2024-11-15T14:03:44-06:00 2023-12-31 351178661 BLUE & CO LLC 500 N MERIDIAN ST SUITE 200 INDIANAPOLIS IN 46204 990 2023-01-01 352051598 HANCOCK PHYSICIAN NETWORK LLC HANC 3174686236 ONE MEMORIAL SQUARE 50 GREENFIELD IN 46140 BRIAN MUCKERHEIDE PRESIDENT 3174686236 2024-11-15 1 1 EMILIE M KNIERIEM CPA P01330194 3176334705 2024-11-15 2023 2024-10-15 13:58:12Z BRIAN MUCKERHEIDE ONE MEMORIAL SQUARE 50 GREENFIELD IN 46140 30930509 0 X HTTPS://WWW.HANCOCKREGIONALHOSPITAL.ORG/PHYSICIAN X LIMITED LIABILITY COMPANY 1997 IN TO IMPROVE THE HEALTH OF PATIENTS AND FAMILIES IN THE COMMUNITIES IT SERVES WITH RESPECT, INTEGRITY, AND CLINICAL EXCELLENCE. HANCOCK PHYSICIAN NETWORK'S VISION IS TO BE THE PREMIER PROVIDER OF QUALITY HEALTHCARE SERVICES TO HANCOCK AND SURROUNDING COUNTIES THAT ACHIEVES THE HIGHEST LEVEL OF PATIENT SATISFACTION, PATIENT OUTCOMES, AND QUALITY OF LIFE. 1 1 361 2 0 0 15653724 9107087 20510915 20956034 2695 75680 967716 791708 37135050 30930509 0 0 0 0 27571685 26296215 0 0 0 8716463 9010906 36288148 35307121 846902 -4376612 11946260 7329512 3982189 3742053 7964071 3587459 X TO IMPROVE THE HEALTH OF PATIENTS AND FAMILIES IN THE COMMUNITIES IT SERVES WITH RESPECT, INTEGRITY, AND CLINICAL EXCELLENCE. HANCOCK PHYSICIAN NETWORK'S VISION IS TO BE THE PREMIER PROVIDER OF QUALITY HEALTHCARE SERVICES TO HANCOCK AND SURROUNDING COUNTIES THAT ACHIEVES THE HIGHEST LEVEL OF PATIENT SATISFACTION, PATIENT OUTCOMES, AND QUALITY OF LIFE. 0 0 28443911 21531966 HPN OWNS, OPERATES, AND MANAGES PHYSICIAN PRACTICES THAT PROVIDE PRIMARY CARE, BEHAVIORAL HEALTH SERVICES, AND SPECIALTY CARE FOR THE BENEFIT OF THE RESIDENTS OF ITS COMMUNITY. 28443911 1 1 0 0 0 0 0 0 0 0 1 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 27 0 1 361 1 0 0 0 0 0 0 0 0 0 0 0 0 X 1 1 0 0 0 0 1 1 1 1 0 0 0 1 0 0 1 0 0 0 IN X THE ORGANIZATION 3174686236 ONE MEMORIAL SQUARE STE 50 GREENFIELD IN 46140 BRIAN MUCKERHEIDE HPN PRESIDENT 40.00 X X 56485 146264 34754 DR PAUL HALTER MEDICAL DIRECTOR 40.00 X 196877 0 11987 DR AMANDA GOLDSTEIN MEDICAL DIRECTOR 40.00 X 347391 0 39282 DR MARGARET FITZSIMMONS MEDICAL DIRECTOR 40.00 X 279563 0 31736 DR JEFFREY MOSSLER VP OF PHYSICIAN PRACTICE MANAGEMENT 40.00 X 0 261360 12537 DR KRISTIN BAGLEY PHYSICIAN 40.00 X 401889 0 20222 DR SCOTT CAPEN PHYSICIAN 40.00 X 493057 0 42054 DR DREW DUST PHYSICIAN 40.00 X 369895 0 10995 DR JOHN HITTLE PHYSICIAN 40.00 X 406437 0 46369 DR RUDO MASHINDI PHYSICIAN 40.00 X 498922 0 52780 3050516 407624 302716 63 0 1 0 ELITE SERVICES INC PO BOX 2847 MUNCIE IN 47307 BUSINESS COMMUNICATION SERVICES 163347 NUANCE COMMUNICATIONS INC PO BOX 2561 CAROL STREAM IL 60132 BUSINESS COMMUNICATION SERVICES 138623 BESSE MEDICAL SERVICES 27550 NETWORK PL CHICAGO IL 606731275 MEDICAL SERVICES 130507 UZOCHUKWU AMADI MD ARBEIT SOLUTIONS 715 MARANA DRIVE CARMEL IN 46032 PHYSICIAN 100439 4 9107087 9107087 NET PATIENT SERVICE REVENUE 621110 16901377 16901377 CLINICS AND URGENT CARE 621110 3592145 3592145 HOSPITALIST SERVICES 621110 462512 462512 20956034 75680 75680 LTAC HOSPITAL REVENUE 900099 300000 300000 HANCOCK RISE REVENUE 900099 275932 