH SYSTEM. - SUPPORT FOR COMMUNITY CLINICS: SPONSORSHIPS, GRANTS, AND CLINICAL PARTNERSHIPS WERE PROVIDED TO COMMUNITY CLINICS TO ENHANCE HEALTHCARE ACCESS AND SERVICES. - SUPPORTIVE MENTAL HEALTH SERVICES: THESE SERVICES WERE OFFERED AT LOCAL COMMUNITY-BASED CLINICS. - TEACHING HEALTH CENTER PSYCHIATRIC RESIDENCY PROGRAM: THIS PROGRAM ADDRESSES THE PSYCHIATRIST SHORTAGE AND ENHANCES BEHAVIORAL HEALTH SERVICES IN SAN DIEGO. IN COLLABORATION WITH FHCSD, SCRIPPS MERCY HOSPITAL HOSTS SIX PGY-1 RESIDENTS FOR TRAINING IN CO-OCCURRING MEDICAL AND BEHAVIORAL HEALTH CONDITIONS DURING ACADEMIC YEAR 2024-2025. - TRANSPORTATION SERVICES: SCRIPPS PARTNERED WITH FACILITATING ACCESS TO COORDINATED TRANSPORTATION (FACT), INC. TO OFFER ON-DEMAND RIDES FOR PATIENTS TRAVELING TO MEDICAL APPOINTMENTS. UNCOMPENSATED CARE SCRIPPS CONTRIBUTES SIGNIFICANT RESOURCES PROVIDING LOW AND NO COST HEALTH CARE FOR OUR PATIENTS IN NEED. THE COSTS OF PROVIDING THESE SERVICES ARE NOT FULLY REIMBURSED. UNCOMPENSATED HEALTH CARE INCLUDES THE SUM OF EXPENSES ASSOCIATED WITH CHARITY CARE, MEDI-CAL AND OTHER MEANS-TESTED GOVERNMENT PROGRAMS, MEDICARE SHORTFALL AND BAD DEBT. MEDICARE SHORTFALL, BAD DEBT AND COMMUNITY BUILDING ACTIVITIES ARE REPORTABLE UNDER IRS GUIDELINES BUT ARE NOT REPORTABLE IN THE COMMUNITY BENEFIT TOTALS. HOWEVER, SCRIPPS INCLUDES THESE TOTALS IN OUR OVERALL COMMUNITY BENEFIT CALCULATIONS. DURING FISCAL YEAR 2025, SCRIPPS CONTRIBUTED $752,318,951 IN UNCOMPENSATED HEALTH CARE, INCLUDING $18,663,224 IN CHARITY CARE, $721,588,751 IN MEDI-CAL AND MEDICARE SHORTFALL, AND $12,066,976 IN BAD DEBT. CHARITY CARE IS INCLUDED IN THE INTERNAL REVENUE SERVICE (IRS) FORM 990 SCHEDULE H PART I LINE 7A AND MEDI-CAL COSTS ARE INCLUDED IN LINE 7B. THIS REPRESENTS UNREIMBURSED COMMUNITY BENEFIT COSTS AFTER THE IMPACT OF THE MEDI-CAL HOSPITAL FEE PROGRAM. THE STATE OF CALIFORNIA ENACTED LEGISLATION FOR A PROVIDER FEE PROGRAM TO FUND CERTAIN MEDI-CAL COVERAGE EXPANSIONS ("PROVIDER FEE PROGRAM"). THE PROVIDER FEE PROGRAM CHARGES HOSPITALS A QUALITY ASSURANCE FEE THAT IS USED TO OBTAIN FEDERAL MATCHING FUNDS FOR MEDI-CAL WITH THE PROCEEDS REDISTRIBUTED AS SUPPLEMENTAL PAYMENTS TO CALIFORNIA HOSPITALS THAT TREAT MEDI-CAL PATIENTS. THE ORGANIZATION'S POLICY IS TO RECOGNIZE PROGRAM REVENUES AND EXPENSES ON THE ACCRUAL BASIS ONCE THE FEDERAL WAIVER HAS BEEN APPROVED. FEDERAL AND STATE PAYMENTS RECEIVED FROM THESE PROGRAMS ARE INCLUDED AS PROVIDER FEE REVENUE IN TOTAL PATIENT SERVICE REVENUE, AND FEES PAID OR PAYABLE TO THE STATE AND CALIFORNIA HEALTH FOUNDATION AND TRUST ARE INCLUDED IN PROVIDER FEE EXPENSE IN OPERATING EXPENSES. UNCOMPENSATED HEALTH CARE COSTS ARE INCLUDED IN THE IRS FORM 990 SCHEDULE H PART I-LINE 7A-7C. THE PROVIDER FEE PROGRAM FOR THE PERIOD OF JANUARY 1, 2025, THROUGH DECEMBER 31, 2025, IS PENDING APPROVAL BY THE FEDERAL GOVERNMENT. AS THE RELATED REVENUE AND EXPENSE HAVE NOT MET THE CRITERIA FOR RECOGNITION, THEY ARE NOT INCLUDED IN THE ORGANIZATION'S FINANCIAL STATEMENTS FOR 2025. INCLUDED IN THE RESULTS FOR THE YEAR ENDED SEPTEMBER 30, 2024, IS $25,936,000 OF NET PROVIDER FEE PROGRAM REVENUE RELATED TO THE TIMING OF PROGRAM APPROVAL FROM THE PREVIOUS FISCAL YEAR. SCRIPPS MERCY HOSPITAL (INCLUDING SAN DIEGO AND CHULA VISTA CAMPUSES) PROVIDES 55% PERCENT OF THE CHARITY CARE WITHIN THE SCRIPPS SYSTEM. THE SERVICE AREA OF SCRIPPS MERCY HOSPITAL REFLECTS A HIGHER PROPORTION OF ECONOMICALLY DISADVANTAGED INDIVIDUALS COMPARED TO THE COUNTY AVERAGE, WITH NOTABLY LOWER RATES OF INSURED ADULTS AND A SIGNIFICANTLY HIGHER PERCENTAGE OF ETHNIC MINORITIES, PARTICULARLY HISPANIC AND ASIAN POPULATIONS. BOTH HOSPITAL CAMPUSES PLAY CRUCIAL ROLES IN DELIVERING HEALTHCARE SERVICES TO THE CENTRAL/SOUTHERN SAN DIEGO COUNTY AREA, RANGING FROM INTERSTATE 8 TO THE UNITED STATES-MEXICO BORDER. OVER HALF OF THE PATIENTS SERVED BY SCRIPPS MERCY SAN DIEGO AND CHULA VISTA ARE COVERED BY GOVERNMENT INSURANCE PROGRAMS, INCLUDING MEDICARE AND MEDI-CAL. HEALTH PROFESSIONAL EDUCATION 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 DIMINISHED. HEALTH PROFESSIONAL EDUCATION INCLUDES EDUCATIONAL PROGRAMS FOR PHYSICIANS, INTERNS AND RESIDENTS, MEDICAL STUDENTS, NURSES AND NURSING STUDENTS, PASTORAL CARE TRAINEES AND OTHER HEALTH PROFESSIONALS. THIS EDUCATION IS NECESSARY TO RETAIN A STATE LICENSES OR CERTIFICATION BY BOARDS IN THE INDIVIDUAL'S HEALTH PROFESSION SPECIALTY. EACH YEAR, SCRIPPS ALLOCATES RESOURCES TO ADVANCE HEALTH CARE SERVICES THROUGH HEALTH PROFESSIONAL EDUCATION. DURING FISCAL YEAR 2025 (OCTOBER 2024 TO SEPTEMBER 2025), SCRIPPS INVESTED $45,670,641 IN PROFESSIONAL TRAINING PROGRAMS TO ENHANCE SERVICE DELIVERY AND TREATMENT PRACTICES IN SAN DIEGO COUNTY. THIS FIGURE REFLECTS THE COSTS ASSOCIATED WITH PROFESSIONAL EDUCATION FOR NON-SCRIPPS EMPLOYEES, INCLUDING GRADUATE MEDICAL EDUCATION, NURSING RESOURCE DEVELOPMENT AND OTHER HEALTH CARE PROFESSIONAL EDUCATION. THESE COSTS ARE INCLUDED IN THE IRS FORM 990 SCHEDULE H PART I LINES 7F. THE FOLLOWING IS A SNAPSHOT OF SCRIPPS PROFESSIONAL EDUCATION SERVICES PROVIDED IN FY25. GRADUATE MEDICAL EDUCATION A KEY COMPONENT OF SCRIPPS MISSION IS TO ADVANCE THE EDUCATION OF PHYSICIANS AND HEALTH CARE PROFESSIONALS AND SPONSOR GRADUATE MEDICAL EDUCATION. BY INVESTING IN THESE AREAS, WE HELP SECURE QUALITY CARE FOR OUR COMMUNITY. SCRIPPS HEALTH IS KNOWN FOR PROVIDING HIGH QUALITY AND PATIENT-CENTERED CARE, WITH A LONG LEGACY OF IMPROVING THE HEALTH OF THE SAN DIEGO COMMUNITY. THAT LEGACY IS STRENGTHENED BY TRAINING NEW PHYSICIANS TO BE FUTURE LEADERS IN MEDICINE THROUGH ITS GRADUATE MEDICAL EDUCATION (GME). TODAY, SCRIPPS