SHARP HEALTHCARE: Form 990, tax year 2023

View the entire original 990 at ProPublica ↗

Organization: SHARP HEALTHCARE (EIN 95-6077327)
Tax period: 2023-10-01 to 2024-09-30
Filed: 2025-08-15
IRS object ID: 202512279349302601
Schema version: 2023v6.0
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 O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2025-08-15T11:24:52+00:00	ReturnTs
Tax Period End	2024-09-30	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	18101 VON KARMAN AVENUE	AddressLine1Txt
City	IRVINE	CityNm
State Abbreviation	CA	StateAbbreviationCd
ZIP	92612	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2023-10-01	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	2025-08-15	SignatureDt
Discuss With Paid Preparer	false	DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	Kara Adams	PreparerPersonNm
PTIN	P00023315	PTIN
Phone	9497942300	PhoneNum
Preparation	2025-08-15	PreparationDt

Field	Value	IRS element (for citing)
Tax	2023	TaxYr
Build TS	2025-03-06 01:10:19Z	BuildTS

Form 990 IRS990

Principal Ofcr Business Name PrincipalOfcrBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	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	$1,859,541,830	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	21	VotingMembersIndependentCnt
Total Employee	30897	TotalEmployeeCnt
Total Volunteers	0	TotalVolunteersCnt
Total Gross UBI	$408,988	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$19,733	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$5,233,202	PYContributionsGrantsAmt
CY Contributions Grants	$9,100,749	CYContributionsGrantsAmt
PY Program Service Revenue	$1,707,613,255	PYProgramServiceRevenueAmt
CY Program Service Revenue	$1,608,333,384	CYProgramServiceRevenueAmt
PY Investment Income	$141,842,050	PYInvestmentIncomeAmt
CY Investment Income	$89,589,419	CYInvestmentIncomeAmt
PY Other Revenue	$50,066,193	PYOtherRevenueAmt
CY Other Revenue	$51,682,023	CYOtherRevenueAmt
PY Total Revenue	$1,904,754,700	PYTotalRevenueAmt
CY Total Revenue	$1,758,705,575	CYTotalRevenueAmt
PY Grants And Similar Paid	$392,770	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$640,066	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$615,261,668	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$673,489,355	CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$6,199,054	CYTotalFundraisingExpenseAmt
PY Other Expenses	$1,425,309,244	PYOtherExpensesAmt
CY Other Expenses	$1,523,871,959	CYOtherExpensesAmt
PY Total Expenses	$2,040,963,682	PYTotalExpensesAmt
CY Total Expenses	$2,198,001,380	CYTotalExpensesAmt
PY Revenues Less Expenses	-$136,208,982	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	-$439,295,805	CYRevenuesLessExpensesAmt
Total Assets BOY	$5,014,491,088	TotalAssetsBOYAmt
Total Assets EOY	$6,073,527,629	TotalAssetsEOYAmt
Total Liabilities BOY	$4,868,398,154	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$5,888,128,923	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$146,092,934	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$185,398,706	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	$817,264,298	ExpenseAmt
Grant	$3,000	GrantAmt
Revenue	$852,081,751	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 2,045,404 for the twelve months ended 9/30/2024.	Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

