2017-11-10T09:22:21-06:00 2016-12-31 861065772 DELOITTE TAX LLP 695 TOWN CENTER DRIVE SUITE 1200 COSTA MESA CA 92626 990 2016-01-01 953858259 SCAN HEALTH PLAN SCAN 5629895100 3800 KILROY AIRPORT WAY NO 100 LONG BEACH CA 908065616 CHRISTOPHER WING CHIEF EXECUTIVE OFFICER 5629895100 2017-11-10 1 DIANA MCCUTCHEN P00545657 7144367100 167.219.0.229 2017-11-10 09:14:47 CS P E2FF70B222BFC757283728F215E180A8BA832303 49244D1103501C1FC62C4DE15972AF245F6ACEFC 2016 2017-02-10 21:41:12Z CHRISTOPHER WING 3800 KILROY AIRPORT WAY NO 100 LONG BEACH CA 908065616 2456112450 0 X WWW.SCANHEALTHPLAN.COM X 1983 CA SCAN'S MISSION IS TO KEEP SENIORS HEALTHY AND INDEPENDENT. 11 10 980 2010 0 0 3742566 3695334 2165129374 2247839714 22668603 15465067 7786 5999 2191548329 2267006114 539636 833196 0 0 84016498 85648357 0 0 0 2058409266 2139310244 2142965400 2225791797 48582929 41214317 569821364 582031197 217647454 249977629 352173910 332053568 X SCAN'S MISSION IS TO KEEP SENIORS HEALTHY AND INDEPENDENT. 0 0 1990391039 15000 2247839714 SCAN HEALTH CARE SERVICES:SCAN HEALTH PLAN HAS A CULTURE OF QUALITY AND A LONG HISTORY OF FULFILLING OUR MISSION: KEEPING SENIORS HEALTHY AND INDEPENDENT. AS A MEDICARE ADVANTAGE AND PRESCRIPTION DRUG PLAN (MAPD) IN CALIFORNIA, SCAN COLLABORATES WITH A NETWORK OF DELEGATED PROVIDERS TO OFFER MEDICARE AND MEDI-CAL COVERED HEALTH AND BEHAVIORAL HEALTHCARE AND ADDITIONAL SUPPLEMENTAL BENEFITS. OUR MEMBER-CENTRIC MODEL OF CARE ENSURES QUALITY, INDIVIDUALIZED CARE FOR ALL MEMBERS, INCLUDING MEMBERS WITH SPECIAL NEEDS SUCH AS MEMBERS ELIGIBLE FOR BOTH MEDICARE AND MEDICAID, MEMBERS WITH CHRONIC CONDITIONS AND FRAIL MEMBERS WITH FUNCTIONAL DEFICITS. THE HEALTH CARE SERVICES PROGRAMS AT SCAN ARE EVIDENCE-BASED AND ALIGNED WITH GERIATRIC BEST PRACTICES. THEY INCLUDE COMPLEX CARE MANAGEMENT, ADVANCED ILLNESS MANAGEMENT, MEMORY PROGRAM, DISEASE MANAGEMENT AND CARE NAVIGATION AND COORDINATION. THE PROGRAMS ARE ALIGNED WITH THE INSTITUTE FOR HEALTHCARE IMPROVEMENT'S TRIPLE AIM AND SEEK TO ENSURE:- A SAFE AND SATISFYING HEALTH CARE EXPERIENCE- IMPROVED HEALTH OUTCOMES FOR INDIVIDUALS AND POPULATIONS- ACCESS AND AFFORDABILITY FOR OUR MEMBERSIN GENERAL, POPULATION BASED QUALITY ACTIVITIES ARE PERFORMED BY SCAN'S HEALTH CARE SERVICES DEPARTMENT, WHICH INCLUDES A DEDICATED AND HIGHLY QUALIFIED TEAM OF REGISTERED NURSES AND MASTER'S PREPARED SOCIAL WORKERS, SUPPORTED BY AN INTERDISCIPLINARY TEAM OF NURSES, SOCIAL WORKERS, GERONTOLOGISTS, A BOARD CERTIFIED GERIATRICIAN, A BEHAVIORAL HEALTH SPECIALIST, AND A CLINICAL PHARMACIST.SCAN HEALTH PLAN SUPPORTED THE FORMATION OF THE SCAN FOUNDATION IN 2007 WITH A CONTRIBUTION OF $205 MILLION; FOR CALENDAR YEAR 2016 THE SCAN FOUNDATION AWARDED GRANTS IN THE AMOUNT OF $5,813,138 AND INCURRED PROGRAM EXPENSES IN THE AMOUNT OF $8,652,917.IN ADDITION, SCAN HEALTH PLAN PARTICIPATES IN NUMEROUS ACTIVITIES RELATED TO THE CARE OF SENIORS WHICH PROVIDE SIGNIFICANT COMMUNITY BENEFIT, INCLUDING BUT NOT LIMITED TO THE FOLLOWING:1. CHANGE A LIFE FOUNDATION (GRANT): ONE TIME GRANTS TO MEMBERS AND INDEPENDENCE AT HOME (IAH) CLIENTS FOR NEEDED SERVICES NOT OTHERWISE AVAILABLE (RAMPS, REFRIGERATORS, EXTENSIVE DENTAL WORK, BATHROOM MODIFICATIONS, WHEELCHAIR RAMPS, CHAIR LIFTS).2. CONNECTING PROVIDER TO HOME: SCAN STAFF WORK WITH 4 MEDICAL GROUPS TO PROVIDE IN HOME SUPPORT THROUGH SOCIAL WORKER AND COMMUNITY HEALTH WORKER TEAMS IN ORDER TO ENHANCE INTEGRATION BETWEEN THE HOME AND THE PHYSICIAN. SERVES MEMBERS OF OTHER HEALTH PLANS AS WELL AS SCAN. ASSESSES THE EFFICACY OF A MODEL THAT CAN BE DISSEMINATED TO MULTIPLE MEDICAL GROUPS/HEALTH PLANS.3. COUNCIL ON AGING: ADOPT-A-SENIOR PROGRAM: PROVIDES HOLIDAY GIFTS FOR OLDER AND/OR DISABLED RESIDENTS OF CARE FACILITIES IN ORANGE COUNTY.4. PROVIDER EDUCATION: ANNUALLY, SCAN OFFERS FOUR 1-HOUR TRAINING SESSIONS FOR MEDICAL GROUPS ON COMPLIANCE REQUIREMENTS TO PROTECT MEMBERS FROM INAPPROPRIATE DENIALS AND TO ASSIST THEM IN BETTER PRACTICES AROUND SERVICE DENIALS.5. CODING QUALITY TRAINING: SCAN BUILDS AND DISSEMINATES TRAINING MATERIALS TO OTHER HEALTH PLANS AND MEDICAL GROUPS TO USE AS PART OF THEIR INTERNAL PROGRAM DEVELOPMENT.6. COMPASSIONATE CARE COALITION OF CALIFORNIA (CCCC): SCAN IS A CORPORATE MEMBER OF THIS ORGANIZATION, WHICH OFFERS TRAINING AS WELL AS CONSUMER AND PROVIDER MATERIALS TO A VARIETY OF AUDIENCES IN CALIFORNIA; EXAMPLES ARE TRAINING AND SUPPORT OF ADVANCE CARE PLANNING, AND PHYSICIAN ORDERED LIFE SUSTAINING TREATMENT (POLST). 7. CO-SPONSORSHIP OF LEADERSHIP AND MANAGEMENT IN GERIATRICS (LMG): SCAN SPONSORED AND PROVIDED THE CONTINUING MEDICAL EDUCATION (CME) FOR THE LEADERSHIP AND MANAGEMENT OF A GERIATRICS PROGRAM. THE TWO DAY CONFERENCE TRAINS CLINICIANS TO TAKE ON LEADERSHIP ROLES IN DELIVERY OF GERIATRIC SERVICES. COURSE ATTENDEES INCLUDE SCAN, OTHER MEDICAL GROUPS AND HEALTH PLANS, AND GERIATRIC FELLOWS. 8. PRESENTATIONS AT ACADEMIC AND POLICY CONFERENCES: SCAN LEADERSHIP PREPARE AND PRESENT PRESENTATIONS AT KEY POLICY AND CLINICAL CONFERENCES INCLUDING: SNP ALLIANCE, AHIP, AMERICAN GERIATRICS SOCIETY, CALIFORNIA ACCOUNTABLE PHYSICIAN GROUPS (CAPG), IN ORDER TO IMPROVE CARE OF OLDER ADULTS, EDUCATE PROFESSIONALS, AND SHARE BEST PRACTICES. 