2023-11-15T15:36:09-06:00 2022-12-31 910189318 MOSS ADAMS LLP 101 SECOND STREET SUITE 900 SAN FRANCISCO CA 94105 990 2022-01-01 461567681 ASPIRE HEALTH PLAN ASPI 8315744938 10 RAGSDALE DRIVE SUITE 101 MONTEREY CA 93940 MATT MORGAN VP, CFO 8315744938 2023-11-14 1 MATT MORGAN 999009999 1 LESLIE VAN P01294411 4159561500 2023-11-14 2 AAL1 IAL1 2022 2023-04-26 12:10:37Z MATT MORGAN 23625 HOLMAN HWY MONTEREY CA 93940 95139010 0 X WWW.ASPIREHEALTHPLAN.ORG X 2012 CA SOCIAL WELFARE THROUGH THE PROVISION OF HEALTH INSURANCE. 13 10 98 14 0 0 608897 1609807 75805993 93529128 119 75 0 0 76415009 95139010 0 0 0 0 6995920 12196610 0 0 0 80591275 94399749 87587195 106596359 -11172186 -11457349 18926964 23588300 78773497 94892182 -59846533 -71303882 SOCIAL WELFARE THROUGH THE PROVISION OF HEALTH INSURANCE. 0 0 92222961 93529128 INSURANCE CLAIMS EXPENDITURES FOR 6,164 MEDICARE ADVANTAGE BENEFICIARIES. 7186717 ADMINISTRATIVE EXPENDITURES FOR 6,164 MEDICARE ADVANTAGE BENEFICIARIES. 99409678 0 1 0 0 0 0 0 0 0 1 0 0 1 1 1 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 0 0 0 0 0 0 0 0 0 1 1 0 0 1 120 0 1 98 1 0 0 0 0 0 0 0 0 0 0 0 0 X 13 10 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 0 0 0 CA X MATT MORGAN 8316254965 23625 HOLMAN HWY MONTEREY CA 93940 STEVEN PACKER VICE CHAIR / CEO, MONTAGE 1.00 54.00 X X 0 1274632 1321268 LAURA ZEHM PRESIDENT / CEO (THRU 7/22) 8.00 47.00 X X 0 922761 148744 MICHAEL MCGLUE MD DIRECTOR 1.00 54.00 X 0 439751 12200 TYLER MUNSON CEO OF ASPIRE 55.00 X X 0 200621 1856 JOHN O'BRIEN CHAIR 1.00 2.00 X X 0 0 0 DAVID AWERBUCK DIRECTOR 1.00 X 0 0 0 PETE DELGADO DIRECTOR 1.00 X 0 0 0 EUGENE HILL DIRECTOR 1.00 2.00 X 0 0 0 TONY PRUTHI MD DIRECTOR 1.00 X 0 0 0 ALLEN RADNER MD DIRECTOR 1.00 X 0 0 0 HARRY WARDWELL DIRECTOR 1.00 X 0 0 0 GREGG KANTER MD DIRECTOR 1.00 X 0 0 0 JIB MARTENS DIRECTOR 1.00 X 0 0 0 BILL WARNER DIRECTOR 1.00 4.00 X 0 0 0 MATT MORGAN VP OF FINANCE / CFO 8.00 47.00 X 0 670563 129446 LIZ LORENZI VP / COO 55.00 X 0 646627 23047 SCOTT KELLY VP / COO / SECRETARY 55.00 X 0 560526 95715 MELISSA HALL VP MEDICARE OPERATIONS 55.00 X 313859 0 50477 CYNTHIA O'BRIEN CHIEF SALES MANAGER 55.00 X 319411 0 34496 MARY BETH GOVIER DIR UTILIZATION MANAGEMENT 55.00 X 222112 0 32170 ELISABETH FAGAN DIR HEALTH PLAN OPERATIONS 55.00 X 209738 0 55824 ANTHONY SERRANO DIR COMPLIANCE 55.00 X 200831 0 21346 1265951 4715481 1926589 28 0 1 0 PERFORMANCE HEALTH TECHNOLOGY 3993 FAIRVIEW INDUSTRIAL DRIVE SALEM OR 97302 BUSINESS PROCESS OUTSOURCING 3539654 APPLIED GENERAL AGENCY 1040 N TUSTIN AVE ANAHEIM CA 92807 AGENT COMMISSIONS 235646 MCG HEALTH LLC 901 5TH AVE STE 2000 SEATTLE WA 98164 GUIDELINE CLINICAL EDITORS 184842 GREEN LEAF FINANCIAL AND INSURANCE SERVI 43385 BUSINESS PARK DR STE 160 TEMECULA CA 92590 AGENT COMMISSIONS 144289 HALTHSPARQ INC 920 SW 6TH AVE STE 1400 PORTLAND OR 97204 BUSINESS INTELLIGENCE 140000 10 925943 683864 1609807 CAPITATION REVENUE 900099 88129400 88129400 OTHER PROGRAM REVENUE 900099 5399728 5399728 93529128 75 75 95139010 93529128 0 75 7996106 6077041 1919065 305618 232270 73348 3894886 2999062 895824 73771 47213 26558 1148171 849647 298524 1235614 815505 420109 114489 75563 38926 725114 464073 261041 499425 339609 159816 109952 46180 63772 MEDICAL EXPENSES 80645260 80645260 DIRECT EXPENSES 9748900 6752880 2996020 DUES & SUBSCRIPTIONS 99053 65375 33678 106596359 99409678 7186681 0 14402598 16677218 2736928 4477003 228313 342938 2089151 1633685 512934 455466 1046191 1635675 18926964 23588300 10118060 11684193 255453 237444 29208720 36581940 39191264 46388605 78773497 94892182 X -59846533 -71303882 -59846533 -71303882 18926964 23588300 -11457349 0 X 0 1 X 1 0 RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 2089151 1633685 455466 455466 INTERCOMPANY RECEIVABLES 1635675 1635675 INTERCOMPANY PAYABLES 471482 RELATED PARTY NOTE PAYABLE 45917123 46388605 X PART X, LINE 2: 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, 2022. 