Civic Intelligence

Scan Long Term Care

990 • Fiscal year 2014 • EIN 20-4607594

Jan 01, 2014 to Dec 31, 2014 • Filed on Nov 06, 2015

3800 Kilroy Airport Way Suite 100Long Beach, CA 90806-5616

(562) 989-5100

Siviq Scores

Precomputed percentiles for this filing year versus similar nonprofits in the same peer cohort.

Liabilities / Assets

Score unavailable

No value available

Liabilities-to-assets requires both liabilities and assets on this filing.

Source year 2014

Liabilities / Revenue

Score unavailable

No value available

Liabilities-to-revenue requires both liabilities and revenue on this filing.

Source year 2014

Net Margin

Score unavailable

No value available

Net margin requires both revenue and expenses on this filing.

Source year 2014

Top Officer Pay

100th percentile

$1,528,210

Higher top officer pay than 100% of similar nonprofits.

2014 filings • 501(c)4 • <$500k nonprofits • Source year 2014

Asset Growth

1st percentile

-100%

Faster asset growth than 1% of similar nonprofits.

2014 filings • 501(c)4 • <$500k nonprofits • Annualized from 2013 to 2014

Revenue Growth

Score unavailable

No value available

A valid growth rate could not be computed from the available filing history.

Annualized from 2013 to 2014

Assets

Down

$0

Down $31,200 (-100%) from 2013

Net Assets

Down

$0

Down $1,063 (-100%) from 2013

Liabilities

Down

$0

Down $30,137 (-100%) from 2013

Revenue

Up

$0

Up $61,528 (+100%) from 2013

Expenses

Up

$0

Up $876,801 (+100%) from 2013

Net Income

Down

$0

Down $815,273 (-100%) from 2013

Historical Trend

Balance Sheet Trend

The highlighted filing sits inside the broader history for assets, liabilities, and net assets.

$30M$20M$10M$0Assets 2010: $29,525,796Liabilities 2010: $19,515,972Net Assets 2010: $10,009,8242010Assets 2011: $20,568,081Liabilities 2011: $19,350,312Net Assets 2011: $1,217,7692011Assets 2012: $3,117,742Liabilities 2012: $934,766Net Assets 2012: $2,182,9762012Assets 2013: $31,200Liabilities 2013: $30,137Net Assets 2013: $1,0632013Assets 2014: $0Liabilities 2014: $0Net Assets 2014: $02014

Highlighted filing

2014

Assets$0
Liabilities$0
Net Assets$0

Operations Trend

Revenue, expenses, and net income across loaded years, with this filing highlighted.

$150M$100M$50M$0-$50MExpenses 2010: $128,079,4992010Expenses 2011: $121,337,1822011Expenses 2012: $29,575,9752012Revenue 2013: -$61,528Expenses 2013: -$876,801Net Income 2013: $815,2732013Revenue 2014: $0Expenses 2014: $0Net Income 2014: $02014

Highlighted filing

2014

Revenue$0
Expenses$0
Net Income$0
Jump To
Filing Snapshot
Filing Period
Jan 1, 2014 to Dec 31, 2014
Signed
Nov 6, 2015
Return Version
2014v5.0
Gross Receipts
$0
Mission and Program Overview

Mission

To serve and improve the lives of the frail, elderly residents of arizona by providing medical and pharmacy services, coordinated care, social services and other services to a geriatric population that is underserved and at risk.

To serve and to improve the lives of the frail, elderly residents of arizona.

Balance Sheet Detail
LineBeginningEndChange
Assets
Cash and Non-Interest-Bearing Accounts$31,200$0▼ $31,200
Savings and Temporary Cash Investments$0$0→ $0
Accounts Receivable$0$0→ $0
Other Notes and Loans Receivable, Net$0$0→ $0
Pledges and Grants Receivable$0$0→ $0
Receivable From Disqualified Prsn$0$0→ $0
Receivables From Officers Etc$0$0→ $0
Investments Other Securities$0$0→ $0
Investments Program Related$0$0→ $0
Investments in Publicly Traded Securities$0$0→ $0
Land, Buildings, and Equipment, Net$0$0→ $0
Intangible Assets$0$0→ $0
Inventories for Sale or Use$0$0→ $0
Loans From Officers Directors$0$0→ $0
Prepaid Expenses and Deferred Charges$0$0→ $0
Total Assets$31,200$0▼ $31,200
Other Assets Total$0$0→ $0
Liabilities
Other Liabilities$25,771$0▼ $25,771
Accounts Payable and Accrued Expenses$4,366$0▼ $4,366
Grants Payable$0$0→ $0
Mortgage Notes Payable Secured by Investment Property$0$0→ $0
Unsecured Notes Loans Payable$0$0→ $0
Deferred Revenue$0$0→ $0
Escrow Account Liability$0$0→ $0
Tax Exempt Bond Liabilities$0$0→ $0
Total Liabilities$30,137$0▼ $30,137
Net Assets / Fund Balance
Unrestricted Net Assets$1,063$0▼ $1,063
Permanently Rstr Net Assets$0$0→ $0
Temporarily Rstr Net Assets$0$0→ $0
Total Net Assets Fund Balance$1,063$0▼ $1,063
Total Liabilities and Net Assets / Fund Balance$31,200$0▼ $31,200
Compensation and Service Providers

