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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 ReturnHeader

FieldValueIRS element (for citing)
Timestamp2013-10-23T10:49:27-05:00Timestamp
Tax Period End Date2012-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

FieldValueIRS element (for citing)
EIN861065772EIN

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1DELOITTE TAX LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1655 WEST BROADWAY SUITE 700AddressLine1
CitySAN DIEGOCity
StateCAState
ZIP Code921018590ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2012-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN953858259EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1SCAN HEALTH PLANBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlSCANNameControl
Phone5629895100Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line13800 KILROY AIRPORT WAY NO 100AddressLine1
CityLONG BEACHCity
StateCAState
ZIP Code908065616ZIPCode

Officer Officer

FieldValueIRS element (for citing)
Name8453Name
TitleCHIEF EXCECUTIVE OFFICERTitle
Phone5629895100Phone
Date Signed2013-10-22DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameDIANA J MCCUTCHENName
PTINP00545657PTIN
Phone6192326500Phone
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonCHRISTOPHER WINGNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line13800 KILROY AIRPORT WAY NO 100AddressLine1
CityLONG BEACHCity
StateCAState
ZIP Code908065616ZIPCode
FieldValueIRS element (for citing)
Gross Receipts2476284436GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.SCANHEALTHPLAN.COMWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1983YearFormation
State Legal DomicileCAStateLegalDomicile
Activity Or Mission DescriptionOUR MISSION IS TO FIND WAYS TO ENHANCE SENIORS' ABILITY TO MANAGE THEIR HEALTH AND INDEPENDENCE.ActivityOrMissionDescription
Nbr Voting Members Governing Body10NbrVotingMembersGoverningBody
Nbr Independent Voting Members9NbrIndependentVotingMembers
Total Nbr Employees894TotalNbrEmployees
Total Nbr Volunteers3635TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year3830105ContributionsGrantsPriorYear
Contributions Grants Current Year3705569ContributionsGrantsCurrentYear
Program Service Revenue Prior Year1634965549ProgramServiceRevenuePriorYear
Program Service Revenue CY1682067393ProgramServiceRevenueCY
Investment Income Prior Year25882493InvestmentIncomePriorYear
Investment Income Current Year48887048InvestmentIncomeCurrentYear
Other Revenue Prior Year0OtherRevenuePriorYear
Other Revenue Current Year0OtherRevenueCurrentYear
Total Revenue Prior Year1664678147TotalRevenuePriorYear
Total Revenue Current Year1734660010TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year6427247GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY340575GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year59715980SalariesEtcPriorYear
Salaries Etc Current Year65564154SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year1727767705OtherExpensePriorYear
Other Expenses Current Year1607489703OtherExpensesCurrentYear
Total Expenses Prior Year1793910932TotalExpensesPriorYear
Total Expenses Current Year1673394432TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-129232785RevenuesLessExpensesPriorYear
Revenues Less Expenses CY61265578RevenuesLessExpensesCY
Total Assets BOY1005042260TotalAssetsBOY
Total Assets EOY721721783TotalAssetsEOY
Total Liabilities BOY536329323TotalLiabilitiesBOY
Total Liabilities EOY223215900TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY468712937NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY498505883NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionOUR MISSION IS TO FIND WAYS TO ENHANCE SENIORS' ABILITY TO MANAGE THEIR HEALTH AND INDEPENDENCE.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense1522048391Expense
Grants34635Grants
Revenue1682067393Revenue
DescriptionMEDICARE 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

FieldValueIRS element (for citing)
Expense6158765Expense
DescriptionINDEPENDENCE 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

