Sharp Healthcare FY2021 filing

Tax-deductible

San Diego, CA501(c)(3)Since 1946HospitalsEIN 95-6077327Revenue $1.7B in FY2021

On file with the IRSsharp.com8695 Spectrum Center Blvd, 92123-1489 · San Diego, CATax-exempt since Mar 1957Hospital or medical research org — 170(b)(1)(A)(iii)

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To promote health care through supporting and/or operating, directly or through wholly-owned subsidiaries and other appropriate management arrangements, hospitals and other medically-related facilities and activities in the state of california. The specific and primary purposes for which this corporation is formed are to support and be responsive to the needs of its publicly supported, tax-exempt subsidiaries.

501(c)(3) charity; gifts are tax-deductible.
71¢ of each $1 spent went to programs.
$18.5M paid to officers and key staff.
Mission: Form 990 Part I, line 1 · Status: IRS Pub. 78 · Programs: Part IX · Pay: Part VII

Before you give

FY2021 · Form 990Independent: from IRS data, not the org
Download 990
IRS status
501(c)(3)
not on the IRS revocation list
Looks good: listed by the IRS and not on the revocation list.
IRS BMF · Auto-Revocation List
Tax-deductible gifts
Yes
Donations are tax-deductible
Looks good: the IRS lists gifts to it as deductible.
IRS Pub. 78 · IRS BMF
Latest return
FY2024
latest Form 990
Looks good: the latest return is for FY2024, 2 tax years back; within 2 tax years.
IRS e-file · Filing history
Surplus or deficit
1 of 5
filings with a surplus
Average deficit $84.2M a year · 4% of revenue · last 5 filings
Concern: a surplus in 1 of the last 5 filings.
Pt I · Ln 19 · 5 filings
Spent on programs
71%
of spending
Fine: 71% of spending went to programs; 65% to 75%.
Pt IX · Ln 25 · col B
Pay to officers and key staff
$18.5M
to officers and key staff · 1.0% of spending
Looks good: pay to officers and key staff is 1% of spending; 15% or less.
Pt VII · Sec A
Cash reserves
2 mo
of spending, in cash
Fine: 2.3 months of spending in cash; 1 to 3.
Pt X · Ln 1–2 · Pt I · Ln 18
Named funders
1
named funder · $100K
Fine: 1 funder names it on their filings; under 3.
Funders’ Sch. I, 990-PF
Liabilities
$5.1B
97% of total assets
Concern: liabilities are 97% of assets; over 80%.
Pt X · Ln 26
Independent board members
21
of 25 voting members
Looks good: 21 of 25 voting members are independent, a majority.
Pt VI · Ln 1a–1b
Looks goodFineWorth a lookConcernNo data yetTap a box for the reason.
Revenue
$1.7B
+5% vs prior year
Spent
$1.9B
To programs
71%
Net assets
$185.6M
By yearFY2020–FY2024
Revenue
$1.7B
FY2021▲ +5%
Tap a bar for its year
Revenue by fiscal year
FY2020$1.6B
FY2021$1.7B
FY2022$2.4B
FY2023$1.9B
FY2024$1.8B
FY2024$2.2B
Expenses
$1.9B
FY2021▲ +7%
Tap a bar for its year
Expenses by fiscal year
FY2020$1.8B
FY2021$1.9B
FY2022$1.9B
FY2023$2.0B
FY2024$2.2B
FY2024$2.4B
Net assets
$185.6M
FY2021▲ +92%
Tap a bar for its year
Net assets by fiscal year
FY2020$96.9M
FY2021$185.6M
FY2022$97.8M
FY2023$146.1M
FY2024$185.4M
FY2024$204.9M

From the FY2021 Form 990 (year ending September 2021) · figures checked against the IRS filing · see the original

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Is it real?

Yes. Never revoked by the IRS. Latest filing on record: FY2024. IRS ruling in Mar 1957.

