2024-11-13T19:59:48-06:00 2023-12-31 910189318 MOSS ADAMS LLP 101 SECOND STREET SUITE 900 SAN FRANCISCO CA 94105 990 2023-01-01 264826604 MONTAGE MEDICAL GROUP MONT 8317189720 PO BOX HH MONTEREY CA 93942 MATTHEW MORGAN VP, CFO 8317189720 2024-11-12 1 1 LESLIE VAN P01294411 4159561500 2024-11-12 2023 2024-10-15 13:58:12Z STEVEN PACKER PO BOX HH MONTEREY CA 93942 40609226 0 X WWW.MONTAGEMEDICALGROUP.ORG X 2009 CA TO PROVIDE HEALTH CARE FOR THE GENERAL PUBLIC, CARRY ON ANY EDUCATIONAL ACTIVITIES RELATED TO RENDERING CARE TO THE SICK OR INJURED, AND TO PARTICIPATE IN SCIENTIFIC HEALTHCARE-RELATED RESEARCH TO PROMOTE THE GENERAL HEALTH OF THE COMMUNITY. 8 5 374 5 0 0 3298140 2105728 27405966 38503498 0 0 5294337 0 35998443 40609226 0 0 0 0 45726301 61329637 0 0 0 15449441 15740232 61175742 77069869 -25177299 -36460643 4884874 5406018 79889618 116871405 -75004744 -111465387 TO PROVIDE HEALTH CARE FOR THE GENERAL PUBLIC, CARRY ON ANY EDUCATIONAL ACTIVITIES RELATED TO RENDERING CARE TO THE SICK OR INJURED, AND TO PARTICIPATE IN SCIENTIFIC HEALTHCARE-RELATED RESEARCH TO PROMOTE THE GENERAL HEALTH OF THE COMMUNITY. 0 0 72023534 38503498 DIRECT CLINICAL SERVICES. 72023534 1 1 0 0 0 0 0 0 0 0 1 0 0 0 1 1 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 33 0 1 374 1 0 0 0 0 0 0 0 0 0 0 0 0 X 8 5 0 1 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 0 0 0 CA X SHIRLEY NORMAN 8312428605 PO BOX HH MONTEREY CA 93942 STEVEN PACKER MD PRESIDENT & CEO 10.00 45.00 X X 0 2188518 550160 GRACE CASSERLY MD DIRECTOR 50.00 X 438342 0 32516 THOMAS CUNNINGHAM MD DIRECTOR 50.00 X 362044 0 25953 RANDALL CHARLES CHAIR 9.00 2.00 X X 0 0 0 JACK JEWETT DIRECTOR 2.00 X 0 0 0 STAN MCKEE DIRECTOR 2.00 X 0 0 0 WAYNE MOON DIRECTOR 2.00 X 0 0 0 NATALIE NIELSON DIRECTOR 2.00 X 0 0 0 MARK CARVALHO MD VP, CEO OF MMG AND MOGO 45.00 10.00 X 0 788868 130716 MATTHEW MORGAN VP, CFO 2.00 53.00 X 0 758608 151303 STEVEN LOME DO PHYSICIAN 50.00 X 1120194 0 52734 MARK VIERRA MD PHYSICIAN 50.00 X 1036199 0 41256 STEVEN CHANG MD PHYSICIAN 50.00 X 934418 0 25953 GREGORY SPOWART MD PHYSICIAN 50.00 X 927150 0 28056 LARRY BERTE MD PHYSICIAN 50.00 X 867126 0 25953 LAURA ZEHM FORMER DIRECTOR 0.00 X 0 614317 0 5685473 4350311 1064600 98 1 1 0 CYPRESS HEALTHCARE PARTNERS 100 WILSON ROAD SUITE 100 MONTEREY CA 93940 MANAGEMENT SERVICES 3341712 AQUITY SOLUTIONS LLC PO BOX 536470 PITTSBURGH PA 152535906 VIRTUAL SCRIBE 331218 INSIGHT DIRECT USA INC PO BOX 731069 DALLAS TX 75373 SOFTWARE SUPPORT SERVICES 195066 SPOTLESS FACILITY SERVICES INC 9000 CROW CANYON ROAD SUITE S-329 DANVILLE CA 94506 JANITORIAL SERVICES 185985 MURJ INC 3912 PORTOLA DRIVE SUITE 9 SANTA CRUZ CA 95062 SOFTWARE/CLINICAL SUPPORT SERVICES 174010 9 2105728 2105728 NET PATIENT REVENUE 621110 31363517 31363517 OTHER OPERATING REVENUE 621110 7139981 7139981 38503498 40609226 38503498 0 0 858856 858856 49512319 