RADY CHILDRENS HOSPITAL SAN DIEGO: Form 990, tax year 2013

View the entire original 990 at ProPublica ↗

Organization: RADY CHILDRENS HOSPITAL SAN DIEGO (EIN 95-1691313)
Tax period: 2013-07-01 to 2014-06-30
Filed: 2015-05-20
IRS object ID: 201501409349300235
Schema version: 2013v4.0
Source: Download XML · Original 990 at ProPublica

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

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

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2015-05-20T13:40:01-05:00	ReturnTs
Tax Period End	2014-06-30	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

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

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	550 SOUTH HOPE STREET SUITE 1500	AddressLine1
City	LOS ANGELES	City
State	CA	State
ZIP Code	90071	ZIPCode

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2013-07-01	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	BusinessNameLine1

Field	Value	IRS element (for citing)
In Care Of	% ROGER ROUX	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	AddressLine1
Address Line2	Suite	AddressLine2
City	San Diego	City
State	CA	State
ZIP Code	921234282	ZIPCode

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	ROEGER ROUX	PersonNm
Person Title	CFO	PersonTitleTxt
Phone	2139724000	PhoneNum
Signature	2015-05-15	SignatureDt
Discuss With Paid Preparer	Yes (true)	DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	REGINA L PRINCE	PreparerPersonNm
PTIN	P00576936	PTIN
Phone	2139724000	PhoneNum

Field	Value	IRS element (for citing)
Tax	2013	TaxYr
Build TS	2016-02-25 16:41:14Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Principal Officer	Donald B Kearns MD MMM	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	3020 Childrens WayMC 5001	AddressLine1
City	San Diego	City
State	CA	State
ZIP Code	921234282	ZIPCode

Field	Value	IRS element (for citing)
Gross Receipts	$1,028,974,729	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	24	VotingMembersIndependentCnt
Total Employee	4651	TotalEmployeeCnt
Total Volunteers	525	TotalVolunteersCnt
Total Gross UBI	$3,207,050	TotalGrossUBIAmt
PY Contributions Grants	$151,069,577	PYContributionsGrantsAmt
CY Contributions Grants	$109,613,780	CYContributionsGrantsAmt
PY Program Service Revenue	$624,368,389	PYProgramServiceRevenueAmt
CY Program Service Revenue	$683,519,169	CYProgramServiceRevenueAmt
PY Investment Income	$31,713,570	PYInvestmentIncomeAmt
CY Investment Income	$34,480,800	CYInvestmentIncomeAmt
PY Other Revenue	$11,486,627	PYOtherRevenueAmt
CY Other Revenue	$11,084,620	CYOtherRevenueAmt
PY Total Revenue	$818,638,163	PYTotalRevenueAmt
CY Total Revenue	$838,698,369	CYTotalRevenueAmt
PY Grants And Similar Paid	$0	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$0	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$317,567,741	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$352,245,572	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$458,140	CYTotalFundraisingExpenseAmt
PY Other Expenses	$383,231,747	PYOtherExpensesAmt
CY Other Expenses	$403,849,025	CYOtherExpensesAmt
PY Total Expenses	$700,799,488	PYTotalExpensesAmt
CY Total Expenses	$756,094,597	CYTotalExpensesAmt
PY Revenues Less Expenses	$117,838,675	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$82,603,772	CYRevenuesLessExpensesAmt
Total Assets BOY	$1,361,773,690	TotalAssetsBOYAmt
Total Assets EOY	$1,474,471,085	TotalAssetsEOYAmt
Total Liabilities BOY	$608,124,628	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$601,145,994	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$753,649,062	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$873,325,091	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	$557,937,195	ExpenseAmt
Revenue	$683,519,169	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 in rancho springs and two level 2 neonatal intensive care units for Scripps Health located in La Jolla and Encinitas; an 11-bed pediatric medical unit for Sharp Health located at its Sharp Grossmont Campus; and two units for Palomar Pomerado Health, a 17-bed pediatric medical unit and a level 3, 12-bed neonatal intensive care unit, both located at Palomar Medical Center in Escondido. The Hospital is amalgamated with the University of California, San Diego, Health Sciences, and serves as a center for graduate and post-graduate education in the field of pediatrics. Annually, the Hospital has approximately 18,000 inpatient admissions and approximately 330,000 visits per year in its outpatient departments. Additionally, the emergency department and urgent care centers provide approximately 70,000 and 47,000 visits, respectively, per year.	Desc
Total Program Service Expenses	$557,937,195	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	false	ReportInvestmentsOtherSecInd
Report Program Related Invst	false	ReportProgramRelatedInvstInd
Report Other Assets	Yes (true)	ReportOtherAssetsInd
Report Other Liabilities	Yes (true)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	false	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	false	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	false	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	false	RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	false	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	false	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (true)	ScheduleORequiredInd
IRP Document	658	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (true)	BackupWthldComplianceInd
Employee	4651	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	24	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	false	InvestmentInJointVentureInd
States Where Copy Of Return Is Fld	CA	StatesWhereCopyOfReturnIsFldCd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Field	Value	IRS element (for citing)
Person	ROGER ROUX	PersonNm
Phone	8585761700	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	3020 CHILDRENS WAY MC 5001	AddressLine1
City	San Diego	City
State	CA	State
ZIP Code	921234282	ZIPCode

