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Nonprofiteer
← BELLIN MEMORIAL HOSPITAL INC

Form 990 for tax year 2022

Filed by BELLIN MEMORIAL HOSPITAL INC.

Totals

Total revenue
$746,094,277
Total expenses
$718,722,309
Contributions and grants received
$3,162,165
Grants paid
$370,153
Program service revenue
$709,523,707
Investment income
$18,193,165
Other revenue
$15,215,240
Total assets, end of year
$1,083,165,495
Total liabilities, end of year
$435,967,534
Net assets or fund balances, end of year
$647,197,961
Program services expenses (Part IX)
$602,191,225
Management and general expenses
$116,531,084
Fundraising expenses
$0
Program service expenses (Part III)
$602,191,225

Program services were 83.8% 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

    $1,809,960

  • 1e · Government grants (contributions)

    $430,146

  • 1f · All other contributions, gifts and grants

    $922,059

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

    total $693,900,773 · related or exempt $695,113,703 · unrelated business -$1,212,930

  • 2b · Program service revenue: CONTRACTED SERVICES

    total $2,344,250 · related or exempt $2,344,250

  • 2c · Program service revenue: CAFETERIA REVENUE

    total $1,907,509 · excluded $1,907,509

  • 2f · All other program service revenue

    total $11,371,175 · related or exempt $10,816,464 · unrelated business $533,633 · excluded $21,078

  • 3 · Investment income

    total $11,060,280 · excluded $11,060,280

  • 6a · Gross rents

    real property $988,123 · personal property $49,703

  • 6b · Less rental expenses

    real property $547,901 · personal property $0

  • 6c · Rental income or loss

    real property $440,222 · personal property $49,703

  • 6d · Net rental income or loss

    total $489,925 · unrelated business $49,703 · excluded $440,222

  • 7a · Gross sales of assets other than inventory

    securities $130,483,978 · other assets $67,980

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

    securities $123,414,913 · other assets $4,160

  • 7c · Gain or loss

    securities $7,069,065 · other assets $63,820

  • 7d · Net gain or loss

    total $7,132,885 · excluded $7,132,885

  • 11a · Other revenue: EHR INCENTIVE

    total $14,440,193 · related or exempt $14,440,193

  • 11b · Other revenue: GAIN FROM HEALTHCARE AFFILIATES

    total $285,122 · related or exempt $285,122

  • 11e · Other revenue, total

    $14,725,315

Functional expenses

Part IX, the statement of functional expenses.

  • 1 · Grants to domestic organizations and governments

    total $370,153 · program services $370,153

  • 5 · Compensation of officers, directors and key employees

    total $8,687,181 · program services $3,834,017 · management and general $4,853,164

  • 7 · Other salaries and wages

    total $363,120,831 · program services $310,272,380 · management and general $52,848,451

  • 8 · Pension plan contributions

    total $16,018,736 · program services $13,655,165 · management and general $2,363,571

  • 9 · Other employee benefits

    total $39,079,622 · program services $32,362,826 · management and general $6,716,796

  • 10 · Payroll taxes

    total $21,216,848 · program services $17,684,726 · management and general $3,532,122

  • 11b · Fees: legal

    total $458,094 · management and general $458,094

  • 11c · Fees: accounting

    total $225,691 · management and general $225,691

  • 11d · Fees: lobbying

    total $21,104 · management and general $21,104

  • 11f · Fees: investment management

    total $604,307 · management and general $604,307

  • 11g · Fees: other

    total $12,224,073 · program services $8,938,753 · management and general $3,285,320

  • 12 · Advertising and promotion

    total $8,181,945 · program services $34,389 · management and general $8,147,556

  • 13 · Office expenses

    total $5,983,817 · program services $3,087,197 · management and general $2,896,620

  • 14 · Information technology

    total $16,665,765 · program services $2,535,929 · management and general $14,129,836

