SCAN GROUP: Form 990, tax year 2023
View the entire original 990 at ProPublica ↗
- Organization
- SCAN GROUP (EIN 95-3826037)
- Tax period
- 2023-01-01 to 2023-12-31
- Filed
- 2024-11-11
- IRS object ID
- 202403169349305450
- Schema version
- 2023v5.1
- 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2024-11-11T15:15:55-06:00 | ReturnTs |
| Tax Period End | 2023-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 861065772 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | DELOITTE TAX LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 50 SOUTH SIXTH STREET | AddressLine1Txt |
| City | MINNEAPOLIS | CityNm |
| State Abbreviation | MN | StateAbbreviationCd |
| ZIP | 55402 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2023-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 953826037 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SCAN GROUP | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | SCAN | BusinessNameControlTxt |
| Phone | 5629895100 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 3800 KILROY AIRPORT WAY 100 | AddressLine1Txt |
| City | LONG BEACH | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 908065616 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | SACHIN JAIN | PersonNm |
| Person Title | CEO | PersonTitleTxt |
| Phone | 5629895100 | PhoneNum |
| Signature | 2024-11-11 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IRS Responsible Prty Info Curr | 0 | IRSResponsiblePrtyInfoCurrInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | ANNA KOLAKALURI | PreparerPersonNm |
| PTIN | P01275237 | PTIN |
| Phone | 6123974000 | PhoneNum |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2023 | TaxYr |
| Build TS | 2024-10-15 13:58:12Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | SACHIN JAIN | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 3800 KILROY AIRPORT WAY 100 | AddressLine1Txt |
| City | LONG BEACH | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 908065616 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $219,286,753 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.THESCANGROUP.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1982 | FormationYr |
| Legal Domicile State | CA | LegalDomicileStateCd |
| Activity Or Mission | TO SUPPORT THE CHARITABLE MISSION OF SCAN HEALTH PLAN, THE SCAN FOUNDATION AND ITS OTHER 501(C)(3) RELATED ORGANIZATIONS. | ActivityOrMissionDesc |
| Voting Members Governing Body | 13 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 12 | VotingMembersIndependentCnt |
| Total Employee | 419 | TotalEmployeeCnt |
| Total Volunteers | 54 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $0 | PYContributionsGrantsAmt |
| CY Contributions Grants | $0 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $0 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $0 | CYProgramServiceRevenueAmt |
| PY Investment Income | -$129,841 | PYInvestmentIncomeAmt |
| CY Investment Income | $9,153,426 | CYInvestmentIncomeAmt |
| PY Other Revenue | $0 | PYOtherRevenueAmt |
| CY Other Revenue | $0 | CYOtherRevenueAmt |
| PY Total Revenue | -$129,841 | PYTotalRevenueAmt |
| CY Total Revenue | $9,153,426 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $0 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $7,134,163 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $7,671,800 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $4,415,498 | PYOtherExpensesAmt |
| CY Other Expenses | $3,670,769 | CYOtherExpensesAmt |
| PY Total Expenses | $11,549,661 | PYTotalExpensesAmt |
| CY Total Expenses | $11,342,569 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$11,679,502 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$2,189,143 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $267,780,208 | TotalAssetsBOYAmt |
| Total Assets EOY | $236,604,033 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $50,239,777 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $47,094,021 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $217,540,431 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $189,510,012 | NetAssetsOrFundBalancesEOYAmt |
| Mission | TO SUPPORT THE CHARITABLE MISSION OF SCAN HEALTH PLAN, THE SCAN FOUNDATION AND ITS OTHER 501(C)(3) RELATED ORGANIZATIONS. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $6,174,640 | ExpenseAmt |
| Grant | $0 | GrantAmt |
| Revenue | $0 | RevenueAmt |
| Desc | SCAN GROUP IS A CALIFORNIA NONPROFIT PUBLIC BENEFIT CORPORATION WHICH IS A SUPPORTING ORGANIZATION TO ITS RELATED SECTION 501(C)(3) TAX-EXEMPT ORGANIZATIONS. SCAN GROUP SUPPORTS THE 501(C)(3) SCAN HEALTH PLAN IN ACTIVITIES IN SUPPORT OF THE MISSION OF SCAN HEALTH PLAN TO KEEP SENIORS HEALTHY AND INDEPENDENT. SCAN GROUP PROVIDES SUPPORT SERVICES TO THE SCAN FOUNDATION, A 501(C)(3) ORGANIZATION, WHOSE MISSION IS TO ADVANCE A COORDINATED AND EASILY NAVIGATED SYSTEM OF HIGH-QUALITY SERVICES FOR OLDER ADULTS THAT PRESERVE DIGNITY AND INDEPENDENCE. | Desc |
