SCAN LONG TERM CARE: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization: SCAN LONG TERM CARE (EIN 20-4607594)
Tax period: 2010-01-01 to 2010-12-31
Filed: 2011-11-11
IRS object ID: 201143159349302424
Schema version: 2010v3.4
Source: Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header
Form 990
Schedule D
Schedule J
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Timestamp	2011-11-11T11:16:06-06:00	Timestamp
Tax Period End Date	2010-12-31	TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	DELOITTE TAX LLP	BusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

Field	Value	IRS element (for citing)
Address Line1	655 WEST BROADWAY SUITE 700	AddressLine1
City	SAN DIEGO	City
State	CA	State
ZIP Code	921018590	ZIPCode

Field	Value	IRS element (for citing)
Return Type	990	ReturnType
Tax Period Begin Date	2010-01-01	TaxPeriodBeginDate

Filer Filer

Field	Value	IRS element (for citing)
EIN	204607594	EIN

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	SCAN LONG TERM CARE	BusinessNameLine1

Field	Value	IRS element (for citing)
Name Control	SCAN	NameControl
Phone	5629895100	Phone

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	3800 KILROY AIRPORT WAY NO 100	AddressLine1
City	LONG BEACH	City
State	CA	State
ZIP Code	908065616	ZIPCode

Officer Officer

Field	Value	IRS element (for citing)
Name	DAVID J SCHMIDT	Name
Title	CEO	Title
Phone	5629895100	Phone
Date Signed	2011-11-10	DateSigned
Authorize Third Party	1	AuthorizeThirdParty

Preparer Preparer

Field	Value	IRS element (for citing)
Name	DIANA J MCCUTCHEN	Name
Phone	6192326500	Phone

Field	Value	IRS element (for citing)
Tax Year	2010	TaxYear
Build TS	2016-03-07 17:11:31Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Name Of Principal Officer Person	ELIZABETH RUSSELL	NameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

Field	Value	IRS element (for citing)
Address Line1	3800 KILROY AIRPORT WAY NO 100	AddressLine1
City	LONG BEACH	City
State	CA	State
ZIP Code	908065616	ZIPCode