FieldValueIRS element (for citing)
Expense1416608Expense
Grants305940Grants
DescriptionSCAN 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
FieldValueIRS element (for citing)
Total Program Service Expense1529623764TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities1LobbyingActivities
Subject To Proxy Tax0SubjectToProxyTax
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments0TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities1ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets0ReportOtherAssets
Report Other Liabilities1ReportOtherLiabilities
Report Fin48 Footnote0ReportFin48Footnote
Independent Audit Financial Stmt1IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt1ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities0FundraisingActivities
Gaming0Gaming
Hospital0Hospital
Grants To Organizations1GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required1ScheduleJRequired
Tax Exempt Bonds0TaxExemptBonds
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member0BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp0OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity1RelatedEntity
Related Org Controlled Entity1RelatedOrgControlledEntity
Transaction Related Entity1TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org1TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With10963437NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees894NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income0UnrelatedBusinessIncome
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions0QuidProQuoContributions
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Number Of8282 Filed0NumberOf8282Filed
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members10NbrVotingGoverningBodyMembers
Number Independent Voting Members9NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs1ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders1MembersOrStockholders
Election Of Board Members1ElectionOfBoardMembers
Decisions Subject To Approval0DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other1CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
States Where Copy Of Return Is FiledCAStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1VIRGINIA HAVAIBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number5629898300TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line13800 KILROY AIRPORT WAYAddressLine1
CityLONG BEACHCity
StateCAState
ZIP Code908065616ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (27 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekAverage Hours Per Week RelatedAverageHoursPerWeekRelatedIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerKey EmployeeKeyEmployeeHighest Compensated EmployeeHighestCompensatedEmployee
COLLEEN CAIN
CHAIRPERSON1.0010.00X15795000
THOMAS HIGGINS
DIRECTOR1.009.00X14575800
KIM HUNTER
DIRECTOR1.006.00X7985400
PATRICK SEAVER
DIRECTOR1.009.00X14015400
THOMAS MCDANIEL
DIRECTOR1.005.00X11325000
MICHAEL NOEL
DIRECTOR1.007.00X13215000
ANDREW ALLOCCO
DIRECTOR1.006.00X8025000
RYAN TRIMBLE
DIRECTOR1.009.00X12665000
FRANCESCA RUIZ DE LUZURIAGA
DIRECTOR1.005.00X7005000
CHRISTOPHER WING
PRESIDENT AND CEO17.0023.00X8917440109099X
DOUGLAS JAQUES
SECRETARY17.0023.00045397288308X
NANCY J MONK
CHIEF RISK OFFICER18.0022.00392845032475X
WALTER RANDY STONE
CHIEF FINANCIAL OFFICER18.0022.00443528063696X
WILLIAM H ROTH
CHIEF OPERATING OFFICER20.0020.00503704045254X
TIMOTHY SCHWAB
CHIEF MEDICAL & VISION OFFICER20.0020.00781005088226X
MERLIN SWACKHAMER
CHIEF INFORMATION OFFICER17.0023.00061141846781X
SHERRY STAINSLAW
SVP SERVICE OPERATIONS20.0020.00388780049712X
PETER BEGANS
SVP PUBLIC & GOVERNMENT AFFAIRS20.0020.00043018784836X
GILBERT J MILLER
SVP NATIONAL SALES18.0022.00363077036828X
CATHERINE N BATTEER
SVP GM ALL MARKETS20.0020.00346304035226X
REBECCA M LEARNER
OUTGOING SVP COMPLIANCE18.0022.00060757525491X
ELIZABETH RUSSELL
OUTGOING PRESIDENT SOUTHWEST REGION/PRESIDENT - AZ3.0037.0011001250100061X
RAJEEV NARULA
OUTGOING VP & CONTROLLER35.005.00478694041439X
BEVANN MORELAND
VP CLAIMS35.005.00319206031940X
RAYMOND CHAN
MEDICAL DIRECTOR40.00316203040249X
SHARONJIT K BAKSHI
VP PHARMACY38.002.00297791029490X
RUSSELL BROWER
MEDICAL DIRECTOR40.00350032036505X
FieldValueIRS element (for citing)
Total Reportable Comp From Org8019104TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs2103152TotalReportableCompFrmRltdOrgs
Total Other Compensation985616TotalOtherCompensation
Number Individuals GT100 K91NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
HEALTHCARE PARTNERS MEDICAL GROUP
19191 S VERMONT AVENUE SUITE 200TORRANCECA905020502MEDICAL SERVICES309518909
EXPRESS SCRIPTS INC
21653 NETWORK PLACECHICAGOIL606731216MEDICAL SERVICES195610570
HERITAGE PROVIDER NETWORK
8510 BALBOA BLVD SUITE 275NORTHRIDGECA91325MEDICAL SERVICES189033613
PRIMECARE MEDICAL NETWORK INC
3990 CONCOURS SUITE 500ONTARIOCA917647983MEDICAL SERVICES77203915
SCRIPPS HELATH PLAN SERVICES
10170 SORRENTO VALLEY ROADSAN DIEGOCA92121MEDICAL SERVICES64941462
FieldValueIRS element (for citing)
Number Of Contractors GT100 K432NumberOfContractorsGT100K
Government Grants3704875GovernmentGrants
All Other Contributions694AllOtherContributions
Total Contributions3705569TotalContributions

