2024-11-13T20:23:38-06:00 2023-12-31 910189318 MOSS ADAMS LLP 101 SECOND STREET SUITE 900 SAN FRANCISCO CA 94105 990 2023-01-01 461567681 ASPIRE HEALTH PLAN ASPI 8315744938 10 RAGSDALE DRIVE 101 MONTEREY CA 93940 MATTHEW MORGAN VP, CFO 8315744938 2024-11-12 1 1 LESLIE VAN P01294411 4159561500 2024-11-12 2023 2024-10-15 13:58:12Z MATTHEW MORGAN 23625 HOLMAN HWY MONTEREY CA 93940 127086474 0 X WWW.ASPIREHEALTHPLAN.ORG X 2012 CA SOCIAL WELFARE THROUGH THE PROVISION OF HEALTH INSURANCE. 14 10 101 14 0 0 1609807 3289976 93529128 123217389 75 579109 0 0 95139010 127086474 0 0 0 0 12196610 13093862 0 0 0 94399749 123415914 106596359 136509776 -11457349 -9423302 23588300 31266095 94892182 111993279 -71303882 -80727184 SOCIAL WELFARE THROUGH THE PROVISION OF HEALTH INSURANCE. 0 0 116289211 116241070 INSURANCE CLAIMS EXPENDITURES FOR 6,683 MEDICARE ADVANTAGE BENEFICIARIES. 7675042 2114843 ADMINISTRATIVE EXPENDITURES FOR 6,683 MEDICARE ADVANTAGE BENEFICIARIES. 4870549 4861476 POPULATION HEALTH COMMUNITY BENEFIT WORK. 128834802 0 1 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 1 0 0 0 0 0 0 0 0 0 1 1 1 0 1 135 0 1 101 1 0 0 0 0 0 0 0 0 X 14 10 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 0 0 0 CA X MATTHEW MORGAN 8316254965 PO BOX HH MONTEREY CA 93942 STEVEN PACKER PRESIDENT & CEO 1.00 54.00 X X 0 2188518 550160 MARK CARVALHO MD DIRECTOR 1.00 54.00 X 0 788868 130716 TYLER MUNSON CEO OF ASPIRE 55.00 X X 0 515480 87156 MICHAEL MCGLUE MD DIRECTOR 1.00 54.00 X 0 522383 52734 JOHN O'BRIEN CHAIR 1.00 2.00 X X 0 0 0 DAVID AWERBUCK DIRECTOR 1.00 X 0 0 0 LESLIE HIGGINS DIRECTOR 3.00 X 0 0 0 RYAN EDWARDS DIRECTOR 1.00 X 0 0 0 ALLEN RADNER MD DIRECTOR 1.00 X 0 0 0 TONY PRUTHI MD DIRECTOR 1.00 X 0 0 0 GARY RAY DIRECTOR 1.00 X 0 0 0 GREGG KANTER MD DIRECTOR 1.00 X 0 0 0 VICTORY REY JR DIRECTOR 1.00 X 0 0 0 CATHERINE CARSON DIRECTOR 1.00 X 0 0 0 PETE DELGADO DIRECTOR (THRU 11/23) 1.00 X 0 0 0 EUGENE HILL DIRECTOR (THRU 12/23) 1.00 X 0 0 0 HARRY WARDWELL DIRECTOR (THRU 12/23) 1.00 X 0 0 0 JIB MARTENS DIRECTOR (THRU 12/23) 1.00 X 0 0 0 MATTHEW MORGAN VP OF FINANCE/CFO 8.00 47.00 X 0 758608 151303 LIZ LORENZI VP/COO 55.00 X 0 659739 87766 SCOTT KELLY VP/COO/SECRETARY (THRU 9/23) 55.00 X 0 487918 56655 EVA BALINT CHIEF MEDICAL OFFICER ASPIRE (THRU 6/23) 40.00 X 807596 0 19092 MELISSA HALL VP MEDICARE OPERATIONS 40.00 X 364920 0 59509 MARY BETH GOVIER DIR UTILIZATION MANAGEMENT 40.00 X 312996 0 41644 DIANE HATCHER BUSINESS SOLUTIONS ARCHITECT 40.00 X 227951 0 64919 CAMMIE FLORES DIRECTOR OF CARE MANAGEMENT 40.00 X 228877 0 43918 LAURA ZEHM FORMER PRESIDENT / CEO 0.00 X 0 614317 0 1942340 6535831 1345572 38 1 1 0 PERFORMANCE HEALTH TECHNOLOGY 3993 FAIRVIEW INDUSTRIAL DRIVE SALEM OR 97302 BUSINESS PROCESS OUTSOURCING 4573223 HACKER AGENCY 1326 5TH AVENUE STE 350 SEATTLE WA 98101 MARKETING 708329 CLOSEDLOOP AI INC 