Field	Value	IRS element (for citing)
Gross Receipts	126573277	GrossReceipts
Group Return For Affiliates	0	GroupReturnForAffiliates
Organization501c	X	Organization501c
Web Site	WWW.SCANLONGTERMCARE.COM	WebSite
Type Of Organization Corporation	X	TypeOfOrganizationCorporation
Year Formation	2006	YearFormation
State Legal Domicile	AZ	StateLegalDomicile
Activity Or Mission Description	TO SERVE AND IMPROVE THE LIVES OF THE FRAIL, ELDERLY AND DISABLED RESIDENTS OF ARIZONA. BY PROVIDING MEDICAL AND PHARMACY SERVICES, COORDINATED CARE, SOCIAL SERVICES AND OTHER SERVICES TO A GERIATRIC AND DISABLED POPULATION THAT IS UNDERSERVED AND AT RISK.	ActivityOrMissionDescription
Nbr Voting Members Governing Body	7	NbrVotingMembersGoverningBody
Nbr Independent Voting Members	2	NbrIndependentVotingMembers
Total Nbr Employees	0	TotalNbrEmployees
Total Nbr Volunteers	0	TotalNbrVolunteers
Total Gross UBI	0	TotalGrossUBI
Net Unrelated Business Txbl Income	0	NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year	0	ContributionsGrantsPriorYear
Contributions Grants Current Year	0	ContributionsGrantsCurrentYear
Program Service Revenue Prior Year	120295112	ProgramServiceRevenuePriorYear
Program Service Revenue CY	126528557	ProgramServiceRevenueCY
Investment Income Prior Year	45692	InvestmentIncomePriorYear
Investment Income Current Year	44720	InvestmentIncomeCurrentYear
Other Revenue Prior Year	0	OtherRevenuePriorYear
Other Revenue Current Year	0	OtherRevenueCurrentYear
Total Revenue Prior Year	120340804	TotalRevenuePriorYear
Total Revenue Current Year	126573277	TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year	0	GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY	0	GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year	0	BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY	0	BenefitsPaidToMembersCY
Salaries Etc Prior Year	7264881	SalariesEtcPriorYear
Salaries Etc Current Year	9696845	SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year	0	TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY	0	TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year	0	TotalFundrsngExpCurrentYear
Other Expense Prior Year	107425167	OtherExpensePriorYear
Other Expenses Current Year	118382654	OtherExpensesCurrentYear
Total Expenses Prior Year	114690048	TotalExpensesPriorYear
Total Expenses Current Year	128079499	TotalExpensesCurrentYear
Revenues Less Expenses Prior Year	5650756	RevenuesLessExpensesPriorYear
Revenues Less Expenses CY	-1506222	RevenuesLessExpensesCY
Total Assets BOY	34643294	TotalAssetsBOY
Total Assets EOY	29525796	TotalAssetsEOY
Total Liabilities BOY	23127248	TotalLiabilitiesBOY
Total Liabilities EOY	19515972	TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY	11516046	NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY	10009824	NetAssetsOrFundBalancesEOY
Info In Schedule O Part III	X	InfoInScheduleOPartIII
Mission Description	TO SERVE AND IMPROVE THE LIVES OF THE FRAIL, ELDERLY AND DISABLED RESIDENTS OF ARIZONA BY PROVIDING MEDICAL AND PHARMACY SERVICES, COORDINATED CARE, SOCIAL SERVICES AND OTHER SERVICES TO A GERIATRIC AND DISABLED POPULATION THAT IS UNDERSERVED AND AT RISK.	MissionDescription
Significant New Program Services	0	SignificantNewProgramServices
Significant Change	0	SignificantChange
Expense	113529066	Expense
Revenue	126528557	Revenue
Description	THE ARIZONA COMPANIES, SCAN HEALTH PLAN ARIZONA, A MEDICARE ADVANTAGE CONTRACTOR, AND SCAN LONG TERM CARE, A PROGRAM CONTRACTOR TO THE ARIZONA LONG TERM CARE SYSTEM (ALTCS) COMPONENT OF THE ARIZONA HEALTH CARE COST CONTAINMENT SYSTEM (AHCCCS), THE STATE MEDICAID PROGRAM, ARE NON-PROFIT MANAGED CARE ORGANIZATIONS THAT WERE CREATED TO SERVE THE HEALTH CARE AND INDEPENDENCE NEEDS OF THE SENIOR AND PHYSICALLY DISABLED CITIZENS OF MARICOPA COUNTY, ARIZONA. THE SHARED MISSION OF THE ARIZONA COMPANIES IS TO FIND INNOVATIVE WAYS TO ENHANCE THE BENEFICIARIES' ABILITY TO MANAGE THEIR HEALTH AND EXERT CONTROL OVER WHERE AND HOW THEY LIVE. WE WILL ACHIEVE THAT MISSION BY DEVELOPING PARTNERSHIPS THAT ALLOW US TO DELIVER THE RIGHT HEALTH CARE, IN THE RIGHT SETTING, AND AT THE RIGHT COST WHILE MAXIMIZING THE MEMBERS' ABILITY TO REMAIN AS INDEPENDENT AS POSSIBLE. OUR GOAL IS TO BECOME THE LEADING GERIATRIC AND PHYSICALLY DISABLED HEALTH MANAGEMENT ENTERPRISE IN MARICOPA COUNTY.SCAN LONG TERM CARE WAS SELECTED AS AN ALTCS PROGRAM CONTRACTOR IN MAY, 2006 AND BEGAN PROGRAM OPERATIONS ON OCTOBER 1, 2006. THE PLAN IS RESPONSIBLE FOR ARRANGING, MANAGING AND MONITORING THE FULL RANGE OF HEALTH CARE SERVICES (PHYSICIAN, HOSPITAL, LAB, RADIOLOGY, DURABLE MEDICAL EQUIPMENT, ETC.), NOT OTHERWISE COVERED BY MEDICARE, HOME CARE SERVICES AND RESIDENTIAL CARE SERVICES REQUIRED BY THE ALTCS BENEFICIARIES ENROLLED IN SCAN. THE ALTCS PROGRAM IS DESIGN TO SERVE THE NEEDS OF LOW INCOME ARIZONA CITIZENS AGE 65 OR OLDER, BLIND OR DISABLED AND IN NEED OF LONG TERM CARE SERVICES. SCAN LONG TERM CARE BEGAN THE PROGRAM WITH 164 ENROLLEES AND CURRENTLY SERVES MORE THAN 2,910 ALTCS BENEFICIARIES IN MARICOPA COUNTY. THE ALTCS PROGRAM IS PRINCIPALLY BUILT ON A FOUNDATION OF DIRECT CASE MANAGEMENT SERVICE COORDINATION FOR EACH ENROLLEE. SCAN LONG TERM CARE CURRENTLY HAS A TEAM OF MORE THAN FIFTY CASE MANAGERS SERVING THE ALTCS ENROLLEES.SCAN HEALTH PLAN ARIZONA BEGAN PROGRAM OPERATIONS AS A MEDICARE ADVANTAGE CONTRACTOR EFFECTIVE JANUARY 1, 2007. IT IS RESPONSIBLE FOR ARRANGING AND MONITORING THE FULL RANGE OF MEDICARE HEALTH SERVICES FOR PLAN ENROLLEES. THE PLAN BEGAN OFFERING A MEDICARE ADVANTAGE SPECIAL NEEDS PLAN (SNP) FOR BENEFICIARIES WHO ARE DUALLY ELIGIBLE AND ENROLLED IN BOTH THE MEDICARE AND ALTCS PROGRAMS. BEGINNING JANUARY 1, 2009, THE PLAN EXPANDED ITS MEDICARE ADVANTAGE PARTICIPATION TO OTHER MEDICARE BENEFICIARY POPULATIONS, THROUGH A MAPD PLAN.IN JANUARY 2008 THE ARIZONA COMPANIES LAUNCHED THE SCAN CONNECTIONS COMMUNITY RESOURCE