2025-05-12T20:43:06-05:00 2024-06-30 910189318 MOSS ADAMS LLP 225 S LAKE AVE SUITE 900 PASADENA CA 91101 990 2023-07-01 330011887 SADDLEBACK MEMORIAL FOUNDATION SADD 9494523680 24451 HEALTH CENTER DRIVE LAGUNA HILLS CA 92653 CHRISTY WARD PRESIDENT 9494523680 2025-05-06 1 1 LAUREN A HAVERLOCK P00545829 3104770450 2023 2025-03-06 01:10:19Z MEMORIALCARE SADDLEBACK MEDICAL CENTER FOUNDATION CHRISTY WARD 24451 HEALTH CENTER DRIVE LAGUNA HILLS CA 92653 85102143 0 X WWW.MEMORIALCARE.ORG X 1979 CA TO DEVELOP THE PHILANTHROPIC RESOURCES NECESSARY TO STRENGTHEN THE ABILITY OF SADDLEBACK MEMORIAL MEDICAL CENTER TO ENHANCE THE HEALTH AND WELL-BEING OF INDIVIDUALS, FAMILIES, AND OUR COMMUNITY. 19 14 12 18 0 0 7349053 4014109 0 0 4160259 21027822 -7444124 3413850 4065188 28455781 2713869 9000000 0 0 1947303 2340663 0 0 2033208 698681 661068 5359853 12001731 -1294665 16454050 175405493 178726049 4094625 4167617 171310868 174558432 X TO DEVELOP THE PHILANTHROPIC RESOURCES NECESSARY TO STRENGTHEN THE ABILITY OF SADDLEBACK MEMORIAL MEDICAL CENTER TO ENHANCE THE HEALTH AND WELL-BEING OF INDIVIDUALS, FAMILIES, AND OUR COMMUNITY. 0 0 4105048 4105048 0 PROVIDED GRANTS FOR SADDLEBACK MEMORIAL MEDICAL CENTER CAPITAL ITEMS (SEE SCHEDULE I). 1643665 1643665 0 PROVIDED GRANT FOR SADDLEBACK MEMORIAL MEDICAL CENTER'S HOSPICE & PALLIATIVE CARE SERVICES (SEE SCHEDULE I). 348239 348239 0 PROVIDED GRANT FOR SADDLEBACK MEMORIAL MEDICAL CENTER'S COMMISSION ON CANCER ACCREDITATION INITIATIVE (SEE SCHEDULE I). 2903048 2903048 0 OTHER PROGRAM SERVICES CONSIST OF GRANTS TO SADDLEBACK MEMORIAL MEDICAL CENTER FOR THE FOLLOWING AMOUNTS AND RELATED PROGRAMS:SURGICAL SERVICES - $265,462TELERADIOLOGY SERVICES - $250,000NURSE NAVIGATOR (CANCER SERVICES-BREAST) - $206,324NURSE NAVIGATOR (CARDIAC SERVICES) - $190,000NURSE NAVIGATOR (SPINE-JOINT-REHAB SERVICES) - $163,187NURSE NAVIGATOR (BREAST CENTER SERVICES) - $124,667NURSE NAVIGATOR (CANCER SERVICES-LUNG CANCER) - $120,586LICENSED SOCIAL WORKER FOR LAGUNA WOODS SENIOR PROGRAM - $117,000WOMEN'S SUPPORT GROUP COORDINATOR - $112,204NURSE NAVIGATOR (WOMEN'S HEALTH SERVICES) - $110,413NURSE NAVIGATOR (CANCER SERVICES-GENERAL ONCOLOGY) - $103,004NURSE PRACTITIONERS (CARDIAC SERVICES) - $97,917INFUSION CENTER SERVICES - $86,315NURSE NAVIGATOR (CANCER SERVICES) - $84,916NURSE EDUCATOR (EMERGENCY SERVICES) - $79,600NURSE NAVIGATOR (INTERVENTIONAL RADIOLOGY) - $78,732BLOOD DONOR CENTER SERVICES - $65,907NURSING SCHOLARSHIP AWARDS - $64,113MRI CONSULTANT (BREAST CENTER) - $60,000BREAST CENTER AWARENESS MONTH COMMUNITY OUTREACH - $56,538CV HYBRID ROOM SOFTWARE UPGRADE - $52,429GI CALL COVERAGE (EMERGENCY DEPT) - $50,000SENIOR ADVOCATE/PATIENT CONCIERGE - $50,000NURSE NAVIGATOR (NEUROLOGY) - $49,000PASTORAL CARE (CHAPLAINCY) - $47,932NURSE EDUCATOR (HOSPITAL ELDER LIFE PROGRAM, H.E.L.P.) - $46,126POSTPARTUM SUPPORT GROUP CLASSES (FOR NEW MOMS & BABIES) - $28,167PROCEDURAL CARTS FOR EMERGENCY SERVICES (QUANTITY 7) - $20,581PHYSICIAN TRAINING (ONCOLOGY PROGRAM) - $20,000STROKE PROGRAM ACCREDITATION - $15,154POSTPARTUM SUPPORT GROUP PROGRAM FOR LDRP - $12,000NURSING