2025-05-14T13:50:28-05:00 2024-06-30 135565207 KPMG LLP MISSION TOWERS I 3975 FREEDOM CIRCLE DR SANTA CLARA CA 95054 990 2023-07-01 951691313 RADY CHILDREN'S HOSPITAL - SAN DIEGO RADY 8585761700 3020 CHILDRENS WAY MC 5001 SAN DIEGO CA 921234282 JAMES J ULI JR CFO/TREASURER 8585761700 2025-05-06 1 0 HOLLY K MOEN P01800653 4083675764 2025-05-02 2023 2025-03-06 01:10:19Z JAMES J ULI 3020 CHILDRENS WAY MC SAN DIEGO CA 921234282 3198401254 0 X WWW.RCHSD.ORG X 1954 CA SEE SCHEDULE O 26 26 6541 325 2192882 0 129061862 99879143 1728410023 1485959017 57063660 137348786 18598015 17907123 1933133560 1741094069 9201923 5748520 0 0 578517645 635488685 0 0 294300 929063727 892307415 1516783295 1533544620 416350265 207549449 3644801360 3968117737 983942638 994323742 2660858722 2973793995 X TO RESTORE, SUSTAIN AND ENHANCE THE HEALTH AND DEVELOPMENTAL POTENTIAL OF CHILDREN THROUGH EXCELLENCE IN CARE, EDUCATION, RESEARCH AND ADVOCACY. 0 0 1230683562 5417720 1485959017 SEE SCHEDULE O 1230683562 1 1 0 1 0 0 0 0 0 1 1 1 0 0 1 1 0 1 0 0 0 1 0 0 0 0 1 1 1 0 1 1 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 1 1 1 0 0 1 679 0 1 6541 1 1 1 0 0 0 0 0 0 0 0 0 1 0 X 26 26 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 1 1 CA X JAMES J ULI JR 8585761700 3020 CHILDRENS WAY MC 5001 SAN DIEGO CA 921234282 S DOUGLAS HUTCHESON BOARD MEMBER 2.00 8.00 X 0 0 0 LISA A BARKETT BOARD MEMBER (THRU 6/30/24) 2.00 2.00 X 0 0 0 MICHAEL J FARRELL BOARD MEMBER 2.00 2.00 X 0 0 0 JOHN M GILCHRIST JR BOARD MEMBER (THRU 6/30/24) 2.00 4.00 X 0 0 0 DAVID F HALE BOARD MEMBER (THRU 6/30/24) 2.00 6.00 X 0 0 0 PAUL J HERING CHAIR 4.00 10.00 X X 0 0 0 DEBRA L REED-KLAGES BOARD MEMBER 2.00 2.00 X 0 0 0 CATHERINE J MACKEY BOARD MEMBER (THRU 6/30/24) 2.00 4.00 X 0 0 0 G DIEGO MIRALLES MD BOARD MEMBER 2.00 4.00 X 0 0 0 HENRY L NORDHOFF BOARD MEMBER 2.00 4.00 X 0 0 0 HARRY M RADY BOARD MEMBER 2.00 4.00 X 0 0 0 THEODORE D ROTH BOARD MEMBER 2.00 2.00 X 0 0 0 SCOTT N WOLFE BOARD MEMBER 2.00 4.00 X 0 0 0 DONALD J ROSENBURG BOARD MEMBER 2.00 4.00 X 0 0 0 PRADEEP KHOSLA PHD EX-OFFICIO BOARD MEMBER 2.00 2.00 X 0 0 0 JOHN STOBO MD EX-OFFICIO BOARD MEMBER (THRU 6/1/24) 2.00 2.00 X 0 0 0 ANDREW J SKALSKY MD EX-OFFICIO BOARD MEMBER (THRU 12/2023) 2.00 2.00 X 0 0 0 BYRON SCOTT MD VICE CHAIR 4.00 4.00 X 0 0 0 DAN LESSER MD EX-OFFICIO BOARD MEMBER (THRU 12/2023) 2.00 4.00 X 0 0 0 DOUG ARTHUR EX-OFFICIO BOARD MEMBER 2.00 6.00 X 0 0 0 JOHN CARETHERS MD EX-OFFICIO BOARD MEMBER 2.00 2.00 X 0 0 0 JOSEPH BEERY EX-OFFICIO BOARD MEMBER 2.00 4.00 X 0 0 0 LYNN SCHENK BOARD MEMBER 2.00 2.00 X 0 0 0 MICHAEL A FRIEDMAN MD BOARD MEMBER 2.00 4.00 X 0 0 0 MICHAEL P PECKMAN BOARD MEMBER 2.00 4.00 X 0 0 0 MICHAEL R STONE BOARD MEMBER 2.00 2.00 X 0 0 0 ROMEO IGNACIO MD BOARD MEMBER 2.00 2.00 X 0 0 0 SHELBY LEUIN MD BOARD MEMBER 2.00 4.00 X 0 0 0 VANESSA V WERTHEIM PHD BOARD MEMBER 2.00 2.00 X 0 0 0 PATRICK FRIAS MD PRESIDENT & CEO 29.00 11.00 X 2012179 0 41787 NICHOLAS M HOLMES SR VP, COO 35.00 5.00 X 999430 0 41453 ANGELA M VIEIRA GENERAL COUNSEL, SECRETARY 35.00 5.00 X 711602 0 134380 GAIL L KNIGHT MD SR VP, CMO 36.00 4.00 X 1207560 0 13777 STEPHEN JENNINGS SR VP EXEC DIR FOUNDATION 0.00 40.00 X 0 737355 85542 CHARLES B DAVIS SR. VP & INTERIM COO 37.00 3.00 X 769514 0 50955 BELINDA SANTOS-RAMIREZ BOARD ADMIN, CHIEF OF STAF 35.00 5.00 X 138025 0 13192 JAMES ULI JR SVP, CFO, TREASURER 31.00 9.00 X 951239 0 23363 JILL STRICKLAND SR VP, CAO 37.00 3.00 X 757820 0 32118 CHRIS ABE VP, OPERATIONS 40.00 0.00 X 465220 0 82377 ALBERT ORIOL VP, INFO MANAGEMENT/CIO 40.00 0.00 X 635944 0 78468 MARY J FAGAN VP,PATIENT CARE SVCS/CNO(THRU 11/23) 40.00 0.00 X 618784 0 -46571 SCOTT D CAMPBELL VP, CFO & ADMIN OFFICER - 40.00 0.00 X 526579 0 97273 MEREDITH LURIE VP, STRATEGIC AND ORG PLAN 40.00 0.00 X 434896 0 54983 NISHANTHA S RATNAYAKE VP, CONTROLLER 40.00 0.00 X 474155 0 39630 KERI LYN CARSTAIRS VP, NETWORK OPS & CLIN INT 40.00 0.00 X 439191 0 13259 CLARA EVANS BREAKEY VP, GOVERNMENT AFFAIRS 40.00 0.00 X 432897 0 28294 IRENA VLADIMIROVNA BOOSTANI VP, MARKETING & EXTERNAL COMM 40.00 0.00 X 390533 0 30853 KAREN BRIGGS VP, HUMAN RESOURCES 40.00 0.00 X 548114 0 13051 M SAHAN FERNANDO CHIEF INFO SEC OFFICER 40.00 0.00 X 291036 0 21378 RICHARD PINEDA VP, STRATEGIC FIN PLANNING 40.00 0.00 X 485262 0 40227 LAUREL MOYER VP, CHIEF QUALITY & SAFETY OFFICER 40.00 0.00 X 497146 0 40594 RONALD D'ULISSE PHARMACIST IN CHIEF 40.00 0.00 X 284118 0 0 ANALIZA BARTE FLOAT RN 40.00 0.00 X 417470 0 35652 BRIAN T ALLISON VP, HEART INSTITUTE 40.00 0.00 X 448741 0 31151 DANA PATRICK DIR, CRIT CARE & CHET 40.00 0.00 X 369949 0 175901 JOSHUA KOHRUMEL ASSOCIATE CIO 40.00 0.00 X 351344 0 36428 TARA LICHTI CLINICAL NURSE III 40.00 0.00 X 359498 0 63698 DONALD B KEARNS MD MMM PRESIDENT EMERITUS 8.00 2.00 X 144746 0 -21392 CHRISTINA GALBO SR DIR, COMPLIANCE/AUDIT SVCS 40.00 0.00 X 251578 0 0 16414570 737355 1251821 1724 1 1 0 CHILDRENS SPECIALISTS OF SAN DIEGO 3020 CHILDRENS WAY MC 50011 SAN DIEGO CA 92123 MEDICAL SERVICES 183718716 AYA HELATHCARE INC 5930 CORNERSTONE COURT WEST STE 30 SAN DIEGO CA 92121 AGENCY LABOR 57469443 THE REGENTS OF THE UNIVERSITY OF CALIFOR 9500 GILMAN DR LA JOLLA CA 92093 MEDICAL SERVICES 49825867 CHILDREN'S PHYSICIANS MEDICAL GROUP 5855 COPLEY DR STE 100 SAN DIEGO CA 92111 MEDICAL SERVICES 33405469 HENSEL PHELPS CONSTRUCTION CO 9596 CHESAPEAKE DR SAN DIEGO CA 92123 CONSTRUCTION SERVICES 27505878 90 41100782 48959046 9819315 99879143 PATIENT SERVICE REV 622110 1452920539 1452920539 MEDICAL OFFICE BLDGS 622110 4138757 4138757 MEDICAL SERVICES REIMB 622110 3909208 3909208 OUTPATIENT PHARM SALES 622110 3360145 3360145 21630368 21630368 1485959017 35505504 35505504 1337223 0 1337223 1337223 1337223 1559150467 1457307185 