2011-08-10T18:31:50-05:00 2010-09-30 Ernst & Young US LLP 4370 La Jolla Village Drive Suite 5 San Diego CA 92122 990 2009-10-01 956077327 Sharp HealthCare SHAR 8584995150 8695 Spectrum Center Blvd San Diego CA 921231489 Ann Pumpian 8584995150 2011-08-02 0 8585357200 2009 2016-02-24 21:20:13Z Michael Murphy 8695 Spectrum Center Blvd San Diego CA 921231489 1088944961 0 X www.sharp.com X 1946 CA See Schedule O for Organization's most significant activities. 25 19 10415 0 126646 0 1080531 1261303 856206370 891498912 9282333 10073822 31050145 31851623 897619379 934685660 3282935 90698 0 246982388 266593632 0 3040499 647976738 670033471 898242061 936717801 -622682 -2032141 1103080873 1230204619 1214449806 1330290304 -111368933 -100085685 See Schedule O. 0 0 679971504 90698 891498912 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 679971504 1 1 0 1 0 0 0 0 1 1 0 1 0 1 1 0 0 0 0 0 0 1 0 1 1 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 1 1 1 0 1 1013 0 1 10415 1 1 1 1 CJ 0 0 0 0 0 0 0 25 19 0 0 0 0 0 0 0 1 1 0 0 1 1 1 0 1 1 1 1 1 1 CA NC X Staci Dickerson 8584995150 8695 Spectrum Center Boulevard San Diego CA 921231489 Dierdre Alpert 3.00 X X 0 0 0 Anette Asher 1.50 X 0 0 0 Donald C Balfour MD 10.00 X 600 0 0 James S Brown 3.00 X 0 0 0 Timothy M Considine 2.00 X X 0 0 0 VAdm Walter Davis USN Retired 2.00 X 0 0 0 Margaret Elizondo MD 2.00 X 0 56717 0 Sergio Flores MD 2.00 X 0 0 0 Philip T Gildred 2.00 X 0 0 0 Peter Hanson MD 6.00 X 0 0 0 Francisco Hernandez MD 2.00 X 0 0 0 Robert Kelly 1.00 X 0 0 0 Henry M Killmar 3.00 X 0 0 0 Yvonne W Larsen 2.00 X X 0 0 0 Jose Lira MD 0.50 X 0 0 0 L Daniel Malcolm 3.00 X 0 0 0 Richard Mejia Jr 2.00 X 0 0 0 Lori Moore 2.00 X 0 0 0 Michael A Morton 2.00 X 0 0 0 Michael W Murphy 48.00 X X 1361469 0 80638 L Robert Payne 2.00 X 0 0 0 Regina A Petty 2.00 X 0 0 0 Kenneth Roth MD 10.00 X 0 38250 0 James B Smith 2.00 X X 0 0 0 Geoffrey M Stiles MD 2.00 X 0 39411 0 Gordon L Witter Jr 2.00 X 0 0 0 Simon Wong 1.30 X 0 0 0 Carlisle C Lewis III 50.00 X 803492 0 43399 Ann R Pumpian 45.00 X 926397 0 36429 Christopher L Boyd 0.10 X 615185 0 27212 Daniel L Gross 60.00 X 1072929 0 44666 Marcia K Hall 0.10 X 429217 0 32095 Mary L Henrikson 0.10 X 395293 0 11889 Kathleen R Lencioni 0.10 X 389203 0 2854 William S Littlejohn 0.10 X 519460 0 27200 Donna J Mills 40.00 X 780721 0 11120 Timothy B Smith 0.10 X 588369 0 13597 William A Spooner 65.00 X 710882 0 47624 Michele T Tarbet 0.10 X 719796 0 35871 Alison J Fleury 35.00 X 437361 0 22210 John E Jenrette 60.00 X 469794 0 8028 Brian T Miller 50.00 X 332582 0 6839 Michael G Plopper 0.10 X 397618 0 23243 Nancy G Pratt 50.00 X 524295 0 21598 11474663 134378 496512 971 0 1 1 Sodexho & Affiliates PO Box 536922 Atlanta GA 303536922 Management/Catering 46373703 Sharp Rees Stealy Medical Group 4000 Ruffin Road Suite E San Diego CA 92123 Medical Services 28110810 Rady Children's Hospital San Diego 3020 Childrens Way MC 5002 San Diego CA 92123 Medical Services 14131135 Emergency and Acute Care Medical 440 Stevens Avenue Suite 150 Solana Beach CA 92075 Medical Services 13917821 San Diego Dialysis Services PO Box 52432 Phoenix AZ 850722432 Medical Services 10953073 431 1261303 1261303 Capitation Revenue 900099 371380980 371380980 Outpatient care 621110 339902222 339902222 Revenue fm Affiliated 900099 158657656 158657656 Medicare/Medicaid paym 621110 14108202 14108202 K-1 Inc Premier/Sharp 621990 4302951 4176305 126646 3146901 3146901 891498912 7402694 7402694 1146282 1146282 155781269 2878 154152145 107156 1629124 -104278 1524846 1524846 SCMG Management Fee 561000 31576743 31576743 Parking Lot 812930 126082 126082 Medical Records Copyin 900099 90937 90937 57861 57861 31851623 934685660 891372266 126646 41925445 90698 90698 4382722 4382722 207764715 81698088 126066627 8146700 2933834 5212866 30523610 12929183 17594427 15775885 6284855 9491030 468155 2520 465635 4267278 4267278 428605 428605 266565357 256679206 9886151 4265750 54878 4210872 31966115 26219370 5746745 28604841 50522 28554319 23425627 18076503 5349124 1077290 526219 551071 11373 11373 1955831 1955831 32629805 7490154 25139651 497285 191174 306111 Capitation Paid to Affi 259097995 259097995 Equipment Maintenance/R 4274162 3519014 755148 Bad Debt 3530735 3530735 Fundraising Expenses 3040499 3040499 Management Services 1910528 1910528 2016240 596556 1419684 936717801 679971504 253705798 3040499 335810 7047021 151407538 133782176 6702164 9287675 4200000 4200000 4087189 4158986 22865339 24980539 416261167 267353259 152103987 148907908 235790431 390765636 1527422 1527422 48447844 49619166 475613149 455928090 1103080873 1230204619 116526916 134221740 4142144 6997282 494146269 473940870 599634477 715130412 1214449806 1330290304 X -155881803 -145966447 39984183 41346936 4528687 4533826 -111368933 -100085685 1103080873 1230204619 X 0 1 1 X 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 1 0 0 0 0 1 19978 1 179798 0 199776 0 Part II-B, Line 1i: Explanation of Other Lobbying Activities: Sharp HealthCare attempts 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. 4126569 7529 711976 66047 4780027 4261998 -18528 -50397 66504 4126569 0.01000 0.99000 0 1 1 24290893 24290893 45105819 13834098 31271721 44409504 28124429 16285075 296645935 225394732 71251203 5809016 5809016 148907908 Unamortized Financing Costs 93169 Yield Curve Swap 4521188 Other Long Term Assets 3784586 Other Long Term Investments 4042646 Rec fm Related Org for Alloc Tax Exempt Bond Balance 442422501 Other Misc Receivables 1064000 455928090 Intercompany Payables 631589656 Deferred Rent Expense 5095081 Reserve for Malpractice 4000000 LT Pension Liability 19436907 Workers Compensation 40461314 Other LT Liabilities 1467911 Mk to Mkt Swaps 6276494 Basis Swaps 247882 Capital Leases 6555167 715130412 934685660 936717801 -2032141 14269011 -953622 13315389 11283248 945036947 14269011 14269011 930767936 428605 3489119 3917724 934685660 936334062 0 936334062 428605 -44866 383739 936717801 Part V, Line 4: Description of Intended Use of Endowment Funds: Sharp HealthCare Foundation holds 7 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. Part XI, Line 8 - Other Adjustments: Book/tax difference on partnership interest-Premier: -3028349. Book/tax difference on partnership interest-MRI: 48892. Current Year Other Comprehensive Income: 854512. Beneficial interest in Sharp HealthCare Foundation: 1171323. Part XII, Line 4b - Other Adjustments: Parternership Income, Book/tax difference Premier: 3028356. Book/tax difference MRI: -48892. Discontinued operations expenses: -44873. Capital contributions: 554528. Part XIII, Line 4b - Other Adjustments: Flow through from Premier K-1: 7. Discontinued operations expenses: -44873. 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, 2010 and 2009, no such assets or liabilities were recorded. Central America and the Caribbean 0 1 Program Services Payments for management of insurance captive services and insurance premium payments to captive. 4756054 0 1 4756054 1 Sharp HealthCare Foundation 8695 Spectrum Center Blvd San Diego CA 92123 953492461 501(c)(3) 5270 Program Support Business Improvement District Council 1010 Second Avenue Suite 1835 San Diego CA 92101 330607406 501(c)(6) 10000 December Nights Community Sponsorship Las Patronas PO Box 1888 La Jolla CA 92039 956051480 501(c)(3) 5500 Jewel Ball Sponsorship 2 1 Procedure for Monitoring Grants in the U.S.: Part I, Line 2: Schedule I, Part I, Line 2: The Management team evaluates requests for contributions from outside organizations taking into account how they align with the organization's mission. No monitoring is done after grants are made. X 1 1 X X X X X 0 1 0 0 0 0 0 0 0 Donald C Balfour MD 600 0 0 0 0 0 0 0 0 0 600 0 0 0 Michael W Murphy 856592 0 142121 0 362756 0 67041 0 13597 0 1442107 0 329757 0 Carlisle C Lewis III 439221 0 75851 0 288420 0 30468 0 12931 0 846891 0 255420 0 Ann R Pumpian 506875 0 80701 0 338821 0 23388 0 13041 0 962826 0 305821 0 Christopher L Boyd 382315 0 53889 0 178981 0 14661 0 12551 0 642397 0 145981 0 Daniel L Gross 638624 0 104605 0 329700 0 34683 0 9983 0 1117595 0 275354 0 Marcia K Hall 262081 0 44826 0 122310 0 26348 0 5747 0 461312 0 101206 0 Mary L Henrikson 283253 0 44326 0 67714 0 1984 0 9905 0 407182 0 42006 0 Kathleen R Lencioni 259933 0 48528 0 80742 0 1790 0 1064 0 392057 0 50242 0 William S Littlejohn 280826 0 49926 0 188708 0 13627 0 13573 0 546660 0 145701 0 Donna J Mills 550601 0 64941 0 165179 0 5115 0 6005 0 791841 0 148679 0 Timothy B Smith 494838 0 65625 0 27906 0 0 0 13597 0 601966 0 27906 0 William A Spooner 400700 0 68777 0 241405 0 37641 0 9983 0 758506 0 218905 0 Michele T Tarbet 444506 0 62726 0 212564 0 22274 0 13597 0 755667 0 196064 0 Alison J Fleury 240168 0 43927 0 153266 0 17050 0 5160 0 459571 0 120266 0 John E Jenrette 378819 0 57665 0 33310 0 2205 0 5823 0 477822 0 16810 0 Brian T Miller 250770 0 39403 0 42409 0 1165 0 5674 0 339421 0 25909 0 Michael G Plopper 323338 0 42414 0 31866 0 16370 0 6873 0 420861 0 0 0 Nancy G Pratt 300477 0 52261 0 171557 0 12265 0 9333 0 545893 0 138557 0 Part I, Line 1a Monthly dues paid to the University Club for Michael Murphy, President/CEO and Daniel Gross, EVP Hospital Operations. This amount was for business purposes and, therefore, was not reported as taxable income. Part I, Line 4b: Sharp HealthCare ("Company") sponsored the Executive Flexible Benefit Plan ("Old Plan") detailed below to provide designated executives with a reasonable level of benefits, while providing those executives with a greater choice of benefits. The Old Plan was restated effective December 31, 2008, and all participant balances held in the Capital Accumulation Account at that time were paid out to the participants in February 2009. The Old Plan was administered on a Plan Year basis of January 1 to December 31. Changes in Flexible Benefit Options were permitted annually, effective January 1 of the new Plan Year. The Old Plan was 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 equaled the sum of the following: - A company provided base allowance equal to 12% 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. - A participant may convert up to 10 paid leave days for additional Flexible Benefit Allowance each Plan Year. Each paid leave day shall be converted to Flexible Benefit Allowance at the rate of the participant's base salary divided by 260. The participant made the benefit election for a Plan Year by submitting to the Company, prior to the end of the preceding calendar year, a completed written election in the form provided by the Company. A participant's benefit election for any Plan Year was irrevocable. A participant could apply the Flexible Benefit Allowance to obtain long-term disability coverage, long-term care coverage, flexible survivor coverage/accumulation