The Scan Foundation

“The scan foundation amended its bylaws in 2022 to provide for advisory councils, update language re emergency provisions to conform to changes in california law, and to provide that the membership of the executive committee of the board of directors consist of the board chair, chairs of the each of the four standing committees (audit, finance, compensation and governance) and the ceo.”

“The form 990 is prepared by deloitte tax, working in conjunction with the scan foundation executive team and finance/operations leadership. The scan foundation's sr director of operations has direct responsibility for this effort, subject to supervision by the vice president of innovation and investments and the president/ceo of the foundation. 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 foundation's 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, and the form 990 is reviewed in its entirety and accepted for filing by the audit committee of the board of directors of the scan foundation. All members of the board of directors receive a copy of the form 990 after it is prepared for filing, prior to filing.”

“The scan foundation regularly and consistently monitors and enforces compliance with its conflict of interest policy through annual circulation of a conflict of interest questionnaire which all members of the board of directors, officers and all members of the staff must complete and sign. The foundation's general counsel assists in monitoring the conflicts of interest questionnaire, and advises regrading adherence to these policies on an ongoing basis.”

“The process for determining the compensation of the president & chief executive officer (ceo) of the scan foundation is conducted by the compensation committee of the board of directors of the scan foundation, all the voting members of which are independent persons. In determining the compensation of the president & 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 organization 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 president & 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 the scan foundation based upon certain industry standard metrics. The compensation committee deliberates on the issue of the president & 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 such deliberations, the compensation committee makes a recommendation to the board of directors of the scan foundation regarding the compensation package for the ceo for the following year. The full board of directors of the scan foundation deliberates on and then votes on such recommendation; the president & chief executive officer 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 document such deliberations and decisions. The outside compensation consultant providing the executive compensation report and guidance related to the 2022 salary package was sullivan cotter. The process for determining the compensation of officers or other key employees of the scan foundation is conducted by the human resources department, the chief executive officer and the compensation committee of the board of directors of the scan foundation, all of the voting members of the 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 non-profit organization 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 and compensation committee every year which furnishes the basis for the establishment of such employees' 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 that are considered comparable to the scan foundation based on various metrics. The president & ceo makes a recommendation to the compensation committee with respect to each of such employees' 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 such report and other matters relevant to such package; pursuant to their deliberations, the compensation committee makes (1) 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 document such deliberations and decisions. The decisions of the compen”

“The scan foundation governing documents and conflict of interest policy are not made available to the public. The scan foundation makes its form 990, which contains financial information, available for public inspection. The scan foundation's audited financial statements are also made available for public inspection.”

“In 2022, alive ventures (av), a wholly-owned for-profit subsidiary established and funded by the foundation, was dissolved. The purpose of av was to further the foundation's mission by creating brands, products and services that help enrich the lives of older adults. A decision was made by the foundation's board of directors that the foundation's mission could be better accomplished by pursuing alternative strategies.”

“Seven foundation (7f) collaborative: with arnold ventures, the commonwealth fund, and the scan foundation support, chcs selected medicaid agencies in colorado, hawaii, maine, north carolina, texas, virginia, washington, and wisconsin to participate in (https://www.chcs.org/project/medicare-academy-capacity-building-for-sta tes-advancing-medicare-medicaid-integration/).this project has highlighted california as a leader in medicare-medicaid integration. Both california's experience with the state's transition from the cal mediconnect (integrated care demonstration) program to a d-snp-based model and the state's office of medicare and medicaid innovation and integration informed the medicare academy's training curriculum. Chcs is also testing the medicare academy using a single-state model, which california was selected to receive. States continue to plan and implement home- and community-based services (hcbs) through american rescue plan act (arpa) funding. A proposal for additional support to states and to track the hcbs impact is included and funded by the john a. Hartford foundation, the care fund, and milbank memorial fund. Greater good studio (ggs) (https://greatergoodstudio.com/) with funding from the foundation, collected input through conversations with key stakeholders, including the scan foundation staff and steering committee members, as well as other individuals and organizations identified by the committee, and conducted a landscape review of organizations and individuals currently active in the aging space. The steering committee met on december 9, 2022, at the metta fund offices in san francisco, ggs shared insights and learnings that emerged from their research. The foundation expects to home in on 3-5 key drivers leading the work in the initiative's second phase when ggs will engage populations from historically marginalized communities. The foundation will ensure that it takes a person-centered and equitable approach to identifying and prioritizing issues and designing solutions. Finally, the foundation sought to have national experts endorse a consensus statement recommending the permanency of key medicare and medicaid flexibilities that advance person-centered care. In 2022, the foundation oversaw the development of a working group of experts representing insurer, consumer, and provider perspectives. The final roadmap was released with 100% of working group members endorsing the product. In addition, we organized a presentation of the roadmap to selected congressional staff and led a public, national webinar on the roadmap. Thematic goal 2: build resilience and capacity. Support the development, accelerate the testing and de-risking new partnerships, products and services that support older adults. Our second thematic goal focuses on reframing and broadening the dialogue of needs older adults have from worries to opportunities and investing in the incubation, testing, and launching of products and services. This effort was led by the foundation's subsidiary organization, alive ventures (av). Through investing in entrepreneurs early in the development of their ideas, av aimed to become a leader in this space and draw in other investors. In 2022, a decision was made to dissolve av and consider alternative strategies to further goal 2. Thematic goal 3: drive responsive financing policies support and encourage responsive federal and state financing policies to create meaningful care choices for older adults of today and tomorrow. Our third thematic goal acknowledges that the vast majority of older adults will need some daily living support as they age. The likelihood that any individual might need long term services and supports (ltss) is quite variable, with approximately 20 percent of older adults never requiring support while a slightly lower percentage will need high levels of care for five or more years. These costs can be quite substantial, and for many older adults living on fixed incomes, they can easily”

