Civic Intelligence

Mdwise Inc

990 • Fiscal year 2018 • EIN 35-1931354

Jan 01, 2018 to Dec 31, 2018 • Filed on Nov 11, 2019

Organization ProfileWWW.MDWISE.ORG

View Organization Page

2955 N Meridian StreetIndianapolis, IN 46208

(317) 822-7100

Siviq Scores

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

Liabilities / Assets

73rd percentile

0.72x

Higher debt load relative to assets than 73% of similar nonprofits.

2018 filings • $1B+ nonprofits • Source year 2018

Liabilities / Revenue

19th percentile

0.23x

Higher debt load relative to revenue than 19% of similar nonprofits.

2018 filings • $1B+ nonprofits • Source year 2018

Net Margin

22nd percentile

1.8%

Higher net margin than 22% of similar nonprofits.

2018 filings • $1B+ nonprofits • Source year 2018

Top Officer Pay

57th percentile

$1,592,708

Higher top officer pay than 57% of similar nonprofits.

Top officer pay equals 0.1% of source-year revenue.

2018 filings • $1B+ nonprofits • Source year 2018

Asset Growth

23rd percentile

0.3%

Faster asset growth than 23% of similar nonprofits.

2018 filings • $1B+ nonprofits • Annualized from 2017 to 2018

Revenue Growth

7th percentile

-14%

Faster revenue growth than 7% of similar nonprofits.

2018 filings • $1B+ nonprofits • Annualized from 2017 to 2018

Balance Sheet
Liabilities / Assets73rd percentile

Assets

Up

$398,850,570

Up $1,166,659 (+0.3%) from 2017

Net Assets

Down

$110,197,943

Down $6,426,057 (-5.5%) from 2017

Liabilities

Up

$288,652,627

Up $7,592,716 (+2.7%) from 2017

Revenue And Expenses
Liabilities / Revenue19th percentileNet Margin22nd percentile

Revenue

Down

$1,268,160,486

Down $211,046,457 (-14%) from 2017

Expenses

Down

$1,244,996,271

Down $221,127,035 (-15%) from 2017

Net Income

Up

$23,164,215

Up $10,080,578 (+77%) from 2017

Historical Trend

Balance Sheet Trend

Asset Growth23rd 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

2018

Assets$398,850,570
Liabilities$288,652,627
Net Assets$110,197,943
Open 2018 Filing

Operations Trend

Revenue Growth7th 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

2018

Revenue$1,268,160,486
Expenses$1,244,996,271
Net Income$23,164,215
Open 2018 Filing
Jump To
Filing Snapshot
Filing Period
Jan 1, 2018 to Dec 31, 2018
Signed
Nov 11, 2019
Return Version
2018v3.1
Gross Receipts
$1,277,589,330
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 two state medicaid programs: hoosier healthwise (hhw) and healthy indiana plan (hip)

Balance Sheet Detail
LineBeginningEndChange
Assets
Accounts Receivable$200,776,612$204,780,453▲ $4,003,841
Savings and Temporary Cash Investments$129,612,152$135,062,662▲ $5,450,510
Investments in Publicly Traded Securities$57,967,307$58,759,190▲ $791,883
Prepaid Expenses and Deferred Charges$788,942--
Land, Buildings, and Equipment, Net$5,365,678$186,078▼ $5,179,600
Inventories for Sale or Use$18,330--
Total Assets$397,683,911$398,850,570▲ $1,166,659
Other Assets Total$3,154,890$62,187▼ $3,092,703
Liabilities
Accounts Payable and Accrued Expenses$281,059,911$277,267,059▼ $3,792,852
Other Liabilities$0$11,385,568▲ $11,385,568
Total Liabilities$281,059,911$288,652,627▲ $7,592,716
Net Assets / Fund Balance
Unrestricted Net Assets$116,624,000$110,197,943▼ $6,426,057
Total Net Assets Fund Balance$116,624,000$110,197,943▼ $6,426,057
Total Liabilities and Net Assets / Fund Balance$397,683,911$398,850,570▲ $1,166,659

