Form990


Department of the TreasuryInternal Revenue Service
Return of Organization Exempt From Income Tax
Under section 501(c), 527, or 4947(a)(1) of the Internal Revenue Code (except private foundations)
Do not enter social security numbers on this form as it may be made public.
Go to www.irs.gov/Form990 for instructions and the latest information.
OMB No. 1545-0047
2024
Open to Public Inspection
A For the 2024 calendar year, or tax year beginning 10-01-2024 , and ending 09-30-2025
BCheck if applicable:
CName of organization
SCRIPPS HEALTH
 
 
Doing business as
 
 
Number and street (or P.O. box if mail is not delivered to street address)
4555 EXECUTIVE DR
 
Room/suite
City or town, state or province, country, and ZIP or foreign postal code
SAN DIEGO, CA92121
D Employer identification number

95-1684089
E Telephone number

G Gross receipts $ 7,132,894,446
F Name and address of principal officer:
CHRISTOPHER VAN GORDER
4555 EXECUTIVE DR
SAN DIEGO,CA92121
I
Tax-exempt status: (   ) (insert no.) or
J
Website:
WWW.SCRIPPS.ORG
H(a)
Is this a group return for
subordinates?
H(b)
Are all subordinates
included?
If "No," attach a list. See instructions.
H(c)
Group exemption number  
K Form of organization:  
L Year of formation: 1924
M State of legal domicile: CA
Part I
Summary
Activities & Governance 1 Briefly describe the organization’s mission or most significant activities: 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)
2 Check this box
3 Number of voting members of the governing body (Part VI, line 1a) ........ 3 16
4 Number of independent voting members of the governing body (Part VI, line 1b) ..... 4 15
5 Total number of individuals employed in calendar year 2024 (Part V, line 2a) ...... 5 20,217
6 Total number of volunteers (estimate if necessary) ............. 6 2,520
7a Total unrelated business revenue from Part VIII, column (C), line 12 ........ 7a 15,753,003
b Net unrelated business taxable income from Form 990-T, Part I, line 11 ......... 7b 438,952
Revenues Prior Year Current Year
8 Contributions and grants (Part VIII, line 1h) ......... 43,068,436 67,400,850
9 Program service revenue (Part VIII, line 2g) ......... 4,574,697,762 4,584,021,245
10 Investment income (Part VIII, column (A), lines 3, 4, and 7d ) .... 123,981,850 356,155,050
11 Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e) 127,717,495 126,978,508
12 Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12) 4,869,465,543 5,134,555,653
Expenses; 13 Grants and similar amounts paid (Part IX, column (A), lines 1–3 )... 1,507,500 997,683
14 Benefits paid to or for members (Part IX, column (A), line 4).....   0
15 Salaries, other compensation, employee benefits (Part IX, column (A), lines 5–10) 2,010,509,221 2,114,257,295
16a Professional fundraising fees (Part IX, column (A), line 11e) ..... 0 0
b Total fundraising expenses (Part IX, column (D), line 25) 8,719,596    
17 Other expenses (Part IX, column (A), lines 11a–11d, 11f–24e).... 2,513,892,493 2,580,407,382
18 Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25) 4,525,909,214 4,695,662,360
19 Revenue less expenses. Subtract line 18 from line 12....... 343,556,329 438,893,293
Net Assets or Fund Balances; Beginning of Current Year End of Year
20 Total assets (Part X, line 16)............. 9,124,382,316 9,647,312,670
21 Total liabilities (Part X, line 26)............. 3,089,779,778 2,924,383,026
22 Net assets or fund balances. Subtract line 21 from line 20..... 6,034,602,538 6,722,929,644
Part II
Signature Block
Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief, it is true, correct, and complete. Declaration of preparer (other than officer) is based on all information of which preparer has any knowledge.
Sign Here
Signature of officer Date
Type or print name and title
Paid Preparer Use Only
Print/Type preparer's name
Preparer's signature
Date
PTIN
Firm's name

Firm's EIN
Firm's address



Phone no.
May the IRS discuss this return with the preparer shown above? See Instructions. ..........
For Paperwork Reduction Act Notice, see the separate instructions.
Cat. No. 11282Y Form 990 (2024)
Form 990 (2024)
Page 2
Part III
Statement of Program Service Accomplishments
Check if Schedule O contains a response or note to any line in this Part III..............
1
Briefly describe the organization’s mission: SEE SCHEDULE O
2
Did the organization undertake any significant program services during the year which were not listed on
the prior Form 990 or 990-EZ? .....................
If "Yes," describe these new services on Schedule O.
3
Did the organization cease conducting, or make significant changes in how it conducts, any program
services? ...........................
If "Yes," describe these changes on Schedule O.
4
Describe the organization’s program service accomplishments for each of its three largest program services, as measured by expenses. Section 501(c)(3) and 501(c)(4) organizations are required to report the amount of grants and allocations to others, the total expenses, and revenue, if any, for each program service reported.
4a (Code:   ) (Expenses $ 4,256,539,300 including grants of $ 997,683 ) (Revenue $ 4,688,544,301 )
SEE SCHEDULE O.
4b (Code:   ) (Expenses $ 1,771,662 including grants of $ 0 ) (Revenue $ 2,590,335 )
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.
4c (Code:   ) (Expenses $   including grants of $   ) (Revenue $   )
4d Other program services (Describe in Schedule O.)
(Expenses $   including grants of $   ) (Revenue $   )
4e Total program service expenses4,258,310,962
Form 990 (2024)
Form 990 (2024)
Page 3
Part IV
Checklist of Required Schedules
Yes
No
1
Is the organization described in section 501(c)(3) or 4947(a)(1) (other than a private foundation)? If "Yes," complete Schedule AClick to see attachment
List of Attached Documents:
// Content
.....................
1
Yes
 
2
Is the organization required to complete Schedule B, Schedule of Contributors? See instructions. Click to see attachment
List of Attached Documents:
// Content
...
2
Yes
 
3
Did the organization engage in direct or indirect political campaign activities on behalf of or in opposition to candidates for public office? If "Yes," complete Schedule C, Part I.............
3
 
No
4
Section 501(c)(3) organizations. Did the organization engage in lobbying activities, or have a section 501(h) election in effect during the tax year? If "Yes," complete Schedule C, Part IIClick to see attachment
List of Attached Documents:
// Content
.........
4
Yes
 
5
Is the organization a section 501(c)(4), 501(c)(5), or 501(c)(6) organization that receives membership dues, assessments, or similar amounts as defined in Rev. Proc. 98-19? If "Yes," complete Schedule C, Part IIIClick to see attachment
List of Attached Documents:
// Content
..
5
 
No
6
Did the organization maintain any donor advised funds or any similar funds or accounts for which donors have the right to provide advice on the distribution or investment of amounts in such funds or accounts? If "Yes," complete Schedule D, Part I.........................
6
 
No
7
Did the organization receive or hold a conservation easement, including easements to preserve open space,
the environment, historic land areas, or historic structures? If "Yes," complete Schedule D, Part IIClick to see attachment
List of Attached Documents:
// Content
....
7
Yes
 
8
Did the organization maintain collections of works of art, historical treasures, or other similar assets? If "Yes,"
complete Schedule D, Part IIIClick to see attachment
List of Attached Documents:
// Content
..............
8
Yes
 
9
Did the organization report an amount in Part X, line 21 for escrow or custodial account liability; serve as a custodian for amounts not listed in Part X; or provide credit counseling, debt management, credit repair, or debt negotiation services? If "Yes," complete Schedule D, Part IV..............
9
 
No
10
Did the organization, directly or through a related organization, hold assets in temporarily restricted endowments, permanent endowments, or quasi endowments? If "Yes," complete Schedule D, Part VClick to see attachment
List of Attached Documents:
// Content
......
10
Yes
 
11
If the organization’s answer to any of the following questions is "Yes," then complete Schedule D, Parts VI, VII, VIII, IX, or X, as applicable.
a
Did the organization report an amount for land, buildings, and equipment in Part X, line 10? If "Yes," complete
Schedule D, Part VI. Click to see attachment
List of Attached Documents:
// Content
...................
11a
Yes
 
b
Did the organization report an amount for investments—other securities in Part X, line 12 that is 5% or more of its total assets reported in Part X, line 16? If "Yes," complete Schedule D, Part VIIClick to see attachment
List of Attached Documents:
// Content
.......
11b
Yes
 
c
Did the organization report an amount for investments—program related in Part X, line 13 that is 5% or more of its total assets reported in Part X, line 16? If "Yes," complete Schedule D, Part VIII.......
11c
 
No
d
Did the organization report an amount for other assets in Part X, line 15 that is 5% or more of its total assets reported in Part X, line 16? If "Yes," complete Schedule D, Part IX............
11d
 
No
e
Did the organization report an amount for other liabilities in Part X, line 25? If "Yes," complete Schedule D, Part XClick to see attachment
List of Attached Documents:
// Content
11e
Yes
 
f
Did the organization’s separate or consolidated financial statements for the tax year include a footnote that addresses the organization’s liability for uncertain tax positions under FIN 48 (ASC 740)? If "Yes," complete Schedule D, Part XClick to see attachment
List of Attached Documents:
// Content
11f
Yes
 
12a
Did the organization obtain separate, independent audited financial statements for the tax year? If "Yes," complete
Schedule D, Parts XI and XII......................
12a
 
No
b
Was the organization included in consolidated, independent audited financial statements for the tax year? If "Yes," and if the organization answered "No" to line 12a, then completing Schedule D, Parts XI and XII is optional Click to see attachment
List of Attached Documents:
// Content
12b
Yes
 
13
Is the organization a school described in section 170(b)(1)(A)(ii)? If "Yes," complete Schedule E
13
 
No
14a
Did the organization maintain an office, employees, or agents outside of the United States? .....
14a
Yes
 
b
Did the organization have aggregate revenues or expenses of more than $10,000 from grantmaking, fundraising, business, investment, and program service activities outside the United States, or aggregate foreign investments valued at $100,000 or more? If "Yes," complete Schedule F, Parts I and IV.........Click to see attachment
List of Attached Documents:
// Content
14b
Yes
 
15
Did the organization report on Part IX, column (A), line 3, more than $5,000 of grants or other assistance to or for any foreign organization? If “Yes,” complete Schedule F, Parts II and IV.....
15
 
No
16
Did the organization report on Part IX, column (A), line 3, more than $5,000 of aggregate grants or other assistance to or for foreign individuals? If “Yes,” complete Schedule F, Parts III and IV...
16
 
No
17
Did the organization report a total of more than $15,000 of expenses for professional fundraising services on Part IX, column (A), lines 6 and 11e? If "Yes," complete Schedule G, Part I. See instructions. ....
17
 
No
18
Did the organization report more than $15,000 total of fundraising event gross income and contributions on Part VIII, lines 1c and 8a? If "Yes," complete Schedule G, Part II............ Click to see attachment
List of Attached Documents:
// Content
18
Yes
 
19
Did the organization report more than $15,000 of gross income from gaming activities on Part VIII, line 9a? If "Yes," complete Schedule G, Part III...................
19
 
No
20a
Did the organization operate one or more hospital facilities? If "Yes," complete Schedule H....Click to see attachment
List of Attached Documents:
// Content
20a
Yes
 
b
If "Yes" to line 20a, did the organization attach a copy of its audited financial statements to this return? Click to see attachment
List of Attached Documents:
// Content
20b
Yes
 
21
Did the organization report more than $5,000 of grants or other assistance to any domestic organization or domestic government on Part IX, column (A), line 1? If “Yes,” complete Schedule I, Parts I and II.....Click to see attachment
List of Attached Documents:
// Content
21
Yes
 
Form 990 (2024)
Form 990 (2024)
Page 4
Part IV
Checklist of Required Schedules (continued)
Yes
No
22
Did the organization report more than $5,000 of grants or other assistance to or for domestic individuals on Part IX, column (A), line 2? If “Yes,” complete Schedule I, Parts I and III........
22
 
No
23
Did the organization answer "Yes" to Part VII, Section A, line 3, 4, or 5, about compensation of the organization’s current and former officers, directors, trustees, key employees, and highest compensated employees? If "Yes," complete Schedule J....................... Click to see attachment
List of Attached Documents:
// Content
23
Yes
 
24a
Did the organization have a tax-exempt bond issue with an outstanding principal amount of more than $100,000 as of the last day of the year, that was issued after December 31, 2002? If “Yes,” answer lines 24b through 24d and complete Schedule K. If “No,” go to line 25a...............Click to see list of attachments
List of Attached Documents:
// Content
24a
Yes
 
b
Did the organization invest any proceeds of tax-exempt bonds beyond a temporary period exception?...
24b
 
No
c
Did the organization maintain an escrow account other than a refunding escrow at any time during the year
to defease any tax-exempt bonds? ...............
24c
 
No
d
Did the organization act as an "on behalf of" issuer for bonds outstanding at any time during the year?...
24d
 
No
25a
Section 501(c)(3), 501(c)(4), and 501(c)(29) organizations. Did the organization engage in an excess benefit transaction with a disqualified person during the year? If "Yes," complete Schedule L, Part I ....
25a
 
No
b
Is the organization aware that it engaged in an excess benefit transaction with a disqualified person in a prior year, and that the transaction has not been reported on any of the organization’s prior Forms 990 or 990-EZ? If "Yes," complete Schedule L, Part I.......................
25b
 
No
26
Did the organization report any amount on Part X, line 5 or 22 for receivables from or payables to any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons? If "Yes," complete Schedule L, Part IIClick to see attachment
List of Attached Documents:
// Content
...........
26
Yes
 
27
Did the organization provide a grant or other assistance to any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or employee thereof, a grant selection committee member, or to a 35% controlled entity (including an employee thereof) or family member of any of these persons?
If "Yes," complete
Schedule L, Part III.........................
27
 
No
28
Was the organization a party to a business transaction with one of the following parties (see the Schedule L, Part IV instructions for applicable filing thresholds, conditions, and exceptions):
a
A current or former officer, director, trustee, key employee, creator or founder, or substantial contributor? If "Yes," complete Schedule L, Part IV......................
28a
 
No
b
A family member of any individual described in line 28a? If "Yes," complete Schedule L, Part IV.....Click to see attachment
List of Attached Documents:
// Content
28b
Yes
 
c
A 35% controlled entity of one or more individuals and/or organizations described in line 28a or 28b? If "Yes," complete Schedule L, Part IV..................... Click to see attachment
List of Attached Documents:
// Content
28c
Yes
 
29
Did the organization receive more than $25,000 in non-cash contributions? If "Yes," complete Schedule M..Click to see attachment
List of Attached Documents:
// Content
29
Yes
 
30
Did the organization receive contributions of art, historical treasures, or other similar assets, or qualified conservation contributions? If "Yes," complete Schedule M .................
30
 
No
31
Did the organization liquidate, terminate, or dissolve and cease operations? If "Yes," complete Schedule N, Part I
31
 
No
32
Did the organization sell, exchange, dispose of, or transfer more than 25% of its net assets? If "Yes," complete Schedule N, Part II........................
32
 
No
33
Did the organization own 100% of an entity disregarded as separate from the organization under Regulations sections 301.7701-2 and 301.7701-3? If "Yes," complete Schedule R, Part I............Click to see attachment
List of Attached Documents:
// Content
33
Yes
 
34
Was the organization related to any tax-exempt or taxable entity? If "Yes," complete Schedule R, Part II, III, or IV, and Part V, line 1.........................Click to see attachment
List of Attached Documents:
// Content
34
Yes
 
35a
Did the organization have a controlled entity within the meaning of section 512(b)(13)?
35a
Yes
 
b
If ‘Yes’ to line 35a, did the organization receive any payment from or engage in any transaction with a controlled entity within the meaning of section 512(b)(13)? If "Yes," complete Schedule R, Part V, line 2 ...Click to see attachment
List of Attached Documents:
// Content
35b
Yes
 
36
Section 501(c)(3) organizations. Did the organization make any transfers to an exempt non-charitable related organization? If "Yes," complete Schedule R, Part V, line 2.............
36
 
No
37
Did the organization conduct more than 5% of its activities through an entity that is not a related organization and that is treated as a partnership for federal income tax purposes? If "Yes," complete Schedule R, Part VI
37
 
No
38
Did the organization complete Schedule O and provide explanations on Schedule O for Part VI, lines 11b and 19? Note. All Form 990 filers are required to complete Schedule O. ............
38
Yes
 
Part V
Statements Regarding Other IRS Filings and Tax Compliance
Check if Schedule O contains a response or note to any line in this Part V...........
Yes
No
1a
Enter the number reported in box 3 of Form 1096. Enter -0- if not applicable ..
1a
834
b
Enter the number of Forms W-2G included on line 1a. Enter -0- if not applicable .
1b
0
c
Did the organization comply with backup withholding rules for reportable payments to vendors and reportable gaming (gambling) winnings to prize winners? ..................
1c
Yes
 
Form 990 (2024)
Form 990 (2024)
Page 5
Part V
Statements Regarding Other IRS Filings and Tax Compliance (continued)
2a
Enter the number of employees reported on Form W-3, Transmittal of Wage and
Tax Statements, filed for the calendar year ending with or within the year covered by this return ..................
2a
20,217
b
If at least one is reported on line 2a, did the organization file all required federal employment tax returns?
2b
Yes
 
3a
Did the organization have unrelated business gross income of $1,000 or more during the year?...
3a
Yes
 
b
If “Yes,” has it filed a Form 990-T for this year? If “No” to line 3b, provide an explanation in Schedule O...
3b
Yes
 
4a
At any time during the calendar year, did the organization have an interest in, or a signature or other authority over, a financial account in a foreign country (such as a bank account, securities account, or other financial account)? ..
4a
 
No
b
If "Yes," enter the name of the foreign country:
See instructions for filing requirements for FinCEN Form 114, Report of Foreign Bank and Financial Accounts (FBAR).
5a
Was the organization a party to a prohibited tax shelter transaction at any time during the tax year? ..
5a
 
No
b
Did any taxable party notify the organization that it was or is a party to a prohibited tax shelter transaction?
5b
 
No
c
If "Yes," to line 5a or 5b, did the organization file Form 8886-T? ............
5c
 
 
6a
Does the organization have annual gross receipts that are normally greater than $100,000, and did the organization solicit any contributions that were not tax deductible as charitable contributions? ...
6a
 
No
b
If "Yes," did the organization include with every solicitation an express statement that such contributions or gifts were not tax deductible? ......................
6b
 
 
7
Organizations that may receive deductible contributions under section 170(c).
a
Did the organization receive a payment in excess of $75 made partly as a contribution and partly for goods and services provided to the payor? ....................
7a
Yes
 
b
If "Yes," did the organization notify the donor of the value of the goods or services provided? .....
7b
Yes
 
c
Did the organization sell, exchange, or otherwise dispose of tangible personal property for which it was required to file Form 8282? .........................
7c
 
No
d
If "Yes," indicate the number of Forms 8282 filed during the year ....
7d
 
e
Did the organization receive any funds, directly or indirectly, to pay premiums on a personal benefit contract?
7e
 
No
f
Did the organization, during the year, pay premiums, directly or indirectly, on a personal benefit contract? ..
7f
 
No
g
If the organization received a contribution of qualified intellectual property, did the organization file Form 8899 as required? ......................
7g
 
 
h
If the organization received a contribution of cars, boats, airplanes, or other vehicles, did the organization file a Form 1098-C? ..........................
7h
 
 
8
Sponsoring organizations maintaining donor advised funds. Did a donor advised fund maintained by the sponsoring organization have excess business holdings at any time during the year? ........
8
 
 
9
Sponsoring organizations maintaining donor advised funds.
a
Did the sponsoring organization make any taxable distributions under section 4966?........
9a
 
 
b
Did the sponsoring organization make a distribution to a donor, donor advisor, or related person?...
9b
 
 
10
Section 501(c)(7) organizations. Enter:
a
Initiation fees and capital contributions included on Part VIII, line 12 ...
10a
 
b
Gross receipts, included on Form 990, Part VIII, line 12, for public use of club facilities
10b
 
11
Section 501(c)(12) organizations. Enter:
a
Gross income from members or shareholders .........
11a
 
b
Gross income from other sources. (Do not net amounts due or paid to other sources against amounts due or received from them.) ..........
11b
 
12a
Section 4947(a)(1) non-exempt charitable trusts. Is the organization filing Form 990 in lieu of Form 1041?
12a
 
 
b
If "Yes," enter the amount of tax-exempt interest received or accrued during the year.
12b
 
13
Section 501(c)(29) qualified nonprofit health insurance issuers.
a
Is the organization licensed to issue qualified health plans in more than one state? .........
Note. See the instructions for additional information the organization must report on Schedule O.
13a
 
 
b
Enter the amount of reserves the organization is required to maintain by the states in which the organization is licensed to issue qualified health plans ....
13b
 
c
Enter the amount of reserves on hand ............
13c
 
14a
Did the organization receive any payments for indoor tanning services during the tax year?.....
14a
 
No
b
If "Yes," has it filed a Form 720 to report these payments? If "No," provide an explanation in Schedule O..
14b
 
 
15
Is the organization subject to the section 4960 tax on payment(s) of more than $1,000,000 in remuneration or excess parachute payment(s) during the year? ....................
If "Yes," see the instructions and file Form 4720, Schedule N.
15
Yes
 
16
Is the organization an educational institution subject to the section 4968 excise tax on net investment income? ..
If "Yes," complete Form 4720, Schedule O.
16
 
No
17
Section 501(c)(21) organizations. Did the trust, or any disqualified or other person engage in any activities that would result in the imposition of an excise tax under section 4951, 4952, or 4953? ..
If "Yes," complete Form 6069.
17
 
 
Form 990 (2024)
Form 990 (2024)
Page 6
Part VI
Governance, Management, and Disclosure. For each "Yes" response to lines 2 through 7b below, and for a "No" response to lines 8a, 8b, or 10b below, describe the circumstances, processes, or changes in Schedule O. See instructions.
Check if Schedule O contains a response or note to any line in this Part VI..............
Section A. Governing Body and Management
Yes
No
1a
Enter the number of voting members of the governing body at the end of the tax year
1a
16
If there are material differences in voting rights among members of the governing body, or if the governing body delegated broad authority to an executive committee or similar committee, explain in Schedule O.
b
Enter the number of voting members included in line 1a, above, who are independent
1b
15
2
Did any officer, director, trustee, or key employee have a family relationship or a business relationship with any other officer, director, trustee, or key employee? .................
2
 
No
3
Did the organization delegate control over management duties customarily performed by or under the direct supervision of officers, directors or trustees, or key employees to a management company or other person? .
3
 
No
4
Did the organization make any significant changes to its governing documents since the prior Form 990 was filed? .
4
 
No
5
Did the organization become aware during the year of a significant diversion of the organization’s assets? .
5
 
No
6
Did the organization have members or stockholders? ................
6
 
No
7a
Did the organization have members, stockholders, or other persons who had the power to elect or appoint one or more members of the governing body? ....................
7a
 
No
b
Are any governance decisions of the organization reserved to (or subject to approval by) members, stockholders, or persons other than the governing body? ...................
7b
 
No
8
Did the organization contemporaneously document the meetings held or written actions undertaken during the year by the following:
a
The governing body? .......................
8a
Yes
 
b
Each committee with authority to act on behalf of the governing body? ............
8b
Yes
 
9
Is there any officer, director, trustee, or key employee listed in Part VII, Section A, who cannot be reached at the organization’s mailing address? If "Yes," provide the names and addresses in Schedule O.......
9
 
No
Section B. Policies (This Section B requests information about policies not required by the Internal Revenue Code.)
Yes
No
10a
Did the organization have local chapters, branches, or affiliates? ............
10a
 
No
b
If "Yes," did the organization have written policies and procedures governing the activities of such chapters, affiliates, and branches to ensure their operations are consistent with the organization's exempt purposes?
10b
 
No
11a
Has the organization provided a complete copy of this Form 990 to all members of its governing body before filing the form? ............................
11a
Yes
 
b
Describe on Schedule O the process, if any, used by the organization to review this Form 990. .....
12a
Did the organization have a written conflict of interest policy? If "No," go to line 13.......
12a
Yes
 
b
Were officers, directors, or trustees, and key employees required to disclose annually interests that could give rise to conflicts? ..........................
12b
Yes
 
c
Did the organization regularly and consistently monitor and enforce compliance with the policy? If "Yes," describe on Schedule O how this was done...................
12c
Yes
 
13
Did the organization have a written whistleblower policy? ...............
13
Yes
 
14
Did the organization have a written document retention and destruction policy? .........
14
Yes
 
15
Did the process for determining compensation of the following persons include a review and approval by independent persons, comparability data, and contemporaneous substantiation of the deliberation and decision?
a
The organization’s CEO, Executive Director, or top management official ...........
15a
Yes
 
b
Other officers or key employees of the organization ................
15b
Yes
 
If "Yes" to line 15a or 15b, describe the process on Schedule O. See instructions.
16a
Did the organization invest in, contribute assets to, or participate in a joint venture or similar arrangement with a taxable entity during the year? ......................
16a
Yes
 
b
If "Yes," did the organization follow a written policy or procedure requiring the organization to evaluate its participation in joint venture arrangements under applicable federal tax law, and take steps to safeguard the organization’s exempt status with respect to such arrangements? ............
16b
Yes
 
Section C. Disclosure
17
List the states with which a copy of this Form 990 is required to be filed
CA
18
Section 6104 requires an organization to make its Form 1023 (1024 or 1024-A, if applicable), 990, and 990-T (section 501(c)(3)s only) available for public inspection. Indicate how you made these available. Check all that apply.
19
Describe in Schedule O whether (and if so, how) the organization made its governing documents, conflict of interest policy, and financial statements available to the public during the tax year.
20
State the name, address, and telephone number of the person who possesses the organization's books and records:
BRETT TANDE4555 EXECUTIVE DR   SAN DIEGO,CA92121 (858) 678-7227
Form 990 (2024)
Form 990 (2024)
Page 7
Part VII
Compensation of Officers, Directors,Trustees, Key Employees, Highest Compensated Employees, and Independent Contractors
Check if Schedule O contains a response or note to any line in this Part VII..............
Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees
1a Complete this table for all persons required to be listed. Report compensation for the calendar year ending with or within the organization’s tax year.
RoundBullet List all of the organization’s current officers, directors, trustees (whether individuals or organizations), regardless of amount
of compensation. Enter -0- in columns (D), (E), and (F) if no compensation was paid.

