Civic Intelligence

Mdwise Medicaid Network Inc

990 • Fiscal year 2017 • EIN 47-3192307

Jan 01, 2017 to Dec 31, 2017 • Filed on Nov 14, 2018

1200 Madison Avenue No 400Indianapolis, IN 46225

(317) 822-7100

Siviq Scores

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

Liabilities / Assets

94th percentile

0.97x

Higher debt load relative to assets than 94% of similar nonprofits.

2017 filings • $250M-$1B nonprofits • Source year 2017

Liabilities / Revenue

17th percentile

0.13x

Higher debt load relative to revenue than 17% of similar nonprofits.

2017 filings • $250M-$1B nonprofits • Source year 2017

Net Margin

38th percentile

2.7%

Higher net margin than 38% of similar nonprofits.

2017 filings • $250M-$1B nonprofits • Source year 2017

Top Officer Pay

21st percentile

$324,813

Higher top officer pay than 21% of similar nonprofits.

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

2017 filings • $250M-$1B nonprofits • Source year 2017

Asset Growth

99th percentile

242%

Faster asset growth than 99% of similar nonprofits.

2017 filings • $250M-$1B nonprofits • Annualized from 2016 to 2017

Revenue Growth

14th percentile

-4.5%

Faster revenue growth than 14% of similar nonprofits.

2017 filings • $250M-$1B nonprofits • Annualized from 2016 to 2017

Assets

Up

$130,382,260

Up $92,246,300 (+242%) from 2016

Net Assets

Up

$3,930,000

Up $109,729,545 (+104%) from 2016

Liabilities

Down

$126,452,260

Down $17,483,245 (-12%) from 2016

Revenue

Down

$952,001,096

Down $45,239,072 (-4.5%) from 2016

Expenses

Down

$926,266,237

Down $172,648,270 (-16%) from 2016

Net Income

Up

$25,734,859

Up $127,409,198 (+125%) from 2016

Historical Trend

Balance Sheet Trend

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

$600M$400M$200M$0-$200MAssets 2015: $90,879,759Liabilities 2015: $95,004,965Net Assets 2015: -$4,125,2062015Assets 2016: $38,135,960Liabilities 2016: $143,935,505Net Assets 2016: -$105,799,5452016Assets 2017: $130,382,260Liabilities 2017: $126,452,260Net Assets 2017: $3,930,0002017Assets 2018: $205,449,397Liabilities 2018: $219,492,807Net Assets 2018: -$14,043,4102018Assets 2019: $197,903,847Liabilities 2019: $217,718,784Net Assets 2019: -$19,814,9372019Assets 2020: $175,595,255Liabilities 2020: $210,877,569Net Assets 2020: -$35,282,3142020Assets 2021: $350,160,986Liabilities 2021: $393,035,826Net Assets 2021: -$42,874,8402021Assets 2022: $356,440,572Liabilities 2022: $412,750,780Net Assets 2022: -$56,310,2082022Assets 2023: $271,631,867Liabilities 2023: $348,454,586Net Assets 2023: -$76,822,7192023Assets 2024: $308,571,167Liabilities 2024: $394,018,193Net Assets 2024: -$85,447,0262024

Highlighted filing

2017

Assets$130,382,260
Liabilities$126,452,260
Net Assets$3,930,000

Operations Trend

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

$3.0B$2.0B$1.0B$0-$1.0BRevenue 2015: $491,119,980Expenses 2015: $495,245,186Net Income 2015: -$4,125,2062015Revenue 2016: $997,240,168Expenses 2016: $1,098,914,507Net Income 2016: -$101,674,3392016Revenue 2017: $952,001,096Expenses 2017: $926,266,237Net Income 2017: $25,734,8592017Revenue 2018: $868,567,724Expenses 2018: $886,541,134Net Income 2018: -$17,973,4102018Revenue 2019: $1,283,082,524Expenses 2019: $1,288,854,051Net Income 2019: -$5,771,5272019Revenue 2020: $1,393,180,417Expenses 2020: $1,408,647,794Net Income 2020: -$15,467,3772020Revenue 2021: $1,636,579,109Expenses 2021: $1,644,171,635Net Income 2021: -$7,592,5262021Revenue 2022: $1,958,415,953Expenses 2022: $1,971,851,321Net Income 2022: -$13,435,3682022Revenue 2023: $2,012,532,335Expenses 2023: $2,033,044,846Net Income 2023: -$20,512,5112023Revenue 2024: $1,907,710,603Expenses 2024: $1,916,334,910Net Income 2024: -$8,624,3072024

Highlighted filing

2017

Revenue$952,001,096
Expenses$926,266,237
Net Income$25,734,859
Jump To
Filing Snapshot
Filing Period
Jan 1, 2017 to Dec 31, 2017
Signed
Nov 14, 2018
Return Version
2017v2.3
Gross Receipts
$952,001,096
Mission and Program Overview

Mission

The mission of MDwise Medicaid Network is to improve the health of our patients and community through innovation and excellence in care, education, research and service.

