SHARP HEALTHCARE: Form 990, tax year 2022

View the entire original 990 at ProPublica ↗

Organization: SHARP HEALTHCARE (EIN 95-6077327)
Tax period: 2022-10-01 to 2023-09-30
Filed: 2024-08-13
IRS object ID: 202422269349302552
Schema version: 2022v5.0
Source: Download XML · Original 990 at ProPublica

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

Return header
Form 990
Schedule A
Schedule B
Schedule C
Schedule D
Schedule F
Schedule I
Schedule J
Schedule K
Schedule K
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2024-08-13T17:54:25+00:00	ReturnTs
Tax Period End	2023-09-30	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

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

Preparer Firm Name PreparerFirmName

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

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	4365 Executive Drive Suite 1600	AddressLine1Txt
City	San Diego	CityNm
State Abbreviation	CA	StateAbbreviationCd
ZIP	92121	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2022-10-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	956077327	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	Sharp Healthcare	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Business Name Control	SHAR	BusinessNameControlTxt
Phone	8584995150	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	8695 Spectrum Center Blvd	AddressLine1Txt
City	San Diego	CityNm
State Abbreviation	CA	StateAbbreviationCd
ZIP	921231489	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	CHRIS HOWARD	PersonNm
Person Title	CEO	PersonTitleTxt
Phone	8584995150	PhoneNum
Signature	2024-08-13	SignatureDt
Discuss With Paid Preparer	false	DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	Debra Heiskala	PreparerPersonNm
PTIN	P00649485	PTIN
Phone	8585357200	PhoneNum

Field	Value	IRS element (for citing)
Tax	2022	TaxYr
Build TS	2024-08-08 14:25:15Z	BuildTS

Form 990 IRS990

Principal Ofcr Business Name PrincipalOfcrBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	CHRIS HOWARD	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	8695 Spectrum Center Blvd	AddressLine1Txt
City	San Diego	CityNm
State Abbreviation	CA	StateAbbreviationCd
ZIP	921231489	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$2,316,237,964	GrossReceiptsAmt
Group Return For Affiliates	false	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	WWW.SHARP.COM	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1946	FormationYr
Legal Domicile State	CA	LegalDomicileStateCd
Activity Or Mission	The organization's primary exempt purpose is to provide administrative support to its tax-exempt subsidiaries. In addition, outpatient services are provided to patients within the greater San Diego area through multispecialty medical group practices. Community members are offered a number of benefit services to assist them in obtaining treatment, and information is provided on topics ranging from disease prevention to improvement of health status.	ActivityOrMissionDesc
Voting Members Governing Body	24	VotingMembersGoverningBodyCnt
Voting Members Independent	22	VotingMembersIndependentCnt
Total Employee	22493	TotalEmployeeCnt
Total Volunteers	0	TotalVolunteersCnt
Total Gross UBI	$379,513	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$35,156	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$11,123,068	PYContributionsGrantsAmt
CY Contributions Grants	$5,233,202	CYContributionsGrantsAmt
PY Program Service Revenue	$2,230,139,651	PYProgramServiceRevenueAmt
CY Program Service Revenue	$1,707,613,255	CYProgramServiceRevenueAmt
PY Investment Income	$81,681,022	PYInvestmentIncomeAmt
CY Investment Income	$141,842,050	CYInvestmentIncomeAmt
PY Other Revenue	$47,945,085	PYOtherRevenueAmt
CY Other Revenue	$50,066,193	CYOtherRevenueAmt
PY Total Revenue	$2,370,888,826	PYTotalRevenueAmt
CY Total Revenue	$1,904,754,700	CYTotalRevenueAmt
PY Grants And Similar Paid	$205,163	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$392,770	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$579,099,246	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$615,261,668	CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$5,620,011	CYTotalFundraisingExpenseAmt
PY Other Expenses	$1,354,889,025	PYOtherExpensesAmt
CY Other Expenses	$1,425,309,244	CYOtherExpensesAmt
PY Total Expenses	$1,934,193,434	PYTotalExpensesAmt
CY Total Expenses	$2,040,963,682	CYTotalExpensesAmt
PY Revenues Less Expenses	$436,695,392	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	-$136,208,982	CYRevenuesLessExpensesAmt
Total Assets BOY	$4,882,274,751	TotalAssetsBOYAmt
Total Assets EOY	$5,014,491,088	TotalAssetsEOYAmt
Total Liabilities BOY	$4,784,474,865	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$4,868,398,154	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$97,799,886	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$146,092,934	NetAssetsOrFundBalancesEOYAmt
Mission	To promote health care through supporting and/or operating, directly or through wholly-owned subsidiaries and other appropriate management arrangements, hospitals and other medically-related facilities and activities in the State of California. The specific and primary purposes for which this corporation is formed are to support and be responsive to the needs of its publicly supported, tax-exempt subsidiaries.	MissionDesc
Significant New Program Srvc	false	SignificantNewProgramSrvcInd
Significant Change	false	SignificantChangeInd
Expense	$782,239,491	ExpenseAmt
Grant	$1,470	GrantAmt
Revenue	$832,329,186	RevenueAmt
Desc	Sharp HealthCare operates a number of outpatient clinics throughout San Diego County which provide outpatient and urgent care services to the community. Total patient visits were 2,147,174 for the twelve months ended 9/30/2023.	Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

Field	Value	IRS element (for citing)
Expense	$683,910,841	ExpenseAmt
Grant	$391,300	GrantAmt
Revenue	$875,284,069	RevenueAmt
Desc	Sharp HealthCare provides administrative support to its subsidiaries. Its general purpose is to promote healthcare through supporting and/or operating its subsidiaries.	Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

Field	Value	IRS element (for citing)
Desc	See Community Benefit Report on Schedule O.	Desc