benefits (life insurance), and/or have the Flexible Benefit Allowance credited to a Capital Accumulation Account. For each such credit to a Capital Accumulation Account, the participant designated a deferred vesting date that was the earlier of (i) the date the participant elected that was at least five years after the first day of the Plan Year for which such election is made, or (ii) the later of the participant's 64th birthday or two years after the first day of such Plan Year. The participant could elect to postpone the original deferred vesting date for each Capital Accumulation Account one time by selecting a new deferred vesting date that was at least five years after the original deferred vesting date. If the participant (i) voluntarily separated from service with the Company, or (ii) was involuntarily separated from service with reasonable cause, the participant was entitled to receive Capital Accumulation Account benefits only if the participant did not enter into competition with the Company during the 24-month period following the participant's separation from service. If the participant entered into competition with the Company during such period, the participant forfeited all rights to receive any unpaid Capital Accumulation Account benefit under this Plan. Sharp HealthCare ("Company") sponsors an Executive Flexible Benefit Plan ("New Plan") to provide designated executives with a reasonable level of benefits in return for their continued employment with the Company. The New 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 New Plan, which were restated effective as of December 31, 2008, are described below as restated. The New 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 New 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. For calendar year 2009, the following individuals had deferrals, distributions, or both. Michael Murphy: distributions - $329,757 Daniel Gross: distributions - $275,354 Ann Pumpian: distributions - $305,821 Carlisle C. Lewis III: distributions - $255,420 Michele Tarbet: distributions - $196,064 William Spooner: distributions - $218,905 Timothy Smith: distributions - $27,906 Christopher Boyd: distributions - $145,981 Donna Mills: distributions - $148,679 William Littlejohn: distributions - $145,701 Marcia Hall: distributions - $101,206 Mary Henrikson: distributions - $42,006 Kathleen Lencioni: distributions - $50,242 Nancy Pratt: distributions - $138,557 John Jenrette: distributions - $16,810 Alison Fleury: distributions - $120,266 Bryan Miller: distributions - $25,909 Supplemental Information Part III Compensation was paid to Dr. Donald Balfour through Donald C. Balfour MD Inc., for two honorariums by Sharp HealthCare. He was compensated directly by Donald C. Balfour MD Inc. ABAG Finance Authority for Nonprofit Corporations 943130123 00037CFB1 2003-07-23 29872264 See Schedule O for details. 0 0 ABAG Finance Authority for Nonprofit Corporations 943130123 NoneAvail 2004-06-08 45000000 See Schedule O for details. 0 0 ABAG Finance Authority for Nonprofit Corporations 943130123 00037CNR7 2009-02-12 60000000 See Schedule O for details. 0 0 ABAG Finance Authority for Nonprofit Corporations 943130123 00037CPH7 2009-07-22 137265605 See Schedule O for details. 0 0 ABAG Finance Authority for Nonprofit Corporations 943130123 00037CPN4 2009-09-02 99880000 See Schedule O for details. 0 0 30856296 3000000 246575 27392721 2006 0 0 1 1 45834161 45834161 2006 0 0 1 1 60000000 60000000 1 0 1 1 137733907 12392829 12500000 26860717 85672760 1 0 1 1 99880000 99880000 1 0 1 1 0 1 1 1 1 0.01050 0.00000 0.01050 1 0 1 1 1 1 0.02890 0.00000 0.02890 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 1 0.02590 0.00000 0.02590 1 0 0 0 NA 0 NA 0 0 0 0 0 NA 0 NA 0 0 0 1 0 NA 0 NA 0 0 0 0 0 NA 0 NA 0 0 0 1 1 Citibank NA 21.200000000000 0 NA 0 0 Christopher Williams See Schedule O 35212 See Schedule O 0 Sharp Rees-Stealy Medical Group See Schedule O 88735154 See Schedule O 0 Sharp Community Medical Group See Schedule O 278381 Medical Fees 0 Form 990, Part VI, Section B, line 11 The final Form 990 is placed on the organization's intranet, prior to the filing date, where it is viewable for comment from all members of the governing body. The review process includes multiple levels of review including key corporate and entity finance department personnel comprised of the Director of Tax & Accounting, Vice President of Finance, Senior Vice President and Chief Financial Officer, and entity Chief Financial Officer. Additionally, the organization contracts with Ernst & Young, an independent accounting firm, for review of the Form 990. Form 990, Part VI, Section B, line 12 The Corporation 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. This particular component of the policy was not done in fiscal 2010, but steps are being taken to ensure this will be completed annually going forward. All other aspects of the conflict of interest policy were followed and enforced. 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 Sharp HealthCare 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" or a "no cause" basis by the action of the member. Form 990, Part VI, Section B, line 15 The Personnel Committee of Sharp HealthCare retains an independent compensation consulting firm to review the total compensation paid to executive management (CEO/President, Executive Vice President of Hospital Operations, and Senior Vice Presidents) and compares it to the total compensation paid to similar positions with like institutions. The information is presented to the Personnel Committee of the Board of Directors by the independent consultant. The Personnel Committee is comprised of Board members who are not physicians and who are not compensated in any way by the organization. The Personnel Committee approves the total compensation for the President/Chief Executive Officer and reviews and approves the compensation and compensation salary ranges for the remainder of the executive team. The Personnel Committee presents its decision to the Board of Directors. The Personnel Committee retains minutes of its meetings. The Compensation and Benefits 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 and Benefits department and is presented to the President/Chief Executive Officer, the Executive Vice President of Hospital Operations and the appropriate Senior Vice President for review and approval. The compensation study was last conducted in February/March 2011, and November/December 2008 before that. Form 990, Part VI, Section C, line 19 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) 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 VII, Section A: Hours Per Week Dedicated to Related Organizations Michael W. Murphy - 2-Sharp Memorial Hospital, 2-Grossmont Hospital Corporation, 2-Sharp Chula Vista Medical Center, 2-Sharp Coronado Hospital and Healthcare Center, 2-Sharp Health Plan, 2-Sharp HealthCare Foundation Carlisle C. Lewis III - 10-Sharp Memorial Hospital, 8-Grossmont Hospital Corporation, 5-Sharp Chula Vista Medical Center, 5-Sharp Coronado Hospital and Healthcare Center Ann Pumpian - 3-Sharp Memorial Hospital, 3-Grossmont Hospital Corporation, 3-Sharp Chula Vista Medical Center, 3-Sharp Coronado and Healthcare Center, 5-Sharp Health Plan Anette Asher - 3-Sharp HealthCare Foundation James Brown - 3-Sharp Memorial Hospital Philip L. Gildred - .25-Sharp HealthCare Foundation Henry Killmar - 1-Sharp HealthCare Foundation Kenneth Roth, M.D. - 2-Sharp HealthCare Foundation Geoffrey Stiles, M.D. - 2-Sharp Memorial Hospital Alison J. Fleury - 1-Sharp Health Plan Schedule K, Part I, Line A: Tax Exempt Bond Issue 2003C The purpose of this bond issuance is to provide funds for the expansion and capital improvements at two hospital entities and to provide for a debt service reserve fund. Schedule K, Part I, Line B: Tax Exempt Bond Issue 2004 The purpose of this bond issuance is to provide funds for major equipment at five entities. Schedule K, Part I, Line C: Tax Exempt Bond Issue 2009A The purpose of this bond issuance is to refund the Series 2003A&B Auction Rate Securities. Schedule K, Part I, Line D: Tax Exempt Bond Issue 2009B 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, to refund a portion of the 2003B Auction Rate Securities and to provide for a debt service reserve fund. Schedule K, Part I, Line E: Tax Exempt Bond Issue 2009CD The purpose of this bond issuance is to refund the Series 2007A&B Statewide Easy Equipment Program (SWEEP) bonds. Schedule L, Part IV Business Transactions Involving Interested Persons Christopher Williams was compensated $35,212 as an employee of Sharp HealthCare. Mr. Williams is the brother of Marcia Hall, who is a key employee of Sharp HealthCare. Donald C. Balfour, M.D. is a director on Sharp HealthCare's Board and is the President and Medical Director of Sharp Rees-Stealy Medical Group ("SRSMG"). SRSMG has contracted with Sharp HealthCare ("SHC") to provide professional medical services in clinic facilities owned and operated by SHC for which SRSMG pays SHC a percentage of SRSMG's professional services revenue. SHC's revenues resulting from the SRSMG contract totaled $116,845,965 in calendar year 2009. SHC also pays SRSMG for certain medical fees and medical related purchased services. These payments from SHC to SRSMG totaled $28,110,810 in calendar year 2009. The net of these totals, $88,735,154, is the figure reported on Schedule L. Sergio Flores, M.D. is a director on Sharp HealthCare's Board and is an Officer/Director of Sharp Community Medical Group. Form 990, Part I, Line 1: Organizations's Most Significant Activities 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. Form 990, Part III, Line 1: 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. Form 990, Part IV, Line 24a: Tax Exempt Bond Issue 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). Form 5471 Attachment to 2009 Form 990 and Form 5471 Transferee Corporation's Information Statement Filed in Accordance with Reg. Section 1.351-3(b) Transferor Name: SHARP HEALTHCARE Taxable Year End: 9/30/2010 FEIN: 95-6077327 Transferee Name: CONTINUOUS QUALITY INSURANCE SPC (FKA CONTINUOUS QUALITY INSURANCE COMPANY, LTD.) FEIN: N/A Transferee Address: PO BOX 1092, GRAND CAYMAN CAYMAN ISLANDS, BRITISH WEST INDIES This statement is being filed with Sharp HealthCare, the transferee's, Form 5471, Information Return of U.S. Persons, with respect to the transferee, for the taxable year ended 9/30/2010. This statement is filed in accordance with Reg. Section 1.351-3(b) to disclose the details of property transferred to the above controlled corporation. The exchange took place during the year ended 9/30/2010. 