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SCAN HEALTH PLAN TEXAS INC: Form 990, tax year 2024

View the entire original 990 at ProPublica ↗

Organization
SCAN HEALTH PLAN TEXAS INC (EIN 87-2944493)
Tax period
2024-01-01 to 2024-12-31
Filed
2025-11-12
IRS object ID
202523169349300112
Schema version
2024v5.2
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2025-11-12T02:17:32-06:00ReturnTs
Tax Period End2024-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN861065772PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1DELOITTE TAX LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line150 SOUTH SIXTH STREETAddressLine1Txt
CityMINNEAPOLISCityNm
State AbbreviationMNStateAbbreviationCd
ZIP55402ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2024-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN872944493EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1SCAN HEALTH PLAN TEXAS INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlSCANBusinessNameControlTxt
Phone5629895100PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line13800 KILROY AIRPORT WAY 100AddressLine1Txt
CityLONG BEACHCityNm
State AbbreviationCAStateAbbreviationCd
ZIP908065616ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonKAREN SCHULTEPersonNm
Person TitlePRESIDENTPersonTitleTxt
Phone5629895100PhoneNum
Signature2025-11-10SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd
FieldValueIRS element (for citing)
IRS Responsible Prty Info Curr0IRSResponsiblePrtyInfoCurrInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonANNA KOLAKALURIPreparerPersonNm
PTINP01275237PTIN
Phone6123974000PhoneNum
FieldValueIRS element (for citing)
Tax2024TaxYr
Build TS2025-03-06 01:10:19ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Application PendingYes (X)ApplicationPendingInd

