Indiana University Health Plans NFP Inc

Nonprofit profile at a glance

EIN
463803873
IRS 990 coverage
2016–2024
Forms available
Form 990 2024
Location
Indianapolis, IN, USA
Phone
3179634842
Rating
73
Verdict
SUPPORTED
Rating confidence
Moderate
Sector
Health, General and Financing

Reported finances

Revenue
$250,993,892
Expenses
$223,021,023
Assets
$53,383,928
Liabilities
$26,967,402

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

Leadership & pay

9 people listed

Executive titles in this filing

  • STEPHANIE L MOTTER (DIRECTOR/PRESIDENT)

Highest reported compensation

  • JENNIFER M ALVEY (DIRECTOR): $2,092,865 total reported compensation
  • RONALD L STIVER (DIRECTOR/Chair): $1,740,650 total reported compensation
  • STEPHANIE L MOTTER (DIRECTOR/PRESIDENT): $1,163,079 total reported compensation

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

Overview

Mission

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.

What it reported doing in 2024

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.

Operating model

Revenue model
Other-operating. 99% of the money available for current operations came from other operating revenue.
Distribution model
Direct operator. The filing allocates 100% 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 the filed numbers largely add up. A relatively small share of voting board members are independent and some filing-based governance responses are negative or unanswered.

Rating breakdown

  • Financial Efficiency: 87
  • Transparency & Controls: 82
  • Accountability: 32
  • Sustainability: 51
  • Growth: 100

Detailed rating inputs

Financial Efficiency

  • Mission deployment rate: 97.9%; rating input score 98
  • Program expense ratio: 96.8%; rating input score 97
  • Fundraising efficiency: Limited

Transparency & Controls

  • Consistency checks: 90.9%; rating input score 91; 6th percentile among comparable filings
  • Pay-setting controls: 4 of 6 controls in place; rating input score 67
    • Compensation committee: Pass
    • Independent consultant: Pass
    • Other Form 990s reviewed: Missing
    • Written employment contract: Missing
    • Compensation survey or study: Pass
    • Board or committee approval: Pass
  • Foreign activity oversight: Limited
  • Grant itemization coverage: Limited
  • Major donor itemization: Limited
  • Related-party transparency: Limited

Accountability

  • Independent voting board: 0%; rating input score 0; 4th 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: 11.1%; rating input score 75; 75th percentile among comparable filings
  • Total-asset coverage ratio: 0.24; rating input score 7; 7th percentile among comparable filings
  • Liabilities to assets ratio: 0.51; rating input score 36; 36th percentile among comparable filings
  • Officer compensation ratio: 0.5%; rating input score 83; 83rd percentile among comparable filings

Growth

  • Program expense growth: 2.7% per year; rating input score 100; 20th percentile among comparable filings
  • Revenue growth: 4.2% per year; rating input score 100; 34th percentile among comparable filings
  • Asset growth: 8.6% per year; rating input score 100; 62nd percentile among comparable filings

Details

  • Where the money goes: 97.9% of revenue deployed · 96.8% of spending went to programs
  • Governance: 0 of 7 board members independent · 7 of 9 filing controls reported
  • Programs: 1 filed program accomplishment · $215.9M in reported program spending
  • Leadership: top reported pay $2.1M · 9 people listed · 4 of 6 pay-setting controls reported
  • Consistency: 26 of 27 current checks pass · 1 finding to review
  • Schedules: 5 filed schedules · includes executive pay
  • Filing history: 8 filing years from 2016 to 2024
  • Contacts: How to reach this organization
  • Related organizations: 48 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.
  • Review — Accountability: Governance controls: 2 of 9 not reported.
  • High — Sustainability: Total-asset coverage ratio scored 7/100.
  • Review — Transparency & Controls: Schedule R controlled transactions itemized did not reconcile in the filed values.
  • Moderate — Sustainability: Liabilities to assets ratio scored 36/100.