SCAN HEALTH PLAN: Form 990, tax year 2012
View the entire original 990 at ProPublica ↗
- Organization
- SCAN HEALTH PLAN (EIN 95-3858259)
- Tax period
- 2012-01-01 to 2012-12-31
- Filed
- 2013-10-23
- IRS object ID
- 201332969349300318
- Schema version
- 2012v2.1
- 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
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule I
- Schedule J
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2013-10-23T10:49:27-05:00 | Timestamp |
| Tax Period End Date | 2012-12-31 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 861065772 | EIN |
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | DELOITTE TAX LLP | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 655 WEST BROADWAY SUITE 700 | AddressLine1 |
| City | SAN DIEGO | City |
| State | CA | State |
| ZIP Code | 921018590 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2012-01-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 953858259 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SCAN HEALTH PLAN | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | SCAN | NameControl |
| Phone | 5629895100 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 3800 KILROY AIRPORT WAY NO 100 | AddressLine1 |
| City | LONG BEACH | City |
| State | CA | State |
| ZIP Code | 908065616 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | 8453 | Name |
| Title | CHIEF EXCECUTIVE OFFICER | Title |
| Phone | 5629895100 | Phone |
| Date Signed | 2013-10-22 | DateSigned |
| Authorize Third Party | 1 | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | DIANA J MCCUTCHEN | Name |
| PTIN | P00545657 | PTIN |
| Phone | 6192326500 | Phone |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2012 | TaxYear |
| Build TS | 2016-02-24 21:20:13Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | CHRISTOPHER WING | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 3800 KILROY AIRPORT WAY NO 100 | AddressLine1 |
| City | LONG BEACH | City |
| State | CA | State |
| ZIP Code | 908065616 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 2476284436 | GrossReceipts |
| Group Return For Affiliates | 0 | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | WWW.SCANHEALTHPLAN.COM | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1983 | YearFormation |
| State Legal Domicile | CA | StateLegalDomicile |
| Activity Or Mission Description | OUR MISSION IS TO FIND WAYS TO ENHANCE SENIORS' ABILITY TO MANAGE THEIR HEALTH AND INDEPENDENCE. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 10 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 9 | NbrIndependentVotingMembers |
| Total Nbr Employees | 894 | TotalNbrEmployees |
| Total Nbr Volunteers | 3635 | TotalNbrVolunteers |
| Total Gross UBI | 0 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 0 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 3830105 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 3705569 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 1634965549 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 1682067393 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 25882493 | InvestmentIncomePriorYear |
| Investment Income Current Year | 48887048 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 0 | OtherRevenuePriorYear |
| Other Revenue Current Year | 0 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 1664678147 | TotalRevenuePriorYear |
| Total Revenue Current Year | 1734660010 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 6427247 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 340575 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 59715980 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 65564154 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 0 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 0 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 1727767705 | OtherExpensePriorYear |
| Other Expenses Current Year | 1607489703 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 1793910932 | TotalExpensesPriorYear |
| Total Expenses Current Year | 1673394432 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | -129232785 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 61265578 | RevenuesLessExpensesCY |
| Total Assets BOY | 1005042260 | TotalAssetsBOY |
| Total Assets EOY | 721721783 | TotalAssetsEOY |
| Total Liabilities BOY | 536329323 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 223215900 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 468712937 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 498505883 | NetAssetsOrFundBalancesEOY |
| Info In Schedule O Part III | X | InfoInScheduleOPartIII |
| Mission Description | OUR MISSION IS TO FIND WAYS TO ENHANCE SENIORS' ABILITY TO MANAGE THEIR HEALTH AND INDEPENDENCE. | MissionDescription |
| Significant New Program Services | 0 | SignificantNewProgramServices |
| Significant Change | 0 | SignificantChange |
| Expense | 1522048391 | Expense |
| Grants | 34635 | Grants |
| Revenue | 1682067393 | Revenue |
| Description | MEDICARE ADVANTAGE PRESCRIPTION DRUG AND INDEPENDENT LIVING POWER (MAPD/ILP) PROGRAM:SCAN MAKES A UNIQUE AND SIGNIFICANT CONTRIBUTION TO SENIORS' ABILITY TO REMAIN HEALTHY, INDEPENDENT AND IN CONTROL OF WHERE AND HOW THEY LIVE. SCAN IS CURRENTLY LICENSED BY THE CALIFORNIA DEPARTMENT OF MANAGED HEALTH CARE AS A FULL-SERVICE, KNOX-KEENE CARE SERVICE PLAN. ANY INDIVIDUAL WHO IS ELIGIBLE FOR MEDICARE AND RESIDES IN THE COMMUNITIES SERVED, IS ELIGIBLE TO BECOME A MEMBER OF SCAN. SINCE ITS INCEPTION IN 1977 AS THE "SENIOR CARE ACTION NETWORK", SCAN HAS OPERATED AS A 501(C)(3) NOT-FOR-PROFIT, COMMUNITY-BASED SYSTEM. IN THIS MODEL, FUNDS FROM MEDICARE, MEDICAID WHERE APPLICABLE, PROVIDER COPAYS, AND IN SOME AREAS, NOMINAL PREMIUMS ARE POOLED TO ACHIEVE MAXIMUM EFFICIENCY AND FLEXIBILITY IN THE USE OF COMMUNITY RESOURCES TO HELP SENIORS STAY HEALTHY AND INDEPENDENT AT HOME. MANY OF THE SCAN MEMBERS ARE ALSO RECEIVING "INDEPENDENT LIVING POWER" SERVICES OR OTHER HOME AND COMMUNITY-BASED SERVICES. THESE ARE PERSONAL CARE SERVICES THAT ARE ABOVE AND BEYOND TYPICAL MEDICARE HEALTH CARE BENEFITS AND AVAILABLE TO SCAN MEMBERS WHO, TYPICALLY, MIGHT OTHERWISE BE LIVING IN A SKILLED NURSING FACILITY. THESE PERSONAL CARE SERVICES INCLUDE ITEMS SUCH AS LIGHT HOUSEKEEPING, HOME DELIVERED MEALS, CAREGIVER RELIEF, AND TRANSPORTATION ESCORTS. | Description |
Activity2 Activity2
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 6158765 | Expense |
| Description | INDEPENDENCE AT HOME (IAH): INDEPENDENCE AT HOME (IAH) IS THE HOME AND COMMUNITY-BASED SERVICES DIVISION OF SCAN HEALTH PLAN. SCAN RECOGNIZES THE MULTIPLE UNMET NEEDS OF THE FRAIL AND ECONOMICALLY DISADVANTAGED MEMBERS OF THE COMMUNITY AND THE FAMILY MEMBERS THAT CARE FOR THEM, AND ADMINISTRATIVELY AND FINANCIALLY SUPPORTS IAH IN HELPING TO MEET THESE NEEDS. SCAN CONTINUES TO STRENGTHEN AND EXPAND IAH THROUGH DEVELOPING NEW PROGRAMS AND INCREASING CARE MANAGEMENT SERVICES TO INDIVIDUALS NOT ENROLLED IN THE SCAN MEDICARE ADVANTAGE HEALTH PLAN. OUR MISSION:INDEPENDENCE AT HOME IS A CARE MANAGEMENT ORGANIZATION DEDICATED TO PROVIDING CULTURALLY AND ECONOMICALLY DIVERSE SENIORS AND DISABLED ADULTS WITH PERSONALIZED HOME AND COMMUNITY-BASED SERVICES. OUR SERVICES ARE DESIGNED TO ASSIST CLIENTS IN MAINTAINING THEIR WELL-BEING, DIGNITY AND INDEPENDENCE AT HOME.OUR VISION:INDEPENDENCE AT HOME WILL BE THE COMMUNITY RESOURCE OF CHOICE FOR INNOVATIVE CARE MANAGEMENT. IAH PROVIDES SENIORS AND DISABLED ADULTS WITH EASY ACCESS TO COMMUNITY-BASED SERVICES THAT WOULD ENABLE THEM TO REMAIN HEALTHY AND LIVING IN THE COMMUNITY INSTEAD OF IN NURSING HOMES OR OTHER INSTITUTIONALIZED SETTINGS. TODAY, IAH HAS SEPARATE PROGRAMS IN PLACE TO MEET THE SPECIAL NEEDS OF THE SENIOR AND DISABLED ADULT COMMUNITY: - MULTIPURPOSE SENIOR SERVICES PROGRAM (MSSP)- SUPPORTIVE SERVICES PROGRAM (SSP)- FAMILY CAREGIVER SUPPORT PROGRAM (FCSP)- LOS ANGELES COUNTY'S LINKAGES PROGRAM- INNERLINKS ADVANTAGE (IA)- VOLUNTEER ACTION FOR AGING (VAA) - CALIFORNIA COMMUNITY TRANSITIONS (CCT)FOR THE YEAR ENDED DECEMBER 31, 2012, THE INDEPENDENCE AT HOME PROGRAM INCURRED $6,158,765 IN PROGRAM EXPENSES AND RECEIVED $3,705,569 IN GRANTS. | Description |
Activity3 Activity3
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 1416608 | Expense |
| Grants | 305940 | Grants |