Balance Sheet Detail
LineBeginningEndChange
Assets
Accounts Receivable$37,702,756$73,782,203▲ $36,079,447
Cash and Non-Interest-Bearing Accounts$348,354$53,280,071▲ $52,931,717
Total Assets$38,135,960$130,382,260▲ $92,246,300
Other Assets Total$84,850$3,319,986▲ $3,235,136
Liabilities
Deferred Revenue$111,102,733$116,976,201▲ $5,873,468
Accounts Payable and Accrued Expenses$3,439,004$9,226,059▲ $5,787,055
Other Liabilities$29,393,768$250,000▼ $29,143,768
Total Liabilities$143,935,505$126,452,260▼ $17,483,245
Net Assets / Fund Balance
Unrestricted Net Assets$-105,799,545$3,930,000▲ $109,729,545
Total Net Assets Fund Balance$-105,799,545$3,930,000▲ $109,729,545
Total Liabilities and Net Assets / Fund Balance$38,135,960$130,382,260▲ $92,246,300
Compensation and Service Providers

Employees

NameTitleOtherTotal
Cesar David MartinezPresident & CEO (partial Yaer)$73,904$73,904

Board Members and Trustees

Highest Paid Contractors

ContractorServicesLocationCompensation
Mdwise INCAdmin Fee1200 MADISON AVENUE SUITE 400, Indianapolis, IN 46225$44,459,615
Revenue and Support

Revenue Composition

Contributions and Grants
$0
Program Service Revenue
$952,001,096
Investment Income
$0
Other Revenue
$0
Change in Net Assets
$25,734,859

Audited Revenue Reconciliation

Revenue per Audited Statements
$818,441,859
Revenue Not Reported on Financial Statements
$133,559,237
Revenue Not Reported on Form 990
$85,147,141
Other Revenue Adjustments
$133,559,237
Total Revenue per Audited Statements
$903,589,000
Total Revenue per Form 990
$952,001,096
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Other Expenses$926,266,237
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0
Salaries, Compensation, and Employee Benefits$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
All Other Expenses$3,645,254$1,003,250-$4,648,504
Other Expenses$3,297,201$3,748,669-$3,297,201
Fees for Services Other$1,575,721$278,069-$1,853,790
Fees for Services Accounting$1,552,185$273,915-$1,826,100
Office Expenses$95,777$16,902-$112,679
Fees for Services Legal$73,888$13,039-$86,927
Information Technology$-3,522$-621-$-4,143
Total Functional Expenses$787,514,907$138,751,330$0$926,266,237

Audited Expense Reconciliation

Line ItemAmount
Total Expenses per Form 990$926,266,237
Expenses per Audited Statements$792,707,000
Total Expenses per Audited Statements$792,707,000
Expenses Not Reported on Financial Statements$133,559,237
Other Expense Adjustments$133,559,237
Expenses Not Reported on Form 990$0
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
Discontinued Operations Liability$250,000
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Annual disclosure for covered persons
Yes
Audit committee
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
No
Other officer compensation reviewed
No
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, Section A, Line 1

Mdwise medicaid network, inc., a not-for-profit entity, was formed by health and hospital corporation of marion county who contributed 50%, and indiana university health who contributed 50% of the capital required for mdwise medicaid network to meet all of its obligations.

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

Indiana university health ("iu health") and the health and hospital corporation of marion county ("hhc") shall each appoint 50% of the board.

Form 990, Part VI, Section A, Line 8B

This question is marked "no" as there were no meetings of the executive committee during the year. Therefore, no minutes were needed.

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

The cfo of mdwise reviewed a final draft of the form 990 before 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, Section B, Line 12C

The organization requires that all board members and officers sign a conflict of interest disclosure statement annually. The compliance officer of mdwise, inc. 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, Section B, Line 15

No has been answered to lines 15a & 15b, as the filing organization reimburses mdwise for officers' compensation pursuant to a management services agreement. All officers of mdwise medicaid network, inc. Are employees of an affiliated entity mdwise, inc.