GME PROGRAM SPANS ALL FIVE HOSPITAL CAMPUSES AND SCRIPPS CLINIC. AFTER FOUR YEARS OF MEDICAL SCHOOL, NEW DOCTORS EMBARK ON A DEMANDING RESIDENCY PROGRAM LASTING FOUR TO FIVE YEARS. UNDER THE GUIDANCE OF EXPERIENCED ATTENDING PHYSICIANS, THEY ROTATE THROUGH VARIOUS HOSPITAL DEPARTMENTS, GAINING VITAL REAL-WORLD EXPERIENCE IN TRAUMA, INTENSIVE CARE, CARDIOLOGY, ONCOLOGY AND OTHER SPECIALTIES. THERE ARE RESIDENCY PROGRAMS FOR INTERNAL MEDICINE, FAMILY MEDICINE, TRANSITIONAL YEAR, PHARMACY AND PODIATRY AND FELLOWSHIPS AND SUBSPECIALTY TRAINING IN INTERNAL MEDICINE, FAMILY MEDICINE, CARDIOLOGY, DERMATOLOGY, PODIATRY, HEMATOLOGY/ONCOLOGY, ORTHOPEDICS, TRAUMA, PHARMACY, PALLIATIVE CARE, EMERGENCY AND SURGICAL CRITICAL CARE GASTROENTEROLOGY, ENDOCRINOLOGY AS WELL AS RESEARCH-FOCUSED PROGRAMS. THESE PROGRAMS ARE RENOWNED FOR THEIR COMMITMENT TO EXCELLENCE AND FEATURE A HANDS-ON CURRICULUM THAT PLACES A STRONG EMPHASIS ON PATIENT-CENTERED CARE. SCRIPPS GRADUATE MEDICAL EDUCATION PROGRAMS SERVE OUR COMMUNITY IN TWO EQUALLY IMPORTANT WAYS: PROVIDING MUCH-NEEDED MEDICAL CARE TO THE DIVERSE PATIENT POPULATION OF SAN DIEGO COUNTY; AND DEVELOPING THE TALENT AND SKILLS OF NEW LEADERS IN MEDICINE, WHO TOGETHER WITH SCRIPPS WILL CONTINUE TO BREAK NEW GROUND IN INNOVATIVE, COMPASSIONATE MEDICAL CARE. RESIDENTS ROTATE THROUGH COMMUNITY-BASED FACILITIES ACROSS SAN DIEGO, GAINING EXPERIENCE ADDRESSING HEALTH DISPARITIES WHILE PROVIDING VITAL MEDICAL CARE. BEYOND CLINICAL WORK, THEY MENTOR HIGH SCHOOL STUDENTS, VOLUNTEER WITH SAN DIEGO REFUGEE TUTORING, AND SUPPORT NONPROFITS BY PROVIDING VACCINES TO INDIVIDUALS EXPERIENCING HOMELESSNESS AND DOMESTIC VIOLENCE-BUILDING BOTH COMMUNITY HEALTH AND THE NEXT GENERATION OF COMPASSIONATE MEDICAL LEADERS. IN FISCAL YEAR 2025, SCRIPPS ENROLLED A TOTAL OF 167 MEDICAL RESIDENTS, 48 FELLOWS ACROSS THE SCRIPPS HEALTH SYSTEM, UNDERSCORING OUR COMMITMENT TO MEDICAL EDUCATION AND COMMUNITY HEALTHCARE. GRADUATE MEDICAL EDUCATION (GME). SCRIPPS HAS A PHARMACY RESIDENCY PROGRAM AT SCRIPPS MERCY HOSPITAL AND SCRIPPS MEMORIAL HOSPITAL LA JOLLA WHICH TRAINS RESIDENTS WITH DOCTOR OF PHARMACY DEGREES.
FORM 990, PART III, LINE 4A PROGRAM SERVICE ACCOMPLISHMENTS (CONTINUED)	ADDITIONAL PROFESSIONAL EDUCATION AND TRAINING PROGRAMS - SCRIPPS CONFERENCE SERVICES AND CME: PROVIDES EVIDENCE-BASED, UP-TO-DATE, AND CLINICALLY RELEVANT CME COURSES. - SCRIPPS MERCY EMS: OFFERS HOSPITAL-BASED CLINICAL INTERNSHIPS AND CONTINUING EDUCATION. COLLABORATE WITH LOCAL AND REGIONAL INSTITUTIONS. TRAINING FOR FIRST RESPONDERS, EMTS, PARAMEDICS, LAW ENFORCEMENT, MILITARY, MOBILE INTENSIVE CARE NURSES, AND RESIDENT PHYSICIANS. SCRIPPS MERCY HOSPITAL TRAUMA SERVICES: PART OF A SIX-HOSPITAL TRAUMA SYSTEM. LEVEL 1 TRAUMA CENTER OFFERING PHYSICIAN EDUCATION AND TRAUMA RESEARCH. OFFERS GRADUATE MEDICAL EDUCATION IN TRAUMA AND CRITICAL CARE. PARTNERS WITH NAVAL MEDICAL CENTER SAN DIEGO AND OTHER HEALTHCARE PROVIDERS. PROVIDES TRAINING FOR VARIOUS RESIDENCY PROGRAMS. - SCRIPPS MEMORIAL HOSPITAL LA JOLLA TRAUMA PROGRAM: PART OF A SIX-HOSPITAL TRAUMA SYSTEM. LEVEL 1 TRAUMA CENTER OFFERING PHYSICIAN MEDICAL EDUCATION AND TRAUMA PHYSICIAN TRAINING AND CONDUCTS TRAUMA RESEARCH. PROVIDES HANDS-ON TRAINING FOR RESIDENTS AND FELLOWS. TRAUMA RESEARCH GRADUATE STUDENT INTERNSHIP: FOR STUDENTS IN PUBLIC HEALTH, EPIDEMIOLOGY, TRAUMA, AND RELATED FIELDS. INVOLVES CONSTRUCTING STUDY SAMPLES, DATA ANALYSIS, AND MANUSCRIPT WRITING. RUNS CONCURRENTLY WITH THE CLINICAL RESEARCH FELLOWSHIP. - SCRIPPS WHITTIER DIABETES INSTITUTE: OFFERS EDUCATION PROGRAMS LED BY EXPERTS TO ENHANCE DIABETES MANAGEMENT KNOWLEDGE. TARGETS HEALTHCARE PROFESSIONALS, COMMUNITY PARTNERS, CLINICAL PROVIDERS, AND PEER EDUCATORS. - UCSD/SCRIPPS HEALTH HOSPICE AND PALLIATIVE MEDICINE FELLOWSHIP: PREPARE DOCTORS FOR HOSPICE AND PALLIATIVE CARE. DESIGNED FOR PHYSICIANS SEEKING A SUBSPECIALTY. PROVIDES TRAINING FOR DIVERSE CARE SETTINGS. NURSING, ALLIED HEALTH AND CLINICAL STUDENT PRECEPTORSHIPS SCRIPPS COMMITMENT TO ONGOING LEARNING AND HEALTH CARE EXCELLENCE EXTENDS BEYOND OUR ORGANIZATION. OUR STUDENT 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 A SIGNIFICANT ROLE AS PRECEPTORS BY INVESTING THEIR TIME TO CREATE A VALUABLE EXPERIENCE FOR THE COMMUNITY. IN FISCAL YEAR 2025, SCRIPPS HOSTED 1,473 STUDENTS WITHIN OUR SYSTEM AND PROVIDED 244,088 DEVELOPMENT HOURS SPANNING NURSING AND ALLIED HEALTH SETTINGS. SCRIPPS CLINIC MEDICAL GROUP AND SCRIPPS COASTAL MEDICAL GROUP ARE DEDICATED TO OFFERING MEANINGFUL CLINICAL EXPERIENCES FOR NURSE PRACTITIONER AND PHYSICIAN ASSISTANT STUDENTS. IN FISCAL YEAR 2025, SCRIPPS CLINIC MEDICAL GROUP HOSTED 86 PRECEPTORSHIP ROTATIONS FOR NURSE PRACTITIONERS AND PHYSICIAN ASSISTANTS, TOTALING 10,750 HOURS OF COMPLETED TRAINING. SIMILARLY, SCRIPPS COASTAL MEDICAL GROUP PROVIDED 20 PRECEPTORSHIP ROTATIONS, ACCOUNTING FOR 2,154 HOURS OF PRACTICAL LEARNING. THESE EXPERIENCES EMPOWER STUDENTS TO APPLY THEIR THEORETICAL KNOWLEDGE AND CRITICAL THINKING IN A GENUINE HEALTHCARE ENVIRONMENT. SCHOOL COLLABORATIONS AND AFFILIATIONS SCRIPPS COLLABORATES EXTENSIVELY WITH LOCAL EDUCATIONAL INSTITUTIONS, OFFERING STUDENTS VALUABLE EXPOSURE TO HEALTHCARE ROLES ALONGSIDE SCRIPPS PROFESSIONALS. THIS INCLUDES AFFILIATIONS WITH OVER 110 SCHOOLS AND PROGRAMS, BOTH CLINICAL AND NONCLINICAL. AN AFFILIATION AGREEMENT COMMITTEE EVALUATES NEW PARTNERSHIPS TO MEET COMMUNITY AND WORKFORCE NEEDS, ENSURING A SYSTEMIC APPROACH TO STUDENT PLACEMENTS. STUDENT CAREER PATHWAY PROGRAMS SCRIPPS IS DEDICATED TO NURTURING FUTURE HEALTHCARE PROFESSIONALS THROUGH A VARIETY OF