2015-05-20T13:40:01-05:00 2014-06-30 KPMG LLP 550 SOUTH HOPE STREET SUITE 1500 LOS ANGELES CA 90071 990 2013-07-01 951691313 RADY CHILDREN'S HOSPITAL - SAN DIEGO % ROGER ROUX RADY 8585761700 3020 Childrens Way MC 5001 Suite San Diego CA 921234282 ROEGER ROUX CFO 2139724000 2015-05-15 true REGINA L PRINCE P00576936 2139724000 2013 2016-02-25 16:41:14Z Donald B Kearns MD MMM 3020 Childrens WayMC 5001 San Diego CA 921234282 1028974729 false X www.rchsd.org X 1954 CA THE HOSPITAL PROVIDES COMPREHENSIVE PEDIATRIC MEDICAL SERVICES IN SAN DIEGO, SOUTHERN RIVERSIDE, AND IMPERIAL COUNTIES. 24 24 4651 525 3207050 151069577 109613780 624368389 683519169 31713570 34480800 11486627 11084620 818638163 838698369 0 0 0 0 317567741 352245572 0 0 458140 383231747 403849025 700799488 756094597 117838675 82603772 1361773690 1474471085 608124628 601145994 753649062 873325091 X TO RESTORE, SUSTAIN AND ENHANCE THE HEALTH AND DEVELOPMENTAL POTENTIAL OF CHILDREN THROUGH EXCELLENCE IN CARE, EDUCATION, RESEARCH AND ADVOCACY. false false 557937195 683519169 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. 557937195 true true false true false false false false false true true false false true true false false true false false true false false false false false true true false false true true false false false false false true false false false false false false false false false true false false false true 658 0 true 4651 true true true false false false false false false false false false X 24 24 false false false false true true true true true false false true true true true true true true true false CA X ROGER ROUX 8585761700 3020 CHILDRENS WAY MC 5001 San Diego CA 921234282 X DAVID F HALE CHAIR 1.92 3.57 X X 0 0 0 THEODORE D ROTH VICE CHAIR 0.61 0.92 X X 0 0 0 LISA A BARKETT BOARD MEMBER 0.39 0.39 X 0 0 0 ANDREW S CLARK BOARD MEMBER 0.0 0.0 X 0 0 0 JOHN M GILCHRIST JR BOARD MEMBER 0.5 0.74 X 0 0 0 S DOUGLAS HUTCHESON BOARD MEMBER 0.58 0.58 X 0 0 0 JEFFREY JACOBS BOARD MEMBER 0.0 0.0 X 0 0 0 GREG T LUCIER BOARD MEMBER 0.18 0.18 X 0 0 0 CATHERINE J MACKEY PHD BOARD MEMBER 1.04 1.04 X 0 0 0 G DIEGO MIRALLES MD BOARD MEMBER 0.5 0.76 X 0 0 0 TINA NOVA PHD BOARD MEMBER 0.31 0.31 X 0 0 0 MICHAEL P PECKHAM BOARD MEMBER 0.5 0.75 X 0 0 0 MARK A SNELL BOARD MEMBER 0.5 0.5 X 0 0 0 SCOTT N WOLFE ESQ BOARD MEMBER 0.75 1.13 X 0 0 0 HANK NORDHOFF BOARD MEMBER 0.0 0.0 X 0 0 0 DAVID A BRENNER MD BOARD MEMBER 0.0 0.0 X 0 0 0 PRADEEP KHOSLA PHD BOARD MEMBER 0.06 0.06 X 0 0 0 JAMES HARLEY BOARD MEMBER 0.26 0.26 X 0 0 0 GAIL KNIGHT MD BOARD MEMBER 0.43 0.65 X 0 0 0 HARRY M RADY BOARD MEMBER 1.05 1.05 X 0 0 0 JOHN D STOBO MD BOARD MEMBER 0.17 0.17 X 0 0 0 WILLIAM SAILER BOARD MEMBER 0.44 0.88 X 0 0 0 PAUL J HERING BOARD MEMBER 0.45 0.87 X 0 0 0 NICHOLAS HOLMES MD BOARD MEMBER 0.22 0.44 X 0 0 0 DONALD b KEARNS MD PRESIDENT 14.0 26.0 X 47573 0 29632 MARGARETA E NORTON SVP/COO 16.0 24.0 X 736331 0 162336 BELINDA SANTOS-ramirez ASSISTANT SECRETARY 20.0 20.0 X 87570 0 27714 ROGER g ROUX SVP, CFO, treasurer 15.75 24.25 X 657766 0 145820 KATHLEEN DOOLEY SELLICK PRESIDENT AND CEO 5.08 9.44 X 1146008 0 73014 IRVIN A KAUFMAN MD SVP, CMO 40.0 0.0 X 525668 0 109742 ALBERT ORIOL VP, CIO 40.0 0.0 X 424764 0 64059 ANGELA MARIE VIEIRA VP, GENERAL COUNSEL 40.0 0.0 X 364661 0 107563 SCOTT D CAMPBELL VP, CFO, MPF 40.0 0.0 X 345230 0 71371 MARY JANE FAGAN VP, PATIENT CARE SERVICES/CNO 