1. Property received from the transferor: Contribution of cash. 2. The cost or other basis thereof in the hands of the transferor adjusted to the date of transfer: $ 4,756,053.87 3. Transferee's Corporation Stock: N/A 4. Securities of the transferee corporation: N/A 5. Amount of money paid in the exchange to the transferor: N/A 6. Other property passing to the transferor in the exchange: N/A 7. Each of the transferor's liabilities assumed by the transferee corporation: N/A Attachment to 2009 Form 990 and Form 5471 Transferor Corporation's Information Statement Filed in Accordance with Reg. Section 1.351-3(a) Transferor Name: SHARP HEALTHCARE Taxable Year End: 9/30/2010 FEIN: 95-6077327 Transferee Name: CONTINUOUS QUALITY INSURANCE SPC (FKA CONTINUOUS QUALITY INSURANCE COMPANY, LTD.) FEIN: N/A Transferee Address: PO BOX 1092, GRAND CAYMAN CAYMAN ISLANDS, BRITISH WEST INDIES This statement is being filed with Sharp HealthCare, the transferor's, Form 5471, Information Return of U.S. Persons, with respect to the transferor for the taxable year ended 9/30/2010. This statement is also being filed with Sharp HealthCare, the transferor's, Form 990, Return of Organization Exempt from Income Tax. This statement is filed in accordance with Reg. Section 1.351-3(a) to disclose the details of property transferred to the above controlled corporation. The exchange took place during the tax year ended 9/30/2010. 1. Property transferred to the transferee: Contribution of $4,756,053.87 cash 2. Information with respect to the transferee corporation's stock: (i) The kind of stock and preferences: N/A (ii) The number of shares of each class at the date of the exchange: Before the exchange: N/A After the exchange: N/A (iii) The fair market value per share of each class at the date of the exchange: N/A 3. Securities of the transferee corporation received in the exchange: N/A 4. Amount of money received: N/A 5. Other property received: N/A 6. Liabilities of the transferor assumed by the transferee Corporation: N/A Form 990, Schedule R, Part V, Line 2: The amounts in Schedule R, Part V, Line 2 were determined using the accrual basis of accounting. Form 990, Part III, Line 4b: Community Benefits Report An Overview of Sharp HealthCare Sharp is an integrated, regional health care delivery system based in San Diego, Calif. The Sharp system includes four acute care hospitals; three specialty hospitals; two affiliated medical groups; 20 medical clinics; five urgent care facilities; three skilled nursing facilities; two inpatient rehabilitation centers; home health, hospice, and home infusion programs; numerous outpatient facilities and programs; and a variety of other community health education programs and related services. Sharp offers a full continuum of care, including: emergency care, home care, hospice care, inpatient care, long-term care, mental health care, outpatient care, primary and specialty care, rehabilitation, and urgent care. Sharp also has a Knox-Keene-licensed health maintenance organization, Sharp Health Plan (SHP). Serving a population of approximately 3 million in San Diego County, as of September 30, 2010, Sharp is licensed to operate 2,060 beds, has approximately 2,600 Sharp-affiliated physicians and nearly 15,000 employees. FOUR ACUTE-CARE HOSPITALS: Sharp Chula Vista Medical Center (343 beds) The largest provider of health care services in south San Diego County, one of the fastest growing areas in California, Sharp Chula Vista Medical Center (SCVMC) operates the busiest Emergency Department (ED) in San Diego's South Bay and is the closest hospital to the busiest international border in the world. Sharp Coronado Hospital and Healthcare Center (204 beds) Sharp Coronado Hospital and Healthcare Center (SCHHC), an acute-care hospital, provides services that include sub-acute and long-term care, rehabilitation therapies, joint replacement surgery, hospice, and emergency services. Sharp Grossmont Hospital (536 beds) Sharp Grossmont Hospital (SGH) is the largest provider of health care services in San Diego's East County, and has one of the busiest EDs in San Diego County. Sharp Memorial Hospital (643 beds) A regional tertiary care leader, Sharp Memorial Hospital (SMH) provides specialized care in trauma, oncology, orthopaedics, organ transplantation, cardiology, and rehabilitation. THREE SPECIALTY-CARE HOSPITALS: Sharp Mary Birch Hospital for Women & Newborns (169 beds) A freestanding women's hospital specializing in obstetrics, gynecology, gynecologic oncology, and neonatal intensive care, Sharp Mary Birch Hospital for Women & Newborns (SMBHWN) delivers more babies than any other private hospital in California. Sharp Mesa Vista Hospital (149 beds) The largest private freestanding psychiatric hospital in California, Sharp Mesa Vista Hospital (SMV) is a premier provider of behavioral health services. Sharp Vista Pacifica Hospital (16 beds) Sharp Vista Pacifica (SVP) is San Diego County's only licensed chemical dependency recovery hospital. Collectively, the operations of SMH, SMBHWN, SMV, and SVP are reported under the nonprofit public benefit corporation of SMH. The operations of Sharp Rees-Stealy Medical Centers (SRS) are included within the nonprofit public benefit corporation of Sharp, the parent organization. The operations of Sharp Grossmont Hospital (SGH) are reported under the nonprofit public benefit corporation Grossmont Hospital Corporation. Mission Statement It is Sharp's mission to improve the health of those it serves with a commitment to excellence in all that it does. Sharp's goal is to offer quality care and services that set community standards, exceed patient expectations, and are provided in a caring, convenient, cost-effective, and accessible manner. Vision Sharp's vision is to transform the health care experience through a culture of caring, quality, service, innovation, and excellence. Sharp will be recognized by employees, physicians, patients, volunteers, and the community as the best place to work, the best place to practice medicine, and the best place to receive care. Sharp will be known as an excellent community citizen, embodying an organization of people working together to do the right thing every day to improve the health and well being of those it serves. Sharp will become the best health system in the universe. Values *Integrity -Trustworthiness, Respect, Commitment to Organizational Values, and Decision Making *Caring -Service Orientation, Communication, Teamwork and Collaboration, Serving and Developing Others, and Celebration *Innovation -Creativity, Continuous Improvement, Initiating Breakthroughs, and Self-Development *Excellence -Quality, Safety, Operational and Service Excellence, Financial Results, and Accountability Culture: The Sharp Experience For more than 10 years, Sharp has been on a journey to transform the health care experience. Through a sweeping organizational improvement initiative called The Sharp Experience, the entire Sharp team has recommitted to purpose, worthwhile work, and making a difference, and to the fundamentals that have made Sharp one of the nation's top-ranked health care systems. This renewed sense of direction has added discipline and focus to every part of the organization. Sharp is San Diego's health care leader because it remains focused on the most important element of the health care equation: the people. Through this extraordinary initiative, Sharp is transforming the health care experience in San Diego by striving to be: *The best place to work: Attracting and retaining highly skilled and passionate staff members who are focused on providing quality health care and building a culture of teamwork, recognition, celebration, and professional and personal growth. This commitment to serving patients and supporting one another will make Sharp "the best health system in the universe." *The best place to practice medicine: Creating an environment in which physicians enjoy positive, collaborative relationships with nurses and other caregivers; experience unsurpassed service as valued customers; have access to state-of-the-art equipment and cutting-edge technology; and enjoy the camaraderie of the highest-caliber medical staff at San Diego's preeminent medical institution. *The best place to receive care: Providing a new standard of service in the health care industry, much like that of a five-star hotel; employing service-oriented individuals who see it as their privilege to exceed the expectations of every patient - treating them with the utmost care, compassion and respect; and creating healing environments that are pleasant, soothing, safe, immaculate, and easy to access and navigate. Through all of this transformation, Sharp will continue to live its mission to care for all people, with special concern for the underserved and San Diego's diverse population. This is something Sharp has been doing for more than half a century. Pillars of Excellence The six pillars listed below are a visible testament to Sharp's commitment to become the best health care system in the universe by achieving excellence in these areas: Quality-Demonstrate and improve clinical excellence and patient safety to set community standards and exceed patient expectations Service-Create exceptional experiences at every touch point for customers, physicians, and partners by demonstrating service excellence People-Create a workforce culture that attracts, retains, and promotes the best and brightest people, who are committed to Sharp's mission, vision, and values Finance-Achieve financial results to ensure Sharp's ability to provide quality health care services, new technology, and investment in the organization Growth-Achieve consistent net revenue growth to enhance market dominance, sustain infrastructure improvements, and support innovative development Community-Be an exemplary community citizen Awards Sharp recently received the following recognition: Sharp is a recipient of the 2007 Malcolm Baldrige National Quality Award, the nation's highest Presidential honor for quality and organizational performance excellence. Sharp is the first health care system in California and eighth in the nation to receive this recognition. Sharp was named the No. 1 "best integrated health-care network" in California and No. 13 nationally by Modern Healthcare magazine in 2011. The rankings are part of the "Top 100 Most Highly Integrated Healthcare Networks (IHN)," an annual survey conducted by health care data analyst SDI. This is the 13th year running that Sharp has placed among the top in the state in the survey. Sharp was ranked 47th by Modern Healthcare in its 2008 "100 Best Places to Work." The awards and honors program recognizes workplaces in health care that enable employees to perform at their optimum level to provide patients and customers with the best possible