GROSSMONT HOSPITAL CORPORATION: Form 990, tax year 2024

View the entire original 990 at ProPublica ↗

Organization: GROSSMONT HOSPITAL CORPORATION (EIN 33-0449527)
Tax period: 2024-10-01 to 2025-09-30
Filed: 2026-08-14
IRS object ID: 202622269349303267
Schema version: 2024v5.1
Source: Download XML · Original 990 at ProPublica

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

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

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2026-08-14T18:06:37+00:00	ReturnTs
Tax Period End	2025-09-30	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

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

Preparer Firm Name PreparerFirmName

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

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	18101 VON KARMAN AVENUE	AddressLine1Txt
City	IRVINE	CityNm
State Abbreviation	CA	StateAbbreviationCd
ZIP	92612	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2024-10-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	330449527	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	GROSSMONT HOSPITAL CORPORATION	BusinessNameLine1Txt

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

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	8695 SPECTRUM CENTER BLVD	AddressLine1Txt
City	SAN DIEGO	CityNm
State Abbreviation	CA	StateAbbreviationCd
ZIP	921231489	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	WILLIAM S EVANS	PersonNm
Person Title	SVP MARKET CEO	PersonTitleTxt
Signature	2026-08-14	SignatureDt
Discuss With Paid Preparer	false	DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	KARA ADAMS	PreparerPersonNm
PTIN	P00023315	PTIN
Phone	9497942300	PhoneNum
Preparation	2026-08-14	PreparationDt

Field	Value	IRS element (for citing)
Tax	2024	TaxYr
Build TS	2025-03-06 01:10:19Z	BuildTS

Form 990 IRS990

Doing Business As Name DoingBusinessAsName

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

Principal Ofcr Business Name PrincipalOfcrBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	WILLIAM S EVANS	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	8695 SPECTRUM CENTER BLVD	AddressLine1Txt
City	SAN DIEGO	CityNm
State Abbreviation	CA	StateAbbreviationCd
ZIP	921231489	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$1,373,879,811	GrossReceiptsAmt
Group Return For Affiliates	false	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	WWW.SHARP.COM	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1991	FormationYr
Legal Domicile State	CA	LegalDomicileStateCd
Activity Or Mission	GROSSMONT HOSPITAL PROVIDES INPATIENT AND OUTPATIENT MEDICAL SERVICES TO THE COMMUNITY.	ActivityOrMissionDesc
Voting Members Governing Body	11	VotingMembersGoverningBodyCnt
Voting Members Independent	8	VotingMembersIndependentCnt
Total Employee	4727	TotalEmployeeCnt
Total Volunteers	470	TotalVolunteersCnt
Total Gross UBI	$0	TotalGrossUBIAmt
PY Contributions Grants	$11,916,076	PYContributionsGrantsAmt
CY Contributions Grants	$8,928,761	CYContributionsGrantsAmt
PY Program Service Revenue	$1,049,957,872	PYProgramServiceRevenueAmt
CY Program Service Revenue	$1,086,432,039	CYProgramServiceRevenueAmt
PY Investment Income	$20,042,226	PYInvestmentIncomeAmt
CY Investment Income	$33,506,882	CYInvestmentIncomeAmt
PY Other Revenue	$4,959,780	PYOtherRevenueAmt
CY Other Revenue	$3,795,018	CYOtherRevenueAmt
PY Total Revenue	$1,086,875,954	PYTotalRevenueAmt
CY Total Revenue	$1,132,662,700	CYTotalRevenueAmt
PY Grants And Similar Paid	$2,528,344	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$2,402,418	CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$520,166,633	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$561,152,531	CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$1,603,484	CYTotalFundraisingExpenseAmt
PY Other Expenses	$526,993,991	PYOtherExpensesAmt
CY Other Expenses	$563,458,840	CYOtherExpensesAmt
PY Total Expenses	$1,049,688,968	PYTotalExpensesAmt
CY Total Expenses	$1,127,013,789	CYTotalExpensesAmt
PY Revenues Less Expenses	$37,186,986	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$5,648,911	CYRevenuesLessExpensesAmt
Total Assets BOY	$1,609,264,910	TotalAssetsBOYAmt
Total Assets EOY	$1,693,204,898	TotalAssetsEOYAmt
Total Liabilities BOY	$267,320,349	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$294,094,305	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$1,341,944,561	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$1,399,110,593	NetAssetsOrFundBalancesEOYAmt
Mission	SEE SCHEDULE O.	MissionDesc
Significant New Program Srvc	false	SignificantNewProgramSrvcInd
Significant Change	false	SignificantChangeInd
Expense	$1,039,355,491	ExpenseAmt
Grant	$2,402,418	GrantAmt
Revenue	$1,086,432,039	RevenueAmt
Desc	GROSSMONT HOSPITAL PROVIDES INPATIENT AND OUTPATIENT SERVICES TO THE COMMUNITY. PATIENT DAYS WERE 145,329 AND OUTPATIENT VISITS WERE 350,191 FOR THE TWELVE MONTHS ENDED 9/30/25. SEE COMMUNITY BENEFIT REPORT ON SCHEDULE O.	Desc
Total Program Service Expenses	$1,039,355,491	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (true)	DescribedInSection501c3Ind
Schedule B Required	Yes (true)	ScheduleBRequiredInd
Political Campaign Acty	false	PoliticalCampaignActyInd
Lobbying Activities	Yes (true)	LobbyingActivitiesInd
Subject To Proxy Tax	false	SubjectToProxyTaxInd
Donor Advised Fund	false	DonorAdvisedFundInd
Conservation Easements	false	ConservationEasementsInd
Collections Of Art	false	CollectionsOfArtInd
Credit Counseling	false	CreditCounselingInd
Donor Rstr Or Quasi Endowments	Yes (true)	DonorRstrOrQuasiEndowmentsInd
Report Land Building Equipment	Yes (true)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	false	ReportInvestmentsOtherSecInd
Report Program Related Invst	false	ReportProgramRelatedInvstInd
Report Other Assets	false	ReportOtherAssetsInd
Report Other Liabilities	Yes (true)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	Yes (true)	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	false	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (true)	ConsolidatedAuditFinclStmtInd
School Operating	false	SchoolOperatingInd
Foreign Office	false	ForeignOfficeInd
Foreign Activities	false	ForeignActivitiesInd
More Than5000 K To Org	false	MoreThan5000KToOrgInd
More Than5000 K To Individuals	false	MoreThan5000KToIndividualsInd
Professional Fundraising	false	ProfessionalFundraisingInd
Fundraising Activities	false	FundraisingActivitiesInd
Gaming Activities	false	GamingActivitiesInd
Operate Hospital	Yes (true)	OperateHospitalInd
Audited Financial Stmt Att	Yes (true)	AuditedFinancialStmtAttInd
Grants To Organizations	Yes (true)	GrantsToOrganizationsInd
Grants To Individuals	false	GrantsToIndividualsInd
Schedule J Required	Yes (true)	ScheduleJRequiredInd
Tax Exempt Bonds	false	TaxExemptBondsInd
Escrow Account	false	EscrowAccountInd
On Behalf Of Issuer	false	OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans	false	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	false	PYExcessBenefitTransInd
Loan Outstanding	false	LoanOutstandingInd
Grant To Related Person	false	GrantToRelatedPersonInd
Business Rln With Org Mem	false	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	false	BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent	false	BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri	false	DeductibleNonCashContriInd
Deductible Art Contribution	false	DeductibleArtContributionInd
Terminate Operations	false	TerminateOperationsInd
Partial Liquidation	false	PartialLiquidationInd
Disregarded Entity	false	DisregardedEntityInd
Related Entity	Yes (true)	RelatedEntityInd
Related Organization Ctrl Ent	Yes (true)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	Yes (true)	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	false	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	false	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (true)	ScheduleORequiredInd
Info In Schedule O Part V	Yes (X)	InfoInScheduleOPartVInd
IRP Document	0	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Employee	4727	EmployeeCnt
Employment Tax Returns Filed	false	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	false	UnrelatedBusIncmOverLimitInd
Foreign Financial Account	false	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTransInd
Taxable Party Notification	false	TaxablePartyNotificationInd
Nondeductible Contributions	false	NondeductibleContributionsInd
Quid Pro Quo Contributions	false	QuidProQuoContributionsInd
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	false	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	false	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	false	IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt	false	SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc	false	SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	11	GoverningBodyVotingMembersCnt
Independent Voting Member	8	IndependentVotingMemberCnt
Family Or Business Rln	Yes (true)	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	false	DelegationOfMgmtDutiesInd
Change To Org Documents	false	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	false	MaterialDiversionOrMisuseInd
Members Or Stockholders	Yes (true)	MembersOrStockholdersInd
Election Of Board Members	Yes (true)	ElectionOfBoardMembersInd
Decisions Subject To Approva	Yes (true)	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (true)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (true)	MinutesOfCommitteesInd
Officer Mailing Address	false	OfficerMailingAddressInd
Local Chapters	false	LocalChaptersInd
Policies Reference Chapters	false	PoliciesReferenceChaptersInd
Form990 Provided To Gvrn Body	Yes (true)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (true)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (true)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (true)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (true)	WhistleblowerPolicyInd
Document Retention Policy	Yes (true)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (true)	CompensationProcessCEOInd
Compensation Process Other	Yes (true)	CompensationProcessOtherInd
Investment In Joint Venture	Yes (true)	InvestmentInJointVentureInd
Written Policy Or Procedure	Yes (true)	WrittenPolicyOrProcedureInd
States Where Copy Of Return Is Fld	CA	StatesWhereCopyOfReturnIsFldCd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	MIKE DJOMINS	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Phone	8584995701	PhoneNum

US Address USAddress

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

Form990 Part VII Section A Form990PartVIISectionAGrp (34 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	OfficerOfficerInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Key EmployeeKeyEmployeeInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd
CHRISTOPHER D HOWARD
PRESIDENT & CEO SHC	2.0	50.0	Yes (X)	Yes (X)	$0	$2,732,110	$18,507
DEE AMMON
CHAIR AS OF 06/2025, PAST VICE CHAIR	1.0	3.0	Yes (X)	Yes (X)	$0	$0	$0
ERIC STRUKEL MD
SECRETARY AS OF 06/01/2025	2.0	0	Yes (X)	Yes (X)	$140,000	$0	$0
JOHN FONSECA
VICE CHAIR AS OF 06/2025, PAST SECRETARY	1.0	1.0	Yes (X)	Yes (X)	$0	$0	$0
RANDOLPH LENAC
TREASURER THRU 09/13/2025	2.0	0.0	Yes (X)	Yes (X)	$0	$0	$0
VALERIE SHADROFF
CHAIR THRU 05/31/2025	1.0	2.0	Yes (X)	Yes (X)	$0	$0	$0
WILLIAM S EVANS
SVP MARKET CEO	8.0	32.0	Yes (X)	Yes (X)	$0	$1,280,931	$24,422
ANN GOLDBERG
DIRECTOR	2.0	2.0	Yes (X)		$0	$0	$0
BRIAN MOORE MD
DIRECTOR	2.0	2.0	Yes (X)		$104	$99	$0
BRIAN POTTER
DIRECTOR AS OF 04/01/2025	1.0	0	Yes (X)		$0	$0	$0
BRITTANY GARDNER
DIRECTOR THRU 07/31/2025	2.0	0	Yes (X)		$0	$0	$0
DIANE R KELTNER
DIRECTOR	1.0	0	Yes (X)		$0	$0	$0
HOWARD LEVENSON
DIRECTOR AS OF 06/06/2025	2.0	1.0	Yes (X)		$0	$0	$0
MAGGIE WATKINS
DIRECTOR THRU 09/07/2025	1.0	2.0	Yes (X)		$0	$0	$0
ODIE GOWARD
DIRECTOR THRU 03/01/2025	1.0	0	Yes (X)		$0	$0	$0
PATRICIA FORTIN
DIRECTOR THRU 07/31/2025	1.0	0	Yes (X)		$0	$0	$0
ROBERT AYRES
DIRECTOR THRU 05/15/2025	2.0	0	Yes (X)		$0	$0	$0
RON OBERNDORFER
DIRECTOR	2.0	0	Yes (X)		$0	$0	$0
STEVE ALLSING MD
DIRECTOR THRU 12/31/2024	2.0	0	Yes (X)		$30,000	$0	$0
VIRGINIA HALL
DIRECTOR THRU 09/13/2025	2.0	0	Yes (X)		$0	$0	$0
ANDREW TOTH
CFO, ACUTE CARE HOSPITALS AS OF 05/25/2025	40.0	20.0		Yes (X)	$0	$256,025	$35,740
DANIEL J KINDRON
CBDO, CHIEF FINANCE-MARKET GROWTH OFFICER THRU 03/30/2025	40.0	0.0		Yes (X)	$0	$422,432	$20,663
RICK L GROSSMAN
SVP GENERAL COUNSEL	2.0	47.0		Yes (X)	$0	$1,439,711	$11,502
SUSAN GREEN
EVP & CFO SHC	2.0	52.0		Yes (X)	$0	$1,421,255	$15,484
ALI ZANIAL
DIR PHARMACY	50.0	0.0			$0	$311,959	$37,684	Yes (X)
ANTHONY DAMICO
COO GHC	50.0	0.0			$0	$485,724	$36,160	Yes (X)
JASON BROAD
VP PERFORMANCE	30.0	20.0			$0	$350,687	$38,237	Yes (X)
LOUISE WHITE
VP PATIENT CARE	50.0	1.0			$0	$434,058	$39,064	Yes (X)
SUZANNE JOHNSON
VP HOSPICE	40.0	0.0			$0	$369,541	$29,094	Yes (X)
ELLIE ZEPEDA
LEAD CLINICAL NURSE	50.0	0.0			$0	$310,517	$24,864		Yes (X)
GREGORY APEL MD
CHIEF MEDICAL OFFICER	40.0	0.0			$0	$551,101	$32,241		Yes (X)
JOSEPH LOPEZ
LEAD CLINICAL NURSE	40.0	0.0			$0	$303,072	$42,126		Yes (X)
MARGUERITE PARADIS
ASSISTANT CNO/INTERIM VP ORTHO-NEURO	40.0	0.0			$0	$373,607	$35,620		Yes (X)
PATRICK GUO
LEAD MED RAD PHYSICIST	40.0	0.0			$0	$336,165	$24,777		Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$170,104	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$11,378,994	TotReportableCompRltdOrgAmt
Total Other Compensation	$466,185	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	0	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	false	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (true)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	Yes (true)	CompensationFromOtherSrcsInd
Cntrct Rcvd Greater Than100 K	0	CntrctRcvdGreaterThan100KCnt
Related Organizations	$8,928,761	RelatedOrganizationsAmt
Noncash Contributions	$15,450	NoncashContributionsAmt
Total Contributions	$8,928,761	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
MEDICARE/MEDICAID	900099	$544,219,283	$544,219,283
NET PATIENT SERVICES	900099	$474,610,204	$474,610,204
SPECIALTY PHARMACY	900099	$59,424,731	$59,424,731
MEDICAL OFFICE LEASE	531120	$4,427,636	$4,427,636
OTHER PHARMACY	900099	$2,433,288	$2,433,288

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,316,897	TotalRevenueColumnAmt
Related Or Exempt Func Income	$1,316,897	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$0	ExclusionAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$1,086,432,039	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$19,527,041	TotalRevenueColumnAmt
Exclusion	$19,527,041	ExclusionAmt

Rental Income Or Loss RentalIncomeOrLossGrp

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

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$255,023,150	SecuritiesAmt
Other	$173,802	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$241,186,399	SecuritiesAmt
Other	$30,712	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$13,836,751	SecuritiesAmt
Other	$143,090	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$13,979,841	TotalRevenueColumnAmt
Exclusion	$13,979,841	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	ExclusionExclusionAmt
PARKING	812930	$1,467,638	$1,467,638
AUXILIARY	453220	$1,009,679	$1,009,679
POWER GENERATION	221000	$151,924	$151,924