  • 16 · Occupancy

    total $9,367,127 · program services $8,562,712 · management and general $804,415

  • 17 · Travel

    total $1,488,166 · program services $1,054,166 · management and general $434,000

  • 19 · Conferences, conventions and meetings

    total $2,013,083 · program services $1,036,819 · management and general $976,264

  • 20 · Interest

    total $5,650,651 · program services $1,162,880 · management and general $4,487,771

  • 22 · Depreciation, depletion and amortization

    total $29,922,586 · program services $23,601,887 · management and general $6,320,699

  • 23 · Insurance

    total $1,421,472 · program services $399,394 · management and general $1,022,078

  • 24a · Other expenses: SUPPLIES

    total $135,292,165 · program services $135,292,165

  • 24b · Other expenses: EQUIPMENT RENT & MAINT

    total $15,063,837 · program services $12,660,612 · management and general $2,403,225

  • 24c · Other expenses: BAD DEBTS

    total $13,091,929 · program services $13,091,929

  • 24d · Other expenses: WI MEDICAID ACCESS FEE

    total $6,746,824 · program services $6,746,824

  • 24e · All other expenses

    total $5,806,302 · program services $5,806,302

Balance sheet

Part X, book values.

  • 1 · Cash, non-interest-bearing

    beginning of year $17,629 · end of year $18,550

  • 2 · Savings and temporary cash investments

    beginning of year $180,262,803 · end of year $210,714,059

  • 4 · Accounts receivable

    beginning of year $88,921,401 · end of year $101,931,900

  • 7 · Other notes and loans receivable

    beginning of year $17,840,978 · end of year $8,826,274

  • 8 · Inventories for sale or use

    beginning of year $8,227,116 · end of year $9,708,728

  • 9 · Prepaid expenses and deferred charges

    beginning of year $10,229,106 · end of year $8,827,986

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

    $700,660,513

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

    $295,718,870

  • 10c · Land, buildings and equipment, net

    beginning of year $323,260,362 · end of year $404,941,643

  • 11 · Investments: publicly traded securities

    beginning of year $217,121,175 · end of year $271,503,593

  • 12 · Investments: other securities

    beginning of year $35,083,920 · end of year $36,926,044

  • 14 · Intangible assets

    beginning of year $618,206 · end of year $0

  • 15 · Other assets

    beginning of year $25,766,717 · end of year $29,766,718

  • 17 · Accounts payable and accrued expenses

    beginning of year $82,973,519 · end of year $93,132,598

  • 19 · Deferred revenue

    beginning of year $200,000 · end of year $0

  • 20 · Tax-exempt bond liabilities

    beginning of year $83,297,695 · end of year $215,703,875

  • 25 · Other liabilities

    beginning of year $131,416,888 · end of year $127,131,061

  • 27 · Net assets without donor restrictions

    beginning of year $604,027,313 · end of year $641,329,740

  • 28 · Net assets with donor restrictions

    beginning of year $5,433,998 · end of year $5,868,221

Mission and programs · 2022

Mission

BELLIN HEALTH IS A COMMUNITY OWNED NOT-FOR-PROFIT ORGANIZATION RESPONSIBLE FOR IMPROVING THE HEALTH AND WELLBEING OF PEOPLE LIVING IN NORTHEAST WISCONSIN AND THE UPPER PENINSULA OF MICHIGAN, AND ALL OTHERS WE SERVE. WE CARRY OUT THIS RESPONSIBILITY THROUGH INDIVIDUALIZED CARE EXCELLENCE, COMMUNITY HEALTH IMPROVEMENT, AND EQUITABLE HEALTHCARE FINANCING PLANS ALL DESIGNED TO POSITIVELY IMPACT HEALTH AND WELLBEING. WE ARE STEADFAST IN OUR COMMITMENT TO PROVIDING COMPASSIONATE, SAFE, AND COORDINATED CARE THAT IS ACCESSIBLE AND AFFORDABLE FOR EVERYONE. WE BUILD TRUSTED RELATIONSHIPS AND ADVANCE TRUE COLLABORATION, FUELING OUR DESIRE TO CONSTANTLY IMPROVE AND INNOVATE.

