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 953826037 SCAN GROUP 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 09:11:44 CS P E2FF70B222BFC757283728F215E180A8BA832303 49244D1103501C1FC62C4DE15972AF245F6ACEFC 2016 2017-02-10 21:41:12Z CHRISTOPHER WING 3800 KILROY AIRPORT WAY NO 100 LONG BEACH CA 908065616 93247867 0 X N/A X 1983 CA TO SUPPORT THE CHARITABLE MISSION OF THE SCAN HEALTH PLAN AND THE SCAN FOUNDATION. 11 10 306 0 0 0 0 0 0 0 2398721 4979000 34411 -60037 2433132 4918963 0 0 0 0 33414502 36653549 0 0 0 -33414502 -35355461 0 1298088 2433132 3620875 190650363 266391040 25403070 28698732 165247293 237692308 TO SUPPORT THE CHARITABLE MISSION OF THE SCAN HEALTH PLAN AND THE SCAN FOUNDATION. 0 0 SCAN GROUP IS A CALIFORNIA NONPROFIT PUBLIC BENEFIT CORPORATION WHICH IS A SUPPORTING ORGANIZATION TO A RELATED SECTION 501(C)(3) TAX EXEMPT ORGANIZATION, SCAN HEALTH PLAN. SCAN GROUP SUPPORTS SCAN HEALTH PLAN IN ACTIVITIES IN SUPPORT OF THE MISSION OF SCAN HEALTH PLAN TO KEEP SENIORS HEALTHY AND INDEPENDENT. THESE ACTIVITIES INCLUDE RESEARCH STUDIES RELATED TO THE NEEDS OF FRAIL SENIORS. SCAN GROUP ALSO PROVIDES SUPPORT SERVICES TO THE SCAN FOUNDATION. THE SCAN FOUNDATION'S MISSION IS TO ADVANCE A COORDINATED AND EASILY NAVIGATED SYSTEM OF HIGH-QUALITY SERVICES FOR OLDER ADULTS THAT PRESERVE DIGNITY AND INDEPENDENCE. 1 0 0 0 0 0 0 0 0 0 0 1 0 0 1 1 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 1 0 1 125 0 1 306 1 0 0 0 0 0 0 0 0 0 0 X 11 10 0 0 0 0 0 0 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 6.30 3.80 X 0 156949 0 COLLEEN CAIN DIRECTOR 4.95 4.05 X 0 132500 0 LEOBARDO ESTRADA DIRECTOR 4.95 0.55 X 0 83000 0 THOMAS HIGGINS DIRECTOR 4.50 3.30 X 0 110000 0 ANDREW ALLOCCO DIRECTOR 4.95 0.55 X 0 87000 0 KIM HUNTER DIRECTOR 4.50 0.50 X 0 75000 0 PATRICK SEAVER DIRECTOR 2.70 2.30 X 0 65500 0 MICHAEL NOEL DIRECTOR 4.50 3.60 X 0 112500 0 FRANCESCA RUIZ DE LUZURIAGA DIRECTOR 4.95 0.55 X 0 89500 0 CHRISTOPHER WING CHIEF EXECUTIVE OFFICER 8.00 32.00 X X 0 1575067 1074918 JENNIE CHIN-HANSEN DIRECTOR 4.50 3.30 X 0 112500 0 WILLIAM ROTH PRESIDENT 8.00 32.00 X 0 928578 582842 NANCY MONK CHIEF ADMIN OFFICER 8.00 32.00 X 692003 0 390519 CATHERINE BATTEER SVP & GM ALL SCAN MARKETS 8.00 32.00 X 0 613356 315177 VINOD MOHAN CHIEF FINANCIAL OFFICER 8.00 32.00 X 0 718133 445173 JANET KORNBLATT SECRETARY 8.00 32.00 X 570930 0 308318 SHERRY STANISLAW SVP GM, SOUTHERN CA 4.00 36.00 X 0 759564 202589 PETER BEGANS SVP PUBLIC GOV'T & COMMUNITY AFFAIRS 20.00 20.00 X 556967 0 224437 EVE GELB SVP HEALTHCARE SERVICES 8.00 32.00 X 0 473323 199293 JOSH GOODE CHIEF TECHNOLOGY EXECUTIVE 8.00 32.00 X 454257 0 238244 DAVID MILLIGAN SVP SALES 4.00 36.00 X 0 446804 224566 RIAZ ALI CHIEF MARKETING EXECUTIVE 20.00 20.00 X 0 419783 220336 KWAN-MOON LEUNG SVP HEALTHCARE INFORMATICS 4.00 36.00 X 581186 0 211089 ROMILLA BATRA CHIEF MEDICAL EXECUTIVE 8.00 32.00 X 0 510000 241585 EMILY ARISON CVP HUMAN RESOURCES 8.00 32.00 X 378162 0 140127 JILL SELBY VP STRAT INIT & PROD DEV 8.00 32.00 X 390318 0 141122 HOLLY ACKMAN VP SALES OPERATIONS 0.80 39.20 X 353380 