Civic Intelligence

Scan Health Plan Nevada Inc

990 • Fiscal year 2021 • EIN 85-4288083

Jan 01, 2021 to Dec 31, 2021 • Filed on Nov 02, 2022

3800 Kilroy Airport Way 100Long Beach, CA 90806-5616

(562) 989-5100

Siviq Scores

Precomputed percentiles for this filing year versus similar nonprofits in the same peer cohort.

Liabilities / Assets

80th percentile

0.36x

Higher debt load relative to assets than 80% of similar nonprofits.

2021 filings • 501(c)4 • $1M-$5M nonprofits • Source year 2021

Liabilities / Revenue

73rd percentile

0.46x

Higher debt load relative to revenue than 73% of similar nonprofits.

2021 filings • 501(c)4 • $1M-$5M nonprofits • Source year 2021

Net Margin

51st percentile

14%

Higher net margin than 51% of similar nonprofits.

2021 filings • 501(c)4 • $1M-$5M nonprofits • Source year 2021

Top Officer Pay

100th percentile

$3,887,708

Higher top officer pay than 100% of similar nonprofits.

Top officer pay equals 162.0% of source-year revenue.

2021 filings • 501(c)4 • $1M-$5M nonprofits • Source year 2021

Asset Growth

94th percentile

89%

Faster asset growth than 94% of similar nonprofits.

2021 filings • 501(c)4 • $1M-$5M nonprofits • Annualized from 2020 to 2021

Revenue Growth

79th percentile

50%

Faster revenue growth than 79% of similar nonprofits.

2021 filings • 501(c)4 • $1M-$5M nonprofits • Annualized from 2020 to 2021

Assets

Up

$3,027,411

Up $1,427,411 (+89%) from 2020

Net Assets

Up

$1,931,657

Up $331,657 (+21%) from 2020

Liabilities

Up

$1,095,754

Up $1,095,754 from 2020

Revenue

Up

$2,400,059

Up $800,059 (+50%) from 2020

Expenses

Up

$2,068,402

Up $2,068,402 from 2020

Net Income

Down

$331,657

Down $1,268,343 (-79%) from 2020

Historical Trend

Balance Sheet Trend

The highlighted filing sits inside the broader history for assets, liabilities, and net assets.

$8.0M$6.0M$4.0M$2.0M$0Assets 2020: $1,600,000Liabilities 2020: $0Net Assets 2020: $1,600,0002020Assets 2021: $3,027,411Liabilities 2021: $1,095,754Net Assets 2021: $1,931,6572021Assets 2022: $3,966,698Liabilities 2022: $2,875,527Net Assets 2022: $1,091,1712022Assets 2023: $6,263,286Liabilities 2023: $3,188,670Net Assets 2023: $3,074,6162023Assets 2024: $7,583,620Liabilities 2024: $3,758,631Net Assets 2024: $3,824,9892024

Highlighted filing

2021

Assets$3,027,411
Liabilities$1,095,754
Net Assets$1,931,657

Operations Trend

Revenue, expenses, and net income across loaded years, with this filing highlighted.

$30M$20M$10M$0-$10MRevenue 2020: $1,600,000Expenses 2020: $0Net Income 2020: $1,600,0002020Revenue 2021: $2,400,059Expenses 2021: $2,068,402Net Income 2021: $331,6572021Revenue 2022: $18,359,971Expenses 2022: $19,200,457Net Income 2022: -$840,4862022Revenue 2023: $22,998,579Expenses 2023: $21,007,863Net Income 2023: $1,990,7162023Revenue 2024: $25,129,158Expenses 2024: $24,381,636Net Income 2024: $747,5222024

Highlighted filing

2021

Revenue$2,400,059
Expenses$2,068,402
Net Income$331,657
Jump To
Filing Snapshot
Filing Period
Jan 1, 2021 to Dec 31, 2021
Signed
Nov 2, 2022
Return Version
2021v4.2
Gross Receipts
$2,400,059
Mission and Program Overview

Mission

Keep seniors healthy and independent

Balance Sheet Detail
LineBeginningEndChange
Assets
Cash and Non-Interest-Bearing Accounts$1,600,000$3,023,995▲ $1,423,995
Prepaid Expenses and Deferred Charges-$3,416-
Total Assets$1,600,000$3,027,411▲ $1,427,411
Liabilities
Accounts Payable and Accrued Expenses-$1,095,657-
Deferred Revenue-$97-
Total Liabilities$0$1,095,754▲ $1,095,754
Net Assets / Fund Balance
Net Assets Without Donor Restrictions$1,600,000$1,931,657▲ $331,657
Total Net Assets Fund Balance$1,600,000$1,931,657▲ $331,657
Total Liabilities and Net Assets / Fund Balance$1,600,000$3,027,411▲ $1,427,411
Compensation and Service Providers

Board Members and Trustees

NameTitle
Sherry StanislawPresident
Michael PlumbDirector
Nancy MonkDirector
Sachin JainDirector
Janet Kornblatt End 122021Secretary/general Counsel
Kevin Kroeker Beg 72021Secretary/general Counsel
Jill SelbySVP Product Dev & Mkt Exp
Virginia HavaiTreasurer
Revenue and Support

