﻿<?xml version="1.0" encoding="utf-8"?>
<Return xmlns="http://www.irs.gov/efile" xsi:schemaLocation="http://www.irs.gov/efile" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" returnVersion="2010v3.7">
  <ReturnHeader binaryAttachmentCount="0">
    <Timestamp>2012-05-15T17:03:21-05:00</Timestamp>
    <TaxPeriodEndDate>2011-06-30</TaxPeriodEndDate>
    <PreparerFirm>
      <PreparerFirmBusinessName>
        <BusinessNameLine1>KPMG LLP</BusinessNameLine1>
      </PreparerFirmBusinessName>
      <PreparerFirmUSAddress>
        <AddressLine1>355 S GRAND AVE SUITE 2000</AddressLine1>
        <City>LOS ANGELES</City>
        <State>CA</State>
        <ZIPCode>90071</ZIPCode>
      </PreparerFirmUSAddress>
    </PreparerFirm>
    <ReturnType>990</ReturnType>
    <TaxPeriodBeginDate>2010-07-01</TaxPeriodBeginDate>
    <Filer>
      <EIN>953545901</EIN>
      <Name>
        <BusinessNameLine1>RADY CHILDREN'S HOSPITAL AND HEALTH CENTER</BusinessNameLine1>
      </Name>
      <NameControl>RADY</NameControl>
      <Phone>8589665824</Phone>
      <USAddress>
        <AddressLine1>3020 CHILDRENS WAY MC 5133</AddressLine1>
        <City>SAN DIEGO</City>
        <State>CA</State>
        <ZIPCode>921234282</ZIPCode>
      </USAddress>
    </Filer>
    <Officer>
      <Name>roger roux</Name>
      <Title>cfo</Title>
      <DateSigned>2012-05-14</DateSigned>
    </Officer>
    <Preparer>
      <Phone>2139724000</Phone>
    </Preparer>
    <TaxYear>2010</TaxYear>
    <BuildTS>2016-02-24 21:20:13Z</BuildTS>
  </ReturnHeader>
  <ReturnData documentCount="9">
    <IRS990 documentId="IRS990" referenceDocumentId="IRS990ScheduleO">
      <NameOfPrincipalOfficerPerson>KATHLEEN DOOLEY SELLICK</NameOfPrincipalOfficerPerson>
      <AddressPrincipalOfficerUS>
        <AddressLine1>3020 CHILDRENS WAY MC 5133</AddressLine1>
        <City>SAN DIEGO</City>
        <State>CA</State>
        <ZIPCode>921234282</ZIPCode>
      </AddressPrincipalOfficerUS>
      <GrossReceipts>10378819</GrossReceipts>
      <GroupReturnForAffiliates>false</GroupReturnForAffiliates>
      <Organization501c3>X</Organization501c3>
      <WebSite>WWW.RCHSD.ORG</WebSite>
      <TypeOfOrganizationCorporation>X</TypeOfOrganizationCorporation>
      <YearFormation>1980</YearFormation>
      <StateLegalDomicile>CA</StateLegalDomicile>
      <ActivityOrMissionDescription>The Organization maintains, operates, and raises funds for, and otherwise supports Rady Children's Hospital - San Diego.</ActivityOrMissionDescription>
      <NbrVotingMembersGoverningBody>17</NbrVotingMembersGoverningBody>
      <NbrIndependentVotingMembers>17</NbrIndependentVotingMembers>
      <TotalNbrEmployees>36</TotalNbrEmployees>
      <TotalNbrVolunteers>0</TotalNbrVolunteers>
      <TotalGrossUBI>-50585</TotalGrossUBI>
      <NetUnrelatedBusinessTxblIncome>-78079</NetUnrelatedBusinessTxblIncome>
      <ContributionsGrantsPriorYear>5120753</ContributionsGrantsPriorYear>
      <ContributionsGrantsCurrentYear>409230</ContributionsGrantsCurrentYear>
      <ProgramServiceRevenuePriorYear>1145309</ProgramServiceRevenuePriorYear>
      <ProgramServiceRevenueCY>978675</ProgramServiceRevenueCY>
      <InvestmentIncomePriorYear>1383718</InvestmentIncomePriorYear>
      <InvestmentIncomeCurrentYear>4369308</InvestmentIncomeCurrentYear>
      <OtherRevenuePriorYear>0</OtherRevenuePriorYear>
      <OtherRevenueCurrentYear>-104855</OtherRevenueCurrentYear>
      <TotalRevenuePriorYear>7649780</TotalRevenuePriorYear>
      <TotalRevenueCurrentYear>5652358</TotalRevenueCurrentYear>
      <GrantsAndSimilarAmntsPriorYear>0</GrantsAndSimilarAmntsPriorYear>
      <GrantsAndSimilarAmntsCY>13153755</GrantsAndSimilarAmntsCY>
      <BenefitsPaidToMembersPriorYear>0</BenefitsPaidToMembersPriorYear>
      <BenefitsPaidToMembersCY>0</BenefitsPaidToMembersCY>
      <SalariesEtcPriorYear>2317783</SalariesEtcPriorYear>
      <SalariesEtcCurrentYear>2162029</SalariesEtcCurrentYear>
      <TotalProfFundrsngExpPriorYear>0</TotalProfFundrsngExpPriorYear>
      <TotalProfFundrsngExpCY>0</TotalProfFundrsngExpCY>
      <TotalFundrsngExpCurrentYear>0</TotalFundrsngExpCurrentYear>
      <OtherExpensePriorYear>691894</OtherExpensePriorYear>
      <OtherExpensesCurrentYear>609569</OtherExpensesCurrentYear>
      <TotalExpensesPriorYear>3009677</TotalExpensesPriorYear>
      <TotalExpensesCurrentYear>15925353</TotalExpensesCurrentYear>
      <RevenuesLessExpensesPriorYear>4640103</RevenuesLessExpensesPriorYear>
      <RevenuesLessExpensesCY>-10272995</RevenuesLessExpensesCY>
      <TotalAssetsBOY>53520040</TotalAssetsBOY>
      <TotalAssetsEOY>47915445</TotalAssetsEOY>
      <TotalLiabilitiesBOY>1727565</TotalLiabilitiesBOY>
      <TotalLiabilitiesEOY>5299221</TotalLiabilitiesEOY>
      <NetAssetsOrFundBalancesBOY>51792475</NetAssetsOrFundBalancesBOY>
      <NetAssetsOrFundBalancesEOY>42616224</NetAssetsOrFundBalancesEOY>
      <InfoInScheduleOPartIII>X</InfoInScheduleOPartIII>
      <MissionDescription>SEE SCHEDULE O</MissionDescription>
      <SignificantNewProgramServices>false</SignificantNewProgramServices>
      <SignificantChange>false</SignificantChange>
      <Expense>13153755</Expense>
      <Grants>13153755</Grants>
      <Revenue>0</Revenue>
      <Description>hospital support - The organization transferred funds to RCHSD in support of hospital services.</Description>
      <Activity2>
        <Expense>1193346</Expense>
        <Grants>0</Grants>
        <Revenue>9436</Revenue>
        <Description>Marketing Services: Department of the organization that provides marketing services to the organization and to its affiliates.</Description>
      </Activity2>
      <Activity3>
        <Expense>668680</Expense>
        <Grants>0</Grants>
        <Revenue>360650</Revenue>
        <Description>Youth Development/Adolescent Health: Empower adolescents to make healthy life choices and live a rewarding life through personal growth workshops, health education, and one-on-one support FACES: Prepare students to pursue careers in all areas of the health professions and biomedical research. Wellness Team: Teach youth about issues affecting their health so that they are able to correct misinformation, apply strategies that promote good self-care, make healthy lifestyle choices, and navigate through resources available in their community.</Description>
      </Activity3>
      <ActivityOther>
        <Expense>252176</Expense>
        <Grants>0</Grants>
        <Revenue>134489</Revenue>
        <Description>oral health</Description>
      </ActivityOther>
      <ActivityOther>
        <Expense>81793</Expense>
        <Grants>0</Grants>
        <Revenue>86376</Revenue>
        <Description>Maternal and Infant Health</Description>
      </ActivityOther>
      <ActivityOther>
        <Expense>117358</Expense>
        <Grants>0</Grants>
        <Revenue>21445</Revenue>
        <Description>Healthy Lifestyle</Description>
      </ActivityOther>
      <ActivityOther>
        <Expense>416469</Expense>
        <Grants>0</Grants>
        <Revenue>352435</Revenue>
        <Description>Injury Prevention</Description>
      </ActivityOther>
      <TotalOfOtherProgramServiceExp>867796</TotalOfOtherProgramServiceExp>
      <TotalOfOtherProgramServiceGrnt>0</TotalOfOtherProgramServiceGrnt>
      <TotalOfOtherProgramServiceRev>594745</TotalOfOtherProgramServiceRev>
      <TotalProgramServiceExpense>15883577</TotalProgramServiceExpense>
      <DescribedIn501C3 referenceDocumentId="IRS990ScheduleA">true</DescribedIn501C3>
      <ScheduleBRequired referenceDocumentId="IRS990ScheduleB">true</ScheduleBRequired>
      <PoliticalActivities>false</PoliticalActivities>
      <LobbyingActivities>false</LobbyingActivities>
      <DonorAdvisedFunds referenceDocumentId="IRS990ScheduleD">false</DonorAdvisedFunds>
      <ConservationEasements referenceDocumentId="IRS990ScheduleD">false</ConservationEasements>
      <CollectionsOfArt referenceDocumentId="IRS990ScheduleD">false</CollectionsOfArt>
      <CreditCounseling referenceDocumentId="IRS990ScheduleD">false</CreditCounseling>
      <TermOrPermanentEndowments referenceDocumentId="IRS990ScheduleD">true</TermOrPermanentEndowments>
      <ReportLandBldgEquip referenceDocumentId="IRS990ScheduleD">true</ReportLandBldgEquip>
      <ReportInvestOthSecurities referenceDocumentId="IRS990ScheduleD">true</ReportInvestOthSecurities>
      <ReportProgRelInvest referenceDocumentId="IRS990ScheduleD">false</ReportProgRelInvest>
      <ReportOtherAssets referenceDocumentId="IRS990ScheduleD">false</ReportOtherAssets>
      <ReportOtherLiabilities referenceDocumentId="IRS990ScheduleD">true</ReportOtherLiabilities>
      <ReportFin48Footnote referenceDocumentId="IRS990ScheduleD">false</ReportFin48Footnote>
      <IndependentAuditFinancialStmt referenceDocumentId="IRS990ScheduleD">false</IndependentAuditFinancialStmt>
      <ConsolidatedAuditFinancialStmt referenceDocumentId="IRS990ScheduleD">true</ConsolidatedAuditFinancialStmt>
      <School>false</School>
      <ForeignOffice>false</ForeignOffice>
      <ForeignActivities referenceDocumentId="IRS990ScheduleF">true</ForeignActivities>
      <MoreThan5000KToOrganizations referenceDocumentId="IRS990ScheduleF">false</MoreThan5000KToOrganizations>
      <MoreThan5000KToIndividuals referenceDocumentId="IRS990ScheduleF">false</MoreThan5000KToIndividuals>
      <ProfessionalFundraising>false</ProfessionalFundraising>
      <FundraisingActivities>false</FundraisingActivities>
      <Gaming>false</Gaming>