IRS Pub. 78 · IRS Auto-Revocation List · IRS Business Master File

Where the money goes

71 cents of each dollar spent went to programs.

Program services 71% · $1.3B Management & general 29% · $537.4M Fundraising 0% · $4.7M

Form 990 Part IX, line 25, columns B–D. Every line is in By the numbers.

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Who runs it and what they're paid

46 people listed on the 990; $18.5M paid to officers and key staff.

Part VII, Section A · reportable compensation · most recent filed roster (FY2020); the FY2021 filing did not itemize Part VII
President & CEO Shc
$2,070,064Pt VII · Sec A
EVP Hospital Ops Shc Thru 6/12/2020
$2,042,686Pt VII · Sec A
SVP & CFO Shc
$1,220,193Pt VII · Sec A
$1,076,601Pt VII · Sec A
$961,789Pt VII · Sec A
$961,473Pt VII · Sec A
SVP General Counsel
$931,083Pt VII · Sec A
EVP Chief Operating Officer Shc
$922,188Pt VII · Sec A

Christopher D Howard’s $2.7M as President & CEO Shc is at the 91st percentile of top reported officer pay among 1747 $100M+ health care nonprofits. Peer set: organizations in the same NTEE major field of work and revenue-size band, compared on each org’s own highest-paid officer/key-employee, from Form 990 Part VII / 990-PF Part VIII. Descriptive placement, not a verdict on whether the pay is appropriate.

Compensation history total reportable pay by year · 8 named individuals · Part VII

NameFY2024FY2024FY2023FY2022FY2021FY2020
Christopher D Howard$2,732,110$2,449,448$2,581,520$2,399,076$2,070,064—
Daniel L Gross——$1,068,049—$2,042,686$2,028,142
Brett G McClain$1,780,203$1,655,296$1,513,107$1,382,434$922,188—
Christopher a Howard—————$1,665,592
William Littlejohn$869,508$1,623,356$730,673$707,188$669,577$632,814
Rick L Grossman$1,439,711$1,326,965$1,229,363$1,195,887$931,083$386,725
Susan Green$1,421,255—————
Staci L Dickerson—$958,272$1,334,159$1,293,772$1,220,193$1,085,859

Total reportable compensation (Form 990 Part VII column D / Schedule J column E) by filing year, matched by name within this organization. The Schedule J base / bonus / deferred breakdown is not parsed into this dataset.

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Questions the 990 asks

The form asks each of these directly. These are the filed answers.

  • Family or business ties among officersPt VI · Ln 2No
  • Top official's pay set by an independent reviewPt VI · Ln 15aYes

Programs and updates

Provides administrative support to healthcare subsidiaries, delivers outpatient medical services in San Diego, and offers community health education and treatment assistance programs.

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Provided by the organization

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3 programs · $1.3B · in their own filed words · FY2020
01

Sharp HealthCare operates a number of outpatient clinics throughout San Diego County which provide outpatient and urgent care services to the community. Total patient visits were 1,994,368 for the twelve months ended 9/30/2021.

$696.5Mprogram expense
02

Sharp HealthCare provides administrative support to its subsidiaries. Its general purpose is to promote healthcare through supporting and/or operating its subsidiaries.

$641.1Mprogram expense
03

See Community Benefit Report on Schedule O.

Pt IX · col B

Funders

Who pays for it.

From grant filings on record. Receipts are incomplete: individual donors are never listed.

Grants

Schedule I · received and paid
Grants received · FY2025
Total grants receivedfrom 1 funder$100K
Grants paid · 67 grants · $1.9M · 2019–2024
Unitemized GrantFY2024$243,000
American Heart Association INCTX · FY2024$100,000
EvonexusCA · FY2024$25,000
San Diego Museum of ArtCA · FY2024$15,000
The Campanile FoundationCA · FY2024$12,000
Voice & ViewpointCA · FY2024$10,000
San Diego Opera AssociationCA · FY2024$10,000
American Cancer Society INCGA · FY2024$10,000
Las PatronasCA · FY2024$5,665
American Heart Association INCTX · FY2023$150,000
Unitemized GrantFY2023$134,000
Coalition for Health Ai INCMN · FY2023$50,000
Unitemized GrantFY2023$42,000
Unitemized GrantFY2023$40,000
See all 67 grants →

By the numbers

The FY2021 990, line by line.

