RADY CHILDRENS HOSPITAL SAN DIEGO: Form 990, tax year 2017

View the entire original 990 at ProPublica ↗

Organization: RADY CHILDRENS HOSPITAL SAN DIEGO (EIN 95-1691313)
Tax period: 2017-07-01 to 2018-06-30
Filed: 2019-05-15
IRS object ID: 201901359349311715
Schema version: 2017v2.3
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	2019-05-15T16:08:10-05:00	ReturnTs
Tax Period End	2018-06-30	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

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	3975 Freedom Circle Dr Suite 100	AddressLine1Txt
City	Santa Clara	CityNm
State Abbreviation	CA	StateAbbreviationCd
ZIP	95054	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2017-07-01	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)
In Care Of	% NISHANTHA RATNAYAKE	InCareOfNm
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	KAHTLEEN CAIN	PersonNm
Person Title	cfo	PersonTitleTxt
Signature	2019-05-13	SignatureDt
Discuss With Paid Preparer	Yes (true)	DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	Valerie J Ball	PreparerPersonNm
PTIN	P00178114	PTIN
Phone	4083675764	PhoneNum
Preparation	2019-05-14	PreparationDt

Filing Security Information FilingSecurityInformation

IP Address IPAddress

Field	Value	IRS element (for citing)
I Pv4 Address	167.68.102.5	IPv4AddressTxt

Field	Value	IRS element (for citing)
Federal Original Submission Id	77070920191355000010	FederalOriginalSubmissionId
Federal Original Submission Id	2019-05-15	FederalOriginalSubmissionIdDt
Filing License Type	P	FilingLicenseTypeCd
At Submission Creation Device Id	526B729A541AD7FE8041F46DE8B7180B5A89C5C3	AtSubmissionCreationDeviceId
At Submission Filing Device Id	AFC1CABF2724952AFBFC3879A4882118A11459E7	AtSubmissionFilingDeviceId

Field	Value	IRS element (for citing)
Tax	2017	TaxYr
Build TS	2019-02-21 02:37:17Z	BuildTS

Form 990 IRS990

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

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	3020 Childrens WayMC 5001	AddressLine1Txt
City	San Diego	CityNm
State Abbreviation	CA	StateAbbreviationCd
ZIP	921234282	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$1,697,178,055	GrossReceiptsAmt
Group Return For Affiliates	false	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	www.rchsd.org	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1954	FormationYr
Legal Domicile State	CA	LegalDomicileStateCd
Activity Or Mission	THE HOSPITAL PROVIDES COMPREHENSIVE PEDIATRIC MEDICAL SERVICES IN SAN DIEGO, SOUTHERN RIVERSIDE, AND IMPERIAL COUNTIES.	ActivityOrMissionDesc
Voting Members Governing Body	24	VotingMembersGoverningBodyCnt
Voting Members Independent	23	VotingMembersIndependentCnt
Total Employee	5507	TotalEmployeeCnt
Total Volunteers	525	TotalVolunteersCnt
Total Gross UBI	$1,465,565	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$0	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$124,888,575	PYContributionsGrantsAmt
CY Contributions Grants	$203,581,699	CYContributionsGrantsAmt
PY Program Service Revenue	$908,599,045	PYProgramServiceRevenueAmt
CY Program Service Revenue	$984,638,783	CYProgramServiceRevenueAmt
PY Investment Income	$50,461,728	PYInvestmentIncomeAmt
CY Investment Income	$48,870,772	CYInvestmentIncomeAmt
PY Other Revenue	$15,270,506	PYOtherRevenueAmt
CY Other Revenue	$14,633,127	CYOtherRevenueAmt
PY Total Revenue	$1,099,219,854	PYTotalRevenueAmt
CY Total Revenue	$1,251,724,381	CYTotalRevenueAmt
PY Grants And Similar Paid	$12,103,022	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$5,527,054	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$425,131,511	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$453,287,991	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$91,644	CYTotalFundraisingExpenseAmt
PY Other Expenses	$567,509,309	PYOtherExpensesAmt
CY Other Expenses	$651,169,302	CYOtherExpensesAmt
PY Total Expenses	$1,004,743,842	PYTotalExpensesAmt
CY Total Expenses	$1,109,984,347	CYTotalExpensesAmt
PY Revenues Less Expenses	$94,476,012	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$141,740,034	CYRevenuesLessExpensesAmt
Total Assets BOY	$1,806,577,989	TotalAssetsBOYAmt
Total Assets EOY	$2,026,667,661	TotalAssetsEOYAmt
Total Liabilities BOY	$685,349,261	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$708,794,295	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$1,121,228,728	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$1,317,873,366	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	false	SignificantNewProgramSrvcInd
Significant Change	false	SignificantChangeInd
Expense	$892,323,613	ExpenseAmt
Grant	$5,392,054	GrantAmt
Revenue	$984,638,783	RevenueAmt
Desc	Rady Children's Hospital San Diego (the Hospital) is a regional tertiary and quaternary referral center and provides comprehensive inpatient and outpatient acute, psychiatric and intensive care pediatric services. The Hospital also is the sole pediatric provider and designated pediatric trauma center for San Diego County and is the primary source of pediatric and neonatal intensive care services for both San Diego and Imperial Counties. On its main campus the Hospital operates the only Level 4 full scope neonatal intensive care unit in San Diego, Riverside and Imperial counties. In addition, the Hospital operates an 11-bed level 2 neonatal intensive care unit at Southwest Healthcare System in Rancho Springs, an 8-bed level 2 neonatal intensive care unit for Scripps Memorial Hospital in Encinitas, a 14-bed level 2 neonatal intensive care unit for Scripps Memorial Hospital in La Jolla, and two level 2 neonatal intensive care units for Scripps Mercy Hospital located in San Deigo and Chula Vista; an 11-bed pediatric medical unit for Sharp health located at its sharp grossmont campus; and a level 3, 4-bed level 3 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 20,000 inpatient admissions and approximately 400,000 visits per year in its outpatient departments. Additionally, the emergency department and urgent care centers provide approximately 96,000 and 56,000 visits, respectively, per year.	Desc
Total Program Service Expenses	$892,323,613	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (true)	DescribedInSection501c3Ind
Schedule B Required	Yes (true)	ScheduleBRequiredInd
Political Campaign Acty	false	PoliticalCampaignActyInd
Lobbying Activities	Yes (true)	LobbyingActivitiesInd
Subject To Proxy Tax	false	SubjectToProxyTaxInd
Donor Advised Fund	false	DonorAdvisedFundInd
Conservation Easements	false	ConservationEasementsInd
Collections Of Art	false	CollectionsOfArtInd
Credit Counseling	false	CreditCounselingInd
Temp Or Permanent Endowments	Yes (true)	TempOrPermanentEndowmentsInd
Report Land Building Equipment	Yes (true)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	Yes (true)	ReportInvestmentsOtherSecInd
Report Program Related Invst	false	ReportProgramRelatedInvstInd
Report Other Assets	false	ReportOtherAssetsInd
Report Other Liabilities	Yes (true)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	Yes (true)	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	false	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (true)	ConsolidatedAuditFinclStmtInd
School Operating	false	SchoolOperatingInd
Foreign Office	false	ForeignOfficeInd
Foreign Activities	Yes (true)	ForeignActivitiesInd
More Than5000 K To Org	Yes (true)	MoreThan5000KToOrgInd
More Than5000 K To Individuals	false	MoreThan5000KToIndividualsInd
Professional Fundraising	false	ProfessionalFundraisingInd
Fundraising Activities	false	FundraisingActivitiesInd
Gaming Activities	false	GamingActivitiesInd
Operate Hospital	Yes (true)	OperateHospitalInd
Audited Financial Stmt Att	Yes (true)	AuditedFinancialStmtAttInd
Grants To Organizations	Yes (true)	GrantsToOrganizationsInd
Grants To Individuals	false	GrantsToIndividualsInd
Schedule J Required	Yes (true)	ScheduleJRequiredInd
Tax Exempt Bonds	Yes (true)	TaxExemptBondsInd
Invest Tax Exempt Bonds	false	InvestTaxExemptBondsInd
Escrow Account	false	EscrowAccountInd
On Behalf Of Issuer	false	OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans	false	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	false	PYExcessBenefitTransInd
Loan Outstanding	Yes (true)	LoanOutstandingInd
Grant To Related Person	false	GrantToRelatedPersonInd
Business Rln With Org Mem	false	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	false	BusinessRlnWithFamMemInd
Business Rln With Officer Ent	false	BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri	false	DeductibleNonCashContriInd
Deductible Art Contribution	false	DeductibleArtContributionInd
Terminate Operations	false	TerminateOperationsInd
Partial Liquidation	false	PartialLiquidationInd
Disregarded Entity	false	DisregardedEntityInd
Related Entity	Yes (true)	RelatedEntityInd
Related Organization Ctrl Ent	Yes (true)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	false	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	false	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	false	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (true)	ScheduleORequiredInd
IRP Document	686	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (true)	BackupWthldComplianceInd
Employee	5507	EmployeeCnt
Employment Tax Returns Filed	Yes (true)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	Yes (true)	UnrelatedBusIncmOverLimitInd
Form990 T Filed	Yes (true)	Form990TFiledInd
Foreign Financial Account	false	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTransInd
Taxable Party Notification	false	TaxablePartyNotificationInd
Nondeductible Contributions	false	NondeductibleContributionsInd
Quid Pro Quo Contributions	false	QuidProQuoContributionsInd
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	false	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	false	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	false	IndoorTanningServicesInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	24	GoverningBodyVotingMembersCnt
Independent Voting Member	23	IndependentVotingMemberCnt
Family Or Business Rln	false	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	false	DelegationOfMgmtDutiesInd
Change To Org Documents	false	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	false	MaterialDiversionOrMisuseInd
Members Or Stockholders	Yes (true)	MembersOrStockholdersInd
Election Of Board Members	Yes (true)	ElectionOfBoardMembersInd
Decisions Subject To Approva	Yes (true)	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (true)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (true)	MinutesOfCommitteesInd
Officer Mailing Address	false	OfficerMailingAddressInd
Local Chapters	false	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (true)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (true)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (true)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (true)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (true)	WhistleblowerPolicyInd
Document Retention Policy	Yes (true)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (true)	CompensationProcessCEOInd
Compensation Process Other	Yes (true)	CompensationProcessOtherInd
Investment In Joint Venture	Yes (true)	InvestmentInJointVentureInd
Written Policy Or Procedure	false	WrittenPolicyOrProcedureInd
States Where Copy Of Return Is Fld	CA	StatesWhereCopyOfReturnIsFldCd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

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

US Address USAddress

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

Field	Value	IRS element (for citing)
Info In Schedule O Part VII	Yes (X)	InfoInScheduleOPartVIIInd