Asset Categories

AssetBook ValueDepreciationBasis
Equipment$186,078$267,917$453,995
Compensation and Service Providers
Top Officer Pay57th percentile

Employees

NameTitleFull / Part TimeBaseOtherTotal
Patricia HebenstreitSVP General CounselFT$268,749$304,035$572,784
Lindsey LuxSVP OperationsFT$271,115$300,728$571,843
Brian ArrowwoodSVP Chief Information OfcFT$258,053$297,108$555,161
Christopher CallahanVP Pharmacy and Med EconFT$230,837$233,571$464,408
Jeremy SullivanSVP Chef Medical OfficerFT$181,432$184,302$365,734
Mark IvoryControllerFT$140,120$181,449$321,569
Eric EssleyVP Assistant General CounselFT$160,576$104,531$265,107
Jason FrickeSr Director of OperationsFT$155,762$99,712$255,474
Marc BakerVP of Provider RelationsFT$82,323$160,171$242,494
Amber KerstiensDirector of FinanceFT$144,560$76,365$220,925
Rebecca CobbDirector Customer ServiceFT$124,231$73,332$197,563
Annie CaseyDirector of Human ResourcesFT$136,281$57,519$193,800
Bruce HayesPresident and CEOFT$146,273$3,905$150,178
James MaguireCFOFT$18,750-$18,750

Board Members and Trustees

NameTitle
Kevin B TompkinsChairman
Carol SolomonAssistant Treasurer
Kathleen KendallSecretary
David E MazurkiewiczTreasurer

Highest Paid Contractors

ContractorServicesLocationCompensation
MedimpactPharmacy Services10181 SCRIPPS GATEWAY COURT, San Diego, CA 92131$256,517,370
DentaquestDental Services465 MEDFORD STREET, Boston, MA 02129$63,377,924
EskenaziHealthcare720 ESKENAZI AVENUE, Indianapolis, IN 46202$52,773,119
Methodist Health FoundationHealthcare1633 N CAPITOL AVENUE, Indianapolis, IN 46202$33,352,214
EvolentHealth Service Consulting800 N GLEBE ROAD, Arlington, VA 22203$23,372,755
Revenue and Support

Revenue Composition

Contributions and Grants
$0
Program Service Revenue
$1,262,486,020
Investment Income
$1,050,795
Other Revenue
$4,623,671
Change in Net Assets
$23,164,215

Audited Revenue Reconciliation

Revenue per Audited Statements
$1,268,026,215
Revenue Not Reported on Financial Statements
$134,271
Revenue Not Reported on Form 990
$-16,203,943
Other Revenue Adjustments
$134,271
Total Revenue per Audited Statements
$1,251,822,272
Total Revenue per Form 990
$1,268,160,486
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Other Expenses$1,219,770,546
Salaries, Compensation, and Employee Benefits$25,127,955
Grants and Similar Amounts Paid$97,770
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$13,711,026$2,419,593-$16,130,619
Fees for Services Other$4,652,055$820,950-$5,473,005
Information Technology$3,235,172$570,913-$3,806,085
Other Employee Benefits$2,798,861$493,917-$3,292,778
Occupancy$2,731,348$482,003-$3,213,351
Current Officers, Directors, Trustees, and Key Employees-$3,187,710-$3,187,710
Advertising$2,660,146$469,437-$3,129,583
Other Expenses$2,313,610$408,284-$2,721,894
Depreciation Depletion$1,835,028$323,829-$2,158,857
Office Expenses$1,630,789$287,785-$1,918,574
Payroll Taxes$1,211,190$213,739-$1,424,929
Pension Plan Contributions$928,131$163,788-$1,091,919
Insurance$371,284$65,521-$436,805
Fees for Services Accounting$234,736$41,424-$276,160
Fees for Services Legal$203,648$35,938-$239,586
Travel$133,746$23,602-$157,348
Fees for Service Investment Mgmnt Fees$114,130$20,141-$134,271
Grants to Domestic Orgs$97,770--$97,770
Conferences and Meetings$77,332$13,647-$90,979
Fees for Services Lobbying$59,793$10,552-$70,345
All Other Expenses$-6,947,232$-1,225,982-$-8,173,214
Total Functional Expenses$1,229,961,551$15,034,720$0$1,244,996,271

