2023-11-11T09:53:25-06:00 2022-12-31 861065772 DELOITTE TAX LLP 50 SOUTH SIXTH STREET MINNEAPOLIS MN 55402 990 2022-01-01 953858259 SCAN HEALTH PLAN SCAN 5629895100 3800 KILROY AIRPORT WAY 100 LONG BEACH CA 908065616 SACHIN JAIN CHIEF EXECUTIVE OFFICER 5629895100 2023-11-02 1 SACHIN JAIN 999009999 0 ANNA KOLAKALURI P01275237 6123974000 2 AAL1 IAL1 2022 2023-04-26 12:10:37Z SACHIN JAIN 3800 KILROY AIRPORT WAY 100 LONG BEACH CA 908065616 4531899256 0 X WWW.SCANHEALTHPLAN.COM X 1983 CA SCAN'S MISSION IS TO KEEP SENIORS HEALTHY AND INDEPENDENT. 11 10 1421 58 0 0 3942238 4164910 3444727516 4292755012 57545469 17889836 34931 0 3506250154 4314809758 3382620 4442475 0 0 121729590 184251423 0 0 0 3327660298 4056223762 3452772508 4244917660 53477646 69892098 860743592 894518976 290721921 302639761 570021671 591879215 X SCAN'S MISSION IS TO KEEP SENIORS HEALTHY AND INDEPENDENT. 0 0 4139012075 26537 4292755012 SCAN HEALTH CARE SERVICES:SCAN HEALTH PLAN HAS A CULTURE OF QUALITY AND A LONG HISTORY OF FULFILLING OUR MISSION: KEEPING SENIORS HEALTHY AND INDEPENDENT. AS A MEDICARE ADVANTAGE AND PRESCRIPTION DRUG PLAN (MAPD) IN CALIFORNIA, SCAN COLLABORATES WITH A NETWORK OF DELEGATED PROVIDERS TO OFFER MEDICARE AND MEDI-CAL COVERED HEALTH AND BEHAVIORAL HEALTHCARE AND ADDITIONAL SUPPLEMENTAL BENEFITS. OUR MEMBER-CENTRIC MODEL OF CARE ENSURES QUALITY, INDIVIDUALIZED CARE FOR ALL MEMBERS, INCLUDING MEMBERS WITH SPECIAL NEEDS SUCH AS MEMBERS ELIGIBLE FOR BOTH MEDICARE AND MEDICAID, MEMBERS WITH CHRONIC CONDITIONS AND FRAIL MEMBERS WITHFUNCTIONAL DEFICITS. (SEE SCHEDULE O FOR FURTHER DISCUSSION) 17945938 4415937 INDEPENDENCE AT HOME:SCAN'S MISSION OF KEEPING SENIORS HEALTHY AND INDEPENDENT IS NOT LIMITED TO SCAN MEMBERS. SCAN RECOGNIZES ITS RESPONSIBILITY TO ENHANCE THE QUALITY OF LIFE FOR ALL THOSE IN THE COMMUNITIES WE SERVE. TO THAT END, SCAN SPONSORS AND PROMOTES INNOVATIVE GERIATRIC RESEARCH, INVESTS IN SIGNIFICANT COMMUNITY EDUCATION AND OUTREACH EFFORTS, AND SUPPORTS LIKE-MINDED COMMUNITY ORGANIZATIONS THROUGH GRANTS. THE CORNERSTONE OF SCAN'S COMMUNITY ENGAGEMENT COMES THROUGH INDEPENDENCE AT HOME (IAH), SCAN'S COMMUNITY BENEFIT DIVISION.THROUGH THE PROGRAMS RUN BY IAH, SCAN HAS CONNECTED WITH TENS OF THOUSANDS OF SENIORS AND CAREGIVERS ACROSS ITS SERVICE AREAS. (SEE SCHEDULE O FOR FURTHER DISCUSSION) 4156958013 1 1 0 1 0 0 0 0 0 0 1 1 0 0 1 1 1 1 0 0 0 0 0 0 0 0 0 1 1 1 0 0 0 0 0 0 0 1 0 0 0 0 0 1 1 1 1 0 1 3740 0 1 1421 1 0 0 0 0 0 0 0 0 0 0 1 0 X 11 10 0 0 0 0 1 1 0 1 1 0 0 1 1 1 1 1 1 0 0 0 CA X VIRGINIA HAVAI 5629895100 3800 KILROY AIRPORT WAY STE 100 LONG BEACH CA 908065616 JAIN MD SACHIN H PRESIDENT & CEO 28.00 12.00 X X 3006034 0 2020160 ROSENSTOCK LINDA CHAIRPERSON 1.02 11.98 X 0 192000 0 JONES BRANDON DIRECTOR 0.71 9.49 X 0 158500 0 ORTIZ CELESTE DIRECTOR 0.71 9.19 X 0 156000 0 RUIZ DE LUZURIAGA FRANCESCA DIRECTOR 0.71 9.19 X 0 148000 0 PHILLIPS CHERYL DIRECTOR 0.55 8.05 X 0 142500 0 ELLIS ROSEMARY DIRECTOR 0.62 8.38 X 0 131000 0 CAIN COLLEEN DIRECTOR 0.56 5.04 X 0 106000 0 TURNER ROSEMARY DIRECTOR 0.55 4.95 X 0 105000 0 CHIN HANSEN JENNIE DIRECTOR 0.58 5.22 X 0 94000 0 ALLOCCO ANDREW DIRECTOR 0.50 4.50 X 0 90000 0 MONK NANCY J CHIEF OPERATIONS OFFICER 30.00 10.00 X 0 1743764 611810 PLUMB MICHAEL CHIEF FINANCIAL OFFICER 28.00 12.00 X 943395 0 618386 GOODE JOSH K CHIEF INFORMATION OFFICER 32.00 8.00 X 0 921550 487165 KROEKER KEVIN B GENERAL COUNSEL 30.00 10.00 X 0 785900 525156 BATRA ROMILLA A CHIEF MEDICAL OFFICER 32.00 8.00 X 822330 0 460603 STANISLAW SHERRY GENERAL MANAGER OFFICER 30.00 10.00 X 743473 0 381530 CRAWLEY LINDSAY CHIEF PEOPLE OFFICER 32.00 8.00 X 0 510743 288331 LEUNG KWAN-MOON BEG 122 CHIEF DATA OFFICER 32.00 8.00 X 0 733743 324278 SELBY JILL V SVP PRODUCT DEV & MKT EXP 30.00 10.00 X 0 551752 283727 GELB EVE SVP DUALS 40.00 X 554093 0 61039 HAWKINS GINETTE BEG 322 CVP, CHIEF RISK EXECUTIVE 30.00 10.00 X 0 350961 156498 WHITELOCK ANDREW K SVP CHIEF RISK EXECUTIVE (END 3/22) 30.00 9.50 X 0 327111 0 JHAWAR SHARONJIT K CVP, CHIEF PHARMACY OFFICER 36.00 4.00 X 582645 0 225592 SCHULTE KAREN H BEG 122 SVP NETWORK MANAGEMENT 40.00 X 497375 0 302568 PARVINCHIHA MD PAYAM CVP, VALUE BASED PROGRAMS 40.00 X 531849 0 238511 PETITO JOHN W CVP, TRANSFORMATION 40.00 X 473242 0 227959 HAVAI VIRGINIA A VP, CONTROLLER 30.00 10.00 X 453964 0 188462 8608400 7248524 7401775 279 0 1 0 DAVITA HEALTHCARE PARTNERS PLAN INC 2175 PARK PLACE EL SEGUNDO CA 90245 MEDICAL SERVICES 868578277 EXPRESS SCRIPTS INC ONE EXPRESS WAY ST LOUIS MO 63121 MEDICAL SERVICES 862168551 HERITAGE PROVIDER NETWORK 777A FLOWER ST GLENDALE CA 91325 MEDICAL SERVICES 471726898 PRIMECARE MEDICAL NETWORK 3990 CONCOURSE STE 500 ONTARIO CA 91764 MEDICAL SERVICES 301435155 MONARCH HEALTH PLAN 7 TECHNOLOGY DR IRVINE CA 92618 MEDICAL SERVICES 204952962 126 4164910 4164910 MEDICARE PREMIUMS 900099 4225922389 4225922389 MEDI-CAL PREMIUMS 900099 66832623 66832623 4292755012 9719005 9719005 225260329 217089498 8170831 8170831 8170831 4314809758 4292755012 0 17889836 X 4417345 4417345 25130 25130 9231491 5290001 3941490 140423167 98556481 41866686 9917351 6585281 3332070 14442439 10260733 4181706 10236975 7234205 3002770 791510 606714 184796 488939 39490 449449 540960 540960 765652 765652 3905503432 3888874388 16629044 12511855 12456237 55618 3447747 3151536 296211 22932895 17764886 5168009 7546346 4986521 2559825 947450 649841 297609 271815 186915 84900 4498215 3169193 1329022 1412961 38210 1374751 BROKER COMMISSIONS 90922165 90922165 OTHER 2091596 315331 1776265 FEDERAL, STATE, COUNTY 793214 599901 193313 DUES AND SUBSCRIPTIONS 757010 286549 470461 4244917660 4156958013 87959647 0 -4699611 -2924910 240039190 272957830 220818804 237813604 2726566 2138057 73395999 63059748 13752718 10336251 129174446 132925159 258631479 240972985 300000 300000 860743592 894518976 278926611 271750186 5100627 25044589 6694683 5844986 290721921 302639761 X 570021671 591879215 570021671 591879215 860743592 894518976 69892098 -48034554 0 X 0 1 X 1 1 1 X 3367909 3510542 3928194 3942238 4164910 18913793 2717815709 3081294600 3401067288 3444727516 4292755012 16937660125 2721183618 3084805142 3404995482 3448669754 4296919922 16956573918 0 0 0 16956573918 8686929 10394722 8483431 7489939 9719005 44774026 8686929 10394722 8483431 7489939 9719005 44774026 1791 10945 39 34931 47706 2729872338 3095210809 3413478952 3456194624 4306638927 17001395650 0.99740 0.99720 0.00260 0.00280 X SCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME: MISCELLANEOUS INCOME - 2018 AMOUNT: $ 1,791. 2019 AMOUNT: $ 10,945. 2020 AMOUNT: $ 39. 2021 AMOUNT: $ 34,931. 2022 AMOUNT: $ 0. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 1 0 0 0 0 1 169680 0 1 922001 1091681 0 PART II-B, LINE 1: SCAN HEALTH PLAN HAS A DEPARTMENT THAT ROUTINELY MONITORS LEGISLATION FOR THE ORGANIZATION, ENGAGES LOBBYISTS, STAYS CURRENT ON ISSUES AND PROVIDES INFORMATION ON POLICY ISSUES WHEN NEEDED TO ELECTED OFFICIALS. OTHER ACTIVITIES - INCLUDE PARTICIPATING WITH INDUSTRY GROUPS ON ISSUES, PROVIDING FEEDBACK, ADVOCATING FOR POLICIES THAT WILL SUPPORT THE MISSION OF SCAN AND ITS MEMBERS. 