EDUCATION AND CERTIFICATION - $11,932HOSPITAL ELDER LIFE PROGRAM (H.E.L.P.) - $11,394PHYSICIAN BUSINESS CULTIVATION - $9,000HERCULES BLANKETS, SCALE, AND CHAIRS (ICU) - $8,500EMERGENCY SERVICES - $6,277VOLUNTEER SERVICES SCHOLARSHIP AWARDS - $6,000PUPILLOMETRY SERVICES (EMERGENCY DEPT) - $5,995WOMEN'S HEALTH PAVILION YOGA CLASS MATS - $3,800OFFICE CHAIRS (EMERGENCY DEPT) - $3,601TEA CART SERVICES FOR LDRP - $3,504NURSES WEEK CELEBRATION - $2,341EMS APPRECIATION LUNCHES - $1,205SPINAL HOPE SUPPORT GROUP - $750NURSING EDUCATION AND CERTIFICATION (INFUSION CENTER) - $475 2903048 2903048 0 9000000 1 1 0 0 0 0 0 0 0 1 1 0 0 0 1 1 1 1 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 1 1 0 0 0 1 51 0 1 12 1 0 0 0 0 0 1 1 0 0 0 0 0 0 X 19 14 0 0 1 0 1 1 1 1 1 0 0 1 1 1 1 1 1 0 0 0 CA X BRIAN KRAWIEC CFO 9494523680 24451 HEALTH CTR DR LAGUNA HILLS CA 92653 MARCIA MANKER BOARD MEMBER, CEO SMMC 1.00 59.00 X 0 1451856 264004 CHRISTY WARD PRESIDENT 60.00 0.00 X X 0 664819 36368 BRIAN KRAWIEC CFO/EXECUTIVE DIRECTOR, FINANCE 51.00 9.00 X 0 270867 37016 MELISSA CENTENO DIRECTOR, COMM & DONOR ENG 40.00 0.00 X 0 208267 28375 RAMONA LOPEZ EXEC. DIRECTOR, DATA MANAGEMENT 40.00 0.00 X 0 164348 17040 COLLEEN O'CONNOR EXEC. DIRECTOR, MAJOR GIFTS 40.00 0.00 X 0 179508 22034 WANG TENG MD BOARD MEMBER 1.00 40.00 X 0 34320 0 CANDACE HAYNES BOARD SECRETARY (FROM 1/1/24) 1.00 8.00 X X 0 8303 0 MATTHEW KIMMEL BOARD CHAIR 1.00 0.00 X X 0 0 0 GUS ALVAREZ BOARD VICE CHAIR 1.00 0.00 X X 0 0 0 NAREN GOEL BOARD TREASURER 1.00 0.00 X X 0 0 0 HEIDI STOOPS BOARD SECRETARY (THRU 12/31/23) 1.00 0.00 X X 0 0 0 JOYCE AVERNA BOARD MEMBER 1.00 0.00 X 0 0 0 SANDY BENSON BOARD MEMBER 1.00 0.00 X 0 0 0 NORA EVANS MD BOARD MEMBER 1.00 0.00 X 0 0 0 PATTY JUAREZ BOARD MEMBER 1.00 0.00 X 0 0 0 RHONDA LONGMORE-GRUND BOARD MEMBER 1.00 0.00 X 0 0 0 LAURIE LOUIE BOARD MEMBER 1.00 0.00 X 0 0 0 GAYLE LUCIANO BOARD MEMBER 1.00 0.00 X 0 0 0 JIM MCNULTY BOARD MEMBER 1.00 0.00 X 0 0 0 SARAH NEDERLANDER BOARD MEMBER 1.00 0.00 X 0 0 0 TOM ROGERS BOARD MEMBER 1.00 0.00 X 0 0 0 KETAN SHAH MD BOARD MEMBER 1.00 0.00 X 0 0 0 JESSIE VALENCIA BOARD MEMBER 1.00 0.00 X 0 0 0 0 2982288 404837 0 0 1 0 RUSSELL INVESTMENTS 1301 2ND AVENUE 18TH FLOOR SEATTLE WA 98101 INVESTMENT ADVISORY 181255 1 677726 10000 3326383 4014109 3885609 3885609 73429326 56287113 17142213 17142213 17142213 136930 677726 359249 -222319 -222319 3800 0 3800 3800 K-1 PASSTHROUGH 901101 3632369 3632369 3632369 28455781 0 0 24441672 9000000 9000000 1055365 419520 635845 831819 49130 782689 54183 11852 42331 284649 14431 270218 114647 17056 97591 24877 24877 89139 89079 60 196831 196831 31405 31405 60378 24861 35517 61472 20856 40616 2707 2707 17684 17684 78692 47929 30763 7465 6357 1108 RECOGNITION EVENTS 21086 21086 BUSINESS CULTIVATION 9583 9583 DUES AND SUBSCRIPTIONS 9208 1252 7956 BAD DEBT EXPENSE 6428 6428 44113 41785 2328 12001731 9000000 968523 2033208 15488615 13331907 176548 95090 1975165 2881373 1282221 1282221 0 0 154454066 158814601 3311099 3603078 175405493 178726049 4094625 4167617 4094625 4167617 X 75668185 80903333 95642683 93655099 171310868 174558432 175405493 178726049 X 16454050 -13488972 282486 X 0 1 X 1 0 X 6278679 3361945 3252423 7349053 4014109 24256209 6278679 3361945 3252423 7349053 4014109 24256209 6145640 18110569 3018470 2202236 2755561 2914035 3885609 14775911 84841 84841 39116961 0.46300 0.47400 X SCHEDULE A, PART II, LINE 10, EXPLANATION OF OTHER INCOME: K-1 PASSTHROUGH - 2019 AMOUNT: $ 0. 