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

Form990 Part VII Section A Form990PartVIISectionAGrp (47 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	OfficerOfficerInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Key EmployeeKeyEmployeeInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd	Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
DAVID F HALE
CHAIR	1.92	3.57	Yes (X)	Yes (X)	$0	$0	$0
THEODORE D ROTH
VICE CHAIR	0.61	0.92	Yes (X)	Yes (X)	$0	$0	$0
LISA A BARKETT
BOARD MEMBER	0.39	0.39	Yes (X)		$0	$0	$0
ANDREW S CLARK
BOARD MEMBER	0.0	0.0	Yes (X)		$0	$0	$0
JOHN M GILCHRIST JR
BOARD MEMBER	0.5	0.74	Yes (X)		$0	$0	$0
S DOUGLAS HUTCHESON
BOARD MEMBER	0.58	0.58	Yes (X)		$0	$0	$0
JEFFREY JACOBS
BOARD MEMBER	0.0	0.0	Yes (X)		$0	$0	$0
GREG T LUCIER
BOARD MEMBER	0.18	0.18	Yes (X)		$0	$0	$0
CATHERINE J MACKEY PHD
BOARD MEMBER	1.04	1.04	Yes (X)		$0	$0	$0
G DIEGO MIRALLES MD
BOARD MEMBER	0.5	0.76	Yes (X)		$0	$0	$0
TINA NOVA PHD
BOARD MEMBER	0.31	0.31	Yes (X)		$0	$0	$0
MICHAEL P PECKHAM
BOARD MEMBER	0.5	0.75	Yes (X)		$0	$0	$0
MARK A SNELL
BOARD MEMBER	0.5	0.5	Yes (X)		$0	$0	$0
SCOTT N WOLFE ESQ
BOARD MEMBER	0.75	1.13	Yes (X)		$0	$0	$0
HANK NORDHOFF
BOARD MEMBER	0.0	0.0	Yes (X)		$0	$0	$0
DAVID A BRENNER MD
BOARD MEMBER	0.0	0.0	Yes (X)		$0	$0	$0
PRADEEP KHOSLA PHD
BOARD MEMBER	0.06	0.06	Yes (X)		$0	$0	$0
JAMES HARLEY
BOARD MEMBER	0.26	0.26	Yes (X)		$0	$0	$0
GAIL KNIGHT MD
BOARD MEMBER	0.43	0.65	Yes (X)		$0	$0	$0
HARRY M RADY
BOARD MEMBER	1.05	1.05	Yes (X)		$0	$0	$0
JOHN D STOBO MD
BOARD MEMBER	0.17	0.17	Yes (X)		$0	$0	$0
WILLIAM SAILER
BOARD MEMBER	0.44	0.88	Yes (X)		$0	$0	$0
PAUL J HERING
BOARD MEMBER	0.45	0.87	Yes (X)		$0	$0	$0
NICHOLAS HOLMES MD
BOARD MEMBER	0.22	0.44	Yes (X)		$0	$0	$0
DONALD b KEARNS MD
PRESIDENT	14.0	26.0		Yes (X)	$47,573	$0	$29,632
MARGARETA E NORTON
SVP/COO	16.0	24.0		Yes (X)	$736,331	$0	$162,336
BELINDA SANTOS-ramirez
ASSISTANT SECRETARY	20.0	20.0		Yes (X)	$87,570	$0	$27,714
ROGER g ROUX
SVP, CFO, treasurer	15.75	24.25		Yes (X)	$657,766	$0	$145,820
KATHLEEN DOOLEY SELLICK
PRESIDENT AND CEO	5.08	9.44		Yes (X)	$1,146,008	$0	$73,014
IRVIN A KAUFMAN MD
SVP, CMO	40.0	0.0			$525,668	$0	$109,742	Yes (X)
ALBERT ORIOL
VP, CIO	40.0	0.0			$424,764	$0	$64,059	Yes (X)
ANGELA MARIE VIEIRA
VP, GENERAL COUNSEL	40.0	0.0			$364,661	$0	$107,563	Yes (X)
SCOTT D CAMPBELL
VP, CFO, MPF	40.0	0.0			$345,230	$0	$71,371	Yes (X)
MARY JANE FAGAN
VP, PATIENT CARE SERVICES/CNO	40.0	0.0			$340,162	$0	$81,706	Yes (X)
MOHAMMED MAMOON SYED
VP, HUMAN RESOURCES	40.0	0.0			$333,055	$0	$38,837	Yes (X)
BARBARA L RYAN
VP, GOVERNMENT AFFAIRS	40.0	0.0			$315,713	$0	$247,809	Yes (X)
CHARLES WILSON
SR DIRECTOR, CHADWICK CENTER	40.0	0.0			$294,644	$0	$141,900	Yes (X)
chris abe
sr. dir ancillary/supp svcs	40.0	0.0			$246,917	$0	$149,757	Yes (X)
beth anne mohr
vp, controller	40.0	0.0			$203,772	$0	$46,208	Yes (X)
judy riesen
sr director, revenue cycle	40.0	0.0			$181,074	$0	$21,727	Yes (X)
CHARLES DAVIS
VP, COO, MPF	40.0	0.0			$172,921	$0	$63,273	Yes (X)
GLENN F BILLMAN
chief medical safety officer	40.0	0.0			$266,337	$0	$84,930		Yes (X)
cynthia lynn murphy
cardiac cath lab nurse	40.0	0.0			$227,627	$0	$83,312		Yes (X)
monica ann elkins
clinical nurse III	40.0	0.0			$220,499	$0	$80,662		Yes (X)
kenneth h schnell
pharmacist in chief	40.0	0.0			$214,464	$0	$64,736		Yes (X)
kristin gist
sr dir, developmental svcs	40.0	0.0			$208,706	$0	$177,468		Yes (X)
blair sadler
former president and ceo	0.0	0.0			$274,789	$0	$0			Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$7,836,251	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$0	TotReportableCompRltdOrgAmt
Total Other Compensation	$2,073,576	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	639	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/AddressLine1	CityContractorAddress/USAddress/City	StateContractorAddress/USAddress/State	ZIP CodeContractorAddress/USAddress/ZIPCode	ServicesServicesDesc	CompensationCompensationAmt
Children's Specialists of San Diego
3020 Childrens Way Mc 5001	SAN DIEGO	CA	92123	Medical Services	$82,431,750
AMN Healthcare Inc
12400 High Bluff Dr	SAN DIEGO	CA	92130	Medical Services	$17,683,619
Scripps Memorial- La Jolla
4275 Campus Point Ct Cp-1	SAN DIEGO	CA	92121	Medical Claims	$5,214,491
Palomar Pomerado Health JV
2227 Enterprise St Ste 200	ESCONDIDO	CA	920292073	Medical Services	$3,752,357
DPR Construction
5010 Shoreham Pl	SAN DIEGO	CA	92122	CONSTRUCTION	$3,525,501

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	86	CntrctRcvdGreaterThan100KCnt
Related Organizations	$9,761,615	RelatedOrganizationsAmt
Government Grants	$98,414,060	GovernmentGrantsAmt
All Other Contributions	$1,438,105	AllOtherContributionsAmt
Total Contributions	$109,613,780	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
NET PATIENT SERVICE REVENUE	621400	$573,971,870	$573,971,870
CAPITATED CONTRACT REVENUE	623000	$83,799,136	$83,799,136
OUTPATIENT PHARMACEUTICAL	446110	$9,510,511	$9,510,511
CONFERENCE & TUITION REVENUE	611710	$1,345,958	$1,345,958
MEDICAL SERVICES REIMBURSEMENT	611710	$4,784,938	$4,784,938

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$10,106,756	TotalRevenueColumnAmt
Related Or Exempt Func Income	$10,106,756	RelatedOrExemptFuncIncomeAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$683,519,169	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$9,573,217	TotalRevenueColumnAmt
Exclusion	$9,573,217	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	$1,885,157	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$1,885,157	RealAmt
Personal	$0	PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,885,157	TotalRevenueColumnAmt
Exclusion	$1,885,157	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$215,183,943	SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$190,276,360	SecuritiesAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$24,907,583	SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$24,907,583	TotalRevenueColumnAmt
Exclusion	$24,907,583	ExclusionAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

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

Net Income From Gaming NetIncomeFromGamingGrp

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

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	Unrelated Business RevenueUnrelatedBusinessRevenueAmt	ExclusionExclusionAmt
TPA SERVICES	900099	$2,557,413	$2,557,413
PARKING	812930	$2,041,655		$2,041,655
FOOD SERVICE REVENUE	721000	$1,386,713		$1,386,713

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$3,213,682	TotalRevenueColumnAmt
Unrelated Business Revenue	$649,637	UnrelatedBusinessRevenueAmt
Exclusion	$2,564,045	ExclusionAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$9,199,463	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$838,698,369	TotalRevenueColumnAmt
Related Or Exempt Func Income	$683,519,169	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$3,207,050	UnrelatedBusinessRevenueAmt
Exclusion	$42,358,370	ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

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

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

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

Foreign Grants ForeignGrantsGrp

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

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	$9,535,091	TotalAmt
Program Services	$2,299,103	ProgramServicesAmt
Management And General	$6,777,848	ManagementAndGeneralAmt
Fundraising	$458,140	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	$271,373,824	TotalAmt
Program Services	$205,091,555	ProgramServicesAmt
Management And General	$66,282,269	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$19,959,375	TotalAmt
Program Services	$13,227,769	ProgramServicesAmt
Management And General	$6,731,606	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$30,845,360	TotalAmt
Program Services	$20,442,289	ProgramServicesAmt
Management And General	$10,403,071	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$20,531,922	TotalAmt
Program Services	$13,607,216	ProgramServicesAmt
Management And General	$6,924,706	ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$3,741,219	TotalAmt
Program Services	$1,382,343	ProgramServicesAmt
Management And General	$2,358,876	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$1,092,619	TotalAmt
Management And General	$1,092,619	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$663,750	TotalAmt
Management And General	$663,750	ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$1,676,315	TotalAmt
Management And General	$1,676,315	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	$1,468,492	TotalAmt
Management And General	$1,468,492	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$200,730,555	TotalAmt
Program Services	$152,863,177	ProgramServicesAmt
Management And General	$47,867,378	ManagementAndGeneralAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$737,089	TotalAmt
Program Services	$119,247	ProgramServicesAmt
Management And General	$617,842	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$1,891,221	TotalAmt
Program Services	$748,793	ProgramServicesAmt
Management And General	$1,142,428	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$687,041	TotalAmt
Program Services	$382,544	ProgramServicesAmt
Management And General	$304,497	ManagementAndGeneralAmt

