2025-08-15T15:01:19+00:00 2024-09-30 346565596 Ernst & Young US LLP 18101 Von Karman Avenue Irvine CA 92612 990 2023-10-01 330519730 Sharp Health Plan SHAR 8584998391 8695 Spectrum Center Blvd San Diego CA 921231489 Melissa Hayden-Cook CEO-SHP 8584998391 2025-08-15 true Kara Adams P00023315 9497942300 2025-08-15 2023 2025-03-06 01:10:19Z Melissa Hayden-Cook 8695 Spectrum Center Blvd San Diego CA 921231489 1097577952 false X www.sharphealthplan.com X 1992 CA TO PROMOTE THE HEALTH AND TO SERVE THE COMMUNITY INTERESTS OF THE RESIDENTS OF CALIFORNIA, BY OPERATION OF THE HEALTH MAINTENANCE ORGANIZATION AND BY THE PROVISION OF OTHER MANAGED HEALTH CARE SERVICES. 8 2 281 0 57121 0 0 0 957502839 1021670839 10632211 9266823 0 968135050 1030937662 4075560 61738 0 37645397 40251968 0 0 904271292 955049003 945992249 995362709 22142801 35574953 285264526 331009264 95620158 85125515 189644368 245883749 To promote the health and to serve the community interests of the residents of California, by operation of a health maintenance organization and by provision of other managed health care services. To support the charitable and community oriented mission and programs of the Sharp Healthcare system. To do generally all things and transact all business which any person or individual may lawfully do, not inconsistent with the purposes of the corporation or with the rights and purposes of a nonprofit organization. false false 957973878 61738 1021670839 Sharp Health Plan (SHP) offers a wide variety of commercial benefit plans to businesses in San Diego and Southern Riverside Counties. SHP is a San Diego based commercial health plan and as a not-for-profit enterprise, we are here for one simple reason: to serve our members since 1992. Sharp Health Plan offers a variety of health insurance options for individuals, families and businesses that combine affordability and choice, while delivering high quality health care and personal service. Members have access to valuable plan enhancements, such as interactive wellness resources, dental discounts, Sharp Nurse Connection and our exclusive global emergency services program. In 2013, Sharp Health Plan was selected as one of 13 health plans to participate in Covered California's individual marketplace and one of six health plans to participate in Covered California's Small Business Health Options Program ("SHOP") marketplace for small businesses. See Community Benefits Report Summary on Schedule O. 957973878 false false false false false false false false false true false false false true true true true false false true false false false false false false true false true false false false false false false false false false false false false false true true true false true X 0 0 281 false true true false false false false false false false X 8 2 false false false false true true true true true false false true true true true true true true true true true CA X Summer Lee 8584998391 8520 Tech Way Suite 200 San Diego CA 921231450 Alison Fleury SECRETARY, SVP BUSINESS DEVELOPMENT 2.0 48.0 X X 0 760157 25041 Christopher D Howard CHAIRMAN, PRESIDENT & CEO SHC 2.0 50.0 X X 0 2449448 17675 Melissa Hayden-Cook VICE CHAIR, PRESIDENT & CEO-SHP 47.0 4.0 X X 0 999435 24697 Susan Green TREASURER AS OF 03/27/2024 2.0 52.0 X X 0 0 0 Alan Bier MD DIRECTOR AS OF 12/04/2023 2.0 4.0 X 0 0 0 Brett G McClain DIRECTOR, CHIEF OPERATING OFFICER SHC 1.0 48.0 X 0 1655296 17675 John Lemoine MD CHIEF MEDICAL INFO OFFICER 1.0 49.0 X 0 676940 31605 Michael Reagin DIRECTOR THRU 05/10/2024, SVP CIIO SHC 2.0 48.0 X 0 1326329 17675 Sergio Flores MD DIRECTOR AS OF 12/04/2023 6.0 2.0 X 0 0 0 Rita Datko CFO SHP 50.0 0.0 X 0 404964 48673 Cary Shames CMO SHP 50.0 0.0 X 0 655576 31913 Leslie Pels-Beck COO SHP 60.0 0.0 X 0 376711 46027 Michael Byrd BUSINESS DEVELOPMENT OFFICER 55.0 0.0 X 0 396863 42882 Bahareh Khavarian MEDICAL DIRECTOR 40.0 0.0 X 0 332900 24435 Gregory Limon CHIEF ADMINISTRATIVE OFFICER 50.0 0.0 X 0 275870 23469 Lisa Arian SR MEDICAL DIRECTOR 55.0 