101843282 101843282 101843282 TPA SERVICES 900099 7315940 7315940 FOOD SERVICE REVENUE 721000 2776982 2776982 PARKING 812930 2342417 2342417 4134561 2192882 1941679 16569900 1741094069 1485959017 2192882 153063027 X 5417720 5417720 330800 330800 12174267 2023238 9856729 294300 511611700 372812029 138799671 27259462 19465098 7794364 44974021 32114490 12859531 39469235 28183701 11285534 7726851 2733155 4993696 4912212 4912212 1252840 1252840 1632458 1632458 3524199 3524199 488511910 464120014 24391896 4312357 692837 3619520 3044082 1452558 1591524 25863682 3337888 22525794 18953034 15162427 3790607 1817126 949272 867854 2197247 633858 1563389 13579731 10863785 2715946 46617391 30301304 16316087 13659706 6650 13653056 MEDICAL SUPPLIES 144893075 144893075 TAXES AND LICENSES 59628544 58521306 1107238 JV DISTRIBUTION 18744817 18744817 REPAIRS AND MAINTENANCE 13040915 2806806 10234109 18395238 15116734 3278504 1533544620 1230683562 302566758 294300 32234123 28435472 445975921 460751378 169738 146054 54016 53869 12539781 13157701 25632579 22149808 1318337453 673147017 561415276 645190436 2142178987 2326680280 326027389 334819034 433000 433000 98140550 136300705 3644801360 3968117737 302050674 327165897 50535484 50742191 250460230 244404498 380896250 372011156 983942638 994323742 X 2419760413 2757789035 241098309 216004960 2660858722 2973793995 3644801360 3968117737 X 207549449 74778756 3524199 27082869 X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 1632458 1632458 0 PART II-B, LINE 1: PAID OUTSIDE CONSULTANTS TO INCREASE AND OBTAIN FUNDING FOR BUILDING DEVELOPMENT PROJECTS AND TO INFLUENCE FEDERAL, STATE AND LOCAL LEGISLATION AS IT AFFECTS RADY CHILDREN'S HOSPITAL'S HEALTHCARE REIMBURSEMENT AND REGULATIONS. 149503801 12913822 14266782 4885893 212444 171586068 150096489 2941477 2637022 5964478 206709 149503801 144331520 15072302 -2487608 6699197 120528 150096489 114591220 4258030 29123264 3568781 72213 144331520 112673421 5561460 701427 4235454 109634 114591220 0.43930 0.44880 0.11190 1 1 1 31838118 31838118 708825213 381026722 327798491 12701744 8221134 4480610 357227044 279350334 77876710 207745334 4548827 203196507 645190436 INVESTMENT IN LIMITED PARTNERSHIPS 334819034 F 334819034 PAYABLE TO BENEFICIARIES 268541 INTEREST RATE SWAPS 16935624 DEFERRED COMPENSATION 15915 MALPRACTICE IBNR 5438969 BENEFITS PAYABLE 26250897 SANFORD INVESTMENT OCEANSIDE BUI 2948673 SECURITY DEPOSITS 128730 SHORT-TERM BORROWINGS 165 CONTRACTOR RETAINAGE 3606488 DEFERRED LEASE LIABILITY - LT 17773519 TAXABLE BOND FINANCING 298643635 372011156 X PART V, LINE 4: RADY CHILDREN'S BOARD DESIGNATED ENDOWMENT FUNDS SUPPORT THE HIGHEST AND MOST URGENT NEEDS OF THE ORGANIZATION AS DETERMINED BY ITS BOARD OF TRUSTEES. IN ADDITION, DONOR DESIGNATED (OR RESTRICTED) ENDOWMENT FUNDS SUPPORT A WIDE RANGE OF INITIATIVES IDENTIFIED BY THE DONOR. PART X, LINE 2: RCHSD RECOGNIZES AND MEASURES THE TAX BENEFIT FROM UNCERTAIN TAX POSITIONS ONLY IF IT IS MORE LIKELY THAN NOT THAT THE TAX POSITION WILL BE SUSTAINED, BASED SOLELY ON ITS TECHNICAL MERITS, WITH THE TAXING AUTHORITY HAVING FULL KNOWLEDGE OF ALL RELEVANT INFORMATION. RCHHC RECORDS LIABILITIES FOR UNRECOGNIZED TAX BENEFITS FROM UNCERTAIN TAX POSITIONS AS DISCRETE TAX ADJUSTMENTS IN THE FIRST PERIOD THAT THE MORE LIKELY THAN NOT THRESHOLD IS NOT MET. RCHSD HAS NOT TAKEN ANY SIGNIFICANT UNCERTAIN TAX POSITIONS THEREFORE NO LIABILITY (OR ASSET) HAS BEEN RECORDED AS OF JUNE 30, 2024. 0 0 0 0 0 0 0 0 0 0 NORTH AMERICA GRANT MAKING 330800 CHECK 0 1 0 0 0 0 0 0 0 1 1 X 1 X 550.000000000000 1 X 450.000000000000 1 0 1 1 5143104 46288 5096816 0.00330 693476385 566720549 126755836 0.08270 529063 0 529063 0.00030 699148552 566766837 132381715 0.08630 61320620 35689410 25631210 0.01670 49148901 9162912 39985989 0.02610 50357778 29610856 20746922 0.01350 8056030 3662327 4393703 0.00290 8856690 0 8856690 0.00580 177740019 78125505 99614514 0.06500 876888571 644892342 231996229 0.15130 868404 599010 269394 0.00020 868404 599010 269394 0.00020 0 18487073 5143104 3336490 3715208 -378718 X 1 1 1 1 RADY CHILDREN'S HOSPITAL SAN DIEGO 3020 CHILDRENS WAY MC 5133 SAN DIEGO CA 92123 WWW.RCHSD.ORG 80000028 X X X X X RADY CHILDREN'S HOSPITAL SAN DIEGO 1 0 0 1 X X X X X X X X 21 1 1 0 1 X WWW.RCHSD.ORG X 1 21 1 WWW.RCHSD.ORG 0 1 X 550.000000000000 450.000000000000 X X 1 1 X X X X 1 X HTTPS://WWW.RCHSD.ORG/PATIENTS-VISITORS/FINANCIAL-ASSISTANCE/ X HTTPS://WWW.RCHSD.ORG/PATIENTS-VISITORS/FINANCIAL-ASSISTANCE/ X HTTPS://WWW.RCHSD.ORG/PATIENTS-VISITORS/FINANCIAL-ASSISTANCE/ X X X X X X 1 X 0 X X X X 1 X 0 0 RADY CHILDREN'S HOSPITAL SAN DIEGO PART V, SECTION B, LINE 5: THE CHNA IS IMPLEMENTED AND MANAGED BY A STANDING CHNA COMMITTEE COMPRISED OF REPRESENTATIVES FROM SEVEN HOSPITALS AND HEALTH SYSTEMS. RADY CHILDREN'S HOSPITAL SAN DIEGO COLLABORATED WITH OTHER HOSPITALS AND HEALTH SYSTEMS IN SAN DIEGO COUNTY TO COMPLETE A COLLABORATIVE CHNA (THE SAN DIEGO CHNA). THE SAN DIEGO CHNA PROCESS WAS FACILITATED BY THE HOSPITAL ASSOCIATION OF SAN DIEGO & IMPERIAL COUNTIES (HASD&IC). HASD&IC CONVENED A CHNA ADVISORY WORKGROUP, WHICH INCLUDED REPRESENTATIONS FROM PARTICIPATING HOSPITAL AND HEALTH SYSTEMS AND PROVIDED GUIDANCE REGARDING RESEARCH APPROACH AND COMMUNITY ENGAGEMENT. THE GOAL OF THE COMMUNITY ENGAGEMENT PROCESS WAS TO SOLICIT INPUT FROM A WIDE RANGE OF STAKEHOLDERS FACING INEQUITIES IN SAN DIEGO COUNTY. SPECIAL EFFORTS WERE MADE TO INCLUDE COMMUNITY MEMBERS FROM GROUPS THAT EXPERIENCE HEALTH DISPARITIES AND SERVICE PROVIDERS WHO WORK WITH THOSE VULNERABLE POPULATIONS. INPUT FROM THE COMMUNITY WAS GATHERED THROUGH WORKING WITH THE COMMUNITY HEALTH WORKERS TO CONDUCT INTERVIEWS WITH COMMUNITY MEMBERS AND CONDUCTING FOCUS GROUPS AND KEY