2024-08-15T15:25:54+00:00 2023-09-30 346565596 ERNST & YOUNG US LLP 4365 Executive Drive Suite 1600 San Diego CA 92121 990 2022-10-01 952367304 Sharp Chula Vista Medical Center SHAR 8584995150 8695 Spectrum Center Blvd San Diego CA 92123 SCOTT EVANS CEO GHC 2024-08-15 false Debra Heiskala P00649485 8585357200 2022 2024-08-08 14:25:15Z SCOTT EVANS 8695 Spectrum Center Blvd San Diego CA 92123 693734014 false X WWW.SHARP.COM X 1964 CA SHARP CHULA VISTA MEDICAL CENTER PROVIDES INPATIENT AND OUTPATIENT MEDICAL SERVICES TO THE COMMUNITY. 15 9 2900 195 0 0 8750234 5468067 525165642 569372511 17907822 31187429 496135 640709 552319833 606668716 187644 572199 0 276385756 311134750 0 0 291696168 296138866 568269568 607845815 -15949735 -1177099 564468592 590390003 327214317 317806676 237254275 272583327 SEE SCHEDULE O false false 569279684 572199 569372511 TO PROVIDE MEDICAL CARE AND HOSPITAL SERVICES TO THE COMMUNITY. FOR FISCAL YEAR 2023, PATIENT DAYS TOTALED 118,427 AND OUTPATIENT VISITS TOTALED 169,303. SEE COMMUNITY BENEFITS REPORT ON SCHEDULE O 569279684 true true false true false false false false true true false false true true true false true false false false false false false false false true true true true true false false false false false false false false false false false false false true true true false false true X 0 0 2900 true false false false false false false false false false false false false X 15 9 true false false false true true true true true false false true true true true true true true true true true CA X Jennifer Gardyne 8584995150 8695 Spectrum Center Blvd San Diego CA 921231489 Christopher D Howard PRESIDENT & CEO SHC 2.0 50.0 X X 0 2581520 19123 Debra Discar-Espe CHAIR 2.0 0 X X 0 0 0 Pablo Velez-Carrillo CEO SCVMC THRU 12/01/2022 55.0 5.0 X X 0 1136531 17429 Susana Villegas SECRETARY 1.0 0 X X 0 0 0 William S Evans SVP MARKET CEO AS OF 12/01/2022 10.0 40.0 X X 0 1194031 22231 Brett G McClain EVP CHIEF OPERATING OFFICER SHC 5.0 44.0 X 0 1513107 22359 Christine Moore DIRECTOR THRU 01/30/2023 2.0 0 X 0 0 0 Eric Clark Jr MD DIRECTOR 1.0 2.0 X 29400 0 0 Gabriella Malagon-Maldonado DIRECTOR, VP PATIENT CARE SVCS-SCVMC 40.0 10.0 X 0 353595 37645 Jeni Burgess DIRECTOR AS OF 06/01/2023 2.0 0 X 0 0 0 Mora Keller DIRECTOR 1.0 0 X 0 0 0 Patricia Alvarez de los Cobos DIRECTOR AS OF 06/01/2023 1.0 0 X 0 0 0 Sharon Casey DIRECTOR 2.0 0 X 0 0 0 Stephen Summers MD DIRECTOR 2.0 0.0 X 4704 6000 0 Steven Bernstein DIRECTOR 2.0 0 X 0 0 0 Steven Norton DIRECTOR 1.0 0 X 0 0 0 William Hall DIRECTOR 2.0 0 X 0 0 0 Doug Watson SVP & CFO SHC AS OF 6/26/23 2.0 50.0 X 0 0 0 Richard King CFO SCVMC 50.0 0.0 X 0 323569 47295 Rick L Grossman SVP GENERAL COUNSEL 1.0 52.0 X 0 1229363 10412 Staci L Dickerson SVP & CFO SHC THRU 07/01/2023 2.0 56.0 X 0 1334159 32943 Daniel Dredla VP CLINICAL SVCS 40.0 0.0 X 0 300362 38624 Samer Khodor CMO SCVMC 40.0 10.0 X 0 557347 36473 Daniel Huynh DIR PHARMACY & NUTRITION SVCS 40.0 0.0 X 0 330926 34607 Florie De Guzman ADVANCED CLINICIAN 50.0 0.0 X 0 326580 45834 Gina Santos ADVANCED CLINICIAN 48.0 0.0 X 0 344898 35143 Iris Sanchez LD CLINICAL NURSE 50.0 0.0 X 0 320838 33451 Michael Fabonan CLINICAL NURSE-BU 60.0 0.0 X 0 304392 39136 Christine Basiliere FORMER VP PATIENT CARE SVCS-SCVMC 0.0 60.0 X 0 381130 43780 34104 12538348 516485 819 true true false 0 2517191 2950876 0 621 5468067 MEDICARE/MEDICAID PAYMENTS 900099 362527368 362527368 NET PATIENT SERVICES 900099 200480505 200480505 MEDICAL OFFICE LEASE 531120 3570924 3570924 INPATIENT PHARMACY 900099 1674263 1674263 IMAGING JV INCOME 900099 648038 648038 471413 471413 0 0 569372511 15150335 15150335 0 0 103094199 8193 87065298 16028901 8193 16037094 16037094 AUXILIARY INCOME 900099 358492 358492 CASH DISCOUNTS/RAD DIAG/WOMEN EDU/OTHER 900099 187558 187558 CELL PHONE TOWERS 531390 94659 94659 0 0 0 0 640709 606668716 569372511 0 31828138 550779 550779 21420 21420 2951894 146589 2805305 251782540 250865033 917507 8792831 8664305 128526 29332950 28603047 729903 18274535 18064023 210512 18079382 17127526 951856 916118 2460 913658 7228735 7228735 50823 50823 400142 400142 48662345 47512957 1149388 0 3013094 37826 2975268 11315015 10039534 1275481 25397444 24119677 1277767 9993761 7852878 2140883 52821 51920 901 454057 125473 328584 7004853 7586390 -581537 23090032 20644782 2445250 1985169 1275781 709388 MEDICAL SUPPLIES 76606802 76606802 MEDI-CAL PROVIDER TAX 27883098 27883098 SYSTEM ALLOCATION 25690070 13956239 11733831 REPAIRS/MAINTENANCE 6593851 6289248 304603 1721254 1251897 469357 0 607845815 569279684 38566131 0 1284331 1419443 143473843 181970604 0 0 0 0 9049734 10211877 3984985 4787296 530183134 230295126 312358025 299888008 0 2387742 1977911 0 91929932 90134864 564468592 590390003 53572778 52586247 152000 87216 0 0 273489539 265133213 327214317 317806676 X 237254275 272583327 237254275 272583327 564468592 590390003 X -1177099 35375919 1130232 X false true X true false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false true 50823 50823 false Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY SHARP CHULA VISTA MEDICAL CENTER PAYS ANNUAL DUES TO THE CALIFORNIA HOSPITAL ASSOCIATION (CHA), HEALTHCARE ASSOCIATION OF SAN DIEGO & IMPERIAL COUNTIES (HASD&IC), CALIFORNIA ASSOCIATION OF HOSPITALS AND HEALTH SYSTEMS (CAHHS), AND AMERICAN HOSPITAL ASSOCIATION (AHA) WHICH PROVIDE REPRESENTATION AND ADVOCACY SERVICES AT THE LOCAL, STATE AND FEDERAL LEVELS. CHA, HASD&IC , CAHHS, AND AHA HAVE DETERMINED THAT A PORTION OF THEIR MEMBERSHIP DUES ARE USED FOR LOBBYING PURPOSES. FOR FY2023, THE PORTION OF SHARP CHULA VISTA MEDICAL CENTER'S ANNUAL DUES CALCULATED TO HAVE BEEN USED FOR LOBBYING PURPOSES WERE $50,823. 626796 0 47181 0 21619 652358 494817 187709 -55322 0 408 626796 450828 52239 8250 0 494817 427985 22843 0 450828 417667 0 16818 6500 427985 0.33 0.67 0.0 false true true 712213 712213 411501217 144601048 266900169 1840411 1496701 343710 102198944 78647007 23551937 13930349 5550370 8379979 299888008 INTERCOMPANY RECEIVABLES 86846782 LEASED ASSETS-OPERATING 2476853 LEASED ASSETS-FINANCE 321678 DEFERRED RENT 489551 90134864 ALLOCATED TAX EXEMPT BONDS 258992120 ESTIMATED SETTLEMENTS PAYABLE TO GOVERNMENT PROGRAMS 1354897 LONG TERM PENSION LIABILITY 1840465 LEASE OBLIGATIONS-FINANCE 323416 LEASE OBLIGATIONS-OPERATING 2622315 265133213 X 639229033 35375919 -823157 34552762 604676271 400142 1592303 1992445 606668716 606128695 0 0 606128695 400142 1316978 1717120 607845815 Schedule D, Part V, Line 4 Intended uses of endowment funds Sharp HealthCare Foundation holds 4 permanent endowments for Sharp Chula Vista Medical Center that is restricted for nursing education and the Birch Patrick skilled nursing facility. 