BELLIN MEMORIAL HOSPITAL INC: Form 990, tax year 2023

View the entire original 990 at ProPublica ↗

Organization: BELLIN MEMORIAL HOSPITAL INC (EIN 39-0884478)
Tax period: 2023-10-01 to 2024-09-30
Filed: 2025-08-13
IRS object ID: 202542259349302559
Schema version: 2023v6.0
Source: Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header
Form 990
Schedule A
Schedule B
Schedule C
Schedule D
Schedule H
Schedule I
Schedule J
Schedule K
Schedule K
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2025-08-13T15:11:09-05:00	ReturnTs
Tax Period End	2024-09-30	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Field	Value	IRS element (for citing)
Preparer Firm EIN	390758449	PreparerFirmEIN

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	WIPFLI LLP	BusinessNameLine1Txt

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	1502 LONDON ROAD SUITE 200	AddressLine1Txt
City	DULUTH	CityNm
State Abbreviation	MN	StateAbbreviationCd
ZIP	55812	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2023-10-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	390884478	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	BELLIN MEMORIAL HOSPITAL INC	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Business Name Control	BELL	BusinessNameControlTxt
Phone	9204457260	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	744 S WEBSTER AVENUE	AddressLine1Txt
City	GREEN BAY	CityNm
State Abbreviation	WI	StateAbbreviationCd
ZIP	54301	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	JOHN CEELEN	PersonNm
Person Title	CFO	PersonTitleTxt
Phone	9204457260	PhoneNum
Signature	2025-08-13	SignatureDt
Discuss With Paid Preparer	Yes (1)	DiscussWithPaidPreparerInd

Field	Value	IRS element (for citing)
IRS Responsible Prty Info Curr	Yes (1)	IRSResponsiblePrtyInfoCurrInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	MICHAEL J PETERSON CPA	PreparerPersonNm
PTIN	P01833529	PTIN
Phone	2187224705	PhoneNum
Preparation	2025-08-13	PreparationDt

Field	Value	IRS element (for citing)
Tax	2023	TaxYr
Build TS	2025-03-06 01:10:19Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Principal Officer	JOHN CEELEN	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	744 S WEBSTER AVENUE	AddressLine1Txt
City	GREEN BAY	CityNm
State Abbreviation	WI	StateAbbreviationCd
ZIP	54301	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$942,501,834	GrossReceiptsAmt
Group Return For Affiliates	0	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	WWW.BELLIN.ORG	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1908	FormationYr
Legal Domicile State	WI	LegalDomicileStateCd
Activity Or Mission	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.	ActivityOrMissionDesc
Voting Members Governing Body	6	VotingMembersGoverningBodyCnt
Voting Members Independent	0	VotingMembersIndependentCnt
Total Employee	5399	TotalEmployeeCnt
Total Volunteers	238	TotalVolunteersCnt
Total Gross UBI	-$208,657	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$0	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$3,162,165	PYContributionsGrantsAmt
CY Contributions Grants	$3,082,867	CYContributionsGrantsAmt
PY Program Service Revenue	$709,523,707	PYProgramServiceRevenueAmt
CY Program Service Revenue	$791,592,386	CYProgramServiceRevenueAmt
PY Investment Income	$18,193,165	PYInvestmentIncomeAmt
CY Investment Income	$24,081,469	CYInvestmentIncomeAmt
PY Other Revenue	$15,215,240	PYOtherRevenueAmt
CY Other Revenue	$15,949,544	CYOtherRevenueAmt
PY Total Revenue	$746,094,277	PYTotalRevenueAmt
CY Total Revenue	$834,706,266	CYTotalRevenueAmt
PY Grants And Similar Paid	$370,153	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$520,025	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$448,123,218	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$479,526,593	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$270,228,938	PYOtherExpensesAmt
CY Other Expenses	$311,700,923	CYOtherExpensesAmt
PY Total Expenses	$718,722,309	PYTotalExpensesAmt
CY Total Expenses	$791,747,541	CYTotalExpensesAmt
PY Revenues Less Expenses	$27,371,968	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$42,958,725	CYRevenuesLessExpensesAmt
Total Assets BOY	$1,083,165,495	TotalAssetsBOYAmt
Total Assets EOY	$1,148,095,932	TotalAssetsEOYAmt
Total Liabilities BOY	$435,967,534	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$436,573,747	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$647,197,961	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$711,522,185	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
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.	MissionDesc
Significant New Program Srvc	0	SignificantNewProgramSrvcInd
Significant Change	0	SignificantChangeInd
Expense	$660,822,303	ExpenseAmt
Grant	$520,025	GrantAmt
Revenue	$804,998,083	RevenueAmt
Desc	THE HOSPITAL PROVIDES ACUTE HOSPITAL CARE TO RESIDENTS OF NORTHEASTERN WISCONSIN. DURING FISCAL YEAR 2024 37,488 INPATIENT DAYS WERE PROVIDED (29,645 ADULTS AND PEDIATRICS), AS COMPARED TO 35,889 (27,406 ADULTS AND PEDIATRICS) IN FISCAL YEAR 2023. THE NUMBER OF OUTPATIENTS REGISTERED FOR 2024 AND 2023 WERE 199,208 AND 188,613, RESPECTIVELY. BELLIN MEMORIAL HOSPITAL ALSO PROVIDED 1,546,455 (AS COMPARED TO 1,443,533 IN 2023) PHYSICIAN CLINIC VISITS THROUGH BELLIN MEDICAL AND SPECIALTY GROUPS.	Desc
Total Program Service Expenses	$660,822,303	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (1)	DescribedInSection501c3Ind
Schedule B Required	Yes (1)	ScheduleBRequiredInd
Political Campaign Acty	0	PoliticalCampaignActyInd
Lobbying Activities	Yes (1)	LobbyingActivitiesInd
Subject To Proxy Tax	0	SubjectToProxyTaxInd
Donor Advised Fund	0	DonorAdvisedFundInd
Conservation Easements	0	ConservationEasementsInd
Collections Of Art	0	CollectionsOfArtInd
Credit Counseling	0	CreditCounselingInd
Donor Rstr Or Quasi Endowments	Yes (1)	DonorRstrOrQuasiEndowmentsInd
Report Land Building Equipment	Yes (1)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	0	ReportInvestmentsOtherSecInd
Report Program Related Invst	0	ReportProgramRelatedInvstInd
Report Other Assets	0	ReportOtherAssetsInd
Report Other Liabilities	Yes (1)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	0	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	0	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (1)	ConsolidatedAuditFinclStmtInd
School Operating	0	SchoolOperatingInd
Foreign Office	0	ForeignOfficeInd
Foreign Activities	0	ForeignActivitiesInd
More Than5000 K To Org	0	MoreThan5000KToOrgInd
More Than5000 K To Individuals	0	MoreThan5000KToIndividualsInd
Professional Fundraising	0	ProfessionalFundraisingInd
Fundraising Activities	0	FundraisingActivitiesInd
Gaming Activities	0	GamingActivitiesInd
Operate Hospital	Yes (1)	OperateHospitalInd
Audited Financial Stmt Att	Yes (1)	AuditedFinancialStmtAttInd
Grants To Organizations	Yes (1)	GrantsToOrganizationsInd
Grants To Individuals	0	GrantsToIndividualsInd
Schedule J Required	Yes (1)	ScheduleJRequiredInd
Tax Exempt Bonds	Yes (1)	TaxExemptBondsInd
Invest Tax Exempt Bonds	0	InvestTaxExemptBondsInd
Escrow Account	0	EscrowAccountInd
On Behalf Of Issuer	0	OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans	0	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	0	PYExcessBenefitTransInd
Loan Outstanding	0	LoanOutstandingInd
Grant To Related Person	0	GrantToRelatedPersonInd
Business Rln With Org Mem	0	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	0	BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent	0	BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri	0	DeductibleNonCashContriInd
Deductible Art Contribution	0	DeductibleArtContributionInd
Terminate Operations	0	TerminateOperationsInd
Partial Liquidation	0	PartialLiquidationInd
Disregarded Entity	0	DisregardedEntityInd
Related Entity	Yes (1)	RelatedEntityInd
Related Organization Ctrl Ent	Yes (1)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	Yes (1)	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	0	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	0	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (1)	ScheduleORequiredInd
IRP Document	351	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Employee	5399	EmployeeCnt
Employment Tax Returns Filed	Yes (1)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	Yes (1)	UnrelatedBusIncmOverLimitInd
Form990 T Filed	Yes (1)	Form990TFiledInd
Foreign Financial Account	0	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	0	ProhibitedTaxShelterTransInd
Taxable Party Notification	0	TaxablePartyNotificationInd
Nondeductible Contributions	0	NondeductibleContributionsInd
Quid Pro Quo Contributions	0	QuidProQuoContributionsInd
Form8282 Property Disposed Of	0	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	0	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	0	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	0	IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt	Yes (1)	SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc	0	SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	6	GoverningBodyVotingMembersCnt
Independent Voting Member	0	IndependentVotingMemberCnt
Family Or Business Rln	0	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	0	DelegationOfMgmtDutiesInd
Change To Org Documents	0	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	0	MaterialDiversionOrMisuseInd
Members Or Stockholders	Yes (1)	MembersOrStockholdersInd
Election Of Board Members	Yes (1)	ElectionOfBoardMembersInd
Decisions Subject To Approva	Yes (1)	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (1)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (1)	MinutesOfCommitteesInd
Officer Mailing Address	0	OfficerMailingAddressInd
Local Chapters	0	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (1)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (1)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (1)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (1)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (1)	WhistleblowerPolicyInd
Document Retention Policy	Yes (1)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (1)	CompensationProcessCEOInd
Compensation Process Other	Yes (1)	CompensationProcessOtherInd
Investment In Joint Venture	0	InvestmentInJointVentureInd
States Where Copy Of Return Is Fld	WI	StatesWhereCopyOfReturnIsFldCd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	JOHN CEELEN	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Phone	9204457260	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	744 S WEBSTER AVENUE	AddressLine1Txt
City	GREEN BAY	CityNm
State Abbreviation	WI	StateAbbreviationCd
ZIP	54301	ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (21 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	OfficerOfficerInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Key EmployeeKeyEmployeeInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd	Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
CHRISTINE WOLESKE
BOARD MEMBER/EXECUTIVE VICE PRES.	48.00	2.00	Yes (X)	Yes (X)	$1,775,439	$0	$238,231
SCOTT RATHGABER MD
BOARD MEMBER/BGHS CEO	2.00	48.00	Yes (X)	Yes (X)	$0	$1,644,221	$68,728
PETER VANDENHOUTEN
BOARD MEMBER/SR VP-GENERAL COUNSEL	50.00	2.00	Yes (X)		$612,071	$0	$75,483
SHARLA BAENEN
BOARD MEMBER/COO	50.00	2.00	Yes (X)	Yes (X)	$500,435	$0	$86,399
MICHAEL LANDRUM MD
BOARD MEMBER/COO	50.00	2.00	Yes (X)		$471,136	$0	$24,683
LAURA HIEB
BOARD MEMBER/CNO	50.00	2.00	Yes (X)	Yes (X)	$409,402	$0	$65,451
STEVE LITTLE
BOARD MEMBER/CFO (THRU 2/24)	2.00	48.00	Yes (X)	Yes (X)	$0	$333,317	$0
TERRY FULWILER
CHAIR (THRU 01/24)	2.00	2.00	Yes (X)	Yes (X)	$0	$0	$0
JOHN CEELEN
CHIEF FINANCIAL OFFICER (BEG. 02/24)	2.00	48.00		Yes (X)	$0	$0	$0
LISA HARTON
CHIEF QUALITY OFFICER	50.00				$397,926	$0	$29,182	Yes (X)
ANDREA WERNER
CHIEF POPULATION OFFICER	50.00				$365,199	$0	$27,093	Yes (X)
WILLIAM FARRELL
CHIEF INNOVATION & STRATEGY OFFICER	2.00	48.00			$0	$628,350	$45,544	Yes (X)
LEANNE ANDERSEN
CHIEF PEOPLE OFFICER	0.50	40.00			$0	$564,301	$63,599	Yes (X)
PRAVEEN CHOPRA
CHIEF DIGITAL & INFORMATION OFFICER	2.00	48.00			$0	$654,982	$70,974	Yes (X)
DAVID STAMPFL MD
PHYSICIAN	40.00				$1,933,014	$0	$47,375		Yes (X)
KEVIN SHEPET
PHYSICIAN	40.00				$1,290,394	$0	$43,555		Yes (X)
YOON CHUN
PHYSICIAN	40.00				$1,181,234	$0	$22,155		Yes (X)
JAMES SPEARS MD
PHYSICIAN	40.00				$1,125,470	$0	$44,218		Yes (X)
KANWAR ARORA MD
PHYSICIAN	40.00				$1,132,026	$0	$21,866		Yes (X)
CINDY LASECKI MD
FORMER BOARD MEMBER/COO	0.00	50.00			$383,276	$0	$21,152			Yes (X)
GERALD OETZEL
FORMER CHIEF FINANCIAL OFFICER	0.00				$0	$555,068	$18,108			Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$11,577,022	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$4,380,239	TotReportableCompRltdOrgAmt
Total Other Compensation	$1,013,796	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	582	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	Yes (1)	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (1)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	0	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
MIRON CONSTRUCTION CO INC
1471 MCMAHON DR	NEENAH	WI	54956	GENERAL CONTRACTOR	$54,323,193
IEI GENERAL CONTRACTORS INC
1725 MIDWAY RD	DE PERE	WI	54115	FACILITY CONTRACTORS	$21,492,701
STAFFENCY LLC
221 W COLLEGE AVE FL 2	APPLETON	WI	54911	CONTRACTED NURSING SERVICES	$9,677,487
APOGEE MEDICAL MANAGEMENT
15059 N SCOTTSDALE RD STE 600	SCOTTSDALE	AZ	85254	CONTRACTED PHYSICIAN/MANAGEMENT SERVICES	$4,616,058
COMPHEALTH MEDICAL STAFFING
6440 S MILLROCK DR STE 175	SALT LAKE CITY	UT	84121	CONTRACTED PHYSICIAN/MANAGEMENT SERVICES	$3,482,387