RoundBullet List all of the organization’s current key employees, if any. See the instructions for definition of "key employee."
RoundBullet List the organization’s five current highest compensated employees (other than an officer, director, trustee or key employee)
who received reportable compensation (box 5 of Form W-2, box 6 of Form 1099-MISC, and/or box 1 of Form 1099-NEC) of more than $100,000 from the organization and any related organizations.

RoundBullet List all of the organization’s former officers, key employees, or highest compensated employees who received more than $100,000
of reportable compensation from the organization and any related organizations.

RoundBullet List all of the organization’s former directors or trustees that received, in the capacity as a former director or trustee of the
organization, more than $10,000 of reportable compensation from the organization and any related organizations.

See the instructions for the order in which to list the persons above.
Check this box if neither the organization nor any related organization compensated any current officer, director, or trustee.
(A)
Name and title 		(B)
Average hours per week (list any hours for related organizations below dotted line) 		(C)
Position (do not check more than one box, unless person is both an officer and a director/trustee) 		(D)
Reportable compensation from the organization (W-2/1099-MISC/1099-NEC) 		(E)
Reportable compensation from related organizations (W-2/1099-MISC/1099-NEC) 		(F)
Estimated amount of other compensation from the organization and related organizations
Individual Trustee or Director; Institutional Trustee; OfficerInd; Key Employee; Highest compensated employee; FormerOfcrDirectorTrusteeInd;
(1) CHRISTOPHER VAN GORDER......................................................................
PRESIDENT / CEO
 58.0
.................
2.0 		X   X       3,631,482 0 58,297
(2) DON GOLDMAN......................................................................
TRUSTEE, VICE CHAIR
 13.0
.................
1.0 		X   X       0 0 0
(3) KEVIN T HAMILTON......................................................................
TRUSTEE, CHAIR
 13.0
.................
1.0 		X   X       0 0 0
(4) DAN FELDMAN......................................................................
TRUSTEE (PART YEAR)
 1.0
.................
13.0 		X           0 0 0
(5) ELLIOT A SCOTT......................................................................
TRUSTEE
 13.0
.................
1.0 		X           0 0 0
(6) GENE H BARDUSON......................................................................
TRUSTEE
 13.0
.................
1.0 		X           0 0 0
(7) HONORABLE IRMA GONZALEZ......................................................................
TRUSTEE
 13.0
.................
1.0 		X           0 0 0
(8) JAN CALDWELL......................................................................
TRUSTEE
 13.0
.................
1.0 		X           0 0 0
(9) JEFF BOWMAN......................................................................
TRUSTEE
 13.0
.................
1.0 		X           0 0 0
(10) JOHN BOYER PHD......................................................................
TRUSTEE
 13.0
.................
1.0 		X           0 0 0
(11) NICOLE A CLAY......................................................................
TRUSTEE
 13.0
.................
1.0 		X           0 0 0
(12) RICHARD C BIGELOW......................................................................
TRUSTEE
 13.0
.................
1.0 		X           0 0 0
(13) RICHARD VORTMANN......................................................................
TRUSTEE
 13.0
.................
1.0 		X           0 0 0
(14) ROBERT BUELL ESQ......................................................................
TRUSTEE
 13.0
.................
1.0 		X           0 0 0
(15) SHIREEN MATTHEWS ESQ......................................................................
TRUSTEE
 13.0
.................
1.0 		X           0 0 0
(16) THEODORE THOMAS MD......................................................................
TRUSTEE
 13.0
.................
1.0 		X           0 0 0
(17) WILLIAM D GORE......................................................................
TRUSTEE
 13.0
.................
1.0 		X           0 0 0
Form 990 (2024)
Form 990 (2024)
Page 8
Part VII
Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees (continued)
(A)
Name and title 		(B)
Average hours per week (list any hours for related organizations below dotted line) 		(C)
Position (do not check more than one box, unless person is both an officer and a director/trustee) 		(D)
Reportable compensation from the organization (W-2/1099-MISC/1099-NEC) 		(E)
Reportable compensation from related organizations (W-2/1099-MISC/1099-NEC) 		(F)
Estimated amount of other compensation from the organization and related organizations
Individual Trustee or Director; Institutional Trustee; OfficerInd; Key Employee; Highest compensated employee; FormerOfcrDirectorTrusteeInd;
(18) BRADLEY ELLIS........................................................................
CORP SR VP, CHIEF LEGAL COUNSEL
 49.0
.......................1.0 		    X       1,218,320 0 59,265
(19) BRETT TANDE........................................................................
TREASURER / CORP EXEC VP, CFO
 54.0
.......................1.0 		    X       1,450,122 0 62,346
(20) MIELLE SCHWARTZ........................................................................
EXECUTIVE ASSISTANT SR
 40.0
.......................0 		    X       90,680 0 36,568
(21) MONIQUE GONZALEZ........................................................................
EXECUTIVE ASSISTANT TO THE CEO
 50.0
.......................0 		    X       112,595 0 51,940
(22) ANIL KESWANI........................................................................
CORP EVP, CHF MED&OPS OFF-AMB
 50.0
.......................0.0 		      X     1,302,787 0 65,750
(23) BARBARA PRICE........................................................................
CORP SR VP, PLANNING/STRATEGY
 50.0
.......................0 		      X     1,096,779 0 72,153
(24) CARL ETTER........................................................................
CORP SR VP, REGION CHIEF EXEC
 50.0
.......................0 		      X     1,720,345 0 58,026
(25) ERIC COLE........................................................................
CORP SR VP, HUMAN RESOURCES
 50.0
.......................0 		      X     1,039,021 0 53,099
(26) GHAZALA SHARIEFF........................................................................
CORP EVP, CHF MED&OPS OFF-ACUTE
 50.0
.......................0 		      X     1,553,595 0 62,279
(27) JOHN ENGLE........................................................................
CORP SR VP, CHIEF DEVELOPMENT OFFICER
 50.0
.......................0 		      X     864,644 0 60,418
(28) JUNE KOMAR........................................................................
CORP EXEC VP, STRATEGY & ADMIN (PART YEAR)
 50.0
.......................0 		      X     1,173,585 0 41,287
(29) RICHARD NEALE........................................................................
CORP EXEC VP, CHIEF GROWTH OFFICER
 40.0
.......................10.0 		      X     1,180,497 0 68,449
(30) SHANE THIELMAN........................................................................
CORP SR VP, CIDO
 50.0
.......................0 		      X     941,851 0 68,595
(31) THOMAS BUCHHOLZ........................................................................
CORP SR VP, ONCOLOGY SERVICES
 50.0
.......................0 		      X     1,386,946 0 47,351
(32) THOMAS GAMMIERE........................................................................
CORP SR VP, REGION CHIEF EXEC
 50.0
.......................0 		      X     1,026,181 0 60,769
(33) CRAIG M UEJO........................................................................
CORP VP, CHIEF QUALITY OFFICER
 50.0
.......................0 		        X   690,631 0 61,491
(34) GERALD SODERSTROM........................................................................
CORP SR VP, AUDIT / COMPLIANCE/RISK
 50.0
.......................0 		        X   706,256 0 62,018
(35) JOHN POOLE........................................................................
CORP VP, SYSTEM IMPROVEMENT
 50.0
.......................0 		        X   769,256 0 15,984
(36) SHERMAN T MOORE........................................................................
CORP VP, BUSINESS DEVELOPMENT
 50.0
.......................0 		        X   669,719 0 62,040
(37) TRACY CHU........................................................................
CORP VP, POP HLTH/ACO
 50.0
.......................0 		        X   768,281 0 41,225
(38) LISA RISSERTHAKUR........................................................................
FORMER KEY EMPLOYEE
 0.0
.......................0 		          X 489,746 0 0
1b Sub-Total..............
c Total from continuation sheets to Part VII, Section A..
d Total (add lines 1b and 1c)......... 23,883,319 0 1,169,350
2
Total number of individuals (including but not limited to those listed above) who received more than $100,000 of reportable compensation from the organization 5,537
Yes
No
3
Did the organization list any former officer, director or trustee, key employee, or highest compensated employee on line 1a? If "Yes," complete Schedule J for such individual ..............
3
Yes
 
4
For any individual listed on line 1a, is the sum of reportable compensation and other compensation from the organization and related organizations greater than $150,000? If "Yes," complete Schedule J for such
individual...........................
4
Yes
 
5
Did any person listed on line 1a receive or accrue compensation from any unrelated organization or individual for services rendered to the organization? If "Yes," complete Schedule J for such person ........
5
 
No
Section B. Independent Contractors
1
Complete this table for your five highest compensated independent contractors that received more than $100,000 of compensation from the organization. Report compensation for the calendar year ending with or within the organization’s tax year.
(A)
Name and business address 		(B)
Description of services 		(C)
Compensation
SCRIPPS CLINIC MEDICAL GROUP INC

10666 N TORREY PINES RD
LA JOLLA,CA92037 		PHYSICIAN SERVICES 529,391,052
SCRIPPS COASTAL MEDICAL GROUP

501 WASHINGTON AVE
SAN DIEGO,CA92103 		PHYSICIAN SERVICES 85,618,018
MEDIMPACT HEALTHCARE SYSTEMS

10181 SCRIPPS GATEWAY CT
SAN DIEGO,CA92131 		PHARMACEUTICAL SERVICES 59,006,302
SCRIPPS HEALTH INPATIENT PROVIDERS MED GROUP

4555 EXECUTIVE DR
SAN DIEGO,CA92121 		PHYSICIAN SERVICES 57,964,872
DPC CONSTRUCTION

1450 VETERANS BLVD
REDWOOD CITY,CA94063 		CONSTRUCTION SERVICES 44,951,433
2
Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 of compensation from the organization 137
Form 990 (2024)
Form 990 (2024)
Page 9
Part VIII
Statement of Revenue
Check if Schedule O contains a response or note to any line in this Part VIII.............
(A)
Total revenue 		(B)
Related or
exempt
function
revenue 		(C)
Unrelated
business
revenue 		(D)
Revenue
excluded from
tax under sections
512 - 514
Contributions, Gifts, Grants, and OtherAmt Similar Amounts 1a Federated campaigns..1a  
b Membership dues..1b  
c Fundraising events..1c 298,068
d Related organizations1d  
e Government grants (contributions)1e 2,283,432
f All other contributions, gifts, grants, and similar amounts not included above1f 64,819,350
g Noncash contributions included in lines 1a - 1f:$ 1g 3,171,304
h Total. Add lines 1a-1f....... 67,400,850
Program Service RevenueAmt Business Code
2a HEALTHCARE DELIVERY REV 622110 4,389,130,976 4,387,417,237 1,713,739  
b PROVIDER FEE REVENUE 622110 67,864,194 67,864,194    
c CAPITATION PREMIUM 622110 44,174,661 44,174,661    
d PHARMACEUTICAL REVENUE 446110 27,248,916 27,248,916    
e JOINT VENTURE REVENUE 900099 21,213,849 21,213,849    
f All other program service revenue. 34,388,649 33,974,546 414,103 0
g Total. Add lines 2a–2f ..... 4,584,021,245
OtherAmtRevenueAmt 3 Investment income (including dividends, interest, and othersimilar amounts) ...... 131,079,348   -1,495,773 132,575,121
4 Income from investment of tax-exempt bond proceeds        
5 Royalties...........        
(i) Real (ii) Personal
6a Gross rents 6a    
b Less: rental expenses 6b    
c Rental income or (loss) 6c 0 0
d Net rental income or (loss).......        
(i) Securities (ii) Other
7a Gross amount from sales of assets other than inventory 7a 2,222,313,806  
b Less: cost or other basis and sales expenses 7b 1,997,238,104  
c Gain or (loss) 7c 225,075,702 0
d Net gain or (loss)......... 225,075,702     225,075,702
8a Gross income from fundraising events (not including $ 298,068of contributions reported on line 1c). See Part IV, line 18 ....
8a 1,354,384
b Less: direct expenses ... 8b 1,100,689
c Net income or (loss) from fundraising events.. 253,695   253,695
9a Gross income from gaming activities.
See Part IV, line 19 ...
9a  
b Less: direct expenses ... 9b  
c Net income or (loss) from gaming activities..        
10a Gross sales of inventory, less
returns and allowances ..
10a  
b Less: cost of goods sold .. 10b  
c Net income or (loss) from sales of inventory..        
OtherRevenueMiscAmt
Business Code
11a ALL OTHER REVENUE 900099 69,044,509 64,383,131 170,890 4,490,488
b MANAGEMENT SERVICES 561110 57,680,304 42,730,260 14,950,044  
c            
d All other revenue .... 0 0 0 0
e Total. Add lines 11a–11d ...... 126,724,813
12 Total revenue. See instructions..... 5,134,555,653 4,689,006,794 15,753,003 362,395,006
Form 990 (2024)
Form 990 (2024)
Page 10
Part IX
Statement of Functional Expenses
Section 501(c)(3) and 501(c)(4) organizations must complete all columns. All other organizations must complete column (A).Check if Schedule O contains a response or note to any line in this Part IX..............
Do not include amounts reported on lines 6b,
7b, 8b, 9b, and 10b of Part VIII. 		(A)
Total expenses 		(B)
Program service expenses 		(C)
Management and general expenses 		(D)
Fundraising
expenses
1 Grants and other assistance to domestic organizations and domestic governments. See Part IV, line 21 .... 997,683 997,683
2 Grants and other assistance to domestic individuals. See Part IV, line 22 ...........    
3 Grants and other assistance to foreign organizations, foreign governments, and foreign individuals. See Part IV, lines 15 and 16. .............    
4 Benefits paid to or for members .......    
5 Compensation of current officers, directors, trustees, and key employees ........... 24,708,686   24,708,686  
6 Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) ......... 234,401   234,401  
7 Other salaries and wages........ 1,750,387,007 1,544,571,129 200,362,195 5,453,683
8 Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) .... 64,144,990 55,687,846 8,300,532 156,612
9 Other employee benefits ....... 147,463,258 147,007,408   455,850
10 Payroll taxes ........... 127,318,953 111,257,792 15,788,935 272,226
11 Fees for services (non-employees):        
a Management ......        
b Legal ......... 9,653,685 3,225,550 6,427,412 723
c Accounting ........... 1,288,886 14,480 1,265,507 8,899
d Lobbying ........... 765,130   765,130  
e Professional fundraising services. See Part IV, line 17    
f Investment management fees ...... 7,621,923   7,621,923  
g Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O) 939,283,014 928,520,806 10,409,674 352,534
12 Advertising and promotion .... 2,225,488 64,870 2,160,618  
13 Office expenses ....... 91,514,595 78,971,830 11,762,498 780,267
14 Information technology ...... 67,761,659 23,599,429 44,162,230  
15 Royalties ..        
16 Occupancy ........... 115,869,958 105,073,383 10,626,396 170,179
17 Travel ............        
18 Payments of travel or entertainment expenses for any federal, state, or local public officials .        
19 Conferences, conventions, and meetings ....        
20 Interest ........... 46,598,117 40,699,712 5,898,405  
21 Payments to affiliates .......        
22 Depreciation, depletion, and amortization .. 183,716,128 163,098,819 20,617,309  
23 Insurance ... 28,351,193 28,332,103 19,090  
24 Other expenses. Itemize expenses not covered above (List miscellaneous expenses in line 24e. If line 24e amount exceeds 10% of line 25, column (A) amount, list line 24e expenses on Schedule O.)
a MEDICAL SUPPLIES 846,152,530 846,152,530    
b REPAIRS & MAINTENANCE 99,132,558 41,601,178 57,500,861 30,519
c ASSET IMPAIRMENT 92,533,115 92,533,115    
d HOSPITAL FEE PROGRAM 35,986,006 35,986,006    
e All other expenses 11,953,397 10,915,293 0 1,038,104
25 Total functional expenses. Add lines 1 through 24e 4,695,662,360 4,258,310,962 428,631,802 8,719,596
26 Joint costs. Complete this line only if the organization reported in column (B) joint costs from a combined educational campaign and fundraising solicitation. Check here if following SOP 98-2 (ASC 958-720).        
Form 990 (2024)
Form 990 (2024)
Page 11
Part X
Balance Sheet
Check if Schedule O contains a response or note to any line in this Part IX..............
(A)
Beginning of year 		(B)
End of year
Assets 1 Cash–non-interest-bearing ........   1  
2 Savings and temporary cash investments ......... 664,366,806 2 647,035,604
3 Pledges and grants receivable, net ...... 6,731,561 3 9,019,737
4 Accounts receivable, net ............. 680,894,472 4 746,359,094
5 Loans and other receivables from any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons .......
23,751,894 5 24,539,910
6 Loans and other receivables from other disqualified persons (as defined under section 4958(f)(1)), and persons described in section 4958(c)(3)(B) ...
0 6 0
7 Notes and loans receivable, net ...........   7  
8 Inventories for sale or use ............ 72,129,893 8 72,924,437
9 Prepaid expenses and deferred charges ...... 50,374,375 9 57,082,061
10a Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D 10a 4,671,895,920
b Less: accumulated depreciation 10b 1,802,569,032 2,760,750,938 10c 2,869,326,888
11 Investments—publicly traded securities . 3,349,918,598 11 3,791,881,962
12 Investments—other securities. See Part IV, line 11 ..... 854,913,000 12 1,028,676,000
13 Investments—program-related. See Part IV, line 11 .. 75,271,371 13 84,480,046
14 Intangible assets ............... 45,109,895 14 45,109,895
15 Other assets. See Part IV, line 11 ........... 540,169,513 15 270,877,036
16 Total assets. Add lines 1 through 15 (must equal line 33)... 9,124,382,316 16 9,647,312,670
Liabilities 17 Accounts payable and accrued expenses ..... 730,059,359 17 717,768,568
18 Grants payable ...   18  
19 Deferred revenue .........   19  
20 Tax-exempt bond liabilities ......... 1,416,000,000 20 1,383,054,000
21 Escrow or custodial account liability. Complete Part IV of Schedule D   21  
22 Loans and other payables to any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons .........
0 22 0
23 Secured mortgages and notes payable to unrelated third parties .. 7,378,392 23 3,290,000
24 Unsecured notes and loans payable to unrelated third parties ..   24  
25 Other liabilities (including federal income tax, payables to related third parties, and other liabilities not included on lines 17 - 24). Complete Part X of Schedule D 936,342,027 25 820,270,458
26 Total liabilities. Add lines 17 through 25.. 3,089,779,778 26 2,924,383,026
Net Assets or Fund Balance Organizations that follow FASB ASC 958, check here and complete lines 27, 28, 32, and 33.
27 Net assets without donor restrictions .......... 5,778,276,035 27 6,455,077,667
28 Net assets with donor restrictions ........... 256,326,503 28 267,851,977
Organizations that do not follow FASB ASC 958, check here right arrow and complete lines 29 through 33.
29 Capital stock or trust principal, or current funds .....   29  
30 Paid-in or capital surplus, or land, building or equipment fund ...   30  
31 Retained earnings, endowment, accumulated income, or other funds   31  
32 Total net assets or fund balances ........... 6,034,602,538 32 6,722,929,644
33 Total liabilities and net assets/fund balances ........ 9,124,382,316 33 9,647,312,670
Form 990 (2024)
Form 990 (2024)
Page 12
Part XI
Reconcilliation of Net Assets
Check if Schedule O contains a response or note to any line in this Part XI..............
1
Total revenue (must equal Part VIII, column (A), line 12) ............
1
5,134,555,653
2
Total expenses (must equal Part IX, column (A), line 25) ............
2
4,695,662,360
3
Revenue less expenses. Subtract line 2 from line 1 ..............
3
438,893,293
4
Net assets or fund balances at beginning of year (must equal Part X, line 32, column (A)) ..
4
6,034,602,538
5
Net unrealized gains (losses) on investments ...............
5
229,345,255
6
Donated services and use of facilities .................
6
 
7
Investment expenses .....................
7
 
8
Prior period adjustments .....................
8
 
9
Other changes in net assets or fund balances (explain in Schedule O) ........
9
20,088,558
10
Net assets or fund balances at end of year. Combine lines 3 through 9 (must equal Part X, line 32, column (B))
10
6,722,929,644
Part XII
Financial Statements and Reporting
Check if Schedule O contains a response or note to any line in this Part XII.............
Yes
No
1
Accounting method used to prepare the Form 990:  
If the organization changed its method of accounting from a prior year or checked "Other," explain on
Schedule O.
2a
Were the organization’s financial statements compiled or reviewed by an independent accountant?
2a
 
No
If ‘Yes,’ check a box below to indicate whether the financial statements for the year were compiled or reviewed on a separate basis, consolidated basis, or both:
b
Were the organization’s financial statements audited by an independent accountant?
2b
Yes
 
If ‘Yes,’ check a box below to indicate whether the financial statements for the year were audited on a separate basis, consolidated basis, or both:
c
If "Yes," to line 2a or 2b, does the organization have a committee that assumes responsibility for oversight of the audit, review, or compilation of its financial statements and selection of an independent accountant?
2c
Yes
 
If the organization changed either its oversight process or selection process during the tax year, explain in Schedule O.
3a
As a result of a federal award, was the organization required to undergo an audit or audits as set forth in the Uniform Guidance, 2 C.F.R. Part 200, Subpart F?
3a
Yes
 
b
If "Yes," did the organization undergo the required audit or audits? If the organization did not undergo the required audit or audits, explain why in Schedule O and describe any steps taken to undergo such audits.
3b
Yes
 
Form 990 (2024)
Form 990 (2024)
Additional Data


Software ID: 24020961
Software Version: 2024v5.1
Form 990, Special Condition Description:
Special Condition Description
SCHEDULE A
(Form 990)

Department of the Treasury
Internal Revenue Service
Public Charity Status and Public Support
Complete if the organization is a section 501(c)(3) organization or a section 4947(a)(1) nonexempt charitable trust.
right arrow Attach to Form 990 or Form 990-EZ.
right arrow Go to www.irs.gov/Form990 for instructions and the latest information.
OMB No. 1545-0047
2024
Open to Public
Inspection
Name of the organization
SCRIPPS HEALTH
 