0.0 X 0 404477 34201 Robert Peters PHYSICIAN REVIEWER 40.0 0.0 X 0 271986 23225 Zachary Contreras DIR PHARMACY BENEFITS 40.0 0.0 X 0 277264 32663 Staci L Dickerson FORMER OFFICER 0.0 0.0 X 0 958272 24847 0 12222488 466703 0 true true false Sharp Memorial Hospital 8695 Spectrum Center Blvd San Diego CA 921231489 Medical Services 273432721 Sharp Rees Stealy Medical Group 4000 Ruffin Rd Suite E San Diego CA 92123 Medical Services 208025552 Sharp Community Medical Group SD 8695 Spectrum Center Ct FL 4 San Diego CA 92123 Medical Services 115252139 Palomar Health 15255 Innovation Dr Ste 150 San Diego CA 92128 Medical Services 28894609 Rady Children's Hospital SD 3020 Childrens Way MC 5001 San Diego CA 92123 Medical Services 20031453 167 0 0 0 0 0 0 0 0 EMPLOYER GROUP PREMIUMS 524114 1021575523 1021575523 PARTNERSHIP INCOME 523000 95316 38195 57121 0 0 0 0 1021670839 8880716 8880716 0 0 67026397 66640290 386107 0 386107 386107 0 0 0 0 0 1030937662 1021613718 57121 9266823 X 61738 61738 0 0 0 0 0 0 3137816 992282 2145534 0 0 30319935 9588177 20731758 955465 302150 653315 3626817 1146921 2479896 2211935 699488 1512447 6544075 5498188 1045887 256143 0 256143 561450 0 561450 0 0 0 0 0 0 0 0 910686209 910686209 0 0 2968861 1917622 1051239 6517679 5367053 1150626 5496335 4617900 878435 0 0 0 1512654 1117400 395254 185285 58593 126692 0 0 0 129907 9970 119937 19318 0 19318 0 0 0 486108 408417 77691 274487 223108 51379 ACA FEES 7668912 7668912 DUES & SUBSCRIPTIONS 4210147 3537273 672874 OTHER BANK FEES 1826259 1534383 291876 SYSTEM ALLOCATION 2607917 0 2607917 3097257 2538094 559163 0 995362709 957973878 37388831 0 6732030 6591244 145954251 126978736 30688813 35220632 0 0 0 0 2588844 2563547 1281582 1176131 176261 105451 98039137 158762536 311699 407015 0 773491 380103 285264526 331009264 56335176 56626036 33858929 22747574 0 0 5426053 5751905 95620158 85125515 X 189644368 245883749 189644368 245883749 285264526 331009264 X 35574953 20482183 182245 X false true X true false 88553 82994 5559 1193029 1093137 99892 105451 DUE TO AFFILIATES 5404482 PENSION LIABILITY 347423 5751905 X 1051373018 20482183 -46827 20435356 1030937662 0 0 1030937662 995315882 0 0 995315882 46827 46827 995362709 Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnote Sharp recognizes tax benefits from any uncertain tax positions only if it is more likely than not the tax position will be sustained, based solely on its technical merits, with the taxing authority having full knowledge of all relevant information. Sharp records a liability for unrecognized tax benefits from uncertain tax positions as discrete tax adjustments in the first interim period that the more likely than not threshold is not met. Sharp recognizes deferred tax assets and liabilities for temporary differences between the financial reporting basis and the tax basis of its assets and liabilities along with net operating loss and tax credit carry overs only for tax positions that meet the more likely than not recognition criteria. At September 30, 2024 and 2023, 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 - -46827 Schedule D, Part XII, Line 4(b) Other expenses in form 990 not in audited financial statements Nonoperating portion of Pension and Other Post Retirement Benefits - 46827 Central America and the Caribbean 0 0 Program Services Reinsurance 2837958 0 0 0 0 0 0 2837958 0 2837958 true false false false false false Schedule F, Part I, Line 3 Method used to account for expenditures on org's financial statements CENTRAL AMERICA AND THE CARIBBEAN-Accrual true San Diego Food Bank 9850 Distribution Ave San Diego CA 92121 204374795 501(c)(3) 7500 Sponsorship 1 0 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 THE GRANT IS MADE. false true false false false false false false false Christopher D Howard CHAIRMAN, PRESIDENT & CEO SHC 0 1819908 0 539018 0 90522 0 0 0 17675 0 2467123 0 0 Melissa Hayden-Cook VICE CHAIR, PRESIDENT & CEO-SHP 0 751865 0 210299 0 37271 0 1388 0 23309 0 1024132 0 0 Alison Fleury