2025-08-15T11:24:52+00:00 2024-09-30 346565596 ERNST & YOUNG US LLP 18101 VON KARMAN AVENUE IRVINE CA 92612 990 2023-10-01 956077327 Sharp Healthcare SHAR 8584995150 8695 Spectrum Center Blvd San Diego CA 921231489 CHRIS HOWARD CEO 8584995150 2025-08-15 false Kara Adams P00023315 9497942300 2025-08-15 2023 2025-03-06 01:10:19Z CHRIS HOWARD 8695 Spectrum Center Blvd San Diego CA 921231489 1859541830 false X WWW.SHARP.COM X 1946 CA 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. 24 21 30897 0 408988 19733 5233202 9100749 1707613255 1608333384 141842050 89589419 50066193 51682023 1904754700 1758705575 392770 640066 0 0 615261668 673489355 0 6199054 1425309244 1523871959 2040963682 2198001380 -136208982 -439295805 5014491088 6073527629 4868398154 5888128923 146092934 185398706 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. false false 817264298 3000 852081751 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. 741332956 637066 756251633 Sharp HealthCare provides administrative support to its subsidiaries. Its general purpose is to promote healthcare through supporting and/or operating its subsidiaries. See Community Benefit Report on Schedule O. 1558597254 true true false true false false false false true true false false true true true false true false true true false false false false false false true true true true false false false false false false false false false false false false false false false true true true true false true X 898 0 true 30897 true true true true CJ false false false false false false false false true false X 24 21 false false false false false false false true true false false true true true true true true true true true true CA X MIKE DJOMINS 8584995152 8695 SPECTRUM CENTER BLVD SAN DIEGO CA 92123 Christopher D Howard PRESIDENT & CEO SHC 40.0 12.0 X X 2449448 0 17675 Eugene Mitchell CHAIR 1.0 0 X X 0 0 0 John Wylie TREASURER 2.0 0 X X 0 0 0 Sara Bennett SECRETARY 3.0 1.0 X X 0 0 0 Tony Costa VICE CHAIR 2.0 0 X X 0 0 0 Alan Bier MD DIRECTOR 4.0 2.0 X 0 0 0 Andy Dang MD DIRECTOR 1.0 0.0 X 0 0 0 Bob Bolinger DIRECTOR 1.0 0 X 0 0 0 Craig Saffer MD DIRECTOR 2.0 3.0 X 0 116700 0 Daniel Gensler DIRECTOR THRU 05/31/2024 3.0 3.0 X 0 0 0 Debora Burke DIRECTOR THRU 07/31/2024 2.0 0 X 0 0 0 Deirdre Alpert DIRECTOR THRU 05/31/2024 4.0 0 X 0 0 0 Elvin Lai DIRECTOR 2.0 0 X 0 0 0 Eric Clark Jr MD DIRECTOR THRU 12/31/2023 2.0 1.0 X 0 39200 0 Guillermo Cabrera IMMEDIATE PAST CHAIR 2.0 0 X 0 0 0 Hugo Barrera MD DIRECTOR THRU 05/31/2024 1.0 1.0 X 0 4900 0 John Dunn DIRECTOR 3.0 0 X 0 0 0 Julie Coker DIRECTOR 2.0 0 X 0 0 0 Lisa Arnold DIRECTOR AS OF 10/01/2023 2.0 2.0 X 0 0 0 Lori Moore DIRECTOR 2.0 2.0 X 0 0 0 Marc Brutten DIRECTOR 2.0 0 X 0 0 0 Marilyn Norton MD DIRECTOR AS OF 06/01/2024 2.0 2.0 X 0 2450 0 Randolph Lenac DIRECTOR THRU 05/31/2024 2.0 2.0 X 0 0 0 Rebeca Perez-Serrano DIRECTOR 8.0 0 X 0 0 0 Regina Petty DIRECTOR 2.0 0 X 0 0 0 Renetta Haas DIRECTOR AS OF 01/01/2024 2.0 0 X 0 0 0 Sergio Flores MD DIRECTOR 2.0 6.0 X 0 0 0 Stephen