2025-11-12T02:17:32-06:00 2024-12-31 861065772 DELOITTE TAX LLP 50 SOUTH SIXTH STREET MINNEAPOLIS MN 55402 990 2024-01-01 872944493 SCAN HEALTH PLAN TEXAS INC SCAN 5629895100 3800 KILROY AIRPORT WAY 100 LONG BEACH CA 908065616 KAREN SCHULTE PRESIDENT 5629895100 2025-11-10 1 0 ANNA KOLAKALURI P01275237 6123974000 2024 2025-03-06 01:10:19Z X SCAN HEALTH PLAN KAREN SCHULTE 3800 KILROY AIRPORT WAY 100 LONG BEACH CA 908065616 8040346 0 X WWW.SCANHEALTHPLAN.COM X 2021 TX KEEPING SENIORS HEALTHY AND INDEPENDENT 5 0 0 0 0 0 3900000 4700000 1719661 3337124 3081 3222 0 0 5622742 8040346 85000 160500 0 0 540605 283140 0 0 0 4508902 5654383 5134507 6098023 488235 1942323 5009427 7325534 2119739 2491398 2889688 4834136 X KEEPING SENIORS HEALTHY AND INDEPENDENT 0 0 5515291 3337124 HEALTH CARE SERVICESAS A MEDICARE ADVANTAGE AND PRESCRIPTION DRUG PLAN (MAPD) IN TEXAS, SCAN HEALTH PLAN TEXAS COLLABORATES WITH A NETWORK OF DELEGATED AND NON-DELEGATED PROVIDERS TO OFFER MEDICARE COVERED HEALTH CARE AND BEHAVIORAL HEALTHCARE AND ADDITIONAL SUPPLEMENTAL BENEFITS. OUR MEMBER-CENTRIC MODEL OF CARE ENSURES QUALITY, INDIVIDUALIZED CARE FOR ALL MEMBERS, INCLUDING MEMBERS WITH CHRONIC CONDITIONS AND FRAIL MEMBERS WITH FUNCTIONAL DEFICITS. 182541 160500 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 SERVICES, 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), SCAN'S COMMUNITY BENEFIT DIVISION. IAH PROGRAMS ARE GEARED TO SUPPORT THE UNDERSERVED, FRAIL AND DISABLED OLDER ADULTS AND THEIR CAREGIVERS IN OUR COMMUNITY.IAH'S HALLMARK PROGRAMS ARE:- INSIGHTS: THIS PROGRAM OFFERS FREE, ACCESSIBLE MENTAL HEALTH SUPPORT FOR OLDER ADULTS AND THEIR CAREGIVERS THROUGH BEHAVIORAL HEALTH CLASSES. THESE SESSIONS DELIVER PSYCHOEDUCATIONAL CONTENT ON TOPICS SUCH AS DEPRESSION, ANXIETY, GRIEF AND LOSS, AND SOCIAL ISOLATION, AMONG OTHERS, AND ARE AVAILABLE IN BOTH ENGLISH AND SPANISH. IN COLLABORATION WITH NONPROFITS AND SENIOR-FOCUSED ORGANIZATIONS ACROSS SCAN'S TEXAS SERVICE AREAS, IAH PROMOTES CULTURALLY RESPONSIVE PROGRAMMING AND EXTENSIVE COMMUNITY OUTREACH.IN 2024, A TOTAL OF 45 BEHAVIORAL HEALTH CLASSES WERE DELIVERED IN VARIOUS COMMUNITY SETTINGS REACHING 311 CLASS PARTICIPANTS .- COMMUNITY HEALTH EDUCATION: THIS PROGRAM OFFERS FREE, ACCESSIBLE CLASSES AND WORKSHOPS THAT PROMOTE HEALTHY AGING AND SUPPORT OLDER ADULTS AND THEIR CAREGIVERS IN ADOPTING HEALTHY LIFESTYLES. COVERING MORE THAN 50 TOPICSINCLUDING HEALTH, WELLNESS, TECHNOLOGY, AND SOCIAL CONNECTIONTHESE SESSIONS ARE DELIVERED IN ENGLISH AND SPANISH. IN PARTNERSHIP WITH NONPROFITS AND SENIOR-SERVING ORGANIZATIONS ACROSS SCAN'S TEXAS SERVICE REGIONS, IAH ENSURES CULTURALLY RESPONSIVE PROGRAMMING AND BROAD COMMUNITY REACH.IN 2024, A TOTAL OF 146 CLASSES WERE DELIVERED IN VARIOUS COMMUNITY