2020-11-13T18:56:42-06:00 2019-12-31 910189318 MOSS ADAMS LLP 101 SECOND STREET SUITE 900 SAN FRANCISCO CA 94105 990 2019-01-01 942789696 MONTAGE HEALTH MONT 8316245311 PO BOX HH MONTEREY CA 93942 MATT MORGAN VP/CFO 8316245311 2020-11-12 1 RICHARD CROGHAN P00089862 4159561500 2020-11-11 98.210.126.210 2020-11-12 23:18:06 PS P DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 38D2F50D294D7FF929294DC7DB19A49EB4956B3D 2019 2021-01-29 14:40:06Z STEVE PACKER PO BOX HH MONTEREY CA 93942 64901593 0 X WWW.MONTAGEHEALTH.ORG X 1981 CA TO PROVIDE SUPPORT SERVICES TO THE COMMUNITY HOSPITAL OF THE MONTEREY PENINSULA AND ITS AFFILIATES. 16 15 0 14 477816 0 3189212 1268108 0 0 60674474 24245469 7353114 11156265 71216800 36669842 7868320 4575943 0 0 5638084 7866556 0 0 0 13901332 15856213 27407736 28298712 43809064 8371130 869117442 1056160005 16934877 95528465 852182565 960631540 X SEE SCHEDULE O. 0 0 1430773 0 0 MAURINE CHURCH COBURN SCHOOL OF NURSING OFFERS ASSOCIATES DEGREE IN NURSING LEADING TO RN CERTIFICATION. 20453749 4575943 0 PROPERTY MANAGEMENT OF OWNED AND LEASED PROPERTIES WITHIN THE MONTAGE HEALTH SYSTEM AND EXTERNAL TENANTS. 2054481 0 0 PHYSICIAN RECRUITMENT WHICH OFFERS LOAN FORGIVENESS FOR NEWLY-RECRUITED PHYSICIANS THAT FULFILL THE TERMS OF THEIR RECRUITMENT AGREEMENTS. 23939003 1 1 0 0 0 0 1 0 0 1 1 1 0 1 1 1 0 1 0 0 1 0 0 0 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 1 0 1 105 0 1 0 1 1 0 0 0 0 0 0 0 0 0 0 0 X 16 15 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 0 0 1 1 CA X MATT MORGAN 8316254965 23625 HOLMAN HWY MONTEREY CA 93940 PATRICK WELTON MD CHAIR 12.00 0.00 X X 0 0 0 KATHLEEN BANG VICE CHAIR 9.00 0.00 X X 0 0 0 BILL WARNER SECRETARY (START 1/19) 3.00 0.00 X X 0 0 0 DIANA BUSMAN TRUSTEE 1.00 0.00 X 0 0 0 RANDY CHARLES TRUSTEE 1.00 0.00 X 0 0 0 MATTHEW FRITSCH MD TRUSTEE 4.00 0.00 X 0 0 0 EUGENE HILL TRUSTEE 3.00 0.00 X 0 0 0 JOHN MAHONEY TRUSTEE (THRU 12/19) 8.00 0.00 X 0 0 0 STAN MCKEE TRUSTEE 3.00 0.00 X 0 0 0 JOHN O'BRIEN TRUSTEE 3.00 0.00 X 0 0 0 FREDERICK O'SUCH TRUSTEE 5.00 0.00 X 0 0 0 LESLIE SNORF TRUSTEE 2.00 0.00 X 0 0 0 SHARON WESLEY MD TRUSTEE 2.00 0.00 X 0 0 0 PHIL WILHELM TRUSTEE 5.00 0.00 X 0 0 0 WILLIAM YOUNG TRUSTEE 4.00 0.00 X 0 0 0 STEVEN PACKER PRESIDENT CEO 10.00 45.00 X X 0 2054979 292816 LAURA ZEHM SR VP 10.00 45.00 X 0 726266 179317 ANTHONY CHAVIS VP, CHIEF MEDICAL OFFICER 15.00 40.00 X 0 680339 149871 STEVEN CABRALES VP MEDICAL AFFAIRS 0.00 55.00 X 0 629161 101293 MATTHEW MORGAN VP, CFO 10.00 45.00 X 0 540058 94025 ELIZABETH LORENZI VP, COO CHI 55.00 0.00 X 0 527460 75212 TIM NYLEN VP 0.00 55.00 X 0 517664 74189 SCOTT KELLY