ASPIRE HEALTH PLAN: Form 990, tax year 2023
View the entire original 990 at ProPublica ↗
- Organization
- ASPIRE HEALTH PLAN (EIN 46-1567681)
- Tax period
- 2023-01-01 to 2023-12-31
- Filed
- 2024-11-13
- IRS object ID
- 202413189349311586
- Schema version
- 2023v5.1
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2024-11-13T20:23:38-06:00 | ReturnTs |
| Tax Period End | 2023-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 910189318 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MOSS ADAMS LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 101 SECOND STREET SUITE 900 | AddressLine1Txt |
| City | SAN FRANCISCO | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 94105 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2023-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 461567681 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ASPIRE HEALTH PLAN | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | ASPI | BusinessNameControlTxt |
| Phone | 8315744938 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 10 RAGSDALE DRIVE 101 | AddressLine1Txt |
| City | MONTEREY | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 93940 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | MATTHEW MORGAN | PersonNm |
| Person Title | VP, CFO | PersonTitleTxt |
| Phone | 8315744938 | PhoneNum |
| Signature | 2024-11-12 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IRS Responsible Prty Info Curr | Yes (1) | IRSResponsiblePrtyInfoCurrInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | LESLIE VAN | PreparerPersonNm |
| PTIN | P01294411 | PTIN |
| Phone | 4159561500 | PhoneNum |
| Preparation | 2024-11-12 | PreparationDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2023 | TaxYr |
| Build TS | 2024-10-15 13:58:12Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | MATTHEW MORGAN | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 23625 HOLMAN HWY | AddressLine1Txt |
| City | MONTEREY | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 93940 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $127,086,474 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c | Yes (X) | Organization501cInd |
| Website Address | WWW.ASPIREHEALTHPLAN.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 2012 | FormationYr |
| Legal Domicile State | CA | LegalDomicileStateCd |
| Activity Or Mission | SOCIAL WELFARE THROUGH THE PROVISION OF HEALTH INSURANCE. | ActivityOrMissionDesc |
| Voting Members Governing Body | 14 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 10 | VotingMembersIndependentCnt |
| Total Employee | 101 | TotalEmployeeCnt |
| Total Volunteers | 14 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $1,609,807 | PYContributionsGrantsAmt |
| CY Contributions Grants | $3,289,976 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $93,529,128 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $123,217,389 | CYProgramServiceRevenueAmt |
| PY Investment Income | $75 | PYInvestmentIncomeAmt |
| CY Investment Income | $579,109 | CYInvestmentIncomeAmt |
| PY Other Revenue | $0 | PYOtherRevenueAmt |
| CY Other Revenue | $0 | CYOtherRevenueAmt |
| PY Total Revenue | $95,139,010 | PYTotalRevenueAmt |
| CY Total Revenue | $127,086,474 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $0 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $12,196,610 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $13,093,862 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $94,399,749 | PYOtherExpensesAmt |
| CY Other Expenses | $123,415,914 | CYOtherExpensesAmt |
| PY Total Expenses | $106,596,359 | PYTotalExpensesAmt |