YOUTH-ORIENTED INITIATIVES, FOCUSING ON SCHOOL-TO-HEALTH CAREER ACTIVITIES LIKE MENTORING, CAMPS, JOB SHADOWING, HEALTH EDUCATION CLASSES, HEALTH CHATS, SUPPORT GROUPS, AND HEALTH FAIRS. - SCRIPPS SCHOOL TO HEALTH CAREER PATHWAY PROGRAM: ENGAGED YOUTHS IN MENTORING PROGRAMS, HEALTH PROFESSIONAL PRESENTATIONS, SURGERY VIEWINGS, WORK-STUDY PROGRAMS, AND SCRIPPS CAMP. - INTERNSHIPS AND EDUCATIONAL PROGRAMS: SCRIPPS COLLABORATES WITH HIGH SCHOOLS AND COLLEGES TO OFFER STUDENTS OPPORTUNITIES TO EXPLORE HEALTHCARE ROLES AND GAIN HANDS-ON EXPERIENCE. NURSES AND STAFF PLAY KEY ROLES, INTERACTING WITH STUDENTS DAILY. - FAMILY PRACTICE MEDICAL RESIDENTS: MEDICAL RESIDENTS DELIVER INTERACTIVE CLASSROOM PRESENTATIONS ON PUBLIC HEALTH CONCERNS, MEDICALLY FOCUSED TOPICS, AND CONDUCT HANDS-ON CLINICAL SKILLS WORKSHOPS AT LOCAL HIGH SCHOOLS, ENRICHING STUDENTS' UNDERSTANDING OF HEALTHCARE CAREERS AND MEDICAL PRACTICES. HEALTH RESEARCH SCRIPPS HEALTH IS COMMITTED TO PROVIDING THE BEST POSSIBLE PATIENT CARE, AND RESEARCH IS A CRITICAL PART OF THAT MISSION. IN ADDITION TO BRINGING THE LATEST TREATMENTS TO OUR PATIENTS, THE KNOWLEDGE GAINED FROM THESE RESEARCH STUDIES ADVANCES THE QUALITY OF CARE FOR PEOPLE AROUND THE WORLD. SCRIPPS HEALTH PHYSICIANS' STUDY NEW MEDICATIONS AND DEVICES, TRACK PATIENT OUTCOMES FOR YEARS OR EVEN DECADES AND GATHER EVIDENCE FOR SOPHISTICATED EDUCATION AND TREATMENT PROGRAMS. THIS INFORMATION IS THEN DISSEMINATED INTO THE SCRIPPS SYSTEM THROUGH GRADUATE AND CONTINUING MEDICAL EDUCATION AND TO THE SCIENTIFIC COMMUNITY THROUGH PEER-REVIEWED PUBLICATIONS. SCRIPPS HEALTH RESEARCH. DURING FISCAL YEAR 2025 (OCTOBER 2024 TO SEPTEMBER 2025), SCRIPPS INVESTED $5,833,928 IN HEALTH RESEARCH AS IT IS A CRITICAL PART OF OUR MISSION TO PROVIDE THE BEST CARE TO PATIENTS, WITH MANY PROMISING NEW TREATMENTS BEGINNING IN CLINICAL TRIALS. INTERNALLY FUNDED RESEARCH AND RESEARCH FUNDED BY TAX-EXEMPT, OR GOVERNMENT ENTITIES ARE ELIGIBLE FOR REPORTING. CALCULATIONS ARE BASED ON COST, LESS "DIRECT OFFSETTING REVENUE," WHICH INCLUDES ANY REVENUE GENERATED BY THE ACTIVITY OR PROGRAM, SUCH AS PAYMENT OR REIMBURSEMENT FOR SERVICES PROVIDED TO PROGRAM PATIENTS. THESE COSTS ARE INCLUDED IN THE IRS FORM 990 SCHEDULE H PART I 7H. HEALTH OUTCOMES INFORMATION CENTER (HOIC) THE HEALTH OUTCOMES INFORMATION CENTER (HEIC) IS A KNOWLEDGE REPOSITORY FUNDED BY THE KRUEGER-WYETH (KW) AWARD, OFFERING DATA, RESEARCH, AND INSIGHTS ON HEALTH EQUITY. HOIC WAS CREATED IN 2023 TO IDENTIFY AND DEEPEN SCRIPPS UNDERSTANDING OF HEALTH DIFFERENCES IN CLINICAL QUALITY IN THE POPULATIONS SERVED BY SCRIPPS AND ACROSS THE REGION, AND TO SUPPORT SCRIPPS'S EFFORTS TO REDUCE THESE DIFFERENCES. IT IS A COLLECTION OF THE LATEST DATA, ORIGINAL ANALYTICS RESEARCH, AND BUSINESS INTELLIGENCE INFORMATION. IT SERVES AS A RESEARCH AND DEVELOPMENT RESOURCE FOR SCRIPPS GROUPS CURRENTLY PROVIDING EQUITY-FOCUSED CARE AND A SPRINGBOARD TO DEVELOP FUTURE ENTERPRISE HEALTH EQUITY STRATEGIES. THE GOAL IS TO ENHANCE AND SHARE THE COLLECTIVE KNOWLEDGE OF SCRIPPS REGIONAL AND LOCAL EFFORTS TO ADDRESS DIFFERENCES IN CLINICAL QUALITY, AREAS OF NEED AND OPPORTUNITY, AND THE HOLISTIC PROBLEMS AFFECTING PATIENTS IN THEIR COMMUNITIES BEYOND THE WALLS OF OUR HEALTH SYSTEM. HOIC IS SUPPORTED AND MAINTAINED BY THE HEALTH DATA SCIENCE TEAM IN CONJUNCTION WITH OTHER ANALYTICS GROUPS, THE SCRIPPS COLLABORATIVE FOR HEALTH EXCELLENCE (SCHE), AND THE COMMUNITY BENEFITS AND GOVERNMENT RELATIONS TEAMS. SCRIPPS COLLABORATIVE FOR HEALTH EXCELLENCE SCRIPPS COLLABORATIVE FOR HEALTH EXCELLENCE PROVIDES RESEARCH OPPORTUNITIES FOR HEALTH CARE PROFESSIONALS AND MEDICAL TRAINEES INTERESTED IN RESEARCH IN THE AREAS OF BREAST CANCER, CARDIOVASCULAR DISEASE, AND NEUROCOGNITIVE CONDITIONS. THE COLLABORATIVE PROMOTES BETTER HEALTH OUTCOMES THROUGH INITIATIVES AND KEY PROGRAMS THAT ARE FOCUSED ON WORKFORCE DIVERSITY, INCLUSION IN RESEARCH, AND ACCESS TO HIGH-QUALITY, CULTURALLY COMPETENT HEALTH CARE FOR PATIENTS FROM ALL BACKGROUNDS.
FORM 990, PART III, LINE 4A PROGRAM SERVICE ACCOMPLISHMENTS (CONTINUED)	CASH, GRANTS AND IN-KIND CONTRIBUTIONS SCRIPPS PROVIDED $1,027,760 IN CASH, GRANTS AND IN-KIND CONTRIBUTIONS TO COMMUNITY GROUPS AND NONPROFIT ORGANIZATIONS. THESE COSTS ARE INCLUDED IN THE IRS FORM 990 SCHEDULE H PART I LINES 7 I. BELOW IS A SNAPSHOT OF SCRIPPS SPONSORSHIPS IN FY25: - 211 SAN DIEGO CONNECTIONS LUNCHEON: SCRIPPS SPONSORED THE 211 SAN DIEGO LUNCHEON CELEBRATING 20 YEARS OF SERVICE. - AMERICAN HEART ASSOCIATION - GO RED FOR WOMEN LUNCHEON: SPONSORED TO UNITE WOMEN NATIONWIDE IN COMBATING HEART DISEASE AND STROKE, WHILE ADDRESSING LOCAL COMMUNITY NEEDS. - CALIFORNIA HEALTH FOUNDATION AND TRUST: SUPPORTED CHARITABLE HEALTHCARE ACTIVITIES IN HOSPITALS ACROSS CALIFORNIA. - CONSUMER CENTER FOR HEALTH EDUCATION AND ADVOCACY (CCHEA): FUNDED ASSISTANCE FOR LOW-INCOME, UNINSURED SCRIPPS MERCY PATIENTS IN OBTAINING HEALTHCARE BENEFITS, HELPING REDUCE UNCOMPENSATED CARE EXPENSES. - ERIC PAREDES SAVE A LIFE FOUNDATION: PARTNERED TO PREVENT SUDDEN CARDIAC ARREST IN MIDDLE AND HIGH SCHOOL STUDENTS ACROSS SAN DIEGO, PROVIDING GRANTS AND VOLUNTEERS FOR SCREENINGS. - FACILITATING ACCESS TO COORDINATED TRANSPORTATION (FACT): SCRIPPS SPONSORED FACT'S ANNUAL BOARD MEETING AND CONTINUES TO COLLABORATE WITH THE ORGANIZATION TO PROVIDE ON-DEMAND TRANSPORTATION SERVICES FOR PATIENTS. - FAMILY HEALTH CENTERS OF SAN DIEGO - PARTNERSHIP: ENHANCED HEALTHCARE SERVICES FOR UNDERSERVED PATIENTS AT THE INTERNAL MEDICINE OUTPATIENT CLINIC THROUGH A LONG-TERM AGREEMENT. - FAMILY HEALTH CENTERS OF SAN DIEGO - SPIRIT OF THE BARRIO: SPONSORED THIS COMMUNITY EVENT RAISING AWARENESS FOR HEALTHCARE ACCESS IN UNDERSERVED POPULATIONS. - FATHER JOE'S VILLAGES - NUTRITIONAL SUPPLEMENTS: SCRIPPS DONATED 50 CASES OF ENSURE NUTRITIONAL SUPPLEMENT TO SUPPORT RESIDENTS AND CLIENTS SERVED BY FATHER JOE'S VILLAGES. - FATHER JOE'S VILLAGES - SCRIPPS PAY IT FORWARD BLANKET DRIVE: HELD DURING SCRIPPS SPIRIT WEEK, THIS SYSTEMWIDE EFFORT COLLECTED AND DONATED 204 BLANKETS (VALUED AT $5,712) TO SUPPORT INDIVIDUALS EXPERIENCING HOMELESSNESS. DONATIONS WERE DISTRIBUTED THROUGH SHELTERS, DAY CENTERS, AND WEATHER-RESPONSE EVENTS. - FEEDING SAN DIEGO - EMERGENCY MEALS AND WATER: SCRIPPS MAINTAINS AN EMERGENCY SUPPLY OF MEALS AND WATER, REPLENISHING REGULARLY AND DONATING OLDER ITEMS. IN FY25, SCRIPPS DONATED 75 CASES OF WATER VALUED AT $435 TO FEEDING SAN DIEGO. - GREATER LA JOLLA MEALS ON WHEELS: PROVIDED OFFICE SPACE TO SUPPORT MEAL DELIVERIES FOR SENIORS AND INDIVIDUALS WITH DISABILITIES IN LA JOLLA. - HEALTHY START FAMILIES: BIRTH AND BEYOND: PARTNERED WITH GLOBAL COMMUNITIES/HEALTHY START BY PROVIDING SPACE FOR WEEKLY SESSIONS SUPPORTING CULTURALLY SENSITIVE CARE TO IMPROVE MATERNAL AND INFANT HEALTH OUTCOMES. - LA MAESTRA COMMUNITY HEALTH CENTER: DONATED TO SUPPORT LA MAESTRA'S ANNUAL FUNDRAISING EVENT BENEFITING COMMUNITY HEALTH PROGRAMS. - LIFELINE COMMUNITY SERVICES: SPONSORED THE 2025 VIVA LA VIDA! CELEBRATION FOR LIFELINE COMMUNITY SERVICES, WHICH DELIVERS OVER 35 CLINICALLY STRONG, EVIDENCE-BASED PROGRAMS ACROSS SAN DIEGO COUNTY. - MENTAL HEALTH ASSOCIATION OF SAN DIEGO - MEETING OF THE MINDS: SPONSORED THE ANNUAL CONFERENCE SERVING CONSUMERS, PROVIDERS, AND THE BROADER COMMUNITY. - OPERATION RESTORE SIGHT: DONATED OPTICAL LENSES AND SUPPLIES TO SUPPORT SIGHT RESTORATION EFFORTS. - RAD-AID INTERNATIONAL: DONATED BARCO MONITORS-HIGH-RESOLUTION DIAGNOSTIC DISPLAYS USED BY RADIOLOGISTS FOR MAMMOGRAPHY INTERPRETATION-TO ENHANCE RADIOLOGY CAPACITY. - SAN YSIDRO HEALTH CENTER: CONTINUED ANNUAL CORPORATE PARTNERSHIP, INCLUDING SPONSORSHIP OF THE SPRING INTO HEALTH BRUNCH. - THE SAN DIEGO LGBTQIA+ COMMUNITY CENTER: SPONSORED THIS NATIONALLY RECOGNIZED ORGANIZATION PROMOTING LGBTQIA+ HEALTH AND HUMAN RIGHTS, PROVIDING DIVERSE PROGRAMS AND SERVICES INCLUDING HIV SUPPORT. - TURKEY GIVEAWAY AND HEALTH RESOURCE FAIR: SCRIPPS SUPPORTED THE TURKEY GIVEAWAY AND HEALTH RESOURCE FAIR EVENT IN EAST SAN DIEGO DISTRIBUTED 1,000 TURKEYS, ALONG WITH PRODUCE AND SIDES PURCHASED FROM THE SAN DIEGO FOOD BANK AND FEEDING SAN DIEGO, TO PROVIDE COMPLETE THANKSGIVING MEALS TO THE COMMUNITY.
FORM 990, PART III, LINE 4A PROGRAM SERVICE ACCOMPLISHMENTS (CONTINUED)	SUBSIDIZED HEALTH SERVICES SUBSIDIZED HEALTH SERVICES ARE THOSE CLINICAL SERVICES PROVIDED DESPITE A FINANCIAL LOSS TO THE ORGANIZATION, AFTER REMOVING LOSSES ASSOCIATED WITH BAD DEBT, FINANCIAL ASSISTANCE, MEDI-CAL, AND OTHER MEANS-TESTED GOVERNMENT PROGRAMS, TO MEET AN IDENTIFIED COMMUNITY NEED. SCRIPPS INPATIENT BEHAVIORAL IS CATEGORIZED AS SUBSIDIZED HEALTH. THE TOTAL EXPENSE FOR SUBSIDIZED HEALTH SERVICES FOR SCRIPPS FISCAL YEAR 2025 WAS $3,356,919. SUBSIDIZED HEALTH ONLY INCLUDES SCRIPPS INPATIENT BEHAVIORAL HEALTH. SCRIPPS OFFERS INPATIENT ADULT BEHAVIORAL HEALTH SERVICES AT THE SCRIPPS MERCY HOSPITAL, SAN DIEGO CAMPUS. THE SCRIPPS MERCY BEHAVIORAL HEALTH PROGRAM ALSO ACTIVELY SUPPORTS COMMUNITY PROGRAMS TO REDUCE THE STIGMA OF MENTAL ILLNESS AND HELP AFFECTED INDIVIDUALS LIVE AND WORK IN THE COMMUNITY. THESE COSTS ARE INCLUDED IN THE IRS FORM 990 SCHEDULE H PART I LINES 7G. SCRIPPS HEALTH OFFERS INPATIENT BEHAVIORAL HEALTH CARE FOR ADULTS ADMITTED THROUGH OUR EMERGENCY DEPARTMENTS OR URGENT CARE CENTERS. OUR OUTPATIENT BEHAVIORAL HEALTH SERVICES ARE AVAILABLE THROUGH PARTNERSHIPS WITH VARIOUS COMMUNITY ORGANIZATIONS. LIKE MANY BEHAVIORAL HEALTH PROGRAMS NATIONWIDE, FUNDING REMAINS A CHALLENGE, AS PAYMENT RATES HAVE NOT KEPT PACE WITH THE ACTUAL COST OF CARE. IN FISCAL YEAR 2025, THE SCRIPPS MERCY BEHAVIORAL HEALTH PROGRAM REPORTED A TOTAL OPERATIONAL LOSS OF $9.4 MILLION, WITH $5.8 MILLION ATTRIBUTED TO MEDI-CAL, OR OTHER MEANS TESTED GOVERNMENT PROGRAMS AND CHARITY CARE. NOTABLY, 1.2% OF PATIENTS IN THE INPATIENT UNIT WERE UNINSURED, UNDERSCORING THE FINANCIAL PRESSURES FACED BY THESE PROGRAMS. - SCRIPPS MERCY INPATIENT BEHAVIORAL HEALTH SCRIPPS MERCY HOSPITAL OFFERS A 36-BED PSYCHIATRIC ADULT INPATIENT UNIT FOR INDIVIDUALS SUFFERING FROM ACUTE PSYCHIATRIC DISORDERS WHO CANNOT LIVE INDEPENDENTLY OR POSE A DANGER TO THEMSELVES OR OTHERS. THIS PROGRAM HELPS PATIENTS, AND THEIR LOVED ONES WORK THROUGH SHORT-TERM CRISES, MANAGE MENTAL ILLNESS, AND RESUME DAILY LIVES. - OUTPATIENT BEHAVIORAL HEALTH SERVICES PARTNERSHIP WITH FAMILY HEALTH CENTERS OF SAN DIEGO (FHCSD): ESTABLISHED IN 2016, THIS COLLABORATION AIMS TO ENHANCE MENTAL HEALTH CARE FOR MEDI-CAL PATIENTS AT SCRIPPS MERCY HOSPITAL. IT INTEGRATES PRIMARY AND MENTAL HEALTH CARE, PLACING SOCIAL WORKERS AND SUD COUNSELORS IN EMERGENCY DEPARTMENTS TO CONNECT PATIENTS WITH RESOURCES. FHCSD OFFERS OUTPATIENT THERAPY NEAR THE HOSPITAL, WHILE PATIENTS FROM SCRIPPS MERCY CHULA VISTA AND MERCY SAN DIEGO ARE REFERRED FOR HELP WITH BEHAVIORAL HEALTH ISSUES SUCH AS ADDICTION, LOSS, AND ANXIETY, AND OTHER MENTAL HEALTH ISSUES. COMMUNITY BUILDING ACTIVITIES COMMUNITY BUILDING ACTIVITIES SUPPORT COMMUNITY ASSETS BY OFFERING THE EXPERTISE AND RESOURCES OF THE HOSPITAL ORGANIZATION. THESE ACTIVITIES MAY ADDRESS THE ROOT CAUSES OF HEALTH PROBLEMS OR THE DETERMINANTS OF HEALTH, SUCH AS EDUCATION, HOMELESSNESS, POVERTY, AND THE ENVIRONMENT. IN FY25, SCRIPPS INVESTED $534,691 IN COMMUNITY