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	62	CntrctRcvdGreaterThan100KCnt
Related Organizations	$2,395,118	RelatedOrganizationsAmt
Government Grants	$295,360	GovernmentGrantsAmt
All Other Contributions	$392,389	AllOtherContributionsAmt
Total Contributions	$3,082,867	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt	ExclusionExclusionAmt
NET PATIENT SERVICE REVENUE	621500	$771,905,987	$772,646,786	-$740,799
CONTRACTED SERVICES	621110	$4,041,832	$4,041,832
CAFETERIA REVENUE	621110	$2,194,610			$2,194,610

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$13,449,957	TotalRevenueColumnAmt
Related Or Exempt Func Income	$12,934,426	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$494,453	UnrelatedBusinessRevenueAmt
Exclusion	$21,078	ExclusionAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$791,592,386	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$14,303,977	TotalRevenueColumnAmt
Exclusion	$14,303,977	ExclusionAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$883,054	RealAmt
Personal	$37,689	PersonalAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$346,238	RealAmt
Personal	$0	PersonalAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$536,816	RealAmt
Personal	$37,689	PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$574,505	TotalRevenueColumnAmt
Unrelated Business Revenue	$37,689	UnrelatedBusinessRevenueAmt
Exclusion	$536,816	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$116,554,431	SecuritiesAmt
Other	$672,391	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$106,994,731	SecuritiesAmt
Other	$454,599	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$9,559,700	SecuritiesAmt
Other	$217,792	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$9,777,492	TotalRevenueColumnAmt
Exclusion	$9,777,492	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (2 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
EHR INCENTIVE	621110	$13,646,215	$13,646,215
GAIN FROM HEALTHCARE AFFILIATES	900099	$1,728,824	$1,728,824

Field	Value	IRS element (for citing)
Other Revenue Total	$15,375,039	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$834,706,266	TotalRevenueColumnAmt
Related Or Exempt Func Income	$804,998,083	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	-$208,657	UnrelatedBusinessRevenueAmt
Exclusion	$26,833,973	ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$520,025	TotalAmt
Program Services	$520,025	ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$5,851,269	TotalAmt
Program Services	$1,945,108	ProgramServicesAmt
Management And General	$3,906,161	ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$388,166,803	TotalAmt
Program Services	$330,104,705	ProgramServicesAmt
Management And General	$58,062,098	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$18,297,273	TotalAmt
Program Services	$15,067,170	ProgramServicesAmt
Management And General	$3,230,103	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$43,680,675	TotalAmt
Program Services	$36,007,218	ProgramServicesAmt
Management And General	$7,673,457	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$23,530,573	TotalAmt
Program Services	$19,536,248	ProgramServicesAmt
Management And General	$3,994,325	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$520,481	TotalAmt
Management And General	$520,481	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$182,418	TotalAmt
Management And General	$182,418	ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$21,104	TotalAmt
Management And General	$21,104	ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$611,845	TotalAmt
Management And General	$611,845	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$10,719,584	TotalAmt
Program Services	$10,504,188	ProgramServicesAmt
Management And General	$215,396	ManagementAndGeneralAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$7,137,491	TotalAmt
Program Services	$44,073	ProgramServicesAmt
Management And General	$7,093,418	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$5,771,590	TotalAmt
Program Services	$3,011,306	ProgramServicesAmt
Management And General	$2,760,284	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$19,610,328	TotalAmt
Program Services	$3,054,956	ProgramServicesAmt
Management And General	$16,555,372	ManagementAndGeneralAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$11,146,194	TotalAmt
Program Services	$9,951,377	ProgramServicesAmt
Management And General	$1,194,817	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$1,296,538	TotalAmt
Program Services	$897,762	ProgramServicesAmt
Management And General	$398,776	ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$2,009,166	TotalAmt
Program Services	$884,415	ProgramServicesAmt
Management And General	$1,124,751	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$7,651,183	TotalAmt
Program Services	$1,025,251	ProgramServicesAmt
Management And General	$6,625,932	ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$35,084,627	TotalAmt
Program Services	$27,804,118	ProgramServicesAmt
Management And General	$7,280,509	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$2,892,254	TotalAmt
Program Services	$286,407	ProgramServicesAmt
Management And General	$2,605,847	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
SUPPLIES	$154,910,424	$154,910,424
BAD DEBTS	$19,639,735	$19,639,735
EQUIPMENT RENT & MAINT	$15,317,777	$12,992,127	$2,325,650
WI MEDICAID ACCESS FEE	$6,960,147	$6,960,147

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$10,218,037	TotalAmt
Program Services	$5,675,543	ProgramServicesAmt
Management And General	$4,542,494	ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$791,747,541	TotalAmt
Program Services	$660,822,303	ProgramServicesAmt
Management And General	$130,925,238	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$18,550	BOYAmt
EOY	$18,317	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$210,714,059	BOYAmt
EOY	$199,226,119	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$101,931,900	BOYAmt
EOY	$101,245,001	EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

Field	Value	IRS element (for citing)
BOY	$8,826,274	BOYAmt
EOY	$1,582,839	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$9,708,728	BOYAmt
EOY	$11,290,079	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$8,827,986	BOYAmt
EOY	$12,450,298	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$788,327,939	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$326,089,335	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$404,941,643	BOYAmt
EOY	$462,238,604	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$271,503,593	BOYAmt
EOY	$283,257,244	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$36,926,044	BOYAmt
EOY	$39,818,402	EOYAmt

Intangible Assets IntangibleAssetsGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$125,245	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$29,766,718	BOYAmt
EOY	$36,843,784	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$1,083,165,495	BOYAmt
EOY	$1,148,095,932	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$93,132,598	BOYAmt
EOY	$100,564,657	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$215,703,875	BOYAmt
EOY	$212,116,829	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$127,131,061	BOYAmt
EOY	$123,892,261	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$435,967,534	BOYAmt
EOY	$436,573,747	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows FASB117	Yes (X)	OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$641,329,740	BOYAmt
EOY	$703,097,742	EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$5,868,221	BOYAmt
EOY	$8,424,443	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$647,197,961	BOYAmt
EOY	$711,522,185	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$1,083,165,495	BOYAmt
EOY	$1,148,095,932	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$42,958,725	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$21,673,363	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	-$307,864	OtherChangesInNetAssetsAmt
Info In Schedule O Part XII	Yes (X)	InfoInScheduleOPartXIIInd
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	0	AccountantCompileOrReviewInd
FS Audited	Yes (1)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

Field	Value	IRS element (for citing)
Consolidated Basis Fincl Stmt	Yes (X)	ConsolidatedBasisFinclStmtInd

Field	Value	IRS element (for citing)
Audit Committee	Yes (1)	AuditCommitteeInd
Federal Grant Audit Required	0	FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital	Yes (X)	HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor US Address ContributorUSAddress

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Total Contributions	RESTRICTED	TotalContributionsAmt

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Volunteers	0	VolunteersInd
Paid Staff Or Management	0	PaidStaffOrManagementInd
Media Advertisements	0	MediaAdvertisementsInd
Mailings Members	0	MailingsMembersInd
Publications Or Broadcast	0	PublicationsOrBroadcastInd
Grants Other Organizations	0	GrantsOtherOrganizationsInd
Direct Contact Legislators	0	DirectContactLegislatorsInd
Rallies Demonstrations	0	RalliesDemonstrationsInd
Other Activities	Yes (1)	OtherActivitiesInd
Other Activities	$21,104	OtherActivitiesAmt
Total Lobbying Expenditures	$21,104	TotalLobbyingExpendituresAmt
Not Described Section501c3	0	NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART II-B, LINE 1:	FormAndLineReferenceDesc
Explanation	BELLIN MEMORIAL HOSPITAL PAYS ANNUAL ASSOCIATION MEMBERSHIP DUES TO THE WISCONSIN HOSPITAL ASSOCIATION (WHA) & AMERICAN HOSPITAL ASSOCIATION VIA WHA. THESE DUES ARE PRIMARILY FOR ACCESS TO EDUCATIONAL MATERIALS AND STAFF TRAINING AND DEVELOPMENT. THE WHA HAS NOTIFIED THE HOSPITAL THAT $21,104 OF THE COMBINED ANNUAL DUES WERE USED IN CONJUNCTION WITH LOBBYING ACTIVITIES WITH THE GOAL OF IMPROVING THE OVERALL HEALTHCARE ENVIRONMENT.	ExplanationTxt

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$2,931,853	BeginningYearBalanceAmt
Contributions	$263,501	ContributionsAmt
Investment Earnings Or Losses	$291,555	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$91,992	GrantsOrScholarshipsAmt
End Year Balance	$3,394,917	EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$2,628,543	BeginningYearBalanceAmt
Contributions	$156,644	ContributionsAmt
Investment Earnings Or Losses	$170,469	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$23,803	GrantsOrScholarshipsAmt
End Year Balance	$2,931,853	EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$2,831,774	BeginningYearBalanceAmt
Contributions	$55,830	ContributionsAmt
Investment Earnings Or Losses	-$229,949	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$29,112	GrantsOrScholarshipsAmt
End Year Balance	$2,628,543	EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$2,628,725	BeginningYearBalanceAmt
Contributions	$22,638	ContributionsAmt
Investment Earnings Or Losses	$209,789	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$29,378	GrantsOrScholarshipsAmt
End Year Balance	$2,831,774	EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$2,570,504	BeginningYearBalanceAmt
Contributions	$29,310	ContributionsAmt
Investment Earnings Or Losses	$68,422	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$39,511	GrantsOrScholarshipsAmt
End Year Balance	$2,628,725	EndYearBalanceAmt

Field	Value	IRS element (for citing)
Board Designated Balance EOY	0.00000	BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY	0.84067	PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY	0.15933	TermEndowmentBalanceEOYPct
Endowments Held Unrelated Org	0	EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org	Yes (1)	EndowmentsHeldRelatedOrgInd
Related Org List Sch R	Yes (1)	RelatedOrgListSchRInd