| CY Total Expenses | $136,509,776 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$11,457,349 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$9,423,302 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $23,588,300 | TotalAssetsBOYAmt |
| Total Assets EOY | $31,266,095 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $94,892,182 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $111,993,279 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | -$71,303,882 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | -$80,727,184 | NetAssetsOrFundBalancesEOYAmt |
| Mission | SOCIAL WELFARE THROUGH THE PROVISION OF HEALTH INSURANCE. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $116,289,211 | ExpenseAmt |
| Revenue | $116,241,070 | RevenueAmt |
| Desc | INSURANCE CLAIMS EXPENDITURES FOR 6,683 MEDICARE ADVANTAGE BENEFICIARIES. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $7,675,042 | ExpenseAmt |
| Revenue | $2,114,843 | RevenueAmt |
| Desc | ADMINISTRATIVE EXPENDITURES FOR 6,683 MEDICARE ADVANTAGE BENEFICIARIES. | Desc |
Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $4,870,549 | ExpenseAmt |
| Revenue | $4,861,476 | RevenueAmt |
| Desc | POPULATION HEALTH COMMUNITY BENEFIT WORK. | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expenses | $128,834,802 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | 0 | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | 0 | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | Yes (1) | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (1) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (1) | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | 0 | OperateHospitalInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | Yes (1) | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | 0 | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (1) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | Yes (1) | TransactionWithControlEntInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 135 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 101 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | 0 | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | 0 | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 14 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 10 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (1) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (1) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (1) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | 0 | CompensationProcessCEOInd |
| Compensation Process Other | 0 | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | CA | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MATTHEW MORGAN | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 8316254965 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX HH | AddressLine1Txt |
| City | MONTEREY | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 93942 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (27 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Highest Compensated EmployeeHighestCompensatedEmployeeInd | Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd |
|---|---|---|---|---|---|---|---|---|---|
| STEVEN PACKER | |||||||||
| PRESIDENT & CEO | 1.00 | 54.00 | Yes (X) | Yes (X) | $0 | $2,188,518 | $550,160 | ||
| MARK CARVALHO MD | |||||||||
| DIRECTOR | 1.00 | 54.00 | Yes (X) | $0 | $788,868 | $130,716 | |||
| TYLER MUNSON | |||||||||
| CEO OF ASPIRE | 55.00 | Yes (X) | Yes (X) | $0 | $515,480 | $87,156 | |||
| MICHAEL MCGLUE MD | |||||||||
| DIRECTOR | 1.00 | 54.00 | Yes (X) | $0 | $522,383 | $52,734 | |||
| JOHN O'BRIEN | |||||||||
| CHAIR | 1.00 | 2.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| DAVID AWERBUCK | |||||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| LESLIE HIGGINS | |||||||||
| DIRECTOR | 3.00 | Yes (X) | $0 | $0 | $0 | ||||