Form990 Part VII Section A Form990PartVIISectionAGrp (53 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	OfficerOfficerInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Key EmployeeKeyEmployeeInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd
Michael P Peckham
Chair	4.0	9.0	Yes (X)	Yes (X)	$0	$0	$0
S Douglas Hutcheson
Vice Chair	4.0	7.0	Yes (X)	Yes (X)	$0	$0	$0
Lisa A Barkett
Board Member	2.0	2.0	Yes (X)		$0	$0	$0
Martin Brotman MD
Board Member	2.0	2.0	Yes (X)		$0	$0	$0
Andrew S Clark
Board Member	2.0	2.0	Yes (X)		$0	$0	$0
Michael J Farrell
Board Member	2.0	2.0	Yes (X)		$0	$0	$0
John M Gilchrist Jr
Board Member	2.0	2.5	Yes (X)		$0	$0	$0
David F Hale
Board Member	2.0	6.0	Yes (X)		$0	$0	$0
Paul J Hering
Board Member	2.0	4.0	Yes (X)		$0	$0	$0
Maria Middaugh Assaraf
Board Member	2.0	2.0	Yes (X)		$0	$0	$0
Debra L Reed-Klages
Board Member	2.0	2.0	Yes (X)		$0	$0	$0
Catherine J Mackey PHD
Board Member	2.0	4.0	Yes (X)		$0	$0	$0
G Diego Miralles MD
Board Member	2.0	4.0	Yes (X)		$0	$0	$0
Henry L Nordhoff
Board Member	2.0	4.0	Yes (X)		$0	$0	$0
Tina S Nova PHD
Board Member	2.0	6.0	Yes (X)		$0	$0	$0
Harry M Rady
Board Member	2.0	4.0	Yes (X)		$0	$0	$0
Theodore D Roth
Board Member	2.0	2.0	Yes (X)		$0	$0	$0
Scott N Wolfe
Board Member	2.0	2.5	Yes (X)		$0	$0	$0
Jeffrey Jacobs
Board Member (to 12/2017)	2.0	2.0	Yes (X)		$0	$0	$0
Donald J Rosenburg
Board Member	2.0	2.0	Yes (X)		$0	$0	$0
David A Brenner MD
Ex-Officio Board Member	2.0	4.0	Yes (X)		$0	$0	$0
Keri Carstairs MD
Ex-Officio	2.0	2.0	Yes (X)		$0	$0	$0
Daniela Carvalho MD
Ex-Officio (To 12/2017)	2.0	2.0	Yes (X)		$0	$0	$0
Pradeep Kholsa PHD
Ex-Officio Board Member	2.0	2.0	Yes (X)		$0	$0	$0
Elizabeth Rodriguez-Dias
Ex-Officio Board Member	2.0	2.0	Yes (X)		$0	$0	$0
John Stobo MD
Ex-Officio (to 8/2017)	2.0	2.0	Yes (X)		$0	$0	$0
Denise Suttner MD
Ex-Officio	2.0	2.5	Yes (X)		$0	$0	$0
Andrew Zimmerman MD
Ex-Officio (until 12/2017)	2.0	2.5	Yes (X)		$56,650	$0	$0
Margareta E Norton
Exec VP, CAO, Secretary	45.5	4.5		Yes (X)	$907,620	$0	$80,125
Donald B Kearns MD MMM
President & CEO	41.0	9.0		Yes (X)	$1,397,910	$0	$63,918
Kathleen Cain Carrithers
Sr VP, CFO,Treasurer	43.5	6.5		Yes (X)	$719,819	$0	$27,667
Gail L Knight MD
Sr VP, CMO	47.5	2.5		Yes (X)	$620,902	$0	$11,407
Stephen Jennings
SR VP Exec Director Foundation	0.0	50.0		Yes (X)	$0	$528,388	$56,304
Belinda Santos-Ramirez
Assistant Secretary	45.5	4.5		Yes (X)	$117,724	$0	$30,773
Nicholas M Holmes
Sr VP, COO	46.0	4.0		Yes (X)	$681,759	$0	$33,434
Chris Abe
VP, Operations	50.0	0.0			$308,686	$0	$99,514	Yes (X)
Joseph Ambrose
SR Dir, Chief Tech Officer	50.0	0.0			$281,748	$0	$26,874	Yes (X)
Scott D Campbell
VP, CFO & Admin Officer - MPF	50.0	0.0			$449,563	$0	$54,029	Yes (X)
Charles B Davis
Sr VP, MPF COO & Care redesign	50.0	0.0			$553,489	$0	$49,066	Yes (X)
Mary J Fagan
VP, Patient Care Svcs/CNO	50.0	0.0			$384,814	$0	$73,240	Yes (X)
Irvin A Kaufman
Chief, Health Affairs	50.0	0.0			$355,877	$0	$54,872	Yes (X)
Joshua Kohrumel
Chief Data Officer (CDO)	50.0	0.0			$215,364	$0	$27,192	Yes (X)
Cathy Nugent
VP, Human Resources	50.0	0.0			$309,992	$0	$189,902	Yes (X)
Albert Oriol
VP, Info Management/CIO	50.0	0.0			$501,267	$0	$44,246	Yes (X)
nishantha s ratnayake
vp, finance & controller	50.0	0.0			$326,626	$0	$31,983	Yes (X)
Barbara L Ryan
VP, Government Affairs	50.0	0.0			$409,511	$0	$118,883	Yes (X)
Angela M Viera
VP, General Counsel	50.0	0.0			$510,047	$0	$60,703	Yes (X)
Charles Wilson
Sr Dir, Chadwick Center	50.0	0.0			$337,249	$0	$57,232	Yes (X)
Glenn F Billman
Chief Quality Officer	50.0	0.0			$356,371	$0	$78,133		Yes (X)
Michael Hester
Sr Dir, Revenue Cycle	50.0	0.0			$262,005	$0	$15,076		Yes (X)
Amanda Carlson
Nurse Practitioner, Neonatal	50.0	0.0			$246,188	$0	$171,338		Yes (X)
Teresita P Diaz
Clinical Nurse III	50.0	0.0			$246,990	$0	$75,673		Yes (X)
Kristin Gist
Sr Dir, Developmental Services	50.0	0.0			$239,286	$0	$119,490		Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$10,797,457	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$528,388	TotReportableCompRltdOrgAmt
Total Other Compensation	$1,651,074	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	747	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	Yes (true)	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (true)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	false	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
Children's Specialists of San Diego
3020 Childrens Way Mc 5001	SAN DIEGO	CA	92123	Medical Services	$130,391,343
The Regents of the University of Ca
9500 Gilman Drive	LA JOLLA	CA	92093	Medical Services	$45,279,147
Children's Physicians Medical Group
5855 Copley Drive Suite 100	SAN DIEGO	CA	92111	Medical Services	$33,942,450
Human Capital Select LLC
2680 S Val Vista Drive Suite 161	GILBERT	AZ	85295	Agency Labor	$24,362,171
McCarthy Building Companies Inc
9275 Sky Park Court Suite 200	SAN DIEGO	CA	92123	Construction Service	$19,051,341

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	396	CntrctRcvdGreaterThan100KCnt
Related Organizations	$19,655,940	RelatedOrganizationsAmt
Government Grants	$175,807,304	GovernmentGrantsAmt
All Other Contributions	$8,118,455	AllOtherContributionsAmt
Total Contributions	$203,581,699	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
NET PATIENT REVENUE	621400	$792,475,521	$792,475,521
CAPITATED CONTRACT REVENUE	623000	$165,122,941	$165,122,941
OUTPATIENT PHARMACEUTICAL	611710	$10,344,129	$10,344,129
MEDICAL OFFICE BUILDING	611710	$5,855,237	$5,855,237
MEDICAL SERVICES REIMBURSEMENT	611710	$3,429,411	$3,429,411

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$7,411,544	TotalRevenueColumnAmt
Related Or Exempt Func Income	$7,411,544	RelatedOrExemptFuncIncomeAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$984,638,783	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$13,029,077	TotalRevenueColumnAmt
Exclusion	$13,029,077	ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Royalties Revenue RoyaltiesRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$889,745	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$889,745	RealAmt
Personal	$0	PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$889,745	TotalRevenueColumnAmt
Exclusion	$889,745	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$481,295,369	SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$445,453,674	SecuritiesAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$35,841,695	SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$35,841,695	TotalRevenueColumnAmt
Exclusion	$35,841,695	ExclusionAmt

Field	Value	IRS element (for citing)
Fundraising Gross Income	$0	FundraisingGrossIncomeAmt
Fundraising Direct Expenses	$0	FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Field	Value	IRS element (for citing)
Gaming Gross Income	$0	GamingGrossIncomeAmt
Gaming Direct Expenses	$0	GamingDirectExpensesAmt

Net Income From Gaming NetIncomeFromGamingGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Field	Value	IRS element (for citing)
Gross Sales Of Inventory	$0	GrossSalesOfInventoryAmt
Cost Of Goods Sold	$0	CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	ExclusionExclusionAmt
TPA SERVICES	900099	$6,174,914	$6,174,914
FOOD SERVICE REVENUE	721000	$2,133,800	$2,133,800
PARKING	812930	$1,997,578	$1,997,578

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$3,437,090	TotalRevenueColumnAmt
Unrelated Business Revenue	$1,465,565	UnrelatedBusinessRevenueAmt
Exclusion	$1,971,525	ExclusionAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$13,743,382	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,251,724,381	TotalRevenueColumnAmt
Related Or Exempt Func Income	$984,638,783	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$1,465,565	UnrelatedBusinessRevenueAmt
Exclusion	$62,038,334	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	$5,392,054	TotalAmt
Program Services	$5,392,054	ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Foreign Grants ForeignGrantsGrp

Field	Value	IRS element (for citing)
Total	$135,000	TotalAmt
Program Services	$135,000	ProgramServicesAmt

Benefits To Members BenefitsToMembersGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$9,852,020	TotalAmt
Program Services	$1,915,417	ProgramServicesAmt
Management And General	$7,844,959	ManagementAndGeneralAmt
Fundraising	$91,644	FundraisingAmt

Comp Disqual Persons CompDisqualPersonsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$350,503,814	TotalAmt
Program Services	$255,787,797	ProgramServicesAmt
Management And General	$94,716,017	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$32,952,525	TotalAmt
Program Services	$23,810,614	ProgramServicesAmt
Management And General	$9,141,911	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$33,472,865	TotalAmt
Program Services	$24,186,598	ProgramServicesAmt
Management And General	$9,286,267	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$26,506,767	TotalAmt
Program Services	$19,153,082	ProgramServicesAmt
Management And General	$7,353,685	ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$5,962,424	TotalAmt
Program Services	$1,789,919	ProgramServicesAmt
Management And General	$4,172,505	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$967,532	TotalAmt
Program Services	$5,882	ProgramServicesAmt
Management And General	$961,650	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$496,104	TotalAmt
Management And General	$496,104	ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$213,949	TotalAmt
Management And General	$213,949	ManagementAndGeneralAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$1,084,570	TotalAmt
Management And General	$1,084,570	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$343,185,090	TotalAmt
Program Services	$314,342,530	ProgramServicesAmt
Management And General	$28,842,560	ManagementAndGeneralAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$2,468,695	TotalAmt
Program Services	$807,302	ProgramServicesAmt
Management And General	$1,661,393	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$4,055,292	TotalAmt
Program Services	$1,536,339	ProgramServicesAmt
Management And General	$2,518,953	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$11,514,625	TotalAmt
Program Services	$1,109,344	ProgramServicesAmt
Management And General	$10,405,281	ManagementAndGeneralAmt

Royalties RoyaltiesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$14,991,982	TotalAmt
Program Services	$11,993,586	ProgramServicesAmt
Management And General	$2,998,396	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$1,434,981	TotalAmt
Program Services	$920,177	ProgramServicesAmt
Management And General	$514,804	ManagementAndGeneralAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$517,685	TotalAmt
Program Services	$389,341	ProgramServicesAmt
Management And General	$128,344	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$15,498,934	TotalAmt
Program Services	$12,399,147	ProgramServicesAmt
Management And General	$3,099,787	ManagementAndGeneralAmt

Payments To Affiliates PaymentsToAffiliatesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$44,419,028	TotalAmt
Program Services	$28,872,368	ProgramServicesAmt
Management And General	$15,546,660	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$9,453,541	TotalAmt
Program Services	$11,865	ProgramServicesAmt
Management And General	$9,441,676	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
MEDICAL SUPPLIES	$121,633,746	$121,633,746
TAXES, FEES, & LICENSES	$44,613,990	$43,331,986	$1,282,004
REPAIRS AND MAINTENANCE	$5,609,694	$1,016,545	$4,593,149
FOOD SUPPLIES	$2,512,435	$1,884,326	$628,109

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$20,535,005	TotalAmt
Program Services	$19,898,648	ProgramServicesAmt
Management And General	$636,357	ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$1,109,984,347	TotalAmt
Program Services	$892,323,613	ProgramServicesAmt
Management And General	$217,569,090	ManagementAndGeneralAmt
Fundraising	$91,644	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$15,950,670	BOYAmt
EOY	$43,021,111	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$186,279,146	BOYAmt
EOY	$166,823,345	EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

Field	Value	IRS element (for citing)
BOY	$31,791	BOYAmt
EOY	$14,666	EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

Field	Value	IRS element (for citing)
BOY	$588,117	BOYAmt
EOY	$544,248	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$8,604,619	BOYAmt
EOY	$9,754,876	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$9,113,000	BOYAmt
EOY	$14,027,728	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$908,541,217	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$420,960,141	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$476,119,137	BOYAmt
EOY	$487,581,076	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$757,641,924	BOYAmt
EOY	$767,855,442	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$293,484,262	BOYAmt
EOY	$486,853,988	EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Intangible Assets IntangibleAssetsGrp

Field	Value	IRS element (for citing)
BOY	$1,028,000	BOYAmt
EOY	$923,000	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$57,737,323	BOYAmt
EOY	$49,268,181	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$1,806,577,989	BOYAmt
EOY	$2,026,667,661	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$133,083,229	BOYAmt
EOY	$143,417,669	EOYAmt

Grants Payable GrantsPayableGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$9,606,919	BOYAmt
EOY	$66,111,049	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$380,353,751	BOYAmt
EOY	$372,866,140	EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
BOY	$3,586,072	BOYAmt
EOY	$0	EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$158,719,290	BOYAmt
EOY	$126,399,437	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$685,349,261	BOYAmt
EOY	$708,794,295	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows SFAS117	Yes (X)	OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$1,047,488,367	BOYAmt
EOY	$1,227,529,619	EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$54,265,338	BOYAmt
EOY	$65,768,437	EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$19,475,023	BOYAmt
EOY	$24,575,310	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$1,121,228,728	BOYAmt
EOY	$1,317,873,366	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$1,806,577,989	BOYAmt
EOY	$2,026,667,661	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$141,740,034	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$19,502,774	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	$35,401,830	OtherChangesInNetAssetsAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	false	AccountantCompileOrReviewInd
FS Audited	Yes (true)	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 (true)	AuditCommitteeInd
Federal Grant Audit Required	Yes (true)	FederalGrantAuditRequiredInd
Federal Grant Audit Performed	Yes (true)	FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

