Attach to Form 990 or 990-EZ.
Information about Schedule O (Form 990 or 990-EZ) and its instructions is at| Return Reference | Explanation |
|---|---|
| Form 990, Part III, Line 2 New program services | In 2014 THE PLAN BEGAN COVERAGE FOR INDIVIDUALS UNDER THE HEALTH INSURANCE MARKETPLACE CREATED UNDER THE AFFORDABLE CARE ACT (ACA). IN NOVEMBER 2014, MDWISE MARKETPLACE, INC. ACQUIRED ALL OPERATING ACTIVITIES OF MDWISE, INC.'S EXCHANGE NONPROFIT ACTIVITY. THE STATE OF INDIANA DEVELOPED HEALTH INSURANCE EXCHANGE (STATE EXCHANGE) LEAD TO HEALTH AND HOSPITAL CORPORATION (HHC) AND INDIANA UNIVERSITY HEALTH (IU HEALTH) FOREMING MDWISE MARKETPLACE, INC. TO ASSUME THE EXCHANGE BUSINESS. |
| CoreFormPartIII_PartIIILine4d Description of other program services | (Expenses $ 29,824,668 including grants of $ 17,788)(Revenue $ 104,231,889) Marketplace Exchange offers qualified products on the Federally Facilitated Health Insurance Marketplace, formed with the introduction of the Affordable Care Act, to cover individuals who do not qualify for Indiana Medicaid programs. These plans are subject to individual premiums and cost sharing for residents ages 0-64. Marketplace administers three different levels of plans through the exchange: Gold, Silver, and Bronze. Depending on the individual income levels, individuals may qualify for federal subsidies. AS DESCRIBED AT FORM 990, PART III, LINE 2, THE EXCHANGE ACTIVITY WAS ASSUMED BY MDWISE MARKETPLACE, INC. IN NOVEMBER 2014. The EXCHANGE was responsible for approximately 24,700 members at December 31, 2014. |
| Form 990, Part VI, Line 1a Delegate broad authority to a committee | The Articles of Incorporation allows for the creation of the Executive Committee composed of one or more members of the Board of Directors which, to the extent provided in the bylaws or such resolution and consistent with applicable law, shall have and exercise all of the authority of the Board of Directors in the management of the Corporation's affairs during intervals between the meetings of the Board of Directors. |
| Form 990, Part VI, Line 2 Family/business relationships amongst interested persons | DAN SELLERS AND JOHN FITZGERALD - Business relationship |
| Form 990, Part VI, Line 6 Classes of members or stockholders | The members of MDWise, Inc. are IU Health and Health and Hospital Corporation of Marion County. Each Member has the right to elect 5 individuals to the governing body. |
| Form 990, Part VI, Line 7a Members or stockholders electing members of governing body | The Members each have the right to appoint 3 individuals to the governing body. |
| Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholders | The following corporate actions require approval by the members: A. To amend, alter, change or repeal the articles of incorporation B. To amend, alter, change or repeal the bylaws C. To merge or consolidate the corporation with another entity or entities D. To sell, lease, or exchange more than 50% of the property or assets of the corporation ,whether or not such sale, lease, or exchange occurs in the regular course of business E. To appoint and elect the directors of the corporation and the chairman of the corporation's board of directors F. To elect each officer of the corporation, to change the title, duties, salary or other compensation of any such officer, and (with consideration of any recommendation of the board of directors) to remove any such officer G. Upon the consideration of any recommendation of the board of directors, to approve or amend the corporation's annual budget and the making and timing of grants on behalf of the corporation H. To incur any corporate indebtedness in excess of $100,000, or to enter into any business transaction or financial commitment in excess of $100,000 I. To approve any conflict-of-interest business transaction J. To dissolve the corporation |
| Form 990, Part VI, Line 11b Review of form 990 by governing body | The CFO reviewed a final draft of the Form 990. After any changes or questions are addressed, a final copy of the form 990 is sent to every member of the governing body before it was filed with the IRS. |
| Form 990, Part VI, Line 12c Conflict of interest policy | MDWise requires that all board members, officers, and key employees sign a conflict of interest disclosure statement annually. The compliance officer of the organization reviews each completed statement and is present at board meetings to enforce compliance with the conflict of interest policy. If an issue with a potential conflict is brought to the table at a board meeting, the person with the potential conflict abstains from voting on the issues. |
| Form 990, Part VI, Line 15a Process to establish compensation of top management official | The executive committee of the board meets in June of each year to conduct a performance review of the CEO and to review compensation. The executive committee uses compensation surveys to determine appropriate compensation for the CEO. The compensation setting process and the determination is documented in the committee minutes. This process was last undertaken in 2014. |
| Form 990, Part VI, Line 15b Process to establish compensation of other employees | THE HUMAN RESOURCES DEPARTMENT DETERMINES THE COMPENSATION OF THE OTHER OFFICERS AND KEY EMPLOYEES OF THE ORGANIZATION. THE DEPARTMENT USES COMPENSATION SURVEYS IN ITS REVIEW PROCESS. THE DECISIONS ARE DOCUMENTED IN EACH INDVIVIDUALS' EMPLOYMENT FILES. THIS PROCESS WAS LAST UNDERTAKEN IN 2014. |
| Form 990, Part VI, Line 19 Required documents available to the public | These documents are made available upon request. |
| Form 990, Part XI, Line 9 Other changes in net assets or fund balances | Net Capital Contributions - 7159594; Net Income Transferred - 867262; Adjustment to Fund Balance - 681; |
| Software ID: | 14000329 |
| Software Version: | 2014v1.0 |