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, 2023 and 2022, 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 PENSION - -774980 LOSS ON SALE OF FIXED ASSETS - -27462 LOSS ON EXTINGUISHMENT OF DEBT - -20715 Schedule D, Part XI, Line 4(b) Other revenues in form 990 not in audited financial statements MEDICAL STAFF/AUXILIARY ACTIVITY - 442303 DONATED CAPITAL - 1150000 Schedule D, Part XII, Line 4(b) Other expenses in form 990 not in audited financial statements MEDICAL STAFF/AUXILIARY ACTIVITY - 493821 NON OPERATING PENSION - 774980 LOSS ON SALE OF FIXED ASSETS - 27462 LOSS ON EXTINGUISHMENT OF DEBT - 20715 true true X true X true X false true true false true true 5148157 0 5148157 0.0084 232522147 206903841 25618306 0.0418 4999497 4302997 696500 0.0011 0 0 242669801 211206838 31462963 0.0513 167618 167618 0.0003 631444 631444 0.0010 15805166 5677052 10128114 0.0165 0 0.0 565314 565314 0.0009 0 0 17169542 5677052 11492490 0.0187 0 0 259839343 216883890 42955453 0.0700 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0 0 0 0 0.0 false 5932337 0 75146035 90678003 -15531968 X true true SAN DIEGO IMAGING-CHULA VISTA PROVIDER OF OUTPATIENT IMAGING SERVICES 0.5 0.0 0.5 1 1 SHARP CHULA VISTA MEDICAL CENTER 751 MEDICAL CENTER COURT CHULA VISTA CA 91911 www.sharp.com 090000008 X X X SHARP CHULA VISTA MEDICAL CENTER 1 false false true X X X X X X X X X 21 true true true true X https://www.sharp.com/about/community/community-benefits/health-needs-assessments.cfm X true 21 true https://www.sharp.com/about/community/community-benefits/health-needs-assessments.cfm false true X 200.0 400.0 X X X true true X X X true X https://www.sharp.com/patient/billing/financial-assistance.cfm X https://www.sharp.com/patient/billing/financial-assistance.cfm X https://www.sharp.com/patient/billing/financial-assistance.cfm X X X X X X true X false X X X X true X false false 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 - SHARP CHULA VISTA MEDICAL CENTER. Based on the results of the community health statistics scan and feedback from community partners received during the FY2022 CHNA planning process, a variety of community engagement activities were conducted across San Diego County (SDC) as part of the collaborative, countywide FY2022 CHNA - led under the auspices of the Hospital Association of San Diego & Imperial Counites (HASD&IC) through the FY2022 CHNA Committee, of which Sharp was Chair. Additional community engagement activities were conducted specific to Sharp/SCVMC, in order to provide a more comprehensive understanding of identified health needs - including their associated social determinants of health and potential system and policy changes that may impact them - for the patients and community members served by the hospital. The CHNA process also included a detailed analysis of how these top needs impact the health of San Diego residents. Community engagement activities of the collaborative FY2022 CHNA included 16 focus groups (90 participants), key informant interviews (26 participants), and an online survey (502 respondents) as well as Community Health Worker and promotora interviews (223 participants) which targeted stakeholders from every region of San Diego County, all age groups, and numerous racial and ethnic groups. Collaboration with the County of San Diego Health & Human Services Agency, Public Health Services was vital to this process. Community engagement participants included county public health officers, health care and social service providers, and members of community-based organizations, including advocacy groups that represent communities facing inequities. A total of 841 individuals participated in the 2022 collaborative CHNA. In addition to participation and leadership in the collaborative HASD&IC FY2022 CHNA process, Sharp contracted separately with the Institute for Public Health (IPH) at San Diego State University (SDSU) to collect input from Sharp HealthCare providers as well as from patients and community members served by Sharp hospitals, including SCVMC. This input focused on the health and equity issues that were identified in Sharp's 2019 CHNA, including the impact of COVID-19 on those issues. This included two surveys designed in partnership with IPH engaging a total of 92 Sharp providers and 16 HR staff. Lastly, the SCVMC FY2022 CHNA community engagement process included a robust online survey conducted through the Sharp Insight Community. The Sharp Insight Community is a private online environment for Sharp patients and their families, community members, Sharp employees, and Sharp-affiliated physicians. The FY2022 CHNA Sharp Insight Community online survey sought to obtain feedback on the top health and social needs faced by community members in lieu of COVID-19, as well as assess their awareness of community outreach programs offered by Sharp. The online survey also provided participants the opportunity to provide specific suggestions for Sharp to improve community health and well-being. A total of 619 community members completed the Sharp Insight Community Survey. SCVMC/Sharp-specific community engagement activities concluded in Spring 2022. Schedule H, Part V, Section B, Line 6a Facility , 1 Facility , 1 - SHARP CHULA VISTA MEDICAL CENTER. The HASD&IC Board of Directors convened a CHNA Committee to plan and implement the collaborative FY2022 CHNA process. The CHNA Committee is comprised of representatives from the following hospitals and health care systems: * Kaiser Foundation Hospital - San Diego * Rady Children's Hospital - San Diego * Scripps Health (Vice Chair) * Sharp HealthCare (Chair) * Tri-City Medical Center * University of California San Diego Health * Grossmont Healthcare District The process and findings of the collaborative HASD&IC 2022 CHNA significantly informed the SCVMC FY2022 CHNA and was further supported by additional data analysis and community engagement activities specific to the community served by SCVMC (the latter is described in Question 5). Schedule H, Part V, Section B, Line 6b Facility , 1 Facility , 1 - SHARP CHULA VISTA MEDICAL CENTER. The Sharp Chula Vista Medical Center 2022 Community Health Needs Assessment (CHNA) examines the health needs of the community members it serves in San Diego County. SCVMC's FY2022 CHNA process and findings are based on the collaborative Hospital Association of San Diego and Imperial Counties (HASD&IC) 2022 Community Health Needs Assessment process and findings for SDC. This collaborative process was conducted under the auspices of HASD&IC and was further supported by additional data analysis and community engagement activities specific to the community served by SCVMC (the latter is described in Question 5). Schedule H, Part V, Section B, Line 11 Facility , 1 Facility , 1 - SHARP CHULA VISTA MEDICAL CENTER. The findings of SCVMC's 2022 Community Health Needs Assessment (CHNA) further dove into priority health needs impacting the communities served by SCVMC, particularly those community members facing inequities, as well as provided insight gathered from direct conversations with the community. Through the SCVMC FY2022 CHNA, the following priority health needs were identified for the communities served by SCVMC (listed in alphabetical order): * Access to Health Care * Aging Care & Support * Behavioral Health * Children & Youth Well-Being * Chronic Health Conditions * Community Safety * Economic Stability * Maternal and Prenatal Care, including High-Risk Pregnancy SCVMC reviewed findings from its FY2022 CHNA to assist in the design and implementation of programs and services provided at SCVMC for community members. In identifying these priorities, SCVMC considered the expertise and mission of its programs and services, as well as the needs of the unique, ever-changing demographics and health topics that comprise SCVMC's service area and region (San Diego County's south region). SCVMC provides programming and services that specifically address these needs, either directly or indirectly. Through social services staff, SCVMC provides comprehensive behavioral health services to safety net patients. Individuals who present in the emergency department (ED) with severe mental illness receive a Psychiatric Evaluation Team (PET) assessment and are provided mental health placement, information and resources as needed. SCVMC's social services also provide ongoing counseling, crisis intervention, debriefing for patients, as well as staff as needed throughout the hospital and at Birch Patrick Skilled Nursing Facility. SCVMC provides 24/7 both on site and on-call social services support in these areas. However, beyond these clinical