Royalties RoyaltiesGrp

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

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$14,067,179	TotalAmt
Program Services	$11,253,743	ProgramServicesAmt
Management And General	$2,813,436	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$1,169,951	TotalAmt
Program Services	$769,245	ProgramServicesAmt
Management And General	$400,706	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	$262,654	TotalAmt
Program Services	$153,064	ProgramServicesAmt
Management And General	$109,590	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$18,208,524	TotalAmt
Program Services	$14,566,819	ProgramServicesAmt
Management And General	$3,641,705	ManagementAndGeneralAmt

Payments To Affiliates PaymentsToAffiliatesGrp

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

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$40,635,500	TotalAmt
Program Services	$14,222,425	ProgramServicesAmt
Management And General	$26,413,075	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$4,983,264	TotalAmt
Program Services	$83,688	ProgramServicesAmt
Management And General	$4,899,576	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
MEDICAL SUPPLIES	$83,528,850	$82,620,035	$908,815
TAXES AND LICENSES	$10,248,397	$8,966,994	$1,281,403
FOOD SUPPLIES	$1,746,729	$28,008	$1,718,721
DUES AND SUBSCRIPTIONS	$1,185,383	$256,909	$928,474

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$15,124,293	TotalAmt
Program Services	$14,852,229	ProgramServicesAmt
Management And General	$272,064	ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$756,094,597	TotalAmt
Program Services	$557,937,195	ProgramServicesAmt
Management And General	$197,699,262	ManagementAndGeneralAmt
Fundraising	$458,140	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$32,422,283	BOYAmt
EOY	$27,609,809	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	$145,711,164	BOYAmt
EOY	$152,735,131	EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

Field	Value	IRS element (for citing)
BOY	$50,000	BOYAmt
EOY	$50,000	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	$454,561	BOYAmt
EOY	$526,249	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$7,269,187	BOYAmt
EOY	$7,662,731	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$8,496,380	BOYAmt
EOY	$4,562,907	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$787,687,667	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$314,913,133	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$486,754,875	BOYAmt
EOY	$472,774,534	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$511,679,337	BOYAmt
EOY	$670,932,463	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$49,452,883	BOYAmt
EOY	$53,442,844	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	$2,863,117	BOYAmt
EOY	$1,545,159	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$116,619,903	BOYAmt
EOY	$82,629,258	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$1,361,773,690	BOYAmt
EOY	$1,474,471,085	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$128,785,742	BOYAmt
EOY	$119,655,330	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	$350,059	BOYAmt
EOY	$5,018,096	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$405,151,674	BOYAmt
EOY	$399,451,132	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	$5,586,096	BOYAmt
EOY	$5,132,328	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	$68,251,057	BOYAmt
EOY	$71,889,108	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$608,124,628	BOYAmt
EOY	$601,145,994	EOYAmt

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

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$695,236,478	BOYAmt
EOY	$810,388,737	EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$48,649,858	BOYAmt
EOY	$49,333,245	EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$9,762,726	BOYAmt
EOY	$13,603,109	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$753,649,062	BOYAmt
EOY	$873,325,091	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$1,361,773,690	BOYAmt
EOY	$1,474,471,085	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$82,603,772	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$45,660,026	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	-$8,587,769	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

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

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

Contributor US Address ContributorUSAddress

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

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

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
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	false	GrantsOtherOrganizationsInd
Direct Contact Legislators	Yes (true)	DirectContactLegislatorsInd
Direct Contact Legislators	$1,676,315	DirectContactLegislatorsAmt
Rallies Demonstrations	false	RalliesDemonstrationsInd
Other Activities	false	OtherActivitiesInd
Total Lobbying Expenditures	$1,676,315	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	$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

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$48,036,828	BeginningYearBalanceAmt
Contributions	$15,277,049	ContributionsAmt
Investment Earnings Or Losses	$5,535,659	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$0	GrantsOrScholarshipsAmt
Other Expenditures	$1,920,393	OtherExpendituresAmt
Administrative Expenses	$72,554	AdministrativeExpensesAmt
End Year Balance	$66,856,589	EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$49,723,607	BeginningYearBalanceAmt
Contributions	$296,255	ContributionsAmt
Investment Earnings Or Losses	-$222,291	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$0	GrantsOrScholarshipsAmt
Other Expenditures	$1,667,699	OtherExpendituresAmt
Administrative Expenses	$93,045	AdministrativeExpensesAmt
End Year Balance	$48,036,827	EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$42,252,279	BeginningYearBalanceAmt
Contributions	$151,852	ContributionsAmt
Investment Earnings Or Losses	$9,243,544	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$0	GrantsOrScholarshipsAmt
Other Expenditures	$1,799,491	OtherExpendituresAmt
Administrative Expenses	$124,576	AdministrativeExpensesAmt
End Year Balance	$49,723,608	EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$37,093,561	BeginningYearBalanceAmt
Contributions	$275,375	ContributionsAmt
Investment Earnings Or Losses	$6,593,869	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$0	GrantsOrScholarshipsAmt
Other Expenditures	$1,603,715	OtherExpendituresAmt
Administrative Expenses	$106,811	AdministrativeExpensesAmt
End Year Balance	$42,252,279	EndYearBalanceAmt

Field	Value	IRS element (for citing)
Board Designated Balance EOY	0.77160	BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY	0.17830	PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY	0.05010	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	$17,123,793	OtherCostOrOtherBasisAmt
Book Value	$17,123,793	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$547,207,328	OtherCostOrOtherBasisAmt
Depreciation	$175,764,505	DepreciationAmt
Book Value	$371,442,823	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$6,976,326	OtherCostOrOtherBasisAmt
Depreciation	$5,438,127	DepreciationAmt
Book Value	$1,538,199	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$186,984,124	OtherCostOrOtherBasisAmt
Depreciation	$131,028,030	DepreciationAmt
Book Value	$55,956,093	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$29,396,096	OtherCostOrOtherBasisAmt
Depreciation	$2,682,471	DepreciationAmt
Book Value	$26,713,626	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$472,774,534	TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (9 entries)

DescDesc	Book ValueBookValueAmt
BOND INDENTURE AGREEMENTS	$56,632,829
RECEIVABLES FROM AFFILIATES	$9,550,822
EXECUTIVE COMPENSATION	$699,756
DEFERRED FINANCING COSTS	$2,464,684
ASSET DEPOSITS	$129,775
ASSET-SEC DEP	$55,605
ASSETS LIMITED TO USE	$56,429
PENSION FUNDED STATUS	$12,567,409
DEFERRED COSTS	$471,949

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$82,629,258	TotalBookValueOtherAssetsAmt
Federal Income Tax Liability	$0	FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (7 entries)

DescDesc	AmtAmt
PAYABLE TO BENEFICIARIES	$108,457
INTEREST RATE SWAPS	$50,221,624
DEFFERED COMPENSATION	$335,943
MALPRACTICE IBNR	$3,230,004
BENEFITS PAYABLE	$14,922,404
SANFORD INVSTMNT OCEANSIDE BUI	$2,948,673
SECURITY DEPOSITS	$122,003

Field	Value	IRS element (for citing)
Total Liability	$71,889,108	TotalLiabilityAmt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Schedule D, Part V, Line 4	FormAndLineReferenceDesc
Explanation	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.	ExplanationTxt

Schedule F IRS990ScheduleF

Account Activities Outside US AccountActivitiesOutsideUSGrp

Field	Value	IRS element (for citing)
Region	Central America and the Caribbean	RegionTxt
Type Of Activities Conducted	Investments	TypeOfActivitiesConductedTxt
Region Total Expenditures	$141,491	RegionTotalExpendituresAmt

