RADY CHILDRENS HOSPITAL SAN DIEGO: Form 990, tax year 2020

View the entire original 990 at ProPublica ↗

Organization: RADY CHILDRENS HOSPITAL SAN DIEGO (EIN 95-1691313)
Tax period: 2020-07-01 to 2021-06-30
Filed: 2022-05-13
IRS object ID: 202231339349309868
Schema version: 2020v4.2
Source: Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header
Form 990
Schedule A
Schedule B
Schedule C
Schedule D
Schedule F
Schedule H
Schedule I
Schedule J
Schedule K
Schedule K
Schedule L
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2022-05-13T18:40:22-05:00	ReturnTs
Tax Period End	2021-06-30	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Field	Value	IRS element (for citing)
Preparer Firm EIN	135565207	PreparerFirmEIN

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	KPMG LLP	BusinessNameLine1Txt

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	MISSION TOWERS I 3975 FREEDOM	AddressLine1Txt
Address Line2	CIRCLE DR	AddressLine2Txt
City	SANTA CLARA	CityNm
State Abbreviation	CA	StateAbbreviationCd
ZIP	95054	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2020-07-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	951691313	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	RADY CHILDREN'S HOSPITAL - SAN DIEGO	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Business Name Control	RADY	BusinessNameControlTxt
Phone	8585761700	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	3020 CHILDRENS WAY MC 5001	AddressLine1Txt
City	SAN DIEGO	CityNm
State Abbreviation	CA	StateAbbreviationCd
ZIP	921234282	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	JAMES J ULI JR	PersonNm
Person Title	CFO/TREASURER	PersonTitleTxt
Phone	8585761700	PhoneNum
Signature	2022-05-13	SignatureDt
Discuss With Paid Preparer	Yes (1)	DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

Field	Value	IRS element (for citing)
Person First	JAMES	PersonFirstNm
Person Last	ULI JR	PersonLastNm

Field	Value	IRS element (for citing)
SSN	999009999	SSN

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	JAMES R LANCASTER	PreparerPersonNm
PTIN	P00742579	PTIN
Phone	4083675764	PhoneNum

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

Field	Value	IRS element (for citing)
Trusted Customer	3	TrustedCustomerCd
Authentication Assurance Level	AAL1	AuthenticationAssuranceLevelCd
Identity Assurance Level	IAL1	IdentityAssuranceLevelCd

Field	Value	IRS element (for citing)
Tax	2020	TaxYr
Build TS	2022-09-23 18:48:47Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Principal Officer	PATRICIO A FRIAS MD	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	3020 CHILDRENS WAY	AddressLine1Txt
City	MC SAN DIEGO	CityNm
State Abbreviation	CA	StateAbbreviationCd
ZIP	921234282	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$1,893,260,030	GrossReceiptsAmt
Group Return For Affiliates	0	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	WWW.RCHSD.ORG	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1954	FormationYr
Legal Domicile State	CA	LegalDomicileStateCd
Activity Or Mission	THE HOSPITAL PROVIDES COMPREHENSIVE PEDIATRIC MEDICAL SERVICES IN SAN DIEGO, SOUTHERN RIVERSIDE, AND IMPERIAL COUNTIES.	ActivityOrMissionDesc
Voting Members Governing Body	26	VotingMembersGoverningBodyCnt
Voting Members Independent	26	VotingMembersIndependentCnt
Total Employee	5891	TotalEmployeeCnt
Total Volunteers	525	TotalVolunteersCnt
Total Gross UBI	$2,065,791	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$0	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$97,611,136	PYContributionsGrantsAmt
CY Contributions Grants	$138,071,860	CYContributionsGrantsAmt
PY Program Service Revenue	$1,125,744,151	PYProgramServiceRevenueAmt
CY Program Service Revenue	$1,086,576,280	CYProgramServiceRevenueAmt
PY Investment Income	$20,802,927	PYInvestmentIncomeAmt
CY Investment Income	$83,171,647	CYInvestmentIncomeAmt
PY Other Revenue	$15,724,178	PYOtherRevenueAmt
CY Other Revenue	$16,058,698	CYOtherRevenueAmt
PY Total Revenue	$1,259,882,392	PYTotalRevenueAmt
CY Total Revenue	$1,323,878,485	CYTotalRevenueAmt
PY Grants And Similar Paid	$4,537,109	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$5,663,815	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$484,620,749	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$505,852,155	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$105,125	CYTotalFundraisingExpenseAmt
PY Other Expenses	$654,288,601	PYOtherExpensesAmt
CY Other Expenses	$655,483,194	CYOtherExpensesAmt
PY Total Expenses	$1,143,446,459	PYTotalExpensesAmt
CY Total Expenses	$1,166,999,164	CYTotalExpensesAmt
PY Revenues Less Expenses	$116,435,933	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$156,879,321	CYRevenuesLessExpensesAmt
Total Assets BOY	$2,427,505,044	TotalAssetsBOYAmt
Total Assets EOY	$3,154,030,389	TotalAssetsEOYAmt
Total Liabilities BOY	$955,658,395	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$1,144,047,054	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$1,471,846,649	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$2,009,983,335	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	TO RESTORE, SUSTAIN AND ENHANCE THE HEALTH AND DEVELOPMENTAL POTENTIAL OF CHILDREN THROUGH EXCELLENCE IN CARE, EDUCATION, RESEARCH AND ADVOCACY.	MissionDesc
Significant New Program Srvc	0	SignificantNewProgramSrvcInd
Significant Change	0	SignificantChangeInd
Expense	$925,707,297	ExpenseAmt
Grant	$5,389,098	GrantAmt
Revenue	$1,086,576,280	RevenueAmt
Desc	SEE SCHEDULE ORADY CHILDREN'S HOSPITAL SAN DIEGO (THE HOSPITAL) IS A REGIONAL TERTIARY AND QUATERNARY REFERRAL CENTER AND PROVIDES COMPREHENSIVE INPATIENT AND OUTPATIENT ACUTE, PSYCHIATRIC AND INTENSIVE CARE PEDIATRIC SERVICES. THE HOSPITAL ALSO IS THE SOLE PEDIATRIC PROVIDER AND DESIGNATED PEDIATRIC TRAUMA CENTER FOR SAN DIEGO COUNTY AND IS THE PRIMARY SOURCE OF PEDIATRIC AND NEONATAL INTENSIVE CARE SERVICES FOR BOTH SAN DIEGO AND IMPERIAL COUNTIES. ON ITS MAIN CAMPUS THE HOSPITAL OPERATES THE ONLY LEVEL 4 FULL SCOPE NEONATAL INTENSIVE CARE UNIT IN SAN DIEGO, RIVERSIDE AND IMPERIAL COUNTIES. IN ADDITION, THE HOSPITAL OPERATES AN 11-BED LEVEL 3 NEONATAL INTENSIVE CARE UNIT AT SOUTHWEST HEALTHCARE SYSTEM IN RANCHO SPRINGS, AN 8-BED LEVEL 2 NEONATAL INTENSIVE CARE UNIT FOR SCRIPPS MEMORIAL HOSPITAL IN ENCINITAS, AN 18-BED LEVEL 3 NEONATAL INTENSIVE CARE UNIT FOR SCRIPPS MEMORITAL HOSPITAL IN LA JOLLA, AND TWO LEVEL 2 NEONATAL INTENSIVE CARE UNITS FOR SCRIPPS MERCY HOSPITAL LOCATED IN SAN DIEGO AND CHULA VISTA; AN 11-BED PEDIATRIC MEDICAL UNIT FOR SHARP HEALTH LOCATED AT ITS SHARP GROSSMONT CAMPUS; AND A LEVEL 3, 4-BED NEONATAL INTENSIVE CARE UNIT, LOCATED AT PALOMAR MEDICAL CENTER IN ESCONDIDO. THE HOSPITAL IS AMALGAMATED WITH THE UNIVERSITY OF CALIFORNIA, SAN DIEGO, HEALTH SCIENCES, AND SERVES AS A CENTER FOR GRADUATE AND POST-GRADUATE EDUCATION IN THE FIELD OF PEDIATRICS. ANNUALLY, THE HOSPITAL HAS APPROXIMATELY 15,000 INPATIENT ADMISSIONS AND APPROXIMATELY 344,000 VISITS PER YEAR IN ITS OUTPATIENT DEPARTMENTS. ADDITIONALLY, THE EMERGENCY DEPARTMENT AND URGENT CARE CENTERS PROVIDE APPROXIMATELY 65,000 AND 24,000 VISITS, RESPECTIVELY, PER YEAR.	Desc
Total Program Service Expenses	$925,707,297	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (1)	DescribedInSection501c3Ind
Schedule B Required	Yes (1)	ScheduleBRequiredInd
Political Campaign Acty	0	PoliticalCampaignActyInd
Lobbying Activities	Yes (1)	LobbyingActivitiesInd
Subject To Proxy Tax	0	SubjectToProxyTaxInd
Donor Advised Fund	0	DonorAdvisedFundInd
Conservation Easements	0	ConservationEasementsInd
Collections Of Art	0	CollectionsOfArtInd
Credit Counseling	0	CreditCounselingInd
Donor Rstr Or Quasi Endowments	Yes (1)	DonorRstrOrQuasiEndowmentsInd
Report Land Building Equipment	Yes (1)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	Yes (1)	ReportInvestmentsOtherSecInd
Report Program Related Invst	0	ReportProgramRelatedInvstInd
Report Other Assets	0	ReportOtherAssetsInd
Report Other Liabilities	Yes (1)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	Yes (1)	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	0	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (1)	ConsolidatedAuditFinclStmtInd
School Operating	0	SchoolOperatingInd
Foreign Office	0	ForeignOfficeInd
Foreign Activities	Yes (1)	ForeignActivitiesInd
More Than5000 K To Org	Yes (1)	MoreThan5000KToOrgInd
More Than5000 K To Individuals	0	MoreThan5000KToIndividualsInd
Professional Fundraising	0	ProfessionalFundraisingInd
Fundraising Activities	0	FundraisingActivitiesInd
Gaming Activities	0	GamingActivitiesInd
Operate Hospital	Yes (1)	OperateHospitalInd
Audited Financial Stmt Att	Yes (1)	AuditedFinancialStmtAttInd
Grants To Organizations	Yes (1)	GrantsToOrganizationsInd
Grants To Individuals	0	GrantsToIndividualsInd
Schedule J Required	Yes (1)	ScheduleJRequiredInd
Tax Exempt Bonds	Yes (1)	TaxExemptBondsInd
Invest Tax Exempt Bonds	0	InvestTaxExemptBondsInd
Escrow Account	0	EscrowAccountInd
On Behalf Of Issuer	0	OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans	0	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	0	PYExcessBenefitTransInd
Loan Outstanding	Yes (1)	LoanOutstandingInd
Grant To Related Person	0	GrantToRelatedPersonInd
Business Rln With Org Mem	0	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	0	BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent	0	BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri	0	DeductibleNonCashContriInd
Deductible Art Contribution	0	DeductibleArtContributionInd
Terminate Operations	0	TerminateOperationsInd
Partial Liquidation	0	PartialLiquidationInd
Disregarded Entity	0	DisregardedEntityInd
Related Entity	Yes (1)	RelatedEntityInd
Related Organization Ctrl Ent	Yes (1)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	0	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	0	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	0	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (1)	ScheduleORequiredInd
IRP Document	708	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (1)	BackupWthldComplianceInd
Employee	5891	EmployeeCnt
Employment Tax Returns Filed	Yes (1)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	Yes (1)	UnrelatedBusIncmOverLimitInd
Form990 T Filed	Yes (1)	Form990TFiledInd
Foreign Financial Account	0	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	0	ProhibitedTaxShelterTransInd
Taxable Party Notification	0	TaxablePartyNotificationInd
Nondeductible Contributions	0	NondeductibleContributionsInd
Quid Pro Quo Contributions	0	QuidProQuoContributionsInd
Form8282 Property Disposed Of	0	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	0	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	0	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	0	IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt	Yes (1)	SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc	0	SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	26	GoverningBodyVotingMembersCnt
Independent Voting Member	26	IndependentVotingMemberCnt
Family Or Business Rln	0	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	0	DelegationOfMgmtDutiesInd
Change To Org Documents	0	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	0	MaterialDiversionOrMisuseInd
Members Or Stockholders	Yes (1)	MembersOrStockholdersInd
Election Of Board Members	Yes (1)	ElectionOfBoardMembersInd
Decisions Subject To Approva	Yes (1)	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (1)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (1)	MinutesOfCommitteesInd
Officer Mailing Address	0	OfficerMailingAddressInd
Local Chapters	0	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (1)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (1)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (1)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (1)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (1)	WhistleblowerPolicyInd
Document Retention Policy	Yes (1)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (1)	CompensationProcessCEOInd
Compensation Process Other	Yes (1)	CompensationProcessOtherInd
Investment In Joint Venture	0	InvestmentInJointVentureInd
States Where Copy Of Return Is Fld	CA	StatesWhereCopyOfReturnIsFldCd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Field	Value	IRS element (for citing)
Person	NISHANTHA RATNAYAKE	PersonNm
Phone	8585761700	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	3020 CHILDRENS WAY MC 5001 SAN	AddressLine1Txt
City	DIEGO	CityNm
State Abbreviation	CA	StateAbbreviationCd
ZIP	921234282	ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (52 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	OfficerOfficerInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Key EmployeeKeyEmployeeInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd	Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
S DOUGLAS HUTCHESON
CHAIR	4.00	12.00	Yes (X)	Yes (X)	$0	$0	$0
PAUL J HERRING
VICE CHAIR	4.00	8.00	Yes (X)		$0	$0	$0
LISA A BARKETT
BOARD MEMBER	2.00	2.00	Yes (X)		$0	$0	$0
MARTIN BROTMAN MD
BOARD MEMBER	2.00	2.00	Yes (X)		$0	$0	$0
BRIDGETT M BROWN
BOARD MEMBER	2.00	6.00	Yes (X)		$0	$0	$0
MICHAEL J FARRELL
BOARD MEMBER	2.00	2.00	Yes (X)		$0	$0	$0
MICHAEL A FRIEDMAN MD
BOARD MEMBER (FROM 03/2021)	2.00	2.00	Yes (X)		$0	$0	$0
JOHN M GILCHRIST JR
BOARD MEMBER	2.00	4.00	Yes (X)		$0	$0	$0
DAVID F HALE
BOARD MEMBER	2.00	6.00	Yes (X)		$0	$0	$0
DEBRA L REED-KLAGES
BOARD MEMBER	2.00	2.00	Yes (X)		$0	$0	$0
CATHERINE J MACKEY PHD
BOARD MEMBER	2.00	4.00	Yes (X)		$0	$0	$0
DIEGO G MIRALLES MD
BOARD MEMBER	2.00	4.00	Yes (X)		$0	$0	$0
HENRY L NORDHOFF
BOARD MEMBER	2.00	4.00	Yes (X)		$0	$0	$0
TINA S NOVA PHD
BOARD MEMBER	2.00	6.00	Yes (X)		$0	$0	$0
HARRY M RADY
BOARD MEMBER	2.00	4.00	Yes (X)		$0	$0	$0
THEODORE D ROTH
BOARD MEMBER	2.00	2.00	Yes (X)		$0	$0	$0
DONALD J ROSENBERG
BOARD MEMBER	2.00	4.00	Yes (X)		$0	$0	$0
BYRON SCOTT MD
BOARD MEMBER (FROM 03/2021)	2.00	2.00	Yes (X)		$0	$0	$0
MICHAEL R STONE
BOARD MEMBER (FROM 03/2021)	2.00	2.00	Yes (X)		$0	$0	$0
VANESSA V WERTHAM PHD
BOARD MEMBER	2.00	2.00	Yes (X)		$0	$0	$0
SCOTT N WOLFE
BOARD MEMBER	2.00	4.00	Yes (X)		$0	$0	$0
DAVID A BRENNER MD
EX-OFFICIO BOARD MEMBER	2.00	4.00	Yes (X)		$0	$0	$0
ANDREW J SKALSKY MD
EX-OFFICIO BOARD MEMBER	2.00	2.00	Yes (X)		$0	$0	$0
PRADEEP KHOSLA PHD
EX-OFFICIO BOARD MEMBER	2.00	2.00	Yes (X)		$0	$0	$0
JOHN STOBO MD
EX-OFFICIO BOARD MEMBER	2.00	2.00	Yes (X)		$0	$0	$0
GEORGE CHIANG MD
EX-OFFICIO BOARD MEMBER (FROM 01/20)	2.00	3.00	Yes (X)		$0	$0	$0
PATRICK FRIAS MD
PRESIDENT & CEO	29.00	11.00		Yes (X)	$1,468,731	$0	$37,494
JAMES J ULI JR
SVP, CFO, TREASURER (FROM 03/20)	31.00	9.00		Yes (X)	$609,574	$0	$18,167
ANGELA M VIEIRA
GENERAL COUNSEL (FROM 03/20)	35.00	5.00		Yes (X)	$579,301	$0	$79,414
BELINDA SANTOS-RAMIREZ
BOARD ADMIN & CHIEF OF STAFF	35.00	5.00		Yes (X)	$129,987	$0	$28,382
NICHOLAS M HOLMES
SR VP, COO	35.00	5.00		Yes (X)	$817,492	$0	$38,095
JILL STRICKLAND
SR VP, CAO	32.00	8.00		Yes (X)	$271,827	$0	$6,818
GAIL L KNIGHT MD
SR VP, CMO	37.00	3.00		Yes (X)	$806,411	$0	$12,132
STEPHEN JENNINGS
SR VP, EXEC DIR FOUNDATION	0.00	40.00		Yes (X)	$0	$643,427	$75,931
CHRIS ABE
VP, OPERATIONS	40.00	0.00			$439,768	$0	$106,052	Yes (X)
SCOTT D CAMPBELL
VP, CFO & ADMIN OFFICER - MPF	40.00	0.00			$482,488	$0	$71,738	Yes (X)
CHARLES B DAVIS
SR VP, MPF COO & CARE REDESIGN	40.00	0.00			$699,054	$0	$67,275	Yes (X)
MARY J FAGAN
VP, PATIENT CARE SVCS/CNO	40.00	0.00			$470,483	$0	$93,550	Yes (X)
CHRISTINA GALBO
CHIEF COMPL & PRIV OFFICER	40.00	0.00			$226,054	$0	$55,929	Yes (X)
MEREDITH LURIE
VP, STRATEGIC AND ORG PLANNING	40.00	0.00			$330,021	$0	$70,424	Yes (X)
CATHY NUGENT
VP, HUMAN RESOURCES	40.00	0.00			$486,895	$0	$109,743	Yes (X)
ALBERT ORIOL
VP, INFO MGMT/CIO	40.00	0.00			$546,809	$0	$60,591	Yes (X)
NISHANTHA S RATNAYAKE
VP, FINANCE & CONTROLLER	40.00	0.00			$383,190	$0	$44,945	Yes (X)
BARBARA L RYAN
VP, GOVERNMENT AFFAIRS	40.00	0.00			$438,886	$0	$128,614	Yes (X)
GLENN F BILLMAN
CHIEF QUALITY OFFICER	40.00	0.00			$427,555	$0	$84,806		Yes (X)
MICHAEL HESTER
SR DIR, REVENUE CYCLE	40.00	0.00			$290,628	$0	$22,991		Yes (X)
GLIDA E RECODO
CLINICAL NURSE II	40.00	0.00			$290,907	$0	$20,318		Yes (X)
MARK SEY
PHARMACIST IN CHIEF	40.00	0.00			$292,127	$0	$21,261		Yes (X)
SCOTT A VOIGTS
SR DIR, CHIEF TECH OFFICER	40.00	0.00			$292,996	$0	$10,985		Yes (X)
KATHLEEN M CAIN
SVP, CFO, TREASURER (THRU 02/20)	16.00	4.00			$289,442	$0	$13,191			Yes (X)
MARGARETA E NORTON
EXEC VP, CAO, SECRETARY (THRU 02/20)	20.00	0.00			$1,134,424	$0	-$66,096			Yes (X)
DONALD B KEARNS MD MMM
PRESIDENT EMERITUS	14.00	6.00			$678,312	$0	$22,218			Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$12,883,362	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$643,427	TotReportableCompRltdOrgAmt
Total Other Compensation	$1,234,968	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	1367	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	Yes (1)	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (1)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	0	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
CHILDREN'S SPECIALISTS OF SAN DIEGO
3020 CHILDRENS WAY MC 5001	SAN DIEGO	CA	92123	MEDICAL SERVICES	$132,403,655
THE REGENTS OF THE UNIVERSITY OF CALIFOR
9500 GILMAN DRIVE	LA JOLLA	CA	92093	MEDICAL SERVICES	$40,786,645
CHILDREN'S PHYSICIANS MEDICAL GROUP
5855 COPLEY DRIVE SUITE 100	SAN DIEGO	CA	92111	MEDICAL SERVICES	$31,495,986
HUMAN CAPITAL SELECT LLC
2680 S VAL VISTA DRIVE SUITE 161	GILBERT	AZ	85295	AGENCY LABOR	$11,036,964
SCRIPPS MEMORIAL HOSPITAL LA JOLLA
9888 GENESEE AVENUE	LA JOLLA	CA	92037	MEDICAL SERVICES	$9,923,253