9. SELECT SKILLED NURSING FACILITY NETWORK (SNF) TRAINING: PROVIDED TRAINING FOR ST. JOE'S HOSPITAL EMERGENCY DEPARTMENT AND SELECTED SNF STAFF ON RECOGNIZING WHEN IT IS APPROPRIATE FOR A PATIENT TO BE ADMITTED DIRECTLY TO A SKILLED NURSING FACILITY RATHER THAN ADMITTED AS AN INPATIENT, RESULTING IN BETTER CARE FOR THE PATIENT.10. PHARMACY INTERN ROTATIONS: UCSF AND OTHER PHARMACY SCHOOLS ROTATE PHARM D STUDENTS THROUGH THE SCAN PHARMACY DEPARTMENT FOR 6-16 WEEKS, WHERE SCAN TRAINS FUTURE PHARMACISTS THROUGH ENGAGEMENT WITH PHARMACY PROJECTS AND CASE REVIEWS. 11. TEACHING RESIDENTS AT UCI MEDICAL SCHOOL: TEACHING RESIDENTS BOTH SENSITIZES THEM TO THE NEEDS OF OLDER INDIVIDUALS AND WILL HOPEFULLY ENCOURAGE THEM TO FOCUS THEIR FUTURE PRACTICE ON WORKING WITH OLDER POPULATIONS, WHICH IS AN AREA THAT IS TYPICALLY NOT ATTRACTIVE TO MANY PHYSICIANS.12. SUPPORT CALIFORNIA ASSOCIATION OF LONG TERM CARE MEDICINE (CALTCM), CEO AND BOARD MEMBERS EDUCATIONAL PROGRAMS: CALTCM IS AN ORGANIZATION OF PROFESSIONALS IN THE LONG TERM CARE FIELD. THE ORGANIZATION OFFERS PERFORMANCE IMPROVEMENT EDUCATION PROGRAMS TO IMPROVE THE QUALITY OF CARE AND PROFESSIONALISM OF STAFF IN LONG TERM SETTINGS.13. SERVICE ON BOARDS OF DIRECTORS AND COMMITTEES FOR INDUSTRY GROUPS I.E. RESOURCE, INITIATIVE AND SOCIETY FOR EDUCATION (RISE), AHIP; RISE AND OTHER INDUSTRY GROUPS CREATE POLICY AND SHARE BEST PRACTICES ON SUBJECTS RANGING FROM AUDIT TO ENCOUNTER SUBMISSION; OUR EMPLOYEES ARE ACTIVE MEMBERS OF A NUMBER OF OTHER ORGANIZATIONS AS WELL .14. HEALTH CARE CODING (HCC) UNIVERSITY: OPEN TO THE PUBLIC, HEALTH PLANS AND MEDICAL GROUPS CAN USE INFORMATION FOR THEIR OPERATIONS AND PROVIDER AND MEMBER INTERVENTIONS. 15. NATIONAL COMMITTEE FOR QUALITY ASSURANCE (NCQA):LONG TERM SERVICES AND SUPPORTS ADVISORY COMMITTEE MEMBER:; THIS COMMITTEE ASSISTS NCQA WITH THE DEVELOPMENT OF QUALITY STANDARDS FOR LONG TERM SERVICES AND SUPPORTS (LTSS).16. SAN JOAQUIN HEALTH NEEDS ASSESSMENT STEERING COMMITTEE: STEERING COMMITTEE FOR SAN JOAQUIN'S MOBILIZING FOR ACTION THROUGH PLANNING AND PARTNERSHIPS INITIATIVE. COMMITTEE DEVELOPS AN ASSESSMENT FOR SAN JOAQUIN COUNTY COMMUNITY MEMBERS, IDENTIFIES AND RANKS HEALTH DISPARITIES, AND DEVELOPS A PLAN TO REMEDY HEALTH DISPARITIES.17. BOARD CHAIR OF ST. BARNABAS SENIOR SERVICES: SERVE AS BOARD CHAIR OF COMMUNITY AGENCY THAT SERVES VULNERABLE OLDER PEOPLE IN CENTRAL LOS ANGELES AND HOLLYWOOD. DEVELOPS CAPACITY OF AGENCY TO BETTER SERVE POPULATION.18. AMERICAN SOCIETY ON AGING, HEALTHCARE AND AGING NETWORK EDITORIAL BOARD CHAIR: AMERICAN SOCIETY ON AGING (ASA) IS A KEY PROFESSIONAL ORGANIZATION FOR PRACTITIONERS IN THE FIELD OF AGING WORKING IN HOME AND COMMUNITY BASED SETTINGS. PROVIDES PUBLICATIONS, CONFERENCES AND CONSULTATION. 19. EDUCATIONAL SESSIONS FOR OFFICE STAFF: PRESENTATIONS ON END OF LIFE PLANNING, DEALING WITH OLDER INDIVIDUALS, AND CASE MANAGEMENT FOR MEDICAL GROUPS.20. CO-SPONSORSHIP OF CALTCM CONFERENCE: AS PART OF ITS PERFORMANCE IMPROVEMENT EDUCATION, CALIFORNIA ASSOCIATION OF LONG TERM MEDICINE (CALTCM) SPONSORS AN ANNUAL CONFERENCE FOR MEDICAL PROFESSIONALS WORKING IN LONG TERM CARE FACILITIES. SCAN WAS A CO-SPONSOR OF THE CONFERENCE IN 2016.21. PRACTICAL PROVIDER AND OFFICE STAFF TOOLS; DEVELOPED 5 STAR POCKET GUIDE: OPEN TO PUBLIC THROUGH THE SCAN WEBSITE/PROVIDER OFFICES. CREATED AND UPDATED MULTIPLE CLINICAL GUIDELINES AND PROVIDERS TOOLS. DISSEMINATED PRINT MATERIALS THROUGH CONTRACTED MEDICAL GROUPS. TOOLS ARE FOR USE BY ANY PROVIDERS - CONTRACTED OR NOT - AND BENEFIT ALL PATIENTS, SCAN MEMBERS AND NON-MEMBERS. INCLUDES PATIENT EDUCATION MATERIALS/ASSISTANCE WITH COMMON GERIATRIC CONDITIONS, ASSESSMENT TOOLS, PATIENT EDUCATION MATERIALS, QUALITY GERIATRIC CARE. 13335780 818196 INDEPENDENCE AT HOME:SCAN'S MISSION OF KEEPING SENIORS HEALTHY AND INDEPENDENT IS NOT LIMITED TO SCAN MEMBERS. SCAN RECOGNIZES ITS RESPONSIBILITY TO ENHANCE THE QUALITY OF LIFE FOR ALL THOSE IN THE COMMUNITIES WE SERVE. TO THAT END, SCAN SPONSORS AND PROMOTES INNOVATIVE GERIATRIC RESEARCH, INVESTS IN SIGNIFICANT COMMUNITY EDUCATION AND OUTREACH EFFORTS, AND SUPPORTS LIKE-MINDED COMMUNITY ORGANIZATIONS THROUGH GRANTS. THE CORNERSTONE OF SCAN'S COMMUNITY ENGAGEMENT COMES THROUGH INDEPENDENCE AT HOME (IAH). THROUGH THE PROGRAMS RUN BY IAH, SCAN HAS CONNECTED WITH TENS OF THOUSANDS OF SENIORS AND CAREGIVERS ACROSS ITS SERVICE AREAS.TODAY'S INDEPENDENCE AT HOME PROGRAMS ARE SUPPORTED BY FUNDING THROUGH THE STATE AND FROM SCAN HEALTH PLAN. THE PROGRAMS ARE GEARED TO SUPPORTING THE UNDERSERVED, FRAIL AND DISABLED SENIORS IN OUR COMMUNITY.IAH'S HALLMARK PROGRAMS ARE:- MULTIPURPOSE SENIOR SERVICES PROGRAM (MSSP): THIS PROGRAM PROVIDES LONG-TERM IN-HOME CARE MANAGEMENT FOR ADULTS 65 PLUS WHO QUALIFY FOR MEDI-CAL. THIS PROGRAM WAS STARTED IN 1977.- LOS ANGELES COUNTY'S SUPPORTIVE SERVICES PROGRAM (SSP): THIS PROGRAM INCLUDES CARE MANAGEMENT, PLANNING, AND DAILY LIVING ASSISTANCE SERVICES FOR FUNCTIONALLY IMPAIRED OLDER ADULTS.- LOS ANGELES COUNTY'S LINKAGES PROGRAM: THIS PROGRAM PROVIDES CARE MANAGEMENT, CARE PLANNING, COMPREHENSIVE INFORMATION, AND SERVICE ARRANGEMENTS FOR FRAIL, AT-RISK ADULTS. - INSIGHTS: THIS PROGRAM PROVIDES IN-HOME MENTAL HEALTH SUPPORT.