SETTINGS REACHING 2,800 CLASS PARTICIPANTS. - 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 STAFF IDENTIFY 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 DIRECTOR AND COMMUNITY GIVING STAFF, COLLABORATEWITH 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 GIVING 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; 3) HISTORY OF DIRECT SERVICE TO OLDER ADULTS AND CAREGIVERS AND; 4) OPERATIONAL HISTORY, WITH A MINIMUM OF THREE YEARS AS A LEGAL ENTITY. SUCCESSFUL CANDIDATES ARE ADDED TO THE LARGER SCAN HEALTH PLAN GRANTEE POOL.B. SHORT LISTING POTENTIAL GRANTEES - THE DIRECTOR AND COMMUNITY GIVING STAFF USE VARIOUS METHODS, INCLUDING OUTBOUND CALLS, INTERNET RESEARCH, LOCAL 2-1-1, NONPROFIT 990 DATABASES, FOUNDATION DIRECTORIES AND NONPROFIT & SOCIAL SERVICE SECTOR INDUSTRY REPORTS 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 COMPOSED OF REPRESENTATIVES FROM DIFFERENT LEVELS OF MANAGEMENT AND IS LED BY A DESIGNATED COMMITTEE CHAIR. 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 COMMUNITY GIVING PROGRAM. THE CGC BASES ITS DECISION TO MAKE AWARDS ON THE INFRASTRUCTURE OF THE GRANTEE ORGANIZATION, THEIR PERCEIVED ABILITY TO EFFECTIVELY AND EFFICIENTLY IMPACT THE LIVES OF SENIORS, AND THEIR ABILITY TO CONTINUE A SUSTAINABLE RELATIONSHIP. D. GRANTEE OUTREACH - SUBSEQUENT TO THE CGC EARMARKING AND APPROVING GRANT FUNDS, THE DIRECTOR OR COMMUNITY GIVING STAFF PLACES AN OUTREACH CALL TO THE PROSPECTIVE GRANTEE ORGANIZATION. THE GRANTEE ORGANIZATION IS INFORMED OF SCAN FUNDING AND OPPORTUNITY TO APPLY FOR A ONE-TIME GRANT VIA SCAN'S ONLINE GRANT APPLICATION AND GRANTS MANAGEMENT SYSTEM. THE DIRECTOR, COMMUNITY GIVING OR DESIGNEE REVIEWS EACH APPLICATION TO ASSESS ALIGNMENT WITH GIVING PROGRAM GOALS AND PURPOSE AND MAKE 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 GRANTS APPROVED BY CGC, 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. IF THE FUNDING IS CONSIDERED AN EMERGENCY NEED DUE TO A PUBLIC HEALTH EMERGENCY OR A NATURAL DISASTER, THIS PROCESS WILL BE ACCELERATED WITH THE COMMITTEE REVIEWING AND APPROVING REQUESTS MORE FREQUENTLY.E. ALL GRANTEES SUBMIT IMPACT REPORTS, DOCUMENTING METRICS AND PERFORMANCE YEAR-TO-DATE THROUGHOUT THE DURATION OF THE FUNDING. THE COMMUNITY GIVING STAFF TRACKS AND REVIEWS THE REPORTS TO ENSURE ADHERENCE TO GRANT DELIVERABLES AND COMPLIANCE. COMMUNITY GIVING STAFF ADDRESS ANY IDENTIFIED ISSUES WITH THE GRANTEE TO DETERMINE THE CAUSE AND ANY REMEDIATION REQUIRED. ISSUES WITH COMPLIANCE ARE RAISED TO THE DIRECTOR, COMMUNITY GIVING 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 RECOGNIZES THAT ITS RESPONSIBILITY TO THE COMMUNITIES WE SERVE GOES BEYOND BUSINESS AND PROVIDING QUALITY HEALTHCARE.SCAN HEALTH PLAN COMMUNITY GIVING