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MONTAGE MEDICAL GROUP: Form 990, tax year 2018

View the entire original 990 at ProPublica ↗

Organization
MONTAGE MEDICAL GROUP (EIN 26-4826604)
Tax period
2018-01-01 to 2018-12-31
Filed
2019-11-14
IRS object ID
201933189349315008
Schema version
2018v3.1
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2019-11-14T18:58:45-06:00ReturnTs
Tax Period End2018-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN910189318PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1MOSS ADAMS LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1101 SECOND STREET SUITE 900AddressLine1Txt
CitySAN FRANCISCOCityNm
State AbbreviationCAStateAbbreviationCd
ZIP94105ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2018-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN264826604EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1MONTAGE MEDICAL GROUPBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlMONTBusinessNameControlTxt
Phone8317189720PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX HHAddressLine1Txt
CityMONTEREYCityNm
State AbbreviationCAStateAbbreviationCd
ZIP93942ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonMATT MORGANPersonNm
Person TitleVP, CFOPersonTitleTxt
Phone8317189720PhoneNum
Signature2019-11-13SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonRICHARD CROGHANPreparerPersonNm
PTINP00089862PTIN
Phone4159561500PhoneNum
Preparation2019-11-09PreparationDt

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address67.164.94.80IPv4AddressTxt
FieldValueIRS element (for citing)
IP2019-11-13IPDt
IP Tm00:53:35IPTm
IP TimezonePSIPTimezoneCd
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device IdDA39A3EE5E6B4B0D3255BFEF95601890AFD80709AtSubmissionCreationDeviceId
At Submission Filing Device Id38D2F50D294D7FF929294DC7DB19A49EB4956B3DAtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2018TaxYr
Build TS2020-03-31 21:24:44ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerSTEVEN PACKERPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX HHAddressLine1Txt
CityMONTEREYCityNm
State AbbreviationCAStateAbbreviationCd
ZIP93942ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$17,718,888GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.MONTAGEMEDICALGROUP.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation2009FormationYr
Legal Domicile StateCALegalDomicileStateCd
Activity Or MissionTO PROVIDE HEALTH CARE FOR THE GENERAL PUBLIC, CARRY ON ANY EDUCATIONAL ACTIVITIES RELATED TO RENDERING CARE TO THE SICK OR INJURED, AND TO PARTICIPATE IN SCIENTIFIC HEALTHCARE-RELATED RESEARCH TO PROMOTE THE GENERAL HEALTH OF THE COMMUNITY.ActivityOrMissionDesc
Voting Members Governing Body9VotingMembersGoverningBodyCnt
Voting Members Independent5VotingMembersIndependentCnt
Total Employee238TotalEmployeeCnt
Total Volunteers5TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$9,381NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$1,500,000PYContributionsGrantsAmt
CY Contributions Grants$1,500,000CYContributionsGrantsAmt
PY Program Service Revenue$15,076,485PYProgramServiceRevenueAmt
CY Program Service Revenue$16,218,888CYProgramServiceRevenueAmt
PY Investment Income$0PYInvestmentIncomeAmt
CY Investment Income$0CYInvestmentIncomeAmt
PY Other Revenue$0PYOtherRevenueAmt
CY Other Revenue$0CYOtherRevenueAmt
PY Total Revenue$16,576,485PYTotalRevenueAmt
CY Total Revenue$17,718,888CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$18,258,720PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$20,212,000CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$6,821,835PYOtherExpensesAmt
CY Other Expenses$8,029,996CYOtherExpensesAmt
PY Total Expenses$25,080,555PYTotalExpensesAmt
CY Total Expenses$28,241,996CYTotalExpensesAmt
PY Revenues Less Expenses-$8,504,070PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$10,523,108CYRevenuesLessExpensesAmt
