2025-11-14T16:05:00+00:00 2024-12-31 440160260 Forvis Mazars LLP 111 E Wayne Street Suite 600 Fort Wayne IN 46802 990 2024-01-01 311069321 PHYSICIANS HEALTH PLAN OF NORTHERN INDIANA INC PHYS 2604326690 1700 MAGNAVOX WAY 201 FORT WAYNE IN 46804 TYLER S SIPE CFO 2604326690 2025-11-14 true true Anne White P01708202 2604604000 2025-11-14 2024 2025-03-06 01:10:19Z TYLER S SIPE 1700 MAGNAVOX WAY 201 FORT WAYNE IN 46804 200240712 false X WWW.PHPNI.COM X 1983 IN PHPNI IS A PROVIDER OF EMPLOYEE BENEFIT SERVICES AND SOLUTIONS. WE PROVIDE INSURANCE COVERAGE AND EDUCATIONAL MATERIALS PROMOTING A HEALTHY LIFESTYLE TO OUR MEMBERS. 10 4 194 0 4337484 36563 0 0 165964228 163412488 3367954 7555272 2849201 4338252 172181383 175306012 74209 91839 149753516 158872824 11848812 13764881 0 0 0 11369520 14276688 173046057 187006232 -864674 -11700220 87690862 78033043 31454542 36228137 56236320 41804906 OUR MISSION IS TO CREATE INNOVATIVE SOLUTIONS THAT CONTRIBUTE TO HEALTHIER COMMUNITIES THROUGH CARING AND COLLABORATION. false false 170717862 91839 163413256 PHYSICIANS HEALTH PLAN OF NORTHERN INDIANA, INC. (PHPNI), NOW A PART OF PRIORITY HEALTH, AN INTEGRATED NOT-FOR-PROFIT HEALTH SYSTEM SERVING COMMUNITIES THROUGHOUT MICHIGAN, OFFERS FULLY-INSURED HEALTH PRODUCTS TO GROUP SPONSORS IN 46 COUNTIES IN NORTHERN INDIANA AND 6 COUNTIES IN NORTHWEST OHIO. PHPNI'S PROGRAM SERVICES FOCUS ON MANAGING HEALTHCARE COSTS AND INVESTING IN ACTIVITIES THAT IMPROVE THE QUALITY OF CARE FOR OUR MEMBER POPULATION. PHPNI HAS DEVELOPED THE "GET PHP FIT" PROGRAM TO PROMOTE WELLNESS AND HEALTHY LIFESTYLES FOR MEMBERS. PHP PARTNERS WITH HEALTH CLUBS TO OFFER DISCOUNTED RATES AND PROVIDES INFORMATION ON COMMUNITY HEALTH CLASSES AND EVENTS THROUGH ITS WEBSITE. A MONTHLY MEMBER NEWSLETTER OFFERS WELLNESS TIPS, HEALTHY RECIPES, STRESS MANAGEMENT STRATEGIES, AND RESOURCES TO SUPPORT MENTAL WELL-BEING. OUR CERTIFIED WELLNESS AND HEALTH COACH COORDINATES ENGAGING PROGRAMS TO PROMOTE EMPLOYEE WELL-BEING. OFFERINGS INCLUDE GROUP PRESENTATIONS (15- TO 60-MINUTES) ON TOPICS SUCH AS NUTRITION, EXERCISE, STRESS MANAGEMENT, AND SLEEP; ONE-ON-ONE WELLNESS COACHING; COMPANY-WIDE HEALTH CHALLENGES; EXERCISE CLASSES; AND STRESS-REDUCTION ACTIVITIES. PHPNI ALSO OFFERS ANNUAL HEALTH SCREENINGS FOR GROUPS, INCLUDING LAB TESTING AND BIOMETRIC MEASUREMENTS, WITH PERSONALIZED COACHING TO HELP EMPLOYEES UNDERSTAND AND IMPROVE THEIR HEALTH RESULTS. MEMBERS ALSO HAVE 24/7 ACCESS TO A NURSE LINE FOR PERSONAL HEALTH CONCERNS. NURSES PROVIDE RECOMMENDATIONS RANGING FROM SELF-CARE INTERVENTIONS TO SEEING A PRIMARY CARE PHYSICIAN THE NEXT BUSINESS DAY. IN THE FORT WAYNE AREA, MEMBERS MAY ALSO ACCESS PREMISE HEALTH, PHPNI'S PRIMARY CARE FACILITY. 