2022-05-13T18:39:58-05:00 2021-06-30 135565207 KPMG LLP MISSION TOWERS I 3975 FREEDOM CIRCLE DR SANTA CLARA CA 95054 990 2020-07-01 953545901 RADY CHILDREN'S HOSPITAL AND HEALTH CENTER RADY 8585761700 3020 CHILDRENS WAY MC 5001 SAN DIEGO CA 921234282 JAMES J ULI JR CFO/TREASURER 8585761700 2022-05-13 1 JAMES ULI JR 999009999 JAMES R LANCASTER P00742579 4083675764 3 AAL1 IAL1 2020 2022-09-23 18:48:47Z PATRICK A FRIAS MD 3020 CHILDRENS WAY MC 5001 SAN DIEGO CA 921234282 24293515 0 X WWW.RCHSD.ORG X 1980 CA THE ORGANIZATION MAINTAINS, OPERATES, AND RAISES FUNDS FOR, AND OTHERWISE SUPPORTS RADY CHILDREN'S HOSPITAL - SAN DIEGO. 26 26 0 0 967732 0 0 0 0 0 1274733 4141914 0 0 1274733 4141914 0 0 0 0 0 0 0 0 0 113376 102835 113376 102835 1161357 4039079 81610081 103630385 394968 230102 81215113 103400283 X RADY CHILDREN'S HOSPITAL AND HEALTH CENTER (RCHHC) WAS FORMED TO ACQUIRE, ESTABLISH, MAINTAIN, CONDUCT, OPERATE, RAISE FUNDS FOR, AND OTHERWISE SUPPORT, DIRECTLY OR INDIRECTLY THROUGH ITS AFFILIATES, FACILITIES AND PROGRAMS FOR THE BENEFIT OF CHILDREN AND ADULTS WITH DISEASES, DISORDERS, AND OTHER HEALTH PROBLEMS OF PEDIATRIC ORIGIN, INCLUDING PROVIDING RESOURCES FOR CHARITY CARE, RESEARCH, AND EDUCATION. IN ADDITION, RCHHC SOLICITS AND RECEIVES GRANTS AND DONATIONS TO BE USED TO PROMOTE AND ADVANCE THE WELFARE AND ACTIVITIES OF ITS AFFILIATES. 0 0 0 0 THE ORGANIZATION MAINTAINS, OPERATES, AND RAISES FUNDS FOR, AND OTHERWISE SUPPORTS RADY CHILDREN'S HOSPITAL - SAN DIEGO. 1 0 0 0 0 0 0 0 0 1 0 1 0 0 1 1 0 1 0 0 1 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 1 0 0 0 1 1 1 BD 0 0 0 0 0 0 0 0 0 0 X 26 26 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 0 0 0 CA X NISHANTHA RATNAYAKE 8585761700 3020 CHILDRENS WAY MC 5001 SAN DIEGO CA 921234282 S DOUGLAS HUTCHESON CHAIR 4.00 12.00 X X 0 0 0 PAUL J HERING VICE CHAIR 2.00 10.00 X X 0 0 0 LISA A BARKETT BOARD MEMBER 2.00 2.00 X 0 0 0 MARTIN BROTMANMD BOARD MEMBER (THRU 12/20) 2.00 2.00 X 0 0 0 BRIDGETT M BROWN BOARD MEMBER 2.00 6.00 X 0 0 0 MICHAEL J FARRELL BOARD MEMBER 2.00 2.00 X 0 0 0 MICHAEL A FRIEDMAN MD BOARD MEMBER (FROM 03/21) 2.00 2.00 X 0 0 0 JOHN M GILCHRIST JR BOARD MEMBER 2.00 4.00 X 0 0 0 DAVID F HALE BOARD MEMBER 2.00 6.00 X 0 0 0 DEBRA L REED-KLAGES BOARD MEMBER 2.00 2.00 X 0 0 0 CATHERINE J MACKEY PHD BOARD MEMBER 2.00 4.00 X 0 0 0 GDIEGO 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 TINA S NOVA PHD BOARD MEMBER 2.00 6.00 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 DONALD J ROSENBERG ESQ BOARD MEMBER 2.00 4.00 X 0 0 0 BYRON SCOTT MD BOARD MEMBER (FROM 03/21) 2.00 2.00 X 0 0 0 MICHAEL R STONE BOARD MEMBER (FROM 03/21) 2.00 2.00 X 0 0 0 VANESSA V WERTHEIM PHD BOARD MEMBER 