SCHEDULE R
(Form 990)

Department of the Treasury
Internal Revenue Service
Related Organizations and Unrelated Partnerships
right arrowComplete if the organization answered "Yes" on Form 990, Part IV, line 33, 34, 35b, 36, or 37.
right arrowAttach to Form 990.
right arrow Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047
2022
Open to Public Inspection
Name of the organization
USC ARCADIA HOSPITAL FOUNDATION
 
Employer identification number

95-3407027
Part I
Identification of Disregarded Entities. Complete if the organization answered "Yes" on Form 990, Part IV, line 33.
(a)
Name, address, and EIN (if applicable) of disregarded entity


(b)
Primary activity


(c)
Legal domicile (state
or foreign country)

(d)
Total income


(e)
End-of-year assets


(f)
Direct controlling
entity











Part II
Identification of Related Tax-Exempt Organizations. Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related tax-exempt organizations during the tax year.
(a)
Name, address, and EIN of related organization


(b)
Primary activity


(c)
Legal domicile (state
or foreign country)

(d)
Exempt Code section


(e)
Public charity status
(if section 501(c)(3))

(f)
Direct controlling
entity

(g)
Section 512(b)(13) controlled entity?
Yes No
(1)UNIVERSITY OF SOUTHERN CALIFORNIA
UNIVERSITY GARDENS - UGB203