Audited Expense Reconciliation

Line ItemAmount
Total Expenses per Form 990$1,244,996,271
Expenses per Audited Statements$1,244,862,000
Total Expenses per Audited Statements$1,244,862,000
Expenses Not Reported on Financial Statements$134,271
Other Expense Adjustments$134,271
Expenses Not Reported on Form 990$0
International Activity

Grant and Assistance Recipients

RecipientLocationCategoryPurposeAmount
Minority Health Coalition of Marion CountyIndianapolis, IN501(c)(3)General Support$15,500
Indiana State Department of HealthIndianapolis, INGovernmentGeneral Support$7,000
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
Debt and Bond Financing

Other Reported Liabilities

LiabilityAmount
P40 Capitation$10,121,047
Tpl Recovery- Third Party Liability$505,260
Rewards Program$476,000
Government Ambulance Provider$100,948
Claims Refunds/deposits$94,144
Roq Payable$88,169
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
Yes
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
No
Management duties delegated
No

Governance Explanations

Form 990, Part VI, Section A, Line 4

“Effective 1/3/18, both mdwise and the mdwise medicaid network adopted new corporate by-laws to reflect the mhc acquisition of mdwise effective 1/1/18. Subsequently, in march of 2018, the mclaren integrated hmo group was formed and became the sole legal owner of mdwise and mdwise medicaid network.”

Form 990, Part VI, Section A, Line 6

“The sole member of the organization is mclaren integrated hmo group.”

Form 990, Part VI, Section A, Line 7A

“Mclaren integrated hmo group, mdwise's sole member has the power to appoint the board of directors”

Form 990, Part VI, Section B, Line 11B

“Form 990 is reviewed by mdwise's president & ceo and also by the cfo prior to filing. As part of an integrated health system, the parent board also reviews the form 990.”

Form 990, Part VI, Section B, Line 12C

“Each mdwise board member, officer and senior management executive completes the mdwise conflict of interest disclosure form annually. The board chair and president/ceo review all completed forms to identify any potential conflicts. Any identified potential conflict is investigated and raised with the individual, as appropriate, to resolve the conflict or determine if any action is needed, up to and including, possible removal from the board, or officer/senior management position. Any identified conflicts are reported to the full board of directors.”

Form 990, Part VI, Section B, Line 15

“To ensure a fair, competitive and legally compliant method of administering compensation, mdwise uses independent compensation studies and survey data to establish the compensation structure for the mdwise ceo and officers. Compensation for the ceo and officers are reviewed annually.”

Form 990, Part VI, Section C, Line 19

“The governing documents and conflict of interest policy are provided upon request.”

Filing and Contact Details

Filer

Filer Name
Mdwise Inc
EIN
35-1931354
Phone
3178227100
Address
2955 N MERIDIAN STREET, INDIANAPOLIS, IN 46208

Signing Officer

Name
James Maguire
Title
Chief Financial Officer
Phone
3178227100
Signed
2019-11-11
Discuss with paid preparer
Yes

Organization Details

Principal Officer
James Maguire
Formed
1994
Legal Domicile
In
Voting Board Members
5
Independent Board Members
0
Employees
359
Volunteers
6

Preparer

Firm
Plante & Moran Pllc
Address
27400 NORTHWESTERN HIGHWAY, SOUTHFIELD, MI 48034
Preparer
David Lowenthal
Phone
2483522500
Supplemental Narrative

Additional Explanations

FORM 990, PART XI, LINE 9:

“Change in nonadmitted asset 341,272. Transfer of net assets to related organization -16,800,000.”

