2026-08-10T14:18:33+00:00 2025-12-31 331498605 PLANTE & MORAN PLLC 995 YARD STREET SUITE 450 GRANDVIEW HEIGHTS OH 43212 990 2025-01-01 473192307 MDWISE MEDICAID NETWORK INC MDWI 3178227300 2955 N MERIDIAN STREET INDIANAPOLIS IN 46208 CHERYL DIEHL CFO 8107339718 2026-08-10 true AMY TOPALOV CPA P00796388 6148493000 2026-08-04 2025 2025-03-06 01:10:19Z MDWISE EXCEL JESSICA CROMER 2955 N MERIDIAN STREET INDIANAPOLIS IN 46208 1727116763 false X NA X 2015 IN MDWISE MEDICAID NETWORK 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). 6 1 0 0 0 0 0 1907612431 1727055996 98172 60767 0 0 1907710603 1727116763 0 0 0 0 0 0 0 0 1916334910 1725301797 1916334910 1725301797 -8624307 1814966 308571167 306290089 394018193 389922149 -85447026 -83632060 TO PROVIDE HIGH-QUALITY, AFFORDABLE HEALTHCARE AND IMPROVE THE WELL-BEING OF OUR MEMBERS BY ENGAGING EXCEPTIONAL ASSOCIATES, COMMUNITY LEADERS AND HEALTHCARE PROFESSIONALS. false false 1725301797 0 1727055996 AS A MEDICAID MANAGED CARE ENTITY, MDWISE MEDICAID NETWORK PROVIDES A GOVERNMENT INSURANCE PROGRAM FOR PERSONS OF ALL AGES WHOSE INCOME AND RESOURCES ARE INSUFFICIENT TO PAY FOR HEALTH CARE. 1725301797 false false false false false false false false false false false false false false true false false true false false false false false false false false false false false true false false false false false false false false false false false false false false false true false false false false true 0 0 0 false false false false false false false false X 6 1 false false false false true true true true true false false false false true true true true true false false false false IN X CHERYL DIEHL 8107339718 2955 N MERIDIAN STREET INDIANAPOLIS IN 48208 BRIAN BROWN CHAIRMAN 0.5 43.5 X X 0 860005 201488 CHERYL DIEHL ASSISTANT TREASURER & CFO 1.0 44.0 X X 0 375457 55206 DAVID E MAZURKIEWICZ TREASURER 0.5 50.5 X X 0 2927649 56633 JESSICA CROMER PRESIDENT & CEO 1.0 43.0 X X 0 1890180 35791 JOHN HEINTZ SECRETARY - BEG 10/2025 1.0 0.0 X X 0 0 0 TRICIA BRUNTON SECRETARY - PART YEAR/VP OF FINANCE 1.0 40.0 X X 0 278887 34370 0 6332178 383488 0 false true false 0 0 HOOSIER HEALTHWISE 900099 542442581 542442581 HEALTHY INDIANA PLAN 900099 1184613415 1184613415 0 0 0 0 1727055996 60767 60767 0 0 0 0 0 0 0 0 0 0 1727116763 1727055996 0 60767 0 0 0 0 MEDICAL EXPENSE 1627331156 1627331156 MDWISE ADMIN FEE 79480495 79480495 CLAIMS PROCESSING FEE 11083819 11083819 REINSURANCE EXPENSE 7406327 7406327 0 0 0 0 1725301797 1725301797 0 0 2507401 2570621 306063766 303719468 0 0 0 0 0 0 0 0 0 0 0 0 308571167 306290089 22545271 22591368 0 0 371472922 367330781 394018193 389922149 X -85447026 -83632060 -85447026 -83632060 308571167 306290089 1814966 0 X X false true true true true FEDERAL INCOME TAXES INTERCOMPANY PAYABLE 271198552 MEDICAL CLAIMS PAYABLE 92851533 DENTAL IBNR 1719099 PFAC CLAIMS PAYABLE 1561597 367330781 false true false false false false false false false DAVID E MAZURKIEWICZ TREASURER 0 1495193 0 668983 0 763473 0 16870 0 39763 0 2984282 0 0 JESSICA CROMER PRESIDENT & CEO 0 574830 0 169953 0 1145397 0 7695 0 28096 0 1925971 0 0 CHERYL DIEHL ASSISTANT TREASURER & CFO 0 312460 0 55727 0 7270 0 15752 0 39454 0 430663 0 0 BRIAN BROWN CHAIRMAN 0 492952 0 290813 0 76240 0 171962 0 29526 0 1061493 0 0 TRICIA BRUNTON SECRETARY - PART YEAR/VP OF FINANCE 0 236234 0 42653 0 0 0 0 0 34370 0 313257 0 0 SCHEDULE J, PART I, LINE 4B SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN MCLAREN 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 