Civic Intelligence

Sharp Health Plan

990 • Fiscal year 2022 • EIN 33-0519730

Oct 01, 2021 to Sep 30, 2022 • Filed on Aug 14, 2023

8695 Spectrum Center BlvdSan Diego, CA 92123-1489

(858) 499-8391

Siviq Scores

Precomputed percentiles for this filing year versus similar nonprofits in the same peer cohort.

Liabilities / Assets

58th percentile

0.39x

Higher debt load relative to assets than 58% of similar nonprofits.

2022 filings • $250M-$1B nonprofits • Source year 2022

Liabilities / Revenue

20th percentile

0.11x

Higher debt load relative to revenue than 20% of similar nonprofits.

2022 filings • $250M-$1B nonprofits • Source year 2022

Net Margin

41st percentile

2.0%

Higher net margin than 41% of similar nonprofits.

2022 filings • $250M-$1B nonprofits • Source year 2022

Top Officer Pay

89th percentile

$2,421,387

Higher top officer pay than 89% of similar nonprofits.

Top officer pay equals 0.3% of source-year revenue.

2022 filings • $250M-$1B nonprofits • Source year 2022

Asset Growth

64th percentile

2.1%

Faster asset growth than 64% of similar nonprofits.

2022 filings • $250M-$1B nonprofits • Annualized from 2021 to 2022

Revenue Growth

51st percentile

5.0%

Faster revenue growth than 51% of similar nonprofits.

2022 filings • $250M-$1B nonprofits • Annualized from 2021 to 2022

Assets

Up

$266,652,371

Up $5,363,202 (+2.1%) from 2021

Net Assets

Down

$162,453,696

Down $2,116,393 (-1.3%) from 2021

Liabilities

Up

$104,198,675

Up $7,479,595 (+7.7%) from 2021

Revenue

Up

$918,722,197

Up $43,368,704 (+5.0%) from 2021

Expenses

Up

$900,273,991

Up $47,423,293 (+5.6%) from 2021

Net Income

Down

$18,448,206

Down $4,054,589 (-18%) from 2021

Historical Trend

Balance Sheet Trend

The highlighted filing sits inside the broader history for assets, liabilities, and net assets.

$400M$300M$200M$100M$0Assets 2010: $44,705,233Liabilities 2010: $14,319,970Net Assets 2010: $30,385,2632010Assets 2011: $49,121,581Liabilities 2011: $14,946,422Net Assets 2011: $34,175,1592011Assets 2012: $60,079,239Liabilities 2012: $20,116,883Net Assets 2012: $39,962,3562012Assets 2013: $65,837,815Liabilities 2013: $18,624,092Net Assets 2013: $47,213,7232013Assets 2014: $86,745,310Liabilities 2014: $30,305,066Net Assets 2014: $56,440,2442014Assets 2015: $103,429,024Liabilities 2015: $39,292,798Net Assets 2015: $64,136,2262015Assets 2016: $115,341,784Liabilities 2016: $44,964,575Net Assets 2016: $70,377,2092016Assets 2018: $157,690,846Liabilities 2018: $70,369,946Net Assets 2018: $87,320,9002018Assets 2019: $173,106,073Liabilities 2019: $62,224,202Net Assets 2019: $110,881,8712019Assets 2021: $261,289,169Liabilities 2021: $96,719,080Net Assets 2021: $164,570,0892021Assets 2022: $266,652,371Liabilities 2022: $104,198,675Net Assets 2022: $162,453,6962022Assets 2024: $331,009,264Liabilities 2024: $85,125,515Net Assets 2024: $245,883,7492024

Highlighted filing

2022

Assets$266,652,371
Liabilities$104,198,675
Net Assets$162,453,696

Operations Trend

Revenue, expenses, and net income across loaded years, with this filing highlighted.

