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 461567681 ASPIRE HEALTH PLAN ASPI 8315744938 10 RAGSDALE DRIVE SUITE 101 MONTEREY CA 93940 MATT MORGAN VP, CFO 8315744938 2018-11-14 1 RICHARD CROGHAN P00089862 4159561500 2018-11-14 216.1.190.98 2018-11-14 13:02:56 PS P DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 49EFC680F81229405EF199BD73E62A476B2398BF 2017 2019-02-21 02:37:17Z MATT MORGAN 23625 HOLMAN HWY MONTEREY CA 93940 24483657 0 X WWW.ASPIREHEALTHPLAN.ORG X 2012 CA SOCIAL WELFARE THROUGH THE PROVISION OF HEALTH INSURANCE. 12 10 28 0 0 0 0 0 14793350 24483356 1175165 301 2445073 0 18413588 24483657 0 0 0 0 3524630 3826436 0 0 0 19580232 28108942 23104862 31935378 -4691274 -7451721 7411587 3997566 23008248 27045948 -15596661 -23048382 SOCIAL WELFARE THROUGH THE PROVISION OF HEALTH INSURANCE. 0 0 21665456 24483356 INSURANCE CLAIMS EXPENDITURES FOR 2380 MEDICARE ADVANTAGE BENEFICIARIES. 5134961 ADMINISTRATIVE EXPENDITURES FOR 2380 MEDICARE ADVANTAGE BENEFICIARIES. 26800417 0 0 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 76 0 1 28 1 0 0 0 0 0 0 0 0 X 12 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 23845 HOLMAN HIGHWAY SUITE 105 MONTEREY CA 93940 JOHN O'BRIEN CHAIR 1.00 X X 0 0 0 STEVEN PACKER VICE CHAIR 1.00 54.00 X X 0 1086864 156284 SCOTT KELLY VP/COO/SECRETARY 55.00 X X 0 481035 86136 EUGENE HILL DIRECTOR 1.00 X 0 0 0 SAMEER BAKHDA DIRECTOR 1.00 X 0 0 0 DAVID AWERBUCK DIRECTOR 1.00 X 0 0 0 REBECCA ABUNDIS DIRECTOR 1.00 X 0 0 0 PETE DELGADO DIRECTOR 1.00 X 0 0 0 RAFAEL GARCIA DIRECTOR 1.00 X 0 0 0 JOANNA OPPENHEIM 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 0 681609 105996 MATT MORGAN VICE PRESIDENT/CFO 8.00 42.00 X 0 332708 57006 ALAN SOKOLOW MD VICE PRESIDENT/CMO 55.00 X 0 353974 16467 DIANE HATCHER PROGRAM MANAGER 40.00 X 160614 0 0 MELISSA HALL DIRECTOR COMPLIANCE 40.00 X 189441 0 0 CYNTHIA O'BRIEN CHIEF SALES MANAGER 40.00 X 136730 0 0 ALISON DUNTON DIRECTOR PRACTICE ENHANCEMENT 40.00 X 132116 0 0 618901 2936190 421889 4 0 1 0 PERFORMANCE HEALTH TECHNOLOGY 3993 FAIRVIEW INDUSTRIAL DRIVE SALEM OR 97302 BUSINESS PROCESS OUTSOURCING 1168506 THE KERN ORGANIZATION 20955 WARNER CENTER LN WOODLAND HILLS CA 91367 MARKETING SERVICES 687618 MILLIMAN INC 10 RAGSDALE DRIVE SUITE 101 MONTEREY CA 93940 CONSULTING 349008 CENSEOHEALTH 4055 VALLEY VIEW LANE DALLAS TX 75244 HEALTH ASSESSMENT 330375 NATIONAL PHARMACEUTICAL PO BOX 407 BOYS TOWN NE 68010 PHARMACEUTICALS 243078 12 CAPITATION REVENUE 900099 23411332 23411332 OTHER REVENUE 900099 1072024 1072024 24483356 301 301 24483657 24483356 0 301 2740155 1454389 1285766 79592 63674 15918 853410 522095 331315 153279 68792 84487 9832 4782 5050 1984919 1480152 504767 432873 432873 107424 31328 76096 235452 83773 151679 225114 172829 52285 151375 106771 44604 MEDICAL EXPENSES 21696355 19830643 1865712 DIRECT EXPENSES 414682 379023 35659 DUES & SUBSCRIPTIONS 47296 36904 10392 2803620 2565262 238358 31935378 26800417 5134961 0 1242147 489019 5441898 1903383 210899 213253 516038 252520 414893 263518 101750 1128393 7411587 3997566 2369985 2381810 96593 135871 20541670 24528267 23008248 27045948 X -15596661 -23048382 -15596661 -23048382 7411587 3997566 -7451721 0 X 0 1 X 1 0 516038 252520 263518 263518 INTERCOMPANY RECEIVABLES 1128393 1128393 INTERCOMPANY PAYABLES 70440 RELATED PARTY PAYABLE 24457827 24528267 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, 2017. 0 0 0 0 0 0 0 0 0 STEVEN PACKER VICE CHAIR 0 729060 0 318937 0 38867 0 129163 0 27121 0 1243148 0 0 SCOTT KELLY VP/COO/SECRETARY 0 347858 0 94770 0 38407 0 59015 0 27121 0 567171 0 0 LAURA ZEHM PRESIDENT/CEO 0 518094 0 141400 0 22115 0 78875 0 27121 0 787605 0 0 MATT MORGAN VICE PRESIDENT/CFO 0 257620 0 42318 0 32770 0 14702 0 42304 0 389714 0 0 ALAN SOKOLOW MD VICE PRESIDENT/CMO 0 301699 0 52275 0 0 0 0 0 16467 0 370441 0 0 DIANE HATCHER PROGRAM MANAGER 160614 0 0 0 0 0 0 0 0 0 160614 0 0 0 MELISSA HALL DIRECTOR COMPLIANCE 137166 0 52275 0 0 0 0 0 0 0 189441 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. 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 23625 HOLMAN HWY 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 -96122 135642 1.00000 1 BAY SERVICES INC PO BOX 80308 SALINAS CA 93912 942250761 SERVICES CA ASPIRE HEALTH PLAN C 495942 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 91070 ACTUAL/BOOK VALUE