Summers MD DIRECTOR AS OF 01/01/2024 2.0 2.0 X 0 8850 0 Sydney Stanley DIRECTOR AS OF 07/01/2024 2.0 1.0 X 0 0 0 Valerie Shadroff DIRECTOR AS OF 07/01/2024 2.0 1.0 X 0 0 0 Doug Watson SVP & CFO SHC THRU 2/2/2024 44.0 8.0 X 804905 0 0 Rick L Grossman SVP GENERAL COUNSEL 45.0 8.0 X 1326965 0 11062 Susan Green EVP & CFO SHC AS OF 1/15/2024 44.0 10.0 X 0 0 0 Brett G McClain CHIEF OPERATING OFFICER SHC 26.0 23.0 X 1655296 0 17675 Cynthia Johnson SVP HR & TALENT MGMT 45.0 0 X 691567 0 8120 Patricia Khaleghi SVP MARKET CEO 8.0 50.0 X 1110044 0 35877 Stacey Hrountas CEO SRS 60.0 0 X 1006069 0 34022 Susan Stone SVP HEALTH SYSTEM OPS AND SYSTEM CHIEF NURSING EXEC 40.0 10.0 X 850407 0 22549 Timothy B Smith CEO SMH THRU 06/2023 10.0 0.0 X 831532 0 17513 William Littlejohn SVP, CEO FOUNDATIONS 5.0 33.0 X 1623356 0 22793 William S Evans SVP MARKET CEO 12.0 26.0 X 1186360 0 23255 Alison Fleury SVP BUSINESS DEVELOPMENT 48.0 2.0 X 760157 0 25041 Amy Adome SVP CHIEF CLINICAL AND TRANSFORMATION OFFICER 40.0 0 X 809175 0 10812 Jolee Bollinger VP DEPUTY GENERAL COUNSEL 40.0 0 X 698908 0 18560 Michael Reagin SVP CIIO 48.0 2.0 X 1326329 0 17675 Paul Durr CEO-SCMG 60.0 0.0 X 834164 0 36830 Lisa Allen FORMER KEY EMPLOYEE 0.0 0 X 1153174 0 0 Pablo Velez-Carrillo FORMER KEY EMPLOYEE 0.0 0.0 X 1010479 0 7655 Staci L Dickerson FORMER OFFICER 0.0 0.0 X 958272 0 24847 21086607 172100 351961 7464 true true false MCCARTHY BUILDING COMPANIES 9275 SKY PARK CT STE 200 SAN DIEGO CA 92123 CONSTRUCTION 82320021 SODEXHO & AFFILIATES PO BOX 360170 PITTSBURGH PA 152516170 MANAGEMENT/CATERING 76044792 SHARP REES-STEALY MEDICAL GROUP 5651 COPLEY DRIVE SAN DIEGO CA 92111 MEDICAL SERVICES 46044074 Regents of UC FILE 556631 LOS ANGELES CA 90074 MEDICAL SERVICES 42816306 RIGHTSOURCING INC PO 515743 LOS ANGELES CA 90051 STAFFING 37356183 664 0 0 0 6253541 2847208 0 6306 9100749 Outpatient care 621110 802628865 802628865 0 0 Capitation revenue 900099 738639993 738639993 0 0 Revenue from affiliated entities 900099 2362744 2362744 0 0 Medicare/Medicaid payments 621110 47178575 47178575 0 0 Rental income 531120 7578040 7578040 0 0 9945167 9536179 408988 0 1608333384 84440123 0 0 84440123 153 0 0 153 0 0 0 0 0 0 0 0 0 0 0 0 0 0 105984398 1000 100835914 341 5148484 659 5149143 0 0 5149143 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 SCMG Management Fee 561000 51629493 0 0 51629493 Call Center Services 900099 356018 0 0 356018 Medical Records Copying 900099 107530 0 0 107530 -411018 0 0 -411018 51682023 1758705575 1607924396 408988 141271442 X 411066 411066 229000 229000 0 0 0 0 10488916 0 10488916 0 149 0 149 0 522405823 236225223 286180600 0 20361558 6920727 13440831 0 79648257 34553534 45094723 0 40584652 17870106 22714546 0 0 0 0 0 2810366 40193 2770173 0 1016585 0 1016585 0 130100 0 130100 0 0 0 1883437 0 1883437 0 684466101 648878188 35587913 0 5658447 320464 5337983 0 26890183 15254383 11635800 0 149712955 546102 149166853 0 0 0 0 0 37975024 29316559 8658465 0 763763 115310 648453 0 0 0 0 0 0 0 0 0 -2812806 -308154 -2504652 0 0 0 0 0 39106006 15277789 23828217 0 6905200 6068360 836840 0 Purchased Medical Services from Affiliates 430364486 430364486 0 0 Medical Supplies 111412122 110842289 569833 0 Equipment Maintenance/Repair 8423749 2441165 5982584 0 Fundraising 6199054 0 0 6199054 12967187 3230464 9736723 0 2198001380 1558597254 633205072 6199054 2089358 2631657 203750626 67903940 0 0 58527371 59069526 0 0 0 0 1305717 1508110 20130595 21258861 53921798 61131626 1115845255 515012715 554924629 600832540 2775612661 3411130820 24721513 36338193 118264488 161456285 0 0 1201242332 1650266071 5014491088 6073527629 434134833 494520620 0 0 4618473 851868 1152126517 1511363604 0 0 0 0 0 0 0 0 3277518331 3881392831 4868398154 5888128923 X 48665639 79604465 97427295 105794241 0 0 0 0 0 0 146092934 185398706 5014491088 6073527629 X -439295805 454222401 26298 182 24352696 X false true X true true true X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false true false false false true 130100 true 40945 true 368504 false 539549 false Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY 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. 12616446 75857 1749289 0 3183326 11258266 12112846 -75353 1169832 0 590879 12616446 14308262 864665 -2863215 107909 88957 12112846 13157329 682346 593918 117331 8000 14308262 11778542 481410 1075864 102487 76000 13157329 0.19 0.81 0.0 false true true 77790812 77790812 479195524 134654052 344541472 70041542 63672754 6368788 361430537 316685909 44744628 127386840 127386840 600832540 Rec fm Related Org for Alloc Tax Exempt Bond Balance 1196091254 Leased Assets- Operating 84221899 CQI Premium Receivable 60484561 Long-Term Assets 31674789 Leased Assets- Finance 790308 Intangible Assets 218632085 Swap contract assets 58371175 1650266071 0 Intercompany Payables 3656948944 Operating Leases 99241661 LT Workers Compensation 43098287 LT Pension Liability 8296524 CQI Retrospective Premium Payable 44172225 Reserve for Malpractice 9300000 Capital/Finance Leases 2983929 Other miscellaneous 17351261 3881392831 X 2199016097 454222401 26298 -8817925 445430774 1753585323 1883437 3236815 5120252 1758705575 2187300018 0 0 2187300018 1883437 8817925 10701362 2198001380 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 Central America and the Caribbean 0 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. 11064447 Central America and the Caribbean 0 0 Investments INVESTMENTS REQUIRED TO BE HELD BY OFFSHORE INSURANCE CAPTIVE. 19457078 Europe (Including Iceland and Greenland) 0 0 Program Services ANNUAL DUES AND SUBSCRIPTIONS, TRAINING. 8259 North America (Canada & Mexico only) 0 0 Program Services DUES AND SUBSCRIPTIONS. 8735 Middle East and North Africa 0 0 Program Services SHARP HEALTHCARE EMPLOYEES VOLUNTEERED FOR HUMANITARIAN MISSIONS. 