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Nonprofiteer
← SCAN HEALTH PLAN TEXAS INC

Form 990 for tax year 2023

Filed by SCAN HEALTH PLAN TEXAS INC.

Totals

Total revenue
$5,622,742
Total expenses
$5,134,507
Contributions and grants received
$3,900,000
Grants paid
$85,000
Program services expenses (Part IX)
$4,532,549
Management and general expenses
$601,958
Fundraising expenses
$0
Program service expenses (Part III)
$4,532,549

Program services were 88.3% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.

Listed in Part VII

  • JAIN MD SACHIN H

    CHIEF EXECUTIVE OFFICER

    Total calculated
    $4,823,124
    From this org
    $0
    From related orgs
    $3,268,166
    Other
    $1,554,958
    Hours/week
    1 + 39 related

    Schedule J breakdown matched by us

    Base
    $0 + $1,021,668 related
    Bonus
    $0 + $2,245,658 related
    Other
    $0 + $840 related
    Deferred
    $0 + $1,538,636 related
    Nontaxable benefits
    $0 + $16,322 related
    Filer's total
    $0 + $4,823,124 related

  • PLUMB MICHAEL

    CHIEF FINANCIAL OFFICER

    Total calculated
    $1,767,418
    From this org
    $0
    From related orgs
    $1,101,248
    Other
    $666,170
    Hours/week
    1 + 39 related

    Schedule J breakdown matched by us

    Base
    $0 + $586,926 related
    Bonus
    $0 + $489,890 related
    Other
    $0 + $24,432 related
    Deferred
    $0 + $638,903 related
    Nontaxable benefits
    $0 + $27,267 related
    Filer's total
    $0 + $1,767,418 related

  • STANISLAW SHERRY

    GENERAL MANAGER OFFICER (END 06/2023)

    Total calculated
    $1,278,881
    From this org
    $0
    From related orgs
    $1,246,301
    Other
    $32,580
    Hours/week
    1 + 39 related

    Schedule J breakdown matched by us

    Base
    $0 + $257,416 related
    Bonus
    $0 + $531,893 related
    Other
    $0 + $456,992 related
    Deferred
    $0 + $23,100 related
    Nontaxable benefits
    $0 + $9,480 related
    Filer's total
    $0 + $1,278,881 related

  • SCHULTE KAREN H

    PRESIDENT, MEDICARE (BEG 12/2022)

    Total calculated
    $1,227,252
    From this org
    $0
    From related orgs
    $740,787
    Other
    $486,465
    Hours/week
    1 + 39 related

    Schedule J breakdown matched by us

    Base
    $0 + $497,800 related
    Bonus
    $0 + $218,656 related
    Other
    $0 + $24,331 related
    Deferred
    $0 + $467,408 related
    Nontaxable benefits
    $0 + $19,057 related
    Filer's total
    $0 + $1,227,252 related

  • KROEKER KEVIN B

    SPECIAL COUNSEL (END 07/2023)

    Total calculated
    $1,068,232
    From this org
    $0
    From related orgs
    $1,017,186
    Other
    $51,046
    Hours/week
    1 + 39 related

    Schedule J breakdown matched by us

    Base
    $0 + $331,937 related
    Bonus
    $0 + $591,206 related
    Other
    $0 + $94,043 related
    Deferred
    $0 + $33,230 related
    Nontaxable benefits
    $0 + $17,816 related
    Filer's total
    $0 + $1,068,232 related

  • DELPHIN-RODRIGUEZ RENEE C

    CHIEF LEGAL OFFICER & GC (BEG 3/23)

    Total calculated
    $809,301
    From this org
    $0
    From related orgs
    $435,053
    Other
    $374,248
    Hours/week
    1 + 39 related

    Schedule J breakdown matched by us

    Base
    $0 + $411,923 related
    Bonus
    $0
    Other
    $0 + $23,130 related
    Deferred
    $0 + $372,844 related
    Nontaxable benefits
    $0 + $1,404 related
    Filer's total
    $0 + $809,301 related