Doing Business As Name DoingBusinessAsName

FieldValueIRS element (for citing)
Business Name Line1SCAN HEALTH PLANBusinessNameLine1Txt
FieldValueIRS element (for citing)
Principal OfficerKAREN SCHULTEPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line13800 KILROY AIRPORT WAY 100AddressLine1Txt
CityLONG BEACHCityNm
State AbbreviationCAStateAbbreviationCd
ZIP908065616ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$8,040,346GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501cYes (X)Organization501cInd
Website AddressWWW.SCANHEALTHPLAN.COMWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation2021FormationYr
Legal Domicile StateTXLegalDomicileStateCd
Activity Or MissionKEEPING SENIORS HEALTHY AND INDEPENDENTActivityOrMissionDesc
Voting Members Governing Body5VotingMembersGoverningBodyCnt
Voting Members Independent0VotingMembersIndependentCnt
Total Employee0TotalEmployeeCnt
Total Volunteers0TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$3,900,000PYContributionsGrantsAmt
CY Contributions Grants$4,700,000CYContributionsGrantsAmt
PY Program Service Revenue$1,719,661PYProgramServiceRevenueAmt
CY Program Service Revenue$3,337,124CYProgramServiceRevenueAmt
PY Investment Income$3,081PYInvestmentIncomeAmt
CY Investment Income$3,222CYInvestmentIncomeAmt
PY Other Revenue$0PYOtherRevenueAmt
CY Other Revenue$0CYOtherRevenueAmt
PY Total Revenue$5,622,742PYTotalRevenueAmt
CY Total Revenue$8,040,346CYTotalRevenueAmt
PY Grants And Similar Paid$85,000PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$160,500CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$540,605PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$283,140CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$4,508,902PYOtherExpensesAmt
CY Other Expenses$5,654,383CYOtherExpensesAmt
PY Total Expenses$5,134,507PYTotalExpensesAmt
CY Total Expenses$6,098,023CYTotalExpensesAmt
PY Revenues Less Expenses$488,235PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$1,942,323CYRevenuesLessExpensesAmt
Total Assets BOY$5,009,427TotalAssetsBOYAmt
Total Assets EOY$7,325,534TotalAssetsEOYAmt
Total Liabilities BOY$2,119,739TotalLiabilitiesBOYAmt
Total Liabilities EOY$2,491,398TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$2,889,688NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$4,834,136NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionKEEPING SENIORS HEALTHY AND INDEPENDENTMissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$5,515,291ExpenseAmt
Revenue$3,337,124RevenueAmt
DescHEALTH CARE SERVICESAS A MEDICARE ADVANTAGE AND PRESCRIPTION DRUG PLAN (MAPD) IN TEXAS, SCAN HEALTH PLAN TEXAS COLLABORATES WITH A NETWORK OF DELEGATED AND NON-DELEGATED PROVIDERS TO OFFER MEDICARE COVERED HEALTH CARE AND BEHAVIORAL HEALTHCARE AND ADDITIONAL SUPPLEMENTAL BENEFITS. OUR MEMBER-CENTRIC MODEL OF CARE ENSURES QUALITY, INDIVIDUALIZED CARE FOR ALL MEMBERS, INCLUDING MEMBERS WITH CHRONIC CONDITIONS AND FRAIL MEMBERS WITH FUNCTIONAL DEFICITS.Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$182,541ExpenseAmt
Grant$160,500GrantAmt
DescINDEPENDENCE AT HOME:SCAN'S MISSION OF KEEPING SENIORS HEALTHY AND INDEPENDENT IS NOT LIMITED TO SCAN MEMBERS. SCAN RECOGNIZES ITS RESPONSIBILITY TO ENHANCE THE QUALITY OF LIFE FOR ALL THOSE IN THE COMMUNITIES WE SERVE. TO THAT END, SCAN SPONSORS AND PROMOTES INNOVATIVE GERIATRIC SERVICES, INVESTS IN SIGNIFICANT COMMUNITY EDUCATION AND OUTREACH EFFORTS, AND SUPPORTS LIKE-MINDED COMMUNITY ORGANIZATIONS THROUGH GRANTS. THE CORNERSTONE OF SCAN'S COMMUNITY ENGAGEMENT COMES THROUGH INDEPENDENCE AT HOME (IAH), SCAN'S COMMUNITY BENEFIT DIVISION. IAH PROGRAMS ARE GEARED TO SUPPORT THE UNDERSERVED, FRAIL AND DISABLED OLDER ADULTS AND THEIR CAREGIVERS IN OUR COMMUNITY.IAH'S HALLMARK PROGRAMS ARE:- INSIGHTS: THIS PROGRAM OFFERS FREE, ACCESSIBLE MENTAL HEALTH SUPPORT FOR OLDER ADULTS AND THEIR CAREGIVERS THROUGH BEHAVIORAL HEALTH CLASSES. THESE SESSIONS DELIVER PSYCHOEDUCATIONAL CONTENT ON TOPICS SUCH AS DEPRESSION, ANXIETY, GRIEF AND LOSS, AND SOCIAL ISOLATION, AMONG OTHERS, AND ARE AVAILABLE IN BOTH ENGLISH AND SPANISH. IN COLLABORATION WITH NONPROFITS AND SENIOR-FOCUSED ORGANIZATIONS ACROSS SCAN'S TEXAS SERVICE AREAS, IAH PROMOTES CULTURALLY RESPONSIVE PROGRAMMING AND EXTENSIVE COMMUNITY OUTREACH.IN 2024, A TOTAL OF 45 BEHAVIORAL HEALTH CLASSES WERE DELIVERED IN VARIOUS COMMUNITY SETTINGS REACHING 311 CLASS PARTICIPANTS .- COMMUNITY HEALTH EDUCATION: THIS PROGRAM OFFERS FREE, ACCESSIBLE CLASSES AND WORKSHOPS THAT PROMOTE HEALTHY AGING AND SUPPORT OLDER ADULTS AND THEIR CAREGIVERS IN ADOPTING HEALTHY LIFESTYLES. COVERING MORE THAN 50 TOPICSINCLUDING HEALTH, WELLNESS, TECHNOLOGY, AND SOCIAL CONNECTIONTHESE SESSIONS ARE DELIVERED IN ENGLISH AND SPANISH. IN PARTNERSHIP WITH NONPROFITS AND SENIOR-SERVING ORGANIZATIONS ACROSS SCAN'S TEXAS SERVICE REGIONS, IAH ENSURES CULTURALLY RESPONSIVE PROGRAMMING AND BROAD COMMUNITY REACH.IN 2024, A TOTAL OF 146 CLASSES WERE DELIVERED IN VARIOUS COMMUNITY SETTINGS REACHING 2,800 CLASS PARTICIPANTS. - 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 AND COMMUNITY GIVING STAFF, COLLABORATEWITH 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; 3) HISTORY OF DIRECT SERVICE TO OLDER ADULTS AND CAREGIVERS AND; 4) OPERATIONAL HISTORY, WITH A MINIMUM OF THREE YEARS AS A LEGAL ENTITY. SUCCESSFUL CANDIDATES ARE ADDED TO THE LARGER SCAN HEALTH PLAN GRANTEE POOL.B. SHORT LISTING POTENTIAL GRANTEES - THE DIRECTOR AND COMMUNITY GIVING STAFF USE VARIOUS METHODS, INCLUDING OUTBOUND CALLS, INTERNET RESEARCH, LOCAL 2-1-1, NONPROFIT 990 DATABASES, FOUNDATION DIRECTORIES AND NONPROFIT & SOCIAL SERVICE SECTOR INDUSTRY REPORTS 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 OR COMMUNITY GIVING STAFF PLACES AN OUTREACH CALL TO THE PROSPECTIVE GRANTEE ORGANIZATION. THE GRANTEE ORGANIZATION IS INFORMED OF SCAN FUNDING AND OPPORTUNITY TO APPLY FOR A ONE-TIME GRANT VIA SCAN'S ONLINE GRANT APPLICATION AND GRANTS MANAGEMENT SYSTEM. THE DIRECTOR, COMMUNITY GIVING OR DESIGNEE REVIEWS EACH APPLICATION TO ASSESS ALIGNMENT WITH GIVING PROGRAM GOALS AND PURPOSE AND MAKE 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 AN EMERGENCY NEED DUE TO A PUBLIC HEALTH EMERGENCY OR A 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 ADHERENCE TO GRANT DELIVERABLES AND 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 FOR ADVISEMENT AND/OR APPROVAL IF A CHANGE TO THE GRANTEE'S SCOPE OF WORK IS REQUIRED. SCAN RECOGNIZES THAT ITS RESPONSIBILITY TO THE COMMUNITIES WE SERVE GOES BEYOND BUSINESS AND PROVIDING QUALITY HEALTHCARE.SCAN HEALTH PLAN COMMUNITY GIVING PROGRAM:SCAN SUPPORTED THE FOLLOWING SAFETY NET ORGANIZATIONS WITH FUNDING TO SUPPORT SERVICES TARGETING OLDER ADULTS AND FAMILY CAREGIVERS: BAKERRIPLEY, CASA HELOTES SENIOR CENTER, INC., CATHOLIC CHARITIES ARCHDIOCESE OF SAN ANTONIO, CHINESE COMMUNITY CENTER, INC., FAMILY SERVICE ASSOICATION OF SAN ANTONIO, INC., GREATER RANDOLPH AREA SERVICES PROGRA, INC., HOUSTON FOOD BANK, KING'S COMPASSION, MISSION CENTERS OF HOUSTON, NORTHEAST SENIOR ASSISTANCE, PRESA COMMUNITY SERVICE CENTER, SECOND SERVICES OF HOUSTON, AND WEST HOUSTON ASSISTANCE MINISTRIESIN 2024, SCAN COMMUNITY GIVNG PROGRAM AWARDED 13 GRANTS TO 13 ORGANIZATIONS, TOTALING $160,500 IN TEXASDesc
FieldValueIRS element (for citing)
Total Program Service Expenses$5,697,832TotalProgramServiceExpensesAmt
Described In Section501c30DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Donor Rstr Or Quasi Endowments0DonorRstrOrQuasiEndowmentsInd
Report Land Building Equipment0ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 Footnote0IncludeFIN48FootnoteInd
Independent Audit Fincl StmtYes (1)IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (1)ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To OrganizationsYes (1)GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent0BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl EntYes (1)RelatedOrganizationCtrlEntInd
Transaction With Control EntYes (1)TransactionWithControlEntInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document52IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee0EmployeeCnt
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Indoor Tanning Services0IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt0SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc0SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members5GoverningBodyVotingMembersCnt
Independent Voting Member0IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or StockholdersYes (1)MembersOrStockholdersInd
Election Of Board MembersYes (1)ElectionOfBoardMembersInd
Decisions Subject To Approva0DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEO0CompensationProcessCEOInd
Compensation Process Other0CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1VIRGINIA A HAVAIBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone5629895100PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line13800 KILROY AIRPORT WAY STE 100AddressLine1Txt
CityLONG BEACHCityNm
State AbbreviationCAStateAbbreviationCd
ZIP908065616ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (11 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtKey EmployeeKeyEmployeeInd
JAIN MD SACHIN H
PRESIDENT & CEO1.0039.00Yes (X)Yes (X)$0$3,970,505$1,895,935
PLUMB MICHAEL
CHIEF FINANCIAL OFFICER1.0039.00Yes (X)Yes (X)$0$1,197,368$796,322
MONK NANCY J END 122024
CHIEF OPERATIONS OFFICER2.0038.00Yes (X)$0$1,791,341$54,167
SCHULTE KAREN H
PRESIDENT, MEDICARE1.0039.00Yes (X)Yes (X)$0$976,492$606,229
DELPHIN-RODRIGUEZ RENEE C
CHIEF LEGAL OFFICER & GC1.0039.00Yes (X)Yes (X)$0$864,149$608,128
HAMMASH MUHANNAD
CVP, MED POL & CORP SUP2.0038.00Yes (X)$0$626,676$226,064
HAVAI VIRGINIA A
VP CONTROLLER1.0039.00Yes (X)$0$488,981$202,204
LEUNG KWAN-MOON
CHIEF DATA OFFICER1.0039.00$0$847,484$315,555Yes (X)
BLEA MICHAEL
CVP, CHIEF GROWTH OFFICER2.0038.00$0$621,755$330,508Yes (X)
SELBY JILL V END 032024
SVP PRODUCT DEV & MKT EXP0.5039.50$0$893,038$13,688Yes (X)
HAWKINS GINETTE
SVP, CHIEF RISK OFFICER1.0039.00$0$517,232$317,796Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$0TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$12,795,021TotReportableCompRltdOrgAmt
Total Other Compensation$5,366,596TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K0IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other SrcsYes (1)CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (4 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
INTEGRANET PHYSICIAN RESOURCE INC DBA
2900 NORTH LOOP WEST SUITE 700HOUSTONTX77092POPULATION HEALTH AND MANAGED SERVICES O$1,146,585
EXPRESS SCRIPTS INC
ONE EXPRESS WAYST LOUISMO63121PRESCRIPTION SERVICES$922,098
LONE STAR MEDICAL GROUP LLC
1100 E GREEN STPASADENACA91106PHYSICIAN SERVICES$535,384
PROSPECT HEALTH SERVICES TX INC
600 CITY PKWY WEST SUITE 1000ORANGECA92868MANAGED CARE PROVIDER SERVICES$345,253
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K4CntrctRcvdGreaterThan100KCnt
Related Organizations$4,700,000RelatedOrganizationsAmt
Total Contributions$4,700,000TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

