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Nonprofiteer
← MDWISE INC

Form 990 for tax year 2025

Filed by MDWISE INC.

Totals

Total revenue
$1,654,598,483
Total expenses
$1,624,278,807
Contributions and grants received
$0
Grants paid
$374,146
Program service revenue
$1,649,056,592
Investment income
$5,541,891
Other revenue
$0
Total assets, end of year
$666,018,143
Total liabilities, end of year
$408,748,762
Net assets or fund balances, end of year
$257,269,381
Program services expenses (Part IX)
$1,609,053,565
Management and general expenses
$15,225,242
Fundraising expenses
$0
Program service expenses (Part III)
$1,609,053,565

Program services were 99.1% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.

Line items

Every line the filer filed in Parts VIII, IX and X, as filed and in filed order. Blank columns are left out, and the lines are not forced to add up to the totals above.

Revenue

Part VIII, the statement of revenue.

  • 2a · Program service revenue: HEALTHY INDIANA PLAN

    total $1,054,859,161 · related or exempt $1,054,859,161

  • 2b · Program service revenue: HOOSIER HEALTHWISE

    total $594,197,900 · related or exempt $594,197,900

  • 2c · Program service revenue: MEDICARE ADVANTAGE

    total -$10,469 · related or exempt -$10,469

  • 2d · Program service revenue: NCQA HEDIS HONORARIUM

    total $10,000 · related or exempt $10,000

  • 2f · All other program service revenue

    total $0 · related or exempt $0 · unrelated business $0 · excluded $0

  • 3 · Investment income

    total $5,541,891 · excluded $5,541,891

  • 6c · Rental income or loss

    real property $0 · personal property $0

  • 7c · Gain or loss

    securities $0 · other assets $0

  • 8c · Net income from fundraising events

    total $0

  • 11d · All other revenue

    total $0 · related or exempt $0 · unrelated business $0 · excluded $0

  • 11e · Other revenue, total

    $0

Functional expenses

Part IX, the statement of functional expenses.

  • 1 · Grants to domestic organizations and governments

    total $374,146 · program services $374,146

  • 7 · Other salaries and wages

    total $22,604,321 · program services $16,587,447 · management and general $6,016,874

  • 8 · Pension plan contributions

    total $1,074,957 · program services $620,557 · management and general $454,400

  • 9 · Other employee benefits

    total $3,563,893 · program services $2,870,613 · management and general $693,280

  • 10 · Payroll taxes

    total $1,543,348 · program services $1,243,456 · management and general $299,892

  • 11b · Fees: legal

    total $771,853 · program services $79,225 · management and general $692,628

  • 11c · Fees: accounting

    total $481,856 · program services $218,783 · management and general $263,073

  • 11f · Fees: investment management

    total $143,246 · management and general $143,246

  • 11g · Fees: other

    total $22,397,739 · program services $18,263,593 · management and general $4,134,146 · fundraising $0

  • 12 · Advertising and promotion

    total $60,790 · program services $60,790

  • 13 · Office expenses

    total $2,287,048 · program services $2,098,859 · management and general $188,189

  • 14 · Information technology

    total $8,358,804 · program services $8,311,104 · management and general $47,700

  • 16 · Occupancy

    total $1,157,872 · program services $1,157,872

  • 17 · Travel

    total $69,897 · program services $44,184 · management and general $25,713

  • 19 · Conferences, conventions and meetings

    total $10,615 · program services $6,696 · management and general $3,919

  • 20 · Interest

    total $10,489,469 · program services $10,435,953 · management and general $53,516

  • 22 · Depreciation, depletion and amortization

    total $475,001 · program services $219,090 · management and general $255,911

  • 23 · Insurance

    total $46,726 · program services $46,726

  • 24a · Other expenses: DELIVERY SYSTEM PAYMENT

    total $1,547,097,008 · program services $1,547,097,008

  • 24b · Other expenses: CORPORATE ALLOCATIONS

    total $1,794,056 · program services $16,530 · management and general $1,777,526

  • 24c · Other expenses: CHANGE IN PREMIUM DEFICIENCY RESERVE

    total -$551,144 · program services -$551,144

  • 24d · Other expenses: DUES/MEMBERSHIPS

    total $175,229 · management and general $175,229

  • 24e · All other expenses

    total -$147,923 · program services -$147,923 · management and general $0 · fundraising $0

Balance sheet

Part X, book values.