INFORMANT INTERVIEWS WITH COMMUNITY MEMBERS, COMMUNITY HEALTH WORKERS, COMMUNITY-BASED ORGANIZATIONS, SERVICE PROVIDERS, CIVIC LEADERS, AND HEALTH CARE LEADERS. RADY CHILDREN'S HOSPITAL SAN DIEGO PART V, SECTION B, LINE 6A: COLLABORATION WITH OTHER HOSPITALS AND HEALTH SYSTEMS WERE COORDINATED THROUGH THE HASD&IC. RADY CHILDREN'S HOSPITAL SAN DIEGO PART V, SECTION B, LINE 11: COMMUNITY HEALTH NEEDS ADDRESSED:THE CHNA SERVED AS THE RESOURCE DOCUMENT FOR THE REVIEW OF HEALTH NEEDS AS IT PROVIDED DATA ON THE SCOPE AND SEVERITY OF ISSUES AND INCLUDED COMMUNITY INPUT ON THE HEALTH NEEDS. THE COMMUNITY PRIORITIZATION OF NEEDS WAS ALSO TAKEN INTO CONSIDERATION. AS A RESULT OF THE REVIEW OF NEEDS AND APPLICATION OF THE ABOVE CRITERIA, RADY CHILDREN'S WILL ADDRESS THE FOLLOWING NEEDS AS THEY FOCUS ON THE HEALTH OF CHILDREN AND THEIR FAMILIES:- ACCESS TO HEALTH CARE- BEHAVIORAL HEALTH (INCLUDING MENTAL HEALTH, SUBSTANCE USE AND EDUCATION-RELATED CONCERNS)- CHRONIC CONDITIONS (INCLUDING OVERWEIGHT AND OBESITY)- INJURY PREVENTIONSEE PAGES 9-14 OF THE CHNA FOR A DESCRIPTION AND PRIORITIZATION OF THE SIGNIFICANT HEALTH NEEDS OF THE COMMUNITY.FOR EACH HEALTH NEED THE HOSPITAL PLANS TO ADDRESS, THE IMPLEMENTATION STRATEGY DESCRIBES THE FOLLOWING: ACTIONS THE HOSPITAL INTENDS TO TAKE, INCLUDING PROGRAMS AND RESOURCES IT PLANS TO COMMIT, ANTICIPATED IMPACTS OF THESE ACTIONS, AND PLANNED COLLABORATION BETWEEN THE HOSPITAL AND OTHER ORGANIZATIONS. SEE PAGES 9-14 OF THE IMPLEMENTATION STRATEGY FOR FULL DESCRIPTION OF ACTIONS THE HOSPITAL INTENDS TO TAKE, INCLUDING PROGRAMS AND RESOURCES IT PLANS TO COMMIT, ANTICIPATED IMPACT OF THESE ACTIONS, AND PLANNED COLLABORATION BETWEEN THE HOSPITAL AND OTHER ORGANIZATIONS.NEEDS NOT ADDRESSED: SINCE RADY CHILDREN'S CANNOT DIRECTLY ADDRESS ALL THE HEALTH NEEDS PRESENT IN THE COMMUNITY, WE WILL CONCENTRATE ON THOSE HEALTH NEEDS THAT WE CAN MOST EFFECTIVELY ADDRESS GIVEN OUR AREAS OF FOCUS AND EXPERTISE. TAKING EXISTING HOSPITAL AND COMMUNITY RESOURCES INTO CONSIDERATION, RADY CHILDREN'S WILL NOT DIRECTLY ADDRESS THE REMAINING HEALTH NEEDS IDENTIFIED IN THE CHNA, INCLUDING COVID-19, ECONOMIC STABILITY, EDUCATION, HOUSING AND HOMELESSNESS, AND SEXUAL BEHAVIORS. RADY CHILDREN'S HOSPITAL SAN DIEGO PART V, SECTION B, LINE 13B: A PATIENT, WHETHER UNINSURED, INSURED OR A CSBP MEMBER, WHO HAS HIGH MEDICAL COSTS. RADY CHILDREN'S HOSPITAL SAN DIEGO PART V, SECTION B, LINE 16J: ALL LANGUAGE REGARDING THE POLICY IS COMMUNICATED TO PATIENTS VIA SIGNAGE IN ALL ADMITTING AREAS. AT THE POINT OF REGISTRATION, ALL PATIENTS RECEIVE BROCHURES EXPLAINING THE FACILITY'S FINANCIAL ASSISTANCE PROGRAM AND THE AVAILABILITY OF GOVERNMENT SPONSORED PROGRAMS; ALL INITIAL STATEMENTS TO UNINSURED PATIENTS INCLUDES VERBIAGE INFORMING PATIENTS OF THE FACILITY'S FINANCIAL ASSISTANCE PROGRAM AND A COPY OF THE CHARITY CARE APPLICATION. A SUMMARY OF THE FINANCIAL ASSISTANCE POLICY IS POSTED ON THE HOSPITAL'S WEBSITE. PART V, SECTION B, LINE 7A HTTPS://WWW.RCHSD.ORG/DOCUMENTS/2022/09/COMMUNITY-HEALTH-NEEDS-ASSESSMENT-REPORT-2022.PDF/ PART V, SECTION B, LINE 10A HTTPS://WWW.RCHSD.ORG/DOCUMENTS/2023/01/RADY-CHILDRENS-HOSPITAL-CHNA-IMPLEMENTATION-STRATEGY-2023-2025.PDF/ PART V, SECTION B, LINE 22D THE HOSPITAL DETERMINED, DURING THE TAX YEAR, THE MAXIMUM AMOUNTS THAT CAN BE CHARGED TO FAP ELIGIBLE INDIVIDUALS FOR EMERGENCY OR OTHER MEDICALLY NECESSARY CARE, BASED ON MEDI-CAL RATES (AB 774). 23 1 - RADY CHILDREN'S DEVELOPMENT SERVICES 11752 EL CAMINO REAL SUITE 100 SAN DIEGO CA 92130 DEVELOPMENTAL AND BEHAVIORAL SERVICES 2 - RADY CHILDREN'S SPECIALISTS OF SD 25485 MEDICAL CENTER DRIVE SUITE 100 MURRIETA CA 92562 CLINIC 3 - CHADWICK CENTER FOR CHILDREN & FAMILIES 333 H STREET SUITE 3010 CHULA VISTA CA 91910 TRAUMA COUNSELING 4 - SANFORD CHILDREN'S CLINIC 3605 VISTA WAY SUITE 130 OCEANSIDE CA 92056 CLINIC 5 - RADY CHILDREN'S SPECIALISTS OF SD 3605 VISTA WAY SUITE 172 OCEANSIDE CA 92056 CLINIC/URGENT CARE 6 - RADY CHILDREN'S HEALTH SERVICES 3665 KEARNY VILLA ROAD SAN DIEGO CA 92123 DEVELOPMENTAL AND BEHAVIORAL SERVICES 7 - RADY CHILDREN'S SPECIALISTS OF SD 385 W MAIN STREET EL CENTRO CA 92243 CLINIC 8 - RADY CHILDREN'S HOSPITAL 386 EAST H STREET SUITE 202 CHULA VISTA CA 91910 CLINIC/URGENT CARE 9 - RADY CHILDREN'S URGENT CARE 4305 UNIVERSITY AVE 150 SAN DIEGO CA 92105 CLINIC/URGENT CARE 10 - CITY HEIGHTS WELLNESS CENTER 4440 WIGHTMAN STREET SUITE 200 SAN DIEGO CA 92105 WELLNESS CENTER 11 - RADY CHILDREN'S SPECIALISTS OF SD 477 NORTH EL CAMINO REAL BUILDING D ENCINITAS CA 92024 CLINICS 12 - RADY CHILDREN'S URGENT CARE 5565 GROSSMONT CENTER DRIVE BLDG 2 LA MESA CA 91942 URGENT CARE 13 - RADY CHILDREN'S SPECIALISTS OF SD 11752 EL CAMINO REAL SUITE 100 ESCONDIDO CA 92029 CLINICS/URGENT CARE 14 - RADY CHILDREN'S HOSPITAL 3605 VISTA WAY SUITE 172 OCEANSIDE CA 92056 CLINIC/URGENT CARE 15 - RADY CHILDREN'S HOSPITAL 7910 FROST STREET SAN DIEGO CA 92123 CLINICS 16 - RADY CHILDREN'S HOSPITAL 7920 FROST STREET SAN DIEGO CA 92123 CLINICS 17 - NELSON FAMILY PAVILION 8001 FROST STREET SAN DIEGO CA 92123 CLINICS 18 - RADY CHILDREN'S HOSPITAL 8010 FROST STREET SUITE 140 SAN DIEGO CA 92123 CLINICS 19 - RADY CHILDREN'S HOSPITAL 8110 BIRMINGHAM DRIVE SAN DIEGO CA 92123 CLINICS 20 - HOMECARE 8291 AREO PLACE SUITE 130 SAN DIEGO CA 92123 HOME HEALTHCARE 21 - POLINSKY CHILDRENS CENTER MED CLINIC 9400 RUFFIN COURT BUILDING B SAN DIEGO CA 92123 CLINIC 22 - RADY CHILDREN'S URGENT CARE 25170 HANCOCK AVE 1ST FLOOR MURRIETA CA 92562 CLINICS/URGENT CARE 23 - RADY CHILDREN'S SPECIALISTS OF SD 2125 CITRACADO PARKWAY SUITE 200 ESCONDIDO CA 92029 CLINIC PART I, LINE 7: THE BEST AVAILABLE DATA WAS USED TO CALCULATE THE COST AMOUNTS REPORTED IN ITEM 7. FOR CERTAIN CATEGORIES, PRIMARILY