2020 AMOUNT: $ 84,841. 2021 AMOUNT: $ 0. 2022 AMOUNT: $ 0. 2023 AMOUNT: $ 0. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 74285491 863520 5507541 3644899 9313 77002340 72529746 1464207 4101338 3571249 238551 74285491 80136411 201567 -4240362 3386294 181576 72529746 67329242 13733 14579510 1638278 147796 80136411 68555554 78631 -826094 469143 9706 67329242 0.01500 0.98500 0.00000 0 0 424567 424567 0 857654 857654 0 0 SPLIT INTEREST AGREEMENT LIABILITY 3459308 DUE TO RELATED PARTIES 708309 4167617 X 15411713 -13488972 282486 -13206486 28618199 196831 -359249 -162418 28455781 12164149 359249 359249 11804900 196831 196831 12001731 PART V, LINE 4: THE MAJORITY OF ENDOWMENT FUNDS ARE PERMANENTLY RESTRICTED (INCLUDED IN THE "WITH DONOR RESTRICTIONS" NET ASSET CLASSIFICATION). THE CUMULATIVE UNDISTRIBUTED ENDOWMENT INCOME IS HELD IN TEMPORARILY RESTRICTED (ALSO WITHIN "WITH DONOR RESTRICTIONS" NET ASSET CLASSIFICATION). THE PRINCIPAL, OR ORIGINAL GIFT AMOUNT, IS HELD IN PERPETUITY AND CANNOT BE USED, OR TRANSFERRED TO RELATED ORGANIZATIONS AS FUNDING OR GRANT REVENUE. ONLY THE NET INVESTMENT INCOME, WITHIN POLICY GUIDELINES AND THRESHOLDS, CAN BE USED TO SUPPORT SMMC. ADDITIONALLY, IN THE CURRENT REPORTING PERIOD, SMF'S BOARD ESTABLISHED A POLICY AND GUIDELINES THAT IMPOSE DESIGNATIONS ON CERTAIN NET ASSETS WITHOUT RESTRICTIONS. TO ENHANCE THE SUPPORT TO SMMC, FOR SPECIFIC ONCOLOGY RELATED PROGRAMS, AN AMOUNT TOTALING $1,000,000 WAS DESIGNATED FOR LONG-TERM INVESTMENT AS A BOARD DESIGNATED ENDOWMENT. ENDOWMENT FUNDS CREATED BY SMF'S BOARD ARE DESIGNATED FROM A PORTION OF NET ASSETS WITHOUT RESTRICTIONS TO BE INVESTED TO PROVIDE NET INVESTMENT INCOME FOR A LONG, BUT NOT NECESSARILY SPECIFIED PERIOD. THE DESIGNATED INVESTMENTS ARE HELD IN NET ASSETS WITHOUT RESTRICTIONS, AND THE NET INVESTMENT INCOME DERIVED FROM THE DESIGNATED ASSETS ARE RECORDED IN NET ASSETS WITHOUT RESTRICTIONS. THE NET INVESTMENT INCOME IS EXPENDABLE TO SUPPORT THE PURPOSE(S) AS DESIGNATED BY SMF'S BOARD FOR AS LONG AS DEEMED NECESSARY AND APPROPRIATE. THE DURATION OF THIS TYPE OF ENDOWMENT, AS DEFINED AND INTERPRETED BY RELEVANT LAW, STIPULATES THAT THE DESIGNATED ASSETS ARE NOT HELD IN PERPETUITY. UPON COMPLETION OR FULFILLMENT OF THE DESIGNATED PURPOSE(S), BY ORDER OF THE SMF'S BOARD, THE DESIGNATED ASSETS WILL EFFECTIVELY BECOME UNDESIGNATED, AND ALL NET INVESTMENT INCOME WILL AGAIN BE AVAILABLE FOR PURPOSES WITHOUT RESTRICTIONS. PART X, LINE 2: ACCOUNTING STANDARDS CODIFICATION (ASC) 740, INCOME TAXES, CLARIFIES THE ACCOUNTING FOR INCOME TAXES BY PRESCRIBING A MINIMUM RECOGNITION THRESHOLD THAT A TAX PROVISION IS REQUIRED TO MEET BEFORE BEING RECOGNIZED IN THE FINANCIAL STATEMENTS. ASC 740 ALSO PROVIDES