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,165,777	TotalRevenueColumnAmt
Related Or Exempt Func Income	$0	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$1,165,777	ExclusionAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$3,795,018	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,132,662,700	TotalRevenueColumnAmt
Related Or Exempt Func Income	$1,086,432,039	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$37,301,900	ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$2,402,418	TotalAmt
Program Services	$2,402,418	ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$4,611,383	TotalAmt
Program Services	$1,965,349	ProgramServicesAmt
Management And General	$2,646,034	ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$454,741,917	TotalAmt
Program Services	$449,450,680	ProgramServicesAmt
Management And General	$5,291,237	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$15,852,178	TotalAmt
Program Services	$14,798,663	ProgramServicesAmt
Management And General	$1,053,515	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$52,667,121	TotalAmt
Program Services	$51,789,295	ProgramServicesAmt
Management And General	$877,826	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$33,279,932	TotalAmt
Program Services	$32,827,495	ProgramServicesAmt
Management And General	$452,437	ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$33,187,405	TotalAmt
Program Services	$30,916,193	ProgramServicesAmt
Management And General	$2,271,212	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$2,635,358	TotalAmt
Program Services	$144,693	ProgramServicesAmt
Management And General	$2,490,665	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$8,841,537	TotalAmt
Management And General	$8,841,537	ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$90,705	TotalAmt
Management And General	$90,705	ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$416,272	TotalAmt
Management And General	$416,272	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$52,464,879	TotalAmt
Program Services	$50,627,035	ProgramServicesAmt
Management And General	$1,837,844	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$4,928,724	TotalAmt
Program Services	$570,288	ProgramServicesAmt
Management And General	$4,358,436	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$23,814,581	TotalAmt
Program Services	$20,667,452	ProgramServicesAmt
Management And General	$3,147,129	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$38,415,472	TotalAmt
Program Services	$37,263,008	ProgramServicesAmt
Management And General	$1,152,464	ManagementAndGeneralAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$25,414,323	TotalAmt
Program Services	$21,703,017	ProgramServicesAmt
Management And General	$3,711,306	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$599,127	TotalAmt
Program Services	$591,025	ProgramServicesAmt
Management And General	$8,102	ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$1,952,739	TotalAmt
Program Services	$233,724	ProgramServicesAmt
Management And General	$1,719,015	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	-$1,057,214	TotalAmt
Program Services	$1,028,915	ProgramServicesAmt
Management And General	-$2,086,129	ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$42,023,754	TotalAmt
Program Services	$37,640,340	ProgramServicesAmt
Management And General	$4,383,414	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$4,023,906	TotalAmt
Program Services	$3,078,752	ProgramServicesAmt
Management And General	$945,154	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
MEDICAL SUPPLIES	$165,452,474	$165,452,474
SYSTEM ALLOCATION	$76,252,717	$36,144,855	$40,107,862
MEDI-CAL PROVIDER TAX	$70,394,655	$70,394,655
REPAIRS AND MAINTENANCE	$6,790,548	$6,278,074	$512,474

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$6,816,878	TotalAmt
Program Services	$3,387,091	ProgramServicesAmt
Management And General	$1,826,303	ManagementAndGeneralAmt
Fundraising	$1,603,484	FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$1,127,013,789	TotalAmt
Program Services	$1,039,355,491	ProgramServicesAmt
Management And General	$86,054,814	ManagementAndGeneralAmt
Fundraising	$1,603,484	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$6,226,284	BOYAmt
EOY	$5,938,896	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$34,189,664	BOYAmt
EOY	$685,865	EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

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

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$385,481,886	BOYAmt
EOY	$422,096,744	EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

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

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

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

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

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

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$15,551,931	BOYAmt
EOY	$15,857,170	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$5,742,956	BOYAmt
EOY	$8,665,531	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$925,084,319	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$501,725,894	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$415,333,200	BOYAmt
EOY	$423,358,425	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$677,245,428	BOYAmt
EOY	$736,803,177	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$47,958	BOYAmt
EOY	$94,386	EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
BOY	$44,653,176	BOYAmt
EOY	$45,158,980	EOYAmt

Intangible Assets IntangibleAssetsGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$287,562	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$24,792,427	BOYAmt
EOY	$34,258,162	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$1,609,264,910	BOYAmt
EOY	$1,693,204,898	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$104,481,843	BOYAmt
EOY	$117,120,682	EOYAmt

Grants Payable GrantsPayableGrp

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

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$5,686,317	BOYAmt
EOY	$7,397,643	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

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

Escrow Account Liability EscrowAccountLiabilityGrp

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

Loans From Officers Directors LoansFromOfficersDirectorsGrp

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

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

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

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

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

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$157,152,189	BOYAmt
EOY	$169,575,980	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$267,320,349	BOYAmt
EOY	$294,094,305	EOYAmt

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

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$1,316,555,712	BOYAmt
EOY	$1,371,946,257	EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$25,388,849	BOYAmt
EOY	$27,164,336	EOYAmt

Cap Stk Tr Prin Current Funds CapStkTrPrinCurrentFundsGrp

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

Pd In Cap Srpls Land Bldg Eqp Fund PdInCapSrplsLandBldgEqpFundGrp

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

Rtn Earn Endowment Incm Oth Fnds RtnEarnEndowmentIncmOthFndsGrp

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

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$1,341,944,561	BOYAmt
EOY	$1,399,110,593	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$1,609,264,910	BOYAmt
EOY	$1,693,204,898	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$5,648,911	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$38,905,442	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	$12,611,679	OtherChangesInNetAssetsAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	false	AccountantCompileOrReviewInd
FS Audited	Yes (true)	FSAuditedInd
Audit Committee	Yes (true)	AuditCommitteeInd
Federal Grant Audit Required	false	FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

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

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

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

Contributor US Address ContributorUSAddress

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

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

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Volunteers	false	VolunteersInd
Paid Staff Or Management	false	PaidStaffOrManagementInd
Media Advertisements	false	MediaAdvertisementsInd
Mailings Members	false	MailingsMembersInd
Publications Or Broadcast	false	PublicationsOrBroadcastInd
Grants Other Organizations	false	GrantsOtherOrganizationsInd
Direct Contact Legislators	false	DirectContactLegislatorsInd
Rallies Demonstrations	false	RalliesDemonstrationsInd
Other Activities	Yes (true)	OtherActivitiesInd
Other Activities	$90,705	OtherActivitiesAmt
Total Lobbying Expenditures	$90,705	TotalLobbyingExpendituresAmt
Not Described Section501c3	false	NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	SCHEDULE C, PART II-B, LINE 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY	FormAndLineReferenceDesc
Explanation	GROSSMONT HOSPITAL CORPORATION (GHC) PAYS ANNUAL DUES TO THE CALIFORNIA HOSPITAL ASSOCIATION (CHA), THE HEALTHCARE ASSOCIATION OF SAN DIEGO AND IMPERIAL COUNTIES (HASD&IC), THE CALIFORNIA ASSOCIATION OF HOSPITALS AND HEALTH SYSTEMS (CAHHS), THE AMERICAN HOSPITAL ASSOCIATION (AHA) AND THE CALIFORNIA HOSPICE AND PALLIATIVE CARE ASSOCIATION (CHAPCA). CHA, HASD&IC, CAHHS, AHA, AND CHAPCA HAVE DETERMINED THAT A PORTION OF THEIR MEMBERSHIP DUES ARE USED FOR LOBBYING PURPOSES. GHC'S FY 2025 PORTION OF ANNUAL DUES CALCULATED TO HAVE BEEN USED FOR LOBBYING WAS $90,705.	ExplanationTxt

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$9,171,223	BeginningYearBalanceAmt
Contributions	$161,000	ContributionsAmt
Investment Earnings Or Losses	$831,742	InvestmentEarningsOrLossesAmt
Other Expenditures	$701,479	OtherExpendituresAmt
End Year Balance	$9,462,486	EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$7,593,313	BeginningYearBalanceAmt
Contributions	$4,000	ContributionsAmt
Investment Earnings Or Losses	$1,739,799	InvestmentEarningsOrLossesAmt
Other Expenditures	$165,889	OtherExpendituresAmt
End Year Balance	$9,171,223	EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$6,966,109	BeginningYearBalanceAmt
Contributions	$3,000	ContributionsAmt
Investment Earnings Or Losses	$913,201	InvestmentEarningsOrLossesAmt
Other Expenditures	$288,997	OtherExpendituresAmt
End Year Balance	$7,593,313	EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$8,526,925	BeginningYearBalanceAmt
Contributions	$1,500	ContributionsAmt
Investment Earnings Or Losses	-$1,367,530	InvestmentEarningsOrLossesAmt
Other Expenditures	$194,786	OtherExpendituresAmt
End Year Balance	$6,966,109	EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$6,960,496	BeginningYearBalanceAmt
Contributions	$1,000	ContributionsAmt
Investment Earnings Or Losses	$1,792,448	InvestmentEarningsOrLossesAmt
Other Expenditures	$227,019	OtherExpendituresAmt
End Year Balance	$8,526,925	EndYearBalanceAmt

Field	Value	IRS element (for citing)
Board Designated Balance EOY	0.71	BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY	0.29	PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY	0.0	TermEndowmentBalanceEOYPct
Endowments Held Unrelated Org	false	EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org	Yes (true)	EndowmentsHeldRelatedOrgInd
Related Org List Sch R	Yes (true)	RelatedOrgListSchRInd

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$581,843	OtherCostOrOtherBasisAmt
Book Value	$581,843	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$702,056,336	OtherCostOrOtherBasisAmt
Depreciation	$350,643,920	DepreciationAmt
Book Value	$351,412,416	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$11,880,337	OtherCostOrOtherBasisAmt
Depreciation	$8,797,750	DepreciationAmt
Book Value	$3,082,587	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$164,838,388	OtherCostOrOtherBasisAmt
Depreciation	$128,793,878	DepreciationAmt
Book Value	$36,044,510	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$45,727,415	OtherCostOrOtherBasisAmt
Depreciation	$13,490,346	DepreciationAmt
Book Value	$32,237,069	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$423,358,425	TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (8 entries)

DescDesc	AmtAmt
FEDERAL INCOME TAXES
LONG TERM PENSION LIABILITY	$3,884,598
LONG TERM WORKERS' COMPENSATION LIABILITY	$207,994
INTERCOMPANY PAYABLE	$101,018,881
ALLOCATED TAX EXEMPT BONDS	$46,855,046
PROGRAM RESERVES	$2,620,989
OPERATING LEASE OBLIGATIONS	$14,643,270
FINANCE LEASE OBLIGATIONS	$345,202

Field	Value	IRS element (for citing)
Total Liability	$169,575,980	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd
Total Rev Etc Audited Fincl Stmt	$1,161,959,362	TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst	$38,905,442	NetUnrealizedGainsInvstAmt
Other Revenue	-$1,754,848	OtherRevenueAmt
Revenue Not Reported	$37,150,594	RevenueNotReportedAmt
Revenue Subtotal	$1,124,808,768	RevenueSubtotalAmt
Investment Expenses Not Incld	$416,272	InvestmentExpensesNotIncldAmt
Other Revenues Not Included	$7,437,660	OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt	$7,853,932	RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990	$1,132,662,700	TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt	$1,123,638,508	TotExpnsEtcAuditedFinclStmtAmt
Other Expenses Included	$0	OtherExpensesIncludedAmt
Expenses Not Reported	$0	ExpensesNotReportedAmt
Expenses Subtotal	$1,123,638,508	ExpensesSubtotalAmt
Investment Expenses Not Incld2	$416,272	InvestmentExpensesNotIncld2Amt
Other Expenses Not Included	$2,959,009	OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt	$3,375,281	ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990	$1,127,013,789	TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
SCHEDULE D, PART V, LINE 4 INTENDED USES OF ENDOWMENT FUNDS	GROSSMONT HOSPITAL FOUNDATION HOLDS 24 BOARD DESIGNATED AND PERMANENT ENDOWMENTS FOR GROSSMONT HOSPITAL CORPORATION THAT ARE RESTRICTED FOR A VARIETY OF PURPOSES, SUCH AS HOSPICE AND HOSPICE HOMES, DIABETES, NURSING EDUCATION, CANCER TREATMENT, HOSPITAL EQUIPMENT AND TECHNOLOGY, AND MORE.
SCHEDULE D, PART X, LINE 2 FIN 48 (ASC 740) FOOTNOTE	THE PRINCIPAL OPERATIONS OF SHARP ARE EXEMPT FROM TAXATION PURSUANT TO SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE AND RELATED CALIFORNIA PROVISIONS. 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, 2025 AND 2024, NO SUCH ASSETS OR LIABILITIES WERE RECORDED.
SCHEDULE D, PART XI, LINE 2(D) OTHER REVENUES IN AUDITED FINANCIAL STATEMENTS NOT IN FORM 990	FUNDRAISING EXPENSES - -1603484 NONOPERATING PORTION OF PENSION AND OTHER POST RETIREMENT BENEFITS - -151364
SCHEDULE D, PART XI, LINE 4(B) OTHER REVENUES IN FORM 990 NOT IN AUDITED FINANCIAL STATEMENTS	DONATIONS OF CAPITAL/DONATIONS FOR CAPITAL - 6154360 MEDICAL STAFF/AUXILIARY REVENUE - 1283300
SCHEDULE D, PART XII, LINE 4(B) OTHER EXPENSES IN FORM 990 NOT IN AUDITED FINANCIAL STATEMENTS	MEDICAL STAFF/AUXILIARY EXPENSES - 1204161 NONOPERATING PORTION OF PENSION AND OTHER POST RETIREMENT BENEFITS - 151364 FUNDRAISING EXPENSES - 1603484

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (true)	FinancialAssistancePolicyInd
Written Policy	Yes (true)	WrittenPolicyInd
All Hospitals Policy	Yes (X)	AllHospitalsPolicyInd
FPG Reference Free Care	Yes (true)	FPGReferenceFreeCareInd
Percent200	Yes (X)	Percent200Ind
FPG Reference Discounted Care	Yes (true)	FPGReferenceDiscountedCareInd
Percent400	Yes (X)	Percent400Ind
Free Care Medically Indigent	false	FreeCareMedicallyIndigentInd
Financial Assistance Budget	Yes (true)	FinancialAssistanceBudgetInd
Expenses Exceed Budget	Yes (true)	ExpensesExceedBudgetInd
Unable To Provide Care	false	UnableToProvideCareInd
Annual Community Bnft Report	Yes (true)	AnnualCommunityBnftReportInd
Report Publically Available	Yes (true)	ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$7,888,071	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$7,888,071	NetCommunityBenefitExpnsAmt
Total Expense	0.00700	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$370,316,771	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$340,298,948	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$30,017,823	NetCommunityBenefitExpnsAmt
Total Expense	0.02663	TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$378,204,842	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$340,298,948	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$37,905,894	NetCommunityBenefitExpnsAmt
Total Expense	0.03363	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,427,125	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$1,427,125	NetCommunityBenefitExpnsAmt
Total Expense	0.00127	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$322,080	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$322,080	NetCommunityBenefitExpnsAmt
Total Expense	0.00029	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$77,081,408	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$44,786,950	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$32,294,458	NetCommunityBenefitExpnsAmt
Total Expense	0.02865	TotalExpensePct

Research ResearchGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$2,165,567	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$2,165,567	NetCommunityBenefitExpnsAmt
Total Expense	0.00192	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$80,996,180	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$44,786,950	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$36,209,230	NetCommunityBenefitExpnsAmt
Total Expense	0.03213	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$459,201,022	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$385,085,898	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$74,115,124	NetCommunityBenefitExpnsAmt
Total Expense	0.06576	TotalExpensePct

Physical Imprv And Housing PhysicalImprvAndHousingGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Economic Development EconomicDevelopmentGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Community Support CommunitySupportGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Environmental Improvements EnvironmentalImprovementsGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Leadership Development LeadershipDevelopmentGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Coalition Building CoalitionBuildingGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Health Improvement Advocacy HealthImprovementAdvocacyGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Other Communtity Building Acty OtherCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$0	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	false	BadDebtExpenseReportedInd
Bad Debt Expense	$25,209,584	BadDebtExpenseAmt
Bad Debt Expense Attributable	$0	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$162,754,749	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$207,345,091	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$44,590,342	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

Field	Value	IRS element (for citing)
Cost To Charge Ratio	Yes (X)	CostToChargeRatioInd

Field	Value	IRS element (for citing)
Written Debt Collection Policy	Yes (true)	WrittenDebtCollectionPolicyInd
Financial Assistance Prvsn	Yes (true)	FinancialAssistancePrvsnInd

Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp

Entity Name EntityName

Field	Value	IRS element (for citing)
Business Name Line1	GROSSMONT IMAGING LLC	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Primary Activities	JOINT VENTURE-DIAGNOSTIC IMAGING	PrimaryActivitiesTxt
Org Profit Or Ownership	0.5	OrgProfitOrOwnershipPct
Ofcr Etc Profit Or Ownership	0.0	OfcrEtcProfitOrOwnershipPct
Physicians Profit Or Ownership	0.5	PhysiciansProfitOrOwnershipPct

Field	Value	IRS element (for citing)
Hospital Facilities	1	HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

Field	Value	IRS element (for citing)
Facility	1	FacilityNum

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	GROSSMONT HOSPITAL CORPORATION	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	5555 GROSSMONT CENTER DRIVE	AddressLine1Txt
City	LA MESA	CityNm
State Abbreviation	CA	StateAbbreviationCd
ZIP	91942	ZIPCd