$1.5B$1.0B$500M$0Expenses 2010: $191,106,2722010Expenses 2011: $222,852,3302011Expenses 2012: $274,605,3022012Expenses 2013: $316,962,3172013Revenue 2014: $384,384,119Expenses 2014: $376,059,311Net Income 2014: $8,324,8082014Revenue 2015: $500,235,985Expenses 2015: $490,645,329Net Income 2015: $9,590,6562015Revenue 2016: $614,133,773Expenses 2016: $609,861,726Net Income 2016: $4,272,0472016Revenue 2018: $727,803,018Expenses 2018: $724,583,114Net Income 2018: $3,219,9042018Revenue 2019: $789,103,336Expenses 2019: $766,100,071Net Income 2019: $23,003,2652019Revenue 2021: $875,353,493Expenses 2021: $852,850,698Net Income 2021: $22,502,7952021Revenue 2022: $918,722,197Expenses 2022: $900,273,991Net Income 2022: $18,448,2062022Revenue 2024: $1,030,937,662Expenses 2024: $995,362,709Net Income 2024: $35,574,9532024

Highlighted filing

2022

Revenue$918,722,197
Expenses$900,273,991
Net Income$18,448,206
Jump To
Filing Snapshot
Filing Period
Oct 1, 2021 to Sep 30, 2022
Signed
Aug 14, 2023
Return Version
2021v4.2
Gross Receipts
$928,803,989
Mission and Program Overview

Mission

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.

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.

Balance Sheet Detail
LineBeginningEndChange
Assets
Savings and Temporary Cash Investments$113,833,256$126,941,277▲ $13,108,021
Investments in Publicly Traded Securities$104,853,553$87,022,182▼ $17,831,371
Accounts Receivable$33,545,935$34,605,263▲ $1,059,328
Cash and Non-Interest-Bearing Accounts$6,087,110$15,231,951▲ $9,144,841
Prepaid Expenses and Deferred Charges$1,376,185$2,003,819▲ $627,634
Investments Other Securities$341,531$377,280▲ $35,749
Land, Buildings, and Equipment, Net$435,322$353,018▼ $82,304
Receivable From Disqualified Prsn$0$0→ $0
Receivables From Officers Etc$0$0→ $0
Investments Program Related$0--
Loans From Officers Directors$0$0→ $0
Total Assets$261,289,169$266,652,371▲ $5,363,202
Other Assets Total$816,277$117,581▼ $698,696
Liabilities
Accounts Payable and Accrued Expenses$70,162,205$64,400,328▼ $5,761,877
Deferred Revenue$24,165,720$34,908,055▲ $10,742,335
Other Liabilities$2,391,155$4,890,292▲ $2,499,137
Total Liabilities$96,719,080$104,198,675▲ $7,479,595
Net Assets / Fund Balance
Net Assets Without Donor Restrictions$164,570,089$162,453,696▼ $2,116,393
Total Net Assets Fund Balance$164,570,089$162,453,696▼ $2,116,393
Total Liabilities and Net Assets / Fund Balance$261,289,169$266,652,371▲ $5,363,202

Asset Categories

AssetBook ValueDepreciationBasis
Equipment$331,778$861,251$1,193,029
Leasehold Improvements$21,240$67,313$88,553
Compensation and Service Providers

Employees

NameTitleFull / Part TimeBaseOtherTotal
-Vice Chair, President CEO-shpFT$687,072$304,070$991,142
-CMO ShpFT$423,493$172,517$596,010
-CFO ShpFT$296,086$135,302$431,388
-Medical Director-shpFT$301,657$105,657$407,314
-Business Development OfficerFT$264,855$131,160$396,015
-COO ShpFT$245,282$145,585$390,867
-Director Rev Cycle Data MgmtFT$207,299$66,911$274,210
-Physician ReviewerFT$241,445$27,276$268,721
-Director Pharmacy BenefitsFT$220,234$40,706$260,940
-Director Pop Health Medical MgmtFT$189,896$70,762$260,658

Board Members and Trustees

NameTitle
-Chairman
-Director, Evp Chief Operating Officer Shc
-Director, SVP Ciio Shc
-Chief Medical Info Officer
-Secretary
-Treasurer