Program Service Revenue ProgramServiceRevenue (2 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
MEDICARE PREMIUMS90009916557474451655747445
MEDI-CAL PREMIUMS9000992631994826319948
FieldValueIRS element (for citing)
Total Program Service Revenue1682067393TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column14221474TotalRevenueColumn
Exclusion$14,221,474ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities776290000Securities

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities741624426Securities

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities34665574Securities

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column34665574TotalRevenueColumn
Exclusion$34,665,574ExclusionAmount

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column1734660010TotalRevenueColumn
Related Or Exempt Function Income1682067393RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$48,887,048ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total340575Total
Program Services340575ProgramServices

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total4691522Total
Management And General4691522ManagementAndGeneral

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total41192308Total
Program Services18373977ProgramServices
Management And General22818331ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total3272189Total
Program Services93402ProgramServices
Management And General3178787ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total3605519Total
Program Services1015241ProgramServices
Management And General2590278ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total8846538Total
Program Services2569581ProgramServices
Management And General6276957ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total3956078Total
Program Services1530140ProgramServices
Management And General2425938ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total487955Total
Program Services21980ProgramServices
Management And General465975ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total1139222Total
Management And General1139222ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total346268Total
Management And General346268ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total498217Total
Management And General498217ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total26056673Total
Program Services1164273ProgramServices
Management And General24892400ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total16135668Total
Program Services117528ProgramServices
Management And General16018140ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total2364268Total
Program Services1300329ProgramServices
Management And General1063939ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total1091265Total
Management And General1091265ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total258713Total
Program Services18647ProgramServices
Management And General240066ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total1188404Total
Program Services178016ProgramServices
Management And General1010388ManagementAndGeneral

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total107322Total
Program Services16489ProgramServices
Management And General90833ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total1670651Total
Management And General1670651ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total5633090Total
Program Services2423808ProgramServices
Management And General3209282ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
MEDICAL SERVICES15002842151500284215
ALLOCATIONS TO/FROM AFF472863236405747222266
BROKER COMMISSIONS153515701535157
MEDICAL REVIEW71724618589698657

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total689046Total
Program Services92917ProgramServices
Management And General596129ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total1673394432Total
Program Services1529623764ProgramServices
Management And General143770668ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY-13245477BOY
EOY-32537606EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY97980450BOY
EOY92921880EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY57953714BOY
EOY59545638EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY4448565BOY
EOY3823710EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis46560912LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec28727005LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY17683759BOY
EOY17833907EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY142587347BOY
EOY95600831EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY660641945BOY
EOY443782069EOY

Intangible Assets IntangibleAssets

FieldValueIRS element (for citing)
BOY1925000BOY
EOY1225000EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY35066957BOY
EOY39526354EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY1005042260BOY
EOY721721783EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY524831380BOY
EOY213796187EOY

Grants Payable GrantsPayable

FieldValueIRS element (for citing)
BOY8478BOY
EOY8379EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY7054296BOY
EOY2122474EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY4435169BOY
EOY7288860EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY536329323BOY
EOY223215900EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY468712937BOY
EOY498505883EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
EOY0EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
EOY0EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY468712937BOY
EOY498505883EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY1005042260BOY
EOY721721783EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses61265578ReconcilationRevenueExpenses
Reconciliation Unrealized Invest-1472632ReconciliationUnrealizedInvest
Reconcilation Other Changes-30000000ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited

FS Audited Basis FSAuditedBasis

FieldValueIRS element (for citing)
Financial Statement BothXFinancialStatementBoth
FieldValueIRS element (for citing)
Audit Committee1AuditCommittee
Federal Grant Audit Required1FederalGrantAuditRequired
Federal Grant Audit Performed1FederalGrantAuditPerformed

