RADY CHILDRENS HOSPITAL SAN DIEGO: Form 990, tax year 2023

View the entire original 990 at ProPublica ↗

Organization: RADY CHILDRENS HOSPITAL SAN DIEGO (EIN 95-1691313)
Tax period: 2023-07-01 to 2024-06-30
Filed: 2025-05-14
IRS object ID: 202501349349307865
Schema version: 2023v6.0
Source: Download XML · Original 990 at ProPublica

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

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

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2025-05-14T13:50:28-05:00	ReturnTs
Tax Period End	2024-06-30	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

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

Preparer Firm Name PreparerFirmName

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

Preparer US Address PreparerUSAddress

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

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2023-07-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	951691313	EIN

Business Name BusinessName

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

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

US Address USAddress

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

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	JAMES J ULI JR	PersonNm
Person Title	CFO/TREASURER	PersonTitleTxt
Phone	8585761700	PhoneNum
Signature	2025-05-06	SignatureDt
Discuss With Paid Preparer	Yes (1)	DiscussWithPaidPreparerInd

Field	Value	IRS element (for citing)
IRS Responsible Prty Info Curr	0	IRSResponsiblePrtyInfoCurrInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	HOLLY K MOEN	PreparerPersonNm
PTIN	P01800653	PTIN
Phone	4083675764	PhoneNum
Preparation	2025-05-02	PreparationDt

Field	Value	IRS element (for citing)
Tax	2023	TaxYr
Build TS	2025-03-06 01:10:19Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Principal Officer	JAMES J ULI	PrincipalOfficerNm

US Address USAddress

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

Field	Value	IRS element (for citing)
Gross Receipts	$3,198,401,254	GrossReceiptsAmt
Group Return For Affiliates	0	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	WWW.RCHSD.ORG	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1954	FormationYr
Legal Domicile State	CA	LegalDomicileStateCd
Activity Or Mission	SEE SCHEDULE O	ActivityOrMissionDesc
Voting Members Governing Body	26	VotingMembersGoverningBodyCnt
Voting Members Independent	26	VotingMembersIndependentCnt
Total Employee	6541	TotalEmployeeCnt
Total Volunteers	325	TotalVolunteersCnt
Total Gross UBI	$2,192,882	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$0	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$129,061,862	PYContributionsGrantsAmt
CY Contributions Grants	$99,879,143	CYContributionsGrantsAmt
PY Program Service Revenue	$1,728,410,023	PYProgramServiceRevenueAmt
CY Program Service Revenue	$1,485,959,017	CYProgramServiceRevenueAmt
PY Investment Income	$57,063,660	PYInvestmentIncomeAmt
CY Investment Income	$137,348,786	CYInvestmentIncomeAmt
PY Other Revenue	$18,598,015	PYOtherRevenueAmt
CY Other Revenue	$17,907,123	CYOtherRevenueAmt
PY Total Revenue	$1,933,133,560	PYTotalRevenueAmt
CY Total Revenue	$1,741,094,069	CYTotalRevenueAmt
PY Grants And Similar Paid	$9,201,923	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$5,748,520	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$578,517,645	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$635,488,685	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$294,300	CYTotalFundraisingExpenseAmt
PY Other Expenses	$929,063,727	PYOtherExpensesAmt
CY Other Expenses	$892,307,415	CYOtherExpensesAmt
PY Total Expenses	$1,516,783,295	PYTotalExpensesAmt
CY Total Expenses	$1,533,544,620	CYTotalExpensesAmt
PY Revenues Less Expenses	$416,350,265	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$207,549,449	CYRevenuesLessExpensesAmt
Total Assets BOY	$3,644,801,360	TotalAssetsBOYAmt
Total Assets EOY	$3,968,117,737	TotalAssetsEOYAmt
Total Liabilities BOY	$983,942,638	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$994,323,742	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$2,660,858,722	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$2,973,793,995	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	TO RESTORE, SUSTAIN AND ENHANCE THE HEALTH AND DEVELOPMENTAL POTENTIAL OF CHILDREN THROUGH EXCELLENCE IN CARE, EDUCATION, RESEARCH AND ADVOCACY.	MissionDesc
Significant New Program Srvc	0	SignificantNewProgramSrvcInd
Significant Change	0	SignificantChangeInd
Expense	$1,230,683,562	ExpenseAmt
Grant	$5,417,720	GrantAmt
Revenue	$1,485,959,017	RevenueAmt
Desc	SEE SCHEDULE O	Desc
Total Program Service Expenses	$1,230,683,562	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (1)	DescribedInSection501c3Ind
Schedule B Required	Yes (1)	ScheduleBRequiredInd
Political Campaign Acty	0	PoliticalCampaignActyInd
Lobbying Activities	Yes (1)	LobbyingActivitiesInd
Subject To Proxy Tax	0	SubjectToProxyTaxInd
Donor Advised Fund	0	DonorAdvisedFundInd
Conservation Easements	0	ConservationEasementsInd
Collections Of Art	0	CollectionsOfArtInd
Credit Counseling	0	CreditCounselingInd
Donor Rstr Or Quasi Endowments	Yes (1)	DonorRstrOrQuasiEndowmentsInd
Report Land Building Equipment	Yes (1)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	Yes (1)	ReportInvestmentsOtherSecInd
Report Program Related Invst	0	ReportProgramRelatedInvstInd
Report Other Assets	0	ReportOtherAssetsInd
Report Other Liabilities	Yes (1)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	Yes (1)	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	0	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (1)	ConsolidatedAuditFinclStmtInd
School Operating	0	SchoolOperatingInd
Foreign Office	0	ForeignOfficeInd
Foreign Activities	0	ForeignActivitiesInd
More Than5000 K To Org	Yes (1)	MoreThan5000KToOrgInd
More Than5000 K To Individuals	0	MoreThan5000KToIndividualsInd
Professional Fundraising	0	ProfessionalFundraisingInd
Fundraising Activities	0	FundraisingActivitiesInd
Gaming Activities	0	GamingActivitiesInd
Operate Hospital	Yes (1)	OperateHospitalInd
Audited Financial Stmt Att	Yes (1)	AuditedFinancialStmtAttInd
Grants To Organizations	Yes (1)	GrantsToOrganizationsInd
Grants To Individuals	0	GrantsToIndividualsInd
Schedule J Required	Yes (1)	ScheduleJRequiredInd
Tax Exempt Bonds	Yes (1)	TaxExemptBondsInd
Invest Tax Exempt Bonds	0	InvestTaxExemptBondsInd
Escrow Account	0	EscrowAccountInd
On Behalf Of Issuer	0	OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans	0	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	0	PYExcessBenefitTransInd
Loan Outstanding	Yes (1)	LoanOutstandingInd
Grant To Related Person	0	GrantToRelatedPersonInd
Business Rln With Org Mem	0	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	0	BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent	0	BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri	0	DeductibleNonCashContriInd
Deductible Art Contribution	0	DeductibleArtContributionInd
Terminate Operations	0	TerminateOperationsInd
Partial Liquidation	0	PartialLiquidationInd
Disregarded Entity	0	DisregardedEntityInd
Related Entity	Yes (1)	RelatedEntityInd
Related Organization Ctrl Ent	Yes (1)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	Yes (1)	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	0	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	0	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (1)	ScheduleORequiredInd
IRP Document	679	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (1)	BackupWthldComplianceInd
Employee	6541	EmployeeCnt
Employment Tax Returns Filed	Yes (1)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	Yes (1)	UnrelatedBusIncmOverLimitInd
Form990 T Filed	Yes (1)	Form990TFiledInd
Foreign Financial Account	0	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	0	ProhibitedTaxShelterTransInd
Taxable Party Notification	0	TaxablePartyNotificationInd
Nondeductible Contributions	0	NondeductibleContributionsInd
Quid Pro Quo Contributions	0	QuidProQuoContributionsInd
Form8282 Property Disposed Of	0	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	0	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	0	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	0	IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt	Yes (1)	SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc	0	SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	26	GoverningBodyVotingMembersCnt
Independent Voting Member	26	IndependentVotingMemberCnt
Family Or Business Rln	0	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	0	DelegationOfMgmtDutiesInd
Change To Org Documents	0	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	0	MaterialDiversionOrMisuseInd
Members Or Stockholders	Yes (1)	MembersOrStockholdersInd
Election Of Board Members	Yes (1)	ElectionOfBoardMembersInd
Decisions Subject To Approva	Yes (1)	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (1)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (1)	MinutesOfCommitteesInd
Officer Mailing Address	0	OfficerMailingAddressInd
Local Chapters	0	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (1)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (1)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (1)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (1)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (1)	WhistleblowerPolicyInd
Document Retention Policy	Yes (1)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (1)	CompensationProcessCEOInd
Compensation Process Other	Yes (1)	CompensationProcessOtherInd
Investment In Joint Venture	Yes (1)	InvestmentInJointVentureInd
Written Policy Or Procedure	Yes (1)	WrittenPolicyOrProcedureInd
States Where Copy Of Return Is Fld	CA	StatesWhereCopyOfReturnIsFldCd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	JAMES J ULI JR	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Phone	8585761700	PhoneNum

