2024-09-10T16:29:57-05:00 2024-03-31 MICHAEL BERRY CPA PO BOX 5045 CULVER CITY CA 902315045 990PF 2023-04-01 010956020 THE MASIMO FOUNDATION FOR ETHICS INNOVATION AND COMPETITION IN HEALTHCARE MASI 9492977792 52 DISCOVERY IRVINE CA 92618 MICAH YOUNG TREASURER 9492977792 2024-09-10 1 0 MICHAEL BERRY P00179412 3108382204 X 2023 2024-08-08 14:25:15Z X 933702 X 1800000 46 46 36991 36991 0 1837037 37037 0 0 0 1638 0 1638 10360 0 10360 25000 0 25000 764 0 250 6300 0 6300 1055 60 995 45117 60 44543 2820626 3363930 2865743 60 3408473 -1028706 36977 564803 926552 926552 1926139 7664 7150 7150 2498606 933702 933702 1160 8170 651860 108556 653020 116726 X 1845586 816976 1845586 816976 2498606 933702 1845586 -1028706 96 816976 0 816976 514 0 514 0 514 1414 0 0 0 1414 0 900 900 0 0 0 0 0 0 0 0 0 0 0 1 1 CA DE 0 0 0 0 0 1 HTTP://WWW.MASIMOFOUNDATION.ORG BARNETT COMPANY 9492663040 30212 TOMAS SUITE 200 RANCHO SANTA MARGARITA CA 92688 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 1 0 0 0 0 JOE KIANI 52 DISCOVERY IRVINE CA 92618 CHAIRMAN 0.50 0 0 0 FREDERICK HARRIS 52 DISCOVERY IRVINE CA 92618 DIRECTOR 0.25 0 0 0 SARAH KIANI 52 DISCOVERY IRVINE CA 92618 DIRECTOR 0.25 0 0 0 STEVE JENSEN 52 DISCOVERY IRVINE CA 92618 DIRECTOR 0.25 0 0 0 TOM MCCLENAHAN 52 DISCOVERY IRVINE CA 92618 SECRETARY 0.05 0 0 0 MICAH YOUNG 52 DISCOVERY IRVINE CA 92618 TREASURER 0.10 0 0 0 NONE 0 NONE 0 0 0 991046 0 991046 0 0 991046 14866 976180 48809 48809 514 514 48295 0 48295 0 48295 3408473 0 3408473 48295 0 0 2384557 2217749 2263205 2153410 2319061 11337982 3408473 0 0 0 48295 3360178 0 0 14698160 0 0 0 0 0 0 2384557 12313603 2217749 2263205 2153410 2319061 3360178 THE MASIMO FOUNDATION ATTN GLENN PA 52 DISCOVERY IRVINE CA 92618 9492977792 GLENNPARRISH@MASIMOFOUNDATION.ORG THE LETTER SHOULD PROVIDE INFORMATION NECESSARY FOR THE FOUNDATION TO DETERMINE WHETHER THE GRANT REQUEST MEETS ITS GUIDELINES AND SUPPORTS ITS MISSION, INCLUDING A DESCRIPTION OF THE PROJECT TO BE FUNDED, THE TOTAL PROJECT BUDGET, THE AMOUNT REQUESTED FROM THE FOUNDATION, AND BACKGROUND INFORMATION ABOUT THE APPLYING ORGANIZATION, INCLUDING ITS HISTORY, PURPOSE AND ACTIVITIES. REVIEW THE LETTER OF INQUIRY CHECKLIST FOR MORE DETAILS WHICH CAN BE FOUND AT HTTP://WWW.MASIMOFOUNDATION.ORG. THE FOUNDATION CONSIDERS ALL LETTERS OF INQUIRY AND ACKNOWLEDGES THEIR RECEIPT BY EMAIL. IF THE FOUNDATION DETERMINES THAT THE REQUESTOR'S FUNDING NEEDS ARE CONSISTENT WITH THE FOUNDATION'S ELIGIBILITY REQUIREMENTS, THE REQUESTOR WILL BE INVITED TO APPLY AND PROVIDE THE NECESSARY FORMS AND DETAILS TO SUBMIT A