2015-11-12T10:44:40-06:00 2015-06-30 390758449 WIPFLI LLP PO BOX 12237 GREEN BAY WI 543072237 990 2014-07-01 391620530 BELLIN COLLEGE INC BELL 9204336631 3201 EATON ROAD GREEN BAY WI 54311 CONNIE BOERST PRESIDENT 9204336631 2015-11-06 1 TERRI REXRODE CPA MST P00096513 9206620016 2015-11-06 2014 2016-02-25 16:41:14Z CONNIE BOERST 3201 EATON ROAD GREEN BAY WI 54311 18792490 0 X WWW.BELLINCOLLEGE.EDU X 1988 WI BELLIN COLLEGE, INC. IS DEDICATED TO PRODUCING HEALTH CARE PROFESSIONALS FOR NURSING AND RADIOLOGIC SCIENCES. 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, AND A MASTER OF SCIENCE IN NURSING. OUR GRADUATES ARE PREPARED TO ADDRESS THE HEALTH CARE NEEDS OF A DIVERSE, GLOBAL SOCIETY AND ITS INDIVIDUALS, AND ARE COMMITTED TO ADVANCING THE PROFESSION. THE COLLEGE GRADUATED 86 STUDENTS WITH THEIR BACHELOR OF SCIENCE NURSING DEGREE, 11 STUDENTS WITH THEIR BACHELOR OF RADIOLOGICAL SCIENCE DEGREE, AND 13 STUDENTS WITH THEIR MASTERS IN NURSING DURING THE YEAR. 16 14 103 16 0 0 1055357 1352195 7558536 8540659 927421 1309106 -3412 2100 9537902 11204060 686426 1255003 0 0 4472009 4829948 0 0 370105 2435441 2419413 7593876 8504364 1944026 2699696 33175907 34890175 3263656 3186472 29912251 31703703 X BELLIN COLLEGE, INC. 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 6184241 1255003 8200403 BELLIN COLLEGE, INC. IS A NONSTOCK, NONPROFIT FOUR-YEAR TEACHING INSTITUTION FOR STUDENTS PURSUING A BACHELOR OF SCIENCE OR MASTER'S DEGREE IN NURSING OR A BACHELOR OF SCIENCE IN RADIOLOGIC SCIENCES. 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 OF RADIOLOGIC SCIENSES 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. 6184241 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 1 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 1 1 1 0 0 1 429 0 103 1 0 0 0 0 0 1 1 0 0 0 0 X 16 14 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 DR FERGUS HUGHES CHAIRPERSON 1.00 X X 0 0 0 BRANNON GUYETTE VICE CHAIRPERSON 1.00 X X 0 0 0 TOM PRUST TREASURER 1.00 X X 0 0 0 MIKE VAN ASTEN SECRETARY 1.00 X X 0 0 0 TERRY FULWILER MEMBER AT LARGE 1.00 X X 0 0 0 ROBERT CLAUSEN CHAIRPERSON, EX-OFFICIO 1.00 X X 0 0 0 KAREN BRUKARDT 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 BOARD MEMBER 1.00 X 0 0 0 GEORGE KERWIN BOARD MEMBER 1.00 40.00 X 0 847178 34169 JON P MOREAU BOARD MEMBER 1.00 X 0 0 0 DONALD SALMON BOARD MEMBER 1.00 X 0 0 0 WILLIAM J WITTMAN MD BOARD MEMBER 1.00 40.00 X 0 294847 20892 KATHLEEN RILEY BOARD MEMBER 1.00 X 0 0 0 DR CONNIE J BOERST PERSIDENT 40.00 X 170136 0 29728 GINGER KRUMMAN SCHRAVEN VP OF BUSINESS AND FINANCE 40.00 X 52750 27661 4748 222886 1169686 89537 1 0 1 0 0 57855 654745 639595 1352195 STUDENT TUTIION & FEES 611710 8200403 8200403 LIBRARY 611710 329760 329760 OTHER REVENUE 611710 10496 10496 8540659 588804 588804 8254551 7518103 16146 736448 -16146 720302 720302 54181 57855 54181 0 2100 0 2100 2100 11204060 8200403 0 1651462 1255003 1255003 259151 259151 3762119 2932798 669837 159484 176524 144137 27450 4937 323710 248245 61363 14102 308444 217225 79938 11281 6083 6083 41443 41443 78976 78976 167785 33740 134045 112066 45 112021 586475 515715 58395 12365 156974 156974 105463 76687 25612 3164 44992 26772 14135 4085 51222 20508 9805 20909 51576 37650 12379 1547 851108 621309 204266 25533 24516 18421 5418 677 DUES & SUBSCRIPTIONS 91334 91334 