The Scan Foundation

“The foundation's articles of incorporation provide that amendments to the articles generally may be adopted if approved by the board of directors with a two-thirds majority. However, with respect to any amendments to the purposes clause of the articles, including the requirement that the foundation be organized and operated exclusively to support the scan health plan, the foundation must obtain the written approval of the california department of managed healthcare.”

“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 finance and operations has direct responsibility for this effort, subject to supervision by 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 2024 salary package was sullivan cotter. Form 990, part vi, section b, line 15b: 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 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 de”

“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.”

“During 2024, the foundation focused on progress across each of the strategic objectives above. As in the past, the foundation's grant-making is primarily for the benefit of californians. However, since care for california seniors is largely financed by the federal government (through medicare and medicaid), the policy work of the foundation also has a federal focus. The following highlighted projects shaped progress in the foundation's strategic objectives in 2024: strategic objective #1. Models of care evolve models of care and financing so that health and aging supports reflect needs and preferences. The foundation's leadership and collaborative partnerships have challenged longstanding myths and marshaled key stakeholders to advance the promise of a coordinated system of person-centered care. Successes norc at the university of chicago completed groundbreaking research on the "near dual" population, offering an unprecedented analysis of this vulnerable group of older adults' demographics, needs, coverage dynamics, and actionable policy recommendations. The findings were shared during a widely attended capstone webinar featuring the foundation, norc leaders, and key advisors, including the new california health and human services secretary, sparking important dialogue on policy implications. The people say: the foundation co-led a highly successful plenary presentation at the national association of medicaid directors (namd) annual meeting, showcasing the people say platform and featuring stories from older adults, drawing interest from over 1,000 medicaid policymakers and stakeholders. Follow-up inquiries from key leaders, including medicaid directors and health foundation executives, highlight the platform's impact, further amplified through two virtual briefings attended by nearly 300 federal and state agency experts. To sustain this momentum, the foundation aims to expand people say to new geographies and populations. National plan on aging: the foundation is co-planning two additional interagency coordinating committee on healthy aging and age-friendly communities listening sessions in early 2025, focusing on indigenous communities in arizona and stakeholders in san diego, co-funded by the john a. Hartford foundation and west health. Additionally, the foundation released a blog highlighting the development of the national plan on aging by the administration for community living (acl). Long-term care (ltc) financing: at the october 2024 scan foundation board strategic planning session, dean rosen emphasized the importance of education related to long term services and supports reforms. The foundation's forthcoming ltc compendium, developed with umass boston and reviewed by bipartisan experts, will serve as a trusted resource for policymakers. Medicare advantage supplemental benefits: health affairs has accepted the foundation's co-authored blog with ati advisory, analyzing medicare advantage supplemental benefit data and highlighting beneficiaries' lived experiences, aiming to inform policymakers under the new administration and congress. State policy the scan foundation remains a key leader in advancing health and aging policy in california, navigating a complex fiscal and political landscape in 2025 that includes a projected $2 billion deficit, significant legislative turnover, and new administrative leadership. The appointment of kim johnson as secretary of california health and human services presents an opportunity to strengthen partnerships, leveraging her understanding of total health beyond medical care to advance the foundation's priorities. Despite anticipated federal medicaid changes, the state's master plan for aging (mpa) continues to serve as a guiding framework for defending and advancing critical policy progress during this period of uncertainty. Multisector plan for aging (mpa) the multisector plan for aging (mpa) movement continued to grow stronger in california, other states, and at the federal level.”

