2022-11-14T15:18:02-06:00 2021-12-31 910189318 MOSS ADAMS LLP 101 SECOND STREET SUITE 900 SAN FRANCISCO CA 94105 990 2021-01-01 461567681 ASPIRE HEALTH PLAN ASPI 8315744938 10 RAGSDALE DRIVE SUITE 101 MONTEREY CA 93940 MATT MORGAN VP, CFO 8315744938 2022-11-13 1 MATT MORGAN 999009999 LESLIE VAN P01294411 4159561500 2022-11-04 3 AAL1 IAL1 2021 2022-09-23 18:48:47Z MATT MORGAN 23625 HOLMAN HWY MONTEREY CA 93940 76415009 0 X WWW.ASPIREHEALTHPLAN.ORG X 2012 CA SOCIAL WELFARE THROUGH THE PROVISION OF HEALTH INSURANCE. 15 12 88 12 0 0 0 608897 68333500 75805993 150 119 0 0 68333650 76415009 0 0 0 0 5467495 6995920 0 0 0 69010579 80591275 74478074 87587195 -6144424 -11172186 11937116 18926964 62289288 78773497 -50352172 -59846533 SOCIAL WELFARE THROUGH THE PROVISION OF HEALTH INSURANCE. 0 0 79127759 75805993 INSURANCE CLAIMS EXPENDITURES FOR 3316 MEDICARE ADVANTAGE BENEFICIARIES. 4229718 ADMINISTRATIVE EXPENDITURES FOR 3316 MEDICARE ADVANTAGE BENEFICIARIES. 83357477 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 0 0 0 0 0 0 0 0 0 0 1 1 0 0 1 119 0 1 88 1 0 0 0 0 0 0 0 0 0 0 X 15 12 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 DAVID AWERBUCK DIRECTOR 1.00 X 0 0 0 PETE DELGADO DIRECTOR 1.00 X 0 0 0 EUGENE HILL DIRECTOR 1.00 X 0 0 0 SCOTT KELLY VP / COO / SECRETARY 55.00 X X 0 540338 30567 MICHAEL MCGLUE MD DIRECTOR 1.00 X 0 0 0 JOHN O'BRIEN CHAIR 1.00 X X 0 0 0 STEVEN PACKER VICE CHAIR / CEO, MONTAGE 1.00 54.00 X X 0 2144895 273141 TONY PRUTHI MD DIRECTOR 1.00 X 0 0 0 ALLEN RADNER DIRECTOR 1.00 X 0 0 0 HARRY WARDWELL DIRECTOR 1.00 X 0 0 0 LAURA ZEHM PRESIDENT / CEO 8.00 47.00 X X 0 747728 273822 REGINA GAGE 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 X 0 0 0 MATT MORGAN VICE PRESIDENT / CFO 8.00 47.00 X 0 647582 143377 LIZ LORENZI VP / COO 55.00 X 0 612676 15279 ANTHONY SERRANO DIRECTOR OF COMPLIANCE 40.00 X 196621 0 8089 ANN KERN VP CLINICAL SVS OPERATIONS 40.00 X 240587 0 8089 TIFFANY ALLEN DIR ANALYTIC SERVICES 40.00 X 198100 0 43266 MELISSA HALL VP MEDICARE OPERATIONS 40.00 X 307718 0 34737 CYNTHIA O'BRIEN CHIEF SALES MANAGER 40.00 X 299179 0 20091 1242205 4693219 850458 31 0 1 0 PERFORMANCE HEALTH TECHNOLOGY 3993 FAIRVIEW INDUSTRIAL DRIVE SALEM OR 97302 BUSINESS PROCESS OUTSOURCING 3237377 MEDIA LOGIC 59 WOLF RD ALBANY NY 12205 MARKETING 652383 MCG HEALTH LLC 901 5TH AVE STE 2000 SEATTLE WA 98164 GUIDELINE CLINICAL EDITORS 241884 KATHY K VINCENT 9554 STONE OAK COURT SALINAS CA 93907 RN CONTRACTOR 239362 MARGOLIN GROUP 2531 BOULDER ROAD ALTADENA CA 91001 BUSINESS INTELLIGENCE 206282 10 407615 201282 608897 CAPITATION REVENUE 900099 72764165 72764165 OTHER REVENUE 900099 3041828 3041828 75805993 119 119 76415009 75805993 0 119 4941324 3933534 1007790 276632 211478 65154 1443072 1103192 339880 334892 256016 78876 68702 43043 25659 1256701 977554 279147 1150120 794881 355239 73072 56248 16824 958979 635292 323687 289022 174525 114497 7744 769 6975 MEDICAL EXPENSES 69641994 69641994 DIRECT EXPENSES 6327184 4963775 