MCLAREN'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 MCLAREN 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. SCHEDULE J, 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. SCHEDULE J, 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. SCHEDULE J, PART I, LINE 7 MDWISE MEDICAID NETWORK'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. FORM 990, PART VI, LINE 15 ALL OFFICERS OF MDWISE MEDICAID NETWORK, INC. ARE EMPLOYEES OF AN AFFILIATED ENTITY MCLAREN INTEGRATED HMO GROUP. TO ENSURE A FAIR, COMPETITIVE AND LEGALLY COMPLIANT METHOD OF ADMINISTERING COMPENSATION, MCLAREN INTEGRATED HMO GROUP 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, LINE 13 14 MDWISE MEDICAID NETWORK HAS ADOPTED AND COMPLIES WITH ALL POLICIES ESTABLISHED BY ITS AFFILIATED COMPANY, MDWISE INC. FORM 990, PART VI, LINE 6 CLASSES OF MEMBERS OR STOCKHOLDERS THE SOLE MEMBER OF THE ORGANIZATION IS MCLAREN INTEGRATED HMO GROUP. FORM 990, PART VI, LINE 7A MEMBERS OR STOCKHOLDERS ELECTING MEMBERS OF GOVERNING BODY MCLAREN INTEGRATED HMO GROUP, MDWISE MEDICAID NETWORK'S SOLE MEMBER, HAS THE POWER TO APPOINT THE BOARD OF DIRECTORS. FORM 990, PART VI, LINE 7B DECISIONS REQUIRING APPROVAL BY MEMBERS OR STOCKHOLDERS DECISIONS BY THE GOVERNING BODY ARE SUBJECT TO THE POWERS OF THE MEMBER. FORM 990, PART VI, LINE 11B REVIEW OF FORM 990 BY GOVERNING BODY FORM 990 IS REVIEWED BY MDWISE MEDICAID NETWORK'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, LINE 12C CONFLICT OF INTEREST POLICY EACH MDWISE MEDICAID NETWORK BOARD MEMBER, OFFICER AND SENIOR MANAGEMENT EXECUTIVE COMPLETES THE MDWISE MEDICAID NETWORK 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, LINE 19 REQUIRED DOCUMENTS AVAILABLE TO THE PUBLIC DOCUMENTS ARE AVAILABLE UPON REQUEST. FORM 990, PART XII, LINE 2C CHANGE OF OVERSIGHT PROCESS OR SELECTION PROCESS THERE HAS BEEN NO CHANGE IN PROCESS FROM PRIOR YEAR. MCLAREN BAY MEDICAL FOUNDATION 1900 COLUMBUS AVE BAY CITY MI 48708 382156534 FOUNDATION MI 501(C)(3) TYPE I MCLAREN BAY REGION true MCLAREN BAY REGION 1900 COLUMBUS AVE BAY CITY MI 48708 381976271 HOSPITAL MI 501(C)(3) 3 MCLAREN HEALTH CARE CORPORATION true BAY REGIONAL MEDICAL CENTER AUXILIARY 1908 COLUMBUS AVENUE BAY CITY MI 48708 386081235 SUPPORTING ORGANIZATION MI 501(C)(3) TYPE I MCLAREN BAY REGION true MCLAREN BAY SPECIAL CARE 3250 E MIDLAND ROAD STE 1 BAY CITY MI 48706 383161753 HOSPITAL MI 501(C)(3) 3 MCLAREN BAY REGION true MCLAREN CENTRAL MICHIGAN 1221 SOUTH DRIVE MT PLEASANT MI 48858 381420304 HOSPITAL MI 501(C)(3) 3 MCLAREN HEALTH CARE CORPORATION true CHARLEVOIX NURSING HOME CORPORATION DBA BOULDER PARK TERRACE 14676 WEST UPRIGHT CHARLEVOIX MI 49720 383038683 SKILLED NURSING FACILITY MI 501(C)(3) 10 MCLAREN NORTHERN MICHIGAN true KARMANOS CANCER FOUNDATION 4100 JOHN R ST DETROIT MI 48201 383584572 FOUNDATION MI 501(C)(3) 7 BARBARA ANN KARMANOS CANCERINSTITUTE true MCLAREN 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912141720 INSURANCE MI NA C CORPORATION true MCLAREN INSURANCE COMPANY LTD 10 MAIN ST GRAND CAYMAN CJ INSURANCE CJ NA C CORPORATION true MID-MICHIGAN PHYSICIANS PC 2510 KERRY STREET SUITE 200 LANSING MI 48912 383267121 PHYSICIAN PRACTICE MI NA C CORPORATION true MCLAREN PHYSICIAN PARTNERS ONE MCLAREN PARKWAY GRAND BLANC MI 48439 383136458 MANAGED CARE MI NA C CORPORATION true HURON CLINIC CONDOMINIUMS OWNERS 125 N HANSELMAN ST BAD AXE MI 48413 412144341 VARIOUS HEALTHCARE ACTIVITIES MI NA C CORPORATION true false false false false false false false false false false false false false false true true false false false