FieldValueIRS element (for citing)
DescMEDICARE PREMIUMSDesc
Business900099BusinessCd
Total Revenue Column$3,337,124TotalRevenueColumnAmt
Related Or Exempt Func Income$3,337,124RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$3,337,124TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$3,222TotalRevenueColumnAmt
Exclusion$3,222ExclusionAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$8,040,346TotalRevenueColumnAmt
Related Or Exempt Func Income$3,337,124RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$3,222ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$160,500TotalAmt
Program Services$160,500ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$233,638TotalAmt
Program Services$94,392ProgramServicesAmt
Management And General$139,246ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$15,478TotalAmt
Program Services$5,286ProgramServicesAmt
Management And General$10,192ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$19,720TotalAmt
Program Services$13,410ProgramServicesAmt
Management And General$6,310ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$14,304TotalAmt
Program Services$5,617ProgramServicesAmt
Management And General$8,687ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$7,024TotalAmt
Program Services$2ProgramServicesAmt
Management And General$7,022ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$67,931TotalAmt
Program Services-$35ProgramServicesAmt
Management And General$67,966ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$1,500TotalAmt
Management And General$1,500ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$3,822,552TotalAmt
Program Services$3,727,227ProgramServicesAmt
Management And General$95,325ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$1,515,741TotalAmt
Program Services$1,515,647ProgramServicesAmt
Management And General$94ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$16,422TotalAmt
Program Services$15,866ProgramServicesAmt
Management And General$556ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$40,518TotalAmt
Program Services$16,698ProgramServicesAmt
Management And General$23,820ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$25,028TotalAmt
Program Services$18,153ProgramServicesAmt
Management And General$6,875ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$45,757TotalAmt
Program Services$45,127ProgramServicesAmt
Management And General$630ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$5,170TotalAmt
Program Services$5,047ProgramServicesAmt
Management And General$123ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$145TotalAmt
Management And General$145ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$2,780TotalAmt
Program Services$2,029ProgramServicesAmt
Management And General$751ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$3,999TotalAmt
Program Services$200ProgramServicesAmt
Management And General$3,799ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
BROKER COMMISSIONS$73,493$73,493
DUES AND SUBSCRIPTIONS$15,783$210$15,573
OTHER$9,300-$1,254$10,554
FEDERAL, STATE, COUNTY$1,240$217$1,023