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2XPubliclySupportedOrg509a2

Gifts Grants Contrib Received509 GiftsGrantsContribReceived509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years4001132CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years3980819CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years3871403CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year3830105CurrentTaxYearMinus1Year
Current Tax Year3705569CurrentTaxYear
Total19389028Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years1535133342CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years1588944407CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years1629939148CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year1634965549CurrentTaxYearMinus1Year
Current Tax Year1682067393CurrentTaxYear
Total8071049839Total

Total509 Total509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years1539134474CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years1592925226CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years1633810551CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year1638795654CurrentTaxYearMinus1Year
Current Tax Year1685772962CurrentTaxYear
Total8090438867Total

Amts Recd From Disqual Persons AmtsRecdFromDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Amts From Subst Contributors AmtsFromSubstContributors

FieldValueIRS element (for citing)
Total0Total

Support From DQ Ps Etc SupportFromDQPsEtc

FieldValueIRS element (for citing)
Total0Total
FieldValueIRS element (for citing)
Public Support Total5098090438867PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years27231757CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years23271203CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years27286098CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year2795274CurrentTaxYearMinus1Year
Current Tax Year14221474CurrentTaxYear
Total94805806Total

Investment Income And UBTI InvestmentIncomeAndUBTI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years27231757CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years23271203CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years27286098CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year2795274CurrentTaxYearMinus1Year
Current Tax Year14221474CurrentTaxYear
Total94805806Total

Other Income509 OtherIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years121030CurrentTaxYearMinus4Years
Total121030Total

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years1566487261CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years1616196429CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years1661096649CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year1641590928CurrentTaxYearMinus1Year
Current Tax Year1699994436CurrentTaxYear
Total8185365703Total
FieldValueIRS element (for citing)
Public Support Percentage5090.98840PublicSupportPercentage509
Prior Year Support Percentage0.98560PriorYearSupportPercentage
Investment Income Percentage0.01160InvestmentIncomePercentage
Prior Yr Invest Income Percentage0.01410PriorYrInvestIncomePercentage
Thirty Three Percnt Tests CY509XThirtyThreePercntTestsCY509

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Org Belongs To Affiliated GroupXOrgBelongsToAffiliatedGroup
Limited Control Provisions ApplyXLimitedControlProvisionsApply
Volunteers0Volunteers
Paid Staff Or Management0PaidStaffOrManagement
Media Advertisements0MediaAdvertisements
Mailings Members1MailingsMembers
Mailings Members$11,670MailingsMembersAmount
Publications Or Broadcast0PublicationsOrBroadcast
Grants Other Organizations0GrantsOtherOrganizations
Direct Contact Legislators1DirectContactLegislators
Direct Contact Legislators$431,220DirectContactLegislatorsAmount
Rallies Demonstrations0RalliesDemonstrations
Other Activities1OtherActivities
Other Activities$55,237OtherActivitiesAmount
Total Lobbying Expenditures IIB498127TotalLobbyingExpendituresIIB
Not Described In501c30NotDescribedIn501c3

Form990 Schedule C Part IV Form990ScheduleCPartIV

FieldValueIRS element (for citing)
IdentifierEXPLANATION OF LOBBYING ACTIVITIES:Identifier
Return ReferencePART II-B, LINE 1:ReturnReference
ExplanationTRADE DUESExplanation

Schedule D IRS990ScheduleD

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis15935593OtherCostOrOtherBasis
Depreciation9368227Depreciation
Book Value6567366BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis30625319OtherCostOrOtherBasis
Depreciation19358778Depreciation
Book Value11266541BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings17833907TotalOfBookValueLandBuildings

Other Securities OtherSecurities (5 entries)

DescriptionDescriptionBook ValueBookValueMethod Of ValuationMethodOfValuation
US GOVERNMENT & AGENCY OBLIGATIONS75179784F
CORPORATE BONDS68413542F
CORPORATE EQUITY SECURITIES86745681F
ASSET-BACKED SECURITIES77691204F
MUTUAL AND COMMINGLED FUNDS135751858F
FieldValueIRS element (for citing)
Total Of Book Value Securities443782069TotalOfBookValueSecurities

