2022-11-14T03:50:23-06:00 2021-12-31 861065772 DELOITTE TAX LLP 50 SOUTH SIXTH STREET MINNEAPOLIS MN 55402 990 2021-01-01 953858259 SCAN HEALTH PLAN SCAN 5629895100 3800 KILROY AIRPORT WAY 100 LONG BEACH CA 908065616 SACHIN JAIN PRESIDENT & CEO 5629895100 2022-11-02 1 SACHIN JAIN 999009999 ANNA KOLAKALURI P01275237 6123974000 3 AAL1 IAL1 2021 2022-09-23 18:48:47Z SACHIN JAIN 3800 KILROY AIRPORT WAY 100 LONG BEACH CA 908065616 3779997194 0 X WWW.SCANHEALTHPLAN.COM X 1983 CA KEEP SENIORS HEALTHY AND INDEPENDENT. 11 10 1305 86 0 0 3928194 3942238 3401067288 3444727516 8983546 57545469 4156 34931 3413983184 3506250154 1766625 3382620 0 0 116270751 121729590 0 0 0 3229429504 3327660298 3347466880 3452772508 66516304 53477646 747398823 860743592 196270996 290721921 551127827 570021671 X KEEP SENIORS HEALTHY AND INDEPENDENT. 0 0 3343116207 84637 3444727516 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 WITH FUNCTIONAL DEFICITS.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 AND SEEK TO ENSURE:- A SAFE AND SATISFYING HEALTH CARE EXPERIENCE- IMPROVED HEALTH OUTCOMES FOR INDIVIDUALS AND POPULATIONS- ACCESS AND AFFORDABILITY FOR OUR MEMBERSIN 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, SOCIALWORKERS, 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 2021 THE SCAN FOUNDATION AWARDED GRANTS IN THE AMOUNT OF $5,195,388 AND INCURRED PROGRAM EXPENSES IN THE AMOUNT OF $8,412,822IN 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 A NUMBER OF OTHER ORGANIZATIONS AS WELL. 16956391 3297983 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.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 IN-HOME MENTAL HEALTH SUPPORT.- COMMUNITY MEDICATION, EDUCATION, DATA & SAFETY (CMEDS): IN-HOME MEDICATION SAFETY AND ADHERENCE PROGRAM.- CAREGIVERS & OLDER ADULTS CONNECTED AND HEALTHY (COACH): IN-HOME CARE MANAGEMENT FOR SENIORS AND/OR THEIR CAREGIVERS.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 COMMITTEE IDENTIFIES ORGANIZATIONS WHO'S 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 OUTREACH, 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 GROUP 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 THE MANAGER, COMMUNITY OUTREACH AND GIVING, 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 A NINE-MEMBER COMMITTEE REPRESENTATIVE OF ALL LEVELS OF MANAGEMENT AND CHAIRED BY THE VICE-PRESIDENT OF INDEPENDENCE AT HOME (IAH). 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 OUTREACH AND 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 OUTREACH AND GIVING, REVIEWS EACH APPLICATION AND DISCUSSES CRITERIA WITH THE IAH VICE PRESIDENT AND COMMUNITY OUTREACH TEAM, 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 EACH APPROVED GRANT, 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 EXCELERATE WITH THE COMMITTEE REVIEWING AND APPROVING REQUESTS MORE FREQUENTLY. 3360072598 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 0 0 0 0 0 0 1 1 1 1 0 1 3146 0 1 1305 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 SACHIN JAIN PRESIDENT & CEO 30.00 10.00 X X 2232612 0 1655096 LINDA ROSENSTOCK CHAIRPERSON 0.83 7.47 X 0 127000 0 CELESTE ORTIZ DIRECTOR 0.63 5.67 X 0 102000 0 CHERYL PHILLIPS DIRECTOR 0.55 4.95 X 0 95000 0 FRANCESCA RUIZ DE LUZURIAGA DIRECTOR 0.55 4.95 X 0 95000 0 JENNIE CHIN HANSEN DIRECTOR 0.55 4.95 X 0 95000 0 ROSEMARY TURNER DIRECTOR 0.55 4.95 X 0 95000 0 BRANDON JONES DIRECTOR 0.58 5.22 X 0 87000 0 COLLEEN CAIN DIRECTOR 0.58 5.22 X 0 87000 0 ANDREW ALLOCCO DIRECTOR 0.50 4.50 X 0 80000 0 ROSEMARY ELLIS DIRECTOR 0.50 4.50 X 0 80000 0 JANET KORNBLATT END 122021 GENERAL COUNSEL 32.00 8.00 X 0 1843223 44909 ROMILLA BATRA CHIEF MEDICAL OFFICER 32.00 8.00 X 1211524 0 423584 NANCY MONK CHIEF OPERATIONS OFFICER 32.00 8.00 X 0 1030449 582210 JOSH GOODE CHIEF INFORMATION OFFICER 32.00 8.00 X 0 899781 452919 SHERRY STANISLAW GENERAL MANAGER OFFICER 30.00 10.00 X 789504 0 368680 MICHAEL PLUMB CHIEF FINANCIAL OFFICER 30.00 10.00 X 504077 0 543307 KEVIN KROEKER BEG 72021 SECRETARY/GENERAL COUNSEL 30.00 10.00 X 0 411087 257578 LINDSAY CRAWLEY-HERBERT BEG 42021 CHIEF PEOPLE OFFICER 32.00 8.00 X 0 343513 176987 DAVID MILLIGAN END 42021 SVP SALES 36.00 4.00 X 1152726 0 26656 KWAN-MOON LEUNG SVP CHIEF DATA OFFICER 40.00 0.00 X 0 796164 288953 ADRIENNE MORRELL END 22021 SVP PUBLIC & GOVT AFFAIRS 32.00 8.00 X 0 959559 23987 EVE GELB SVP MBR&COMMUNITY HEALTH 40.00 X 597192 0 253744 JILL SELBY SVP PRODUCT DEV & MKT EXP 30.00 10.00 X 0 549287 262210 ANDREW WHITELOCK SVP CHIEF RISK EXECUTIVE 32.00 8.00 X 0 537225 36171 DAN OSTERWEIL END 102021 MEDICAL DIRECTOR 36.00 4.00 X 574818 50000 300572 SHARONJIT JHAWAR CVP, CHIEF