2026-08-14T18:21:21+00:00 2025-09-30 346565596 ERNST & YOUNG US LLP 18101 VON KARMAN AVENUE IRVINE CA 92612 990 2024-10-01 952367304 SHARP CHULA VISTA MEDICAL CENTER SHAR 8584995150 8695 SPECTRUM CENTER BLVD SAN DIEGO CA 92123 SCOTT EVANS EVP HOSPITAL OPS AND CSO 2026-08-14 false KARA ADAMS P00023315 9497942300 2026-08-14 2024 2025-03-06 01:10:19Z SCOTT EVANS 8695 SPECTRUM CENTER BLVD SAN DIEGO CA 92123 996223699 false X WWW.SHARP.COM X 1964 CA SHARP CHULA VISTA MEDICAL CENTER PROVIDES INPATIENT AND OUTPATIENT MEDICAL SERVICES TO THE COMMUNITY. 17 11 3120 328 0 6444608 5833351 636524739 662844226 16308632 45419266 651184 717874 659929163 714814717 1011182 1015620 0 342830319 347464370 0 0 323474030 347518212 667315531 695998202 -7386368 18816515 709860683 788374791 323592459 339607647 386268224 448767144 SEE SCHEDULE O false false 645863575 1015620 662844226 TO PROVIDE MEDICAL CARE AND HOSPITAL SERVICES TO THE COMMUNITY. FOR FISCAL YEAR 2025, PATIENT DAYS TOTALED 121,483 AND OUTPATIENT VISITS TOTALED 190,820. SEE COMMUNITY BENEFITS REPORT ON SCHEDULE O 645863575 true true false true false 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 false false true true true false false true X 0 0 3120 false false false false false false false false false false false false false X 17 11 false false false false true true true true true false false false true true true true true true true true true true CA X MIKE DJOMINS 8584995701 8695 SPECTRUM CENTER BLVD SAN DIEGO CA 921231489 CHRISTOPHER D HOWARD PRESIDENT & CEO SHC 2.0 50.0 X X 0 2732110 18507 DEBRA DISCAR-ESPE CHAIR THRU 06/25/2025 2.0 0 X X 0 0 0 JENI BURGESS TREASURER 2.0 0 X X 0 0 0 MORA KELLER SECRETARY AS OF 07/2025 1.0 0 X X 0 0 0 SUSANA VILLEGAS VICE CHAIR AS OF 07/2025 1.0 0 X X 0 0 0 WILLIAM HALL CHAIR AS OF 07/2025 3.0 0 X X 0 0 0 WILLIAM S EVANS SVP MARKET CEO 8.0 32.0 X X 0 1280931 24422 ANDRES SMITH MD DIRECTOR 1.0 0.0 X 7350 86150 0 BRETT G MCCLAIN CHIEF OPERATING OFFICER SHC 5.0 44.0 X 0 1780203 18507 DOLORES JACKSON DIRECTOR AS OF 07/2025 2.0 0 X 0 0 0 GABRIELLA MALAGON-MALDONADO DIRECTOR, VP PATIENT CARE SVCS 40.0 10.0 X 0 360846 42233 HARRY MUNS DIRECTOR 1.0 0 X 0 0 0 JULIE WOHLSTEIN DIRECTOR 1.0 0 X 0 0 0 PATRICIA ALVAREZ DE LOS COBOS DIRECTOR 1.0 0 X 0 0 0 SHARON CASEY DIRECTOR 2.0 0 X 0 0 0 STEPHEN SUMMERS MD DIRECTOR 2.0 2.0 X 39200 0 0 STEVEN BERNSTEIN DIRECTOR THRU 06/2025 2.0 0 X 0 0 0 STEVEN NORTON DIRECTOR 1.0 0 X 0 0 0 VIC BIANES JR DIRECTOR AS OF 07/2025 1.0 0 X 0 0 0 ANDREW TOTH CFO, ACUTE CARE HOSPITALS AS OF 05/25/2025 10.0 50.0 X 0 256025 35740 MISHAL AL RAWAF VP FINANCE-SYSTEM SVCS AND CFO SCVMC 40.0 10.0 X 0 290535 37515 RICK L GROSSMAN SVP GENERAL COUNSEL 2.0 47.0 X 0 1439711 11502 SUSAN GREEN EVP & CFO SHC 2.0 52.0 X 0 1421255 15484 DANIEL DREDLA VP CLINICAL SVCS 40.0 0.0 X 0 321064 43490 NANCY GREENGOLD COO SCV 55.0 5.0 X 0 689882 31886 SAMER KHODOR CMO SCVMC 40.0 10.0 X 0 607155 41777 DANIEL HUYNH DIR PHARMACY & NUTRITION SVCS 40.0 0.0 X 0 328074 36504 DEANNA WHITE DIR ACUTE CARE 40.0 0.0 X 0 329818 43044 EDEL VARGAS LD CLINICAL NURSE 50.0 0.0 X 0 401760 35925 IRIS SANCHEZ LD CLINICAL NURSE 50.0 0.0 X 0 326257 36919 MARITES ROBINSON LD CLINICAL NURSE 50.0 0.0 X 0 332359 27955 CHRISTINE BASILIERE FORMER OFFICER 0.0 60.0 X 0 399672 49472 46550 13383807 550882 0 true true false 0 5832832 519 5833351 MEDICARE/MEDICAID PAYMENTS 900099 433416016 433416016 NET PATIENT SERVICES 900099 223030908 223030908 MEDICAL OFFICE LEASE 531120 3832628 3832628 INPATIENT PHARMACY 900099 1762630 1762630 IMAGING JV INCOME 900099 570869 570869 231175 231175 0 0 662844226 23040382 23040382 0 0 303734137 53729 281408982 22325155 53729 22378884 22378884 AUXILIARY INCOME 900099 371678 371678 CASH DISCOUNTS/RAD DIAG/WOMEN EDU/OTHER 900099 236938 236938 CELL PHONE TOWERS 531390 109258 109258 0 0 0 0 717874 714814717 662844226 0 46137140 1004620 1004620 11000 11000 2531524 156356 2375168 281730143 279874447 1855696 8114492 7993699 120793 34512547 33652280 860267 20575664 20358692 216972 19851873 18741529 1110344 1221392 189 1221203 5829798 0 5829798 72148 0 72148 473252 473252 0 48040384 47144906 895478 0 2749622 325502 2424120 12988286 11400943 1587343 23353512 22179365 1174147 8888259 6781492 2106767 53880 46391 7489 1192046 139493 1052553 5365302 6668631 -1303329 22637669 20136620 2501049 2427803 1865795 562008 MEDICAL SUPPLIES 91606710 91606710 SYSTEM ALLOCATION 47118234 22983875 24134359 MEDI-CAL PROVIDER TAX 43498029 43498029 REPAIRS/MAINTENANCE 8107320 7765104 342216 2042693 1527907 514786 0 695998202 645863575 50134627 0 646486 598897 226584091 253715816 0 0 0 0 8665115 9448949 3949579 6018226 543758894 258133164 289444076 285625730 1683581 1340610 0 178887755 231626563 709860683 788374791 56759272 74380980 136150 128262 0 0 266697037 265098405 323592459 339607647 X 386268224 448767144 386268224 448767144 709860683 788374791 X 18816515 38198903 5483502 X false true true false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false true 72148 72148 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 FY2025, THE PORTION OF SHARP CHULA VISTA MEDICAL CENTER'S ANNUAL DUES CALCULATED TO HAVE BEEN USED FOR LOBBYING PURPOSES WERE $72,148. 