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      <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 11a - 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 VII</Identifier>
        <ReturnReference>SECTION A, LINE 1A</ReturnReference>
        <Explanation>Average hours per week spent on related organizations by officers, trustees, and highly compensated employees . Scott Wolfe: RCHSD 1.63, RCHSSD 0.10, RCHRC .10; Herbert Kimmons: RCHSD 0.56; Thomas Page: RCHSD 0.74; John Davies: RCHSD .97, RCHRC 0.06, RCHSSD 0.06, RCHFSD 0.58; Gabriel Haddad: RCHSSD .03, RCHSD .51, RCHRC .03; Catherine Mackey: RCHSD 0.64; Cathy Polk: RCHFSD 0.19, RCHSD .77; Michael Peckrnan: RCHSD 0.85; James Vargas: RCHFSD 0.38, RCHSD 0.19; Theodore Roth: RCHRC 0.06, RCHSD .94, RCHSSD 0.06; Kurt Bernirschke: RCHSD .72, RCHRC .05, RCHSSD .05; David Hale: RCHRC 0.05, RCHSD .73, RCHSSD 0.05; Penny Dokmo: RCHRC 0.06, RCHSSD 0.06, RCHSD 1.00, RCHFSD .29; Roger Roux: RCHRC 2.0, RCHSD 32.0, RCHSSD 2.0; Irvin Kaufman: RCHSD 35.0; David Gillig: RCHFSD 36.0, RCHSD 3.60; Kathleen Sellick: RCHFSD 4.0, RCHRC 1.80, RCHSD 28.80, RCHSSD 1.80; Margareta Norton: RCHRC 2.0, RCHSD 32.00, RCHSSD 2.0; Marjorie Peck: RCHSD .47; William Sailer:RCHSD .45, RCHFSD .13; Diego Miralles: RCHSD .38, David Brenner: RCHSD .83, Anthony Magit: RCHSD 1.61, RCHRC .10, RCHSSD .10; John Gilchrist RCHSD .61, RCHRC .04, RCHSSD .04; Lisa Barkett RCHSD .75; Mary Hilfiker .55; Santiago Munoz: RCHSD 1.18.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Schedule R Part V Line 2</Identifier>
        <Explanation>The amounts on Schedule R Part V Line 2 were determined as follows: (c) The grant to RCHHC was determined based on the original donor's requirements and as approved by RCHSD's board. (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>
      </GeneralExplanation>
    </IRS990ScheduleO>
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