Field	Value	IRS element (for citing)
Subtotal Spent	$141,491	SubtotalSpentAmt
Total Spent	$141,491	TotalSpentAmt
Transfer To Foreign Corp	Yes (true)	TransferToForeignCorpInd
Interest In Foreign Trust	false	InterestInForeignTrustInd
Foreign Corp Ownership	false	ForeignCorpOwnershipInd
Passive Foreign Investmest Co	Yes (true)	PassiveForeignInvestmestCoInd
Foreign Partnership	Yes (true)	ForeignPartnershipInd
Boycott Countries	false	BoycottCountriesInd

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Part I, Line 3, Column F	FormAndLineReferenceDesc
Explanation	The organization is reporting the amount of investments on Part I, Line 3, Column F. This reflects a transfer to the foreign partnership in the tax year. The organization uses the accrual method of accounting for all expenditures.	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	false	FinancialAssistanceBudgetInd
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	$7,066,251	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$7,066,251	NetCommunityBenefitExpnsAmt
Total Expense	0.00930	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$344,619,965	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$269,432,578	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$75,187,387	NetCommunityBenefitExpnsAmt
Total Expense	0.09940	TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$2,557,146	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$33,808	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$2,523,338	NetCommunityBenefitExpnsAmt
Total Expense	0.00330	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$354,243,362	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$269,466,386	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$84,776,976	NetCommunityBenefitExpnsAmt
Total Expense	0.11200	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$28,352,365	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$17,712,405	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$10,639,960	NetCommunityBenefitExpnsAmt
Total Expense	0.01410	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$15,450,505	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$6,437,936	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$9,012,569	NetCommunityBenefitExpnsAmt
Total Expense	0.01190	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$26,761,398	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$12,365,377	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$14,396,021	NetCommunityBenefitExpnsAmt
Total Expense	0.01900	TotalExpensePct

Research ResearchGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,253,523	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$934,689	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$318,834	NetCommunityBenefitExpnsAmt
Total Expense	0.00040	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$71,817,791	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$37,450,407	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$34,367,384	NetCommunityBenefitExpnsAmt
Total Expense	0.04540	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$426,061,153	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$306,916,793	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$119,144,360	NetCommunityBenefitExpnsAmt
Total Expense	0.15740	TotalExpensePct

Health Improvement Advocacy HealthImprovementAdvocacyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$46,308	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$46,308	NetCommunityBenefitExpnsAmt
Total Expense	0.00010	TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$167,009	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$115,217	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$51,792	NetCommunityBenefitExpnsAmt
Total Expense	0.00010	TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$213,317	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$115,217	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$98,100	NetCommunityBenefitExpnsAmt
Total Expense	0.00020	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	false	BadDebtExpenseReportedInd
Bad Debt Expense	$3,057,239	BadDebtExpenseAmt
Reimbursed By Medicare	$1,418,298	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$3,990,666	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$2,572,368	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	BusinessNameLine1

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	3020 Childrens Way MC 5133	AddressLine1
City	San Diego	City
State	CA	State
ZIP Code	92123	ZIPCode

Field	Value	IRS element (for citing)
Website Address	www.rchsd.org	WebsiteAddressTxt
State License	080000028	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	BusinessNameLine1

Field	Value	IRS element (for citing)
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
CHNA Conducted	12	CHNAConductedYr
Take Into Account Others Input	Yes (true)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	Yes (true)	CHNAConductedWithOtherFcltsInd
CHNA Report Widely Available	Yes (true)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	SEE PART V SECTION C	OwnWebsiteURLTxt
Rpt Available Upon Request	Yes (X)	RptAvailableUponRequestInd
Adopt Implementation Strategy	Yes (X)	AdoptImplementationStrategyInd
Exec Implementation Strategy	Yes (X)	ExecImplementationStrategyInd
Develop Community Wide Plan	Yes (X)	DevelopCommunityWidePlanInd
Exec Community Wide Plan	Yes (X)	ExecCommunityWidePlanInd
Include Operational Plan	Yes (X)	IncludeOperationalPlanInd
Adopt Budget	Yes (X)	AdoptBudgetInd
Prioritize Health Needs	Yes (X)	PrioritizeHealthNeedsInd
Prioritize Services	Yes (X)	PrioritizeServicesInd
All Needs Addressed	false	AllNeedsAddressedInd
Organization Incur Excise Tax	false	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (true)	EligCriteriaExplainedInd
FPG Used Deter Elig Free Care	Yes (true)	FPGUsedDeterEligFreeCareInd
FPG Family Incm Lmt Free Care	250.	FPGFamilyIncmLmtFreeCarePct
FPG Used Determ Elig Dscnt Care	Yes (true)	FPGUsedDetermEligDscntCareInd
FPG Family Incm Lmt Dscnt Care	450.	FPGFamilyIncmLmtDscntCarePct
Explained Basis	Yes (true)	ExplainedBasisInd
Income Level	Yes (X)	IncomeLevelInd
Insurance Status	Yes (X)	InsuranceStatusInd
Medicaid Medicare	Yes (X)	MedicaidMedicareInd
State Regulation	Yes (X)	StateRegulationInd
App Financial Asst Expln	Yes (true)	AppFinancialAsstExplnInd
Includes Publicity Measures	Yes (true)	IncludesPublicityMeasuresInd
Posted On Website	Yes (X)	PostedOnWebsiteInd
Attached To Invoice	Yes (X)	AttachedToInvoiceInd
Posted In Emergency Room	Yes (X)	PostedInEmergencyRoomInd
Posted In Admission Office	Yes (X)	PostedInAdmissionOfficeInd
Provided On Admission	Yes (X)	ProvidedOnAdmissionInd
Available On Request	Yes (X)	AvailableOnRequestInd
Other Publicity	Yes (X)	OtherPublicityInd
FAP Actions On Nonpayment	Yes (true)	FAPActionsOnNonpaymentInd
Collection Activities	false	CollectionActivitiesInd
FAP Notified Upon Admission	Yes (X)	FAPNotifiedUponAdmissionInd
FAP Notified Before Discharge	Yes (X)	FAPNotifiedBeforeDischargeInd
FAP Notified All Patients	Yes (X)	FAPNotifiedAllPatientsInd
Documented Elig Determination	Yes (X)	DocumentedEligDeterminationInd
Nondis Emergency Care Policy	Yes (true)	NondisEmergencyCarePolicyInd
Other Method Used	Yes (X)	OtherMethodUsedInd
Amounts Generally Billed	false	AmountsGenerallyBilledInd
Gross Charges	false	GrossChargesInd