30244146 24251773 5992373 17236593 16219709 1016884 25915260 22588266 3326994 10336251 US GOVERNMENT & AGENCY OBLIGATIONS 58098329 F CORPORATE BONDS 82630920 F ASSET-BACKED SECURITIES 29971448 F 70272288 F 240972985 DEFERRED LIABILITY AMEX 24000 DEFERRED COMP 457 LIABILITY 5820986 5844986 X 4314044106 0 4314044106 765652 765652 4314809758 4244152008 0 4244152008 765652 765652 4244917660 PART X, LINE 2: THE COMPANY IS RECOGNIZED AS A TAXEXEMPT ENTITY UNDER IRC SECTION 501(C)(3) AND CALIFORNIA REVENUE CODE SECTION 23701(D). UNDER FASB ASC 740, INCOME TAXES, THE COMPANY IS REQUIRED TO RECOGNIZE A LIABILITY FOR EACH UNCERTAIN TAX POSITION AT THE AMOUNT ESTIMATED TO BE REQUIRED TO SETTLE THE ISSUES. AS OF DECEMBER 31, 2022 AND 2021, THERE WERE NO LIABILITIES RECORDED FOR UNCERTAIN TAX POSITIONS. THE FEDERAL INCOME TAX RETURN HAS A THREEYEAR STATUTE OF LIMITATION AND THE CALIFORNIA RETURN HAS A FOURYEAR STATUTE OF LIMITATION, FROM THE LATTER OF A) THE DUE DATE OF THE RETURN OR B) THE DATE THE RETURN IS FILED. DURING THIS TIME PERIOD, THE INCOME TAX RETURNS COULD BE SUBJECT TO EXAMINATION. THE FEDERAL INCOME TAX RETURNS ARE SUBJECT TO EXAMINATION FROM 2019 THROUGH 2021 AND STATE INCOME TAX RETURNS ARE SUBJECT TO EXAMINATION FROM 2018 THROUGH 2021. 1 MALCOM'S HEART INC 10950 ARROW RTE 3002 RANCHO CUCAMONGA CA 91729 830652777 501(C)(3) 15000 0 MALCOLM'S EMERGENCY RELIEF FUND- TO PROVIDE DIRECT ASSISTANCE TO 25-40 LOW-INCOME OLDER ADULTS (AGE 55+) TO ADDRESS ONE-TIME EMERGENCY NEEDS. SAN FRANCISCO-MARIN FOOD BANK 900 PENNSYLVANIA AVE SAN FRANCISCO CA 94107 943041517 501(C)(3) 25000 0 GRANT WILL SUPPORT 50,000 HEALTHY MEALS WITH PROTEIN RICH AND CULTURALLY APPROPRIATE PRODUCE TO OLDER ADULTS (AGE 55+) THROUGH THE PANTRY NETWORK AND PANTRY AT HOME PROGRAM. ST FRANCIS LIVING ROOM 350 GOLDEN GATE AVENUE STE A SAN FRANCISCO CA 94102 743155935 501(C)(3) 10000 0 FUNDING WILL SUPPORT 6,400 MEALS BY TO PROVIDE VERY LOW-INCOME OLDER ADULTS AGE 60+ WITH TO-GO BAGS CONTAINING BREAKFAST AND LUNCH MEALS. COMMUNITY SENIORSERV INC (MEALS ON WHEELS OC) 1200 N KNOLLWOOD CIRCLE ANAHEIM CA 92801 952771715 501(C)(3) 20000 0 FUNDING FROM SCAN WILL ALLOW EXPANSION OF THIS PROGRAM TO INCLUDE CULTURALLY APPROPRIATE, HOME-DELIVERED MEALS FOR HOMEBOUND VIETNAMESE OLDER ADULTS. GRANT FUNDS WILL BE USED TO SUPPORT 3,521 VIETNAMESE MEALS BENEFITTING HOMEBOUND MOW CLIENTS DURING THE PROJECT PERIOD. ABRAZAR 7101 WYOMING STREET WESTMINSTER CA 92683 330301538 501(C)(3) 20000 0 THE FUNDING FROM SCAN IS TO PROVIDE ONE-TIME EMERGENCY ASSISTANCE TO 40 OLDER ADULT CLIENTS AGE 55 AND OVER. SENIOR ADVOCATES OF THE DESERT PO BOX 2827 CATHEDRAL CITY CA 92235 454219977 501(C)(3) 10000 0 GRANT WILL BE USED TO HELP LOW-INCOME OLDER ADULTS AGE 55+ WHO LIVE IN THE COACHELLA VALLEY AND WHO HAVE NO ASSETS OR RESOURCES AVAILABLE TO THEM DURING A FINANCIAL EMERGENCY. APPROXIMATELY 33 LOW-INCOME SENIORS IN THE COACHELLA VALLEY WILL BE SUPPORTED. MIZELL SENIOR CENTER 480 S SUNRISE WAY PALM SPRINGS CA 92262 953464835 501(C)(3) 15000 0 GRANT WILL SUPPORT THE INCREASED CAPACITY OF THEIR NUTRITION PROGRAMS HOME DELIVERED MEALS AND COMMUNAL MEAL PROGRAMMING. VENICE FAMILY CLINIC 604 ROSS AVE VENICE CA 90291 952769432 501(C)(3) 20000 0 FUNDING WILL SUPPORT VENICE FAMILY CLINIC'S BEHAVIORAL HEALTH SERVICES TO OLDER ADULTS AGE 55+. THE PROGRAM'S OBJECTIVE WILL BE TO PROVIDE IMMEDIATE SAME-DAY BEHAVIORAL HEALTH SERVICES AND INTERVENTIONS. JANET GOESKE FOUNDATION 5257 SIERRA STREET RIVERSIDE CA 92504 330023938 501(C)(3) 20000 0 GRANT WILL SUPPORT EXPANSION OF THE NUTRITION PROGRAMMING REACHING 600 OLDER ADULTS. NUTIRITON PROGRAM WILL ADDRESS FOOD INSECURITY THROUGH INCREASED ACCESS TO HEALTHY FOOD AND NUTRITION EDUCATION FOR IMPROVED DISEASE PREVENTION AND MANAGEMENT. PROJECT ACCESS 2100 W ORANGEWOOD AVE STE 230 ORANGE CA 92868 330834635 501(C)(3) 10000 0 FUNDING WILL HELP CREATE AN EMERGENCY ASSISTANCE FUND TO SUPPORT SENIORS WHO ARE CONFRONTING FINANCIAL HARDSHIPS OR UNANTICIPATED EXPENSES. THE EMERGENCY ASSISTANCE FUND WILL HELP SENIORS COVER UTILITY DEPOSITS/PAYMENTS, TRANSPORTATION, HOME REPAIRS, SUPPLEMENTAL FOOD, HEALTHCARE COSTS, DENTAL PROCEDURES, HYGIENE ITEMS, AND OTHER BASIC NECESSITIES. LOS ANGELES LGBT CENTER PO BOX 2988 LOS ANGELES CA 90078 953567895 501(C)(3) 20000 0 GRANT FUNDING WILL HELP ADDRESS FOOD INSECURITY EXPERIENCED AMONG A GROWING NUMBER OF LGBT OLDER ADULTS, AGE 55 AND OLDER. THE PRIDE PANTRY WILL SERVE APPROXIMATELY 360 UNDUPLICATED OLDER ADULTS. VISIN Y COMPROMISO PO BOX 708 SAN LORENZO CA 94580 320071651 501(C)(3) 25000 0 GRANT WILL SUPPORT "CON AMOR Y DIGNIDAD" (MEANING WITH LOVE AND DIGNITY), A COMMUNITY-BASED SERIOUS ILLNESS CARE PILOT PROJECT IN ALAMEDA AND SAN FRANCISCO COUNTIES REACHING 200 LATINX RESIDENTS WHO ARE FAMILY CAREGIVERS TO 30-35 OLDER ADULTS.. CON AMOR Y DIGNIDAD IS A CULTURALLY AND LINGUISTICALLY SPECIFIC PROMOTORES NAVIGATOR PROGRAM THAT LEVERAGES RELATIONSHIPS WITH TRUSTED COMMUNITY LEADERS TO BUILD CONNECTIONS WITH FAMILY CAREGIVERS, SHARE INFORMATION WITH LATINO RESIDENTS ABOUT AGING AND END-OF-LIFE CARE, FACILITATE FAMILY COMMUNICATION, PROMOTE WELLNESS, AND PROVIDE REFERRALS TO LOCAL RESOURCES. LITTLE BROTHERS FRIENDS OF THE ELDERLY SAN FRANCISCO 909 HYDE STREET STE628 SAN FRANCISCO CA 94109 943143730 501(C)(3) 10000 0 FUNDING FROM SCAN WILL SUPPORT INCREASED CAPACITY FOR BOTH THE TECH ALLIES PROGRAM AND THE VISITING VOLUNTEERS PROGRAM. THROUGH THE GRANT, THE TECH ALLIES PROGRAM WILL SERVE 75 OLDER ADULTS AND THE VISITING VOLUNTEER PROGRAM WILL SERVE 50 OLDER ADULTS. FALLBROOK HEALTHCARE FOUNDATION INC (FOUNDATION FOR SENIOR CARE) PO BOX 2155 FALLBROOK CA 92088 953389263 501(C)(3) 15000 0 GRANT WILL SUPPORT THE TRANSPORTATION PROGRAM BY COVERING 450 RIDES FOR OLDER ADULTS (AGE 55+) WHO LIVE IN RURAL AREAS AND HAVE LIMITED ACCESS TO TRANSPORTATION SUPPORT FOR HEALTH CARE APPOINTMENTS AND OTHER SERVICES. PROYECTO PASTORAL 135 N MISSION ROAD LOS ANGELES CA 90033 953213958 501(C)(3) 25000 0 THROUGH THE GUADALUPE HOMELESS PROJECT, FUNDING FROM SCAN WILL SUPPORT 15-20 WOMEN OVER THE AGE OF 55 WITH THE GOAL OF TRANSITIONING CLIENTS INTO PERMANENT HOUSING. UMMA COMMUNITY CLINIC 711 W FLORENCE AVE LOS ANGELES CA 90044 954666712 501(C)(3) 25000 0 WITH SUPPORT FROM THE SCAN GRANT, UMMA ANTICIPATES REACHING APPROXIMATELY 780 ADULTS AGE 55+ TO PROVIDE ESSENTIAL CARE MANAGEMENT SUPPORT AND INCREASE ACCESS TO CRITICAL HEALTHCARE AND SOCIAL SERVICES. ONEGENERATION 17400 VICTORY BLVD VAN NUYS CA 91406 954066979 501(C)(3) 20000 0 GRANT WILL SUPORT: 1) 20 CARGEVIERS THROUGH CURRENT CAREGIVER SUPPORT GROUP; 2) ADULT DAYCARE (ADC) SCHOLARSHIP PROGRAM FOR SIX LOW-INCOME FAMILIES IN NEED OF DAILY RESPITE CARE AND