US Address USAddress

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

Form990 Part VII Section A Form990PartVIISectionAGrp (59 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	OfficerOfficerInd	Key EmployeeKeyEmployeeInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd	Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
S DOUGLAS HUTCHESON
BOARD MEMBER	2.00	8.00	Yes (X)	$0	$0	$0
LISA A BARKETT
BOARD MEMBER (THRU 6/30/24)	2.00	2.00	Yes (X)	$0	$0	$0
MICHAEL J FARRELL
BOARD MEMBER	2.00	2.00	Yes (X)	$0	$0	$0
JOHN M GILCHRIST JR
BOARD MEMBER (THRU 6/30/24)	2.00	4.00	Yes (X)	$0	$0	$0
DAVID F HALE
BOARD MEMBER (THRU 6/30/24)	2.00	6.00	Yes (X)	$0	$0	$0
PAUL J HERING
CHAIR	4.00	10.00	Yes (X)	$0	$0	$0	Yes (X)
DEBRA L REED-KLAGES
BOARD MEMBER	2.00	2.00	Yes (X)	$0	$0	$0
CATHERINE J MACKEY
BOARD MEMBER (THRU 6/30/24)	2.00	4.00	Yes (X)	$0	$0	$0
G DIEGO MIRALLES MD
BOARD MEMBER	2.00	4.00	Yes (X)	$0	$0	$0
HENRY L NORDHOFF
BOARD MEMBER	2.00	4.00	Yes (X)	$0	$0	$0
HARRY M RADY
BOARD MEMBER	2.00	4.00	Yes (X)	$0	$0	$0
THEODORE D ROTH
BOARD MEMBER	2.00	2.00	Yes (X)	$0	$0	$0
SCOTT N WOLFE
BOARD MEMBER	2.00	4.00	Yes (X)	$0	$0	$0
DONALD J ROSENBURG
BOARD MEMBER	2.00	4.00	Yes (X)	$0	$0	$0
PRADEEP KHOSLA PHD
EX-OFFICIO BOARD MEMBER	2.00	2.00	Yes (X)	$0	$0	$0
JOHN STOBO MD
EX-OFFICIO BOARD MEMBER (THRU 6/1/24)	2.00	2.00	Yes (X)	$0	$0	$0
ANDREW J SKALSKY MD
EX-OFFICIO BOARD MEMBER (THRU 12/2023)	2.00	2.00	Yes (X)	$0	$0	$0
BYRON SCOTT MD
VICE CHAIR	4.00	4.00	Yes (X)	$0	$0	$0
DAN LESSER MD
EX-OFFICIO BOARD MEMBER (THRU 12/2023)	2.00	4.00	Yes (X)	$0	$0	$0
DOUG ARTHUR
EX-OFFICIO BOARD MEMBER	2.00	6.00	Yes (X)	$0	$0	$0
JOHN CARETHERS MD
EX-OFFICIO BOARD MEMBER	2.00	2.00	Yes (X)	$0	$0	$0
JOSEPH BEERY
EX-OFFICIO BOARD MEMBER	2.00	4.00	Yes (X)	$0	$0	$0
LYNN SCHENK
BOARD MEMBER	2.00	2.00	Yes (X)	$0	$0	$0
MICHAEL A FRIEDMAN MD
BOARD MEMBER	2.00	4.00	Yes (X)	$0	$0	$0
MICHAEL P PECKMAN
BOARD MEMBER	2.00	4.00	Yes (X)	$0	$0	$0
MICHAEL R STONE
BOARD MEMBER	2.00	2.00	Yes (X)	$0	$0	$0
ROMEO IGNACIO MD
BOARD MEMBER	2.00	2.00	Yes (X)	$0	$0	$0
SHELBY LEUIN MD
BOARD MEMBER	2.00	4.00	Yes (X)	$0	$0	$0
VANESSA V WERTHEIM PHD
BOARD MEMBER	2.00	2.00	Yes (X)	$0	$0	$0
PATRICK FRIAS MD
PRESIDENT & CEO	29.00	11.00		$2,012,179	$0	$41,787	Yes (X)
NICHOLAS M HOLMES
SR VP, COO	35.00	5.00		$999,430	$0	$41,453	Yes (X)
ANGELA M VIEIRA
GENERAL COUNSEL, SECRETARY	35.00	5.00		$711,602	$0	$134,380	Yes (X)
GAIL L KNIGHT MD
SR VP, CMO	36.00	4.00		$1,207,560	$0	$13,777	Yes (X)
STEPHEN JENNINGS
SR VP EXEC DIR FOUNDATION	0.00	40.00		$0	$737,355	$85,542	Yes (X)
CHARLES B DAVIS
SR. VP & INTERIM COO	37.00	3.00		$769,514	$0	$50,955	Yes (X)
BELINDA SANTOS-RAMIREZ
BOARD ADMIN, CHIEF OF STAF	35.00	5.00		$138,025	$0	$13,192	Yes (X)
JAMES ULI JR
SVP, CFO, TREASURER	31.00	9.00		$951,239	$0	$23,363	Yes (X)
JILL STRICKLAND
SR VP, CAO	37.00	3.00		$757,820	$0	$32,118	Yes (X)
CHRIS ABE
VP, OPERATIONS	40.00	0.00		$465,220	$0	$82,377		Yes (X)
ALBERT ORIOL
VP, INFO MANAGEMENT/CIO	40.00	0.00		$635,944	$0	$78,468		Yes (X)
MARY J FAGAN
VP,PATIENT CARE SVCS/CNO(THRU 11/23)	40.00	0.00		$618,784	$0	-$46,571		Yes (X)
SCOTT D CAMPBELL
VP, CFO & ADMIN OFFICER -	40.00	0.00		$526,579	$0	$97,273		Yes (X)
MEREDITH LURIE
VP, STRATEGIC AND ORG PLAN	40.00	0.00		$434,896	$0	$54,983		Yes (X)
NISHANTHA S RATNAYAKE
VP, CONTROLLER	40.00	0.00		$474,155	$0	$39,630		Yes (X)
KERI LYN CARSTAIRS
VP, NETWORK OPS & CLIN INT	40.00	0.00		$439,191	$0	$13,259		Yes (X)
CLARA EVANS BREAKEY
VP, GOVERNMENT AFFAIRS	40.00	0.00		$432,897	$0	$28,294		Yes (X)
IRENA VLADIMIROVNA BOOSTANI
VP, MARKETING & EXTERNAL COMM	40.00	0.00		$390,533	$0	$30,853		Yes (X)
KAREN BRIGGS
VP, HUMAN RESOURCES	40.00	0.00		$548,114	$0	$13,051		Yes (X)
M SAHAN FERNANDO
CHIEF INFO SEC OFFICER	40.00	0.00		$291,036	$0	$21,378		Yes (X)
RICHARD PINEDA
VP, STRATEGIC FIN PLANNING	40.00	0.00		$485,262	$0	$40,227		Yes (X)
LAUREL MOYER
VP, CHIEF QUALITY & SAFETY OFFICER	40.00	0.00		$497,146	$0	$40,594		Yes (X)
RONALD D'ULISSE
PHARMACIST IN CHIEF	40.00	0.00		$284,118	$0	$0		Yes (X)
ANALIZA BARTE
FLOAT RN	40.00	0.00		$417,470	$0	$35,652			Yes (X)
BRIAN T ALLISON
VP, HEART INSTITUTE	40.00	0.00		$448,741	$0	$31,151			Yes (X)
DANA PATRICK
DIR, CRIT CARE & CHET	40.00	0.00		$369,949	$0	$175,901			Yes (X)
JOSHUA KOHRUMEL
ASSOCIATE CIO	40.00	0.00		$351,344	$0	$36,428			Yes (X)
TARA LICHTI
CLINICAL NURSE III	40.00	0.00		$359,498	$0	$63,698			Yes (X)
DONALD B KEARNS MD MMM
PRESIDENT EMERITUS	8.00	2.00		$144,746	$0	-$21,392				Yes (X)
CHRISTINA GALBO
SR DIR, COMPLIANCE/AUDIT SVCS	40.00	0.00		$251,578	$0	$0				Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$16,414,570	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$737,355	TotReportableCompRltdOrgAmt
Total Other Compensation	$1,251,821	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	1724	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	Yes (1)	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (1)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	0	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
CHILDRENS SPECIALISTS OF SAN DIEGO
3020 CHILDRENS WAY MC 50011	SAN DIEGO	CA	92123	MEDICAL SERVICES	$183,718,716
AYA HELATHCARE INC
5930 CORNERSTONE COURT WEST STE 30	SAN DIEGO	CA	92121	AGENCY LABOR	$57,469,443
THE REGENTS OF THE UNIVERSITY OF CALIFOR
9500 GILMAN DR	LA JOLLA	CA	92093	MEDICAL SERVICES	$49,825,867
CHILDREN'S PHYSICIANS MEDICAL GROUP
5855 COPLEY DR STE 100	SAN DIEGO	CA	92111	MEDICAL SERVICES	$33,405,469
HENSEL PHELPS CONSTRUCTION CO
9596 CHESAPEAKE DR	SAN DIEGO	CA	92123	CONSTRUCTION SERVICES	$27,505,878

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	90	CntrctRcvdGreaterThan100KCnt
Related Organizations	$41,100,782	RelatedOrganizationsAmt
Government Grants	$48,959,046	GovernmentGrantsAmt
All Other Contributions	$9,819,315	AllOtherContributionsAmt
Total Contributions	$99,879,143	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (4 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
PATIENT SERVICE REV	622110	$1,452,920,539	$1,452,920,539
MEDICAL OFFICE BLDGS	622110	$4,138,757	$4,138,757
MEDICAL SERVICES REIMB	622110	$3,909,208	$3,909,208
OUTPATIENT PHARM SALES	622110	$3,360,145	$3,360,145

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$21,630,368	TotalRevenueColumnAmt
Related Or Exempt Func Income	$21,630,368	RelatedOrExemptFuncIncomeAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$1,485,959,017	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$35,505,504	TotalRevenueColumnAmt
Exclusion	$35,505,504	ExclusionAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$1,337,223	RealAmt

Less Rental Expenses LessRentalExpensesGrp

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

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$1,337,223	RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,337,223	TotalRevenueColumnAmt
Exclusion	$1,337,223	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$1,559,150,467	SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$1,457,307,185	SecuritiesAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$101,843,282	SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$101,843,282	TotalRevenueColumnAmt
Exclusion	$101,843,282	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	ExclusionExclusionAmt
TPA SERVICES	900099	$7,315,940	$7,315,940
FOOD SERVICE REVENUE	721000	$2,776,982	$2,776,982
PARKING	812930	$2,342,417	$2,342,417

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$4,134,561	TotalRevenueColumnAmt
Unrelated Business Revenue	$2,192,882	UnrelatedBusinessRevenueAmt
Exclusion	$1,941,679	ExclusionAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$16,569,900	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,741,094,069	TotalRevenueColumnAmt
Related Or Exempt Func Income	$1,485,959,017	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$2,192,882	UnrelatedBusinessRevenueAmt
Exclusion	$153,063,027	ExclusionAmt

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

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$5,417,720	TotalAmt
Program Services	$5,417,720	ProgramServicesAmt

Foreign Grants ForeignGrantsGrp

Field	Value	IRS element (for citing)
Total	$330,800	TotalAmt
Program Services	$330,800	ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$12,174,267	TotalAmt
Program Services	$2,023,238	ProgramServicesAmt
Management And General	$9,856,729	ManagementAndGeneralAmt
Fundraising	$294,300	FundraisingAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$511,611,700	TotalAmt
Program Services	$372,812,029	ProgramServicesAmt
Management And General	$138,799,671	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$27,259,462	TotalAmt
Program Services	$19,465,098	ProgramServicesAmt
Management And General	$7,794,364	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$44,974,021	TotalAmt
Program Services	$32,114,490	ProgramServicesAmt
Management And General	$12,859,531	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$39,469,235	TotalAmt
Program Services	$28,183,701	ProgramServicesAmt
Management And General	$11,285,534	ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$7,726,851	TotalAmt
Program Services	$2,733,155	ProgramServicesAmt
Management And General	$4,993,696	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$4,912,212	TotalAmt
Management And General	$4,912,212	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$1,252,840	TotalAmt
Management And General	$1,252,840	ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$1,632,458	TotalAmt
Management And General	$1,632,458	ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$3,524,199	TotalAmt
Management And General	$3,524,199	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$488,511,910	TotalAmt
Program Services	$464,120,014	ProgramServicesAmt
Management And General	$24,391,896	ManagementAndGeneralAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$4,312,357	TotalAmt
Program Services	$692,837	ProgramServicesAmt
Management And General	$3,619,520	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$3,044,082	TotalAmt
Program Services	$1,452,558	ProgramServicesAmt
Management And General	$1,591,524	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$25,863,682	TotalAmt
Program Services	$3,337,888	ProgramServicesAmt
Management And General	$22,525,794	ManagementAndGeneralAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$18,953,034	TotalAmt
Program Services	$15,162,427	ProgramServicesAmt
Management And General	$3,790,607	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$1,817,126	TotalAmt
Program Services	$949,272	ProgramServicesAmt
Management And General	$867,854	ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$2,197,247	TotalAmt
Program Services	$633,858	ProgramServicesAmt
Management And General	$1,563,389	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$13,579,731	TotalAmt
Program Services	$10,863,785	ProgramServicesAmt
Management And General	$2,715,946	ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$46,617,391	TotalAmt
Program Services	$30,301,304	ProgramServicesAmt
Management And General	$16,316,087	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$13,659,706	TotalAmt
Program Services	$6,650	ProgramServicesAmt
Management And General	$13,653,056	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
MEDICAL SUPPLIES	$144,893,075	$144,893,075
TAXES AND LICENSES	$59,628,544	$58,521,306	$1,107,238
JV DISTRIBUTION	$18,744,817	$18,744,817
REPAIRS AND MAINTENANCE	$13,040,915	$2,806,806	$10,234,109