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	399	CntrctRcvdGreaterThan100KCnt
Related Organizations	$81,218,180	RelatedOrganizationsAmt
Government Grants	$50,297,081	GovernmentGrantsAmt
All Other Contributions	$6,556,599	AllOtherContributionsAmt
Total Contributions	$138,071,860	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (4 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
NET PATIENT SERVICE RE	622110	$1,063,635,999	$1,063,635,999
OUTPATIENT PHARMACEUTI	622110	$7,881,554	$7,881,554
MEDICAL OFFICE BUILDIN	622110	$4,427,805	$4,427,805
MEDICAL SERVICES REIMB	622110	$3,463,664	$3,463,664

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$7,167,258	TotalRevenueColumnAmt
Related Or Exempt Func Income	$7,167,258	RelatedOrExemptFuncIncomeAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$1,086,576,280	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$18,098,100	TotalRevenueColumnAmt
Exclusion	$18,098,100	ExclusionAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$1,440,945	RealAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$0	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$1,440,945	RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,440,945	TotalRevenueColumnAmt
Exclusion	$1,440,945	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$634,455,092	SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$569,381,545	SecuritiesAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$65,073,547	SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$65,073,547	TotalRevenueColumnAmt
Exclusion	$65,073,547	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	ExclusionExclusionAmt
TPA SERVICES	900099	$6,793,100	$6,793,100
PARKING	812930	$1,817,739	$1,817,739
FOOD SERVICE REVENUE	721000	$1,724,794	$1,724,794

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$4,282,120	TotalRevenueColumnAmt
Unrelated Business Revenue	$2,065,791	UnrelatedBusinessRevenueAmt
Exclusion	$2,216,329	ExclusionAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$14,617,753	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,323,878,485	TotalRevenueColumnAmt
Related Or Exempt Func Income	$1,086,576,280	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$2,065,791	UnrelatedBusinessRevenueAmt
Exclusion	$97,164,554	ExclusionAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part IX	Yes (X)	InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$5,389,098	TotalAmt
Program Services	$5,389,098	ProgramServicesAmt

Foreign Grants ForeignGrantsGrp

Field	Value	IRS element (for citing)
Total	$274,717	TotalAmt
Program Services	$274,717	ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$8,714,237	TotalAmt
Program Services	$2,044,123	ProgramServicesAmt
Management And General	$6,564,989	ManagementAndGeneralAmt
Fundraising	$105,125	FundraisingAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$380,091,184	TotalAmt
Program Services	$274,548,652	ProgramServicesAmt
Management And General	$105,542,532	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$44,794,986	TotalAmt
Program Services	$31,557,052	ProgramServicesAmt
Management And General	$13,237,934	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$42,408,353	TotalAmt
Program Services	$29,875,723	ProgramServicesAmt
Management And General	$12,532,630	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$29,843,395	TotalAmt
Program Services	$21,023,995	ProgramServicesAmt
Management And General	$8,819,400	ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$7,210,865	TotalAmt
Program Services	$2,027,057	ProgramServicesAmt
Management And General	$5,183,808	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$606,455	TotalAmt
Program Services	$23,032	ProgramServicesAmt
Management And General	$583,423	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$481,930	TotalAmt
Management And General	$481,930	ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$130,918	TotalAmt
Management And General	$130,918	ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$1,303,091	TotalAmt
Management And General	$1,303,091	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$373,419,025	TotalAmt
Program Services	$345,956,196	ProgramServicesAmt
Management And General	$27,462,829	ManagementAndGeneralAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$1,552,091	TotalAmt
Program Services	$634,934	ProgramServicesAmt
Management And General	$917,157	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$2,051,074	TotalAmt
Program Services	$989,717	ProgramServicesAmt
Management And General	$1,061,357	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$16,328,223	TotalAmt
Program Services	$1,896,691	ProgramServicesAmt
Management And General	$14,431,532	ManagementAndGeneralAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$14,613,984	TotalAmt
Program Services	$11,691,187	ProgramServicesAmt
Management And General	$2,922,797	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$452,686	TotalAmt
Program Services	$336,541	ProgramServicesAmt
Management And General	$116,145	ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$481,792	TotalAmt
Program Services	$99,672	ProgramServicesAmt
Management And General	$382,120	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$14,936,569	TotalAmt
Program Services	$11,949,255	ProgramServicesAmt
Management And General	$2,987,314	ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$44,077,907	TotalAmt
Program Services	$28,650,640	ProgramServicesAmt
Management And General	$15,427,267	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$13,718,631	TotalAmt
Program Services	$81,503	ProgramServicesAmt
Management And General	$13,637,128	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
MEDICAL SUPPLIES	$107,520,177	$107,520,177
TAXES AND LICENSES	$28,767,063	$27,132,434	$1,634,629
REPAIRS	$6,411,698	$1,209,619	$5,202,079
DUES AND SUBSCRIPTIONS	$2,386,042	$2,386,042

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$19,032,973	TotalAmt
Program Services	$18,409,240	ProgramServicesAmt
Management And General	$623,733	ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$1,166,999,164	TotalAmt
Program Services	$925,707,297	ProgramServicesAmt
Management And General	$241,186,742	ManagementAndGeneralAmt
Fundraising	$105,125	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$210,341,413	BOYAmt
EOY	$124,181,860	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$187,572,375	BOYAmt
EOY	$173,334,496	EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

Field	Value	IRS element (for citing)
BOY	$231,034	BOYAmt
EOY	$212,109	EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

Field	Value	IRS element (for citing)
BOY	$105,031	BOYAmt
EOY	$93,729	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$9,346,494	BOYAmt
EOY	$10,629,863	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$27,228,332	BOYAmt
EOY	$35,345,481	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$1,025,049,919	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$548,558,252	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$471,952,826	BOYAmt
EOY	$476,491,667	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$1,260,259,393	BOYAmt
EOY	$2,008,686,205	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$143,097,007	BOYAmt
EOY	$206,461,266	EOYAmt

Intangible Assets IntangibleAssetsGrp

Field	Value	IRS element (for citing)
BOY	$713,000	BOYAmt
EOY	$608,000	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$116,658,139	BOYAmt
EOY	$117,985,713	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$2,427,505,044	BOYAmt
EOY	$3,154,030,389	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$181,663,692	BOYAmt
EOY	$210,981,900	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$95,706,201	BOYAmt
EOY	$200,076,372	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$356,648,260	BOYAmt
EOY	$262,243,361	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$321,640,242	BOYAmt
EOY	$470,745,421	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$955,658,395	BOYAmt
EOY	$1,144,047,054	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows FASB117	Yes (X)	OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$1,371,514,207	BOYAmt
EOY	$1,868,738,821	EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$100,332,442	BOYAmt
EOY	$141,244,514	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$1,471,846,649	BOYAmt
EOY	$2,009,983,335	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$2,427,505,044	BOYAmt
EOY	$3,154,030,389	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$156,879,321	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$297,110,885	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	$84,146,480	OtherChangesInNetAssetsAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	0	AccountantCompileOrReviewInd
FS Audited	Yes (1)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

Field	Value	IRS element (for citing)
Consolidated Basis Fincl Stmt	Yes (X)	ConsolidatedBasisFinclStmtInd

Field	Value	IRS element (for citing)
Audit Committee	Yes (1)	AuditCommitteeInd
Federal Grant Audit Required	Yes (1)	FederalGrantAuditRequiredInd
Federal Grant Audit Performed	Yes (1)	FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital	Yes (X)	HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor US Address ContributorUSAddress

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Total Contributions	RESTRICTED	TotalContributionsAmt

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Volunteers	0	VolunteersInd
Paid Staff Or Management	0	PaidStaffOrManagementInd
Media Advertisements	0	MediaAdvertisementsInd
Mailings Members	0	MailingsMembersInd
Publications Or Broadcast	0	PublicationsOrBroadcastInd
Grants Other Organizations	Yes (1)	GrantsOtherOrganizationsInd
Grants Other Organizations	$130,918	GrantsOtherOrganizationsAmt
Direct Contact Legislators	0	DirectContactLegislatorsInd
Rallies Demonstrations	0	RalliesDemonstrationsInd
Other Activities	0	OtherActivitiesInd
Total Lobbying Expenditures	$130,918	TotalLobbyingExpendituresAmt
Not Described Section501c3	0	NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART II-B, LINE 1:	FormAndLineReferenceDesc
Explanation	PAID OUTSIDE CONSULTANTS TO INCREASE AND OBTAIN FUNDING FOR BUILDING DEVELOPMENT PROJECTS AND TO INFLUENCE FEDERAL, STATE AND LOCAL LEGISLATION AS IT AFFECTS RADY CHILDREN'S HOSPITAL'S HEALTHCARE REIMBURSEMENT AND REGULATIONS.	ExplanationTxt

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$114,591,220	BeginningYearBalanceAmt
Contributions	$4,258,030	ContributionsAmt
Investment Earnings Or Losses	$29,121,590	InvestmentEarningsOrLossesAmt
Other Expenditures	$3,568,781	OtherExpendituresAmt
Administrative Expenses	$70,538	AdministrativeExpensesAmt
End Year Balance	$144,331,521	EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$112,673,421	BeginningYearBalanceAmt
Contributions	$5,561,460	ContributionsAmt
Investment Earnings Or Losses	$701,427	InvestmentEarningsOrLossesAmt
Other Expenditures	$4,235,454	OtherExpendituresAmt
Administrative Expenses	$109,634	AdministrativeExpensesAmt
End Year Balance	$114,591,220	EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$109,949,631	BeginningYearBalanceAmt
Contributions	$4,481,919	ContributionsAmt
Investment Earnings Or Losses	$2,755,878	InvestmentEarningsOrLossesAmt
Other Expenditures	$4,421,460	OtherExpendituresAmt
Administrative Expenses	$92,547	AdministrativeExpensesAmt
End Year Balance	$112,673,421	EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$101,712,762	BeginningYearBalanceAmt
Contributions	$6,622,916	ContributionsAmt
Investment Earnings Or Losses	$6,082,110	InvestmentEarningsOrLossesAmt
Other Expenditures	$4,360,156	OtherExpendituresAmt
Administrative Expenses	$108,001	AdministrativeExpensesAmt
End Year Balance	$109,949,631	EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$93,441,640	BeginningYearBalanceAmt
Contributions	$2,751,574	ContributionsAmt
Investment Earnings Or Losses	$9,143,887	InvestmentEarningsOrLossesAmt
Other Expenditures	$3,522,210	OtherExpendituresAmt
Administrative Expenses	$102,129	AdministrativeExpensesAmt
End Year Balance	$101,712,762	EndYearBalanceAmt

Field	Value	IRS element (for citing)
Board Designated Balance EOY	0.55330	BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY	0.32230	PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY	0.12440	TermEndowmentBalanceEOYPct
Endowments Held Unrelated Org	Yes (1)	EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org	Yes (1)	EndowmentsHeldRelatedOrgInd
Related Org List Sch R	Yes (1)	RelatedOrgListSchRInd

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$19,590,822	OtherCostOrOtherBasisAmt
Book Value	$19,590,822	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$643,041,582	OtherCostOrOtherBasisAmt
Depreciation	$317,442,939	DepreciationAmt
Book Value	$325,598,643	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$14,307,865	OtherCostOrOtherBasisAmt
Depreciation	$8,683,001	DepreciationAmt
Book Value	$5,624,864	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$307,002,770	OtherCostOrOtherBasisAmt
Depreciation	$218,239,818	DepreciationAmt
Book Value	$88,762,952	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$41,106,880	OtherCostOrOtherBasisAmt
Depreciation	$4,192,494	DepreciationAmt
Book Value	$36,914,386	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$476,491,667	TotalBookValueLandBuildingsAmt