Supplemental Information SupplementalInformationGrp

Field	Value	IRS element (for citing)
Form And Line Reference	SCHEDULE H, PART V, SECTION B, LINE 3	FormAndLineReferenceDesc
Explanation	In conducting its most recent CHNA, the hospital facility took into account input from representatives of the community served by the hospital, including those with special knowledge of or expertise in public health. This was done through three methods: an electronic survey for community leaders and health experts, key informant interviews, and community forums for residents in vulnerable communities throughout San Diego County. Community Leader and Health Experts: Community leaders and health experts were chosen based on their discipline and knowledge of health issues affecting San Diego County. The CHNA Advisory Workgroup developed a list of over 100 possible community leaders and health experts. A health expert or leader was defined as a person with special knowledge of or expertise in public health. The list was compiled to ensure representation of experts in both the 15 health conditions and 26 health drivers that had been identified as priority health conditions in the County. Health experts and leaders were identified from hospital settings, community-based organizations, government policy, legal, and health advocacy organizations. Contact information was verified and initial emails were sent to the list of health experts and leaders in San Diego in order to gauge potential interest in participating in the CHNA health prioritization survey. At the time of this initial e-mail, interested respondents were asked which conditions they had expertise in, what populations they served and what regions they worked in. This initial feedback gave the CHNA Advisory Workgroup an idea of the coverage of data that would ultimately be gathered on health conditions, regions and populations served. Targeted outreach to additional health experts and leaders was then initiated to fill gaps of under-represented conditions, regions, or vulnerable populations. A CHNA survey was emailed to over 120 health experts and leaders, with 88 people completing the survey. When designing the survey, the diversity of the knowledge of the respondents was taken into account. Some respondents had knowledge of specific diseases or conditions and the health drivers affecting those diseases. Other leaders had a general knowledge of health drivers and how they affect multiple health outcomes. To accommodate these different perspectives, the survey was created so that the respondents could answer the survey from one of the two perspectives. Both perspectives allowed respondents to comment on poor health conditions and health drivers as they completed the survey. Key Informant Interviews: Key informants were selected based on their ability to understand health policy, and their knowledge of issues throughout San Diego County. Five key informant interviews were conducted to: 1.) gather more in-depth understanding of the health conditions most affecting San Diego; 2.) aid in the process of prioritizing health conditions; 3.) make connections between the health conditions and associated health drivers; 4.) gain information about the system or policy changes that could potentially impact health conditions; and 5.) get health conditions specific recommendations as well as overall recommendations. Resident Feedback: Five community forums with local residents were conducted to gain resident's perspective on the health needs of their communities, identify health conditions most affecting their communities, and identify community recommendations on how hospitals could help to meet their health needs. Recognizing that health needs differ across the region and that socioeconomic factors impact health outcomes, the Dignity Health Community Need Index (CNI) was used to identify communities with the highest level of health disparities and needs. Residents in five of these neighborhoods provided input on the health needs of their communities in a community forum setting. Neighborhood community collaborative agencies or organizations within each neighborhood helped to recruit community members to participate in the focus groups. Recruitment included the stipulation that focus group participants were living in the neighborhood and were not affiliated with local hospitals and health centers. Focus groups were conducted in El Cajon, Oceanside, Escondido, Logan Heights, and San Ysidro. During the focus groups, Geographical Informational Systems (GIS) maps displaying CNI scores by zip code in San Diego County as well as the County of San Diego's HHSA region of the neighborhood were displayed and hand-outs in both English and Spanish explaining the CNI score were distributed to each participant. Information about the health resources available in their neighborhoods was also provided to community members. Schedule h, part v, SECTION B, line 4 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 5 http://www.rchsd.org/health-safety/community-health-needs-assessment/ schedule h, part v, SECTION B, line 7 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 services, which are more appropriate for the pediatric population. Schedule h, part v, SECTION B, line 14g 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. scheudle h, part v, SECTION B, line 20d The hospital determined, during the tax year, the maximum amounts that can be charged to FAP eligible individuals for emergency or other medically necessary care, based on Medi-Cal rates (AB 774).	ExplanationTxt

Field	Value	IRS element (for citing)
Facility	19	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (19 entries)

Address Line1USAddress/AddressLine1	CityUSAddress/City	StateUSAddress/State	ZIP CodeUSAddress/ZIPCode	FacilityFacilityTxt
Chadwick Center for Children & Families
1261 Third Avenue Suite D	Chula Vista	CA	91911	Trauma Counseling
Rady Children's Specialists of San Diego
477 North El Camino Real	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/urgent care
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
Polinsky Children's Center Medical Clini
9400 Ruffin Court Building B	San Diego	CA	92123	CLINIC
Rady Children's Specialists of San Diego
6386 Alvarado Court Suite 210	San Diego	CA	92123	Clinic
Rady Children's Specialists of San Diego
3750 Convoy St Suite 301	San Diego	CA	92111	Clinic
Rady Children's Specialists of San Diego
385 W Main Street	El Centro	CA	92243	Clinic
Rady Children's
7910 Frost Suite 140	San Diego	CA	92123	Clinics
Rady Children's
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
8110 Birmingham Drive	San Diego	CA	92123	Clinics
Chadwick Center for Children & Families
3665 kearny villa road	san diego	CA	92123	trauma counseling
Rady Children's Development Services
445 marine avenue suite 120	del mar	CA	92014	clinic

