2020-11-13T09:40:34-06:00 2019-12-31 990 2019-01-01 463803873 INDIANA UNIVERSITY HEALTH PLANS NFP INC % CRAIG J JONES INDI 3179634842 950 N MERIDIAN STREET Suite 300 INDIANAPOLIS IN 46204 GERALD C BRADFORD CFO 3179634842 2020-10-14 JENNIFER D RHODERICK P00395735 3176817000 162.1.179.250 35198520203185000018 2020-11-13 P EC0F867CDA2A68A93B900C7968EA20F6D551AC78 6C5B360722C3FFAFCFE5827037413334CAD8ED04 2019 2022-01-07 14:23:13Z Stephanie L Motter 950 N MERIDIAN ST STE 800 INDIANAPOLIS IN 46204 381765942 false X https://www.iuhealthplans.org/ X 2013 IN An Indiana Medicare Advantage Plan that is passionate about helping our members achieve the wellbeing they desire by improving the way they experience health care. 5 2 0 0 0 0 0 0 157168131 141583340 402959 559857 0 0 157571090 142143197 0 0 0 0 0 0 0 0 0 160664112 148557046 160664112 148557046 -3093022 -6413849 43900919 39956737 26282264 23762887 17618655 16193850 AN INDIANA MEDICARE ADVANTAGE PLAN THAT IS PASSIONATE ABOUT HELPING OUR MEMBERS ACHIEVE THE WELLBEING THEY DESIRE BY IMPROVING THE WAY THEY EXPERIENCE HEALTH CARE. false false 145537344 0 141583340 Indiana University Health Plans NFP, Inc. ("IU Health Plans NFP") operates as a health maintenance organization ("HMO") that holds a contract with the federal centers for Medicaid and Medicare Services, a division of the federal Department of Health and Human Services, to be a Medicare Advantage organization. Medicare Advantage organizations are required to provide adequate access to comprehensive health care services for Medicare beneficiaries through a contracted network of health care providers. To be considered adequate, the network must have a sufficient number of health care providers within an acceptable distance of the Medicare beneficiaries. The Corporation uses Indiana University Health, Inc. ("IU Health") as a health care delivery system to deliver and arrange for health care services to Medicare beneficiaries. IU Health maintains a network of providers throughout the state of Indiana. IU Health Plans NFP's HMO business is limited to the Medicare Advantage program. The corporation does not currently nor does it intend in the future to provide HMO coverage in the commercial, individual, or group health insurance markets. 145537344 false false false true false false false false false false false false false true true false true false false false false false false false false false false false true false false false false false false false false false false false false false true true false false true 93 0 true 0 false false false false false false false false X 5 2 true false false false true true true true true false false true true true true true true false false false IN X CRAIG J JONES 3179634842 950 N MERIDIAN STREET SUITE 800 INDIANAPOLIS IN 46204 RYAN C KITCHELL DIRECTOR/CHAIR (Part Year) 2.0 53.0 X X 0 1671478 1605248 MARK A LANTZY DIRECTOR/PRESIDENT (Part Year) 2.0 53.0 X X 0 899634 1057561 JOHN F FITZGERALD M DIRECTOR 2.0 53.0 X 0 1154540 18755 RONALD L STIVER Director/President (Part Year) 2.0 53.0 X X 0 863327 146162 David A Ingram MD DIRECTOR 2.0 53.0 X 0 780543 107628 GERALD C BRADFORD TREASURER (PART YEAR) 2.0 53.0 X 0 351685 46602 ROBERT W KOMULA TREASURER (Part Year) 2.0 53.0 X 0 352374 42587 SUSAN M MANN FORMER OFFICER 0.0 55.0 X 0 208650 32356 Tina L Korty Secretary 2.0 53.0 X 0 192212 11503 CYNTHIA S MILLER DIRECTOR/CHAIR 2.0 0.0 X X 0 10000 0 STEVEN L POLLACK DIRECTOR 2.0 0.0 X 0 10000 0 0 6494443 3068402 0 true true false BLOOM INSURANCE AGENCY 1801 SOUTH LIBERTY DRIVE SUITE 200 BLOOMINGTON IN 47403 COMMISSIONS 745059 MILLIMAN INC 15800 W BLUEMOUND ROAD BROOKFIELD WI 53005 ACTUARIAL SERVICES 374248 HY Connect 340 W 10th Street INDIANAPOLIS IN 46202 Advertising 2335871 AMER SPECIALTY HEALTH FITNESS 10221 Wateridge Circle SAN DIEGO CA 92121 Health 303931 CHANGE HEALTHCARE SOLUTIONS LLC 3055 LEBANON PIKE SUITE 1000 NASHVILLE TN 37214 Consulting 300443 6 0 MEDICARE MEMBER SERVICE REVENUE 524298 141583340 141583340 0 0 141583340 558451 0 0 558451 0 0 0 0 0 239624151 239622745 1406 1406 0 0 1406 0 0 0 0 0 0 0 0 0 0 142143197 141583340 0 559857 X 0 0 0 0 0 0 0 0 0 0 0 67630 0 67630 0 775711 0 775711 0 0 0 0 15810452 13792050 2018402 0 3906701 3906701 0 0 313377 246844 66533 0 25887 22587 3300 0 0 221579 216363 5216 0 32014 32014 0 0 0 11668 11668 0 0 0 0 0 52878 0 52878 0 HEALTH CLAIMS PD. TO PROVIDERS 127035739 127035739 RECRUITMENT 19394 19394 INSTITUTIONAL DUES/LICENSES 256582 256582 DRUGS & MEDICAL SUPPLIES 12723 12723 14711 4073 10638 148557046 145537344 3019702 0 0 0 34375971 26604231 0 0 8802137 12488564 0 0 0 0 0 0 0 0 220037 361836 0 0 0 0 502774 502106 