2026-08-14T17:22:51+00:00 2025-09-30 346565596 ERNST & YOUNG US LLP 18101 VON KARMAN AVENUE IRVINE CA 92612 990 2024-10-01 953782169 SHARP MEMORIAL HOSPITAL SHAR 8584995150 8695 SPECTRUM CENTER BLVD SAN DIEGO CA 921231489 PATRICIA KHALEGHI VP CEO SMMC-SMB NETWORK 8584995150 2026-08-14 false true KARA ADAMS P00023315 9497942300 2026-08-14 2024 2025-03-06 01:10:19Z PATRICIA KHALEGHI 8695 SPECTRUM CENTER BLVD SAN DIEGO CA 921231489 2278829029 false X WWW.SHARP.COM X 1981 CA SHARP MEMORIAL HOSPITAL PROVIDES COMPREHENSIVE MEDICAL SERVICES TO THE SAN DIEGO COMMUNITY. 17 10 6620 301 0 22442006 15224373 1524794386 1534155684 41086363 101751675 2386703 1969774 1590709458 1653101506 725706 807103 0 698005539 746813891 0 0 749682006 805269177 1448413251 1552890171 142296207 100211335 4680922482 4899313906 710745009 737371507 3970177473 4161942399 SEE SCHEDULE O false false 1410893150 807103 1534155684 SHARP MEMORIAL HOSPITAL PROVIDES INPATIENT AND OUTPATIENT HEALTHCARE SERVICES TO THE COMMUNITY. FOR FISCAL YEAR 2025, PATIENT DAYS TOTALED 216,166 AND OUTPATIENT VISITS TOTALED 355,449. SEE COMMUNITY BENEFITS REPORT ON SCHEDULE O 1410893150 true true false true false false false false false true true false false true true true false true false false true 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 6620 false false false false false false false false false false false false false false X 17 10 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 92123 CHARLES ATHILL MD SECRETARY AS OF 08/01/2025 5.0 1.0 X X 45950 1044 0 CHRISTOPHER D HOWARD PRESIDENT & CEO SHC 1.0 51.0 X X 0 2732110 18507 DEREK QUACKENBUSH VICE CHAIR AS OF 8/1/2025, PAST TREASURER 2.0 0 X X 0 0 0 LORI MOORE CHAIR THRU 8/1/2025 2.0 2.0 X X 0 0 0 MARILYN BROWN TREASURER AS OF 08/2025, PAST SECRETARY 3.0 1.0 X X 0 0 0 PATRICIA KHALEGHI SVP MARKET CEO 50.0 8.0 X X 0 1240243 37753 STEFANIE BENVENUTO CHAIR AS OF 08/2025 2.0 2.0 X X 0 0 0 CASEY CASTILLO DIRECTOR 1.0 0 X 0 0 0 CHRISTOPHER WALKER DIRECTOR, COO 2.0 0.0 X 0 473649 50785 EMILY COLE MD DIRECTOR 2.0 1.0 X 72500 0 0 FREDERICK JOHNSON MD DIRECTOR 1.0 0 X 0 0 0 JAMES SMITH III DIRECTOR 2.0 2.0 X 0 0 0 JERSHONDA HARTSFIELD MD DIRECTOR 2.0 0 X 24500 0 0 JONATHAN GRAY MD DIRECTOR AS OF 10/2024 2.0 0 X 4065 0 0 LINDSEY RYAN DIRECTOR AS OF 01/2025, VP PATIENT CARE SVCS AS OF 11/04/2024 2.0 0.0 X 0 41766 3768 PAOLA AVILA DIRECTOR 1.0 0 X 0 0 0 RICHARD COUTTS MD DIRECTOR 1.0 1.0 X 0 0 0 TOM GILDRED DIRECTOR 1.0 0 X 0 0 0 ANTHONY GUERRA CHIEF FINANCE-MARKET GROWTH OFFICER-SMH 50.0 0.0 X 0 485154 49405 RICK L GROSSMAN SVP GENERAL COUNSEL 1.0 48.0 X 0 1439711 11502 SUSAN GREEN EVP & CFO SHC 2.0 52.0 X 0 1421255 15484 GREGORY BLANK CHIEF ADMINISTRATIVE OFFICER 40.0 0.0 X 0 382334 25364 JULIE ABRAHAM DIR PHARMACY 40.0 0.0 X 0 275292 36659 MARIA COLOMBO CNO SPECIALTY HOSP 40.0 0.0 X 0 431992 49870 CHRISTIANA PAUL VP PATIENT CARE CONTINUUM 40.0 0.0 X 0 382414 39833 FADI NICOLAS CMO SHARP BEHAVIORAL HEALTH 40.0 0.0 X 0 618998 42135 KATHLEEN V KRACHT DIR SURGICAL CARE 40.0 0.0 X 0 317686 42199 LENY FLORES-LIM LD CLINICAL NURSE 40.0 0.0 X 0 337969 50016 THOMAS LAWRIE CHIEF MEDICAL OFFICER 40.0 10.0 X 0 534637 41339 BRETT G MCCLAIN FORMER OFFICER 5.0 44.0 X 0 1780203 18507 147015 12896457 533126 0 true true false 0 15210956 13417 10837 15224373 NET PATIENT SERVICES 900099 1006825234 1006825234 MEDICARE/MEDICAL 900099 520937903 520937903 CONTRACT PHARMACY 446110 4563471 4563471 MEDICAL OFFICE RENT 532000 1043540 1043540 MEDICAL STAFF ADMIN 900099 369944 369944 415592 415592 0 0 1534155684 53270239 53270239 0 0 674121483 87476 625727523 48393960 87476 48481436 48481436 PARKING 446199 795818 795818 GIFT SHOP REVENUE 900099 293083 293083 WOMEN'S INFANT STORE 900099 265341 265341 615532 0 0 615532 1969774 1653101506 1534155684 0 103721449 728616 728616 78487 78487 3710879 1538227 2172652 609394453 597807496 11586957 17443367 16847548 595819 71688256 69838736 1849520 44576936 43781241 795695 39877931 37493679 2384252 3034136 374647 2659489 10634848 10634848 178985 178985 1029494 1029494 117785035 106114047 11670988 0 7082694 25738 7056956 45555234 41888336 3666898 59835435 52655183 7180252 28157998 23892776 4265222 349548 321174 28374 2295143 132807 2162336 6610795 9518895 -2908100 41181078 33314496 7866582 7514692 5333274 2181418 MEDICAL SUPPLIES 219360847 219360847 SYSTEM ALLOCATION 114034451 52805090 61229361 MEDI-CAL PROVIDER TAX 82499133 82499133 REPAIRS AND MAINTENANCE 11314275 10349283 964992 6937425 4193394 2744031 0 1552890171 1410893150 141997021 0 2413830 815034 445595963 454756897 0 0 0 0 21967611 21003535 6687985 10018940 1269783036 623327109 585695382 646455927 89569674 15917972 560180 445832 0 3528431857 3749899769 4680922482 4899313906 130567758 154593161 67400 0 0 0 580109851 582778346 710745009 737371507 X 3970177473 4161942399 3970177473 4161942399 4680922482 4899313906 X 100211335 78194230 13359361 X false true true false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false true 178985 178985 false SCHEDULE C, PART II-B, LINE 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY SHARP MEMORIAL HOSPITAL (SMH) PAYS ANNUAL DUES TO THE CALIFORNIA HOSPITAL ASSOCIATION (CHA), THE HEALTHCARE ASSOCIATION OF SAN DIEGO AND IMPERIAL COUNTIES (HASDIC), AND THE AMERICAN HOSPITAL ASSOCIATION (AHA), WHICH PROVIDES REPRESENTATION AND ADVOCACY AT THE LOCAL, STATE, AND FEDERAL LEVEL. CHA, HASDIC, AND AHA HAVE DETERMINED THAT A PORTION OF THEIR MEMBERSHIP DUES ARE USED FOR LOBBYING PURPOSES. FOR FY 2025, SMH'S ANNUAL DUES CALCULATED TO HAVE BEEN USED FOR LOBBYING PURPOSES WAS $178,985. 8850330 -225398 683882 225347 9083467 7850228 89229 1223930 313057 8850330 7056341 94240 984515 0 284868 7850228 8128576 25988 -1094091 0 4132 7056341 7319817 70854 744440 0 6535 8128576 0.06 0.94 0.0 false true true 9501491 9501491 690008736 458156995 231851741 4998865 4019261 979604 199400164 154696883 44703281 365873780 6453970 359419810 646455927 INTERCOMPANY RECEIVABLE 3716751654 DEFERRED RENT 0 LEASED ASSETS - OPERATING 2471086 LEASED ASSETS - FINANCE 2794802 ESTIMATED SETTLEMENTS FROM GVMNT PROGRAMS 0 DEFINED BENEFIT PENSION PLAN - NET BENEFIT ASSET 27882227 3749899769 FEDERAL INCOME TAXES LONG TERM PENSION LIABILITY 8197981 ALLOCATED TAX EXEMPT BONDS 566406869 LONG TERM WORKERS' COMPENSATION 147537 OPERATING LEASE OBLIGATIONS 3082757 FINANCE LEASE OBLIGATIONS 2851172 ESTIMATED SETTLEMENTS FROM GVMNT PROGRAMS 2092030 582778346 X 1727254016 78194230 4172607 82366837 1644887179 1029494 7184833 8214327 1653101506 1554432898 -1600386 -1600386 1556033284 1029494 -4172607 -3143113 1552890171 SCHEDULE D, PART V, LINE 4 INTENDED USES OF ENDOWMENT FUNDS SHARP HEALTHCARE FOUNDATION HOLDS 19 BOARD DESIGNATED AND PERMANENT ENDOWMENTS FOR SHARP MEMORIAL HOSPITAL THAT ARE RESTRICTED FOR A VARIETY OF PURPOSES, SUCH