Field	Value	IRS element (for citing)
Expense	$741,332,956	ExpenseAmt
Grant	$637,066	GrantAmt
Revenue	$756,251,633	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	$1,558,597,254	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	898	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (true)	BackupWthldComplianceInd
Employee	30897	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
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	21	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	MIKE DJOMINS	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 (49 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	OfficerOfficerInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Key EmployeeKeyEmployeeInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd	Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
Christopher D Howard
PRESIDENT & CEO SHC	40.0	12.0	Yes (X)	Yes (X)	$2,449,448	$0	$17,675
Eugene Mitchell
CHAIR	1.0	0	Yes (X)	Yes (X)	$0	$0	$0
John Wylie
TREASURER	2.0	0	Yes (X)	Yes (X)	$0	$0	$0
Sara Bennett
SECRETARY	3.0	1.0	Yes (X)	Yes (X)	$0	$0	$0
Tony Costa
VICE CHAIR	2.0	0	Yes (X)	Yes (X)	$0	$0	$0
Alan Bier MD
DIRECTOR	4.0	2.0	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	$116,700	$0
Daniel Gensler
DIRECTOR THRU 05/31/2024	3.0	3.0	Yes (X)		$0	$0	$0
Debora Burke
DIRECTOR THRU 07/31/2024	2.0	0	Yes (X)		$0	$0	$0
Deirdre Alpert
DIRECTOR THRU 05/31/2024	4.0	0	Yes (X)		$0	$0	$0
Elvin Lai
DIRECTOR	2.0	0	Yes (X)		$0	$0	$0
Eric Clark Jr MD
DIRECTOR THRU 12/31/2023	2.0	1.0	Yes (X)		$0	$39,200	$0
Guillermo Cabrera
IMMEDIATE PAST CHAIR	2.0	0	Yes (X)		$0	$0	$0
Hugo Barrera MD
DIRECTOR THRU 05/31/2024	1.0	1.0	Yes (X)		$0	$4,900	$0
John Dunn
DIRECTOR	3.0	0	Yes (X)		$0	$0	$0
Julie Coker
DIRECTOR	2.0	0	Yes (X)		$0	$0	$0
Lisa Arnold
DIRECTOR AS OF 10/01/2023	2.0	2.0	Yes (X)		$0	$0	$0
Lori Moore
DIRECTOR	2.0	2.0	Yes (X)		$0	$0	$0
Marc Brutten
DIRECTOR	2.0	0	Yes (X)		$0	$0	$0
Marilyn Norton MD
DIRECTOR AS OF 06/01/2024	2.0	2.0	Yes (X)		$0	$2,450	$0
Randolph Lenac
DIRECTOR THRU 05/31/2024	2.0	2.0	Yes (X)		$0	$0	$0
Rebeca Perez-Serrano
DIRECTOR	8.0	0	Yes (X)		$0	$0	$0
Regina Petty
DIRECTOR	2.0	0	Yes (X)		$0	$0	$0
Renetta Haas
DIRECTOR AS OF 01/01/2024	2.0	0	Yes (X)		$0	$0	$0
Sergio Flores MD
DIRECTOR	2.0	6.0	Yes (X)		$0	$0	$0
Stephen Summers MD
DIRECTOR AS OF 01/01/2024	2.0	2.0	Yes (X)		$0	$8,850	$0
Sydney Stanley
DIRECTOR AS OF 07/01/2024	2.0	1.0	Yes (X)		$0	$0	$0
Valerie Shadroff
DIRECTOR AS OF 07/01/2024	2.0	1.0	Yes (X)		$0	$0	$0
Doug Watson
SVP & CFO SHC THRU 2/2/2024	44.0	8.0		Yes (X)	$804,905	$0	$0
Rick L Grossman
SVP GENERAL COUNSEL	45.0	8.0		Yes (X)	$1,326,965	$0	$11,062
Susan Green
EVP & CFO SHC AS OF 1/15/2024	44.0	10.0		Yes (X)	$0	$0	$0
Brett G McClain
CHIEF OPERATING OFFICER SHC	26.0	23.0			$1,655,296	$0	$17,675	Yes (X)
Cynthia Johnson
SVP HR & TALENT MGMT	45.0	0			$691,567	$0	$8,120	Yes (X)
Patricia Khaleghi
SVP MARKET CEO	8.0	50.0			$1,110,044	$0	$35,877	Yes (X)
Stacey Hrountas
CEO SRS	60.0	0			$1,006,069	$0	$34,022	Yes (X)
Susan Stone
SVP HEALTH SYSTEM OPS AND SYSTEM CHIEF NURSING EXEC	40.0	10.0			$850,407	$0	$22,549	Yes (X)
Timothy B Smith
CEO SMH THRU 06/2023	10.0	0.0			$831,532	$0	$17,513	Yes (X)
William Littlejohn
SVP, CEO FOUNDATIONS	5.0	33.0			$1,623,356	$0	$22,793	Yes (X)
William S Evans
SVP MARKET CEO	12.0	26.0			$1,186,360	$0	$23,255	Yes (X)
Alison Fleury
SVP BUSINESS DEVELOPMENT	48.0	2.0			$760,157	$0	$25,041		Yes (X)
Amy Adome
SVP CHIEF CLINICAL AND TRANSFORMATION OFFICER	40.0	0			$809,175	$0	$10,812		Yes (X)
Jolee Bollinger
VP DEPUTY GENERAL COUNSEL	40.0	0			$698,908	$0	$18,560		Yes (X)
Michael Reagin
SVP CIIO	48.0	2.0			$1,326,329	$0	$17,675		Yes (X)
Paul Durr
CEO-SCMG	60.0	0.0			$834,164	$0	$36,830		Yes (X)
Lisa Allen
FORMER KEY EMPLOYEE	0.0	0			$1,153,174	$0	$0			Yes (X)
Pablo Velez-Carrillo
FORMER KEY EMPLOYEE	0.0	0.0			$1,010,479	$0	$7,655			Yes (X)
Staci L Dickerson
FORMER OFFICER	0.0	0.0			$958,272	$0	$24,847			Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$21,086,607	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$172,100	TotReportableCompRltdOrgAmt
Total Other Compensation	$351,961	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	7464	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	$82,320,021
SODEXHO & AFFILIATES
PO BOX 360170	PITTSBURGH	PA	152516170	MANAGEMENT/CATERING	$76,044,792
SHARP REES-STEALY MEDICAL GROUP
5651 COPLEY DRIVE	SAN DIEGO	CA	92111	MEDICAL SERVICES	$46,044,074
Regents of UC
FILE 556631	LOS ANGELES	CA	90074	MEDICAL SERVICES	$42,816,306
RIGHTSOURCING INC
PO 515743	LOS ANGELES	CA	90051	STAFFING	$37,356,183

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	664	CntrctRcvdGreaterThan100KCnt
Federated Campaigns	$0	FederatedCampaignsAmt
Membership Dues	$0	MembershipDuesAmt
Fundraising	$0	FundraisingAmt
Related Organizations	$6,253,541	RelatedOrganizationsAmt
Government Grants	$2,847,208	GovernmentGrantsAmt
All Other Contributions	$0	AllOtherContributionsAmt
Noncash Contributions	$6,306	NoncashContributionsAmt
Total Contributions	$9,100,749	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt	ExclusionExclusionAmt
Outpatient care	621110	$802,628,865	$802,628,865	$0	$0
Capitation revenue	900099	$738,639,993	$738,639,993	$0	$0
Revenue from affiliated entities	900099	$2,362,744	$2,362,744	$0	$0
Medicare/Medicaid payments	621110	$47,178,575	$47,178,575	$0	$0
Rental income	531120	$7,578,040	$7,578,040	$0	$0

