2026-08-17T12:30:14+00:00 2025-09-30 346565596 ERNST & YOUNG US LLP 18101 VON KARMAN AVENUE IRVINE CA 92612 990 2024-10-01 956077327 SHARP HEALTHCARE SHAR 8584995150 8695 SPECTRUM CENTER BLVD SAN DIEGO CA 921231489 CHRIS HOWARD CEO 8584995150 2026-08-17 false KARA ADAMS P00023315 9497942300 2026-08-17 2024 2025-03-06 01:10:19Z CHRIS HOWARD 8695 SPECTRUM CENTER BLVD SAN DIEGO CA 921231489 3360955884 false X WWW.SHARP.COM X 1946 CA THE ORGANIZATION'S PRIMARY EXEMPT PURPOSE IS TO PROVIDE ADMINISTRATIVE SUPPORT TO ITS TAX-EXEMPT SUBSIDIARIES. IN ADDITION, OUTPATIENT SERVICES ARE PROVIDED TO PATIENTS WITHIN THE GREATER SAN DIEGO AREA THROUGH MULTISPECIALTY MEDICAL GROUP PRACTICES. COMMUNITY MEMBERS ARE OFFERED A NUMBER OF BENEFIT SERVICES TO ASSIST THEM IN OBTAINING TREATMENT, AND INFORMATION IS PROVIDED ON TOPICS RANGING FROM DISEASE PREVENTION TO IMPROVEMENT OF HEALTH STATUS. 24 21 23359 0 497425 65279 9100749 8080839 1608333384 1942838725 89589419 185763182 51682023 55997543 1758705575 2192680289 640066 664416 0 0 673489355 739673911 0 6776653 1523871959 1649465765 2198001380 2389804092 -439295805 -197123803 6073527629 6307579727 5888128923 6102726732 185398706 204852995 TO PROMOTE HEALTH CARE THROUGH SUPPORTING AND/OR OPERATING, DIRECTLY OR THROUGH WHOLLY-OWNED SUBSIDIARIES AND OTHER APPROPRIATE MANAGEMENT ARRANGEMENTS, HOSPITALS AND OTHER MEDICALLY-RELATED FACILITIES AND ACTIVITIES IN THE STATE OF CALIFORNIA. THE SPECIFIC AND PRIMARY PURPOSES FOR WHICH THIS CORPORATION IS FORMED ARE TO SUPPORT AND BE RESPONSIVE TO THE NEEDS OF ITS PUBLICLY SUPPORTED, TAX-EXEMPT SUBSIDIARIES. false false 879035587 0 916382134 SHARP HEALTHCARE OPERATES A NUMBER OF OUTPATIENT CLINICS THROUGHOUT SAN DIEGO COUNTY WHICH PROVIDE OUTPATIENT AND URGENT CARE SERVICES TO THE COMMUNITY. TOTAL PATIENT VISITS WERE 2,011,413 FOR THE TWELVE MONTHS ENDED 9/30/2025. 793291170 664416 1026456591 SHARP HEALTHCARE PROVIDES ADMINISTRATIVE SUPPORT TO ITS SUBSIDIARIES. ITS GENERAL PURPOSE IS TO PROMOTE HEALTHCARE THROUGH SUPPORTING AND/OR OPERATING ITS SUBSIDIARIES. SEE COMMUNITY BENEFIT REPORT ON SCHEDULE O. 1672326757 true true false true false false false false false true true false false true true true false true false true true false false false false false false true true true true false false false false false false false false false false false false false false false true true true true false true X 937 0 true 23359 true true true true CJ false false false false false false false false true false X 24 21 false false false false false false false true true false false false true true true true true true true true true true CA X MIKE DJOMINS 8584995152 8695 SPECTRUM CENTER BLVD SAN DIEGO CA 92123 ANTHONY COSTA CHAIR AS OF 06/01/2025 2.0 0 X X 0 0 0 CHRISTOPHER D HOWARD PRESIDENT & CEO SHC 40.0 12.0 X X 2732110 0 18507 EUGENE MITCHELL CHAIR THRU 05/31/2025 1.0 0 X X 0 0 0 JOHN WYLIE TREASURER 2.0 0 X X 0 0 0 RENETTA HAAS SECRETARY AS OF 06/01/2025 2.0 0 X X 0 0 0 SARA BENNETT VICE CHAIR AS OF 06/01/2025 3.0 1.0 X X 0 0 0 ALAN BIER MD DIRECTOR THRU 12/31/2024 4.0 2.0 X 0 0 0 ANDY DANG MD DIRECTOR 1.0 0.0 X 0 0 0 CRAIG SAFFER MD DIRECTOR 2.0 0.0 X 0 25000 0 DEE AMMON DIRECTOR AS OF 06/01/2025 2.0 2.0 X 0 0 0 ELVIN LAI DIRECTOR 2.0 0 X 0 0 0 GUILLERMO CABRERA DIRECTOR 2.0 0 X 0 0 0 JOHN DUNN DIRECTOR 3.0 0 X 0 0 0 JULIE COKER DIRECTOR THRU 12/31/2024 2.0 0 X 0 0 0 LISA ARNOLD DIRECTOR 2.0 2.0 X 0 0 0 LORI MOORE DIRECTOR 2.0 2.0 X 0 0 0 MARC BRUTTEN DIRECTOR 2.0 0 X 0 0 0 MARGIE NEWMAN TSAY DIRECTOR AS OF 06/01/2025 2.0 0 X 0 0 0 MARILYN NORTON MD DIRECTOR 2.0 2.0 X 0 0 0 MICHAEL MARTIN MD DIRECTOR AS OF 01/01/2025 2.0 2.0 X 0 0 0 REBECA PEREZ-SERRANO DIRECTOR 8.0 0 X 0 0 0 REGINA PETTY DIRECTOR THRU 05/31/2025 2.0 0 X 0 0 0 ROBERT BOLINGER DIRECTOR 1.0 0 X 0 0 0 SERGIO FLORES MD DIRECTOR 1.0 1.0 X 0 0 0 STEFANIE BENVENUTO DIRECTOR AS OF 08/01/2025 2.0 2.0 X 0 0 0 STEPHEN SUMMERS MD DIRECTOR 2.0 2.0 X 0 39200 0 SYDNEY STANLEY DIRECTOR 2.0 1.0 X 0 0 0 VALERIE SHADROFF DIRECTOR THRU 05/31/2025 2.0 1.0 X 0 0 0 RICK L GROSSMAN SVP GENERAL COUNSEL 40.0 9.0 X 1439711 0 11502 SUSAN GREEN EVP & CFO SHC 44.0 10.0 X 1421255 0 15484 BRETT G MCCLAIN