| Total Program Service Expenses | $6,174,640 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | 0 | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | 0 | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | 0 | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | 0 | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | Yes (1) | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | Yes (1) | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (1) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (1) | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | 0 | OperateHospitalInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | Yes (1) | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | Yes (1) | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (1) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | Yes (1) | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | Yes (1) | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 153 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 419 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | Yes (1) | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | 0 | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 13 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 12 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | 0 | MembersOrStockholdersInd |
| Election Of Board Members | 0 | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | 0 | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | 0 | CompensationProcessCEOInd |
| Compensation Process Other | Yes (1) | CompensationProcessOtherInd |
| Investment In Joint Venture | Yes (1) | InvestmentInJointVentureInd |
| Written Policy Or Procedure | 0 | WrittenPolicyOrProcedureInd |
| States Where Copy Of Return Is Fld | CA | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | VIRGINIA A HAVAI | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 5629895100 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 3800 KILROY AIRPORT WAY STE 100 | AddressLine1Txt |
| City | LONG BEACH | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 908065616 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (32 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Key EmployeeKeyEmployeeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|---|
| JAIN MD SACHIN H | |||||||||
| PRESIDENT & CEO | 6.00 | 34.00 | Yes (X) | Yes (X) | $0 | $3,268,166 | $1,554,958 | ||
| ROSENSTOCK LINDA | |||||||||
| CHAIRPERSON | 7.74 | 3.66 | Yes (X) | Yes (X) | $165,000 | $35,000 | $0 | ||
| JONES BRANDON | |||||||||
| DIRECTOR | 6.39 | 4.11 | Yes (X) | $129,000 | $37,500 | $0 | |||
| ORTIZ CELESTE | |||||||||
| DIRECTOR | 6.39 | 4.11 | Yes (X) | $129,000 | $37,500 | $0 | |||
| RUIZ DE LUZURIAGA FRANCESCA | |||||||||
| DIRECTOR | 5.67 | 3.43 | Yes (X) | $117,000 | $35,000 | $0 | |||
| PHILLIPS CHERYL | |||||||||
| DIRECTOR | 4.95 | 3.65 | Yes (X) | $105,000 | $36,055 | $0 | |||
| ELLIS ROSEMARY | |||||||||
| DIRECTOR | 4.50 | 3.90 | Yes (X) | $90,000 | $36,667 | $0 | |||
| TURNER ROSEMARY | |||||||||
| DIRECTOR | 4.95 | 0.55 | Yes (X) | $117,000 | $0 | $0 | |||
| CAIN COLLEEN | |||||||||
| DIRECTOR | 5.04 | 0.56 | Yes (X) | $114,000 | $0 | $0 | |||
| ALLOCCO ANDREW | |||||||||
| DIRECTOR | 4.50 | 0.50 | Yes (X) | $90,000 | $0 | $0 | |||
| CHIN HANSEN JENNIE | |||||||||
| DIRECTOR | 4.50 | 0.50 | Yes (X) | $90,000 | $0 | $0 | |||
| CHU BENJAMIN | |||||||||
| DIRECTOR (BEG 01/2023) | 4.50 | 0.50 | Yes (X) | $90,000 | $0 | $0 | |||
| NAVATHE AMOL | |||||||||
| DIRECTOR (BEG 01/2023) | 4.50 | 0.50 | Yes (X) | $90,000 | $0 | $0 | |||
| PLUMB MICHAEL | |||||||||
| CHIEF FINANCIAL OFFICER | 6.00 | 34.00 | Yes (X) | $0 | $1,101,248 | $666,170 | |||
| SCHULTE KAREN H | |||||||||
| PRESIDENT, MEDICARE (BEG 12/2022) | 5.00 | 35.00 | Yes (X) | $0 | $740,787 | $486,465 | |||
| KROEKER KEVIN B | |||||||||
| SPECIAL COUNSEL (END 07/2023) | 6.00 | 34.00 | Yes (X) | $1,017,186 | $0 | $51,046 | |||
| DELPHIN-RODRIGUEZ RENEE C | |||||||||
| CHIEF LEGAL OFFICER & GC (BEG 3/23) | 6.00 | 34.00 | Yes (X) | $435,053 | $0 | $374,248 | |||
| BATRA ROMILLA A | |||||||||
| CHIEF MEDICAL OFFICER (END 09/2023) | 4.00 | 36.00 | $0 | $1,930,843 | $32,379 | Yes (X) | |||
| GOODE JOSH K | |||||||||
| CHIEF INFORMATION OFFICER | 8.00 | 32.00 | $1,394,386 | $0 | $475,679 | Yes (X) | |||
| MONK NANCY J | |||||||||
| CHIEF OPERATIONS OFFICER | 5.00 | 35.00 | $1,128,510 | $0 | $537,664 | Yes (X) | |||
| STANISLAW SHERRY | |||||||||
| GENERAL MANAGER OFFICER (END 06/2023) | 4.00 | 36.00 | $0 | $1,246,301 | $32,580 | Yes (X) | |||
| LEUNG KWAN-MOON | |||||||||
| SVP, CHIEF DATA OFFICER | 2.00 | 38.00 | $790,378 | $0 | $290,566 | Yes (X) | |||
| CRAWLEY-HERBERT LINDSAY | |||||||||
| CHIEF PEOPLE OFFICER | 8.00 | 32.00 | $681,544 | $0 | $335,185 | Yes (X) | |||
| PARVINCHIHA MD PAYAM | |||||||||