Highest Paid Contractors

ContractorServicesLocationCompensation
Sharp Memorial HospitalMedical Services8695 Spectrum Center Blvd, Suite E, San Diego, CA 92123-1489$248,044,805
Sharp Rees Stealy Medical GroupMedical Services4000 Ruffin Rd, FL 4, San Diego, CA 92123$188,538,493
Sharp Community Medical Group SDMedical Services8695 Spectrum Center Ct, Ste 150, San Diego, CA 92123$109,042,297
Palomar HealthMedical Services15255 Innovation Dr, MC 5001, San Diego, CA 92128$24,325,745
Rady Children's Hospital SDMedical Services3020 Childrens Way, San Diego, CA 92123$19,990,699
Revenue and Support

Revenue Composition

Contributions and Grants
$0
Program Service Revenue
$914,938,857
Investment Income
$3,783,340
Other Revenue
$0
All Other Contributions
$0
Change in Net Assets
$18,448,206

Audited Revenue Reconciliation

Revenue per Audited Statements
$918,815,115
Revenue Not Reported on Financial Statements
$-92,918
Revenue Not Reported on Form 990
$-20,961,008
Other Revenue Adjustments
$-92,918
Total Revenue per Audited Statements
$897,854,107
Total Revenue per Form 990
$918,722,197
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Other Expenses$866,110,482
Salaries, Compensation, and Employee Benefits$34,073,509
Grants and Similar Amounts Paid$90,000
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Fees for Services Other$828,730,805$0$0$828,730,805
Other Salaries and Wages$6,186,042$18,999,814$0$25,185,856
Fees for Services Management$4,049,989$805,344$0$4,855,333
All Other Expenses$3,938,941$817,310$0$4,756,251
Office Expenses$3,792,970$876,773$0$4,669,743
Information Technology$3,076,893$611,843$0$3,688,736
Other Employee Benefits$829,038$2,546,307$0$3,375,345
Current Officers, Directors, Trustees, and Key Employees$714,285$2,193,857$0$2,908,142
Advertising$1,251,178$833,473$0$2,084,651
Payroll Taxes$452,948$1,391,184$0$1,844,132
Other Expenses$1,409,555$280,291$0$1,689,846
Occupancy$975,020$356,865$0$1,331,885
Pension Plan Contributions$186,676$573,358$0$760,034
Fees for Services Accounting$0$571,455$0$571,455
Depreciation Depletion$463,569$92,181$0$555,750
Insurance$232,722$59,226$0$291,948
Fees for Services Legal$0$275,784$0$275,784
Conferences and Meetings$10,915$111,536$0$122,451
Grants to Domestic Orgs$90,000--$90,000
Travel$13,148$35,521$0$48,669
Interest$0$20,840$0$20,840
Total Functional Expenses$866,540,717$33,733,274$0$900,273,991

Audited Expense Reconciliation

Line ItemAmount
Expenses per Audited Statements$900,418,588
Total Expenses per Audited Statements$900,418,588
Total Expenses per Form 990$900,273,991
Expenses Not Reported on Form 990$0
Expenses Not Reported on Financial Statements$-144,597
Other Expense Adjustments$-144,597
International Activity

Grant and Assistance Recipients

RecipientLocationCategoryPurposeAmount
Girl Scouts SDIMP Council IncSan Diego, CA501(c)(3)Sponsorship$25,000
San Diego Food BankSan Diego, CA501(c)(3)Sponsorship$15,000
San Diego Food System AllianceSan Diego, CA501(c)(3)Sponsorship$10,000

International Summary

Offices
0
Employees
0
Spending
$2,110,355

International Compliance

Activity in boycott countries
No
Foreign corporation ownership
No
Foreign partnership interest
No
Interest in foreign trust
No
Passive foreign investment company interest
No
Transfers to foreign corporations
Yes

International Activities

RegionActivityServicesOfficesEmployeesSpending
Central America and the CaribbeanProgram ServicesReinsurance00$2,110,355
Fundraising, Events, and Gaming
Fundraising activities
No
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Professional Fundraising Fees$0
Political and Lobbying Activity
Political campaign activity
No
Subject to proxy tax
No
Insider Transactions and Loans