Form 990, Part VI, Section C, Line 19

All required documents will be made available upon authorized request.

Form 990, Part VI, Section B, Line 13

The filing organization currently follows the policies of its affiliate, mdwise, inc., so it does not have its own whistleblower policy in place. This question has been intentionally marked "no" for this reason. Going forward, the filing organization will be considering adopting its own whistleblower policy.

Form 990, Part VI, Section B, Line 14

The filing organizaiton currently follows the policies of its affiliate, mdwise, inc., so it does not have its own document retention and destruction policy in place. This question has been intentionally marked "no" for this reason. The organization is considering putting this policy in place in the future.

Filing and Contact Details

Filer

Filer Name
Mdwise Medicaid Network Inc
EIN
47-3192307
Phone
3178227100
Address
1200 MADISON AVENUE NO 400, INDIANAPOLIS, IN 46225
Doing Business As
Mdwise Excel

Signing Officer

Name
Bruce Hayes
Title
Chief Executive Officer
Phone
3178227100
Signed
2018-11-14
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Bruce Hayes
Formed
2015
Legal Domicile
In
Voting Board Members
8
Independent Board Members
8
Employees
0
Volunteers
11

Preparer

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

Additional Explanations

Form 990, Part III, Line 3

In march 2017, the management company of excel elected to discontinue the operations of the hcc program, a significant line of business. The discontinuation of operations was brought about by the startup losses of the program due to the claim experience losses in excess of the contracted, capitated rates; and mdwise terminated their contract with the state of indiana effective march 31, 2017. Mdwise collaborated with the state to transition those members to alternate managed health plans. Subsequent to the termination of the hcc program, mdwise notified excel of the approximately 33,600 members of the discontinued program that were impacted.

FORM 990, PART XI, LINE 9:

Net asset transfer from affiliate 83,994,686.

Financial Statement Notes

PART XI, LINE 2D - OTHER ADJUSTMENTS:

Net asset transfer from affiliate 83,994,686. Prior year adjustment 1,152,455.

PART XI, LINE 4B - OTHER ADJUSTMENTS:

Reclass of exp net with rev - discontinued operations 133,559,237.

PART XII, LINE 4B - OTHER ADJUSTMENTS:

Reclass of exp net with rev - discontinued operations 133,559,237.

