2014-05-13T21:48:44-05:00 2013-06-30 KPMG LLP 355 S GRAND AVE SUITE 2000 LOS ANGELES CA 90071 990 2012-07-01 953545901 RADY CHILDREN'S HOSPITAL AND HEALTH CENTER % ROGER ROUX RADY 8585761700 3020 CHILDRENS WAY MC 5001 Suite SAN DIEGO CA 921234282 ROGER ROUX 8589668848 2014-05-12 true 2139724000 2012 2015-11-30 17:44:51Z Donald B Kearns MD MMM 3020 CHILDRENS WAY MC 5001 SAN DIEGO CA 921234282 9912447 false X WWW.RCHSD.ORG X 1980 CA The Organization maintains, operates, and raises funds for, and otherwise supports Rady Children's Hospital - San Diego. 21 21 0 0 -207513 -207513 1084183 125935 1088567 306000 2205508 2642372 -41133 -206923 4337125 2867384 0 0 0 0 2232935 0 0 0 0 997761 370855 3230696 370855 1106429 2496529 51592046 55596044 9301414 8795218 42290632 46800826 X SEE SCHEDULE O false true 200952 0 306000 THE ORGANIZATION MAINTAINS, OPERATES, AND RAISES FUNDS FOR, AND OTHERWISE SUPPORTS RADY CHILDREN'S HOSPITAL - SAN DIEGO. 200952 true true false false false false false false false true false true false false true false false true false false true false false false false false false false false true false false false false false false false false false false false false false true true true false false true 0 0 0 true true true BD false false false false false false false false X 21 21 false false false false false false false true true false false true true true true true true false false false CA X ROGER ROUX 8585761700 3020 CHILDRENS WAY MC 5001 SAN DIEGO CA 921234282 Lisa A Barkett 0.34 0.34 X Andrew S Clark 0.0 0.0 X John M Gilchrist Jr 0.41 0.62 X David F Hale 0.92 1.71 X X S Douglas Hutcheson 0.55 0.55 X Jeffrey Jacobs 0.13 0.13 X Greg T Lucier 0.1 0.1 X Catherine J Mackey PhD 0.46 0.46 X G Diego Miralles MD 0.38 0.58 X Tina Nova PhD 0.14 0.14 X Michael P Peckham 0.5 0.5 X Theodore D Roth 0.75 1.12 X X Mark A Snell 0.05 0.05 X Scott N Wolfe Esq 0.68 1.02 X David A Brenner MD 0.23 0.23 X James Harley 0.37 0.37 X Pradeep Khosla PhD 0.24 0.24 X Gail Knight 0.0 0.0 X Harry M Rady 0.57 0.57 X William B Sailer Esq 0.82 1.67 X John D Stobo MD 0.0 0.0 X kathleen dooley sellick 14.0 26.0 X 0 1072822 88868 Margareta E Norton 16.0 24.0 X 0 682839 75387 Roger G Roux 15.75 24.25 X 0 627566 60681 Belinda Santos 20.0 20.0 X 0 87570 16515 0 2470797 241451 0 false true false NONE 0 71925 54010 125935 MARKETING SERVICES 306000 306000 306000 962618 962618 0 0 0 0 0 8724817 7045063 1679754 1679754 1679754 0 0 0 SAFETY SHOP SALES 900099 590 590 INCOME FROM INV. PARTNERSHIP 523000 -207513 -207513 -206923 2867384 306000 -207513 2642962 0 0 0 0 0 0 0 0 0 0 101672 101672 0 0 0 0 68231 68231 0 136817 136817 8819 8819 8377 8377 89 89 0 214 214 238 238 0 4695 4695 0 0 1399 1399 0 SUPPLIES 3339 3339 ALL OTHER EXPENSES 36965 36965 370855 200952 169903 0 0 0 0 0 1369933 1470164 265607 1243 0 0 0 0 0 0 6301 0 0 0 17007 32384553 37799275 16238503 15157220 0 0 0 0 1310142 1168142 51592046 55596044 0 0 0 0 264037 0 0 0 0 0 0 0 0 0 0 0 9037377 8795218 9301414 8795218 X 41138747 45333988 678006 992959 473879 473879 42290632 46800826 51592046 55596044 X 2496529 1835441 178224 X false true X true false X 960984 5120753 409230 1084183 125935 7701085 0 0 960984 5120753 409230 1084183 125935 7701085 0 7701085 143859 1854066 422186 1284913 962618 4667642 0 0 0 0 0 0 2461 221282 -105536 -44148 590 74649 12443376 4393644 0.61889 0.64995 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 48036828 15277050 5535660 0 1920393 72555 66856590 49723608 296255 -222291 0 1667699 93045 48036828 42252279 151852 9243544 0 1799491 124576 49723608 37093561 275375 6593869 0 1603715 106811 42252279 51130326 170821 -12186268 0 1874174 147144 37093561 0.81850 0.14690 0.03460 true true true PATRIA - BRAZILIAN PRIVATE 13136 F AMERICAN INDUSTRIAL PARTNERS 47965 F AMERICAN SECURITIES PARTNERS V 777720 F AMERICAN SECURITIES PARTNERSVI 73118 F BBH PRIVATE EQUITY PARTNERS 22201 F IRVING PLACE CAPITAL PARTNERS 555766 F CITIGROUP VENTURE CAPTIAL INT. 400639 F GS CAPITAL PARTNERS VI PARALLE 279620 F GS VINTAGE FUND IV OFFSHORE 322958 F MILLENIUM TECHNOLOGY 95977 F OAKTREE 126393 F STEPSTONE SECONDARY OPPORT. II 111061 F STEPSTONE SECONDARY OPPORT. 