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 461567681 ASPIRE HEALTH PLAN ASPI 8315744938 10 RAGSDALE DRIVE SUITE 101 MONTEREY CA 93940 MATT MORGAN VP, CFO 8315744938 2019-11-13 1 RICHARD CROGHAN P00089862 4159561500 2019-11-08 67.164.94.80 2019-11-13 01:00:49 PS P DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 38D2F50D294D7FF929294DC7DB19A49EB4956B3D 2018 2020-03-31 21:24:44Z MATT MORGAN 23625 HOLMAN HWY MONTEREY CA 93940 35507776 0 X WWW.ASPIREHEALTHPLAN.ORG X 2012 CA SOCIAL WELFARE THROUGH THE PROVISION OF HEALTH INSURANCE. 13 10 50 10 0 2516 0 65000 24483356 35442559 301 217 0 0 24483657 35507776 0 0 0 0 3826436 4686719 0 0 0 28108942 40861687 31935378 45548406 -7451721 -10040630 3997566 5910816 27045948 38999828 -23048382 -33089012 SOCIAL WELFARE THROUGH THE PROVISION OF HEALTH INSURANCE. 0 0 39601058 35442559 INSURANCE CLAIMS EXPENDITURES FOR 3316 MEDICARE ADVANTAGE BENEFICIARIES. 2973674 ADMINISTRATIVE EXPENDITURES FOR 3316 MEDICARE ADVANTAGE BENEFICIARIES. 42574732 0 1 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 1 1 0 1 95 0 1 50 1 1 1 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 20 RAGSDALE DRIVE MONTEREY CA 93940 JOHN O'BRIEN CHAIR 1.00 0.00 X X 0 0 0 STEVEN PACKER VICE CHAIR / CEO, MONTAGE HEALTH 1.00 54.00 X X 0 1177557 385978 SCOTT KELLY VP / COO / SECRETARY 55.00 0.00 X X 0 458438 72321 DAVID AWERBUCK DIRECTOR 1.00 0.00 X 0 0 0 REBECCA ABUNDIS DIRECTOR 1.00 0.00 X 0 0 0 SAMEER BAKHDA DIRECTOR 1.00 0.00 X 0 0 0 PETE DELGADO DIRECTOR 1.00 0.00 X 0 0 0 RAFAEL GARCIA DIRECTOR 1.00 0.00 X 0 0 0 EUGENE HILL DIRECTOR 1.00 0.00 X 0 0 0 JOANNA OPPENHEIM DIRECTOR 1.00 0.00 X 0 0 0 ALLEN RADNER DIRECTOR 1.00 0.00 X 0 0 0 HARRY WARDWELL DIRECTOR 1.00 0.00 X 0 0 0 LAURA ZEHM PRESIDENT / CEO 8.00 47.00 X X 0 701535 142193 MATT MORGAN VICE PRESIDENT / CFO 8.00 42.00 X 0 403448 68527 ALAN SOKOLOW MD VICE PRESIDENT / CMO 50.00 0.00 X 0 362427 15546 DIANE HATCHER PROGRAM MANAGER 50.00 0.00 X 160614 0 16467 MELISSA HALL DIRECTOR COMPLIANCE 50.00 0.00 X 189441 0 25316 CYNTHIA O'BRIEN CHIEF SALES MANAGER 50.00 0.00 X 136730 0 13615 ALISON DUNTON DIRECTOR PRACTICE ENHANCEMENT 50.00 0.00 X 132116 0 23819 618901 3103405 763782 4 0 1 0 PERFORMANCE HEALTH TECHNOLOGY 3993 FAIRVIEW INDUSTRIAL DRIVE SALEM OR 97302 BUSINESS PROCESS OUTSOURCING 1472254 THE KERN ORGANIZATION 20955 WARNER CENTER LN WOODLAND HILLS CA 91367 MARKETING SERVICES 541498 MILLIMAN INC 10 RAGSDALE DRIVE SUITE 101 MONTEREY CA 93940 CONSULTING 400280 CENSEOHEALTH 4055 VALLEY VIEW LANE DALLAS TX 75244 HEALTH ASSESSMENT 383785 NATIONAL PHARMACEUTICAL PO BOX 407 BOYS TOWN NE 68010 PHARMACEUTICALS 365327 14 65000 65000 CAPITATION REVENUE 900099 34139503 34139503 OTHER REVENUE 900099 1303056 1303056 