1363409 DUES & SUBSCRIPTIONS 817757 565176 252581 87587195 83357477 4229718 0 7702732 14402598 2212705 2736928 61122 228313 2036662 1523728 12119 512934 1948438 1046191 11937116 18926964 6360720 10118060 267047 255453 55661521 68399984 62289288 78773497 X -50352172 -59846533 -50352172 -59846533 11937116 18926964 X -11172186 1677825 X 0 1 X 1 0 RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 2036662 1523728 512934 512934 INTERCOMPANY RECEIVABLES 1046191 1046191 INTERCOMPANY PAYABLES 948308 RELATED PARTY PAYABLE 67451676 68399984 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, 2021. 0 1 0 0 0 0 0 0 0 STEVEN PACKER VICE CHAIR / CEO, MONTAGE 0 839314 0 425000 0 880581 0 242574 0 30567 0 2418036 0 0 LAURA ZEHM PRESIDENT / CEO 0 551300 0 162840 0 33588 0 243255 0 30567 0 1021550 0 0 MATT MORGAN VICE PRESIDENT / CFO 0 456939 0 157080 0 33563 0 95697 0 47680 0 790959 0 0 LIZ LORENZI VP / COO 0 436226 0 116250 0 60200 0 0 0 15279 0 627955 0 0 SCOTT KELLY VP / COO / SECRETARY 0 364630 0 129150 0 46558 0 0 0 30567 0 570905 0 0 MELISSA HALL VP MEDICARE OPERATIONS 247008 0 51250 0 9460 0 0 0 34737 0 342455 0 0 0 CYNTHIA O'BRIEN CHIEF SALES MANAGER 249504 0 46555 0 3120 0 0 0 20091 0 319270 0 0 0 ANN KERN VP CLINICAL SVS OPERATIONS 209451 0 28614 0 2522 0 0 0 8089 0 248676 0 0 0 TIFFANY ALLEN DIR ANALYTIC SERVICES 174559 0 20838 0 2703 0 27987 0 15279 0 241366 0 0 0 ANTHONY SERRANO DIRECTOR OF COMPLIANCE 161857 0 30600 0 4164 0 0 0 8089 0 204710 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 PLAN AND RECEIVED A PAYMENT DURING THE YEAR IN THE AMOUNT OF $821,579. FORM 990, PART VI, SECTION A, LINE 6 ASPIRE HEALTH PLAN HAS ONE CLASS OF MEMBERS. THE MEMBERS ARE MONTAGE HEALTH AND SALINAS VALLEY MEMORIAL HEALTH SYSTEM. FORM 990, PART VI, SECTION A, LINE 7A MONTAGE HEALTH AND SALINAS VALLEY MEMORIAL HEALTH SYSTEM SHALL HAVE AND BE ENTITLED TO EXERCISE FULLY ALL RIGHTS AND PRIVILEGES OF MEMBERS OF NONPROFIT CORPORATIONS UNDER THE CALIFORNIA NONPROFIT CODE, AS AMENDED FROM TIME TO TIME, AND ALL OTHER APPLICABLE LAWS. FORM 990, PART VI, SECTION A, LINE 7B SEE DESCRIPTION FOR 7A ABOVE. 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. FORM 990, PART XI, LINE 9: CHI NET ASSET TRANSFER TO ASPIRE 1,677,825. MONTAGE HEALTH PO BOX HH MONTEREY CA 93942 942789696 SUPPORT SERVICES CA 501(C)(3) LINE 10 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 COMMUNITY HEALTH INNOVATIONS LLC 23625 HOLMAN HIGHWAY MONTEREY CA 93940 454537290 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 CYPRESS MEDICAL NETWORK INC PO BOX HH MONTEREY CA 93942 770438780 MEDICAL SERVICES CA N/A C 0 CENTRAL COAST COMMUNITY MUTUAL INSURANCE COMPANY 40 MAIN STREET SUITE 200 BURLINGTON VT 05401 454016797 INSURANCE VT 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 ASPIRE HEALTH PLAN C -24943 146039 1.00000 1 BAY SERVICES INC PO BOX 80308 SALINAS CA 93912 942250761 SERVICES CA ASPIRE HEALTH PLAN C -24663 900315 1.00000 1 0 0 0 0 1 1 0 0 0 1 1 0 0 1 1 1 1 1 1