Total Assets BOY$4,180,126TotalAssetsBOYAmt
Total Assets EOY$5,737,218TotalAssetsEOYAmt
Total Liabilities BOY$27,343,785TotalLiabilitiesBOYAmt
Total Liabilities EOY$39,423,985TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY-$23,163,659NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY-$33,686,767NetAssetsOrFundBalancesEOYAmt
MissionTO PROVIDE HEALTH CARE FOR THE GENERAL PUBLIC, CARRY ON ANY EDUCATIONAL ACTIVITIES RELATED TO RENDERING CARE TO THE SICK OR INJURED, AND TO PARTICIPATE IN SCIENTIFIC HEALTHCARE-RELATED RESEARCH TO PROMOTE THE GENERAL HEALTH OF THE COMMUNITY.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$26,744,461ExpenseAmt
Grant$0GrantAmt
Revenue$16,218,888RevenueAmt
DescDIRECT CLINICAL SERVICES.Desc
Total Program Service Expenses$26,744,461TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying Activities0LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Temp Or Permanent Endowments0TempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (1)ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To Organizations0GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With Officer Ent0BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document21IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee238EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitYes (1)UnrelatedBusIncmOverLimitInd
Form990 T FiledYes (1)Form990TFiledInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt0SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc0SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members9GoverningBodyVotingMembersCnt
Independent Voting Member5IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesYes (1)DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or StockholdersYes (1)MembersOrStockholdersInd
Election Of Board MembersYes (1)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (1)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEO0CompensationProcessCEOInd
Compensation Process Other0CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
States Where Copy Of Return Is FldCAStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1SHIRLEY NORMANBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone8312428605PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX HHAddressLine1Txt
CityMONTEREYCityNm
State AbbreviationCAStateAbbreviationCd
ZIP93942ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (15 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtHighest Compensated EmployeeHighestCompensatedEmployeeInd
STAN MCKEE
CHAIR1.000.00Yes (X)Yes (X)$0$0$0
MIKE LYON
VICE CHAIR1.002.00Yes (X)Yes (X)$0$0$0
STEVEN PACKER MD
PRESIDENT1.0054.00Yes (X)Yes (X)$0$1,177,557$385,978
ANTHONY CHAVIS MD
SECRETARY1.0054.00Yes (X)Yes (X)$0$651,367$120,838
DAVID STRAFACE MD
DIRECTOR40.000.00Yes (X)$328,966$49,000$0
JOHN MAHONEY MD
DIRECTOR1.000.00Yes (X)$0$0$0
GURU KHALSA MD
DIRECTOR40.000.00Yes (X)$0$146,988$0
WAYNE MOON
DIRECTOR1.000.00Yes (X)$0$0$0
LANCELOT ALEXANDER MD
DIRECTOR1.000.00Yes (X)$0$0$0
LAURA ZEHM
CFO1.0054.00Yes (X)$0$701,535$142,193
MICHAEL JACOBSON MD
PHYSICIAN50.000.00$420,171$92,986$31,399Yes (X)
STEVEN GOLDBERG MD
PHYSICIAN50.000.00$576,356$124,957$21,775Yes (X)
ANDREA CHAN MD
PHYSICIAN50.000.00$415,036$76,494$29,205Yes (X)
SHINKAI HAKIMA MD
PHYSICIAN50.000.00$400,250$47,500$25,524Yes (X)
JEANNE PHILLIPS MD
PHYSICIAN50.000.00$405,893$34,892$18,881Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$2,546,672TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$3,103,276TotReportableCompRltdOrgAmt
Total Other Compensation$775,793TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K47IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
CYPRESS HEALTHCARE PARTNERS
100 WILSON RD STE 100MONTEREYCA93940MANAGEMENT SERVICES$1,653,856
MCKESSON MEDICAL SURGICAL
PO BOX 634404CINCINATTIOH45263MEDICAL SUPPLIES$811,592
QUALITY SYSTEMS INC