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$28,666,937	OtherCostOrOtherBasisAmt
Book Value	$28,666,937	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$348,948,566	OtherCostOrOtherBasisAmt
Depreciation	$117,819,839	DepreciationAmt
Book Value	$231,128,727	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$340,039,093	OtherCostOrOtherBasisAmt
Depreciation	$208,269,496	DepreciationAmt
Book Value	$131,769,597	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$70,673,343	OtherCostOrOtherBasisAmt
Book Value	$70,673,343	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$462,238,604	TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (4 entries)

DescDesc	AmtAmt
DEFERRED COMPENSATION	$25,167,800
FINANCE LEASE OBLIGATIONS	$90,308,167
OPERATING LEASE OGLIGATIONS	$6,106,383
DUE TO RELATED PARTIES	$2,309,911

Field	Value	IRS element (for citing)
Total Liability	$123,892,261	TotalLiabilityAmt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART V, LINE 4:	FormAndLineReferenceDesc
Explanation	A RELATED ORGANIZATION, THE BELLIN HEALTH FOUNDATION, INC., HAS SEVERAL ENDOWMENT FUNDS. THE ENDOWMENT FUNDS ARE DESIGNATED FOR SCHOLARSHIPS, HEALTH CARE SERVICES AND EMPLOYEE TRAINING AND DEVELOPMENT.	ExplanationTxt

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (1)	FinancialAssistancePolicyInd
Written Policy	Yes (1)	WrittenPolicyInd
All Hospitals Policy	Yes (X)	AllHospitalsPolicyInd
FPG Reference Free Care	Yes (1)	FPGReferenceFreeCareInd

Free Care Oth Percentage FreeCareOthPercentageGrp

Field	Value	IRS element (for citing)
Other	Yes (X)	OtherInd
Free Care Other	220.000000000000	FreeCareOtherPct

Field	Value	IRS element (for citing)
FPG Reference Discounted Care	Yes (1)	FPGReferenceDiscountedCareInd
Percent400	Yes (X)	Percent400Ind
Free Care Medically Indigent	Yes (1)	FreeCareMedicallyIndigentInd
Financial Assistance Budget	Yes (1)	FinancialAssistanceBudgetInd
Expenses Exceed Budget	Yes (1)	ExpensesExceedBudgetInd
Unable To Provide Care	0	UnableToProvideCareInd
Annual Community Bnft Report	Yes (1)	AnnualCommunityBnftReportInd
Report Publically Available	Yes (1)	ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$4,844,390	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$4,844,390	NetCommunityBenefitExpnsAmt
Total Expense	0.00630	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$78,764,293	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$42,031,765	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$36,732,528	NetCommunityBenefitExpnsAmt
Total Expense	0.04760	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$83,608,683	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$42,031,765	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$41,576,918	NetCommunityBenefitExpnsAmt
Total Expense	0.05390	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$5,752,251	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$5,752,251	NetCommunityBenefitExpnsAmt
Total Expense	0.00750	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$7,044,300	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$7,044,300	NetCommunityBenefitExpnsAmt
Total Expense	0.00910	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$2,558,573	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$2,558,573	NetCommunityBenefitExpnsAmt
Total Expense	0.00330	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$15,355,124	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$15,355,124	NetCommunityBenefitExpnsAmt
Total Expense	0.01990	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$98,963,807	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$42,031,765	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$56,932,042	NetCommunityBenefitExpnsAmt
Total Expense	0.07380	TotalExpensePct

Other Communtity Building Acty OtherCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$657,768	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$657,768	NetCommunityBenefitExpnsAmt
Total Expense	0.00090	TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$657,768	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$657,768	NetCommunityBenefitExpnsAmt
Total Expense	0.00090	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (1)	BadDebtExpenseReportedInd
Bad Debt Expense	$4,937,814	BadDebtExpenseAmt
Bad Debt Expense Attributable	$0	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$239,970,401	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$273,819,550	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$33,849,149	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

Field	Value	IRS element (for citing)
Cost To Charge Ratio	Yes (X)	CostToChargeRatioInd

Field	Value	IRS element (for citing)
Written Debt Collection Policy	Yes (1)	WrittenDebtCollectionPolicyInd
Financial Assistance Prvsn	Yes (1)	FinancialAssistancePrvsnInd
Hospital Facilities	1	HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

Field	Value	IRS element (for citing)
Facility	1	FacilityNum

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	BELLIN MEMORIAL HOSPITAL	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	744 S WEBSTER AVE	AddressLine1Txt
City	GREEN BAY	CityNm
State Abbreviation	WI	StateAbbreviationCd
ZIP	54305	ZIPCd

Field	Value	IRS element (for citing)
Website Address	WWW.BELLIN.ORG	WebsiteAddressTxt
State License	147	StateLicenseNum
Licensed Hospital	Yes (X)	LicensedHospitalInd
General Medical And Surgical	Yes (X)	GeneralMedicalAndSurgicalInd
Emergency Room24 Hrs	Yes (X)	EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	BELLIN MEMORIAL HOSPITAL	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Facility	1	FacilityNum
First Licensed CY Or PY	0	FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY	0	TaxExemptHospitalCYOrPYInd
CHNA Conducted	Yes (1)	CHNAConductedInd
Community Definition	Yes (X)	CommunityDefinitionInd
Community Demographics	Yes (X)	CommunityDemographicsInd
Existing Resources	Yes (X)	ExistingResourcesInd
How Data Obtained	Yes (X)	HowDataObtainedInd
Community Health Needs	Yes (X)	CommunityHealthNeedsInd
Other Health Issues	Yes (X)	OtherHealthIssuesInd
Community Hlth Needs Id Process	Yes (X)	CommunityHlthNeedsIdProcessInd
Consulting Process	Yes (X)	ConsultingProcessInd
Prior CHNA Impact	Yes (X)	PriorCHNAImpactInd
CHNA Conducted	23	CHNAConductedYr
Take Into Account Others Input	Yes (1)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	Yes (1)	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	Yes (1)	CHNAConductedWithNonFcltsInd
CHNA Report Widely Available	Yes (1)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	SEE PART V, SECTION C, LINE 7D	OwnWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Rpt Available Thru Other Method	Yes (X)	RptAvailableThruOtherMethodInd
Implementation Strategy Adopt	Yes (1)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	23	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (1)	StrategyPostedWebsiteInd
Strategy Website URL	SEE PART V, SECTION B, LINE 7D	StrategyWebsiteURLTxt
Organization Incur Excise Tax	0	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (1)	EligCriteriaExplainedInd
FPG Family Incm Lmt Free Dscnt	Yes (X)	FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care	220.000000000000	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	400.000000000000	FPGFamilyIncmLmtDscntCarePct
Income Level Criteria	Yes (X)	IncomeLevelCriteriaInd
Underinsurance Stat Criteria	Yes (X)	UnderinsuranceStatCriteriaInd
Other Criteria	Yes (X)	OtherCriteriaInd
Explained Basis	Yes (1)	ExplainedBasisInd
App Financial Asst Expln	Yes (1)	AppFinancialAsstExplnInd
Described Info	Yes (X)	DescribedInfoInd
Described Suprt Doc	Yes (X)	DescribedSuprtDocInd
Provided Hospital Contact	Yes (X)	ProvidedHospitalContactInd
Provided Nonprofit Contact	Yes (X)	ProvidedNonprofitContactInd
Includes Publicity Measures	Yes (1)	IncludesPublicityMeasuresInd
FAP Available On Website	Yes (X)	FAPAvailableOnWebsiteInd
FAP Available On Website URL	SEE PART V, SECTION C, LINES 16A-C	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	SEE PART V, SECTION C, LINES 16A-C	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	SEE PART V, PAGE 8	FAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No Charge	Yes (X)	FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No Chrg	Yes (X)	FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No Chrg	Yes (X)	FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill Display	Yes (X)	NotifiedFAPCopyBillDisplayInd
Communtity Notified FAP	Yes (X)	CommuntityNotifiedFAPInd
FAP Translated	Yes (X)	FAPTranslatedInd
FAP Actions On Nonpayment	Yes (1)	FAPActionsOnNonpaymentInd
Permit No Actions	Yes (X)	PermitNoActionsInd
Collection Activities	0	CollectionActivitiesInd
Provided Written Notice	Yes (X)	ProvidedWrittenNoticeInd
Made Effort Orally Notify	Yes (X)	MadeEffortOrallyNotifyInd
Processed FAP Application	Yes (X)	ProcessedFAPApplicationInd
Made Presumptive Elig Determ	Yes (X)	MadePresumptiveEligDetermInd
Nondis Emergency Care Policy	Yes (1)	NondisEmergencyCarePolicyInd
Look Back Medicare Private	Yes (X)	LookBackMedicarePrivateInd
Amounts Generally Billed	0	AmountsGenerallyBilledInd
Gross Charges	0	GrossChargesInd