PHARMACY OFFICER 36.00 4.00 X 605361 0 210159 VIRGINIA HAVAI VP, CONTROLLER 30.00 10.00 X 475987 0 179684 HANS ECKARDT END 122021 CVP, MARKETING 40.00 X 526512 0 33652 TERENCE OFFENBERGER END 12021 MEDICAL DIRECTOR 40.00 X 491309 0 13076 9161622 8363288 6134134 277 0 1 0 EXPRESS SCRIPTS INC ONE EXPRESS WAY ST LOUIS MO 63121 MEDICAL SERVICES 682641686 DAVITA HEALTHCARE PARTNERS PLAN INC 2175 PARK PLACE EL SEGUNDO CA 90245 MEDICAL SERVICES 631062288 HERITAGE PROVIDER NETWORK 777A FLOWER ST GLENDALE CA 91201 MEDICAL SERVICES 355518838 PRIMECARE MEDICAL NETWORK 3990 CONCOURSE STE 500 ONTARIO CA 91764 MEDICAL SERVICES 236064395 MONARCH HEALTH PLAN 7 TECHNOLOGY DR IRVINE CA 92618 MEDICAL SERVICES 148708797 91 3942238 3942238 MEDICARE PREMIUMS 900099 3380564388 3380564388 MEDI-CAL PREMIUMS 900099 64163128 64163128 3444727516 7489939 7489939 323802570 273747040 50055530 50055530 50055530 OTHER REVENUE 900099 34931 34931 34931 3506250154 3444727516 0 57580400 X 3354187 3354187 28433 28433 6487636 3762828 2724808 90439475 70081274 20358201 7989101 6060317 1928784 10266315 8109371 2156944 6547063 5031811 1515252 24284 24284 429723 36943 392780 1088414 1088414 897051 897051 3140368949 3128943148 11425801 17613331 17580116 33215 2561139 2443496 117643 2379625 651283 1728342 598490 581759 16731 432891 265896 166995 109912 81821 28091 4181250 3029594 1151656 44041 44041 ALLOC TO/FROM AFFL 100476065 53829174 46646891 BROKER COMMISSIONS 55440639 55440639 FEDERAL, STATE, COUNTY 320469 218138 102331 DUES AND SUBSCRIPTIONS 300390 227886 72504 393635 246159 147476 3452772508 3360072598 92699910 0 -3623447 -4699611 188167796 240039190 152826171 220818804 2855155 2726566 73296391 59543673 13174383 13752718 132721729 129174446 260977036 258631479 300000 300000 747398823 860743592 187077460 278926611 0 3132331 5100627 6061205 6694683 196270996 290721921 X 551127827 570021671 551127827 570021671 747398823 860743592 53477646 -34583802 0 X 0 1 X 1 1 1 X 3557140 3367909 3510542 3928194 3942238 18306023 2563219473 2717815709 3081294600 3401067288 3444727516 15208124586 2566776613 2721183618 3084805142 3404995482 3448669754 15226430609 0 0 0 15226430609 7473513 8686929 10394722 8483431 7489939 42528534 7473513 8686929 10394722 8483431 7489939 42528534 1791 10945 39 34931 47706 2574250126 2729872338 3095210809 3413478952 3456194624 15269006849 0.99720 0.99700 0.00280 0.00300 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. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 1 238110 0 1 850304 1088414 0 PART II-B LOBBYING EXPENSES REPRESENT SCAN'S ADVOCACY ON BEHALF OF THE SENIORS WE SERVE. THEY INCLUDE EMPLOYEE SALARIES, OUTSIDE COUNSEL FEES, CONSULTING FEES, AND TRADE ASSOCIATION DUES ATTRIBUTABLE TO DIRECT FEDERAL AND STATE LOBBYING. SCAN WORKS TO INCREASE AWARENESS OF THE UNIQUE NEEDS OF THE SENIORS AND TO ENHANCE THE PROGRAMS THAT WILL HELP THEM MAINTAIN THEIR INDEPENDENCE AND REMAIN IN THEIR HOMES AND COMMUNITIES FOR AS LONG AS POSSIBLE. 27724012 22552725 5171287 16579677 15011101 1568576 28992702 21979847 7012855 13752718 US GOVERNMENT & AGENCY OBLIGATIONS 51279914 F CORPORATE BONDS 64140733 F ASSET-BACKED SECURITIES 30824335 F MORTGAGE-BACKED SECURITIES 100608591 F COMMINGLED FUNDS 11777906 F 258631479 DEFERRED COMP 457 LIABILITY 6670683 DEFERRED LIABILITY AMEX 24000 6694683 X 3470769298 -34583805 -34583805 3505353103 897051 897051 3506250154 3451875457 0 3451875457 897051 897051 3452772508 PART X, LINE 2: 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, 2021 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 2018 THROUGH 2020 AND STATE INCOME TAX RETURNS ARE SUBJECT TO EXAMINATION FROM 2017 THROUGH 2020. 1 ABRAZAR INC 7101 WYOMING STREET WESTMINSTER CA 92683 330301538 501(C)(3) 25000 0 FUNDING FROM SCAN HEALTH PLAN WILL SUPPORT CONTINUED COVID VACCINE OUTREACH TO DIVERSE OLDER ADULT POPULATIONS. 2,000 ADULTS AGE 55+ WILL BE REACHED AND/OR VACCINATED IN ORANGE COUNTY. AGINGNEXT 141 SPRING STREET CLAREMONT CA 91711 953100466 501(C)(3) 15000 0 FUNDING FROM SCAN TO UNDERWRITE PERSONNEL TIME AS PART OF THE OF AGINGNEXT'S MEMORY CARE CENTER, GRANT WILL SUPPORT DIRECT SERVICES AND SOCIAL SUPPORT. JEWISH COMMUNITY CENTER OF LONG BEACH (ALPERT JEWISH COMMUNITY CENTER) 3801 E WILLOW STREET LONG BEACH CA 90815 952280871 501(C)(3) 10000 0 FUNDING FROM SCAN WILL HELP UNDERWRITE 1,425 HOME DELIVERED MEALS FOR 160 ADULTS AGE 55+ IN THE GREATER LONG BEACH AREA. ALTAMED HEALTH SERVICES CORPORATION 2040 CAMFIELD AVENUE LOS ANGELES CA 90040 952810095 501(C)(3) 50000 0 A GRANT FROM SCAN WILL PROVIDE STAFFING SUPPORT FOR A PATIENT NAVIGATOR TO PROVIDE OLDER ADULT