Schedule K
(Form 990)
Department of the Treasury
Internal Revenue Service
Supplemental Information on Tax-Exempt Bonds
SchKMediumBullet Complete if the organization answered "Yes" to Form 990, Part IV, line 24a. Provide descriptions,
explanations, and any additional information in Part VI.
SchKMediumBullet Attach to Form 990.

SchKMediumBulletInformation about Schedule K (Form 990) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2016
Open to Public
Inspection
Name of the organization
RADY CHILDREN'S HOSPITAL - SAN DIEGO
 
Employer identification number
95-1691313
Part I
Bond Issues
(a) Issuer name (b) Issuer EIN (c) CUSIP # (d) Date issued (e) Issue price (f) Description of purpose (g) Defeased (h) On
behalf of
issuer
(i) Pool
financing
Yes No Yes No Yes No
A CALIFORNIA STATEWIDE COMM DEVELOPMENT AUTHORITY
 
68-0164610 130795VT1 07-31-2008 101,155,000 CURRENT REFUNDING SERIES 2006CD BO   X   X   X
B CALIFORNIA HEALTH FACILITIES FINANCING AUTHORITY
 
52-1643828 13033LUU9 11-22-2011 100,079,621 LOAN REIMB, RENOV, CONSTR & EQUIP   X   X   X
C CALIFORNIA STATEWIDE COMM DEVELOPMENT AUTHORITY
 
68-0164610 1307955Y9 06-14-2012 115,580,000 REISSUANCE OF 2008B & 2008D BONDS   X   X   X
D CALIFORNIA STATEWIDE COMM DEVELOPMENT AUTHORITY
 
68-0164610 111111xx1 09-25-2013 63,485,000 REISSUANCE OF 2008A   X   X   X
Part II
Proceeds
A B C D
1 Amount of bonds retired .................. 50,580,000 6,425,000 52,260,000 1,180,000
2 Amount of bonds legally defeased .............. 0 0 0 0
3 Total proceeds of issue .................. 101,088,384 100,384,978 115,580,000 63,485,000
4 Gross proceeds in reserve funds ............. 0 0 0 0
5 Capitalized interest from proceeds ............. 0 0 0 0
6 Proceeds in refunding escrows ............... 0 0 0 0
7 Issuance costs from proceeds ............... 820,490 1,682,270 0 0
8 Credit enhancement from proceeds ............. 335,833 0 0 0
9 Working capital expenditures from proceeds ............. 0 0 0 0
10 Capital expenditures from proceeds ............. 0 98,702,708 0 0
11 Other spent proceeds ............. 100,000,014 0 115,580,000 63,485,000
12 Other unspent proceeds ............. 0 0 0 0
13 Year of substantial completion ............. 2016
Yes No Yes No Yes No Yes No
14 Were the bonds issued as part of a current refunding issue? .... X     X X   X  
15 Were the bonds issued as part of an advance refunding issue? .....   X   X   X   X
16 Has the final allocation of proceeds been made? .......... X   X   X   X  
17 Does the organization maintain adequate books and records to support the final allocation of proceeds? .................. X   X   X   X  
Part III
Private Business Use
A B C D
Yes No Yes No Yes No Yes No
1 Was the organization a partner in a partnership, or a member of an LLC, which owned property financed by tax-exempt bonds? .............   X   X   X   X
2 Are there any lease arrangements that may result in private business use of bond-financed property? ............... X   X   X   X  
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50193E
Schedule K (Form 990) 2016
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Schedule K (Form 990) 2016
Page 2
Part III
Private Business Use (Continued)
A B C D
Yes No Yes No Yes No Yes No
3a Are there any management or service contracts that may result in private business use of bond-financed property? ............. X   X   X   X  
b If "Yes" to line 3a, does the organization routinely engage bond counsel or other outside counsel to review any management or service contracts relating to the financed property? X   X   X   X  
c Are there any research agreements that may result in private business use of bond-financed property? .............   X   X   X   X
d If "Yes" to line 3c, does the organization routinely engage bond counsel or other outside counsel to review any research agreements relating to the financed property?                
4 Enter the percentage of financed property used in a private business use by entities other than a section 501(c)(3) organization or a state or local government ....SchKMediumBullet 0 % 0.150 % 0 % 0 %
5 Enter the percentage of financed property used in a private business use as a result of unrelated trade or business activity carried on by your organization, another section 501(c)(3) organization, or a state or local government ......... SchKMediumBullet        
6 Total of lines 4 and 5 .............   0.150 %    
7 Does the bond issue meet the private security or payment test? ...   X   X   X   X
8a Has there been a sale or disposition of any of the bond-financed property to a nongovernmental person other than a 501(c)(3) organization since the bonds were issued?.............   X   X   X   X
b If "Yes" to line 8a, enter the percentage of bond-financed property sold or disposed of. ..        
c If "Yes" to line 8a, was any remedial action taken pursuant to Regulations sections 1.141-12 and 1.145-2? .............   X   X   X   X
9 Has the organization established written procedures to ensure that all nonqualified bonds of the issue are remediated in accordance with the requirements under
Regulations sections 1.141-12 and 1.145-2? ........
X   X   X   X  
Part IV
Arbitrage
A B C D
Yes No Yes No Yes No Yes No
1 Has the issuer filed Form 8038-T, Arbitrage Rebate, Yield Reduction and Penalty in Lieu of Arbitrage Rebate? ... X     X   X   X
2 If "No" to line 1, did the following apply? ....
a Rebate not due yet? .......     X   X   X  
b Exception to rebate? ........       X X   X  
c No rebate due? .........       X   X   X
If "Yes" to line 2c, provide in Part VI the date the rebate
computation was performed ......
3 Is the bond issue a variable rate issue? ..... X     X X   X  
4a Has the organization or the governmental issuer entered into a qualified hedge with respect to the bond issue? X     X X   X  
b Name of provider .......... GOLDMAN SACHS BANK
 
