2018-11-15T10:44:29-06:00 2017-12-31 910189318 MOSS ADAMS LLP 101 SECOND STREET SUITE 900 SAN FRANCISCO CA 94105 990 2017-01-01 942789696 MONTAGE HEALTH MONT 8316245311 PO BOX HH MONTEREY CA 93942 MATT MORGAN VP FINANCE 8316245311 2018-11-14 1 RICHARD CROGHAN P00089862 4159561500 2018-11-14 216.3.131.238 2018-11-14 20:33:56 PS P DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 49EFC680F81229405EF199BD73E62A476B2398BF 2017 2019-02-21 02:37:17Z STEVEN PACKER PO BOX HH MONTEREY CA 93942 25648670 0 X WWW.MONTAGEHEALTH.ORG X 1981 CA TO PROVIDE SUPPORT SERVICES TO THE COMMUNITY HOSPITAL OF THE MONTEREY PENINSULA AND ITS AFFILIATES. 18 16 0 14 -747750 -747750 4847348 527704 0 0 5575016 10536187 3975903 8068694 14398267 19132585 2585139 29890683 0 0 3965604 4207256 0 0 0 10289701 11673567 16840444 45771506 -2442177 -26638921 735700158 906495222 145758458 260730951 589941700 645764271 TO PROVIDE SUPPORT SERVICES TO THE COMMUNITY HOSPITAL OF THE MONTEREY PENINSULA AND ITS AFFILIATES. 0 0 1458454 MAURINE CHURCH COBURN SCHOOL OF NURSING OFFERS ASSOCIATES DEGREE IN NURSING LEADING TO RN CERTIFICATION. 39339285 29890683 PROPERTY MANAGEMENT OF OWNED AND LEASED PROPERTIES WITHIN THE MONTAGE HEALTH SYSTEM AND EXTERNAL TENANTS. 1378134 0 PHYSICIAN RECRUITMENT WHICH OFFERS LOAN FORGIVENESS FOR NEWLY-RECRUITED PHYSICIANS THAT FULFILL THE TERMS OF THEIR RECRUITMENT AGREEMENTS. 42175873 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 0 0 0 1 1 0 0 0 0 0 0 0 0 0 X 18 16 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 0 0 1 1 CA X JUDI SANDERLIN 8316254821 23845 WR HOLMAN HWY 105 MONTEREY CA 93940 JOHN MAHONEY CHAIR 14.00 X X 0 0 0 PATRICK WELTON MD VICE CHAIR 7.00 X X 0 0 0 JANE PANATTONI SECRETARY 6.00 X X 0 0 0 STEVEN PACKER PRESIDENT/ CEO 42.00 13.00 X X 0 1086864 156284 MICHAEL D LYON TRUSTEE 1.00 X 0 0 0 PHIL WILHELM TRUSTEE 5.50 X 0 0 0 JANE DURANT JONES TRUSTEE 2.00 X 0 0 0 JOHN ELLISON MD TRUSTEE 2.00 X 0 0 0 GREG SPOWART MD TRUSTEE 2.00 X 0 196100 0 STEPHEN SCHULTE TRUSTEE 3.00 X 0 0 0 WILLIAM W LEWIS TRUSTEE 6.00 X 0 0 0 KATHLEEN BANG TRUSTEE 6.00 X 0 0 0 GENE HILL TRUSTEE 3.00 X 0 0 0 WILLIAM YOUNG TRUSTEE 3.50 X 0 0 0 STAN MCKEE TRUSTEE 1.00 X 0 0 0 JOHN O'BRIEN TRUSTEE 2.00 X 0 0 0 BILL WARNER TRUSTEE 2.00 X 0 0 0 FREDERICK O'SUCH TRUSTEE 3.50 X 0 0 0 LAURA ZEHM VICE PRESIDENT/CFO 42.00 13.00 X 0 681609 105996 CYNTHIA PECK VICE PRESIDENT 55.00 X 0 422353 70606 TERRIL LOWE VP NURSING 55.00 X 0 437038 76269 TIM NYLEN VICE PRESIDENT 55.00 X 0 402226 38897 STEVEN CABRALES VP MEDICAL AFFAIRS 55.00 X 0 575692 90473 MATTHEW MORGAN VP FINANCE 55.00 X 0 332708 57006 ELIZABETH LORENZI VP, COO CHI 55.00 X 0 462874 83646 SCOTT KELLY VP, COO ASPIRE 55.00 X 0 481035 86136 ANTHONY CHAVIS VP, CHIEF MEDICAL OFFICER 55.00 X 0 603513 92563 KEVIN CAUSEY CHIEF DEVELOPMENT OFFICER 54.00 1.00 X 0 138119 13628 0 