Field	Value	IRS element (for citing)
Total Program Service Expenses	$1,466,150,332	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (true)	DescribedInSection501c3Ind
Schedule B Required	Yes (true)	ScheduleBRequiredInd
Political Campaign Acty	false	PoliticalCampaignActyInd
Lobbying Activities	Yes (true)	LobbyingActivitiesInd
Donor Advised Fund	false	DonorAdvisedFundInd
Conservation Easements	false	ConservationEasementsInd
Collections Of Art	false	CollectionsOfArtInd
Credit Counseling	false	CreditCounselingInd
Donor Rstr Or Quasi Endowments	Yes (true)	DonorRstrOrQuasiEndowmentsInd
Report Land Building Equipment	Yes (true)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	false	ReportInvestmentsOtherSecInd
Report Program Related Invst	false	ReportProgramRelatedInvstInd
Report Other Assets	Yes (true)	ReportOtherAssetsInd
Report Other Liabilities	Yes (true)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	Yes (true)	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	false	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (true)	ConsolidatedAuditFinclStmtInd
School Operating	false	SchoolOperatingInd
Foreign Office	Yes (true)	ForeignOfficeInd
Foreign Activities	Yes (true)	ForeignActivitiesInd
More Than5000 K To Org	false	MoreThan5000KToOrgInd
More Than5000 K To Individuals	false	MoreThan5000KToIndividualsInd
Professional Fundraising	false	ProfessionalFundraisingInd
Fundraising Activities	false	FundraisingActivitiesInd
Gaming Activities	false	GamingActivitiesInd
Operate Hospital	false	OperateHospitalInd
Grants To Organizations	Yes (true)	GrantsToOrganizationsInd
Grants To Individuals	Yes (true)	GrantsToIndividualsInd
Schedule J Required	Yes (true)	ScheduleJRequiredInd
Tax Exempt Bonds	Yes (true)	TaxExemptBondsInd
Invest Tax Exempt Bonds	false	InvestTaxExemptBondsInd
Escrow Account	false	EscrowAccountInd
On Behalf Of Issuer	false	OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans	false	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	false	PYExcessBenefitTransInd
Loan Outstanding	false	LoanOutstandingInd
Grant To Related Person	false	GrantToRelatedPersonInd
Business Rln With Org Mem	false	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	false	BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent	false	BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri	false	DeductibleNonCashContriInd
Deductible Art Contribution	false	DeductibleArtContributionInd
Terminate Operations	false	TerminateOperationsInd
Partial Liquidation	false	PartialLiquidationInd
Disregarded Entity	false	DisregardedEntityInd
Related Entity	Yes (true)	RelatedEntityInd
Related Organization Ctrl Ent	Yes (true)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	Yes (true)	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	Yes (true)	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	false	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (true)	ScheduleORequiredInd
Info In Schedule O Part V	Yes (X)	InfoInScheduleOPartVInd
IRP Document	856	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (true)	BackupWthldComplianceInd
Employee	22493	EmployeeCnt
Employment Tax Returns Filed	Yes (true)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	Yes (true)	UnrelatedBusIncmOverLimitInd
Form990 T Filed	Yes (true)	Form990TFiledInd
Foreign Financial Account	Yes (true)	ForeignFinancialAccountInd
Foreign Country	CJ	ForeignCountryCd
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTransInd
Taxable Party Notification	false	TaxablePartyNotificationInd
Nondeductible Contributions	false	NondeductibleContributionsInd
Quid Pro Quo Contributions	false	QuidProQuoContributionsInd
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	false	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	false	PayPremiumsPrsnlBnftCntrctInd
Form1098 C Filed	false	Form1098CFiledInd
Indoor Tanning Services	false	IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt	Yes (true)	SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc	false	SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	24	GoverningBodyVotingMembersCnt
Independent Voting Member	22	IndependentVotingMemberCnt
Family Or Business Rln	false	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	false	DelegationOfMgmtDutiesInd
Change To Org Documents	false	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	false	MaterialDiversionOrMisuseInd
Members Or Stockholders	false	MembersOrStockholdersInd
Election Of Board Members	false	ElectionOfBoardMembersInd
Decisions Subject To Approva	false	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (true)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (true)	MinutesOfCommitteesInd
Officer Mailing Address	false	OfficerMailingAddressInd
Local Chapters	false	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (true)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (true)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (true)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (true)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (true)	WhistleblowerPolicyInd
Document Retention Policy	Yes (true)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (true)	CompensationProcessCEOInd
Compensation Process Other	Yes (true)	CompensationProcessOtherInd
Investment In Joint Venture	Yes (true)	InvestmentInJointVentureInd
Written Policy Or Procedure	Yes (true)	WrittenPolicyOrProcedureInd
States Where Copy Of Return Is Fld	CA	StatesWhereCopyOfReturnIsFldCd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	JENNIFER GARDYNE	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Phone	8584995152	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	8695 SPECTRUM CENTER BLVD	AddressLine1Txt
City	SAN DIEGO	CityNm
State Abbreviation	CA	StateAbbreviationCd
ZIP	92123	ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (46 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	OfficerOfficerInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Key EmployeeKeyEmployeeInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd	Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
Carol Gallagher
SECRETARY THRU 5/31/2023	1.0	0	Yes (X)	Yes (X)	$0	$0	$0
Christopher D Howard
PRESIDENT & CEO SHC	40.0	12.0	Yes (X)	Yes (X)	$2,581,520	$0	$19,123
Deirdre Alpert
DIRECTOR, IMMEDIATE PAST CHAIR THRU 05/30/2023	4.0	0	Yes (X)	Yes (X)	$0	$0	$0
Derek Quackenbush
TREASURER THRU 05/31/2023	1.0	2.0	Yes (X)	Yes (X)	$0	$0	$0
Eugene Mitchell
CHAIR AS OF 06/01/2023	1.0	0	Yes (X)	Yes (X)	$0	$0	$0
Guillermo Cabrera
IMMEDIATE PAST CHAIR, CHAIR THRU 05/30/2023	2.0	0	Yes (X)	Yes (X)	$0	$0	$0
John Wylie
TREASURER AS OF 06/01/2023	2.0	0	Yes (X)	Yes (X)	$0	$0	$0
Sara Bennett
SECRETARY AS OF 06/01/2023	3.0	1.0	Yes (X)	Yes (X)	$0	$0	$0
Tony Costa
VICE CHAIR AS OF 06/01/2023	2.0	0	Yes (X)	Yes (X)	$0	$0	$0
Alan Bier MD
DIRECTOR	4.0	1.0	Yes (X)		$0	$0	$0
Andy Dang MD
DIRECTOR	1.0	0.0	Yes (X)		$0	$0	$0
Bob Bolinger
DIRECTOR	1.0	0	Yes (X)		$0	$0	$0
Craig Saffer MD
DIRECTOR	2.0	3.0	Yes (X)		$0	$116,600	$0
Dan Gensler
DIRECTOR	3.0	5.0	Yes (X)		$0	$0	$0
Debora Burke
DIRECTOR AS OF 06/01/2023	2.0	0	Yes (X)		$0	$0	$0
Elvin Lai
DIRECTOR AS OF 06/01/2023	2.0	0	Yes (X)		$0	$0	$0
Eric Clark Jr MD
DIRECTOR	2.0	1.0	Yes (X)		$0	$29,400	$0
Faye Wilson
DIRECTOR THRU 05/31/2023	3.0	0	Yes (X)		$0	$0	$0
Hugo Barrera MD
DIRECTOR	1.0	1.0	Yes (X)		$0	$3,920	$0
James Smith III
DIRECTOR THRU 07/31/2023	1.0	2.0	Yes (X)		$0	$0	$0
John Dunn
DIRECTOR	3.0	0	Yes (X)		$0	$0	$0
Julie Coker
DIRECTOR AS OF 06/01/2023	2.0	0	Yes (X)		$0	$0	$0
Lori Moore
DIRECTOR AS OF 08/01/2023	2.0	2.0	Yes (X)		$0	$0	$0
Marc Brutten
DIRECTOR	1.0	0	Yes (X)		$0	$0	$0
Randolph Lenac
DIRECTOR	2.0	2.0	Yes (X)		$0	$0	$0
Rebeca Perez-Serrano
DIRECTOR	8.0	0	Yes (X)		$0	$0	$0
Regina Petty
DIRECTOR	1.0	0	Yes (X)		$0	$0	$0
Sergio Flores MD
DIRECTOR	2.0	0	Yes (X)		$0	$0	$0
Doug Watson
SVP & CFO SHC AS OF 6/26/23	44.0	8.0		Yes (X)	$0	$0	$0
Rick L Grossman
SVP GENERAL COUNSEL	45.0	8.0		Yes (X)	$1,229,363	$0	$10,412
Staci L Dickerson
SVP & CFO SHC THRU 07/01/2023	44.0	14.0		Yes (X)	$1,334,159	$0	$32,943
Brett G McClain
EVP CHIEF OPERATING OFFICER SHC	26.0	23.0			$1,513,107	$0	$22,359	Yes (X)
Lisa Allen
SVP HR & TALENT MGMT	50.0	0			$1,073,981	$0	$16,616	Yes (X)
Pablo Velez-Carrillo
CEO SCVMC	5.0	55.0			$1,136,531	$0	$17,429	Yes (X)
Patricia Khaleghi
SVP MARKET CEO AS OF 10/30/2022	8.0	50.0			$1,048,696	$0	$34,089	Yes (X)
Stacey Hrountas
CEO SRS	60.0	0			$955,011	$0	$32,193	Yes (X)
Susan Stone
SVP HEALTH SYSTEM OPS AND SYSTEM CHIEF NURSING EXEC	10.0	40.0			$800,011	$0	$21,103	Yes (X)
Timothy B Smith
CEO SMH	10.0	45.0			$1,193,816	$0	$16,823	Yes (X)
William Littlejohn
SVP, CEO FOUNDATIONS	3.0	35.0			$730,673	$0	$21,724	Yes (X)
William S Evans
SVP MARKET CEO	8.0	42.0			$1,194,031	$0	$22,231	Yes (X)
Alison Fleury
SVP BUSINESS DEVELOPMENT	45.0	1.0			$841,745	$0	$24,911		Yes (X)
Amy Adome
SVP CHIEF CLINICAL AND TRANSFORMATION OFFICER	40.0	0			$692,541	$0	$9,933		Yes (X)
Lynne Milgram
CMO SCMG	40.0	0			$705,631	$0	$44,088		Yes (X)
Michael Reagin
SVP CIIO	48.0	2.0			$1,260,276	$0	$16,823		Yes (X)
Paul Durr
CEO-SCMG	60.0	0.0			$837,730	$0	$34,967		Yes (X)
Daniel L Gross
FORMER EVP HOSPITAL OPS SHC	0.0	0.0			$1,068,049	$0	$0			Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$20,196,871	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$149,920	TotReportableCompRltdOrgAmt
Total Other Compensation	$397,767	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	3801	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	Yes (true)	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (true)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	false	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
MCCARTHY BUILDING COMPANIES
9275 SKY PARK CT STE 200	SAN DIEGO	CA	92123	CONSTRUCTION	$101,617,977
RIGHTSOURCING INC
PO 515743	LOS ANGELES	CA	90051	STAFFING	$89,147,234
SODEXHO & AFFILIATES
PO BOX 360170	PITTSBURGH	PA	152516170	MANAGEMENT/CATERING	$83,166,725
SHARP REES-STEALY MEDICAL GROUP
5651 COPLEY DRIVE	SAN DIEGO	CA	92111	MEDICAL SERVICES	$42,662,566
EMERGENCY & ACUTE CARE
12230 WORLD TRADE DR STE 250	SAN DIEGO	CA	92128	MEDICAL SERVICES	$33,143,590

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	628	CntrctRcvdGreaterThan100KCnt
Federated Campaigns	$0	FederatedCampaignsAmt
Membership Dues	$0	MembershipDuesAmt
Fundraising	$0	FundraisingAmt
Related Organizations	$3,557,673	RelatedOrganizationsAmt
Government Grants	$1,675,529	GovernmentGrantsAmt
All Other Contributions	$0	AllOtherContributionsAmt
Noncash Contributions	$0	NoncashContributionsAmt
Total Contributions	$5,233,202	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt	ExclusionExclusionAmt
Outpatient care	621110	$785,626,872	$785,626,872	$0	$0
Capitation revenue	900099	$696,087,501	$696,087,501	$0	$0
Revenue from affiliated entities	900099	$167,278,391	$167,278,391	$0	$0
Medicare/Medicaid payments	621110	$44,388,252	$44,388,252	$0	$0
Rental income	531120	$8,277,356	$8,277,356	$0	$0

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$5,954,883	TotalRevenueColumnAmt
Related Or Exempt Func Income	$5,575,370	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$379,513	UnrelatedBusinessRevenueAmt
Exclusion	$0	ExclusionAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$1,707,613,255	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$68,222,858	TotalRevenueColumnAmt
Related Or Exempt Func Income	$0	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$68,222,858	ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$122	TotalRevenueColumnAmt
Related Or Exempt Func Income	$0	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$122	ExclusionAmt

Royalties Revenue RoyaltiesRevenueGrp

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

Gross Rents GrossRentsGrp

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

Less Rental Expenses LessRentalExpensesGrp

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

Rental Income Or Loss RentalIncomeOrLossGrp

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

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

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

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$476,490,808	SecuritiesAmt
Other	$8,611,526	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$407,198,444	SecuritiesAmt
Other	$4,284,820	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$69,292,364	SecuritiesAmt
Other	$4,326,706	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$73,619,070	TotalRevenueColumnAmt
Related Or Exempt Func Income	$0	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$73,619,070	ExclusionAmt

Field	Value	IRS element (for citing)
Fundraising Gross Income	$0	FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event	$0	ContriRptFundraisingEventAmt
Fundraising Direct Expenses	$0	FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$0	ExclusionAmt