275932 ALLOCATED ADMINISTRATIVE REVENUE 900099 215776 215776 791708 30930509 21531966 0 291456 971289 803527 167762 20140438 16661760 3478678 463700 372699 91001 3458871 2780071 678800 1261917 1014267 247650 1675347 383929 1291418 237182 21813 215369 453296 263262 190034 233829 114351 119478 2044814 1861961 182853 52588 25718 26870 200475 190185 10290 524922 418014 106908 322932 320286 2646 MEDICAL SUPPLIES 3214678 3190066 24612 DUES & SUB. 27222 10451 16771 23621 11551 12070 35307121 28443911 6863210 0 2172363 179366 4588130 475987 2532119 1736308 347179 176928 6967599 5146374 2306469 1821225 0 2939698 11946260 7329512 3973375 3305226 8814 436827 3982189 3742053 X 7964071 3587459 7964071 3587459 11946260 7329512 -4376612 0 X X 0 1 X 1 0 X SCHEDULE A, PART I, LINE 3: HANCOCK PHYSICIAN NETWORK HAS BEEN DETERMINED BY THE IRS TO BE A PUBLIC CHARITY UNDER IRS CODE SECTION 170(B)(1)(A)(III). PER SCHEDULE H INSTRUCTIONS, ONLY ORGANIZATIONS THAT OPERATE AT LEAST ONE FACILITY THAT IS, OR IS REQUIRED TO BE, LICENSED, REGISTERED, OR SIMILARLY RECOGNIZED BY THE STATE AS A HOSPITAL IS REQUIRED TO COMPLETE SCHEDULE H. HANCOCK PHYSICIAN NETWORK IS NOT LICENSED AS A HOSPITAL IN THE STATE OF INDIANA. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 3851579 2716156 1135423 3077984 2430218 647766 38036 38036 1821225 OTHER RECEIVABLES 2939698 2939698 DUE TO HANCOCK REGIONAL HOSPITAL 436827 436827 X PART X, LINE 2: ACCOUNTING PRINCIPLES GENERALLY ACCEPTED IN THE UNITED STATES OF AMERICA REQUIRE MANAGEMENT TO EVALUATE TAX POSITIONS TAKEN BY HANCOCK AND RECOGNIZE A TAX LIABILITY IF HANCOCK HAS TAKEN AN UNCERTAIN POSITION THAT MORE LIKELY THAN NOT WOULD NOT BE SUSTAINED UPON EXAMINATION BY VARIOUS FEDERAL AND STATE TAXING AUTHORITIES. MANAGEMENT HAS ANALYZED THE TAX POSITIONS TAKEN BY HANCOCK AND HAS CONCLUDED THAT AS OF DECEMBER 31, 2023 AND 2022, THERE ARE NO UNCERTAIN POSITIONS TAKEN OR EXPECTED TO BE TAKEN THAT WOULD REQUIRE RECOGNITION OF A LIABILITY OR DISCLOSURE IN THE ACCOMPANYING FINANCIAL STATEMENTS. HANCOCK IS SUBJECT TO ROUTINE AUDITS BY TAXING JURISDICTIONS; HOWEVER, THERE ARE CURRENTLY NO AUDITS FOR ANY TAX PERIODS IN PROGRESS. X X 0 0 0 0 0 0 0 0 0 DR RUDO MASHINDI PHYSICIAN 458922 0 40000 0 0 0 14040 0 38740 0 551702 0 0 0 DR SCOTT CAPEN PHYSICIAN 493057 0 0 0 0 0 19800 0 22254 0 535111 0 0 0 DR JOHN HITTLE PHYSICIAN 406437 0 0 0 0 0 19800 0 26569 0 452806 0 0 0 DR KRISTIN BAGLEY PHYSICIAN 401889 0 0 0 0 0 19800 0 422 0 422111 0 0 0 DR AMANDA GOLDSTEIN MEDICAL DIRECTOR 347391 0 0 0 0 0 25458 0 13824 0 386673 0 0 0 DR DREW DUST PHYSICIAN 359895 0 10000 0 0 0 3255 0 7740 0 380890 0 0 0 DR MARGARET FITZSIMMONS MEDICAL DIRECTOR 279563 0 0 0 0 0 15469 0 16267 0 311299 0 0 0 DR JEFFREY MOSSLER VP OF PHYSICIAN PRACTICE MANAGEMENT 0 211360 0 50000 0 0 0 12250 0 287 0 273897 0 0 BRIAN MUCKERHEIDE HPN PRESIDENT 56485 146033 0 0 0 231 2853 9398 5114 17389 64452 173051 0 0 DR PAUL HALTER MEDICAL DIRECTOR 196877 0 0 0 0 0 11820 0 167 0 208864 0 0 0 FORM 990, PART VI, SECTION A, LINE 6 THE ORGANIZATION IS A MEMBER-MANAGED LLC; ITS MEMBERS ARE HANCOCK REGIONAL