2018-11-14T15:19:43-06:00 2018-06-30 390758449 WIPFLI LLP PO BOX 12237 GREEN BAY WI 543072237 990 2017-07-01 391620530 BELLIN COLLEGE INC BELL 9204336631 3201 EATON ROAD GREEN BAY WI 54311 CONNIE BOERST PRESIDENT 9204336631 2018-11-12 1 TERRI REXRODE CPA MST P00096513 9206620016 2018-11-09 74.87.127.216 2018-11-12 06:48:56 CS P DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 A43ECD1EE6AF4781A69F6BFA161A98BDE8FA2C07 2017 2019-02-21 02:37:17Z CONNIE BOERST 3201 EATON ROAD GREEN BAY WI 54311 16853678 0 X WWW.BELLINCOLLEGE.EDU X 1988 WI BELLIN COLLEGE, INC. IS A NONSTOCK, NONPROFIT FOUR-YEAR TEACHING INSTITUTION FOR STUDENTS PURSUING A BACHELOR OF SCIENCE OR MASTER'S DEGREE IN NURSING, A BACHELOR OF SCIENCE IN RADIOLOGIC SCIENCES OR A BACHELOR OF SCIENCE IN DIAGNOSTIC MEDICAL SONOGRAPHY. THE PURPOSE OF THE ORGANIZATION IS TO PLAN, ORGANIZE, IMPLEMENT, AND EVALUATE THE BACHELOR OF SCIENCE OF NURSING, MASTER'S IN NURSING PROGRAMS, AND BACHELOR OF SCIENCE IN MEDICAL IMAGING PROGRAMS IN ACCORDANCE WITH THE COLLEGE MISSION STATEMENT, RULES AND REGULATIONS OF THE WISCONSIN BOARD OF NURSING, AND THE CRITERIA OF THE ACCREDITING BODIES. THE COLLEGE GRADUATED STUDENTS WITH THEIR BACHELOR OF SCIENCE NURSING DEGREE, BACHELOR OF RADIOLOGICAL SCIENCE DEGREE AND MASTERS IN NURSING DEGREE DURING THE YEAR. 15 13 139 15 0 0 646267 484949 10494256 9708654 2186830 1323312 3400 6414 13330753 11523329 2107545 2166274 0 0 6238256 6509036 0 0 197256 3097439 3234706 11443240 11910016 1887513 -386687 35317576 35232438 2161830 2285686 33155746 32946752 X BELLIN COLLEGE IS DEDICATED TO PREPARING HEALTHCARE PROFESSIONALS BY PROVIDING AN INTELLECTUALLY STIMULATING ENVIRONMENT FOCUSED ON LEADERSHIP, COMMUNITY SERVICE, AND LIFELONG LEARNING THAT PROMOTES EXCELLENCE IN HEALTHCARE PRACTICE AND THE ADVANCEMENT OF THE PROFESSION. 0 0 9256439 2166274 9290395 BELLIN COLLEGE, INC. IS DEDICATED TO PRODUCING HEALTHCARE PROFESSIONALS FOR NURSING AND MEDICAL IMAGING. THE COLLEGE IS AN INDEPENDENT, ACCREDITED, COEDUCATIONAL BACCALAUREATE AND MASTERS DEGREE GRANTING INSTITUTION. STUDENTS CAN OBTAIN A BACHELOR OF SCIENCE IN NURSING, A BACHELOR OF SCIENCE IN RADIOLOGIC SCIENCES, A BACHELOR OF SCIENCE IN DIAGNOSTIC MEDICAL SONOGRAPHY, AND A MASTER OF SCIENCE IN NURSING. OUR GRADUATES ARE PREPARED TO ADDRESS THE HEALTHCARE NEEDS OF A DIVERSE, GLOBAL SOCIETY AND ITS INDIVIDUALS, AND ARE COMMITTED TO ADVANCING THE PROFESSION. THE COLLEGE GRADUATED 126 STUDENTS WITH THEIR BACHELOR OF SCIENCE