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$9,945,167	TotalRevenueColumnAmt
Related Or Exempt Func Income	$9,536,179	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$408,988	UnrelatedBusinessRevenueAmt
Exclusion	$0	ExclusionAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$1,608,333,384	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$84,440,123	TotalRevenueColumnAmt
Related Or Exempt Func Income	$0	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$84,440,123	ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$153	TotalRevenueColumnAmt
Related Or Exempt Func Income	$0	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$153	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	$105,984,398	SecuritiesAmt
Other	$1,000	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$100,835,914	SecuritiesAmt
Other	$341	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$5,148,484	SecuritiesAmt
Other	$659	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$5,149,143	TotalRevenueColumnAmt
Related Or Exempt Func Income	$0	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$5,149,143	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	$51,629,493	$0	$0	$51,629,493
Call Center Services	900099	$356,018	$0	$0	$356,018
Medical Records Copying	900099	$107,530	$0	$0	$107,530

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$411,018	TotalRevenueColumnAmt
Related Or Exempt Func Income	$0	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	-$411,018	ExclusionAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$51,682,023	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,758,705,575	TotalRevenueColumnAmt
Related Or Exempt Func Income	$1,607,924,396	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$408,988	UnrelatedBusinessRevenueAmt
Exclusion	$141,271,442	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	$411,066	TotalAmt
Program Services	$411,066	ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

Field	Value	IRS element (for citing)
Total	$229,000	TotalAmt
Program Services	$229,000	ProgramServicesAmt

Foreign Grants ForeignGrantsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Program Services	$0	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	$10,488,916	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$10,488,916	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Comp Disqual Persons CompDisqualPersonsGrp

Field	Value	IRS element (for citing)
Total	$149	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$149	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$522,405,823	TotalAmt
Program Services	$236,225,223	ProgramServicesAmt
Management And General	$286,180,600	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$20,361,558	TotalAmt
Program Services	$6,920,727	ProgramServicesAmt
Management And General	$13,440,831	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$79,648,257	TotalAmt
Program Services	$34,553,534	ProgramServicesAmt
Management And General	$45,094,723	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$40,584,652	TotalAmt
Program Services	$17,870,106	ProgramServicesAmt
Management And General	$22,714,546	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Fees For Services Management FeesForServicesManagementGrp

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

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$2,810,366	TotalAmt
Program Services	$40,193	ProgramServicesAmt
Management And General	$2,770,173	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$1,016,585	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$1,016,585	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$130,100	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$130,100	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Fundraising	$0	FundraisingAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$1,883,437	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$1,883,437	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$684,466,101	TotalAmt
Program Services	$648,878,188	ProgramServicesAmt
Management And General	$35,587,913	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$5,658,447	TotalAmt
Program Services	$320,464	ProgramServicesAmt
Management And General	$5,337,983	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$26,890,183	TotalAmt
Program Services	$15,254,383	ProgramServicesAmt
Management And General	$11,635,800	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$149,712,955	TotalAmt
Program Services	$546,102	ProgramServicesAmt
Management And General	$149,166,853	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Royalties RoyaltiesGrp

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

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$37,975,024	TotalAmt
Program Services	$29,316,559	ProgramServicesAmt
Management And General	$8,658,465	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$763,763	TotalAmt
Program Services	$115,310	ProgramServicesAmt
Management And General	$648,453	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

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

Conferences Meetings ConferencesMeetingsGrp

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

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	-$2,812,806	TotalAmt
Program Services	-$308,154	ProgramServicesAmt
Management And General	-$2,504,652	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Payments To Affiliates PaymentsToAffiliatesGrp

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

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$39,106,006	TotalAmt
Program Services	$15,277,789	ProgramServicesAmt
Management And General	$23,828,217	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$6,905,200	TotalAmt
Program Services	$6,068,360	ProgramServicesAmt
Management And General	$836,840	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt	FundraisingFundraisingAmt
Purchased Medical Services from Affiliates	$430,364,486	$430,364,486	$0	$0
Medical Supplies	$111,412,122	$110,842,289	$569,833	$0
Equipment Maintenance/Repair	$8,423,749	$2,441,165	$5,982,584	$0
Fundraising	$6,199,054	$0	$0	$6,199,054

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$12,967,187	TotalAmt
Program Services	$3,230,464	ProgramServicesAmt
Management And General	$9,736,723	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$2,198,001,380	TotalAmt
Program Services	$1,558,597,254	ProgramServicesAmt
Management And General	$633,205,072	ManagementAndGeneralAmt
Fundraising	$6,199,054	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$2,089,358	BOYAmt
EOY	$2,631,657	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$203,750,626	BOYAmt
EOY	$67,903,940	EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

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

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$58,527,371	BOYAmt
EOY	$59,069,526	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	$1,305,717	BOYAmt
EOY	$1,508,110	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$20,130,595	BOYAmt
EOY	$21,258,861	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$53,921,798	BOYAmt
EOY	$61,131,626	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$1,115,845,255	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$515,012,715	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$554,924,629	BOYAmt
EOY	$600,832,540	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$2,775,612,661	BOYAmt
EOY	$3,411,130,820	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$24,721,513	BOYAmt
EOY	$36,338,193	EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
BOY	$118,264,488	BOYAmt
EOY	$161,456,285	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	$1,201,242,332	BOYAmt
EOY	$1,650,266,071	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$5,014,491,088	BOYAmt
EOY	$6,073,527,629	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$434,134,833	BOYAmt
EOY	$494,520,620	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	$4,618,473	BOYAmt
EOY	$851,868	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$1,152,126,517	BOYAmt
EOY	$1,511,363,604	EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