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$18,395,238	TotalAmt
Program Services	$15,116,734	ProgramServicesAmt
Management And General	$3,278,504	ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$1,533,544,620	TotalAmt
Program Services	$1,230,683,562	ProgramServicesAmt
Management And General	$302,566,758	ManagementAndGeneralAmt
Fundraising	$294,300	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$32,234,123	BOYAmt
EOY	$28,435,472	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$445,975,921	BOYAmt
EOY	$460,751,378	EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

Field	Value	IRS element (for citing)
BOY	$169,738	BOYAmt
EOY	$146,054	EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

Field	Value	IRS element (for citing)
BOY	$54,016	BOYAmt
EOY	$53,869	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$12,539,781	BOYAmt
EOY	$13,157,701	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$25,632,579	BOYAmt
EOY	$22,149,808	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$1,318,337,453	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$673,147,017	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$561,415,276	BOYAmt
EOY	$645,190,436	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$2,142,178,987	BOYAmt
EOY	$2,326,680,280	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$326,027,389	BOYAmt
EOY	$334,819,034	EOYAmt

Intangible Assets IntangibleAssetsGrp

Field	Value	IRS element (for citing)
BOY	$433,000	BOYAmt
EOY	$433,000	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$98,140,550	BOYAmt
EOY	$136,300,705	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$3,644,801,360	BOYAmt
EOY	$3,968,117,737	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$302,050,674	BOYAmt
EOY	$327,165,897	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$50,535,484	BOYAmt
EOY	$50,742,191	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$250,460,230	BOYAmt
EOY	$244,404,498	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$380,896,250	BOYAmt
EOY	$372,011,156	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$983,942,638	BOYAmt
EOY	$994,323,742	EOYAmt

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

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$2,419,760,413	BOYAmt
EOY	$2,757,789,035	EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$241,098,309	BOYAmt
EOY	$216,004,960	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$2,660,858,722	BOYAmt
EOY	$2,973,793,995	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$3,644,801,360	BOYAmt
EOY	$3,968,117,737	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$207,549,449	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$74,778,756	NetUnrlzdGainsLossesInvstAmt
Investment Expense	$3,524,199	InvestmentExpenseAmt
Other Changes In Net Assets	$27,082,869	OtherChangesInNetAssetsAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	0	AccountantCompileOrReviewInd
FS Audited	Yes (1)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

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

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

Schedule A IRS990ScheduleA

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

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

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

Contributor US Address ContributorUSAddress

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

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

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Volunteers	0	VolunteersInd
Paid Staff Or Management	0	PaidStaffOrManagementInd
Media Advertisements	0	MediaAdvertisementsInd
Mailings Members	0	MailingsMembersInd
Publications Or Broadcast	0	PublicationsOrBroadcastInd
Grants Other Organizations	0	GrantsOtherOrganizationsInd
Direct Contact Legislators	0	DirectContactLegislatorsInd
Rallies Demonstrations	0	RalliesDemonstrationsInd
Other Activities	Yes (1)	OtherActivitiesInd
Other Activities	$1,632,458	OtherActivitiesAmt
Total Lobbying Expenditures	$1,632,458	TotalLobbyingExpendituresAmt
Not Described Section501c3	0	NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

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

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$149,503,801	BeginningYearBalanceAmt
Contributions	$12,913,822	ContributionsAmt
Investment Earnings Or Losses	$14,266,782	InvestmentEarningsOrLossesAmt
Other Expenditures	$4,885,893	OtherExpendituresAmt
Administrative Expenses	$212,444	AdministrativeExpensesAmt
End Year Balance	$171,586,068	EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$150,096,489	BeginningYearBalanceAmt
Contributions	$2,941,477	ContributionsAmt
Investment Earnings Or Losses	$2,637,022	InvestmentEarningsOrLossesAmt
Other Expenditures	$5,964,478	OtherExpendituresAmt
Administrative Expenses	$206,709	AdministrativeExpensesAmt
End Year Balance	$149,503,801	EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$144,331,520	BeginningYearBalanceAmt
Contributions	$15,072,302	ContributionsAmt
Investment Earnings Or Losses	-$2,487,608	InvestmentEarningsOrLossesAmt
Other Expenditures	$6,699,197	OtherExpendituresAmt
Administrative Expenses	$120,528	AdministrativeExpensesAmt
End Year Balance	$150,096,489	EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$114,591,220	BeginningYearBalanceAmt
Contributions	$4,258,030	ContributionsAmt
Investment Earnings Or Losses	$29,123,264	InvestmentEarningsOrLossesAmt
Other Expenditures	$3,568,781	OtherExpendituresAmt
Administrative Expenses	$72,213	AdministrativeExpensesAmt
End Year Balance	$144,331,520	EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

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

Field	Value	IRS element (for citing)
Board Designated Balance EOY	0.43930	BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY	0.44880	PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY	0.11190	TermEndowmentBalanceEOYPct
Endowments Held Unrelated Org	Yes (1)	EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org	Yes (1)	EndowmentsHeldRelatedOrgInd
Related Org List Sch R	Yes (1)	RelatedOrgListSchRInd

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$31,838,118	OtherCostOrOtherBasisAmt
Book Value	$31,838,118	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$708,825,213	OtherCostOrOtherBasisAmt
Depreciation	$381,026,722	DepreciationAmt
Book Value	$327,798,491	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$12,701,744	OtherCostOrOtherBasisAmt
Depreciation	$8,221,134	DepreciationAmt
Book Value	$4,480,610	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$357,227,044	OtherCostOrOtherBasisAmt
Depreciation	$279,350,334	DepreciationAmt
Book Value	$77,876,710	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$207,745,334	OtherCostOrOtherBasisAmt
Depreciation	$4,548,827	DepreciationAmt
Book Value	$203,196,507	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$645,190,436	TotalBookValueLandBuildingsAmt

Other Securities OtherSecuritiesGrp

Field	Value	IRS element (for citing)
Desc	INVESTMENT IN LIMITED PARTNERSHIPS	Desc
Book Value	$334,819,034	BookValueAmt
Method Valuation	F	MethodValuationCd

Field	Value	IRS element (for citing)
Total Book Value Securities	$334,819,034	TotalBookValueSecuritiesAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (11 entries)

DescDesc	AmtAmt
PAYABLE TO BENEFICIARIES	$268,541
INTEREST RATE SWAPS	$16,935,624
DEFERRED COMPENSATION	$15,915
MALPRACTICE IBNR	$5,438,969
BENEFITS PAYABLE	$26,250,897
SANFORD INVESTMENT OCEANSIDE BUI	$2,948,673
SECURITY DEPOSITS	$128,730
SHORT-TERM BORROWINGS	$165
CONTRACTOR RETAINAGE	$3,606,488
DEFERRED LEASE LIABILITY - LT	$17,773,519
TAXABLE BOND FINANCING	$298,643,635

Field	Value	IRS element (for citing)
Total Liability	$372,011,156	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc

ExplanationExplanationTxt

PART V, LINE 4:

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

PART X, LINE 2:

RCHSD RECOGNIZES AND MEASURES THE TAX BENEFIT FROM UNCERTAIN TAX POSITIONS ONLY IF IT IS MORE LIKELY THAN NOT THAT THE TAX POSITION WILL BE SUSTAINED, BASED SOLELY ON ITS TECHNICAL MERITS, WITH THE TAXING AUTHORITY HAVING FULL KNOWLEDGE OF ALL RELEVANT INFORMATION. RCHHC RECORDS LIABILITIES FOR UNRECOGNIZED TAX BENEFITS FROM UNCERTAIN TAX POSITIONS AS DISCRETE TAX ADJUSTMENTS IN THE FIRST PERIOD THAT THE MORE LIKELY THAN NOT THRESHOLD IS NOT MET. RCHSD HAS NOT TAKEN ANY SIGNIFICANT UNCERTAIN TAX POSITIONS THEREFORE NO LIABILITY (OR ASSET) HAS BEEN RECORDED AS OF JUNE 30, 2024.

Schedule F IRS990ScheduleF

Field	Value	IRS element (for citing)
Grant Records Maintained	0	GrantRecordsMaintainedInd
Subtotal Offices	0	SubtotalOfficesCnt
Subtotal Employees	0	SubtotalEmployeesCnt
Continuation Total Office	0	ContinuationTotalOfficeCnt
Continuation Total Employee	0	ContinuationTotalEmployeeCnt
Total Office	0	TotalOfficeCnt
Total Employee	0	TotalEmployeeCnt
Subtotal Spent	$0	SubtotalSpentAmt
Continuation Spent	$0	ContinuationSpentAmt
Total Spent	$0	TotalSpentAmt

Grants To Org Outside US GrantsToOrgOutsideUSGrp

Field	Value	IRS element (for citing)
Region	NORTH AMERICA	RegionTxt
Purpose Of Grant	GRANT MAKING	PurposeOfGrantTxt
Cash Grant	$330,800	CashGrantAmt
Manner Of Cash Disbursement	CHECK	MannerOfCashDisbursementTxt
Non Cash Assistance	$0	NonCashAssistanceAmt

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

Schedule H IRS990ScheduleH

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

Free Care Oth Percentage FreeCareOthPercentageGrp

Field	Value	IRS element (for citing)
Other	Yes (X)	OtherInd
Free Care Other	550.000000000000	FreeCareOtherPct

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

Discounted Care Oth Percentage DiscountedCareOthPercentageGrp

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

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

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$5,143,104	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$46,288	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$5,096,816	NetCommunityBenefitExpnsAmt
Total Expense	0.00330	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$693,476,385	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$566,720,549	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$126,755,836	NetCommunityBenefitExpnsAmt
Total Expense	0.08270	TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$529,063	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$529,063	NetCommunityBenefitExpnsAmt
Total Expense	0.00030	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$699,148,552	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$566,766,837	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$132,381,715	NetCommunityBenefitExpnsAmt
Total Expense	0.08630	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$61,320,620	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$35,689,410	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$25,631,210	NetCommunityBenefitExpnsAmt
Total Expense	0.01670	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$49,148,901	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$9,162,912	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$39,985,989	NetCommunityBenefitExpnsAmt
Total Expense	0.02610	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$50,357,778	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$29,610,856	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$20,746,922	NetCommunityBenefitExpnsAmt
Total Expense	0.01350	TotalExpensePct