| RYAN EDWARDS | |||||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| ALLEN RADNER MD | |||||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| TONY PRUTHI MD | |||||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| GARY RAY | |||||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| GREGG KANTER MD | |||||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| VICTORY REY JR | |||||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| CATHERINE CARSON | |||||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| PETE DELGADO | |||||||||
| DIRECTOR (THRU 11/23) | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| EUGENE HILL | |||||||||
| DIRECTOR (THRU 12/23) | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| HARRY WARDWELL | |||||||||
| DIRECTOR (THRU 12/23) | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| JIB MARTENS | |||||||||
| DIRECTOR (THRU 12/23) | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| MATTHEW MORGAN | |||||||||
| VP OF FINANCE/CFO | 8.00 | 47.00 | Yes (X) | $0 | $758,608 | $151,303 | |||
| LIZ LORENZI | |||||||||
| VP/COO | 55.00 | Yes (X) | $0 | $659,739 | $87,766 | ||||
| SCOTT KELLY | |||||||||
| VP/COO/SECRETARY (THRU 9/23) | 55.00 | Yes (X) | $0 | $487,918 | $56,655 | ||||
| EVA BALINT CHIEF MEDICAL | |||||||||
| OFFICER ASPIRE (THRU 6/23) | 40.00 | $807,596 | $0 | $19,092 | Yes (X) | ||||
| MELISSA HALL | |||||||||
| VP MEDICARE OPERATIONS | 40.00 | $364,920 | $0 | $59,509 | Yes (X) | ||||
| MARY BETH GOVIER | |||||||||
| DIR UTILIZATION MANAGEMENT | 40.00 | $312,996 | $0 | $41,644 | Yes (X) | ||||
| DIANE HATCHER | |||||||||
| BUSINESS SOLUTIONS ARCHITECT | 40.00 | $227,951 | $0 | $64,919 | Yes (X) | ||||
| CAMMIE FLORES | |||||||||
| DIRECTOR OF CARE MANAGEMENT | 40.00 | $228,877 | $0 | $43,918 | Yes (X) | ||||
| LAURA ZEHM | |||||||||
| FORMER PRESIDENT / CEO | 0.00 | $0 | $614,317 | $0 | Yes (X) | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $1,942,340 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $6,535,831 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $1,345,572 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 38 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | Yes (1) | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| PERFORMANCE HEALTH TECHNOLOGY | |||||
| 3993 FAIRVIEW INDUSTRIAL DRIVE | SALEM | OR | 97302 | BUSINESS PROCESS OUTSOURCING | $4,573,223 |
| HACKER AGENCY | |||||
| 1326 5TH AVENUE STE 350 | SEATTLE | WA | 98101 | MARKETING | $708,329 |
| CLOSEDLOOP AI INC | |||||
| 512 E RIVERSIDE DRIVE STE 100 | AUSTIN | TX | 98704 | AI SERVICE CONTRACTOR | $315,400 |
| APPLIED GENERAL AGENCY | |||||
| 1040 N TUSTIN AVE | ANAHEIM | CA | 92807 | AGENT COMMISSIONS | $266,361 |
| HEALTHCARE SALES SOLUTIONS LLC | |||||
| 2400 SUMMIT VIEW DRIVE | BEDFORD | TX | 76021 | SALES MARKETING CONTRACTOR | $206,784 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 17 | CntrctRcvdGreaterThan100KCnt |
| Related Organizations | $1,861,834 | RelatedOrganizationsAmt |
| All Other Contributions | $1,428,142 | AllOtherContributionsAmt |
| Total Contributions | $3,289,976 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| CAPITATION REVENUE | 900099 | $116,241,071 | $116,241,071 |
| OTHER PROGRAM REVENUE | 900099 | $6,976,318 | $6,976,318 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $123,217,389 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $579,109 | TotalRevenueColumnAmt |
| Exclusion | $579,109 | ExclusionAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $127,086,474 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $123,217,389 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $579,109 | ExclusionAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $9,277,133 | TotalAmt |