512 E RIVERSIDE DRIVE STE 100 AUSTIN TX 98704 AI SERVICE CONTRACTOR 315400 APPLIED GENERAL AGENCY 1040 N TUSTIN AVE ANAHEIM CA 92807 AGENT COMMISSIONS 266361 HEALTHCARE SALES SOLUTIONS LLC 2400 SUMMIT VIEW DRIVE BEDFORD TX 76021 SALES MARKETING CONTRACTOR 206784 17 1861834 1428142 3289976 CAPITATION REVENUE 900099 116241071 116241071 OTHER PROGRAM REVENUE 900099 6976318 6976318 123217389 579109 579109 127086474 123217389 0 579109 9277133 7103170 2173963 584680 569262 15418 3232049 2530116 701933 87607 69067 18540 1201163 1103572 97591 1635071 1108493 526578 137910 103507 34403 830907 592147 238760 619934 390732 229202 70510 30881 39629 MEDICAL CLAIMS 107329236 107329236 DIRECT EXPENSES 11426520 7849657 3576863 DUES & SUBSCRIPTIONS 77056 54962 22094 136509776 128834802 7674974 0 16677218 19628516 4477003 6790304 342938 96610 2675944 1704199 455466 971745 1635675 3778920 23588300 31266095 11684193 19367477 237444 258574 36581940 41199386 46388605 51167842 94892182 111993279 X -71303882 -80727184 -71303882 -80727184 23588300 31266095 -9423302 0 X 0 1 X 1 0 RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 2175143 1704199 470944 500801 500801 971745 INTERCOMPANY RECEIVABLES 3778920 3778920 INTERCOMPANY PAYABLES 444805 RELATED PARTY NOTE PAYABLE 50723037 51167842 X PART X, LINE 2: 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, 2023 AND 2022. 1 1 0 0 0 1 1 1 0 STEVEN PACKER PRESIDENT & CEO 0 1015887 0 383300 0 789331 0 516858 0 33302 0 2738678 0 732679 MARK CARVALHO MD DIRECTOR 0 562371 0 166158 0 60339 0 73623 0 57093 0 919584 0 0 MATTHEW MORGAN VP OF FINANCE/CFO 0 538655 0 161822 0 58131 0 94210 0 57093 0 909911 0 0 EVA BALINT CHIEF MEDICAL OFFICER ASPIRE (THRU 6/23) 228868 0 99346 0 479382 0 1304 0 17788 0 826688 0 0 0 LIZ LORENZI VP/COO 0 387885 0 207059 0 64795 0 71115 0 16651 0 747505 0 0 LAURA ZEHM FORMER PRESIDENT / CEO 0 0 0 0 0 614317 0 0 0 0 0 614317 0 0 TYLER MUNSON CEO OF ASPIRE 0 475229 0 25000 0 15251 0 30063 0 57093 0 602636 0 0 MICHAEL MCGLUE MD DIRECTOR 0 225763 0 247326 0 49294 0 13200 0 39534 0 575117 0 0 SCOTT KELLY VP/COO/SECRETARY (THRU 9/23) 0 278963 0 97393 0 111562 0 32175 0 24480 0 544573 0 0 MELISSA HALL VP MEDICARE OPERATIONS 294606 0 41369 0 28945 0 11931 0 47578 0 424429 0 0 0 MARY BETH GOVIER DIR UTILIZATION MANAGEMENT 259726 0 34778 0 18492 0 8342 0 33302 0 354640 0 0 0 DIANE HATCHER BUSINESS SOLUTIONS ARCHITECT 222323 0 0 0 5628 0 7866 0 57053 0 292870 0 0 0 CAMMIE FLORES DIRECTOR OF CARE MANAGEMENT 222157 0 0 0 6720 0 0 0 43918 0 272795 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. PART I, LINES 4A-B EVA BALINT RECEIVED A SEVERANCE PAYMENT DURING 2023 IN THE AMOUNT OF $459,000. STEVEN PACKER PARTICIPATED IN A 457(F) PLAN AND RECEIVED A DISTRIBUTION DURING 2023 IN THE AMOUNT OF $732,679. LAURA ZEHM PARTICIPATED IN A 457(F) PLAN AND RECEIVED A