Revenue Composition

Contributions and Grants
$2,400,000
Program Service Revenue
$0
Investment Income
$59
Other Revenue
$0
Change in Net Assets
$331,657
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Other Expenses$2,025,540
Salaries, Compensation, and Employee Benefits$42,862
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Fees for Services Other$1,058,464$70,808-$1,129,272
Advertising$825,451$500-$825,951
Other Salaries and Wages$32,210$3,579-$35,789
Occupancy$15,467$9,480-$24,947
Information Technology$9,296$4,934-$14,230
Fees for Services Accounting-$11,715-$11,715
Office Expenses$2,516$2,729-$5,245
Other Employee Benefits$3,149$1,147-$4,296
Payroll Taxes$2,368$263-$2,631
Travel$1,431$467-$1,898
Other Expenses$1,638$1,660-$1,660
Conferences and Meetings$10$302-$312
Pension Plan Contributions$131$15-$146
All Other Expenses$41$50-$91
Total Functional Expenses$1,953,237$115,165$0$2,068,402
Fundraising, Events, and Gaming
Fundraising activities
No
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Professional Fundraising Fees$0
Political and Lobbying Activity
Political campaign activity
No
Subject to proxy tax
No
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Audit committee
Yes
Backup withholding compliance
Yes
Business relationship with 35% controlled entity
No
Business relationship with family members
No
Business relationship with organization members
No
Material changes to governing documents
No
Compensation from other sources disclosed
No
CEO compensation reviewed
No
Other officer compensation reviewed
No
Conflict-of-interest policy
No
Audited financial statements prepared
Yes
Key decisions subject to board approval
No
Management duties delegated
No

Governance Explanations

Form 990, Part VI, Section A, Line 6

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

Form 990, Part VI, Section B, Line 11B

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 form 990 is provided to the scan health plan nevada's board for review after it is prepared, but prior to filing.

Form 990, Part VI, Section B, Line 15

The process for determining compensation for sherry stanislaw (president-scan health plan nevada), officers and senior vice president of scan health plan nevada 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 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 2021 salary package was sullivan cotter.

Form 990, Part VI, Section C, Line 19

Scan health plan nevada, inc's governing documents and conflict of interest policy were not made available to the public. Scan health plan nevada inc was not required to file 2021 audited financial statements with the nevada department of insurance. Scan health plan nevada, inc's tax returns are available on request.

Form 990 Part VI, Lines 12-14

In 2021, scan health plan nevada currently operates under the policies that are maintained by its sole member, scan group. Effective january 1, 2022, scan health plan nevada will become operational and plans to adopt the following policies of scan group: whistleblower policy, document retention and destruction policy, and conflict of interest policy.

Filing and Contact Details

Filer

Filer Name
Scan Health Plan Nevada Inc
EIN
85-4288083
Phone
5629895100
Address
3800 KILROY AIRPORT WAY 100, LONG BEACH, CA 90806-5616

Signing Officer

Name
Sherry Stanislaw
Title
President
Phone
5629895100
Signed
2022-11-02
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Sherry Stanislaw
Formed
2020
Legal Domicile
Nv
Voting Board Members
5
Independent Board Members
0
Employees
0
Volunteers
0

Preparer

Firm
Deloitte Tax Llp
Address
50 SOUTH SIXTH STREET, MINNEAPOLIS, MN 55402
Preparer
Anna Kolakaluri
Phone
6123974000
Supplemental Narrative

Additional Explanations

Form 990, Part IX, Line 11G

Outside services: program service expenses 211,158. Management and general expenses 70,808. Fundraising expenses 0. Total expenses 281,966. Premium deficiency reserve: program service expenses 847,306. Management and general expenses 0. Fundraising expenses 0. Total expenses 847,306.

Financial Statement Notes

PART X, LINE 2:

Under fasb asc 740, income taxes, the company is required to recognize a liability for each uncertain tax position at the amount estimated to be required to settle the issues. As of december 31, 2021 there were no liabilities recorded for uncertain tax positions.

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IRS990ScheduleD/SupplementalInformationDetail/ExplanationTxt0UNDER FASB ASC 740, INCOME TAXES, THE COMPANY IS REQUIRED TO RECOGNIZE A LIABILITY FOR EACH UNCERTAIN TAX POSITION AT THE AMOUNT ESTIMATED TO BE REQUIRED TO SETTLE THE ISSUES. AS OF DECEMBER 31, 2021 THERE WERE NO LIABILITIES RECORDED FOR UNCERTAIN TAX POSITIONS.
IRS990ScheduleD/SupplementalInformationDetail/FormAndLineReferenceDesc0PART X, LINE 2:
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IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/PersonNm0SACHIN JAIN
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/PersonNm1JANET KORNBLATT END 122021
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/PersonNm2NANCY MONK
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/PersonNm3SHERRY STANISLAW
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/PersonNm4MICHAEL PLUMB
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/PersonNm5JILL SELBY
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IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/PersonNm7VIRGINIA HAVAI
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TitleTxt0DIRECTOR
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IRS990ScheduleJ/SeverancePaymentInd01
IRS990ScheduleJ/SupplementalInformationDetail/ExplanationTxt0COMPENSATION FOR SHERRY STANISLAW (PRESIDENT -SCAN HEALTH PLAN NEVADA) 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.

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