Raw XML AppendixShowing 400 of 539 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/Form990PartVIISectionAGrp/PersonNm7MARK ALLAN LANTZY
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IRS990/Form990PartVIISectionAGrp/TitleTxt0PRESIDENT & CEO
IRS990/Form990PartVIISectionAGrp/TitleTxt1DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt2DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt3DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt4DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt5DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt6DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt7DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt8DIRECTOR (PARTIAL YEAR)
IRS990/Form990PartVIISectionAGrp/TitleTxt9CFO (PARTIAL YEAR)
IRS990/Form990PartVIISectionAGrp/TitleTxt10GENERAL COUNSEL
IRS990/Form990PartVIISectionAGrp/TitleTxt11CHIEF MEDICAL OFFICER
IRS990/Form990PartVIISectionAGrp/TitleTxt12PRESIDENT & CEO (PARTIAL YAER)
IRS990/Form990PartVIISectionAGrp/TitleTxt13TREASURER & CFO (PARTIAL YEAR)
IRS990/Form990ProvidedToGvrnBodyInd00
IRS990/FormationYr02015
IRS990/FormerOfcrEmployeesListedInd00
IRS990/FSAuditedBasisGrp/SeparateBasisFinclStmtInd0X
IRS990/FSAuditedInd01
IRS990/FundraisingActivitiesInd00
IRS990/GamingActivitiesInd00
IRS990/GoverningBodyVotingMembersCnt08
IRS990/GrantAmt00
IRS990/GrantsToIndividualsInd00
IRS990/GrantsToOrganizationsInd00
IRS990/GrantToRelatedPersonInd00
IRS990/GrossReceiptsAmt0952001096
IRS990/GroupReturnForAffiliatesInd00
IRS990/IncludeFIN48FootnoteInd00
IRS990/IndependentAuditFinclStmtInd01
IRS990/IndependentVotingMemberCnt08
IRS990/IndivRcvdGreaterThan100KCnt00
IRS990/IndoorTanningServicesInd00
IRS990/InfoInScheduleOPartIIIInd0X
IRS990/InfoInScheduleOPartVIInd0X
IRS990/InfoInScheduleOPartXIIInd0X
IRS990/InfoInScheduleOPartXIInd0X
IRS990/InformationTechnologyGrp/ManagementAndGeneralAmt0-621
IRS990/InformationTechnologyGrp/ProgramServicesAmt0-3522
IRS990/InformationTechnologyGrp/TotalAmt0-4143
IRS990/InvestmentInJointVentureInd00
IRS990/IRPDocumentCnt00
IRS990/IRPDocumentW2GCnt00
IRS990/LegalDomicileStateCd0IN
IRS990/LoanOutstandingInd00
IRS990/LocalChaptersInd00
IRS990/MaterialDiversionOrMisuseInd00
IRS990/MembersOrStockholdersInd00
IRS990/MethodOfAccountingAccrualInd0X
IRS990/MinutesOfCommitteesInd00
IRS990/MinutesOfGoverningBodyInd01
IRS990/MissionDesc0THE MISSION OF MDWISE MEDICAID NETWORK IS TO IMPROVE THE HEALTH OF OUR PATIENTS AND COMMUNITY THROUGH INNOVATION AND EXCELLENCE IN CARE, EDUCATION, RESERACH AND SERVICE.
IRS990/MoreThan5000KToIndividualsInd00
IRS990/MoreThan5000KToOrgInd00
IRS990/NetAssetsOrFundBalancesBOYAmt0-105799545
IRS990/NetAssetsOrFundBalancesEOYAmt03930000
IRS990/NetUnrelatedBusTxblIncmAmt00
IRS990/NondeductibleContributionsInd00
IRS990/OfficeExpensesGrp/ManagementAndGeneralAmt016902
IRS990/OfficeExpensesGrp/ProgramServicesAmt095777
IRS990/OfficeExpensesGrp/TotalAmt0112679
IRS990/OfficerMailingAddressInd00
IRS990/OperateHospitalInd00
IRS990/Organization501cInd0X
IRS990/OrganizationFollowsSFAS117Ind0X
IRS990/OtherAssetsTotalGrp/BOYAmt084850
IRS990/OtherAssetsTotalGrp/EOYAmt03319986
IRS990/OtherChangesInNetAssetsAmt083994686
IRS990/OtherExpensesGrp/Desc0MEDICAL EXPENSE
IRS990/OtherExpensesGrp/Desc1MDWISE ADMIN FEE
IRS990/OtherExpensesGrp/Desc2CLAIMS PROCESSING FEE
IRS990/OtherExpensesGrp/Desc3REINSURANCE EXPENSE
IRS990/OtherExpensesGrp/ManagementAndGeneralAmt0126749165
IRS990/OtherExpensesGrp/ManagementAndGeneralAmt16668942
IRS990/OtherExpensesGrp/ManagementAndGeneralAmt23748669
IRS990/OtherExpensesGrp/ProgramServicesAmt0718245271
IRS990/OtherExpensesGrp/ProgramServicesAmt137790673
IRS990/OtherExpensesGrp/ProgramServicesAmt221242459
IRS990/OtherExpensesGrp/ProgramServicesAmt33297201
IRS990/OtherExpensesGrp/TotalAmt0844994436
IRS990/OtherExpensesGrp/TotalAmt144459615
IRS990/OtherExpensesGrp/TotalAmt224991128
IRS990/OtherExpensesGrp/TotalAmt33297201
IRS990/OtherLiabilitiesGrp/BOYAmt029393768
IRS990/OtherLiabilitiesGrp/EOYAmt0250000
IRS990/PartialLiquidationInd00
IRS990/PoliticalCampaignActyInd00
IRS990/PrincipalOfficerNm0BRUCE HAYES
IRS990/ProfessionalFundraisingInd00
IRS990/ProgramServiceRevenueGrp/BusinessCd0900099
IRS990/ProgramServiceRevenueGrp/BusinessCd1900099
IRS990/ProgramServiceRevenueGrp/BusinessCd2900099
IRS990/ProgramServiceRevenueGrp/BusinessCd3900099