services, SCVMC does not have the resources to comprehensively address the elements of community education and support in the identified health need of behavioral health. Consequently, the community education and support elements of behavioral health care are addressed through the programs and services provided through Sharp Mesa Vista Hospital and Sharp McDonald Center, which are the major providers of behavioral health and chemical dependency services in SDC. SCVMC addresses chronic health conditions by providing education and healthy lifestyle programs as part of care for cardiovascular disease (CVD), cancer, diabetes, obesity and other issues influenced by healthy weight and exercise. In addition, Sharp Rees-Stealy Medical Centers throughout SDC - including the south region - provide structured weight management and health education programs to community members, such as smoking cessation and stress management, long-term support for weight management and personalized weight-loss programs. Further, SCVMC's behavioral health (including substance use) community efforts are supported through the programs and services provided by Sharp Mesa Vista Hospital and Sharp McDonald Center, which are the major providers of behavioral health and substance use treatment services in SDC. SCVMC's most recent implementation strategy (FY 2024 - FY 2027) is available online at: https://www.sharp.com/about/community/community-benefits/health-needs-assessments.cfm and details those programs that SCVMC provides to address needs identified in its FY2022 CHNA. These programs are detailed further in the SCVMC section of Sharp HealthCare's FY 2023 Community Benefit Plan and Report, available for public viewing/download at: https://www.sharp.com/about/community/community-benefits/benefit-report.cfm. Schedule H, Part V, Section B, Line 20 Facility , 1 Facility , 1 - SHARP CHULA VISTA MEDICAL CENTER. The Sharp Chula Vista Medical Center (SCVMC) does not make presumptive FAP-eligibility determinations based on third-party information as defined in section 501(r)-6(c)(2). Instead, SCVMC makes reasonable efforts based on notification and processing of applications as defined in 501(r)-6(c)(3). 5 OUTPATIENT SURGERY CENTER 765 MEDICAL CENTER COURT CHULA VISTA CA 91911 OUTPATIENT SURGERY REHAB (PT OT & SPEECH) 752 MEDICAL CENTER COURT SUITE 303 CHULA VISTA CA 91911 OUTPATIENT SERVICES PRE-ANESTHESIA EVALUATION SERVICES UNIT 754 MEDICAL CENTER COURT SUITE 208 CHULA VISTA CA 91911 OUTPATIENT SERVICES INFUSION CENTER 752 MEDICAL CENTER COURT SUITE 30 CHULA VISTA CA 91911 OUTPATIENT SERVICES SAN DIEGO IMAGING - CHULA VISTA LLC 765 MEDICAL CENTER COURT CHULA VISTA CA 91911 IMAGING JOINT VENTURE Schedule H, Part III, Line 3 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 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 80,823,087 Medicare allowable costs reported on Parts I and III 105,461,546 Shortfall included on Parts I and III (24,638,459) Actual Medicare revenue received 82,972,645 Actual Medicare cost 112,749,510 Actual Medicare shortfall (29,776,865) Additional Medicare shortfall not on Parts I and III (5,138,406) Schedule H, Part I, Line 6a Sharp Chula Vista Medical Center's community benefit report is prepared by Sharp HealthCare and is available for public viewing and download at: https://www.sharp.com/about/community/community-benefits/benefit-report.cfm 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, 2023, THE HOSPITAL DETERMINED $5,932,337 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 4 Bad debt expense - financial statement footnote FN4: Net 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. 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 revenue when information becomes available. 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 Sharp Chula Vista Medical Center 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 - SHARP CHULA VISTA MEDICAL CENTER: Line 16a URL: https://www.sharp.com/patient/billing/financial-assistance.cfm; Schedule H, Part V, Section B, Line 16b FAP Application website - SHARP CHULA VISTA MEDICAL CENTER: 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 - SHARP CHULA VISTA MEDICAL CENTER: Line 16c URL: https://www.sharp.com/patient/billing/financial-assistance.cfm; Schedule H, Part VI, Line 2 Needs assessment Sharp HealthCare (Sharp) has been a long-time partner in the process of identifying and responding to the health needs of the San Diego community. This partnership has included a broad range of hospitals, health care organizations, and community agencies in order to conduct triennial Community Health Needs Assessments (CHNAs) more than 25 years. Sharp hospitals, including Sharp Chula Vista Medical Center (SCVMC), base their community benefit and community health programs on both the findings of these needs assessments and the combination of expertise in programs and services offered and the knowledge of the populations and communities served by each Sharp hospital. The complete FY 2022 Community Health Needs Assessment for SCVMC is available online at: https://www.sharp.com/about/community/community-benefits/health-needs-assessments.cfm or by contacting Sharp HealthCare Community Benefit at: communitybenefits@sharp.com. SCVMC reviewed the findings from its CHNA and used the assessment to help inform priority needs for members of the communities it serves. In identifying these priorities, SCVMC also considered the expertise and mission of its programs and services, as well as the needs of the unique, ever-changing demographics and health topics that comprise SCVMC's service area and region. SCVMC is committed to the health and well-being of its community, and the findings of SCVMC's most recent (FY 2022) CHNA help inform the activities and services provided by SCVMC to improve the health of its community members. These programs are detailed in SCVMC's FY24-FY27 implementation strategy, which are available online to the community at: https://www.sharp.com/about/community/community-benefits/health-needs-assessments.cfm. Through social services staff, SCVMC provides comprehensive behavioral health services to safety net patients. Individuals who present in the emergency department (ED) with severe mental illness receive a Psychiatric Evaluation Team (PET) assessment and are provided mental health placement, information and resources as needed. SCVMC's social services also provide ongoing counseling, crisis intervention, debriefing for patients, as well as staff as needed throughout the hospital and at Birch Patrick Skilled Nursing Facility. SCVMC provides 24/7, on site and on-call social services support in these areas. However, beyond these clinical services, SCVMC does not have the resources to comprehensively address the elements of community education and support in the identified health need of behavioral health. Consequently, the community education and support elements of behavioral health care are addressed through the programs and services provided through Sharp Mesa Vista Hospital and Sharp McDonald Center, which are the major providers of behavioral health and chemical dependency services in SDC. The identified health need of obesity is not specifically targeted in education, however it is addressed through general nutrition and exercise education and resources provided at SCVMC, as well as programs that address a healthy lifestyle as part of care for heart disease, cancer, diabetes and other health issues influenced by healthy weight and exercise. In addition, Sharp Rees-Stealy clinics throughout SDC - including the community served by SCVMC - provide structured weight management and health education programs to community members, such as smoking cessation and stress management; long-term support for weight management and fat loss; and personalized weight-loss programs. Please refer to Part V, Section B, for additional details on the process, findings and strategies to address findings from the FY 2022 SCVMC CHNA. Programs that address CHNA-identified needs are also detailed in the SCVMC section of Sharp HealthCare's FY 2023 Community Benefit Plan and Report, available for public viewing/download at: https://www.sharp.com/about/community/community-benefits/benefit-report.cfm In addition, SCVMC: * Incorporates community priorities and community relations into its strategic plan * Estimates an annual budget for community programs and services based on community needs, previous years' experience and current funding levels. 