| Description | SCAN HEALTH PLAN COMMUNITY GIVING PROGRAM:THE SCAN HEALTH PLAN COMMUNITY GIVING PROGRAM IS FOCUSED ON MEETING BASIC NEEDS SUCH AS 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 OUTREACH GOVERNANCE COMMITTEE IDENTIFIES ORGANIZATIONS WHOSE WORK FITS WELL 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 GRANTEE - DIRECTOR, COMMUNITY OUTREACH COLLABORATES WITH VARIOUS SCAN DEPARTMENTS (SALES, HEALTH CARE SERVICES, INDEPENDENCE AT HOME, ETC) AND REPUTABLE AGENCIES TO IDENTIFY PROSPECTIVE GRANTEE ORGANIZATIONS. THE PROSPECTIVE GRANTEES ARE SUBJECTED TO THE COMMUNITY GIVING (CG) VETTING PROCESS AND MEASURED AGAINST THE FOLLOWING CRITERIA: 1) ALIGNMENT WITH SCAN MISSION, 2) MUST BE VERIFIED NONPROFIT AGENCY WITH TAX-EXEMPT STATUS, AND 3) ORGANIZATION MUST BE IN EXISTENCE FOR AT LEAST TWO YEARS. SUCCESSFUL CANDIDATES ARE ADDED TO THE LARGER SCAN GRANTEE POOL. B. SHORT LISTING POTENTIAL GRANTEE - DIRECTOR, COMMUNITY OUTREACH USES VARIOUS METHODS, I.E. OUTBOUND CALLS, INTERNET RESEARCH, AND INDUSTRY RATINGS TO FILTER THE POTENTIAL GRANTEE POOL INTO A SHORTLIST.C. EVALUATION AND SELECTING OF GRANTEES BY THE COMMUNITY OUTREACH GOVERNANCE COMMITTEE (COGC) - THE COGC IS A NINE-MEMBER COMMITTEE REPRESENTATIVE OF ALL LEVELS OF MANAGEMENT AND IS CHAIRED BY THE SENIOR VICE-PRESIDENT/GENERAL MANAGER SOUTHERN CALIFORNIA. THE COGC MEETS ON A QUARTERLY BASIS AND ITS ROLE IS TWOFOLD, 1) IT EVALUATES, SELECTS AND DECIDES THE AMOUNT TO BE AWARDED TO THE GRANTEE ORGANIZATIONS, AND 2) STEERS THE CG PROGRAM. THE COGC BASES ITS DECISION TO AWARD MONEY ON THE INFRASTRUCTURE OF THE GRANTEE ORGANIZATION, AND ITS PERCEIVED ABILITY TO EFFECTIVELY AND EFFICIENTLY IMPACT THE LIVES OF SENIORS AND CONTINUE A SUSTAINABLE RELATIONSHIP.D. GRANTEE OUTREACH - SUBSEQUENT TO THE COGC EARMARKING AND APPROVING FUNDS TO BE GRANTED A DESIGNATED MEMBER OF THE COGC PLACES AN OUTREACH CALL TO THE PROSPECTIVE GRANTEE ORGANIZATION. THE GRANTEE ORGANIZATION IS CONGRATULATED AND INFORMED OF ITS SUCCESSFUL SELECTION FOR A ONE-TIME GRANT. THIS CALL IS FOLLOWED BY A GRANT AGREEMENT WHICH CONTAINS 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.E. PAYMENT OF GRANT - THE DIRECTOR OF COMMUNITY OUTREACH PREPARES A COVER LETTER, ENVELOPE AND CHECK REQUEST FORM WHICH IS SIGNED AND APPROVED BY THE SENIOR VICE PRESIDENT/GENERAL MANAGER SOUTHERN CALIFORNIA AND FORWARDED TO ACCOUNTS PAYABLE FOR PROCESSING. ACCOUNTS PAYABLE DISTRIBUTES THE PAYMENT. SCAN HEALTH PLAN COMMUNITY OUTREACH:SCAN HEALTH PLAN HAS A 35 YEAR HISTORY OF CREATING PROGRAMS AND PROVIDING SERVICES TO OLDER ADULTS AND THEIR CAREGIVERS. OUR 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 KNOWLEDGE WITH THE BROADER COMMUNITY BY DEVELOPING COMMUNITY OUTREACH INITIATIVES. THESE INITIATIVES ARE AN IMPORTANT TOOL FOR BRINGING EDUCATION DIRECTLY TO COMMUNITY MEMBERS, CONTRIBUTE TO REDUCING HEALTH DISPARITIES AND IMPROVE 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 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 NETWORK OF SUPPORT 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.SCAN HEALTH PLAN RECOGNIZES THAT ITS RESPONSIBILITY TO THE COMMUNITIES IN WHICH WE SERVE GOES BEYOND BUSINESS AND PROVIDING QUALITY HEALTHCARE.THE COMMUNITY OUTREACH DEPARTMENT SERVES TO IMPROVE EFFECTIVENESS AND COORDINATION OF SCAN'S OUTREACH ACTIVITIES RELATIVE TO THE COMPANY'S CHARITABLE MISSION. COMMUNITY OUTREACH PROGRAMS INCLUDE:-GENERAL COMMUNITY OUTREACH-COMMUNITY GIVING PROGRAM-SCAN VAN & RV PROGRAMS - SCAN'S COMMUNITY OUTREACH VEHICLE PROGRAM-CLASSROOM IN THE COMMUNITY (CITC) - HEALTH PROMOTION PRESENTATIONS IN THE COMMUNITY-TRADING AGES - SENIOR SENSITIVITY TRAINING WORKSHOPS-VENTURA RESOURCE CENTER - HEALTH EDUCATION, HEALTH PROMOTION AND EXERCISE CLASSES AND WORKSHOPS-EMPLOYEE VOLUNTEER PROGRAM-SPONSORSHIPSIN 2012, THE SCAN VAN PARTICIPATED IN 48 EVENTS, TOUCHING APPROXIMATELY 10,205 PEOPLE. ADDITIONALLY, THE TRADING AGES WORKSHOP WAS EXPANDED TO TRAIN NEW AUDIENCES SUCH AS LEGISLATORS, UNIVERSITIES, THEATER STAFF, AND HOME AND COMMUNITY BASED SERVICE PROVIDERS, ALL TOGETHER 65 WORKSHOPS WERE HELD AND 1,581 INDIVIDUALS ATTENDED TRAININGS.FOR THE YEAR ENDED DECEMBER 31, 2011 SCAN HEALTH PLAN COMMITTED TO $6,000,000 IN GRANTS FOR COMMUNITY GIVING. DURING THE 2012 TAX YEAR, THE COMPANY HAS ISSUED PAYMENTS OF $2,300,000 IN COMMUNITY GIVING TO VARIOUS CHARITABLE ORGANIZATIONS.FOR THE YEAR ENDED DECEMBER 31, 2012 SCAN HAS INCURRED APPROXIMATELY $1,416,608 IN PROGRAM EXPENSES WHICH INCLUDE $340,575 FOR GRANTS AND COMMUNITY GIVING, IN SUPPORT OF THE SCAN'S COMMUNITY OUTREACH AND GIVING PROGRAMS. | Description |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expense | 1529623764 | TotalProgramServiceExpense |
| Described In501 C3 | 1 | DescribedIn501C3 |
| Schedule B Required | 1 | ScheduleBRequired |
| Political Activities | 0 | PoliticalActivities |
| Lobbying Activities | 1 | LobbyingActivities |
| Subject To Proxy Tax | 0 | SubjectToProxyTax |
| Donor Advised Funds | 0 | DonorAdvisedFunds |
| Conservation Easements | 0 | ConservationEasements |
| Collections Of Art | 0 | CollectionsOfArt |
| Credit Counseling | 0 | CreditCounseling |
| Term Or Permanent Endowments | 0 | TermOrPermanentEndowments |
| Report Land Bldg Equip | 1 | ReportLandBldgEquip |
| Report Invest Oth Securities | 1 | ReportInvestOthSecurities |
| Report Prog Rel Invest | 0 | ReportProgRelInvest |
| Report Other Assets | 0 | ReportOtherAssets |
| Report Other Liabilities | 1 | ReportOtherLiabilities |
| Report Fin48 Footnote | 0 | ReportFin48Footnote |
| Independent Audit Financial Stmt | 1 | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | 1 | ConsolidatedAuditFinancialStmt |
| School | 0 | School |
| Foreign Office | 0 | ForeignOffice |
| Foreign Activities | 0 | ForeignActivities |
| More Than5000 K To Organizations | 0 | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividuals |
| Professional Fundraising | 0 | ProfessionalFundraising |
| Fundraising Activities | 0 | FundraisingActivities |
| Gaming | 0 | Gaming |
| Hospital | 0 | Hospital |
| Grants To Organizations | 1 | GrantsToOrganizations |
| Grants To Individuals | 0 | GrantsToIndividuals |
| Schedule J Required | 1 | ScheduleJRequired |
| Tax Exempt Bonds | 0 | TaxExemptBonds |
| Excess Benefit Transaction | 0 | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | 0 | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | 0 | LoanToOfficerOrDQP |
| Grant To Related Person | 0 | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | 0 | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | 0 | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | 0 | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | 0 | DeductibleNonCashContributions |
| Deductible Contributions Of Art | 0 | DeductibleContributionsOfArt |
| Terminated | 0 | Terminated |
| Partial Liquidation | 0 | PartialLiquidation |
| Disregarded Entity | 0 | DisregardedEntity |
| Related Entity | 1 | RelatedEntity |
| Related Org Controlled Entity | 1 | RelatedOrgControlledEntity |
| Transaction Related Entity | 1 | TransactionRelatedEntity |
| Transfers To Exempt Non Chrtbl Org | 1 | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | 0 | ActivitiesConductedPartnership |
| Schedule O Required | 1 | ScheduleORequired |
| Number Forms Transmitted With1096 | 3437 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | 1 | ComplianceWithBackupWitholding |
| Number Of Employees | 894 | NumberOfEmployees |
| Employment Tax Returns Filed | 1 | EmploymentTaxReturnsFiled |
| Unrelated Business Income | 0 | UnrelatedBusinessIncome |
| Foreign Financial Account | 0 | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTrans |
| Taxable Party Notification | 0 | TaxablePartyNotification |
| Non Deductible Contributions | 0 | NonDeductibleContributions |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributions |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOf |
| Number Of8282 Filed | 0 | NumberOf8282Filed |
| Funds To Pay Premiums | 0 | FundsToPayPremiums |
| Premiums Paid | 0 | PremiumsPaid |
| Indoor Tanning Services | 0 | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 10 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 9 | NumberIndependentVotingMembers |
| Family Or Business Relationship | 0 | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | 0 | DelegationOfManagementDuties |
| Changes To Organizing Docs | 1 | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuse |
| Members Or Stockholders | 1 | MembersOrStockholders |
| Election Of Board Members | 1 | ElectionOfBoardMembers |
| Decisions Subject To Approval | 0 | DecisionsSubjectToApproval |
| Minutes Of Governing Body | 1 | MinutesOfGoverningBody |
| Minutes Of Committees | 1 | MinutesOfCommittees |
| Officer Mailing Address | 0 | OfficerMailingAddress |
| Local Chapters | 0 | LocalChapters |
| Form990 Provided To Governing Body | 1 | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | 1 | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | 1 | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | 1 | RegularMonitoringEnforcement |
| Whistleblower Policy | 1 | WhistleblowerPolicy |
| Document Retention Policy | 1 | DocumentRetentionPolicy |
| Compensation Process CEO | 1 | CompensationProcessCEO |
| Compensation Process Other | 1 | CompensationProcessOther |
| Investment In Joint Venture | 0 | InvestmentInJointVenture |
| States Where Copy Of Return Is Filed | CA | StatesWhereCopyOfReturnIsFiled |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
Name Business NameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | VIRGINIA HAVAI | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Telephone Number | 5629898300 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 3800 KILROY AIRPORT WAY | AddressLine1 |
| City | LONG BEACH | City |
| State | CA | State |