PROGRAM:SCAN SUPPORTED THE FOLLOWING SAFETY NET ORGANIZATIONS WITH FUNDING TO SUPPORT SERVICES TARGETING OLDER ADULTS AND FAMILY CAREGIVERS: BAKERRIPLEY, CASA HELOTES SENIOR CENTER, INC., CATHOLIC CHARITIES ARCHDIOCESE OF SAN ANTONIO, CHINESE COMMUNITY CENTER, INC., FAMILY SERVICE ASSOICATION OF SAN ANTONIO, INC., GREATER RANDOLPH AREA SERVICES PROGRA, INC., HOUSTON FOOD BANK, KING'S COMPASSION, MISSION CENTERS OF HOUSTON, NORTHEAST SENIOR ASSISTANCE, PRESA COMMUNITY SERVICE CENTER, SECOND SERVICES OF HOUSTON, AND WEST HOUSTON ASSISTANCE MINISTRIESIN 2024, SCAN COMMUNITY GIVNG PROGRAM AWARDED 13 GRANTS TO 13 ORGANIZATIONS, TOTALING $160,500 IN TEXAS 5697832 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 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 0 1 52 0 1 0 0 0 0 0 0 0 0 0 X 5 0 0 0 0 0 1 1 0 1 1 0 0 1 1 1 1 1 1 0 0 0 X VIRGINIA A HAVAI 5629895100 3800 KILROY AIRPORT WAY STE 100 LONG BEACH CA 908065616 JAIN MD SACHIN H PRESIDENT & CEO 1.00 39.00 X X 0 3970505 1895935 PLUMB MICHAEL CHIEF FINANCIAL OFFICER 1.00 39.00 X X 0 1197368 796322 MONK NANCY J END 122024 CHIEF OPERATIONS OFFICER 2.00 38.00 X 0 1791341 54167 SCHULTE KAREN H PRESIDENT, MEDICARE 1.00 39.00 X X 0 976492 606229 DELPHIN-RODRIGUEZ RENEE C CHIEF LEGAL OFFICER & GC 1.00 39.00 X X 0 864149 608128 HAMMASH MUHANNAD CVP, MED POL & CORP SUP 2.00 38.00 X 0 626676 226064 HAVAI VIRGINIA A VP CONTROLLER 1.00 39.00 X 0 488981 202204 LEUNG KWAN-MOON CHIEF DATA OFFICER 1.00 39.00 X 0 847484 315555 BLEA MICHAEL CVP, CHIEF GROWTH OFFICER 2.00 38.00 X 0 621755 330508 SELBY JILL V END 032024 SVP PRODUCT DEV & MKT EXP 0.50 39.50 X 0 893038 13688 HAWKINS GINETTE SVP, CHIEF RISK OFFICER 1.00 39.00 X 0 517232 317796 0 12795021 5366596 0 0 1 1 INTEGRANET PHYSICIAN RESOURCE INC DBA 2900 NORTH LOOP WEST SUITE 700 HOUSTON TX 77092 POPULATION HEALTH AND MANAGED SERVICES O 1146585 EXPRESS SCRIPTS INC ONE EXPRESS WAY ST LOUIS MO 63121 PRESCRIPTION SERVICES 922098 LONE STAR MEDICAL GROUP LLC 1100 E GREEN ST PASADENA CA 91106 PHYSICIAN SERVICES 535384 PROSPECT HEALTH SERVICES TX INC 600 CITY PKWY WEST SUITE 1000 ORANGE CA 92868 MANAGED CARE PROVIDER SERVICES 345253 4 4700000 4700000 MEDICARE PREMIUMS 900099 3337124 3337124 3337124 3222 3222 8040346 3337124 0 3222 X 160500 160500 233638 94392 139246 15478 5286 10192 19720 13410 6310 14304 5617 8687 7024 2 7022 67931 -35 67966 1500 1500 3822552 3727227 95325 1515741 1515647 94 16422 15866 556 40518 16698 23820 25028 18153 6875 45757 45127 630 5170 5047 123 145 145 2780 2029 751 3999 200 3799 BROKER COMMISSIONS 73493 73493 DUES AND SUBSCRIPTIONS 15783 210 15573 OTHER 9300 -1254 10554 FEDERAL, STATE, COUNTY 1240 217 1023 6098023 5697832 400191 0 -8533 -5834 4698540 6734605 155802 443407 2461 4069 0 161157 149287 5009427 