2025-11-12T09:24:13-06:00 2024-12-31 351178661 BLUE & CO LLC 500 N MERIDIAN ST SUITE 200 INDIANAPOLIS IN 46204 990 2024-01-01 352051598 HANCOCK PHYSICIAN NETWORK LLC HANC 3174686236 ONE MEMORIAL SQUARE 50 GREENFIELD IN 46140 JENNIFER STANLEY CFO 3174686236 2025-11-12 1 1 EMILIE M KNIERIEM CPA P01330194 3176334705 2025-11-12 2024 2025-03-06 01:10:19Z JENNIFER STANLEY ONE MEMORIAL SQUARE 50 GREENFIELD IN 46140 36726486 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 0 179 0 0 0 9107087 2683480 20956034 33860576 75680 35505 791708 146925 30930509 36726486 0 0 0 0 26296215 36158401 0 0 0 9010906 20608021 35307121 56766422 -4376612 -20039936 7329512 8601414 3742053 25053891 3587459 -16452477 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 35275092 34007501 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. 35275092 1 1 0 0 0 0 0 0 0 0 1 0 0 1 1 1 0 1 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 21 0 1 179 1 0 0 0 0 0 0 0 0 0 0 0 0 X 1 0 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 0.00 X X 0 215937 35947 DR PAUL HALTER MEDICAL DIRECTOR 40.00 0.00 X 216539 0 10754 DR AMANDA GOLDSTEIN MEDICAL DIRECTOR 40.00 0.00 X 350148 0 40566 DR MARGARET FITZSIMMONS MEDICAL DIRECTOR 40.00 0.00 X 263182 0 30184 DR JEFFREY MOSSLER VP OF PHYSICIAN PRACTICE MANAGEMENT 40.00 0.00 X 0 447134 33212 DR BILAL GONDAL PHYSICIAN 40.00 0.00 X 412486 0 67194 DR RUDO MASHINDI PHYSICIAN 40.00 0.00 X 461422 0 59207 DR NAMRATA SHAH PHYSICIAN 40.00 0.00 X 565423 0 36869 DR STEPHEN SHIVELY PHYSICIAN 40.00 0.00 X 606001 0 26374 DR JAMES ZHANG PHYSICIAN 40.00 0.00 X 434420 0 47608 3309621 663071 387915 114 0 1 0 JK ANESTHESIA INC 1682 TEMPLE CT BOUNTIFUL UT 84010 PHYSICIAN/MEDICAL SERVICES 328727 ANDREW A MILLER CRNA PL 373 OAK LANE FARMINGTON UT 84025 CRNA/MEDICAL SERVICES 300129 ASCENSION MEDICAL GROUP 250 W 96TH STREET SUITE 520 INDIANAPOLIS IN 46260 DR. DELGADO/PHYSICIAN/MEDICAL SERVICES 213333 ELIZABETH PEYTON MD LLC 7834 MORNINGSIDE LANE INDIANAPOLIS IN 46240 PHYSICIAN/MEDICAL SERVICES 197805 4 2683480 2683480 NET PATIENT SERVICE RE 621110 31129140 31129140 CLINICS AND URGENT CAR 621110 2403436 2403436 ANESTHESIA FEES 621110 200000 200000 LTAC REVENUE 621110 128000 128000 33860576 35505 35505 HOSPITALIST REVENUE 900099 45408 45408 101517 101517 146925 36726486 34007501 0 35505 911373 753960 157413 31178592 25793393 5385199 1230624 989115 241509 1127055 905872 221183 1710757 1375023 335734 18080161 4343631 13736530 1443463 292129 1151334 302817 169376 133441 142715 129953 12762 16937 8283 8654 135217 128277 6940 483061 384679 98382 DUES & SUB. 3650 1401 2249 56766422 35275092 21491330 0 179366 0 475987 1736308 4362328 176928 99 6967599 5629434 1821225 1338165 2939698 2900822 7329512 8601414 3305226 4817850 436827 20236041 3742053 25053891 X 3587459 -16452477 3587459 -16452477 7329512 8601414 -20039936 0 X X 0 1 X 1 0 X 15735015 18519264 15653724 9107087 2683480 61698570 20786095 20814354 20510915 20956034 33860576 116927974 36521110 39333618 36164639 30063121 36544056 178626544 7572060 7809632 7826862 9107087 2683480 34999121 0 7572060 7809632 7826862 9107087 2683480 34999121 143627423 523 293 2695 75680 35505 114696 523 293 2695 75680 35505 114696 967716 791708 146925 1906349 36521633 39333911 37135050 30930509 36726486 180647589 0.79510 0.76290 0.00060 0.00060 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 3851579 2973157 878422 3077984 2656277 421707 38036 38036 1338165 OTHER RECEIVABLES 2535184 RELATED PARTY RECEIVABLES 365638 2900822 RELATED PARTY PAYABLES 20236041 20236041 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, 2024 AND 2023, 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 STEPHEN SHIVELY PHYSICIAN 605473 0 0 0 528 0 19800 0 6574 0 632375 0 0 0 DR NAMRATA SHAH PHYSICIAN 564759 0 0 0 664 0 13615 0 23254 0 602292 0 0 0 DR RUDO MASHINDI PHYSICIAN 460872 0 0 0 550 0 18958 0 40249 0 520629 0 0 0 DR JAMES ZHANG PHYSICIAN 431033 0 0 0 3387 0 10238 0 37370 0 482028 0 0 0 DR JEFFREY MOSSLER VP OF PHYSICIAN PRACTICE MANAGEMENT 0 397134 0 50000 0 0 0 19800 0 13412 0 480346 0 0 DR BILAL GONDAL PHYSICIAN 411493 0 0 0 993 0 18860 0 48334 0 479680 0 0 0 DR AMANDA GOLDSTEIN MEDICAL DIRECTOR 349899 0 0 0 249 0 13618 0 26948 0 390714 0 0 0 DR MARGARET FITZSIMMONS MEDICAL DIRECTOR 259000 0 3000 0 1182 0 13201 0 16983 0 293366 0 0 0 BRIAN MUCKERHEIDE HPN PRESIDENT 0 202903 0 12000 0 1034 0 12600 0 23347 0 251884 0 0 DR PAUL HALTER MEDICAL DIRECTOR 213250 0 3000 0 289 0 10465 0 289 0 227293 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 3 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 1 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0