2023-11-15T15:40:25-06:00 2022-12-31 910189318 MOSS ADAMS LLP 101 SECOND STREET SUITE 900 SAN FRANCISCO CA 94105 990 2022-01-01 942789696 MONTAGE HEALTH 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 393376159 0 X WWW.MONTAGEHEALTH.ORG X 1981 CA TO PROVIDE SUPPORT SERVICES TO THE COMMUNITY HOSPITAL OF THE MONTEREY PENINSULA AND ITS AFFILIATES. 16 13 0 15 369544 0 776290 291835918 8904164 8539734 30099547 37249447 2787906 3132566 42567907 340757665 21305959 5962123 0 0 7063443 6104884 0 0 0 19110755 22242660 47480157 34309667 -4912250 306447998 1477744966 1374704648 298700624 23510807 1179044342 1351193841 X SEE SCHEDULE O. 0 0 18652307 5465952 8539734 PROPERTY MANAGEMENT OF OWNED AND LEASED PROPERTIES WITHIN THE MONTAGE HEALTH SYSTEM AND WITH EXTERNAL TENANTS. 2783174 PHYSICIAN RECRUITMENT WHICH OFFERS LOAN FORGIVENESS FOR NEWLY-RECRUITED PHYSICIANS WHO FULFILL THE TERMS OF THEIR RECRUITMENT AGREEMENTS. 1659652 496171 MAURINE CHURCH COBURN SCHOOL OF NURSING OFFERS AN ASSOCIATE'S DEGREE IN NURSING, LEADING TO RN CERTIFICATION. 23095133 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 1 1 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 1 1 0 1 156 0 1 0 1 1 0 0 0 0 0 0 0 0 0 0 0 X 16 13 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 0 0 0 CA X MATT MORGAN 8316254965 23625 HOLMAN HWY MONTEREY CA 93940 STEVEN PACKER MD PRESIDENT/CHIEF EXECUTIVE OFFICER 10.00 45.00 X X 0 1274631 1321268 LAURA ZEHM SR VP, CAO (THRU 7/22) 10.00 45.00 X 0 922761 148744 SUSAN SWICK VP, CHIEF MENTAL HEALTH OFFICER 5.00 50.00 X 0 706233 120430 MARK CARVALHO MD VP, CEO OF MMG AND MOGO 10.00 45.00 X 0 734097 108924 KEVIN CAUSEY VP, CHIEF DEVELOPMENT OFFICER 10.00 45.00 X 0 475339 73664 STEVEN CABRALES MD VP, CHIEF MEDICAL OFFICER 5.00 50.00 X 0 700453 103371 MATTHEW MORGAN VP, CHIEF FINANCIAL OFFICER 10.00 45.00 X 0 670562 129446 CYNTHIA PECK VP, ACUTE SVCS (THRU 4/22) 5.00 50.00 X 0 680960 32009 DEBORAH SOBER VP, CHIEF NURSING OFFICER 5.00 50.00 X 0 572044 95004 PAUL CONOCENTI VP, CHIEF INFORMATION OFFICER 10.00 45.00 X 0 591453 81432 GREGORY SMORZEWSKI VP, CHRO 10.00 45.00 X 0 371509 90235 TIM NYLEN VP, CCO (THRU 5/22) 5.00 50.00 X 0 348764 25998 DANIEL CHIBAYA VP, OPERATIONS 5.00 50.00 X 0 252802 20614 GURU KHALSA MD TRUSTEE 5.00 6.00 X 75000 99324 0 KATHLEEN BANG CHAIR 4.00 2.00 X X 0 0 0 RANDY CHARLES SECRETARY 3.00 4.00 X X 0 0 0 BILL WARNER VICE CHAIR 2.00 3.00 X X 0 0 0 LUIS ALVAREZ TRUSTEE 1.00 1.00 X 0 0 0 MARTHA BLUM MD TRUSTEE 1.00 54.00 X 0 320568 12200 PATRICK BURKE TRUSTEE 1.00 1.00 X 0 0 0 MIMI HAHN TRUSTEE 1.00 1.00 X 0 0 0 GENE HILL TRUSTEE 1.00 2.00 X 0 0 0 KIRAN KAMATH TRUSTEE 1.00 1.00 X 0 0 0 STAN MCKEE TRUSTEE 1.00 10.00 X 0 0 0 JOHN O'BRIEN TRUSTEE 1.00 2.00 X 0 0 0 CARRIE PENETTA TRUSTEE 1.00 1.00 X 0 0 0 LESLIE SNORF TRUSTEE 1.00 2.00 X 0 0 0 WILLIAM YOUNG TRUSTEE 1.00 2.00 X 0 0 0 75000 