Research ResearchGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$8,056,030	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$3,662,327	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$4,393,703	NetCommunityBenefitExpnsAmt
Total Expense	0.00290	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$8,856,690	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$8,856,690	NetCommunityBenefitExpnsAmt
Total Expense	0.00580	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$177,740,019	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$78,125,505	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$99,614,514	NetCommunityBenefitExpnsAmt
Total Expense	0.06500	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$876,888,571	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$644,892,342	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$231,996,229	NetCommunityBenefitExpnsAmt
Total Expense	0.15130	TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$868,404	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$599,010	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$269,394	NetCommunityBenefitExpnsAmt
Total Expense	0.00020	TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$868,404	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$599,010	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$269,394	NetCommunityBenefitExpnsAmt
Total Expense	0.00020	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	0	BadDebtExpenseReportedInd
Bad Debt Expense	$18,487,073	BadDebtExpenseAmt
Bad Debt Expense Attributable	$5,143,104	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$3,336,490	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$3,715,208	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$378,718	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

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

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

Hospital Facilities HospitalFacilitiesGrp

Field	Value	IRS element (for citing)
Facility	1	FacilityNum

Business Name BusinessName

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

US Address USAddress

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

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

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

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

Field	Value	IRS element (for citing)
Facility	1	FacilityNum
First Licensed CY Or PY	0	FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY	0	TaxExemptHospitalCYOrPYInd
CHNA Conducted	Yes (1)	CHNAConductedInd
Community Definition	Yes (X)	CommunityDefinitionInd
Community Demographics	Yes (X)	CommunityDemographicsInd
How Data Obtained	Yes (X)	HowDataObtainedInd
Community Health Needs	Yes (X)	CommunityHealthNeedsInd
Other Health Issues	Yes (X)	OtherHealthIssuesInd
Community Hlth Needs Id Process	Yes (X)	CommunityHlthNeedsIdProcessInd
Consulting Process	Yes (X)	ConsultingProcessInd
Prior CHNA Impact	Yes (X)	PriorCHNAImpactInd
CHNA Conducted	21	CHNAConductedYr
Take Into Account Others Input	Yes (1)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	Yes (1)	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	0	CHNAConductedWithNonFcltsInd
CHNA Report Widely Available	Yes (1)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	WWW.RCHSD.ORG	OwnWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Implementation Strategy Adopt	Yes (1)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	21	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (1)	StrategyPostedWebsiteInd
Strategy Website URL	WWW.RCHSD.ORG	StrategyWebsiteURLTxt
Organization Incur Excise Tax	0	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (1)	EligCriteriaExplainedInd
FPG Family Incm Lmt Free Dscnt	Yes (X)	FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care	550.000000000000	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	450.000000000000	FPGFamilyIncmLmtDscntCarePct
Income Level Criteria	Yes (X)	IncomeLevelCriteriaInd
Insurance Status Criteria	Yes (X)	InsuranceStatusCriteriaInd
Explained Basis	Yes (1)	ExplainedBasisInd
App Financial Asst Expln	Yes (1)	AppFinancialAsstExplnInd
Described Info	Yes (X)	DescribedInfoInd
Described Suprt Doc	Yes (X)	DescribedSuprtDocInd
Provided Hospital Contact	Yes (X)	ProvidedHospitalContactInd
Provided Nonprofit Contact	Yes (X)	ProvidedNonprofitContactInd
Includes Publicity Measures	Yes (1)	IncludesPublicityMeasuresInd
FAP Available On Website	Yes (X)	FAPAvailableOnWebsiteInd
FAP Available On Website URL	HTTPS://WWW.RCHSD.ORG/PATIENTS-VISITORS/FINANCIAL-ASSISTANCE/	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	HTTPS://WWW.RCHSD.ORG/PATIENTS-VISITORS/FINANCIAL-ASSISTANCE/	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	HTTPS://WWW.RCHSD.ORG/PATIENTS-VISITORS/FINANCIAL-ASSISTANCE/	FAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No Charge	Yes (X)	FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No Chrg	Yes (X)	FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No Chrg	Yes (X)	FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill Display	Yes (X)	NotifiedFAPCopyBillDisplayInd
FAP Translated	Yes (X)	FAPTranslatedInd
Other Publicity	Yes (X)	OtherPublicityInd
FAP Actions On Nonpayment	Yes (1)	FAPActionsOnNonpaymentInd
Permit No Actions	Yes (X)	PermitNoActionsInd
Collection Activities	0	CollectionActivitiesInd
Provided Written Notice	Yes (X)	ProvidedWrittenNoticeInd
Made Effort Orally Notify	Yes (X)	MadeEffortOrallyNotifyInd
Processed FAP Application	Yes (X)	ProcessedFAPApplicationInd
Made Presumptive Elig Determ	Yes (X)	MadePresumptiveEligDetermInd
Nondis Emergency Care Policy	Yes (1)	NondisEmergencyCarePolicyInd
Look Back Medicaid Medcr Prvt	Yes (X)	LookBackMedicaidMedcrPrvtInd
Amounts Generally Billed	0	AmountsGenerallyBilledInd
Gross Charges	0	GrossChargesInd

Supplemental Information SupplementalInformationGrp (8 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
RADY CHILDREN'S HOSPITAL SAN DIEGO	PART V, SECTION B, LINE 5: THE CHNA IS IMPLEMENTED AND MANAGED BY A STANDING CHNA COMMITTEE COMPRISED OF REPRESENTATIVES FROM SEVEN HOSPITALS AND HEALTH SYSTEMS. RADY CHILDREN'S HOSPITAL SAN DIEGO COLLABORATED WITH OTHER HOSPITALS AND HEALTH SYSTEMS IN SAN DIEGO COUNTY TO COMPLETE A COLLABORATIVE CHNA (THE SAN DIEGO CHNA). THE SAN DIEGO CHNA PROCESS WAS FACILITATED BY THE HOSPITAL ASSOCIATION OF SAN DIEGO & IMPERIAL COUNTIES (HASD&IC). HASD&IC CONVENED A CHNA ADVISORY WORKGROUP, WHICH INCLUDED REPRESENTATIONS FROM PARTICIPATING HOSPITAL AND HEALTH SYSTEMS AND PROVIDED GUIDANCE REGARDING RESEARCH APPROACH AND COMMUNITY ENGAGEMENT. THE GOAL OF THE COMMUNITY ENGAGEMENT PROCESS WAS TO SOLICIT INPUT FROM A WIDE RANGE OF STAKEHOLDERS FACING INEQUITIES IN SAN DIEGO COUNTY. SPECIAL EFFORTS WERE MADE TO INCLUDE COMMUNITY MEMBERS FROM GROUPS THAT EXPERIENCE HEALTH DISPARITIES AND SERVICE PROVIDERS WHO WORK WITH THOSE VULNERABLE POPULATIONS. INPUT FROM THE COMMUNITY WAS GATHERED THROUGH WORKING WITH THE COMMUNITY HEALTH WORKERS TO CONDUCT INTERVIEWS WITH COMMUNITY MEMBERS AND CONDUCTING FOCUS GROUPS AND KEY INFORMANT INTERVIEWS WITH COMMUNITY MEMBERS, COMMUNITY HEALTH WORKERS, COMMUNITY-BASED ORGANIZATIONS, SERVICE PROVIDERS, CIVIC LEADERS, AND HEALTH CARE LEADERS.
RADY CHILDREN'S HOSPITAL SAN DIEGO	PART V, SECTION B, LINE 6A: COLLABORATION WITH OTHER HOSPITALS AND HEALTH SYSTEMS WERE COORDINATED THROUGH THE HASD&IC.
RADY CHILDREN'S HOSPITAL SAN DIEGO	PART V, SECTION B, LINE 11: COMMUNITY HEALTH NEEDS ADDRESSED:THE CHNA SERVED AS THE RESOURCE DOCUMENT FOR THE REVIEW OF HEALTH NEEDS AS IT PROVIDED DATA ON THE SCOPE AND SEVERITY OF ISSUES AND INCLUDED COMMUNITY INPUT ON THE HEALTH NEEDS. THE COMMUNITY PRIORITIZATION OF NEEDS WAS ALSO TAKEN INTO CONSIDERATION. AS A RESULT OF THE REVIEW OF NEEDS AND APPLICATION OF THE ABOVE CRITERIA, RADY CHILDREN'S WILL ADDRESS THE FOLLOWING NEEDS AS THEY FOCUS ON THE HEALTH OF CHILDREN AND THEIR FAMILIES:- ACCESS TO HEALTH CARE- BEHAVIORAL HEALTH (INCLUDING MENTAL HEALTH, SUBSTANCE USE AND EDUCATION-RELATED CONCERNS)- CHRONIC CONDITIONS (INCLUDING OVERWEIGHT AND OBESITY)- INJURY PREVENTIONSEE PAGES 9-14 OF THE CHNA FOR A DESCRIPTION AND PRIORITIZATION OF THE SIGNIFICANT HEALTH NEEDS OF THE COMMUNITY.FOR EACH HEALTH NEED THE HOSPITAL PLANS TO ADDRESS, THE IMPLEMENTATION STRATEGY DESCRIBES THE FOLLOWING: ACTIONS THE HOSPITAL INTENDS TO TAKE, INCLUDING PROGRAMS AND RESOURCES IT PLANS TO COMMIT, ANTICIPATED IMPACTS OF THESE ACTIONS, AND PLANNED COLLABORATION BETWEEN THE HOSPITAL AND OTHER ORGANIZATIONS. SEE PAGES 9-14 OF THE IMPLEMENTATION STRATEGY FOR FULL DESCRIPTION OF ACTIONS THE HOSPITAL INTENDS TO TAKE, INCLUDING PROGRAMS AND RESOURCES IT PLANS TO COMMIT, ANTICIPATED IMPACT OF THESE ACTIONS, AND PLANNED COLLABORATION BETWEEN THE HOSPITAL AND OTHER ORGANIZATIONS.NEEDS NOT ADDRESSED: SINCE RADY CHILDREN'S CANNOT DIRECTLY ADDRESS ALL THE HEALTH NEEDS PRESENT IN THE COMMUNITY, WE WILL CONCENTRATE ON THOSE HEALTH NEEDS THAT WE CAN MOST EFFECTIVELY ADDRESS GIVEN OUR AREAS OF FOCUS AND EXPERTISE. TAKING EXISTING HOSPITAL AND COMMUNITY RESOURCES INTO CONSIDERATION, RADY CHILDREN'S WILL NOT DIRECTLY ADDRESS THE REMAINING HEALTH NEEDS IDENTIFIED IN THE CHNA, INCLUDING COVID-19, ECONOMIC STABILITY, EDUCATION, HOUSING AND HOMELESSNESS, AND SEXUAL BEHAVIORS.
RADY CHILDREN'S HOSPITAL SAN DIEGO	PART V, SECTION B, LINE 13B: A PATIENT, WHETHER UNINSURED, INSURED OR A CSBP MEMBER, WHO HAS HIGH MEDICAL COSTS.
RADY CHILDREN'S HOSPITAL SAN DIEGO	PART V, SECTION B, LINE 16J: ALL LANGUAGE REGARDING THE POLICY IS COMMUNICATED TO PATIENTS VIA SIGNAGE IN ALL ADMITTING AREAS. AT THE POINT OF REGISTRATION, ALL PATIENTS RECEIVE BROCHURES EXPLAINING THE FACILITY'S FINANCIAL ASSISTANCE PROGRAM AND THE AVAILABILITY OF GOVERNMENT SPONSORED PROGRAMS; ALL INITIAL STATEMENTS TO UNINSURED PATIENTS INCLUDES VERBIAGE INFORMING PATIENTS OF THE FACILITY'S FINANCIAL ASSISTANCE PROGRAM AND A COPY OF THE CHARITY CARE APPLICATION. A SUMMARY OF THE FINANCIAL ASSISTANCE POLICY IS POSTED ON THE HOSPITAL'S WEBSITE.
PART V, SECTION B, LINE 7A	HTTPS://WWW.RCHSD.ORG/DOCUMENTS/2022/09/COMMUNITY-HEALTH-NEEDS-ASSESSMENT-REPORT-2022.PDF/
PART V, SECTION B, LINE 10A	HTTPS://WWW.RCHSD.ORG/DOCUMENTS/2023/01/RADY-CHILDRENS-HOSPITAL-CHNA-IMPLEMENTATION-STRATEGY-2023-2025.PDF/
PART V, SECTION B, LINE 22D	THE HOSPITAL DETERMINED, DURING THE TAX YEAR, THE MAXIMUM AMOUNTS THAT CAN BE CHARGED TO FAP ELIGIBLE INDIVIDUALS FOR EMERGENCY OR OTHER MEDICALLY NECESSARY CARE, BASED ON MEDI-CAL RATES (AB 774).