AS EMERGENCY SERVICES, WOMEN'S RESEARCH, ONCOLOGY, NURSING EDUCATION, LABORATORY, EQUIPMENT AND TECHNOLOGY, LIBRARY, AND MORE. SCHEDULE D, PART X, LINE 2 FIN 48 (ASC 740) FOOTNOTE THE PRINCIPAL OPERATIONS OF SHARP ARE EXEMPT FROM TAXATION PURSUANT TO SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE AND RELATED CALIFORNIA PROVISIONS. SHARP RECOGNIZES TAX BENEFITS FROM ANY UNCERTAIN TAX POSITIONS ONLY IF IT IS MORE LIKELY THAN NOT THE TAX POSITION WILL BE SUSTAINED, BASED SOLELY ON ITS TECHNICAL MERITS, WITH THE TAXING AUTHORITY HAVING FULL KNOWLEDGE OF ALL RELEVANT INFORMATION. SHARP RECORDS A LIABILITY FOR UNRECOGNIZED TAX BENEFITS FROM UNCERTAIN TAX POSITIONS AS DISCRETE TAX ADJUSTMENTS IN THE FIRST INTERIM PERIOD THAT THE MORE-LIKELY-THAN-NOT THRESHOLD IS NOT MET. SHARP RECOGNIZES DEFERRED TAX ASSETS AND LIABILITIES FOR TEMPORARY DIFFERENCES BETWEEN THE FINANCIAL REPORTING BASIS AND THE TAX BASIS OF ITS ASSETS AND LIABILITIES, ALONG WITH NET OPERATING LOSS AND TAX CREDIT CARRYOVERS ONLY FOR TAX POSITIONS THAT MEET THE MORE-LIKELY-THAN-NOT RECOGNITION CRITERIA. AT SEPTEMBER 30, 2025 AND 2024, NO SUCH ASSETS OR LIABILITIES WERE RECORDED. SCHEDULE D, PART XI, LINE 2(D) OTHER REVENUES IN AUDITED FINANCIAL STATEMENTS NOT IN FORM 990 NON-OPERATING PORTION OF PENSION AND OTHER POST-RETIREMENT BENEFITS - 4172607 SCHEDULE D, PART XI, LINE 4(B) OTHER REVENUES IN FORM 990 NOT IN AUDITED FINANCIAL STATEMENTS DONATED CAPITAL - 7184833 SCHEDULE D, PART XII, LINE 2(D) OTHER EXPENSES IN AUDITED FINANCIAL STATEMENTS NOT IN FORM 990 MED STAFF DECREASE IN EQUITY - -1600386 SCHEDULE D, PART XII, LINE 4(B) OTHER EXPENSES IN FORM 990 NOT IN AUDITED FINANCIAL STATEMENTS NON-OPERATING PORTION OF PENSION AND OTHER POST-RETIREMENT BENEFITS - -4172607 EUROPE (INCLUDING ICELAND AND GREENLAND) 0 0 PROGRAM SERVICES RESEARCH 17148 NORTH AMERICA (CANADA & MEXICO ONLY) 0 0 PROGRAM SERVICES RESEARCH 5200 EAST ASIA AND THE PACIFIC 0 6 PROGRAM SERVICES HUMANITARIAN LEAVE 17910 SOUTH AMERICA 0 8 PROGRAM SERVICES HUMANITARIAN LEAVE 22771 SOUTH ASIA 0 3 PROGRAM SERVICES HUMANITARIAN LEAVE 7636 SUB-SAHARAN AFRICA 0 2 PROGRAM SERVICES HUMANITARIAN LEAVE 6544 0 19 0 0 0 19 77209 0 77209 false false false false false false SCHEDULE F, PART I, LINE 3 METHOD USED TO ACCOUNT FOR EXPENDITURES ON ORG'S FINANCIAL STATEMENTS EAST ASIA AND THE PACIFIC-ACCRUAL; EUROPE (INCLUDING ICELAND AND GREENLAND)-ACCRUAL; NORTH AMERICA (CANADA & MEXICO ONLY)-ACCRUAL; SOUTH AMERICA-ACCRUAL; SOUTH ASIA-ACCRUAL; SUB-SAHARAN AFRICA-ACCRUAL SCHEDULE F, PART V SCHEDULE F, PART 1, LINE 3(E)(1) PARTICIPATES IN CLINICAL RESEARCH SCHEDULE F, PART V SCHEDULE F, PART 1, LINE 3(E)(2) PARTICIPATES IN CLINICAL RESEARCH true true X true X true X false true true false true true 10671321 10671321 0.00687 345808648 256738325 89070323 0.05736 11507 153726 0 0.0 0 0 356491476 256892051 99741644 0.06423 2395311 2395311 0.00154 835597 835597 0.00054 81752634 63262481 18490153 0.01191 659519 659519 0 0.0 719584 719584 0.00046 0 0 86362645 63922000 22440645 0.01445 0 0 442854121 320814051 122182289 0.07868 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 35490733 126770716 153150299 -26379583 X true true SAN DIEGO IMAGING - KEARNY MESA PROVIDER OF OUTPATIENT IMAGING SERVICES 0.5 0.0 0.5 4 1 SHARP MEMORIAL HOSPITAL 7901 FROST STREET SAN DIEGO CA 92123 https://www.sharp.com/locations/hospitals/sharp-memorial 08000039 X X X 2 SHARP MARY BIRCH HOSPITAL FOR WOMEN AND NEWBORNS 3003 HEALTH CENTER DRIVE SAN DIEGO CA 92123 https://www.sharp.com/locations/hospitals/sharp-mary-birch 08000039 X X 3 SHARP MESA VISTA HOSPITAL 7850 VISTA HILL AVENUE SAN DIEGO CA 92123 https://www.sharp.com/locations/hospitals/sharp-mesa-vista 55000273 X 4 SHARP MCDONALD CENTER 7989 LINDA VISTA ROAD SAN DIEGO CA 92123 https://sharpnet.sharp.com/hospitals/mcdonald/ 08000319 X SHARP MEMORIAL HOSPITAL 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 SHARP MARY BIRCH HOSPITAL FOR WOMEN AND NEWBORNS 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 SHARP MESA VISTA HOSPITAL 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 SHARP MCDONALD 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 MEMORIAL HOSPITAL. IN CONDUCTING ITS FY2025 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 FY2025 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 MEMORIAL HOSPITAL. 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 MEMORIAL HOSPITAL'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 MEMORIAL HOSPITAL, 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 MEMORIAL HOSPITAL. 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 MEMORIAL HOSPITAL. SHARP MEMORIAL 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 MEMORIAL HOSPITAL. THE FY2025 CHNA IDENTIFIED THE FOLLOWING SIGNIFICANT NEEDS FOR THE COMMUNITIES SERVED BY SHARP MEMORIAL (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 MEMORIAL AND THE OTHER HOSPITALS INCLUDED IN THE SHARP METROPOLITAN MEDICAL CAMPUS (SHARP MARY BIRCH HOSPITAL FOR WOMEN & NEWBORNS, SHARP MESA VISTA HOSPITAL, AND SHARP MCDONALD CENTER) ADDRESS IDENTIFIED COMMUNITY NEEDS THROUGH EXISTING PROGRAMS, SERVICES, PARTNERSHIPS, AND COMMUNITY BENEFIT ACTIVITIES THAT ALIGN WITH HOSPITALS' SCOPE OF SERVICES, AVAILABLE RESOURCES, AND OPERATIONAL CAPACITY. COMMUNITY BENEFIT ACTIVITIES ARE INFORMED BY CHNA FINDINGS AND IMPLEMENTED WHERE SHARP MEMORIAL 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 MEMORIAL'S IMPLEMENTATION STRATEGY, AVAILABLE ONLINE AT: HTTPS://WWW.SHARP.COM/ABOUT/HEALTH-NEEDS-ASSESSMENTS. SHARP MEMORIAL RECOGNIZES THAT IT CANNOT DIRECTLY ADDRESS EVERY IDENTIFIED NEED. NEEDS THAT ARE NOT CURRENTLY ADDRESSED THROUGH HOSPITAL LED 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 MEMORIAL 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 MEMORIAL HOSPITAL. THE SHARP METROPOLITAN MEDICAL CAMPUS (SMMC) DOES NOT MAKE PRESUMPTIVE FAP-ELIGIBILITY DETERMINATIONS BASED ON THIRD-PARTY INFORMATION AS DEFINED IN SECTION 501(R)-6(C)(2). INSTEAD, SMMC MAKES REASONABLE EFFORTS BASED ON NOTIFICATION AND PROCESSING OF APPLICATIONS AS DEFINED IN 501(R)-6(C)(3). 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 MARY BIRCH HOSPITAL FOR WOMEN. IN CONDUCTING ITS FY2025 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 FY2025 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 MEMORIAL HOSPITAL. 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 MEMORIAL HOSPITAL'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 MEMORIAL HOSPITAL, 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 MARY BIRCH HOSPITAL FOR WOMEN. 