- CALIFORNIA COMMUNITY TRANSITIONS (CTT): THIS PROGRAM ASSISTS WITH THE SAFE TRANSITION FROM HEALTHCARE FACILITIES BACK TO COMMUNITY LIVING. - LOS ANGELES COUNTY'S FAMILY CAREGIVER PROGRAM (FCSP): THROUGH THIS PROGRAM, FAMILY CAREGIVERS RECEIVE INFORMATION, TRAINING, COUNSELING, CARE MANAGEMENT, RESPITE AND COMMUNITY RESOURCE REFERRALS.BECAUSE SCAN'S COMMUNITY OUTREACH PROGRAMS AND INDEPENDENCE AT HOME (IAH) DEPARTMENTS SHARE THE SAME GOALS AND PERFORM MANY OF THE SAME COMMUNITY FUNCTIONS, IN 2014 SCAN COMBINED ITS COMMUNITY OUTREACH PROGRAMS WITH INDEPENDENCE AT HOME TO ACHIEVE GREATER CONSISTENCY AND IMPACT. SCAN HEALTH PLAN COMMUNITY GIVING PROGRAM:SCAN'S COMMUNITY GIVING (CG) PROGRAM IS FOCUSED ON MEETING AN INDIVIDUAL'S BASIC NEEDS INCLUDING NUTRITION, SHELTER, HEALTH AND SOCIALIZATION, AND ON ENHANCING AN INDIVIDUAL'S ABILITY TO REMAIN INDEPENDENT IN THEIR OWN COMMUNITY.THIS IS ACCOMPLISHED THROUGH ONE-TIME OPERATING GRANTS. THE SCAN COMMUNITY GIVING COMMITTEE IDENTIFIES ORGANIZATIONS WHOSE MISSION ALIGNS WITH THE PROGRAM PRIORITIES. AS A RESULT OF THIS APPROACH, THE MAJORITY OF GRANTEES ARE IDENTIFIED AND CONTACTED BY OUR STAFF. POLICIES AND PROCEDURES:A. IDENTIFICATION AND VETTING OF POTENTIAL PROGRAM GRANTEES - THE DIRECTORS, COMMUNITY OUTREACH, COLLABORATE WITH VARIOUS SCAN HEALTH PLAN DEPARTMENTS (I.E. HEALTH CARE SERVICES, AND INDEPENDENCE AT HOME) AND REPUTABLE AGENCIES TO IDENTIFY PROSPECTIVE GRANTEE ORGANIZATIONS. THE PROSPECTIVE GRANTEES UNDERGO THE COMMUNITY GROUP VETTING PROCESS AND ARE MEASURED AGAINST THE FOLLOWING CRITERIA: 1) ALIGNMENT WITH THE SCAN HEALTH PLAN MISSION; 2) VERIFIED STATUS AS A NONPROFIT OR GOVERNMENTAL AGENCY WITH TAX-EXEMPT STATUS; AND 3) THE ORGANIZATION IS AT LEAST TWO YEARS OLD. SUCCESSFUL CANDIDATES ARE ADDED TO THE LARGER SCAN HEALTH PLAN GRANTEE POOL.B. SHORT LISTING POTENTIAL GRANTEES - THE DIRECTORS AND THE MANAGER, COMMUNITY OUTREACH AND GIVING, USE VARIOUS METHODS, INCLUDING OUTBOUND CALLS, INTERNET RESEARCH, AND INDUSTRY RATINGS TO REVIEW THE POTENTIAL GRANTEE POOL AND GENERATE A SHORTLIST. C. EVALUATION AND SELECTION OF GRANTEES BY THE COMMUNITY GIVING COMMITTEE (CGC) - THE CGC IS A NINE-MEMBER COMMITTEE REPRESENTATIVE OF ALL LEVELS OF MANAGEMENT AND CHAIRED BY THE VICE-PRESIDENT OF INDEPENDENT AT HOME (IAH). THE CGC MEETS ON A QUARTERLY BASIS AND ITS ROLE IS TWOFOLD: 1) EVALUATE, SELECT, AND DECIDE THE AMOUNT TO BE AWARDED TO THE GRANTEE ORGANIZATIONS, AND 2) STEER THE CG PROGRAM. THE CGC BASES ITS DECISION TO MAKE AWARDS ON THE INFRASTRUCTURE OF THE GRANTEE ORGANIZATION, 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 GRANT FUNDS, THE MANAGER, COMMUNITY OUTREACH AND GIVING, PLACES AN OUTREACH CALL TO THE PROSPECTIVE GRANTEE ORGANIZATION. THE GRANTEE ORGANIZATION IS INFORMED OF ITS SELECTION TO APPLY FOR A ONE-TIME GRANT VIA SCAN'S ONLINE GRANT TRACKING SYSTEM. THE MANAGER, COMMUNITY OUTREACH AND GIVING, REVIEWS EACH APPLICATION AND DISCUSSES CRITERIA WITH THE DIRECTORS, COMMUNITY OUTREACH, IN ORDER TO MAKE A RECOMMENDATION FOR FUNDING. THE LIST OF RECOMMENDED GRANTEES IS SUBMITTED TO THE CGC EACH QUARTER TO BE DISCUSSED AND VOTED ON. A GRANT AGREEMENT IS DEVELOPED FOR EACH APPROVED GRANT, CONTAINING INFORMATION ON FUNDING RESTRICTIONS AND REQUIREMENTS FOR GRANT REPORTING. ONLY AFTER A SIGNED AGREEMENT HAS BEEN FULLY EXECUTED WILL THE GRANT PAYMENT PHASE BE INITIATED.E. PAYMENT OF GRANT - THE MANAGER, COMMUNITY OUTREACH AND GIVING, PREPARES A COVER LETTER, ENVELOPE, AND CHECK REQUEST FORM WHICH IS SIGNED AND APPROVED BY THE VICE PRESIDENT, INDEPENDENCE AT HOME, AND FORWARDED TO ACCOUNTS PAYABLE FOR PROCESSING. ACCOUNTS PAYABLE DISBURSES PAYMENT.F. ALL GRANTEES SUBMIT A QUARTERLY REPORT DOCUMENTING METRICS AND PERFORMANCE YEAR-TO-DATE THROUGHOUT THE DURATION OF THE FUNDING. THE MANAGER, COMMUNITY OUTREACH AND GIVING, TRACKS AND REVIEWS THE REPORTS TO ENSURE COMPLIANCE. THE MANAGER ADDRESSES ANY IDENTIFIED ISSUES WITH THE GRANTEE TO DETERMINE THE CAUSE AND ANY REMEDIATION REQUIRED. ISSUES WITH COMPLIANCE ARE RAISED TO THE VICE PRESIDENT, IAH, WHO WILL ASSIST WITH REMEDIATION OR ELEVATE TO THE CGC FOR ADVISEMENT AND/OR APPROVAL IF A CHANGE TO THE GRANTEE'S SCOPE OF WORK IS REQUIRED.SCAN'S VOLUNTEER ACTION FOR AGING: THROUGH THIS PROGRAM, SCAN RECRUITS, TRAINS AND MANAGES VOLUNTEERS. IN 2016, THROUGH THIS PROGRAM, VOLUNTEERS IN THE COMMUNITY DONATED OVER 4,800 HOURS TO COMPLETE 134 SENIOR SUPPORT EVENTS/PROGRAMS, HOSTED 402 COMMUNITY EVENTS, AND DELIVERED 2,237 THANKSGIVING MEALS. SCAN HEALTH PLAN COMMUNITY OUTREACH:SCAN HEALTH PLAN HAS A LONG (35 PLUS YEARS) HISTORY OF CREATING PROGRAMS AND PROVIDING SERVICES TO OLDER ADULTS AND THEIR CAREGIVERS. SCAN'S EXPERIENCE WITH THIS SEGMENT OF THE POPULATION HAS ALLOWED US TO DEVELOP A UNIQUE EXPERTISE IN GERIATRIC CARE AND HEALTH INTERVENTIONS. SCAN HEALTH PLAN IS COMMITTED TO SHARING THIS SET OF SKILLS AND VAST KNOWLEDGE WITH THE BROADER COMMUNITY BY DEVELOPING COMMUNITY OUTREACH INITIATIVES. THESE INITIATIVES ARE AN IMPORTANT TOOL FOR BRINGING EDUCATION DIRECTLY TO COMMUNITY MEMBERS, AS WELL AS CONTRIBUTING TO REDUCING HEALTH DISPARITIES, AND IMPROVING HEALTH LITERACY, IN PARTICULAR AMONG UNDERSERVED COMMUNITIES. THROUGH OUR OUTREACH ACTIVITIES AND COMMUNITY GIVING PROGRAM, WE WORK TO SUPPORT ACCESS TO BASIC NEEDS SUCH AS FOOD AND NUTRITION, TO ENCOURAGE ACTIVE AND HEALTHY LIFESTYLES, TO ENGAGE OLDER ADULTS IN HEALTH MAINTENANCE, AND TO COLLABORATE WITH LOCAL SERVICE PARTNERS TO MEET GAPS IN COMMUNITY SERVICES. WE DO THIS IN MANY WAYS, BRINGING NEEDED RESOURCES AND A THOUGHTFUL PRESENCE TO OLDER ADULTS AND THEIR SUPPORT NETWORKS THROUGHOUT CALIFORNIA. OUR GOAL IS TO MAKE AN IMPACT IN ALL OF THE COMMUNITIES WE SERVE AND TO IMPROVE THE LIVES OF ALL SENIORS - NOT JUST SCAN MEMBERS.SCAN RECOGNIZES THAT ITS RESPONSIBILITY TO THE COMMUNITIES WE SERVE GOES BEYOND BUSINESS AND PROVIDING QUALITY HEALTHCARE. IN 2016, THE COMMUNITY OUTREACH TEAM FROM IAH PARTICIPATED IN 624 COMMUNITY AND INFORMATION/ASSISTANCE EVENTS ACROSS ALL SCAN COUNTIES. OF THESE 624 EVENTS, 460 WERE UNIQUE HEALTHY LIVING EDUCATIONAL PRESENTATIONS DELIVERED TO THE COMMUNITY AT LARGE BY NURSES, SOCIAL WORKERS AND GERONTOLOGISTS. 