CHIEF OPERATING OFFICER SHC 26.0 23.0 X 1780203 0 18507 CYNTHIA JOHNSON SVP HR & TALENT MGMT THRU 03/28/2024 45.0 0 X 420728 0 0 HRIPSIME ESSAIAN SVP CHIEF PEOPLE OFFICER AS OF 04/01/2024 45.0 0 X 799102 0 13864 MELISSA MAJOR CEO SRS AS OF11/2024 60.0 0 X 391188 0 50103 PATRICIA KHALEGHI SVP MARKET CEO 8.0 50.0 X 1240243 0 37753 STACEY HROUNTAS CEO SRS THRU 01/2025 60.0 0 X 1100879 0 35951 SUSAN STONE SVP HEALTH SYSTEM OPS AND SYSTEM CHIEF NURSING EXEC 40.0 0.0 X 879193 0 23813 WILLIAM LITTLEJOHN SVP, CEO FOUNDATIONS 5.0 33.0 X 869508 0 24055 WILLIAM S EVANS SVP MARKET CEO 12.0 28.0 X 1280931 0 24422 ALISON FLEURY SVP BUSINESS DEVELOPMENT 48.0 2.0 X 800759 0 25170 AMY ADOME SVP CHIEF CLINICAL AND TRANSFORMATION OFFICER 40.0 0 X 901660 0 11373 JOLEE BOLLINGER VP DEPUTY GENERAL COUNSEL 40.0 0 X 748582 0 26574 MICHAEL REAGIN SVP CIIO 48.0 0.0 X 870788 0 7604 PAUL DURR CEO-SCMG 60.0 0.0 X 916171 0 38975 18593011 64200 383657 8104 false true false SODEXO & AFFILIATES PO BOX 360170 PITTSBURGH PA 152516170 MANAGEMENT/CATERING 99520720 MCCARTHY BUILDING COMPANIES 9275 SKY PARK CT STE 200 SAN DIEGO CA 92123 CONSTRUCTION 73108597 EPIC SYSTEMS CORP PO BOX 88314 MILWAUKEE WI 53288 SOFTWARE 58910091 REGENTS OF UC FILE 556631 LOS ANGELES CA 90074 MEDICAL SERVICES 47843808 SHARP REES-STEALY MEDICAL GROUP 5651 COPLEY DRIVE SAN DIEGO CA 92111 MEDICAL SERVICES 44189975 729 0 0 0 7753526 327313 0 565 8080839 OUTPATIENT CARE 621110 870618250 870618250 0 0 CAPITATION REVENUE 900099 787968287 787968287 0 0 REVENUE FROM AFFILIATED ENTITIES 900099 218408536 218408536 0 0 MEDICARE/MEDICAID PAYMENTS 621110 42423958 42423958 0 0 RENTAL INCOME 531120 9085449 9085449 0 0 14334245 13836820 497425 0 1942838725 95407948 0 0 95407948 680 0 0 680 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1258628610 1539 1168273941 1654 90354669 -115 90354554 0 0 90354554 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 SCMG MANAGEMENT FEE 561000 53887954 0 0 53887954 INFORMATION SYSTEMS PROJECT-RELATED REVENUE 900099 580833 0 0 580833 MEDICAL RECORDS COPYING 900099 541058 0 0 541058 987698 0 0 987698 55997543 2192680289 1942341300 497425 241760725 X 421416 421416 243000 243000 0 0 0 0 12729862 0 12729862 0 0 0 0 0 578964993 254819894 324145099 0 17333386 6990381 10343005 0 87898696 38016013 49882683 0 42746974 18619025 24127949 0 0 0 0 0 5437093 38322 5398771 0 1086109 0 1086109 0 120025 0 120025 0 0 0 1921459 0 1921459 0 782082180 735878430 46203750 0 5227767 896454 4331313 0 31725891 15722141 16003750 0 165151443 914041 164237402 0 0 0 0 0 38167941 29177584 8990357 0 754274 149702 604572 0 0 0 0 0 0 0 0 0 -3248070 -208410 -3039660 0 0 0 0 0 39147947 6493657 32654290 0 4337006 3476337 860669 0 PURCHASED MEDICAL SERVICES FROM AFFILIATES 423412892 423412892 0 0 MEDICAL SUPPLIES 130080979 129341767 739212 0 EQUIPMENT MAINTENANCE/REPAIR 8669594 4287160 4382434 0 FUNDRAISING 6776653 0 0 6776653 8614582 3636951 4977631 0 2389804092 1672326757 710700682 6776653 2631657 4898572 67903940 82563398 0 0 59069526 62487798 0 0 0 0 1508110 1396721 21258861 21134142 61131626 54964491 1231596502 510138741 600832540 721457761 3411130820 3527166333 36338193 37723904 161456285 143672342 0 0 1650266071 1650114265 6073527629 6307579727 494520620 497226515 0 0 851868 809145 1511363604 1481660962 0 0 0 0 0 0 0 0 3881392831 4123030110 5888128923 6102726732 X 79604465 63944432 105794241 140908563 0 0 0 0 0 0 185398706 204852995 6073527629 6307579727 X -197123803 159665663 0 0 181 56912248 X false true true true true X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false true false false false true 120025 true 73886 true 664970 false 858881 false SCHEDULE C, PART II-B, LINE 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY SCHEDULE C, PART II-B, LINE 1F: ANNUAL FEE FOR CALIFORNIA CHAMBER OF COMMERCE AND COALITION TO PROTECT AMERICA'S HEALTH CARE SCHEDULE C, PART II-B, LINES B, G AND H: OPERATING EXPENSES INCURRED BY THE GOVERNMENT RELATIONS DEPARTMENT OF SHARP HEALTHCARE ATTEMPTING TO INFLUENCE LOCAL, STATE, AND NATIONAL LEGISLATION RELATED TO REIMBURSEMENT, REGULATORY REQUIREMENTS, AND ANY OTHER ISSUES THAT COULD POTENTIALLY AFFECT THE QUALITY AND/OR ABILITY TO EFFECTIVELY PROVIDE HEALTHCARE TO THE SAN DIEGO COMMUNITY. 