723060 71268 58877 735451 652358 0 90385 0 19683 723060 626796 0 47181 0 21619 652358 494817 187709 -55322 0 408 626796 450828 52239 8250 0 494817 0.26 0.74 0.0 false true true 712213 712213 419504354 170889680 248614674 1840411 1683982 156429 97086531 79214835 17871696 24615385 6344667 18270718 285625730 INTERCOMPANY RECEIVABLES 216881778 LEASED ASSETS-OPERATING 879906 LEASED ASSETS-FINANCE 2696936 DEFERRED RENT 609557 DEFINED BENEFIT PENSION PLAN - NET BENEFIT ASSET 10558386 231626563 FEDERAL INCOME TAXES ALLOCATED TAX EXEMPT BONDS 256349631 ESTIMATED SETTLEMENTS PAYABLE TO GOVERNMENT PROGRAMS 2197076 LONG TERM RETIREMENT HEALTH REIMBURSEMENT ACCOUNT 2354910 LEASE OBLIGATIONS-FINANCE 2714874 LEASE OBLIGATIONS-OPERATING 1005058 DEFERRED LIABILITIES - LONG TERM 476856 265098405 X 750534318 38198903 1239138 39438041 711096277 473252 3245188 3718440 714814717 696218036 0 0 696218036 473252 -693086 -219834 695998202 SCHEDULE D, PART V, LINE 4 INTENDED USES OF ENDOWMENT FUNDS SHARP HEALTHCARE FOUNDATION HOLDS 4 PERMANENT ENDOWMENTS FOR SHARP CHULA VISTA MEDICAL CENTER WHICH ARE 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, 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 NONOPERATING PORTION OF PENSION AND OTHER POST RETIREMENT BENEFITS - 1239138 SCHEDULE D, PART XI, LINE 4(B) OTHER REVENUES IN FORM 990 NOT IN AUDITED FINANCIAL STATEMENTS MEDICAL STAFF/AUXILIARY ACTIVITY - 498619 DONATED CAPITAL - 2746569 SCHEDULE D, PART XII, LINE 4(B) OTHER EXPENSES IN FORM 990 NOT IN AUDITED FINANCIAL STATEMENTS MEDICAL STAFF/AUXILIARY ACTIVITY - 546052 NONOPERATING PORTION OF PENSION AND OTHER POST RETIREMENT BENEFITS - -1239138 true true X true X true X false true true false true true 9624944 9624944 0.01371 260229599 231867293 28362306 0.04039 0 0 0 0.0 0 0 269854543 231867293 37987250 0.05409 178398 178398 0.00025 378959 378959 0.00054 17616035 5995997 11620038 0.01655 0 0.0 988989 988989 0.00141 0 0 19162381 5995997 13166384 0.01875 0 0 289016924 237863290 51153634 0.07284 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 24346753 0 92122024 99185344 -7063320 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 24 true true true true X https://www.sharp.com/about/health-needs-assessments X true 24 true https://www.sharp.com/about/health-needs-assessments 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. IN CONDUCTING ITS 2025 COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA), SHARP HEALTHCARE (SHARP) PARTICIPATED IN A COLLABORATIVE LED BY THE HOSPITAL ASSOCIATION OF SAN DIEGO & IMPERIAL COUNTIES (HASD&IC), IN PARTNERSHIP WITH HOSPITALS, LOCAL GOVERNMENT, PUBLIC HEALTH AGENCIES, COMMUNITY-BASED ORGANIZATIONS, AND OTHER COMMUNITY STAKEHOLDERS. COMMUNITY INPUT WAS COLLECTED DURING THE FY25 CHNA PROCESS THROUGH FOCUS GROUPS, KEY INFORMANT INTERVIEWS, SURVEYS, AND FIELD INTERVIEWS CONDUCTED BY COMMUNITY HEALTH WORKERS AND PROMOTORAS. SHARP ALSO CONDUCTED SUPPLEMENTAL COMMUNITY ENGAGEMENT SPECIFIC TO ITS HOSPITALS, INCLUDING SHARP CHULA VISTA MEDICAL CENTER (SHARP CHULA VISTA). THIS INCLUDED FOCUS GROUPS CONDUCTED IN PARTNERSHIP WITH THE INSTITUTE FOR PUBLIC HEALTH AT SAN DIEGO STATE UNIVERSITY (IPH) TO GATHER INPUT FROM SHARP PROVIDERS, STAFF, PATIENTS, COMMUNITY MEMBERS, AND REPRESENTATIVES OF COMMUNITY-BASED ORGANIZATIONS, WITH A FOCUS ON BEHAVIORAL HEALTH AND MATERNAL, PRENATAL, AND PERINATAL HEALTH. SHARP ALSO COLLECTED COMMUNITY INPUT THROUGH AN ONLINE SURVEY ADMINISTERED THROUGH THE SHARP INSIGHT COMMUNITY, ENGAGING PATIENTS, FAMILY MEMBERS, EMPLOYEES, PHYSICIANS, AND COMMUNITY MEMBERS REGARDING PRIORITY HEALTH AND SOCIAL NEEDS AND OPPORTUNITIES TO IMPROVE COMMUNITY HEALTH AND WELL-BEING. INDIVIDUALS AND ORGANIZATIONS PROVIDING INPUT REPRESENTED MEDICALLY UNDERSERVED, LOW-INCOME, MINORITY, AND OTHER VULNERABLE POPULATIONS WITHIN SHARP CHULA VISTA'S SERVICE AREA. THESE POPULATIONS INCLUDED INDIVIDUALS AND FAMILIES EXPERIENCING SOCIOECONOMIC HARDSHIP; RACIAL AND ETHNIC MINORITY POPULATIONS; COMMUNITIES EXPERIENCING HEALTH DISPARITIES AND SYSTEMIC INEQUITIES; INDIVIDUALS WITH LIMITED ACCESS TO HEALTH CARE SERVICES; MEDI-CAL AND OTHER LOW-INCOME POPULATIONS; INDIVIDUALS WITH CHRONIC CONDITIONS OR SPECIFIC HEALTH-RELATED SOCIAL NEEDS; YOUTH AND OLDER ADULTS EXPERIENCING HEALTH AND SOCIAL CHALLENGES; INDIVIDUALS AFFECTED BY HOUSING INSTABILITY OR HOMELESSNESS; PEOPLE FACING EMPLOYMENT BARRIERS AND ECONOMIC CHALLENGES; INDIVIDUALS EXPERIENCING FOOD AND NUTRITION INSECURITY; INDIVIDUALS IMPACTED BY VIOLENCE, EXPLOITATION, OR TRAUMA; INDIVIDUALS WITH LIVED EXPERIENCE IN BEHAVIORAL HEALTH CONDITIONS; AND INDIVIDUALS AFFECTED BY MATERNAL, PRENATAL, AND PERINATAL HEALTH NEEDS. SHARP HOSPITALS, INCLUDING SHARP CHULA VISTA, DEVELOP CHNAS USING FINDINGS FROM THE COLLABORATIVE CHNA PROCESS IN COMBINATION WITH QUANTITATIVE DATA FROM PUBLIC AND INTERNAL SOURCES. CHNA FINDINGS ARE ADAPTED AT THE HOSPITAL LEVEL TO INFORM COMMUNITY BENEFIT PROGRAM PLANNING AND IMPLEMENTATION WITHIN EACH HOSPITAL'S PRIMARY SERVICE AREA, WITH PARTICULAR FOCUS ON MEDICALLY UNDERSERVED, LOW-INCOME, MINORITY, AND OTHER POPULATIONS EXPERIENCING THE GREATEST HEALTH AND SOCIAL NEEDS. SCHEDULE H, PART V, SECTION B, LINE 6A FACILITY , 1 FACILITY , 1 - SHARP CHULA VISTA MEDICAL CENTER. THROUGH PARTICIPATION IN A COLLABORATIVE FY2025 CHNA LED BY HASD&IC, SHARP CONDUCTED ITS INITIAL CHNA PROCESS IN PARTNERSHIP WITH THE FOLLOWING HEALTH SYSTEMS: * ALVARADO PARKWAY INSTITUTE BEHAVIORAL HEALTH SYSTEM * AURORA BEHAVIORAL HEALTH CARE SAN DIEGO * GROSSMONT HEALTHCARE DISTRICT * KAISER PERMANENTE SAN DIEGO * PALOMAR HEALTH * PARADISE VALLEY HOSPITAL * RADY CHILDREN'S HOSPITAL - SAN DIEGO * SCRIPPS HEALTH * SELECT SPECIALTY HOSPITAL * SHARP HEALTHCARE * TRI-CITY MEDICAL CENTER * UC SAN DIEGO HEALTH * VA SAN DIEGO HEALTHCARE SYSTEM SCHEDULE H, PART V, SECTION B, LINE 6B FACILITY , 1 FACILITY , 1 - SHARP CHULA VISTA MEDICAL CENTER. SHARP CHULA VISTA CONDUCTED ITS FY2025 CHNA IN COLLABORATION WITH ORGANIZATIONS OTHER THAN HOSPITAL FACILITIES, INCLUDING HASD&IC, WHICH FACILITATED THE COUNTYWIDE CHNA PROCESS. ADDITIONAL NONHOSPITAL PARTNERS INCLUDED IPH AND THE COUNTY OF SAN DIEGO PUBLIC HEALTH