| Program Services | $7,103,170 | ProgramServicesAmt |
| Management And General | $2,173,963 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $584,680 | TotalAmt |
| Program Services | $569,262 | ProgramServicesAmt |
| Management And General | $15,418 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,232,049 | TotalAmt |
| Program Services | $2,530,116 | ProgramServicesAmt |
| Management And General | $701,933 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $87,607 | TotalAmt |
| Program Services | $69,067 | ProgramServicesAmt |
| Management And General | $18,540 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,201,163 | TotalAmt |
| Program Services | $1,103,572 | ProgramServicesAmt |
| Management And General | $97,591 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,635,071 | TotalAmt |
| Program Services | $1,108,493 | ProgramServicesAmt |
| Management And General | $526,578 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $137,910 | TotalAmt |
| Program Services | $103,507 | ProgramServicesAmt |
| Management And General | $34,403 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $830,907 | TotalAmt |
| Program Services | $592,147 | ProgramServicesAmt |
| Management And General | $238,760 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $619,934 | TotalAmt |
| Program Services | $390,732 | ProgramServicesAmt |
| Management And General | $229,202 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $70,510 | TotalAmt |
| Program Services | $30,881 | ProgramServicesAmt |
| Management And General | $39,629 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (3 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| MEDICAL CLAIMS | $107,329,236 | $107,329,236 | |
| DIRECT EXPENSES | $11,426,520 | $7,849,657 | $3,576,863 |
| DUES & SUBSCRIPTIONS | $77,056 | $54,962 | $22,094 |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $136,509,776 | TotalAmt |
| Program Services | $128,834,802 | ProgramServicesAmt |
| Management And General | $7,674,974 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $16,677,218 | BOYAmt |
| EOY | $19,628,516 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,477,003 | BOYAmt |
| EOY | $6,790,304 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $342,938 | BOYAmt |
| EOY | $96,610 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $2,675,944 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $1,704,199 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $455,466 | BOYAmt |
| EOY | $971,745 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,635,675 | BOYAmt |
| EOY | $3,778,920 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $23,588,300 | BOYAmt |
| EOY | $31,266,095 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $11,684,193 | BOYAmt |
| EOY | $19,367,477 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $237,444 | BOYAmt |
| EOY | $258,574 | EOYAmt |
Loans From Officers Directors LoansFromOfficersDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $36,581,940 | BOYAmt |
| EOY | $41,199,386 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $46,388,605 | BOYAmt |
| EOY | $51,167,842 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $94,892,182 | BOYAmt |
| EOY | $111,993,279 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows FASB117 | Yes (X) | OrganizationFollowsFASB117Ind |
No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -$71,303,882 | BOYAmt |
| EOY | -$80,727,184 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -$71,303,882 | BOYAmt |
| EOY | -$80,727,184 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $23,588,300 | BOYAmt |
| EOY | $31,266,095 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | -$9,423,302 | ReconcilationRevenueExpnssAmt |