Other Assets OtherAssets (5 entries)

DescriptionDescriptionBook ValueBookValue
NOTE RECEIVABLE FROM SCAN HEALTH PLAN ARIZONA50000000
ALLOWANCE ON NOTES RECEIVABLE-18208000
DEFERRED COMPENSATION ASSETS3241901
RESTRICTED FUNDS300000
LONG TERM PREPAID ASSET4192453
FieldValueIRS element (for citing)
Total Book Value Other Assets39526354TotalBookValueOtherAssets

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
DescriptionDEFERRED COMPENSATION LIABILITIESDescription
Amount$7,288,860Amount
FieldValueIRS element (for citing)
Total Of Amounts7288860TotalOfAmounts
Tot Revenue Etc Audited Fincl Stmt1733187378TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments-1472632NetUnrealizedGainsInvestments
Revenue Not Rptd F990-1472632RevenueNotRptdF990
Revenue Subtotal1734660010RevenueSubtotal
Revenue Not Rptd On Fin Stmt0RevenueNotRptdOnFinStmt
Total Revenue Per Form9901734660010TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt1673394432TotExpensesEtcAuditedFinclStmt
Expenses Not Rptd F9900ExpensesNotRptdF990
Expenses Subtotal1673394432ExpensesSubtotal
Expenses Not Rptd On Fin Stmt0ExpensesNotRptdOnFinStmt
Total Expenses Per Form9901673394432TotalExpensesPerForm990

Form990 Schedule D Part XIII Form990ScheduleDPartXIII

FieldValueIRS element (for citing)
ExplanationPART 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