0
 
GOLDMAN SACHS BANK
 
GOLDMAN SACHS BANK
 
c Term of hedge ......... 2408 %   3519 % 3519 %
d Was the hedge superintegrated? ......   X       X   X
e Was the hedge terminated? ........ X         X   X
Schedule K (Form 990) 2016
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Schedule K (Form 990) 2016
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Part IV
Arbitrage (Continued)
A B C D
Yes No Yes No Yes No Yes No
5a Were gross proceeds invested in a guaranteed investment contract (GIC)? X     X   X   X
b Name of provider .......... HYPO REPURCHASE AGRT
 
0
 
0
 
0
 
c Term of GIC ......... 255 %      
d Was the regulatory safe harbor for establishing the fair market value of the GIC satisfied? ........ X              
6 Were any gross proceeds invested beyond an available temporary period?   X X     X   X
7 Has the organization established written procedures to monitor the requirements of section 148? ... X   X   X   X  
Part V
Procedures To Undertake Corrective Action
--------------------------------------------------------------------------------------------------------------- A B C D
Yes No Yes No Yes No Yes No
Has the organization established written procedures to ensure that violations of federal tax requirements are timely identified and corrected through the voluntary closing agreement program if self-remediation is not available under applicable regulations? X   X   X   X  
Part VI
Supplemental Information. Provide additional information for responses to questions on Schedule K (see instructions).
Return Reference Explanation
Set 1, Column A: Part I, (f): The issue date of the 2006CD Bonds was 10/26/06. Part II, line 3: The difference between the Issue Price listed in Part I(e) is due to interest earnings on Bond Proceeds and the cumulative rebate liability paid to the IRS no later than 09/29/13. Part II, line 13: Since the proceeds of the 2008CD Bonds are used for refunding purposes, the year of substantial completion is not applicable. Part IV, line 4(e): The 2008C Goldman Sachs hedge was originally a hedge on the 2006C Bonds with a term of 29.82 years, and was reintegrated into the 2008C Bonds on July 31, 2008, with a term of 28.06 years. On April 15, 2016, the hedge was split into two transactions. Subsequently, one of the transactions was novated to Wells Fargo Bank, N.A. on April 25, 2016. The novated Wells Fargo hedge has a term of 3.98 years, and the Goldman Sachs portion of the transaction has a term of 24.08 years. The original term of the entire transaction of 28.06 years remains unchanged. Part IV, line 4(e): The 2008D Goldman Sachs hedge was originally a hedge on the 2006D Bonds with a term of 33.14 years, and was reintegrated into the 2008D Bonds on July 31, 2008, with a restructured term of 33.06 years. This hedge was deemed terminated on June 14, 2012, and had a term of 3.87 years at termination. Part IV, line 5(a): Gross proceeds of the 2008CD Bonds Project Funds were invested in a Hypo Repurchase Agreement.
Set 1, Column B: Part II, 3: The difference between the Issue Price listed in Part I(e) is due to interest earnings on Bond Proceeds.
Set 1, Column C: PART I, (f): The issue date of the prior 2008B Bonds was 07/02/08. The issue date of the prior 2008D Bonds was 07/31/08. PART II, line 13: Since the proceeds of the 2012B and 2012D Bonds are used for refunding purposes, the year of substantial completion is not applicable. PART IV, line 2(b): The issue qualified for a spending exception to rebate. No rebate calculation has been or will ever be made, before or after the due date of an 8038-T. PART IV, line 4(e): The 2012B Goldman Sachs hedge was originally a hedge on the 2008B Bonds with a term of 39.15 years, and was reintegrated into the 2012B Bonds on June 15, 2012. The reintegrated hedge has a term of 35.19 years. PART IV, line 4(e): The 2012D Goldman Sachs hedge was originally a hedge on the 2008D Bonds with a term of 33.06 years, and was reintegrated into the 2012D Bonds on June 15, 2012. This reintegrated hedge has a term of 29.19 years.