| CVP, CHIEF MEDICAL DIRECTOR (BEG 09/2023) | 4.00 | 36.00 | $0 | $675,684 | $227,079 | Yes (X) | |||
| SELBY JILL V | |||||||||
| SVP PRODUCT DEV & MKT EXP | 7.50 | 32.50 | $591,867 | $0 | $57,440 | Yes (X) | |||
| BLEA MICHAEL | |||||||||
| CVP, CHIEF GROWTH OFFICER (BEG 02/2023) | 2.00 | 38.00 | $416,368 | $0 | $145,644 | Yes (X) | |||
| HAWKINS GINETTE | |||||||||
| SVP, CHIEF RISK OFFICER | 8.00 | 32.00 | $420,404 | $0 | $95,275 | Yes (X) | |||
| SHETH DEEPA | |||||||||
| SVP, CORP DEVELOPMENT (BEG 3/23) | 8.00 | 32.00 | $640,414 | $0 | $280,435 | Yes (X) | |||
| HAMMASH MUHANNAD | |||||||||
| CVP, MED POL & CORP SUP | 36.00 | 4.00 | $603,415 | $0 | $215,012 | Yes (X) | |||
| ROSENTHAL OREN | |||||||||
| DEPUTY GEN COUNSEL | 8.00 | 32.00 | $447,826 | $0 | $141,262 | Yes (X) | |||
| DURAN DENNIS M | |||||||||
| VP, INFRA & INFO SEC | 8.00 | 32.00 | $396,678 | $0 | $147,768 | Yes (X) | |||
| PARACHA MOHAMMAD B | |||||||||
| SR DIR ENTERPRISE ANLYTCS | 8.00 | 32.00 | $391,025 | $0 | $97,493 | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $10,681,054 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $9,180,751 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $6,244,348 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 199 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| ACCENTURE LLP | |||||
| 161 N CLARK ST | CHICAGO | IL | 60601 | CONSULTING SERVICES | $5,732,675 |
| CROWELL & MORING LLP | |||||
| PO BOX 75509 | BALTIMORE | MD | 21275 | LEGAL SERVICES | $1,207,724 |
| KILROY REALTY LP | |||||
| 12200 W OLYMPIC BLVD STE 200 | LOS ANGELES | TX | 90064 | MANAGEMENT SERVICES | $713,531 |
| ONICA GROUP | |||||
| 1 FANATICAL PLACE | WINDCREST | TX | 78218 | SOFTWARE SERVICES | $530,129 |
| NBC UNIVERSAL LLC DBA UNIVERSAL CITY ST | |||||
| 100 UNIVERSAL CITY PLAZA | UNIVERSAL CITY | CA | 91608 | ENTERTAINMENT SERVICES | $517,133 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 35 | CntrctRcvdGreaterThan100KCnt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $6,248,353 | TotalRevenueColumnAmt |
| Exclusion | $6,248,353 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $213,038,400 | SecuritiesAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $210,133,327 | SecuritiesAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $2,905,073 | SecuritiesAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $2,905,073 | TotalRevenueColumnAmt |
| Exclusion | $2,905,073 | ExclusionAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $9,153,426 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $0 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $9,153,426 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,356,172 | TotalAmt |
| Program Services | $1,254,408 | ProgramServicesAmt |
| Management And General | $2,101,764 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,254,732 | TotalAmt |
| Program Services | $2,409,608 | ProgramServicesAmt |
| Management And General | $845,124 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $519,326 | TotalAmt |
| Program Services | $258,744 | ProgramServicesAmt |
| Management And General | $260,582 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $215,604 | TotalAmt |
| Program Services | $148,084 | ProgramServicesAmt |
| Management And General | $67,520 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $325,966 | TotalAmt |
| Program Services | $205,602 | ProgramServicesAmt |
| Management And General | $120,364 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,370,694 | TotalAmt |
| Management And General | $1,370,694 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $17,456 | TotalAmt |
| Program Services | $17,456 | ProgramServicesAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1 | TotalAmt |
| Management And General | $1 | ManagementAndGeneralAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $281,537 | TotalAmt |
| Management And General | $281,537 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,662,379 | TotalAmt |
| Program Services | $1,613,212 | ProgramServicesAmt |
| Management And General | $49,167 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,976 | TotalAmt |
| Program Services | $4,086 | ProgramServicesAmt |
| Management And General | $1,890 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $41,159 | TotalAmt |
| Program Services | $14,183 | ProgramServicesAmt |
| Management And General | $26,976 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $14,584 | TotalAmt |
| Program Services | $10,763 | ProgramServicesAmt |
| Management And General | $3,821 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $78,340 | TotalAmt |
| Program Services | $62,099 | ProgramServicesAmt |
| Management And General | $16,241 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $23,786 | TotalAmt |
| Program Services | $20,697 | ProgramServicesAmt |
| Management And General | $3,089 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $12,276 | TotalAmt |
