2012-05-15T17:03:21-05:00 2011-06-30 KPMG LLP 355 S GRAND AVE SUITE 2000 LOS ANGELES CA 90071 990 2010-07-01 951691313 RADY CHILDREN'S HOSPITAL - SAN DIEGO RADY 8589665824 3020 Childrens Way MC 5133 San Diego CA 921234282 roger roux 2012-05-14 2139724000 2010 2016-02-24 21:20:13Z Kathleen dooley Sellick 3020 Childrens Way MC 5133 San Diego CA 921234282 827144475 false X www.rchsd.org X 1954 CA The Hospital provides comprehensive pediatric medical services in San Diego, Southern Riverside, and Imperial Counties. 17 17 3996 450 255677 -51350 77009691 168997202 508268379 564134128 15179512 15874650 19407533 7640768 619865115 756646748 0 0 0 0 273863760 300681738 0 0 226042 303376202 359815280 577239962 660497018 42625153 96149730 874110617 1109213440 497230129 561067490 376880488 548145950 X TO RESTORE, SUSTAIN AND ENHANCE THE HEALTH AND DEVELOPMENTAL POTENTIAL OF CHILDREN THROUGH EXCELLENCE IN CARE, EDUCATION, RESEARCH AND ADVOCACY. false false 479108993 0 564134128 Rady Children's Hospital San Diego (the Hospital) is a regional tertiary and quaternary referral center and provides comprehensive inpatient and outpatient acute 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 3C full scope neonatal intensive care unit in San Diego County. In addition, the Hospital operates two level 2 neonatal intensive care units for Scripps Health located in La Jolla and Encinitas; an 11-bed pediatric medical unit for Sharp Health located at its Sharp Grossmont Campus; and two units for palomar pomerado health, a 17-bed pediatric medical unit and a 12-bed neonatal itensive care unit, both 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 16,000 inpatient admissions and approximately 374,000 visits per year in its outpatient departments. Additionally, the emergency department and urgent care centers provide approximately 66,000 and 37,000 visits, respectively, per year. 479108993 true true false true false false false false true true false false false true false false true false false false false false false false false true true false false true true false false false false false true false false false false false false false false false true false false false false true 833 0 true 3996 true true true false false false false false false false false false X 17 17 false false false false true true true true true false false true true true true true true true true false CA X ROGER ROUX 8589665824 3020 CHILDRENS WAY MC 5133 San Diego CA 921234282 X Lisa A Barkett 0.27 X 0 0 0 Kurt Benirschke MD 0.13 X 0 0 0 John G Davies Esq 0.12 X 0 0 0 Penny Dokmo 0.33 X 0 0 0 John M Gilchrist Jr 0.37 X 0 0 0 David F Hale 0.39 X X 0 0 0 Jeffrey Jacobs 0.06 X 0 0 0 Catherine J Mackey PhD 0.5 X 0 0 0 G Diego Miralles MD 0.32 X 0 0 0 Michael P Peckham 0.5 X 0 0 0 Harry M Rady 0.63 X 0 0 0 Theodore D Roth 0.45 X X 0 0 0 Scott N Wolfe Esq 0.65 X 0 0 0 David A Brenner MD 0.2 X 0 0 0 Marye Anne Fox PhD 0.11 X 0 0 0 Mary Hilfilker MD 0.5 X 0 0 0 Anthony E Magit MD 0.12 X 0 0 0 Santiago Munoz 0.6 X 0 0 0 Cathy C Polk 0.15 X 0 0 0 kathleen dooley sellick 14.0 X 907479 0 221297 Margareta E Norton 16.0 X 595535 0 156843 David B Gillig 2.0 X 414047 0 139008 Irvin A Kaufman MD 20.0 X 554885 0 140760 Roger G Roux 16.0 X 556613 0 156455 Belinda Santos 20.0 X 88157 0 14154 Mary J Fagan 20.0 X 171284 0 53589 Marjory Peck 20.0 X 199831 0 7964 Barbara Ryan 20.0 X 347835 0 106530 Albert Oriol 40.0 X 321003 0 68193 Timothy Jacoby 40.0 X 293531 0 86468 Angela Vieira 40.0 X 259775 0 61685 Mohammed syed 40.0 X 242589 0 55316 Paul Kurtin 40.0 X 408354 0 134631 Charles Wilson 40.0 X 307276 0 119355 Glenn Billman 40.0 X 253792 0 139707 Chris Abe 40.0 X 231847 0 92291 Glenn W Chong 40.0 X 232927 0 35189 