Field	Value	IRS element (for citing)
Gaming Gross Income	$0	GamingGrossIncomeAmt
Gaming Direct Expenses	$0	GamingDirectExpensesAmt

Net Income From Gaming NetIncomeFromGamingGrp

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

Field	Value	IRS element (for citing)
Gross Sales Of Inventory	$0	GrossSalesOfInventoryAmt
Cost Of Goods Sold	$0	CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

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

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt	ExclusionExclusionAmt
SCMG Management Fee	561000	$49,185,441	$0	$0	$49,185,441
Call Center Services	900099	$347,078	$0	$0	$347,078
Medical Records Copying	900099	$302,348	$0	$0	$302,348

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$231,326	TotalRevenueColumnAmt
Related Or Exempt Func Income	$0	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$231,326	ExclusionAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$50,066,193	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,904,754,700	TotalRevenueColumnAmt
Related Or Exempt Func Income	$1,707,233,742	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$379,513	UnrelatedBusinessRevenueAmt
Exclusion	$191,908,243	ExclusionAmt

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

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$175,770	TotalAmt
Program Services	$175,770	ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

Field	Value	IRS element (for citing)
Total	$217,000	TotalAmt
Program Services	$217,000	ProgramServicesAmt

Benefits To Members BenefitsToMembersGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Program Services	$0	ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$11,201,438	TotalAmt
Management And General	$11,201,438	ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$476,989,376	TotalAmt
Program Services	$215,334,835	ProgramServicesAmt
Management And General	$261,654,541	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$19,445,896	TotalAmt
Program Services	$7,087,858	ProgramServicesAmt
Management And General	$12,358,038	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$69,292,327	TotalAmt
Program Services	$31,572,015	ProgramServicesAmt
Management And General	$37,720,312	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$38,332,631	TotalAmt
Program Services	$16,222,723	ProgramServicesAmt
Management And General	$22,109,908	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$2,639,616	TotalAmt
Program Services	$112,955	ProgramServicesAmt
Management And General	$2,526,661	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$704,956	TotalAmt
Management And General	$704,956	ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$17,500	TotalAmt
Management And General	$17,500	ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$1,798,368	TotalAmt
Management And General	$1,798,368	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$646,944,528	TotalAmt
Program Services	$600,116,976	ProgramServicesAmt
Management And General	$46,827,552	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$5,052,257	TotalAmt
Program Services	$353,055	ProgramServicesAmt
Management And General	$4,699,202	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$26,906,382	TotalAmt
Program Services	$16,518,022	ProgramServicesAmt
Management And General	$10,388,360	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$107,763,157	TotalAmt
Program Services	$482,542	ProgramServicesAmt
Management And General	$107,280,615	ManagementAndGeneralAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$37,583,164	TotalAmt
Program Services	$27,960,593	ProgramServicesAmt
Management And General	$9,622,571	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$530,814	TotalAmt
Program Services	$110,365	ProgramServicesAmt
Management And General	$420,449	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$1,953,713	TotalAmt
Program Services	-$3,546	ProgramServicesAmt
Management And General	$1,957,259	ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$37,142,828	TotalAmt
Program Services	$16,098,983	ProgramServicesAmt
Management And General	$21,043,845	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$7,341,275	TotalAmt
Program Services	$6,358,804	ProgramServicesAmt
Management And General	$982,471	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt	FundraisingFundraisingAmt
Purchased Medical Services from Affiliates	$426,214,267	$426,214,267
Medical Supplies	$96,718,474	$94,770,245	$1,948,229
Equipment Maintenance/Repair	$7,763,793	$3,079,529	$4,684,264
Fundraising	$5,620,011			$5,620,011

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$12,614,141	TotalAmt
Program Services	$3,367,341	ProgramServicesAmt
Management And General	$9,246,800	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$2,040,963,682	TotalAmt
Program Services	$1,466,150,332	ProgramServicesAmt
Management And General	$569,193,339	ManagementAndGeneralAmt
Fundraising	$5,620,011	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$1,724,197	BOYAmt
EOY	$2,089,358	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$298,586,291	BOYAmt
EOY	$203,750,626	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$55,136,553	BOYAmt
EOY	$58,527,371	EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

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

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

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

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

Field	Value	IRS element (for citing)
BOY	$1,275,782	BOYAmt
EOY	$1,305,717	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$20,214,831	BOYAmt
EOY	$20,130,595	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$64,071,681	BOYAmt
EOY	$53,921,798	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$1,033,289,130	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$478,364,501	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$560,645,289	BOYAmt
EOY	$554,924,629	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$2,637,856,299	BOYAmt
EOY	$2,775,612,661	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$20,161,576	BOYAmt
EOY	$24,721,513	EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
BOY	$109,881,528	BOYAmt
EOY	$118,264,488	EOYAmt

Intangible Assets IntangibleAssetsGrp

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

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$1,112,720,724	BOYAmt
EOY	$1,201,242,332	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$4,882,274,751	BOYAmt
EOY	$5,014,491,088	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$420,968,996	BOYAmt
EOY	$434,134,833	EOYAmt

Grants Payable GrantsPayableGrp

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

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$4,379,934	BOYAmt
EOY	$4,618,473	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$1,186,148,184	BOYAmt
EOY	$1,152,126,517	EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

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

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$3,172,977,751	BOYAmt
EOY	$3,277,518,331	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$4,784,474,865	BOYAmt
EOY	$4,868,398,154	EOYAmt

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

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	-$3,346,247	BOYAmt
EOY	$48,665,639	EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$101,146,133	BOYAmt
EOY	$97,427,295	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$97,799,886	BOYAmt
EOY	$146,092,934	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$4,882,274,751	BOYAmt
EOY	$5,014,491,088	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	-$136,208,982	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$177,802,422	NetUnrlzdGainsLossesInvstAmt
Prior Period Adjustments	$186	PriorPeriodAdjustmentsAmt
Other Changes In Net Assets	$6,699,422	OtherChangesInNetAssetsAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	false	AccountantCompileOrReviewInd
FS Audited	Yes (true)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

Field	Value	IRS element (for citing)
Consolidated Basis Fincl Stmt	Yes (X)	ConsolidatedBasisFinclStmtInd

Field	Value	IRS element (for citing)
Audit Committee	Yes (true)	AuditCommitteeInd
Federal Grant Audit Required	Yes (true)	FederalGrantAuditRequiredInd
Federal Grant Audit Performed	Yes (true)	FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

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

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

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

Contributor US Address ContributorUSAddress

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

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

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Volunteers	false	VolunteersInd
Paid Staff Or Management	Yes (true)	PaidStaffOrManagementInd
Media Advertisements	false	MediaAdvertisementsInd
Mailings Members	false	MailingsMembersInd
Publications Or Broadcast	false	PublicationsOrBroadcastInd
Grants Other Organizations	Yes (true)	GrantsOtherOrganizationsInd
Grants Other Organizations	$17,500	GrantsOtherOrganizationsAmt
Direct Contact Legislators	Yes (true)	DirectContactLegislatorsInd
Direct Contact Legislators	$28,801	DirectContactLegislatorsAmt
Rallies Demonstrations	Yes (true)	RalliesDemonstrationsInd
Rallies Demonstrations	$259,209	RalliesDemonstrationsAmt
Other Activities	false	OtherActivitiesInd
Total Lobbying Expenditures	$305,510	TotalLobbyingExpendituresAmt
Not Described Section501c3	false	NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY	FormAndLineReferenceDesc
Explanation	SCHEDULE C, PART II-B, LINE 1F: ANNUAL FEE FOR CALIFORNIA CHAMBER OF COMMERCE. SCHEDULE C, PART II-B, LINES B, G AND H: OPERATING EXPENSES INCURRED BY THE GOVERNMENT RELATIONS DEPARTMENT OF SHARP HEALTHCARE ATTEMPTING TO INFLUENCE LOCAL, STATE, AND NATIONAL LEGISLATION RELATED TO REIMBURSEMENT, REGULATORY REQUIREMENTS, AND ANY OTHER ISSUES THAT COULD POTENTIALLY AFFECT THE QUALITY AND/OR ABILITY TO EFFECTIVELY PROVIDE HEALTHCARE TO THE SAN DIEGO COMMUNITY.	ExplanationTxt

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$12,112,846	BeginningYearBalanceAmt
Contributions	-$75,353	ContributionsAmt
Investment Earnings Or Losses	$1,169,832	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$0	GrantsOrScholarshipsAmt
Other Expenditures	$590,879	OtherExpendituresAmt
End Year Balance	$12,616,446	EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$14,308,262	BeginningYearBalanceAmt
Contributions	$864,665	ContributionsAmt
Investment Earnings Or Losses	-$2,863,215	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$107,909	GrantsOrScholarshipsAmt
Other Expenditures	$88,957	OtherExpendituresAmt
End Year Balance	$12,112,846	EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$13,157,329	BeginningYearBalanceAmt
Contributions	$682,346	ContributionsAmt
Investment Earnings Or Losses	$593,918	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$117,331	GrantsOrScholarshipsAmt
Other Expenditures	$8,000	OtherExpendituresAmt
End Year Balance	$14,308,262	EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$11,778,542	BeginningYearBalanceAmt
Contributions	$481,410	ContributionsAmt
Investment Earnings Or Losses	$1,075,864	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$102,487	GrantsOrScholarshipsAmt
Other Expenditures	$76,000	OtherExpendituresAmt
End Year Balance	$13,157,329	EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$11,347,634	BeginningYearBalanceAmt
Contributions	$94,636	ContributionsAmt
Investment Earnings Or Losses	$399,658	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$29,750	GrantsOrScholarshipsAmt
Other Expenditures	$33,636	OtherExpendituresAmt
End Year Balance	$11,778,542	EndYearBalanceAmt