VP, COO ASPIRE 5.00 50.00 X 0 497776 88167 CYNTHIA PECK VP 0.00 55.00 X 0 469596 114470 DEBORAH SOBER VP 0.00 55.00 X 0 467332 79461 KEVIN CAUSEY VP, CHIEF DEVELOPMENT OFFICER 10.00 45.00 X 0 420580 65851 MARY ANNE LEACH VP, CHIEF INFORMATION OFFICER 10.00 45.00 X 0 226946 6923 SUSAN SWICK PHYSICIAN IN CHIEF 55.00 0.00 X 0 535668 21700 CHARLENE WEBBER SCHUSS CHIEF INFORMATION OFFICER 55.00 0.00 X 0 448763 66699 TERRIL LOWE FORMER VP NURSING 0.00 0.00 X 0 102986 0 0 8845574 1409994 0 1 1 0 0 1200000 68108 10112 1268108 13019491 -515491 13534982 11156265 0 11156265 11156265 993307 10162958 38942402 515327 28231751 0 10710651 515327 11225978 11225978 36669842 0 477816 34923918 4575943 4575943 5273725 3083053 2190672 734432 429354 305078 1323168 773532 549636 535231 312899 222332 103278 45624 57654 93220 93220 1247935 1006053 241882 87247 85041 2206 513275 485132 28143 2716278 2716278 493702 493702 6654972 6647714 7258 OTHER DIRECT EXPENSES 2438408 1888958 549450 PURCHASED SERVICES 1507898 1395720 112178 28298712 23939003 4359709 0 11360365 10300719 1039386 740998 6007588 7679911 635351 970226 202321148 43100823 156856441 159220325 176677813 172849010 433036451 564142662 83504047 140256154 869117442 1056160005 1484029 1975305 1106812 37807 10731910 10731910 3612126 82783443 16934877 95528465 X 714434663 803001971 137747902 157629569 852182565 960631540 869117442 1056160005 X 8371130 98478098 1286855 312892 X 0 1 X 1 0 X 34814978 4847348 527704 256872620 1268108 298330758 34814978 4847348 527704 256872620 1268108 298330758 547540 274180 31231 852951 0 547540 274180 31231 852951 297477807 6325414 11491829 18666977 37182646 23182449 96849315 3069692 3799970 477816 7347478 9395106 15291799 18666977 37182646 23660265 104196793 44210084 20139147 19194681 294055266 24928373 402527551 0.73900 0.77740 0.25890 0.17670 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED X X 3 17.51 3 3 0 1 1 0.00 0 1 0 175317743 100000 32690718 5668805 202439656 201116274 -18058615 7634219 105698 175317742 143388360 55175802 16589131 14037019 201116274 134796587 704076 9646030 738606 1019727 143388360 136954498 832369 -934052 75000 1631640 349588 134796587 0.06300 0.19960 0.73740 1 1 1 21922896 21922896 13420288 6163546 7256742 3673652 1660027 2013625 163304312 35277250 128027062 159220325 OTHER INVESTMENTS 421842218 F PRIVATE EQUITY 142300444 F 564142662 RECEIVABLE FROM RELATED ORGS 72748112 OTHER ASSETS 31921330 ANNUITY INVESTMENTS 304926 ASSETS HELD IN REMAINDER TRUSTS 3489608 ASPIRE LOAN 28308622 BENEFICIAL INTEREST IN REMAINDER TRUSTS 1860037 INVESTMENT IN PROPERTIES REAL ESTATE 2008-09 500000 OTHER