SECRETARY, SVP BUSINESS DEVELOPMENT 0 567843 0 158156 0 34158 0 7712 0 17329 0 785198 0 0 Michael Reagin DIRECTOR THRU 05/10/2024, SVP CIIO SHC 0 989157 0 331790 0 5382 0 0 0 17675 0 1344004 0 0 John Lemoine MD CHIEF MEDICAL INFO OFFICER 0 525769 0 105187 0 45984 0 21275 0 10330 0 708545 0 0 Brett G McClain DIRECTOR, CHIEF OPERATING OFFICER SHC 0 1221533 0 401201 0 32562 0 0 0 17675 0 1672971 0 0 Staci L Dickerson FORMER OFFICER 0 696073 0 245174 0 17025 0 11210 0 13637 0 983119 0 0 Rita Datko CFO SHP 0 324956 0 75161 0 4847 0 31736 0 16937 0 453637 0 0 Cary Shames CMO SHP 0 485773 0 113047 0 56756 0 14850 0 17063 0 687489 0 0 Michael Byrd BUSINESS DEVELOPMENT OFFICER 0 291868 0 71749 0 33246 0 20606 0 22276 0 439745 0 0 Leslie Pels-Beck COO SHP 0 248941 0 67127 0 60643 0 29466 0 16561 0 422738 0 0 Lisa Arian SR MEDICAL DIRECTOR 0 300172 0 52188 0 52117 0 18112 0 16089 0 438678 0 0 Gregory Limon CHIEF ADMINISTRATIVE OFFICER 0 231213 0 34420 0 10237 0 21582 0 1887 0 299339 0 0 Bahareh Khavarian MEDICAL DIRECTOR 0 288222 0 43610 0 1068 0 11715 0 12720 0 357335 0 0 Robert Peters PHYSICIAN REVIEWER 0 266604 0 0 0 5382 0 14135 0 9090 0 295211 0 0 Zachary Contreras DIR PHARMACY BENEFITS 0 238797 0 36841 0 1626 0 10991 0 21672 0 309927 0 0 Schedule J, Part I, Line 3 Arrangement used to establish the top management official's compensation The Compensation Committee of Sharp HealthCare retains an independent compensation consulting firm to review the total compensation paid to executive management (President/Chief Executive Officer, Chief Operating Officer, and Senior Vice Presidents) and compares it to the total compensation paid to similar positions with like institutions. The information is presented to the Compensation Committee of the Board of Directors by the independent consultant. The Compensation Committee is comprised of Board members who are not physicians and who are not compensated in any way by the organization. The Compensation Committee creates and approves the organization's Executive Compensation Philosophies and Strategies statement and as part of this approves the total compensation for the President/Chief Executive Officer and reviews and approves the total compensation recommendations for the remaining executive team. The Compensation Committee presents its decision to the Board of Directors. The Compensation Committee retains minutes of its meetings. The study was last conducted in January 2025. Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan Sharp HealthCare (Company) sponsor an Executive 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 Benefits 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, 2023, are described below as restated. The Plan is available to the Chief Executive Officer, Executive Vice President of the 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 5% 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 coverage 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, 2023, there were no distributions from the plan. Form 990, Part V, Line 2a PART V, LINE 2A Sharp Health Plan 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 Health Plan does not directly employ individuals but leases all of its personnel from Sharp HealthCare, a related organization that exercises control over the health plan. These leased employees operate under the direction and supervision of Sharp Health Plan and perform all essential functions necessary for the health plan'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 Health Plan 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 Health Plan. Form 990, Part VI, Line 7a Members or stockholders electing members of governing body Sharp HealthCare, as the sole member of the corporation, has the right to elect and remove most board members. Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholders Sharp HealthCare, as the sole member of the corporation, has the right to elect and remove most board members. Sharp HealthCare also retains the approval rights afforded members for certain significant transactions (e.g. dissolution or sale or transfer of all or substantially all of the assets). Form 990, Part VI, Line 11b Review of form 990 by governing body THE FINAL FORM 990 IS PLACED ON THE ORGANIZATION'S INTRANET, PRIOR TO THE FILING DATE, WHERE IT IS VIEWABLE FOR COMMENT FROM ALL MEMBERS OF THE GOVERNING BODY. The board members are notified 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 DIRECTOR OF TAX & ACCOUNTING, VICE PRESIDENT OF FINANCE, SENIOR VICE PRESIDENT AND CHIEF FINANCIAL OFFICER, AND ENTITY CHIEF FINANCIAL OFFICER. ADDITIONALLY, THE ORGANIZATION CONTRACTS WITH ERNST & YOUNG, AN INDEPENDENT ACCOUNTING FIRM, FOR REVIEW OF FORM 990. Form 990, Part VI, Line 12c Conflict of interest policy SHARP HEALTH PLAN HAS A WRITTEN CONFLICT OF INTEREST POLICY WHICH HAS BEEN REVIEWED AND APPROVED BY THE SHARP HEALTH PLAN GOVERNING BOARD. SHARP HEALTH PLAN 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. This review was last conducted in November 2024. 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 2025. Form 990, Part VI, Line 15b Process to establish compensation of other employees THE PERSONNEL COMMITTEE OF SHARP HEALTHCARE RETAINS AN INDEPENDENT COMPENSATION CONSULTING FIRM TO REVIEW THE TOTAL COMPENSATION PAID TO EXECUTIVE MANAGEMENT (CEO/PRESIDENT, EXECUTIVE VICE PRESIDENT OF HOSPITAL OPERATIONS, AND SENIOR VICE PRESIDENTS) AND COMPARES IT TO THE TOTAL COMPENSATION PAID TO SIMILAR POSITIONS WITH LIKE INSTITUTIONS. THE INFORMATION IS PRESENTED TO THE PERSONNEL COMMITTEE OF THE BOARD OF DIRECTORS BY THE INDEPENDENT CONSULTANT. THE PERSONNEL COMMITTEE IS COMPRISED OF BOARD MEMBERS WHO ARE NOT PHYSICIANS AND WHO ARE NOT COMPENSATED IN ANY WAY BY THE ORGANIZATION. THE PERSONNEL COMMITTEE APPROVES THE TOTAL COMPENSATION FOR THE PRESIDENT/CHIEF EXECUTIVE OFFICER AND REVIEWS AND APPROVES THE COMPENSATION AND COMPENSATION SALARY RANGES FOR THE REMAINDER OF THE EXECUTIVE TEAM. THE PERSONNEL COMMITTEE PRESENTS ITS DECISION TO THE BOARD OF DIRECTORS. THE PERSONNEL COMMITTEE RETAINS MINUTES OF ITS MEETINGS. THE COMPENSATION AND BENEFITS DEPARTMENT ENGAGES A THIRD PARTY INDEPENDENT CONSULTANT TO CONDUCT A COMPENSATION STUDY COVERING OFFICERS AND KEY EMPLOYEES. THE INDEPENDENT THIRD PARTY COMPARES BASE SALARIES TO SIMILAR POSITIONS WITH LIKE INSTITUTIONS. THE INFORMATION IS REVIEWED BY THE COMPENSATION AND BENEFITS DEPARTMENT AND IS PRESENTED TO THE PRESIDENT/CHIEF EXECUTIVE OFFICER, THE EXECUTIVE VICE PRESIDENT OF HOSPITAL OPERATIONS AND THE APPROPRIATE SENIOR VICE PRESIDENT FOR REVIEW AND APPROVAL. THE COMPENSATION STUDY WAS LAST CONDUCTED IN JANUARY 2025. 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). ADDITIONALLY, SHARP HEALTH PLAN HAS SEPARATELY STATED AUDITED FINANCIAL STATEMENTS THAT ARE ALSO AVAILABLE UPON REQUEST. FINANCIAL INFORMATION IS ALSO AVAILABLE IN THE ANNUAL AND QUARTERLY DEPARTMENT OF MANAGED HEALTH CARE (DMHC) FILINGS, WHICH ARE AVAILABLE ON THE DMHC WEBSITE (WWW.DMHC.CA.GOV). Form 990, Part IX, Line 11g Other Fees FEE FOR SERVICE MEDICAL EXPENSE - Total Expense: XXX-XX-XXXX, Program Service Expense: XXX-XX-XXXX, Management and General Expenses: , Fundraising Expenses: ; CAPITATION MEDICAL EXPENSE - Total Expense: XXX-XX-XXXX, Program Service Expense: XXX-XX-XXXX, Management and General Expenses: , Fundraising Expenses: ; PURCHASED SERVICE - Total Expense: 10795587, Program Service Expense: 10795587, Management and General Expenses: , Fundraising Expenses: ; BROKER COMMISSIONS - Total Expense: 17462881, Program Service Expense: 17462881, Management and General Expenses: , Fundraising Expenses: ; Form 990, Part XI, Line 9 Other changes in net assets or fund balances CHANGE IN MINIMUM PENSION LIABILITY - 182245; Schedule F, Part I, Line 3(f) ACTIVE BUSINESS PROPERTY: CASH, FAIR MARKET VALUE AND ADJUSTED BASIS OF $2,837,958 Form 990, Schedule F Line 3 Sharp Healthcare (95-6077327), the parent organization for SHP, files Form 5471, information Return of U.S. Persons With Respect