170717862 false false false false false false false false false false true true false false true false true true false false true false false false false false false true false true false false false false false false false false false false false false false false false true true true false false true 3344 0 194 true true true false false false false false false false X 10 4 true false true false true true true true true false false false true true true true true true true false true true IN X TYLER SIPE 2604214450 1700 MAGNAVOX WAY SUITE 201 Fort Wayne IN 46804 DR JAMES C STEVENS FORMER VICE CHAIR (LEFT 12/24) 1.0 0.0 X X 2000 0 0 DR JUDITH KENNEDY FORMER CHAIR (LEFT 12/24) 1.0 0.0 X X 10300 0 0 KIMBERLY THOMAS SECRETARY PY 1.0 50.0 X X 0 600963 154979 MICHAEL R DEWALD FORMER TREASURER (LEFT 12/24) 1.0 0.0 X X 11200 0 0 NICHOLAS GATES TREASURER PY 1.0 50.0 X X 0 525545 117461 PRAVEEN THADANI CHAIR PY 1.0 50.0 X X 0 2602705 551045 TIMOTHY R DIRIG FORMER SECRETARY (LEFT 12/24) 1.0 0.0 X X 35549 0 0 DON SCHENKEL FORMER DIRECTOR (LEFT 12/24) 1.0 0.0 X 4375 0 0 DOUGLAS S BEEBE FORMER DIRECTOR (LEFT 12/24) 1.0 0.0 X 3500 0 0 DR DAVID E LENTZ DO FORMER DIRECTOR (LEFT 12/24) 1.0 0.0 X 2000 0 0 DR JERALD L COOPER DIRECTOR 1.0 0.0 X 2000 0 0 DR JOEL VALCARCEL DIRECTOR 1.0 0.0 X 2000 0 0 DR THOMAS W HERENDEEN DIRECTOR 1.0 0.0 X 4435 0 0 ELIF OKER MD DIRECTOR PY 1.0 50.0 X 0 359344 38983 JOHN SAMPSON DIRECTOR 1.0 0.0 X 2000 0 0 MARK RANCK FORMER DIRECTOR (LEFT 12/24) 1.0 0.0 X 1500 0 0 MICHAEL JASPERSON DIRECTOR PY 1.0 50.0 X 0 549523 115390 RICHARD ABBOTT DIRECTOR PY 1.0 50.0 X 0 506590 88652 SHERY A ROOUSSARIE FORMER DIRECTOR (LEFT 12/24) 1.0 0.0 X 5291 0 0 GAIL M DORAN CHIEF OPERATING OFFICER 38.0 17.0 X 555310 0 41663 GARY D SHEARER PRESIDENT & CEO 35.0 20.0 X 680116 0 41547 JAMES R FORD CHIEF INFORMATION OFFICER 40.0 3.0 X 402096 0 41953 MARK A KING MEDICAL DIRECTOR 15.0 5.0 X 129178 0 21451 ROSS E HENSLEY CHIEF SALES OFFICER 35.0 15.0 X 209141 0 38905 TYLER S SIPE CHIEF FINANCIAL OFFICER 30.0 20.0 X 410070 0 42043 CHRISTINE E BOLES DIRECTOR OF HR 35.0 20.0 X 207170 0 27312 NICHOLAS P SLOFFER DIRECTOR OF PHARMACY 30.0 10.0 X 198454 0 39484 RENEE A GERBER AVP PROVIDER CONTRACTING & NETWORK DEVELOPMENT 38.0 7.0 X 191654 0 19970 S TRAVIS STEVENS DIRECTOR OF IT INFRASTRUCTURE & SECURITY 40.0 3.0 X 269413 0 37129 DENISE M EWING EXECUTIVE ASSISTANT TO CEO 28.0 12.0 X 146062 0 14249 JANICE L RICHEY SR GROUP UNDERWRITER 30.0 10.0 X 135504 0 17881 JUSTIN A STUCKEY DIRECTOR OF ACTUARIAL SERVICES 30.0 10.0 X 163516 0 18276 MICHELLE L KEARNS MARKETING COMMUNICATIONS DIRECTOR 30.0 10.0 X 143937 0 35917 RICHARD R MCENTEE DIRECTOR OF IT, SOFTWARE & DATA 40.0 5.0 X 173421 0 34759 4101192 5144670 1539049 34 false true false SUMMIT REINSURANCE SERVICES 6920 POINTE INVERNESS WAY STE 140 FORT WAYNE IN 46804 REINSURANCE 2542170 PREMISE HEALTH EMPLOYER SOLUTIONS 5500 MARYLAND WAY STE 120 BRENTWOOD TN 37027 PRIMARY CARE CLINIC 2215405 INETICO LLC DBA VALENZ CARE DEPT 389 PO BOX 1000 MEMPHIS TN 38148 MEDICAL MANAGEMENT 2177809 OPTUMHEALTH CARE SOLUTIONS 11000 OPTUM CIR EDEN PRAIRIE MN 55344 TRANSPLANT COVERAGE 2097246 COGNIZANT TRIZETTO SOFTWARE GROUP DEPT 2140 PO BOX 122140 DALLAS TX 75312 SOFTWARE VENDOR 1103760 44 0 PREMIUM REVENUE 524114 163412488 163412488 0 0 0 0 163412488 2479512 2479512 0 0 30009875 585 24934700 5075175 585 5075760 5075760 ALLOCATED ADMIN 524298 4292301 4292301 COMMISSION REVENUE 524298 45183 45183 MISCELLANEOUS 524298 768 768 0 0 0 0 4338252 175306012 163413256 4337484 7555272 91839 91839 0 0 0 0 158872824 158872824 3690209 1252826 2437383 0 0 0 0 6877541 