2023-11-15T15:32:24-06:00 2022-12-31 910189318 MOSS ADAMS LLP 101 SECOND STREET SUITE 900 SAN FRANCISCO CA 94105 990 2022-01-01 812889645 MONTAGE HEALTH FOUNDATION MONT 8316245311 PO BOX HH MONTEREY CA 93942 MATT MORGAN VP/CFO 8316245311 2023-11-14 1 MATT MORGAN 999009999 0 LESLIE VAN P01294411 4159561500 2023-11-14 2 AAL1 IAL1 2022 2023-04-26 12:10:37Z STEVEN PACKER PO BOX HH MONTEREY CA 93942 31915647 0 X WWW.MONTAGEHEALTHFOUNDATION.ORG X 2016 CA THE FOUNDATION'S MISSION IS TO ADVANCE THE VISION AND STRATEGIC PRIORITIES OF MONTAGE HEALTH BY INSPIRING GIVING THAT ENHANCES AND IMPROVES THE HEALTH OF THE ENTIRE COMMUNITY. MAJOR ACTIVITIES INCLUDE FUNDRAISING AND DEVELOPMENT, VOLUNTEER SERVICES, A GIFT SHOP, AND THE ART PROGRAM. 31 28 18 55 0 0 22315889 18674317 0 0 10377562 11149152 243971 375477 32937422 30198946 8852321 10870317 0 0 3349674 3561500 0 0 2724582 4091133 2918061 16293128 17349878 16644294 12849068 246774163 229206951 1821900 2146344 244952263 227060607 X THE FOUNDATION'S MISSION IS TO ADVANCE THE VISION AND STRATEGIC PRIORITIES OF MONTAGE HEALTH BY INSPIRING GIVING THAT ENHANCES AND IMPROVES THE HEALTH OF THE ENTIRE COMMUNITY. 0 0 3776298 3776298 THE FOUNDATION PROVIDED $3,776,298 IN GRANTS FOR OHANA, CHOMP'S CHILD BEHAVIORAL HEALTH PROGRAM, TO SUPPORT OPERATIONS AND SCHOOL THERAPY PROGRAMS. 1885000 1885000 THE FOUNDATION PROVIDED $1,885,000 IN GRANTS TO MONTAGE MEDICAL GROUP IN SUPPORT OF PHYSICIAN RECRUITMENT, ENGAGEMENT, AND TRAINING. 793920 793920 THE FOUNDATION PROVIDED $793,920 TO MONTAGE MEDICAL GROUP IN SUPPORT OF AN INNOVATIVE VIRTUAL SCRIBE PROGRAM. 6380597 4415099 THE FOUNDATION PROVIDES SUPPORT FOR VARIOUS OTHER PROGRAMS WITHIN THE MONTAGE HEALTH FAMILY. EXAMPLES INCLUDE PROGRAMS FOR OUTPATIENT IMMUNOLOGY SERVICE, CANCER PREVENTION AND SUPPORT GROUPS, PHYSICIAN RETENTION AND ENGAGEMENT, NURSING EDUCATION, PEDIATRIC WELLNESS, DIABETES PREVENTION, SUBSTANCE ABUSE PREVENTION, HEART SAFETY, AND INNOVATIVE EQUIPMENT SUCH AS THE NEW MOXI ROBOTS. 6380597 4415099 12835815 1 1 0 0 0 0 0 0 0 1 1 1 0 0 1 1 1 1 0 0 0 0 0 0 0 0 0 1 1 1 0 0 0 0 0 0 0 0 1 1 0 0 0 1 0 1 0 1 26 0 1 18 1 0 0 0 0 0 0 0 0 0 0 0 0 X 31 28 1 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 0 0 0 CA X MATT MORGAN 8316254965 PO BOX HH MONTEREY CA 93942 STEVEN PACKER MD EX OFFICIO - CEO, MONTAGE HEALTH 1.00 54.00 X X 0 1274632 1321268 MATTHEW MORGAN EX OFFICIO - VP/CFO, MONTAGE HEALTH 1.00 54.00 X X 0 670563 129446 LESLIE SNORF CHAIR 1.00 2.00 X X 0 0 0 RYAN EDWARDS VICE CHAIR 1.00 X X 0 0 0 KEVIN MAHONEY SECRETARY 1.00 X X 0 0 0 THEODORE BALESTRERI II DIRECTOR 1.00 X 0 0 0 KATHLEEN BANG DIRECTOR 1.00 5.00 X 0 0 0 DAVID BENJAMIN III DIRECTOR 1.00 X 0 0 0 RANDALL CHARLES DIRECTOR 1.00 6.00 X 0 0 0 WILLIAM DOOLITTLE DIRECTOR 1.00 X 0 0 0 NICHOLAS FANTL DIRECTOR 1.00 X 0 0 0 CRAIG GEILER MD DIRECTOR 