Loans and Receivables

Line ItemBeginningEndChange
Loans from Officers, Directors, Trustees, and Key Employees$0$0→ $0
Receivables from Disqualified Persons$0$0→ $0
Receivables from Officers, Directors, Trustees, and Key Employees$0$0→ $0
Debt and Bond Financing

Other Reported Liabilities

LiabilityAmount
Due to Affiliates$4,560,069
Pension Liability$330,223
Operating Lease Obligations$0
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Annual disclosure for covered persons
Yes
Audit committee
Yes
Backup withholding compliance
Yes
Business relationship with 35% controlled entity
No
Business relationship with family members
No
Business relationship with organization members
No
Material changes to governing documents
No
Compensation from other sources disclosed
No
CEO compensation reviewed
Yes
Other officer compensation reviewed
Yes
Conflict-of-interest policy
Yes
Audited financial statements prepared
Yes
Key decisions subject to board approval
Yes
Management duties delegated
No

Governance Explanations

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 or a "no cause" basis by the action of the member.

Form 990, Part VI, Line 15A Process to establish compensation of top management official

The Compensation Committee of Sharp HealthCare retains an independent compensation consulting firm to review the total compensation paid to executive management (President/Chief Executive Officer, Chief Operating Officer, and Senior Vice Presidents) and compares it to the total compensation paid to similar positions with like institutions. The information is presented to the Compensation Committee of the Board of Directors by the independent consultant. The Compensation Committee is comprised of Board members who are not physicians and who are not compensated in any way by the organization. The Compensation Committee creates and approves the organization's Executive Compensation Philosophies and Strategies statement and as part of this approves the total compensation for the President/Chief Executive Officer and reviews and approves the total compensation recommendations for the remaining executive team. The Compensation Committee presents its decision to the Board of Directors. The Compensation Committee retains minutes of its meetings. The review was last conducted in November 2022. 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 2023.

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 2023.

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).

Filing and Contact Details

Filer

Filer Name
Sharp Health Plan
EIN
33-0519730
Phone
8584998391
Address
8695 Spectrum Center Blvd, San Diego, CA 92123-1489

Signing Officer

Name
Melissa Hayden-Cook
Title
CEO-shp
Phone
8584998391
Signed
2023-08-14
Discuss with paid preparer
No

Organization Details

Formed
1992
Legal Domicile
CA
Voting Board Members
7
Independent Board Members
0
Employees
288
Volunteers
0

Preparer

Firm
Ernst Young US LLP
Address
1101 NEW YORK AVE NW, WASHINGTON, DC 20005
Preparer
Justin J Lowe
Phone
2023276000
Supplemental Narrative

Additional Explanations

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: 9769328, Program Service Expense: 9769328, Management and General Expenses: , Fundraising Expenses: ; BROKER COMMISSIONS - Total Expense: 16682812, Program Service Expense: 16682812, 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 - 396410;

Schedule F, Part I, Line 3(F)

Active business property: cash, fair market value and adjusted basis of $2,110,355.

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; 28 medical centers; five urgent care centers; three skilled nursing facilities (SNF); two inpatient rehabilitation centers; home health, hospice and home infusion programs; numerous outpatient facilities and programs; three charitable foundations; and a variety of other community health education programs and related services. Sharp also offers individual and group health maintenance organization coverage through Sharp Health Plan (SHP). Serving a population of approximately 3.3 million in San Diego County (SDC), as of September 30, 2022, Sharp is licensed to operate 2,209 beds and has approximately 2,800 Sharp-affiliated physicians and 19,000 employees. Mission It is Sharp's mission to improve the health of those it serves with a commitment to excellence in all that it does. Sharp's goal is to offer quality care and services that set community standards, exceed patients' expectations and are provided in a caring, convenient, cost-effective and accessible manner. Vision Sharp's vision is to become the best health system in the universe. Sharp will transform the health care experience and be recognized as the best place to work, the best place to practice medicine and the best place to receive care. Sharp will be known as an excellent community citizen embodying an organization of people working together to do the right thing every day to improve the health and well-being of those it serves. This summary provides an overview of community benefit planning at 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) 2022 (October 1, 2021, through September 30, 2022). 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 2022 The following community needs are addressed by one or more Sharp hospitals in this Community Benefit Plan and Report: * 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 * Vaccination programs (flu, COVID-19 (coronavirus disease 2019), mpox) * Education, screening and support programs for chronic health conditions and other health needs, including but not limited to heart and vascular disease, stroke, cancer, diabetes, obesity and unintentional injuries * Aging care and support programs including health education, support and screening activities for seniors and caregivers * Safety and support programs for seniors and people with disabilities * End-of-life and advance care planning services for hospice patients and their loved ones and the community * Support for community nonprofit health and social service organizations * Educat