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$6,098,023TotalAmt
Program Services$5,697,832ProgramServicesAmt
Management And General$400,191ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY-$8,533BOYAmt
EOY-$5,834EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$4,698,540BOYAmt
EOY$6,734,605EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$155,802BOYAmt
EOY$443,407EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$2,461BOYAmt
EOY$4,069EOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$161,157BOYAmt
EOY$149,287EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$5,009,427BOYAmt
EOY$7,325,534EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$2,079,728BOYAmt
EOY$2,467,183EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$269BOYAmt
EOY$731EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$39,742BOYAmt
EOY$23,484EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$2,119,739BOYAmt
EOY$2,491,398EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$2,889,688BOYAmt
EOY$4,834,136EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$2,889,688BOYAmt
EOY$4,834,136EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$5,009,427BOYAmt
EOY$7,325,534EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$1,942,323ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$2,125NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consol And Sep Basis Fincl StmtYes (X)ConsolAndSepBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Total Book Value Land Buildings$0TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp

FieldValueIRS element (for citing)
DescROU LEASE LIABILITYDesc
Amt$23,484Amt
FieldValueIRS element (for citing)
Total Liability$23,484TotalLiabilityAmt
Total Rev Etc Audited Fincl Stmt$3,338,846TotalRevEtcAuditedFinclStmtAmt
Revenue Not Reported$0RevenueNotReportedAmt
Revenue Subtotal$3,338,846RevenueSubtotalAmt
Investment Expenses Not Incld$1,500InvestmentExpensesNotIncldAmt
Other Revenues Not Included$4,700,000OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt$4,701,500RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$8,040,346TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$6,096,523TotExpnsEtcAuditedFinclStmtAmt
Expenses Not Reported$0ExpensesNotReportedAmt
Expenses Subtotal$6,096,523ExpensesSubtotalAmt
Investment Expenses Not Incld2$1,500InvestmentExpensesNotIncld2Amt
Expenses Not Rpt Fincl Stmt$1,500ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$6,098,023TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART XI, LINE 4B - OTHER ADJUSTMENTS:CONTRIBUTION FROM SCAN GROUP 4,700,000.
STATUTORY-BASIS AUDITED FINANCIAL STATEMENTSTHE 2024 STATUTORY-BASIS AUDITED FINANCIAL STATEMENTS ARE PRESENTED ON THE BASIS OF ACCOUNTING PRACTICES PRESCRIBED OR PERMITTED BY THE NATIONAL ASSOCIATION OF INSURANCE COMMISSIONERS (NAIC) AND THE TEXAS DEPARTMENT OF INSURANCE (DOI).

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records MaintainedYes (1)GrantRecordsMaintainedInd

Recipient Table RecipientTable (9 entries)