To Certain Foreign Corporations, on behalf of SHP Form 990 Part III Line 4a 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; 27 medical centers; five urgent care centers; three skilled nursing facilities; two inpatient rehabilitation centers; 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 HMO coverage through Sharp Health Plan (SHP). Serving a population of approximately 3.3 million in San Diego County (SDC), as of September 30, 2024, Sharp is licensed to operate 2,210 beds and has 2,839 Sharp-affiliated physicians and 20,283 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 the best place to work, the best place to practice medicine and the best place to receive care. Sharp will become the best health system in the universe. Sharp's core values are Integrity, Caring, Safety, Innovation and Excellence. 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) 2024 (Oct. 1, 2023, through Sept. 30, 2024). 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 2024 * 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 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 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 2024 In FY 2024, Sharp provided a total of $622,598,584 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 2024 was as follows: Sharp Chula Vista Medical Center - $137,734,456 Sharp Coronado Hospital and Healthcare Center - $26,135,468 Sharp Grossmont Hospital - $176,955,168 Sharp Mary Birch Hospital for Women & Newborns - $13,768,020 Sharp Memorial Hospital - $231,447,432 Sharp Mesa Vista Hospital and Sharp McDonald Center - $36,420,863 Sharp Health Plan - $137,177 TOTAL FOR ALL ENTITIES - $622,598,584 Economic Value of Community Benefit Provided in FY 2024 by SB 697 Category and by Sharp entity was as follows: Sharp Chula Vista Medical Center: Medical Care Services - $136,045,388 Other Benefits for Vulnerable Populations - $417,808 Other Benefits for the Broader Community - $329,428 Health Research, Education and Training Programs - $941,832 TOTAL - $137,734,456 Sharp Coronado Hospital and Healthcare Center: Medical Care Services - $25,721,159 Other Benefits for Vulnerable Populations - $161,455 Other Benefits for the Broader Community - $120,185 Health Research, Education and Training Programs - $132,669 TOTAL - $26,135,468 Sharp Grossmont Hospital: Medical Care Services - $174,018,249 Other Benefits for Vulnerable Populations - $1,369,756 Other Benefits for the Broader Community - $765,634 Health Research, Education and Training Programs - $765,634 TOTAL - $176,955,168 Sharp Mary Birch Hospital for Women & Newborns: Medical Care Services - $13,271,365 Other Benefits for Vulnerable Populations - $62,478 Other Benefits for the Broader Community - $272,660 Health Research, Education and Training Programs - $161,517 TOTAL - $13,768,020 Sharp Memorial Hospital: Medical Care Services - $228,957,629 Other Benefits for Vulnerable Populations - $820,766 Other Benefits for the Broader Community - $549,273 Health Research, Education and Training Programs - $1,119,764 TOTAL - $231,447,432 Sharp Mesa Vista Hospital and Sharp McDonald Center: Medical Care Services - $34,840,108 Other Benefits for Vulnerable Populations - $1,102,645 Other Benefits for the Broader Community - $142,020 Health Research, Education and Training Programs - $336,090 TOTAL - $36,420,863 Sharp Health Plan: Other Benefits for Vulnerable Populations - $41,863 Other Benefits for the Broader Community - $90,064 Health Research, Education and Training Programs - $5,250 TOTAL - $137,177 The following are examples of community benefit programs and services provided by Sharp hospitals and entities in FY 2024. * 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. * 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. * 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 Form 990 Part III Line 4a (Continuation of Part III, Line 4a narrative) * 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. 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