Civic Intelligence

Mdwise Inc

990 • Fiscal year 2016 • EIN 35-1931354

Jan 01, 2016 to Dec 31, 2016 • Filed on Nov 15, 2017

Organization ProfileWWW.MDWISE.ORG

View Organization Page

1200 Madison Avenue 400Indianapolis, IN 46225

(317) 822-7100

Siviq Scores

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

Liabilities / Assets

67th percentile

0.67x

Higher debt load relative to assets than 67% of similar nonprofits.

2016 filings • $1B+ nonprofits • Source year 2016

Liabilities / Revenue

12th percentile

0.14x

Higher debt load relative to revenue than 12% of similar nonprofits.

2016 filings • $1B+ nonprofits • Source year 2016

Net Margin

30th percentile

2.0%

Higher net margin than 30% of similar nonprofits.

2016 filings • $1B+ nonprofits • Source year 2016

Top Officer Pay

19th percentile

$585,386

Higher top officer pay than 19% of similar nonprofits.

Top officer pay equals 0.0% of source-year revenue.

2016 filings • $1B+ nonprofits • Source year 2016

Asset Growth

5th percentile

-8.6%

Faster asset growth than 5% of similar nonprofits.

2016 filings • $1B+ nonprofits • Annualized from 2015 to 2016

Revenue Growth

95th percentile

39%

Faster revenue growth than 95% of similar nonprofits.

2016 filings • $1B+ nonprofits • Annualized from 2015 to 2016

Balance Sheet
Liabilities / Assets67th percentile

Assets

Down

$310,489,675

Down $29,364,439 (-8.6%) from 2015

Net Assets

Up

$103,540,363

Up $29,490,284 (+40%) from 2015

Liabilities

Down

$206,949,312

Down $58,854,723 (-22%) from 2015

Revenue And Expenses
Liabilities / Revenue12th percentileNet Margin30th percentile

Revenue

Up

$1,449,040,935

Up $404,068,392 (+39%) from 2015

Expenses

Up

$1,419,550,651

Up $388,343,314 (+38%) from 2015

Net Income

Up

$29,490,284

Up $15,725,078 (+114%) from 2015

Historical Trend

Balance Sheet Trend

Asset Growth5th percentile

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

$800M$600M$400M$200M$0Assets 2010: $65,287,517Liabilities 2010: $34,026,744Net Assets 2010: $31,260,7732010Assets 2011: $61,059,469Liabilities 2011: $27,501,243Net Assets 2011: $33,558,2262011Assets 2012: $79,282,022Liabilities 2012: $42,986,518Net Assets 2012: $36,295,5042012Assets 2013: $72,023,514Liabilities 2013: $39,448,195Net Assets 2013: $32,575,3192013Assets 2014: $98,883,222Liabilities 2014: $55,598,345Net Assets 2014: $43,284,8772014Assets 2015: $339,854,114Liabilities 2015: $265,804,035Net Assets 2015: $74,050,0792015Assets 2016: $310,489,675Liabilities 2016: $206,949,312Net Assets 2016: $103,540,3632016Assets 2017: $397,683,911Liabilities 2017: $281,059,911Net Assets 2017: $116,624,0002017Assets 2018: $398,850,570Liabilities 2018: $288,652,627Net Assets 2018: $110,197,9432018Assets 2019: $368,555,855Liabilities 2019: $224,203,249Net Assets 2019: $144,352,6062019Assets 2020: $528,082,609Liabilities 2020: $328,779,613Net Assets 2020: $199,302,9962020Assets 2021: $465,353,374Liabilities 2021: $256,850,721Net Assets 2021: $208,502,6532021Assets 2022: $686,951,288Liabilities 2022: $412,302,310Net Assets 2022: $274,648,9782022Assets 2023: $693,759,619Liabilities 2023: $455,455,582Net Assets 2023: $238,304,0372023Assets 2024: $686,158,141Liabilities 2024: $434,712,747Net Assets 2024: $251,445,3942024

Highlighted filing

2016

Assets$310,489,675
Liabilities$206,949,312
Net Assets$103,540,363
Open 2016 Filing