Blair sadler 0.0 X 275725 0 0 6662485 0 1789435 570 true true false CHILDREN'S SPECIALISTS OF SAN DIEGO 3860 CALLE FORTUNADA SUITE 210 SAN DIEGO CA 92123 MEDICAL SERVICES 78853742 COMFORCE TECHNICAL LLC 17682 MITCHELL NORTH SUITE 100 IRVINE CA 92614 TEMP STAFFING SERV 14027280 HEALTH NET OF CALIFORNIA 21650 OXNARD STREET 25TH FLOOR WOODLAND HILLS CA 91367 HEALTH INSURANCE 6037776 SCRIPPS MEMORIAL - LA JOLLA 4275 CAMPUS POINT CT CP-1 SAN DIEGO CA 92121 JV DISTRIB/CLAIM PMT 5289920 PRICEWATERHOUSECOOPERS LLP 3109 W DR ML KING JR BLVD TAMPA FL 33607 SYSTEM INSTALLATION 2361649 99 21432154 146317711 1247337 168997202 INPATIENT AND OUTPATIENT REVENUE 621400 450147143 450147143 CAPITATED CONTRACT REVENUE 623000 60583629 60583629 HOME AND HEALTH ASSOCIATION 621610 21548406 21548406 CHILDREN'S CONVALESCENT HOSPTIAL 623000 9533543 9533543 OUTPATIENT PHARMACEUTICAL 446110 8050612 8050612 14270795 14053492 217303 564134128 4140682 1222 4139460 0 0 4281884 0 4281884 4281884 4281884 82231695 70497727 11733968 11733968 11733968 0 0 0 FOOD SERVICE REVENUE 722210 1750676 1750676 PARKING REVENUE 812930 728493 728493 GIFT SHOP 541900 397170 397170 482545 37152 445393 3358884 756646748 563916825 255677 23477044 0 0 0 0 5339025 655798 4498673 184554 0 240155833 191082208 49073625 15788291 12331075 3445347 11869 21370820 16691178 4663576 16066 18027769 14080166 3934050 13553 3944181 3944181 1205643 964514 241129 646476 646476 42410 42410 0 1122262 1122262 165710519 102173422 63537097 686536 99010 587526 79603030 73777982 5825048 2377641 292820 2084821 0 11711460 9369168 2342292 937888 628357 309531 0 586649 461376 125273 15027813 12022250 3005563 0 31252966 10844755 20408211 5760862 260770 5500092 TAXES AND LICENSES 22342999 17874399 4468600 BAD DEBT 6748991 6748991 DUES AND SUBSCRIPTIONS 1278140 213120 1065020 ENTERTAINMENT 273554 78773 194781 ALL OTHER EXPENSES 8555260 8458861 96399 660497018 479108993 181161983 226042 19305854 47499444 92666153 80002490 50000 50000 6106452 6786307 5792845 11990568 716866567 210484137 397868400 506382430 320196819 378120653 27733799 46023489 4390295 32358059 874110617 1109213440 105770471 172365149 959371 24097479 314551241 311538039 6787752 6412166 69161294 46654657 497230129 561067490 X 326791259 490152543 42116053 49868679 7973176 8124728 376880488 548145950 874110617 1109213440 X 96149730 75115732 X false true true X true true X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false true 42410 false false 42410 false Schedule C, Part II-B, Line 1 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. 42252279 151852 9243544 0 1799491 124576 49723608 37093561 275375 6593869 0 1603715 106811 42252279 51130326 170821 -12186268 0 1874174 147144 37093561 0.77250 0.17720 0.05030 true true true 17192813 17192813 447373853 125304442 322069411 81768333 1649196 80119137 140818081 82838103 57979978 29713487 692396 29021091 506382430 0 PAYABLE TO BENEFICIARIES 179188 INTEREST RATE SWAPS 28734390 DEFFERED COMPENSATION 1251647 MALPRACTICE IBNR 4500000 BENEFITS PAYABLE 8807877 SANFORD INVSTMNT OCEANSIDE BUILDING 2941689 SECURITY DEPOSITS 239866 46654657 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 For the year ended June 30, 2011, there was no ASC 740 footnote prepared in the consolidated audited financial statements for Rady Children's Hospital. true true X true X 250. true X 450. true false true true 1995 4272163 0 4272163 0.00650 28756 249292897 261112212 -11819315 0.01810 0 52930 57743 -4813 30751 253617990 261169955 -7551965 0.01160 42 330666 26060054 12557044 13503010 0.02070 13 12202 12638655 5215015 7423640 0.01140 11 6306 25957101 11665960 14291141 0.02190 24 1037 3482673 0 3482673 0.00530 2 5 76000 0 76000 0.00010 92 350216 68214483 29438019 38776464 0.05940 92 380967 321832473 290607974 31224499 0.04780 0 0 0 0 0.00000 0 0 0 0 0.00000 0 0 0 0 0.00000 0 0 0 0 0.00000 0 0 0 0 0.00000 0 0 0 0 0.00000 0 0 0 0 0.00000 2 75 346423 0 346423 0.00050 0 0 0 0 0.00000 2 75 346423 0 346423 0.00050 false 1916713 0 935669 1765175 -829506 X true true 1 1 Rady Children's Hospital San Diego

