Scan Health Plan

Nonprofit profile at a glance

EIN: 920651838
IRS 990 coverage: 2023–2024
Forms available: Form 990 2024, Form 990-N 2022
Location: Long Beach, CA, USA
Phone: 5629895100
Rating: 60
Verdict: SUPPORTED
Rating confidence: Moderate
Sector: Health Support Services

Official website

Reported finances

Revenue: $2,626,107
Expenses: $2,438,033
Assets: $4,818,407
Liabilities: $1,579,831

Source: IRS Form 990. Selected filing: tax year 2024. Amounts in USD.

Leadership & pay

11 people listed

Executive titles in this filing

JAIN MD SACHIN H (PRESIDENT & CEO)
SCHULTE KAREN H (PRESIDENT, MEDICARE)

Highest reported compensation

JAIN MD SACHIN H (PRESIDENT & CEO): $5,866,440 total reported compensation
PLUMB MICHAEL (CHIEF FINANCIAL OFFICER): $1,993,690 total reported compensation
MONK NANCY J END 122024 (CHIEF OPERATIONS OFFICER): $1,845,508 total reported compensation

Source: IRS Form 990. Selected filing: tax year 2024. Names and roles reflect this filing, not necessarily current officeholders.

Overview

Mission

Keeping seniors healthy and independent

What it reported doing in 2024

Health care servicesas a medicare advantage and prescription drug plan (mapd) in New Mexico, scan health plan (nm) 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.

Operating model

Revenue model: Mixed. Its operating money came from several sources; no one source provided a clear majority.
Distribution model: Direct operator. The filing allocates 99% of reported program-service expenses outside its grant, affiliate-payment, and member-benefit lines. This expense classification does not rule out separately announced grant awards.

The verdict

SUPPORTED - A large share of available resources goes toward mission work and program spending has grown recently. A relatively small share of voting board members are independent and few specific pay-setting methods are documented in the filing; unanswered boxes are not proof of absence.

Rating breakdown

Financial Efficiency: 76
Transparency & Controls: 59
Accountability: 32
Sustainability: 48
Growth: 60

Detailed rating inputs

Financial Efficiency

Mission deployment rate: 82.8%; rating input score 83
Program expense ratio: 88.9%; rating input score 89
Fundraising efficiency: Limited

Transparency & Controls

Consistency checks: 92.9%; rating input score 93; 13th percentile among comparable filings
Pay-setting controls: 0 of 6 controls in place; rating input score 0
- Compensation committee: Missing
- Independent consultant: Missing
- Other Form 990s reviewed: Missing
- Written employment contract: Missing
- Compensation survey or study: Missing
- Board or committee approval: Missing
Foreign activity oversight: Limited
Grant itemization coverage: 22.9%; rating input score 23; 13th percentile among comparable filings
Major donor itemization: Yes; rating input score 100
Related-party transparency: Yes; rating input score 100

Accountability

Independent voting board: 0%; rating input score 0; 3rd percentile among comparable filings
Governance controls: 7 of 9 controls in place; rating input score 78
- Conflict-of-interest policy: Pass
- Whistleblower policy: Pass
- Document-retention policy: Pass
- CEO compensation review process: Fail
- Other executive compensation review process: Fail
- Form 990 shared with the board: Pass
- Board meeting minutes documented: Pass
- Audit committee oversight: Pass
- Independent financial-statement audit: Pass

Sustainability

Operating margin: 7.2%; rating input score 56; 56th percentile among comparable filings
Total-asset coverage ratio: 1.98; rating input score 61; 61st percentile among comparable filings
Liabilities to assets ratio: 0.33; rating input score 32; 32nd percentile among comparable filings
Officer compensation ratio: 220.1%; rating input score 0; 0th percentile among comparable filings

Growth

Program expense growth: 34.2% per year; rating input score 100; 94th percentile among comparable filings
Revenue growth: -55.2% per year; rating input score 0; 0th percentile among comparable filings
Asset growth: 12.1% per year; rating input score 100; 66th percentile among comparable filings

Details

Where the money goes: 82.8% of revenue deployed · 88.9% of spending went to programs
Governance: 0 of 5 board members independent · 7 of 9 filing controls reported
Programs: 1 filed program accomplishment · $2.2M in reported program spending
Leadership: top reported pay $5.9M · 11 people listed · 0 of 6 pay-setting controls reported
Highest-paid contractors: 1 contractor listed · $791K reported
Consistency: 32 of 33 current checks pass · 1 finding to review
Schedules: 6 filed schedules · includes major donors, grants, executive pay, and related organizations
Filing history: 2 filing years from 2023 to 2024
Contacts: How to reach this organization
Money network: 1 filed money-flow record
Related organizations: 21 filed related-organization links
Grant readiness: Federal tax and exclusion status, award history, and grant-maker relationships.
People: Everyone the filings name, and which of them the filings identify by more than a name.

Key Signals

Signals prioritize questions for review. They are not findings of misconduct.

High — Accountability: Independent voting board scored 0/100.
High — Transparency & Controls: Pay-setting controls scored 0/100.
High — Transparency & Controls: Grant itemization coverage scored 23/100.
High — Growth: Revenue growth scored 0/100.
Review — Accountability: Governance controls: 2 of 9 not reported.
Review — Sustainability: Operating margin scored 56/100.
High — Sustainability: Officer compensation ratio scored 0/100.
Moderate — Sustainability: Liabilities to assets ratio scored 32/100.
Review — Transparency & Controls: Domestic grant itemization did not reconcile in the filed values.