Scan Health Plan New Mexico

“The organization changed its name.”

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

“The sole member has the power to appoint the members of the board of directors.”

“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 (nm) board for review after it is prepared, but prior to filing.”

“Scan health plan (nm) follows scan health plan's conflict of interest process a description of the process is as follows: scan healthplan 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.”

“The process for determining compensation for karen schulte (president-scan health plan (nm), officers and senior vice president of scan health plan new mexico 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.”

“Scan health plan (nm) governing documents and conflict of interest policy were not made available to the public. Scan health plan (nm) was required to file 2024 audited statutory-basis financial statements with the new mexico office of the superintendent of insurance (doi). Scan health plan (nm) tax returns are available upon request.”

“Scan health plan nevada adopted the following policies of scan group: whistleblower policy, document retention, and destruction policy.”

“Premium deficiency reserve: program service expenses 508,772. Management and general expenses 0. Fundraising expenses 0. Total expenses 508,772. Hospital, physicians, and other: program service expenses 1,023,823. Management and general expenses 0. Fundraising expenses 0. Total expenses 1,023,823. Professional fees: program service expenses 163,585. Management and general expenses 49,315. Fundraising expenses 0. Total expenses 212,900. Other expenses: program service expenses 19. Management and general expenses -126. Fundraising expenses 0. Total expenses -107.”