5820131 871504 0 0 1 0 0 229464 298240 10152 527704 10598283 -747750 11346033 6453989 6516085 -62096 -62096 -62096 OTHER REVENUE 900099 8068694 8068694 8068694 19132585 0 -747750 19352631 29890683 29890683 2932414 1669406 1263008 329994 205765 124229 735085 461021 274064 209763 131909 77854 11513 11513 238644 97983 140661 391215 152210 239005 477156 455617 21539 23921 19137 4784 2364594 2364594 3908713 3901168 7545 NURSING SCHOOL 1175025 1175025 LOAN FORGIVENESS 1111219 222244 888975 OTHER TAXES 560655 560655 DUES & SUBSCRIPTIONS 3062 2802 260 1407850 854141 553709 45771506 42175873 3595633 0 330774 350817 42904706 14963079 1387844 723207 4684207 4632243 42955 263350 2776544 939252 149544864 31820858 83902643 117724006 182697005 226166430 320660692 418660938 96312788 122071900 735700158 906495222 811234 473989 144947224 260256962 145758458 260730951 X 412742133 486881454 137707706 129347916 39491861 29534901 589941700 645764271 735700158 906495222 X -26638921 83809349 -1347857 X 0 1 X 1 0 X 68810897 29905151 34814978 4847348 527704 138906078 68810897 29905151 34814978 4847348 527704 138906078 146967 148851 547540 274180 31231 1148769 0 146967 148851 547540 274180 31231 1148769 137757309 2944283 5235022 6325414 11491829 10598283 36594831 2370564 3098991 3085769 3799970 0 12355294 5314847 8334013 9411183 15291799 10598283 48950125 8068694 8068694 74125744 38239164 44226161 20139147 19194681 195924897 0.70310 0.78690 0.24980 0.20720 X X X 3 17.51 3 3 1 1 1 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 117974540 933845 16411731 100000 3561796 466429 131191891 0.00730 0.46660 0.52610 1 1 1 12296906 12296906 2725710 1841720 883990 134522248 29979138 104543110 117724006 OTHER INVESTMENTS 261887670 F PRIVATE EQUITY 154474321 F INVESTMENT ASPIRE 2298947 C 418660938 RECEIVABLE FROM RELATED ORGS 81630921 OTHER ASSETS 15968396 ANNUITY INVESTMENTS 1426139 ASSETS HELD IN REMAINDER TRUSTS 3870164 ASPIRE LOAN 14540207 BENEFICIAL INTEREST IN REMAINDER TRUSTS 1696557 LAND HELD FOR FUTURE USE 995501 INVESTMENT IN PROPERTIES REAL ESTATE 2008-09 1725000 OTHER RECEIVABLES 219015 122071900 PAYABLE TO RELATED ORGS 255738554 LIABILITIES UNDER SPLIT INTEREST AGREEMENTS 2036642 LIABILITIES UNDER TRUST AGREEMENTS 1867599 ASSETS HELD FOR AUXILIARY 614167 260256962 X PART II, LINE 9: REPORTED ON THE BALANCE SHEET AS PART OF PROPERTY, PLANT AND EQUIPMENT. PART V, LINE 4: ADLOESCENT 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. THERE WERE NO TAX PROVISIONS RECORDED FOR THE YEARS ENDED DECEMBER 31, 2017 AND 2016. 