0 124289 ANDREW WHITELOCK CHIEF RISK EXECUTIVE 8.00 32.00 X 348004 0 136080 ELICIA JOHNSON LEGAL COUNSEL 8.00 32.00 X 291617 0 54836 4616824 7469057 5475540 91 0 1 0 EXECUTIVE STAFFING SOLUTIONS 105 E WILSON BRIDGE DR STE 75 COLUMBUS OH 43085 MANAGEMENT RECRUITMENT 290400 CROWELL & MORING LLP PO BOX 75509 BALTIMORE MD 212755509 LEGAL SERVICES 216977 DYNAMIC HEALTHCARE SYSTEMS INC 16775 VON KARMAN AVE STE 150 IRVINE CA 92606 PHARMACY OVERSIGHT SERVICES 214566 WINDSTREAM CORPORATION PO BOX 9001013 LOUISVILLE KY 402901013 COMMUNICATIONS SERVICES 168107 ABM PARKING SERVICES 165 TECHNOLOGY DR WEST STE 100 IRVINE CA 92618 PARKING SERVICES 151440 8 3263739 3263739 156646 216683 -60037 -60037 -60037 89827482 88112221 1715261 1715261 1715261 4918963 0 0 4918963 X 2855343 2855343 26954178 26954178 1941586 1941586 2895533 2895533 2006909 2006909 387820 387820 1312981 1312981 271451 271451 13997496 13997496 3491794 3491794 8174152 8174152 6727036 6727036 317398 317398 91797 91797 644485 644485 FIXED ASSET USAGE FEE 3922459 3922459 MANAGEMENT RECRUITMENT 908850 908850 LICENSE AND DUES 758669 758669 ALLOCATION TO AFFILIATE -76725431 -76725431 363582 363582 1298088 0 1298088 0 -13874 -22688 27319674 29896975 5206373 3950879 1963035 2330634 54340270 73985932 99435282 153746215 2399603 2503093 190650363 266391040 13785224 15383179 11617846 13315553 25403070 28698732 X 165247293 237692308 165247293 237692308 190650363 266391040 X 3620875 3824140 65000000 X 0 1 X 1 0 X X 1 SCAN HEALTH PLAN 953858259 10 1 0 0 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 ASSET BACKED 21451511 F CORPORATE BONDS 58548702 F MORTGAGE BACKED SECURITIES 203696 F US GOV. & AGENCY OBLIGATIONS 66906649 F CD SL INVESTMENT 6635657 F 153746215 DEFERRED RENT 11563015 DEFERRED COMPENSATION 1723687 SECURITY DEPOSITS 28851 13315553 X 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. X X X X 0 1 0 0 0 0 0 0 0 RYAN TRIMBLE DIRECTOR 0 156949 0 0 0 0 0 0 0 0 0 156949 0 0 CHRISTOPHER WING CHIEF EXECUTIVE OFFICER 0 649858 0 903597 0 21612 0 1049218 0 25700 0 2649985 0 903597 WILLIAM ROTH PRESIDENT 0 475245 0 431721 0 21612 0 546419 0 36423 0 1511420 0 431721 NANCY MONK CHIEF ADMIN OFFICER 399681 0 270710 0 21612 0 368558 0 21961 0 1082522 0 270710 0 CATHERINE BATTEER SVP & GM ALL SCAN MARKETS 0 344664 0 247389 0 21303 0 313192 0 1985 0 928533 0 247389 VINOD MOHAN CHIEF FINANCIAL OFFICER 0 443860 0 255013 0 19260 0 412446 0 32727 0 1163306 0 255013 JANET KORNBLATT SECRETARY 342164 0 201010 0 27756 0 303833 0 4485 0 879248 0 201010 0 SHERRY STANISLAW SVP GM, SOUTHERN CA 0 292437 0 175088 0 292039 0 187504 0 15085 0 962153 0 175088 PETER BEGANS SVP PUBLIC GOV'T & COMMUNITY AFFAIRS 309396 0 188807 0 58764 0 191147 0 33290 0 781404 0 188807 0 EVE GELB SVP HEALTHCARE SERVICES 0 254000 0 140254 0 79069 0 171080 0 28213 0 672616 0 140254 JOSH GOODE CHIEF TECHNOLOGY EXECUTIVE 309714 0 125847 0 18696 0 219373 0 18871 0 692501 0 125847 0 DAVID MILLIGAN SVP SALES 0 282596 0 144754 0 19454 0 201390 0 23176 0 671370 0 144754 RIAZ ALI CHIEF MARKETING EXECUTIVE 0 279708 0 121506 0 18569 0 194388 0 25948 