3612 0 1 0 0 0 1 30542131 0 30542131 true false true false false false Schedule F, Part I, Line 3 Method used to account for expenditures on org's financial statements CENTRAL AMERICA AND THE CARIBBEAN-Accrual; EUROPE (INCLUDING ICELAND AND GREENLAND)-Accrual; MIDDLE EAST AND NORTH AFRICA-Accrual; NORTH AMERICA (CANADA & MEXICO ONLY)-Accrual true American Cancer Society PO Box 910549 San Diego CA 92191 131788491 501(c)3 10000 Making Strides Booth Sponsorship American Heart Association 7272 Greenville Avenue Dallas TX 75231 135613797 501(c)3 150000 FY24 San Diego Heart Walk Animal Advocates of the US 3667 Marlborough Ave San Diego CA 92105 651261755 501(c)3 6816 FMV Medical Supplies Donations Coalition for Compassion of California 2530 River Plaza Drive Sacramento CA 95833 270419836 501(c)3 25000 2024 Sustaining support donation Coalition for Health AI 200 1ST STREET SW ROCHESTER MN 55905 990855900 501(c)6 50000 Founding partner donations CONNECT FOUNDATION 9605 Scranton Rd Ste 110 San Diego CA 92121 203049742 501(c)3 10000 Sponsorship CORPORATE DIRECTORS FORUM PO Box 231340 San Diego CA 92193 330459645 501(c)6 7000 Director of the Year 2024 sponsorship EvoNexus 5015 Shoreham Pl STE 150 San Diego CA 92122 330827743 501(c)6 10000 Corporate Partnership & Board Seat San Diego LGBT Pride 3620 30th Street San Diego CA 92104 330619449 501(c)3 7500 SD Pride Parade Sponsorship San Diego Museum of Art PO Box 122107 San Diego CA 92112 951696715 501(c)3 10000 Art Live 2024 Sponsorship San Diego Oasis 5500 Grossmont Center Dr Ste 269 San Diego CA 91942 300403895 501(c)3 10000 Sponsorship San Diego Opera Association 233 A Street Suite 500 San Diego CA 92101 956044429 501(c)3 10000 Donations SAN DIEGO REG ECON DEVELOPMENT CORP 1100 Market St Ste 438 San Diego CA 92101 952406199 501(c)6 10000 2024 Annual Dinner Sponsorship CAMPANILE FOUNDATION 5500 Campanile Drive San Diego CA 92182 330868418 501(c)3 40000 Sponsorship for the SDSU Big Data Hackathon event San Ysidro Health 1601 Precision Park Lane San Diego CA 92173 952801772 501(c)3 10000 Sponsorship YMCA 1012 C Street San Diego CA 92101 951661119 501(c)3 15000 Sponsorship 12 4 2024 Caster Nursing Institute Scholarship Award 12 134000 2024 Del Corazon First Generation Scholarship Award 2 40000 2024 James B. and Mary Jane Wiesler Scholarship Award 10 42000 2024 Hubbard Scholarship Award 1 8000 Schedule I, Part I, Line 2 Procedures for monitoring use of grant funds 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. X true true X X X X X true true false false false false false false false Christopher D Howard PRESIDENT & CEO SHC 1819908 0 539018 0 90522 0 0 0 17675 0 2467123 0 0 0 Staci L Dickerson FORMER OFFICER 696073 0 245174 0 17025 0 11210 0 13637 0 983119 0 0 0 Rick L Grossman SVP GENERAL COUNSEL 1052915 0 221968 0 52082 0 0 0 11062 0 1338027 0 0 0 Doug Watson SVP & CFO SHC THRU 2/2/2024 804905 0 0 0 0 0 0 0 0 0 804905 0 0 0 Pablo Velez-Carrillo FORMER KEY EMPLOYEE 166047 0 168855 0 675577 0 7655 0 0 0 1018134 0 0 0 Lisa Allen FORMER KEY EMPLOYEE 46955 0 165046 0 941173 0 0 0 0 0 1153174 0 0 0 Timothy B Smith CEO SMH THRU 06/2023 607020 0 186454 0 38058 0 0 0 17513 0 849045 0 0 0 Patricia Khaleghi SVP MARKET CEO 887418 0 164163 0 58463 0 