Employer identification number

95-1684089
Part I
Reason for Public Charity Status (All organizations must complete this part.) See instructions.
The organization is not a private foundation because it is: (For lines 1 through 12, check only one box.)
1
2
3
4
5
6
7
8
9
10
11
12
a
b
c
d
e
f
Enter the number of supported organizations ...............................  
g
Provide the following information about the supported organization(s).
(i) Name of supported organization (ii) EIN (iii) Type of organization (described on lines 1- 10 above (see instructions)) (iv) Is the organization listed in your governing document? (v) Amount of monetary support (see instructions) (vi) Amount of other support (see instructions)
Yes No
Total
 
   
For Paperwork Reduction Act Notice, see the Instructions for
Form 990 or 990-EZ.
Cat. No. 11285F
Schedule A (Form 990) 2024

Schedule A (Form 990) 2024
Page 2
Part II
Support Schedule for Organizations Described in Sections 170(b)(1)(A)(iv) and 170(b)(1)(A)(vi)
(Complete only if you checked the box on line 5, 7, or 8 of Part I or if the organization failed to qualify under Part III. If the organization failed to qualify under the tests listed below, please complete Part III.)
Section A. Public Support
Calendar year (or fiscal year beginning in) right arrow (a) 2020 (b) 2021 (c) 2022 (d) 2023 (e) 2024 (f) Total
1 Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grant.") ..            
2 Tax revenues levied for the organization's benefit and either paid to or expended on its behalf ....            
3 The value of services or facilities furnished by a governmental unit to the organization without charge..            
4 Total. Add lines 1 through 3            
5 The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included on line 1 that exceeds 2% of the amount shown on line 11, column (f) ..  
6 Public support. Subtract line 5 from line 4.  
Section B. Total Support
Calendar year (or fiscal year beginning in) right arrow (a) 2020 (b) 2021 (c) 2022 (d) 2023 (e) 2024 (f) Total
7 Amounts from line 4..            
8 Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources...            
9 Net income from unrelated business activities, whether or not the business is regularly carried on..            
10 Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.)..            
11 Total support. Add lines 7 through 10  
12
12
 
13
First 5 years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a section 501(c)(3) organization, check this box and stop here ........................................right arrow
Section C. Computation of Public Support Percentage
14
14
 
15
15
 
16a
33 1/3% support test—2024. If the organization did not check the box on line 13, and line 14 is 33 1/3% or more, check this box
and stop here. The organization qualifies as a publicly supported organization .......................right arrow
b
33 1/3% support test—2023. If the organization did not check a box on line 13 or 16a, and line 15 is 33 1/3% or more, check this
box and stop here. The organization qualifies as a publicly supported organization ..................... right arrow
17a
10%-facts-and-circumstances test—2024. If the organization did not check a box on line 13, 16a, or 16b, and line 14 is 10% or more, and if the organization meets the "facts-and-circumstances" test, check this box and stop here. Explain in Part VI how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly supported organization ............ right arrow
b
10%-facts-and-circumstances test—2023. If the organization did not check a box on line 13, 16a, 16b, or 17a, and line 15 is 10% or more, and if the organization meets the "facts-and-circumstances" test, check this box and stop here. Explain in Part VI how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly supported organization ............ right arrow
18
Private foundation. If the organization did not check a box on line 13, 16a, 16b, 17a, or 17b, check this box and see
instructions ..................................................... right arrow
Schedule A (Form 990) 2024

Schedule A (Form 990) 2024
Page 3
Part III
Support Schedule for Organizations Described in Section 509(a)(2)
(Complete only if you checked the box on line 10 of Part I or if the organization failed to qualify under Part II. If the organization fails to qualify under the tests listed below, please complete Part II.)
Section A. Public Support
Calendar year (or fiscal year beginning in) right arrow (a) 2020 (b) 2021 (c) 2022 (d) 2023 (e) 2024 (f) Total
1 Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") .            
2 Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose            
3 Gross receipts from activities that are not an unrelated trade or business under section 513 .....            
4 Tax revenues levied for the organization's benefit and either paid to or expended on its behalf...            
5 The value of services or facilities furnished by a governmental unit to the organization without charge            
6 Total. Add lines 1 through 5            
7a Amounts included on lines 1, 2, and 3 received from disqualified persons            
b Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year.            
c Add lines 7a and 7b..            
8 Public support. (Subtract line 7c from line 6.)  
Section B. Total Support
Calendar year (or fiscal year beginning in) right arrow (a) 2020 (b) 2021 (c) 2022 (d) 2023 (e) 2024 (f) Total
9 Amounts from line 6...            
10a Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..            
b Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975.            
c Add lines 10a and 10b.            
11 Net income from unrelated business activities not included on line 10b, whether or not the business is regularly carried on.            
12 Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.) ..            
13 Total support. (Add lines 9, 10c, 11, and 12.)..            
14
First 5 years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a section 501(c)(3) organization, check this box and stop here................................................. right arrow
Section C. Computation of Public Support Percentage
15
15
 
16
16
 
Section D. Computation of Investment Income Percentage
17
17
 
18
18
 
19a
33 1/3% support tests-2024. If the organization did not check the box on line 14, and line 15 is more than 33 1/3%, and line 17 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization ....... right arrow
b
33 1/3 % support tests—2023. If the organization did not check a box on line 14 or line 19a, and line 16 is more than 33 1/3% and line 18 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization ..... right arrow
20
Private foundation. If the organization did not check a box on line 14, 19a, or 19b, check this box and see instructions .... right arrow
Schedule A (Form 990) 2024

Schedule A (Form 990) 2024
Page 4
Part IV
Supporting Organizations
(Complete only if you checked a box on line 12 of Part I. If you checked box 12a, of Part I, complete Sections A and B. If you checked box 12b, of Part I, complete Sections A and C. If you checked box 12c, of Part I, complete Sections A, D, and E. If you checked box12d, of Part I, complete Sections A and D, and complete Part V.)
Section A. All Supporting Organizations
Yes
No
1
Are all of the organization’s supported organizations listed by name in the organization’s governing documents?
If "No," describe in Part VI how the supported organizations are designated. If designated by class or purpose,
describe the designation. If historic and continuing relationship, explain.
1
 
 
2
Did the organization have any supported organization that does not have an IRS determination of status under section 509(a)(1) or (2)? If "Yes," explain in Part VI how the organization determined that the supported organization was described in section 509(a)(1) or (2).
2
 
 
3a
Did the organization have a supported organization described in section 501(c)(4), (5), or (6)? If "Yes," answer lines 3b and 3c below.
3a
 
 
b
Did the organization confirm that each supported organization qualified under section 501(c)(4), (5), or (6) and satisfied the public support tests under section 509(a)(2)? If "Yes," describe in Part VI when and how the organization made the determination.
3b
 
 
c
Did the organization ensure that all support to such organizations was used exclusively for section 170(c)(2)(B) purposes? If "Yes," explain in Part VI what controls the organization put in place to ensure such use.
3c
 
 
4a
Was any supported organization not organized in the United States ("foreign supported organization")? If “Yes” and if you checked box 12a or 12b in Part I, answer lines 4b and 4c below.
4a
 
 
b
Did the organization have ultimate control and discretion in deciding whether to make grants to the foreign supported organization? If “Yes,” describe in Part VI how the organization had such control and discretion despite being controlled or supervised by or in connection with its supported organizations.
4b
 
 
c
Did the organization support any foreign supported organization that does not have an IRS determination under sections 501(c)(3) and 509(a)(1) or (2)? If “Yes,” explain in Part VI what controls the organization used to ensure that all support to the foreign supported organization was used exclusively for section 170(c)(2)(B) purposes.
4c
 
 
5a
Did the organization add, substitute, or remove any supported organizations during the tax year? If “Yes,” answer lines 5b and 5c below (if applicable). Also, provide detail in Part VI, including (i) the names and EIN numbers of the supported organizations added, substituted, or removed; (ii) the reasons for each such action; (iii) the authority under the organization's organizing document authorizing such action; and (iv) how the action was accomplished (such as by amendment to the organizing document).
5a
 
 
b
Type I or Type II only. Was any added or substituted supported organization part of a class already designated in the organization's organizing document?
5b
 
 
c
Substitutions only. Was the substitution the result of an event beyond the organization's control?
5c
 
 
6
Did the organization provide support (whether in the form of grants or the provision of services or facilities) to anyone other than (i) its supported organizations, (ii) individuals that are part of the charitable class benefited by one or more of its supported organizations, or (iii) other supporting organizations that also support or benefit one or more of the filing organization’s supported organizations? If “Yes,” provide detail in Part VI.
6
 
 
7
Did the organization provide a grant, loan, compensation, or other similar payment to a substantial contributor (defined in section 4958(c)(3)(C)), a family member of a substantial contributor, or a 35% controlled entity with regard to a substantial contributor? If “Yes,” complete Part I of Schedule L (Form 990) .
7
 
 
8
Did the organization make a loan to a disqualified person (as defined in section 4958) not described on line 7? If “Yes,” complete Part I of Schedule L (Form 990).
8
 
 
9a
Was the organization controlled directly or indirectly at any time during the tax year by one or more disqualified persons, as defined in section 4946 (other than foundation managers and organizations described in section 509(a)(1) or (2))? If “Yes,” provide detail in Part VI.
9a
 
 
b
Did one or more disqualified persons (as defined on line 9a) hold a controlling interest in any entity in which the supporting organization had an interest? If “Yes,” provide detail in Part VI.
9b
 
 
c
Did a disqualified person (as defined on line 9a) have an ownership interest in, or derive any personal benefit from, assets in which the supporting organization also had an interest? If “Yes,” provide detail in Part VI.
9c
 
 
10a
Was the organization subject to the excess business holdings rules of section 4943 because of section 4943(f) (regarding certain Type II supporting organizations, and all Type III non-functionally integrated supporting organizations)? If “Yes,” answer line 10b below.
10a
 
 
b
Did the organization have any excess business holdings in the tax year? (Use Schedule C, Form 4720, to determine whether the organization had excess business holdings).
10b
 
 
Schedule A (Form 990) 2024

Schedule A (Form 990) 2024
Page 5
Part IV
Supporting Organizations (continued)
Yes
No
11
Has the organization accepted a gift or contribution from any of the following persons?
a
A person who directly or indirectly controls, either alone or together with persons described on lines 11b and 11c below, the governing body of a supported organization?
11a
 
 
b
A family member of a person described on 11a above?
11b
 
 
c
A 35% controlled entity of a person described on line 11a or 11b above? If “Yes” to 11a, 11b, or 11c, provide detail in Part VI.
11c
 
 
Section B. Type I Supporting Organizations
Yes
No
1
Did the officers, directors, trustees, or membership of one or more supported organizations have the power to regularly appoint or elect at least a majority of the organization’s directors or trustees at all times during the tax year? If “No,” describe in Part VI how the supported organization(s) effectively operated, supervised, or controlled the organization’s activities. If the organization had more than one supported organization, describe how the powers to appoint and/or remove directors or trustees were allocated among the supported organizations and what conditions or restrictions, if any, applied to such powers during the tax year.
1
 
 
2
Did the organization operate for the benefit of any supported organization other than the supported organization(s) that operated, supervised, or controlled the supporting organization? If “Yes,” explain in Part VI how providing such benefit carried out the purposes of the supported organization(s) that operated, supervised or controlled the supporting organization.
2
 
 
Section C. Type II Supporting Organizations
Yes
No
1
Were a majority of the organization’s directors or trustees during the tax year also a majority of the directors or trustees of each of the organization’s supported organization(s)? If “No,” describe in Part VI how control or management of the supporting organization was vested in the same persons that controlled or managed the supported organization(s).
1
 
 
Section D. All Type III Supporting Organizations
Yes
No
1
Did the organization provide to each of its supported organizations, by the last day of the fifth month of the organization’s tax year, (i) a written notice describing the type and amount of support provided during the prior tax year, (ii) a copy of the Form 990 that was most recently filed as of the date of notification, and (iii) copies of the organization’s governing documents in effect on the date of notification, to the extent not previously provided?
1
 
 
2
Were any of the organization’s officers, directors, or trustees either (i) appointed or elected by the supported organization(s) or (ii) serving on the governing body of a supported organization? If "No," explain in Part VI how the organization maintained a close and continuous working relationship with the supported organization(s).
2
 
 
3
By reason of the relationship described in line 2 above, did the organization’s supported organizations have a significant voice in the organization’s investment policies and in directing the use of the organization’s income or assets at all times during the tax year? If "Yes," describe in Part VI the role the organization’s supported organizations played in this regard.
3
 
 
Section E. Type III Functionally-Integrated Supporting Organizations
1
Check the box next to the method that the organization used to satisfy the Integral Part Test during the year (see instructions):
a
b
c
2
Activities Test. Answer lines 2a and 2b below.
Yes
No
a
Did substantially all of the organization’s activities during the tax year directly further the exempt purposes of the supported organization(s) to which the organization was responsive? If "Yes," then in Part VI identify those supported organizations and explain how these activities directly furthered their exempt purposes, how the organization was responsive to those supported organizations, and how the organization determined that these activities constituted substantially all of its activities.
2a
 
 
b
Did the activities described on line 2a, above constitute activities that, but for the organization’s involvement, one or more of the organization’s supported organization(s) would have been engaged in? If "Yes," explain in Part VI the reasons for the organization’s position that its supported organization(s) would have engaged in these activities but for the organization’s involvement.
2b
 
 
3
Parent of Supported Organizations. Answer lines 3a and 3b below.
a
Did the organization have the power to regularly appoint or elect a majority of the officers, directors, or trustees of each of the supported organizations?If "Yes" or "No", provide details in Part VI.
3a
 
 
b
Did the organization exercise a substantial degree of direction over the policies, programs and activities of each of its supported organizations? If "Yes," describe in Part VI. the role played by the organization in this regard.
3b
 
 
Schedule A (Form 990) 2024

Schedule A (Form 990) 2024
Page 6
Part V
Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations
1
Section A - Adjusted Net Income (A) Prior Year (B) Current Year
(optional)
1 Net short-term capital gain 1    
2 Recoveries of prior-year distributions 2    
3 Other gross income (see instructions) 3    
4 Add lines 1 through 3 4    
5 Depreciation and depletion 5    
6 Portion of operating expenses paid or incurred for production or collection of gross income or for management, conservation, or maintenance of property held for production of income (see instructions) 6    
7 Other expenses (see instructions) 7    
8 Adjusted Net Income (subtract lines 5, 6 and 7 from line 4) 8    
Section B - Minimum Asset Amount (A) Prior Year (B) Current Year
(optional)
1 Aggregate fair market value of all non-exempt-use assets (see instructions for short tax year or assets held for part of year): 1
a Average monthly value of securities 1a    
b Average monthly cash balances 1b    
c Fair market value of other non-exempt-use assets 1c    
d Total (add lines 1a, 1b, and 1c) 1d    
e Discount claimed for blockage or other factors
(explain in detail in Part VI):  
2 Acquisition indebtedness applicable to non-exempt use assets 2    
3 Subtract line 2 from line 1d 3    
4 Cash deemed held for exempt use. Enter 0.015 of line 3 (for greater amount, see instructions). 4    
5 Net value of non-exempt-use assets (subtract line 4 from line 3) 5    
6 Multiply line 5 by 0.035 6    
7 Recoveries of prior-year distributions 7    
8 Minimum Asset Amount (add line 7 to line 6) 8    
Section C - Distributable Amount Current Year
1 Adjusted net income for prior year (from Section A, line 8, Column A) 1  
2 Enter 85% of line 1 2  
3 Minimum asset amount for prior year (from Section B, line 8, Column A) 3  
4 Enter greater of line 2 or line 3 4  
5 Income tax imposed in prior year 5  
6 Distributable Amount. Subtract line 5 from line 4, unless subject to emergency temporary reduction (see instructions) 6  
7
Schedule A (Form 990) 2024

Schedule A (Form 990) 2024
Page 7
Part V
Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations(continued)
Section D - Distributions Current Year
1 Amounts paid to supported organizations to accomplish exempt purposes 1  
2 Amounts paid to perform activity that directly furthers exempt purposes of supported organizations, in
excess of income from activity 		2  
3 Administrative expenses paid to accomplish exempt purposes of supported organizations 3  
4 Amounts paid to acquire exempt-use assets 4  
5 Qualified set-aside amounts (prior IRS approval required - provide details in Part VI) 5  
6 Other distributions (describe in Part VI). See instructions 6  
7Total annual distributions. Add lines 1 through 6. 7  
8 Distributions to attentive supported organizations to which the organization is responsive (provide
details in Part VI). See instructions 		8  
9 Distributable amount for 2024 from Section C, line 6 9  
10 Line 8 amount divided by Line 9 amount 10  
Section E - Distribution Allocations (see instructions) (i)
Excess Distributions 		(ii)
Underdistributions
Pre-2024 		(iii)
Distributable
Amount for 2024
1 Distributable amount for 2024 from Section C, line 6  
2 Underdistributions, if any, for years prior to 2024 (reasonable cause required-- explain in Part VI).
See instructions.		  
3 Excess distributions carryover, if any, to 2024:
a From 2019.......  
b From 2020.......  
c From 2021.......  
d From 2022.......  
e From 2023.......  
fTotal of lines 3a through e  
g Applied to underdistributions of prior years  
h Applied to 2024 distributable amount  
i Carryover from 2019 not applied (see
instructions) 		 
j Remainder. Subtract lines 3g, 3h, and 3i from line 3f.  
4Distributions for 2024 from Section D, line 7:
$  
a Applied to underdistributions of prior years  
b Applied to 2024 distributable amount  
c Remainder. Subtract lines 4a and 4b from line 4.  
5 Remaining underdistributions for years prior to
2024, if any. Subtract lines 3g and 4a from line 2.
If the amount is greater than zero, explain in Part VI.
See instructions. 		 
6 Remaining underdistributions for 2024. Subtract
lines 3h and 4b from line 1. If the amount is greater
than zero, explain in Part VI. See instructions. 		 
7 Excess distributions carryover to 2025. Add lines
3j and 4c. 		 
8 Breakdown of line 7:
a Excess from 2020.....  
b Excess from 2021.....  
c Excess from 2022.....  
d Excess from 2023.....  
e Excess from 2024.....  
Schedule A (Form 990) (2024)

Schedule A (Form 990) 2024
Page 8
Part VI
Supplemental Information. Provide the explanations required by Part II, line 10; Part II, line 17a or 17b; Part III, line 12; Part IV, Section A, lines 1, 2, 3b, 3c, 4b, 4c, 5a, 6, 9a, 9b, 9c, 11a, 11b, and 11c; Part IV, Section B, lines 1 and 2; Part IV, Section C, line 1; Part IV, Section D, lines 2 and 3; Part IV, Section E, lines 1c, 2a, 2b, 3a and 3b; Part V, line 1; Part V, Section B, line 1e; Part V Section D, lines 5, 6, and 8; and Part V, Section E, lines 2, 5, and 6. Also complete this part for any additional information. (See instructions).
Facts And Circumstances Test
 
Return Reference Explanation
Schedule A (Form 990) 2024


Additional Data


Software ID: 24020961
Software Version: 2024v5.1
Schedule B
(Form 990)
(Rev. January 2025)
Department of the Treasury
Internal Revenue Service
Schedule of Contributors

right arrow Attach to Form 990, 990-EZ, or 990-PF.
right arrow Go to www.irs.gov/Form990 for the latest information.
OMB No. 1545-0047
Name of the organization
SCRIPPS HEALTH
 
Employer identification number

95-1684089
Organization type (check one):
Filers of:
Section:
Form 990 or 990-EZ
501(c)( ) (enter number) organization

4947(a)(1) nonexempt charitable trust not treated as a private foundation

527 political organization


Form 990-PF
501(c)(3) exempt private foundation

4947(a)(1) nonexempt charitable trust treated as a private foundation

501(c)(3) taxable private foundation
Check if your organization is covered by the General Rule or a Special Rule.  
Note:  Only a section 501(c)(7), (8), or (10) organization can check boxes for both the General Rule and a Special Rule. See instructions.
General Rule
For an organization filing Form 990, 990-EZ, or 990-PF that received, during the year, contributions totaling $5,000 or more (in money or other property) from any one contributor. Complete Parts I and II. See instructions for determining a contributor's total contributions.
Special Rules
For an organization described in section 501(c)(3) filing Form 990 or 990-EZ that met the 331/3% support test of the regulations
under sections 509(a)(1) and 170(b)(1)(A)(vi), that checked Schedule A (Form 990 or 990-EZ), Part II, line 13, 16a, or 16b, and that received from any one contributor, during the year, total contributions of the greater of (1) $5,000 or (2) 2% of the amount on (i) Form 990, Part VIII, line 1h, or (ii) Form 990-EZ, line 1. Complete Parts I and II.
For an organization described in section 501(c)(7), (8), or (10) filing Form 990 or 990-EZ that received from any one contributor,
during the year, total contributions of more than $1,000 exclusively for religious, charitable, scientific, literary, or educational purposes, or for the prevention of cruelty to children or animals. Complete Parts I, II, and III.
For an organization described in section 501(c)(7), (8), or (10) filing Form 990 or 990-EZ that received from any one contributor,
during the year, contributions exclusively for religious, charitable, etc., purposes, but no such contributions totaled more than $1,000. If this box is checked, enter here the total contributions that were received during the year for an exclusively religious, charitable, etc., purpose. Don't complete any of the parts unless the General Rule applies to this organization because it received nonexclusively religious, charitable, etc., contributions totaling $5,000 or more during the year ......... Right Arrow $  
Caution: An organization that isn't covered by the General Rule and/or the Special Rules doesn't file Schedule B (Form 990,
990-EZ, or 990-PF), but it must answer “No” on Part IV, line 2, of its Form 990; or check the box on line H of its Form 990-EZ
or on its Form 990PF, Part I, line 2, to certify that it doesn't meet the filing requirements of Schedule B (Form 990,
990-EZ, or 990-PF).
For Paperwork Reduction Act Notice, see the Instructions
for Form 990, 990-EZ, or 990-PF.
Cat. No. 30613XSchedule B (Form 990) (Rev. 1-2025)
Schedule B (Form 990) (Rev. 1-2025) Page 2
Name of organization
SCRIPPS HEALTH
  		Employer identification number
95-1684089
Part I
Contributors (see instructions). Use duplicate copies of Part I if additional space is needed.
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Total contributions		 (d)
Type of contribution
RESTRICTED
 
 
 
 
  ,    

$ RESTRICTED


(Complete Part II for noncash contributions.)
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Total contributions		 (d)
Type of contribution
 
 
 
 

$  


(Complete Part II for noncash contributions.)
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Total contributions		 (d)
Type of contribution
 
 
 
 

$  


(Complete Part II for noncash contributions.)
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Total contributions		 (d)
Type of contribution
 
 
 
 

$  


(Complete Part II for noncash contributions.)
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Total contributions		 (d)
Type of contribution
 
 
 
 

$  


(Complete Part II for noncash contributions.)
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Total contributions		 (d)
Type of contribution
 
 
 
 

$  


(Complete Part II for noncash contributions.)
Schedule B (Form 990) (Rev. 1-2025)
Schedule B (Form 990) (Rev. 1-2025)
Page 3
Name of organization
SCRIPPS HEALTH
  		Employer identification number

95-1684089
Part II
Noncash Property (see instructions). Use duplicate copies of Part II if additional space is needed.
(a)
No. from Part I 		(b)
Description of noncash property given 		(c)
FMV (or estimate)
(See instructions) 		(d)
Date received
 
$    
(a)
No. from Part I 		(b)
Description of noncash property given 		(c)
FMV (or estimate)
(See instructions) 		(d)
Date received
 
$    
(a)
No. from Part I 		(b)
Description of noncash property given 		(c)
FMV (or estimate)
(See instructions) 		(d)
Date received
 
$    
(a)
No. from Part I 		(b)
Description of noncash property given 		(c)
FMV (or estimate)
(See instructions) 		(d)
Date received
 
$    
(a)
No. from Part I 		(b)
Description of noncash property given 		(c)
FMV (or estimate)
(See instructions) 		(d)
Date received
 
$    
(a)
No. from Part I 		(b)
Description of noncash property given 		(c)
FMV (or estimate)
(See instructions) 		(d)
Date received
 
$    
Schedule B (Form 990) (Rev. 1-2025)
Schedule B (Form 990) (Rev. 1-2025)
Page 4
Name of organization
SCRIPPS HEALTH
  		Employer identification number

95-1684089
Part III
Exclusively religious, charitable, etc., contributions to organizations described in section 501(c) (7), (8), or (10) that total more than $1,000 for the year from any one contributor. Complete columns (a) through (e) and the following line entry. For organizations completing Part III, enter the total of exclusively religious, charitable, etc., contributions of $1,000 or less for the year. (Enter this information once. See instructions.) $  
Use duplicate copies of Part III if additional space is needed.
(a)
No. from Part I		 (b) Purpose of gift (c) Use of gift (d) Description of how gift is held
 
(e) Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
     
 
(a)
No. from Part I		 (b) Purpose of gift (c) Use of gift (d) Description of how gift is held
 
(e) Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
     
 
(a)
No. from Part I		 (b) Purpose of gift (c) Use of gift (d) Description of how gift is held
 
(e) Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
     
 
(a)
No. from Part I		 (b) Purpose of gift (c) Use of gift (d) Description of how gift is held
 
(e) Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
     
 
Schedule B (Form 990) (Rev. 1-2025)
Additional Data


Software ID: 24020961
Software Version: 2024v5.1
SCHEDULE C
(Form 990)

Department of the Treasury
Internal Revenue Service
Political Campaign and Lobbying Activities

For Organizations Exempt From Income Tax Under section 501(c) and section 527

right arrow Complete if the organization is described below. right arrow Attach to Form 990 or Form 990-EZ.
right arrowGo to www.irs.gov/Form990 for instructions and the latest information.
OMB No. 1545-0047
2024
Open to Public
Inspection
If the organization answered "Yes" on Form 990, Part IV, Line 3, or Form 990-EZ, Part V, line 46 (Political Campaign Activities), then
Round Bullet Section 501(c)(3) organizations: Complete Parts I-A and B. Do not complete Part I-C.
Round Bullet Section 501(c) (other than section 501(c)(3)) organizations: Complete Parts I-A and C below. Do not complete Part I-B.
Round Bullet Section 527 organizations: Complete Part I-A only.
If the organization answered "Yes" on Form 990, Part IV, Line 4, or Form 990-EZ, Part VI, line 47 (Lobbying Activities), then
Round Bullet Section 501(c)(3) organizations that have filed Form 5768 (election under section 501(h)): Complete Part II-A. Do not complete Part II-B.
Round Bullet Section 501(c)(3) organizations that have NOT filed Form 5768 (election under section 501(h)): Complete Part II-B. Do not complete Part II-A.
If the organization answered "Yes" on Form 990, Part IV, Line 5 (Proxy Tax) (see separate instructions) or Form 990-EZ, Part V, line 35c (Proxy Tax) (see separate instructions), then
Round Bullet Section 501(c)(4), (5), or (6) organizations: Complete Part III.
Name of the organization
SCRIPPS HEALTH
 
Employer identification number

95-1684089
Part I-A
Complete if the organization is exempt under section 501(c) or is a section 527 organization.

