2018-05-14T21:04:20-05:00 2017-06-30 KPMG LLP 3975 Freedom Circle Dr Suite 100 Santa Clara CA 95054 990 2016-07-01 951691313 RADY CHILDREN'S HOSPITAL - SAN DIEGO % NISHANTHA RATNAYAKE RADY 8585761700 3020 Childrens Way MC 5001 San Diego CA 921234282 KATHLEEN CAIN cfo 2018-05-14 true Valerie J Ball P00178114 4083675764 2018-05-14 2016 2022-09-23 18:48:47Z Donald B Kearns MD MMM 3020 Childrens WayMC 5001 San Diego CA 921234282 1540318118 false X www.rchsd.org X 1954 CA THE HOSPITAL PROVIDES COMPREHENSIVE PEDIATRIC MEDICAL SERVICES IN SAN DIEGO, SOUTHERN RIVERSIDE, AND IMPERIAL COUNTIES. 23 22 5348 525 7677740 -3500 155882724 124888575 859164424 908599045 35132979 50461728 14845379 15270506 1065025506 1099219854 1690557 12103022 0 0 387789423 425131511 0 0 75684 552242828 567509309 941722808 1004743842 123302698 94476012 1659206280 1806577989 740625137 685349261 918581143 1121228728 X TO RESTORE, SUSTAIN AND ENHANCE THE HEALTH AND DEVELOPMENTAL POTENTIAL OF CHILDREN THROUGH EXCELLENCE IN CARE, EDUCATION, RESEARCH AND ADVOCACY. false false 800169164 12103022 908599045 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. 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 2 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, a 12-bed level 2 neonatal intensive care unit for Scripps Memorital Hospital in La Jolla, a 4-bed level 3 neonatal intensive care unit for Palomar Pomerado Hospital, two level 2 neonatal intensive care units for Scripps Mercy Hospital located in San Diego and Chula Vista; and an 11-bed pediatric medical unit for Sharp Health located at its Sharp Grossmont Campus. 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 20,000 inpatient admissions and approximately 390,000 visits per year in its outpatient departments. Additionally, the emergency department and urgent care centers provide approximately 92,000 and 56,000 visits, respectively, per year. 800169164 true true false true false false false false false true true true false false true true false true false false true true false false false false true true true false true true false false false false false true false true false false false false false false false true false false false true 672 0 true 5348 true true true false false false false false false false false false X 23 22 false false false false true true true true true false false true true true true true true true true true false CA X NISHANTHA RATNAYAKE 8585761700 3020 CHILDRENS WAY MC 5001 San Diego CA 921234282 X David F Hale Board Member 2.0 6.0 X 0 0 0 Theodore D Roth Chair (up to 12/2016) 4.0 9.0 X X 0 0 0 Lisa A Barkett Board Member 2.0 2.0 X 0 0 0 Andrew S Clark Board Member 2.0 2.0 X 0 0 0 John M Gilchrist Jr Board Member 2.0 2.5 X 0 0 0 S Douglas Hutcheson Vice Chair 4.0 7.0 X X 0 0 0 Jeffrey A Jacobs Board Member 2.0 2.0 X 0 0 0 Catherine J Mackey PhD Board Member 2.0 4.0 X 0 0 0 G Diego Miralles MD Board Member 2.0 4.5 X 0 0 0 Tina S Nova PhD Board Member 2.0 6.0 X 0 0 0 Michael P Peckham Chair (from 1/2016) 4.0 9.0 X X 0 0 0 Mark A Snell Board Member (thru 3/2017) 2.0 2.0 X 0 0 0 Scott N Wolfe Esq Board Member 2.0 2.5 X 0 0 0 Henry L Nordhoff Board Member 2.0 4.0 X 0 0 0 David A Brenner MD Board Member 2.0 4.0 X 0 0 0 Pradeep Khosla PhD Board Member 2.0 2.0 X 0 0 0 Harry M Rady Board Member 2.0 4.0 X 0 0 0 John D Stobo MD Board Member 2.0 2.0 X 0 0 0 Paul J Hering Board Member 2.0 8.0 X 0 0 0 Martin Brotman MD Board Member 2.0 2.0 X 0 0 0 Michael J Farrell Board Member 2.0 2.0 X 0 0 0 Maria Assaraf Board Member 2.0 6.0 X 0 0 0 Daniela S Carvalho MD Board Member 2.0 2.0 X 0 0 0 Andrew Zimmerman MD Board Member 2.0 2.5 X 56650 0 0 Donald B Kearns MD MMM President & CEO 33.5 16.5 X 1210427 0 111576 Margareta E Norton Secretary, SVP, CAO 39.5 10.5 X 871850 0 123991 Nicholas Holmes MD SVP, COO 48.0 2.0 X 635935 0 43777 Kathleen M Cain treasurer, svp, cfo 37.5 12.5 X 483059 0 24903 Gail R Knight MD SVP, CMO 49.5 0.5 X 430110 0 15788 Belinda Santos-Ramirez Assistant Secretary 43.5 6.5 X 117145 0 31694 Stephen Jennings Sr VP, Exec Dir Foundation 0.0 50.0 X 0 510688 61306 Nishantha Ratnayake VP, Finance & Controller 30.0 20.0 X 311731 0 18477 Irvin A Kaufman MD Chief, Health Affairs 48.0 2.0 X 517580 0 1596 Albert Oriol VP, Info mgmt, CIO 48.0 2.0 X 483902 0 62631 Angela M Vieira General Counsel 46.0 4.0 X 465068 0 76238 Scott D Campbell VP, CFO & Admin Off, MPF 50.0 0.0 X 401787 0 70413 Mary J Fagan VP, Patient Care Services/CNO 50.0 0.0 X 372049 0 165929 Barbara L Ryan VP, Government Affairs 50.0 0.0 X 385532 0 -57333 Charles Wilson SR Dir, Chadwick Center 50.0 0.0 X 326871 0 71347 Chris Abe Sr Dir Ancillary/Supp SVCS 50.0 0.0 X 289126 0 126494 Charles B Davis vp, coo mpf 50.0 0.0 X 505777 0 39230 Joseph Ambrose Sr Dir, CTO 50.0 0.0 X 267834 0 28358 Cathy Nugent VP, Human Resources 50.0 0.0 X 217944 0 99208 Joshua Kohrumel Chief Data Officer 50.0 0.0 X 209701 0 15654 Glenn F Billman CHIEF QUALITY OFFICER 50.0 0.0 X 345420 0 79868 Michael Hester SR Director Revenue Cycle 50.0 0.0 X 242596 0 15942 Kristin Gist Sr. Dir. Developmental Svcs 50.0 0.0 X 228127 0 -29675 Teresita Penzalann Diaz Clinical Nurse 50.0 0.0 X 241297 0 70202 