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 The community served by SCVMC encompasses the south region of San Diego County, including the sub-regional areas of Chula Vista, Imperial Beach, Otay Mesa, Bonita, Sweetwater, National City, and Coronado. Notably, most residents of Coronado utilize Sharp Coronado Hospital and Healthcare Center. For SCVMC's FY 2022 CHNA process, the IBM/Dignity Health Community Need Index (CNI) was utilized to identify vulnerable communities within the county. The CNI identifies the severity of health disparity for every ZIP code in the United States of America (U.S.) based on specific barriers to health care access, including education, income, culture/language, insurance and housing. As such, the CNI demonstrates the link between community need, access to care and preventable hospitalizations. According to the CNI, communities served by SCVMC with especially high need include Chula Vista, National City, Encanto, Paradise Hills, and Otay. In 2023, there were 3,348,475 residents in SDC, making it the second most populous county in California. SDC's south region population is largely Hispanic (61.3%), and in 2023, there were 80,326 residents ages 65 and older, representing 14.7% of the population. Between 2023 and 2028, it is anticipated that the senior population in SDC's south region will grow by 14.8%. In 2021, 10.8% of the south region population reported living below 100% of the federal poverty level (FPL), which was slightly higher than the rate for SDC overall (10.7%). The unemployment rate in SDC's south region was 8.5%, which was higher than the rate for SDC overall (6.2%). In addition, 6.5% of households received Supplemental Security Income - a higher rate than SDC overall (5.0%). According to the San Diego Hunger Coalition, nutrition insecurity has not changed for almost a year due to historic increases in the cost of living. As of March 2023, 23% of San Diegans experienced nutrition insecurity and 28% of children lived in nutrition insecure households. In addition, in 2023, Latinos in SDC had a significantly higher incidence of food insecurity (36%) compared to residents of the county overall, illustrating the disproportionate impact of nutrition insecurity on diverse communities. In 2021, 11.2% of households in the south region received Supplemental Nutrition Assistance Program (SNAP) benefits, while 16.8% of the population lived at or below 138% FPL and were eligible for the program. These rates were higher than SDC overall (7.6% of households participated in SNAP benefits while 16.2% of households lived at or below 138% FPL). In SDC's south region in 2021, 94.7% of children age 18 and under, 85.2% of young adults ages 19 to 25, 86.5% of adults ages 26 to 44, 90.2% of adults ages 45 to 64 and 98.4% of seniors age 65 and older had health insurance. Health insurance coverage for each age group was lower than the Healthy People 2030 (HP2030) national target of 92.4% health insurance coverage for all individuals under age 65, with the exception of children ages 0 to 18 years. Schedule H, Part VI, Line 5 Promotion of community health Sharp Chula Vista Medical Center has an open medical staff and a community board. Surplus funds generated by hospital operations are re-invested by the organization to fund capital improvements and acquire state of the art medical equipment with the intent of continually improving patient care. Further, as San Diego's largest private employer, Sharp promotes a culture of environmental responsibility through education, outreach, and collaboration with San Diego earth-friendly businesses to help identify best practices, reduce the costs of green practices and facilitate implementation of sustainable initiatives. Through various strategies, in FY 2023 SCVMC diverted nearly 814,547 pounds of waste, approximately 23% of its generated waste. Sharp believes the promotion of healthy food choices is necessary to improve the health of patients, employees and the community. Sharp works closely with its food service partner, Sodexo, to innovate practices and encourage consumers to adopt habits that reduce chronic disease risk factors and minimize waste. Sharp and Sodexo have developed the following goals related to sustainable food practices: * A 50% reduction in total diversion from the landfill by 2030, which include food donations and organic waste recycled in compost collection. * At least 15% of total purchases are sourced from sustainable suppliers, which includes dollars spent on local, sustainable, organic animal proteins and produce. During FY 2023, Sharp diverted approximately 509,000 lbs from the landfill and purchased approximately 52% of animal protein and produce from local, sustainable and organic sources. Sharp also contributes to the health and safety of the San Diego community through essential emergency and disaster planning activities and services. Sharp's disaster preparedness team provides education to staff, community members and community health professionals, and collaborates with numerous state and local organizations to prepare the community for a potential emergency or disaster. FY 2023 efforts are described below. Sharp's disaster preparedness team led monthly Amateur Radio Emergency Service (ARES) trainings for the community. ARES consists of licensed volunteers who provide advanced radio operations during severe region-wide disasters. Additionally, during the year, multiple Sharp entities hosted personnel from the County's Public Health Preparedness and Response (PHPR) Branch and Office of Emergency Services to orient and educate these community partners on Sharp's disaster preparedness efforts. Sharp partnered with the County of San Diego - including the Emergency Medical Services, PHPR, and Medical Operations Center branches - as well as other regional health care partners in several disaster preparedness exercises. The San Diego Regional Medical & Health Wildfire Evacuation & Surge Full-Scale Exercise tested the San Diego region's ability to respond and evacuate patients in the event of large-scale wildfires. Sharp conducted a drill at each of its acute care hospitals and SRSMC locations and represented health care operations on behalf of the exercise planning committee. In addition, Sharp served on the planning team for the San Diego County Medical and Health Facility Pediatric Surge Tabletop Exercise, a Full-Scale Extended Rain and Flooding Exercise, and a Burn Surge Tabletop Exercise. Further, Sharp provided expertise and collaboration in the planning process for the San Diego International Airport's required full-scale exercise focused on patient reunification. Members of Sharp's disaster leadership team donate their time to various state and local organizations and committees. In FY 2023, this included the County of San Diego