11258266 -4242 1257082 0 129006 12382100 12616446 75857 1749289 0 3183326 11258266 12112846 -75353 1169832 0 590879 12616446 14308262 864665 -2863215 107909 88957 12112846 13157329 682346 593918 117331 8000 14308262 0.2 0.8 0.0 false true true 86726781 86726781 557738036 148209896 409528140 69893051 66455598 3437453 342949178 295473247 47475931 174289456 174289456 721457761 REC FM RELATED ORG FOR ALLOC TAX EXEMPT BOND BALANCE 1175531005 LEASED ASSETS- OPERATING 96074947 CQI PREMIUM RECEIVABLE 57386542 LONG-TERM ASSETS 40692434 LEASED ASSETS- FINANCE 4064524 INTANGIBLE ASSETS 210533179 SWAP CONTRACT ASSETS 65831634 1650114265 0 FEDERAL INCOME TAXES 0 INTERCOMPANY PAYABLES 3908942160 OPERATING LEASES 112428524 LT WORKERS COMPENSATION 41118214 LT PENSION LIABILITY 8562041 CQI RETROSPECTIVE PREMIUM PAYABLE 37522259 RESERVE FOR MALPRACTICE 7900000 CAPITAL/FINANCE LEASES 2369823 OTHER MISCELLANEOUS 4187089 4123030110 X 2342974656 159665663 -3944849 155720814 2187253842 1921459 3504988 5426447 2192680289 2383937784 0 0 2383937784 1921459 3944849 5866308 2389804092 SCHEDULE D, PART V, LINE 4 INTENDED USES OF ENDOWMENT FUNDS SHARP HEALTHCARE FOUNDATION HOLDS 12 BOARD DESIGNATED AND PERMANENT ENDOWMENTS FOR SHARP HEALTHCARE WHICH ARE RESTRICTED FOR A VARIETY OF PURPOSES, SUCH AS REHABILITATION, NURSING EDUCATION AND SCHOLARSHIPS, CLINICAL EQUIPMENT AND TECHNOLOGY, AND MORE. SCHEDULE D, PART X, LINE 2 FIN 48 (ASC 740) FOOTNOTE SHARP RECOGNIZES TAX BENEFITS FROM ANY UNCERTAIN TAX POSITIONS ONLY IF IT IS MORE LIKELY THAN NOT THE TAX POSITION WILL BE SUSTAINED, BASED SOLELY ON ITS TECHNICAL MERITS, WITH THE TAXING AUTHORITY HAVING FULL KNOWLEDGE OF ALL RELEVANT INFORMATION. SHARP RECORDS A LIABILITY FOR UNRECOGNIZED TAX BENEFITS FROM UNCERTAIN TAX POSITIONS AS DISCRETE TAX ADJUSTMENTS IN THE FIRST INTERIM PERIOD THAT THE MORE LIKELY THAN NOT THRESHOLD IS NOT MET. SHARP RECOGNIZES DEFERRED TAX ASSETS AND LIABILITIES FOR TEMPORARY DIFFERENCES BETWEEN THE FINANCIAL REPORTING BASIS AND THE TAX BASIS OF ITS ASSETS AND LIABILITIES ALONG WITH NET OPERATING LOSS AND TAX CREDIT CARRYOVERS ONLY FOR TAX POSITIONS THAT MEET THE MORE LIKELY THAN NOT RECOGNITION CRITERIA. AT SEPTEMBER 30, 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 NON-OPERATING PORTION OF PENSION AND OTHER POST RETIREMENT BENEFITS - 2831804 FUNDRAISING EXPENSE - -6776653 SCHEDULE D, PART XI, LINE 4(B) OTHER REVENUES IN FORM 990 NOT IN AUDITED FINANCIAL STATEMENTS BOOK/TAX DIFFERENCE SHARP UCSD TRANSPLANT - -2160882 BOOK/TAX DIFFERENCE MRI - 153149 CAPITAL CONTRIBUTIONS - 5512721 SCHEDULE D, PART XII, LINE 4(B) OTHER EXPENSES IN FORM 990 NOT IN AUDITED FINANCIAL STATEMENTS NON-OPERATING PORTION OF PENSION AND OTHER POST RETIREMENT BENEFITS - -2831804 FUNDRAISING EXPENSE - 6776653 CENTRAL AMERICA AND THE CARIBBEAN 0 1 PROGRAM SERVICES (SEE ATTACHMENT) 19524166 CENTRAL AMERICA AND THE CARIBBEAN 0 0 INVESTMENTS 22210787 NORTH AMERICA (CANADA & MEXICO ONLY) 0 0 PROGRAM SERVICES TRAVEL. 1148 SUB-SAHARAN AFRICA 0 0 PROGRAM SERVICES (SEE ATTACHMENT) 2858 0 1 0 0 0 1 41738959 0 41738959 true false true false false false SCHEDULE F, PART I, LINE 3 METHOD USED TO ACCOUNT FOR EXPENDITURES ON ORG'S FINANCIAL STATEMENTS CENTRAL AMERICA AND THE CARIBBEAN-ACCRUAL; NORTH AMERICA (CANADA & MEXICO ONLY)-ACCRUAL; SUB-SAHARAN AFRICA-ACCRUAL SCHEDULE F, PART V SCHEDULE F, PART I, LINE 3(E) PAYMENTS FOR MANAGEMENT OF INSURANCE CAPTIVE SERVICES AND INSURANCE PREMIUM PAYMENTS TO CAPTIVE. PARTICIPATE IN INTERNATIONAL TRAVEL. SHARP HEALTHCARE EMPLOYEES VOLUNTEERED FOR HUMANITARIAN MISSIONS. true AMERICAN CANCER SOCIETY PO BOX 910549 SAN DIEGO CA 92191 131788491 501(C)(3) 10000 MAKING STRIDES BOOTH SPONSORSHIP AMERICAN HEART ASSOCIATION 7272 GREENVILLE AVENUE DALLAS TX 75231 135613797 501(C)(3) 100000 FY25 SAN DIEGO HEART WALK COALITION FOR COMPASSION 2530 RIVER PLAZA DRIVE SACRAMENTO CA 95833 270419836 501(C)(3) 25000 2025 SUSTAINING SUPPORT DONATION EVONEXUS 5015 SHOREHAM PL STE 150 SAN DIEGO CA 92122 330827743 501(C)(6) 25000 CORPORATE PARTNERSHIP LAS PATRONAS 9030 KENAMAR DR SAN DIEGO CA 92121 956051480 501(C)(3) 