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

Loans From Officers Directors LoansFromOfficersDirectorsGrp

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

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

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

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

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

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$3,277,518,331	BOYAmt
EOY	$3,881,392,831	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$4,868,398,154	BOYAmt
EOY	$5,888,128,923	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	$48,665,639	BOYAmt
EOY	$79,604,465	EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$97,427,295	BOYAmt
EOY	$105,794,241	EOYAmt

Cap Stk Tr Prin Current Funds CapStkTrPrinCurrentFundsGrp

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

Pd In Cap Srpls Land Bldg Eqp Fund PdInCapSrplsLandBldgEqpFundGrp

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

Rtn Earn Endowment Incm Oth Fnds RtnEarnEndowmentIncmOthFndsGrp

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

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$146,092,934	BOYAmt
EOY	$185,398,706	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$5,014,491,088	BOYAmt
EOY	$6,073,527,629	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	-$439,295,805	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$454,222,401	NetUnrlzdGainsLossesInvstAmt
Donated Services And Use Fclts	$26,298	DonatedServicesAndUseFcltsAmt
Prior Period Adjustments	$182	PriorPeriodAdjustmentsAmt
Other Changes In Net Assets	$24,352,696	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	$130,100	GrantsOtherOrganizationsAmt
Direct Contact Legislators	Yes (true)	DirectContactLegislatorsInd
Direct Contact Legislators	$40,945	DirectContactLegislatorsAmt
Rallies Demonstrations	Yes (true)	RalliesDemonstrationsInd
Rallies Demonstrations	$368,504	RalliesDemonstrationsAmt
Other Activities	false	OtherActivitiesInd
Total Lobbying Expenditures	$539,549	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, COALITION TO PROTECT AMERICA'S HEALTH CARE AND PEACH (Private Essential Access Community Hospitals) 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	$12,616,446	BeginningYearBalanceAmt
Contributions	$75,857	ContributionsAmt
Investment Earnings Or Losses	$1,749,289	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$0	GrantsOrScholarshipsAmt
Other Expenditures	$3,183,326	OtherExpendituresAmt
End Year Balance	$11,258,266	EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

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 Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

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 Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

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 Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

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

Field	Value	IRS element (for citing)
Board Designated Balance EOY	0.19	BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY	0.81	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	$77,790,812	OtherCostOrOtherBasisAmt
Book Value	$77,790,812	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$479,195,524	OtherCostOrOtherBasisAmt
Depreciation	$134,654,052	DepreciationAmt
Book Value	$344,541,472	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	$361,430,537	OtherCostOrOtherBasisAmt
Depreciation	$316,685,909	DepreciationAmt
Book Value	$44,744,628	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$127,386,840	OtherCostOrOtherBasisAmt
Book Value	$127,386,840	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$600,832,540	TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (7 entries)

DescDesc	Book ValueBookValueAmt
Rec fm Related Org for Alloc Tax Exempt Bond Balance	$1,196,091,254
Leased Assets- Operating	$84,221,899
CQI Premium Receivable	$60,484,561
Long-Term Assets	$31,674,789
Leased Assets- Finance	$790,308
Intangible Assets	$218,632,085
Swap contract assets	$58,371,175

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$1,650,266,071	TotalBookValueOtherAssetsAmt
Federal Income Tax Liability	$0	FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (8 entries)

DescDesc	AmtAmt
Intercompany Payables	$3,656,948,944
Operating Leases	$99,241,661
LT Workers Compensation	$43,098,287
LT Pension Liability	$8,296,524
CQI Retrospective Premium Payable	$44,172,225
Reserve for Malpractice	$9,300,000
Capital/Finance Leases	$2,983,929
Other miscellaneous	$17,351,261

Field	Value	IRS element (for citing)
Total Liability	$3,881,392,831	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd
Total Rev Etc Audited Fincl Stmt	$2,199,016,097	TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst	$454,222,401	NetUnrealizedGainsInvstAmt
Donated Services And Use Fclts	$26,298	DonatedServicesAndUseFcltsAmt
Other Revenue	-$8,817,925	OtherRevenueAmt
Revenue Not Reported	$445,430,774	RevenueNotReportedAmt
Revenue Subtotal	$1,753,585,323	RevenueSubtotalAmt
Investment Expenses Not Incld	$1,883,437	InvestmentExpensesNotIncldAmt
Other Revenues Not Included	$3,236,815	OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt	$5,120,252	RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990	$1,758,705,575	TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt	$2,187,300,018	TotExpnsEtcAuditedFinclStmtAmt
Other Expenses Included	$0	OtherExpensesIncludedAmt
Expenses Not Reported	$0	ExpensesNotReportedAmt
Expenses Subtotal	$2,187,300,018	ExpensesSubtotalAmt
Investment Expenses Not Incld2	$1,883,437	InvestmentExpensesNotIncld2Amt
Other Expenses Not Included	$8,817,925	OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt	$10,701,362	ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990	$2,198,001,380	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, 2024 and 2023, no such assets or liabilities were recorded.
Schedule D, Part XI, Line 2(d) Other revenues in audited financial statements not in form 990	NONOPERATING PORTION OF PENSION AND OTHER POST RETIREMENT BENEFITS - -2618871 FUNDRAISING EXPENSE - -6199054
Schedule D, Part XI, Line 4(b) Other revenues in form 990 not in audited financial statements	BOOK/TAX DIFFERENCE SHARP UCSD TRANSPLANT - -993366 BOOK/TAX DIFFERENCE MRI - -225569 CAPITAL CONTRIBUTIONS - 4455750
Schedule D, Part XII, Line 4(b) Other expenses in form 990 not in audited financial statements	NONOPERATING PORTION OF PENSION AND OTHER POST RETIREMENT BENEFITS - 2618871 FUNDRAISING EXPENSE - 6199054

