2025-11-14T20:14:29-06:00 2024-12-31 390859910 BAKER TILLY ADVISORY GROUP LP 101 SECOND STREET SUITE 900 SAN FRANCISCO CA 94105 990 2024-01-01 461567681 ASPIRE HEALTH PLAN ASPI 8315744938 10 RAGSDALE DRIVE 101 MONTEREY CA 93940 LAURA MCMAHON INTERIM CFO 8315744938 2025-11-14 1 1 LESLIE VAN P01294411 4159561500 2025-11-14 2024 2025-03-06 01:10:19Z LAURA MCMAHON PO BOX HH MONTEREY CA 93942 146000957 0 X WWW.ASPIREHEALTHPLAN.ORG X 2012 CA SOCIAL WELFARE THROUGH THE PROVISION OF HEALTH INSURANCE. 15 11 110 14 0 0 3289976 3667148 123217389 141604706 579109 729103 0 0 127086474 146000957 0 0 0 0 13093862 15375801 0 0 0 123415914 152119782 136509776 167495583 -9423302 -21494626 31266095 33003837 111993279 135225647 -80727184 -102221810 X SOCIAL WELFARE THROUGH THE PROVISION OF HEALTH INSURANCE. 0 0 104317733 103201208 INSURANCE CLAIMS EXPENDITURES FOR 7,440 MEDICARE ADVANTAGE BENEFICIARIES. 33634404 32758001 INSURANCE CLAIMS EXPENDITURES FOR COMMERCIAL PLAN BENEFICIARIES. 14771735 1868424 ADMINISTRATIVE EXPENDITURES FOR 6,164 MEDICARE ADVANTAGE BENEFICIARIES. 5682519 3777073 POPULATION HEALTH COMMUNITY BENEFIT WORK. 5682519 3777073 158406391 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 1 138 0 1 110 1 0 0 0 0 0 0 0 0 X 15 11 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 0 0 1 1 CA X LAURA MCMAHON 8316254821 PO BOX HH MONTEREY CA 93942 STEVEN PACKER MD PRESIDENT & CEO 1.00 57.00 X X 0 1932079 633933 MARK CARVALHO MD DIRECTOR 1.00 55.00 X 0 792196 128182 TYLER MUNSON CEO OF ASPIRE/SECRETARY 55.00 0.00 X X 0 649402 97441 MICHAEL MCGLUE MD DIRECTOR 1.00 54.00 X 0 567222 53334 JOHN O'BRIEN CHAIR 1.00 2.00 X X 0 0 0 RYAN EDWARDS VICE CHAIR (THRU 12/24) 1.00 3.00 X X 0 0 0 DAVID AWERBUCK MD DIRECTOR 1.00 0.00 X 0 0 0 CATHERINE CARSON DIRECTOR 1.00 0.00 X 0 0 0 REGINA GAGE DIRECTOR (THRU 12/24) 1.00 0.00 X 0 0 0 LESLIE HIGGINS DIRECTOR 1.00 2.00 X 0 0 0 GREGG KANTER MD DIRECTOR 1.00 0.00 X 0 0 0 TONY PRUTHI MD DIRECTOR 1.00 0.00 X 0 0 0 ALLEN RADNER MD DIRECTOR 1.00 0.00 X 0 0 0 GARY RAY DIRECTOR 1.00 0.00 X 0 0 0 VICTORY REY JR DIRECTOR 1.00 0.00 X 0 0 0 MATTHEW MORGAN VP OF FINANCE/CFO 8.00 53.00 X 0 813108 163123 LIZ LORENZI VP/COO 55.00 0.00 X 0 557394 84965 MELISSA HALL COO 55.00 0.00 X 442162 0 57202 CAMMIE FLORES - DIRECTOR OF CARE MANAGEMENT (THRU 11/24) 40.00 0.00 X 289304 0 50684 TINA LAMAA ASPIRE PHARMACY DIRECTOR 40.00 0.00 X 286910 0 46714 KELLIE VERDUGO DIRECTOR OF UTILIZATION MANAGEMENT 40.00 0.00 X 232304 0 53900 GUEZ GHISLAINE CHIEF MEDICAL OFFICER 55.00 0.00 X 421943 0 43496 1672623 5311401 1412974 35 0 1 0 PERFORMANCE HEALTH TECHNOLOGY 3993 FAIRVIEW INDUSTRIAL DRIVE SALEM OR 97302 BUSINESS PROCESS OUTSOURCING 4640745 MCG HEALTH LLC 901 5TH AVENUE SUITE 2000 SEATTLE WA 98164 GUIDELINE CLINICAL EDITORS 717084 ADHEREHEALTH LLC 1005 17TH AVENUE S SUITE 605 NASHVILLE TN 37212 CLINICAL ANALYTICS 498489 APPLIED GENERAL AGENCY 1040 N TUSTIN AVENUE ANAHEIM CA 92807 AGENT COMMISSIONS 353708 HEALTHCARE SALES SOLUTIONS LLC 2400 SUMMIT VIEW DRIVE BEDFORD TX 76021 SALES MARKETING CONTRACTOR 322037 22 1880046 1787102 3667148 CAPITATION REVENUE 900099 135959209 135959209 OTHER PROGRAM REVENUE 900099 5645497 5645497 141604706 729103 729103 146000957 141604706 0 729103 10039962 7687241 2352721 513468 499928 13540 4822371 3775053 1047318 50526 39833 10693 1867952 1716186 151766 1347177 913315 433862 188324 141344 46980 