1.00 X 0 0 0 REBECCA HEISER DIRECTOR 1.00 X 0 0 0 DANIEL HIGHTOWER MD DIRECTOR 1.00 X 0 0 0 PAUL HOFFMAN DIRECTOR 1.00 X 0 0 0 ROBERT KAVNER DIRECTOR 1.00 X 0 0 0 ZACHARY KOONTZ MD DIRECTOR 1.00 X 0 0 0 CLAYTON LARSON DIRECTOR 1.00 X 0 0 0 JOHN MAHONEY DIRECTOR 1.00 X 0 0 0 SHARON MERESMAN DIRECTOR 1.00 X 0 0 0 LINDA MURILLO DIRECTOR 1.00 X 0 0 0 KIMBERLEY NEGRI DIRECTOR 1.00 X 0 0 0 STEFANIE SKINNER DIRECTOR 1.00 X 0 0 0 CRAIG STAFFER MD DIRECTOR 1.00 X 0 0 0 JOANNE STORKAN DIRECTOR 1.00 X 0 0 0 CLARK STRUVE DIRECTOR 1.00 X 0 0 0 WILLIAM TYLER III DIRECTOR 1.00 X 0 0 0 PATRICK WELTON MD EX OFFICIO 1.00 X 0 0 0 MARGI WIEST DIRECTOR 1.00 X 0 0 0 WILLIAM YOUNG DIRECTOR 1.00 2.00 X 0 0 0 CRAIG STAUFFER MD DIRECTOR 1.00 54.00 X 0 563451 12200 KEVIN CAUSEY VP/CHIEF DEVELOPMENT OFFICER 45.00 10.00 X 0 475339 73664 MICHELE YOUNG FOUNDATION DIRECTOR 55.00 X 0 232215 82369 JENNIFER WOOD LEAD PHILANTHROPY OFFICER 55.00 X 0 164811 35898 0 3381011 1654845 0 0 1 0 ALLA ZELSTER 117 SEA TERRACE WAY APTOS CA 95003 EVENT PRODUCTION 172950 SUSAN KRANE CONSULTING 6363 CHRISTIE AVENUE 214 EMERYVILLE CA 94608 ART PROGRAM CONSULTANT 155933 COMMUNITY COUNSELING SRVC CO PO BOX 824885 PHILADELPHIA PA 19182 MAJOR GIFT CONSULTANT 125000 3 5527686 339071 12807560 4224512 18674317 5918008 5918008 6492146 9525 1267882 2645 5224264 6880 5231144 5231144 735319 446174 289145 289145 AUXILIARY REVENUE 900099 80450 80450 MISCELLANEOUS REVENUE 900099 5882 5882 86332 30198946 0 0 11524629 10251278 10251278 619039 619039 2308622 414722 569843 1324057 297020 53357 73314 170349 806834 144940 199153 462741 149024 26771 36784 85469 7464 3036 3384 1044 32549 13239 14757 4553 1341644 670822 670822 501670 330594 33585 137491 17281 2865 5813 8603 98747 19933 19150 59664 241087 112688 28970 99429 32044 15703 3649 12692 NON-MEDICAL SUPPLIES 78190 49649 5756 22785 567385 107179 124501 335705 17349878 12835815 1789481 2724582 10938421 10302890 34397 3816 6023486 4723442 33308 56815 137469 173369 62890 28819 4518844 573547 1202343 3945297 167713678 136976068 60559171 70362535 69000 2633900 246774163 229206951 408406 437112 250254 422000 1163240 1287232 1821900 2146344 X 20697665 30918785 224254598 196141822 244952263 227060607 246774163 229206951 X 12849068 -30722980 -17744 X 0 1 X 1 0 X 15070550 11095475 15599138 22315889 18674317 82755369 15070550 11095475 15599138 22315889 18674317 82755369 9144483 73610886 84 3136777 2616672 10326124 5918008 21997665 38602 612230 424686 626233 821651 2523402 107276436 0.68620 0.34200 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 76750533 352336 -8981465 11104 3659112 64451188 62850298 150060 16585166 9590 2825401 76750533 54574157 2199940 7481781 5580 1400000 62850298 45194164 100000 9279993 54574157 50210052 100000 -5115978 45194074 0.00000 0.82080 0.17920 0 1 1 3740000 3740000 778844 573547 205297 