95 EVENTS CONSISTED OF A RANGE OF COMMUNITY SERVICES INCLUDING: CLINICAL HEALTH SCREENING TABLES AT HEALTH FAIRS TO DISTRIBUTE EDUCATION AND INFORMATION, AS WELL AS EVENTS ATTENDED BY THE SCAN RV/VAN. ADDITIONALLY, THERE WERE 69 "TRADING AGES" PRESENTATIONS TO KEY ORGANIZATIONS SUCH AS: NATIONAL CENTER ON ELDER ABUSE, ADULT PROTECTIVE SERVICES OC, ILLUMINATION FOUNDATION, DOVIA - PROFESSIONAL VOLUNTEER COORDINATORS ORGANIZATION, LOS ANGELES CITY EMPLOYEE RETIREE ASSOCIATION (LACERS), CALIFORNIA PARKS & RECREATION SERVICES (CPRS), BOY SCOUTS OF AMERICA, PROFESSIONAL ASSOCIATION SENIOR HOUSING SOCIAL WORKERS, RIVERSIDE COUNTY NURSES, PROJECT ACCESS, ST JOSEPH MEDICAL GROUP STAFF, HEALTH CARE PROFESSIONALS (SCAN MEDICAL GROUPS), HEALTH CARE PROFESSIONALS (HEALTH CARE PARTNERS), BONE BUILDERS - VOLUNTEERS OF VENTURA COUNTY, USC - ARCHITECTURE STUDENTS, USC - GERONTOLOGY STUDENTS, CSULB - GERONTOLOGY STUDENTS AND CSULB - NURSING STUDENTS.IN 2016, SCAN GAVE 37 GRANTS IN 8 COUNTIES, AND SUPPORTED 69 ORGANIZATIONS THROUGH SPONSORSHIPS. FOR THE YEAR ENDING DECEMBER 31, 2016 THE IAH PROGRAM INCURRED $13,335,780 IN PROGRAM EXPENSES AND RECEIVED $818,196 IN GRANTS. 141790 PROVIDER INTEGRATION PROGRAM: SCAN HAS LONG RECOGNIZED THE IMPORTANCE OF THE PROVIDER NETWORK IN SUPPORTING OUR MISSION TO KEEP SENIORS HEALTHY AND INDEPENDENT AND THAT OUR MEMBERS HIGHLY VALUE THEIR RELATIONSHIP WITH THEIR PHYSICIANS. THIS APPRECIATION HAS LED SCAN TO CHARTER THE SCAN PROVIDER INTEGRATION STEERING COMMITTEE, WITH MEMBERSHIP COMING FROM THE CLINICAL AND OPERATIONAL LEADERS OF OUR KEY PHYSICIAN GROUPS AND HEALTH SYSTEMS.A MAIN AREA OF FOCUS FOR THIS EFFORT HAS BEEN QUALITY IMPROVEMENT, SUPPORTING MEDICARE 5 STAR QUALITY PERFORMANCE METRICS. SCAN AND THE PROVIDER ORGANIZATION LEADERS RECOGNIZE THAT IF WE ARE TO SUCCEED IN THE CMS MEDICARE ADVANTAGE 5 STAR PROGRAM WE MUST DO SO AS A COLLECTIVE SYSTEM. SCAN SHARES 5 STAR METRICS DATA THAT HIGHLIGHTS INDIVIDUAL PHYSICIAN GROUP PERFORMANCE ON HEDIS AND PART D QUALITY MEASURES, SUPPORTING IDENTIFICATION OF BEST PRACTICES WITHIN THE SCAN PROVIDER NETWORK. WE INVITE THE PROVIDERS TO SHARE THEIR BEST QUALITY IMPROVEMENT PRACTICES WITH THEIR COLLEAGUES FROM OTHER PROVIDER ORGANIZATIONS, HOSTING A WEBINAR SERIES SEVERAL TIMES A YEAR WITH A BEST PRACTICE ORGANIZATION LEADING THE WEBINAR, SHARING THEIR APPROACHES AND LESSONS LEARNED. WE HAVE ALSO WORKED WITH UCLA GERIATRIC MEDICINE RESEARCHERS TO PROMOTE BEST PRACTICE IDENTIFICATION AND IMPLEMENTATION IN THE AREAS OF END OF LIFE CARE AND CHRONIC DISEASE MANAGEMENT. THIS EFFORT CULMINATED IN A PROCESS WITHIN WHICH THE PROVIDER INTEGRATION PHYSICIAN GROUPS WERE SUPPORTED IN IMPLEMENTING AN IDENTIFIED BEST PRACTICE. UCLA PRESENTED THE RESULTS OF THIS RESEARCH AT THE GERONTOLOGICAL SOCIETY OF AMERICA AND THE AMERICAN ASSOCIATION PUBLIC HEALTH ASSOCIATION ANNUAL NATIONAL MEETINGS. SCAN FURTHER SUPPORTS ADVANCES IN CARE FOR SENIORS BY WORKING CLOSELY WITH OUR PROVIDER NETWORKS TO SUPPORT THEIR EFFORTS, KNOWING THAT THE WORK THEY DO TO IMPROVE SYSTEMS AND PROCESSES OF CARE WILL BENEFIT THEIR ENTIRE PATIENT POPULATION. FOR THE YEAR ENDING DECEMBER 31, 2016, THE PROVIDER INTEGRATION PROGRAM INCURRED $141,790 IN PROGRAM EXPENSES. 2003868609 1 1 0 1 0 0 0 0 0 0 1 1 0 0 1 1 1 1 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 1 0 1 5224 0 1 980 1 0 0 0 0 0 0 0 0 0 0 X 11 10 0 0 0 0 1 1 0 1 1 0 0 1 1 1 1 1 1 0 1 0 CA X VIRGINIA HAVAI 5629895100 3800 KILROY AIRPORT WAY SUITE 100 LONG BEACH CA 908065616 RYAN TRIMBLE DIRECTOR 0.70 9.40 X 156949 0 0 COLLEEN CAIN DIRECTOR 0.55 8.45 X 132500 0 0 LEOBARDO ESTRADA DIRECTOR 0.55 4.95 X 83000 0 0 THOMAS HIGGINS DIRECTOR 0.50 7.30 X 110000 0 0 ANDREW ALLOCCO DIRECTOR 0.55 4.95 X 87000 0 0 KIM HUNTER DIRECTOR 0.50 4.50 X 75000 0 0 PATRICK SEAVER DIRECTOR 0.30 4.70 X 65500 0 0 MICHAEL NOEL DIRECTOR 0.50 7.60 X 112500 0 0 FRANCESCA RUIZ DE LUZURIAGA DIRECTOR 0.55 4.95 X 89500 0 0 CHRISTOPHER WING CHIEF EXECUTIVE OFFICER 30.00 10.00 X X 1575067 0 1074918 JENNIE CHIN-HANSEN DIRECTOR 0.50 7.30 X 112500 0 0 WILLIAM ROTH PRESIDENT 31.00 9.00 X 928578 0 582842 NANCY MONK CHIEF ADMIN OFFICER 32.00 8.00 X 0 692003 390519 CATHERINE BATTEER SVP & GM ALL SCAN MARKETS 31.00 9.00 X 613356 0 315177 VINOD MOHAN CHIEF FINANCIAL OFFICER 31.00 9.00 X 718133 0 445173 JANET KORNBLATT SECRETARY 31.00 9.00 X 0 570930 308318 SHERRY STANISLAW SVP GM, SOUTHERN CA 36.00 4.00 X 759564 0 202589 PETER BEGANS SVP PUBLIC GOV'T & COMMUNITY AFFAIRS 20.00 20.00 X 0 556967 224437 EVE GELB SVP HEALTHCARE SERVICES 32.00 8.00 X 473323 0 199293 JOSH GOODE CHIEF TECHNOLOGY EXECUTIVE 32.00 8.00 X 0 454257 238244 RIAZ ALI CHIEF MARKETING EXECUTIVE 20.00 20.00 X 419783 0 220336 KWAN-MOON LEUNG SVP HEALTHCARE INFORMATICS 36.00 4.00 X 0 581186 211089 ROMILLA BATRA CHIEF MEDICAL EXECUTIVE 32.00 8.00 X 510000 0 241585 DAVID MILLIGAN SVP SALES 36.00 4.00 X 446804 0 224566 RUSSELL BROWER MEDICAL DIRECTOR 39.20 0.80 X 426905 0 164094 DENNIS TSE OUTGOING CORPORATE MEDICAL DIRECTOR 36.00 4.00 X 352779 0 18595 YUAN QIN CORP VP ACTUARIAL SVCS 40.00 0.00 X 395091 0 158780 SHARONJIT JHAWAR CORPORATE VP PHARMACY 32.00 8.00 X 465452 0 170550 DAN OSTERWEIL MEDICAL DIRECTOR 32.00 8.00 X 440787 0 139600 9550071 2855343 5530705 148 0 1 0 EXPRESS SCRIPTS INC 21653 NETWORK PLACE CHICAGO