CHARITY CARE AND MEANS-TESTED GOVERNMENT PROGRAMS, THE COST TO CHARGE RATIO WAS CALCULATED USING WORKSHEET 2, RATIO OF PATIENT CARE COST TO CHARGES AND APPLIED TO THOSE CATEGORIES. IN OTHER CATEGORIES, THE BEST AVAILABLE DATA WAS DERIVED FROM THE HOSPITAL'S DETAILED FINANCIAL INFORMATION. PART II, COMMUNITY BUILDING ACTIVITIES: RADY CHILDREN'S CENTER FOR HEALTHIER COMMUNITIES PROVIDES THE FACES FOR THE FUTURE PROGRAM AT A LOCAL HIGH SCHOOL. THE FACES PROGRAM IS A YOUTH AND FUTURE HEALTHCARE WORKFORCE DEVELOPMENT PROGRAM THAT PREPARES UNDERREPRESENTED, ETHNICALLY DIVERSE YOUTH FOR CAREERS IN ALL AREAS OF THE HEALTH PROFESSIONS. THE PROGRAM ALSO AIMS TO ASSIST LOCAL PUBLIC SCHOOLS IN MOTIVATING AND PREPARING UNDERREPRESENTED HIGH SCHOOL STUDENTS FOR ENTRY INTO COLLEGE, HEALTHCARE/RESEARCH CAREERS AND OTHER VIABLE EMPLOYMENT OPPORTUNITIES IN THE HEALTHCARE INDUSTRY. THE PARTICIPATING STUDENTS ROTATE THROUGH CLINICAL DEPARTMENTS AT RADY CHILDREN'S HOSPITAL -SAN DIEGO AND RECEIVE MENTORSHIP. PART III, LINE 2: FOR UNINSURED PATIENTS THAT DO NOT QUALIFY FOR CHARITY CARE, RCHSD RECOGNIZES REVENUE ON THE BASIS OF ITS STANDARD RATES FOR SERVICES PROVIDED, OR ON THE BASIS OF DISCOUNTED RATES IF NEGOTIATED OR PROVIDED BY POLICY. ON THE BASIS OF HISTORICAL EXPERIENCE, A SIGNIFICANT PORTION OF RCHSD'S UNINSURED PATIENTS ARE UNABLE OR UNWILLING TO PAY FOR THE SERVICES PROVIDED. RCHSD RECORDS SIGNIFICANT IMPLICIT PRICE CONCESSIONS RELATED TO UNINSURED PATIENTS IN THE PERIOD SERVICES ARE PROVIDED. RCHSD RECORDS IMPLICIT PRICE CONCESSIONS BASED UPON THE HISTORICAL EXPERIENCE, AS WELL AS COLLECTION TRENDS FOR MAJOR PAYOR TYPES. PART III, LINE 3: RCHSD DOES NOT TREAT ANY PART OF THE BAD DEBT AS COMMUNITY BENEFIT EXPENSE. PART III, LINE 4: SEE PAGE 13-17 OF THE AUDITED FINANCIAL STATEMENTS. PART III, LINE 8: RCHSD DOES NOT TREAT ANY PART OF THE MEDICARE SHORTFALL AS COMMUNITY EXPENSE. THE MEDICARE ALLOWABLE COSTS REPORTED IN THE ORGANIZATION'S MEDICARE COST REPORT AS REFLECTED IN THE AMOUNT REPORTED IN PART III, LINE 6 ARE DETERMINED USING A PRO FORMA COST REPORT AS DESCRIBED IN PART I, LINE 7 ABOVE. THE ORGANIZATION BELIEVES THAT THE TEFRA COST LIMITATION SHOULD BE INCLUDED AS A COMMUNITY BENEFIT, BASED ON THE INPATIENT COST OVER THE TEFRA LIMITS. PART III, LINE 9B: IN ITS BILLING AND COLLECTION ACTIVITY, RADY CHILDREN'S HOSPITAL SAN DIEGO TREATS ALL PATIENTS AND PATIENT FAMILIES OR REPRESENTATIVES WITH FAIRNESS, DIGNITY AND RESPECT. RCHSD DOES NOT UTILIZE WAGE GARNISHMENTS, LIENS ON A PATIENT'S PRIMARY RESIDENCE, OR WRIT OF BODY ATTACHMENTS IN ITS COLLECTION ACTIVITIES. RCHSD ONLY UTILIZES THOSE OUTSIDE OR THIRD PARTY COLLECTION AGENCIES THAT AGREE TO COMPLY WITH APPLICABLE STATE AND FEDERAL LAWS AND WITH RCHSD POLICIES, AND RCHSD DEBT COLLECTION STANDARDS AND PRACTICES. IN DETERMINING THE DEBT THAT RCHSD SEEKS TO RECOVER, RCHSD WILL CONSIDER ONLY THE INCOME AND CERTAIN MONETARY ASSETS OF THE PATIENT/GUARANTOR ELIGIBLE FOR THE RCHSD FINANCIAL ASSISTANCE PROGRAM. IN MAKING THIS DETERMINATION, RCHSD WILL NOT CONSIDER RETIREMENT OR DEFERRED COMPENSATION PLANS (EITHER QUALIFIED OR NON-QUALIFIED UNDER THE INTERNAL REVENUE CODE), THE FIRST $10,000 OR THE REMAINING 50 PERCENT OF THE PATIENT/GUARANTOR'S MONETARY ASSETS. RCHSD SHALL NOT SEND AN ACCOUNT TO A COLLECTION AGENCY IF THE PATIENT HAS A PENDING APPLICATION FOR THE RCHSD FINANCIAL ASSISTANCE PROGRAM OR GOVERNMENT-SPONSORED INSURANCE PROGRAM OR IS ATTEMPTING IN GOOD FAITH TO SETTLE AN OUTSTANDING BILL BY NEGOTIATING AN INTEREST FREE, EXTENDED PAYMENT PLAN OR BY MAKING REGULAR PARTIAL PAYMENTS OF A REASONABLE AMOUNT. A "PENDING APPLICATION" IS DEFINED AS AN APPLICATION THAT HAS BEEN FULLY COMPLETED AND INCLUDES COPIES OF THE REQUIRED DOCUMENTATION BY THE PATIENT/GUARANTOR, SUBMITTED TO THE RELEVANT PUBLIC AGENCY IN THE CASE OF GOVERNMENT PROGRAMS AND TO RCHSD IN THE CASE OF THE RCHSD FINANCIAL ASSISTANCE PROGRAM. IF A PATIENT ACCOUNT IS SENT TO COLLECTIONS AND IT IS DETERMINED THAT THE PATIENT IS ELIGIBLE FOR FINANCIAL ASSISTANCE, THE PATIENT ACCOUNT IS REMOVED FROM THE COLLECTION PROCESS AND THE FINANCIAL ASSISTANCE APPLICATION PROCESS IS IMPLEMENTED. PART VI, LINE 2: NEEDS ASSESSMENTCONTINUING A LONGSTANDING COMMITMENT TO ADDRESS COMMUNITY HEALTH NEEDS IN SAN DIEGO, RADY CHILDREN'S AND OTHER HEALTHCARE SYSTEMS RECONVENED THROUGH THE HOSPITAL ASSOCIATION OF SAN DIEGO AND IMPERIAL COUNTIES (HASD&IC) TO COMPLETE A 2022 TRIENNIAL COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA). THE CHNA IDENTIFIES AND PRIORITIZES THE MOST CRITICAL HEALTH-RELATED NEEDS OF SAN DIEGO COUNTY AND INCLUDES FEEDBACK FROM COMMUNITY RESIDENTS IN VULNERABLE NEIGHBORHOODS. PART VI, LINE 3: PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCERCHSD PROVIDES WRITTEN INFORMATION ABOUT THE AVAILABILITY OF THE RCHSD FINANCIAL ASSISTANCE PROGRAM, INCLUDING A BROCHURE THAT IS DISSEMINATED THROUGHOUT OUR PATIENT CLINICS. THIS INFORMATION IS PROVIDED AT PATIENT REGISTRATION, INCLUDING PATIENT INFORMATIONAL MATERIALS, EMERGENCY DEPARTMENT, OUTPATIENT CLINICS, AND PATIENT FINANCIAL SERVICES. IN ADDITION, A STATEMENT REGARDING THE FINANCIAL ASSISTANCE PROGRAM IS INCLUDED ON PATIENT BILLING STATEMENTS. WRITTEN NOTICE IS PROVIDED TO POTENTIALLY ELIGIBLE PATIENTS DURING THE REGISTRATION PROCESS OR AS SOON AS POSSIBLE THEREAFTER AND DURING THE BILLING PROCESS. THIS INFORMATION IS PROVIDED IN ENGLISH AND SPANISH AND IS TRANSLATED FOR PATIENTS/GUARANTORS WHO SPEAK OTHER LANGUAGES. NOTIFICATION OF FINANCIAL ASSISTANCE DISCUSSES, AT A MINIMUM, THE FOLLOWING: - IF A PATIENT MEETS CERTAIN INCOME REQUIREMENTS, THE PATIENT MAY BE ELIGIBLE FOR A GOVERNMENT-SPONSORED HEALTH INSURANCE PROGRAM OR THE RCHSD FINANCIAL ASSISTANCE PROGRAM. IDENTIFICATION OF RCHSD FINANCIAL COUNSELING - PATIENT FINANCIAL SERVICES PHONE NUMBER WITH HOURS OF AVAILABILITY SO THAT PATIENTS MAY CALL TO OBTAIN FURTHER INFORMATION ABOUT THE FINANCIAL ASSISTANCE PROGRAM. RADY CHILDREN'S PROVIDES HEALTHCARE SUPPORT SERVICES TO THE COMMUNITY THROUGH THE FINANCIAL COUNSELING TEAM. RADY CHILDREN'S FINANCIAL COUNSELORS PROACTIVELY EXPLORE AND ASSIST PATIENTS/GUARANTORS IN APPLYING FOR HEALTH INSURANCE COVERAGE FROM PUBLIC AND PRIVATE PAYMENT PROGRAMS.