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

Schedule B IRS990ScheduleB

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Total Grassroots Lobbying		TotalGrassrootsLobbyingGrp
Total Direct Lobbying		TotalDirectLobbyingGrp
Total Lobbying Expend		TotalLobbyingExpendGrp
Other Exempt Purpose Expend		OtherExemptPurposeExpendGrp
Total Exempt Purpose Expend		TotalExemptPurposeExpendGrp
Lobbying Nontaxable Amount		LobbyingNontaxableAmountGrp
Grassroots Nontaxable		GrassrootsNontaxableGrp
Tot Lbbyng Grassroot Mns Non Tx		TotLbbyngGrassrootMnsNonTxGrp
Tot Lbby Expend Mns Lbbyng Non Tx		TotLbbyExpendMnsLbbyngNonTxGrp
Volunteers	false	VolunteersInd
Paid Staff Or Management	false	PaidStaffOrManagementInd
Media Advertisements	false	MediaAdvertisementsInd
Mailings Members	false	MailingsMembersInd
Publications Or Broadcast	false	PublicationsOrBroadcastInd
Grants Other Organizations	Yes (true)	GrantsOtherOrganizationsInd
Grants Other Organizations	$213,949	GrantsOtherOrganizationsAmt
Direct Contact Legislators	false	DirectContactLegislatorsInd
Rallies Demonstrations	false	RalliesDemonstrationsInd
Other Activities	false	OtherActivitiesInd
Total Lobbying Expenditures	$213,949	TotalLobbyingExpendituresAmt
Not Described Section501c3	false	NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Schedule C, Part II-B, Line 1G	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

Field	Value	IRS element (for citing)
Art Public Exhibition Amounts		ArtPublicExhibitionAmountsGrp
Held Works Art		HeldWorksArtGrp

CY Endwmt Fund CYEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$101,712,762	BeginningYearBalanceAmt
Contributions	$6,622,916	ContributionsAmt
Investment Earnings Or Losses	$6,082,110	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$0	GrantsOrScholarshipsAmt
Other Expenditures	$4,360,156	OtherExpendituresAmt
Administrative Expenses	$108,001	AdministrativeExpensesAmt
End Year Balance	$109,949,631	EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$93,441,640	BeginningYearBalanceAmt
Contributions	$2,751,574	ContributionsAmt
Investment Earnings Or Losses	$9,143,887	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$0	GrantsOrScholarshipsAmt
Other Expenditures	$3,522,210	OtherExpendituresAmt
Administrative Expenses	$102,129	AdministrativeExpensesAmt
End Year Balance	$101,712,762	EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$77,890,677	BeginningYearBalanceAmt
Contributions	$19,892,990	ContributionsAmt
Investment Earnings Or Losses	-$1,413,872	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$0	GrantsOrScholarshipsAmt
Other Expenditures	$2,851,124	OtherExpendituresAmt
Administrative Expenses	$77,031	AdministrativeExpensesAmt
End Year Balance	$93,441,640	EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$76,459,422	BeginningYearBalanceAmt
Contributions	$3,208,716	ContributionsAmt
Investment Earnings Or Losses	$1,216,883	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$0	GrantsOrScholarshipsAmt
Other Expenditures	$2,924,611	OtherExpendituresAmt
Administrative Expenses	$69,733	AdministrativeExpensesAmt
End Year Balance	$77,890,677	EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$66,856,590	BeginningYearBalanceAmt
Contributions	$3,840,383	ContributionsAmt
Investment Earnings Or Losses	$8,518,179	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$0	GrantsOrScholarshipsAmt
Other Expenditures	$2,621,634	OtherExpendituresAmt
Administrative Expenses	$134,096	AdministrativeExpensesAmt
End Year Balance	$76,459,422	EndYearBalanceAmt

Field	Value	IRS element (for citing)
Board Designated Balance EOY	0.61840	BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY	0.33070	PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY	0.05090	TermEndowmentBalanceEOYPct
Endowments Held Unrelated Org	Yes (true)	EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org	Yes (true)	EndowmentsHeldRelatedOrgInd
Related Org List Sch R	Yes (true)	RelatedOrgListSchRInd

Land LandGrp

Field	Value	IRS element (for citing)
Investment Cost Or Other Basis	$0	InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis	$19,590,822	OtherCostOrOtherBasisAmt
Book Value	$19,590,822	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Investment Cost Or Other Basis	$0	InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis	$591,837,698	OtherCostOrOtherBasisAmt
Depreciation	$253,162,671	DepreciationAmt
Book Value	$338,675,027	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$8,952,382	OtherCostOrOtherBasisAmt
Depreciation	$5,394,775	DepreciationAmt
Book Value	$3,557,607	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$220,229,682	OtherCostOrOtherBasisAmt
Depreciation	$158,929,959	DepreciationAmt
Book Value	$61,299,723	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$67,930,633	OtherCostOrOtherBasisAmt
Depreciation	$3,472,736	DepreciationAmt
Book Value	$64,457,897	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$487,581,076	TotalBookValueLandBuildingsAmt
Financial Derivatives		FinancialDerivativesGrp
Closely Held Equity Interests		CloselyHeldEquityInterestsGrp

Other Securities OtherSecuritiesGrp (47 entries)

DescDesc	Book ValueBookValueAmt	Method ValuationMethodValuationCd
EMPYREAN CAPITAL OFFSHORE FUND	$26,433,275	F
THIRD POINT OFFSHORE FUND, LTD	$24,075,009	F
DW CATALYST FUND	$21,159,257	F
OCH-ZIFF CREDIT OPPORTUNITIES	$26,208,961	F
36 SOUTH	$25,573,811	F
TSE CAPITAL	$25,566,865	F
SOROBAN OPPORTUNITIES FUND	$28,677,926	F
VISIUM BALANCED FUND	$635,967	F
THE CAMOX FUND	$47,898,202	F
SUVRETTA OFFSHORE FUND LTD	$24,370,254	F
HIGHLINE SELECT	$25,258,712	F
MARSHALL WACE EUREKA	$29,139,605	F
THE CHILDREN'S INVESTMENT FUND	$20,783,131	F
TAMARACK GLOBAL HEALTHCARE FUN	$31,260,366	F
AMERICAN SECURITIES PARTNERS V	$1,906,687	F
STEPSTONE SECONDARY OPPORTUNIT	$2,978,475	F
STEPSTONE ENDURANCE LP	$405,758	F
GOLDMAN SACHS VINTAGE FUND IV,	$1,606,189	F
TRG GROWTH PARTNERSHIP	$2,274,475	F
CVC CREDIT PARTNERS GLOBAL SPE	$4,644,818	F
GOLDMAN SACHS CAPITAL PARTNERS	$940,742	F
FORTISSIMO CAPITAL FUND IV	$3,098,975	F
YORKTOWN ENERGY PARTNERS IX	$1,586,696	F
AMERICAN SECURITIES PARTNERS V	$2,335,173	F
AMERICAN SECURITIES PARTNERS V	$4,250,984	F
MILLENNIUM TECHNOLOGY VALUE PA	$2,502,667	F
STEPSTONE SECONDARY OPPORTUNIT	$2,939,247	F
AMERICAN INDUSTRIAL PARTNERS C	$5,654,716	F
PATRIA BRAZILIAN PRIVATE EQUIT	$2,785,057	F
WHITE DEER ENERGY II	$4,729,722	F
RIDGEMONT EQUITY PARTNERS ENER	$3,165,906	F
NY LIFE INSURANCE - ROBERT LIP	$37,981	F
OAKTREE EUROPEAN PRINCIPAL FUN	$3,452,521	F
PATRIA BRAZILIAN PRIVATE EQUIT	$1,053,479	F
VISTA EQUITY PARTNERS V	$6,162,573	F
TPG PARTNERS VII	$8,576,275	F
AMERICAN INDUSTRIAL PARTNERS C	$2,902,925	F
ADVENT INTERNATIONAL GPE VIII?	$2,529,123	F
KOPERNIK	$23,316,072	F
U.S. FARMING	$5,172,011	F
ACTIS ENERGY 3	$3,043,117	F
RIVERSTONE GLOBAL ENERGY AND P	$5,187,067	F
ISQ GLOBAL FUND	$6,033,132	F
ENCAP ENERGY	$2,718,571	F
STEPSTONE SECONDARY OPPORTUNIT	$4,447,839	F
PRIMAVERA III	$2,975,400	F
GLOBAL INFRASTRUCTURE PARTNERS	$4,398,274	F

Field	Value	IRS element (for citing)
Total Book Value Securities	$486,853,988	TotalBookValueSecuritiesAmt
Federal Income Tax Liability	$0	FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (10 entries)

DescDesc	AmtAmt
PAYABLE TO BENEFICIARIES	$316,344
INTEREST RATE SWAPS	$51,114,707
DEFERRED COMPENSATION	$15,915
MALPRACTICE IBNR	$4,250,987
BENEFITS PAYABLE	$17,251,306
SANFORD INVSTMNT OCEANSIDE BUI	$2,948,673
SECURITY DEPOSITS	$100,731
PENSION LIABILTY	$47,208,566
CONTRACTOR RETAINAGE	$1,750,719
DEFERRED LEASE LIABILITY - LT	$1,441,489

Field	Value	IRS element (for citing)
Total Liability	$126,399,437	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc

ExplanationExplanationTxt

Schedule D, Part V, Line 4

Rady Children's board designated endowment funds support the highest and most urgent needs of the organization as determined by ItS Board of Trustees. In addition, donor designated (or restricted) endowment funds support a wide range of Initiatives Identified by the donor.

Schedule D, Part X, Line 2

RCHHC recognizes and measures the tax benefit from uncertain tax positions only if it is more likely than not that the tax position will be sustained, based solely on its technical merits, with the taxing authority having full knowledge of all relevant information. RCHHC records liabilities for unrecognized tax benefits from uncertain tax positions as discrete tax adjustments in the first period that the more likely than not threshold is not met. RCHHC has not taken any significant uncertain tax positions therefore no liability (or asset) has been recognized as of June 30, 2018.

Schedule F IRS990ScheduleF

Account Activities Outside US AccountActivitiesOutsideUSGrp (3 entries)

RegionRegionTxt	Type Of Activities ConductedTypeOfActivitiesConductedTxt	Region Total ExpendituresRegionTotalExpendituresAmt
Central America and the Caribbean	Investments	$278,265,562
Europe (Including Iceland and Greenland)	Investments	$26,795,545
North America	Grantmaking	$135,000

Field	Value	IRS element (for citing)
Subtotal Spent	$305,196,107	SubtotalSpentAmt
Total Spent	$305,196,107	TotalSpentAmt

Grants To Org Outside US GrantsToOrgOutsideUSGrp

Field	Value	IRS element (for citing)
Region	North America	RegionTxt
Purpose Of Grant	Grant to Hospital	PurposeOfGrantTxt
Cash Grant	$135,000	CashGrantAmt
Manner Of Cash Disbursement	check	MannerOfCashDisbursementTxt

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

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	SCHEDULE F, PART I, LINE 3, COLUMN F	FormAndLineReferenceDesc
Explanation	THE ORGANIZATION IS REPORTING THE AMOUNT OF INVESTMENTS ON PART I, LINE 3, COLUMN F. THE ORGANIZATION USES THE ACCRUAL METHOD OF ACCOUNTING FOR ALL AMOUNTS REPORTED.	ExplanationTxt

Schedule H IRS990ScheduleH

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

Free Care Oth Percentage FreeCareOthPercentageGrp

Field	Value	IRS element (for citing)
Other	Yes (X)	OtherInd
Free Care Other	250.	FreeCareOtherPct

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

Discounted Care Oth Percentage DiscountedCareOthPercentageGrp

Field	Value	IRS element (for citing)
Other	Yes (X)	OtherInd
Discounted Care Other	450.	DiscountedCareOtherPct