SERVICES DIVISION, ALONG WITH VARIOUS COMMUNITY BASED ORGANIZATIONS AND COALITIONS PARTICIPATING IN THE COLLABORATIVE CHNA. SCHEDULE H, PART V, SECTION B, LINE 11 FACILITY , 1 FACILITY , 1 - SHARP CHULA VISTA MEDICAL CENTER. THE FY2025 CHNA IDENTIFIED THE FOLLOWING SIGNIFICANT NEEDS FOR THE COMMUNITIES SERVED BY SHARP CHULA VISTA (LISTED IN NO SPECIFIC ORDER): * HELP MANAGING HEALTH CONDITIONS * A DIFFERENT KIND OF HEALTH CARE EXPERIENCE * PROTECTION AND CARE FOR SERVICE PROVIDERS * RECOGNITION/ASSISTANCE WITH DISABILITY AND TRAUMA * HELP WITH CRISES * BETTER DATA COLLECTION, SHARING AND COORDINATION * LESS BURDEN ON EMERGENCY DEPARTMENTS SHARP CHULA VISTA ADDRESSES IDENTIFIED COMMUNITY NEEDS THROUGH EXISTING PROGRAMS, SERVICES, PARTNERSHIPS, AND COMMUNITY BENEFIT ACTIVITIES THAT ALIGN WITH THE HOSPITAL'S SCOPE OF SERVICES, AVAILABLE RESOURCES, AND OPERATIONAL CAPACITY. COMMUNITY BENEFIT ACTIVITIES ARE INFORMED BY CHNA FINDINGS AND IMPLEMENTED WHERE SHARP CHULA VISTA IS POSITIONED TO HAVE MEANINGFUL IMPACT, INCLUDING THROUGH COLLABORATION WITH COMMUNITY PARTNERS AND REFERRAL TO EXTERNAL RESOURCES WHEN APPROPRIATE. ADDITIONAL INFORMATION REGARDING CURRENT COMMUNITY BENEFIT ACTIVITIES IS INCLUDED IN SHARP CHULA VISTA'S IMPLEMENTATION STRATEGY, AVAILABLE ONLINE AT: HTTPS://WWW.SHARP.COM/ABOUT/HEALTH-NEEDS-ASSESSMENTS. SHARP CHULA VISTA RECOGNIZES THAT IT CANNOT DIRECTLY ADDRESS EVERY IDENTIFIED NEED. NEEDS THAT ARE NOT CURRENTLY ADDRESSED THROUGH HOSPITALLED INITIATIVES INCLUDE DENTAL HEALTH CONDITIONS AND ACCESS TO DENTAL SERVICES, AS WELL AS CERTAIN CHILD AND YOUTH-SPECIFIC NEEDS THAT FALL OUTSIDE THE HOSPITAL'S PRIMARY SCOPE OF SERVICES. THESE NEEDS ARE NOT ADDRESSED DIRECTLY DUE TO RESOURCE LIMITATIONS, SERVICE SCOPE CONSIDERATIONS, AND THE PRESENCE OF OTHER COMMUNITY PROVIDERS THAT ARE BETTER POSITIONED TO LEAD INTERVENTIONS IN THESE AREAS. SHARP CHULA VISTA CONTINUES TO COORDINATE WITH COMMUNITY PARTNERS AND REFER PATIENTS AND COMMUNITY MEMBERS TO AVAILABLE RESOURCES AS APPROPRIATE. SCHEDULE H, PART V, SECTION B, LINE 20 FACILITY , 1 FACILITY , 1 - 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 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 98,118,021 MEDICARE ALLOWABLE COSTS REPORTED ON PARTS I AND III 114,925,229 SHORTFALL INCLUDED ON PARTS I AND III (16,807,208) ACTUAL MEDICARE REVENUE RECEIVED 101,285,234 ACTUAL MEDICARE COST 128,623,989 ACTUAL MEDICARE SHORTFALL (27,338,756) ADDITIONAL MEDICARE SHORTFALL NOT ON PARTS I AND III (10,531,548) 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 7G THE AMOUNTS REPORTED ON SCHEDULE H, PART I, LINE 7G (SUBSIDIZED HEALTH SERVICES) RELATE SOLELY TO THE OPERATION OF SHARP CHULA VISTA MEDICAL CENTER'S SKILLED NURSING FACILITY. SHARP MAINTAINS THIS SERVICE TO ADDRESS A COMMUNITY HEALTH NEED DESPITE OPERATING AT A FINANCIAL LOSS. NO PHYSICIAN CLINIC COSTS ARE INCLUDED IN THE AMOUNTS REPORTED AS SUBSIDIZED HEALTH SERVICES. SCHEDULE H, PART I, LINE 6A COMMUNITY BENEFIT REPORT PREPARED BY RELATED ORGANIZATION SHARP HEALTHCARE SCHEDULE H, PART I, LINE 7 COSTING METHODOLOGY USED TO CALCULATE FINANCIAL ASSISTANCE HISTORICAL CHARITY CARE PERCENTAGES ARE APPLIED TO CURRENT REVENUES TO ESTIMATE CHARITY ON A MONTHLY BASIS. ACTUAL CHARITY TRANSACTIONS ARE APPLIED AGAINST THE ESTIMATE AND ANY INCREASE OR DECREASE OVER ESTIMATED AMOUNTS IS ACCOUNTED FOR. OTHER COST INCLUDES STATE/COUNTY PROGRAMS INCLUDED IN THE S-10 FOR MEDICARE COST REPORTING PRIMARILY FOR PRISON/IN CUSTODY PATIENT CARE. RCC WERE CALCULATED USING THE MEDICARE COST REPORT FROM WORKSHEET C. THE REVENUE AND EXPENSE TIE TO THE GENERAL LEDGER WITH NO EXCLUSIONS, SO WORKSHEET C REPRESENTS DIRECT REVENUE AND EXPENSE PLUS STEPDOWN FROM OVERHEAD DEPARTMENTS. THE RCC BY CMS LINE WAS THEN APPLIED TO THE APPLICABLE REVENUE DEPARTMENTS BROKEN DOWN BY PAYER TO OBTAIN THE FULLY WEIGHTED COST BY PAYER. SCHEDULE H, PART III, LINE 2 BAD DEBT EXPENSE - METHODOLOGY USED TO ESTIMATE AMOUNT THE HOSPITAL ADOPTED THE FINANCIAL ACCOUNTING STANDARDS BOARD'S ACCOUNTING STANDARDS UPDATE 2014-09 TOPIC 606 (ASU 606) EFFECTIVE OCTOBER 1, 2018. ASU 606 AND THE HEALTHCARE FINANCIAL MANAGEMENT ASSOCIATION (HFMA) DIFFERENTIATE BAD DEBT FROM IMPLICIT PRICE CONCESSIONS. THE HOSPITAL MAKES A DETERMINATION REGARDING A PRICE CONCESSION TO STANDARD PRICING ON A PORTFOLIO BASIS. THE IMPLICIT PRICE CONCESSIONS INCLUDED IN ESTIMATING THE TRANSACTION PRICE REPRESENT THE DIFFERENCE BETWEEN AMOUNTS BILLED TO PATIENTS AND THE AMOUNTS SHARP EXPECTS TO COLLECT BASED ON COLLECTION HISTORY WITH EACH PORTFOLIO OF PATIENTS. PATIENT SERVICE REVENUE IS RECORDED NET OF CONTRACTUAL ALLOWANCES AND DISCOUNTS, INCLUDING AN ESTIMATE FOR IMPLICIT PRICE CONCESSIONS. BAD DEBT IS RECORDED AS AN OPERATING EXPENSE AND RESULTS WHEN A PATIENT, DETERMINED TO HAVE THE FINANCIAL CAPACITY TO PAY FOR HEALTHCARE SERVICES, IS UNWILLING TO DO SO. FOR THE TAX YEAR ENDED SEPTEMBER 30, 2025, THE HOSPITAL DETERMINED $24,346,753 AS BAD DEBT EXPENSE. BAD DEBT EXPENSE IS NETTED AGAINST REVENUE. AS SUCH, $0.00 WAS BACKED OUT OF TOTAL EXPENSES FOR COLUMN (F) CALCULATION. ALSO APPLIES TO SCHEDULE H, PART I, LINE 7, COLUMN F. SCHEDULE H, PART III, LINE 3 BAD DEBT EXPENSE METHODOLOGY NO FIGURE IS REPORTED ON PART III, LINE 3 (ESTIMATED AMOUNT OF THE ORGANIZATION'S BAD DEBT EXPENSE ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER THE ORGANIZATION'S CHARITY CARE POLICY) DUE TO ALL AMOUNTS ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER THE CHARITY CARE POLICY BEING REPORTED AS CHARITY. SCHEDULE H, PART III, LINE 4 BAD DEBT EXPENSE - FINANCIAL STATEMENT FOOTNOTE FN3: 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. PAYMENT ARRANGEMENTS