RECEIVABLES 1123519 140256154 PAYABLE TO RELATED ORGS 79803622 LIABILITIES UNDER SPLIT INTEREST AGREEMENTS 1498597 LIABILITIES UNDER TRUST AGREEMENTS 1481224 82783443 X PART II, LINE 9: REPORTED ON THE BALANCE SHEET AS PART OF PROPERTY, PLANT AND EQUIPMENT. PART V, LINE 4: ADOLESCENT BEHAVIORAL HEALTH, SPONSORED CARE, PEER REVIEW, QUALITY IMPROVEMENT, CREDENTIALING OPERATIONS OF COMMUNITY HOSPITAL OF MONTEREY PENINSULA MEDICAL STAFF. PART X, LINE 2: MONTAGE, CHOMP, ASPIRE (EXCLUDING COASTAL), AND MMG HAVE BEEN DETERMINED TO BE EXEMPT ORGANIZATIONS BY THE INTERNAL REVENUE SERVICE AND THE CALIFORNIA FRANCHISE TAX BOARD AND GENERALLY ARE NOT SUBJECT TO TAXES ON INCOME PURSUANT TO SECTION 501(C)(3) AND SECTION 23701(D) OF THE INTERNAL REVENUE CODE AND CALIFORNIA REVENUE AND TAXATION CODE, RESPECTIVELY. CCCMIC AND COASTAL ARE TAXABLE ENTITIES AND INCOME TAXES ARE ACCOUNTED FOR USING AN ASSET AND LIABILITY APPROACH THAT REQUIRES THE RECOGNITION OF DEFERRED TAX ASSETS AND LIABILITIES FOR THE EXPECTED FUTURE TAX CONSEQUENCES OF EVENTS THAT HAVE BEEN INCLUDED IN THE CONSOLIDATED FINANCIAL STATEMENTS. UNDER THIS METHOD, DEFERRED TAX ASSETS AND LIABILITIES ARE DETERMINED BASED ON THE DIFFERENCES BETWEEN THE CONSOLIDATED FINANCIAL STATEMENT AND TAX BASIS OF ASSETS AND LIABILITIES USING ENACTED TAX RATES IN EFFECT FOR THE YEAR IN WHICH THE DIFFERENCES ARE EXPECTED TO REVERSE. CCCMIC AND COASTAL HAVE NET CUMULATIVE LOSSES AND THE DEFERRED TAX ASSETS ASSOCIATED WITH THESE LOSSES HAVE BEEN FULLY RESERVED. 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, 2019 AND 2018. EUROPE (INCLUDING ICELAND & GREENLAND) - ALBANIA, ANDORRA, AUSTRIA, BELGIUM INVESTMENT IN PARTNERSHIP 6455366 CENTRAL AMERICA AND THE CARIBBEAN - ANTIGUA & BARBUDA, ARUBA, BAHAMAS, INVESTMENT IN PARTNERSHIP 116260612 0 0 0 0 0 0 122715978 0 122715978 1 0 0 1 1 0 PART III ACCOUNTING METHOD: 1 MONTAGE HEALTH FOUNDATION PO BOX HH MONTEREY CA 93942 812889645 501(C)(3) 456263 GENERAL OPERATIONS COMMUNITY HOSPITAL OF THE MONTEREY PENINSULA PO BOX HH MONTEREY CA 93942 940760193 501(C)(3) 4015730 GENERAL SUPPORT AND SUPPORT OF MEDICAL STAFF SERVICES ASPIRE HEALTH PLAN 10 RAGSDALE DRIVE SUITE 101 MONTEREY CA 93940 451567681 501(C)(4) 56835 PROGRAM FUNDING COMMUNITY HEALTH INNOVATIONS LLC 23625 HOLMAN HIGHWAY MONTEREY CA 93942 454537290 47097 PROGRAM FUNDING 2 2 PART I, LINE 2: FOR COMMUNITY HOSPITAL OF THE MONTEREY PENINSULA, ASPIRE HEALTH PLAN, AND COMMUNITY HEALTH INNOVATIONS, LLC, ACTUAL EXPENDITURES ARE REVIEWED AND APPROVED BEFORE TRANSFERRING THE GRANT PROCEEDS. 