3334044 3543497 442865 214689 228176 2055035 996225 1058810 699231 252539 446692 0 0 0 0 67894 67894 217992 217992 11393 11393 0 0 173952 173952 308260 0 308260 0 470689 470689 381669 381669 2918327 2918327 0 0 0 0 682526 0 682526 0 46357 46357 0 0 0 0 14948 0 14948 0 28138 28138 0 0 0 0 258399 0 258399 0 125275 0 125275 0 Broker Commissions 3177428 3177428 0 0 Actuarial & Other Consulting Services 2525448 2525448 0 0 DISCOUNTS 1400794 0 1400794 0 NETWORK CONTRACTING EXPENSES 466875 466875 1000324 0 1000324 0 187006232 170717862 16288370 0 3134591 2341435 1365673 1891713 8242702 4588860 0 0 3213431 2962244 349241 251187 68224382 54666717 5051205 11614178 0 1323068 2678953 87690862 78033043 4885158 8425569 4186899 1911372 0 22382485 25891196 31454542 36228137 X 4162600 6081714 52073720 35723192 56236320 41804906 87690862 78033043 X -11700220 -5303826 2572632 X false true true false 3213431 2962244 251187 251187 Closely-held equity interests Financial derivatives INVESTMENT IN AFFILIATES 11614178 C 11614178 Federal Income Taxes IBNR CLAIMS AND CLAIMS PAYABLE 25891196 25891196 168081646 -5303826 2572632 -2731194 170812840 173952 4319220 4493172 175306012 182513060 0 0 182513060 173951 4319221 4493172 187006232 Schedule D, Part XIII ASC 740 MANAGEMENT HAS EVALUATED THEIR INCOME TAX POSITIONS UNDER THE GUIDANCE INCLUDED IN ASC 740. BASED ON THEIR REVIEW, MANAGEMENT HAS NOT IDENTIFIED ANY MATERIAL UNCERTAIN TAX POSITIONS TO BE RECORDED OR DISCLOSED IN THE FINANCIAL STATEMENTS. IMPACT OF 2025 TAX REFORM: ON JULY 4, 2025, THE UNITED STATES ENACTED TAX REFORM LEGISLATION THROUGH THE ONE BIG BEAUTIFUL BILL ACT, WHICH CHANGES EXISTING U.S. TAX LAWS, INCLUDING EXTENDING OR MAKING PERMANENT CERTAIN PROVISIONS OF THE TAX CUTS AND JOBS ACT, REPEALING CERTAIN CLEAN ENERGY INITIATIVES, IN ADDITION TO OTHER CHANGES. THE COMPANY ANTICIPATES AN INSIGNIFICANT IMPACT TO DEFERRED TAX ASSETS AND LIABILITIES AND TO INCOME TAXES PAYABLE IN THE PERIOD OF ENACTMENT. THE COMPANY CONTINUES TO EVALUATE THE IMPACT THE NEW LEGISLATION WILL HAVE ON THE FINANCIAL STATEMENTS. Schedule D, Part XI, Line 2(d) Other revenues in audited financial statements not in form 990 INCREASE IN CONTRIBUTED CAPITAL - 1919114 CHANGE IN NONADMITTED ASSETS - 653518 Schedule D, Part XI, Line 4(b) Other revenues in form 990 not in audited financial statements ADMINISTRATIVE EXPENSES - 4291083 INTEREST EXPENSE - 28137 Schedule D, Part XII, Line 4(b) Other expenses in form 990 not in audited financial statements ADMINISTRATIVE FEES - 4291083 INTEREST EXPENSE - 28138 North America (Canada & Mexico only) PASSIVE INVESTMENTS 669771 Europe (Including Iceland and Greenland) PASSIVE INVESTMENTS 3225806 Middle East and North Africa PASSIVE INVESTMENTS 107424 Sub-Saharan Africa PASSIVE INVESTMENTS 37747 East Asia and the Pacific PASSIVE INVESTMENTS 2485918 South Asia PASSIVE INVESTMENTS 370993 South America PASSIVE INVESTMENTS 50777 0 0 0 0 0 0 6948436 0 6948436 false false false false false false Schedule F, Part I, Line 3 Method used to account for expenditures on org's financial statements EAST ASIA AND THE PACIFIC-Accrual; EUROPE (INCLUDING ICELAND AND GREENLAND)-Accrual; MIDDLE