| Other Changes In Net Assets | $0 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequiredInd |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule D IRS990ScheduleD
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $2,175,143 | OtherCostOrOtherBasisAmt |
| Depreciation | $1,704,199 | DepreciationAmt |
| Book Value | $470,944 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $500,801 | OtherCostOrOtherBasisAmt |
| Book Value | $500,801 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $971,745 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | INTERCOMPANY RECEIVABLES | Desc |
| Book Value | $3,778,920 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $3,778,920 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)
| DescDesc | AmtAmt |
|---|---|
| INTERCOMPANY PAYABLES | $444,805 |
| RELATED PARTY NOTE PAYABLE | $50,723,037 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $51,167,842 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART X, LINE 2: | FormAndLineReferenceDesc |
| Explanation | ASPIRE ASSESSES UNCERTAIN TAX POSITIONS IN ACCORDANCE WITH THE PROVISIONS OF THE FASB ASC TOPIC 740-10, INCOME TAXES. ASPIRE RECOGNIZES THE TAX BENEFIT FROM UNCERTAIN TAX POSITIONS ONLY IF IT IS MORE LIKELY THAN NOT THAT THE TAX POSITIONS WILL BE SUSTAINED ON EXAMINATION BY THE TAX AUTHORITIES, BASED ON THE TECHNICAL MERITS OF THE POSITION. THE TAX BENEFIT IS MEASURED BASED ON THE LARGEST BENEFIT THAT HAS A GREATER THAN 50% LIKELIHOOD OF BEING REALIZED UPON ULTIMATE SETTLEMENT. ASPIRE RECOGNIZES INTEREST AND PENALTIES RELATED TO INCOME TAX MATTERS IN OPERATING EXPENSES. THERE WERE NO UNCERTAIN TAX POSITIONS AS OF DECEMBER 31, 2023 AND 2022. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Severance Payment | Yes (1) | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | Yes (1) | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | Yes (1) | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | Yes (1) | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | Yes (1) | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (13 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| STEVEN PACKER | ||||||||||||||
| PRESIDENT & CEO | $0 | $1,015,887 | $0 | $383,300 | $0 | $789,331 | $0 | $516,858 | $0 | $33,302 | $0 | $2,738,678 | $0 | $732,679 |
| MARK CARVALHO MD | ||||||||||||||
| DIRECTOR | $0 | $562,371 | $0 | $166,158 | $0 | $60,339 | $0 | $73,623 | $0 | $57,093 | $0 | $919,584 | $0 | $0 |
| MATTHEW MORGAN | ||||||||||||||
| VP OF FINANCE/CFO | $0 | $538,655 | $0 | $161,822 | $0 | $58,131 | $0 | $94,210 | $0 | $57,093 | $0 | $909,911 | $0 | $0 |
| EVA BALINT CHIEF MEDICAL | ||||||||||||||
| OFFICER ASPIRE (THRU 6/23) | $228,868 | $0 | $99,346 | $0 | $479,382 | $0 | $1,304 | $0 | $17,788 | $0 | $826,688 | $0 | $0 | $0 |
| LIZ LORENZI | ||||||||||||||
| VP/COO | $0 | $387,885 | $0 | $207,059 | $0 | $64,795 | $0 | $71,115 | $0 | $16,651 | $0 | $747,505 | $0 | $0 |
| LAURA ZEHM | ||||||||||||||
| FORMER PRESIDENT / CEO | $0 | $0 | $0 | $0 | $0 | $614,317 | $0 | $0 | $0 | $0 | $0 | $614,317 | $0 | $0 |
| TYLER MUNSON | ||||||||||||||
| CEO OF ASPIRE | $0 | $475,229 | $0 | $25,000 | $0 | $15,251 | $0 | $30,063 | $0 | $57,093 | $0 | $602,636 | $0 | $0 |
| MICHAEL MCGLUE MD | ||||||||||||||
| DIRECTOR | $0 | $225,763 | $0 | $247,326 | $0 | $49,294 | $0 | $13,200 | $0 | $39,534 | $0 | $575,117 | $0 | $0 |
| SCOTT KELLY | ||||||||||||||
| VP/COO/SECRETARY (THRU 9/23) | $0 | $278,963 | $0 | $97,393 | $0 | $111,562 | $0 | $32,175 | $0 | $24,480 | $0 | $544,573 | $0 | $0 |
| MELISSA HALL | ||||||||||||||
| VP MEDICARE OPERATIONS | $294,606 | $0 | $41,369 | $0 | $28,945 | $0 | $11,931 | $0 | $47,578 | $0 | $424,429 | $0 | $0 | $0 |
