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SCAN HEALTH PLAN: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization
SCAN HEALTH PLAN (EIN 95-3858259)
Tax period
2011-01-01 to 2011-12-31
Filed
2012-11-15
IRS object ID
201223209349302937
Schema version
2011v1.2
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)
Timestamp2012-11-15T10:59:37-06:00Timestamp
Tax Period End Date2011-12-31TaxPeriodEndDate

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 Date2011-01-01TaxPeriodBeginDate

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 EXECUTIVE OFFICERTitle
Phone5629895100Phone
Date Signed2012-11-15DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameDIANA J MCCUTCHENName
PTINP00545657PTIN
Phone6192326500Phone
FieldValueIRS element (for citing)
Tax Year2011TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonCHRIS 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 Receipts2252008071GrossReceipts
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 Body9NbrVotingMembersGoverningBody
Nbr Independent Voting Members7NbrIndependentVotingMembers
Total Nbr Employees990TotalNbrEmployees
Total Nbr Volunteers2245TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year3871403ContributionsGrantsPriorYear
Contributions Grants Current Year3830105ContributionsGrantsCurrentYear
Program Service Revenue Prior Year1629939148ProgramServiceRevenuePriorYear
Program Service Revenue CY1634965549ProgramServiceRevenueCY
Investment Income Prior Year29516289InvestmentIncomePriorYear
Investment Income Current Year25882493InvestmentIncomeCurrentYear
Other Revenue Prior Year84568OtherRevenuePriorYear
Other Revenue Current Year0OtherRevenueCurrentYear
Total Revenue Prior Year1663411408TotalRevenuePriorYear
Total Revenue Current Year1664678147TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year463860GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY6427247GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year77278309SalariesEtcPriorYear
Salaries Etc Current Year59715980SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year1691109850OtherExpensePriorYear
Other Expenses Current Year1727767705OtherExpensesCurrentYear
Total Expenses Prior Year1768852019TotalExpensesPriorYear
Total Expenses Current Year1793910932TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-105440611RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-129232785RevenuesLessExpensesCY
Total Assets BOY984124517TotalAssetsBOY
Total Assets EOY1005042260TotalAssetsEOY
Total Liabilities BOY337347681TotalLiabilitiesBOY
Total Liabilities EOY536329323TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY646776836NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY468712937NetAssetsOrFundBalancesEOY
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
Expense1465199789Expense
Grants89550Grants
Revenue1634965549Revenue
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)
Expense6226654Expense
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)- INTEGRATED CARE MANAGEMENT (ICM) INCLUDING -SUPPORTIVE SERVICES PROGRAM (SSP) -FAMILY CAREGIVER SUPPORT PROGRAM (FCSP) -LOS ANGELES COUNTY'S LINKAGES PROGRAM- INNERLINKS ADVANTAGE (IA)- FAITH IN ACTION / VOLUNTEER ACTION FOR AGING (FIA/VAA) - CALIFORNIA COMMUNITY TRANSITIONS (CCT) THESE PROGRAMS PROVIDE SUPPORT TO OLDER ADULTS (60+) AND DISABLED (18+) WHO CURRENTLY LACK THE PERSONAL RESOURCES TO MAINTAIN THEIR HEALTH AND WELL-BEING IN THE COMMUNITY. CARE MANAGEMENT IS PROVIDED BY EXPERIENCED SOCIAL WORKERS, NURSES AND THERAPISTS THAT DIRECT THE PROVISION OF NECESSARY SERVICES FOR QUALIFIED SENIORS AND DISABLED ADULTS. SERVICES IN THESE PROGRAMS ARE FREE TO PARTICIPANTS. GENERALLY ANY REVENUE IS DUE TO A GOVERNMENT GRANT OR CHARITABLE CONTRIBUTION RECEIVED AND AT TIMES, REVENUE MAY BE THE RESULT OF AN INTRACOMPANY BILLING. FOR EXAMPLE, INNERLINKS PARTICIPANTS ARE A SUBSET OF INDIVIDUALS THAT PARTICIPATE IN THE MSSP PROGRAM. THEREFORE, INNERLINKS MAY RENDER AN INVOICE TO MSSP AS A "WAIVED SERVICE" SINCE MSSP HAS ACCESS TO A GOVERNMENTAL GRANT FOR A PORTION OF ITS PROGRAM.FOR THE YEAR ENDED DECEMBER 31, 2011, THE INDEPENDENCE AT HOME PROGRAM INCURRED $6,226,654 IN PROGRAM EXPENSES AND RECEIVED $3,830,075 IN GRANTS.Description