care and services. SGH was named "Best Hospital" by San Diego Union-Tribune readers participating in the paper's "Best of San Diego" Readers Poll published August 2, 2010, and SMH was ranked 3rd. This marks the 3rd year in a row that Sharp received this honor. SGH and SMH have both received MAGNET Designation for Nursing Excellence by the ANCC. The Magnet Recognition Program is the highest level of honor bestowed by the ANCC and is accepted nationally as the gold standard in nursing excellence. Sharp was named one of the nation's "Most Wired" health care systems from 1998 through 2009 by Hospitals & Health Networks magazine in the annual Most Wired Survey and Benchmark Study. "Most Wired" hospitals are committed to using technology to enhance quality of care for both patients and staff. In July 2010, SMH was named the "Most Beautiful Hospital in America" by Soliant Health, one of the largest medical staffing companies in the country. With over 10,000 votes from visitors to the Soliant Health website, SMH was voted to the top of the second annual "20 Most Beautiful Hospitals in America" list. In 2010 Sharp received the Morehead Apex Workplace of Distinction Award. Morehead awards the health care industry's top achievers by objectively identifying the highest performers and acknowledging their contributions to health care. Morehead recognizes clients who have reached and sustained the 90th percentile on their employee engagement surveys in the current calendar year. Sharp reached the 98th percentile in 2010. Patient Access to Care Programs Uninsured patients with no ability to pay, and insured patients with inadequate coverage and no ability to pay, receive financial assistance for medically necessary services through Sharp's Financial Assistance Program. Sharp does not refuse any patient requiring emergency medical care. In FY 2010, Sharp began providing services to assist every unfunded patient received in the emergency room in finding coverage options. Patients use a quick, simple online questionnaire through the Foundation for Health Coverage Education to generate personalized coverage options that are filed in their account for future reference and accessibility. Also in FY 2010, Sharp began offering ClearBalance - a specialized loan program for patients facing high medical bills. Through this collaboration with San Diego-based CSI Financial Services, both insured and uninsured patients have the opportunity to secure small bank loans in order to pay off their medical bills in low monthly payments - as low as $25 per month - and thus prevent unpaid accounts from going to collections. Through this program, Sharp provides a more affordable alternative for patients that struggle with the ability to resolve their hospital bills. In addition, Sharp provides post-acute care facilitation for high-risk patients, including the homeless and patients lacking a safe home environment. Patients receive assistance regarding transportation and placement, as well as connections to community resources. Through a collaboration with the San Diego Rescue Mission, SCHHC, SGH, and SMH discharge their chronically homeless patients to the Rescue Mission's Recuperative Care Unit, where patients not only receive follow-up medical care through Sharp in a safe environment, but through the organization's programs they also receive psychiatric care, substance abuse counseling, and guidance to help get them off the street. In addition, since December 2008, SCVMC has partnered with Family Health Centers of San Diego (FHCSD)to provide timely access to primary care and behavioral health services by establishing medical homes for low-income, medically uninsured, and underserved patients in the South Bay that present in the SCVMC ED. The program seeks to: support Safety Net patients suffering from chronic conditions to better manage their pain, diseases, and overall health care; educate Safety Net patients about obtaining affordable medications through a community clinic; increase patient access and timely referrals to primary care and behavioral health services; increase patient access to follow-up primary care services and establish a medical home at either FHCSD Chula Vista Clinic or other clinics; and offer enhanced access to transportation resources to the hospital and/or clinics. Since the grant with FHCSD, SCVMC has served a total of 1,248 Safety Net patients, 55 percent of whom were referred to the FHCSD - Chula Vista Clinic. Health Professions Training Internships Students and recent health care graduates are a valuable asset to the community, and Sharp demonstrates a deep investment in these potential and newest members of the health care workforce through internships, financial aid, and career pipeline programs. In FY 2010, there were 4,745 student interns within the Sharp system, providing more than 550,000 hours in disciplines that include nursing, allied health, and professional educational programs. Sharp provides education and training programs for students in the continuum of nursing (e.g., critical care, medical/surgical, behavioral health, women's services, and wound care) and allied health professions such as rehabilitation therapies (speech, physical, occupational, and recreational therapy), pharmacy, dietetics, lab, imaging (all the radiology professions), social work, psychology, and public health. Students from local community colleges such as Grossmont College, Mesa College, and Southwestern College (SWC); local and national university campuses such as San Diego State University (SDSU), University of California, San Diego (UCSD), University of San Diego (USD), Point Loma Nazarene University (PLNU), and University of Oklahoma (OU); and vocational schools such as Kaplan College participate in Sharp's health professions training. Table 1 presents the students and student hours at each of the Sharp entities in FY 2010. Table 1: Sharp HealthCare Internships - FY 2010 Sharp Chula Vista Medical Center Nursing 859 Students 57,304 Group Hours 17,613 Precepted Hours Ancillary 142 Students 35,695 Hours Total 1,001 Students 110,612 Hours Sharp Coronado Hospital and Healthcare Center Nursing 493 Students 53,664 Group Hours 2,548 Precepted Hours Ancillary 100 Students 19,796 Hours Total 593 Students 76,008 Hours Sharp Grossmont Hospital Nursing 913 Students 58,750 Group Hours 22,755 Precepted Hours Ancillary 237 Students 47,544 Hours Total 1,150 Students 129,049 Hours Sharp Mary Birch Hospital for Women & Newborns Nursing 231 Students 11,876 Group Hours 12,024 Precepted Hours Ancillary 26 Students 6,529 Hours Total 257 Students 30,429 Hours Sharp Memorial Hospital Nursing 738 Students 44,571 Group Hours 23,827 Precepted Hours Ancillary 323 Students 67,399 Hours Total 1,061 Students 135,797 Hours Sharp Mesa Vista Hospital Nursing 328 Students 25,870 Group Hours 2,857 Precepted Hours Ancillary 11 Students 3,666 Hours Total 339 Students 32,393 Hours Sharp HealthCare Nursing 199 Students 0 Group Hours 8,990 Precepted Hours Ancillary 145 Students 26,778 Hours Total 344 Students 35,768 Hours Total Nursing 3,761 Students 252,035 Group Hours 90,614 Precepted Hours Ancillary 984 Students 207,407 Hours Total 4,745 Students 550,056 Hours College Collaborations Sharp's partnership with the OU College of Nursing, SDSU and SWC provides clinical, real-world experience in San Diego County for students enrolled in the OU Online Accelerated Second Degree Bachelor of Science in Nursing (BSN) Program and the OU Career Mobility Registered Nurse (RN) to BSN Program. The partnership seeks to boost the number of new nurse graduates by offering programs with increased flexibility and access for students. The Accelerated Second Degree BSN Program is for individuals with a bachelor's degree or higher in a non-nursing major. The program includes more than 600 hours of online coursework and nearly 900 hours of clinical experience at Sharp facilities. Candidates may earn a BSN from OU in 14 months, as well as become eligible to sit for the National Council Licensing Examination for Registered Nurses (NCLEX-RN). The Career Mobility RN to BSN Program offers licensed RNs an accelerated education to achieve a BSN from OU within nine months, providing them with greater opportunity for career mobility and advancement. The Career Mobility RN to BSN Program began in May 2006, and the OU Online Accelerated Second Degree BSN Program began in August 2007. The first Career Mobility RN to BSN class graduated students in May 2007. In December 2008, the first Accelerated Second Degree BSN class graduated students. The Health Academy The SCVMC Health Academy educates the next generation of health care professionals by introducing local elementary school students to a wide variety of health care careers. Since 2005, this program has provided hospital tours to hundreds of fifth graders who have benefited from interactive learning in various areas of the hospital, including the laboratory, pharmacy, and billing departments. In the fall of 2008, a two-year grant from the California Endowment allowed for the expansion of the program to provide a diversity initiative to high school students. The Health Care Career Pipeline Partnership (HCCPP) represents collaboration among the hospital, Barrio Logan College Institute (BLCI), San Ysidro High School (SYHS), SWC, Harder and Associates, and the San Diego chapter of the National Association of Hispanic Nurses. The program has had tremendous success since its inception, and in FY 2009, SCVMC won a partnership award from the San Diego Science Alliance for its work in the HCCPP. The award recognizes a San Diego business or employer that partners with youth in the community. Health Sciences High and Middle College Sharp has teamed up as an industry partner with charter school Health Sciences High and Middle College (HSHMC) to provide students broad exposure to careers available in health care. During FY 2010, 386 HSHMC students participated on Sharp campuses for a total of more than 102,000 student hours. The collaboration between Sharp and HSHMC prepares high school students to consider and enter health science and medical technology careers within the following five career pathways: Biotechnology Research and Development, Diagnostic Services, Health Informatics, Support Services, and Therapeutic Services. During a 16-week period, supervised students rotate through instructional pods in various departments such as nursing, ob/gyn, occupational and physical therapy, behavioral health, Surgical Intensive Care Unit (SICU), Medical Intensive Care Unit (MICU), imaging, rehabilitation, laboratory, pharmacy, pulmonary, cardiac services, and operations. HSHMC students not only receive hands-on experience in patient care, but also guidance