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← BELLIN PSYCHIATRIC CENTER INC

Form 990 for tax year 2022

Filed by BELLIN PSYCHIATRIC CENTER INC.

Totals

Total revenue
$31,303,427
Total expenses
$32,940,503
Contributions and grants received
$34,138
Grants paid
$15,267
Program service revenue
$29,663,221
Investment income
$457,081
Other revenue
$1,148,987
Total assets, end of year
$20,239,238
Total liabilities, end of year
$16,871,411
Net assets or fund balances, end of year
$3,367,827
Program services expenses (Part IX)
$28,854,215
Management and general expenses
$4,086,288
Fundraising expenses
$0
Program service expenses (Part III)
$28,854,215

Program services were 87.6% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.

Line items

Every line the filer filed in Parts VIII, IX and X, as filed and in filed order. Blank columns are left out, and the lines are not forced to add up to the totals above.

Revenue

Part VIII, the statement of revenue.

  • 1d · Related organizations

    $1,700

  • 1f · All other contributions, gifts and grants

    $32,438

  • 2a · Program service revenue: NET PATIENT SERVICE REVENUE

    total $29,629,986 · related or exempt $29,629,986

  • 2b · Program service revenue: CONTRACTED SERVICES

    total $33,235 · related or exempt $33,235

  • 3 · Investment income

    total $222,087 · excluded $222,087

  • 7a · Gross sales of assets other than inventory

    securities $234,994

  • 7b · Less cost or other basis and sales expenses

    securities $0

  • 7c · Gain or loss

    securities $234,994

  • 7d · Net gain or loss

    total $234,994 · excluded $234,994

  • 11a · Other revenue: INCENTIVE PAYMENTS

    total $1,140,466 · related or exempt $1,140,466

  • 11d · All other revenue

    total $8,521 · related or exempt $8,521

  • 11e · Other revenue, total

    $1,148,987

Functional expenses

Part IX, the statement of functional expenses.

  • 1 · Grants to domestic organizations and governments

    total $15,267 · program services $15,267

  • 5 · Compensation of officers, directors and key employees

    total $1,046,346 · program services $994,028 · management and general $52,318

  • 7 · Other salaries and wages

    total $20,999,179 · program services $20,145,573 · management and general $853,606

  • 8 · Pension plan contributions

    total $974,432 · program services $919,751 · management and general $54,681

  • 9 · Other employee benefits

    total $1,947,357 · program services $1,835,351 · management and general $112,006

  • 10 · Payroll taxes

    total $1,286,433 · program services $1,221,136 · management and general $65,297

  • 11f · Fees: investment management

    total $20,091 · management and general $20,091

  • 11g · Fees: other

    total $852,103 · program services $547,323 · management and general $304,780

  • 13 · Office expenses

    total $192,210 · program services $162,034 · management and general $30,176

  • 14 · Information technology

    total $3,188 · program services $1,522 · management and general $1,666

  • 16 · Occupancy

    total $629,076 · program services $577,041 · management and general $52,035

  • 17 · Travel

    total $23,091 · program services $6,373 · management and general $16,718

  • 19 · Conferences, conventions and meetings

    total $91,087 · program services $71,315 · management and general $19,772

  • 20 · Interest

    total $73,370 · management and general $73,370

  • 22 · Depreciation, depletion and amortization

    total $473,034 · program services $211,614 · management and general $261,420

  • 23 · Insurance

    total $47,663 · program services $8,102 · management and general $39,561

  • 24a · Other expenses: MEDICAL SUPPLIES

    total $2,548,947 · program services $523,922 · management and general $2,025,025

  • 24b · Other expenses: BAD DEBT EXPENSE

    total $1,075,035 · program services $1,075,035

  • 24c · Other expenses: FOOD

    total $264,600 · program services $264,600

  • 24d · Other expenses: DUES & SUBSCRIPTIONS

    total $152,146 · program services $85,517 · management and general $66,629

  • 24e · All other expenses

    total $225,848 · program services $188,711 · management and general $37,137

Balance sheet

Part X, book values.