Employees

NameTitleOtherTotal
Justin HuebachBroker Representative$149,108$149,108

Board Members and Trustees

NameTitle
Christopher WingChairman
Catherine BatteerPresident/CEO
William RothDirector
Vinod MohanChief Financial Officer
Janet KornblattLegal Counsel
Walter R StoneOutgoing CFO
Douglas JaquesOutgoing Legal Counsel
Brian GouziouSales Representative
Nancy MonkSecretary
Richard PeitzmeierVP - Sales
Wendy KarstenVP, General Manager
Revenue and Support

Revenue Composition

Contributions and Grants
$0
Program Service Revenue
$0
Investment Income
$0
Other Revenue
$0
Change in Net Assets
$0
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Grants and Similar Amounts Paid$0
Other Expenses$0
Professional Fundraising Fees$0
Salaries, Compensation, and Employee Benefits$0
Total Fundraising Expense$0
Fundraising, Events, and Gaming
Fundraising activities
No
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Professional Fundraising Fees$0
Political and Lobbying Activity
Political campaign activity
No
Subject to proxy tax
No
Insider Transactions and Loans

Loans and Receivables

Line ItemBeginningEndChange
Loans from Officers, Directors, Trustees, and Key Employees$0$0→ $0
Receivables from Disqualified Persons$0$0→ $0
Receivables from Officers, Directors, Trustees, and Key Employees$0$0→ $0
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Annual disclosure for covered persons
Yes
Audit committee
Yes
Backup withholding compliance
No
Business relationship with family members
No
Business relationship with organization members
No
Material changes to governing documents
No
Compensation from other sources disclosed
No
CEO compensation reviewed
No
Other officer compensation reviewed
No
Conflict-of-interest policy
Yes
Audited financial statements prepared
Yes
Key decisions subject to board approval
No
Management duties delegated
No

Governance Explanations

Form 990 - Governing Body and Management - Part VI, Section A, Line 6

The sole member of the organization is SCAN Health Plan Arizona, a Arizona nonprofit corporation.

Form 990 - Governing Body and Management - Part VI, Section A, Line 7

The sole member has the power to appoint the members of the Board of Directors.

Form 990 - Policies - Part VI, Section B, Line 11B

The Form 990 is prepared by BDO USA, 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 SCAN Health Plan Controller. After an initial draft of the Form 990 is prepared, it is circulated for review and comment by relevant members of the executive team who have responsibility and/or knowledge about the various matters disclosed and/or described in the Form. The General Counsel, in particular, reviews the Form 990 and ensures accuracy of descriptions and that disclosure is complete. The draft Form 990 is reviewed by the Audit and Compliance Committee in addititon to the compensation committee of the Board of Directors of SCAN Group, and is shared with all members of the Board of Directors after it is ready for filing but before it is filed.

Form 990 - Policies - Part VI, Section B, Line 12C

SCAN Long Term Care regularly and consistently monitors and enforces compliance with its conflict of interest policy through annual circulation of a conflict of interest questionnaire which is required to be answered by all members of the Board of Directors, officers and members of executive management. In addition, there is regular education and enforcement through oversight of such policy and the SCAN Long Term Care Gift and Business Courtesies Policy with respect to each department by members of the senior executive team with responsibility for such department. The Legal Department of SCAN Group reviews all contractual relationships entered into by the organization and the General Counsel of SCAN Group is responsible for monitoring conflicts of interest through the annual circulation and review of the conflict of interest questionnaire. Accordingly, the Legal Department of SCAN Group through the General Counsel is in a position to monitor and enforce compliance with the policy on an ongoing basis.

Form 990 - Policies - Part VI, Section C, Line 19

SCAN Long Term Care's governing documents and conflict of interest policy are not made available to the public. SCAN Long Term Care's December 31, 2014 financial statements are not required by Arizona Health Care Cost Containment System (AHCCCS), and are therefore not made available to the public.

Filing and Contact Details

Filer

Filer Name
Scan Long Term Care
EIN
20-4607594
In Care Of
% VIRGINIA HAVAI
Phone
5629895100
Address
3800 KILROY AIRPORT WAY SUITE 100, LONG BEACH, CA 90806-5616

Signing Officer

Name
Nancy Monk
Title
CRO
Phone
5629895100
Signed
2015-11-06
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Christopher Wing
Formed
2006
Legal Domicile
Az
Voting Board Members
3
Independent Board Members
0
Employees
0
Volunteers
0

Preparer

Firm
Bdo USA Llp
Address
3200 BRISTOL ST 4TH FLOOR, COSTA MESA, CA 92626
Preparer
Walter H Hick Jr
Phone
7149573200
Supplemental Narrative

Additional Explanations

Form 990 - Reconciliation of Net Assets - Part XII, Line 9

Transfer of net assets to scan health plan arizona -1,063

Form 990 - Statement of Program Service Accomplishments - Part III, Line 3

On December 22, 2011, the Company provided written notice to AHCCCS terminating the ALTCS program contract. On January 23, 2012, AHCCS notified the Company that the termination would be effective May 1, 2012. On November 4, 2013, AHCCS released SCAN Long Term Care's financial obligation with respect to the program. All operations ceased, and as of 12/31/2014 the balance sheet closed to zero. On May 11, 2015, the Arizona Department of Revenue issued to the Company a Certificate of Compliance for Dissolution or Withdrawal.

Financial Statement Notes

Form 990 - Schedule D - 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, 2014 and 2013, there were no liabilities recorded for uncertain tax positions.

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IRS990ScheduleD/SupplementalInformationDetail/ExplanationTxt0Under 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, 2014 and 2013, there were no liabilities recorded for uncertain tax positions.
IRS990ScheduleD/SupplementalInformationDetail/FormAndLineReferenceDesc0FORM 990 - SCHEDULE D - PART X, LINE 2
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