Activities or mission (Part I)

BELLIN MEMORIAL HOSPITAL, INC. (BMH) PROVIDES HEALTH CARE SERVICES AND OTHER FINANCIAL SUPPORT THROUGH VARIOUS PROGRAMS THAT ARE DESIGNED, AMONG OTHER MATTERS, TO ENHANCE THE HEALTH OF THE COMMUNITY AND IMPROVE THE HEALTH OF LOW-INCOME PATIENTS. CONSISTENT WITH THE MISSION OF BMH, CARE IS PROVIDED TO PATIENTS REGARDLESS OF THEIR ABILITY TO PAY. IN ADDITION, BMH PROVIDES SERVICES INTENDED TO BENEFIT THE POOR AND UNDERSERVED, INCLUDING THOSE PERSONS WHO CANNOT AFFORD HEALTH INSURANCE BECAUSE OF INADEQUATE RESOURCES OR ARE UNINSURED OR UNDERINSURED. HEALTH CARE SERVICES TO PATIENTS UNDER GOVERNMENT PROGRAMS, SUCH AS MEDICAID, ARE ALSO CONSIDERED PART OF THE BELLIN HEALTH BENEFITS PROVIDED TO THE COMMUNITY SINCE A SUBSTANTIAL PORTION OF SUCH SERVICES ARE REIMBURSED AT AMOUNTS LESS THAN COST.

  • THE HOSPITAL PROVIDES ACUTE HOSPITAL CARE TO RESIDENTS OF NORTHEASTERN WISCONSIN. DURING FISCAL YEAR 2023 35,889 INPATIENT DAYS WERE PROVIDED (27,406 ADULTS AND PEDIATRICS), AS COMPARED TO 38,920 (34,783 ADULTS AND PEDIATRICS) IN FISCAL YEAR 2022. THE NUMBER OF OUTPATIENTS REGISTERED FOR 2023 AND 2022 WERE 188,613 AND 179,048, RESPECTIVELY. BELLIN MEMORIAL HOSPITAL ALSO PROVIDED 1,443,533 (AS COMPARED TO 1,217,838 IN 2022) PHYSICIAN CLINIC VISITS THROUGH BELLIN MEDICAL AND SPECIALTY GROUPS.

    Expenses $602,191,225 · Grants $370,153 · Revenue $722,999,732

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

Listed in Part VII

  • David Stampfl MD

    PHYSICIAN

    Total calculated
    $1,828,212
    From this org
    $1,783,573
    From related orgs
    $0
    Other
    $44,639
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $1,686,385
    Bonus
    $96,000
    Other
    $1,188
    Deferred
    $21,166
    Nontaxable benefits
    $23,473
    Filer's total
    $1,828,212

  • Robert Anderson MD

    PHYSICIAN

    Total calculated
    $1,679,939
    From this org
    $1,633,936
    From related orgs
    $0
    Other
    $46,003
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $1,536,804
    Bonus
    $94,846
    Other
    $2,286
    Deferred
    $22,650
    Nontaxable benefits
    $23,353
    Filer's total
    $1,679,939

  • Christine Woleske

    EXECUTIVE VICE PRESIDENT

    Total calculated
    $1,353,876
    From this org
    $1,323,496
    From related orgs
    $0
    Other
    $30,380
    Hours/week
    50 + 1.55 related

    Schedule J breakdown matched by us

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

  • Patrick McKenzie MD

    PHYSICIAN

    Total calculated
    $1,237,828
    From this org
    $1,197,677
    From related orgs
    $0
    Other
    $40,151
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $1,194,391
    Bonus
    $1,000
    Other
    $2,286
    Deferred
    $19,385
    Nontaxable benefits
    $20,766
    Filer's total
    $1,237,828