Field	Value	IRS element (for citing)
Website Address	WWW.SHARP.COM/GROSSMONT	WebsiteAddressTxt
State License	080000006	StateLicenseNum
Licensed Hospital	Yes (X)	LicensedHospitalInd
General Medical And Surgical	Yes (X)	GeneralMedicalAndSurgicalInd
Emergency Room24 Hrs	Yes (X)	EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	GROSSMONT HOSPITAL CORPORATION	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Facility	1	FacilityNum
First Licensed CY Or PY	false	FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY	false	TaxExemptHospitalCYOrPYInd
CHNA Conducted	Yes (true)	CHNAConductedInd
Community Definition	Yes (X)	CommunityDefinitionInd
Community Demographics	Yes (X)	CommunityDemographicsInd
Existing Resources	Yes (X)	ExistingResourcesInd
How Data Obtained	Yes (X)	HowDataObtainedInd
Community Health Needs	Yes (X)	CommunityHealthNeedsInd
Other Health Issues	Yes (X)	OtherHealthIssuesInd
Community Hlth Needs Id Process	Yes (X)	CommunityHlthNeedsIdProcessInd
Consulting Process	Yes (X)	ConsultingProcessInd
Prior CHNA Impact	Yes (X)	PriorCHNAImpactInd
CHNA Conducted	24	CHNAConductedYr
Take Into Account Others Input	Yes (true)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	Yes (true)	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	Yes (true)	CHNAConductedWithNonFcltsInd
CHNA Report Widely Available	Yes (true)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	https://www.sharp.com/about/health-needs-assessments	OwnWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Implementation Strategy Adopt	Yes (true)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	24	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (true)	StrategyPostedWebsiteInd
Strategy Website URL	https://www.sharp.com/about/health-needs-assessments	StrategyWebsiteURLTxt
Organization Incur Excise Tax	false	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (true)	EligCriteriaExplainedInd
FPG Family Incm Lmt Free Dscnt	Yes (X)	FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care	200.0	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	400.0	FPGFamilyIncmLmtDscntCarePct
Asset Level Criteria	Yes (X)	AssetLevelCriteriaInd
Insurance Status Criteria	Yes (X)	InsuranceStatusCriteriaInd
Underinsurance Stat Criteria	Yes (X)	UnderinsuranceStatCriteriaInd
Explained Basis	Yes (true)	ExplainedBasisInd
App Financial Asst Expln	Yes (true)	AppFinancialAsstExplnInd
Described Info	Yes (X)	DescribedInfoInd
Described Suprt Doc	Yes (X)	DescribedSuprtDocInd
Provided Hospital Contact	Yes (X)	ProvidedHospitalContactInd
Includes Publicity Measures	Yes (true)	IncludesPublicityMeasuresInd
FAP Available On Website	Yes (X)	FAPAvailableOnWebsiteInd
FAP Available On Website URL	https://www.sharp.com/PATIENT/BILLING/FINANCIAL-ASSISTANCE.CFM	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	https://www.sharp.com/PATIENT/BILLING/FINANCIAL-ASSISTANCE.CFM	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	https://www.sharp.com/patient/billing/financial-assistance.cfm	FAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No Charge	Yes (X)	FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No Chrg	Yes (X)	FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No Chrg	Yes (X)	FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill Display	Yes (X)	NotifiedFAPCopyBillDisplayInd
Communtity Notified FAP	Yes (X)	CommuntityNotifiedFAPInd
FAP Translated	Yes (X)	FAPTranslatedInd
FAP Actions On Nonpayment	Yes (true)	FAPActionsOnNonpaymentInd
Permit No Actions	Yes (X)	PermitNoActionsInd
Collection Activities	false	CollectionActivitiesInd
Provided Written Notice	Yes (X)	ProvidedWrittenNoticeInd
Made Effort Orally Notify	Yes (X)	MadeEffortOrallyNotifyInd
Processed FAP Application	Yes (X)	ProcessedFAPApplicationInd
Other Actions Taken	Yes (X)	OtherActionsTakenInd
Nondis Emergency Care Policy	Yes (true)	NondisEmergencyCarePolicyInd
Prospective Medicare Medicaid	Yes (X)	ProspectiveMedicareMedicaidInd
Amounts Generally Billed	false	AmountsGenerallyBilledInd
Gross Charges	false	GrossChargesInd

Supplemental Information SupplementalInformationGrp (6 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
SCHEDULE H, PART V, SECTION B, LINE 3E	THE SIGNIFICANT HEALTH NEEDS ARE A PRIORITIZED DESCRIPTION OF THE SIGNIFICANT HEALTH NEEDS OF THE COMMUNITY AND IDENTIFIED THROUGH THE CHNA.
SCHEDULE H, PART V, SECTION B, LINE 5 FACILITY , 1	FACILITY , 1 - GROSSMONT HOSPITAL CORPORATION. IN CONDUCTING ITS 2025 COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA), SHARP HEALTHCARE (SHARP) PARTICIPATED IN A COLLABORATIVE LED BY THE HOSPITAL ASSOCIATION OF SAN DIEGO & IMPERIAL COUNTIES (HASD&IC), IN PARTNERSHIP WITH HOSPITALS, LOCAL GOVERNMENT, PUBLIC HEALTH AGENCIES, COMMUNITY-BASED ORGANIZATIONS, AND OTHER COMMUNITY STAKEHOLDERS. COMMUNITY INPUT WAS COLLECTED DURING THE 2025 CHNA PROCESS THROUGH FOCUS GROUPS, KEY INFORMANT INTERVIEWS, SURVEYS, AND FIELD INTERVIEWS CONDUCTED BY COMMUNITY HEALTH WORKERS AND PROMOTORAS. SHARP ALSO CONDUCTED SUPPLEMENTAL COMMUNITY ENGAGEMENT SPECIFIC TO ITS HOSPITALS, INCLUDING SHARP GROSSMONT HOSPITAL (SHARP GROSSMONT). THIS INCLUDED FOCUS GROUPS CONDUCTED IN PARTNERSHIP WITH THE INSTITUTE FOR PUBLIC HEALTH AT SAN DIEGO STATE UNIVERSITY (IPH) TO GATHER INPUT FROM SHARP PROVIDERS, STAFF, PATIENTS, COMMUNITY MEMBERS, AND REPRESENTATIVES OF COMMUNITY-BASED ORGANIZATIONS, WITH A FOCUS ON BEHAVIORAL HEALTH AND MATERNAL, PRENATAL, AND PERINATAL HEALTH. SHARP ALSO COLLECTED COMMUNITY INPUT THROUGH AN ONLINE SURVEY ADMINISTERED THROUGH THE SHARP INSIGHT COMMUNITY, ENGAGING PATIENTS, FAMILY MEMBERS, EMPLOYEES, PHYSICIANS, AND COMMUNITY MEMBERS REGARDING PRIORITY HEALTH AND SOCIAL NEEDS AND OPPORTUNITIES TO IMPROVE COMMUNITY HEALTH AND WELL-BEING. INDIVIDUALS AND ORGANIZATIONS PROVIDING INPUT REPRESENTED MEDICALLY UNDERSERVED, LOW-INCOME, MINORITY, AND OTHER VULNERABLE POPULATIONS WITHIN SHARP GROSSMONT'S SERVICE AREA. THESE POPULATIONS INCLUDED INDIVIDUALS AND FAMILIES EXPERIENCING SOCIOECONOMIC HARDSHIP; RACIAL AND ETHNIC MINORITY POPULATIONS; COMMUNITIES EXPERIENCING HEALTH DISPARITIES AND SYSTEMIC INEQUITIES; INDIVIDUALS WITH LIMITED ACCESS TO HEALTH CARE SERVICES; MEDI-CAL AND OTHER LOW-INCOME POPULATIONS; INDIVIDUALS WITH CHRONIC CONDITIONS OR SPECIFIC HEALTH-RELATED SOCIAL NEEDS; YOUTH AND OLDER ADULTS EXPERIENCING HEALTH AND SOCIAL CHALLENGES; INDIVIDUALS AFFECTED BY HOUSING INSTABILITY OR HOMELESSNESS; PEOPLE FACING EMPLOYMENT BARRIERS AND ECONOMIC CHALLENGES; INDIVIDUALS EXPERIENCING FOOD AND NUTRITION INSECURITY; INDIVIDUALS IMPACTED BY VIOLENCE, EXPLOITATION, OR TRAUMA; INDIVIDUALS WITH LIVED EXPERIENCE IN BEHAVIORAL HEALTH CONDITIONS; AND INDIVIDUALS AFFECTED BY MATERNAL, PRENATAL, AND PERINATAL HEALTH NEEDS. SHARP HOSPITALS, INCLUDING SHARP GROSSMONT, DEVELOP CHNAS USING FINDINGS FROM THE COLLABORATIVE CHNA PROCESS IN COMBINATION WITH QUANTITATIVE DATA FROM PUBLIC AND INTERNAL SOURCES. CHNA FINDINGS ARE ADAPTED AT THE HOSPITAL LEVEL TO INFORM COMMUNITY BENEFIT PROGRAM PLANNING AND IMPLEMENTATION WITHIN EACH HOSPITAL'S PRIMARY SERVICE AREA, WITH PARTICULAR FOCUS ON MEDICALLY UNDERSERVED, LOW-INCOME, MINORITY, AND OTHER POPULATIONS EXPERIENCING THE GREATEST HEALTH AND SOCIAL NEEDS. THE CHNA PROCESS IS DESCRIBED IN SHARP'S FY2025 COMMUNITY BENEFIT PLAN AND REPORT.
SCHEDULE H, PART V, SECTION B, LINE 6A FACILITY , 1	FACILITY , 1 - GROSSMONT HOSPITAL CORPORATION. THROUGH PARTICIPATION IN A COLLABORATIVE FY2025 CHNA LED BY HASD&IC, SHARP CONDUCTED ITS INITIAL CHNA PROCESS IN PARTNERSHIP WITH THE FOLLOWING HEALTH SYSTEMS: * ALVARADO PARKWAY INSTITUTE BEHAVIORAL HEALTH SYSTEM * AURORA BEHAVIORAL HEALTH CARE SAN DIEGO * GROSSMONT HEALTHCARE DISTRICT * KAISER PERMANENTE SAN DIEGO * PALOMAR HEALTH * PARADISE VALLEY HOSPITAL * RADY CHILDREN'S HOSPITAL - SAN DIEGO * SCRIPPS HEALTH * SELECT SPECIALTY HOSPITAL * SHARP HEALTHCARE * TRI-CITY MEDICAL CENTER * UC SAN DIEGO HEALTH * VA SAN DIEGO HEALTHCARE SYSTEM
SCHEDULE H, PART V, SECTION B, LINE 6B FACILITY , 1	FACILITY , 1 - GROSSMONT HOSPITAL CORPORATION. SHARP GROSSMONT CONDUCTED ITS FY2025 CHNA IN COLLABORATION WITH ORGANIZATIONS OTHER THAN HOSPITAL FACILITIES, INCLUDING HASD&IC, WHICH FACILITATED THE COUNTYWIDE CHNA PROCESS. ADDITIONAL NONHOSPITAL PARTNERS INCLUDED IPH AND THE COUNTY OF SAN DIEGO PUBLIC HEALTH SERVICES DIVISION, ALONG WITH VARIOUS COMMUNITY-BASED ORGANIZATIONS AND COALITIONS PARTICIPATING IN THE COLLABORATIVE CHNA.
SCHEDULE H, PART V, SECTION B, LINE 11 FACILITY , 1	FACILITY , 1 - GROSSMONT HOSPITAL. THE FY2025 CHNA IDENTIFIED THE FOLLOWING SIGNIFICANT NEEDS FOR THE COMMUNITIES SERVED BY SHARP GROSSMONT (LISTED IN NO SPECIFIC ORDER): * HELP MANAGING HEALTH CONDITIONS * A DIFFERENT KIND OF HEALTH CARE EXPERIENCE * PROTECTION AND CARE FOR SERVICE PROVIDERS * RECOGNITION/ASSISTANCE WITH DISABILITY AND TRAUMA * HELP WITH CRISES * BETTER DATA COLLECTION, SHARING AND COORDINATION * LESS BURDEN ON EMERGENCY DEPARTMENTS SHARP GROSSMONT ADDRESSES IDENTIFIED COMMUNITY NEEDS THROUGH EXISTING PROGRAMS, SERVICES, PARTNERSHIPS, AND COMMUNITY BENEFIT ACTIVITIES THAT ALIGN WITH THE HOSPITAL'S SCOPE OF SERVICES, AVAILABLE RESOURCES, AND OPERATIONAL CAPACITY. COMMUNITY BENEFIT ACTIVITIES ARE INFORMED BY CHNA FINDINGS AND IMPLEMENTED WHERE SHARP GROSSMONT IS POSITIONED TO HAVE MEANINGFUL IMPACT, INCLUDING THROUGH COLLABORATION WITH COMMUNITY PARTNERS AND REFERRAL TO EXTERNAL RESOURCES WHEN APPROPRIATE. ADDITIONAL INFORMATION REGARDING CURRENT COMMUNITY BENEFIT ACTIVITIES IS INCLUDED IN SHARP GROSSMONT'S IMPLEMENTATION STRATEGY, AVAILABLE ONLINE AT: HTTPS://WWW.SHARP.COM/ABOUT/HEALTH-NEEDS-ASSESSMENTS. SHARP GROSSMONT RECOGNIZES THAT IT CANNOT DIRECTLY ADDRESS EVERY IDENTIFIED NEED. NEEDS THAT ARE NOT CURRENTLY ADDRESSED THROUGH HOSPITALLED INITIATIVES INCLUDE DENTAL HEALTH CONDITIONS AND ACCESS TO DENTAL SERVICES, AS WELL AS CERTAIN CHILD AND YOUTH-SPECIFIC NEEDS THAT FALL OUTSIDE THE HOSPITAL'S PRIMARY SCOPE OF SERVICES. THESE NEEDS ARE NOT ADDRESSED DIRECTLY DUE TO RESOURCE LIMITATIONS, SERVICE SCOPE CONSIDERATIONS, AND THE PRESENCE OF OTHER COMMUNITY PROVIDERS THAT ARE BETTER POSITIONED TO LEAD INTERVENTIONS IN THESE AREAS. SHARP GROSSMONT CONTINUES TO COORDINATE WITH COMMUNITY PARTNERS AND REFER PATIENTS AND COMMUNITY MEMBERS TO AVAILABLE RESOURCES AS APPROPRIATE.
SCHEDULE H, PART V, SECTION B, LINE 20 FACILITY , 1	FACILITY , 1 - GROSSMONT HOSPITAL. GROSSMONT HOSPITAL DOES NOT MAKE PRESUMPTIVE FAP-ELIGIBILITY DETERMINATIONS BASED ON THIRD-PARTY INFORMATION AS DEFINED IN SECTION 501(R)-6(C)(2). INSTEAD, GROSSMONT HOSPITAL MAKES REASONABLE EFFORTS BASED ON NOTIFICATION AND PROCESSING OF APPLICATIONS AS DEFINED IN 501(R)-6(C)(3).