  • 1 · Cash, non-interest-bearing

    beginning of year $822,522 · end of year $1,512,914

  • 2 · Savings and temporary cash investments

    beginning of year $2,034,017 · end of year $2,077,244

  • 4 · Accounts receivable

    beginning of year $2,482,606 · end of year $2,701,822

  • 10a · Land, buildings and equipment: cost or other basis

    $13,095,931

  • 10b · Land, buildings and equipment: accumulated depreciation

    $6,348,794

  • 10c · Land, buildings and equipment, net

    beginning of year $6,903,561 · end of year $6,747,137

  • 11 · Investments: publicly traded securities

    beginning of year $6,483,227 · end of year $7,200,121

  • 17 · Accounts payable and accrued expenses

    beginning of year $1,661,938 · end of year $2,071,318

  • 20 · Tax-exempt bond liabilities

    beginning of year $1,538,968 · end of year $1,416,811

  • 25 · Other liabilities

    beginning of year $10,843,368 · end of year $13,383,282

  • 27 · Net assets without donor restrictions

    beginning of year $4,681,659 · end of year $3,367,827

Mission and programs · 2022

Mission

BELLIN PSYCHIATRIC CENTER, INC. (BPC) PROVIDES PSYCHIATRIC AND ALCOHOL AND OTHER DRUG ABUSE (AODA) SERVICES TO ENHANCE THE HEALTH OF THE COMMUNITY AND IMPROVE THE HEALTH OF LOW-INCOME PATIENTS. CONSISTENT WITH THE MISSION OF BPC, CARE IS PROVIDED TO PATIENTS REGARDLESS OF THEIR ABILITY TO PAY.

  • THE CENTER PROVIDES PSYCHIATRIC AND ALCOHOL AND OTHER DRUG ABUSE (AODA) SERVICES TO RESIDENTS OF NORTHEASTERN WISCONSIN. DURING FISCAL YEAR 2023, 8,774 INPATIENT DAYS WERE PROVIDED (5,649 ADULT, 799 CHILD AND 2,326 ADOLESCENT). THE NUMBER OF OUTPATIENT THERAPY VISITS DURING FISCAL YEAR 2023 WERE 29,646. IN ADDITION, THERE WERE 65,241 INPATIENT AND OUTPATIENT MD, APNP AND PHD VISITS.

    Expenses $28,854,215 · Grants $15,267 · Revenue $30,812,208

As filed on the 2022 return. The filer continues this part on Schedule O, which is not shown here.

Listed in Part VII

  • Sharla Baenen

    MEMBER/BMH COO

    Total calculated
    $496,947
    From this org
    $0
    From related orgs
    $457,331
    Other
    $39,616
    Hours/week
    0.5 + 45 related

    Schedule J breakdown matched by us

    Base
    $0 + $366,586 related
    Bonus
    $0 + $60,000 related
    Other
    $0 + $30,745 related
    Deferred
    $0 + $14,581 related
    Nontaxable benefits
    $0 + $25,035 related
    Filer's total
    $0 + $496,947 related

  • Barb Gilling

    CHAIRPERSON

    Total calculated
    $0
    Hours/week
    0.5 + 1 related

  • Susan Gallagher-Lepak

    MEMBER

    Total calculated
    $0
    Hours/week
    0.5

  • Michael Hoffman MD

    MEMBER/PHYSICIAN

    Total calculated
    $284,358
    From this org
    $0
    From related orgs
    $249,433
    Other
    $34,925
    Hours/week
    0.5 + 35 related

    Schedule J breakdown matched by us

    Base
    $0 + $244,521 related
    Bonus
    $0 + $4,138 related
    Other
    $0 + $774 related
    Deferred
    $0 + $10,188 related
    Nontaxable benefits
    $0 + $24,737 related
    Filer's total
    $0 + $284,358 related