3945297 MANAGED FUTURE 19759343 C PRIVATE EQUITY 50603192 C 70362535 INTERCOMPANY PAYABLE 376030 ASSETS HELD FOR AUXILIARY/GIFT SHOP 911202 1287232 X -2824307 -30722980 -30722980 27898673 1341643 958630 2300273 30198946 15067349 17744 17744 15049605 1341643 958630 2300273 17349878 PART V, LINE 4: THE OHANA ENDOWMENT IS FOR CHILD AND ADOLESCENT MENTAL AND BEHAVIORAL HEALTH. THE BUTLER ENDOWMENT IS FOR SCHOLARSHIPS TO STUDENTS ENROLLED AT THE MAURINE CHURCH COBURN SCHOOL OF NURSING. THE TYLER ENDOWMENT SUPPORTS THE PHYSICIAN SCHOLAR AND CLINICAL VOLUNTEER PROGRAM. PART X, LINE 2: THE FOUNDATION ASSESSES UNCERTAIN TAX POSITIONS IN ACCORDANCE WITH THE PROVISIONS OF THE FINANCIAL ACCOUNTING STANDARDS BOARD ("FASB") ACCOUNTING STANDARDS CODIFICATION ("ASC") TOPIC 740-10, INCOME TAXES. THE FOUNDATION 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 FOUNDATION RECOGNIZES INTEREST AND PENALTIES RELATED TO INCOME TAX MATTERS IN OPERATING EXPENSES. THERE WERE NO UNCERTAIN TAX POSITIONS AS OF DECEMBER 31, 2022 AND 2021. PART XI, LINE 4B - OTHER ADJUSTMENTS: GRANT REVENUE FROM MONTAGE HEALTH 958,630. PART XII, LINE 2D - OTHER ADJUSTMENTS: TRANSFER OF NET ASSETS TO CHOMP 17,744. PART XII, LINE 4B - OTHER ADJUSTMENTS: GRANT REVENUE FROM MONTAGE HEALTH 958,630. 1 COMMUNITY HOSPITAL OF THE MONTEREY PENINSULA PO BOX HH MONTEREY CA 93942 940760193 501(C)(3) 5447121 0 NURSING EXCELLENCE, CSUMB SCHOLARSHIPS, AED, INNOVATIVE EQUIPMENT, SUPPORT GROUPS MONTAGE HEALTH PO BOX HH MONTEREY CA 93942 942789696 501(C)(3) 771850 0 PRESCRIBE SAFE, YOUTH OUTREACH, DIGITAL HEALTH, PHYSICIAN ENGAGEMENT, PATIENT ASSISTANCE ASPIRE HEALTH PLAN 10 RAGSDALE DRIVE SUITE 101 MONTEREY CA 93940 461567681 501(C)(4) 734167 0 CARE MANAGEMENT SERVICES, POPULATION HEALTH, DIABETES OUTREACH MONTAGE MEDICAL GROUP PO BOX HH MONTEREY CA 93942 264826604 501(C)(3) 3298140 0 PHYSICIAN RECRUITMENT AND TRAINING, OUTPATIENT IMMUNOLOGY SERVICES, ULTRASOUND EQUIPMENT 3 1 SCHOLARSHIPS 43 619039 PART I, LINE 2: GRANTS ARE MADE WITHIN THE MONTAGE HEALTH FAMILY. USAGE IS MONITORED BY THE GRANTS COMMITTEE. SCHOLARSHIPS TO INDIVIDUALS ARE AWARDED AND MONITORED BY THE AUXILIARY SCHOLARSHIP COMMITTEE. 0 1 0 0 0 0 0 0 0 STEVEN PACKER MD EX OFFICIO - CEO, MONTAGE HEALTH 0 901101 0 314500 0 59031 0 1289098 0 32170 0 2595900 0 0 MATTHEW MORGAN EX OFFICIO - VP/CFO, MONTAGE HEALTH 0 494044 0 142065 0 34454 0 79417 0 50029 0 800009 0 0 CRAIG STAUFFER MD DIRECTOR 0 485000 0 78451 0 0 0 12200 0 0 0 575651 0 0 KEVIN CAUSEY VP/CHIEF DEVELOPMENT OFFICER 0 323705 0 101475 0 50159 0 43097 0 30567 0 549003 0 0 MICHELE YOUNG FOUNDATION DIRECTOR 0 186429 0 31470 0 14316 0 32340 0 50029 0 314584 0 0 JENNIFER WOOD LEAD PHILANTHROPY OFFICER 0 160349 0 0 0 4462 0 19813 0 16085 0 200709 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 4B STEVEN PACKER PARTICIPATED IN