0 0 0 0 0 0 43900919 39956737 4041602 6696489 0 0 218172 0 0 0 0 0 0 0 0 0 0 0 22022490 17066398 26282264 23762887 X 17618655 16193850 0 0 17618655 16193850 43900919 39956737 X -6413849 -10956 5000000 X false true X true false true true false 0 INTERCOMPANY PAYABLES (NET) 16848651 DUE TO THIRD-PARTY PAYORS 217747 17066398 X SCHEDULE D, PART X, LINE 2 - FIN 48 (ASC 740) FOOTNOTE IU Health Plans NFP is a subsidiary in Indiana University Health, Inc.'s ("IU Health") Consolidated Audited Financial Statements. The Internal Revenue Service (IRS) has determined that Indiana University Health and certain of its affiliated entities are tax-exempt organizations as defined in Section 501(c)(3) of the Internal Revenue Code (IRC). Indiana University Health and its tax-exempt affiliates are, however, subject to federal and state income taxes on unrelated business income under the provisions of IRC Section 511. The Tax Cuts and Jobs Act (TCJA) was enacted on December 22, 2017. For tax-exempt entities, TCJA requires organizations to pay an excise tax on compensation above certain thresholds and record income or losses for tax determination purposes from unrelated business activities on an activity-by-activity basis, among other provisions. Proposed regulations and interim guidance, necessary for implementation, have been issued on most aspects of TCJA. It is expected that proposed regulations will be issued as final regulations by the IRS in 2020. As of and for the year ended December 31, 2019, Indiana University Health has made reasonable estimates of the provision for income taxes, the compensation excise tax, and the effects, if any, on existing deferred tax balances. Indiana University Health will continue to refine its calculations in future periods, as additional regulations and guidance are issued by the IRS. Deferred income taxes that, as of December 31, 2019 and 2018, have no net carrying value reflect the net tax effect of temporary differences between the carrying amounts of assets and liabilities for financial reporting and the amounts used for income tax purposes. As of December 31, 2019 and 2018, the Indiana University Health System had gross deferred tax assets of $143,157,000 and $119,965,000 respectively, primarily relating to net operating loss carryovers. Management determined that a full valuation allowance at December 31, 2019 and 2018, was necessary to reduce the deferred tax assets to the amount that would more likely than not be realized. Based on the weight of the evidence, if it is more likely than not that some portion or all of the deferred tax assets will not be realized, a valuation allowance to reduce the deferred tax assets is recorded. The change in the valuation allowance for the current year is $23,192,000. At December 31, 2019, the Indiana University Health System has available net operating loss carryforwards of $575,596,000. Net operating losses generated from 1999 through 2017 will expire between 2020 and 2037. Net operating losses generated after 2017 do not expire. Certain subsidiaries of Indiana University Health are taxable entities. The tax expense and liabilities of these subsidiaries are not material to the consolidated financial statements. true true false false false false false false false MARK A LANTZY DIRECTOR/PRESIDENT (Part Year) 0 558455 0 253310 0 87869 0 1029938 0 27623 0 1957195 0 0 RYAN C KITCHELL DIRECTOR/CHAIR (Part Year) 0 974894 0 558658 0 137926 0 1580555 0 24693 0 3276726 0 0 David A Ingram MD DIRECTOR 0 506994 0 260879 0 12670 0 107628 0 0 0 888171 0 0 JOHN F FITZGERALD MD DIRECTOR 0 404730 0 314530 0 435280 0 18075 0 680 0 1173295 0 221505 GERALD C BRADFORD TREASURER (PART YEAR) 0 301677 0 47686 0 2322 0 18075 0 28527 0 398287 0 0 ROBERT W KOMULA TREASURER (Part Year) 0 303443 0 42073 0 6858 0 18075 0 24512 0 394961 0 0 SUSAN M MANN FORMER OFFICER 0 186773 0 20353 0 1524 0 12428 0 19928 0 241006 0 0 Tina L Korty Secretary 0 176257 0 15475 0 480 0 11052 0 451 0 203715 0 0 RONALD L STIVER Director/President (Part Year) 0 538906 0 242704 0 81717 0 114823 0 31339 0 1009489 0 0 SCHEDULE J, PART I, LINE 3 - COMP. OF THE ORG'S CEO/EXECUTIVE DIRECTOR IU Health Plans NFP's President is employed by IU Health. IU Health's process for determining compensation includes the use of a compensation survey/study conducted by an independent compensation consultant with review and approval by the talent management and executive compensation committee on and the Board of Directors. Please see Schedule O for additional details. SCHEDULE J, PART I, LINE 4A - SEVERANCE Ryan C. Kitchell entered into a severance agreement with IU Health during 2019. No