Activity3 Activity3

FieldValueIRS element (for citing)
Expense7259688Expense
Grants6337697Grants
DescriptionSCAN HEALTH PLAN COMMUNITY GIVING PROGRAM:SCAN HEALTH PLAN COMMUNITY GIVING 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 GIVING 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 COMMUNITY ENGAGING 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) SERVING RESIDENTS IN SCAN HEALTH PLAN'S CALIFORNIA SERVICES AREAS, 3) MUST BE VERIFIED NONPROFIT AGENCY WITH TAX-EXEMPT STATUS, AND 4) 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 GRANTEE BY THE COMMUNITY GIVING COMMITTEE (CGC) - THE CGC 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 MONTHLY BASIS AND ITS ROLE IS TWOFOLD, 1) IT EVALUATES, SELECTS AND DECIDES THE AMOUNT (CG STARTED WITH $5,000 OR $10,000 GRANTS IN 2009, INCREMENTAL AMOUNTS WILL INCREASE UP TO $15,000) TO BE AWARDED TO THE GRANTEE ORGANIZATIONS, AND 2) STEER THE CG PROGRAM. THE CGC 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 CGC EARMARKING AND APPROVING FUNDS TO BE GRANTED A DESIGNATED MEMBER OF THE SCAN EXECUTIVE TEAM OR CGC 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 AN OUTREACH LETTER WHICH CONTAINS A PARAGRAPH ON FUNDING RESTRICTIONS AND A REQUEST FOR BUSINESS AND ADMINISTRATIVE INFORMATION. ONLY AFTER THESE REQUIREMENTS HAVE BEEN MET 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, OPERATIONS 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.IN 2008, SCAN'S COMMUNITY OUTREACH PROGRAMS AND ACTIVITIES WERE MANAGED USING A DECENTRALIZED APPROACH. AT THE TIME, MULTIPLE DEPARTMENTS DIRECTED A VARIETY OF COMMUNITY OUTREACH COMPONENTS INCLUDING COMMUNITY SPONSORSHIPS. STARTING IN 2009, SCAN CREATED A CENTRALIZED APPROACH TO COMMUNITY OUTREACH BY CREATING A COMMUNITY OUTREACH DEPARTMENT. THE COMMUNITY OUTREACH DEPARTMENT WAS DEVELOPED IN ORDER TO IMPROVE EFFICIENCY AND COORDINATION OF SCAN'S OUTREACH ACTIVITIES RELATIVE TO THE COMPANY'S CHARITABLE MISSION. IN 2010, SCAN SIGNIFICANTLY INCREASED OUTREACH EFFORTS BY DEPLOYING THE SCAN VAN THROUGHOUT THE INLAND EMPIRE, ORANGE COUNTY AND LOS ANGELES COUNTY. IN 2011, THE SCAN VAN PARTICIPATED IN 43 EVENTS, TOUCHING APPROXIMATELY 7832 PEOPLE. ADDITIONALLY, THE TRADING AGES WORKSHOP WAS EXPANDED TO TRAIN NEW AUDIENCES SUCH AS LEGISLATORS AND HOME AND COMMUNITY BASED SERVICE PROVIDERS, ALL TOGETHER 34WORKSHOPS WERE HELD AND 973 INDIVIDUALS ATTENDED TRAININGS.FOR THE YEAR ENDED DECEMBER 31, 2011 SCAN HAS INCURRED APPROXIMATELY $906,990 IN PROGRAM EXPENSES AND COMMITTED $6,000,000 IN GRANTS AND DONATED $352,697 IN GRANTS AND COMMINITY GIVING, IN SUPPORT OF THE SCAN'S COMMUNITY OUTREACH AND GIVING PROGRAMS. COMMUNITY OUTREACH PROGRAMS INCLUDE:-GENERAL COMMUNITY OUTREACH-COMMUNITY GIVING-SCAN VAN-CLASSROOM IN THE COMMUNITY (CITC)-TRADING AGES-VENTURA RESOURCE CENTER-EMPLOYEE VOLUNTEER PROGRAM-SPONSORSHIPSDescription
FieldValueIRS element (for citing)
Total Program Service Expense1478686131TotalProgramServiceExpense
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 With10963307NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees990NumberOfEmployees
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 Members9NbrVotingGoverningBodyMembers
Number Independent Voting Members7NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
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
FieldValueIRS element (for citing)
Info In Schedule O Part VIIXInfoInScheduleOPartVII

Form990 Part VII Section A Form990PartVIISectionA (29 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationKey EmployeeKeyEmployeeHighest Compensated EmployeeHighestCompensatedEmployee
COLLEEN CAIN
CHAIRPERSON12.60XX16667000
THOMAS HIGGINS
DIRECTOR9.90X13830800
KIM HUNTER
DIRECTOR9.90X10634700
PATRICK SEAVER
DIRECTOR10.00X11158700
THOMAS MCDANIEL
DIRECTOR10.70X12530000
MICHAEL NOEL
DIRECTOR9.90X9255000
ANDREW ALLOCCO
DIRECTOR11.70X5387500
CHRIS WING
PRESIDENT/CEO40.00XX305810020849
RYAN TRIMBLE
INTERIM PRESIDENT/CEO40.00XX921522010976
DOUGLAS JAQUES
SECRETARY, SR. VP-LEGAL40.00X041626079903
RANDY STONE
CHIEF FINANCIAL OFFICER40.00X226899015107
WILLIAM ROTH
CHIEF OPERATING OFFICER40.00X3019800330
TIMOTHY SCHWAB
CHIEF MED & VISION OFFICER40.00X859139094364
DENNIS EDER
OUTGOING CHIEF FINANCIAL OFFICER40.00X1322329031361
MERLIN SWACKHAMMER
CHIEF INFORMATION OFFICER40.00045829842560X
SHERRY STANISLAW
SVP SERVICE OPERATIONS40.00329332043390X
REBECCA LEARNER
SVP COMPLIANCE40.00029915040739X
ELIZABETH RUSSELL
PRES SW REGION/PRES AZ40.00487331081495X
PETER BEGANS
SVP PUBLIC & GOVT AFFAIRS40.00036727271099X
GILBERT MILLER
SVP NATIONAL SALES40.002570550486X
ROGER LAPP
OUTGOING SVP MEMBERSHIP40.00576057036339X
MARC RADNER
OUTGOING SVP HR40.00072073926614X
HENRY OSOWSKI
OUTGOING SVP BUS.DEV.40.00074670225819X
DEBORAH MILLER
OUTGOING SVP HCARE SVC.40.00330333038179X
RAJEEV NARULA
VP CONTROLLER40.00301809041528X
BEVANN MORELAND
VP CLAIMS40.00300297019408X
JAMES HENDRICKSON
MEDICAL DIRECTOR40.00279346040675X
HANS ECKARDT
VP MARKETING40.00240767013594X
RUSSELL BROWER
MEDICAL DIRECTOR40.00328628035520X
FieldValueIRS element (for citing)
Total Reportable Comp From Org8163271TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs3008421TotalReportableCompFrmRltdOrgs
Total Other Compensation810335TotalOtherCompensation
Number Individuals GT100 K85NumberIndividualsGT100K
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 STE 200TORRANCECA905020502MEDICAL SERVICES304339424
EXPRESS SCRIPTS INC
21653 NETWORK PLACECHICAGOIL606731216MEDICAL SERVICES183093501
HERITAGE PROVIDER NETWORK
8510 BALBOA BLVD SUITE 275NORTHRIDGECA91325MEDICAL SERVICES182838322
PRIMECARE MEDICAL NETWORK INC
3990 CONCOURS SUITE 500ONTARIOCA91764MEDICAL SERVICES78444538
SCRIPPS HEALTH PLAN SERVICES
10170 SORRENTO VALLEY ROADSAN DIEGOCA92121MEDICAL SERVICES61532512
FieldValueIRS element (for citing)
Number Of Contractors GT100 K431NumberOfContractorsGT100K
Government Grants3823872GovernmentGrants
All Other Contributions6233AllOtherContributions
Total Contributions3830105TotalContributions