      <Hospital>false</Hospital>
      <GrantsToOrganizations referenceDocumentId="IRS990ScheduleI">true</GrantsToOrganizations>
      <GrantsToIndividuals referenceDocumentId="IRS990ScheduleI">false</GrantsToIndividuals>
      <ScheduleJRequired referenceDocumentId="IRS990ScheduleJ">true</ScheduleJRequired>
      <TaxExemptBonds>false</TaxExemptBonds>
      <ExcessBenefitTransaction>false</ExcessBenefitTransaction>
      <PriorExcessBenefitTransaction>false</PriorExcessBenefitTransaction>
      <LoanToOfficerOrDQP>false</LoanToOfficerOrDQP>
      <GrantToRelatedPerson>false</GrantToRelatedPerson>
      <BsnssRltnshpWithOrganization>false</BsnssRltnshpWithOrganization>
      <BsnssRltnshpThruFamilyMember>false</BsnssRltnshpThruFamilyMember>
      <OfficerEntityWithBsnssRltnshp>false</OfficerEntityWithBsnssRltnshp>
      <DeductibleNonCashContributions>false</DeductibleNonCashContributions>
      <DeductibleContributionsOfArt>false</DeductibleContributionsOfArt>
      <Terminated>false</Terminated>
      <PartialLiquidation>false</PartialLiquidation>
      <DisregardedEntity referenceDocumentId="IRS990ScheduleR">false</DisregardedEntity>
      <RelatedEntity referenceDocumentId="IRS990ScheduleR">true</RelatedEntity>
      <RelatedOrgControlledEntity>true</RelatedOrgControlledEntity>
      <TransactionRelatedEntity referenceDocumentId="IRS990ScheduleR">true</TransactionRelatedEntity>
      <TransfersToExemptNonChrtblOrg referenceDocumentId="IRS990ScheduleR">false</TransfersToExemptNonChrtblOrg>
      <ActivitiesConductedPartnership referenceDocumentId="IRS990ScheduleR">false</ActivitiesConductedPartnership>
      <ScheduleORequired>true</ScheduleORequired>
      <NumberFormsTransmittedWith1096>0</NumberFormsTransmittedWith1096>
      <NumberW2GIncluded>0</NumberW2GIncluded>
      <ComplianceWithBackupWitholding>true</ComplianceWithBackupWitholding>
      <NumberOfEmployees>36</NumberOfEmployees>
      <EmploymentTaxReturnsFiled>true</EmploymentTaxReturnsFiled>
      <UnrelatedBusinessIncome>true</UnrelatedBusinessIncome>
      <Form990-TFiled>true</Form990-TFiled>
      <ForeignFinancialAccount>true</ForeignFinancialAccount>
      <NameOfForeignCountry>BD</NameOfForeignCountry>
      <ProhibitedTaxShelterTrans>false</ProhibitedTaxShelterTrans>
      <TaxablePartyNotification>false</TaxablePartyNotification>
      <NonDeductibleContributions>false</NonDeductibleContributions>
      <QuidProQuoContributions>false</QuidProQuoContributions>
      <Form8282PropertyDisposedOf>false</Form8282PropertyDisposedOf>
      <FundsToPayPremiums>false</FundsToPayPremiums>
      <PremiumsPaid>false</PremiumsPaid>
      <IndoorTanningServices>false</IndoorTanningServices>
      <InfoInScheduleOPartVI>X</InfoInScheduleOPartVI>
      <NbrVotingGoverningBodyMembers>17</NbrVotingGoverningBodyMembers>
      <NumberIndependentVotingMembers>17</NumberIndependentVotingMembers>
      <FamilyOrBusinessRelationship>false</FamilyOrBusinessRelationship>
      <DelegationOfManagementDuties>false</DelegationOfManagementDuties>
      <ChangesToOrganizingDocs>false</ChangesToOrganizingDocs>
      <MaterialDiversionOrMisuse>false</MaterialDiversionOrMisuse>
      <MembersOrStockholders>false</MembersOrStockholders>
      <ElectionOfBoardMembers>false</ElectionOfBoardMembers>
      <DecisionsSubjectToApproval>false</DecisionsSubjectToApproval>
      <MinutesOfGoverningBody>true</MinutesOfGoverningBody>
      <MinutesOfCommittees>true</MinutesOfCommittees>
      <OfficerMailingAddress>false</OfficerMailingAddress>
      <LocalChapters>false</LocalChapters>
      <Form990ProvidedToGoverningBody>true</Form990ProvidedToGoverningBody>
      <ConflictOfInterestPolicy>true</ConflictOfInterestPolicy>
      <AnnualDisclosureCoveredPersons>true</AnnualDisclosureCoveredPersons>
      <RegularMonitoringEnforcement>true</RegularMonitoringEnforcement>
      <WhistleblowerPolicy>true</WhistleblowerPolicy>
      <DocumentRetentionPolicy>true</DocumentRetentionPolicy>
      <CompensationProcessCEO>true</CompensationProcessCEO>
      <CompensationProcessOther>true</CompensationProcessOther>
      <InvestmentInJointVenture>false</InvestmentInJointVenture>
      <StatesWhereCopyOfReturnIsFiled>CA</StatesWhereCopyOfReturnIsFiled>
      <UponRequest>X</UponRequest>
      <TheBooksAreInCareOf>
        <NamePerson>ROGER ROUX</NamePerson>
        <TelephoneNumber>8589665824</TelephoneNumber>
        <AddressUS>
          <AddressLine1>3020 CHILDRENS WAY MC 5133</AddressLine1>
          <City>SAN DIEGO</City>
          <State>CA</State>
          <ZIPCode>921234282</ZIPCode>
        </AddressUS>
      </TheBooksAreInCareOf>
      <InfoInScheduleOPartVII>X</InfoInScheduleOPartVII>
      <NoListedPersonsCompensated>X</NoListedPersonsCompensated>
      <Form990PartVIISectionA>
        <NamePerson>Lisa A Barkett</NamePerson>
        <Title>Board Member</Title>
        <AverageHoursPerWeek>0.27</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Kurt Benirschke MD</NamePerson>
        <Title>Board Member</Title>
        <AverageHoursPerWeek>0.13</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>John G Davies Esq</NamePerson>
        <Title>Board Member</Title>
        <AverageHoursPerWeek>0.12</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Penny Dokmo</NamePerson>
        <Title>Board Member</Title>
        <AverageHoursPerWeek>0.33</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>John M Gilchrist Jr</NamePerson>
        <Title>Board Member</Title>
        <AverageHoursPerWeek>0.37</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>David F Hale</NamePerson>
        <Title>Board Member/chair</Title>
        <AverageHoursPerWeek>0.39</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <Officer>X</Officer>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Jeffrey Jacobs</NamePerson>
        <Title>Board Member</Title>
        <AverageHoursPerWeek>0.06</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Catherine J Mackey PhD</NamePerson>
        <Title>Board Member</Title>
        <AverageHoursPerWeek>0.5</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>G Diego Miralles MD</NamePerson>
        <Title>Board Member</Title>
        <AverageHoursPerWeek>0.32</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Michael P Peckham</NamePerson>
        <Title>Board Member</Title>
        <AverageHoursPerWeek>0.5</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Harry M Rady</NamePerson>
        <Title>Board Member</Title>
        <AverageHoursPerWeek>0.63</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Theodore D Roth</NamePerson>
        <Title>Board Member/vice chair</Title>
        <AverageHoursPerWeek>0.45</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <Officer>X</Officer>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Scott N Wolfe Esq</NamePerson>
        <Title>Board Member</Title>
        <AverageHoursPerWeek>0.65</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>David A Brenner MD</NamePerson>
        <Title>Board Member</Title>
        <AverageHoursPerWeek>0.2</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Marye Anne Fox PhD</NamePerson>
        <Title>Board Member</Title>
        <AverageHoursPerWeek>0.11</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Mary Hilfilker MD</NamePerson>
        <Title>Board Member</Title>
        <AverageHoursPerWeek>0.5</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Anthony E Magit MD</NamePerson>
        <Title>Board Member</Title>
        <AverageHoursPerWeek>0.12</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Santiago Munoz</NamePerson>
        <Title>Board Member</Title>
        <AverageHoursPerWeek>0.6</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Cathy C Polk</NamePerson>
        <Title>Board Member</Title>
        <AverageHoursPerWeek>0.15</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>kathleen dooley sellick</NamePerson>
        <Title>Pres/CEO</Title>
        <AverageHoursPerWeek>14.0</AverageHoursPerWeek>
        <Officer>X</Officer>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>907479</ReportableCompFromRelatedOrgs>
        <OtherCompensation>221297</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Margareta E Norton</NamePerson>
        <Title>SVP/COO</Title>
        <AverageHoursPerWeek>16.0</AverageHoursPerWeek>
        <Officer>X</Officer>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>595535</ReportableCompFromRelatedOrgs>
        <OtherCompensation>156843</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>David B Gillig</NamePerson>
        <Title>SVP/Exec Dir, RCHFSD</Title>
        <AverageHoursPerWeek>2.0</AverageHoursPerWeek>
        <Officer>X</Officer>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>414047</ReportableCompFromRelatedOrgs>
        <OtherCompensation>139008</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Irvin A Kaufman MD</NamePerson>
        <Title>SVP/CMO</Title>
        <AverageHoursPerWeek>20.0</AverageHoursPerWeek>
        <Officer>X</Officer>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>554885</ReportableCompFromRelatedOrgs>
        <OtherCompensation>140760</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Roger G Roux</NamePerson>
        <Title>SVP/CFO</Title>
        <AverageHoursPerWeek>16.0</AverageHoursPerWeek>
        <Officer>X</Officer>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>556613</ReportableCompFromRelatedOrgs>