Field	Value	IRS element (for citing)
Facility	10	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (10 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	FacilityFacilityTxt
BRIAR PATCH
9000 WAKARUSA ROAD	LA MESA	CA	91942	OUTPATIENT SERVICES
GROSSMONT MEDICAL PLAZA
5525 GROSSMONT CENTER DRIVE	LA MESA	CA	91942	OUTPATIENT SERVICES
PMB MEDICAL OFFICE BUILDING
8860 CENTER DRIVE SUITE 100	LA MESA	CA	91942	OUTPATIENT SERVICES
SHARP HOSPICE CARE
8881 FLETCHER PARKWAY SUITE 336	LA MESA	CA	91942	HOSPICE
BONITAVIEW HOSPICE HOME
3850 VALLEY VISTA ROAD	BONITA	CA	91902	HOSPICE HOME
GROSSMONT IMAGING LLC
8881 FLETCHER PARKWAY SUITE 102	LA MESA	CA	91942	JOINT VENTURE - DIAGNOSTIC IMAGING
GROSSMONT IMAGING LLC
9640 MISSION GORGE ROAD SUITE H	SANTEE	CA	92071	JOINT VENTURE - DIAGNOSTIC IMAGING
PARKVIEW HOSPICE HOME
5788 LYDEN WAY	SAN DIEGO	CA	92120	HOSPICE HOME
LAKEVIEW HOSPICE HOME
9472 LOREN DRIVE	LA MESA	CA	91942	HOSPICE HOME
PMB MEDICAL OFFICE BUILDING
8860 CENTER DRIVE SUITE 200	LA MESA	CA	91942	OUTPATIENT SERVICES - INFUSION

