Civic Intelligence

Sharp Memorial Hospital

990 • Fiscal year 2020 • EIN 95-3782169

Oct 01, 2019 to Sep 30, 2020 • Filed on Aug 13, 2021

8695 Spectrum Center BlvdSan Diego, CA 92123-1489

(858) 499-5150

Siviq Scores

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

Liabilities / Assets

23rd percentile

0.15x

Higher debt load relative to assets than 23% of similar nonprofits.

2020 filings • 501(c)3 • $1B+ nonprofits • Source year 2020

Liabilities / Revenue

24th percentile

0.39x

Higher debt load relative to revenue than 24% of similar nonprofits.

2020 filings • 501(c)3 • $1B+ nonprofits • Source year 2020

Net Margin

76th percentile

16%

Higher net margin than 76% of similar nonprofits.

2020 filings • 501(c)3 • $1B+ nonprofits • Source year 2020

Top Officer Pay

60th percentile

$2,109,849

Higher top officer pay than 60% of similar nonprofits.

Top officer pay equals 0.2% of source-year revenue.

2020 filings • 501(c)3 • $1B+ nonprofits • Source year 2020

Asset Growth

56th percentile

12%

Faster asset growth than 56% of similar nonprofits.

2020 filings • 501(c)3 • $1B+ nonprofits • Annualized from 2019 to 2020

Revenue Growth

61st percentile

4.7%

Faster revenue growth than 61% of similar nonprofits.

2020 filings • 501(c)3 • $1B+ nonprofits • Annualized from 2019 to 2020

Assets

Up

$3,482,350,019

Up $359,637,380 (+12%) from 2019

Net Assets

Up

$2,952,084,784

Up $272,478,290 (+10%) from 2019

Liabilities

Up

$530,265,235

Up $87,159,090 (+20%) from 2019

Revenue

Up

$1,371,656,268

Up $61,496,258 (+4.7%) from 2019

Expenses

Up

$1,157,911,232

Up $55,648,853 (+5.0%) from 2019

Net Income

Up

$213,745,036

Up $5,847,405 (+2.8%) from 2019

Historical Trend

Balance Sheet Trend

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

$6.0B$4.0B$2.0B$0Assets 2010: $1,064,335,194Liabilities 2010: $425,666,301Net Assets 2010: $638,668,8932010Assets 2011: $1,243,532,115Liabilities 2011: $457,185,164Net Assets 2011: $786,346,9512011Assets 2012: $1,451,256,442Liabilities 2012: $461,719,412Net Assets 2012: $989,537,0302012Assets 2013: $1,623,901,282Liabilities 2013: $439,509,032Net Assets 2013: $1,184,392,2502013Assets 2014: $1,894,152,372Liabilities 2014: $487,674,609Net Assets 2014: $1,406,477,7632014Assets 2015: $2,141,283,477Liabilities 2015: $501,453,530Net Assets 2015: $1,639,829,9472015Assets 2016: $2,395,536,073Liabilities 2016: $473,236,310Net Assets 2016: $1,922,299,7632016Assets 2017: $2,620,683,964Liabilities 2017: $453,149,820Net Assets 2017: $2,167,534,1442017Assets 2018: $2,882,644,852Liabilities 2018: $457,785,577Net Assets 2018: $2,424,859,2752018Assets 2019: $3,122,712,639Liabilities 2019: $443,106,145Net Assets 2019: $2,679,606,4942019Assets 2020: $3,482,350,019Liabilities 2020: $530,265,235Net Assets 2020: $2,952,084,7842020Assets 2021: $3,875,566,851Liabilities 2021: $516,468,896Net Assets 2021: $3,359,097,9552021Assets 2022: $3,688,824,619Liabilities 2022: $444,632,884Net Assets 2022: $3,244,191,7352022Assets 2023: $3,959,324,151Liabilities 2023: $414,929,779Net Assets 2023: $3,544,394,3722023Assets 2024: $4,680,922,482Liabilities 2024: $710,745,009Net Assets 2024: $3,970,177,4732024