        <OtherCompensation>156455</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Belinda Santos</NamePerson>
        <Title>Asst Secty</Title>
        <AverageHoursPerWeek>20.0</AverageHoursPerWeek>
        <Officer>X</Officer>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>88157</ReportableCompFromRelatedOrgs>
        <OtherCompensation>14154</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Mary J Fagan</NamePerson>
        <Title>VP/CNO</Title>
        <AverageHoursPerWeek>20.0</AverageHoursPerWeek>
        <KeyEmployee>X</KeyEmployee>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>171284</ReportableCompFromRelatedOrgs>
        <OtherCompensation>53589</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Marjorie Peck</NamePerson>
        <Title>VP/CNO</Title>
        <AverageHoursPerWeek>20.0</AverageHoursPerWeek>
        <KeyEmployee>X</KeyEmployee>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>199831</ReportableCompFromRelatedOrgs>
        <OtherCompensation>7964</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>barbara ryan</NamePerson>
        <Title>vp government affairs</Title>
        <AverageHoursPerWeek>20.0</AverageHoursPerWeek>
        <KeyEmployee>X</KeyEmployee>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>347835</ReportableCompFromRelatedOrgs>
        <OtherCompensation>106530</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Cheri Fidler</NamePerson>
        <Title>Director/community health</Title>
        <AverageHoursPerWeek>40.0</AverageHoursPerWeek>
        <HighestCompensatedEmployee>X</HighestCompensatedEmployee>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>124906</ReportableCompFromRelatedOrgs>
        <OtherCompensation>60178</OtherCompensation>
      </Form990PartVIISectionA>
      <TotalReportableCompFromOrg>0</TotalReportableCompFromOrg>
      <TotalReportableCompFrmRltdOrgs>3960572</TotalReportableCompFrmRltdOrgs>
      <TotalOtherCompensation>1056778</TotalOtherCompensation>
      <NumberIndividualsGT100K>0</NumberIndividualsGT100K>
      <FormersListed>false</FormersListed>
      <TotalCompGT150K>true</TotalCompGT150K>
      <CompensationFromOtherSources>false</CompensationFromOtherSources>
      <ContractorCompensation>
        <NameOfContractor>
          <NamePerson>NONE</NamePerson>
        </NameOfContractor>
        <AddressOfContractor />
      </ContractorCompensation>
      <NumberOfContractorsGT100K>0</NumberOfContractorsGT100K>
      <RelatedOrganizations>409230</RelatedOrganizations>
      <TotalContributions>409230</TotalContributions>
      <ProgramServiceRevenue>
        <Description>MARKETING SERVICES</Description>
        <BusinessCode>541800</BusinessCode>
        <TotalRevenueColumn>23280</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>9436</RelatedOrExemptFunctionIncome>
        <UnrelatedBusinessRevenue>13844</UnrelatedBusinessRevenue>
      </ProgramServiceRevenue>
      <ProgramServiceRevenue>
        <Description>ORAL HEALTH</Description>
        <BusinessCode>541900</BusinessCode>
        <TotalRevenueColumn>134489</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>134489</RelatedOrExemptFunctionIncome>
      </ProgramServiceRevenue>
      <ProgramServiceRevenue>
        <Description>YOUTH DEVELOPMENT/ADOLESCENT HEALTH</Description>
        <BusinessCode>541900</BusinessCode>
        <TotalRevenueColumn>360650</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>360650</RelatedOrExemptFunctionIncome>
      </ProgramServiceRevenue>
      <ProgramServiceRevenue>
        <Description>INJURY PREVENTION</Description>
        <BusinessCode>541900</BusinessCode>
        <TotalRevenueColumn>352435</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>352435</RelatedOrExemptFunctionIncome>
      </ProgramServiceRevenue>
      <ProgramServiceRevenue>
        <Description>MATERNAL &amp; INFANT HEALTH</Description>
        <BusinessCode>541900</BusinessCode>
        <TotalRevenueColumn>86376</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>86376</RelatedOrExemptFunctionIncome>
      </ProgramServiceRevenue>
      <TotalOthProgramServiceRevenue>
        <TotalRevenueColumn>21445</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>21445</RelatedOrExemptFunctionIncome>
      </TotalOthProgramServiceRevenue>
      <TotalProgramServiceRevenue>978675</TotalProgramServiceRevenue>
      <InvestmentIncome>
        <TotalRevenueColumn>421505</TotalRevenueColumn>
        <ExclusionAmount>421505</ExclusionAmount>
      </InvestmentIncome>
      <IncomeFromInvestBondProceeds>
        <TotalRevenueColumn>0</TotalRevenueColumn>
      </IncomeFromInvestBondProceeds>
      <RoyaltiesRevenue>
        <TotalRevenueColumn>0</TotalRevenueColumn>
      </RoyaltiesRevenue>
      <GrossRents>
        <Real>681</Real>
      </GrossRents>
      <RentalIncomeOrLoss>
        <Real>681</Real>
      </RentalIncomeOrLoss>
      <NetRentalIncomeOrLoss>
        <TotalRevenueColumn>681</TotalRevenueColumn>
        <ExclusionAmount>681</ExclusionAmount>
      </NetRentalIncomeOrLoss>
      <GrossAmountSalesAssets>
        <Securities>8674264</Securities>
      </GrossAmountSalesAssets>
      <LessCostOthBasisSalesExpenses>
        <Securities>4726461</Securities>
      </LessCostOthBasisSalesExpenses>
      <GainOrLoss>
        <Securities>3947803</Securities>
      </GainOrLoss>
      <NetGainOrLossInvestments>
        <TotalRevenueColumn>3947803</TotalRevenueColumn>
        <ExclusionAmount>3947803</ExclusionAmount>
      </NetGainOrLossInvestments>
      <NetIncomeFromFundraisingEvents>
        <TotalRevenueColumn>0</TotalRevenueColumn>
      </NetIncomeFromFundraisingEvents>
      <NetIncomeFromGaming>
        <TotalRevenueColumn>0</TotalRevenueColumn>
      </NetIncomeFromGaming>
      <NetIncomeOrLoss>
        <TotalRevenueColumn>0</TotalRevenueColumn>
      </NetIncomeOrLoss>
      <OtherRevenueMisc>
        <Description>INCOME FROM INV. PARTNERSHIP</Description>
        <BusinessCode>900099</BusinessCode>
        <TotalRevenueColumn>-105536</TotalRevenueColumn>
        <UnrelatedBusinessRevenue>-64429</UnrelatedBusinessRevenue>
        <ExclusionAmount>-41107</ExclusionAmount>
      </OtherRevenueMisc>
      <TotalOtherRevenue>-105536</TotalOtherRevenue>
      <TotalRevenue>
        <TotalRevenueColumn>5652358</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>964831</RelatedOrExemptFunctionIncome>
        <UnrelatedBusinessRevenue>-50585</UnrelatedBusinessRevenue>
        <ExclusionAmount>4328882</ExclusionAmount>
      </TotalRevenue>
      <GrantsToDomesticOrgs>
        <Total>13153755</Total>
        <ProgramServices>13153755</ProgramServices>
      </GrantsToDomesticOrgs>
      <GrantsToDomesticIndividuals>
        <Total>0</Total>
      </GrantsToDomesticIndividuals>
      <ForeignGrants>
        <Total>0</Total>
      </ForeignGrants>
      <BenefitsToMembers>
        <Total>0</Total>
      </BenefitsToMembers>
      <CompCurrentOfficersDirectors>
        <Total>0</Total>
      </CompCurrentOfficersDirectors>
      <CompDisqualPersons>
        <Total>0</Total>
      </CompDisqualPersons>
      <OtherSalariesAndWages>
        <Total>1745722</Total>
        <ProgramServices>1745722</ProgramServices>
        <ManagementAndGeneral>0</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
      </OtherSalariesAndWages>
      <PensionPlanContributions>
        <Total>113299</Total>
        <ProgramServices>113299</ProgramServices>
        <ManagementAndGeneral>0</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
      </PensionPlanContributions>
      <OtherEmployeeBenefits>
        <Total>163483</Total>
        <ProgramServices>163483</ProgramServices>
        <ManagementAndGeneral>0</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
      </OtherEmployeeBenefits>
      <PayrollTaxes>
        <Total>139525</Total>
        <ProgramServices>139525</ProgramServices>
        <ManagementAndGeneral>0</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
      </PayrollTaxes>
      <FeesForServicesManagement>
        <Total>31513</Total>
        <ProgramServices>0</ProgramServices>
        <ManagementAndGeneral>31513</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
      </FeesForServicesManagement>
      <FeesForServicesLegal>
        <Total>0</Total>
      </FeesForServicesLegal>
      <FeesForServicesAccounting>
        <Total>0</Total>
      </FeesForServicesAccounting>
      <FeesForServicesLobbying>
        <Total>0</Total>
      </FeesForServicesLobbying>
      <FeesForServicesProfFundraising>
        <Total>0</Total>
      </FeesForServicesProfFundraising>
      <FeesForServicesInvstMgmntFees>
        <Total>8673</Total>
        <ManagementAndGeneral>8673</ManagementAndGeneral>
      </FeesForServicesInvstMgmntFees>
      <FeesForServicesOther>
        <Total>365649</Total>
        <ProgramServices>365649</ProgramServices>
        <ManagementAndGeneral>0</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
      </FeesForServicesOther>
      <Advertising>
        <Total>305776</Total>
        <ProgramServices>305776</ProgramServices>
        <ManagementAndGeneral>0</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
      </Advertising>
      <OfficeExpenses>
        <Total>12881</Total>
        <ProgramServices>12881</ProgramServices>
        <ManagementAndGeneral>0</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
      </OfficeExpenses>
      <InformationTechnology>
        <Total>7905</Total>
        <ProgramServices>7905</ProgramServices>