Operations Trend

Revenue Growth95th percentile

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

$2.0B$1.5B$1.0B$500M$0-$500MExpenses 2010: $485,135,2222010Expenses 2011: $445,811,1502011Expenses 2012: $451,761,1222012Revenue 2013: $457,589,942Expenses 2013: $460,189,122Net Income 2013: -$2,599,1802013Revenue 2014: $596,206,768Expenses 2014: $593,878,332Net Income 2014: $2,328,4362014Revenue 2015: $1,044,972,543Expenses 2015: $1,031,207,337Net Income 2015: $13,765,2062015Revenue 2016: $1,449,040,935Expenses 2016: $1,419,550,651Net Income 2016: $29,490,2842016Revenue 2017: $1,479,206,943Expenses 2017: $1,466,123,306Net Income 2017: $13,083,6372017Revenue 2018: $1,268,160,486Expenses 2018: $1,244,996,271Net Income 2018: $23,164,2152018Revenue 2019: $1,263,222,506Expenses 2019: $1,221,588,489Net Income 2019: $41,634,0172019Revenue 2020: $1,319,626,095Expenses 2020: $1,267,569,966Net Income 2020: $52,056,1292020Revenue 2021: $1,573,928,863Expenses 2021: $1,528,009,666Net Income 2021: $45,919,1972021Revenue 2022: $1,873,130,560Expenses 2022: $1,820,219,621Net Income 2022: $52,910,9392022Revenue 2023: $1,962,990,873Expenses 2023: $1,903,254,350Net Income 2023: $59,736,5232023Revenue 2024: $1,812,972,288Expenses 2024: $1,765,706,104Net Income 2024: $47,266,1842024

Highlighted filing

2016

Revenue$1,449,040,935
Expenses$1,419,550,651
Net Income$29,490,284
Open 2016 Filing
Jump To
Filing Snapshot
Filing Period
Jan 1, 2016 to Dec 31, 2016
Signed
Nov 15, 2017
Return Version
2016v3.0
Gross Receipts
$1,472,816,588
Mission and Program Overview

Mission

To provide high-quality, affordable healthcare and improve the well-being of our members by engaging exceptional associates, community leaders and healthcare professionals.

MDWise is a not-for-profit health maintenance organization contracting with healthcare providers to provide services to its members for three state programs: Hoosier Healthwise, Healthy Indiana Plan & Hoosier Care Connect (HCC).

Balance Sheet Detail
LineBeginningEndChange
Assets
Accounts Receivable$201,549,287$128,459,446▼ $73,089,841
Savings and Temporary Cash Investments$65,894,553$114,028,588▲ $48,134,035
Investments in Publicly Traded Securities$58,496,770$55,347,841▼ $3,148,929
Land, Buildings, and Equipment, Net$8,972,651$7,452,313▼ $1,520,338
Prepaid Expenses and Deferred Charges$1,244,394$1,762,102▲ $517,708
Inventories for Sale or Use$28,720$23,270▼ $5,450
Other Notes and Loans Receivable, Net$0$0→ $0
Pledges and Grants Receivable$0$0→ $0
Receivable From Disqualified Prsn$0--
Receivables From Officers Etc$0$0→ $0
Investments Other Securities$0--
Investments Program Related$0--
Total Assets$339,854,114$310,489,675▼ $29,364,439
Other Assets Total$3,667,739$3,416,115▼ $251,624
Liabilities
Accounts Payable and Accrued Expenses$242,175,765$206,949,312▼ $35,226,453
Other Liabilities$18,378,270$0▼ $18,378,270
Unsecured Notes Loans Payable$5,250,000$0▼ $5,250,000
Total Liabilities$265,804,035$206,949,312▼ $58,854,723
Net Assets / Fund Balance
Unrestricted Net Assets$74,050,079$103,540,363▲ $29,490,284
Total Net Assets Fund Balance$74,050,079$103,540,363▲ $29,490,284
Total Liabilities and Net Assets / Fund Balance$339,854,114$310,489,675▼ $29,364,439

Asset Categories

AssetBook ValueDepreciationBasis
Equipment$6,754,220$6,687,172$13,441,392
Leasehold Improvements$698,093$728,966$1,427,059
Compensation and Service Providers
Top Officer Pay19th percentile