7325534 2079728 2467183 269 731 39742 23484 2119739 2491398 X 2889688 4834136 2889688 4834136 5009427 7325534 1942323 2125 0 X 0 1 X 1 0 RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 ROU LEASE LIABILITY 23484 23484 3338846 0 3338846 1500 4700000 4701500 8040346 6096523 0 6096523 1500 1500 6098023 PART XI, LINE 4B - OTHER ADJUSTMENTS: CONTRIBUTION FROM SCAN GROUP 4,700,000. STATUTORY-BASIS AUDITED FINANCIAL STATEMENTS THE 2024 STATUTORY-BASIS AUDITED FINANCIAL STATEMENTS ARE PRESENTED ON THE BASIS OF ACCOUNTING PRACTICES PRESCRIBED OR PERMITTED BY THE NATIONAL ASSOCIATION OF INSURANCE COMMISSIONERS (NAIC) AND THE TEXAS DEPARTMENT OF INSURANCE (DOI). 1 BAKERRIPLEY PO BOX 231808 HARRISBURG BLVD STE 200 HOUSTON TX 77223 237062976 501(C)(3) 40000 0 GRANT TO SUPPORT NEEDS OF OLDER ADULTS (AGE 55+) IN HARRIS COUNTY AFFECTED BY A HURRICANE. FUNDING TO PROVIDE SHELF-STABLE FOOD ITEMS AND AID OLDER ADULTS WITH HOME REPAIRS AND ASSISTANCE FOR BASIC NECESSITIES AS PART OF STABILIZATION SUPPORTS AND CONNECTION TO OTHER LONG TERM SERVICES (SUPPLYING HYGIENE PRODUCTS, WATER, MEDICATIONS, SUPPLIES, ETC.). CHINESE COMMUNITY CENTER INC 9800 TOWN PARK DR HOUSTON TX 77036 760067885 501(C)(3) 10000 0 GRANT TO ENABLE THE CHINESE COMMUNITY CENTER TO DELIVER WEEKLY GROUP THERAPY SESSIONS FOR OLDER ADULTS (AGE 55+). FAMILY SERVICE ASSOCIATION OF SAN ANTONIO INC 702 SAN PEDRO AVENUE SAN ANTONIO TX 78212 741117341 501(C)(3) 25000 0 GRANT TO SUPPORT OLDER ADULTS (AGED 55+) WITH EMERGENCY ASSISTANCE SUPPORT. FUNDING WILL TARGET OLDER ADULTS REQUIRING ONE-TIME FINANCIAL ASSISTANCE FOR ESSENTIAL NEEDS, INCLUDING BASIC ADAPTIVE AND MEDICAL EQUIPMENT ITEMS, EMERGENCY FOOD REQUESTS, UTILITY ASSISTANCE, AND OTHER BASIC NEEDS. GREATER RANDOLPH AREA SERVICES PROGRAM INC 250 DONALAN DR CONVERSE TX 78109 742353686 501(C)(3) 10000 0 GRANT TO PROVIDE ONE-TIME EMERGENCY ASSISTANCE TO LOW-INCOME INDIVIDUALS (AGE 55+) RESIDING IN BEXAR COUNTY, TX WHEN NO OTHER RESOURCES ARE AVAILABLE. EMERGENCY ASSISTANCE WILL BE PROVIDED FOR RENTAL ASSISTANCE, UTILITY ASSISTANCE AND TRANSPORTATION ASSISTANCE TO MEDICAL APPOINTMENTS. HOUSTON FOOD BANK 535 PORTWALL STREET HOUSTON TX 77029 742181456 501(C)(3) 25000 0 GRANT SUPPORTING THE PURCHASE OF CULTURALLY RESPONSIVE FOOD ITEMS TO SUPPLEMENT FOOD BOXES FOR OLDER ADULTS (AGES 60+) PARTICIPATING IN THE SENIOR BOX PROGRAM. MISSION CENTERS OF HOUSTON 1815 GANO ST HOUSTON TX 77009 741744007 501(C)(3) 10000 0 GRANT TO SUPPORT EXPANDED NUTRITION PROGRAMMING TO BENEFIT OLDER ADULTS (55 AND OLDER) WHO ARE LIVING IN THE LOW-INCOME NEIGHBORHOODS WHERE MCH MISSION CENTERS ARE LOCATED. NORTHEAST SENIOR ASSISTANCE (NESA) 2903 NACOGDOCHES RD SAN ANTONIO TX 78217 742405293 501(C)(3) 10000 0 GRANT SUPPORTING NORTHEAST SENIOR