Civic Intelligence

Mdwise Inc

990 • Fiscal year 2019 • EIN 35-1931354

Jan 01, 2019 to Dec 31, 2019 • Filed on Aug 07, 2020

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

67th percentile

0.61x

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

2019 filings • $1B+ nonprofits • Source year 2019

Liabilities / Revenue

18th percentile

0.18x

Higher debt load relative to revenue than 18% of similar nonprofits.

2019 filings • $1B+ nonprofits • Source year 2019

Net Margin

30th percentile

3.3%

Higher net margin than 30% of similar nonprofits.

2019 filings • $1B+ nonprofits • Source year 2019

Top Officer Pay

56th percentile

$1,621,790

Higher top officer pay than 56% of similar nonprofits.

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

2019 filings • $1B+ nonprofits • Source year 2019

Asset Growth

5th percentile

-7.6%

Faster asset growth than 5% of similar nonprofits.

2019 filings • $1B+ nonprofits • Annualized from 2018 to 2019

Revenue Growth

24th percentile

-0.4%

Faster revenue growth than 24% of similar nonprofits.

2019 filings • $1B+ nonprofits • Annualized from 2018 to 2019

Balance Sheet
Liabilities / Assets67th percentile

Assets

Down

$368,555,855

Down $30,294,715 (-7.6%) from 2018

Net Assets

Up

$144,352,606

Up $34,154,663 (+31%) from 2018

Liabilities

Down

$224,203,249

Down $64,449,378 (-22%) from 2018

Revenue And Expenses
Liabilities / Revenue18th percentileNet Margin30th percentile

Revenue

Down

$1,263,222,506

Down $4,937,980 (-0.4%) from 2018

Expenses

Down

$1,221,588,489

Down $23,407,782 (-1.9%) from 2018

Net Income

Up

$41,634,017

Up $18,469,802 (+80%) from 2018

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

2019

Assets$368,555,855
Liabilities$224,203,249
Net Assets$144,352,606
Open 2019 Filing

Operations Trend

Revenue Growth24th 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

2019

Revenue$1,263,222,506
Expenses$1,221,588,489
Net Income$41,634,017
Open 2019 Filing
Jump To
Filing Snapshot
Filing Period
Jan 1, 2019 to Dec 31, 2019
Signed
Aug 7, 2020
Return Version
2019v5.1
Gross Receipts
$1,350,463,560
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
Savings and Temporary Cash Investments$135,062,662$168,471,834▲ $33,409,172
Accounts Receivable$204,780,453$136,624,706▼ $68,155,747
Investments in Publicly Traded Securities$58,759,190$63,303,289▲ $4,544,099
Land, Buildings, and Equipment, Net$186,078$156,026▼ $30,052
Total Assets$398,850,570$368,555,855▼ $30,294,715
Other Assets Total$62,187$0▼ $62,187
Liabilities
Accounts Payable and Accrued Expenses$277,267,059$218,790,670▼ $58,476,389
Other Liabilities$11,385,568$5,412,579▼ $5,972,989
Total Liabilities$288,652,627$224,203,249▼ $64,449,378
Net Assets / Fund Balance
Net Assets Without Donor Restrictions$110,197,943$144,352,606▲ $34,154,663
Total Net Assets Fund Balance$110,197,943$144,352,606▲ $34,154,663
Total Liabilities and Net Assets / Fund Balance$398,850,570$368,555,855▼ $30,294,715

Asset Categories

AssetBook ValueDepreciationBasis
Equipment$156,026$418,487$574,513
Compensation and Service Providers
Top Officer Pay56th percentile

Employees

NameTitleFull / Part TimeBaseOtherTotal
James MaguireCFOFT$314,782$119,218$434,000
Patricia HebenstreitSVP General CounselFT$252,703$60,004$312,707
Lindsey Lux KlemanSVP Operations (part Year)FT$258,356$54,004$312,360
Brian ArrowwoodVP Business OperationsFT$240,457$52,893$293,350
Daniel SpitzbergMedical DirectorFT$221,041-$221,041
Christopher CallahanVP Pharmacy and Med Econ (part Year)FT$180,178$33,538$213,716
Wendi PowellDirector Clinical PharmacyFT$158,323$32,789$191,112
Brian MusialDirector Pharmacy AnalyticsFT$145,348$27,146$172,494
Eric EssleyDirector Legal ServicesFT$137,255$31,379$168,634
Jason ThackerDirector Business OperationsFT$136,654$29,063$165,717
Mark IvoryManager FinanceFT$140,136$9,212$149,348
Marcia ShivelyDirector Business ServicesFT$141,574$4,466$146,040
Rebecca CobbDirector Customer ServiceFT$124,896-$124,896