from Sharp staff on professionalism, career ladder development, and job/education requirements. HSHMC students earn high school diplomas, complete college entrance requirements, and have opportunities to earn community college credits, degrees, or vocational certificates. With the HSHMC program, Sharp links students with health care professionals through job shadowing and internships, to explore real-world applications of their school-based knowledge and skills. The program began in 2007 with HSHMC students on the campuses of SGH and SMH, and expanded to include SMV and SMBHWN in 2009, and to SCHHC in 2010. Lectures and Continuing Education Sharp contributes to the academic environment of many colleges and universities in San Diego. In FY 2010, Sharp staff committed more than 500 hours providing lectures, courses, and presentations on numerous college/university campuses throughout San Diego. Through the delivery of a variety of guest lectures, including The Role of the Clinical Nurse Specialist at PLNU, Conceptual Basis of Professional Nursing Practice at USD, health information lectures at Mesa College, pharmacy practice lectures at UCSD, and a variety of health administration lectures to public health graduate students at SDSU, Sharp staff remain active and engaged with San Diego's academic health care community. Sharp's Continuing Medical Education (CME) department assesses, designs, implements, and evaluates educational and training initiatives for Sharp's affiliated physicians, pharmacists, and other health professionals to better serve the health care needs of the San Diego community. In FY 2010 the professionals at Sharp HealthCare CME invested more than 930 hours in myriad CME activities open to San Diego health care providers, ranging from annual conferences on patient safety, diabetes, breast cancer, and end-of-life care, to presentations on Just Culture and Transforming Primary Care Through Patient-Centered Medical Homes. In addition, the Outcomes Research Institute (ORI) at Sharp was formed to measure long-term results of care and to promote and develop best practices for health care delivery for members of the professional health care community. With both inpatient and ambulatory locations and a diverse patient population, Sharp is well-positioned to study care processes and outcomes in a "real world" setting, reflecting an authentic picture of the health care environment. Among its current and future goals, the ORI aims to analyze the relationships between processes and outcomes for treatments, interventions, and quality improvement initiatives as well as to develop and disseminate knowledge regarding effective approaches to quality care delivery in the health care community. Volunteer Service Sharp Lends a Hand In FY 2010, Sharp continued its systemwide community service program, Sharp Lends a Hand, to further support the San Diego communities it serves. In October 2009, Sharp promoted the program both internally and in the community, requesting project ideas that: focused on improving the health and well-being of San Diego in a broad, positive way; relied on Sharp for volunteer labor only; supported nonprofit initiatives, community activities or other programs that serve the residents of San Diego County; and had a completion date by September 30, 2010. Sharp employees voted on the qualified projects posted on SharpNET. They selected six projects: Stand Down for Homeless Veterans, San Diego Food Bank, California Coastal Cleanup, Special Olympics, YWCA Becky's House, and the Monarch School. In support of these projects, more than 1,600 Sharp employees, family members, and friends volunteered nearly 5,500 hours. During three days in July 2010, 425 Sharp employees, family members, and friends provided support, medical services, and companionship, to hundreds of homeless veterans at Stand Down for Homeless Veterans, an annual event sponsored by Veterans Village of San Diego. The San Diego Food Bank feeds people in need throughout San Diego County, and advocates and educates the public about hunger-related issues. During March, May, and August 2010, 831 Sharp Lends a Hand volunteers inspected and sorted donated food, assembled boxes, and cleaned the San Diego Food Bank warehouse. In addition, in 2010 Sharp employees collected 413 pounds of food for the San Diego Food Bank, enough to feed 323 people. Becky's House provides emergency shelter and transitional housing to women and children who have been victimized by domestic violence. Fifteen Sharp Lends a Hand volunteers gave the shelter some much needed "tender love and care," by painting one of the transition housing units and children's play areas in February 2010. The Monarch School provides education, health care, food, clothing, and personal hygiene for some of San Diego's estimated 2,200 homeless and at-risk children. In August 2010, a small group of Sharp Lends a Hand volunteers helped by painting and cleaning the school grounds and classrooms. More than 125 Sharp Lends a Hand volunteers provided assistance to San Diego County's Special Olympics year-round training and athletic competitions. Special Olympics of San Diego County has more than 1,400 athletes of all ages. The program provides sports training and athletic competition for all children and adults with intellectual disabilities. The volunteers assisted with timekeeping, score-keeping and cheerleading during the Spring Games, which included swimming, basketball, and bocce ball competitions. The Sharp Lends a Hand team participated with I Love a Clean San Diego and San Diego Coastkeeper to put the sparkle back in the San Diego community through the California Coastal Cleanup. More than 200 volunteers of all ages helped keep San Diego's coast a beautiful place to live and play by picking up and removing trash and debris from 16 selected sites in our communities. Sharp Humanitarian Service Program In FY 2010, 22 Sharp employees were funded through Sharp's Humanitarian Service Program. This program allows employees to participate in service programs that provide health care and/or other supportive services to underserved or adversely affected populations. In FY 2010, Sharp employees devoted their time and energy to organizations that included Wheels for the World, which provides wheelchairs to people with disabilities in developing countries, including Egypt and Ghana. Sharp staff worked out of a regional hospital in rural Ghana (West Africa) at a seating and positioning clinic where patients - many who had been crawling for most of their lives - received therapy sessions and their first wheelchairs. Sharp staff also participated in the Mission of Natuvu Creek, a nonprofit charitable foundation that in 10 years expanded its original clinic to a state-of-the-art medical and dental facility on the eastern coast of Vanua Levu, Fiji's second largest island. The facility serves the vastly underserved region of 250,000, where people travel by boat, bus, trucks, and foot - often up to 14 hours - to receive care. Sharp staff provided various services, including eye exams and eye surgeries (cataract / pterygium). Through the Sharp Humanitarian Service Program, Sharp staff provided extensive support and expertise to victims of the earthquakes that devastated Haiti in January 2010. Sharp-affiliated physicians and Sharp staff provided medical services including wound care, post-op treatment, neurological and orthopedic rehabilitation, occupational therapy, and general public health service, as well as equipment and supplies to those in need. Sharp staff often devoted around-the-clock hours to care for patients affected by the earthquakes - whose ages ranged from neonates to the elderly - at various sites throughout Haiti. At the Hospital de Adventiste in Carrefours, Haiti, Sharp staff worked in an ER triage setting treating between 150 and 200 patients per day. Sharp staff also traveled to the project Medishare field hospital in Port-au-Prince to provide critical care, trauma care, and ICU treatment. In Milot, Haiti, Sharp staff provided physical therapy and education to earthquake survivors, including training amputees on how to use their new prostheses, leading group exercise classes, and providing activities for children. Staff provided care, comfort, support, and hope amidst a situation of complete and utter chaos, including the challenges of limited medical supplies and unsanitary living conditions. A systemwide effort was also developed to provide all Sharp employees with the opportunity to offer a variety of resources, including funds, food, water, medical supplies, and equipment to assist those areas of Haiti impacted by the earthquakes. In addition, a team of four physicians from the SGH medical staff provided critical medical services to a badly damaged but still-standing abandoned hospital in Port-au-Prince. The team encountered more than 1,500 people crowded into a tent city on the grounds, many with serious injuries. In just over four days, the physicians performed more than 40 procedures - many of them limb - and life-saving - and treated several hundred more victims non-operatively. By the time they departed, the physicians were able to get four operating rooms functioning again in order to set the stage for additional medical volunteers to treat more victims. In addition, the Sharp Humanitarian Program continued its support of and participation in a medical mission trip to Joyaba, Guatemala through HELPS International, a nonprofit relief organization. The medical/surgical team delivered needed medical care to rural Guatemala during their medical mission, providing a range of critical services, both basic and complex, including treatments for a variety of infections and diseases, such as cancer; an array of surgeries, including cataract surgery and amputation; and a multitude of screenings and diagnoses for patients who had not seen a physician in years - many in their entire lives. This effort began in FY 2009, when a Sharp-affiliated surgeon led a team of 94 medical and surgical professionals from Southern California on a medical mission trip to Joyaba. Community Walks Sharp is a proud supporter of the American Heart Association (AHA) annual Heart Walk. In September 2010, more than 1,000 walkers represented Sharp at the San Diego Heart Walk held in Balboa Park. Sharp was seated the No. 1 Heart Walk team in San Diego and the AHA Western Region Affiliates, raising more than $180,000 for the American Heart Association. Sharp Volunteers Sharp volunteers are a critical component of Sharp's dedication to the San Diego community. Sharp provides a multitude of volunteer opportunities throughout San Diego County for individuals to serve the community, meet new people, and assist