40.0 0.0 X 340162 0 81706 MOHAMMED MAMOON SYED VP, HUMAN RESOURCES 40.0 0.0 X 333055 0 38837 BARBARA L RYAN VP, GOVERNMENT AFFAIRS 40.0 0.0 X 315713 0 247809 CHARLES WILSON SR DIRECTOR, CHADWICK CENTER 40.0 0.0 X 294644 0 141900 chris abe sr. dir ancillary/supp svcs 40.0 0.0 X 246917 0 149757 beth anne mohr vp, controller 40.0 0.0 X 203772 0 46208 judy riesen sr director, revenue cycle 40.0 0.0 X 181074 0 21727 CHARLES DAVIS VP, COO, MPF 40.0 0.0 X 172921 0 63273 GLENN F BILLMAN chief medical safety officer 40.0 0.0 X 266337 0 84930 cynthia lynn murphy cardiac cath lab nurse 40.0 0.0 X 227627 0 83312 monica ann elkins clinical nurse III 40.0 0.0 X 220499 0 80662 kenneth h schnell pharmacist in chief 40.0 0.0 X 214464 0 64736 kristin gist sr dir, developmental svcs 40.0 0.0 X 208706 0 177468 blair sadler former president and ceo 0.0 0.0 X 274789 0 0 7836251 0 2073576 639 true true false Children's Specialists of San Diego 3020 Childrens Way Mc 5001 SAN DIEGO CA 92123 Medical Services 82431750 AMN Healthcare Inc 12400 High Bluff Dr SAN DIEGO CA 92130 Medical Services 17683619 Scripps Memorial- La Jolla 4275 Campus Point Ct Cp-1 SAN DIEGO CA 92121 Medical Claims 5214491 Palomar Pomerado Health JV 2227 Enterprise St Ste 200 ESCONDIDO CA 920292073 Medical Services 3752357 DPR Construction 5010 Shoreham Pl SAN DIEGO CA 92122 CONSTRUCTION 3525501 86 9761615 98414060 1438105 109613780 NET PATIENT SERVICE REVENUE 621400 573971870 573971870 CAPITATED CONTRACT REVENUE 623000 83799136 83799136 OUTPATIENT PHARMACEUTICAL 446110 9510511 9510511 CONFERENCE & TUITION REVENUE 611710 1345958 1345958 MEDICAL SERVICES REIMBURSEMENT 611710 4784938 4784938 10106756 10106756 683519169 9573217 9573217 0 0 1885157 1885157 0 1885157 1885157 215183943 190276360 24907583 24907583 24907583 0 0 0 TPA SERVICES 900099 2557413 2557413 PARKING 812930 2041655 2041655 FOOD SERVICE REVENUE 721000 1386713 1386713 3213682 649637 2564045 9199463 838698369 683519169 3207050 42358370 0 0 0 0 9535091 2299103 6777848 458140 0 271373824 205091555 66282269 19959375 13227769 6731606 30845360 20442289 10403071 20531922 13607216 6924706 3741219 1382343 2358876 1092619 1092619 663750 663750 1676315 1676315 0 1468492 1468492 200730555 152863177 47867378 737089 119247 617842 1891221 748793 1142428 687041 382544 304497 0 14067179 11253743 2813436 1169951 769245 400706 0 262654 153064 109590 18208524 14566819 3641705 0 40635500 14222425 26413075 4983264 83688 4899576 MEDICAL SUPPLIES 83528850 82620035 908815 TAXES AND LICENSES 10248397 8966994 1281403 FOOD SUPPLIES 1746729 28008 1718721 DUES AND SUBSCRIPTIONS 1185383 256909 928474 15124293 14852229 272064 756094597 557937195 197699262 458140 32422283 27609809 0 0 0 0 145711164 152735131 50000 50000 0 0 454561 526249 7269187 7662731 8496380 4562907 787687667 314913133 486754875 472774534 511679337 670932463 49452883 53442844 0 0 2863117 1545159 116619903 82629258 1361773690 1474471085 128785742 119655330 0 0 350059 5018096 405151674 399451132 0 0 0 0 5586096 5132328 0 0 68251057 71889108 608124628 601145994 X 695236478 810388737 48649858 49333245 9762726 13603109 753649062 873325091 1361773690 1474471085 X 82603772 45660026 -8587769 X false true X true true true X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false true 1676315 false false 1676315 false SCHEDULE C, PART II-B, LINE 1G Paid outside consultants to increase and obtain funding for building development projects and to influence federal, state and local legislation as it affects Rady Children's Hospital's healthcare reimbursement and regulations. 