| ZIP Code | 908065616 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionA (27 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Average Hours Per Week RelatedAverageHoursPerWeekRelated | Individual Trustee Or DirectorIndividualTrusteeOrDirector | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | OfficerOfficer | Key EmployeeKeyEmployee | Highest Compensated EmployeeHighestCompensatedEmployee |
|---|---|---|---|---|---|---|---|---|---|
| COLLEEN CAIN | |||||||||
| CHAIRPERSON | 1.00 | 10.00 | X | 157950 | 0 | 0 | |||
| THOMAS HIGGINS | |||||||||
| DIRECTOR | 1.00 | 9.00 | X | 145758 | 0 | 0 | |||
| KIM HUNTER | |||||||||
| DIRECTOR | 1.00 | 6.00 | X | 79854 | 0 | 0 | |||
| PATRICK SEAVER | |||||||||
| DIRECTOR | 1.00 | 9.00 | X | 140154 | 0 | 0 | |||
| THOMAS MCDANIEL | |||||||||
| DIRECTOR | 1.00 | 5.00 | X | 113250 | 0 | 0 | |||
| MICHAEL NOEL | |||||||||
| DIRECTOR | 1.00 | 7.00 | X | 132150 | 0 | 0 | |||
| ANDREW ALLOCCO | |||||||||
| DIRECTOR | 1.00 | 6.00 | X | 80250 | 0 | 0 | |||
| RYAN TRIMBLE | |||||||||
| DIRECTOR | 1.00 | 9.00 | X | 126650 | 0 | 0 | |||
| FRANCESCA RUIZ DE LUZURIAGA | |||||||||
| DIRECTOR | 1.00 | 5.00 | X | 70050 | 0 | 0 | |||
| CHRISTOPHER WING | |||||||||
| PRESIDENT AND CEO | 17.00 | 23.00 | X | 891744 | 0 | 109099 | X | ||
| DOUGLAS JAQUES | |||||||||
| SECRETARY | 17.00 | 23.00 | 0 | 453972 | 88308 | X | |||
| NANCY J MONK | |||||||||
| CHIEF RISK OFFICER | 18.00 | 22.00 | 392845 | 0 | 32475 | X | |||
| WALTER RANDY STONE | |||||||||
| CHIEF FINANCIAL OFFICER | 18.00 | 22.00 | 443528 | 0 | 63696 | X | |||
| WILLIAM H ROTH | |||||||||
| CHIEF OPERATING OFFICER | 20.00 | 20.00 | 503704 | 0 | 45254 | X | |||
| TIMOTHY SCHWAB | |||||||||
| CHIEF MEDICAL & VISION OFFICER | 20.00 | 20.00 | 781005 | 0 | 88226 | X | |||
| MERLIN SWACKHAMER | |||||||||
| CHIEF INFORMATION OFFICER | 17.00 | 23.00 | 0 | 611418 | 46781 | X | |||
| SHERRY STAINSLAW | |||||||||
| SVP SERVICE OPERATIONS | 20.00 | 20.00 | 388780 | 0 | 49712 | X | |||
| PETER BEGANS | |||||||||
| SVP PUBLIC & GOVERNMENT AFFAIRS | 20.00 | 20.00 | 0 | 430187 | 84836 | X | |||
| GILBERT J MILLER | |||||||||
| SVP NATIONAL SALES | 18.00 | 22.00 | 363077 | 0 | 36828 | X | |||
| CATHERINE N BATTEER | |||||||||
| SVP GM ALL MARKETS | 20.00 | 20.00 | 346304 | 0 | 35226 | X | |||
| REBECCA M LEARNER | |||||||||
| OUTGOING SVP COMPLIANCE | 18.00 | 22.00 | 0 | 607575 | 25491 | X | |||
| ELIZABETH RUSSELL | |||||||||
| OUTGOING PRESIDENT SOUTHWEST REGION/PRESIDENT - AZ | 3.00 | 37.00 | 1100125 | 0 | 100061 | X | |||
| RAJEEV NARULA | |||||||||
| OUTGOING VP & CONTROLLER | 35.00 | 5.00 | 478694 | 0 | 41439 | X | |||
| BEVANN MORELAND | |||||||||
| VP CLAIMS | 35.00 | 5.00 | 319206 | 0 | 31940 | X | |||
| RAYMOND CHAN | |||||||||
| MEDICAL DIRECTOR | 40.00 | 316203 | 0 | 40249 | X | ||||
| SHARONJIT K BAKSHI | |||||||||
| VP PHARMACY | 38.00 | 2.00 | 297791 | 0 | 29490 | X | |||
| RUSSELL BROWER | |||||||||
| MEDICAL DIRECTOR | 40.00 | 350032 | 0 | 36505 | X | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 8019104 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 2103152 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 985616 | TotalOtherCompensation |
| Number Individuals GT100 K | 91 | NumberIndividualsGT100K |
| Formers Listed | 0 | FormersListed |
| Total Comp GT150 K | 1 | TotalCompGT150K |
| Compensation From Other Sources | 0 | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (5 entries)
| Address Line1AddressOfContractor/AddressUS/AddressLine1 | CityAddressOfContractor/AddressUS/City | StateAddressOfContractor/AddressUS/State | ZIP CodeAddressOfContractor/AddressUS/ZIPCode | Description Of ServicesDescriptionOfServices | CompensationCompensation |
|---|---|---|---|---|---|
| HEALTHCARE PARTNERS MEDICAL GROUP | |||||
| 19191 S VERMONT AVENUE SUITE 200 | TORRANCE | CA | 905020502 | MEDICAL SERVICES | 309518909 |
| EXPRESS SCRIPTS INC | |||||
| 21653 NETWORK PLACE | CHICAGO | IL | 606731216 | MEDICAL SERVICES | 195610570 |
| HERITAGE PROVIDER NETWORK | |||||
| 8510 BALBOA BLVD SUITE 275 | NORTHRIDGE | CA | 91325 | MEDICAL SERVICES | 189033613 |
| PRIMECARE MEDICAL NETWORK INC | |||||
| 3990 CONCOURS SUITE 500 | ONTARIO | CA | 917647983 | MEDICAL SERVICES | 77203915 |
| SCRIPPS HELATH PLAN SERVICES | |||||
| 10170 SORRENTO VALLEY ROAD | SAN DIEGO | CA | 92121 | MEDICAL SERVICES | 64941462 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 432 | NumberOfContractorsGT100K |
| Government Grants | 3704875 | GovernmentGrants |
| All Other Contributions | 694 | AllOtherContributions |
| Total Contributions | 3705569 | TotalContributions |
Program Service Revenue ProgramServiceRevenue (2 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome |
|---|---|---|---|
| MEDICARE PREMIUMS | 900099 | 1655747445 | 1655747445 |
| MEDI-CAL PREMIUMS | 900099 | 26319948 | 26319948 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 1682067393 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 14221474 | TotalRevenueColumn |
| Exclusion | $14,221,474 | ExclusionAmount |
Gross Amount Sales Assets GrossAmountSalesAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 776290000 | Securities |
Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 741624426 | Securities |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 34665574 | Securities |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 34665574 | TotalRevenueColumn |
| Exclusion | $34,665,574 | ExclusionAmount |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 1734660010 | TotalRevenueColumn |
| Related Or Exempt Function Income | 1682067393 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | $48,887,048 | ExclusionAmount |
Grants To Domestic Orgs GrantsToDomesticOrgs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 340575 | Total |
| Program Services | 340575 | ProgramServices |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 4691522 | Total |
| Management And General | 4691522 | ManagementAndGeneral |
Comp Disqual Persons CompDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 41192308 | Total |
| Program Services | 18373977 | ProgramServices |
| Management And General | 22818331 | ManagementAndGeneral |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3272189 | Total |
| Program Services | 93402 | ProgramServices |
| Management And General | 3178787 | ManagementAndGeneral |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3605519 | Total |
| Program Services | 1015241 | ProgramServices |
| Management And General | 2590278 | ManagementAndGeneral |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 8846538 | Total |
| Program Services | 2569581 | ProgramServices |
| Management And General | 6276957 | ManagementAndGeneral |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3956078 | Total |
| Program Services | 1530140 | ProgramServices |
| Management And General | 2425938 | ManagementAndGeneral |
Fees For Services Management FeesForServicesManagement
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 487955 | Total |
| Program Services | 21980 | ProgramServices |
| Management And General | 465975 | ManagementAndGeneral |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1139222 | Total |
| Management And General | 1139222 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 346268 | Total |
| Management And General | 346268 | ManagementAndGeneral |
Fees For Services Lobbying FeesForServicesLobbying
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 498217 | Total |
| Management And General | 498217 | ManagementAndGeneral |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 26056673 | Total |
| Program Services | 1164273 | ProgramServices |
| Management And General | 24892400 | ManagementAndGeneral |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 16135668 | Total |
| Program Services | 117528 | ProgramServices |
| Management And General | 16018140 | ManagementAndGeneral |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2364268 | Total |
| Program Services | 1300329 | ProgramServices |
| Management And General | 1063939 | ManagementAndGeneral |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1091265 | Total |
| Management And General | 1091265 | ManagementAndGeneral |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 258713 | Total |
| Program Services | 18647 | ProgramServices |
| Management And General | 240066 | ManagementAndGeneral |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1188404 | Total |
| Program Services | 178016 | ProgramServices |
| Management And General | 1010388 | ManagementAndGeneral |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 107322 | Total |
| Program Services | 16489 | ProgramServices |
| Management And General | 90833 | ManagementAndGeneral |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1670651 | Total |
| Management And General | 1670651 | ManagementAndGeneral |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 5633090 | Total |
| Program Services | 2423808 | ProgramServices |
| Management And General | 3209282 | ManagementAndGeneral |
Other Expenses OtherExpenses (4 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral |
|---|---|---|---|
| MEDICAL SERVICES | 1500284215 | 1500284215 | |
| ALLOCATIONS TO/FROM AFF | 47286323 | 64057 | 47222266 |
| BROKER COMMISSIONS | 1535157 | 0 | 1535157 |