IRS990/ProgramServiceRevenueGrp/Desc0HEALTHY INDIANA PLAN
IRS990/ProgramServiceRevenueGrp/Desc1HOOSIER HEALTHWISE
IRS990/ProgramServiceRevenueGrp/Desc2HOOSIER CARE CONNECT
IRS990/ProgramServiceRevenueGrp/Desc3HIP POWER ACCOUNT
IRS990/ProgramServiceRevenueGrp/RelatedOrExemptFuncIncomeAmt0430126695
IRS990/ProgramServiceRevenueGrp/RelatedOrExemptFuncIncomeAmt1272810690
IRS990/ProgramServiceRevenueGrp/RelatedOrExemptFuncIncomeAmt2157144035
IRS990/ProgramServiceRevenueGrp/RelatedOrExemptFuncIncomeAmt391919676
IRS990/ProgramServiceRevenueGrp/TotalRevenueColumnAmt0430126695
IRS990/ProgramServiceRevenueGrp/TotalRevenueColumnAmt1272810690
IRS990/ProgramServiceRevenueGrp/TotalRevenueColumnAmt2157144035
IRS990/ProgramServiceRevenueGrp/TotalRevenueColumnAmt391919676
IRS990/ProhibitedTaxShelterTransInd00
IRS990/PYBenefitsPaidToMembersAmt00
IRS990/PYContributionsGrantsAmt00
IRS990/PYExcessBenefitTransInd00
IRS990/PYGrantsAndSimilarPaidAmt00
IRS990/PYInvestmentIncomeAmt00
IRS990/PYOtherExpensesAmt01098914507
IRS990/PYOtherRevenueAmt00
IRS990/PYProgramServiceRevenueAmt0997240168
IRS990/PYRevenuesLessExpensesAmt0-101674339
IRS990/PYSalariesCompEmpBnftPaidAmt00
IRS990/PYTotalExpensesAmt01098914507
IRS990/PYTotalProfFndrsngExpnsAmt00
IRS990/PYTotalRevenueAmt0997240168
IRS990/QuidProQuoContributionsInd00
IRS990/ReconcilationRevenueExpnssAmt025734859
IRS990/RegularMonitoringEnfrcInd01
IRS990/RelatedEntityInd01
IRS990/RelatedOrganizationCtrlEntInd00
IRS990/ReportInvestmentsOtherSecInd00
IRS990/ReportLandBuildingEquipmentInd00
IRS990/ReportOtherAssetsInd00
IRS990/ReportOtherLiabilitiesInd01
IRS990/ReportProgramRelatedInvstInd00
IRS990/RevenueAmt0952001096
IRS990/ScheduleBRequiredInd00
IRS990ScheduleD/ExpensesNotReportedAmt00
IRS990ScheduleD/ExpensesNotRptFinclStmtAmt0133559237
IRS990ScheduleD/ExpensesSubtotalAmt0792707000
IRS990ScheduleD/OtherExpensesNotIncludedAmt0133559237
IRS990ScheduleD/OtherLiabilitiesOrgGrp/Amt0250000
IRS990ScheduleD/OtherLiabilitiesOrgGrp/Desc0DISCONTINUED OPERATIONS LIABILITY
IRS990ScheduleD/OtherRevenueAmt085147141
IRS990ScheduleD/OtherRevenuesNotIncludedAmt0133559237
IRS990ScheduleD/RevenueNotReportedAmt085147141
IRS990ScheduleD/RevenueNotReportedFinclStmtAmt0133559237
IRS990ScheduleD/RevenueSubtotalAmt0818441859
IRS990ScheduleD/SupplementalInformationDetail/ExplanationTxt0NET ASSET TRANSFER FROM AFFILIATE 83,994,686. PRIOR YEAR ADJUSTMENT 1,152,455.
IRS990ScheduleD/SupplementalInformationDetail/ExplanationTxt1RECLASS OF EXP NET WITH REV - DISCONTINUED OPERATIONS 133,559,237.
IRS990ScheduleD/SupplementalInformationDetail/ExplanationTxt2RECLASS OF EXP NET WITH REV - DISCONTINUED OPERATIONS 133,559,237.
IRS990ScheduleD/SupplementalInformationDetail/FormAndLineReferenceDesc0PART XI, LINE 2D - OTHER ADJUSTMENTS:
IRS990ScheduleD/SupplementalInformationDetail/FormAndLineReferenceDesc1PART XI, LINE 4B - OTHER ADJUSTMENTS:
IRS990ScheduleD/SupplementalInformationDetail/FormAndLineReferenceDesc2PART XII, LINE 4B - OTHER ADJUSTMENTS:
IRS990ScheduleD/TotalBookValueLandBuildingsAmt00
IRS990ScheduleD/TotalExpensesPerForm990Amt0926266237
IRS990ScheduleD/TotalLiabilityAmt0250000
IRS990ScheduleD/TotalRevenuePerForm990Amt0952001096
IRS990ScheduleD/TotalRevEtcAuditedFinclStmtAmt0903589000
IRS990ScheduleD/TotExpnsEtcAuditedFinclStmtAmt0792707000
IRS990ScheduleJ/AnyNonFixedPaymentsInd00
IRS990ScheduleJ/CompBasedOnRevenueOfFlngOrgInd00
IRS990ScheduleJ/CompBsdNetEarnsFlngOrgInd00
IRS990ScheduleJ/CompBsdNetEarnsRltdOrgsInd00
IRS990ScheduleJ/CompBsdOnRevRelatedOrgsInd00
IRS990ScheduleJ/EquityBasedCompArrngmInd00
IRS990ScheduleJ/InitialContractExceptionInd00
IRS990/ScheduleJRequiredInd01
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BaseCompensationFilingOrgAmt00
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BaseCompensationFilingOrgAmt10
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BaseCompensationFilingOrgAmt20
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BonusFilingOrganizationAmount00
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BonusFilingOrganizationAmount10
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BonusFilingOrganizationAmount20
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BonusRelatedOrganizationsAmt00
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BonusRelatedOrganizationsAmt10