Supplemental Information SupplementalInformationGrp (7 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
BELLIN MEMORIAL HOSPITAL	PART V, SECTION B, LINE 5: IN THE 2023-2024 COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA), THE KEY IDENTIFIED PRIORITIES FOCUS ON MENTAL AND EMOTIONAL WELL-BEING, SUBSTANCE MISUSE, EQUITABLE ACCESS TO HEALTHCARE, AND SAFE AND ACCESSIBLE HOUSING. RECOGNIZING THE NEED TO UNDERSTAND THE UNDERLYING REASONS FOR HEALTH DISPARITIES, COMMUNITY FEEDBACK WAS GATHERED THROUGH THE COMMUNITY MEMBER CHNA SURVEY.FEEDBACK WAS GATHERED THROUGH VARIOUS METHODS, INCLUDING:- ONGOING CHNA/CHIP SURVEY: AVAILABLE ON THE BCHP WEBSITE, THIS SURVEY SOLICITS INPUT IN ENGLISH, HMONG, AND SPANISH. IT HAS BEEN PROMOTED VIA SOCIAL MEDIA AND THROUGH COMMUNITY PARTNERS AND STEERING COMMITTEE MEMBERS, YIELDING APPROXIMATELY 60 RESPONSES FROM THE GENERAL PUBLIC.- DOOR-TO-DOOR SURVEY: IN LATE 2023, BROWN COUNTY PUBLIC HEALTH CONDUCTED A DOOR-TO-DOOR SURVEY TO ASSESS COMMUNITY EMERGENCY PREPAREDNESS NEEDS USING THE CDC'S CASPER TOOL. THIS INVOLVED RANDOMLY SELECTING 30 CLUSTERS OF HOUSES, RESULTING IN VISITS TO 490 HOMES AND THE COMPLETION OF 142 SURVEYS. THIS EFFORT WAS SUPPORTED BY PARTNERS SUCH AS THE DE PERE HEALTH DEPARTMENT, GREEN BAY METRO FIRE DEPARTMENT, AND HOWARD FIRE DEPARTMENT.- DIVERSE ENGAGEMENT INITIATIVES: TO CAPTURE A BROADER RANGE OF PERSPECTIVES, WE PARTNERED WITH COMMUNITY ORGANIZATIONS TO ENGAGE AGING INDIVIDUALS, RURAL RESIDENTS, BLACK, INDIGENOUS, AND PEOPLE OF COLOR (BIPOC), AS WELL AS THOSE EXPERIENCING HOMELESSNESS. THIS INITIATIVE INCLUDED A TWO-PART SERIES WHERE CONSULTANTS SHARED THEIR HEALTH EXPERIENCES AS MEMBERS OF THE BROWN COUNTY COMMUNITY, WITH APPROXIMATELY 45 PARTICIPANTS INVOLVED.GUIDED BY BROWN COUNTY'S 2022-2024 CHIP AND DATA FROM THE MOST RECENT CHNA, THE BEYOND HEALTH STEERING COMMITTEE RANKED THE WISCONSIN STATE HEALTH IMPROVEMENT PLAN'S PRIORITY AREAS. THIS RANKING ESTABLISHED THE THREE FOCUS AREAS FOR BROWN COUNTY'S 2025-2027 CHIP. WHILE THE SELECTED FOCUS AREAS MAY NOT ALIGN EXACTLY WITH THE SHIP'S PRIORITIES, THE STEERING COMMITTEE OPTED TO CONCENTRATE ON MORE SPECIFIC ISSUES WITHIN THOSE AREAS. THEY ALSO CHOSE NAMES FOR THE FOCUS AREAS THAT ARE STRAIGHTFORWARD AND RESONATE WITH THE BROWN COUNTY COMMUNITY.THE 2025-2027 CHIP REPRESENTS A COLLABORATIVE EFFORT, INVOLVING PARTNERSHIPS ACROSS MULTIPLE SECTORS, INCLUDING GOVERNMENT, HEALTHCARE, AND NON-PROFIT ORGANIZATIONS.BEYOND HEALTH STEERING COMMITTEE, WHICH INCLUDES REPRESENTATION FROM LOCAL PUBLIC HEALTH AGENCIES, AREA HEALTH SYSTEMS, AND COMMUNITY AGENCIES. THE FOLLOWING ARE REPRESENTED ON THE BEYOND HEALTH STEERING COMMITTEE:- BROWN COUNTY PUBLIC HEALTH- DE PERE HEALTH DEPARTMENT- WI DEPARTMENT OF HEALTH SERVICES, DIVISION OF PUBLIC HEALTH- BROWN COUNTY UNITED WAY- ONEIDA COMMUNITY HEALTH SERVICES DEPARTMENT- N.E.W. COMMUNITY CLINIC- PREVEA HEALTH- HOSPITAL SISTERS HEALTH SYSTEM- AURORA BAYCARE MEDICAL CENTER- EMPLIFY HEALTH BY BELLINBEYOND HEALTH STRATEGY LEADS REPRESENTATION: - BROWN COUNTY UNITED WAY - BROWN COUNTY PUBLIC HEALTH - EMPLIFY HEALTH BY BELLIN - GREATER GREEN BAY BLUEPRINT TO PREVENT AND END HOMELESSNESS - NEIGHBORWORKS GREEN BAY - UW MADISON - EXTENSION, BROWN COUNTY - WELLO - WI DEPARTMENT OF HEALTH SERVICES - DIVISION OF PUBLIC HEALTHCOMMUNITY ORGANIZATIONS/COMMUNITIES REPRESENTED THROUGH COMMUNITY CONSULTANTS MEETINGS:- DENMARK COMMUNITY MEMBERS- HOUSE OF HOPE- PULASKI COMMUNITY MEMBERS- WE ALL RISE- WRIGHTSTOWN COMMUNITY MEMBERS
BELLIN MEMORIAL HOSPITAL	PART V, SECTION B, LINE 6A: AURORA BAYCARE MEDICAL CENTER (GREEN BAY), AND ST. MARY'S AND ST. VINCENT HOSPITALS (HSHS, GREEN BAY).
BELLIN MEMORIAL HOSPITAL	PART V, SECTION B, LINE 6B: BEYOND HEALTH IS A STEERING COMMITTEE COMPOSED OF LEADERS FROM BOTH THE PUBLIC AND PRIVATE SECTORS, INCLUDING HEALTHCARE PARTNERS, PUBLIC HEALTH AGENCIES, AND NON-PROFIT ORGANIZATIONS. THIS COLLABORATIVE GROUP WORKS TOGETHER TO IDENTIFY ACTIONABLE PRIORITIES, REDUCE HEALTH DISPARITIES, AND ADAPT TO NEW AND EMERGING HEALTH CONCERNS AS THEY ARISE. BY LEVERAGING DIVERSE EXPERTISE AND RESOURCES, BEYOND HEALTH STRIVES TO CULTIVATE A MORE EQUITABLE AND RESPONSIVE COMMUNITY HEALTH LANDSCAPE FOR THE POPULATIONS WE SERVE.
BELLIN MEMORIAL HOSPITAL	PART V, SECTION B, LINE 7D: FULL URL FOR PART V, SECTION B, LINE 7A & 10A:HTTPS://BELLIN.ORG/ABOUT-BELLIN-HEALTH/COMMUNITY-HEALTH-INITIATIVES
BELLIN MEMORIAL HOSPITAL	PART V, SECTION B, LINE 11: THE MOST RECENT CHNA IDENTIFIED COMMUNITY NEEDS FOR FISCAL YEARS 2025 THROUGH 2027.AS DETAILED IN THE CHNA REPORT, BELLIN MEMORIAL HOSPITAL, IN COLLABORATION WITH COMMUNITY PARTNERS, IDENTIFIED THE FOLLOWING HEALTH PRIORITIES IN BROWN COUNTY: MENTAL AND EMOTIONAL WELL-BEING SUBSTANCE MISUSE EQUITABLE ACCESS TO HEALTHCARE SAFE AND ACCESSIBLE HOUSINGUNDER THE BROAD UMBRELLAS OF THESE PRIORITIES, BASED ON THE HEALTH OUTCOME DATA AND OBSERVED COMMUNITY NEEDS, BELLIN MEMORIAL HOSPITAL HAS CHOSEN TO FOCUS SPECIFICALLY ON THE AREAS OUTLINED IN THE ACTION PLAN.IDENTIFIED PRIORITY: MENTAL AND EMOTIONAL WELL-BEINGTACTIC: ROUTINE SCREENING FOR DEPRESSION/RISK FOR DEPRESSION FOR ADULT AND YOUTH POPULATION. TACTIC: MONITOR AND IMPROVE COMMUNITY RESOURCES CONNECTOR REFERRALS FOR PATIENT EXPERIENCING STRESS/TOXIC STRESS (INITIATED WITH THE SOCIAL DETERMINANTS OF HEALTH SURVEY)TACTIC: INCREASE THE NUMBER OF CAREGIVERS AND STAFF TRAIN IN MENTAL HEALTH FIRST AID.TACTIC: BEHAVIORAL HEALTH CONSULTANTS (BHCS) IN PRIMARY CARETACTIC: ADDITIONAL TACTICS DETERMINED BY EMPLIFY HEALTH POPULATION HEALTH PRIORITY TEAMSIDENTIFIED PRIORITY: SUBSTANCE MISUSETACTIC: DEVELOP AND PROMOTE REFERRAL FOR WELLNESS COACHING PROCESS FOR PATIENTS WHO USE NICOTINE PRODUCTSTACTIC: PARTICIPATE IN DRUG TAKE-BACK EVENTSTACTIC: REGIONAL SUSPECTED OPIOID-RELATED OVERDOSES.TACTIC: ADDITIONAL TACTICS DETERMINED BY EMPLIFY HEALTH POPULATION HEALTH PRIORITY TEAMSIDENTIFIED PRIORITY: EQUITABLE ACCESS TO HEALTHCARETACTIC: EPIC CAMPAIGNS TO HELP ADDRESS GAPS IN CARE.TACTIC: TARGETED OUTREACH TO ALL MEDICAID PATIENTS OVERDUE FOR MAMMOGRAPHY, COLORECTAL CANCER SCREENING, WELL CHILD VISITS, AND BLOOD PRESSURE FOLLOW UP. TACTIC: IDENTIFY BARRIERS TO HEALTHCARE ACCESS THROUGH SDOH SCREENING AND INTERVENING.TACTIC: LEVERAGE COMMUNITY EDUCATION/EVENT OPPORTUNITIES TO INCREASE AWARENESS AND ALIGN TO RESOURCES. IDENTIFIED PRIORITY: SAFE AND ACCESSIBLE HOUSINGTACTIC: MONITOR AND IMPROVE SOCIAL DETERMINANTS OF HEALTH SCREENING AND REFERRALS FOR PATIENTS AND FAMILIES. TACTIC: PARTICIPATE BIANNUALLY IN POINT IN TIME COUNT. PARTNER WITH COMMUNITY BASED ORGANIZATIONS TO ADDRESS NEEDS AND IMPLEMENT STRATEGIES. TACTIC: CONTINUE SUPPORT OF COMMUNITY INITIATIVES AND POLICIES THAT IMPROVE AFFORDABLE HOUSING AND ACCESS TO HOUSING RESOURCES FOR ALL POPULATIONS.HEALTH NEEDS THAT WILL NOT BE ADDRESSED AT THIS TIME:IN ADDITION TO THE HEALTH NEEDS BELLIN SELECTED AS TOP PRIORITIES, THE CHNA IDENTIFIED OTHER SIGNIFICANT HEALTH NEEDS IN BROWN COUNTY. STRATEGY OWNERS/ORGANIZATIONS ARE ASSIGNED TO LEAD WORK WITHIN THIS SPACE AND CAPITALIZE ON COMMUNITY RESOURCES AND PARTNERS COLLABORATING TO ADDRESS THE NEEDS.
BELLIN MEMORIAL HOSPITAL	PART V, SECTION B, LINE 13H: PRESUMPTIVE ELIGIBILITY INCLUDES FACTORS AS: HOMELESS, DECEASED WITH NO KNOWN ESTATE, APPROVED COURT BANKRUPTCY, PAYMENT ASSISTANCE RANK ORDER SCORE, ELIGIBLE FOR STATE OF WI FOOD SHARE PROGRAM.
PART V, SECTION B, LINES 16A-C:	PART V, SECTION B, LINE 16A:HTTPS://BELLIN.ORG/PATIENTS-VISITORS/BILLING-INSURANCE-SERVICES/FINANCIAL-ASSISTANCE-OPTIONSPART V, SECTION B, LINE 16B:HTTPS://BELLIN.ORG/PATIENTS-VISITORS/BILLING-INSURANCE-SERVICES/FINANCIAL-ASSISTANCE-OPTIONSPART V, SECTION B, LINE 16C:HTTPS://BELLIN.ORG/PATIENTS-VISITORS/BILLING-INSURANCE-SERVICES/FINANCIAL-ASSISTANCE-OPTIONS