        <ManagementAndGeneral>0</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
      </InformationTechnology>
      <Royalties>
        <Total>0</Total>
      </Royalties>
      <Occupancy>
        <Total>42383</Total>
        <ProgramServices>42383</ProgramServices>
        <ManagementAndGeneral>0</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
      </Occupancy>
      <Travel>
        <Total>15882</Total>
        <ProgramServices>15882</ProgramServices>
        <ManagementAndGeneral>0</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
      </Travel>
      <TravelEntrtnmntPublicOfficials>
        <Total>0</Total>
      </TravelEntrtnmntPublicOfficials>
      <ConferencesMeetings>
        <Total>20783</Total>
        <ProgramServices>20783</ProgramServices>
        <ManagementAndGeneral>0</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
      </ConferencesMeetings>
      <Interest>
        <Total>0</Total>
      </Interest>
      <PaymentsToAffiliates>
        <Total>0</Total>
      </PaymentsToAffiliates>
      <DepreciationDepletion>
        <Total>1865</Total>
        <ProgramServices>1865</ProgramServices>
        <ManagementAndGeneral>0</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
      </DepreciationDepletion>
      <Insurance>
        <Total>1560</Total>
        <ProgramServices>1560</ProgramServices>
        <ManagementAndGeneral>0</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
      </Insurance>
      <OtherExpenses>
        <Description>OVERHEAD ALLOCATION</Description>
        <Total>92163</Total>
        <ProgramServices>92163</ProgramServices>
        <ManagementAndGeneral>0</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
      </OtherExpenses>
      <OtherExpenses>
        <Description>DUES &amp; SUBSCRIPTIONS</Description>
        <Total>6094</Total>
        <ProgramServices>6094</ProgramServices>
        <ManagementAndGeneral>0</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
      </OtherExpenses>
      <OtherExpenses>
        <Description>TAXES AND LICENSES</Description>
        <Total>1590</Total>
        <ProgramServices>0</ProgramServices>
        <ManagementAndGeneral>1590</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
      </OtherExpenses>
      <OtherExpenses>
        <Description>TRANSFERS</Description>
        <Total>-305148</Total>
        <ProgramServices>-305148</ProgramServices>
        <ManagementAndGeneral>0</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
      </OtherExpenses>
      <TotalFunctionalExpenses>
        <Total>15925353</Total>
        <ProgramServices>15883577</ProgramServices>
        <ManagementAndGeneral>41776</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
      </TotalFunctionalExpenses>
      <CashNonInterestBearing>
        <BOY>0</BOY>
        <EOY>0</EOY>
      </CashNonInterestBearing>
      <PledgesAndGrantsReceivable>
        <BOY>14058947</BOY>
        <EOY>1404954</EOY>
      </PledgesAndGrantsReceivable>
      <AccountsReceivable>
        <BOY>143666</BOY>
        <EOY>15318</EOY>
      </AccountsReceivable>
      <InventoriesForSaleOrUse>
        <BOY>5229</BOY>
        <EOY>5511</EOY>
      </InventoriesForSaleOrUse>
      <LandBuildingsEquipmentBasis>52894</LandBuildingsEquipmentBasis>
      <LandBldgEquipmentAccumDeprec>28493</LandBldgEquipmentAccumDeprec>
      <LandBuildingsEquipmentBasisNet>
        <BOY>527927</BOY>
        <EOY>24401</EOY>
      </LandBuildingsEquipmentBasisNet>
      <InvestmentsPubTradedSecurities>
        <BOY>17840479</BOY>
        <EOY>26925112</EOY>
      </InvestmentsPubTradedSecurities>
      <InvestmentsOtherSecurities>
        <BOY>18465415</BOY>
        <EOY>18227288</EOY>
      </InvestmentsOtherSecurities>
      <OtherAssetsTotal>
        <BOY>2478377</BOY>
        <EOY>1312861</EOY>
      </OtherAssetsTotal>
      <TotalAssets>
        <BOY>53520040</BOY>
        <EOY>47915445</EOY>
      </TotalAssets>
      <DeferredRevenue>
        <BOY>402694</BOY>
        <EOY>296159</EOY>
      </DeferredRevenue>
      <OtherLiabilities>
        <BOY>1324871</BOY>
        <EOY>5003062</EOY>
      </OtherLiabilities>
      <TotalLiabilities>
        <BOY>1727565</BOY>
        <EOY>5299221</EOY>
      </TotalLiabilities>
      <FollowSFAS117>X</FollowSFAS117>
      <UnrestrictedNetAssets>
        <BOY>37747245</BOY>
        <EOY>41852613</EOY>
      </UnrestrictedNetAssets>
      <TemporarilyRestrictedNetAssets>
        <BOY>13571351</BOY>
        <EOY>289732</EOY>
      </TemporarilyRestrictedNetAssets>
      <PermanentlyRestrictedNetAssets>
        <BOY>473879</BOY>
        <EOY>473879</EOY>
      </PermanentlyRestrictedNetAssets>
      <TotalNetAssetsFundBalances>
        <BOY>51792475</BOY>
        <EOY>42616224</EOY>
      </TotalNetAssetsFundBalances>
      <TotalLiabNetAssetsFundBalances>
        <BOY>53520040</BOY>
        <EOY>47915445</EOY>
      </TotalLiabNetAssetsFundBalances>
      <InfoInScheduleOPartXI>X</InfoInScheduleOPartXI>
      <ReconcilationRevenueExpenses>-10272995</ReconcilationRevenueExpenses>
      <ReconcilationOtherChanges>1096744</ReconcilationOtherChanges>
      <MethodOfAccountingAccrual>X</MethodOfAccountingAccrual>
      <AccountantCompileOrReview>false</AccountantCompileOrReview>
      <FSAudited>true</FSAudited>
      <AuditCommittee>true</AuditCommittee>
      <FinancialStatementConsolidated>X</FinancialStatementConsolidated>
      <FederalGrantAuditRequired>true</FederalGrantAuditRequired>
      <FederalGrantAuditPerformed>true</FederalGrantAuditPerformed>
    </IRS990>
    <IRS990ScheduleA documentId="IRS990ScheduleA">
      <PubliclySupportedOrg170b1Avi>X</PubliclySupportedOrg170b1Avi>
      <GiftsGrantsContribReceived170>
        <CurrentTaxYearMinus4Years>558305</CurrentTaxYearMinus4Years>
        <CurrentTaxYearMinus3Years>661990</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>960984</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>5120753</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>409230</CurrentTaxYear>
        <Total>7711262</Total>
      </GiftsGrantsContribReceived170>
      <Total170>
        <CurrentTaxYearMinus4Years>558305</CurrentTaxYearMinus4Years>
        <CurrentTaxYearMinus3Years>661990</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>960984</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>5120753</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>409230</CurrentTaxYear>
        <Total>7711262</Total>
      </Total170>
      <PublicSupportTotal170>7711262</PublicSupportTotal170>
      <GrossInvestmentIncome170>
        <CurrentTaxYearMinus4Years>191277</CurrentTaxYearMinus4Years>
        <CurrentTaxYearMinus3Years>275343</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>143859</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>1854066</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>422186</CurrentTaxYear>
        <Total>2886731</Total>
      </GrossInvestmentIncome170>
      <NetUBI>
        <CurrentTaxYearMinus4Years>-29202</CurrentTaxYearMinus4Years>
        <CurrentTaxYearMinus3Years>-41316</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>-105490</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>-16619</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>-50585</CurrentTaxYear>
        <Total>-243212</Total>
      </NetUBI>
      <OtherIncome170>
        <CurrentTaxYearMinus4Years>161443</CurrentTaxYearMinus4Years>
        <CurrentTaxYearMinus3Years>381910</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>2461</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>221282</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>-105536</CurrentTaxYear>
        <Total>661560</Total>
      </OtherIncome170>
      <TotalSupport>11016341</TotalSupport>
      <GrossReceiptsFromAdmissionsEtc>4876026</GrossReceiptsFromAdmissionsEtc>
      <PublicSupportPertcentage170>0.69998</PublicSupportPertcentage170>
      <PublicSupportPertcentPriorYear>0.72723</PublicSupportPertcentPriorYear>
      <ThirtyThreePercntTestsCY170>X</ThirtyThreePercntTestsCY170>
    </IRS990ScheduleA>
    <IRS990ScheduleB documentId="IRS990ScheduleB">
      <ContributorInfo>
        <ContributorNumber>RESTRICTED</ContributorNumber>
        <ContributorNameBusiness>
          <BusinessNameLine1>RESTRICTED</BusinessNameLine1>
        </ContributorNameBusiness>
        <ContributorAddressUS>
          <AddressLine1>RESTRICTED</AddressLine1>
          <AddressLine2>RESTRICTED</AddressLine2>
          <City>RESTRICTED</City>
          <State>RESTRICTED</State>
          <ZIPCode>RESTRICTED</ZIPCode>
        </ContributorAddressUS>
        <AggregateContributions>RESTRICTED</AggregateContributions>
      </ContributorInfo>
    </IRS990ScheduleB>
    <IRS990ScheduleD documentId="IRS990ScheduleD">
      <ArtPublicExhibitionAmts />
      <HeldWorksOfArtAmts />
      <CurrentYear>
        <BeginningOfYearBalance>42252279</BeginningOfYearBalance>
        <Contributions>151852</Contributions>
        <InvestmentEarningsOrLosses>9243544</InvestmentEarningsOrLosses>
        <GrantsOrScholarships>0</GrantsOrScholarships>
        <OtherExpenditures>1799491</OtherExpenditures>
        <AdministrativeExpenses>124576</AdministrativeExpenses>
        <EndOfYearBalance>49723608</EndOfYearBalance>
      </CurrentYear>
      <CurrentYearMinus1Year>
        <BeginningOfYearBalance>37093561</BeginningOfYearBalance>
        <Contributions>275375</Contributions>
        <InvestmentEarningsOrLosses>6593869</InvestmentEarningsOrLosses>