SOCIALIZATION FOR A LOVED ONE WITH DEMENTIA AND: 3) STAFFING AND PROGRAMMATIC COSTS FOR ONEGENERATION'S FOOD BANK AND MOBILE FOOD PANTRY PROGRAM, PROVIDING OVER 250,000 POUNDS OF FOOD TO APPROXIMATELY 8,000 INDIVIDUALS EACH MONTH. SMILES FOR SENIOR FOUNDATION PO BOX 1113 YUCAIPA CA 92399 260373602 501(C)(3) 15000 0 FUNDING FROM SCAN WILL SUPPORT APPROXIMATELY 35-40 OLDER ADULTS WITH ONE-TIME EMERGENCY NEEDS. THE MOST COMMON ASSISTANCE IS FOR FOOD, RENTAL ASSISTANCE/HOUSING NEEDS, UTILITY PAYMENTS, ASSISTANCE WITH PRESCRIPTION COSTS AND MEDICAL EQUIPMENT. VIETNAMESE AMERICAN CANCER FOUNDATION 17150 NEWHOPE ST STE 203 FOUNTAIN VALLEY CA 92708 912170415 501(C)(3) 20000 0 UNDER VACF'S FAMILY WELLNESS TOGETHERNESS PROGRAM, SCAN FUNDING WILL HELP ADDRESS FOOD SECURITY PROGRAM PROVIDING CULTURALLY-TAILORED FOOD ITEMS TO BENEFIT 1,000 OLDER ADULTS (AGE 55+) AND 500 CAREGIVERS. HEALTHY AGING ASSOCIATION 3500 COFFEE ROAD STE 19 MODESTO CA 95355 770546574 501(C)(3) 15000 0 THE "GO GREEN FOR SENIORS" GREEN BAG PROGRAM PROVIDES 350 LOW-INCOME OLDER ADULTS HOUSEHOLDS WITH FRESH FRUITS AND VEGETABLES ONCE PER MONTH, ALONG WITH ONGOING HEALTH EDUCATION AVAILABLE IN BOTH ENGLISH AND SPANISH. SOUTH ASIAN HELPLINE AND REFERRAL AGENCY (SAHARA) 17100 PIONEER BLVD STE 260 ARTESIA CA 90701 260736033 501(C)(3) 20000 0 GRANT WIL SUPPORT PROJECT SEWA (SOUTH ASIAN ELDER WELLNESS ASSISTANCE) SERVING MEMBERS OF THE SOUTH ASIAN ELDER COMMUNITY WHO ARE PARTICULARLY VULNERABLE TO ABUSE AND EXPLOITATION. GRANT WILL SUPPORT: 1) STAFF TIME TO SUPPORT SCREENING AND ENROLLING UP TO 20 CLIENTS FOR ELIGIBLE PUBLIC BENEFITS AND 2) CREATE AN EMERGENCY ASSISTANCE FUND TO PROVIDE UP TO 20 OLDER ADULTS WITH ONE-TIME EMERGENCY NEEDS INCLUDING FOOD, HOUSING/UTILITY NEEDS, TRANSPORTATION, AND MEDICAL HYGIENE SUPPLIES REDWOOD EMPIRE FOOD BANK 3990 BRICKWAY BLVD SANTA ROSA CA 95403 680121855 501(C)(3) 20000 0 FUNDING FROM SCAN WILL SUPPORT THE INCREASED DEMAND FOR THE SENIOR BASKET PROGRAM BY FUNDING DIRECT FOOD COSTS NEEDED TO DELIVER FOOD BOXES TO LOW-INCOME OLDER ADULTS (49,392 MEALS). J-SEI 1285 66TH STREET EMERYVILLE CA 94608 942496799 501(C)(3) 15000 0 FUNDING FROM SCAN WILL HELP SUPPORT J-SEI'S CASE MANAGEMENT PROGRAM ALLOWING THEM TO SERVE APPROXIMATELY 90 ADULTS AGE 55+ OVER THE GRANT PERIOD. CONEJO VALLEY SENIOR CONCERNS 401 HODENCAMP ROAD THOUSAND OAKS CA 91360 952992927 501(C)(3) 10000 0 FUNDING FROM SCAN WILL PROVIDE SCHOLARSHIPS FOR 1,333 MEALS TO LOW-INCOME, HOMEBOUND OLDER ADULTS IN VENTURA COUNTY. CALIFORNIA BLACK HEALTH NETWORK 520 9TH STREET SUITE 100 SACRAMENTO CA 95814 953794688 501(C)(3) 20000 0 SCAN GRANT WILL SUPPORT THE "CAREGIVING AND THE BLACK COMMUNITY" EDUCATIONAL SESSIONS COVERING FIVE DISTINCT CAREGIVING TOPICS AND REACHING OVER 400 BLACK CAREGIVERS INCLUDING FAMILY MEMBERS AND FRIENDS CARING FOR OLDER ADULTS. THE PROMOTION OF THE CAREGIVER SERIES WILL INCLUDE MARKETING TO CBHN'S MEMBER NETWORK, LISTSERV CONTACTS, AND DIGITAL MEDIA. IN ADDITION, CBHN WILL WORK WITH AARP TO PROMOTE THE SESSIONS ON THEIR SOCIAL MEDIA AND SENDS OUT AN EBLAST TO THEIR STATEWIDE MEMBER MAILING LIST OF AARP BLACK MEMBERS. CALIFORNIA BLACK WOMEN'S HEALTH PROJECT SISTAHS AGING WITH GRACE & ELEGANCE 9800 S LA CIENEGA BLVD SUITE 905 INGLEWOOD CA 90301 954702923 501(C)(3) 30000 0 THE SCAN GRANT WILL SUPPORT PERSONNEL COST, TARGETED CONVENINGS AND COORDINATION OF INTERGENERATIONAL VOLUNTEERS NEEDED TO IMPLEMENT THE PROGRAM. THE PROGRAM WILL SERVE 75 PRIMARILY BLACK SENIORS OVER A 12-MONTH PERIOD. CANCER SUPPORT COMMUNITIES SF BAY 3276 MCNUTT AVENUE WALNUT CREEK CA 94597 680157858 501(C)(3) 20000 0 SCAN WILL SUPPORT APPROXIMATELY 36 OLDER ADULTS AGES 55+ WITH FINANCIAL ASSISTANCE, EDUCATIONAL AND PSYCHOLOGICAL SUPPORT. SPECIFICALLY, SCAN FUNDING WILL SUPPORT ACTIVITIES INCLUDING: 1) ASSESSING SPECIFIC CLIENT NEEDS THROUGH SCREENING AND PROVIDING TAILORED SUPPORT TO HELP STABILIZE CANCER PATIENTS AND THEIR LOVED ONES EXPERIENCING FINANCIAL DISTRESS BY PROVIDING FINANCIAL ASSISTANCE; AND 2) HELPING TO ADDRESS SOCIAL ISOLATION AND DISTRESS BY PROVIDING PATIENTS AND THEIR LOVED ONES WITH INFORMATION, ACCESS TO EDUCATIONAL AND PSYCHOSOCIAL SUPPORT PROGRAMS. JEWISH FAMILY SERVICE OF SAN DIEGO 8804 BALBOA AVE SAN DIEGO CA 92123 951644024 501(C)(3) 25000 0 SCAN FUNDING WILL SERVE DELIVERY FOR TWO PROGRAMS: 1) JFS'S FOODMOBILE NUTRITION PROGRAM: WILL SERVE 800 LOW-INCOME FOOD INSECURE OLDER ADULTS THROUGH ITS FOODMOBILE PROGRAM. THE FOODMOBILE PROVIDES SENIOR CLIENTS WITH HOME-DELIVERED, MEDICALLY TAILORED MEALS AND GROCERIES UP TO FIVE DAYS PER WEEK. JFS'S REGISTERED DIETITIAN OVERSEES THE MENU THAT OFFERS HEART HEALTHY, BRAIN HEALTHY, DIABETIC, RENAL, LOW SODIUM, VEGETARIAN MEAL OPTIONS; 2) JFS'S SAFE PARKING PROGRAM: WILL HELP SUPPORT 275 SENIOR CLIENTS EXPERIENCING HOMELESSNESS PROGRAM THROUGH ITS SAFE PARKING PROGRAM CASE MANAGEMENT AND EMERGENCY FINANCIAL ASSISTANCE SERVICES. THIS PROGRAM PROVIDES UNHOUSED RESIDENTS LIVING IN THEIR VEHICLES A SAFE PLACE TO SLEEP AT NIGHT AND CONNECTION TO IMPACTFUL SERVICES. OVER 27% OF CLIENTS SERVED THROUGH THE SAFE PARK PROGRAM ARE OVER THE AGE OF 60 WITH MANY OF THEM REPORTING BEING HOMELESSNESS FOR THE VERY FIRST TIME IN THEIR LIVES. THE HEALTH TRUST 3180 NEWBERRYDRIVE SUITE 200 SAN JOSE CA 95118 946050231 501(C)(3) 25000 0 SCAN WILL SUPPORT PERSONNEL COST OF A SPANISH SPEAKING PROGRAM ASSOCIATE, WHO WILL WORK ON RECRUITING, ONBOARDING AND SERVING 25+ LATINX CLIENTS INTO THE FRIENDS FROM MEALS ON WHEELS (FMOW) PROGRAM AND HELP WITH CONTINUED SERVICE DELIVERY TO 100 FMOW CLIENTS OVER A ONE YEAR PERIOD. FMOW IS A SENIOR SOCIALIZATION PROGRAM THAT PROVIDES WEEKLY HOME VISIT SERVICES, TELEPHONE CALL SERVICES, GROUP TELEVISIT SERVICES, AND PROVIDE MONTHLY MAILINGS TO ISOLATED, LOW-INCOME, AND HOMEBOUND SENIORS WHO LIVE ALONE. WITH THE RECRUITMENT AND GROWTH OF SPANISH SPEAKING OLDER ADULTS INTO THE PROGRAM, THE ASSOCIATE WILL DEVELOP SPANISH LANGUAGE APPROPRIATE MATERIALS, CONDUCT CLIENT CALLS, AND OFFER GROUP FACILITATION IN SPANISH. THE PROGRAM IS EXPECTED TO HELP ISOLATED LATINX SENIORS BY HELPING THEM BUILD SOCIAL CONNECTIONS, RELATIONSHIPS, AND NEW FRIENDSHIPS. THE LGBTQ COMMUNITY CENTER OF THE DESERT 1301 N PALM CANYON DRIVE PALM SPRINGS CA 92262 330937301 501(C)(3) 20000 0 SCAN GRANT WILL SUPPORT PERSONNEL EXPENSES OF PROGRAM AND FOOD BANK STAFF TO BETTER SERVE SENIORS. WITH SCAN FUNDING, THE CENTER WILL BE ABLE TO ENGAGE WITH 8,000 OLDER ADULTS. STAFF WILL PROVIDE AND CONNECT OLDER LGBTQ ADULTS TO SOCIAL, RECREATIONAL, AND SUPPORT PROGRAMS. THE SCAN GRANT WILL HELP TO INCREASE THE CENTER'S CAPACITY TO SERVE OLDER LGBTQ ADULTS IN NEED OF FOOD ASSISTANCE. WESTSIDE FAMILY HEALTH CENTER 3861 SEPULVEDA BOULEVARD CULVER CITY CA 90230 952931931 501(C)(3) 20000 0 SCAN WILL SUPPORT A FOCUSED TELEHEALTH EFFORT TO HELP REMOVE BARRIERS FOR MANY LOW-INCOME SENIORS BY UNDERWRITING PERSONNEL