DISTRIBUTION DURING 2023 IN THE AMOUNT OF $614,317. PART I, LINE 6 MANAGEMENT INCENTIVE PLANS HAVE A PERCENTAGE OF THE INCENTIVE PACKAGE THAT ARE BASED ON THE FINANCIAL RESULTS OF THE FILING ORGANIZATION AND RELATED ORGANIZATIONS. PART I, LINE 7 PART OF THE INCENTIVE PACKAGES FOR MANAGEMENT ARE BASED ON MEETING PERFORMANCE GOALS FOR THE YEAR. SUBSTANTIAL CONTRIBUTOR SUBSTANTIAL CONTRIBUTOR FUNDING FOR INCREASED REQUIREMENT FOR TANGIBLE NET EQUITY X 7618472 41199386 0 1 1 41199386 FORM 990, PART VI, SECTION A, LINE 6 ASPIRE HEALTH PLAN HAS ONE CLASS OF MEMBERS. THE MEMBERS ARE MONTAGE HEALTH ("MH") AND SALINAS VALLEY MEMORIAL HEALTHCARE SYSTEM ("SVMHS"). FORM 990, PART VI, SECTION A, LINE 7A MH AND SVMHS HAVE THE POWER TO DESIGNATE THE DIRECTORS AS FOLLOWS: (1) SIX DIRECTORS, TWO OF WHOM SHALL BE CONCURRENTLY SERVING IN THE POSITION OF SENIOR MANAGEMENT FOR MH, OR AN AFFILIATE OF MH, TWO OF WHOM SHALL BE COMMUNITY DIRECTORS, AND TWO OF WHOM SHALL BE PHYSICIANS CONCURRENTLY PROVIDING PROFESSIONAL MEDICAL SERVICES TO ENROLLEES ASSIGNED TO ONE OR MORE IPAS OR PHYSICIAN GROUPS CONTRACTING WITH THE CORPORATION, SHALL BE DESIGNATED BY MH; (2) SIX DIRECTORS, TWO OF WHOM SHALL BE CONCURRENTLY SERVING IN A POSITION OF SENIOR MANAGEMENT FOR SVMHS, OR AN AFFILIATE OF SVMHS, TWO OF WHOM SHALL BE COMMUNITY DIRECTORS, AND TWO OF WHOM SHALL BE PHYSICIANS CONCURRENTLY PROVIDING PROFESSIONAL MEDICAL SERVICES TO ENROLLEES ASSIGNED TO ONE OR MORE IPAS OR PHYSICIAN GROUPS CONTRACTING WITH THE CORPORATION, SHALL BE DESIGNATED BY SVMHS; AND (3) THE CHIEF EXECUTIVE OFFICER INITIALLY RETAINED BY THE CORPORATION AND SERVING IN SUCH POSITION AS OF SEPTEMBER 1, 2016, AND DESIGNATED THEREAFTER BY MH AND SVMHS, AS PROVIDED IN THESE BYLAWS, SHALL BE A VOTING MEMBER ON THE BOARD OF DIRECTORS OF THE CORPORATION DURING THE PERIOD OF TIME HE OR SHE HOLDS OFFICE AS THE CHIEF EXECUTIVE OFFICER. FORM 990, PART VI, SECTION A, LINE 7B THE FOLLOWING MATTERS AND ACTIONS SHALL REQUIRE THE AFFIRMATIVE UNANIMOUS APPROVAL OF MH AND SVMHS AS WELL AS THE AFFIRMATIVE DETERMINATION AND APPROVAL OF THE CORPORATION'S BOARD OF DIRECTORS: (1) APPROVING A CHANGE, MODIFICATION OR AMENDMENT TO THESE BYLAWS, OR TO THE ARTICLES, OR THE BYLAWS OR ARTICLES OF INCORPORATION OF THE CORPORATION'S SUBSIDIARIES; (2) APPROVING A VOLUNTARY DISSOLUTION AND WINDING UP OF THE CORPORATION OR ITS SUBSIDIARIES; (3) APPROVING THE MERGER, CONVERSION, CONSOLIDATION OR OTHER REORGANIZATION OR BUSINESS COMBINATION INVOLVING THE CORPORATION OR ITS SUBSIDIARIES; (4) APPROVING JOINT VENTURES AND OTHER LIKE STRATEGIC ALLIANCES AND AFFILIATIONS INVOLVING THE CORPORATION OR ITS SUBSIDIARIES; AND (5) APPROVING THE CREATION OF A NEW CLASS OF MEMBERSHIP OF THE CORPORATION OR OTHER EQUITY INTERESTS OF ITS SUBSIDIARIES. MH AND SVMHS SHALL HAVE THE SOLE AUTHORITY TO APPROVE, BY UNANIMOUS