0 640119 0 121506 KWAN-MOON LEUNG SVP HEALTHCARE INFORMATICS 311150 0 160699 0 109337 0 202045 0 9044 0 792275 0 160699 0 ROMILLA BATRA CHIEF MEDICAL EXECUTIVE 0 348270 0 142558 0 19172 0 231810 0 9775 0 751585 0 142558 EMILY ARISON CVP HUMAN RESOURCES 252497 0 106839 0 18826 0 127348 0 12779 0 518289 0 106839 0 JILL SELBY VP STRAT INIT & PROD DEV 277242 0 93670 0 19406 0 125501 0 15621 0 531440 0 93670 0 HOLLY ACKMAN VP SALES OPERATIONS 241880 0 88116 0 23384 0 112362 0 11927 0 477669 0 88116 0 ANDREW WHITELOCK CHIEF RISK EXECUTIVE 245619 0 83566 0 18819 0 131809 0 4271 0 484084 0 83566 0 ELICIA JOHNSON LEGAL COUNSEL 195953 0 80686 0 14978 0 18550 0 36286 0 346453 0 0 0 PART 1, 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 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 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, BUT PRIOR TO FILING. FORM 990, PART VI, SECTION B, LINE 12C SCAN GROUP 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) IS CONDUCTED BY THE COMPENSATION COMMITTEE OF THE BOARD OF DIRECTORS OF SCAN GROUP, ALL THE VOTING MEMBERS OF WHICH ARE INDEPENDENT PERSONS. THE CEO IS THEN COMPENSATED BY A RELATED ORGANIZATION, SCAN HEALTH PLAN. 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 AND KEY EMPLOYEES OF SCAN GROUP IS CONDUCTED BY THE HUMAN RESOURCES DEPARTMENT OF SCAN GROUP 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 EACH EMPLOYEE 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 GROUP'S GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY ARE NOT MADE AVAILABLE TO THE PUBLIC. SCAN GROUP MAKES ITS FORM 990, WHICH CONTAINS FINANCIAL INFORMATION, AVAILABLE FOR PUBLIC INSPECTION. FORM 990, PART IX, LINE 11G CONSULTANT FEES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 8,179,532. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 8,179,532. OUTSIDE SERVICES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 5,817,964. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 5,817,964. FORM 990, PART IX, LINE 24E RECRUITMENT ADVERTISING: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 124,652. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 124,652. PROPERTY TAX: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 115,888. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 115,888. MISCELLANEOUS: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 111,542. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 111,542. EMPLOYMENT REFERRAL: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 11,500. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 11,500. FORM 990, PART XI, LINE 9: FUND BALANCE TRANSFER FROM SCAN HEALTH PLAN 65,000,000. SCAN HEALTH PLAN 3800 KILROY AIRPORT WAY SUITE 100 LONG BEACH CA 90806 953858259 MEDICARE ADVANTAGE CA 501(C)(3) 10 SCAN GROUP 1 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 SCAN GROUP C -17704 894865 1.00000 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 SCAN HEALTH PLAN C 65000000 BOOK VALUE SCAN HEALTH PLAN Q 43031110 BOOK VALUE THE SCAN FOUNDATION Q 431808 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.