Field	Value	IRS element (for citing)
Free Care Medically Indigent	Yes (true)	FreeCareMedicallyIndigentInd
Financial Assistance Budget	Yes (true)	FinancialAssistanceBudgetInd
Expenses Exceed Budget	false	ExpensesExceedBudgetInd
Annual Community Bnft Report	Yes (true)	AnnualCommunityBnftReportInd
Report Publically Available	Yes (true)	ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,194,227	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$83,462	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,110,765	NetCommunityBenefitExpnsAmt
Total Expense	0.00100	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$429,891,600	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$443,950,307	DirectOffsettingRevenueAmt
Net Community Benefit Expns	-$14,058,707	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$5,273,362	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$2,217	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$5,271,145	NetCommunityBenefitExpnsAmt
Total Expense	0.00470	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$436,359,189	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$444,035,986	DirectOffsettingRevenueAmt
Net Community Benefit Expns	-$7,676,797	NetCommunityBenefitExpnsAmt
Total Expense	0.00570	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$36,579,621	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$22,213,544	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$14,366,077	NetCommunityBenefitExpnsAmt
Total Expense	0.01290	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$19,092,862	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$6,063,748	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$13,029,114	NetCommunityBenefitExpnsAmt
Total Expense	0.01170	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$35,061,086	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$13,878,218	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$21,182,868	NetCommunityBenefitExpnsAmt
Total Expense	0.01910	TotalExpensePct

Research ResearchGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$19,497,413	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$13,809,008	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$5,688,405	NetCommunityBenefitExpnsAmt
Total Expense	0.00510	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$10,042	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$10,042	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$110,241,024	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$55,964,518	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$54,276,506	NetCommunityBenefitExpnsAmt
Total Expense	0.04880	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$546,600,213	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$500,000,504	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$46,599,709	NetCommunityBenefitExpnsAmt
Total Expense	0.05450	TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$812,777	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$556,750	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$256,027	NetCommunityBenefitExpnsAmt

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$812,777	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$556,750	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$256,027	NetCommunityBenefitExpnsAmt

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	false	BadDebtExpenseReportedInd
Bad Debt Expense	$16,973,865	BadDebtExpenseAmt
Bad Debt Expense Attributable	$4,827,367	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$1,759,272	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$2,737,179	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$977,907	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 (true)	WrittenDebtCollectionPolicyInd
Financial Assistance Prvsn	Yes (true)	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	false	FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY	false	TaxExemptHospitalCYOrPYInd
CHNA Conducted	Yes (true)	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	16	CHNAConductedYr
Take Into Account Others Input	Yes (true)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	Yes (true)	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	false	CHNAConductedWithNonFcltsInd
CHNA Report Widely Available	Yes (true)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	See Part V Section C	OwnWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Implementation Strategy Adopt	Yes (true)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	16	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (true)	StrategyPostedWebsiteInd
Strategy Website URL	SEE PART V SECTION C	StrategyWebsiteURLTxt
Organization Incur Excise Tax	false	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (true)	EligCriteriaExplainedInd
FPG Family Incm Lmt Free Dscnt	Yes (X)	FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care	250.	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	450.	FPGFamilyIncmLmtDscntCarePct
Insurance Status Criteria	Yes (X)	InsuranceStatusCriteriaInd
Explained Basis	Yes (true)	ExplainedBasisInd
App Financial Asst Expln	Yes (true)	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 (true)	IncludesPublicityMeasuresInd
FAP Available On Website	Yes (X)	FAPAvailableOnWebsiteInd
FAP Available On Website URL	See Part V, Section C	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	See Part V, Section C	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	See Part V, Section C	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 (true)	FAPActionsOnNonpaymentInd
Permit No Actions	Yes (X)	PermitNoActionsInd
Collection Activities	false	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 (true)	NondisEmergencyCarePolicyInd
Look Back Medicaid Medcr Prvt	Yes (X)	LookBackMedicaidMedcrPrvtInd
Amounts Generally Billed	false	AmountsGenerallyBilledInd
Gross Charges	false	GrossChargesInd

Supplemental Information SupplementalInformationGrp (4 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
SCHEDULE H, PART V, SECTION B, LINE 5	Community engagement activities were conducted with a broad range of people including health experts, community leaders, and San Diego residents, in an effort to gain a more complete understanding of the top identified health needs in the San Diego community. Individuals who were consulted included representatives from state, local, tribal, or other regional governmental public health departments (or equivalent department or agency) as well as leaders, representatives, or members of medically underserved, low-income, and minority populations. Community input was gathered through the following activities: community partner discussions, key informant interviews, the Health Access and Navigation Survey, and the San Diego County HHSA survey. Community partner discussions were conducted in all regions of the county between July and October of 2015, with 87 total participants. Non-traditional stakeholders were recruited through existing community partnerships in order to solicit input from those who work directly with vulnerable populations. These stakeholders (community partners) were comprised of individuals from a variety of backgrounds including: care coordinators, outreach workers, community education specialists, wellness coordinators, school nurses, behavioral health managers and workers, CalFresh Outreach Coordinators, and CalFresh Capacity Coordinators. Key Informant Interviews: In response to feedback from the 2013 CHNA, the number of key informant interviews conducted as part of the FY2016 CHNA was expanded to include experts working with a wider variety of patient populations. Participants were selected based on their expertise in a specific condition, age group, and/or population. More specifically, individuals who participated in the FY2016 CHNA had knowledge in at least one of the following areas: childhood issues, senior health, Native Americans, Latinos, Asian Americans, refugee and families, homeless, lesbian, gay, bisexual, transgender and queer (LGBTQ) population, veterans, alcohol and drug addiction, cardiovascular health, behavioral health, diabetes, obesity, and food insecurity. In addition there was representation across multiple agencies and organizations including the San Diego County HHSA, local schools, youth programs, community clinics, and community-based organizations. The development of the key informant Interview tool began with the results from the HASD&IC 2013 CHNA. The interview questions were designed to provide in-depth detail on the top four health needs. Nineteen key informant interviews took place either in-person or via phone interview between July 2015 and February 2016. Surveys: Two different surveys were developed and disseminated through different avenues as part of the FY2016 CHNA process the Health Access and Navigation Survey and the Collaborative San Diego County Health and Human Services Agency Survey. HEALTH ACCESS AND NAVIGATION SURVEY: The Health Access and Navigation Survey was developed in partnership with the San Diego County Resident Leadership Academy (RLA). After comparing results of the RLAs 2014 Community Needs Assessment and with the findings from the HASD&IC 2013 CHNA, access and navigation of health care emerged as a common barrier identified by the San Diego community. The CHNA Committee collaborated with the RLAs to design a survey tool that could identify specific barriers residents face when they try to access health care services. RLA leaders agreed to disseminate the health access and navigation survey to residents in their neighborhoods. Survey participants were asked to choose the top five barriers the participants or the population they work with experience, and to rank the five barriers from one to five, with one being the most troublesome. SAN DIEGO COUNTY HHSA SURVEY: The HHSA and HASD&IC partnered in regional presentations as well as an electronic survey. Data presentations were given at five Live Well San Diego Regional Leadership Team meetings across San Diego County in October and November 2015. The Regional Leadership Teams are comprised of community leaders and stakeholders that are active in each of the six HHSA regions. Each meeting included an overview of the HASD&IC 2013 CHNA process and findings followed by a presentation from the County of San Diego Community Health Statistics Unit on current data trends in their region. Following the data presentations, an electronic survey was sent to pre-identified stakeholders and community partners representing all six HHSA regions. HASD&IC and the County HHSA worked together to create specific questions assessing community perception of the top health needs, and for which health needs resources are lacking. SCHEDULE H, PART V, SECTION B, LINE 6A Rady Children's Hospital - San Diego conducted its chna with the following hospitals (see chna, page 4): - Kaiser Foundation Hospital - San Diego - Palomar Health - Scripps Health - Sharp Healthcare - Tri-City Medical Center - University of California San Diego Health System
SCHEDULE H, PART V, SECTION B, LINE 7a	https://www.rchsd.org/health-safety/community-health-needs-assessment/ SCHEDULE H, PART V, SECTION B, LINE 10a https://www.rchsd.org/health-safety/community-health-needs-assessment/
Schedule H, Part V, Line 11	Community Health Needs Addressed: Obesity and Diabetes (Type II) - o Regional Partnerships Childhood Obesity Initiative (COI) - Rady Childrens has participated in the San Diego County Childhood Obesity Initiative (COI) since its inception in 2004. The COI is a countywide collaborative that strives to reduce and prevent childhood obesity through a multi-pronged approach. Through the COI, Rady Childrens collaborates with other healthcare leaders, San Diego County Health and Human Services, and other partners in the community. Rady Childrens provides staff and medical leadership to support the COI. o Weight and Wellness Program - Clinician feedback has identified that there are not adequate community-based resources available to address this need. The Center for Healthier Communities plans to develop and pilot a new program to provide tailored nutrition education, food preparation and physical activity for overweight youth. Clinicians and others can refer overweight and obese youth and their families to this program. o Lets Get Cooking - Rady Childrens has a long history of participating in the City Heights Wellness Center (Wellness Center) in collaboration with Scripps Health. The Wellness Center Teaching Kitchen serves as the site for Lets Get Cooking classes which addresses obesity and Type 2 diabetes through nutrition education and cooking classes in a high risk community. Rady Childrens will work to find the resources necessary to continue Lets Get Cooking classes both at the Wellness Center and through the creation of a mobile "teaching Kitchen" to increase the capacity to bring the program to communities and partners without established cooking facilities. o Rethink Your Drink - This initiative is designed to provide education about the content and health effects of added sweeteners in beverages, increase the availability and consumption of healthy drink options, and make healthy beverages the standard in our organization and for the children and families that visit Rady Children's Hospital. Going forward, Rady Childrens will continue to share program information with the COI and other hospitals. Information will also be shared with schools at community events. Mental and Behavioral Health - The child health need regarding mental and behavioral health are being addressed through the following strategies and programs: o Depression Screening: A Depression Risk Screening (PHQ9) is provided to all patients at Rady Childrens, ages 12 and over, visiting a Medical Practice Foundation (MPF) High Risk Specialty clinic. Contact sheets with referrals in the community for treatment are provided to families with an at-risk score, and physicians whose patients are identified with a high threshold at-risk score are alerted for immediate intervention. Depression screening is an important tool for obesity, Type 2 diabetes, and children with single chronic illness, as all of these conditions carry a high risk for depression, which negatively impacts disease management. o KidSTART Clinic - This program serves children who are Medi-Cal eligible, age 0-5, and exhibit complex medical needs that range from developmental to mental health needs. A new component being offered to KidSTART families includes oral health screening, education and referral. o Crisis Stabilization Unit - The psychiatric crisis stabilization unit is a physical unit within the hospital with the capacity for four patients that is ideally structured to receive patients from the Emergency Department (ED) for short-term crisis assessment and treatment. Autism - The Developmental Services department at Rady Childrens provides a continuum of integrated services across various disciplines and community partners to support early brain development, social/emotional development, and the needs of the whole child through every aspect of care delivery. Emphasizing early identification, diagnosis and intervention, a variety of programs are provided, including programs focused on Autism and ADHD. o The Autism Discovery Institute (ADI): The Autism Discovery Institute is a state-of-the-art facility that serves children with Autistic Spectrum Disorders (ASD) through a multidisciplinary approach, as well as provides a forum for research, to improve the lives of children with ASD. The goal of the ADI is to provide comprehensive care that will improve the lives of children with autism spectrum disorders. Rady Childrens collaborates with a myriad of community-based agencies and providers. o Developmental Evaluation Clinic (DEC): The Developmental Evaluation Clinic provides diagnostic developmental evaluations for infants, preschoolers, and school-age children to identify developmental, learning and social delays and determine the need for further intervention. Children are referred for evaluation due to premature birth and other neonatal complications, slow development, kindergarten readiness, behavioral problems, Autistic Spectrum Disorders, or family history of learning disabilities. Once delays have been identified, referrals are made to a variety of public education programs, as well as public and private therapy programs. Other unique community programs include: The Center for Healthier Communities o Childhood Injury Prevention: The CHC plays a primary leadership role in the community in childhood injury prevention. Data from the Rady Childrens Trauma Center and other sources is reviewed to determine priorities and focus, and the information is brought to communities to raise awareness, problem solve, and advocate for public policy and safety regulations. Programs include: o Safety Store: Providing products to keep families safe. o Safe Kids San Diego: Addressing drowning prevention, child passenger safety and other prevalent injury area through a local coalition, in which Rady Childrens is the lead organization. o Injury-Free Coalition for Kids: Preventing injuries as part of a national program of the Robert Wood Johnson Foundation. o Safe Routes to School: Increasing the number of children who walk or bike to school safely as part of a national initiative. o Kohls Transportation Safety Program: Providing weekly child passenger safety seat inspections through a grant from Kohls Department Store. o Sports Injury and Concussion Prevention Program: Preventing sports injuries and concussions in children and teens through our 360 Sports Medicine program and other initiatives. o Maternal and Child Health incuding Immunizations which ensure the safety of children in the community by increasing numbers of fully immunized children through information and resources provided to parents. o Health and Lifestyle Programs including: o FACES for the Future: Inspires youth to become leaders through a coordinated school, community and hospital-based program that provides youth development, health careers preparation, and nutrition education. o Juvenile Hall Wellness Team: Provides health and wellness information and counseling for incarcerated youth. o Anderson Center for Dental Care: Improves the oral health of all children in San Diego County through improved access to care, education, and advocacy. o Asthma (new program): Community Approach to Severe Asthma Program (CASA) is an innovative pilot program in San Diego with the goal of improving management and outcomes for children identified by Rady Childrens with severe childhood asthma. o The Chadwick Center for Children and Families - The primary focus of the Chadwick Center for Children and Families at Rady Childrens is the prevention, detection and treatment of child abuse and neglect, domestic violence, and post-traumatic stress in children. The Chadwick Center is one of the largest hospital based child advocacy and trauma treatment centers in the nation and is staffed with more than 107 professionals in the field of medicine, social work, psychology, psychiatry, child development, nursing and education technology. o Trauma Counseling Program - The Trauma Counseling Program has been committed to treating the after-effects of a childs traumatic experience. The staff of the Trauma Counseling Program is primarily composed of Licensed Clinical Social Workers, Marriage and Family Therapists, and Psychologists. The staff's expertise is in treating childhood traumatic events including neglect; physical and sexual abuse; sexual assault; domestic, school, and community violence; and natural disasters. Treatment for the psychological aspects of medical trauma and chronic pain is also available. Please refer to https://www.rchsd.org/documents/2016/02/community-health-needs-implementat ion-strategy.pdf/ for more information on the Community Health Needs Assessment Implementation Strategy. Needs not addressed: Rady Children's is not addressing cardiovascular disease for the pediatric population as it was identified in the chna as a top health need for the adult population, not pediatric. Rady Children's provides cardiology, cardiovascular and other related medical s
SCHEDULE H, PART V, SECTION B, LINE 16a, 16b, 16c	The FAP, the FAP application, and the plain language FAP were all made available online at: https://www.rchsd.org/patients-visitors/financial-assistance/ SCHEDULE H, PART V, SECTION B, LINE 16j ALL LANGUAGE REGARDING THE POLICY IS COMMUNICATED TO PATIENTS VIA SIGNAGE IN ALL ADMITTING AREAS. AT THE POINT OF REGISTRATION, ALL PATIENTS RECEIVE BROCHURES EXPLAINING THE FACILITY'S FINANCIAL ASSISTANCE PROGRAM AND THE AVAILABILITY OF GOVERNMENT SPONSORED PROGRAMS; ALL INITIAL STATEMENTS TO UNINSURED PATIENTS INCLUDES VERBIAGE INFORMING PATIENTS OF THE FACILITY'S FINANCIAL ASSISTANCE PROGRAM AND A COPY OF THE CHARITY CARE APPLICATION. A SUMMARY OF THE FINANCIAL ASSISTANCE POLICY IS POSTED ON THE HOSPITAL'S WEBSITE.