FieldValueIRS element (for citing)
Records Maintained1RecordsMaintained

Recipient Table RecipientTable (50 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEIN Of RecipientEINOfRecipientIRC SectionIRCSectionAmount Of Cash GrantAmountOfCashGrantPurpose Of GrantPurposeOfGrant
AMERICAN RED CROSS
3150 E 29TH STLONG BEACHCA90806951647805501(C)(3)7292SCAN HEALTH PLAN MATCHING OF EMPLOYEES' CONTRIBUTION TOWARD HURRICAN SANDY RELIEF
AMERICAN HEALTH ASSOCIATION
1710 GILBRETH RDBURLINGAMECA94010135616797501(C)(3)5000ONE 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 STLONG BEACHCA90815951690983501(C)(3)5000ONE 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 STSTOCKTONCA95202941629114501(C)(3)15000SCAN'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 100LONG BEACHCA90840916106694501(C)(3)5100ONE 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 WAYIRVINECA92618953033494501(C)(3)10000ONE 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 200SANTA ANACA92705952874089501(C)(3)15000ONE 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 215MORENOA VALLEYCA92557951803694501(C)(3)5000ONE TIME COMMUNITY GRANT FOR THE ORGANIZATION'S COMMITMENT TO THE SENIOR POPULATION AND CONTINUED SERVICES TO THE SENIOR COMMUNITY.
FOOD FINDERS
3434 ATLANTIC AVELONG BEACHCA90807330412749501(C)(3)5000ONE TIME COMMUNITY GRANT FOR THE ORGANIZATION'S COMMITMENT TO THE SENIOR POPULATION AND CONTINUED SERVICES TO THE SENIOR COMMUNITY.
HUMAN SERVICES ASSOCIATION
6800 FLORENCE AVEBELL GARDENSCA90201951816054501(C)(3)21917SCAN HEALTH PLAN SPONSORSHIP OF THANKSGIVING DAY MEALS BY HUMAN SERVICES ASSOCIATION IN BELL GARDENS, CA
HEALTH INDUSTRY COLLABORATIVE EFFORT
PO BOX 6270NEWPORT BEACHCA92658900130332501(C)(3)10000ONE 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 700LOS ANGELESCA90010951691013501(C)(3)10000ONE 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 202PALM SPRINGSCA92262330613083501(C)(3)30000SCAN'S ASSISTANCE EMERGENCY FUND FOR OLDER ADULTS IN THE COMMUNITY TO RECEIVE VITAL SERVICES.
JEWISH FAMILY SERVICES OF SAN DIEGO
8804 BALBOA AVESAN DIEGOCA92123951644024501(C)(3)10000SCAN'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 STREETPALO ALTOCA94301942170907501(C)(3)5000ONE 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 AVESANTA MONICACA90404954613280501(C)(3)5000ONE 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 DRIVEWALNUT CREEKCA94596680044205501(C)(3)10000ONE 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 DRIVEWALNUT CREEKCA94596680044205501(C)(3)15000SCAN'S ASSISTANCE EMERGENCY FUND FOR OLDER ADULTS IN THE COMMUNITY TO RECEIVE VITAL SERVICES.
MEALS ON WHEELS OF SAN FRANCISCO
1375 FAIRFAX AVESAN FRANCISCOCA94124941741155501(C)(3)15000SCAN'S ASSISTANCE EMERGENCY FUND FOR OLDER ADULTS IN THE COMMUNITY TO RECEIVE VITAL SERVICES.
PLEASANT HILL COMMUNITY FOUNDATION - SENIOR CENTER
147 GREGORY LANEPLEASANT HILLCA94523680108026501(C)(3)5000ONE 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 STREETSAN FRANCISCOCA94109943023551501(C)(3)5000ONE 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 AVERIVERSIDECA92506237262925501(C)(3)5000ONE 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 AVENUESAN DIEGOCA92121204374795501(C)(3)10000ONE 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 AVESAN FRANCISCOCA94107943041517501(C)(3)5000ONE TIME COMMUNITY GRANT FOR THE ORGANIZATION'S COMMITMENT TO THE SENIOR POPULATION AND CONTINUED SERVICES TO THE SENIOR COMMUNITY.
SENIOR GLEANERS INC
1951 BELL AVESACRAMENTOCA95838510183481501(C)(3)5000ONE 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 200SAN DIEGOCA92101952850121501(C)(3)15000SCAN'S ASSISTANCE EMERGENCY FUND FOR OLDER ADULTS IN THE COMMUNITY TO RECEIVE VITAL SERVICES.
SMILES FOR SENIORS FOUNDATION
34910 AVE CYUCAIPACA92399260373602501(C)(3)15000SCAN'S ASSISTANCE EMERGENCY FUND FOR OLDER ADULTS IN THE COMMUNITY TO RECEIVE VITAL SERVICES.
UC REGENTS
10945 LE CONTE AVE STE 2339LOS ANGELESCA90095956006143GOV'T ENTITY20000ONE 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 STREETCOVINACA91724951641967501(C)(3)100000SCAN'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 STE200SAN DIEGOCA92110952660509501(C)(3)75000ONE 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 190SACRAMENTOCA95831300610870501(C)(3)50000ONE 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 14002OAKLANDCA94614942651065501(C)(3)75000ONE 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 190SACRAMENTOCA95831942271380501(C)(3)50000SCAN'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 700LOS ANGELESCA90010951691013501(C)(3)50000SCAN'S ASSISTANCE EMERGENCY FUND FOR OLDER ADULTS IN THE COMMUNITY TO RECEIVE VITAL SERVICES.
JEWISH FAMILY AND CHILDRENS SERVICES
2150 POST STSAN FRANCISCOCA94115941156528501(C)(3)75000SCAN'S ASSISTANCE EMERGENCY FUND FOR OLDER ADULTS IN THE COMMUNITY TO RECEIVE VITAL SERVICES AND PROGRAMS.
THE HEALTH TRUST
2105 S BASCOM AVE STE 220CAMPBELLCA95008946050231501(C)(3)100000ONE 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 215MORENO VALLEYCA92557951803694501(C)(3)50000ONE 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 STREETLOS ANGELESCA90057953696693501(C)(3)50000ONE 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 201056STOCKTENCA95201946000531501(C)(3)50000ONE 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 STSAN FRANCISCOCA94111941750717501(C)(3)50000ONE 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 AVEBELLCA90201951816054501(C)(3)125000SCAN'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 6324CONCORDCA94524942418054501(C)(3)50000ONE 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 ROADPLEASANT HILLCA94523946826343501(C)(3)50000SCAN'S ASSISTANCE EMERGENCY FUND FOR OLDER ADULTS IN THE COMMUNITY TO RECEIVE VITAL SERVICES AND PROGRAMS.
COUNTY OF RIVERSIDE
6296 RIVERCREST DR STE KRIVERSIDECA92507956000930501(C)(3)150000SCAN'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 200SANTA ANACA92705952874089501(C)(3)50000ONE 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 STREETSTOCKTONCA95202946000531501(C)(3)50000SCAN'S ASSISTANCE EMERGENCY FUND FOR OLDER ADULTS IN THE COMMUNITY TO RECEIVE VITAL SERVICES AND PROGRAMS.
INTERNATIONAL INSTITUTE OF LOS ANGELES
3845 SELIG PLACELOS ANGELESCA90031951641446501(C)(3)50000ONE 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 CIRCLEANAHEIMCA92801952771715501(C)(3)100000ONE 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 300LOS ANGELESCA90010956000735501(C)(3)100000SCAN'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 200TORRANCECA90502934591816501(C)(3)800000SCAN'S ASSISTANCE EMERGENCY FUND FOR OLDER ADULTS IN THE COMMUNITY TO RECEIVE VITAL SERVICES.
FieldValueIRS element (for citing)
Total Nbr Of501 C3 And Govt Grants50TotalNbrOf501C3AndGovtGrants
Total Nbr Of Other Organizations0TotalNbrOfOtherOrganizations