| MARY BETH GOVIER | ||||||||||||||
| DIR UTILIZATION MANAGEMENT | $259,726 | $0 | $34,778 | $0 | $18,492 | $0 | $8,342 | $0 | $33,302 | $0 | $354,640 | $0 | $0 | $0 |
| DIANE HATCHER | ||||||||||||||
| BUSINESS SOLUTIONS ARCHITECT | $222,323 | $0 | $0 | $0 | $5,628 | $0 | $7,866 | $0 | $57,053 | $0 | $292,870 | $0 | $0 | $0 |
| CAMMIE FLORES | ||||||||||||||
| DIRECTOR OF CARE MANAGEMENT | $222,157 | $0 | $0 | $0 | $6,720 | $0 | $0 | $0 | $43,918 | $0 | $272,795 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail (4 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINE 3 | A RELATED ORGANIZATION HAS A COMPENSATION COMMITTEE OF THE BOARD OF TRUSTEES THAT REVIEWS AND APPROVES THE OFFICERS' COMPENSATION. A CONSULTING FIRM IS ENGAGED TO PROVIDE COMPARABLE DATA. |
| PART I, LINES 4A-B | EVA BALINT RECEIVED A SEVERANCE PAYMENT DURING 2023 IN THE AMOUNT OF $459,000. STEVEN PACKER PARTICIPATED IN A 457(F) PLAN AND RECEIVED A DISTRIBUTION DURING 2023 IN THE AMOUNT OF $732,679. LAURA ZEHM PARTICIPATED IN A 457(F) PLAN AND RECEIVED A DISTRIBUTION DURING 2023 IN THE AMOUNT OF $614,317. |
| PART I, LINE 6 | MANAGEMENT INCENTIVE PLANS HAVE A PERCENTAGE OF THE INCENTIVE PACKAGE THAT ARE BASED ON THE FINANCIAL RESULTS OF THE FILING ORGANIZATION AND RELATED ORGANIZATIONS. |
| PART I, LINE 7 | PART OF THE INCENTIVE PACKAGES FOR MANAGEMENT ARE BASED ON MEETING PERFORMANCE GOALS FOR THE YEAR. |
Schedule L IRS990ScheduleL
Loans Btwn Org Interested Prsn LoansBtwnOrgInterestedPrsnGrp
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SUBSTANTIAL CONTRIBUTOR | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Relationship With Org | SUBSTANTIAL CONTRIBUTOR | RelationshipWithOrgTxt |
| Loan Purpose | FUNDING FOR INCREASED REQUIREMENT FOR TANGIBLE NET EQUITY | LoanPurposeTxt |
| Loan To Organization | Yes (X) | LoanToOrganizationInd |
| Original Principal | $7,618,472 | OriginalPrincipalAmt |
| Balance Due | $41,199,386 | BalanceDueAmt |
| Default | 0 | DefaultInd |
| Board Or Committee Approval | Yes (1) | BoardOrCommitteeApprovalInd |
| Written Agreement | Yes (1) | WrittenAgreementInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Balance Due | $41,199,386 | TotalBalanceDueAmt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (6 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION A, LINE 6 | ASPIRE HEALTH PLAN HAS ONE CLASS OF MEMBERS. THE MEMBERS ARE MONTAGE HEALTH ("MH") AND SALINAS VALLEY MEMORIAL HEALTHCARE SYSTEM ("SVMHS"). |
| FORM 990, PART VI, SECTION A, LINE 7A | MH AND SVMHS HAVE THE POWER TO DESIGNATE THE DIRECTORS AS FOLLOWS: (1) SIX DIRECTORS, TWO OF WHOM SHALL BE CONCURRENTLY SERVING IN THE POSITION OF SENIOR MANAGEMENT FOR MH, OR AN AFFILIATE OF MH, TWO OF WHOM SHALL BE COMMUNITY DIRECTORS, AND TWO OF WHOM SHALL BE PHYSICIANS CONCURRENTLY PROVIDING PROFESSIONAL MEDICAL SERVICES TO ENROLLEES ASSIGNED TO ONE OR MORE IPAS OR PHYSICIAN GROUPS CONTRACTING WITH THE CORPORATION, SHALL BE DESIGNATED BY MH; (2) SIX DIRECTORS, TWO OF WHOM SHALL BE CONCURRENTLY SERVING IN A POSITION OF SENIOR MANAGEMENT FOR SVMHS, OR AN AFFILIATE OF SVMHS, TWO OF WHOM SHALL BE COMMUNITY DIRECTORS, AND TWO OF WHOM SHALL BE PHYSICIANS CONCURRENTLY PROVIDING PROFESSIONAL MEDICAL SERVICES TO ENROLLEES ASSIGNED TO ONE OR MORE IPAS OR PHYSICIAN GROUPS CONTRACTING WITH THE CORPORATION, SHALL BE DESIGNATED BY SVMHS; AND (3) THE CHIEF EXECUTIVE OFFICER INITIALLY RETAINED BY THE CORPORATION AND SERVING IN SUCH POSITION AS OF SEPTEMBER 1, 2016, AND DESIGNATED THEREAFTER BY MH AND SVMHS, AS PROVIDED IN THESE BYLAWS, SHALL BE A VOTING MEMBER ON THE BOARD OF DIRECTORS OF THE CORPORATION DURING THE PERIOD OF TIME HE OR SHE HOLDS OFFICE AS THE CHIEF EXECUTIVE OFFICER. |