        <GrantsOrScholarships>0</GrantsOrScholarships>
        <OtherExpenditures>1603715</OtherExpenditures>
        <AdministrativeExpenses>106811</AdministrativeExpenses>
        <EndOfYearBalance>42252279</EndOfYearBalance>
      </CurrentYearMinus1Year>
      <CurrentYearMinus2Years>
        <BeginningOfYearBalance>51130326</BeginningOfYearBalance>
        <Contributions>170821</Contributions>
        <InvestmentEarningsOrLosses>-12186268</InvestmentEarningsOrLosses>
        <GrantsOrScholarships>0</GrantsOrScholarships>
        <OtherExpenditures>1874174</OtherExpenditures>
        <AdministrativeExpenses>147144</AdministrativeExpenses>
        <EndOfYearBalance>37093561</EndOfYearBalance>
      </CurrentYearMinus2Years>
      <BoardDesignatedEOYBalance>0.77250</BoardDesignatedEOYBalance>
      <PermanentEndowmentEOYBalance>0.17720</PermanentEndowmentEOYBalance>
      <TermEndowmentEOYBalance>0.05030</TermEndowmentEOYBalance>
      <EndowmentsHeldByUnrelatedOrgs>true</EndowmentsHeldByUnrelatedOrgs>
      <EndowmentsHeldByRelatedOrgs>true</EndowmentsHeldByRelatedOrgs>
      <AreRelatedOrgsListedScheduleR>true</AreRelatedOrgsListedScheduleR>
      <Land>
        <OtherCostOrOtherBasis>23478</OtherCostOrOtherBasis>
        <BookValue>23478</BookValue>
      </Land>
      <Buildings />
      <LeaseholdImprovements />
      <Equipment>
        <OtherCostOrOtherBasis>29416</OtherCostOrOtherBasis>
        <Depreciation>28493</Depreciation>
        <BookValue>923</BookValue>
      </Equipment>
      <OtherLandBuildings />
      <TotalOfBookValueLandBuildings>24401</TotalOfBookValueLandBuildings>
      <FinancialDerivatives />
      <CloselyHeldEquityInterests />
      <OtherSecurities>
        <Description>AMERICAN SECURITIES PARTNERS V</Description>
        <BookValue>694550</BookValue>
      </OtherSecurities>
      <OtherSecurities>
        <Description>BBH PRIVATE EQUITY PARTNERS</Description>
        <BookValue>50946</BookValue>
      </OtherSecurities>
      <OtherSecurities>
        <Description>IRVING PLACE CAPITAL PARTNERS</Description>
        <BookValue>506739</BookValue>
      </OtherSecurities>
      <OtherSecurities>
        <Description>CITIGROUP VENTURE CAPTIAL INT.</Description>
        <BookValue>179859</BookValue>
      </OtherSecurities>
      <OtherSecurities>
        <Description>GS CAPITAL PARTNERS VI PARALLE</Description>
        <BookValue>358687</BookValue>
      </OtherSecurities>
      <OtherSecurities>
        <Description>GS VINTAGE FUND IV OFFSHORE</Description>
        <BookValue>383592</BookValue>
      </OtherSecurities>
      <OtherSecurities>
        <Description>MILLENIUM TECHNOLOGY</Description>
        <BookValue>37436</BookValue>
      </OtherSecurities>
      <OtherSecurities>
        <Description>PIMCO DISTRESSED MORTGAGE FUND</Description>
        <BookValue>558770</BookValue>
      </OtherSecurities>
      <OtherSecurities>
        <Description>STEPSTONE SECONDARY OPPORT.</Description>
        <BookValue>523026</BookValue>
      </OtherSecurities>
      <OtherSecurities>
        <Description>YORKTOWN ENERGY PARTNERS IX</Description>
        <BookValue>44874</BookValue>
      </OtherSecurities>
      <OtherSecurities>
        <Description>EQUITY INVESTMENT IN RCPMS</Description>
        <BookValue>4099969</BookValue>
      </OtherSecurities>
      <OtherSecurities>
        <Description>EQUITY INVESTMENT IN CHIL</Description>
        <BookValue>6541943</BookValue>
      </OtherSecurities>
      <OtherSecurities>
        <Description>INVESTMENT IN CHCA</Description>
        <BookValue>51940</BookValue>
      </OtherSecurities>
      <OtherSecurities>
        <Description>VICTORY PHARMA - STOCK GIFT</Description>
        <BookValue>173589</BookValue>
      </OtherSecurities>
      <OtherSecurities>
        <Description>DOMESTIC EQUITY FUNDS</Description>
        <BookValue>3557190</BookValue>
      </OtherSecurities>
      <OtherSecurities>
        <Description>INTERNATIONAL EQUITY FUNDS</Description>
        <BookValue>1758</BookValue>
      </OtherSecurities>
      <OtherSecurities>
        <Description>FIXED INCOME FUNDS</Description>
        <BookValue>462420</BookValue>
      </OtherSecurities>
      <TotalOfBookValueSecurities>18227288</TotalOfBookValueSecurities>
      <FederalIncomeTaxLiability>0</FederalIncomeTaxLiability>
      <OtherLiabilities>
        <Description>PAYABLE TO BENEFICIARIES</Description>
        <Amount>1780792</Amount>
      </OtherLiabilities>
      <OtherLiabilities>
        <Description>DUE TO AFFILIATES</Description>
        <Amount>3222270</Amount>
      </OtherLiabilities>
      <TotalOfAmounts>5003062</TotalOfAmounts>
      <Form990ScheduleDPartXIV>
        <Identifier>Schedule D, Part V, Line 4</Identifier>
        <Explanation>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.</Explanation>
      </Form990ScheduleDPartXIV>
      <Form990ScheduleDPartXIV>
        <Identifier>schedule d, part x</Identifier>
        <Explanation>For the year ended June 30, 2011, there was no ACS 740 footnote prepared in the consolidated audited financial statements for Rady Children's Hospital and Health Center.</Explanation>
      </Form990ScheduleDPartXIV>
    </IRS990ScheduleD>
    <IRS990ScheduleF documentId="IRS990ScheduleF">
      <AcctsActvsOutUSTable>
        <Region>Central America and the Caribbean</Region>
        <NumberOfOffices>0</NumberOfOffices>
        <NumberOfEmployees>1</NumberOfEmployees>
        <TypeOfActivitiesConducted>Program Services</TypeOfActivitiesConducted>
        <SpecificServicesProvided>Offshore captive mgt</SpecificServicesProvided>
        <TotalExpenditures>3832160</TotalExpenditures>
      </AcctsActvsOutUSTable>
      <AcctsActvsOutUSTable>
        <Region>Central America and the Caribbean</Region>
        <NumberOfOffices>0</NumberOfOffices>
        <NumberOfEmployees>1</NumberOfEmployees>
        <TypeOfActivitiesConducted>Investments</TypeOfActivitiesConducted>
        <TotalExpenditures>6541943</TotalExpenditures>
      </AcctsActvsOutUSTable>
      <SubtotalNumberOfOffices>0</SubtotalNumberOfOffices>
      <SubtotalNumberOfEmployees>2</SubtotalNumberOfEmployees>
      <TotalNumberOfOffices>0</TotalNumberOfOffices>
      <TotalNumberOfEmployees>2</TotalNumberOfEmployees>
      <SubtotalAmountSpent>10374103</SubtotalAmountSpent>
      <TotalAmountSpent>10374103</TotalAmountSpent>
      <TransferToForeignCorp>true</TransferToForeignCorp>
      <InterestInForeignTrust>false</InterestInForeignTrust>
      <OwnForeignCorp>true</OwnForeignCorp>
      <PassiveForeignInvestCo>false</PassiveForeignInvestCo>
      <ForeignPartnership>true</ForeignPartnership>
      <BoycottCountries>false</BoycottCountries>
      <Form990ScheduleFPartV>
        <Identifier>part i, line 3, column f</Identifier>
        <Explanation>the expenditures are reported on an accrual basis.</Explanation>
      </Form990ScheduleFPartV>
    </IRS990ScheduleF>
    <IRS990ScheduleI documentId="IRS990ScheduleI">
      <RecordsMaintained>true</RecordsMaintained>
      <RecipientTable>
        <RecipientNameBusiness>
          <BusinessNameLine1>RADY CHILDREN'S HOSPITAL - SAN DIEGO</BusinessNameLine1>
        </RecipientNameBusiness>
        <AddressUS>
          <AddressLine1>3020 CHILDRENS WAY</AddressLine1>
          <City>SAN DIEGO</City>
          <State>CA</State>
          <ZIPCode>921234282</ZIPCode>
        </AddressUS>
        <EINOfRecipient>951691313</EINOfRecipient>
        <IRCSection>501(c)(3)</IRCSection>
        <AmountOfCashGrant>13153755</AmountOfCashGrant>
        <AmountOfNonCashAssistance>0</AmountOfNonCashAssistance>
        <MethodOfValuation>n/a</MethodOfValuation>
        <DescriptionOfNonCashAssistance>n/a</DescriptionOfNonCashAssistance>
        <PurposeOfGrant>support</PurposeOfGrant>
      </RecipientTable>
      <TotalNbrOf501C3AndGovtGrants>1</TotalNbrOf501C3AndGovtGrants>
      <TotalNbrOfOtherOrganizations>0</TotalNbrOfOtherOrganizations>
      <Form990ScheduleIPartIV>
        <Identifier>procedure for monitoring the use of grant funds</Identifier>
        <Explanation>RCHHC receives funds to support RCHSD to further its exempt purpose. RCHHC transfers funds to the Hospital as funds are received.</Explanation>
      </Form990ScheduleIPartIV>
    </IRS990ScheduleI>
    <IRS990ScheduleJ documentId="IRS990ScheduleJ">
      <CompensationCommittee>X</CompensationCommittee>
      <IndependentConsultant>X</IndependentConsultant>
      <CompensationSurvey>X</CompensationSurvey>
      <BoardOrCommitteeApproval>X</BoardOrCommitteeApproval>
      <SeverancePayment>false</SeverancePayment>
      <SupplementalNonqualRetirePlan>true</SupplementalNonqualRetirePlan>
      <EquityBasedCompArrangement>false</EquityBasedCompArrangement>
      <CompBasedOnRevenueOfFilingOrg>false</CompBasedOnRevenueOfFilingOrg>
      <CompBasedOnRevenueRelatedOrgs>false</CompBasedOnRevenueRelatedOrgs>
      <CompBasedNetEarningsFilingOrg>false</CompBasedNetEarningsFilingOrg>
      <CompBasedNetEarningsRelateOrgs>false</CompBasedNetEarningsRelateOrgs>
      <AnyNonFixedPayments>false</AnyNonFixedPayments>
      <InitialContractException>false</InitialContractException>
      <Form990ScheduleJPartII>
        <NamePerson>Mary J Fagan</NamePerson>
        <BaseCompensationFilingOrg>0</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>161313</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>0</BonusFilingOrg>