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BonusRelatedOrganizationsAmt20
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/CompensationBasedOnRltdOrgsAmt0298748
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/CompensationBasedOnRltdOrgsAmt1312365
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/CompensationBasedOnRltdOrgsAmt2159941
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/CompReportPrior990FilingOrgAmt00
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/CompReportPrior990FilingOrgAmt10
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/CompReportPrior990FilingOrgAmt20
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/CompReportPrior990RltdOrgsAmt00
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/CompReportPrior990RltdOrgsAmt10
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/CompReportPrior990RltdOrgsAmt20
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/DeferredCompensationFlngOrgAmt00
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/DeferredCompensationFlngOrgAmt10
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/DeferredCompensationFlngOrgAmt20
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/DeferredCompRltdOrgsAmt014094
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/DeferredCompRltdOrgsAmt19813
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/DeferredCompRltdOrgsAmt23855
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/NontaxableBenefitsFilingOrgAmt00
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/NontaxableBenefitsFilingOrgAmt10
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/NontaxableBenefitsFilingOrgAmt20
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/NontaxableBenefitsRltdOrgsAmt08550
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/NontaxableBenefitsRltdOrgsAmt12635
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/NontaxableBenefitsRltdOrgsAmt24216
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/OtherCompensationFilingOrgAmt00
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/OtherCompensationFilingOrgAmt10
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/OtherCompensationFilingOrgAmt20
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/OtherCompensationRltdOrgsAmt00
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/OtherCompensationRltdOrgsAmt10
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/OtherCompensationRltdOrgsAmt20
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/PersonNm0PATRICIA ANN HEBENSTREIT
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/PersonNm1JEREMY TYSON SULLIVAN MD
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/PersonNm2MICHAEL VICTOR CUTRONI
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TitleTxt0GENERAL COUNSEL
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TitleTxt1CHIEF MEDICAL OFFICER
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TitleTxt2TREASURER & CFO (PARTIAL YEAR)
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TotalCompensationFilingOrgAmt00
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TotalCompensationFilingOrgAmt10
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TotalCompensationFilingOrgAmt20
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TotalCompensationRltdOrgsAmt0321392
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TotalCompensationRltdOrgsAmt1324813
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TotalCompensationRltdOrgsAmt2168012
IRS990ScheduleJ/SeverancePaymentInd01
IRS990ScheduleJ/SupplementalInformationDetail/ExplanationTxt0MICHAEL CUTRONI RECEIVED SEVERANCE PAYMENTS TOTALING $166,154 DURING THE TAX YEAR. PAYMENTS ARE MADE IN BIWEEKLY INSTALLMENTS OVER A 16 WEEK PERIOD PER THE AGREEMENT SIGNED BY THE PARTIES ON 3/17/17.
IRS990ScheduleJ/SupplementalInformationDetail/ExplanationTxt1THIS ENTITY RELIED ON A RELATED ORGANIZATION THAT USED THE FOLLOWING METHODS TO ESTABLISH COMPENSATION FOR THE PRESIDENT/CEO: 1. COMPENSATION SURVEY OR STUDY 2. APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE
IRS990ScheduleJ/SupplementalInformationDetail/FormAndLineReferenceDesc0PART I, LINE 4A
IRS990ScheduleJ/SupplementalInformationDetail/FormAndLineReferenceDesc1SCHEDULE J, PART I
IRS990ScheduleJ/SupplementalNonqualRtrPlanInd00
IRS990/ScheduleORequiredInd01

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