Field	Value	IRS element (for citing)
Facility	23	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (23 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	FacilityFacilityTxt	Address Line2USAddress/AddressLine2Txt
1 - RADY CHILDREN'S DEVELOPMENT SERVICES
11752 EL CAMINO REAL SUITE 100	SAN DIEGO	CA	92130	DEVELOPMENTAL AND BEHAVIORAL SERVICES
2 - RADY CHILDREN'S SPECIALISTS OF SD
25485 MEDICAL CENTER DRIVE SUITE	MURRIETA	CA	92562	CLINIC	100
3 - CHADWICK CENTER FOR CHILDREN & FAMILIES
333 H STREET SUITE 3010	CHULA VISTA	CA	91910	TRAUMA COUNSELING
4 - SANFORD CHILDREN'S CLINIC
3605 VISTA WAY SUITE 130	OCEANSIDE	CA	92056	CLINIC
5 - RADY CHILDREN'S SPECIALISTS OF SD
3605 VISTA WAY SUITE 172	OCEANSIDE	CA	92056	CLINIC/URGENT CARE
6 - RADY CHILDREN'S HEALTH SERVICES
3665 KEARNY VILLA ROAD	SAN DIEGO	CA	92123	DEVELOPMENTAL AND BEHAVIORAL SERVICES
7 - RADY CHILDREN'S SPECIALISTS OF SD
385 W MAIN STREET	EL CENTRO	CA	92243	CLINIC
8 - RADY CHILDREN'S HOSPITAL
386 EAST H STREET SUITE 202	CHULA VISTA	CA	91910	CLINIC/URGENT CARE
9 - RADY CHILDREN'S URGENT CARE
4305 UNIVERSITY AVE 150	SAN DIEGO	CA	92105	CLINIC/URGENT CARE
10 - CITY HEIGHTS WELLNESS CENTER
4440 WIGHTMAN STREET SUITE 200	SAN DIEGO	CA	92105	WELLNESS CENTER
11 - RADY CHILDREN'S SPECIALISTS OF SD
477 NORTH EL CAMINO REAL BUILDING D	ENCINITAS	CA	92024	CLINICS
12 - RADY CHILDREN'S URGENT CARE
5565 GROSSMONT CENTER DRIVE BLDG 2	LA MESA	CA	91942	URGENT CARE
13 - RADY CHILDREN'S SPECIALISTS OF SD
11752 EL CAMINO REAL SUITE 100	ESCONDIDO	CA	92029	CLINICS/URGENT CARE
14 - RADY CHILDREN'S HOSPITAL
3605 VISTA WAY SUITE 172	OCEANSIDE	CA	92056	CLINIC/URGENT CARE
15 - RADY CHILDREN'S HOSPITAL
7910 FROST STREET	SAN DIEGO	CA	92123	CLINICS
16 - RADY CHILDREN'S HOSPITAL
7920 FROST STREET	SAN DIEGO	CA	92123	CLINICS
17 - NELSON FAMILY PAVILION
8001 FROST STREET	SAN DIEGO	CA	92123	CLINICS
18 - RADY CHILDREN'S HOSPITAL
8010 FROST STREET SUITE 140	SAN DIEGO	CA	92123	CLINICS
19 - RADY CHILDREN'S HOSPITAL
8110 BIRMINGHAM DRIVE	SAN DIEGO	CA	92123	CLINICS
20 - HOMECARE
8291 AREO PLACE SUITE 130	SAN DIEGO	CA	92123	HOME HEALTHCARE
21 - POLINSKY CHILDRENS CENTER MED CLINIC
9400 RUFFIN COURT BUILDING B	SAN DIEGO	CA	92123	CLINIC
22 - RADY CHILDREN'S URGENT CARE
25170 HANCOCK AVE 1ST FLOOR	MURRIETA	CA	92562	CLINICS/URGENT CARE
23 - RADY CHILDREN'S SPECIALISTS OF SD
2125 CITRACADO PARKWAY SUITE 200	ESCONDIDO	CA	92029	CLINIC

Supplemental Information Detail SupplementalInformationDetail (12 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART I, LINE 7:	THE BEST AVAILABLE DATA WAS USED TO CALCULATE THE COST AMOUNTS REPORTED IN ITEM 7. FOR CERTAIN CATEGORIES, PRIMARILY CHARITY CARE AND MEANS-TESTED GOVERNMENT PROGRAMS, THE COST TO CHARGE RATIO WAS CALCULATED USING WORKSHEET 2, RATIO OF PATIENT CARE COST TO CHARGES AND APPLIED TO THOSE CATEGORIES. IN OTHER CATEGORIES, THE BEST AVAILABLE DATA WAS DERIVED FROM THE HOSPITAL'S DETAILED FINANCIAL INFORMATION.
PART II, COMMUNITY BUILDING ACTIVITIES:	RADY CHILDREN'S CENTER FOR HEALTHIER COMMUNITIES PROVIDES THE FACES FOR THE FUTURE PROGRAM AT A LOCAL HIGH SCHOOL. THE FACES PROGRAM IS A YOUTH AND FUTURE HEALTHCARE WORKFORCE DEVELOPMENT PROGRAM THAT PREPARES UNDERREPRESENTED, ETHNICALLY DIVERSE YOUTH FOR CAREERS IN ALL AREAS OF THE HEALTH PROFESSIONS. THE PROGRAM ALSO AIMS TO ASSIST LOCAL PUBLIC SCHOOLS IN MOTIVATING AND PREPARING UNDERREPRESENTED HIGH SCHOOL STUDENTS FOR ENTRY INTO COLLEGE, HEALTHCARE/RESEARCH CAREERS AND OTHER VIABLE EMPLOYMENT OPPORTUNITIES IN THE HEALTHCARE INDUSTRY. THE PARTICIPATING STUDENTS ROTATE THROUGH CLINICAL DEPARTMENTS AT RADY CHILDREN'S HOSPITAL -SAN DIEGO AND RECEIVE MENTORSHIP.
PART III, LINE 2:	FOR UNINSURED PATIENTS THAT DO NOT QUALIFY FOR CHARITY CARE, RCHSD RECOGNIZES REVENUE ON THE BASIS OF ITS STANDARD RATES FOR SERVICES PROVIDED, OR ON THE BASIS OF DISCOUNTED RATES IF NEGOTIATED OR PROVIDED BY POLICY. ON THE BASIS OF HISTORICAL EXPERIENCE, A SIGNIFICANT PORTION OF RCHSD'S UNINSURED PATIENTS ARE UNABLE OR UNWILLING TO PAY FOR THE SERVICES PROVIDED. RCHSD RECORDS SIGNIFICANT IMPLICIT PRICE CONCESSIONS RELATED TO UNINSURED PATIENTS IN THE PERIOD SERVICES ARE PROVIDED. RCHSD RECORDS IMPLICIT PRICE CONCESSIONS BASED UPON THE HISTORICAL EXPERIENCE, AS WELL AS COLLECTION TRENDS FOR MAJOR PAYOR TYPES.
PART III, LINE 3:	RCHSD DOES NOT TREAT ANY PART OF THE BAD DEBT AS COMMUNITY BENEFIT EXPENSE.
PART III, LINE 4:	SEE PAGE 13-17 OF THE AUDITED FINANCIAL STATEMENTS.
PART III, LINE 8:	RCHSD DOES NOT TREAT ANY PART OF THE MEDICARE SHORTFALL AS COMMUNITY EXPENSE. THE MEDICARE ALLOWABLE COSTS REPORTED IN THE ORGANIZATION'S MEDICARE COST REPORT AS REFLECTED IN THE AMOUNT REPORTED IN PART III, LINE 6 ARE DETERMINED USING A PRO FORMA COST REPORT AS DESCRIBED IN PART I, LINE 7 ABOVE. THE ORGANIZATION BELIEVES THAT THE TEFRA COST LIMITATION SHOULD BE INCLUDED AS A COMMUNITY BENEFIT, BASED ON THE INPATIENT COST OVER THE TEFRA LIMITS.
PART III, LINE 9B:	IN ITS BILLING AND COLLECTION ACTIVITY, RADY CHILDREN'S HOSPITAL SAN DIEGO TREATS ALL PATIENTS AND PATIENT FAMILIES OR REPRESENTATIVES WITH FAIRNESS, DIGNITY AND RESPECT. RCHSD DOES NOT UTILIZE WAGE GARNISHMENTS, LIENS ON A PATIENT'S PRIMARY RESIDENCE, OR WRIT OF BODY ATTACHMENTS IN ITS COLLECTION ACTIVITIES. RCHSD ONLY UTILIZES THOSE OUTSIDE OR THIRD PARTY COLLECTION AGENCIES THAT AGREE TO COMPLY WITH APPLICABLE STATE AND FEDERAL LAWS AND WITH RCHSD POLICIES, AND RCHSD DEBT COLLECTION STANDARDS AND PRACTICES. IN DETERMINING THE DEBT THAT RCHSD SEEKS TO RECOVER, RCHSD WILL CONSIDER ONLY THE INCOME AND CERTAIN MONETARY ASSETS OF THE PATIENT/GUARANTOR ELIGIBLE FOR THE RCHSD FINANCIAL ASSISTANCE PROGRAM. IN MAKING THIS DETERMINATION, RCHSD WILL NOT CONSIDER RETIREMENT OR DEFERRED COMPENSATION PLANS (EITHER QUALIFIED OR NON-QUALIFIED UNDER THE INTERNAL REVENUE CODE), THE FIRST $10,000 OR THE REMAINING 50 PERCENT OF 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.
PART VI, LINE 2:	NEEDS ASSESSMENTCONTINUING A LONGSTANDING COMMITMENT TO ADDRESS COMMUNITY HEALTH NEEDS IN SAN DIEGO, RADY CHILDREN'S AND OTHER HEALTHCARE SYSTEMS RECONVENED THROUGH THE HOSPITAL ASSOCIATION OF SAN DIEGO AND IMPERIAL COUNTIES (HASD&IC) TO COMPLETE A 2022 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.
PART VI, LINE 3:	PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCERCHSD PROVIDES WRITTEN INFORMATION ABOUT THE AVAILABILITY OF THE RCHSD FINANCIAL ASSISTANCE PROGRAM, INCLUDING A BROCHURE THAT IS DISSEMINATED THROUGHOUT OUR PATIENT CLINICS. THIS INFORMATION IS PROVIDED AT PATIENT REGISTRATION, INCLUDING PATIENT INFORMATIONAL MATERIALS, EMERGENCY DEPARTMENT, OUTPATIENT CLINICS, AND PATIENT FINANCIAL SERVICES. IN ADDITION, A STATEMENT REGARDING THE FINANCIAL ASSISTANCE PROGRAM IS INCLUDED ON PATIENT BILLING STATEMENTS. WRITTEN NOTICE IS PROVIDED TO POTENTIALLY ELIGIBLE PATIENTS DURING THE REGISTRATION PROCESS OR AS SOON AS POSSIBLE THEREAFTER AND DURING THE BILLING PROCESS. THIS 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.
PART VI, LINE 4:	COMMUNITY INFORMATIONSAN DIEGO COUNTY (SAN DIEGO) IS THE SECOND MOST POPULOUS OF CALIFORNIA'S 58 COUNTIES, AND THE FIFTH LARGEST COUNTY IN THE UNITED STATES AND IS CURRENTLY HOME TO 3.4 MILLION RESIDENTS. THE REGION IS SOCIALLY AND ETHNICALLY DIVERSE, WITH OVER 20% OF THE POPULATION UNDER THE AGE OF EIGHTEEN AND ON AVERAGE, 190,000 VETERANS RESIDE HERE. WHILE THE MEDIAN HOUSEHOLD INCOME IS APPROXIMATELY $102,000, OVER 10% 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.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.
PART VI, LINE 5:	PROMOTION OF COMMUNITY HEALTHTHE RADY CHILDREN'S HOSPITAL - SAN DIEGO IS GOVERNED BY A 26-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 2024 (JULY 1, 2023 THROUGH JUNE 30, 2024) 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.
PART VI, LINE 7, REPORTS FILED WITH STATES	CA