ASSISTANCE'S VOLUNTEER DRIVING PROGRAM BENEFITTING OLDER ADULTS (AGE 55+) IN BEXAR COUNTY THROUGH NO-COST RIDES TO MEDICAL APPOINTMENTS, GROCERY SHOPPING, FOOD PANTRY VISITS AND OTHER PERSONAL ERRANDS. PRESA COMMUNITY SERVICE CENTER 3721 SOUTH PRESA SAN ANTONIO TX 78210 741902249 501(C)(3) 10000 0 GRANT SUPPORTING PRESA COMMUNITY CENTER'S SENIOR LUNCH PROGRAM BY FUNDING A NUMBER OF MEALS FOR LOW-INCOME OLDER ADULTS WHO ACTIVELY PARTICIPATE AT THE CENTER. WEST HOUSTON ASSISTANCE MINISTRIES PO BOX 421639 HOUSTON TX 772421639 760001309 501(C)(3) 10000 0 GRANT TO SUPPORT SENIOR NUTRITION PROGRAMMING, INCLUDING THE CLIENT CHOICE PANTRY ON TUESDAY MORNINGS WHERE PANTRY STAFF AND VOLUNTEERS PROVIDE ADDITIONAL SUPPORT TO OLDER ADULT CLIENTS. 9 0 PART I, LINE 2: ALL GRANTEES SUBMIT IMPACT REPORTS DOCUMENTING METRICS AND PERFORMANCE YEAR-TO-DATE THROUGHOUT THE DURATION OF THE FUNDING, COMMUNITY GIVING STAFF, TRACK AND REVIEW THE REPORTS TO ENSURE COMPLIANCE. COMMUNITY GIVING STAFF ADDRESSES ANY IDENTIFIED ISSUES WITH THE GRANTEE TO DETERMINE CAUSES AND ANY REMEDIATION REQUIRED. ISSUES WITH COMPLIANCE ARE RAISED TO DIRECTOR, COMMUNITY GIVING, 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. 1 1 0 0 0 0 0 0 0 JAIN MD SACHIN H PRESIDENT & CEO 0 1124144 0 2801461 0 44900 0 1877762 0 18173 0 5866440 0 1328341 PLUMB MICHAEL CHIEF FINANCIAL OFFICER 0 646444 0 525992 0 24932 0 766279 0 30043 0 1993690 0 525992 MONK NANCY J END 122024 CHIEF OPERATIONS OFFICER 0 646859 0 1035954 0 108528 0 24150 0 30017 0 1845508 0 549908 SCHULTE KAREN H PRESIDENT, MEDICARE 0 572800 0 378750 0 24942 0 585400 0 20829 0 1582721 0 378750 DELPHIN-RODRIGUEZ RENEE C CHIEF LEGAL OFFICER & GC 0 535717 0 304172 0 24260 0 561209 0 46919 0 1472277 0 304172 LEUNG KWAN-MOON CHIEF DATA OFFICER 0 466966 0 304968 0 75550 0 313085 0 2470 0 1163039 0 301406 BLEA MICHAEL CVP, CHIEF GROWTH OFFICER 0 351346 0 229396 0 41013 0 294397 0 36111 0 952263 0 35736 SELBY JILL V END 032024 SVP PRODUCT DEV & MKT EXP 0 129104 0 0 0 763934 0 8459 0 5229 0 906726 0 0 HAMMASH MUHANNAD CVP, MED POL & CORP SUP 0 425568 0 176176 0 24932 0 216883 0 9181 0 852740 0 176176 HAWKINS GINETTE SVP, CHIEF RISK OFFICER 0 358594 0 153010 0 5628 0 302726 0 15070 0 835028 0 53466 HAVAI VIRGINIA A VP CONTROLLER 0 325893 0 132960 0 30128 0 161517 0 40687 0 691185 0 147440 PART I, LINE 3 COMPENSATION FOR KAREN SCHULTE (PRESIDENT MEDICARE -SCAN HEALTH PLAN TEXAS) WAS ESTABLISHED BY A RELATED ORGANIZATION, SCAN GROUP, AND PAID BY SCAN HEALTH PLAN. SCAN GROUP USED THE FOLLOWING TO ESTABLISH THE PRESIDENT'S COMPENSATION: 1) COMPENSATION COMMITTEE; 2) INDEPENDENT COMPENSATION CONSULTANT; 3) COMPENSATION SURVEY OR STUDY; 4) APPROVAL BY THE SCAN HEALTH PLAN CEO AND SCAN GROUP BOARD OF DIRECTORS. PART I, LINES 