| Program Services | $8,961 | ProgramServicesAmt |
| Management And General | $3,315 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,572 | TotalAmt |
| Program Services | $726 | ProgramServicesAmt |
| Management And General | $2,846 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| FEDERAL, STATE, LOCAL | $141,158 | $140,959 | $199 |
| OTHER | $10,261 | $4,983 | $5,278 |
| DUES AND SUBSCRIPTIONS | $7,588 | $69 | $7,519 |
| ROUNDING | $2 | $2 |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $11,342,569 | TotalAmt |
| Program Services | $6,174,640 | ProgramServicesAmt |
| Management And General | $5,167,929 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -$2,705 | BOYAmt |
| EOY | -$62,442 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $28,086,598 | BOYAmt |
| EOY | $28,826,677 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,251,926 | BOYAmt |
| EOY | $8,363,157 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,335,758 | BOYAmt |
| EOY | $8,425,216 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $75,288,503 | BOYAmt |
| EOY | $58,511,112 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $135,020,874 | BOYAmt |
| EOY | $103,135,722 | EOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $14,239,537 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $19,799,254 | BOYAmt |
| EOY | $15,165,054 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $267,780,208 | BOYAmt |
| EOY | $236,604,033 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $26,969,886 | BOYAmt |
| EOY | $30,738,721 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $23,269,891 | BOYAmt |
| EOY | $16,355,300 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $50,239,777 | BOYAmt |
| EOY | $47,094,021 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows FASB117 | Yes (X) | OrganizationFollowsFASB117Ind |
No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $217,540,431 | BOYAmt |
| EOY | $189,510,012 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $217,540,431 | BOYAmt |
| EOY | $189,510,012 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $267,780,208 | BOYAmt |
| EOY | $236,604,033 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | -$2,189,143 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $7,080,724 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | -$32,922,000 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Supporting Organization509a3 | Yes (X) | SupportingOrganization509a3Ind |
| Supporting Org Type2 | Yes (X) | SupportingOrgType2Ind |
| Supported Organizations | 1 | SupportedOrganizationsCnt |
Supported Org Information SupportedOrgInformationGrp
Supported Organization Name SupportedOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SCAN HEALTH PLAN | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 953858259 | EIN |
| Organization Type | 10 | OrganizationTypeCd |
| Governing Document Listed | Yes (1) | GoverningDocumentListedInd |
| Support | $0 | SupportAmt |
| Other Support | $11,289,950 | OtherSupportAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Supported Organizations Total | 1 | SupportedOrganizationsTotalCnt |
| Support Sum | $0 | SupportSumAmt |
| Other Support Sum | $11,289,950 | OtherSupportSumAmt |
Form990 Sch A Supporting Org Form990SchASupportingOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Listed By Name Governing Doc | Yes (1) | ListedByNameGoverningDocInd |
| Suprt Org No IRS Determination | 0 | SuprtOrgNoIRSDeterminationInd |
| Supported Org Section C456 | 0 | SupportedOrgSectionC456Ind |
| Supported Org Not Organized US | 0 | SupportedOrgNotOrganizedUSInd |
| Organization Change Suprt Org | 0 | OrganizationChangeSuprtOrgInd |
| Support Non Supported Org | Yes (1) | SupportNonSupportedOrgInd |
| Payment Substantial Contribtr | 0 | PaymentSubstantialContribtrInd |
| Loan Disqualified Person | 0 | LoanDisqualifiedPersonInd |
| Controlled Disqualified Prsn | 0 | ControlledDisqualifiedPrsnInd |
| Disqualified Prsn Controll Int | 0 | DisqualifiedPrsnControllIntInd |
| Disqualified Prsn Ownr Int | 0 | DisqualifiedPrsnOwnrIntInd |
| Excess Business Holdings Rules | 0 | ExcessBusinessHoldingsRulesInd |
| Contribution Controller | 0 | ContributionControllerInd |
| Contribution Family | 0 | ContributionFamilyInd |
| Contribution35 Controlled | 0 | Contribution35ControlledInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Majority Dir Trst Supported Org | Yes (1) | MajorityDirTrstSupportedOrgInd |
Form990 Schedule A Part VI Form990ScheduleAPartVIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE A, PART IV, SECTION A, LINE 6: | FormAndLineReferenceDesc |