| FORM 990, PART VI, SECTION A, LINE 7B | THE FOLLOWING MATTERS AND ACTIONS SHALL REQUIRE THE AFFIRMATIVE UNANIMOUS APPROVAL OF MH AND SVMHS AS WELL AS THE AFFIRMATIVE DETERMINATION AND APPROVAL OF THE CORPORATION'S BOARD OF DIRECTORS: (1) APPROVING A CHANGE, MODIFICATION OR AMENDMENT TO THESE BYLAWS, OR TO THE ARTICLES, OR THE BYLAWS OR ARTICLES OF INCORPORATION OF THE CORPORATION'S SUBSIDIARIES; (2) APPROVING A VOLUNTARY DISSOLUTION AND WINDING UP OF THE CORPORATION OR ITS SUBSIDIARIES; (3) APPROVING THE MERGER, CONVERSION, CONSOLIDATION OR OTHER REORGANIZATION OR BUSINESS COMBINATION INVOLVING THE CORPORATION OR ITS SUBSIDIARIES; (4) APPROVING JOINT VENTURES AND OTHER LIKE STRATEGIC ALLIANCES AND AFFILIATIONS INVOLVING THE CORPORATION OR ITS SUBSIDIARIES; AND (5) APPROVING THE CREATION OF A NEW CLASS OF MEMBERSHIP OF THE CORPORATION OR OTHER EQUITY INTERESTS OF ITS SUBSIDIARIES. MH AND SVMHS SHALL HAVE THE SOLE AUTHORITY TO APPROVE, BY UNANIMOUS VOTE, THE FOLLOWING MATTERS AND ACTIONS: (1) FOLLOWING THE RESIGNATION, REMOVAL OR TERMINATION OF THE INDIVIDUALS HOLDING THE POSITIONS OF CHIEF OPERATING OFFICER (OPERATIONAL SENIOR EXECUTIVE) OF THE CORPORATION AND ITS SUBSIDIARIES AS OF SEPTEMBER 1, 2016, THE DESIGNATION, REMOVAL OR TERMINATION OF THE INDIVIDUALS WHO SHALL SUBSEQUENTLY HOLD THE POSITIONS OF CHIEF OPERATING OFFICER OF THE CORPORATION AND ITS SUBSIDIARIES. MH HAS THE AUTHORITY TO THE FOLLOWING ACTIONS: (1) APPROVING ANY SALE, EXCHANGE OR OTHER DISPOSITION OF ALL OR SUBSTANTIALLY ALL OF THE ASSETS OF THE CORPORATION OR ITS SUBSIDIARIES; (2) APPROVING THE ADMISSION OF ANY ADDITIONAL MEMBER OR EQUITY INTEREST HOLDER OF THE CORPORATION OR ITS SUBSIDIARIES, AND DETERMINATION OF ANY TERMS AND CONDITIONS ATTENDANT THERETO; AND (3) APPROVING A SUBSTANTIAL EXPANSION, REDUCTION OR CHANGE IN THE SERVICES PROVIDED OR THE POPULATION SERVED BY THE CORPORATION OR ITS SUBSIDIARIES. (4) APPROVING ANY TRANSFER OF MEMBERSHIP INTERESTS OR SHARES BY MH IN THIS CORPORATION (OR ANY OF ITS SUBSIDIARIES) TO A WHOLLY OWNED OR CONTROLLED AFFILIATE OF MH; (5) DESIGNATING, REMOVING OR TERMINATING (AFTER CONSULTATION WITH SVH) THE INDIVIDUALS HOLDING, AS OF SEPTEMBER 1, 2016, THE POSITIONS OF CHIEF OPERATING OFFICER (OPERATIONAL SENIOR EXECUTIVE) OF THE CORPORATION AND ITS SUBSIDIARIES; (6) APPROVING (OR MODIFYING) ANY REASONABLE AND FISCALLY SOUND LONG-RANGE FINANCIAL PLAN FOR THE CORPORATION OR ITS SUBSIDIARIES; (7) APPROVING (OR MODIFYING) ANY REASONABLE AND FISCALLY SOUND ANNUAL OPERATING BUDGET FOR THE CORPORATION OR ITS SUBSIDIARIES; (8) APPROVING (OR MODIFYING) ANY REASONABLE AND FISCALLY SOUND ANNUAL CAPITAL BUDGET FOR THE CORPORATION OR ITS SUBSIDIARIES; AND (9) APPROVING (OR MODIFYING) ANY CAPITAL BUDGET ITEM OF THE CORPORATION OR ITS SUBSIDIARIES IN EXCESS OF FIVE HUNDRED THOUSAND DOLLARS ($500,000). |
| FORM 990, PART VI, SECTION B, LINE 11B | THE AUDIT COMMITTEE REVIEWS FORM 990 AND ELECTRONIC COPIES ARE SENT TO ALL BOARD OF TRUSTEES PRIOR TO FILING. |
| FORM 990, PART VI, SECTION B, LINE 12C | THE ORGANIZATION USES SELF DISCLOSURE TO REGULARLY AND CONSISTENTLY MONITOR AND ENFORCE COMPLIANCE WITH THE CONFLICT OF INTEREST POLICY. |
| FORM 990, PART VI, SECTION C, LINE 19 | THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. IT ALSO MAKES ITS FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC ON ITS OWN WEBSITE. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (5 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Direct Controlling NADirectControllingNACd | Controlled OrganizationControlledOrganizationInd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt |
|---|---|---|---|---|---|---|---|---|---|---|---|
| MONTAGE HEALTH | |||||||||||
| PO BOX HH | MONTEREY | CA | 93942 | 942789696 | SUPPORT SERVICES | CA | 501(C)(3) | LINE 7 | N/A | 0 | |