ARE AS FOLLOWS: MEDICARE: INPATIENT ACUTE CARE SERVICES AND OUTPATIENT SERVICES PROVIDED TO MEDICARE PROGRAM BENEFICIARIES ARE PAID AT PROSPECTIVELY DETERMINED RATES PER DIAGNOSIS. SHARP IS PAID FOR COST REIMBURSABLE ITEMS AT A TENTATIVE RATE. PHYSICIAN SERVICES ARE PAID BASED UPON ESTABLISHED FEE SCHEDULES. AMOUNTS RECEIVED FROM THE MEDICARE PROGRAMS FOR HOSPITAL SERVICES ARE SUBJECT TO AUDIT AND FINAL SETTLEMENT BY A MEDICARE ADMINISTRATIVE CONTRACTOR AFTER SUBMISSION OF ANNUAL HOSPITAL COST REPORTS. SHARP'S MEDICARE COST REPORTS HAVE BEEN AUDITED GENERALLY THROUGH SEPTEMBER 30, 2021. THE ESTIMATED NET SETTLEMENT PAYABLES ARE $7,607,000 AND $32,000 AT SEPTEMBER 30, 2025, AND 2024, RESPECTIVELY, AND ADJUSTMENTS PERTAINING TO PRIOR YEAR COST REPORTS RESULTED IN REDUCED REVENUE OF $1,322,000 AND ADDITIONAL REVENUE OF $14,025,000 FOR THE YEARS ENDED SEPTEMBER 30, 2025, AND 2024, RESPECTIVELY. MEDI-CAL: INPATIENT AND OUTPATIENT SERVICES PROVIDED TO MEDI-CAL PROGRAM BENEFICIARIES ARE PAID EITHER UNDER CONTRACTED RATES OR COST-REIMBURSABLE ITEMS AT A TENTATIVE RATE. SERVICES ARE GENERALLY PAID AT PROSPECTIVELY DETERMINED RATES PER DISCHARGE, PER OCCASION OF SERVICE, OR PER COVERED MEMBER. AMOUNTS RECEIVED FROM MEDI-CAL PROGRAMS ARE SUBJECT TO AUDIT AND FINAL SETTLEMENT BY THE CALIFORNIA DEPARTMENT OF HEALTH CARE SERVICES AFTER SUBMISSION OF ANNUAL COST REPORTS. SHARP'S MEDI-CAL COST REPORTS HAVE BEEN AUDITED GENERALLY THROUGH SEPTEMBER 30, 2023. THE ESTIMATED NET SETTLEMENT PAYABLES WERE $1,489,000 AND $3,644,000 AT SEPTEMBER 30, 2025, AND 2024, RESPECTIVELY. ADJUSTMENTS PERTAINING TO PRIOR YEAR COST REPORTS RESULTED IN ADDITIONAL REVENUE OF $3,032,000 AND $8,892,000 FOR THE YEARS ENDED SEPTEMBER 30, 2025, AND 2024, RESPECTIVELY. COMMERCIAL: INPATIENT AND OUTPATIENT SERVICES PROVIDED TO PATIENTS COVERED UNDER COMMERCIAL INSURANCE POLICIES ARE PAID USING A VARIETY OF PAYMENT METHODOLOGIES BASED ON CONTRACTUAL AGREEMENTS. THE TRANSACTION PRICE FOR COMMERCIAL PAYORS IS REDUCED BY EXPLICIT CONTRACTUAL ADJUSTMENTS AND IMPLICIT PRICE CONCESSIONS BASED ON COLLECTION HISTORY WITH THIS PORTFOLIO OF PATIENTS. OTHER: INPATIENT AND OUTPATIENT SERVICES PROVIDED TO PATIENTS NOT COVERED BY THIRD-PARTY PAYORS ARE PAID BASED ON SHARP'S POLICIES AND THE PATIENT'S ABILITY TO PAY. SHARP REDUCES THE TRANSACTION PRICE BY IMPLICIT PRICE CONCESSIONS TO UNINSURED PATIENTS AND PATIENTS WITH UNINSURED BALANCES, SUCH AS COPAYS AND DEDUCTIBLES. THE IMPLICIT PRICE CONCESSIONS INCLUDED IN ESTIMATING THE TRANSACTION PRICE REPRESENT THE DIFFERENCE BETWEEN AMOUNTS BILLED TO PATIENTS AND THE AMOUNTS SHARP EXPECTS TO COLLECT BASED ON ITS COLLECTION HISTORY WITH THIS PORTFOLIO OF PATIENTS. SUBSEQUENT CHANGES TO THE ESTIMATES ARE CONSIDERED VARIABLE CONSIDERATION AND ARE INCLUDED IN PATIENT SERVICE REVENUES WHEN INFORMATION BECOMES AVAILABLE. AS PART OF ITS PATIENT SERVICE REVENUE ANALYSIS, SHARP EXAMINES THE FLUCTUATIONS IN PAYOR AND ENTITY TYPE, AS EACH FACTOR REPRESENTS A VARYING DEGREE OF UNCERTAINTY REGARDING THE NATURE, TIMING, AND EXTENT OF PAYMENTS. SCHEDULE H, PART III, LINE 8 COMMUNITY BENEFIT & METHODOLOGY FOR DETERMINING MEDICARE COSTS MEDICARE SHOULD BE INCLUDED AS A COMMUNITY BENEFIT BECAUSE PARTICIPATION IN THE MEDICARE PROGRAM REQUIRES ALL PATIENTS BE ACCEPTED WHETHER THROUGH THE EMERGENCY ROOM OR AS A REFERRAL AND 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 IN ADDITION TO INDIVIDUAL HOSPITAL CHNA PROCESSES, SHARP HEALTHCARE (SHARP) PARTICIPATES IN A REGIONAL COMMUNITY HEALTH NEEDS ASSESSMENT FACILITATED BY THE HOSPITAL ASSOCIATION OF SAN DIEGO AND IMPERIAL COUNTIES, IN PARTNERSHIP WITH OTHER HEALTH CARE ORGANIZATIONS, LOCAL GOVERNMENT, AND COMMUNITY-BASED ORGANIZATIONS. THROUGH THESE COLLABORATIONS, SHARP ENGAGES WITH COMMUNITIES AND VULNERABLE POPULATIONS TO IDENTIFY EMERGING ISSUES, SERVICE GAPS, AND BARRIERS TO CARE, AND TO INFORM SHARED COMMUNITY BENEFIT PRIORITIES, RESEARCH, AND REGIONAL ADVOCACY EFFORTS. SHARP CHULA VISTA ALSO SOLICITS PATIENT AND FAMILY FEEDBACK, INCLUDING PATIENT EXPERIENCE SURVEYS AND COMMUNITY ADVISORY INPUT, TO BETTER UNDERSTAND ONGOING ACCESS CHALLENGES, SERVICE GAPS, AND PRIORITY HEALTH CONCERNS WITHIN ITS SERVICE AREA. SHARP HOSPITALS, INCLUDING SHARP CHULA VISTA, FURTHER ASSESS COMMUNITY NEEDS THROUGH REVIEW OF OPERATIONAL AND POPULATION HEALTH DATA, INCLUDING EMERGENCY DEPARTMENT UTILIZATION TRENDS, HEALTH EQUITY DASHBOARDS, REFERRAL PATTERNS, AND CARE COORDINATION DATA. HOSPITALS ALSO IMPLEMENT FACILITY-SPECIFIC PROTOCOLS AND WORKFLOWS TO SCREEN FOR SOCIAL DETERMINANTS OF HEALTH AND MONITOR TRENDS OVER TIME. SHARP CHULA VISTA USES THESE INPUTS-TOGETHER WITH ITS EXPERTISE IN PROGRAMS AND SERVICES AND ITS UNDERSTANDING OF THE POPULATIONS IT SERVES-TO INFORM THE DEVELOPMENT AND REFINEMENT OF COMMUNITY BENEFIT PROGRAMS. THESE PROGRAMS AND OUTCOMES ARE DESCRIBED IN SHARP CHULA VISTA'S FY 2026-FY 2029 IMPLEMENTATION STRATEGY, AVAILABLE AT: HTTPS://WWW.SHARP.COM/ABOUT/HEALTH-NEEDS-ASSESSMENTS. SCHEDULE H, PART VI, LINE 3 PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE SHARP HEALTHCARE'S FINANCIAL ASSISTANCE POLICY IS IN FURTHERANCE OF ITS CHARITABLE MISSION. THE POLICY IDENTIFIES ELIGIBILITY FOR, AND CIRCUMSTANCES UNDER WHICH, FINANCIAL ASSISTANCE WILL BE EXTENDED TO SHARP HEALTHCARE'S HOSPITAL PATIENTS FOR MEDICALLY NECESSARY SERVICES. "CHARITY CARE" IS THAT PORTION OF SHARP HEALTHCARE'S CHARGES FOR MEDICALLY NECESSARY PATIENT CARE SERVICES PROVIDED BY A HOSPITAL THAT A PATIENT (EITHER INDIVIDUALLY OR THROUGH A THIRD PARTY PAYER) IS UNABLE TO PAY. CHARITY CARE DOES NOT INCLUDE BAD DEBT, CONTRACTUAL ADJUSTMENTS, OR UN-REIMBURSED COSTS OF PROVIDING