Program Service Revenue ProgramServiceRevenue (2 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
MEDICARE PREMIUMS90009916010816421601081642
MEDI-CAL PREMIUMS9000993388390733883907
FieldValueIRS element (for citing)
Total Program Service Revenue1634965549TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column2795274TotalRevenueColumn
Exclusion$2,795,274ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities610417143Securities

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities587329924Securities

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities23087219Securities

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column23087219TotalRevenueColumn
Exclusion$23,087,219ExclusionAmount

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column1664678147TotalRevenueColumn
Related Or Exempt Function Income1634965549RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$25,882,493ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total6427247Total
Program Services6427247ProgramServices

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total6290060Total
Program Services368512ProgramServices
Management And General5921548ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total40661389Total
Program Services18444051ProgramServices
Management And General22217338ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total2280187Total
Program Services1163294ProgramServices
Management And General1116893ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total6207953Total
Program Services2520306ProgramServices
Management And General3687647ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total4276391Total
Program Services1865592ProgramServices
Management And General2410799ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total488346Total
Program Services18844ProgramServices
Management And General469502ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total2304965Total
Management And General2304965ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total467911Total
Program Services30000ProgramServices
Management And General437911ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total517573Total
Management And General517573ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total21498840Total
Program Services733490ProgramServices
Management And General20765350ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total10504069Total
Program Services528380ProgramServices
Management And General9975689ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total2373163Total
Program Services1349696ProgramServices
Management And General1023467ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total869628Total
Program Services26680ProgramServices
Management And General842948ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total434992Total
Program Services258079ProgramServices
Management And General176913ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total1172102Total
Program Services230241ProgramServices
Management And General941861ManagementAndGeneral

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total54488Total
Program Services7510ProgramServices
Management And General46978ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total5081855Total
Program Services1888579ProgramServices
Management And General3193276ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total15750Total
Management And General15750ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
MEDICAL SERVICES14407649271440764927
LEGAL SETTLEMENT ACCRUA198000000198000000
ALLOCATIONS TO/FROM OTH41242967192486639318101
LICENSE, DUES AND SUBSC23795723900214057

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total1738172Total
Program Services111937ProgramServices
Management And General1626235ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total1793910932Total
Program Services1478686131ProgramServices
Management And General315224801ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY-9335750BOY
EOY-13245477EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY101047465BOY
EOY97980450EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY45338605BOY
EOY57953714EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY1504651BOY
EOY4448565EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis39725325LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec22041566LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY14528413BOY
EOY17683759EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY121036654BOY
EOY142587347EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY703854000BOY
EOY660641945EOY

Intangible Assets IntangibleAssets

FieldValueIRS element (for citing)
BOY2625000BOY
EOY1925000EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY3525479BOY
EOY35066957EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY984124517BOY
EOY1005042260EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY331607792BOY
EOY524831380EOY

Grants Payable GrantsPayable

FieldValueIRS element (for citing)
BOY9357BOY
EOY8478EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY2016439BOY
EOY7054296EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY3714093BOY
EOY4435169EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY337347681BOY
EOY536329323EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY646776836BOY
EOY468712937EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY646776836BOY
EOY468712937EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY984124517BOY
EOY1005042260EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses-129232785ReconcilationRevenueExpenses
Reconcilation Other Changes-48831114ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited
Audit Committee1AuditCommittee
Financial Statement BothXFinancialStatementBoth
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 Years4649209CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years4001132CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years3980819CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year3871403CurrentTaxYearMinus1Year
Current Tax Year3830105CurrentTaxYear
Total20332668Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years1456913080CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years1535133342CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years1588944407CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year1629939148CurrentTaxYearMinus1Year
Current Tax Year1634965549CurrentTaxYear
Total7845895526Total

Total509 Total509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years1461562289CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years1539134474CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years1592925226CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year1633810551CurrentTaxYearMinus1Year
Current Tax Year1638795654CurrentTaxYear
Total7866228194Total

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 Total5097866228194PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years31777755CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years27231757CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years23271203CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year27286098CurrentTaxYearMinus1Year
Current Tax Year2795274CurrentTaxYear
Total112362087Total

Investment Income And UBTI InvestmentIncomeAndUBTI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years31777755CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years27231757CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years23271203CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year27286098CurrentTaxYearMinus1Year
Current Tax Year2795274CurrentTaxYear
Total112362087Total

