2021 Community Benefit Plan and Report Our Promise to the Community In fiscal year 2020, Scripps Health provided $432 million in community benefit services Marcus Yam/Los Angeles Times From organizing food drives to support Scripps employees in need to treating patients in our hospitals and providing COVID-19 vaccination clinics throughout San Diego, Scripps has mobilized in many ways to care for the community during the pandemic. We Succeed Because We Are Stronger Together One thing that has remained constant throughout the ever-changing pandemic environment is Scripps commitment to the health and safety of our community. While COVID-19 dominated health care headlines this year, our experts were profoundly aware that other health concerns persisted. More than ever before, Scripps physicians, nurses and staff joined together to reimagine care in unimaginable circumstances and were relentless in their pursuit to safely care for our community. In this report, you’ll read about some of the innovative ways that Scripps dedicated health care heroes united to show our community that even during some of the most difficult times, we are stronger together. LETTER FROM THE CEO The Scripps story began with a strong commitment to the San Diego community. -A commitment that continues today- Our founders, Ellen Browning Scripps and Mother Mary Michael Cummings, were both women ahead of their time. Their commitment to provide for the health care needs of a growing community resulted in the Scripps Health of today. Miss Ellen, as she was known, preferred the term “investment” over “donation”, and her contributions were carefully considered as much for their future promise as for their immediate impact. Decades earlier, Mother Mary Michael’s patient logs illustrated her fundamental mission to make quality health care available to all who needed it. Today, more than 16,000 employees, physicians and volunteers continue to build on our rich history and keep the spirit of community service alive. The pages that follow provide a comprehensive account of how we achieve that: our community benefit programs and services, and our plans for continued action in the future. In Fiscal Year 2020 Scripps community benefit contributions totaled $431,882,133 This includes $394,126,261 in uncompensated care, $27,934,884 in professional education and health research, $5,933,512 in community health services and $3,680,538 in subsidized health, and $206,937 in community building activities. This past year has been unlike any other I’ve seen in over 20 years at Scripps. With the onset of the COVID-19 pandemic in March 2020, our incredible team of physicians, nurses and staff mobilized to save thousands of lives and care for countless others throughout San Diego. And our community stood beside them, providing critical supplies, equipment and other resources. As we look ahead, we know that we will face new challenges. At Scripps we are continually changing to better meet our patients’ needs, improve access in our community, reduce our costs, and simply bring more value to the patients we serve. When Ellen Browning Scripps and Mother Mary Michael Cummings brought quality health care to San Diego 100 years ago, they could never have imagined the care we provide today or the more than 700,000 lives we touch each year. As a private, tax-exempt heath care system, Scripps will continue our legacy of making a vital and measurable difference in our community. Chris Van Gorder, FACHE President and CEO MISSION, VISION, AND VALUES MISSION 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, socially responsible health care services. We advance clinical research, community 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. VISION Scripps Health will continue to be the leading health care delivery system in the greater San Diego community, as evidenced by the highest clinical quality, patient safety, and patient, physician and employee satisfaction. This will be achieved through unending focus on patient-centered and compassionate care, cost- effective operations, research, advanced technology and innovation. VALUES We provide the highest quality of service Scripps is committed to putting the patient first, and quality is our passion. In the new world of health care, we want to anticipate the cause of illness and encourage healthy behavior for all that rely on us for service. We teach and encourage patients to participate in their care and to make well-informed decisions. We will be their advocates when they are most vulnerable. We measure our success by our patients’ satisfaction, their return to health and well-being, and our compassionate care for dying patients, their families and friends. We demonstrate complete respect for the rights of every individual Scripps honors the dignity of all persons. We show this by our actions toward one another and those we serve. We embrace the diversity that allows us to draw on the talents of one another. We respect and honor the cultural, ethnic and religious beliefs and practices of our patients in a manner consistent with the highest standard of care. All this is done in a compassionate setting. Our goal is to create a healing environment in partnership with all caregivers committed to serving our patients. We care for our patients every day in a responsible and efficient manner Scripps serves as a major community health care resource for San Diego County and, as such, we are accountable for the human, financial and ecological resources entrusted to our care as we promote healing and wholeness. We begin from a base of excellence and collaborate with co-workers, physicians, patients, and other providers to find new and creative ways to improve the delivery of health care services. All members of our community will have access to timely, affordable and appropriate care. ABOUT SCRIPPS HEALTH Founded in 1924 by philanthropist Ellen Browning Scripps, Scripps Health is a $3.5 billion not-for-profit integrated health system based in San Diego, California. Scripps treats more than 700,000 patients annually through the dedication of more than 3,000 affiliated physicians and more than 16,000 employees among its five acute-care hospital campuses and an ambulatory care network of physician offices and 32 outpatient clinics (including 16 Scripps Health Express locations). 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 Health is a leading provider of medical care, improving community health and advancing medicine in San Diego County. The system operates four acute-care hospitals on five campuses and numerous ambulatory clinics geographically located across the entire county, from Chula Vista to Oceanside. The system is recognized for our expertise in women’s health, cancer care, cardiovascular disease prevention and treatment, and neurocognitive care including dementia and therapy-induced cognitive sequela. Scripps is also at the forefront of clinical research, and digital health care. With three highly respected graduate medical education programs, Scripps is a longstanding member of the Association of American Medical Colleges. Our hospitals are consistently ranked by U.S. News & World Report among the nation’s best and Scripps is regularly 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, Mother Mary Michael Cummings and Ellen Browning Scripps still define who we are today. More information can be found at www.scripps.org. SCRIPPS FACILITIES/DIVISIONS Scripps Memorial Hospital Encinitas Scripps Clinical Research Services Scripps Green Hospital Scripps Coastal Medical Center Scripps Memorial Hospital La Jolla Scripps Whittier Diabetes Institute Scripps Clinic Scripps Mercy Hospital *San Diego & Chula Vista Campuses SERVICE OFFERINGS Scripps is an integrated health care delivery system consisting of four acute-care hospitals on five campuses, 32 outpatient centers and clinics (including 16 Scripps Health Express locations), home health care, palliative care, clinical research, and ancillary services for the San Diego region and beyond. Scripps primary care lines include: CARDIOVASCULAR CARE • Scripps treated more than 304,000 heart patients in Fiscal Year 2020 – more than any other provider in San Diego. With volume comes high quality, as evidenced by the program being consistently ranked as the best in San Diego for cardiology and heart surgery by U.S. News & World Report. Scripps has been ranked among the top heart programs in San Diego, and in the country, for 16 years, including the most recent 2020-2021 rankings. • In 2015, Scripps opened the $456 million Prebys Cardiovascular Institute, which brought together expertise from across the system. The institute is the largest heart hospital on the West Coast with 167 inpatient beds and serves as the center of excellence for research and education. • For more than 30 years, Kaiser Permanente