| MONTAGE MEDICAL GROUP | |||||||||||
| PO BOX HH | MONTEREY | CA | 93942 | 264826604 | HEALTHCARE SERVICES | CA | 501(C)(3) | LINE 3 | 0 | MONTAGE HEALTH | |
| COMMUNITY HOSPITAL OF THE MONTEREY PENINSULA | |||||||||||
| PO BOX HH | MONTEREY | CA | 93942 | 940760193 | HEALTHCARE SERVICES | CA | 501(C)(3) | LINE 3 | 0 | MONTAGE HEALTH | |
| MONTAGE HEALTH FOUNDATION | |||||||||||
| PO BOX HH | MONTEREY | CA | 93942 | 812889645 | SUPPORT SERVICES | CA | 501(C)(3) | LINE 7 | 0 | MONTAGE HEALTH | |
| MOGO URGENT CARE | |||||||||||
| 23625 HOLMAN HIGHWAY | MONTEREY | CA | 93940 | 832329260 | MEDICAL SERVICES | CA | 501(C)(3) | LINE 3 | 0 | MONTAGE HEALTH | |
Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (3 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Direct Controlling NADirectControllingNACd | Disproportionate AllocationsDisproportionateAllocationsInd | General Or Managing PartnerGeneralOrManagingPartnerInd |
|---|---|---|---|---|---|---|---|---|---|
| CENTRAL COAST HEALTH CONNECT LLC | |||||||||
| 10 RAGSDALE DRIVE SUITE 102 | MONTEREY | CA | 93940 | 611759835 | HEALTH SERVICES | CA | N/A | 0 | 0 |
| SAN CARLOS & 7TH LLC | |||||||||
| 23625 HOLMAN HIGHWAY | MONTEREY | CA | 93940 | 274672809 | REAL ESTATE | CA | N/A | 0 | 0 |
| MONTEREY BAY ENDOSCOPY CENTER LLC | |||||||||
| 23 UPPER RAGSDALE DRIVE | MONTEREY | CA | 93940 | 770324855 | ENDOSCOPY CENTER | CA | N/A | 0 | 0 |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (5 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Entity TypeEntityTypeTxt | Share Of EOY AssetsShareOfEOYAssetsAmt | OwnershipOwnershipPct | Controlled OrganizationControlledOrganizationInd | Direct Controlling NADirectControllingNACd | Share Of Total IncomeShareOfTotalIncomeAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| BAY SERVICES INC | |||||||||||||
| PO BOX 80308 | SALINAS | CA | 93912 | 942250761 | SERVICES | CA | ASPIRE HEALTH PLAN | C | $565,670 | 1.00000 | Yes (1) | ||
| CHARITABLE REMAINDER TRUSTS (2) | |||||||||||||
| PO BOX HH | MONTEREY | CA | 93942 | HOLDING COMPANY | CA | T | 0 | N/A | |||||
| COASTAL HEALTHCARE ADMINISTRATORS | |||||||||||||
| PO BOX 80308 | SALINAS | CA | 93912 | 770311413 | MEDICAL CLAIMS PROCESSING | CA | ASPIRE HEALTH PLAN | C | $96,334 | 1.00000 | Yes (1) | $323,956 | |
| COASTAL TPA INC | |||||||||||||
| PO BOX 80308 | SALINAS | CA | 93912 | 770523382 | MEDICAL CLAIMS PROCESSING | CA | ASPIRE HEALTH PLAN | C | $2,169,570 | 1.00000 | Yes (1) | $3,430,976 | |
| CYPRESS MEDICAL NETWORK INC | |||||||||||||
| PO BOX HH | MONTEREY | CA | 93942 | 770438780 | INACTIVE | CA | C | 0 | N/A | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | 0 | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | Yes (1) | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | Yes (1) | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | Yes (1) | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | Yes (1) | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | Yes (1) | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | Yes (1) | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | Yes (1) | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | Yes (1) | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (1) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (1) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (1) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | Yes (1) | TransferToOtherOrgInd |
| Transfer From Other Org | Yes (1) | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (2 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| COASTAL TPA INC | ||
| L | $550,000 | COST |
| COASTAL TPA INC | ||
| M | $1,899,385 | COST |
Comments