8721500 2363339 0 0 1 0 0 291396047 439871 291835918 PROGRAM RELATED RENTAL INCOME 532000 8282075 8282075 PROGRAM REVENUE 561000 257659 257659 8539734 16352362 -1102237 17454599 2838322 0 2838322 2838322 1471781 1366541 73515579 52618494 20897085 20897085 20897085 OTHER REVENUE 561000 294244 294244 294244 340757665 8539734 369544 40012469 X 5465952 5465952 496171 496171 75000 75000 4243365 1347111 2896254 552604 226279 326325 986585 364868 621717 247330 116656 130674 86491 86491 5454007 2106355 3347652 522188 6441 515747 120444 69734 50710 154123 4779 149344 3569972 3569972 490151 490151 7880762 7339008 541754 OTHER DIRECT EXPENSES 3964522 1491656 2472866 34309667 23095133 11214534 0 5361484 14609711 60000 79000 7102303 8387183 1194374 2090221 230157002 63276808 167055272 166880194 228679284 238444204 867663330 771880978 200628919 172333157 1477744966 1374704648 2207765 1380594 717798 1180300 10731910 10563434 285043151 10386479 298700624 23510807 X 974328274 1175465746 204716068 175728095 1179044342 1351193841 1477744966 1374704648 X 306447998 -133714680 -583819 X 0 1 X 1 0 X 256872620 1268108 285172 776290 291835918 551038108 256872620 1268108 285172 776290 291835918 551038108 551038108 29852206 13534982 13546277 32155580 17718903 106807948 276019 294244 570263 658416319 44297328 0.83690 0.72210 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED X X 3 17.51 3 3 0 1 1 0.00 0 1 189592202 1000 -21926686 498471 6123156 161044889 153724038 194850 40474088 239800 4560974 189592202 140593449 158217 16864337 290140 3601825 153724038 175317743 100000 32690718 5668805 202439656 201116274 -18058615 7634219 105698 175317742 0.01100 0.18390 0.80510 0 1 1 23338120 23338120 13673099 8379416 5293683 7627665 2515177 5112488 527328 184990790 52382215 133135903 166880194 OTHER INVESTMENTS 612813738 F PRIVATE EQUITY 159067240 F 771880978 RECEIVABLE FROM RELATED ORGS 73714109 OTHER ASSETS 40741206 ANNUITY INVESTMENTS 1697939 ASSETS HELD IN REMAINDER TRUSTS 2055752 ASPIRE LOAN 45429192 BENEFICIAL INTEREST IN REMAINDER TRUSTS 1825357 OTHER RECEIVABLES 1139100 RIGHT-OF-USE ASSET 5730502 172333157 PAYABLE TO RELATED ORGS 261414 LIABILITIES UNDER SPLIT INTEREST AGREEMENTS 3530441 LIABILITIES UNDER TRUST AGREEMENTS 671667 OPERATING LEASE LIABILITY 5922957 10386479 X PART II, LINE 9: REPORTED ON THE BALANCE SHEET AS PART OF PROPERTY, PLANT AND EQUIPMENT. PART V, LINE 4: ADOLESCENT BEHAVIORAL HEALTH, SPONSORED CARE, PEER REVIEW, QUALITY IMPROVEMENT, CREDENTIALING OPERATIONS OF COMMUNITY HOSPITAL OF MONTEREY PENINSULA MEDICAL STAFF. 