NURSING DEGREE, 11 STUDENTS WITH THEIR BACHELOR OF RADIOLOGICAL SCIENCE DEGREE, AND 12 STUDENTS WITH THEIR MASTERS IN NURSING DURING THE YEAR. 9256439 1 1 0 0 0 0 0 0 0 1 1 0 0 0 1 1 1 1 1 0 0 0 0 0 1 0 0 0 1 1 0 0 0 0 0 0 0 0 1 0 0 0 0 1 1 0 0 0 1 566 0 139 1 0 0 0 0 0 1 1 0 0 0 0 X 15 13 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 WI X GINGER KRUMMEN SCHRAVEN 9204336631 3201 EATON ROAD GREEN BAY WI 54311 KAREN BRUKARDT SECRETARY 1.00 X X 0 0 0 BRANNON GUYETTE CHAIRPERSON 1.00 X X 0 0 0 ROBERT CLAUSEN TREASURER 1.00 X X 0 0 0 MIKE VAN ASTEN VICE CHAIRPERSON 1.00 X X 0 0 0 TERRY FULWILER MEMBER AT LARGE 1.00 X X 0 0 0 DR FERGUS HUGHES - TERMED BOARD MEMBER 1.00 X 0 0 0 THOMAS PRUST BOARD MEMBER 1.00 X 0 0 0 GERALD CONDON JR BOARD MEMBER 1.00 X 0 0 0 HERB COUSSONS MD BOARD MEMBER 1.00 X 0 0 0 CINDY LORITZ BOARD MEMBER 1.00 X 0 0 0 DR CHARLES IRKE - TERMED BOARD MEMBER 1.00 X 0 0 0 GEORGE KERWIN BOARD MEMBER 1.00 40.00 X 0 993768 44396 DONALD SALMON BOARD MEMBER 1.00 X 0 0 0 WILLIAM J WITTMAN MD BOARD MEMBER 1.00 40.00 X 0 284866 25550 KATHLEEN RILEY - TERMED BOARD MEMBER 1.00 X 0 0 0 CORY SPICE BOARD MEMBER 1.00 X 0 0 0 DR ELIOT ELFNER BOARD MEMBER 1.00 X 0 0 0 MATTHEW WILD BOARD MEMBER 1.00 X 0 0 0 DR CONNIE J BOERST PRESIDENT 40.00 X 200130 0 35173 GINGER KRUMMEN SCHRAVEN VP OF BUSINESS AND FINANCE 40.00 X 85487 0 5756 STEPHANIE STEWART DEAN OF NURSING 40.00 X 107672 0 8219 LORI KULJU ASSISTANT PROFESSOR OF NUR 40.00 X 120522 0 27494 MARK BAKE DEAN OF ALLIED HEALTH SCIE 40.00 X 100707 0 28373 SHERRI HANRAHAN ASSISTANT PROFESSOR OF NUR 40.00 X 102613 0 26699 717131 1278634 201660 5 0 1 0 BELLIN HOSPITAL 744 WEBSTER AVE GREEN BAY WI 54301 SUPPORT FOR ACCOUNTING, HR, ADMINISTRATI 110086 1 44019 47550 393380 32398 484949 STUDENT TUTIION & FEES 611710 9245708 9245708 LIBRARY 611710 378691 378691 RENTAL REVENUE 900099 44687 44687 OTHER REVENUE 611710 39568 39568 9708654 582719 582719 6753 1774 4979 4979 4979 6003335 5262742 740593 740593 740593 64538 44019 64538 0 2730 1295 1435 1435 11523329 9290395 0 1747985 2166274 2166274 326546 326546 4976193 3955057 904189 116947 249578 203249 44506 1823 574637 411645 143242 19750 382082 290728 86612 4742 1767 1767 49378 49378 97627 97627 245532 146148 99384 205788 205788 753512 650170 90692 12650 231834 13787 218047 109525 104276 4136 1113 59843 45262 13633 948 69940 25751 16944 27245 12275 11539 613 123 1167567 1109188 46703 11676 24871 23435 1197 239 DUES & SUBSCRIPTIONS 100670 290 100380 