1187777 846471 341306 731159 460835 270324 97284 42612 54672 MEDICAL CLAIMS 132765779 132765779 DIRECT EXPENSES 13764200 9432540 4331660 DUES & SUBSCRIPTIONS 119604 85254 34350 167495583 158406391 9089192 0 19628516 17515820 6790304 7347964 96610 562746 2510014 1801482 971745 708532 3778920 6868775 31266095 33003837 19367477 18279682 258574 228866 41199386 53088400 51167842 63628699 111993279 135225647 X -80727184 -102221810 -80727184 -102221810 31266095 33003837 -21494626 0 X 0 1 X 1 0 RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 2510014 1801482 708532 708532 INTERCOMPANY RECEIVABLES 6868775 6868775 INTERCOMPANY PAYABLES 551382 RELATED PARTY NOTE PAYABLE 63077317 63628699 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, 2024 AND 2023. 0 1 0 0 0 0 0 1 0 STEVEN PACKER MD PRESIDENT & CEO 0 1082219 0 377440 0 472420 0 602212 0 31721 0 2566012 0 415464 MATTHEW MORGAN VP OF FINANCE/CFO 0 572889 0 180398 0 59821 0 108428 0 54695 0 976231 0 0 MARK CARVALHO MD DIRECTOR 0 588192 0 159331 0 44673 0 75624 0 52558 0 920378 0 0 TYLER MUNSON CEO OF ASPIRE/SECRETARY 0 493022 0 117504 0 38876 0 42746 0 54695 0 746843 0 0 LIZ LORENZI VP/COO 0 396360 0 91969 0 69065 0 68897 0 16068 0 642359 0 0 MICHAEL MCGLUE MD DIRECTOR 0 290122 0 277100 0 0 0 13800 0 39534 0 620556 0 0 MELISSA HALL COO 360523 0 62976 0 18663 0 13800 0 43402 0 499364 0 0 0 GUEZ GHISLAINE CHIEF MEDICAL OFFICER 421943 0 0 0 0 0 3374 0 40122 0 465439 0 0 0 CAMMIE FLORES - DIRECTOR OF CARE MANAGEMENT (THRU 11/24) 229958 0 37692 0 21654 0 9019 0 41665 0 339988 0 0 0 TINA LAMAA ASPIRE PHARMACY DIRECTOR 254270 0 26400 0 6240 0 6592 0 40122 0 333624 0 0 0 KELLIE VERDUGO DIRECTOR OF UTILIZATION MANAGEMENT 227494 0 0 0 4810 0 8762 0 45138 0 286204 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, LINE 4B STEVEN PACKER PARTICIPATED IN A 457(F) PLAN AND RECEIVED A DISTRIBUTION DURING 2024 IN THE AMOUNT OF $415,464. 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 53088400 0 1 1 53088400 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 CONFLICT OF INTEREST POLICY REQUIRES THAT ALL DIRECTORS, EXECUTIVE OFFICERS, OR ANY OTHER KEY EMPLOYEE WITH A MATERIAL FINANCIAL INTEREST IN A TRANSACTION MUST DISCLOSE SUCH MATERIAL FINANCIAL INTEREST OR POTENTIAL FOR AN EXCESS BENEFIT TRANSACTION TO THE BOARD OF TRUSTEES. THE BOARD SHALL DETERMINE WHETHER A CONFLICT EXISTS AND IN THE CASE OF AN EXISTING CONFLICT, WHETHER THE CONTEMPLATED TRANSACTION MAY BE AUTHORIZED AS JUST, FAIR, AND REASONABLE. IF A CONFLICT IS DEEMED TO EXIST, THE INTERESTED PERSON MUST RECUSE THEMSELVES FROM PARTICIPATING IN ANY CONSIDERATION OR DECISION RELATED TO THE TRANSACTION. SUCH DISCLOSURE AND ABSTENTION FROM A VOTE WILL BE MADE PART OF THE RECORD OF THE BOARD'S MEETINGS. THE DECISION OF THE BOARD ON THESE MATTERS WILL REST IN THEIR SOLE DISCRETION, AND THEIR CONCERN MUST BE THE WELFARE OF THE ORGANIZATION AND THE ADVANCEMENT OF ITS PURPOSE. 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 MONTAGE SURGICAL GROUP DBA MONTAGE ORTHOPEDICS & SPORTS MED PO BOX HH MONTEREY CA 93942 333276947 HEALTHCARE 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 333792 83474 1.00000 1 COASTAL TPA INC PO BOX 80308 SALINAS CA 93912 770523382 MEDICAL CLAIMS PROCESSING CA ASPIRE HEALTH PLAN C 4490860 3081000 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 0 1 1 1 1 1 1 1 COASTAL TPA INC M 2795490 COST