EAST AND NORTH AFRICA-Accrual; NORTH AMERICA (CANADA & MEXICO ONLY)-Accrual; SOUTH AMERICA-Accrual; SOUTH ASIA-Accrual; SUB-SAHARAN AFRICA-Accrual true FORT WAYNE ALLEN COUNTY ECONOMIC DEVELOPMENT ALLIANCE INC 200 E MAIN ST FORT WAYNE IN 46802 351787258 501(C)(3) 10750 ECONOMIC DEVELOPMENT JUNIOR ACHIEVEMENT 550 E WALLEN RD FORT WAYNE IN 46825 350922731 501(C)(3) 7250 ECONOMIC EDUCATION LOGAN CENTER 2505 E Jefferson Blvd SOUTH BEND IN 46615 350965639 501(C)(3) 10000 ECONOMIC EDUCATION COMMUNITY TRANSPORTATION NETWORK 5601 INDUSTRIAL ROAD FORT WAYNE IN 46825 352109955 501(C)(3) 6000 ECONOMIC DEVELOPMENT 4 0 Schedule I, Part I, Line 2 Procedures for monitoring use of grant funds CHARITABLE CONTRIBUTION EXPENDITURES ARE SUBJECT TO THE ORGANIZATION'S CONTRIBUTION POLICY WHICH CALLS FOR THE FIRST $500,000 OF NET INCOME AND 15% OF OPERATING INCOME TO BE ALLOCATED TO CHARITABLE CONTRIBUTIONS. INDIVIDUAL CHARITABLE CONTRIBUTION EXPENDITURES ARE APPROVED BY SENIOR MANAGEMENT AND REVIEWED TO ENSURE THE GRANTEE'S ELIGIBILITY AND ABILITY TO PROVIDE AN APPROPRIATE LEVEL OF MEDICAL ASSISTANCE TO THE UNDERSERVED BASED ON THE AMOUNT OF THE GRANT. X true true X X X X X X false true false false false false false false false PRAVEEN THADANI CHAIR PY 0 1254753 0 1230454 0 117498 0 517393 0 33652 0 3153750 0 508365 NICHOLAS GATES TREASURER PY 0 397434 0 80292 0 47819 0 80622 0 36839 0 643006 0 43023 KIMBERLY THOMAS SECRETARY PY 0 462045 0 91325 0 47593 0 138868 0 16111 0 755942 0 42299 MICHAEL JASPERSON DIRECTOR PY 0 432281 0 64609 0 52633 0 81541 0 33849 0 664913 0 47151 ELIF OKER MD DIRECTOR PY 0 302438 0 0 0 56906 0 24020 0 14963 0 398327 0 0 RICHARD ABBOTT DIRECTOR PY 0 375990 0 126575 0 4025 0 57743 0 30909 0 595242 0 0 GARY D SHEARER PRESIDENT & CEO 303164 0 340052 0 36900 0 18862 0 22685 0 721663 0 0 0 GAIL M DORAN CHIEF OPERATING OFFICER 243726 0 281091 0 30493 0 15941 0 25722 0 596973 0 0 0 TYLER S SIPE CHIEF FINANCIAL OFFICER 189954 0 210423 0 9693 0 12118 0 29925 0 452113 0 0 0 JAMES R FORD CHIEF INFORMATION OFFICER 172271 0 208351 0 21474 0 11811 0 30142 0 444049 0 0 0 ROSS E HENSLEY CHIEF SALES OFFICER 150923 0 49986 0 8232 0 8997 0 29908 0 248046 0 0 0 MARK A KING MEDICAL DIRECTOR 95263 0 3415 0 30500 0 7870 0 13581 0 150629 0 0 0 S TRAVIS STEVENS DIRECTOR OF IT INFRASTRUCTURE & SECURITY 124681 0 137888 0 6844 0 7529 0 29600 0 306542 0 0 0 CHRISTINE E BOLES DIRECTOR OF HR 84467 0 108753 0 13950 0 6167 0 21145 0 234482 0 0 0 NICHOLAS P SLOFFER DIRECTOR OF PHARMACY 158525 0 33301 0 6628 0 9608 0 29876 0 237938 0 0 0 RENEE A GERBER AVP PROVIDER CONTRACTING & NETWORK DEVELOPMENT 151980 0 31411 0 8263 0 9089 0 10881 0 211624 0 0 0 RICHARD R MCENTEE DIRECTOR OF IT, SOFTWARE & DATA 146040 0 27381 0 0 0 5179 0 29580 0 208180 0 0 0 JUSTIN A STUCKEY DIRECTOR OF ACTUARIAL SERVICES 136093 0 27423 0 0 0 7643 0 10633 0 181792 0 0 0 DENISE M EWING EXECUTIVE ASSISTANT TO CEO 74619 0 71443 0 0 0 4054 0 10195 0 160311 0 0 0 MICHELLE L KEARNS MARKETING COMMUNICATIONS DIRECTOR 115958 0 23269 0 4710 0 6477 0 29440 0 179854 0 0 0 JANICE L RICHEY SR GROUP UNDERWRITER 114910 0 3117 0 17477 0 7394 0 10487 0 153385 0 0 0 Schedule J, Part I, Line 1a Health or social club dues or initiation fees GARY SHEARER WAS PROVIDED SOCIAL CLUB DUES TO PROVIDE A VENUE FOR CONDUCTING COMPANY BUSINESS. SOCIAL CLUB EXPENSES FOR PERSONAL USE WERE REIMBURSED TO PHP. CAPITAL DUES WERE PRORATED AND THE PORTION OF THE PERSONAL USE WAS INCLUDED IN TAXABLE INCOME. Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan LINE 4B IS ANSWERED YES BECAUSE CERTAIN INDIVIDUALS DO PARTICIPATE IN SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN(S). SOME INDIVIDUALS RECEIVED DISTRIBUTIONS DURING THE YEAR (AS REPORTED ON THIS LINE) WHEREAS OTHERS PARTICIPATED IN THE PLAN(S) BUT DID NOT RECEIVE DISTRIBUTIONS. THE FOLLOWING INDIVIDUALS RECEIVED PAYMENTS FROM A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN: KIMBERLY THOMAS $45,151 MICHAEL JASPERSON $50,330 NICHOLAS GATES $45,816 PRAVEEN THADANI $513,652 DISTRIBUTIONS REPORTED ON THIS LINE ARE ALSO INCLUDED IN PART II, COLUMN F AS COMPENSATION REPORTED IN A PRIOR YEAR WHILE ALSO BEING REPORTED IN THE CURRENT 990 AS TOTAL COMPENSATION. THE NONQUALIFIED RETIREMENT PLANS ARE AN INDUSTRY STANDARD AND ARE SUBJECT TO THE FUNDING REQUIREMENTS OF NONQUALIFIED DEFERRED COMPENSATION PLANS UNDER ERISA AND FEDERAL TAX REGULATIONS. Schedule J, Part II Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees THE RELATED COMPENSATION REPORTED IS PRIMARILY FOR PROFESSIONAL RESPONSIBILITIES AS PHYSICIANS, ADMINISTRATORS, OR EMPLOYEES OF RELATED ORGANIZATIONS OF THE HEALTH SYSTEM. THE USE OF PY IN THE TITLE FOR AN OFFICER, DIRECTOR, TRUSTEE, KEY EMPLOYEE, HIGHEST COMPENSATED EMPLOYEE, OR FORMER INDICATES THAT THIS MEMBER ONLY SERVED IN THEIR CAPACITY FOR PART OF THE YEAR. Form 990, Part VI, Line 16b WRITTEN POLICY REGARDING JOINT VENTURE AGREEMENTS THE ORGANIZATION HAS A POLICY TO EVALUATE ITS PARTICIPATION IN JOINT VENTURE AGREEMENTS IN ACCORDANCE WITH APPLICABLE FEDERAL TAX LAW AND TAKES APPROPRIATE STEPS TO SAFEGUARD ITS TAX-EXEMEMPT STATUS IN CONNECTION WITH SUCH ARRANGEMENTS. Form 990, Part VI, Line 1b NUMBER OF VOTING MEMBERS WHO ARE INDEPENDENT PRAVEEN THADANI, KIMBERLY THOMAS, MICHAEL JASPERSON, NICHOLAS GATES, RICHARD ABBOTT, AND ELIF OKER, MD ARE NON-INDEPENDENT VOTING MEMBERS OF THE BOARD BECAUSE THEY ARE COMPENSATED GREATER THAN $10,000 BY A RELATED ORGANIZATION. Form 990, Part VI, Line 2 FAMILY/BUSINESS RELATIONSHIPS AMONGST INTERESTED PERSONS RICK ABBOTT, NICK GATES, MIKE JASPERSON, ELIF OKER, PRAVEEN THADANI, AND KIM THOMAS HAVE A BUSINESS RELATIONSHIP AS THEY SERVE AS AN OFFICER OR DIRECTOR OF PHP HOLDING COMPANY, A RELATED TAXABLE ENTITY. RICK ABBOTT, NICK GATES, MIKE JASPERSON, ELIF OKER, PRAVEEN THADANI, AND KIM THOMAS HAVE A BUSINESS RELATIONSHIP AS THEY SERVE AS AN OFFICER OR DIRECTOR OF PRIORITY HEALTH INSURANCE COMPANY, A RELATED TAXABLE ENTITY. NICK GATES AND PRAVEEN THADANI HAVE A BUSINESS RELATIONSHIP AS THEY SERVE AS AN OFFICER OR DIRECTOR OF PRIORITY HEALTH MANAGED BENEFITS, INC., A RELATED TAXABLE ENTITY. Form 990, Part VI, Line 4 Significant changes to organizational documents IN LATE 2024, PRIORITY HEALTH BECAME THE SOLE MEMBER OF PHYSICIANS HEALTH PLAN OF NORTHERN INDIANA, INC. (PHPNI). THE NET PROCEEDS FROM