Highlighted filing

2020

Assets$3,482,350,019
Liabilities$530,265,235
Net Assets$2,952,084,784

Operations Trend

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

$2.0B$1.5B$1.0B$500M$0Expenses 2010: $717,326,6462010Expenses 2011: $771,424,5012011Expenses 2012: $817,439,1662012Expenses 2013: $858,149,5982013Revenue 2014: $1,076,212,541Expenses 2014: $863,316,323Net Income 2014: $212,896,2182014Revenue 2015: $1,231,784,760Expenses 2015: $961,603,109Net Income 2015: $270,181,6512015Revenue 2016: $1,224,836,388Expenses 2016: $981,400,254Net Income 2016: $243,436,1342016Revenue 2017: $1,273,169,368Expenses 2017: $1,015,936,628Net Income 2017: $257,232,7402017Revenue 2018: $1,344,781,960Expenses 2018: $1,113,906,882Net Income 2018: $230,875,0782018Revenue 2019: $1,310,160,010Expenses 2019: $1,102,262,379Net Income 2019: $207,897,6312019Revenue 2020: $1,371,656,268Expenses 2020: $1,157,911,232Net Income 2020: $213,745,0362020Revenue 2021: $1,514,036,093Expenses 2021: $1,232,494,937Net Income 2021: $281,541,1562021Revenue 2022: $1,438,940,478Expenses 2022: $1,259,904,561Net Income 2022: $179,035,9172022Revenue 2023: $1,539,570,652Expenses 2023: $1,318,965,927Net Income 2023: $220,604,7252023Revenue 2024: $1,590,709,458Expenses 2024: $1,448,413,251Net Income 2024: $142,296,2072024

Highlighted filing

2020

Revenue$1,371,656,268
Expenses$1,157,911,232
Net Income$213,745,036
Jump To
Filing Snapshot
Filing Period
Oct 1, 2019 to Sep 30, 2020
Signed
Aug 13, 2021
Return Version
2019v5.0
Gross Receipts
$1,469,671,487
Mission and Program Overview

Mission

Sharp Memorial Hospital provides comprehensive medical services to the San Diego Community.

Balance Sheet Detail
LineBeginningEndChange
Assets
Land, Buildings, and Equipment, Net$377,713,936$403,070,296▲ $25,356,360
Accounts Receivable$193,089,496$238,771,105▲ $45,681,609
Inventories for Sale or Use$18,209,434$18,638,568▲ $429,134
Prepaid Expenses and Deferred Charges$5,031,972$6,805,886▲ $1,773,914
Cash and Non-Interest-Bearing Accounts$3,358,453$3,482,491▲ $124,038
Investments in Publicly Traded Securities$1,172,734$251,839▼ $920,895
Receivable From Disqualified Prsn$0$0→ $0
Receivables From Officers Etc$0$0→ $0
Investments Other Securities$0--
Investments Program Related$0--
Loans From Officers Directors$0$0→ $0
Total Assets$3,122,712,639$3,482,350,019▲ $359,637,380
Other Assets Total$2,524,136,614$2,811,329,834▲ $287,193,220
Liabilities
Other Liabilities$348,516,589$382,623,389▲ $34,106,800
Accounts Payable and Accrued Expenses$94,424,239$147,476,529▲ $53,052,290
Deferred Revenue$165,317$165,317→ $0
Total Liabilities$443,106,145$530,265,235▲ $87,159,090
Net Assets / Fund Balance
Net Assets Without Donor Restrictions$2,679,606,494$2,952,084,784▲ $272,478,290
Total Net Assets Fund Balance$2,679,606,494$2,952,084,784▲ $272,478,290
Total Liabilities and Net Assets / Fund Balance$3,122,712,639$3,482,350,019▲ $359,637,380

Asset Categories

AssetBook ValueDepreciationBasis
Buildings$286,501,995$347,146,966$633,648,961
Equipment$52,861,114$121,230,777$174,091,891
Other Land Buildings$51,523,332$5,858,476$57,381,808
Land$9,451,991-$9,451,991
Leasehold Improvements$2,731,864$2,230,022$4,961,886
Other Assets Org$1,578,262--