CARE TO PATIENTS ELIGIBLE UNDER GOVERNMENT PROGRAMS FOR HEALTH CARE SERVICES TO LOW-INCOME AND MEDICALLY INDIGENT PATIENTS. "FINANCIAL ASSISTANCE," MEANS ANY REDUCTION OF CHARGES FOR MEDICALLY NECESSARY SERVICES AS DEFINED HEREIN THAT MAY BE MADE BY SHARP HEALTHCARE EITHER FOR, OR ON BEHALF OF, A PATIENT WHO APPLIES TO SHARP HEALTHCARE FOR FINANCIAL ASSISTANCE AND MEETS SHARP HEALTHCARE'S FINANCIAL ELIGIBILITY REQUIREMENTS OR CRITERIA AS DESCRIBED IN THIS POLICY. FOR PURPOSES OF THE POLICY FINANCIAL ASSISTANCE INCLUDES "CHARITY CARE" WHICH MEANS A 100% REDUCTION IN CHARGES FOR MEDICALLY NECESSARY SERVICES AND "PARTIAL CHARITY CARE" WHICH MEANS A REDUCTION IN A PORTION OF CHARGES FOR SUCH SERVICES. ALL PATIENTS SHOULD BE SCREENED AT THE TIME OF ADMISSION OR AT REGISTRATION FOR ABILITY TO PAY FOR SERVICES, INCLUDING WHETHER OR NOT THEY ARE CANDIDATES FOR FINANCIAL ASSISTANCE. CARE FOR PATIENTS PRESENTING WITH A KNOWN OR POSSIBLE EMERGENCY MEDICAL CONDITION OR IN ACTIVE LABOR SHALL NOT BE DELAYED IN ORDER TO ASSESS FINANCIAL STATUS. IN ORDER TO BOTH INFORM PATIENTS OF THE VARIOUS PROGRAMS THEY MAY BE ENTITLED TO, AND ASSIST THEM IN THE APPLICATION PROCESS, UNCOMPENSATED CARE SPECIALISTS PROVIDE PATIENT(S) WITH A FINANCIAL ASSISTANCE FORM. THE UNCOMPENSATED CARE SPECIALISTS DIRECT THE PATIENT (OR THEIR GUARANTOR) TO COMPLETE A PATIENT FINANCIAL STATEMENT, INCLUDE SPECIFIED FINANCIAL ITEMS FOR BOTH THE PATIENT AND SPOUSE (IF ANY), DIRECT THE PATIENT TO RETURN ALL INFORMATION WITHIN TEN DAYS AND DOCUMENT IN PATIENT'S ACCOUNT HISTORY NOTES THE SUBSTANCE OF ANY PATIENT DISCUSSIONS AND THAT THE PATIENT FINANCIAL STATEMENT WAS PROVIDED. FOLLOWING INTERNAL PROCESSING OF THE FINANCIAL ASSISTANCE FORM, SHARP UNCOMPENSATED CARE SPECIALISTS AND/OR PRIVATE PAY REPRESENTATIVES NOTIFY PATIENT OF FINANCIAL ASSISTANCE APPLICATION RESULTS, DOCUMENT THE DECISION IN ALL APPROVED AND DENIED FINANCIAL ASSISTANCE ACCOUNTS AND SECURE PAYMENT ARRANGEMENTS FOR REMAINING BALANCE OF PARTIAL FINANCIAL ASSISTANCE OR DENIED FINANCIAL ASSISTANCE ACCOUNTS. ALL FOLLOW-UP AND PATIENT INTERACTION IS DOCUMENTED IN THE PATIENT'S ACCOUNT HISTORY NOTES. SCHEDULE H, PART VI, LINE 4 COMMUNITY INFORMATION SHARP CHULA VISTA MEDICAL CENTER SERVES THE SOUTH REGION OF SAN DIEGO COUNTY, INCLUDING CHULA VISTA, NATIONAL CITY, IMPERIAL BEACH, SAN YSIDRO, OTAY MESA, NESTOR, PALM CITY, AND SURROUNDING COMMUNITIES. THE SERVICE AREA INCLUDES A DIVERSE POPULATION WITH VARYING DEMOGRAPHIC, SOCIOECONOMIC, AND HEALTH CARE NEEDS, INCLUDING COMMUNITIES EXPERIENCING SIGNIFICANT HEALTH DISPARITIES, ECONOMIC CHALLENGES, AND BARRIERS TO ACCESSING CARE. BASED ON DEMOGRAPHIC INFORMATION EVALUATED AS PART OF THE FY2025 COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA), THE COMMUNITIES SERVED BY SHARP CHULA VISTA MEDICAL CENTER INCLUDE RACIALLY, ETHNICALLY, AND SOCIOECONOMICALLY DIVERSE POPULATIONS. THE CHNA IDENTIFIED COMMUNITIES EXPERIENCING HEALTH INEQUITIES AND ECONOMIC HARDSHIP, INCLUDING LOW-INCOME HOUSEHOLDS, UNINSURED AND UNDERINSURED INDIVIDUALS, MEDI-CAL BENEFICIARIES, LIMITED-ENGLISH-PROFICIENCY POPULATIONS, RACIAL AND ETHNIC MINORITY POPULATIONS, AND OTHER MEDICALLY UNDERSERVED RESIDENTS. THE CHNA ALSO EVALUATED DEMOGRAPHIC INDICATORS INCLUDING POPULATION CHARACTERISTICS, HOUSEHOLD INCOME, POVERTY LEVELS, EDUCATIONAL ATTAINMENT, HEALTH INSURANCE COVERAGE, AND OTHER SOCIAL DETERMINANTS OF HEALTH TO IDENTIFY PRIORITY POPULATIONS AND AREAS OF NEED. AS PART OF ITS FY2025 COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA), SHARP CHULA VISTA MEDICAL CENTER EVALUATED DEMOGRAPHIC, SOCIOECONOMIC, PUBLIC HEALTH, AND COMMUNITY INPUT DATA TO IDENTIFY POPULATIONS EXPERIENCING THE GREATEST HEALTH INEQUITIES. THE ASSESSMENT IDENTIFIED MEDICALLY UNDERSERVED, LOW-INCOME, MINORITY, UNINSURED, UNDERINSURED, AND OTHER VULNERABLE POPULATIONS THROUGHOUT THE SOUTH REGION OF SAN DIEGO COUNTY. COMMUNITY INPUT AND HEALTH INDICATOR DATA IDENTIFIED CHRONIC STRESS, BEHAVIORAL HEALTH CONDITIONS, CHRONIC DISEASE MANAGEMENT, ACCESS TO CARE, HOUSING INSTABILITY, FOOD INSECURITY, TRANSPORTATION BARRIERS, AND OTHER SOCIAL DRIVERS OF HEALTH AS SIGNIFICANT CONCERNS AFFECTING COMMUNITY HEALTH OUTCOMES. THE SERVICE AREA INCLUDES INDIVIDUALS AND FAMILIES EXPERIENCING SOCIOECONOMIC HARDSHIP; RACIAL AND ETHNIC MINORITY POPULATIONS; COMMUNITIES DISPROPORTIONATELY AFFECTED BY HEALTH DISPARITIES; INDIVIDUALS WITH LIMITED ACCESS TO HEALTH CARE SERVICES; MEDI-CAL AND OTHER LOW-INCOME POPULATIONS; INDIVIDUALS WITH CHRONIC CONDITIONS AND BEHAVIORAL HEALTH NEEDS; YOUTH AND OLDER ADULTS EXPERIENCING HEALTH AND SOCIAL CHALLENGES; INDIVIDUALS AFFECTED BY HOUSING INSTABILITY OR HOMELESSNESS; INDIVIDUALS EXPERIENCING FOOD INSECURITY; AND OTHER POPULATIONS FACING BARRIERS TO CARE. THE CHNA ALSO IDENTIFIED PARTICULAR NEEDS WITHIN COMMUNITIES IN SOUTH SAN DIEGO COUNTY THAT EXPERIENCE LOWER HEALTHY PLACES INDEX SCORES AND GREATER CONCENTRATIONS OF HEALTH AND SOCIAL INEQUITIES. RESIDENTS OF THE SERVICE AREA HAVE ACCESS TO HEALTH CARE SERVICES THROUGH SHARP CHULA VISTA MEDICAL CENTER AS WELL AS NUMEROUS ACUTE CARE, SPECIALTY, BEHAVIORAL HEALTH, MILITARY, AND PUBLIC HOSPITALS SERVING SAN DIEGO COUNTY. PARTICIPANTS IN THE FY2025 COUNTYWIDE CHNA PROCESS INCLUDED KAISER PERMANENTE SAN DIEGO, UC SAN DIEGO HEALTH, SCRIPPS HEALTH, PALOMAR HEALTH, TRI-CITY MEDICAL CENTER, RADY CHILDREN'S HOSPITAL SAN DIEGO, VA SAN DIEGO HEALTHCARE SYSTEM, AND OTHER PUBLIC, PRIVATE, BEHAVIORAL HEALTH, AND SPECIALTY HOSPITALS SERVING THE REGION. SHARP CHULA VISTA MEDICAL CENTER USES DEMOGRAPHIC INFORMATION, QUANTITATIVE HEALTH INDICATORS, PUBLIC HEALTH DATA, AND COMMUNITY INPUT TO IDENTIFY PRIORITY HEALTH