  • 2 · Savings and temporary cash investments

    beginning of year $135,282,608 · end of year $132,927,396

  • 4 · Accounts receivable

    beginning of year $473,057,145 · end of year $448,545,710

  • 5 · Loans and receivables from officers and key people

    beginning of year $0 · end of year $0

  • 6 · Loans and receivables from disqualified persons

    beginning of year $0 · end of year $0

  • 10a · Land, buildings and equipment: cost or other basis

    $7,449,811

  • 10b · Land, buildings and equipment: accumulated depreciation

    $7,449,811

  • 10c · Land, buildings and equipment, net

    beginning of year $0 · end of year $0

  • 11 · Investments: publicly traded securities

    beginning of year $77,818,388 · end of year $84,545,037

  • 12 · Investments: other securities

    beginning of year $0

  • 13 · Investments: program-related

    beginning of year $0

  • 15 · Other assets

    beginning of year $0 · end of year $0

  • 17 · Accounts payable and accrued expenses

    beginning of year $75,426,689 · end of year $88,360,210

  • 19 · Deferred revenue

    beginning of year $0 · end of year $0

  • 22 · Loans and payables to officers and key people

    beginning of year $0 · end of year $0

  • 25 · Other liabilities

    beginning of year $359,286,058 · end of year $320,388,552

  • 27 · Net assets without donor restrictions

    beginning of year $251,445,394 · end of year $257,269,381

Mission and programs · 2025

Mission

TO PROVIDE HIGH-QUALITY, AFFORDABLE HEALTHCARE AND IMPROVE THE WELL-BEING OF OUR MEMBERS BY ENGAGING EXCEPTIONAL ASSOCIATES, COMMUNITY LEADERS AND HEALTHCARE PROFESSIONALS.

Activities or mission (Part I)

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) AS WELL AS THE MEDICARE ADVANTAGE PROGRAM WITHIN SELECT COUNTIES IN THE STATE OF INDIANA.

  • BEGINNING JANUARY 1, 2024, MDWISE WAS GRANTED A FOUR-YEAR CONTRACT WITH THE STATE OF INDIANA 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 THE HEALTHY INDIANA PLAN) FOR CERTAIN INDIANA MEDICAID ENROLLEES. MDWISE CONTRACTS WITH VARIOUS DELIVERY NETWORKS INCLUDING THE AFFILIATED MDWISE MEDICAID NETWORK ("MDWISE 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. ON 11/12/2025 MDWISE RECEIVED NOTICE OF ITS MEDICAID CONTRACT TERMINATION, EFFECTIVE END OF DAY 12/31/2025, FROM INDIANA FAMILY AND SOCIAL SERVICES ADMINISTRATION. MDWISE IS ADMINISTERING EXISTING OBLIGATIONS THROUGH RUNOUT.

    Expenses $1,609,366,984 · Grants $371,122 · Revenue $1,649,067,061

  • MDWISE EXITED ITS MEDICARE ADVANTAGE PRODUCT LINE EFFECTIVE DECEMBER 31, 2024. PROGRAM SERVICE REVENUE AND EXPENSES REPORTED IN 2025 REFLECTS RESIDUAL RUNOUT ACTIVITY, INCLUDING FINAL CLAIM ADJUDICATION, RISK ADJUSTMENT SETTLEMENTS, AND OTHER CONTRACTUAL TRUE-UP ADJUSTMENTS ASSOCIATED WITH SERVICES PROVIDED IN PRIOR PERIODS.

    Expenses -$313,419 · Grants $3,024 · Revenue -$10,469

As filed on the 2025 return.