GUIDANCE ON DE-RECOGNITION, MEASUREMENT, CLASSIFICATION, INTEREST AND PENALTIES, DISCLOSURE AND TRANSITION. THE GUIDANCE IS APPLICABLE TO PASS-THROUGH ENTITIES AND TAX-EXEMPT ORGANIZATIONS. NO SIGNIFICANT TAX LIABILITY OR TAX BENEFITS, INTEREST OR PENALTIES WAS ACCRUED ON JUNE 30, 2024, AND 2023. PART XI, LINE 2D - OTHER ADJUSTMENTS: CHANGE IN VALUE OF SPLIT-INTEREST AGREEMENTS 282,486. PART XI, LINE 4B - OTHER ADJUSTMENTS: DIRECT EVENT EXPENSES -359,249. PART XII, LINE 2D - OTHER ADJUSTMENTS: DIRECT EVENT EXPENSES 359,249. GALA 701726 588594 113132 102400 87931 6500 122025 GOLF 112930 89132 23798 25306 10500 4587 814656 677726 136930 127706 98431 6500 126612 359249 -222319 1 SADDLEBACK MEMORIAL MEDICAL CENTER 24451 HEALTH CENTER DRIVE LAGUNA HILLS CA 92653 952585792 501(C)(3) 9000000 0 SEE PART IV 1 0 PART I, LINE 2: FORM 990, SCHEDULE I, PART I, LINE 2: DEPARTMENTS WITHIN SADDLEBACK MEMORIAL MEDICAL CENTER (SMMC) REQUEST GRANTS FROM SADDLEBACK MEMORIAL FOUNDATION (SMF) BY SUBMITTING REQUEST FORMS TO SMMC ADMINISTRATION FOR REVIEW, EVALUATION, AND PRIORITIZATION. ADDITIONALLY, MEMORIAL HEALTH SERVICES RESEARCH ADMINISTRATION (MHS) MAY ALSO REQUEST GRANTS FROM SMF (FOR RESEARCH CONDUCTED AT SMMC). SMMC ADMINISTRATION INCLUDES SMMC'S CHIEF EXECUTIVE OFFICER (CEO), CHIEF OPERATING OFFICER (COO), CHIEF FINANCIAL OFFICER (CFO), AND CHIEF NURSING OFFICER (CNO). SMF'S PRESIDENT AND SMF'S CFO WORK CLOSELY WITH SMMC ADMINISTRATION TO ENSURE THE DONOR'S USE AND DESIGNATION OF PHILANTHROPIC FUNDS ARE MATCHED WITH THE NEEDS OF SMMC, THEREBY FULFILLING THE INTENT OF THE DONOR. THE GRANT REQUEST FORM IS COMPLETED BY THE INDIVIDUAL(S) AUTHORIZED TO INITIATE THE REQUEST AND MUST INCLUDE ALL SUPPORT DOCUMENTATION. ALL REQUESTS HAVE THE APPROVAL AND ENDORSEMENT OF THE DEPARTMENT'S EXECUTIVE DIRECTOR BEFORE BEING SUBMITTED TO SMMC ADMINISTRATION. DURING THE REVIEW, EVALUATION, AND PRIORITIZATION PROCESS, SMMC ADMINISTRATION CONSIDERS EACH GRANT SEPARATELY AND DETERMINES WHICH REQUESTS WOULD BE MOST EFFECTIVE IN PROVIDING ASSISTANCE TO ENHANCE CLINICAL OUTCOMES. CONSIDERATION IS GIVEN TO GRANT REQUESTS FOR CAPITAL ITEMS, PROJECTS, PROGRAM SERVICES, CLINICAL EDUCATION, AND RESEARCH. ONCE APPROVED, SMF'S CFO IS RESPONSIBLE FOR MONITORING, RECEIVING, PROCESSING, AND REPORTING ALL GRANT REQUESTS. ALL REQUESTS ARE REPORTED TO SMF'S BOARD ON A QUARTERLY BASIS. ADDITIONALLY, SMMC PROVIDES FEEDBACK/MONITORING TO SMF ON THE USE OF THE GRANTS, WHICH IS ALSO REPORTED BACK TO THE SMF BOARD. PURPOSE OF GRANTS OR ASSISTANCE FORM 990, SCHEDULE I, PART II: THE TOTAL CONSISTS OF THE FOLLOWING AMOUNTS: CAPITAL EQUIPMENT AND PROJECTS: PET-CT - $1,900,000 SAN CLEMENTE SITE DEVELOPMENT PREPARATION (PREVIOUS SAN CLEMENTE HOSPITAL CAMPUS) - $800,000 HUGS INFANT SECURITY SYSTEM - $543,758 HOSPITAL LOBBY & WAITING ROOM FURNITURE - $234,164 GIRAFFE OMNIBED CARE STATIONS - $190,330 FOUNDATION OFFICE RENOVATION PROJECT (PHASE II) - $145,000 BLADDER SCANNERS (QTY 7) - $92,009 GIRAFFE INCUBATORS FOR THE NICU (QTY 4) - $61,158 PANDA BEDS FOR LDRP (QTY 6) - $57,638 GYN/ONC OR TABLE - $54,024 NOVIIS