46226661 3285658 967052 895039 72013 7439795 6885783 554012 2551615 2361606 190009 3410290 3235513 174777 2631449 2376257 255192 655159 622401 32758 3785434 3596162 189272 464663 441430 23233 MEDICAL SUPPLIES 2712859 2576235 136624 OTHER DIRECT EXPENSES 1612935 1525531 87404 OTHER SUPPLIES 467443 422060 45383 77069869 72023534 5046335 0 1340331 1097538 2452155 2701756 58043 241310 6153635 4809237 1013329 1344398 21016 21016 4884874 5406018 4186103 4580958 75703515 112290447 79889618 116871405 X -75004744 -111465387 -75004744 -111465387 4884874 5406018 -36460643 0 X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 343946 268803 75143 5809689 4540434 1269255 1344398 INTERCOMPANY PAYABLES 112290447 112290447 X PART X, LINE 2: THE ORGANIZATION ASSESSES UNCERTAIN TAX POSITIONS IN ACCORDANCE WITH THE PROVISIONS OF THE FASB ASC TOPIC 740-10, INCOME TAXES. THE ORGANIZATION 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. THE ORGANIZATION 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. 0 1 0 0 0 1 1 1 0 STEVEN PACKER MD PRESIDENT & CEO 0 1015887 0 383300 0 789331 0 516858 0 33302 0 2738678 0 732679 STEVEN LOME DO PHYSICIAN 454401 0 665793 0 0 0 13200 0 39534 0 1172928 0 0 0 MARK VIERRA MD PHYSICIAN 866762 0 169437 0 0 0 13200 0 28056 0 1077455 0 0 0 STEVEN CHANG MD PHYSICIAN 757724 0 176694 0 0 0 13200 0 12753 0 960371 0 0 0 GREGORY SPOWART MD PHYSICIAN 746667 0 180483 0 0 0 0 0 28056 0 955206 0 0 0 MARK CARVALHO MD VP, CEO OF MMG AND MOGO 0 562371 0 166158 0 60339 0 73623 0 57093 0 919584 0 0 MATTHEW MORGAN VP, CFO 0 538655 0 161822 0 58131 0 94210 0 57093 0 909911 0 0 LARRY BERTE MD PHYSICIAN 454401 0 412725 0 0 0 13200 0 12753 0 893079 0 0 0 LAURA ZEHM FORMER DIRECTOR 0 0 0 0 0 614317 0 0 0 0 0 614317 0 0 GRACE CASSERLY MD DIRECTOR 225763 0 212579 0 0 0 9561 0 22955 0 470858 0 0 0 THOMAS CUNNINGHAM MD DIRECTOR 305687 0 56357 0 0 0 13200 0 12753 0 387997 0 0 0 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, LINE 4B 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 DURING THE YEAR. FORM 990, PART VI, SECTION A, LINE 3 CYPRESS HEALTHCARE IS A PROFESSIONAL PHYSICIAN MANAGEMENT COMPANY. WHEN THE FORMER EXECUTIVE DIRECTOR LEFT, CYPRESS HEALTHCARE ASSUMED SOME OF THE RESPONSIBILITIES OF THE ED. FORM 990, PART VI, SECTION A, LINE 6 MONTAGE HEALTH IS THE SOLE CORPORATE MEMBER OF MONTAGE MEDICAL GROUP. FORM 990, PART VI, SECTION A, LINE 7A MONTAGE HEALTH HAS THE RIGHT TO ELECT AND APPOINT THE DIRECTORS OF MONTAGE MEDICAL GROUP. FORM 990, PART VI, SECTION A, LINE 7B THE FOLLOWING GOVERNANCE DECISIONS ARE RESERVED FOR MONTAGE HEALTH: (A) THE MERGER, CONSOLIDATION OR DISSOLUTION OF THE CORPORATION; (B) THE AMENDMENT OR RESTATEMENT OF THE ARTICLES OF INCORPORATION OR THE BYLAWS OF THE CORPORATION; (C) THE AGGREGATE BORROWING FOR ANY PURPOSE OF AN AMOUNT IN EXCESS OF A DOLLAR AMOUNT TO BE ESTABLISHED BY MONTAGE