LOS ANGELES,CA90089
95-1642394
EDUCATION CA 501(C)(3) 2 NA
 
 
No
(2)ICT PRODUCTIONS INC
C/O USC UGB 203

LOS ANGELES,CA90089
95-4843260
EDUC. MEDIA CA 501(C)(3) 12A USC
 
Yes
 
(3)DAVID X MARKS FOUNDATION
C/O USC UGB 203

LOS ANGELES,CA90089
95-6034304
USC SUPPORT CA 501(C)(3) 12A USC
 
Yes
 
(4)SURVIVORS OF SHOAH VISUAL HISTORY FDN
C/O USC 650 W 35TH ST

LOS ANGELES,CA90089
95-4474965
EDUC. MEDIA CA 501(C)(3) 7 USC
 
Yes
 
(5)USC Verdugo Hills Hospital Foundation
1812 VERDUGO BLVD

GLENDALE,CA91208
95-3247823
USC SUPPORT CA 501(C)(3) 12A VHH
 
Yes
 
(6)ALBEDO INSURANCE COMPANY IC
UNIVERSITY GARDENS UGB203

LOS ANGELES,CA90089
85-1454978
USC SUPPORT VT 501(C)(3) 12A USC
 
Yes
 
(7)USC CAPTIVE INSURANCE COMPANY
UNIVERSITY GARDENS UGB203

LOS ANGELES,CA90089
85-1454519
USC SUPPORT VT 501(C)(3) 12A USC
 
Yes
 
(8)USC CARE MEDICAL GROUP INC
1510 SAN PABLO ST 649

LOS ANGELES,CA90033
95-4540991
MANAGED CARE CA 501(C)(3) 12A USC HEALTH
 
Yes
 
(9)USC HEALTH SYSTEM
1510 SAN PABLO STREET

LOS ANGELES,CA90089
85-0666499
USC SUPPORT CA 501(C)(3) 12B USC
 
Yes
 
(10)KECK MEDICAL CENTER OF USC
1510 SAN PABLO STREET

LOS ANGELES,CA90033
85-1644866
HOSPITAL CA 501(C)(3) 3 USC HEALTH
 
Yes
 
(11)USC VERDUGO HILLS HOSPITAL
1812 VERDUGO BOULEVARD

GLENDALE,CA91208
85-1634852
HOSPITAL CA 501(C)(3) 3 USC HEALTH
 
Yes
 
(12)USC ARCADIA HOSPITAL
300 WEST HUNTINGTON DRIVE

ARCADIA,CA91007
95-1643336
HOSPITAL CA 501(C)(3) 3 USC HEALTH
 
Yes
 
(13)GENERAL LIABILITY DEFENSE IC
UNIVERSITY GARDENS UGB203

LOS ANGELES,CA90089
85-1472543
USC SUPPORT VT 501(C)(3) 12A USC
 
Yes
 
(14)NAT'L HLTHCRE RESEARCH & EDUC FINANCE CO
1445 ROSS AVENUE STE 3800

DALLA,TX75202
31-1707979
USC SUPPORT TX 501(C)(3) 12C NA
 
 
No
(15)THE ASC TRUST AT USC
C/O R FOX 1500 MARKET STREET

PHILADELPHIA,PA19102
77-6216147
USC SUPPORT PA 501(C)(3) 12D NA
 
 
No
(16)PACIFIC-12 CONFERENCE
1350 TREAT BOULEVARD

WALNUT CREEK,CA94597
94-1459048
USC SUPPORT CA 501(C)(3) 12A NA
 
 
No
(17)ALDERSGATE MEDICAL SERVICES
300 WEST HUNTINGTON DRIVE

ARCADIA,CA91007
95-3702057
SUPPORT ORG CA 501(C)(3) 12A USCAH
 
Yes
 
(18)WOMEN'S AUXILIARY OF METHODIST HOSPITAL
300 WEST HUNTINGTON DRIVE

ARCADIA,CA91007
95-4123357
HEALTHCARE CA 501(C)(3) 12D NA
 
 
No
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50135Y
Schedule R (Form 990) 2022
Page 2
Schedule R (Form 990) 2022
Page 2
Part III
Identification of Related Organizations Taxable as a Partnership. Complete if the organization answered "Yes" on Form 990, Part IV, line 34, because it had one or more related organizations treated as a partnership during the tax year.
(a)
Name, address, and EIN of
related organization



(b)
Primary activity




(c)
Legal
domicile
(state or foreign
country)


(d)
Direct controlling
entity



(e)
Predominant income(related, unrelated, excluded from tax under sections 512-514)

(f)
Share of total income




(g)
Share of end-of-year
assets



(h)
Disproprtionate allocations?




(i)
Code V-UBI
amount in box 20 of
Schedule K-1
(Form 1065)
(j)
General or
managing
partner?



(k)
Percentage
ownership


Yes No Yes No
(1) USCSCA SURGICAL HOLDINGS LLC

1510 SAN PABLO STREET
LOS ANGELES,CA02210
HOLDING COMPA CA NA
 
                 
(2) SUMMERTIME APARTMENTS

3990 RUFFIN ROAD SUITE 100
SAN DIEGO,CA92123
33-0167146
HOUSING CA USC
 
                 
(3) HM FUND II LP

150 EAST 58TH STREET 33RD FL
NEW YORK,NY10155
87-1030738
INVESTMENTS NY USC
 
                 
(4) STRIPES V MEADOWS CO-INVEST LP

40 10TH AVE 5TH FLOOR
NEW YORK,NY10014
86-2543648
INVESTMENTS NY USC
 
                 






Part IV
Identification of Related Organizations Taxable as a Corporation or Trust. Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a corporation or trust during the tax year.
(a)
Name, address, and EIN of
related organization
(b)
Primary activity
(c)
Legal
domicile
(state or foreign
country)
(d)
Direct controlling
entity
(e)
Type of entity
(C corp, S corp,
or trust)
(f)
Share of total income
(g)
Share of end-of-year
assets
(h)
Percentage
ownership
(i)
Section 512(b)(13) controlled entity?
Yes No
(1) MAY ROBERTS DEWRIGHT TRUST

UNIVERSITY GARDENS - UGB203
LOS ANGELES,CA900898003
95-6284845
USC SUPPORT CA NA
 
T       Yes  
(2) INTEGRATED DIGITAL ASSET CORPORATION

UNIVERSITY GARDENS - UGB203
LOS ANGELES,CA900898003
95-4680904
3RD PARTY CON CA NA
 
C       Yes  
(3) CHARITABLE REMAINDER TRUSTS (353)

 
 