  • HAMMASH MUHANNAD

    CVP, CORP MEDICAL DIRECTOR

    Total calculated
    $818,427
    From this org
    $0
    From related orgs
    $603,415
    Other
    $215,012
    Hours/week
    2 + 38 related

    Schedule J breakdown matched by us

    Base
    $0 + $416,000 related
    Bonus
    $0 + $162,983 related
    Other
    $0 + $24,432 related
    Deferred
    $0 + $206,650 related
    Nontaxable benefits
    $0 + $8,362 related
    Filer's total
    $0 + $818,427 related

  • HAVAI VIRGINIA A

    VP CONTROLLER

    Total calculated
    $721,725
    From this org
    $0
    From related orgs
    $526,736
    Other
    $194,989
    Hours/week
    1 + 39 related

    Schedule J breakdown matched by us

    Base
    $0 + $316,596 related
    Bonus
    $0 + $182,979 related
    Other
    $0 + $27,161 related
    Deferred
    $0 + $157,650 related
    Nontaxable benefits
    $0 + $37,339 related
    Filer's total
    $0 + $721,725 related

  • LEUNG KWAN-MOON

    SVP, CHIEF DATA OFFICER

    Total calculated
    $1,080,944
    From this org
    $0
    From related orgs
    $790,378
    Other
    $290,566
    Hours/week
    2 + 38 related

    Schedule J breakdown matched by us

    Base
    $0 + $453,115 related
    Bonus
    $0 + $262,304 related
    Other
    $0 + $74,959 related
    Deferred
    $0 + $287,864 related
    Nontaxable benefits
    $0 + $2,702 related
    Filer's total
    $0 + $1,080,944 related

  • SELBY JILL V

    SVP PRODUCT DEV & MKT EXP

    Total calculated
    $649,307
    From this org
    $0
    From related orgs
    $591,867
    Other
    $57,440
    Hours/week
    0.5 + 39.5 related

    Schedule J breakdown matched by us

    Base
    $0 + $358,023 related
    Bonus
    $0 + $207,987 related
    Other
    $0 + $25,857 related
    Deferred
    $0 + $37,220 related
    Nontaxable benefits
    $0 + $20,220 related
    Filer's total
    $0 + $649,307 related

  • BLEA MICHAEL

    CVP, CHIEF GROWTH OFFICER (BEG 02/2023)

    Total calculated
    $562,012
    From this org
    $0
    From related orgs
    $416,368
    Other
    $145,644
    Hours/week
    2 + 38 related

    Schedule J breakdown matched by us

    Base
    $0 + $301,508 related
    Bonus
    $0 + $100,000 related
    Other
    $0 + $14,860 related
    Deferred
    $0 + $115,086 related
    Nontaxable benefits
    $0 + $30,558 related
    Filer's total
    $0 + $562,012 related

  • HAWKINS GINETTE

    SVP, CHIEF RISK OFFICER

    Total calculated
    $515,679
    From this org
    $0
    From related orgs
    $420,404
    Other
    $95,275
    Hours/week
    1 + 39 related

    Schedule J breakdown matched by us

    Base
    $0 + $290,769 related
    Bonus
    $0 + $120,632 related
    Other
    $0 + $9,003 related
    Deferred
    $0 + $84,956 related
    Nontaxable benefits
    $0 + $10,319 related
    Filer's total
    $0 + $515,679 related

Compensation is as filed in Part VII: reportable pay from this organization and from related organizations, other compensation, and hours per week. The total, marked calculated, is our sum of the three dollar columns, with a blank column counted as $0; the form itself has no total. On a Form 990-EZ the columns are Part IV's instead — compensation, contributions to benefit plans, and expense account — and the total sums those. A Schedule J breakdown is as filed: base pay, bonus, other, deferred compensation and nontaxable benefits from this organization, with any from related organizations beside each, and the filer's own total. It is shown with the Part VII listing of the same name on the same return. The form gives no key between the two, so that pairing is ours, and is marked matched by us.