1
Provide a description of the organization’s direct and indirect political campaign activities in Part IV. See instructions for definition of “political campaign activities."

2
Political campaign activity expenditures. See instructions ....................................................................right arrow
$  
3
Volunteer hours for political campaign activities. See instructions ..................................................................
 

Part I-B
Complete if the organization is exempt under section 501(c)(3).
1
Enter the amount of any excise tax incurred by the organization under section 4955 ................................right arrow
$  
2
Enter the amount of any excise tax incurred by organization managers under section 4955 .......................right arrow
$  
3
If the organization incurred a section 4955 tax, did it file Form 4720 for this year? .........................................
4a
Was a correction made? ......................................................................................................................
b
If "Yes," describe in Part IV.
Part I-C
Complete if the organization is exempt under section 501(c), except section 501(c)(3).
1
Enter the amount directly expended by the filing organization for section 527 exempt function activities ..... right arrow
$  
2
Enter the amount of the filing organization's funds contributed to other organizations for section 527 exempt function activities ............................................................................................................................right arrow

$  
3
Total exempt function expenditures. Add lines 1 and 2. Enter here and on Form 1120-POL, line 17b...........right arrow

$  
4
Did the filing organization file Form 1120-POL for this year? ...................................................................
5
Enter the names, addresses and employer identification number (EIN) of all section 527 political organizations to which the filing
organization made payments. For each organization listed, enter the amount paid from the filing organization’s funds. Also enter the amount of political contributions received that were promptly and directly delivered to a separate political organization, such as a separate segregated fund or a political action committee (PAC). If additional space is needed, provide information in Part IV.
(a) Name (b) Address (c) EIN (d) Amount paid from filing organization's funds. If none, enter -0-. (e) Amount of political contributions received and promptly and directly delivered to a separate political organization. If none, enter -0-.
1
2
3
4
5
6
For Paperwork Reduction Act Notice, see the instructions for Form 990.
Cat. No. 50084S
Schedule C (Form 990) 2024

Schedule C (Form 990) 2024
Page 2
Part II-A
Complete if the organization is exempt under section 501(c)(3) and filed Form 5768 (election under section 501(h)).
A Check right arrowexpenses, and share of excess lobbying expenditures).
B Check right arrow
Limits on Lobbying Expenditures
(The term "expenditures" means amounts paid or incurred.) 		(a) Filing
organization's
totals 		(b) Affiliated group totals
1a Total lobbying expenditures to influence public opinion (grass roots lobbying) ......................    
b Total lobbying expenditures to influence a legislative body (direct lobbying) ........................    
c Total lobbying expenditures (add lines 1a and 1b) ............................................................    
d Other exempt purpose expenditures ...............................................................................    
e Total exempt purpose expenditures (add lines 1c and 1d) ..................................................    
f Lobbying nontaxable amount. Enter the amount from the following table in both
columns.		    
If the amount on line 1e, column (a) or (b) is:The lobbying nontaxable amount is:
Not over $500,00020% of the amount on line 1e.
Over $500,000 but not over $1,000,000$100,000 plus 15% of the excess over $500,000.
Over $1,000,000 but not over $1,500,000$175,000 plus 10% of the excess over $1,000,000.
Over $1,500,000 but not over $17,000,000$225,000 plus 5% of the excess over $1,500,000.
Over $17,000,000$1,000,000.
g Grassroots nontaxable amount (enter 25% of line 1f) .................................................    
h Subtract line 1g from line 1a. If zero or less, enter -0-. ................................................    
i Subtract line 1f from line 1c. If zero or less, enter -0-. ................................................    
j If there is an amount other than zero on either line 1h or line 1i, did the organization file Form 4720 reporting
section 4911 tax for this year? ...................................................................................................................

4-Year Averaging Period Under Section 501(h)
(Some organizations that made a section 501(h) election do not have to complete all of the five
columns below. See the separate instructions for lines 2a through 2f.)
Lobbying Expenditures During 4-Year Averaging Period
Calendar year (or fiscal year
beginning in) 		(a) 2021 (b) 2022 (c) 2023 (d) 2024 (e) Total
2a Lobbying nontaxable amount          
b Lobbying ceiling amount
(150% of line 2a, column(e)) 		 
c Total lobbying expenditures          
d Grassroots nontaxable amount          
e Grassroots ceiling amount
(150% of line 2d, column (e))		  
f Grassroots lobbying expenditures          
Schedule C (Form 990) 2024


Schedule C (Form 990) 2024
Page 3
Part II-B
Complete if the organization is exempt under section 501(c)(3) and has NOT filed Form 5768 (election under section 501(h)).
For each "Yes" response on lines 1a through 1i below, provide in Part IV a detailed description of the lobbying activity.
(a)
Yes
No
(b)
Amount
1
During the year, did the filing organization attempt to influence foreign, national, state or local legislation, including any attempt to influence public opinion on a legislative matter or referendum, through the use of:
a
Volunteers? ...........................................................................................................
 
No
b
Paid staff or management (include compensation in expenses reported on lines 1c through 1i)? ........
Yes
 
c
Media advertisements? ...................................................................................................
 
No
 
d
Mailings to members, legislators, or the public? .............................................................................
 
No
 
e
Publications, or published or broadcast statements? ...........................................................
 
No
 
f
Grants to other organizations for lobbying purposes? ..........................................................
Yes
 
222,954
g
Direct contact with legislators, their staffs, government officials, or a legislative body? .......................
Yes
 
330,250
h
Rallies, demonstrations, seminars, conventions, speeches, lectures, or any similar means? ..................
 
No
 
i
Other activities? ...................................................................................................................
Yes
 
421,925
j
Total. Add lines 1c through 1i ....................................................................................................
975,129
2a
Did the activities in line 1 cause the organization to be not described in section 501(c)(3)? .....
 
No
b
If "Yes," enter the amount of any tax incurred under section 4912 ...........................................
 
c
If "Yes," enter the amount of any tax incurred by organization managers under section 4912 ...................
 
d
If the filing organization incurred a section 4912 tax, did it file Form 4720 for this year? ........................
 
 
Part III-A
Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6).
Yes
No
1
Were substantially all (90% or more) dues received nondeductible by members? ...............................................
1
 
 
2
Did the organization make only in-house lobbying expenditures of $2,000 or less? ............................................
2
 
 
3
Did the organization agree to carry over lobbying and political expenditures from the prior year? .................................
3
 
 
Part III-B
Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6) and if either (a) BOTH Part III-A, lines 1 and 2, are answered "No" OR (b) Part III-A, line 3, is answered “Yes."
1
Dues, assessments and similar amounts from members ......................................................................
1
 
2
Section 162(e) nondeductible lobbying and political expenditures (do not include amounts of political expenses for which the section 527(f) tax was paid).
a
Current year .............................................................................................................................
2a
 
b
Carryover from last year ............................................................................................................
2b
 
c
Total ...........................................................................................................................................
2c
 
3
Aggregate amount reported in section 6033(e)(1)(A) notices of nondeductible section 162(e) dues .
3
 
4
If notices were sent and the amount on line 2c exceeds the amount on line 3, what portion of the excess does the organization agree to carryover to the reasonable estimate of nondeductible lobbying and political expenditure next year? ......................................................................................................................
4
 
5
Taxable amount of lobbying and political expenditures. See Instructions .........................................
5
 
Part IV
Supplemental Information
Provide the descriptions required for Part l-A, line 1; Part l-B, line 4; Part l-C, line 5; Part II-A (affiliated group list); Part II-A, lines 1 and 2 (see instructions), and Part ll-B, line 1. Also, complete this part for any additional information.
Return Reference Explanation
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 C (Form 990) 2024


Additional Data


Software ID: 24020961
Software Version: 2024v5.1

SCHEDULE D
(Form 990)

Department of the Treasury
Internal Revenue Service
Supplemental Financial Statements
right arrow Complete if the organization answered "Yes," on Form 990,
Part IV, line 6, 7, 8, 9, 10, 11a, 11b, 11c, 11d, 11e, 11f, 12a, or 12b.
right arrow Attach to Form 990.
right arrow Go to www.irs.gov/Form990 for instructions and the latest information.
OMB No. 1545-0047
Open to Public Inspection
Name of the organization
SCRIPPS HEALTH
 
Employer identification number

95-1684089
Part I
Organizations Maintaining Donor Advised Funds or Other Similar Funds or Accounts. Complete if the organization answered "Yes" on Form 990, Part IV, line 6.
(a) Donor advised funds (b) Funds and other accounts
1 Total number at end of year .........    
2 Aggregate value of contributions to (during year)    
3 Aggregate value of grants from (during year)    
4 Aggregate value at end of year ........    
5
Did the organization inform all donors and donor advisors in writing that the assets held in donor advised funds are the organization’s property, subject to the organization’s exclusive legal control? ............
6
Did the organization inform all grantees, donors, and donor advisors in writing that grant funds can be used only for charitable purposes and not for the benefit of the donor or donor advisor, or for any other purpose conferring impermissible private benefit? ...................................
Part II
Conservation Easements.
Complete if the organization answered "Yes" on Form 990, Part IV, line 7.
1
Purpose(s) of conservation easements held by the organization (check all that apply).
2
Complete lines 2a through 2d if the organization held a qualified conservation contribution in the form of a conservation easement on the last day of the tax year.
Held at the End of the Year
a Total number of conservation easements ...................... 2a 1
b Total acreage restricted by conservation easements .................... 2b 16.0
c Number of conservation easements on a certified historic structure included in (a) ..... 2c 1
d Number of conservation easements included in (c) acquired after July 25, 2006, and not on a historic structure listed in the National Register ... 2d  
3
Number of conservation easements modified, transferred, released, extinguished, or terminated by the organization during the
tax year right arrow0
4
Number of states where property subject to conservation easement is located right arrow1
5
Does the organization have a written policy regarding the periodic monitoring, inspection, handling of violations, and enforcement of the conservation easements it holds? ............
6
Staff and volunteer hours devoted to monitoring, inspecting, handling of violations, and enforcing conservation easements during the year
right arrow370.0
7
Amount of expenses incurred in monitoring, inspecting, handling of violations, and enforcing conservation easements during the year
right arrow $ 1,258
8
Does each conservation easement reported on line 2(d) above satisfy the requirements of section 170(h)(4)(B)(i) and section 170(h)(4)(B)(ii)? .............................
9
In Part XIII, describe how the organization reports conservation easements in its revenue and expense statement, and
balance sheet, and include, if applicable, the text of the footnote to the organization’s financial statements that describes
the organization’s accounting for conservation easements.
Part III
Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets.
Complete if the organization answered "Yes" on Form 990, Part IV, line 8.
1a
If the organization elected, as permitted under FASB ASC 958, not to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide, in Part XIII, the text of the footnote to its financial statements that describes these items.
b
If the organization elected, as permitted under FASB ASC 958, to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide the following amounts relating to these items:
(i)
Revenue included on Form 990, Part VIII, line 1 .........................right arrow $ 0
(ii)
Assets included in Form 990, Part X ...............................right arrow $ 742,881
2
If the organization received or held works of art, historical treasures, or other similar assets for financial gain, provide the
following amounts required to be reported under FASB ASC 958 relating to these items:
a
Revenue included on Form 990, Part VIII, line 1 ..........................right arrow $  
b
Assets included in Form 990, Part X ...............................right arrow $  
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 52283D
Schedule D (Form 990) (Rev. 1-2025)

Schedule D (Form 990) (Rev. 1-2025)
Page 2
Part III
Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets (continued)
3
Using the organization’s acquisition, accession, and other records, check any of the following that are a significant use of its collection items (check all that apply):
a
d
b
e
 
c
4
Provide a description of the organization’s collections and explain how they further the organization’s exempt purpose in
Part XIII.
5
During the year, did the organization solicit or receive donations of art, historical treasures or other similar
assets to be sold to raise funds rather than to be maintained as part of the organization’s collection?...
Part IV
Escrow and Custodial Arrangements. Complete if the organization answered "Yes" on Form 990, Part IV, line 9, or reported an amount on Form 990, Part X, line 21.
1a
Is the organization an agent, trustee, custodian or other intermediary for contributions or other assets not
included on Form 990, Part X? ....................................
b If "Yes," explain the arrangement in Part XIII and complete the following table: Amount
c Beginning balance ............................. 1c  
d Additions during the year ............................ 1d  
e Distributions during the year .......................... 1e  
f Ending balance ................................ 1f  
2a
Did the organization include an amount on Form 990, Part X, line 21, for escrow or custodial account liability? ...
b
If "Yes," explain the arrangement in Part XIII. Check here if the explanation has been provided in Part XIII ....
Part V
Endowment Funds.
Complete if the organization answered "Yes" on Form 990, Part IV, line 10.
(a) Current year (b) Prior year (c) Two years back (d) Three years back (e) Four years back
1a Beginning of year balance .... 146,116,426 126,146,630 117,874,000 140,886,000 129,880,000
b Contributions ... 734,195 47,685 208,670 1,207,385 540,474
c Net investment earnings, gains, and losses 17,908,526 25,766,761 13,935,117 -19,713,562 15,126,128
d Grants or scholarships ... 0 0 0 0 897,549
e Other expenditures for facilities
and programs ... 		4,337,844 4,515,635 4,548,650 3,181,443 2,574,215
f Administrative expenses .... 1,309,160 1,329,015 1,322,507 1,324,380 1,188,838
g End of year balance ...... 159,112,143 146,116,426 126,146,630 117,874,000 140,886,000
2
Provide the estimated percentage of the current year end balance (line 1g, column (a)) held as:
a
Board designated or quasi-endowment right arrow0 %
b
Permanent endowment right arrow100 %
c
Term endowment right arrow0 %
The percentages on lines 2a, 2b, and 2c should equal 100%.
3a
Are there endowment funds not in the possession of the organization that are held and administered for the
organization by:

Yes
No
(i) Unrelated organizations .................
3a(i)
 
No
(ii) Related organizations .................
3a(ii)
 
No
b
If "Yes" on 3a(ii), are the related organizations listed as required on Schedule R? .........
3b
 
 
4
Describe in Part XIII the intended uses of the organization's endowment funds.
Part VI
Land, Buildings, and Equipment.
Complete if the organization answered "Yes" on Form 990, Part IV, line 11a. See Form 990, Part X, line 10.
Description of property (a) Cost or other basis
(investment) 		(b) Cost or other basis (other) (c) Accumulated depreciation (d) Book value
1a Land ..... 44,458,644 163,614,504 208,073,148
b Buildings ....   2,517,497,720 817,456,943 1,700,040,777
c Leasehold improvements   82,856,399 58,775,590 24,080,809
d Equipment ....   1,457,318,039 924,443,419 532,874,620
e Other .....   406,150,614 1,893,080 404,257,534
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).)..right arrow 2,869,326,888
Schedule D (Form 990) (Rev. 1-2025)

Schedule D (Form 990) (Rev. 1-2025)
Page 3
Part VII
Investments - Other Securities.
Complete if the organization answered "Yes" on Form 990, Part IV, line 11b. See Form 990, Part X, line 12.
(a) Description of security or category
(including name of security)		 (b) Book value (c) Method of valuation:
Cost or end-of-year market value
(1) Financial derivatives.........    
(2) Closely-held equity interests........    
(3) Other
(A) CLOSELY-HELD EQUITY INTERESTS		    

(B) FINANCIAL DERIVATIVES		    

(C) MULTI-STRATEGY FUNDS		 499,667,000 F

(D) PRIVATE EQUITY FUNDS		 481,009,000 F

(E) LIMITED PARTNERSHIP		 48,000,000 F
(E)
(F)
(G)
(H)
Total. (Column (b) must equal Form 990, Part X, col. (B) line 12.)right arrow 1,028,676,000
Part VIII
Investments - Program Related. Complete if the organization answered 'Yes' on Form 990, Part IV, line 11c. See Form 990, Part X, line 13.
(a) Description of investment (b) Book value (c) Method of valuation:
Cost or end-of-year market value
(1)
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 13.)right arrow  
Part IX
Other Assets.
Complete if the organization answered 'Yes' on Form 990, Part IV, line 11d. See Form 990, Part X, line 15.
(a) Description (b) Book value
(1)
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 15.)...........right arrow  
Part X
Other Liabilities.
Complete if the organization answered 'Yes' on Form 990, Part IV, line 11e or 11f. See Form 990, Part X, line 25.
1.(a) Description of liability (b) Book value
(1) Federal income taxes  
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
Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)right arrow 820,270,458
2. Liability for uncertain tax positions. In Part XIII, provide the text of the footnote to the organization's financial statements that reports the organization's liability for uncertain tax positions under FIN 48 (ASC 740). Check here if the text of the footnote has been provided in Part XIII
Schedule D (Form 990) (Rev. 1-2025)

Schedule D (Form 990) (Rev. 1-2025)
Page 4
Part XI Reconciliation of Revenue per Audited Financial Statements With Revenue per Return. Complete if the organization answered 'Yes' on Form 990, Part IV, line 12a.
1 Total revenue, gains, and other support per audited financial statements ....... 1  
2 Amounts included on line 1 but not on Form 990, Part VIII, line 12:
a Net unrealized gains (losses) on investments .... 2a  
b Donated services and use of facilities ......... 2b  
c Recoveries of prior year grants ........... 2c  
d Other (Describe in Part XIII.) ........... 2d 0
e Add lines 2a through 2d ..................... 2e 0
3 Subtract line 2e from line 1.................. 3 0
4 Amounts included on Form 990, Part VIII, line 12, but not on line 1:
a Investment expenses not included on Form 990, Part VIII, line 7b . 4a  
b Other (Describe in Part XIII.) ........... 4b 0
c Add lines 4a and 4b.................... 4c 0
5 Total revenue. Add lines 3 and 4c. (This must equal Form 990, Part I, line 12.) ...... 5 0
Part XII Reconciliation of Expenses per Audited Financial Statements With Expenses per Return. Complete if the organization answered 'Yes' on Form 990, Part IV, line 12a.
1 Total expenses and losses per audited financial statements ........... 1  
2 Amounts included on line 1 but not on Form 990, Part IX, line 25:
a Donated services and use of facilities ......... 2a  
b Prior year adjustments ............ 2b  
c Other losses ................ 2c  
d Other (Describe in Part XIII.) ........... 2d 0
e Add lines 2a through 2d.................... 2e 0
3 Subtract line 2e from line 1................... 3 0
4 Amounts included on Form 990, Part IX, line 25, but not on line 1:
a Investment expenses not included on Form 990, Part VIII, line 7b .. 4a  
b Other (Describe in Part XIII.) ........... 4b 0
c Add lines 4a and 4b..................... 4c 0
5 Total expenses. Add lines 3 and 4c. (This must equal Form 990, Part I, line 18.) ...... 5 0
Part XIII
Supplemental Information
Provide the descriptions required for Part II, lines 3, 5, and 9; Part III, lines 1a and 4; Part lV, lines 1b and 2b; Part V, line 4; Part X, line 2; Part XI, lines 2d and 4b; and Part XII, lines 2d and 4b. Also complete this part to provide any additional information.
Return Reference Explanation
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 D (Form 990) (Rev. 1-2025)


Additional Data


Software ID: 24020961
Software Version: 2024v5.1




SCHEDULE F(Form 990)
(Rev. January 2025)
Department of the Treasury
Internal Revenue Service
Statement of Activities Outside the United States
Right arrow Complete if the organization answered "Yes" to Form 990, Part IV, line 14b, 15, or 16.Right arrow Attach to Form 990.Right arrow Go to www.irs.gov/Form990 for instructions and the latest information.
OMB No. 1545-0047
Open to Public Inspection
Name of the organization
SCRIPPS HEALTH
 
Employer identification number

95-1684089
Part I
General Information on Activities Outside the United States. Complete if the organization answered "Yes" on Form 990, Part IV, line 14b.
1
For grantmakers. Does the organization maintain records to substantiate the amount of its grants and
other assistance, the grantees’ eligibility for the grants or assistance, and the selection criteria used
to award the grants or assistance? . . . . . . . . . . . . . . . . . . . . . . . . .
2
For grantmakers. Describe in Part V the organization’s procedures for monitoring the use of its grants and other assistance outside the United States.
3
Activites per Region. (The following Part I, line 3 table can be duplicated if additional space is needed.)
(a) Region (b) Number of offices in the region (c) Number of employees, agents, and independent contractors in the region (d) Activities conducted in region (by type) (such as, fundraising, program services, investments, grants to recipients located in the region) (e) If activity listed in (d) is a program service, describe specific type of
service(s) in the region		 (f) Total expenditures
for and investments
in the region
NORTH AMERICA (CANADA & MEXICO ONLY) 0 23 PROGRAM SERVICES RECONSTRUCTIVE SURGERY 387,886
CENTRAL AMERICA AND THE CARIBBEAN 0 0 INVESTMENTS   713,167,884
EUROPE (INCLUDING ICELAND AND GREENLAND) 0 0 INVESTMENTS   71,317,126
           
           
           
           
           
           
           
           
           
           
           
           
           
