2019-11-14T18:58:45-06:00 2018-12-31 910189318 MOSS ADAMS LLP 101 SECOND STREET SUITE 900 SAN FRANCISCO CA 94105 990 2018-01-01 942789696 MONTAGE HEALTH MONT 8316245311 PO BOX HH MONTEREY CA 93942 MATT MORGAN VP/CFO 8316245311 2019-11-13 1 RICHARD CROGHAN P00089862 4159561500 2019-11-09 12.129.4.210 2019-11-13 07:55:05 PS P DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 38D2F50D294D7FF929294DC7DB19A49EB4956B3D 2018 2020-01-14 16:20:31Z STEVE PACKER PO BOX HH MONTEREY CA 93942 137269468 0 X WWW.MONTAGEHEALTH.ORG X 1981 CA TO PROVIDE SUPPORT SERVICES TO THE COMMUNITY HOSPITAL OF THE MONTEREY PENINSULA AND ITS AFFILIATES. 17 15 0 14 -971670 0 527704 3189212 0 0 10536187 60674474 8068694 7353114 19132585 71216800 29890683 7868320 0 0 4207256 5638084 0 0 0 11673567 13901332 45771506 27407736 -26638921 43809064 906495222 869117442 260730951 16934877 645764271 852182565 X SEE SCHEDULE O 0 0 1384781 MAURINE CHURCH COBURN SCHOOL OF NURSING OFFERS ASSOCIATES DEGREE IN NURSING LEADING TO RN CERTIFICATION. 19660150 7868320 PROPERTY MANAGEMENT OF OWNED AND LEASED PROPERTIES WITHIN THE MONTAGE HEALTH SYSTEM AND EXTERNAL TENANTS. 1274592 0 PHYSICIAN RECRUITMENT WHICH OFFERS LOAN FORGIVENESS FOR NEWLY-RECRUITED PHYSICIANS THAT FULFILL THE TERMS OF THEIR RECRUITMENT AGREEMENTS. 22319523 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 76 0 1 0 1 1 0 0 0 0 0 0 0 0 0 0 0 X 17 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 14.00 0.00 X X 0 0 0 KATHLEEN BANG VICE CHAIR 9.00 0.00 X X 0 0 0 JANE PANATTONI SECRETARY 6.00 0.00 X X 0 0 0 JANE DURANT-JONES TRUSTEE 1.00 0.00 X 0 0 0 JOHN ELLISON MD TRUSTEE 2.00 0.00 X 0 2475 0 GENE HILL TRUSTEE 3.00 0.00 X 0 0 0 MICHAEL D LYON TRUSTEE 2.00 0.00 X 0 0 0 JOHN MAHONEY TRUSTEE 5.00 0.00 X 0 0 0 STAN MCKEE TRUSTEE 2.00 0.00 X 0 0 0 JOHN O'BRIEN TRUSTEE 2.00 0.00 X 0 0 0 FREDERICK O'SUCH TRUSTEE 5.00 0.00 X 0 0 0 STEPHEN SCHULTE TRUSTEE 3.00 0.00 X 0 0 0 GREGORY SPOWART MD TRUSTEE 3.00 0.00 X 94250 17414 0 BILL WARNER 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 MD CEO, MONTAGE HEALTH 10.00 45.00 X X 0 1177557 385978 STEVEN CABRALES MD VP MEDICAL AFFAIRS 0.00 55.00 X 0 590911 95307 KEVIN CAUSEY VP, CHIEF DEVELOPMENT OFFICER 10.00 45.00 X 0 342973 52438 ANTHONY CHAVIS MD CMO 15.00 40.00 X 0 651367 120838 SCOTT KELLY VP, COO ASPIRE HEALTH PLAN 5.00 50.00 X 0 458438 72321 ELIZABETH LORENZI VP, COO CHI 55.00 0.00 X 0 472831 65379 TERRIL LOWE VP NURSING 0.00 55.00 X 0 670403 98424 MATTHEW MORGAN VP FINANCE 10.00 45.00 X 0 403448 68527 TIM NYLEN VICE PRESIDENT 0.00 55.00 X 0 473353 57600 CYNTHIA PECK VICE PRESIDENT 0.00 55.00 X 0 428975 85468 DEBORAH SOBER VICE PRESIDENT 55.00 0.00 X 0 320119 51878 LAURA ZEHM SVP, CFO 10.00 45.00 X 0 701535 142193 94250 6711799 1296351 0 0 1 0 0 2681472 507740 9971 3189212 29852206 -994344 30846550 96491678 383258 66052668 0 30439010 383258 30822268 30822268 OTHER REVENUE 900099 7353114 22674 7330440 7353114 71216800 0 -971670 68999258 