Field	Value	IRS element (for citing)
Facility	35	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (35 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	FacilityFacilityTxt
1 - FAMILY MEDICAL CENTER ASHWAUBENON
1630 COMMANCHE AVE	GREEN BAY	WI	54313	PROVIDER CLINIC SITE
2 - BELLIN HEALTH TITLETOWN SPORTS MEDICINE
1970 S RIDGE ROAD	GREEN BAY	WI	54304	PROVIDER CLINIC SITE
3 - BELLIN HEALTH IRON MOUNTAIN
440 WOODWARD AVE	IRON MOUNTAIN	MI	49801	PROVIDER CLINIC SITE
4 - NEUROLOGY CONSULTANTS OF BELLIN HEALTH
725 S WEBSTER AVE	GREEN BAY	WI	54301	PROVIDER CLINIC SITE
5 - FAMILY MEDICAL CENTER DE PERE EAST
555 REDBIRD CIRCLE	DE PERE	WI	54115	PROVIDER CLINIC SITE
6 - FAMILY MEDICAL CENTER BELLEVUE
3263 EATON RD	GREEN BAY	WI	543116830	PROVIDER CLINIC SITE
7 - BELLIN HEALTH SURGERY AND SPECIALTY CENTE
933 WAUBE LN	ASHWAUBENON	WI	54304	HOSPITAL BASED SITE
8 - FAMILY MEDICAL CENTER HOWARD
2714 RIVERVIEW	GREEN BAY	WI	54313	PROVIDER CLINIC SITE
9 - BELLIN HEALTH ESCANABA
610 S LINCOLN ROAD	ESCANABA	MI	49829	PROVIDER CLINIC SITE
10 - BELLIN HEALTH GENERATIONS
704 S WEBSTER AVE SUITE 300	GREEN BAY	WI	54301	PROVIDER CLINIC SITE
11 - FAMILY MEDICAL CENTER GREEN BAY
704 S WEBSTER AVE	GREEN BAY	WI	54301	PROVIDER CLINIC SITE
12 - FAMILY MEDICAL CENTER DE PERE WEST
1800 LAWRENCE DR	DE PERE	WI	54115	PROVIDER CLINIC SITE
13 - BELLIN HEALTH EAR NOSE AND THROAT
923 ELIZA ST	GREEN BAY	WI	54301	PROVIDER CLINIC SITE
14 - FAMILY MEDICAL CENTER KEWAUNEE
575 4TH STREET	KEWAUNEE	WI	54216	PROVIDER CLINIC SITE
15 - THE CANCER TEAM OF BELLIN HEALTH
1580 COMMANCHE AVE	GREEN BAY	WI	54313	HOSPITAL BASED SITE
16 - FAMILY MEDICAL CENTER BRILLION
964 W RYAN ST SUITE B	BRILLION	WI	54110	PROVIDER CLINIC SITE
17 - FAMILY MEDICAL CENTER MANITOWOC
3415 CUSTER ST SUITE D	MANITOWOC	WI	54221	PROVIDER CLINIC SITE
18 - FAMILY MEDICAL CENTER ALGOMA
831 PARKER AVE	ALGOMA	WI	54201	PROVIDER CLINIC SITE
19 - BELLIN HEALTH ENDOCRINOLOGY
704 S WEBSTER SUITE 501	GREEN BAY	WI	54301	PROVIDER CLINIC SITE
20 - BELLIN HEALTH ASTHMA & ALLERGY
519 S MONROE AVENUE	GREEN BAY	WI	54301	PROVIDER CLINIC SITE
21 - FAMILY MEDICAL CENTER PULASKI
723 S WISCONSIN ST	PULASKI	WI	541620109	PROVIDER CLINIC SITE
22 - BELLIN HEALTH SURGICAL ASSOCIATES
720 S VAN BUREN ST SUITE 201	GREEN BAY	WI	54301	PROVIDER CLINIC SITE
23 - GASTROENTEROLOGY ASSOCIATES OF GREEN BAY
725 S WEBSTER AVE	GREEN BAY	WI	54301	PROVIDER CLINIC SITE
24 - CARDIOLOGY ASSOCIATES OF BELLIN HEALTH
744 S WEBSTER AVE	GREEN BAY	WI	54301	HOSPITAL BASED SITE
25 - FAMILY MEDICAL CENTER DENMARK
595 COUNTY ROAD R	DENMARK	WI	54208	PROVIDER CLINIC SITE
26 - FAMILY MEDICAL CENTER SEYMOUR
405 COMMERCIAL ST	SEYMOUR	WI	54165	PROVIDER CLINIC SITE
27 - FAMILY MEDICAL CENTER LUXEMBURG
140 B SCHOOL CREEK TRAIL	LUXEMBURG	WI	54217	PROVIDER CLINIC SITE
28 - FAMILY MEDICAL CENTER STURGEON BAY
311 N 3RD AVE	STURGEON BAY	WI	43235	PROVIDER CLINIC SITE
29 - FAMILY MEDICAL CENTER WRIGHTSTOWN
555 QUALITY CT	WRIGHTSTOWN	WI	54180	PROVIDER CLINIC SITE
30 - BELLIN HEALTH NEPHROLOGY
2020 RIVERSIDE DR SUITE 200	GREEN BAY	WI	54301	PROVIDER CLINIC SITE
31 - FAMILY MEDICAL CENTER TWO RIVERS
1516 WASHINGTON STREET	TWO RIVERS	WI	54241	PROVIDER CLINIC SITE
32 - FAMILY MEDICAL CENTER MARQUETTE
1414 WEST FAIR AVENUE SUITE 390	MARQUETTE	MI	49855	PROVIDER CLINIC SITE
33 - BELLIN HEALTH FASTCARE - GREEN BAY WEST
2015 SHAWANO AVE	GREEN BAY	WI	54303	CONVENIENT CARE CENTER
34 - BELLIN HEALTH FASTCARE - GREEN BAY EAST
1976 LIME KILN RD	GREEN BAY	WI	54311	CONVENIENT CARE CENTER
35 - BELLIN HEALTH CARDIOVASCULAR & THORACIC SU
720 S VAN BUREN ST SUITE 303	GREEN BAY	WI	54301	PROVIDER CLINIC SITE

Supplemental Information Detail SupplementalInformationDetail (15 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART I, LINE 6A:	BELLIN MEMORIAL HOSPITAL IS INCLUDED IN THE BELLIN HEALTH SYSTEMS, INC. COMMUNITY BENEFIT REPORT.
PART I, LINE 7:	AMOUNTS ARE CALCULATED BASED ON COST TO CHARGE RATIOS AND AMOUNTS PER THE FINANCIAL STATEMENTS.
PART I, LN 7 COL(F):	BAD DEBT EXPENSE OF $19,639,735 INCLUDED ON FORM 990, PART IX, LINE 25 WAS EXCLUDED FROM THE DENOMINATOR PER INSTRUCTIONS WHEN CALCULATING THE PERCENT TOTAL EXPENSES ON SCHEDULE H.
PART II, COMMUNITY BUILDING ACTIVITIES:	COMMUNITY BUILDING ACTIVITIES FOCUS ON SOCIAL CONDITIONS THAT CONTRIBUTE TO HEALTH PROBLEMS, SUCH AS HOMELESSNESS, POVERTY, AND OTHER LIVING CONDITIONS AFFECTING THE QUALITY OF LIFE. THESE RANGE FROM DEVELOPING COMMUNITY LEADERS, DISASTER READINESS, AND SUPPORT OF LOCAL ECONOMIC DEVELOPMENT, TO HEALTH IMPROVEMENT ADVOCACY. BELLIN MEMORIAL HOSPITAL IS ACTIVE IN THE GREEN BAY PUBLIC SCHOOLS WITH OUR THRIVE PROGRAM THAT ASSISTS IN SETTING AND MEETING HEALTH AND WELLNESS GOALS FOR STUDENTS IN THIS SCHOOL SYSTEM. BELLIN ALSO HOLDS AN ANNUAL BELLIN RUN/WALK 10K/5K EVENT EACH YEAR WITH OVER 7,500 PARTICIPANTS OF ALL AGES LEARNING FIRST-HAND THE VALUE OF EXERCISE IN DAILY LIFE.
PART III, LINE 2:	THE BAD DEBT EXPENSE AT COST IS CALCULATED BASED ON THE COST TO CHARGE RATIOS.
PART III, LINE 3:	THE HOSPITAL UTILIZES HFMA #15 THEREFORE NONE OF THE BAD DEBT WOULD BE DEEMED CHARITY CARE.
PART III, LINE 4:	THE ATTACHED FINANCIAL STATEMENTS DO NOT CONTAIN A SPECIFIC BAD DEBT EXPENSE FOOTNOTE. HOWEVER, THE SUMMARY OF SIGNIFICANT ACCOUNTING POLICIES DESCRIBES THE HOSPITAL'S POLICY ON PAGE 21 OF THE FINANCIAL STATEMENTS. CONSISTENT WITH BELLIN HEALTH SYSTEMS' MISSION, CARE IS PROVIDED TO PATIENTS REGARDLESS OF THEIR ABILITY TO PAY. THEREFORE, BELLIN HEALTH SYSTEMS HAS DETERMINED IT HAS PROVIDED IMPLICIT PRICE CONCESSIONS TO UNINSURED PATIENTS AND PATIENTS WITH OTHER UNINSURED BALANCES (FOR EXAMPLE, COPAYS AND DEDUCTIBLES). THE IMPLICIT PRICE CONCESSIONS INCLUDED IN ESTIMATING THE TRANSACTION PRICE REPRESENT THE DIFFERENCE BETWEEN AMOUNTS BILLED TO PATIENTS AND THE AMOUNTS BELLIN HEALTH SYSTEMS EXPECTS TO COLLECT BASED ON ITS COLLECTION HISTORY WITH THOSE PATIENTS. BELLIN HEALTH SYSTEMS' POLICY IS TO PROVIDE A 35% DISCOUNT FROM ESTABLISHED CHARGES TO UNINSURED PATIENTS. THIS POLICY DID NOT CHANGE IN 2024 AND 2023.
PART III, LINE 8:	THE AMOUNTS REPORTED FOR MEDICARE WERE CALCULATED USING A COST TO CHARGE RATIO. THE SHORTFALL SHOULD BE TREATED AS A COMMUNITY BENEFIT FOR THE FOLLOWING REASONS. IRS REV RULE 69-545 WHICH ESTABLISHED THE COMMUNITY BENEFIT STANDARD FOR NONPROFIT HOSPITALS STATES THAT IF A HOSPITAL SERVICES PATIENT WITH GOVERNMENT HEALTH BENEFITS, INCLUDING MEDICARE, THEN THIS IS AN INDICATION THAT THE HOSPITAL OPERATES TO PROMOTE THE HEALTH OF THE COMMUNITY. IN ADDITION, FOR-PROFIT HOSPITALS HAVE CARVED OUT HIGH-MARGIN SERVICES (I.E. ONCOLOGY, ORTHO, ETC.) LEAVING GENERAL ACUTE CARE HOSPITALS WITH LOWER-MARGIN MEDICARE SERVICES. THIS MEANS THAT THE SHORTFALL IS NOT NECESSARILY FROM INEFFICIENT OPERATIONS. MEDICARE CAN BE THE LARGEST PAYOR AND HOSPITALS HAVE NO ABILITY TO DENY COVERAGE. THIS, IN TURN, IS A PROMOTION OF ACCESS TO HEALTHCARE SERVICES (A COMMUNITY BENEFIT). ALSO, ELDERLY PATIENTS ARE OFTEN UNDERSERVED AND EXPERIENCE ISSUES WITH ACCESS TO HEALTHCARE SERVICES.
PART III, LINE 9B:	FOR PATIENTS WHO CANNOT MEET THE EXPECTATIONS OF THE DEBT COLLECTION POLICY, THE ORGANIZATION OFFERS FINANCIAL ASSISTANCE. THE ORGANIZATION WILL NOT ENGAGE IN EXTRAORDINARY COLLECTION ACTIONS BEFORE DETERMINING WHETHER A GUARANTOR IS ELIGIBLE FOR ASSISTANCE UNDER THE FINANCIAL ASSISTANCE POLICY. ALL PATIENTS ARE OFFERED A PLAIN LANGUAGE SUMMARY EXPLAINING THE FINANCIAL ASSISTANCE PROGRAM AS PART OF THE REGISTRATION PROCESS IN ADDITION, ALL STATEMENTS INCLUDE INFORMATION REGARDING FINANCIAL ASSISTANCE AVAILABILITY.
PART VI, LINE 2:	IN FY2024, BELLIN MEMORIAL HOSPITAL CONDUCTED A COMPREHENSIVE COMMUNITY HEALTH NEEDS ASSESSMENT WITHIN OUR COMMUNITIES IN COLLABORATION WITH THE BEYOND HEALTH COLLABORATIVE OF BROWN COUNTY, WI. ALIGNED WITH THE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) PRIORITY OF ENHANCING EQUITABLE ACCESS TO HEALTHCARE, WE ARE DEDICATED TO ADDRESSING DISPARITIES IN DEPRESSION SCREENINGS (PHQ-9), BREAST CANCER SCREENINGS, AND COLORECTAL CANCER SCREENINGS AMONG OUR POPULATIONS.TO EFFECTIVELY TACKLE THESE DISPARITIES, BELLIN MEMORIAL HOSPITAL HAS IMPLEMENTED TARGETED IMPROVEMENT INITIATIVES THAT STRATIFY OUR DATA BY RACE, ETHNICITY, GENDER, AND PAYER. THIS DATA-DRIVEN APPROACH ENABLES US TO IDENTIFY AND UNDERSTAND THE UNDERLYING CAUSES OF THESE DISPARITIES. OUR INTERVENTIONS INCLUDE:TARGETED OUTREACH AND EDUCATION PROVIDED IN PATIENTS' PREFERRED LANGUAGES.COLLECTION AND ANALYSIS OF BOTH QUANTITATIVE AND QUALITATIVE DATA FROM COMMUNITY POPULATIONS.INITIATIVES DESIGNED TO ELIMINATE BARRIERS TO SCREENING, SUCH AS EXTENDED SERVICE HOURS AND TRANSPORTATION ASSISTANCE.FOCUSED STRATEGIES AIMED AT PAYER AND EMPLOYER POPULATIONS.ADDITIONALLY, ONGOING DATA COLLECTION REGARDING THE SOCIAL DETERMINANTS OF HEALTH CONTINUES TO INFORM OUR TEAMS AND GUIDE DECISIONS ON CONNECTING PATIENTS TO LOCAL RESOURCES. REGULAR MEETINGS ARE CONVENED TO ADDRESS THESE DISPARITIES AND ENGAGE A DIVERSE ARRAY OF INTERNAL AND EXTERNAL STAKEHOLDERS, INCLUDING EMPLOYER PARTNERS, ENSURING A COLLABORATIVE APPROACH TO IMPROVING HEALTH OUTCOMES.
PART VI, LINE 3:	FINANCIAL COUNSELORS PLAY A CRUCIAL ROLE IN GUIDING PATIENTS THROUGH AVAILABLE ASSISTANCE PROGRAMS. ONE VALUABLE SERVICE THEY UTILIZE IS HRS ERASE, WHICH HELPS REVIEW SELF-PAY ACCOUNTS TO IDENTIFY POTENTIAL COVERAGE OPTIONS THROUGH GOVERNMENT PROGRAMS. THIS PROACTIVE APPROACH ENSURES THAT PATIENTS RECEIVE THE FINANCIAL SUPPORT THEY NEED, MAKING HEALTHCARE MORE ACCESSIBLE AND MANAGEABLE.
PART VI, LINE 4:	BELLIN MEMORIAL HOSPITAL IS DEDICATED TO MEETING THE HEALTHCARE NEEDS OF NORTHEAST WISCONSIN AND THE UPPER MICHIGAN REGION, SERVING A DIVERSE POPULATION OF OVER 925,000 RESIDENTS. WITHIN THE BELLIN REGION, THE DEMOGRAPHIC COMPOSITION IS PREDOMINANTLY WHITE NON-HISPANIC AT 86%, WITH 7% IDENTIFYING AS OTHER NON-HISPANIC, 1% AS BLACK NON-HISPANIC, AND 6% AS HISPANIC. NOTABLY, 36% OF RESIDENTS ARE COVERED BY PUBLIC HEALTH INSURANCE, WHILE 5% LACK ANY HEALTH INSURANCE COVERAGE. BROWN COUNTY, WHERE BELLIN MEMORIAL HOSPITAL IS LOCATED, HAS AN URBAN-RURAL DIVIDE OF 86% URBAN AND 14% RURAL. THE MEDIAN AGE OF RESIDENTS IS 37.6 YEARS, AND THE MEDIAN LIFE EXPECTANCY IS 79.5 YEARS, REFLECTING THE COMMUNITY'S OVERALL HEALTH AND VITALITY. HOWEVER, CHALLENGES REMAIN, WITH 8% OF ADULTS UNDER 65 UNINSURED AND 7% REPORTING UNMET MEDICAL NEEDS. ADDITIONALLY, 5% OF CHILDREN IN BROWN COUNTY ARE WITHOUT HEALTH INSURANCE, HIGHLIGHTING THE ONGOING NEED FOR INITIATIVES AIMED AT IMPROVING ACCESS TO HEALTHCARE SERVICES. THE PAYER MIX FOR EMPLIFY HEALTH BY BELLIN CONSISTS OF 46.06% MEDICARE AND 10.67% MEDICAID, FURTHER EMPHASIZING THE IMPORTANCE OF ADDRESSING THESE HEALTHCARE ACCESS ISSUES.
PART VI, LINE 5:	THE GOVERNING BODY OF BELLIN MEMORIAL HOSPITAL PRIMARILY CONSISTS OF INDIVIDUALS WHO RESIDE WITHIN THE HOSPITAL'S PRIMARY SERVICE AREA AND ARE NEITHER EMPLOYEES NOR CONTRACTORS OF THE ORGANIZATION, NOR FAMILY MEMBERS OF SUCH INDIVIDUALS. FURTHERMORE, BELLIN MEMORIAL HOSPITAL GRANTS MEDICAL STAFF PRIVILEGES TO ALL QUALIFIED PHYSICIANS IN THE COMMUNITY ACROSS ALL ITS DEPARTMENTS. THE HOSPITAL IS COMMITTED TO ENHANCING PATIENT CARE, EDUCATION, AND FACILITIES BY APPLYING SURPLUS FUNDS TOWARDS CONTINUOUS IMPROVEMENTS IN THESE AREAS.
PART VI, LINE 6:	EMPLIFY HEALTH BY BELLIN IS A NOT-FOR-PROFIT ORGANIZATION DEDICATED TO ENHANCING THE PHYSICAL AND EMOTIONAL WELL-BEING OF INDIVIDUALS IN NORTHEAST WISCONSIN AND THE UPPER PENINSULA OF MICHIGAN. IN COLLABORATION WITH COMMUNITIES, EMPLOYERS, SCHOOLS, AND GOVERNMENT OFFICIALS, WE SUPPORT INDIVIDUALS AND FAMILIES ON THEIR LIFELONG JOURNEY TOWARD OPTIMAL HEALTH. OUR COMMITMENT LIES IN DELIVERING SAFE, RELIABLE, AND COST-EFFECTIVE COMPREHENSIVE HEALTH SOLUTIONS, ALL WHILE UPHOLDING THE VALUES OF RESPECT AND COMPASSION. THROUGH OUR INNOVATIVE INITIATIVES, WE AIM TO TRANSFORM HEALTHCARE DELIVERY NOT ONLY IN OUR REGION BUT ALSO ON A GLOBAL SCALE.
PART VI, LINE 7, REPORTS FILED WITH STATES	WI