| MEDICAL REVIEW | 717246 | 18589 | 698657 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 689046 | Total |
| Program Services | 92917 | ProgramServices |
| Management And General | 596129 | ManagementAndGeneral |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1673394432 | Total |
| Program Services | 1529623764 | ProgramServices |
| Management And General | 143770668 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -13245477 | BOY |
| EOY | -32537606 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 97980450 | BOY |
| EOY | 92921880 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 57953714 | BOY |
| EOY | 59545638 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 4448565 | BOY |
| EOY | 3823710 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 46560912 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 28727005 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 17683759 | BOY |
| EOY | 17833907 | EOY |
Investments Pub Traded Securities InvestmentsPubTradedSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 142587347 | BOY |
| EOY | 95600831 | EOY |
Investments Other Securities InvestmentsOtherSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 660641945 | BOY |
| EOY | 443782069 | EOY |
Intangible Assets IntangibleAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1925000 | BOY |
| EOY | 1225000 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 35066957 | BOY |
| EOY | 39526354 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1005042260 | BOY |
| EOY | 721721783 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 524831380 | BOY |
| EOY | 213796187 | EOY |
Grants Payable GrantsPayable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 8478 | BOY |
| EOY | 8379 | EOY |
Deferred Revenue DeferredRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 7054296 | BOY |
| EOY | 2122474 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 4435169 | BOY |
| EOY | 7288860 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 536329323 | BOY |
| EOY | 223215900 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 468712937 | BOY |
| EOY | 498505883 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 0 | EOY |
Permanently Restricted Net Assets PermanentlyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 0 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 468712937 | BOY |
| EOY | 498505883 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1005042260 | BOY |
| EOY | 721721783 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | X | InfoInScheduleOPartXI |
| Reconcilation Revenue Expenses | 61265578 | ReconcilationRevenueExpenses |
| Reconciliation Unrealized Invest | -1472632 | ReconciliationUnrealizedInvest |
| Reconcilation Other Changes | -30000000 | ReconcilationOtherChanges |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | 0 | AccountantCompileOrReview |
| FS Audited | 1 | FSAudited |
FS Audited Basis FSAuditedBasis
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Statement Both | X | FinancialStatementBoth |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | 1 | AuditCommittee |
| Federal Grant Audit Required | 1 | FederalGrantAuditRequired |
| Federal Grant Audit Performed | 1 | FederalGrantAuditPerformed |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Publicly Supported Org509a2 | X | PubliclySupportedOrg509a2 |
Gifts Grants Contrib Received509 GiftsGrantsContribReceived509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 4001132 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 3980819 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 3871403 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 3830105 | CurrentTaxYearMinus1Year |
| Current Tax Year | 3705569 | CurrentTaxYear |
| Total | 19389028 | Total |
Gross Receipts From Admissions GrossReceiptsFromAdmissions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 1535133342 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 1588944407 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 1629939148 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 1634965549 | CurrentTaxYearMinus1Year |
| Current Tax Year | 1682067393 | CurrentTaxYear |
| Total | 8071049839 | Total |
Total509 Total509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 1539134474 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 1592925226 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 1633810551 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 1638795654 | CurrentTaxYearMinus1Year |
| Current Tax Year | 1685772962 | CurrentTaxYear |
| Total | 8090438867 | Total |
Amts Recd From Disqual Persons AmtsRecdFromDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Amts From Subst Contributors AmtsFromSubstContributors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Support From DQ Ps Etc SupportFromDQPsEtc
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | 8090438867 | PublicSupportTotal509 |
Gross Investment Income509 GrossInvestmentIncome509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 27231757 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 23271203 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 27286098 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 2795274 | CurrentTaxYearMinus1Year |
| Current Tax Year | 14221474 | CurrentTaxYear |
| Total | 94805806 | Total |
Investment Income And UBTI InvestmentIncomeAndUBTI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 27231757 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 23271203 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 27286098 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 2795274 | CurrentTaxYearMinus1Year |
| Current Tax Year | 14221474 | CurrentTaxYear |
| Total | 94805806 | Total |
Other Income509 OtherIncome509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 121030 | CurrentTaxYearMinus4Years |
| Total | 121030 | Total |
Total Support Total TotalSupportTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 1566487261 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 1616196429 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 1661096649 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 1641590928 | CurrentTaxYearMinus1Year |
| Current Tax Year | 1699994436 | CurrentTaxYear |
| Total | 8185365703 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Percentage509 | 0.98840 | PublicSupportPercentage509 |
| Prior Year Support Percentage | 0.98560 | PriorYearSupportPercentage |
| Investment Income Percentage | 0.01160 | InvestmentIncomePercentage |
| Prior Yr Invest Income Percentage | 0.01410 | PriorYrInvestIncomePercentage |
| Thirty Three Percnt Tests CY509 | X | ThirtyThreePercntTestsCY509 |
Schedule B IRS990ScheduleB
Contributor Info ContributorInfo
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor Number | RESTRICTED | ContributorNumber |
Contributor Name Business ContributorNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor Address US ContributorAddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Aggregate Contributions | RESTRICTED | AggregateContributions |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Org Belongs To Affiliated Group | X | OrgBelongsToAffiliatedGroup |
| Limited Control Provisions Apply | X | LimitedControlProvisionsApply |
| Volunteers | 0 | Volunteers |
| Paid Staff Or Management | 0 | PaidStaffOrManagement |
| Media Advertisements | 0 | MediaAdvertisements |
| Mailings Members | 1 | MailingsMembers |
| Mailings Members | $11,670 | MailingsMembersAmount |
| Publications Or Broadcast | 0 | PublicationsOrBroadcast |
| Grants Other Organizations | 0 | GrantsOtherOrganizations |
| Direct Contact Legislators | 1 | DirectContactLegislators |
| Direct Contact Legislators | $431,220 | DirectContactLegislatorsAmount |
| Rallies Demonstrations | 0 | RalliesDemonstrations |
| Other Activities | 1 | OtherActivities |
| Other Activities | $55,237 | OtherActivitiesAmount |
| Total Lobbying Expenditures IIB | 498127 | TotalLobbyingExpendituresIIB |
| Not Described In501c3 | 0 | NotDescribedIn501c3 |
Form990 Schedule C Part IV Form990ScheduleCPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | EXPLANATION OF LOBBYING ACTIVITIES: | Identifier |
| Return Reference | PART II-B, LINE 1: | ReturnReference |
| Explanation | TRADE DUES | Explanation |
Schedule D IRS990ScheduleD
Leasehold Improvements LeaseholdImprovements
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 15935593 | OtherCostOrOtherBasis |
| Depreciation | 9368227 | Depreciation |
| Book Value | 6567366 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 30625319 | OtherCostOrOtherBasis |
| Depreciation | 19358778 | Depreciation |
| Book Value | 11266541 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 17833907 | TotalOfBookValueLandBuildings |
Other Securities OtherSecurities (5 entries)
| DescriptionDescription | Book ValueBookValue | Method Of ValuationMethodOfValuation |
|---|---|---|
| US GOVERNMENT & AGENCY OBLIGATIONS | 75179784 | F |
| CORPORATE BONDS | 68413542 | F |
| CORPORATE EQUITY SECURITIES | 86745681 | F |
| ASSET-BACKED SECURITIES | 77691204 | F |
| MUTUAL AND COMMINGLED FUNDS | 135751858 | F |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Securities | 443782069 | TotalOfBookValueSecurities |