Address Line1USAddress/AddressLine1TxtAddress Line2USAddress/AddressLine2TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdRecipient EINRecipientEINIRC SectionIRCSectionDescCash GrantCashGrantAmtNon Cash AssistanceNonCashAssistanceAmtPurpose Of GrantPurposeOfGrantTxt
BAKERRIPLEY
PO BOX 231808 HARRISBURG BLVD STE200HOUSTONTX77223237062976501(C)(3)$40,000$0GRANT TO SUPPORT NEEDS OF OLDER ADULTS (AGE 55+) IN HARRIS COUNTY AFFECTED BY A HURRICANE. FUNDING TO PROVIDE SHELF-STABLE FOOD ITEMS AND AID OLDER ADULTS WITH HOME REPAIRS AND ASSISTANCE FOR BASIC NECESSITIES AS PART OF STABILIZATION SUPPORTS AND CONNECTION TO OTHER LONG TERM SERVICES (SUPPLYING HYGIENE PRODUCTS, WATER, MEDICATIONS, SUPPLIES, ETC.).
CHINESE COMMUNITY CENTER INC
9800 TOWN PARK DRHOUSTONTX77036760067885501(C)(3)$10,000$0GRANT TO ENABLE THE CHINESE COMMUNITY CENTER TO DELIVER WEEKLY GROUP THERAPY SESSIONS FOR OLDER ADULTS (AGE 55+).
FAMILY SERVICE ASSOCIATION OF SAN ANTONIO INC
702 SAN PEDRO AVENUESAN ANTONIOTX78212741117341501(C)(3)$25,000$0GRANT TO SUPPORT OLDER ADULTS (AGED 55+) WITH EMERGENCY ASSISTANCE SUPPORT. FUNDING WILL TARGET OLDER ADULTS REQUIRING ONE-TIME FINANCIAL ASSISTANCE FOR ESSENTIAL NEEDS, INCLUDING BASIC ADAPTIVE AND MEDICAL EQUIPMENT ITEMS, EMERGENCY FOOD REQUESTS, UTILITY ASSISTANCE, AND OTHER BASIC NEEDS.
GREATER RANDOLPH AREA SERVICES PROGRAM INC
250 DONALAN DRCONVERSETX78109742353686501(C)(3)$10,000$0GRANT TO PROVIDE ONE-TIME EMERGENCY ASSISTANCE TO LOW-INCOME INDIVIDUALS (AGE 55+) RESIDING IN BEXAR COUNTY, TX WHEN NO OTHER RESOURCES ARE AVAILABLE. EMERGENCY ASSISTANCE WILL BE PROVIDED FOR RENTAL ASSISTANCE, UTILITY ASSISTANCE AND TRANSPORTATION ASSISTANCE TO MEDICAL APPOINTMENTS.
HOUSTON FOOD BANK
535 PORTWALL STREETHOUSTONTX77029742181456501(C)(3)$25,000$0GRANT SUPPORTING THE PURCHASE OF CULTURALLY RESPONSIVE FOOD ITEMS TO SUPPLEMENT FOOD BOXES FOR OLDER ADULTS (AGES 60+) PARTICIPATING IN THE SENIOR BOX PROGRAM.
MISSION CENTERS OF HOUSTON
1815 GANO STHOUSTONTX77009741744007501(C)(3)$10,000$0GRANT TO SUPPORT EXPANDED NUTRITION PROGRAMMING TO BENEFIT OLDER ADULTS (55 AND OLDER) WHO ARE LIVING IN THE LOW-INCOME NEIGHBORHOODS WHERE MCH MISSION CENTERS ARE LOCATED.
NORTHEAST SENIOR ASSISTANCE (NESA)
2903 NACOGDOCHES RDSAN ANTONIOTX78217742405293501(C)(3)$10,000$0GRANT SUPPORTING NORTHEAST SENIOR ASSISTANCE'S VOLUNTEER DRIVING PROGRAM BENEFITTING OLDER ADULTS (AGE 55+) IN BEXAR COUNTY THROUGH NO-COST RIDES TO MEDICAL APPOINTMENTS, GROCERY SHOPPING, FOOD PANTRY VISITS AND OTHER PERSONAL ERRANDS.
PRESA COMMUNITY SERVICE CENTER
3721 SOUTH PRESASAN ANTONIOTX78210741902249501(C)(3)$10,000$0GRANT SUPPORTING PRESA COMMUNITY CENTER'S SENIOR LUNCH PROGRAM BY FUNDING A NUMBER OF MEALS FOR LOW-INCOME OLDER ADULTS WHO ACTIVELY PARTICIPATE AT THE CENTER.
WEST HOUSTON ASSISTANCE MINISTRIES
PO BOX 421639HOUSTONTX772421639760001309501(C)(3)$10,000$0GRANT TO SUPPORT SENIOR NUTRITION PROGRAMMING, INCLUDING THE CLIENT CHOICE PANTRY ON TUESDAY MORNINGS WHERE PANTRY STAFF AND VOLUNTEERS PROVIDE ADDITIONAL SUPPORT TO OLDER ADULT CLIENTS.
FieldValueIRS element (for citing)
Total501c3 Org9Total501c3OrgCnt
Total Other Org0TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART I, LINE 2:FormAndLineReferenceDesc
ExplanationALL GRANTEES SUBMIT IMPACT REPORTS DOCUMENTING METRICS AND PERFORMANCE YEAR-TO-DATE THROUGHOUT THE DURATION OF THE FUNDING, COMMUNITY GIVING STAFF, TRACK AND REVIEW THE REPORTS TO ENSURE COMPLIANCE. COMMUNITY GIVING STAFF ADDRESSES ANY IDENTIFIED ISSUES WITH THE GRANTEE TO DETERMINE CAUSES AND ANY REMEDIATION REQUIRED. ISSUES WITH COMPLIANCE ARE RAISED TO DIRECTOR, COMMUNITY GIVING, WHO WILL ASSIST WITH REMEDIATION OR ELEVATE TO THE COMMUNITY GIVING COMMITTEE (CGC) FOR ADVISEMENT AND/OR APPROVAL IF A CHANGE TO THE GRANTEE'S SCOPE OF WORK IS REQUIRED.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance PaymentYes (1)SeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (1)SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments0AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (11 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
JAIN MD SACHIN H
PRESIDENT & CEO$0$1,124,144$0$2,801,461$0$44,900$0$1,877,762$0$18,173$0$5,866,440$0$1,328,341
PLUMB MICHAEL
CHIEF FINANCIAL OFFICER$0$646,444$0$525,992$0$24,932$0$766,279$0$30,043$0$1,993,690$0$525,992
MONK NANCY J END 122024
CHIEF OPERATIONS OFFICER$0$646,859$0$1,035,954$0$108,528$0$24,150$0$30,017$0$1,845,508$0$549,908
SCHULTE KAREN H
PRESIDENT, MEDICARE$0$572,800$0$378,750$0$24,942$0$585,400$0$20,829$0$1,582,721$0$378,750
DELPHIN-RODRIGUEZ RENEE C
CHIEF LEGAL OFFICER & GC$0$535,717$0$304,172$0$24,260$0$561,209$0$46,919$0$1,472,277$0$304,172
LEUNG KWAN-MOON
CHIEF DATA OFFICER$0$466,966$0$304,968$0$75,550$0$313,085$0$2,470$0$1,163,039$0$301,406
BLEA MICHAEL
CVP, CHIEF GROWTH OFFICER$0$351,346$0$229,396$0$41,013$0$294,397$0$36,111$0$952,263$0$35,736
SELBY JILL V END 032024
SVP PRODUCT DEV & MKT EXP$0$129,104$0$0$0$763,934$0$8,459$0$5,229$0$906,726$0$0
HAMMASH MUHANNAD
CVP, MED POL & CORP SUP$0$425,568$0$176,176$0$24,932$0$216,883$0$9,181$0$852,740$0$176,176
HAWKINS GINETTE
SVP, CHIEF RISK OFFICER$0$358,594$0$153,010$0$5,628$0$302,726$0$15,070$0$835,028$0$53,466
HAVAI VIRGINIA A
VP CONTROLLER$0$325,893$0$132,960$0$30,128$0$161,517$0$40,687$0$691,185$0$147,440