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Grant Records Maintained	Yes (1)	GrantRecordsMaintainedInd

Recipient Table RecipientTable (9 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Recipient EINRecipientEIN	IRC SectionIRCSectionDesc	Cash GrantCashGrantAmt	Non Cash AssistanceNonCashAssistanceAmt	Purpose Of GrantPurposeOfGrantTxt
NEW COMMUNITY CLINIC
610 N BROADWAY	GREEN BAY	WI	54303	391200636	501(C)(3)	$150,000	$0	DONATION
ACHIEVE BROWN COUNTY
340 N BROADWAY STE 400	GREEN BAY	WI	54303	474100686	501(C)(3)	$37,263	$0	CAMPAIGN PLEDGE
ENCOMPASS - EARLY EDUCATION AND CARE
2589 S WEBSTER AVE	GREEN BAY	WI	54301	390824004	501(C)(3)	$30,000	$0	DONATION
YWCA GREATER GREEN BAY
230 S MADISON ST	GREEN BAY	WI	54301	390806277	501(C)(3)	$20,000	$0	DONATION
UNIVERSITY OF WI GREEN BAY
2420 NICOLET DR	GREEN BAY	WI	54311	391805963	GOVT-STATE AGENCY	$20,000	$0	MARK REINKE, MD MEMORIAL SCHOLARSHIP
ALTRUSA HOUSE
1116 E MASON ST	GREEN BAY	WI	54301	391593989	501(C)(3)	$14,000	$0	COMMUNITY SPONSORSHIP
GREATER GREEN BAY COMMUN FOUNDATION
310 W WALNUT	GREEN BAY	WI	54303	391699966	501(C)(3)	$13,700	$0	GREEN BAY NEIGHBORHOOD LEADERSHIP COUNCIL, ACHIEVE BROWN COUNTY
NEVILLE PUBLIC MUSEUM
PO BOX 325	GREEN BAY	WI	54305	930756332	501(C)(3)	$10,000	$0	DONATION
GOLDEN HOUSE INC
PO BOX 727	GREEN BAY	WI	54305	391342659	501(C)(3)	$10,000	$0	DONATION

Field	Value	IRS element (for citing)
Total501c3 Org	9	Total501c3OrgCnt
Total Other Org	0	TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART I, LINE 2:	FormAndLineReferenceDesc
Explanation	THE ORGANIZATION REQUIRES A COMPREHENSIVE REQUEST OF THE GRANTEE TO PROVIDE RATIONALE FOR THE REQUEST. REQUIRED INFORMATION TO BE PROVIDED BY THE GRANTEE INCLUDES TAX-EXEMPT STATUS, IDENTIFICATION OF USE OF RESOURCES AND FOLLOW UP INFORMATION AS TO THE UTILIZATION OF THE RESOURCES. THE ORGANIZATION REVIEWS EACH GRANTEE REQUEST IN RELATIONSHIP TO THE MISSION OF THE ORGANIZATION AND COMMUNITY SUPPORT. ALL REQUESTS REQUIRE APPROVAL BY SENIOR LEADERSHIP OF THE ORGANIZATION.	ExplanationTxt

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Club Dues Or Fees	Yes (X)	ClubDuesOrFeesInd
Written Policy Ref T And E Expnss	Yes (1)	WrittenPolicyRefTAndEExpnssInd
Substantiation Required	Yes (1)	SubstantiationRequiredInd
Compensation Committee	Yes (X)	CompensationCommitteeInd
Independent Consultant	Yes (X)	IndependentConsultantInd
Written Employment Contract	Yes (X)	WrittenEmploymentContractInd
Compensation Survey	Yes (X)	CompensationSurveyInd
Board Or Committee Approval	Yes (X)	BoardOrCommitteeApprovalInd
Severance Payment	0	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	Yes (1)	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	0	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	0	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	0	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	0	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	0	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	0	AnyNonFixedPaymentsInd
Initial Contract Exception	0	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (19 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
CHRISTINE WOLESKE
BOARD MEMBER/EXECUTIVE VICE PRES.	$957,900	$0	$634,883	$0	$182,656	$0	$226,898	$0	$11,333	$0	$2,013,670	$0	$175,207	$0
DAVID STAMPFL MD
PHYSICIAN	$994,343	$0	$937,483	$0	$1,188	$0	$22,070	$0	$25,305	$0	$1,980,389	$0	$0	$0
SCOTT RATHGABER MD
BOARD MEMBER/BGHS CEO	$0	$1,274,504	$0	$200,000	$0	$169,717	$0	$45,225	$0	$23,503	$0	$1,712,949	$0	$0
KEVIN SHEPET
PHYSICIAN	$616,774	$0	$673,459	$0	$161	$0	$18,408	$0	$25,147	$0	$1,333,949	$0	$0	$0
YOON CHUN
PHYSICIAN	$548,411	$0	$632,409	$0	$414	$0	$11,372	$0	$10,783	$0	$1,203,389	$0	$0	$0
JAMES SPEARS MD
PHYSICIAN	$669,447	$0	$453,737	$0	$2,286	$0	$19,711	$0	$24,507	$0	$1,169,688	$0	$0	$0
KANWAR ARORA MD
PHYSICIAN	$543,288	$0	$587,964	$0	$774	$0	$19,187	$0	$2,679	$0	$1,153,892	$0	$0	$0
PRAVEEN CHOPRA
CHIEF DIGITAL & INFORMATION OFFICER	$0	$559,971	$0	$50,000	$0	$45,011	$0	$45,225	$0	$25,749	$0	$725,956	$0	$0
PETER VANDENHOUTEN
BOARD MEMBER/SR VP-GENERAL COUNSEL	$384,456	$0	$189,505	$0	$38,110	$0	$63,919	$0	$11,564	$0	$687,554	$0	$37,336	$0
WILLIAM FARRELL
CHIEF INNOVATION & STRATEGY OFFICER	$0	$481,600	$0	$141,200	$0	$5,550	$0	$45,225	$0	$319	$0	$673,894	$0	$0
LEANNE ANDERSEN
CHIEF PEOPLE OFFICER	$0	$460,498	$0	$99,114	$0	$4,689	$0	$41,063	$0	$22,536	$0	$627,900	$0	$0
SHARLA BAENEN
BOARD MEMBER/COO	$387,636	$0	$78,025	$0	$34,774	$0	$59,243	$0	$27,156	$0	$586,834	$0	$34,504	$0
GERALD OETZEL
FORMER CHIEF FINANCIAL OFFICER	$0	$480,094	$0	$70,000	$0	$4,974	$0	$12,220	$0	$5,888	$0	$573,176	$0	$0
MICHAEL LANDRUM MD
BOARD MEMBER/COO	$364,691	$0	$106,030	$0	$415	$0	$22,475	$0	$2,208	$0	$495,819	$0	$0	$0
LAURA HIEB
BOARD MEMBER/CNO	$311,452	$0	$66,025	$0	$31,925	$0	$53,011	$0	$12,440	$0	$474,853	$0	$31,151	$0
LISA HARTON
CHIEF QUALITY OFFICER	$333,861	$0	$63,651	$0	$414	$0	$18,933	$0	$10,249	$0	$427,108	$0	$0	$0
CINDY LASECKI MD
FORMER BOARD MEMBER/COO	$357,502	$0	$25,000	$0	$774	$0	$17,421	$0	$3,731	$0	$404,428	$0	$0	$0
ANDREA WERNER
CHIEF POPULATION OFFICER	$306,068	$0	$58,357	$0	$774	$0	$16,382	$0	$10,711	$0	$392,292	$0	$0	$0
STEVE LITTLE
BOARD MEMBER/CFO (THRU 2/24)	$0	$258,317	$0	$75,000	$0	$0	$0	$0	$0	$0	$0	$333,317	$0	$0

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART I, LINE 1A	BELLIN MEMORIAL HOSPITAL PAYS FOR A PORTION OF MEMBERSHIP DUES AT A LOCAL COUNTRY CLUB FOR CHRISTINE WOLESKE 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 VANDENHOUTEN, SHARLA BAENEN AND CHRISTINE WOLESKE PARTICIPATED IN THE 457(F) PLAN. THE FOLLOWING DISTRIBUTIONS WERE MADE DURING CALENDAR YEAR 2023: CHRISTINE WOLESKE $175,207 PETER VANDENHOUTEN $37,336 LAURA HIEB $31,151 SHARLA BAENEN $34,504
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 $188,000 DURING CALENDAR YEAR 2023.