Board Members and Trustees

NameTitle
Kevin B TompkinsChairman
Kathleen KendallPresident and CEO
Bruce HayesPresident and CEO (part Year)
Carol SolomonAssistant Treasurer
David E MazurkiewiczTreasurer

Highest Paid Contractors

ContractorServicesLocationCompensation
Ai KingReinsurance Provider8604 ALLISONVILLE ROAD, Indianapolis, IN 46250$7,707,856
Mclaren Integrated Insurance GroupIntercompany Service AgreementONE MCLAREN PARKWAY, Grand Blanc, MI 48439$6,956,214
Evolent Health LLCMedical Claims Payment Provider800 N GLEBE ROAD, Arlington, VA 22203$6,419,651
Southeastrans INCTransportation Provider4751 BEST ROAD, Atlanta, GA 30337$3,600,545
DentaquestDental Claims Payment Provider12121 NORTH CORPORATE PKWY, Mequon, WI 53092$2,073,169
Revenue and Support

Revenue Composition

Contributions and Grants
$0
Program Service Revenue
$1,243,800,126
Investment Income
$6,340,867
Other Revenue
$13,081,513
Change in Net Assets
$41,634,017

Audited Revenue Reconciliation

Revenue per Audited Statements
$1,254,135,792
Revenue Not Reported on Financial Statements
$9,086,714
Revenue Not Reported on Form 990
$0
Other Revenue Adjustments
$9,086,714
Total Revenue per Audited Statements
$1,254,135,792
Total Revenue per Form 990
$1,263,222,506
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Other Expenses$1,207,673,589
Salaries, Compensation, and Employee Benefits$13,799,725
Grants and Similar Amounts Paid$115,175
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Interest-$10,933,605-$10,933,605
Other Salaries and Wages$6,373,878$1,124,802-$7,498,680
Information Technology$4,214,072$743,660-$4,957,732
Current Officers, Directors, Trustees, and Key Employees-$2,957,831-$2,957,831
Occupancy$2,028,971$358,054-$2,387,025
Other Employee Benefits$1,819,085$321,015-$2,140,100
Depreciation Depletion$1,447,015$255,356-$1,702,371
Advertising$1,016,470$179,377-$1,195,847
Office Expenses$878,257$154,987-$1,033,244
Fees for Services Other$750,196$132,387-$882,583
Payroll Taxes$667,770$117,842-$785,612
Fees for Services Accounting$391,149$69,026-$460,175
Pension Plan Contributions$354,877$62,625-$417,502
Other Expenses$154,346$27,238-$181,584
Insurance$154,293$27,228-$181,521
Travel$139,596$24,635-$164,231
Conferences and Meetings$117,973$20,819-$138,792
Grants to Domestic Orgs$115,175--$115,175
Fees for Service Investment Mgmnt Fees$82,232$14,512-$96,744
Fees for Services Lobbying$51,000$9,000-$60,000
Fees for Services Legal$6,578$1,161-$7,739
Total Functional Expenses$1,026,559,770$195,028,719$0$1,221,588,489

Audited Expense Reconciliation

Line ItemAmount
Total Expenses per Form 990$1,221,588,489
Expenses per Audited Statements$1,212,501,775
Total Expenses per Audited Statements$1,212,501,775
Expenses Not Reported on Financial Statements$9,086,714
Other Expense Adjustments$9,086,714
Expenses Not Reported on Form 990$0
International Activity

Grant and Assistance Recipients

RecipientLocationCategoryPurposeAmount
Covering Kids and Families of IndianaIndianapolis, IN501(c)(3)General Support$55,000
Shalom Health Care Center IncIndianapolis, IN501(c)(3)General Support$10,750
Minority Health Coalition of Marion CountyIndianapolis, IN501(c)(3)General Support$9,000
Indiana State Department of HealthIndianapolis, INGovernmentGeneral Support$7,000
Mental Health of America of IndianaIndianapolis, 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
Debt and Bond Financing

Other Reported Liabilities

LiabilityAmount
Tpl Recovery- Third Party Liability$5,412,579
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 35% controlled entity
No
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
No
Management duties delegated
No