severance was received during 2019. Deferred severance of $1,562,480 is included in column C, retirement and other deferred compensation. This amount includes total severance of $2,654,628 less $1,092,148 which was previously reported as deferred compensation. Mark A. Lantzy entered into a severance agreement with IU Health during 2019. No severance was received during 2019. Deferred severance of $908,360 is included in column C, retirement and other deferred compensation. SCHEDULE J, PART I, LINE 4B - SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN Mark A. Lantzy, John F. Fitzgerald M.D., David A. Ingram M.D., and Ronald L. Stiver participate in an IU Health supplemental executive retirement plan, provisions of which are designed to retain its critical employees. The plan provides for an additional retirement benefit for service through normal retirement or other key dates. If the executive leaves prior to retirement or other key dates, the benefit may be forfeited or reduced. Each of the executives listed above, with the exception of John F. Fitzgerald M.D., have amounts included in column c, deferred compensation, representing the current year unvested contributions made under the supplemental retirement plan. These amounts were not paid to the executives during the year. The following executive has an amount included in column b(iii), other reportable compensation, representing the current year vested amounts received under the supplemental executive retirement plan: - John F. Fitzgerald, M.D. ($376,472) PART VI, SECTION A, LINE 2 - FAMILY OR BUSINESS RELATIONSHIP Certain officers, directors or key employees of Indiana University Health, Inc. (IU Health) may also serve on the boards or as officers of other related or unrelated organizations. As noted below, no additional compensation was provided to these individuals for their service to related organizations. Related for-profit organization: IU Health ACO, Inc. Type of Relationship: Business Director or Officer: John F. Fitzgerald and Ronald L. Stiver Related for-profit organization: IUH Assurance SPC, Ltd. Type of relationship: Business Directors: John F. Fitzgerald and Ronald L. Stiver Related for-profit organization: IU Health Risk Retention Group, Inc. Type of relationship: Business Directors: John F. Fitzgerald and Ronald L. Stiver Related for-profit organization: IU Health Population Health Management, LLC Type of relationship: Business Director or Officer: John F. Fitzgerald and Ronald L. Stiver PART VI, SECTION A, LINES 6, 7A AND 7B - MEMBERS OR STOCKHOLDERS Line 6: The sole member of IU Health Plans NFP is IU Health, a 501(c)(3) tax-exempt organization. Line 7A: Subject to the powers reserved to the Member in the Corporation's Articles of Incorporation, the business and affairs of the Corporation shall be managed under the direction of a Board of Directors. The number of Directors comprising the Board of Directors shall be between three (3) and seven (7), as determined from time to time by the Board of Directors. Line 7B: Notwithstanding any other provisions of the Articles of Incorporation or any provision of IU Health Plans NFP's Bylaws, the following matters require the approval of IU Health, as the sole member, prior to implementation: - Any amendment of the Articles of Incorporation or Bylaws of IU Health Plans NFP; - Adoption or revision of any operating or capital budget of IU Health Plans NFP; - A merger or consolidation of IU Health Plans NFP; - Any sale, lease, exchange, conveyance, mortgage, pledge or other disposition of a substantial portion of the property, assets or interests of IU Health Plans NFP, other than pursuant to a budget approved by IU Health, as sole member; - Any incurrence of debt by, or the creation of any lien upon the property or revenues of, IU Health Plans NFP other than in the ordinary course of business or pursuant to a budget approved by IU Health, as sole member. Notwithstanding any other provisions of the Articles of Incorporation, or any provision of IU Health Plans NFP's Bylaws, IU Health, as the sole member, shall have the power to direct the Board of IU Health Plans NFP to do any of the following: - Transfer property of IU Health Plans NFP in amounts sufficient to pay the principal and interest of any obligation of IU Health, as sole member; and - Take such actions as are required in order for IU Health Plans NFP to comply with the covenants contained in any financing document to which IU Health, as sole member, is a party or under which IU Health is bound. PART VI, SECTION B, LINE 11B - REVIEW OF FORM 990 The CFO reviewed and approved the Form 990 prior to its filing. Following