Supplemental Information Detail SupplementalInformationDetail (4 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. SCHEDULE H, PART II, COMMUNITY BUILDING ACTIVITIES RADY CHILDREN'S CENTER FOR HEALTHIER COMMUNITIES PROVIDES THE FACES FOR THE FUTURE PROGRAM AT A LOCAL HIGH SCHOOL. THE FACES PROGRAM IS A YOUTH AND FUTURE HEALTHCARE WORKFORCE DEVELOPMENT PROGRAM THAT PREPARES UNDERREPRESENTED, ETHNICALLY DIVERSE YOUTH FOR CAREERS IN ALL AREAS OF THE HEALTH PROFESSIONS. THE PROGRAM ALSO AIMS TO ASSIST LOCAL PUBLIC SCHOOLS IN MOTIVATING AND PREPARING UNDERREPRESENTED HIGH SCHOOL STUDENTS FOR ENTRY INTO COLLEGE, HEALTHCARE/RESEARCH CAREERS AND OTHER VIABLE EMPLOYMENT OPPORTUNITIES IN THE HEALTHCARE INDUSTRY. THE PARTICIPATING STUDENTS ROTATE THROUGH CLINICAL DEPARTMENTS AT RADY CHILDREN'S HOSPITAL - SAN DIEGO AND RECEIVE MENTORSHIP.
SCHEDULE H, PART III, LINE 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. SCHEDULE H, PART III, LINE 4 SEE PAGE 13 and 14 OF THE AUDITED FINANCIAL STATEMENTS Scheudle H, Part III, Line 8 THE MEDICARE ALLOWABLE COSTS REPORTED IN THE ORGANIZATION'S MEDICARE COST REPORT AS REFLECTED IN THE AMOUNT REPORTED IN PART III, LINE 6 ARE DETERMINED USING A PRO FORMA COST REPORT AS DESCRIBED IN PART I, LINE 7 ABOVE. THE ORGANIZATION BELIEVES THAT THE TEFRA COST LIMITATION SHOULD BE INCLUDED AS A COMMUNITY BENEFIT, BASED ON THE INPATIENT COST OVER THE TEFRA LIMITS.
SCHEDULE H, PART III, LINE 9B	IN ITS BILLING AND COLLECTION ACTIVITY, RADY CHILDREN'S HOSPITAL - SAN DIEGO TREATS ALL PATIENTS AND PATIENT FAMILIES OR REPRESENTATIVES WITH FAIRNESS, DIGNITY AND RESPECT. RCHSD DOES NOT UTILIZE WAGE GARNISHMENTS, LIENS ON A PATIENT'S PRIMARY RESIDENCE, OR BODY ATTACHMENTS IN ITS COLLECTION ACTIVITIES. RCHSD ONLY UTILIZES THOSE OUTSIDE OR THIRD PARTY COLLECTION AGENCIES THAT AGREE TO COMPLY WITH APPLICABLE STATE AND FEDERAL LAWS AND WITH RCHSD POLICIES, AND RCHSD DEBT COLLECTION STANDARDS AND PRACTICES. IN DETERMINING THE DEBT THAT RCHSD SEEKS TO RECOVER, RCHSD WILL CONSIDER ONLY THE INCOME AND CERTAIN MONETARY ASSETS OF THE PATIENT/GUARANTOR ELIGIBLE FOR THE RCHSD FINANCIAL ASSISTANCE PROGRAM. IN MAKING THIS DETERMINATION, RCHSD WILL NOT CONSIDER RETIREMENT OR DEFERRED COMPENSATION PLANS (EITHER QUALIFIED OR NON-QUALIFIED UNDER THE INTERNAL REVENUE CODE), THE FIRST $10,000 OR THE REMAINING 50 PERCENT OF THE PATIENT/GUARANTOR'S MONETARY ASSETS. RCHSD SHALL NOT SEND AN ACCOUNT TO A COLLECTION AGENCY IF THE PATIENT HAS A PENDING APPLICATION FOR THE RCHSD FINANCIAL ASSISTANCE PROGRAM OR GOVERNMENT-SPONSORED INSURANCE PROGRAM OR IS ATTEMPTING IN GOOD FAITH TO SETTLE AN OUTSTANDING BILL BY NEGOTIATING AN INTEREST FREE, EXTENDED PAYMENT PLAN OR BY MAKING REGULAR PARTIAL PAYMENTS OF A REASONABLE AMOUNT. A "PENDING APPLICATION" IS DEFINED AS AN APPLICATION THAT HAS BEEN FULLY COMPLETED AND INCLUDES COPIES OF THE REQUIRED DOCUMENTATION BY THE PATIENT/GUARANTOR, SUBMITTED TO THE RELEVANT PUBLIC AGENCY IN THE CASE OF GOVERNMENT PROGRAMS AND TO RCHSD IN THE CASE OF THE RCHSD FINANCIAL ASSISTANCE PROGRAM. IF A PATIENT ACCOUNT IS SENT TO COLLECTIONS AND IT IS DETERMINED THAT THE PATIENT IS ELIGIBLE FOR FINANCIAL ASSISTANCE, THE PATIENT ACCOUNT IS REMOVED FROM THE COLLECTION PROCESS AND THE FINANCIAL ASSISTANCE APPLICATION PROCESS IS IMPLEMENTED.
SCHEDULE H, PART VI, LINE 2	NEEDS ASSESMENT Rady Children's Hospital - San Diego is committed to improve the health status of the community. RCHSD, in conjunction with its hospital partners, participates in the hospital association of San Diego and imperial counties (HASDIC). HASDIC partners and Rady Children's together conducted a new CHNA in FY 2013. In addition, through a myriad of community-based programs, RCHSD assesses various patient population needs on an ongoing basis. Based on the results of the triennial San Diego community health needs assessment, as well as ongoing assessments, RCHSD offers a variety of programs to address the physical, mental and social health needs of children. SCHEDULE H, PART VI, LINE 3 PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE RCHSD provides written information about the availability of the RCHSD financial assistance program, 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 There are approximately 775,000 children between the ages of infant to 17 that reside in San Diego County. The median household income in 2013 was $62,962 and approximately 38 percent of families are considered low income. Rady Children's Hospital - San Diego has participated in a county-wide health needs assessment every three years previously through the Community Health Improvement Partners (CHIP) since the inception of SB697. In FY 2013, the CHNA was conducted through HASDIC. The most recent health needs assessment, funded in part by RCHSD, and other local participating hospital providers was completed in FY 2013. The FY 2013 CHNA findings were in keeping with health needs identified in prior CHNAs, and included obesity, diabetes and behavioral health needs. Rady Children's works to help improve the health status of the community through a variety of programs. Rady children's hospital - San Diego is a regional tertiary and quaternary referral center and the largest provider of pediatric hospital services in San Diego county. RCHSD provides comprehensive care and treatment to children ranging in age from newborn through independent adulthood. RCHSD is the sole pediatric level 1 trauma center serving San Diego and imperial counties. Also, RCHSD is the pediatric safety net hospital for the region with a medi-cal payor mix hovering over 50%. Rchsd serves as the teaching hospital for the school of medicine at the University of California, San Diego (UCSD) and, in 2001, RCHSD and UCSD amalgamated where RCHSD became the pediatric provider of inpatient and outpatient medical and surgery services and certain other clinical services for UCSD pediatric patients. There are three large health systems operating in San Diego, Sharp Healthcare, Scripps Health and Kaiser Permanente, as well as other hospital providers. To help care for pediatric patients, RCHSD collaborates with sharp healthcare, Scripps Health and Palomar Pomerado health through affiliated program agreements. SCHEDULE H, PART VI, LINE 5 promotion of community health The Rady Children's Hospital - San Diego is governed by a 24-member Board of Trustees. The majority of the organization's governing body is comprised of persons representing the San Diego community, who are neither employees nor contractors of the organization. RCHSD extends medical staff privileges to all qualified physicians in its community. RCHSD applies its surplus funds to support the highest and most urgent needs of the organization and the community including improving patient care; providing support for our patients' families; research; developmental services; mental health services; child abuse prevention and treatment services; education programs; and purchasing state-of-the art equipment and technology to further enhance patient care. RCHSD promotes the health of the community it serves through a variety of mechanisms. The RCHSD Community Benefit Report for fiscal year 2014 (July 1, 2013 through June 30, 2014) 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 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 (21 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
SVP/COO	$505,146	$0	$113,700	$0	$117,485	$0	$148,519	$0	$13,817	$0	$898,667	$0	$85,952	$0
ROGER g ROUX
SVP, CFO, treasurer	$449,986	$0	$93,700	$0	$114,080	$0	$132,803	$0	$13,017	$0	$803,586	$0	$77,342	$0
KATHLEEN DOOLEY SELLICK
PRESIDENT AND CEO	$765,009	$0	$167,530	$0	$213,469	$0	$47,429	$0	$25,585	$0	$1,219,022	$0	$171,883	$0
IRVIN A KAUFMAN MD
SVP, CMO	$359,859	$0	$83,800	$0	$82,009	$0	$101,101	$0	$8,641	$0	$635,410	$0	$32,507	$0
ALBERT ORIOL
VP, CIO	$308,871	$0	$61,100	$0	$54,793	$0	$52,221	$0	$11,838	$0	$488,823	$0	$26,827	$0
ANGELA MARIE VIEIRA
VP, GENERAL COUNSEL	$264,197	$0	$51,900	$0	$48,564	$0	$93,807	$0	$13,756	$0	$472,224	$0	$8,594	$0
SCOTT D CAMPBELL
VP, CFO, MPF	$270,671	$0	$41,700	$0	$32,859	$0	$62,348	$0	$9,023	$0	$416,601	$0	$22,120	$0
MARY JANE FAGAN
VP, PATIENT CARE SERVICES/CNO	$268,223	$0	$37,350	$0	$34,589	$0	$80,803	$0	$903	$0	$421,868	$0	$24,589	$0
MOHAMMED MAMOON SYED
VP, HUMAN RESOURCES	$262,787	$0	$32,300	$0	$37,968	$0	$26,999	$0	$11,838	$0	$371,892	$0	$10,000	$0
BARBARA L RYAN
VP, GOVERNMENT AFFAIRS	$232,944	$0	$44,710	$0	$38,059	$0	$238,434	$0	$9,375	$0	$563,522	$0	$25,037	$0
CHARLES WILSON
SR DIRECTOR, CHADWICK CENTER	$232,565	$0	$13,600	$0	$48,479	$0	$116,932	$0	$24,968	$0	$436,544	$0	$31,800	$0
GLENN F BILLMAN
chief medical safety officer	$246,124	$0	$12,194	$0	$8,019	$0	$73,541	$0	$11,389	$0	$351,267	$0	$8,019	$0
chris abe
sr. dir ancillary/supp svcs	$202,686	$0	$1,428	$0	$42,803	$0	$136,459	$0	$13,298	$0	$396,674	$0	$30,651	$0
cynthia lynn murphy
cardiac cath lab nurse	$227,377	$0	$250	$0	$0	$0	$83,312	$0	$0	$0	$310,939	$0	$0	$0
monica ann elkins
clinical nurse III	$212,532	$0	$4,150	$0	$3,817	$0	$80,386	$0	$276	$0	$301,161	$0	$0	$0
kenneth h schnell
pharmacist in chief	$198,807	$0	$11,287	$0	$4,370	$0	$40,452	$0	$24,284	$0	$279,200	$0	$2,185	$0
kristin gist
sr dir, developmental svcs	$189,131	$0	$12,236	$0	$7,339	$0	$176,987	$0	$481	$0	$386,174	$0	$0	$0
beth anne mohr
vp, controller	$183,576	$0	$0	$0	$20,196	$0	$37,866	$0	$8,342	$0	$249,980	$0	$0	$0
judy riesen
sr director, revenue cycle	$171,667	$0	$9,357	$0	$50	$0	$21,100	$0	$627	$0	$202,801	$0	$202,801	$0
blair sadler
former president and ceo	$0	$0	$0	$0	$274,789	$0	$0	$0	$0	$0	$274,789	$0	$0	$0
CHARLES DAVIS
VP, COO, MPF	$156,383	$0	$10,000	$0	$6,538	$0	$62,507	$0	$766	$0	$236,194	$0	$236,195	$0