COMPREHENSIVE APPLICATION. NONE NONE ONEOC 1901 E 4TH STREET SUITE 100 SANTA ANA CA 92705 NONE PC GENERAL OPERATIONS 1000000 CHILDREN'S PSC FOUNDATION PO BOX 1328 MENLO PARK CA 94026 NONE PC GENERAL OPERATIONS 50000 AYENEH FOUNDATION PO BOX 17490 ENCINO CA 91314 NONE PC GENERAL OPERATIONS 100000 AYENEH FOUNDATION PO BOX 17490 ENCINO CA 91314 NONE PC GENERAL OPERATIONS 100000 BILL HILLARY AND CHELSEA CLINTON FOUNDATION 1200 PRESIDENT CLINTON AVENUE LITTLE ROCK AR 72201 NONE PC GENERAL OPERATIONS 500000 SHARESAFE SOLUTIONS LLC 182 ST FRANCIS ST SUITE 302 MOBILE AL 36602 NONE NC CREATION OF VIDEO SERIES RE PATIENT SAFETY AND PREVENTION OF HOSPITAL ACQUIRED CONDITIONS. 250000 THE BRETT TASHMAN FOUNDATION 1723 BRENTWOOD AVENUE UPLAND CA 91784 NONE PC GENERAL OPERATIONS 25000 THE CARTER CENTER ONE COPENHILL 453 JOHN LEWIS FREEDON PARKWAY NE ATLANTA GA 30307 NONE PC GENERAL OPERATIONS 99000 ANAHEIM COMMUNITY FOUNDATION 200 S ANAHEIM BOULEVARD SUITE 433 ANAHEIM CA 92805 NONE PC GENERAL OPERATIONS 20000 FOUNDATION FOR ANESTHESIA EDUCATION & RESEARCH 1061 AMERICAN LANE SCHAUMBERG IL 60173 NONE PC GENERAL OPERATIONS 50000 ST MARY AND ALL ANGELS CHRISTIAN SCHOOL 7 PURSUIT ALISO VIEJO CA 92656 NONE PC FUNDING FOR SCHOLARSHIPS 35000 ONEOC 1901 E 4TH STREET SUITE 100 SANTA ANA CA 92705 NONE PC GENERAL OPERATIONS 500000 PATIENT SAFETY WATCH 5 TECHNOLOGH PARK COLINDEEP LANE LONDON LONDON UK NONE NC PATIENT SAFETY RESEARCH 60000 IBERO-AMERICAN SOCIETY OF NEONATOLOGY INC 30 COLUMBIA TPKE STE 204 FLORHAM PARK NJ 07932 NONE PC GENERAL OPERATIONS 70000 CALIFORNIA INSTITUTES OF TECHNOLOGY 1200 EAST CALIFORNIA BOULEVARD PASADENA CA 91125 NONE PC FUNDING FOR SCHOLARSHIPS 504930 3363930 0 14 46 14 36991 0 37037 0 37037 0 0 0 0 0 0 0 0 0 0 X X 1 MASIMO CORPORATION 52 DISCOVERY IRVINE CA 92618 1800000 X ACCOUNTING 10360 0 10360 USA TODAY-SEE STATEMENT 12 7950 JONES BRANCH DRIVE MCLEAN VA 22107 2020-03-04 515000 TO EXPAND USA TODAY'S CAPACITY TO PRODUCE UNIQUE, GROUNDBREAKING JOURNALISM INITITIATIVE FOCUS ON THE FOLLOWING TWO AREAS:A) EXPANDING ISSUES RELATED TO PREVENTABLE HARMS AND DEATHS.B) SHINING LIGHT ON SOLUTIONS THAT CAN IMPROVE CARE.GRANT COMPLETED BY MARCH 31,2024. 515000 TO THE KNOWLEDGE OF THE GRANTOR, NO FUNDS HAVE BEEN DIVERTED MARCH 25, 2021,NOVEMBER 15, 2022, AND FEBRUARY 9, 2024 THE GRANTOR HAS NO REASON TO DOUBT THE ACCURACY OR RELIABILITY OF THE REPORT FROM THE GRANTEE; THEREFORE, NO INDEPENDENT VERIFCIATION OF THE REPORT WAS MADE. PENINGTON INSTITUTE 95 DRUMMOND STREET CARLTON VICTORIA AS 2022-11-22 50000 DEVELOP A SET OF COMMUNITY EDUCATION AND CAPACITY BUILDING TOOLS TO ADDRESS THE UNITED STATES DEEPENING OPIOID CRISIS. NOTE- THERE WAS A 14 FOREIGN TRANSLATION ADJUSTMENT. GRANT COMPLETED BY MARCH 31,2024. 