Form 990 Part III Line 4A

The following are examples of community benefit programs and services provided by Sharp hospitals and entities in FY 2022. Medical Care Services included uncompensated care for patients who are unable to pay for services, and the unreimbursed costs of public programs such as Medi-Cal, Medicare, County Medical Services (CMS), Civilian Health and Medical Program of the Department of Veterans Affairs (CHAMPVA) and TRICARE, the regionally managed health care program for active-duty and retired service members and their families, loved ones and survivors, and unreimbursed costs of workers' compensation programs. Other Benefits for Vulnerable Populations included van transportation for patients to and from medical appointments; education as well as flu and COVID-19 vaccinations for seniors; telephone reassurance and safety check program for isolated or homebound seniors and community members with disabilities, as well as continued outreach during COVID-19; financial and other support to community clinics to assist in providing and improving access to health services; Project Hospital Emergency Liaison Program (Project HELP), which provides funding for medication and transportation to assist lower-income patients; Meals on Wheels San Diego County; contribution of time to the San Diego Food Bank, Feeding San Diego, Mama's Kitchen and ProduceGood; the Sharp Humanitarian Service Program; and support services - including participation in 2-1-1 San Diego's (2-1-1) Community Information Exchange - 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; community flu, COVID-19, and mpox vaccination programs, health screenings and support groups. Sharp also collaborated with local schools to provide opportunities that 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, including COVID-19 and mpox response task forces. See Appendix A for a listing of Sharp's involvement in community organizations. In addition, the category included costs associated with planning and operating community benefit programs, such as CHNA development and administration. Health Research, Education and Training Programs included education and training programs for medical, nursing and other health care students and professionals, as well as supervision and support for students and interns. Time was also devoted to generalizable health-related research projects that were made available to the broader health care community.

Financial Statement Notes

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, 2022 and 2021, no such assets or liabilities were recorded.

Schedule D, Part XI, Line 4(B) Other revenues in form 990 not in audited financial statements

Nonoperating portion of Pension Expense - -144597 Book/tax difference Health Plan Alliance - 51679

Schedule D, Part XII, Line 4(B) Other expenses in form 990 not in audited financial statements