NEEDS AND DEVELOP PROGRAMS AND SERVICES DESIGNED TO IMPROVE HEALTH OUTCOMES, REDUCE HEALTH DISPARITIES, AND ADDRESS THE NEEDS OF VULNERABLE POPULATIONS. COMMUNITY BENEFIT PLANNING IS GUIDED BY CHNA FINDINGS AND FOCUSES ON IMPROVING ACCESS TO CARE, ADDRESSING SOCIAL DRIVERS OF HEALTH, AND SUPPORTING POPULATIONS EXPERIENCING THE GREATEST HEALTH AND SOCIAL NEEDS. SCHEDULE H, PART VI, LINE 5 PROMOTION OF COMMUNITY HEALTH AS SAN DIEGO'S LARGEST PRIVATE EMPLOYER, SHARP PROMOTES SUSTAINABILITY THROUGH EDUCATION, OUTREACH, AND COLLABORATION WITH LOCAL BUSINESSES TO IDENTIFY BEST PRACTICES IN SUPPLY CHAIN MANAGEMENT AND REDUCE ENVIRONMENTAL IMPACT. SHARP APPLIES A FOOD AS MEDICINE APPROACH BY PROMOTING AND SOURCING HEALTHY FOOD OPTIONS TO SUPPORT THE HEALTH OF PATIENTS, EMPLOYEES, AND THE COMMUNITY. IN PARTNERSHIP WITH SODEXO, SHARP ADVANCES FOOD PRACTICES THAT SUPPORT CHRONIC DISEASE PREVENTION, ENCOURAGE HEALTHIER HABITS, AND REDUCE WASTE. IN FY 2025, THESE EFFORTS RESULTED IN THE DIVERSION OF NEARLY 800,000 POUNDS OF FOOD WASTE-REPRESENTING A 47% CUMULATIVE REDUCTION SINCE PROGRAM LAUNCH-AND ACHIEVEMENT OF 50% SUSTAINABLE PURCHASING. DURING FY 2025, SHARP ALSO SUPPORTED COMMUNITY DISASTER PREPAREDNESS THROUGH EDUCATION, TRAINING, AND LEADERSHIP FOR COMMUNITY MEMBERS, HEALTH PROFESSIONALS, AND PUBLIC HEALTH PARTNERS. ACTIVITIES INCLUDED EMERGENCY PREPAREDNESS TRAINING, PARTICIPATION IN LOCAL, REGIONAL, AND STATEWIDE DISASTER PREPAREDNESS EXERCISES, AND LEADERSHIP IN PLANNING EFFORTS RELATED TO RADIATION RESPONSE, MASS EVACUATION, DECEDENT MANAGEMENT, CYBERSECURITY READINESS, AND HIGHCONSEQUENCE INFECTIOUS DISEASE RESPONSE. SHARP FURTHER SUPPORTED COMMUNITY READINESS THROUGH COLLABORATION WITH PUBLIC HEALTH AGENCIES, MAINTENANCE OF EMERGENCY SUPPLIES AND EQUIPMENT, AND SERVICE ON LOCAL, STATE, AND FEDERAL EMERGENCY PREPAREDNESS COMMITTEES. CONSISTENT WITH ITS COMMUNITY-FOCUSED MISSION, SHARP MAINTAINS GOVERNANCE PRACTICES THAT PROMOTE COMMUNITY REPRESENTATION AND ENGAGEMENT. A MAJORITY OF THE ORGANIZATION'S GOVERNING BODY IS COMPOSED OF INDIVIDUALS WHO RESIDE IN THE COMMUNITIES SERVED AND WHO ARE NEITHER EMPLOYEES NOR INDEPENDENT CONTRACTORS OF THE ORGANIZATION, NOR FAMILY MEMBERS THEREOF. IN ADDITION, SHARP EXTENDS MEDICAL STAFF PRIVILEGES TO ALL QUALIFIED PHYSICIANS IN ITS COMMUNITY IN ACCORDANCE WITH ITS CREDENTIALING AND PRIVILEGING POLICIES AND SUBJECT TO APPLICABLE HOSPITAL SERVICE AND SPECIALTY REQUIREMENTS. SCHEDULE H, PART VI, LINE 6 AFFILIATED HEALTH CARE SYSTEM SHARP HEALTHCARE IS AN INTEGRATED, REGIONAL HEALTH CARE DELIVERY SYSTEM BASED IN SAN DIEGO COUNTY. THROUGH ITS HOSPITALS, AFFILIATED MEDICAL GROUPS, HEALTH PLAN, AND OTHER RELATED ENTITIES, SHARP PROMOTES COMMUNITY HEALTH BY COORDINATING CARE DELIVERY, ADVANCING POPULATION HEALTH STRATEGIES, AND SUPPORTING COMMUNITY BENEFIT PROGRAMS ACROSS THE REGION. SYSTEM-LEVEL FUNCTIONS PROVIDE STRATEGIC DIRECTION, INFRASTRUCTURE, AND SHARED RESOURCES TO SUPPORT COMMUNITY HEALTH IMPROVEMENT, INCLUDING PLANNING, DATA ANALYTICS, CARE COORDINATION, AND PARTNERSHIPS WITH PUBLIC HEALTH AGENCIES AND COMMUNITY-BASED ORGANIZATIONS. SHARP HEALTH PLAN SUPPORTS ACCESS TO CARE AND PREVENTIVE SERVICES FOR ENROLLED MEMBERS, WHILE SHARP'S FOUNDATIONS SUPPORT COMMUNITY BENEFIT INITIATIVES THROUGH PHILANTHROPIC INVESTMENT. AT THE LOCAL LEVEL, EACH SHARP HOSPITAL IDENTIFIES AND RESPONDS TO THE SPECIFIC HEALTH NEEDS OF THE COMMUNITIES IT SERVES BY DELIVERING COMMUNITY BENEFIT PROGRAMS, PROVIDING CHARITY CARE AND SUBSIDIZED HEALTH SERVICES, AND PARTICIPATING IN LOCAL COALITIONS AND OUTREACH EFFORTS. SHARP CHULA VISTA, FOR EXAMPLE, SERVES THE RAPIDLY GROWING SOUTH COUNTY REGION BY PROVIDING A BROAD RANGE OF INPATIENT AND OUTPATIENT SERVICES, OPERATING A HIGH-VOLUME EMERGENCY DEPARTMENT, AND COLLABORATING WITH COMMUNITY PARTNERS TO ADDRESS PRIORITY HEALTH NEEDS IN THE REGION. TOGETHER, SHARP AND ITS AFFILIATES WORK IN A COORDINATED MANNER TO IMPROVE ACCESS TO CARE, ADDRESS COMMUNITY HEALTH PRIORITIES, AND ADVANCE HEALTH EQUITY THROUGHOUT SAN DIEGO COUNTY. SCHEDULE H, PART VI, LINE 7 STATE FILING OF COMMUNITY BENEFIT REPORT CA true CHULA VISTA CHAMBER OF COMMERCE 233 FOURTH AVENUE CHULA VISTA CA 91910 950624695 501(C)(6) 11000 GOLF TOURNAMENT AND DINNER, DESSERT, WINE GALA SPONSOR AMERICAN LUNG ASSOCIATION 2020 CAMINO DEL RIO NORTH SAN DIEGO CA 92108 131632524 501(C)(3) 8000 FAIRWAYS FOR FRESH AIR BIRDIE GOLF TOURNAMENT SPONSOR CALIFORNIA HEALTH FOUNDATION AND TRUST 1215 K STREET SUITE 800 SACRAMENTO CA 95814 941498697 501(C)(3) 969620 MEDI-CAL PROGRAM 2 1 SCVMC NURSING & EMPLOYEE SCHOLARSHIP 3 11000 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 1956231 0 670781 0 105098 0 0 0 18507 0 2750617 0 0 WILLIAM S EVANS SVP MARKET CEO 0 956065 0 263546 0 61320 0 0 0 24422 0 1305353 0 0 BRETT G MCCLAIN CHIEF OPERATING OFFICER SHC 0 1350460 0 396681 0 33062 0 0 0 18507 0 1798710 0 0 GABRIELLA MALAGON-MALDONADO DIRECTOR, VP PATIENT CARE SVCS 0 310055 0 49744 0 1047 0 18902 0 23331 0 403079 0 0 CHRISTINE BASILIERE FORMER OFFICER 0 283801 0 77795 0 38076 0 32066 0 17406 0 449144 0 0 SUSAN GREEN EVP & CFO SHC 0 957624 0 434717 0 28914 0 0 0 15484 0 1436739 0 0 RICK L GROSSMAN SVP GENERAL COUNSEL 0 1118886 0 268107 0 52718 0 0 0 11502 0 1451213 0 0 MISHAL AL RAWAF VP FINANCE-SYSTEM SVCS AND CFO SCVMC 0 238325 0 31984 0 20226 0 14691 0 22824 0 328050 0 0 ANDREW TOTH CFO, ACUTE CARE HOSPITALS AS OF 05/25/2025 0 204326 0 43370 0 8329 0 12981 0 22759 0 291765 0 0 NANCY GREENGOLD COO SCV 0 508911 0 123163 0 57808 0 20849 0 11037 0 721768 0 0 SAMER KHODOR CMO SCVMC 0 458817 0 120577 0 27761 0 18035 0 23742 0 648932 0 0 DANIEL DREDLA VP CLINICAL SVCS 0 230846 0 63553 