| Explanation | SCAN GROUP SUPPORTS OR BENEFITS, PERFORMS THE FUNCTIONS OF, AND/OR CARRIES OUT THE PURPOSES OF SCAN HEALTH PLAN. DURING 2023, SCAN GROUP PROVIDED CONTRIBUTIONS TO SCAN HEALTH PLAN NEVADA, SCAN DESERT HEALTH PLAN, SCAN HEALTH PLAN TEXAS, AND SCAN HEALTH PLAN NEW MEXICO, WHICH ENGAGE IN ACTIVITIES THAT ARE CONSISTENT WITH AND COMPLEMENTARY TO, AND THAT FURTHER THE CHARITABLE PURPOSES OF SCAN HEALTH PLAN. | ExplanationTxt |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $0 | TotalBookValueLandBuildingsAmt |
Other Securities OtherSecuritiesGrp (5 entries)
| DescDesc | Book ValueBookValueAmt | Method ValuationMethodValuationCd |
|---|---|---|
| ASSET BACKED | $18,373,982 | F |
| CORPORATE BONDS | $36,931,796 | F |
| MORTGAGE BACKED SECURITIES | $5,726,044 | F |
| US GOV. & AGENCY OBLIGATIONS | $33,363,964 | F |
| PASSIVE INVESTMENTS | $8,739,936 | F |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Securities | $103,135,722 | TotalBookValueSecuritiesAmt |
Other Assets Org OtherAssetsOrgGrp (2 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| SECURITY DEPOSITS | $758,986 |
| OPERATING LEASE RIGHT-OF-USE ASSET | $14,406,068 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $15,165,054 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)
| DescDesc | AmtAmt |
|---|---|
| DEFERRED COMP 457B AND 457F | $4,082,058 |
| DEFERRED LT INCENTIVE COMP PLAN | $299,320 |
| OPERATING LEASE LIABILITIES - NET OF CURRENT PORTION | $11,973,922 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $16,355,300 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
| Total Rev Etc Audited Fincl Stmt | $8,871,889 | TotalRevEtcAuditedFinclStmtAmt |
| Revenue Not Reported | $0 | RevenueNotReportedAmt |
| Revenue Subtotal | $8,871,889 | RevenueSubtotalAmt |
| Investment Expenses Not Incld | $281,537 | InvestmentExpensesNotIncldAmt |
| Revenue Not Reported Fincl Stmt | $281,537 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $9,153,426 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $11,061,032 | TotExpnsEtcAuditedFinclStmtAmt |
| Expenses Not Reported | $0 | ExpensesNotReportedAmt |
| Expenses Subtotal | $11,061,032 | ExpensesSubtotalAmt |
| Investment Expenses Not Incld2 | $281,537 | InvestmentExpensesNotIncld2Amt |
| Expenses Not Rpt Fincl Stmt | $281,537 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $11,342,569 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART X, LINE 2: | FormAndLineReferenceDesc |
| Explanation | THE COMPANY IS RECOGNIZED AS A TAX-EXEMPT 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, 2023, THERE WERE NO LIABILITIES RECORDED FOR UNCERTAIN TAX POSITIONS. THE FEDERAL INCOME TAX RETURN HAS A THREE-YEAR STATUTE OF LIMITATION AND THE CALIFORNIA RETURN HAS A FOUR-YEAR 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 2020 THROUGH 2022, AND STATE INCOME TAX RETURNS ARE SUBJECT TO EXAMINATION FROM 2019 THROUGH 2022. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| Independent Consultant | Yes (X) | IndependentConsultantInd |
| Form990 Of Other Organizations | Yes (X) | Form990OfOtherOrganizationsInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | Yes (1) | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | Yes (1) | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | Yes (1) | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (24 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| JAIN MD SACHIN H | ||||||||||||||
| PRESIDENT & CEO | $0 | $1,021,668 | $0 | $2,245,658 | $0 | $840 | $0 | $1,538,636 | $0 | $16,322 | $0 | $4,823,124 | $0 | $1,761,300 |
| BATRA ROMILLA A | ||||||||||||||
| CHIEF MEDICAL OFFICER (END 09/2023) | $0 | $432,525 | $0 | $661,813 | $0 | $836,505 | $0 | $25,339 | $0 | $7,040 | $0 | $1,963,222 | $0 | $513,784 |
| GOODE JOSH K | ||||||||||||||
| CHIEF INFORMATION OFFICER | $506,236 | $0 | $388,508 | $0 | $499,642 | $0 | $458,240 | $0 | $17,439 | $0 | $1,870,065 | $0 | $864,289 | $0 |
| PLUMB MICHAEL | ||||||||||||||
| CHIEF FINANCIAL OFFICER | $0 | $586,926 | $0 | $489,890 | $0 | $24,432 | $0 | $638,903 | $0 | $27,267 | $0 | $1,767,418 | $0 | $489,890 |
| MONK NANCY J | ||||||||||||||
| CHIEF OPERATIONS OFFICER | $531,804 | $0 | $488,232 | $0 | $108,474 | $0 | $507,768 | $0 | $29,896 | $0 | $1,666,174 | $0 | $568,663 | $0 |
| STANISLAW SHERRY | ||||||||||||||
| GENERAL MANAGER OFFICER (END 06/2023 | $0 | $257,416 | $0 | $531,893 | $0 | $456,992 | $0 | $23,100 | $0 | $9,480 | $0 | $1,278,881 | $0 | $327,446 |
| SCHULTE KAREN H | ||||||||||||||
| PRESIDENT, MEDICARE (BEG 12/2022) | $0 | $497,800 | $0 | $218,656 | $0 | $24,331 | $0 | $467,408 | $0 | $19,057 | $0 | $1,227,252 | $0 | $218,656 |
| LEUNG KWAN-MOON | ||||||||||||||
| SVP, CHIEF DATA OFFICER | $453,115 | $0 | $262,304 | $0 | $74,959 | $0 | $287,864 | $0 | $2,702 | $0 | $1,080,944 | $0 | $311,151 | $0 |
| KROEKER KEVIN B | ||||||||||||||
| SPECIAL COUNSEL (END 07/2023) | $331,937 | $0 | $591,206 | $0 | $94,043 | $0 | $33,230 | $0 | $17,816 | $0 | $1,068,232 | $0 | $493,571 | $0 |
| CRAWLEY-HERBERT LINDSAY | ||||||||||||||