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART I, LINE 3COMPENSATION FOR KAREN SCHULTE (PRESIDENT MEDICARE -SCAN HEALTH PLAN TEXAS) WAS ESTABLISHED BY A RELATED ORGANIZATION, SCAN GROUP, AND PAID BY SCAN HEALTH PLAN. SCAN GROUP USED THE FOLLOWING TO ESTABLISH THE PRESIDENT'S COMPENSATION: 1) COMPENSATION COMMITTEE; 2) INDEPENDENT COMPENSATION CONSULTANT; 3) COMPENSATION SURVEY OR STUDY; 4) APPROVAL BY THE SCAN HEALTH PLAN CEO AND SCAN GROUP BOARD OF DIRECTORS.
PART I, LINES 4A-BPART I, LINES 4A DURING 2024, THE EMPLOYMENT RELATIONSHIP OF THE FOLLOWING EMPLOYEES OF SCAN GROUP AND SCAN HEALTH PLAN ENDED. IN CONNECTION WITH THE TERMINATION OF EMPLOYMENT, SCAN GROUP AND SCAN HEALTH PLAN NEGOTIATED AND PAID SEVERANCE TO THE EMPLOYEES. (2024) JILL V SELBY $ 723,194 PART I, LINE 4B: SCAN GROUP AND SCAN HEALTH PLAN PROVIDE A SUPPLEMENTAL NON-QUALIFIED RETIREMENT PLAN TO OFFICERS AND SENIOR VICE PRESIDENTS VIA ITS SECTION 457(F) PLAN. FOR CONTRIBUTIONS MADE PRIOR TO DECEMBER 31, 2017, A PARTICIPANT BECOMES VESTED IN THE 457(F) PLAN UPON COMPLETION OF ONE OF THE CHOSEN VESTING OPTIONS: 1) FIVE YEARS OF SERVICE AND 62 YEARS OF AGE OR 2) 10 YEARS OF SERVICE. ON JANUARY 1, 2018, A NEW PLAN WAS ADOPTED, FOR THE 457(F) PLAN FOLLOWING A 4 YEAR CLASS VESTING CYCLE. SUPPLEMENTAL LISTED PERSONS IN PART VII: (2024) SACHIN JAIN - $ 44,060 NANCY MONK - $ 79,984 MOON LEUNG - $ 48,938 MICHAEL BLEA - $ 35,736 VIRGINIA HAVAI - $ 14,480 DEFERRED COMPENSATION FOR 2024, REPORTED ON SCHEDULE J, PART 11, COLUMN B AND COLUMN C CONSISTS OF THE FOLLOWING: 1) 457(F) EMPLOYER CONTRIBUTIONS ARE SUBJECT TO VESTING TERMS AND CONDITIONS AS NOTED IN THE PLAN DOCUMENTS. BASED ON THESE VESTING TERMS AND CONDITIONS, THERE IS SUBSTANTIAL RISK OF FORFEITURE. 2) 457(B) IS A DEFERRED COMPENSATION PLAN THAT THE EMPLOYER AND EMPLOYEE ANNUAL LIMITS. 3) 401(K) QUALIFIED RETIREMENT PLAN CONTRIBUTIONS (EMPLOYER MATCH AND SAFE CONTRIBUTE TO, UP TO THE SCAN GROUP AND SCAN HEALTH PLAN'S DEFINED AND IRS HARBOR) UP TO THE IRS ANNUAL LIMITS. 4) SCAN GROUP AND SCAN HEALTH PLAN PROVIDE AN INCENTIVE PLAN TO VICE PRESIDENTS AND ABOVE. THE INCENTIVE PLAN IS BASED ON ORGANIZATION AND INDIVIDUAL PERFORMANCE METRICS. PAYMENTS ARE MADE ON OR AROUND APRIL 1 OF THE SUBSEQUENT CALENDAR YEAR.
FORM 990, PART VII, SECTION A, LINE 5 AND SCHEDULE J:JILL SELBY RECEIVED COMPENSATION IN THE AMOUNT OF $26,260 PAID OR ACCRUED BY JVS CONSULTING FOR SERVICES RENDERED TO SCAN GROUP.
SCHEDULE J CEO COMPENSATIONIT IS IMPORTANT TO NOTE THAT SCHEDULE J REFLECTS ALL COMPENSATION THAT THE CEO "EARNED" IN 2024, WHICH INCLUDES INCENTIVE PAYMENTS RELATED TO 2024 THAT WILL BE PAID IN SUBSEQUENT YEARS AND UNVESTED RETIREMENT BENEFITS. SCHEDULE J ALSO INCLUDES COMPENSATION THAT THE CEO "EARNED" IN 2023 THAT WAS PAID IN 2024. FOR AVOIDANCE OF CONFUSION, THE CEO WAS PAID $3,970,505 IN 2024 [COLUMNS (B)(I), (B)(II), (B)(III)], OF WHICH $1,328,341 WAS "EARNED" IN 2023 [COLUMN (F)] AND PAID IN 2024. THE CEO'S "EARNED" COMPENSATION FOR 2024 IS EQUAL TO ROUGHLY $4,538,099, WHICH REPRESENTS COLUMN (E) MINUS COLUMN (F), SINCE COLUMN (F) IS COMPENSATION EARNED IN A PREVIOUS YEAR AND INCLUDED IN A PREVIOUS 990.