OUTREACH, EDUCATION AND SCHEDULING OF COVID VACCINATION APPOINTMENTS. ALZHEIMER'S FAMILY SERVICES CENTER (ALZHEIMER'S FAMILY CENTER) 9451 INDIANAPOLIS AVENUE HUNTINGTON BEACH CA 92646 953463975 501(C)(3) 20000 0 A GRANT FROM SCAN WILL BE USED TO COVER THE COST OF UP TO EIGHT SESSIONS OF COUNSELING PER PERSON, FREE OF CHARGE, FOR FAMILY CAREGIVERS WITH A LOVED ONE WHO HAS A DIAGNOSIS OF ALZHEIMER'S DISEASE OR ANOTHER DEMENTIA. ALZHEIMER'S GREATER LOS ANGELES (ALZHEIMER'S LOS ANGELES) 4221 WILSHIRE BLVD SUITE 400 LOS ANGELES CA 90010 953718119 501(C)(3) 20000 0 SCAN FUNDING WILL SUPPORT PARTIAL STAFFING EXPENSES FOR TWO DIRECT SERVICE PERSONNEL THAT WILL SERVE 50 LOW-INCOME AND ETHNICALLY DIVERSE FAMILY CAREGIVERS AND PERSONS WITH DEMENTIA. ALZHEIMER'S ORANGE COUNTY 2515 MCCABE WAY SUITE 200 IRVINE CA 92614 953702013 501(C)(3) 25000 0 SCAN FUNDING WILL SUPPORT PROGRAMMING AT ALZHEIMER'S ORANGE COUNTY'S TWO ADULT DAY HEALTH CARE CENTERS; TURNING SILVER INTO GOLD SPONSORSHIP. ANTELOPE VALLEY PARTNERS FOR HEALTH 44226 10TH STREET WEST LANCASTER CA 93534 470957404 501(C)(3) 20000 0 FUNDING FROM SCAN WILL HELP TO FUND SENIOR NUTRITION EFFORTS TO COVER NUTRITION PROGRAM SHORTAGES. THE GRANT WILL UNDERWRITE DIRECT PROGRAMMATIC AND FOOD COSTS NEEDED TO PROVIDE 1,200 MEALS AND 240 GROCERY BAGS. CANCER SUPPORT COMMUNITY SAN FRANCISCO BAY AREA 3276 MCNUTT AVENUE WALNUT CREEK CA 94597 680157858 501(C)(3) 20000 0 A GRANT FROM SCAN WILL PROVIDE EMERGENCY FINANCIAL GRANTS AND FOOD CARDS TO LOW INCOME CANCER PATIENTS OVER THE AGE OF 55 IN NAPA, SONOMA, SAN FRANCISCO, AND SANTA CLARA COUNTIES. CERES COMMUNITYPROJECT 7351 BODEGA AVENUE SEBASTOPOL CA 95472 262250997 501(C)(3) 25000 0 FUNDING FROM SCAN WILL UNDERWRITE A TOTAL OF 7,077 MEDICALLY-TAILORED MEALS FOR ADULTS AGE 55+. CHINESE AMERICAN COALITION FOR COMPASSIONATE CARE PO BOX 276 CUPERTINO CA 95015 260895114 501(C)(3) 10000 0 COVID EMERGENCY ASSISTANCE GRANT WILL HELP REACH APPROXIMATELY 1,800 CHINESE AMERICAN OLDER ADULTS AGE 55+ AND FAMILY CAREGIVERS IN SCAN'S SERVICE AREAS. FUNDING TO SUPPORT DELIVERY OF DIFFERENT VIRTUAL EDUCATION/SUPPORT REQUESTED BY THE CHINESE AMERICAN COMMUNITY. COMMUNITY ACTION OF NAPA VALLEY 2521 OLD SONOMA ROAD NAPA CA 94558 941610851 501(C)(3) 15000 0 FUNDING FROM SCAN TO UNDERWRITE APPROXIMATELY 5,000 HOME DELIVERED MEALS. COMMUNITY ACTION PARTNERSHIP OF ORANGE COUNTY 11870 MONARCH STREET GARDEN GROVE CA 92841 952452787 501(C)(3) 25000 0 FUNDING FROM SCAN WILL HELP UNDERWRITE DIRECT SERVICE AND PERSONNEL COSTS NEEDED TO PROVIDE FOOD/NUTRITION ASSISTANCE AND VITAL SUPPORT INCLUDING RENTAL ASSISTANCE, UTILITY ASSISTANCE APPROXIMATELY 300 SENIORS. COMMUNITY ACTION PARTNERSHIP OF SAN BERNARDINO COUNTY 696 SOUTH TIPPECANOE AVENUE SAN BERNARDINO CA 92408 952376882 501(C)(3) 25000 0 FUNDING FROM SCAN WILL CREATE A COVID-19 SENIOR EMERGENCY ASSISTANCE FUND TO PROVIDE DIRECT ASSISTANCE TO LOW-INCOME ADULTS AGE 55+ WHO ARE EXPERIENCING UNEXPECTED EXPENSES IN THE AREAS OF 1) NUTRITION ASSISTANCE AND 2) HOUSING ASSISTANCE. COMMUNITY CLINIC ASSOCIATION OF LOS ANGELES COUNTY 445 S FIGUEROA STREET SUITE 2100 LOS ANGELES CA 90071 954576023 501(C)(3) 30000 0 FUNDING TO ALLOW CCALAC TO EXTEND THE COVID PREVENTION AND COVID VACCINE MESSAGING AND COMMUNICATION TOOLS TO HEALTH CENTER PATIENTS. AS PART OF THE GRANT, CCALAC WILL HOST CLINIC STAFF TRAININGS, TRAIN THE TRAINER SESSIONS AND CONDUCT OTHER OUTREACH. COMMUNITY HEALTH ACTION NETWORK 15000 7TH STREET STE 208-G VICTORVILLE CA 92395 264255673 501(C)(3) 15000 0 FUNDING FROM SCAN WILL SUPPORT NUTRITION/HEALTH EDUCATION AND FOOD DISTRIBUTION TO APPROXIMATELY 960 ADULTS AGE 55+ IN ADELANTO, VICTORVILLE AND HESPERIA IMPACTED BY THE PANDEMIC AND FOOD INSECURITY. EL SOL NEIGHBORHOOD EDUCATIONAL CENTER 766 NORTH WATERMAN AVE SAN BERNARDINO CA 92374 330552297 501(C)(3) 15000 0 FUNDING FROM SCAN WILL SUPPORT EL SOL'S EFFORTS TO PROMOTE RECOVERY AND RESILIENCE IN LOW-INCOME AND VULNERABLE SENIOR AND MULTIGENERATIONAL HOUSEHOLDS BY DEVELOPING A COVID-19 RESILIENCE AND RECOVERY PROGRAM (CRRP). FEEDING SAN DIEGO 9455 WAPLES STREET SUITE 135 SAN DIEGO CA 92121 260457477 501(C)(3) 20000 0 FUNDING FROM SCAN WILL HELP COVER DIRECT FOOD COSTS, INCLUDING HEALTHY SHELF-STABLE FOOD AND FRESH PRODUCE, TO MEET THE INCREASED NEEDS OF OLDER ADULTS BEING SERVED. FOOD FOR THOUGHT PO BOX 1608 FORESTVILLE CA 95436 680181095 501(C)(3) 15000 0 FUNDING FROM SCAN WILL UNDERWRITE 4,688 MEALS FOR OLDER ADULTS (AGE 55+) LIVING IN SONOMA COUNTY. FOOD SHARE 4156 SOUTHBANK ROAD OXNARD CA 93036 770018162 501(C)(3) 20000 0 FOOD SHARE IS REQUESTING FUNDING FROM SCAN TO UNDERWRITE 2,500 PRODUCE