Emergency Medical Care Committee, the California Hospital Association (CHA) Emergency Management Advisory Committee, the California Department of Public Health's (CDPH) Joint Advisory Committee, the Ronald McDonald House Operations Committee, the CDPH Statewide Medical and Health Exercise Workgroup, and the San Diego International Airport Aviation Security and Public Safety Department. Through participation in the U.S. Department of Health and Human Services' Public Health Emergency Hospital Preparedness Program (HPP), Sharp provides resources, trainings and information to prepare non-hospital entities in SDC for a collaborative response to an emergency or disaster. The HPP seeks to continually identify and develop relationships with health care entities, nonprofit organizations, law enforcement, military installations and other organizations that serve SDC and are located near partner health care facilities. This includes Sharp's participation in the County of San Diego Healthcare Disaster Coalition, a multi-agency group of representatives who assist the county in improving mitigation, preparedness, response and recovery activities during emergencies and disasters. As part of this coalition in FY 2023, Sharp's disaster preparedness team participated in the HPP budget, decontamination, and SharePoint subcommittees. The HPP budget subcommittee strives to improve readiness by building supply caches of readily available health care supplies that can be used during a disaster. In addition, the decontamination subcommittee aims to standardize equipment and processes for hospitals, while the SharePoint subcommittee is designed to build a coalition SharePoint site to provide members with disaster health care education and information. To collaboratively address public health threats, Sharp continued to participate in a workgroup alongside Scripps Health, Palomar Health, UC San Diego Health, Kaiser Permanente San Diego, HASD&IC and CHA to share best practices in patient care; strategies to ensure provider safety and well-being; and plans for a continuously successful disaster response that aligns with current public health guidelines. The group continues to collaborate with federal partners to formalize a cybersecurity readiness plan for San Diego hospitals and other health care delivery systems to effectively respond in the event of a cybersecurity incident. Sharp's disaster leadership collaboratively steers the Highly Infectious Disease Advisory Committee. This committee prepares the Sharp workforce to care for patients infected with COVID-19 and other emerging infectious diseases. This committee remains in close contact with local, state and national health officials to report and monitor cases as well as secure sustainable supply chains for necessary equipment and supplies. The Highly Infectious Disease Advisory Committee also disseminates relevant guidance and recommendations to Sharp's workforce, community partners and patients. Sharp supports the safety efforts of California and the County of San Diego through maintenance and storage of a federally funded decontamination trailer at SGH for use during mass decontamination events. Although the trailer is strategically located at SGH to respond to the needs of East County, it can be relocated elsewhere in the event of an emergency. Additionally, all Sharp hospitals are prepared for an emergency with backup water supplies that will last up to 96 hours in the event of an interruption to the system's normal water supply. Sharp also supports the community's response capabilities in the event of chemical or biological disasters by hosting federally supervised CHEMPACKs, which contain medications that can be used to treat symptoms of exposure to nerve agents. Further, Sharp hosts and maintains multiple disaster ventilators in addition to critical supplies necessary to care for patients who may present with a high-consequence infectious disease, such as Ebola. Schedule H, Part VI, Line 6 Affiliated health care system Sharp HealthCare (Sharp) is an integrated, regional health care delivery system based in San Diego, California. The Sharp system includes four acute care hospitals; three specialty hospitals; three affiliated medical groups; 28 medical centers; five urgent care centers; three skilled nursing facilities (SNF); two inpatient rehabilitation centers; home health, hospice and home infusion programs; numerous outpatient facilities and programs; three charitable foundations; and a variety of other community health education programs and related services. Sharp also offers individual and group health maintenance organization coverage through Sharp Health Plan (SHP). Serving a population of approximately 3.3 million in San Diego County (SDC), as of September 30, 2023, Sharp is licensed to operate 2,209 beds and has approximately 2,800 Sharp-affiliated physicians and 19,000 employees. It is Sharp's mission to improve the health of those it serves with a commitment to excellence in all that it does. Sharp's goal is to offer quality care and services that set community standards, exceed patient expectations and are provided in a caring, convenient, cost-effective and accessible manner. Sharp will be recognized by employees, physicians, patients, volunteers and the community as the best place to work, the best place to practice medicine and the best place to receive care. Sharp will be known as an excellent community citizen, embodying an organization of people working together to do the right thing every day to improve the health and wellbeing of those it serves. In support of Sharp's organizational commitment to transform the health care experience, Sharp's Pillars of Excellence serve as a guide for its team members, providing framework and alignment for everything Sharp does. In 2014, Sharp made an important decision regarding these pillars as part of its continued journey toward excellence. Each year, Sharp incorporates cycles of learning into its strategic planning process. Since 2014, Sharp's Executive Steering and Board of Directors has had an enhanced Sharp's safety focus, further driving the organization's emphasis on its culture of safety and incorporating the commitment to become a High Reliability Organization (HRO) in all aspects of the organization. At the core of HROs are five key concepts: * Sensitivity to operations * A reluctance to simplify * Preoccupation with failure * Deference to expertise * Resilience Applying high-reliability concepts in an organization begins when leaders at all levels start thinking about how the care they provide could improve. It begins with a culture of safety. With this learning, Sharp is a seven-pillar organization - Quality, Safety, Service, People, Finance, Growth and Community. The foundational elements of Sharp's strategic plan have been enhanced to emphasize Sharp's desire to do no harm. This strategic plan continues Sharp's transformation of the health care experience, focusing on safe, high-quality and efficient care provided in a caring, convenient, cost-effective and accessible manner. With 449 licensed beds, SCVMC serves as the largest provider of health care services in SDC's fast-growing south region, operates the region's busiest emergency department (ED) and is the closest hospital to the busiest international border in the world. SCVMC is home to the region's most comprehensive heart program, services for orthopedic care, cancer treatment, women's and infant's services, and the only bloodless medicine and surgery center in SDC. SCVMC has been providing health care to the south region community for more than 40 years. In the past decade, population growth in this community has exceeded that of almost every other region in the nation. This trend is expected to continue - particularly for seniors. To meet this increased need for care, SCVMC began construction on a new patient tower in 2016. The Ocean View Tower opened in January 2020 and provided an additional 106 beds, six state-of-the-art operating rooms, advanced health care technology and programs, and services to expedite and improve care for community members in the south region. Schedule H, Part VI, Line 7 State filing of community benefit report CA true CHULA VISTA CHAMBER OF COMMERCE 233 FOURTH AVENUE CHULA VISTA CA 91910 950624695 501(c)(6) 8000 GOLF TOURNAMENT BANQUET SPONSOR & DINNER, DESERT & WINE EVENT SPONSOR CALIFORNIA HEALTH FOUNDATION AND TRUST 1215 K STREET SUITE 800 SACRAMENTO CA 95814 941498697 501(c)(3) 536279 MEDI-CAL PROGRAM 1 1 SCVMC NURSING & EMPLOYEE SCHOLARSHIP 18 21420 Schedule I, Part I, Line 2 Procedures for monitoring use of grant funds. 