BUILDING ACTIVITIES. THE FOLLOWING ARE THE COMMUNITY BUILDING ACTIVITIES THAT SCRIPPS PARTICIPATED IN. PHYSICAL IMPROVEMENTS / HOUSING - LEADERSHIP RETREAT VOLUNTEER SERVICE DAY: SCRIPPS LEADERS PARTICIPATED IN VOLUNTEER PROJECTS IMPROVING FACILITIES AT NONPROFIT HOMELESS SERVICE PROVIDERS. ECONOMIC DEVELOPMENT - EXECUTIVE LEADERSHIP: COMMUNITY BOARDS AND BUSINESS ORGANIZATIONS: SCRIPPS LEADERS SERVED ON COMMUNITY BOARDS TO ADVOCATE FOR HEALTH AND SAFETY PRIORITIES. - MERCY SAN DIEGO: COMMUNITY BOARDS AND BUSINESS ORGANIZATIONS: SCRIPPS MERCY SAN DIEGO LEADERS ENGAGED WITH LOCAL BUSINESS AND CIVIC GROUPS TO ADVANCE HEALTH AND COMMUNITY WELL-BEING. COMMUNITY SUPPORT - CELEBRANDO LATINAS: SPONSORED THE NATION'S LARGEST SPANISH-LANGUAGE WOMEN'S EMPOWERMENT AND WELLNESS CONFERENCE. - CHICANO FEDERATION: SUPPORTED EVENTS PROMOTING FAMILY, HOUSING, EDUCATION, AND COMMUNITY DEVELOPMENT PROGRAMS. - DISASTER PREPAREDNESS - ACTIVE SHOOTER DRILL: PARTNERED WITH LAW ENFORCEMENT TO CONDUCT AN ACTIVE SHOOTER TRAINING EXERCISE AT SCRIPPS LA JOLLA. - DISASTER PREPAREDNESS - COMMUNITY SUPPORT AND OUTREACH EDUCATION: LED PREPAREDNESS OUTREACH TO STRENGTHEN COMMUNITY READINESS FOR EMERGENCIES. - EQUALITY CALIFORNIA: SPONSORED THE EQUALITY AWARDS RECOGNIZING LEADERSHIP IN ADVANCING LGBTQIA+ CIVIL RIGHTS. - HOSPITAL INCIDENT COMMAND SYSTEM (HICS) NATIONAL ADVISORY COMMITTEE: HOSTED AND PARTICIPATED IN NATIONAL HICS TRAINING TO IMPROVE EMERGENCY RESPONSE CAPACITY. - LGBTQIA+ VICTORY INSTITUTE: SPONSORED LEADERSHIP DEVELOPMENT AND ADVOCACY EVENTS PROMOTING LGBTQIA+ REPRESENTATION. - SAN DIEGO COUNTY ADVISORY GROUPS: SERVED ON ADVISORY GROUPS SUPPORTING COUNTYWIDE DISASTER PREPAREDNESS PLANNING. - SAN DIEGO COUNTY COALITION SURGE TEST: PARTICIPATED IN A REGIONAL EMERGENCY DRILL SIMULATING PEDIATRIC PATIENT SURGE. - SAN DIEGO COUNTY OPERATIONAL AREA FULL-SCALE EXERCISE: JOINED A REGIONAL MASS-CASUALTY PREPAREDNESS EXERCISE WITH HOSPITALS AND FIRST RESPONDERS. - SAN DIEGO HEALTHCARE DISASTER COALITION (SDHDC): COLLABORATED WITH REGIONAL PARTNERS TO STRENGTHEN EMERGENCY PREPAREDNESS AND COORDINATION. - SAN DIEGO LGBT PRIDE INC.: SPONSORED AND PARTICIPATED IN THE ANNUAL SAN DIEGO PRIDE PARADE AND 5K WALK. - SAN DIEGO REGIONAL FULL-SCALE EXERCISE: TOOK PART IN A COUNTYWIDE MEDICAL AND HEALTH EVACUATION DRILL TESTING COMMAND CENTER CAPABILITIES. - SCRIPPS MEDICAL RESPONSE TEAM (SMRT): MAINTAINED A VOLUNTEER EMERGENCY MEDICAL TEAM READY TO DEPLOY FOR STATEWIDE DISASTERS. - THE SAN DIEGO ORGANIZATION OF HEALTHCARE LEADERS (SOHL): SPONSORED THE ANNUAL HEALTHCARE LEADERSHIP AND EDUCATION CONFERENCE. COALITION BUILDING - CHULA VISTA COMMUNITY COLLABORATIVE (CVCC): PARTICIPATED IN MONTHLY COALITION MEETINGS FOCUSED ON COMMUNITY HEALTH, SAFETY, AND EMPOWERMENT. - SOUTH COUNTY ACTION NETWORK (SOCAN): PARTNERED WITH SERVICE PROVIDERS TO IMPROVE CARE AND ADVOCACY FOR OLDER ADULTS AND ADULTS WITH DISABILITIES. COMMUNITY HEALTH IMPROVEMENT ADVOCACY - COMMUNITY ENGAGEMENT PARTNERSHIPS AND ADVISORY BOARDS: GATHERED COMMUNITY INPUT TO INFORM SCRIPPS PROGRAMS AND ENSURE CULTURALLY RESPONSIVE INITIATIVES. WORKFORCE DEVELOPMENT - CRISTO REY WORK STUDY PROGRAM: HOSTED STUDENTS FOR PAID PROFESSIONAL EXPERIENCE IN HOSPITAL DEPARTMENTS TO ENCOURAGE HEALTHCARE CAREERS. - LEGISLATIVE DAY AT SCRIPPS MERCY HOSPITAL CHULA VISTA: ENGAGED LOCAL AND STATE POLICY STAFF IN HANDS-ON LEARNING ABOUT SCRIPPS' COMMUNITY BENEFIT PROGRAMS. - MANA DE SAN DIEGO (MANASD): SPONSORED PROGRAMS SUPPORTING LATINA LEADERSHIP, EDUCATION, AND CAREER ADVANCEMENT. - NORTH COUNTY AFRICAN AMERICAN WOMEN'S ASSOCIATION: SPONSORED SCHOLARSHIPS AND PROGRAMS SUPPORTING WOMEN AND GIRLS PURSUING EDUCATION AND WORKFORCE DEVELOPMENT. - SAN YSIDRO WOMEN'S CENTER: SPONSORED SCHOLARSHIP FUNDRAISING SUPPORTING LOCAL HIGH SCHOOL STUDENTS IN SAN YSIDRO. - SCRIPPS HIGH SCHOOL EXPLORATION INTERNSHIP PROGRAM: HOSTED HIGH SCHOOL STUDENTS FOR HOSPITAL-BASED INTERNSHIPS EXPLORING HEALTHCARE CAREERS. - SCRIPPS SCHOOL TO HEALTH CAREER PATHWAY PROGRAMS: INTRODUCED OVER 2,000 STUDENTS TO HEALTHCARE PROFESSIONS THROUGH MENTORING AND CLASSROOM ENGAGEMENT. - YOUNG LEADERS IN HEALTHCARE PROGRAM: PROVIDED HEALTH CAREER EDUCATION AND LEADERSHIP SESSIONS FOR HIGH SCHOOL STUDENTS IN NORTH COUNTY. ADVANCING HEALTH: PROGRAMS AND SERVICES SCRIPPS HAS BEEN ENGAGED IN A BROAD RANGE OF PROGRAMS AND INITIATIVES THAT PROMOTE BETTER HEALTH FOR PEOPLE THROUGHOUT OUR COMMUNITY FOR MANY YEARS. BELOW ARE SOME EXAMPLES, WITH FURTHER DETAILS ON THESE PROGRAMS IN THE 2026 SCRIPPS COMMUNITY BENEFIT PLAN AND REPORT. - AGING CARE AND SUPPORT: ENHANCE THE HEALTH, SAFETY, AND QUALITY OF LIFE FOR OLDER ADULTS AND INDIVIDUALS WITH AGING-RELATED CONCERNS THROUGH ACCESSIBLE, TARGETED PROGRAMS AND SERVICES. STRATEGIES INCLUDE PROACTIVE MEDICAL AND SOCIAL SUPPORT FOR ADULTS WITH MULTIPLE CHRONIC CONDITIONS, PARTNERSHIPS WITH SENIOR CENTERS, CHURCHES, AND SENIOR HOUSING, AND SENIOR HEALTH CHATS TO PROVIDE EDUCATION TO THE OLDER ADULT COMMUNITY. - BEHAVIORAL HEALTH: REDUCE THE IMPACT OF BEHAVIORAL HEALTH CONDITIONS BY STRENGTHENING THE CONTINUUM OF CARE AND INTEGRATING PRIMARY AND MENTAL HEALTH SERVICES TO IMPROVE PATIENT OUTCOMES. STRATEGIES INCLUDE EXPANDING COMMUNITY-BASED SUPPORT, VOCATIONAL TRAINING, AND INITIATIVES TO REDUCE OPIOID USE AND SUBSTANCE ABUSE. - CANCER: REDUCE THE IMPACT OF CANCER BY EXPANDING ACCESS TO EDUCATION, RESOURCES, AND SUPPORTIVE SERVICES THAT EMPOWER PATIENTS AND THE COMMUNITY. STRATEGIES INCLUDE FREE ONLINE NUTRITION AND FITNESS CLASSES, DIVERSE SUPPORT GROUPS, A DEDICATED WIG BOUTIQUE, AND AN EXTENSIVE RESOURCE LIBRARY.