programs ranging from pediatrics to Senior Resource Centers. Volunteers devote their time and compassion to patients as well as to the general public, and are an essential element to many of Sharp's programs, events, and initiatives. Sharp volunteers spend their time within hospitals, in the community, and in support of the Sharp HealthCare Foundation, Grossmont Hospital Foundation, and Coronado Hospital Foundation. Sharp employees also donate time to Sharp as volunteers for the Sharp organization. In FY 2010, there were more than 2,200 total volunteers across the Sharp system, contributing 268,958 hours of their time in service to Sharp and its initiatives. More than 22,000 of these hours were provided externally to the San Diego community through activities such as delivering meals to homebound seniors and assisting with health fairs and events. Table 2 details the number of volunteers and the hours provided in service to each of Sharp's entities, as well as Sharp HospiceCare, specifically for patient and community support. Volunteers also spent additional hours supporting Sharp's three foundations for events such as Grossmont Hospital Foundation's annual Golf Tournament; the SMBHWN Stewardship Committee; galas held for SCVMC, SCHHC, and SGH; and other events in support of Sharp entities and services. Table 2: Sharp Volunteers and Volunteer Hours - FY 2010 Sharp Chula Vista Medical Center 325 Volunteers (Individuals) 49,000 Volunteer Hours Sharp Coronado Hospital and Healthcare Center 165 Volunteers (Individuals) 7,396 Volunteer Hours Sharp Grossmont Hospital 902 Volunteers (Individuals) 122,814 Volunteer Hours Sharp Mary Birch Hospital for Women & Newborns 95 Volunteers (Individuals) 15,470 Volunteer Hours Sharp Memorial Hospital 555 Volunteers (Individuals) 67,115 Volunteer Hours Sharp Mesa Vista Hospital 28 Volunteers (Individuals) 2,686 Volunteer Hours Sharp HealthCare 37 Volunteers (Individuals) 4,477 Volunteer Hours TOTAL 2,107 Volunteers (Individuals) 268,958 Volunteer Hours Sharp employees also volunteer their time for the Cabrillo Credit Union Sharp Division Board, the Sharp and Children's MRI Board, the UCSD Medical Center/Sharp Bone Marrow Transplant Program Board, Grossmont Imaging LLC Board, and the SCVMC - SDI Imaging Center. In addition, volunteers on Sharp's auxiliary boards and the various Sharp entity Boards volunteer their time to provide program oversight, administration, and decision-making regarding financial resources. In FY 2010, 142 community members contributed their time to Sharp's Boards. All Ways Green Initiative As San Diego's largest private employer, Sharp recognizes that the health of its patients and employees is directly tied to the health of their environment. Sharp has developed a systemwide program called All Ways Green, aimed at improving energy efficiency, water conservation, and waste minimization, as well as the promotion of other initiatives that lower its carbon footprint. According to the Environmental Protection Agency (EPA), inpatient hospital facilities are now the second most energy-intensive industry after food service and sales, with energy utilization 2.7 times greater than that of office buildings on a square-foot basis. Unlike other industries, hospitals must operate 24 hours a day, seven days a week, and must provide service during power outages, natural disasters, and other emergencies. Given this reality, over the past year, Sharp has embarked on several green initiatives to enhance energy efficiency, such as: retrofitting to energy efficient lighting, Energy Star Program participation, energy efficient plant motor replacements, equipment modernization, and training of staff to conserve energy. SMH and SMBHWN qualified in FY 2010 for the American Society for Healthcare Engineering Energy Efficiency Commitment award for reducing energy use by 15 percent. SCVMC earned the EPA Energy Star Award and the San Diego Gas and Electric Energy Champion Award for Innovative Technology in FY 2010. In an effort to conserve natural resources, Sharp has researched and implemented infrastructure changes to ensure Sharp's facilities are optimally operated while monitoring and measuring water consumption. Such changes include: installation of motion-sensing faucets, drip irrigation systems, mist eliminators, and drought-resistant plants and other redesigns of landscaping. These changes have been implemented operationally with no negative impact to patient care, resulting in significant dollar savings and reduced natural resource consumption. Sharp employees also donated or recycled personal cell phones and proceeds were donated to the Community Health Improvement Partners (CHIP) Gift of Health program to provide medical and dental care for uninsured children in San Diego. In addition, Sharp employees were encouraged to recycle personal eyeglasses and sunglasses to provide to the Lion's Club Recycle Sight program, which distributes recycled glasses to people in need both locally and globally. In April of FY 2010, as a part of Earth Week, SCHHC held an Office Supply Swap as part of Spring Cleaning Day. Employees stocked and reused unwanted office supplies instead of tossing them into the trash. Employees were also encouraged to participate in both the CHIP Gift of Health program and the Lion's Club Recycle Sight program as part of the Spring Cleaning Day event. The EPA and Hospitals for a Healthy Environment have reported that each patient generates approximately 15 pounds of waste each day, while U.S. medical centers generate approximately 2 million tons of waste each year. In recognition of this dramatic environmental impact, Sharp has implemented a waste minimization and recycling program. One of the measures implemented to reduce waste was a single-stream recycling program at all Sharp entities. Facilities also began using reusable sharps containers that can be reused up to 500 times, as well as sterile processing equipment that allows for the elimination of blue wrapped instrument trays. At the Sharp Metropolitan Medical Campus (SMMC), employees spearheaded a program to have volunteers pick-up unwanted flower vases following patient discharge to reuse them in the hospital gift shop. Early successes in waste reduction have been significant: recycling at all Sharp facilities currently diverts some 6.2 million pounds of trash from local landfills each year. Table 3 presents the quantity of recycling at Sharp. Table 3: Sharp HealthCare Recycling Sharp Grossmont Hospital 1,560,948 Recycled Weight Per Year (lbs.) Sharp Chula Vista Medical Center 277,344 Recycled Weight Per Year (lbs.) Sharp Coronado Hospital and Healthcare Center 218,636 Recycled Weight Per Year (lbs.) Sharp Metropolitan Medical Campus 1,778,720 Recycled Weight Per Year (lbs.) Total Sharp HealthCare 6,239,840 Recycled Weight Per Year (lbs.) In FY 2010, Sharp promoted various other All Ways Green initiatives to enhance environmental responsibility. Green building designs are utilized throughout the Sharp system; SMMC, for example, participates in a Paperlite Project and placed a Green Garden on the roof of SMH. Sharp is also implementing sustainable food practices such as removal of styrofoam, reduction of plastics, and use of green-label soaps and cleaners. Sharp also promotes sustainable agricultural practices and access to healthy foods by holding frequent organic farmers' markets. The implementation of van pooling, ride sharing, and public transit programs contributes to the reduction of Sharp's transportation emissions. Sharp leadership continues to promote a culture of environmental responsibility and provides education and outreach to employees to improve the health of those they serve as well as their own. Table 4 further highlights the All Ways Green efforts at Sharp entities. Going forward, the All Ways Green initiative will continue to investigate other green opportunities. Green purchasing methods will be explored as a first line of defense to reduce waste volume and toxicity by addressing less packaging, fewer toxic materials, and more recyclable packaging. All Ways Green will also investigate the opportunity to recycle large amounts of sterile blue wrap used by Surgical Services and other procedural departments, and will partner with San Diego County to become the only health care company to perform a study on food waste composting. Table 4: All Ways Green Initiatives by Sharp Entity - FY 2010 SMH/SMBHWN Energy Efficiency -Lighting retrofit -Energy Star -Energy-efficient motors installed Water Conservation -Drip irrigation -Mist eliminators -Water reduction systems Waste Minimization -Reprocessing -Recycling -Reusable supplies Education and Outreach -Recycling education -Green Steering Committee SMV/SVP Energy Efficiency -Lighting retrofit -Motor and pump replacements Water Conservation -Landscape usage reduction -Drought-resistant plants Waste Minimization -Recycling -Waste reduction -Styrofoam elimination Education and Outreach -Earth Day activities -Green champions SGH Energy Efficiency -Lighting retrofit Water Conservation -Hardscaping of entire campus Waste Minimization -Recycling -Sustainable supplies Education and Outreach -Update and enforce No Smoking Policy SCVMC Energy Efficiency -Energy Star -Lighting retrofit -Energy-efficient chillers/motors Water Conservation -Irrigation minimization -Water-saving devices Waste Minimization -Recycling -Compactor renovation Education and Outreach -Recycling/ride sharing promotion SCHHC Energy Efficiency -Lighting retrofit -Elevator/chiller modernizations -A/C replacement Water Conservation -Landscape usage reduction Waste Minimization -Recycling -Reusable supplies -Reprocessing Education and Outreach -Green Committee -Recycling education SRS Energy Efficiency -Lighting retrofit -Energy audits Water Conservation -Landscape usage reduction -Low-flow systems Waste Minimization -Recycling Education and Outreach -Green Teams -Contractor education SHP Energy Efficiency -Lighting retrofit Water Conservation -Watersaving devices Waste Minimization -Recycling -Spring Cleaning events Education and Outreach -Earth Day activities -Mass transit education Sharp System Services Energy Efficiency -Energy efficient chillers/motors -Thermostat control software Water Conservation -Water audits -Landscape usage reduction and retention Waste Minimization -Green Grocer's market -Recycling Education and Outreach -Sharp- sponsored mass transit and carpooling program Executive Summary This Executive Summary provides an overview of community benefits planning at Sharp, a listing of community needs addressed in this Community Benefits Report, and a summary of community benefits programs and services provided by Sharp in FY 2010 (October 1, 2009, through September 30, 