“Quality measurement: the national committee for quality assurance (ncqa) joined with individuals and families, research experts, and care organizations to develop person-centered outcome measures (https://www.ncqa.org/hedis/reports-and-research/pco-measures/). A july 2022 article in health affairs, could person-centered care be the secret to achieving the triple aim? (https://www.healthaffairs.org/do/10.1377/forefront.20220708.832806), highlighted how person-centered outcome measures could facilitate quality measurement for person-centered care. The article linked to the original piece (https://www.healthaffairs.org/do/10.1377/forefront.20220609.309858) by dr. Sarita mohanty, the foundation's president and ceo, and terry fulmer. In the fall 2022, ncqa launched two learning collaboratives to test the new measures in seven organizations serving primary care/ltss populations and 14 organizations serving a behavioral health population. Also, the national quality forum invited the foundation to serve on the measure applications partnership post-acute care/long-term care workgroup (https://www.qualityforum.org/projectdescription.aspx?projectid=75370). In partnership with cms, the workgroup provides input on measures under consideration by the u.s. Department of health and human services. Polling: with foundation funding, norc developed and disseminated three omnibus polls: equity and aging in community in spring: https://www.longtermcarepoll.org/project/equity-and-aging-in-the-communi ty/; americans' readiness to emerge from the pandemic and changes to daily life in summer: https://www.longtermcarepoll.org/project/americans-readiness-to-emerge-f rom-the-pandemic-and-changes-to-daily-life/; and support for greater government role in health care for older adults in fall: https://www.longtermcarepoll.org/project/support-for-greater-government- role-in-health-care-for-older-adults/. The associated press put out related articles, such as americans give health care system failing mark: ap-norc poll (https://apnews.com/article/covid-health-medication-prescription-drug-co sts-drugs-63b342945f9b6ab3ce0ed3920deb935a). The fall poll found that 58 percent of black adults and 56 percent of hispanic adults are very or extremely concerned about having access to high-quality health care when they need it, compared to 44 percent of white adults. The release quoted dr. Mohanty (https://www.longtermcarepoll.org/wp-content/uploads/2022/09/apnorc-tsf- press-release-sept.-2022-final.pdf). Senator bernie sanders also cited the fall survey on the senate floor and submitted it to the (https://www.congress.gov/congressional-record/volume-168/issue-147/sena te-section/article/s4553-1?q=%7b%22search%22%3a%22norc%22%7d&s=3&r=1). Aging portrayals in entertainment: in august 2022, the foundation judged 15 aging-related storylines submitted to 2022's sentinel awards. Hollywood, health & society and the foundation supported and disseminated a research study conducted by the university of pittsburgh and published in the journal of health communication (https://upmc-press-release-distribution.newsweaver.com/jy0g2lveeh/55eyk z9rpu388pvo6na9ov?email=true&lang=en&a=6&p=9778765&t=3123888) about the impact of the television series this is us. Through our grant, hh&s produced a short celebrity video (https://youtu.be/3z9kzer7mti) starring norman lear, george takei, marla gibbs, mimi kennedy, george wallace, and sarita mohanty that encourages viewers to rethink aging, as well as for writers to include older characters in their storylines. Video views at the time of reporting were 584,672. Diversity, equity and inclusion goal develop and begin implementing a comprehensive diversity, equity, and inclusion (dei) strategy for the foundation's investment and grant operations. Recent events showed how societal inequities still exist and may be inadvertently perpetuated by philanthropic policies and practices. Dei goal successes: during 2022 a comprehensive dei framework and relat”

“Investments program related include both mission impact investments ("miis") and program investments ("pis") mission impact investments are part of the foundation's portfolio of program activities, in addition to grant making and program expenses, with the primary purpose to advance the foundation's mission. Miis are investments in securities of companies that off products or services that further the foundation's mission while offering a reasonable rate of return commensurate with the risk associated with the investment. While obtaining a market rate of return is a significant objective, it is not the primary objective. These equity investments are recorded at cost and separately from the foundation's primary investments portfolio. Program investments are made in addition to traditional grants and external program expenses.”

“Unexpended grants 54,402.”

“Unexpended portions of grants: the scan foundation keeps track of its grantee's spending to ensure that the dollars are spent towards the intended grant purposes. If a project spends less than the initial grant amount, the scan foundation writes off the remaining amount or the unspent funds are refunded to the scan foundation.”