           
3a Sub-total .... 0 23 784,872,896
b Total from continuation sheets to Part I ... 0 0 0
c Totals (add lines 3a and 3b) 0 23 784,872,896
For Paperwork Reduction Act Notice, see the Instructions for Form 990.Cat. No. 50082W Schedule F (Form 990) (Rev. 1-2025)
Schedule F (Form 990) (Rev. 1-2025)
Page 2
Part II
Grants and Other Assistance to Organizations or Entities Outside the United States. Complete if the organization answered "Yes" on Form 990, Part IV, line 15, for any recipient who received more than $5,000. Part II can be duplicated if additional space is needed.
1 (a) Name of organization (b) IRS code section
and EIN (if applicable)		 (c) Region (d) Purpose of
grant 		(e) Amount of
cash grant 		(f) Manner of
cash
disbursement 		(g) Amount
of noncash
assistance 		(h) Description
of noncash
assistance 		(i) Method of
valuation
(book, FMV,
appraisal, other)
             
             
             
             
             
             
             
             
             
             
             
             
             
             
             
             
2 Enter total number of recipient organizations listed above that are recognized as charities by the foreign country, recognized as tax-exempt by the IRS, or for which the grantee or counsel has provided a section 501(c)(3) equivalency letter .......MediumBullet
 
3 Enter total number of other organizations or entities .......................MediumBullet
 
Schedule F (Form 990) (Rev. 1-2025)
Schedule F (Form 990) (Rev. 1-2025)Page 3
Part III
Grants and Other Assistance to Individuals Outside the United States. Complete if the organization answered "Yes" on Form 990, Part IV, line 16.
Part III can be duplicated if additional space is needed.
(a) Type of grant or assistance (b) Region (c) Number of recipients (d) Amount of
cash grant 		(e) Manner of cash
disbursement 		(f) Amount of
noncash
assistance 		(g) Description
of noncash
assistance 		(h) Method of
valuation
(book, FMV,
appraisal, other)
               
               
               
               
               
               
               
               
               
               
               
               
               
               
               
               
               
               
Schedule F (Form 990) (Rev. 1-2025)
Schedule F (Form 990) (Rev. 1-2025)
Page 4
Part IV
Foreign Forms
1 Was the organization a U.S. transferor of property to a foreign corporation during the tax year? If "Yes," the organization may be required to file Form 926, Return by a U.S. Transferor of Property to a Foreign Corporation (see Instructions for Form 926). . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
2 Did the organization have an interest in a foreign trust during the tax year? If "Yes," the organization may be required to separately file Form 3520, Annual Return to Report Transactions with Foreign Trusts and Receipt of Certain Foreign Gifts, and/or Form 3520-A, Annual Information Return of Foreign Trust With a U.S. Owner (see Instructions for Forms 3520 and 3520-A; don't file with Form 990). . . . . . . . . . . . . . . . . . . . . . . .
3 Did the organization have an ownership interest in a foreign corporation during the tax year? If "Yes," the organization may be required to file Form 5471, Information Return of U.S. Persons with Respect to Certain Foreign Corporations. (see Instructions for Form 5471). . . . . . . . . . . . . . . . . . . . . . . . . . . .
4 Was the organization a direct or indirect shareholder of a passive foreign investment company or a qualified electing fund during the tax year? If “Yes,” the organization may be required to file Form 8621, Information Return by a Shareholder of a Passive Foreign Investment Company or Qualified Electing Fund. (see Instructions for Form 8621) .
5 Did the organization have an ownership interest in a foreign partnership during the tax year? If "Yes," the organization may be required to file Form 8865, Return of U.S. Persons with Respect to Certain Foreign Partnerships (see Instructions for Form 8865). . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
6 Did the organization have any operations in or related to any boycotting countries during the tax year? If "Yes," the organization may be required to separately file Form 5713, International Boycott Report (see Instructions for Form 5713; don't file with Form 990).. . . . . . . . . . . . . . . . . . . . . . . . . . . .
Schedule F (Form 990) (Rev. 1-2025)
Schedule F (Form 990) (Rev. 1-2025)
Page 5
Part V
Supplemental Information
Provide the information required by Part I, line 2 (monitoring of funds); Part I, line 3, column (f) (accounting method; amounts of investments vs. expenditures per region); Part II, line 1 (accounting method); Part III (accounting method); and Part III, column (c) (estimated number of recipients), as applicable. Also complete this part to provide any additional information. See instructions.
ReturnReference Explanation
SCHEDULE F, PART I, LINE 3 METHOD USED TO ACCOUNT FOR EXPENDITURES ON ORG'S FINANCIAL STATEMENTS CENTRAL AMERICA AND THE CARIBBEAN-ACCRUAL; EUROPE (INCLUDING ICELAND AND GREENLAND)-ACCRUAL; NORTH AMERICA (CANADA & MEXICO ONLY)-ACCRUAL
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
Schedule F (Form 990) (Rev. 1-2025)
Additional Data


Software ID: 24020961
Software Version: 2024v5.1



SCHEDULE G (Form 990)
(Rev. January 2025)
Department of the Treasury
Internal Revenue Service
Supplemental Information Regarding
Fundraising or Gaming Activities
Complete if the organization answered "Yes" on Form 990, Part IV, lines 17, 18, or 19, or if the organization entered more than $15,000 on Form 990-EZ, line 6a. right arrowAttach to Form 990 or Form 990-EZ.
right arrowGo to www.irs.gov/Form990 for instructions and the latest information.
OMB No. 1545-0047
Open to Public Inspection
Name of the organization
SCRIPPS HEALTH
 
Employer identification number

95-1684089
Part I
Fundraising Activities.Complete if the organization answered "Yes" on Form 990, Part IV, line 17.
Form 990-EZ filers are not required to complete this part.
1
Indicate whether the organization raised funds through any of the following activities. Check all that apply.
a e
b f
c g
d
2a
Did the organization have a written or oral agreement with any individual (including officers, directors, trustees
or key employees listed in Form 990, Part VII) or entity in connection with professional fundraising services?
b
If "Yes," list the 10 highest paid individuals or entities (fundraisers) pursuant to agreements under which the fundraiser is
to be compensated at least $5,000 by the organization.


(i) Name and address of individual
or entity (fundraiser) 		(ii) Activity (iii) Did fundraiser have custody or control of contributions? (iv) Gross receipts
from activity 		(v) Amount paid to
(or retained by)
fundraiser listed in
col. (i) 		(vi) Amount paid to
(or retained by)
organization
Yes No
             
             
             
             
             
             
             
             
             
             
Total . . . . . . . . . . . . . . . . . . . . right arrow      
3
List all states in which the organization is registered or licensed to solicit contributions or has been notified it is exempt from registration or licensing.
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.
Cat. No. 50083H
Schedule G (Form 990) (Rev. 1-2025)
Schedule G (Form 990) (Rev. 1-2025)
Page 2
Part II
Fundraising Events. Complete if the organization answered "Yes" on Form 990, Part IV, line 18, or reported more than $15,000 of fundraising event contributions and gross income on Form 990-EZ, lines 1 and 6b. List events with gross receipts greater than $5,000.




VerticalRevenue
(a) Event #1

CANDLELIGHT BALL
(event type) 		(b) Event #2

CLINIC GOLF
(event type) 		(c) Other events

3
(total number) 		(d) Total events
(add col. (a) through col. (c))

1
Gross receipts . . . . .
682,266
426,676
543,510
1,652,452

2
Less: Contributions . . . .
156,598
96,185
45,285
298,068
3 Gross income (line 1 minus
line 2) . . . . . .
525,668
330,491
498,225
1,354,384



VerticalDirectExpenses
4 Cash prizes . . . . .        
5 Noncash prizes . . . .        
6 Rent/facility costs . . . . 113,087 114,290 152,836 380,213
7 Food and beverages . . .        
8 Entertainment . . . . 18,223 2,500 11,525 32,248
9 Other direct expenses . . . 552,160 46,551 89,517 688,228
10 Direct expense summary. Add lines 4 through 9 in column (d) . . . . . . . . . . right arrow 1,100,689
11 Net income summary. Subtract line 10 from line 3, column (d). . . . . . . . . . right arrow 253,695
Part III
Gaming. Complete if the organization answered "Yes" on Form 990, Part IV, line 19, or reported more than $15,000 on Form 990-EZ, line 6a.
VerticalRevenue
(a) Bingo (b) Pull tabs/Instant
bingo/progressive bingo 		(c) Other gaming (d) Total gaming (add col.(a) through col.(c))

1
Gross revenue . . . . .
 
 
 
 
VerticalDirectExpenses

2
Cash prizes . . . . .
 
 
 
 

3
Noncash prizes . . . .
 
 
 
 

4
Rent/facility costs . . . .
 
 
 
 

5
Other direct expenses . . .
 
 
 
 


6

Volunteer labor . . . .
%
%
%


7
Direct expense summary. Add lines 2 through 5 in column (d) . . . . . . . . . . right arrow
 

8
Net gaming income summary. Subtract line 7 from line 1, column (d). . . . . . . . . right arrow
 

9
Enter the state(s) in which the organization conducts gaming activities:
a
Is the organization licensed to conduct gaming activities in each of these states? . . . . . . . .
YesNo
b
If "No," explain:
 
10a
Were any of the organization's gaming licenses revoked, suspended or terminated during the tax year? . . .
YesNo
b
If "Yes," explain:
 
Schedule G (Form 990) (Rev. 1-2025)
Schedule G (Form 990) (Rev. 1-2025)
Page 3
11
Does the organization conduct gaming activities with nonmembers? . . . . . . . . . . .
YesNo
12
Is the organization a grantor, beneficiary or trustee of a trust or a member of a partnership or other entity
formed to administer charitable gaming? . . . . . . . . . . . . . . . . .
YesNo
13
Indicate the percentage of gaming activity conducted in:
a
The organization's facility . . . . . . . . . . . . . . . . . .
13a
%
b
An outside facility . . . . . . . . . . . . . . . . . . . .
13b
%
14
Enter the name and address of the person who prepares the organization's gaming/special events books and records:
Name right arrow
Address right arrow
15a
Does the organization have a contract with a third party from whom the organization receives gaming
revenue? . . . . . . . . . . . . . . . . . . . . . . . .
b
If "Yes," enter the amount of gaming revenue received by the organization right arrow $   and the
amount of gaming revenue retained by the third party right arrow $   .
c
If "Yes," enter name and address of the third party:
Name right arrow
Address right arrow
16
Gaming manager information:
Name right arrow
Gaming manager compensation right arrow $  
Description of services provided right arrow
 
17
Mandatory distributions:
a
Is the organization required under state law to make charitable distributions from the gaming proceeds to
retain the state gaming license? . . . . . . . . . . . . . . . . . . .
b
Enter the amount of distributions required under state law distributed to other exempt organizations or spent
in the organization's own exempt activities during the tax year right arrow$  
Part IV
Supplemental Information. Provide the explanations required by Part I, line 2b, columns (iii) and (v); and Part III, lines 9, 9b, 10b, 15b, 15c, 16, and 17b, as applicable. Also provide any additional information. See instructions.
Return Reference Explanation
Schedule G (Form 990) (Rev. 1-2025)
Additional Data


Software ID: 24020961
Software Version: 2024v5.1
SCHEDULE H
(Form 990)
Department of the Treasury
Internal Revenue Service
Hospitals
Medium right arrow Complete if the organization answered "Yes" on Form 990, Part IV, question 20a.
Medium right arrow Attach to Form 990.
Medium right arrow Go to www.irs.gov/Form990EZ for instructions and the latest information.
OMB No. 1545-0047
2024
Open to Public Inspection
Name of the organization
SCRIPPS HEALTH
 
Employer identification number

95-1684089
Part I
Financial Assistance and Certain Other Community Benefits at Cost
Yes
No
1a
Did the organization have a financial assistance policy during the tax year? If "No," skip to question 6a . . . .
1a
Yes
 
b
If "Yes," was it a written policy? ......................
1b
Yes
 
2
If the organization had multiple hospital facilities, indicate which of the following best describes application of the financial assistance policy to its various hospital facilities during the tax year.
3
Answer the following based on the financial assistance eligibility criteria that applied to the largest number of the organization's patients during the tax year.
a
Did the organization use Federal Poverty Guidelines (FPG) as a factor in determining eligibility for providing free care?
If "Yes," indicate which of the following was the FPG family income limit for eligibility for free care:
3a
Yes
 
%
b
Did the organization use FPG as a factor in determining eligibility for providing discounted care? If "Yes," indicate
which of the following was the family income limit for eligibility for discounted care: . . . . . . . .
3b
Yes
 
%
c
If the organization used factors other than FPG in determining eligibility, describe in Part VI the criteria used for determining eligibility for free or discounted care. Include in the description whether the organization used an asset test or other threshold, regardless of income, as a factor in determining eligibility for free or discounted care.
4
Did the organization's financial assistance policy that applied to the largest number of its patients during the tax year provide for free or discounted care to the "medically indigent"? . . . . . . . . . . . . .

4

Yes

 
5a
Did the organization budget amounts for free or discounted care provided under its financial assistance policy during
the tax year? . . . . . . . . . . . . . . . . . . . . . . .

5a

Yes

 
b
If "Yes," did the organization's financial assistance expenses exceed the budgeted amount? . . . . . .
5b
Yes
 
c
If "Yes" to line 5b, as a result of budget considerations, was the organization unable to provide free or discountedcare to a patient who was eligibile for free or discounted care? . . . . . . . . . . . . .
5c
 
No
6a
Did the organization prepare a community benefit report during the tax year? . . . . . . . . .
6a
Yes
 
b
If "Yes," did the organization make it available to the public? . . . . . . . . . . . . .
6b
Yes
 
Complete the following table using the worksheets provided in the Schedule H instructions. Do not submit these worksheets with the Schedule H.
7
Financial Assistance and Certain Other Community Benefits at Cost
Financial Assistance and
Means-Tested
Government Programs
 (a) Number of activities or programs (optional) (b) Persons served (optional) (c) Total community benefit expense (d) Direct offsetting revenue (e) Net community benefit expense (f) Percent of total expense
a Financial Assistance at cost
(from Worksheet 1) . . . 		0 0 18,663,224 0 18,663,224 0.397 %
b Medicaid (from Worksheet 3, column a) . . . . . 0 0 521,162,252 298,065,911 223,096,341 4.751 %
c Costs of other means-tested government programs (from Worksheet 3, column b) . . 0 0 0 0 0 0 %
d Total Financial Assistance and Means-Tested Government Programs . . . . . 0 0 539,825,476 298,065,911 241,759,565 5.149 %
Other Benefits
e Community health improvement services and community benefit operations (from Worksheet 4). 0 0 9,599,327 2,441,782 7,157,545 0.152 %
f Health professions education (from Worksheet 5) . . . 0 0 58,618,967 12,948,325 45,670,642 0.973 %
g Subsidized health services (from Worksheet 6) . . . . 0 0 17,228,058 13,871,139 3,356,919 0.071 %
h Research (from Worksheet 7) . 0 0 18,842,407 13,008,479 5,833,928 0.124 %
i Cash and in-kind contributions for community benefit (from Worksheet 8) . . . . 0 0 1,027,760 0 1,027,760 0.022 %
j Total. Other Benefits . . 0 0 105,316,519 42,269,725 63,046,794 1.343 %
k Total. Add lines 7d and 7j . 0 0 645,141,995 340,335,636 304,806,359 6.491 %
For Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2024
Schedule H (Form 990) 2024
Page
Part II
Community Building Activities Complete this table if the organization conducted any community building activities during the tax year, and describe in Part VI how its community building activities promoted the health of the communities it serves.
(a) Number of activities or programs (optional) (b) Persons served (optional) (c) Total community building expense (d) Direct offsetting
revenue 		(e) Net community building expense (f) Percent of total expense
1 Physical improvements and housing     47,432   47,432 0.001 %
2 Economic development     58,388   58,388 0.001 %
3 Community support     29,300   29,300 0.001 %
4 Environmental improvements         0 0 %
5 Leadership development and
training for community members		     93,025 29,850 63,175 0.001 %
6 Coalition building         0 0 %
7 Community health improvement advocacy         0 0 %
8 Workforce development     444,603 108,207 336,396 0.007 %
9 Other         0 0 %
10 Total 0 0 672,748 138,057 534,691 0.011 %
Part III
Bad Debt, Medicare, & Collection Practices
Section A. Bad Debt Expense
Yes
No
1
Did the organization report bad debt expense in accordance with Healthcare Financial Management Association Statement No. 15? ..........................
1
Yes
 
2
Enter the amount of the organization's bad debt expense. Explain in Part VI the methodology used by the organization to estimate this amount. ......
2
78,414,318
3
Enter the estimated amount of the organization's bad debt expense attributable to patients eligible under the organization's financial assistance policy. Explain in Part VI the methodology used by the organization to estimate this amount and the rationale, if any, for including this portion of bad debt as community benefit. ......
3
 
4
Provide in Part VI the text of the footnote to the organization’s financial statements that describes bad debt expense or the page number on which this footnote is contained in the attached financial statements.
Section B. Medicare
5
Enter total revenue received from Medicare (including DSH and IME).....
5
689,133,247
6
Enter Medicare allowable costs of care relating to payments on line 5.....
6
828,981,695
7
Subtract line 6 from line 5. This is the surplus (or shortfall)........
7
-139,848,448
8
Describe in Part VI the extent to which any shortfall reported in line 7 should be treated as community benefit.Also describe in Part VI the costing methodology or source used to determine the amount reported on line 6.Check the box that describes the method used:
Section C. Collection Practices
9a
Did the organization have a written debt collection policy during the tax year? ..........
9a
Yes
 
b
If "Yes," did the organization’s collection policy that applied to the largest number of its patients during the tax year
contain provisions on the collection practices to be followed for patients who are known to qualify for financial assistance? Describe in Part VI .........................

9b

Yes

 
Part IV
Management Companies and Joint Ventures(owned 10% or more by officers, directors, trustees, key employees, and physicians—see instructions)
(a) Name of entity (b) Description of primary
activity of entity 		(c) Organization's
profit % or stock
ownership % 		(d) Officers, directors,
trustees, or key
employees' profit %
or stock ownership % 		(e) Physicians'
profit % or stock
ownership %
1SCRIPPS ENCINITAS SURGERY CENTER
  		AMBULATORY SURGERY CENTER 57.47 % 0 % 20.11 %
2SCRIPPS MEMORIAL XIMED MEDICAL
  		MEDICAL OFFICE BUILDING 15.3 % 0 % 77.2 %
3SCRIPPS MERCY ASC
  		AMBULATORY SURGERY CENTER 82.5 % 0 % 17.5 %
4SCRIPPSUSP SURGERY CENTERS
  		AMBULATORY SURGERY CENTER 50 % 0 % 36 %
5
6
7
8
9
10
11
12
13
Schedule H (Form 990) 2024
Schedule H (Form 990) 2024
Page
Part VFacility Information
Section A. Hospital Facilities
(list in order of size from largest to smallest—see instructions)How many hospital facilities did the organization operate during the tax year?5Name, address, primary website address, and state license number (and if a group return, the name and EIN of the subordinate hospital organization that operates the hospital facility) 		Licensed Hospital General Medical and Surgical Children's Hospital Teaching Hospital Critical Access Hospital Research Facility ER-24Hours ER-Other Other (describe) Facility reporting group
2 SCRIPPS MERCY HOSPITAL
4077 5TH AVENUE
SAN DIEGO,CA92103
WWW.SCRIPPS.ORG
090000074 		X X   X   X X     A
1 SCRIPPS MEMORIAL HOSPITAL LA JOLLA
9888 GENESEE AVENUE
LA JOLLA,CA92037
WWW.SCRIPPS.ORG
080000050 		X X   X   X X     A
4 SCRIPPS MEMORIAL HOSPITAL ENCINITAS
354 SANTA FE DRIVE
SAN DIEGO,CA92034
WWW.SCRIPPS.ORG
080000148 		X X   X   X X     A
3 SCRIPPS GREEN HOSPITAL
10666 NORTH TORREY PINES RD
SAN DIEGO,CA92037
WWW.SCRIPPS.ORG
080000139 		X X   X   X       A
5 VIBRA HOSPITAL OF SAN DIEGO (DBA SELECT HOSPITAL OF SAN DIEGO)
555 WASHINGTON ST
SAN DIEGO,CA92103
WWW.SELECTSPECIALTYHOSPITALS.COM
1466122 		X                 B
Schedule H (Form 990) 2024
Schedule H (Form 990) 2024
Page 4
Part VFacility Information (continued)

Section B. Facility Policies and Practices

(Complete a separate Section B for each of the hospital facilities or facility reporting groups listed in Part V, Section A)
A
Name of hospital facility or letter of facility reporting group  
Line number of hospital facility, or line numbers of hospital facilities in a facility
reporting group (from Part V, Section A): 		4
Yes No
Community Health Needs Assessment
1 Was the hospital facility first licensed, registered, or similarly recognized by a state as a hospital facility in the current tax year or the immediately preceding tax year?........................ 1   No
2 Was the hospital facility acquired or placed into service as a tax-exempt hospital in the current tax year or the immediately preceding tax year? If “Yes,” provide details of the acquisition in Section C............... 2   No
3 During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 12...................... 3 Yes  
If "Yes," indicate what the CHNA report describes (check all that apply):
a
b
c
d
e
f
g
h
i
j
4 Indicate the tax year the hospital facility last conducted a CHNA: 20 24
5 In conducting its most recent CHNA, did the hospital facility take into account input from persons who represent the broad interests of the community served by the hospital facility, including those with special knowledge of or expertise in public health? If "Yes," describe in Section C how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted ................. 5 Yes  
6 a Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Section C.................................. 6a Yes  
b Was the hospital facility’s CHNA conducted with one or more organizations other than hospital facilities?” If “Yes,” list the other organizations in Section C. ............................ 6b Yes  
7 Did the hospital facility make its CHNA report widely available to the public?.............. 7 Yes  
If "Yes," indicate how the CHNA report was made widely available (check all that apply):
a
b
c
d
8 Did the hospital facility adopt an implementation strategy to meet the significant community health needs
identified through its most recently conducted CHNA? If "No," skip to line 11. .............. 		8 Yes  
9 Indicate the tax year the hospital facility last adopted an implementation strategy: 20 24
10 Is the hospital facility's most recently adopted implementation strategy posted on a website?......... 10 Yes  
a If "Yes" (list url): https://www.scripps.org/about-us/scripps-in-the-community
b If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ...... 10b    
11 Describe in Section C how the hospital facility is addressing the significant needs identified in its most recently conducted CHNA and any such needs that are not being addressed together with the reasons why such needs are not being addressed.
12a Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)?............................... 12a   No
b If "Yes" on line 12a, did the organization file Form 4720 to report the section 4959 excise tax?........ 12b    
c If "Yes" on line 12b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $  

Schedule H (Form 990) 2024
Schedule H (Form 990) 2024
Page 5
Part VFacility Information (continued)

Financial Assistance Policy (FAP)
A
Name of hospital facility or letter of facility reporting group  
Yes No
Did the hospital facility have in place during the tax year a written financial assistance policy that:
13 Explained eligibility criteria for financial assistance, and whether such assistance included free or discounted care? 13 Yes  
If “Yes,” indicate the eligibility criteria explained in the FAP:
a Federal poverty guidelines (FPG), with FPG family income limit for eligibility for free care of 200.0%
and FPG family income limit for eligibility for discounted care of 400.0%
b
c
d
e
f
g
h
14 Explained the basis for calculating amounts charged to patients?................. 14 Yes  
15 Explained the method for applying for financial assistance?................... 15 Yes  
If “Yes,” indicate how the hospital facility’s FAP or FAP application form (including accompanying instructions) explained the method for applying for financial assistance (check all that apply):
a Described the information the hospital facility may require an individual to provide as part of his or her application
b Described the supporting documentation the hospital facility may require an individual to submit as part of his or
her application
c Provided the contact information of hospital facility staff who can provide an individual with information about the
FAP and FAP application process
d Provided the contact information of nonprofit organizations or government agencies that may be sources of
assistance with FAP applications
e Other (describe in Section C)
16 Was widely publicized within the community served by the hospital facility?........ 16 Yes  
If "Yes," indicate how the hospital facility publicized the policy (check all that apply):
a
https://www.scripps.org/patients-and-visitors/help-paying-your-bill
b
https://www.scripps.org/patients-and-visitors/help-paying-your-bill
c
d
e
f
g
h
i
j
Schedule H (Form 990) 2024
Schedule H (Form 990) 2024
Page 6
Part VFacility Information (continued)