Field	Value	IRS element (for citing)
Board Designated Balance EOY	0.39	BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY	0.61	PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY	0.0	TermEndowmentBalanceEOYPct
Endowments Held Unrelated Org	false	EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org	Yes (true)	EndowmentsHeldRelatedOrgInd
Related Org List Sch R	Yes (true)	RelatedOrgListSchRInd

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$77,771,348	OtherCostOrOtherBasisAmt
Book Value	$77,771,348	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$466,745,633	OtherCostOrOtherBasisAmt
Depreciation	$114,940,161	DepreciationAmt
Book Value	$351,805,472	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$70,041,542	OtherCostOrOtherBasisAmt
Depreciation	$63,672,754	DepreciationAmt
Book Value	$6,368,788	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$345,903,292	OtherCostOrOtherBasisAmt
Depreciation	$299,751,586	DepreciationAmt
Book Value	$46,151,706	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$72,827,315	OtherCostOrOtherBasisAmt
Depreciation	$0	DepreciationAmt
Book Value	$72,827,315	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$554,924,629	TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (7 entries)

DescDesc	Book ValueBookValueAmt
Rec fm Related Org for Alloc Tax Exempt Bond Balance	$875,125,045
Leased Assets- Operating	$94,810,095
CQI Premium Receivable	$28,156,072
Long-Term Assets	$20,090,029
Leased Assets- Finance	$842,224
Intangible Assets	$107,537,463
Swap contract assets	$74,681,404

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$1,201,242,332	TotalBookValueOtherAssetsAmt
Federal Income Tax Liability	$0	FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (8 entries)

DescDesc	AmtAmt
Intercompany Payables	$3,061,896,448
Operating Leases	$114,220,016
LT Workers Compensation	$42,889,311
LT Pension Liability	$6,613,057
CQI Retrospective Premium Payable	$42,582,354
Reserve for Malpractice	$8,100,000
Capital/Finance Leases	-$1,449,755
Other miscellaneous	$2,666,900

Field	Value	IRS element (for citing)
Total Liability	$3,277,518,331	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd
Total Rev Etc Audited Fincl Stmt	$2,070,704,051	TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst	$177,802,422	NetUnrealizedGainsInvstAmt
Other Revenue	-$7,421,893	OtherRevenueAmt
Revenue Not Reported	$170,380,529	RevenueNotReportedAmt
Revenue Subtotal	$1,900,323,522	RevenueSubtotalAmt
Investment Expenses Not Incld	$1,798,368	InvestmentExpensesNotIncldAmt
Other Revenues Not Included	$2,632,810	OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt	$4,431,178	RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990	$1,904,754,700	TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt	$2,031,743,421	TotExpnsEtcAuditedFinclStmtAmt
Other Expenses Included	$0	OtherExpensesIncludedAmt
Expenses Not Reported	$0	ExpensesNotReportedAmt
Expenses Subtotal	$2,031,743,421	ExpensesSubtotalAmt
Investment Expenses Not Incld2	$1,798,368	InvestmentExpensesNotIncld2Amt
Other Expenses Not Included	$7,421,893	OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt	$9,220,261	ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990	$2,040,963,682	TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule D, Part V, Line 4 Intended uses of endowment funds	Sharp HealthCare Foundation holds 12 board designated and permanent endowments for Sharp HealthCare that are restricted for a variety of purposes, such as rehabilitation, nursing education and scholarships, clinical equipment and technology, and more.
Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnote	Sharp recognizes tax benefits from any uncertain tax positions 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. Sharp 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 not met. Sharp 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. At September 30, 2023 and 2022, no such assets or liabilities were recorded.
Schedule D, Part XI, Line 2(d) Other revenues in audited financial statements not in form 990	NON-OPERATING COMPONENT OF PENSION EXPENSE - -1801882 Fundraising Expense - -5620011
Schedule D, Part XI, Line 4(b) Other revenues in form 990 not in audited financial statements	Book/tax difference Sharp UCSD Transplant - 686528 Book/tax difference MRI - -447653 Capital contributions - 2393935
Schedule D, Part XII, Line 4(b) Other expenses in form 990 not in audited financial statements	NON-OPEARTING COMPONENT OF PENSION EXPENSE - 1801882 FUNDRAISING EXPENSE - 5620011

Schedule F IRS990ScheduleF

Account Activities Outside US AccountActivitiesOutsideUSGrp (5 entries)

RegionRegionTxt	EmployeeEmployeeCnt	Type Of Activities ConductedTypeOfActivitiesConductedTxt	Specific Services ProvidedSpecificServicesProvidedTxt	Region Total ExpendituresRegionTotalExpendituresAmt
Central America and the Caribbean	1	Program Services	PAYMENTS FOR MANAGEMENT OF INSURANCE CAPTIVE SERVICES AND INSURANCE PREMIUM PAYMENTS TO CAPTIVE. PARTICIPATE IN INTERNATIONAL TRAVEL. SHARP HEALTHCARE EMPLOYEES VOLUNTEERED FOR HUMANITARIAN MISSIONS.	$9,358,410
Central America and the Caribbean	0	Investments	INVESTMENTS REQUIRED TO BE HELD BY OFFSHORE INSURANCE CAPTIVE.	$16,845,835
Europe (Including Iceland and Greenland)	0	Program Services	ANNUAL DUES AND SUBSCRIPTIONS, TRAINING.	$10,372
North America (Canada & Mexico only)	0	Program Services	DUES AND SUBSCRIPTIONS, TRAVEL.	$13,009
Sub-Saharan Africa	0	Program Services	SHARP HEALTHCARE EMPLOYEES VOLUNTEERED FOR HUMANITARIAN MISSIONS.	$1,179

Field	Value	IRS element (for citing)
Subtotal Offices	0	SubtotalOfficesCnt
Subtotal Employees	1	SubtotalEmployeesCnt
Continuation Total Office	0	ContinuationTotalOfficeCnt
Continuation Total Employee	0	ContinuationTotalEmployeeCnt
Total Office	0	TotalOfficeCnt
Total Employee	1	TotalEmployeeCnt
Subtotal Spent	$26,228,805	SubtotalSpentAmt
Continuation Spent	$0	ContinuationSpentAmt
Total Spent	$26,228,805	TotalSpentAmt
Transfer To Foreign Corp	Yes (true)	TransferToForeignCorpInd
Interest In Foreign Trust	false	InterestInForeignTrustInd
Foreign Corp Ownership	Yes (true)	ForeignCorpOwnershipInd
Passive Foreign Investmest Co	false	PassiveForeignInvestmestCoInd
Foreign Partnership	false	ForeignPartnershipInd
Boycott Countries	false	BoycottCountriesInd

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Schedule F, Part I, Line 3 Method used to account for expenditures on org's financial statements	FormAndLineReferenceDesc
Explanation	CENTRAL AMERICA AND THE CARIBBEAN-Accrual; EUROPE (INCLUDING ICELAND AND GREENLAND)-Accrual; NORTH AMERICA (CANADA & MEXICO ONLY)-Accrual; SUB-SAHARAN AFRICA-Accrual	ExplanationTxt

Schedule I IRS990ScheduleI

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

Recipient Table RecipientTable (10 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Recipient EINRecipientEIN	IRC SectionIRCSectionDesc	Cash GrantCashGrantAmt	Purpose Of GrantPurposeOfGrantTxt
AMERICAN RED CROSS
431 18TH ST NW	WASHINGTON	DC	20006	530196605	501(C)(3)	$63,800	DONATIONS
Coalition for Compassionate Care of California
2530 River Plaza Drive	Sacramento	CA	95833	270419836	501(c)(3)	$25,000	2022 Sustaining Supporter Donation
CONNECT FOUNDATION
9605 SCRANTON RD STE 110	San Diego	CA	92121	203049742	501(c)(3)	$10,000	Sponsorship
San Diego Museum of Art
PO Box 122107	San Diego	CA	92112	951696715	501(c)(3)	$10,000	Art Live 2023 Sponsorship
San Diego Opera Association
233 A Street Suite 500	San Diego	CA	92101	956044429	501(c)(3)	$10,000	Donations
Economic Development Corporation- San Diego County
1100 Market St Ste 438	San Diego	CA	92101	952406199	501(c)(6)	$10,000	Sponsorship
The Campanile Foundation
5500 Campanile Dr	San Diego	CA	92182	330868418	501(c)(3)	$10,000	2022-2023 Zahn Innovation Launchpad Innovation Fund
YWCA OF SAN DIEGO
1012 C Street	San Diego	CA	92101	951661119	501(c)(3)	$10,000	Sponsorship for "In the Company of Women" benefit luncheon and "Tribute to Women & Industry Awards"
North San Diego Business Chamber
10875 Rancho Bernardo Rd Ste 106	San Diego	CA	92127	203185588	501(c)(6)	$7,500	Wonen's Week Presenting Partner
Association of California Nurse Leaders
180 Promenade Circle STE 300	SACRAMENTO	CA	95834	942910850	501(c)(3)	$6,000	45th Annual Program Sponsorship

Field	Value	IRS element (for citing)
Total501c3 Org	8	Total501c3OrgCnt
Total Other Org	2	TotalOtherOrgCnt

Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp (3 entries)

Grant TypeGrantTypeTxt	RecipientRecipientCnt	Cash GrantCashGrantAmt
2023 Caster Institute Daniel L Gross Scholarship Award	1	$2,500
2023 Caster Nursing Institute Scholarship Award	49	$212,000
Sharp Wiesler Scholarship	1	$2,500

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Schedule I, Part I, Line 2 Procedures for monitoring use of grant funds.	FormAndLineReferenceDesc
Explanation	THE MANAGEMENT TEAM EVALUATES REQUESTS FROM OUTSIDE ORGANIZATIONS TAKING INTO ACCOUNT HOW THEY ALIGN WITH THE ORGANIZATION'S MISSION. NO OUTSIDE MONITORING IS DONE AFTER GRANTS ARE MADE.	ExplanationTxt