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 MARY BIRCH HOSPITAL FOR WOMEN. SHARP MEMORIAL 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 MARY BIRCH HOSPITAL FOR WOMEN AND NEWBORNS. THE FY2025 CHNA IDENTIFIED THE FOLLOWING SIGNIFICANT NEEDS FOR THE COMMUNITIES SERVED BY SHARP MEMORIAL (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 MEMORIAL AND THE OTHER HOSPITALS INCLUDED IN THE SHARP METROPOLITAN MEDICAL CAMPUS (SHARP MARY BIRCH HOSPITAL FOR WOMEN & NEWBORNS, SHARP MESA VISTA HOSPITAL, AND SHARP MCDONALD CENTER) ADDRESS IDENTIFIED COMMUNITY NEEDS THROUGH EXISTING PROGRAMS, SERVICES, PARTNERSHIPS, AND COMMUNITY BENEFIT ACTIVITIES THAT ALIGN WITH HOSPITALS' SCOPE OF SERVICES, AVAILABLE RESOURCES, AND OPERATIONAL CAPACITY. COMMUNITY BENEFIT ACTIVITIES ARE INFORMED BY CHNA FINDINGS AND IMPLEMENTED WHERE SHARP MEMORIAL 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 MEMORIAL'S IMPLEMENTATION STRATEGY, AVAILABLE ONLINE AT: HTTPS://WWW.SHARP.COM/ABOUT/HEALTH-NEEDS-ASSESSMENTS. SHARP MEMORIAL RECOGNIZES THAT IT CANNOT DIRECTLY ADDRESS EVERY IDENTIFIED NEED. NEEDS THAT ARE NOT CURRENTLY ADDRESSED THROUGH HOSPITAL LED 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 MEMORIAL 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 MARY BIRCH HOSPITAL FOR WOMEN & NEWBORNS. THE SHARP METROPOLITAN MEDICAL CAMPUS (SMMC) DOES NOT MAKE PRESUMPTIVE FAP-ELIGIBILITY DETERMINATIONS BASED ON THIRD-PARTY INFORMATION AS DEFINED IN SECTION 501(R)-6(C)(2). INSTEAD, SMMC MAKES REASONABLE EFFORTS BASED ON NOTIFICATION AND PROCESSING OF APPLICATIONS AS DEFINED IN 501(R)-6(C)(3). 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 MESA VISTA HOSPITAL. IN CONDUCTING ITS FY2025 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 FY2025 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 MEMORIAL HOSPITAL. 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 MEMORIAL HOSPITAL'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 MEMORIAL HOSPITAL, 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 MESA VISTA HOSPITAL. 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 MESA VISTA HOSPITAL. SHARP MEMORIAL 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 MESA VISTA HOSPITAL. THE FY2025 CHNA IDENTIFIED THE FOLLOWING SIGNIFICANT NEEDS FOR THE COMMUNITIES SERVED BY SHARP MEMORIAL (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 MEMORIAL AND THE OTHER HOSPITALS INCLUDED IN THE SHARP METROPOLITAN MEDICAL CAMPUS (SHARP MARY BIRCH HOSPITAL FOR WOMEN & NEWBORNS, SHARP MESA VISTA HOSPITAL, AND SHARP MCDONALD CENTER) ADDRESS IDENTIFIED COMMUNITY NEEDS THROUGH EXISTING PROGRAMS, SERVICES, PARTNERSHIPS, AND COMMUNITY BENEFIT ACTIVITIES THAT ALIGN WITH HOSPITALS' SCOPE OF SERVICES, AVAILABLE RESOURCES, AND OPERATIONAL CAPACITY. COMMUNITY BENEFIT ACTIVITIES ARE INFORMED BY CHNA FINDINGS AND IMPLEMENTED WHERE SHARP MEMORIAL 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 MEMORIAL'S IMPLEMENTATION STRATEGY, AVAILABLE ONLINE AT: HTTPS://WWW.SHARP.COM/ABOUT/HEALTH-NEEDS-ASSESSMENTS. SHARP MEMORIAL RECOGNIZES THAT IT CANNOT DIRECTLY ADDRESS EVERY IDENTIFIED NEED. NEEDS THAT ARE NOT CURRENTLY ADDRESSED THROUGH HOSPITAL LED 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 MEMORIAL 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 MESA VISTA HOSPITAL. THE SHARP METROPOLITAN MEDICAL CAMPUS (SMMC) DOES NOT MAKE PRESUMPTIVE FAP-ELIGIBILITY DETERMINATIONS BASED ON THIRD-PARTY INFORMATION AS DEFINED IN SECTION 501(R)-6(C)(2). INSTEAD, SMMC MAKES REASONABLE EFFORTS BASED ON NOTIFICATION AND PROCESSING OF APPLICATIONS AS DEFINED IN 501(R)-6(C)(3). 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 MCDONALD CENTER. IN CONDUCTING ITS FY2025 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 FY2025 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 MEMORIAL HOSPITAL. 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 MEMORIAL HOSPITAL'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 MEMORIAL HOSPITAL, 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 MCDONALD 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 MCDONALD CENTER. SHARP MEMORIAL 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 MCDONALD CENTER. THE FY2025 CHNA IDENTIFIED THE FOLLOWING SIGNIFICANT NEEDS FOR THE COMMUNITIES SERVED BY SHARP MEMORIAL (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 MEMORIAL AND THE OTHER HOSPITALS INCLUDED IN THE SHARP METROPOLITAN MEDICAL CAMPUS (SHARP MARY BIRCH HOSPITAL FOR WOMEN & NEWBORNS, SHARP MESA VISTA HOSPITAL, AND SHARP MCDONALD CENTER) ADDRESS IDENTIFIED COMMUNITY NEEDS THROUGH EXISTING PROGRAMS, SERVICES, PARTNERSHIPS, AND COMMUNITY BENEFIT ACTIVITIES THAT ALIGN WITH HOSPITALS' SCOPE OF SERVICES, AVAILABLE RESOURCES, AND OPERATIONAL CAPACITY. COMMUNITY BENEFIT ACTIVITIES ARE INFORMED BY CHNA FINDINGS AND IMPLEMENTED WHERE SHARP MEMORIAL 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 MEMORIAL'S IMPLEMENTATION STRATEGY, AVAILABLE ONLINE AT: HTTPS://WWW.SHARP.COM/ABOUT/HEALTH-NEEDS-ASSESSMENTS. SHARP MEMORIAL RECOGNIZES THAT IT CANNOT DIRECTLY ADDRESS EVERY IDENTIFIED NEED. NEEDS THAT ARE NOT CURRENTLY ADDRESSED THROUGH HOSPITAL LED 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 MEMORIAL 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 MCDONALD CENTER. THE SHARP METROPOLITAN MEDICAL CAMPUS (SMMC) DOES NOT MAKE PRESUMPTIVE FAP-ELIGIBILITY DETERMINATIONS BASED ON THIRD-PARTY INFORMATION AS DEFINED IN SECTION 501(R)-6(C)(2). INSTEAD, SMMC MAKES REASONABLE EFFORTS BASED ON NOTIFICATION AND PROCESSING OF APPLICATIONS AS DEFINED IN 501(R)-6(C)(3). 6 SHARP MEMORIAL OUTPATIENT PAVILION 3075 HEALTH CENTER DRIVE SAN DIEGO CA 92123 OUTPATIENT SERVICES BEHAVIORAL HEALTH OUTPATIENT CENTER EL CAJON 1460 EAST MAIN STREET EL CAJON CA 92021 BEHAVIORAL HEALTH OUTPATIENT BEHAVIORAL HEALTH OUTPATIENT CENTER MID CITY 4275 EL CAJON BLVD SUITE 100 SAN DIEGO CA 92123 BEHAVIORAL HEALTH OUTPATIENT RENAL TRANSPLANT CENTER 8010 FROST STREET SUITE 10030 SAN DIEGO CA 92123 OUTPATIENT SERVICES CARDIAC TRANSPLANT 3131 BERGER AVE SAN DIEGO CA 92123 OUTPATIENT SERVICES SAN DIEGO IMAGING - KEARNY MESA 7910 FROST ST SUITE 100 SAN DIEGO CA 92123 IMAGING JOINT VENTURE SCHEDULE H, PART III, LINE 3 SCH H, PART III, LINE 3 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 $190,033,197 MEDICARE ALLOWABLE COSTS REPORTED ON PARTS I AND III $232,919,697 SHORTFALL INCLUDED ON PARTS I AND III ($42,886,500) ACTUAL MEDICARE REVENUE RECEIVED $186,090,059 ACTUAL MEDICARE COST $238,710,574 ACTUAL MEDICARE SHORTFALL ($52,620,515) ADDITIONAL MEDICARE SHORTFALL NOT ON PARTS I AND III ($9,734,015) SCHEDULE H, PART I, LINE 7G 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 $35,490,733 AS BAD DEBT EXPENSE. BAD DEBT EXPENSE IS NETTED AGAINST REVENUE. AS SUCH, $0.00 WAS BACKED OUT OF TOTAL EXPENSES FOR COLUMN (F) CALCULATION. ALSO APPLIES TO SCHEDULE H, PART I, LINE 7, COLUMN F. SCHEDULE H, PART III, LINE 3 BAD DEBT EXPENSE METHODOLOGY NO FIGURE IS REPORTED ON PART III, LINE 3 (ESTIMATED AMOUNT OF THE ORGANIZATION'S BAD DEBT EXPENSE ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER THE ORGANIZATION'S CHARITY CARE POLICY) DUE TO ALL AMOUNTS ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER THE CHARITY CARE POLICY BEING REPORTED AS CHARITY. SCHEDULE H, PART III, LINE 4 BAD DEBT EXPENSE - FINANCIAL STATEMENT FOOTNOTE PATIENT SERVICE REVENUES PATIENT SERVICE REVENUES SHARP HAS AGREEMENTS WITH THIRD-PARTY PAYORS THAT PROVIDE FOR PAYMENTS TO SHARP AT AMOUNTS DIFFERENT FROM ITS ESTABLISHED RATES. PAYMENT ARRANGEMENTS ARE AS FOLLOWS: MEDICARE: INPATIENT ACUTE CARE SERVICES AND OUTPATIENT SERVICES PROVIDED TO MEDICARE PROGRAM BENEFICIARIES ARE PAID AT PROSPECTIVELY DETERMINED RATES PER DIAGNOSIS. SHARP IS PAID FOR COST REIMBURSABLE ITEMS AT A TENTATIVE RATE. PHYSICIAN SERVICES ARE PAID BASED UPON ESTABLISHED FEE SCHEDULES. AMOUNTS RECEIVED FROM THE MEDICARE PROGRAMS FOR HOSPITAL SERVICES ARE SUBJECT TO AUDIT AND FINAL SETTLEMENT BY A MEDICARE ADMINISTRATIVE CONTRACTOR AFTER SUBMISSION OF ANNUAL HOSPITAL COST REPORTS. SHARP'S MEDICARE COST REPORTS HAVE BEEN AUDITED GENERALLY THROUGH SEPTEMBER 30, 2021. THE ESTIMATED NET SETTLEMENT PAYABLES ARE $7,607,000 AND $32,000 AT SEPTEMBER 30, 2025, AND 2024, RESPECTIVELY, AND ADJUSTMENTS PERTAINING TO PRIOR YEAR COST REPORTS RESULTED IN REDUCED REVENUE OF $1,322,000 AND ADDITIONAL REVENUE OF $14,025,000 FOR THE YEARS ENDED SEPTEMBER 30, 2025, AND 2024, RESPECTIVELY. MEDI-CAL: INPATIENT AND OUTPATIENT SERVICES PROVIDED TO MEDI-CAL PROGRAM BENEFICIARIES ARE PAID EITHER UNDER CONTRACTED RATES OR COST-REIMBURSABLE ITEMS AT A TENTATIVE RATE. SERVICES ARE GENERALLY PAID AT PROSPECTIVELY DETERMINED RATES PER DISCHARGE, PER OCCASION OF SERVICE, OR PER COVERED MEMBER. AMOUNTS RECEIVED FROM MEDI-CAL PROGRAMS ARE SUBJECT TO AUDIT AND FINAL SETTLEMENT BY THE CALIFORNIA DEPARTMENT OF HEALTH CARE SERVICES AFTER SUBMISSION OF ANNUAL COST REPORTS. SHARP'S MEDI-CAL COST REPORTS HAVE BEEN AUDITED GENERALLY THROUGH SEPTEMBER 30, 2023. THE ESTIMATED NET SETTLEMENT PAYABLES WERE $1,489,000 AND $3,644,000 AT SEPTEMBER 30, 2025, AND 2024, RESPECTIVELY. ADJUSTMENTS PERTAINING TO PRIOR YEAR COST REPORTS RESULTED IN ADDITIONAL REVENUE OF $3,032,000 AND $8,892,000 FOR THE YEARS ENDED SEPTEMBER 30, 2025, AND 2024, RESPECTIVELY. COMMERCIAL: INPATIENT AND OUTPATIENT SERVICES PROVIDED TO PATIENTS COVERED UNDER COMMERCIAL INSURANCE POLICIES ARE PAID USING A VARIETY OF PAYMENT METHODOLOGIES BASED ON CONTRACTUAL AGREEMENTS. THE TRANSACTION PRICE FOR COMMERCIAL PAYORS IS REDUCED BY EXPLICIT CONTRACTUAL ADJUSTMENTS AND IMPLICIT PRICE CONCESSIONS BASED ON COLLECTION HISTORY WITH THIS PORTFOLIO OF PATIENTS. OTHER: INPATIENT AND OUTPATIENT SERVICES PROVIDED TO PATIENTS NOT COVERED BY THIRD-PARTY PAYORS ARE PAID BASED ON SHARP'S POLICIES AND THE PATIENT'S ABILITY TO PAY. SHARP REDUCES THE TRANSACTION PRICE BY IMPLICIT PRICE CONCESSIONS TO UNINSURED PATIENTS AND PATIENTS WITH UNINSURED BALANCES, SUCH AS COPAYS AND DEDUCTIBLES. THE IMPLICIT PRICE CONCESSIONS INCLUDED IN ESTIMATING THE TRANSACTION PRICE REPRESENT THE DIFFERENCE BETWEEN AMOUNTS BILLED TO PATIENTS AND THE AMOUNTS SHARP EXPECTS TO COLLECT BASED ON ITS COLLECTION HISTORY WITH THIS PORTFOLIO OF PATIENTS. SUBSEQUENT CHANGES TO THE ESTIMATES ARE CONSIDERED VARIABLE CONSIDERATION AND ARE INCLUDED IN PATIENT SERVICE REVENUES WHEN INFORMATION BECOMES AVAILABLE. AS PART OF ITS PATIENT SERVICE REVENUE ANALYSIS, SHARP EXAMINES THE FLUCTUATIONS IN PAYOR AND ENTITY TYPE, AS EACH FACTOR REPRESENTS A VARYING DEGREE OF UNCERTAINTY REGARDING THE NATURE, TIMING, AND EXTENT OF PAYMENTS. SCHEDULE H, PART III, LINE 8 COMMUNITY BENEFIT & METHODOLOGY FOR DETERMINING MEDICARE COSTS MEDICARE SHOULD BE INCLUDED AS A COMMUNITY BENEFIT BECAUSE PARTICIPATION IN THE MEDICARE PROGRAM REQUIRES ALL PATIENTS BE ACCEPTED WHETHER THROUGH THE EMERGENCY ROOM OR AS A REFERRAL AND SHARP MEMORIAL HOSPITAL 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 MEMORIAL HOSPITAL: LINE 16A URL: HTTPS://WWW.SHARP.COM/PATIENT/BILLING/FINANCIAL-ASSISTANCE.CFM; - SHARP MARY BIRCH HOSPITAL FOR WOMEN AND NEWBORNS: LINE 16A URL: HTTPS://WWW.SHARP.COM/PATIENT/BILLING/FINANCIAL-ASSISTANCE.CFM; - SHARP MESA VISTA HOSPITAL: LINE 16A URL: HTTPS://WWW.SHARP.COM/PATIENT/BILLING/FINANCIAL-ASSISTANCE.CFM; - SHARP MCDONALD 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 MEMORIAL HOSPITAL: LINE 16B URL: HTTPS://WWW.SHARP.COM/PATIENT/BILLING/FINANCIAL-ASSISTANCE.CFM; - SHARP MARY BIRCH HOSPITAL FOR WOMEN AND NEWBORNS: LINE 16B URL: HTTPS://WWW.SHARP.COM/PATIENT/BILLING/FINANCIAL-ASSISTANCE.CFM; - SHARP MESA VISTA HOSPITAL: LINE 16B URL: HTTPS://WWW.SHARP.COM/PATIENT/BILLING/FINANCIAL-ASSISTANCE.CFM; - SHARP MCDONALD 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 MEMORIAL HOSPITAL: LINE 16C URL: HTTPS://WWW.SHARP.COM/PATIENT/BILLING/FINANCIAL-ASSISTANCE.CFM; - SHARP MARY BIRCH HOSPITAL FOR WOMEN AND NEWBORNS: LINE 16C URL: HTTPS://WWW.SHARP.COM/PATIENT/BILLING/FINANCIAL-ASSISTANCE.CFM; - SHARP MESA VISTA HOSPITAL: LINE 16C URL: HTTPS://WWW.SHARP.COM/PATIENT/BILLING/FINANCIAL-ASSISTANCE.CFM; - SHARP MCDONALD 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 METROPOLITAN MEDICAL CENTER INCLUDES SHARP MEMORIAL, SHARP MARY BIRCH HOSPITAL FOR WOMEN & NEWBORNS (SHARP MARY BIRCH), SHARP MESA VISTA HOSPITAL (SHARP MESA VISTA), AND SHARP MCDONALD CENTER. THESE ENTITIES ALSO SOLICIT 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 MEMORIAL, SHARP MARY BIRCH, AND SHARP MESA 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 MEMORIAL 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 MEMORIAL, SHARP MARY BIRCH, AND SHARP MESA VISTA/MCDONALD CENTER FY 2026-FY 2029 IMPLEMENTATION STRATEGIES, 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 MEMORIAL HOSPITAL SERVES RESIDENTS THROUGHOUT SAN DIEGO COUNTY, WITH A PRIMARY SERVICE AREA THAT INCLUDES THE CITY OF SAN DIEGO, CHULA VISTA, EAST COUNTY COMMUNITIES, AND NORTH INLAND COMMUNITIES. AS A REGIONAL REFERRAL CENTER AND PROVIDER OF SPECIALIZED TERTIARY AND QUATERNARY SERVICES, INCLUDING TRAUMA, TRANSPLANT, CANCER, CARDIOVASCULAR, REHABILITATION, AND OTHER SPECIALTY SERVICES, THE HOSPITAL SERVES PATIENTS FROM ACROSS SAN DIEGO COUNTY AND NEIGHBORING COMMUNITIES. THE SERVICE AREA IS SOCIOECONOMICALLY AND CULTURALLY DIVERSE AND INCLUDES URBAN, SUBURBAN, AND MEDICALLY UNDERSERVED NEIGHBORHOODS. THE POPULATION SERVED INCLUDES INDIVIDUALS FROM A BROAD RANGE OF RACIAL, ETHNIC, LINGUISTIC, AND SOCIOECONOMIC BACKGROUNDS. BASED ON DEMOGRAPHIC INFORMATION EVALUATED AS PART OF THE FY2025 COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA), THE COMMUNITIES SERVED BY SHARP MEMORIAL HOSPITAL INCLUDE RACIALLY, ETHNICALLY, LINGUISTICALLY, AND SOCIOECONOMICALLY DIVERSE POPULATIONS. THE CHNA IDENTIFIED