John Allardyce Chief of Perfusion Services 50.0 0.0 X 227659 0 22360 Blair Sadler Former President and CEO 0.0 0.0 X 183135 0 0 10028312 510688 1289974 868 true true false Children's Specialists of San Diego 3020 Childrens Way Mc 5001 SAN DIEGO CA 92123 Medical Services 119165602 McKesson Corporation One Post St SAN FRANCISCO CA 94104 Medical Supplies 41517440 Children's Physicians Medical Group 5855 Copley Dr Ste 100 SAN DIEGO CA 92111 Medical Services 33228313 Human Capital Select LLC 2680 S Val Vista Dr Ste 161 GILBERT AZ 85295 Agency Labor 27734979 The Regents of the Univ of CA SAN 9500 Gilman Dr LA JOLLA CA 92093 Medical Services 17429158 375 15610634 102340440 6937501 124888575 NET PATIENT REVENUE 621400 724927486 724927486 CAPITATED CONTRACT REVENUE 623000 156461322 156461322 OUTPATIENT PHARMACEUTICAL 611710 8094394 8094394 MEDICAL OFFICE BUILDING 611710 5568372 5568372 MEDICAL SERVICES REIMBURSEMENT 611710 4901560 4901560 8645911 8645911 908599045 10264623 10264623 0 0 868842 868842 0 868842 868842 481295369 441098264 40197105 40197105 40197105 0 0 0 0 0 0 0 0 0 TPA SERVICES 900099 6778292 6778292 FOOD SERVICE REVENUE 721000 2140903 2140903 PARKING 812930 1786404 1786404 3696065 899448 2796617 14401664 1099219854 908599045 7677740 58054494 X 11993022 11993022 0 110000 110000 0 8033171 2066169 5891318 75684 0 326937759 240256751 86681008 31623752 22930595 8693157 33336534 24172545 9163989 25200295 18272903 6927392 7292889 1757608 5535281 958786 19465 939321 246330 246330 209441 209441 0 1084570 1084570 321054684 289324944 31729740 1908375 772464 1135911 3473531 1368182 2105349 11363419 1149868 10213551 0 13891919 11113535 2778384 1258204 789532 468672 0 457160 327388 129772 15668135 12534508 3133627 0 39260992 25519645 13741347 7786801 35030 7751771 MEDICAL SUPPLIES 101674043 101461519 212524 TAXES, FEES, & LICENSES 17931631 16805983 1125648 REPAIRS AND MAINTENANCE 5030025 1185477 3844548 FOOD SUPPLIES 2208064 1656048 552016 14750310 14545983 204327 1004743842 800169164 204498994 75684 6327926 15950670 0 0 0 0 174890041 186279146 0 31791 0 0 493499 588117 8456571 8604619 6344561 9113000 880010418 403891281 469295843 476119137 848250821 757641924 59544211 293484262 0 0 1132999 1028000 84469808 57737323 1659206280 1806577989 139353946 133083229 0 0 1963033 9606919 384340371 380353751 0 0 0 0 4134299 3586072 0 0 210833488 158719290 740625137 685349261 X 855068624 1047488367 44788350 54265338 18724169 19475023 918581143 1121228728 1659206280 1806577989 X 94476012 52574700 55596873 X false true X true true true X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false true 209441 false false false 209441 false Schedule C, Part II-B, Line 1G 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. 93441640 2751574 9143887 0 3522210 102129 101712762 77890677 19892990 -1413872 0 2851124 77031 93441640 76459422 3208716 1216883 0 2924611 69733 77890677 66856590 3840383 8518179 0 2621634 134096 76459422 48036828 15277049 5535659 0 1920393 72554 66856589 0.65020 0.30710 0.04270 true true true 19590822 19590822 602929887 243085980 359843907 7766471 4860166 2906305 208986090 152470598 56515492 40737148 3474537 37262611 476119137 EMPYREAN CAPITAL OFFSHORE FUND 42356624 F DW CATALYST FUND 19994845 F OCH-ZIFF CREDIT OPPORTUNITIES 23062319 F 36 SOUTH 23301707 F TSE CAPITAL 25490516 F HIGHLINE SELECT 25377799 F MARSHALL WACE EUREKA 25904659 F TAMARACK GLOBAL HEALTHCARE FND 28430244 F AMERICAN SECURITIES PTRS V, LP 3495979 F STEPSTONE SECONDARY OPS FUND 4399930 F GOLDMAN SACHS VINTAGE FUND IV 1639106 F TRG GROWTH PARTNERSHIP 2779605 F CVC CREDIT PTRS GLOBAL SPEC 2939665 F GOLDMAN SACHS CAPITAL PTRS VI 1873594 F FORTISSIMO CAPITAL FUND IV 1038891 F YORKTOWN ENERGY PARTNERS IX 1698985 F AMERICAN SECURITIES PTRS VI 4943507 F AMERICAN SECURITIES PTRS VII 2381161 F MILLENIUM TECH VALUE PTRS II 2057146 F STEPSTONE SECONDARY OPS FND II 3714591 F AMERICAN INDUSTRIAL PTRS CAP V 4690099 F PATRIA BRAZILIAN PVT EQ FND IV 2294972 F WHITE DEER ENERGY II 4211239 F NY LIFE INSURANCE 37772 F OAKTREE EUROPEAN PRINCIPAL III 3928332 F PATRIA BRAZILIAN PVT EQ FND V 444922 F VISTA EQUITY PARTNERS V 4699057 F TPG PARTNERS VII 3909570 F AMERICAN INDUSTRIAL PTRS CAPVI 1853831 F ADVENT INTL GPE VIII-C 1116619 F U.S. FARMING 5048157 F ACTIS ENERGY 3 3647099 F RIVERSTONE GLBL ENERGY/PWR VI 2685143 F ISQ GLOBAL FUND 5050661 F ENCAP ENERGY 1406872 F GLOBAL INFRASTRUCTURE PTRS III 1579044 F 293484262 0 PAYABLE TO BENEFICIARIES 232512 INTEREST RATE SWAPS 66798692 DEFERRED COMPENSATION 15915 MALPRACTICE IBNR 4023917 BENEFITS PAYABLE 15714252 SANFORD INVSTMNT OCEANSIDE BUI 2948673 SECURITY DEPOSITS 121685 PENSION LIABILTY 67928776 CONTRACTOR RETAINAGE 934868 158719290 X Schedule D, 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. Schedule D, Part X, Line 2 RCHHC 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. RCHHC has not taken any significant uncertain tax positions therefore no liability (or asset) has been recognized as of June 30, 2017. Central America and the Caribbean Investments 159218766 Europe (Including Iceland and Greenland) Investments 24549842 North America Grantmaking 110000 183878608 