Set 1, Column D: Part I, (f): The issue date of the 2008A Bonds was 07/02/08. Part II, line 13: Since the proceeds of the 2008A-Reissued Bonds are used for refunding purposes, the year of substantial completion is not applicable. Part IV, line 2(b): The issue qualified for a spending exception to rebate. No rebate calculation has been or will ever be made, before or after the due date of an 8038-T. Part IV, line 4(e): Based on the Proposed Regulations, the 2008A Goldman Sachs hedge is treated as continuing to the 2008A-Reissued Bonds instead of being terminated and reintegrated.
Set 1, Columns A, C, and D: PART III, LINE 7: AS PROVIDED IN TREASURY REGULATION SECTION 1.141-4(C)(2)(I)(B), THE AMOUNT OF PRIVATE PAYMENTS TAKEN INTO ACCOUNT UNDER THE PRIVATE PAYMENT TEST MAY NOT EXCEED THE AMOUNT OF PRIVATE BUSINESS USE AND/OR UNRELATED TRADE OR BUSINESS USE. ACCORDINGLY, THE AMOUNT OF PRIVATE PAYMENTS FOR THE REPORTING PERIOD DOES NOT EXCEED THE AMOUNT STATED IN PART III, LINE 6. THE ORGANIZATION HAS NOT UNDERTAKEN AN ANALYSIS OF THE PRIVATE SECURITY TEST WITH RESPECT TO THE BONDS, AS THE LEVEL OF PRIVATE BUSINESS USE AND/OR UNRELATED TRADE OR BUSINESS REPORTED IN PART III, LINE 6, IS NOT IN EXCESS OF AMOUNTS PERMITTED UNDER SECTION 145 OF THE CODE.
Set 2, Column A: Part I, (f): The issue date of the 2012D Bonds was 06/14/12. Part II, line 13: Since the proceeds of the 2012D-Reissued Bonds are used for refunding purposes, the year of substantial completion is not applicable. Part IV, line 2(b): The issue qualified for a spending exception to rebate. No rebate calculation has been or will ever be made, before or after the due date of an 8038-T. Part IV, line 4(e): Based on the Proposed Regulations, the 2012D Goldman Sachs hedge is treated as continuing to the 2012D-Reissued Bonds instead of being terminated and reintegrated. On April 1, 2016, the hedge was split into two transactions. Subsequently, one of the transactions was novated to Wells Fargo Bank, N.A. on April 25, 2016. The novated Wells Fargo hedge has a term of 2.93 years, and the Goldman Sachs portion of the transaction has a term of 26.25 years. The original term of the entire transaction of 29.19 years remains unchanged. 29.19 years remains unchanged.
Set 2, Column B: Part I (f): The issue date of the 2006AB Bonds was October 26, 2006. Part II, line 13: Since the proceeds of the 2016AB Bonds are used for refunding purposes, the year of substantial completion is not applicable. Part IV, line 2(b): The issue is on track to meet the 6-month spending exception to rebate. PART III, LINE 7: AS PROVIDED IN TREASURY REGULATION SECTION 1.141-4(C)(2)(I)(B), THE AMOUNT OF PRIVATE PAYMENTS TAKEN INTO ACCOUNT UNDER THE PRIVATE PAYMENT TEST MAY NOT EXCEED THE AMOUNT OF PRIVATE BUSINESS USE AND/OR UNRELATED TRADE OR BUSINESS USE. ACCORDINGLY, THE AMOUNT OF PRIVATE PAYMENTS FOR THE REPORTING PERIOD DOES NOT EXCEED THE AMOUNT STATED IN PART III, LINE 6. THE ORGANIZATION HAS NOT UNDERTAKEN AN ANLYSIS OF THE PRIVATE SECURITY TEST WITH RESPECT TO THE BONDS, AS THE LEVEL OF PRIVATE BUSINESS USE AND/OR UNRELATED TRADE OR BUSINESS REPORTED IN PART III, LINE 6, IS NOT IN EXCESS OF AMOUNTS PERMITTED UNDER SECTION 145 OF THE CODE.
Schedule K (Form 990) 2016

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