COMMUNITIES EXPERIENCING HEALTH INEQUITIES AND ECONOMIC HARDSHIP, INCLUDING LOW-INCOME HOUSEHOLDS, UNINSURED AND UNDERINSURED INDIVIDUALS, MEDI-CAL BENEFICIARIES, LIMITED-ENGLISH-PROFICIENCY POPULATIONS, RACIAL AND ETHNIC MINORITY POPULATIONS, OLDER ADULTS, INDIVIDUALS WITH DISABILITIES, AND OTHER MEDICALLY UNDERSERVED RESIDENTS. THE CHNA ALSO EVALUATED DEMOGRAPHIC INDICATORS INCLUDING POPULATION CHARACTERISTICS, HOUSEHOLD INCOME, POVERTY LEVELS, EDUCATIONAL ATTAINMENT, HEALTH INSURANCE COVERAGE, AND OTHER SOCIAL DETERMINANTS OF HEALTH TO IDENTIFY POPULATIONS EXPERIENCING DISPROPORTIONATE HEALTH AND SOCIAL NEEDS. AS PART OF ITS FY2025 COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA), SHARP MEMORIAL HOSPITAL EVALUATED DEMOGRAPHIC, SOCIOECONOMIC, PUBLIC HEALTH, AND COMMUNITY INPUT DATA TO IDENTIFY POPULATIONS EXPERIENCING THE GREATEST HEALTH INEQUITIES. THE ASSESSMENT INCORPORATED FINDINGS FROM THE COUNTYWIDE CHNA CONDUCTED BY THE HOSPITAL ASSOCIATION OF SAN DIEGO AND IMPERIAL COUNTIES (HASD&IC), AS WELL AS SUPPLEMENTAL ENGAGEMENT ACTIVITIES CONDUCTED BY SHARP HEALTHCARE. COMMUNITY INPUT WAS OBTAINED THROUGH SURVEYS, FOCUS GROUPS, FIELD INTERVIEWS, KEY INFORMANT INTERVIEWS, AND COLLABORATION WITH PUBLIC HEALTH AGENCIES, COMMUNITY ORGANIZATIONS, AND OTHER STAKEHOLDERS THROUGHOUT SAN DIEGO COUNTY. THE CHNA ENGAGED NEARLY 1,900 COMMUNITY MEMBERS AND INCORPORATED FEEDBACK FROM INDIVIDUALS REPRESENTING DIVERSE BACKGROUNDS AND COMMUNITIES. THE ASSESSMENT IDENTIFIED MEDICALLY UNDERSERVED, LOW-INCOME, MINORITY, UNINSURED, UNDERINSURED, AND OTHER VULNERABLE POPULATIONS THROUGHOUT SAN DIEGO COUNTY. COMMUNITY PARTNERS INCLUDED PUBLIC HEALTH AGENCIES, FEDERALLY QUALIFIED HEALTH CENTERS, REFUGEE-SERVING ORGANIZATIONS, COMMUNITY HEALTH WORKER AND PROMOTORES NETWORKS, SOCIAL SERVICE ORGANIZATIONS, BEHAVIORAL HEALTH PROVIDERS, AND ORGANIZATIONS SERVING INDIVIDUALS EXPERIENCING HOMELESSNESS, FOOD INSECURITY, HOUSING INSTABILITY, AND OTHER SOCIAL AND ECONOMIC CHALLENGES. THE CHNA ALSO INCLUDED INPUT FROM REFUGEE AND IMMIGRANT COMMUNITIES, COMMUNITIES EXPERIENCING HEALTH DISPARITIES, INDIVIDUALS WITH BEHAVIORAL HEALTH NEEDS, AND POPULATIONS FACING BARRIERS TO ACCESSING HEALTH CARE SERVICES. SHARP MEMORIAL HOSPITAL'S COMMUNITY HEALTH PLANNING EFFORTS ARE INFORMED BY DEMOGRAPHIC INFORMATION, PUBLIC HEALTH INDICATORS, COMMUNITY INPUT, QUANTITATIVE HEALTH DATA, AND ANALYSES OF HEALTH INEQUITIES THROUGHOUT SAN DIEGO COUNTY. THE HOSPITAL USES THESE DATA TO IDENTIFY PRIORITY HEALTH NEEDS AND DEVELOP PROGRAMS AND SERVICES DESIGNED TO IMPROVE HEALTH OUTCOMES, REDUCE HEALTH DISPARITIES, IMPROVE ACCESS TO CARE, AND ADDRESS SOCIAL DRIVERS OF HEALTH AFFECTING VULNERABLE POPULATIONS. PRIORITY NEEDS IDENTIFIED THROUGH THE CHNA INCLUDE CHRONIC STRESS, MANAGEMENT OF HEALTH CONDITIONS, ACCESS TO CARE, BEHAVIORAL HEALTH NEEDS, SUPPORT FOR PERSONS WITH DISABILITIES, AND IMPROVED COORDINATION OF HEALTH AND SOCIAL SERVICES. RESIDENTS OF THE SERVICE AREA HAVE ACCESS TO HEALTH CARE SERVICES THROUGH SHARP MEMORIAL HOSPITAL AS WELL AS NUMEROUS ACUTE CARE, SPECIALTY, BEHAVIORAL HEALTH, CHILDREN'S, MILITARY, AND PUBLIC HOSPITALS SERVING SAN DIEGO COUNTY. THE COUNTYWIDE CHNA INCLUDED PARTICIPATION FROM SHARP HEALTHCARE, UC SAN DIEGO HEALTH, SCRIPPS HEALTH, KAISER PERMANENTE, PALOMAR HEALTH, RADY CHILDREN'S HOSPITAL SAN DIEGO, TRI-CITY MEDICAL CENTER, VA SAN DIEGO HEALTHCARE SYSTEM, AND OTHER PUBLIC, PRIVATE, SPECIALTY, BEHAVIORAL HEALTH, AND DISTRICT HOSPITALS SERVING THE REGION. 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 MEMORIAL HAS BEEN A PART OF SAN DIEGO HEALTH CARE HISTORY FOR MORE THAN 50 YEARS; SHARP MARY BIRCH DELIVERS MORE BABIES THAN ANY OTHER PRIVATE HOSPITAL IN CALIFORNIA; SHARP MESA VISTA IS THE LARGEST PRIVATE FREESTANDING PSYCHIATRIC HOSPITAL IN CALIFORNIA; AND SHARP MCDONALD CENTER IS SDC'S ONLY LICENSED CHEMICAL DEPENDENCY RECOVERY HOSPITAL. 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 ALZHEIMER'S SAN DIEGO 6632 CONVOY SAN DIEGO CA 92111 475534541 501(C)(3) 31500 2025 PARTNERSHIP ALZHEIMER'S ASSOCIATION 591 CAMINO DE LA REINA 720 SAN DIEGO CA 92108 133039601 501(C)(3) 10000 2025 BRAIN AWARENESS SPONSORSHIP AMERICAN HEART ASSOCIATION 9404 GENESEE AVENUE STE 240 LA JOLLA CA 92037 135613797 501(C)(3) 15000 2025 PLEDGE FOR GO RED FOR WOMEN CALIFORNIA HEALTH FOUNDATION & TRUST 1215 K STREET SUITE 800 SAN DIEGO CA 92111 941498697 501(C)(3) 659611 MEDI-CAL PROGRAM 4 0 HEADNORTH GRANTS 30 74487 2024 HASSIDIM SCHOLARSHIP 2 4000 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 PATRICIA KHALEGHI SVP MARKET CEO 0 918113 0 252066 0 70064 0 13259 0 24494 0 1277996 0 0 CHRISTOPHER WALKER DIRECTOR, COO 0 352400 0 88685 0 32564 0 27281 0 23504 0 524434 0 0 BRETT G MCCLAIN FORMER OFFICER 0 1350460 0 396681 0 33062 0 0 0 18507 0 1798710 0 0 SUSAN GREEN EVP & CFO SHC 0 957624 0 434717 0 28914 0 0 0 15484 0 1436739 0 0 ANTHONY GUERRA CHIEF FINANCE-MARKET GROWTH OFFICER-SMH 0 373927 0 94557 0 16670 0 25816 0 23589 0 534559 0 0 RICK L GROSSMAN SVP GENERAL COUNSEL 0 1118886 0 268107 0 52718 0 0 0 11502 0 1451213 0 0 MARIA COLOMBO CNO SPECIALTY HOSP 0 304698 0 82170 0 45124 0 32378 0 17492 0 481862 0 0 GREGORY BLANK CHIEF ADMINISTRATIVE OFFICER 0 309342 0 72370 0 622 0 14765 0 10599 0 407698 0 0 JULIE ABRAHAM DIR PHARMACY 0 224380 0 49919 0 993 0 15480 0 21179 0 311951 0 0 LENY FLORES-LIM LD CLINICAL NURSE 0 329088 0 0 0 8881 0 27624 0 22392 0 387985 0 0 KATHLEEN V KRACHT DIR SURGICAL CARE 0 273941 0 43079 0 666 0 19451 0 22748 0 359885 0 0 FADI NICOLAS CMO SHARP BEHAVIORAL HEALTH 0 482053 0 111324 0 25621 0 18463 0 23672 0 661133 0 0 CHRISTIANA PAUL VP PATIENT CARE CONTINUUM 0 208625 0 58701 0 115088 0 16145 0 23688 0 422247 0 0 THOMAS LAWRIE CHIEF MEDICAL OFFICER 0 402418 0 106975 0 25244 0 17766 0 23573 0 575976 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 SEPTEMBER 2025, RESULTS PRESENTED TO COMPENSATION COMMITTEE IN NOVEMBER 2025, CONSULTANTS' OPINION LETTER PRESENTED TO COMPENSATION COMMITTEE IN JANUARY 2026. SCHEDULE J, PART I, LINE 4B SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN SHARP HEALTHCARE ("COMPANY") SPONSORS AN EXECUTIVE FLEXIBLE BENEFIT PLAN ("PLAN") TO PROVIDE DESIGNATED EXECUTIVES WITH A REASONABLE LEVEL OF BENEFITS IN RETURN FOR THEIR CONTINUED EMPLOYMENT WITH THE COMPANY. THE PLAN IS ADMINISTERED ON A PLAN YEAR BASIS OF JANUARY 1 TO DECEMBER 31. CHANGES IN FLEXIBLE BENEFIT OPTIONS ARE PERMITTED ANNUALLY, EFFECTIVE JANUARY 1 OF THE NEW PLAN YEAR. THE PROVISIONS OF THE PLAN, WHICH WERE RESTATED EFFECTIVE AS OF DECEMBER 31, 2008, ARE DESCRIBED BELOW AS RESTATED. THE PLAN IS AVAILABLE TO THE CHIEF EXECUTIVE OFFICER, EXECUTIVE VICE PRESIDENT OF HOSPITAL OPERATIONS, AND SENIOR VICE PRESIDENTS. THE FLEXIBLE BENEFIT ALLOWANCE AVAILABLE TO EACH PARTICIPANT EACH PLAN YEAR