2023-11-09T14:12:22-06:00 2022-12-31 910189318 Moss Adams LLP 3121 W March Ln Ste 200 Stockton CA 952192367 990 2022-01-01 237366330 Fremont-Rideout Foundation FREM 5307514070 414 G Street 130 Marysville CA 95901 Heidar Thordarson Treasurer 5307514070 2023-11-09 1 Heidar Thordarson 999009999 1 Tracy S Paglia P00366884 2099556100 2023-11-09 2 AAL1 IAL1 2022 2023-04-26 12:10:37Z John Weiler 414 G Street 130 Marysville CA 95901 1391453 0 X www.adventisthealth.org/rideout/giving X 1973 CA Promotes the philanthropic contributions that advance the mission of Adventist Health and Rideout. 13 13 0 21 0 0 343680 1174075 0 0 208723 183835 445190 -29585 997593 1328325 59911 532662 0 0 386707 429903 0 0 0 80986 90017 527604 1052582 469989 275743 7032505 6545150 71468 0 6961037 6545150 The primary purposes of the Fremont-Rideout Foundation are to support, benefit and further the charitable, scientific and educational purposes of Adventist Health and Rideout and its affiliates. 0 0 532662 532662 0 The Foundation's function is to raise funds through fundraising activities and provide funds for health care programs, new equipment, renovations and scholarships that make an immediate and lasting difference in the quality of health care delivered. 532662 1 1 0 0 0 0 0 0 0 1 0 0 0 0 0 1 1 0 0 0 0 0 0 0 1 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 1 1 0 0 0 0 0 0 X 13 13 0 0 0 0 0 1 1 1 1 0 0 1 1 1 1 1 1 0 0 0 CA X John Beaman CFO 9164060000 1 Adventist Health Way Roseville CA 95661 Swanson Jeffery Executive Director 40.00 0.00 X 234923 0 50015 Champlin Christopher President 2.00 0.00 X 0 0 0 Gonzalez Eduardo Finance Executive thru 06/22 2.00 0.00 X 0 0 0 Thordarson Heidar Finance Executive as of 06/22 2.00 0.00 X 0 0 0 Weiler John Chair 1.00 0.00 X X 0 0 0 Johl Sarbit Vice Chair 1.00 0.00 X X 0 0 0 Kang Jasbir Secretary 1.00 0.00 X X 0 0 0 Ten Haken Joyce Treasurer 1.00 0.00 X X 0 0 0 Dhadli Hardeep Director 1.00 0.00 X 0 0 0 Hudson Alan Director 1.00 0.00 X 0 0 0 Langsdorf Mary Director 1.00 0.00 X 0 0 0 Marsan Russ Director 1.00 0.00 X 0 0 0 Sanchez Catalina Director 1.00 0.00 X 0 0 0 Serna Adrian Director 1.00 0.00 X 0 0 0 Tarke David Director 1.00 0.00 X 0 0 0 Trumbo Shelly Director 1.00 0.00 X 0 0 0 Wright John Director 1.00 0.00 X 0 0 0 234923 0 50015 1 0 1 1 0 56200 1117875 3000 1174075 183835 183835 33543 56200 63128 -29585 -29585 1328325 0 0 154250 532662 532662 284937 284937 106005 106005 5716 5716 9017 9017 24228 24228 15439 15439 956 956 28015 28015 5051 5051 4097 4097 Taxes & Licenses 6400 6400 Business Meals & Entert 5469 5469 Dues and Subscriptions 1400 1400 23190 23190 1052582 532662 519920 0 740909 1729924 962739 202575 5328857 4556319 0 56332 7032505 6545150 71468 0 71468 0 X 5202486 4632733 1758551 1912417 6961037 6545150 7032505 6545150 275743 -691630 0 X 0 1 X 0 0 X 135642 575919 300206 343680 1174075 2529522 135642 575919 300206 343680 1174075 2529522 337451 2192071 12262 91074 132088 208723 183835 627982 178046 538945 452330 1169321 4326825 300146 0.50660 0.72270 X Schedule A, Part II, Line 10, Explanation of Other Income: Expense reimbursement Schedule A, Part II, Column (a): The Foundation is filing a short year return for the period July 1 - December 31, 2018 to convert to a calendar year end. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 97751 200 97951 102251 -4500 97751 98751 5000 1500 102251 98751 98751 98751 98751 0.00000 0.14250 0.85750 0 0 0 X 704323 -691630 4500 63128 -624002 1328325 0 1328325 1120210 4500 63128 67628 1052582 0 1052582 Part V, Line 4: Endowment funds are used to fund scholarships. Part X, Line 2: The Foundation is exempt from income taxes under Section 501(c)(3) of the Internal Revenue Code and Section 23701(d) of the California Revenue and Taxation Code. The Foundation has been classified as an organization that is not a private foundation under Section 509(a)(1). The Foundation has not entered into any activities that would jeopardize its tax-exempt status. Accordingly, no provision for income taxes is required. The Foundation files exempt organization returns in the U.S. federal and California jurisdictions. The Foundation adopted FASB ASC 740, Income Taxes, which accounts for