FORM 990, PART III, LINE 4A PROGRAM SERVICE ACCOMPLISHMENTS (CONTINUED)	- CARDIOVASCULAR DISEASE: REDUCE THE PREVALENCE AND IMPACT OF CARDIOVASCULAR DISEASE, STROKE, AND HYPERTENSION THROUGH PREVENTION, EDUCATION, SCREENINGS, AND WELLNESS PROGRAMS, WHILE SUPPORTING INDIVIDUALS IN MANAGING CHRONIC CONDITIONS. STRATEGIES INCLUDE SUDDEN CARDIAC ARREST (SCA) SCREENINGS, VIRTUAL CARDIAC REHABILITATION, CARDIOMETABOLIC HEALTH EDUCATION, AND INITIATIVES TO IMPROVE FOOD SECURITY. - COMMUNITY OUTREACH: SUPPORT HOMELESS, FOOD-INSECURE, AND LOW-INCOME PATIENTS WHO ARE UNINSURED OR UNDER-INSURED THROUGH PROGRAMS DESIGNED TO SUPPLEMENT THEIR HEALTHCARE AND ADDRESS BROADER LIVING NEEDS. STRATEGIES INCLUDE PROVIDING TARGETED RESOURCES, CONNECTING PATIENTS WITH SUPPORTIVE SERVICES, AND OFFERING PROGRAMS THAT ENHANCE OVERALL HEALTH AND WELL-BEING. - DIABETES: REDUCE THE PREVALENCE AND IMPACT OF DIABETES THROUGH PREVENTION, EARLY DETECTION, QUALITY CARE, AND COMPREHENSIVE MANAGEMENT PROGRAMS, WITH A FOCUS ON VULNERABLE AND UNDERSERVED POPULATIONS. STRATEGIES INCLUDE EXPANDING ACCESS TO EDUCATION, SUPPORTING RESEARCH, AND DELIVERING BOTH IN-PERSON AND VIRTUAL PREVENTION AND MANAGEMENT PROGRAMS. - HEALTH CARE RESEARCH: IDENTIFY HOW TO MEASURE HEALTH OUTCOMES THROUGH THE WORK OF THE SCRIPPS COLLABORATIVE FOR HEALTH EXCELLENCE, RELATED RESEARCH GRANTS, THE HEALTH OUTCOMES CENTER, AND MORE. - MATERNAL CHILD HEALTH AND HIGH-RISK PREGNANCY: PROVIDE PERINATOLOGY SERVICES, HEALTH EDUCATION AND AWARENESS AND OTHER KEY PROGRAMS TO SUPPORT THE HEALTH OF MOTHERS, INFANTS AND FAMILIES. - PROFESSIONAL EDUCATION: STRENGTHEN ACCESS TO CARE AND IMPROVE HEALTH OUTCOMES BY TRAINING FUTURE PHYSICIANS TO PROVIDE HIGH-QUALITY, COMPASSIONATE CARE AND FOSTER MEANINGFUL PARTNERSHIPS WITH UNDERSERVED COMMUNITIES. STRATEGIES INCLUDE SUPPORTING PHYSICIAN TRAINING, CLINICAL RESEARCH, RESIDENCY PROGRAMS, AND CURRICULA FOCUSED ON ADVANCING DIFFERENCES, REDUCING BIAS, AND CARING FOR VULNERABLE POPULATIONS. - YOUTH CAREER PATHWAYS/PIPELINE PROGRAMS: INSPIRE, PREPARE, AND SUSTAIN THE NEXT GENERATION OF HEALTHCARE PROFESSIONALS BY INVESTING IN PROGRAMS THAT PROVIDE EDUCATION, MENTORSHIP, TRAINING, AND CAREER DEVELOPMENT-WHILE SUPPORTING DIVERSITY AND CULTURAL COMPETENCE IN UNDERSERVED COMMUNITIES. STRATEGIES INCLUDE PROMOTING HEALTHCARE CAREERS THROUGH INTERNSHIPS, OUTREACH, SCHOLARS' PROGRAMS, AND RELATED INITIATIVES.
FORM 990, PART VI, LINE 16A JOINT 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 11B REVIEW OF FORM 990 BY 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 LEGAL OFFICE. THE FORM 990 WAS REVIEWED BY THE PRESIDENT, LEGAL COUNSEL, CHIEF FINANCIAL OFFICER, AUDIT & COMPLIANCE COMMITTEE, HUMAN RESOURCES AND COMPENSATION COMMITTEE PRIOR TO FILING. IN ADDITION, A FULL COPY OF THE 990 WAS PROVIDED TO THE BOARD OF TRUSTEES VIA EMAIL IN ADVANCE OF FILING FORM 990 WITH THE IRS.
FORM 990, PART VI, LINE 12C CONFLICT OF INTEREST POLICY	WITHIN 60 DAYS OF HIRE AND ANNUALLY THEREAFTER ALL SUPERVISORS AND ABOVE; ALL EMPLOYEES IN THE SUPPLY CHAIN MANAGEMENT DEPARTMENT, AUDIT & COMPLIANCE SERVICES DEPARTMENT, AND CASE MANAGEMENT DEPARTMENT OR FUNCTION; AND ANY OTHER EMPLOYEE WHO IS IN A POSITION TO REFER PATIENTS THAT ARE FEDERALLY FUNDED HEALTHCARE BENEFICIARIES TO OTHER PROVIDERS AND SERVICES; AND OTHERS AS DETERMINED BY THE CONFLICTS AND BUSINESS PRACTICES REVIEW COMMITTEE WILL BE REQUIRED TO COMPLETE AND SIGN THE CONFLICT OF INTEREST AND CONFLICT OF 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 OF COMMITMENT. SUPERVISORS WILL ASSESS THE SITUATION AND REFER TO THEIR BUSINESS UNIT MANAGEMENT AND/OR THE CONFLICTS AND BUSINESS PRACTICES REVIEW COMMITTEE, AS APPROPRIATE. IN ADDITION, EACH PERSON ENTRUSTED WITH A POSITION OF RESPONSIBILITY IN THE GOVERNANCE AND MANAGEMENT IS REQUIRED TO COMPLETE AND SUBMIT DISCLOSURE STATEMENTS AS FOLLOWS: 1.INITIAL CONFLICT OF INTEREST AND 990 TAX RETURN DISCLOSURE STATEMENT (INITIAL DISCLOSURES) 2.ANNUAL CONFLICT OF INTEREST AND 990 TAX RETURN DISCLOSURE STATEMENT 3.SUBSEQUENT OCCURRENCES REPORTING UPON THE OCCURRENCE OF ANY NEW POTENTIAL CONFLICT OF INTEREST. ACTUAL OR POTENTIAL CONFLICT DISCLOSURES REGARDING EMPLOYEES ARE REVIEWED BY THE CONFLICTS AND BUSINESS PRACTICES REVIEW COMMITTEE. DISCLOSURES REQUIRING MITIGATION ARE DISCUSSED WITH THE BUSINESS UNIT CHIEF EXECUTIVE AND EMPLOYEE'S SUPERVISOR. LEGAL COUNSEL REVIEWS EACH BOARD OF TRUSTEES MEETING AGENDA PRIOR TO THE MEETING AND POTENTIAL CONFLICTS OF INTERESTS ARE IDENTIFIED, CONSIDERED AND AN APPROPRIATE COURSE OF ACTION IS DETERMINED BY THE MEMBER AND LEGAL COUNSEL WITH THE INVOLVEMENT OF THE PRESIDENT AND BOARD CHAIR, WHERE APPROPRIATE. COURSE OF ACTION MAY INCLUDE THE CONFLICTED BOARD MEMBER RECUSING THEMSELVES, ABSTAINING FROM VOTING AND/OR READING A STATEMENT INTO THE BOARD MINUTES REGARDING SUCH CONFLICT. AS IT RELATES TO BOARD OF TRUSTEES, WHEN A DETERMINATION IS THAT AN ACTUAL CONFLICT OF INTEREST EXISTS AND A COVERED INDIVIDUAL IS AN "INTERESTED PERSON" UNDER CALIFORNIA LAW, THE TRANSACTION BEING CONSIDERED WILL COMPLY WITH APPLICABLE STATUTORY REQUIREMENTS TO AVOID PARTICIPATION IN THE DECISION MAKING PROCESS BY THE COVERED INDIVIDUAL. THE MINUTES OF BOARD MEETINGS SHALL DOCUMENT ALL RECUSALS FROM DISCUSSION AND VOTING.