Other Assets OtherAssets (5 entries)
| DescriptionDescription | Book ValueBookValue |
|---|---|
| NOTE RECEIVABLE FROM SCAN HEALTH PLAN ARIZONA | 50000000 |
| ALLOWANCE ON NOTES RECEIVABLE | -18208000 |
| DEFERRED COMPENSATION ASSETS | 3241901 |
| RESTRICTED FUNDS | 300000 |
| LONG TERM PREPAID ASSET | 4192453 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | 39526354 | TotalBookValueOtherAssets |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | DEFERRED COMPENSATION LIABILITIES | Description |
| Amount | $7,288,860 | Amount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 7288860 | TotalOfAmounts |
| Tot Revenue Etc Audited Fincl Stmt | 1733187378 | TotRevenueEtcAuditedFinclStmt |
| Net Unrealized Gains Investments | -1472632 | NetUnrealizedGainsInvestments |
| Revenue Not Rptd F990 | -1472632 | RevenueNotRptdF990 |
| Revenue Subtotal | 1734660010 | RevenueSubtotal |
| Revenue Not Rptd On Fin Stmt | 0 | RevenueNotRptdOnFinStmt |
| Total Revenue Per Form990 | 1734660010 | TotalRevenuePerForm990 |
| Tot Expenses Etc Audited Fincl Stmt | 1673394432 | TotExpensesEtcAuditedFinclStmt |
| Expenses Not Rptd F990 | 0 | ExpensesNotRptdF990 |
| Expenses Subtotal | 1673394432 | ExpensesSubtotal |
| Expenses Not Rptd On Fin Stmt | 0 | ExpensesNotRptdOnFinStmt |
| Total Expenses Per Form990 | 1673394432 | TotalExpensesPerForm990 |
Form990 Schedule D Part XIII Form990ScheduleDPartXIII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Explanation | PART X, FIN 48 FOOTNOTE TO FINANCIAL STATEMENTS: FIN 48 (ASC 740) WAS ADOPTED BY THE ORGANIZATION DURING THE YEAR ENDED DECEMBER 31, 2009. THERE HAS BEEN NO LIABILITY FOR UNCERTAIN TAX POSITIONS RECORDED ON THE FINANCIAL STATEMENTS FOR THE CURRENT YEAR. | Explanation |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Records Maintained | 1 | RecordsMaintained |
Recipient Table RecipientTable (50 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EIN Of RecipientEINOfRecipient | IRC SectionIRCSection | Amount Of Cash GrantAmountOfCashGrant | Purpose Of GrantPurposeOfGrant |
|---|---|---|---|---|---|---|---|
| AMERICAN RED CROSS | |||||||
| 3150 E 29TH ST | LONG BEACH | CA | 90806 | 951647805 | 501(C)(3) | 7292 | SCAN HEALTH PLAN MATCHING OF EMPLOYEES' CONTRIBUTION TOWARD HURRICAN SANDY RELIEF |
| AMERICAN HEALTH ASSOCIATION | |||||||
| 1710 GILBRETH RD | BURLINGAME | CA | 94010 | 135616797 | 501(C)(3) | 5000 | ONE TIME COMMUNITY GRANT FOR THE ORGANIZATION'S COMMITMENT TO THE SENIOR POPULATION AND CONTINUED SERVICES TO THE SENIOR COMMUNITY FOR THE SOUTH LA COUNTY SAVING STROKES PROGRAM. |
| ABILITY FIRST | |||||||
| 3770 E WILLOW ST | LONG BEACH | CA | 90815 | 951690983 | 501(C)(3) | 5000 | ONE TIME COMMUNITY GRANT FOR THE ORGANIZATION'S COMMITMENT TO THE SENIOR POPULATION AND CONTINUED SERVICES TO THE SENIOR COMMUNITY FOR THE WARM WATER AQUATICS PROGRAM. |
| CATHOLIC CHARITIES OF THE DIOCESE OF STOCKON | |||||||
| 1106 N EL DORADO ST | STOCKTON | CA | 95202 | 941629114 | 501(C)(3) | 15000 | SCAN'S ASSISTANCE EMERGENCY FUND FOR OLDER ADULTS IN THE COMMUNITY TO RECEIVE VITAL SERVICES. |
| CALIFORNIA STATE UNIVERSITY LONG BEACH FOUNDATION | |||||||
| 1250 BELLFLOWER BLVD HS D 100 | LONG BEACH | CA | 90840 | 916106694 | 501(C)(3) | 5100 | ONE TIME COMMUNITY GRANT TO THE OSHER LONGLIFE LEARNING INSTITUTE IN SUPPORT OF THE "FALLS AND BALANCE: AN OUNCE OF PREVENTION" CLASS SERIES. |
| SECOND HARVEST FOOD BANK OF OC | |||||||
| 8014 MARINE WAY | IRVINE | CA | 92618 | 953033494 | 501(C)(3) | 10000 | ONE TIME COMMUNITY GRANT FOR THE ORGANIZATION'S COMMITMENT TO THE SENIOR POPULATION AND CONTINUED SERVICES TO THE SENIOR COMMUNITY. |
| COUNCIL ON AGING - ORANGE COUNTY | |||||||
| 1971 E 4TH STREET STE 200 | SANTA ANA | CA | 92705 | 952874089 | 501(C)(3) | 15000 | ONE TIME COMMUNITY GRANT FOR THE ORGANIZATION'S COMMITMENT TO THE SENIOR POPULATION AND CONTINUED SERVICES TO THE SENIOR COMMUNITY. THE GRANT WAS MADE IN THE MEMORY OF DR. ASHA CHOPRA, SCAN HEALTH PLAN MEDICAL DIRECTOR. |
| FAMILY SERVICE ASSOCIATION OF WESTERN RIVERSIDE COUNTY | |||||||
| 21250 BOX SPRING RD STE 215 | MORENOA VALLEY | CA | 92557 | 951803694 | 501(C)(3) | 5000 | ONE TIME COMMUNITY GRANT FOR THE ORGANIZATION'S COMMITMENT TO THE SENIOR POPULATION AND CONTINUED SERVICES TO THE SENIOR COMMUNITY. |
| FOOD FINDERS | |||||||
| 3434 ATLANTIC AVE | LONG BEACH | CA | 90807 | 330412749 | 501(C)(3) | 5000 | ONE TIME COMMUNITY GRANT FOR THE ORGANIZATION'S COMMITMENT TO THE SENIOR POPULATION AND CONTINUED SERVICES TO THE SENIOR COMMUNITY. |
| HUMAN SERVICES ASSOCIATION | |||||||
| 6800 FLORENCE AVE | BELL GARDENS | CA | 90201 | 951816054 | 501(C)(3) | 21917 | SCAN HEALTH PLAN SPONSORSHIP OF THANKSGIVING DAY MEALS BY HUMAN SERVICES ASSOCIATION IN BELL GARDENS, CA |
| HEALTH INDUSTRY COLLABORATIVE EFFORT | |||||||
| PO BOX 6270 | NEWPORT BEACH | CA | 92658 | 900130332 | 501(C)(3) | 10000 | ONE TIME COMMUNITY GRANT FOR THE ORGANIZATION'S COMMITMENT TO THE SENIOR POPULATION AND CONTINUED SERVICES TO THE SENIOR COMMUNITY. |
| JEWISH FAMILY SERVICE OF LOS ANGELES | |||||||
| 3580 WILSHIRE BLVD STE 700 | LOS ANGELES | CA | 90010 | 951691013 | 501(C)(3) | 10000 | ONE TIME COMMUNITY GRANT FOR THE ORGANIZATION'S COMMITMENT TO THE SENIOR POPULATION AND CONTINUED SERVICES TO THE SENIOR COMMUNITY FOR HOME BOUND MEALS |
| JEWISH FAMILY SERVICE OF THE DESERT | |||||||
| 801 TAHQUITZ CANYON ST 202 | PALM SPRINGS | CA | 92262 | 330613083 | 501(C)(3) | 30000 | SCAN'S ASSISTANCE EMERGENCY FUND FOR OLDER ADULTS IN THE COMMUNITY TO RECEIVE VITAL SERVICES. |
| JEWISH FAMILY SERVICES OF SAN DIEGO | |||||||
| 8804 BALBOA AVE | SAN DIEGO | CA | 92123 | 951644024 | 501(C)(3) | 10000 | SCAN'S ASSISTANCE EMERGENCY FUND FOR OLDER ADULTS IN THE COMMUNITY TO RECEIVE VITAL SERVICES TO SUPPORT THE FOODMOBILE - SENIOR NUTRITION PROGRAM. |
| LA COMIDA SENIOR NUTRITION | |||||||
| 450 BRYANT STREET | PALO ALTO | CA | 94301 | 942170907 | 501(C)(3) | 5000 | ONE TIME COMMUNITY GRANT FOR THE ORGANIZATION'S COMMITMENT TO THE SENIOR POPULATION AND CONTINUED SERVICES TO THE SENIOR COMMUNITY FOR SENIOR MEALS. |
| MEALS ON WHEELS WEST | |||||||
| 1823 MICHIGAN AVE | SANTA MONICA | CA | 90404 | 954613280 | 501(C)(3) | 5000 | ONE TIME COMMUNITY GRANT FOR THE ORGANIZATION'S COMMITMENT TO THE SENIOR POPULATION AND CONTINUED SERVICES TO THE SENIOR COMMUNITY. |
| MEALS ON WHEELS BY SENIOR OUTREACH SERVICES | |||||||
| 1300 CIVIC DRIVE | WALNUT CREEK | CA | 94596 | 680044205 | 501(C)(3) | 10000 | ONE TIME COMMUNITY GRANT FOR THE ORGANIZATION'S COMMITMENT TO THE SENIOR POPULATION AND CONTINUED SERVICES TO THE SENIOR COMMUNITY. |
| MEALS ON WHEELS BY SENIOR OUTREACH SERVICES | |||||||
| 1300 CIVIC DRIVE | WALNUT CREEK | CA | 94596 | 680044205 | 501(C)(3) | 15000 | SCAN'S ASSISTANCE EMERGENCY FUND FOR OLDER ADULTS IN THE COMMUNITY TO RECEIVE VITAL SERVICES. |
| MEALS ON WHEELS OF SAN FRANCISCO | |||||||
| 1375 FAIRFAX AVE | SAN FRANCISCO | CA | 94124 | 941741155 | 501(C)(3) | 15000 | SCAN'S ASSISTANCE EMERGENCY FUND FOR OLDER ADULTS IN THE COMMUNITY TO RECEIVE VITAL SERVICES. |
| PLEASANT HILL COMMUNITY FOUNDATION - SENIOR CENTER | |||||||
| 147 GREGORY LANE | PLEASANT HILL | CA | 94523 | 680108026 | 501(C)(3) | 5000 | ONE TIME COMMUNITY GRANT FOR THE ORGANIZATION'S COMMITMENT TO THE SENIOR POPULATION AND CONTINUED SERVICES TO THE SENIOR COMMUNITY FOR THE NUTRITION PROGRAM. |
| PROJECT OPEN HAND | |||||||
| 730 POLK STREET | SAN FRANCISCO | CA | 94109 | 943023551 | 501(C)(3) | 5000 | ONE TIME COMMUNITY GRANT FOR THE ORGANIZATION'S COMMITMENT TO THE SENIOR POPULATION AND CONTINUED SERVICES TO THE SENIOR COMMUNITY. |
| RIVERSIDE MEALS ON WHEELS | |||||||
| 4845 BROCKTON AVE | RIVERSIDE | CA | 92506 | 237262925 | 501(C)(3) | 5000 | ONE TIME COMMUNITY GRANT FOR THE ORGANIZATION'S COMMITMENT TO THE SENIOR POPULATION AND CONTINUED SERVICES TO THE SENIOR COMMUNITY. |
| JACOB & CUSHMAN SAN DIEGO FOOD BANK | |||||||
| 9850 DISTRIBUTION AVENUE | SAN DIEGO | CA | 92121 | 204374795 | 501(C)(3) | 10000 | ONE TIME COMMUNITY GRANT FOR THE ORGANIZATION'S COMMITMENT TO THE SENIOR POPULATION AND CONTINUED SERVICES TO THE SENIOR COMMUNITY. |
| SAN FRANCISCO FOOD BANK | |||||||
| 900 PENNSYLVANIA AVE | SAN FRANCISCO | CA | 94107 | 943041517 | 501(C)(3) | 5000 | ONE TIME COMMUNITY GRANT FOR THE ORGANIZATION'S COMMITMENT TO THE SENIOR POPULATION AND CONTINUED SERVICES TO THE SENIOR COMMUNITY. |
| SENIOR GLEANERS INC | |||||||
| 1951 BELL AVE | SACRAMENTO | CA | 95838 | 510183481 | 501(C)(3) | 5000 | ONE TIME COMMUNITY GRANT FOR THE ORGANIZATION'S COMMITMENT TO THE SENIOR POPULATION AND CONTINUED SERVICES TO THE SENIOR COMMUNITY. |
| SENIOR COMMUNITY CENTERS OF SAN DIEGO | |||||||
| 525 14TH ST STE 200 | SAN DIEGO | CA | 92101 | 952850121 | 501(C)(3) | 15000 | SCAN'S ASSISTANCE EMERGENCY FUND FOR OLDER ADULTS IN THE COMMUNITY TO RECEIVE VITAL SERVICES. |
| SMILES FOR SENIORS FOUNDATION | |||||||
| 34910 AVE C | YUCAIPA | CA | 92399 | 260373602 | 501(C)(3) | 15000 | SCAN'S ASSISTANCE EMERGENCY FUND FOR OLDER ADULTS IN THE COMMUNITY TO RECEIVE VITAL SERVICES. |
| UC REGENTS | |||||||