- THE RCHSD WEBSITE PROVIDES INFORMATION ABOUT THE FINANCIAL ASSISTANCE PROGRAM, AND THE FINANCIAL ASSISTANCE POLICY AND FINANCIAL ASSISTANCE PROGRAM APPLICATION ARE POSTED ON THE RCHSD WEBSITE. PART VI, LINE 4: COMMUNITY INFORMATIONSAN DIEGO COUNTY (SAN DIEGO) IS THE SECOND MOST POPULOUS OF CALIFORNIA'S 58 COUNTIES, AND THE FIFTH LARGEST COUNTY IN THE UNITED STATES AND IS CURRENTLY HOME TO 3.4 MILLION RESIDENTS. THE REGION IS SOCIALLY AND ETHNICALLY DIVERSE, WITH OVER 20% OF THE POPULATION UNDER THE AGE OF EIGHTEEN AND ON AVERAGE, 190,000 VETERANS RESIDE HERE. WHILE THE MEDIAN HOUSEHOLD INCOME IS APPROXIMATELY $102,000, OVER 10% OF PERSONS ARE LIVING BELOW POVERTY LEVEL; CHILDREN UNDER AGE 18 ARE DISPROPORTIONATELY AFFECTED. IN ADDITION, 37% OF PERSONS SPEAK A LANGUAGE OTHER THAN ENGLISH AT HOME.RADY CHILDREN'S HOSPITAL SAN DIEGO (THE HOSPITAL) IS A REGIONAL TERTIARY AND QUATERNARY REFERRAL CENTER AND PROVIDES COMPREHENSIVE INPATIENT AND OUTPATIENT ACUTE, PSYCHIATRIC AND INTENSIVE CARE PEDIATRIC SERVICES. THE HOSPITAL ALSO IS THE SOLE PEDIATRIC PROVIDER AND DESIGNATED PEDIATRIC TRAUMA CENTER FOR SAN DIEGO COUNTY AND IS THE PRIMARY SOURCE OF PEDIATRIC AND NEONATAL INTENSIVE CARE SERVICES FOR BOTH SAN DIEGO AND IMPERIAL COUNTIES. ALSO, RCHSD IS THE PEDIATRIC SAFETY NET HOSPITAL FOR THE REGION WITH A MEDI-CAL PAYOR MIX HOVERING OVER 50%. RCHSD SERVES AS THE TEACHING HOSPITAL FOR THE SCHOOL OF MEDICINE AT THE UNIVERSITY OF CALIFORNIA, SAN DIEGO (UCSD) AND, IN 2001, RCHSD AND UCSD AMALGAMATED WHERE RCHSD BECAME THE PEDIATRIC PROVIDER OF INPATIENT AND OUTPATIENT MEDICAL AND SURGERY SERVICES AND CERTAIN OTHER CLINICAL SERVICES FOR UCSD PEDIATRIC PATIENTS. THERE ARE THREE LARGE HEALTH SYSTEMS OPERATING IN SAN DIEGO, SHARP HEALTHCARE, SCRIPPS HEALTH AND KAISER PERMANENTE, AS WELL AS OTHER HOSPITAL PROVIDERS. TO HELP CARE FOR PEDIATRIC PATIENTS, RCHSD COLLABORATES WITH SHARP HEALTHCARE, SCRIPPS HEALTH AND PALOMAR POMERADO HEALTH THROUGH AFFILIATED PROGRAM AGREEMENTS. PART VI, LINE 5: PROMOTION OF COMMUNITY HEALTHTHE RADY CHILDREN'S HOSPITAL - SAN DIEGO IS GOVERNED BY A 26-MEMBER BOARD OF TRUSTEES. THE MAJORITY OF THE ORGANIZATION'S GOVERNING BODY IS COMPRISED OF PERSONS REPRESENTING THE SAN DIEGO COMMUNITY, WHO ARE NEITHER EMPLOYEES NOR CONTRACTORS OF THE ORGANIZATION. RCHSD EXTENDS MEDICAL STAFF PRIVILEGES TO ALL QUALIFIED PHYSICIANS IN ITS COMMUNITY. RCHSD APPLIES ITS SURPLUS FUNDS TO SUPPORT THE HIGHEST AND MOST URGENT NEEDS OF THE ORGANIZATION AND THE COMMUNITY INCLUDING IMPROVING PATIENT CARE; PROVIDING SUPPORT FOR OUR PATIENTS' FAMILIES; RESEARCH; DEVELOPMENTAL SERVICES; MENTAL HEALTH SERVICES; CHILD ABUSE PREVENTION AND TREATMENT SERVICES; EDUCATION PROGRAMS; AND PURCHASING STATE-OF-THE ART EQUIPMENT AND TECHNOLOGY TO FURTHER ENHANCE PATIENT CARE. RCHSD PROMOTES THE HEALTH OF THE COMMUNITY IT SERVES THROUGH A VARIETY OF MECHANISMS. THE RCHSD COMMUNITY BENEFIT REPORT FOR FISCAL YEAR 2024 (JULY 1, 2023 THROUGH JUNE 30, 2024) PROVIDES DETAILED INFORMATION ON OVER 30 PROGRAMS AND RELATED ACTIVITIES RCHSD CONDUCTS EACH YEAR TO IMPROVE PATIENT'S HEALTH STATUS. FROM PROVIDING FREE MEDICAL EDUCATION TRAINING SEMINARS TO COMMUNITY-BASED PHYSICIANS AND OTHER HEALTH PROVIDERS, SUPPORT GROUPS, PARENT EDUCATIONAL RESOURCE MATERIALS, PEDIATRIC RESEARCH, TO PROGRAMS DIRECTED TO IMPROVE THE HEALTH NEEDS OF PATIENTS, RCHSD USES A MULTI-PRONGED APPROACH TO PROVIDE BENEFIT TO THE COMMUNITY. PART VI, LINE 7, REPORTS FILED WITH STATES CA 0 RONALD MCDONALD HOUSE CHARITIES OF SAN DIEGO 2929 CHILDRENS WAY SAN DIEGO CA 92123 953251490 501(C)3 2000000 0 FMV SUPPORT MISSION RADY CHILDREN'S HOSPITAL RESEARCH CENTER 3020 CHILDRENS WAY SAN DIEGO CA 92123 953814185 501(C)3 3353970 0 FMV SUPPORT MISSION NAMI SAN DIEGO 5095 MURPHY CANYON RD SUITE 320 SAN DIEGO CA 92123 330122462 501(C)3 13750 0 FMV SUPPORT MISSION SAPIAN LABS 1000 N RANDOLPH ST 501 ARLINGTON VA 22201 475559298 501(C)3 50000 0 FMV SUPPORT MISSION 4 PROCEDURE FOR MONITORING GRANT FUNDS RCHSD TRANSFERRED FUNDS TO RCHRC TO FURTHER ITS EXEMPT PURPOSE. RCHRC SUPPORTS IN ITS EXEMPT ACTIVITIES X 0 0 X X X X 1 1 0 0 0 0 0 0 0 PATRICK FRIAS MD PRESIDENT & CEO 1278846 0 410805 0 322528 0 9900 0 31887 0 2053966 0 0 0 GAIL L KNIGHT MD SR VP, CMO 631463 0 143263 0 432834 0 9900 0 3877 0 1221337 0 0 0 NICHOLAS M HOLMES SR VP, COO 684642 0 179877 0 134911 0 9900 0 31553 0 1040883 0 0 0 JAMES ULI JR SVP, CFO, TREASURER 688813 0 178458 0 83968 0 9900 0 13463 0 974602 0 0 0 ANGELA M VIEIRA GENERAL COUNSEL, SECRETARY 528611 0 115173 0 67818 0 118808 0 15572 0 845982 0 0 0 STEPHEN JENNINGS SR VP EXEC DIR FOUNDATION 0 516235 0 111661 0 109459 0 63470 0 22072 0 822897 0 0 CHARLES B DAVIS SR. VP & INTERIM COO 544467 0 112571 0 112476 0 47413 0 3542 0 820469 0 0 0 JILL STRICKLAND SR VP, CAO 557055 0 135767 0 64998 0 9900 0 22218 0 789938 0 0 0 ALBERT ORIOL VP, INFO MANAGEMENT/CIO 490277 0 79454 0 66213 0 56617 0 21851 0 714412 0 0 0 SCOTT D CAMPBELL VP, CFO & ADMIN OFFICER - 402355 0 65045 0 59179 0 72892 0 24381 0 623852 0 0 0 MARY J FAGAN VP,PATIENT CARE SVCS/CNO(THRU 11/23) 345450 0 71239 0 202095 0 -56061 0 9490 0 572213 0 0 0 KAREN BRIGGS VP, HUMAN RESOURCES 444200 0 85828 0 18086 0 9900 0 3151 0 561165 0 0 