2.00 2.00 X 0 0 0 SCOTT N WOLFE BOARD MEMBER 2.00 4.00 X 0 0 0 DAVID A BRENNER MD EX-OFFICER/BOARD MEMBER 2.00 4.00 X 0 0 0 ANDREW J SKALSKY MD EX-OFFICER/BOARD MEMBER 2.00 2.00 X 0 0 0 PRADEEP KHOSLA PHD EX-OFFICER/BOARD MEMBER 2.00 2.00 X 0 0 0 JOHN STOBO MD EX-OFFICER/BOARD MEMBER 2.00 2.00 X 0 0 0 GEORGE CHIANG MD EX-OFFICER/BOARD MEMBER 2.00 3.00 X 0 0 0 BELINDA SANTOS-RAMIREZ BOARD ADMIN & CHIEF OF STAFF 2.00 38.00 X 0 129987 28382 ANGELA M VIEIRA GENERAL COUNSEL 2.00 38.00 X 0 579301 79414 STEPHEN JENNINGS SR VP, EXEC DIR FOUNDATION 0.00 40.00 X 0 643427 75931 NICHOLAS HOLMES MD SR VP, COO 2.00 38.00 X 0 817492 38095 GAIL KNIGHT MD SR VP, CMO 2.00 38.00 X 0 806411 12132 PATRICK FRIAS MD PRESIDENT/CEO 2.00 38.00 X 0 1468731 37494 JAMES J ULI JR SR VP, CFO 2.00 38.00 X 0 609574 18167 JILL STRICKLAND SR VP, CAO 1.00 39.00 X 0 271827 6818 KATHLEEN M CAIN SR VP, CFO (THRU 3/20) 0.00 20.00 X 0 289443 13191 DONALD B KEARNS MD MMM PRESIDENT EMERITUS 0.00 20.00 X 0 678312 78512 MARGARETA E NORTON EVP, CAO (THRU 3/20) 0.00 20.00 X 0 1134424 -66096 0 7428929 322040 0 1 1 0 0 1013145 967732 45413 23280370 20151601 3128769 3128769 3128769 4141914 0 967732 3174182 65675 65675 LICENSES/TAXES 37160 37160 102835 0 102835 0 2612043 2677727 57441210 74245328 20108227 24944671 1448601 1762659 81610081 103630385 394968 230102 394968 230102 X 80549160 102638747 665953 761536 81215113 103400283 81610081 103630385 X 4039079 14337029 3809062 X 0 1 X 1 0 X X 1 RADY CHILDREN'S HOSPITAL SAN DIEGO 951691313 3 0 0 102835 1 0 102835 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 1 PART IV, SECTION A, QUESTION 1 RADY CHILDREN'S HOSPITAL AND HEALTH CENTER (RCHHC) IS THE SOLE MEMBER OF RADY CHILDREN'S HOSPITAL SAN DIEGO (RCHSD). THIS ORGANIZATION, ALONG WITH THE OTHER EXEMPT ORGANIZATIONS LISTED ON SCHEDULE R, PART II, ARE PART OF THE RADY CHILDREN'S HOSPITAL AND HEALTH CENTER HEALTH SYSTEM. RCHHC AND RCHSD HAVE THE SAME PRESIDENT & CEO, THE SAME CFO, AND THE DIRECTORS ARE THE SAME FOR BOTH ORGANIZATIONS. PART IV, SECTION A, QUESTION 6 RCHHC ALSO PROVIDES SUPPORT TO THE OTHER EXEMPT ORGANIZATIONS LISTED ON SCHEDULE R PART II. THESE ORGANIZATIONS ARE PART OF THE RADY CHILDREN'S HOSPITAL AND HEALTH CENTER HEALTH SYSTEM. 114591220 4258030 29121590 3568781 70538 144331521 112673421 5561460 701427 4235454 109634 114591220 109949631 4481919 2755878 4421460 92547 112673421 101712762 6622916 6082110 4360156 108001 109949631 93441640 2751574 9143887 3522210 102129 101712762 0.55330 0.32230 0.12440 1 1 1 0 ACTIS ENERGY 3 66934 F ADVENT INTERNATIONAL GPE IX-C, L.P. 160509 F ADVENT INTERNATIONAL GPE VIIIC, L.P. 311128 F AMERICAN INDUSTRIAL PARTNERS CAPITAL FUND V, L.P. 107943 F