0 0 0 0 0 0 0 0 0 STEVEN PACKER PRESIDENT CEO 0 860334 0 348300 0 846345 0 260396 0 32420 0 2347795 0 0 LAURA ZEHM SR VP 0 544630 0 159521 0 22115 0 146898 0 32419 0 905583 0 0 ANTHONY CHAVIS VP, CHIEF MEDICAL OFFICER 0 513588 0 140610 0 26141 0 117452 0 32419 0 830210 0 0 STEVEN CABRALES VP MEDICAL AFFAIRS 0 467282 0 127988 0 33891 0 59192 0 42101 0 730454 0 0 MATTHEW MORGAN VP, CFO 0 420791 0 103191 0 16076 0 43592 0 50433 0 634083 0 0 ELIZABETH LORENZI VP, COO CHI 0 369270 0 108150 0 50040 0 59080 0 16132 0 602672 0 0 TIM NYLEN VP 0 371581 0 103840 0 42243 0 58057 0 16132 0 591853 0 0 SCOTT KELLY VP, COO ASPIRE 0 363003 0 97613 0 37160 0 55748 0 32419 0 585943 0 0 CYNTHIA PECK VP 0 345287 0 111487 0 12822 0 82051 0 32419 0 584066 0 0 DEBORAH SOBER VP 0 348455 0 55097 0 63780 0 48732 0 30729 0 546793 0 0 KEVIN CAUSEY VP, CHIEF DEVELOPMENT OFFICER 0 290445 0 80340 0 49795 0 33432 0 32419 0 486431 0 0 MARY ANNE LEACH VP, CHIEF INFORMATION OFFICER 0 220626 0 0 0 6320 0 0 0 6923 0 233869 0 0 SUSAN SWICK PHYSICIAN IN CHIEF 0 535530 0 0 0 138 0 21700 0 0 0 557368 0 0 CHARLENE WEBBER SCHUSS CHIEF INFORMATION OFFICER 0 162060 0 135138 0 151565 0 42716 0 23983 0 515462 0 0 TERRIL LOWE FORMER VP NURSING 0 102986 0 0 0 0 0 0 0 0 0 102986 0 0 SCHEDULE J, PART I, LINE 3 PART I, LINE 3: MONTAGE HEALTH RELIES ON A RELATED ORGANIZATION, COMMUNITY HOSPITAL OF THE MONTEREY PENINSULA, TO ESTABLISH THE COMPENSATION OF THE ORGANIZATION'S TOP MANAGEMENT OFFICIAL USING ALL OF THE METHODS DESCRIBED ON LINE 3 EXCEPT "FORM 990 OF OTHER ORGANIZATIONS." FORM 990, PART III, LINE 2 WE BELIEVE OUR COMMUNITY'S GREATEST RESOURCE IS THE HEALTH OF ITS PEOPLE. OUR FAMILY OF ORGANIZATIONS IS DEDICATED TO THE PURSUIT OF OPTIMAL HEALTH FOR ALL PEOPLE IN MONTEREY COUNTY, FROM BIRTH TO END OF LIFE. WE BELIEVE THE ACHIEVEMENT OF OPTIMAL HEALTH REQUIRES PRO-ACTIVE PARTNERING WITH PHYSICIANS AND OTHER CLINICIANS, HEALTHCARE AND COMMUNITY ORGANIZATIONS, AND, MOST IMPORTANTLY, EACH PERSON WE SERVE. ACHIEVING THIS GOAL REQUIRES OUR ONGOING COMMITMENT TO DELIVERING EXCEPTIONAL VALUE-BASED CARE THAT IS: -PREVENTIVE (BUILDING AND RETAINING HEALTH), -RESTORATIVE (FACILITATING RECOVERY FROM ILLNESS OR INJURY), AND -PALLIATIVE (MAXIMIZING WELL-BEING WHEN RECOVERY IS NOT POSSIBLE). WE ARE DEDICATED TO CARE THAT IS COORDINATED ACROSS ALL CARE SETTINGS TO MEET EACH PERSON'S OWN GOALS AND NEEDS. WE BELIEVE OPTIMAL HEALTH ON AN INDIVIDUAL LEVEL IS POSSIBLE ONLY WHEN EACH PERSON ACTIVELY PARTICIPATES IN THEIR OWN HEALTHCARE. WE INSPIRE THAT PARTICIPATION THROUGH PERSONALIZED INFORMATION, EDUCATION, AND SUPPORT, PROVIDED BY A COORDINATED AND COMPASSIONATE TEAM. 