WIRELESS MONITOR SYSTEM FOR WOMEN'S HOSPITAL - $24,705 BLUE LIGHT CYSTOSCOPY EQUIPMENT - $2,262 PROGRAM SERVICES: HOSPICE & PALLIATIVE CARE - $1,643,665 COMMISSION ON CANCER ACCREDITATION - $348,239 SURGICAL SERVICES - $265,462 TELERADIOLOGY SERVICES - $250,000 NURSE NAVIGATOR (CANCER SERVICES-BREAST) - $206,324 NURSE NAVIGATOR (CARDIAC SERVICES) - $190,000 NURSE NAVIGATOR (SPINE-JOINT-REHAB SERVICES) - $163,187 NURSE NAVIGATOR (BREAST CENTER SERVICES) - $124,667 NURSE NAVIGATOR (CANCER SERVICES-LUNG CANCER) - $120,586 LICENSED SOCIAL WORKER FOR LAGUNA WOODS SENIOR PROGRAM - $117,000 WOMEN'S SUPPORT GROUP COORDINATOR - $112,204 NURSE NAVIGATOR (WOMEN'S HEALTH SERVICES) - $110,413 NURSE NAVIGATOR (CANCER SERVICES-GENERAL ONCOLOGY) - $103,004 NURSE PRACTITIONERS (CARDIAC SERVICES) - $97,917 INFUSION CENTER SERVICES - $86,315 NURSE NAVIGATOR (CANCER SERVICES) - $84,916 NURSE EDUCATOR (EMERGENCY SERVICES) - $79,600 NURSE NAVIGATOR (INTERVENTIONAL RADIOLOGY) - $78,732 BLOOD DONOR CENTER SERVICES - $65,907 NURSING SCHOLARSHIP AWARDS - $64,113 MRI CONSULTANT (BREAST CENTER) - $60,000 BREAST CENTER AWARENESS MONTH COMMUNITY OUTREACH - $56,538 CV HYBRID ROOM SOFTWARE UPGRADE - $52,429 GI CALL COVERAGE (EMERGENCY DEPT) - $50,000 SENIOR ADVOCATE/PATIENT CONCIERGE - $50,000 NURSE NAVIGATOR (NEUROLOGY) - $49,000 PASTORAL CARE (CHAPLAINCY) - $47,932 NURSE EDUCATOR (HOSPITAL ELDER LIFE PROGRAM, H.E.L.P.) - $46,126 POSTPARTUM SUPPORT GROUP CLASSES (FOR NEW MOMS/BABIES) - $28,167 PROCEDURAL CARTS FOR EMERGENCY SERVICES (QTY 7) - $20,581 PHYSICIAN TRAINING (ONCOLOGY PROGRAM) - $20,000 STROKE PROGRAM ACCREDITATION - $15,154 POSTPARTUM SUPPORT GROUP PROGRAM FOR LDRP - $12,000 NURSING EDUCATION AND CERTIFICATION - $11,932 HOSPITAL ELDER LIFE PROGRAM (H.E.L.P.) - $11,394 PHYSICIAN BUSINESS CULTIVATION - $9,000 HERCULES BLANKETS, SCALE, AND CHAIRS (ICU) - $8,500 EMERGENCY SERVICES - $6,277 VOLUNTEER SERVICES SCHOLARSHIP AWARDS - $6,000 PUPILLOMETRY SERVICES (EMERGENCY DEPT) - $5,995 WOMEN'S HEALTH PAVILION YOGA CLASS MATS - $3,800 OFFICE CHAIRS (EMERGENCY DEPT) - $3,601 TEA CART SERVICES FOR LDRP - $3,504 NURSES WEEK CELEBRATION - $2,341 EMS APPRECIATION LUNCHES - $1,205 SPINAL HOPE SUPPORT GROUP - $750 NURSING EDUCATION AND CERTIFICATION (INFUSION CENTER) - $475 0 1 0 0 0 0 0 0 0 MARCIA MANKER BOARD MEMBER, CEO SMMC 0 789041 0 357031 0 305784 0 244749 0 19255 0 1715860 0 178719 CHRISTY WARD PRESIDENT 0 427825 0 144191 0 92803 0 16500 0 19868 0 701187 0 0 BRIAN KRAWIEC CFO/EXECUTIVE DIRECTOR, FINANCE 0 200777 0 11578 0 58512 0 27298 0 9718 0 307883 0 0 MELISSA CENTENO DIRECTOR, COMM & DONOR ENG 0 171886 0 11956 0 24425 0 15064 0 13311 0 236642 0 0 RAMONA LOPEZ EXEC. DIRECTOR, DATA MANAGEMENT 0 139865 0 8256 0 16227 0 8519 0 8521 0 181388 0 0 COLLEEN O'CONNOR EXEC. DIRECTOR, MAJOR GIFTS 0 159915 0 1000 0 18593 0 12712 0 9322 0 201542 0 0 SCHEDULE J, PART I, LINE 3 THE COMPENSATION OF THE ORGANIZATION'S PRESIDENT IS DETERMINED BY MEMORIAL HEALTH SERVICES (MHS), THE TAX-EXEMPT PARENT OF SADDLEBACK MEMORIAL MEDICAL CENTER. SEE SCHEDULE O FOR FORM 990, PART VI, LINES 15A AND 15B FOR