GRADUATION & EVENTS 84377 84377 BAD DEBT EXPENSE -7631 -7631 27831 15263 12568 11910016 9256439 2456321 197256 182413 204180 475547 469316 22410 6191 103201 73677 263339 355495 18747570 7532848 12029741 11214722 22237833 22908857 3092 35317576 35232438 510233 513089 653344 612738 548727 449526 1159859 2161830 2285686 X 20424700 19842870 2165244 2307123 10565802 10796759 33155746 32946752 35317576 35232438 -386687 177693 0 X 0 1 X 0 1 1 X 12839439 230957 527671 279970 13318097 12065507 350016 760254 336338 12839439 12325482 64013 -36387 287601 12065507 12031400 455788 121561 283267 12325482 10675444 615325 961810 -221179 12031400 0.02600 0.16330 0.81070 0 0 1157910 1157910 7935373 2192598 5742775 571598 452813 118785 9082689 4887437 4195252 11214722 DUE TO AFFILIATE 1113595 CAPITAL LEASE OBLIGATION 46264 1159859 X 11291016 177693 -97627 80066 11210950 312379 312379 11523329 11500010 -312379 -312379 11812389 97627 97627 11910016 PART V, LINE 4: THE ENDOWMENT FUNDS ARE USED FOR OPERATION EXPENSES AND SCHOLARSHIPS. PART X, LINE 2: IN ORDER TO ACCOUNT FOR UNCERTAIN TAX POSITIONS, THE COLLEGE DETERMINES WHETHER IT IS MORE LIKE THAN NOT THAT A TAX POSITION WILL BE SUSTAINED UPON EXAMINATION BY THE TAXING AUTHORITIES, BASED ON THE TECHNICAL MERITS OF THE POSITION, ASSUMING THE TAXING AUTHORITY HAS FULL KNOWLEDGE OF ALL INFORMATION. IF THE TAX POSITION DOES NOT MEET THE MORE-LIKELY-THAN-NOT RECOGNITION THRESHOLD, THE BENEFIT OF THE TAX POSITION IS NOT RECOGNIZED IN THE FINANCIAL STATEMENTS. THE COLLEGE HAS NOT RECORDED ANY ASSETS OR LIABILITIES RELATED TO UNCERTAIN TAX POSITIONS OR UNRECOGNIZED TAX BENEFITS AS OF JUNE 30, 2018 AND 2017. PART XI, LINE 2D - OTHER ADJUSTMENTS: INVESTMENT EXPENSES -97,627. PART XI, LINE 4B - OTHER ADJUSTMENTS: LIBRARY INTERCOMPANY CHARGES 378,691. SPECIAL EVENT EXPENSE -64,538. RENTAL EXPENSES -1,774. PART XII, LINE 2D - OTHER ADJUSTMENTS: SPECIAL EVENTS EXPENSE 64,538. LIBRARY INTERCOMPANY CHARGES -378,691. RENTAL EXPENSES 1,774. PART XII, LINE 4B - OTHER ADJUSTMENTS: INVESTMENT EXPENSES 97,627. 1 1 1 1 1 1 1 0 0 0 0 0 0 0 0 1 0 1 SCHEDULE E, PART I, LINE 3 THROUGH WRITTEN AND BROADCAST MEDIA, BELLIN COLLEGE, INC. PUBLICIZES ITS NONDISCRIMINATION POLICY TO THE GENERAL PUBLIC WITH WRITTEN OR VISIBLE EXAMPLES THAT ARE EASILY IDENTIFIABLE TO THE AVERAGE CITIZEN. SCHEDULE E, PART I, LINE 6 THE COLLEGE PARTICIPATES IN FEDERAL AND STATE STUDENT FINANCIAL ASSISTANCE PROGRAMS INCLUDING THE FOLLOWING: FEDERAL SUPPLEMENTAL EDUCATION