35442559 217 217 35507776 35442559 0 217 3379706 2584980 794726 109365 83213 26152 1018856 775223 243633 178792 136039 42753 36851 26546 10305 990199 826904 163295 1151044 834644 316400 46280 27651 18629 224910 116821 108089 220756 172326 48430 140071 137911 2160 MEDICAL EXPENSES 33689539 33689539 DIRECT EXPENSES 426899 309552 117347 DUES & SUBSCRIPTIONS 60769 44065 16704 OTHER TAXES 479 292 187 3873890 2809026 1064864 45548406 42574732 2973674 0 489019 1262389 1903383 2957157 213253 156421 516038 392592 263518 123446 1128393 1411403 3997566 5910816 2381810 4139236 135871 150971 24528267 34709621 27045948 38999828 X -23048382 -33089012 -23048382 -33089012 3997566 5910816 -10040630 0 X 0 1 X 1 0 RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 516038 392592 123446 123446 INTERCOMPANY RECEIVABLES 1411403 1411403 INTERCOMPANY PAYABLES 429024 RELATED PARTY PAYABLE 34280597 34709621 X PART X, LINE 2: ASPIRE HAS BEEN DETERMINED TO BE AN ORGANIZATION EXEMPT FROM INCOME TAXES BY THE INTERNAL REVENUE SERVICE PURSUANT TO SECTION 501(C)(4) OF THE INTERNAL REVENUE CODE AND EFFECTIVE DECEMBER 23, 2015. ASPIRE HAS ALSO BEEN DETERMINED TO BE AN ORGANIZATION EXEMPT FROM INCOME TAXES BY THE CALIFORNIA FRANCHISE TAX BOARD PURSUANT TO SECTION 23701(F) OF THE CALIFORNIA REVENUE AND TAXATION CODE. 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, 2018. 0 0 0 0 0 1 1 0 0 STEVEN PACKER VICE CHAIR / CEO, MONTAGE HEALTH 0 814410 0 324280 0 38867 0 356105 0 29873 0 1563535 0 0 SCOTT KELLY VP / COO / SECRETARY 0 354904 0 66690 0 36844 0 46778 0 25543 0 530759 0 0 LAURA ZEHM PRESIDENT / CEO 0 532420 0 147000 0 22115 0 116650 0 25543 0 843728 0 0 MATT MORGAN VICE PRESIDENT / CFO 0 297191 0 81954 0 24303 0 28688 0 39839 0 471975 0 0 ALAN SOKOLOW MD VICE PRESIDENT / CMO 0 312178 0 50249 0 0 0 9455 0 6091 0 377973 0 0 DIANE HATCHER PROGRAM MANAGER 160614 0 0 0 0 0 5504 0 10963 0 177081 0 0 0 MELISSA HALL DIRECTOR COMPLIANCE 137166 0 52275 0 0 0 6435 0 18881 0 214757 0 0 0 CYNTHIA O'BRIEN CHIEF SALES MANAGER 136730 0 0 0 0 0 7524 0 6091 0 150345 0 0 0 ALISON DUNTON DIRECTOR PRACTICE ENHANCEMENT 115796 0 16320 0 0 0 4938 0 18881 0 155935 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 6 PRESIDENT/CEO HAS A DEFERRED COMPENSATION ARRANGEMENT BASED ON POSITIVE NET EARNINGS OF COMMUNITY HOSPITAL OF THE MONTEREY PENINSULA. 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. 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 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 -40539 195191 1.00000 1 BAY SERVICES INC PO BOX 80308 SALINAS CA 93912 942250761 SERVICES CA ASPIRE HEALTH PLAN C -4100 715922 1.00000 1 1 0 0 0 1 1 0 0 0 1 1 0 0 1 1 1 1 1 1 COASTAL HEALTHCARE ADMINISTRATORS Q 0 ACTUAL/BOOK VALUE