IL 606731216 MEDICAL SERVICES 400310300 DAVITA HEALTHCARE PARTNERS PLAN 2175 PARK PLACE EL SEGUNDO CA 90245 MEDICAL SERVICES 271559830 HERITAGE PROVIDER NETWORK 777A FLOWER ST GLENDALE CA 91201 MEDICAL SERVICES 228769605 PRIMECARE MEDICAL NETWORK 3990 CONCOURSE STE 500 ONTARIO CA 91764 MEDICAL SERVICES 148574246 SCRIPPS HEALTH PLAN SERVICES 10666 N TORREY PINES RD SAN DIEGO CA 92037 MEDICAL SERVICES 113419204 462 3664511 30823 3695334 MEDICARE PREMIUMS 900099 2191361017 2191361017 MEDI-CAL PREMIUMS 900099 56478697 56478697 2247839714 7240162 7240162 197331241 189084335 22001 8246906 -22001 8224905 8224905 OTHER REVENUE 900099 5999 5999 5999 2267006114 2247839714 0 15471066 X 833196 833196 7469056 7469056 61944421 15385872 46558549 4954672 886381 4068291 6396186 1572950 4823236 4884022 1227576 3656446 11100 11100 511108 511108 870535 870535 1019679 1019679 2020108706 1980774848 39333858 12116405 193521 11922884 2122592 184127 1938465 952105 85283 866822 418294 386466 31828 1213190 242620 970570 117485 5918 111567 3898671 23488 3875183 ALLOC. TO/FROM AFFIL. 62649082 2055723 60593359 BROKER COMMISSIONS 23070056 23070056 ALL OTHER 10231236 10640 10220596 2225791797 2003868609 221923188 0 -7420336 -8461768 128642920 156417317 91830807 95397900 1249071 1290370 59749339 46322165 14398242 13427174 116009362 87546548 224638362 236113656 472936 300000 569821364 582031197 198949158 231166220 235976 123543 14402131 14183937 4060189 4503929 217647454 249977629 X 352173910 332053568 352173910 332053568 569821364 582031197 X 41214317 3665341 -65000000 X 0 1 X 1 1 1 X 3705569 3635285 3653657 3742566 3695334 18432411 1682067393 1862239431 2013469295 2165129374 2247839714 9970745207 1685772962 1865874716 2017122952 2168871940 2251535048 9989177618 0 0 0 9989177618 14221474 11114175 9788407 8616023 7240162 50980241 14221474 11114175 9788407 8616023 7240162 50980241 1699994436 1876988891 2026911359 2177487963 2258775210 10040157859 0.99490 0.99510 0.00510 0.00490 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 1 18500 0 0 1 771590 0 1 80445 870535 0 PART II-B: LOBBYING EXPENSES REPRESENT SCAN'S ADVOCACY ON BEHALF OF THE SENIORS WE SERVE. THEY INCLUDE EMPLOYEE SALARIES, OUTSIDE COUNSEL FEES, CONSULTING FEES, AND TRADE ASSOCIATION DUES ATTRIBUTABLE TO DIRECT FEDERAL LOBBYING. SCAN WORKS TO INCREASE AWARENESS OF THE UNIQUE NEEDS OF THE ELDERLY AND TO ENHANCE THE PROGRAMS THAT WILL HELP THEM TO MAINTAIN THEIR INDEPENDENCE AND REMAIN IN THEIR HOMES AND COMMUNITIES FOR AS LONG AS POSSIBLE. 25605963 18143920 7462043 12196860 9937599 2259261 21946516 18240646 3705870 13427174 US GOVERNMENT & AGENCY OBLIGATIONS 57584589 F CORPORATE BONDS 48557450 F ASSET-BACKED SECURITIES 19634165 F MORTGAGE-BACKED SECURITIES 100019708 F COMMINGLED FUNDS 10317744 F 236113656 DEFERRED COMPENSATION LIABILITY 4503929 4503929 X 2269667778 3665341 3665341 2266002437 1019679 -16002 1003677 2267006114 2224772118 0 2224772118 1019679 1019679 2225791797 PART X, LINE 2: UNDER FASB ASC 740, INCOME TAXES, THE COMPANY IS REQUIRED TO RECOGNIZE A LIABILITY FOR EACH UNCERTAIN TAX POSITION AT THE AMOUNT ESTIMATED TO BE REQUIRED TO SETTLE THE ISSUES. AS OF DECEMBER 31, 2016 AND 2015, THERE WERE NO LIABILITIES RECORDED FOR UNCERTAIN TAX POSITIONS. PART XI, LINE 4B - OTHER ADJUSTMENTS: LOSS ON SALE -16,002. 1 ABILITY FIRST 1300 EAST GREEN STREET PASADENA CA 91106 951690983 501(C)(3) 5000 GRANT ACACIA ADULT DAY SERVICES 11391 ACACIA PARKWAY GARDEN GROVE CA 92840 953509323 501(C)(3) 15000 GRANT AFFORDABLE LIVING FOR THE AGING 2029 CENTURY PARK E STE 4393 LOS ANGELES CA 90067 953301874 501(C)(3) 25000 GRANT AGE WELL SENIOR SERVICES 24461 RIDGE ROUTE DR STE 220 LAGUNA HILLS CA 92653 931163563 501(C)(3) 10000 GRANT ALZHEIMER'S ASSOCIATION 4221 WILSHIRE BLVD SUITE 400 LOS ANGELES CA 90010 953718119 501(C)(3) 25000 SPONSORSHIP - EARLY MEMORY LOSS CONFERENCE ALZHEIMER'S FAMILY SERVICES CENTER 9451 INDIANAPOLIS AVE HUNTINGTON BEACH CA 92646 953463975 501(C)(3) 15000 PROVIDE DEMENTIA-SPECIFIC ADULT DAY SERVICES TO SENIORS. ALZHEIMER'S ORANGE COUNTY 2515 MCCABE WAY IRVINE CA 92614 953702013 501(C)(3) 20000 GRANT CALIFORNIA ASSOCIATION OF LONG TERM CARE MEDICINE PO BOX 800371 SANTA CLARITA CA 91380 942552489 501(C)(3) 10000 SPONSORSHIP - 42ND ANNUAL MEETING CALIFORNIA COMMISSION ON AGING 73 COLGATE DRIVE RANCHO MIRAGE CA 92270 770187875 501(C)(3) 5000 SPONSORSHIP - AGING, WOMEN AND POVERTY FORUM CHINESE AMERICAN COALITION FOR COMPASSIONATE CARE PO BOX 276 CUPERTINO CA 95015 260895114 501(C)(3) 15000 GRANT COLORADO RIVER SENIOR CITIZENS HC 20 BOX 3408 BLYTHE CA 92225 330143646 501(C)(3) 5000 GRANT CONEJO VALLEY SENIOR CONCERNS 401 HODENCAMP RD THOUSAND OAKS CA 91360 952992927 501(C)(3) 15000 PROVIDE 1,600 HOME DELIVERED MEALS TO LOW INCOME, HOMEBOUND SENIORS. COUNCIL ON AGING ORANGE COUNTY 1971 EAST 4TH ST SUITE 200 SANTA ANA CA 92705 952874089 501(C)(3) 20000 GRANT EPISCOPAL SENIOR COMMUNITIES FOUNDATION 2185 N CALIFORNIA BLVD STE 575 WALNUT CREEK CA 94596 460502111 501(C)(3) 15000 GRANT FOOD FINDERS 3744 N INDUSTRY AVENUE 401 LAKEWOOD CA 90712 330412749 501(C)(3) 10000 GRANT FOUNDATION FOR SENIOR CARE PO BOX 2155 FALLBROOK CA 92088 953389263 501(C)(3) 20000 GRANT HELPING HAND WORLD WIDE 31121 HOLLY DR LAGUNA BEACH CA 92651 753164621 501(C)(3) 5000 GRANT HUMAN SERVICES ASSOCIATION 6800 FLORENCE AVE BELL GARDENS CA 90201 951816054 501(C)(3) 15000 SPONSORSHIP - SPIRIT OF SERVICE GALA ILLUMINATION FOUNDATION 2691 RICHTER AVE STE 107 IRVINE CA 92606 711047686 