“California local mpa efforts the scan foundation supported the development of a rural mpa toolkit published in 2024 informed by local mpa efforts in three rural regions. The toolkit describes 10 steps for rural communities to develop a local mpa and includes case studies and links to over 125 templates, tools, and external resources. The toolkit has been utilized in ca and rural communities across the nation. The next phase of rural mpa-focused work kicked off in late 2024 drawing from the needs assessments and data gathered as part of the ca rural mpa efforts to develop three policy briefs bringing attention to rural aging by highlighting challenges and policy solutions focused on housing and homelessness, long-term services and supports workforce, and health care access. The policy briefs will be published in 2025. Mpa in other states mpa interest across states continues to grow. Engagement in the center for health care strategies (chcs) collaborative and survey results from a chcs survey across 50 states reveal: 27 states are engaged in mpa development and/or implementation. 8 states have or expect funding to support mpa (funding amounts ranged from $70,000 per year for two years to $1 million). The funding is coming from multiple sources, including state budgets, american rescue plan act (arpa) funds, philanthropy, state lottery, and no wrong-door (nwd). 8 states are currently supporting or plan to support local mpa development/implementation. The third phase of the mpa work with chcs builds on the foundation's investment and advances the foundation's leadership, and includes: continuing to engage and support beyond our mpa learning collaborative cohort 1 and 2 states through continued technical assistance to support development and implementation efforts; engaging and supporting several new states that are just beginning their mpa journey as part of a third cohort; creating a toolkit and in-person workshops for states and stakeholders at all stages of mpa development to learn about developing, implementing, refreshing, and measuring progress in mpas; and supported by west health, the development of a national aging dashboard for states creating mpas and non-mpa states that are thinking about data but do not have their own aging-focused dashboard. National mpa development and support to states: the scan foundation-funded listening sessions the acl, through the interagency coordinating committee (icc) on healthy aging and age-friendly communities, submitted its initial report to congress on the national framework for aging. The foundation is acknowledged as a collaborator of the icc. In addition, the report acknowledged the first of four sessions the foundation is supporting, with public policy lab, to ensure the voices of people are heard and at the center of the national plan. This first session was held may 3 in washington, dc, where 80 older adults shared their experiences. An additional 3 were in pennsylvania, alabama, and texas. As part of this work a community engagement toolkit was developed to support other communities and states in listening to and incorporating what they have heard into the development of their mpa. Strategic objective #2. Data equity drive representation in data collection and analysis across the health and social care ecosystem. Emerging ai technologies hold great promise to improve healthcare and serve vulnerable older adults, yet the rapid rate of development and adoption raises real concerns around fairness, accountability, and transparency. Disparities will increase for the foundation's priority population if the foundation does not champion a standard of technology-enabled care that is rooted in fairness and quality. The foundation's data portfolio champions solution-oriented programs that take action to safeguard and protect vulnerable older adults and prevent widening health disparities fueled by unrepresentative data and weak ai governance. Successes during 2024, the foundation partnere”

“Strategic objective #4. Health equity in aging reduce health disparities and improve the lives of all older adults. In october 2022, the foundation launched the advancing health equity in aging initiative to reduce health disparities and improve the lives of older adults from historically underserved communities. In 2024, our efforts were focused on activating a diverse, cross-sector network of aging, disability, and other advocates for vulnerable populations, along with older adults with lived experience. Successes harnessing momentum harnessing momentum (hm) has proven to be a valuable tool for education and awareness of some of the most relevant challenges facing health disparities of older adults in ca and nationally. Hm is the first of its kind partnership platform- designed to engage with new and existing partners towards a common goal of increasing the importance of a cross-sector conversation to gain attention to the issues impacting vulnerable older adults in alignment to contribute to a shift in power and intent to harmonize across sectors present in our eip 2: health equity. Hm continued its virtual programming and collective action opportunities in 2024 by meeting the following objectives and key activities: to provide a virtual forum for education, networking, and exploration of health disparity issues for the diverse communities of ca. To facilitate the creation of meaningful partnerships between advocates, cross-sector leaders, & philanthropy in ca and nationally. United for health equity in aging summit on september 18th, the scan foundation hosted its second annual united for health equity in aging summit engaging with over 200 attendees from the aging, disability sectors and other advocates for vulnerable communities. The foundation's community impact team worked with a group of 10 diverse experts health equity (he) advisors to guide this work/event. A noteworthy 98% of attendees rated the event as excellent or good - confirmation of the value and impact that the foundation continues to deliver to stakeholders. 2024 summit: opening keynote from manuel pastor, director of usc dornsife equity research institute, distinguished professor of sociology, who discussed where policy can play a role in centering equity, and the necessary movement building to create a more inclusive future. Afternoon keynote: civil rights icon and trailblazer dolores huerta, highlighted the power of movement-building, the value of intergenerational and cross-sector partnerships, and the vital links between health, culture, and income in the u.s., drawing from her life and experiences. Three plenaries focused on how to lead change when the journey is difficult; state of the state of health equity; and early learnings on community-driven change: equity community organizing (eco) groups. Closing keynote: daniel dawes, senior vice president, global health & founding dean of the school of global health at meharry medical college and author of the political determinants of health on his firsthand experience shaping major federal policies. He provided a history of the seemingly inseparable interconnection of politics and health, as well as a novel non-partisan, multidisciplinary framework for addressing existing barriers. For the first time, the foundation hosted (8) virtual watch parties, with 184 older adults across the state to expand access to & engagement in the summit by community members. Equity community organizing (eco) groups four communities in california began working to create eco groups in 2024. These groups are comprised of community members and stakeholders. At least 50% of the members are people 65 or older. The groups are identifying challenges in their community and codesigning solutions to address these to ensure older adults can thrive in their community. The communities and their focus areas include: imperial county - community gathering and shared spaces, social and recreational engagement, connection, support, and resou”

“Bank fees: program service expenses 0. Management and general expenses 12,756. Fundraising expenses 0. Total expenses 12,756. Communications services: program service expenses 353,448. Management and general expenses 232,999. Fundraising expenses 0. Total expenses 586,447. Professional development: program service expenses 0. Management and general expenses 15,465. Fundraising expenses 0. Total expenses 15,465. Program consultant: program service expenses 501,801. Management and general expenses 876,787. Fundraising expenses 0. Total expenses 1,378,588.”

“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 offer 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 215,108.”

“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.”