Billing and Collections
A
Name of hospital facility or letter of facility reporting group  
Yes No
17 Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy (FAP) that explained all of the actions the hospital facility or other authorized party may take upon nonpayment?.................................. 17 Yes  
18 Check all of the following actions against an individual that were permitted under the hospital facility's policies during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP:
a
b
c
d
e
f
19 Did the hospital facility or other authorized party perform any of the following actions during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP?............ 19   No
If "Yes," check all actions in which the hospital facility or a third party engaged:
a
b
c
d
e
20 Indicate which efforts the hospital facility or other authorized party made before initiating any of the actions listed (whether or not checked) in line 19. (check all that apply):
a
b
c
d
e
f
Policy Relating to Emergency Medical Care
21 Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that required the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?.................. 21 Yes  
If "No," indicate why:
a
b
c
d
Schedule H (Form 990) 2024
Schedule H (Form 990) 2024
Page 7
Part VFacility Information (continued)

Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)
A
Name of hospital facility or letter of facility reporting group  
Yes No
22 Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.
a
b
c
d
23 During the tax year, did the hospital facility charge any FAP-eligible individual to whom the hospital facility provided emergency or other medically necessary services more than the amounts generally billed to individuals who had insurance covering such care? ............................... 23   No
If "Yes," explain in Section C.
24 During the tax year, did the hospital facility charge any FAP-eligible individual an amount equal to the gross charge for any service provided to that individual? ........................... 24   No
If "Yes," explain in Section C.
Schedule H (Form 990) 2024
Schedule H (Form 990) 2024
Page 4
Part VFacility Information (continued)

Section B. Facility Policies and Practices

(Complete a separate Section B for each of the hospital facilities or facility reporting groups listed in Part V, Section A)
B
Name of hospital facility or letter of facility reporting group  
Line number of hospital facility, or line numbers of hospital facilities in a facility
reporting group (from Part V, Section A): 		1
Yes No
Community Health Needs Assessment
1 Was the hospital facility first licensed, registered, or similarly recognized by a state as a hospital facility in the current tax year or the immediately preceding tax year?........................ 1   No
2 Was the hospital facility acquired or placed into service as a tax-exempt hospital in the current tax year or the immediately preceding tax year? If “Yes,” provide details of the acquisition in Section C............... 2   No
3 During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 12...................... 3 Yes  
If "Yes," indicate what the CHNA report describes (check all that apply):
a
b
c
d
e
f
g
h
i
j
4 Indicate the tax year the hospital facility last conducted a CHNA: 20 24
5 In conducting its most recent CHNA, did the hospital facility take into account input from persons who represent the broad interests of the community served by the hospital facility, including those with special knowledge of or expertise in public health? If "Yes," describe in Section C how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted ................. 5 Yes  
6 a Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Section C.................................. 6a Yes  
b Was the hospital facility’s CHNA conducted with one or more organizations other than hospital facilities?” If “Yes,” list the other organizations in Section C. ............................ 6b Yes  
7 Did the hospital facility make its CHNA report widely available to the public?.............. 7 Yes  
If "Yes," indicate how the CHNA report was made widely available (check all that apply):
a
b
c
d
8 Did the hospital facility adopt an implementation strategy to meet the significant community health needs
identified through its most recently conducted CHNA? If "No," skip to line 11. .............. 		8 Yes  
9 Indicate the tax year the hospital facility last adopted an implementation strategy: 20 24
10 Is the hospital facility's most recently adopted implementation strategy posted on a website?......... 10 Yes  
a If "Yes" (list url): https://www.selectspecialtyhospitals.com/locations-and-tours/ca/san-diego/san-diego/
b If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ...... 10b    
11 Describe in Section C how the hospital facility is addressing the significant needs identified in its most recently conducted CHNA and any such needs that are not being addressed together with the reasons why such needs are not being addressed.
12a Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)?............................... 12a   No
b If "Yes" on line 12a, did the organization file Form 4720 to report the section 4959 excise tax?........ 12b    
c If "Yes" on line 12b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $  

Schedule H (Form 990) 2024
Schedule H (Form 990) 2024
Page 5
Part VFacility Information (continued)

Financial Assistance Policy (FAP)
B
Name of hospital facility or letter of facility reporting group  
Yes No
Did the hospital facility have in place during the tax year a written financial assistance policy that:
13 Explained eligibility criteria for financial assistance, and whether such assistance included free or discounted care? 13 Yes  
If “Yes,” indicate the eligibility criteria explained in the FAP:
a Federal poverty guidelines (FPG), with FPG family income limit for eligibility for free care of 200.0%
and FPG family income limit for eligibility for discounted care of 400.0%
b
c
d
e
f
g
h
14 Explained the basis for calculating amounts charged to patients?................. 14 Yes  
15 Explained the method for applying for financial assistance?................... 15 Yes  
If “Yes,” indicate how the hospital facility’s FAP or FAP application form (including accompanying instructions) explained the method for applying for financial assistance (check all that apply):
a Described the information the hospital facility may require an individual to provide as part of his or her application
b Described the supporting documentation the hospital facility may require an individual to submit as part of his or
her application
c Provided the contact information of hospital facility staff who can provide an individual with information about the
FAP and FAP application process
d Provided the contact information of nonprofit organizations or government agencies that may be sources of
assistance with FAP applications
e Other (describe in Section C)
16 Was widely publicized within the community served by the hospital facility?........ 16 Yes  
If "Yes," indicate how the hospital facility publicized the policy (check all that apply):
a
https://www.selectspecialtyhospitals.com/locations-and-tours/ca/san-diego/san-diego/?ty=xt
b
https://www.selectspecialtyhospitals.com/locations-and-tours/ca/san-diego/san-diego/?ty=xt
c
d
e
f
g
h
i
j
Schedule H (Form 990) 2024
Schedule H (Form 990) 2024
Page 6
Part VFacility Information (continued)

Billing and Collections
B
Name of hospital facility or letter of facility reporting group  
Yes No
17 Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy (FAP) that explained all of the actions the hospital facility or other authorized party may take upon nonpayment?.................................. 17 Yes  
18 Check all of the following actions against an individual that were permitted under the hospital facility's policies during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP:
a
b
c
d
e
f
19 Did the hospital facility or other authorized party perform any of the following actions during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP?............ 19   No
If "Yes," check all actions in which the hospital facility or a third party engaged:
a
b
c
d
e
20 Indicate which efforts the hospital facility or other authorized party made before initiating any of the actions listed (whether or not checked) in line 19. (check all that apply):
a
b
c
d
e
f
Policy Relating to Emergency Medical Care
21 Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that required the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?.................. 21   No
If "No," indicate why:
a
b
c
d
Schedule H (Form 990) 2024
Schedule H (Form 990) 2024
Page 7
Part VFacility Information (continued)

Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)
B
Name of hospital facility or letter of facility reporting group  
Yes No
22 Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.
a
b
c
d
23 During the tax year, did the hospital facility charge any FAP-eligible individual to whom the hospital facility provided emergency or other medically necessary services more than the amounts generally billed to individuals who had insurance covering such care? ............................... 23   No
If "Yes," explain in Section C.
24 During the tax year, did the hospital facility charge any FAP-eligible individual an amount equal to the gross charge for any service provided to that individual? ........................... 24   No
If "Yes," explain in Section C.
Schedule H (Form 990) 2024
Schedule H (Form 990) 2024
Page 8
Part V
Facility Information (continued)
Section C. Supplemental Information for Part V, Section B. Provide descriptions required for Part V, Section B, lines 2, 3j, 5, 6a, 6b, 7d, 11, 13b, 13h, 15e, 16j, 18e, 19e, 20a, 20b, 20c, 20d, 20e, 21c, 21d, 23, and 24. If applicable, provide separate descriptions for each hospital facility in a facility reporting group, designated by facility reporting group letter and hospital facility line number from Part V, Section A (“A, 1,” “A, 4,” “B, 2,” “B, 3,” etc.) and name of hospital facility.
Form and Line Reference Explanation
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.
   
   
   
   
   
   
   
   
   
   
   
   
   
   
Schedule H (Form 990) 2024
Schedule H (Form 990) 2024
Page 9
Part VFacility Information (continued)

Section D. Other Health Care Facilities That Are Not Licensed, Registered, or Similarly Recognized as a Hospital Facility
(list in order of size, from largest to smallest)
How many non-hospital health care facilities did the organization operate during the tax year?44
Name and address Type of Facility (describe)
1 SCRIPPS CLINIC - TORREY PINES
10666 N TORREY PINES RD
LA JOLLA,CA92037 		PRIMARY AND SPECIALTY CARE SERVICES IN AN AMBULATORY ENVIRONMENT
2 SCRIPPS CLINIC - RANCHO BERNARDO
15004 INNOVATION DR
SAN DIEGO,CA92128 		PRIMARY AND SPECIALTY CARE SERVICES IN AN AMBULATORY ENVIRONMENT
3 SCRIPPS CLINIC - CARMEL VALLEY
3811 VALLEY CENTER DR
SAN DIEGO,CA92130 		PRIMARY AND SPECIALTY CARE SERVICES IN AN AMBULATORY ENVIRONMENT
4 SCRIPPS MEDICAL LAB
9235 WAPLES ST 150
SAN DIEGO,CA92121 		LABORATORY SERVICES
5 SCRIPPS CLINIC - JEFFERSON
2205 VISTA WAY
OCEANSIDE,CA92054 		PRIMARY AND SPECIALTY CARE SERVICES IN AN AMBULATORY ENVIRONMENT
6 SCRIPPS CLINIC - ANDERSON MEDICAL PAVILION
9898 GENESSE AVE
LA JOLLA,CA92037 		PRIMARY AND SPECIALTY CARE SERVICES IN AN AMBULATORY ENVIRONMENT
7 SCRIPPS CLINIC - ENCINITAS
310 SANTA FE DR
ENCINITAS,CA92024 		PRIMARY AND SPECIALTY CARE SERVICES IN AN AMBULATORY ENVIRONMENT
8 SCRIPPS CLINIC - MISSION VALLEY
7565 MISSION VALLEY RD
SAN DIEGO,CA92108 		PRIMARY AND SPECIALTY CARE SERVICES IN AN AMBULATORY ENVIRONMENT
9 SCRIPPS HOSPITAL MEDICAL SERVICES
10140 CAMPUS POINT DR
SAN DIEGO,CA92121 		PRIMARY AND SPECIALTY CARE SERVICES IN AN AMBULATORY ENVIRONMENT
10 SCRIPPS CLINIC - LA JOLLA MEMORIAL CAMPUS
9850 GENESEE AVE XIMED BLDG 600
SAN DIEGO,CA92121 		PRIMARY AND SPECIALTY CARE SERVICES IN AN AMBULATORY ENVIRONMENT
11 SCMC - ENCINITAS
477 N EL CAMINO REAL
ENCINITAS,CA92024 		PRIMARY AND SPECIALTY CARE SERVICES IN AN AMBULATORY ENVIRONMENT
12 SCMC - JEFFERSON
2205 VISTA WAY
OCEANSIDE,CA92054 		PRIMARY AND SPECIALTY CARE SERVICES IN AN AMBULATORY ENVIRONMENT
13 SCMC HILLCREST
501 WASHINGTON ST
SAN DIEGO,CA92103 		PRIMARY AND SPECIALTY CARE SERVICES IN AN AMBULATORY ENVIRONMENT
14 SCRIPPS CLINIC - RANCHO SAN DIEGO
10862 CALLE VERDE
LA MESA,CA91941 		PRIMARY AND SPECIALTY CARE SERVICES IN AN AMBULATORY ENVIRONMENT
15 SCMC - CARLSBAD
2176 SALK AVE
CARLSBAD,CA92008 		PRIMARY AND SPECIALTY CARE SERVICES IN AN AMBULATORY ENVIRONMENT
16 SCMC - OCEANSIDE
4318 MISSION AVE
OCEANSIDE,CA92057 		PRIMARY AND SPECIALTY CARE SERVICES IN AN AMBULATORY ENVIRONMENT
17 SCRIPPS CL RADIATION THERAPY CTR - VISTA
916 SYCAMORE AVE 100
VISTA,CA92082 		PRIMARY AND SPECIALTY CARE SERVICES IN AN AMBULATORY ENVIRONMENT
18 MERCY ASC
550 WASHINGTON ST 1ST FL
SAN DIEGO,CA92103 		PRIMARY AND SPECIALTY CARE SERVICES IN AN AMBULATORY ENVIRONMENT
19 SCRIPPS CLINIC - DEL MAR
12395 EL CAMINO REAL 317
DEL MAR,CA92130 		PRIMARY AND SPECIALTY CARE SERVICES IN AN AMBULATORY ENVIRONMENT
20 LA JOLLA RADIOLOGY - LA JOLLA
9888 GENESEE AVE
LA JOLLA,CA92037 		PRIMARY AND SPECIALTY CARE SERVICES IN AN AMBULATORY ENVIRONMENT
21 SCMC - CEDAR
130 CEDAR RD
VISTA,CA92083 		PRIMARY AND SPECIALTY CARE SERVICES IN AN AMBULATORY ENVIRONMENT
22 SCRIPPS CLINIC - ENCINITAS OP REHAB CLINICAL
1092 EL CAMINO REAL
ENCINITAS,CA92024 		REHABILITATION SERVICES
23 SCMC - ENCINITAS OBGYN
332 SANTA FE DR 115
ENCINITAS,CA92024 		PRIMARY AND SPECIALTY CARE SERVICES IN AN AMBULATORY ENVIRONMENT
24 ENCINITAS SURGERY CENTER LLC
320 SANTA FE DR LL1-2
ENCINITAS,CA92024 		PRIMARY AND SPECIALTY CARE SERVICES IN AN AMBULATORY ENVIRONMENT
25 LA JOLLA RADIOLOGY - ENCINITAS
354 SANT FE DR
ENCINITAS,CA92024 		PRIMARY AND SPECIALTY CARE SERVICES IN AN AMBULATORY ENVIRONMENT
26 SCMC - EASTLAKE
971 LANE AVE
CHULA VISTA,CA91914 		PRIMARY AND SPECIALTY CARE SERVICES IN AN AMBULATORY ENVIRONMENT
27 SCRIPPS CLINIC - MERCY CAMPUS
4020 FIFTH AVE 401
SAN DIEGO,CA92103 		PRIMARY AND SPECIALTY CARE SERVICES IN AN AMBULATORY ENVIRONMENT
28 SCRIPPS CARDIO&THOR SURG CTR - LA JOLLA
9850 GENESEE AVE 560
LA JOLLA,CA92037 		PRIMARY AND SPECIALTY CARE SERVICES IN AN AMBULATORY ENVIRONMENT
29 SCMC - SAN MARCOS
111 CAMPUS WAY STE 301
SAN MARCOS,CA92078 		PRIMARY AND SPECIALTY CARE SERVICES IN AN AMBULATORY ENVIRONMENT
30 SCRIPPS CLINIC - SANTEE
278 TOWN CENTER PKWY 105
SANTEE,CA92071 		PRIMARY AND SPECIALTY CARE SERVICES IN AN AMBULATORY ENVIRONMENT
31 SCRIPPS CLINIC - LIBERTY STATION
2445 TRUXTUN RD
SAN DIEGO,CA92106 		PRIMARY AND SPECIALTY CARE SERVICES IN AN AMBULATORY ENVIRONMENT
32 SCRIPPS CLINIC - SAN DIEGO OBGYN
2918 FIFTH AVE
SAN DIEGO,CA92103 		PRIMARY AND SPECIALTY CARE SERVICES IN AN AMBULATORY ENVIRONMENT
33 SCRIPPS CLINIC - LA JOLLA OBGYN
9850 GENESEE AVE 170
SAN DIEGO,CA92121 		PRIMARY AND SPECIALTY CARE SERVICES IN AN AMBULATORY ENVIRONMENT
34 SCMC - SOLANA BEACH
380 STEVEN AVE 100
SOLANA BEACH,CA92075 		PRIMARY AND SPECIALTY CARE SERVICES IN AN AMBULATORY ENVIRONMENT
35 SCRIPPS CLINIC - MD ANDERSON CANCER CTR
10670 JOHN JAY HOPKINS DRIVE
LA JOLLA,CA92121 		PRIMARY AND SPECIALTY CARE SERVICES IN AN AMBULATORY ENVIRONMENT
36 SCRIPPS CLINIC - HILLCREST SURGERY
4060 FOURTH AVE 330
SAN DIEGO,CA92103 		PRIMARY AND SPECIALTY CARE SERVICES IN AN AMBULATORY ENVIRONMENT
37 SCRIPPS CARDIO&THOR SURG CTR - HILLCREST
501 WASHINGTON ST 525
SAN DIEGO,CA92103 		PRIMARY AND SPECIALTY CARE SERVICES IN AN AMBULATORY ENVIRONMENT
38 SCRIPPS CL RADIATION THERAPY CTR - ENCINITAS
477 N EL CAMINO REAL D100
ENCINITAS,CA92024 		PRIMARY AND SPECIALTY CARE SERVICES IN AN AMBULATORY ENVIRONMENT
39 SCRIPPS CLINIC - EASTLAKE SPECIALTY
971 LANE AVE
CHULA VISTA,CA91914 		PRIMARY AND SPECIALTY CARE SERVICES IN AN AMBULATORY ENVIRONMENT
40 SCRIPPS CLINIC - CORONADO
1317 A YNES PLACE
CORONADO,CA92118 		PRIMARY AND SPECIALTY CARE SERVICES IN AN AMBULATORY ENVIRONMENT
41 SCRIPPS CLINIC - CEDAR SPECIALTY
130 CEDAR RD
VISTA,CA92083 		PRIMARY AND SPECIALTY CARE SERVICES IN AN AMBULATORY ENVIRONMENT
42 SCRIPPS CLINIC - CHULA VISTA
450 FOURTH AVE
CHULA VISTA,CA91910 		PRIMARY AND SPECIALTY CARE SERVICES IN AN AMBULATORY ENVIRONMENT
43 SCRIPPS CLINIC - UTC
9333 GENESEE AVE 170
SAN DIEGO,CA92121 		PRIMARY AND SPECIALTY CARE SERVICES IN AN AMBULATORY ENVIRONMENT
44 SCRIPPS USP SURGERY CENTERS LLC
15305 DALLAS PKWY
ADDISON,TX75001 		PRIMARY AND SPECIALTY CARE SERVICES IN AN AMBULATORY ENVIRONMENT
Schedule H (Form 990) 2024
Schedule H (Form 990) 2024
Page 10
Part VI
Supplemental Information
Provide the following information.
1 Required descriptions. Provide the descriptions required for Part I, lines 3c, 6a, and 7; Part II and Part III, lines 2, 3, 4, 8 and 9b.
2 Needs assessment. Describe how the organization assesses the health care needs of the communities it serves, in addition to any CHNAs reported in Part V, Section B.
3 Patient education of eligibility for assistance. Describe how the organization informs and educates patients and persons who may be billed for patient care about their eligibility for assistance under federal, state, or local government programs or under the organization’s financial assistance policy.
4 Community information. Describe the community the organization serves, taking into account the geographic area and demographic constituents it serves.
5 Promotion of community health. Provide any other information important to describing how the organization’s hospital facilities or other health care facilities further its exempt purpose by promoting the health of the community (e.g., open medical staff, community board, use of surplus funds, etc.).
6 Affiliated health care system. If the organization is part of an affiliated health care system, describe the respective roles of the organization and its affiliates in promoting the health of the communities served.
7 State filing of community benefit report. If applicable, identify all states with which the organization, or a related organization, files a community benefit report.
Form and Line Reference Explanation
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 H (Form 990) 2024
Additional Data


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Software Version: 2024v5.1

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Schedule I
(Form 990)
(Rev. January 2025)
Department of the Treasury
Internal Revenue Service
Grants and Other Assistance to Organizations,
Governments and Individuals in the United States
Complete if the organization answered "Yes," on Form 990, Part IV, line 21 or 22.
lBullet Attach to Form 990.
lBullet Go to www.irs.gov/Form990 for instructions and the latest information.
OMB No. 1545-0047
Open to Public
Inspection
Name of the organization
SCRIPPS HEALTH
 
Employer identification number
95-1684089
Part I
General Information on Grants and Assistance
1
Does the organization maintain records to substantiate the amount of the grants or assistance, the grantees' eligibility for the grants or assistance, and
the selection criteria used to award the grants or assistance? ........................
2
Describe in Part IV the organization's procedures for monitoring the use of grant funds in the United States.
Part II
Grants and Other Assistance to Domestic Organizations and Domestic Governments. Complete if the organization answered "Yes" on Form 990, Part IV, line 21, for any recipient
that received more than $5,000. Part II can be duplicated if additional space is needed.
(a) Name and address of organization
or government		 (b) EIN (c) IRC section
(if applicable)		 (d) Amount of cash grant (e) Amount of non-cash
assistance		 (f) Method of valuation
(book, FMV, appraisal,
other)		 (g) Description of
noncash assistance		 (h) Purpose of grant
or assistance
(1) CALIFORNIA HEALTH FOUNDATION AND TRUST (CHFT)
1215 K STREET STE 800
SACRAMENTO,CA95814 		95-1684089 501(C)3 479,521       CA HOSPITAL FEE PROGRAM
(2) CONSUMER CENTER FOR HEALTH EDUCATION AND ADVOCACY (CCHEA)
1764 SAN DIEGO AVE STE 200
SAN DIEGO,CA92110 		75-1835298 501(C)3 120,000       PROGRAM SUPPORT
(3) RAD-AID INTERNATIONAL
8004 ELLINGSON DR
CHEVY CHASE,MD20815 		26-3914931 501(C)3   21,000 FMV DONATION OF EQUIPMENT PROGRAM SUPPORT
(4) FAMILY HEALTH CENTER OF SD INTERNAL MEDICINE OUTPATIENT TEACHING CLINIC PAR
TNERSHIP
823 GATEWAY CENTER WAY
SAN DIEGO,CA92012 		95-2833205 501(C)3 309,000       PROGRAM SUPPORT
(5) FACILITATING ACCESS TO COORDINATED TRANSPORTATION
516 CIVIC CENTER DR
OCEANSIDE,CA92054 		32-0173841 501(C)3 7,500       PROGRAM SUPPORT
(6) FATHER JOE'S VILLAGES
3350 E STREET
SAN DIEGO,CA92102 		22-3746050 501(C)3   8,162 FMV DONATION OF BLANKETS AND SOCKS PROGRAM SUPPORT
(7) SAN YSIDRO HEALTH CENTER
3350 E STREET
SAN DIEGO,CA92102 		22-3746050 501(C)3 25,000       PROGRAM SUPPORT
(8) FAMILY HEALTH CENTER OF SD - SPIRIT OF THE BARRIO
823 GATEWAY CENTER WAY
SAN DIEGO,CA92012 		95-2833205 501(C)3 7,500       PROGRAM SUPPORT
(9) THE SAN DIEGO LGBT COMMUNITY CENTER
3909 CENTRE STREET
SAN DIEGO,CA92103 		23-7332048 501(C)3 10,000       PROGRAM SUPPORT
(10) LA MAESTRA FAMILY CLINIC
4060 FAIRMOUNT AVE
SAN DIEGO,CA92105 		33-0473171 501(C)3 10,000       PROGRAM SUPPORT
2
Enter total number of section 501(c)(3) and government organizations listed in the line 1 table ................. Bullet Image
10
3
Enter total number of other organizations listed in the line 1 table ........................ . Bullet Image
0
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50055P
Schedule I (Form 990) Rev. 1-2025

