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  • Gold Coast Health Plan will be closed Dec. 24, 2021 and Jan. 3, 2022.

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Fast Facts About Us

October 2021

Compassionate care, accessible to all, for a healthy community

Members: 240,807

Projected Income Statement FY2021–22

Projected Membership by June 2022 212,383
Projected Operating Revenue $953,793,473
Projected Medical Expenses $874,738,491
Projected Administrative Expenses $62,421,728
Projected Net Gains $16,633,255
Projected TNE $114,451,945
Projected Required TNE $36,466,424
Percent of Required 314%

Membership Growth

Fiscal Years 2011–2022

2021-22: 240,807; 2020-21: 222,384; 2019-20: 199, 648; 2018-19: 193,646; 2017-18: 196,793; 2016-17: 201,454; 2015-16: 206,920; 2014-15: 187,800; 2013-14: 155,996; 2012-13: 105,910; 2011-12: 102,130

Membership by Supervisorial District

District 1: 37,546, Matt LaVere; District 2: 23,237, Linda Parks; District 3: 44,237, Kelly Long; District 4: 34,924, Bob Huber; District 5: 95,964, Carmen Ramirez; Other: 4,989

Membership by
Age

Ages 0-5: 12%; Ages 6-17: 27%; Ages 18-64: 52%; Ages 65+: 9%

Membership by
Spoken Languages

English: 64%, Spanish: 34%, Other: 2%

Membership by
Aid Category

Families: 54%; Adult Expansion: 31%; Duals (dually Eligible for Medicare and Medi-Cal): 11%; SPD (Seniors and Persons with Disabilities): 4%

Who We Serve

1 in 2
Ventura County children (ages 0–5)

1 in 5
Ventura County residents

1 in 8
Ventura County seniors

Our Provider Network

438 Primary Care Providers
3,384 Specialists*
24 Hospitals
19 Acute Care Hospitals
5 Tertiary Hospitals
528 Behavioral Health Providers
518 Pharmacy Providers in Ventura and Neighboring Counties
369 Other Service Providers

*Specialists who work in multiple locations are counted once.

Download the Fast Facts pdf

Quality Services

  • In 2019, GCHP reported improvement in 39 of the 43 quality of care metrics that are reported annually to the state Department of Health Care Services (DHCS) and the National Committee for Quality Assurance (NCQA).
  • In 2019, GCHP scored in the 90th NCQA percentile for the measures on Weight Assessment and Counseling for Nutrition and Physical Activity in Children and Adolescents: Body Mass Index and Prenatal and Postpartum Care.
  • In 2019, GCHP scored in the 75th NCQA percentile for the Childhood Immunization Status – Combo 10 and Well Child Visits in the Third, Fourth, Fifth and Sixth Years of Life measures.
  • GCHP successfully passed the NCQA Health Effectiveness Data and Information Set (HEDIS®) Compliance Audit™ for the eighth consecutive year.

Governance

Gold Coast Health Plan Leadership

Margaret Tatar
Chief Executive Officer

Theodore Bagley
Chief Diversity Officer

Kashina Bishop
Chief Financial Officer

Robert Franco
Chief Compliance Officer

Nancy R. Wharfield, MD
Chief Medical Officer

Michael Murguia
Executive Director of Human Resources

Marlen Torres
Executive Director of Strategy and External Affairs

Ventura County Board of Supervisors

Matt LaVere
Supervisor, District 1

Linda Parks
Supervisor, District 2

Kelly Long
Supervisor, District 3

Bob Huber
Supervisor, District 4

Carmen Ramirez
Supervisor, District 5

Ventura County Medi-Cal Managed Care Commission

Dee Pupa Chair
Ventura County Health Care Agency

Jennifer Swenson Vice Chair
Adventist Health Simi Valley

Antonio Alatorre
Clinicas del Camino Real, Inc.

Shawn Atin
Ventura County

Theresa Cho, MD
Ventura County Health Care Agency

Laura Espinosa
Consumer Representative

Sevet Johnson, MD
Ventura County Health Care Agency

Andrew Lane
Los Robles Regional Medical Center

Gagan Pawar, MD
Clinicas del Camino Real, Inc.

Carmen Ramirez
Ventura County Board of Supervisors

Scott Underwood, DO
Oceanview Medical Specialists

General Counsel

Scott H. Campbell
BB&K Law

Community Advisory Committee

Ruben Juarez Vice Chair
Ventura County Health Care Agency, Whole Person Care

Frisa Herrera
Casa Pacifica

Paula Johnson
ARC of Ventura County

Laurie Jordan
Rainbow Connection / Tri-Counties Regional Center

Victoria Jump
Ventura County Area Agency on Aging

Curtis Updike
Ventura County Human Services Agency (HSA)

Pablo Velez
Amigo Baby, Inc.

Provider Advisory Committee

Masood Babaeian
Ventura Transit System, Inc.

Linda Baker
Clinicas del Camino Real, Inc.

Joan Buck-Plassmeyer
Los Robles Homecare Services Inc.

David A. Fein
Shield Healthcare

Will Garand
Community Memorial Health System

Katy Krul
Oxnard Family Circle
Adult Day Health Care Center

Sim Mandelbaum
U.S. Skilled Serve Inc.

Richard Montmeny
Dignity Health

Pablo Velez
Amigo Baby, Inc.