183878608 North America Grant to Hospital 110000 check 1 true false false false false false SCHEDULE F, PART I, LINE 3, COLUMN F 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. true true X true X 250. true X 450. true true false true true 2561277 486856 2074421 0.00210 371938793 341612281 30326512 0.03020 2677612 9487 2668125 0.00260 377177682 342108624 35069058 0.03490 34332002 20632950 13699052 0.01360 16421297 6205697 10215600 0.01020 31987343 13878218 18109125 0.01800 3177838 2221166 956672 0.00100 57191 39172 18019 85975671 42977203 42998468 0.04280 463153353 385085827 78067526 0.07770 676210 471536 204674 0.00020 676210 471536 204674 0.00020 false 12524471 3628339 1603803 3446354 -1842551 X true true 1 1 Rady Children's Hospital San Diego 3020 Childrens Way MC 5133 San Diego CA 92123 www.rchsd.org 80000028 X X X X X Rady Children's Hospital San Diego 1 false false true X X X X X X X X 15 true true false true X See Part V Section C X true 15 true SEE PART V SECTION C false true X 250. 450. X X true true X X X X true X See Part V, Section C X See Part V, Section C X See Part V, Section C X X X X X X true X false X X X X true X false false SCHEDULE H, PART V, SECTION B, LINE 5 Community engagement activities were conducted with a broad range of people including health experts, community leaders, and San Diego residents, in an effort to gain a more complete understanding of the top identified health needs in the San Diego community. Individuals who were consulted included representatives from state, local, tribal, or other regional governmental public health departments (or equivalent department or agency) as well as leaders, representatives, or members of medically underserved, low-income, and minority populations. Community input was gathered through the following activities: community partner discussions, key informant interviews, the Health Access and Navigation Survey, and the San Diego County HHSA survey. Community partner discussions were conducted in all regions of the county between July and October of 2015, with 87 total participants. Non-traditional stakeholders were recruited through existing community partnerships in order to solicit input from those who work directly with vulnerable populations. These stakeholders (community partners) were comprised of individuals from a variety of backgrounds including: care coordinators, outreach workers, community education specialists, wellness coordinators, school nurses, behavioral health managers and workers, CalFresh Outreach Coordinators, and CalFresh Capacity Coordinators. Key Informant Interviews: In response to feedback from the 2013 CHNA, the number of key informant interviews conducted as part of the FY2016 CHNA was expanded to include experts working with a wider variety of patient populations. Participants were selected based on their expertise in a specific condition, age group, and/or population. More specifically, individuals who participated in the FY2016 CHNA had knowledge in at least one of the following areas: childhood issues, senior health, Native Americans, Latinos, Asian Americans, refugee and families, homeless, lesbian, gay, bisexual, transgender and queer (LGBTQ) population, veterans, alcohol and drug addiction, cardiovascular health, behavioral health, diabetes, obesity, and food insecurity. In addition there was representation across multiple agencies and organizations including the San Diego County HHSA, local schools, youth programs, community clinics, and community-based organizations. The development of the key informant Interview tool began with the results from the HASD&IC 2013 CHNA. The interview questions were designed to provide in-depth detail on the top four health needs. Nineteen key informant interviews took place either in-person or via phone interview between July 2015 and February 2016. Surveys: Two different surveys were developed and disseminated through different avenues as part of the FY2016 CHNA process the Health Access and Navigation Survey and the Collaborative San Diego County Health and Human Services Agency Survey. HEALTH ACCESS AND NAVIGATION SURVEY: The Health Access and Navigation Survey was developed in partnership with the San Diego County Resident Leadership Academy (RLA). After comparing results of the RLAs 2014 Community Needs Assessment and with the findings from the HASD&IC 2013 CHNA, access and navigation of health care emerged as a common barrier identified by the San Diego community. The CHNA Committee collaborated with the RLAs to design a survey tool that could identify specific barriers residents face when they try to access health care services. RLA leaders agreed to disseminate the health access and navigation survey to residents in their neighborhoods. Survey participants were asked to choose the top five barriers the participants or the population they work with experience, and to rank the five barriers from one to five, with one being the most troublesome. SAN DIEGO COUNTY HHSA SURVEY: The HHSA and HASD&IC partnered in regional presentations as well as an electronic survey. Data presentations were given at five Live Well San Diego