Other Securities OtherSecuritiesGrp (49 entries)

DescDesc	Book ValueBookValueAmt	Method ValuationMethodValuationCd
ACTIS ENERGY 3	$1,810,867	F
ADVENT INTERNATIONAL GPE IX-C, L.P.	$4,342,466	F
ADVENT INTERNATIONAL GPE VIIIC, L.P.	$8,417,369	F
AMERICAN INDUSTRIAL PARTNERS CAPITAL FUND V, L.P.	$2,920,338	F
AMERICAN INDUSTRIAL PARTNERS CAPITAL FUND VI, L.P.	$5,599,986	F
AMERICAN SECURITIES PARTNERS V, L.P.	$15,002	F
AMERICAN SECURITIES PARTNERS VI, L.P.	$3,848,792	F
AMERICAN SECURITIES PARTNERS VII, L.P.	$7,346,004	F
AMERICAN SECURITIES PARTNERS VIII, L.P.	$3,065,442	F
AMPERSAND 2020	$779,116	F
ARDIAN ASF VIII	$3,204,084	F
CLEARLAKE CAPITAL PARTNERS VI	$5,494,500	F
CLEARLAKE OPPORTUNITIES PARTNERS (OFFSHORE) II, L.P.	$3,649,925	F
CVC CREDIT PARTNERS GLOBAL SPECIAL SITUATIONS	$3,674,388	F
CVC CREDIT PARTNERS GLOBAL SPECIAL SITUATIONS II	$3,595,429	F
ENCAP ENERGY CAPITAL FUND X, L.P.	$3,054,660	F
ENERGY TRUST PARTNERS V, L.P.	$8,476,547	F
FORTISSIMO CAPITAL FUND IV, L.P.	$5,942,805	F
FORTISSIMO CAPITAL FUND V, L.P.	$2,615,126	F
GLENDON OPPORTUNITIES FUND II, LP	$11,312,615	F
GLOBAL INFRASTRUCTURE PARTNERS III, L.P.	$8,879,790	F
GOLDMAN SACHS CAPITAL PARTNERS VI PARALLEL, L.P.	$600,129	F
GOLDMAN SACHS VINTAGE FUND IV OFFSHORE LP	$845,085	F
IPI PARTNERS IIA	$154,913	F
ISQ GLOBAL INFRASTRUCTURE	$5,810,008	F
KPS SPECIAL SITIATUIONS FUND V	$2,252,914	F
MILLENNIUM TECHNOLOGY VALUE PARTNERS II, L.P.	$1,951,274	F
NY LIFE INSURANCE - ROBERT LIPSCHULTZ	$38,376	F
OAKTREE EUROPEAN PRINCIPAL FUND, III, L.P.	$3,051,936	F
PATRIA BRAZILIAN PRIVATE EQUITY FUND IV, L.P.	$2,696,956	F
PATRIA BRAZILIAN PRIVATE EQUITY FUND V, L.P.	$8,037,417	F
PRIMAVERA CAPITAL FUND III	$10,928,515	F
PROVIDENCE STRATEGIC GROWTH EUROPE I	$959,436	F
RIDGEMONT EQUITY PARTNERS ENERGY OPPORTUNITY FUND, L.P.	$3,900,553	F
RIVERSTONE GLOBAL ENERGY AND POWER FUND VI, L.P.	$5,242,128	F
STEPSTONE ENDURANCE FUND	$10,086,366	F
STEPSTONE SECONDARY OPPORTUNITIES FUND II, L.P.	$2,219,306	F
STEPSTONE SECONDARY OPPORTUNITIES FUND, L.P.	$1,406,584	F
STEPSTONE SECONDARY OPPORTUNITY FUND III	$9,208,131	F
TPG HEALTHCARE PARTNERS, LP	$683,958	F
TPG PARTNERS VII, L.P.	$11,407,994	F
TPG PARTNERS VIII, L.P.	$3,214,145	F
TRG GROWTH PARTNERSHIP	$1,161,995	F
TSSP OPPORTUNITIES PARTNERS IV (B), L.P.	$4,414,555	F
U.S. FARMING REALTY TRUST II, L.P.	$4,723,122	F
VISTA EQUITY PARTNERS V, L.P.	$6,248,160	F
WATERLAND PRIVATE EQUITY FUND VII C.V.	$3,281,889	F
WHITE DEER ENERGY TE LP II	$3,025,366	F
YORKTOWN ENERGY PARTNERS IX, L.P.	$864,804	F

Field	Value	IRS element (for citing)
Total Book Value Securities	$206,461,266	TotalBookValueSecuritiesAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (11 entries)

DescDesc	AmtAmt
PAYABLE TO BENEFICIARIES	$298,506
INTEREST RATE SWAPS	$81,320,347
DEFERRED COMPENSATION	$15,915
MALPRACTICE IBNR	$6,830,453
BENEFITS PAYABLE	$22,923,287
SANFORD INVSTMNT OCEANSIDE BUI	$2,948,673
SECURITY DEPOSITS	$132,613
PENSION LIABILTY	$43,991,431
CONTRACTOR RETAINAGE	$1,463,424
DEFERRED LEASE LIABILITY - LT	$12,327,160
SERIES 2021A TAXABLE BONDS	$298,493,612

Field	Value	IRS element (for citing)
Total Liability	$470,745,421	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc

ExplanationExplanationTxt

PART V, LINE 4:

RADY CHILDREN'S BOARD DESIGNATED ENDOWMENT FUNDS SUPPORT THE HIGHEST AND MOST URGENT NEEDS OF THE ORGANIZATION AS DETERMINED BY ITS BOARD OF TRUSTEES. IN ADDITION, DONOR DESIGNATED (OR RESTRICTED) ENDOWMENT FUNDS SUPPORT A WIDE RANGE OF INITIATIVES IDENTIFIED BY THE DONOR.

PART X, LINE 2:

RCHSD RECOGNIZES AND MEASURES THE TAX BENEFIT FROM UNCERTAIN TAX POSITIONS ONLY IF IT IS MORE LIKELY THAN NOT THAT THE TAX POSITION WILL BE SUSTAINED, BASED SOLELY ON ITS TECHNICAL MERITS, WITH THE TAXING AUTHORITY HAVING FULL KNOWLEDGE OF ALL RELEVANT INFORMATION. RCHHC RECORDS LIABILITIES FOR UNRECOGNIZED TAX BENEFITS FROM UNCERTAIN TAX POSITIONS AS DISCRETE TAX ADJUSTMENTS IN THE FIRST PERIOD THAT THE MORE LIKELY THAN NOT THRESHOLD IS NOT MET. RCHSD HAS NOT TAKEN ANY SIGNIFICANT UNCERTAIN TAX POSITIONS THEREFORE NO LIABILITY (OR ASSET) HAS BEEN RECOGNIZED AS OF JUNE 30, 2021.

Schedule F IRS990ScheduleF

Field	Value	IRS element (for citing)
Grant Records Maintained	0	GrantRecordsMaintainedInd

Account Activities Outside US AccountActivitiesOutsideUSGrp (2 entries)

RegionRegionTxt	Type Of Activities ConductedTypeOfActivitiesConductedTxt	Region Total ExpendituresRegionTotalExpendituresAmt
CENTRAL AMERICA AND THE CARIBBEAN	INVESTMENTS	$88,278,183
NORTH AMERICA	GRANT MAKING	$274,717

Field	Value	IRS element (for citing)
Subtotal Offices	0	SubtotalOfficesCnt
Subtotal Employees	0	SubtotalEmployeesCnt
Continuation Total Office	0	ContinuationTotalOfficeCnt
Continuation Total Employee	0	ContinuationTotalEmployeeCnt
Total Office	0	TotalOfficeCnt
Total Employee	0	TotalEmployeeCnt
Subtotal Spent	$88,552,900	SubtotalSpentAmt
Continuation Spent	$0	ContinuationSpentAmt
Total Spent	$88,552,900	TotalSpentAmt

Grants To Org Outside US GrantsToOrgOutsideUSGrp

Field	Value	IRS element (for citing)
Region	NORTH AMERICA	RegionTxt
Purpose Of Grant	GRANT MAKING	PurposeOfGrantTxt
Cash Grant	$274,717	CashGrantAmt
Manner Of Cash Disbursement	CHECK	MannerOfCashDisbursementTxt

Field	Value	IRS element (for citing)
Total501c3 Org	1	Total501c3OrgCnt
Transfer To Foreign Corp	0	TransferToForeignCorpInd
Interest In Foreign Trust	0	InterestInForeignTrustInd
Foreign Corp Ownership	Yes (1)	ForeignCorpOwnershipInd
Passive Foreign Investmest Co	0	PassiveForeignInvestmestCoInd
Foreign Partnership	0	ForeignPartnershipInd
Boycott Countries	0	BoycottCountriesInd

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART I, LINE 2:	THE ORGANIZATION IS REPORTING THE AMOUNT OF INVESTMENTS ON PART I, LINE 3, COLUMN F. THE ORGANIZATION USES THE ACCRUAL METHOD OF ACCOUNTING FOR ALL AMOUNTS REPORTED.
PART III ACCOUNTING METHOD:

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (1)	FinancialAssistancePolicyInd
Written Policy	Yes (1)	WrittenPolicyInd
All Hospitals Policy	Yes (X)	AllHospitalsPolicyInd
FPG Reference Free Care	Yes (1)	FPGReferenceFreeCareInd

Free Care Oth Percentage FreeCareOthPercentageGrp

Field	Value	IRS element (for citing)
Other	Yes (X)	OtherInd
Free Care Other	350.000000000000	FreeCareOtherPct

Field	Value	IRS element (for citing)
FPG Reference Discounted Care	Yes (1)	FPGReferenceDiscountedCareInd

Discounted Care Oth Percentage DiscountedCareOthPercentageGrp

Field	Value	IRS element (for citing)
Other	Yes (X)	OtherInd
Discounted Care Other	450.000000000000	DiscountedCareOtherPct

Field	Value	IRS element (for citing)
Free Care Medically Indigent	Yes (1)	FreeCareMedicallyIndigentInd
Financial Assistance Budget	0	FinancialAssistanceBudgetInd
Annual Community Bnft Report	Yes (1)	AnnualCommunityBnftReportInd
Report Publically Available	Yes (1)	ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$4,333,659	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$78,179	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$4,255,480	NetCommunityBenefitExpnsAmt
Total Expense	0.00360	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$378,307,993	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$378,307,993	DirectOffsettingRevenueAmt
Total Expense	0.00000	TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$7,444,758	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$1,332	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$7,443,426	NetCommunityBenefitExpnsAmt
Total Expense	0.00640	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$390,086,410	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$378,387,504	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$11,698,906	NetCommunityBenefitExpnsAmt
Total Expense	0.01000	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$35,988,080	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$21,983,457	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$14,004,623	NetCommunityBenefitExpnsAmt
Total Expense	0.01200	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$19,837,405	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$7,929,810	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$11,907,595	NetCommunityBenefitExpnsAmt
Total Expense	0.01020	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$40,397,786	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$14,964,597	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$25,433,189	NetCommunityBenefitExpnsAmt
Total Expense	0.02180	TotalExpensePct

Research ResearchGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$27,758,134	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$19,339,061	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$8,419,073	NetCommunityBenefitExpnsAmt
Total Expense	0.00720	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$4,028	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$4,028	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$123,985,433	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$64,216,925	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$59,768,508	NetCommunityBenefitExpnsAmt
Total Expense	0.05120	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$514,071,843	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$442,604,429	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$71,467,414	NetCommunityBenefitExpnsAmt
Total Expense	0.06120	TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$576,074	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$253,361	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$322,713	NetCommunityBenefitExpnsAmt
Total Expense	0.00030	TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$576,074	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$253,361	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$322,713	NetCommunityBenefitExpnsAmt
Total Expense	0.00030	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	0	BadDebtExpenseReportedInd
Bad Debt Expense	$20,680,886	BadDebtExpenseAmt
Bad Debt Expense Attributable	$6,014,002	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$5,957,042	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$4,729,344	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	$1,227,698	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

Field	Value	IRS element (for citing)
Cost To Charge Ratio	Yes (X)	CostToChargeRatioInd

Field	Value	IRS element (for citing)
Written Debt Collection Policy	Yes (1)	WrittenDebtCollectionPolicyInd
Financial Assistance Prvsn	Yes (1)	FinancialAssistancePrvsnInd
Hospital Facilities	1	HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

Field	Value	IRS element (for citing)
Facility	1	FacilityNum

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	RADY CHILDREN'S HOSPITAL SAN DIEGO	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	3020 CHILDRENS WAY MC 5133	AddressLine1Txt
City	SAN DIEGO	CityNm
State Abbreviation	CA	StateAbbreviationCd
ZIP	92123	ZIPCd

Field	Value	IRS element (for citing)
Website Address	WWW.RCHSD.ORG	WebsiteAddressTxt
State License	80000028	StateLicenseNum
Licensed Hospital	Yes (X)	LicensedHospitalInd
Childrens Hospital	Yes (X)	ChildrensHospitalInd
Teaching Hospital	Yes (X)	TeachingHospitalInd
Research Facility	Yes (X)	ResearchFacilityInd
Emergency Room24 Hrs	Yes (X)	EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	RADY CHILDREN'S HOSPITAL SAN DIEGO	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Facility	1	FacilityNum
First Licensed CY Or PY	0	FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY	0	TaxExemptHospitalCYOrPYInd
CHNA Conducted	Yes (1)	CHNAConductedInd
Community Definition	Yes (X)	CommunityDefinitionInd
Community Demographics	Yes (X)	CommunityDemographicsInd
How Data Obtained	Yes (X)	HowDataObtainedInd
Community Health Needs	Yes (X)	CommunityHealthNeedsInd
Other Health Issues	Yes (X)	OtherHealthIssuesInd
Community Hlth Needs Id Process	Yes (X)	CommunityHlthNeedsIdProcessInd
Consulting Process	Yes (X)	ConsultingProcessInd
Prior CHNA Impact	Yes (X)	PriorCHNAImpactInd
CHNA Conducted	19	CHNAConductedYr
Take Into Account Others Input	Yes (1)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	Yes (1)	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	0	CHNAConductedWithNonFcltsInd
CHNA Report Widely Available	Yes (1)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	SEE PART V SECTION C	OwnWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Implementation Strategy Adopt	Yes (1)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	19	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (1)	StrategyPostedWebsiteInd
Strategy Website URL	SEE PART V SECTION C	StrategyWebsiteURLTxt
Organization Incur Excise Tax	0	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (1)	EligCriteriaExplainedInd
FPG Family Incm Lmt Free Dscnt	Yes (X)	FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care	350.000000000000	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	450.000000000000	FPGFamilyIncmLmtDscntCarePct
Income Level Criteria	Yes (X)	IncomeLevelCriteriaInd
Insurance Status Criteria	Yes (X)	InsuranceStatusCriteriaInd
Explained Basis	Yes (1)	ExplainedBasisInd
App Financial Asst Expln	Yes (1)	AppFinancialAsstExplnInd
Described Info	Yes (X)	DescribedInfoInd
Described Suprt Doc	Yes (X)	DescribedSuprtDocInd
Provided Hospital Contact	Yes (X)	ProvidedHospitalContactInd
Provided Nonprofit Contact	Yes (X)	ProvidedNonprofitContactInd
Includes Publicity Measures	Yes (1)	IncludesPublicityMeasuresInd
FAP Available On Website	Yes (X)	FAPAvailableOnWebsiteInd
FAP Available On Website URL	WWW.RCHSD.ORG	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	WWW.RCHSD.ORG	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	WWW.RCHSD.ORG	FAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No Charge	Yes (X)	FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No Chrg	Yes (X)	FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No Chrg	Yes (X)	FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill Display	Yes (X)	NotifiedFAPCopyBillDisplayInd
FAP Translated	Yes (X)	FAPTranslatedInd
FAP Actions On Nonpayment	Yes (1)	FAPActionsOnNonpaymentInd
Permit No Actions	Yes (X)	PermitNoActionsInd
Collection Activities	0	CollectionActivitiesInd
Provided Written Notice	Yes (X)	ProvidedWrittenNoticeInd
Made Effort Orally Notify	Yes (X)	MadeEffortOrallyNotifyInd
Processed FAP Application	Yes (X)	ProcessedFAPApplicationInd
Made Presumptive Elig Determ	Yes (X)	MadePresumptiveEligDetermInd
Nondis Emergency Care Policy	Yes (1)	NondisEmergencyCarePolicyInd
Look Back Medicaid Medcr Prvt	Yes (X)	LookBackMedicaidMedcrPrvtInd
Amounts Generally Billed	0	AmountsGenerallyBilledInd
Gross Charges	0	GrossChargesInd