  • Naciye Kalafat MD

    MEMBER/FORMER PSYCH. DEPT. CHAIR

    Total calculated
    $396,151
    From this org
    $350,181
    From related orgs
    $0
    Other
    $45,970
    Hours/week
    45

    Schedule J breakdown matched by us

    Base
    $277,342
    Bonus
    $72,425
    Other
    $414
    Deferred
    $18,110
    Nontaxable benefits
    $27,860
    Filer's total
    $396,151

  • William Laakso Psyd

    MEMBER

    Total calculated
    $0
    Hours/week
    0.5

  • William McKinley

    MEMBER

    Total calculated
    $0
    Hours/week
    0.5

  • John Paul

    MEMBER

    Total calculated
    $0
    Hours/week
    0.5

  • Emily Rademacher MD

    MEMBER/PRESIDENT MEDICAL STAFF

    Total calculated
    $383,877
    From this org
    $335,133
    From related orgs
    $0
    Other
    $48,744
    Hours/week
    45

    Schedule J breakdown matched by us

    Base
    $308,953
    Bonus
    $26,000
    Other
    $180
    Deferred
    $16,109
    Nontaxable benefits
    $32,635
    Filer's total
    $383,877

  • Tara Robertson Psyd

    MEMBER/PSYCHIATRY DEPT. CHAIR

    Total calculated
    $217,895
    From this org
    $205,513
    From related orgs
    $0
    Other
    $12,382
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $193,979
    Bonus
    $11,355
    Other
    $179
    Deferred
    $11,627
    Nontaxable benefits
    $755
    Filer's total
    $217,895

  • David Vanderploeg

    MEMBER (THRU 08/2022)

    Total calculated
    $0
    Hours/week
    0.5

  • Christine Woleske

    MEMBER/BMH CEO

    Total calculated
    $1,353,876
    From this org
    $0
    From related orgs
    $1,323,496
    Other
    $30,380
    Hours/week
    0.5 + 45 related

    Schedule J breakdown matched by us

    Base
    $0 + $918,647 related
    Bonus
    $0 + $250,000 related
    Other
    $0 + $154,849 related
    Deferred
    $0 + $19,922 related
    Nontaxable benefits
    $0 + $10,458 related
    Filer's total
    $0 + $1,353,876 related

  • Scott Rathgaber MD

    BGHS CEO

    Total calculated
    $1,088,135
    From this org
    $0
    From related orgs
    $1,020,916
    Other
    $67,219
    Hours/week
    0.5 + 50 related

    Schedule J breakdown matched by us

    Base
    $0 + $1,015,579 related
    Bonus
    $0 + $180 related
    Other
    $0 + $5,157 related
    Deferred
    $0 + $44,225 related
    Nontaxable benefits
    $0 + $22,994 related
    Filer's total
    $0 + $1,088,135 related

  • Steve Little

    BMH CFO (START 08/2023

    Total calculated
    $0
    Hours/week
    0.5 + 45 related

  • Gerald Oetzel

    BMH CFO (THRU 08/2022)

    Total calculated
    $0
    Hours/week
    0.5 + 45 related

  • Derek Carlson MD

    PHYSICIAN

    Total calculated
    $439,704
    From this org
    $401,476
    From related orgs
    $0
    Other
    $38,228
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $335,365
    Bonus
    $64,923
    Other
    $1,188
    Deferred
    $13,118
    Nontaxable benefits
    $25,110
    Filer's total
    $439,704

  • Rekha Vijayan

    PHYSICIAN

    Total calculated
    $411,861
    From this org
    $395,211
    From related orgs
    $0
    Other
    $16,650
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $343,841
    Bonus
    $51,100
    Other
    $270
    Deferred
    $15,370
    Nontaxable benefits
    $1,280
    Filer's total
    $411,861