CENTER DESIGNED TO LINK SCAN MEMBERS, THEIR CAREGIVERS AND OTHERS IN THE MARICOPA COUNTY COMMUNITIES WITH KNOWLEDGEABLE STAFF WHO CAN ASSIST IN NAVIGATING A COMPLEX HEALTH CARE SYSTEM. THE RESOURCE CENTER STAFF BUILD BRIDGES INTO OTHER COMMUNITY ORGANIZATIONS, GOVERNMENTAL AGENCIES AND HEALTH ADVOCACY GROUPS TO PROVIDE TO THE COMMUNITY HEALTH EDUCATION AND SUPPORT SERVICES FOCUSED ON GERIATRIC, CHRONIC ILLNESS AND PHYSICALLY DISABLED CHALLENGES. SERVICES AND RESOURCES ARE PROVIDED AT THE SCAN CONNECTIONS RESOURCE CENTER IN SCAN'S OFFICE AND AT REMOTE COMMUNITY SITES.SCAN HEALTH PLAN ARIZONA HAS GROWN FROM NO MEMBERSHIP AT DECEMBER 31, 2006 AND CURRENTLY SERVES MORE THAN 8,461 ENROLLEES. THE ADDITION OF THE SCAN CLASSIC AND SCAN CONNECTIONS PROGRAMS ALLOW SCAN PERSONNEL, ESPECIALLY THE CASE MANAGEMENT TEAM, TO MORE EFFECTIVELY COORDINATE THE NEEDED HEALTH CARE SERVICES REQUIRED BY SCAN MEMBERS. FROM THE START OF OPERATIONS, THE ARIZONA COMPANIES HAVE DEVOTED NEARLY 100% OF ITS REVENUE TO THE DIRECT PROVISION OF HEALTH CARE, HOME AND COMMUNITY BASED SERVICES AND LONG TERM CARE RESIDENTIAL SERVICES. THIS REPRESENTS MORE THAN $498 MILLION OF DIRECT CARE SERVICES FOR THESE MEDICARE AND MEDICAID ENROLLEES. OF THE TOTAL AMOUNT PAID FOR MEDICAL AND RESIDENTIAL SERVICES, APPROXIMATELY 40.6% WERE DIRECTED TO LONG TERM CARE RESIDENTIAL SERVICE PROVIDERS, 24.0% WERE DIRECTED TO HOME AND COMMUNITY BASED SERVICE PROVIDERS, AND 32.6% WERE DIRECTED TO MEDICAL SERVICE PROVIDERS AND THE REMAINING 2.8% WERE DIRECTED TO CASE MANAGEMENT COORDINATION SERVICES.	Description
Total Program Service Expense	113529066	TotalProgramServiceExpense
Described In501 C3	0	DescribedIn501C3
Schedule B Required	0	ScheduleBRequired
Political Activities	0	PoliticalActivities
Subject To Proxy Tax	0	SubjectToProxyTax
Donor Advised Funds	0	DonorAdvisedFunds
Conservation Easements	0	ConservationEasements
Collections Of Art	0	CollectionsOfArt
Credit Counseling	0	CreditCounseling
Term Or Permanent Endowments	0	TermOrPermanentEndowments
Report Land Bldg Equip	1	ReportLandBldgEquip
Report Invest Oth Securities	0	ReportInvestOthSecurities
Report Prog Rel Invest	0	ReportProgRelInvest
Report Other Assets	0	ReportOtherAssets
Report Other Liabilities	1	ReportOtherLiabilities
Report Fin48 Footnote	0	ReportFin48Footnote
Independent Audit Financial Stmt	1	IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt	1	ConsolidatedAuditFinancialStmt
School	0	School
Foreign Office	0	ForeignOffice
Foreign Activities	0	ForeignActivities
More Than5000 K To Organizations	0	MoreThan5000KToOrganizations
More Than5000 K To Individuals	0	MoreThan5000KToIndividuals
Professional Fundraising	0	ProfessionalFundraising
Fundraising Activities	0	FundraisingActivities
Gaming	0	Gaming
Hospital	0	Hospital
Grants To Organizations	0	GrantsToOrganizations
Grants To Individuals	0	GrantsToIndividuals
Schedule J Required	1	ScheduleJRequired
Tax Exempt Bonds	0	TaxExemptBonds
Excess Benefit Transaction	0	ExcessBenefitTransaction
Prior Excess Benefit Transaction	0	PriorExcessBenefitTransaction
Loan To Officer Or DQP	0	LoanToOfficerOrDQP
Grant To Related Person	0	GrantToRelatedPerson
Bsnss Rltnshp With Organization	0	BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member	0	BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp	0	OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions	0	DeductibleNonCashContributions
Deductible Contributions Of Art	0	DeductibleContributionsOfArt
Terminated	0	Terminated
Partial Liquidation	0	PartialLiquidation
Disregarded Entity	0	DisregardedEntity
Related Entity	1	RelatedEntity
Related Org Controlled Entity	1	RelatedOrgControlledEntity
Transaction Related Entity	1	TransactionRelatedEntity
Activities Conducted Partnership	0	ActivitiesConductedPartnership
Schedule O Required	1	ScheduleORequired
Number Forms Transmitted With1096	1170	NumberFormsTransmittedWith1096
Number W2 G Included	0	NumberW2GIncluded
Number Of Employees	0	NumberOfEmployees
Unrelated Business Income	0	UnrelatedBusinessIncome
Foreign Financial Account	0	ForeignFinancialAccount
Prohibited Tax Shelter Trans	0	ProhibitedTaxShelterTrans
Taxable Party Notification	0	TaxablePartyNotification
Non Deductible Contributions	0	NonDeductibleContributions
Quid Pro Quo Contributions	0	QuidProQuoContributions
Form8282 Property Disposed Of	0	Form8282PropertyDisposedOf
Funds To Pay Premiums	0	FundsToPayPremiums
Premiums Paid	0	PremiumsPaid
Indoor Tanning Services	0	IndoorTanningServices
Info In Schedule O Part VI	X	InfoInScheduleOPartVI
Nbr Voting Governing Body Members	7	NbrVotingGoverningBodyMembers
Number Independent Voting Members	2	NumberIndependentVotingMembers
Family Or Business Relationship	0	FamilyOrBusinessRelationship
Delegation Of Management Duties	0	DelegationOfManagementDuties
Changes To Organizing Docs	0	ChangesToOrganizingDocs
Material Diversion Or Misuse	0	MaterialDiversionOrMisuse
Members Or Stockholders	1	MembersOrStockholders
Election Of Board Members	1	ElectionOfBoardMembers
Decisions Subject To Approval	1	DecisionsSubjectToApproval
Minutes Of Governing Body	1	MinutesOfGoverningBody
Minutes Of Committees	1	MinutesOfCommittees
Officer Mailing Address	0	OfficerMailingAddress
Local Chapters	0	LocalChapters
Form990 Provided To Governing Body	1	Form990ProvidedToGoverningBody
Conflict Of Interest Policy	1	ConflictOfInterestPolicy
Annual Disclosure Covered Persons	1	AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement	1	RegularMonitoringEnforcement
Whistleblower Policy	1	WhistleblowerPolicy
Document Retention Policy	1	DocumentRetentionPolicy
Compensation Process CEO	1	CompensationProcessCEO
Compensation Process Other	1	CompensationProcessOther
Investment In Joint Venture	0	InvestmentInJointVenture
States Where Copy Of Return Is Filed	AZ	StatesWhereCopyOfReturnIsFiled
Upon Request	X	UponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