Supplemental Information Detail SupplementalInformationDetail (18 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
SCHEDULE H, PART III, LINE 7	THE ORGANIZATION INCURRED ADDITIONAL MEDICARE SHORTFALL THAT IS NOT ALLOWED TO BE REPORTED ON PARTS I AND III, DUE TO THE DEFINITION OF MEDICARE SHORTFALL AS PRESCRIBED BY THE IRS. THIS ADDITIONAL SHORTFALL ARISES FROM THE USE OF THE MEDICARE COST REPORT DATA WHICH EXCLUDES FEE BASED SERVICES, NON-BILLABLE SERVICES, AND DISALLOWED OPERATING EXPENSES WHICH THE ORGANIZATION HAS DETERMINED TO BE REVENUES AND EXPENSES OF THE MEDICARE PROGRAM AND SHOULD BE INCLUDED IN THE TOTAL SHORTFALL. A RECONCILIATION OF WHAT THE ORGANIZATION CLASSIFIES AS MEDICARE SHORTFALL IS AS FOLLOWS: MEDICARE REVENUE RECEIVED REPORTED ON PARTS I AND III 207,541,699 MEDICARE ALLOWABLE COSTS REPORTED ON PARTS I AND III 264,488,256 SHORTFALL INCLUDED ON PARTS I AND III (56,946,557) ACTUAL MEDICARE REVENUE RECEIVED 215,043,888 ACTUAL MEDICARE COST 291,860,089 ACTUAL MEDICARE SHORTFALL (76,816,200) ADDITIONAL MEDICARE SHORTFALL NOT ON PARTS I AND III (19,869,643)
SCHEDULE H, PART I, LINE 7G SUBSIDIZED HEALTH SERVICES	THE ORGANIZATION HAS REVIEWED THE COSTS REPORTED UNDER SUBSIDIZED HEALTH SERVICES IN PART I, LINE 7G, AND CONFIRMS THAT NO COSTS ATTRIBUTABLE TO STAND-ALONE PHYSICIAN CLINICS HAVE BEEN INCLUDED IN THIS CATEGORY. ALL REPORTED COSTS PERTAIN TO SERVICES AND FACILITIES THAT MEET THE IRS DEFINITION OF SUBSIDIZED HEALTH SERVICES, EXCLUDING ANY PHYSICIAN CLINIC OPERATIONS. THIS ENSURES ACCURATE REPRESENTATION OF COMMUNITY BENEFIT ACTIVITIES AND COMPLIANCE WITH IRS REPORTING REQUIREMENTS.
SCHEDULE H, PART I, LINE 6A COMMUNITY BENEFIT REPORT PREPARED BY RELATED ORGANIZATION	SHARP HEALTHCARE
SCHEDULE H, PART I, LINE 7 COSTING METHODOLOGY USED TO CALCULATE FINANCIAL ASSISTANCE	HISTORICAL CHARITY CARE PERCENTAGES ARE APPLIED TO CURRENT REVENUES TO ESTIMATE CHARITY ON A MONTHLY BASIS. ACTUAL CHARITY TRANSACTIONS ARE APPLIED AGAINST THE ESTIMATE AND ANY INCREASE OR DECREASE OVER ESTIMATED AMOUNTS IS ACCOUNTED FOR. OTHER COST INCLUDES STATE/COUNTY PROGRAMS INCLUDED IN THE S-10 FOR MEDICARE COST REPORTING PRIMARILY FOR PRISON/IN CUSTODY PATIENT CARE. RCC WERE CALCULATED USING THE MEDICARE COST REPORT FROM WORKSHEET C. THE REVENUE AND EXPENSE TIE TO THE GENERAL LEDGER WITH NO EXCLUSIONS, SO WORKSHEET C REPRESENTS DIRECT REVENUE AND EXPENSE PLUS STEPDOWN FROM OVERHEAD DEPARTMENTS. THE RCC BY CMS LINE WAS THEN APPLIED TO THE APPLICABLE REVENUE DEPARTMENTS BROKEN DOWN BY PAYER TO OBTAIN THE FULLY WEIGHTED COST BY PAYER.
SCHEDULE H, PART III, LINE 2 BAD DEBT EXPENSE - METHODOLOGY USED TO ESTIMATE AMOUNT	THE HOSPITAL ADOPTED THE FINANCIAL ACCOUNTING STANDARDS BOARD'S ACCOUNTING STANDARDS UPDATE 2014-09 TOPIC 606 (ASU 606) EFFECTIVE OCTOBER 1, 2018. ASU 606 AND THE HEALTHCARE FINANCIAL MANAGEMENT ASSOCIATION (HFMA) DIFFERENTIATE BAD DEBT FROM IMPLICIT PRICE CONCESSIONS. THE HOSPITAL MAKES A DETERMINATION REGARDING A PRICE CONCESSION TO STANDARD PRICING ON A PORTFOLIO BASIS. THE IMPLICIT PRICE CONCESSIONS INCLUDED IN ESTIMATING THE TRANSACTION PRICE REPRESENT THE DIFFERENCE BETWEEN AMOUNTS BILLED TO PATIENTS AND THE AMOUNTS SHARP EXPECTS TO COLLECT BASED ON COLLECTION HISTORY WITH EACH PORTFOLIO OF PATIENTS. PATIENT SERVICE REVENUE IS RECORDED NET OF CONTRACTUAL ALLOWANCES AND DISCOUNTS, INCLUDING AN ESTIMATE FOR IMPLICIT PRICE CONCESSIONS. BAD DEBT IS RECORDED AS AN OPERATING EXPENSE AND RESULTS WHEN A PATIENT, DETERMINED TO HAVE THE FINANCIAL CAPACITY TO PAY FOR HEALTHCARE SERVICES, IS UNWILLING TO DO SO. FOR THE TAX YEAR ENDED SEPTEMBER 30, 2025, THE HOSPITAL DETERMINED $25,209,584 AS BAD DEBT EXPENSE. BAD DEBT EXPENSE IS NETTED AGAINST REVENUE. AS SUCH, $0.00 WAS BACKED OUT OF TOTAL EXPENSES FOR COLUMN (F) CALCULATION. ALSO APPLIES TO SCHEDULE H, PART I, LINE 7, COLUMN F.
SCHEDULE H, PART III, LINE 3 BAD DEBT EXPENSE METHODOLOGY	NO FIGURE IS REPORTED ON PART III, LINE 3 (ESTIMATED AMOUNT OF THE ORGANIZATION'S BAD DEBT EXPENSE ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER THE ORGANIZATION'S CHARITY CARE POLICY) DUE TO ALL AMOUNTS ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER THE CHARITY CARE POLICY BEING REPORTED AS CHARITY.
SCHEDULE H, PART III, LINE 4 BAD DEBT EXPENSE - FINANCIAL STATEMENT FOOTNOTE	PATIENT SERVICE REVENUES PATIENT SERVICE REVENUES SHARP HAS AGREEMENTS WITH THIRD-PARTY PAYORS THAT PROVIDE FOR PAYMENTS TO SHARP AT AMOUNTS DIFFERENT FROM ITS ESTABLISHED RATES. PAYMENT ARRANGEMENTS ARE AS FOLLOWS: MEDICARE: INPATIENT ACUTE CARE SERVICES AND OUTPATIENT SERVICES PROVIDED TO MEDICARE PROGRAM BENEFICIARIES ARE PAID AT PROSPECTIVELY DETERMINED RATES PER DIAGNOSIS. SHARP IS PAID FOR COST REIMBURSABLE ITEMS AT A TENTATIVE RATE. PHYSICIAN SERVICES ARE PAID BASED UPON ESTABLISHED FEE SCHEDULES. AMOUNTS RECEIVED FROM THE MEDICARE PROGRAMS FOR HOSPITAL SERVICES ARE SUBJECT TO AUDIT AND FINAL SETTLEMENT BY A MEDICARE ADMINISTRATIVE CONTRACTOR AFTER SUBMISSION OF ANNUAL HOSPITAL COST REPORTS. SHARP'S MEDICARE COST REPORTS HAVE BEEN AUDITED GENERALLY THROUGH SEPTEMBER 30, 2021. THE ESTIMATED NET SETTLEMENT PAYABLES ARE $7,607,000 AND $32,000 AT SEPTEMBER 30, 2025, AND 2024, RESPECTIVELY, AND ADJUSTMENTS PERTAINING TO PRIOR YEAR COST REPORTS RESULTED IN REDUCED REVENUE OF $1,322,000 AND ADDITIONAL REVENUE OF $14,025,000 FOR THE YEARS ENDED SEPTEMBER 30, 2025, AND 2024, RESPECTIVELY. MEDI-CAL: INPATIENT AND OUTPATIENT SERVICES PROVIDED TO MEDI-CAL PROGRAM BENEFICIARIES ARE PAID EITHER UNDER CONTRACTED RATES OR COST-REIMBURSABLE ITEMS AT A TENTATIVE RATE. SERVICES ARE GENERALLY PAID AT PROSPECTIVELY DETERMINED RATES PER DISCHARGE, PER OCCASION OF SERVICE, OR PER COVERED MEMBER. AMOUNTS RECEIVED FROM MEDI-CAL PROGRAMS ARE SUBJECT TO AUDIT AND FINAL SETTLEMENT BY THE CALIFORNIA DEPARTMENT OF HEALTH CARE SERVICES AFTER SUBMISSION OF ANNUAL COST REPORTS. SHARP'S MEDI-CAL COST REPORTS HAVE BEEN AUDITED GENERALLY THROUGH SEPTEMBER 30, 2023. THE ESTIMATED NET SETTLEMENT PAYABLES WERE $1,489,000 AND $3,644,000 AT SEPTEMBER 30, 2025, AND 2024, RESPECTIVELY. ADJUSTMENTS PERTAINING TO PRIOR YEAR COST REPORTS RESULTED IN ADDITIONAL REVENUE OF $3,032,000 AND $8,892,000 FOR THE YEARS ENDED SEPTEMBER 30, 2025, AND 2024, RESPECTIVELY. COMMERCIAL: INPATIENT AND OUTPATIENT SERVICES PROVIDED TO PATIENTS COVERED UNDER COMMERCIAL INSURANCE POLICIES ARE PAID USING A VARIETY OF PAYMENT METHODOLOGIES BASED ON CONTRACTUAL AGREEMENTS. THE TRANSACTION PRICE FOR COMMERCIAL PAYORS IS REDUCED BY EXPLICIT CONTRACTUAL ADJUSTMENTS AND IMPLICIT PRICE CONCESSIONS BASED ON COLLECTION HISTORY WITH THIS PORTFOLIO OF PATIENTS. OTHER: INPATIENT AND OUTPATIENT SERVICES PROVIDED TO PATIENTS NOT COVERED BY THIRD-PARTY PAYORS ARE PAID BASED ON SHARP'S POLICIES AND THE PATIENT'S ABILITY TO PAY. SHARP REDUCES THE TRANSACTION PRICE BY IMPLICIT PRICE CONCESSIONS TO UNINSURED PATIENTS AND PATIENTS WITH UNINSURED BALANCES, SUCH AS COPAYS AND DEDUCTIBLES. THE IMPLICIT PRICE CONCESSIONS INCLUDED IN ESTIMATING THE TRANSACTION PRICE REPRESENT THE DIFFERENCE BETWEEN AMOUNTS BILLED TO PATIENTS AND THE AMOUNTS SHARP EXPECTS TO COLLECT BASED ON ITS COLLECTION HISTORY WITH THIS PORTFOLIO OF PATIENTS. SUBSEQUENT CHANGES TO THE ESTIMATES ARE CONSIDERED VARIABLE CONSIDERATION AND ARE INCLUDED IN PATIENT SERVICE REVENUES WHEN INFORMATION BECOMES AVAILABLE. AS PART OF ITS PATIENT SERVICE REVENUE ANALYSIS, SHARP EXAMINES THE FLUCTUATIONS IN PAYOR AND ENTITY TYPE, AS EACH FACTOR REPRESENTS A VARYING DEGREE OF UNCERTAINTY REGARDING THE NATURE, TIMING, AND EXTENT OF PAYMENTS.
SCHEDULE H, PART III, LINE 8 COMMUNITY BENEFIT & METHODOLOGY FOR DETERMINING MEDICARE COSTS	MEDICARE SHOULD BE INCLUDED AS A COMMUNITY BENEFIT BECAUSE PARTICIPATION IN THE MEDICARE PROGRAM REQUIRES ALL PATIENTS BE ACCEPTED WHETHER THROUGH THE EMERGENCY ROOM OR AS A REFERRAL AND GROSSMONT HOSPITAL CORPORATION MUST ACCEPT THE MEDICARE ESTABLISHED RATES WHETHER THEY COVER THE COST OR NOT. RATIO OF COST TO CHARGES (RCC) WERE CALCULATED USING THE MEDICARE COST REPORT FROM WORKSHEET C. THE REVENUE AND EXPENSE TIE TO THE GENERAL LEDGER WITH NO EXCLUSIONS, REPRESENTING DIRECT REVENUE AND EXPENSE PLUS STEPDOWN FROM OVERHEAD DEPARTMENTS. THE RCC BY CMS LINE WAS THEN APPLIED TO THE APPLICABLE REVENUE DEPARTMENTS BROKEN DOWN BY PAYOR TO OBTAIN THE FULLY WEIGHTED COST BY PAYER.
SCHEDULE H, PART III, LINE 9B COLLECTION PRACTICES FOR PATIENTS ELIGIBLE FOR FINANCIAL ASSISTANCE	SHARP DOES NOT INITIATE COLLECTION ACTIVITIES ON ACCOUNTS KNOWN TO BE ELIGIBLE FOR FINANCIAL ASSISTANCE OR CHARITY CARE. IT IS ALSO SHARP'S POLICY TO RECALL/CANCEL ACCOUNTS ASSIGNED TO A COLLECTION AGENCY IF IT IS DETERMINED, AT ANY TIME, A PATIENT ACCOUNT IS ELIGIBLE FOR FINANCIAL ASSISTANCE OR CHARITY CARE.
SCHEDULE H, PART V, SECTION B, LINE 16A FAP WEBSITE	- GROSSMONT HOSPITAL CORPORATION: LINE 16A URL: HTTPS://WWW.SHARP.COM/PATIENT/BILLING/FINANCIAL-ASSISTANCE.CFM;
SCHEDULE H, PART V, SECTION B, LINE 16B FAP APPLICATION WEBSITE	- GROSSMONT HOSPITAL CORPORATION: LINE 16B URL: HTTPS://WWW.SHARP.COM/PATIENT/BILLING/FINANCIAL-ASSISTANCE.CFM;
SCHEDULE H, PART V, SECTION B, LINE 16C FAP PLAIN LANGUAGE SUMMARY WEBSITE	- GROSSMONT HOSPITAL CORPORATION: LINE 16C URL: HTTPS://WWW.SHARP.COM/PATIENT/BILLING/FINANCIAL-ASSISTANCE.CFM;
SCHEDULE H, PART VI, LINE 2 NEEDS ASSESSMENT	IN ADDITION TO INDIVIDUAL HOSPITAL CHNA PROCESSES, SHARP HEALTHCARE (SHARP) PARTICIPATES IN A REGIONAL COMMUNITY HEALTH NEEDS ASSESSMENT FACILITATED BY THE HOSPITAL ASSOCIATION OF SAN DIEGO AND IMPERIAL COUNTIES, IN PARTNERSHIP WITH OTHER HEALTH CARE ORGANIZATIONS, LOCAL GOVERNMENT, AND COMMUNITY-BASED ORGANIZATIONS. THROUGH THESE COLLABORATIONS, SHARP ENGAGES WITH COMMUNITIES AND VULNERABLE POPULATIONS TO IDENTIFY EMERGING ISSUES, SERVICE GAPS, AND BARRIERS TO CARE, AND TO INFORM SHARED COMMUNITY BENEFIT PRIORITIES, RESEARCH, AND REGIONAL ADVOCACY EFFORTS. SHARP GROSSMONT HOSPITAL (SHARP GROSSMONT) ALSO SOLICITS PATIENT AND FAMILY FEEDBACK, INCLUDING PATIENT EXPERIENCE SURVEYS AND COMMUNITY ADVISORY INPUT, TO BETTER UNDERSTAND ONGOING ACCESS CHALLENGES, SERVICE GAPS, AND PRIORITY HEALTH CONCERNS WITHIN ITS SERVICE AREA. SHARP HOSPITALS, INCLUDING SHARP GROSSMONT, FURTHER ASSESS COMMUNITY NEEDS THROUGH REVIEW OF OPERATIONAL AND POPULATION HEALTH DATA, INCLUDING EMERGENCY DEPARTMENT UTILIZATION TRENDS, HEALTH EQUITY DASHBOARDS, REFERRAL PATTERNS, AND CARE COORDINATION DATA. HOSPITALS ALSO IMPLEMENT FACILITY-SPECIFIC PROTOCOLS AND WORKFLOWS TO SCREEN FOR SOCIAL DETERMINANTS OF HEALTH AND MONITOR TRENDS OVER TIME. SHARP GROSSMONT USES THESE INPUTS-TOGETHER WITH ITS EXPERTISE IN PROGRAMS AND SERVICES AND ITS UNDERSTANDING OF THE POPULATIONS IT SERVES-TO INFORM THE DEVELOPMENT AND REFINEMENT OF COMMUNITY BENEFIT PROGRAMS. THESE PROGRAMS AND OUTCOMES ARE DESCRIBED IN SHARP GROSSMONT'S FY 2026-FY 2029 IMPLEMENTATION STRATEGY, AVAILABLE AT: HTTPS://WWW.SHARP.COM/ABOUT/HEALTH-NEEDS-ASSESSMENTS.
SCHEDULE H, PART VI, LINE 3 PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE	SHARP HEALTHCARE'S FINANCIAL ASSISTANCE POLICY IS IN FURTHERANCE OF ITS CHARITABLE MISSION. THE POLICY IDENTIFIES ELIGIBILITY FOR, AND CIRCUMSTANCES UNDER WHICH, FINANCIAL ASSISTANCE WILL BE EXTENDED TO SHARP HEALTHCARE'S HOSPITAL PATIENTS FOR MEDICALLY NECESSARY SERVICES. "CHARITY CARE" IS THAT PORTION OF SHARP HEALTHCARE'S CHARGES FOR MEDICALLY NECESSARY PATIENT CARE SERVICES PROVIDED BY A HOSPITAL THAT A PATIENT (EITHER INDIVIDUALLY OR THROUGH A THIRD PARTY PAYER) IS UNABLE TO PAY. CHARITY CARE DOES NOT INCLUDE BAD DEBT, CONTRACTUAL ADJUSTMENTS, OR UN-REIMBURSED COSTS OF PROVIDING CARE TO PATIENTS ELIGIBLE UNDER GOVERNMENT PROGRAMS FOR HEALTH CARE SERVICES TO LOW-INCOME AND MEDICALLY INDIGENT PATIENTS. "FINANCIAL ASSISTANCE," MEANS ANY REDUCTION OF CHARGES FOR MEDICALLY NECESSARY SERVICES AS DEFINED HEREIN THAT MAY BE MADE BY SHARP HEALTHCARE EITHER FOR, OR ON BEHALF OF, A PATIENT WHO APPLIES TO SHARP HEALTHCARE FOR FINANCIAL ASSISTANCE AND MEETS SHARP HEALTHCARE'S FINANCIAL ELIGIBILITY REQUIREMENTS OR CRITERIA AS DESCRIBED IN THIS POLICY. FOR PURPOSES OF THE POLICY FINANCIAL ASSISTANCE INCLUDES "CHARITY CARE" WHICH MEANS A 100% REDUCTION IN CHARGES FOR MEDICALLY NECESSARY SERVICES AND "PARTIAL CHARITY CARE" WHICH MEANS A REDUCTION IN A PORTION OF CHARGES FOR SUCH SERVICES. ALL PATIENTS SHOULD BE SCREENED AT THE TIME OF ADMISSION OR AT REGISTRATION FOR ABILITY TO PAY FOR SERVICES, INCLUDING WHETHER OR NOT THEY ARE CANDIDATES FOR FINANCIAL ASSISTANCE. CARE FOR PATIENTS PRESENTING WITH A KNOWN OR POSSIBLE EMERGENCY MEDICAL CONDITION OR IN ACTIVE LABOR SHALL NOT BE DELAYED IN ORDER TO ASSESS FINANCIAL STATUS. IN ORDER TO BOTH INFORM PATIENTS OF THE VARIOUS PROGRAMS THEY MAY BE ENTITLED TO, AND ASSIST THEM IN THE APPLICATION PROCESS, UNCOMPENSATED CARE SPECIALISTS PROVIDE PATIENT(S) WITH A FINANCIAL ASSISTANCE FORM. THE UNCOMPENSATED CARE SPECIALISTS DIRECT THE PATIENT (OR THEIR GUARANTOR) TO COMPLETE A PATIENT FINANCIAL STATEMENT, INCLUDE SPECIFIED FINANCIAL ITEMS FOR BOTH THE PATIENT AND SPOUSE (IF ANY), DIRECT THE PATIENT TO RETURN ALL INFORMATION WITHIN TEN DAYS AND DOCUMENT IN PATIENT'S ACCOUNT HISTORY NOTES THE SUBSTANCE OF ANY PATIENT DISCUSSIONS AND THAT THE PATIENT FINANCIAL STATEMENT WAS PROVIDED. FOLLOWING INTERNAL PROCESSING OF THE FINANCIAL ASSISTANCE FORM, SHARP UNCOMPENSATED CARE SPECIALISTS AND/OR PRIVATE PAY REPRESENTATIVES NOTIFY PATIENT OF FINANCIAL ASSISTANCE APPLICATION RESULTS, DOCUMENT THE DECISION IN ALL APPROVED AND DENIED FINANCIAL ASSISTANCE ACCOUNTS AND SECURE PAYMENT ARRANGEMENTS FOR REMAINING BALANCE OF PARTIAL FINANCIAL ASSISTANCE OR DENIED FINANCIAL ASSISTANCE ACCOUNTS. ALL FOLLOW-UP AND PATIENT INTERACTION IS DOCUMENTED IN THE PATIENT'S ACCOUNT HISTORY NOTES.
SCHEDULE H, PART VI, LINE 4 COMMUNITY INFORMATION	SHARP GROSSMONT HOSPITAL SERVES THE EAST REGION OF SAN DIEGO COUNTY, INCLUDING THE COMMUNITIES OF JAMUL, SPRING VALLEY, LEMON GROVE, LA MESA, EL CAJON, SANTEE, LAKESIDE, HARBISON CANYON, CREST, ALPINE, LAGUNA-PINE VALLEY, CAMPO, AND MOUNTAIN EMPIRE. THE SERVICE AREA INCLUDES A COMBINATION OF URBAN, SUBURBAN, RURAL, AND UNINCORPORATED COMMUNITIES. APPROXIMATELY 15.7% OF RESIDENTS IN THE REGION LIVE IN REMOTE OR RURAL AREAS. BASED ON DEMOGRAPHIC INFORMATION EVALUATED AS PART OF THE FY2025 COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA), THE COMMUNITIES SERVED BY SHARP GROSSMONT HOSPITAL INCLUDE RACIALLY, ETHNICALLY, LINGUISTICALLY, AND SOCIOECONOMICALLY DIVERSE POPULATIONS. THE CHNA IDENTIFIED COMMUNITIES EXPERIENCING HEALTH INEQUITIES AND ECONOMIC HARDSHIP, INCLUDING LOW-INCOME HOUSEHOLDS, UNINSURED AND UNDERINSURED INDIVIDUALS, MEDI-CAL BENEFICIARIES, LIMITED-ENGLISH-PROFICIENCY POPULATIONS, RACIAL AND ETHNIC MINORITY POPULATIONS, OLDER ADULTS, INDIVIDUALS WITH DISABILITIES, AND OTHER MEDICALLY UNDERSERVED RESIDENTS. THE CHNA ALSO EVALUATED DEMOGRAPHIC INDICATORS INCLUDING POPULATION CHARACTERISTICS, HOUSEHOLD INCOME, POVERTY LEVELS, EDUCATIONAL ATTAINMENT, HEALTH INSURANCE COVERAGE, AND OTHER SOCIAL DETERMINANTS OF HEALTH TO IDENTIFY POPULATIONS EXPERIENCING DISPROPORTIONATE HEALTH AND SOCIAL NEEDS. AS PART OF ITS FY2025 COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA), SHARP GROSSMONT HOSPITAL EVALUATED DEMOGRAPHIC, SOCIOECONOMIC, PUBLIC HEALTH, AND COMMUNITY INPUT DATA TO IDENTIFY POPULATIONS EXPERIENCING THE GREATEST HEALTH INEQUITIES. THE ASSESSMENT UTILIZED THE HEALTHY PLACES INDEX (HPI), WHICH MEASURES COMMUNITY CONDITIONS ASSOCIATED WITH HEALTH AND WELL-BEING. BASED ON THIS ANALYSIS, ZIP CODES 92004 (BORREGO SPRINGS), 92036 (JULIAN), AND 91906 (CAMPO) WERE IDENTIFIED AS PRIORITY COMMUNITIES DUE TO ELEVATED SOCIOECONOMIC NEEDS AND HEALTH INEQUITIES RELATIVE TO OTHER AREAS WITHIN THE SERVICE REGION. THE SERVICE AREA INCLUDES MEDICALLY UNDERSERVED, LOW-INCOME, MINORITY, UNINSURED, UNDERINSURED, RURAL, AND MEDI-CAL POPULATIONS. THE CHNA IDENTIFIED SIGNIFICANT CHALLENGES RELATED TO ACCESS TO CARE, BEHAVIORAL HEALTH SERVICES, CHRONIC DISEASE MANAGEMENT, HOUSING INSTABILITY, FOOD INSECURITY, TRANSPORTATION BARRIERS, AND OTHER SOCIAL DRIVERS OF HEALTH. COMMUNITY INPUT ALSO HIGHLIGHTED CHALLENGES FACED BY INDIVIDUALS WITH PUBLIC INSURANCE COVERAGE, INCLUDING MEDI-CAL BENEFICIARIES, OLDER ADULTS, INDIVIDUALS EXPERIENCING HOMELESSNESS, AND RESIDENTS OF RURAL COMMUNITIES. RESIDENTS OF THE SERVICE AREA HAVE ACCESS TO HEALTH CARE SERVICES PROVIDED BY SHARP GROSSMONT HOSPITAL AS WELL AS NUMEROUS ACUTE CARE, SPECIALTY, BEHAVIORAL HEALTH, CHILDREN'S, MILITARY, AND PUBLIC HOSPITALS OPERATING THROUGHOUT SAN DIEGO COUNTY, INCLUDING KAISER PERMANENTE SAN DIEGO, UC SAN DIEGO HEALTH, PALOMAR HEALTH, SCRIPPS HEALTH, TRI-CITY MEDICAL CENTER, RADY CHILDREN'S HOSPITAL SAN DIEGO, AND OTHER PUBLIC, PRIVATE, BEHAVIORAL HEALTH, AND SPECIALTY HOSPITALS THAT PARTICIPATED IN THE FY2025 COUNTYWIDE CHNA PROCESS. SHARP GROSSMONT HOSPITAL USES DEMOGRAPHIC INFORMATION, PUBLIC HEALTH INDICATORS, COMMUNITY INPUT, AND QUANTITATIVE HEALTH DATA TO IDENTIFY PRIORITY HEALTH NEEDS AND DEVELOP PROGRAMS AND SERVICES DESIGNED TO IMPROVE HEALTH OUTCOMES, REDUCE HEALTH DISPARITIES, AND ADDRESS THE NEEDS OF VULNERABLE POPULATIONS THROUGHOUT ITS SERVICE AREA.
SCHEDULE H, PART VI, LINE 5 PROMOTION OF COMMUNITY HEALTH	AS SAN DIEGO'S LARGEST PRIVATE EMPLOYER, SHARP PROMOTES SUSTAINABILITY THROUGH EDUCATION, OUTREACH, AND COLLABORATION WITH LOCAL BUSINESSES TO IDENTIFY BEST PRACTICES IN SUPPLY CHAIN MANAGEMENT AND REDUCE ENVIRONMENTAL IMPACT. SHARP APPLIES A FOOD AS MEDICINE APPROACH BY PROMOTING AND SOURCING HEALTHY FOOD OPTIONS TO SUPPORT THE HEALTH OF PATIENTS, EMPLOYEES, AND THE COMMUNITY. IN PARTNERSHIP WITH SODEXO, SHARP ADVANCES FOOD PRACTICES THAT SUPPORT CHRONIC DISEASE PREVENTION, ENCOURAGE HEALTHIER HABITS, AND REDUCE WASTE. IN FY 2025, THESE EFFORTS RESULTED IN THE DIVERSION OF NEARLY 800,000 POUNDS OF FOOD WASTE, REPRESENTING A 47% CUMULATIVE REDUCTION SINCE PROGRAM LAUNCH-AND ACHIEVEMENT OF 50% SUSTAINABLE PURCHASING. DURING FY 2025, SHARP ALSO SUPPORTED COMMUNITY DISASTER PREPAREDNESS THROUGH EDUCATION, TRAINING, AND LEADERSHIP FOR COMMUNITY MEMBERS, HEALTH PROFESSIONALS, AND PUBLIC HEALTH PARTNERS. ACTIVITIES INCLUDED EMERGENCY PREPAREDNESS TRAINING, PARTICIPATION IN LOCAL, REGIONAL, AND STATEWIDE DISASTER PREPAREDNESS EXERCISES, AND LEADERSHIP IN PLANNING EFFORTS RELATED TO RADIATION RESPONSE, MASS EVACUATION, DECEDENT MANAGEMENT, CYBERSECURITY READINESS, AND HIGH CONSEQUENCE INFECTIOUS DISEASE RESPONSE. SHARP FURTHER SUPPORTED COMMUNITY READINESS THROUGH COLLABORATION WITH PUBLIC HEALTH AGENCIES, MAINTENANCE OF EMERGENCY SUPPLIES AND EQUIPMENT, AND SERVICE ON LOCAL, STATE, AND FEDERAL EMERGENCY PREPAREDNESS COMMITTEES. CONSISTENT WITH ITS COMMUNITY-FOCUSED MISSION, SHARP MAINTAINS GOVERNANCE PRACTICES THAT PROMOTE COMMUNITY REPRESENTATION AND ENGAGEMENT. A MAJORITY OF THE ORGANIZATION'S GOVERNING BODY IS COMPOSED OF INDIVIDUALS WHO RESIDE IN THE COMMUNITIES SERVED AND WHO ARE NEITHER EMPLOYEES NOR INDEPENDENT CONTRACTORS OF THE ORGANIZATION, NOR FAMILY MEMBERS THEREOF. IN ADDITION, SHARP EXTENDS MEDICAL STAFF PRIVILEGES TO ALL QUALIFIED PHYSICIANS IN ITS COMMUNITY IN ACCORDANCE WITH ITS CREDENTIALING AND PRIVILEGING POLICIES AND SUBJECT TO APPLICABLE HOSPITAL SERVICE AND SPECIALTY REQUIREMENTS.
SCHEDULE H, PART VI, LINE 6 AFFILIATED HEALTH CARE SYSTEM	SHARP HEALTHCARE IS AN INTEGRATED, REGIONAL HEALTH CARE DELIVERY SYSTEM BASED IN SAN DIEGO COUNTY. THROUGH ITS HOSPITALS, AFFILIATED MEDICAL GROUPS, HEALTH PLAN, AND OTHER RELATED ENTITIES, SHARP PROMOTES COMMUNITY HEALTH BY COORDINATING CARE DELIVERY, ADVANCING POPULATION HEALTH STRATEGIES, AND SUPPORTING COMMUNITY BENEFIT PROGRAMS ACROSS THE REGION. SYSTEM-LEVEL FUNCTIONS PROVIDE STRATEGIC DIRECTION, INFRASTRUCTURE, AND SHARED RESOURCES TO SUPPORT COMMUNITY HEALTH IMPROVEMENT, INCLUDING PLANNING, DATA ANALYTICS, CARE COORDINATION, AND PARTNERSHIPS WITH PUBLIC HEALTH AGENCIES AND COMMUNITY-BASED ORGANIZATIONS. SHARP HEALTH PLAN SUPPORTS ACCESS TO CARE AND PREVENTIVE SERVICES FOR ENROLLED MEMBERS, WHILE SHARP'S FOUNDATIONS SUPPORT COMMUNITY BENEFIT INITIATIVES THROUGH PHILANTHROPIC INVESTMENT. AT THE LOCAL LEVEL, EACH SHARP HOSPITAL IDENTIFIES AND RESPONDS TO THE SPECIFIC HEALTH NEEDS OF THE COMMUNITIES IT SERVES BY DELIVERING COMMUNITY BENEFIT PROGRAMS, PROVIDING CHARITY CARE AND SUBSIDIZED HEALTH SERVICES, AND PARTICIPATING IN LOCAL COALITIONS AND OUTREACH EFFORTS. SHARP GROSSMONT, FOR EXAMPLE, IS THE LARGEST PROVIDER OF HEALTH CARE SERVICES IN SAN DIEGO'S EAST COUNTY AND OPERATES ONE OF THE BUSIEST EMERGENCY ROOMS IN SAN DIEGO COUNTY. TOGETHER, SHARP AND ITS AFFILIATES WORK IN A COORDINATED MANNER TO IMPROVE ACCESS TO CARE, ADDRESS COMMUNITY HEALTH PRIORITIES, AND ADVANCE HEALTH EQUITY THROUGHOUT SAN DIEGO COUNTY.
SCHEDULE H, PART VI, LINE 7 STATE FILING OF COMMUNITY BENEFIT REPORT	CA