BOXES UNDER THE SENIOR KIT PROGRAM/COMMODITY SUPPLEMENTAL FOOD PROGRAM (CSFP) INITIATIVE. HELPING HAND WORLDWIDE 31121 HOLLY DRIVE LAGUNA BEACH CA 92651 753164621 501(C)(3) 15000 0 SCAN FUNDING WILL BE USED TO SUPPORT INCREASED STAFFING, FUEL COSTS INVOLVED IN THE TRANSPORTATION OF FOOD FOR SENIORS, AND ESSENTIAL SUPPLIES. HOPE THROUGH HOUSING FOUNDATION 9421 HAVEN AVE RANCHO CUCAMONGA CA 91730 330802554 501(C)(3) 10000 0 FUNDING TO SUPPORT AN EMERGENCY ASSISTANCE FUND TO PROVIDE ONE TIME EMERGENCY SUPPORT TO LOW-INCOME OLDER ADULTS WHO ARE FACED WITH UNEXPECTED CIRCUMSTANCES AND/OR EXPENSES. HUMAN OPTIONS INC PO BOX 53745 IRVINE CA 92619 953667817 501(C)(3) 15000 0 GRANT TO SUPPORT THE SAFE OPTIONS FOR SENIORS (SOS) PROGRAM. SOS PROVIDES SUPPORT GROUPS, RESOURCE NAVIGATION AND INDIVIDUALIZED THERAPY TO VICTIMS OF DOMESTIC VIOLENCE AND ABUSE. INSTITUTE ON AGING 3575 GEARY BLVD SAN FRANCISCO CA 94115 942978977 501(C)(3) 25000 0 TO SUPPORT THE EXPANSION OF THE SPANISH-LANGUAGE FRIENDSHIP LINE, FUNDING FROM SCAN WILL HELP UNDERWRITE A PART-TIME BILINGUAL ENGLISH/SPANISH COUNSELOR. JAMBOREE HOUSING CORPORATION 17701 COWAN AVE 200 IRVINE CA 92614 330413518 501(C)(3) 15000 0 FUNDING TO SUPPORT A PUBLIC HEALTH NURSE ABLE TO ASSIST DIVERSE RESIDENTS OF JAMBOREE'S 55+ HOUSING COMMUNITIES THROUGHOUT SOUTHERN CALIFORNIA. JEWISH FAMILY & CHILDREN'S SERVICE OF LONG BEACH & WEST ORANGE COUNTY 3801 E WILLOW STREET LONG BEACH CA 90815 952273033 501(C)(3) 15000 0 SCAN FUNDING WILL BE UTILIZED TO UNDERWRITE DIRECT SERVICE STAFF TIME TO SUPPORT THE OLDER ADULT SERVICES PROGRAM BENEFITING 55-65 ADULTS AGE 55+ IN THE GREATER LONG BEACH AREA. A PORTION OF THE GRANT WILL PROVIDE ADDITIONAL EMERGENCY FINANCIAL ASSISTANCE. JEWISH FAMILY SERVICE OF THE DESERT 490 SOUTH FARRELL DRIVE SUITE C208 PALM SPRINGS CA 92262 330613083 501(C)(3) 20000 0 A GRANT FROM SCAN WILL PROVIDE EMERGENCY FINANCIAL ASSISTANCE TO COACHELLA VALLEY SENIORS LIVING ON FIXED, LOW INCOMES WHO REQUIRE SUPPORT FOR NECESSITIES. KHEIR CLINIC 3727 W 6TH STREET SUITE 210 LOS ANGELES CA 90020 954074660 501(C)(3) 35000 0 FUNDING FROM SCAN WILL HELP WITH COSTS NEEDED TO SUPPORT KHEIR'S ADHC TRANSPORTATION PROGRAM. THE GRANT WILL SUPPORT POINT-TO-POINT TRANSPORTATION SERVICES TO AND FROM THE ADHC CENTER. LATINAS CONTRA CANCER 25 N 14TH STREET 670 SAN JOSE CA 95112 562412069 501(C)(3) 15000 0 FUNDING TO SUPPORT UP TO 28 OLDER ADULT CLIENTS (AGE 55+) AND FAMILY CAREGIVERS WITH ONE-TIME EMERGENCY ASSISTANCE. LATINO HEALTH ACCESS (LATINO CENTER FOR PREVENTION AND ACTION IN HEALTH) 450 WEST 4TH STREET SANTA ANA CA 92701 330562943 501(C)(3) 20000 0 GRANT TO SUPPORT OLDER ADULT OUTREACH THROUGH LHA'S PROMOTERS AS PART OF THEIR COVID-19 RECOVERY PHASE. THE GRANT WILL SUPPORT EFFORTS TO REENGAGE COMMUNITY AROUND CHRONIC DISEASE MANAGEMENT, MENTAL HEALTH, AND HEALTH CARE ACCESS. MEALS ON WHEELS SAN FRANCISCO INC 1375 FAIRFAX AVENUE SAN FRANCISCO CA 94124 941741155 501(C)(3) 25000 0 GRANT TO SUPPORT DIRECT FOOD COSTS NEEDED TO UNDERWRITE 5,000 MEALS FOR OLDER ADULTS AGES 55+ IN NEED OF HOME DELIVERED MEALS. MENTAL HEALTH AMERICA OF LOS ANGELES 200 PINE AVENUE SUITE 400 LONG BEACH CA 90802 951881491 501(C)(3) 10000 0 FUNDING FROM SCAN WILL PROVIDE: 1) MEDICAL EQUIPMENT TO SUPPORT AGING IN PLACE (WHEELCHAIRS, WALKERS, HOME/SAFETY EQUIPMENT) AND 2) TRANSPORTATION TO COVID VACCINATION AND/OR BOOSTER APPOINTMENTS. ONEGENERATION 17400 VICTORY BLVD VAN NUYS CA 91406 954066979 501(C)(3) 25000 0 FUNDING FROM SCAN WILL HELP COVER A FUNDING GAP NEEDED TO RE-ESTABLISH ON SITE IN PERSON PROGRAMING, SUPPORT PERSONNEL EXPENSES, AND PURCHASE PPE AND ESSENTIAL SUPPLIES TO PROVIDE SAFE PROGRAMMING FOR ADC CLIENTS. ENRICHING LIVES WEEK SPONSORSHIP, MAY 2021. PROJECT ANGEL FOOD 922 VINE STREET LOS ANGELES CA 90038 954115863 501(C)(3) 25000 0 GRANT FUNDING FROM SCAN WILL DIRECTLY SUPPORT THE FOOD, PACKAGING, LABOR, AND TRANSPORTATION COSTS FOR THE DELIVERY OF 5,203 MEDICALLY TAILORED MEALS TO OLDER ADULTS (AGE 55+). PROJECT OPEN HAND 730 POLK STREET SAN FRANCISCO CA 94109 943023551 501(C)(3) 20000 0 FUNDING TO COVER DIRECT PROGRAMMING EXPENSES IN THE PREPARATION AND DELIVERY OF MEDICALLY-TAILORED MEALS AND GROCERY BAGS TO APPROXIMATELY 200 OLDER ADULTS LIVING WITH A CANCER DIAGNOSIS IN SAN FRANCISCO. SECOND HARVEST FOOD BANK OF ORANGE COUNTY INC 8014 MARINE WAY IRVINE CA 92618 320362611 501(C)(3) 20000 0 FUNDING TO PURCHASE FOOD TO SUPPORT SECOND HARVEST'S SENIOR HUNGER STRATEGY. BOXES OF FOOD WILL BE DELIVERED THROUGH COORDINATED DISTRIBUTION EFFORTS AT SENIOR APARTMENT COMPLEXES, AS WELL AS THROUGH DRIVE-THRU AND WALK-UP EVENTS AT SENIOR