his review and approval, a complete copy of the Form 990 was made available to each board member prior to its filing. Each member was also informed of the availability of IU Health's Tax Department to answer any questions. PART VI, SECTION B, LINES 12, 13, AND 14 - POLICIES IU Health Plans NFP is part of the IU Health system. As the sole member and controlling parent of IU Health Plans NFP, IU Health and its board of directors have mandated that certain policies be followed to ensure greater standardization throughout the system. Thus, IU Health Plans NFP's Board of Directors was not required to separately adopt a conflict of interest, whistleblower, document retention and destruction and joint venture policies because IU Health's Board of Directors had already adopted and required these policies to be followed by its subsidiaries. PART VI, SECTION B, LINE 12C - CONFLICT OF INTEREST POLICY IU Health Plans NFP follows IU Health's Conflict of Interest Policy. IU Health's Conflict of Interest Policy includes the following provisions: All IU Health employees, associates, colleagues and contracted personnel, including employed physicians and paid medical directors ("IU Health Representatives") are covered by and subject to its Conflict of Interest Policy. IU Health regularly and consistently monitors and enforces compliance with the policy through the following procedures: (1) On an annual basis, each IU Health Representative at the level of Manager or above, together with every other person designated by the Corporate Compliance Department ("Department"), must complete, sign and submit a Conflict of Interest Questionnaire ("Questionnaire") to the Department. Governing board members, committee members, corporate officers, medical staff and researchers must comply with the administrative requirements noted in the respective policies and procedures relative to those areas. (2) An IU Health Representative must supplement a Questionnaire in writing, if after completion of the original Questionnaire, a situation arises, or may reasonably be expected to arise, that would change any answer or information on the original Questionnaire if the situation had existed or been anticipated at the time of completion of the original Questionnaire. (3) If a fully and properly completed Questionnaire reveals facts or other information that might reasonably indicate a Conflict of Interest or violation of the policy, the IU Health Representative completing the questionnaire must secure approval by his/her supervisor, evidenced in writing. (4) The Department will review each Questionnaire and determine whether a Conflict of Interest exists and, if so, whether and how it should or may be eliminated, avoided or managed in order to comply with the spirit of the policy and with the best interests of IU Health and its patients. In making the determination, the Corporate Compliance Department may consult with the IU Health Representative's supervisor and other appropriate individuals and groups. (5) The scope of the policy is not limited to those who are required to complete Questionnaires. If an IU Health Representative is involved in a situation or relationship that would constitute a violation of the policy in the absence of disclosure and approval as described above, then the IU Health Representative must disclose the matter to his/her supervisor, secure his/her supervisor's approval in writing, and disclose the matter to the Department. Otherwise, the IU Health Representative is in violation of the policy and subject to corrective action, up to and including termination. (6) The Chief Compliance Officer, in consultation with onsite Compliance personnel, may from time to time appoint standing or ad hoc committees to assist in resolving issues that arise under provisions of the policy. PART VI, SECTION B, LINE 15 - PROCESS FOR DETERMINING COMP. IU Health Plans NFP's Chair (part year), President, Secretary, Treasurer as well as one board Director are all employed by IU Health. One Director of IU Health Plans NFP is employed by IU Health Care Associates. IU Health's process for determining compensation is as follows: (1) The Board of Directors ("Board") has established a Talent Management and Executive Compensation Committee ("TMECC"), the purpose of which includes reviewing and making recommendations regarding executive pay and benefits (collectively referred to as "compensation") on an annual basis. The TMECC is made up of members of the Board that are neither physicians nor employees and do not otherwise have a conflict of interest regarding any of IU Health's compensation arrangements. The TMECC reviews