PO BOX 511449LOS ANGELESCA90051SOFTWARE SYSTEMS SUPPORT$338,642
NEOTRACT INC
PO BOX 207380DALLASTX75320EQUIPMENT SUPPORT$165,323
CUSTOMIZED PERFORMANCE INC
780 MONTAGUE EXPRESSWAY SUITE 201SAN JOSECA95131JANITORIAL SERVICE$127,225
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K13CntrctRcvdGreaterThan100KCnt
Related Organizations$1,500,000RelatedOrganizationsAmt
Total Contributions$1,500,000TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
PATIENT FEES900099$15,861,527$15,861,527
CAPITIATION900099$357,361$357,361
FieldValueIRS element (for citing)
Total Program Service Revenue$16,218,888TotalProgramServiceRevenueAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$17,718,888TotalRevenueColumnAmt
Related Or Exempt Func Income$16,218,888RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$0ExclusionAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$328,966TotalAmt
Program Services$328,966ProgramServicesAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$17,389,034TotalAmt
Program Services$17,389,034ProgramServicesAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$223,584TotalAmt
Program Services$223,584ProgramServicesAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$1,253,806TotalAmt
Program Services$1,253,806ProgramServicesAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$1,016,610TotalAmt
Program Services$1,016,610ProgramServicesAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$1,472,535TotalAmt
Management And General$1,472,535ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$2,399,034TotalAmt
Program Services$2,399,034ProgramServicesAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$38,233TotalAmt
Program Services$38,233ProgramServicesAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$187,199TotalAmt
Program Services$162,199ProgramServicesAmt
Management And General$25,000ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$97,470TotalAmt
Program Services$97,470ProgramServicesAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$1,710,619TotalAmt
Program Services$1,710,619ProgramServicesAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$4,376TotalAmt
Program Services$4,376ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$524,796TotalAmt
Program Services$524,796ProgramServicesAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmt
VACCINES AND MEDICINES$669,239$669,239
MEDICAL SUPPLIES$651,834$651,834
OTHER TAXES$256,500$256,500
REAL ESTATE TAXES$18,161$18,161

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$28,241,996TotalAmt
Program Services$26,744,461ProgramServicesAmt
Management And General$1,497,535ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$1,618,993BOYAmt
EOY$1,305,624EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$1,574,701BOYAmt
EOY$2,085,652EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$227,521BOYAmt
EOY$208,189EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$4,190,471LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$2,067,576LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$743,239BOYAmt
EOY$2,122,895EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$15,672BOYAmt
EOY$14,858EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$4,180,126BOYAmt
EOY$5,737,218EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$1,946,522BOYAmt
EOY$2,737,864EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$25,397,263BOYAmt
EOY$36,686,121EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$27,343,785BOYAmt
EOY$39,423,985EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY-$23,163,659BOYAmt
EOY-$33,686,767EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY-$23,163,659BOYAmt
EOY-$33,686,767EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$4,180,126BOYAmt
EOY$5,737,218EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss-$10,523,108ReconcilationRevenueExpnssAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule D IRS990ScheduleD