Schedule J IRS990ScheduleJ

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

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (18 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
Christopher D Howard
PRESIDENT & CEO SHC	$1,844,229	$0	$678,749	$0	$58,542	$0	$0	$0	$19,123	$0	$2,600,643	$0	$0	$0
Staci L Dickerson
SVP & CFO SHC THRU 07/01/2023	$985,023	$0	$326,126	$0	$23,010	$0	$10,575	$0	$22,368	$0	$1,367,102	$0	$0	$0
Rick L Grossman
SVP GENERAL COUNSEL	$886,600	$0	$292,585	$0	$50,178	$0	$0	$0	$10,412	$0	$1,239,775	$0	$0	$0
Daniel L Gross
FORMER EVP HOSPITAL OPS SHC	$1,043,899	$0	$24,150	$0	$0	$0	$0	$0	$0	$0	$1,068,049	$0	$0	$0
Timothy B Smith
CEO SMH	$862,165	$0	$282,913	$0	$48,738	$0	$0	$0	$16,823	$0	$1,210,639	$0	$0	$0
Patricia Khaleghi
SVP MARKET CEO AS OF 10/30/2022	$763,136	$0	$227,603	$0	$57,957	$0	$11,800	$0	$22,289	$0	$1,082,785	$0	$0	$0
Susan Stone
SVP HEALTH SYSTEM OPS AND SYSTEM CHIEF NURSING EXEC	$583,865	$0	$184,772	$0	$31,374	$0	$11,108	$0	$9,995	$0	$821,114	$0	$0	$0
William S Evans
SVP MARKET CEO	$827,620	$0	$312,163	$0	$54,248	$0	$0	$0	$22,231	$0	$1,216,262	$0	$0	$0
Pablo Velez-Carrillo
CEO SCVMC	$847,648	$0	$256,420	$0	$32,463	$0	$7,222	$0	$10,207	$0	$1,153,960	$0	$0	$0
Brett G McClain
EVP CHIEF OPERATING OFFICER SHC	$1,113,965	$0	$389,080	$0	$10,062	$0	$0	$0	$22,359	$0	$1,535,466	$0	$0	$0
Stacey Hrountas
CEO SRS	$662,120	$0	$227,120	$0	$65,771	$0	$15,488	$0	$16,705	$0	$987,204	$0	$0	$0
Lisa Allen
SVP HR & TALENT MGMT	$640,908	$0	$214,170	$0	$218,903	$0	$0	$0	$16,616	$0	$1,090,597	$0	$0	$0
William Littlejohn
SVP, CEO FOUNDATIONS	$509,226	$0	$174,210	$0	$47,237	$0	$0	$0	$21,724	$0	$752,397	$0	$0	$0
Michael Reagin
SVP CIIO	$947,889	$0	$307,005	$0	$5,382	$0	$0	$0	$16,823	$0	$1,277,099	$0	$0	$0
Alison Fleury
SVP BUSINESS DEVELOPMENT	$569,290	$0	$227,289	$0	$45,166	$0	$6,137	$0	$18,774	$0	$866,656	$0	$0	$0
Lynne Milgram
CMO SCMG	$519,362	$0	$142,285	$0	$43,984	$0	$34,408	$0	$9,680	$0	$749,719	$0	$0	$0
Paul Durr
CEO-SCMG	$593,805	$0	$200,576	$0	$43,349	$0	$13,096	$0	$21,871	$0	$872,697	$0	$0	$0
Amy Adome
SVP CHIEF CLINICAL AND TRANSFORMATION OFFICER	$511,461	$0	$158,271	$0	$22,809	$0	$0	$0	$9,933	$0	$702,474	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc

ExplanationExplanationTxt

Schedule J, Part I, Line 1a Health or social club dues or initiation fees

MONTHLY DUES PAID TO THE UNIVERSITY CLUB FOR CHRIS HOWARD, PRESIDENT/CEO, AND BRETT MCCLAIN, EVP HOSPITAL OPERATIONS. THE UNIVERSITY CLUB MEMBERSHIPS ARE USED FOR BUSINESS PURPOSES.

Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan

Sharp HealthCare ("Company") sponsors an Executive Flexible Benefit Plan ("Plan") to provide designated executives with a reasonable level of benefits in return for their continued employment with the Company. The Plan is administered on a Plan Year basis of January 1 to December 31. Changes in Flexible Benefit Options are permitted annually, effective January 1 of the new Plan Year. The provisions of the Plan, which were restated effective as of December 31, 2008, are described below as restated. The Plan is available to the Chief Executive Officer, Executive Vice President of Hospital Operations, and Senior Vice Presidents. The Flexible Benefit Allowance available to each participant each plan year shall equal the sum of the following: - A company provided base allowance equal to 18% of the participant's base salary - A participant deferral up to 6% of the participant's pre-tax base salary for such plan year as elected by the participant - A company match should the participant make an elective deferral for a plan year. The company match begins at 2% for the first 1% elective deferral and increases 0.5% for each additional 1% elective deferral, to a maximum match of 4.5% on a 6% elective deferral. The Plan allows participants to use the Flexible Benefit Allowance to purchase additional long-term disability coverage, long-term care coverage, and flexible survivor coverage/accumulation benefits (life insurance). Participants in the flexible survivor coverage/accumulation benefits plan previously could elect to apply Flexible Benefit Allowance to acquire additional survivor coverage, or toward deposits to the Supplemental Survivor Accumulation Benefit Plan ("SSAB") to fund post-retirement survivor benefits, subject to the ERISA limit provided their policies were issued prior to September 18, 2003. The Company shall automatically continue whatever elective coverage and additional deposit elections that were in place for the SSAB during the 2008 plan year. No elective coverage or additional deposits were available to participants whose policies were issued on or after September 18, 2003. Any Flexible Benefit Allowance that remains after purchasing these additional coverages shall be paid to the participant in cash in equal installments throughout the Plan Year, not less frequently than quarterly. If the participant separates from service during the Plan Year, the participant forfeits any unpaid Allowance. During the year ended December 31, 2022, no participants received distributions from the plan.

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (4 entries)

Bond ReferenceBondReferenceCd	Bond Issuer EINBondIssuerEIN	CUSIPCUSIPNum	Bond IssuedBondIssuedDt	Issue PriceIssuePriceAmt	PurposePurposeDesc	DefeasedDefeasedInd	On Behalf Of IssuerOnBehalfOfIssuerInd	Pool FinancingPoolFinancingInd
ABAG FINANCE AUTHORITY FOR NONPROFIT CORPORATIONS
A	943130123	00037CNR7	2009-02-12	$60,000,000	SEE PART VI	false	false	false
California Public Finance Authority
B	474447476	13057EBE3	2017-12-28	$306,856,245	SEE PART VI	false	false	false
ABAG FINANCE AUTHORITY FOR NONPROFIT CORPORATIONS
C	943130123	00037CPN4	2009-09-02	$99,880,000	SEE PART VI	false	false	false
ABAG FINANCE AUTHORITY FOR NONPROFIT CORPORATIONS
D	943130123	00037GSJO	2012-01-24	$51,889,934	SEE PART VI	false	false	false

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (4 entries)

Bond ReferenceBondReferenceCd	RetiredRetiredAmt	Bond DefeasedBondDefeasedAmt	Total ProceedsTotalProceedsAmt	In Reserve FundInReserveFundAmt	Capitalized InterestCapitalizedInterestAmt	Refunding EscrowRefundingEscrowAmt	Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt	Credit EnhancementCreditEnhancementAmt	Working Capital ExpendituresWorkingCapitalExpendituresAmt	Capital ExpendituresCapitalExpendituresAmt	Other Spent ProceedsOtherSpentProceedsAmt	UnspentUnspentAmt	Substantial CompletionSubstantialCompletionYr	Refunding Tax Exempt BondsRefundingTaxExemptBondsInd	Refunding Taxable BondsRefundingTaxableBondsInd	Final Allocation MadeFinalAllocationMadeInd	Adequate Books And Rec MaintAdequateBooksAndRecMaintInd
A	$54,640,000	$0	$60,000,000	$0	$0	$0	$0	$0	$0	$0	$60,000,000	$0	2009	Yes (true)	false	Yes (true)	Yes (true)
B	$2,955,000	$0	$309,614,469	$0	$0	$0	$0	$0	$0	$214,754,254	$94,860,215	$0	2021	false	Yes (true)	false	Yes (true)
C	$355,000	$0	$99,880,000	$0	$0	$0	$0	$0	$0	$0	$99,880,000	$0	2009	Yes (true)	false	Yes (true)	Yes (true)
D	$46,665,000	$0	$51,889,934	$0	$0	$0	$0	$0	$0	$0	$51,889,934	$0	2012	Yes (true)	false	Yes (true)	Yes (true)

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (4 entries)

Bond ReferenceBondReferenceCd	Owning Bond Financed PropertyOwningBondFinancedPropertyInd	Any Lease ArrangementsAnyLeaseArrangementsInd	Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd	Engage Bond Counsel ContractsEngageBondCounselContractsInd	Any Research AgreementsAnyResearchAgreementsInd	Engage Bond Counsel ResearchEngageBondCounselResearchInd	Private Bus Use By OthersPrivateBusUseByOthersPct	Total Private Business UseTotalPrivateBusinessUsePct	Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd	Change In Use Bond Financed PropChangeInUseBondFinancedPropInd	Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
A	false	Yes (true)	Yes (true)	Yes (true)	Yes (true)	Yes (true)	0.0	0.0	false	false	Yes (true)
B	false	Yes (true)	Yes (true)	Yes (true)	Yes (true)	Yes (true)	0.0404	0.0404	false	false	Yes (true)
C	false	Yes (true)	Yes (true)	Yes (true)	Yes (true)	Yes (true)	0.0231	0.0231	Yes (true)	false	Yes (true)
D	false	Yes (true)	Yes (true)	Yes (true)	Yes (true)	Yes (true)	0.0	0.0	false	false	Yes (true)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (4 entries)