FUNDRAISING CA NA
 
T       Yes  
(4) POOLED INCOME FUND (1)

 
 
FUNDRAISING CA NA
 
T       Yes  
(5) CHARITABLE REMAINDER TRUST

952 FALLEN LEAF ROAD
ARCADIA,CA91006
20-7419078
INVESTMENT CA USCAHF
 
T 12,377 141,829 100.000 % Yes  




Schedule R (Form 990) 2022
Page 3
Schedule R (Form 990) 2022
Page 3
Part V
Transactions With Related Organizations. Complete if the organization answered "Yes" on Form 990, Part IV, line 34, 35b, or 36.
Note. Complete line 1 if any entity is listed in Parts II, III, or IV of this schedule.
Yes
No
1 During the tax year, did the orgranization engage in any of the following transactions with one or more related organizations listed in Parts II-IV?
a Receipt of (i) interest, (ii) annuities, (iii) royalties, or (iv) rent from a controlled entity .....................
1a
Yes
 
b Gift, grant, or capital contribution to related organization(s) ............................
1b
Yes
 
c Gift, grant, or capital contribution from related organization(s) ............................
1c
 
No
d Loans or loan guarantees to or for related organization(s) ............................
1d
 
No
e Loans or loan guarantees by related organization(s) ............................
1e
 
No
f Dividends from related organization(s) ............................
1f
 
No
g Sale of assets to related organization(s) ............................
1g
 
No
h Purchase of assets from related organization(s) ............................
1h
 
No
i Exchange of assets with related organization(s) ............................
1i
 
No
j Lease of facilities, equipment, or other assets to related organization(s) .......................
1j
 
No
k Lease of facilities, equipment, or other assets from related organization(s) ......................
1k
 
No
l Performance of services or membership or fundraising solicitations for related organization(s) .....................
1l
Yes
 
m Performance of services or membership or fundraising solicitations by related organization(s) .................
1m
Yes
 
n Sharing of facilities, equipment, mailing lists, or other assets with related organization(s) ...................
1n
Yes
 
o Sharing of paid employees with related organization(s) ............................
1o
Yes
 
p Reimbursement paid to related organization(s) for expenses ............................
1p
Yes
 
q Reimbursement paid by related organization(s) for expenses ............................
1q
 
No
r Other transfer of cash or property to related organization(s) ............................
1r
 
No
s Other transfer of cash or property from related organization(s) ............................
1s
 
No
2
If the answer to any of the above is "Yes," see the instructions for information on who must complete this line, including covered relationships and transaction thresholds.
(a)
Name of related organization
(b)
Transaction
type (a-s)
(c)
Amount involved
(d)
Method of determining amount involved
(1) CHARITABLE REMAINDER TRUST

A 5,896 ACTUAL VALUE





Schedule R (Form 990) 2022
Page 4
Schedule R (Form 990) 2022
Page 4
Part VI
Unrelated Organizations Taxable as a Partnership. Complete if the organization answered "Yes" on Form 990, Part IV, line 37.
Provide the following information for each entity taxed as a partnership through which the organization conducted more than five percent of its activities (measured by total assets or gross revenue) that was not a related organization. See instructions regarding exclusion for certain investment partnerships.
(a)
Name, address, and EIN of entity
(b)
Primary activity
(c)
Legal domicile
(state or foreign
country)
(d)
Predominant income (related, unrelated, excluded from tax under sections 512-514)

(e)
Are all partners
section
501(c)(3)
organizations?
(f)
Share of total income




(g)
Share of
end-of-year
assets
(h)
Disproprtionate allocations?
(i)
Code V-UBI
amount in box 20
of Schedule K-1
(Form 1065)
(j)
General or
managing
partner?
(k)
Percentage
ownership


Yes No Yes No Yes No






























Schedule R (Form 990) 2022
Page 5
Schedule R (Form 990) 2022
Page 5
Part VII
Supplemental Information
Provide additional information for responses to questions on Schedule R. See instructions.
Return Reference Explanation
Schedule R (Form 990) 2022

Additional Data


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