OPERATING GRANT, FEDERAL PELL GRANT PROGRAM, FEDERAL DIRECT LOANS AND VARIOUS STATE LOANS AND GRANTS. THE COLLEGE IS REQUIRED TO PROVIDE MATCHING FUNDS FOR CERTAIN FEDERAL PROGRAMS. GOLF CLASSIC OUTING 108557 44019 64538 795 27865 14871 17990 3017 108557 44019 64538 795 27865 14871 17990 3017 64538 0 1 PRESIDENTIAL SCHOLARSHIP 35 95500 ADMISSIONS SCHOLARSHIP 334 831451 MERIT SCHOLARSHIP 164 623050 BC NEED-BASED SCHOLARSHIP 11 27500 BC STUDENT SCHOLARSHIP 5 5625 BHS RN TO BSN SCHOLARSHIP 51 157437 CURRENT SCHOLARSHIP 80 144742 BOARD ENDOWED SCHOLARSHIP 9 15000 ENDOWED SCHOLARSHIP 71 249547 DR HIRO NISHIOKA SCHOLARSHIP 2 9000 DR RAYMOND GROENDAHL SCHOLARSHIP 3 6422 FINANCIAL LITERACY SCHOLARSHIP 2 1000 PART I, LINE 2: MOST GRANTS AND SCHOLARSHIPS ADMINISTERED BY BELLIN COLLEGE FOLLOW A SCORING GRID BASED ON A VARIETY OF FACTORS. SOME ARE AUTOMATIC BASED ON THE INCOMING STUDENTS ACADEMIC RECORD AND OTHER REQUIRE THE STUDENT TO APPLY FOR THE SCHOLARSHIP. THE BURSAR AND DIRECTOR OF FINANCIAL AID RECONCILE AWARDS/PAYMENTS ON A REGULAR BASIS TO ENSURE ACCURACY ON STUDENTS' ACCOUNTS. X X 0 0 0 0 0 0 0 0 0 GEORGE KERWIN BOARD MEMBER 0 583335 0 383600 0 26833 0 26556 0 17840 0 1038164 0 0 WILLIAM J WITTMAN MD BOARD MEMBER 0 222852 0 60826 0 1188 0 10230 0 15320 0 310416 0 0 DR CONNIE J BOERST PRESIDENT 186072 0 10000 0 4058 0 14345 0 20828 0 235303 0 0 0 X 924 28718 FAIR MARKET VALUE X ULTRASOUND MACHINE 1 3000 FAIR MARKET VALUE X VARIETY OF VIEW BOXES, SUTURES, WALKERS 3 680 DETERMINED BY DONOR 0 0 0 FORM 990, PART VI, SECTION A, LINE 6 THE ORGANIZATION HAS ONE MEMBER, BELLIN HEALTH SYSTEMS, INC. FORM 990, PART VI, SECTION A, LINE 7A BELLIN HEALTH SYSTEMS, INC. HAS THE POWER TO DESIGNATE AND BY RESOLUTION APPOINT PERSONS TO THE BOARD OF TRUSTEES OF BELLIN COLLEGE, INC. FORM 990, PART VI, SECTION A, LINE 7B BELLIN HEALTH SYSTEMS, INC. HAS THE POWER TO APPROVE OR REJECT, INCLUDING BUT NOT LIMITED TO, ANY AMENDMENTS OR RESTATEMENTS OF THE BYLAWS, THE ARTICLES OF INCORPORATION; ANY PROPOSAL TO ADOPT ARTICLES OF DISSOLUTION, MERGER, OR CONSOLIDATION. FORM 990, PART VI, SECTION B, LINE 11B THE 990 IS GIVEN TO THE CHAIRMAN OF THE BOARD OF TRUSTEES FOR REVIEW. THE 990 IS THEN DISTRIBUTED TO THE ENTIRE BOARD OF TRUSTEES PRIOR TO FILING. FORM 990, PART VI, SECTION B, LINE 12C ANNUALLY, TRUSTEES SIGN CONFLICT OF INTEREST STATEMENTS. ANY DIRECTOR, PRINCIPAL OFFICER, OR COMMITTEE MEMBER WITH BOARD DELEGATED POWERS ARE COVERED UNDER THE POLICY. THE BOARD OR APPROPRIATE