3020 Childrens Way MC 5133 San Diego CA 92123

X X X X X Rady Children's Hospital San Diego 1 SCHEDULE H, PART I, LINE 7, COLUMN F THE BAD DEBT EXPENSE INCLUDED IN FORM 990, PART IX, LINE 25 BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN IS $6,748,991. THE TOTAL EXPENSE USED FOR PURPOSES OF CALCULATING THE PERCENTAGES IN COLUMN (F) IS FORM 990, PART IX, LINE 25 ($660,497,018)LESS BAD DEBT EXPENSE PER FORM 990, PART IX, LINE 24B($6,748,991) FOR TOTAL ADJUSTED FUNCTIONAL EXPENSES OF $653,748,027. SCHEDULE H, PART I, LINE 7 A PRO FORMA COST REPORT WAS CALCULATED USING PRELIMINARY INTERNAL FINANCIAL STATEMENTS, GROUPED BASED ON THE PRIOR YEAR FINAL COST REPORT. INFORMATION FROM THE PRO FORMA COST REPORT (INCLUDING WORKSHEET 2) WAS THEN USED TO CALCULATE PER DIEM COSTS, CHARGES, AND THE RELATED COST TO CHARGE RATIO THAT WERE USED TO DETERMINE THE AMOUNTS REPORTED IN THE TABLE. THIS COST-TO-CHARGE RATIO WAS DERIVED FROM WORKSHEET 2. SCHEDULE 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 4 THE AUDITED FINANCIAL STATEMENTS DO NOT CONTAIN A FOOTNOTE THAT DESCRIBES BAD DEBT EXPENSE. HOWEVER, BAD DEBT EXPENSE IS ACCOUNTED FOR AS AN OPERATING EXPENSE IN RCHSD FINANCIAL STATEMENTS. THE METHOD USED IN DETERMINING THE PROVISIONS (EXPENSE) IS BASED ON A HISTORICAL LOOK BACK METHODOLOGY. AMOUNTS RECORDED AS BAD DEBTS ARE NETTED DOWN FOR ANY AMOUNTS THAT WOULD HAVE BEEN ALLOWED AS DEDUCTIONS UNDER RELATED CONTRACT AGREEMENTS. WRITE OFF RATES BY PAYOR AND AGING CATEGORY ARE APPLIED TO CURRENT ACCOUNTS RECEIVABLE. APPLICABLE CONTRACTUAL DISCOUNTS ARE TAKEN PRIOR TO WRITE OFF TO BAD DEBT. PAYMENTS POSTED ALSO ARE NETTED AGAINST THE ACCOUNTS BALANCE PRIOR TO WRITE OFF. RCHSD DOES NOT ESTIMATE THE AMOUNT OF THE ORGANIZATION'S BAD DEBT EXPENSE ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER ITS CHARITY CARE POLICY. NO PART OF BAD DEBT REPRESENTS AMOUNTS ATTRIBUTABLE TO PATIENTS ELIGIBLE TO RECEIVE FINANCIAL ASSISTANCE. 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 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 V THE HOSPITAL DOES NOT HAVE OTHER UNLICENSED FACILITIES. SCHEDULE H, PART VI, LINE 2 NEEDS ASSESSMENT RADY CHILDREN'S HOSPITAL - SAN DIEGO IS COMMITTED TO IMPROVE THE HEALTH STATUS OF THE COMMUNITY. RCHSD IS A PARTICIPATING MEMBER OF THE COMMUNITY HEALTH IMPROVEMENT PARTNERS (CHIP) COALITION IN SAN DIEGO. CHIP IS A COLLABORATION OF HEALTHCARE SYSTEMS, HOSPITALS, PHYSICIANS, COMMUNITY-BASED CLINICS AND THE COUNTY OF SAN DIEGO TO IMPROVE THE HEALTH OF THE COMMUNITY. RCHSD PARTICIPATES WITH CHIP IN A COUNTYWIDE HEALTH NEEDS ASSESSMENT EVERY THREE YEARS, WHICH IS IN COMPLIANCE WITH CALIFORNIA SB 697. IN ADDITION, THROUGH A MYRIAD OF COMMUNITY-BASED PROGRAMS, RCHSD ASSESSES VARIOUS PATIENT POPULATION NEEDS ON AN ONGOING BASIS. BASED ON THE RESULTS OF THE TRIENNIAL SAN DIEGO COMMUNITY HEALTH NEEDS ASSESSMENT, AS WELL AS ONGOING ASSESSMENTS, RCHSD OFFERS A VARIETY OF PROGRAMS TO ADDRESS THE PHYSICAL, MENTAL AND SOCIAL HEALTH NEEDS OF CHILDREN. 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. 