AMERICAN INDUSTRIAL PARTNERS CAPITAL FUND VI, L.P. 206990 F AMERICAN SECURITIES PARTNERS V, L.P. 555 F AMERICAN SECURITIES PARTNERS VI, L.P. 142261 F AMERICAN SECURITIES PARTNERS VII, L.P. 271527 F AMERICAN SECURITIES PARTNERS VIII, L.P. 113307 F AMPERSAND 2020 28798 F ARDIAN ASF VIII 118431 F CLEARLAKE CAPITAL PARTNERS VI 203091 F CLEARLAKE OPPORTUNITIES PARTNERS (OFFSHORE) II, L.P. 134911 F CVC CREDIT PARTNERS GLOBAL SPECIAL SITUATIONS 135815 F CVC CREDIT PARTNERS GLOBAL SPECIAL SITUATIONS II 132896 F ENCAP ENERGY CAPITAL FUND X, L.P. 112908 F ENERGY TRUST PARTNERS V, L.P. 313315 F FORTISSIMO CAPITAL FUND IV, L.P. 219661 F FORTISSIMO CAPITAL FUND V, L.P. 96662 F GLENDON OPPORTUNITIES FUND II, LP 418144 F GLOBAL INFRASTRUCTURE PARTNERS III, L.P. 328220 F GOLDMAN SACHS CAPITAL PARTNERS VI PARALLEL, L.P. 22182 F GOLDMAN SACHS VINTAGE FUND IV OFFSHORE LP 31237 F IPI PARTNERS IIA 5726 F ISQ GLOBAL INFRASTRUCTURE 214753 F KPS SPECIAL SITIATUIONS FUND V 83274 F MILLENNIUM TECHNOLOGY VALUE PARTNERS II, L.P. 72124 F NY LIFE INSURANCE - ROBERT LIPSCHULTZ 1419 F OAKTREE EUROPEAN PRINCIPAL FUND, III, L.P. 112808 F PATRIA BRAZILIAN PRIVATE EQUITY FUND IV, L.P. 99687 F PATRIA BRAZILIAN PRIVATE EQUITY FUND V, L.P. 297084 F PRIMAVERA CAPITAL FUND III 403946 F PROVIDENCE STRATEGIC GROWTH EUROPE I 35463 F RIDGEMONT EQUITY PARTNERS ENERGY OPPORTUNITY FUND, L.P. 144175 F RIVERSTONE GLOBAL ENERGY AND POWER FUND VI, L.P. 193763 F STEPSTONE ENDURANCE FUND 372818 F STEPSTONE SECONDARY OPPORTUNITIES FUND II, L.P. 82031 F STEPSTONE SECONDARY OPPORTUNITIES FUND, L.P. 51991 F STEPSTONE SECONDARY OPPORTUNITY FUND III 340357 F TPG HEALTHCARE PARTNERS, LP 25281 F TPG PARTNERS VII, L.P. 421669 F TPG PARTNERS VIII, L.P. 118803 F TRG GROWTH PARTNERSHIP 42950 F TSSP OPPORTUNITIES PARTNERS IV (B), L.P. 163174 F U.S. FARMING REALTY TRUST II, L.P. 174579 F VISTA EQUITY PARTNERS V, L.P. 230948 F WATERLAND PRIVATE EQUITY FUND VII C.V. 121307 F WHITE DEER ENERGY TE LP II 111825 F YORKTOWN ENERGY PARTNERS IX, L.P. 31965 F INVESTMENT IN RCPMS 8263836 F INVESTMENT IN CHIRPL 8047490 F INVESTMENT IN CPHC 1002000 F 24944671 PAYABLE TO BENEFICIARIES 230102 230102 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 THE BOARD OF TRUSTEES. IN ADDITION, DONOR DESIGNATED (OR RESTRICTED) ENDOWMENT FUNDS SUPPORT A WIDE RANGE OF INITIATIVES IDENTIFIED BY DONORS. PART X, LINE 2: RCHHC RECOGNIZES AND MEASURES THE TAX BENEFIT FROM UNCERTAIN TAX POSITIONS ONLY IF IT IS MORE LIKELY THAN NOT THAT THE TAX POSITION WILL BE SUSTAINED, BASED SOLELY ON ITS TECHNICAL MERITS, WITH THE TAXING AUTHORITY HAVING FULL KNOWLEDGE OF ALL RELEVANT INFORMATION. RCHHC RECORDS LIABILITIES FOR UNRECOGNIZED TAX BENEFITS FROM UNCERTAIN