uncertainty in income taxes recognized in the Foundation's financial statements and prescribes a recognition threshold and measurement attribute for the financial statement recognition and measurement of a tax position taken, or expected to be taken, in a tax return. FASB ASC 740 also provides guidance on recognition and measurement of a tax position taken, or expected to be taken, in a tax return. Part XI, Line 2d - Other Adjustments: Fundraising events expenses 63,128. Part XII, Line 2d - Other Adjustments: Fundraising events expenses 63,128. Fairway to Health Golf Event 45560 26400 19160 29619 1478 6176 Dance with our Stars 44183 29800 14383 19423 6432 89743 56200 33543 49042 1478 12608 63128 -29585 1 Rideout Memorial Hospital 726 4th Street Marysville CA 95901 941387866 501(c)(3) 532662 0 Cost General support & equipment purchases 1 0 Part I, Line 2: The Hospital Department submits a written request for Foundation assistance to the Divisional Administrator and Capital Committee, as appropriate. Upon review and approval by the Director of Materials management, the Finance executive, the Patient Care Executive, the Operations Executive, and the President, this request (if under $5,000) is reviewed by the Foundation Executive Director, or if over $5,000 by the Foundation Board of Directors. If approved, the Department will be notified and asked to move forward with the purchase and charge one of their cost centers. The Department sends proof of the purchase to the Foundation. The Foundation processes a transfer of funds back to the entity to cover the purchase. A copy of the board minutes accompanies each transfer of funds over $5,000. Gift requests less than $5,000 can be approved by the Executive Director of the Foundation. 0 0 0 0 0 0 0 0 0 Swanson Jeffery Executive Director 228462 0 4475 0 1986 0 7048 0 42967 0 284938 0 0 0 Part I, Line 3 The Foundation relied on an unrelated affiliated organization (Adventist Health System/West) to determine the compensation for its top management official. The unrelated organization used one or more methods in line 3. Compensation is paid by an unrelated affiliated organization (Rideout Memorial Hospital) for services provided to the Foundation. Form 990, Part VI, Section A, line 7a Three of the directors are appointed by Stone Point Health. Form 990, Part VI, Section A, line 7b Amendments to certain Sections of the Foundation's Articles of Incorporation or Bylaws require approval by a majority of the Directors appointed by Stone Point Health. Form 990, Part VI, Section B, line 11b This Form 990 including all supporting schedules was prepared by a public accounting firm, reviewed by the Foundation's Executive Director, and provided to the Foundation's Board of Directors prior to filing. Form 990, Part VI, Section B, line 12c During the first quarter of each year, the annual conflict of interest questionnaire is sent to board members, corporate officers, key employees, and department directors for completion and signature. The questionnaire is accompanied by a letter of explanation to illustrate examples of a conflict and remind the recipient that if any perceived conflict should arise before the next annual questionnaire, he/she is to notify the Executive Director immediately. For potential conflicts, the Executive Director or a designee will determine and present all relevant facts to the governing body prior to the decision. After addressing any questions asked by the governing body, the responsible person must leave the meeting during the discussion of the matter that involves a conflict and during any vote on the matter. Form 990, Part VI, Section B, line 15 The Foundation did not compensate its top management official, but rather compensation was determined and paid by an unrelated affiliated organization. The compensation for the Executive Director is reported in Form 990, Part VII and Schedule J, Part II to show the value the Foundation received for the compensation paid by the unrelated affiliated organization. Form 990, Part VI, Section C, line 19 The Foundation does not make its governing documents, conflict of interest policy, or financial statements available to the public.