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 There are approximately 775,000 children between the ages of infant to 17 that reside in San Diego County. The median household income in 2010 was $62,771 and approximately 38 percent of families are considered low income. Rady Children's Hospital - San Diego has participated in a county-wide health needs assessment that occurs every three years through the Community Health Improvement Partners (CHIP). The most recent health needs assessment, funded in part by RCHSD, other local participating hospital providers and community-based organizations, was completed in 2010 and published in March 2011. There were overarching health issues identified, which are believed to potentially impact all other health issues, of access to health services; social determinants of health; public health infrastructure; and health communications and health information technology. In this assessment, health-related behaviors were identified as important components of long-term health and well-being and included current immunizations, maintaining a healthy weight status and improving nutrition, smoking cessation, increasing physical activity, preventing substance abuse, maintaining oral health, and preventing violence and injury. The report identified health outcomes of cancer; diabetes; heart disease and stroke; infectious diseases; maternal, infant and child health; mental health; and respiratory diseases. It was determined that the priority areas of focus to improve health are health access and delivery of care; social determinants of health; a combination of nutrition, weight status, physical activity and fitness; injury and violence prevention; and mental health treatment. RADY CHILDREN'S HOSPITAL - SAN DIEGO IS A REGIONAL TERTIARY AND QUATERNARY REFERRAL CENTER AND THE LARGEST PROVIDER OF PEDIATRIC HOSPITAL SERVICES IN SAN DIEGO COUNTY. RCHSD PROVIDES COMPREHENSIVE CARE AND TREATMENT TO CHILDREN RANGING IN AGE FROM NEWBORN THROUGH INDEPENDENT ADULTHOOD. RCHSD IS THE SOLE PEDIATRIC LEVEL 1 TRAUMA CENTER SERVING 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 and Health Center is governed by an 18-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 2011 (July 1, 2010 through June 30, 2011) 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. STATE FILING OF COMMUNITY BENEFIT REPORT 990 SCHEDULE H, PART VI CA, X X X X false true false false false false false false false Mary J Fagan 161313 0 6056 0 3915 0 52427 0 1162 0 224873 0 0 0 kathleen dooley sellick 654472 0 114774 0 138233 0 201917 0 19380 0 1128776 0 129085 0 Margareta E Norton 421116 0 53937 0 120482 0 146330 0 10513 0 752378 0 92889 0 David B Gillig 298532 0 51092 0 64423 0 119656 0 19352 0 553055 0 56531 0 Irvin A Kaufman MD 403177 0 42900 0 108808 0 133447 0 7313 0 695645 0 88064 0 Roger G Roux 419121 0 50789 0 86703 0 143637 0 12818 0 713068 0 93826 0 Marjory Peck 133389 0 0 0 66442 0 3636 0 4328 0 207795 0 0 0 Paul Kurtin 314660 0 33348 0 60346 0 120136 0 14495 0 542985 0 134631 0 Blair sadler 0 0 0 0 275725 0 0 0 0 0 275725 0 275725 0 Barbara Ryan 206586 0 21370 0 119879 0 99153 0 7377 0 454365 0 99246 0 Albert Oriol 254395 0 26059 0 40549 0 55919 0 12274 0 389196 0 28050 0 Charles Wilson 237286 0 16610 0 53380 0 99975 0 19380 0 426631 0 37270 0 Timothy Jacoby 217818 0 30043 0 45670 0 78821 0 7647 0 379999 0 30624 0 Angela Vieira 219233 0 0 0 40542 0 49802 0 11883 0 321460 0 30424 0 Glenn Billman 239409 0 19250 0 -4867 0 120327 0 19380 0 393499 0 2549 0 Mohammed syed 222577 0 11557 0 8455 0 42174 0 13142 0 297905 0 0 0 Chris Abe 184174 0 10416 0 37257 0 80350 0 11941 0 324138 0 27671 0 Glenn W Chong 223715 0 5500 0 3712 0 34330 0 859 0 268116 0 0 0 Schedule J, Part I, Line 4b Rady Children's Hospital and Health Center 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 and to provide these individuals with additional deferral opportunities. 