FORM 990, PART VI, LINE 15A PROCESS TO ESTABLISH COMPENSATION OF TOP MANAGEMENT OFFICIAL	OFFICES & POSITIONS FOR WHICH PROCESS WAS USED, & YEAR PROCESS WAS BEGUN PURSUANT TO PROCEDURES REQUIRED BY TAX EQUITY AND FISCAL RESPONSIBILITY ACT OF 1983 (TEFRA), SCRIPPS HEALTH'S PROCEDURES ARE AS FOLLOWS: THE BOARD OF TRUSTEES REVIEWS EXECUTIVE COMPENSATION FOR PRESIDENT/CEO ON AN ANNUAL BASIS UTILIZING COMPARABILITY DATA OBTAINED BY AN EXTERNAL CONSULTANT. IT IS THE PHILOSOPHY OF THE SCRIPPS BOARD OF TRUSTEES TO COMPENSATE THE CORPORATION'S EXECUTIVES FAIRLY RELATIVE TO THE MEDIAN COMPENSATION OF PEER ORGANIZATIONS OF SIMILAR SIZE AND COMPLEXITY, CONSIDERING AND MAKING APPROPRIATE ADJUSTMENTS FOR THE COST OF LIVING IN CALIFORNIA AND OTHER RELEVANT FACTORS. TO ACCOMPLISH THIS, THE BOARD HAS ADOPTED A PHILOSOPHY OF TARGETING EXECUTIVE SALARIES AT APPROXIMATELY THE 65TH PERCENTILE OF A NATIONAL PEER GROUP OF ORGANIZATIONS +8.0% GEOGRAPHIC DIFFERENTIAL AS DETERMINED THROUGH AN INDEPENDENT OUTSIDE CONSULTANT ENGAGED BY THE BOARD AND WILL RELY ON THEIR RECOMMENDATIONS USING A DATABASE OF INDEPENDENTLY COLLECTED DATA. THE PHILOSOPHY STATES: FOR PURPOSES OF EXECUTIVE COMPENSATION COMPARISONS, SCRIPPS WILL USE A NATIONAL PEER GROUP OF MEDICAL DELIVERY SYSTEMS OF SIMILAR REVENUE SIZE AND COMPLEXITY. THE PEER GROUP WILL BE REVIEWED AND APPROVED BY THE HUMAN RESOURCES AND COMPENSATION COMMITTEE. SALARIES ARE TARGETED AT APPROXIMATELY THE 65TH PERCENTILE +8.0% GEOGRAPHIC DIFFERENTIAL OF THE PEER GROUP AND WILL REFLECT THE PERFORMANCE OF THE INDIVIDUAL. TOTAL CASH COMPENSATION IS POSITIONED AT APPROXIMATELY THE 75TH PERCENTILE +8.0% GEOGRAPHIC DIFFERENTIAL OF THE PEER GROUP WHEN MAXIMUM LEVEL INCENTIVES ARE PAID FOR ACHIEVEMENT OF MAXIMUM LEVEL OF PREDETERMINED OBJECTIVES AGREED UPON BY THE BOARD. THE BOARD SELECTS THE 65TH PERCENTILE +8.0% GEOGRAPHIC DIFFERENTIAL FOR BASE COMPENSATION OF PEER GROUP ADJUSTED FOR COST OF LIVING OF URBAN WEST COAST MARKET AT THE 50TH PERCENTILE (I.E. THE 50TH PERCENTILE OF CALIFORNIA MARKET IS THE 65TH PERCENTILE +8.0% GEOGRAPHIC DIFFERENTIAL OF NATIONAL PEER MARKET AS OUR EXECUTIVE RECRUITMENT MARKET IS NATIONAL). ANNUALLY, TOTAL CASH COMPENSATION FOR EACH POSITION WILL NOT EXCEED THE BASE SALARY ESTABLISHED FOR THE PERIOD PLUS THE MAXIMUM INCENTIVE PERCENTAGE PAYOUT ALLOWABLE AS DETERMINED BY THE SCRIPPS MANAGEMENT INCENTIVE PLAN APPROVED BY THE BOARD OF TRUSTEES FOR THE RESPECTIVE POSITION. THE REPORT FROM THE EXTERNAL CONSULTANT ENGAGED TO REVIEW EXECUTIVE COMPENSATION IS PRESENTED TO THE HUMAN RESOURCES AND COMPENSATION COMMITTEE ON AN ANNUAL BASIS AND THE MOST RECENT REPORT WAS REVIEWED ON DECEMBER 04, 2024, JANUARY 25, 2025, AND MARCH 27, 2025. REVIEW AND DISCUSSION OF SUCH REPORT IS DOCUMENTED IN THE MINUTES.
FORM 990, PART VI, LINE 15B PROCESS TO ESTABLISH COMPENSATION OF OTHER EMPLOYEES	OFFICES & POSITIONS FOR WHICH PROCESS WAS USED, & YEAR PROCESS WAS BEGUN PURSUANT TO PROCEDURES REQUIRED BY TAX EQUITY AND FISCAL RESPONSIBILITY ACT OF 1983 (TEFRA), SCRIPPS HEALTH'S PROCEDURES ARE AS FOLLOWS: THE BOARD OF TRUSTEES REVIEWS EXECUTIVE COMPENSATION FOR OFFICERS AND ALL KEY EMPLOYEES ON AN ANNUAL BASIS UTILIZING COMPARABILITY DATA OBTAINED BY AN EXTERNAL CONSULTANT. IT IS THE PHILOSOPHY OF THE SCRIPPS BOARD OF TRUSTEES TO COMPENSATE THE CORPORATION'S EXECUTIVES FAIRLY RELATIVE TO THE MEDIAN COMPENSATION OF PEER ORGANIZATIONS OF SIMILAR SIZE AND COMPLEXITY, CONSIDERING AND MAKING APPROPRIATE ADJUSTMENTS FOR THE COST OF LIVING IN CALIFORNIA AND OTHER RELEVANT FACTORS. TO ACCOMPLISH THIS, THE BOARD HAS ADOPTED A PHILOSOPHY OF TARGETING EXECUTIVE SALARIES AT APPROXIMATELY THE 65TH PERCENTILE OF A NATIONAL PEER GROUP OF ORGANIZATIONS +8.0% GEOGRAPHIC DIFFERENTIAL AS DETERMINED THROUGH AN INDEPENDENT OUTSIDE CONSULTANT ENGAGED BY THE BOARD AND WILL RELY ON THEIR RECOMMENDATIONS USING A DATABASE OF INDEPENDENTLY COLLECTED DATA. THE PHILOSOPHY STATES: FOR PURPOSES OF EXECUTIVE COMPENSATION COMPARISONS, SCRIPPS WILL USE A NATIONAL PEER GROUP OF MEDICAL DELIVERY SYSTEMS OF SIMILAR REVENUE SIZE AND COMPLEXITY. THE PEER GROUP WILL BE REVIEWED AND APPROVED BY THE HUMAN RESOURCES AND COMPENSATION COMMITTEE. SALARIES ARE TARGETED AT APPROXIMATELY THE 65TH PERCENTILE +8.0% GEOGRAPHIC DIFFERENTIAL OF THE PEER GROUP AND WILL REFLECT THE PERFORMANCE OF THE INDIVIDUAL. TOTAL CASH COMPENSATION IS POSITIONED AT APPROXIMATELY THE 75TH PERCENTILE +8.0% GEOGRAPHIC DIFFERENTIAL OF THE PEER GROUP WHEN MAXIMUM LEVEL INCENTIVES ARE PAID FOR ACHIEVEMENT OF MAXIMUM LEVEL OF PREDETERMINED OBJECTIVES AGREED UPON BY THE BOARD. THE BOARD SELECTS THE 65TH PERCENTILE +8.0% GEOGRAPHIC DIFFERENTIAL FOR BASE COMPENSATION OF PEER GROUP ADJUSTED FOR COST OF LIVING OF URBAN WEST COAST MARKET AT THE 50TH PERCENTILE (I.E. THE 50TH PERCENTILE OF CALIFORNIA MARKET IS THE 65TH PERCENTILE +8.0% GEOGRAPHIC DIFFERENTIAL OF NATIONAL PEER MARKET AS OUR EXECUTIVE RECRUITMENT MARKET IS NATIONAL). ANNUALLY, TOTAL CASH COMPENSATION FOR EACH POSITION WILL NOT EXCEED THE BASE SALARY ESTABLISHED FOR THE PERIOD PLUS THE MAXIMUM INCENTIVE PERCENTAGE PAYOUT ALLOWABLE AS DETERMINED BY THE SCRIPPS MANAGEMENT INCENTIVE PLAN APPROVED BY THE BOARD OF TRUSTEES FOR THE RESPECTIVE POSITION. THE REPORT FROM THE EXTERNAL CONSULTANT ENGAGED TO REVIEW EXECUTIVE COMPENSATION IS PRESENTED TO THE HUMAN RESOURCES AND COMPENSATION COMMITTEE ON AN ANNUAL BASIS AND THE MOST RECENT REPORT WAS REVIEWED ON DECEMBER 04, 2024, JANUARY 25, 2025, AND MARCH 27, 2025. REVIEW AND DISCUSSION OF SUCH REPORT IS DOCUMENTED IN THE MINUTES.
FORM 990, PART VI, LINE 19 REQUIRED DOCUMENTS AVAILABLE TO THE PUBLIC	FINANCIAL STATEMENTS ARE POSTED QUARTERLY ON THE DAC (DIGITAL ASSURANCE CERTIFICATION) WEBSITE AND THE MUNICIPAL SECURITIES RULEMAKING BOARD'S (MSRB) ELECTRONIC MUNICIPAL MARKET ACCESS (EMMA) WEBSITE IN SATISFACTION OF CONTINUING DISCLOSURE REQUIREMENTS RELATING TO THE ORGANIZATION'S TAX-EXEMPT DEBT ISSUANCES. THE AUDITED FINANCIAL STATEMENTS ARE ALSO ATTACHED TO THIS FORM 990, IN ACCORDANCE WITH THE IRS INSTRUCTIONS. SCRIPPS HEALTH'S CONFLICT OF INTEREST POLICY IS AVAILABLE UPON REQUEST.