Schedule I IRS990ScheduleI

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

Recipient Table RecipientTable (4 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Recipient EINRecipientEIN	IRC SectionIRCSectionDesc	Cash GrantCashGrantAmt	Non Cash AssistanceNonCashAssistanceAmt	Valuation Method UsedValuationMethodUsedDesc	Purpose Of GrantPurposeOfGrantTxt
RONALD MCDONALD HOUSE CHARITIES OF SAN DIEGO
2929 CHILDRENS WAY	SAN DIEGO	CA	92123	953251490	501(C)3	$2,000,000	$0	FMV	SUPPORT MISSION
RADY CHILDREN'S HOSPITAL RESEARCH CENTER
3020 CHILDRENS WAY	SAN DIEGO	CA	92123	953814185	501(C)3	$3,353,970	$0	FMV	SUPPORT MISSION
NAMI SAN DIEGO
5095 MURPHY CANYON RD SUITE 320	SAN DIEGO	CA	92123	330122462	501(C)3	$13,750	$0	FMV	SUPPORT MISSION
SAPIAN LABS
1000 N RANDOLPH ST 501	ARLINGTON	VA	22201	475559298	501(C)3	$50,000	$0	FMV	SUPPORT MISSION

Field	Value	IRS element (for citing)
Total501c3 Org	4	Total501c3OrgCnt

Supplemental Information Detail SupplementalInformationDetail

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

Schedule J IRS990ScheduleJ

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

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (30 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
PATRICK FRIAS MD
PRESIDENT & CEO	$1,278,846	$0	$410,805	$0	$322,528	$0	$9,900	$0	$31,887	$0	$2,053,966	$0	$0	$0
GAIL L KNIGHT MD
SR VP, CMO	$631,463	$0	$143,263	$0	$432,834	$0	$9,900	$0	$3,877	$0	$1,221,337	$0	$0	$0
NICHOLAS M HOLMES
SR VP, COO	$684,642	$0	$179,877	$0	$134,911	$0	$9,900	$0	$31,553	$0	$1,040,883	$0	$0	$0
JAMES ULI JR
SVP, CFO, TREASURER	$688,813	$0	$178,458	$0	$83,968	$0	$9,900	$0	$13,463	$0	$974,602	$0	$0	$0
ANGELA M VIEIRA
GENERAL COUNSEL, SECRETARY	$528,611	$0	$115,173	$0	$67,818	$0	$118,808	$0	$15,572	$0	$845,982	$0	$0	$0
STEPHEN JENNINGS
SR VP EXEC DIR FOUNDATION	$0	$516,235	$0	$111,661	$0	$109,459	$0	$63,470	$0	$22,072	$0	$822,897	$0	$0
CHARLES B DAVIS
SR. VP & INTERIM COO	$544,467	$0	$112,571	$0	$112,476	$0	$47,413	$0	$3,542	$0	$820,469	$0	$0	$0
JILL STRICKLAND
SR VP, CAO	$557,055	$0	$135,767	$0	$64,998	$0	$9,900	$0	$22,218	$0	$789,938	$0	$0	$0
ALBERT ORIOL
VP, INFO MANAGEMENT/CIO	$490,277	$0	$79,454	$0	$66,213	$0	$56,617	$0	$21,851	$0	$714,412	$0	$0	$0
SCOTT D CAMPBELL
VP, CFO & ADMIN OFFICER -	$402,355	$0	$65,045	$0	$59,179	$0	$72,892	$0	$24,381	$0	$623,852	$0	$0	$0
MARY J FAGAN
VP,PATIENT CARE SVCS/CNO(THRU 11/23)	$345,450	$0	$71,239	$0	$202,095	$0	-$56,061	$0	$9,490	$0	$572,213	$0	$0	$0
KAREN BRIGGS
VP, HUMAN RESOURCES	$444,200	$0	$85,828	$0	$18,086	$0	$9,900	$0	$3,151	$0	$561,165	$0	$0	$0
CHRIS ABE
VP, OPERATIONS	$353,746	$0	$58,296	$0	$53,178	$0	$69,670	$0	$12,707	$0	$547,597	$0	$0	$0
DANA PATRICK
DIR, CRIT CARE & CHET	$246,978	$0	$113,665	$0	$9,306	$0	$161,078	$0	$14,823	$0	$545,850	$0	$0	$0
LAUREL MOYER
VP, CHIEF QUALITY & SAFETY OFFICER	$448,532	$0	$36,614	$0	$12,000	$0	$9,900	$0	$30,694	$0	$537,740	$0	$0	$0
RICHARD PINEDA
VP, STRATEGIC FIN PLANNING	$382,305	$0	$78,842	$0	$24,115	$0	$9,900	$0	$30,327	$0	$525,489	$0	$0	$0
NISHANTHA S RATNAYAKE
VP, CONTROLLER	$338,697	$0	$85,022	$0	$50,436	$0	$21,773	$0	$17,857	$0	$513,785	$0	$0	$0
MEREDITH LURIE
VP, STRATEGIC AND ORG PLAN	$316,295	$0	$81,096	$0	$37,505	$0	$42,454	$0	$12,529	$0	$489,879	$0	$0	$0
BRIAN T ALLISON
VP, HEART INSTITUTE	$365,290	$0	$59,344	$0	$24,107	$0	$9,900	$0	$21,251	$0	$479,892	$0	$0	$0
CLARA EVANS BREAKEY
VP, GOVERNMENT AFFAIRS	$357,438	$0	$58,068	$0	$17,391	$0	$9,900	$0	$18,394	$0	$461,191	$0	$0	$0
ANALIZA BARTE
FLOAT RN	$409,604	$0	$1,500	$0	$6,366	$0	$28,092	$0	$7,560	$0	$453,122	$0	$0	$0
KERI LYN CARSTAIRS
VP, NETWORK OPS & CLIN INT	$386,058	$0	$30,532	$0	$22,601	$0	$9,900	$0	$3,359	$0	$452,450	$0	$0	$0
TARA LICHTI
CLINICAL NURSE III	$351,515	$0	$1,500	$0	$6,483	$0	$57,130	$0	$6,568	$0	$423,196	$0	$0	$0
IRENA VLADIMIROVNA BOOSTANI
VP, MARKETING & EXTERNAL COMM	$313,664	$0	$60,707	$0	$16,162	$0	$9,900	$0	$20,953	$0	$421,386	$0	$0	$0
JOSHUA KOHRUMEL
ASSOCIATE CIO	$321,178	$0	$21,854	$0	$8,312	$0	$28,637	$0	$7,791	$0	$387,772	$0	$0	$0
M SAHAN FERNANDO
CHIEF INFO SEC OFFICER	$270,986	$0	$14,130	$0	$5,920	$0	$8,554	$0	$12,824	$0	$312,414	$0	$0	$0
RONALD D'ULISSE
PHARMACIST IN CHIEF	$265,115	$0	$11,818	$0	$7,185	$0	$0	$0	$0	$0	$284,118	$0	$0	$0
CHRISTINA GALBO
SR DIR, COMPLIANCE/AUDIT SVCS	$228,683	$0	$15,436	$0	$7,459	$0	$0	$0	$0	$0	$251,578	$0	$0	$0
BELINDA SANTOS-RAMIREZ
BOARD ADMIN, CHIEF OF STAF	$130,885	$0	$7,140	$0	$0	$0	$9,212	$0	$3,980	$0	$151,217	$0	$0	$0
DONALD B KEARNS MD MMM
PRESIDENT EMERITUS	$144,746	$0	$0	$0	$0	$0	-$21,392	$0	$0	$0	$123,354	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART I, LINE 1A	THE ORGANIZATION PROVIDED A DISCRETIONARY SPENDING ACCOUNT TO SEVEN OFFICERS AND KEY EMPLOYEES LISTED ON FORM 990 PART VII. THE AMOUNT PROVIDED WAS INCLUDED IN EACH INDIVIDUAL'S TAXABLE COMPENSATION.
PART I, LINE 4A:	MARY FAGAN RECEIVED A SEVERANCE PAYMENT OF $10,000 IN 2023.
PART I, 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. ONCE VESTED THE AMOUNTS UNDER THIS PLAN ARE REPORTED ON FORM W-2 AS TAXABLE COMPENSATION TO THE INDIVIDUAL. THE FOLLOWING INDIVIDUALS RECEIVED PAYMENTS FROM THE PLAN DURING CALENDAR YEAR 2023: DR. PATRICK FRIAS ($268.917), JAMES J. ULI, JR. ($68,968), AND MR. STEPHEN JENNINGS ($94,459). ALBERT ORIOL ($54,213), ANGELA VIEIRA ($55,818), BRIAN ALLISON ($12,107), CHARLES DAVIS ($97,476), CHRIS ABE ($41,026), CLARA BREAKEY ($5,391), DANA PATRICK ($9,306), GAIL KNIGHT ($417,834), IRENA BOOSTANI ($4,162), JOSHUA KOHRUMEL ($8,312), KAREN BRIGGS ($6,086), M SAHAN FERNANDO ($5,920), NICHOLAS HOLMES ($119,911), MARY FAGAN ($159,719), MEREDITH LURIE ($25,505), NISHANTHA RATNAYAKE ($38,436), SCOTT CAMPBELL ($47,179), JILL STRICKLAND ($49,998), KERI CARSTAIRS ($10,600), RICHARD PINEDA ($12,115), RONALD D'ULISSE ($7,185) AND CHRISTINA GALBO ($7,459).