TAX POSITIONS AS DISCRETE TAX ADJUSTMENTS IN THE FIRST PERIOD THAT THE MORE LIKELY THAN NOT THRESHOLD IS NOT MET. RCHHC HAS NOT TAKEN ANY SIGNIFICANT UNCERTAIN TAX POSITIONS THEREFORE NO LIABILITY (OR ASSET) HAS BEEN RECOGNIZED AS OF JUNE 30, 2021. CENTRAL AMERICA AND THE CARIBBEAN PROGRAM SERVICES OFFSHORE CAPTIVE MGT 6146219 CENTRAL AMERICA AND THE CARIBBEAN INVESTMENTS 66824149 NORTH AMERICA INVESTMENTS 2076866 EUROPE (INCLUDING ICELAND & GREENLAND) INVESTMENTS 1652172 0 0 0 0 0 0 76699406 0 76699406 1 0 1 0 1 0 PART I, LINE 3: THE AMOUNTS LISTED ARE REPORTED ON AN ACCRUAL METHOD OF ACCOUNTING. PART III ACCOUNTING METHOD: 0 1 0 0 0 0 0 0 0 PATRICK FRIAS MD PRESIDENT/CEO 0 1072502 0 308076 0 88153 0 8550 0 28944 0 1506225 0 0 MARGARETA E NORTON EVP, CAO (THRU 3/20) 0 528639 0 159265 0 446520 0 -73663 0 7567 0 1068328 0 0 NICHOLAS HOLMES MD SR VP, COO 0 569993 0 130676 0 116823 0 8550 0 29545 0 855587 0 0 GAIL KNIGHT MD SR VP, CMO 0 584834 0 129196 0 92381 0 8550 0 3582 0 818543 0 0 DONALD B KEARNS MD MMM PRESIDENT EMERITUS 0 329135 0 76833 0 272344 0 63133 0 15379 0 756824 0 0 STEPHEN JENNINGS SR VP, EXEC DIR FOUNDATION 0 421589 0 126566 0 95272 0 47132 0 28799 0 719358 0 0 ANGELA M VIEIRA GENERAL COUNSEL 0 446550 0 72577 0 60174 0 65116 0 14298 0 658715 0 0 JAMES J ULI JR SR VP, CFO 0 496882 0 100000 0 12692 0 8550 0 9617 0 627741 0 0 KATHLEEN M CAIN SR VP, CFO (THRU 3/20) 0 205703 0 60000 0 23740 0 8359 0 4832 0 302634 0 0 JILL STRICKLAND SR VP, CAO 0 191058 0 75000 0 5769 0 0 0 6818 0 278645 0 0 BELINDA SANTOS-RAMIREZ BOARD ADMIN & CHIEF OF STAFF 0 123135 0 6852 0 0 0 15549 0 12833 0 158369 0 0 PART I, LINE 3 RADY CHILDREN'S HOSPITAL AND HEALTH CENTER RELIED ON A RELATED ORGANIZATION, RADY CHILDREN'S HOSPITAL - SAN DIEGO, THAT USED ONE OR MORE OF THE METHODS DESCRIBED IN SCHEDULE J, PART I, LINE 3, TO ESTABILISH THE ORGANIZATION'S TOP MANAGEMENT OFFICIAL'S COMPENSATION. SEE FORM 990, PART VI, SECTION B, LINE 15 FOR ADDITIONAL INFORMATION. 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 IN WHICH CERTAIN INDIVIDUALS LISTED ON THE FORM 990, PART VII AND SCHEDULE J ARE PARTICIPANTS. THE PURPOSE OF THIS PLAN IS TO INCENTIVIZE 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 AND NOT OTHERWISE DEFERRED, THE AMOUNTS UNDER THIS PLAN ARE REPORTED ON FORM W-2 AS TAXABLE COMPENSATION TO THE INDIVIDUAL. FOLLOWING INDIVIDUALS RECEIVED PAYMENTS FROM THE PLAN DURING CALENDAR YEAR 2021: ANGELA VIEIRA ($47,712), DONALD KEARNS ($253,651), GAIL KNIGHT ($76,804), MARGARETA NORTON ($117,086), NICHOLAS HOLMES ($101,246), AND STEPHEN JENNINGS ($79,695), AND PATRICK FRIAS ($33,850). FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 WAS REVIEWED BY THE