0 CHRIS ABE VP, OPERATIONS 353746 0 58296 0 53178 0 69670 0 12707 0 547597 0 0 0 DANA PATRICK DIR, CRIT CARE & CHET 246978 0 113665 0 9306 0 161078 0 14823 0 545850 0 0 0 LAUREL MOYER VP, CHIEF QUALITY & SAFETY OFFICER 448532 0 36614 0 12000 0 9900 0 30694 0 537740 0 0 0 RICHARD PINEDA VP, STRATEGIC FIN PLANNING 382305 0 78842 0 24115 0 9900 0 30327 0 525489 0 0 0 NISHANTHA S RATNAYAKE VP, CONTROLLER 338697 0 85022 0 50436 0 21773 0 17857 0 513785 0 0 0 MEREDITH LURIE VP, STRATEGIC AND ORG PLAN 316295 0 81096 0 37505 0 42454 0 12529 0 489879 0 0 0 BRIAN T ALLISON VP, HEART INSTITUTE 365290 0 59344 0 24107 0 9900 0 21251 0 479892 0 0 0 CLARA EVANS BREAKEY VP, GOVERNMENT AFFAIRS 357438 0 58068 0 17391 0 9900 0 18394 0 461191 0 0 0 ANALIZA BARTE FLOAT RN 409604 0 1500 0 6366 0 28092 0 7560 0 453122 0 0 0 KERI LYN CARSTAIRS VP, NETWORK OPS & CLIN INT 386058 0 30532 0 22601 0 9900 0 3359 0 452450 0 0 0 TARA LICHTI CLINICAL NURSE III 351515 0 1500 0 6483 0 57130 0 6568 0 423196 0 0 0 IRENA VLADIMIROVNA BOOSTANI VP, MARKETING & EXTERNAL COMM 313664 0 60707 0 16162 0 9900 0 20953 0 421386 0 0 0 JOSHUA KOHRUMEL ASSOCIATE CIO 321178 0 21854 0 8312 0 28637 0 7791 0 387772 0 0 0 M SAHAN FERNANDO CHIEF INFO SEC OFFICER 270986 0 14130 0 5920 0 8554 0 12824 0 312414 0 0 0 RONALD D'ULISSE PHARMACIST IN CHIEF 265115 0 11818 0 7185 0 0 0 0 0 284118 0 0 0 CHRISTINA GALBO SR DIR, COMPLIANCE/AUDIT SVCS 228683 0 15436 0 7459 0 0 0 0 0 251578 0 0 0 BELINDA SANTOS-RAMIREZ BOARD ADMIN, CHIEF OF STAF 130885 0 7140 0 0 0 9212 0 3980 0 151217 0 0 0 DONALD B KEARNS MD MMM PRESIDENT EMERITUS 144746 0 0 0 0 0 -21392 0 0 0 123354 0 0 0 PART I, LINE 1A THE ORGANIZATION PROVIDED A DISCRETIONARY SPENDING ACCOUNT TO SEVEN OFFICERS AND KEY EMPLOYEES LISTED ON FORM 990 PART VII. THE AMOUNT PROVIDED WAS INCLUDED IN EACH INDIVIDUAL'S TAXABLE COMPENSATION. PART I, LINE 4A: MARY FAGAN RECEIVED A SEVERANCE PAYMENT OF $10,000 IN 2023. PART I, LINE 4B: RADY CHILDREN'S HOSPITAL SAN DIEGO HAS ESTABLISHED A NON-QUALIFIED PLAN PURSUANT TO 457(F) OF THE INTERNAL REVENUE CODE. THE PURPOSE OF THIS PLAN IS TO INCENTIVIZE RADY CHILDREN'S HOSPITAL SAN DIEGO ELIGIBLE SENIOR MANAGEMENT EMPLOYEES (PRESIDENT, SENIOR VICE PRESIDENTS, VICE PRESIDENTS, SENIOR MANAGING DIRECTORS) IN RECOGNITION OF THE FACT THAT THEY ARE REQUIRED TO DEVOTE SIGNIFICANT AMOUNTS OF TIME, SKILL AND ENERGY TO THE ORGANIZATION. ONCE VESTED THE AMOUNTS UNDER THIS PLAN ARE REPORTED ON FORM W-2 AS TAXABLE COMPENSATION TO THE INDIVIDUAL. THE FOLLOWING INDIVIDUALS RECEIVED PAYMENTS FROM THE PLAN DURING CALENDAR YEAR 2023: DR. PATRICK FRIAS ($268.917), JAMES J. ULI, JR. ($68,968), AND MR. STEPHEN JENNINGS ($94,459). ALBERT ORIOL ($54,213), ANGELA VIEIRA ($55,818), BRIAN ALLISON ($12,107), CHARLES DAVIS ($97,476), CHRIS ABE ($41,026), CLARA BREAKEY ($5,391), DANA PATRICK ($9,306), GAIL KNIGHT ($417,834), IRENA BOOSTANI ($4,162), JOSHUA KOHRUMEL ($8,312), KAREN BRIGGS ($6,086), M SAHAN FERNANDO ($5,920), NICHOLAS HOLMES ($119,911), MARY FAGAN ($159,719), MEREDITH LURIE ($25,505), NISHANTHA RATNAYAKE ($38,436), SCOTT CAMPBELL ($47,179), JILL STRICKLAND ($49,998), KERI CARSTAIRS ($10,600), RICHARD PINEDA ($12,115), RONALD D'ULISSE ($7,185) AND CHRISTINA GALBO ($7,459). A CALIFORNIA STATEWIDE COMM DEVELOPMENT AUTHORITY 680164610 NONEAVAIL 2018-06-01 50580000 REISSUANCE OF SERIES 2013D 0 0 0 B CALIFORNIA STATEWIDE COMM DEVELOPMENT AUTHORITY 680164610 13080SLZ5 2016-05-18 61552785 CURRENT REFUNDING SERIES 2006AB BONDS 0 0 0 C CALIFORNIA STATEWIDE COMM DEVELOPMENT AUTHORITY 680164610 NONEAVAIL 2013-09-25 63485000 REISSUANCE OF SERIES 2008A 0 0 0 D CALIFORNIA STATEWIDE COMM DEVELOPMENT AUTHORITY 680164610 NONEAVAIL 2012-06-14 115580000 REISSUANCE OF SERIES 2012D 0 0 0 A 50580000 50580000 1 0 1 1 B 28705000 61592971 987819 60605151 1 0 1 1 C 4475000 63485000 63485000 1 0 1 1 D 55700000 115580000 115580000 1 0 1 1 A 0 1 1 1 0 0.00000 0.00000 0.00000 0 0 1 B 0 1 1 1 0 0.00160 0.00000 0.00160 0 0 1 C 0 1 1 1 0 0.00000 0.00000 0.00000 0 0 1 D 0 1 1 1 0 0.00000 0.00000 0.00000 0 0 1 A 0 0 1 1 1 1 GOLDMAN SACHS 26.250000000000 0 0 0 0 1 B 0 0 1 1 0 0 0 0 1 C 0 0 1 1 1 1 GOLDMAN SACHS 35.190000000000 0 0 0 0 1 D 0 0 1 1 1 1 GOLDMAN SACHS 35.190000000000 0 0 0 0 1 A 1 B 1 C 1 D 1 COLUMN A PART I(F) - THE ISSUE DATE OF THE 2013D BONDS WAS OCTOBER 23, 2013. PART II, LINE 13 - SINCE THE PROCEEDS OF THE 2018D REISSUED BONDS ARE USED FOR REFUNDING PURPOSES, THE YEAR OF SUBSTANTIAL COMPLETION IS NOT APPLICABLE. PART IV, LINE 2(B) & 2(C) - THE ISSUE QUALIFIED FOR A SPENDING EXCEPTION TO REBATE. NO REBATE CALCULATION HAS BEEN OR WILL EVER BE MADE, BEFORE OR AFTER THE DUE DATE OF AN 8038-T. PART IV, LINE 4(A) - BASED ON THE PROPOSED REGULATIONS, THE 2013D GOLDMAN SACHS HEDGE IS TREATED AS CONTINUING TO THE 2018D-REISSUED BONDS INSTEAD OF BEING TERMINATED AND REINTEGRATED. THE GOLDMAN SACHS HEDGE HAS A TERM OF 26.25 YEARS AND MATURES ON 8/15/2041. COLUMN B PART I (F): THE ISSUE DATE OF THE 2006AB BONDS WAS OCTOBER 26, 2006. PART II, LINE 3: THE DIFFERENCE BETWEEN THE ISSUE PRICE LISTED IN PART I(E) IS DUE TO INTEREST EARNINGS ON BOND PROCEEDS. PART II, LINE 13: SINCE THE PROCEEDS OF THE 2016AB BONDS ARE USED FOR REFUNDING PURPOSES, THE YEAR OF SUBSTANTIAL COMPLETION IS NOT APPLICABLE. PART IV, LINE 2(B): THE ISSUE QUALIFIED FOR A SPENDING EXCEPTION TO REBATE. NO REBATE CALCULATION HAS BEEN OR WILL EVER BE MADE, BEFORE OR AFTER THE DUE DATE OF AN 8038-T. COLUMN C PART I (F): THE ISSUE DATE OF THE 2008A BONDS WAS JULY, 2008. PART II, LINE 13: SINCE THE PROCEEDS OF THE 2008A-REISSUED BONDS ARE USED FOR REFUNDING PURPOSES, THE YEAR OF SUBSTANTIAL COMPLETION IS NOT APPLICABLE. PART IV, LINE 2(B) & 2(C): THE ISSUE QUALIFIED FOR A SPENDING