FORM 990, PART VIII, LINE 2F OTHER PROGRAM SERVICE REVENUE	OTHER REVENUE - TOTAL REVENUE: 20204770, RELATED OR EXEMPT FUNCTION REVENUE: 19790667, UNRELATED BUSINESS REVENUE: 414103, REVENUE EXCLUDED FROM TAX UNDER SECTIONS 512, 513, OR 514: ; RENTAL INCOME - MOB - TOTAL REVENUE: 14183879, RELATED OR EXEMPT FUNCTION REVENUE: 14183879, UNRELATED BUSINESS REVENUE: , REVENUE EXCLUDED FROM TAX UNDER SECTIONS 512, 513, OR 514: ;
FORM 990, PART IX, LINE 11G OTHER FEES	PHYS FEES-PROVIDER SVS AGRMENT - TOTAL EXPENSE: XXX-XX-XXXX, PROGRAM SERVICE EXPENSE: XXX-XX-XXXX, MANAGEMENT AND GENERAL EXPENSES: , FUNDRAISING EXPENSES: ; OTHER PURCHASED SVS - NON MED - TOTAL EXPENSE: 88288612, PROGRAM SERVICE EXPENSE: 77612039, MANAGEMENT AND GENERAL EXPENSES: 10324039, FUNDRAISING EXPENSES: 352534; PHYSICIAN FEES - TOTAL EXPENSE: XXX-XX-XXXX, PROGRAM SERVICE EXPENSE: XXX-XX-XXXX, MANAGEMENT AND GENERAL EXPENSES: 85635, FUNDRAISING EXPENSES: ; PURCHASED MEDICAL SERVICES - TOTAL EXPENSE: 32979686, PROGRAM SERVICE EXPENSE: 32979686, MANAGEMENT AND GENERAL EXPENSES: , FUNDRAISING EXPENSES: ; - TOTAL EXPENSE: , PROGRAM SERVICE EXPENSE: , MANAGEMENT AND GENERAL EXPENSES: , FUNDRAISING EXPENSES: ;
FORM 990, PART XI, LINE 9 OTHER CHANGES IN NET ASSETS OR FUND BALANCES	CHANGE IN VALUE OF DEFERRED GIFTS - 11236050; JOINT VENTURE DISTRIBUTION - 957283; OTHER CHANGES IN NET ASSETS - -343998; ROUNDING - -2777; OTHER - 8242000; TOTAL - 20088558;

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp (13 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Total IncomeTotalIncomeAmt	End Of Year AssetsEndOfYearAssetsAmt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Address Line2USAddress/AddressLine2Txt
SCRIPPS CLINIC BILLING LLC
4555 EXECUTIVE DR	SAN DIEGO	CA	92121	870797749	HLTHCR ADMIN	CA	$662,289,316	$0	SCRIPPS HLTH
SCRIPPS MERCY BILLING LLC
4555 EXECUTIVE DR	SAN DIEGO	CA	92121	870737748	HLTHCR ADMIN	CA	$94,449,390	$0	SCRIPPS HLTH
IMAGING HEALTHCARE SPECIALISTS LLC
4555 EXECUTIVE DR	SAN DIEGO	CA	92121	203872122	MED IMAGING	CA	$63,210,363	$53,520,947	IHS HOLDING
SCRIPPS HOSPITAL MEDICAL BILLING SERVICES LLC
4555 EXECUTIVE DR	SAN DIEGO	CA	92121	611677183	HLTHCR ADMIN	CA	$9,867,519	$0	SCRIPPS HLTH
SCRIPPS CARDIO&THORACTIC SURGERY BILLING
4555 EXECUTIVE DR	SAN DIEGO	CA	92121	270620996	HLTHCR ADMIN	CA	$6,887,671	$0	SCRIPPS HLTH
MAXWELL H & MURIEL GLUCK CHILD CARE CTR
4555 EXECUTIVE DR	SAN DIEGO	CA	92121	831953045	CHILDCARE	CA	$2,446,695	$1,741,449	SCRIPPS HLTH
SCRIPPS ACCOUNTABLE CARE ORGANIZATION
4555 EXECUTIVE DR	SAN DIEGO	CA	92121	364837442	HLTHCR ADMIN	CA	$2,152,236	$4,801,339	SCRIPPS HLTH
SCRIPPS ASC MANAGEMENT LLC
4555 EXECUTIVE DR	SAN DIEGO	CA	92121	831187975	HLTHCR ADMIN	CA	$0	$0	SCRIPPS HLTH
IHS HOLDING COMPANY LLC
4555 EXECUTIVE DR	SAN DIEGO	CA	92121	473437677	HLTHCR ADMIN	CA	$0	$35,778,368	SCRIPPS HLTH
SCRIPPS BEHAVIORAL HEALTH LLC
4555 EXECUTIVE DR	SAN DIEGO	CA	92121	834326624	HLTHCR ADMIN	CA	$0	$0	SCRIPPS HLTH
SCRIPPS HOME HEALTH & HOSPICE VENTURE
4555 EXECUTIVE DR	SAN DIEGO	CA	92121	841894278	HOME HEALTH/HOSPICE	CA	$1,160,538	$0	SCRIPPS HLTH
CARMEL VALLEY RISK MANAGEMENT LLC
677 ALA MOANA BOULEVARD	HONOLULU	HI	96813	322842914	INSURANCE CAPTIVE	HI	$22,794,000	$0	SCRIPPS HEALTH	SUITE 316
LA JOLLA COVE RISK MANAGEMENT LLC
677 ALA MOANA BOULEVARD	HONOLULU	HI	96813	332813400	INSURANCE CAPTIVE	HI	$0	$527,258	SCRIPPS HEALTH	SUITE 316

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp

Disregarded Entity Name DisregardedEntityName

Field	Value	IRS element (for citing)
Business Name Line1	SCRIPPS HEALTH PLAN SERVICES INC	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	10790 RANCHO BERNARDO RD	AddressLine1Txt
City	SAN DIEGO	CityNm
State Abbreviation	CA	StateAbbreviationCd
ZIP	92127	ZIPCd

Field	Value	IRS element (for citing)
EIN	330782099	EIN
Primary Activities	HLTHCARE SVCS	PrimaryActivitiesTxt
Legal Domicile State	CA	LegalDomicileStateCd
Exempt Code Section	501(C)(3)	ExemptCodeSectionTxt
Public Charity Status	TYPE I	PublicCharityStatusTxt

Direct Controlling Entity Name DirectControllingEntityName

Field	Value	IRS element (for citing)
Business Name Line1	SCRIPPS HEALTH	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Controlled Organization	Yes (true)	ControlledOrganizationInd

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (5 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Predominant Income TypePredominantIncomeTypeTxt	Share Of Total IncomeShareOfTotalIncomeAmt	Share Of EOY AssetsShareOfEOYAssetsAmt	Disproportionate AllocationsDisproportionateAllocationsInd	General Or Managing PartnerGeneralOrManagingPartnerInd	OwnershipOwnershipPct
SCRIPPS ENCINITAS SURGERY CTR
15305 DALLAS PKWY STE 1600 LB 28	ADDISON	TX	75001	205942958	AMBUL SURGERY CTR	CA	SCRIPPS HEALTH	RELATED	$5,058,859	$2,395,084	false	false	0.575
SCRIPPSUSP SURGERY CTR
15305 DALLAS PKWY STE 1600 LB 28	ADDISON	TX	75001	205942911	AMBUL SURGERY CTR	CA	NA	RELATED	$147,955	$887,855	false	false	0.5
SCRIPPS MERCY AMBUL SURG CTR
4555 EXECUTIVE DR	SAN DIEGO	CA	92121	450503246	AMBUL SURGERY CTR	CA	SCRIPPS HEALTH	RELATED	$8,290,115	$3,561,855	false	Yes (true)	0.825
SCRIPPS MEMORIAL XIMED MED CTR
9850 GENESEE AVE STE 900	LA JOLLA	CA	92037	330475481	REAL ESTATE	CA	SCRIPPS HEALTH	RELATED	$212,360	$2,264,237	false	Yes (true)	0.1031
VIBRA HOSPITAL OF SAN DIEGO LLC
4714 GETTYSBURG ROAD	MECHANICSBURG	PA	10755	261466122	LT ACUTE CARE	DE	SCRIPPS HEALTH	RELATED	-$84,595	$11,700,111	false	false	0.245

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (2 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Entity TypeEntityTypeTxt	Controlled OrganizationControlledOrganizationInd
CHARITABLE REMAINDER TRUST (27)
4555 EXECUTIVE DR	SAN DIEGO	CA	92121	HOSPITAL SUPPORT	CA	NA	TRUST	Yes (true)
CHARITABLE LEAD TRUST (1)
				HOSPITAL SUPPORT	CA	NA	TRUST	Yes (true)

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	Yes (true)	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	false	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	false	GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org	false	LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org	false	LoansOrGuaranteesFromOthOrgInd
Div Related Organization	false	DivRelatedOrganizationInd
Asset Sale To Other Org	false	AssetSaleToOtherOrgInd
Asset Purchase From Other Org	false	AssetPurchaseFromOtherOrgInd
Asset Exchange	false	AssetExchangeInd
Rental Of Facilities To Oth Org	Yes (true)	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	false	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	Yes (true)	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	Yes (true)	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	Yes (true)	SharingOfFacilitiesInd
Paid Employees Sharing	false	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	false	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	Yes (true)	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	false	TransferToOtherOrgInd
Transfer From Other Org	false	TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (7 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
SCRIPPS ENCINITAS SURGERY CENTER
A	$424,274	ACCRUAL
SCRIPPS MERCY AMBULATORY SURGERY CENTER
A	$241,885	ACCRUAL
SCRIPPS HEALTH PLAN SERVICES
J	$121,470	ACCRUAL
SCRIPPS HEALTH PLAN SERVICES
L	$281,327,462	ACCRUAL
SCRIPPS HEALTH PLAN SERVICES
M	$58,746,349	ACCRUAL
SCRIPPS HEALTH PLAN SERVICES
Q	$25,100,574	ACCRUAL
SCRIPPS HEALTH PLAN SERVICES
N	$123,765	FMV