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 AND ANOTHER'S WEBSITE. FORM 990, PART XI, LINE 9: CRT PRESENT VALUE ADJUSTMENT 320,226. CGA PRESENT VALUE ADJUSTMENT -7,334. PROPERTIES REAL ESTATE 2008-2009 LLC 23625 HOLMAN HIGHWAY MONTEREY CA 93940 942789696 REAL ESTATE CA 0 527328 MONTAGE HEALTH 40 RYAN COURT LLC 23625 HOLMAN HIGHWAY MONTEREY CA 93940 942789696 PROPERTIES LEASING CA 390744 4534347 MONTAGE HEALTH 230 LIGHTHOUSE LLC 23625 HOLMAN HIGHWAY MONTEREY CA 93940 942789696 REAL ESTATE CA 553870 833162 MONTAGE HEALTH 1330 SKYLINE LLC 23625 HOLMAN HIGHWAY MONTEREY CA 93940 942789696 REAL ESTATE CA 1399161 346426 MONTAGE HEALTH ASPIRE HEALTH PLAN 10 RAGSDALE DRIVE SUITE 101 MONTEREY CA 93940 461567681 INSURANCE CA 501(C)(4) MONTAGE HEALTH 1 COMMUNITY HOSPITAL OF THE MONTEREY PENINSULA PO BOX HH MONTEREY CA 93942 940760193 HEALTHCARE SERVICES CA 501(C)(3) LINE 3 MONTAGE HEALTH 1 MONTAGE HEALTH FOUNDATION 23625 HOLMAN HWY MONTEREY CA 93942 812889645 SUPPORT SERVICES CA 501(C)(3) LINE 7 MONTAGE HEALTH 1 MONTAGE MEDICAL GROUP PO BOX HH MONTEREY CA 93942 264826604 HEALTHCARE SERVICES CA 501(C)(3) LINE 3 MONTAGE HEALTH 1 MOGO URGENT CARE PO BOX HH MONTEREY CA 93942 832329260 MEDICAL SERVICES CA 501(C)(3) LINE 3 MONTAGE HEALTH 1 CENTRAL COAST HEALTH CONNECT LLC 10 RAGSDALE DRIVE SUITE 102 MONTEREY CA 93940 611759835 HEALTH SERVICES CA N/A COMMUNITY HEALTH INNOVATIONS LLC 23625 HOLMAN HIGHWAY MONTEREY CA 93940 454537290 HEALTH SERVICES CA MONTAGE HEALTH UNRELATED -1350890 4194047 0 1 0.51000 SAN CARLOS & 7TH LLC 23625 HOLMAN HIGHWAY MONTEREY CA 93940 274672809 REAL ESTATE CA N/A MONTEREY BAY ENDOSCOPY CENTER LLC 23 UPPER RAGSDALE DRIVE MONTEREY CA 93940 770324855 ENDOSCOPY CENTER CA N/A CYPRESS MEDICAL NETWORK INC PO BOX HH MONTEREY CA 93942 770438780 MEDICAL SERVICES CA N/A C 1 CENTRAL COAST COMMUNITY MUTUAL INSURANCE COMPANY 40 MAIN STREET SUITE 200 BURLINGTON VT 05401 454016797 INSURANCE VT N/A C 1 CHARITABLE REMAINDER TRUSTS (6) PO BOX HH MONTEREY CA 93942 HOLDING CO CA MONTAGE HEALTH T 1 COASTAL TPA INC PO BOX 80308 SALINAS CA 93912 770523382 MEDICAL CLAIMS PROCESSING CA N/A C 1 COASTAL HEALTHCARE ADMINISTRATORS PO BOX 80308 SALINAS CA 93912 770311413 MEDICAL CLAIMS PROCESSING CA N/A C 1 BAY SERVICES INC PO BOX 80308 SALINAS CA 93912 942250761 SERVICES CA N/A C 1 0 1 1 1 1 1 0 0 1 1 0 0 0 1 1 1 1 1 1 MONTAGE HEALTH FOUNDATION B 456263 ACTUAL/BOOK VALUE MONTAGE HEALTH FOUNDATION C 1200000 ACTUAL/BOOK VALUE ASPIRE HEALTH PLAN D 28308622 ACTUAL/BOOK VALUE ASPIRE HEALTH PLAN B 56835 ACTUAL/BOOK VALUE COMMUNITY HOSPITAL OF THE MONTEREY PENINSULA B 4015730 ACTUAL/BOOK VALUE COMMUNITY HEALTH INNOVATIONS LLC B 47097 ACTUAL/BOOK VALUE