501(C)(3) 25000 GRANT INSTITUTE ON AGING 3575 GEARY BLVD SAN FRANCISCO CA 94118 942978977 501(C)(3) 25000 GRANT JEWISH FAMILY AND CHILDREN'S SERVICE OF LONG BEACH AND WEST ORANGE COUNTY 3801 E WILLOW ST LONG BEACH CA 90815 952273033 501(C)(3) 5000 GRANT JEWISH FAMILY SERVICE OF SAN DIEGO 8804 BALBOA AVE SAN DIEGO CA 92123 951644024 501(C)(3) 10000 GRANT JEWISH FAMILY SERVICE OF THE DESERT 490 S FARRELL DRIVE SUITE C-208 PALM SPRINGS CA 92262 330613083 501(C)(3) 10000 GRANT JEWISH FEDERATION OF GREATER LONG BEACH AND WEST ORANGE COUNTY 3801 E WILLOW STREET LONG BEACH CA 90815 951647830 501(C)(3) 15000 GRANT LAKEWOOD MEALS ON WHEELS 5510 CLARK AVE LAKEWOOD CA 90712 952929207 501(C)(3) 5000 GRANT LITTLE BROTHERS-FRIENDS OF THE ELDERLY 909 HYDE ST SUITE 628 SAN FRANCISCO CA 94109 943143730 501(C)(3) 15000 GRANT MEALS ON WHEELS GREATER SAN DIEGO 2254 SAN DIEGO AVE STE 200 SAN DIEGO CA 92110 952660509 501(C)(3) 20000 GRANT MEALS ON WHEELS OF SAN FRANCISCO 1375 FAIRFAX AVE SAN FRANCISCO CA 94124 941741155 501(C)(3) 15000 PROVIDE 3,650 MEALS TAILORED TO DIETARY RESTRICTIONS. MEALS ON WHEELS WEST 1823 S MICHIGAN AVE SANTA MONICA CA 90404 954613280 501(C)(3) 10000 PROVIDE MEDICALLY APPROPRIATE MEALS AND WELLNESS CHECKS TO SENIORS. ONEGENERATION 17400 VICTORY BLVD VAN NUYS CA 91406 954066979 501(C)(3) 20000 GRANT PACIFIC BUSINESS GROUP ON HEALTH 575 MARKET ST SUITE 600 SAN FRANCISCO CA 94105 943093623 501(C)(3) 25000 SPONSORSHIP - CA QUALITY COLLABORATIVE PROJECT ANGEL FOOD 922 VINE STREET LOS ANGELES CA 90038 954115863 501(C)(3) 20000 GRANT PROJECT OPEN HAND 730 POLK ST FL 3 SAN FRANCISCO CA 94109 943023551 501(C)(3) 5000 GRANT RIVERSIDE MEALS ON WHEELS 4845 BROCKTON AVE RIVERSIDE CA 92506 237262925 501(C)(3) 10000 GRANT SECOND HARVEST FOODBANK OF ORANGE COUNTY 8014 MARINE WAY IRVINE CA 92618 320362611 501(C)(3) 20000 GRANT SELF-HELP FOR THE ELDERLY 731 SANSOME STREET STE 100 SAN FRANCISCO CA 94111 941750717 501(C)(3) 20000 GRANT SERVING SENIORS 525 14TH STREET SUITE 200 SAN DIEGO CA 92101 952850121 501(C)(3) 25000 PROVIDE EMERGENCY ASSISTANCE TO LOWEST INCOME, HIGH RISK SENIORS. SF-MARIN FOODBANK 900 PENNSYLVANIA AVE SAN FRANCISCO CA 94107 943041517 501(C)(3) 10000 GRANT ST FRANCIS LIVING ROOM 350 GOLDEN GATE AVE SAN FRANCISCO CA 94102 743159355 501(C)(3) 5000 GRANT THE FOODBANK OF SOUTHERN CALIFORNIA 1444 SAN FRANCISCO AVE LONG BEACH CA 90813 953557056 501(C)(3) 10000 BROWN BAG PROGRAM THE HEALTH TRUST 3180 NEWBERRY DRIVE SUITE 200 SAN JOSE CA 95118 946050231 501(C)(3) 20000 PROVIDE HOME DELIVERED MEALS AND WELLNESS CHECKS TO SENIORS. US VETS 800 WEST 6TH STREET SUITE 1505 LOS ANGELES CA 90017 954382752 501(C)(3) 5000 SPONSORSHIP - LONG BEACH 5K/10K WALK, RUN, ROLL WISE & HEALTHY AGING 1527 4TH STREET SANTA MONICA CA 90401 952788014 501(C)(3) 5000 SPONSORSHIP - CELEBRATION OF CARING YWCA OF SAN GABRIEL VALLEY 943 NORTH GRAND AVE COVINA CA 91724 951641967 501(C)(3) 20000 GRANT 44 0 PART I, LINE 2: ALL GRANTEES SUBMIT A QUARTERLY REPORT DOCUMENTING METRICS AND PERFORMANCE YEAR-TO-DATE THROUGHOUT THE DURATION OF THE FUNDING. THE MANAGER, COMMUNITY OUTREACH AND GIVING, TRACKS AND REVIEWS THE REPORTS TO ENSURE COMPLIANCE. THE MANAGER ADDRESSES ANY IDENTIFIED ISSUES WITH THE GRANTEE TO DETERMINE CAUSES AND ANY REMEDIATION REQUIRED. ISSUES WITH COMPLIANCE ARE RAISED TO THE VICE PRESIDENT, INDEPENDENCE AT HOME, WHO WILL ASSIST WITH REMEDIATION OR ELEVATE TO THE COMMUNITY GIVING COMMITTEE (CGC) FOR ADVISEMENT AND/OR APPROVAL IF A CHANGE TO THE GRANTEE'S SCOPE OF WORK IS REQUIRED. X 1 1 1 1 0 0 0 0 0 0 0 RYAN TRIMBLE DIRECTOR 156949 0 0 0 0 0 0 0 0 0 156949 0 0 0 CHRISTOPHER WING CHIEF EXECUTIVE OFFICER 649858 0 903597 0 21612 0 1049218 0 25700 0 2649985 0 903597 0 WILLIAM ROTH PRESIDENT 475245 0 431721 0 21612 0 546419 0 36423 0 1511420 0 431721 0 NANCY MONK CHIEF ADMIN OFFICER 0 399681 0 270710 0 21612 0 368558 0 21961 0 1082522 0 270710 CATHERINE BATTEER SVP & GM ALL SCAN MARKETS 344664 0 247389 0 21303 0 313192 0 1985 0 928533 0 247389 0 VINOD MOHAN CHIEF FINANCIAL OFFICER 443860 0 255013 0 19260 0 412446 0 32727 0 1163306 0 255013 0 JANET KORNBLATT SECRETARY 0 342164 0 201010 0 27756 0 303833 0 4485 0 879248 0 201010 SHERRY STANISLAW SVP GM, SOUTHERN CA 292437 0 175088 0 292039 0 187504 0 15085 0 962153 0 175088 0 PETER BEGANS SVP PUBLIC GOV'T & COMMUNITY AFFAIRS 0 309396 0 188807 0 58764 0 191147 0 33290 0 781404 0 188807 EVE GELB SVP HEALTHCARE SERVICES 254000 0 140254 0 79069 0 171080 0 28213 0 672616 0 140254 0 JOSH GOODE CHIEF TECHNOLOGY EXECUTIVE 0 309714 0 125847 0 18696 0 219373 0 18871 0 692501 0 125847 RIAZ ALI CHIEF MARKETING EXECUTIVE 279708 0 121506 0 18569 0 194388 0 25948 0 640119 0 121506 0 KWAN-MOON LEUNG SVP HEALTHCARE INFORMATICS 0 311150 0 160699 0 109337 0 202045 0 9044 0 792275 0 160699 ROMILLA BATRA CHIEF MEDICAL EXECUTIVE 348270 0 142558 0 19172 0 231810 0 9775 0 751585 0 142558 0 DAVID MILLIGAN SVP SALES 282596 0 144754 0 19454 0 201390 0 23176 0 671370 0 144754 0 RUSSELL BROWER MEDICAL DIRECTOR 290698 0 115345 0 20862 0 131540 0 32554 0 590999 0 115345 0 DENNIS TSE OUTGOING CORPORATE MEDICAL DIRECTOR 182679 0 25250 0 144850 0 0 0 18595 0 371374 0 0 0 YUAN QIN CORP VP ACTUARIAL SVCS 291883 0 84567 0 18641 0 153423 0 5357 0 553871 0 0 0 SHARONJIT JHAWAR CORPORATE VP PHARMACY 313988 0 132843 0 18621 0 155404 0 15146 0 636002 0 132843 0 DAN OSTERWEIL MEDICAL DIRECTOR 320185 0 93639 0 26963 0 136403 0 3197 0 580387 0 93639 0 PART I, LINE 1A SCAN HEALTH PLAN APPROVED AND PAID FOR FIRST