THE TRANSACTION WERE CONTRIBUTED TO THE PHP FOUNDATION, INC. TO CONTINUE SUPPORTING INITIATIVES THAT IMPROVE ACCESS TO CARE, ENHANCE HEALTH OUTCOMES, AND STRENGTHEN COMMUNITY WELL-BEING IN INDIANA AND NORTHWEST OHIO. AS PART OF COREWELL HEALTH, A NOT-FOR-PROFIT HEALTH SYSTEM, PRIORITY HEALTH AND PHPNI WILL LEVERAGE THEIR COMBINED RESOURCES TO EXPAND ACCESS TO AFFORDABLE, HIGH-QUALITY HEALTHCARE, PROMOTE PREVENTION AND EDUCATION, AND ADVANCE THE SHARED MISSION OF IMPROVING POPULATION HEALTH WHILE REDUCING THE COST OF CARE. In 2024, PHPNI amended its bylaws to (i) reduce the quorum requirement for member meetings from 30% to 10%, (ii) expand the authority of the Executive Committee to exercise all powers of the Board except filling vacancies, and (iii) revise committee leadership. Form 990, Part VI, Line 6 Classes of members or stockholders PRIOR TO THE ACQUISITION OF PHPNI BY PRIORITY HEALTH, ONLY ONE CLASS OF MEMBERS EXISTED. MEMBERS RESIDING IN ALLEN COUNTY, INDIANA PAID A ONE-TIME $2,000 MEMBERSHIP FEE, WHILE MEMBERS IN SURROUNDING INDIANA COUNTIES PAID $500. REGARDLESS OF LOCATION, ALL MEMBERS HAD EQUAL VOTING RIGHTS AND WERE SUBJECT TO THE SAME FEE STRUCTURE. ON DECEMBER 1, 2024, A MAJORITY OF MEMBERS VOTED TO APPROVE THE SALE OF PHPNI TO PRIORITY HEALTH. UPON CLOSING, THE PHPNI MEMBERSHIP CLASS WAS DISSOLVED, AND PRIORITY HEALTH, INC. BECAME THE SOLE MEMBER WITH 100% GOVERNANCE RIGHTS. Form 990, Part VI, Line 7a Members or stockholders electing members of governing body FOLLOWING PHPNI'S ACQUISITION BY PRIORITY HEALTH IN DECEMBER 2024, THE GOVERNANCE OF PHPNI IS NOW CONDUCTED IN ACCORDANCE WITH PRIORITY HEALTH'S BYLAWS. KEY FEATURES INCLUDE: * THE BOARD OF DIRECTORS CONSISTS OF 15-21 MEMBERS. * AT LEAST ONE-THIRD OF DIRECTORS ARE ADULT ENROLLEES OF PRIORITY HEALTH OR AN AFFILIATE, ELECTED ANNUALLY THROUGH A NOMINATION PROCESS LED BY THE GOVERNANCE COMMITTEE. * AT LEAST ONE ENROLLEE DIRECTOR REPRESENTS THE NORTHERN SERVICE AREA SERVED BY THE CLASS B SHAREHOLDER. * ONE DIRECTOR IS APPOINTED BY THE CLASS B SHAREHOLDER. * THE REMAINING DIRECTORS ARE APPOINTED BY THE CLASS A SHAREHOLDER (COREWELL HEALTH). * THE PRESIDENT SERVES AS AN EX OFFICIO VOTING MEMBER WHEN CLASS A APPOINTMENTS ARE NOT FILLED. * DIRECTORS SERVE STAGGERED THREE-YEAR TERMS (ELECTED ENROLLEE DIRECTORS) OR ONE-YEAR TERMS FOR SHAREHOLDER APPOINTEES, UNLESS OTHERWISE SPECIFIED BY THE BYLAWS. * VACANCIES ARE FILLED BY THE APPOINTING SHAREHOLDER (FOR APPOINTED DIRECTORS) OR BY THE REMAINING ENROLLEE DIRECTORS (FOR ELECTED POSITIONS). Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholders CERTAIN CORPORATE ACTIONS REQUIRE APPROVAL BY SHAREHOLDERS UNDER PRIORITY HEALTH'S BYLAWS, WHICH NOW APPLY TO PHPNI. THESE INCLUDE: * AMENDING THE CORPORATION'S ARTICLES OR BYLAWS. * ELECTING OR REMOVING CLASS A SHAREHOLDER-APPOINTED DIRECTORS AND THE BOARD CHAIR. * HIRING, EVALUATING, OR TERMINATING THE CORPORATION'S PRESIDENT. * APPROVING THE STRATEGIC PLAN, ANNUAL BUDGETS, AND SIGNIFICANT BUDGET AMENDMENTS. * APPROVING MAJOR CAPITAL EXPENDITURES, BORROWINGS, OR FINANCIAL COMMITMENTS ABOVE DEFINED THRESHOLDS. * APPROVING MERGERS, CONSOLIDATIONS, ACQUISITIONS, SIGNIFICANT