Schedule I IRS990ScheduleI

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

Recipient Table RecipientTable (7 entries)

Address Line1USAddress/AddressLine1Txt	Address Line2USAddress/AddressLine2Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Recipient EINRecipientEIN	IRC SectionIRCSectionDesc	Cash GrantCashGrantAmt	Purpose Of GrantPurposeOfGrantTxt
CALIFORNIA HEALTH FOUNDATION TRUST
1215 K STREET	SUITE 800	SACRAMENTO	CA	95814	941498697	501 (C) (3)	$1,977,425	MEDI-CAL PROGRAM
GROSSMONT HOSPITAL FOUNDATION
8695 SPECTRUM CENTER BLVD		SAN DIEGO	CA	921231489	330124488	501 (C) (3)	$125,500	SPONSORSHIP - CONTINUING MEDICAL EDUCATION, GOLF TOURNAMENT, REGATTA
AMERICAN LUNG ASSOCIATION
55 W WACKER DRIVE		CHICAGO	IL	60601	131632524	501 (C) (3)	$114,071	SPONSORSHIPS - LUNG FORCE WALK
SAN DIEGO EAST COUNTY CHAMBER
201 S MAGNOLIA AVENUE		EL CAJON	CA	92020	951494069	501 (C) (6)	$6,800	SPONSORSHIP FOR LOCAL EVENTS
OCEANSIDE CHAMBER OF COMMERCE
928 N COAST HIGHWAY		OCEANSIDE	CA	92054	951061083	501 (C) (6)	$11,500	SPONSORSHIP FOR LOCAL EVENTS
UNIVERSITY OF CALIFORNIA SAN DIEGO HEALTH
6200 GREENWICH DRIVE	2-294 MC 8900	SAN DIEGO	CA	92122	956006144	501 (C) (3)	$134,172	SPONSORSHIP - FTE FELLOW
YMCA OF SAN DIEGO COUNTY
3708 RUFFIN RD		SAN DIEGO	CA	92123	952039198	501 (C) (3)	$8,000	SPONSORSHIP FOR LOCAL EVENTS

Field	Value	IRS element (for citing)
Total501c3 Org	5	Total501c3OrgCnt
Total Other Org	2	TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	SCHEDULE I, PART I, LINE 2 PROCEDURES FOR MONITORING USE OF GRANT FUNDS	FormAndLineReferenceDesc
Explanation	THE MANAGEMENT TEAM EVALUATES REQUESTS FOR CONTRIBUTIONS FROM OUTSIDE ORGANIZATIONS TAKING INTO ACCOUNT HOW THEY ALIGN WITH THE ORGANIZATION'S MISSION. NO MONITORING IS DONE AFTER GRANTS ARE MADE.	ExplanationTxt

Schedule J IRS990ScheduleJ

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

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (16 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
CHRISTOPHER D HOWARD
PRESIDENT & CEO SHC	$0	$1,956,231	$0	$670,781	$0	$105,098	$0	$0	$0	$18,507	$0	$2,750,617	$0	$0
WILLIAM S EVANS
SVP MARKET CEO	$0	$956,065	$0	$263,546	$0	$61,320	$0	$0	$0	$24,422	$0	$1,305,353	$0	$0
SUSAN GREEN
EVP & CFO SHC	$0	$957,624	$0	$434,717	$0	$28,914	$0	$0	$0	$15,484	$0	$1,436,739	$0	$0
RICK L GROSSMAN
SVP GENERAL COUNSEL	$0	$1,118,886	$0	$268,107	$0	$52,718	$0	$0	$0	$11,502	$0	$1,451,213	$0	$0
DANIEL J KINDRON
CBDO, CHIEF FINANCE-MARKET GROWTH OFFICER THRU 03/30/2025	$0	$341,799	$0	$78,882	$0	$1,751	$0	$18,049	$0	$2,614	$0	$443,095	$0	$0
ANDREW TOTH
CFO, ACUTE CARE HOSPITALS AS OF 05/25/2025	$0	$204,326	$0	$43,370	$0	$8,329	$0	$12,981	$0	$22,759	$0	$291,765	$0	$0
ANTHONY DAMICO
COO GHC	$0	$371,105	$0	$85,768	$0	$28,851	$0	$25,277	$0	$10,883	$0	$521,884	$0	$0
LOUISE WHITE
VP PATIENT CARE	$0	$325,196	$0	$75,861	$0	$33,001	$0	$21,455	$0	$17,609	$0	$473,122	$0	$0
SUZANNE JOHNSON
VP HOSPICE	$0	$253,171	$0	$75,406	$0	$40,964	$0	$18,896	$0	$10,198	$0	$398,635	$0	$0
ALI ZANIAL
DIR PHARMACY	$0	$269,981	$0	$41,566	$0	$412	$0	$15,345	$0	$22,339	$0	$349,643	$0	$0
JASON BROAD
VP PERFORMANCE	$0	$263,194	$0	$63,039	$0	$24,454	$0	$27,954	$0	$10,283	$0	$388,924	$0	$0
MARGUERITE PARADIS
ASSISTANT CNO/INTERIM VP ORTHO-NEURO	$0	$316,638	$0	$40,377	$0	$16,592	$0	$18,730	$0	$16,890	$0	$409,227	$0	$0
PATRICK GUO
LEAD MED RAD PHYSICIST	$0	$322,555	$0	$0	$0	$13,610	$0	$23,129	$0	$1,648	$0	$360,942	$0	$0
ELLIE ZEPEDA
LEAD CLINICAL NURSE	$0	$305,904	$0	$4,236	$0	$377	$0	$9,376	$0	$15,488	$0	$335,381	$0	$0
JOSEPH LOPEZ
LEAD CLINICAL NURSE	$0	$298,738	$0	$0	$0	$4,334	$0	$19,758	$0	$22,368	$0	$345,198	$0	$0
GREGORY APEL MD
CHIEF MEDICAL OFFICER	$0	$481,564	$0	$45,511	$0	$24,026	$0	$15,454	$0	$16,787	$0	$583,342	$0	$0

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc

ExplanationExplanationTxt

SCHEDULE J, PART I, LINE 3 ARRANGEMENT USED TO ESTABLISH THE TOP MANAGEMENT OFFICIAL'S COMPENSATION

THE COMPENSATION COMMITTEE OF SHARP HEALTHCARE RETAINS AN INDEPENDENT COMPENSATION CONSULTING FIRM TO REVIEW THE TOTAL COMPENSATION PAID TO EXECUTIVE MANAGEMENT (PRESIDENT/CHIEF EXECUTIVE OFFICER, CHIEF OPERATING OFFICER, AND SENIOR VICE PRESIDENTS) AND COMPARES IT TO THE TOTAL COMPENSATION PAID TO SIMILAR POSITIONS WITH LIKE INSTITUTIONS. THE INFORMATION IS PRESENTED TO THE COMPENSATION COMMITTEE OF THE BOARD OF DIRECTORS BY THE INDEPENDENT CONSULTANT. THE COMPENSATION COMMITTEE IS COMPRISED OF BOARD MEMBERS WHO ARE NOT PHYSICIANS AND WHO ARE NOT COMPENSATED IN ANY WAY BY THE ORGANIZATION. THE COMPENSATION COMMITTEE CREATES AND APPROVES THE ORGANIZATION'S EXECUTIVE COMPENSATION PHILOSOPHIES AND STRATEGIES STATEMENT AND AS PART OF THIS APPROVES THE TOTAL COMPENSATION FOR THE PRESIDENT/CHIEF EXECUTIVE OFFICER AND REVIEWS AND APPROVES THE TOTAL COMPENSATION RECOMMENDATIONS FOR THE REMAINING EXECUTIVE TEAM. THE COMPENSATION COMMITTEE PRESENTS ITS DECISION TO THE BOARD OF DIRECTORS. THE COMPENSATION COMMITTEE RETAINS MINUTES OF ITS MEETINGS. THE STUDY WAS LAST CONDUCTED IN SEPTEMBER 2025, RESULTS PRESENTED TO COMPENSATION COMMITTEE IN NOVEMBER 2025, CONSULTANTS' OPINION LETTER PRESENTED TO COMPENSATION COMMITTEE IN JANUARY 2026.

SCHEDULE J, PART I, LINE 4B SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN

SHARP HEALTHCARE ("COMPANY") SPONSORS AN EXECUTIVE FLEXIBLE BENEFIT PLAN ("PLAN") TO PROVIDE DESIGNATED EXECUTIVES WITH A REASONABLE LEVEL OF BENEFITS IN RETURN FOR THEIR CONTINUED EMPLOYMENT WITH THE COMPANY. THE PLAN IS ADMINISTERED ON A PLAN YEAR BASIS OF JANUARY 1 TO DECEMBER 31. CHANGES IN FLEXIBLE BENEFIT OPTIONS ARE PERMITTED ANNUALLY, EFFECTIVE JANUARY 1 OF THE NEW PLAN YEAR. THE PROVISIONS OF THE PLAN, WHICH WERE RESTATED EFFECTIVE AS OF DECEMBER 31, 2008, ARE DESCRIBED BELOW AS RESTATED. THE PLAN IS AVAILABLE TO THE CHIEF EXECUTIVE OFFICER, EXECUTIVE VICE PRESIDENT OF HOSPITAL OPERATIONS, AND SENIOR VICE PRESIDENTS. THE FLEXIBLE BENEFIT ALLOWANCE AVAILABLE TO EACH PARTICIPANT EACH PLAN YEAR SHALL EQUAL THE SUM OF THE FOLLOWING: - A COMPANY PROVIDED BASE ALLOWANCE EQUAL TO 18% OF THE PARTICIPANT'S BASE SALARY - A PARTICIPANT DEFERRAL UP TO 6% OF THE PARTICIPANT'S PRE-TAX BASE SALARY FOR SUCH PLAN YEAR AS ELECTED BY THE PARTICIPANT - A COMPANY MATCH SHOULD THE PARTICIPANT MAKE AN ELECTIVE DEFERRAL FOR A PLAN YEAR. THE COMPANY MATCH BEGINS AT 2% FOR THE FIRST 1% ELECTIVE DEFERRAL AND INCREASES 0.5% FOR EACH ADDITIONAL 1% ELECTIVE DEFERRAL, TO A MAXIMUM MATCH OF 4.5% ON A 6% ELECTIVE DEFERRAL. THE PLAN ALLOWS PARTICIPANTS TO USE THE FLEXIBLE BENEFIT ALLOWANCE TO PURCHASE ADDITIONAL LONG-TERM DISABILITY COVERAGE, LONG-TERM CARE COVERAGE, AND FLEXIBLE SURVIVOR COVERAGE/ACCUMULATION BENEFITS (LIFE INSURANCE). PARTICIPANTS IN THE FLEXIBLE SURVIVOR COVERAGE/ACCUMULATION BENEFITS PLAN PREVIOUSLY COULD ELECT TO APPLY FLEXIBLE BENEFIT ALLOWANCE TO ACQUIRE ADDITIONAL SURVIVOR COVERAGE, OR TOWARD DEPOSITS TO THE SUPPLEMENTAL SURVIVOR ACCUMULATION BENEFIT PLAN ("SSAB") TO FUND POST-RETIREMENT SURVIVOR BENEFITS, SUBJECT TO THE ERISA LIMIT PROVIDED THEIR POLICIES WERE ISSUED PRIOR TO SEPTEMBER 18, 2003. THE COMPANY SHALL AUTOMATICALLY CONTINUE WHATEVER ELECTIVE COVERAGE AND ADDITIONAL DEPOSIT ELECTIONS THAT WERE IN PLACE FOR THE SSAB DURING THE 2008 PLAN YEAR. NO ELECTIVE COVERAGE OR ADDITIONAL DEPOSITS WERE AVAILABLE TO PARTICIPANTS WHOSE POLICIES WERE ISSUED ON OR AFTER SEPTEMBER 18, 2003. ANY FLEXIBLE BENEFIT ALLOWANCE THAT REMAINS AFTER PURCHASING THESE ADDITIONAL COVERAGES SHALL BE PAID TO THE PARTICIPANT IN CASH IN EQUAL INSTALLMENTS THROUGHOUT THE PLAN YEAR, NOT LESS FREQUENTLY THAN QUARTERLY. IF THE PARTICIPANT SEPARATES FROM SERVICE DURING THE PLAN YEAR, THE PARTICIPANT FORFEITS ANY UNPAID ALLOWANCE. DURING THE YEAR ENDED DECEMBER 31, 2024, NO PARTICIPANTS RECEIVED DISTRIBUTIONS FROM THE PLAN.