CENTERS. SERVING SENIORS 525 14TH STREET STE 200 SAN DIEGO CA 92101 952850121 501(C)(3) 30000 0 FUNDING FROM SCAN TO UNDERWRITE 4,720 MEALS TO HOMEBOUND SENIORS OVER A THREE-MONTH PERIOD. A PORTION OF THE GRANT WILL ALSO SUPPORT DIRECT STAFFING COSTS FOR SOCIAL SERVICE COORDINATORS. THE HEALTH TRUST 3180 NEWBERRY DRIVE SUITE 200 SAN JOSE CA 95118 946050231 501(C)(3) 25000 0 FUNDING FROM SCAN WILL UNDERWRITE FRIENDS OF MEALS ON WHEELS PROGRAMMING FOR 25 CLIENTS TO REDUCE SOCIAL ISOLATION. COVE COMMUNITIES SENIOR ASSOCIATION (DBA THE JOSLYN CENTER) 73-750 CATALINA WAY PALM DESERT CA 92260 953622332 501(C)(3) 25000 0 FUNDING FROM SCAN WILL UNDERWRITE DIRECT FOOD COSTS FOR OLDER ADULT CLIENTS THROUGH THE FOLLOWING PROGRAMS: MEALS ON WHEELS, PENNY'S FOOD PANTRY AND THEIR FARMER'S MARKET. ONE IN LONG BEACH INC (THE LGBTQ CENTER LONG BEACH) 2017 E 4TH STREET LONG BEACH CA 90814 953523149 501(C)(3) 25000 0 SCAN TO SUPPORT THE CONTINUATION OF SAFETY NET AND SOCIALIZATION SERVICES FOR A PROJECTED 1,650 LGBTQ OLDER ADULTS (AGE 55+). THE LGBTQ COMMUNITY CENTER OF THE DESERT 1301 N PALM CANYON DRIVE PALM SPRINGS CA 92262 330937301 501(C)(3) 10000 0 FUNDING FROM SCAN TO UNDERWRITE EXISTING SENIOR SERVICES AND FOOD BANK STAFF TO SUPPORT THE TRANSITION TO A HYBRID VIRTUAL/IN-PERSON MODEL. CENTER STAGE SPONSORSHIP TURLOCK GOSPEL MISSION 437 S BROADWAY TURLOCK CA 95380 208660068 501(C)(3) 10000 0 FUNDING FROM SCAN WILL ALLOW TURLOCK GOSPEL MISSION TO START A DEDICATED EMERGENCY ASSISTANCE FUND TO SUPPORT LOW-INCOME ADULTS AGE 55+ IN MAINTAINING THEIR HOUSING AND HEALTH. UNITED AMERICAN INDIAN INVOLVEMENT 1125 W 6TH STREET SUITE 103 LOS ANGELES CA 90032 952917933 501(C)(3) 35000 0 FUNDING FROM SCAN WILL HELP WITH THE ENROLLMENT OF 30 ADULTS AGES 55+ IN THE "LEARN 2 EARN" JOB SKILLS TRAINING AND FINANCIAL MANAGEMENT PROGRAM. A PORTION OF THE GRANT WILL ALSO BE USED FOR COVID VACCINE COMMUNITY EDUCATION EFFORTS. VENICE FAMILY CLINIC 604 ROSE AVENUE VENICE CA 90291 952769432 501(C)(3) 25000 0 FUNDING FROM SCAN WILL SUPPORT AND EXPAND SERVICES TO ADULTS AGE 55+ IN TWO CRITICAL AREAS: 1) COVID VACCINATION OUTREACH WHERE SCAN FUNDING WILL BE UTILIZED TO SUPPORT 500+ OLDER ADULT (AGE 55+) PATIENTS AND 2) FOOD INSECURITY. WATTS LABOR COMMUNITY ACTION COMMITTEE (WLCAC) 10950 S CENTRAL AVENUE LOS ANGELES CA 90059 952412869 501(C)(3) 36450 0 FUNDING FROM SCAN WILL PROVIDE: 1) TWO LARGE SENIOR HOUSING SITES IN COMPTON WITH MEALS (LUNCH) FOR 60 SENIORS PER DAY M-F FOR 12 WEEKS (APPROX. 3,600 MEALS); 2) UNDERWRITE DIABETES WORKSHOPS; AND 3) SUPPORT COVID-19 VACCINE EDUCATION EFFORTS. HELP ME HELP YOU 1301 W 12TH STREET LONG BEACH CA 90813 710898124 501(C)(3) 6000 0 FUNDING FROM SCAN WILL BE USED TO SUPPORT THE CONTINUED NEED FOR DELIVERING CULTURALLY APPROPRIATE GROCERIES TO VULNERABLE, HOMEBOUND OLDER ADULT FOR UP TO SIX MONTHS. AMERICAN HEART ASSOCIATION INC 7272 GREENVILLE AVE DALLAS TX 75231 135613797 501(C)(3) 125000 0 SOCIAL SUPPORT CIRCLES & GO RED FOR WOMEN SPONSORSHIP - YEAR 1 OF 3 AMERICAN SOCIETY ON AGING 575 MARKET STREET SUITE 2100 SAN FRANCISCO CA 94105 942292868 501(C)(3) 7000 0 ON AGING 2021 CONFERENCE SPONSORSHIP CHAPMAN UNIVERSITY ONE UNIVERSITY DRIVE ORANGE CA 92866 951643992 501(C)(3) 45000 0 PHARMACY SCHOOL RESIDENCY COMMUNITY CLINIC ASSOCIATION OF LOS ANGELES COUNTY 445 S FIGUEROA STREET SUITE 2100 LOS ANGELES CA 90071 954576023 501(C)(3) 10000 0 ANNUAL HEALTH CARE SYMPOSIUM SPONSORSHIP CSULB 49ER FOUNDATION CO 49ER FOUNDATION 6300 E STATE UNIVERSITY DRIVE SUITE 332 LONG BEACH CA 90815 452163910 501(C)(3) 52500 0 2022 SCHOLARSHIP FOR THE HEALTH AND INDEPENDENCE OF SENIORS NBC CONSULTING INC DBA PACIFIC HEALTH AND WELLNESS 2110 ARTESIA BLVD SUITE 323 REDONDO BEACH CA 90278 200794708 501(C)(3) 17865 0 VENDOR FOR COMMUNITY FLU CLINIC EVENTS HEALTHCARE IN ACTION 3800 KILROY AIRPORT WAY STE 100 LONG BEACH CA 90806 871858798 501(C)(3) 2000000 0 FUNDING FROM SCAN HEALTH PLAN FOR COMMUNITY OUTREACH FOR UNHOUSED. THE REGENTS OF THE UNIVERSITY OF CALIFORNIA LOS ANGELES DBA UCLA 10920 WILSHIRE BLVD 5TH FLOOR LOS ANGELES CA 90024 956006143 501(C)(3) 25000 0 37TH ANNUAL UCLA INTENSIVE COURSE IN GERIATIC MEDICINE AND BOARD REVIEW. HAWAII FOODBANK INC 2611 KILIHAU STREET HONOLULU HI 96819 990220699 501(C)(3) 10000 0 DONATION FROM SCAN WILL BE USED TO SUPPORT THE FOOD INSECURITY NEEDS IN THE COMMUNITY. HEALTH INDUSTRY COLLABORATION EFFORT OF CALIFORNIA DBA INDUSTRY COLLABORAT 11260 DONNER PASS ROAD SUITE C1 PMB 361 TRUCKEE CA 96161 900130332 501(C)(3) 20000 0 DONATION FROM SCAN WILL BE USED TO SUPPORT THE ONGOING EFFORT TO CONTRIBUTIONS TO HEALTH CARE. MEALS ON WHEELS SAN DIEGO 2254 SAN DIEGO AVE SUITE 200 SAN DIEGO CA 92110 952660509 501(C)(3) 0 27500 VEHICLE DONATION VEHICLE DONATION FROM SCAN TO ASSIST WITH MEALS ON WHEELS PROGRAM NEEDS. 