EXCEPTION TO REBATE. NO REBATE CALCULATION HAS BEEN OR WILL EVER BE MADE, BEFORE OR AFTER THE DUE DATE OF AN 8038-T. PART IV, LINE 4(E): BASED ON THE PROPOSED REGULATIONS, THE 2008A GOLDMAN SACHS HEDGE IS TREATED AS CONTINUING TO THE 2008A-REISSUED BONDS INSTEAD OF BEING TERMINATED AND REINTEGRATED. COLUMN D PART I (F) - THE ISSUE DATE OF THE 2012D BONDS WAS JUNE 14, 2012. PART II, LINE 13 - SINCE THE PROCEEDS OF THE 2012D-REISSUED BONDS ARE USED FOR REFUNDING PURPOSES, THE YEAR OF SUBSTANTIAL COMPLETION IS NOT APPLICABLE. PART IV, LINE 2(B) & (C) - THE ISSUE QUALIFIED FOR A SPENDING EXCEPTION TO REBATE. NO REBATE CALCULATION HAS BEEN OR WILL EVER BE MADE, BEFORE OR AFTER THE DUE DATE OF AN 8038-T. PART IV, LINE 4(E) - BASED ON THE PROPOSED REGULATIONS, THE 2008A GOLDMAN SACHS HEDGE IS TREATED AS CONTINUING TO THE 2008A-REISSUED BONDS INSTEAD OF BEING TERMINATED AND REINTEGRATED. COLUMN A PART I (F): THE ISSUANCE DATE OF THE 2006CD BONDS WAS OCTOBER 2006. PART II, LINE 3: THE DIFFERENCE BETWEEN THE ISSUE PRICE LISTED IN PART I(E) IS DUE TO INTEREST EARNINGS ON BOND PROCEEDS AND THE CUMULATIVE REBATE LIABILITY PAID TO THE IRS NO LATER THAN 9/29/13. PART II, LINE 13: SINCE THE PROCEEDS OF THE 2008CD BONDS ARE USED FOR REFUNDING PURPOSES, THE YEAR OF SUBSTANTIAL COMPLETION IS NOT APPLICABLE. PART IV, LINE 4(E): THE 2008C GOLDMAN SACHS HEDGE WAS ORIGINALLY A HEDGE ON THE 2006C BONDS WITH A TERM OF 29.82 YEARS, AND WAS REINTEGRATED INTO THE 2008C BONDS ON JULY 31, 2008, WITH A TERM OF 28.06 YEARS. ON APRIL 15, 2016, THE HEDGE WAS SPLIT INTO TWO TRANSACTIONS. SUBSEQUENTLY, ONE OF THE TRANSACTIONS WAS NOVATED TO WELLS FARGO BANK, N.A. ON APRIL 25, 2016. THE NOVATED WELLS FARGO HEDGE HAS A TERM OF 3.98 YEARS, AND THE GOLDMAN SACHS PORTION OF THE TRANSACTION HAS A TERM OF 24.08 YEARS. THE ORIGINAL TERM OF THE ENTIRE TRANSACTION OF 28.06 YEARS REMAINS UNCHANGED. PART IV, 4(E): THE 2008D GOLDMAN SACHS HEDGE WAS ORIGINALLY A HEDGE ON THE 2006D BONDS WITH A TERM OF 33.14 YEARS AND WAS REINTEGRATED INTO THE 2008D BONDS ON JULY 31, 2008. WITH A RECONSTRUCTED TERM OF 33.06 YEARS. THIS HEDGE WAS DEEMED TERMINATED ON JUNE 14, 2012, AND HAD A TERM OF 3.87 YEARS AT TERMINATION. PART VI, LINE 5(A), GROSS PROCEEDS OF THE 2008CD BONDS PROJECT FUNDS WERE INVESTED IN A HYPO REPURCHASE AGREEMENT. A CALIFORNIA STATEWIDE COMM DEVELOPMENT AUTHORITY 680164610 130795VT1 2008-07-31 101155000 CURRENT REFUNDING SERIES 2006CD 0 0 0 A 50580000 101156339 731760 100424579 1 1 0 1 A 0 0 0 0 0.00000 0.00000 0.00000 0 0 0 A 1 1 1 GOLDMAN SACHS 24.080000000000 0 1 1 HYPO REPURCHASE 2.550000000000 0 0 1 A 1 PATRICK FRIAS MD OFFICER RELOCATION HOUSING LOAN X 250000 146054 0 1 1 146054 FORM 990, PART I, LINE 1: DESCRIPTION OF ORGANIZATION MISSION THE HOSPITAL PROVIDES COMPREHENSIVE PEDIATRIC MEDICAL SERVICES IN SAN DIEGO, SOUTHERN RIVERSIDE, AND IMPERIAL COUNTIES. FORM 990, PART III, LINE 4A, PROGRAM SERVICE ACCOMPLISHMENTS: RADY CHILDREN'S HOSPITAL SAN DIEGO (THE HOSPITAL) IS A REGIONAL TERTIARY AND QUATERNARY REFERRAL CENTER AND PROVIDES COMPREHENSIVE INPATIENT AND OUTPATIENT ACUTE, PSYCHIATRIC AND INTENSIVE CARE PEDIATRIC SERVICES. THE HOSPITAL ALSO IS THE SOLE PEDIATRIC PROVIDER AND DESIGNATED PEDIATRIC TRAUMA CENTER FOR SAN DIEGO COUNTY AND IS THE PRIMARY SOURCE OF PEDIATRIC AND NEONATAL INTENSIVE CARE SERVICES FOR BOTH SAN DIEGO AND IMPERIAL COUNTIES. ON ITS MAIN CAMPUS THE HOSPITAL OPERATES THE ONLY LEVEL 4 FULL SCOPE NEONATAL INTENSIVE CARE UNIT IN SAN DIEGO, RIVERSIDE AND IMPERIAL COUNTIES. IN ADDITION, THE HOSPITAL OPERATES AN 11-BED LEVEL 3 NEONATAL INTENSIVE CARE UNIT AT SOUTHWEST HEALTHCARE SYSTEM IN RANCHO SPRINGS, AN 8-BED LEVEL 2 NEONATAL INTENSIVE CARE UNIT FOR SCRIPPS MEMORIAL HOSPITAL IN ENCINITAS, AN 18-BED LEVEL 3 NEONATAL INTENSIVE CARE UNIT FOR SCRIPPS MEMORITAL HOSPITAL IN LA JOLLA, AND TWO LEVEL 2 NEONATAL INTENSIVE CARE UNITS FOR SCRIPPS MERCY HOSPITAL LOCATED IN SAN DIEGO AND CHULA VISTA; AN 11-BED PEDIATRIC MEDICAL UNIT FOR SHARP HEALTH LOCATED AT ITS SHARP GROSSMONT CAMPUS; AND A LEVEL 3, 4-BED NEONATAL INTENSIVE CARE UNIT, LOCATED AT PALOMAR MEDICAL CENTER IN ESCONDIDO. THE HOSPITAL IS AMALGAMATED WITH THE UNIVERSITY OF CALIFORNIA, SAN DIEGO, HEALTH SCIENCES, AND SERVES AS A CENTER FOR GRADUATE AND POST-GRADUATE EDUCATION IN THE FIELD OF PEDIATRICS. ANNUALLY, THE HOSPITAL HAS APPROXIMATELY 19,000 INPATIENT ADMISSIONS AND APPROXIMATELY 290,000 VISITS PER YEAR IN ITS OUTPATIENT DEPARTMENTS. ADDITIONALLY, THE EMERGENCY DEPARTMENT AND URGENT CARE CENTERS PROVIDE APPROXIMATELY 101,000 AND 54,000 VISITS, RESPECTIVELY, PER YEAR. FORM 990, PART VI, SECTION A, LINE 6 RADY CHILDREN'S HOSPITAL AND HEALTH CENTER (RCHHC) IS THE SOLE MEMBER AS THAT TERM IS DEFINED IN CALIFORNIA CORPORATIONS CODE 5056 ("MEMBER") OF RADY CHILDREN'S HOSPITAL - SAN DIEGO (RCHSD). FORM 990, PART VI, SECTION A, LINE 7A THE RCHSD BOARD OF DIRECTORS CONSISTS OF THOSE INDIVIDUALS SERVING AS THE BOARD OF TRUSTEES OF THE MEMBER. ONLY THE MEMBER MAY REMOVE A DIRECTOR. THE FOLLOWING ACTIONS OF THE RCHSD BOARD REQUIRE "PRIOR WRITTEN APPROVAL" OF THE MEMBER TO BE EFFECTIVE: - ANY AMENDMENT, REVISION, MODIFICATION OF THE ARTICLES OF INCORPORATION OR THE BYLAWS - ANY CHANGE IN THE NATURE OF THE BUSINESS ACTIVITIES OF RCHSD - APPROVAL OF OPERATING AND CAPITAL BUDGETS OF RCHSD - BORROWING ANY AMOUNT OR INCURRING ANY DEBT IN THE AMOUNT OF $100,000 OR MORE - MAKING OR INCURRING ANY UNBUDGETED EXTRAORDINARY OR NON-RECURRING EXPENSE OR EXPENDITURE OF $1,000,000. THE RCHSD BOARD CANNOT AUTHORIZE OR DIRECT ANY OFFICER OF RCHSD TO PERFORM OR COMMIT ANY OF THE FOLLOWING ACTS, WITHOUT PRIOR WRITTEN APPROVAL OF THE MEMBER: - BORROW MONEY IN RCHSD'S NAME OR UTILIZE PROPERTY OWNED BY RCHSD