2024-11-13T19:40:02-06:00 2023-12-31 910189318 MOSS ADAMS LLP 101 SECOND STREET SUITE 900 SAN FRANCISCO CA 94105 990 2023-01-01 832329260 MOGO URGENT CARE MOGO 8316254518 23625 HOLMAN HIGHWAY MONTEREY CA 93940 MATTHEW MORGAN VP & CFO 8316254518 2024-11-12 1 1 LESLIE VAN P01294411 4159561500 2024-11-12 2023 2024-10-15 13:58:12Z X MARK CARVALHO 23625 HOLMAN HIGHWAY MONTEREY CA 93940 6437818 0 X WWW.MOGOURGENTCARE.ORG X 2018 CA TO PROVIDE DIRECT OUTPATIENT URGENT CARE SERVICES TO THE COMMUNITY OF THE MONTEREY PENINSULA. 3 0 66 0 0 0 0 0 4673311 6394301 0 0 42766 43517 4716077 6437818 0 0 0 0 5097818 5427593 0 0 0 3206623 4609177 8304441 10036770 -3588364 -3598952 12578924 14055552 23176696 28252276 -10597772 -14196724 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 HEALTH, SCIENTIFIC HEALTHCARE-RELATED RESEARCH AND OTHER HEALTH CARE ACTIVITIES TO PROMOTE THE GENERAL HEALTH OF THE COMMUNITY. 0 0 8588919 6437818 OUTPATIENT URGENT CARE SERVICES 8588919 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 21 0 1 66 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 MATTHEW MORGAN 8316254965 PO BOX HH MONTEREY CA 93942 STEVEN PACKER CHAIRMAN 1.00 54.00 X X 0 2188518 550160 MATTHEW MORGAN SECRETARY/CFO 5.00 50.00 X X 0 758608 151303 MARK CARVALHO MD PRESIDENT 10.00 45.00 X X 0 788868 130716 CHRISTOPHER STEGGE COO 50.00 X 0 212867 79650 LIOUDMILA TARBOX NURSE PRACTITIONER 40.00 X 190813 0 69543 SHAREN HURST NURSE PRACTITIONER 40.00 X 167042 0 0 ERIN SULLIVAN NURSE PRACTITIONER 40.00 X 159431 0 19782 DIANA KOLMAN NURSE PRACTITIONER (THRU 7/23) 40.00 X 145979 0 4926 CHERIE HOWARD CLINIC MANAGER 40.00 X 119316 0 19782 782581 3948861 1025862 5 0 1 0 ALL MEDICAL PERSONNEL PO BOX 931896 ATLANTA GA 311931896 HEALTHCARE STAFFING/TRAVELERS 1117477 1 NET PATIENT REVENUE 622110 6394301 6394301 6394301 ESCREEN REVENUE 900099 43517 43517 43517 6437818 6437818 0 0 X 3961035 3646416 314619 121705 100537 21168 1058152 874106 184046 286701 236835 49866 2605311 1885339 719972 136295 136295 131499 126415 5084 2650 1325 1325 600581 600008 573 9062 9062 571704 502356 69348 MEDICAL SUPPLIES 298399 298279 120 OTHER SUPPLIES 186458 167832 18626 67218 4114 63104 10036770 8588919 1447851 0 551276 2200088 255173 612819 131413 143083 6747451 2062029 5257123 4685422 800000 800000 5583939 5614140 12578924 14055552 347475 2052404 22829221 26199872 23176696 28252276 X -10597772 -14196724 -10597772 -14196724 12578924 14055552 -3598952 0 X 0 1 X 1 0 X 5631892 1334401 4297491 1115559 727628 387931 4685422 INTERCOMPANY RECEIVABLES 2665374 RIGHT-OF-USE ASSETS 2936766 OTHER ASSETS 12000 5614140 INTERCOMPANY PAYABLES 22315627 OPERATING LEASE LIABILITY 3084245 ACCRUED INTEREST 800000 26199872 X PART X, LINE 2: THE ORGANIZATION ASSESSES UNCERTAIN TAX POSITIONS IN ACCORDANCE WITH THE PROVISIONS OF THE ASC 740-10, INCOME TAXES-OVERALL. 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, 2023 AND 2022. 0 1 0 0 0 1 1 0 0 STEVEN PACKER CHAIRMAN 0 1015887 0 383300 0 789331 0 516858 0 33302 0 2738678 0 732679 MARK CARVALHO MD PRESIDENT 0 562371 0 166158 0 60339 0 73623 0 57093 0 919584 0 0 MATTHEW MORGAN SECRETARY/CFO 0 538655 0 161822 0 58131 0 94210 0 57093 0 909911 0 0 CHRISTOPHER STEGGE COO 0 170300 0 21892 0 20675 0 17303 0 62347 0 292517 0 0 LIOUDMILA TARBOX NURSE PRACTITIONER 190813 0 0 0 0 0 7196 0 62347 0 260356 0 0 0 ERIN SULLIVAN NURSE PRACTITIONER 159431 0 0 0 0 0 5693 0 14089 0 179213 0 0 0 SHAREN HURST NURSE PRACTITIONER 163434 0 0 0 3608 0 0 0 0 0 167042 0 0 0 DIANA KOLMAN NURSE PRACTITIONER (THRU 7/23) 111386 0 0 0 34593 0 4926 0 0 0 150905 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 2023 IN THE AMOUNT OF $732,679. 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. 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 27,450. MANAGEMENT AND GENERAL EXPENSES 24,750. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 52,200. OTHER PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 576,051. MANAGEMENT AND GENERAL EXPENSES 539,025. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,115,076. OTHER PROFESSIONAL FEES: PROGRAM SERVICE EXPENSES 103,678. MANAGEMENT AND GENERAL EXPENSES 156,197. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 259,875. MEDICAL THERAPISTS AND OTHER: PROGRAM SERVICE EXPENSES 1,178,160. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,178,160. MONTAGE HEALTH PO BOX HH MONTEREY CA 93942 942789696 SUPPORT SERVICES CA 501(C)(3) LINE 7 N/A 0 ASPIRE HEALTH PLAN 10 RAGSDALE DRIVE SUITE 101 MONTEREY CA 93940 461567681 INSURANCE CA 501(C)(4) 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 MONTAGE MEDICAL GROUP PO BOX HH MONTEREY CA 93942 264826604 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 CYPRESS MEDICAL NETWORK INC PO BOX HH MONTEREY CA 93942 770438780 INACTIVE CA N/A C 0 COASTAL TPA INC PO BOX 80308 SALINAS CA 93912 770523382 MEDICAL CLAIMS PROCESSING CA N/A C 0 COASTAL HEALTHCARE ADMINISTRATORS PO BOX 80308 SALINAS CA 93912 770311413 MEDICAL CLAIMS PROCESSING CA N/A C 0 BAY SERVICES INC PO BOX 80308 SALINAS CA 93912 942250761 SERVICES CA N/A C 0 CHARITABLE REMAINDER TRUSTS (2) PO BOX HH MONTEREY CA 93942 HOLDING COMPANY CA N/A T 0 0 0 0 0 0 0 0 0 0 1 0 1 1 0 1 1 0 1 1