PART XII, LINE 1:

“In fiscal year ended december 31, 2018, the organization changed its method of accounting from accrual to statutory.”

PART XII, LINE 2C:

“There has been no change in process from prior year.”

Financial Statement Notes

PART XI, LINE 2D - OTHER ADJUSTMENTS:

“Change in nonadmitted asset 341,272. Transfer of net assets to related organization -16,800,000.”

PART XI, LINE 4B - OTHER ADJUSTMENTS:

“Expenses net with revenue for financial statement reporting 134,271.”

PART XII, LINE 4B - OTHER ADJUSTMENTS:

“Expenses net with revenue for financial statement reporting 134,271.”

Raw XML AppendixShowing 400 of 1,615 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/ActivityOrMissionDesc0MDWISE IS A NOT-FOR-PROFIT HEALTH MAINTENANCE ORGANIZATION CONTRACTING WITH HEALTHCARE PROVIDERS TO PROVIDE SERVICES TO ITS MEMBERS FOR TWO STATE MEDICAID PROGRAMS: HOOSIER HEALTHWISE (HHW) AND HEALTHY INDIANA PLAN (HIP)
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IRS990/Form990PartVIISectionAGrp/TitleTxt1TREASURER
IRS990/Form990PartVIISectionAGrp/TitleTxt2SECRETARY
IRS990/Form990PartVIISectionAGrp/TitleTxt3ASSISTANT TREASURER
IRS990/Form990PartVIISectionAGrp/TitleTxt4PRESIDENT AND CEO
IRS990/Form990PartVIISectionAGrp/TitleTxt5CFO
IRS990/Form990PartVIISectionAGrp/TitleTxt6SVP OPERATIONS
IRS990/Form990PartVIISectionAGrp/TitleTxt7SVP GENERAL COUNSEL
IRS990/Form990PartVIISectionAGrp/TitleTxt8SVP CHIEF INFORMATION OFC
IRS990/Form990PartVIISectionAGrp/TitleTxt9VP PHARMACY AND MED ECON
IRS990/Form990PartVIISectionAGrp/TitleTxt10SVP CHEF MEDICAL OFFICER
IRS990/Form990PartVIISectionAGrp/TitleTxt11VP ASSISTANT GENERAL COUNSEL
IRS990/Form990PartVIISectionAGrp/TitleTxt12VP OF PROVIDER RELATIONS
IRS990/Form990PartVIISectionAGrp/TitleTxt13CONTROLLER
IRS990/Form990PartVIISectionAGrp/TitleTxt14SR DIRECTOR OF OPERATIONS
IRS990/Form990PartVIISectionAGrp/TitleTxt15DIRECTOR OF FINANCE
IRS990/Form990PartVIISectionAGrp/TitleTxt16DIRECTOR OF HUMAN RESOURCES
IRS990/Form990PartVIISectionAGrp/TitleTxt17DIRECTOR CUSTOMER SERVICE
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IRS990/MinutesOfCommitteesInd01
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IRS990/MissionDesc0TO PROVIDE HIGH-QUALITY, AFFORDABLE HEALTHCARE AND IMPROVE THE WELL-BEING OF OUR MEMBERS BY ENGAGING EXCEPTIONAL ASSOCIATES, COMMUNITY LEADERS AND HEALTHCARE PROFESSIONALS.
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IRS990/ProgramServiceRevenueGrp/BusinessCd2900000
IRS990/ProgramServiceRevenueGrp/Desc0HEALTHY INDIANA PLAN
IRS990/ProgramServiceRevenueGrp/Desc1HOOSIER HEALTHWISE
IRS990/ProgramServiceRevenueGrp/Desc2HOOSIER CARE CONNECT

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Filings

Displayed year

2018 • Form 990Detailed filing. Detailed filing data is available for this year.

Open filing
Assets
$398,850,570
Liabilities
$288,652,627
Net assets
$110,197,943
Revenue
$1,268,160,486
Expenses
$1,244,996,271
Net income
$23,164,215
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