5665 SPONSORSHIP FOR THE 79TH ANNUAL JEWEL BALL SAN DIEGO OPERA 233 A STREET STE 500 SAN DIEGO CA 92101 956044429 501(C)(3) 10000 DONATIONS SAN DIEGO LGBT PRIDE 3620 30TH STREET SAN DIEGO CA 92104 330619449 501(C)(3) 7500 2025 SD PRIDE PARADE SPONSORSHIP SAN DIEGO REGIONAL CHAMBER 402 W BROADWAY STE 1000 SAN DIEGO CA 92101 951184680 501(C)(6) 17300 2025 ANNIVERSARY CELEBRATION CO-TITLE SPONSOR SAN DIEGO REGIONAL ECONOMIC DEVELOPMENT FOUNDATION 1100 MARKET ST STE 438 SAN DIEGO CA 92101 330992658 501(C)(3) 10000 2025 EDC ANNUAL DINNER SPONSORSHIP SOUTHWESTERN COLLEGE FOUNDATION 900 OTAY LAKES RD STE 104 CHULA VISTA CA 91910 953794927 501(C)(3) 123501 FMV MEDICAL SUPPLIES DONATIONS CAMPANILE FOUNDATION 5500 CAMPANILE DRIVE SAN DIEGO CA 92182 330868418 501(C)(3) 12000 ZAHN INNOVATION LAUNCHPAD INNOVATION FUND SAN DIEGO MUSEUM OF ART PO BOX 122107 SAN DIEGO CA 92112 951696715 501(C)(3) 15000 ART LIVE 2025 SPONSORSHIP VOICE & VIEWPOINT 3619 COLLEGE AVE SAN DIEGO CA 92115 934739456 501(C)(3) 10000 12TH ANNIVERSARY GALA GOLD SPONSORSHIP 11 2 2025 CASTER NURSING INSTITUTE SCHOLARSHIP AWARD 48 243000 SCHEDULE I, PART I, LINE 2 PROCEDURES FOR MONITORING USE OF GRANT FUNDS THE MANAGEMENT TEAM EVALUATES REQUESTS FROM OUTSIDE ORGANIZATIONS TAKING INTO ACCOUNT HOW THEY ALIGN WITH THE ORGANIZATION'S MISSION. NO OUTSIDE MONITORING IS DONE AFTER GRANTS ARE MADE. X X X X X false true false false false false false false false CHRISTOPHER D HOWARD PRESIDENT & CEO SHC 1956231 0 670781 0 105098 0 0 0 18507 0 2750617 0 0 0 SUSAN GREEN EVP & CFO SHC 957624 0 434717 0 28914 0 0 0 15484 0 1436739 0 0 0 RICK L GROSSMAN SVP GENERAL COUNSEL 1118886 0 268107 0 52718 0 0 0 11502 0 1451213 0 0 0 PATRICIA KHALEGHI SVP MARKET CEO 918113 0 252066 0 70064 0 13259 0 24494 0 1277996 0 0 0 SUSAN STONE SVP HEALTH SYSTEM OPS AND SYSTEM CHIEF NURSING EXEC 673239 0 181029 0 24925 0 12481 0 11332 0 903006 0 0 0 WILLIAM S EVANS SVP MARKET CEO 956065 0 263546 0 61320 0 0 0 24422 0 1305353 0 0 0 CYNTHIA JOHNSON SVP HR & TALENT MGMT THRU 03/28/2024 420728 0 0 0 0 0 0 0 0 0 420728 0 0 0 HRIPSIME ESSAIAN SVP CHIEF PEOPLE OFFICER AS OF 04/01/2024 579033 0 217774 0 2295 0 0 0 13864 0 812966 0 0 0 BRETT G MCCLAIN CHIEF OPERATING OFFICER SHC 1350460 0 396681 0 33062 0 0 0 18507 0 1798710 0 0 0 STACEY HROUNTAS CEO SRS THRU 01/2025 834483 0 207546 0 58850 0 17402 0 18549 0 1136830 0 0 0 MELISSA MAJOR CEO SRS AS OF11/2024 295003 0 72036 0 24149 0 26668 0 23435 0 441291 0 0 0 WILLIAM LITTLEJOHN SVP, CEO FOUNDATIONS 633480 0 159204 0 76824 0 0 0 24055 0 893563 0 0 0 MICHAEL REAGIN SVP CIIO 485970 0 380948 0 3870 0 0 0 7604 0 878392 0 0 0 ALISON FLEURY SVP BUSINESS DEVELOPMENT 588051 0 176783 0 35925 0 6896 0 18274 0 825929 0 0 0 JOLEE BOLLINGER VP DEPUTY GENERAL COUNSEL 456952 0 289240 0 2390 0 15868 0 10706 0 775156 0 0 0 PAUL DURR CEO-SCMG 660036 0 207697 0 48438 0 14715 0 24260 0 955146 0 0 0 AMY ADOME SVP CHIEF CLINICAL AND TRANSFORMATION OFFICER 674080 0 187996 0 39584 0 0 0 11373 0 913033 0 0 0 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. A CALIFORNIA PUBLIC FINANCE AUTHORITY 474447476 13057EBE3 2017-12-28 306856245 SEE PART VI false false false B CALIFORNIA PUBLIC FINANCE AUTHORITY 474447476 13057EHH0 2024-01-03 398301673 SEE PART VI false false false C CALIFORNIA PUBLIC FINANCE AUTHORITY 474447476 13057EHQ0 2024-02-06 292120000 SEE PART VI false false false A 149075000 0 309614469 0 0 0 0 0 0 214754254 94860215 0 2021 false true true true B 8700000 0 400001045 0 0 0 0 0 0 156992336 243008709 0 2024 true false true true C 0 0 300469224 0 0 0 0 0 0 138431252 146120000 15917972 2024 true false false true A false true true true true true 0.0404 0.0 0.0404 false false 0 false true B false true true true true true 0.0 0.0 0.0 false false 0 false true C false true true true true true 0.0 0.0 0.0 false false 0 false true A false false true false true false 0 false false false 0 false false true B false true false false false false 0 false false false 0 false false true C false true false false true false 0 false false false 0 false false true A true B true C true SCHEDULE K, PART I, COLUMN (F) A THE PURPOSE OF THIS BOND ISSUANCE IS TO (I) FINANCE