SHALL EQUAL THE SUM OF THE FOLLOWING: - A COMPANY PROVIDED BASE ALLOWANCE EQUAL TO 18% OF THE PARTICIPANT'S BASE SALARY - A PARTICIPANT DEFERRAL UP TO 6% OF THE PARTICIPANT'S PRE-TAX BASE SALARY FOR SUCH PLAN YEAR AS ELECTED BY THE PARTICIPANT - A COMPANY MATCH SHOULD THE PARTICIPANT MAKE AN ELECTIVE DEFERRAL FOR A PLAN YEAR. THE COMPANY MATCH BEGINS AT 2% FOR THE FIRST 1% ELECTIVE DEFERRAL AND INCREASES 0.5% FOR EACH ADDITIONAL 1% ELECTIVE DEFERRAL, TO A MAXIMUM MATCH OF 4.5% ON A 6% ELECTIVE DEFERRAL. THE PLAN ALLOWS PARTICIPANTS TO USE THE FLEXIBLE BENEFIT ALLOWANCE TO PURCHASE ADDITIONAL LONG-TERM DISABILITY COVERAGE, LONG-TERM CARE COVERAGE, AND FLEXIBLE SURVIVOR COVERAGE/ACCUMULATION BENEFITS (LIFE INSURANCE). PARTICIPANTS IN THE FLEXIBLE SURVIVOR COVERAGE/ACCUMULATION BENEFITS PLAN PREVIOUSLY COULD ELECT TO APPLY FLEXIBLE BENEFIT ALLOWANCE TO ACQUIRE ADDITIONAL SURVIVOR COVERAGE, OR TOWARD DEPOSITS TO THE SUPPLEMENTAL SURVIVOR ACCUMULATION BENEFIT PLAN ("SSAB") TO FUND POST-RETIREMENT SURVIVOR BENEFITS, SUBJECT TO THE ERISA LIMIT PROVIDED THEIR POLICIES WERE ISSUED PRIOR TO SEPTEMBER 18, 2003. THE COMPANY SHALL AUTOMATICALLY CONTINUE WHATEVER ELECTIVE COVERAGE AND ADDITIONAL DEPOSIT ELECTIONS THAT WERE IN PLACE FOR THE SSAB DURING THE 2008 PLAN YEAR. NO ELECTIVE COVERAGE OR ADDITIONAL DEPOSITS WERE AVAILABLE TO PARTICIPANTS WHOSE POLICIES WERE ISSUED ON OR AFTER SEPTEMBER 18, 2003. ANY FLEXIBLE BENEFIT ALLOWANCE THAT REMAINS AFTER PURCHASING THESE ADDITIONAL COVERAGES SHALL BE PAID TO THE PARTICIPANT IN CASH IN EQUAL INSTALLMENTS THROUGHOUT THE PLAN YEAR, NOT LESS FREQUENTLY THAN QUARTERLY. IF THE PARTICIPANT SEPARATES FROM SERVICE DURING THE PLAN YEAR, THE PARTICIPANT FORFEITS ANY UNPAID ALLOWANCE. DURING THE YEAR ENDED DECEMBER 31, 2024, THERE WERE NO DISTRIBUTIONS FROM THE PLAN. FORM 990, PART III, LINE 1 MISSION STATENMENT THE CORPORATION SHALL, AT ALL TIMES, OPERATE A HOSPITAL UNDER THE NAME DONALD N. SHARP MEMORIAL COMMUNITY HOSPITAL. THE PURPOSE OF THE CORPORATION SHALL BE TO PROMOTE AND TO OVERSEE THE QUALITY OF CARE RENDERED IN THE HOSPITAL; TO ACT AS THE GOVERNING BOARD AUTHORITY IN MATTERS OF MEDICAL STAFF RELATIONS, CLINICAL ISSUES, CREDENTIALING, PHYSICIAN DISCIPLINE AND JOINT COMMISSION ON ACCREDITATION OF HOSPITAL REQUIREMENTS; AND TO ESTABLISH POLICIES TO SUPPORT THOSE PURPOSES. FORM 990, PART III, LINE 4A COMMUNITY BENEFIT REPORT SEE THE FULL SHARP HEALTHCARE ANNUAL COMMUNITY BENEFIT PLAN AND REPORT AT: HTTPS://WWW.SHARP.COM/ABOUT/COMMUNITY/COMMUNITY-BENEFITS/BENEFIT-REPORT.CFM OVERVIEW OF SHARP HEALTHCARE SHARP HEALTHCARE (SHARP) IS AN INTEGRATED, REGIONAL HEALTH CARE DELIVERY SYSTEM BASED IN SAN DIEGO, CALIFORNIA. THE SHARP SYSTEM INCLUDES FOUR ACUTE CARE HOSPITALS, FIVE SPECIALTY HOSPITALS, THREE AFFILIATED MEDICAL GROUPS, TWENTY-SEVEN MEDICAL CLINICS, SIX URGENT CARE CENTERS, THREE SKILLED NURSING FACILITIES, TWO INPATIENT REHABILITATION CENTERS, A HOSPICE PROGRAM, HOME INFUSION SERVICES, NUMEROUS OUTPATIENT FACILITIES AND PROGRAMS, AND THREE CHARITABLE FOUNDATIONS. SHARP ALSO OFFERS INDIVIDUAL AND GROUP HMO COVERAGE THROUGH SHARP HEALTH PLAN. SERVING A POPULATION OF APPROXIMATELY 3.3 MILLION IN SAN DIEGO COUNTY (SDC), AS OF SEPTEMBER 30, 2025, SHARP IS LICENSED TO OPERATE 2,230 BEDS AND HAS APPROXIMATELY 2,800 SHARP-AFFILIATED PHYSICIANS AND MORE THAN 20,000 EMPLOYEES. MISSION IT IS SHARP HEALTHCARE'S MISSION TO IMPROVE THE HEALTH OF THOSE WE SERVE WITH A COMMITMENT TO EXCELLENCE IN ALL THAT WE DO. SHARP'S GOAL IS TO OFFER QUALITY CARE AND SERVICES THAT SET COMMUNITY STANDARDS, EXCEED PATIENTS' EXPECTATIONS AND ARE PROVIDED IN A CARING, CONVENIENT, COST-EFFECTIVE AND ACCESSIBLE MANNER. VISION SHARP HEALTHCARE'S VISION IS TO TRANSFORM THE HEALTH CARE EXPERIENCE AND BE THE BEST PLACE TO WORK, THE BEST PLACE TO PRACTICE MEDICINE AND THE BEST PLACE TO RECEIVE CARE. SHARP IS DEDICATED TO BECOMING THE BEST HEALTH SYSTEM IN THE UNIVERSE. CORE VALUES INTEGRITY, CARING, SAFETY, INNOVATION AND EXCELLENCE. SUMMARY THIS SUMMARY PROVIDES AN OVERVIEW OF COMMUNITY BENEFIT PLANNING AT SHARP HEALTHCARE (SHARP), A LISTING OF COMMUNITY NEEDS ADDRESSED IN THIS COMMUNITY BENEFIT PLAN AND REPORT AND A SUMMARY OF COMMUNITY BENEFIT PROGRAMS AND SERVICES PROVIDED BY SHARP IN FISCAL YEAR (FY) 2025 (OCT. 1, 2024, THROUGH SEPT. 30, 2025). IN ADDITION, THE SUMMARY REPORTS THE ECONOMIC VALUE OF COMMUNITY BENEFIT PROVIDED BY SHARP, ACCORDING TO THE FRAMEWORK SPECIFICALLY IDENTIFIED IN SENATE BILL 697 (SB 697), FOR THE FOLLOWING ENTITIES: SHARP CHULA VISTA MEDICAL CENTER (EIN 95-2367304) SHARP CORONADO HOSPITAL AND HEALTHCARE CENTER (EIN 95-0651579) SHARP GROSSMONT HOSPITAL (EIN 33-0449527) SHARP MARY BIRCH HOSPITAL FOR WOMEN & NEWBORNS (EIN 95-3782169) SHARP MEMORIAL HOSPITAL (EIN 95-3782169) SHARP MESA VISTA HOSPITAL AND SHARP MCDONALD CENTER (EIN 95-3782169) SHARP HEALTH PLAN (EIN 33-0519730) COMMUNITY BENEFIT PLANNING AT SHARP HEALTHCARE SHARP HEALTHCARE BASES ITS COMMUNITY BENEFIT PLANNING ON ITS TRIENNIAL COMMUNITY HEALTH NEEDS ASSESSMENTS (CHNAS), COMBINED WITH EXPERTISE IN PROGRAMS AND SERVICES OF EACH SHARP HOSPITAL AND COLLABORATION WITH COMMUNITY PARTNERS. COMMUNITY NEEDS ADDRESSED IN THE SHARP HEALTHCARE COMMUNITY BENEFIT PLAN AND REPORT FOR FY 2025 INCLUDE: * ACCESS TO CARE AND FINANCIAL SUPPORT FOR UNINSURED AND UNDERINSURED COMMUNITY MEMBERS AND INDIVIDUALS WITHOUT A MEDICAL PROVIDER * PROGRAMS AND SERVICES THAT PROVIDE COMMUNITY AND SOCIAL SUPPORT TO ADDRESS HEALTH EQUITY CHALLENGES AND CHRONIC STRESS * EDUCATION, SCREENING AND SUPPORT PROGRAMS FOR CHRONIC HEALTH CONDITIONS, INCLUDING HEART AND VASCULAR DISEASE, STROKE, CANCER, DIABETES AND OBESITY * BEHAVIORAL HEALTH AND SUBSTANCE USE EDUCATION, SCREENING AND SUPPORT FOR AT RISK POPULATIONS * WOMEN'S AND PRENATAL/POSTNATAL HEALTH SERVICES, SUPPORT AND EDUCATION * AGING CARE AND SUPPORT PROGRAMS, INCLUDING EDUCATION AND SCREENING FOR OLDER ADULTS AND CAREGIVERS * SAFETY AND SUPPORT PROGRAMS FOR PEOPLE WITH DISABILITIES * END OF LIFE AND ADVANCE CARE PLANNING SERVICES * SUPPORT FOR COMMUNITY NONPROFIT HEALTH AND SOCIAL SERVICE ORGANIZATIONS * EDUCATION AND TRAINING FOR COMMUNITY HEALTH CARE PROFESSIONALS * STUDENT AND INTERN SUPERVISION, EDUCATION AND SUPPORT * COLLABORATION WITH LOCAL SCHOOLS TO PROMOTE INTEREST IN AND PATHWAYS TO HEALTH CARE CAREERS * PARTICIPATION IN CLINICAL TRIALS AND HEALTH RESEARCH ECONOMIC VALUE OF COMMUNITY BENEFIT PROVIDED IN FY 2025 IN FY 2025, SHARP PROVIDED A TOTAL OF $751,654,612 IN COMMUNITY BENEFIT PROGRAMS AND UNREIMBURSED SERVICES. THESE FINANCIAL FIGURES REPRESENT UNREIMBURSED COMMUNITY BENEFIT COSTS AFTER THE IMPACT OF THE MEDI-CAL HOSPITAL FEE PROGRAM. ECONOMIC VALUE OF COMMUNITY BENEFIT PROVIDED IN FY 2025 BY SB 697 CATEGORY AND BY SHARP ENTITY WAS AS FOLLOWS: SHARP CHULA VISTA