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
SCHEDULE J, PART I, LINE 1A	THE ORGANIZATION PROVIDED A DISCRETIONARY SPENDING ACCOUNT TO THREE OFFICERS, ELEVEN KEY EMPLOYEES, AND ONE HIGHEST PAID EMPLOYEE LISTED ON FORM 990 PART VII. THE AMOUNT PROVIDED WAS INCLUDED IN EACH INDIVIDUAL'S TAXABLE COMPENSATION.
SCHEDULE J PART I LINE 4A	Pursuant to the terms of her employment agreement, upon separation from the organization under certain circumstances, Ms. Sellick, President and CEO, is entitled to receive a severance payment. No payments were made under this arrangement during calendar year 2013.
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 AND TO PROVIDE THESE INDIVIDUALS WITH ADDITIONAL DEFERRAL OPPORTUNITIES. THE AMOUNTS LISTED IN SCHEDULE J PART II, COLUMN (C) ARE SUBJECT TO SUBSTANTIAL FUTURE SERVICE REQUIREMENTS TO THE ORGANIZATION AND ARE SUBJECT TO SUBSTANTIAL RISK OF FORFEITURE. ONCE VESTED AND NOT OTHERWISE DEFERRED, THE AMOUNTS UNDER THIS PLAN ARE REPORTED ON FORM W-2 AS TAXABLE COMPENSATION TO THE INDIVIDUAL.

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	1309114Z0	2006-10-26	$194,219,503	SEE PART VI	false	false	false
CALIFORNIA STATEWIDE COMM DEVELOPMENT AUTHORITY
B	680164610	130795VT1	2008-07-31	$101,155,000	CURRENT REFUNDING SERIES 2006CD	false	false	false
CALIFORNIA HEALTH FACILITIES FINANCING AUTHORITY
C	521643828	13033LUU9	2011-11-22	$100,079,621	REFUND LOAN,RENOV,CONSTR&EQUIP PUR	false	false	false
CALIFORNIA STATEWIDE COMM DEVELOPMENT AUTHORITY
D	680164610	1307955Y9	2012-06-14	$115,580,000	REISSUANCE OF 2008B & 2008D BONDS	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	$121,030,000	$0	$200,466,865	$0	$0	$0	$1,866,248	$5,734,000	$0	$101,343,671	$91,522,945	$0	Yes (true)	false	Yes (true)	Yes (true)
B	$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)
C	$1,545,000	$0	$100,325,806	$0	$0	$0	$1,682,270	$0	$0	$82,171,605	$0	$16,471,931	false	false	false	Yes (true)
D	$50,975,000	$0	$115,580,000	$0	$0	$0	$0	$0	$0	$0	$115,580,000	$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	Total Private Business UseTotalPrivateBusinessUsePct	Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd	Change In Use Bond Financed PropChangeInUseBondFinancedPropInd	Change In Use Bond Financed PropChangeInUseBondFinancedPropPct	Remedial Action TakenRemedialActionTakenInd	Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
A	false	Yes (true)	Yes (true)	Yes (true)	false	0.00290	0.00290	false	false	0.00000	false	Yes (true)
B	false	Yes (true)	Yes (true)	Yes (true)	false	0		false	false		false	Yes (true)
C	false	Yes (true)	Yes (true)	Yes (true)	false	0			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	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/BusinessNameLine1	Term Of GICTermOfGICPct	Regulatory Safe Harbor StsfdRegulatorySafeHarborStsfdInd	Gross Proceeds InvestedGrossProceedsInvestedInd	Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd
GOLDMAN SACHS BANK
A	false	false	Yes (true)	Yes (true)	Yes (true)	Yes (true)	1.76	false	Yes (true)	Yes (true)	HYPO REPURCHASE AGRT	2.55	Yes (true)	false	Yes (true)
GOLDMAN SACHS BANK
B	Yes (true)				Yes (true)	Yes (true)	28.06	false	Yes (true)	Yes (true)	HYPO REPURCHASE AGRT	2.55	Yes (true)	false	Yes (true)
0
C	false	Yes (true)	false	false	false	false				false	0			false	Yes (true)
GOLDMAN SACHS BANK
D	false	false	Yes (true)	false	Yes (true)	Yes (true)	35.19	false	false	false	0			false	Yes (true)

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 (8 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
COLUMN A: 2006ABCD BONDS	Part I, f: The Issue Date of the 1993 Bonds was 04/01/1993, the Issue Date of the 1996 Bonds was 02/07/1996, and the Issue Date of the 2004 capital lease was 03/19/2004. Part II, 3: The difference between the Issue Price listed in Part I(e) is due to interest earnings on Bond Proceeds. Part II, 13: The 2006 Series CD Bonds, which were refunded by the 2008 Bonds, comprised the new money portion of the issue. Since the only portion allocable to the remainder of the issue (2006 Series AB) is the refunding portion, the year of substantial completion is not applicable. Part IV, 2c: The rebate computation was performed as of October 26, 2011. Part IV, 4e: The 2006 Series C Goldman Sachs hedge was originally entered into a term of 29.82 years but was deemed terminated on July 31, 2008 and had a term of 1.76 years. Part IV, 4e: The 2006 Series D Bank of New York hedge was originally entered into a term of 33.58 years but was terminated on June 27, 2008 and had a term of 0.43 years. This hedge was replaced by a Goldman Sachs hedge. Part IV, 4e: The 2006 Series D Goldman Sachs hedge was originally entered into a term of 33.14 years but was deemed terminated on July 31, 2008 and had a term of 0.08 years. Part IV, 5a: The 2006 Series CD Bonds proceeds were invested in the Hypo Repurchase Agreement which was transferred to the 2008CD Bonds on the date of their refundings.
COLUMN B: 2008CD BONDS	Part I, f: The issue date of the 2006CD Bonds was 10/26/06. Part II, 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, 13: Since the proceeds of the 2008CD Bonds are used for refunding purposes, the year of substantial completion is not applicable. Part IV, 4e: The 2008C Goldman Sachs hedge was originally entered into a term of 29.82 years but was reintegrated from the 2006C bonds on 07/31/08 and has a term of 28.06 years. Part IV, 4e: The 2008D Goldman Sachs hedge was originally entered into a term of 33.14 years but was reintegrated from the 2006D bonds on 07/31/08 and had a restructured term of 33.06 years. This hedge was deemed terminated on 06/14/12 and had a term of 3.87 years. Part IV, 5a: Gross proceeds of the 2008CD Bonds' Project Fund were invested in the Hypo Repurchase Agreement.
COLUMN C: 2011 BONDS	Part II, 3: The difference between the Issue Price listed in Part I(e) is due to interest earnings on Bond Proceeds.
COLUMN D: 2012B BONDS	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, 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, 2B: 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, 4E: The 2012B Goldman Sachs hedge was originally entered into a term of 39.15 years but was reintegrated from the 2008B bonds on 06/15/12 and has a term of 35.19 years. PART IV, 4E: The 2012D Goldman Sachs hedge was originally reintegrated to the 2008D bonds on 07/31/08 for a term of 33.06 years but it was further reintegrated to the 2012D bonds on 06/15/12 for a term of 29.19 years.
COLUMN A,B AND D	PART III, 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.
COLUMN A: 2008A-REISSUED BONDS	Part I, f: The issue date of the 2008A Bonds was 07/02/08. Part II, 13: Since the proceeds of the 2008A-Reissued Bonds are used for refunding purposes, the year of substantial completion is not applicable. Part IV, 2b: 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, 4c: In accordance with the Issuer's election to apply 1.148-4(h)(3)(iv)(A) through (H) and 1.148-4(h)(4)(iv) of the Proposed Arbitrage Regulations released on September 16, 2013, the Goldman hedge continues to qualify with respect to the reissued bonds as reissued without any deemed termination on the reissuance date. The term of the Goldman hedge as shown is the full term beginning on 06/15/12, the date it was reintegrated with the 2008A Bonds.
COLUMN B: 2012D-REISSUED BONDS	Part I, f: The issue date of the 2012D Bonds was 06/14/12. Part II, 13: Since the proceeds of the 2012D-Reissued Bonds are used for refunding purposes, the year of substantial completion is not applicable. Part IV, 2b: 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, 4c: In accordance with the Issuer's election to apply 1.148-4(h)(3)(iv)(A) through (H) and 1.148-4(h)(4)(iv) of the Proposed Arbitrage Regulations released on September 16, 2013, the Goldman hedge continues to qualify with respect to the reissued bonds as reissued without any deemed termination on the reissuance date. The term of the Goldman hedge as shown is the full term beginning on 06/15/12, the date it was reintegrated with the 2012D Bonds.
COLUMN A AND B	PART III, 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	2013-09-25	$63,485,000	CURRENT REFUNDING SERIES 2008A	false	false	false
CALIFORNIA STATEWIDE COMM DEVELOPMENT AUTHORITY
B	680164610	999999999	2013-10-24	$50,580,000	CURRENT REFUNDING SERIES 2012D	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	$63,485,000	$0	$0	$0	$0	$0	$0	$0	$63,485,000	$0	Yes (true)	false	Yes (true)	Yes (true)
B	$0	$0	$50,580,000	$0	$0	$0	$0	$0	$0	$0	$50,580,000	$0	Yes (true)	false	Yes (true)	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
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	false	false	false	Yes (true)