Field	Value	IRS element (for citing)
Facility	21	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (21 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	FacilityFacilityTxt
Chadwick Center for Children & Families
333 H ST SUITE 3010	Chula Vista	CA	91910	Trauma Counseling
Rady Children's Specialists of San Diego
477 NORTH EL CAMINO REAL BUILDING	Encinitas	CA	92024	Clinic
Rady Children's Specialists of San Diego
625 West Citracado Parkway	Escondido	CA	92025	Clinic/ urgent care
Rady Children's Specialists of San Diego
25485 Medical Center Drive Suite 1	Murrieta	CA	92562	Clinic
Sanford Children's Clinic
3605 Vista Way Suite 130	Oceanside	CA	92056	Clinic
Rady Children's Developmental Services
667 San Rodolfo Drive Suite 126	Solana Beach	CA	92075	Clinic
City Heights Wellness Center
4440 Wightman Street Suite 200	San Diego	CA	92105	Wellness center
HomeCare
8291 Aero Place Suite 130	San Diego	CA	92123	Home HealthCare
Rady Children's Specialists of San Diego
6386 Alvarado Court Suite 210	San Diego	CA	92123	Clinic
Rady Children's Specialists of San Diego
385 W Main Street	El Centro	CA	92243	Clinic
Rady Children's HOSPITAL
7910 Frost Suite 140	San Diego	CA	92123	Clinics
Rady Children's Hospital
8010 Frost Suite 140	San Diego	CA	92123	Clinics
Rady Children's
7920 Frost Suite 140	San Diego	CA	92123	Clinics
Nelson Family Pavilion
8001 Frost Street	San Diego	CA	92123	Clinics
Rady Children's Hospital
8110 Birmingham Drive	San Diego	CA	92123	Clinics
RADY CHILDREN'S HEALTH SERVICES
3665 kearny villa road	san diego	CA	92123	DEVELOPMENTAL AND BEHAVIORAL SERVICES
RADY CHILDREN'S URGENT CARE
4305 University Ave 150	san diego	CA	92105	CLINIC/ URGENT CARE
RADY CHILDREN'S HEALTH SERVICES
386 East H Street Suite 202	CHULA VISTA	CA	91910	CLINICS
RADY CHILDREN'S DEVELOPMENT SERVICES
11752 El CAMINO REAL SUITE 100	SAN DIEGO	CA	92130	DEVELOPMENTAL AND BEHAVIORAL SERVICES
RADY CHILDREN'S SPECIALISTS OF SAN DIEGO
3605 VISTA WAY SUITE 172	OCEANSIDE	CA	92056	CLINIC/ URGENT CARE
RADY CHILDREN'S URGENT CARE
5565 Grossmont Center Drive Buildi	La Mesa	CA	91942	Urgent Care

Supplemental Information Detail SupplementalInformationDetail (12 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule H, Part I, Line 7	THE BEST AVAILABLE DATA WAS USED TO CALCULATE THE COST AMOUNTS REPORTED IN ITEM 7. FOR CERTAIN CATEGORIES, PRIMARILY CHARITY CARE AND MEANS-TESTED GOVERNMENT PROGRAMS, THE COST TO CHARGE RATIO WAS CALCULATED USING WORKSHEET 2, RATIO OF PATIENT CARE COST TO CHARGES AND APPLIED TO THOSE CATEGORIES. IN OTHER CATEGORIES, THE BEST AVAILABLE DATA WAS DERIVED FROM THE HOSPITAL'S DETAILED FINANCIAL INFORMATION.
Scheudle H, Part II, Community Building Activities	RADY CHILDREN'S CENTER FOR HEALTHIER COMMUNITIES PROVIDES THE FACES FOR THE FUTURE PROGRAM AT A LOCAL HIGH SCHOOL. THE FACES PROGRAM IS A YOUTH AND FUTURE HEALTHCARE WORKFORCE DEVELOPMENT PROGRAM THAT PREPARES UNDERREPRESENTED, ETHNICALLY DIVERSE YOUTH FOR CAREERS IN ALL AREAS OF THE HEALTH PROFESSIONS. THE PROGRAM ALSO AIMS TO ASSIST LOCAL PUBLIC SCHOOLS IN MOTIVATING AND PREPARING UNDERREPRESENTED HIGH SCHOOL STUDENTS FOR ENTRY INTO COLLEGE, HEALTHCARE/RESEARCH CAREERS AND OTHER VIABLE EMPLOYMENT OPPORTUNITIES IN THE HEALTHCARE INDUSTRY. THE PARTICIPATING STUDENTS ROTATE THROUGH CLINICAL DEPARTMENTS AT RADY CHILDREN'S HOSPITAL -SAN DIEGO AND RECEIVE MENTORSHIP.
SCHEDULE H, PART III, LINE 2	FOR UNINSURED PATIENTS THAT DO NOT QUALIFY FOR CHARITY CARE, RCHSD RECOGNIZES REVENUE ON THE BASIS OF ITS STANDARD RATES FOR SERVICES PROVIDED, OR ON THE BASIS OF DISCOUNTED RATES IF NEGOTIATED OR PROVIDED BY POLICY. ON THE BASIS OF HISTORICAL EXPERIENCE, A SIGNIFICANT PORTION OF RCHSD'S UNINSURED PATIENTS ARE UNABLE OR UNWILLING TO PAY FOR THE SERVICES PROVIDED. THUS, RCHSD RECORDS A SIGNIFICANT PROVISION FOR BAD DEBTS RELATED TO UNINSURED PATIENTS IN THE PERIOD SERVICES ARE PROVIDED. RCHSD RECORDS ITS PROVISION FOR BAD DEBTS BASED UPON THE HISTORICAL EXPERIENCE, AS WELL AS COLLECTION TRENDS FOR MAJOR PAYOR TYPES.
SCHEDULE H, PART III, LINE 3	RCHSD DOES NOT TREAT ANY PART OF THE BAD DEBT AS COMMUNITY BENEFIT EXPENSE.
SCHEUDLE H, PART III, LINE 4	SEE PAGE 14 AND 15 OF THE AUDITED FINANCIAL STATEMENTS
SCHEDULE H, PART III, LINE 8	THE MEDICARE ALLOWABLE COSTS REPORTED IN THE ORGANIZATION'S MEDICARE COST REPORT AS REFLECTED IN THE AMOUNT REPORTED IN PART III, LINE 6 ARE DETERMINED USING A PRO FORMA COST REPORT AS DESCRIBED IN PART I, LINE 7 ABOVE. THE ORGANIZATION BELIEVES THAT THE TEFRA COST LIMITATION SHOULD BE INCLUDED AS A COMMUNITY BENEFIT, BASED ON THE INPATIENT COST OVER THE TEFRA LIMITS.
Schedule H, Part III, Line 9B	IN ITS BILLING AND COLLECTION ACTIVITY, RADY CHILDREN'S HOSPITAL - SAN DIEGO TREATS ALL PATIENTS AND PATIENT FAMILIES OR REPRESENTATIVES WITH FAIRNESS, DIGNITY AND RESPECT. RCHSD DOES NOT UTILIZE WAGE GARNISHMENTS, LIENS ON A PATIENT'S PRIMARY RESIDENCE, OR Writ of BODY ATTACHMENTS IN ITS COLLECTION ACTIVITIES. RCHSD ONLY UTILIZES THOSE OUTSIDE OR THIRD PARTY COLLECTION AGENCIES THAT AGREE TO COMPLY WITH APPLICABLE STATE AND FEDERAL LAWS AND WITH RCHSD POLICIES, AND RCHSD DEBT COLLECTION STANDARDS AND PRACTICES. IN DETERMINING THE DEBT THAT RCHSD SEEKS TO RECOVER, RCHSD WILL CONSIDER ONLY THE INCOME AND CERTAIN MONETARY ASSETS OF THE PATIENT/GUARANTOR ELIGIBLE FOR THE RCHSD FINANCIAL ASSISTANCE PROGRAM. IN MAKING THIS DETERMINATION, RCHSD WILL NOT CONSIDER RETIREMENT OR DEFERRED COMPENSATION PLANS (EITHER QUALIFIED OR NON-QUALIFIED UNDER THE INTERNAL REVENUE CODE), THE FIRST $10,000 OR THE REMAINING 50 PERCENT OF THE PATIENT/GUARANTOR'S MONETARY ASSETS. RCHSD SHALL NOT SEND AN ACCOUNT TO A COLLECTION AGENCY IF THE PATIENT HAS A PENDING APPLICATION FOR THE RCHSD FINANCIAL ASSISTANCE PROGRAM OR GOVERNMENT-SPONSORED INSURANCE PROGRAM OR IS ATTEMPTING IN GOOD FAITH TO SETTLE AN OUTSTANDING BILL BY NEGOTIATING AN INTEREST FREE, EXTENDED PAYMENT PLAN OR BY MAKING REGULAR PARTIAL PAYMENTS OF A REASONABLE AMOUNT. A "PENDING APPLICATION" IS DEFINED AS AN APPLICATION THAT HAS BEEN FULLY COMPLETED AND INCLUDES COPIES OF THE REQUIRED DOCUMENTATION BY THE PATIENT/GUARANTOR, SUBMITTED TO THE RELEVANT PUBLIC AGENCY IN THE CASE OF GOVERNMENT PROGRAMS AND TO RCHSD IN THE CASE OF THE RCHSD FINANCIAL ASSISTANCE PROGRAM. IF A PATIENT ACCOUNT IS SENT TO COLLECTIONS AND IT IS DETERMINED THAT THE PATIENT IS ELIGIBLE FOR FINANCIAL ASSISTANCE, THE PATIENT ACCOUNT IS REMOVED FROM THE COLLECTION PROCESS AND THE FINANCIAL ASSISTANCE APPLICATION PROCESS IS IMPLEMENTED.
SCHEDULE H, PART VI, LINE 2	NEEDS ASSESMENT Continuing a longstanding commitment to address community health needs in San Diego, Rady Childrens and six other healthcare systems reconvened in 2015-2016 through the Hospital Association of San Diego and Imperial Counties (HASD&IC), with the Institute of Public Health, to complete a 2016 triennial Community Health Needs Assessment (CHNA). The CHNA identifies and prioritizes the most critical health-related needs of San Diego County and includes feedback from community residents in vulnerable neighborhoods.
SCHEDULE H, PART VI, LINE 3	PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE RCHSD PROVIDES WRITTEN INFORMATION ABOUT THE AVAILABILITY OF THE RCHSD FINANCIAL ASSISTANCE PROGRAM, INCLUDING A BROCHURE THAT IS DISSEMINATED THROUGHOUT OUR PATIENT CLINICS. THIS INFORMATION IS PROVIDED AT PATIENT REGISTRATION, INCLUDING PATIENT INFORMATIONAL MATERIALS, EMERGENCY DEPARTMENT, OUTPATIENT CLINICS, AND PATIENT FINANCIAL SERVICES. IN ADDITION, A STATEMENT REGARDING THE FINANCIAL ASSISTANCE PROGRAM IS INCLUDED ON PATIENT BILLING STATEMENTS. WRITTEN NOTICE IS PROVIDED TO POTENTIALLY ELIGIBLE PATIENTS DURING THE REGISTRATION PROCESS OR AS SOON AS POSSIBLE THEREAFTER AND DURING THE BILLING PROCESS. THIS INFORMATION IS PROVIDED IN ENGLISH AND SPANISH AND IS TRANSLATED FOR PATIENTS/GUARANTORS WHO SPEAK OTHER LANGUAGES. NOTIFICATION OF FINANCIAL ASSISTANCE DISCUSSES, AT A MINIMUM, THE FOLLOWING: - IF A PATIENT MEETS CERTAIN INCOME REQUIREMENTS, THE PATIENT may be eligible for a government-sponsored health insurance program or the RCHSD financial assistance program. IDENTIFICATION OF RCHSD FINANCIAL COUNSELING - PATIENT FINANCIAL SERVICES PHONE NUMBER WITH HOURS OF AVAILABILITY SO THAT PATIENTS MAY CALL TO OBTAIN FURTHER INFORMATION ABOUT THE FINANCIAL ASSISTANCE PROGRAM. RADY CHILDREN'S PROVIDES HEALTHCARE SUPPORT SERVICES TO THE COMMUNITY THROUGH THE FINANCIAL COUNSELING TEAM. RADY CHILDREN'S FINANCIAL COUNSELORS PROACTIVELY EXPLORE AND ASSIST PATIENTS/GUARANTORS IN APPLYING FOR HEALTH INSURANCE COVERAGE FROM PUBLIC AND PRIVATE PAYMENT PROGRAMS. - THE RCHSD WEBSITE PROVIDES INFORMATION ABOUT THE FINANCIAL ASSISTANCE PROGRAM, AND THE FINANCIAL ASSISTANCE POLICY AND FINANCIAL ASSISTANCE PROGRAM APPLICATION ARE POSTED ON THE RCHSD WEBSITE.
SCHEDULE H, PART VI, LINE 4	Community Information San Diego County (San Diego) is the second most populous of California's 58 counties, and the fifth largest county in the United States. Currently home to 3.2 million residents, San Diego is anticipated to grow to four million by 2020. The region is socially and ethnically diverse, with over 22% of the population under the age of eighteen. While the median household income is approximately $64,000, over 18% of persons are living below poverty level; children under age 18 are disproportionately affected. In addition, 37% of persons speak a language other than English at home. For the FY2016 CHNA, the HASD&IC Board of Directors convened a CHNA Committee to plan and implement the collaborative CHNA process. The CHNA Committee is comprised of representatives from all seven participating hospitals and health care systems: o Kaiser Foundation Hospital San Diego o Palomar Health o Rady Children's HospitalSan Diego o Scripps Health o Sharp HealthCare o Tri-City Medical Center o University of California San Diego Health In May 2015, HASD&IC contracted with the Institute for Public Health (IPH) at San Diego State University (SDSU) to provide assistance with the collaborative health needs assessment that was officially called the HASD&IC FY2016 Community Health Needs Assessment (FY2016 CHNA). The objective of the FY2016 CHNA is to identify and prioritize the most critical health-related needs in San Diego County based on feedback from community residents in high need neighborhoods and quantitative data analysis. The FY2016 CHNA involved a mixed methods approach using the most current quantitative data available and more extensive qualitative outreach. The CHNA Committee designed the FY2016 CHNA process based on the findings and feedback from the 2013 HASD&IC CHNA. The aim of the FY2016 CHNA methodology was to provide a more complete understanding of the top four identified health needs and associated social determinants of health in the San Diego community. Rady Children's Hospital San Diego (the Hospital) is a regional tertiary and quaternary referral center and provides comprehensive inpatient and outpatient acute, psychiatric and intensive care pediatric services. The Hospital also is the sole pediatric provider and designated pediatric trauma center for San Diego County and is the primary source of pediatric and neonatal intensive care services for both San Diego and Imperial Counties. Also, RCHSD is the pediatric safety net hospital for the region with a medi-cal payor mix hovering over 50%. RCHSD serves as the teaching hospital for the School of Medicine at the University of California, San Diego (UCSD) and, in 2001, RCHSD and UCSD amalgamated where RCHSD became the pediatric provider of inpatient and outpatient medical and surgery services and certain other clinical services for UCSD pediatric patients. There are three large health systems operating in San Diego, Sharp Healthcare, Scripps Health and Kaiser Permanente, as well as other hospital providers. To help care for pediatric patients, RCHSD collaborates with Sharp Healthcare, Scripps Health and Palomar Pomerado Health through affiliated program agreements.
SCHEDULE H, PART VI, LINE 5	Promotion of Community Health The Rady Children's Hospital - San Diego is governed by a 25-member board of trustees. The majority of the organization's governing body is comprised of persons representing the San Diego Community, who are neither employees nor contractors of the organization. RCHSD extends medical staff privileges to all qualified physicians in its community. RCHSD applies its surplus funds to support the highest and most urgent needs of the organization and the community including improving patient care; providing support for our patients' families; research; developmental services; mental health services; child abuse prevention and treatment services; education programs; and purchasing state-of-the art equipment and technology to further enhance patient care. RCHSD promotes the health of the community it serves through a variety of mechanisms. the RCHSD Community Benefit report for fiscal year ended 2018 (July 1, 2017 through June 30, 2018) provides detailed information on over 30 programs and related activities RCHSD conducts each year to improve patient's health status. From providing free medical education training seminars to community-based physicians and other health providers, support groups, parent educational resource materials, pediatric research, to programs directed to improve the health needs of patients, RCHSD uses a multi-pronged approach to provide benefit to the community.
SCHEDULE H, PART VI, LINE 7	RCHSD FILES A COMMUNITY BENEFIT REPORT IN THE STATE OF CALIFORNIA