0 26665 0 26306 0 17184 0 364554 0 0 MARITES ROBINSON LD CLINICAL NURSE 0 327339 0 2348 0 2672 0 18456 0 9499 0 360314 0 0 IRIS SANCHEZ LD CLINICAL NURSE 0 316815 0 0 0 9442 0 21423 0 15496 0 363176 0 0 EDEL VARGAS LD CLINICAL NURSE 0 401524 0 0 0 236 0 18929 0 16996 0 437685 0 0 DANIEL HUYNH DIR PHARMACY & NUTRITION SVCS 0 267060 0 49370 0 11644 0 13710 0 22794 0 364578 0 0 DEANNA WHITE DIR ACUTE CARE 0 281700 0 47075 0 1043 0 27175 0 15869 0 372862 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, 2024, THERE WERE NO DISTRIBUTIONS FROM THE PLAN. FORM 990, PART III, LINE 4A COMMUNITY BENEFITS REPORT SEE THE FULL SHARP HEALTHCARE ANNUAL COMMUNITY BENEFIT PLAN AND REPORT AT: HTTPS://WWW.SHARP.COM/ABOUT/HEALTH-NEEDS-ASSESSMENTS OVERVIEW OF SHARP HEALTHCARE SHARP HEALTHCARE (SHARP) IS AN INTEGRATED, REGIONAL HEALTH CARE DELIVERY SYSTEM BASED IN SAN DIEGO, CALIFORNIA. THE SHARP SYSTEM INCLUDES FOUR ACUTE CARE HOSPITALS, FIVE SPECIALTY HOSPITALS, THREE AFFILIATED MEDICAL GROUPS, TWENTY-SEVEN MEDICAL CLINICS, SIX URGENT CARE CENTERS, THREE SKILLED NURSING FACILITIES, TWO INPATIENT REHABILITATION CENTERS, A HOSPICE PROGRAM, HOME INFUSION SERVICES, NUMEROUS OUTPATIENT FACILITIES AND PROGRAMS, AND THREE CHARITABLE FOUNDATIONS. SHARP ALSO OFFERS INDIVIDUAL AND GROUP HMO COVERAGE THROUGH SHARP HEALTH PLAN. SERVING A POPULATION OF APPROXIMATELY 3.3 MILLION IN SAN DIEGO COUNTY (SDC), AS OF SEPTEMBER 30, 2025, SHARP IS LICENSED TO OPERATE 2,230 BEDS AND HAS APPROXIMATELY 2,800 SHARP-AFFILIATED PHYSICIANS AND MORE THAN 20,000 EMPLOYEES. MISSION IT IS SHARP HEALTHCARE'S MISSION TO IMPROVE THE HEALTH OF THOSE WE SERVE WITH A COMMITMENT TO EXCELLENCE IN ALL THAT WE DO. SHARP'S GOAL IS TO OFFER QUALITY CARE AND SERVICES THAT SET COMMUNITY STANDARDS, EXCEED PATIENTS' EXPECTATIONS AND ARE PROVIDED IN A CARING, CONVENIENT, COST-EFFECTIVE AND ACCESSIBLE MANNER. VISION SHARP HEALTHCARE'S VISION IS TO TRANSFORM THE HEALTH CARE EXPERIENCE AND BE THE BEST PLACE TO WORK, THE BEST PLACE TO PRACTICE MEDICINE AND THE BEST PLACE TO RECEIVE CARE. SHARP IS DEDICATED TO BECOMING THE BEST HEALTH SYSTEM IN THE UNIVERSE. CORE VALUES INTEGRITY, CARING, SAFETY, INNOVATION AND EXCELLENCE. SUMMARY THIS SUMMARY PROVIDES AN OVERVIEW OF COMMUNITY BENEFIT PLANNING AT SHARP HEALTHCARE (SHARP), A LISTING OF COMMUNITY NEEDS ADDRESSED IN THIS COMMUNITY BENEFIT PLAN AND REPORT AND A SUMMARY OF COMMUNITY BENEFIT PROGRAMS AND SERVICES PROVIDED BY SHARP IN FISCAL YEAR (FY) 2025 (OCT. 1, 2024, THROUGH SEPT. 30, 2025). IN ADDITION, THE SUMMARY REPORTS THE ECONOMIC VALUE OF COMMUNITY BENEFIT PROVIDED BY SHARP, ACCORDING TO THE FRAMEWORK SPECIFICALLY IDENTIFIED IN SENATE BILL 697 (SB 697), FOR THE FOLLOWING ENTITIES: SHARP CHULA VISTA MEDICAL CENTER (EIN 95-2367304) SHARP CORONADO HOSPITAL AND HEALTHCARE CENTER (EIN 95-0651579) SHARP GROSSMONT HOSPITAL (EIN 33-0449527) SHARP MARY BIRCH HOSPITAL FOR WOMEN & NEWBORNS (EIN 95-3782169) SHARP MEMORIAL HOSPITAL (EIN 95-3782169) SHARP MESA VISTA HOSPITAL AND SHARP MCDONALD CENTER (EIN 95-3782169) SHARP HEALTH PLAN (EIN 33-0519730) COMMUNITY BENEFIT PLANNING AT SHARP HEALTHCARE SHARP HEALTHCARE BASES ITS COMMUNITY BENEFIT PLANNING ON ITS TRIENNIAL COMMUNITY HEALTH NEEDS ASSESSMENTS (CHNAS), COMBINED WITH EXPERTISE IN PROGRAMS AND SERVICES OF EACH SHARP HOSPITAL AND COLLABORATION WITH COMMUNITY PARTNERS. COMMUNITY NEEDS ADDRESSED IN THE SHARP HEALTHCARE COMMUNITY BENEFIT PLAN AND REPORT FOR FY 2025 INCLUDE: * ACCESS TO CARE AND FINANCIAL SUPPORT FOR UNINSURED AND UNDERINSURED COMMUNITY MEMBERS AND INDIVIDUALS WITHOUT A MEDICAL PROVIDER * PROGRAMS AND SERVICES THAT PROVIDE COMMUNITY AND SOCIAL SUPPORT TO ADDRESS HEALTH EQUITY CHALLENGES AND CHRONIC STRESS * EDUCATION, SCREENING AND SUPPORT PROGRAMS FOR CHRONIC HEALTH CONDITIONS, INCLUDING HEART AND VASCULAR DISEASE, STROKE, CANCER, DIABETES AND OBESITY * BEHAVIORAL HEALTH AND SUBSTANCE USE EDUCATION, SCREENING AND SUPPORT FOR ATRISK 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 * ENDOFLIFE AND ADVANCE CARE PLANNING SERVICES * SUPPORT FOR COMMUNITY NONPROFIT HEALTH AND SOCIAL SERVICE ORGANIZATIONS * EDUCATION AND TRAINING FOR COMMUNITY HEALTH CARE PROFESSIONALS * STUDENT AND INTERN SUPERVISION, EDUCATION AND SUPPORT * COLLABORATION WITH LOCAL SCHOOLS TO PROMOTE INTEREST IN AND PATHWAYS TO HEALTH CARE CAREERS * PARTICIPATION IN CLINICAL TRIALS AND HEALTH RESEARCH ECONOMIC VALUE OF COMMUNITY BENEFIT PROVIDED IN FY 2025 IN FY 2025, SHARP PROVIDED A TOTAL OF $751,654,612 IN COMMUNITY BENEFIT PROGRAMS AND UNREIMBURSED SERVICES. THESE FINANCIAL FIGURES REPRESENT UNREIMBURSED COMMUNITY BENEFIT COSTS AFTER THE IMPACT OF THE MEDI-CAL HOSPITAL FEE PROGRAM. ECONOMIC VALUE OF COMMUNITY BENEFIT PROVIDED IN FY 2025 BY SB 697 CATEGORY AND BY SHARP ENTITY WAS AS FOLLOWS: SHARP CHULA VISTA MEDICAL CENTER: MEDICAL CARE SERVICES - $146,019,667 OTHER BENEFITS FOR VULNERABLE POPULATIONS - $355,640 OTHER BENEFITS FOR THE BROADER COMMUNITY - $226,508 HEALTH RESEARCH, EDUCATION AND TRAINING PROGRAMS - $696,317 TOTAL - $147,298,132 SHARP CORONADO HOSPITAL AND HEALTHCARE CENTER: MEDICAL CARE SERVICES - $30,622,120 OTHER BENEFITS FOR VULNERABLE POPULATIONS - $146,120 OTHER BENEFITS FOR THE BROADER COMMUNITY - $261,541 HEALTH RESEARCH, EDUCATION AND TRAINING PROGRAMS - $69,401 TOTAL - $31,099,182 SHARP GROSSMONT HOSPITAL: MEDICAL CARE SERVICES - $228,058,739 OTHER BENEFITS FOR VULNERABLE POPULATIONS - $1,449,818 OTHER BENEFITS FOR THE BROADER COMMUNITY - $647,551 HEALTH RESEARCH, EDUCATION AND TRAINING PROGRAMS - $846,982 TOTAL - $231,003,090 SHARP MARY BIRCH HOSPITAL FOR WOMEN & NEWBORNS: MEDICAL CARE SERVICES - $22,718,293 OTHER BENEFITS FOR VULNERABLE