2023-11-15T15:33:59-06:00 2022-12-31 910189318 MOSS ADAMS LLP 101 SECOND STREET SUITE 900 SAN FRANCISCO CA 94105 990 2022-01-01 832329260 MOGO URGENT CARE MOGO 8316254518 23625 HOLMAN HIGHWAY MONTEREY CA 93942 MATT MORGAN VP & CFO 8316254518 2023-11-14 1 MATT MORGAN 999009999 0 LESLIE VAN P01294411 4159561500 2023-11-09 2 AAL1 IAL1 2022 2023-04-26 12:10:37Z MARK CARVALHO 23625 HOLMAN HIGHWAY MONTEREY CA 93942 4716077 0 X WWW.MOGOURGENTCARE.ORG X 2018 CA TO PROVIDE DIRECT OUTPATIENT URGENT CARE SERVICES TO THE COMMUNITY OF THE MONTEREY PENINSULA. 3 0 60 0 0 0 500000 0 3777079 4673311 0 0 23820 42766 4300899 4716077 0 0 0 0 5000466 5097818 0 0 0 2889817 3206623 7890283 8304441 -3589384 -3588364 12842970 12578924 19852378 23176696 -7009408 -10597772 X TO ESTABLISH AND MAINTAIN ONE OR MORE FREE-STANDING OUTPATIENT HEALTHCARE FACILITIES TO PROVIDE DIRECT MEDICAL OR SURGICAL SERVICES OR TREATMENT TO PATIENTS WHO REMAIN FEWER THAN TWENTY-FOUR HOURS; AND (II) ENGAGE IN ANY OTHER ACTIVITIES AND PROGRAMS INCIDENTAL TO, SUPPORTIVE OF, AND/OR IN FURTHERANCE OF, THE ADVANCEMENT OF THE CHARITABLE ACTIVITIES AND PURPOSE OF THE CORPORATION, INCLUDING EDUCATIONAL ACTIVITIES RELATED TO RENDERING CARE TO THE SICK AND INJURED, THE PROMOTION OF HELTH, SCIENTIFIC HEALTHCARE-RELATED RESEARCH AND OTHER HEALTH CARE ACTIVITIES TO PROMOTE THE GENERAL HEALTH OF THE COMMUNITY. 0 0 7107956 4716077 OUTPATIENT URGENT CARE SERVICES 7107956 1 0 0 0 0 0 0 0 0 0 1 0 0 1 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 0 0 0 1 17 0 1 60 1 0 0 0 0 0 0 0 0 0 0 0 0 X 3 0 0 0 0 0 1 1 1 1 0 0 0 1 1 1 1 1 1 0 0 0 CA X MATT MORGAN 8316254965 23625 HOLMAN HIGHWAY MONTEREY CA 93942 STEVEN PACKER CHAIRMAN 1.00 54.00 X X 0 1274632 1321268 MATTHEW MORGAN SECRETARY/CFO 5.00 50.00 X X 0 670563 129446 CYNTHIA PECK PRESIDENT (THRU 4/22) 10.00 45.00 X X 0 680960 32009 MARK CARVALHO MD PRESIDENT 10.00 45.00 X X 0 734097 108924 CHRISTOPHER STEGGE COO 55.00 X 0 204181 76469 0 3564433 1668116 0 0 1 0 0 NET PATIENT REVENUE 622110 4673311 4673311 4673311 ESCREEN REVENUE 900099 42766 42766 42766 4716077 4716077 0 0 X 3806145 3570412 235733 61951 61951 959350 688002 271348 270372 270372 1371593 809228 562365 124617 124617 76589 75348 1241 16456 8228 8228 408532 408532 6799 6799 602942 517976 84966 SUPPLIES 473589 465913 7676 125506 100578 24928 8304441 7107956 1196485 0 308272 551276 500000 0 133670 255173 85041 131413 6747451 1490328 5860090 5257123 800000 800000 5155897 5583939 12842970 12578924 596292 347475 19256086 22829221 19852378 23176696 X -7009408 -10597772 -7009408 -10597772 12842970 12578924 -3588364 0 X 0 1 X 1 0 X 5631892 958941 4672951 1115559 531387 584172 5257123 INTERCOMPANY RECEIVABLES 2635173 RIGHT-OF-USE ASSET 2936766 OTHER ASSETS 12000 5583939 INTERCOMPANY PAYABLES 18944976 OPERATING LEASE LIABILITY 3084245 ACCRUED INTEREST 800000 22829221 X PART X, LINE 2: 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, 2022 AND 2021. 0 1 0 0 0 0 0 0 0 STEVEN PACKER CHAIRMAN 0 901101 0 314500 0 59031 0 1289098 0 32170 0 2595900 0 0 MARK CARVALHO MD PRESIDENT 0 528344 0 144935 0 60818 0 61244 0 47680 0 843021 0 0 MATTHEW MORGAN SECRETARY/CFO 0 494044 0 142065 0 34454 0 79417 0 50029 0 800009 0 0 CYNTHIA PECK PRESIDENT (THRU 4/22) 0 222198 0 97139 0 361623 0 20873 0 11136 0 712969 0 0 CHRISTOPHER STEGGE COO 0 170698 0 18931 0 14552 0 16246 0 60223 0 280650 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 CYNTHIA PECK PARTICIPATED IN A 457(F) PLAN AND RECEIVED A PAYMENT DURING 2022 IN THE AMOUNT OF $97,311. STEVEN PACKER PARTICIPATED IN A 457(F) PLAN AND NO PAYMENTS WAS RECEIVED IN 2022. FORM 990, PART VI, SECTION A, LINE 6 MONTAGE HEALTH IS THE SOLE CORPORATE MEMBER OF MOGO URGENT CARE. FORM 990, PART VI, SECTION A, LINE 7A MONTAGE HEALTH HAS THE RIGHT TO ELECT AND REMOVE, WITH OR WITHOUT CAUSE, THE TRUSTEES OF MOGO URGENT CARE. 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 MOGO URGENT CARE; FIX THE NUMBER OF, ELECT OR REMOVE, WITH OR WITHOUT CAUSE, THE TRUSTEES OF MOGO URGENT CARE; AND TO APPOINT OR REMOVE, WITH OR WITHOUT CAUSE THE OFFICERS OF MOGO URGENT CARE. FORM 990, PART VI, SECTION A, LINE 8B THE ORGANIZATION DOES NOT HAVE A COMMITTEE WITH AUTHORITY TO ACT ON BEHALF OF THE GOVERNING BODY. 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 GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART IX, LINE 11G PHYSICIAN COVERAGE FEES: PROGRAM SERVICE EXPENSES 25,967. MANAGEMENT AND GENERAL EXPENSES 25,967. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 51,934. OTHER PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 715,806. MANAGEMENT AND GENERAL EXPENSES 534,709. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,250,515. OTHER PROFESSIONAL FEES: PROGRAM SERVICE EXPENSES 67,455. MANAGEMENT AND GENERAL EXPENSES 1,689. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 69,144. 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