MEDICAL CENTER: MEDICAL CARE SERVICES - $146,019,667 OTHER BENEFITS FOR VULNERABLE POPULATIONS - $355,640 OTHER BENEFITS FOR THE BROADER COMMUNITY - $226,508 HEALTH RESEARCH, EDUCATION AND TRAINING PROGRAMS - $696,317 TOTAL - $147,298,132 SHARP CORONADO HOSPITAL AND HEALTHCARE CENTER: MEDICAL CARE SERVICES - $30,622,120 OTHER BENEFITS FOR VULNERABLE POPULATIONS - $146,120 OTHER BENEFITS FOR THE BROADER COMMUNITY - $261,541 HEALTH RESEARCH, EDUCATION AND TRAINING PROGRAMS - $69,401 TOTAL - $31,099,182 SHARP GROSSMONT HOSPITAL: MEDICAL CARE SERVICES - $228,058,739 OTHER BENEFITS FOR VULNERABLE POPULATIONS - $1,449,818 OTHER BENEFITS FOR THE BROADER COMMUNITY - $647,551 HEALTH RESEARCH, EDUCATION AND TRAINING PROGRAMS - $846,982 TOTAL - $231,003,090 SHARP MARY BIRCH HOSPITAL FOR WOMEN & NEWBORNS: MEDICAL CARE SERVICES - $22,718,293 OTHER BENEFITS FOR VULNERABLE POPULATIONS - $45,755 OTHER BENEFITS FOR THE BROADER COMMUNITY - $486,399 HEALTH RESEARCH, EDUCATION AND TRAINING PROGRAMS - $132,678 TOTAL - $23,383,125 SHARP MEMORIAL HOSPITAL: MEDICAL CARE SERVICES - $288,513,237 OTHER BENEFITS FOR VULNERABLE POPULATIONS - $824,871 OTHER BENEFITS FOR THE BROADER COMMUNITY - $717,096 HEALTH RESEARCH, EDUCATION AND TRAINING PROGRAMS - $1,234,438 TOTAL - $291,289,642 SHARP MESA VISTA HOSPITAL AND SHARP MCDONALD CENTER: MEDICAL CARE SERVICES - $26,189,296 OTHER BENEFITS FOR VULNERABLE POPULATIONS - $1,104,630 OTHER BENEFITS FOR THE BROADER COMMUNITY - $66,036 HEALTH RESEARCH, EDUCATION AND TRAINING PROGRAMS - $147,208 TOTAL - $27,507,170 SHARP HEALTH PLAN: OTHER BENEFITS FOR VULNERABLE POPULATIONS - $28,716 OTHER BENEFITS FOR THE BROADER COMMUNITY - $41,805 HEALTH RESEARCH, EDUCATION AND TRAINING PROGRAMS - $3,750 TOTAL - $74,271 PROGRAM EXAMPLES * MEDICAL CARE SERVICES INCLUDED UNCOMPENSATED CARE FOR PATIENTS WHO ARE UNABLE TO PAY FOR SERVICES AND THE UNREIMBURSED COSTS OF PUBLIC PROGRAMS, SUCH AS MEDI-CAL, MEDICARE, COUNTY MEDICAL SERVICES, CIVILIAN HEALTH AND MEDICAL PROGRAM OF THE DEPARTMENT OF VETERANS AFFAIRS (CHAMPVA) AND TRICARE. * OTHER BENEFITS FOR VULNERABLE POPULATIONS INCLUDED VAN TRANSPORTATION FOR PATIENTS TO AND FROM MEDICAL APPOINTMENTS; EDUCATION AND FLU VACCINATIONS FOR OLDER ADULTS; TELEPHONE REASSURANCE AND SAFETY-CHECK PROGRAM FOR ISOLATED OR HOMEBOUND OLDER ADULTS AND INDIVIDUALS WITH DISABILITIES; FINANCIAL AND OTHER SUPPORT TO COMMUNITY CLINICS TO PROVIDE AND IMPROVE ACCESS TO HEALTH SERVICES; PROJECT HELP; CONTRIBUTION OF TIME TO COMMUNITY-BASED ORGANIZATIONS, SUCH AS LOCAL FOOD BANKS; THE SHARP HUMANITARIAN SERVICE PROGRAM; AND SUPPORT SERVICES FOR PATIENTS EXPERIENCING HOMELESSNESS AND OTHER BARRIERS TO ACCESSING CARE. * OTHER BENEFITS FOR THE BROADER COMMUNITY INCLUDED HEALTH EDUCATION AND INFORMATION PROVIDED ON-SITE, VIRTUALLY AND IN PARTNERSHIP WITH COMMUNITY-BASED ORGANIZATIONS; PARTICIPATION IN COMMUNITY HEALTH FAIRS AND EVENTS ADDRESSING UNIQUE COMMUNITY NEEDS; HEALTH SCREENINGS; AND SUPPORT GROUPS. SHARP ALSO COLLABORATED WITH LOCAL SCHOOLS TO PROMOTE INTEREST IN HEALTH CARE CAREERS. SHARP EXECUTIVE LEADERSHIP AND STAFF ALSO PARTICIPATED IN NUMEROUS COMMUNITY ORGANIZATIONS, COMMITTEES AND COALITIONS TO IMPROVE COMMUNITY HEALTH. IN ADDITION, THE CATEGORY INCLUDED COSTS ASSOCIATED WITH PLANNING AND OPERATING COMMUNITY BENEFIT PROGRAMS, SUCH AS CHNA DEVELOPMENT AND ADMINISTRATION. * HEALTH RESEARCH, EDUCATION AND TRAINING PROGRAMS INCLUDED EDUCATION AND TRAINING FOR MEDICAL, NURSING AND OTHER HEALTH CARE STUDENTS AND PROFESSIONALS, AS WELL AS SUPERVISION AND SUPPORT FOR STUDENTS AND INTERNS. TIME WAS ALSO DEVOTED TO GENERALIZABLE, HEALTH-RELATED RESEARCH PROJECTS THAT WERE MADE AVAILABLE TO THE BROADER HEALTH CARE COMMUNITY. FORM 990, PART IV, LINE 24A PART IV, LINE 24A TAX EXEMPT BONDS ARE ISSUED FOR THE SHARP HEALTHCARE OBLIGATED GROUP. AS A RESULT, THE TAX EXEMPT BOND BALANCES ARE REPORTED ON THE SHARP HEALTHCARE RETURN (EIN 95-6077327). THIS ORGANIZATION'S ALLOCATED PORTION IS INCLUDED IN PART X, LINE 25. FORM 990, PART V, LINE 2A PART V, LINE 2A SHARP MEMORIAL HOSPITAL 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 MEMORIAL HOSPITAL 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 MEMORIAL HOSPITAL 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 MEMORIAL HOSPITAL 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 MEMORIAL HOSPITAL. 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, THE GOVERNING BODY IS NOTIFIED, PRIOR TO THE FILING DATE, WHERE IT IS VIEWABLE FOR COMMENT FROM ALL MEMBERS OF THE GOVERNING BODY. THE REVIEW PROCESS INCLUDES MULTIPLE LEVELS OF REVIEW INCLUDING KEY CORPORATE AND ENTITY FINANCE DEPARTMENT PERSONNEL COMPRISED OF THE DIRECTOR OF ACCOUNTING & TAX, 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 MEMORIAL HOSPITAL HAS A WRITTEN CONFLICT OF INTEREST POLICY WHICH HAS BEEN REVIEWED AND APPROVED BY THE SHARP MEMORIAL HOSPITAL GOVERNING BOARD. SHARP MEMORIAL HOSPITAL IS COMMITTED TO PREVENTING ANY PARTICIPANT OF THE CORPORATION FROM GAINING ANY PERSONAL BENEFIT FROM INFORMATION RECEIVED OR FROM ANY TRANSACTION OF SHARP. ONE COMPONENT OF THE WRITTEN CONFLICT OF INTEREST POLICY REQUIRES THAT BOARD MEMBERS, CORPORATE OFFICERS, SENIOR VICE PRESIDENTS AND CHIEF EXECUTIVE OFFICER(S) SUBMIT A CONFLICT OF INTEREST STATEMENT ANNUALLY TO LEGAL SERVICES/SENIOR VICE PRESIDENT OF LEGAL SERVICES WHO WILL REVIEW ALL STATEMENTS. IN ADDITION, ALL VICE PRESIDENTS AND ANY EMPLOYEES IN THE PURCHASING/SUPPLY CHAIN, AUDIT AND COMPLIANCE, AND CASE MANAGEMENT/DISCHARGE PLANNING DEPARTMENTS ARE REQUIRED TO COMPLETE AN ONLINE CONFLICT OF INTEREST QUESTIONNAIRE ANNUALLY THAT IS REVIEWED BY THE CONFLICT REVIEW COMMITTEE COMPRISED OF EMPLOYEES FROM SHARP'S LEGAL, COMPLIANCE, AND INTERNAL AUDIT DEPARTMENTS. IN CONNECTION WITH ANY TRANSACTION OR ARRANGEMENT, WHICH MAY CREATE AN ACTUAL OR POSSIBLE CONFLICT OF INTEREST, THE PERSON SHALL DISCLOSE IN WRITING THE EXISTENCE AND NATURE OF HIS/HER FINANCIAL INTEREST AND ALL MATERIAL FACTS. BOARD MEMBERS, CORPORATE OFFICERS, SENIOR VICE PRESIDENTS, AND THE CHIEF EXECUTIVE OFFICER(S) SHALL MAKE SUCH DISCLOSURES DIRECTLY TO THE CHAIRMAN OF THE BOARD, AND TO THE MEMBERS OF THE COMMITTEE WITH THE BOARD DESIGNATED POWERS CONSIDERING THE PROPOSED TRANSACTION OR ARRANGEMENT. UPON DISCLOSURE OF THE FINANCIAL INTEREST AND ALL MATERIAL FACTS, THE BOARD MEMBER, CORPORATE OFFICER, SENIOR VICE PRESIDENT OR THE CHIEF EXECUTIVE OFFICER(S) MAKING SUCH DISCLOSURES SHALL LEAVE THE BOARD OR THE COMMITTEE MEETING WHILE THE FINANCIAL INTEREST IS DISCUSSED AND VOTED UPON. THE REMAINING BOARD OR COMMITTEE MEMBERS SHALL DECIDE IF A CONFLICT OF INTEREST EXISTS. IN CERTAIN INSTANCES, SUCH AS IF SOMEONE TAKES A BOARD SEAT ON A COMPETITOR'S BOARD OF DIRECTORS OR HAS A ROLE WITH AN ORGANIZATION WHEREBY THE INFORMATION THAT