GRADUATION & EVENTS 28624 28624 20776 7407 13369 8504364 6184241 1950018 370105 1030789 1409790 2503121 783283 116786 83735 56830 54888 131074 247250 16364068 4346584 10999002 12017484 18325935 20284468 12370 9277 33175907 34890175 483355 630120 354062 446924 2317872 1711490 108367 397938 3263656 3186472 X 18058627 19526460 2157639 2025470 9695985 10151773 29912251 31703703 33175907 34890175 2699696 -908244 0 X 0 1 X 0 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 12031400 455788 121561 283267 12325482 10675444 615325 961810 -221179 12031400 9734476 613521 524078 -196631 10675444 9314126 75888 -15559 -195682 555703 9734476 8544936 223013 587832 -56282 14627 9314126 0.03000 0.82000 0.15000 0 0 1157910 1157910 7561336 1390684 6170652 501318 295759 205559 7133937 2660141 4473796 9567 9567 12017484 DUE TO AFFILIATE 397938 397938 X 9941261 -908244 -78976 -987220 10928481 275579 275579 11204060 8149809 -275579 -275579 8425388 78976 78976 8504364 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 LIKELY 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, 2015 AND 2014. THE COLLEGE'S FEDERAL TAX RETURNS FOR THE YEARS 2012 AND BEYOND REMAIN SUBJECT TO EXAMINATION BY THE APPLICABLE TAXING AUTHORITIES. PART XI, LINE 2D - OTHER ADJUSTMENTS: INVESTMENT EXPENSES -78,976. PART XI, LINE 4B - OTHER ADJUSTMENTS: SPECIAL EVENT EXPENSE -54,181. LIBRARY INTERCOMPANY CHARGES 329,760. PART XII, LINE 2D - OTHER ADJUSTMENTS: SPECIAL EVENTS EXPENSE 54,181. LIBRARY INTERCOMPANY CHARGES -329,760. PART XII, LINE 4B - OTHER ADJUSTMENTS: INVESTMENT EXPENSES 78,976. 1 0 0 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 112036 57855 54181 54181 112036 57855 54181 54181 54181 0 1 BC BOARD OF TRUSTEE PRESIDENTIAL SCHP 120 421532 BC MERIT SCHOLARSHIP 71 133085 BC NEED BASED SCHOLARSHIP 163 200000 BOARD CURRENT SCHOLARSHIPS 13 39750 CURRENT SCHOLARSHIPS 95 178618 BOARD ENDOWED SCHOLARSHIPS 7 17000 ENDOWED SCHOLARSHIPS 119 252818 NISHIOKA 3 3000 GROENDAHL 3 9200 PART I, LINE 2: MOST GRANTS AND SCHOLARHSIPS ADMINISTERED BY BELLIN COLLEGE ARE AWARDED BASED ON FINANCIAL NEED; SOME HAVE ADDITIONAL ELIGIBILITY REQUIREMENTS SET BY DONORS OR OTHER ENTITIES. 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 499437 0 305100 0 42641 0 18141 0 16028 0 881347 0 0 WILLIAM J WITTMAN MD BOARD MEMBER 0 222927 0 70732 0 1188 0 7364 0 13528 0 315739 0 0 DR CONNIE J BOERST PERSIDENT 155077 0 8500 0 6559 0 11521 0 18207 0 199864 0 0 0 A VILLAGE OF BELLEVUE WISCONSIN 391223437 2013-07-11 2906908 REFINANCE 0 0 0 A 1195418 2906908 2906908 2009 1 0 1 1 A 0 0 0 0 1 0 1 A 0 1 0 0 1 0 0 0 1 A 1 FORM 990, SCHEDULE K, PART VI THE REBATE CALCULATION IS NOT YET DUE. X 3 127556 FAIR MARKET VALUE 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 DIRECTORS 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 11 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 11B, 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 11B, 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 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 0 BELLIN INVESTMENTS INC PO BOX 23400 GREEN BAY WI 54305 391564939 OTHER WI N/A C 0 0 1 1 0 0 0 0 0 0 0 0 1 1 1 1 1 1 0 0 BELLIN MEMORIAL HOSPITAL P 297638 ACTUAL BELLIN MEMORIAL HOSPITAL Q 329760 ACTUAL BELLIN HEALTH SYSTEMS INC P 191375 ACTUAL BELLIN MEMORIAL HOSPITAL C 714845 ACTUAL