Bond ReferenceBondReferenceCd	Form8038 T FiledForm8038TFiledInd	Rebate Not Due YetRebateNotDueYetInd	Exception To RebateExceptionToRebateInd	No Rebate DueNoRebateDueInd	Variable Rate IssueVariableRateIssueInd	Hedge Identified In Bks And RecHedgeIdentifiedInBksAndRecInd	Gross Proceeds Invested In GICGrossProceedsInvestedInGICInd	Regulatory Safe Harbor StsfdRegulatorySafeHarborStsfdInd	Gross Proceeds InvestedGrossProceedsInvestedInd	Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd	Term Of HedgeTermOfHedgePct	Superintegrated HedgeSuperintegratedHedgeInd	Hedge TerminatedHedgeTerminatedInd
(no name)
A	false	false	Yes (true)	false	Yes (true)	false	false	false	false	Yes (true)
(no name)
B	false	Yes (true)	false	false	Yes (true)	false	false		false	Yes (true)
CITIBANK NA
C	false	false	Yes (true)	false	Yes (true)	Yes (true)	false		false	Yes (true)	21.2	false	false
(no name)
D	false	false	Yes (true)	false	false	false	false		false	Yes (true)

Procedures Corrective Action ProceduresCorrectiveActionGrp (4 entries)

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

Supplemental Information Detail SupplementalInformationDetail (7 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule K, Part I PART I, ENTITY 1, LINE A	The purpose of this bond issuance is to refund the Series 2003A&B Auction Rate Securities.
Schedule K, Part I PART I, ENTITY 1, LINE B	The purpose of this bond issuance is to provide funds for capital improvements, capacity expansion, and building renovations at four hospital entities, to purchase major equipment, and to advance refund outstanding 2009B bonds.
Schedule K, Part I PART I, ENTITY 1, LINE C	The purpose of this bond issuance is to refund the Series 2007A&B Statewide Easy Equipment Program (SWEEP) bonds.
Schedule K, Part I PART I, ENTITY 1, LINE D	The purpose of the bond issuance is to refund the 1998 County of San Diego Certificates of Participation bonds.
Schedule K, Part I PART I, ENTITY 2, LINE A	The purpose of this bond issuance is to (i) finance the acquisition, renovation, construction, improvements, furnishing and equipping of facilities at four hospital entities and (ii)refund all of the Authority's outstanding Revenue Bonds (San Diego Hospital Association), Series 2003C.
Schedule K, Part II, Line 3 Tax Exempt Bond Issue 2010A, 2014A, & 2017 A,B,C	Total proceeds are different than issue price due to investment earnings.
Schedule K, Part IV, Line 2c COLUMN A	Issuer name: ABAG FINANCE AUTHORITY FOR NONPROFIT CORPORATIONS The calculation for computing no rebate due was performed on 04/21/2021

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd

Issuer Name IssuerName

Field	Value	IRS element (for citing)
Business Name Line1	ABAG FINANCE AUTHORITY FOR NONPROFIT CORPORATIONS	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Bond Issuer EIN	943130123	BondIssuerEIN
CUSIP	00037GVN7	CUSIPNum
Bond Issued	2014-02-12	BondIssuedDt
Issue Price	$166,110,472	IssuePriceAmt
Purpose	SEE PART VI	PurposeDesc
Defeased	false	DefeasedInd
On Behalf Of Issuer	false	OnBehalfOfIssuerInd
Pool Financing	false	PoolFinancingInd

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Retired	$19,365,000	RetiredAmt
Bond Defeased	$0	BondDefeasedAmt
Total Proceeds	$168,867,642	TotalProceedsAmt
In Reserve Fund	$0	InReserveFundAmt
Capitalized Interest	$0	CapitalizedInterestAmt
Refunding Escrow	$0	RefundingEscrowAmt
Issuance Costs From Proceeds	$0	IssuanceCostsFromProceedsAmt
Credit Enhancement	$0	CreditEnhancementAmt
Working Capital Expenditures	$0	WorkingCapitalExpendituresAmt
Capital Expenditures	$146,421,874	CapitalExpendituresAmt
Other Spent Proceeds	$22,445,768	OtherSpentProceedsAmt
Unspent	$0	UnspentAmt
Substantial Completion	2021	SubstantialCompletionYr
Refunding Tax Exempt Bonds	Yes (true)	RefundingTaxExemptBondsInd
Refunding Taxable Bonds	false	RefundingTaxableBondsInd
Final Allocation Made	false	FinalAllocationMadeInd
Adequate Books And Rec Maint	Yes (true)	AdequateBooksAndRecMaintInd

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Owning Bond Financed Property	false	OwningBondFinancedPropertyInd
Any Lease Arrangements	Yes (true)	AnyLeaseArrangementsInd
Mgmt Contract Bond Fincd Prop	Yes (true)	MgmtContractBondFincdPropInd
Engage Bond Counsel Contracts	Yes (true)	EngageBondCounselContractsInd
Any Research Agreements	Yes (true)	AnyResearchAgreementsInd
Engage Bond Counsel Research	Yes (true)	EngageBondCounselResearchInd
Private Bus Use By Others	0.0139	PrivateBusUseByOthersPct
Private Bus Concerning UBI	0.0	PrivateBusConcerningUBIPct
Total Private Business Use	0.0139	TotalPrivateBusinessUsePct
Bond Iss Meet Prvt Sec Pymt Test	false	BondIssMeetPrvtSecPymtTestInd
Change In Use Bond Financed Prop	false	ChangeInUseBondFinancedPropInd
Procs Nonqualified Bond Remdtd	Yes (true)	ProcsNonqualifiedBondRemdtdInd

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Form8038 T Filed	false	Form8038TFiledInd
Rebate Not Due Yet	false	RebateNotDueYetInd
Exception To Rebate	false	ExceptionToRebateInd
No Rebate Due	Yes (true)	NoRebateDueInd
Variable Rate Issue	false	VariableRateIssueInd
Hedge Identified In Bks And Rec	false	HedgeIdentifiedInBksAndRecInd
Gross Proceeds Invested In GIC	false	GrossProceedsInvestedInGICInd
Gross Proceeds Invested	false	GrossProceedsInvestedInd
Written Proc To Monitor Reqs	Yes (true)	WrittenProcToMonitorReqsInd

Procedures Corrective Action ProceduresCorrectiveActionGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Procedures Corrective Action	Yes (true)	ProceduresCorrectiveActionInd