Listed in Part VII

  • Brian Brown

    CHAIRMAN

    Total calculated
    $1,061,493
    From this org
    $0
    From related orgs
    $860,005
    Other
    $201,488
    Hours/week
    0.5 + 43.5 related

    Schedule J breakdown matched by us

    Base
    $0 + $492,952 related
    Bonus
    $0 + $290,813 related
    Other
    $0 + $76,240 related
    Deferred
    $0 + $171,962 related
    Nontaxable benefits
    $0 + $29,526 related
    Filer's total
    $0 + $1,061,493 related
  • Cheryl Diehl

    ASSISTANT TREASURER AND CFO

    Total calculated
    $430,663
    From this org
    $0
    From related orgs
    $375,457
    Other
    $55,206
    Hours/week
    1 + 44 related

    Schedule J breakdown matched by us

    Base
    $0 + $312,460 related
    Bonus
    $0 + $55,727 related
    Other
    $0 + $7,270 related
    Deferred
    $0 + $15,752 related
    Nontaxable benefits
    $0 + $39,454 related
    Filer's total
    $0 + $430,663 related
  • David Mazurkiewicz

    TREASURER

    Total calculated
    $2,984,282
    From this org
    $0
    From related orgs
    $2,927,649
    Other
    $56,633
    Hours/week
    0.5 + 50.5 related

    Schedule J breakdown matched by us

    Base
    $0 + $1,495,193 related
    Bonus
    $0 + $668,983 related
    Other
    $0 + $763,473 related
    Deferred
    $0 + $16,870 related
    Nontaxable benefits
    $0 + $39,763 related
    Filer's total
    $0 + $2,984,282 related
  • Jessica Cromer

    PRESIDENT AND CEO

    Total calculated
    $1,925,971
    From this org
    $0
    From related orgs
    $1,890,180
    Other
    $35,791
    Hours/week
    21.5 + 22.5 related

    Schedule J breakdown matched by us

    Base
    $0 + $574,830 related
    Bonus
    $0 + $169,953 related
    Other
    $0 + $1,145,397 related
    Deferred
    $0 + $7,695 related
    Nontaxable benefits
    $0 + $28,096 related
    Filer's total
    $0 + $1,925,971 related
  • John Heintz

    SECRETARY - BEG 2025

    Total calculated
    $0
    Hours/week
    1
  • Tricia Brunton

    SECRETARY - PART YEAR/VP FINANCE

    Total calculated
    $313,557
    From this org
    $0
    From related orgs
    $278,887
    Other
    $34,670
    Hours/week
    1 + 40 related

    Schedule J breakdown matched by us

    Base
    $0 + $236,234 related
    Bonus
    $0 + $42,653 related
    Other
    $0
    Deferred
    $0
    Nontaxable benefits
    $0 + $34,670 related
    Filer's total
    $0 + $313,557 related
  • Johnie Goerges

    DIR BUSINESS TECHNOLOGY

    Total calculated
    $206,979
    From this org
    $0
    From related orgs
    $163,970
    Other
    $43,009
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $0 + $139,275 related
    Bonus
    $0 + $18,660 related
    Other
    $0 + $6,035 related
    Deferred
    $0
    Nontaxable benefits
    $0 + $43,009 related
    Filer's total
    $0 + $206,979 related
  • Marcia Shively

    DIR BUSINESS SERVICES

    Total calculated
    $203,928
    From this org
    $0
    From related orgs
    $181,810
    Other
    $22,118
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $0 + $165,381 related
    Bonus
    $0 + $16,429 related
    Other
    $0
    Deferred
    $0
    Nontaxable benefits
    $0 + $22,118 related
    Filer's total
    $0 + $203,928 related
  • Michelle Okeson

    DIR BUSINESS INFORMATION

    Total calculated
    $183,892
    From this org
    $0
    From related orgs
    $165,805
    Other
    $18,087
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $0 + $142,288 related
    Bonus
    $0 + $19,064 related
    Other
    $0 + $4,453 related
    Deferred
    $0
    Nontaxable benefits
    $0 + $18,087 related
    Filer's total
    $0 + $183,892 related
  • Russ Oppenborn