50014 TO THE KNOWLEDGE OF THE GRANTOR, NO FUNDS HAVE BEEN DIVERTED DECEMBER 11, 2023 THE GRANTOR HAS NO REASON TO DOUBT THE ACCURACY OR RELIABILITY OF THE REPORT FROM THE GRANTEE; THEREFORE, NO INDEPENDENT VERIFCIATION OF THE REPORT WAS MADE. PATIENT SAFETY WATCH- SEE STATEMENT 13 5 TECHNOLOGH PARK COLINDEEP LANE LONDON LONDON UK 2023-02-22 60000 PATIENT SAFETY RESEARCH 60000 TO THE KNOWLEDGE OF THE GRANTOR, NO FUNDS HAVE BEEN DIVERTED MAY 5, 2024 THE GRANTOR HAS NO REASON TO DOUBT THE ACCURACY OR RELIABILITY OF THE REPORT FROM THE GRANTEE; THEREFORE, NO INDEPENDENT VERIFCIATION OF THE REPORT WAS MADE. SHARESAFE SOLUTIONS LLC 182 ST FRANCIS ST 302 MOBILE AL 36602 2023-09-25 250000 CREATION OF VIDEO SERIES ON PATIENT SAFETY AND PREVENTION OF HOSPITAL ACQUIRED CONDITIONS. 116713 TO THE KNOWLEDGE OF THE GRANTOR, NO FUNDS HAVE BEEN DIVERTED AUGUST 13, 2024 THE GRANTOR HAS NO REASON TO DOUBT THE ACCURACY OR RELIABILITY OF THE REPORT FROM THE GRANTEE; THEREFORE, NO INDEPENDENT VERIFCIATION OF THE REPORT WAS MADE. DELAWARE DOES NOT REQUIRE A COPY OF FORM 990-PF. PART VII-B, LINES 5(A)(4) AND LINE 5(C) & STATEMENT 10 ON MARCH 4, 2020, THE ORGANIZATION ENTERED INTO AN EXPENDITURE RESPONSIBILITY AGREEMENT WITH USA TODAY AS INDICATED IN STATEMENT 10. THE GRANT WAS A THREE-YEAR GRANT TOTALING $515,000- THE FIRST INSTALLMENT IN THE AMOUNT OF $136,500 WAS MADE IN THE FISCAL YEAR ENDING MARCH 31,2020 (PAYMENT MADE MARCH 4, 2020). THE SECOND INSTALLMENT IN THE AMOUNT OF $186,500 WAS MADE DURING THE FISCAL YEAR ENDING MARCH 31,2022 (PAYMENT MADE APRIL 19, 2021). THE FINAL PAYMENT TOTALING $192,000 WAS MADE DURING THE FISCAL YEAR ENDING MARCH 31,2023 (PAYMENT MADE DECEMBER 15,2022). INTERIM REPORTS WERE RECEIVED MARCH 25, 2021 AND NOVEMBER 15, 2022 AND A FINAL REPORT WAS RECEIVED FEBRUARY 9, 2024. PART VII-B, LINES 5(A)(4) AND LINE 5(C) & STATEMENT 10 ON FEBRUARY 22,2023, THE ORGANIZATION ENTERED INTO AN EXPENDITURE RESPONSIBILITY AGREEMENT WITH PATIENT SAFETY WATCH, A UNITED KINGDOM CHARITY AS INDICATED IN STATEMENT 10. THE GRANT IS A THREE-YEAR GRANT TOTALING $180,000. THE FIRST INSTALLMENT IN THE AMOUNT OF $60,000 WAS MADE ON APRIL 27, 2023 AND AN INTERIM REPORT WAS RECEIVED MAY 4, 2024. LEGAL 1638 0 1638 INSURANCE 815 0 815 BANK AND BROKERAGE FEES 240 60 180 CHANGE IN UNREALIZED GAINS AND LOSSES 96 ADMINISTRATIVE AND CONSULTING 25000 0 25000 FILING FEES 250 0 250 EXCISE TAXES 514 0 0