Endowment Activity

PeriodBeginningContrib.Gain/LossOther UsesEnd
2019$6,930,520$97,837▲ $319,571$20,986$7,319,817
2018$6,744,827$15,871▲ $197,650$4,230$6,930,520
2017$4,276,489$2,281,414▲ $254,024$11,024$6,744,827
2016$3,893,785$29,923▲ $388,536$5,575$4,276,489
2015$3,530,385$11,174▲ $363,033$3,992$3,893,785
Compensation and Service Providers

Employees

NameTitleFull / Part TimeBaseOtherTotal
-Director-$654,240-$654,240
-Prgm Mgr-researchPT$267,458$159,792$427,250
-Director Outpt PavilionFT$220,115$98,358$318,473
-Director WOMEN'S & NEONATAL SVCSFT$223,666$79,656$303,322
-Director PharmacyFT$221,774$61,957$283,731
-Director - Part Year-$127,981$28,862$127,981

Board Members and Trustees

NameTitle
-Chair
-Former President & CEO Shc
-President & CEO Shc
-CEO Shc Specialty Hosp
-CEO Smh
-CFO, VP Campus Pln & Dev-smh
-Chief Medical Officer-smh
-CMO Sharp Behavioral Health
-CNO Mb
-CNO Smv
-Evp Chief Operating Officer Shc as of 3/12/20
-Evp Hospital Ops Shc Thru 6/12/2020
-Former Officer
-Key Employee
-Secretary
-Secretary - Part Year
-SVP & CFO Shc
-SVP General Counsel
-Treasurer
-VP Ambulatory & Clin Svcs
-VP Clinical Svcs
-VP Patient Care Svcs-smh
Revenue and Support

Revenue Composition

Contributions and Grants
$49,379,295
Program Service Revenue
$1,283,504,871
Investment Income
$37,317,330
Other Revenue
$1,454,772
Change in Net Assets
$213,745,036

Noncash Contribution Practices

Property subject to holding requirements
No
Reviewed unusual noncash gifts
Yes
Third parties used for noncash contributions
No

Noncash Contributions

Contribution TypeContribution CountReported AmountValuation Method
Other Non Cash Contri Table1$231,961Market value
Other Non Cash Contri Table1$98,691Market value
Cars and Other Vehicles2$85,546Market value
Total Noncash Contributions4$416,198-

Audited Revenue Reconciliation

Revenue per Audited Statements
$1,369,594,007
Revenue Not Reported on Financial Statements
$2,062,261
Revenue Not Reported on Form 990
$88,466,390
Other Revenue Adjustments
$1,067,386
Total Revenue per Audited Statements
$1,458,060,397
Total Revenue per Form 990
$1,371,656,268
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Other Expenses$585,901,178
Salaries, Compensation, and Employee Benefits$570,631,039
Grants and Similar Amounts Paid$1,379,015
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$442,153,607$10,002,707-$452,156,314
Fees for Services Other$64,710,561$3,611,734$0$68,322,295
Other Employee Benefits$59,868,242$1,771,866-$61,640,108
Information Technology$49,489,884$6,748,621-$56,238,505
Depreciation Depletion$43,184,236$2,804,610-$45,988,846
Payroll Taxes$33,990,501$767,895-$34,758,396
Office Expenses$27,955,847$2,618,641-$30,574,488
Fees for Services Management$26,373,366$1,618,015-$27,991,381
Pension Plan Contributions$16,556,200$388,620-$16,944,820
Occupancy$13,165,264$3,272,458-$16,437,722
Other Expenses$14,749,673$815,123-$15,564,796
Fees for Services Accounting-$12,499,769-$12,499,769
Interest$10,721,331$733,257-$11,454,588
Advertising$73,524$8,275,612-$8,349,136
Insurance$6,210,051$785,940-$6,995,991
Current Officers, Directors, Trustees, and Key Employees$2,630,146$2,501,255-$5,131,401
All Other Expenses$1,329,717$2,566,124$0$3,895,841
Fees for Services Legal$272,744$1,822,341-$2,095,085
Grants to Domestic Orgs$1,379,015--$1,379,015
Conferences and Meetings$142,769$930,778-$1,073,547
Fees for Service Investment Mgmnt Fees-$994,875-$994,875
Travel$578,475$14,050-$592,525
Fees for Services Lobbying-$84,086-$84,086
Total Functional Expenses$1,072,816,343$85,094,889$0$1,157,911,232