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (4 entries)

Bond ReferenceBondReferenceCd	Bond Issuer EINBondIssuerEIN	CUSIPCUSIPNum	Bond IssuedBondIssuedDt	Issue PriceIssuePriceAmt	PurposePurposeDesc	DefeasedDefeasedInd	On Behalf Of IssuerOnBehalfOfIssuerInd	Pool FinancingPoolFinancingInd
CALIFORNIA STATEWIDE COMM DEVELOPMENT AUTHORITY
A	680164610	NONEAVAIL	2018-06-01	$50,580,000	REISSUANCE OF SERIES 2013D	0	0	0
CALIFORNIA STATEWIDE COMM DEVELOPMENT AUTHORITY
B	680164610	13080SLZ5	2016-05-18	$61,552,785	CURRENT REFUNDING SERIES 2006AB BONDS	0	0	0
CALIFORNIA STATEWIDE COMM DEVELOPMENT AUTHORITY
C	680164610	NONEAVAIL	2013-09-25	$63,485,000	REISSUANCE OF SERIES 2008A	0	0	0
CALIFORNIA STATEWIDE COMM DEVELOPMENT AUTHORITY
D	680164610	NONEAVAIL	2012-06-14	$115,580,000	REISSUANCE OF SERIES 2012D	0	0	0

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (4 entries)

Bond ReferenceBondReferenceCd	Total ProceedsTotalProceedsAmt	Other Spent ProceedsOtherSpentProceedsAmt	Refunding Tax Exempt BondsRefundingTaxExemptBondsInd	Final Allocation MadeFinalAllocationMadeInd	Adequate Books And Rec MaintAdequateBooksAndRecMaintInd	RetiredRetiredAmt	Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt
A	$50,580,000	$50,580,000	Yes (1)	Yes (1)	Yes (1)
B	$61,592,971	$60,605,151	Yes (1)	Yes (1)	Yes (1)	$28,705,000	$987,819
C	$63,485,000	$63,485,000	Yes (1)	Yes (1)	Yes (1)	$4,475,000
D	$115,580,000	$115,580,000	Yes (1)	Yes (1)	Yes (1)	$55,700,000

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (4 entries)

Bond ReferenceBondReferenceCd	Any Lease ArrangementsAnyLeaseArrangementsInd	Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd	Engage Bond Counsel ContractsEngageBondCounselContractsInd	Private Bus Use By OthersPrivateBusUseByOthersPct	Total Private Business UseTotalPrivateBusinessUsePct	Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
A	Yes (1)	Yes (1)	Yes (1)	0.00000	0.00000	Yes (1)
B	Yes (1)	Yes (1)	Yes (1)	0.00160	0.00160	Yes (1)
C	Yes (1)	Yes (1)	Yes (1)	0.00000	0.00000	Yes (1)
D	Yes (1)	Yes (1)	Yes (1)	0.00000	0.00000	Yes (1)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (4 entries)

Bond ReferenceBondReferenceCd	Form8038 T FiledForm8038TFiledInd	Rebate Not Due YetRebateNotDueYetInd	Exception To RebateExceptionToRebateInd	No Rebate DueNoRebateDueInd	Variable Rate IssueVariableRateIssueInd	Hedge Identified In Bks And RecHedgeIdentifiedInBksAndRecInd	Term Of HedgeTermOfHedgePct	Superintegrated HedgeSuperintegratedHedgeInd	Hedge TerminatedHedgeTerminatedInd	Gross Proceeds Invested In GICGrossProceedsInvestedInGICInd	Gross Proceeds InvestedGrossProceedsInvestedInd	Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd
GOLDMAN SACHS
A	0	0	Yes (1)	Yes (1)	Yes (1)	Yes (1)	26.250000000000	0	0	0	0	Yes (1)
(no name)
B	0	0	Yes (1)	Yes (1)	0	0				0	0	Yes (1)
GOLDMAN SACHS
C	0	0	Yes (1)	Yes (1)	Yes (1)	Yes (1)	35.190000000000	0	0	0	0	Yes (1)
GOLDMAN SACHS
D	0	0	Yes (1)	Yes (1)	Yes (1)	Yes (1)	35.190000000000	0	0	0	0	Yes (1)

Procedures Corrective Action ProceduresCorrectiveActionGrp (4 entries)

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

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
COLUMN A	PART I(F) - THE ISSUE DATE OF THE 2013D BONDS WAS OCTOBER 23, 2013. PART II, LINE 13 - SINCE THE PROCEEDS OF THE 2018D REISSUED BONDS ARE USED FOR REFUNDING PURPOSES, THE YEAR OF SUBSTANTIAL COMPLETION IS NOT APPLICABLE. PART IV, LINE 2(B) & 2(C) - THE ISSUE QUALIFIED FOR A SPENDING EXCEPTION TO REBATE. NO REBATE CALCULATION HAS BEEN OR WILL EVER BE MADE, BEFORE OR AFTER THE DUE DATE OF AN 8038-T. PART IV, LINE 4(A) - BASED ON THE PROPOSED REGULATIONS, THE 2013D GOLDMAN SACHS HEDGE IS TREATED AS CONTINUING TO THE 2018D-REISSUED BONDS INSTEAD OF BEING TERMINATED AND REINTEGRATED. THE GOLDMAN SACHS HEDGE HAS A TERM OF 26.25 YEARS AND MATURES ON 8/15/2041.
COLUMN B	PART I (F): THE ISSUE DATE OF THE 2006AB BONDS WAS OCTOBER 26, 2006. PART II, LINE 3: THE DIFFERENCE BETWEEN THE ISSUE PRICE LISTED IN PART I(E) IS DUE TO INTEREST EARNINGS ON BOND PROCEEDS. PART II, LINE 13: SINCE THE PROCEEDS OF THE 2016AB BONDS ARE USED FOR REFUNDING PURPOSES, THE YEAR OF SUBSTANTIAL COMPLETION IS NOT APPLICABLE. PART IV, LINE 2(B): THE ISSUE QUALIFIED FOR A SPENDING EXCEPTION TO REBATE. NO REBATE CALCULATION HAS BEEN OR WILL EVER BE MADE, BEFORE OR AFTER THE DUE DATE OF AN 8038-T.
COLUMN C	PART I (F): THE ISSUE DATE OF THE 2008A BONDS WAS JULY, 2008. 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) & 2(C): THE ISSUE QUALIFIED FOR A SPENDING EXCEPTION TO REBATE. NO REBATE CALCULATION HAS BEEN OR WILL EVER BE MADE, BEFORE OR AFTER THE DUE DATE OF AN 8038-T. PART IV, LINE 4(E): BASED ON THE PROPOSED REGULATIONS, THE 2008A GOLDMAN SACHS HEDGE IS TREATED AS CONTINUING TO THE 2008A-REISSUED BONDS INSTEAD OF BEING TERMINATED AND REINTEGRATED.
COLUMN D	PART I (F) - THE ISSUE DATE OF THE 2012D BONDS WAS JUNE 14, 2012. 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) & (C) - THE ISSUE QUALIFIED FOR A SPENDING EXCEPTION TO REBATE. NO REBATE CALCULATION HAS BEEN OR WILL EVER BE MADE, BEFORE OR AFTER THE DUE DATE OF AN 8038-T. PART IV, LINE 4(E) - BASED ON THE PROPOSED REGULATIONS, THE 2008A GOLDMAN SACHS HEDGE IS TREATED AS CONTINUING TO THE 2008A-REISSUED BONDS INSTEAD OF BEING TERMINATED AND REINTEGRATED.
COLUMN A	PART I (F): THE ISSUANCE DATE OF THE 2006CD BONDS WAS OCTOBER 2006. 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 9/29/13. 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, 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 RECONSTRUCTED 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 VI, LINE 5(A), GROSS PROCEEDS OF THE 2008CD BONDS PROJECT FUNDS WERE INVESTED IN A HYPO REPURCHASE AGREEMENT.

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp

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

Issuer Name IssuerName

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

Field	Value	IRS element (for citing)
Bond Issuer EIN	680164610	BondIssuerEIN
CUSIP	130795VT1	CUSIPNum
Bond Issued	2008-07-31	BondIssuedDt
Issue Price	$101,155,000	IssuePriceAmt
Purpose	CURRENT REFUNDING SERIES 2006CD	PurposeDesc
Defeased	0	DefeasedInd
On Behalf Of Issuer	0	OnBehalfOfIssuerInd
Pool Financing	0	PoolFinancingInd

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Retired	$50,580,000	RetiredAmt
Total Proceeds	$101,156,339	TotalProceedsAmt
Issuance Costs From Proceeds	$731,760	IssuanceCostsFromProceedsAmt
Other Spent Proceeds	$100,424,579	OtherSpentProceedsAmt
Refunding Tax Exempt Bonds	Yes (1)	RefundingTaxExemptBondsInd
Refunding Taxable Bonds	Yes (1)	RefundingTaxableBondsInd
Final Allocation Made	0	FinalAllocationMadeInd
Adequate Books And Rec Maint	Yes (1)	AdequateBooksAndRecMaintInd

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp

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

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Form8038 T Filed	Yes (1)	Form8038TFiledInd
Variable Rate Issue	Yes (1)	VariableRateIssueInd
Hedge Identified In Bks And Rec	Yes (1)	HedgeIdentifiedInBksAndRecInd

Hedge Provider Name HedgeProviderName

Field	Value	IRS element (for citing)
Business Name Line1	GOLDMAN SACHS	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Term Of Hedge	24.080000000000	TermOfHedgePct
Superintegrated Hedge	0	SuperintegratedHedgeInd
Hedge Terminated	Yes (1)	HedgeTerminatedInd
Gross Proceeds Invested In GIC	Yes (1)	GrossProceedsInvestedInGICInd

GIC Provider Name GICProviderName

Field	Value	IRS element (for citing)
Business Name Line1	HYPO REPURCHASE	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Term Of GIC	2.550000000000	TermOfGICPct
Regulatory Safe Harbor Stsfd	0	RegulatorySafeHarborStsfdInd
Gross Proceeds Invested	0	GrossProceedsInvestedInd
Written Proc To Monitor Reqs	Yes (1)	WrittenProcToMonitorReqsInd

Procedures Corrective Action ProceduresCorrectiveActionGrp

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

Schedule L IRS990ScheduleL

Loans Btwn Org Interested Prsn LoansBtwnOrgInterestedPrsnGrp

Business Name BusinessName

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

Field	Value	IRS element (for citing)
Relationship With Org	OFFICER	RelationshipWithOrgTxt
Loan Purpose	RELOCATION HOUSING LOAN	LoanPurposeTxt
Loan From Organization	Yes (X)	LoanFromOrganizationInd
Original Principal	$250,000	OriginalPrincipalAmt
Balance Due	$146,054	BalanceDueAmt
Default	0	DefaultInd
Board Or Committee Approval	Yes (1)	BoardOrCommitteeApprovalInd
Written Agreement	Yes (1)	WrittenAgreementInd