Form990 Schedule I Part IV Form990ScheduleIPartIV

FieldValueIRS element (for citing)
IdentifierPROCEDURE FOR MONITORING GRANTS IN THE U.S.:Identifier
Return ReferencePART I, LINE 2:ReturnReference
ExplanationSCHEDULE 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

FieldValueIRS element (for citing)
Travel For CompanionsXTravelForCompanions
Written Policy Re T And E Expenses1WrittenPolicyReTAndEExpenses
Substantiation Required1SubstantiationRequired
Compensation CommitteeXCompensationCommittee
Independent ConsultantXIndependentConsultant
Form990 Of Other OrganizationsXForm990OfOtherOrganizations
Written Employment ContractXWrittenEmploymentContract
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance Payment1SeverancePayment
Supplemental Nonqual Retire Plan1SupplementalNonqualRetirePlan
Equity Based Comp Arrangement1EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org0CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs0CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org0CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs0CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments0AnyNonFixedPayments
Initial Contract Exception1InitialContractException
Rebuttable Presumption Procedure1RebuttablePresumptionProcedure

Form990 Schedule J Part II Form990ScheduleJPartII (19 entries)

TitleTitleBase Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
COLLEEN CAIN
CHAIRPERSON157950000000000157950000
CHRISTOPHER WING
PRESIDENT AND CEO594534027659802061208816002093901000843000
DOUGLAS JAQUES
SECRETARY03126220122575018775045854042454054228000
NANCY J MONK
CHIEF RISK OFFICER22488701500000179580208650116100425320000
WALTER RANDY STONE
CHIEF FINANCIAL OFFICER3473500739770222010432100204860507224000
WILLIAM H ROTH
CHIEF OPERATING OFFICER412500072197019007039548057060548958000
TIMOTHY SCHWAB
CHIEF MEDICAL & VISION OFFICER462353020029901183530855150271108692310958090
MERLIN SWACKHAMER
CHIEF INFORMATION OFFICER0340498010113601697840446760210506581990143092
SHERRY STAINSLAW
SVP SERVICE OPERATIONS2757200932720197880376760120360438492000
PETER BEGANS
SVP PUBLIC & GOVERNMENT AFFAIRS02921680118102019917043042041794051502300
GILBERT J MILLER
SVP NATIONAL SALES302395039143021539033451033770399905000
CATHERINE N BATTEER
SVP GM ALL MARKETS290000037838018466033284019420381530000
REBECCA M LEARNER
OUTGOING SVP COMPLIANCE010008003713304703620175000799106330660145843
ELIZABETH RUSSELL
OUTGOING PRESIDENT SOUTHWEST REGION/3653610309240042552407523502482601200186000
RAJEEV NARULA
OUTGOING VP & CONTROLLER11153506171503054440175000239390520133000
BEVANN MORELAND
VP CLAIMS2418260606870166930160860158540351146000
RAYMOND CHAN
MEDICAL DIRECTOR2459610505740196680117240285250356452000
SHARONJIT K BAKSHI
VP PHARMACY2344950484780148180175000119900327281000
RUSSELL BROWER
MEDICAL DIRECTOR2648270667810184240175000190050386537000