an executive's entire compensation package including base salary, short-term and long-term incentives, health and welfare benefits, qualified and nonqualified retirement plans, as well as any additional fringe benefits. As deemed appropriate, the Committee on Finance, which is also made up of members of the Board, may also review executive compensation and benefits. (2) The TMECC engages an independent compensation consulting firm on an annual basis to conduct a compensation analysis for its executive group, which consists of employees at the level of senior vice president and above. The current compensation advisor is SullivanCotter. SullivanCotter performs its analysis in the form of a compensation survey ("survey") that includes relevant comparability data for compensation levels paid by similarly situated organizations (both governmental and tax exempt) for functionally comparable positions as well as the availability of similar services in the geographic area. SullivanCotter then prepares a survey report and provides recommendations to the TMECC, if deemed appropriate, on changes in executive compensation. A separate analysis using the same methodology is done for the President and Chief Executive Officer. (3) The TMECC then reviews SullivanCotter's report and recommendations and, if appropriate, votes on whether to recommend any changes in executive compensation to the Board. The TMECC will only recommend changes to the Board if they are consistent with the Board's philosophy on compensation matters and are deemed reasonable based upon the independent analysis provided by SullivanCotter. The TMECC's review, discussion and vote are documented in the minutes for the meeting. There are no executives present during the final discussion and approval. (4) The Board then reviews the report prepared by SullivanCotter as well as the recommendations of the TMECC as to any changes in executive compensation. As deemed appropriate, the Committee on Finance may also provide its review of the TMECC's recommendations on any changes in executive compensation. This review and discussion are documented in the minutes. (5) The Board then votes on whether to accept the TMECC's recommendations on any changes in executive compensation. Changes in executive compensation are made if approved by the TMECC and Board on an annual basis, or as necessary throughout the year. The discussion and approval are documented in the minutes of the meeting. There are no executives present during the final discussion and approval. IU Health's General Counsel also prepares a formal written opinion reviewing the executive compensation approval process, comparing it to the Intermediate Sanctions Test of IRC Section 4958. If warranted, IU Health's General Counsel may also provide comments regarding the executive compensation approval process as it relates to meeting the requirements for a rebuttable presumption of reasonableness as provided in the Intermediate Sanctions Test. (6) After the end of each year, the TMECC and Board also review the achievements of the executive group as it relates to the long-term and short-term shared and individual goals developed by the executives and the Board. These achievements may also be reviewed with the Committee on Finance. The Board, at its discretion, may approve bonus payments based upon the achievement of the goals. The discussion and vote of the TMECC and Board is documented in the minutes for each such meeting. The bonuses are not paid until approval is made by the Board. (7) The TMECC and Audit Committee also review Form 990 disclosures related to executive compensation as well as the organization's practices and approval processes prior to the filing of the Form 990 return with the Internal Revenue Service PART VI, SECTION C, LINE 19 - PUBLIC DISCLOSURE IU Health Plans NFP's Articles of Incorporation are available for public inspection through the Indiana Secretary of State's website. IU Health Plans NFP's conflict of interest procedures are disclosed on Form 990, Schedule O. IU Health Plans NFP is a subsidiary in IU Health's Consolidated Audited Financial Statements. IU Health's Consolidated Audited Financial Statements are available for public inspection through its bond filings and as an attachment to IU Health's Form 990. PART XI, LINE 9 - OTHER CHANGES IN NET ASSETS OR FUND BALANCES During 2019, IU Health Plans NFP recorded the following other changes in net assets or fund balances: Net Asset Transfer from IU Health: $5,000,000 Total Other Changes: $5,000,000 FORM 990 PART IX LINE 11G DESCRIPTION:SHARED SERVICES/PROF. 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