THE PROCESS USED BY MHS TO DETERMINE COMPENSATION. SCHEDULE J, PART I, LINE 4B SUPPLEMENTAL NON-QUALIFIED RETIREMENT PLAN: THE ORGANIZATION MAINTAINS A DEFINED CONTRIBUTION PLAN WHERE EACH YEAR'S CONTRIBUTION VESTS AFTER THREE YEARS. PARTICIPANTS WHO ATTAIN SPECIFIC AGE AND YEARS OF SERVICE REQUIREMENTS ARE FULLY VESTED IN THEIR PLAN BENEFIT AND EACH SUBSEQUENT CONTRIBUTION IS VESTED ON A QUARTERLY BASIS WHEN PAID. FOR THE 2023 CALENDAR YEAR, THE FOLLOWING INDIVIDUAL RECEIVED THE FOLLOWING VESTED CONTRIBUTIONS AND PAYMENTS, WHICH WERE INCLUDED ON THEIR 2023 W-2 AND WHICH ARE REPORTED AS "OTHER REPORTABLE COMPENSATION" ON SCHEDULE J, PART II, COLUMN B(III). MARCIA MANKER: $149,719 SCHEDULE J, PART I, LINE 7 CERTAIN EXECUTIVES RECEIVE PART OF THEIR OVERALL COMPENSATION IN THE FORM OF AN ANNUAL INCENTIVE PAYMENT. SEVERAL FINANCIAL AND NON-FINANCIAL METRICS ARE UTILIZED IN THE FORMULA FOR THE INCENTIVE COMPENSATION, AND THESE METRICS AND THE FORMULA ARE REVIEWED AND APPROVED EACH YEAR IN ADVANCE BY THE COMPENSATION COMMITTEE OF THE BOARD OF DIRECTORS OF THE SOLE MEMBER OF EACH ORGANIZATION. PAYMENT OF ANY INCENTIVE COMPENSATION MUST BE APPROVED BY THE COMPENSATION COMMITTEE AFTER IT HAS REVIEWED THE METRICS TO DETERMINE WHETHER THEY HAVE BEEN MET, AND THE AMOUNT OF THE PAYMENTS (IF ANY), BASED ON THE APPROVED FORMULA. FORM 990, PART VI, SECTION A, LINE 1A THE SADDLEBACK MEMORIAL FOUNDATION (SMF) BOARD OF DIRECTORS (BOARD) HAS APPOINTED AN EXECUTIVE COMMITTEE TO CONDUCT THE BUSINESS OF SMF BETWEEN SCHEDULED MEETINGS OF THE BOARD. THE SMF BOARD HAS DELEGATED BROAD AUTHORITY TO THE EXECUTIVE COMMITTEE MEMBERS IN ORDER TO CONDUCT ALL NECESSARY BUSINESS OF SMF, INCLUDING FINANCIAL AND OPERATIONAL MATTERS THAT REQUIRE A VOTE. ALL EXECUTIVE COMMITTEE MEMBERS, WHO ARE ALSO BOARD MEMBERS WITH FULL VOTING PRIVILEGES, ARE APPOINTED BY THE BOARD. AT ALL TIMES THERE ARE TO BE NO LESS THAN FIVE (5) EXECUTIVE COMMITTEE MEMBERS APPOINTED. THE EXECUTIVE COMMITTEE IS CHAIRED BY THE CHAIRMAN OF THE SMF BOARD, AND ALSO INCLUDES THE SMF PRESIDENT AS AN EX-OFFICIO MEMBER. FORM 990, PART VI, SECTION A, LINE 4 SADDLEBACK MEMORIAL FOUNDATION (SMF) AMENDED THE BYLAWS SINCE THE PRIOR FORM 990 WAS FILED. OTHER THAN MINOR TECHNICAL UPDATES, THE MOST SIGNIFICANT UPDATE IS REFLECTED IN ARTICLE II - PURPOSE. THE AMENDMENT TO ARTICLE II INCLUDES LANGUAGE TO BROADEN THE SCOPE OF SMF'S FUNDRAISING AND SOLICITATION IN ORDER TO ADDITIONALLY SECURE THE RECEIPT OF, AND ADMINISTRATION OF PROPERTY OF, DONATIONS OR GRANTS FROM A HEALTH-SYSTEM PERSPECTIVE, FOR THOSE RECEIPTS THAT MAY ALSO BENEFIT SADDLEBACK MEMORIAL MEDICAL CENTER ALONG WITH OTHER ENTITIES IN THE HEALTH-SYSTEM. FORM 990, PART VI, SECTION A, LINE 6 SADDLEBACK MEMORIAL MEDICAL CENTER (SMMC), A RELATED TAX-EXEMPT ORGANIZATION IS THE SOLE CORPORATE MEMBER OF SADDLEBACK MEMORIAL FOUNDATION (SMF). FORM 990, PART VI, SECTION A, LINE 7A SADDLEBACK MEMORIAL MEDICAL CENTER (SMMC), A RELATED TAX-EXEMPT ORGANIZATION IS THE SOLE CORPORATE MEMBER OF SADDLEBACK MEMORIAL FOUNDATION (SMF). THE SMMC BOARD APPOINTS THE MEMBERS OF THE SMF BOARD. FORM 