| CHIEF PEOPLE OFFICER | $441,335 | $0 | $216,976 | $0 | $23,233 | $0 | $321,676 | $0 | $13,509 | $0 | $1,016,729 | $0 | $216,976 | $0 |
| SHETH DEEPA | ||||||||||||||
| SVP, CORP DEVELOPMENT (BEG 3/23) | $417,347 | $0 | $200,000 | $0 | $23,067 | $0 | $252,460 | $0 | $27,975 | $0 | $920,849 | $0 | $0 | $0 |
| PARVINCHIHA MD PAYAM | ||||||||||||||
| CVP, CHIEF MEDICAL DIRECTOR (BEG 09/ | $0 | $421,777 | $0 | $230,592 | $0 | $23,315 | $0 | $203,530 | $0 | $23,549 | $0 | $902,763 | $0 | $180,592 |
| HAMMASH MUHANNAD | ||||||||||||||
| CVP, MED POL & CORP SUP | $416,000 | $0 | $162,983 | $0 | $24,432 | $0 | $206,650 | $0 | $8,362 | $0 | $818,427 | $0 | $162,983 | $0 |
| DELPHIN-RODRIGUEZ RENEE C | ||||||||||||||
| CHIEF LEGAL OFFICER & GC (BEG 3/23) | $411,923 | $0 | $0 | $0 | $23,130 | $0 | $372,844 | $0 | $1,404 | $0 | $809,301 | $0 | $0 | $0 |
| SELBY JILL V | ||||||||||||||
| SVP PRODUCT DEV & MKT EXP | $358,023 | $0 | $207,987 | $0 | $25,857 | $0 | $37,220 | $0 | $20,220 | $0 | $649,307 | $0 | $207,987 | $0 |
| ROSENTHAL OREN | ||||||||||||||
| DEPUTY GEN COUNSEL | $309,154 | $0 | $116,423 | $0 | $22,249 | $0 | $138,569 | $0 | $2,693 | $0 | $589,088 | $0 | $0 | $0 |
| BLEA MICHAEL | ||||||||||||||
| CVP, CHIEF GROWTH OFFICER (BEG 02/20 | $301,508 | $0 | $100,000 | $0 | $14,860 | $0 | $115,086 | $0 | $30,558 | $0 | $562,012 | $0 | $0 | $0 |
| DURAN DENNIS M | ||||||||||||||
| VP, INFRA & INFO SEC | $267,708 | $0 | $108,655 | $0 | $20,315 | $0 | $117,782 | $0 | $29,986 | $0 | $544,446 | $0 | $108,655 | $0 |
| HAWKINS GINETTE | ||||||||||||||
| SVP, CHIEF RISK OFFICER | $290,769 | $0 | $120,632 | $0 | $9,003 | $0 | $84,956 | $0 | $10,319 | $0 | $515,679 | $0 | $120,632 | $0 |
| PARACHA MOHAMMAD B | ||||||||||||||
| SR DIR ENTERPRISE ANLYTCS | $241,175 | $0 | $149,400 | $0 | $450 | $0 | $87,042 | $0 | $10,451 | $0 | $488,518 | $0 | $0 | $0 |
| ROSENSTOCK LINDA | ||||||||||||||
| CHAIRPERSON | $165,000 | $35,000 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $165,000 | $35,000 | $0 | $0 |
| JONES BRANDON | ||||||||||||||
| DIRECTOR | $129,000 | $37,500 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $129,000 | $37,500 | $0 | $0 |
| ORTIZ CELESTE | ||||||||||||||
| DIRECTOR | $129,000 | $37,500 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $129,000 | $37,500 | $0 | $0 |
| RUIZ DE LUZURIAGA FRANCESCA | ||||||||||||||
| DIRECTOR | $117,000 | $35,000 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $117,000 | $35,000 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINES 4A-B | PART I, LINE 4A DURING 2023, THE EMPLOYMENT RELATIONSHIP OF THE FOLLOWING EMPLOYEES OF SCAN GROUP AND SCAN HEALTH PLAN ENDED. IN CONNECTION WITH THE TERMINATION OF EMPLOYMENT, SCAN GROUP AND SCAN HEALTH PLAN NEGOTIATED AND PAID SEVERANCE TO THE EMPLOYEES. ROMILLA A BATRA - $ 664,882 SHERRY STANISLAW - $ 401,782 PART I, LINE 4B: SCAN GROUP AND SCAN HEALTH PLAN PROVIDE A SUPPLEMENTAL NON-QUALIFIED RETIREMENT PLAN TO OFFICERS AND SENIOR 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 TO THE FOLLOWING LISTED PERSONS IN PART VII: (2023) ROMILLA BATRA $ 147,674 SHERRY STANISLAW - $ 27,376 KEVIN KROEKER - $ 68,078 JOSH GOODE - $ 475,881 NANCY MONK - $ 80,430 MOON LEUNG - $ 48,847 DEFERRED COMPENSATION FOR 2023, 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 IN 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. |
| PART I, LINE 7 | BEGINNING JANUARY 1, 2023, SCAN GROUP AND SCAN HEALTH PLAN PROVIDED A LONG-TERM INCENTIVE PLAN (LTIP) FOR KEY EMPLOYEES OCCUPYING SENIOR VICE PRESIDENT AND ABOVE. THE INCENTIVE PLAN IS GRANTED ANNUALLY BUT IS BASED ON ORGANZATIONAL PERFORMANCE METRICS OVER A THREE YEAR MEASURMENT PERIOD. PAYMENTS ARE MADE ON OR AROUND APRIL 1 OF THE SUBSEQUENT CALENDAR YEAR OF THE PERFORMANCE PERIOD. THE LTIP IS GOVERNED BY THE COMPENSATION COMMITTEE, WHICH HAS THE AUTHORITY TO APPROVE, AMEND OR TERMINATE ANY PROVISION OF THE LTIP, IN WHOLE OR IN PART, AT ANYTIME WITHOUT CONSENT OF OR PRIOR NOTICE TO ANY PARTICIPANT. AT THE END OF THE PERFORMANCE PERIOD, THE COMPENSATION COMMITTEE WILL SUBMIT ITS RECOMMENDATIONS TO THE BOARD OF DIRECTORS FOR REVIEW AND APPROVAL. |
| SCHEDULE J CEO COMPENSATION | IT IS IMPORTANT TO NOTE THAT SCHEDULE J REFLECTS ALL COMPENSATION THAT THE CEO "EARNED" IN 2023, WHICH INCLUDES INCENTIVE PAYMENTS RELATED TO 2023 THAT WILL BE PAID IN SUBSEQUENT YEARS AND UNVESTED RETIREMENT BENEFITS. SCHEDULE J ALSO INCLUDES COMPENSATION THAT THE CEO "EARNED" IN 2022 THAT WAS PAID IN 2023. FOR AVOIDANCE OF CONFUSION, THE CEO WAS PAID $3,268,166 IN 2023 [COLUMNS (B)(I), (B)(II), (B)(III)], OF WHICH $1,761,300 WAS "EARNED" IN 2022 [COLUMN (F)] AND PAID IN 2023. THE CEO'S "EARNED" COMPENSATION FOR 2023 IS EQUAL TO ROUGHLY $3,061,824, WHICH REPRESENTS COLUMN (E) MINUS COLUMN (F), SINCE COLUMN (F) IS COMPENSATION EARNED IN A PREVIOUS YEAR AND INCLUDED IN A PREVIOUS 990. |
Schedule L IRS990ScheduleL
Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp
Name Of Interested NameOfInterested
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | HEALTHCARE IN ACTION MEDICAL GROUP | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Relationship Description | OWNED BY DR ROMILLA BATRA, MD, THEN DR PAYAM PARVINCHIHA, MD | RelationshipDescriptionTxt |
| Transaction | $18,676 | TransactionAmt |
| Transaction | ADMINISTRATIVE EXPENSE REIMBURSEMENTS PAID BY HEALTHCARE IN ACTION MEDICAL GROUP TO SCAN GROUP | TransactionDesc |
| Sharing Of Revenues | 0 | SharingOfRevenuesInd |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (6 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| 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 REVIEWED 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 GROUP 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 15B | 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 GROUP 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 2023 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 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. THE OUTSIDE COMPENSATION CONSULTANT PROVIDING THE EXECUTIVE COMPENSATION REPORT AND GUIDANCE RELATED TO THE 2023 SALARY PACKAGE WAS SULLIVAN COTTER. |
| FORM 990, PART VI, SECTION C, LINE 19 | SCAN GROUP'S GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY ARE NOT MADE AVAILABLE TO THE PUBLIC. SCAN GROUP MAKES ITS FORM 990, WHICH CONTAINS FINANCIAL INFORMATION, AVAILABLE FOR PUBLIC INSPECTION. |
| FORM 990, PART IX, LINE 11G | OUTSIDE SERVICES: PROGRAM SERVICE EXPENSES 1,613,595. MANAGEMENT AND GENERAL EXPENSES 54,181. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,667,776. LEGAL SETTLEMENT: PROGRAM SERVICE EXPENSES 124. MANAGEMENT AND GENERAL EXPENSES -4,797. FUNDRAISING EXPENSES 0. TOTAL EXPENSES -4,673. MEDICAL SUPPLIES AC: PROGRAM SERVICE EXPENSES 8. MANAGEMENT AND GENERAL EXPENSES 3. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 11. OTHER: PROGRAM SERVICE EXPENSES -515. MANAGEMENT AND GENERAL EXPENSES -220. FUNDRAISING EXPENSES 0. TOTAL EXPENSES -735. |
| FORM 990, PART XI, LINE 9: | CAPITAL CONTRIBUTIONS TO AFFILIATES -43,430,000. DISSOLUTION OF SUBS -3,731,537. GOODWILL (DISREGARDED ENTITY) 14,239,537. |
Schedule R IRS990ScheduleR
Id Disregarded Entities IdDisregardedEntitiesGrp
Disregarded Entity Name DisregardedEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | PREVENT SOLUTIONS LLC | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 3800 KILROY AIRPORT WAY SUITE 100 | AddressLine1Txt |
| City | LONG BEACH | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 90806 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 920516728 | EIN |
| Primary Activities | HOLDING COMPANY | PrimaryActivitiesTxt |
| Legal Domicile State | CA | LegalDomicileStateCd |
| Total Income | $0 | TotalIncomeAmt |
| End Of Year Assets | $64,126,064 | EndOfYearAssetsAmt |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SCAN GROUP | BusinessNameLine1Txt |
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (7 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|---|
| THE SCAN FOUNDATION | ||||||||||
| 3800 KILROY AIRPORT WAY SUITE 100 | LONG BEACH | CA | 90806 | 450552845 | GRANT MAKING | CA | 501(C)(3) | 12B, II | SCAN GROUP | Yes (1) |
| SCAN HEALTH PLAN | ||||||||||
| 3800 KILROY AIRPORT WAY SUITE 100 | LONG BEACH | CA | 90806 | 953858259 | MEDICARE ADVANTAGE | CA | 501(C)(3) | 10 | SCAN GROUP | Yes (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 | Yes (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 | Yes (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 | Yes (1) | |
| HEALTHCARE IN ACTION | ||||||||||
| 3800 KILROY AIRPORT WAY SUITE 100 | LONG BEACH | CA | 90806 | 871858798 | MEDICARE ADVANTAGE | CA | 501(C)(3) | 10 | SCAN GROUP | Yes (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 | Yes (1) | |
Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp
Related Organization Name RelatedOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESIDENTIALIST HOUSECALL LLC | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 4190 CITY AVE STE 528 | AddressLine1Txt |
| City | PHILADELPHIA | CityNm |
| State Abbreviation | PA | StateAbbreviationCd |
| ZIP | 19131 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 474320252 | EIN |
| Primary Activities | HEALTHCARE | PrimaryActivitiesTxt |
| Legal Domicile State | PA | LegalDomicileStateCd |
| Direct Controlling NA | N/A | DirectControllingNACd |
| Disproportionate Allocations | 0 | DisproportionateAllocationsInd |
| General Or Managing Partner | 0 | GeneralOrManagingPartnerInd |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (14 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Direct Controlling NADirectControllingNACd | Entity TypeEntityTypeTxt | Controlled OrganizationControlledOrganizationInd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Share Of Total IncomeShareOfTotalIncomeAmt | Share Of EOY AssetsShareOfEOYAssetsAmt | OwnershipOwnershipPct |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| SCAN HEALTHCHECK ASSESSMENT CENTERS INC | |||||||||||||