Schedule I IRS990ScheduleI

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

Recipient Table RecipientTable (3 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Recipient EINRecipientEIN	IRC SectionIRCSectionDesc	Cash GrantCashGrantAmt	Purpose Of GrantPurposeOfGrantTxt
Rady Children's Hospital and Health Center
3020 Childrens Way Mc 5001	San Diego	CA	921234282	953545901	501(c)(3)	$2,571,158	Support RCHHC
UCSD
9500 Gilman Drive	La Jolla	CA	92093	956006144	501(c)(3)	$2,780,000	support
La Maestra Family Clinic
4060 Fairmount Avenue	San Diego	CA	92105	330473171	501(c)(3)	$40,000	support

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

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PROCEDURE FOR MONITORING THE USE OF GRANT FUNDS	FormAndLineReferenceDesc
Explanation	RCHSD transferred funds to RCHFSD and RCHRC to further their exempt purpose. RCHFSD and RCHRC support RCHSD IN ITS EXEMPT activities.	ExplanationTxt

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Discretionary Spending Acct	Yes (X)	DiscretionarySpendingAcctInd
Written Policy Ref T And E Expnss	false	WrittenPolicyRefTAndEExpnssInd
Substantiation Required	false	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	false	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	Yes (true)	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	false	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	false	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	false	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	false	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	false	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	false	AnyNonFixedPaymentsInd
Initial Contract Exception	false	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (24 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
Margareta E Norton
Exec VP, CAO, Secretary	$618,549	$0	$166,723	$0	$122,348	$0	$71,509	$0	$8,616	$0	$987,745	$0	$0	$0
Chris Abe
VP, Operations	$254,113	$0	$18,872	$0	$35,701	$0	$87,410	$0	$12,104	$0	$408,200	$0	$0	$0
Joseph Ambrose
SR Dir, Chief Tech Officer	$258,058	$0	$18,208	$0	$5,482	$0	$8,250	$0	$18,624	$0	$308,622	$0	$0	$0
Scott D Campbell
VP, CFO & Admin Officer - MPF	$320,392	$0	$83,015	$0	$46,156	$0	$34,998	$0	$19,031	$0	$503,592	$0	$0	$0
Charles B Davis
Sr VP, MPF COO & Care redesign	$408,541	$0	$103,117	$0	$41,831	$0	$45,412	$0	$3,654	$0	$602,555	$0	$0	$0
Mary J Fagan
VP, Patient Care Svcs/CNO	$291,501	$0	$51,377	$0	$41,936	$0	$60,832	$0	$12,408	$0	$458,054	$0	$0	$0
Irvin A Kaufman
Chief, Health Affairs	$285,243	$0	$21,278	$0	$49,356	$0	$50,136	$0	$4,736	$0	$410,749	$0	$0	$0
Joshua Kohrumel
Chief Data Officer (CDO)	$195,158	$0	$14,412	$0	$5,794	$0	$17,255	$0	$9,937	$0	$242,556	$0	$0	$0
Cathy Nugent
VP, Human Resources	$238,502	$0	$57,303	$0	$14,187	$0	$187,096	$0	$2,806	$0	$499,894	$0	$0	$0
Albert Oriol
VP, Info Management/CIO	$359,915	$0	$89,097	$0	$52,255	$0	$26,138	$0	$18,108	$0	$545,513	$0	$0	$0
nishantha s ratnayake
vp, finance & controller	$240,729	$0	$61,683	$0	$24,214	$0	$22,406	$0	$9,577	$0	$358,609	$0	$0	$0
Barbara L Ryan
VP, Government Affairs	$287,613	$0	$73,032	$0	$48,866	$0	$111,208	$0	$7,675	$0	$528,394	$0	$0	$0
Angela M Viera
VP, General Counsel	$366,697	$0	$94,217	$0	$49,133	$0	$47,956	$0	$12,747	$0	$570,750	$0	$0	$0
Charles Wilson
Sr Dir, Chadwick Center	$285,208	$0	$13,206	$0	$38,835	$0	$43,683	$0	$13,549	$0	$394,481	$0	$0	$0
Glenn F Billman
Chief Quality Officer	$330,260	$0	$15,816	$0	$10,295	$0	$53,256	$0	$24,877	$0	$434,504	$0	$0	$0
Michael Hester
Sr Dir, Revenue Cycle	$239,945	$0	$17,644	$0	$4,416	$0	$7,856	$0	$7,220	$0	$277,081	$0	$0	$0
Amanda Carlson
Nurse Practitioner, Neonatal	$228,612	$0	$13,709	$0	$3,867	$0	$170,592	$0	$746	$0	$417,526	$0	$0	$0
Teresita P Diaz
Clinical Nurse III	$239,008	$0	$3,850	$0	$4,132	$0	$64,885	$0	$10,788	$0	$322,663	$0	$0	$0
Kristin Gist
Sr Dir, Developmental Services	$214,709	$0	$14,997	$0	$9,580	$0	$106,448	$0	$13,042	$0	$358,776	$0	$0	$0
Donald B Kearns MD MMM
President & CEO	$912,312	$0	$347,198	$0	$138,400	$0	$44,689	$0	$19,229	$0	$1,461,828	$0	$0	$0
Kathleen Cain Carrithers
Sr VP, CFO,Treasurer	$474,229	$0	$123,801	$0	$121,789	$0	$8,250	$0	$19,417	$0	$747,486	$0	$0	$0
Gail L Knight MD
Sr VP, CMO	$473,136	$0	$129,278	$0	$18,488	$0	$8,250	$0	$3,157	$0	$632,309	$0	$0	$0
Stephen Jennings
SR VP Exec Director Foundation	$0	$365,513	$0	$100,000	$0	$62,875	$31,301	$0	$25,003	$0	$56,304	$528,388	$0	$0
Nicholas M Holmes
Sr VP, COO	$497,186	$0	$137,378	$0	$47,195	$0	$8,250	$0	$25,184	$0	$715,193	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc

ExplanationExplanationTxt

SCHEDULE J PART I LINE 1A

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

SCHEDULE J PART 1 LINE 4B

RADY CHILDREN'S HOSPITAL - SAN DIEGO HAS ESTABLISHED A NON-QUALIFIED PLAN PURSUANT TO 457(F) OF THE INTERNAL REVENUE CODE. THE PURPOSE OF THIS PLAN IS TO INCENTIVIZE RADY CHILDREN'S HOSPITAL - SAN DIEGO ELIGIBLE SENIOR MANAGEMENT EMPLOYEES (PRESIDENT, SENIOR VICE PRESIDENTS, VICE PRESIDENTS, SENIOR MANAGING DIRECTORS) IN RECOGNITION OF THE FACT THAT THEY ARE REQUIRED TO DEVOTE SIGNIFICANT AMOUNTS OF TIME, SKILL AND ENERGY TO THE ORGANIZATION. THE AMOUNTS LISTED IN SCHEDULE J PART II, COLUMN (C) ARE SUBJECT TO SUBSTANTIAL FUTURE SERVICE REQUIREMENTS TO THE ORGANIZATION AND ARE SUBJECT TO SUBSTANTIAL RISK OF FORFEITURE. ONCE VESTED THE AMOUNTS UNDER THIS PLAN ARE REPORTED ON FORM W-2 AS TAXABLE COMPENSATION TO THE INDIVIDUAL.