EXPENSES NEEDED TO PROVIDE TAILORED TECHNICAL ASSISTANCE. THE "REDUCING BARRIERS TO TELEHEALTH PROJECT" WILL SERVE 1,500 OLDER ADULTS AGES 55+ OVER A ONE-YEAR PERIOD. THE GRANT WILL HELP PAY FOR STAFF TIME TO HELP PATIENTS WHO ARE AGE 55 AND OLDER AND WHO HAVE BEEN IDENTIFIED AS HAVING BARRIERS/CHALLENGES TO USING DIGITAL TECHNOLOGY IN ACCESSING WFHC TELEVIRTUAL VISITS. BY THE END OF THE GRANT WFHC EXPECTS THAT 1,500 PATIENTS AGES 55 AND OLDER WILL BE ENROLLED IN WFHC'S PATIENT PORTAL AND ABLE TO FULLY USE IT TO BOOK APPOINTMENTS, COMMUNICATE WITH THEIR PROVIDER, VIEW LABS, ETC., AND BE ABLE TO ACCESS VIDEO TELEHEALTH VISITS. ASSOCIATION OF BLACK WOMEN PHYSICIANS 4712 ADMIRALTY WAY 175 MARINA DEL RAY CA 90292 953764478 501(C)(3) 10000 0 41ST ANNUAL SCHOLARSHIP PLATINUM SPONSORSHIP LEVEL/MCAT PREP PROGRAM ASSOCIATION OF BLACK WOMEN PHYSICIANS 4712 ADMIRALTY WAY 175 MARINA DEL RAY CA 90292 953764478 501(C)(3) 25000 0 PLATINUM SPONSOR FOR 41ST ANNUAL CHARITY & SCHOLARSHIP BENEFIT GALA TIDES CENTER 1225 8TH STREET SUITE 375 SACRAMENTO CA 95814 943213100 501(C)(3) 30000 0 LATINO COALITION FOR A HEALTHY CALIFORNIA VIRTUAL LATINIX HEALTH POLICY SUMMIT 2022 SPONSORSHIP, OCT 12 & 13, 2022. CSULB 49ER FOUNDATION 6300 STATE UNIVERSITY DRIVE SUITE 332 LONG BEACH CA 90815 452163910 501(C)(3) 52500 0 THE SCAN HEALTH PLAN SCHOLARSHIP FOR THE HEALTH AND INDEPENDENCE OF SENIORS CHINESE AMERICAN COALITION FOR COMPASSIONATE CARE PO BOX 276 CUPERTINO CA 95015 260895114 501(C)(3) 10000 0 COPING WITH GRIEF AND LOSS PROGRAM BENEFITING 500 CHINESE COMMUNITY MEMBERS AGED 55+ AND 350 FAMILY CAREGIVERS WATTS LABOR COMMUNITY ACTION COMMITTEE 10950 SOUTH CENTRAL AVENUE LOS ANGELES CA 90059 952412869 501(C)(3) 10000 0 SHAPE2FIT DIABETES PROGRAM PARTNERS IN CARE FOUNDATION INC 732 MOTT STREET SUITE 150 SAN FERNANDO CA 91340 953954057 501(C)(3) 50000 0 PARTNERS IN CARE FOUNDATION TRIBUTE DINNER UCLA FOUNDATION 10920 WILSHIRE BLVD SUITE 900 LOS ANGELES CA 90024 952250801 501(C)(3) 10000 0 SPONSORSHIP "LEADERS OF TODAY, LEADERS OF TOMORROW" THE URBAN VOICES PROJECT PO BOX 86381 LOS ANGELES CA 90086 824461292 501(C)(3) 10000 0 C'MON, SING! DIAMOND LEVEL SPONSORSHIP HEALTH INDUSTRY COLLABORATION EFFORT IN CA 11260 DONNER PASS ROAD SUITE C1 PMB361 TRUCKEE NV 96161 900130332 501(C)(3) 20000 0 ANNUAL CONTRIBUTION FOR 2023 OPERATING BUDGET THE LGBTQ COMMUNITY CENTER OF THE DESERT 1301 N PALM CANYON DRIVE PALM SPRINGS CA 92262 330937301 501(C)(3) 10000 0 2022 CENTER STAGE TOGETHER WE RISE SPONSORSHIP AMERICAN SOCIETY ON AGING 575 MARKET STREET SUITE 2100 SAN FRANCISCO CA 94105 942292868 501(C)(3) 7500 0 SPONSORSHIP OF 2022 ONAGING CONFERENCE CHAPMAN UNIVERSITY ONE UNIVERSITY DRIVE ORANGE CA 92866 951643992 501(C)(3) 76525 0 2022 CHAPMAN UNIVERSITY RESIDENT PROGRAM NBC CONSULTING INCPACIFIC HEALTH AND WELLNESS 2110 ARTESIA BOULEVARD SUITE 323 REDONDO CA 90278 200794708 501(C)(3) 5175 0 VACCINATION SERVICES FLU CLINIC AMERICAN HEART ASSOCIATION PO BOX 4002030 DES MOINES IA 50340 135613797 501(C)(3) 125000 0 LOS ANGELES "GO RED FOR WOMEN" PLEDGE HEALTHCARE IN ACTION 3800 KILROY AIRPORT WAY STE 100 LONG BEACH CA 90806 871858798 501(C)(3) 3300000 0 FUNDING FROM SCAN HEALTH PLAN TO SUPPORT 2022 OPERATIONS. HEALTHCARE IN ACTION SERVES PATIENTS EXPERIENCE HOMELESSNESS THROUGH AN INNOVATIVE "STREET MEDICINE" APPROACH BY CONTRACTING WITH MEDICARE AND MEDICAID HEALTH PLANS AS WELL AS HOSPITALS AND HEALTH SYSTEMS. 47 INDEPENDENCE AT HOME GRANTS 185 25130 BOOK MISC. DISPOSABLE MEDICAL SUPPLIES PROVIDED TO UNDERSERVED CLIENTS IN THE COMMUNITY. PART I, LINE 2: ALL GRANTEES SUBMIT IMPACT REPORTS DOCUMENTING METRICS AND PERFORMANCE YEAR-TO-DATE THROUGHOUT THE DURATION OF THE FUNDING, COMMUNITY GIVING STAFF, TRACK AND REVIEW THE REPORTS TO ENSURE COMPLIANCE. COMMUNITY GIVING STAFF ADDRESSES ANY IDENTIFIED ISSUES WITH THE GRANTEE TO DETERMINE CAUSES AND ANY REMEDIATION REQUIRED. ISSUES WITH COMPLIANCE ARE RAISED TO DIRECTOR, COMMUNITY GIVING, WHO WILL ASSIST WITH REMEDIATION OR ELEVATE TO THE COMMUNITY GIVING COMMITTEE (CGC) FOR ADVISEMENT AND/OR APPROVAL IF A CHANGE TO THE GRANTEE'S SCOPE OF WORK IS REQUIRED. X X 1 1 0 1 0 0 0 0 0 1 0 JAIN MD SACHIN H PRESIDENT & CEO 976619 0 2022492 0 6923 0 2006845 0 13315 0 5026194 0 1425000 0 MONK NANCY J CHIEF OPERATIONS OFFICER 0 502765 0 434611 0 806388 0 572454 0 39356 0 2355574 0 1214855 PLUMB MICHAEL CHIEF FINANCIAL OFFICER 496761 0 424202 0 22432 0 590423 0 27963 0 1561781 0 424202 0 GOODE JOSH K CHIEF INFORMATION OFFICER 0 482320 0 352425 0 86805 0 476666 0 10499 0 1408715 0 417470 KROEKER KEVIN B GENERAL COUNSEL 0 519406 0 189337 0 77157 0 498755 0 26401 0 1311056 0 240451 BATRA ROMILLA A CHIEF MEDICAL OFFICER 468377 0 331521 0 22432 0 450763 0 9840 0 1282933 0 331521 0 STANISLAW SHERRY GENERAL MANAGER OFFICER 380811 0 280125 0 82537 0 362051 0 19479 0 1125003 0 331500 0 LEUNG KWAN-MOON BEG 122 CHIEF DATA OFFICER 0 432402 0 226368 0 74973 0 321599 0 2679 0 1058021 0 277229 SELBY JILL V SVP PRODUCT DEV & MKT EXP 0 341030 0 186931 0 23791 0 264558 0 19169 0 835479 0 186831 JHAWAR SHARONJIT K CVP, CHIEF PHARMACY OFFICER 386262 0 175043 0 21340 0 212283 0 13309 0 808237 0 174043 0 SCHULTE KAREN H BEG 122 SVP NETWORK MANAGEMENT 348865 0 126225 0 22285 0 286234 0 16334 0 799943 0 0 0 CRAWLEY LINDSAY CHIEF PEOPLE OFFICER 0 359585 0 129937 0 21221 0 275680 0 12651 0 799074 0 129937 PARVINCHIHA MD PAYAM CVP, VALUE BASED PROGRAMS 363009 0 147540 0 21300 0 210816 0 27695 0 770360 0 0 0 PETITO JOHN W CVP, TRANSFORMATION 330587 0 127766 0 14889 0 193709 0 34250 0 701201 0 0 0 HAVAI VIRGINIA A VP, CONTROLLER 301858 0 127056 0 25050 0 155104 0 33358 0 642426 0 120956 0 GELB EVE SVP DUALS 322525 0 175690 0 55878 0 30364 0 30675 0 615132 0 228876 0 HAWKINS GINETTE BEG 322 CVP, CHIEF RISK EXECUTIVE 0 255833 0 84016 0 11112 0 148231 0 8267 0 507459 0 0 WHITELOCK ANDREW K SVP CHIEF RISK EXECUTIVE (END 3/22) 0 87093 0 134865 0 105153 0 0 0 0 0 327111 0 219139 ROSENSTOCK LINDA CHAIRPERSON 0 192000 0 0 0 0 0 0 0 0 0 192000 0 0 JONES BRANDON DIRECTOR 0 158500 0 0 0 0 0 0 0 0 0 158500 0 0 ORTIZ CELESTE DIRECTOR 0 156000 0 0 0 0 0 0 0 0 0 156000 0 0 PART I, LINE 1A SCAN HEALTH PLAN APPROVED AND PAID FOR FIRST CLASS TRAVEL FOR THE CEO UNDER ITS BOARD APPROVED ACCOUNTABLE PLAN. SCAN HEALTH PLAN'S EMPLOYEE EXPENSE REIMBURSEMENT AND TRAVEL GUIDELINES POLICY (THE POLICY) ALLOWS FOR THE CEO TO FLY FIRST CLASS ON FLIGHTS OVER 4 HOURS. THE POLICY HAS SPECIFIC LANGUAGE FOR DEVIATIONS FROM POLICY WHICH REQUIRE A DESCRIPTION OF THE BUSINESS PURPOSE AND OFFICER APPROVAL. THE BENEFITS OF FIRST CLASS TRAVEL WERE NOT TREATED AS TAXABLE COMPENSATION TO THE INDIVIDUAL. PART I, LINE 3 COMPENSATION FOR THE CEO WAS ESTABLISHED BY A RELATED ORGANIZATION, SCAN GROUP, AND PAID BY THE COMPANY. THE RELATED ORGANIZATION USED THE FOLLOWING TO ESTABLISH THE CEO'S COMPENSATION: 1) COMPENSATION COMMITTEE; 2) INDEPENDENT COMPENSATION