CLASS TRAVEL FOR CEO CHRISTOPHER WING ON 6 OCCASIONS WHERE THE FLIGHT WAS 4 HOURS OR LONGER; MR. WING IS SIX FEET FIVE INCHES TALL AND A REGULAR AIRPLANE SEAT IS EXTREMELY UNCOMFORTABLE FOR LONG FLIGHTS. THE BENEFITS OF FIRST CLASS TRAVEL WERE NOT TREATED AS TAXABLE COMPENSATION TO THE INDIVIDUAL. PART I, LINE 3 COMPENSATION FOR THE CEO AND CFO WAS ESTABLISHED BY A RELATED ORGANIZATION, SCAN GROUP, AND PAID BY THE COMPANY. THE RELATED ORGANIZATION USED THE FOLLOWING TO ESTABLISH THE CEO'S AND CFO'S COMPENSATION: 1) COMPENSATION COMMITTEE; 2) INDEPENDENT COMPENSATION CONSULTANT; 3) COMPENSATION SURVEY OR STUDY; 4) APPROVAL BY THE BOARD OF DIRECTORS. PART I, LINE 4A: DURING 2016, THE EMPLOYMENT RELATIONSHIP OF THE FOLLOWING EMPLOYEE OF SCAN HEALTH PLAN ENDED. IN CONNECTION WITH THE TERMINATION OF HIS EMPLOYMENT, SCAN HEALTH PLAN NEGOTIATED AND PAID SEVERANCE TO THE EMPLOYEE. THE SEVERANCE PAYMENT WAS IN ACCORDANCE WITH THE TERMS OF THE EXECUTIVE SEVERANCE POLICY FOR VICE PRESIDENTS AND ABOVE. DENNIS TSE - SCAN HEALTH PLAN - $126,250 PART I, LINE 4B: THE COMPANY PROVIDES A SUPPLEMENTAL NON-QUALIFIED RETIREMENT PLAN TO OFFICERS AND SENIOR VICE PRESIDENTS VIA ITS SECTION 457(F) PLAN. SUPPLEMENTAL NON-QUALIFIED PLAN PAYMENTS WERE MADE DURING THE YEAR TO THE FOLLOWING LISTED PERSONS IN PART VII: EVE GELB - $60,203 KWAN-MOON LEUNG - $89,721 SHERRY STANISLAW - $269,770 PETER BEGANS - $36,083 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: 1) THE PARTICIPANT HAS TEN YEARS OF CONTINUOUS EMPLOYMENT, COUNTING ONLY SERVICE AFTER DECEMBER 31, 2005. 2) THE PARTICIPANT REACHES THE AGE OF 62 AND HAS FIVE YEARS OF CONTINUOUS EMPLOYMENT; 3) THE PARTICIPANT'S INVOLUNTARY TERMINATION; 4) THE PARTICIPANT'S DISABILITY; OR 5) THE PARTICIPANT'S DEATH. DEFERRED COMPENSATION FOR 2016, REPORTED ON SCHEDULE J, PART II, AND COLUMN C CONSISTS OF THE FOLLOWING: 1) 457(F) EMPLOYER CONTRIBUTIONS SUBJECT TO VESTING TERMS AND CONDITIONS AS NOTED IN THE ITEMS (1) THROUGH (5) ABOVE. BASED ON THESE VESTING TERMS AND CONDITIONS, THERE IS SUBSTANTIAL RISK OF FORFEITURE. 2) 457(B) IS A DEFERRED COMPENSATION PLAN THAT EMPLOYER AND EMPLOYEE CONTRIBUTES TO UP TO THE COMPANY'S DEFINED AND IRS ANNUAL LIMITS. 3) 403(B) QUALIFIED RETIREMENT PLAN CONTRIBUTIONS (EMPLOYER MATCH AND SAFE HARBOR) - UP TO THE IRS ANNUAL LIMITS. 4) THE COMPANY PROVIDES AN INCENTIVE PLAN TO VICE PRESIDENTS AND ABOVE. THERE ARE TWO COMPONENTS OF THE COMPANY INCENTIVE PLAN (ICP): A. ANNUAL ICP AWARD - PAID ON OR AROUND APRIL 1ST OF THE SUBSEQUENT YEAR. B. DEFERRED ICP AWARD - BASED ON THE VESTING TERMS AND CONDITIONS FOR THIS COMPONENT, THERE IS SUBSTANTIAL RISK OF FORFEITURE. FORM 990, PART VI, SECTION A, LINE 6 THE SOLE MEMBER OF THE ORGANIZATION IS SCAN GROUP, A CALIFORNIA NONPROFIT PUBLIC BENEFIT CORPORATION. FORM 990, PART VI, SECTION A, LINE 7A THE SOLE MEMBER HAS THE POWER TO APPOINT THE MEMBERS OF THE BOARD OF DIRECTORS. FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 IS PREPARED BY THE ACCOUNTING FIRM OF DELOITTE TAX, LLP, WORKING IN CONJUNCTION WITH SCAN'S FINANCE DEPARTMENT. SCAN HEALTH PLAN'S DIRECTOR OF ACCOUNTING HAS DIRECT RESPONSIBILITY FOR THIS EFFORT, SUBJECT TO SUPERVISION BY THE VICE PRESIDENT AND CONTROLLER OF SCAN HEALTH PLAN. AFTER AN INITIAL DRAFT OF THE FORM 990 IS PREPARED, IT IS CIRCULATED FOR REVIEW AND COMMENT BY RELEVANT MEMBERS OF THE EXECUTIVE TEAM WHO HAVE RESPONSIBILITY FOR AND/OR KNOWLEDGE REGARDING THE VARIOUS MATTERS DISCLOSED AND/OR DESCRIBED IN THE FORM. THE GENERAL COUNSEL, IN PARTICULAR, REVIEWS THE FORM 990 AND ENSURES ACCURACY OF DESCRIPTIONS AND THAT DISCLOSURE IS COMPLETE. THE DRAFT FORM 990 IS REVIEWED IN PERTINENT PART BY THE COMPENSATION COMMITTEE OF THE BOARD; THE FORM 990 IS REVIEWED IN ITS ENTIRETY BY THE AUDIT AND COMPLIANCE COMMITTEE OF THE BOARD OF DIRECTORS OF SCAN GROUP AND ALL MEMBERS OF THE BOARD OF DIRECTORS AFTER IT IS PREPARED FOR FILING, BUT PRIOR TO FILING. FORM 990, PART VI, SECTION B, LINE 12C SCAN HEALTH PLAN REGULARLY AND CONSISTENTLY MONITORS AND ENFORCES COMPLIANCE WITH ITS CONFLICT OF INTEREST POLICY THROUGH ANNUAL CIRCULATION OF A CONFLICT OF INTEREST POLICY AND DISCLOSURE QUESTIONNAIRE WHICH ALL MEMBERS OF THE BOARD OF DIRECTORS, OFFICERS AND MEMBERS OF EXECUTIVE MANAGEMENT MUST COMPLETE AND SIGN. IN ADDITION, THERE IS ANNUAL MANDATORY COMPLIANCE EDUCATION AND TRAINING. SCAN'S COMPLIANCE DEPARTMENT IS RESPONSIBLE FOR ENFORCEMENT OF SCAN'S ROBUST COMPLIANCE PROGRAM AND SCAN'S POLICIES AND PROCEDURES. MEMBERS OF THE EXECUTIVE TEAM ALSO HAVE RESPONSIBILITY FOR ENFORCEMENT. THE LEGAL DEPARTMENT OF SCAN GROUP REVIEWS ALL CONTRACTUAL RELATIONSHIPS ENTERED INTO BY THE ORGANIZATION AND SCAN'S GENERAL COUNSEL IS RESPONSIBLE FOR MONITORING THE CONFLICT OF INTEREST QUESTIONNAIRE. THE LEGAL DEPARTMENT OF SCAN GROUP MONITORS AND ENFORCES ADHERENCE TO THESE POLICIES ON AN ONGOING BASIS. FORM 990, PART VI, SECTION B, LINE 15B THE PROCESS FOR DETERMINING THE COMPENSATION OF THE CHIEF EXECUTIVE OFFICER (CEO) OF SCAN HEALTH PLAN IS CONDUCTED BY THE COMPENSATION COMMITTEE OF THE BOARD OF DIRECTORS OF SCAN GROUP, ALL THE VOTING MEMBERS OF WHICH ARE INDEPENDENT PERSONS. IN DETERMINING THE COMPENSATION OF THE CEO, THE COMPENSATION COMMITTEE WORKS WITH AND RELIES UPON THE COUNSEL AND EXPERTISE OF AN OUTSIDE COMPENSATION CONSULTANT WITH WELL-ESTABLISHED EXPERIENCE AND EXPERTISE IN THE AREA OF NONPROFIT ORGANIZATIONS, EXECUTIVE COMPENSATION, AND COMPLIANCE WITH THE INTERMEDIATE SANCTIONS REQUIREMENTS