Supplemental Information SupplementalInformationGrp (8 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
RADY CHILDREN'S HOSPITAL SAN DIEGO	PART V, SECTION B, LINE 5: THE CHNA IS IMPLEMENTED AND MANAGED BY A STANDING CHNA COMMITTEE COMPRISED OF REPRESENTATIVES FROM SEVEN HOSPITALS AND HEALTH SYSTEMS. THE 2019 CHNA BUILT ON THE RESULTS OF THE 2016 CHNA AND INCLUDED THREE TYPES OF COMMUNITY ENGAGEMENT EFFORTS: FOCUS GROUPS WITH RESIDENTS, COMMUNITY-BASED ORGANIZATIONS, SERVICE PROVIDERS, AND HEALTH CARE LEADERS; KEY INFORMANT INTERVIEWS WITH HEALTH CARE EXPERTS; AND AN ONLINE SURVEY FOR RESIDENTS AND STAKEHOLDERS. IN ADDITION, THE CHNA INCLUDED EXTENSIVE QUANTITATIVE ANALYSIS OF NATIONAL AND STATE-WIDE DATA SETS, SAN DIEGO COUNTY EMERGENCY DEPARTMENT AND INPATIENT HOSPITAL DISCHARGE DATA, COMMUNITY CLINIC USAGE DATA, COUNTY MORTALITY AND MORBIDITY DATA, AND DATA RELATED TO SOCIAL DETERMINANTS OF HEALTH.TWO PRIMARY METHODS WERE EMPLOYED IN THE 2019 CHNA. FIRST, QUANTITATIVE ANALYSES WERE CONDUCTED OF EXISTING PUBLICLY AVAILABLE DATA TO PROVIDE AN OVERARCHING VIEW OF CRITICAL HEALTH ISSUES ACROSS SAN DIEGO COUNTY. SECOND, EXTENSIVE FEEDBACK WAS GATHERED FROM COMMUNITY RESIDENTS, COMMUNITY-BASED ORGANIZATIONS, FEDERALLY QUALIFIED HEALTH CENTERS (FQHCS), HOSPITALS AND HEALTH SYSTEMS, LOCAL GOVERNMENT AGENCIES, PHILANTHROPIC ORGANIZATIONS AND SAN DIEGO COUNTY PUBLIC HEALTH SERVICES THROUGH A COMPREHENSIVE COMMUNITY ENGAGEMENT PROCESS TO UNDERSTAND THE EXPERIENCES AND NEEDS OF PEOPLE IN THE COMMUNITY. ONCE THESE ANALYSES WERE COMPLETE, THE CHNA COMMITTEE REVIEWED THESE DATA, ALONG WITH OTHER CRITERIA, TO PRIORITIZE THE TOP HEALTH NEEDS IN SAN DIEGO COUNTY. THE CHNA COMMITTEE WORKED WITH COMMUNITY PARTNERS TO PLAN COMMUNITY ENGAGEMENT ACTIVITIES WITH STAKEHOLDERS REPRESENTING EVERY REGION OF SANDIEGO COUNTY AND ALL AGE GROUPS. IN ADDITION, THE CHNA COMMITTEE EXPLICITLY SOUGHT TO ENGAGE A WIDE VARIETY OF STAKEHOLDERS REPRESENTING DIVERSE NUMEROUS RACIAL AND ETHNIC GROUPS. HEALTH LEADERS AND A DIVERSE SET OF ADVOCACY GROUPS AND ORGANIZATIONS WERE ALSO RECRUITED FOR THEPROCESS. A TOTAL OF 579 INDIVIDUALS PARTICIPATED IN THE 2019 COMMUNITY HEALTH NEEDS ASSESSMENT: 138 COMMUNITY RESIDENTS AND 441 LEADERS AND EXPERTS.KEY INFORMANT INTERVIEWS AND FOCUS GROUPS WERE UTILIZED TO IDENTIFY AND EXPLORE PRIORITY HEALTH NEEDS, SOCIAL DETERMINANTS OF HEALTH, BARRIERS TO CARE, AND COMMUNITY ASSETS AND RESOURCES.THE CHNA ONLINE SURVEY WAS USED TO RANK HEALTH CONDITIONS AND SOCIAL DETERMINANTS OF HEALTH IN ORDER OF IMPORTANCE WITHIN THE COMMUNITY. THE SURVEY WAS DISTRIBUTED VIA EMAIL TO TARGETED COMMUNITY-BASED ORGANIZATIONS, SOCIAL SERVICE PROVIDERS, RESIDENT LED ORGANIZATIONS, FEDERALLY QUALIFIED HEALTH CENTERS, GOVERNMENTAL AGENCIES, AND HOSPITALS AND HEALTH SYSTEMS WHO SERVE A DIVERSE ARRAY OF PEOPLE IN SAN DIEGO COUNTY.
RADY CHILDREN'S HOSPITAL SAN DIEGO	PART V, SECTION B, LINE 6A: RADY CHILDREN'S HOSPITAL - SAN DIEGO CONDUCTED ITS CHNA WITH THE FOLLOWING HOSPITALS (SEE CHNA, PAGE 9):- KAISER FOUNDATION HOSPITAL- PALOMAR HEALTH- SCRIPPS HEALTH- SHARP HEALTHCARE- TRI-CITY MEDICAL CENTER- UNIVERSITY OF CALIFORNIA SAN DIEGO HEALTH SYSTEM
RADY CHILDREN'S HOSPITAL SAN DIEGO	PART V, SECTION B, LINE 11: COMMUNITY HEALTH NEEDS ADDRESSED:ACCORDING TO CHNA COMMITTEE FINDINGS, THE FOLLOWING HEALTH CONDITIONS AND SOCIAL DETERMINANTS OF HEALTH ARE CONSIDERED TOP PRIORITIES FOR SAN DIEGO COUNTY FOR ALL AGE GROUPS (LIST IS IN ALPHABETICAL ORDER):1) ACCESS TO HEALTH CARE;2) AGING CONCERNS;3) BEHAVIORAL HEALTH;4) CANCER;5) CHRONIC HEALTH CONDITIONS (OBESITY, DIABETES);6) COMMUNITY AND SOCIAL SUPPORT;7) ECONOMIC SECURITY;8) EDUCATION;9) HOUSING AND HOMELESSNESS;10) SAFETY AND VIOLENCE.RECOGNIZING THAT CHILDREN HAVE UNIQUE HEALTHCARE NEEDS, RADY CHILDREN'S SUPPLEMENTED THE FINDINGS OF THE CHNA WITH THE 2017 SAN DIEGO COUNTY REPORT CARD ON CHILDREN & FAMILIES. MANAGEMENT AND CLINICAL LEADERSHIP ALSO CONSIDERED OTHER PEDIATRIC ASSESSMENTS.TOP HEALTH PRIORITIES IDENTIFIED FOR CHILDREN INCLUDE:1) BEHAVIORAL AND MENTAL HEALTH- DEPRESSION AND SUICIDE SCREENING INITIATIVE - RCHSD INSTITUTED THE DEPRESSION AND SUICIDE SCREENING INITIATIVE TO PROVIDE PATIENT HEALTH QUESTIONNAIRE (PHQ-2) SCREENINGS, INCLUDING PHQ9, A BRIEF, 9-ITEM SELF-REPORT SCREENING TOOL. THE QUESTIONNAIRE IS BEING USED TO IDENTIFY YOUTH WITH DEPRESSION AND SUICIDE IDEATION REGARDLESS OF WHETHER THEY ARE SEEN IN AN AMBULATORY CLINIC, THE EMERGENCY DEPARTMENT, OR ADMITTED AS AN INPATIENT. THE IDENTIFICATION OF AT-RISK YOUTH (BASED ON A HIGH PHQ-9 SCORE OR ANSWERING YES TO THE QUESTION OF WHETHER THE CHILD/TEEN WAS CONSIDERING SUICIDE) ALLOW ACTIONS TO BE TAKEN TO ENSURE THAT THE YOUTH ARE KEPT SAFE, RECEIVE IMMEDIATE CARE, AND ARE CONNECTED TO FOLLOW-UP CARE AS NEEDED.- SUICIDE PREVENTION: RADY CHILDREN'S CENTER FOR HEALTHIER COMMUNITIES (CHC) IS WORKING COLLABORATIVELY WITH THE 9TH DISTRICT PTA AND QUALITY DEPARTMENT TO HOST ANNUAL SYMPOSIUMS TO EDUCATE PARENTS IN SUICIDE PREVENTION. IN ADDITION, CHC STAFF ATTENDS SUICIDE PREVENTIONCOALITION MEETINGS MONTHLY.- MENTAL AND BEHAVIORAL HEALTH PSYCHIATRIC EMERGENCY DEPARTMENT - RADY CHILDREN'S WILL ESTABLISH A FULLY-FUNCTIONING, 6-BED PSYCHIATRIC EMERGENCY DEPARTMENT IN SPRING 2020, DEDICATED TO RESPONDING TO MENTAL AND BEHAVIORAL HEALTH EMERGENCIES OF CHILDREN AND ADOLESCENTS. RADY CHILDREN'S ALSO WILL PROVIDE PATIENTS AND THEIR FAMILIES REFERRALS TO APPROPRIATE CARE AND CARE COORDINATION SERVICES THROUGH A BEHAVIORAL HEALTH CARE CONNECTION CENTER LAUNCHED AS PART OF THE PSYCHIATRIC EMERGENCY DEPARTMENT.2) CHRONIC HEALTH CONDITIONS (OBESITY) - THE SAN DIEGO COUNTY CHILDHOOD OBESITY INITIATIVE (COI) IS A PUBLIC-PRIVATE PARTNERSHIP WITH THE MISSION OF REDUCING AND PREVENTING CHILDHOOD OBESITY THROUGH POLICY, SYSTEMS AND ENVIRONMENTAL CHANGE. TO FULFILL ITS MISSION, THE COI CREATES, SUPPORTSAND MOBILIZES PARTNERS FROM MULTIPLE DOMAINS (I.E., SECTORS: GOVERNMENT, HEALTHCARE, SCHOOLS & AFTER SCHOOL, EARLY CHILDHOOD, COMMUNITY, MEDIA AND BUSINESS), PROVIDES LEADERSHIP AND VISION, AND COORDINATES COUNTY-WIDE EFFORTS IN THE PREVENTION AND REDUCTION OF CHILDHOOD OBESITY. THE DIRECTOR OF THE CENTER FOR HEALTHIER COMMUNITIES CHAIRS THE HEALTHCARE DOMAIN SUB-COMMITTEE, WHICH BRINGS TOGETHER HEALTHCARE SYSTEMS, PLANS AND PROVIDERS TO ENHANCE CARE AND RESOURCES FOR THE PREVENTION AND REDUCTION OF CHILDHOOD OBESITY. THE CENTER FOR HEALTHIER COMMUNITIES HAS PARTICIPATED IN, AND PROVIDED LEADERSHIP FOR, THE COI HEALTH DOMAIN SINCE ITS INCEPTION IN 2006.3) OTHER (INJURY PREVENTION, AUTISM).THE DEVELOPMENTAL SERVICES DEPARTMENT AT RADY CHILDREN'S PROVIDES A CONTINUUM OF INTEGRATED SERVICES ACROSS VARIOUS DISCIPLINES AND COMMUNITY PARTNERS TO SUPPORT EARLY BRAIN DEVELOPMENT, SOCIAL/EMOTIONAL DEVELOPMENT, AND THE NEEDS OF THE WHOLE CHILD THROUGH EVERY ASPECT OF CARE DELIVERY. EMPHASIZING EARLY IDENTIFICATION, DIAGNOSIS AND INTERVENTION, A VARIETY OF PROGRAMS ARE PROVIDED, INCLUDING PROGRAMS FOCUSED ON AUTISM AND ADHD.MANY OF OUR PROGRAMS DEAL WITH SOCIAL DETERMINANTS OF HEALTH INCLUDING:1) ACCESS TO HEALTH CARE2) EDUCATION3) SAFETY AND VIOLENCE4) COMMUNITY AND SOCIAL SUPPORTMID-CITY BEHAVIORAL HEALTH URGENT CARE (BHUC)SOCIAL DETERMINANTS NEEDS ADDRESSED: ACCESS TO CARE, BEHAVIOR AND MENTAL HEALTH, EDUCATION, SAFETY AND VIOLENCE PREVENTION, COMMUNITY AND SOCIAL SUPPORT.THE MID-CITY BEHAVIORAL HEALTH URGENT CARE CLINIC ADDRESSES THE NEED FOR IMMEDIATE ACCESS TO MENTAL HEALTH SERVICES FOR FAMILIES CONCERNED ABOUT THEIR CHILD OR ADOLESCENT'S URGENT MENTAL HEALTH OR BEHAVIORAL SYMPTOMS. THE MID-CITY FACILITY ADDRESSES THIS COMMUNITY'S UNMET MENTAL HEALTH NEEDS BY MAKING SERVICES DIRECTLY AVAILABLE TO CHILDREN AND FAMILIES IN THEIR OWN NEIGHBORHOOD. THE COMPREHENSIVE BEHAVIORAL HEALTH PROGRAM INCLUDES A RANGE OF HIGH-QUALITY BEHAVIORAL HEALTH SERVICES, INCLUDING ASSESSMENT, CRISIS INTERVENTION, MEDICATION EVALUATION, CASE MANAGEMENT AND REFERRAL TO ON-GOING TREATMENT, IF NEEDED. THE SERVICES ARE AVAILABLE ON A "WALK-IN", NO APPOINTMENT REQUIRED BASIS. THE BHUC SERVES CHILDREN AND TEENS AGES 5 TO 17 IN THE MID-CITY COMMUNITY AND SURROUNDING AREAS, ACCEPTS MEDI-CAL AND IS ABLE TO PROVIDE SERVICES TO THE UNINSURED. AFTER RECEIVING SERVICES AT THE BHUC, RADY CHILDREN'S STAFF CONNECTS PATIENTS WITH REFERRALS TO FOLLOW-UP SERVICES WITH COMMUNITY PROVIDERS AND PARTNERS.HEALTH STARSSOCIAL DETERMINANT OF HEALTH ADDRESSED: EDUCATION, ACCESS TO CARE, SAFETY & VIOLENCETHE HEALTH STARS LITERACY PROGRAM HOLDS EDUCATION SESSIONS FOR LOW-INCOME AND HOMELESS PARENTS WITH CHILDREN AGES 0-5. THESE FAMILIES MAY LIVE IN AFFORDABLE HOUSING COMPLEXES OR HOMELESS SHELTERS. HEALTH STARS BRINGS VOLUNTEER PEDIATRICIANS INTO THE COMMUNITIES THEY SERVE TO ENGAGE WITH FAMILIES IN THEIR OWN NEIGHBORHOODS. THIS IS DONE TO BETTER UNDERSTAND THE CHALLENGES THESE FAMILIES FACE IN ACHIEVING A HEALTHY LIFESTYLE. FAMILIES LEARN HEALTHY HABITS DURING A SERIES OF READING AND PLAY SESSIONS, EACH FOCUSED ON A SPECIFIC HEALTH TOPIC. THE PROGRAM ADDRESSES KEY CHILD HEALTH ISSUES, INCLUDING DISCIPLINE, NUTRITION, SAFETY, SLEEP AND ORAL HEALTH, PROVIDING FAMILIES WITH CHILDREN'S BOOKS TO REINFORCE HEALTHY BEHAVIORS AND ENCOURAGE DAILY READING WITH CHILDREN. CLINICIANS LEAD INTERACTIVE DISCUSSIONS IN A FUN, ENGAGING ENVIRONMENT WITH THE GOAL OF BUILDING PARENTS' TRUST AS WELL AS THEIR CONFIDENCE WITH THEIR OWN CHILD INTERACTIONS AND PARENTING SKILLS. HEALTH STARS ALSO WORKS TO CONNECT FAMILIES WITH LOCAL RESOURCES TO MEET THEIR HEALTH, SOCIAL AND BEHAVIORAL NEEDS.SAFE ROUTES TO SCHOOL (SRTS)SOCIAL DETERMINANT OF HEALTH ADDRESSED: EDUCATION; SAFETY & VIOLENCE SAFE ROUTES TO SCHOOL (SRTS) IS A COLLABORATION BETWEEN RADY CHILDREN'S, LOCAL GOVERNMENT AND SCHOOL DISTRICTS TO MAKE BIKING AND WALKING TO SCHOOL SAFE AND HEALTHY ALTERNATIVES TO DRIVING. A MAJORITY OF ELEMENTARY AND MIDDLE SCHOOLERS ARRIVE TO SCHOOL IN A FAMILY CAR. SRTS IS A SERIES OF STRATEGIES THAT WILL MOVE PARENTS AWAY FROM DRIVING THEIR STUDENTS TO SCHOOL AND INSTEAD, WALK THEM EITHER PART OR THE ENTIRE WAY, OR DROP THEM IN A SECURE LOCATION WITH ADULTS (WALKING SCHOOL BUS) SO THE KIDS CAN ALL WALK TOGETHER.NEEDS NOT ADDRESSED:PRIORITIES NOT ADDRESSED IN THIS REPORT AND THE REASONS INCLUDE: CANCER (HIGH INCIDENCE IN THE CHNA PERTAINED TO ADULTS); ECONOMIC SECURITY (NOT WITHIN THE PURVIEW OF A CHILDREN'S HOSPITAL); HOUSING AND HOMELESSNESS (NOT A MAJOR FACTOR FOR A CHILDREN'S HOSPITAL, ALTHOUGH HOUSING INSECURE PATIENTS ARE SERVED).
RADY CHILDREN'S HOSPITAL SAN DIEGO	PART V, SECTION B, LINE 16J: ALL LANGUAGE REGARDING THE POLICY IS COMMUNICATED TO PATIENTS VIA SIGNAGE IN ALL ADMITTING AREAS. AT THE POINT OF REGISTRATION, ALL PATIENTS RECEIVE BROCHURES EXPLAINING THE FACILITY'S FINANCIAL ASSISTANCE PROGRAM AND THE AVAILABILITY OF GOVERNMENT SPONSORED PROGRAMS; ALL INITIAL STATEMENTS TO UNINSURED PATIENTS INCLUDES VERBIAGE INFORMING PATIENTS OF THE FACILITY'S FINANCIAL ASSISTANCE PROGRAM AND A COPY OF THE CHARITY CARE APPLICATION. A SUMMARY OF THE FINANCIAL ASSISTANCE POLICY IS POSTED ON THE HOSPITAL'S WEBSITE.
SCHEDULE H, PART V, SECTION B, LINE 7A	HTTPS://WWW.RCHSD.ORG/DOCUMENTS/2019/06/2019-COMMUNITY-HEALTH-NEEDS-ASSESSMENT.PDF/
SCHEDULE H, PART V, SECTION B, LINE 10A	HTTPS://WWW.RCHSD.ORG/DOCUMENTS/2019/11/COMMUNITY-HEALTH-NEEDS-IMPLEMENTATION-STRATEGY.PDF/
SCHEDULE H, PART V, SECTION B, LINE 16A, 16B, 16C	THE FAP, THE FAP APPLICATION, AND THE PLAIN LANGUAGE FAP WERE ALL MADE AVAILABLE ONLINE AT:HTTPS://WWW.RCHSD.ORG/PATIENTS-VISITORS/FINANCIAL-ASSISTANCE/
SCHEDULE H, PART V, SECTION B, LINE 22D	THE HOSPITAL DETERMINED, DURING THE TAX YEAR, THE MAXIMUM AMOUNTS THAT CAN BE CHARGED TO FAP ELIGIBLE INDIVIDUALS FOR EMERGENCY OR OTHER MEDICALLY NECESSARY CARE, BASED ON MEDI-CAL RATES (AB 774).