Schedule I (Form 990) Rev. 1-2025
Page 2
Part III
Grants and Other Assistance to Domestic Individuals. Complete if the organization answered "Yes" on Form 990, Part IV, line 22.
Part III can be duplicated if additional space is needed.
(a) Type of grant or assistance (b) Number of
recipients		 (c) Amount of
cash grant		 (d) Amount of
noncash assistance		 (e) Method of valuation (book,
FMV, appraisal, other)		 (f) Description of noncash assistance
(1)
(2)
(3)
(4)
(5)
(6)
(7)
Part IV
Supplemental Information. Provide the information required in Part I, line 2; Part III, column (b); and any other additional information.
Return Reference Explanation
SCHEDULE I, PART I, LINE 2 PROCEDURES FOR MONITORING USE OF GRANT FUNDS 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.
Schedule I (Form 990) Rev. 1-2025



Additional Data


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Schedule J
(Form 990)
(Rev. January 2025)
Department of the Treasury
Internal Revenue Service
Compensation Information
For certain Officers, Directors, Trustees, Key Employees, and Highest
Compensated Employees
medium right arrow graphic Complete if the organization answered "Yes" on Form 990, Part IV, line 23.
medium right arrow graphic Attach to Form 990.
medium right arrow graphic Go to www.irs.gov/Form990 for instructions and the latest information.
OMB No. 1545-0047
Open to Public Inspection
Name of the organization
SCRIPPS HEALTH
 
Employer identification number

95-1684089
Part I
Questions Regarding Compensation
Yes
No
1a
Check the appropiate box(es) if the organization provided any of the following to or for a person listed on Form
990, Part VII, Section A, line 1a. Complete Part III to provide any relevant information regarding these items.
b
If any of the boxes on Line 1a are checked, did the organization follow a written policy regarding payment or reimbursement or provision of all of the expenses described above? If "No," complete Part III to explain .....
1b
Yes
 
2
Did the organization require substantiation prior to reimbursing or allowing expenses incurred by all
directors, trustees, officers, including the CEO/Executive Director, regarding the items checked on Line 1a? ....
2
Yes
 
3
Indicate which, if any, of the following the filing organization used to establish the compensation of the
organization's CEO/Executive Director. Check all that apply. Do not check any boxes for methods
used by a related organization to establish compensation of the CEO/Executive Director, but explain in Part III.
4
During the year, did any person listed on Form 990, Part VII, Section A, line 1a, with respect to the filing organization or a related organization:
a
Receive a severance payment or change-of-control payment? .............
4a
Yes
 
b
Participate in, or receive payment from, a supplemental nonqualified retirement plan? .........
4b
Yes
 
c
Participate in, or receive payment from, an equity-based compensation arrangement? .........
4c
 
No
If "Yes" to any of lines 4a-c, list the persons and provide the applicable amounts for each item in Part III.
Only 501(c)(3), 501(c)(4), and 501(c)(29) organizations must complete lines 5-9.
5
For persons listed on Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the revenues of:
a
The organization? ....................
5a
 
No
b
Any related organization? .......................
5b
 
No
If "Yes," on line 5a or 5b, describe in Part III.
6
For persons listed on Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the net earnings of:
a
The organization? ..................
6a
 
No
b
Any related organization? ......................
6b
 
No
If "Yes," on line 6a or 6b, describe in Part III.
7
For persons listed on Form 990, Part VII, Section A, line 1a, did the organization provide any nonfixed
payments not described in lines 5 and 6? If "Yes," describe in Part III ............
7
 
No
8
Were any amounts reported on Form 990, Part VII, paid or accured pursuant to a contract that was
subject to the initial contract exception described in Regulations section 53.4958-4(a)(3)? If "Yes," describe
in Part III ..........................
8
 
No
9
If "Yes" on line 8, did the organization also follow the rebuttable presumption procedure described in Regulations section 53.4958-6(c)? .........................
9
 
 
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50053T
Schedule J (Form 990) (Rev. 1-2025)

Schedule J (Form 990) (Rev. 1-2025)
Page 2
Part II
Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees. Use duplicate copies if additional space is needed.
For each individual whose compensation must be reported on Schedule J, report compensation from the organization on row (i) and from related organizations, described in the
instructions, on row (ii). Do not list any individuals that are not listed on Form 990, Part VII.
Note. The sum of columns (B)(i)-(iii) for each listed individual must equal the total amount of Form 990, Part VII, Section A, line 1a, applicable column (D) and (E) amounts for that individual.
(A) Name and Title (B) Breakdown of W-2, 1099-MISC compensation, and/or 1099-NEC (C) Retirement and other deferred compensation (D) Nontaxable
benefits		 (E) Total of columns
(B)(i)-(D) 		(F) Compensation in column (B) reported as deferred on prior Form 990
(i) Base
compensation 		(ii) Bonus & incentive
compensation 		(iii) Other reportable compensation
1CHRISTOPHER VAN GORDER
PRESIDENT / CEO 		(i)

(ii)		 2,257,067
-------------
0 		1,270,818
-------------
0 		103,597
-------------
0 		24,500
-------------
0 		33,797
-------------
0 		3,689,779
-------------
0 		0
-------------
0
2BRADLEY ELLIS
CORP SR VP, CHIEF LEGAL COUNSEL 		(i)

(ii)		 1,014,864
-------------
0 		184,547
-------------
0 		18,909
-------------
0 		24,500
-------------
0 		34,765
-------------
0 		1,277,585
-------------
0 		0
-------------
0
3MONIQUE GONZALEZ
EXECUTIVE ASSISTANT TO THE CEO 		(i)

(ii)		 106,706
-------------
0 		2,518
-------------
0 		3,371
-------------
0 		8,824
-------------
0 		43,116
-------------
0 		164,535
-------------
0 		0
-------------
0
4BRETT TANDE
TREASURER / CORP EXEC VP, CFO 		(i)

(ii)		 1,161,044
-------------
0 		230,709
-------------
0 		58,369
-------------
0 		14,000
-------------
0 		48,346
-------------
0 		1,512,468
-------------
0 		0
-------------
0
5LISA RISSERTHAKUR
FORMER KEY EMPLOYEE 		(i)

(ii)		 320,930
-------------
0 		146,098
-------------
0 		22,718
-------------
0 		0
-------------
0 		0
-------------
0 		489,746
-------------
0 		0
-------------
0
6ANIL KESWANI
CORP EVP, CHF MED&OPS OFF-AMB 		(i)

(ii)		 1,022,396
-------------
0 		220,203
-------------
0 		60,188
-------------
0 		17,500
-------------
0 		48,250
-------------
0 		1,368,537
-------------
0 		0
-------------
0
7THOMAS BUCHHOLZ
CORP SR VP, ONCOLOGY SERVICES 		(i)

(ii)		 1,136,419
-------------
0 		234,544
-------------
0 		15,983
-------------
0 		14,000
-------------
0 		33,351
-------------
0 		1,434,297
-------------
0 		0
-------------
0
8ERIC COLE
CORP SR VP, HUMAN RESOURCES 		(i)

(ii)		 799,458
-------------
0 		190,331
-------------
0 		49,232
-------------
0 		17,500
-------------
0 		35,599
-------------
0 		1,092,120
-------------
0 		0
-------------
0
9JOHN ENGLE
CORP SR VP, CHIEF DEVELOPMENT OFFICER 		(i)

(ii)		 645,649
-------------
0 		158,962
-------------
0 		60,033
-------------
0 		24,500
-------------
0 		35,918
-------------
0 		925,062
-------------
0 		0
-------------
0
10CARL ETTER
CORP SR VP, REGION CHIEF EXEC 		(i)

(ii)		 1,368,692
-------------
0 		244,557
-------------
0 		107,096
-------------
0 		24,500
-------------
0 		33,526
-------------
0 		1,778,371
-------------
0 		0
-------------
0
11THOMAS GAMMIERE
CORP SR VP, REGION CHIEF EXEC 		(i)

(ii)		 792,649
-------------
0 		200,259
-------------
0 		33,273
-------------
0 		24,500
-------------
0 		36,269
-------------
0 		1,086,950
-------------
0 		0
-------------
0
12JUNE KOMAR
CORP EXEC VP, STRATEGY & ADMIN (PART YEAR) 		(i)

(ii)		 765,171
-------------
0 		362,111
-------------
0 		46,303
-------------
0 		24,500
-------------
0 		16,787
-------------
0 		1,214,872
-------------
0 		0
-------------
0
13RICHARD NEALE
CORP EXEC VP, CHIEF GROWTH OFFICER 		(i)

(ii)		 891,316
-------------
0 		232,716
-------------
0 		56,465
-------------
0 		21,000
-------------
0 		47,449
-------------
0 		1,248,946
-------------
0 		0
-------------
0
14BARBARA PRICE
CORP SR VP, PLANNING/STRATEGY 		(i)

(ii)		 843,852
-------------
0 		210,057
-------------
0 		42,870
-------------
0 		24,500
-------------
0 		47,653
-------------
0 		1,168,932
-------------
0 		0
-------------
0
15GHAZALA SHARIEFF
CORP EVP, CHF MED&OPS OFF-ACUTE 		(i)

(ii)		 1,268,778
-------------
0 		264,017
-------------
0 		20,800
-------------
0 		17,500
-------------
0 		44,779
-------------
0 		1,615,874
-------------
0 		0
-------------
0
16SHANE THIELMAN
CORP SR VP, CIDO 		(i)

(ii)		 715,151
-------------
0 		177,354
-------------
0 		49,346
-------------
0 		21,000
-------------
0 		47,595
-------------
0 		1,010,446
-------------
0 		0
-------------
0
17TRACY CHU
CORP VP, POP HLTH/ACO 		(i)

(ii)		 639,028
-------------
0 		118,359
-------------
0 		10,894
-------------
0 		24,500
-------------
0 		16,725
-------------
0 		809,506
-------------
0 		0
-------------
0
18SHERMAN T MOORE
CORP VP, BUSINESS DEVELOPMENT 		(i)

(ii)		 547,832
-------------
0 		99,296
-------------
0 		22,591
-------------
0 		14,000
-------------
0 		48,040
-------------
0 		731,759
-------------
0 		0
-------------
0
19JOHN POOLE
CORP VP, SYSTEM IMPROVEMENT 		(i)

(ii)		 637,484
-------------
0 		118,396
-------------
0 		13,376
-------------
0 		14,000
-------------
0 		1,984
-------------
0 		785,240
-------------
0 		0
-------------
0
20GERALD SODERSTROM
CORP SR VP, AUDIT / COMPLIANCE/RISK 		(i)

(ii)		 550,777
-------------
0 		118,772
-------------
0 		36,707
-------------
0 		14,000
-------------
0 		48,018
-------------
0 		768,274
-------------
0 		0
-------------
0
21CRAIG M UEJO
CORP VP, CHIEF QUALITY OFFICER 		(i)

(ii)		 545,236
-------------
0 		133,596
-------------
0 		11,799
-------------
0 		14,000
-------------
0 		47,491
-------------
0 		752,122
-------------
0 		0
-------------
0
Schedule J (Form 990) (Rev. 1-2025)

Schedule J (Form 990) (Rev. 1-2025)
Page 3
Part III
Supplemental Information
Provide the information, explanation, or descriptions required for Part I, lines 1a, 1b, 3, 4a, 4b, 4c, 5a, 5b, 6a, 6b, 7, and 8, and for Part II. Also complete this part for any additional information.
Return Reference Explanation
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 J (Form 990) (Rev. 1-2025)

Additional Data


Software ID: 24020961
Software Version: 2024v5.1

Note: To capture the full content of this document, please select landscape mode (11" x 8.5") when printing.

Schedule K
(Form 990)
Department of the Treasury
Internal Revenue Service
Supplemental Information on Tax-Exempt Bonds
Complete if the organization answered "Yes" to Form 990, Part Ⅵ, line 24a. Provide descriptions,
explanations, and any additional information in Part Ⅵ.
Attach to Form 990.
Go to www.irs.gov/Form990 for instructions and the latest information.
OMB No. 1545-0047
Open to Public
Inspection
Name of the organization
SCRIPPS HEALTH
 
Employer identification number
95-1684089
Part Ⅰ
Bond Issues
(a) Issuer name (b) Issuer EIN (c) CUSIP # (d) Date issued (e) Issue price (f) Description of purpose (g) Defeased (h) On
behalf of
issuer		 (i) Pool
financing
Yes No Yes No Yes No
A CALIFORNIA STATEWIDE COMMUNITIES DEVELOPMENT AUTHORITY
  		68-0164610 1309116Y1 03-02-2007 49,995,000 SEE PART VI   X   X X  
B CALIFORNIA HEALTH FACILITIES FINANCING AUTHORITY
  		52-1643828 000000000 02-29-2016 150,000,000 SEE PART VI   X   X   X
C CALIFORNIA HEALTH FACILITIES FINANCING AUTHORITY
  		52-1643828 000000000 01-31-2017 160,000,000 SEE PART VI   X   X   X
D CALIFORNIA HEALTH FACILITIES FINANCING AUTHORITY
  		52-1643828 000000000 11-15-2019 99,360,000 SEE PART VI   X   X   X
CALIFORNIA HEALTH FACILITIES FINANCING AUTHORITY
  		52-1643828 13032UL48 02-07-2024 918,959,458 SEE PART VI   X   X   X
CALIFORNIA HEALTH FACILITIES FINANCING AUTHORITY
  		52-1643828 13032UN95 02-07-2024 191,600,000 SEE PART VI   X   X   X
Part Ⅱ
Proceeds
A B C D
1 Amount of bonds retired .................. 500,000 137,420,000 28,945,000 4,185,000
2 Amount of bonds legally defeased .............. 0 0 0 0
3 Total proceeds of issue .................. 49,995,000 150,000,000 160,000,000 99,360,000
4 Gross proceeds in reserve funds ............. 0 0 0 0
5 Capitalized interest from proceeds ............. 0 0 0 0
6 Proceeds in refunding escrows ............... 0 0 0 0
7 Issuance costs from proceeds ............... 146,070 0 0 0
8 Credit enhancement from proceeds ............. 0 0 0 0
9 Working capital expenditures from proceeds ............. 0 0 0 0
10 Capital expenditures from proceeds ............. 49,848,930 150,000,000 0 0
11 Other spent proceeds ............. 0 0 160,000,000 99,360,000
12 Other unspent proceeds ............. 0 0 0 0
13 Year of substantial completion ............. 2007 2016 2017 2019
Yes No Yes No Yes No Yes No
14 Were the bonds issued as part of a current refunding issue of tax-exempt
bonds (or, if issued prior to 2020, a current refunding issue)? ........ 		X     X X   X  
15 Were the bonds issued as part of an advance refunding issue of taxable
bonds (or, if issued prior to 2020, an advance refunding issue)? ........ 		  X   X   X   X
16 Has the final allocation of proceeds been made? .......... X   X   X   X  
17 Does the organization maintain adequate books and records to support the final allocation of proceeds? .................. X   X   X   X  
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50193E
Schedule K (Form 990) (Rev. 1-2025)

Schedule K (Form 990) (Rev. 1-2025)
Page 2
Part Ⅲ
Private Business Use
A B C D
Yes No Yes No Yes No Yes No
1 Was the organization a partner in a partnership, or a member of an LLC, which owned property financed by tax-exempt bonds? .............   X   X   X   X
2 Are there any lease arrangements that may result in private business use of bond-financed property? ...............   X   X   X   X
3a Are there any management or service contracts that may result in private business use of bond-financed property? ............. X   X   X   X  
b If "Yes" to line 3a, does the organization routinely engage bond counsel or other outside counsel to review any management or service contracts relating to the financed property? X   X   X   X  
c Are there any research agreements that may result in private business use of bond-financed property? ............. X   X   X   X  
d If "Yes" to line 3c, does the organization routinely engage bond counsel or other outside counsel to review any research agreements relating to the financed property? X   X   X   X  
4 Enter the percentage of financed property used in a private business use by entities other than a section 501(c)(3) organization or a state or local government .... 0 % 0 % 0 % 0 %
5 Enter the percentage of financed property used in a private business use as a result of unrelated trade or business activity carried on by your organization, another section 501(c)(3) organization, or a state or local government ......... 0 % 0 % 0 % 0 %
6 Total of lines 4 and 5 ............. 0 % 0 % 0 % 0 %
7 Does the bond issue meet the private security or payment test? ...   X   X   X   X
8a Has there been a sale or disposition of any of the bond-financed property to a nongovernmental person other than a 501(c)(3) organization since the bonds were issued?.............   X   X   X   X
b If "Yes" to line 8a, enter the percentage of bond-financed property sold or disposed of. .. 0 % 0 % 0 % 0 %
c If "Yes" to line 8a, was any remedial action taken pursuant to Regulations sections 1.141-12 and 1.145-2? .............   X   X   X   X
9 Has the organization established written procedures to ensure that all nonqualified bonds of the issue are remediated in accordance with the requirements under
Regulations sections 1.141-12 and 1.145-2? ........ 		X   X   X   X  
Part Ⅳ
Arbitrage
A B C D
Yes No Yes No Yes No Yes No
1 Has the issuer filed Form 8038-T, Arbitrage Rebate, Yield Reduction and Penalty in Lieu of Arbitrage Rebate? ...   X   X   X   X
2 If "No" to line 1, did the following apply? ....
a Rebate not due yet? .......   X   X   X   X
b Exception to rebate? ........   X   X   X   X
c No rebate due? ......... X   X   X   X  
If "Yes" to line 2c, provide in Part Ⅵ the date the rebate
computation was performed ......
3 Is the bond issue a variable rate issue? ..... X     X   X   X
Schedule K (Form 990) (Rev. 1-2025)

Schedule K (Form 990) (Rev. 1-2025)
Page 3
Part Ⅳ
Arbitrage (Continued)
A B C D
Yes No Yes No Yes No Yes No
4a Has the organization or the governmental issuer entered into a qualified hedge with respect to the bond issue?   X   X   X   X
b Name of provider ..........  
  		 
  		 
  		 
 
c Term of hedge ......... 0 % 0 % 0 % 0 %
d Was the hedge superintegrated? ......   X   X   X   X
e Was the hedge terminated? ........   X   X   X   X
5a Were gross proceeds invested in a guaranteed investment contract (GIC)?   X   X   X   X
b Name of provider ..........  
  		 
  		 
  		 
 
c Term of GIC ......... 0 % 0 % 0 % 0 %
d Was the regulatory safe harbor for establishing the fair market value of the GIC satisfied? ........   X   X   X   X
6 Were any gross proceeds invested beyond an available temporary period? X     X   X   X
7 Has the organization established written procedures to monitor the requirements of section 148? ... X   X   X   X  
Part Ⅴ
Procedures To Undertake Corrective Action
A B C D
Yes No Yes No Yes No Yes No
Has the organization established written procedures to ensure that violations of federal tax requirements are timely identified and corrected through the voluntary closing agreement program if self-remediation is not available under applicable regulations? X   X   X   X  
Part Ⅵ
Supplemental Information. Provide additional information for responses to questions on Schedule K. (See instructions).
Return Reference Explanation
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 (Form 990) (Rev. 1-2025)

Additional Data


Software ID: 24020961
Software Version: 2024v5.1


Note: To capture the full content of this document, please select landscape mode (11" x 8.5") when printing.

Schedule K
(Form 990)
Department of the Treasury
Internal Revenue Service
Supplemental Information on Tax-Exempt Bonds
Complete if the organization answered "Yes" to Form 990, Part Ⅵ, line 24a. Provide descriptions,
explanations, and any additional information in Part Ⅵ.
Attach to Form 990.
Go to www.irs.gov/Form990 for instructions and the latest information.
OMB No. 1545-0047
Open to Public
Inspection
Name of the organization
SCRIPPS HEALTH
 
Employer identification number
95-1684089
Part Ⅰ
Bond Issues
(a) Issuer name (b) Issuer EIN (c) CUSIP # (d) Date issued (e) Issue price (f) Description of purpose (g) Defeased (h) On
behalf of
issuer		 (i) Pool
financing
Yes No Yes No Yes No
A CALIFORNIA STATEWIDE COMMUNITIES DEVELOPMENT AUTHORITY
  		68-0164610 1309116Y1 03-02-2007 49,995,000 SEE PART VI   X   X X  
B CALIFORNIA HEALTH FACILITIES FINANCING AUTHORITY
  		52-1643828 000000000 02-29-2016 150,000,000 SEE PART VI   X   X   X
C CALIFORNIA HEALTH FACILITIES FINANCING AUTHORITY
  		52-1643828 000000000 01-31-2017 160,000,000 SEE PART VI   X   X   X
D CALIFORNIA HEALTH FACILITIES FINANCING AUTHORITY
  		52-1643828 000000000 11-15-2019 99,360,000 SEE PART VI   X   X   X
CALIFORNIA HEALTH FACILITIES FINANCING AUTHORITY
  		52-1643828 13032UL48 02-07-2024 918,959,458 SEE PART VI   X   X   X
CALIFORNIA HEALTH FACILITIES FINANCING AUTHORITY
  		52-1643828 13032UN95 02-07-2024 191,600,000 SEE PART VI   X   X   X
Part Ⅱ
Proceeds
A B C D
1 Amount of bonds retired .................. 500,000 137,420,000 28,945,000 4,185,000
2 Amount of bonds legally defeased .............. 0 0 0 0
3 Total proceeds of issue .................. 49,995,000 150,000,000 160,000,000 99,360,000
4 Gross proceeds in reserve funds ............. 0 0 0 0
5 Capitalized interest from proceeds ............. 0 0 0 0
6 Proceeds in refunding escrows ............... 0 0 0 0
7 Issuance costs from proceeds ............... 146,070 0 0 0
8 Credit enhancement from proceeds ............. 0 0 0 0
9 Working capital expenditures from proceeds ............. 0 0 0 0
10 Capital expenditures from proceeds ............. 49,848,930 150,000,000 0 0
11 Other spent proceeds ............. 0 0 160,000,000 99,360,000
12 Other unspent proceeds ............. 0 0 0 0
13 Year of substantial completion ............. 2007 2016 2017 2019
Yes No Yes No Yes No Yes No
14 Were the bonds issued as part of a current refunding issue of tax-exempt
bonds (or, if issued prior to 2020, a current refunding issue)? ........ 		X     X X   X  
15 Were the bonds issued as part of an advance refunding issue of taxable
bonds (or, if issued prior to 2020, an advance refunding issue)? ........ 		  X   X   X   X
16 Has the final allocation of proceeds been made? .......... X   X   X   X  
17 Does the organization maintain adequate books and records to support the final allocation of proceeds? .................. X   X   X   X  
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50193E
Schedule K (Form 990) (Rev. 1-2025)

Schedule K (Form 990) (Rev. 1-2025)
Page 2
Part Ⅲ
Private Business Use
A B C D
Yes No Yes No Yes No Yes No
1 Was the organization a partner in a partnership, or a member of an LLC, which owned property financed by tax-exempt bonds? .............   X   X   X   X
2 Are there any lease arrangements that may result in private business use of bond-financed property? ...............   X   X   X   X
3a Are there any management or service contracts that may result in private business use of bond-financed property? ............. X   X   X   X  
b If "Yes" to line 3a, does the organization routinely engage bond counsel or other outside counsel to review any management or service contracts relating to the financed property? X   X   X   X  
c Are there any research agreements that may result in private business use of bond-financed property? ............. X   X   X   X  
d If "Yes" to line 3c, does the organization routinely engage bond counsel or other outside counsel to review any research agreements relating to the financed property? X   X   X   X  
4 Enter the percentage of financed property used in a private business use by entities other than a section 501(c)(3) organization or a state or local government .... 0 % 0 % 0 % 0 %
5 Enter the percentage of financed property used in a private business use as a result of unrelated trade or business activity carried on by your organization, another section 501(c)(3) organization, or a state or local government ......... 0 % 0 % 0 % 0 %
6 Total of lines 4 and 5 ............. 0 % 0 % 0 % 0 %
7 Does the bond issue meet the private security or payment test? ...   X   X   X   X
8a Has there been a sale or disposition of any of the bond-financed property to a nongovernmental person other than a 501(c)(3) organization since the bonds were issued?.............   X   X   X   X
b If "Yes" to line 8a, enter the percentage of bond-financed property sold or disposed of. .. 0 % 0 % 0 % 0 %
c If "Yes" to line 8a, was any remedial action taken pursuant to Regulations sections 1.141-12 and 1.145-2? .............   X   X   X   X
9 Has the organization established written procedures to ensure that all nonqualified bonds of the issue are remediated in accordance with the requirements under
Regulations sections 1.141-12 and 1.145-2? ........ 		X   X   X   X  
Part Ⅳ
Arbitrage
A B C D
Yes No Yes No Yes No Yes No
1 Has the issuer filed Form 8038-T, Arbitrage Rebate, Yield Reduction and Penalty in Lieu of Arbitrage Rebate? ...   X   X   X   X
2 If "No" to line 1, did the following apply? ....
a Rebate not due yet? .......   X   X   X   X
b Exception to rebate? ........   X   X   X   X
c No rebate due? ......... X   X   X   X  
If "Yes" to line 2c, provide in Part Ⅵ the date the rebate
computation was performed ......
3 Is the bond issue a variable rate issue? ..... X     X   X   X
Schedule K (Form 990) (Rev. 1-2025)

Schedule K (Form 990) (Rev. 1-2025)
Page 3
Part Ⅳ
Arbitrage (Continued)
A B C D
Yes No Yes No Yes No Yes No
4a Has the organization or the governmental issuer entered into a qualified hedge with respect to the bond issue?   X   X   X   X
b Name of provider ..........  
  		 