| 10945 LE CONTE AVE STE 2339 | LOS ANGELES | CA | 90095 | 956006143 | GOV'T ENTITY | 20000 | ONE TIME COMMUNITY GRANT FOR THE ORGANIZATION'S COMMITMENT TO THE SENIOR POPULATION THROUGH EDUCATION. THE GRANT IS IN SUPPORT OF THE LEADERSHIP AND MANAGEMENT IN GERIATRICS COURSE. |
| YMCA OF SAN GABRIEL VALLEY | |||||||
| 943 N GRAND STREET | COVINA | CA | 91724 | 951641967 | 501(C)(3) | 100000 | SCAN'S ASSISTANCE EMERGENCY FUND FOR OLDER ADULTS IN THE COMMUNITY TO RECEIVE VITAL SERVICES AND SENIOR NUTRITION PROGRAMS AND ONE TIME COMMUNITY GRANT FOR THE ORGANIZATION'S COMMITMENT TO THE SENIOR POPULATION AND CONTINUED SERVICES TO THE SENIOR COMMUNITY FOR SENIOR NUTRITION PROGRAMS. |
| MEALS ON WHEELS GREATER SAN DIEGO INC | |||||||
| 2254 SAN DIEGO AVE STE200 | SAN DIEGO | CA | 92110 | 952660509 | 501(C)(3) | 75000 | ONE TIME COMMUNITY GRANT FOR THE ORGANIZATION'S COMMITMENT TO THE SENIOR POPULATION AND CONTINUED SERVICES TO THE SENIOR COMMUNITY. |
| MEALS ON WHEELS BY ACC | |||||||
| 7311 GREENHAVEN DR STE 190 | SACRAMENTO | CA | 95831 | 300610870 | 501(C)(3) | 50000 | ONE TIME COMMUNITY GRANT FOR THE ORGANIZATION'S COMMITMENT TO THE SENIOR POPULATION AND CONTINUED SERVICES TO THE SENIOR COMMUNITY FOR NUTRITION SERVICES. |
| ALAMEDA COUNTY MEALS ON WHEELS | |||||||
| PO BOX 14002 | OAKLAND | CA | 94614 | 942651065 | 501(C)(3) | 75000 | ONE TIME COMMUNITY GRANT FOR THE ORGANIZATION'S COMMITMENT TO THE SENIOR POPULATION AND CONTINUED SERVICES TO THE SENIOR COMMUNITY. |
| ASIAN COMMUNITY CENTER OF SACRAMENTO VALLEY | |||||||
| 7311 GREENHAVEN DR STE 190 | SACRAMENTO | CA | 95831 | 942271380 | 501(C)(3) | 50000 | SCAN'S ASSISTANCE EMERGENCY FUND FOR OLDER ADULTS IN THE COMMUNITY TO RECEIVE VITAL SERVICES AND SENIOR NUTRITION PROGRAMS. |
| JEWISH FAMILY SERVICES OF LOS ANGELES | |||||||
| 3580 WHILSHIRE BLVD STE 700 | LOS ANGELES | CA | 90010 | 951691013 | 501(C)(3) | 50000 | SCAN'S ASSISTANCE EMERGENCY FUND FOR OLDER ADULTS IN THE COMMUNITY TO RECEIVE VITAL SERVICES. |
| JEWISH FAMILY AND CHILDRENS SERVICES | |||||||
| 2150 POST ST | SAN FRANCISCO | CA | 94115 | 941156528 | 501(C)(3) | 75000 | SCAN'S ASSISTANCE EMERGENCY FUND FOR OLDER ADULTS IN THE COMMUNITY TO RECEIVE VITAL SERVICES AND PROGRAMS. |
| THE HEALTH TRUST | |||||||
| 2105 S BASCOM AVE STE 220 | CAMPBELL | CA | 95008 | 946050231 | 501(C)(3) | 100000 | ONE TIME COMMUNITY GRANT FOR THE ORGANIZATION'S COMMITMENT TO THE SENIOR POPULATION AND CONTINUED SERVICES TO THE SENIOR COMMUNITY FOR SENIOR NUTRITION PROGRAMS. |
| FAMILY SERVICE ASSOCIATION OF WESTERN RIVERSIDE COUNTY | |||||||
| 21250 BOX SPRINGS RD STE 215 | MORENO VALLEY | CA | 92557 | 951803694 | 501(C)(3) | 50000 | ONE TIME COMMUNITY GRANT FOR THE ORGANIZATION'S COMMITMENT TO THE SENIOR POPULATION AND CONTINUED SERVICES TO THE SENIOR COMMUNITY FOR SENIOR NUTRITION PROGRAMS. |
| ST VINCENT MEALS & WHEELS | |||||||
| 2131 WEST THIRD STREET | LOS ANGELES | CA | 90057 | 953696693 | 501(C)(3) | 50000 | ONE TIME COMMUNITY GRANT FOR THE ORGANIZATION'S COMMITMENT TO THE SENIOR POPULATION AND CONTINUED SERVICES TO THE SENIOR COMMUNITY FOR SENIOR NUTRITION PROGRAMS. |
| SAN JOAQUIN DEPT OF AGING | |||||||
| PO BOX 201056 | STOCKTEN | CA | 95201 | 946000531 | 501(C)(3) | 50000 | ONE TIME COMMUNITY GRANT FOR THE ORGANIZATION'S COMMITMENT TO THE SENIOR POPULATION AND CONTINUED SERVICES TO THE SENIOR COMMUNITY FOR SENIOR NUTRITION PROGRAMS. |
| SELF HELP FOR THE ELDERLY | |||||||
| 407 SANSOME ST | SAN FRANCISCO | CA | 94111 | 941750717 | 501(C)(3) | 50000 | ONE TIME COMMUNITY GRANT FOR THE ORGANIZATION'S COMMITMENT TO THE SENIOR POPULATION AND CONTINUED SERVICES TO THE SENIOR COMMUNITY FOR SENIOR NUTRITION PROGRAMS. |
| HUMAN SERVICES ASSOCIATION | |||||||
| 6800 FLORENCE AVE | BELL | CA | 90201 | 951816054 | 501(C)(3) | 125000 | SCAN'S ASSISTANCE EMERGENCY FUND FOR OLDER ADULTS IN THE COMMUNITY TO RECEIVE VITAL SERVICES AND SENIOR NUTRITION PROGRAMS AND ONE TIME COMMUNITY GRANT FOR THE ORGANIZATION'S COMMITMENT TO THE SENIOR POPULATION AND CONTINUED SERVICES TO THE SENIOR COMMUNITY FOR SENIOR NUTRITION PROGRAMS. |
| FOOD BANK OF CONTRA COSTA AND SOLANO | |||||||
| PO BOX 6324 | CONCORD | CA | 94524 | 942418054 | 501(C)(3) | 50000 | ONE TIME COMMUNITY GRANT FOR THE ORGANIZATION'S COMMITMENT TO THE SENIOR POPULATION AND CONTINUED SERVICES TO THE SENIOR COMMUNITY FOR SENIOR NUTRITION PROGRAMS. |
| REHABILITATION SERVICES OF NORTHERN CA | |||||||
| 490 GOLF CLUB ROAD | PLEASANT HILL | CA | 94523 | 946826343 | 501(C)(3) | 50000 | SCAN'S ASSISTANCE EMERGENCY FUND FOR OLDER ADULTS IN THE COMMUNITY TO RECEIVE VITAL SERVICES AND PROGRAMS. |
| COUNTY OF RIVERSIDE | |||||||
| 6296 RIVERCREST DR STE K | RIVERSIDE | CA | 92507 | 956000930 | 501(C)(3) | 150000 | SCAN'S ASSISTANCE EMERGENCY FUND FOR OLDER ADULTS IN THE COMMUNITY TO RECEIVE VITAL SERVICES AND SENIOR NUTRITION PROGRAMS AND ONE TIME COMMUNITY GRANT FOR THE ORGANIZATION'S COMMITMENT TO THE SENIOR POPULATION AND CONTINUED SERVICES TO THE SENIOR COMMUNITY FOR SENIOR NUTRITION PROGRAMS. |
| COUNCIL ON AGING-ORANGE COUNTY | |||||||
| 1974 E 4TH STREET STE 200 | SANTA ANA | CA | 92705 | 952874089 | 501(C)(3) | 50000 | ONE TIME COMMUNITY GRANT FOR THE ORGANIZATION'S COMMITMENT TO THE SENIOR POPULATION AND CONTINUED SERVICES TO THE SENIOR COMMUNITY. |
| COUNTY OF SAN JOAQUIN | |||||||
| 44 N SAN JOAQUIN STREET | STOCKTON | CA | 95202 | 946000531 | 501(C)(3) | 50000 | SCAN'S ASSISTANCE EMERGENCY FUND FOR OLDER ADULTS IN THE COMMUNITY TO RECEIVE VITAL SERVICES AND PROGRAMS. |
| INTERNATIONAL INSTITUTE OF LOS ANGELES | |||||||
| 3845 SELIG PLACE | LOS ANGELES | CA | 90031 | 951641446 | 501(C)(3) | 50000 | ONE TIME COMMUNITY GRANT FOR THE ORGANIZATION'S COMMITMENT TO THE SENIOR POPULATION AND CONTINUED SERVICES TO THE SENIOR COMMUNITY FOR NUTRITION SERVICES. |
| COMMUNITY SENIORSERV INC | |||||||
| 1200 N KNOLLWOOD CIRCLE | ANAHEIM | CA | 92801 | 952771715 | 501(C)(3) | 100000 | ONE TIME COMMUNITY GRANT FOR THE ORGANIZATION'S COMMITMENT TO THE SENIOR POPULATION AND CONTINUED SERVICES TO THE SENIOR COMMUNITY FOR NUTRITION SERVICES. |
| CITY OF LOS ANGELES DEPARTMENT OF AGING | |||||||
| 3580 WILSHIRE BLVD STE 300 | LOS ANGELES | CA | 90010 | 956000735 | 501(C)(3) | 100000 | SCAN'S ASSISTANCE EMERGENCY FUND FOR OLDER ADULTS IN THE COMMUNITY TO RECEIVE VITAL SERVICES AND SENIOR NUTRITION PROGRAMS AND ONE TIME COMMUNITY GRANT FOR THE ORGANIZATION'S COMMITMENT TO THE SENIOR POPULATION AND CONTINUED SERVICES TO THE SENIOR COMMUNITY FOR SENIOR NUTRITION PROGRAMS. |
| HEALTHCARE PARTNERS INSTITUTE | |||||||
| 19191 S VERMONT AVENUE SUITE 200 | TORRANCE | CA | 90502 | 934591816 | 501(C)(3) | 800000 | SCAN'S ASSISTANCE EMERGENCY FUND FOR OLDER ADULTS IN THE COMMUNITY TO RECEIVE VITAL SERVICES. |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Nbr Of501 C3 And Govt Grants | 50 | TotalNbrOf501C3AndGovtGrants |
| Total Nbr Of Other Organizations | 0 | TotalNbrOfOtherOrganizations |
Form990 Schedule I Part IV Form990ScheduleIPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | PROCEDURE FOR MONITORING GRANTS IN THE U.S.: | Identifier |
| Return Reference | PART I, LINE 2: | ReturnReference |
| Explanation | SCHEDULE I, PART I, LINE 2: SCAN HAS A COMMUNITY GIVING COMMITTEE, ("CGC"), WHICH IS A NINE MEMBER COMMITTEE REPRESENTATIVE OF ALL LEVELS OF MANAGEMENT AND IS CHAIRED BY THE SENIOR VICE PRESIDENT, OPERATIONS. THE CGC MEETS ON A BIMONTHLY BASIS TO EVALUATE, SELECT AND DECIDE THE AMOUNT TO BE AWARDED TO GRANTEE ORGANIZATIONS. IT BASES ITS DECISION TO AWARD MONEY ON THE INFRASTRUCTURE OF THE GRANTEE ORGANIZATION, ITS PERCEIVED ABILITY TO EFFECTIVELY AND EFFICIENTLY IMPACT THE LIVES OF SENIORS AND ABILITY TO CONTINUE A SUSTAINABLE RELATIONSHIP. PRIOR TO THE SELECTION OF PROSPECTIVE GRANTEE ORGANIZATIONS BY CGC, SUCH ORGANIZATIONS ARE SUBJECTED TO A VETTING PROCESS AND MEASURED AGAINST THE FOLLOWING CRITERIA: 1) ALIGN WITH SCAN MISSION, 2) SERVE RESIDENTS IN SCAN HEALTH PLAN CALIFORNIA SERVICE AREAS, 3) MUST BE VERIFIED NONPROFIT WITH TAX EXEMPT STATUS AND 4) MUST BE IN EXISTENCE FOR AT LEAST 2 YEARS. IN 2011, SCAN HEALTH PLAN AGREED TO MAKE A $2,000,000 GRANT TO HEALTHCARE PARTNERS INSTITUTE WHICH ADDRESS THE HEALTH NEEDS OF CALIFORNIA'S SENIORS THAT ALLOW THEM TO REMAIN HEALTHY AND INDEPENDENT, AT HOME. THE GRANT AWARDED AS PART OF THIS COMMITMENT WILL BE DISTRIBUTED AS FOLLOWS: $800,000 IN 2012, $600,000 IN 2013 AND $600,000 IN 2014. IN 2011 AN ACCRUAL FOR THE $2,000,000 WAS INCLUDED IN SCHEDULE I AND IN 2012, $800,000 WAS PAID AGAINST THE ACCRUAL. IN 2011, SCAN HEALTH PLAN AGREED TO MAKE AN ADDITIONAL $4,000,000 IN COMMUNITY GRANTS WHICH ADDRESS THE HEALTH NEEDS OF CALIFORNIA'S SENIORS THAT ALLOW THEM TO REMAIN HEALTHY AND INDEPENDENT, AT HOME. THE GRANTS AWARDED AS PART OF THIS COMMITMENT WILL BE DISTRIBUTED BY DECEMBER 31, 2013. AMOUNTS AWARDED TO SPECIFIC ORGANIZATIONS DURING 2012 THAT WERE UNKNOWN AT THE TIME OF THE COMMITMENT AND ACCRUAL ARE INCLUDED IN SCHEDULE I. | Explanation |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Travel For Companions | X | TravelForCompanions |
| Written Policy Re T And E Expenses | 1 | WrittenPolicyReTAndEExpenses |
| Substantiation Required | 1 | SubstantiationRequired |
| Compensation Committee | X | CompensationCommittee |