1The main four
Money inPt VIII
$1.7B
Ln 12
Fees for servicesLn 2g$1.5B
Investment incomeLn 3$195.9M
Other incomeLn 4–11$49.0M
Money outPt IX
$1.9B
Ln 25
Programscol B$1.3B
Managementcol C$537.4M
Fundraisingcol D$4.7M
Owns and owesPt X
$185.6M
net assets · Ln 32
Cash and savingsLn 1–2$353.3M
Total assetsLn 16$5.3B
LiabilitiesLn 26$5.1B
PeoplePt VI, VII
46
listed · VII A
PaidVII A20
Voting boardVI 1a25
IndependentVI 1b21
2In more detail
Revenue in detailPt VIII
Gifts and grantsLn 1h$10.1M
Government grantsLn 1e$7.0M
Noncash giftsLn 1g$8K
Fees for servicesLn 2g$1.5B
Investment incomeLn 3$195.9M
Other incomeLn 4–11$49.0M
Gains on assetsLn 7$139.7M
Total revenueLn 12$1.7B
Assets in detailPt X, end of year
CashLn 1$358K
SavingsLn 2$353.0M
Cash and savings togetherLn 1–2$353.3M
InvestmentsLn 11–13$3.26B
Land, buildings, equipmentLn 10c$484.0M
Other assetsLn 15$1.09B
Total assetsLn 16$5.3B
LiabilitiesLn 26$5.1B
Net assetsLn 32$185.6M
OperationsPt I, VI
EmployeesI 523,359
VolunteersI 60
Fiscal year endsHeaderSeptember
Conflict-of-interest policyVI 12aYes
Whistleblower policyVI 13Yes
Records policyVI 14Yes
3Year over year
Balance sheet, start vs end of yearPt X · col A, B
LineStart FY21End FY21
Cash and savingsLn 1–2$343.7M$353.3M
InvestmentsLn 11–13$2.70B$3.26B
Land, buildings, equipmentLn 10c$490.4M$484.0M
Total assetsLn 16$4.49B$5.33B
LiabilitiesLn 26$4.40B$5.14B
Net assetsLn 32$96.9M$185.6M
4Every line
Statement of functional expensesPt IX · every line
LineTotalProgramsManagementFundraising
Grants to domestic organizationsLn 1$155K$155K
Benefits paid to or for membersLn 4$0$0
Pay of current officers, directors and key staffLn 5$7.2M$7.2M
Other salaries and wagesLn 7$454.6M$188.2M$266.4M
Pension plan contributionsLn 8$19.1M$7.4M$11.7M
Other employee benefitsLn 9$67.6M$29.4M$38.2M
Payroll taxesLn 10$32.2M$13.7M$18.5M
Legal feesLn 11b$1.7M$221K$1.4M
Accounting feesLn 11c$736K$736K
Lobbying feesLn 11d$16K$16K
Investment management feesLn 11f$1.9M$1.9M
Other fees for servicesLn 11g$552.0M$526.1M$26.0M$0
Advertising and promotionLn 12$4.7M$443K$4.3M
Office expensesLn 13$33.9M$15.4M$18.5M
Information technologyLn 14$97.9M$530K$97.4M
OccupancyLn 16$33.2M$25.4M$7.8M
TravelLn 17$170K$96K$74K
InterestLn 20$8.1M$1.3M$6.8M
Depreciation, depletion and amortizationLn 22$35.6M$16.8M$18.8M
InsuranceLn 23$4.1M$3.4M$640K
Other expenses (24a–d)Ln 24$518.7M$505.0M$9.0M$4.7M
All other expensesLn 24e$6.1M$4.0M$2.2M$0
Total functional expensesLn 25$1.88B$1.34B$537.4M$4.7M