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (4 entries)

Bond ReferenceBondReferenceCd	Bond Issuer EINBondIssuerEIN	Bond IssuedBondIssuedDt	Issue PriceIssuePriceAmt	PurposePurposeDesc	DefeasedDefeasedInd	On Behalf Of IssuerOnBehalfOfIssuerInd	Pool FinancingPoolFinancingInd	CUSIPCUSIPNum
WISCONSIN HEALTH AND EDUCATIONAL FACILITIES AUTHORITY
A	391337855	2019-08-29	$35,000,000	FUNDING OF NICU EXPANSION PROJECT AND VARIOUS RENOVATION AND EQUIPMENT PURCH	0	0	0
WISCONSIN HEALTH AND EDUCATIONAL FACILITIES AUTHORITY
B	391337855	2019-08-29	$8,000,000	FUNDING OF IT INFRASTRUCTURE	0	0	0
WISCONSIN HEALTH AND EDUCATIONAL FACILITIES AUTHORITY
C	391337855	2022-12-14	$106,130,278	AMBULATORY SURGERY CENTER BUILDING COMPONENTS	0	0	0
WISCONSIN HEALTH AND EDUCATIONAL FACILITIES AUTHORITY
D	391337855	2022-12-14	$31,617,523	AMBULATORY SURGERY CENTER MOVEABLES AND EQUIPMENT	0	0	0	97712JGU1

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (4 entries)

Bond ReferenceBondReferenceCd	RetiredRetiredAmt	Total ProceedsTotalProceedsAmt	Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt	Capital ExpendituresCapitalExpendituresAmt	Substantial CompletionSubstantialCompletionYr	Final Allocation MadeFinalAllocationMadeInd	Adequate Books And Rec MaintAdequateBooksAndRecMaintInd	In Reserve FundInReserveFundAmt
A	$400,000	$41,624,205	$314,452	$41,309,753	2023	Yes (1)	Yes (1)
B	$100,000	$8,351,848	$74,748	$8,277,100	2023	Yes (1)	Yes (1)
C		$106,130,278	$982,522	$105,147,756	2023	Yes (1)	Yes (1)
D		$31,617,523	$314,546	$26,934,230		0	Yes (1)	$4,368,747

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (4 entries)

Bond ReferenceBondReferenceCd	Any Lease ArrangementsAnyLeaseArrangementsInd	Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd	Engage Bond Counsel ContractsEngageBondCounselContractsInd	Private Bus Use By OthersPrivateBusUseByOthersPct	Total Private Business UseTotalPrivateBusinessUsePct	Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd	Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
A	Yes (1)	Yes (1)	Yes (1)	0.01000	0.01000	Yes (1)	Yes (1)
B	Yes (1)	Yes (1)	Yes (1)	0.01000	0.01000	Yes (1)	Yes (1)
C	Yes (1)	Yes (1)	Yes (1)	0.01000	0.01000	Yes (1)	Yes (1)
D	Yes (1)	Yes (1)	Yes (1)	0.01000	0.01000	Yes (1)	Yes (1)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (4 entries)

Bond ReferenceBondReferenceCd	Form8038 T FiledForm8038TFiledInd	Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd	Rebate Not Due YetRebateNotDueYetInd	Exception To RebateExceptionToRebateInd	No Rebate DueNoRebateDueInd
A	Yes (1)	Yes (1)
B	Yes (1)	Yes (1)
C	0	Yes (1)	Yes (1)	0	0
D	0	Yes (1)	Yes (1)	0	0

Procedures Corrective Action ProceduresCorrectiveActionGrp (4 entries)

Bond ReferenceBondReferenceCd	Procedures Corrective ActionProceduresCorrectiveActionInd
A	Yes (1)
B	Yes (1)
C	Yes (1)
D	Yes (1)

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd

Issuer Name IssuerName

Field	Value	IRS element (for citing)
Business Name Line1	WISCONSIN HEALTH AND EDUCATIONAL FACILITIES AUTHORITY	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Bond Issuer EIN	391337855	BondIssuerEIN
Bond Issued	2024-06-03	BondIssuedDt
Issue Price	$28,980,000	IssuePriceAmt
Purpose	REFUND AND LEGALLY DEFEASE	PurposeDesc
Defeased	0	DefeasedInd
On Behalf Of Issuer	0	OnBehalfOfIssuerInd
Pool Financing	0	PoolFinancingInd

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Total Proceeds	$27,461,326	TotalProceedsAmt
Issuance Costs From Proceeds	$235,689	IssuanceCostsFromProceedsAmt
Other Spent Proceeds	$27,225,637	OtherSpentProceedsAmt
Substantial Completion	2009	SubstantialCompletionYr
Refunding Tax Exempt Bonds	0	RefundingTaxExemptBondsInd
Refunding Taxable Bonds	Yes (1)	RefundingTaxableBondsInd
Final Allocation Made	Yes (1)	FinalAllocationMadeInd
Adequate Books And Rec Maint	Yes (1)	AdequateBooksAndRecMaintInd

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Owning Bond Financed Property	0	OwningBondFinancedPropertyInd
Any Lease Arrangements	Yes (1)	AnyLeaseArrangementsInd
Mgmt Contract Bond Fincd Prop	Yes (1)	MgmtContractBondFincdPropInd
Engage Bond Counsel Contracts	Yes (1)	EngageBondCounselContractsInd
Any Research Agreements	0	AnyResearchAgreementsInd
Private Bus Use By Others	0.01000	PrivateBusUseByOthersPct
Total Private Business Use	0.01000	TotalPrivateBusinessUsePct
Bond Iss Meet Prvt Sec Pymt Test	Yes (1)	BondIssMeetPrvtSecPymtTestInd
Change In Use Bond Financed Prop	0	ChangeInUseBondFinancedPropInd
Procs Nonqualified Bond Remdtd	Yes (1)	ProcsNonqualifiedBondRemdtdInd

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Form8038 T Filed	0	Form8038TFiledInd
Rebate Not Due Yet	Yes (1)	RebateNotDueYetInd
Exception To Rebate	0	ExceptionToRebateInd
No Rebate Due	0	NoRebateDueInd
Variable Rate Issue	0	VariableRateIssueInd
Hedge Identified In Bks And Rec	0	HedgeIdentifiedInBksAndRecInd
Gross Proceeds Invested In GIC	0	GrossProceedsInvestedInGICInd
Gross Proceeds Invested	0	GrossProceedsInvestedInd
Written Proc To Monitor Reqs	Yes (1)	WrittenProcToMonitorReqsInd

Procedures Corrective Action ProceduresCorrectiveActionGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Procedures Corrective Action	Yes (1)	ProceduresCorrectiveActionInd

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (9 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 6	THE ORGANIZATION HAS ONE CORPORATE MEMBER, BELLIN HEALTH SYSTEMS, INC.
FORM 990, PART VI, SECTION A, LINE 7A	THE CORPORATE MEMBER, BELLIN HEALTH SYSTEMS, INC., HAS THE POWER TO APPOINT BOARD MEMBERS.
FORM 990, PART VI, SECTION A, LINE 7B	THE CORPORATE MEMBER, BELLIN HEALTH SYSTEMS, INC., HAS THE POWER TO APPROVE MAJOR EXPENDITURES AND LONG-TERM BORROWINGS.
FORM 990, PART VI, SECTION B, LINE 11B	THE FORM 990 IS REVIEWED IN DETAIL BY SENIOR ADMINISTRATION AND IS PROVIDED TO THE BOARD OF DIRECTORS PRIOR TO FILING.
FORM 990, PART VI, SECTION B, LINE 12C	EACH YEAR A CONFLICT OF INTEREST REQUEST DOCUMENT IS PROVIDED TO EACH BOARD MEMBER. ALL DOCUMENTS ARE PROVIDED BACK TO ADMINISTRATION AND REVIEWED. ALL EMPLOYEES ARE REQUIRED TO REVIEW THE CONFLICT OF INTEREST POLICY AS PART OF ANNUAL MANDATORY EDUCATION. IF THERE IS A CONFLICT OF INTEREST, THE CORPORATE COMPLIANCE OFFICER AND CORPORATE COMPLIANCE COMMITTEE, WHICH IS A COMMITTEE OF THE BOARD OF DIRECTORS, IS NOTIFIED. THE CORPORATE COMPLIANCE OFFICER AND CORPORATE COMPLIANCE COMMITTEE ADDRESSES THE ISSUE.
FORM 990, PART VI, SECTION B, LINE 15	COMPENSATION FOR THE CEO AND KEY EXECUTIVES ARE SET BY THE EXECUTIVE COMMITTEE OF THE BOARD SUPPORTED BY MARKET DATA FROM SURVEYS AND AN INDEPENDENT CONSULTANT'S REPORT. THE COMPENSATION IS DETERMINED BY MEMBERS OF THE EXECUTIVE COMMITTEE WITHOUT CONFLICT AND IS DOCUMENTED. CEO COMPENSATION: CEO PRESENTS RESULTS OF PERFORMANCE OBJECTIVES TO THE EXECUTIVE COMMITTEE IN JANUARY OF EACH YEAR. THE CHAIR APPLIES A FORMULA TO THE RESULTS AND COMES UP WITH A RECOMMENDATION. THE CHAIR FACILITATES GETTING APPROVAL FROM OTHER MEMBERS OF THE EXECUTIVE COMMITTEE. SENIOR LEADERS: COMPENSATION FOR THOSE WHO REPORT TO THE CEO IS TAKEN TO THE EXECUTIVE COMMITTEE FOR DISCUSSION/APPROVAL.
FORM 990, PART VI, SECTION C, LINE 19	THE ORGANIZATION BELIEVES THE FINANCIAL STATEMENTS, GOVERNING DOCUMENTS, AND POLICIES ARE THE PROPERTY OF THE ORGANIZATION AND ARE NOT AVAILABLE FOR PUBLIC INSPECTION.
FORM 990, PART XI, LINE 9:	CHANGE IN INTEREST IN FOUNDATION 362,558. OTHER CHANGES IN NET ASSETS -304. TRANSFER OF FUNDS FROM FOUNDATION FOR OTHER THAN CAPITAL -670,118.
FORM 990, PART XI, LINE 2B-2C	BELLIN MEMORIAL HOSPITAL, INC. IS INCLUDED IN THE CONSOLIDATED AUDIT OF BELLIN HEALTH SYSTEMS, INC. THE BOARD OF DIRECTORS OF BELLIN HEALTH SYSTEMS, INC. ASSUMES RESPONSIBILITY FOR THE OVERSIGHT OF THE AUDIT AND SELECTION OF AN INDEPENDENT AUDITOR. THIS PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR.