| Independent Consultant | X | IndependentConsultant |
| Form990 Of Other Organizations | X | Form990OfOtherOrganizations |
| Written Employment Contract | X | WrittenEmploymentContract |
| Compensation Survey | X | CompensationSurvey |
| Board Or Committee Approval | X | BoardOrCommitteeApproval |
| Severance Payment | 1 | SeverancePayment |
| Supplemental Nonqual Retire Plan | 1 | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | 1 | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | 0 | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | 0 | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | 0 | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | 0 | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | 0 | AnyNonFixedPayments |
| Initial Contract Exception | 1 | InitialContractException |
| Rebuttable Presumption Procedure | 1 | RebuttablePresumptionProcedure |
Form990 Schedule J Part II Form990ScheduleJPartII (19 entries)
| TitleTitle | Base Compensation Filing OrgBaseCompensationFilingOrg | Comp Based On Related OrgsCompBasedOnRelatedOrgs | Bonus Filing OrgBonusFilingOrg | Bonus Related OrgsBonusRelatedOrgs | Other Compensation Filing OrgOtherCompensationFilingOrg | Other Compensation Related OrgsOtherCompensationRelatedOrgs | Deferred Comp Filing OrgDeferredCompFilingOrg | Deferred Comp Related OrgsDeferredCompRelatedOrgs | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg | Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs | Total Compensation Filing OrgTotalCompensationFilingOrg | Total Compensation Related OrgsTotalCompensationRelatedOrgs | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg | Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| COLLEEN CAIN | ||||||||||||||
| CHAIRPERSON | 157950 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 157950 | 0 | 0 | 0 |
| CHRISTOPHER WING | ||||||||||||||
| PRESIDENT AND CEO | 594534 | 0 | 276598 | 0 | 20612 | 0 | 88160 | 0 | 20939 | 0 | 1000843 | 0 | 0 | 0 |
| DOUGLAS JAQUES | ||||||||||||||
| SECRETARY | 0 | 312622 | 0 | 122575 | 0 | 18775 | 0 | 45854 | 0 | 42454 | 0 | 542280 | 0 | 0 |
| NANCY J MONK | ||||||||||||||
| CHIEF RISK OFFICER | 224887 | 0 | 150000 | 0 | 17958 | 0 | 20865 | 0 | 11610 | 0 | 425320 | 0 | 0 | 0 |
| WALTER RANDY STONE | ||||||||||||||
| CHIEF FINANCIAL OFFICER | 347350 | 0 | 73977 | 0 | 22201 | 0 | 43210 | 0 | 20486 | 0 | 507224 | 0 | 0 | 0 |
| WILLIAM H ROTH | ||||||||||||||
| CHIEF OPERATING OFFICER | 412500 | 0 | 72197 | 0 | 19007 | 0 | 39548 | 0 | 5706 | 0 | 548958 | 0 | 0 | 0 |
| TIMOTHY SCHWAB | ||||||||||||||
| CHIEF MEDICAL & VISION OFFICER | 462353 | 0 | 200299 | 0 | 118353 | 0 | 85515 | 0 | 2711 | 0 | 869231 | 0 | 95809 | 0 |
| MERLIN SWACKHAMER | ||||||||||||||
| CHIEF INFORMATION OFFICER | 0 | 340498 | 0 | 101136 | 0 | 169784 | 0 | 44676 | 0 | 2105 | 0 | 658199 | 0 | 143092 |
| SHERRY STAINSLAW | ||||||||||||||
| SVP SERVICE OPERATIONS | 275720 | 0 | 93272 | 0 | 19788 | 0 | 37676 | 0 | 12036 | 0 | 438492 | 0 | 0 | 0 |
| PETER BEGANS | ||||||||||||||
| SVP PUBLIC & GOVERNMENT AFFAIRS | 0 | 292168 | 0 | 118102 | 0 | 19917 | 0 | 43042 | 0 | 41794 | 0 | 515023 | 0 | 0 |
| GILBERT J MILLER | ||||||||||||||
| SVP NATIONAL SALES | 302395 | 0 | 39143 | 0 | 21539 | 0 | 33451 | 0 | 3377 | 0 | 399905 | 0 | 0 | 0 |
| CATHERINE N BATTEER | ||||||||||||||
| SVP GM ALL MARKETS | 290000 | 0 | 37838 | 0 | 18466 | 0 | 33284 | 0 | 1942 | 0 | 381530 | 0 | 0 | 0 |
| REBECCA M LEARNER | ||||||||||||||
| OUTGOING SVP COMPLIANCE | 0 | 100080 | 0 | 37133 | 0 | 470362 | 0 | 17500 | 0 | 7991 | 0 | 633066 | 0 | 145843 |
| ELIZABETH RUSSELL | ||||||||||||||
| OUTGOING PRESIDENT SOUTHWEST REGION/ | 365361 | 0 | 309240 | 0 | 425524 | 0 | 75235 | 0 | 24826 | 0 | 1200186 | 0 | 0 | 0 |
| RAJEEV NARULA | ||||||||||||||
| OUTGOING VP & CONTROLLER | 111535 | 0 | 61715 | 0 | 305444 | 0 | 17500 | 0 | 23939 | 0 | 520133 | 0 | 0 | 0 |
| BEVANN MORELAND | ||||||||||||||
| VP CLAIMS | 241826 | 0 | 60687 | 0 | 16693 | 0 | 16086 | 0 | 15854 | 0 | 351146 | 0 | 0 | 0 |
| RAYMOND CHAN | ||||||||||||||
| MEDICAL DIRECTOR | 245961 | 0 | 50574 | 0 | 19668 | 0 | 11724 | 0 | 28525 | 0 | 356452 | 0 | 0 | 0 |
| SHARONJIT K BAKSHI | ||||||||||||||
| VP PHARMACY | 234495 | 0 | 48478 | 0 | 14818 | 0 | 17500 | 0 | 11990 | 0 | 327281 | 0 | 0 | 0 |
| RUSSELL BROWER | ||||||||||||||
| MEDICAL DIRECTOR | 264827 | 0 | 66781 | 0 | 18424 | 0 | 17500 | 0 | 19005 | 0 | 386537 | 0 | 0 | 0 |
Form990 Schedule J Part III Form990ScheduleJPartIII (3 entries)
| Return ReferenceReturnReference | ExplanationExplanation |
|---|---|
| PART I, LINE 1A | SIGNIFICANT OTHERS' OF CERTAIN SCAN GROUP, SCAN HEALTH PLAN AND SCAN ARIZONA EXECUTIVES ATTENDED A COMPANY BUSINESS EVENT IN 2012, AT THE COMPANY'S REQUEST, FOR THE BUSINESS PURPOSE OF CREATING DEEPER AND MORE PRODUCTIVE RELATIONSHIPS BETWEEN SCAN AND IMPORTANT SCAN THIRD PARTY BUSINESS PARTNERS. SINCE THE COMPANY REQUESTED THAT THE SCAN SIGNIFICANT OTHERS ATTEND FOR THE PURPOSE OF ACHIEVING A COMPANY BUSINESS OBJECTIVE, THE COMPANY REIMBURSED THE TRAVEL EXPENSES OF THOSE COMPANIONS. |
| PART I, LINES 4A-C | PART I, LINES 4A-C: 4A: DURING 2012, THE EMPLOYMENT RELATIONSHIPS OF THE FOLLOWING EMPLOYEES OF SCAN HEALTH PLAN AND SCAN GROUP ENDED. IN CONNECTION WITH THE TERMINATION OF THEIR RESPECTIVE EMPLOYMENT, SCAN HEALTH PLAN NEGOTIATED AND PAID SEVERANCE TO EACH OF THEM. THE SEVERANCE PAYMENT WAS IN ACCORDANCE WITH THE TERMS OF EACH KEY AND/OR HIGHLY COMPENSATED EMPLOYEES' THEN EXISTING EMPLOYMENT AGREEMENT. REBECCA M. LEARNER, SENIOR VICE PRESIDENT - COMPLIANCE, KEY EMPLOYEE - SCAN GROUP, $297,571 ELIZABETH RUSSELL, PRESIDENT - SOUTHWEST REGION , KEY EMPLOYEE - SCAN HEALTH PLAN, $340,452 RAJEEV NARULA, VICE PRESIDENT AND CONTROLLER, HIGHLY COMPENSATED EMPLOYEE - SCAN HEALTH PLAN, $246,726 4B: THE COMPANY PROVIDES A SUPPLEMENTAL NON-QUALIFIED RETIREMENT PLAN TO ONLY SENIOR EXECUTIVES OF THE COMPANY. OFFICERS AND SENIOR VICE PRESIDENTS ARE ELIGIBLE TO PARTICIPATE IN THE SECTION 457(F) PLAN. THE FOLLOWING INDIVIDUALS PARTICIPATED IN THE COMPANY'S SECTION 457(F) DURING THE YEAR 2012: CHRISTOPHER WING, WALTER R. STONE, PETER BEGANS, TIMOTHY SCHWAB, DOUGLAS JAQUES, SHERRY STANISLAW, MERLIN SWACKHAMER, CATHERINE N. BATTEER, NANCY J. MONK, WILLIAM H. ROTH, GILBERT J. MILLER, REBECCA M. LEARNER AND ELIZABETH RUSSELL. PURSUANT TO THE TERMS AND CONDITIONS OF THE SECTION 457(F) PLAN, A PARTICIPANT BECOMES 100% VESTED IN THE EMPLOYER CONTRIBUTION UPON THE OCCURRENCE OF ANY OF THE FOLLOWING WHILE THE PARTICIPANT IS AN EMPLOYEE (I) THE PARTICIPANT HAS TEN YEARS OF CONTINUOUS EMPLOYMENT, COUNTING ONLY SERVICE AFTER DECEMBER 31, 2005; (II) THE PARTICIPANT REACHES THE AGE OF 62 AND HAS FIVE YEARS OF CONTINUOUS EMPLOYMENT; (III) THE PARTICIPANT'S INVOLUNTARY TERMINATION; (IV) THE PARTICIPANT'S DISABILITY; OR (V) THE PARTICIPANT'S DEATH. THERE WERE 3 INDIVIDUALS WHO RECEIVED DISTRIBUTIONS FROM THE SECTION 457(F) PLAN DURING THE YEAR: (1) TIMOTHY SCHWAB, $95,809, (2) MERLIN SWACKHAMER, $143,092, (3) REBECCA M. LEARNER, $145,843 4C: THE FOLLOWING INDIVIDUALS PARTICIPATED IN SCAN HEALTH PLAN'S KEYSOP PLAN DURING THE TAXABLE YEAR: TIMOTHY SCHWAB AND REBECCA LEARNER. THE PLAN HAS BEEN FROZEN SINCE MAY 2002 AND NO EMPLOYEES ARE BEING NEWLY ADDED AS PARTICIPANTS. THE PROCESS FOR DETERMINING THE COMPENSATION OF THE INDEPENDENT DIRECTORS OF SCAN GROUP AND ITS AFFILIATES IS IN ACCORDANCE WITH SCAN GROUP'S "INDEPENDENT DIRECTORS' COMPENSATION PHILOSOPHY" AND IS SIMILAR TO THE COMPENSATION PROCESS EMPLOYED BY SCAN GROUP WITH RESPECT TO THE SENIOR EXECUTIVES OF SCAN GROUP AND SCAN HEALTH PLAN. ELEMENTS OF COMPENSATION INCLUDE AN ANNUAL RETAINER FOR BOARD MEMBERS AND COMMITTEE CHAIRS, AS WELL AS ESTABLISHED PER MEETING FEES. IN DETERMINING SUCH COMPENSATION, THE BOARD AND COMPENSATION COMMITTEE RELY UPON THE COUNSEL AND EXPERTISE OF ERNST & YOUNG, AN INDEPENDENT CONSULTANT, WITH WELL-ESTABLISHED EXPERIENCE AND EXPERTISE IN THE AREA OF NONPROFIT ORGANIZATION COMPENSATION AND COMPLIANCE WITH THE INTERMEDIATE SANCTIONS REQUIREMENTS APPLICABLE TO SUCH COMPENSATION. THE COMPENSATION COMMITTEE RETAINS ERNST & YOUNG TO CONDUCT A STUDY OF INDEPENDENT DIRECTOR COMPENSATION PRACTICES BIENNIALLY, INCLUDING BENCHMARK DATA. |
| PART I, LINE 8 | CERTAIN AMOUNTS REPORTED IN FORM 990, PART VII, REPRESENT FIXED PAYMENTS UNDER INITIAL CONTRACTS AND ARE THEREFORE EXEMPT FROM THE APPLICATION OF IRC SECTION 4958. |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (8 entries)
| Return ReferenceReturnReference | ExplanationExplanation | IdentifierIdentifier |
|---|---|---|
| FORM 990, PART VI, SECTION A, LINE 4 | THE ORGANIZATION ADOPTED AMENDED AND RESTATED BYLAWS DURING 2012, TO CHANGE DIRECTORS' TERM OF OFFICE FROM TWO YEARS IN DURATION TO THREE YEARS. NO CHANGES TO THE ORGANIZATION'S ARTICLES OF INCORPORATION OCCURRED DURING 2012. | |
| FORM 990, PART VI, SECTION A, LINE 6 | THE SOLE MEMBER OF THE ORGANIZATION IS SCAN GROUP, A CALIFORNIA NONPROFIT ORGANIZATION. | |
| FORM 990, PART VI, SECTION A, LINE 7A | THE SOLE MEMBER HAS THE POWER TO APPOINT THE MEMBERS OF THE BOARD OF DIRECTORS. | |