A 457(F) PLAN AND NO PAYMENT WAS RECEIVED IN 2022. X 43 181630 FMV X 12 1267882 FMV X 1 2775000 FMV 0 1 0 PART I, COLUMN (B): COLUMN (B) REPRESENTS THE NUMBER OF ITEMS CONTRIBUTED. PART I, LINE 33: MONTAGE HEALTH FOUNDATION RECEIVES ITEMS UNRELATED TO ITS COURSE OF BUSINESS WHICH ARE NOT RECORDED AS REVENUE. EXAMPLES INCLUDE BOOKS AND KNITTED CAPS, WHICH ARE DONATED UNVALUED AND ARE INTENDED TO BENEFIT DEPARTMENTS WITHIN OUR SISTER COMPANY COMMUNITY HOSPITAL OF THE MONTEREY PENINSULA. ARTWORK RECEIVED WITHOUT A VALUATION AND FORM 8283 IS SIMILARLY TREATED. FORM 990, PART VI, SECTION A, LINE 2 JOHN MAHONEY AND KEVIN MAHONEY, MEMBERS OF OUR BOARD OF TRUSTEES, ARE FATHER AND SON. FORM 990, PART VI, SECTION A, LINE 6 MONTAGE HEALTH IS THE SOLE CORPORATE MEMBER OF MONTAGE HEALTH FOUNDATION. FORM 990, PART VI, SECTION A, LINE 7A MONTAGE HEALTH HAS THE RIGHT TO ELECT AND REMOVE, WITH OR WITHOUT CAUSE, THE TRUSTEES OF MONTAGE HEALTH FOUNDATION. FORM 990, PART VI, SECTION A, LINE 7B MONTAGE HEALTH HAS THE RIGHT TO ADOPT, AMEND, OR REPEAL THE ARTICLES OF INCORPORATION AND BY-LAWS OF MONTAGE HEALTH FOUNDATION; FIX THE NUMBER OF, ELECT OR REMOVE, WITH OR WITHOUT CAUSE, THE TRUSTEES OF MONTAGE HEALTH FOUNDATION; AND TO APPOINT OR REMOVE, WITH OR WITHOUT CAUSE, THE OFFICERS OF MONTAGE HEALTH FOUNDATION. FORM 990, PART VI, SECTION B, LINE 11B THE DRAFT 990 IS DISTRIBUTED TO ALL BOARD MEMBERS FOR REVIEW BEFORE THE FINAL 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 FINANCIAL STATEMENTS AND ANNUAL REPORT AVAILABLE TO THE PUBLIC ON ITS OWN WEBSITE. FORM 990, PART XI, LINE 9: TRANSFER OF NET ASSETS TO RELATED ORGANIZATION -17,744. MONTAGE HEALTH PO BOX HH MONTEREY CA 93942 942789696 SUPPORT SERVICES CA 501(C)(3) LINE 7 N/A 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 ASPIRE HEALTH PLAN 10 RAGSDALE DRIVE SUITE 101 MONTEREY CA 93940 461567681 INSURANCE COMPANY CA 501(C)(4) MONTAGE HEALTH 0 MONTAGE MEDICAL GROUP PO BOX HH MONTEREY CA 93942 264826604 HEALTHCARE SERVICES CA 501(C)(3) LINE 3 MONTAGE HEALTH 0 MOGO URGENT CARE PO BOX HH MONTEREY CA 93942 832329260 MEDICAL SERVICES CA 501(C)(3) LINE 3 MONTAGE HEALTH 0 CENTRAL COAST HEALTH CONNECT LLC 10 RAGSDALE DRIVE SUITE 102 MONTEREY CA 93940 611759835 HEALTH SERVICES CA N/A 0 0 SAN CARLOS & 7TH LLC 23625 HOLMAN HIGHWAY MONTEREY CA 93940 274672809 REAL ESTATE CA N/A 0 0 MONTEREY BAY ENDOSCOPY CENTER LLC 23 UPPER RAGSDALE DRIVE MONTEREY CA 93940 770324855 ENDOSCOPY CENTER CA N/A 0 0 CHARITABLE REMAINDER TRUSTS (6) PO BOX HH MONTEREY CA 93942 HOLDING COMPANY CA N/A T 0 CYPRESS MEDICAL NETWORK INC PO BOX HH MONTEREY CA 93942 770438780 INACTIVE 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 N/A C 0 BAY SERVICES INC PO BOX 80308 SALINAS CA 93912 942250761 SERVICES CA N/A C 0 0 1 1 0 0 0 0 0 0 0 1 1 0 1 1 1 1 1 1 ASPIRE HEALTH PLAN B 734167 COST