    DIR MEDICAID PROGRAMS

    Total calculated
    $189,721
    From this org
    $0
    From related orgs
    $164,615
    Other
    $25,106
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $0 + $164,615 related
    Bonus
    $0
    Other
    $0
    Deferred
    $0
    Nontaxable benefits
    $0 + $25,106 related
    Filer's total
    $0 + $189,721 related
  • Chasity Howell

    VP PROVIDER SERVICES

    Total calculated
    $299,544
    From this org
    $0
    From related orgs
    $256,534
    Other
    $43,010
    Hours/week
    20 + 20 related

    Schedule J breakdown matched by us

    Base
    $0 + $217,207 related
    Bonus
    $0 + $39,327 related
    Other
    $0
    Deferred
    $0
    Nontaxable benefits
    $0 + $43,010 related
    Filer's total
    $0 + $299,544 related
  • Jeffrey Wheeler

    MEDICAL DIRECTOR

    Total calculated
    $433,262
    From this org
    $0
    From related orgs
    $385,341
    Other
    $47,921
    Hours/week
    20 + 20 related

    Schedule J breakdown matched by us

    Base
    $0 + $360,384 related
    Bonus
    $0 + $24,957 related
    Other
    $0
    Deferred
    $0
    Nontaxable benefits
    $0 + $47,921 related
    Filer's total
    $0 + $433,262 related
  • Lisa Knowles

    DIR DENTAL PROGRAMS

    Total calculated
    $326,560
    From this org
    $0
    From related orgs
    $290,999
    Other
    $35,561
    Hours/week
    20 + 20 related

    Schedule J breakdown matched by us

    Base
    $0 + $264,927 related
    Bonus
    $0 + $26,072 related
    Other
    $0
    Deferred
    $0
    Nontaxable benefits
    $0 + $35,561 related
    Filer's total
    $0 + $326,560 related
  • Patricia Hebenstreit

    VP GENERAL COUNSEL

    Total calculated
    $431,820
    From this org
    $0
    From related orgs
    $401,078
    Other
    $30,742
    Hours/week
    20 + 20 related

    Schedule J breakdown matched by us

    Base
    $0 + $332,419 related
    Bonus
    $0 + $68,659 related
    Other
    $0
    Deferred
    $0
    Nontaxable benefits
    $0 + $30,742 related
    Filer's total
    $0 + $431,820 related
  • Wendi Powell

    DIR PHARMACY

    Total calculated
    $307,008
    From this org
    $0
    From related orgs
    $269,392
    Other
    $37,616
    Hours/week
    20 + 20 related

    Schedule J breakdown matched by us

    Base
    $0 + $227,471 related
    Bonus
    $0 + $30,421 related
    Other
    $0 + $11,500 related
    Deferred
    $0
    Nontaxable benefits
    $0 + $37,616 related
    Filer's total
    $0 + $307,008 related

Compensation is as filed in Part VII: reportable pay from this organization and from related organizations, other compensation, and hours per week. The total, marked calculated, is our sum of the three dollar columns, with a blank column counted as $0; the form itself has no total. On a Form 990-EZ the columns are Part IV's instead, and on a Form 990-PF Part VIII's — compensation, contributions to benefit plans, and expense account — and the total sums those. A Schedule J breakdown is as filed: base pay, bonus, other, deferred compensation and nontaxable benefits from this organization, with any from related organizations beside each, and the filer's own total. It is shown with the Part VII listing of the same name on the same return. The form gives no key between the two, so that pairing is ours, and is marked matched by us.