APPLICABLE TO SUCH COMPENSATION. THE COMPENSATION CONSULTANT PROVIDES AN EXECUTIVE COMPENSATION REPORT TO THE COMPENSATION COMMITTEE EACH YEAR WHICH FURNISHES THE BASIS FOR DETERMINING THE CEO'S COMPENSATION PACKAGE DURING THE FOLLOWING YEAR. THE EXECUTIVE COMPENSATION REPORT IS BASED ON A REVIEW OF THE EXECUTIVE COMPENSATION PRACTICES OF A VARIETY OF ORGANIZATIONS CONSIDERED COMPARABLE TO SCAN HEALTH PLAN BASED UPON CERTAIN INDUSTRY STANDARD METRICS. THE COMPENSATION COMMITTEE DELIBERATES ON THE ISSUE OF THE CEO'S COMPENSATION PACKAGE IN CONSIDERATION OF THE EXECUTIVE COMPENSATION REPORT. QUESTIONS ARE ASKED OF, AND ANSWERED BY THE COMPENSATION CONSULTANT, REGARDING SUCH REPORT AND OTHER MATTERS RELEVANT TO SUCH PACKAGE. BASED ON THESE DELIBERATIONS, THE COMPENSATION COMMITTEE MAKES A RECOMMENDATION TO THE BOARD OF DIRECTORS OF SCAN GROUP REGARDING THE COMPENSATION PACKAGE FOR THE CEO FOR THE FOLLOWING YEAR. THE FULL BOARD OF DIRECTORS OF SCAN GROUP DELIBERATES AND THEN VOTES ON SUCH RECOMMENDATION; THE CEO IS RECUSED FOR THE ENTIRETY OF SUCH DELIBERATIONS AND VOTE. THE MINUTES OF THE COMPENSATION COMMITTEE AND THE BOARD OF DIRECTORS FOR THESE MEETINGS ARE PREPARED SUBSTANTIALLY CONTEMPORANEOUSLY AND SUBSTANTIATE SUCH DELIBERATIONS AND DECISIONS. THE OUTSIDE COMPENSATION CONSULTANT PROVIDING THE EXECUTIVE COMPENSATION REPORT AND GUIDANCE RELATED TO THE 2016 SALARY PACKAGE WAS ERNST & YOUNG. EFFECTIVE 6/1/2016, THE OUTSIDE COMPENSATION CONSULTANT PROVIDING SUCH TOOLS AND GUIDANCE IS SULLIVAN COTTER. THE PROCESS FOR DETERMINING THE COMPENSATION OF OFFICERS OR OTHER KEY EMPLOYEES OF SCAN HEALTH PLAN AND SCAN GROUP IS CONDUCTED BY THE HUMAN RESOURCES DEPARTMENT AND CHIEF EXECUTIVE OFFICER (CEO) OF SCAN HEALTH PLAN, WITH THE APPROVAL OF THE COMPENSATION COMMITTEE OF THE BOARD OF DIRECTORS OF SCAN GROUP. ALL OF THE VOTING MEMBERS OF THE COMPENSATION COMMITTEE ARE INDEPENDENT PERSONS. IN DETERMINING EACH EMPLOYEE'S COMPENSATION, THE HUMAN RESOURCES DEPARTMENT AND COMPENSATION COMMITTEE WORK WITH AND RELY UPON THE COUNSEL AND EXPERTISE OF AN OUTSIDE COMPENSATION CONSULTANT WITH WELL-ESTABLISHED EXPERIENCE AND EXPERTISE IN THE AREA OF NONPROFIT ORGANIZATIONS, EXECUTIVE COMPENSATION, AND COMPLIANCE WITH THE INTERMEDIATE SANCTIONS REQUIREMENTS APPLICABLE TO SUCH COMPENSATION. THE COMPENSATION CONSULTANT PROVIDES AN EXECUTIVE COMPENSATION REPORT TO THE HUMAN RESOURCES DEPARTMENT EACH YEAR WHICH FURNISHES THE BASIS FOR THE DETERMINATION OF EACH EMPLOYEE'S COMPENSATION PACKAGE DURING THE FOLLOWING YEAR. THE EXECUTIVE COMPENSATION REPORT IS BASED ON A REVIEW OF THE EXECUTIVE COMPENSATION PRACTICES OF A VARIETY OF ORGANIZATIONS CONSIDERED COMPARABLE TO SCAN HEALTH PLAN BASED ON VARIOUS METRICS. THE CHIEF EXECUTIVE OFFICER (CEO) MAKES A RECOMMENDATION TO THE COMPENSATION COMMITTEE WITH RESPECT TO EACH EMPLOYEE'S COMPENSATION PACKAGE IN LIGHT OF THE EXECUTIVE COMPENSATION REPORT. AT THE COMPENSATION COMMITTEE MEETING ADDRESSING SUCH MATTERS, QUESTIONS ARE ASKED OF, AND ANSWERED BY, THE COMPENSATION CONSULTANT, REGARDING THEIR REPORT AND OTHER MATTERS RELEVANT TO THE PACKAGE; PURSUANT TO THEIR DELIBERATIONS, THE COMPENSATION COMMITTEE MAKES A DECISION REGARDING THE COMPENSATION PACKAGE FOR SUCH EMPLOYEES FOR THE FOLLOWING YEAR. THE MINUTES OF THE COMPENSATION COMMITTEE FOR THIS MEETING ARE PREPARED SUBSTANTIALLY CONTEMPORANEOUSLY AND SUBSTANTIATE SUCH DELIBERATIONS AND DECISIONS. THE OUTSIDE COMPENSATION CONSULTANT PROVIDING THE EXECUTIVE COMPENSATION REPORT AND GUIDANCE RELATED TO THE 2016 SALARY PACKAGE WAS ERNST & YOUNG. EFFECTIVE 6/1/2016, THE OUTSIDE COMPENSATION CONSULTANT PROVIDING SUCH TOOLS AND GUIDANCE IS SULLIVAN COTTER. FORM 990, PART VI, SECTION C, LINE 19 SCAN HEALTH PLAN'S GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY ARE NOT MADE AVAILABLE TO THE PUBLIC. SCAN HEALTH PLAN'S AUDITED FINANCIAL STATEMENTS ARE PUBLICLY AVAILABLE THROUGH THE DEPARTMENT OF MANAGED HEALTH CARE'S WEBSITE AND TAX RETURNS ARE AVAILABLE ON REQUEST. FORM 990, PART IX, LINE 11G MEDICAL SERVICES: PROGRAM SERVICE EXPENSES 1,980,040,181. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,980,040,181. OTHER FEES: PROGRAM SERVICE EXPENSES 734,667. MANAGEMENT AND GENERAL EXPENSES 39,333,858. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 40,068,525. FORM 990, PART XI, LINE 9: FUND BALANCE TRANSFER TO SCAN GROUP -65,000,000. SCAN GROUP 3800 KILROY AIRPORT WAY SUITE 100 LONG BEACH CA 90806 953826037 ADMIN SUPPORT CA 501(C)(3) 12B N/A 0 THE SCAN FOUNDATION 3800 KILROY AIRPORT WAY SUITE 400 LONG BEACH CA 90806 450552845 GRANT MAKING CA 501(C)(3) 12B SCAN GROUP 1 SCAN HEALTH PLAN ARIZONA 3800 KILROY AIRPORT WAY SUITE 100 LONG BEACH CA 90806 731729007 MEDICARE ADVANTAGE AZ 501(C)(4) N/A SCAN GROUP 1 SCAN HEALTHCHECK ASSESSMENT CENTERS INC 3800 KILROY AIRPORT WAY SUITE 100 LONG BEACH CA 90806 462962358 HEALTHCARE CA N/A C 1 SCAN CALIFORNIA MANAGEMENT COMPANY 3800 KILROY AIRPORT WAY SUITE 100 LONG BEACH CA 90806 462951831 MANAGEMENT CA N/A C 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 SCAN GROUP B 65000000 BOOK VALUE SCAN GROUP P 43031110 BOOK VALUE SCAN HEALTH PLAN ARIZONA P 1943310 BOOK VALUE THE SCAN FOUNDATION Q 284815 BOOK VALUE PART V, LINE 2: THE PERCENTAGE OF ALLOCATION TO AFFILIATED COMPANIES IS DETERMINED BASED ON ESTIMATED PERCENTAGE OF TIME WORKED, PERCENTAGE OF HEADCOUNT, PERCENTAGE OF SCAN MEMBERSHIP, AND/OR THE PERCENTAGE OF BID SUBMISSIONS, AS APPROPRIATE BASED ON THE NATURE OF THE EXPENSE.