7868320 7868320 94250 94250 3423807 1946756 1477051 276532 202579 73953 1677318 686331 990987 166177 122327 43850 144787 88437 56350 1273262 1032587 240675 3825660 2726335 1099325 118769 95015 23754 1123097 1123097 5341808 5334537 7271 PURCHASED SERVICES 1216982 243396 973586 OTHER DIRECT EXPENSES 841051 839867 1184 MEDICAL SUPPLIES AND PH 15916 9939 5977 27407736 22319523 5088213 0 350817 0 14963079 11360365 723207 64386 4632243 6982588 263350 0 939252 635351 194020484 37164043 117724006 156856441 226166430 176677813 418660938 433036451 122071900 83504047 906495222 869117442 473989 1484029 0 1106812 0 10731910 260256962 3612126 260730951 16934877 X 486881454 714434663 129347916 108258703 29534901 29489199 645764271 852182565 906495222 869117442 X 43809064 -90858230 253467460 X 0 1 X 1 0 X 29905151 34814978 4847348 527704 256871731 326966912 29905151 34814978 4847348 527704 256871731 326966912 148851 547540 274180 31231 2681472 3683274 0 148851 547540 274180 31231 2681472 3683274 323283638 5235022 6325414 11491829 10598283 29852206 63502754 3098991 3085769 3799970 9984730 8334013 9411183 15291799 10598283 29852206 73487484 8068694 7353114 15421808 38239164 44226161 20139147 19194681 294077051 415876204 0.77740 0.70310 0.17670 0.24980 X X X 3 17.51 3 3 0 1 1 0.00 0 1 0 201116274 -18058615 7634219 105698 175317742 143388360 55175802 16589131 14037019 201116274 134796587 704076 9646030 738606 1019727 143388360 136954498 832369 -934052 75000 1631640 349588 134796587 131191891 875804 7255392 250000 1684187 434402 136954498 0.07050 0.22660 0.70290 1 1 1 24088120 24088120 13420288 5361878 8058410 2715987 1977828 738159 153796089 29824337 123971752 156856441 OTHER INVESTMENTS 329493720 F PRIVATE EQUITY 103542731 F 433036451 RECEIVABLE FROM RELATED ORGS 26167570 OTHER ASSETS 27698797 ANNUITY INVESTMENTS 1142830 ASSETS HELD IN REMAINDER TRUSTS 3282758 ASPIRE LOAN 21742213 BENEFICIAL INTEREST IN REMAINDER TRUSTS 1539811 INVESTMENT IN PROPERTIES REAL ESTATE 2008-09 1725000 OTHER RECEIVABLES 205068 83504047 PAYABLE TO RELATED ORGS 56094 LIABILITIES UNDER SPLIT INTEREST AGREEMENTS 2111007 LIABILITIES UNDER TRUST AGREEMENTS 1445025 3612126 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, 2018 AND 2017. EUROPE (INCLUDING ICELAND & GREENLAND) - ALBANIA, ANDORRA, AUSTRIA, BELGIUM 0 0 INVESTMENT IN PARTNERSHIP 1224804 CENTRAL AMERICA AND THE CARIBBEAN - ANTIGUA & BARBUDA, ARUBA, BAHAMAS, 0 0 INVESTMENT IN PARTNERSHIP 96384644 0 0 0 0 0 0 97609448 0 97609448 1 0 0 1 1 0 1 MONTAGE HEALTH FOUNDATION PO BOX HH MONTEREY CA 93942 812889645 501(C)(3) 281653 GENERAL OPERATIONS COMMUNITY HOSPITAL OF THE MONTEREY PENINSULA PO BOX HH MONTEREY CA 93942 940760193 501(C)(3) 7586667 GENERAL SUPPORT AND SUPPORT OF MEDICAL STAFF SERVICES 2 0 PART I, LINE 2: FOR COMMUNITY HOSPITAL OF THE MONTEREY PENINSULA AND COMMUNITY HOSPITAL ENDOWMENT, ACTUAL EXPENDITURES ARE REVIEWED AND APPROVED BEFORE TRANSFERRING THE GRANT PROCEEDS. FOR SCHOLARSHIPS, A REPORT LISTING ALL THE RECEIPIENTS AND AMOUNTS ARE REQUIRED. 