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.	$11,064,447
Central America and the Caribbean	0	Investments	INVESTMENTS REQUIRED TO BE HELD BY OFFSHORE INSURANCE CAPTIVE.	$19,457,078
Europe (Including Iceland and Greenland)	0	Program Services	ANNUAL DUES AND SUBSCRIPTIONS, TRAINING.	$8,259
North America (Canada & Mexico only)	0	Program Services	DUES AND SUBSCRIPTIONS.	$8,735
Middle East and North Africa	0	Program Services	SHARP HEALTHCARE EMPLOYEES VOLUNTEERED FOR HUMANITARIAN MISSIONS.	$3,612

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	$30,542,131	SubtotalSpentAmt
Continuation Spent	$0	ContinuationSpentAmt
Total Spent	$30,542,131	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; MIDDLE EAST AND NORTH AFRICA-Accrual; NORTH AMERICA (CANADA & MEXICO ONLY)-Accrual	ExplanationTxt

Schedule I IRS990ScheduleI

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

Recipient Table RecipientTable (16 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Recipient EINRecipientEIN	IRC SectionIRCSectionDesc	Cash GrantCashGrantAmt	Purpose Of GrantPurposeOfGrantTxt	Non Cash AssistanceNonCashAssistanceAmt	Valuation Method UsedValuationMethodUsedDesc	Non Cash AssistanceNonCashAssistanceDesc
American Cancer Society
PO Box 910549	San Diego	CA	92191	131788491	501(c)3	$10,000	Making Strides Booth Sponsorship
American Heart Association
7272 Greenville Avenue	Dallas	TX	75231	135613797	501(c)3	$150,000	FY24 San Diego Heart Walk
Animal Advocates of the US
3667 Marlborough Ave	San Diego	CA	92105	651261755	501(c)3		Donations	$6,816	FMV	Medical Supplies
Coalition for Compassion of California
2530 River Plaza Drive	Sacramento	CA	95833	270419836	501(c)3	$25,000	2024 Sustaining support donation
Coalition for Health AI
200 1ST STREET SW	ROCHESTER	MN	55905	990855900	501(c)6	$50,000	Founding partner donations
CONNECT FOUNDATION
9605 Scranton Rd Ste 110	San Diego	CA	92121	203049742	501(c)3	$10,000	Sponsorship
CORPORATE DIRECTORS FORUM
PO Box 231340	San Diego	CA	92193	330459645	501(c)6	$7,000	Director of the Year 2024 sponsorship
EvoNexus
5015 Shoreham Pl STE 150	San Diego	CA	92122	330827743	501(c)6	$10,000	Corporate Partnership & Board Seat
San Diego LGBT Pride
3620 30th Street	San Diego	CA	92104	330619449	501(c)3	$7,500	SD Pride Parade Sponsorship
San Diego Museum of Art
PO Box 122107	San Diego	CA	92112	951696715	501(c)3	$10,000	Art Live 2024 Sponsorship
San Diego Oasis
5500 Grossmont Center Dr Ste 269	San Diego	CA	91942	300403895	501(c)3	$10,000	Sponsorship
San Diego Opera Association
233 A Street Suite 500	San Diego	CA	92101	956044429	501(c)3	$10,000	Donations
SAN DIEGO REG ECON DEVELOPMENT CORP
1100 Market St Ste 438	San Diego	CA	92101	952406199	501(c)6	$10,000	2024 Annual Dinner Sponsorship
CAMPANILE FOUNDATION
5500 Campanile Drive	San Diego	CA	92182	330868418	501(c)3	$40,000	Sponsorship for the SDSU Big Data Hackathon event
San Ysidro Health
1601 Precision Park Lane	San Diego	CA	92173	952801772	501(c)3	$10,000	Sponsorship
YMCA
1012 C Street	San Diego	CA	92101	951661119	501(c)3	$15,000	Sponsorship

Field	Value	IRS element (for citing)
Total501c3 Org	12	Total501c3OrgCnt
Total Other Org	4	TotalOtherOrgCnt

Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp (4 entries)

Grant TypeGrantTypeTxt	RecipientRecipientCnt	Cash GrantCashGrantAmt
2024 Caster Nursing Institute Scholarship Award	12	$134,000
2024 Del Corazon First Generation Scholarship Award	2	$40,000
2024 James B. and Mary Jane Wiesler Scholarship Award	10	$42,000
2024 Hubbard Scholarship Award	1	$8,000