12508 0 23369 0 1145921 0 0 0 Susan Stone SVP HEALTH SYSTEM OPS AND SYSTEM CHIEF NURSING EXEC 649033 0 168606 0 32768 0 11775 0 10774 0 872956 0 0 0 William S Evans SVP MARKET CEO 921270 0 207400 0 57690 0 0 0 23255 0 1209615 0 0 0 Cynthia Johnson SVP HR & TALENT MGMT 687960 0 0 0 3607 0 0 0 8120 0 699687 0 0 0 Brett G McClain CHIEF OPERATING OFFICER SHC 1221533 0 401201 0 32562 0 0 0 17675 0 1672971 0 0 0 Stacey Hrountas CEO SRS 775741 0 152963 0 77365 0 16417 0 17605 0 1040091 0 0 0 William Littlejohn SVP, CEO FOUNDATIONS 1424291 0 138665 0 60400 0 0 0 22793 0 1646149 0 0 0 Michael Reagin SVP CIIO 989157 0 331790 0 5382 0 0 0 17675 0 1344004 0 0 0 Alison Fleury SVP BUSINESS DEVELOPMENT 567843 0 158156 0 34158 0 7712 0 17329 0 785198 0 0 0 Jolee Bollinger VP DEPUTY GENERAL COUNSEL 341847 0 334431 0 22630 0 11683 0 6877 0 717468 0 0 0 Paul Durr CEO-SCMG 616441 0 177125 0 40598 0 13882 0 22948 0 870994 0 0 0 Amy Adome SVP CHIEF CLINICAL AND TRANSFORMATION OFFICER 650975 0 132818 0 25382 0 0 0 10812 0 819987 0 0 0 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. A California Public Finance Authority 474447476 13057EBE3 2017-12-28 306856245 SEE PART VI false false false B California Public Finance Authority 474447476 13057EHH0 2024-01-03 398301673 SEE PART VI false false false C California Public Finance Authority 474447476 13057EHQ0 2024-02-06 292120000 SEE PART VI false false false A 149075000 0 309614469 0 0 0 0 0 0 214754254 94860215 0 2021 false true false true B 1000000 0 400001045 0 0 0 0 0 0 156992336 243008709 0 2030 true false true true C 0 0 298135775 0 0 0 0 0 0 62446101 146120000 89569674 2030 true false false true A false true true true true true 0.0404 0.0 0.0404 false false true B false true true true true true 0.0 0.0 0.0 false false true C false true true true true true 0.0 0.0 0.0 false false true A false false true false true false false false true B false true false false false false false false true C false true false false true false false false true A true B true C true 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. 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: ; 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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; SHARP MEMORIAL HOSPITAL (SMH) 8695 SPECTRUM CENTER BLVD SAN DIEGO CA 921231489 953782169 HOSPITAL CA 501(c)(3) 3 SHARP HEALTHCARE true GROSSMONT HOSPITAL CORPORATION (SGH) 8695 SPECTRUM CENTER BLVD SAN DIEGO CA 921231489 330449527 HOSPITAL CA 501(c)(3) 3 SHARP HEALTHCARE true SHARP CHULA VISTA MEDICAL CENTER (SCVMC) 8695 SPECTRUM CENTER BLVD SAN DIEGO CA 921231489 952367304 HOSPITAL CA 501(c)(3) 3 SHARP HEALTHCARE 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 true SHARP HEALTH PLAN 8695 SPECTRUM CENTER BLVD SAN DIEGO CA 921231489 330519730 HEALTH PLAN CA 501(c)(4) SHARP HEALTHCARE true SHARP HEALTHCARE FOUNDATION (SHF) 8695 SPECTRUM CENTER BLVD SAN DIEGO CA 921231489 953492461 HEALTHCARE FOUNDATION CA 501(c)(3) 7 SHARP HEALTHCARE true GROSSMONT