53 INDEPENDENCE AT HOME GRANTS 264 28433 PART I, LINE 2: ALL GRANTEES SUBMIT A QUARTERLY REPORT DOCUMENTING METRICS AND PERFORMANCE YEAR-TO-DATE THROUGHOUT THE DURATION OF THE FUNDING, THE MANAGER, COMMUNITY OUTREACH AND GIVING, TRACKS AND REVIEWS THE REPORTS TO ENSURE COMPLIANCE. THE MANAGER ADDRESSES ANY IDENTIFIED ISSUES WITH THE GRANTEE TO DETERMINE CAUSES AND ANY REMEDIATION REQUIRED. ISSUES WITH COMPLIANCE ARE RAISED TO THE VICE PRESIDENT, INDEPENDENCE AT HOME, 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. OTHER GRANTS: OCCASSIONALLY, THE CEO WILL APPROVE GRANTS BASED ON INITIATIVES THAT ARE IN LINE WITH THE MISSION OF ORGANIZATION. ALL GRANTS ARE MONITORED FOR COMPLIANCE BY THE GRANTS MANAGER. 1 1 0 0 0 0 0 1 0 SACHIN JAIN PRESIDENT & CEO 1021772 0 1190500 0 20340 0 1636862 0 18234 0 3887708 0 905500 0 JANET KORNBLATT END 122021 GENERAL COUNSEL 0 481143 0 438024 0 924056 0 31565 0 13344 0 1888132 0 438024 ROMILLA BATRA CHIEF MEDICAL OFFICER 483434 0 340998 0 387092 0 414183 0 9401 0 1635108 0 706558 0 NANCY MONK CHIEF OPERATIONS OFFICER 0 538640 0 466765 0 25044 0 534779 0 47431 0 1612659 0 466765 JOSH GOODE CHIEF INFORMATION OFFICER 0 504279 0 374742 0 20760 0 442859 0 10060 0 1352700 0 374742 DAVID MILLIGAN END 42021 SVP SALES 139984 0 208366 0 804376 0 20895 0 5761 0 1179382 0 494956 0 SHERRY STANISLAW GENERAL MANAGER OFFICER 413049 0 297897 0 78558 0 343326 0 25354 0 1158184 0 297897 0 KWAN-MOON LEUNG SVP CHIEF DATA OFFICER 0 474594 0 250756 0 70814 0 286144 0 2809 0 1085117 0 250756 MICHAEL PLUMB CHIEF FINANCIAL OFFICER 482645 0 0 0 21432 0 516706 0 26601 0 1047384 0 0 0 ADRIENNE MORRELL END 22021 SVP PUBLIC & GOVT AFFAIRS 0 68893 0 219004 0 671662 0 16856 0 7131 0 983546 0 312308 DAN OSTERWEIL END 102021 MEDICAL DIRECTOR 300247 50000 196244 0 78327 0 298082 0 2490 0 875390 50000 196244 0 EVE GELB SVP MBR&COMMUNITY HEALTH 346426 0 197053 0 53713 0 224558 0 29186 0 850936 0 197053 0 SHARONJIT JHAWAR CVP, CHIEF PHARMACY OFFICER 404788 0 181691 0 18882 0 194343 0 15816 0 815520 0 180691 0 JILL SELBY SVP PRODUCT DEV & MKT EXP 0 364914 0 161812 0 22561 0 243607 0 18603 0 811497 0 161812 KEVIN KROEKER BEG 72021 SECRETARY/GENERAL COUNSEL 0 239277 0 150000 0 21810 0 236641 0 20937 0 668665 0 0 VIRGINIA HAVAI VP, CONTROLLER 330231 0 123384 0 22372 0 141257 0 38427 0 655671 0 122384 0 ANDREW WHITELOCK SVP CHIEF RISK EXECUTIVE 0 333643 0 182567 0 21015 0 34316 0 1855 0 573396 0 182567 HANS ECKARDT END 122021 CVP, MARKETING 357907 0 146181 0 22424 0 20300 0 13352 0 560164 0 145181 0 LINDSAY CRAWLEY-HERBERT BEG 42021 CHIEF PEOPLE OFFICER 0 249489 0 75000 0 19024 0 175648 0 1339 0 520500 0 0 TERENCE OFFENBERGER END 12021 MEDICAL DIRECTOR 56685 0 121457 0 313167 0 11885 0 1191 0 504385 0 121457 0 PART I, LINE 3 COMPENSATION FOR THE CEO WAS ESTABLISHED BY A RELATED ORGANIZATION, SCAN GROUP, AND PAID BY SCAN HEALTH PLAN. SCAN GROUP 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 SCAN GROUP BOARD OF DIRECTORS. PART I, LINES 4A-B PART I, LINE 4A: DURING 2021, 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. JANET KORNBLATT SCAN GROUP - $819,868 (INCLUSIVE OF 457(F)DISTRIBUTIONS) ADRIENNE MORRELL SCAN GROUP - $558,706 (INCLUSIVE OF 457(F)DISTRIBUTIONS) DAVID MILLIGAN SCAN HEALTH PLAN - $484,647 (INCLUSIVE OF 457(F)DISTRIBUTIONS) EMILY ARISON SCAN GROUP - $488,846 TERENCE OFFENBERGER SCAN HEALTH PLAN - $305,512 HOLLY ACKMAN SCAN GROUP - $193,063 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: ROMILLA BATRA - $365,660 DAVID MILLIGAN - $299,462 ADRIENNE MORRELL - $93,304 JANET KORNBLATT - $75,225 EVE GELB - $48,902 SHERRY STANISLAW - $48,445 KWAN-MOON LEUNG - $47,702 DEFERRED COMPENSATION FOR 2021, REPORTED ON SCHEDULE J, PART 11, 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) 403(B) QUALIFIED RETIREMENT PLAN CONTRIBUTIONS (EMPLOYER MATCH AND SAFEHARBOR) 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. 