66856590 3840383 8518179 0 2621634 134096 76459422 48036828 15277049 5535659 0 1920393 72554 66856589 49723607 296255 -222291 0 1667699 93045 48036827 42252279 151852 9243544 0 1799491 124576 49723608 37093561 275375 6593869 0 1603715 106811 42252279 0.77160 0.17830 0.05010 true true true 0 17123793 17123793 547207328 175764505 371442823 6976326 5438127 1538199 186984124 131028030 55956093 29396096 2682471 26713626 472774534 BOND INDENTURE AGREEMENTS 56632829 RECEIVABLES FROM AFFILIATES 9550822 EXECUTIVE COMPENSATION 699756 DEFERRED FINANCING COSTS 2464684 ASSET DEPOSITS 129775 ASSET-SEC DEP 55605 ASSETS LIMITED TO USE 56429 PENSION FUNDED STATUS 12567409 DEFERRED COSTS 471949 82629258 0 PAYABLE TO BENEFICIARIES 108457 INTEREST RATE SWAPS 50221624 DEFFERED COMPENSATION 335943 MALPRACTICE IBNR 3230004 BENEFITS PAYABLE 14922404 SANFORD INVSTMNT OCEANSIDE BUI 2948673 SECURITY DEPOSITS 122003 71889108 Schedule D, Part V, Line 4 Rady Children's board designated endowment funds support the highest and most urgent needs of the organization as determined by ItS Board of Trustees. In addition, donor designated (or restricted) endowment funds support a wide range of Initiatives Identified by the donor. Central America and the Caribbean Investments 141491 141491 141491 true false false true true false Part I, Line 3, Column F 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. true true X true X 250. true X 450. true false true true 7066251 7066251 0.00930 344619965 269432578 75187387 0.09940 2557146 33808 2523338 0.00330 354243362 269466386 84776976 0.11200 28352365 17712405 10639960 0.01410 15450505 6437936 9012569 0.01190 26761398 12365377 14396021 0.01900 1253523 934689 318834 0.00040 71817791 37450407 34367384 0.04540 426061153 306916793 119144360 0.15740 46308 46308 0.00010 167009 115217 51792 0.00010 213317 115217 98100 0.00020 false 3057239 1418298 3990666 -2572368 X true true 1 1 Rady Children's Hospital San Diego 3020 Childrens Way MC 5133 San Diego CA 92123 www.rchsd.org 080000028 X X X X X Rady Children's Hospital San Diego true X X X X X X X 12 true true true X SEE PART V SECTION C X X X X X X X X X false false true true 250. true 450. true X X X X true true X X X X X X X true false X X X X true X false false SCHEDULE H, PART V, SECTION B, LINE 3 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). 19 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 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. X false false X X X X false true false false false false false false false MARGARETA E NORTON SVP/COO 505146 0 113700 0 117485 0 148519 0 13817 0 898667 0 85952 0 ROGER g ROUX SVP, CFO, treasurer 449986 0 93700 0 114080 0 132803 0 13017 0 803586 0 77342 0 KATHLEEN DOOLEY SELLICK PRESIDENT AND CEO 765009 0 167530 0 213469 0 47429 0 25585 0 1219022 0 171883 0 IRVIN A KAUFMAN MD SVP, CMO 359859 0 83800 0 82009 0 101101 0 8641 0 635410 0 32507 0 ALBERT ORIOL VP, CIO 308871 0 61100 0 54793 0 52221 0 11838 0 488823 0 26827 0 ANGELA MARIE VIEIRA VP, GENERAL COUNSEL 264197 0 51900 0 48564 0 93807 0 13756 0 472224 0 8594 0 SCOTT D CAMPBELL VP, CFO, MPF 270671 0 41700 0 32859 0 62348 0 9023 0 416601 0 22120 0 MARY JANE FAGAN