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (21 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FORM 990, PART III, LINE 1 PART III, LINE 1	TO ESTABLISH, MAINTAIN, CONDUCT, AND OPERATE A HOSPITAL OR HOSPITALS RELATED, ASSOCIATED AND COMPLIMENTARY FACILITIES AND SERVICES, SUCH AS, BUT NOT LIMITED TO, SKILLED NURSING, EXTENDED CARE, OUTPATIENT CARE, HOME CARE, AND OTHER HEALTH CARE PROGRAMS, ACTIVITIES, SERVICES AND FACILITIES. TO CARRY ON ANY EDUCATIONAL ACTIVITIES RELATED TO RENDERING CARE TO THE SICK AND INJURED, OR TO THE PROMOTION OF HEALTH. TO PROMOTE AND CARRY ON SCIENTIFIC RESEARCH RELATED TO THE CARE OF THE SICK AND INJURED, OR TO THE PROMOTION OF HEALTH. TO PARTICIPATE IN ANY ACTIVITY DESIGNED AND CARRIED ON TO PROMOTE THE GENERAL HEALTH OF THE COMMUNITY. TO OPERATE AND MAINTAIN THIS CORPORATION AND ITS ASSETS FOR THE BENEFIT OF THE COMMUNITIES SERVED BY GROSSMONT HEALTHCARE DISTRICT, A POLITICAL SUBDIVISION OF THE STATE OF CALIFORNIA, ORGANIZED PURSUANT TO LOCAL HOSPITAL DISTRICT LAW (DIVISION 23 OF THE CALIFORNIA HEALTH & SAFETY CODE), AND WHICH IS LOCATED IN SAN DIEGO COUNTY, CALIFORNIA. GENERALLY DO ANYTHING AND EVERYTHING NECESSARY, EXPEDIENT OR INCIDENTAL TO THE FOREGOING.
FORM 990, PART III, LINE 4A COMMUNITY BENEFIT REPORT	SEE THE FULL SHARP HEALTHCARE ANNUAL COMMUNITY BENEFIT PLAN AND REPORT AT: HTTPS://WWW.SHARP.COM/ABOUT/COMMUNITY/COMMUNITY-BENEFITS/BENEFIT-REPORT.CFM OVERVIEW OF SHARP HEALTHCARE SHARP HEALTHCARE (SHARP) IS AN INTEGRATED, REGIONAL HEALTH CARE DELIVERY SYSTEM BASED IN SAN DIEGO, CALIFORNIA. THE SHARP SYSTEM INCLUDES FOUR ACUTE CARE HOSPITALS, FIVE SPECIALTY HOSPITALS, THREE AFFILIATED MEDICAL GROUPS, TWENTY-SEVEN MEDICAL CLINICS, SIX URGENT CARE CENTERS, THREE SKILLED NURSING FACILITIES, TWO INPATIENT REHABILITATION CENTERS, A HOSPICE PROGRAM, HOME INFUSION SERVICES, NUMEROUS OUTPATIENT FACILITIES AND PROGRAMS, AND THREE CHARITABLE FOUNDATIONS. SHARP ALSO OFFERS INDIVIDUAL AND GROUP HMO COVERAGE THROUGH SHARP HEALTH PLAN. SERVING A POPULATION OF APPROXIMATELY 3.3 MILLION IN SAN DIEGO COUNTY (SDC), AS OF SEPTEMBER 30, 2025, SHARP IS LICENSED TO OPERATE 2,230 BEDS AND HAS APPROXIMATELY 2,800 SHARP-AFFILIATED PHYSICIANS AND MORE THAN 20,000 EMPLOYEES. MISSION IT IS SHARP HEALTHCARE'S MISSION TO IMPROVE THE HEALTH OF THOSE WE SERVE WITH A COMMITMENT TO EXCELLENCE IN ALL THAT WE DO. SHARP'S GOAL IS TO OFFER QUALITY CARE AND SERVICES THAT SET COMMUNITY STANDARDS, EXCEED PATIENTS' EXPECTATIONS AND ARE PROVIDED IN A CARING, CONVENIENT, COST-EFFECTIVE AND ACCESSIBLE MANNER. VISION SHARP HEALTHCARE'S VISION IS TO TRANSFORM THE HEALTH CARE EXPERIENCE AND BE THE BEST PLACE TO WORK, THE BEST PLACE TO PRACTICE MEDICINE AND THE BEST PLACE TO RECEIVE CARE. SHARP IS DEDICATED TO BECOMING THE BEST HEALTH SYSTEM IN THE UNIVERSE. CORE VALUES INTEGRITY, CARING, SAFETY, INNOVATION AND EXCELLENCE. SUMMARY THIS SUMMARY PROVIDES AN OVERVIEW OF COMMUNITY BENEFIT PLANNING AT SHARP HEALTHCARE (SHARP), A LISTING OF COMMUNITY NEEDS ADDRESSED IN THIS COMMUNITY BENEFIT PLAN AND REPORT AND A SUMMARY OF COMMUNITY BENEFIT PROGRAMS AND SERVICES PROVIDED BY SHARP IN FISCAL YEAR (FY) 2025 (OCT. 1, 2024, THROUGH SEPT. 30, 2025). IN ADDITION, THE SUMMARY REPORTS THE ECONOMIC VALUE OF COMMUNITY BENEFIT PROVIDED BY SHARP, ACCORDING TO THE FRAMEWORK SPECIFICALLY IDENTIFIED IN SENATE BILL 697 (SB 697), FOR THE FOLLOWING ENTITIES: SHARP CHULA VISTA MEDICAL CENTER (EIN 95-2367304) SHARP CORONADO HOSPITAL AND HEALTHCARE CENTER (EIN 95-0651579) SHARP GROSSMONT HOSPITAL (EIN 33-0449527) SHARP MARY BIRCH HOSPITAL FOR WOMEN & NEWBORNS (EIN 95-3782169) SHARP MEMORIAL HOSPITAL (EIN 95-3782169) SHARP MESA VISTA HOSPITAL AND SHARP MCDONALD CENTER (EIN 95-3782169) SHARP HEALTH PLAN (EIN 33-0519730) COMMUNITY BENEFIT PLANNING AT SHARP HEALTHCARE SHARP HEALTHCARE BASES ITS COMMUNITY BENEFIT PLANNING ON ITS TRIENNIAL COMMUNITY HEALTH NEEDS ASSESSMENTS (CHNAS), COMBINED WITH EXPERTISE IN PROGRAMS AND SERVICES OF EACH SHARP HOSPITAL AND COLLABORATION WITH COMMUNITY PARTNERS. COMMUNITY NEEDS ADDRESSED IN THE SHARP HEALTHCARE COMMUNITY BENEFIT PLAN AND REPORT FOR FY 2025 INCLUDE: * ACCESS TO CARE AND FINANCIAL SUPPORT FOR UNINSURED AND UNDERINSURED COMMUNITY MEMBERS AND INDIVIDUALS WITHOUT A MEDICAL PROVIDER * PROGRAMS AND SERVICES THAT PROVIDE COMMUNITY AND SOCIAL SUPPORT TO ADDRESS HEALTH EQUITY CHALLENGES AND CHRONIC STRESS * EDUCATION, SCREENING AND SUPPORT PROGRAMS FOR CHRONIC HEALTH CONDITIONS, INCLUDING HEART AND VASCULAR DISEASE, STROKE, CANCER, DIABETES AND OBESITY * BEHAVIORAL HEALTH AND SUBSTANCE USE EDUCATION, SCREENING AND SUPPORT FOR AT-RISK POPULATIONS * WOMEN'S AND PRENATAL/POSTNATAL HEALTH SERVICES, SUPPORT AND EDUCATION * AGING CARE AND SUPPORT PROGRAMS, INCLUDING EDUCATION AND SCREENING FOR OLDER ADULTS AND CAREGIVERS * SAFETY AND SUPPORT PROGRAMS FOR PEOPLE WITH DISABILITIES * END-OF-LIFE AND ADVANCE CARE PLANNING SERVICES * SUPPORT FOR COMMUNITY NONPROFIT HEALTH AND SOCIAL SERVICE ORGANIZATIONS * EDUCATION AND TRAINING FOR COMMUNITY HEALTH CARE PROFESSIONALS * STUDENT AND INTERN SUPERVISION, EDUCATION AND SUPPORT * COLLABORATION WITH LOCAL SCHOOLS TO PROMOTE INTEREST IN AND PATHWAYS TO HEALTH CARE CAREERS * PARTICIPATION IN CLINICAL TRIALS AND HEALTH RESEARCH ECONOMIC VALUE OF COMMUNITY BENEFIT PROVIDED IN FY 2025 IN FY 2025, SHARP PROVIDED A TOTAL OF $751,654,612 IN COMMUNITY BENEFIT PROGRAMS AND UNREIMBURSED SERVICES. THESE FINANCIAL FIGURES REPRESENT UNREIMBURSED COMMUNITY BENEFIT COSTS AFTER THE IMPACT OF THE MEDI-CAL HOSPITAL FEE PROGRAM. ECONOMIC VALUE OF COMMUNITY BENEFIT PROVIDED IN FY 2025 BY SB 697 CATEGORY AND BY SHARP ENTITY WAS AS FOLLOWS: SHARP CHULA VISTA MEDICAL CENTER: MEDICAL CARE SERVICES - $146,019,667 OTHER BENEFITS FOR VULNERABLE POPULATIONS - $355,640 OTHER BENEFITS FOR THE BROADER COMMUNITY - $226,508 HEALTH RESEARCH, EDUCATION AND TRAINING PROGRAMS - $696,317 TOTAL - $147,298,132 SHARP CORONADO HOSPITAL AND HEALTHCARE CENTER: MEDICAL CARE SERVICES - $30,622,120 OTHER BENEFITS FOR VULNERABLE POPULATIONS - $146,120 OTHER BENEFITS FOR THE BROADER COMMUNITY - $261,541 HEALTH RESEARCH, EDUCATION AND TRAINING PROGRAMS - $69,401 TOTAL - $31,099,182 SHARP GROSSMONT HOSPITAL: MEDICAL CARE SERVICES - $228,058,739 OTHER BENEFITS FOR VULNERABLE POPULATIONS - $1,449,818 OTHER BENEFITS FOR THE BROADER COMMUNITY - $647,551 HEALTH RESEARCH, EDUCATION AND TRAINING PROGRAMS - $846,982 TOTAL - $231,003,090 SHARP MARY BIRCH HOSPITAL FOR WOMEN & NEWBORNS: MEDICAL CARE SERVICES - $22,718,293 OTHER BENEFITS FOR VULNERABLE POPULATIONS - $45,755 OTHER BENEFITS FOR THE BROADER COMMUNITY - $486,399 HEALTH RESEARCH, EDUCATION AND TRAINING PROGRAMS - $132,678 TOTAL - $23,383,125 SHARP MEMORIAL HOSPITAL: MEDICAL CARE SERVICES - $288,513,237 OTHER BENEFITS FOR VULNERABLE POPULATIONS - $824,871 OTHER BENEFITS FOR THE BROADER COMMUNITY - $717,096 HEALTH RESEARCH, EDUCATION AND TRAINING PROGRAMS - $1,234,438 TOTAL - $291,289,642 SHARP MESA VISTA HOSPITAL AND SHARP MCDONALD CENTER: MEDICAL CARE SERVICES - $26,189,296 OTHER BENEFITS FOR VULNERABLE POPULATIONS - $1,104,630 OTHER BENEFITS FOR THE BROADER COMMUNITY - $66,036 HEALTH RESEARCH, EDUCATION AND TRAINING PROGRAMS - $147,208 TOTAL - $27,507,170 SHARP HEALTH PLAN: OTHER BENEFITS FOR VULNERABLE POPULATIONS - $28,716 OTHER BENEFITS FOR THE BROADER COMMUNITY - $41,805 HEALTH RESEARCH, EDUCATION AND TRAINING PROGRAMS - $3,750 TOTAL - $74,271 PROGRAM EXAMPLES MEDICAL CARE SERVICES INCLUDED UNCOMPENSATED CARE FOR PATIENTS WHO ARE UNABLE TO PAY FOR SERVICES AND THE UNREIMBURSED COSTS OF PUBLIC PROGRAMS, SUCH AS MEDI-CAL, MEDICARE, COUNTY MEDICAL SERVICES, CIVILIAN HEALTH AND MEDICAL PROGRAM OF THE DEPARTMENT OF VETERANS AFFAIRS (CHAMPVA) AND TRICARE. OTHER BENEFITS FOR VULNERABLE POPULATIONS INCLUDED VAN TRANSPORTATION FOR PATIENTS TO AND FROM MEDICAL APPOINTMENTS; EDUCATION AND FLU VACCINATIONS FOR OLDER ADULTS; TELEPHONE REASSURANCE AND SAFETY-CHECK PROGRAM FOR ISOLATED OR HOMEBOUND OLDER ADULTS AND INDIVIDUALS WITH DISABILITIES; FINANCIAL AND OTHER SUPPORT TO COMMUNITY CLINICS TO PROVIDE AND IMPROVE ACCESS TO HEALTH SERVICES; PROJECT HELP; CONTRIBUTION OF TIME TO COMMUNITY-BASED ORGANIZATIONS, SUCH AS LOCAL FOOD BANKS; THE SHARP HUMANITARIAN SERVICE PROGRAM; AND SUPPORT SERVICES FOR PATIENTS EXPERIENCING HOMELESSNESS AND OTHER BARRIERS TO ACCESSING CARE. OTHER BENEFITS FOR THE BROADER COMMUNITY INCLUDED HEALTH EDUCATION AND INFORMATION PROVIDED ON-SITE, VIRTUALLY AND IN PARTNERSHIP WITH COMMUNITY-BASED ORGANIZATIONS; PARTICIPATION IN COMMUNITY HEALTH FAIRS AND EVENTS ADDRESSING UNIQUE COMMUNITY NEEDS; HEALTH SCREENINGS; AND SUPPORT GROUPS. SHARP ALSO COLLABORATED WITH LOCAL SCHOOLS TO PROMOTE INTEREST IN HEALTH CARE CAREERS. SHARP EXECUTIVE LEADERSHIP AND STAFF ALSO PARTICIPATED IN NUMEROUS COMMUNITY ORGANIZATIONS, COMMITTEES AND COALITIONS TO IMPROVE COMMUNITY HEALTH. IN ADDITION, THE CATEGORY INCLUDED COSTS ASSOCIATED WITH PLANNING AND OPERATING COMMUNITY BENEFIT PROGRAMS, SUCH AS CHNA DEVELOPMENT AND ADMINISTRATION. HEALTH RESEARCH, EDUCATION AND TRAINING PROGRAMS INCLUDED EDUCATION AND TRAINING FOR MEDICAL, NURSING AND OTHER HEALTH CARE STUDENTS AND PROFESSIONALS, AS WELL AS SUPERVISION AND SUPPORT FOR STUDENTS AND INTERNS. TIME WAS ALSO DEVOTED TO GENERALIZABLE, HEALTH-RELATED RESEARCH PROJECTS THAT WERE MADE AVAILABLE TO THE BROADER HEALTH CARE COMMUNITY.
FORM 990, PART IV, LINE 24A PART IV, LINE 24A	TAX EXEMPT BONDS ARE ISSUED FOR THE SHARP HEALTHCARE OBLIGATED GROUP. AS A RESULT, THE TAX EXEMPT BOND BALANCES ARE REPORTED ON THE SHARP HEALTHCARE RETURN (EIN 95-6077327). THIS ORGANIZATION'S ALLOCATED PORTION IS INCLUDED IN PART X, LINE 25.
FORM 990, PART V, LINE 1A	INDEPENDENT CONTRACTORS ARE PAID UNDER SHARP HEALTHCARE'S TAX IDENTIFICATION NUMBER (EIN 95-6077327) AND ARE REPORTED ON SHARP HEALTHCARE'S TAX RETURN.
FORM 990, PART V, LINE 2A PART V, LINE 2A	GROSSMONT HOSPITAL CORPORATION EMPLOYEES' SALARIES AND WAGES ARE PAID UNDER SHARP HEALTHCARE'S TAX ID NUMBER (EIN 95-6077327), AND AS SUCH ARE ALSO REPORTED ON SHARP HEALTHCARE'S FORM 990. GROSSMONT HOSPITAL CORPORATION DOES NOT DIRECTLY EMPLOY INDIVIDUALS BUT LEASES ALL OF ITS PERSONNEL FROM SHARP HEALTHCARE, A RELATED ORGANIZATION THAT EXERCISES CONTROL OVER THE HOSPITAL. THESE LEASED EMPLOYEES OPERATE UNDER THE DIRECTION AND SUPERVISION OF GROSSMONT HOSPITAL CORPORATION AND PERFORM ALL ESSENTIAL FUNCTIONS NECESSARY FOR THE HOSPITAL'S OPERATIONS. SHARP HEALTHCARE, AS THE COMMON LAW EMPLOYER, IS RESPONSIBLE FOR ALL EMPLOYMENT-RELATED OBLIGATIONS, INCLUDING THE PAYMENT OF WAGES, WITHHOLDING AND REMITTANCE OF EMPLOYMENT TAXES, AND THE FILING OF ALL REQUIRED FEDERAL EMPLOYMENT TAX RETURNS (E.G., FORM 941) UNDER ITS OWN EMPLOYER IDENTIFICATION NUMBER (EIN). ACCORDINGLY, GROSSMONT HOSPITAL CORPORATION HAS REPORTED THE NUMBER OF LEASED EMPLOYEES ON LINE 2A. HOWEVER, IT ANSWERED "NO" TO LINE 2B BECAUSE IT DOES NOT FILE THE EMPLOYMENT TAX RETURNS DIRECTLY.
FORM 990, PART VI, LINE 2 FAMILY/BUSINESS RELATIONSHIPS AMONGST INTERESTED PERSONS	WILLIAM S. EVANS, DANIEL KINDRON, AND ANTHONY DAMICO WERE ALL DIRECTORS ON THE GOVERNING BOARD OF THE GROSSMONT IMAGING JOINT VENTURE - BUSINESS RELATIONSHIP
FORM 990, PART VI, LINE 6 CLASSES OF MEMBERS OR STOCKHOLDERS	SHARP HEALTHCARE (FEIN 95-6077327) IS THE SOLE MEMBER OF GROSSMONT HOSPITAL CORPORATION.
FORM 990, PART VI, LINE 7A MEMBERS OR STOCKHOLDERS ELECTING MEMBERS OF GOVERNING BODY	SHARP HEALTHCARE, AS THE SOLE MEMBER OF THE CORPORATION, HAS THE RIGHT TO ELECT AND REMOVE MOST BOARD MEMBERS.
FORM 990, PART VI, LINE 7B DECISIONS REQUIRING APPROVAL BY MEMBERS OR STOCKHOLDERS	SHARP HEALTHCARE, AS THE SOLE MEMBER OF THE CORPORATION, HAS THE RIGHT TO ELECT AND REMOVE MOST BOARD MEMBERS. SHARP HEALTHCARE ALSO RETAINS THE APPROVAL RIGHTS AFFORDED MEMBERS FOR CERTAIN SIGNIFICANT TRANSACTIONS (E.G. DISSOLUTION OR SALE OR TRANSFER OF ALL OR SUBSTANTIALLY ALL OF THE ASSETS.)
FORM 990, PART VI, LINE 11B REVIEW OF FORM 990 BY GOVERNING BODY	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 BOARD MEMBERS ARE NOTIFIED THAT THE FORM 990 IS AVAILABLE ON THE INTRANET. THE REVIEW PROCESS INCLUDES MULTIPLE LEVELS OF REVIEW INCLUDING KEY CORPORATE AND ENTITY FINANCE DEPARTMENT PERSONNEL COMPRISED OF THE ACCOUNTING MANAGER, VICE PRESIDENT OF FINANCE, SENIOR VICE PRESIDENT AND CHIEF FINANCIAL OFFICER, AND ENTITY CHIEF FINANCIAL OFFICER. ADDITIONALLY, THE ORGANIZATION CONTRACTS WITH ERNST & YOUNG, AND AN INDEPENDENT ACCOUNTING FIRM, FOR REVIEW OF THE FORM 990.
FORM 990, PART VI, LINE 12C CONFLICT OF INTEREST POLICY	GROSSMONT HOSPITAL HAS A WRITTEN CONFLICT OF INTEREST POLICY WHICH HAS BEEN REVIEWED AND APPROVED BY THE GROSSMONT HOSPITAL GOVERNING BOARD. GROSSMONT HOSPITAL IS COMMITTED TO PREVENTING ANY PARTICIPANT OF THE CORPORATION FROM GAINING ANY PERSONAL BENEFIT FROM INFORMATION RECEIVED OR FROM ANY TRANSACTION OF SHARP. ONE COMPONENT OF THE WRITTEN CONFLICT OF INTEREST POLICY REQUIRES THAT BOARD MEMBERS, CORPORATE OFFICERS, SENIOR VICE PRESIDENTS AND CHIEF EXECUTIVE OFFICER(S) SUBMIT A CONFLICT OF INTEREST STATEMENT ANNUALLY TO LEGAL SERVICES/SENIOR VICE PRESIDENT OF LEGAL SERVICES WHO WILL REVIEW ALL STATEMENTS. IN ADDITION, ALL VICE PRESIDENTS AND ANY EMPLOYEES IN THE PURCHASING/SUPPLY CHAIN, AUDIT AND COMPLIANCE, AND CASE MANAGEMENT/DISCHARGE PLANNING DEPARTMENTS ARE REQUIRED TO COMPLETE AN ONLINE CONFLICT OF INTEREST QUESTIONNAIRE ANNUALLY THAT IS REVIEWED BY THE CONFLICT REVIEW COMMITTEE COMPRISED OF EMPLOYEES FROM SHARP'S LEGAL, COMPLIANCE, AND INTERNAL AUDIT DEPARTMENTS. IN CONNECTION WITH ANY TRANSACTION OR ARRANGEMENT, WHICH MAY CREATE AN ACTUAL OR POSSIBLE CONFLICT OF INTEREST, THE PERSON SHALL DISCLOSE IN WRITING THE EXISTENCE AND NATURE OF HIS/HER FINANCIAL INTEREST AND ALL MATERIAL FACTS. BOARD MEMBERS, CORPORATE OFFICERS, SENIOR VICE PRESIDENTS, AND THE CHIEF EXECUTIVE OFFICER(S) SHALL MAKE SUCH DISCLOSURES DIRECTLY TO THE CHAIRMAN OF THE BOARD, AND TO THE MEMBERS OF THE COMMITTEE WITH THE BOARD DESIGNATED POWERS CONSIDERING THE PROPOSED TRANSACTION OR ARRANGEMENT. UPON DISCLOSURE OF THE FINANCIAL INTEREST AND ALL MATERIAL FACTS, THE BOARD MEMBER, CORPORATE OFFICER, SENIOR VICE PRESIDENT OR THE CHIEF EXECUTIVE OFFICER(S) MAKING SUCH DISCLOSURES SHALL LEAVE THE BOARD OR THE COMMITTEE MEETING WHILE THE FINANCIAL INTEREST IS DISCUSSED AND VOTED UPON. THE REMAINING BOARD OR COMMITTEE MEMBERS SHALL DECIDE IF A CONFLICT OF INTEREST EXISTS. IN CERTAIN INSTANCES, SUCH AS IF SOMEONE TAKES A BOARD SEAT ON A COMPETITOR'S BOARD OF DIRECTORS OR HAS A ROLE WITH AN ORGANIZATION WHEREBY THE INFORMATION THAT THEY MAY OBTAIN FROM SHARP WOULD PUT THEM IN A CONSISTENT CONFLICT WITH THEIR TWO ROLES, THE CONFLICT COULD CALL FOR THE INDIVIDUAL'S REMOVAL FROM THE BOARD. THE BYLAWS FOR THE ORGANIZATION PROVIDE FOR THE ABILITY TO REMOVE DIRECTORS IN ACCORDANCE WITH SECTION 5222 OF THE CALIFORNIA CORPORATIONS CODE. THIS CAN GENERALLY BE DONE ON A "FOR CAUSE A "NO CAUSE" BASIS BY THE ACTION OF THE MEMBER.
FORM 990, PART VI, LINE 15A PROCESS TO ESTABLISH COMPENSATION OF TOP MANAGEMENT OFFICIAL	THE COMPENSATION COMMITTEE OF SHARP HEALTHCARE RETAINS AN INDEPENDENT COMPENSATION CONSULTING FIRM TO REVIEW THE TOTAL COMPENSATION PAID TO EXECUTIVE MANAGEMENT (PRESIDENT/CHIEF EXECUTIVE OFFICER, CHIEF OPERATING OFFICER, AND SENIOR VICE PRESIDENTS) AND COMPARES IT TO THE TOTAL COMPENSATION PAID TO SIMILAR POSITIONS WITH LIKE INSTITUTIONS. THE INFORMATION IS PRESENTED TO THE COMPENSATION COMMITTEE OF THE BOARD OF DIRECTORS BY THE INDEPENDENT CONSULTANT. THE COMPENSATION COMMITTEE IS COMPRISED OF BOARD MEMBERS WHO ARE NOT PHYSICIANS AND WHO ARE NOT COMPENSATED IN ANY WAY BY THE ORGANIZATION. THE COMPENSATION COMMITTEE CREATES AND APPROVES THE ORGANIZATION'S EXECUTIVE COMPENSATION PHILOSOPHIES AND STRATEGIES STATEMENT AND AS PART OF THIS APPROVES THE TOTAL COMPENSATION FOR THE PRESIDENT/CHIEF EXECUTIVE OFFICER AND REVIEWS AND APPROVES THE TOTAL COMPENSATION RECOMMENDATIONS FOR THE REMAINING EXECUTIVE TEAM. THE COMPENSATION COMMITTEE PRESENTS ITS DECISION TO THE BOARD OF DIRECTORS. THE COMPENSATION COMMITTEE RETAINS MINUTES OF ITS MEETINGS. THE COMPENSATION DEPARTMENT ALSO ENGAGES A THIRDPARTY INDEPENDENT CONSULTANT TO CONDUCT A COMPENSATION STUDY COVERING OFFICERS AND KEY EMPLOYEES. THE INDEPENDENT THIRD-PARTY COMPARES BASE SALARIES TO SIMILAR POSITIONS WITH LIKE INSTITUTIONS. THE INFORMATION IS REVIEWED BY THE COMPENSATION DEPARTMENT AND IS PRESENTED TO THE PRESIDENT/CHIEF EXECUTIVE OFFICER, THE CHIEF OPERATING OFFICER, AND THE APPROPRIATE SENIOR VICE PRESIDENT FOR REVIEW AND APPROVAL. THE STUDY WAS LAST CONDUCTED IN SEPTEMBER 2025, RESULTS PRESENTED TO COMPENSATION COMMITTEE IN NOVEMBER 2025, CONSULTANTS' OPINION LETTER PRESENTED TO COMPENSATION COMMITTEE IN JANUARY 2026.
FORM 990, PART VI, LINE 15B PROCESS TO ESTABLISH COMPENSATION OF OTHER EMPLOYEES	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 STUDY WAS LAST CONDUCTED IN SEPTEMBER 2025, RESULTS PRESENTED TO COMPENSATION COMMITTEE IN NOVEMBER 2025, CONSULTANTS' OPINION LETTER PRESENTED TO COMPENSATION COMMITTEE IN JANUARY 2026.
FORM 990, PART VI, LINE 19 REQUIRED DOCUMENTS AVAILABLE TO THE PUBLIC	THE ORGANIZATION DOES NOT MAKE ITS GOVERNING DOCUMENTS AVAILABLE TO THE GENERAL PUBLIC. POLICIES ARE CONSIDERED PROPRIETARY INFORMATION, HOWEVER IN SHARP HEALTHCARE'S PUBLICLY AVAILABLE CODE OF CONDUCT, SHARP OUTLINES ITS CONFLICT OF INTEREST POLICIES IN A USER FRIENDLY MANNER. THE ANNUAL AUDITED FINANCIAL STATEMENTS OF THE CONSOLIDATED GROUP ARE PUBLISHED ON THE DACBOND.COM WEBSITE (WWW.DACBOND.COM), ARE ATTACHED TO THE FORM 990 FILED FOR EACH OF THE SHARP HOSPITALS, AND ARE AVAILABLE UPON REQUEST. THE ANNUAL AUDITED FINANCIAL STATEMENTS INCLUDE COMBINING SCHEDULES WHICH DISCLOSE THE FINANCIAL RESULTS (BALANCE SHEET, STATEMENT OF OPERATIONS, STATEMENT OF CHANGES IN NET ASSETS) FOR EACH ENTITY OF THE CONSOLIDATED GROUP. QUARTERLY FINANCIAL STATEMENTS OF SHARP'S OBLIGATED GROUP ARE PUBLISHED ON THE DACBOND.COM WEBSITE (WWW.DACBOND.COM).
FORM 990, PART VII, SECTION A PART VII, SECTION A	SHARP GROSSMONT HOSPITAL EXECUTIVES' SALARIES AND WAGES ARE PAID UNDER SHARP HEALTHCARE'S TAX ID NUMBER (EIN 95-6077327), AND AS SUCH ARE ALSO REPORTED ON SHARP HEALTHCARE'S FORM 990.
FORM 990, PART VII, SECTION B, LINE 1	INDEPENDENT CONTRACTORS ARE PAID UNDER SHARP HEALTHCARE'S TAX IDENTIFICATION NUMBER (EIN 95-6077327) AND ARE REPORTED ON SHARP HEALTHCARE'S TAX RETURN.
FORM 990, PART VIII, LINE 2F OTHER PROGRAM SERVICE REVENUE	- TOTAL REVENUE: 1316897, RELATED OR EXEMPT FUNCTION REVENUE: 1316897, UNRELATED BUSINESS REVENUE: , REVENUE EXCLUDED FROM TAX UNDER SECTIONS 512, 513, OR 514: ;
FORM 990, PART VIII, LINE 11D OTHER MISCELLANEOUS REVENUE	- TOTAL REVENUE: 1165777, RELATED OR EXEMPT FUNCTION REVENUE: , UNRELATED BUSINESS REVENUE: , REVENUE EXCLUDED FROM TAX UNDER SECTIONS 512, 513, OR 514: 1165777;
FORM 990, PART X, LINE 25 PART X, LINE 25	TAX EXEMPT BONDS ARE ISSUED FOR THE SHARP HEALTHCARE OBLIGATED GROUP. AS A RESULT, THE TAX EXEMPT BOND BALANCES ARE REPORTED ON THE SHARP HEALTHCARE RETURN (EIN 95-6077327) AND THIS ORGANIZATION HAS REPORTED ZERO ON FORM 990, PART X, LINE 20 AND HAS REPORTED THE ALLOCATED BALANCE ON LINE 25.
FORM 990, PART XI, LINE 9 OTHER CHANGES IN NET ASSETS OR FUND BALANCES	CHANGE IN MINIMUM PENSION LIABILITY - 12105876; BENEFICIAL INTEREST IN GROSSMONT HOSPITAL FOUNDATION - 505826; AUXILIARY ADJUSTMENT - -23; TOTAL - 12611679;
FORM 5471 FORM 5471	FORM 5471 HAS BEEN FILED ON BEHALF OF GROSSMONT HOSPITAL CORPORATION BY SHARP HEALTHCARE (EIN 95-6077327).