Filing history

YearMoney inMoney outIn minus outNet assetsDownload
FY2024 $1.8B$2.2B−$439.3M$185.4M 990 PDF
FY2023 $1.9B$2.0B−$136.2M$146.1M 990 PDF
FY2022 $2.4B$1.9B$436.7M$97.8M 990 PDF
FY2021 Viewing $1.7B$1.9B−$156.0M$185.6M 990 PDF
FY2020 $1.6B$1.8B−$126.4M$96.9M 990 PDF

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Schedules filed Part IV

III · Programs I · Grants R · Related orgs G · Fundraising L · Interested persons A · Public support F · Foreign M · Noncash
See the full FY2021 990 (6 parts)
Part I · Summary $1,723,734,140 revenue, 12 lines filed
I-8 Contributions and grantsPrior year $20,900,286$10,056,710
I-9 Program service revenuePrior year $1,493,697,482$1,468,788,495
I-10 Investment incomePrior year $64,612,401$195,885,041
I-11 Other revenuePrior year $56,988,203$49,003,894
I-12 Total revenuePrior year $1,636,198,372$1,723,734,140
I-13 Grants and similar amounts paidPrior year $221,658$155,087
I-14 Benefits paid to membersPrior year $0$0
I-15 Salaries and benefitsPrior year $543,577,947$580,727,289
I-16a Professional fundraising fees$0
I-17 Other expensesPrior year $1,218,799,707$1,298,857,171
I-18 Total expensesPrior year $1,762,599,312$1,879,739,547
I-19 Revenue less expensesPrior year −$126,400,940−$156,005,407
Part VI · Governance 21 of 25 board members independent, no flags
VI-1a Voting members of the governing body25
VI-1b Independent voting members21
VI-2 Family or business relationship among officers or directorsNo
VI-12a Written conflict of interest policyYes
VI-13 Written whistleblower policyYes
VI-14 Document retention and destruction policyYes
VI-15a Process for setting top official's payYes
Part VIII · Statement of revenue $1,723,734,140 across 9 lines filed
Lines not itemized here account for $13,406,878 of total revenue; see the IRS return.
VIII-1d Related organizations$3,011,163
VIII-1e Government grants$7,045,547
VIII-1g Noncash contributions (included above)$7,800
VIII-1h Total contributions, gifts and grants$10,056,710
VIII-2a-f Program service revenue, itemized rows (sum of 2a–2f as filed)Related to mission $1,455,770,040$1,455,770,040
VIII-3 Investment incomeExcluded from tax $56,234,460$56,234,460
VIII-7 Net gain or loss on sales of assetsExcluded from tax $139,650,542$139,650,542
VIII-11a-d Other revenue, itemized rows (sum of 11a–11d as filed)Excluded from tax $48,615,510$48,615,510
VIII-12 Total revenueRelated to mission $1,468,331,419 · Unrelated business $457,076 · Excluded from tax $244,888,935$1,723,734,140
Part IX · Statement of functional expenses $1,879,739,547 across 22 lines filed
IX-1 Grants to domestic organizationsPrograms $155,087$155,087
IX-4 Benefits paid to or for membersPrograms $0$0
IX-5 Pay of current officers, directors and key staffManagement $7,151,434$7,151,434
IX-7 Other salaries and wagesPrograms $188,231,181 · Management $266,403,320$454,634,501
IX-8 Pension plan contributionsPrograms $7,375,071 · Management $11,690,052$19,065,123
IX-9 Other employee benefitsPrograms $29,444,536 · Management $38,201,567$67,646,103
IX-10 Payroll taxesPrograms $13,741,698 · Management $18,488,430$32,230,128
IX-11b Legal feesPrograms $220,513 · Management $1,447,959$1,668,472
IX-11c Accounting feesManagement $735,779$735,779
IX-11d Lobbying feesManagement $16,500$16,500
IX-11f Investment management feesManagement $1,866,966$1,866,966