THE ACQUISITION, RENOVATION, CONSTRUCTION, IMPROVEMENT, FURNISHING AND EQUIPPING OF FACILITITES AT FOUR HOSPITAL ENTITIES AND (II) ADVANCE REFUND ALL OF THE REMAINING ABAG REVENUE BONDS (SAN DIEGO HOSPITAL ASSOCIATION), SERIES 2009B, WHICH WERE ISSUED ON JULY 22, 2009. SCHEDULE K, PART I, COLUMN (F) B THE PURPOSE OF THE BOND ISSUANCE IS TO REFUND SERIES 2009C/D AND SERIES 2014A BONDS, WHICH WERE ISSUED ON SEPTEMBER 2, 2009, AND FEBRUARY 12, 2014, RESPECTIVELY, AND TO FINANCE THE SHARP METROPOLITAN MEDICAL CAMPUS MODERNIZATION PROJECT. SCHEDULE K, PART I, COLUMN (F) C THE PURPOSE OF THE BOND ISSUANCE IS TO REFUND SERIES 2017B/C BONDS, WHICH WERE ISSUED ON DECEMBER 28, 2017, AND TO FINANCE THE SHARP METROPOLITAN MEDICAL CAMPUS MODERNIZATION PROJECT. SCHEDULE K, PART II, LINE 3 A TOTAL PROCEEDS ARE DIFFERENT THAN ISSUE PRICE DUE TO INVESTMENT EARNINGS SCHEDULE K, PART II, LINE 3 B TOTAL PROCEEDS ARE DIFFERENT THAN ISSUE PRICE DUE TO INVESTMENT EARNINGS SCHEDULE K, PART II, LINE 3 C TOTAL PROCEEDS ARE DIFFERENT THAN ISSUE PRICE DUE TO INVESTMENT EARNINGS SCHEDULE K, PART V DIFFERENT PROCEDURES TO UNDERTAKE CORRECTIVE ACTION ISSUER NAME: CALIFORNIA PUBLIC FINANCE AUTHORITY THE ORGANIZATION HAS ESTABLISHED FORMAL PROCEDURES TO MONITOR POST-ISSUANCE COMPLIANCE WITH TAX-EXEMPT BOND REQUIREMENTS. THESE PROCEDURES INCLUDE: - REGULAR REVIEW OF BOND-FINANCED PROPERTY USE TO ENSURE COMPLIANCE WITH PRIVATE BUSINESS USE LIMITATIONS. - ANNUAL TRAINING FOR STAFF RESPONSIBLE FOR BOND COMPLIANCE. - MAINTENANCE OF DETAILED RECORDS RELATED TO BOND EXPENDITURES, USE OF PROCEEDS, AND OWNERSHIP OF FINANCED ASSETS. - ENGAGEMENT WITH BOND COUNSEL OR FINANCIAL ADVISORS TO ASSESS POTENTIAL VIOLATIONS. - PROMPT IDENTIFICATION AND REMEDIATION OF ANY VIOLATIONS THROUGH IRS-APPROVED METHODS, INCLUDING THE VOLUNTARY CLOSING AGREEMENT PROGRAM (VCAP) WHEN APPLICABLE. - INTERNAL AUDITS AND PERIODIC COMPLIANCE REVIEWS TO ENSURE ONGOING ADHERENCE TO IRS REGULATIONS. SCHEDULE K, PART V DIFFERENT PROCEDURES TO UNDERTAKE CORRECTIVE ACTION ISSUER NAME: CALIFORNIA PUBLIC FINANCE AUTHORITY THE ORGANIZATION HAS ESTABLISHED FORMAL PROCEDURES TO MONITOR POST-ISSUANCE COMPLIANCE WITH TAX-EXEMPT BOND REQUIREMENTS. THESE PROCEDURES INCLUDE: - REGULAR REVIEW OF BOND-FINANCED PROPERTY USE TO ENSURE COMPLIANCE WITH PRIVATE BUSINESS USE LIMITATIONS. - ANNUAL TRAINING FOR STAFF RESPONSIBLE FOR BOND COMPLIANCE. - MAINTENANCE OF DETAILED RECORDS RELATED TO BOND EXPENDITURES, USE OF PROCEEDS, AND OWNERSHIP OF FINANCED ASSETS. - ENGAGEMENT WITH BOND COUNSEL OR FINANCIAL ADVISORS TO ASSESS POTENTIAL VIOLATIONS. - PROMPT IDENTIFICATION AND REMEDIATION OF ANY VIOLATIONS THROUGH IRS-APPROVED METHODS, INCLUDING THE VOLUNTARY CLOSING AGREEMENT PROGRAM (VCAP) WHEN APPLICABLE. - INTERNAL AUDITS AND PERIODIC COMPLIANCE REVIEWS TO ENSURE ONGOING ADHERENCE TO IRS REGULATIONS. SCHEDULE K, PART V DIFFERENT PROCEDURES TO UNDERTAKE CORRECTIVE ACTION ISSUER NAME: CALIFORNIA PUBLIC FINANCE AUTHORITY THE ORGANIZATION HAS ESTABLISHED FORMAL PROCEDURES TO MONITOR POST-ISSUANCE COMPLIANCE WITH TAX-EXEMPT BOND REQUIREMENTS. THESE PROCEDURES INCLUDE: - REGULAR REVIEW OF BOND-FINANCED PROPERTY USE TO ENSURE COMPLIANCE WITH PRIVATE BUSINESS USE LIMITATIONS. - ANNUAL TRAINING FOR STAFF RESPONSIBLE FOR BOND COMPLIANCE. - MAINTENANCE OF DETAILED RECORDS RELATED TO BOND EXPENDITURES, USE OF PROCEEDS, AND OWNERSHIP OF FINANCED ASSETS. - ENGAGEMENT WITH BOND COUNSEL OR FINANCIAL ADVISORS TO ASSESS POTENTIAL VIOLATIONS. - PROMPT IDENTIFICATION AND REMEDIATION OF ANY VIOLATIONS THROUGH IRS-APPROVED METHODS, INCLUDING THE VOLUNTARY CLOSING AGREEMENT PROGRAM (VCAP) WHEN APPLICABLE. - INTERNAL AUDITS AND PERIODIC COMPLIANCE REVIEWS TO ENSURE ONGOING ADHERENCE TO IRS REGULATIONS. FORM 990, PART III, LINE 4C COMMUNITY BENEFIT REPORT SEE 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 (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 FY2025 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 FORM 990, PART III, LINE 4C COMMUNITY BENEFIT REPORT 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, ALL TAX EXEMPT BOND BALANCES, INCLUDING THOSE ALLOCATED TO OTHER MEMBERS OF THE OBLIGATED