Schedule J

Answered yes

  • 4b · Supplemental nonqualified retirement plan

Answered no

  • 4a · Severance or change-of-control payment
  • 4c · Equity-based compensation arrangement
  • 5a · Pay contingent on this organization's revenues
  • 5b · Pay contingent on a related organization's revenues
  • 6a · Pay contingent on this organization's net earnings
  • 6b · Pay contingent on a related organization's net earnings
  • 7 · Other non-fixed payments
  • 8 · Paid under the initial-contract exception

The filer's explanations (Part III)

SCHEDULE J, PART I, LINE 4B SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN
MDWISE MAINTAINS TWO SUPPLEMENTAL NONQUALIFIED RETIREMENT PLANS FOR A SELECT GROUP OF MANAGEMENT OR HIGHLY COMPENSATED EMPLOYEES (THE "SERPS"). THE OLD SERP WAS CLOSED TO NEW PARTICIPANTS ON OCTOBER 1, 2006, AND THE NEW SERP BECAME EFFECTIVE AS OF JANUARY 1, 2007. NO EMPLOYEE MAY PARTICIPATE IN BOTH OF THE SERPS. THE OLD SERP IS STRUCTURED AS A DEFINED BENEFIT PLAN THAT ESSENTIALLY REPLACES THE BENEFITS THE PARTICIPANT IS NOT PERMITTED TO RECEIVE UNDER MDWISE'S QUALIFIED RETIREMENT PLAN DUE TO IRS LIMITATIONS APPLICABLE TO QUALIFIED PLANS. THE BENEFIT UNDER THE OLD SERP IS PAYABLE IN EITHER THE FORM OF A LUMP SUM DISTRIBUTION OR IN MONTHLY PAYMENTS EQUAL TO THE ACTUARIAL EQUIVALENT OF THE PARTICIPANT'S ACCRUED BENEFIT. THE BENEFIT IS PAID AT AGE 55, AND IF THE PARTICIPANT REMAINS EMPLOYED, THE BENEFIT IS PAID UPON TERMINATION OF EMPLOYMENT, REDUCED TO TAKE INTO ACCOUNT THE BENEFIT PREVIOUSLY PAID. THE NEW SERP IS STRUCTURED AS A DEFINED CONTRIBUTION PLAN, AND MDWISE CONTRIBUTES 15 PERCENT OF EACH PARTICIPANT'S COMPENSATION TO THE PLAN EACH YEAR FOR ALLOCATION TO THE PARTICIPANT'S ACCOUNT. PARTICIPANTS IN THE NEW SERP BECOME VESTED IN THEIR ACCOUNTS UPON THE EARLIER OF FIVE YEARS OF PARTICIPATION IN THE PLAN OR ATTAINMENT OF AGE 60. PARTICIPANTS IN THE NEW SERP SELF-DIRECT THE INVESTMENT OF THEIR ACCOUNTS AND HAVE THE ACTUAL INVESTMENT RETURN CREDITED OR DEBITED TO THEIR ACCOUNTS. THE BENEFIT UNDER THE NEW SERP IS EQUAL TO THE PARTICIPANT'S ACCOUNT BALANCE, AND THE BENEFIT IS PAID IN A SINGLE SUM WITHIN 60 DAYS OF THE PARTICIPANT'S TERMINATION DATE. BENEFITS UNDER BOTH SERPS ARE PROVIDED ON A TAX-NEUTRAL BASIS. BOTH SERPS ARE DESIGNED TO COMPLY WITH INTERNAL REVENUE CODE SECTIONS 457(F) AND 409A.
PART I, LINE 1A:
THE CEO/EXECUTIVE DIRECTOR WAS COMPENSATED BY A RELATED ORGANIZATION, AND THEREFORE NONE OF THE LINE 1 BOXES HAVE BEEN CHECKED. THE CORPORATE CEO, SUBSIDIARY CEOS AND CORPORATE EXECUTIVE & SENIOR VICE-PRESIDENTS IN SOME INSTANCES HAVE RECEIVED TAX INDEMNIFICATION FOR THE FOLLOWING BENEFITS: VEHICLE COSTS, GROUP TERM LIFE INSURANCE, SUPPLEMENTAL NONQUALIFIED RETIREMENT PLANS, AND HEALTH CLUB OR SOCIAL DUES. THESE BENEFITS HAVE BEEN INCLUDED IN TAXABLE COMPENSATION.
PART I, LINE 3:
THE CEO/EXECUTIVE DIRECTOR WAS COMPENSATED BY A RELATED ORGANIZATION, AND THEREFORE NONE OF THE LINE 3 BOXES HAVE BEEN CHECKED. THE RELATED ORGANIZATION USED THE FOLLOWING METHODOLOGIES TO ESTABLISH THE COMPENSATION OF THE CEO/EXECUTIVE DIRECTOR OF THE FILING ORGANIZATION: COMPENSATION COMMITTEE, INDEPENDENT COMPENSATION CONSULTANT, FORM 990 OF OTHER ORGANIZATIONS, COMPENSATION SURVEY OR STUDY, AND APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE.
PART I, LINE 7:
MDWISE'S PARENT COMPANY, MCLAREN HEALTH CARE (MHC), HAS A LEADERSHIP INCENTIVE PROGRAM FOR LEADERS OF THE CORPORATION, SUBSIDIARY EXECUTIVES AND DIRECTORS, MANAGERS AND SUPERVISORS. THE PURPOSE OF THE PLAN IS TO ENHANCE THE ORGANIZATION'S ABILITY TO ACHIEVE ITS GOALS BY PROVIDING TOP OFFICIALS AND THE BOARD OF DIRECTORS WITH A TOOL FOR (A) CLEARLY COMMUNICATING PERFORMANCE ON THE PART OF KEY LEADERS, (B) STIMULATING AND REWARDING SUPERIOR LEVELS OF PERFORMANCE ON THE PART OF KEY LEADERS WHICH WILL ULTIMATELY BENEFIT THE COMMUNITIES MHC SERVES, AND (C) PROTECTING MHC'S ABILITY TO COMPETE WITH OTHER EMPLOYERS FOR HIGH-TALENT LEADERS.