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 and not otherwise deferred, the amounts under this plan are reported on Form W-2 as taxable compensation to the individual. CA STATEWIDE COMM DEVELOPMENT AUTH 2006 ABcd 680164610 130911420 2006-10-26 194219503 See part v false false false CA STATEWIDE COMM DEVELOPMENT AUTH 2008 AB 680164610 130795VK0 2008-07-02 128845000 See part v false false false CA STATEWIDE COMM DEVELOPMENT AUTH 2008 CD 680164610 130795VT1 2008-07-31 101155000 See part v false false false 111525000 0 199346598 0 0 0 1866248 5734000 0 100593484 91152866 0 2009 true false true true 0 0 128845192 0 0 0 803543 526457 0 0 127515000 0 2010 true false true true 0 0 101156337 0 0 0 820490 335833 0 0 100000013 0 2010 true false true true false true true false true 0.01970 0.00000 0.01970 true false true true false true 0.00000 0.00000 0.00000 true false true true false true 0.00130 0.00000 0.00130 true false true true see part v 29.82 false true true hypo repurchase agrt 3.05 true false true false true true GOLDMAN SACHS 39.15 false false true NATIXIS 2.26 true true true false true true GOLDMAN SACHS 33.14 false false true hypo repurchase agrt 3.05 true false true 2006 abcd part i, f: purpose - current refunding series 1996, 1993, capital lease 2004 and provided qualified hospital facilities. part i, f: the issue date of the 1993 bonds was 04/01/1993. the issue date of the 1996 bonds was 02/07/1996, and the issue date of the 2004 capital lease was 03/19/2004. part ii, 1: the 2006 series cd bonds were refunded by the 2008 bonds on july 31,2008. part iv, 3b: name of the provider - goldman sachs and bank of new york part iv, 3c,3e: the 2006 series c hedge was originally entered into a term of 29.82 years but was deemed terminated on july 31, 2008 and had a term of 1.76 years part iv, 3c, 3e: the 2006 series d hedge was originally entered into a term of 33.58 years but was terminated on july 2, 2008 and had a term of 0.44 years. part iv, 4a: the 2006cd bonds proceeds were invested in the hypo repurchase agreement which was transferred to the 2008CD bonds on the date of their refundings. part iv, 6: proceeds deposited into the current refunding escrow funds met the 6 month exception. 2008AB bonds part i, f: purpose - current refunding series 2007AB part 1, f: the issue date of the 2007AB bonds was 10/24/07 part iv, 3c: term of the hedge - 39.15 years and 33.14 years part iv, 6: proceeds deposited into the current refunding escrow met the 6 month exception. 2008cd bonds part i, f: current refunding series 2006CD part i, f: the issue date of the 2006cd bonds was 10/26/06 part iv, 3c - term of the hedge 33.14 years and 28.06 years part iv, 4a: the 2006 cd bonds proceeds were invested in the hypo repurchase agreement which was transferred to the 2008cd bonds on the date of their refundings. part iv, 6: proceeds deposited into the current refunding escrow funds met the 6 month exception. Roger G Roux (Relocation Loan) X 130000 50000 false true true 50000 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 $100,000. 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. 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 usually 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. Part VI, Section C, Line 19 While federal tax laws do not mandate that the organization's governing documents, conflict of interest policy and financial statements be made available for public inspection, the organization makes its financial statements available upon request. part xi, reconciliation of net assets line 5 unrealized gains - 56,340,894 market adj. on swap - 10,949,811 pension funding status - 10,071,746 book to tax adj. for partnership k-1 - (2,246,719) ============= total 75,115,732 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:Lisa