GROUP, ARE REPORTED ON THE SHARP HEALTHCARE RETURN (EIN 95-6077327). THE SHARP HEALTHCARE OBLIGATED GROUP IS COMPRISED OF SHARP HEALTHCARE (EIN 95-6077327), SHARP MEMORIAL HOSPITAL (EIN 95-3782169), GROSSMONT HOSPITAL CORPORATION (EIN 33-0449527), AND SHARP CHULA VISTA MEDICAL CENTER (EIN 95-2367304). FORM 990, PART VI, LINE 11B REVIEW OF FORM 990 BY GOVERNING BODY THE BOARD MEMBERS ARE SENT THE DRAFT OF THE TAX RETURN WHEN THE FORM 990 IS AVAILABLE FOR REVIEW. THE REVIEW PROCESS INCLUDES MULTIPLE LEVELS OF REVIEW INCLUDING KEY CORPORATE AND ENTITY FINANCE DEPARTMENT PERSONNEL COMPRISED OF THE ACCOUNTING MANAGER, VICE PRESIDENT OF FINANCE AND SENIOR VICE PRESIDENT AND CHIEF FINANCIAL OFFICER. ADDITIONALLY, THE ORGANIZATION CONTRACTS WITH ERNST & YOUNG, AN INDEPENDENT ACCOUNTING FIRM, FOR REVIEW OF THE FORM 990. FORM 990, PART VI, LINE 12C CONFLICT OF INTEREST POLICY SHARP HEALTHCARE HAS A WRITTEN CONFLICT OF INTEREST POLICY WHICH HAS BEEN REVIEWED AND APPROVED BY THE SHARP HEALTHCARE GOVERNING BOARD. SHARP HEALTHCARE IS COMMITTED TO PREVENTING ANY PARTICIPANT OF THE CORPORATION FROM GAINING ANY PERSONAL BENEFIT FROM INFORMATION RECEIVED OR FROM ANY TRANSACTION OF SHARP. ONE COMPONENT OF THE WRITTEN CONFLICT OF INTEREST POLICY REQUIRES THAT BOARD MEMBERS, CORPORATE OFFICERS, SENIOR VICE PRESIDENTS AND CHIEF EXECUTIVE OFFICER(S) SUBMIT A CONFLICT OF INTEREST STATEMENT ANNUALLY TO LEGAL SERVICES/SENIOR VICE PRESIDENT OF LEGAL SERVICES WHO WILL REVIEW ALL STATEMENTS. IN ADDITION, ALL VICE PRESIDENTS AND ANY EMPLOYEES IN THE PURCHASING/SUPPLY CHAIN, AUDIT AND COMPLIANCE, AND CASE MANAGEMENT/DISCHARGE PLANNING DEPARTMENTS ARE REQUIRED TO COMPLETE AN ONLINE CONFLICT OF INTEREST QUESTIONNAIRE ANNUALLY THAT IS REVIEWED BY THE CONFLICT REVIEW COMMITTEE COMPRISED OF EMPLOYEES FROM SHARP'S LEGAL, COMPLIANCE, AND INTERNAL AUDIT DEPARTMENTS. IN CONNECTION WITH ANY TRANSACTION OR ARRANGEMENT, WHICH MAY CREATE AN ACTUAL OR POSSIBLE CONFLICT OF INTEREST, THE PERSON SHALL DISCLOSE IN WRITING THE EXISTENCE AND NATURE OF HIS/HER FINANCIAL INTEREST AND ALL MATERIAL FACTS. BOARD MEMBERS, CORPORATE OFFICERS, SENIOR VICE PRESIDENTS, AND THE CHIEF EXECUTIVE OFFICER(S) SHALL MAKE SUCH DISCLOSURES DIRECTLY TO THE CHAIRMAN OF THE BOARD, AND TO THE MEMBERS OF THE COMMITTEE WITH THE BOARD DESIGNATED POWERS CONSIDERING THE PROPOSED TRANSACTION OR ARRANGEMENT. UPON DISCLOSURE OF THE FINANCIAL INTEREST AND ALL MATERIAL FACTS, THE BOARD MEMBER, CORPORATE OFFICER, SENIOR VICE PRESIDENT OR THE CHIEF EXECUTIVE OFFICER(S) MAKING SUCH DISCLOSURES SHALL LEAVE THE BOARD OR THE COMMITTEE MEETING WHILE THE FINANCIAL INTEREST IS DISCUSSED AND VOTED UPON. THE REMAINING BOARD OR COMMITTEE MEMBERS SHALL DECIDE IF A CONFLICT OF INTEREST EXISTS. IN CERTAIN INSTANCES, SUCH AS IF SOMEONE TAKES A BOARD SEAT ON A COMPETITOR'S BOARD OF DIRECTORS OR HAS A ROLE WITH AN ORGANIZATION WHEREBY THE INFORMATION THAT THEY MAY OBTAIN FROM SHARP WOULD PUT THEM IN A CONSISTENT CONFLICT WITH THEIR TWO ROLES, THE CONFLICT COULD CALL FOR THE INDIVIDUAL'S REMOVAL FROM THE BOARD. THE BYLAWS FOR THE ORGANIZATION PROVIDE FOR THE ABILITY TO REMOVE DIRECTORS IN ACCORDANCE WITH SECTION 5222 OF THE CALIFORNIA CORPORATIONS CODE. THIS CAN GENERALLY BE DONE ON A "FOR CAUSE A "NO CAUSE" BASIS BY THE ACTION OF THE MEMBER. FORM 990, PART VI, LINE 15A PROCESS TO ESTABLISH COMPENSATION OF TOP MANAGEMENT OFFICIAL THE COMPENSATION COMMITTEE OF SHARP HEALTHCARE RETAINS AN INDEPENDENT COMPENSATION CONSULTING FIRM TO REVIEW THE TOTAL COMPENSATION PAID TO EXECUTIVE MANAGEMENT (PRESIDENT/CHIEF EXECUTIVE OFFICER, CHIEF OPERATING OFFICER, AND SENIOR VICE PRESIDENTS) AND COMPARES IT TO THE TOTAL COMPENSATION PAID TO SIMILAR POSITIONS WITH LIKE INSTITUTIONS. THE INFORMATION IS PRESENTED TO THE COMPENSATION COMMITTEE OF THE BOARD OF DIRECTORS BY THE INDEPENDENT CONSULTANT. THE COMPENSATION COMMITTEE IS COMPRISED OF BOARD MEMBERS WHO ARE NOT PHYSICIANS AND WHO ARE NOT COMPENSATED IN ANY WAY BY THE ORGANIZATION. THE COMPENSATION COMMITTEE CREATES AND APPROVES THE ORGANIZATION'S EXECUTIVE COMPENSATION PHILOSOPHIES AND STRATEGIES STATEMENT AND, AS PART OF THIS PROCESS, 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 