Rady Children’s Hospital

Health Systems University of California San Diego Health System, Independent/No System, Rady Children's Hospital San Diego, Sharp HealthCare

Rady Children’s Hospital

501(c)(3)

3020 Children's Way
San Diego, CA

136

Total Sex Change Patients

info icon Total unique children who underwent gender-affirming procedures or hormone/puberty blocker therapy.
64

Total Surgery Patients

info icon Total unique children who underwent gender-affirming surgical procedures.
77

Total Hormone and Puberty Blocker Patients

info icon Total unique children who were prescribed puberty blockers or received gender-affirming hormone therapy.
518

Total Prescriptions Written

info icon Total number of scripts for puberty blockers or gender-affirming hormones.
$926,506

Total Submitted Charges

info icon Total amount submitted by providers or pharmacies to insurance for services, treatments, or prescriptions, before any reviews or adjustments. Includes medical procedures and prescription charges but may not reflect the final amount after negotiations.

Rady Children’s Hospital is a 501(c)(3) nonprofit hospital located in San Diego, California. The hospital operates the Center for Gender-Affirming Care that provides minors with hormone therapy, puberty blockers, voice therapy, and referrals for sex change surgeries. Claims data shows the hospital has billed for sex change surgeries and hormone therapy for minors.

For more information on the specific procedure and diagnostic codes and other methodology used to make these determination, read our white paper here.

Key Findings

Rady Children’s Hospital operates the Center for Gender-Affirming Care to treat children, adolescents, and young adults with gender dysphoria. It is led by Program Director Bixby Marino-Kibbee, LCSW, and Medical Director Maja Marinkovic, M.D.

In June 2015, Dr. Marinkovic said that since the opening of the Center For Gender-Affirming Care in 2012, doctors had seen 80 patients and that they’ve seen a “surge as a result of the media focus on transgender people.”

KPBS also reported that puberty blocker medications are a “common treatment at the Rady clinic.”

Dr. Ron Newfield, an endocrinologist at Rady Children’s Hospital, said that the uncertainty and discomfort of not knowing what they’re feeling makes trans youth more prone to depression and suicidal ideations. He also said that puberty blockers can bring a lot of relief to a child, as it halts the development of the “wrong body.”

In April 2016, the San Diego Union-Tribune profiled a 14-year-old named Sam who received “gender-affirming care” at the Rady Children’s Hospital. Sam received counseling, hormone blockers, and testosterone shots before deciding to have a double mastectomy at age 14 from the Kryger Institute for Plastic Surgery.

In December 2019, Dr. David Inwards-Breland, previous co-director of the Center for Gender-Affirming care, wrote a research article titled, “Medically Assisted Gender Affirmation: When Children and Parents Disagree.” In the research paper, Dr. Inwards-Breland wrote about how to provide gender-affirming surgery to minors without parental consent, “We discuss three potential avenues for providing gender-affirming care over parental disagreement: legal carve-outs to parental consent, the mature minor doctrine and state intervention for neglect.” 

In July 2022, Breitbart profiled the Rady Children’s Hospital’s Center for Gender-Affirming Care, highlighting that the hospital offers sex change treatments to children including “comprehensive gender assessment,” “surgical referrals,” “insurance advocacy,” gender-affirming medical care,” and “gender affirming vocal therapy.”

Breitbart also reported that Rady Children’s Hospital promotes several books that encourage children to change their sex, including “The Transgender Child,” “The Gender Creative Child,” and others.

The Rady Children’s Hospital website lists The Endocrine Society as a resource on their website, an organization known for advocating for children to have puberty blockers, hormone therapy, and surgery.

Sex Change Treatments Offered

Center for Gender-Affirming Care

The Center for Gender-Affirming Care treats children, adolescents, and young adults with gender dysphoria. The center reports that being transgender is “not a mental health problem.” It utilizes mental health professionals, endocrinologists, and adolescent medicine professionals to provide so-called “evidence-based care.”

“Gender dysphoria is a medical condition in which there is deep emotional distress that occurs when one’s assigned gender at birth and gender identity do not match. Being transgender, nonbinary or gender non-conforming is not a mental health problem. However, some transgender individuals have co-existing conditions, such as anxiety or depression.”