587012 F YORKTOWN ENERGY PARTNERS IX 135394 F EQUITY INVESTMENT IN RCPMS 4632859 F EQUITY INVESTMENT IN CHIL 6932230 F INVESTMENT IN CHCA 40853 F WHITE DEER ENERGY II 2318 F 15157220 0 PAYABLE TO BENEFICIARIES 1671533 DUE TO AFFILIATES 7123685 8795218 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 the Board of Trustees. In addition, donor designated (or restricted) endowment funds support a wide range of initiatives identified by donors. Central America and the Caribbean 1 Program Services Offshore captive mgt 2798754 Central America and the Caribbean 1 Investments 14221555 2 2 17020309 17020309 true false true true true false part i, line 3, column f the expenditures are reported on an accrual basis. false true false false false false false false false kathleen dooley sellick 0 648666 0 215180 0 208976 0 57757 0 31111 0 1161690 0 192623 Margareta E Norton 0 468381 0 98477 0 115981 0 59862 0 15525 0 758226 0 101948 Roger G Roux 0 437710 0 75986 0 113870 0 44707 0 15974 0 688247 0 101382 SCHEDULE J, 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 ESTABLISH THE ORGANIZATION'S TOP MANAGEMENT OFFICIAL'S COMPENSATION. SEE FORM 990, PART VI, SECTION B, LINE 15 FOR ADDITIONAL INFORMATION. Schedule J, 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 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. FORM 990, PART III, LINE 1 MISSION DESCRIPTION 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. FORM 990, PART III, LINE 3 CHANGE IN PROGRAM SERVICE ACTIVITIES Effective July 1, 2012, some administrative functions and operations in Rady Children's Hospital and Health Center were transferred to Rady Children's Hospital - San Diego. 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. 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. PART VI, SECTION B & C 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. 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. PART XI, RECONCILIATION OF NET ASSETS CHANGE IN SPLIT INTEREST agreements (63,489) INVESTMENT IN RCPMS (244,937) INVESTMENT IN SUBS 329,290 INCOME FROM INV. Partnership (207,513) fixed asset transfer to affiliate 8,425 ------------- TOTAL CHANGE (178,224) OTHER FEES FOR SERVICES FOR NON-EMPLOYEES FORM 990 PART IX LINE 11G DESCRIPTION:OUTSIDE PRINTING TOTAL FEES:17526 OTHER FEES FOR SERVICES FOR NON-EMPLOYEES FORM 990 PART IX LINE 11G DESCRIPTION:REPAIRS AND MAINTENANCE TOTAL FEES:1963 OTHER FEES FOR SERVICES FOR NON-EMPLOYEES FORM 990 PART IX LINE 11G DESCRIPTION:PROF. FEES - GRANT STAFF TOTAL FEES:7333 OTHER FEES FOR SERVICES FOR NON-EMPLOYEES FORM 990 PART IX LINE 11G DESCRIPTION:LEASED LABOR TOTAL FEES:96200 OTHER FEES FOR SERVICES FOR NON-EMPLOYEES FORM 990 PART IX LINE 11G DESCRIPTION:PURCHASED SERVICES TOTAL FEES:13795 Rady Children's Hospital - San Diego 3020 Childrens Way 5001 San Diego CA 92123 951691313 hospital CA 501(c)(3) 3 RCHHC true Rady Children's Hospital Research Center 3020 Childrens Way 5001 San Diego CA 92123 953814185 Research CA 501(c)(3) 11a rchhc true Rady Children's Health Services San Dieg 3020 Childrens Way 5001 San Diego CA 92123 330278018 Support RCHHC CA 501(c)(3) 11a RCHHC true Rady Children's Hospital Foundation San 3020 Childrens Way 5001 San Diego CA 92123 330170626 Fundraising CA 501(c)(3) 7 RCHHC true Children's Hospital Integrated Risk Prot Captive Insur BD RCHHC C Corp 0 389708 1.00000 true Rady Children's Physician Management Ser 3860 Calle Fortunada Suite 200 San Diego CA 921234282 330670694 Management Se CA RCHHC C Corp. 35553863 10050658 1.00000 true Children's Hospital Insurance Limited Canons Court 22 Victoria Street Hamilton BD HM12 Captive Insur BD CHIRP C corp 954347 18724058 1.00000 true CRUT(6) 3020 CHILDRENS WAY MC 5133 SAN DIEGO CA 921234282 crut CA RCHHC TRUST true false false true false false false false false false false false false true true true true true false false Rady Children's Hospital - San Diego O 306045 see part vii Rady Children's Hospital - San Diego P 307757 see part vii Rady Children's Hospital - San Diego Q 125694 see part vii Rady Children's Hospital Foundation Q 49423 see part vii Children's Hospital Insurance Ltd m 2536253 see part vii children's hospital integrated risk prot p 262501 see part vii rady children's hospital foundation c 71925 see part vii schedule r part v line 2 The amounts on Schedule R Part V Line 2 were determined as follows: (c) the grant to RCHHC was determined based on the original donor's requirements and as approved by respective donors (m) Premiums transfered were based on fair market value. (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. (q) - these are transfers of cash and donor related investments. The donor related investments were transferred at fair market value.