COMMITTEE DETERMINE WHETHER A CONFLICT OF INTEREST EXISTS AND REVIEWS POTENTIAL CONFLICTS. IF A CONFLICT OF INTEREST EXISTS, THE RESPECTIVE INDIVIDUAL WILL ABSTAIN FROM DISCUSSIONS RELATED TO THE MATTER AND ANY VOTE ON THE MATTER, TRANSACTION, OR ARRANGEMENT RELATED TO THE CONFLICT OF INTEREST. FORM 990, PART VI, SECTION B, LINE 15 SALARIES ARE APPROVED AS PART OF THE ANNUAL BUDGET PROCESS. FOR FACULTY SALARIES THERE IS A COMPARISON OF COMPENSATION OF SIMILAR INSTITUTIONS. THE PRESIDENT'S SALARY IS DETERMINED BY THE EXECUTIVE BOARD. TO DETERMINE THE PRESIDENT'S COMPENSATION THERE IS A REVIEW OF PERFORMANCE EVALUATION AND COMPARISON TO SURVEY OF COMPENSATION FOR SIMILAR POSITIONS. HR IS CONSULTED FOR ALL OTHER POSITIONS TO LOOK AT COMPARISON DATA. FORM 990, PART VI, SECTION C, LINE 19 GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE MADE AVAILABLE TO THE PUBLIC UPON REQUEST. BELLIN HEALTH SYSTEMS INC 744 SOUTH WEBSTER GREEN BAY WI 54305 391512904 SUPPORT OF NON-PROFIT HEALTHCARE ORGANIZATIONS WI 501(C)(3) LINE 12B, II N/A 0 LAKE MICHIGAN HEALTH SERVICES INC 744 SOUTH WEBSTER GREEN BAY WI 54305 391512903 SUPPORT PURPOSES OF BELLIN MEMORIAL HOSPITAL WI 501(C)(3) LINE 12B, II BELLIN HEALTH SYSTEMS INC 1 THE BELLIN HEALTH FOUNDATION INC PO BOX 23400 GREEN BAY WI 54305 391809171 FOUNDATION WI 501(C)(3) LINE 7 BELLIN HEALTH SYSTEMS INC 1 BELLIN PSYCHIATRIC CENTER INC PO BOX 23725 GREEN BAY WI 54305 391657627 PSYCHIATRIC HOSPITAL WI 501(C)(3) LINE 3 BELLIN HEALTH SYSTEMS INC 1 BELLIN MEMORIAL HOSPITAL INC PO BOX 23400 GREEN BAY WI 54305 390884478 ACUTE CARE HOSPITAL WI 501(C)(3) LINE 3 BELLIN HEALTH SYSTEMS INC 1 OCONTO HOSPITAL & MEDICAL CENTER INC PO BOX 357 OCONTO WI 54153 061745397 HOSPITAL WI 501(C)(3) LINE 3 BELLIN MEMORIAL HOSPITAL INC 1 UNITY LIMITED PARTNERSHIP 2366 OAK RIDGE CIRCLE DE PERE WI 54115 391750729 HOSPICE WI 501(C)(3) LINE 10 BELLIN MEMORIAL HOSPITAL INC 1 BELLIN ORTHOPEDIC SURGERY CENTER 2223 LIM KILN RD GREEN BAY WI 54311 264677834 AMBULATORY ORTHOPEDIC SURGERY WI N/A D1 SPORTS TRAINING OF GREEN BAY LLC 7115 SOUTH SPRINGS DRIVE FRANKLIN TN 37067 454848172 SPORTS TRAINING TN N/A BEL-REGIONAL HOME MEDICAL INC 617 S ROOSEVELT GREEN BAY WI 54301 391504766 DURABLE MEDICAL EQUIPMENT, RETAIL PHARMACY, FITNESS WI N/A C 1 BELLIN INVESTMENTS INC PO BOX 23400 GREEN BAY WI 54305 391564939 OTHER WI N/A C 1 NARAYAN AMARNANI MD SC 725 S WEBSTER AVENUE GREEN BAY WI 54301 391325918 CLINIC WI N/A C 1 1 1 1 0 0 0 0 0 0 1 0 1 1 1 1 1 1 0 0