ASSET SALES, OR CHANGES TO OWNERSHIP/CONTROL. * APPROVING SELECTION AND OVERSIGHT OF OUTSIDE AUDITORS. THE CLASS B SHAREHOLDER RETAINS THE RIGHT TO ELECT OR REMOVE ITS APPOINTED DIRECTOR. BOTH SHAREHOLDERS MUST BE NOTIFIED BEFORE EXERCISING RESERVED POWERS, EXCEPT WHEN MATTERS ARE ADDRESSED AT DULY CALLED MEETINGS. THE CORPORATION IS REQUIRED TO COMPLY WITH COREWELL HEALTH POLICIES AND PROCEDURES, EXCEPT WHERE DOING SO WOULD MATERIALLY IMPAIR CLASS B SHAREHOLDER RIGHTS OR VIOLATE APPLICABLE LAW. Form 990, Part VI, Line 11b Review of form 990 by governing body THE FORM 990 FOR PHYSICIANS HEALTH PLAN OF NORTHERN INDIANA, INC. (PHPNI) IS PREPARED BY AN INDEPENDENT CPA FIRM, FORVIS MAZARS, UNDER THE OVERSIGHT OF PHPNI'S CORPORATE CONTROLLER AND CFO. THE RETURN IS ALSO REVIEWED BY THE COREWELL HEALTH TAX DEPARTMENT. A COPY OF THE FORM 990 IS PROVIDED TO EACH MEMBER OF THE GOVERNING BODY, AND ALL QUESTIONS OR CONCERNS ARE ADDRESSED PRIOR TO FILING. Form 990, Part VI, Line 12c Conflict of interest policy ALL OFFICERS, DIRECTORS, TRUSTEES, AND KEY EMPLOYEES OF PHYSICIANS HEALTH PLAN OF NORTHERN INDIANA, INC. (PHPNI) COMPLETE AN ANNUAL CONFLICT-OF-INTEREST DISCLOSURE QUESTIONNAIRE. BOARD MEMBERS ALSO DISCLOSE POTENTIAL CONFLICTS VERBALLY AT EACH BOARD AND BOARD COMMITTEE MEETING PRIOR TO DISCUSSION OF RELEVANT AGENDA ITEMS. DISCLOSURES ARE REVIEWED ANNUALLY BY PRIORITY HEALTH'S GOVERNANCE OVERSIGHT. IF A CONFLICT IS IDENTIFIED, APPROPRIATE RESTRICTIONS ARE IMPOSED, INCLUDING REQUIRING INDIVIDUALS TO RECUSE THEMSELVES FROM GOVERNING BODY DELIBERATIONS OR DECISIONS RELATED TO THE TRANSACTION OR MATTER IN QUESTION. MANAGEMENT CONFLICTS ARE REVIEWED BY EXECUTIVE LEADERSHIP AND COMPLIANCE, AND MAY BE MANAGED THROUGH IMPLEMENTATION OF A MANAGEMENT PLAN OR OTHER APPROPRIATE ACTIONS TO ENSURE DECISIONS ARE MADE IN THE BEST INTEREST OF THE ORGANIZATION. ALL DISCLOSURES ARE UPDATED DURING TENURE WHEN NEW POTENTIAL CONFLICTS ARISE, AND MINUTES DOCUMENT ACTIONS TAKEN. THIS PROCESS ENSURES TRANSPARENCY AND SAFEGUARDS THE ORGANIZATION'S EXEMPT PURPOSE. Form 990, Part VI, Line 15a Process to establish compensation of top management official THE CEO'S COMPENSATION, INCLUDING BASE SALARY AND BONUS, IS REVIEWED AND DETERMINED BY THE COMPENSATION COMMITTEE OF THE BOARD OF DIRECTORS, WHICH IS COMPOSED OF MEMBERS OF THE BOARD'S EXECUTIVE COMMITTEE. PRIOR TO THE ACQUISITION OF PHPNI BY PRIORITY HEALTH, ANY CEO BONUS WAS REVIEWED AND APPROVED BY PRIORITY HEALTH AND PROVIDED AS A CONTRIBUTION. BONUS COMPENSATION IS DETERMINED ANNUALLY, AND BASE SALARY IS REVIEWED PERIODICALLY IN ACCORDANCE WITH THE CEO'S EMPLOYMENT AGREEMENT. PERIODICALLY, AN INDEPENDENT THIRD-PARTY CONSULTANT CONDUCTS A COMPENSABILITY REVIEW, INCLUDING ANALYSIS OF MARKET DATA SUCH AS SALARY SURVEYS, TO SUPPORT THE COMPENSATION COMMITTEE'S DETERMINATION. DOCUMENTATION OF REVIEWS AND DECISIONS IS RETAINED TO PROVIDE CONTEMPORANEOUS SUBSTANTIATION. Form 990, Part VI, Line 19 Required documents available to the public PHYSICIANS HEALTH PLAN OF NORTHERN INDIANA, INC. (PHPNI) GOVERNING DOCUMENTS AND CONFLICT-OF-INTEREST POLICY ARE NOT AVAILABLE FOR PUBLIC INSPECTION. PHPNI