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (12 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Form 990, Part III, Line 4c Community Benefit Report	See full Sharp HealthCare Annual Community Benefit Plan and Report at: https://www.sharp.com/about/community/community-benefits/benefit-report.cfm Sharp HealthCare (Sharp) is an integrated, regional health care delivery system based in San Diego, California. The Sharp system includes four acute care hospitals; three specialty hospitals; three affiliated medical groups; 23 medical centers; five urgent care centers; three skilled nursing facilities (SNF); two inpatient rehabilitation centers; home health, hospice and home infusion programs; numerous outpatient facilities and programs; three charitable foundations; and a variety of other community health education programs and related services. Sharp also offers individual and group health maintenance organization coverage through Sharp Health Plan (SHP). Serving a population of approximately 3.3 million in San Diego County (SDC), as of September 30, 2023, Sharp is licensed to operate 2,209 beds and has approximately 2,800 Sharp-affiliated physicians and 19,200 employees. Mission It is Sharp's mission to improve the health of those we serve with a commitment to excellence in all that we do. Sharp's goal is to offer quality care and services that set community standards, exceed patients' expectations and are provided in a caring, convenient, cost-effective and accessible manner. Vision Sharp's vision is to transform the health care experience and be recognized as the best place to work, the best place to practice medicine and the best place to receive care. Sharp will be known as an excellent community citizen embodying an organization of people working together to do the right thing every day to improve the health and well-being of those we serve. Sharp will become the best health system in the universe. This summary provides an overview of community benefit planning at Sharp HealthCare (Sharp), a listing of community needs addressed in this Community Benefit Plan and Report and a summary of community benefit programs and services provided by Sharp in fiscal year (FY) 2023 (Oct. 1, 2022, through Sept. 30, 2023). In addition, the summary reports the economic value of community benefit provided by Sharp, according to the framework specifically identified in Senate Bill 697 (SB 697), for the following entities: - Sharp Chula Vista Medical Center (EIN 95-2367304) - Sharp Coronado Hospital and Healthcare Center (EIN 95-0651579) - Sharp Grossmont Hospital (33-0449527) - Sharp Mary Birch Hospital for Women & Newborns (EIN 95-3782169) - Sharp Memorial Hospital (EIN 95-3782169) - Sharp Mesa Vista Hospital and Sharp McDonald Center (EIN 95-3782169) - Sharp Health Plan (EIN 33-0519730) Community Benefit Planning at Sharp HealthCare Sharp bases its community benefit planning on its triennial community health needs assessments (CHNA) combined with the expertise in programs and services of each Sharp hospital. Listing of Community Needs Addressed in the Sharp HealthCare Community Benefit Plan and Report, FY 2023 - Access to care and financial support for uninsured and underinsured community members and individuals without a medical provider - Programs and services that provide community and social support to address health equity challenges - Education, screening and support programs for chronic health conditions and other health needs, including, but not limited to, heart and vascular disease, stroke, cancer, diabetes, obesity and unintentional injuries - Aging care and support programs including health education, support and screening activities for seniors and caregivers - Safety and support programs for seniors and people with disabilities - End-of-life and advance care planning services for hospice patients and their loved ones and the community - Support for community nonprofit health and social service organizations - Education and training for community health care professionals - Student and intern supervision, education and support - Collaboration with local schools to promote interest and provide health career pathways - Cancer patient navigation services and participation in clinical trials - Women's and prenatal/postnatal health services, support and education, including services for high-risk pregnancies - Behavioral health and substance use education, screening and support for the community - including seniors and individuals experiencing homelessness - Provider education and protocol development to enhance community safety programming related to trauma-informed care, human trafficking and related topics. Economic Value of Community Benefit Provided in FY 2023 In FY 2023, Sharp provided a total of $570,261,806 in community benefit programs and unreimbursed services. These financial figures represent unreimbursed community benefit costs after the impact of the Medi-Cal Hospital Fee Program. Total economic value of community benefit provided by each Sharp HealthCare entity in FY 2023 was as follows: Sharp Chula Vista Medical Center - $135,407,856 Sharp Coronado Hospital and Healthcare Center - $22,678,269 Sharp Grossmont Hospital - $169,579,277 Sharp Mary Birch Hospital for Women & Newborns - $7,753,723 Sharp Memorial Hospital - $203,589,764 Sharp Mesa Vista Hospital and Sharp McDonald Center - $31,135,996 Sharp Health Plan - $116,921 TOTAL FOR ALL ENTITIES - $570,261,806 Economic Value of Community Benefit Provided in FY 2023 by SB 697 Category and by Sharp entity was as follows: Sharp Chula Vista Medical Center: Medical Care Services - $133,771,873 Other Benefits for Vulnerable Populations - $497,960 Other Benefits for the Broader Community - $255,774 Health Research, Education and Training Programs - $882,249 TOTAL - $135,407,856 Sharp Coronado Hospital and Healthcare Center: Medical Care Services - $22,249,311 Other Benefits for Vulnerable Populations - $133,729 Other Benefits for the Broader Community - $91,621 Health Research, Education and Training Programs - $203,608 TOTAL - $22,678,269 Sharp Grossmont Hospital: Medical Care Services - $167,044,628 Other Benefits for Vulnerable Populations - $1,371,932 Other Benefits for the Broader Community - $571,973 Health Research, Education and Training Programs - $590,744 TOTAL - $169,579,277 Sharp Mary Birch Hospital for Women & Newborns: Medical Care Services - $7,248,831 Other Benefits for Vulnerable Populations - $99,755 Other Benefits for the Broader Community - $298,300 Health Research, Education and Training Programs - $106,837 TOTAL - $7,753,723 Sharp Memorial Hospital: Medical Care Services - $201,391,646 Other Benefits for Vulnerable Populations - $986,556 Other Benefits for the Broader Community - $479,431 Health Research, Education and Training Programs - $732,131 TOTAL - $203,589,764 Sharp Mesa Vista Hospital and Sharp McDonald Center: Medical Care Services - $29,592,531 Other Benefits for Vulnerable Populations - $1,104,500 Other Benefits for the Broader Community - $100,852 Health Research, Education and Training Programs - $338,113 TOTAL - $31,135,996 Sharp Health Plan: Other Benefits for Vulnerable Populations - $23,810 Other Benefits for the Broader Community - $88,194 Health Research, Education and Training Programs - $4,917 TOTAL - $116,921
Form 990, Part III, Line 4c Community Benefit Report	The following are examples of community benefit programs and services provided by Sharp hospitals and entities in FY 2023. - Medical Care Services included uncompensated care for patients who are unable to pay for services, and the unreimbursed costs of public programs such as Medi-Cal, Medicare, County Medical Services (CMS), Civilian Health and Medical Program of the Department of Veterans Affairs (CHAMPVA) and TRICARE, the regionally managed health care program for active-duty and retired service members and their families, loved ones and survivors and unreimbursed costs of workers' compensation programs. - Other Benefits for Vulnerable Populations included van transportation for patients to and from medical appointments; education as well as flu vaccinations for seniors; telephone reassurance and safety check program for isolated or homebound seniors and community members with disabilities; financial and other support to community clinics to assist in providing and improving access to health services; Project HELP (Project Hospital Emergency Liaison Program), which provides funding for medication and transportation to assist lower-income patients; contribution of time to the Jacobs & Cushman San Diego Food Bank, Feeding San Diego and Mama's Kitchen; the Sharp Humanitarian Service Program; and support services for patients experiencing homelessness and other health equity barriers. - Other Benefits for the Broader Community included health education and information provided on-site, virtually and in partnership with community-based organizations; participation in community health fairs and events addressing the unique needs of the community; health screenings and support groups. Sharp also collaborated with local schools to promote interest in health care careers. Sharp executive leadership and staff also actively participated in numerous community organizations, committees and coalitions to improve the health of the community. See Appendix A for a listing of Sharp's involvement in community organizations. In addition, the category included costs associated with planning and operating community benefit programs, such as CHNA development and administration. - Health Research, Education and Training Programs included education and training programs for medical, nursing and other health care students and professionals, as well as supervision and support for students and interns. Time was also devoted to generalizable health-related research projects that were made available to the broader health care community.
Form 990, Part IV, Line 24a PART IV, LINE 24A	Tax Exempt Bonds are issued for the Sharp HealthCare Obligated Group. As a result, all tax exempt bond balances, including those allocated to other members of the Obligated Group, are reported on the Sharp HealthCare return (EIN 95-6077327). The Sharp HealthCare Obligated Group is comprised of Sharp HealthCare (EIN 95-6077327), Sharp Memorial Hospital (EIN 95-3782169), Grossmont Hospital Corporation (EIN 33-0449527), and Sharp Chula Vista Medical Center (EIN 95-2367304).
Form 990, Part VI, Line 11b Review of form 990 by governing body	The board members are sent the draft of the tax return when the Form 990 is available for review. The review process includes multiple levels of review including key corporate and entity finance department personnel comprised of the Accounting Manager, Vice President of Finance and Senior Vice President and Chief Financial Officer. Additionally, the organization contracts with Ernst & Young, an independent accounting firm, for review of the Form 990.
Form 990, Part VI, Line 12c Conflict of interest policy	Sharp HealthCare has a written conflict of interest policy which has been reviewed and approved by the Sharp HealthCare governing board. Sharp HealthCare is committed to preventing any Participant of the Corporation from gaining any personal benefit from information received or from any transaction of Sharp. One component of the written conflict of interest policy requires that Board Members, Corporate Officers, Senior Vice Presidents and Chief Executive Officer(s) submit a conflict of interest statement annually to Legal Services/Senior Vice President of Legal Services who will review all statements. In addition, all Vice Presidents and any employees in the Purchasing/Supply Chain, Audit and Compliance, and Case Management/Discharge Planning departments are required to complete an online conflict of interest questionnaire annually that is reviewed by the Conflict Review Committee comprised of employees from Sharp's Legal, Compliance, and Internal Audit departments. In connection with any transaction or arrangement, which may create an actual or possible conflict of interest, the person shall disclose in writing the existence and nature of his/her financial interest and all material facts. Board Members, Corporate Officers, Senior Vice Presidents, and the Chief Executive Officer(s) shall make such disclosures directly to the Chairman of the Board, and to the members of the committee with the board designated powers considering the proposed transaction or arrangement. Upon disclosure of the financial interest and all material facts, the Board Member, Corporate Officer, Senior Vice President or the Chief Executive Officer(s) making such disclosures shall leave the board or the committee meeting while the financial interest is discussed and voted upon. The remaining board or committee members shall decide if a conflict of interest exists. In certain instances, such as if someone takes a board seat on a competitor's board of directors or has a role with an organization whereby the information that they may obtain from Sharp would put them in a consistent conflict with their two roles, the conflict could call for the individual's removal from the board. The bylaws for the organization provide for the ability to remove directors in accordance with Section 5222 of the California Corporations Code. This can generally be done on a "for cause a "no cause" basis by the action of the member.
Form 990, Part VI, Line 15a Process to establish compensation of top management official	The Compensation Committee of Sharp HealthCare retains an independent compensation consulting firm to review the total compensation paid to executive management (President/Chief Executive Officer, Chief Operating Officer, and Senior Vice Presidents) and compares it to the total compensation paid to similar positions with like institutions. The information is presented to the Compensation Committee of the Board of Directors by the independent consultant. The Compensation Committee is comprised of Board members who are not physicians and who are not compensated in any way by the organization. The Compensation Committee creates and approves the organization's Executive Compensation Philosophies and Strategies statement and as part of this approves the total compensation for the President/Chief Executive Officer and reviews and approves the total compensation recommendations for the remaining executive team. The Compensation Committee presents its decision to the Board of Directors. The Compensation Committee retains minutes of its meetings. The review was last conducted in November 2023. The Compensation department engages a third-party independent consultant to conduct a compensation study covering officers and key employees. The independent third party compares base salaries to similar positions with like institutions. The information is reviewed by the Compensation department and is presented to the President/Chief Executive Officer, the Chief Operating Officer and the appropriate Senior Vice President for review and approval. This study was last conducted in January 2024.
Form 990, Part VI, Line 15b Process to establish compensation of other employees	The Compensation Committee of Sharp HealthCare retains an independent compensation consulting firm to review the total compensation paid to executive management (President/Chief Executive Officer, Chief Operating Officer, and Senior Vice Presidents) and compares it to the total compensation paid to similar positions with like institutions. The information is presented to the Compensation Committee of the Board of Directors by the independent consultant. The Compensation Committee is comprised of Board members who are not physicians and who are not compensated in any way by the organization. The Compensation Committee creates and approves the organization's Executive Compensation Philosophies and Strategies statement and as part of this approves the total compensation for the President/Chief Executive Officer and reviews and approves the total compensation recommendations for the remaining executive team. The Compensation Committee presents its decision to the Board of Directors. The Compensation Committee retains minutes of its meetings. The review was last conducted in November 2023. The Compensation department engages a third-party independent consultant to conduct a compensation study covering officers and key employees. The independent third party compares base salaries to similar positions with like institutions. The information is reviewed by the Compensation department and is presented to the President/Chief Executive Officer, the Chief Operating Officer and the appropriate Senior Vice President for review and approval. This study was last conducted in January 2024.
Form 990, Part VI, Line 19 Required documents available to the public	The organization does not make its governing documents available to the general public. Policies are considered proprietary information, however in Sharp HealthCare's publicly available Code of Conduct, Sharp outlines its Conflict of Interest policies in a user friendly manner. The annual audited financial statements of the consolidated group are published on the dacbond.com website (www.dacbond.com), are attached to the Form 990 filed for each of the Sharp hospitals, and are available upon request. The annual audited financial statements include combining schedules which disclose the financial results (Balance Sheet, Statement of Operations, Statement of Changes in Net Assets) for each entity of the consolidated group. Quarterly financial statements of Sharp's obligated group are published on the dacbond.com website (www.dacbond.com).
Form 990, Part VIII, Line 2f Other Program Service Revenue	Joint Venture Income - Bone Marrow, MRI - Total Revenue: 217640, Related or Exempt Function Revenue: 217640, Unrelated Business Revenue: 0, Revenue Excluded from Tax Under Sections 512, 513, or 514: 0; Case Management - Total Revenue: 379513, Related or Exempt Function Revenue: 0, Unrelated Business Revenue: 379513, Revenue Excluded from Tax Under Sections 512, 513, or 514: 0; All other program service revenue - Total Revenue: 5357730, Related or Exempt Function Revenue: 5357730, Unrelated Business Revenue: 0, Revenue Excluded from Tax Under Sections 512, 513, or 514: 0;
Form 990, Part VIII, Line 11d Other Miscellaneous Revenue	All other revenue - Total Revenue: 231326, Related or Exempt Function Revenue: 0, Unrelated Business Revenue: 0, Revenue Excluded from Tax Under Sections 512, 513, or 514: 231326;
Form 990, Part IX, Line 11g Other Fees	Med fees - Total Expense: XXX-XX-XXXX, Program Service Expense: XXX-XX-XXXX, Management and General Expenses: 256520, Fundraising Expenses: ; Purchased Services - Total Expense: XXX-XX-XXXX, Program Service Expense: XXX-XX-XXXX, Management and General Expenses: 38476070, Fundraising Expenses: ; Registry - Total Expense: 9003460, Program Service Expense: 908498, Management and General Expenses: 8094962, Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , 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	CURRENT YEAR OTHER COMPREHENSIVE INCOME - 6758867; BENEFICIAL INTEREST IN SHARP HEALTHCARE FOUNDATION - 830119; BOOK/TAX DIFFERENCES ON PARTNERSHIP INTEREST - MRI - 447653; BOOK/TAX DIFF ON PARTNERSHIP INTEREST - UCSD/SHARP TRANSPLANT PROGRAM - -686528; BENEFICIAL INTEREST IN SHARP FREESTANDING SURGERY LLC - 3663671; Current year pension related comprehensive income RHRA - -4314360;