2010). In addition, the summary reports the economic value of community benefits provided by Sharp, according to the framework specifically identified in SB 697, for the following: *Sharp Chula Vista Medical Center *Sharp Coronado Hospital and Healthcare Center *Sharp Grossmont Hospital *Sharp Mary Birch Hospital for Women & Newborns *Sharp Memorial Hospital *Sharp Mesa Vista Hospital and Sharp Vista Pacifica Hospital *Sharp Health Plan Community Benefits Planning at Sharp HealthCare Sharp bases its community benefits planning on the triennial community health needs assessment conducted by CHIP combined with the expertise in programs and services of each Sharp hospital. Listing of Community Needs Addressed in This Community Benefits Report The following community needs are addressed by one or more Sharp hospitals in this Community Benefits Report: *Access to care for individuals without a medical provider *Focused education and screening programs on health conditions such as heart and vascular disease, stroke, cancer, diabetes, preterm delivery, unintentional injuries, and behavioral health *Health education and screening activities for seniors *Outreach for flu vaccinations *Special support services for hospice patients and their loved ones, and for the community *Support of community nonprofit health organizations *Education and training of health care professionals *Collaboration with local schools to promote interest in health care careers *Welfare of seniors and disabled people *Cancer education, patient navigator services, and participation in clinical trials *Women's and prenatal health services and education *Meeting the needs of new mothers and their loved ones *Mental health and substance abuse education for the community Highlights of Community Benefits Provided by Sharp in FY 2010 Some examples of community benefits programs and services provided by Sharp hospitals and entities in FY 2010 include: * Unreimbursed Medical Care Services, including uncompensated care for patients who are unable to pay for services, and the unreimbursed costs of public programs such as Medi-Cal, Medicare, San Diego County Indigent Medical Services, Civilian Health and Medical Program of the Department of Veterans Affairs (CHAMPVA), and TRICARE - the regionally managed health care program for active duty and retired members of the uniformed services, their loved ones, and survivors; and unreimbursed costs of workers' compensation programs. Also included is financial support for onsite workers to process Medi-Cal eligibility forms. * Other Benefits for Vulnerable Populations, including van transportation for patients to and from medical appointments; financial and other support to community clinics to assist in providing health services, and improving access to health services; Project HELP; Project CARE; contribution of time to Habitat for Humanity, Stand Down for Homeless Veterans, and the San Diego Food Bank; financial and other support to the Sharp Humanitarian Service Program; and other assistance for the needy. * Other Benefits for the Broader Community, including health education and information, and participation in community health fairs and events addressing the unique needs of the community, plus providing flu vaccinations, and health screenings. Sharp collaborated with local schools to promote interest in health care careers; made Sharp facilities available for use by community groups at no charge; and executive leadership and staff 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. * Health Research, Education, and Training Programs, including education and training programs for medical, nursing, and other health care professionals. To increase the pool of nursing graduates, Sharp and other area health care providers continued sponsorship of health-related programs, classes, and professors at SDSU (Nurses Now Partnership) and UCSD. Sharp also partnered with SWC, SDSU, and OU College of Nursing to provide clinical experience in San Diego County for students enrolled in the OU Online Accelerated Second Degree BSN Program. Additionally, Sharp continued its five-year agreement with SDSU for financial support of the Sharp Human Patient Simulation Center, to provide specialized education to nursing students. Sharp again collaborated with Rady Children's Hospital - San Diego and Scripps Health in support of the National Partnership for Smoke-Free Families, a program designed to help pregnant smokers quit to improve their health and protect the health of their unborn babies. Economic Value of Community Benefits Provided in FY 2010 In FY 2010, Sharp provided a total of $335,902,803 in community benefits programs and services that were unreimbursed. Table 1 displays a summary of unreimbursed costs based on the categories specifically identified in SB 697. Table 1: Total Economic Value of Community Benefits Provided Sharp HealthCare Overall - FY 2010 Senate Bill 697 Category Programs and Services Included in Senate Bill 697 Category Estimated FY 2010 Unreimbursed Costs Medical Care Services Shortfall in Medi-Cal $103,262,633 Shortfall in Medicare $130,524,487 Shortfall in San Diego County Indigent Medical Services $20,523,325 Shortfall in CHAMPVA/TRICARE $2,974,042 Shortfall in Workers' Compensation $32,238 Charity Care and Bad Debt $68,018,776 Other Benefits for Vulnerable Populations Patient transportation and other assistance for the needy $2,762,738 Other Benefits for the Broader Community Health education and information, support groups, health fairs, meeting room space, donations of time to community organizations and cost of fundraising for community events $3,512,152 Health Research, Education, and Training Programs Education and training programs for students, interns, and health care professionals $4,292,412 TOTAL $335,902,803 Table 2 shows a listing of these unreimbursed costs provided by each Sharp entity. Table 2: Total Economic Value of Community Benefits Provided Sharp HealthCare Entities - FY 2010 Sharp HealthCare Entity Estimated FY 2010 Unreimbursed Costs Sharp Chula Vista Medical Center $56,892,548 Sharp Coronado Hospital and Healthcare Center $12,067,980 Sharp Grossmont Hospital $120,399,912 Sharp Mary Birch Hospital for Women & Newborns $12,645,038 Sharp Memorial Hospital $127,321,223 Sharp Mesa Vista Hospital and Sharp Vista Pacifica Hospital $6,377,573 Sharp Health Plan $198,529 ALL ENTITIES $335,902,803 Table 3 includes a summary of unreimbursed costs for each Sharp entity based on the categories specifically identified in SB 697. As shown in Table 2, Sharp leads the community in unreimbursed medical care services, among San Diego County's SB 697 hospitals and health care systems. Table 3: FY 2010 Detailed Economic Value of Community Benefits at Sharp HealthCare Entities Based on Senate Bill 697 Categories Sharp HealthCare Entity SENATE BILL 697 CATEGORY Medical Care Services Other Benefits for Vulnerable Populations Other Benefits for the Broader Community Health Research, Education, and Training Programs Estimated FY 2010 Unreimbursed Costs Sharp Chula Vista Medical Center $54,823,957 $420,052 $706,335 $942,204 $56,892,548 Sharp Coronado Hospital and Healthcare Center $11,533,012 $30,148 $222,267 $282,553 $12,067,980 Sharp Grossmont Hospital $117,408,760 $622,104 $1,190,540 $1,178,508 $120,399,912 Sharp Mary Birch Hospital for Women & Newborns $11,926,989 $40,935 $245,425 $431,689 $12,645,038 Sharp Memorial Hospital $124,442,978 $811,068 $835,835 $1,231,342 $127,321,223 Sharp Mesa Vista Hospital and Sharp Vista Pacifica Hospital $5,199,805 $812,369 $157,598 $207,801 $6,377,573 Sharp Health Plan - $26,063 $154,151 $18,315 $198,529 ALL ENTITIES $325,335,501 $2,762,739 $3,512,151 $4,292,412 $335,902,803 Community Benefits Planning Process Each year, Sharp bases its community benefits planning on findings from the community health needs assessments conducted by CHIP and the expertise in programs and services of each Sharp hospital. Methodology to Conduct the 2007 Community Health Needs Assessment Since 1995, Sharp has participated in a countywide collaborative - including a broad range of hospitals, health care organizations, and community agencies - to conduct a triennial community needs assessment. In 2007, the CHIP Needs Assessment Committee, under the direction of the CHIP Steering Committee, determined a methodology and approach to the needs assessment, which included information from the following sources: *Analysis of health-related statistics gathered and analyzed by the County of San Diego Health and Human Services Agency (HHSA), supplemented by data from the California Health Interview Survey (CHIS), the California OSHPD and the Centers for Disease Control and Prevention's (CDC) Youth Risk Behavior Surveillance System and Behavior Risk Surveillance System *Review of health-related scientific literature *Review of results of facilitated discussions held with seven focus groups representing a cross-section of the San Diego County community *Results of a process used by members of CHIP to set priorities among various health issues Determination of Priority Community Needs: Sharp HealthCare Each Sharp hospital reviewed the 2007 Community Health Needs Assessment conducted by CHIP and used it to determine priority needs for their hospital's communities. In identifying these priorities, each entity considered the expertise and mission of the hospital in providing services, in addition to the unique regional, age group, and/or health topics that comprise the entity's service area. For example, the specialty hospitals - SMBHWN, SMV, and SVP - reviewed the needs assessment priorities, specifically focusing on issues relevant to women and infants, behavioral health, and substance abuse, respectively. Sharp's general acute care hospitals reviewed the needs assessment with a focus on the region and/or subregional areas, with the goal of matching community benefit programs and services to the unique needs of the region. Steps Completed to Prepare an Annual Community Benefits Report On an annual basis, each Sharp hospital performs the following steps in the preparation of its Community Benefits Report: *Establishes and/or reviews hospital-specific measurable objectives *Verifies the need for an ongoing focus on identified community needs and/or adds new identified community needs *Reports on activities conducted in the prior fiscal year - FY 2010 Report of Activities *Develops a plan for the upcoming fiscal year, including specific steps to be undertaken - FY 2011 Plan *Reports and categorizes the economic value of community benefits provided in FY 2010, according to the framework specifically identified in SB 697 *Reviews and approves a Community Benefits Plan *Distributes the Community