0 1 0 0 0 1 1 1 0 STEVEN PACKER VICE CHAIR / CEO, MONTAGE 0 901101 0 314500 0 59031 0 1289098 0 32170 0 2595900 0 0 LAURA ZEHM PRESIDENT / CEO (THRU 7/22) 0 307200 0 186885 0 428676 0 131289 0 17455 0 1071505 0 0 MATT MORGAN VP OF FINANCE / CFO 0 494044 0 142065 0 34454 0 79417 0 50029 0 800009 0 0 LIZ LORENZI VP / COO 0 468344 0 117234 0 61049 0 6962 0 16085 0 669674 0 0 SCOTT KELLY VP / COO / SECRETARY 0 409044 0 104012 0 47470 0 65148 0 30567 0 656241 0 0 MICHAEL MCGLUE MD DIRECTOR 0 275325 0 112121 0 52305 0 12200 0 0 0 451951 0 0 MELISSA HALL VP MEDICARE OPERATIONS 260511 0 28893 0 24455 0 8655 0 41822 0 364336 0 0 0 CYNTHIA O'BRIEN CHIEF SALES MANAGER 286457 0 30432 0 2522 0 8760 0 25736 0 353907 0 0 0 ELISABETH FAGAN DIR HEALTH PLAN OPERATIONS 162995 0 24831 0 21912 0 5639 0 50185 0 265562 0 0 0 MARY BETH GOVIER DIR UTILIZATION MANAGEMENT 205404 0 10400 0 6308 0 0 0 32170 0 254282 0 0 0 ANTHONY SERRANO DIR COMPLIANCE 171254 0 24787 0 4790 0 5261 0 16085 0 222177 0 0 0 TYLER MUNSON CEO OF ASPIRE 0 200621 0 0 0 0 0 0 0 1856 0 202477 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 NO PAYMENT WAS RECEIVED IN 2022. 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. SUBSTANTIAL CONTRIBUTOR SUBSTANTIAL CONTRIBUTOR FUNDING FOR INCREASED REQUIREMENT FOR TANGIBLE NET EQUITY X 7618472 36581940 0 1 1 36581940 FORM 990, PART VI, SECTION A, LINE 6 ASPIRE HEALTH PLAN HAS ONE CLASS OF MEMBERS. THE MEMBERS ARE MONTAGE HEALTH AND SALINAS VALLEY HEALTH. FORM 990, PART VI, SECTION A, LINE 7A MONTAGE HEALTH AND SALINAS VALLEY HEALTH 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 MONTAGE HEALTH, OR AN AFFILIATE OF MONTAGE HEALTH, 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 MONTAGE HEALTH; (2) SIX DIRECTORS, TWO OF WHOM SHALL BE CONCURRENTLY SERVING IN A POSITION OF SENIOR MANAGEMENT FOR SVH, OR AN AFFILIATE OF SVH, 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 SVH; 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 MONTAGE HEALTH AND SVH, 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 MONTAGE HEALTH AND SVH 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. MONTAGE HEALTH AND SVH 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. MONTAGE HEALTH 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 MONTAGE HEALTH IN THIS CORPORATION (OR ANY OF ITS SUBSIDIARIES) TO A WHOLLY OWNED OR CONTROLLED AFFILIATE OF MONTAGE HEALTH; (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 LONGRANGE 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. 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 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 MONTAGE HEALTH FOUNDATION PO BOX HH MONTEREY CA 93942 812889645 SUPPORT SERVICES CA 501(C)(3) LINE 7 MONTAGE HEALTH 0 MOGO URGENT CARE PO BOX HH MONTEREY CA 93942 832329260 MEDICAL 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 23625 HOLMAN HIGHWAY MONTEREY CA 93940 770324855 ENDOSCOPY CENTER CA N/A 0 0 BAY SERVICES INC PO BOX 80308 SALINAS CA 93912 942250761 SERVICES CA ASPIRE HEALTH PLAN C -1303 565670 1.00000 1 CENTRAL COAST COMMUNITY MUTUAL INSURANCE COMPANY 40 MAIN STREET SUITE 200 BURLINGTON VT 05401 454016797 INSURANCE VT N/A C 0 CHARITABLE REMAINDER TRUSTS (6) PO BOX HH MONTEREY CA 93942 HOLDING COMPANY CA N/A T 0 COASTAL HEALTHCARE ADMINISTRATORS PO BOX 80308 SALINAS CA 93912 770311413 MEDICAL CLAIMS PROCESSING CA ASPIRE HEALTH PLAN C -20358 96334 1.00000 1 COASTAL TPA INC PO BOX 80308 SALINAS CA 93912 770523382 MEDICAL CLAIMS PROCESSING CA ASPIRE HEALTH PLAN C -522982 2169570 1.00000 1 CYPRESS MEDICAL NETWORK INC PO BOX HH MONTEREY CA 93942 770438780 INACTIVE CA N/A C 0 0 0 1 0 1 1 0 0 0 1 1 0 0 1 1 1 1 1 1