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (7 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Controlled OrganizationControlledOrganizationInd
SHARP MEMORIAL HOSPITAL (SMH)
8695 SPECTRUM CENTER BLVD	SAN DIEGO	CA	921231489	953782169	HOSPITAL	CA	501(c)(3)	3	SHARP HEALTHCARE	Yes (true)
GROSSMONT HOSPITAL CORPORATION (SGH)
8695 SPECTRUM CENTER BLVD	SAN DIEGO	CA	921231489	330449527	HOSPITAL	CA	501(c)(3)	3	SHARP HEALTHCARE	Yes (true)
SHARP CHULA VISTA MEDICAL CENTER (SCVMC)
8695 SPECTRUM CENTER BLVD	SAN DIEGO	CA	921231489	952367304	HOSPITAL	CA	501(c)(3)	3	SHARP HEALTHCARE	Yes (true)
SHARP CORONADO HOSPITAL AND HEALTHCARE CENTER (SCHHC)
8695 SPECTRUM CENTER BLVD	SAN DIEGO	CA	921231489	950651579	HOSPITAL	CA	501(c)(3)	3	SHARP HEALTHCARE	Yes (true)
SHARP HEALTH PLAN
8695 SPECTRUM CENTER BLVD	SAN DIEGO	CA	921231489	330519730	HEALTH PLAN	CA	501(c)(4)		SHARP HEALTHCARE	Yes (true)
SHARP HEALTHCARE FOUNDATION (SHF)
8695 SPECTRUM CENTER BLVD	SAN DIEGO	CA	921231489	953492461	HEALTHCARE FOUNDATION	CA	501(c)(3)	7	SHARP HEALTHCARE	Yes (true)
GROSSMONT HOSPITAL FOUNDATION
8695 SPECTRUM CENTER BLVD	SAN DIEGO	CA	921231489	330124488	HEALTHCARE FOUNDATION	CA	501(c)(3)	7	GROSSMONT HOSPITAL CORPORATION	Yes (true)

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (3 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Predominant Income TypePredominantIncomeTypeTxt	Share Of Total IncomeShareOfTotalIncomeAmt	Share Of EOY AssetsShareOfEOYAssetsAmt	Disproportionate AllocationsDisproportionateAllocationsInd	General Or Managing PartnerGeneralOrManagingPartnerInd	OwnershipOwnershipPct
SHARP AND CHILDREN'S MRI CENTER LLC
7901 FROST STREET	SAN DIEGO	CA	92123	330520955	IMAGING	CA	NA	Related	$0	-$94,244	false	Yes (true)	0.3333
SHARP HEALTHCARE ACO-II LLC
8695 SPECTRUM CENTER BLVD	SAN DIEGO	CA	92123	812645189	OFFICES OF PHYSICIANS	CA	NA	Related	$0	$0	Yes (true)	false	0.5825
SHARP FREESTANDING SURGERY LLC
8695 SPECTRUM CENTER BOULEVARD	SAN DIEGO	CA	92123	874136918	FREESTANDING AMBULATORY SURGERY	CA	SHARP HEALTHCARE	Related	$398,624	$10,152,418	false	false	0.9

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp

Related Organization Name RelatedOrganizationName

Field	Value	IRS element (for citing)
Business Name Line1	CONTINUOUS QUALITY INSURANCE SPC	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Primary Activities	CAPTIVE INSURANCE COMPANY	PrimaryActivitiesTxt
Legal Domicile Foreign Country	CJ	LegalDomicileForeignCountryCd

Direct Controlling Entity Name DirectControllingEntityName

Field	Value	IRS element (for citing)
Business Name Line1	SHARP HEALTHCARE	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Entity Type	C Corporation	EntityTypeTxt
Share Of Total Income	$2,382,273	ShareOfTotalIncomeAmt
Share Of EOY Assets	$59,487,000	ShareOfEOYAssetsAmt
Ownership	1	OwnershipPct
Controlled Organization	Yes (true)	ControlledOrganizationInd

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

Transactions Related Org TransactionsRelatedOrgGrp (37 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
Sharp Memorial Hospital
J	$2,058,714	Accrual Accounting
Sharp Memorial Hospital
K	$354,647	Accrual Accounting
Sharp Memorial Hospital
L	$9,367,949	Accrual Accounting
Sharp Memorial Hospital
M	$7,482,517	Accrual Accounting
Sharp Memorial Hospital
P	$249,506	Accrual Accounting
Sharp Memorial Hospital
Q	$1,136,353,590	Accrual Accounting
Sharp Memorial Hospital
R	$435,766,390	Accrual Accounting
Sharp Memorial Hospital
S	$587,758,583	Accrual Accounting
Grossmont Hospital Corporation
K	$3,740,829	Accrual Accounting
Grossmont Hospital Corporation
L	$6,027,459	Accrual Accounting
Grossmont Hospital Corporation
M	$66,418,350	Accrual Accounting
Grossmont Hospital Corporation
P	$304,913	Accrual Accounting
Grossmont Hospital Corporation
Q	$750,559,824	Accrual Accounting
Grossmont Hospital Corporation
R	$505,414,599	Accrual Accounting
Grossmont Hospital Corporation
S	$457,501,574	Accrual Accounting
Sharp Chula Vista Medical Center
K	$65,003	Accrual Accounting
Sharp Chula Vista Medical Center
L	$4,424,686	Accrual Accounting
Sharp Chula Vista Medical Center
M	$940,407	Accrual Accounting
Sharp Chula Vista Medical Center
P	$74,092	Accrual Accounting
Sharp Chula Vista Medical Center
P	$480,086,987	Accrual Accounting
Sharp Chula Vista Medical Center
R	$197,029,528	Accrual Accounting
Sharp Chula Vista Medical Center
S	$196,212,396	Accrual Accounting
Sharp Coronado and Healthcare Center
L	$2,090,935	Accrual Accounting
Sharp Coronado and Healthcare Center
Q	$135,361,415	Accrual Accounting
Sharp Coronado and Healthcare Center
R	$46,003,574	Accrual Accounting
Sharp Coronado and Healthcare Center
S	$55,010,462	Accrual Accounting
Sharp HealthCare Foundation
C	$3,163,737	Accrual Accounting
Sharp HealthCare Foundation
M	$5,620,011	Accrual Accounting
Sharp HealthCare Foundation
N	$156,611	Accrual Accounting
Grossmont Hospital Foundation
C	$393,936	Accrual Accounting
Continuous Quality Insurance SPC
R	$9,350,240	Accrual Accounting
Sharp Health Plan
J	$1,034,417	Accrual Accounting
Sharp Health Plan
M	$208,474,344	Accrual Accounting
Sharp Health Plan
N	$50,261	Accrual Accounting
Sharp Health Plan
Q	$45,903,047	Accrual Accounting
Sharp Health Plan
R	$13,165,133	Accrual Accounting
Sharp Health Plan
S	$12,614,334	Accrual Accounting