        <BonusRelatedOrgs>6056</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>0</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>3915</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>0</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>52427</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>0</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>1162</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>0</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>224873</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>kathleen dooley sellick</NamePerson>
        <BaseCompensationFilingOrg>0</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>654472</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>0</BonusFilingOrg>
        <BonusRelatedOrgs>114774</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>0</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>138233</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>0</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>201917</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>0</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>19380</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>0</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>1128776</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>129085</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>Margareta E Norton</NamePerson>
        <BaseCompensationFilingOrg>0</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>421116</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>0</BonusFilingOrg>
        <BonusRelatedOrgs>53937</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>0</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>120482</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>0</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>146330</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>0</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>10513</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>0</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>752378</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>92889</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>David B Gillig</NamePerson>
        <BaseCompensationFilingOrg>0</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>298532</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>0</BonusFilingOrg>
        <BonusRelatedOrgs>51092</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>0</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>64423</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>0</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>119656</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>0</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>19352</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>0</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>553055</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>56531</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>Irvin A Kaufman MD</NamePerson>
        <BaseCompensationFilingOrg>0</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>403177</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>0</BonusFilingOrg>
        <BonusRelatedOrgs>42900</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>0</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>108808</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>0</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>133447</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>0</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>7313</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>0</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>695645</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>88064</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>Roger G Roux</NamePerson>
        <BaseCompensationFilingOrg>0</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>419121</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>0</BonusFilingOrg>
        <BonusRelatedOrgs>50789</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>0</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>86703</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>0</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>143637</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>0</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>12818</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>0</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>713068</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>93826</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>Marjorie Peck</NamePerson>
        <BaseCompensationFilingOrg>0</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>133389</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>0</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>0</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>66442</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>0</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>3636</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>0</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>4328</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>0</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>207795</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>Cheri Fidler</NamePerson>
        <BaseCompensationFilingOrg>0</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>116023</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>0</BonusFilingOrg>
        <BonusRelatedOrgs>6107</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>0</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>2776</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>0</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>49303</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>0</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>10875</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>0</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>185084</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>3563</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>barbara ryan</NamePerson>
        <BaseCompensationFilingOrg>0</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>206586</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>0</BonusFilingOrg>
        <BonusRelatedOrgs>21370</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>0</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>119879</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>0</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>99153</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>0</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>7377</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>0</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>454365</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>99246</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartIII>
        <Identifier>Schedule J, Part I, Line 4b</Identifier>
        <Explanation>Rady Children's Hospital and Health Center 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.</Explanation>
      </Form990ScheduleJPartIII>
    </IRS990ScheduleJ>
    <IRS990ScheduleO documentId="IRS990ScheduleO">
      <GeneralExplanation>
        <Identifier>FORM 990, PART III, LINE 1</Identifier>
        <ReturnReference>MISSION DESCRIPTION</ReturnReference>
        <Explanation>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.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>PART VI</Identifier>
        <Explanation>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. 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.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>PART VI, SECTION B &amp; C</Identifier>
        <Explanation>Section B Line 15 - 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 usually 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. 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.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>PART XI, RECONCILIATION OF NET ASSETS</Identifier>
        <Explanation>UNREALIZED GAINS ON INVESTMENT: 3,939,139 book to tax adjustment for investment partnership:(2,842,395) --------- 1,096,744</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>HOURS DEVOTED FOR RELATED ORGANIZATION</Identifier>
        <ReturnReference>FORM 990 PART VII</ReturnReference>
        <Explanation>NAME:Lisa A Barkett TITLE:Board Member HOURS:</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>HOURS DEVOTED FOR RELATED ORGANIZATION</Identifier>
        <ReturnReference>FORM 990 PART VII</ReturnReference>
        <Explanation>NAME:Kurt Benirschke, MD TITLE:Board Member HOURS:</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>HOURS DEVOTED FOR RELATED ORGANIZATION</Identifier>
        <ReturnReference>FORM 990 PART VII</ReturnReference>
        <Explanation>NAME:John G Davies, Esq TITLE:Board Member HOURS:</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>HOURS DEVOTED FOR RELATED ORGANIZATION</Identifier>
        <ReturnReference>FORM 990 PART VII</ReturnReference>
        <Explanation>NAME:Penny Dokmo TITLE:Board Member HOURS:1</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>HOURS DEVOTED FOR RELATED ORGANIZATION</Identifier>
        <ReturnReference>FORM 990 PART VII</ReturnReference>
        <Explanation>NAME:John M Gilchrist, Jr TITLE:Board Member HOURS:</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>HOURS DEVOTED FOR RELATED ORGANIZATION</Identifier>