Regional Leadership Team meetings across San Diego County in October and November 2015. The Regional Leadership Teams are comprised of community leaders and stakeholders that are active in each of the six HHSA regions. Each meeting included an overview of the HASD&IC 2013 CHNA process and findings followed by a presentation from the County of San Diego Community Health Statistics Unit on current data trends in their region. Following the data presentations, an electronic survey was sent to pre-identified stakeholders and community partners representing all six HHSA regions. HASD&IC and the County HHSA worked together to create specific questions assessing community perception of the top health needs, and for which health needs resources are lacking. SCHEDULE H, PART V, SECTION B, LINE 6A Rady Children's Hospital - San Diego conducted its chna with the following hospitals (see chna, page 4): - Kaiser Foundation Hospital - San Diego - Palomar Health - Scripps Health - Sharp Healthcare - Tri-City Medical Center - University of California San Diego Health System SCHEDULE H, PART V, SECTION B, LINE 7a https://www.rchsd.org/health-safety/community-health-needs-assessment/ SCHEDULE H, PART V, SECTION B, LINE 10a https://www.rchsd.org/health-safety/community-health-needs-assessment/ Schedule H, Part V, Line 11 Community Health Needs Addressed: Obesity and Diabetes (Type II) - o Regional Partnerships Childhood Obesity Initiative (COI) - Rady Childrens has participated in the San Diego County Childhood Obesity Initiative (COI) since its inception in 2004. The COI is a countywide collaborative that strives to reduce and prevent childhood obesity through a multi-pronged approach. Through the COI, Rady Childrens collaborates with other healthcare leaders, San Diego County Health and Human Services, and other partners in the community. Rady Childrens provides staff and medical leadership to support the COI. o Weight and Wellness Program - Clinician feedback has identified that there are not adequate community-based resources available to address this need. The Center for Healthier Communities plans to develop and pilot a new program to provide tailored nutrition education, food preparation and physical activity for overweight youth. Clinicians and others can refer overweight and obese youth and their families to this program. o Lets Get Cooking - Rady Childrens has a long history of participating in the City Heights Wellness Center (Wellness Center) in collaboration with Scripps Health. The Wellness Center Teaching Kitchen serves as the site for Lets Get Cooking classes which addresses obesity and Type 2 diabetes through nutrition education and cooking classes in a high risk community. Rady Childrens will work to find the resources necessary to continue Lets Get Cooking classes both at the Wellness Center and through the creation of a mobile "teaching Kitchen" to increase the capacity to bring the program to communities and partners without established cooking facilities. o Rethink Your Drink - This initiative is designed to provide education about the content and health effects of added sweeteners in beverages, increase the availability and consumption of healthy drink options, and make healthy beverages the standard in our organization and for the children and families that visit Rady Children's Hospital. Going forward, Rady Childrens will continue to share program information with the COI and other hospitals. Information will also be shared with schools at community events. Mental and Behavioral Health - The child health need regarding mental and behavioral health are being addressed through the following strategies and programs: o Depression Screening: A Depression Risk Screening (PHQ9) is provided to all patients at Rady Childrens, ages 12 and over, visiting a Medical Practice Foundation (MPF) High Risk Specialty clinic. Contact sheets with referrals in the community for treatment are provided to families with an at-risk score, and physicians whose patients are identified with a high threshold at-risk score are alerted for immediate intervention. Depression screening is an important tool for obesity, Type 2 diabetes, and children with single chronic illness, as all of these conditions carry a high risk for depression, which negatively impacts disease management. o KidSTART Clinic - This program serves children who are Medi-Cal eligible, age 0-5, and exhibit complex medical needs that range from developmental to mental health needs. A new component being offered to KidSTART families includes oral health screening, education and referral. o Crisis Stabilization Unit - The psychiatric crisis stabilization unit is a physical unit within the hospital with the capacity for four patients that is ideally structured to receive patients from the Emergency Department (ED) for short-term crisis assessment and treatment. Autism - The Developmental Services department at Rady Childrens 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. o The Autism Discovery Institute (ADI): The Autism Discovery Institute is a state-of-the-art facility that serves children with Autistic Spectrum Disorders (ASD) through a multidisciplinary approach, as well as provides a forum for research, to improve the lives of children with ASD. The goal of the ADI is to provide comprehensive care that will improve the lives of children with autism spectrum disorders. Rady Childrens collaborates with a myriad of community-based agencies and providers. o Developmental Evaluation Clinic (DEC): The Developmental Evaluation Clinic provides diagnostic developmental evaluations for infants, preschoolers, and school-age children to identify developmental, learning and social delays and determine the need for further intervention. Children are referred for evaluation due to premature birth and other neonatal complications, slow development, kindergarten readiness, behavioral problems, Autistic Spectrum Disorders, or family history of learning disabilities. Once delays have been identified, referrals are made to a variety of public education programs, as well as public and private therapy programs. Other unique community programs include: The Center for Healthier Communities o Childhood Injury Prevention: The CHC plays a primary leadership role in the community in childhood injury prevention. Data from the Rady Childrens Trauma Center and other sources is reviewed to determine priorities and focus, and the information is brought to communities to raise awareness, problem solve, and advocate for public policy and safety regulations. Programs include: o Safety Store: Providing products to keep families safe. o Safe Kids San Diego: Addressing drowning prevention, child passenger safety and other prevalent injury area through a local coalition, in which Rady Childrens is the lead organization. o Injury-Free Coalition for Kids: Preventing injuries as part of a national program of the Robert Wood Johnson Foundation. o Safe Routes to School: Increasing the number of children who walk or bike to school safely as part of a national initiative. o Kohls Transportation Safety Program: Providing weekly child passenger safety seat inspections through a grant from Kohls Department Store. o Sports Injury and Concussion Prevention Program: Preventing sports injuries and concussions in children and teens through our 360 Sports Medicine program and other initiatives. o Maternal and Child Health incuding Immunizations which ensure the safety of children in the community by increasing numbers of fully immunized children through information and resources provided to parents. o Health and Lifestyle Programs including: o FACES for the Future: Inspires youth to become leaders through a coordinated school, community and hospital-based program that provides youth development, health careers preparation, and nutrition education. o Juvenile Hall Wellness Team: Provides health and wellness information and counseling for incarcerated youth. o Anderson Center for Dental Care: Improves the oral health of all children in San Diego County through improved access to care, education, and advocacy. o Asthma (new program): Community Approach to Severe Asthma Program (CASA) is an innovative pilot program in San Diego with the goal of improving management and outcomes for children identified by Rady Childrens with severe childhood asthma. o The Chadwick Center for Children and Families - The primary focus of the Chadwick Center for Children and Families at Rady Childrens is the prevention, detection and treatment of child abuse and neglect, domestic violence, and post-traumatic stress in children. The Chadwick Center is one of the largest hospital based child advocacy and trauma treatment centers in the nation and is staffed with more than 107 professionals in the field of medicine, social work, psychology, psychiatry, child development, nursing and education technology. o Trauma Counseling Program - The Trauma Counseling Program has been committed to treating the after-effects of a childs traumatic experience. The staff of the Trauma Counseling Program is primarily composed of Licensed Clinical Social Workers, Marriage and Family Therapists, and Psychologists. The staff's expertise is in treating childhood traumatic events including neglect; physical and sexual abuse; sexual assault; domestic, school, and community violence; and natural disasters. Treatment for the psychological aspects of medical trauma and chronic pain is also available. Please refer to https://www.rchsd.org/documents/2016/02/community-health-needs-implementat ion-strategy.pdf for more information on the Community Health Needs Assessment Implementation Strategy. Needs not addressed: Rady Children's is not addressing cardiovascular disease for the pediatric population as it was identified in the chna as a top health need for the adult population, not pediatric. Rady Children's provides cardiology, cardiovascular and other related medical se 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 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. 