  • James Spears MD

    PHYSICIAN

    Total calculated
    $1,215,238
    From this org
    $1,174,033
    From related orgs
    $0
    Other
    $41,205
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $905,552
    Bonus
    $266,195
    Other
    $2,286
    Deferred
    $17,732
    Nontaxable benefits
    $23,473
    Filer's total
    $1,215,238

  • Kanwar Arora MD

    PHYSICIAN

    Total calculated
    $1,129,947
    From this org
    $1,109,079
    From related orgs
    $0
    Other
    $20,868
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $1,012,305
    Bonus
    $96,000
    Other
    $774
    Deferred
    $18,217
    Nontaxable benefits
    $2,651
    Filer's total
    $1,129,947

  • Scott Rathgaber MD

    BOARD MEMBER/BGHS CEO

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

  • Steven Gerndt MD

    BOARD MEMBER (THRU 12/2022)

    Total calculated
    $1,066,145
    From this org
    $1,027,761
    From related orgs
    $0
    Other
    $38,384
    Hours/week
    50 + 0.5 related

    Schedule J breakdown matched by us

    Base
    $903,669
    Bonus
    $123,318
    Other
    $774
    Deferred
    $17,661
    Nontaxable benefits
    $20,723
    Filer's total
    $1,066,145

  • Jennifer Lynch MD

    B.M./PRESIDENT SPECIALTY GROUP

    Total calculated
    $738,616
    From this org
    $716,659
    From related orgs
    $0
    Other
    $21,957
    Hours/week
    50

    Schedule J breakdown matched by us

    Base
    $620,195
    Bonus
    $96,050
    Other
    $414
    Deferred
    $20,677
    Nontaxable benefits
    $1,280
    Filer's total
    $738,616

  • Jim Dietsche

    EVP/CFO/COO

    Total calculated
    $659,221
    From this org
    $624,652
    From related orgs
    $0
    Other
    $34,569
    Hours/week
    50

    Schedule J breakdown matched by us

    Base
    $514,542
    Bonus
    $50,000
    Other
    $60,110
    Deferred
    $6,962
    Nontaxable benefits
    $27,607
    Filer's total
    $659,221

  • Peter Vandehouten

    BOARD MEMBER/SVP-LEGAL COUNSEL

    Total calculated
    $517,568
    From this org
    $487,169
    From related orgs
    $0
    Other
    $30,399
    Hours/week
    50

    Schedule J breakdown matched by us

    Base
    $367,216
    Bonus
    $88,375
    Other
    $31,578
    Deferred
    $19,728
    Nontaxable benefits
    $10,671
    Filer's total
    $517,568

  • Sharla Baenen

    BOARD MEMBER/COO

    Total calculated
    $496,947
    From this org
    $457,331
    From related orgs
    $0
    Other
    $39,616
    Hours/week
    50 + 0.5 related

    Schedule J breakdown matched by us

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

  • Michael Landrum MD

    BOARD MEMBER/CMO

    Total calculated
    $428,666
    From this org
    $385,910
    From related orgs
    $0
    Other
    $42,756
    Hours/week
    50

    Schedule J breakdown matched by us

    Base
    $326,936
    Bonus
    $58,560
    Other
    $414
    Deferred
    $24,198
    Nontaxable benefits
    $18,558
    Filer's total
    $428,666

  • Laura Hieb

    BOARD MEMBER/CNO

    Total calculated
    $358,810
    From this org
    $333,362
    From related orgs
    $0
    Other
    $25,448
    Hours/week
    50 + 0.5 related

    Schedule J breakdown matched by us

    Base
    $298,065
    Bonus
    $0
    Other
    $35,297
    Deferred
    $13,665
    Nontaxable benefits
    $11,783
    Filer's total
    $358,810

  • Robert Mead MD

    B.M./PAST PRES. ME (THRU 03/2022)

    Total calculated
    $356,689
    From this org
    $319,361
    From related orgs
    $0
    Other
    $37,328
    Hours/week
    50 + 0.5 related