THIRD-PARTY INDEPENDENT CONSULTANT TO CONDUCT A COMPENSATION STUDY COVERING OFFICERS AND KEY EMPLOYEES. THE INDEPENDENT THIRD PARTY COMPARES BASE SALARIES TO SIMILAR POSITIONS WITH LIKE INSTITUTIONS. THE INFORMATION IS REVIEWED BY THE COMPENSATION DEPARTMENT AND IS PRESENTED TO THE PRESIDENT/CHIEF EXECUTIVE OFFICER, THE CHIEF OPERATING OFFICER, AND THE APPROPRIATE SENIOR VICE PRESIDENT FOR REVIEW AND APPROVAL. THE REVIEW AND THE STUDY WERE LAST PERFORMED IN NOVEMBER 2025 AND THE RESULTS WERE PRESENTED TO THE COMPENSATION COMMITTEE IN JANUARY 2026. FORM 990, PART VI, LINE 15B PROCESS TO ESTABLISH COMPENSATION OF OTHER EMPLOYEES THE COMPENSATION COMMITTEE OF SHARP HEALTHCARE RETAINS AN INDEPENDENT COMPENSATION CONSULTING FIRM TO REVIEW THE TOTAL COMPENSATION PAID TO EXECUTIVE MANAGEMENT (PRESIDENT/CHIEF EXECUTIVE OFFICER, CHIEF OPERATING OFFICER, AND SENIOR VICE PRESIDENTS) AND COMPARES IT TO THE TOTAL COMPENSATION PAID TO SIMILAR POSITIONS WITH LIKE INSTITUTIONS. THE INFORMATION IS PRESENTED TO THE COMPENSATION COMMITTEE OF THE BOARD OF DIRECTORS BY THE INDEPENDENT CONSULTANT. THE COMPENSATION COMMITTEE IS COMPRISED OF BOARD MEMBERS WHO ARE NOT PHYSICIANS AND WHO ARE NOT COMPENSATED IN ANY WAY BY THE ORGANIZATION. THE COMPENSATION COMMITTEE CREATES AND APPROVES THE ORGANIZATION'S EXECUTIVE COMPENSATION PHILOSOPHIES AND STRATEGIES STATEMENT AND, AS PART OF THIS PROCESS, 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 THIRD-PARTY INDEPENDENT CONSULTANT TO CONDUCT A COMPENSATION STUDY COVERING OFFICERS AND KEY EMPLOYEES. THE INDEPENDENT THIRD PARTY COMPARES BASE SALARIES TO SIMILAR POSITIONS WITH LIKE INSTITUTIONS. THE INFORMATION IS REVIEWED BY THE COMPENSATION DEPARTMENT AND IS PRESENTED TO THE PRESIDENT/CHIEF EXECUTIVE OFFICER, THE CHIEF OPERATING OFFICER, AND THE APPROPRIATE SENIOR VICE PRESIDENT FOR REVIEW AND APPROVAL. THE REVIEW AND THE STUDY WERE LAST PERFORMED IN NOVEMBER 2025 AND THE RESULTS WERE PRESENTED TO THE 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 VIII, LINE 2F OTHER PROGRAM SERVICE REVENUE JOINT VENTURE INCOME - BONE MARROW, MRI - TOTAL REVENUE: 8830459, RELATED OR EXEMPT FUNCTION REVENUE: 8830459, UNRELATED BUSINESS REVENUE: , REVENUE EXCLUDED FROM TAX UNDER SECTIONS 512, 513, OR 514: ; CASE MANAGEMENT - TOTAL REVENUE: 497425, RELATED OR EXEMPT FUNCTION REVENUE: , UNRELATED BUSINESS REVENUE: 497425, REVENUE EXCLUDED FROM TAX UNDER SECTIONS 512, 513, OR 514: ; ALL OTHER PROGRAM SERVICE REVENUE - TOTAL REVENUE: 5006361, RELATED OR EXEMPT FUNCTION REVENUE: 5006361, UNRELATED BUSINESS REVENUE: , REVENUE EXCLUDED FROM TAX UNDER SECTIONS 512, 513, OR 514: ; FORM 990, PART VIII, LINE 11D OTHER MISCELLANEOUS REVENUE ALL OTHER REVENUE - TOTAL REVENUE: 987698, RELATED OR EXEMPT FUNCTION REVENUE: 0, UNRELATED BUSINESS REVENUE: 0, REVENUE EXCLUDED FROM TAX UNDER SECTIONS 512, 513, OR 514: 987698; FORM 990, PART IX, LINE 11G OTHER FEES MED FEES - TOTAL EXPENSE: XXX-XX-XXXX, PROGRAM SERVICE EXPENSE: XXX-XX-XXXX, MANAGEMENT AND GENERAL EXPENSES: 196740, FUNDRAISING EXPENSES: ; PURCHASED SERVICES - TOTAL EXPENSE: XXX-XX-XXXX, PROGRAM SERVICE EXPENSE: XXX-XX-XXXX, MANAGEMENT AND GENERAL EXPENSES: 35767784, FUNDRAISING EXPENSES: ; REGISTRY - TOTAL EXPENSE: 11071104, PROGRAM SERVICE EXPENSE: 831878, MANAGEMENT AND GENERAL EXPENSES: 10239226, FUNDRAISING EXPENSES: ; - TOTAL EXPENSE: , PROGRAM SERVICE EXPENSE: , MANAGEMENT AND GENERAL EXPENSES: , FUNDRAISING EXPENSES: ; - TOTAL EXPENSE: , PROGRAM SERVICE EXPENSE: , MANAGEMENT AND GENERAL EXPENSES: , FUNDRAISING EXPENSES: ; - TOTAL EXPENSE: , PROGRAM SERVICE EXPENSE: , MANAGEMENT AND GENERAL EXPENSES: , FUNDRAISING EXPENSES: ; - TOTAL EXPENSE: , PROGRAM SERVICE EXPENSE: , MANAGEMENT AND GENERAL EXPENSES: , FUNDRAISING EXPENSES: ; - TOTAL EXPENSE: , PROGRAM SERVICE EXPENSE: , MANAGEMENT AND GENERAL EXPENSES: , FUNDRAISING EXPENSES: ; - TOTAL EXPENSE: , PROGRAM SERVICE EXPENSE: , MANAGEMENT AND GENERAL EXPENSES: , FUNDRAISING EXPENSES: ; - TOTAL EXPENSE: , PROGRAM SERVICE EXPENSE: , MANAGEMENT AND GENERAL EXPENSES: , FUNDRAISING EXPENSES: ; 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FORM 990, PART XI, LINE 9 