Scan Health Plan

“The sole member of the organization is scan group, a california nonprofit public benefit corporation.”

“The sole member has the power to appoint the members of the board of directors.”

“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 draft form 990 is review in pertinent part by the compensation committee of the board; the form 990 is provided in its entirety to the audit and compliance committees of the board of directors of scan group, and all members of the board of directors for review after it is prepared, and prior to filing.”

“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 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 the executive team also have responsibility for enforcement. The legal department of scan group reviews all contractual relationships entered into by the organization and scan's 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.”

“The compensation for the chief executive officer of scan group and scan health plan is paid by scan health plan. The process for determining the compensation of the ceo of scan health plan is conducted by the compensation committee of the board of directors of scan group, all the voting members of which are independent persons. In determining the compensation of the 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 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 compensation committee each year which furnishes the basis for determining the 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 scan health plan based upon certain industry standard metrics. The compensation committee deliberates on the issue of the 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 these deliberations, the compensation committee makes a recommendation to the board of directors of scan group regarding the compensation package for the ceo for the following year. The full board of directors of scan group deliberates and then votes on such recommendation; the ceo 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 substantiate 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 the chief financial officer of scan health plan follows the same process as described above for the ceo. The process for determining the compensation of officers and senior vice presidents of scan health plan and scan group is conducted by the human resources department of scan group and chief executive officer (ceo) of scan health plan, 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 scan health plan 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”

“Scan health plan's governing documents and conflicts of interest policy are not made available to the public. Scan health plan's audited financial statements are publicly available through the department of managed healthcare's website and tax returns are available on request.”

“The health care services programs at scan are evidenced-based and aligned with geriatric best practices. They include but are not limited to, complex care management, advanced illness management, memory program, disease management, and care navigation and coordination. The programs are aligned with the institute for healthcare improvement programs triple aim framework. Triple aim and seek to ensure: - a safe and satisfying health care experience - improved health outcomes for individuals and populations - access and affordability for our members in general, population based quality activities are performed by scan's health care services department, which includes a dedicated and highly qualified team of registered nurses and master's prepared social workers, supported by an interdisciplinary team of nurses, social workers, gerontologists, a board-certified geriatrician, a behavioral health specialist, and a clinical pharmacist. Scan health plan supported the formation of the scan foundation in 2007 with a contribution of $205 million; for calendar year 2022 the scan foundation awarded grants in the amount of $6,990,704 and incurred program expenses in the amount of $4,632,521. In addition, scan health plan participates in numerous activities related to the care of seniors which provide significant community benefit, including but not limited to the following: 1. Support california association of long-term care medicine (caltcm) by providing ceo and board members educational programs including covid management and education: caltcm is an organization of professionals in the long-term care field. The organization offers performance improvement education programs to improve the quality of care and professionalism of staff in long-term settings. 2. National committee for quality assurance (ncqa): long-term services and support advisory committee member; this committee assists ncqa with the development of quality standards for long-term services and support (ltss). 3. Board member of wise & health aging: serve as board member of community agency that serves vulnerable older people in santa monica and the vicinity. Develops capacity of agency to better serve population. 4. Service on boards of directors and committees for industry groups i.e., resource, initiative and society for education (rise); pharmacy quality alliance and, ahip; these and other industry groups create policy and share best practices on subjects ranging from audit and encounter submission to general industry issues; our employees are active members of many other organizations as well. 5. Trading ages: scan's hallmark experiential training to help build awareness and sensitivity to the aging process was presented 36 times to diverse groups such as: abrazar, inc., california state long beach gerontology students, clark county social service, human options, human services association, ihss public authority (riverside county), ihss public authority (ventura county), included health, jewish family services of the desert, latino health care access, oc pace, project angel food, senior coalition of stanislaus county, stanislaus county csa adult programs & partner agencies, stanislaus co-ombudsman program-catholic charities, trillium property management, western community housing, inc., women's transitional living center (wtlc). A total of 447 were trained through these classes. 6. Addressing older adult homelessness: scan continues to work in partnership with the los angeles housing services authority to focus on the growing older adult homeless population through working to collaborate, educate and support service delivery and health of older adults. Collaboration included participation in meetings, workgroups, and other forums to educate attendees regarding available services and resources to help this population succeed. These activities included working with senior housing providers, recuperative care programs as well as medical groups. 7. Volunteer time off (vto): e”

“Iah is funded by state contract as well as scan health plan. The programs are geared to support the underserved, frail and disabled seniors in our community. Iah's hallmark programs are: - multipurpose senior services program (mssp): since 1977, this program has provided long-term in-home care management for adults 65 plus who qualify for medi-cal. - insights: this program provides mental health support. - community medication, education, data & safety (cmeds): in-home medication safety and adherence program. 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, community giving, collaborates with 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; and 3) the organization is at least two years old. Successful candidates are added to the larger scan health plan grantee pool. B. Short listing potential grantees - the directors and community giving staff use various methods, including outbound calls, internet research, and industry ratings 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, community giving or designee, places an outreach call to the prospective grantee organization. The grantee organization is informed of its selection to apply for a one-time grant via scan's online grant tracking system. The director, community giving or designee reviews each application in order to make a 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 emergency need due to a public health emergency or 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 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 f”

“Hospital, physicians, and other: program service expenses 3,909,486,663. Management and general expenses 0. Fundraising expenses 0. Total expenses 3,909,486,663. Premium deficiency reserve: program service expenses -49,950,975. Management and general expenses 0. Fundraising expenses 0. Total expenses -49,950,975. Professional fees: program service expenses 29,338,700. Management and general expenses 16,629,044. Fundraising expenses 0. Total expenses 45,967,744.”