4A-B PART I, LINES 4A DURING 2024, THE EMPLOYMENT RELATIONSHIP OF THE FOLLOWING EMPLOYEES OF SCAN GROUP AND SCAN HEALTH PLAN ENDED. IN CONNECTION WITH THE TERMINATION OF EMPLOYMENT, SCAN GROUP AND SCAN HEALTH PLAN NEGOTIATED AND PAID SEVERANCE TO THE EMPLOYEES. (2024) JILL V SELBY $ 723,194 PART I, LINE 4B: SCAN GROUP AND SCAN HEALTH PLAN PROVIDE A SUPPLEMENTAL NON-QUALIFIED RETIREMENT PLAN TO OFFICERS AND SENIOR VICE PRESIDENTS VIA ITS SECTION 457(F) PLAN. FOR CONTRIBUTIONS MADE PRIOR TO DECEMBER 31, 2017, A PARTICIPANT BECOMES VESTED IN THE 457(F) PLAN UPON COMPLETION OF ONE OF THE CHOSEN VESTING OPTIONS: 1) FIVE YEARS OF SERVICE AND 62 YEARS OF AGE OR 2) 10 YEARS OF SERVICE. ON JANUARY 1, 2018, A NEW PLAN WAS ADOPTED, FOR THE 457(F) PLAN FOLLOWING A 4 YEAR CLASS VESTING CYCLE. SUPPLEMENTAL LISTED PERSONS IN PART VII: (2024) SACHIN JAIN - $ 44,060 NANCY MONK - $ 79,984 MOON LEUNG - $ 48,938 MICHAEL BLEA - $ 35,736 VIRGINIA HAVAI - $ 14,480 DEFERRED COMPENSATION FOR 2024, REPORTED ON SCHEDULE J, PART 11, COLUMN B AND COLUMN C CONSISTS OF THE FOLLOWING: 1) 457(F) EMPLOYER CONTRIBUTIONS ARE SUBJECT TO VESTING TERMS AND CONDITIONS AS NOTED IN THE PLAN DOCUMENTS. BASED ON THESE VESTING TERMS AND CONDITIONS, THERE IS SUBSTANTIAL RISK OF FORFEITURE. 2) 457(B) IS A DEFERRED COMPENSATION PLAN THAT THE EMPLOYER AND EMPLOYEE ANNUAL LIMITS. 3) 401(K) QUALIFIED RETIREMENT PLAN CONTRIBUTIONS (EMPLOYER MATCH AND SAFE CONTRIBUTE TO, UP TO THE SCAN GROUP AND SCAN HEALTH PLAN'S DEFINED AND IRS HARBOR) UP TO THE IRS ANNUAL LIMITS. 4) SCAN GROUP AND SCAN HEALTH PLAN PROVIDE AN INCENTIVE PLAN TO VICE PRESIDENTS AND ABOVE. THE INCENTIVE PLAN IS BASED ON ORGANIZATION AND INDIVIDUAL PERFORMANCE METRICS. PAYMENTS ARE MADE ON OR AROUND APRIL 1 OF THE SUBSEQUENT CALENDAR YEAR. FORM 990, PART VII, SECTION A, LINE 5 AND SCHEDULE J: JILL SELBY RECEIVED COMPENSATION IN THE AMOUNT OF $26,260 PAID OR ACCRUED BY JVS CONSULTING FOR SERVICES RENDERED TO SCAN GROUP. SCHEDULE J CEO COMPENSATION IT IS IMPORTANT TO NOTE THAT SCHEDULE J REFLECTS ALL COMPENSATION THAT THE CEO "EARNED" IN 2024, WHICH INCLUDES INCENTIVE PAYMENTS RELATED TO 2024 THAT WILL BE PAID IN SUBSEQUENT YEARS AND UNVESTED RETIREMENT BENEFITS. SCHEDULE J ALSO INCLUDES COMPENSATION THAT THE CEO "EARNED" IN 2023 THAT WAS PAID IN 2024. FOR AVOIDANCE OF CONFUSION, THE CEO WAS PAID $3,970,505 IN 2024 [COLUMNS (B)(I), (B)(II), (B)(III)], OF WHICH $1,328,341 WAS "EARNED" IN 2023 [COLUMN (F)] AND PAID IN 2024. THE CEO'S "EARNED" COMPENSATION FOR 2024 IS EQUAL TO ROUGHLY $4,538,099, WHICH REPRESENTS COLUMN (E) MINUS COLUMN (F), SINCE COLUMN (F) IS COMPENSATION EARNED IN A PREVIOUS YEAR AND INCLUDED IN A PREVIOUS 990. 