Employees

NameTitleFull / Part TimeBaseOtherTotal
-President & CEOFT$504,234$81,152$585,386
-Vice President of OperationsFT$296,824$123,365$420,189
-Secretary (Sr VP General Counsel)FT$277,887$123,536$401,423
-Sr VP Chief Medical OfficerFT$306,067$26,386$332,453
-Vice President of Information ServicesFT$221,372$51,004$272,376
-Treasurer (Chief Financial Officer)FT$247,244$7,641$254,885
-Sr VP Chief Information OFCFT$223,211$19,220$242,431
-Sr Medical DirectorFT$204,107$19,419$223,526
-VP of Pharmacy and Med EconFT$164,703$42,155$206,858
-VP Quality ImprovementFT$171,806$32,655$204,461
-VP of Buiness IntelligenceFT$174,019$9,826$183,845
-VP Assistant General Counsel, LegalFT$153,468$22,748$176,216
-Director Clinical PharmacyFT$142,366$17,402$159,768
-VP of Provider RelationsFT$138,462$16,612$155,074
-Sr Director of Business ServicesFT$134,466$14,023$148,489
-Director of Care ManagementFT$128,516$8,414$136,930
-Treasurer (partial year)-$94,654-$94,654

Board Members and Trustees

NameTitle
-Chairman of the Board
-Director
-Director (partial year)

Highest Paid Contractors

ContractorServicesLocationCompensation
MedimpactPharmacy Services10181 Scripps Gateway Court, San Diego, CA 92131$885,957,323
DstTechnology Services13804 Collection Center Drive, Chicago, IL 60693$70,790,702
Bucher and Christian ConsultingConsultingPO Box 71495, Chicago, IL 60694-1495$46,788,551
Ride RightTransportation16 Hawk Ridge Drive, Lake St Louis, MO 63367$26,370,759
HealthedgeTechnology ServicesPO Box 347589, Pittsburgh, PA 15251-4816$17,485,123
Revenue and Support

Revenue Composition

Contributions and Grants
$0
Program Service Revenue
$1,435,604,329
Investment Income
$1,269,619
Other Revenue
$12,166,987
All Other Contributions
$0
Change in Net Assets
$29,490,284

Audited Revenue Reconciliation

Revenue per Audited Statements
$1,433,206,092
Revenue Not Reported on Financial Statements
$15,834,843
Revenue Not Reported on Form 990
$0
Other Revenue Adjustments
$15,834,843
Total Revenue per Audited Statements
$1,433,206,092
Total Revenue per Form 990
$1,449,040,935
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Other Expenses$1,398,834,450
Salaries, Compensation, and Employee Benefits$20,598,252
Grants and Similar Amounts Paid$117,949
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$8,289,057$1,462,775-$9,751,832
Other Expenses$5,122,846$904,032-$6,026,878
Advertising$4,718,170$832,618-$5,550,788
Information Technology$4,453,929$785,988-$5,239,917
Other Employee Benefits$3,570,904$630,159-$4,201,063
Fees for Services Other$3,384,392$597,246$0$3,981,638
Current Officers, Directors, Trustees, and Key Employees$3,212,366$566,888$0$3,779,254
All Other Expenses$2,084,353$367,830$0$2,452,183
Depreciation Depletion$1,867,186$329,503-$2,196,689
Payroll Taxes$1,650,195$291,211-$1,941,406
Occupancy$1,346,889$237,686-$1,584,575
Office Expenses$1,297,338$228,942-$1,526,280
Pension Plan Contributions$785,992$138,705-$924,697
Insurance$306,131$54,023-$360,154
Travel$263,524$46,504-$310,028
Fees for Services Accounting$248,315$43,820-$292,135
Fees for Service Investment Mgmnt Fees$121,031$21,358-$142,389
Grants to Domestic Orgs$117,949--$117,949
Conferences and Meetings$90,385$15,950-$106,335
Fees for Services Lobbying$87,855$15,504-$103,359
Fees for Services Legal$76,976$13,584-$90,560
Total Functional Expenses$1,411,966,325$7,584,326$0$1,419,550,651