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (8 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 6THE SOLE MEMBER OF THE ORGANIZATION IS SCAN GROUP, A CALIFORNIA NONPROFIT PUBLIC BENEFIT CORPORATION.
FORM 990, PART VI, SECTION A, LINE 7ATHE SOLE MEMBER HAS THE POWER TO APPOINT THE MEMBERS OF THE BOARD OF DIRECTORS.
FORM 990, PART VI, SECTION B, LINE 11BTHE 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 FORM 990 IS PROVIDED TO THE SCAN HEALTH PLAN TEXAS BOARD FOR REVIEW AFTER IT IS PREPARED, BUT PRIOR TO FILING.
FORM 990, PART VI, SECTION B, LINE 12CSCAN HEALTH PLAN TEXAS FOLLOWS SCAN HEALTH PLAN'S CONFLICT OF INTEREST PROCESS. A DESCRIPTION OF THE PROCESS IS AS FOLLOWS: 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 OF EVERY ENTITY UNDER SCAN GROUP 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 ALL THE EXECUTIVE TEAMS ALSO HAVE RESPONSIBILITY FOR ENFORCEMENT. THE LEGAL DEPARTMENT OF SCAN GROUP REVIEWS ALL CONTRACTUAL RELATIONSHIPS ENTERED INTO BY THE ORGANIZATION AND 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.
FORM 990, PART VI, SECTION B, LINE 15THE PROCESS FOR DETERMINING COMPENSATION FOR KAREN SCHULTE (PRESIDENT SCAN HEALTH PLAN TEXAS), OFFICERS AND SENIOR VICE PRESIDENT OF SCAN HEALTH PLAN TEXAS IS CONDUCTED BY THE HUMAN RESOURCES DEPARTMENT AND CHIEF EXECUTIVE OFFICER (CEO) OF SCAN GROUP, 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 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 PACKAGE FOR SUCH EMPLOYEES FOR THE FOLLOWING YEAR. THE MINUTES OF THE COMPENSATION COMMITTEE FOR THIS MEETING ARE PREPARED SUBSTANTIALLY CONTEMPORANEOUSLY AND SUBSTANTIATE SUCH DELIBERATION AND DECISIONS. THE OUTSIDE COMPENSATION CONSULTANT PROVIDING THE EXECUTIVE COMPENSATION REPORT AND GUIDANCE RELATED TO THE 2024 SALARY PACKAGE WAS MERCER.
FORM 990, PART VI, SECTION C, LINE 19SCAN HEALTH PLAN TEXAS, INC'S GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY WERE NOT MADE AVAILABLE TO THE PUBLIC. SCAN HEALTH PLAN TEXAS, INC FILED THE 2024 AUDITED STATUTORY-BASIS FINANCIAL STATEMENTS WITH THE TEXAS DEPARTMENT OF INSURANCE (DOI). SCAN HEALTH PLAN TEXAS, INC'S TAX RETURNS ARE AVAILABLE UPON REQUEST.
FORM 990, PART VI, SECTION B, LINE 13 AND 14SCAN HEALTH PLAN TEXAS ADOPTED THE FOLLOWING POLICIES OF SCAN GROUP: WHISTLEBLOWER POLICY, DOCUMENT RETENTION, AND DESTRUCTION POLICY.
FORM 990, PART IX, LINE 11GPREMIUM DEFICIENCY RESERVE: PROGRAM SERVICE EXPENSES 578,601. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 578,601. HOSPITAL, PHYSICIANS, AND OTHER: PROGRAM SERVICE EXPENSES 2,853,528. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,853,528. PROFESSIONAL FEES: PROGRAM SERVICE EXPENSES 295,040. MANAGEMENT AND GENERAL EXPENSES 95,734. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 390,774. OTHER EXPENSES: PROGRAM SERVICE EXPENSES 58. MANAGEMENT AND GENERAL EXPENSES -409. FUNDRAISING EXPENSES 0. TOTAL EXPENSES -351.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (8 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtDirect Controlling NADirectControllingNACdControlled OrganizationControlledOrganizationIndBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Txt
SCAN GROUP
3800 KILROY AIRPORT WAY SUITE 100LONG BEACHCA90806953826037ADMIN SUPPORTCA501(C)(3)12B, IIN/A0
THE SCAN FOUNDATION
3800 KILROY AIRPORT WAY SUITE 100LONG BEACHCA90806450552845GRANT MAKINGCA501(C)(3)12B, IIYes (1)SCAN GROUP
SCAN HEALTH PLAN
3800 KILROY AIRPORT WAY SUITE 100LONG BEACHCA90806953858259MEDICARE ADVANTAGECA501(C)(3)10Yes (1)SCAN GROUP
SCAN HEALTH PLAN NEVADA INC
3800 KILROY AIRPORT WAY SUITE 100LONG BEACHCA90806854288083MEDICARE ADVANTAGENV501(C)(4)Yes (1)SCAN GROUP
SCAN DESERT HEALTH PLAN INC
3800 KILROY AIRPORT WAY SUITE 100LONG BEACHCA90806854275186MEDICARE ADVANTAGEAZ501(C)(4)Yes (1)SCAN GROUP
HEALTHCARE IN ACTION
3800 KILROY AIRPORT WAY SUITE 100LONG BEACHCA90806871858798MEDICARE ADVANTAGECA501(C)(3)10Yes (1)SCAN GROUP
SCAN HEALTH PLAN (NM)
3800 KILROY AIRPORT WAY SUITE 100LONG BEACHCA90806920651838MEDICARE ADVANTAGENM501(C)(4)Yes (1)SCAN GROUP
SCAN HEALTH PLAN (WA)
3800 KILROY AIRPORT WAY SUITE 100LONG BEACHCA90806332221084MEDICARE ADVANTAGEWA501(C)(4)Yes (1)SCAN GROUP