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. EUROPE (INCLUDING ICELAND & GREENLAND) - ALBANIA, ANDORRA, AUSTRIA, BELGIUM INVESTMENT IN PARTNERSHIP 9902593 CENTRAL AMERICA AND THE CARIBBEAN - ANTIGUA & BARBUDA, ARUBA, BAHAMAS, INVESTMENT IN PARTNERSHIP 119616953 EAST ASIA AND THE PACIFIC INVESTMENT IN PARTNERSHIP 2486302 0 0 0 0 0 0 132005848 0 132005848 1 0 1 1 1 0 PART III ACCOUNTING METHOD: 1 MONTAGE HEALTH FOUNDATION PO BOX HH MONTEREY CA 93942 812889645 501(C)(3) 958630 0 GENERAL OPERATIONS COMMUNITY HOSPITAL OF THE MONTEREY PENINSULA PO BOX HH MONTEREY CA 93942 940760193 501(C)(3) 4315546 0 GENERAL SUPPORT AND SUPPORT OF MEDICAL STAFF SERVICES ASPIRE HEALTH PLAN 10 RAGSDALE DRIVE SUITE 101 MONTEREY CA 93940 461567681 501(C)(4) 191776 0 GENERAL OPERATIONS 2 1 SCHOLARSHIPS 83 496171 PART I, LINE 2: FOR COMMUNITY HOSPITAL OF THE MONTEREY PENINSULA, ASPIRE HEALTH PLAN, AND MONTAGE HEALTH FOUNDATION, ACTUAL EXPENDITURES ARE REVIEWED AND APPROVED BEFORE TRANSFERRING THE GRANT PROCEEDS. 0 1 0 0 0 0 0 0 0 MARK CARVALHO MD VP, CEO OF MMG AND MOGO 0 528344 0 144935 0 60818 0 61244 0 47680 0 843021 0 0 KEVIN CAUSEY VP, CHIEF DEVELOPMENT OFFICER 0 323705 0 101475 0 50159 0 43097 0 30567 0 549003 0 0 STEVEN PACKER MD PRESIDENT/CHIEF EXECUTIVE OFFICER 0 901100 0 314500 0 59031 0 1289098 0 32170 0 2595899 0 0 LAURA ZEHM SR VP, CAO (THRU 7/22) 0 307200 0 186885 0 428676 0 131289 0 17455 0 1071505 0 0 SUSAN SWICK VP, CHIEF MENTAL HEALTH OFFICER 0 561598 0 98993 0 45642 0 60207 0 60223 0 826663 0 0 STEVEN CABRALES MD VP, CHIEF MEDICAL OFFICER 0 514622 0 146370 0 39461 0 72804 0 30567 0 803824 0 0 MATTHEW MORGAN VP, CHIEF FINANCIAL OFFICER 0 494043 0 142065 0 34454 0 79417 0 50029 0 800008 0 0 CYNTHIA PECK VP, ACUTE SVCS (THRU 4/22) 0 222198 0 97139 0 361623 0 20873 0 11136 0 712969 0 0 DEBORAH SOBER VP, CHIEF NURSING OFFICER 0 408017 0 103935 0 60092 0 76607 0 18397 0 667048 0 0 PAUL CONOCENTI VP, CHIEF INFORMATION OFFICER 0 455321 0 117924 0 18208 0 69259 0 12173 0 672885 0 0 GREGORY SMORZEWSKI VP, CHRO 0 313707 0 47112 0 10690 0 30012 0 60223 0 461744 0 0 TIM NYLEN VP, CCO (THRU 5/22) 0 169114 0 81795 0 97855 0 19193 0 6805 0 374762 0 0 DANIEL CHIBAYA VP, OPERATIONS 0 145017 0 101475 0 6310 0 14638 0 5976 0 273416 0 0 GURU KHALSA MD TRUSTEE 75000 99324 0 0 0 0 0 0 0 0 75000 99324 0 0 MARTHA BLUM MD TRUSTEE 0 218092 0 69626 0 32850 0 12200 0 0 0 332768 0 0 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 AND TIM NYLEN PARTICIPATED IN 457(F) PLANS AND NO PAYMENTS WERE RECEIVED IN 2022. 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 III, LINE 1 WE BELIEVE OUR COMMUNITY'S GREATEST RESOURCE IS THE HEALTH OF ITS PEOPLE. OUR FAMILY OF ORGANIZATIONS IS DEDICATED TO THE PURSUIT OF OPTIMAL HEALTH FOR ALL PEOPLE IN MONTEREY COUNTY, FROM BIRTH TO END OF LIFE. WE BELIEVE THE ACHIEVEMENT OF OPTIMAL HEALTH REQUIRES PRO-ACTIVE PARTNERING WITH PHYSICIANS AND OTHER CLINICIANS, HEALTHCARE AND COMMUNITY ORGANIZATIONS, AND, MOST IMPORTANTLY, EACH PERSON WE SERVE. ACHIEVING THIS GOAL REQUIRES OUR ONGOING COMMITMENT TO DELIVERING EXCEPTIONAL VALUE-BASED CARE THAT IS: -PREVENTIVE (BUILDING AND RETAINING HEALTH), -RESTORATIVE (FACILITATING RECOVERY FROM ILLNESS OR INJURY), AND -PALLIATIVE (MAXIMIZING WELL-BEING WHEN RECOVERY IS NOT POSSIBLE). WE ARE DEDICATED TO CARE THAT IS COORDINATED ACROSS ALL CARE SETTINGS TO MEET EACH PERSON'S OWN GOALS AND NEEDS. WE BELIEVE OPTIMAL HEALTH ON AN INDIVIDUAL LEVEL IS POSSIBLE ONLY WHEN EACH PERSON ACTIVELY PARTICIPATES IN THEIR OWN HEALTHCARE. WE INSPIRE THAT PARTICIPATION THROUGH PERSONALIZED INFORMATION, EDUCATION, AND SUPPORT, PROVIDED BY A COORDINATED AND COMPASSIONATE TEAM. FORM 990, PART VI, SECTION B, LINE 11B THE AUDIT COMMITTEE REVIEWS FORM 990 AND, PRIOR TO FILING, ELECTRONIC COPIES ARE SENT TO ALL TRUSTEES ON THE BOARD. 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 IX, LINE 11G OTHER PROFESSIONAL FEES: PROGRAM SERVICE EXPENSES 198,975. MANAGEMENT AND GENERAL EXPENSES 726,634. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 925,609. PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 1,907,380. MANAGEMENT AND GENERAL EXPENSES 2,621,018. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 4,528,398. FORM 990, PART XI, LINE 9: CRT/CGA FAIR VALUE ADJUSTMENT -583,819. MONTAGE HEALTH PROPERTIES LLC 23625 HOLMAN HIGHWAY MONTEREY CA 93940 942789696 REAL ESTATE CA 412259 12072865 MONTAGE HEALTH 40 RYAN COURT LLC 23625 HOLMAN HIGHWAY MONTEREY CA 93940 942789696 PROPERTIES LEASING CA 488430 4491289 MONTAGE HEALTH 230 LIGHTHOUSE LLC 2801 MONTEREY SALINAS HIGHWAY MONTEREY CA 93940 942789696 REAL ESTATE CA 739559 9018486 MONTAGE HEALTH 1330 SKYLINE LLC 23625 HOLMAN HIGHWAY MONTEREY CA 93940 942789696 REAL ESTATE CA 1427454 17273381 MONTAGE HEALTH ASPIRE HEALTH PLAN 10 RAGSDALE DRIVE SUITE 101 MONTEREY CA 93940 461567681 INSURANCE CA 501(C)(4) MONTAGE HEALTH 1 MONTAGE HEALTH FOUNDATION PO BOX HH MONTEREY CA 93942 812889645 SUPPORT SERVICES CA 501(C)(3) LINE 7 MONTAGE HEALTH 1 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 MOGO URGENT CARE PO BOX HH MONTEREY CA 93942 832329260 MEDICAL SERVICES CA 501(C)(3) LINE 3 MONTAGE HEALTH 1 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 CYPRESS MEDICAL NETWORK INC PO BOX HH MONTEREY CA 93942 770438780 INACTIVE 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 COMPANY 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 MEDICAL CLAIMS PROCESSING CA N/A C 1 1 1 1 1 1 0 0 0 1 1 0 0 0 1 1 1 1 1 1 MONTAGE HEALTH FOUNDATION B 958630 ACTUAL/BOOK VALUE MONTAGE HEALTH FOUNDATION C 771850 ACTUAL/BOOK VALUE COMMUNITY HOSPITAL OF THE MONTEREY PENINSULA B 4315546 ACTUAL/BOOK VALUE COMMUNITY HOSPITAL OF THE MONTEREY PENINSULA J 3430859 ACTUAL/BOOK VALUE MONTAGE HEALTH FOUNDATION J 115656 ACTUAL/BOOK VALUE MONTAGE MEDICAL GROUP J 2997510 ACTUAL/BOOK VALUE ASPIRE HEALTH PLAN J 487099 ACTUAL/BOOK VALUE MOGO URGENT CARE J 107616 ACTUAL/BOOK VALUE ASPIRE HEALTH PLAN B 191776 ACTUAL/BOOK VALUE COASTAL HEALTHCARE ADMINISTRATORS A 195866 ACTUAL/BOOK VALUE