HOSPITAL FOUNDATION 8695 SPECTRUM CENTER BLVD SAN DIEGO CA 921231489 330124488 HEALTHCARE FOUNDATION CA 501(c)(3) 7 GROSSMONT HOSPITAL CORPORATION true SHARP AND CHILDREN'S MRI CENTER LLC 7901 FROST STREET SAN DIEGO CA 92123 330520955 IMAGING CA NA Related -306443 0 false true 0 SHARP HEALTHCARE ACO-II LLC 8695 SPECTRUM CENTER BLVD SAN DIEGO CA 92123 812645189 OFFICES OF PHYSICIANS CA NA Related 0 0 true false 0.5825 SHARP FREESTANDING SURGERY LLC 8695 SPECTRUM CENTER BOULEVARD SAN DIEGO CA 92123 874136918 FREESTANDING AMBULATORY SURGERY CA SHARP HEALTHCARE Related -1514791 12882967 false false 0.9 CONTINUOUS QUALITY INSURANCE SPC 23 LIME TREE BAY AVENUE PO BOX 136 GRAND CAYMAN CJ CAPTIVE INSURANCE COMPANY CJ SHARP HEALTHCARE C Corporation 2279162 63702000 1 true false false true false false false false false false true true true true true false true true true true Sharp Memorial Hospital J 2361492 Accrual Accounting Sharp Memorial Hospital L 9389885 Accrual Accounting Sharp Memorial Hospital M 6635924 Accrual Accounting Sharp Memorial Hospital P 168000 Accrual Accounting Sharp Memorial Hospital Q 894627208 Accrual Accounting Sharp Memorial Hospital R 1521161724 Accrual Accounting Sharp Memorial Hospital S 156220703 Accrual Accounting Grossmont Hospital Corporation K 1238405 Accrual Accounting Grossmont Hospital Corporation L 6381299 Accrual Accounting Grossmont Hospital Corporation M 1779364 Accrual Accounting Grossmont Hospital Corporation P 364456 Accrual Accounting Grossmont Hospital Corporation Q 901153335 Accrual Accounting Grossmont Hospital Corporation R 1019274715 Accrual Accounting Grossmont Hospital Corporation S 114024851 Accrual Accounting Sharp Chula Vista Medical Center K 65838 Accrual Accounting Sharp Chula Vista Medical Center L 4412516 Accrual Accounting Sharp Chula Vista Medical Center M 1079857 Accrual Accounting Sharp Chula Vista Medical Center P 90929 Accrual Accounting Sharp Chula Vista Medical Center Q 449980776 Accrual Accounting Sharp Chula Vista Medical Center R 609464188 Accrual Accounting Sharp Chula Vista Medical Center S 73885740 Accrual Accounting Sharp Coronado and Healthcare Center L 2293161 Accrual Accounting Sharp Coronado and Healthcare Center M 50605 Accrual Accounting Sharp Coronado and Healthcare Center Q 130279609 Accrual Accounting Sharp Coronado and Healthcare Center R 178419594 Accrual Accounting Sharp Coronado and Healthcare Center S 13046607 Accrual Accounting Sharp HealthCare Foundation C 4297790 Accrual Accounting Sharp HealthCare Foundation M 6199054 Accrual Accounting Sharp HealthCare Foundation N 250378 Accrual Accounting Grossmont Hospital Foundation C 1955751 Accrual Accounting Continuous Quality Insurance SPC R 11042141 Accrual Accounting Sharp Health Plan J 1057714 Accrual Accounting Sharp Health Plan M 223934411 Accrual Accounting Sharp Health Plan N 97991 Accrual Accounting Sharp Health Plan Q 51419522 Accrual Accounting Sharp Health Plan R 53644130 Accrual Accounting Sharp Health Plan S 2471383 Accrual Accounting