2025-11-12T02:16:04-06:00 2024-12-31 861065772 DELOITTE TAX LLP 50 SOUTH SIXTH STREET MINNEAPOLIS MN 55402 990 2024-01-01 920651838 SCAN HEALTH PLAN 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 X KAREN SCHULTE 3800 KILROY AIRPORT WAY 100 LONG BEACH CA 908065616 2626107 0 X WWW.SCANHEALTHPLAN.COM X 2022 NM KEEPING SENIORS HEALTHY AND INDEPENDENT 5 0 0 0 0 0 4600000 1400000 0 1189573 27229 36534 0 0 4627229 2626107 53200 24000 0 0 0 159139 0 0 0 1511510 2254894 1564710 2438033 3062519 188074 4270480 4818407 1220766 1579831 3049714 3238576 KEEPING SENIORS HEALTHY AND INDEPENDENT 0 0 2168431 24000 1189574 HEALTH CARE SERVICESAS A MEDICARE ADVANTAGE AND PRESCRIPTION DRUG PLAN (MAPD) IN NEW MEXICO, SCAN HEALTH PLAN (NM) 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. 2168431 0 1 0 0 0 0 0 0 0 0 0 0 1 0 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 23 0 1 0 0 0 0 0 0 0 0 0 X 5 0 0 0 1 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 0.50 39.50 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 1.00 39.00 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 EXPRESS SCRIPTS ONE EXPRESS WAY ST LOUIS MO 63121 PRESCRIPTION SERVICES 790576 1 1400000 1400000 MEDICARE PREMIUMS 900099 1189573 1189573 1189573 36534 36534 2626107 1189573 0 36534 X 24000 24000 134893 29376 105517 8962 1695 7267 6598 3560 3038 8686 1805 6881 578 1 577 57361 -12 57373 720 720 1745388 1696199 49189 330937 327342 3595 8801 8219 582 23934 5211 18723 25225 18280 6945 14243 10313 3930 962 914 48 145 145 871 636 235 403 63 340 BROKER COMMISSIONS 38853 38853 OTHER 5723 1854 3869 FEDERAL, STATE, COUNTY 497 67 430 DUES AND SUBSCRIPTIONS 253 55 198 2438033 2168431 269602 0 -1773 -3389 3181874 3266181 3905 523440 1710 1848 1084764 1030327 4270480 4818407 1160018 1579090 741 60748 0 1220766 1579831 X 3049714 3238576 3049714 3238576 4270480 4818407 188074 788 0 X 0 1 X 1 0 RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 RESTRICTED CASH 1025530 SECURITY DEPOSITS 4797 1030327 1225387 0 1225387 720 1400000 1400720 2626107 2437313 0 2437313 720 720 2438033 PART XI, LINE 4B - OTHER ADJUSTMENTS: CONTRIBUTION FROM SCAN GROUP 1,400,000. 1 CITY OF ALBUQUERQUE FOUNDATION ONE CIVIC PLAZA ALBUQUERQUE NM 87102 842644992 GOVERNMENT ENTITY 5500 0 SPONSORSHIPS FOR 4 EVENTS TO SUPPORT CITY OF ALBUQUERQUE'S OLDER ADULT PROGRAM FOR OLDER ADULTS (AGE 55+) IN BERNALILLO COUNTY. 1 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 -SCAN HEALTH PLAN (NM) 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 PLAN CEO AND SCAN GROUP BOARD OF DIRECTORS. 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, LINE 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 CONTRIBUTIONS MADE ON OR AFTER THAT DATE, A PARTICIPANT BECOMES VESTED IN THE 457(F) PLAN FOLLOWING A 4 YEAR CLASS VESTING CYCLE. SUPPLEMENTAL NON-QUALIFIED PLAN PAYMENTS WERE MADE DURING THE YEAR TO THE FOLLOWING 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 II, 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 4 THE ORGANIZATION CHANGED ITS NAME. 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 (NM) BOARD FOR REVIEW AFTER IT IS PREPARED, BUT PRIOR TO FILING. FORM 990, PART VI, SECTION B, LINE 12C SCAN HEALTH PLAN (NM) FOLLOWS SCAN HEALTH PLAN'S CONFLICT OF INTEREST PROCESS A DESCRIPTION OF THE PROCESS IS AS FOLLOWS: SCAN HEALTHPLAN 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 (NM), OFFICERS AND SENIOR VICE PRESIDENT OF SCAN HEALTH PLAN NEW MEXICO 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 (NM) GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY WERE NOT MADE AVAILABLE TO THE PUBLIC. SCAN HEALTH PLAN (NM) WAS REQUIRED TO FILE 2024 AUDITED STATUTORY-BASIS FINANCIAL STATEMENTS WITH THE NEW MEXICO OFFICE OF THE SUPERINTENDENT OF INSURANCE (DOI). SCAN HEALTH PLAN (NM) TAX RETURNS ARE AVAILABLE UPON REQUEST. FORM 990, PART VI, SECTION B, LINE 13 AND 14 SCAN HEALTH PLAN NEVADA 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 508,772. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 508,772. HOSPITAL, PHYSICIANS, AND OTHER: PROGRAM SERVICE EXPENSES 1,023,823. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,023,823. PROFESSIONAL FEES: PROGRAM SERVICE EXPENSES 163,585. MANAGEMENT AND GENERAL EXPENSES 49,315. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 212,900. OTHER EXPENSES: PROGRAM SERVICE EXPENSES 19. MANAGEMENT AND GENERAL EXPENSES -126. FUNDRAISING EXPENSES 0. TOTAL EXPENSES -107. 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 SCAN HEALTH PLAN TEXAS INC 3800 KILROY AIRPORT WAY SUITE 100 LONG BEACH CA 90806 872944493 MEDICARE ADVANTAGE TX 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 (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 0 0 0 SCAN GROUP C 1400000 BOOK VALUE SCAN HEALTH PLAN P 393746 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.