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	Yes (true)	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	Yes (true)	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	false	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	false	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	false	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	false	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	false	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	false	AnyNonFixedPaymentsInd
Initial Contract Exception	false	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (19 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	$1,819,908	$0	$539,018	$0	$90,522	$0	$0	$0	$17,675	$0	$2,467,123	$0	$0	$0
Staci L Dickerson
FORMER OFFICER	$696,073	$0	$245,174	$0	$17,025	$0	$11,210	$0	$13,637	$0	$983,119	$0	$0	$0
Rick L Grossman
SVP GENERAL COUNSEL	$1,052,915	$0	$221,968	$0	$52,082	$0	$0	$0	$11,062	$0	$1,338,027	$0	$0	$0
Doug Watson
SVP & CFO SHC THRU 2/2/2024	$804,905	$0	$0	$0	$0	$0	$0	$0	$0	$0	$804,905	$0	$0	$0
Pablo Velez-Carrillo
FORMER KEY EMPLOYEE	$166,047	$0	$168,855	$0	$675,577	$0	$7,655	$0	$0	$0	$1,018,134	$0	$0	$0
Lisa Allen
FORMER KEY EMPLOYEE	$46,955	$0	$165,046	$0	$941,173	$0	$0	$0	$0	$0	$1,153,174	$0	$0	$0
Timothy B Smith
CEO SMH THRU 06/2023	$607,020	$0	$186,454	$0	$38,058	$0	$0	$0	$17,513	$0	$849,045	$0	$0	$0
Patricia Khaleghi
SVP MARKET CEO	$887,418	$0	$164,163	$0	$58,463	$0	$12,508	$0	$23,369	$0	$1,145,921	$0	$0	$0
Susan Stone
SVP HEALTH SYSTEM OPS AND SYSTEM CHIEF NURSING EXEC	$649,033	$0	$168,606	$0	$32,768	$0	$11,775	$0	$10,774	$0	$872,956	$0	$0	$0
William S Evans
SVP MARKET CEO	$921,270	$0	$207,400	$0	$57,690	$0	$0	$0	$23,255	$0	$1,209,615	$0	$0	$0
Cynthia Johnson
SVP HR & TALENT MGMT	$687,960	$0	$0	$0	$3,607	$0	$0	$0	$8,120	$0	$699,687	$0	$0	$0
Brett G McClain
CHIEF OPERATING OFFICER SHC	$1,221,533	$0	$401,201	$0	$32,562	$0	$0	$0	$17,675	$0	$1,672,971	$0	$0	$0
Stacey Hrountas
CEO SRS	$775,741	$0	$152,963	$0	$77,365	$0	$16,417	$0	$17,605	$0	$1,040,091	$0	$0	$0
William Littlejohn
SVP, CEO FOUNDATIONS	$1,424,291	$0	$138,665	$0	$60,400	$0	$0	$0	$22,793	$0	$1,646,149	$0	$0	$0
Michael Reagin
SVP CIIO	$989,157	$0	$331,790	$0	$5,382	$0	$0	$0	$17,675	$0	$1,344,004	$0	$0	$0
Alison Fleury
SVP BUSINESS DEVELOPMENT	$567,843	$0	$158,156	$0	$34,158	$0	$7,712	$0	$17,329	$0	$785,198	$0	$0	$0
Jolee Bollinger
VP DEPUTY GENERAL COUNSEL	$341,847	$0	$334,431	$0	$22,630	$0	$11,683	$0	$6,877	$0	$717,468	$0	$0	$0
Paul Durr
CEO-SCMG	$616,441	$0	$177,125	$0	$40,598	$0	$13,882	$0	$22,948	$0	$870,994	$0	$0	$0
Amy Adome
SVP CHIEF CLINICAL AND TRANSFORMATION OFFICER	$650,975	$0	$132,818	$0	$25,382	$0	$0	$0	$10,812	$0	$819,987	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail (3 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 4a Severance or change-of-control payment	During the tax year, Sharp HealthCaremadeseverancepayments to Lisa Allen (Former Key Employee) and Pablo Velez-Carillo (Former Key Employee). Theseverancepayments below were made in accordance with the terms of their individual separation agreements and the organization's executive compensation policies. These payments were not contingent on a change of control and did not include any supplemental retirement or equity-based compensation. Lisa Montgomery Allen - $941,173 Pablo Velez-Carrillo - $675,577
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, 2023, no participants received distributions from the plan.

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (3 entries)

Bond ReferenceBondReferenceCd	Bond Issuer EINBondIssuerEIN	CUSIPCUSIPNum	Bond IssuedBondIssuedDt	Issue PriceIssuePriceAmt	PurposePurposeDesc	DefeasedDefeasedInd	On Behalf Of IssuerOnBehalfOfIssuerInd	Pool FinancingPoolFinancingInd
California Public Finance Authority
A	474447476	13057EBE3	2017-12-28	$306,856,245	SEE PART VI	false	false	false
California Public Finance Authority
B	474447476	13057EHH0	2024-01-03	$398,301,673	SEE PART VI	false	false	false
California Public Finance Authority
C	474447476	13057EHQ0	2024-02-06	$292,120,000	SEE PART VI	false	false	false

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (3 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	$149,075,000	$0	$309,614,469	$0	$0	$0	$0	$0	$0	$214,754,254	$94,860,215	$0	2021	false	Yes (true)	false	Yes (true)
B	$1,000,000	$0	$400,001,045	$0	$0	$0	$0	$0	$0	$156,992,336	$243,008,709	$0	2030	Yes (true)	false	Yes (true)	Yes (true)
C	$0	$0	$298,135,775	$0	$0	$0	$0	$0	$0	$62,446,101	$146,120,000	$89,569,674	2030	Yes (true)	false	false	Yes (true)

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (3 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)	0.0404	0.0404	false	false	Yes (true)
B	false	Yes (true)	Yes (true)	Yes (true)	Yes (true)	Yes (true)	0.0	0.0	false	false	Yes (true)
C	false	Yes (true)	Yes (true)	Yes (true)	Yes (true)	Yes (true)	0.0	0.0	false	false	Yes (true)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (3 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	Gross Proceeds InvestedGrossProceedsInvestedInd	Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd
A	false	false	Yes (true)	false	Yes (true)	false	false	false	Yes (true)
B	false	Yes (true)	false	false	false	false	false	false	Yes (true)
C	false	Yes (true)	false	false	Yes (true)	false	false	false	Yes (true)