    Schedule J breakdown matched by us

    Base
    $289,970
    Bonus
    $27,105
    Other
    $2,286
    Deferred
    $15,741
    Nontaxable benefits
    $21,587
    Filer's total
    $356,689

  • Lisa Harton

    BOARD MEMBER (THRU 12/2022)/CQO

    Total calculated
    $275,781
    From this org
    $250,970
    From related orgs
    $0
    Other
    $24,811
    Hours/week
    50 + 0.5 related

    Schedule J breakdown matched by us

    Base
    $215,556
    Bonus
    $35,000
    Other
    $414
    Deferred
    $15,337
    Nontaxable benefits
    $9,474
    Filer's total
    $275,781

  • Nan Bush

    BOARD MEMBER (THRU 12/2022)

    Total calculated
    $185,034
    From this org
    $151,472
    From related orgs
    $0
    Other
    $33,562
    Hours/week
    0.5 + 0.5 related

    Schedule J breakdown matched by us

    Base
    $134,186
    Bonus
    $15,000
    Other
    $2,286
    Deferred
    $10,848
    Nontaxable benefits
    $22,714
    Filer's total
    $185,034

  • Paul Casey MD

    PRES MED STAFF (THRU 03/2022)

    Total calculated
    $135,250
    From this org
    $135,250
    From related orgs
    $0
    Other
    $0
    Hours/week
    40 + 0.25 related

  • Steve Little

    BMH CFO (START 08/2023)

    Total calculated
    $0
    Hours/week
    45 + 2 related

  • Gerald Oetzel

    BMH CFO (THRU 08/2023)

    Total calculated
    $0
    Hours/week
    45 + 2 related

  • Terry Fulwiler

    CHAIR

    Total calculated
    $0
    Hours/week
    0.5 + 0.5 related

  • John Dykema

    VICE CHAIR

    Total calculated
    $0
    Hours/week
    0.5 + 0.5 related

  • Ell Lee DDS

    BOARD TREASURER

    Total calculated
    $0
    Hours/week
    0.5 + 0.5 related

  • Nancy Armbrust

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    0.5 + 0.5 related

  • Saied Assef MD

    B.M. /PHYSICIAN DIRECTOR

    Total calculated
    $0
    Hours/week
    50 + 0.5 related

  • Susan Finco

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    0.5 + 0.5 related

  • Barb Gilling

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    0.5 + 1 related

  • Brad Wozney MD

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    0.5

  • Mark McMullen

    BOARD SECRETARY (THRU 03/2022)

    Total calculated
    $0
    Hours/week
    0.5 + 0.5 related

  • Daniel Ariens

    BOARD MEMBER (THRU 12/2022)

    Total calculated
    $0
    Hours/week
    0.5 + 0.5 related

  • Connie Boerst

    BOARD MEMBER (THRU 12/2022)

    Total calculated
    $0
    Hours/week
    0.5

  • Bill Bohn

    BOARD MEMBER (THRU 12/2022)

    Total calculated
    $0
    Hours/week
    0.5 + 0.5 related

  • Bob Clausen

    BOARD MEMBER (THRU 12/2022)

    Total calculated
    $0
    Hours/week
    0.5 + 0.5 related

  • G Cort Condon

    BOARD MEMBER (THRU 03/2022)

    Total calculated
    $0
    Hours/week
    0.5 + 0.5 related

  • Jane Danowit MD

    BOARD MEMBER (THRU 12/2022)

    Total calculated
    $0
    Hours/week
    0.5

  • Michael Haddad

    BOARD MEMBER (THRU 12/2022)

    Total calculated
    $0
    Hours/week
    0.5 + 0.5 related

  • Said Hassan

    BOARD MEMBER (THRU 12/2022)

    Total calculated
    $0
    Hours/week
    0.5 + 0.5 related

  • George Kerwin

    BOARD MEMBER (THRU 12/2022)

    Total calculated
    $0
    Hours/week
    0.5

  • Cindy Lasecki MD

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    0.5

  • Nicole Polarek

    BOARD MEMBER (THRU 12/2022)