CONSULTANT; 3) COMPENSATION SURVEY OR STUDY; 4) APPROVAL BY THE BOARD OF DIRECTORS. PART I, LINE 4B SCAN GROUP AND SCAN HEALTH PLAN PROVIDE A SUPPLEMENTAL NON- QUALIFIED RETIREMENT PLAN TO OFFICERS, SENIOR VICE PRESIDENTS, AND VICE PRESIDENTS VIA ITS SECTION 457(F) PLAN. FOR CONTRIBUTIONS MADE PRIOR TO DECEMBER 31, 2017, A PARTICIPANT BECOMES VESTED IN THE 457(F) PLAN UPON COMPLETION OF ONE OF THE CHOSEN VESTING OPTIONS: 1) FIVE YEARS OF SERVICE AND 62 YEARS OF AGE OR 2) 10 YEARS OF SERVICE. ON JANUARY 1, 2018, A NEW PLAN WAS ADOPTED, FOR CONTRIBUTIONS MADE ON OR AFTER THAT DATE, A PARTICIPANT BECOMES VESTED IN THE 457(F) PLAN FOLLOWING A 4 YEAR CLASS VESTING CYCLE. SUPPLEMENTAL NON-QUALIFIED PLAN PAYMENTS WERE MADE DURING THE YEAR THE FOLLOWING LISTED PERSONS IN PART VII: NANCY MONK - $ 780,345 JOSH GOODE - $ 65,046 KEVIN KROEKER - $ 51,114 SHERRY STANISLAW - $ 51,375 EVE GELB - $ 54,187 MOON LEUNG - $ 50,862 ANDREW K. WHITELOCK - $84,274 DEFERRED COMPENSATION FOR 2022, REPORTED ON SCHEDULE J, PART II, COLUMN B AND COLUMN C CONSISTS OF THE FOLLOWING: 1) 457(F) EMPLOYER CONTRIBUTIONS ARE SUBJECT TO VESTING TERMS AND CONDITIONS AS NOTED THE PLAN DOCUMENTS. BASED ON THESE VESTING TERMS AND CONDITIONS, THERE IS SUBSTANTIAL RISK OF FORFEITURE. 2) 457(B) IS A DEFERRED COMPENSATION PLAN THAT THE EMPLOYER AND EMPLOYEE CONTRIBUTE TO, UP TO THE SCAN GROUP AND SCAN HEALTH PLAN'S DEFINED AND IRS ANNUAL LIMITS. 3) 401(K) QUALIFIED RETIREMENT PLAN CONTRIBUTIONS (EMPLOYER MATCH AND SAFE HARBOR) UP TO THE IRS ANNUAL LIMITS. 4) SCAN GROUP AND SCAN HEALTH PLAN PROVIDE AN INCENTIVE PLAN TO VICE PRESIDENTS AND ABOVE. THE INCENTIVE PLAN IS BASED ON ORGANIZATION AND INDIVIDUAL PERFORMANCE METRICS. PAYMENTS ARE MADE ON OR AROUND APRIL 1 OF THE SUBSEQUENT CALENDAR YEAR. EFFECTIVE JULY 1, 2020, A NEW STRATEGIC INCENTIVE PLAN WAS DEVELOPED FOR THE CEO AND PAYMENTS ARE PAID ANNUALLY IN DECEMBER. PART I, LINE 7 BEGINNING IN 2021, THE FIRST DISCRETIONARY PAYMENT WAS MADE AS PART OF THE STRATEGIC BONUS, IS A LONG-TERM INCENTIVE AWARD OPPORTUNITY THAT MAY BE EARNED BASED ON THE ACHIEVEMENT OF PRE-ESTABLISHED, WRITTEN PERFORMANCE GOALS OVER A TWO-YEAR PERFORMANCE PERIOD, SUBJECT TO A CAP. THE PAYMENT OF THE STRATEGIC BONUS WILL BE CONTINGENT UPON ACHIEVEMENT OF APPLICABLE PERFORMANCE GOALS, CONTINUED EMPLOYMENT THROUGH THE APPLICABLE PAYMENT DATE, AND IS DETERMINED BY THE BOARD OR A SUBCOMMITTEE THEREOF. SCAN HEALTHCHECK ASSESSMENT CENTERS INC ENTITY MORE THAN 35% OWNED BY DR. ROMILLA BATRA 2276821 PAYMENTS MADE TO SCAN HEALTHCHECK ASSESSMENT CENTER, INC. FOR SERVICES PROVIDED TO MEMBERS 0 WELCOME HEALTH MEDICAL GROUP ENTITY MORE THAN 35% OWNED BY DR. ROMILLA BATRA 192335 PAYMENTS MADE TO WELCOME HEALTH MEDICAL GROUP FOR SERVICES PROVIDED TO MEMBERS 0 HEALTHCARE IN ACTION MEDICAL GROUP ENTITY MORE THAN 35% OWNED BY DR. ROMILLA BATRA 59280 PAYMENTS MADE TO HEALTHCARE IN ACTION MEDICAL GROUP FOR SERVICES PROVIDED TO MEMBERS 0 FORM 990, PART III, LINE 4A, DESCRIPTION OF PROGRAM SERVICE: THE HEALTH CARE SERVICES PROGRAMS AT SCAN ARE EVIDENCED-BASED AND ALIGNED WITH GERIATRIC BEST PRACTICES. THEY INCLUDE BUT ARE NOT LIMITED TO, COMPLEX CARE MANAGEMENT, ADVANCED ILLNESS MANAGEMENT, MEMORY PROGRAM, DISEASE MANAGEMENT, AND CARE NAVIGATION AND COORDINATION. THE PROGRAMS ARE ALIGNED WITH THE INSTITUTE FOR HEALTHCARE IMPROVEMENT PROGRAMS TRIPLE AIM FRAMEWORK. TRIPLE AIM AND SEEK TO ENSURE: - A SAFE AND SATISFYING HEALTH CARE EXPERIENCE - IMPROVED HEALTH OUTCOMES FOR INDIVIDUALS AND POPULATIONS - ACCESS AND AFFORDABILITY FOR OUR MEMBERS IN GENERAL, POPULATION BASED QUALITY ACTIVITIES ARE PERFORMED BY SCAN'S HEALTH CARE SERVICES DEPARTMENT, WHICH INCLUDES A DEDICATED AND HIGHLY QUALIFIED TEAM OF REGISTERED NURSES AND MASTER'S PREPARED SOCIAL WORKERS, SUPPORTED BY AN INTERDISCIPLINARY TEAM OF NURSES, SOCIAL WORKERS, GERONTOLOGISTS, A BOARD-CERTIFIED GERIATRICIAN, A BEHAVIORAL HEALTH SPECIALIST, AND A CLINICAL PHARMACIST. SCAN HEALTH PLAN SUPPORTED THE FORMATION OF THE SCAN FOUNDATION IN 2007 WITH A CONTRIBUTION OF $205 MILLION; FOR CALENDAR YEAR 2022 THE SCAN FOUNDATION AWARDED GRANTS IN THE AMOUNT OF $6,990,704 AND INCURRED PROGRAM EXPENSES IN THE AMOUNT OF $4,632,521. IN ADDITION, SCAN HEALTH PLAN PARTICIPATES IN NUMEROUS ACTIVITIES RELATED TO THE CARE OF SENIORS WHICH PROVIDE SIGNIFICANT COMMUNITY BENEFIT, INCLUDING BUT NOT LIMITED TO THE FOLLOWING: 1. SUPPORT CALIFORNIA ASSOCIATION OF LONG-TERM CARE MEDICINE (CALTCM) BY PROVIDING CEO AND BOARD MEMBERS EDUCATIONAL PROGRAMS INCLUDING COVID MANAGEMENT AND EDUCATION: CALTCM IS AN ORGANIZATION OF PROFESSIONALS IN THE LONG-TERM CARE FIELD. THE ORGANIZATION OFFERS PERFORMANCE IMPROVEMENT EDUCATION PROGRAMS TO IMPROVE THE QUALITY OF CARE AND PROFESSIONALISM OF STAFF IN LONG-TERM SETTINGS. 2. NATIONAL COMMITTEE FOR QUALITY ASSURANCE (NCQA): LONG-TERM SERVICES AND SUPPORT ADVISORY COMMITTEE MEMBER; THIS COMMITTEE ASSISTS NCQA WITH THE DEVELOPMENT OF QUALITY STANDARDS FOR LONG-TERM SERVICES AND SUPPORT (LTSS). 3. BOARD MEMBER OF WISE & HEALTH AGING: SERVE AS BOARD MEMBER OF COMMUNITY AGENCY THAT SERVES VULNERABLE OLDER PEOPLE IN SANTA MONICA AND THE VICINITY. DEVELOPS CAPACITY OF AGENCY TO BETTER SERVE POPULATION. 4. SERVICE ON BOARDS OF DIRECTORS AND COMMITTEES FOR INDUSTRY GROUPS I.E., RESOURCE, INITIATIVE AND SOCIETY FOR EDUCATION (RISE); PHARMACY QUALITY ALLIANCE AND, AHIP; THESE AND OTHER INDUSTRY GROUPS CREATE POLICY AND SHARE BEST PRACTICES ON SUBJECTS RANGING FROM AUDIT AND ENCOUNTER SUBMISSION TO GENERAL INDUSTRY ISSUES; OUR EMPLOYEES ARE ACTIVE MEMBERS OF MANY OTHER ORGANIZATIONS AS WELL. 5. TRADING AGES: SCAN'S HALLMARK EXPERIENTIAL TRAINING TO HELP BUILD AWARENESS AND SENSITIVITY TO THE AGING PROCESS WAS PRESENTED 36 TIMES TO DIVERSE GROUPS SUCH AS: ABRAZAR, INC., CALIFORNIA STATE LONG BEACH GERONTOLOGY STUDENTS, CLARK COUNTY SOCIAL SERVICE, HUMAN OPTIONS, HUMAN SERVICES ASSOCIATION, IHSS PUBLIC AUTHORITY (RIVERSIDE COUNTY), IHSS PUBLIC AUTHORITY (VENTURA COUNTY), INCLUDED HEALTH, JEWISH FAMILY SERVICES OF THE DESERT, LATINO HEALTH CARE ACCESS, OC PACE, PROJECT ANGEL FOOD, SENIOR COALITION OF STANISLAUS COUNTY, STANISLAUS COUNTY CSA ADULT PROGRAMS & PARTNER AGENCIES, STANISLAUS CO-OMBUDSMAN PROGRAM-CATHOLIC CHARITIES, TRILLIUM PROPERTY MANAGEMENT, WESTERN COMMUNITY HOUSING, INC., WOMEN'S TRANSITIONAL LIVING CENTER (WTLC). A TOTAL OF 447 WERE TRAINED THROUGH THESE CLASSES. 6. ADDRESSING OLDER ADULT HOMELESSNESS: SCAN CONTINUES TO WORK IN PARTNERSHIP WITH THE LOS ANGELES HOUSING SERVICES AUTHORITY TO FOCUS ON THE GROWING OLDER ADULT HOMELESS POPULATION THROUGH WORKING TO COLLABORATE, EDUCATE AND SUPPORT SERVICE DELIVERY AND HEALTH OF OLDER ADULTS. COLLABORATION INCLUDED PARTICIPATION IN MEETINGS, WORKGROUPS, AND OTHER FORUMS TO EDUCATE ATTENDEES REGARDING AVAILABLE SERVICES AND RESOURCES TO HELP THIS POPULATION SUCCEED. THESE ACTIVITIES INCLUDED WORKING WITH SENIOR HOUSING PROVIDERS, RECUPERATIVE CARE PROGRAMS AS WELL AS MEDICAL GROUPS. 