AS SECURITY FOR LOANS, EXCEPT IN THE ORDINARY COURSE OF BUSINESS - MAKE, EXECUTE, OR DELIVER ANY ASSIGNMENT FOR THE BENEFIT OR CREDITORS, OR ANY BOND, CONFESSION, JUDGMENT, CHATTEL MORTGAGE, SECURITY AGREEMENT, DEED, GUARANTY, INDEMNITY BOND, SURETY BOND, CONTRACT TO SELL OR BILL OF SALE OF THE PROPERTY OF RCHSD, EXCEPT IN THE ORDINARY COURSE OF BUSINESS. - ACQUIRE, PURCHASE, DEVELOP, IMPROVE, SELL, LEASE OR MORTGAGE ANY CORPORATE REAL ESTATE OR ANY INTEREST THEREIN OR ENTER INTO ANY CONTRACT FOR ANY SUCH PURPOSES. - MAKE ANY LOAN OR INVESTMENT OF ANY RCHSD ASSETS, OR ENTER INTO ANY CONTRACT OR INCUR ANY LIABILITY ON BEHALF OF RCHSD OTHER THAN FOR FAIR CONSIDERATION OR IN THE ORDINARY COURSE OF BUSINESS RELATING TO ITS NORMAL DAILY OPERATION. FORM 990, PART VI, SECTION A, LINE 7B PLEASE REFER TO LINE 7A EXPLANATION FORM 990, PART VI, SECTION B, LINE 11B REVIEW OF FORM 990 BEFORE FILING, THE TAX RETURN AND SCHEDULES ARE REVIEWED BY THE AUDIT AND COMPLIANCE COMMITTEE OF RADY CHILDREN'S HEALTH'S BOARD. THE CFO REVIEWS THE MATERIALS WITH THE COMMITTEE. A COMPLETE COPY IS ALSO SHARED WITH ALL BOARD MEMBERS PRIOR TO FILING USING ELECTRONIC COMMUNICATION SYSTEMS. FORM 990, PART VI, SECTION B, LINE 12C CONFLICT OF INTEREST POLICY ON AN ANNUAL BASIS AND UPON ELECTION OR APPOINTMENT, THE POLICY AND DISCLOSURE STATEMENT IS DISTRIBUTED TO ALL BOARD MEMBERS, OFFICERS, AND KEY EMPLOYEES AND MEDICAL STAFF LEADERS. ALL COMPLETED AND SIGNED STATEMENTS ARE RETURNED TO THE CORPORATE COMPLIANCE OFFICER FOR REVIEW. IF A PERSON DISCLOSES A POTENTIAL OR ACTUAL CONFLICT, THE PERSON WITH THE CONFLICT OF INTEREST IS EXCLUDED FROM ANY DISCUSSION OR APPROVAL OF ANY SUCH RELATED TRANSACTIONS. FINANCIAL INTEREST DISCLOSURES BY BOARD MEMBERS AND OFFICERS ARE BROUGHT TO THE RCHHS BOARD OF TRUSTEES OR THE AUDIT AND CORPORATE RESPONSIBILITY COMMITTEE FOR REVIEW AND, AS NEEDED, APPROPRIATE ACTION. FINANCIAL INTEREST DISCLOSURES BY KEY EMPLOYEES AND MEDICAL STAFF LEADERS ARE REVIEWED BY THE CORPORATE COMPLIANCE OFFICER AND REFERRED TO THE PRESIDENT AND CHIEF EXECUTIVE OFFICER OR TO THE RCHHS BOARD OF TRUSTEES. THE CORPORATE COMPLIANCE COMMITTEE AND THE AUDIT AND CORPORATE RESPONSIBILITY COMMITTEE A SUMMARY OF ALL DISCLOSURES AND ACTION TAKEN, IF ANY, ALL OTHER EMPLOYEES ARE REQUIRED TO COMPLETE A DISCLOSURE STATEMENT ON AN ANNUAL BASIS THAT IS REVIEWED BY THE CORPORATE COMPLIANCE OFFICER. FORM 990, PART VI, SECTION B, LINE 15 DETERMINATION OF COMPENSATION RADY CHILDREN'S HOSPITAL AND HEALTH CENTER/RADY CHILDREN'S HOSPITAL SAN DIEGO WORKING THROUGH THE BOARD COMPENSATION COMMITTEE HAS A PROCESS FOR ESTABLISHING, REVIEWING AND APPROVING COMPENSATION OF OFFICERS AND KEY EMPLOYEES OF THE ORGANIZATION ON A NO LESS THAN AN ANNUAL BASIS. THE COMPENSATION COMMITTEE IS COMPRISED OF INDEPENDENT, LAY MEMBERS OF THE BOARD OF TRUSTEES. PRIOR TO CONDUCTING ITS REVIEW, THE CHAIR OF THE COMPENSATION COMMITTEE DETERMINES WHETHER ANY MEMBER HAS A CONFLICT OF INTEREST WITH RESPECT TO THE MATTER(S) UNDER REVIEW. IF THERE IS A CONFLICT, THE CONFLICTED MEMBER RECUSES HIMSELF/HERSELF AND IS NOT PRESENT DURING DISCUSSION OR VOTE ON THE ARRANGEMENT UNDER REVIEW. IN DETERMINING AND APPROVING THE COMPENSATION, THE COMMITTEE CONSIDERS ALL COMPONENTS OF COMPENSATION. IT CONSIDERS COMPARABILITY DATA AND RETAINS AN INDEPENDENT COMPENSATION CONSULTANT TO PROVIDE COMPARABILITY DATA TO THE COMMITTEE. TOTAL COMPENSATION IS TARGETED TO BE BETWEEN THE 50TH AND 75TH PERCENTILE OF THE COMPARABILITY DATA. THE COMMITTEE'S DELIBERATIONS AND DECISIONS ARE DOCUMENTED IN MINUTES THAT ARE REVIEWED AT ITS NEXT MEETING. THE COMMITTEE'S WRITTEN RECORDS INCLUDE THE (1) TERMS OF THE ARRANGEMENT WITH THE DISQUALIFIED PERSON (INCLUDING THE DATE THE ARRANGEMENT WAS APPROVED); (2) A LIST OF MEMBERS PRESENT DURING THE DISCUSSION OF THE TRANSACTION (AND HOW THE MEMBERS VOTED WHEN IT WAS APPROVED); AND (3) A DESCRIPTION OF THE COMPARABLE DATA RELIED ON BY THE COMMITTEE AND HOW IT WAS OBTAINED. FORM 990, PART VI, SECTION C, LINE 19 THE FEDERAL TAX LAWS DO NOT MANDATE THAT THE ORGANIZATION'S GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY BE MADE AVAILABLE FOR PUBLIC INSPECTION. THE ORGANIZATION MAKES ITS FINANCIAL STATEMENTS AVAILABLE UPON REQUEST. FORM 990, PART IX, LINE 11G OTHER: PROGRAM SERVICE EXPENSES 464,120,014. MANAGEMENT AND GENERAL EXPENSES 24,391,896. TOTAL EXPENSES 488,511,910. FORM 990, PART XI, LINE 9: CHANGE IN FMV OF INTEREST RATE SWAP 8,237,122. CHANGE IN SPLIT INTEREST AGREEMENTS -45,269. INTERCOMPANY SETTLEMENT -15,724,367. CHANGE IN DEFINED BENEFIT PLAN 34,894,892. TREASURY LOCK SWAP GAIN -279,509. RADY CHILDREN'S HOSPITAL AND HEALTH CENTER 3020 CHILDRENS WAY MC 5001 SAN DIEGO CA 92123 953545901 SUPPORT AFFILIATES CA 501(C)(3) LINE 12B, II N/A 0 RADY CHILDREN'S HOSPITAL RESEARCH CENTER 3020 CHILDRENS WAY MC 5001 SAN DIEGO CA 92123 953814185 RESEARCH CA 501(C)(3) LINE 12A, I RCHHC 0 RADY CHILDREN'S HOSPITAL FOUNDATION - SD 3020 CHILDRENS WAY MC 5001 SAN DIEGO CA 92123 330170626 FUNDRAISING CA 501(C)(3) LINE 7 RCHHC 0 RADY CHILDREN'S HEALTH SERVICES - SAN DIEGO 3020 CHILDRENS WAY MC 5001 SAN DIEGO CA 92123 330278018 SUPPORT RCHSD CA 501(C)(3) LINE 12A, I RCHSD 1 CHILDREN'S HOSPITAL INTEGRATED RISK PROTECTION 22 VICTORIA STREET HAMILTON BD HM12 CAPTIVE INSURANCE BD RCHHC C 0 RADY CHILDREN'S PHYSICIAN MANAGEMENT SER 3860 CALLE FORTUNADASUITE 200 SAN DIEGO CA 921234282 330670694 MGMT - PHYS OFF CA RCHHC C 0 CHILDREN'S HOSPITAL INSURANCE LTD CANONS COURT 22 VICTORIA STREET HAMILTON BD HM12 CAPTIVE INSURANCE BD RCHHC C 0 0 1 1 0 0 0 0 0 0 0 0 0 0 1 1 1 1 1 1 RADY CHILDREN'S HEALTH SERVICES - SAN DIEGO P 159953 ACTUAL COST RADY CHILDREN'S HEALTH SERVICES - SAN DIEGO Q 3360145 ACTUAL COST