FINANCIAL STATEMENTS ARE AVAILABLE THROUGH THE NATIONAL ASSOCIATION OF INSURANCE COMMISSIONERS (NAIC) WEBSITE. Form 990, Part XI, Line 9 Other changes in net assets or fund balances CHANGE IN NONADMITTED ASSETS - 653518; INCREASE IN CONTRIBUTED CAPITAL - 1919114; Total - 2572632; BEAUMONT HEALTH 100 COREWELL DR NW GRAND RAPIDS MI 49503 465718220 SUPPORTING ORGANIZATION MI 501(c)(3) Type III-FI COREWELL HEALTH false BEAUMONT HEALTH FOUNDATION 100 COREWELL DR NW GRAND RAPIDS MI 49503 364852171 FUNDRAISING FOUNDATION MI 501(c)(3) 7 BEAUMONT HEALTH false BEAUMONT MEDICAL GROUP-HOSPITAL-BASED SERVICES 100 COREWELL DR NW GRAND RAPIDS MI 49503 822768899 PHYSICIAN SUPPORT SERVICES MI 501(c)(3) 10 BEAUMONT HEALTH false BEAUMONT MEDICAL GROUP-PRIMARY CARE SERVICES 100 COREWELL DR NW GRAND RAPIDS MI 49503 822796539 PHYSICIAN SUPPORT SERVICES MI 501(c)(3) 10 BEAUMONT HEALTH false BEAUMONT MEDICAL GROUP-SPECIALTY SERVICES 100 COREWELL DR NW GRAND RAPIDS MI 49503 822784244 PHYSICIAN SUPPORT SERVICES MI 501(c)(3) 10 BEAUMONT HEALTH false BEAUMONT MEDICAL TRANSPORTATION SERVICES INC 100 COREWELL DR NW GRAND RAPIDS MI 49503 260203703 MEDICAL TRANSPORTATIONAL SERVICES MI 501(c)(3) 10 BH GRAND RIVER SOUTHFIELD INC false BH GRAND RIVER SOUTHFIELD INC 100 COREWELL DR NW GRAND RAPIDS MI 49503 382410823 EMERGENCY MEDICAL SERVICES MI 501(c)(3) 10 BOTSFORD GENERAL HOSPITAL false BOTSFORD CONTINUING CARE CORPORATION 100 COREWELL DR NW GRAND RAPIDS MI 49503 382549505 REHABILITATION & NURSING CENTER MI 501(c)(3) 10 BOTSFORD GENERAL HOSPITAL false BOTSFORD GENERAL HOSPITAL 100 COREWELL DR NW GRAND RAPIDS MI 49503 381426919 HOSPITAL MI 501(c)(3) 3 BEAUMONT HEALTH false COREWELL HEALTH 100 COREWELL DR NW GRAND RAPIDS MI 49503 383382353 SUPPORTING ORGANIZATION MI 501(c)(3) Type III-FI NA false COREWELL HEALTH FOUNDATION WEST MICHIGAN 100 COREWELL DR NW GRAND RAPIDS MI 49503 382752328 FUNDRAISING FOUNDATION MI 501(c)(3) 7 SPECTRUM HEALTH HOSPITALS false HOSPICE AT HOME INC 100 COREWELL DR NW GRAND RAPIDS MI 49503 382416086 HOSPICE AND PALLIATIVE CARE MI 501(c)(3) 7 LAKELAND REGIONAL HEALTH SYSTEM false LAKELAND COMMUNITY HOSPITAL WATERVLIET 100 COREWELL DR NW GRAND RAPIDS MI 49503 381368745 HOSPITAL MI 501(c)(3) 3 LAKELAND REGIONAL HEALTH SYSTEM false LAKELAND HEALTH FOUNDATION BENTON HARBORST JOSEPH 100 COREWELL DR NW GRAND RAPIDS MI 49503 382539929 FUNDRAISING FOUNDATION MI 501(c)(3) 7 LAKELAND REGIONAL HEALTH SYSTEM false LAKELAND HOSPITALS AT NILES AND ST JOSEPH INC 100 COREWELL DR NW GRAND RAPIDS MI 49503 382156872 HOSPITAL MI 501(c)(3) 3 LAKELAND REGIONAL HEALTH SYSTEM false LAKELAND REGIONAL HEALTH SYSTEM 100 COREWELL DR NW GRAND RAPIDS MI 49503 382609624 SUPPORTING ORGANIZATION MI 501(c)(3) Type III-FI COREWELL HEALTH false LAKELAND SPECIALTY HOSPITAL AT BERRIEN CENTER 100 COREWELL DR NW GRAND RAPIDS MI 49503 383452303 FACILITY LEASING MI 501(c)(3) 3 LAKELAND REGIONAL HEALTH SYSTEM false LAKESHORE AREA RADIATION ONCOLOGY CENTER 100 COREWELL DR NW GRAND RAPIDS MI 49503 383067954 RADIATION SERVICES MI 501(c)(3) 3 SPECTRUM HEALTH HOSPITALS false MECOSTA COUNTY MEDICAL CENTER 100 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