Part I's answers as filed. A line not listed was left unanswered; on lines 1a and 3 that means the box was not checked.

Grants on this return

The 10 largest by cash amount. The API serves every itemized grant.

Related organizations on this return

Schedule R Part II: tax-exempt organizations related to the filer by control. It does not record shared board members or money.

Taxable family on this return

Schedule R Parts I, III and IV, as filed. These record ownership and control, not shared board members or money moved.

Related partnerships

Part III: related organizations taxable as a partnership, with the filer's share.

  • MCLAREN - NORTHERN EQUITIES CANCER CENTER PROJECT LLC

    N/A · RENTAL REAL ESTATE · MI · general or managing partner

    Directly controlled by NA

  • MOUNT CLEMENS REGIONAL HEALTH BUILDING HEALTH PARTNERS

    N/A · BUILDING MANAGEMENT · MI · general or managing partner

    Directly controlled by NA

  • CLARKSTON ASC PARTNERS LLC

    N/A · SURGERY CENTER · MI · general or managing partner

    Directly controlled by NA

Related corporations and trusts

Part IV: related organizations taxable as a corporation or trust.

  • CLARKSTON PROPERTY ASSOCIATES

    C CORPORATION · REAL ESTATE · MI · controlled entity

    Directly controlled by NA

  • HEALTH ADVANTAGE INC

    C CORPORATION · INSURANCE · MI · controlled entity

    Directly controlled by NA

  • MCLAREN INSURANCE COMPANY LTD

    C CORPORATION · INSURANCE · CJ · controlled entity

    Directly controlled by NA

  • MID-MICHIGAN PHYSICIANS PC

    C CORPORATION · PHYSICIAN PRACTICE · MI · controlled entity

    Directly controlled by NA

  • MCLAREN PHYSICIAN PARTNERS

    C CORPORATION · MANAGED CARE · MI · controlled entity

    Directly controlled by NA

  • HURON CLINIC CONDOMINIUMS OWNERS

    C CORPORATION · VARIOUS HEALTHCARE ACTIVITIES · MI · controlled entity

    Directly controlled by NA

Provenance

Return type
form_990
Tax year
2025
Filed
10 August 2026
IRS schema version
2025v4.2
Source object
202612229349301381

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