Audited Expense Reconciliation

Line ItemAmount
Expenses per Audited Statements$1,159,107,346
Total Expenses per Audited Statements$1,159,017,064
Total Expenses per Form 990$1,157,911,232
Expenses Not Reported on Form 990$-90,282
Expenses Not Reported on Financial Statements$-1,196,114
Other Expense Adjustments$-2,190,989
International Activity

Grant and Assistance Recipients

RecipientLocationCategoryPurposeAmount
California Health Foundation & TrustSan Diego, CA501(c)(3)Medi-Cal Program$1,056,940
San Diego Family CareSan Diego, CA501(c)(3)Provides primary community mental health and medical care$65,000
Alzheimer's Association San DiegoSan Diego, CA501(c)(3)Annual Sponsorship$36,500
American Heart AssociationDes Moines, IA501(c)(3)Annual Sponsorship$15,000
San Diego Crew ClassicSan Diego, CA501(c)(3)Annual Sponsorship$10,000

International Summary

Offices
0
Employees
0
Spending
$174,150

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
No

International Activities

RegionActivityServicesOfficesEmployeesSpending
North America (Canada & Mexico only)Program ServicesResearch00$134,660
Europe (Including Iceland and Greenland)Program ServicesResearch00$39,490
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
Lobbying activity
Yes
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
Allocated Tax Exempt Bonds$320,684,239
Long Term Pension Liability$46,362,239
Operating Lease Obligations$11,073,858
Estimated Settlements From Gvmnt Programs$2,612,758
Finance Lease Obligations$1,588,944
LONG TERM WORKERS' COMPENSATION$232,916
Other Deferred Liabilities$55,106
Deferred Rent$13,329
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Annual disclosure for covered persons
Yes
Audit committee
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
Yes
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 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" 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 (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 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 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 November 2020.

Form 990, Part VI, Line 15B Process to establish compensation of other employees

The Compensation Committee of Sharp HealthCare retains an independent compensation consulting firm to review the total compensation paid to executive management (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 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 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 November 2020.

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

ALL OTHER - Total Revenue: 57862, Related or Exempt Function Revenue: 57862, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ;

Form 990, Part VIII, Line 11D Other Miscellaneous Revenue

ALL OTHER REVENUE - Total Revenue: 244041, Related or Exempt Function Revenue: , Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: 244041;

Filing and Contact Details

Filer

Filer Name
Sharp Memorial Hospital
EIN
95-3782169
Phone
8584995150
Address
8695 Spectrum Center Blvd, San Diego, CA 92123-1489

Signing Officer

Name
Anthony Guerra
Title
CFO
Signed
2021-08-13
Discuss with paid preparer
No

Organization Details

Formed
1981
Legal Domicile
CA
Voting Board Members
18
Independent Board Members
8
Employees
5,579
Volunteers
282

Preparer

Firm
Ernst & Young US LLP
Address
4365 Executive Drive Suite 1600, San Diego, CA 92121-2101
Preparer
Jocelyne Miller
Phone
8585957200
Supplemental Narrative

Additional Explanations

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 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; 25 medical centers; five urgent care centers; three skilled nursing facilities ; two inpatient rehabilitation centers; home health, hospice and home infusion programs; numerous outpatient facilities and programs; 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. Serving a population of approximately 3.3 million in San Diego County, as of September 30, 2020, Sharp is licensed to operate 2,191 beds and has more than 2,300 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 attain this position by transforming the health care experience through a culture of caring, quality, safety, service, innovation and excellence. Sharp will be recognized by employees, physicians, patients and families, volunteers and the community as the best place to work, the best place to practice medicine and the best place to receive care. Sharp will be known as an excellent community citizen embodying an organization where people work together to do the right thing every day to improve the health of those they serve. 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) 2020 (October 1, 2019, through September 30, 2020). 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 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 2020 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 to provide community and social support for individuals with socioeconomic hardships Education, screening and support programs for chronic health conditions and various other health needs including, but not limited to, cardiovascular disease, stroke, cancer, diabetes, obesity and unintentional injuries Health education, support and screening activities for seniors and others with aging concerns 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 of community nonprofit health and soc