OTHER CHANGES IN NET ASSETS OR FUND BALANCES CURRENT YEAR OTHER COMPREHENSIVE INCOME - 12764430; BENEFICIAL INTEREST IN SHARP HEALTHCARE FOUNDATION - 2922426; BOOK/TAX DIFFERENCES ON PARTNERSHIP INTEREST - MRI - -153149; BOOK/TAX DIFF ON PARTNERSHIP INTEREST - UCSD/SHARP TRANSPLANT PROGRAM - 2160882; BENEFICIAL INTEREST IN SHARP FREESTANDING SURGERY LLC & MEDICAL TOWER - -1366376; CURRENT YEAR PENSION RELATED COMPREHENSIVE INCOME RHRA - 584035; TRANSFER FROM AFFILIATE (SHP) - 40000000; TOTAL - 56912248; SHARP MEMORIAL HOSPITAL (SMH) 8695 SPECTRUM CENTER BLVD SAN DIEGO CA 921231489 953782169 HOSPITAL CA 501(C)(3) 3 SHARP HEALTHCARE true GROSSMONT HOSPITAL CORPORATION (SGH) 8695 SPECTRUM CENTER BLVD SAN DIEGO CA 921231489 330449527 HOSPITAL CA 501(C)(3) 3 SHARP HEALTHCARE true SHARP CHULA VISTA MEDICAL CENTER (SCVMC) 8695 SPECTRUM CENTER BLVD SAN DIEGO CA 921231489 952367304 HOSPITAL CA 501(C)(3) 3 SHARP HEALTHCARE true SHARP CORONADO HOSPITAL AND HEALTHCARE CENTER (SCHHC) 8695 SPECTRUM CENTER BLVD SAN DIEGO CA 921231489 950651579 HOSPITAL CA 501(C)(3) 3 SHARP HEALTHCARE true SHARP HEALTH PLAN 8695 SPECTRUM CENTER BLVD SAN DIEGO CA 921231489 330519730 HEALTH PLAN CA 501(C)(4) SHARP HEALTHCARE true SHARP HEALTHCARE FOUNDATION (SHF) 8695 SPECTRUM CENTER BLVD SAN DIEGO CA 921231489 953492461 HEALTHCARE FOUNDATION CA 501(C)(3) 7 SHARP HEALTHCARE true GROSSMONT HOSPITAL FOUNDATION 8695 SPECTRUM CENTER BLVD SAN DIEGO CA 921231489 330124488 HEALTHCARE FOUNDATION CA 501(C)(3) 7 GROSSMONT HOSPITAL CORPORATION true SHARP FREESTANDING SURGERY LLC 8695 SPECTRUM CENTER BOULEVARD SAN DIEGO CA 92123 874136918 FREESTANDING AMBULATORY SURGERY CA SHARP HEALTHCARE RELATED -584506 16698302 false false 0.9 CONTINUOUS QUALITY INSURANCE SPC 23 LIME TREE BAY AVENUE PO BOX 136 GRAND CAYMAN CJ CAPTIVE INSURANCE COMPANY CJ SHARP HEALTHCARE C CORPORATION 2264853 59827000 1 true false false true false false false false false true true true true true true false true true true true SHARP MEMORIAL HOSPITAL I 1505451 ACCRUAL ACCOUNTING SHARP MEMORIAL HOSPITAL J 2372656 ACCRUAL ACCOUNTING SHARP MEMORIAL HOSPITAL K 405711 ACCRUAL ACCOUNTING SHARP MEMORIAL HOSPITAL L 11304936 ACCRUAL ACCOUNTING SHARP MEMORIAL HOSPITAL M 13354551 ACCRUAL ACCOUNTING SHARP MEMORIAL HOSPITAL P 168000 ACCRUAL ACCOUNTING SHARP MEMORIAL HOSPITAL Q 1318436495 ACCRUAL ACCOUNTING SHARP MEMORIAL HOSPITAL R 1661491756 ACCRUAL ACCOUNTING SHARP MEMORIAL HOSPITAL S 133815099 ACCRUAL ACCOUNTING GROSSMONT HOSPITAL CORPORATION K 3698751 ACCRUAL ACCOUNTING GROSSMONT HOSPITAL CORPORATION L 6937615 ACCRUAL ACCOUNTING GROSSMONT HOSPITAL CORPORATION M 2444388 ACCRUAL ACCOUNTING GROSSMONT HOSPITAL CORPORATION P 296621 ACCRUAL ACCOUNTING GROSSMONT HOSPITAL CORPORATION Q 1012765075 ACCRUAL ACCOUNTING GROSSMONT HOSPITAL CORPORATION R 1100158854 ACCRUAL ACCOUNTING GROSSMONT HOSPITAL CORPORATION S 108029992 ACCRUAL ACCOUNTING SHARP CHULA VISTA MEDICAL CENTER K 66044 ACCRUAL ACCOUNTING SHARP CHULA VISTA MEDICAL CENTER L 5340166 ACCRUAL ACCOUNTING SHARP CHULA VISTA MEDICAL CENTER M 1004104 ACCRUAL ACCOUNTING SHARP CHULA VISTA MEDICAL CENTER Q 535164469 ACCRUAL ACCOUNTING SHARP CHULA VISTA MEDICAL CENTER R 638956479 ACCRUAL ACCOUNTING SHARP CHULA VISTA MEDICAL CENTER S 59447309 ACCRUAL ACCOUNTING SHARP CORONADO AND HEALTHCARE CENTER L 1906570 ACCRUAL ACCOUNTING SHARP CORONADO AND HEALTHCARE CENTER M 71033 ACCRUAL ACCOUNTING SHARP CORONADO AND HEALTHCARE CENTER Q 149930806 ACCRUAL ACCOUNTING SHARP CORONADO AND HEALTHCARE CENTER R 180560830 ACCRUAL ACCOUNTING SHARP CORONADO AND HEALTHCARE CENTER S 12100387 ACCRUAL ACCOUNTING SHARP HEALTHCARE FOUNDATION C 5291876 ACCRUAL ACCOUNTING SHARP HEALTHCARE FOUNDATION M 6776653 ACCRUAL ACCOUNTING SHARP HEALTHCARE FOUNDATION N 250378 ACCRUAL ACCOUNTING GROSSMONT HOSPITAL FOUNDATION C 2461650 ACCRUAL ACCOUNTING CONTINUOUS QUALITY INSURANCE SPC R 19520074 ACCRUAL ACCOUNTING SHARP HEALTH PLAN J 1057594 ACCRUAL ACCOUNTING SHARP HEALTH PLAN M 234287975 ACCRUAL ACCOUNTING SHARP HEALTH PLAN N 63905 ACCRUAL ACCOUNTING SHARP HEALTH PLAN Q 55425556 ACCRUAL ACCOUNTING SHARP HEALTH PLAN R 59361888 ACCRUAL ACCOUNTING SHARP HEALTH PLAN S 2583479 ACCRUAL ACCOUNTING