A Barkett TITLE:Board Member HOURS: HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:Kurt Benirschke, MD TITLE:Board Member HOURS: HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:John G Davies, Esq TITLE:Board Member HOURS: HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:Penny Dokmo TITLE:Board Member HOURS:1 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:John M Gilchrist, Jr TITLE:Board Member HOURS: HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:David F Hale TITLE:chair HOURS:1 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:Jeffrey Jacobs TITLE:Board Member HOURS: HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:Catherine J Mackey, PhD TITLE:Board Member HOURS:1 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:G. Diego Miralles, MD TITLE:Board Member HOURS: HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:Michael P Peckham TITLE:Board Member HOURS:1 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:Harry M Rady TITLE:Board Member HOURS:1 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:Theodore D Roth TITLE:vice chair HOURS:1 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:Scott N Wolfe, Esq TITLE:Board Member HOURS:1 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:David A Brenner, MD TITLE:Board Member HOURS: HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:Marye Anne Fox, PhD TITLE:Board Member HOURS: HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:Mary Hilfilker, MD TITLE:Board Member HOURS:1 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:Anthony E Magit, MD TITLE:Board Member HOURS: HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:Santiago Munoz TITLE:Board Member HOURS:1 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:Cathy C Polk TITLE:Board Member HOURS: HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:kathleen dooley sellick TITLE:Pres/CEO HOURS:26 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:Margareta E Norton TITLE:SVP/COO HOURS:24 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:David B Gillig TITLE:SVP/Exec Dir, RCHFSD HOURS:38 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:Irvin A Kaufman, MD TITLE:SVP/CMO HOURS:20 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:Roger G Roux TITLE:SVP/CFO HOURS:24 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:Belinda Santos TITLE:Asst Secty HOURS:20 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:Mary J Fagan TITLE:VP/cno HOURS:20 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:Marjory Peck TITLE:VP/cno HOURS:20 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:Barbara Ryan TITLE:VP, Government Affairs HOURS:20 Rady Children's Hospital and Health Cent 3020 Childrens Way MC 5001 San Diego CA 921234282 953545901 Support CA 7 501(c)(3) NA Rady Children's Hospital Research Center 3020 Childrens WayMC 5001 San Diego CA 921234282 953814185 Research CA 11A 501(c)(3) RCHHC Rady Children's Hospital Foundation - SD 3020 Childrens WayMC 5001 San Diego CA 921234282 330170626 Fundraising CA 7 501(c)(3) RCHHC Rady Children's Health Services - SD 3020 Childrens WayMC 5001 San Diego CA 921234282 330278018 Support CA 11A 501(c)(3) RCHHC Children's Hospital Integrated Risk Prot 22 Victoria StreetHamilton Hamilton BD HM12 Captive insurance BD RCHHC C CORP. 0 0 0.00000 Rady Children's Physician Management Ser 3860 Calle FortunadaSuite 200 San Diego CA 921234282 330670694 Management CA RCHHC C CORP 0 0 0.00000 Children's Hospital Insurance Ltd Canons Court 22 Victoria Street Hamilton HM12 BD captive insurance BD RCHHC C corp 0 0 0.00000 false false true false false false false false false false false false true true true true true true