THEY MAY OBTAIN FROM SHARP WOULD PUT THEM IN A CONSISTENT CONFLICT WITH THEIR TWO ROLES, THE CONFLICT COULD CALL FOR THE INDIVIDUAL'S REMOVAL FROM THE BOARD. THE BYLAWS FOR THE ORGANIZATION PROVIDE FOR THE ABILITY TO REMOVE DIRECTORS IN ACCORDANCE WITH SECTION 5222 OF THE CALIFORNIA CORPORATIONS CODE. THIS CAN GENERALLY BE DONE ON A "FOR CAUSE A "NO CAUSE" BASIS BY THE ACTION OF THE MEMBER. FORM 990, PART VI, LINE 15A PROCESS TO ESTABLISH COMPENSATION OF TOP MANAGEMENT OFFICIAL THE COMPENSATION COMMITTEE OF SHARP HEALTHCARE RETAINS AN INDEPENDENT COMPENSATION CONSULTING FIRM TO REVIEW THE TOTAL COMPENSATION PAID TO EXECUTIVE MANAGEMENT (PRESIDENT/CHIEF EXECUTIVE OFFICER, CHIEF OPERATING OFFICER, AND SENIOR VICE PRESIDENTS) AND COMPARES IT TO THE TOTAL COMPENSATION PAID TO SIMILAR POSITIONS WITH LIKE INSTITUTIONS. THE INFORMATION IS PRESENTED TO THE COMPENSATION COMMITTEE OF THE BOARD OF DIRECTORS BY THE INDEPENDENT CONSULTANT. THE COMPENSATION COMMITTEE IS COMPRISED OF BOARD MEMBERS WHO ARE NOT PHYSICIANS AND WHO ARE NOT COMPENSATED IN ANY WAY BY THE ORGANIZATION. THE COMPENSATION COMMITTEE CREATES AND APPROVES THE ORGANIZATION'S EXECUTIVE COMPENSATION PHILOSOPHIES AND STRATEGIES STATEMENT AND AS PART OF THIS APPROVES THE TOTAL COMPENSATION FOR THE PRESIDENT/CHIEF EXECUTIVE OFFICER AND REVIEWS AND APPROVES THE TOTAL COMPENSATION RECOMMENDATIONS FOR THE REMAINING EXECUTIVE TEAM. THE COMPENSATION COMMITTEE PRESENTS ITS DECISION TO THE BOARD OF DIRECTORS. THE COMPENSATION COMMITTEE RETAINS MINUTES OF ITS MEETINGS. THE COMPENSATION DEPARTMENT ALSO ENGAGES A 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 STUDY WAS LAST CONDUCTED IN SEPTEMBER 2025, RESULTS PRESENTED TO COMPENSATION COMMITTEE IN NOVEMBER 2025, CONSULTANTS' OPINION LETTER PRESENTED TO COMPENSATION COMMITTEE IN JANUARY 2026. FORM 990, PART VI, LINE 15B PROCESS TO ESTABLISH COMPENSATION OF OTHER EMPLOYEES THE PERSONNEL COMMITTEE OF SHARP HEALTHCARE RETAINS AN INDEPENDENT COMPENSATION CONSULTING FIRM TO REVIEW THE TOTAL COMPENSATION PAID TO EXECUTIVE MANAGEMENT (CEO/PRESIDENT, EXECUTIVE VICE PRESIDENT OF HOSPITAL OPERATIONS, AND SENIOR VICE PRESIDENTS) AND COMPARES IT TO THE TOTAL COMPENSATION PAID TO SIMILAR POSITIONS WITH LIKE INSTITUTIONS. THE INFORMATION IS PRESENTED TO THE PERSONNEL COMMITTEE OF THE BOARD OF DIRECTORS BY THE INDEPENDENT CONSULTANT. THE PERSONNEL COMMITTEE IS COMPRISED OF BOARD MEMBERS WHO ARE NOT PHYSICIANS AND WHO ARE NOT COMPENSATED IN ANY WAY BY THE ORGANIZATION. THE PERSONNEL COMMITTEE APPROVES THE TOTAL COMPENSATION FOR THE PRESIDENT/CHIEF EXECUTIVE OFFICER AND REVIEWS AND APPROVES THE COMPENSATION AND COMPENSATION SALARY RANGES FOR THE REMAINDER OF THE EXECUTIVE TEAM. THE PERSONNEL COMMITTEE PRESENTS ITS DECISION TO THE BOARD OF DIRECTORS. THE PERSONNEL COMMITTEE RETAINS MINUTES OF ITS MEETINGS. THE COMPENSATION AND BENEFITS DEPARTMENT ENGAGES A THIRD PARTY INDEPENDENT CONSULTANT TO CONDUCT A COMPENSATION STUDY COVERING OFFICERS AND KEY EMPLOYEES. THE INDEPENDENT THIRD PARTY COMPARES BASE SALARIES TO SIMILAR POSITIONS WITH LIKE INSTITUTIONS. THE INFORMATION IS REVIEWED BY THE COMPENSATION AND BENEFITS DEPARTMENT AND IS PRESENTED TO THE PRESIDENT/CHIEF EXECUTIVE OFFICER, THE EXECUTIVE VICE PRESIDENT OF HOSPITAL OPERATIONS AND THE APPROPRIATE SENIOR VICE PRESIDENT FOR REVIEW AND APPROVAL. THE STUDY WAS LAST CONDUCTED IN SEPTEMBER 2025, RESULTS PRESENTED TO COMPENSATION COMMITTEE IN NOVEMBER 2025, CONSULTANTS' OPINION LETTER PRESENTED TO COMPENSATION COMMITTEE IN JANUARY 2026. FORM 990, PART VI, LINE 19 REQUIRED DOCUMENTS AVAILABLE TO THE PUBLIC THE ORGANIZATION DOES NOT MAKE ITS GOVERNING DOCUMENTS AVAILABLE TO THE GENERAL PUBLIC. POLICIES ARE CONSIDERED PROPRIETARY INFORMATION, HOWEVER IN SHARP HEALTHCARE'S PUBLICLY AVAILABLE CODE OF CONDUCT, SHARP OUTLINES ITS CONFLICT OF INTEREST POLICIES IN A USER FRIENDLY MANNER. THE ANNUAL AUDITED FINANCIAL STATEMENTS OF THE CONSOLIDATED GROUP ARE PUBLISHED ON THE DACBOND.COM WEBSITE (WWW.DACBOND.COM), ARE ATTACHED TO THE FORM 990 FILED FOR EACH OF THE SHARP HOSPITALS, AND ARE AVAILABLE UPON REQUEST. THE ANNUAL AUDITED FINANCIAL STATEMENTS INCLUDE COMBINING SCHEDULES WHICH DISCLOSE THE FINANCIAL RESULTS (BALANCE SHEET, STATEMENT OF OPERATIONS, STATEMENT OF CHANGES IN NET ASSETS) FOR EACH ENTITY OF THE CONSOLIDATED GROUP. QUARTERLY FINANCIAL STATEMENTS OF SHARP'S OBLIGATED GROUP ARE PUBLISHED ON THE DACBOND.COM WEBSITE (WWW.DACBOND.COM). FORM 990, PART VII, SECTION B, LINE 1 PART VII, SECTION B 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 VIII, LINE 2F OTHER PROGRAM SERVICE REVENUE OTHER PROGRAM SERVICE REVENUE - TOTAL REVENUE: 415592, RELATED OR EXEMPT FUNCTION REVENUE: 415592, UNRELATED BUSINESS REVENUE: , REVENUE EXCLUDED FROM TAX UNDER SECTIONS 512, 513, OR 514: ; FORM 990, PART VIII, LINE 11D OTHER MISCELLANEOUS REVENUE - TOTAL REVENUE: 615532, RELATED OR EXEMPT FUNCTION REVENUE: , UNRELATED BUSINESS REVENUE: , REVENUE EXCLUDED FROM TAX UNDER SECTIONS 512, 513, OR 514: 615532; 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 - 13359361; TOTAL - 13359361; SHARP HEALTHCARE 8695 SPECTRUM CENTER BLVD SAN DIEGO CA 921231489 956077327 HEALTHCARE ORGANIZATION CA 501(C)(3) 3 NA false SHARP CORONADO HOSPITAL AND HEALTHCARE 8695 SPECTRUM CENTER BLVD SAN DIEGO CA 921231489 950651579 HOSPITAL CA 501(C)(3) 3 SHARP HEALTHCARE true GROSSMONT HOSPITAL CORPORATION (SGH) 8695 SPECTRUM CENTER BLVD SAN DIEGO CA 921231489 330449527 HOSPITAL CA 501(C)(3) 3 SHARP HEALTHCARE true SHARP CHULA VISTA MEDICAL CENTER (SCVMC) 8695 SPECTRUM CENTER BLVD SAN DIEGO CA 921231489 952367304 HOSPITAL CA 501(C)(3) 3 SHARP HEALTHCARE true SHARP HEALTH PLAN 8695 SPECTRUM CENTER BLVD SAN DIEGO CA 921231489 330519730 HEALTH PLAN CA 501(C)(4) 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 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 BLVD 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 true true false false true true true true SHARP CORONADO HOSPITAL S 124106 ACCRUAL METHOD SHARP CORONADO HOSPITAL R 470990 ACCRUAL METHOD SHARP CORONADO HOSPITAL L 322442 ACCRUAL METHOD SHARP CORONADO HOSPITAL Q 54483 ACCRUAL METHOD GROSSMONT HOSPITAL CORPORATION Q 91154 ACCRUAL METHOD GROSSMONT HOSPITAL CORPORATION P 447361 ACCRUAL METHOD GROSSMONT HOSPITAL CORPORATION S 1667932 ACCRUAL METHOD GROSSMONT HOSPITAL CORPORATION R 3011796 ACCRUAL METHOD GROSSMONT HOSPITAL CORPORATION L 93836 ACCRUAL METHOD GROSSMONT HOSPITAL CORPORATION M 11591757 ACCRUAL METHOD SHARP CHULA VISTA MEDICAL CENTER R 2639032 ACCRUAL METHOD SHARP CHULA VISTA MEDICAL CENTER S 4409079 ACCRUAL METHOD SHARP CHULA VISTA MEDICAL CENTER P 80346 ACCRUAL METHOD SHARP CHULA VISTA MEDICAL CENTER Q 70669 ACCRUAL METHOD SHARP HEALTH PLAN L 318144257 ACCRUAL METHOD SHARP HEALTHCARE FOUNDATION C 15210956 ACCRUAL METHOD