| FORM 990, PART VI, SECTION B, LINE 11 | THE FORM 990 IS PREPARED BY DELOITTE TAX LLP, WORKING IN CONJUNCTION WITH SCAN'S FINANCE DEPARTMENT. SCAN HEALTH PLAN'S DIRECTOR OF FINANCIAL SERVICES HAS DIRECT RESPONSIBILITY FOR THIS EFFORT, SUBJECT TO SUPERVISION BY THE SCAN HEALTH PLAN CONTROLLER. 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 AND/OR KNOWLEDGE ABOUT THE VARIOUS MATTERS DISCLOSED AND/OR DESCRIBED IN THE FORM. THE GENERAL COUNSEL, IN PARTICULAR, REVIEWS THE FORM 990 AND ENSURES ACCURACY OF DESCRIPTIONS AND THAT DISCLOSURE IS COMPLETE. THE DRAFT FORM 990 IS REVIEWED BY THE AUDIT AND COMPLIANCE COMMITTEE OF THE BOARD OF DIRECTORS OF SCAN GROUP, AND IS SHARED WITH ALL MEMBERS OF THE BOARD OF DIRECTORS AFTER IT IS READY FOR FILING BUT BEFORE IT IS FILED. | |
| 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 QUESTIONNAIRE WHICH IS REQUIRED TO BE ANSWERED BY ALL MEMBERS OF THE BOARD OF DIRECTORS, OFFICERS AND MEMBERS OF EXECUTIVE MANAGEMENT. IN ADDITION, THERE IS REGULAR EDUCATION AND ENFORCEMENT THROUGH OVERSIGHT OF SUCH POLICY AND THE SCAN HEALTH PLAN GIFT AND BUSINESS COURTESIES POLICY WITH RESPECT TO EACH DEPARTMENT BY MEMBERS OF THE SENIOR EXECUTIVE TEAM WITH RESPONSIBILITY FOR SUCH DEPARTMENT. THE LEGAL DEPARTMENT OF SCAN GROUP REVIEWS ALL CONTRACTUAL RELATIONSHIPS ENTERED INTO BY THE ORGANIZATION AND THE GENERAL COUNSEL OF SCAN HEALTH PLAN IS RESPONSIBLE FOR MONITORING CONFLICTS OF INTEREST THROUGH THE ANNUAL CIRCULATION AND REVIEW OF THE CONFLICT OF INTEREST QUESTIONNAIRE. ACCORDINGLY, THE LEGAL DEPARTMENT OF SCAN GROUP THROUGH THE GENERAL COUNSEL IS IN A POSITION TO MONITOR AND ENFORCE COMPLIANCE WITH THE POLICY ON AN ONGOING BASIS. | |
| FORM 990, PART VI, SECTION B, LINE 15 | 15A: THE PROCESS FOR DETERMINING THE COMPENSATION OF THE CHIEF EXECUTIVE OFFICER OF SCAN HEALTH PLAN IS CONDUCTED BY THE COMPENSATION COMMITTEE OF THE BOARD OF DIRECTORS OF SCAN GROUP, ALL OF THE VOTING MEMBERS OF WHICH ARE INDEPENDENT PERSONS. IN DETERMINING THE CHIEF EXECUTIVE OFFICER'S COMPENSATION, THE COMPENSATION COMMITTEE WORKS WITH AND RELIES UPON THE COUNSEL AND EXPERTISE OF ERNST & YOUNG, A CONSULTANT WITH WELL-ESTABLISHED EXPERIENCE AND EXPERTISE IN THE AREA OF NONPROFIT ORGANIZATION EXECUTIVE COMPENSATION AND COMPLIANCE WITH THE INTERMEDIATE SANCTIONS REQUIREMENTS APPLICABLE TO SUCH COMPENSATION. ERNST & YOUNG PROVIDES AN "EXECUTIVE COMPENSATION REPORT" TO THE COMPENSATION COMMITTEE EACH YEAR WHICH FURNISHES THE BASIS FOR THE ESTABLISHMENT OF THE CHIEF EXECUTIVE OFFICER'S COMPENSATION PACKAGE DURING THE FOLLOWING YEAR. THE ERNST & YOUNG EXECUTIVE COMPENSATION REPORT IS BASED ON A REVIEW OF THE EXECUTIVE COMPENSATION PRACTICES OF A VARIETY OF ORGANIZATIONS THAT ARE CONSIDERED COMPARABLE TO SCAN HEALTH PLAN BASED ON VARIOUS METRICS. THE COMPENSATION COMMITTEE DELIBERATES ON THE ISSUE OF THE CHIEF EXECUTIVE OFFICER'S COMPENSATION PACKAGE IN LIGHT OF THE ERNST & YOUNG EXECUTIVE COMPENSATION REPORT AND QUESTIONS ARE ASKED OF, AND ANSWERED BY ERNST & YOUNG, REGARDING SUCH REPORT AND OTHER MATTERS RELEVANT TO SUCH PACKAGE. BASED ON SUCH DELIBERATIONS, THE COMPENSATION COMMITTEE MAKES A RECOMMENDATION TO THE BOARD OF DIRECTORS OF SCAN GROUP REGARDING THE COMPENSATION PACKAGE FOR THE FOLLOWING YEAR. THE FULL BOARD OF DIRECTORS OF SCAN GROUP DELIBERATES ON AND THEN VOTES ON SUCH RECOMMENDATION; THE CHIEF EXECUTIVE OFFICER 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. 15B: THE PROCESS FOR DETERMINING THE COMPENSATION OF OFFICERS OR OTHER KEY EMPLOYEES OF SCAN HEALTH PLAN IS CONDUCTED BY THE HUMAN RESOURCES DEPARTMENT AND CHIEF EXECUTIVE OFFICER OF SCAN HEALTH PLAN, AND THE COMPENSATION COMMITTEE OF THE BOARD OF DIRECTORS OF SCAN GROUP; ALL OF THE VOTING MEMBERS OF SUCH COMMITTEE ARE INDEPENDENT PERSONS. IN DETERMINING SUCH EMPLOYEES' COMPENSATION, THE HUMAN RESOURCES DEPARTMENT AND COMPENSATION COMMITTEE WORKS WITH AND RELIES UPON THE COUNSEL AND EXPERTISE OF ERNST & YOUNG, A CONSULTANT WITH WELL ESTABLISHED EXPERIENCE AND EXPERTISE IN THE AREA OF NONPROFIT ORGANIZATION EXECUTIVE COMPENSATION AND COMPLIANCE WITH THE INTERMEDIATE SANCTIONS REQUIREMENTS APPLICABLE TO SUCH COMPENSATION. ERNST & YOUNG PROVIDES AN "EXECUTIVE COMPENSATION REPORT" TO THE HUMAN RESOURCES DEPARTMENT AND COMPENSATION COMMITTEE EACH YEAR WHICH FURNISHES THE BASIS FOR THE ESTABLISHMENT OF SUCH EMPLOYEES' COMPENSATION PACKAGE DURING THE FOLLOWING YEAR. THE ERNST & YOUNG EXECUTIVE COMPENSATION REPORT IS BASED ON A REVIEW OF THE EXECUTIVE COMPENSATION PRACTICES OF A VARIETY OF ORGANIZATIONS THAT ARE CONSIDERED COMPARABLE TO SCAN HEALTH PLAN BASED ON VARIOUS METRICS. THE CHIEF EXECUTIVE OFFICER MAKES A RECOMMENDATION TO THE COMPENSATION COMMITTEE WITH RESPECT TO EACH OF SUCH EMPLOYEES' COMPENSATION PACKAGE IN LIGHT OF THE ERNST & YOUNG EXECUTIVE COMPENSATION REPORT. AT THE COMPENSATION COMMITTEE MEETING ADDRESSING SUCH MATTERS, QUESTIONS ARE ASKED OF, AND ANSWERED BY ERNST & YOUNG, REGARDING SUCH REPORT AND OTHER MATTERS RELEVANT TO SUCH PACKAGE. BASED ON SUCH 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 AVAILABLE ON THE DEPARTMENT OF MANAGED HEALTH CARE'S WEBSITE AND TAX RETURNS ARE AVAILABLE ON REQUEST. | |
| FORM 990, PART XI, LINE 9: | FUND TRANSFER TO SCAN GROUP -30,000,000. | CHANGES IN NET ASSETS OR FUND BALANCES: |
Schedule R IRS990ScheduleR
Form990 Schedule R Part II Form990ScheduleRPartII (5 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivities | Legal Domicile StateLegalDomicileState | Exempt Code SectionExemptCodeSection | Public Charity StatusPublicCharityStatus | Direct Controlling Entity NADirectControllingEntityNA | Controlled OrgControlledOrg | Business Name Line1DirectControllingEntityName/BusinessNameLine1 |
|---|---|---|---|---|---|---|---|---|---|---|---|
| SCAN GROUP | |||||||||||
| 3800 KILROY AIRPORT WAY SUITE 100 | LONG BEACH | CA | 90806 | 953826037 | ADMINISTRATIVE SUPPORT | CA | 501(C)(3) | LINE 11, TYPE II | N/A | 1 | |
| THE SCAN FOUNDATION | |||||||||||
| 3800 KILROY AIRPORT WAY SUITE 100 | LONG BEACH | CA | 90806 | 450552845 | GRANT MAKING | CA | 501(C)(3) | LINE 11, TYPE II | 1 | SCAN GROUP | |
| SCAN HEALTH PLAN ARIZONA | |||||||||||
| 3800 KILROY AIRPORT WAY SUITE 100 | LONG BEACH | CA | 90806 | 731729007 | MEDICARE ADVANTAGE | AZ | 501(C)(4) | 1 | SCAN GROUP | ||
| SCAN LONG TERM CARE | |||||||||||
| 3800 KILROY AIRPORT WAY SUITE 100 | LONG BEACH | CA | 90806 | 204607594 | MEDICAID MANAGEMENT CARE | AZ | 501(C)(4) | 1 | SCAN HEALTH PLAN ARIZONA | ||
| SCAN 360 CARE | |||||||||||
| 3800 KILROY AIRPORT WAY SUITE 100 | LONG BEACH | CA | 90806 | 352443412 | MEDICARE & MEDICAID SERVICES | CA | 501(C)(3) | LINE 9 | 1 | SCAN GROUP | |
Form990 Schedule R Part IV Form990ScheduleRPartIV (2 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivityPrimaryActivity | Legal Domicile StateLegalDomicileState | Direct Controlling Entity NADirectControllingEntityNA | Type Of EntityTypeOfEntity | Controlled OrgControlledOrg |
|---|---|---|---|---|---|---|---|---|---|
| SCAN MANAGEMENT SERVICES COMPANY | |||||||||
| 3800 KILROY AIRPORT WAY SUITE 100 | LONG BEACH | CA | 90806 | 900860955 | MANAGEMENT | CA | N/A | C | 0 |
| SCAN WELLNESS CENTER PC | |||||||||
| 3800 KILROY AIRPORT WAY SUITE 100 | LONG BEACH | CA | 90806 | 900860971 | HEALTHCARE | CA | N/A | C | 0 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | 0 | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | 0 | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | 0 | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | 0 | LoansOrGuaranteesFromOtherOrg |
| Dividends Related Organization | 0 | DividendsRelatedOrganization |
| Sale Of Assets To Other Org | 0 | SaleOfAssetsToOtherOrg |
| Purchase Of Assets From Other Org | 0 | PurchaseOfAssetsFromOtherOrg |
| Exchange Of Assets | 0 | ExchangeOfAssets |
| Rental Of Facilities To Other Orgs | 0 | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | 0 | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | 0 | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | 0 | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | 0 | SharingOfFacilities |
| Sharing Of Paid Employees | 0 | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | 1 | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | 1 | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | 1 | OtherTransferToOtherOrg |
| Other Transfer From Other Org | 0 | OtherTransferFromOtherOrg |
Transactions Related Orgs Table TransactionsRelatedOrgsTable (5 entries)
| Transaction TypeTransactionType | Amount InvolvedAmountInvolved | Method Of Amt DeterminationMethodOfAmtDetermination |
|---|---|---|
| SCAN ARIZONA | ||
| Q | 3709286 | SEE PART VII |
| SCAN LONG TERM CARE | ||
| Q | 214314 | SEE PART VII |
| SCAN FOUNDATION | ||
| Q | 37728 | SEE PART VII |
| SCAN GROUP | ||
| P | 51249213 | SEE PART VII |
| SCAN GROUP | ||
| R | 30000000 | CASH |
Form990 Schedule R Part VII Form990ScheduleRPartVII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Reference | SCHEDULE R, PART V | ReturnReference |
| Explanation | THE PERCENTAGE OF ALLOCATION TO AFFILIATED COMPANIES IS DETERMINED BASED ON ESTIMATED PERCENTAGE OF TIME WORKED, PERCENTAGE OF HEADCOUNTS, AND THE PERCENTAGE OF SCAN MEMBERSHIP, AS APPROPRIATE BASED ON THE NATURE OF THE EXPENSE. | Explanation |