7. VOLUNTEER TIME OFF (VTO): EMPLOYEES ARE ENCOURAGED TO CONTRIBUTE TO THE SENIORS IN OUR COMMUNITIES THROUGH VOLUNTEERING. A TOTAL OF 16 HOURS PER YEAR OF PAID TIME IS OFFERED DURING BUSINESS HOURS TO ALLOW STAFF THE OPPORTUNITY TO PROVIDE SERVICE AND SUPPORT TO SENIORS WHILE COMBATING ISOLATION AND LONELINESS. EXAMPLES OF THESE ACTIVITIES INCLUDE SOCIAL SUPPORT CALLS, ASSISTING FOOD BANKS WITH PACKING MEALS AND ESSENTIAL GOODS THEN DISTRIBUTING TO DOORSTEPS, VIRTUALLY TEACH OLDER PERSONS WITH USING TECHNOLOGY TO CONNECT WITH PHYSICIANS, FAMILY AND OTHER LOVED ONES, ASSISTING WITH DISTRIBUTION OF PERSONAL PROTECTIVE EQUIPMENT. IN 2022, EMPLOYEES COMPLETED 361 HOURS OF SERVICE THROUGH THIS PROGRAM. 8. COVID RESPONSE: SCAN RESPONDED TO THE PUBLIC HEALTH CRISIS BY SUPPORTING THE MANY VULNERABLE MEMBERS OF OUR COMMUNITY. SCAN SUPPLIED CRITICALLY NEEDED SUPPLIES TO MEDICAL OFFICES, COMMUNITY ORGANIZATIONS, AND DIRECTLY TO SENIORS IN OUR LOCAL COMMUNITIES TO HELP WITH HEALTH AND SAFETY DURING THIS PUBLIC HEALTH CRISIS. EXAMPLIES OF DISTRIBUTED SUPPLIES INCLUDE: DISTRIBUTION OF PULSE OXIMETERS, PERSONAL PROTECTION EQUIPMENT SUCH AS MASKS, GLOVES, AND FACE SHIELDS. 9. COMMUNITY FLU VACCINE CLINICS: SCAN HELD THREE FLU VACCINATION CLINICS FOR COMMUNITY MEMBERS AT TELACU MONTE VISTA, TELACU POINTE, AND COMMUNITY COALITION. A TOTAL OF 115 PARTICIPANTS RECEIVED A FLU VACCINE. FORM 990, PART III, LINE 4B, DESCRIPTION OF PROGRAM SERVICE: IAH IS FUNDED BY STATE CONTRACT AS WELL AS SCAN HEALTH PLAN. THE PROGRAMS ARE GEARED TO SUPPORT THE UNDERSERVED, FRAIL AND DISABLED SENIORS IN OUR COMMUNITY. IAH'S HALLMARK PROGRAMS ARE: - MULTIPURPOSE SENIOR SERVICES PROGRAM (MSSP): SINCE 1977, THIS PROGRAM HAS PROVIDED LONG-TERM IN-HOME CARE MANAGEMENT FOR ADULTS 65 PLUS WHO QUALIFY FOR MEDI-CAL. - INSIGHTS: THIS PROGRAM PROVIDES MENTAL HEALTH SUPPORT. - COMMUNITY MEDICATION, EDUCATION, DATA & SAFETY (CMEDS): IN-HOME MEDICATION SAFETY AND ADHERENCE PROGRAM. SCAN HEALTH PLAN COMMUNITY GIVING PROGRAM: SCAN'S COMMUNITY GIVING (CG) PROGRAM IS FOCUSED ON MEETING AN INDIVIDUAL'S BASIC NEEDS INCLUDING NUTRITION, SHELTER, HEALTH AND SOCIALIZATION, AND ON ENHANCING AN INDIVIDUAL'S ABILITY TO REMAIN INDEPENDENT IN THEIR OWN COMMUNITY. THIS IS ACCOMPLISHED THROUGH ONE-TIME OPERATING GRANTS. THE SCAN COMMUNITY GIVING STAFF IDENTIFY ORGANIZATIONS WHOSE MISSION ALIGNS WITH THE PROGRAM PRIORITIES. AS A RESULT OF THIS APPROACH, THE MAJORITY OF GRANTEES ARE IDENTIFIED AND CONTACTED BY OUR STAFF. POLICIES AND PROCEDURES: A. IDENTIFICATION AND VETTING OF POTENTIAL PROGRAM GRANTEES THE DIRECTOR, COMMUNITY GIVING, COLLABORATES WITH VARIOUS SCAN HEALTH PLAN DEPARTMENTS (I.E., HEALTH CARE SERVICES AND INDEPENDENCE AT HOME) AND REPUTABLE AGENCIES TO IDENTIFY PROSPECTIVE GRANTEE ORGANIZATIONS. THE PROSPECTIVE GRANTEES UNDERGO THE COMMUNITY GIVING VETTING PROCESS AND ARE MEASURED AGAINST THE FOLLOWING CRITERIA: 1) ALIGNMENT WITH THE SCAN HEALTH PLAN MISSION; 2) VERIFIED STATUS AS A NONPROFIT OR GOVERNMENTAL AGENCY WITH TAX-EXEMPT STATUS; AND 3) THE ORGANIZATION IS AT LEAST TWO YEARS OLD. SUCCESSFUL CANDIDATES ARE ADDED TO THE LARGER SCAN HEALTH PLAN GRANTEE POOL. B. SHORT LISTING POTENTIAL GRANTEES - THE DIRECTORS AND COMMUNITY GIVING STAFF USE VARIOUS METHODS, INCLUDING OUTBOUND CALLS, INTERNET RESEARCH, AND INDUSTRY RATINGS TO REVIEW THE POTENTIAL GRANTEE POOL AND GENERATE A SHORTLIST. C. EVALUATION AND SELECTION OF GRANTEES BY THE COMMUNITY GIVING COMMITTEE (CGC) - THE CGC IS COMPOSED OF REPRESENTATIVES FROM DIFFERENT LEVELS OF MANAGEMENT AND IS LED BY A DESIGNATED COMMITTEE CHAIR. THE CGC MEETS ON A QUARTERLY BASIS AND ITS ROLE IS TWOFOLD: 1) EVALUATE, SELECT, AND DECIDE THE AMOUNT TO BE AWARDED TO THE GRANTEE ORGANIZATIONS, AND 2) STEER THE COMMUNITY GIVING PROGRAM. THE CGC BASES ITS DECISION TO MAKE AWARDS ON THE INFRASTRUCTURE OF THE GRANTEE ORGANIZATION, THEIR PERCEIVED ABILITY TO EFFECTIVELY AND EFFICIENTLY IMPACT THE LIVES OF SENIORS, AND THEIR ABILITY TO CONTINUE A SUSTAINABLE RELATIONSHIP. D. GRANTEE OUTREACH - SUBSEQUENT TO THE CGC EARMARKING AND APPROVING GRANT FUNDS, THE DIRECTOR, COMMUNITY GIVING OR DESIGNEE, PLACES AN OUTREACH CALL TO THE PROSPECTIVE GRANTEE ORGANIZATION. THE GRANTEE ORGANIZATION IS INFORMED OF ITS SELECTION TO APPLY FOR A ONE-TIME GRANT VIA SCAN'S ONLINE GRANT TRACKING SYSTEM. THE DIRECTOR, COMMUNITY GIVING OR DESIGNEE REVIEWS EACH APPLICATION IN ORDER TO MAKE A RECOMMENDATION FOR FUNDING. THE LIST OF RECOMMENDED GRANTEES IS SUBMITTED TO THE CGC EACH QUARTER TO BE DISCUSSED AND VOTED ON. A GRANT AGREEMENT IS DEVELOPED FOR GRANTS APPROVED BY CGC, CONTAINING INFORMATION ON FUNDING RESTRICTIONS AND REQUIREMENTS FOR GRANT REPORTING. ONLY AFTER A SIGNED AGREEMENT HAS BEEN FULLY EXECUTED WILL THE GRANT PAYMENT PHASE BE INITIATED. IF THE FUNDING IS CONSIDERED EMERGENCY NEED DUE TO A PUBLIC HEALTH EMERGENCY OR NATURAL DISASTER, THIS PROCESS WILL BE ACCELERATED WITH THE COMMITTEE REVIEWING AND APPROVING REQUESTS MORE FREQUENTLY. E. ALL GRANTEES SUBMIT IMPACT REPORTS DOCUMENTING METRICS AND PERFORMANCE YEAR-TO-DATE THROUGHOUT THE DURATION OF THE FUNDING. THE COMMUNITY GIVING STAFF TRACKS AND REVIEWS THE REPORTS TO ENSURE COMPLIANCE. COMMUNITY GIVING STAFF ADDRESS ANY IDENTIFIED ISSUES WITH THE GRANTEE TO DETERMINE THE CAUSE AND ANY REMEDIATION REQUIRED. ISSUES WITH COMPLIANCE ARE RAISED TO THE DIRECTOR, COMMUNITY GIVING WHO WILL ASSIST WITH REMEDIATION OR ELEVATE TO THE CGC FOR ADVISEMENT AND/OR APPROVAL IF A CHANGE TO THE GRANTEE'S SCOPE OF WORK IS REQUIRED. SCAN HEALTH PLAN COMMUNITY OUTREACH: SCAN HEALTH PLAN HAS A 45-YEAR HISTORY OF CREATING PROGRAMS AND PROVIDING SERVICES TO OLDER ADULTS AND THEIR CAREGIVERS. SCAN'S EXPERIENCE WITH THIS SEGMENT OF THE POPULATION HAS ALLOWED US TO DEVELOP A UNIQUE EXPERTISE IN GERIATRIC CARE AND HEALTH INTERVENTIONS. SCAN HEALTH PLAN IS COMMITTED TO SHARING THIS SET OF SKILLS AND VAST KNOWLEDGE WITH THE BROADER COMMUNITY BY DEVELOPING COMMUNITY OUTREACH INITIATIVES. THESE INITIATIVES ARE AN IMPORTANT TOOL FOR BRINGING EDUCATION DIRECTLY TO COMMUNITY MEMBERS, AS WELL AS CONTRIBUTING TO REDUCING HEALTH DISPARITIES, AND IMPROVING HEALTH LITERACY, PARTICULARLY AMONG UNDERSERVED COMMUNITIES. THROUGH OUR OUTREACH ACTIVITIES AND COMMUNITY GIVING PROGRAM, WE WORK TO SUPPORT ACCESS TO BASIC NEEDS SUCH AS FOOD AND NUTRITION, TO ENCOURAGE ACTIVE AND HEALTHY LIFESTYLES, TO ENGAGE OLDER ADULTS IN HEALTH MAINTENANCE, AND TO COLLABORATE WITH LOCAL SERVICE PARTNERS TO MEET GAPS IN COMMUNITY SERVICES. WE DO THIS IN MANY WAYS, BRINGING NEEDED RESOURCES AND A THOUGHTFUL PRESENCE TO OLDER ADULTS AND THEIR SUPPORT NETWORKS THROUGHOUT CALIFORNIA. OUR GOAL IS TO MAKE AN IMPACT IN ALL THE COMMUNITIES WE SERVE AND TO IMPROVE THE LIVES OF ALL SENIORS - NOT JUST SCAN MEMBERS. THIS RESPONSIBILITY IS HEIGHTENED DURING