2016-11-22T14:59:23-06:00 2015-12-31 910189318 Moss Adams LLP 101 Second Street Suite 900 San Francisco CA 94105 990 2015-12-23 461567681 Aspire Health Plan ASPI 8315744938 10 Ragsdale Drive Suite 101 Monterey CA 93940 Matthew Morgan VP, CFO 8315744938 2016-11-22 1 Richard Croghan P00089862 4159561500 2016-11-22 2015 2017-02-10 21:41:12Z X Matthew Morgan 10 Ragsdale Drive Suite 101 Monterey CA 93940 0 0 X www.aspirehealthplan.org X 2012 CA Social welfare through the provision of health insurance. 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3729395 3729395 5367813 5367813 -1638418 -1638418 Social welfare through the provision of health insurance. 0 0 0 0 Insurance claims expenditures for 818 Medicare Advantage beneficiaries. 0 0 ADMINISTRATIVE EXPENDITURES FOR 818 MEDICARE ADVANTAGE BENEFICIARIES. 0 0 0 0 0 0 0 0 0 1 0 0 1 1 0 1 0 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 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 X 0 0 0 0 0 0 0 0 0 1 1 0 0 0 1 1 1 1 1 0 0 0 CA X Matt Morgan 8316254965 23845 Holman Highway Suite 105 Monterey CA 93940 Laura Zehm President/CEO 8.00 47.00 X 0 606752 102146 Matthew Morgan Vice President/CFO 8.00 42.00 X 0 267242 50970 Scott Kelly Vice President/COO 55.00 0.00 X 0 435833 82286 Alan Sokolow MD Vice President/CMO 55.00 0.00 X 0 0 0 0 1309827 235402 0 0 1 0 0 0 0 0 0 0 0 0 0 2161345 2161345 822252 822252 149917 149917 99999 46718 53281 53281 542600 542600 3729395 3729395 1164665 1164665 6576 6576 4134273 4134273 62299 62299 5367813 5367813 X 15347292 15347292 0 0 -16985710 -16985710 -1638418 -1638418 3729395 3729395 0 0 X 0 1 X 1 0 99999 46718 53281 53281 INTERCOMPANY RECEIVABLES 542600 542600 Intercompany payables 62299 62299 9084604 9084604 9084604 0 0 0 15048328 15048328 15048328 0 0 0 Part XI, Line 2d - Other Adjustments: Revenue reported on 2015 final 1120 filing 9,084,604. Part XII, Line 2d - Other Adjustments: Expenses reported on 2015 final 1120 filing 15,048,328. 0 0 0 0 0 0 0 0 0 Laura Zehm President/CEO 0 460836 0 125043 0 20873 0 78875 0 23271 0 708898 0 0 Matthew Morgan Vice President/CFO 0 210732 0 41490 0 15020 0 14702 0 36268 0 318212 0 0 Scott Kelly Vice President/COO 0 335256 0 66580 0 33997 0 59015 0 23271 0 518119 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 B, line 11 Going forward, 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. COMMUNITY HOSPITAL PROPERTIES PO BOX HH MONTEREY CA 93942 942795922 SUPPORT SERVICES CA 501(c)(3) Line 11a, I Community Hospital Foundation 0 COMMUNITY HOSPITAL ENDOWMENTS PO BOX HH MONTEREY CA 93942 942795423 SUPPORT SERVICES CA 501(c)(3) Line 11a, I Community Hospital Foundation 0 community hospital foundation PO BOX HH MONTEREY CA 93942 942789696 SUPPORT SERVICES CA 501(c)(3) Line 9 N/A 0 PENINSULA PRIMARY CARE po BOX HH MONTEREY CA 93942 264826604 HEALTHCARE SERVICES CA 501(c)(3) Line 3 Community Hospital Foundation 0 Community Hospital of the Monterey Peninsula po BOX HH MONTEREY CA 93942 940760193 HEALTHCARE SERVICES CA 501(c)(3) Line 3 Community Hospital Foundation 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 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0