Benefits Report to members of the Sharp Board of Directors and Sharp hospital boards of directors, highlighting activities provided in the prior fiscal year as well as specific action steps to be undertaken in the upcoming fiscal year Ongoing Commitment to CHIP In support of its ongoing commitment to working with others on addressing community health priorities to improve the health status of San Diego County residents, Sharp remains active in CHIP efforts. In addition to the CHIP Board, Sharp executive leadership and other staff are actively involved in the following CHIP committees and work teams: Public Policy Committee, Care Coordination Work Committee, Steering Committee, Needs Assessment Committee, Access to Care Committee, Access to Care Health Literacy Initiative, Behavioral Health Work Team, Immunize San Diego Coalition, San Diego Diabetes Coalition, San Diego County Childhood Obesity Initiative (SDCOI), SDCOI Healthy Eating, Active Communities, and Safety Net Connect. Appendix A Sharp HealthCare Involvement in Community Organizations The list below shows the involvement Sharp executive leadership and other staff in community organizations and coalitions in Fiscal Year 2010. Community organizations are listed alphabetically. *211 San Diego Board *Academy of Medical-Surgical Nurses *ACS *AIS *Alzehimer's Association *American Association of Critical Care Nurses San Diego Chapter *American College of Healthcare Executives *American Diabetes Association *American Health Information Management Association *American Heart Association *American Hospital Association *ALA *American Psychiatric Nurses Association *American Red Cross of San Diego *Arthritis Foundation *Association for Ambulatory Behavioral Health Care (National) *Association for Ambulatory Behavioral Health Care of Southern California *Association for Clinical Pastoral Education *Association of California Nurse Leaders *AWHONN *BLCI *Boys and Girls Club of San Diego *Breast Feeding Coalition Advisory Board *Breast Health Coordinators *California Association of Health Plans *California Association of Medical Staff Services *California Association of Physician Groups *California Dietetic Association, Member Council *California HealthCare Foundation *California Hospice and Palliative Care Association *CHA *California Society of Health System Pharmacists *California State Bar, Health Subcommittee *California Teratogen Information Service *California Women Lead *CHIP Access to Care Committee *CHIP Access to Care Committee Health Literacy *CHIP Access to Care Gift of Health *CHIP Behavioral Health Work Team *CHIP Board *CHIP Health Literacy Task Force *CHIP Needs Assessment Committee *CHIP Public Policy Committee *CHIP Steering Committee *Chula Vista Chamber of Commerce *Chula Vista Community Collaborative *City of Chula Vista Wellness Program *City of Poway - Housing Commission *College Area Pregnancy Services *Community Emergency Response Team *Consortium for Nursing Excellence, San Diego *Coronado Chapter of Rotary International *Coronado Christmas Parade *Coronado Flower Show *Creative Arts Consortium *CWISH *Cycle Eastlake *Diabetes Behavioral Institute *Disabled Services Advisory Board *DOVIA *East County Senior Service Providers *Ecolife Foundation *El Cajon Rotary *Emergency Nurses Association, San Diego Chapter *Employee Assistance Program Association *Family Health Centers of San Diego *First Five Commission *Gay Men's Spiritual Retreat Board *Grossmont College *Grossmont Healthcare District *Grossmont Union High School District *Health Care Communicators Board *Healthcare Financial Management Association San Diego/Imperial Chapter *Hospital Association of San Diego and Imperial Counties *HSHMC Board *Huntington's Disease Society of America *Immunize San Diego Coalition *Institute of Internal Auditors San Diego Chapter Board *International Lactation Consultants Association *Kiwanis Club of Bonita *Komen Board *Komen Breast Cancer Coalition Committee *Komen Race for the Cure Committee *La Mesa Lion's Club *La Mesa Park and Recreation Finance Committee *La Mesa Park and Recreation Foundation Board *LEAD, San Diego, Inc. *Leukemia & Lymphoma Society *March of Dimes *Meals-on-Wheels East County *Medical Library Group of Southern California and Arizona *Mended Hearts *Mental Health America Board *Mental Health Coalition *Mesa College *Miracle Babies *Mountain Health and Community Services, Inc. Board *NAMI *NAMI Schizophrenics in Transition Board of Directors *NANN *National Association of Hispanic Nurses, San Diego Chapter *National Association of Psychiatric Healthcare Systems *National Foundation for Trauma Care *National Hospice and Palliative Care Association *National Kidney Foundation *National Ovarian Cancer Coalition *National Perinatal Information Center *National Trauma Foundation Board *Neighborhood Healthcare Community Clinic - Board of Directors *NurseWeek *Parents for Addiction, Treatment, and Healing *Partnership for Philanthropic Planning of San Diego (formerly San Diego Planned Giving Roundtable) *Partnership for Smoke-Free Families *Peninsula Shepherd Senior Center *Perinatal Social Work Cluster *Planetree Board of Directors *Planned Parenthood of San Diego and Imperial Counties *Port of San Diego Marketing Committee *Premier, Inc. HIT Collaborative *Premier, Inc. Medication Use Committee *Professional Oncology Network *Project CARE Council *Public Health Nurse Advisory Board *Recovery Innovations of California *Regional Perinatal System *Residential Care Council *SAFE Foundation *Safety Net Connect *San Diegans for Healthcare Coverage *San Diego Healthcare Disaster Council *San Diego Asian Film Festival Foundation *San Diego Association for Diabetes Educators *San Diego Association of Directors of Volunteer Services *San Diego Association for Healthcare Recruitment *San Diego Blood Bank *San Diego Brain Injury Foundation *San Diego Breastfeeding Coalition *San Diego Caregiver Coalition *San Diego Center for Patient Safety Task Force *San Diego Chapter of Rotary International *San Diego City Parks and Recreation *San Diego Committee on Employment of People with Disabilities *San Diego Council of Hospital Volunteers *San Diego County Pharmacists Association *San Diego County Safety Net Workgroup *San Diego County Social Services Advisory Board *San Diego County Taxpayer Association *San Diego Delta Leadership Academy *San Diego Diabetes Coalition *San Diego Dietetic Association Board *San Diego East County Chamber of Commerce Board *San Diego Emergency Medical Care Committee *San Diego Eye Bank *San Diego Foundation *San Diego Health Information Association *San Diego Healthcare Disaster Council *San Diego Immigrants Rights Consortium *San Diego Interreligious Committee *San Diego Mental Health Coalition *San Diego North Chamber of Commerce *San Diego Nutrition Council *San Diego Organization of Healthcare Leaders, a local ACHE Chapter *San Diego Patient Safety Consortium *San Diego Regional Energy Office *San Diego Regional Homecare Council *San Diego Restorative Justice Mediation Program *San Diego Society for Human Resource Management *San Diego Society of Hospital Pharmacists, California Society of Health System Pharmacists Chapter *San Diego Urban League *San Diego-Imperial Council of Hospital Volunteers *San Diego Regional Chamber of Commerce *Santee Chamber of Commerce *Santee-Lakeside Rotary *Schizophrenics in Transition *Scoliosis Research Society *SDCOI *SDSU *SDSU Nursing Evidence-Based Practice Institute *Senior Community Centers of San Diego *Serra Foundation *Sidney Kimmel Cancer Center *Sigma Theta Tau International Honor Society of Nursing *Society of Trauma Nurses *South Bay Community Services *South Bay Community Services, Baby First Program *South County Economic Development Council *South County Education Board and Policy Committee *Southern California Association of Neonatal Nurses *Southern California Society of Gastroenterology Nurses and Associates *Susan G. Komen Breast Cancer Foundation *SYHS *The Meeting Place Clubhouse *The Polinsky Center *Trauma Intervention Programs of San Diego County, Inc. *Trauma Managers Association of California *Union of Pan Asian Communities *United Behavioral Health Medical Credentials Committee *United Way of San Diego County *UCSD *Vista Hill ParentCare *Wellpoint/US Behavioral Health Clinical Advisory Board *WIC *YMCA *YWCA Board of Directors *YWCA Executive Committee *YWCA In the Company of Women Luncheon *YWCA TWIN Event Sharp Memorial Hospital (SMH) 8695 Spectrum Center Blvd San Diego CA 921231489 953782169 Hospital CA 501(c)3 3 N/A Grossmont Hospital Corporation (SGH) 8695 Spectrum Center Blvd San Diego CA 921231489 330449527 Hospital CA 501(c)3 3 N/A Sharp Chula Vista Medical Center (SCVMC) 8695 Spectrum Center Blvd San Diego CA 921231489 952367304 Hospital CA 501(c)3 3 N/A Sharp Coronado and Healthcare Center (SCHHC) 8695 Spectrum Center Blvd San Diego CA 921231489 950651579 Hospital CA 501(c)3 3 N/A Sharp Health Plan (SHP) 8695 Spectrum Center Blvd San Diego CA 921231489 330519730 Health Plan CA 501(c)4 N/A N/A Sharp HealthCare Foundation 8695 Spectrum Center Blvd San Diego CA 921231489 953492461 Healthcare Foundation CA 501(c)3 7 N/A Grossmont Healthcare Foundation 8695 Spectrum Center Blvd San Diego CA 921231489 330124488 Hospital Foundation CA 501(c)3 7 Grossmont Hospital Corporation SharpCare 8695 Spectrum Center Blvd San Diego CA 921231489 611637133 Healthcare Organization CA 501(c)3 (pending) 3 Sharp and Children's MRI Center LLC 7901 Frost Street San Diego CA 92123 330520955 Imaging CA N/A Related 1287561 1730263 0 1 Continuous Quality Insurance SPC PO Box 1092 Grand Cayman CJ Captive Insurance Company CJ N/A C 8538689 1.00000 0 1 1 1 0 0 0 0 0 1 0 1 1 1 1 1 1 1 Sharp Memorial Hospital O 499080 Sharp Memorial Hospital P 692042447 Sharp Memorial Hospital Q 22276523 Sharp Memorial Hospital R 119934180 Grossmont Hospital Corporation O 124026 Grossmont Hospital Corporation P 442436960 Grossmont Hospital Corporation Q 34537053 Grossmont Hospital Corporation R 38322242 Sharp Chula Vista Medical Center P 230717233 Sharp Chula Vista Medical Center Q 22768992 Sharp Chula Vista Medical Center R 25676794 Sharp Coronado and Healthcare Center P 69742603 Sharp Coronado and Healthcare Center Q 5056929 Sharp Coronado and Healthcare Center R 8959144 Sharp Health Plan P 3992799 Sharp Health Plan Q 65945 Sharp Health Plan L 93828674 Sharp HealthCare Foundation B 3045769 Sharp HealthCare Foundation C 1261303 Sharp HealthCare Foundation D 478427 Sharp HealthCare Foundation M 51448 Sharp Memorial Hospital J 270586 Sharp Memorial Hospital L 6356749 Grossmont Hospital Corporation J 2498387 Grossmont Hospital Corporation L 887959 Sharp Chula Vista Medical Center L 378366