2014-10-10T06:28:27-05:00 2013-12-31 390758449 WIPFLI LLP PO BOX 12237 GREEN BAY WI 543072237 990 2013-01-01 391999260 NORTHREACH HEALTHCARE LLC NORT 7157322078 3100 SHORE DRIVE MARINETTE WI 54143 CHRISTINE WOLESKE EXECUTIVE VICE PRESIDENT 7157322078 2014-10-10 1 TERRI REXRODE CPA MST P00096513 9206620016 2014-10-10 2013 2015-11-30 17:44:51Z CHRISTINE WOLESKE 3100 SHORE DRIVE MARINETTE WI 54143 20263140 0 X WWW.NORTHREACH.ORG X LLC 2000 WI TO PROVIDE HEALTH CARE SERVICES TO PATIENTS THROUGH CLINICS LOCATED IN NORTHEASTERN WISCONSIN AND UPPER MICHIGAN. 8 4 227 0 0 0 4415000 7100000 14736973 13135126 313 -234 116016 16215 19268302 20251107 0 0 0 0 13737405 13191147 0 0 0 5333402 5959023 19070807 19150170 197495 1100937 6817747 6611361 3533716 2226393 3284031 4384968 X NORTHREACH HEALTHCARE WILL BE THE LEADING PROVIDER OF COMPASSIONATE, HIGH QUALITY PRIMARY HEALTH CARE IN THE COMMUNITIES WE SERVE. 0 0 14351809 13122044 TO PROVIDE CLINICAL HEALTH CARE SERVICES THROUGH HEALTH CARE PROFESSIONALS PRACTICING PRIMARILY IN PRIMARY CARE SPECIALTIES. NORTHREACH PROVIDES SERVICE TO MARINETTE COUNTY, MENOMINEE COUNTY, AND THE SURROUNDING AREAS. NORTHREACH IS A PRIMARY CARE ORGANIZATION WITH SERVICE LINES OF FAMILY PRACTICE, OB/GYN, PEDIATRICS, AND INTERNAL MEDICINE. IN 2013, THERE WERE APPROXIMATELY 95,000 VISITS OVER THE COURSE OF THE YEAR. AT THE END OF 2013, NORTHREACH EMPLOYED APPROXIMATELY 26 HEALTHCARE PROVIDERS AND 150 SUPPORT STAFF. NORTHREACH IS COMMITTED TO THE HEALTH OF THE COMMUNITY AND DEMONSTRATES THAT COMMITMENT THRU ITS CHARITY CARE POLICY THRU WHICH APPROXIMATELY $84,000 OF SERVICES WERE PROVIDED AT FREE OR REDUCED COSTS TO INDIVIDUALS WHO WERE UNABLE TO PAY FOR SERVICES AND MET CERTAIN ELIGIBILITY CRITERIA. 14351809 1 1 0 0 0 0 0 0 0 0 1 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 30 0 227 1 0 0 0 0 0 0 0 0 0 0 X 8 4 0 0 0 0 1 0 0 1 1 0 0 0 1 1 1 1 1 1 0 0 WI X JILL BROWN 7157322078 3120 RIVERSIDE AVE MARINETTE WI 54143 ROBERT BARBER FORMER CEO 40.00 X X 148291 0 7761 PAUL HAUPT DO BOARD MEMBER 40.00 X 270178 0 36658 MARY GATZKE BOARD MEMBER 40.00 X 175012 0 8760 SANDRA MACARTHUR MD BOARD MEMBER 40.00 X 314183 0 41441 CHRIS WOLESKE BOARD MEMBER 0.50 X 0 0 0 JOHN ROCHELEAU BOARD MEMBER 0.50 X 0 0 0 DAN CARLSON BOARD MEMBER 0.50 X 0 0 0 BETH GOETZMAN BOARD MEMBER 40.00 X 259245 0 41166 ED HARDING BOARD MEMBER 0.50 X 0 0 0 C MARK GREGSON INTERIM CEO 40.00 X X 181600 0 0 JILL BROWN ADMINISTRATIVE SERVICES DIRECTOR 40.00 X 74859 0 6870 MICHAEL MASSEE PHYSICIAN 40.00 X 483787 0 39876 THOMAS MACK PHYSICIAN 40.00 X 289089 0 25780 PAWNEET SINGH PHYSICIAN 40.00 X 289365 0 16236 HAROLD CRISSINGER PHYSICIAN 40.00 X 260115 0 31429 JEFFREY URBAN PHYSICIAN 40.00 X 245422 0 25117 2991146 0 281094 24 0 1 0 BELLIN MEDICAL GROUP 744 S WEBSTER AVE PO BOX 23400 GREEN BAY WI 54305 IT, WELLNESS, AND NURSE TRIAGE 1006095 BAY AREA MEDICAL CENTER 3100 SHORE DRIVE MARINETTE WI 54143 REFERENCE LAB AND INFORMATION TECHNOLOGY 594590 JACKSON & COKER LOCUM TENENS LLC PO BOX 277638 ATLANTA GA 30384 LOCUM TENENS PHYSICIANS 537207 HBL HEALTHCARE 4235 S BANDIT RD GILBERT AZ 85297 CEO CONSULTING 181600 COMPHEALTH ASSOCIATES INC PO BOX 972651 DALLAS TX 75397 LOCUM TENENS PHYSICIANS 176419 11 7100000 