Field	Value	IRS element (for citing)
Total Balance Due	$146,054	TotalBalanceDueAmt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (11 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FORM 990, PART I, LINE 1: DESCRIPTION OF ORGANIZATION MISSION	THE HOSPITAL PROVIDES COMPREHENSIVE PEDIATRIC MEDICAL SERVICES IN SAN DIEGO, SOUTHERN RIVERSIDE, AND IMPERIAL COUNTIES.
FORM 990, PART III, LINE 4A, PROGRAM SERVICE ACCOMPLISHMENTS:	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 3 NEONATAL INTENSIVE CARE UNIT AT SOUTHWEST HEALTHCARE SYSTEM IN RANCHO SPRINGS, AN 8-BED LEVEL 2 NEONATAL INTENSIVE CARE UNIT FOR SCRIPPS MEMORIAL HOSPITAL IN ENCINITAS, AN 18-BED LEVEL 3 NEONATAL INTENSIVE CARE UNIT FOR SCRIPPS MEMORITAL HOSPITAL IN LA JOLLA, AND TWO LEVEL 2 NEONATAL INTENSIVE CARE UNITS FOR SCRIPPS MERCY HOSPITAL LOCATED IN SAN DIEGO AND CHULA VISTA; AN 11-BED PEDIATRIC MEDICAL UNIT FOR SHARP HEALTH LOCATED AT ITS SHARP GROSSMONT CAMPUS; AND A LEVEL 3, 4-BED NEONATAL INTENSIVE CARE UNIT, LOCATED AT PALOMAR MEDICAL CENTER IN ESCONDIDO. THE HOSPITAL IS AMALGAMATED WITH THE UNIVERSITY OF CALIFORNIA, SAN DIEGO, HEALTH SCIENCES, AND SERVES AS A CENTER FOR GRADUATE AND POST-GRADUATE EDUCATION IN THE FIELD OF PEDIATRICS. ANNUALLY, THE HOSPITAL HAS APPROXIMATELY 19,000 INPATIENT ADMISSIONS AND APPROXIMATELY 290,000 VISITS PER YEAR IN ITS OUTPATIENT DEPARTMENTS. ADDITIONALLY, THE EMERGENCY DEPARTMENT AND URGENT CARE CENTERS PROVIDE APPROXIMATELY 101,000 AND 54,000 VISITS, RESPECTIVELY, PER YEAR.
FORM 990, PART VI, SECTION A, LINE 6	RADY CHILDREN'S HOSPITAL AND HEALTH CENTER (RCHHC) IS THE SOLE MEMBER AS THAT TERM IS DEFINED IN CALIFORNIA CORPORATIONS CODE 5056 ("MEMBER") OF RADY CHILDREN'S HOSPITAL - SAN DIEGO (RCHSD).
FORM 990, PART VI, SECTION A, LINE 7A	THE RCHSD BOARD OF DIRECTORS CONSISTS OF THOSE INDIVIDUALS SERVING AS THE BOARD OF TRUSTEES OF THE MEMBER. ONLY THE MEMBER MAY REMOVE A DIRECTOR. THE FOLLOWING ACTIONS OF THE RCHSD BOARD REQUIRE "PRIOR WRITTEN APPROVAL" OF THE MEMBER TO BE EFFECTIVE: - ANY AMENDMENT, REVISION, MODIFICATION OF THE ARTICLES OF INCORPORATION OR THE BYLAWS - ANY CHANGE IN THE NATURE OF THE BUSINESS ACTIVITIES OF RCHSD - APPROVAL OF OPERATING AND CAPITAL BUDGETS OF RCHSD - BORROWING ANY AMOUNT OR INCURRING ANY DEBT IN THE AMOUNT OF $100,000 OR MORE - MAKING OR INCURRING ANY UNBUDGETED EXTRAORDINARY OR NON-RECURRING EXPENSE OR EXPENDITURE OF $1,000,000. THE RCHSD BOARD CANNOT AUTHORIZE OR DIRECT ANY OFFICER OF RCHSD TO PERFORM OR COMMIT ANY OF THE FOLLOWING ACTS, WITHOUT PRIOR WRITTEN APPROVAL OF THE MEMBER: - BORROW MONEY IN RCHSD'S NAME OR UTILIZE PROPERTY OWNED BY RCHSD AS SECURITY FOR LOANS, EXCEPT IN THE ORDINARY COURSE OF BUSINESS - MAKE, EXECUTE, OR DELIVER ANY ASSIGNMENT FOR THE BENEFIT OR CREDITORS, OR ANY BOND, CONFESSION, JUDGMENT, CHATTEL MORTGAGE, SECURITY AGREEMENT, DEED, GUARANTY, INDEMNITY BOND, SURETY BOND, CONTRACT TO SELL OR BILL OF SALE OF THE PROPERTY OF RCHSD, EXCEPT IN THE ORDINARY COURSE OF BUSINESS. - ACQUIRE, PURCHASE, DEVELOP, IMPROVE, SELL, LEASE OR MORTGAGE ANY CORPORATE REAL ESTATE OR ANY INTEREST THEREIN OR ENTER INTO ANY CONTRACT FOR ANY SUCH PURPOSES. - MAKE ANY LOAN OR INVESTMENT OF ANY RCHSD ASSETS, OR ENTER INTO ANY CONTRACT OR INCUR ANY LIABILITY ON BEHALF OF RCHSD OTHER THAN FOR FAIR CONSIDERATION OR IN THE ORDINARY COURSE OF BUSINESS RELATING TO ITS NORMAL DAILY OPERATION.
FORM 990, PART VI, SECTION A, LINE 7B	PLEASE REFER TO LINE 7A EXPLANATION
FORM 990, PART VI, SECTION B, LINE 11B	REVIEW OF FORM 990 BEFORE FILING, THE TAX RETURN AND SCHEDULES ARE REVIEWED BY THE AUDIT AND COMPLIANCE COMMITTEE OF RADY CHILDREN'S HEALTH'S BOARD. THE CFO REVIEWS THE MATERIALS WITH THE COMMITTEE. A COMPLETE COPY IS ALSO SHARED WITH ALL BOARD MEMBERS PRIOR TO FILING USING ELECTRONIC COMMUNICATION SYSTEMS.
FORM 990, PART VI, SECTION B, LINE 12C	CONFLICT OF INTEREST POLICY ON AN ANNUAL BASIS AND UPON ELECTION OR APPOINTMENT, THE POLICY AND DISCLOSURE STATEMENT IS DISTRIBUTED TO ALL BOARD MEMBERS, OFFICERS, AND KEY EMPLOYEES AND MEDICAL STAFF LEADERS. ALL COMPLETED AND SIGNED STATEMENTS ARE RETURNED TO THE CORPORATE COMPLIANCE OFFICER FOR REVIEW. IF A PERSON DISCLOSES A POTENTIAL OR ACTUAL CONFLICT, THE PERSON WITH THE CONFLICT OF INTEREST IS EXCLUDED FROM ANY DISCUSSION OR APPROVAL OF ANY SUCH RELATED TRANSACTIONS. FINANCIAL INTEREST DISCLOSURES BY BOARD MEMBERS AND OFFICERS ARE BROUGHT TO THE RCHHS 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 RCHHS BOARD OF TRUSTEES. THE CORPORATE COMPLIANCE COMMITTEE AND THE AUDIT AND CORPORATE RESPONSIBILITY COMMITTEE A SUMMARY OF ALL DISCLOSURES AND ACTION TAKEN, IF ANY, ALL OTHER EMPLOYEES ARE REQUIRED TO COMPLETE A DISCLOSURE STATEMENT ON AN ANNUAL BASIS THAT IS REVIEWED BY THE CORPORATE COMPLIANCE OFFICER.
FORM 990, PART VI, SECTION B, LINE 15	DETERMINATION OF COMPENSATION RADY CHILDREN'S HOSPITAL AND HEALTH CENTER/RADY CHILDREN'S HOSPITAL SAN DIEGO WORKING THROUGH THE BOARD COMPENSATION COMMITTEE HAS A PROCESS FOR ESTABLISHING, REVIEWING AND APPROVING COMPENSATION OF OFFICERS AND KEY EMPLOYEES OF THE ORGANIZATION ON A NO LESS THAN AN ANNUAL BASIS. THE COMPENSATION COMMITTEE IS COMPRISED OF INDEPENDENT, LAY MEMBERS OF THE BOARD OF TRUSTEES. PRIOR TO CONDUCTING ITS REVIEW, THE CHAIR OF THE COMPENSATION COMMITTEE DETERMINES WHETHER ANY MEMBER HAS A CONFLICT OF INTEREST WITH RESPECT TO THE MATTER(S) UNDER REVIEW. IF THERE IS A CONFLICT, THE CONFLICTED MEMBER RECUSES HIMSELF/HERSELF AND IS NOT PRESENT DURING DISCUSSION OR VOTE ON THE ARRANGEMENT UNDER REVIEW. IN DETERMINING AND APPROVING THE COMPENSATION, 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 PERCENTILE OF THE COMPARABILITY DATA. THE COMMITTEE'S DELIBERATIONS AND DECISIONS ARE DOCUMENTED IN MINUTES THAT ARE REVIEWED AT ITS NEXT MEETING. THE COMMITTEE'S WRITTEN RECORDS INCLUDE THE (1) TERMS OF THE ARRANGEMENT WITH THE DISQUALIFIED PERSON (INCLUDING THE DATE THE ARRANGEMENT WAS APPROVED); (2) A LIST OF MEMBERS PRESENT DURING THE DISCUSSION OF THE TRANSACTION (AND HOW THE MEMBERS VOTED WHEN IT WAS APPROVED); AND (3) A DESCRIPTION OF THE COMPARABLE DATA RELIED ON BY THE COMMITTEE AND HOW IT WAS OBTAINED.
FORM 990, PART VI, SECTION C, LINE 19	THE FEDERAL TAX LAWS DO NOT MANDATE THAT THE ORGANIZATION'S GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY BE MADE AVAILABLE FOR PUBLIC INSPECTION. THE ORGANIZATION MAKES ITS FINANCIAL STATEMENTS AVAILABLE UPON REQUEST.
FORM 990, PART IX, LINE 11G	OTHER: PROGRAM SERVICE EXPENSES 464,120,014. MANAGEMENT AND GENERAL EXPENSES 24,391,896. TOTAL EXPENSES 488,511,910.
FORM 990, PART XI, LINE 9:	CHANGE IN FMV OF INTEREST RATE SWAP 8,237,122. CHANGE IN SPLIT INTEREST AGREEMENTS -45,269. INTERCOMPANY SETTLEMENT -15,724,367. CHANGE IN DEFINED BENEFIT PLAN 34,894,892. TREASURY LOCK SWAP GAIN -279,509.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (4 entries)

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

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (3 entries)

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

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

Transactions Related Org TransactionsRelatedOrgGrp (2 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
RADY CHILDREN'S HEALTH SERVICES - SAN DIEGO
P	$159,953	ACTUAL COST
RADY CHILDREN'S HEALTH SERVICES - SAN DIEGO
Q	$3,360,145	ACTUAL COST