IX-11g Other fees for servicesPrograms $526,065,269 · Management $25,982,885 · Fundraising $0$552,048,154
IX-12 Advertising and promotionPrograms $442,869 · Management $4,258,855$4,701,724
IX-13 Office expensesPrograms $15,399,703 · Management $18,517,205$33,916,908
IX-14 Information technologyPrograms $529,601 · Management $97,385,041$97,914,642
IX-16 OccupancyPrograms $25,429,600 · Management $7,784,973$33,214,573
IX-17 TravelPrograms $95,934 · Management $74,382$170,316
IX-20 InterestPrograms $1,339,642 · Management $6,783,207$8,122,849
IX-22 Depreciation, depletion and amortizationPrograms $16,787,627 · Management $18,762,887$35,550,514
IX-23 InsurancePrograms $3,440,467 · Management $639,715$4,080,182
IX-24 Other expenses (24a–d)Programs $504,993,632 · Management $8,989,970 · Fundraising $4,727,123$518,710,725
IX-24e All other expensesPrograms $3,955,610 · Management $2,183,257 · Fundraising $0$6,138,867
IX-25 Total functional expensesPrograms $1,337,648,040 · Management $537,364,384 · Fundraising $4,727,123$1,879,739,547
Part X · Balance sheet $5,325,617,287 assets, 24 lines filed
Asset lines not itemized here account for $2,253,234; see the IRS return.
X-1 Cash, non-interest-bearingStart of year $288,669$358,203
X-2 Savings and temporary cash investmentsStart of year $343,373,009$352,951,444
X-3 Pledges and grants receivableStart of year $0$0
X-4 Accounts receivableStart of year $57,435,916$60,309,190
X-8 Inventories for sale or useStart of year $15,226,298$18,858,234
X-9 Prepaid expenses and deferred chargesStart of year $38,814,420$54,498,625
X-10c Land, buildings and equipment, netStart of year $490,422,865$484,018,379
X-11 Publicly traded securitiesStart of year $2,592,409,757$3,137,204,076
X-12 Other securitiesStart of year $13,959,155$18,812,344
X-13 Program-related investmentsStart of year $92,773,091$103,641,426
X-14 Intangible assetsStart of year $0$0
X-15 Other assetsStart of year $846,369,440$1,092,712,132
X-16 Total assetsStart of year $4,493,325,854$5,325,617,287
X-17 Accounts payable and accrued expensesStart of year $266,162,611$289,275,575
X-18 Grants payableStart of year $0$0
X-19 Deferred revenueStart of year $942,986$1,245,194
X-20 Tax-exempt bond liabilitiesStart of year $713,650,614$1,201,700,303
X-24 Unsecured notes and loans payableStart of year $0$0
X-25 Other liabilitiesStart of year $3,415,711,272$3,647,756,268
X-26 Total liabilitiesStart of year $4,396,467,483$5,139,977,340
X-27 Net assets without donor restrictionsStart of year $20,154,787$100,685,052
X-28 Net assets with donor restrictionsStart of year $76,703,584$84,954,895
X-32 Total net assets or fund balancesStart of year $96,858,371$185,639,947
X-33 Total liabilities and net assetsStart of year $4,493,325,854$5,325,617,287
Part XI · Reconciliation of net assets $185,639,947 net assets at year end
XI-1 Total revenue$1,723,734,140
XI-2 Total expenses$1,879,739,547
XI-3 Revenue less expenses−$156,005,407
XI-4 Net assets at start of year$96,858,371
XI-5 Net unrealized gains (losses) on investments$216,070,059
XI-8 Prior period adjustments−$93,686
XI-9 Other changes in net assets$28,810,610
XI-10 Net assets at end of year$185,639,947

Form 990 e-file (XML) FY2021 from the IRS · Classification, formation year and address from the IRS Business Master File

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