990, PART VI, SECTION A, LINE 7B SADDLEBACK MEMORIAL MEDICAL CENTER (SMMC), A RELATED TAX-EXEMPT ORGANIZATION IS THE SOLE CORPORATE MEMBER OF SADDLEBACK MEMORIAL FOUNDATION (SMF). THE SMMC BOARD APPOINTS THE MEMBERS OF THE SMF BOARD. THE SMMC BOARD HAS THE POWER TO VOTE ON THE NOMINATION OF ANY CANDIDATE OF SMF'S BOARD, ANY AMENDMENTS TO SMF'S BYLAWS, AND, IN CONJUNCTION WITH A MAJORITY VOTE OF SMF'S BOARD, MAY SET RESTRICTIONS ON THE USE OF SMF'S ASSETS, OR DISTRIBUTION OF ASSETS IN THE EVENT OF SMF'S DISSOLUTION. FORM 990, PART VI, SECTION B, LINE 11B THE ORGANIZATION'S CFO REVIEWS THE FORM 990 TO ENSURE THE ACCURACY OF THE FOLLOWING INFORMATION: ALL FINANCIAL DATA FOR THE REPORTING PERIOD, ANSWERS TO TAX COMPLIANCE QUESTIONS, ANSWERS TO POLICY AND GOVERNANCE QUESTIONS, ALL SCHEDULES, AND ALL REQUIRED NARRATIVES. FURTHER REVIEW OF THE FORM 990 IS CONDUCTED BY THE ORGANIZATION'S EXECUTIVE COMMITTEE, PRIOR TO THE FULL BOARD REVIEW. THE EXECUTIVE COMMITTEE INCLUDES ALL OFFICERS OF THE ORGANIZATION'S BOARD. LASTLY, THE ORGANIZATION'S FORM 990 IS REVIEWED BY THE BOARD (A COPY MADE AVAILABLE TO EACH MEMBER) PRIOR TO FILING WITH THE IRS. QUESTIONS AND COMMENTS FROM THE GOVERNING BOARD ARE ADDRESSED BEFORE THE FINAL VERSION IS FILED. FORM 990, PART VI, SECTION B, LINE 12C THE GENERAL COUNSEL'S OFFICE ANNUALLY SURVEYS EACH DIRECTOR AND OFFICER AND REQUIRES AFFIRMATION THAT THE CONFLICT OF INTEREST POLICY HAS BEEN READ AND UNDERSTOOD. THE RESULTS OF THE SURVEY ARE REPORTED TO THE GOVERNANCE COMMITTEE OF THE SADDLEBACK MEMORIAL MEDICAL CENTER, THE PARENT ORGANIZATION, WHICH IS RESPONSIBLE FOR GOVERNANCE, OVERSIGHT, AND NOMINATIONS. CONFLICTS ARE EVALUATED FOR BEING OCCASIONAL OR DISABLING IN NATURE. THE GENERAL COUNSEL MAKES THE INITIAL EVALUATION AND ADVISES THE GOVERNANCE COMMITTEE IN ITS DELIBERATIONS. IF AN OCCASIONAL CONFLICT IS IDENTIFIED, THE GENERAL COUNSEL ADVISES THE SUBJECT DIRECTOR OR OFFICER AND GOVERNANCE COMMITTEE IN A "REBUTTABLE PRESUMPTION" TYPE PROCESS. SHOULD A DISABLING CONFLICT BE IDENTIFIED, THE DIRECTOR OR OFFICER RESIGNS OR IS REMOVED UPON THE RECOMMENDATION OF THE GENERAL COUNSEL, GOVERNANCE COMMITTEE, AND BOARD OF DIRECTORS. IN ADDITION, AN ANNUAL NOTICE IS SENT BY EMAIL (TO EACH EMPLOYEE WITH ACCESS TO EMAIL) REGARDING THE ACCEPTANCE OF GIFTS AND CORRESPONDING POLICIES. FORM 990, PART VI, SECTION B, LINE 15 THE CEO OF THE ORGANIZATION IS NOT COMPENSATED BY THE FILING ORGANIZATION, BUT RATHER BY THE TAX-EXEMPT PARENT, MEMORIAL HEALTH SERVICES (MHS). SADDLEBACK MEMORIAL FOUNDATION (SMF) REIMBURSES MHS FOR THESE EXPENSES. THE FOLLOWING IS THE PROCESS THAT THE PARENT ORGANIZATION UNDERTAKES TO APPROVE THE CEO'S COMPENSATION. WITHIN THE ORGANIZATION, THE COMPENSATION OF VICE PRESIDENTS AND ABOVE IS REVIEWED BY AN EXTERNAL CONSULTANT WITH FINAL REVIEW AND APPROVAL BY THE COMPENSATION COMMITTEE OF THE MHS BOARD OF DIRECTORS AND THEIR OUTSIDE COUNSEL. ALL MARKET DATA IS OBTAINED FROM THIRD PARTY SURVEY SOURCES. MARKET DATA REVIEWS ARE COMPLETED CONSISTENTLY ON AN ANNUAL BASIS IN ORDER TO DETERMINE APPROPRIATE COMPENSATION. FOR THE CURRENT