5) IN 2017, UPON RECOMMENDATION BY SCAN'S COMPENSATION CONSULTANT, SULLIVAN COTTER, THE COMPENSATION COMMITTEE APPROVED THE ELIMINATION OF THE DEFERRAL PORTION OF THE INCENTIVE COMPENSATION PLAN EFFECTIVE JANUARY 1, 2018. THE RECOMMENDATION BY SULLIVAN COTTER TO DISCONTINUE THE DEFERRAL COMPONENT OF THE PLAN WAS BASED ON BEST PRACTICES OF OTHER SIMILARLY SITUATED ORGANIZATIONS. THE ELIMINATION OF THE DEFERRAL COMPONENT RESULTED IN DISTRIBUTION TO ALL PARTICIPANTS OF ANY PREVIOUSLY UNPAID CONTRIBUTIONS IN 2017, EXCEPT IN CERTAIN INDIVIDUAL CIRCUMSTANCES THAT ARE GOVERNED BY THE LAW, IN WHICH CASE SCAN ADHERED TO THE GOVERNING PRACTICES. PART I, LINE 7 BEGINNING IN 2021, THE FIRST DISCRETIONARY PAYMENT WAS MADE AS PART OF THE STRATEGIC INCENTIVE PLAN THAT WAS DEVELOPED FOR THE CEO. THE STRATEGIC BONUS IS A LONG-TERM INCENTIVE AWARD OPPORTUNITY THAT MAY BE EARNED BASED ON THE ACHIEVEMENT OF PREESTABLISHED, WRITTEN PERFORMANCE GOALS OVER A TWO-YEAR PERFORMANCE PERIOD, SUBJECT TO A CAP. PAYMENT OF ANY 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. FORM 990, PART III, LINE 4A, DESCRIPTION OF PROGRAM SERVICE: 5. TRADING AGES: SCAN'S HALLMARK EXPERIENTIAL TRAINING TO HELP BUILD AWARENESS AND SENSITIVITY TO THE AGING PROCESS WAS PRESENTED 28 TIMES TO DIVERSE GROUPS SUCH AS: USC GERONTOLOGY STUDENTS, CSULB GERONTOLOGY STUDENTS, ROSE M. ELDRIDGE SENIOR CENTER, LOS ANGELES COUNTY COMMISSION ON HIV, COMMUNITY ACTION PARTNERSHIP OF ORANGE COUNTY, CERRITOS SENIOR CENTER, FEEDING SAN DIEGO, ST BARNABAS SENIOR SERVICES, OLIVE COMMUNITY SERVICES, DESTINY HOME HEALTH, DAYLE MCINTOSH CENTER - AGING AND DISABILITY RESOURCE CONNECTION, VISION Y COMPROMISO, ROSEWOOD COURT SENIOR APARTMENT STAFF, MJ HOUSING. A TOTAL OF 682 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 REGARDING AVAILABLE SERVICES AND RESOURCES TO HELP THIS POPULATION SUCCEED. THESE ACTIVITES INCLUDED WORKING WITH SENIOR HOUSING PROVIDERS, RECOUPERATIVE 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 4 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. IN RESPONSE TO THE PANDEMIC, THE POLICY WAS TEMORARIALLY CHANGED TO 8 HOURS PER WEEK TO RESPOND TO HELPING OLDER PERSONS RECEIVE CRITICAL SERVICES DURING THE PUBLIC HEALTH CRISIS. EXAMPLES OF THESE ACTIVITIES INCLUDE: SOCIAL SUPPORT CALLS, ASSISTING FOOD BANKS WITH PACKING MEALS AND ESSENTIAL GOODS THEN DISTRIBUTING TO DOOR STEPS, VIRTUALLY TEACH OLDER PERSONS WITH USING TECHNOLOGY TO CONNECT WITH PHYSICIANS, FAMILY AND OTHER LOVED ONES, ASSISTING WITH DISTRIBUTION OF PERSONAL PROTECTIVE EQUIPMENT. IN 2021 EMPLOYEES COMPLETED 328 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. WAYS THAT WE RESPONDED INCLUDING: ADDITIONALLY, 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. EXAMPLES INCLUDE DISTRIBTUION OF PULSE OXIMETERS, PERSONAL PROTECTION EQUIPMENT SUCH AS MASKS, GLOVES, AND FACE SHIELDS. 9. COVID-19 TESTING SITE: SCAN HEALTH PLAN BECAME A COVID-19 TESTING SITE OPEN TO THE COMMUNITY AT LARGE IN PARTNERSHIP WITH MEMORIAL CARE. THE DRIVE THROUGH SITE LOCATED ON THE SCAN CAMPUS PROVIDED A SAFE RESOURCE FOR THE COMMUNITY TO BE TESTED AND ULTIMATELY RECEIVE APPROPRIATE TREATMENT. FORM 990, PART III, LINE 4B, DESCRIPTION OF PROGRAM SERVICE: E. ALL GRANTEES SUBMIT A QUARTERLY REPORT DOCUMENTING METRICS AND PERFORMANCE YEAR-TO-DATE THROUGHOUT THE DURATION OF THE FUNDING. THE MANAGER, COMMUNITY OUTREACH AND GIVING, TRACKS AND REVIEWS THE REPORTS TO ENSURE COMPLIANCE. THE MANAGER ADDRESSES ANY IDENTIFIED ISSUES WITH THE GRANTEE TO DETERMINE THE CAUSE AND ANY REMEDIATION REQUIRED. ISSUES WITH COMPLIANCE ARE RAISED TO THE VICE PRESIDENT, IAH, 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'S VOLUNTEER ACTION FOR AGING: THROUGH THIS PROGRAM, SCAN RECRUITS, TRAINS AND MANAGES VOLUNTEERS. IN 2021, VOLUNTEERS IN THE COMMUNITY DONATED OVER 2,210 HOURS TO COMPLETE 429 SENIOR SUPPORT EVENTS/PROGRAMS/VIRTUAL CALLS, HOSTED 387 COMMUNITY AND VIRTUAL EVENTS. 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, IN PARTICULAR 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 OF THE COMMUNITIES WE SERVE AND TO IMPROVE THE LIVES OF ALL SENIORS - NOT JUST SCAN MEMBERS. THIS RESPONSIBILITY IS HIGHTENED 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 WITH COVID EMERGENCY ASSISTANCE: ABRAZAR, INC, JEWISH COMMUNITY CENTER OF LONG BEACH (ALPERT JEWISH COMMUNITY CENTER), ALTAMED HEALTH SERVICES CORPORATION, ALZHEIMER'S FAMILY SERVICES CENTER (ALZHEIMER'S FAMILY CENTER), ANTELOPE VALLEY PARTNERS FOR HEALTH, CANCER SUPPORT COMMUNITY SAN FRANCISCO BAY AREA, CHINESE AMERICAN COALITION FOR COMPASSIONATE CARE, COMMUNITY ACTION PARTNERSHIP OF ORANGE COUNTY, COMMUNITY ACTION PARTNERSHIP OF SAN BERNARDINO COUNTY , COMMUNITY CLINIC ASSOCIATION OF LOS ANGELES COUNTY, COMMUNITY HEALTH ACTION NETWORK, EL SOL NEIGHBORHOOD EDUCATIONAL CENTER, FEEDING SAN DIEGO, FOOD FINDERS, HELPING HAND WORLDWIDE, JEWISH FAMILY SERVICE OF THE DESERT, KHEIR CLINIC, MENTAL HEALTH AMERICA OF LOS ANGELES, MEXICAN AMERICAN OPPORTUNITY FOUNDATION, ONEGENERATION, SERVING SENIORS, COVE COMMUNITIES SENIOR ASSOCIATION (DBA THE JOSLYN CENTER), THE LGBTQ COMMUNITY OF THE DESERT, UNITED AMERICAN INDIAN INVOLVEMENT, VENICE