22 Chadwick Center for Children & Families 333 H ST SUITE 3010 Chula Vista CA 91910 Trauma Counseling Rady Children's Specialists of San Diego 477 NORTH EL CAMINO REAL BUILDING Encinitas CA 92024 Clinic Rady Children's Specialists of San Diego 625 West Citracado Parkway Escondido CA 92025 Clinic/ urgent care Rady Children's Specialists of San Diego 25485 Medical Center Drive Suite 1 Murrieta CA 92562 Clinic Sanford Children's Clinic 3605 Vista Way Suite 130 Oceanside CA 92056 Clinic Rady Children's Developmental Services 667 San Rodolfo Drive Suite 126 Solana Beach CA 92075 Clinic City Heights Wellness Center 4440 Wightman Street Suite 200 San Diego CA 92105 Wellness center HomeCare 8291 Aero Place Suite 130 San Diego CA 92123 Home HealthCare Rady Children's Specialists of San Diego 6386 Alvarado Court Suite 210 San Diego CA 92123 Clinic Rady Children's Specialists of San Diego 385 W Main Street El Centro CA 92243 Clinic Rady Children's HOSPITAL 7910 Frost Suite 140 San Diego CA 92123 Clinics Rady Children's Hospital 8010 Frost Suite 140 San Diego CA 92123 Clinics Rady Children's 7920 Frost Suite 140 San Diego CA 92123 Clinics Nelson Family Pavilion 8001 Frost Street San Diego CA 92123 Clinics Rady Children's Hospital 8110 Birmingham Drive San Diego CA 92123 Clinics RADY CHILDREN'S HEALTH SERVICES 3665 kearny villa road san diego CA 92123 DEVELOPMENTAL AND BEHAVIORAL SERVICES RADY CHILDREN'S URGENT CARE 4305 University Ave 150 san diego CA 92105 CLINIC/ URGENT CARE RADY CHILDREN'S HEALTH SERVICES 386 East H Street Suite 202 CHULA VISTA CA 91910 CLINICS RADY CHILDREN'S DEVELOPMENT SERVICES 11752 El CAMINO REAL SUITE 100 SAN DIEGO CA 92130 DEVELOPMENTAL AND BEHAVIORAL SERVICES RADY CHILDREN'S SPECIALISTS OF SAN DIEGO 3605 VISTA WAY SUITE 172 OCEANSIDE CA 92056 CLINIC/ URGENT CARE POLINSKY CHILDREN'S CENTER MEDICALCLINIC 9400 RUFFIN COURT BUILDING B SAN DIEGO CA 92123 CLINIC RADY CHILDREN'S URGENT CARE 5565 Grossmont Center Drive Buildi La Mesa CA 91942 Urgent Care Schedule H, 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. Scheudle H, 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. SCHEDULE H, 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. THUS, RCHSD RECORDS A SIGNIFICANT PROVISION FOR BAD DEBTS RELATED TO UNINSURED PATIENTS IN THE PERIOD SERVICES ARE PROVIDED. RCHSD RECORDS ITS PROVISION FOR BAD DEBTS BASED UPON THE HISTORICAL EXPERIENCE, AS WELL AS COLLECTION TRENDS FOR MAJOR PAYOR TYPES. SCHEDULE H, PART III, LINE 3 RCHSD DOES NOT TREAT ANY PART OF THE BAD DEBT AS COMMUNITY BENEFIT EXPENSE. SCHEUDLE H, PART III, LINE 4 SEE PAGE 14 AND 15 OF THE AUDITED FINANCIAL STATEMENTS SCHEDULE H, 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. Schedule H, 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 THE PATIENT/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. SCHEDULE H, PART VI, LINE 2 NEEDS ASSESMENT Continuing a longstanding commitment to address community health needs in San Diego, Rady Childrens and six other healthcare systems reconvened in 2015-2016 through the Hospital Association of San Diego and Imperial Counties (HASD&IC), with the Institute of Public Health, to complete a 2016 triennial Community Health Needs Assessment (CHNA). The CHNA identifies and prioritizes the most critical health-related needs of San Diego County and includes feedback from community residents in vulnerable neighborhoods. SCHEDULE H, PART VI, LINE 3 PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE RCHSD 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 INFORMATION IS 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. SCHEDULE H, PART VI, LINE 4 Community Information San Diego County (San Diego) is the second most populous of California's 58 counties, and the fifth largest county in the United States. Currently home to 3.2 million residents, San Diego is anticipated to grow to four million by 2020. The region is socially and ethnically diverse, with over 22% of the population under the age of eighteen. While the median household income is approximately $64,000, over 18% of persons are living below poverty level; children under age 18 are disproportionately affected. In addition, 37% of persons speak a language other than English at home. For the FY2016 CHNA, the HASD&IC Board of Directors convened a CHNA Committee to plan and implement the collaborative CHNA process. The CHNA Committee is comprised of representatives from all seven participating hospitals and health care systems: o Kaiser Foundation Hospital San Diego o Palomar Health o Rady Children's HospitalSan Diego o Scripps Health o Sharp HealthCare o Tri-City Medical Center o University of California San Diego Health In May 2015, HASD&IC contracted with the Institute for Public Health (IPH) at San Diego State University (SDSU) to provide assistance with the collaborative health needs assessment that was officially called the HASD&IC FY2016 Community Health Needs Assessment (FY2016 CHNA). The objective of the FY2016 CHNA is to identify and prioritize the most critical health-related needs in San Diego County based on feedback from community residents in high need neighborhoods and quantitative data analysis. The FY2016 CHNA involved a mixed methods approach using the most current quantitative data available and more extensive qualitative outreach. The CHNA Committee designed the FY2016 CHNA process based on the findings and feedback from the 2013 HASD&IC CHNA. The aim of the FY2016 CHNA methodology was to provide a more complete understanding of the top four identified health needs and associated social determinants of health in the San Diego community. 