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (4 entries)

Bond ReferenceBondReferenceCd	Bond Issuer EINBondIssuerEIN	CUSIPCUSIPNum	Bond IssuedBondIssuedDt	Issue PriceIssuePriceAmt	PurposePurposeDesc	DefeasedDefeasedInd	On Behalf Of IssuerOnBehalfOfIssuerInd	Pool FinancingPoolFinancingInd
CALIFORNIA STATEWIDE COMM DEVELOPMENT AUTHORITY
A	680164610	130795VTI	2008-07-31	$101,155,000	CURRENT REFUNDING SERIES 2006CD BO	false	false	false
CALIFORNIA HEALTH FACILITIES FINANCING AUTHORITY
B	521643828	13033LUU9	2011-11-22	$100,079,621	LOAN REIMB, RENOV, CONSTR & EQUIP	false	false	false
CALIFORNIA STATEWIDE COMM DEVELOPMENT AUTHORITY
C	680164610	1307955Y9	2012-06-14	$115,580,000	REISSUANCE OF 2008B & 2008D BONDS	false	false	false
CALIFORNIA STATEWIDE COMM DEVELOPMENT AUTHORITY
D	680164610	999999999	2013-09-25	$63,485,000	REISSUANCE OF 2008A	false	false	false

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (4 entries)

Bond ReferenceBondReferenceCd	RetiredRetiredAmt	Bond DefeasedBondDefeasedAmt	Total ProceedsTotalProceedsAmt	In Reserve FundInReserveFundAmt	Capitalized InterestCapitalizedInterestAmt	Refunding EscrowRefundingEscrowAmt	Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt	Credit EnhancementCreditEnhancementAmt	Working Capital ExpendituresWorkingCapitalExpendituresAmt	Capital ExpendituresCapitalExpendituresAmt	Other Spent ProceedsOtherSpentProceedsAmt	UnspentUnspentAmt	Current RefundingCurrentRefundingInd	Advance RefundingAdvanceRefundingInd	Final Allocation MadeFinalAllocationMadeInd	Adequate Books And Rec MaintAdequateBooksAndRecMaintInd
A	$50,580,000	$0	$101,088,384	$0	$0	$0	$820,490	$335,833	$0	$0	$100,000,014	$0	Yes (true)	false	Yes (true)	Yes (true)
B	$8,185,000	$0	$100,384,978	$0	$0	$0	$1,682,270	$0	$0	$98,702,708	$0	$0	false	false	Yes (true)	Yes (true)
C	$52,705,000	$0	$115,580,000	$0	$0	$0	$0	$0	$0	$0	$115,580,000	$0	Yes (true)	false	Yes (true)	Yes (true)
D	$1,615,000	$0	$63,485,000	$0	$0	$0	$0	$0	$0	$0	$63,485,000	$0	Yes (true)	false	Yes (true)	Yes (true)

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (4 entries)

Bond ReferenceBondReferenceCd	Owning Bond Financed PropertyOwningBondFinancedPropertyInd	Any Lease ArrangementsAnyLeaseArrangementsInd	Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd	Engage Bond Counsel ContractsEngageBondCounselContractsInd	Any Research AgreementsAnyResearchAgreementsInd	Private Bus Use By OthersPrivateBusUseByOthersPct	Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd	Change In Use Bond Financed PropChangeInUseBondFinancedPropInd	Remedial Action TakenRemedialActionTakenInd	Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd	Total Private Business UseTotalPrivateBusinessUsePct
A	false	Yes (true)	Yes (true)	Yes (true)	false	0	false	false	false	Yes (true)
B	false	Yes (true)	Yes (true)	Yes (true)	false	0.00150	false	false	false	Yes (true)	0.00150
C	false	Yes (true)	Yes (true)	Yes (true)	false	0	false	false	false	Yes (true)
D	false	Yes (true)	Yes (true)	Yes (true)	false	0	false	false	false	Yes (true)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (4 entries)

Bond ReferenceBondReferenceCd	Form8038 T FiledForm8038TFiledInd	Variable Rate IssueVariableRateIssueInd	Hedge Identified In Bks And RecHedgeIdentifiedInBksAndRecInd	Term Of HedgeTermOfHedgePct	Superintegrated HedgeSuperintegratedHedgeInd	Hedge TerminatedHedgeTerminatedInd	Gross Proceeds Invested In GICGrossProceedsInvestedInGICInd	Business Name Line1GICProviderName/BusinessNameLine1Txt	Term Of GICTermOfGICPct	Regulatory Safe Harbor StsfdRegulatorySafeHarborStsfdInd	Gross Proceeds InvestedGrossProceedsInvestedInd	Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd	Rebate Not Due YetRebateNotDueYetInd	Exception To RebateExceptionToRebateInd	No Rebate DueNoRebateDueInd
GOLDMAN SACHS BANK
A	Yes (true)	Yes (true)	Yes (true)	24.08	false	Yes (true)	Yes (true)	HYPO REPURCHASE AGRT	2.55	Yes (true)	false	Yes (true)
0
B	false	false	false				false	0			Yes (true)	Yes (true)	false	Yes (true)	false
GOLDMAN SACHS BANK
C	false	Yes (true)	Yes (true)	35.19	false	false	false	0			false	Yes (true)	false	Yes (true)	false
GOLDMAN SACHS BANK
D	false	Yes (true)	Yes (true)	35.19	false	false	false	0			false	Yes (true)	Yes (true)	Yes (true)	false

Procedures Corrective Action ProceduresCorrectiveActionGrp (4 entries)

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

Supplemental Information Detail SupplementalInformationDetail (7 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Set 1, Column A:	Part I, (f): The issue date of the 2006CD Bonds was 10/26/06. Part II, line 3: The difference between the Issue Price listed in Part I(e) is due to interest earnings on Bond Proceeds and the cumulative rebate liability paid to the IRS no later than 09/29/13. Part II, line 13: Since the proceeds of the 2008CD Bonds are used for refunding purposes, the year of substantial completion is not applicable. Part IV, line 4(e): The 2008C Goldman Sachs hedge was originally a hedge on the 2006C Bonds with a term of 29.82 years, and was reintegrated into the 2008C Bonds on July 31, 2008, with a term of 28.06 years. On April 15, 2016, the hedge was split into two transactions. Subsequently, one of the transactions was novated to Wells Fargo Bank, N.A. on April 25, 2016. The novated Wells Fargo hedge has a term of 3.98 years, and the Goldman Sachs portion of the transaction has a term of 24.08 years. The original term of the entire transaction of 28.06 years remains unchanged. Part IV, line 4(e): The 2008D Goldman Sachs hedge was originally a hedge on the 2006D Bonds with a term of 33.14 years, and was reintegrated into the 2008D Bonds on July 31, 2008, with a restructured term of 33.06 years. This hedge was deemed terminated on June 14, 2012, and had a term of 3.87 years at termination. Part IV, line 5(a): Gross proceeds of the 2008CD Bonds Project Funds were invested in a Hypo Repurchase Agreement.
Set 1, Column B:	Part II, 3: The difference between the Issue Price listed in Part I(e) is due to interest earnings on Bond Proceeds.
Set 1, Column C:	PART I, (f): The issue date of the prior 2008B Bonds was 07/02/08. The issue date of the prior 2008D Bonds was 07/31/08. PART II, line 13: Since the proceeds of the 2012B and 2012D Bonds are used for refunding purposes, the year of substantial completion is not applicable. PART IV, line 2(b): The issue qualified for a spending exception to rebate. No rebate calculation has been or will ever be made, before or after the due date of an 8038-T. PART IV, line 4(e): The 2012B Goldman Sachs hedge was originally a hedge on the 2008B Bonds with a term of 39.15 years, and was reintegrated into the 2012B Bonds on June 15, 2012. The reintegrated hedge has a term of 35.19 years. PART IV, line 4(e): The 2012D Goldman Sachs hedge was originally a hedge on the 2008D Bonds with a term of 33.06 years, and was reintegrated into the 2012D Bonds on June 15, 2012. This reintegrated hedge has a term of 29.19 years.
Set 1, Column D:	Part I, (f): The issue date of the 2008A Bonds was 07/02/08. Part II, line 13: Since the proceeds of the 2008A-Reissued Bonds are used for refunding purposes, the year of substantial completion is not applicable. Part IV, line 2(b): The issue qualified for a spending exception to rebate. No rebate calculation has been or will ever be made, before or after the due date of an 8038-T. Part IV, line 4(e): Based on the Proposed Regulations, the 2008A Goldman Sachs hedge is treated as continuing to the 2008A-Reissued Bonds instead of being terminated and reintegrated.
Set 1, Columns A, C, and D:	PART III, LINE 7: AS PROVIDED IN TREASURY REGULATION SECTION 1.141-4(C)(2)(I)(B), THE AMOUNT OF PRIVATE PAYMENTS TAKEN INTO ACCOUNT UNDER THE PRIVATE PAYMENT TEST MAY NOT EXCEED THE AMOUNT OF PRIVATE BUSINESS USE AND/OR UNRELATED TRADE OR BUSINESS USE. ACCORDINGLY, THE AMOUNT OF PRIVATE PAYMENTS FOR THE REPORTING PERIOD DOES NOT EXCEED THE AMOUNT STATED IN PART III, LINE 6. THE ORGANIZATION HAS NOT UNDERTAKEN AN ANALYSIS OF THE PRIVATE SECURITY TEST WITH RESPECT TO THE BONDS, AS THE LEVEL OF PRIVATE BUSINESS USE AND/OR UNRELATED TRADE OR BUSINESS REPORTED IN PART III, LINE 6, IS NOT IN EXCESS OF AMOUNTS PERMITTED UNDER SECTION 145 OF THE CODE.
Set 2, Column A:	Part I, (f): The issue date of the 2012D Bonds was 06/14/12. Part II, line 13: Since the proceeds of the 2012D-Reissued Bonds are used for refunding purposes, the year of substantial completion is not applicable. Part IV, line 2(b): The issue qualified for a spending exception to rebate. No rebate calculation has been or will ever be made, before or after the due date of an 8038-T. Part IV, line 4(e): Based on the Proposed Regulations, the 2012D Goldman Sachs hedge is treated as continuing to the 2012D-Reissued Bonds instead of being terminated and reintegrated. On April 1, 2016, the hedge was split into two transactions. Subsequently, one of the transactions was novated to Wells Fargo Bank, N.A. on April 25, 2016. The novated Wells Fargo hedge has a term of 2.93 years, and the Goldman Sachs portion of the transaction has a term of 26.25 years. The original term of the entire transaction of 29.19 years remains unchanged. 29.19 years remains unchanged.
Set 2, Column B:	Part I (f): The issue date of the 2006AB Bonds was October 26, 2006. Part II, line 13: Since the proceeds of the 2016AB Bonds are used for refunding purposes, the year of substantial completion is not applicable. Part IV, line 2(b): The issue is on track to meet the 6-month spending exception to rebate. PART III, LINE 7: AS PROVIDED IN TREASURY REGULATION SECTION 1.141-4(C)(2)(I)(B), THE AMOUNT OF PRIVATE PAYMENTS TAKEN INTO ACCOUNT UNDER THE PRIVATE PAYMENT TEST MAY NOT EXCEED THE AMOUNT OF PRIVATE BUSINESS USE AND/OR UNRELATED TRADE OR BUSINESS USE. ACCORDINGLY, THE AMOUNT OF PRIVATE PAYMENTS FOR THE REPORTING PERIOD DOES NOT EXCEED THE AMOUNT STATED IN PART III, LINE 6. THE ORGANIZATION HAS NOT UNDERTAKEN AN ANLYSIS OF THE PRIVATE SECURITY TEST WITH RESPECT TO THE BONDS, AS THE LEVEL OF PRIVATE BUSINESS USE AND/OR UNRELATED TRADE OR BUSINESS REPORTED IN PART III, LINE 6, IS NOT IN EXCESS OF AMOUNTS PERMITTED UNDER SECTION 145 OF THE CODE.