HEALTH FROM TIME TO TIME. FOR PURPOSES OF THIS SUBSECTION, AGGREGATE BORROWING INCLUDES, BUT IS NOT LIMITED TO, LEASE AGREEMENTS AND CONTRACTS OF SALE OR PURCHASE; (D) THE PURCHASE, SALE, LEASE, DISPOSITION, EXCHANGE, GIFT, PLEDGE OR ENCUMBRANCE OF ANY ASSET, REAL OR PERSONAL, OF THE CORPORATION WITH A VALUE IN EXCESS OF A DOLLAR AMOUNT TO BE ESTABLISHED BY MONTAGE HEALTH FROM TIME TO TIME; (E) THE APPROVAL OF ANY TRANSACTION OF THE CORPORATION IN WHICH A DIRECTOR OR OFFICER OF THE CORPORATION HAS A MATERIAL FINANCIAL INTEREST; (F) THE APPOINTMENT OF LEGAL COUNSEL AND AUDITORS FOR THE CORPORATION; (G) THE APPOINTMENT OF THE AUDIT COMMITTEE FOR THE CORPORATION; (H) THE ESTABLISHMENT OF LONG RANGE GOALS, PLANS AND STRATEGIES FOR THE CORPORATION; (I) THE APPOINTMENT OR REMOVAL OF THE PRESIDENT/CHIEF EXECUTIVE OFFICER OF THE CORPORATION; (J) THE APPROVAL OF THE EXACT NUMBER OF AUTHORIZED DIRECTORS WITHIN THE VARIABLE RANGE ESTABLISHED PURSUANT TO SECTION 2 OF ARTICLE IV OF THESE BYLAWS; AND (K) THE FILLING OF ANY VACANCY ON THE BOARD OF DIRECTORS, INCLUDING, WITHOUT LIMITATION, ANY VACANCY CREATED BY THE REMOVAL OF A DIRECTOR. FORM 990, PART VI, SECTION B, LINE 11B THE CFO AND VP FINANCE IS RESPONSIBLE FOR REVIEWING THE FORM 990 BEFORE FILING. ELECTRONIC COPIES ARE SENT TO ALL BOARD MEMBERS FOR REVIEW PRIOR TO FILING. FORM 990, PART VI, SECTION B, LINE 12C THE ORGANIZATION USES SELF DISCLOSURE BY INTERESTED PERSONS AND MONITORS AND ENFORCES COMPLIANCE WITH THE CONFLICT OF INTEREST POLICY. FORM 990, PART VI, SECTION B, LINE 15 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. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES ITS FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC BY REQUEST. MONTAGE HEALTH PO BOX HH MONTEREY CA 93942 942789696 SUPPORT SERVICES CA 501(C)(3) LINE 7 N/A 0 MONTAGE HEALTH FOUNDATION PO BOX HH MONTEREY CA 93942 812889645 SUPPORT SERVICES CA 501(C)(3) LINE 7 MONTAGE HEALTH 0 MOGO URGENT CARE 23625 HOLMAN HIGHWAY MONTEREY CA 93940 832329260 MEDICAL SERVICES CA 501(C)(3) LINE 3 MONTAGE HEALTH 0 ASPIRE HEALTH PLAN 10 RAGSDALE DRIVE SUITE 101 MONTEREY CA 93940 461567681 INSURANCE COMPANY CA N/A MONTAGE HEALTH 0 COMMUNITY HOSPITAL OF THE MONTEREY PENINSULA PO BOX HH MONTEREY CA 93942 940760193 HEALTHCARE SERVICES CA 501(C)(3) LINE 3 MONTAGE HEALTH 0 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 CYPRESS MEDICAL NETWORK INC PO BOX HH MONTEREY CA 93942 770438780 INACTIVE CA N/A C 0 COASTAL TPA INC PO BOX 80308 SALINAS CA 93912 770523382 MEDICAL CLAIMS PROCESSING CA N/A C 0 COASTAL HEALTHCARE ADMINISTRATORS PO BOX 80308 SALINAS CA 93912 770311413 MEDICAL CLAIMS PROCESSING CA N/A C 0 BAY SERVICES INC PO BOX 80308 SALINAS CA 93912 942250761 SERVICES CA N/A C 0 CHARITABLE REMAINDER TRUSTS (2) PO BOX HH MONTEREY CA 93942 HOLDING COMPANY CA N/A T 0 0 0 1 0 1 0 0 0 0 0 1 1 1 0 1 0 0 0 1