Field	Value	IRS element (for citing)
Business Name Line1	RAJEEV NARULA	BusinessNameLine1

Field	Value	IRS element (for citing)
Telephone Number	5629895100	TelephoneNumber

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	3800 KILROY AIRPORT WAY	AddressLine1
City	LONG BEACH	City
State	CA	State
ZIP Code	90806	ZIPCode

Field	Value	IRS element (for citing)
Info In Schedule O Part VII	X	InfoInScheduleOPartVII

Form990 Part VII Section A Form990PartVIISectionA (16 entries)

TitleTitle	Average Hours Per WeekAverageHoursPerWeek	Individual Trustee Or DirectorIndividualTrusteeOrDirector	OfficerOfficer	Reportable Comp From OrganizationReportableCompFromOrganization	Reportable Comp From Related OrgsReportableCompFromRelatedOrgs	Other CompensationOtherCompensation	Key EmployeeKeyEmployee	Highest Compensated EmployeeHighestCompensatedEmployee
DOUGLAS JAQUES
DIRECTOR, SECRETARY	0.40	X	X	0	400281	74806
DAVID SCHMIDT
OUTGOING CHAIRMAN	0.40	X		0	3052208	32940
TIMOTHY SCHWAB
DIRECTOR	0.40	X		0	828269	20761
HENRY W OSOWSKI
DIRECTOR	0.40	X		0	413288	39822
LINDA STRIKE
DIRECTOR	0.60	X		0	112156	0
DENNIS EDER
DIRECTOR	0.40	X		0	539644	80366
LEONARD KIRSCHNER
DIRECTOR	0.40	X		0	27000	0
RYAN TRIMBLE
INTERIM CHAIRMAN	0.40	X		0	163786	876
THOMAS LESCAULT
OUTGOING PRESIDENT	40.00		X	0	382686	46210
RAJEEV NARULA
CHIEF FINANCIAL OFFICER	5.00		X	0	301295	22805
ELIZABETH RUSSELL
INTERIM CEO	5.00		X	0	419996	68191
MARC LATO
MEDICAL DIRECTOR	40.00			0	275966	34441	X
MAUREEN MCGURRIN
VP-OPERATIONS	40.00			0	229461	22596	X
TINA GRAHAM
VP-COMPLIANCE	40.00			0	170145	12128	X
JOEY ZEPEDA
VP-CASE MANAGEMENT	40.00			0	149332	29974		X
RICHARD PEITZMEIER
DIRECTOR SALES	40.00			0	141472	8142		X

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	0	TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs	7606985	TotalReportableCompFrmRltdOrgs
Total Other Compensation	494058	TotalOtherCompensation
Number Individuals GT100 K	0	NumberIndividualsGT100K
Formers Listed	0	FormersListed
Total Comp GT150 K	1	TotalCompGT150K
Compensation From Other Sources	0	CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1	CityAddressOfContractor/AddressUS/City	StateAddressOfContractor/AddressUS/State	ZIP CodeAddressOfContractor/AddressUS/ZIPCode	Description Of ServicesDescriptionOfServices	CompensationCompensation
LIFE CARE CENTERS OF AMERICA
2727 WEST FRYE RD SUITE 210	CHANDLER	AZ	85224	MEDICAL SERVICES	8514135
PLAZA HEALTHCARE
1475 N GRANITE REEF	SCOTTSDALE	AZ	85257	MEDICAL SERVICES	3294781
EXPRESS SCRIPTS INC
21653 NETWORK PLACE	CHICAGO	IL	606731216	MEDICAL SERVICES	2622290
ASSURED CARE HEALTHCARE SERVICE
1837 S MESA DRIVE SUITE 202	MESA	AZ	85210	MEDICAL SERVICES	2551549
ALARYS HOME HEALTH INC
4250 N DRINKWATER BLVD SUITE 165	SCOTTSDALE	AZ	85251	MEDICAL SERVICES	2452089

Field	Value	IRS element (for citing)
Number Of Contractors GT100 K	171	NumberOfContractorsGT100K

Program Service Revenue ProgramServiceRevenue (3 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome
MEDICAID PREMIUM	900099	122366221	122366221
REINSURANCE RECOVERIES	900099	3834794	3834794
SUPPLEMENTAL PREMIUM	900099	327542	327542

Field	Value	IRS element (for citing)
Total Program Service Revenue	126528557	TotalProgramServiceRevenue

Investment Income InvestmentIncome

Field	Value	IRS element (for citing)
Total Revenue Column	44720	TotalRevenueColumn
Exclusion	$44,720	ExclusionAmount

Total Revenue TotalRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	126573277	TotalRevenueColumn
Related Or Exempt Function Income	126528557	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	0	UnrelatedBusinessRevenue
Exclusion	$44,720	ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

Field	Value	IRS element (for citing)
Total	987959	Total
Management And General	987959	ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

Field	Value	IRS element (for citing)
Total	6922915	Total
Program Services	3772042	ProgramServices
Management And General	3150873	ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

Field	Value	IRS element (for citing)
Total	387011	Total
Program Services	181031	ProgramServices
Management And General	205980	ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

Field	Value	IRS element (for citing)
Total	824817	Total
Program Services	500913	ProgramServices
Management And General	323904	ManagementAndGeneral