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. false true false false false false false false false Christopher D Howard PRESIDENT & CEO SHC 0 1844229 0 678749 0 58542 0 0 0 19123 0 2600643 0 0 William S Evans SVP MARKET CEO AS OF 12/01/2022 0 827620 0 312163 0 54248 0 0 0 22231 0 1216262 0 0 Pablo Velez-Carrillo CEO SCVMC THRU 12/01/2022 0 847648 0 256420 0 32463 0 7222 0 10207 0 1153960 0 0 Brett G McClain EVP CHIEF OPERATING OFFICER SHC 0 1113965 0 389080 0 10062 0 0 0 22359 0 1535466 0 0 Gabriella Malagon-Maldonado DIRECTOR, VP PATIENT CARE SVCS-SCVMC 0 288879 0 64070 0 646 0 16580 0 21065 0 391240 0 0 Christine Basiliere FORMER VP PATIENT CARE SVCS-SCVMC 0 269140 0 77012 0 34978 0 28129 0 15651 0 424910 0 0 Staci L Dickerson SVP & CFO SHC THRU 07/01/2023 0 985023 0 326126 0 23010 0 10575 0 22368 0 1367102 0 0 Rick L Grossman SVP GENERAL COUNSEL 0 886600 0 292585 0 50178 0 0 0 10412 0 1239775 0 0 Richard King CFO SCVMC 0 224806 0 66158 0 32605 0 26393 0 20902 0 370864 0 0 Samer Khodor CMO SCVMC 0 415174 0 119308 0 22865 0 14916 0 21557 0 593820 0 0 Daniel Dredla VP CLINICAL SVCS 0 215967 0 60508 0 23887 0 23078 0 15546 0 338986 0 0 Florie De Guzman ADVANCED CLINICIAN 0 319412 0 0 0 7168 0 25380 0 20454 0 372414 0 0 Iris Sanchez LD CLINICAL NURSE 0 311318 0 1139 0 8381 0 19285 0 14166 0 354289 0 0 Gina Santos ADVANCED CLINICIAN 0 336920 0 0 0 7978 0 14675 0 20468 0 380041 0 0 Michael Fabonan CLINICAL NURSE-BU 0 298397 0 0 0 5995 0 18767 0 20369 0 343528 0 0 Daniel Huynh DIR PHARMACY & NUTRITION SVCS 0 268460 0 51205 0 11261 0 13756 0 20851 0 365533 0 0 Schedule J, Part I, Line 3 Arrangement used to establish the top management official's compensation THE COMPENSATION COMMITTEE OF SHARP HEALTHCARE, THE PARENT ORGANIZATION, ESTABLISHES THE COMPENSATION OF THE CHIEF EXECUTIVE OFFICER. THE COMPENSATION COMMITTEE ENGAGES INDEPENDENT COMPENSATION CONSULTANTS AND THE AMOUNT IS APPROVED BY BOTH THE COMPENSATION COMMITTEE AND BOARD OF DIRECTORS. 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, 2022, there were no distributions from the plan. Form 990, Part III, Line 4a COMMUNITY BENEFITS REPORT See full Sharp HealthCare Annual Community Benefit Plan and Report at: https://www.sharp.com/about/community/community-benefits/benefit-report.cfm Sharp HealthCare (Sharp) is an integrated, regional health care delivery system based in San Diego, California. The Sharp system includes four acute care hospitals; three specialty hospitals; three affiliated medical groups; 23 medical centers; five urgent care centers; three skilled nursing facilities (SNF); two inpatient rehabilitation centers; home health, hospice and home infusion programs; numerous outpatient facilities and programs; three charitable foundations; and a variety of other community health education programs and related services. Sharp also offers individual and group health maintenance organization coverage through Sharp Health Plan (SHP). Serving a population of approximately 3.3 million in San Diego County (SDC), as of September 30, 2023, Sharp is licensed to operate 2,209 beds and has approximately 2,800 Sharp-affiliated physicians and 19,200 employees. Mission It is Sharp's mission to improve the health of those we serve with a commitment to excellence in all that we do. Sharp's goal is to offer quality care and services that set community standards, exceed patients' expectations and are provided in a caring, convenient, cost-effective and accessible manner. Vision Sharp's vision is to transform the health care experience and be recognized as the best place to work, the best place to practice medicine and the best place to receive care. Sharp will be known as an excellent community citizen embodying an organization of people working together to do the right thing every day to improve the health and well-being of those we serve. Sharp will become the best health system in the universe. 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) 2023 (Oct. 1, 2022, through Sept. 30, 2023). In addition, the summary reports the economic value of community benefit provided by Sharp, according to the framework specifically identified in Senate Bill 697 (SB 697), for the following entities: Sharp Chula Vista Medical Center (EIN 95-2367304) Sharp Coronado Hospital and Healthcare Center (EIN 95-0651579) Sharp Grossmont Hospital (33-0449527) Sharp Mary Birch Hospital for Women & Newborns (EIN 95-3782169) Sharp Memorial Hospital (EIN 95-3782169) Sharp Mesa Vista Hospital and Sharp McDonald Center (EIN 95-3782169) Sharp Health Plan (EIN 33-0519730) Community Benefit Planning at Sharp HealthCare Sharp bases its community benefit planning on its triennial community health needs assessments (CHNA) combined with the expertise in programs and services of each Sharp hospital. Listing of Community Needs Addressed in the Sharp HealthCare Community Benefit Plan and Report, FY 2023 * Access to care and financial support for uninsured and underinsured community members and individuals without a medical provider * Programs and services that provide community and social support to address health equity challenges * Education, screening and support programs for chronic health conditions and other health needs, including, but not limited to, heart and vascular disease, stroke, cancer, diabetes, obesity and unintentional injuries * Aging care and support programs including health education, support and screening activities for seniors and caregivers * Safety and support programs for seniors and people with disabilities * End-of-life and advance care planning services for hospice patients and their loved ones and the community * Support for community nonprofit health and social service organizations * Education and training for community health care professionals * Student and intern supervision, education and support * Collaboration with local schools to promote interest and provide health career pathways * Cancer patient navigation services and participation in clinical trials * Women's and prenatal/postnatal health services, support and education, including services for high-risk pregnancies * Behavioral health and substance use education, screening and support for the community - including seniors and individuals experiencing homelessness * Provider education and protocol development to enhance community safety programming related to trauma-informed care, human trafficking and related topics. Economic Value of Community Benefit Provided in FY 2023 In FY 2023, Sharp provided a total of $570,261,806 in community benefit programs and unreimbursed services. These financial figures represent unreimbursed community benefit costs after the impact of the