    Total calculated
    $0
    Hours/week
    0.5

  • James Rider MD

    BOARD MEMBER (THRU 12/2022)

    Total calculated
    $0
    Hours/week
    0.5

  • Mark Ringwelski MD

    B.M./FORM. PRES. S (THRU 03/2022)

    Total calculated
    $0
    Hours/week
    40

  • Fred Schmidt MD

    BOARD MEMBER (THRU 12/2022)

    Total calculated
    $0
    Hours/week
    0.5 + 0.5 related

  • Karl Schmidt

    BOARD MEMBER (THRU 12/2022)

    Total calculated
    $0
    Hours/week
    0.5 + 0.5 related

  • Sabina Singh MD

    BOARD MEMBER/PRES MED (THRU 03/2022)

    Total calculated
    $0
    Hours/week
    50

  • Jamie Spitzer

    BOARD MEMBER (THRU 12/2022)

    Total calculated
    $0
    Hours/week
    0.5 + 0.5 related

  • William Wittman MD

    B.M. (THRU 12/2022)/BMG PHYSICIAN

    Total calculated
    $0
    Hours/week
    0.5 + 0.5 related

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

  • 1a · Health or social club dues or initiation fees
  • 1b · Written policy on the line-1a expenses
  • 2 · Substantiation required before reimbursing expenses
  • 3 · Compensation committee
  • 3 · Independent compensation consultant
  • 3 · Written employment contract
  • 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 1A
BELLIN MEMORIAL HOSPITAL PAYS FOR A PORTION OF MEMBERSHIP DUES AT A LOCAL COUNTRY CLUB FOR CHRISTINE WOLESKE IN ORDER TO HOLD VARIOUS EVENTS AT THE CLUB. THIS BENEFIT IS TREATED AS TAXABLE COMPENSATION.
PART I, LINE 4B
THE HOSPITAL HAS A DEFERRED COMPENSATION PLAN FOR SELECTED EXECUTIVES. LAURA HIEB, PETER VANDEHOUTEN, SHARLA BAENEN, JAMES DIETSCHE AND CHRISTINE WOLESKE PARTICIPATED IN THE 457(F) PLAN. THE FOLLOWING DISTRIBUTIONS WERE MADE DURING CALENDAR YEAR 2022: CHRISTINE WOLESKE $141,843 JAMES DIETSCHE $49,313 PETER VANDEHOUTEN $30,804 LAURA HIEB $28,553 SHARLA BAENEN $20,236
FORM 990, PART VII, SECTION A, LINE 5
SAIED ASSEF WAS COMPENSATED BY BELLIN HEALTH PARTNERS, AN UNRELATED ORGANIZATION, FOR INDIVIDUAL SERVICES RENDERED TO BELLIN MEMORIAL HOSPITAL, INC. IN THE AMOUNT OF $180,875 DURING CALENDAR YEAR 2022.

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

The 10 largest by cash amount. The API serves every itemized grant.

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.

Disregarded entities

Part I: entities that legally are the filer and file no return of their own.

  • ASHLAND WEST LLC

    REAL ESTATE · WI · income $0 · assets $0

    Directly controlled by BELLIN MEMORIAL HOSPITAL INC

  • BELLIN NORTH VENTURES LLC

    REAL ESTATE · WI · income $0 · assets $0

    Directly controlled by BELLIN MEMORIAL HOSPITAL INC

  • BELLIN-THEDACARE ENTERPRISES LLC

    REAL ESTATE · WI · income $0 · assets $0

    Directly controlled by BELLIN MEMORIAL HOSPITAL INC

  • ASHWAUBENON WEST PROPERTIES LLC

    REAL ESTATE · WI · income $0 · assets $18,481,131

    Directly controlled by BELLIN MEMORIAL HOSPITAL INC

  • WEST GB LLC

    REAL ESTATE · WI · income $0 · assets $0

    Directly controlled by BELLIN MEMORIAL HOSPITAL INC

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
202412289349300211

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