“Our mission is to provide comprehensive, compassionate, evidence-based care and support to transgender and nonbinary youth and their families. We utilize a multidisciplinary, family systems approach, bringing together mental health professionals, endocrinology, and adolescent medicine to provide comprehensive care.”

The website states, “While our treatment of gender dysphoria is based on the current guidelines from The Endocrine Society… care is always individualized to best meet the specific needs of each patient.”

 

Definitions

SEX CHANGE PATIENTS: Total unique children who underwent “gender-affirming” surgical procedures or hormone/puberty blocker therapy.

TOTAL SURGERY PATIENTS: Total unique children who underwent “gender-affirming” surgical procedures.

TOTAL HORMONE AND PUBERTY BLOCKERS PATIENTS: Total unique children who were prescribed puberty blockers or received gender-affirming hormone therapy.

TOTAL PRESCRIPTIONS WRITTEN: Total number of prescriptions written by a provider for puberty blockers or gender-affirming hormones for children.

TOTAL SUBMITTED CHARGES: This is the initial amount a healthcare provider or pharmacy submits to the insurance company for a specific service, treatment, or prescription before the insurance company reviews and adjusts the payment. This value includes both the pharmacy-submitted cost of prescription drug claims and the line-item charges associated with medical procedures. Please note that this amount does not necessarily reflect the full cost of the procedure or prescription, as it is subject to adjustments and negotiations by the insurance company.

 

Leadership

Executive Leadership

Name Title Compensation
Patrick Frias, MD President & CEO $1,673,930
Charles B. Davis, MD SVP, Interim Chief Operating Officer $960,142
Gail Knight, MD SVP, Chief Medical Officer $858,175
Jill Strickland SVP, Chief Administrative Officer $713,943
James Uli SVP Chief Financial Officer $825,110
Gabriel G. Haddad, MD Physician-in-Chief, Chief Scientific Officer, and Chairman of Pediatrics N/A
Robin H. Steinhorn, MD SVP, Executive Director N/A

The current leadership/titles are based on the Rady Children’s Hospital leadership website, but the compensation information is from the Rady Children’s Hospital San Diego 2022 Form 990, filed 10/12/23.

Compensation reflects the tax year beginning July 1, 2021, and ending June 30, 2022.

Board of Trustees

Name Title Compensation
Doug Arthur Chairman $0
Steve Jennings Secretary $0
James Uli Treasurer $825,110
Maria Assaraf Member $0
Jon Beyrer Member $0
Jennie Brooks Member $0
Bridgett Brown Member $0
Doug Dawson Member $0
Kris Dickinson Member $0
Michele Fisher Member $0
Patrick Frias, MD Member $1,673,930
Erik Greupner Member $0
Scott Hall Member $0
Carlee Harmonson Member $0
Paul Hering, CPCU Member $0
Richard Libenson Member $0
Lisa Peckham Member $0
Anjuli Timmer, PhD Member $0
Christian Tresse Member $0

The current leadership/titles are based on the Rady Children’s Hospital leadership website, but the compensation information is from the Rady Children’s Hospital San Diego 2022 Form 990, filed 10/12/23.

Compensation reflects the tax year beginning July 1, 2021, and ending June 30, 2022.

In the News

Stay up to date with the latest news and updates.

Breitbart

San Diego Pride Sponsored by Children’s Hospital that Profits from…

07/01/2022

Breitbart profiled the Rady Children’s Hospital’s Center for Gender-Affirming Care, highlighting that the hospital offers sex change treatments to children…

Read More →
NBC San Diego

Rady Children's Hospital Settles Lawsuit Over Transgender Discrimination That Resulted…

09/29/2019

In April 2015, when fourteen-year-old Kyler Prescott was admitted To Rady Children’s Hospital’s Gender Management Clinic, hospital staff refused to…

Read More →
Medical X Press

Team finds high need for treatment of transgender youth

03/07/2015

’Youth with gender incongruence or dysphoria need a comprehensive, multidisciplinary approach to care,’ said principal investigator Maja Marinkovic, MD, a…

Read More →
KPBS

Clinic Helps San Diego Transgender Youth

06/22/2015

Puberty blocker medications are a “common treatment at the Rady clinic.”

Read More →