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (2 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	999999999	2013-10-24	$50,580,000	REISSUANCE OF SERIES 2012D	false	false	false
CALIFORNIA STATEWIDE COMM DEVELOPMENT AUTHORITY
B	680164610	13080SLZ5	2016-05-18	$61,552,785	CURRENT REFUNDING SERIES 2006AB	false	false	false

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (2 entries)

Bond ReferenceBondReferenceCd	RetiredRetiredAmt	Bond DefeasedBondDefeasedAmt	Total ProceedsTotalProceedsAmt	In Reserve FundInReserveFundAmt	Capitalized InterestCapitalizedInterestAmt	Refunding EscrowRefundingEscrowAmt	Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt	Credit EnhancementCreditEnhancementAmt	Working Capital ExpendituresWorkingCapitalExpendituresAmt	Capital ExpendituresCapitalExpendituresAmt	Other Spent ProceedsOtherSpentProceedsAmt	UnspentUnspentAmt	Current RefundingCurrentRefundingInd	Advance RefundingAdvanceRefundingInd	Final Allocation MadeFinalAllocationMadeInd	Adequate Books And Rec MaintAdequateBooksAndRecMaintInd
A	$0	$0	$50,580,000	$0	$0	$0	$0	$0	$0	$0	$50,580,000	$0	Yes (true)	false	Yes (true)	Yes (true)
B	$3,475,000	$0	$61,596,429	$0	$0	$0	$936,839	$0	$0	$0	$60,659,589	$1	Yes (true)	false	false	Yes (true)

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (2 entries)

Bond ReferenceBondReferenceCd	Owning Bond Financed PropertyOwningBondFinancedPropertyInd	Any Lease ArrangementsAnyLeaseArrangementsInd	Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd	Engage Bond Counsel ContractsEngageBondCounselContractsInd	Any Research AgreementsAnyResearchAgreementsInd	Private Bus Use By OthersPrivateBusUseByOthersPct	Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd	Change In Use Bond Financed PropChangeInUseBondFinancedPropInd	Remedial Action TakenRemedialActionTakenInd	Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd	Total Private Business UseTotalPrivateBusinessUsePct
A	false	Yes (true)	Yes (true)	Yes (true)	false	0	false	false	false	Yes (true)
B	false	Yes (true)	Yes (true)	Yes (true)	false	0.00330	false	false	false	Yes (true)	0.00330

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (2 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	Business Name Line1GICProviderName/BusinessNameLine1Txt	Gross Proceeds InvestedGrossProceedsInvestedInd	Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd
GOLDMAN SACHS BANK
A	false	Yes (true)	Yes (true)	false	Yes (true)	Yes (true)	26.25	false	false	false	0	false	Yes (true)
0
B	false	Yes (true)	false	false	false	false				false	0	false	Yes (true)

Procedures Corrective Action ProceduresCorrectiveActionGrp (2 entries)

Bond ReferenceBondReferenceCd	Procedures Corrective ActionProceduresCorrectiveActionInd
A	Yes (true)
B	Yes (true)

Schedule L IRS990ScheduleL

Loans Btwn Org Interested Prsn LoansBtwnOrgInterestedPrsnGrp

Field	Value	IRS element (for citing)
Person	Stephen Jennings	PersonNm
Relationship With Org	Officer	RelationshipWithOrgTxt
Loan Purpose	See Part IV	LoanPurposeTxt
Loan From Organization	Yes (X)	LoanFromOrganizationInd
Original Principal	$80,000	OriginalPrincipalAmt
Balance Due	$14,666	BalanceDueAmt
Default	false	DefaultInd
Board Or Committee Approval	Yes (true)	BoardOrCommitteeApprovalInd
Written Agreement	Yes (true)	WrittenAgreementInd

Field	Value	IRS element (for citing)
Total Balance Due	$14,666	TotalBalanceDueAmt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Schedule L, Part II, Line 1, Column (c)	FormAndLineReferenceDesc
Explanation	RELOCATION HOUSING LOAN.	ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (12 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Part I, Line 7b	Part I, Line 7b includes section 512(a)(7) qualified transportation fringe benefit amounts that are not revenue and therefore not reported on 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). PART VI, SECTION A LINES 7A AND 7B THE RCHSD BOARD OF DIRECTORS CONSISTS OF THOSE INDIVIDUALS SERVING AS THE BOARD OF TRUSTEES OF THE MEMBER. ONLY THE MEMBER MAY REMOVE A DIRECTOR. THE FOLLOWING ACTIONS OF THE RCHSD BOARD REQUIRE "PRIOR WRITTEN APPROVAL" OF THE MEMBER TO BE EFFECTIVE: O ANY AMENDMENT, REVISION, MODIFICATION OF THE ARTICLES OF INCORPORATION OR THE BYLAWS O ANY CHANGE IN THE NATURE OF THE BUSINESS ACTIVITIES OF RCHSD O APPROVAL OF OPERATING AND CAPITAL BUDGETS OF RCHSD O BORROWING ANY AMOUNT OR INCURRING ANY DEBT IN THE AMOUNT OF $100,000 OR MORE O MAKING OR INCURRING ANY UNBUDGETED EXTRAORDINARY OR NON-RECURRING EXPENSE OR EXPENDITURE OF $1,000,000. THE RCHSD BOARD CANNOT AUTHORIZE OR DIRECT ANY OFFICER OF RCHSD TO PERFORM OR COMMIT ANY OF THE FOLLOWING ACTS, WITHOUT PRIOR WRITTEN APPROVAL OF THE MEMBER: O BORROW MONEY IN RCHSD'S NAME OR UTILIZE PROPERTY OWNED BY RCHSD AS SECURITY FOR LOANS, EXCEPT IN THE ORDINARY COURSE OF BUSINESS O MAKE, EXECUTE, OR DELIVER ANY ASSIGNMENT FOR THE BENEFIT OR CREDITORS, OR ANY BOND, CONFESSION, JUDGMENT, CHATTEL MORTGAGE, SECURITY AGREEMENT, DEED, GUARANTY, INDEMNITY BOND, SURETY BOND, CONTRACT TO SELL OR BILL OF SALE OF THE PROPERTY OF RCHSD, EXCEPT IN THE ORDINARY COURSE OF BUSINESS. O ACQUIRE, PURCHASE, DEVELOP, IMPROVE, SELL, LEASE OR MORTGAGE ANY CORPORATE REAL ESTATE OR ANY INTEREST THEREIN OR ENTER INTO ANY CONTRACT FOR ANY SUCH PURPOSES. O MAKE ANY LOAN OR INVESTMENT OF ANY RCHSD ASSETS, OR ENTER INTO ANY CONTRACT OR INCUR ANY LIABILITY ON BEHALF OF RCHSD OTHER THAN FOR FAIR CONSIDERATION OR IN THE ORDINARY COURSE OF BUSINESS RELATING TO ITS NORMAL DAILY OPERATION. PART VI, SECTION B, LINE 11A REVIEW OF FORM 990 THE FORM 990 WAS REVIEWED BY THE CFO AND THEN PROVIDED TO THE ORGANIZATION'S AUDIT AND CORPORATE RESPONSIBILITY COMMITTEE FOR REVIEW. FOLLOWING REVIEW BY THE COMMITTEE, THE RETURNS WERE FINALIZED, SIGNED AND SUBMITTED TO THE INTERNAL REVENUE SERVICE. A COMPLETE COPY OF THE FORM 990 WAS PROVIDED TO EACH VOTING BOARD MEMBER PRIOR TO FILING.
Part VI, Section B, Line 12c	Conflict of Interest Policy On an annual basis and upon election or appointment, the policy and disclosure statement is distributed to all Board members, officers, and key employees and medical staff leaders. All completed and signed statements are returned to the Corporate Compliance Officer for review. If a person discloses a potential or actual conflict is identified the person with the potential or actual conflict of interest is recused from any discussion or approval of any such related transaction. Financial interest disclosures by board members and officers are brought to the RCHHC Board of Trustees or the Audit and Corporate Responsibility Committee for review and, as needed, appropriate action. Financial interest disclosures by key employees and medical staff leaders are reviewed by the Corporate Compliance Officer and referred to the President and Chief Executive Officer or to the RCHHC Board of Trustees. The Corporate Compliance Officer reports annually to the Executive Corporate Compliance Committee and the Audit and Corporate Responsibility Committee a summary of all disclosures and action taken, if any. All other employees are required to complete a disclosure statement on an annual basis that is reviewed by the Corporate Compliance Officer.
Part VI, Section B, Line 15	Determination of Compensation Rady Children's Hospital and Health Center/Rady Children's Hospital - San Diego working through the Board Compensation Committee has a process for establishing, reviewing and approving compensation of officers and key employees of the organization on a no less than an annual basis. The Compensation Committee is comprised of independent, lay members of the Board of Trustees. Prior to conducting its review, the Chair of the Compensation Committee determines whether any member has a conflict of interest with respect to the matter(s) under review. If there is a conflict, the conflicted member recuses himself/herself and is not present during discussion or vote on the arrangement under review. In determining and approving the compensation arrangement, the Committee considers all components of compensation. It considers comparability data and retains an independent compensation consultant to provide comparability data to the committee. Total compensation is targeted to be between the 50th and 75th percentiles of the comparability data. The Committee's deliberations and decisions are documented in minutes that are reviewed at its next meeting. The Committee's written records include the (1) terms of the arrangement with the disqualified person (including the date the arrangement was approved); (2) a list of members present during the discussion of the transaction (and how the members voted when it was approved); and (3) a description of the comparable data relied on by the Committee and how it was obtained.
Part VI, Section C, Line 19	The federal tax laws do not mandate that the organization's governing documents and conflict of interest policy be made available for public inspection. The organization makes its financial statements available upon request and they are also attached to this Form 990.
part xi, reconciliation of net assets	CHANGE IN FMV OF INTEREST RATE SWAP 15,683,985 Change in split interest agreements (12,621) INTERCOMPANY SETTLEMENT (1,482,815) CHANGE IN DEFINED BENEFIT COST 21,213,281 ================== Total 35,401,830
FORM 990 PART IX LINE 11G	DESCRIPTION:PHYSICIAN SERVICES TOTAL FEES:XXX-XX-XXXX
FORM 990 PART IX LINE 11G	DESCRIPTION:PURCHASED SERVICES - MEDICAL TOTAL FEES:45639814
FORM 990 PART IX LINE 11G	DESCRIPTION:PURCHASED INSURANCE SERVICES TOTAL FEES:50333271
FORM 990 PART IX LINE 11G	DESCRIPTION:LEASED LABOR NON-PHYSICIAN TOTAL FEES:32527321
FORM 990 PART IX LINE 11G	DESCRIPTION:PURCHASED SERVICES UCSD TOTAL FEES:17689676
FORM 990 PART IX LINE 11G	DESCRIPTION:RCPMS PURCHASED LABOR TOTAL FEES:1244722
FORM 990 PART IX LINE 11G	DESCRIPTION:MISCELLANEOUS MEDICAL SERVICES TOTAL FEES:4357366

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	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Controlled OrganizationControlledOrganizationInd
Rady Children's Hospital and Health Cent
3020 Childrens Way MC 5001	San Diego	CA	92123	953545901	Support	CA	12b	501(c)(3)	NA	false
Rady Children's Hospital Research Center
3020 Childrens WayMC 5001	San Diego	CA	92123	953814185	Research	CA	12A	501(c)(3)	RCHHC	false
Rady Children's Hospital Foundation - SD
3020 Childrens WayMC 5001	San Diego	CA	92123	330170626	Fundraising	CA	7	501(c)(3)	RCHHC	false
Rady Children's Health Services - SD
3020 Childrens WayMC 5001	San Diego	CA	92123	330278018	Support	CA	12A	501(c)(3)	RCHSD	Yes (true)

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	Share Of Total IncomeShareOfTotalIncomeAmt	Share Of EOY AssetsShareOfEOYAssetsAmt	OwnershipOwnershipPct	Controlled OrganizationControlledOrganizationInd	Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Legal Domicile StateLegalDomicileStateCd
Children's Hospital Integrated Risk Prot
22 Victoria StreetHamilton	Hamilton	BD	HM12	Captive insur	BD	RCHHC	C CORP.	$0	$0	0.00000	false
Rady Children's Physician Management Ser
				Management		RCHHC	C CORP	$0	$0	0.00000	false	3860 Calle FortunadaSuite 200	San Diego	CA	921234282	330670694	CA
Children's Hospital Insurance Ltd
Canons Court 22 Victoria Street	Hamilton HM	BD		captive insur	BD	chirpl	C corp	$0	$0	0.00000	false

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

Transactions Related Org TransactionsRelatedOrgGrp

Other Organization Name OtherOrganizationName

Field	Value	IRS element (for citing)
Business Name Line1	NONE	BusinessNameLine1Txt