Field	Value	IRS element (for citing)
Facility	20	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (20 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	FacilityFacilityTxt	Address Line2USAddress/AddressLine2Txt
1 - RADY CHILDREN'S DEVELOPMENT SERVICES
11752 EL CAMINO REAL SUITE 100	SAN DIEGO	CA	92130	DEVELOPMENTAL AND BEHAVIORAL SERVICES
2 - RADY CHILDREN'S SPECIALISTS OF SAN DIEGO
25485 MEDICAL CENTER DRIVE SUITE	MURRIETA	CA	92562	CLINIC	100
3 - CHADWICK CENTER FOR CHILDREN & FAMILIES
333 H ST SUITE 3010	CHULA VISTA	CA	91910	TRAUMA COUNSELING
4 - SANFORD CHILDREN'S CLINIC
3605 VISTA WAY SUITE 130	OCEANSIDE	CA	92056	CLINIC
5 - RADY CHILDREN'S SPECIALISTS OF SAN DIEGO
3605 VISTA WAY SUITE 172	OCEANSIDE	CA	92056	CLINIC/ URGENT CARE
6 - RADY CHILDREN'S HEALTH SERVICES
3665 KEARNY VILLA ROAD	SAN DIEGO	CA	92123	DEVELOPMENTAL AND BEHAVIORAL SERVICES
7 - RADY CHILDREN'S SPECIALISTS OF SAN DIEGO
385 W MAIN STREET	EL CENTRO	CA	92243	CLINIC
8 - RADY CHILDREN'S HEALTH SERVICES
386 EAST H STREET SUITE 202	CHULA VISTA	CA	91910	CLINIC/ URGENT CARE
9 - RADY CHILDREN'S URGENT CARE
4305 UNIVERSITY AVE 150	SAN DIEGO	CA	92105	CLINIC/ URGENT CARE
10 - CITY HEIGHTS WELLNESS CENTER
4440 WIGHTMAN STREET SUITE 200	SAN DIEGO	CA	92105	WELLNESS CENTER
11 - RADY CHILDREN'S SPECIALISTS OF SAN DIEGO
477 NORTH EL CAMINO REAL BUILDING D	ENCINITAS	CA	92024	CLINICS
12 - RADY CHILDREN'S URGENT CARE
5565 GROSSMONT CENTER DRIVE	LA MESA	CA	91942	URGENT CARE	BUILDING 2
13 - RADY CHILDREN'S SPECIALISTS OF SAN DIEGO
625 WEST CITRACADO PARKWAY	ESCONDIDO	CA	92025	CLINICS/ URGENT CARE
14 - RADY CHILDREN'S SPECIALISTS OF SAN DIEGO
2204 EL CAMINO REAL SUITE 102	OCEANSIDE	CA	92054	CLINIC
15 - RADY CHILDREN'S HOSPITAL
7910 FROST SUITE 140	SAN DIEGO	CA	92123	CLINICS
16 - RADY CHILDREN'S HOSPITAL
7920 FROST SUITE 140	SAN DIEGO	CA	92123	CLINICS
17 - NELSON FAMILY PAVILION
8001 FROST STREET	SAN DIEGO	CA	92123	CLINICS
18 - RADY CHILDREN'S HOSPITAL
8010 FROST SUITE 140	SAN DIEGO	CA	92123	CLINICS
19 - RADY CHILDREN'S HOSPITAL
8110 BIRMINGHAM DRIVE	SAN DIEGO	CA	92123	CLINICS
20 - HOMECARE
8291 AERO PLACE SUITE 130	SAN DIEGO	CA	92123	HOME HEALTHCARE

Supplemental Information Detail SupplementalInformationDetail (12 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART I, LINE 7:	THE BEST AVAILABLE DATA WAS USED TO CALCULATE THE COST AMOUNTS REPORTED IN ITEM 7. FOR CERTAIN CATEGORIES, PRIMARILY CHARITY CARE AND MEANS-TESTED GOVERNMENT PROGRAMS, THE COST TO CHARGE RATIO WAS CALCULATED USING WORKSHEET 2, RATIO OF PATIENT CARE COST TO CHARGES AND APPLIED TO THOSE CATEGORIES. IN OTHER CATEGORIES, THE BEST AVAILABLE DATA WAS DERIVED FROM THE HOSPITAL'S DETAILED FINANCIAL INFORMATION.
PART II, COMMUNITY BUILDING ACTIVITIES:	RADY CHILDREN'S CENTER FOR HEALTHIER COMMUNITIES PROVIDES THE FACES FOR THE FUTURE PROGRAM AT A LOCAL HIGH SCHOOL. THE FACES PROGRAM IS A YOUTH AND FUTURE HEALTHCARE WORKFORCE DEVELOPMENT PROGRAM THAT PREPARES UNDERREPRESENTED, ETHNICALLY DIVERSE YOUTH FOR CAREERS IN ALL AREAS OF THE HEALTH PROFESSIONS. THE PROGRAM ALSO AIMS TO ASSIST LOCAL PUBLIC SCHOOLS IN MOTIVATING AND PREPARING UNDERREPRESENTED HIGH SCHOOL STUDENTS FOR ENTRY INTO COLLEGE, HEALTHCARE/RESEARCH CAREERS AND OTHER VIABLE EMPLOYMENT OPPORTUNITIES IN THE HEALTHCARE INDUSTRY. THE PARTICIPATING STUDENTS ROTATE THROUGH CLINICAL DEPARTMENTS AT RADY CHILDREN'S HOSPITAL -SAN DIEGO AND RECEIVE MENTORSHIP.
PART III, LINE 2:	FOR UNINSURED PATIENTS THAT DO NOT QUALIFY FOR CHARITY CARE, RCHSD RECOGNIZES REVENUE ON THE BASIS OF ITS STANDARD RATES FOR SERVICES PROVIDED, OR ON THE BASIS OF DISCOUNTED RATES IF NEGOTIATED OR PROVIDED BY POLICY. ON THE BASIS OF HISTORICAL EXPERIENCE, A SIGNIFICANT PORTION OF RCHSD'S UNINSURED PATIENTS ARE UNABLE OR UNWILLING TO PAY FOR THE SERVICES PROVIDED. RCHSD RECORDS SIGNIFICANT IMPLICIT PRICE CONCESSIONS RELATED TO UNINSURED PATIENTS IN THE PERIOD SERVICES ARE PROVIDED. RCHSD RECORDS IMPLICIT PRICE CONCESSIONS BASED UPON THE HISTORICAL EXPERIENCE, AS WELL AS COLLECTION TRENDS FOR MAJOR PAYOR TYPES.
PART III, LINE 3:	RCHSD DOES NOT TREAT ANY PART OF THE BAD DEBT AS COMMUNITY BENEFIT EXPENSE.
PART III, LINE 4:	SEE PAGE 13-17 OF THE AUDITED FINANCIAL STATEMENTS.
PART III, LINE 8:	THE MEDICARE ALLOWABLE COSTS REPORTED IN THE ORGANIZATION'S MEDICARE COST REPORT AS REFLECTED IN THE AMOUNT REPORTED IN PART III, LINE 6 ARE DETERMINED USING A PRO FORMA COST REPORT AS DESCRIBED IN PART I, LINE 7 ABOVE. THE ORGANIZATION BELIEVES THAT THE TEFRA COST LIMITATION SHOULD BE INCLUDED AS A COMMUNITY BENEFIT, BASED ON THE INPATIENT COST OVER THE TEFRA LIMITS.
PART III, LINE 9B:	IN ITS BILLING AND COLLECTION ACTIVITY, RADY CHILDREN'S HOSPITAL - SAN DIEGO TREATS ALL PATIENTS AND PATIENT FAMILIES OR REPRESENTATIVES WITH FAIRNESS, DIGNITY AND RESPECT. RCHSD DOES NOT UTILIZE WAGE GARNISHMENTS, LIENS ON A PATIENT'S PRIMARY RESIDENCE, OR WRIT OF BODY ATTACHMENTS IN ITS COLLECTION ACTIVITIES. RCHSD ONLY UTILIZES THOSE OUTSIDE OR THIRD PARTY COLLECTION AGENCIES THAT AGREE TO COMPLY WITH APPLICABLE STATE AND FEDERAL LAWS AND WITH RCHSD POLICIES, AND RCHSD DEBT COLLECTION STANDARDS AND PRACTICES. IN DETERMINING THE DEBT THAT RCHSD SEEKS TO RECOVER, RCHSD WILL CONSIDER ONLY THE INCOME AND CERTAIN MONETARY ASSETS OF THE PATIENT/GUARANTOR ELIGIBLE FOR THE RCHSD FINANCIAL ASSISTANCE PROGRAM. IN MAKING THIS DETERMINATION, RCHSD WILL NOT CONSIDER RETIREMENT OR DEFERRED COMPENSATION PLANS (EITHER QUALIFIED OR NON-QUALIFIED UNDER THE INTERNAL REVENUE CODE), THE FIRST $10,000 OR THE REMAINING 50 PERCENT OF THEPATIENT/GUARANTOR'S MONETARY ASSETS. RCHSD SHALL NOT SEND AN ACCOUNT TO A COLLECTION AGENCY IF THE PATIENT HAS A PENDING APPLICATION FOR THE RCHSD FINANCIAL ASSISTANCE PROGRAM OR GOVERNMENT-SPONSORED INSURANCE PROGRAM OR IS ATTEMPTING IN GOOD FAITH TO SETTLE AN OUTSTANDING BILL BY NEGOTIATING AN INTEREST FREE, EXTENDED PAYMENT PLAN OR BY MAKING REGULAR PARTIAL PAYMENTS OF A REASONABLE AMOUNT. A "PENDING APPLICATION" IS DEFINED AS AN APPLICATION THAT HAS BEEN FULLY COMPLETED AND INCLUDES COPIES OF THE REQUIRED DOCUMENTATION BY THE PATIENT/GUARANTOR, SUBMITTED TO THE RELEVANT PUBLIC AGENCY IN THE CASE OF GOVERNMENT PROGRAMS AND TO RCHSD IN THE CASE OF THE RCHSD FINANCIAL ASSISTANCE PROGRAM. IF A PATIENT ACCOUNT IS SENT TO COLLECTIONS AND IT IS DETERMINED THAT THE PATIENT IS ELIGIBLE FOR FINANCIAL ASSISTANCE, THE PATIENT ACCOUNT IS REMOVED FROM THE COLLECTION PROCESS AND THE FINANCIAL ASSISTANCE APPLICATION PROCESS IS IMPLEMENTED.
PART VI, LINE 2:	NEEDS ASSESMENTCONTINUING A LONGSTANDING COMMITMENT TO ADDRESS COMMUNITY HEALTH NEEDS IN SAN DIEGO, RADY CHILDREN'S AND SIX OTHER HEALTHCARE SYSTEMS RECONVENED IN 2018-2019 THROUGH THE HOSPITAL ASSOCIATION OF SAN DIEGO AND IMPERIAL COUNTIES (HASD&IC), WITH THE INSTITUTE OF PUBLIC HEALTH, TO COMPLETE A 2019 TRIENNIAL COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA). THE CHNAIDENTIFIES AND PRIORITIZES THE MOST CRITICAL HEALTH-RELATED NEEDS OF SAN DIEGO COUNTY AND INCLUDES FEEDBACK FROM COMMUNITY RESIDENTS IN VULNERABLE NEIGHBORHOODS.
PART VI, LINE 3:	PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCERCHSD PROVIDES WRITTEN INFORMATION ABOUT THE AVAILABILITY OF THE RCHSD FINANCIAL ASSISTANCE PROGRAM, INCLUDING A BROCHURE THAT IS DISSEMINATED THROUGHOUT OUR PATIENT CLINICS. THIS INFORMATION IS PROVIDED AT PATIENT REGISTRATION, INCLUDING PATIENT INFORMATIONAL MATERIALS, EMERGENCY DEPARTMENT, OUTPATIENT CLINICS, AND PATIENT FINANCIAL SERVICES. IN ADDITION, A STATEMENT REGARDING THE FINANCIAL ASSISTANCE PROGRAM IS INCLUDED ON PATIENT BILLING STATEMENTS. WRITTEN NOTICE IS PROVIDED TO POTENTIALLY ELIGIBLE PATIENTS DURING THE REGISTRATION PROCESS OR AS SOON AS POSSIBLE THEREAFTER AND DURING THE BILLING PROCESS. THIS INFORMATIONIS PROVIDED IN ENGLISH AND SPANISH AND IS TRANSLATED FOR PATIENTS/GUARANTORS WHO SPEAK OTHER LANGUAGES. NOTIFICATION OF FINANCIAL ASSISTANCE DISCUSSES, AT A MINIMUM, THE FOLLOWING:- IF A PATIENT MEETS CERTAIN INCOME REQUIREMENTS, THE PATIENT MAY BE ELIGIBLE FOR A GOVERNMENT-SPONSORED HEALTH INSURANCE PROGRAM OR THE RCHSD FINANCIAL ASSISTANCE PROGRAM.IDENTIFICATION OF RCHSD FINANCIAL COUNSELING- PATIENT FINANCIAL SERVICES PHONE NUMBER WITH HOURS OF AVAILABILITY SO THAT PATIENTS MAY CALL TO OBTAIN FURTHER INFORMATION ABOUT THE FINANCIAL ASSISTANCE PROGRAM. RADY CHILDREN'S PROVIDES HEALTHCARE SUPPORT SERVICES TO THE COMMUNITY THROUGH THE FINANCIAL COUNSELING TEAM. RADY CHILDREN'S FINANCIAL COUNSELORS PROACTIVELY EXPLORE AND ASSIST PATIENTS/GUARANTORS IN APPLYING FOR HEALTH INSURANCE COVERAGE FROM PUBLIC AND PRIVATE PAYMENT PROGRAMS.- THE RCHSD WEBSITE PROVIDES INFORMATION ABOUT THE FINANCIAL ASSISTANCE PROGRAM, AND THE FINANCIAL ASSISTANCE POLICY AND FINANCIAL ASSISTANCE PROGRAM APPLICATION ARE POSTED ON THE RCHSD WEBSITE.
PART VI, LINE 4:	COMMUNITY INFORMATIONSAN DIEGO COUNTY (SAN DIEGO) IS THE SECOND MOST POPULOUS OF CALIFORNIA'S 58 COUNTIES, AND THE FIFTH LARGEST COUNTY IN THE UNITED STATES AND IS CURRENTLY HOME TO 3.4 MILLION RESIDENTS, AND IS ANTICIPATED TO GROW TO FOUR MILLION BY 2050. THE REGION IS SOCIALLY AND ETHNICALLY DIVERSE, WITH OVER 22% OF THE POPULATION UNDER THE AGE OF EIGHTEEN AND ON AVERAGE, 230,000 VETERAN RESIDE HERE. WHILE THE MEDIAN HOUSEHOLD INCOME IS APPROXIMATELY $75,000, OVER 16% OF PERSONS ARE LIVING BELOW POVERTY LEVEL; CHILDREN UNDER AGE 18 ARE DISPROPORTIONATELY AFFECTED. IN ADDITION, 38% OF PERSONS SPEAK A LANGUAGE OTHER THAN ENGLISH AT HOME. RADY CHILDREN'S HOSPITAL SAN DIEGO (THE HOSPITAL) IS A REGIONAL TERTIARY AND QUATERNARY REFERRAL CENTER AND PROVIDES COMPREHENSIVE INPATIENT AND OUTPATIENT ACUTE, PSYCHIATRIC AND INTENSIVE CARE PEDIATRIC SERVICES. THE HOSPITAL ALSO IS THE SOLE PEDIATRIC PROVIDER AND DESIGNATED PEDIATRIC TRAUMA CENTER FOR SAN DIEGO COUNTY AND IS THE PRIMARY SOURCE OF PEDIATRIC AND NEONATAL INTENSIVE CARE SERVICES FOR BOTH SAN DIEGO AND IMPERIAL COUNTIES. ALSO, RCHSD IS THE PEDIATRIC SAFETY NET HOSPITAL FOR THE REGION WITH A MEDI-CAL PAYOR MIX HOVERING OVER 50%. RCHSD SERVES AS THE TEACHING HOSPITAL FOR THE SCHOOL OF MEDICINE AT THE UNIVERSITY OF CALIFORNIA, SAN DIEGO (UCSD) AND, IN 2001, RCHSD AND UCSD AMALGAMATED WHERE RCHSD BECAMETHE PEDIATRIC PROVIDER OF INPATIENT AND OUTPATIENT MEDICAL AND SURGERY SERVICES AND CERTAIN OTHER CLINICAL SERVICES FOR UCSD PEDIATRIC PATIENTS. THERE ARE THREE LARGE HEALTH SYSTEMS OPERATING IN SAN DIEGO, SHARP HEALTHCARE, SCRIPPS HEALTH AND KAISER PERMANENTE, AS WELL AS OTHER HOSPITAL PROVIDERS. TO HELP CARE FOR PEDIATRIC PATIENTS, RCHSD COLLABORATES WITH SHARP HEALTHCARE, SCRIPPS HEALTH AND PALOMAR POMERADO HEALTH THROUGH AFFILIATED PROGRAM AGREEMENTS.
PART VI, LINE 5:	PROMOTION OF COMMUNITY HEALTHTHE RADY CHILDREN'S HOSPITAL - SAN DIEGO IS GOVERNED BY A 24-MEMBER BOARD OF TRUSTEES. THE MAJORITY OF THE ORGANIZATION'S GOVERNING BODY IS COMPRISED OF PERSONS REPRESENTING THE SAN DIEGO COMMUNITY, WHO ARE NEITHER EMPLOYEES NOR CONTRACTORS OF THE ORGANIZATION. RCHSD EXTENDS MEDICAL STAFF PRIVILEGES TO ALL QUALIFIED PHYSICIANS IN ITS COMMUNITY. RCHSD APPLIES ITS SURPLUS FUNDS TO SUPPORT THE HIGHEST AND MOST URGENT NEEDS OF THE ORGANIZATION AND THE COMMUNITY INCLUDING IMPROVING PATIENT CARE; PROVIDING SUPPORT FOR OUR PATIENTS' FAMILIES; RESEARCH; DEVELOPMENTAL SERVICES; MENTAL HEALTH SERVICES; CHILD ABUSE PREVENTION AND TREATMENT SERVICES; EDUCATION PROGRAMS; AND PURCHASING STATE-OF-THE ART EQUIPMENT AND TECHNOLOGY TO FURTHER ENHANCE PATIENT CARE. RCHSD PROMOTES THE HEALTH OF THE COMMUNITY IT SERVES THROUGH A VARIETY OF MECHANISMS. THE RCHSD COMMUNITY BENEFIT REPORT FOR FISCAL YEAR 2019 (JULY 1, 2018 THROUGH JUNE 30, 2019) PROVIDES DETAILED INFORMATION ON OVER 30 PROGRAMS AND RELATED ACTIVITIES RCHSD CONDUCTS EACH YEAR TO IMPROVE PATIENT'S HEALTH STATUS. FROM PROVIDING FREE MEDICAL EDUCATION TRAINING SEMINARS TO COMMUNITY-BASED PHYSICIANS AND OTHER HEALTH PROVIDERS, SUPPORT GROUPS, PARENT EDUCATIONAL RESOURCE MATERIALS, PEDIATRIC RESEARCH, TO PROGRAMS DIRECTED TO IMPROVE THE HEALTH NEEDS OF PATIENTS, RCHSD USES A MULTI-PRONGED APPROACH TO PROVIDE BENEFIT TO THE COMMUNITY.
SCHEDULE H, PART VI, LINE 7	RCHSD FILES A COMMUNITY BENEFIT REPORT IN THE STATE OF CALIFORNIA.