POPULATIONS - $45,755 OTHER BENEFITS FOR THE BROADER COMMUNITY - $486,399 HEALTH RESEARCH, EDUCATION AND TRAINING PROGRAMS - $132,678 TOTAL - $23,383,125 SHARP MEMORIAL HOSPITAL: MEDICAL CARE SERVICES - $288,513,237 OTHER BENEFITS FOR VULNERABLE POPULATIONS - $824,871 OTHER BENEFITS FOR THE BROADER COMMUNITY - $717,096 HEALTH RESEARCH, EDUCATION AND TRAINING PROGRAMS - $1,234,438 TOTAL - $291,289,642 SHARP MESA VISTA HOSPITAL AND SHARP MCDONALD CENTER: MEDICAL CARE SERVICES - $26,189,296 OTHER BENEFITS FOR VULNERABLE POPULATIONS - $1,104,630 OTHER BENEFITS FOR THE BROADER COMMUNITY - $66,036 HEALTH RESEARCH, EDUCATION AND TRAINING PROGRAMS - $147,208 TOTAL - $27,507,170 SHARP HEALTH PLAN: OTHER BENEFITS FOR VULNERABLE POPULATIONS - $28,716 OTHER BENEFITS FOR THE BROADER COMMUNITY - $41,805 HEALTH RESEARCH, EDUCATION AND TRAINING PROGRAMS - $3,750 TOTAL - $74,271 PROGRAM EXAMPLES MEDICAL CARE SERVICES INCLUDED UNCOMPENSATED CARE FOR PATIENTS WHO ARE UNABLE TO PAY FOR SERVICES AND THE UNREIMBURSED COSTS OF PUBLIC PROGRAMS, SUCH AS MEDI-CAL, MEDICARE, COUNTY MEDICAL SERVICES, CIVILIAN HEALTH AND MEDICAL PROGRAM OF THE DEPARTMENT OF VETERANS AFFAIRS (CHAMPVA) AND TRICARE. OTHER BENEFITS FOR VULNERABLE POPULATIONS INCLUDED VAN TRANSPORTATION FOR PATIENTS TO AND FROM MEDICAL APPOINTMENTS; EDUCATION AND FLU VACCINATIONS FOR OLDER ADULTS; TELEPHONE REASSURANCE AND SAFETY-CHECK PROGRAM FOR ISOLATED OR HOMEBOUND OLDER ADULTS AND INDIVIDUALS WITH DISABILITIES; FINANCIAL AND OTHER SUPPORT TO COMMUNITY CLINICS TO PROVIDE AND IMPROVE ACCESS TO HEALTH SERVICES; PROJECT HELP; CONTRIBUTION OF TIME TO COMMUNITY-BASED ORGANIZATIONS, SUCH AS LOCAL FOOD BANKS; THE SHARP HUMANITARIAN SERVICE PROGRAM; AND SUPPORT SERVICES FOR PATIENTS EXPERIENCING HOMELESSNESS AND OTHER BARRIERS TO ACCESSING CARE. OTHER BENEFITS FOR THE BROADER COMMUNITY INCLUDED HEALTH EDUCATION AND INFORMATION PROVIDED ON-SITE, VIRTUALLY AND IN PARTNERSHIP WITH COMMUNITY-BASED ORGANIZATIONS; PARTICIPATION IN COMMUNITY HEALTH FAIRS AND EVENTS ADDRESSING UNIQUE COMMUNITY NEEDS; HEALTH SCREENINGS; AND SUPPORT GROUPS. SHARP ALSO COLLABORATED WITH LOCAL SCHOOLS TO PROMOTE INTEREST IN HEALTH CARE CAREERS. SHARP EXECUTIVE LEADERSHIP AND STAFF ALSO PARTICIPATED IN NUMEROUS COMMUNITY ORGANIZATIONS, COMMITTEES AND COALITIONS TO IMPROVE COMMUNITY HEALTH. IN ADDITION, THE CATEGORY INCLUDED COSTS ASSOCIATED WITH PLANNING AND OPERATING COMMUNITY BENEFIT PROGRAMS, SUCH AS CHNA DEVELOPMENT AND ADMINISTRATION. HEALTH RESEARCH, EDUCATION AND TRAINING PROGRAMS INCLUDED EDUCATION AND TRAINING FOR MEDICAL, NURSING AND OTHER HEALTH CARE STUDENTS AND PROFESSIONALS, AS WELL AS SUPERVISION AND SUPPORT FOR STUDENTS AND INTERNS. TIME WAS ALSO DEVOTED TO GENERALIZABLE, HEALTH-RELATED RESEARCH PROJECTS THAT WERE MADE AVAILABLE TO THE BROADER HEALTH CARE COMMUNITY. FORM 990, PART 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 V, LINE 2A PART V, LINE 2A SHARP CHULA VISTA MEDICAL CENTER EMPLOYEES' SALARIES AND WAGES ARE PAID UNDER SHARP HEALTHCARE'S TAX ID NUMBER (EIN 95-6077327), AND AS SUCH ARE ALSO REPORTED ON SHARP HEALTHCARE'S FORM 990. SHARP CHULA VISTA MEDICAL CENTER DOES NOT DIRECTLY EMPLOY INDIVIDUALS BUT LEASES ALL OF ITS PERSONNEL FROM SHARP HEALTHCARE, A RELATED ORGANIZATION THAT EXERCISES CONTROL OVER THE HOSPITAL. THESE LEASED EMPLOYEES OPERATE UNDER THE DIRECTION AND SUPERVISION OF SHARP CHULA VISTA MEDICAL CENTER AND PERFORM ALL ESSENTIAL FUNCTIONS NECESSARY FOR THE HOSPITAL'S OPERATIONS. SHARP HEALTHCARE, AS THE COMMON LAW EMPLOYER, IS RESPONSIBLE FOR ALL EMPLOYMENT-RELATED OBLIGATIONS, INCLUDING THE PAYMENT OF WAGES, WITHHOLDING AND REMITTANCE OF EMPLOYMENT TAXES, AND THE FILING OF ALL REQUIRED FEDERAL EMPLOYMENT TAX RETURNS (E.G., FORM 941) UNDER ITS OWN EMPLOYER IDENTIFICATION NUMBER (EIN). ACCORDINGLY, SHARP CHULA VISTA MEDICAL CENTER HAS REPORTED THE NUMBER OF LEASED EMPLOYEES ON LINE 2A. HOWEVER, IT ANSWERED "NO" TO LINE 2B BECAUSE IT DOES NOT FILE THE EMPLOYMENT TAX RETURNS DIRECTLY. FORM 990, PART VI, LINE 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 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 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 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 2F OTHER PROGRAM SERVICE REVENUE MED STAFF INCOME - TOTAL REVENUE: 250550, RELATED OR EXEMPT FUNCTION REVENUE: 250550, UNRELATED BUSINESS REVENUE: , REVENUE EXCLUDED FROM TAX UNDER SECTIONS 512, 513, OR 514: ; CONTRACTUAL W/O - TOTAL REVENUE: 24726, RELATED OR EXEMPT FUNCTION REVENUE: 24726, UNRELATED BUSINESS REVENUE: , REVENUE EXCLUDED FROM TAX UNDER SECTIONS 512, 513, OR 514: ; REHAB THERAPIES VA - TOTAL REVENUE: -44101, RELATED OR EXEMPT FUNCTION REVENUE: -44101, 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 - 5483502; TOTAL - 5483502; 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 FREESTANDING SURGERY LLC 8695 SPECTRUM CENTER BOULEVARD SAN DIEGO CA 92123 874136918 FREESTANDING AMBULATORY SURGERY CA NA N/A CONTINUOUS QUALITY INSURANCE SPC 23 LIME TREE BAY AVENUE PO BOX 136 GRAND CAYMAN CJ 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 5832832 ACCRUAL GROSSMONT HOSPITAL CORPORATION M 6556846 ACCRUAL GROSSMONT HOSPITAL CORPORATION L 576635 ACCRUAL GROSSMONT HOSPITAL CORPORATION Q 105119 ACCRUAL GROSSMONT HOSPITAL CORPORATION R 356943 ACCRUAL SHARP MEMORIAL HOSPITAL P 70669 ACCRUAL SHARP MEMORIAL HOSPITAL Q 80346 ACCRUAL SHARP MEMORIAL HOSPITAL R 4409079 ACCRUAL SHARP MEMORIAL HOSPITAL S 2639032 ACCRUAL SHARP CORONADO HOSPITAL AND HEALTHCARE CENTER S 512520 ACCRUAL SHARP HEALTH PLAN L 327289 ACCRUAL GROSSMONT HOSPITAL CORPORATION S 276194 ACCRUAL GROSSMONT HOSPITAL CORPORATION P 52016 ACCRUAL