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 became the 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. SCHEDULE H, PART VI, LINE 5 Promotion of Community Health The Rady Children's Hospital - San Diego is governed by a 25-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 ended 2017 (July 1, 2016 through June 30, 2017) 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 true Rady Children's Hospital Foundation-San Diego 3020 CHILDRENS WAY 5001 MC SAN DIEGO CA 921234282 330170626 501(C)(3) 10838910 Support RCHFSD Rady Children's Hospital Research Center 3020 Childrens Way Mc 5001 San Diego CA 921234282 953814185 501(c)(3) 1154112 Support RCHRC 2 PROCEDURE FOR MONITORING THE USE OF GRANT FUNDS RCHSD transferred funds to RCHFSD and RCHRC to further their exempt purpose. RCHFSD and RCHRC support RCHSD IN ITS EXEMPT activities. X false false X X X X false true false false false false false false false Donald B Kearns MD MMM President & CEO 837132 0 294679 0 78616 0 95091 0 16485 0 1322003 0 0 0 Margareta E Norton Secretary, SVP, CAO 590319 0 168569 0 112962 0 113832 0 10159 0 995841 0 0 0 Nishantha Ratnayake VP, Finance & Controller 234003 0 58727 0 19001 0 11226 0 7251 0 330208 0 0 0 Irvin A Kaufman MD Chief, Health Affairs 386507 0 34698 0 96375 0 -8674 0 10270 0 519176 0 0 0 Albert Oriol VP, Info mgmt, CIO 351556 0 83157 0 49189 0 45571 0 17060 0 546533 0 0 0 Angela M Vieira General Counsel 348752 0 71557 0 44759 0 64251 0 11987 0 541306 0 0 0 Scott D Campbell VP, CFO & Admin Off, MPF 306347 0 52449 0 42991 0 50707 0 19706 0 472200 0 0 0 Mary J Fagan VP, Patient Care Services/CNO 273806 0 56233 0 42010 0 150410 0 15519 0 537978 0 0 0 Barbara L Ryan VP, Government Affairs 274899 0 62417 0 48216 0 -66951 0 9618 0 328199 0 0 0 Charles Wilson SR Dir, Chadwick Center 275034 0 14296 0 37541 0 50027 0 21320 0 398218 0 0 0 Chris Abe Sr Dir Ancillary/Supp SVCS 236519 0 18089 0 34518 0 113745 0 12749 0 415620 0 0 0 Charles B Davis vp, coo mpf 395737 0 79306 0 30734 0 35631 0 3599 0 545007 0 0 0 Glenn F Billman CHIEF QUALITY OFFICER 320563 0 15281 0 9576 0 54454 0 25414 0 425288 0 0 0 Blair Sadler Former President and CEO 0 0 0 0 183135 0 0 0 0 0 183135 0 0 0 Nicholas Holmes MD SVP, COO 470110 0 139781 0 26044 0 22115 0 21662 0 679712 0 0 0 Joseph Ambrose Sr Dir, CTO 249587 0 16685 0 1562 0 10331 0 18027 0 296192 0 0 0 Kathleen M Cain treasurer, svp, cfo 379075 0 91292 0 12692 0 11098 0 13805 0 507962 0 0 0 Gail R Knight MD SVP, CMO 316988 0 102161 0 10961 0 9485 0 6303 0 445898 0 0 0 Michael Hester SR Director Revenue Cycle 230324 0 11340 0 932 0 9166 0 6776 0 258538 0 0 0 Kristin Gist Sr. Dir. Developmental Svcs 205254 0 15141 0 7732 0 -47402 0 17727 0 198452 0 0 0 Cathy Nugent VP, Human Resources 200847 0 9712 0 7385 0 99208 0 0 0 317152 0 0 0 Joshua Kohrumel Chief Data Officer 191380 0 13236 0 5085 0 15654 0 0 0 225355 0 0 0 Teresita Penzalann Diaz Clinical Nurse 231396 0 5850 0 4051 0 60096 0 10106 0 311499 0 0 0 John Allardyce Chief of Perfusion Services 204509 0 23150 0 0 0 22360 0 0 0 250019 0 0 0 Stephen Jennings Sr VP, Exec Dir Foundation 0 356058 0 110236 0 44394 0 41294 0 20012 0 571994 0 0 SCHEDULE J PART I LINE 1A THE ORGANIZATION PROVIDED A DISCRETIONARY SPENDING ACCOUNT TO Five OFFICERS AND Twelve KEY EMPLOYEES LISTED ON FORM 990 PART VII. THE AMOUNT PROVIDED WAS INCLUDED IN EACH INDIVIDUAL'S TAXABLE COMPENSATION. SCHEDULE J PART 1 LINE 4B 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. THE AMOUNTS LISTED IN SCHEDULE J PART II, COLUMN (C) ARE SUBJECT TO SUBSTANTIAL FUTURE SERVICE REQUIREMENTS TO THE ORGANIZATION AND ARE SUBJECT TO SUBSTANTIAL RISK OF FORFEITURE. ONCE VESTED THE AMOUNTS UNDER THIS PLAN ARE REPORTED ON FORM W-2 AS TAXABLE COMPENSATION TO THE INDIVIDUAL. A CALIFORNIA STATEWIDE COMM DEVELOPMENT AUTHORITY 680164610 130795VT1 2008-07-31 101155000 CURRENT REFUNDING SERIES 2006CD BO false false false B CALIFORNIA HEALTH FACILITIES FINANCING AUTHORITY 521643828 13033LUU9 2011-11-22 100079621 LOAN REIMB, RENOV, CONSTR & EQUIP false false false C CALIFORNIA STATEWIDE COMM DEVELOPMENT AUTHORITY 680164610 1307955Y9 2012-06-14 115580000 REISSUANCE OF 2008B & 2008D BONDS false false false D CALIFORNIA STATEWIDE COMM DEVELOPMENT AUTHORITY 680164610 111111xx1 2013-09-25 63485000 REISSUANCE OF 2008A false false false A 50580000 0 101088384 0 0 0 820490 335833 0 0 100000014 0 true false true true B 6425000 0 100384978 0 0 0 1682270 0 0 98702708 0 0 2016 false false true true C 52260000 0 115580000 0 0 0 0 0 0 0 115580000 0 true false true true D 1180000 0 63485000 0 0 0 0 0 0 0 63485000 0 true false true true A false true true true false 0 false false false true B false true true true false 0.00150 0.00150 false false false true C false true true true false 0 false false false true D false true true true false 0 false false false true A true true true GOLDMAN SACHS BANK 