Nonoperating portion of Pension Expense - -144597

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IRS990/ActivityOrMissionDesc0TO 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.
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IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt0Sharp Memorial Hospital
IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt1Sharp Rees Stealy Medical Group
IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt2Sharp Community Medical Group SD
IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt3Palomar Health
IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt4Rady Children's Hospital SD
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IRS990/Desc0Sharp 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.
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IRS990/Form990PartVIISectionAGrp/BusinessName/BusinessNameLine1Txt0Alison Fleury
IRS990/Form990PartVIISectionAGrp/BusinessName/BusinessNameLine1Txt1Christopher D Howard
IRS990/Form990PartVIISectionAGrp/BusinessName/BusinessNameLine1Txt2Melissa Hayden-Cook
IRS990/Form990PartVIISectionAGrp/BusinessName/BusinessNameLine1Txt3Staci L Dickerson
IRS990/Form990PartVIISectionAGrp/BusinessName/BusinessNameLine1Txt4Brett G McClain
IRS990/Form990PartVIISectionAGrp/BusinessName/BusinessNameLine1Txt5John Lemoine MD
IRS990/Form990PartVIISectionAGrp/BusinessName/BusinessNameLine1Txt6Michael Reagin
IRS990/Form990PartVIISectionAGrp/BusinessName/BusinessNameLine1Txt7Rita Datko
IRS990/Form990PartVIISectionAGrp/BusinessName/BusinessNameLine1Txt8Cary Shames
IRS990/Form990PartVIISectionAGrp/BusinessName/BusinessNameLine1Txt9Leslie Pels-Beck
IRS990/Form990PartVIISectionAGrp/BusinessName/BusinessNameLine1Txt10Michael Byrd
IRS990/Form990PartVIISectionAGrp/BusinessName/BusinessNameLine1Txt11Gregory Limon
IRS990/Form990PartVIISectionAGrp/BusinessName/BusinessNameLine1Txt12Lisa Arian
IRS990/Form990PartVIISectionAGrp/BusinessName/BusinessNameLine1Txt13Robert Peters
IRS990/Form990PartVIISectionAGrp/BusinessName/BusinessNameLine1Txt14Ruth Donaldson
IRS990/Form990PartVIISectionAGrp/BusinessName/BusinessNameLine1Txt15Zachary Contreras
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IRS990/Form990PartVIISectionAGrp/TitleTxt0SECRETARY
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IRS990/Form990PartVIISectionAGrp/TitleTxt2VICE CHAIR, PRESIDENT CEO-SHP
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IRS990/Form990PartVIISectionAGrp/TitleTxt7CFO SHP
IRS990/Form990PartVIISectionAGrp/TitleTxt8CMO SHP
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IRS990/Form990PartVIISectionAGrp/TitleTxt13PHYSICIAN REVIEWER
IRS990/Form990PartVIISectionAGrp/TitleTxt14DIR POP HEALTH MEDICAL MGMT
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IRS990/MissionDesc0To 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.
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IRS990/OfficeExpensesGrp/ProgramServicesAmt03792970
IRS990/OfficeExpensesGrp/TotalAmt04669743
IRS990/OfficerMailingAddressInd0false
IRS990/OperateHospitalInd0false
IRS990/Organization501cInd0X
IRS990/OrganizationFollowsFASB117Ind0X
IRS990/OtherAssetsTotalGrp/BOYAmt0816277
IRS990/OtherAssetsTotalGrp/EOYAmt0117581
IRS990/OtherChangesInNetAssetsAmt0396410
IRS990/OtherEmployeeBenefitsGrp/FundraisingAmt00
IRS990/OtherEmployeeBenefitsGrp/ManagementAndGeneralAmt02546307
IRS990/OtherEmployeeBenefitsGrp/ProgramServicesAmt0829038

Document Assets

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Filings

Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2024Facts available. Structured filing facts are available, but richer extracted sections are limited.$331$85.1$246$1,031$995$35.6
2022Facts available. Structured filing facts are available, but richer extracted sections are limited.$267$104$162$919$900$18.4
2021Facts available. Structured filing facts are available, but richer extracted sections are limited.$261$96.7$165$875$853$22.5
2019XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$173$62.2$111$789$766$23.0
2018XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$158$70.4$87.3$728$725$3.22
2016XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$115$45.0$70.4$614$610$4.27
2015Detailed filing. Detailed filing data is available for this year.$103$39.3$64.1$500$491$9.59
2014Detailed filing. Detailed filing data is available for this year.$86.7$30.3$56.4$384$376$8.32
2013Facts available. Structured filing facts are available, but richer extracted sections are limited.$65.8$18.6$47.2$317
2012Facts available. Structured filing facts are available, but richer extracted sections are limited.$60.1$20.1$40.0$275
2011Facts available. Structured filing facts are available, but richer extracted sections are limited.$49.1$14.9$34.2$223
2010Facts available. Structured filing facts are available, but richer extracted sections are limited.$44.7$14.3$30.4$191
Peer Organizations

Similar nonprofits based on the same Siviq industry and scale cohort. 2022 filings • 501(c)4 • $250M-$1B nonprofits