Other Income509 OtherIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years2583509CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years121030CurrentTaxYearMinus3Years
Total2704539Total

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years1495923553CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years1566487261CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years1616196429CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year1661096649CurrentTaxYearMinus1Year
Current Tax Year1641590928CurrentTaxYear
Total7981294820Total
FieldValueIRS element (for citing)
Public Support Percentage5090.98560PublicSupportPercentage509
Prior Year Support Percentage0.98240PriorYearSupportPercentage
Investment Income Percentage0.01410InvestmentIncomePercentage
Prior Yr Invest Income Percentage0.01710PriorYrInvestIncomePercentage
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)
Volunteers0Volunteers
Paid Staff Or Management1PaidStaffOrManagement
Media Advertisements0MediaAdvertisements
Mailings Members1MailingsMembers
Mailings Members$9,871MailingsMembersAmount
Publications Or Broadcast0PublicationsOrBroadcast
Grants Other Organizations0GrantsOtherOrganizations
Direct Contact Legislators1DirectContactLegislators
Direct Contact Legislators$446,304DirectContactLegislatorsAmount
Rallies Demonstrations0RalliesDemonstrations
Other Activities1OtherActivities
Other Activities$61,398OtherActivitiesAmount
Total Lobbying Expenditures IIB517573TotalLobbyingExpendituresIIB
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 Basis13572699OtherCostOrOtherBasis
Depreciation6925040Depreciation
Book Value6647659BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis26152626OtherCostOrOtherBasis
Depreciation15116526Depreciation
Book Value11036100BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings17683759TotalOfBookValueLandBuildings

Other Securities OtherSecurities (5 entries)

DescriptionDescriptionBook ValueBookValueMethod Of ValuationMethodOfValuation
ASSET-BACKED SECURITIES159623281F
CORPORATE BONDS104015707F
CORPORATE EQUITY SECURITIES98714639F
MUTUAL FUNDS/COMMINGLED FUNDS189486548F
U.S. TREASURY AND AGENCY OBLIGATIONS108801770F
FieldValueIRS element (for citing)
Total Of Book Value Securities660641945TotalOfBookValueSecurities

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
DescriptionDEFERRED COMPENSATIONDescription
Amount$4,435,169Amount
FieldValueIRS element (for citing)
Total Of Amounts4435169TotalOfAmounts
Total Revenue1664678147TotalRevenue
Total Expenses1793910932TotalExpenses
Excess Or Deficit For Year-129232785ExcessOrDeficitForYear
Net Unrealized GL On Investments-48831114NetUnrealizedGLOnInvestments
Total Adjustments-48831114TotalAdjustments
Excess Or Deficit Per FS-178063899ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt1615847033TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments-48831114NetUnrealizedGainsInvestments
Revenue Not Rptd F990-48831114RevenueNotRptdF990
Revenue Subtotal1664678147RevenueSubtotal
Revenue Not Rptd On Fin Stmt0RevenueNotRptdOnFinStmt
Total Revenue Per Form9901664678147TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt1793910932TotExpensesEtcAuditedFinclStmt
Expenses Not Rptd F9900ExpensesNotRptdF990
Expenses Subtotal1793910932ExpensesSubtotal
Expenses Not Rptd On Fin Stmt0ExpensesNotRptdOnFinStmt
Total Expenses Per Form9901793910932TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV

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 (36 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEIN Of RecipientEINOfRecipientIRC SectionIRCSectionAmount Of Cash GrantAmountOfCashGrantPurpose Of GrantPurposeOfGrant
UNITED CEREBRAL PALSY INC
1660 L STREET NW SUITE 700WASHINGTONDC20036203568840501(C)(3)5000SPONSORSHIP OF "A HOME FOR ALL AMERICANS" EVENT, 09/26/11, WASHINGTON, DC
ALZHEIMER'S ASSOCIATION LA RIVERSIDE AND SAN BERNADINO CHAPTER
5900 WILSHIRE BOULEVARD SUITE 1100LOS ANGELESCA90036953718119501(C)(3)6500COMMUNITY OUTREACH EXPANSION - SPONSORSHIP OF MEMORY WALKS IN LOS ANGELES, LONG BEACH, INLAND EMPIRE, SAN FRANCISCO AND FULLERTON.
PARTNERS IN CARE FOUNDATION
732 MOTT STREET SUITE 150SAN FERNANDOCA91340953954057501(C)(3)10000SPONSORSHIP FOR THE "PARTNERS IN CARE VISION AND EXCELLENCE IN HEALTH CARE LEADERSHIP TRIBUTE DINNER" IN 2011.
CALIFORNIA ASSOCIATION OF LONG TERM MEDICINE
10945 LE CONTE AVENUE SUITE 2339LOS ANGELESCA900951687942552489501(C)(3)15000DONATION FOR PERFORMANCE IMPROVEMENT INITIATIVES.
REGENTS - UNIVERSITY OF CALIFORNIA
10945 LE CONTE AVENUE SUITE 2339LOS ANGELESCA900951687956006143GOV'T ENTITY15000UNRESTRICTED EDUCATIONAL FUND FOR THE LEADERSHIP AND MANAGEMENT IN GERIATRICS 2012 COURSE TO BE HELD MARCH 30-31, 2012.
PACIFIC BUSINESS GROUP ON HEALTH
221 MAIN STREET SUITE 500SAN FRANCISCOCA94105943093623501(C)(3)240002011 CALIFORNIA QUALITY COLLABORATIVE CONTRIBUTION.
ALZHEIMER'S ASSOCIATION LOS ANGELES
5900 WILSHIRE BLVD STE 1100LOS ANGELESCA90036953718119501(C)(3)11000SPONSORSHIP OF MEMORY WALKS IN LOS ANGELES, LONG BEACH, INLAND EMPIRE, SAN FRANCISCO AND FULLERTON.
AMERICAN CANCER SOCIETY CA DIVISION INC
1710 WEBSTER STOAKLANDCA94612941170350501(C)(3)15000SCAN HEALTH PLAN COMMUNITY GIVING COMMITTEE ONE-TIME COMMUNITY SPONSORSHIP.
AMERICAN RED CROSS
3150 E 29TH STREETLONG BEACHCA90806951647805501(C)(3)8928SCAN MATCHING OF EMPLOYEES' CONTRIBUTION TOWARD JAPAN EARTHQUAKE RELIEF.
ANGEL'S DEPOT THE
1495 POINSETTIA AVE STE 151VISTACA92081202723243501(C)(3)5000GRANT AWARDED TO SUPPORT THE PURCHASE AND DELIVERY OF MEALS FOR OLDER ADULTS IN SAN DIEGO.
AVENIDAS
450 BRYANT STPALO ALTOCA94301941480548501(C)(3)15000SCAN'S ASSISTANCE EMERGENCY FUND FOR OLDER ADULTS IN THE COMMUNITY TO RECEIVE VITAL SERVICES.
CATHOLIC CHARITIES OF THE DIOCESE OF STOCKTON
1106 N EL DORADO STSTOCKTONCA95202941629114501(C)(3)15000SCAN'S ASSISTANCE EMERGENCY FUND FOR OLDER ADULTS IN THE COMMUNITY TO RECEIVE VITAL SERVICES.
CARENOW
8000 MCCONNELL AVELOS ANGELESCA90045272984870501(C)(3)25000SILVER SPONSORSHIP OF EVENT ON OCTOBER 20-23, 2011. EVENT FOR FREE MEDICAL CLINIC IN L.A SPORTS ARENA . THE CLINIC WILL PROVIDE FREE MEDICAL, DENTAL AND VISION CARE TO THE COMMUNITY ON A FIRST COME FIRST SERVED BASIS.
CITY OF SIMI VALLEYCOUNCIL ON AGING
3900 AVENIDA SIMISIMI VALLEYCA93063952626170GOV'T ENTITY5000ONE TIME COMMUNITY GRANT TO BE USED FOR SIMI VALLEY MEALS ON WHEELS AND FOR ITS COMMITMENT TO THE SENIOR POPULATION AND CONTINUED SERVICES TO THE SENIOR COMMUNITY.
COMMUNITY SENIORSERV INC
1200 N KNOLLWOOD CIRCLEANAHEIMCA92801952771715501(C)(3)6500$1,500 WAS FOR 1/2 PLATINUM SPONSORSHIP OF SENIOR CARE HUMANITARIAN AWARD. $5,000 WAS A GRANT AWARDED BY SCAN COMMUNITY GIVING COMMITTEE TO SUPPORT SENIORS IN HOME SERVICES SUCH AS PERSONAL CARE, HOMEMAKING AND CHORE SERVICES.
CONEJO VALLEY SENIOR CONCERNS
401 HODENCAMP RDTHOUSAND OAKSCA91360952992927GOV'T ENTITY15000SCAN'S ASSISTANCE EMERGENCY FUND FOR OLDER ADULTS IN THE COMMUNITY TO RECEIVE VITAL SERVICES.
CURRY SENIOR CENTER
333 TURK STSAN FRANCISCOCA94102237362588501(C)(3)15000SCAN'S ASSISTANCE EMERGENCY FUND FOR OLDER ADULTS IN THE COMMUNITY TO RECEIVE VITAL SERVICES.
FOOD BANK OF SOUTHERN CALIFORNIA THE
1444 SAN FRANCISCO AVELONG BEACHCA90813953557056501(C)(3)5000ONE TIME COMMUNITY GRANT TO SUPPORT THE ORGANIZATION'S BROWN BAG NETWORK PROGRAM FOR THE SENIORS.
HEALTH TRUST THE
2105 S BASCOM AVE STE 220CAMPBELLCA95008946050231501(C)(3)5000ONETIME COMMUNITY GRANT TO SUPPORT THE ORGANIZATION'S MEALS ON WHEELS PROGRAM.
HUMAN SERVICES ASSOCIATION