Medi-Cal Hospital Fee Program. Total economic value of community benefit provided by each Sharp HealthCare entity in FY 2023 was as follows: Sharp Chula Vista Medical Center - $135,407,856 Sharp Coronado Hospital and Healthcare Center - $22,678,269 Sharp Grossmont Hospital - $169,579,277 Sharp Mary Birch Hospital for Women & Newborns - $7,753,723 Sharp Memorial Hospital - $203,589,764 Sharp Mesa Vista Hospital and Sharp McDonald Center - $31,135,996 Sharp Health Plan - $116,921 TOTAL FOR ALL ENTITIES - $570,261,806 Economic Value of Community Benefit Provided in FY 2023 by SB 697 Category and by Sharp entity was as follows: Sharp Chula Vista Medical Center: Medical Care Services - $133,771,873 Other Benefits for Vulnerable Populations - $497,960 Other Benefits for the Broader Community - $255,774 Health Research, Education and Training Programs - $882,249 TOTAL - $135,407,856 Sharp Coronado Hospital and Healthcare Center: Medical Care Services - $22,249,311 Other Benefits for Vulnerable Populations - $133,729 Other Benefits for the Broader Community - $91,621 Health Research, Education and Training Programs - $203,608 TOTAL - $22,678,269 Sharp Grossmont Hospital: Medical Care Services - $167,044,628 Other Benefits for Vulnerable Populations - $1,371,932 Other Benefits for the Broader Community - $571,973 Health Research, Education and Training Programs - $590,744 TOTAL - $169,579,277 Sharp Mary Birch Hospital for Women & Newborns: Medical Care Services - $7,248,831 Other Benefits for Vulnerable Populations - $99,755 Other Benefits for the Broader Community - $298,300 Health Research, Education and Training Programs - $106,837 TOTAL - $7,753,723 Sharp Memorial Hospital: Medical Care Services - $201,391,646 Other Benefits for Vulnerable Populations - $986,556 Other Benefits for the Broader Community - $479,431 Health Research, Education and Training Programs - $732,131 TOTAL - $203,589,764 Sharp Mesa Vista Hospital and Sharp McDonald Center: Medical Care Services - $29,592,531 Other Benefits for Vulnerable Populations - $1,104,500 Other Benefits for the Broader Community - $100,852 Health Research, Education and Training Programs - $338,113 TOTAL - $31,135,996 Sharp Health Plan: Other Benefits for Vulnerable Populations - $23,810 Other Benefits for the Broader Community - $88,194 Health Research, Education and Training Programs - $4,917 TOTAL - $116,921 The following are examples of community benefit programs and services provided by Sharp hospitals and entities in FY 2023. * Medical Care Services included uncompensated care for patients who are unable to pay for services, and the unreimbursed costs of public programs such as Medi-Cal, Medicare, County Medical Services (CMS), Civilian Health and Medical Program of the Department of Veterans Affairs (CHAMPVA) and TRICARE, the regionally managed health care program for active-duty and retired service members and their families, loved ones and survivors and unreimbursed costs of workers' compensation programs. * Other Benefits for Vulnerable Populations included van transportation for patients to and from medical appointments; education as well as flu vaccinations for seniors; telephone reassurance and safety check program for isolated or homebound seniors and community members with disabilities; financial and other support to community clinics to assist in providing and improving access to health services; Project HELP (Project Hospital Emergency Liaison Program), which provides funding for medication and transportation to assist lower-income patients; contribution of time to the Jacobs & Cushman San Diego Food Bank, Feeding San Diego and Mama's Kitchen; the Sharp Humanitarian Service Program; and support services for patients experiencing homelessness and other health equity barriers. Form 990, Part III, Line 4a COMMUNITY BENEFITS REPORT * Other Benefits for the Broader Community included health education and information provided on-site, virtually and in partnership with community-based organizations; participation in community health fairs and events addressing the unique needs of the community; health screenings and support groups. Sharp also collaborated with local schools to promote interest in health care careers. Sharp executive leadership and staff also actively participated in numerous community organizations, committees and coalitions to improve the health of the community. See Appendix A for a listing of Sharp's involvement in community organizations. In addition, the category included costs associated with planning and operating community benefit programs, such as CHNA development and administration. * Health Research, Education and Training Programs included education and training programs for medical, nursing and other health care students and professionals, as well as supervision and support for students and interns. Time was also devoted to generalizable health-related research projects that were made available to the broader health care community. Form 990, Part III, Line 1 MISSION STATEMENT TO ESTABLISH, OPERATE AND MAINTAIN A HOSPITAL OR HOSPITALS AND 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 WELLNESS AND HEALTH EDUCATION AND TRAINING ACTIVITIES, PROGRAMS AND SERVICES; TO ENGAGE IN ACTIVITIES DESIGNED TO PROMOTE THE GENERAL HEALTH OF THE COMMUNITY; AND, GENERALLY TO DO ANYTHING AND EVERYTHING NECESSARY, EXPEDIENT OR INCIDENTAL TO THE FOREGOING. 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 (95-6077327) AND ARE REPORTED ON SHARP HEALTHCARE'S TAX RETURN. Form 990, Part VI, Line 2 Family/business relationships amongst interested persons PABLO VELEZ-CARRILLO (TERM DATE 12/22) AND RICHARD KING (TERM DATE 11/23) WERE DIRECTORS ON THE GOVERNING BOARD OF THE SAN DIEGO IMAGING-CHULA VISTA 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 SHARP CHULA VISTA MEDICAL CENTER Form 990, Part VI, Line 7a Members or stockholders electing members of governing body SHARP HEALTHCARE (FEIN 95-6077327) IS THE SOLE MEMBER OF SHARP CHULA VISTA MEDICAL CENTER 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 AND BOARD MEMBERS. The board members are notified when 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 VICE PRESIDENT OF FINANCE, SENIOR VICE PRESIDENT AND CHIEF FINANCIAL OFFICER, AND ENTITY CHIEF FINANCIAL OFFICER. ADDITIONALLY, THE ORGANIZATION CONTRACTS WITH ERNST & YOUNG, AN INDEPENDENT ACCOUNTING FIRM, FOR REVIEW OF THE FORM 990. Form 990, Part VI, Line 12c Conflict of interest policy SHARP CHULA VISTA MEDICAL CENTER HAS A WRITTEN CONFLICT OF INTEREST POLICY WHICH HAS BEEN REVIEWED AND APPROVED BY THE SHARP CHULA VISTA MEDICAL CENTER GOVERNING BOARD, AND THIS POLICY HAS BEEN ADOPTED BY ALL SHARP HEALTHCARE ENTITIES. SHARP CHULA VISTA MEDICAL CENTER IS COMMITTED TO PREVENTING ANY PARTICIPANT OF THE CORPORATION FROM GAINING ANY PERSONAL BENEFIT FROM INFORMATION RECEIVED OR FROM ANY TRANSACTION OF SHARP. ONE COMPONENT OF THE WRITTEN CONFLICT OF INTEREST POLICY REQUIRES THAT BOARD MEMBERS, CORPORATE OFFICERS, SENIOR VICE PRESIDENTS AND CHIEF EXECUTIVE OFFICER(S) SUBMIT A CONFLICT OF INTEREST STATEMENT ANNUALLY TO LEGAL SERVICES/SENIOR VICE PRESIDENT OF LEGAL SERVICES WHO WILL REVIEW ALL STATEMENTS. IN ADDITION, ALL VICE PRESIDENTS AND ANY EMPLOYEES IN THE PURCHASING/SUPPLY CHAIN, AUDIT AND COMPLIANCE, AND CASE MANAGEMENT/DISCHARGE PLANNING DEPARTMENTS ARE REQUIRED TO COMPLETE AN ONLINE CONFLICT OF INTEREST QUESTIONNAIRE ANNUALLY THAT IS REVIEWED BY THE CONFLICT REVIEW COMMITTEE COMPRISED OF EMPLOYEES FROM SHARP'S LEGAL, COMPLIANCE, AND INTERNAL AUDIT DEPARTMENTS. IN CONNECTION WITH ANY TRANSACTION OR ARRANGEMENT, WHICH MAY CREATE AN ACTUAL OR POSSIBLE CONFLICT OF