Governance Explanations

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
Cheryl Diehl
Title
Interim Chief Financial Officer
Phone
3178227100
Signed
2020-08-07
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Cheryl Diehl
Formed
1994
Legal Domicile
In
Voting Board Members
5
Independent Board Members
0
Employees
291
Volunteers
4

Preparer

Firm
Plante & Moran Pllc
Address
2601 CAMBRIDGE CT STE 500, AUBURN HILLS, MI 48326
Preparer
David Lowenthal
Phone
2483757100
Supplemental Narrative

Additional Explanations

FORM 990, PART XI, LINE 9:

“Change in nonadmitted asset -769,962.”

PART XII, LINE 1:

“Mdwise, inc. Uses the statutory method of accounting.”

PART XII, LINE 2C:

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

Financial Statement Notes

PART XI, LINE 4B - OTHER ADJUSTMENTS:

“Revenue net with expenses for financial statement reporting 9,086,714.”

PART XII, LINE 4B - OTHER ADJUSTMENTS:

“Revenue net with expenses for financial statement reporting 9,086,714.”

Raw XML AppendixShowing 400 of 1,570 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/PersonNm8BRIAN ARROWWOOD
IRS990/Form990PartVIISectionAGrp/PersonNm9DANIEL SPITZBERG
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IRS990/Form990PartVIISectionAGrp/PersonNm15MARCIA SHIVELY
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IRS990/Form990PartVIISectionAGrp/TitleTxt0CHAIRMAN
IRS990/Form990PartVIISectionAGrp/TitleTxt1TREASURER
IRS990/Form990PartVIISectionAGrp/TitleTxt2PRESIDENT AND CEO
IRS990/Form990PartVIISectionAGrp/TitleTxt3ASSISTANT TREASURER
IRS990/Form990PartVIISectionAGrp/TitleTxt4PRESIDENT AND CEO (PART YEAR)
IRS990/Form990PartVIISectionAGrp/TitleTxt5CFO
IRS990/Form990PartVIISectionAGrp/TitleTxt6SVP OPERATIONS (PART YEAR)
IRS990/Form990PartVIISectionAGrp/TitleTxt7SVP GENERAL COUNSEL
IRS990/Form990PartVIISectionAGrp/TitleTxt8VP BUSINESS OPERATIONS
IRS990/Form990PartVIISectionAGrp/TitleTxt9MEDICAL DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt10VP PHARMACY AND MED ECON (PART YEAR)
IRS990/Form990PartVIISectionAGrp/TitleTxt11DIRECTOR CLINICAL PHARMACY
IRS990/Form990PartVIISectionAGrp/TitleTxt12DIRECTOR PHARMACY ANALYTICS
IRS990/Form990PartVIISectionAGrp/TitleTxt13DIRECTOR LEGAL SERVICES
IRS990/Form990PartVIISectionAGrp/TitleTxt14DIRECTOR BUSINESS OPERATIONS
IRS990/Form990PartVIISectionAGrp/TitleTxt15DIRECTOR BUSINESS SERVICES
IRS990/Form990PartVIISectionAGrp/TitleTxt16MANAGER FINANCE
IRS990/Form990PartVIISectionAGrp/TitleTxt17DIRECTOR CUSTOMER SERVICE
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IRS990/GrantsToOrganizationsInd01
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IRS990/MaterialDiversionOrMisuseInd00
IRS990/MembersOrStockholdersInd01
IRS990/MethodOfAccountingOtherInd0X
IRS990/MinutesOfCommitteesInd01
IRS990/MinutesOfGoverningBodyInd01
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/OtherSalariesAndWagesGrp/TotalAmt07498680
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IRS990/PayrollTaxesGrp/ProgramServicesAmt0667770
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IRS990/ProgramServiceRevenueGrp/Desc0HEALTHY INDIANA PLAN
IRS990/ProgramServiceRevenueGrp/Desc1HOOSIER HEALTHWISE
IRS990/ProgramServiceRevenueGrp/RelatedOrExemptFuncIncomeAmt0762331219

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Filings

Displayed year

2019 • Form 990Detailed filing. Detailed filing data is available for this year.

Open filing
Assets
$368,555,855
Liabilities
$224,203,249
Net assets
$144,352,606
Revenue
$1,263,222,506
Expenses
$1,221,588,489
Net income
$41,634,017
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