        <ReturnReference>FORM 990 PART VII</ReturnReference>
        <Explanation>NAME:David F Hale TITLE:Board Member/chair HOURS:1</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>HOURS DEVOTED FOR RELATED ORGANIZATION</Identifier>
        <ReturnReference>FORM 990 PART VII</ReturnReference>
        <Explanation>NAME:Jeffrey Jacobs TITLE:Board Member HOURS:</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>HOURS DEVOTED FOR RELATED ORGANIZATION</Identifier>
        <ReturnReference>FORM 990 PART VII</ReturnReference>
        <Explanation>NAME:Catherine J Mackey, PhD TITLE:Board Member HOURS:1</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>HOURS DEVOTED FOR RELATED ORGANIZATION</Identifier>
        <ReturnReference>FORM 990 PART VII</ReturnReference>
        <Explanation>NAME:G. Diego Miralles, MD TITLE:Board Member HOURS:</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>HOURS DEVOTED FOR RELATED ORGANIZATION</Identifier>
        <ReturnReference>FORM 990 PART VII</ReturnReference>
        <Explanation>NAME:Michael P Peckham TITLE:Board Member HOURS:1</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>HOURS DEVOTED FOR RELATED ORGANIZATION</Identifier>
        <ReturnReference>FORM 990 PART VII</ReturnReference>
        <Explanation>NAME:Harry M Rady TITLE:Board Member HOURS:1</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>HOURS DEVOTED FOR RELATED ORGANIZATION</Identifier>
        <ReturnReference>FORM 990 PART VII</ReturnReference>
        <Explanation>NAME:Theodore D Roth TITLE:Board Member/vice chair HOURS:1</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>HOURS DEVOTED FOR RELATED ORGANIZATION</Identifier>
        <ReturnReference>FORM 990 PART VII</ReturnReference>
        <Explanation>NAME:Scott N Wolfe, Esq TITLE:Board Member HOURS:1</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>HOURS DEVOTED FOR RELATED ORGANIZATION</Identifier>
        <ReturnReference>FORM 990 PART VII</ReturnReference>
        <Explanation>NAME:David A Brenner, MD TITLE:Board Member HOURS:</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>HOURS DEVOTED FOR RELATED ORGANIZATION</Identifier>
        <ReturnReference>FORM 990 PART VII</ReturnReference>
        <Explanation>NAME:Marye Anne Fox, PhD TITLE:Board Member HOURS:</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>HOURS DEVOTED FOR RELATED ORGANIZATION</Identifier>
        <ReturnReference>FORM 990 PART VII</ReturnReference>
        <Explanation>NAME:Mary Hilfilker, MD TITLE:Board Member HOURS:1</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>HOURS DEVOTED FOR RELATED ORGANIZATION</Identifier>
        <ReturnReference>FORM 990 PART VII</ReturnReference>
        <Explanation>NAME:Anthony E Magit, MD TITLE:Board Member HOURS:</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>HOURS DEVOTED FOR RELATED ORGANIZATION</Identifier>
        <ReturnReference>FORM 990 PART VII</ReturnReference>
        <Explanation>NAME:Santiago Munoz TITLE:Board Member HOURS:1</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>HOURS DEVOTED FOR RELATED ORGANIZATION</Identifier>
        <ReturnReference>FORM 990 PART VII</ReturnReference>
        <Explanation>NAME:Cathy C Polk TITLE:Board Member HOURS:</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>HOURS DEVOTED FOR RELATED ORGANIZATION</Identifier>
        <ReturnReference>FORM 990 PART VII</ReturnReference>
        <Explanation>NAME:kathleen dooley sellick TITLE:Pres/CEO HOURS:26</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>HOURS DEVOTED FOR RELATED ORGANIZATION</Identifier>
        <ReturnReference>FORM 990 PART VII</ReturnReference>
        <Explanation>NAME:Margareta E Norton TITLE:SVP/COO HOURS:24</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>HOURS DEVOTED FOR RELATED ORGANIZATION</Identifier>
        <ReturnReference>FORM 990 PART VII</ReturnReference>
        <Explanation>NAME:David B Gillig TITLE:SVP/Exec Dir, RCHFSD HOURS:38</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>HOURS DEVOTED FOR RELATED ORGANIZATION</Identifier>
        <ReturnReference>FORM 990 PART VII</ReturnReference>
        <Explanation>NAME:Irvin A Kaufman, MD TITLE:SVP/CMO HOURS:20</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>HOURS DEVOTED FOR RELATED ORGANIZATION</Identifier>
        <ReturnReference>FORM 990 PART VII</ReturnReference>
        <Explanation>NAME:Roger G Roux TITLE:SVP/CFO HOURS:24</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>HOURS DEVOTED FOR RELATED ORGANIZATION</Identifier>
        <ReturnReference>FORM 990 PART VII</ReturnReference>
        <Explanation>NAME:Belinda Santos TITLE:Asst Secty HOURS:20</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>HOURS DEVOTED FOR RELATED ORGANIZATION</Identifier>
        <ReturnReference>FORM 990 PART VII</ReturnReference>
        <Explanation>NAME:Mary J Fagan TITLE:VP/CNO HOURS:20</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>HOURS DEVOTED FOR RELATED ORGANIZATION</Identifier>
        <ReturnReference>FORM 990 PART VII</ReturnReference>
        <Explanation>NAME:Marjorie Peck TITLE:VP/CNO HOURS:20</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>HOURS DEVOTED FOR RELATED ORGANIZATION</Identifier>
        <ReturnReference>FORM 990 PART VII</ReturnReference>
        <Explanation>NAME:barbara ryan TITLE:vp government affairs HOURS:20</Explanation>
      </GeneralExplanation>
    </IRS990ScheduleO>
    <IRS990ScheduleR documentId="IRS990ScheduleR">
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>Rady Children's Hospital - San Diego</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>3020 Childrens Way</AddressLine1>
          <City>San Diego</City>
          <State>CA</State>
          <ZIPCode>921234282</ZIPCode>
        </AddressUS>
        <EIN>951691313</EIN>
        <PrimaryActivities>hospital</PrimaryActivities>
        <LegalDomicileState>CA</LegalDomicileState>
        <ExemptCodeSection>501(c)(3)</ExemptCodeSection>
        <PublicCharityStatus>3</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>RCHHC</BusinessNameLine1>
        </DirectControllingEntityName>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>Rady Children's Hospital Research Center</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>3020 Childrens Way</AddressLine1>
          <City>San Diego</City>
          <State>CA</State>
          <ZIPCode>921234282</ZIPCode>
        </AddressUS>
        <EIN>953814185</EIN>
        <PrimaryActivities>Research</PrimaryActivities>
        <LegalDomicileState>CA</LegalDomicileState>
        <ExemptCodeSection>501(c)(3)</ExemptCodeSection>
        <PublicCharityStatus>11a</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>rchhc</BusinessNameLine1>
        </DirectControllingEntityName>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>Rady Children's Health Services San Dieg</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>3020 Childrens Way</AddressLine1>
          <City>San Diego</City>
          <State>CA</State>
          <ZIPCode>921234282</ZIPCode>
        </AddressUS>
        <EIN>330278018</EIN>
        <PrimaryActivities>Support RCHHC</PrimaryActivities>
        <LegalDomicileState>CA</LegalDomicileState>
        <ExemptCodeSection>501(c)(3)</ExemptCodeSection>
        <PublicCharityStatus>11a</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>RCHHC</BusinessNameLine1>
        </DirectControllingEntityName>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>Rady Children's Hospital Foundation San</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>3020 Childrens Way</AddressLine1>
          <City>San Diego</City>
          <State>CA</State>
          <ZIPCode>921234282</ZIPCode>
        </AddressUS>
        <EIN>330170626</EIN>
        <PrimaryActivities>Fundraising</PrimaryActivities>
        <LegalDomicileState>CA</LegalDomicileState>
        <ExemptCodeSection>501(c)(3)</ExemptCodeSection>
        <PublicCharityStatus>7</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>RCHHC</BusinessNameLine1>
        </DirectControllingEntityName>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>Children's Hospital Integrated Risk Prot</BusinessNameLine1>
        </NameOfRelatedOrg>
        <PrimaryActivity>Captive Insurance</PrimaryActivity>
        <LegalDomicileForeignCountry>BD</LegalDomicileForeignCountry>
        <DirectControllingEntityName>
          <BusinessNameLine1>NA</BusinessNameLine1>
        </DirectControllingEntityName>
        <TypeOfEntity>C Corp</TypeOfEntity>
        <ShareOfTotalIncome>0</ShareOfTotalIncome>
        <ShareOfEOYAssets>410515</ShareOfEOYAssets>
        <PercentageOwnership>1.00000</PercentageOwnership>
      </Form990ScheduleRPartIV>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>Rady Children's Physician Management Ser</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>3860 Calle Fortunada Suite 200</AddressLine1>
          <City>San Diego</City>
          <State>CA</State>
          <ZIPCode>921234282</ZIPCode>
        </AddressUS>
        <EIN>330670694</EIN>
        <PrimaryActivity>Management Servic</PrimaryActivity>
        <LegalDomicileState>CA</LegalDomicileState>
        <DirectControllingEntityName>
          <BusinessNameLine1>NA</BusinessNameLine1>
        </DirectControllingEntityName>
        <TypeOfEntity>C Corp.</TypeOfEntity>
        <ShareOfTotalIncome>32678601</ShareOfTotalIncome>