6800 FLORENCE AVENUEBELLCA90201951816054501(C)(3)28073$15,000 WAS SCAN'S ASSISTANCE EMERGENCY FUND FOR OLDER ADULTS IN THE COMMUNITY TO RECEIVE VITAL SERVICES. $13,072.50 WAS SPONSORSHIP OF INDEPENDENCE AT HOME THANKSGIVING MEAL DELIVERY. SCAN'S PARTNERSHIP INCLUDED COST OF MEALS DELIVERED.
LIVE WELL SAN DIEGO
4425 BANNOK AVESAN DIEGOCA92711953308100501(C)(3)5000ONE TIME COMMUNITY GRANT FOR ITS COMMITMENT TO THE SENIOR POPULATION AND CONTINUED SERVICES TO THE SENIOR COMMUNITY.
MEALS ON WHEELS OF SAN FRANCISCO INC
1375 FAIRFAX AVESAN FRANCISCOCA94125941741155501(C)(3)10000ONE TIME GRANT TO THE ORGANIZATION FOR ITS COMMITMENT TO THE SENIOR POPULATION AND CONTINUED SERVICES TO THE SENIOR COMMUNITY.
MEALS ON WHEELSFAMILY & COMMUNITY SERVICES OF CONTRA COSTA DBA MEALS ON W
1300 CIVIC DRWALNUT CREEKCA94596680044205501(C)(3)10000ONE TIME GRANT TO THE ORGANIZATION FOR ITS COMMITMENT TO THE SENIOR POPULATION AND CONTINUED SERVICES TO THE SENIOR COMMUNITY.
ORANGE ELDERLY SERVICES INC
170 S OLIVE STREETANAHEIMCA92866330035445501(C)(3)5000ONE TIME COMMUNITY GRANT FOR ITS COMMITMENT TO THE SENIOR POPULATION AND CONTINUED SERVICES TO THE SENIOR COMMUNITY.
PACIFIC HOSPICE FOUNDATION DBAMEALS ON WHEEL INLAND EMPIRE
1998 N ARROWHEAD AVESAN BERNARDINOCA92405200872754501(C)(3)5000ONE TIME COMMUNITY GRANT FOR ITS COMMITMENT TO THE SENIOR POPULATION AND CONTINUED SERVICES TO THE SENIOR COMMUNITY.
SMILES FOR SENIOR FOUNDATION
34910 AVE CYUCAIPACA92399260373602501(C)(3)15150SCAN'S ASSISTANCE EMERGENCY FUND FOR OLDER ADULTS IN THE COMMUNITY TO RECEIVE VITAL SERVICES.
PROJECT ANGLE FOOD
922 VINE STREETLOS ANGELESCA90038954115863501(C)(3)5000ONE TIME COMMUNITY GRANT TO SUPPORT THE ORGANIZATION'S HOME MEAL DELIVERY FOR OLDER ADULTS.
REHABILITATION HOSPITAL FOUNDATION
2415 DE LA VINA STREETSANTA BARBARACA93105260433861501(C)(3)5000GRANT TO THE COAST CAREGIVER RESOURCE CENTER FOR THE SOLE PURPOSE OF PROVIDING RESPITE SERVICES TO CAREGIVERS LIVING IN VENTURA COUNTY.
REHABILITATION SERVICES OF NORTHERN CA
490 GOLF CLUB RDPLEASANT HILLCA94523942822559501(C)(3)15000SCAN'S ASSISTANCE EMERGENCY FUND FOR OLDER ADULTS IN THE COMMUNITY TO RECEIVE VITAL SERVICES.
SAN DIEGO FOOD BANK
9850 DISTRIBUTION AVESAN DIEGOCA92121204374795501(C)(3)10000ONE TIME COMMUNITY GRANT FOR THE ORGANIZATION'S COMMITMENT TO THE SENIOR POPULATION AND CONTINUED SERVICES TO THE SENIOR COMMUNITY.
SAN FERNANDO VALLEY INTERFAITH COUNCIL INC
4505 LAS VIRGENES RD STE 211CALABASASCA91302952653387501(C)(3)5000ONE TIME COMMUNITY GRANT FOR ITS COMMITMENT TO THE SENIOR POPULATION AND CONTINUED SERVICES TO THE SENIOR COMMUNITY.
SAN JOAQUIN HUMAN SERVICES AGENCY
333 E WASHINGTON STREETSTOCKTONCA95125946000531GOV'T ENTITY15000GRANT AWARDED TO THE AGENCY FOR THE SOLE PURPOSE OF DEVELOPMENT AND ADMINISTRATION OF AN EMERGENCY ASSISTANCE FUND THAT PROVIDES ONE-TIME FINANCIAL SUPPORT TO OLDER ADULTS AND THEIR CAREGIVERS FACED WITH UNEXPECTED EXPENSES.
SECOND HARVEST FOOD BANK OF SANTA CLARA AND SAN MATEO COUNTIES
750 CURTNER AVESAN JOSECA95125942614101501(C)(3)5000ONE TIME COMMUNITY GRANT TO SUPPORT THE ORGANIZATION'S SENIOR BROWN BAG PROGRAM.
SENIOR COMMUNITY CENTERS OF SAN DIEGO
525 14TH ST SUITE 200SAN DIEGOCA92101952850121501(C)(3)15000SCAN'S ASSISTANCE EMERGENCY FUND FOR OLDER ADULTS IN THE COMMUNITY TO RECEIVE VITAL SERVICES.
SOUTH COUNTY SENIOR SERVICES DBA AGE WELL SENIOR SERVICES
24300 EL TORO RD BLDG A 2000LAGUNA WOODSCA92639931163563501(C)(3)15000SCAN'S ASSISTANCE EMERGENCY FUND FOR OLDER ADULTS IN THE COMMUNITY TO RECEIVE VITAL SERVICES.
HEALTHCARE PARTNERS INSTITUTE
19191 S VERMONT AVENUE SUITE 200TORRANCECA90502934591816501(C)(3)2000000SCAN'S ASSISTANCE EMERGENCY FUND FOR OLDER ADULTS IN THE COMMUNITY TO RECEIVE VITAL SERVICES.
FieldValueIRS element (for citing)
Total Nbr Of501 C3 And Govt Grants36TotalNbrOf501C3AndGovtGrants
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 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 ORGANIZATION FILED THE NECESSARY PAPERWORK WITH THE CALIFORNIA DEPARTMENT OF MANAGED HEALTH CARE. THE GRANTS AWARDED AS PART OF THIS COMMITMENT WILL BE DISTRIBUTED BY DECEMBER 31, 2013.Explanation