VP, PATIENT CARE SERVICES/CNO 268223 0 37350 0 34589 0 80803 0 903 0 421868 0 24589 0 MOHAMMED MAMOON SYED VP, HUMAN RESOURCES 262787 0 32300 0 37968 0 26999 0 11838 0 371892 0 10000 0 BARBARA L RYAN VP, GOVERNMENT AFFAIRS 232944 0 44710 0 38059 0 238434 0 9375 0 563522 0 25037 0 CHARLES WILSON SR DIRECTOR, CHADWICK CENTER 232565 0 13600 0 48479 0 116932 0 24968 0 436544 0 31800 0 GLENN F BILLMAN chief medical safety officer 246124 0 12194 0 8019 0 73541 0 11389 0 351267 0 8019 0 chris abe sr. dir ancillary/supp svcs 202686 0 1428 0 42803 0 136459 0 13298 0 396674 0 30651 0 cynthia lynn murphy cardiac cath lab nurse 227377 0 250 0 0 0 83312 0 0 0 310939 0 0 0 monica ann elkins clinical nurse III 212532 0 4150 0 3817 0 80386 0 276 0 301161 0 0 0 kenneth h schnell pharmacist in chief 198807 0 11287 0 4370 0 40452 0 24284 0 279200 0 2185 0 kristin gist sr dir, developmental svcs 189131 0 12236 0 7339 0 176987 0 481 0 386174 0 0 0 beth anne mohr vp, controller 183576 0 0 0 20196 0 37866 0 8342 0 249980 0 0 0 judy riesen sr director, revenue cycle 171667 0 9357 0 50 0 21100 0 627 0 202801 0 202801 0 blair sadler former president and ceo 0 0 0 0 274789 0 0 0 0 0 274789 0 0 0 CHARLES DAVIS VP, COO, MPF 156383 0 10000 0 6538 0 62507 0 766 0 236194 0 236195 0 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. A CALIFORNIA STATEWIDE COMM DEVELOPMENT AUTHORITY 680164610 1309114Z0 2006-10-26 194219503 SEE PART VI false false false B CALIFORNIA STATEWIDE COMM DEVELOPMENT AUTHORITY 680164610 130795VT1 2008-07-31 101155000 CURRENT REFUNDING SERIES 2006CD false false false C CALIFORNIA HEALTH FACILITIES FINANCING AUTHORITY 521643828 13033LUU9 2011-11-22 100079621 REFUND LOAN,RENOV,CONSTR&EQUIP PUR false false false D CALIFORNIA STATEWIDE COMM DEVELOPMENT AUTHORITY 680164610 1307955Y9 2012-06-14 115580000 REISSUANCE OF 2008B & 2008D BONDS false false false A 121030000 0 200466865 0 0 0 1866248 5734000 0 101343671 91522945 0 true false true true B 50580000 0 101088384 0 0 0 820490 335833 0 0 100000014 0 true false true true C 1545000 0 100325806 0 0 0 1682270 0 0 82171605 0 16471931 false false false true D 50975000 0 115580000 0 0 0 0 0 0 0 115580000 0 true false true true A false true true true false 0.00290 0.00290 false false 0.00000 false true B false true true true false 0 false false false true C false true true true false 0 false false true D false true true true false 0 false false false true A false false true true true true GOLDMAN SACHS BANK 1.76 false true true HYPO REPURCHASE AGRT 2.55 true false true B true true true GOLDMAN SACHS BANK 28.06 false true true HYPO REPURCHASE AGRT 2.55 true false true C false true false false false false 0 false 0 false true D false false true false true true GOLDMAN SACHS BANK 35.19 false false false 0 false true A true B true C true D true 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. A CALIFORNIA STATEWIDE COMM DEVELOPMENT AUTHORITY 680164610 999999999 2013-09-25 63485000 CURRENT REFUNDING SERIES 2008A false false false B CALIFORNIA STATEWIDE COMM DEVELOPMENT AUTHORITY 680164610 999999999 2013-10-24 50580000 CURRENT REFUNDING SERIES 2012D false false false A 0 0 63485000 0 0 0 0 0 0 0 63485000 0 true false true true B 0 0 50580000 0 0 0 0 0 0 0 50580000 0 true false true true A false true true true false 0 false false false true B false true true true false 0 false false false true