CHIEF FINANCIAL OFFICER AND THEN PROVIDED TO THE ORGANIZATION'S AUDIT AND CORPORATE RESPONSIBILITY COMMITTEE FOR REVIEW. FOLLOWING REVIEW BY THE COMMITTEE, THE FORM 990 WAS 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. FORM 990, PART VI, SECTION B, LINE 12C 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 SUCH 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. FORM 990, PART VI, SECTION B, LINE 15 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 OR SIXTY DAYS AFTER ACTION. 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 WHILE FEDERAL TAX LAWS DO NOT MANDATE THAT THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS BE MADE AVAILABLE FOR PUBLIC INSPECTION, THE ORGANIZATION MAKES ITS FINANCIAL STATEMENTS AVAILABLE UPON REQUEST. FORM 990, PART XI, LINE 9: CHANGE - SPLIT INTEREST AGREEMENTS 254,228. INTERCOMPANY TRANSFER -2,737. INVESTMENT IN CHIRPL 3,733,803. INVESTMENT IN RCPMS -176,232. RADY CHILDREN'S HOSPITAL - SAN DIEGO 3020 CHILDRENS WAY 5001 SAN DIEGO CA 92123 951691313 HOSPITAL CA 501(C)(3) 3 RCHHC 1 RADY CHILDREN'S HOSPITAL RESEARCH CENTER 3020 CHILDRENS WAY 5001 SAN DIEGO CA 92123 953814185 RESEARCH CA 501(C)(3) 12A RCHHC 1 RADY CHILDREN'S HEALTH SERVICES SAN DIEGO 3020 CHILDRENS WAY 5001 SAN DIEGO CA 92123 330278018 SUPPORT RCHSD CA 501(C)(3) 12A RCHSD 1 RADY CHILDREN'S HOSPITAL FOUNDATION SAN DIEGO 3020 CHILDRENS WAY 5001 SAN DIEGO CA 92123 330170626 FUNDRAISING CA 501(C)(3) 7 RCHHC 1 CHILDREN'S HOSPITAL INTEGRATED RISK PROTECTIVE LTD DORCHESTER HOUSE PO BOX 2020 HAMILTON BD HM HY CAPTIVE INSURANCE BD RCHHC C 2581000 1.00000 1 RADY CHILDREN'S PHYSICIAN MANAGEMENT SER 3860 CALLE FORTUNADA SUITE 200 SAN DIEGO CA 921234282 330670694 MANAGEMENT SVCS CA RCHHC C 66923436 38790379 1.00000 1 CHILDREN'S HOSPITAL INSURANCE LIMITED CANONS COURT 22 VICTORIA STREET HAMILTON HM 12 BD CAPTIVE INSURANCE BD CHIRP C 3999189 29369507 1.00000 1 CRUT(1) 3020 CHILDRENS WAY MC 5133 SAN DIEGO CA 921234282 CRUT CA RCHHC T 1.00000 1 1 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 RADY CHILDREN'S PHYSICIAN MGMT SVCS D 3164178 SEE PART VII RADY CHILDREN'S PHYSICIAN MGMT SVCS A 189636 SEE PART VII SCHEDULE R PART V, LINE 2 THE AMOUNTS ON SCHEDULE R PART V LINE 2 WERE DETERMINED AS FOLLOWS: (A) AND (D) - BASED ON LOAN TERMS. (B) AND (C) - THE CONTRIBUTION RECEIVED AND THE THE GRANT TO RCHSD WERE DETERMINED BASED ON THE ORIGINAL DONOR'S REQUIREMENTS AND AS APPROVED BY RESPECTIVE DONORS. (B) - THE AMOUNT TRANSFERRED TO CHIL WAS A CAPITAL CONTRIBUTION. (O) AND (P) TRANSACTIONS - THESE AMOUNTS WERE REIMBURSEMENTS FOR EMPLOYEE SALARIES AND BENEFITS FOR THE SERVICES THE EMPLOYEES PROVIDED TO RCHHC AND COST REIMBURSEMENTS FOR OTHER EXPENSES.