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$184,793OtherCostOrOtherBasisAmt
Depreciation$8,640DepreciationAmt
Book Value$176,153BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$3,857,525OtherCostOrOtherBasisAmt
Depreciation$2,058,936DepreciationAmt
Book Value$1,798,589BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$148,153OtherCostOrOtherBasisAmt
Book Value$148,153BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$2,122,895TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)

DescDescAmtAmt
LOAN FROM CHOMP$36,683,792
PENSION LOAN EE$2,329
FieldValueIRS element (for citing)
Total Liability$36,686,121TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART X, LINE 2:FormAndLineReferenceDesc
ExplanationMONTAGE, CHOMP, ASPIRE (EXCLUDING COASTAL), THE FOUNDATION, AND MMG HAVE BEEN DETERMINED TO BE EXEMPT ORGANIZATIONS BY THE INTERNAL REVENUE SERVICE AND THE CALIFORNIA FRANCHISE TAX BOARD AND GENERALLY ARE NOT SUBJECT TO TAXES ON INCOME PURSUANT TO SECTION 501(C)(3) AND SECTION 23701(D) OF THE INTERNAL REVENUE CODE AND CALIFORNIA REVENUE AND TAXATION CODE, RESPECTIVELY. CCCMIC AND COASTAL ARE TAXABLE ENTITIES AND INCOME TAXES ARE ACCOUNTED FOR USING AN ASSET AND LIABILITY APPROACH THAT REQUIRES THE RECOGNITION OF DEFERRED TAX ASSETS AND LIABILITIES FOR THE EXPECTED FUTURE TAX CONSEQUENCES OF EVENTS THAT HAVE BEEN INCLUDED IN THE CONSOLIDATED FINANCIAL STATEMENTS. UNDER THIS METHOD, DEFERRED TAX ASSETS AND LIABILITIES ARE DETERMINED BASED ON THE DIFFERENCES BETWEEN THE CONSOLIDATED FINANCIAL STATEMENT AND TAX BASIS OF ASSETS AND LIABILITIES USING ENACTED TAX RATES IN EFFECT FOR THE YEAR IN WHICH THE DIFFERENCES ARE EXPECTED TO REVERSE. CCCMIC AND COASTAL HAVE NET CUMULATIVE LOSSES AND THE DEFERRED TAX ASSETS ASSOCIATED WITH THESE LOSSES HAVE BEEN FULLY RESERVED. 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, 2018 AND 2017.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance Payment0SeverancePaymentInd
Supplemental Nonqual Rtr Plan0SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng OrgYes (1)CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd OrgsYes (1)CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments0AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (9 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
STEVEN PACKER MD
PRESIDENT$0$814,410$0$324,280$0$38,867$0$356,105$0$29,873$0$1,563,535$0$0
ANTHONY CHAVIS MD
SECRETARY$0$487,558$0$138,910$0$24,899$0$95,295$0$25,543$0$772,205$0$0
DAVID STRAFACE MD
DIRECTOR$328,966$0$0$0$0$49,000$0$0$0$0$328,966$49,000$0$0
LAURA ZEHM
CFO$0$532,420$0$147,000$0$22,115$0$116,650$0$25,543$0$843,728$0$0
MICHAEL JACOBSON MD
PHYSICIAN$420,171$0$0$0$0$92,986$18,000$0$13,399$0$451,570$92,986$0$0
STEVEN GOLDBERG MD
PHYSICIAN$576,356$0$0$0$0$124,957$0$0$21,775$0$598,131$124,957$0$0
ANDREA CHAN MD
PHYSICIAN$415,036$0$0$0$0$76,494$16,562$0$12,643$0$444,241$76,494$0$0
SHINKAI HAKIMA MD
PHYSICIAN$400,250$0$0$0$0$47,500$18,500$0$7,024$0$425,774$47,500$0$0
JEANNE PHILLIPS MD
PHYSICIAN$405,893$0$0$0$0$34,892$0$0$18,881$0$424,774$34,892$0$0

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART I, LINE 3A 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 6PRESIDENT/CEO HAS A DEFERRED COMPENSATION ARRANGEMENT BASED ON POSITIVE NET EARNINGS OF COMMUNITY HOSPITAL OF THE MONTEREY PENINSULA.

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (7 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 3CYPRESS HEALTHCARE IS A PROFESSIONAL PHYSICIAN MANAGEMENT COMPANY. WHEN THE FORMER EXECUTIVE DIRECTOR LEFT, CYPRESS HEALTHCARE ASSUMED SOME OF THE RESPONSIBILITIES OF THE ED.
FORM 990, PART VI, SECTION A, LINE 6MONTAGE HEALTH IS THE SOLE CORPORATE MEMBER OF MONTAGE MEDICAL GROUP.
FORM 990, PART VI, SECTION A, LINE 7AMONTAGE HEALTH HAS THE RIGHT TO ELECT AND APPOINT THE DIRECTORS OF MONTAGE MEDICAL GROUP.