Procedures Corrective Action ProceduresCorrectiveActionGrp (3 entries)

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

Supplemental Information Detail SupplementalInformationDetail (9 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule K, Part I, Column (f) A	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, Column (f) B	The purpose of the bond issuance is to refund Series 2009C/D and Series 2014A bonds and to finance the Sharp Metropolitan Medical Campus modernization project.
Schedule K, Part I, Column (f) C	The purpose of the bond issuance is to refund Series 2017B/C bonds and to finance the Sharp Metropolitan Medical Campus modernization project.
Schedule K, Part II, Line 3 A	Total proceeds are different than issue price due to investment earnings
Schedule K, Part II, Line 3 B	Total proceeds are different than issue price due to investment earnings
Schedule K, Part II, Line 3 C	Total proceeds are different than issue price due to investment earnings
Schedule K, Part V Different Procedures to Undertake Corrective Action	Issuer name: California Public Finance Authority The organization has established formal procedures to monitor post-issuance compliance with tax-exempt bond requirements. These procedures include: - Regular review of bond-financed property use to ensure compliance with private business use limitations. - Annual training for staff responsible for bond compliance. - Maintenance of detailed records related to bond expenditures, use of proceeds, and ownership of financed assets. - Engagement with bond counsel or financial advisors to assess potential violations. - Prompt identification and remediation of any violations through IRS-approved methods, including the Voluntary Closing Agreement Program (VCAP) when applicable. - Internal audits and periodic compliance reviews to ensure ongoing adherence to IRS regulations.
Schedule K, Part V Different Procedures to Undertake Corrective Action	Issuer name: California Public Finance Authority The organization has established formal procedures to monitor post-issuance compliance with tax-exempt bond requirements. These procedures include: - Regular review of bond-financed property use to ensure compliance with private business use limitations. - Annual training for staff responsible for bond compliance. - Maintenance of detailed records related to bond expenditures, use of proceeds, and ownership of financed assets. - Engagement with bond counsel or financial advisors to assess potential violations. - Prompt identification and remediation of any violations through IRS-approved methods, including the Voluntary Closing Agreement Program (VCAP) when applicable. - Internal audits and periodic compliance reviews to ensure ongoing adherence to IRS regulations.
Schedule K, Part V Different Procedures to Undertake Corrective Action	Issuer name: California Public Finance Authority The organization has established formal procedures to monitor post-issuance compliance with tax-exempt bond requirements. These procedures include: - Regular review of bond-financed property use to ensure compliance with private business use limitations. - Annual training for staff responsible for bond compliance. - Maintenance of detailed records related to bond expenditures, use of proceeds, and ownership of financed assets. - Engagement with bond counsel or financial advisors to assess potential violations. - Prompt identification and remediation of any violations through IRS-approved methods, including the Voluntary Closing Agreement Program (VCAP) when applicable. - Internal audits and periodic compliance reviews to ensure ongoing adherence to IRS regulations.

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; 27 medical centers; five urgent care centers; three skilled nursing facilities; two inpatient rehabilitation centers; 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 HMO coverage through Sharp Health Plan (SHP). Serving a population of approximately 3.3 million in San Diego County (SDC), as of September 30, 2024, Sharp is licensed to operate 2,210 beds and has 2,839 Sharp-affiliated physicians and 20,283 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 the best place to work, the best place to practice medicine and the best place to receive care. Sharp will become the best health system in the universe. Sharp's core values are Integrity, Caring, Safety, Innovation and Excellence. 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) 2024 (Oct. 1, 2023, through Sept. 30, 2024). 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, FY2024 - 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 FY2024 In FY2024, Sharp provided a total of $622,598,584 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 FY2024 was as follows: Sharp Chula Vista Medical Center - $137,734,456 Sharp Coronado Hospital and Healthcare Center - $26,135,468 Sharp Grossmont Hospital - $176,955,168 Sharp Mary Birch Hospital for Women & Newborns - $13,768,020 Sharp Memorial Hospital - $231,447,432 Sharp Mesa Vista Hospital and Sharp McDonald Center - $36,420,863 Sharp Health Plan - $137,177 TOTAL FOR ALL ENTITIES - $622,598,584 Economic Value of Community Benefit Provided in FY2024 by SB 697 Category and by Sharp entity was as follows: Sharp Chula Vista Medical Center: Medical Care Services - $136,045,388 Other Benefits for Vulnerable Populations - $417,808 Other Benefits for the Broader Community - $329,428 Health Research, Education and Training Programs - $941,832 TOTAL - $137,734,456 Sharp Coronado Hospital and Healthcare Center: Medical Care Services - $25,721,159 Other Benefits for Vulnerable Populations - $161,455 Other Benefits for the Broader Community - $120,185 Health Research, Education and Training Programs - $132,669 TOTAL - $26,135,468 Sharp Grossmont Hospital: Medical Care Services - $174,018,249 Other Benefits for Vulnerable Populations - $1,369,756 Other Benefits for the Broader Community - $765,634 Health Research, Education and Training Programs - $765,634 TOTAL - $176,955,168 Sharp Mary Birch Hospital for Women & Newborns: Medical Care Services - $13,271,365 Other Benefits for Vulnerable Populations - $62,478 Other Benefits for the Broader Community - $272,660 Health Research, Education and Training Programs - $161,517 TOTAL - $13,768,020 Sharp Memorial Hospital: Medical Care Services - $228,957,629 Other Benefits for Vulnerable Populations - $820,766 Other Benefits for the Broader Community - $549,273 Health Research, Education and Training Programs - $1,119,764 TOTAL - $231,447,432 Sharp Mesa Vista Hospital and Sharp McDonald Center: Medical Care Services - $34,840,108 Other Benefits for Vulnerable Populations - $1,102,645 Other Benefits for the Broader Community - $142,020 Health Research, Education and Training Programs - $336,090 TOTAL - $36,420,863 Sharp Health Plan: Other Benefits for Vulnerable Populations - $41,863 Other Benefits for the Broader Community - $90,064 Health Research, Education and Training Programs - $5,250 TOTAL - $137,177
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 FY2024. - 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. - 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 2024. 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 2025.
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 2024. 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 2025.
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: 3767430, Related or Exempt Function Revenue: 3767430, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; Case Management - Total Revenue: 408988, Related or Exempt Function Revenue: , Unrelated Business Revenue: 408988, Revenue Excluded from Tax Under Sections 512, 513, or 514: ; All other program service revenue - Total Revenue: 5768749, Related or Exempt Function Revenue: 5768749, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ;
Form 990, Part VIII, Line 11d Other Miscellaneous Revenue	All other revenue - Total Revenue: -411018, Related or Exempt Function Revenue: 0, Unrelated Business Revenue: 0, Revenue Excluded from Tax Under Sections 512, 513, or 514: -411018;
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: 203399, Fundraising Expenses: ; Purchased Services - Total Expense: XXX-XX-XXXX, Program Service Expense: XXX-XX-XXXX, Management and General Expenses: 24610911, Fundraising Expenses: ; Registry - Total Expense: 11385037, Program Service Expense: 611434, Management and General Expenses: 10773603, 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 - 9985173; BENEFICIAL INTEREST IN SHARP HEALTHCARE FOUNDATION - 16269349; BOOK/TAX DIFFERENCES ON PARTNERSHIP INTEREST - MRI - 225569; BOOK/TAX DIFF ON PARTNERSHIP INTEREST - UCSD/SHARP TRANSPLANT PROGRAM - 993366; BENEFICIAL INTEREST IN SHARP FREESTANDING SURGERY LLC & Medical Tower - -2720624; Current year pension related comprehensive income RHRA - -400137;