HOSPITAL AND ST. VINCENT HOSPITAL AND HEALTH CARE CENTER, INC. FORM 990, PART VI, SECTION A, LINE 7A THE MEMBERS OF THE ORGANIZATION MAY ELECT OFFICERS OF HANCOCK PHYSICIAN NETWORK AND AUTHORIZE SUCH OFFICERS TO CONDUCT MATTERS FOR THE ORGANIZATION. FORM 990, PART VI, SECTION A, LINE 7B MEMBERS APPOINT REPRESENTATIVES TO MAKE DECISIONS REGARDING THE ORGANIZATION, BUT ULTIMATE DECISION MAKING REMAINS WITH THE MEMBER ORGANIZATIONS. THE FOLLOWING ITEMS REQUIRE UNANIMOUS APPROVAL BY ALL MEMBERS: 1. AMENDING ARTICLES OF INCORPORATION, OPERATING AGREEMENT OR MISSION. 2. AUTHORIZING THE ISSUANCE OF ADDITIONAL MEMBERSHIP OR INCREASING A MEMBER'S INTEREST IN THE MEMBER'S ORGANIZATION. 3. MAKING A CAPITAL CALL MORE FREQUENTLY THAN ANNUALLY . 4. INCURRING DEBT ON BEHALF OF THE ORGANIZATION. 5. SELLING, LEASING, OR TRANSFERRING ALL OR SUBSTANTIALLY ALL OF THE ORGANIZATION'S ASSETS. 6. ORGANIZING, ACQUIRING OR DISPOSING OF AN INTEREST IN A CORPORATION, COMPANY OR JOINT VENTURE. 7. ALLOWING A NEW MEMBER INTO THE ORGANIZATION. 8. EXPANDING THE ACTIVITIES OF THE ORGANIZATION BEYOND THE OWNERSHIP AND OPERATION OF PRIMARY CARE AND BEHAVIORAL HEALTH FACILITIES. 9. APPROVING ANY AGREEMENT FOR THE MANAGEMENT OF INPATIENT BEHAVIORAL HEALTH SERVICES. 10. APPROVING THE ANNUAL OPERATING BUDGET. 11. HIRING AND EVALUATION OF THE ORGANIZATION'S PRESIDENT. 12. ENTERING INTO, AMENDING OR TERMINATING CONTRACTS INVOLVING CAPITAL CALLS AND EXPENDITURES IN EXCESS OF CERTAIN AMOUNTS. 13. ASSIGNING RIGHTS OF THE ORGANIZATION OR ANY PROPERTY OF THE ORGANIZATION. 14. TAKING ANY ACTION THAT WOULD CONSTITUTE A BREACH OR DEFAULT OF ANY AGREEMENTS ENTERED INTO BY THE ORGANIZATION. 15. MAKING DECISIONS REGARDING DELETING OR CONSOLIDATING THE CLOSURE OR CONSOLIDATION OF PRACTICE LOCATIONS. 16. APPROVING COMPENSATION PLANS AND MODIFICATIONS TO SUCH PLANS. FORM 990, PART VI, SECTION A, LINE 8B THE ORGANIZATION'S GOVERNING BODY DOES NOT HAVE COMMITTEES. FORM 990, PART VI, SECTION B, LINE 11B THE HPN ACCOUNTING MANAGER AND COO REVIEW THE 990 IN DETAIL WHILE WORKING WITH TAX PREPARER BLUE AND CO. PRIOR TO FILING, THE FORM 990 AND REQUIRED SUPPLEMENTAL SCHEDULES WILL BE SENT TO ALL FOUR BOARD MEMBERS FOR REVIEW. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION'S GOVERNING DOCUMENTS & FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART XII, LINE 2C: THE HANCOCK PHYSICIAN NETWORK'S BOARD OF DIRECTORS ASSUMES RESPONSIBILITY FOR OVERSIGHT OF THE AUDIT OF THE FINANCIAL STATEMENTS AND NO PROCESSES HAVE CHANGED FROM PRIOR YEAR. HANCOCK REGIONAL HOSPITAL 801 N STATE ST GREENFIELD IN 46140 351092610 COUNTY HOSPITAL IN GOVERNMENT HOSPITAL LINE 10 N/A 0 HANCOCK REGIONAL HOSPITAL FOUNDATION 801 N STATE ST GREENFIELD IN 46140 351543591 FOUNDATION IN 501(C)(3) LINE 7 N/A 0 SUBURBAN HOSPICE INC 801 N STATE ST GREENFIELD IN 46140 834035873 HEALTH SERVICES IN 501(C)(3) LINE 3 HANCOCK REGIONAL HOSPITAL 1 HANCOCK HEALTH GATEWAY SERVCES 801 N STATE ST GREENFIELD IN 46140 831904165 HEALTH SERVICES IN 501(C)(3) LINE 12A, I HANCOCK REGIONAL HOSPITAL 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0