MDWISE INC

EIN: 351931354

INDIANAPOLIS, IN

Total Revenue
$1,812,972,288
Total Expenses
$1,765,706,104
Total Assets
$686,158,141
Net Assets
$251,445,394
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Financial Vulnerability Assessment (Tuckman-Chang)

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Financial Trends

Organization Details

Formation Year
1994
Legal Domicile
IN
Principal Officer
JESSICA CROMER
Phone
3178227100
Tax Period
2024-01-01 to 2024-12-31

MDWISE INC, founded in 1994, is a large national nonprofit that reported $1.8B in total revenue in fiscal year 2024. Revenue decreased 8% compared to the prior year.

Mission

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

Program Service Accomplishments

Program 1
Expenses: $1,753,869,541 Revenue: $1,803,720,390

BEGINNING JANUARY 1, 2023, 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...

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BEGINNING JANUARY 1, 2023, 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.

Program 2
Revenue: $645,748

BEGINNING JANUARY 1, 2022, MDWISE WAS GRANTED A ONE-YEAR CONTRACT WITH THE CENTERS FOR MEDICARE AND MEDICAID SERVICES ("CMS") TO ARRANGE FOR AND ADMINISTER THE MEDICARE ADVANTAGE PROGRAMS IN SELECT...

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BEGINNING JANUARY 1, 2022, MDWISE WAS GRANTED A ONE-YEAR CONTRACT WITH THE CENTERS FOR MEDICARE AND MEDICAID SERVICES ("CMS") TO ARRANGE FOR AND ADMINISTER THE MEDICARE ADVANTAGE PROGRAMS IN SELECT COUNTIES WITHIN THE STATE OF INDIANA. THIS CONTRACT HAS BEEN RENEWED FOR 2023 AND 2024. MDWISE HAS EXITED THE MEDICARE PRODUCT LINE AS OF 12/31/2024.

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Trantor Score

Financial Health Score (300–850) · Liquidity · Solvency · Sustainability · Efficiency

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Liquidity (40%) • Solvency (30%) • Sustainability (20%) • Efficiency (10%)

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Financial Overview (2024)

Revenue Breakdown

Contributions & Grants $0
Program Service Revenue $1,804,366,138
Investment Income $8,606,150
Other Revenue $0
TOTAL REVENUE $1,812,972,288

Expense Breakdown

Grants Paid $615,795
Salaries & Benefits $31,888,104
Fundraising Expenses $0
Program Expenses $1,753,869,541
Other Expenses $1,733,202,205
TOTAL EXPENSES $1,765,706,104

Year-over-Year Comparison

2024 2023 Change
Revenue $1,812,972,288 $1,962,990,873 -0.1%
Expenses $1,765,706,104 $1,903,254,350 -0.1%
Net Income $47,266,184 $59,736,523 -0.2%
Key Indicators
✓ Grants to Organizations ✗ Grants to Individuals ✗ Lobbying ✗ Political Activity ✗ Foreign Activities ✗ Donor Advised Fund ✗ Schedule B Required
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Financial Health Indicators

Comprehensive financial analysis: Altman Z-Score, liquidity, solvency, sustainability, efficiency, and growth metrics

Financial Distress Indicator

Liquidity & Cash Position

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Governance

Voting Members
5
Independent Members
N/A
Employees
N/A
Volunteers
N/A

Governance Policies

✓ Conflict of Interest Policy
✓ Whistleblower Policy
✓ Document Retention Policy

Special Practices & Reported Activities

✗ Operated a School
✗ Operated a Hospital
✗ Provided First Class Travel
✗ Reported Conflict of Interest
✗ Reported Asset Diversion
✗ Excess Benefit Transaction
✗ Made Political Expenditures
✗ Engaged in Lobbying
✗ Operated Donor Advised Fund
✗ Maintained Art Collections
✗ Filed Form 720

Compensation of Officers, Directors & Key Employees

Total Officers
6
$5,916,867
Total Directors
6
$5,916,867
Key Employees
5
$1,005,626
Highest Compensated
5
reported
Name Title Hours/Week Role Reportable Comp Other Comp Total
BRIAN BROWN CHAIRMAN 0.50
Officer Director
$0 $119,268 $706,132
CHERYL DIEHL ASSISTANT TREASURER AND CFO 1.00
Officer Director
$0 $62,695 $411,642
DAVID MAZURKIEWICZ TREASURER 0.50
Officer Director
$0 $50,376 $2,156,210
JESSICA CROMER PRESIDENT AND CEO 21.50
Officer Director
$0 $145,867 $779,058
KATHLEEN KENDALL SECRETARY - PART YEAR 1.00
Officer Director
$0 $79,067 $1,574,812
TRICIA BRUNTON SECRETARY/VP FINANCE 41.00
Officer Director
$0 $33,457 $289,013
BRITTNEY MULLANEY VP HEALTH SERVICES 40.00
Key Emp
$0 $12,922 $237,292
JOHNIE GOERGES DIR BUSINESS TECHNOLOGY 40.00
Key Emp
$0 $43,110 $196,038
JOSHUA BURGER DIR PROVIDER RELATIONS 40.00
Key Emp
$0 $35,360 $187,502
MARCIA SHIVELY DIR BUSINESS SERVICES 40.00
Key Emp
$0 $22,347 $203,578
TIMOTHY NOONAN DATA ANALYTICS ADMIN SR 40.00
Key Emp
$0 $9,187 $181,216
CHASITY HOWELL VP PROVIDER SERVICES 40.00
Highest
$0 $41,300 $280,831
JEFFREY WHEELER MEDICAL DIRECTOR 20.00
Highest
$0 $47,601 $445,034
LISA KNOWLES DIR DENTAL PROGRAMS 20.00
Highest
$0 $28,700 $297,512
PATRICIA HEBENSTREIT VP GENERAL COUNSEL 20.00
Highest
$0 $30,872 $400,860
WENDI POWELL DIR PHARMACY 20.00
Highest
$0 $36,878 $279,998
Note: Compensation data is self-reported by the organization on their Form 990. "Reportable Comp" includes salary, bonuses, and other reportable compensation from the organization and related organizations. "Other Comp" includes benefits, deferred compensation, and non-taxable benefits.

Historical Data

Year Revenue Expenses Assets Net Income
2024 $1,812,972,288 $1,765,706,104 $686,158,141 $47,266,184
2023 $1,962,990,873 $1,903,254,350 $693,759,619 $59,736,523
2023 $1,962,990,873 $1,903,254,350 $693,759,619 $59,736,523
2022 $1,873,130,560 $1,820,219,621 $686,951,288 $52,910,939
2021 $1,573,928,863 $1,528,009,666 $465,353,374 $45,919,197
2020 $1,319,626,095 $1,267,569,966 $528,082,609 $52,056,129
2019 $1,263,222,506 $1,221,588,489 $368,555,855 $41,634,017
2018 $1,268,160,486 $1,244,996,271 $398,850,570 $23,164,215
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