24.08 false true true HYPO REPURCHASE AGRT 2.55 true false true B false true false false false false 0 false 0 true true C false true true false true true GOLDMAN SACHS BANK 35.19 false false false 0 false true D false true true false true true GOLDMAN SACHS BANK 35.19 false false false 0 false true A true B true C true D true 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 II, 3: The difference between the Issue Price listed in Part I(e) is due to interest earnings on Bond Proceeds. Set 1, Column C: 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 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 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. Set 1, Column D: 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 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 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, Columns A, C, and D: 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. Set 2, Column A: 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): 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. 29.19 years remains unchanged. Set 2, Column B: Part I (f): The issue date of the 2006AB Bonds was October 26, 2006. 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 is on track to meet the 6-month spending exception to rebate. 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 ANLYSIS 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. A CALIFORNIA STATEWIDE COMM DEVELOPMENT AUTHORITY 680164610 111111xx1 2013-10-24 50580000 REISSUANCE OF SERIES 2012D false false false B CALIFORNIA STATEWIDE COMM DEVELOPMENT AUTHORITY 680164610 13080SLZ5 2016-05-18 61552785 CURRENT REFUNDING SERIES 2006AB false false false A 0 0 50580000 0 0 0 0 0 0 0 50580000 0 true false true true B 0 0 61552785 0 0 60556387 936839 0 0 0 50980 8580 true false false true A false true true true false 0 false false false true B false true true true false 0.00330 0.00330 false false false true A false true true false true true GOLDMAN SACHS BANK 26.25 false false false 0 false true B false true false false false false 0 false 0 false true A true B true Stephen Jennings Officer See Part IV X 80000 31791 false true true 31791 Schedule L, Part II, Line 1, Column (c) RELOCATION HOUSING LOAN. 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). PART VI, SECTION A LINES 7A AND 7B 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: O ANY AMENDMENT, REVISION, MODIFICATION OF THE ARTICLES OF INCORPORATION OR THE BYLAWS O ANY CHANGE IN THE NATURE OF THE BUSINESS ACTIVITIES OF RCHSD O APPROVAL OF OPERATING AND CAPITAL BUDGETS OF RCHSD O BORROWING ANY AMOUNT OR INCURRING ANY DEBT IN THE AMOUNT OF $100,000 OR MORE O 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: O BORROW MONEY IN RCHSD'S NAME OR UTILIZE PROPERTY OWNED BY RCHSD AS SECURITY FOR LOANS, EXCEPT IN THE ORDINARY COURSE OF BUSINESS O 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. O 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. O 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. PART VI, SECTION B, LINE 11A 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. 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. 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. 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. part xi, reconciliation of net assets CHANGE IN FMV OF INTEREST RATE SWAP rate swap 30,393,487 Change in split interest agreements (25,346) Change in defined benefit cost 23,371,586 Intercompany Settlement 1,857,146 ================== Total 55,596,873 FORM 990 PART IX LINE 11G DESCRIPTION:PHYSICIAN SERVICES TOTAL FEES:XXX-XX-XXXX FORM 990 PART IX LINE 11G DESCRIPTION:PURCHASED SERVICES - MEDICAL TOTAL FEES:44177617 FORM 990 PART IX LINE 11G DESCRIPTION:PURCHASED INSURANCE SERVICES TOTAL FEES:44465400 FORM 990 PART IX LINE 11G DESCRIPTION:LEASED LABOR NON-PHYSICIAN TOTAL FEES:34677391 FORM 990 PART IX LINE 11G DESCRIPTION:PURCHASED SERVICES UCSD TOTAL FEES:16852648 FORM 990 PART IX LINE 11G DESCRIPTION:RCPMS PURCHASED LABOR TOTAL FEES:688002 FORM 990 PART IX LINE 11G DESCRIPTION:MISCELLANEOUS MEDICAL SERVICES TOTAL FEES:5660653 Rady Children's Hospital and Health Cent 3020 Childrens Way MC 5001 San Diego CA 92123 953545901 Support CA 12b 501(c)(3) NA false Rady Children's Hospital Research Center 3020 Childrens WayMC 5001 San Diego CA 92123 953814185 Research CA 12A 501(c)(3) RCHHC false Rady Children's Hospital Foundation - SD 3020 Childrens WayMC 5001 San Diego CA 92123 330170626 Fundraising CA 7 501(c)(3) RCHHC false Rady Children's Health Services - SD 3020 Childrens WayMC 5001 San Diego CA 92123 330278018 Support CA 12A 501(c)(3) RCHSD true Children's Hospital Integrated Risk Prot 22 Victoria StreetHamilton Hamilton BD HM12 Captive insur BD RCHHC C CORP. 0 0 0.00000 false Rady Children's Physician Management Ser 3860 Calle FortunadaSuite 200 San Diego CA 921234282 330670694 Management CA RCHHC C CORP 0 0 0.00000 false Children's Hospital Insurance Ltd Canons Court 22 Victoria Street Hamilton HM BD captive insur BD chirpl C corp 0 0 0.00000 false false true true false false true false false false false false false false true true true true true true NONE