FORM 990, PART VI, SECTION A, LINE 7BTHE FOLLOWING GOVERNANCE DECISIONS ARE RESERVED FOR MONTAGE HEALTH: (A) THE MERGER, CONSOLIDATION OR DISSOLUTION OF THE CORPORATION; (B) THE AMENDMENT OR RESTATEMENT OF THE ARTICLES OF INCORPORATION OR THE BYLAWS OF THE CORPORATION; (C) THE AGGREGATE BORROWING FOR ANY PURPOSE OF AN AMOUNT IN EXCESS OF A DOLLAR AMOUNT TO BE ESTABLISHED BY MONTAGE HEALTH FROM TIME TO TIME. FOR PURPOSES OF THIS SUBSECTION, AGGREGATE BORROWING INCLUDES, BUT IS NOT LIMITED TO, LEASE AGREEMENTS AND CONTRACTS OF SALE OR PURCHASE; (D) THE PURCHASE, SALE, LEASE, DISPOSITION, EXCHANGE, GIFT, PLEDGE OR ENCUMBRANCE OF ANY ASSET, REAL OR PERSONAL, OF THE CORPORATION WITH A VALUE IN EXCESS OF A DOLLAR AMOUNT TO BE ESTABLISHED BY MONTAGE HEALTH FROM TIME TO TIME; (E) THE APPROVAL OF ANY TRANSACTION OF THE CORPORATION IN WHICH A DIRECTOR OR OFFICER OF THE CORPORATION HAS A MATERIAL FINANCIAL INTEREST; (F) THE APPOINTMENT OF LEGAL COUNSEL AND AUDITORS FOR THE CORPORATION; (G) THE APPOINTMENT OF THE AUDIT COMMITTEE FOR THE CORPORATION; (H) THE ESTABLISHMENT OF LONG RANGE GOALS, PLANS AND STRATEGIES FOR THE CORPORATION; (I) THE APPOINTMENT OR REMOVAL OF THE PRESIDENT/CHIEF EXECUTIVE OFFICER OF THE CORPORATION; (J) THE APPROVAL OF THE EXACT NUMBER OF AUTHORIZED DIRECTORS WITHIN THE VARIABLE RANGE ESTABLISHED PURSUANT TO SECTION 2 OF ARTICLE IV OF THESE BYLAWS; AND (K) THE FILLING OF ANY VACANCY ON THE BOARD OF DIRECTORS, INCLUDING, WITHOUT LIMITATION, ANY VACANCY CREATED BY THE REMOVAL OF A DIRECTOR.
FORM 990, PART VI, SECTION B, LINE 11BTHE CFO AND VP FINANCE IS RESPONSIBLE FOR REVIEWING THE FORM 990 BEFORE FILING. ELECTRONIC COPIES ARE SENT TO ALL BOARD MEMBERS FOR REVIEW PRIOR TO FILING.
FORM 990, PART VI, SECTION B, LINE 12CTHE ORGANIZATION USES SELF DISCLOSURE BY INTERESTED PERSONS AND MONITORS AND ENFORCES COMPLIANCE WITH THE CONFLICT OF INTEREST POLICY.
FORM 990, PART VI, SECTION C, LINE 19THE ORGANIZATION MAKES ITS FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC BY REQUEST.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (4 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtDirect Controlling NADirectControllingNACdControlled OrganizationControlledOrganizationIndBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Txt
MONTAGE HEALTH
PO BOX HHMONTEREYCA93942942789696SUPPORT SERVICESCA501(C)(3)LINE 10N/A0
COMMUNITY HOSPITAL OF THE MONTEREY PENINSULA
PO BOX HHMONTEREYCA93942940760193HEALTHCARE SERVICESCA501(C)(3)LINE 30MONTAGE HEALTH
ASPIRE HEALTH PLAN
10 RAGSDALE DRIVE SUITE 101MONTEREYCA93940461567681INSURANCE COMPANYCA501(C)(4)0MONTAGE HEALTH
MONTAGE HEALTH FOUNDATION
PO BOX HHMONTEREYCA93942812889645SUPPORT SERVICESCA501(C)(3)LINE 70MONTAGE HEALTH
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org0GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (1)GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgYes (1)LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth Org0RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org0RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org0PerformOfServicesForOthOrgInd
Perform Of Services By Other Org0PerformOfServicesByOtherOrgInd
Sharing Of Facilities0SharingOfFacilitiesInd
Paid Employees Sharing0PaidEmployeesSharingInd
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrgInd
Transfer To Other Org0TransferToOtherOrgInd
Transfer From Other OrgYes (1)TransferFromOtherOrgInd