  • Kim Lasecki

    PHYSICIAN

    Total calculated
    $535,662
    From this org
    $492,203
    From related orgs
    $0
    Other
    $43,459
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $489,274
    Bonus
    $2,155
    Other
    $774
    Deferred
    $17,849
    Nontaxable benefits
    $25,610
    Filer's total
    $535,662

  • Dhanvendran Ramar MD

    PHYSICIAN

    Total calculated
    $495,166
    From this org
    $451,649
    From related orgs
    $0
    Other
    $43,517
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $381,179
    Bonus
    $70,200
    Other
    $270
    Deferred
    $15,732
    Nontaxable benefits
    $27,785
    Filer's total
    $495,166

  • Alexandra Rush

    PHYSICIAN

    Total calculated
    $360,317
    From this org
    $356,162
    From related orgs
    $0
    Other
    $4,155
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $325,000
    Bonus
    $1,000
    Other
    $30,162
    Deferred
    $2,875
    Nontaxable benefits
    $1,280
    Filer's total
    $360,317

Compensation is as filed in Part VII: reportable pay from this organization and from related organizations, other compensation, and hours per week. The total, marked calculated, is our sum of the three dollar columns, with a blank column counted as $0; the form itself has no total. On a Form 990-EZ the columns are Part IV's instead, and on a Form 990-PF Part VIII's — compensation, contributions to benefit plans, and expense account — and the total sums those. A Schedule J breakdown is as filed: base pay, bonus, other, deferred compensation and nontaxable benefits from this organization, with any from related organizations beside each, and the filer's own total. It is shown with the Part VII listing of the same name on the same return. The form gives no key between the two, so that pairing is ours, and is marked matched by us.

Schedule J

Answered yes

  • 3 · Compensation survey or study
  • 3 · Approval by the board or compensation committee
  • 4b · Supplemental nonqualified retirement plan

Answered no

  • 4a · Severance or change-of-control payment
  • 4c · Equity-based compensation arrangement
  • 5a · Pay contingent on this organization's revenues
  • 5b · Pay contingent on a related organization's revenues
  • 6a · Pay contingent on this organization's net earnings
  • 6b · Pay contingent on a related organization's net earnings
  • 7 · Other non-fixed payments
  • 8 · Paid under the initial-contract exception

The filer's explanations (Part III)

PART I, LINE 4B
BELLIN MEMORIAL HOSPITAL, A RELATED PARTY, HAS A DEFERRED COMPENSATION PLAN FOR SELECTED EXECUTIVES. SHARLA BAENEN AND CHRISTINE WOLESKE PARTICIPATED IN THE 457(F) PLAN. THERE WERE NO DISTRIBUTIONS DURING CALENDAR YEAR 2021. THE FOLLOWING INDIVIDUALS, LISTED ON PART VII OF FROM 990, HAD THE FOLLOWING AMOUNTS ACCRUED DURING CALENDAR YEAR 2022: CHRISTINE WOLESKE $141,843 SHARLA BAENEN $20,236

Part I's answers as filed. A line not listed was left unanswered; on lines 1a and 3 that means the box was not checked.

Grants on this return

No itemized grants to organizations on this return.

Related organizations on this return

Schedule R Part II: tax-exempt organizations related to the filer by control. It does not record shared board members or money.

Taxable family on this return

Schedule R Parts I, III and IV, as filed. These record ownership and control, not shared board members or money moved.

Related corporations and trusts

Part IV: related organizations taxable as a corporation or trust.

  • BEL-REGIONAL HOME MEDICAL INC

    C · DURABLE MEDICAL EQUIPMENT, RETAIL PHARMACY, FITNESS · WI

  • GUNDERSEN LUTHERAN INVISION LLC

    C · RENEWABLE ENERGY · WI

  • GUNDERSEN EDGE LLC

    C · INNOVATION · WI

Provenance

Return type
form_990
Tax year
2022
Filed
13 August 2024
IRS schema version
2022v5.0
Source object
202422289349300902

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