| 3800 KILROY AIRPORT WAY SUITE 100 | LONG BEACH | CA | 90806 | 462962358 | HEALTHCARE | CA | N/A | C | Yes (1) | ||||
| HEALTHCARE IN ACTION MEDICAL GROUP | |||||||||||||
| 3800 KILROY AIRPORT WAY SUITE 100 | LONG BEACH | CA | 90806 | 871942811 | HEALTHCARE | CA | N/A | C | Yes (1) | ||||
| WELCOME HEALTH INC | |||||||||||||
| 3800 KILROY AIRPORT WAY SUITE 100 | LONG BEACH | CA | 90806 | 863730275 | MANAGEMENT | CA | C | Yes (1) | SCAN GROUP | -$3,545,627 | $7,845,305 | 1.00000 | |
| WELCOME HEALTH MEDICAL GROUP | |||||||||||||
| 3800 KILROY AIRPORT WAY SUITE 100 | LONG BEACH | CA | 90806 | 872705807 | HEALTHCARE | CA | N/A | C | Yes (1) | ||||
| WELCOME HEALTH OF CALIFORNIA INC | |||||||||||||
| 3800 KILROY AIRPORT WAY SUITE 100 | LONG BEACH | CA | 90806 | 920363899 | HEALTHCARE | CA | C | Yes (1) | WELCOME HEALTH INC | 1.00000 | |||
| THE RESIDENTIALIST GROUP INC | |||||||||||||
| 3800 KILROY AIRPORT WAY SUITE 100 | LONG BEACH | CA | 90806 | 330969912 | MANAGEMENT | CA | C | Yes (1) | SCAN GROUP | $619,785 | $15,043,938 | 1.00000 | |
| HOUSECALLS DOCTORS MEDICAL GROUP INC | |||||||||||||
| 3800 KILROY AIRPORT WAY SUITE 100 | LONG BEACH | CA | 90806 | 043644245 | HEALTHCARE | CA | N/A | C | Yes (1) | ||||
| RESIDENTIALIST HOUSECALL MEDICAL GROUP PC | |||||||||||||
| 4190 CITY AVE SUITE 528 | PHILADELPHIA | PA | 19131 | 474053626 | HEALTHCARE | PA | N/A | C | Yes (1) | ||||
| PROSPER SERVICES LLC | |||||||||||||
| 3800 KILROY AIRPORT WAY SUITE 100 | LONG BEACH | CA | 90806 | 872979343 | MANAGEMENT | DE | C | Yes (1) | SCAN GROUP | $151,377 | $25,970,483 | 0.58330 | |
| MYPLACE GREATER LA PACE INC | |||||||||||||
| 3800 KILROY AIRPORT WAY SUITE 100 | LONG BEACH | CA | 90806 | 881512241 | HEALTHCARE | CA | C | Yes (1) | PROSPER SERVICES LLC | $383,657 | 0.58330 | ||
| MYPLACE SOUTH LA PACE INC | |||||||||||||
| 3800 KILROY AIRPORT WAY SUITE 100 | LONG BEACH | CA | 90806 | 923486437 | HEALTHCARE | CA | C | Yes (1) | PROSPER SERVICES LLC | 0.58330 | |||
| MYPLACE CARE PARTNERS PC | |||||||||||||
| 121 S MOUNTAIN VIEW AVE | LOS ANGELES | CA | 90057 | 932403550 | HEALTHCARE | CA | N/A | C | Yes (1) | ||||
| SCAN CALIFORNIA MANAGEMENT COMPANY | |||||||||||||
| 3800 KILROY AIRPORT WAY SUITE 100 | LONG BEACH | CA | 90806 | 462951831 | MANAGEMENT | CA | C | Yes (1) | SCAN GROUP | 1.00000 | |||
| PREVENT TRG HOLDINGS INC | |||||||||||||
| 3800 KILROY AIRPORT WAY SUITE 100 | LONG BEACH | CA | 90806 | 880965994 | MANAGEMENT | DE | C | Yes (1) | SCAN GROUP | 1.00000 | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | Yes (1) | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | 0 | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | Yes (1) | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | 0 | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | 0 | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | 0 | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | 0 | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | Yes (1) | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | 0 | SharingOfFacilitiesInd |
| Paid Employees Sharing | 0 | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | 0 | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (1) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | 0 | TransferToOtherOrgInd |
| Transfer From Other Org | Yes (1) | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (17 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| SCAN HEALTH PLAN TEXAS INC | ||
| B | $3,900,000 | BOOK VALUE |
| SCAN HEALTH PLAN NEVADA INC | ||
| B | $3,930,000 | BOOK VALUE |
| SCAN DESERT HEALTH PLAN INC | ||
| B | $10,800,000 | BOOK VALUE |
| SCAN HEALTH PLAN NEW MEXICO INC | ||
| B | $4,600,000 | BOOK VALUE |
| PROSPER SERVICES LLC | ||
| B | $12,500,000 | BOOK VALUE |
| THE RESIDENTIALIST GROUP INC | ||
| B | $12,200,000 | BOOK VALUE |
| THE RESIDENTIALIST GROUP INC | ||
| D | $1,000,000 | BOOK VALUE |
| SCAN HEALTH PLAN TEXAS INC | ||
| Q | $346,551 | BOOK VALUE |
| SCAN HEALTH PLAN NEVADA INC | ||
| Q | $796,515 | BOOK VALUE |
| SCAN HEALTH PLAN | ||
| Q | $108,277,247 | BOOK VALUE |
| SCAN DESERT HEALTH PLAN INC | ||
| Q | $1,527,103 | BOOK VALUE |
| HEALTHCARE IN ACTION | ||
| Q | $52,619 | BOOK VALUE |
| WELCOME HEALTH INC | ||
| Q | $252,184 | BOOK VALUE |
| THE SCAN FOUNDATION | ||
| Q | $287,210 | BOOK VALUE |
| SCAN CALIFORNIA MANAGEMENT COMPANY | ||
| S | $63,109 | BOOK VALUE |
| PREVENT TRG HOLDINGS INC | ||
| S | $14,239,537 | BOOK VALUE |
| SCAN HEALTHCHECK ASSESSMENT CENTERS INC | ||
| S | $705,138 | BOOK VALUE |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART V, LINE 2: | FormAndLineReferenceDesc |
| Explanation | 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. | ExplanationTxt |