TIMES OF NATURAL DISASTER AS WELL AS PANDEMIC. SCAN RECOGNIZES THAT ITS RESPONSIBILITY TO THE COMMUNITIES WE SERVE GOES BEYOND BUSINESS AND PROVIDING QUALITY HEALTHCARE. SCAN HEALTH PLAN COMMUNITY GIVING PROGRAM: SCAN SUPPORTED THE FOLLOWING SAFETY NET ORGANIZATIONS WITH FUNDING TO SUPPORT SERVICES TARGETING OLDER ADULTS AND FAMILY CAREGIVERS: AREA AGENCY ON AGING REGION ONE, COMMUNITY HOSPICE FOUNDATION, MALCOM'S HEART, INC., SAN FRANCISCO-MARIN FOOD BANK, ST. FRANCIS LIVING ROOM, GREATER LA JOLLA MEALS ON WHEELS, INC., CENTRAL ARIZONA SHELTER SERVICES, CATHOLIC CHARITIES OF SOUTHERN NEVADA, LUTHERAN SOCIAL SERVICES OF THE SOUTHWEST, COMMUNITY SERNIORSERV INC., ABRAZAR, INC., SENIOR ADVOCATES OF THE DESERT, MIZELL SENIOR CENTER, VENICE FAMILY CLINIC, JANET GOESKE FOUNDATION, PROJECT ACCESS, LOS ANGELES LGBT CENTER, VISIN Y COMPROMISO, LITTLE BROTHERS FRIENDS OF THE ELDERLY SAN FRANCISCO, FALLBROOK HEALTHCARE FOUNDATION INC. (FOUNDATION FOR SENIOR CARE), PROYECTO PASTORAL, UMMA COMMUNITY CLINIC, ONEGENERATION, SMILES FOR SENIOR FOUNDATION, VIETNAMESE AMERICAN CANCER FOUNDATION, HEALTHY AGING ASSOCIATION, SOUTH ASIAN HELPLINE AND REFERRAL AGENCY (SAHARA), REDWOOD EMPIRE FOOD BANK, J-SEI, CONEJO VALLEY SENIOR CONCERNS, ASTER AGING, INC., CALIFORNIA BLACK HEALTH NETWORK, CALIFORNIA BLACK WOMEN'S HEALTH PROJECT [SISTAHS AGING WITH GRACE & ELEGANCE (SAGE)], CANCER SUPPORT COMMUNITIES SF BAY, CAREGIVERS VOLUNTEERS ASSISTING THE ELDERLY, HOUSTON FOOD BANK, INTERFAITH MINISTRIES FOR GREATER HOUSTON, JEWISH FAMILY SERVICE OF SAN DIEGO, MEALS ON WHEELS SAN ANTONIO, SAN ANTONIO FOOD BANK, THE HEALTH TRUST, THE LGBTQ COMMUNITY CENTER OF THE DESERT, WESTSIDE FAMILY HEALTH CENTER, UNIVERSITY OF CALIFORNIA, IRVINE FOUNDATION, ASSOCIATION OF BLACK WOMEN PHYSICIANS, TIDES CENTER, CSULB 49ER FOUNDATION, JEWISH FAMILY SERVICE AGENCY, THE SAN DIEGO LGBT COMMUNITY CENTER, LUTHERAN SOCIAL SERVICES OF NEVADA, RIVERSIDE MEALS ON WHEELS, HELP ME HELP YOU, UNITED FOOD BANK, CHINESE AMERICAN COALITION FOR COMPASSIONATE CARE, WATTS LABOR COMMUNITY ACTION COMMITTEE, PARTNERS IN CARE FOUNDATION INC., UCLA FOUNDATION, THE URBAN VOICES PROJECT, DOWNTOWN WOMEN'S CENTER, ALLIANCE FOR HEALTH POLICY, HEALTH INDUSTRY COLLABORATION EFFORT, THE LGBTQ COMMUNITY CENTER OF THE DESERT, SAN DIEGO SENIORS COMMUNITY FOUNDATION, UNIVERSITY OF CALIFORNIA, IRVINE FOUNDATION, AMERICAN SOCIETY ON AGING, JUSTICE IN AGING, CHAPMAN UNIVERSITY, REGIONAL COMMUNITY PARTNERS, NBC CONSULTING, INC./PACIFIC HEALTH AND WELLNESS, AMERICAN HEART ASSOCIATION. IN 2022, SCAN GAVE 43 GRANTS TO 43 ORGANIZATIONS, AND SUPPORTED 28 ORGANIZATIONS THROUGH SPONSORSHIPS. SCAN HEALTH PLAN GAVE $3,300,000 IN GRANTS TO HEALTHCARE IN ACTION, INC. THIS ORGANIZATION WAS FORMED TO PROVIDE AND ARRANGE MEDICAL, HEALTH CARE, AND CARE MANAGEMENT SERVICES TO POPULATIONS EXPERIENCING HOMELESSNESS AND LOW-INCOME MEDICARE AND DUALLY ELIGIBLE MEDICARE-MEDICAID POPULATIONS. FOR THE YEAR ENDING DECEMBER 31, 2022, INDEPENDENCE AT HOME INCURRED $17,945,937 IN PROGRAM EXPENSES INCLUDING GRANTS OF $4,415,937 PAID TO OTHER NON-PROFIT ORGANIZATIONS AND RECEIVED 4,103,262 IN GRANTS. FORM 990, PART VI, SECTION A, LINE 6 THE SOLE MEMBER OF THE ORGANIZATION IS SCAN GROUP, A CALIFORNIA NONPROFIT PUBLIC BENEFIT CORPORATION. FORM 990, PART VI, SECTION A, LINE 7A THE SOLE MEMBER HAS THE POWER TO APPOINT THE MEMBERS OF THE BOARD OF DIRECTORS. FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 IS PREPARED BY THE ACCOUNTING FIRM OF DELOITTE TAX, LLP WORKING IN CONJUNCTION WITH SCAN'S FINANCE DEPARTMENT. SCAN HEALTH PLAN'S DIRECTOR OF ACCOUNTING HAS DIRECT RESPONSIBILITY FOR THIS EFFORT, SUBJECT TO SUPERVISION BY THE VICE PRESIDENT AND CONTROLLER OF SCAN HEALTH PLAN. AFTER AN INITIAL DRAFT OF THE FORM 990 IS PREPARED, IT IS CIRCULATED FOR REVIEW AND COMMENT BY RELEVANT MEMBERS OF THE EXECUTIVE TEAM WHO HAVE RESPONSIBILITY FOR AND/OR KNOWLEDGE REGARDING THE VARIOUS MATTERS DISCLOSED AND/OR DESCRIBED IN THE FORM. THE GENERAL COUNSEL, IN PARTICULAR, REVIEWS THE FORM 990 FOR ACCURACY AND COMPLETENESS. THE DRAFT FORM 990 IS REVIEW IN PERTINENT PART BY THE COMPENSATION COMMITTEE OF THE BOARD; THE FORM 990 IS PROVIDED IN ITS ENTIRETY TO THE AUDIT AND COMPLIANCE COMMITTEES OF THE BOARD OF DIRECTORS OF SCAN GROUP, AND ALL MEMBERS OF THE BOARD OF DIRECTORS FOR REVIEW AFTER IT IS PREPARED, AND PRIOR TO FILING. FORM 990, PART VI, SECTION B, LINE 12C SCAN HEALTH PLAN REGULARLY AND CONSISTENTLY MONITORS AND ENFORCES COMPLIANCE WITH ITS CONFLICT OF INTEREST POLICY THROUGH ANNUAL CIRCULATION OF A CONFLICT OF INTEREST POLICY AND DISCLOSURE QUESTIONNAIRE WHICH ALL MEMBERS OF THE BOARD OF DIRECTORS, OFFICERS AND MEMBERS OF EXECUTIVE MANAGEMENT ARE REQUIRED TO COMPLETE AND SIGN. IN ADDITION, THERE IS ANNUAL MANDATORY COMPLIANCE EDUCATION AND TRAINING AND SCAN'S COMPLIANCE DEPARTMENT IS RESPONSIBLE FOR ENFORCEMENT OF SCAN'S ROBUST COMPLIANCE PROGRAM, INCLUDING SCAN'S CODE OF CONDUCT AND COMPLIANCE-RELATED POLICIES AND PROCEDURES. MEMBERS OF THE EXECUTIVE TEAM ALSO HAVE RESPONSIBILITY FOR ENFORCEMENT. THE LEGAL DEPARTMENT OF SCAN GROUP REVIEWS ALL CONTRACTUAL RELATIONSHIPS ENTERED INTO BY THE ORGANIZATION AND SCAN'S GENERAL COUNSEL IS RESPONSIBLE FOR MONITORING THE CONFLICT OF INTEREST QUESTIONNAIRE. THE LEGAL DEPARTMENT OF SCAN GROUP MONITORS AND ENFORCES ADHERENCE TO THESE POLICIES ON AN ONGOING BASIS. FORM 990, PART VI, SECTION B, LINE 15 THE COMPENSATION FOR THE CHIEF EXECUTIVE OFFICER OF SCAN GROUP AND SCAN HEALTH PLAN IS PAID BY SCAN HEALTH PLAN. THE PROCESS FOR DETERMINING THE COMPENSATION OF THE CEO OF SCAN HEALTH PLAN IS CONDUCTED BY THE COMPENSATION COMMITTEE OF THE BOARD OF DIRECTORS OF SCAN GROUP, ALL THE VOTING MEMBERS OF WHICH ARE INDEPENDENT PERSONS. IN DETERMINING THE COMPENSATION OF THE CEO, THE COMPENSATION COMMITTEE WORKS WITH AND RELIES UPON THE COUNSEL AND EXPERTISE OF AN OUTSIDE COMPENSATION CONSULTANT WITH WELL-ESTABLISHED EXPERIENCE AND EXPERTISE IN THE AREA OF NONPROFIT HEALTH CARE ORGANIZATIONS, EXECUTIVE COMPENSATION, AND COMPLIANCE WITH THE INTERMEDIATE SANCTIONS REQUIREMENTS APPLICABLE TO SUCH COMPENSATION. THE COMPENSATION CONSULTANT PROVIDES AN EXECUTIVE COMPENSATION REPORT TO THE COMPENSATION COMMITTEE EACH YEAR WHICH FURNISHES THE BASIS FOR DETERMINING THE CEO'S COMPENSATION PACKAGE DURING THE FOLLOWING YEAR. THE EXECUTIVE COMPENSATION REPORT IS BASED ON A REVIEW OF THE EXECUTIVE COMPENSATION PRACTICES OF A VARIETY OF ORGANIZATIONS CONSIDERED COMPARABLE TO SCAN HEALTH PLAN BASED UPON CERTAIN INDUSTRY STANDARD METRICS. THE COMPENSATION COMMITTEE DELIBERATES ON THE ISSUE OF THE CEO'S COMPENSATION PACKAGE IN CONSIDERATION OF THE EXECUTIVE COMPENSATION REPORT. QUESTIONS ARE ASKED OF, AND ANSWERED BY THE COMPENSATION CONSULTANT, REGARDING SUCH REPORT AND OTHER MATTERS RELEVANT TO SUCH PACKAGE. BASED ON THESE DELIBERATIONS, THE COMPENSATION COMMITTEE MAKES A RECOMMENDATION