Audited Expense Reconciliation

Line ItemAmount
Total Expenses per Form 990$1,419,550,651
Expenses per Audited Statements$1,403,715,808
Total Expenses per Audited Statements$1,403,715,808
Expenses Not Reported on Financial Statements$15,834,843
Other Expense Adjustments$15,834,843
Expenses Not Reported on Form 990$0
International Activity

Grant and Assistance Recipients

RecipientLocationCategoryPurposeAmount
Indiana Perinatal NetworkIndianapolis, IN501(c)(3)General Support$11,500
Health and Hospital Corporation of Marion CountyIndianapolis, INGovernmentGeneral Support$10,000
Methodist Health FoundationIndianapolis, IN501(c)(3)General Support$8,000
Indiana State Department of HealthIndianapolis, INGovernmentGeneral Support$7,000
Eskenazi Health FoundationIndianapolis, IN501(c)(3)General Support$6,000
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
Insider Transactions and Loans

Loans and Receivables

Line ItemBeginningEndChange
Receivables from Disqualified Persons$0--
Receivables from Officers, Directors, Trustees, and Key Employees$0$0→ $0
Debt and Bond Financing

Other Reported Liabilities

LiabilityAmount
Due to Affiliate$0
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Annual disclosure for covered persons
Yes
Audit committee
Yes
Backup withholding compliance
Yes
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
Yes
Other officer compensation reviewed
Yes
Conflict-of-interest policy
Yes
Audited financial statements prepared
No
Key decisions subject to board approval
Yes
Management duties delegated
No

Governance Explanations

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 - Business relationship, 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 5 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 prior to filing with the IRS. A final copy of the form 990 was sent to every member of the governing body after 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 2016.”

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 2016.”

Form 990, Part VI, Line 19 Required documents available to the public

“These documents are made available upon request.”

Filing and Contact Details

Filer

Filer Name
MDWise Inc
EIN
35-1931354
Phone
3178227100
Address
1200 MADISON AVENUE 400, INDIANAPOLIS, IN 46225

Signing Officer

Name
Robert Komula
Title
Chief Financial Officer
Signed
2017-11-15
Discuss with paid preparer
Yes

Organization Details

Formed
1994
Legal Domicile
In
Voting Board Members
9
Independent Board Members
9
Employees
604
Volunteers
9

Preparer

Firm
Crowe Horwath Llp
Address
135 N Pennsylvania Street Suite 200, Indianapolis, IN 46204
Preparer
Rachel Spurlock
Phone
3176321100
Supplemental Narrative

Financial Statement Notes

Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnote

“The Plan is tax exempt under Section 501(c)(4) of the Internal Revenue Code. Accordingly, the financial statements include no provision or liability for federal or state income taxes. A tax position is recognized as a benefit only if it is "more likely than not" that the tax position would be sustained in a tax examination, with a tax examination being presumed to occur. The amount recognized is the largest amount of tax benefit that is greater than 50% likely of being realized on examination. For tax positions not meeting the "more likely than not" test, no tax benefit is recorded. The Company does not expect the total amount of unrecognized tax benefits to significantly change in the next 12 months. The Company recognizes interest and/or penalties related to income tax matters in general administrative expenses. The Company did not have any amounts accrued for interest or penalties at December 31, 2016 and 2015.”

Schedule D, Part XI, Line 4(B) Other revenues in form 990 not in audited financial statements

“Reclass rev shown exp offset -transportaion - 12166987 reclass rev shown exp offset-utilz, case mgt & tpl - 3667856”

Schedule D, Part XII, Line 4(B) Other expenses in form 990 not in audited financial statements

“Reclass rev shown exp offset -transportation - 12166987 reclass rev shown exp offset-utilz, case mgt & tpl - 3667856”

Raw XML AppendixShowing 400 of 947 raw XML fields

This appendix keeps the raw XML leaves available for debugging and edge-case review. The human report above is the primary experience.