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
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 Payments1AnyNonFixedPayments
Initial Contract Exception1InitialContractException
Rebuttable Presumption Procedure1RebuttablePresumptionProcedure

Form990 Schedule J Part II Form990ScheduleJPartII (23 entries)

Base 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
1366700300000000000166670000
CHRIS WING
28849300017317012577082720326659000
RYAN TRIMBLE
566191035000005331000109760932498000
DOUGLAS JAQUES
02924040105783018073042184037719049616300
RANDY STONE
20761800019281023340127730242006000
WILLIAM ROTH
1197120001822680003300302310000
TIMOTHY SCHWAB
65855401329150676700912010316309535030456280
DENNIS EDER
1410300102983010783160196820116790135369002283260
MERLIN SWACKHAMMER
030660509513305656004082401736050085800
SHERRY STANISLAW
2330040776550186730319710114190372722000
REBECCA LEARNER
0222074059855017221024672016067033988900
ELIZABETH RUSSELL
31564901500000216820523230291720568826000
PETER BEGANS
0284728063220019324034134036965043837100
GILBERT MILLER
807390001763160004860257541000
ROGER LAPP
1989090622940314854029608067310612396097510
MARC RADNER
01711720675760481991019148074660747353090366
HENRY OSOWSKI
094149055053059750001715008669077252107394
DEBORAH MILLER
211730085893032710028250099290368512000
RAJEEV NARULA
2327250530070160770171500243780343337000
BEVANN MORELAND
235627047827016843015828035800319705000
JAMES HENDRICKSON
2090600505430197430171500235250320021000
HANS ECKARDT
182274041364017129011264023300254361000
RUSSELL BROWER
2583420531020171840171500183700364148000

Form990 Schedule J Part III Form990ScheduleJPartIII (3 entries)