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Grant Records Maintained	0	GrantRecordsMaintainedInd

Recipient Table RecipientTable (3 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Recipient EINRecipientEIN	IRC SectionIRCSectionDesc	Cash GrantCashGrantAmt	Valuation Method UsedValuationMethodUsedDesc	Purpose Of GrantPurposeOfGrantTxt
UCSD
9500 GILMAN DRIVE	SAN DIEGO	CA	92093	956006144	501(C)(3)	$1,779,948	FMV	SUPPORT MISSION
LA MAESTRA COMMUNITY HEALTH CENTERS
4060 FAIRMOUNT AVE	SAN DIEGO	CA	92105	330473171	501(C)(3)	$40,000	FMV	SUPPORT MISSION
RADY CHILDREN'S HOSPITAL RESEARCH CENTER
3020 CHILDRENS WAY	SAN DIEGO	CA	92123	953814185	501(C)(3)	$3,569,150	FMV	SUPPORT MISSION

Field	Value	IRS element (for citing)
Total501c3 Org	3	Total501c3OrgCnt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PROCEDURE FOR MONITORING THE USE OF GRANT FUNDS	FormAndLineReferenceDesc
Explanation	RCHSD TRANSFERRED FUNDS TO RCHRC TO FURTHER ITS EXEMPT PURPOSE. RCHRC SUPPORTS RCHSD IN ITS EXEMPT ACTIVITIES.	ExplanationTxt

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Discretionary Spending Acct	Yes (X)	DiscretionarySpendingAcctInd
Written Policy Ref T And E Expnss	0	WrittenPolicyRefTAndEExpnssInd
Substantiation Required	0	SubstantiationRequiredInd
Compensation Committee	Yes (X)	CompensationCommitteeInd
Independent Consultant	Yes (X)	IndependentConsultantInd
Compensation Survey	Yes (X)	CompensationSurveyInd
Board Or Committee Approval	Yes (X)	BoardOrCommitteeApprovalInd
Severance Payment	Yes (1)	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	Yes (1)	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	0	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	0	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	0	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	0	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	0	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	0	AnyNonFixedPaymentsInd
Initial Contract Exception	0	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (26 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
PATRICK FRIAS MD
PRESIDENT & CEO	$1,072,502	$0	$308,076	$0	$88,153	$0	$8,550	$0	$28,944	$0	$1,506,225	$0	$0	$0
MARGARETA E NORTON
EXEC VP, CAO, SECRETARY (THRU 02/20)	$528,639	$0	$159,265	$0	$446,520	$0	-$73,663	$0	$7,567	$0	$1,068,328	$0	$0	$0
NICHOLAS M HOLMES
SR VP, COO	$569,993	$0	$130,676	$0	$116,823	$0	$8,550	$0	$29,545	$0	$855,587	$0	$0	$0
GAIL L KNIGHT MD
SR VP, CMO	$584,834	$0	$129,196	$0	$92,381	$0	$8,550	$0	$3,582	$0	$818,543	$0	$0	$0
CHARLES B DAVIS
SR VP, MPF COO & CARE REDESIGN	$506,379	$0	$111,617	$0	$81,058	$0	$64,078	$0	$3,197	$0	$766,329	$0	$0	$0
STEPHEN JENNINGS
SR VP, EXEC DIR FOUNDATION	$0	$421,589	$0	$126,566	$0	$95,272	$0	$47,132	$0	$28,799	$0	$719,358	$0	$0
DONALD B KEARNS MD MMM
PRESIDENT EMERITUS	$329,135	$0	$76,833	$0	$272,344	$0	$6,840	$0	$15,378	$0	$700,530	$0	$0	$0
ANGELA M VIEIRA
GENERAL COUNSEL (FROM 03/20)	$446,550	$0	$72,577	$0	$60,174	$0	$65,116	$0	$14,298	$0	$658,715	$0	$0	$0
JAMES J ULI JR
SVP, CFO, TREASURER (FROM 03/20)	$496,882	$0	$100,000	$0	$12,692	$0	$8,550	$0	$9,617	$0	$627,741	$0	$0	$0
ALBERT ORIOL
VP, INFO MGMT/CIO	$418,147	$0	$68,574	$0	$60,088	$0	$40,334	$0	$20,257	$0	$607,400	$0	$0	$0
CATHY NUGENT
VP, HUMAN RESOURCES	$388,196	$0	$61,692	$0	$37,007	$0	$107,138	$0	$2,605	$0	$596,638	$0	$0	$0
BARBARA L RYAN
VP, GOVERNMENT AFFAIRS	$330,201	$0	$54,993	$0	$53,692	$0	$126,709	$0	$1,905	$0	$567,500	$0	$0	$0
MARY J FAGAN
VP, PATIENT CARE SVCS/CNO	$360,054	$0	$62,094	$0	$48,335	$0	$79,549	$0	$14,001	$0	$564,033	$0	$0	$0
SCOTT D CAMPBELL
VP, CFO & ADMIN OFFICER - MPF	$367,028	$0	$61,636	$0	$53,824	$0	$48,902	$0	$22,836	$0	$554,226	$0	$0	$0
CHRIS ABE
VP, OPERATIONS	$327,263	$0	$70,322	$0	$42,183	$0	$94,180	$0	$11,872	$0	$545,820	$0	$0	$0
GLENN F BILLMAN
CHIEF QUALITY OFFICER	$392,305	$0	$23,525	$0	$11,725	$0	$70,694	$0	$14,112	$0	$512,361	$0	$0	$0
NISHANTHA S RATNAYAKE
VP, FINANCE & CONTROLLER	$276,675	$0	$61,577	$0	$44,938	$0	$25,921	$0	$19,024	$0	$428,135	$0	$0	$0
MEREDITH LURIE
VP, STRATEGIC AND ORG PLANNING	$264,636	$0	$44,932	$0	$20,453	$0	$58,823	$0	$11,601	$0	$400,445	$0	$0	$0
MICHAEL HESTER
SR DIR, REVENUE CYCLE	$261,316	$0	$15,870	$0	$13,442	$0	$8,541	$0	$14,450	$0	$313,619	$0	$0	$0
MARK SEY
PHARMACIST IN CHIEF	$155,419	$0	$0	$0	$136,708	$0	$5,341	$0	$15,920	$0	$313,388	$0	$0	$0
GLIDA E RECODO
CLINICAL NURSE II	$285,496	$0	$1,500	$0	$3,911	$0	$8,550	$0	$11,768	$0	$311,225	$0	$0	$0
SCOTT A VOIGTS
SR DIR, CHIEF TECH OFFICER	$276,433	$0	$16,563	$0	$0	$0	$8,550	$0	$2,435	$0	$303,981	$0	$0	$0
KATHLEEN M CAIN
SVP, CFO, TREASURER (THRU 02/20)	$205,702	$0	$60,000	$0	$23,740	$0	$8,359	$0	$4,832	$0	$302,633	$0	$0	$0
CHRISTINA GALBO
CHIEF COMPL & PRIV OFFICER	$208,631	$0	$10,542	$0	$6,881	$0	$37,381	$0	$18,548	$0	$281,983	$0	$0	$0
JILL STRICKLAND
SR VP, CAO	$191,058	$0	$75,000	$0	$5,769	$0	$0	$0	$6,818	$0	$278,645	$0	$0	$0
BELINDA SANTOS-RAMIREZ
BOARD ADMIN & CHIEF OF STAFF	$123,135	$0	$6,852	$0	$0	$0	$15,549	$0	$12,833	$0	$158,369	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc

ExplanationExplanationTxt

PART I, LINE 1A

THE ORGANIZATION PROVIDED A DISCRETIONARY SPENDING ACCOUNT TO SEVEN OFFICERS AND KEY EMPLOYEES LISTED ON FORM 990 PART VII. THE AMOUNT PROVIDED WAS INCLUDED IN EACH INDIVIDUAL'S TAXABLE COMPENSATION.

PART I, LINES 4A-B

RADY CHILDREN'S HOSPITAL - SAN DIEGO HAS ESTABLISHED A NON-QUALIFIED PLAN PURSUANT TO 457(F) OF THE INTERNAL REVENUE CODE. THE PURPOSE OF THIS PLAN IS TO INCENTIVIZE RADY CHILDREN'S HOSPITAL - SAN DIEGO ELIGIBLE SENIOR MANAGEMENT EMPLOYEES (PRESIDENT, SENIOR VICE PRESIDENTS, VICE PRESIDENTS, SENIOR MANAGING DIRECTORS) IN RECOGNITION OF THE FACT THAT THEY ARE REQUIRED TO DEVOTE SIGNIFICANT AMOUNTS OF TIME, SKILL AND ENERGY TO THE ORGANIZATION. ONCE VESTED THE AMOUNTS UNDER THIS PLAN ARE REPORTED ON FORM W-2 AS TAXABLE COMPENSATION TO THE INDIVIDUAL. THE FOLLOWING INDIVIDUALS RECEIVED PAYMENTS FROM THE PLAN DURING CALENDAR YEAR 2021: MR. ALBERT ORIOL ($47,627), MS. ANGELA VIEIRA ($47,712), MS. BARBARA RYAN (38,115),MS. CATHY NUGENT ($116,273), MR. CHARLES DAVIS ($272,220), MS. CHRIS ABE ($29,564), MS. CHRISTINA GALBO ($6,881), DR. DONALD KEARNS ($253,651), DR. GAIL KNIGHT ($76,804), MS. MARGARETA NORTON ($117,086), MS. MARY FAGAN ($35,874), MS. MEREDITH LURIE ($7,991), MR. NICHOLAS HOLMES ($101,246), MR. NISHANTHA RATNAYAKE ($32,476), DR. PATRICIO FRIAS ($33,850), MR. SCOTT CAMPBELL ($41,363), AND MR. STEPHEN JENNINGS ($79,695). THE FOLLOWING INDIVIDUAL RECEIVED SEVERANCE PAYMENT DURING CALENDAR YEAR 2020: MR. MARK SEY ($114,845).