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (7 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Controlled OrganizationControlledOrganizationInd
SHARP HEALTHCARE (SHC)
8695 SPECTRUM CENTER BLVD	SAN DIEGO	CA	921231489	956077327	HEALTHCARE ORGANIZATION	CA	501(C)(3)	3	NA	false
SHARP MEMORIAL HOSPITAL (SMH)
8695 SPECTRUM CENTER BLVD	SAN DIEGO	CA	921231489	953782169	HOSPITAL	CA	501(C)(3)	3	SHARP HEALTHCARE	Yes (true)
SHARP CHULA VISTA MEDICAL CENTER (SCVMC)
8695 SPECTRUM CENTER BLVD	SAN DIEGO	CA	921231489	952367304	HOSPITAL	CA	501(C)(3)	3	SHARP HEALTHCARE	Yes (true)
SHARP HEALTHCARE FOUNDATION (SHF)
8695 SPECTRUM CENTER BLVD	SAN DIEGO	CA	921231489	953492461	HEALTHCARE FOUNDATION	CA	501(C)(3)	7	SHARP HEALTHCARE	Yes (true)
GROSSMONT HOSPITAL FOUNDATION
8695 SPECTRUM CENTER BLVD	SAN DIEGO	CA	921231489	330124488	HOSPITAL FOUNDATION	CA	501(C)(3)	7	GROSSMONT HOSPITAL CORPORATION	Yes (true)
SHARP HEALTH PLAN (SHP)
8695 SPECTRUM CENTER BLVD	SAN DIEGO	CA	921231489	330519730	HEALTH PLAN	CA	501(C)(4)		SHARP HEALTHCARE	Yes (true)
SHARP CORONADO HOSPITAL AND HEALTHCARE
8695 SPECTRUM CENTER BLVD	SAN DIEGO	CA	921231489	950651579	HOSPITAL	CA	501(C)(3)	3	SHARP HEALTHCARE	Yes (true)

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (2 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Predominant Income TypePredominantIncomeTypeTxt	Share Of Total IncomeShareOfTotalIncomeAmt	Share Of EOY AssetsShareOfEOYAssetsAmt	Disproportionate AllocationsDisproportionateAllocationsInd	General Or Managing PartnerGeneralOrManagingPartnerInd	OwnershipOwnershipPct
GROSSMONT IMAGING LLC
7777 ALVARADO ROAD SUITE 108	LA MESA	CA	91941	202655131	DIAGNOSTIC IMAGING	CA	NA	RELATED	$50,474	$109,865	false	Yes (true)	0.5
SHARP FREESTANDING SURGERY LLC
8695 SPECTRUM CENTER BLVD	SAN DIEGO	CA	92123	874136918	FREESTANDING AMBULATORY SURGERY	CA	SHARP HEALTHCARE	RELATED

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp

Related Organization Name RelatedOrganizationName

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

Foreign Address ForeignAddress

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

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

Direct Controlling Entity Name DirectControllingEntityName

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

Field	Value	IRS element (for citing)
Entity Type	C CORPORATION	EntityTypeTxt
Controlled Organization	false	ControlledOrganizationInd

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

Transactions Related Org TransactionsRelatedOrgGrp (21 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
GROSSMONT HOSPITAL FOUNDATION
B	$1,767,881	ACCRUAL
GROSSMONT HOSPITAL FOUNDATION
C	$8,888,448	ACCRUAL
GROSSMONT HOSPITAL FOUNDATION
N	$74,983	ACCRUAL
GROSSMONT HOSPITAL FOUNDATION
Q	$1,620,317	ACCRUAL
GROSSMONT HOSPITAL FOUNDATION
R	$197,437	ACCRUAL
SHARP CHULA VISTA MEDICAL CENTER
L	$6,556,846	ACCRUAL
SHARP CHULA VISTA MEDICAL CENTER
M	$576,635	ACCRUAL
SHARP CHULA VISTA MEDICAL CENTER
P	$105,119	ACCRUAL
SHARP CHULA VISTA MEDICAL CENTER
Q	$52,016	ACCRUAL
SHARP CHULA VISTA MEDICAL CENTER
R	$276,194	ACCRUAL
SHARP CHULA VISTA MEDICAL CENTER
S	$356,943	ACCRUAL
SHARP CORONADO HOSPITAL AND HEALTHCARE CENTER
L	$1,346,893	ACCRUAL
SHARP CORONADO HOSPITAL AND HEALTHCARE CENTER
M	$644,518	ACCRUAL
SHARP CORONADO HOSPITAL AND HEALTHCARE CENTER
Q	$96,370	ACCRUAL
SHARP HEALTH PLAN
L	$1,280,295	ACCRUAL
SHARP MEMORIAL HOSPITAL
L	$11,591,757	ACCRUAL
SHARP MEMORIAL HOSPITAL
M	$93,836	ACCRUAL
SHARP MEMORIAL HOSPITAL
P	$91,154	ACCRUAL
SHARP MEMORIAL HOSPITAL
Q	$447,361	ACCRUAL
SHARP MEMORIAL HOSPITAL
R	$1,667,932	ACCRUAL
SHARP MEMORIAL HOSPITAL
S	$3,011,796	ACCRUAL