Form 990, Part III, Line 4A Community Benefit Report

Other Benefits for Vulnerable Populations included van transportation for patients to and from medical appointments; education and flu vaccinations for seniors; telephone reassurance and safety check program for isolated or homebound seniors and community members with disabilities, including increased outreach during the COVID-19 pandemic; financial and other support to community clinics to assist in providing and improving access to health services; Project Hospital Emergency Liaison Program (Project HELP); Meals on Wheels; contribution of time to the San Diego Food Bank, Feeding San Diego, Mama's Kitchen, Kitchens for Good and Habitat for Humanity; financial and other support to the Sharp Humanitarian Service Program; support services - including participation in 2-1-1 San Diego's Community Information Exchange - for patients experiencing homelessness and other socioeconomic hardships. 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 vaccinations, health screenings and support groups; and prenatal telephone consultations to address the needs of expectant mothers and families during COVID-19. Sharp collaborated with local schools to promote interest in and provide pathways for careers in health care; and made its facilities available for use by community groups at no charge. 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 response task forces Health Research, Education and Training Programs included education and training programs for medical, nursing and other health care students and professionals, as well as supervision and support for students and interns. Time was also devoted to generalizable health-related research projects that were made available to the broader health care community.

Form 990, Part 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.

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 - -27374481; ADJUSTMENT DUE TO ADOPTION OF ASC 842 - -128474;

Financial Statement Notes

Schedule D, Part V, Line 4 Intended uses of endowment funds

Sharp HealthCare Foundation holds 20 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, hospital equipment and technology, hospital library, and more.

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 carryovers only for tax positions that meet the more likely than not recognition criteria. At September 30, 2020 and 2019 no such assets or liabilities were recorded.

Schedule D, Part XI, Line 2(D) Other revenues in audited financial statements not in form 990

Foundation Donations to Other Organizations/Individuals - 39192 Non - Operating Pension - 2190989

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

Donated Capital - 1067386

Schedule D, Part XII, Line 2(D) Other expenses in audited financial statements not in form 990

Foundation Donations to Other Organizations/Individuals - 39192 Change in Equity Medical Staff - -129474

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

Non Operating Pension - -2190989

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Filings

Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2024Detailed filing. Detailed filing data is available for this year.$4,681$711$3,970$1,591$1,448$142
2023Detailed filing. Detailed filing data is available for this year.$3,959$415$3,544$1,540$1,319$221
2022Facts available. Structured filing facts are available, but richer extracted sections are limited.$3,689$445$3,244$1,439$1,260$179
2021Detailed filing. Detailed filing data is available for this year.$3,876$516$3,359$1,514$1,232$282
2020Detailed filing. Detailed filing data is available for this year.$3,482$530$2,952$1,372$1,158$214
2019Detailed filing. Detailed filing data is available for this year.$3,123$443$2,680$1,310$1,102$208
2018Detailed filing. Detailed filing data is available for this year.$2,883$458$2,425$1,345$1,114$231
2017Detailed filing. Detailed filing data is available for this year.$2,621$453$2,168$1,273$1,016$257
2016Detailed filing. Detailed filing data is available for this year.$2,396$473$1,922$1,225$981$243
2015Detailed filing. Detailed filing data is available for this year.$2,141$501$1,640$1,232$962$270
2014Detailed filing. Detailed filing data is available for this year.$1,894$488$1,406$1,076$863$213
2013Facts available. Structured filing facts are available, but richer extracted sections are limited.$1,624$440$1,184$858
2012Facts available. Structured filing facts are available, but richer extracted sections are limited.$1,451$462$990$817
2011Facts available. Structured filing facts are available, but richer extracted sections are limited.$1,244$457$786$771
2010Facts available. Structured filing facts are available, but richer extracted sections are limited.$1,064$426$639$717