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (4 entries)

Bond ReferenceBondReferenceCd	Bond Issuer EINBondIssuerEIN	CUSIPCUSIPNum	Bond IssuedBondIssuedDt	Issue PriceIssuePriceAmt	PurposePurposeDesc	DefeasedDefeasedInd	On Behalf Of IssuerOnBehalfOfIssuerInd	Pool FinancingPoolFinancingInd
CALIFORNIA STATEWIDE COMM DEVELOPMENT AUTHORITY
A	680164610	130795VTI	2008-07-31	$101,155,000	CURRENT REFUNDING SERIES 2006CD BO	0	0	0
CALIFORNIA STATEWIDE COMM DEVELOPMENT AUTHORITY
B	680164610	1307955Y9	2012-06-14	$115,580,000	REISSUANCE OF 2008B & 2008D BONDS	0	0	0
CALIFORNIA STATEWIDE COMM DEVELOPMENT AUTHORITY
C	680164610	NONEAVAIL	2013-09-25	$63,485,000	REISSUANCE OF 2008A	0	0	0
CALIFORNIA STATEWIDE COMM DEVELOPMENT AUTHORITY
D	680164610	NONEAVAIL	2013-10-24	$50,580,000	REISSUANCE OF SERIES 2012D	0	0	0

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (4 entries)

Bond ReferenceBondReferenceCd	RetiredRetiredAmt	Total ProceedsTotalProceedsAmt	Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt	Other Spent ProceedsOtherSpentProceedsAmt	Refunding Tax Exempt BondsRefundingTaxExemptBondsInd	Final Allocation MadeFinalAllocationMadeInd	Adequate Books And Rec MaintAdequateBooksAndRecMaintInd
A	$50,580,000	$101,088,386	$731,760	$100,424,579	Yes (1)	Yes (1)	Yes (1)
B	$54,140,000	$115,580,000		$115,580,000	Yes (1)	Yes (1)	Yes (1)
C	$2,970,000	$63,485,000		$63,485,000	Yes (1)	Yes (1)	Yes (1)
D		$50,580,000		$50,580,000	Yes (1)	Yes (1)	Yes (1)

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (4 entries)

Bond ReferenceBondReferenceCd	Any Lease ArrangementsAnyLeaseArrangementsInd	Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd	Engage Bond Counsel ContractsEngageBondCounselContractsInd	Private Bus Use By OthersPrivateBusUseByOthersPct	Private Bus Concerning UBIPrivateBusConcerningUBIPct	Total Private Business UseTotalPrivateBusinessUsePct	Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
A	Yes (1)	Yes (1)	Yes (1)	0.00000	0.00000	0.00000	Yes (1)
B	Yes (1)	Yes (1)	Yes (1)	0.00340	0.00340	0.00680	Yes (1)
C	Yes (1)	Yes (1)	Yes (1)	0.00000	0.00000	0.00000	Yes (1)
D	Yes (1)	Yes (1)	Yes (1)	0.00000	0.00000	0.00000	Yes (1)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (4 entries)

Bond ReferenceBondReferenceCd	Form8038 T FiledForm8038TFiledInd	Variable Rate IssueVariableRateIssueInd	Hedge Identified In Bks And RecHedgeIdentifiedInBksAndRecInd	Term Of HedgeTermOfHedgePct	Superintegrated HedgeSuperintegratedHedgeInd	Hedge TerminatedHedgeTerminatedInd	Gross Proceeds Invested In GICGrossProceedsInvestedInGICInd	Business Name Line1GICProviderName/BusinessNameLine1Txt	Term Of GICTermOfGICPct	Regulatory Safe Harbor StsfdRegulatorySafeHarborStsfdInd	Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd	Rebate Not Due YetRebateNotDueYetInd	Exception To RebateExceptionToRebateInd	No Rebate DueNoRebateDueInd	Gross Proceeds InvestedGrossProceedsInvestedInd
GOLDMAN SACHSWELLS
A	Yes (1)	Yes (1)	Yes (1)	24.080000000000	0	Yes (1)	Yes (1)	HYPO REPURCHASE	2.550000000000	Yes (1)	Yes (1)
GOLDMAN SACHS BANK
B	0	Yes (1)	Yes (1)	35.190000000000	0	0	0				Yes (1)	0	Yes (1)	Yes (1)	0
GOLDMAN SACHS BANK
C	0	Yes (1)	Yes (1)	35.190000000000	0	0	0				Yes (1)	0	Yes (1)	Yes (1)	0
GOLDMAN SACHS BANK
D	0	Yes (1)	Yes (1)	26.250000000000	0	0	0				Yes (1)	0	Yes (1)	Yes (1)	0

Procedures Corrective Action ProceduresCorrectiveActionGrp (4 entries)

Bond ReferenceBondReferenceCd	Procedures Corrective ActionProceduresCorrectiveActionInd
A	Yes (1)
B	Yes (1)
C	Yes (1)
D	Yes (1)

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
SET 1, COLUMN A	PART I, (F): THE ISSUE DATE OF THE 2006CD BONDS WAS 10/26/06. PART II, LINE 3: THE DIFFERENCE BETWEEN THE ISSUE PRICE LISTED IN PART I(E) IS DUE TO INTEREST EARNINGS ON BOND PROCEEDS AND THE CUMULATIVE REBATE LIABILITY PAID TO THE IRS NO LATER THAN 09/29/13. PART II, LINE 13: SINCE THE PROCEEDS OF THE 2008CD BONDS ARE USED FOR REFUNDING PURPOSES, THE YEAR OF SUBSTANTIAL COMPLETION IS NOT APPLICABLE. PART IV, LINE 4(E): THE 2008C GOLDMAN SACHS HEDGE WAS ORIGINALLY A HEDGE ON THE 2006C BONDS WITH A TERM OF 29.82 YEARS, AND WAS REINTEGRATED INTO THE 2008C BONDS ON JULY 31, 2008, WITH A TERM OF 28.06 YEARS. ON APRIL 15, 2016, THE HEDGE WAS SPLIT INTO TWO TRANSACTIONS. SUBSEQUENTLY, ONE OF THE TRANSACTIONS WAS NOVATED TO WELLS FARGO BANK, N.A. ON APRIL 25, 2016. THE NOVATED WELLS FARGO HEDGE HAS A TERM OF 3.98 YEARS, AND THE GOLDMAN SACHS PORTION OF THE TRANSACTION HAS A TERM OF 24.08 YEARS. THE ORIGINAL TERM OF THE ENTIRE TRANSACTION OF 28.06 YEARS REMAINS UNCHANGED. PART IV, LINE 4(E): THE 2008D GOLDMAN SACHS HEDGE WAS ORIGINALLY A HEDGE ON THE 2006D BONDS WITH A TERM OF 33.14 YEARS, AND WAS REINTEGRATED INTO THE 2008D BONDS ON JULY 31, 2008, WITH A RESTRUCTURED TERM OF 33.06 YEARS. THIS HEDGE WAS DEEMED TERMINATED ON JUNE 14, 2012, AND HAD A TERM OF 3.87 YEARS AT TERMINATION. PART IV, LINE 5(A): GROSS PROCEEDS OF THE 2008CD BONDS PROJECT FUNDS WERE INVESTED IN A HYPO REPURCHASE AGREEMENT.
SET 1, COLUMN B	PART I, (F): THE ISSUE DATE OF THE PRIOR 2008B BONDS WAS 07/02/08. THE ISSUE DATE OF THE PRIOR 2008D BONDS WAS 07/31/08. PART II, LINE 13: SINCE THE PROCEEDS OF THE 2012B AND 2012D BONDS ARE USED FOR REFUNDING PURPOSES, THE YEAR OF SUBSTANTIAL COMPLETION IS NOT APPLICABLE. PART III, LINE 7: AS PROVIDED IN TREASURY REGULATION SECTION 1.141-4(C)(2)(I)(B), THE AMOUNT OF PRIVATE PAYMENTS TAKEN INTO ACCOUNT UNDER THE PRIVATE PAYMENT TEST MAY NOT EXCEED THE AMOUNT OF PRIVATE BUSINESS USE AND/OR UNRELATED TRADE OR BUSINESS USE. ACCORDINGLY, THE AMOUNT OF PRIVATE PAYMENTS FOR THE REPORTING PERIOD DOES NOT EXCEED THE AMOUNT STATED IN PART III, LINE 6. THE ORGANIZATION HAS NOT UNDERTAKEN AN ANALYSIS OF THE PRIVATE SECURITY TEST WITH RESPECT TO THE BONDS, AS THE LEVEL OF PRIVATE BUSINESS USE AND/OR UNRELATED TRADE OR BUSINESS REPORTED IN PART III, LINE 6, IS NOT IN EXCESS OF AMOUNTS PERMITTED UNDER SECTION 145 OF THE CODE. PART IV, LINE 2(B) & 2(C): THE ISSUE QUALIFIED FOR A SPENDING EXCEPTION TO REBATE. NO REBATE CALCULATION HAS BEEN OR WILL EVER BE MADE, BEFORE OR AFTER THE DUE DATE OF AN 8038-T. PART IV, LINE 4(E): THE 2012B GOLDMAN SACHS HEDGE WAS ORIGINALLY A HEDGE ON THE 2008B BONDS WITH A TERM OF 39.15 YEARS, AND WAS REINTEGRATED INTO THE 2012B BONDS ON JUNE 15, 2012. THE REINTEGRATED HEDGE HAS A TERM OF 35.19 YEARS. PART IV, LINE 4(E): THE 2012D GOLDMAN SACHS HEDGE WAS ORIGINALLY A HEDGE ON THE 2008D BONDS WITH A TERM OF 33.06 YEARS, AND WAS REINTEGRATED INTO THE 2012D BONDS ON JUNE 15, 2012. THIS REINTEGRATED HEDGE HAS A TERM OF 29.19 YEARS THAT IS ALLOCABLE TO THE 2012D BONDS.
SET 1, COLUMN C	PART I, (F): THE ISSUE DATE OF THE 2008A BONDS WAS 07/02/08. PART II, LINE 13: SINCE THE PROCEEDS OF THE 2008A-REISSUED BONDS ARE USED FOR REFUNDING PURPOSES, THE YEAR OF SUBSTANTIAL COMPLETION IS NOT APPLICABLE. PART III, LINE 7: AS PROVIDED IN TREASURY REGULATION SECTION 1.141-4(C)(2)(I)(B), THE AMOUNT OF PRIVATE PAYMENTS TAKEN INTO ACCOUNT UNDER THE PRIVATE PAYMENT TEST MAY NOT EXCEED THE AMOUNT OF PRIVATE BUSINESS USE AND/OR UNRELATED TRADE OR BUSINESS USE. ACCORDINGLY, THE AMOUNT OF PRIVATE PAYMENTS FOR THE REPORTING PERIOD DOES NOT EXCEED THE AMOUNT STATED IN PART III, LINE 6. THE ORGANIZATION HAS NOT UNDERTAKEN AN ANALYSIS OF THE PRIVATE SECURITY TEST WITH RESPECT TO THE BONDS, AS THE LEVEL OF PRIVATE BUSINESS USE AND/OR UNRELATED TRADE OR BUSINESS REPORTED IN PART III, LINE 6, IS NOT IN EXCESS OF AMOUNTS PERMITTED UNDER SECTION 145 OF THE CODE. PART IV, LINE 2(B) & 2(C): THE ISSUE QUALIFIED FOR A SPENDING EXCEPTION TO REBATE. NO REBATE CALCULATION HAS BEEN OR WILL EVER BE MADE, BEFORE OR AFTER THE DUE DATE OF AN 8038-T. PART IV, LINE 4(E): BASED ON THE PROPOSED REGULATIONS, THE 2008A GOLDMAN SACHS HEDGE IS TREATED AS CONTINUING TO THE 2008A-REISSUED BONDS INSTEAD OF BEING TERMINATED AND REINTEGRATED.
SET 1, COLUMN D:	PART I, (F): THE ISSUE DATE OF THE 2012D BONDS WAS 06/14/12. PART II, LINE 13: SINCE THE PROCEEDS OF THE 2012D-REISSUED BONDS ARE USED FOR REFUNDING PURPOSES, THE YEAR OF SUBSTANTIAL COMPLETION IS NOT APPLICABLE. PART IV, LINE 2(B) & 2(C): THE ISSUE QUALIFIED FOR A SPENDING EXCEPTION TO REBATE. NO REBATE CALCULATION HAS BEEN OR WILL EVER BE MADE, BEFORE OR AFTER THE DUE DATE OF AN 8038-T. PART IV, LINE 4(E): BASED ON THE PROPOSED REGULATIONS, THE 2012D GOLDMAN SACHS HEDGE IS TREATED AS CONTINUING TO THE 2012D-REISSUED BONDS INSTEAD OF BEING TERMINATED AND REINTEGRATED. ON APRIL 1, 2016, THE HEDGE WAS SPLIT INTO TWO TRANSACTIONS. SUBSEQUENTLY, ONE OF THE TRANSACTIONS WAS NOVATED TO WELLS FARGO BANK, N.A. ON APRIL 25, 2016. THE NOVATED WELLS FARGO HEDGE HAS A TERM OF 2.93 YEARS, AND THE GOLDMAN SACHS PORTION OF THE TRANSACTION HAS A TERM OF 26.25 YEARS. THE ORIGINAL TERM OF THE ENTIRE TRANSACTION OF 29.19 YEARS REMAINS UNCHANGED.
SET 2, COLUMN A	PART I (F): THE ISSUE DATE OF THE 2006AB BONDS WAS OCTOBER 26, 2006. PART II, LINE 3: THE DIFFERENCE BETWEEN THE ISSUE PRICE LISTED IN PART I(E) IS DUE TO INTEREST EARNINGS ON BOND PROCEEDS. PART II, LINE 13: SINCE THE PROCEEDS OF THE 2016AB BONDS ARE USED FOR REFUNDING PURPOSES, THE YEAR OF SUBSTANTIAL COMPLETION IS NOT APPLICABLE. PART IV, LINE 2(B): THE ISSUE QUALIFIED FOR A SPENDING EXCEPTION TO REBATE. NO REBATE CALCULATION HAS BEEN OR WILL EVER BE MADE, BEFORE OR AFTER THE DUE DATE OF AN 8038-T. PART III, LINE 7: AS PROVIDED IN TREASURY REGULATION SECTION 1.141-4(C)(2)(I)(B), THE AMOUNT OF PRIVATE PAYMENTS TAKEN INTO ACCOUNT UNDER THE PRIVATE PAYMENT TEST MAY NOT EXCEED THE AMOUNT OF PRIVATE BUSINESS USE AND/OR UNRELATED TRADE OR BUSINESS USE. ACCORDINGLY, THE AMOUNT OF PRIVATE PAYMENTS FOR THE REPORTING PERIOD DOES NOT EXCEED THE AMOUNT STATED IN PART III, LINE 6. THE ORGANIZATION HAS NOT UNDERTAKEN AN ANALYSIS OF THE PRIVATE SECURITY TEST WITH RESPECT TO THE BONDS, AS THE LEVEL OF PRIVATE BUSINESS USE AND/OR UNRELATED TRADE OR BUSINESS REPORTED IN PART III, LINE 6, IS NOT IN EXCESS OF AMOUNTS PERMITTED UNDER SECTION 145 OF THE CODE.