VOTE, THE FOLLOWING MATTERS AND ACTIONS: (1) FOLLOWING THE RESIGNATION, REMOVAL OR TERMINATION OF THE INDIVIDUALS HOLDING THE POSITIONS OF CHIEF OPERATING OFFICER (OPERATIONAL SENIOR EXECUTIVE) OF THE CORPORATION AND ITS SUBSIDIARIES AS OF SEPTEMBER 1, 2016, THE DESIGNATION, REMOVAL OR TERMINATION OF THE INDIVIDUALS WHO SHALL SUBSEQUENTLY HOLD THE POSITIONS OF CHIEF OPERATING OFFICER OF THE CORPORATION AND ITS SUBSIDIARIES. MH HAS THE AUTHORITY TO THE FOLLOWING ACTIONS: (1) APPROVING ANY SALE, EXCHANGE OR OTHER DISPOSITION OF ALL OR SUBSTANTIALLY ALL OF THE ASSETS OF THE CORPORATION OR ITS SUBSIDIARIES; (2) APPROVING THE ADMISSION OF ANY ADDITIONAL MEMBER OR EQUITY INTEREST HOLDER OF THE CORPORATION OR ITS SUBSIDIARIES, AND DETERMINATION OF ANY TERMS AND CONDITIONS ATTENDANT THERETO; AND (3) APPROVING A SUBSTANTIAL EXPANSION, REDUCTION OR CHANGE IN THE SERVICES PROVIDED OR THE POPULATION SERVED BY THE CORPORATION OR ITS SUBSIDIARIES. (4) APPROVING ANY TRANSFER OF MEMBERSHIP INTERESTS OR SHARES BY MH IN THIS CORPORATION (OR ANY OF ITS SUBSIDIARIES) TO A WHOLLY OWNED OR CONTROLLED AFFILIATE OF MH; (5) DESIGNATING, REMOVING OR TERMINATING (AFTER CONSULTATION WITH SVH) THE INDIVIDUALS HOLDING, AS OF SEPTEMBER 1, 2016, THE POSITIONS OF CHIEF OPERATING OFFICER (OPERATIONAL SENIOR EXECUTIVE) OF THE CORPORATION AND ITS SUBSIDIARIES; (6) APPROVING (OR MODIFYING) ANY REASONABLE AND FISCALLY SOUND LONG-RANGE FINANCIAL PLAN FOR THE CORPORATION OR ITS SUBSIDIARIES; (7) APPROVING (OR MODIFYING) ANY REASONABLE AND FISCALLY SOUND ANNUAL OPERATING BUDGET FOR THE CORPORATION OR ITS SUBSIDIARIES; (8) APPROVING (OR MODIFYING) ANY REASONABLE AND FISCALLY SOUND ANNUAL CAPITAL BUDGET FOR THE CORPORATION OR ITS SUBSIDIARIES; AND (9) APPROVING (OR MODIFYING) ANY CAPITAL BUDGET ITEM OF THE CORPORATION OR ITS SUBSIDIARIES IN EXCESS OF FIVE HUNDRED THOUSAND DOLLARS ($500,000). 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 7 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 PO BOX HH MONTEREY CA 93942 812889645 SUPPORT SERVICES CA 501(C)(3) LINE 7 MONTAGE HEALTH 0 MOGO URGENT CARE 23625 HOLMAN HIGHWAY MONTEREY CA 93940 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 BAY SERVICES INC PO BOX 80308 SALINAS CA 93912 942250761 SERVICES CA ASPIRE HEALTH PLAN C 565670 1.00000 1 CHARITABLE REMAINDER TRUSTS (2) PO BOX HH MONTEREY CA 93942 HOLDING COMPANY CA N/A T 0 COASTAL HEALTHCARE ADMINISTRATORS PO BOX 80308 SALINAS CA 93912 770311413 MEDICAL CLAIMS PROCESSING CA ASPIRE HEALTH PLAN C 323956 96334 1.00000 1 COASTAL TPA INC PO BOX 80308 SALINAS CA 93912 770523382 MEDICAL CLAIMS PROCESSING CA ASPIRE HEALTH PLAN C 3430976 2169570 1.00000 1 CYPRESS MEDICAL NETWORK INC PO BOX HH MONTEREY CA 93942 770438780 INACTIVE CA N/A C 0 0 0 1 0 1 1 0 0 0 1 1 1 1 1 1 1 1 1 1 COASTAL TPA INC L 550000 COST COASTAL TPA INC M 1899385 COST