  		 
  		 
 
c Term of hedge ......... 0 % 0 % 0 % 0 %
d Was the hedge superintegrated? ......   X   X   X   X
e Was the hedge terminated? ........   X   X   X   X
5a Were gross proceeds invested in a guaranteed investment contract (GIC)?   X   X   X   X
b Name of provider ..........  
  		 
  		 
  		 
 
c Term of GIC ......... 0 % 0 % 0 % 0 %
d Was the regulatory safe harbor for establishing the fair market value of the GIC satisfied? ........   X   X   X   X
6 Were any gross proceeds invested beyond an available temporary period? X     X   X   X
7 Has the organization established written procedures to monitor the requirements of section 148? ... X   X   X   X  
Part Ⅴ
Procedures To Undertake Corrective Action
A B C D
Yes No Yes No Yes No Yes No
Has the organization established written procedures to ensure that violations of federal tax requirements are timely identified and corrected through the voluntary closing agreement program if self-remediation is not available under applicable regulations? X   X   X   X  
Part Ⅵ
Supplemental Information. Provide additional information for responses to questions on Schedule K. (See instructions).
Return Reference Explanation
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 (Form 990) (Rev. 1-2025)

Additional Data


Software ID: 24020961
Software Version: 2024v5.1

Schedule L
(Form 990)
(Rev. January 2025)
Department of the Treasury
Internal Revenue Service
Transactions with Interested Persons
Complete if the organization answered "Yes" on Form 990, Part IV, lines 25a, 25b, 26, 27, 28a, 28b, or 28c, or Form 990-EZ, Part V, line 38a or 40b.
Attach to Form 990 or Form 990-EZ.
Go to www.irs.gov/Form990 for instructions and the latest information.
OMB No. 1545-0047
Open to Public Inspection
Name of the organization
SCRIPPS HEALTH
 
Employer identification number

95-1684089
Part I
Excess Benefit Transactions (section 501(c)(3), section 501(c)(4), and section 501(c)(29) organizations only).
Complete if the organization answered "Yes" on Form 990, Part IV, line 25a or 25b, or Form 990-EZ, Part V, line 40b.
1(a) Name of disqualified person (b) Relationship between disqualified person and organization (c) Description of transaction (d) Corrected?
Yes No
2
Enter the amount of tax incurred by the organization managers or disqualified persons during the year under section 4958. ........................... $
 
3
Enter the amount of tax, if any, on line 2, above, reimbursed by the organization ........ $
 

Part II
Loans to and/or From Interested Persons.
Complete if the organization answered "Yes" on Form 990-EZ, Part V, line 38a, or Form 990, Part IV, line 26; or if the organization reported an amount on Form 990, Part X, line 5, 6, or 22
(a) Name of interested person (b) Relationship with organization (c) Purpose of loan (d) Loan to or from the organization? (e) Original principal amount (f) Balance due (g) In default? (h) Approved by board or committee? (i) Written agreement?
To From Yes No Yes No Yes No
(1) CHRIS VAN GORDER
  		OFFICER CUMULATIVE DEF COMP (SEE PG 186)   X 10,023,866 14,592,889   No Yes   Yes  
(2) JUNE KOMAR
  		EXECUTIVE CUMULATIVE DEF COMP (SEE PG 186)   X 2,769,010 4,031,165   No Yes   Yes  
(3) RICHARD SHERIDAN
  		FORMER OFFICER CUMULATIVE DEF COMP (SEE PG 186)   X 4,063,606 5,915,856   No Yes   Yes  
Total ............... $ 24,539,910
Part III
Grants or Assistance Benefiting Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 27.
(a) Name of interested person (b) Relationship between interested person and the organization (c) Amount of assistance (d) Type of assistance (e) Purpose of assistance
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.
Cat. No. 50056A
Schedule L (Form 990) (Rev. 1-2025)
Schedule L (Form 990) (Rev. 1-2025)
Page 2
Part IV
Business Transactions Involving Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 28a, 28b, or 28c.
(a) Name of interested person (b) Relationship between interested person and the organization (c) Amount of transaction (d) Description of transaction (e) Sharing of organization's revenues?
Yes No
(1) SUBSTANTIAL CONTRIBUTOR
  		SUBSTANTIAL CONTRIBUTOR 528,537,555 MEDICAL SERVICES   No
(2) SUBSTANTIAL CONTRIBUTOR
  		SUBSTANTIAL CONTRIBUTOR 126,584,217 CONSTRUCTION   No
(3) SUBSTANTIAL CONTRIBUTOR
  		SUBSTANTIAL CONTRIBUTOR 90,888,081 MEDICAL SERVICES   No
(4) SUBSTANTIAL CONTRIBUTOR
  		SUBSTANTIAL CONTRIBUTOR 75,455,062 MEDICAL SERVICES   No
(5) SUBSTANTIAL CONTRIBUTOR
  		SUBSTANTIAL CONTRIBUTOR 64,390,368 CONSTRUCTION   No
(6) SUBSTANTIAL CONTRIBUTOR
  		SUBSTANTIAL CONTRIBUTOR 21,328,223 MEDICAL SERVICES   No
(7) SUBSTANTIAL CONTRIBUTOR
  		SUBSTANTIAL CONTRIBUTOR 7,935,280 MEDICAL SERVICES   No
(8) SUBSTANTIAL CONTRIBUTOR
  		SUBSTANTIAL CONTRIBUTOR 6,253,423 CONSTRUCTION   No
(9) SUBSTANTIAL CONTRIBUTOR
  		SUBSTANTIAL CONTRIBUTOR 3,368,261 MEDICAL SERVICES   No
(10) SUBSTANTIAL CONTRIBUTOR
  		SUBSTANTIAL CONTRIBUTOR 1,847,969 MEDICAL SERVICES   No
(11) SUBSTANTIAL CONTRIBUTOR
  		SUBSTANTIAL CONTRIBUTOR 513,849 COMPENSATION   No
(12) SUBSTANTIAL CONTRIBUTOR
  		SUBSTANTIAL CONTRIBUTOR 479,224 CONSTRUCTION   No
(13) SUBSTANTIAL CONTRIBUTOR
  		SUBSTANTIAL CONTRIBUTOR 318,000 MEDICAL SERVICES   No
(14) SUBSTANTIAL CONTRIBUTOR
  		SUBSTANTIAL CONTRIBUTOR 283,917 COMPENSATION   No
(15) SUBSTANTIAL CONTRIBUTOR
  		SUBSTANTIAL CONTRIBUTOR 186,267 COMPENSATION   No
(16) LINDSEY VAN GORDER
  		SEE PART V 112,070 SEE PART V   No
(17) DAVID VAN GORDER
  		SEE PART V 93,217 SEE PART V   No
(18) KATIE WOODHEAD
  		EMPLOYEE / KEY EMPLOYEE'S DAUGHTER 29,114 SEE PART V   No
Part V
Supplemental Information
Provide additional information for responses to questions on Schedule L (see instructions).
Return Reference Explanation
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 L (Form 990) (Rev. 1-2025)


Additional Data


Software ID: 24020961
Software Version: 2024v5.1




SCHEDULE M
(Form 990)

Department of the Treasury
Internal Revenue Service
Noncash Contributions
Right pointing arrow large image Complete if the organizations answered "Yes" on Form 990, Part IV, lines 29 or 30.
Right pointing arrow large image Attach to Form 990.
Right pointing arrow large image Go to www.irs.gov/Form990 for the latest information.
OMB No. 1545-0047
2024
Open to Public Inspection
Name of the organization
SCRIPPS HEALTH
 
Employer identification number

95-1684089
Part I
Types of Property
(a)
Check if applicable 		(b)
Number of contributions or items contributed 		(c)
Noncash contribution amounts reported on
Form 990, Part VIII, line 1g 		(d)
Method of determining
noncash contribution amounts
1 Art—Works of art ....        
2 Art—Historical treasures .        
3 Art—Fractional interests ..        
4 Books and publications ..      
5 Clothing and household
goods ....... 		     
6 Cars and other vehicles ..        
7 Boats and planes ....        
8 Intellectual property ...        
9 Securities—Publicly traded .   111 3,079,722 MARKET VALUE
10 Securities—Closely held stock .        
11 Securities—Partnership, LLC,
or trust interests .... 		       
12 Securities—Miscellaneous ..        
13 Qualified conservation
contribution—Historic
structures ..... 		       
14 Qualified conservation
contribution—Other ... 		       
15 Real estate—Residential .        
16 Real estate—Commercial ..        
17 Real estate—Other ...        
18 Collectibles .....        
19 Food inventory ...        
20 Drugs and medical supplies .        
21 Taxidermy ......        
22 Historical artifacts ....        
23 Scientific specimens ..        
24 Archeological artifacts ...        
25 Other Right pointing arrow large image ( TABLE FOR EXECUTIVE HEADQUARTERS ) X 1 64,282 MARKET VALUE
26 Other Right pointing arrow large image ( FITNESS EQUIPMENT ) X 1 16,000 MARKET VALUE
27 Other Right pointing arrow large image ( DONATED RESORT STAY (LODGING PACKAGE) ) X 1 11,300 MARKET VALUE
28 Other Right pointing arrow large image ( )
29
Number of Forms 8283 received by the organization during the tax year for contributions
for which the organization completed Form 8283, Part IV, Donee Acknowledgement
29
0
Yes
No
30a
During the year, did the organization receive by contribution any property reported in Part I, lines 1 through 28, that it must hold for at least three years from the date of the initial contribution, and which isn't required to be used for exempt purposes for the entire holding period? ...................
30a
 
No
b
If "Yes," describe the arrangement in Part II.
31
Does the organization have a gift acceptance policy that requires the review of any nonstandard contributions?
31
Yes
 
32a
Does the organization hire or use third parties or related organizations to solicit, process, or sell noncash
contributions? ..........................
32a
Yes
 
b
If "Yes," describe in Part II.
33
If the organization didn't report an amount in column (c) for a type of property for which column (a) is checked,
describe in Part II.
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 51227J
Schedule M (Form 990) (2024)
Schedule M (Form 990) (2024)
Page 2
Part IISupplemental Information. Provide the information required by Part I, lines 30b, 32b, and 33, and whether the organization is reporting in Part I, column (b), the number of contributions, the number of items received, or a combination of both. Also complete this part for any additional information.
Return Reference Explanation
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 M (Form 990) (2024)

Additional Data


Software ID: 24020961
Software Version: 2024v5.1
SCHEDULE O
(Form 990)
(Rev. January 2025)
Department of the Treasury
Internal Revenue Service
Supplemental Information to Form 990 or 990-EZ

Complete to provide information for responses to specific questions on
Form 990 or 990-EZ or to provide any additional information.
Attach to Form 990 or 990-EZ.
 Go to www.irs.gov/Form990 for instructions and the latest information.
OMB No. 1545-0047
Open to Public
Inspection
Name of the organization
SCRIPPS HEALTH
 
Employer identification number

95-1684089
Return Reference Explanation
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;
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.
Cat. No. 51056K
Schedule O (Form 990) (Rev. 1-2025)


Additional Data


Software ID: 24020961
Software Version: 2024v5.1
SCHEDULE R
(Form 990)
(Rev. January 2025)
Department of the Treasury
Internal Revenue Service
Related Organizations and Unrelated Partnerships
Complete if the organization answered "Yes" on Form 990, Part IV, line 33, 34, 35b, 36, or 37.
Attach to Form 990.
Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047
Open to Public Inspection
Name of the organization
SCRIPPS HEALTH
 
Employer identification number

95-1684089
Part I
Identification of Disregarded Entities. Complete if the organization answered "Yes" on Form 990, Part IV, line 33.
(a)
Name, address, and EIN (if applicable) of disregarded entity


(b)
Primary activity


 		(c)
Legal domicile (state
or foreign country)

 		(d)
Total income


 		(e)
End-of-year assets


 		(f)
Direct controlling
entity
(1) SCRIPPS CLINIC BILLING LLC
4555 EXECUTIVE DR
SAN DIEGO,CA92121
87-0797749 		HLTHCR ADMIN CA 662,289,316 0 SCRIPPS HLTH
 
(2) SCRIPPS MERCY BILLING LLC
4555 EXECUTIVE DR
SAN DIEGO,CA92121
87-0737748 		HLTHCR ADMIN CA 94,449,390 0 SCRIPPS HLTH
 
(3) IMAGING HEALTHCARE SPECIALISTS LLC
4555 EXECUTIVE DR
SAN DIEGO,CA92121
20-3872122 		MED IMAGING CA 63,210,363 53,520,947 IHS HOLDING
 
(4) SCRIPPS HOSPITAL MEDICAL BILLING SERVICES LLC
4555 EXECUTIVE DR
SAN DIEGO,CA92121
61-1677183 		HLTHCR ADMIN CA 9,867,519 0 SCRIPPS HLTH
 
(5) SCRIPPS CARDIO&THORACTIC SURGERY BILLING
4555 EXECUTIVE DR
SAN DIEGO,CA92121
27-0620996 		HLTHCR ADMIN CA 6,887,671 0 SCRIPPS HLTH
 
(6) MAXWELL H & MURIEL GLUCK CHILD CARE CTR
4555 EXECUTIVE DR
SAN DIEGO,CA92121
83-1953045 		CHILDCARE CA 2,446,695 1,741,449 SCRIPPS HLTH
 
(7) SCRIPPS ACCOUNTABLE CARE ORGANIZATION
4555 EXECUTIVE DR
SAN DIEGO,CA92121
36-4837442 		HLTHCR ADMIN CA 2,152,236 4,801,339 SCRIPPS HLTH
 
(8) SCRIPPS ASC MANAGEMENT LLC
4555 EXECUTIVE DR
SAN DIEGO,CA92121
83-1187975 		HLTHCR ADMIN CA 0 0 SCRIPPS HLTH
 
(9) IHS HOLDING COMPANY LLC
4555 EXECUTIVE DR
SAN DIEGO,CA92121
47-3437677 		HLTHCR ADMIN CA 0 35,778,368 SCRIPPS HLTH
 
(10) SCRIPPS BEHAVIORAL HEALTH LLC
4555 EXECUTIVE DR
SAN DIEGO,CA92121
83-4326624 		HLTHCR ADMIN CA 0 0 SCRIPPS HLTH
 
(11) SCRIPPS HOME HEALTH & HOSPICE VENTURE
4555 EXECUTIVE DR
SAN DIEGO,CA92121
84-1894278 		HOME HEALTH/HOSPICE CA 1,160,538 0 SCRIPPS HLTH
 
(12) CARMEL VALLEY RISK MANAGEMENT LLC
677 ALA MOANA BOULEVARD
SUITE 316
HONOLULU,HI96813
32-2842914 		INSURANCE CAPTIVE HI 22,794,000 0 SCRIPPS HEALTH
 
(13) LA JOLLA COVE RISK MANAGEMENT LLC
677 ALA MOANA BOULEVARD
SUITE 316
HONOLULU,HI96813
33-2813400 		INSURANCE CAPTIVE HI 0 527,258 SCRIPPS HEALTH
 
Part II
Identification of Related Tax-Exempt Organizations. Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related tax-exempt organizations during the tax year.
(a)
Name, address, and EIN of related organization


(b)
Primary activity


 		(c)
Legal domicile (state
or foreign country)

 		(d)
Exempt Code section


 		(e)
Public charity status
(if section 501(c)(3))

 		(f)
Direct controlling
entity

 		(g)
Section 512(b)(13) controlled entity?
Yes No
(1)SCRIPPS HEALTH PLAN SERVICES INC
10790 RANCHO BERNARDO RD

SAN DIEGO,CA92127
33-0782099 		HLTHCARE SVCS CA 501(C)(3) TYPE I SCRIPPS HEALTH
 
Yes
 












For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50135Y
Schedule R (Form 990) (Rev. 1-2025)
Schedule R (Form 990) (Rev. 1-2025)
Page 2
Part III
Identification of Related Organizations Taxable as a Partnership. Complete if the organization answered "Yes" on Form 990, Part IV, line 34, because it had one or more related organizations treated as a partnership during the tax year.
(a)
Name, address, and EIN of
related organization



 		(b)
Primary activity




 		(c)
Legal
domicile
(state or foreign
country)


 		(d)
Direct controlling
entity



 		(e)
Predominant income(related, unrelated, excluded from tax under sections 512-514)

(f)
Share of total income




 		(g)
Share of end-of-year
assets



 		(h)
Disproprtionate allocations?




 		(i)
Code V-UBI
amount in box 20 of
Schedule K-1
(Form 1065)
 		(j)
General or
managing
partner?



 		(k)
Percentage
ownership
Yes No Yes No
(1) SCRIPPS ENCINITAS SURGERY CTR

15305 DALLAS PKWY STE 1600 LB 28
ADDISON,TX75001
20-5942958 		AMBUL SURGERY CTR CA SCRIPPS HEALTH
  		RELATED 5,058,859 2,395,084   No     No 57.5 %
(2) SCRIPPSUSP SURGERY CTR

15305 DALLAS PKWY STE 1600 LB 28
ADDISON,TX75001
20-5942911 		AMBUL SURGERY CTR CA NA
  		RELATED 147,955 887,855   No     No 50 %
(3) SCRIPPS MERCY AMBUL SURG CTR

4555 EXECUTIVE DR
SAN DIEGO,CA92121
45-0503246 		AMBUL SURGERY CTR CA SCRIPPS HEALTH
  		RELATED 8,290,115 3,561,855   No   Yes   82.5 %
(4) SCRIPPS MEMORIAL XIMED MED CTR

9850 GENESEE AVE STE 900
LA JOLLA,CA92037
33-0475481 		REAL ESTATE CA SCRIPPS HEALTH
  		RELATED 212,360 2,264,237   No   Yes   10.31 %
(5) VIBRA HOSPITAL OF SAN DIEGO LLC

4714 GETTYSBURG ROAD
MECHANICSBURG,PA10755
26-1466122 		LT ACUTE CARE DE SCRIPPS HEALTH
  		RELATED -84,595 11,700,111   No     No 24.5 %




Part IV
Identification of Related Organizations Taxable as a Corporation or Trust. Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a corporation or trust during the tax year.
(a)
Name, address, and EIN of
related organization
 		(b)
Primary activity
 		(c)
Legal
domicile
(state or foreign
country)
 		(d)
Direct controlling
entity
 		(e)
Type of entity
(C corp, S corp,
or trust) 		(f)
Share of total income
 		(g)
Share of end-of-year
assets
 		(h)
Percentage
ownership
 		(i)
Section 512(b)(13) controlled entity?
Yes No
(1) CHARITABLE REMAINDER TRUST (27)

4555 EXECUTIVE DR
SAN DIEGO,CA92121
 HOSPITAL SUPPORT CA NA
  		TRUST       Yes  
(2) CHARITABLE LEAD TRUST (1)

 
 
HOSPITAL SUPPORT CA NA
  		TRUST       Yes  










Schedule R (Form 990) (Rev. 1-2025)
Schedule R (Form 990) (Rev. 1-2025)
Page 3
Part V
Transactions With Related Organizations. Complete if the organization answered "Yes" on Form 990, Part IV, line 34, 35b, or 36.
Note. Complete line 1 if any entity is listed in Parts II, III, or IV of this schedule.
Yes
No
1 During the tax year, did the orgranization engage in any of the following transactions with one or more related organizations listed in Parts II-IV?
a Receipt of (i) interest, (ii) annuities, (iii) royalties, or (iv) rent from a controlled entity .....................
1a
Yes
 
b Gift, grant, or capital contribution to related organization(s) ............................
1b
 
No
c Gift, grant, or capital contribution from related organization(s) ............................
1c
 
No
d Loans or loan guarantees to or for related organization(s) ............................
1d
 
No
e Loans or loan guarantees by related organization(s) ............................
1e
 
No
f Dividends from related organization(s) ............................
1f
 
No
g Sale of assets to related organization(s) ............................
1g
 
No
h Purchase of assets from related organization(s) ............................
1h
 
No
i Exchange of assets with related organization(s) ............................
1i
 
No
j Lease of facilities, equipment, or other assets to related organization(s) .......................
1j
Yes
 
k Lease of facilities, equipment, or other assets from related organization(s) ......................
1k
 
No
l Performance of services or membership or fundraising solicitations for related organization(s) .....................
1l
Yes
 
m Performance of services or membership or fundraising solicitations by related organization(s) .................
1m
Yes
 
n Sharing of facilities, equipment, mailing lists, or other assets with related organization(s) ...................
1n
Yes
 
o Sharing of paid employees with related organization(s) ............................
1o
 
No
p Reimbursement paid to related organization(s) for expenses ............................
1p
 
No
q Reimbursement paid by related organization(s) for expenses ............................
1q
Yes
 
r Other transfer of cash or property to related organization(s) ............................
1r
 
No
s Other transfer of cash or property from related organization(s) ............................
1s
 
No
2
If the answer to any of the above is "Yes," see the instructions for information on who must complete this line, including covered relationships and transaction thresholds.
(a)
Name of related organization 		(b)
Transaction
type (a-s) 		(c)
Amount involved 		(d)
Method of determining amount involved
(1) SCRIPPS ENCINITAS SURGERY CENTER

 A 424,274 ACCRUAL
(2) SCRIPPS MERCY AMBULATORY SURGERY CENTER

 A 241,885 ACCRUAL
(3) SCRIPPS HEALTH PLAN SERVICES

 J 121,470 ACCRUAL
(4) SCRIPPS HEALTH PLAN SERVICES

 L 281,327,462 ACCRUAL
(5) SCRIPPS HEALTH PLAN SERVICES

 M 58,746,349 ACCRUAL
(6) SCRIPPS HEALTH PLAN SERVICES

 Q 25,100,574 ACCRUAL
(7) SCRIPPS HEALTH PLAN SERVICES

 N 123,765 FMV
Schedule R (Form 990) (Rev. 1-2025)
Schedule R (Form 990) (Rev. 1-2025)
Page 4
Part VI
Unrelated Organizations Taxable as a Partnership. Complete if the organization answered "Yes" on Form 990, Part IV, line 37.
Provide the following information for each entity taxed as a partnership through which the organization conducted more than five percent of its activities (measured by total assets or gross revenue) that was not a related organization. See instructions regarding exclusion for certain investment partnerships.
(a)
Name, address, and EIN of entity 		(b)
Primary activity 		(c)
Legal domicile
(state or foreign
country) 		(d)
Predominant income (related, unrelated, excluded from tax under sections 512-514)

(e)
Are all partners
section
501(c)(3)
organizations? 		(f)
Share of total income




 		(g)
Share of
end-of-year
assets 		(h)
Disproprtionate allocations? 		(i)
Code V-UBI
amount in box 20
of Schedule K-1
(Form 1065) 		(j)
General or
managing
partner? 		(k)
Percentage
ownership
Yes No Yes No Yes No






























Schedule R (Form 990) (Rev. 1-2025)
Schedule R (Form 990) (Rev. 1-2025)
Page 5
Part VII
Supplemental Information
Provide additional information for responses to questions on Schedule R. See instructions.
Return Reference Explanation
Schedule R (Form 990) (Rev. 1-2025)

Additional Data


Software ID: 24020961
Software Version: 2024v5.1