Payroll Taxes PayrollTaxes

Field	Value	IRS element (for citing)
Total	574143	Total
Program Services	299652	ProgramServices
Management And General	274491	ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

Field	Value	IRS element (for citing)
Total	4638992	Total
Management And General	4638992	ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

Field	Value	IRS element (for citing)
Total	48291	Total
Management And General	48291	ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

Field	Value	IRS element (for citing)
Total	57946	Total
Management And General	57946	ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

Field	Value	IRS element (for citing)
Total	69030	Total
Management And General	69030	ManagementAndGeneral

Fees For Services Other FeesForServicesOther

Field	Value	IRS element (for citing)
Total	1001407	Total
Program Services	500	ProgramServices
Management And General	1000907	ManagementAndGeneral

Advertising Advertising

Field	Value	IRS element (for citing)
Total	105486	Total
Program Services	4240	ProgramServices
Management And General	101246	ManagementAndGeneral

Office Expenses OfficeExpenses

Field	Value	IRS element (for citing)
Total	163601	Total
Program Services	12235	ProgramServices
Management And General	151366	ManagementAndGeneral

Information Technology InformationTechnology

Field	Value	IRS element (for citing)
Total	16875	Total
Management And General	16875	ManagementAndGeneral

Occupancy Occupancy

Field	Value	IRS element (for citing)
Total	351200	Total
Management And General	351200	ManagementAndGeneral

Travel Travel

Field	Value	IRS element (for citing)
Total	171319	Total
Program Services	101833	ProgramServices
Management And General	69486	ManagementAndGeneral

Conferences Meetings ConferencesMeetings

Field	Value	IRS element (for citing)
Total	23016	Total
Program Services	5004	ProgramServices
Management And General	18012	ManagementAndGeneral

Other Expenses OtherExpenses (5 entries)

DescriptionDescription	TotalTotal	Program ServicesProgramServices	Management And GeneralManagementAndGeneral
MEDICAL EXPENSES	108380381	108380381	0
PREMIUM TAXES	2455570	0	2455570
FIXED ASSETS USAGE FEES	323776	192924	130852
TELECOMMUNICATIONS	171446	66317	105129
OFFICE EQUIPMENT	103973	1170	102803

All Other Expenses AllOtherExpenses

Field	Value	IRS element (for citing)
Total	300345	Total
Program Services	10824	ProgramServices
Management And General	289521	ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

Field	Value	IRS element (for citing)
Total	128079499	Total
Program Services	113529066	ProgramServices
Management And General	14550433	ManagementAndGeneral
Fundraising	0	Fundraising

Cash Non Interest Bearing CashNonInterestBearing

Field	Value	IRS element (for citing)
BOY	26918495	BOY
EOY	22768069	EOY

Accounts Receivable AccountsReceivable

Field	Value	IRS element (for citing)
BOY	7699491	BOY
EOY	6729483	EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

Field	Value	IRS element (for citing)
BOY	25308	BOY
EOY	28244	EOY

Field	Value	IRS element (for citing)
Land Buildings Equipment Basis	717141	LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec	717141	LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Total Assets TotalAssets

Field	Value	IRS element (for citing)
BOY	34643294	BOY
EOY	29525796	EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Field	Value	IRS element (for citing)
BOY	1030138	BOY
EOY	1505278	EOY

Other Liabilities OtherLiabilities

Field	Value	IRS element (for citing)
BOY	22097110	BOY
EOY	18010694	EOY

Total Liabilities TotalLiabilities

Field	Value	IRS element (for citing)
BOY	23127248	BOY
EOY	19515972	EOY

Field	Value	IRS element (for citing)
Follow SFAS117	X	FollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	11516046	BOY
EOY	10009824	EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	11516046	BOY
EOY	10009824	EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	34643294	BOY
EOY	29525796	EOY

Field	Value	IRS element (for citing)
Reconcilation Revenue Expenses	-1506222	ReconcilationRevenueExpenses
Reconcilation Other Changes	0	ReconcilationOtherChanges
Method Of Accounting Accrual	X	MethodOfAccountingAccrual
Accountant Compile Or Review	0	AccountantCompileOrReview
FS Audited	1	FSAudited
Audit Committee	1	AuditCommittee
Financial Statement Both	X	FinancialStatementBoth
Federal Grant Audit Required	0	FederalGrantAuditRequired

Schedule D IRS990ScheduleD

Other Land Buildings OtherLandBuildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	717141	OtherCostOrOtherBasis
Depreciation	717141	Depreciation
Book Value	0	BookValue

Field	Value	IRS element (for citing)
Total Of Book Value Land Buildings	0	TotalOfBookValueLandBuildings

Other Liabilities OtherLiabilities (3 entries)

DescriptionDescription	AmountAmount
MEDICAL CLAIMS PAYABLE	$14,919,669
INTERCOMPANY PAYABLES	$1,769,467
OTHER CURRENT LIABILITIES	$1,321,558

Field	Value	IRS element (for citing)
Total Of Amounts	18010694	TotalOfAmounts
Total Revenue	126573277	TotalRevenue
Total Expenses	128079499	TotalExpenses
Excess Or Deficit For Year	-1506222	ExcessOrDeficitForYear
Total Adjustments	0	TotalAdjustments
Excess Or Deficit Per FS	-1506222	ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt	126573277	TotRevenueEtcAuditedFinclStmt
Revenue Not Rptd F990	0	RevenueNotRptdF990
Revenue Subtotal	126573277	RevenueSubtotal
Revenue Not Rptd On Fin Stmt	0	RevenueNotRptdOnFinStmt
Total Revenue Per Form990	126573277	TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt	128079499	TotExpensesEtcAuditedFinclStmt
Expenses Not Rptd F990	0	ExpensesNotRptdF990
Expenses Subtotal	128079499	ExpensesSubtotal
Expenses Not Rptd On Fin Stmt	0	ExpensesNotRptdOnFinStmt
Total Expenses Per Form990	128079499	TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV

Field	Value	IRS element (for citing)
Explanation	PART X, FIN 48 FOOTNOTE TO FINANCIAL STATEMENTS: FIN 48 (ASC 740) WAS ADOPTED BY THE ORGANIZATION DURING THE YEAR ENDED DECEMBER 31, 2009. THERE HAS BEEN NO LIABILITY FOR UNCERTAIN TAX POSITIONS RECORDED ON THE FINANCIAL STATEMENTS FOR THE CURRENT YEAR.	Explanation

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Compensation Committee	X	CompensationCommittee
Independent Consultant	X	IndependentConsultant
Form990 Of Other Organizations	X	Form990OfOtherOrganizations
Written Employment Contract	X	WrittenEmploymentContract
Compensation Survey	X	CompensationSurvey
Board Or Committee Approval	X	BoardOrCommitteeApproval
Severance Payment	1	SeverancePayment
Supplemental Nonqual Retire Plan	1	SupplementalNonqualRetirePlan
Equity Based Comp Arrangement	1	EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org	0	CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs	0	CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org	0	CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs	0	CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments	0	AnyNonFixedPayments
Initial Contract Exception	0	InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (13 entries)

Base Compensation Filing OrgBaseCompensationFilingOrg	Comp Based On Related OrgsCompBasedOnRelatedOrgs	Bonus Filing OrgBonusFilingOrg	Bonus Related OrgsBonusRelatedOrgs	Other Compensation Filing OrgOtherCompensationFilingOrg	Other Compensation Related OrgsOtherCompensationRelatedOrgs	Deferred Comp Filing OrgDeferredCompFilingOrg	Deferred Comp Related OrgsDeferredCompRelatedOrgs	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg	Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs	Total Compensation Filing OrgTotalCompensationFilingOrg	Total Compensation Related OrgsTotalCompensationRelatedOrgs	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg	Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
DOUGLAS JAQUES
0	281461	0	100810	0	18010	0	40540	0	34266	0	475087	0	0
DAVID SCHMIDT
0	662524	0	285732	0	2103952	0	17150	0	15790	0	3085148	0	354607
TIMOTHY SCHWAB
0	358125	0	185365	0	284779	0	17150	0	3611	0	849030	0	0
HENRY W OSOWSKI
0	267542	0	100441	0	45305	0	17150	0	22672	0	453110	0	75877
DENNIS EDER
0	358891	0	160682	0	20071	0	53792	0	26574	0	620010	0	0
RYAN TRIMBLE
0	89634	0	0	0	74152	0	0	0	876	0	164662	0	0
THOMAS LESCAULT
0	297806	0	64681	0	20199	0	32334	0	13876	0	428896	0	0
RAJEEV NARULA
0	233664	0	51977	0	15654	0	17150	0	5655	0	324100	0	0
ELIZABETH RUSSELL
0	289006	0	111459	0	19531	0	41900	0	26291	0	488187	0	0
MARC LATO
0	209057	0	50507	0	16402	0	17150	0	17291	0	310407	0	0
MAUREEN MCGURRIN
0	175681	0	41303	0	12477	0	15272	0	7324	0	252057	0	0
TINA GRAHAM
0	131089	0	30711	0	8345	0	11326	0	802	0	182273	0	0
JOEY ZEPEDA
0	114982	0	26740	0	7610	0	10361	0	19613	0	179306	0	0

Form990 Schedule J Part III Form990ScheduleJPartIII

Field	Value	IRS element (for citing)
Return Reference	PART I, LINES 4A-C	ReturnReference
Explanation	PART I, LINE 4A: DURING 2010, THE EMPLOYMENT RELATIONSHIP OF DAVID SCHMIDT, CEO, WITH SCAN HEALTH PLAN AND SCAN GROUP WAS ENDED. IN CONNECTION WITH THE TERMINATION OF MR. SCHMIDT'S EMPLOYMENT, SCAN HEALTH PLAN NEGOTIATED AND PAID SEVERANCE TO MR. SCHMIDT THAT WAS IN ACCORDANCE WITH THE TERMS OF HIS THEN EXISTING EMPLOYMENT AGREEMENT. PART I, LINE 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 2009: DAVID SCHMIDT, DENNIS EDER, TIMOTHY SCHWAB, DOUGLAS JAQUES, HENRY OSOWSKI, THOMAS LESCAULT, AND MAUREEN MCGURRIN. 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. THE FOLLOWING INDIVIDUALS RECEIVED PAYMENTS OUT OF THE SECTION 457(F) PLAN DURING THE YEAR: (1) DAVID SCHMIDT, $354,607 AND (2) HENRY OSOWSKI, $75,877. PART I, LINE 4C: THE FOLLOWING INDIVIDUAL PARTICIPATED IN SCAN HEALTH PLAN'S KEYSOP PLAN DURING THE TAXABLE YEAR: TIMOTHY SCHWAB. THE PLAN IS NOW FROZEN AND NO EMPLOYEES ARE BEING NEWLY ADDED AS PARTICIPANTS.	Explanation

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (8 entries)