Return ReferenceReturnReferenceExplanationExplanation
PART I, LINES 4A-C4A: DURING 2011, THE EMPLOYMENT RELATIONSHIPS OF THE FOLLOWING EMPLOYEES OF SCAN HEALTH PLAN AND SCAN GROUP ENDED. IN CONNECTION WITH THE TERMINATION OF THEIR EMPLOYMENTS, SCAN HEALTH PLAN NEGOTIATED AND PAID SEVERANCE TO EACH OF THEM. THE SEVERANCE PAYMENT WAS IN ACCORDANCE WITH THE TERMS OF EACH KEY EMPLOYEE'S AND AN OFFICER'S THEN EXISTING EMPLOYMENT AGREEMENT. ROGER LAPP, SR. VP-MEMBERSHIP, KEY EMPLOYEE - SCAN HEALTH PLAN, $256,963 MARC RADNER, SR. VP-HUMAN RESOURCES, KEY EMPLOYEE - SCAN GROUP, $331,239 HENRY OSOWSKI, SR. VP-BUSINESS DEVELOPMENT, KEY EMPLOYEE - SCAN GROUP, $525,078 DENNIS EDER, CHIEF FINANCIAL OFFICER, OFFICER - SCAN HEALTH PLAN, $773,525 4B: THE COMPANY PROVIDES A SUPPLEMENTAL NON-QUALIFIED RETIREMENT PLAN TO ONLY SENIOR EXECUTIVES OF THE COMPANY. SENIOR V.P. AND OFFICERS ARE ELIGIBLE TO PARTICIPATE IN THE SECTION 457(F) PLAN. THE FOLLOWING INDIVIDUALS PARTICIPATED IN THE COMPANY'S SECTION 457(F) DURING THE YEAR 2011: CHRISTOPHER WING, RANDY STONE, PETER BEGANS, DENNIS EDER, TIMOTHY SCHWAB, DOUGLAS JAQUES, MARC RADNER, SHERRY STANISLAW, ROGER LAPP, HENRY OSOWSKI, DEBORAH MILLER, MERLIN SWACKHAMMER, REBECCA LEARNER AND ELIZABETH RUSSELL. COMPENSATION 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 5 INDIVIDUALS WHO RECEIVED PAYMENTS OUT OF THE SECTION 457(F) PLAN DURING THE YEAR: (1) TIMOTHY SCHWAB, $45,628, (2) DENIS EDER, $228,326, (3) HENRY OSOWSKI, $7,394, (4) MARC RADNER, $90,366, AND (5) ROGER LAPP $9,751. 4C: THE FOLLOWING INDIVIDUALS PARTICIPATED IN SCAN HEALTH PLAN'S KEYSOP PLAN DURING THE TAXABLE YEAR: TIMOTHY SCHWAB AND REBECCA LEARNER. THE PLAN IS NOW FROZEN AND NO EMPLOYEES ARE BEING NEWLY ADDED AS PARTICIPANTS.
PART I, LINE 7IN 2011, COLLEEN CAIN WAS AWARDED AND RECEIVED A $30,000 BONUS FOR HER EXTRAORDINARY EFFORTS PERFORMED IN 2010 WITH RESPECT TO HER ROLE AS BOTH SCAN GROUP AND SCAN HEALTH PLAN BOARD CHAIRPERSON AND HER INVOLVEMENT ON MULTIPLE BOARD COMMITTEES. THE BONUS WAS REVIEWED AND RECOMMENDED BY THE COMPENSATION COMMITTEE AND APPROVED BY THE BOARD. MS. CAIN RECUSED HERSELF FROM THE DISCUSSION AND ABSTAINED FROM THE VOTE. OUTSIDE INDEPENDENT COMPENSATION CONSULTANTS REVIEWED AND DETERMINED, THAT WHEN INCLUDED WITH PREVIOUSLY AUTHORIZED COMPENSATION, THE AMOUNT REPRESENTED REASONABLE COMPENSATION FOR MS. CAIN'S SERVICES DURING 2010. 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 AND A REASONABLENESS OPINION.
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 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 ACCOUNTING 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 VII:RYAN TRIMBLE HAS SERVED AS A MEMBER OF THE BOARD OF DIRECTORS SINCE 2004 AND SERVED AS THE INTERIM CEO FOR THE ORGANIZATION FROM NOVEMBER 2010 THROUGH JULY 2011. AS SUCH, HE WAS NO LONGER AN INDEPENDENT MEMBER OF THE BOARD, BUT CONTINUED AS A MEMBER OF THE BOARD EX OFFICIO. UPON THE HIRING OF CHRIS WING AS PERMANENT CEO, MR. TRIMBLE FILLED, ON AN INTERIM BASIS, THE NEWLY CREATED ROLE OF CHIEF RISK OFFICER PENDING THE HIRING OF A PERMANENT CHIEF RISK OFFICER FOR THE COMPANY. AT THIS TIME, MR. TRIMBLE REASSUMED HIS POSITION AS A BOARD MEMBER, HOWEVER, GIVEN HIS CONTINUING POSITION AS AN EMPLOYEE OF THE COMPANY, HE DID NOT RECEIVE ANY SEPARATE COMPENSATION AS A BOARD MEMBER FOR ANY OF THE SCAN RELATED ENTITIES THROUGH THE END OF 2011, AT WHICH TIME HIS STATUS AS AN EMPLOYEE OF THE COMPANY ENDED. AVERAGE HOURS DEVOTED TO RELATED ORGANIZATION(S) WHEN RELATED COMP IS REPORTED: PART VII, SECTION A, COLUMN D REPORTS COMPENSATION PAID BY SCAN HEALTH PLAN FOR SERVICES PROVIDED TO SCAN HEALTH PLAN AND AFFILIATES. COLUMN B INCLUDES TOTAL HOURS FOR SCAN HEALTH PLAN ONLY. BELOW IS A BREAKDOWN OF HOURS SPENT PER AFFILIATE. THE FOLLOWING OFFICERS, KEY EMPLOYEES, AND BOARD MEMBERS OF SCAN HEALTH PLAN ALSO DEVOTE THE FOLLOWING TIME TO THE SCAN FOUNDATION: COLLEEN CAIN - 2.0 HOURS PER WEEK RYAN TRIMBLE - 1.0 HOURS PER WEEK PATRICK SEAVER - 1.9 HOURS PER WEEK THOMAS HIGGINS - 3.0 HOURS PER WEEK DENNIS EDER - 2.0 HOURS PER WEEK THOMAS MCDANIEL - 2.1 HOURS PER WEEK DOUGLAS JAQUES - 2.0 HOURS PER WEEK RANDY STONE - 2.0 HOURS PER WEEK CHRIS WING - 1.0 HOURS PER WEEK THE FOLLOWING BOARD MEMBERS OF SCAN HEALTH PLAN ALSO DEVOTE THE FOLLOWING TIME TO SCAN GROUP: COLLEEN CAIN - 1.4 HOURS PER WEEK MICHAEL NOEL - 1.1 HOURS PER WEEK KIM HUNTER - 1.1 HOURS PER WEEK PATRICK SEAVER - 1.1 HOURS PER WEEK THOMAS MCDANIEL - 1.2 HOURS PER WEEK THOMAS HIGGINS - 1.1 HOURS PER WEEK ANDREW ALLOCCO - 1.3 HOURS PER WEEK SCAN HEALTH PLAN AND SCAN GROUP ARE OPERATED JOINTLY. THEREFORE, THE FOLLOWING OFFICERS AND EMPLOYEES SPEND AN AVERAGE OF 40 HOURS PER WEEK BETWEEN THE TWO ORGANIZATIONS: DENNIS EDER TIMOTHY SCHWAB DOUGLAS JAQUES MARC RADNER SHERRY STANISLAW ROGER LAPP HENRY W. OSOWSKI DEBORAH MILLER MERLIN SWACKHAMMER REBECCA LEARNER ELIZABETH RUSSELL PETER BEGANS RANDY STONE WILLIAM ROTH GILBERT MILLER CHRIS WING RYAN TRIMBLE THE FOLLOWING OFFICERS, KEY EMPLOYEES, AND BOARD MEMBERS OF SCAN HEALTH PLAN ALSO DEVOTE THE FOLLOWING TIME TO ONE OR BOTH OF SCAN HEALTH PLAN ARIZONA AND SCAN LONG TERM CARE: DENNIS EDER - 0.4 HOURS PER WEEK DOUGLAS JAQUES - 5.0 HOURS PER WEEK RYAN TRIMBLE - 0.4 HOURS PER WEEK ELIZABETH RUSSELL - 5.0 HOURS PER WEEK RANDY STONE - 5.0 HOURS PER WEEK REBECCA LEARNER - 5.0 HOURS PER WEEK
FORM 990, PART XI, LINE 5:NET UNREALIZED LOSSES ON INVESTMENTS: -48,831,114.CHANGES IN NET ASSETS OR FUND BALANCES:

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (4 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 HEALTH PLAN
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
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 Org1LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org0LoansOrGuaranteesFromOtherOrg
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 Org0OtherTransferToOtherOrg
Other Transfer From Other Org0OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (5 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolvedMethod Of Amt DeterminationMethodOfAmtDetermination
SCAN HEALTH PLAN ARIZONA
D50000000SEE PART VII
SCAN HEALTH PLAN ARIZONA
P2413913SEE PART VII
SCAN LONG TERM CARE
P980552SEE PART VII
THE SCAN FOUNDATION
P283483SEE PART VII
SCAN GROUP
O49391850SEE PART VII

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. SCAN HEALTH PLAN ARIZONA RECEIVED A $50 MILLION SURPLUS NOTE FROM SCAN HEALTH PLAN, IN ORDER TO MEET CERTAIN CAPITAL REQUIREMENTS. THE NOTE WAS APPROVED BY THE ARIZONA DEPARTMENT OF INSURANCE AND THE CALIFORNIA DEPARTMENT OF MANAGED HEALTH CARE.Explanation