A false false true false true true GOLDMAN SACHS BANK 35.19 false false false 0 false true B false false true false true true GOLDMAN SACHS BANK 29.19 false false false 0 false true A true B true Roger G Roux SVP/CFO/TREASURER Relocation Loan X 50000 50000 false true true 50000 Part VI, Section A Line 6 Rady Children's Hospital and Health Center (RCHHC) is the sole member as that term is defined in California Corporations Code 5056 ("Member")of Rady Children's Hospital - San Diego (RCHSD). Part VI, Section A Lines 7a and 7b The RCHSD Board of Directors consists of those individuals serving as the Board of Trustees of the Member. Only the Member may remove a Director. The following actions of the RCHSD Board require "prior written approval" of the Member to be effective: o Any amendment, revision, modification of the Articles of Incorporation or the bylaws o Any change in the nature of the business activities of RCHSD o Approval of operating and capital budgets of RCHSD o Borrowing any amount or incurring any debt in the amount of $100,000 or more o Making or incurring any unbudgeted extraordinary or non-recurring expense or expenditure of $100,000. The RCHSD Board cannot authorize or direct any officer of RCHSD to perform or commit any of the following acts, without prior written approval of the Member: o Borrow money in RCHSD's name or utilize property owned by RCHSD as security for loans, except in the ordinary course of business o Make, execute, or deliver any assignment for the benefit or creditors, or any bond, confession, judgment, chattel mortgage, security agreement, deed, guaranty, indemnity bond, surety bond, contract to sell or bill of sale of the property of RCHSD, except in the ordinary course of business. o Acquire, purchase, develop, improve, sell, lease or mortgage any corporate real estate or any interest therein or enter into any contract for any such purposes. o Make any loan or investment of any RCHSD assets, or enter into any contract or incur any liability on behalf of RCHSD other than for fair consideration or in the ordinary course of business relating to its normal daily operation. Part VI, Section B,Line 11a Review of Form 990 The Form 990 was reviewed by the CFO and then provided to the organization's Audit and Corporate Responsibility Committee for review. Following review by the Committee, the returns were finalized, signed and submitted to the Internal Revenue Service. A complete copy of the Form 990 was provided to each voting board member prior to filing. Part VI, Section B, Line 12c Conflict of Interest Policy On an annual basis and upon election or appointment, the policy and disclosure statement is distributed to all Board members, officers, and key employees and medical staff leaders. All completed and signed statements are returned to the Corporate Compliance Officer for review. 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 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 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 3860 Calle FortunadaSuite 200 San Diego CA 921234282 330670694 Management CA RCHHC C CORP 0 0 0.00000 false Children's Hospital Insurance Ltd Canons Court 22 Victoria Street Hamilton HM12 BD 999999999 captive insur BD RCHHC C corp 0 0 0.00000 false false false true false false false false false false false false false false true true true true true true