REPORTING PERIOD, THE COMPENSATION DETERMINATION PROCESS WAS COMPLETED IN CALENDAR YEAR 2023. THE PROCESS OF DETERMINING THE COMPENSATION IS DOCUMENTED IN THE MINUTES OF THE MHS BOARD. FORM 990, PART VI, SECTION C, LINE 19 CURRENTLY, THE ORGANIZATION DOES NOT MAKE THE GOVERNING DOCUMENTS (ARTICLES OF INCORPORATION, BYLAWS, AND CONFLICT OF INTEREST POLICY) AVAILABLE TO THE GENERAL PUBLIC. HOWEVER, THE ARTICLES OF INCORPORATION ARE AVAILABLE FROM THE CALIFORNIA SECRETARY OF STATE'S OFFICE VIA WRITTEN REQUEST. AUDITED FINANCIAL STATEMENTS ARE AVAILABLE TO THE GENERAL PUBLIC WHEN REQUESTS ARE MADE IN PERSON OR IN WRITING. FORM 990, PART XI, LINE 9: CHANGE IN VALUE OF SPLIT-INTEREST AGREEMENTS 282,486. MEMORIALCARE SELECT HEALTH PLAN 2801 ATLANTIC AVENUE LONG BEACH CA 90806 461870181 MEDICAL SERVICES CA 501(C)(4) MHS 0 MEMORIAL MEDICAL CENTER FOUNDATION 2801 ATLANTIC AVENUE LONG BEACH CA 90806 956105984 PHILANTHROPIC FOUNDATION CA 501(C)(3) LINE 7 LBMMC 0 MEMORIALCARE HOME HEALTH LLC 23521 PASEO DE VALENCIA STE 100 LAGUNA HILLS CA 92653 463056446 HEALTHCARE CA N/A 0 0 BEACH SURGICAL HOLDINGS LLC 3000 RIVERCHASE GALLERIA STE 500 BIRMINGHAM AL 35244 371708521 HEALTHCARE CA N/A 0 0 MEMORIALCARE INNOVATION FUND LP 320 GOLDEN SHORE AVENUE STE 120 LONG BEACH CA 90802 460791893 HEALTHCARE CA N/A 0 0 SUMMATION HEALTH VENTURES 320 GOLDEN SHORE AVENUE STE 120 LONG BEACH CA 90802 465252681 INVESTMENTS CA N/A 0 0 MC FV MOB I LLC 17360 BROOKHURST ST FOUNTAIN VALLEY CA 92708 464578097 OWN, OPERATE, LEASE, MAINTAIN THE MEDICAL OFFICE BUILDING PROPERTY CA N/A 0 0 RMV MOB I LLC 17360 BROOKHURST ST FOUNTAIN VALLEY CA 92708 301013230 OWN, OPERATE, LEASE, MAINTAIN THE MEDICAL OFFICE BUILDING PROPERTY CA N/A 0 0 BRISTOL PARK INVESTMENT GROUP I LP 17360 BROOKHURST ST FOUNTAIN VALLEY CA 92708 330180494 OWN, LEASE, PROVIDE MANAGEMENT SERVICES FOR MEDICAL OFFICE BUILDING CA N/A 0 0 BRISTOL PARK INVESTMENT GROUP II LP 17360 BROOKHURST ST FOUNTAIN VALLEY CA 92708 330180495 OWN, LEASE, PROVIDE MANAGEMENT SERVICES FOR MEDICAL OFFICE BUILDING CA N/A 0 0 BRISTOL PARK INVESTMENT GROUP III LP 17360 BROOKHURST ST FOUNTAIN VALLEY CA 92708 330226684 OWN, LEASE, PROVIDE MANAGEMENT SERVICES FOR MEDICAL OFFICE BUILDING CA N/A 0 0 BRISTOL PARK INVESTMENT GROUP V LP 17360 BROOKHURST ST FOUNTAIN VALLEY CA 92708 330975781 OWN, LEASE, PROVIDE MANAGEMENT SERVICES FOR MEDICAL OFFICE BUILDING CA N/A 0 0 CHARITABLE REMAINDER UNITRUST (7) SUPPORT CA SMF T 1 CHARITABLE REMAINDER ANNUITY TRUST (1) SUPPORT CA SMF T 1 NATIONAL HEALTHCARE SERVICES 330 GOLDEN SHORE AVENUE LONG BEACH CA 90802 953496341 MEDICAL SERVICES CA N/A C 0 0 1 1 0 0 0 0 0 0 0 0 1 0 0 1 1 1 0 0 SCHEDULE R, PART II SADDLEBACK MEMORIAL FOUNDATION (SMF) IS RELATED TO THE CENTRAL ORGANIZATION AND SUBORDINATE ORGANIZATIONS IN THE MEMORIAL HEALTH SERVICES GROUP EXEMPTION. SMF AND THE SUBORDINATES ARE BOTH CONTROLLED BY THE CENTRAL ORGANIZATION, MEMORIAL HEALTH SERVICES (MHS). THE CENTRAL ORGANIZATION AND OTHER SUBORDINATE ORGANIZATIONS OF THE MHS GROUP EXEMPTION HAVE NOT BEEN INCLUDED IN SCHEDULE R, PART II, IN ACCORDANCE WITH THE IRS INSTRUCTIONS.