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 FOR ACCURACY AND COMPLETENESS. THE FORM 990 IS PROVIDED TO THE SCAN HEALTH PLAN TEXAS BOARD FOR REVIEW AFTER IT IS PREPARED, BUT PRIOR TO FILING. FORM 990, PART VI, SECTION B, LINE 12C SCAN HEALTH PLAN TEXAS FOLLOWS SCAN HEALTH PLAN'S CONFLICT OF INTEREST PROCESS. A DESCRIPTION OF THE PROCESS IS AS FOLLOWS: 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 OF EVERY ENTITY UNDER SCAN GROUP ARE REQUIRED TO COMPLETE AND SIGN. IN ADDITION, THERE IS ANNUAL MANDATORY COMPLIANCE EDUCATION AND TRAINING AND SCAN'S COMPLIANCE DEPARTMENT IS RESPONSIBLE FOR ENFORCEMENT OF SCAN'S ROBUST COMPLIANCE PROGRAM, INCLUDING SCAN'S CODE OF CONDUCT AND COMPLIANCE-RELATED POLICIES AND PROCEDURES. MEMBERS OF ALL THE EXECUTIVE TEAMS ALSO HAVE RESPONSIBILITY FOR ENFORCEMENT. THE LEGAL DEPARTMENT OF SCAN GROUP REVIEWS ALL CONTRACTUAL RELATIONSHIPS ENTERED INTO BY THE ORGANIZATION AND 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 15 THE PROCESS FOR DETERMINING COMPENSATION FOR KAREN SCHULTE (PRESIDENT SCAN HEALTH PLAN TEXAS), OFFICERS AND SENIOR VICE PRESIDENT OF SCAN HEALTH PLAN TEXAS IS CONDUCTED BY THE HUMAN RESOURCES DEPARTMENT AND CHIEF EXECUTIVE OFFICER (CEO) OF SCAN GROUP, 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 DIRECTORS. 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 HEALTH CARE 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 COMPENSATION 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 DELIBERATION AND DECISIONS. THE OUTSIDE COMPENSATION CONSULTANT PROVIDING THE EXECUTIVE COMPENSATION REPORT AND GUIDANCE RELATED TO THE 2024 SALARY PACKAGE WAS MERCER. FORM 990, PART VI, SECTION C, LINE 19 SCAN HEALTH PLAN TEXAS, INC'S GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY WERE NOT MADE AVAILABLE TO THE PUBLIC. SCAN HEALTH PLAN TEXAS, INC FILED THE 2024 AUDITED STATUTORY-BASIS FINANCIAL STATEMENTS WITH THE TEXAS DEPARTMENT OF INSURANCE (DOI). SCAN HEALTH PLAN TEXAS, INC'S TAX RETURNS ARE AVAILABLE UPON REQUEST. FORM 990, PART VI, SECTION B, LINE 13 AND 14 SCAN HEALTH PLAN TEXAS ADOPTED THE FOLLOWING POLICIES OF SCAN GROUP: WHISTLEBLOWER POLICY, DOCUMENT RETENTION, AND DESTRUCTION POLICY. FORM 990, PART IX, LINE 11G PREMIUM DEFICIENCY RESERVE: PROGRAM SERVICE EXPENSES 578,601. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 578,601. HOSPITAL, PHYSICIANS, AND OTHER: PROGRAM SERVICE EXPENSES 2,853,528. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,853,528. PROFESSIONAL FEES: PROGRAM SERVICE EXPENSES 295,040. MANAGEMENT AND GENERAL EXPENSES 95,734. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 390,774. OTHER EXPENSES: PROGRAM SERVICE EXPENSES 58. MANAGEMENT AND GENERAL EXPENSES -409. FUNDRAISING EXPENSES 0. TOTAL EXPENSES -351. SCAN GROUP 3800 KILROY AIRPORT WAY SUITE 100 LONG BEACH CA 90806 953826037 ADMIN SUPPORT CA 501(C)(3) 12B, II N/A 0 THE SCAN FOUNDATION 3800 KILROY AIRPORT WAY SUITE 100 LONG BEACH CA 90806 450552845 GRANT MAKING CA 501(C)(3) 12B, II SCAN GROUP 1 SCAN HEALTH PLAN 3800 KILROY AIRPORT WAY SUITE 100 LONG BEACH CA 90806 953858259 MEDICARE ADVANTAGE CA 501(C)(3) 10 SCAN GROUP 1 SCAN HEALTH PLAN NEVADA INC 3800 KILROY AIRPORT WAY SUITE 100 LONG BEACH CA 90806 854288083 MEDICARE ADVANTAGE NV 501(C)(4) SCAN GROUP 1 SCAN DESERT HEALTH PLAN INC 3800 KILROY AIRPORT WAY SUITE 100 LONG BEACH CA 90806 854275186 MEDICARE ADVANTAGE AZ 501(C)(4) SCAN GROUP 1 HEALTHCARE IN ACTION 3800 KILROY AIRPORT WAY SUITE 100 LONG BEACH CA 90806 871858798 MEDICARE ADVANTAGE CA 501(C)(3) 10 SCAN GROUP 1 SCAN HEALTH PLAN (NM) 3800 KILROY AIRPORT WAY SUITE 100 LONG BEACH CA 90806 920651838 MEDICARE ADVANTAGE NM 501(C)(4) SCAN GROUP 1 SCAN HEALTH PLAN (WA) 3800 KILROY AIRPORT WAY SUITE 100 LONG BEACH CA 90806 332221084 MEDICARE ADVANTAGE WA 501(C)(4) SCAN GROUP 1 RESIDENTIALIST HOUSECALL LLC 4190 CITY AVE STE 528 PHILADELPHIA PA 19131 474320252 HEALTHCARE PA N/A 0 0 HEALTHCARE IN ACTION MEDICAL GROUP 3800 KILROY AIRPORT WAY SUITE 100 LONG BEACH CA 90806 871942811 HEALTHCARE CA N/A C 1 WELCOME HEALTH INC 3800 KILROY AIRPORT WAY SUITE 100 LONG BEACH CA 90806 863730275 MANAGEMENT CA N/A C 1 WELCOME HEALTH MEDICAL GROUP 3800 KILROY AIRPORT WAY SUITE 100 LONG BEACH CA 90806 872705807 HEALTHCARE CA N/A C 1 WELCOME HEALTH OF CALIFORNIA INC 3800 KILROY AIRPORT WAY SUITE 100 LONG BEACH CA 90806 920363899 HEALTHCARE CA N/A C 1 THE RESIDENTIALIST GROUP INC 3800 KILROY AIRPORT WAY SUITE 100 LONG BEACH CA 90806 330969912 MANAGEMENT CA N/A C 1 HOUSECALL DOCTORS MEDICAL GROUP INC 3800 KILROY AIRPORT WAY SUITE 100 LONG BEACH CA 90806 043644245 HEALTHCARE CA N/A C 1 RESIDENTIALIST HOUSECALL MEDICAL GROUP PC 4190 CITY AVE SUITE 528 PHILADELPHIA PA 19131 474053626 HEALTHCARE PA N/A C 1 PROSPER SERVICES LLC 3800 KILROY AIRPORT WAY SUITE 100 LONG BEACH CA 90806 872979343 MANAGEMENT DE N/A C 1 MYPLACE GREATER LA PACE INC 3800 KILROY AIRPORT WAY SUITE 100 LONG BEACH CA 90806 881512241 HEALTHCARE CA N/A C 1 MYPLACE SOUTH LA PACE INC 3800 KILROY AIRPORT WAY SUITE 100 LONG BEACH CA 90806 923486437 HEALTHCARE CA N/A C 1 MYPLACE CARE PARTNERS PC 121 S MOUNTAIN VIEW AVE LOS ANGELES CA 90057 932403550 HEALTHCARE CA N/A C 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 SCAN GROUP P 125628 BOOK VALUE SCAN GROUP C 4700000 BOOK VALUE SCAN HEALTH PLAN P 1241185 BOOK VALUE PART V, LINE 2: THE PERCENTAGE OF ALLOCATION TO AFFILIATED COMPANIES IS DETERMINED BASED ON ESTIMATED PERCENTAGE OF TIME WORKED, PERCENTAGE OF HEADCOUNTS, PERCENTAGE OF SCAN MEMBERSHIP, AND/OR THE PERCENTAGE OF BID SUBMISSION, AS APPROPRIATE BASED ON THE NATURE OF THE EXPENSE.