FAMILY CLINIC, WATTS LABOR COMMUNITY ACTION COMMITTEE (WLCAC), HELP ME HELP YOU. IN ADDITION TO COVID EMERGENCY ASSISTANCE, SCAN ALSO CONTINUED TO SUPPORT SAFETY NET ORGANIZATIONS TO EXTEND THEIR REACH TO ALL SENIORS IN NEED. ADDITIONAL SUPPORT WAS GIVEN TO THE FOLLOWING AGENCIES: AGINGNEXT, ALZHEIMER'S ORANGE COUNTY, HUMAN OPTIONS, INC., INSTITUTE ON AGING, JAMBOREE HOUSING CORPORATION, JEWISH FAMILY & CHILDREN'S SERVICE OF LONG BEACH & WEST ORANGE COUNTY, LATINO HEALTH ACCESS (LATINO CENTER FOR PREVENTION AND ACTION IN HEALTH & WELFARE), THE HEALTH TRUST, ONE IN LONG BEACH, INC. (THE LGBTQ CENTER LONG BEACH), PROJECT ANGEL FOOD, PROJECT OPEN HAND, ALZHEIMER'S GREATER LOS ANGELES (ALZHEIMER'S LOS ANGELES), HOPE THROUGH HOUSING FOUNDATION, LATINAS CONTRA CANCER, TURLOCK GOSPEL MISSION, CERES COMMUNITY PROJECT, COMMUNITY ACTION OF NAPA VALLEY, FOOD FOR THOUGHT, FOOD SHARE, MEALS ON WHEELS SAN FRANCISCO, INC., SECOND HARVEST FOOD BANK OF ORANGE COUNTY, INC., ALZHEIMER'S DISEASE AND RELATED DISORDERS ASSOCIATION, INC. (ALZHEIMER'S ASSOCIATION), ALZHEIMERS COACHELLA VALLEY, ALZHEIMER'S ORANGE COUNTY, AMERICAN HEART ASSOCIATION, INC., AMERICAN SOCIETY ON AGING, CALIFORNIA ASSOCIATION FOR ADULT DAY SERVICES, CATHEDRAL CENTER (CATHEDRAL CITY SENIOR CENTER), CHAPMAN UNIVERSITY, CITY OF LA VERNE, CITY OF SAN BERNARDINO, COMMUNITY CLINIC ASSOCIATION OF LOS ANGELES COUNTY, CONGREGATIONS ORGANIZED FOR PROPHETIC ENGAGEMENT (COPE), CSULB 49ER FOUNDATION, C/O 49ER FOUNDATION, GRANTMAKERS IN AGING, INC., HEALTHY AGING ASSOCIATION, INLAND CAREGIVER RESOURCE CENTER, JANET GOESKE FOUNDATION, JUSTICE IN AGING, GOLDEN RAIN FOUNDATION, LONG BEACH GRAY PANTHERS, NAMI MT. SAN JACINTO, INC., ONEGENERATION, ORANGE COUNTY ASSOCIATION FOR MENTAL HEALTH, REGENTS OF THE UNIVERSITY OF CALIFORNIA AT IRVINE, RIVERSIDE MEDICAL CLINIC CHARITABLE FOUNDATION, ROLLING START INC, THE LGBTQ COMMUNITY CENTER OF THE DESERT, VISION Y COMPROMISO, AIDS FOOD STORE, INC. IN 2021, SCAN GAVE 51 GRANTS TO 51 ORGANIZATIONS, AND SUPPORTED 35 ORGANIZATIONS THROUGH SPONSORSHIPS. SCAN HEALTH PLAN GAVE $2,000,000 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, 2021, INDEPENDENCE AT HOME INCURRED $16,956,391 IN PROGRAM EXPENSES INCLUDING GRANTS OF $3,297,983 PAID TO OTHER NON-PROFIT ORGANIZATIONS AND RECEIVED $3,942,238 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 OF SCAN HEALTH PLAN HAS THE AUTHORITY 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. 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 2021 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 CONFLICT 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 MEDICAL CLAIMS EXPENSE: PROGRAM SERVICE EXPENSES 3,060,456,443. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 3,060,456,443. PREMIUM DEFICIENCY RESERVE: PROGRAM SERVICE EXPENSES 49,950,975. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 49,950,975. OUTSIDE SERVICES: PROGRAM SERVICE EXPENSES 7,024,266. MANAGEMENT AND GENERAL EXPENSES 11,425,801. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 18,450,067. PHARMACY ADMIN: PROGRAM SERVICE EXPENSES 11,507,660. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 11,507,660. LEGAL SETTLEMENT: PROGRAM SERVICE EXPENSES 3,804. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 3,804. 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 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 NEVADA INC 3800 KILROY AIRPORT WAY SUITE 100 LONG BEACH CA 90806 854288083 MEDICARE ADVANTAGE NV 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 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 SCAN CALIFORNIA MANAGEMENT COMPANY 3800 KILROY AIRPORT WAY SUITE 100 LONG BEACH CA 90806 462951831 MANAGEMENT CA N/A C 1 ALIVE VENTURES INC 3800 KILROY AIRPORT WAY SUITE 100 LONG BEACH CA 90806 852381604 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 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 PROSPER SERVICES LLC 3800 KILROY AIRPORT WAY SUITE 100 LONG BEACH CA 90806 872979343 HEALTHCARE CA N/A C 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 HEALTHCARE IN ACTION INC B 2000000 BOOK VALUE SCAN GROUP P 113979415 BOOK VALUE SCAN HEALTH PLAN NEVADA INC Q 195594 BOOK VALUE SCAN DESERT HEALTH PLAN INC Q 631725 BOOK VALUE SCAN CALIFORNIA MANAGEMENT COMPANY Q 250092 BOOK VALUE HEALTHCARE IN ACTION INC Q 118766 BOOK VALUE PART V, LINE 2: THE PERCENTAGE OF ALLOCATION TO AFFILIATED COMPANIES IS DETERMINED BASED ON ESTIMATED PERCENTAGE OF TIME WORKED, PERCENTAGE OF HEADCOUNT, PERCENTAGE OF SCAN MEMBERSHIP, AND/OR THE PERCENTAGE OF BID SUBMISSION, AS APPROPRIATE BASED ON THE NATURE OF THE EXPENSE.