INTEREST, THE PERSON SHALL DISCLOSE IN WRITING THE EXISTENCE AND NATURE OF HIS/HER FINANCIAL INTEREST AND ALL MATERIAL FACTS. BOARD MEMBERS, CORPORATE OFFICERS, SENIOR VICE PRESIDENTS, AND THE CHIEF EXECUTIVE OFFICER(S) SHALL MAKE SUCH DISCLOSURES DIRECTLY TO THE CHAIRMAN OF THE BOARD, AND TO THE MEMBERS OF THE COMMITTEE WITH THE BOARD DESIGNATED POWERS CONSIDERING THE PROPOSED TRANSACTION OR ARRANGEMENT. UPON DISCLOSURE OF THE FINANCIAL INTEREST AND ALL MATERIAL FACTS, THE BOARD MEMBER, CORPORATE OFFICER, SENIOR VICE PRESIDENT OR THE CHIEF EXECUTIVE OFFICER(S) MAKING SUCH DISCLOSURES SHALL LEAVE THE BOARD OR THE COMMITTEE MEETING WHILE THE FINANCIAL INTEREST IS DISCUSSED AND VOTED UPON. THE REMAINING BOARD OR COMMITTEE MEMBERS SHALL DECIDE IF A CONFLICT OF INTEREST EXISTS. IN CERTAIN INSTANCES, SUCH AS IF SOMEONE TAKES A BOARD SEAT ON A COMPETITOR'S BOARD OF DIRECTORS OR HAS A ROLE WITH AN ORGANIZATION WHEREBY THE INFORMATION THAT THEY MAY OBTAIN FROM SHARP WOULD PUT THEM IN A CONSISTENT CONFLICT WITH THEIR TWO ROLES, THE CONFLICT COULD CALL FOR THE INDIVIDUAL'S REMOVAL FROM THE BOARD. THE BYLAWS FOR THE ORGANIZATION PROVIDE FOR THE ABILITY TO REMOVE DIRECTORS IN ACCORDANCE WITH SECTION 5222 OF THE CALIFORNIA CORPORATIONS CODE. THIS CAN GENERALLY BE DONE ON A "FOR CAUSE A "NO CAUSE" BASIS BY THE ACTION OF THE MEMBER. Form 990, Part VI, Line 15a Process to establish compensation of top management official The Compensation Committee of Sharp HealthCare retains an independent compensation consulting firm to review the total compensation paid to executive management (President/Chief Executive Officer, Chief Operating Officer, and Senior Vice Presidents) and compares it to the total compensation paid to similar positions with like institutions. The information is presented to the Compensation Committee of the Board of Directors by the independent consultant. The Compensation Committee is comprised of Board members who are not physicians and who are not compensated in any way by the organization. The Compensation Committee creates and approves the organization's Executive Compensation Philosophies and Strategies statement and as part of this approves the total compensation for the President/Chief Executive Officer and reviews and approves the total compensation recommendations for the remaining executive team. The Compensation Committee presents its decision to the Board of Directors. The Compensation Committee retains minutes of its meetings. The review was last conducted in November 2023. The Compensation department engages a third-party independent consultant to conduct a compensation study covering officers and key employees. The independent third party compares base salaries to similar positions with like institutions. The information is reviewed by the Compensation department and is presented to the President/Chief Executive Officer, the Chief Operating Officer and the appropriate Senior Vice President for review and approval. This study was last conducted in January 2024. Form 990, Part VI, Line 15b Process to establish compensation of other employees The Compensation Committee of Sharp HealthCare retains an independent compensation consulting firm to review the total compensation paid to executive management (President/Chief Executive Officer, Chief Operating Officer, and Senior Vice Presidents) and compares it to the total compensation paid to similar positions with like institutions. The information is presented to the Compensation Committee of the Board of Directors by the independent consultant. The Compensation Committee is comprised of Board members who are not physicians and who are not compensated in any way by the organization. The Compensation Committee creates and approves the organization's Executive Compensation Philosophies and Strategies statement and as part of this approves the total compensation for the President/Chief Executive Officer and reviews and approves the total compensation recommendations for the remaining executive team. The Compensation Committee presents its decision to the Board of Directors. The Compensation Committee retains minutes of its meetings. The review was last conducted in November 2023. The Compensation department engages a third-party independent consultant to conduct a compensation study covering officers and key employees. The independent third party compares base salaries to similar positions with like institutions. The information is reviewed by the Compensation department and is presented to the President/Chief Executive Officer, the Chief Operating Officer and the appropriate Senior Vice President for review and approval. This study was last conducted in January 2024. 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 B, Line 1 INDEPENDENT CONTRACTORS ARE PAID UNDER SHARP HEALTHCARE'S TAX IDENTIFICATION NUMBER (95-6077327) AND ARE REPORTED ON SHARP HEALTHCARE'S TAX RETURN Form 990, Part VII, Section A PART VII, SECTION A SHARP CHULA VISTA MEDICAL CENTER 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 VIII, Line 7a PART VIII, LINE 7a ii Gross amount from sales of assets other than inventory $8,193. Sedgewick insurance check received for a stolen golf cart where the asset was disposed of because it was stolen. Form 990, Part VIII, Line 2f Other Program Service Revenue MED STAFF INCOME - Total Revenue: 218586, Related or Exempt Function Revenue: 218586, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; REHAB THERAPIES-VA - Total Revenue: 219588, Related or Exempt Function Revenue: 219588, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; CLINICAL TRIALS/RESEARCH - Total Revenue: 33239, Related or Exempt Function Revenue: 33239, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; 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 - 1130232; SHARP MEMORIAL HOSPITAL (SMH) 8695 SPECTRUM CENTER BLVD SAN DIEGO CA 921231489 953782169 HOSPITAL CA 501(c)(3) 3 SHARP HEALTHCARE true SHARP HEALTHCARE FOUNDATION 8695 SPECTRUM CENTER BLVD SAN DIEGO CA 921231489 953492461 HEALTHCARE FOUNDATION CA 501(c)(3) 7 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 HEALTH PLAN 8695 SPECTRUM CENTER BLVD SAN DIEGO CA 921231489 330519730 HEALTH PLAN CA 501(c)(4) SHARP HEALTHCARE true SHARP CORONADO HOSPITAL AND HEALTHCARE 8695 SPECTRUM CENTER BLVD SAN DIEGO CA 921231489 950651579 HOSPITAL CA 501(c)(3) 3 SHARP HEALTHCARE true SHARP HEALTHCARE 8695 SPECTRUM CENTER BLVD SAN DIEGO CA 921231489 956077327 HEALTHCARE ORGANIZATION CA 501(c)(3) 3 NA false GROSSMONT HOSPITAL FOUNDATION (GHF) 8695 SPECTRUM CENTER BLVD SAN DIEGO CA 921231489 330124488 HOSPITAL FOUNDATION CA 501(c)(3) 7 GROSSMONT HOSPITAL CORPORATION true SHARP HEALTHCARE ACO-II LLC 8695 SPECTRUM CENTER BLVD SAN DIEGO CA 92123 812645189 OFFICES OF PHYSICIANS CA NA N/A SHARP FREESTANDING SURGERY LLC 8695 SPECTRUM CENTER BOULEVARD SAN DIEGO CA 92123 874136918 FREESTANDING AMBULATORY SURGERY CA NA N/A CONTINUOUS QUALITY INSURANCE SPC CAPTIVE INSURANCE COMPANY CJ NA C Corporation false false false true false false false false false false false false true true false true true true true true SHARP HEALTHCARE FOUNDATION C 2517191 accrual GROSSMONT HOSPITAL CORPORATION M 5788445 accrual GROSSMONT HOSPITAL CORPORATION L 358828 accrual GROSSMONT HOSPITAL CORPORATION R 200195 accrual SHARP MEMORIAL HOSPITAL L 392219 accrual SHARP MEMORIAL HOSPITAL M 2905796 accrual SHARP HEALTH PLAN L 393412 accrual SHARP MEMORIAL HOSPITAL R 161131 ACCRUAL SHARP MEMORIAL HOSPITAL S 341810 ACCRUAL SHARP CORONADO HOSPITAL AND HEALTHCARE CENTER Q 50922 ACCRUAL SHARP CORONADO HOSPITAL AND HEALTHCARE CENTER S 129343 ACCRUAL SHARP CORONADO HOSPITAL AND HEALTHCARE CENTER R 60841 ACCRUAL