Form990 Schedule J Part III Form990ScheduleJPartIII (3 entries)

Return ReferenceReturnReferenceExplanationExplanation
PART I, LINE 1ASIGNIFICANT 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-CPART 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 8CERTAIN 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 ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
FORM 990, PART VI, SECTION A, LINE 4THE 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 6THE SOLE MEMBER OF THE ORGANIZATION IS SCAN GROUP, A CALIFORNIA NONPROFIT ORGANIZATION.
FORM 990, PART VI, SECTION A, LINE 7ATHE SOLE MEMBER HAS THE POWER TO APPOINT THE MEMBERS OF THE BOARD OF DIRECTORS.
FORM 990, PART VI, SECTION B, LINE 11THE 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 12CSCAN 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 1515A: 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 19SCAN 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/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusDirect Controlling Entity NADirectControllingEntityNAControlled OrgControlledOrgBusiness Name Line1DirectControllingEntityName/BusinessNameLine1
SCAN GROUP
3800 KILROY AIRPORT WAY SUITE 100LONG BEACHCA90806953826037ADMINISTRATIVE SUPPORTCA501(C)(3)LINE 11, TYPE IIN/A1
THE SCAN FOUNDATION
3800 KILROY AIRPORT WAY SUITE 100LONG BEACHCA90806450552845GRANT MAKINGCA501(C)(3)LINE 11, TYPE II1SCAN GROUP
SCAN HEALTH PLAN ARIZONA
3800 KILROY AIRPORT WAY SUITE 100LONG BEACHCA90806731729007MEDICARE ADVANTAGEAZ501(C)(4)1SCAN GROUP
SCAN LONG TERM CARE
3800 KILROY AIRPORT WAY SUITE 100LONG BEACHCA90806204607594MEDICAID MANAGEMENT CAREAZ501(C)(4)1SCAN HEALTH PLAN ARIZONA
SCAN 360 CARE
3800 KILROY AIRPORT WAY SUITE 100LONG BEACHCA90806352443412MEDICARE & MEDICAID SERVICESCA501(C)(3)LINE 91SCAN GROUP

Form990 Schedule R Part IV Form990ScheduleRPartIV (2 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateDirect Controlling Entity NADirectControllingEntityNAType Of EntityTypeOfEntityControlled OrgControlledOrg
SCAN MANAGEMENT SERVICES COMPANY
3800 KILROY AIRPORT WAY SUITE 100LONG BEACHCA90806900860955MANAGEMENTCAN/AC0
SCAN WELLNESS CENTER PC
3800 KILROY AIRPORT WAY SUITE 100LONG BEACHCA90806900860971HEALTHCARECAN/AC0
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents Royalties0ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org0GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org0GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org0LoansOrGuaranteesFromOtherOrg
Dividends Related Organization0DividendsRelatedOrganization
Sale Of Assets To Other Org0SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org0PurchaseOfAssetsFromOtherOrg
Exchange Of Assets0ExchangeOfAssets
Rental Of Facilities To Other Orgs0RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs0RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs0PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs0PerformOfServicesByOtherOrgs
Sharing Of Facilities0SharingOfFacilities
Sharing Of Paid Employees0SharingOfPaidEmployees
Reimbursement Paid To Other Org1ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org1ReimbursementPaidByOtherOrg
Other Transfer To Other Org1OtherTransferToOtherOrg
Other Transfer From Other Org0OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (5 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolvedMethod Of Amt DeterminationMethodOfAmtDetermination
SCAN ARIZONA
Q3709286SEE PART VII
SCAN LONG TERM CARE
Q214314SEE PART VII
SCAN FOUNDATION
Q37728SEE PART VII
SCAN GROUP
P51249213SEE PART VII
SCAN GROUP
R30000000CASH

Form990 Schedule R Part VII Form990ScheduleRPartVII

FieldValueIRS element (for citing)
Return ReferenceSCHEDULE R, PART VReturnReference
ExplanationTHE 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