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IRS990/Desc0Beginning January 1, 2011, MDwise was granted a four-year contract with the State of Indiana (the "State"), through the Family and Social Service Administration ("FSSA") and Office of Medicaid Policy and Planning ("OMPP"), to arrange for and administer two risk-based managed care programs ("Hoosier Healthwise" and "Healthy Indiana Plan") for certain Indiana Medicaid enrollees. MDwise contracts with various delivery networks including the affiliated MDwise Medicaid Network ("Excel"). Excel and the other delivery networks accept the medical service risk for enrollees who choose a primary care provider after selecting the MDwise network. There were approximately 233,000 and 238,000 members enrolled in the Hoosier Healthwise product at December 31, 2016 and 2015, respectively. There were approximately 151,000 and 99,000 members enrolled in the Healthy Indiana product at December 31, 2016 and 2015, respectively. The increase in members is related to the expansion of the program by the State. On January 1, 2017, the contract with the State of Indiana was renewed and is now scheduled to expire on December 31, 2022. Beginning October 1, 2007, MDwise was granted a four-year contract with the State, through OMPP, to conduct certain care management and prior authorization functions, including care coordination, disease management, utilization management, and disposition of prior authorization requests, for the Indiana Care Select Program ("Care Select"). In September 2013, the contract was amended to carve out prior authorization functions from the program, effective October 30, 2013 and extended the expiration date of all other services to January 31, 2014. MDwise was granted a new four-year contract in January 2014 to participate in Care Select beginning February 1, 2014 and was to expire January 31, 2018. During 2014, the State released a request for proposal to replace the newly granted four-year contract with Risk-Based Managed Care Services in the form of a new program called Hoosier Care Connect ("HCC"). MDwise was selected to begin contract negotiations on the replacement program on November 26, 2014. As a part of this transition the HCC program began April 1, 2015 while the Care Select contract was phased out during 2015. The new HCC agreement will be effective for a 4 year period ending March 30, 2019. At the discretion of the State, there may be two one year renewals. In no event shall the term exceed a total of six years. Subsequent to 2016, the Company's contract with the State was terminated on March 31, 2017. The Company collaborated with the State to transition those members to alternate managed health plans. The Company was responsible for approximately 39,000 and 42,000 members at December 31, 2016 and 2015, respectively.
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IRS990/Form990PartVIISectionAGrp/BusinessName/BusinessNameLine1Txt1Daniel Edward Sellers
IRS990/Form990PartVIISectionAGrp/BusinessName/BusinessNameLine1Txt2Christopher Scott Weaver MD
IRS990/Form990PartVIISectionAGrp/BusinessName/BusinessNameLine1Txt3John Francis Fitzgerald MD
IRS990/Form990PartVIISectionAGrp/BusinessName/BusinessNameLine1Txt4Ryan Christopher Kitchell
IRS990/Form990PartVIISectionAGrp/BusinessName/BusinessNameLine1Txt5Tavonna Shenise Harris Askew
IRS990/Form990PartVIISectionAGrp/BusinessName/BusinessNameLine1Txt6Joan Victoria Castor
IRS990/Form990PartVIISectionAGrp/BusinessName/BusinessNameLine1Txt7Jennifer Marie Alvey
IRS990/Form990PartVIISectionAGrp/BusinessName/BusinessNameLine1Txt8Mike Edwards
IRS990/Form990PartVIISectionAGrp/BusinessName/BusinessNameLine1Txt9Dr LIsa Harris
IRS990/Form990PartVIISectionAGrp/BusinessName/BusinessNameLine1Txt10Cesar David Martinez
IRS990/Form990PartVIISectionAGrp/BusinessName/BusinessNameLine1Txt11Patricia Ann Hebenstreit
IRS990/Form990PartVIISectionAGrp/BusinessName/BusinessNameLine1Txt12Michael Victor Cutroni
IRS990/Form990PartVIISectionAGrp/BusinessName/BusinessNameLine1Txt13Jeremy Tyson Sullivan MD
IRS990/Form990PartVIISectionAGrp/BusinessName/BusinessNameLine1Txt14Terry Cole
IRS990/Form990PartVIISectionAGrp/BusinessName/BusinessNameLine1Txt15Gary Phillips
IRS990/Form990PartVIISectionAGrp/BusinessName/BusinessNameLine1Txt16Lindsey Lux
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IRS990/Form990PartVIISectionAGrp/TitleTxt0Chairman of the Board
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IRS990/Form990PartVIISectionAGrp/TitleTxt10President & CEO
IRS990/Form990PartVIISectionAGrp/TitleTxt11Secretary (Sr VP General Counsel)
IRS990/Form990PartVIISectionAGrp/TitleTxt12Treasurer (Chief Financial Officer)
IRS990/Form990PartVIISectionAGrp/TitleTxt13Sr VP Chief Medical Officer
IRS990/Form990PartVIISectionAGrp/TitleTxt14Treasurer (partial year)
IRS990/Form990PartVIISectionAGrp/TitleTxt15Vice President of Information Services
IRS990/Form990PartVIISectionAGrp/TitleTxt16Vice President of Operations
IRS990/Form990PartVIISectionAGrp/TitleTxt17VP Quality Improvement
IRS990/Form990PartVIISectionAGrp/TitleTxt18Sr VP Chief Information OFC
IRS990/Form990PartVIISectionAGrp/TitleTxt19VP of Buiness Intelligence
IRS990/Form990PartVIISectionAGrp/TitleTxt20VP of Pharmacy and Med Econ
IRS990/Form990PartVIISectionAGrp/TitleTxt21VP Assistant General Counsel, Legal
IRS990/Form990PartVIISectionAGrp/TitleTxt22Director of Care Management
IRS990/Form990PartVIISectionAGrp/TitleTxt23Sr Director of Business Services
IRS990/Form990PartVIISectionAGrp/TitleTxt24Director Clinical Pharmacy
IRS990/Form990PartVIISectionAGrp/TitleTxt25VP of Provider Relations
IRS990/Form990PartVIISectionAGrp/TitleTxt26Sr Medical Director
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IRS990/MissionDesc0MDwise is a not-for-profit health maintenance organization contracting with healthcare providers to provide healthcare services to its Indiana members for four state programs: Hoosier Healthwise, Healthy Indiana Plan and Hoosier Care Connect (HCC). MDwise accomplished its core values through a five-fold mission: 1. Delivering consistent, high quality care. 2. Focusing on families and community in a culturally competent way. 3. Shaping health policy and promoting innovation in medicaid managed care. 4. Ensuring financial viability through efficient and cost effective operations. 5. Involving providers in key decision making and nurturing local governance of the MDwise product.