IdentifierIdentifier	ExplanationExplanation	Return ReferenceReturnReference
FORM 990, PART VI, SECTION A, LINE 6	THE SOLE MEMBER OF THE ORGANIZATION IS SCAN HEALTH PLAN ARIZONA, AN ARIZONA NONPROFIT CORPORATION.
FORM 990, PART VI, SECTION A, LINE 7A	THE SOLE MEMBER HAS THE POWER TO APPOINT THE MEMBERS OF THE BOARD OF DIRECTORS.
FORM 990, PART VI, SECTION A, LINE 7B	ACCORDING TO THE ORGANIZATION'S BY LAWS, SCAN HEALTH PLAN ARIZONA WILL ELECT ALL OF THE DIRECTORS OF THE ORGANIZATION. THE BOARD OF DIRECTORS HAS THE GENERAL POWER TO MANAGE AND CONTROL THE BUSINESS AND PROPERTY OF THE ORGANIZATION.
FORM 990, PART VI, SECTION B, LINE 11	THE FORM 990 IS PREPARED BY DELOITTE TAX LLP, WORKING IN CONJUNCTION WITH SCAN'S FINANCE DEPARTMENT. SCAN HEALTH PLAN'S ACCOUNTING MANAGER HAS DIRECT RESPONSIBILITY FOR THIS EFFORT, SUBJECT TO SUPERVISION BY THE SCAN LONG TERM CARE CHIEF FINANCIAL OFFICER. 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 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.
	SCAN LONG TERM CARE 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 LONG TERM CARE 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 GROUP 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 12C
	15A: THE PROCESS FOR DETERMINING THE COMPENSATION OF THE PRESIDENT OF SCAN LONG TERM CARE IS CONDUCTED BY THE COMPENSATION COMMITTEE OF THE BOARD OF DIRECTORS OF SCAN HEALTH PLAN ARIZONA, ALL OF THE VOTING MEMBERS OF WHICH ARE INDEPENDENT PERSONS. IN DETERMINING THE PRESIDENT'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 PRESIDENT'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 ARIZONA BASED ON VARIOUS METRICS. THE COMPENSATION COMMITTEE DELIBERATES ON THE ISSUE OF THE PRESIDENT'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 HEALTH PLAN ARIZONA REGARDING THE COMPENSATION PACKAGE FOR THE FOLLOWING YEAR. THE COMPENSATION COMMITTEE OF SCAN HEALTH PLAN ARIZONA DELIBERATES ON AND THEN VOTES ON SUCH RECOMMENDATION; THE PRESIDENT IS RECUSED FOR THE ENTIRETY OF SUCH DELIBERATIONS AND VOTE. THE MINUTES OF THE COMPENSATION 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 LONG TERM CARE IS CONDUCTED BY THE HUMAN RESOURCES DEPARTMENT AND PRESIDENT. IN DETERMINING SUCH EMPLOYEE'S COMPENSATION, THE HUMAN RESOURCES DEPARTMENT 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 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 ARIZONA BASED ON VARIOUS METRICS.	FORM 990, PART VI, SECTION B, LINE 15
	SCAN LONG TERM CARE'S GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY ARE NOT MADE AVAILABLE TO THE PUBLIC. SCAN LONG TERM CARE'S AUDITED FINANCIAL STATEMENTS ARE PUBLICLY AVAILABLE ON THE WEBSITE OF THE ARIZONA HEALTH CARE COST CONTAINMENT SYSTEM (AHCCCS).	FORM 990, PART VI, SECTION C, LINE 19
	RYAN TRIMBLE SERVED AS A BOARD MEMBER BETWEEN JANUARY 1, 2010 AND NOVEMBER 6, 2010. HE WAS COMPENSATED $74,152 AND RECEIVED A FORM 1099 REPORTING HIS COMPENSATION FROM SERVICES AS A BOARD MEMBER. ON NOVEMBER 7, 2010 HE ASSUMED THE ROLE OF INTERIM CEO OF SCAN HEALTH PLAN AND SCAN GROUP AND WAS COMPENSATED $89,634 AS AN EMPLOYEE OF THE ORGANIZATION AND RECEIVED A FORM W-2 FROM SCAN HEALTH PLAN FOR HIS SERVICES AS SUCH. AVG HOURS DEVOTED TO RELATED ORG(S) WHEN RELATED COMP IS REPORTED: PART VII, SECTION A, COLUMN D REPORTS COMPENSATION PAID BY SCAN HEALTH PLAN ARIZONA FOR SERVICES PROVIDED TO SCAN LONG TERM CARE AND AFFILIATES. COLUMN B INCLUDES TOTAL HOURS FOR SCAN LONG TERM CARE ONLY. BELOW IS A BREAKDOWN OF HOURS SPENT PER AFFILIATE. THE FOLLOWING OFFICERS, KEY EMPLOYEES, AND BOARD MEMBERS OF SCAN LONG TERM CARE ALSO DEVOTE THE FOLLOWING TIME TO SCAN HEALTH PLAN: LINDA STRIKE - 0.8 HOURS PER WEEK DAVID SCHMIDT - 40.0 HOURS PER WEEK TIMOTHY SCHWAB - 40.0 HOURS PER WEEK DENNIS EDER - 40.0 HOURS PER WEEK DOUGLAS JAQUES - 40.0 HOURS PER WEEK RAJEEV NARULA - 40.0 HOURS PER WEEK HENRY W. OSOWSKI - 40.0 HOURS PER WEEK RYAN TRIMBLE - 40.0 HOURS PER WEEK ELIZABETH RUSSELL - 40.0 HOURS PER WEEK THE FOLLOWING OFFICERS, KEY EMPLOYEES, AND BOARD MEMBERS OF SCAN LONG TERM CARE ALSO DEVOTE THE FOLLOWING TIME TO SCAN GROUP: LINDA STRIKE - 7.1 HOURS PER WEEK TIMOTHY SCHWAB - 40.0 HOURS PER WEEK DAVID SCHMIDT - 40.0 HOURS PER WEEK DOUGLAS JAQUES - 40.0 HOURS PER WEEK HENRY W. OSOWSKI - 40.0 HOURS PER WEEK DENNIS EDER - 40.0 HOURS PER WEEK ELIZABETH RUSSELL - 40.0 HOURS PER WEEK RYAN TRIMBLE - 40.0 HOURS PER WEEK SCAN HEALTH PLAN AND SCAN GROUP ARE OPERATED JOINTLY. THEREFORE, THE FOLLOWING INDIVIDUALS REPORTED ABOVE SPEND AN AVERAGE OF 40 HOURS PER WEEK BETWEEN THE TWO ORGANIZATIONS, AND THEREFORE ARE REPORTED AS WORKING 40 HOURS PER WEEK FOR EACH: DAVID SCHMIDT DENNIS EDER DOUGLAS JAQUES RAJEEV NARULA HENRY W. OSOWSKI TIMOTHY SCHWAB RYAN TRIMBLE ELIZABETH RUSSELL THE FOLLOWING OFFICERS, KEY EMPLOYEES, AND BOARD MEMBERS OF SCAN LONG TERM CARE ALSO DEVOTE THE FOLLOWING TIME TO SCAN FOUNDATION: DAVID SCHMIDT - 1.5 HOURS PER WEEK DENNIS EDER - 2.0 HOURS PER WEEK DOUGLAS JAQUES - 2.0 HOURS PER WEEK LINDA STRIKE - 2.0 HOURS PER WEEK RYAN TRIMBLE - 1.5 HOURS PER WEEK THE FOLLOWING OFFICERS, KEY EMPLOYEES, AND BOARD MEMBERS OF SCAN LONG TERM CARE ALSO DEVOTE THE FOLLOWING TIME TO SCAN HEALTH PLAN ARIZONA: TIMOTHY SCHWAB - 0.4 HOURS PER WEEK DAVID SCHMIDT - 0.4 HOURS PER WEEK DENNIS EDER - 0.4 HOURS PER WEEK DOUGLAS JAQUES - 0.4 HOURS PER WEEK HENRY W. OSOWSKI - 0.4 HOURS PER WEEK LINDA STRIKE - 0.6 HOURS PER WEEK LEONARD KIRSCHNER - 0.4 HOURS PER WEEK RYAN TRIMBLE - 0.4 HOURS PER WEEK RAJEEV NARULA - 5.0 HOURS PER WEEK THE 40 HOURS PER WEEK DISCLOSED IN COLUMN B FOR THOMAS LESCAULT, MARC LATO, MAUREEN MCGURRIN, JOEY ZEPEDA, RICHARD PEITZMEIER AND TINA GRAHAM ARE SPLIT BETWEEN SCAN HEALTH PLAN ARIZONA AND SCAN LONG TERM CARE.	FORM 990, PART VII:

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (4 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Primary ActivitiesPrimaryActivities	Legal Domicile StateLegalDomicileState	Exempt Code SectionExemptCodeSection	Public Charity StatusPublicCharityStatus	Business Name Line1DirectControllingEntityName/BusinessNameLine1	Controlled OrgControlledOrg	Direct Controlling Entity NADirectControllingEntityNA
SCAN HEALTH PLAN
3800 KILROY AIRPORT WAY SUITE 100	LONG BEACH	CA	90806	953858259	MEDICARE ADVANTAGE	CA	501 (C)(3)	LINE 9	SCAN GROUP	0
THE SCAN FOUNDATION
3800 KILROY AIRPORT WAY SUITE 100	LONG BEACH	CA	90806	450552845	GRANT MAKING	CA	501 (C)(3)	LINE 11, TYPE II	SCAN GROUP	0
SCAN HEALTH PLAN ARIZONA
1313 EAST OSBORN ROAD SUITE 150	PHOENIX	AZ	85014	731729007	MEDICARE ADVANTAGE	AZ	501 (C)(4)		SCAN GROUP	1
SCAN GROUP
3800 KILROY AIRPORT WAY SUITE 100	LONG BEACH	CA	90806	953826037	ADMIN. SUPPORT	CA	501 (C)(3)	LINE 11, TYPE II		0	N/A

Field	Value	IRS element (for citing)
Receipt Of Int Ann Rents Royalties	0	ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org	0	GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org	0	GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org	0	LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org	0	LoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other Org	0	SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org	0	PurchaseOfAssetsFromOtherOrg
Exchange Of Assets	0	ExchangeOfAssets
Rental Of Facilities To Other Orgs	0	RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs	0	RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs	0	PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs	0	PerformOfServicesByOtherOrgs
Sharing Of Facilities	1	SharingOfFacilities
Sharing Of Paid Employees	1	SharingOfPaidEmployees
Reimbursement Paid To Other Org	1	ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org	1	ReimbursementPaidByOtherOrg
Other Transfer To Other Org	0	OtherTransferToOtherOrg
Other Transfer From Other Org	0	OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (5 entries)

Transaction TypeTransactionType	Amount InvolvedAmountInvolved	Method Of Amt DeterminationMethodOfAmtDetermination
SCAN HEALTH PLAN
O	2732976	SEE PART VII
SCAN HEALTH PLAN ARIZONA
N	9475689	SEE PART VII
SCAN HEALTH PLAN ARIZONA
O	989405	SEE PART VII
SCAN GROUP
O	1940772	SEE PART VII
SCAN HEALTH PLAN ARIZONA
M	325000	SEE PART VII

Form990 Schedule R Part VII Form990ScheduleRPartVII

Field	Value	IRS element (for citing)
Return Reference	SCHEDULE R, PART VII:	ReturnReference
Explanation	THE PERCENTAGE OF ALLOCATION TO AFFILIATED COMPANIES IS DETERMINED BASED ON ESTIMATED PERCENTAGE OF TIME WORKED, PERCENTAGE OF HEADCOUNTS AND THE PERCENTAGE OF SCAN MEMBERSHIP, AS APPROPRIATE BASED ON THE NATURE OF THE EXPENSE.	Explanation