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp

Related Organization Name RelatedOrganizationName

FieldValueIRS element (for citing)
Business Name Line1RESIDENTIALIST HOUSECALL LLCBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line14190 CITY AVE STE 528AddressLine1Txt
CityPHILADELPHIACityNm
State AbbreviationPAStateAbbreviationCd
ZIP19131ZIPCd
FieldValueIRS element (for citing)
EIN474320252EIN
Primary ActivitiesHEALTHCAREPrimaryActivitiesTxt
Legal Domicile StatePALegalDomicileStateCd
Direct Controlling NAN/ADirectControllingNACd
Disproportionate Allocations0DisproportionateAllocationsInd
General Or Managing Partner0GeneralOrManagingPartnerInd

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (11 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdDirect Controlling NADirectControllingNACdEntity TypeEntityTypeTxtControlled OrganizationControlledOrganizationInd
HEALTHCARE IN ACTION MEDICAL GROUP
3800 KILROY AIRPORT WAY SUITE 100LONG BEACHCA90806871942811HEALTHCARECAN/ACYes (1)
WELCOME HEALTH INC
3800 KILROY AIRPORT WAY SUITE 100LONG BEACHCA90806863730275MANAGEMENTCAN/ACYes (1)
WELCOME HEALTH MEDICAL GROUP
3800 KILROY AIRPORT WAY SUITE 100LONG BEACHCA90806872705807HEALTHCARECAN/ACYes (1)
WELCOME HEALTH OF CALIFORNIA INC
3800 KILROY AIRPORT WAY SUITE 100LONG BEACHCA90806920363899HEALTHCARECAN/ACYes (1)
THE RESIDENTIALIST GROUP INC
3800 KILROY AIRPORT WAY SUITE 100LONG BEACHCA90806330969912MANAGEMENTCAN/ACYes (1)
HOUSECALL DOCTORS MEDICAL GROUP INC
3800 KILROY AIRPORT WAY SUITE 100LONG BEACHCA90806043644245HEALTHCARECAN/ACYes (1)
RESIDENTIALIST HOUSECALL MEDICAL GROUP PC
4190 CITY AVE SUITE 528PHILADELPHIAPA19131474053626HEALTHCAREPAN/ACYes (1)
PROSPER SERVICES LLC
3800 KILROY AIRPORT WAY SUITE 100LONG BEACHCA90806872979343MANAGEMENTDEN/ACYes (1)
MYPLACE GREATER LA PACE INC
3800 KILROY AIRPORT WAY SUITE 100LONG BEACHCA90806881512241HEALTHCARECAN/ACYes (1)
MYPLACE SOUTH LA PACE INC
3800 KILROY AIRPORT WAY SUITE 100LONG BEACHCA90806923486437HEALTHCARECAN/ACYes (1)
MYPLACE CARE PARTNERS PC
121 S MOUNTAIN VIEW AVELOS ANGELESCA90057932403550HEALTHCARECAN/ACYes (1)
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org0GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (1)GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org0LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth Org0RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org0RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org0PerformOfServicesForOthOrgInd
Perform Of Services By Other Org0PerformOfServicesByOtherOrgInd
Sharing Of Facilities0SharingOfFacilitiesInd
Paid Employees Sharing0PaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (1)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (1)ReimbursementPaidByOtherOrgInd
Transfer To Other Org0TransferToOtherOrgInd
Transfer From Other Org0TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (3 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
SCAN GROUP
P$125,628BOOK VALUE
SCAN GROUP
C$4,700,000BOOK VALUE
SCAN HEALTH PLAN
P$1,241,185BOOK VALUE

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART V, LINE 2:FormAndLineReferenceDesc
ExplanationTHE PERCENTAGE OF ALLOCATION TO AFFILIATED COMPANIES IS DETERMINED BASED ON ESTIMATED PERCENTAGE OF TIME WORKED, PERCENTAGE OF HEADCOUNTS, PERCENTAGE OF SCAN MEMBERSHIP, AND/OR THE PERCENTAGE OF BID SUBMISSION, AS APPROPRIATE BASED ON THE NATURE OF THE EXPENSE.ExplanationTxt