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Filings

Displayed year

2016 • Form 990Detailed filing. Detailed filing data is available for this year.

Open filing
Assets
$310,489,675
Liabilities
$206,949,312
Net assets
$103,540,363
Revenue
$1,449,040,935
Expenses
$1,419,550,651
Net income
$29,490,284
Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2024Detailed filing. Detailed filing data is available for this year.$686$435$251$1,813$1,766$47.3
2023Detailed filing. Detailed filing data is available for this year.$694$455$238$1,963$1,903$59.7
2022Detailed filing. Detailed filing data is available for this year.$687$412$275$1,873$1,820$52.9
2021Detailed filing. Detailed filing data is available for this year.$465$257$209$1,574$1,528$45.9
2020Detailed filing. Detailed filing data is available for this year.$528$329$199$1,320$1,268$52.1
2019Detailed filing. Detailed filing data is available for this year.$369$224$144$1,263$1,222$41.6
2018Detailed filing. Detailed filing data is available for this year.$399$289$110$1,268$1,245$23.2
2017Detailed filing. Detailed filing data is available for this year.$398$281$117$1,479$1,466$13.1
2016Detailed filing. Detailed filing data is available for this year.$310$207$104$1,449$1,420$29.5
2015Detailed filing. Detailed filing data is available for this year.$340$266$74.1$1,045$1,031$13.8
2014Detailed filing. Detailed filing data is available for this year.$98.9$55.6$43.3$596$594$2.33
2013Detailed filing. Detailed filing data is available for this year.$72.0$39.4$32.6$458$460$2.60
2012Facts available. Structured filing facts are available, but richer extracted sections are limited.$79.3$43.0$36.3$452
2011Facts available. Structured filing facts are available, but richer extracted sections are limited.$61.1$27.5$33.6$446
2010Facts available. Structured filing facts are available, but richer extracted sections are limited.$65.3$34.0$31.3$485