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp (2 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Total IncomeTotalIncomeAmt	End Of Year AssetsEndOfYearAssetsAmt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt
ASHWAUBENON WEST PROPERTIES LLC
744 S WEBSTER AVENUE	GREEN BAY	WI	54301	871079621	REAL ESTATE	WI	$0	$0	BELLIN MEMORIAL HOSPITAL INC
WEST GB LLC
744 S WEBSTER AVENUE	GREEN BAY	WI	54301		REAL ESTATE	WI	$0	$0	BELLIN MEMORIAL HOSPITAL INC

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (28 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Direct Controlling NADirectControllingNACd	Controlled OrganizationControlledOrganizationInd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt
BELLIN GUNDERSEN HEALTH SYSTEM INC
1836 SOUTH AVENUE	LA CROSSE	WI	54601	920504278	PARENT	WI	501(C)(3)	LINE 12B, II	N/A	0
BELLIN HEALTH SYSTEMS INC
744 SOUTH WEBSTER AVE	GREEN BAY	WI	54301	391512904	SUPPORT OF HEALTHCARE ORGANIZATIONS	WI	501(C)(3)	LINE 12B, II		Yes (1)	BELLIN GUNDERSEN HEALTH SYSTEM INC
LAKE MICHIGAN HEALTH SERVICES INC
744 SOUTH WEBSTER AVE	GREEN BAY	WI	54301	391512903	SUPPORT PURPOSES OF BELLIN MEMORIAL HOSPITAL	WI	501(C)(3)	LINE 12B, II		Yes (1)	BELLIN HEALTH SYSTEMS INC
BELLIN COLLEGE INC
3201 EATON ROAD	GREEN BAY	WI	54311	391620530	NURSING COLLEGE	WI	501(C)(3)	LINE 2		Yes (1)	BELLIN HEALTH SYSTEMS INC
THE BELLIN HEALTH FOUNDATION INC
744 SOUTH WEBSTER AVE	GREEN BAY	WI	54301	391809171	FOUNDATION	WI	501(C)(3)	LINE 7		Yes (1)	BELLIN HEALTH SYSTEMS INC
BELLIN PSYCHIATRIC CENTER INC
PO BOX 23725	GREEN BAY	WI	54305	391657627	PSYCHIATRIC HOSPITAL	WI	501(C)(3)	LINE 3		Yes (1)	BELLIN HEALTH SYSTEMS INC
OCONTO HOSPITAL & MEDICAL CENTER INC
820 ARBUTUS AVENUE	OCONTO	WI	54153	061745397	HOSPITAL	WI	501(C)(3)	LINE 3		Yes (1)	BELLIN MEMORIAL HOSPITAL INC
GUNDERSEN LUTHERAN HEALTH SYSTEMS INC
1836 SOUTH AVENUE	LA CROSSE	WI	54601	391866425	SUPPORTING ORGANIZATION	WI	501(C)(3)	LINE 12B, II		Yes (1)	BELLIN GUNDERSEN HEALTH SYSTEM INC
GUNDERSEN LUTHERAN MEDICAL CENTER
1910 SOUTH AVENUE	LA CROSSE	WI	54601	390813416	HEALTHCARE	WI	501(C)(3)	LINE 3		Yes (1)	GUNDERSEN LUTHERAN HEALTH SYSTEMS INC
GUNDERSEN CLINIC LTD
1836 SOUTH AVENUE	LA CROSSE	WI	54601	391028657	HEALTHCARE	WI	501(C)(3)	LINE 3		Yes (1)	GUNDERSEN LUTHERAN HEALTH SYSTEMS INC
GUNDERSEN LUTHERAN ADMINISTRATIVE SVC
1910 SOUTH AVENUE	LA CROSSE	WI	54601	391606449	SUPPORTING ORGANIZATION	WI	501(C)(3)	LINE 12B, II		Yes (1)	GUNDERSEN LUTHERAN HEALTH SYSTEMS INC
GUNDERSEN LUTHERAN MEDICAL FOUNDATION INC
1836 SOUTH AVENUE	LA CROSSE	WI	54601	391249705	FOUNDATION	WI	501(C)(3)	LINE 7		Yes (1)	GUNDERSEN LUTHERAN HEALTH SYSTEMS INC
TRI-COUNTY MEMORIAL HOSPITAL
1860 LINCOLN STREET	WHITEHALL	WI	54773	390704510	HEALTHCARE	WI	501(C)(3)	LINE 3		Yes (1)	GUNDERSEN LUTHERAN HEALTH SYSTEMS INC
HARMONY COMMUNITY HEALTHCARE INC
815 MAIN AVENUE	SOUTH HARMONY	MN	55939	410711606	HEALTHCARE	MN	501(C)(3)	LINE 10		Yes (1)	GUNDERSEN LUTHERAN HEALTH SYSTEMS INC
TWEETEN LUTHERAN HEALTHCARE CENTER INC
125 FIFTH AVENUE	SE SPRING GROVE	MN	55974	411565003	HEALTHCARE	MN	501(C)(3)	LINE 10		Yes (1)	GUNDERSEN LUTHERAN HEALTH SYSTEMS INC
TRI-STATE AMBULANCE INC
235 CAUSEWAY BOULEVARD	LA CROSSE	WI	54603	391965415	MEDICAL TRANSPORTATION	WI	501(C)(3)	LINE 3		Yes (1)	GUNDERSEN LUTHERAN HEALTH SYSTEMS INC
TRI-STATE REGIONAL AMBULANCE
235 CAUSEWAY BOULEVARD	LA CROSSE	WI	54603	391962965	MEDICAL TRANSPORTATION	WI	501(C)(3)	LINE 10		Yes (1)	GUNDERSEN LUTHERAN HEALTH SYSTEMS INC
LUTHERAN REAL ESTATE HOLDING CORP
1910 SOUTH AVENUE	LA CROSSE	WI	54601	391480826	HOUSING	WI	501(C)(3)	LINE 12C, III-FI		Yes (1)	GUNDERSEN LUTHERAN HEALTH SYSTEMS INC
COMMUNITY HOUSING OF LA CROSSE
1900 SOUTH AVENUE	LA CROSSE	WI	54601	391586700	INDEPENDENT LIVING	WI	501(C)(3)	LINE 10		Yes (1)	LUTHERAN REAL ESTATE HOLDING CORP
LUTHERAN HOUSING OF LA CROSSE
1900 SOUTH AVENUE	LA CROSSE	WI	54601	391751934	INDEPENDENT LIVING	WI	501(C)(3)	LINE 10		Yes (1)	LUTHERAN REAL ESTATE HOLDING CORP
ST JOSEPH'S HEALTH SERVICES INC
400 WATER AVENUE	HILLSBORO	WI	54634	390929538	HEALTHCARE	WI	501(C)(3)	LINE 3		Yes (1)	GUNDERSEN LUTHERAN HEALTH SYSTEMS INC
ST JOSEPH'S MEMORIAL FOUNDATION INC
400 WATER AVENUE	HILLSBORO	WI	54634	391455787	FOUNDATION	WI	501(C)(3)	LINE 12A, I		Yes (1)	ST JOSEPH'S HEALTH SERVICES INC
TRI-COUNTY MEMORIAL FOUNDATION INC
18601 LINCOLN STREET	WHITEHALL	WI	54773	300093022	FOUNDATION	WI	501(C)(3)	LINE 12A, I		Yes (1)	TRI-COUNTY MEMORIAL HOSPITAL
MEMORIAL HOSPITAL OF BOSCOBEL
205 PARKER STREET	BOSCOBEL	WI	53805	390845590	HEALTHCARE	WI	501(C)(3)	LINE 3		Yes (1)	GUNDERSEN LUTHERAN HEALTH SYSTEMS INC
PALMER LUTHERAN HEALTH CENTER INC
112 JEFFERSON STREET	WEST UNION	IA	52175	421320763	HEALTHCARE	IA	501(C)(3)	LINE 3		Yes (1)	GUNDERSEN LUTHERAN HEALTH SYSTEMS INC
MOUNDVIEW MEMORIAL HOSPITALS & CLINICS INC
402 WEST LAKE STREET	FRIENDSHIP	WI	53934	390944012	HEALTHCARE	WI	501(C)(3)	LINE 3		Yes (1)	GUNDERSEN LUTHERAN HEALTH SYSTEMS INC
MEMORIAL HEALTHCARE FOUNDATION INC
PO BOX 40	FRIENDSHIP	WI	53934	391775074	FOUNDATION	WI	501(C)(3)	LINE 12A, I		Yes (1)	MOUNDVIEW MEMORIAL HOSPITAL
SAINT ELIZABETH'S HOSPITAL OF WABASHA INC
1200 5TH GRANT BOULEVARD	WEST WABASHA	MN	55981	410693877	HEALTHCARE	MN	501(C)(3)	LINE 3		Yes (1)	GUNDERSEN LUTHERAN HEALTH SYSTEMS INC

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (4 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Direct Controlling NADirectControllingNACd	Entity TypeEntityTypeTxt	Controlled OrganizationControlledOrganizationInd	Address Line1ForeignAddress/AddressLine1Txt	CityForeignAddress/CityNm	Province Or StateForeignAddress/ProvinceOrStateNm	CountryForeignAddress/CountryCd	Legal Domicile Foreign CountryLegalDomicileForeignCountryCd
BEL-REGIONAL HOME MEDICAL INC
617 S ROOSEVELT	GREEN BAY	WI	54301	391504766	DURABLE MEDICAL EQUIPMENT, RETAIL PHARMACY, FITNESS	WI	N/A	C	0
GUNDERSEN LUTHERAN ENVISION LLC
1836 SOUTH AVENUE	LA CROSSE	WI	54601	264706546	RENEWABLE ENERGY	WI	N/A	C	0
GUNDERSEN EDGE LLC
1836 SOUTH AVENUE	LA CROSSE	WI	54301	921783811	INNOVATION	WI	N/A	C	0
BG ASSURANCE COMPANY
					SELF INSURANCE		N/A	C	0	20 GENESIS CLOSE PO BOX 30600	GEORGE TOWN	GRAND CAYMAN, KY1	CJ	CJ

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	0	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	0	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	Yes (1)	GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org	Yes (1)	LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org	Yes (1)	LoansOrGuaranteesFromOthOrgInd
Div Related Organization	0	DivRelatedOrganizationInd
Asset Sale To Other Org	0	AssetSaleToOtherOrgInd
Asset Purchase From Other Org	0	AssetPurchaseFromOtherOrgInd
Asset Exchange	0	AssetExchangeInd
Rental Of Facilities To Oth Org	Yes (1)	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	Yes (1)	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	Yes (1)	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	0	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	Yes (1)	SharingOfFacilitiesInd
Paid Employees Sharing	Yes (1)	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	Yes (1)	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	Yes (1)	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	Yes (1)	TransferToOtherOrgInd
Transfer From Other Org	Yes (1)	TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (14 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
BELLIN HEALTH FOUNDATION INC
C	$2,395,118	COST
BELLIN HEALTH FOUNDATION INC
O	$763,743	COST
BELLIN HEALTH FOUNDATION INC
P	$172,000	COST
BELLIN HEALTH FOUNDATION INC
S	$3,941,927	COST
BELLIN PSYCHIATRIC CENTER INC
E	$1,499,079	COST
BELLIN PSYCHIATRIC CENTER INC
E	$14,679,435	COST
BELLIN PSYCHIATRIC CENTER INC
J	$58,969	COST
BELLIN PSYCHIATRIC CENTER INC
L	$2,869,039	COST
BELLIN PSYCHIATRIC CENTER INC
Q	$18,834,029	COST
OCONTO HOSPITAL & MEDICAL CENTER INC
D	$8,511,442	COST
OCONTO HOSPITAL & MEDICAL CENTER INC
E	$8,988,527	COST
OCONTO HOSPITAL & MEDICAL CENTER INC
J	$1,946,025	COST
OCONTO HOSPITAL & MEDICAL CENTER INC
P	$310,298	COST
OCONTO HOSPITAL & MEDICAL CENTER INC
R	$7,315,866	COST