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd

Issuer Name IssuerName

Field	Value	IRS element (for citing)
Business Name Line1	CALIFORNIA STATEWIDE COMM DEVELOPMENT AUTHORITY	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Bond Issuer EIN	680164610	BondIssuerEIN
CUSIP	13080SLZ5	CUSIPNum
Bond Issued	2016-05-18	BondIssuedDt
Issue Price	$61,552,785	IssuePriceAmt
Purpose	CURRENT REFUNDING SERIES 2006AB	PurposeDesc
Defeased	0	DefeasedInd
On Behalf Of Issuer	0	OnBehalfOfIssuerInd
Pool Financing	0	PoolFinancingInd

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Retired	$16,060,000	RetiredAmt
Total Proceeds	$61,592,971	TotalProceedsAmt
Issuance Costs From Proceeds	$987,816	IssuanceCostsFromProceedsAmt
Other Spent Proceeds	$60,605,151	OtherSpentProceedsAmt
Refunding Tax Exempt Bonds	Yes (1)	RefundingTaxExemptBondsInd
Refunding Taxable Bonds	0	RefundingTaxableBondsInd
Final Allocation Made	Yes (1)	FinalAllocationMadeInd
Adequate Books And Rec Maint	Yes (1)	AdequateBooksAndRecMaintInd

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Owning Bond Financed Property	0	OwningBondFinancedPropertyInd
Any Lease Arrangements	Yes (1)	AnyLeaseArrangementsInd
Mgmt Contract Bond Fincd Prop	Yes (1)	MgmtContractBondFincdPropInd
Engage Bond Counsel Contracts	Yes (1)	EngageBondCounselContractsInd
Any Research Agreements	0	AnyResearchAgreementsInd
Private Bus Use By Others	0.34000	PrivateBusUseByOthersPct
Private Bus Concerning UBI	0.00000	PrivateBusConcerningUBIPct
Total Private Business Use	0.34000	TotalPrivateBusinessUsePct
Bond Iss Meet Prvt Sec Pymt Test	0	BondIssMeetPrvtSecPymtTestInd
Change In Use Bond Financed Prop	0	ChangeInUseBondFinancedPropInd
Procs Nonqualified Bond Remdtd	Yes (1)	ProcsNonqualifiedBondRemdtdInd

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Form8038 T Filed	0	Form8038TFiledInd
Rebate Not Due Yet	Yes (1)	RebateNotDueYetInd
Exception To Rebate	Yes (1)	ExceptionToRebateInd
No Rebate Due	0	NoRebateDueInd
Variable Rate Issue	0	VariableRateIssueInd
Hedge Identified In Bks And Rec	0	HedgeIdentifiedInBksAndRecInd
Gross Proceeds Invested In GIC	0	GrossProceedsInvestedInGICInd
Gross Proceeds Invested	0	GrossProceedsInvestedInd
Written Proc To Monitor Reqs	Yes (1)	WrittenProcToMonitorReqsInd

Procedures Corrective Action ProceduresCorrectiveActionGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Procedures Corrective Action	Yes (1)	ProceduresCorrectiveActionInd

Schedule L IRS990ScheduleL

Loans Btwn Org Interested Prsn LoansBtwnOrgInterestedPrsnGrp

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	PATRICIO FRIAS	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Relationship With Org	OFFICER	RelationshipWithOrgTxt
Loan Purpose	RELOCATION HOUSING LOAN	LoanPurposeTxt
Loan From Organization	Yes (X)	LoanFromOrganizationInd
Original Principal	$250,000	OriginalPrincipalAmt
Balance Due	$212,109	BalanceDueAmt
Default	0	DefaultInd
Board Or Committee Approval	Yes (1)	BoardOrCommitteeApprovalInd
Written Agreement	Yes (1)	WrittenAgreementInd

Field	Value	IRS element (for citing)
Total Balance Due	$212,109	TotalBalanceDueAmt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (9 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 6	RADY CHILDREN'S HOSPITAL AND HEALTH CENTER (RCHHC) IS THE SOLE MEMBER AS THAT TERM IS DEFINED IN CALIFORNIA CORPORATIONS CODE 5056 ("MEMBER") OF RADY CHILDREN'S HOSPITAL - SAN DIEGO (RCHSD).
FORM 990, PART VI, SECTION A, LINE 7A	THE RCHSD BOARD OF DIRECTORS CONSISTS OF THOSE INDIVIDUALS SERVING AS THE BOARD OF TRUSTEES OF THE MEMBER. ONLY THE MEMBER MAY REMOVE A DIRECTOR. THE FOLLOWING ACTIONS OF THE RCHSD BOARD REQUIRE "PRIOR WRITTEN APPROVAL" OF THE MEMBER TO BE EFFECTIVE: - ANY AMENDMENT, REVISION, MODIFICATION OF THE ARTICLES OF INCORPORATION OR THE BYLAWS - ANY CHANGE IN THE NATURE OF THE BUSINESS ACTIVITIES OF RCHSD - APPROVAL OF OPERATING AND CAPITAL BUDGETS OF RCHSD - BORROWING ANY AMOUNT OR INCURRING ANY DEBT IN THE AMOUNT OF $100,000 OR MORE - MAKING OR INCURRING ANY UNBUDGETED EXTRAORDINARY OR NON-RECURRING EXPENSE OR EXPENDITURE OF $1,000,000. THE RCHSD BOARD CANNOT AUTHORIZE OR DIRECT ANY OFFICER OF RCHSD TO PERFORM OR COMMIT ANY OF THE FOLLOWING ACTS, WITHOUT PRIOR WRITTEN APPROVAL OF THE MEMBER: - BORROW MONEY IN RCHSD'S NAME OR UTILIZE PROPERTY OWNED BY RCHSD AS SECURITY FOR LOANS, EXCEPT IN THE ORDINARY COURSE OF BUSINESS - MAKE, EXECUTE, OR DELIVER ANY ASSIGNMENT FOR THE BENEFIT OR CREDITORS, OR ANY BOND, CONFESSION, JUDGMENT, CHATTEL MORTGAGE, SECURITY AGREEMENT, DEED, GUARANTY, INDEMNITY BOND, SURETY BOND, CONTRACT TO SELL OR BILL OF SALE OF THE PROPERTY OF RCHSD, EXCEPT IN THE ORDINARY COURSE OF BUSINESS. - ACQUIRE, PURCHASE, DEVELOP, IMPROVE, SELL, LEASE OR MORTGAGE ANY CORPORATE REAL ESTATE OR ANY INTEREST THEREIN OR ENTER INTO ANY CONTRACT FOR ANY SUCH PURPOSES. - MAKE ANY LOAN OR INVESTMENT OF ANY RCHSD ASSETS, OR ENTER INTO ANY CONTRACT OR INCUR ANY LIABILITY ON BEHALF OF RCHSD OTHER THAN FOR FAIR CONSIDERATION OR IN THE ORDINARY COURSE OF BUSINESS RELATING TO ITS NORMAL DAILY OPERATION.
FORM 990, PART VI, SECTION A, LINE 7B	PLEASE REFER TO LINE 7A EXPLANATION.
FORM 990, PART VI, SECTION B, LINE 11B	REVIEW OF FORM 990 THE FORM 990 WAS REVIEWED BY THE CFO AND THEN PROVIDED TO THE ORGANIZATION'S AUDIT AND CORPORATE RESPONSIBILITY COMMITTEE FOR REVIEW. FOLLOWING REVIEW BY THE COMMITTEE, THE RETURNS WERE FINALIZED, SIGNED AND SUBMITTED TO THE INTERNAL REVENUE SERVICE. A COMPLETE COPY OF THE FORM 990 WAS PROVIDED TO EACH VOTING BOARD MEMBER PRIOR TO FILING.
FORM 990, PART VI, SECTION B, LINE 12C	CONFLICT OF INTEREST POLICY ON AN ANNUAL BASIS AND UPON ELECTION OR APPOINTMENT, THE POLICY AND DISCLOSURE STATEMENT IS DISTRIBUTED TO ALL BOARD MEMBERS, OFFICERS, AND KEY EMPLOYEES AND MEDICAL STAFF LEADERS. ALL COMPLETED AND SIGNED STATEMENTS ARE RETURNED TO THE CORPORATE COMPLIANCE OFFICER FOR REVIEW. IF A PERSON DISCLOSES A POTENTIAL OR ACTUAL CONFLICT IS IDENTIFIED THE PERSON WITH THE POTENTIAL OR ACTUAL CONFLICT OF INTEREST IS RECUSED FROM ANY DISCUSSION OR APPROVAL OF ANY SUCH RELATED TRANSACTION. FINANCIAL INTEREST DISCLOSURES BY BOARD MEMBERS AND OFFICERS ARE BROUGHT TO THE RCHHC BOARD OF TRUSTEES OR THE AUDIT AND CORPORATE RESPONSIBILITY COMMITTEE FOR REVIEW AND, AS NEEDED, APPROPRIATE ACTION. FINANCIAL INTEREST DISCLOSURES BY KEY EMPLOYEES AND MEDICAL STAFF LEADERS ARE REVIEWED BY THE CORPORATE COMPLIANCE OFFICER AND REFERRED TO THE PRESIDENT AND CHIEF EXECUTIVE OFFICER OR TO THE RCHHC BOARD OF TRUSTEES. THE CORPORATE COMPLIANCE OFFICER REPORTS ANNUALLY TO THE EXECUTIVE CORPORATE COMPLIANCE COMMITTEE AND THE AUDIT AND CORPORATE RESPONSIBILITY COMMITTEE A SUMMARY OF ALL DISCLOSURES AND ACTION TAKEN, IF ANY. ALL OTHER EMPLOYEES ARE REQUIRED TO COMPLETE A DISCLOSURE STATEMENT ON AN ANNUAL BASIS THAT IS REVIEWED BY THE CORPORATE COMPLIANCE OFFICER.
FORM 990, PART VI, SECTION B, LINE 15	DETERMINATION OF COMPENSATION RADY CHILDREN'S HOSPITAL AND HEALTH CENTER/RADY CHILDREN'S HOSPITAL - SAN DIEGO WORKING THROUGH THE BOARD COMPENSATION COMMITTEE HAS A PROCESS FOR ESTABLISHING, REVIEWING AND APPROVING COMPENSATION OF OFFICERS AND KEY EMPLOYEES OF THE ORGANIZATION ON A NO LESS THAN AN ANNUAL BASIS. THE COMPENSATION COMMITTEE IS COMPRISED OF INDEPENDENT, LAY MEMBERS OF THE BOARD OF TRUSTEES. PRIOR TO CONDUCTING ITS REVIEW, THE CHAIR OF THE COMPENSATION COMMITTEE DETERMINES WHETHER ANY MEMBER HAS A CONFLICT OF INTEREST WITH RESPECT TO THE MATTER(S) UNDER REVIEW. IF THERE IS A CONFLICT, THE CONFLICTED MEMBER RECUSES HIMSELF/HERSELF AND IS NOT PRESENT DURING DISCUSSION OR VOTE ON THE ARRANGEMENT UNDER REVIEW. IN DETERMINING AND APPROVING THE COMPENSATION ARRANGEMENT, THE COMMITTEE CONSIDERS ALL COMPONENTS OF COMPENSATION. IT CONSIDERS COMPARABILITY DATA AND RETAINS AN INDEPENDENT COMPENSATION CONSULTANT TO PROVIDE COMPARABILITY DATA TO THE COMMITTEE. TOTAL COMPENSATION IS TARGETED TO BE BETWEEN THE 50TH AND 75TH PERCENTILES OF THE COMPARABILITY DATA. THE COMMITTEE'S DELIBERATIONS AND DECISIONS ARE DOCUMENTED IN MINUTES THAT ARE REVIEWED AT ITS NEXT MEETING. THE COMMITTEE'S WRITTEN RECORDS INCLUDE THE (1) TERMS OF THE ARRANGEMENT WITH THE DISQUALIFIED PERSON (INCLUDING THE DATE THE ARRANGEMENT WAS APPROVED); (2) A LIST OF MEMBERS PRESENT DURING THE DISCUSSION OF THE TRANSACTION (AND HOW THE MEMBERS VOTED WHEN IT WAS APPROVED); AND (3) A DESCRIPTION OF THE COMPARABLE DATA RELIED ON BY THE COMMITTEE AND HOW IT WAS OBTAINED.
FORM 990, PART VI, SECTION C, LINE 19	THE FEDERAL TAX LAWS DO NOT MANDATE THAT THE ORGANIZATION'S GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY BE MADE AVAILABLE FOR PUBLIC INSPECTION. THE ORGANIZATION MAKES ITS FINANCIAL STATEMENTS AVAILABLE UPON REQUEST AND THEY ARE ALSO ATTACHED TO THIS FORM 990.
FORM 990, PART IX, LINE 11G	PHYSICIAN SERVICES: PROGRAM SERVICE EXPENSES 212,284,366. MANAGEMENT AND GENERAL EXPENSES 2,476,074. TOTAL EXPENSES 214,760,440. CLAIMS EXPENSES: PROGRAM SERVICE EXPENSES 57,827,563. TOTAL EXPENSES 57,827,563. PURCHASED SERVICES - UCSD: PROGRAM SERVICE EXPENSES 24,459,132. TOTAL EXPENSES 24,459,132. LEASED LABOR - NON-PHYSICIAN: PROGRAM SERVICE EXPENSES 15,559,013. MANAGEMENT AND GENERAL EXPENSES 1,100,747. TOTAL EXPENSES 16,659,760. PURCHASED SERVICES - MEDICAL: PROGRAM SERVICE EXPENSES 30,154,983. MANAGEMENT AND GENERAL EXPENSES 21,820,217. TOTAL EXPENSES 51,975,200. PURCHASED SERVICES - PHARMACY: PROGRAM SERVICE EXPENSES 306,212. TOTAL EXPENSES 306,212. PURCHASED SERVICES - RCPMS: MANAGEMENT AND GENERAL EXPENSES 2,065,791. TOTAL EXPENSES 2,065,791. MISCELLANEOUS MEDICAL SERVICES: PROGRAM SERVICE EXPENSES 5,364,927. TOTAL EXPENSES 5,364,927.
FORM 990, PART XI, LINE 9:	CHANGE IN FMV OF INTEREST RATE SWAP 30,608,174. CHANGE IN SPLIT INTEREST AGREEMENTS 7,359. INTERCOMPANY SETTLEMENT -21,841,956. CHANGE IN DEFINED BENEFIT COST 81,953,025. TRANSFER OF NET ASSETS TO RCHRC -15,000,000. TREASURY LOCK SWAP GAIN 8,419,878.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (4 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Direct Controlling NADirectControllingNACd	Controlled OrganizationControlledOrganizationInd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt
RADY CHILDREN'S HOSPITAL AND HEALTH CENTER
3020 CHILDRENS WAY MC 5001	SAN DIEGO	CA	92123	953545901	SUPPORT	CA	501(C)(3)	LINE 12B, II	N/A	0
RADY CHILDREN'S HOSPITAL RESEARCH CENTER
3020 CHILDRENS WAY MC 5001	SAN DIEGO	CA	92123	953814185	RESEARCH	CA	501(C)(3)	LINE 12A, I		0	RCHHC
RADY CHILDREN'S HOSPITAL FOUNDATION - SD
3020 CHILDRENS WAY MC 5001	SAN DIEGO	CA	92123	330170626	FUNDRAISING	CA	501(C)(3)	LINE 7		0	RCHHC
RADY CHILDREN'S HEALTH SERVICES - SD
3020 CHILDRENS WAY MC 5001	SAN DIEGO	CA	92123	330278018	SUPPORT	CA	501(C)(3)	LINE 12A, I		Yes (1)	RCHSD

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (3 entries)

Address Line1ForeignAddress/AddressLine1Txt	CityForeignAddress/CityNm	CountryForeignAddress/CountryCd	Foreign PostalForeignAddress/ForeignPostalCd	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile Foreign CountryLegalDomicileForeignCountryCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Entity TypeEntityTypeTxt	Controlled OrganizationControlledOrganizationInd	Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Legal Domicile StateLegalDomicileStateCd
CHILDREN'S HOSPITAL INTEGRATED RISK PROT
22 VICTORIA STREETHAMILTON HM12	HAMILTON	BD	HM12	CAPTIVE INSURANCE	BD	RCHHC	C	0
RADY CHILDREN'S PHYSICIAN MANAGEMENT SER
				MANAGEMENT		RCHHC	C	0	3860 CALLE FORTUNADASUITE 200	SAN DIEGO	CA	921234282	330670694	CA
CHILDREN'S HOSPITAL INSURANCE LTD
CANONS COURT 22 VICTORIA STREET H	HAMILTON	BD	HM12	CAPTIVE INSURANCE	BD	RCHHC	C	0

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	0	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	Yes (1)	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	Yes (1)	GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org	0	LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org	0	LoansOrGuaranteesFromOthOrgInd
Div Related Organization	0	DivRelatedOrganizationInd
Asset Sale To Other Org	0	AssetSaleToOtherOrgInd
Asset Purchase From Other Org	0	AssetPurchaseFromOtherOrgInd
Asset Exchange	0	AssetExchangeInd
Rental Of Facilities To Oth Org	0	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	0	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	0	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	0	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	Yes (1)	SharingOfFacilitiesInd
Paid Employees Sharing	Yes (1)	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	Yes (1)	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	Yes (1)	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	Yes (1)	TransferToOtherOrgInd
Transfer From Other Org	Yes (1)	TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (2 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
RADY CHILDREN'S HEALTH SERVICES - SAN DIEGO
P	$306,212	ACTUAL COST
RADY CHILDREN'S HEALTH SERVICES - SAN DIEGO
Q	$7,881,554	ACTUAL COST