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/BusinessNameLine1	Gross Proceeds InvestedGrossProceedsInvestedInd	Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd
GOLDMAN SACHS BANK
A	false	false	Yes (true)	false	Yes (true)	Yes (true)	35.19	false	false	false	0	false	Yes (true)
GOLDMAN SACHS BANK
B	false	false	Yes (true)	false	Yes (true)	Yes (true)	29.19	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	Roger G Roux	PersonNm
Relationship With Org	SVP/CFO/TREASURER	RelationshipWithOrgTxt
Loan Purpose	Relocation Loan	LoanPurposeTxt
Loan From Organization	Yes (X)	LoanFromOrganizationInd
Original Principal	$50,000	OriginalPrincipalAmt
Balance Due	$50,000	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	$50,000	TotalBalanceDueAmt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (11 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Part VI, Section A Line 6	Rady Children's Hospital and Health Center (RCHHC) is the sole member as that term is defined in California Corporations Code 5056 ("Member")of Rady Children's Hospital - San Diego (RCHSD). Part VI, Section A Lines 7a and 7b The RCHSD Board of Directors consists of those individuals serving as the Board of Trustees of the Member. Only the Member may remove a Director. The following actions of the RCHSD Board require "prior written approval" of the Member to be effective: o Any amendment, revision, modification of the Articles of Incorporation or the bylaws o Any change in the nature of the business activities of RCHSD o Approval of operating and capital budgets of RCHSD o Borrowing any amount or incurring any debt in the amount of $100,000 or more o Making or incurring any unbudgeted extraordinary or non-recurring expense or expenditure of $100,000. The RCHSD Board cannot authorize or direct any officer of RCHSD to perform or commit any of the following acts, without prior written approval of the Member: o Borrow money in RCHSD's name or utilize property owned by RCHSD as security for loans, except in the ordinary course of business o Make, execute, or deliver any assignment for the benefit or creditors, or any bond, confession, judgment, chattel mortgage, security agreement, deed, guaranty, indemnity bond, surety bond, contract to sell or bill of sale of the property of RCHSD, except in the ordinary course of business. o Acquire, purchase, develop, improve, sell, lease or mortgage any corporate real estate or any interest therein or enter into any contract for any such purposes. o Make any loan or investment of any RCHSD assets, or enter into any contract or incur any liability on behalf of RCHSD other than for fair consideration or in the ordinary course of business relating to its normal daily operation. Part VI, Section B,Line 11a Review of Form 990 The Form 990 was reviewed by the CFO and then provided to the organization's Audit and Corporate Responsibility Committee for review. Following review by the Committee, the returns were finalized, signed and submitted to the Internal Revenue Service. A complete copy of the Form 990 was provided to each voting board member prior to filing.
Part VI, Section B, Line 12c	Conflict of Interest Policy On an annual basis and upon election or appointment, the policy and disclosure statement is distributed to all Board members, officers, and key employees and medical staff leaders. All completed and signed statements are returned to the Corporate Compliance Officer for review. If a person discloses a potential or actual conflict, the person with the conflict of interest is excluded from any discussion or approval of any such related 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	line 9 Change in FMV of interest rate swap - (3,432,056) Change in split interest agreements - (3,951) Change in defined benefit cost - (5,151,762) ============= Total - (8,587,769)
FORM 990 PART IX LINE 11G	DESCRIPTION:PURCHASED PHYSICIAN SERVICES TOTAL FEES:XXX-XX-XXXX
FORM 990 PART IX LINE 11G	DESCRIPTION:PURCHASED INSURANCE SERVICES TOTAL FEES:15580371
FORM 990 PART IX LINE 11G	DESCRIPTION:PURCHASED SERVICES FROM UCSD TOTAL FEES:13208509
FORM 990 PART IX LINE 11G	DESCRIPTION:REPAIRS AND MAINTENANCE TOTAL FEES:10261372
FORM 990 PART IX LINE 11G	DESCRIPTION:LEASED LABOR (NON-PHYSICIAN) TOTAL FEES:7614556
FORM 990 PART IX LINE 11G	DESCRIPTION:MISC MEDICAL SERVICES TOTAL FEES:43163779

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (4 entries)

Address Line1USAddress/AddressLine1	CityUSAddress/City	StateUSAddress/State	ZIP CodeUSAddress/ZIPCode	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Business Name Line1DirectControllingEntityName/BusinessNameLine1	Controlled OrganizationControlledOrganizationInd
Rady Children's Hospital and Health Cent
3020 Childrens Way MC 5001	San Diego	CA	92123	953545901	Support	CA	7	501(c)(3)	NA	false
Rady Children's Hospital Research Center
3020 Childrens WayMC 5001	San Diego	CA	92123	953814185	Research	CA	11A	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	11A	501(c)(3)	RCHHC	false

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (3 entries)

Address Line1ForeignAddress/AddressLine1	CityForeignAddress/City	CountryForeignAddress/Country	Postal CodeForeignAddress/PostalCode	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile Foreign CountryLegalDomicileForeignCountryCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1	Entity TypeEntityTypeTxt	Share Of Total IncomeShareOfTotalIncomeAmt	Share Of EOY AssetsShareOfEOYAssetsAmt	OwnershipOwnershipPct	Controlled OrganizationControlledOrganizationInd	Address Line1USAddress/AddressLine1	CityUSAddress/City	StateUSAddress/State	ZIP CodeUSAddress/ZIPCode	Legal Domicile StateLegalDomicileStateCd
Children's Hospital Integrated Risk Prot
22 Victoria StreetHamilton	Hamilton	BD	HM12	999999999	Captive insur	BD	RCHHC	C CORP.	$0	$0	0.00000	false
Rady Children's Physician Management Ser
				330670694	Management		RCHHC	C CORP	$0	$0	0.00000	false	3860 Calle FortunadaSuite 200	San Diego	CA	921234282	CA
Children's Hospital Insurance Ltd
Canons Court 22 Victoria Street	Hamilton HM12	BD		999999999	captive insur	BD	RCHHC	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	false	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	false	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