Schedule J

Answered yes

  • 4a · Severance or change-of-control payment
  • 4b · Supplemental nonqualified retirement plan

Answered no

  • 4c · Equity-based compensation arrangement
  • 5a · Pay contingent on this organization's revenues
  • 5b · Pay contingent on a related organization's revenues
  • 6a · Pay contingent on this organization's net earnings
  • 6b · Pay contingent on a related organization's net earnings
  • 7 · Other non-fixed payments
  • 8 · Paid under the initial-contract exception

The filer's explanations (Part III)

PART I, LINE 3
COMPENSATION 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-B
PART I, LINES 4A DURING 2023, 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. SHERRY STANISLAW - $ 401,782 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) CONTRIBUTIONS MADE ON OR AFTER THAT DATE, A PARTICIPANT BECOMES VESTED IN NON-QUALIFIED PLAN PAYMENTS WERE MADE DURING THE YEAR TO THE FOLLOWING 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: SHERRY STANISLAW - $ 27,376 KEVIN KROEKER - $ 68,078 KWAN-MOON LEUNG - $ 48,847 DEFERRED COMPENSATION FOR 2023, 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 CONTRIBUTE TO, UP TO THE SCAN GROUP AND SCAN HEALTH PLAN'S DEFINED AND IRS ANNUAL LIMITS. 3) 401(K) QUALIFIED RETIREMENT PLAN CONTRIBUTIONS (EMPLOYER MATCH AND SAFE 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.
SCHEDULE J CEO COMPENSATION
IT IS IMPORTANT TO NOTE THAT SCHEDULE J REFLECTS ALL COMPENSATION THAT THE CEO "EARNED" IN 2023, WHICH INCLUDES INCENTIVE PAYMENTS RELATED TO 2023 THAT WILL BE PAID IN SUBSEQUENT YEARS AND UNVESTED RETIREMENT BENEFITS. SCHEDULE J ALSO INCLUDES COMPENSATION THAT THE CEO "EARNED" IN 2022 THAT WAS PAID IN 2023. FOR AVOIDANCE OF CONFUSION, THE CEO WAS PAID $3,268,166 IN 2023 [COLUMNS (B)(I), (B)(II), (B)(III)], OF WHICH $1,761,300 WAS "EARNED" IN 2022 [COLUMN (F)] AND PAID IN 2023. THE CEO'S "EARNED" COMPENSATION FOR 2023 IS EQUAL TO ROUGHLY $3,061,824, WHICH REPRESENTS COLUMN (E) MINUS COLUMN (F), SINCE COLUMN (F) IS COMPENSATION EARNED IN A PREVIOUS YEAR AND INCLUDED IN A PREVIOUS 990.

Part I's answers as filed. A line not listed was left unanswered; on lines 1a and 3 that means the box was not checked.

Grants on this return

  • BAKERRIPLEY

    $30,000

    GRANT TO SUPPORT PROGRAMMING AT THE ALIEF SENIOR CENTER SERVING DIVERSE COMMUNITIES.

  • THE MONTROSE CENTER

    $25,000

    GRANT TO SUPPORT SENIOR EMERGENCY FOOD PANTRY FOR LOW-INCOME OLDER ADULTS IN THE LGBTQ+ COMMUNITY.

  • HOUSE OF NEIGHBORLY SERVICE

    $15,000

    GRANT TO SUPPORT CULTURALLY PREFERRED MEALS FOR OLDER ADULTS.

  • BOAT PEOPLE SOS - HOUSTON

    $10,000

    GRANT TO SUPPORT SENIOR SERVICES PROGRAM TO REDUCE BARRIERS TO SERVICES AND SOCIAL SUPPORTS FOR VIETNAMESE ADULTS (AGE 55+).

Related organizations on this return

Schedule R Part II: tax-exempt organizations related to the filer by control. It does not record shared board members or money.

Provenance

Return type
form_990
Tax year
2023
Filed
11 November 2024
IRS schema version
2023v5.1
Source object
202403169349300915

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