TO THE BOARD OF DIRECTORS OF SCAN GROUP REGARDING THE COMPENSATION PACKAGE FOR THE CEO FOR THE FOLLOWING YEAR. THE FULL BOARD OF DIRECTORS OF SCAN GROUP DELIBERATES AND THEN VOTES ON SUCH RECOMMENDATION; THE CEO IS RECUSED FOR THE ENTIRETY OF SUCH DELIBERATIONS AND VOTE. THE MINUTES OF THE COMPENSATION COMMITTEE AND THE BOARD OF DIRECTORS FOR THESE MEETINGS ARE PREPARED SUBSTANTIALLY CONTEMPORANEOUSLY AND SUBSTANTIATE SUCH DELIBERATIONS AND DECISIONS. THE OUTSIDE COMPENSATION CONSULTANT PROVIDING THE EXECUTIVE COMPENSATION REPORT AND GUIDANCE RELATED TO THE 2022 SALARY PACKAGE WAS SULLIVAN COTTER. THE PROCESS FOR DETERMINING THE COMPENSATION OF THE CHIEF FINANCIAL OFFICER OF SCAN HEALTH PLAN FOLLOWS THE SAME PROCESS AS DESCRIBED ABOVE FOR THE CEO. THE PROCESS FOR DETERMINING THE COMPENSATION OF OFFICERS AND SENIOR VICE PRESIDENTS OF SCAN HEALTH PLAN AND SCAN GROUP IS CONDUCTED BY THE HUMAN RESOURCES DEPARTMENT OF SCAN GROUP AND CHIEF EXECUTIVE OFFICER (CEO) OF SCAN HEALTH PLAN, WITH THE APPROVAL OF THE COMPENSATION COMMITTEE OF THE BOARD OF DIRECTORS OF SCAN GROUP. ALL OF THE VOTING MEMBERS OF THE COMPENSATION COMMITTEE ARE INDEPENDENT DIRECTORS. IN DETERMINING EACH SCAN HEALTH PLAN EMPLOYEE'S COMPENSATION, THE HUMAN RESOURCES DEPARTMENT AND COMPENSATION COMMITTEE WORK WITH AND RELY UPON THE COUNSEL AND EXPERTISE OF AN OUTSIDE COMPENSATION CONSULTANT WITH WELL-ESTABLISHED EXPERIENCE AND EXPERTISE IN THE AREA OF NONPROFIT HEALTH CARE ORGANIZATIONS, EXECUTIVE COMPENSATION, AND COMPLIANCE WITH THE INTERMEDIATE SANCTIONS REQUIREMENTS APPLICABLE TO SUCH COMPENSATION. THE COMPENSATION CONSULTANT PROVIDES AN EXECUTIVE COMPENSATION REPORT TO THE HUMAN RESOURCES DEPARTMENT EACH YEAR WHICH FURNISHES THE BASIS FOR THE DETERMINATION OF EACH EMPLOYEE'S COMPENSATION PACKAGE DURING THE FOLLOWING YEAR, THE EXECUTIVE COMPENSATION REPORT IS BASED ON A REVIEW OF THE EXECUTIVE COMPENSATION PRACTICES OF A VARIETY OF ORGANIZATIONS CONSIDERED COMPARABLE TO SCAN HEALTH PLAN BASED ON VARIOUS METRICS. THE CHIEF EXECUTIVE OFFICER (CEO) MAKES A RECOMMENDATION TO THE COMPENSATION COMMITTEE WITH RESPECT TO EACH EMPLOYEE'S COMPENSATION PACKAGE IN LIGHT OF THE EXECUTIVE COMPENSATION REPORT. AT THE COMPENSATION COMMITTEE MEETING ADDRESSING SUCH MATTERS, QUESTIONS ARE ASKED OF, AND ANSWERED BY, THE COMPENSATION CONSULTANT, REGARDING THEIR REPORT AND OTHER MATTERS RELEVANT TO THE COMPENSATION PACKAGE; PURSUANT TO THEIR DELIBERATIONS, THE COMPENSATION COMMITTEE MAKES A DECISION REGARDING THE COMPENSATION PACKAGE FOR SUCH EMPLOYEES FOR THE FOLLOWING YEAR. THE MINUTES OF THE COMPENSATION COMMITTEE FOR THIS MEETING ARE PREPARED SUBSTANTIALLY CONTEMPORANEOUSLY AND SUBSTANTIATE SUCH DELIBERATIONS AND DECISIONS. FORM 990, PART VI, SECTION C, LINE 19 SCAN HEALTH PLAN'S GOVERNING DOCUMENTS AND CONFLICTS OF INTEREST POLICY ARE NOT MADE AVAILABLE TO THE PUBLIC. SCAN HEALTH PLAN'S AUDITED FINANCIAL STATEMENTS ARE PUBLICLY AVAILABLE THROUGH THE DEPARTMENT OF MANAGED HEALTHCARE'S WEBSITE AND TAX RETURNS ARE AVAILABLE ON REQUEST. FORM 990, PART IX, LINE 11G HOSPITAL, PHYSICIANS, AND OTHER: PROGRAM SERVICE EXPENSES 3,909,486,663. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 3,909,486,663. PREMIUM DEFICIENCY RESERVE: PROGRAM SERVICE EXPENSES -49,950,975. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES -49,950,975. PROFESSIONAL FEES: PROGRAM SERVICE EXPENSES 29,338,700. MANAGEMENT AND GENERAL EXPENSES 16,629,044. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 45,967,744. SCAN GROUP 3800 KILROY AIRPORT WAY SUITE 100 LONG BEACH CA 90806 953826037 ADMIN SUPPORT CA 501(C)(3) 12B, II N/A 1 THE SCAN FOUNDATION 3800 KILROY AIRPORT WAY SUITE 100 LONG BEACH CA 90806 450552845 GRANT MAKING CA 501(C)(3) 12B, II SCAN GROUP 1 SCAN HEALTH PLAN NEVADA INC 3800 KILROY AIRPORT WAY SUITE 100 LONG BEACH CA 90806 854288083 MEDICARE ADVANTAGE NV 501(C)(4) SCAN GROUP 1 SCAN DESERT HEALTH PLAN INC 3800 KILROY AIRPORT WAY SUITE 100 LONG BEACH CA 90806 854275186 MEDICARE ADVANTAGE AZ 501(C)(4) SCAN GROUP 1 SCAN HEALTH PLAN TEXAS INC 3800 KILROY AIRPORT WAY SUITE 100 LONG BEACH CA 90806 872944493 MEDICARE ADVANTAGE TX 501(C)(4) SCAN GROUP 1 SCAN HEALTH PLAN NEW MEXICO INC 3800 KILROY AIRPORT WAY SUITE 100 LONG BEACH CA 90806 920651838 MEDICARE ADVANTAGE NM 501(C)(4) SCAN GROUP 1 HEALTHCARE IN ACTION INC 3800 KILROY AIRPORT WAY SUITE 100 LONG BEACH CA 90806 871858798 MEDICARE ADVANTAGE CA 501(C)(3) 10 SCAN GROUP 1 SCAN HEALTHCHECK ASSESSMENT CENTERS INC 3800 KILROY AIRPORT WAY SUITE 100 LONG BEACH CA 90806 462962358 HEALTHCARE CA N/A C 1 ALIVE VENTURES INC 3800 KILROY AIRPORT WAY SUITE 100 LONG BEACH CA 90806 852381694 VENTURE STUDIO CA N/A C 1 HEALTHCARE IN ACTION MEDICAL GROUP 3800 KILROY AIRPORT WAY SUITE 100 LONG BEACH CA 90806 871942811 HEALTHCARE CA N/A C 1 PROSPER SERVICES LLC 3800 KILROY AIRPORT WAY SUITE 100 LONG BEACH CA 90806 872979343 HEALTHCARE CA N/A C 1 SCAN CALIFORNIA MANAGEMENT COMPANY 3800 KILROY AIRPORT WAY SUITE 100 LONG BEACH CA 90806 462951831 MANAGEMENT CA N/A C 1 WELCOME HEALTH INC 3800 KILROY AIRPORT WAY SUITE 100 LONG BEACH CA 90806 863730275 HEALTHCARE CA N/A C 1 WELCOME HEALTH MEDICAL GROUP 3800 KILROY AIRPORT WAY SUITE 100 LONG BEACH CA 90806 872705807 HEALTHCARE CA N/A C 1 WELCOME HEALTH OF CALIFORNIA INC 3800 KILROY AIRPORT WAY SUITE 100 LONG BEACH CA 90806 920363899 HEALTHCARE CA N/A C 1 PREVENT TRG HOLDINGS INC 3800 KILROY AIRPORT WAY SUITE 100 LONG BEACH CA 90806 880965994 HEALTHCARE CA N/A C 1 THE RESIDENTIALIST GROUP INC 3800 KILROY AIRPORT WAY SUITE 100 LONG BEACH CA 90806 330969912 HEALTHCARE CA N/A C 1 HOUSECALLS DOCTORS MEDICAL GROUP INC 3800 KILROY AIRPORT WAY SUITE 100 LONG BEACH CA 90806 043644245 HEALTHCARE CA N/A C 1 RESIDENTIALIST HOUSECALL MEDICAL GROUP PC 4190 CITY AVE SUITE 528 PHILADELPHIA PA 19131 474053626 HEALTHCARE PA N/A C 1 MYPLACE GREATER LA PACE INC 3800 KILROY AIRPORT WAY SUITE 100 LONG BEACH CA 90806 881512241 HEALTHCARE CA N/A C 1 MYPLACE SOUTH LA PACE INC 3800 KILROY AIRPORT WAY SUITE 100 LONG BEACH CA 90806 923486437 HEALTHCARE CA N/A C 1 0 1 0 0 0 0 0 0 0 0 0 0 1 0 0 1 1 0 0 HEALTHCARE IN ACTION INC B 3300000 BOOK VALUE SCAN GROUP P 108257126 BOOK VALUE SCAN HEALTH PLAN TEXAS INC Q 518677 BOOK VALUE SCAN HEALTH PLAN NEVADA INC Q 1024078 BOOK VALUE SCAN DESERT HEALTH PLAN INC Q 2466575 BOOK VALUE SCAN CALIFORNIA MANAGEMENT COMPANY Q 227531 BOOK VALUE HEALTHCARE IN ACTION INC Q 160459 BOOK VALUE THE SCAN FOUNDATION Q 123465 BOOK VALUE SCAN HEALTHCHECK ASSESSMENT CENTERS INC M 2276821 BOOK VALUE HEALTHCARE IN ACTION MEDICAL GROUP M 59280 BOOK VALUE WELCOME HEALTH MEDICAL GROUP M 192335 BOOK VALUE PART V, LINE 2: THE PERCENTAGE OF ALLOCATION TO AFFILIATED COMPANIES IS DETERMINED BASED ON ESTIMATED PERCENTAGE OF TIME WORKED, PERCENTAGE OF HEADCOUNTS, PERCENTAGE OF SCAN MEMBERSHIP, AND/OR THE PERCENTAGE OF BID SUBMISSION, AS APPROPRIATE BASED ON THE NATURE OF THE EXPENSE.