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, 2017 AND 2016. EUROPE (INCLUDING ICELAND & GREENLAND) - ALBANIA, ANDORRA, AUSTRIA, BELGIUM 0 0 INVESTMENT IN PARTNERSHIP 1778740 CENTRAL AMERICA AND THE CARIBBEAN - ANTIGUA & BARBUDA, ARUBA, BAHAMAS, 0 0 INVESTMENT IN PARTNERSHIP 100213757 0 0 0 0 0 0 101992497 0 101992497 1 0 0 1 1 0 1 COMMUNITY HOSPITAL OF MONTEREY PENINSULA PO BOX HH MONTEREY CA 93942 940760193 501(C)(3) 3214356 GENERAL OPERATIONS MONTAGE HEALTH FOUNDATION PO BOX HH MONTEREY CA 93942 812889645 501(C)(3) 26676327 GENERAL OPERATIONS 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 PRESIDENT/ CEO 0 729060 0 318937 0 38867 0 129163 0 27121 0 1243148 0 0 GREG SPOWART MD TRUSTEE 0 196100 0 0 0 0 0 0 0 0 0 196100 0 0 LAURA ZEHM VICE PRESIDENT/CFO 0 518094 0 141400 0 22115 0 78875 0 27121 0 787605 0 0 CYNTHIA PECK VICE PRESIDENT 0 322592 0 86940 0 12821 0 43485 0 27121 0 492959 0 0 TERRIL LOWE VP NURSING 0 331899 0 79500 0 25639 0 49148 0 27121 0 513307 0 0 TIM NYLEN VICE PRESIDENT 0 294460 0 82360 0 25406 0 25337 0 13560 0 441123 0 0 STEVEN CABRALES VP MEDICAL AFFAIRS 0 429227 0 113130 0 33335 0 48714 0 41759 0 666165 0 0 MATTHEW MORGAN VP FINANCE 0 257620 0 42318 0 32770 0 14702 0 42304 0 389714 0 0 ELIZABETH LORENZI VP, COO CHI 0 345692 0 79920 0 37262 0 70086 0 13560 0 546520 0 0 SCOTT KELLY VP, COO ASPIRE 0 347858 0 94770 0 38407 0 59015 0 27121 0 567171 0 0 ANTHONY CHAVIS VP, CHIEF MEDICAL OFFICER 0 472585 0 106030 0 24898 0 65442 0 27121 0 696076 0 0 KEVIN CAUSEY CHIEF DEVELOPMENT OFFICER 0 124000 0 0 0 14119 0 0 0 13628 0 151747 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 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 -5,030,125. NET ASSETS OF CHI 3,682,268. PROPERTIES REAL ESTATE 2008-2009 LLC 23625 HOLMAN HIGHWAY MONTEREY CA 93940 942789696 REAL ESTATE CA 0 1752000 MONTAGE HEALTH 40 RYAN COURT LLC 23625 HOLMAN HIGHWAY MONTEREY CA 93940 942789696 PROPERTIES LEASING CA 389130 7156302 MONTAGE HEALTH COMMUNITY PRACTICE RESOURCES LLC 23625 HOLMAN HIGHWAY MONTEREY CA 93940 272154105 MANAGEMENT SERVICES CA 0 760357 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 -701987 6050443 0 -701987 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 0 1 0 0 1 1 0 0 0 1 1 1 1 1 1 COMMUNITY HOSPITAL OF MONTEREY PENINSULA B 3214356 ACTUAL/BOOK VALUE MONTAGE HEALTH FOUNDATION B 26676327 ACTUAL/BOOK VALUE MONTAGE HEALTH FOUNDATION C 229464 ACTUAL/BOOK VALUE ASPIRE HEALTH PLAN D 13281708 ACTUAL/BOOK VALUE COASTAL HEALTHCARE ADMINISTRATORS F 82955 ACTUAL/BOOK VALUE COMMUNITY HOSPITAL OF MONTEREY PENINSULA J 2659706 ACTUAL/BOOK VALUE MONTAGE HEALTH FOUNDATION J 99300 ACTUAL/BOOK VALUE MONTAGE MEDICAL GROUP J 1330369 ACTUAL/BOOK VALUE COMMUNITY HEALTH INNOVATIONS LLC J 210124 ACTUAL/BOOK VALUE ASPIRE HEALTH PLAN J 216033 ACTUAL/BOOK VALUE COMMUNITY HOSPITAL OF MONTEREY PENINSULA N 2659706 ACTUAL/BOOK VALUE MONTAGE HEALTH FOUNDATION N 99300 ACTUAL/BOOK VALUE MONTAGE MEDICAL GROUP N 1330369 ACTUAL/BOOK VALUE COMMUNITY HEALTH INNOVATIONS LLC N 210124 ACTUAL/BOOK VALUE ASPIRE HEALTH PLAN N 216034 ACTUAL/BOOK VALUE COMMUNITY HOSPITAL OF MONTEREY PENINSULA O 1354496 ACTUAL/BOOK VALUE