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	-$306,443	$0	false	Yes (true)	0
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	-$1,514,791	$12,882,967	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

Foreign Address ForeignAddress

Field	Value	IRS element (for citing)
Address Line1	23 LIME TREE BAY AVENUE PO BOX 136	AddressLine1Txt
City	GRAND CAYMAN	CityNm
Country	CJ	CountryCd

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	$2,279,162	ShareOfTotalIncomeAmt
Share Of EOY Assets	$63,702,000	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	$2,361,492	Accrual Accounting
Sharp Memorial Hospital
L	$9,389,885	Accrual Accounting
Sharp Memorial Hospital
M	$6,635,924	Accrual Accounting
Sharp Memorial Hospital
P	$168,000	Accrual Accounting
Sharp Memorial Hospital
Q	$894,627,208	Accrual Accounting
Sharp Memorial Hospital
R	$1,521,161,724	Accrual Accounting
Sharp Memorial Hospital
S	$156,220,703	Accrual Accounting
Grossmont Hospital Corporation
K	$1,238,405	Accrual Accounting
Grossmont Hospital Corporation
L	$6,381,299	Accrual Accounting
Grossmont Hospital Corporation
M	$1,779,364	Accrual Accounting
Grossmont Hospital Corporation
P	$364,456	Accrual Accounting
Grossmont Hospital Corporation
Q	$901,153,335	Accrual Accounting
Grossmont Hospital Corporation
R	$1,019,274,715	Accrual Accounting
Grossmont Hospital Corporation
S	$114,024,851	Accrual Accounting
Sharp Chula Vista Medical Center
K	$65,838	Accrual Accounting
Sharp Chula Vista Medical Center
L	$4,412,516	Accrual Accounting
Sharp Chula Vista Medical Center
M	$1,079,857	Accrual Accounting
Sharp Chula Vista Medical Center
P	$90,929	Accrual Accounting
Sharp Chula Vista Medical Center
Q	$449,980,776	Accrual Accounting
Sharp Chula Vista Medical Center
R	$609,464,188	Accrual Accounting
Sharp Chula Vista Medical Center
S	$73,885,740	Accrual Accounting
Sharp Coronado and Healthcare Center
L	$2,293,161	Accrual Accounting
Sharp Coronado and Healthcare Center
M	$50,605	Accrual Accounting
Sharp Coronado and Healthcare Center
Q	$130,279,609	Accrual Accounting
Sharp Coronado and Healthcare Center
R	$178,419,594	Accrual Accounting
Sharp Coronado and Healthcare Center
S	$13,046,607	Accrual Accounting
Sharp HealthCare Foundation
C	$4,297,790	Accrual Accounting
Sharp HealthCare Foundation
M	$6,199,054	Accrual Accounting
Sharp HealthCare Foundation
N	$250,378	Accrual Accounting
Grossmont Hospital Foundation
C	$1,955,751	Accrual Accounting
Continuous Quality Insurance SPC
R	$11,042,141	Accrual Accounting
Sharp Health Plan
J	$1,057,714	Accrual Accounting
Sharp Health Plan
M	$223,934,411	Accrual Accounting
Sharp Health Plan
N	$97,991	Accrual Accounting
Sharp Health Plan
Q	$51,419,522	Accrual Accounting
Sharp Health Plan
R	$53,644,130	Accrual Accounting
Sharp Health Plan
S	$2,471,383	Accrual Accounting