        <ShareOfEOYAssets>8714708</ShareOfEOYAssets>
        <PercentageOwnership>1.00000</PercentageOwnership>
      </Form990ScheduleRPartIV>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>Children's Hospital Insurance Limited</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressForeign>
          <AddressLine1>Canons Court 22 Victoria Street</AddressLine1>
          <City>Hamilton</City>
          <Country>BD</Country>
          <PostalCode>HM12</PostalCode>
        </AddressForeign>
        <PrimaryActivity>Captive Insurance</PrimaryActivity>
        <LegalDomicileForeignCountry>BD</LegalDomicileForeignCountry>
        <DirectControllingEntityName>
          <BusinessNameLine1>CHIRP</BusinessNameLine1>
        </DirectControllingEntityName>
        <TypeOfEntity>C corp</TypeOfEntity>
        <ShareOfTotalIncome>5147880</ShareOfTotalIncome>
        <ShareOfEOYAssets>17207983</ShareOfEOYAssets>
        <PercentageOwnership>1.00000</PercentageOwnership>
      </Form990ScheduleRPartIV>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>MCMCCRUT</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>3020 CHILDRENS WAY MC 5133</AddressLine1>
          <City>SAN DIEGO</City>
          <State>CA</State>
          <ZIPCode>921234282</ZIPCode>
        </AddressUS>
        <EIN>406561312</EIN>
        <PrimaryActivity>crut</PrimaryActivity>
        <LegalDomicileState>CA</LegalDomicileState>
        <DirectControllingEntityName>
          <BusinessNameLine1>NA</BusinessNameLine1>
        </DirectControllingEntityName>
        <TypeOfEntity>TRUST</TypeOfEntity>
        <ShareOfTotalIncome>0</ShareOfTotalIncome>
        <ShareOfEOYAssets>2060222</ShareOfEOYAssets>
        <PercentageOwnership>1.00000</PercentageOwnership>
      </Form990ScheduleRPartIV>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>JFMFCRUT</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>3020 CHILDRENS WAY MC 5133</AddressLine1>
          <City>SAN DIEGO</City>
          <State>CA</State>
          <ZIPCode>921234282</ZIPCode>
        </AddressUS>
        <EIN>336172542</EIN>
        <PrimaryActivity>CRUT</PrimaryActivity>
        <LegalDomicileState>CA</LegalDomicileState>
        <DirectControllingEntityName>
          <BusinessNameLine1>NA</BusinessNameLine1>
        </DirectControllingEntityName>
        <TypeOfEntity>TRUST</TypeOfEntity>
        <ShareOfTotalIncome>0</ShareOfTotalIncome>
        <ShareOfEOYAssets>433986</ShareOfEOYAssets>
        <PercentageOwnership>1.00000</PercentageOwnership>
      </Form990ScheduleRPartIV>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>JALCRUT</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>3020 CHILDRENS WAY MC 5133</AddressLine1>
          <City>SAN DIEGO</City>
          <State>CA</State>
          <ZIPCode>921234282</ZIPCode>
        </AddressUS>
        <EIN>206371848</EIN>
        <PrimaryActivity>CRUT</PrimaryActivity>
        <LegalDomicileState>CA</LegalDomicileState>
        <DirectControllingEntityName>
          <BusinessNameLine1>NA</BusinessNameLine1>
        </DirectControllingEntityName>
        <TypeOfEntity>TRUST</TypeOfEntity>
        <ShareOfTotalIncome>0</ShareOfTotalIncome>
        <ShareOfEOYAssets>197395</ShareOfEOYAssets>
        <PercentageOwnership>1.00000</PercentageOwnership>
      </Form990ScheduleRPartIV>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>MCLCRUT</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>3020 CHILDRENS WAY MC 5133</AddressLine1>
          <City>SAN DIEGO</City>
          <State>CA</State>
          <ZIPCode>921234282</ZIPCode>
        </AddressUS>
        <EIN>336330012</EIN>
        <PrimaryActivity>CRUT</PrimaryActivity>
        <LegalDomicileState>CA</LegalDomicileState>
        <DirectControllingEntityName>
          <BusinessNameLine1>NA</BusinessNameLine1>
        </DirectControllingEntityName>
        <TypeOfEntity>TRUST</TypeOfEntity>
        <ShareOfTotalIncome>0</ShareOfTotalIncome>
        <ShareOfEOYAssets>186065</ShareOfEOYAssets>
        <PercentageOwnership>1.00000</PercentageOwnership>
      </Form990ScheduleRPartIV>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>SMCRUT</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>3020 CHILDRENS WAY MC 5133</AddressLine1>
          <City>SAN DIEGO</City>
          <State>CA</State>
          <ZIPCode>921234282</ZIPCode>
        </AddressUS>
        <EIN>336330012</EIN>
        <PrimaryActivity>CRUT</PrimaryActivity>
        <LegalDomicileState>CA</LegalDomicileState>
        <DirectControllingEntityName>
          <BusinessNameLine1>NA</BusinessNameLine1>
        </DirectControllingEntityName>
        <TypeOfEntity>TRUST</TypeOfEntity>
        <ShareOfTotalIncome>0</ShareOfTotalIncome>
        <ShareOfEOYAssets>535861</ShareOfEOYAssets>
        <PercentageOwnership>1.00000</PercentageOwnership>
      </Form990ScheduleRPartIV>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>JHCRUT</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>3020 CHILDRENS WAY MC 5133</AddressLine1>
          <City>SAN DIEGO</City>
          <State>CA</State>
          <ZIPCode>921234282</ZIPCode>
        </AddressUS>
        <EIN>336188406</EIN>
        <PrimaryActivity>CRUT</PrimaryActivity>
        <LegalDomicileState>CA</LegalDomicileState>
        <DirectControllingEntityName>
          <BusinessNameLine1>NA</BusinessNameLine1>
        </DirectControllingEntityName>
        <TypeOfEntity>TRUST</TypeOfEntity>
        <ShareOfTotalIncome>0</ShareOfTotalIncome>
        <ShareOfEOYAssets>111729</ShareOfEOYAssets>
        <PercentageOwnership>1.00000</PercentageOwnership>
      </Form990ScheduleRPartIV>
      <ReceiptOfIntAnnRentsRoyalties>false</ReceiptOfIntAnnRentsRoyalties>
      <GiftGrantOrCapContrToOtherOrg>true</GiftGrantOrCapContrToOtherOrg>
      <GiftGrantOrCapContrFrOtherOrg>true</GiftGrantOrCapContrFrOtherOrg>
      <LoansOrGuaranteesToOtherOrg>false</LoansOrGuaranteesToOtherOrg>
      <LoansOrGuaranteesFromOtherOrg>false</LoansOrGuaranteesFromOtherOrg>
      <SaleOfAssetsToOtherOrg>false</SaleOfAssetsToOtherOrg>
      <PurchaseOfAssetsFromOtherOrg>false</PurchaseOfAssetsFromOtherOrg>
      <ExchangeOfAssets>false</ExchangeOfAssets>
      <RentalOfFacilitiesToOtherOrgs>false</RentalOfFacilitiesToOtherOrgs>
      <RentalOfFacilitiesFrOtherOrgs>false</RentalOfFacilitiesFrOtherOrgs>
      <PerformOfServicesForOtherOrgs>false</PerformOfServicesForOtherOrgs>
      <PerformOfServicesByOtherOrgs>true</PerformOfServicesByOtherOrgs>
      <SharingOfFacilities>true</SharingOfFacilities>
      <SharingOfPaidEmployees>true</SharingOfPaidEmployees>
      <ReimbursementPaidToOtherOrg>true</ReimbursementPaidToOtherOrg>
      <ReimbursementPaidByOtherOrg>true</ReimbursementPaidByOtherOrg>
      <OtherTransferToOtherOrg>true</OtherTransferToOtherOrg>
      <OtherTransferFromOtherOrg>true</OtherTransferFromOtherOrg>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>Rady Children's Hospital - San Diego</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>n</TransactionType>
        <AmountInvolved>3437696</AmountInvolved>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>Rady Children's Hospital - San Diego</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>o</TransactionType>
        <AmountInvolved>32484</AmountInvolved>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>Rady Children's Hospital - San Diego</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>p</TransactionType>
        <AmountInvolved>5886584</AmountInvolved>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>Rady Children's Hospital - San Diego</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>q</TransactionType>
        <AmountInvolved>883345</AmountInvolved>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>Rady Children's Hospital - San Diego</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>r</TransactionType>
        <AmountInvolved>3175784</AmountInvolved>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>Rady Children's Hospital - San Diego</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>c</TransactionType>
        <AmountInvolved>2334000</AmountInvolved>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>Rady Children's Hospital - San Diego</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>b</TransactionType>
        <AmountInvolved>13153755</AmountInvolved>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>children's hospital insurance ltd</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>l</TransactionType>
        <AmountInvolved>3602188</AmountInvolved>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>children's hospital insurance ltd</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>o</TransactionType>
        <AmountInvolved>229972</AmountInvolved>
      </TransactionsRelatedOrgsTable>
      <Form990ScheduleRPartVII>
        <Identifier>schedule r part v line 2</Identifier>
        <Explanation>The amounts on Schedule R Part V Line 2 were determined as follows: (b) and (c) The grant to and from RCHHC was determined based on the original donor's requirements and as approved by respective boards. (l) Premiums transfered were based on fair market value. (n)(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)(r) transactions - these are transfers of cash and donor related investments. The donor related investments were transferred at fair market value.</Explanation>
      </Form990ScheduleRPartVII>
    </IRS990ScheduleR>
  </ReturnData>
</Return>