0 0 0 0 0 0 0 0 0 STEVEN PACKER MD CEO, MONTAGE HEALTH 0 814410 0 324280 0 38867 0 356105 0 29873 0 1563535 0 0 STEVEN CABRALES MD VP MEDICAL AFFAIRS 0 443660 0 113360 0 33891 0 55468 0 39839 0 686218 0 0 KEVIN CAUSEY VP, CHIEF DEVELOPMENT OFFICER 0 262464 0 32500 0 48009 0 26895 0 25543 0 395411 0 0 ANTHONY CHAVIS MD CMO 0 487558 0 138910 0 24899 0 95295 0 25543 0 772205 0 0 SCOTT KELLY VP, COO ASPIRE HEALTH PLAN 0 354904 0 66690 0 36844 0 46778 0 25543 0 530759 0 0 ELIZABETH LORENZI VP, COO CHI 0 355069 0 80500 0 37262 0 52608 0 12771 0 538210 0 0 TERRIL LOWE VP NURSING 0 289511 0 104960 0 275932 0 67038 0 31386 0 768827 0 0 MATTHEW MORGAN VP FINANCE 0 297191 0 81954 0 24303 0 28688 0 39839 0 471975 0 0 TIM NYLEN VICE PRESIDENT 0 337613 0 90300 0 45440 0 44829 0 12771 0 530953 0 0 CYNTHIA PECK VICE PRESIDENT 0 330873 0 85280 0 12822 0 60025 0 25443 0 514443 0 0 DEBORAH SOBER VICE PRESIDENT 0 272895 0 47086 0 138 0 26335 0 25543 0 371997 0 0 LAURA ZEHM SVP, CFO 0 532420 0 147000 0 22115 0 116650 0 25543 0 843728 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: CHANGE IN VALUE OF BENEFICIAL INTEREST -9,361. EQUITY TRANSFER FROM COMMUNITY HOSPITAL OF THE MONTEREY PENINSULA 253,683,408. PLEDGE WRITE-OFF -45,702. CRT PRESENT VALUE ADJUSTMENT -156,746. CGA PRESENT VALUE ADJUSTMENT -4,139. PROPERTIES REAL ESTATE 2008-2009 LLC 23625 HOLMAN HIGHWAY MONTEREY CA 93940 942789696 REAL ESTATE CA 1752000 MONTAGE HEALTH 40 RYAN COURT LLC 23625 HOLMAN HIGHWAY MONTEREY CA 93940 942789696 PROPERTIES LEASING CA 390744 7020764 MONTAGE HEALTH COMMUNITY PRACTICE RESOURCES LLC 23625 HOLMAN HIGHWAY MONTEREY CA 93940 272154105 MANAGEMENT SERVICES CA 0 0 MONTAGE HEALTH 1330 SKYLINE LLC 23625 HOLMAN HIGHWAY MONTEREY CA 93940 942789696 REAL ESTATE CA 0 119944 MONTAGE HEALTH 230 LIGHTHOUSE LLC 23625 HOLMAN HIGHWAY MONTEREY CA 93940 942789696 REAL ESTATE CA 408400 374956 MONTAGE HEALTH 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 MEDICAL GROUP PO BOX HH MONTEREY CA 93942 264826604 HEALTHCARE SERVICES CA 501(C)(3) LINE 3 MONTAGE HEALTH 1 ASPIRE HEALTH PLAN 10 RAGSDALE DRIVE SUITE 101 MONTEREY CA 93940 461567681 INSURANCE CA 501(C)(4) MONTAGE HEALTH 1 MONTAGE HEALTH FOUNDATION 23625 HOLMAN HWY MONTEREY CA 93940 812889645 SUPPORT SERVICES CA 501(C)(3) LINE 7 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 -954931 2492162 0 1 0.51000 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 281653 ACTUAL/BOOK VALUE MONTAGE HEALTH FOUNDATION C 2681472 ACTUAL/BOOK VALUE ASPIRE HEALTH PLAN D 20892211 ACTUAL/BOOK VALUE COMMUNITY HOSPITAL OF THE MONTEREY PENINSULA J 3995775 ACTUAL/BOOK VALUE MONTAGE HEALTH FOUNDATION J 99300 ACTUAL/BOOK VALUE MONTAGE MEDICAL GROUP J 1634319 ACTUAL/BOOK VALUE COMMUNITY HEALTH INNOVATIONS LLC J 214743 ACTUAL/BOOK VALUE ASPIRE HEALTH PLAN J 220756 ACTUAL/BOOK VALUE COMMUNITY HOSPITAL OF THE MONTEREY PENINSULA B 7586667 ACTUAL/BOOK VALUE