7100000 NET PATIENT SERVICE REVENUE 621110 12989290 12976208 13082 AFFILATE RENTS 621110 145836 145836 13135126 144 144 23280 7065 16215 16215 16215 4590 4968 -378 -378 -378 20251107 13122044 0 29063 1471155 1057491 413664 9121141 7276007 1845134 284231 221486 62745 1670906 829624 841282 643714 489609 154105 43136 30400 12736 1399252 894335 504917 62198 62198 1614846 985657 629189 13493 13493 1095330 1040071 55259 46419 14204 32215 26639 13379 13260 302 302 393400 378158 15242 187981 153714 34267 PROVISION FOR BAD DEBTS 135415 135415 FASTCARE EXPENSES 83907 83907 EMPLOYEE RECRUITMENT 67280 65556 1724 DUES AND SUBSCRIPTIONS 37777 23967 13810 751648 680236 71412 19150170 14351809 4798361 0 548945 511877 2358999 1817393 203397 208728 264675 242130 6484938 3492711 2573392 2992227 548783 541466 319556 297540 6817747 6611361 3150689 1879899 63471 48954 319556 297540 3533716 2226393 X 3284031 4384968 3284031 4384968 6817747 6611361 1100937 0 X X 0 1 X 1 0 X SCHEDULE A REFERENCE NORTHREACH HEALTHCARE, LLC IS A NONPROFIT, LIMITED LIABILITY COMPANY THAT PROVIDES HEALTH CARE SERVICES THROUGH CLINICS LOCATED IN NORTHEASTERN WISCONSIN AND MICHIGAN. ITS EXEMPT STATUS WAS APPROVED UNDER IRC 509(A) (1) AND 170(B) (1) (A) (III). IT IS NOT REQUIRED TO BE LICENSED AS A HOSPITAL AND THEREFORE IS NOT REQUIRED TO COMPLETE SCHEDULE H. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 203082 203082 2042439 1154701 887738 316759 202853 113906 3835367 2060741 1774626 87291 74416 12875 2992227 DEFERRED COMPENSATION 297540 297540 X 13158171 0 13158171 7092936 7092936 20251107 19157234 7064 7064 19150170 0 19150170 PART X, LINE 2: NORTHREACH'S FEDERAL TAX RETURNS FOR TAX YEARS 2010 AND BEYOND REMAIN SUBJECT TO EXAMINATION BY THE INTERNAL REVENUE SERVICE. PART XI, LINE 4B - OTHER ADJUSTMENTS: RENTAL EXPENSE -7,064. OWNER CONTRIBUTIONS 7,100,000. RENTAL EXPENSE PART XII, LINE 2D - OTHER ADJUSTMENTS: RENTAL EXPENSE 7,064. X 0 1 X X X 1 0 0 1 0 0 0 0 0 ROBERT BARBER FORMER CEO 54811 0 0 0 93480 0 2319 0 5442 0 156052 0 0 0 PAUL HAUPT DO BOARD MEMBER 190040 0 63767 0 16371 0 10200 0 26458 0 306836 0 0 0 MARY GATZKE BOARD MEMBER 110532 0 45376 0 19104 0 6971 0 1789 0 183772 0 0 0 SANDRA MACARTHUR MD BOARD MEMBER 292210 0 9012 0 12961 0 10200 0 31241 0 355624 0 0 0 BETH GOETZMAN BOARD MEMBER 100297 0 93950 0 64998 0 10200 0 30966 0 300411 0 0 0 C MARK GREGSON INTERIM CEO 181600 0 0 0 0 0 0 0 0 0 181600 0 0 0 MICHAEL MASSEE PHYSICIAN 266180 0 143774 0 73833 0 10200 0 29676 0 523663 0 0 0 THOMAS MACK PHYSICIAN 187752 0 66041 0 35296 0 10200 0 15580 0 314869 0 0 0 PAWNEET SINGH PHYSICIAN 190795 0 65202 0 33368 0 0 0 16236 0 305601 0 0 0 HAROLD CRISSINGER PHYSICIAN 167966 0 75154 0 16995 0 10200 0 21229 0 291544 0 0 0 JEFFREY URBAN PHYSICIAN 160209 0 66897 0 18316 0 10142 0 14975 0 270539 0 0 0 PART I, LINE 1B CEO WAS PROVIDED WITH AN APARTMENT, WHICH WAS OWNED BY BAY AREA MEDICAL CENTER. PART I, LINE 4A BOB BARBER, CEO - $90,625 PART I, LINE 5 SOME PHYSICIANS AND NURSE PRACTITIONERS ARE PAID A PRODUCTIVITY BONUS BASED ON THEIR GROSS MEDICAL/PROFESSIONAL CHARGES. FORM 990, PART VI, SECTION A, LINE 6 NORTHREACH CONSISTS OF TWO MEMBERS: BELLIN MEMORIAL HOSPITAL, INC. AND BAY AREA MEDICAL CENTER, INC. THE BOARD OF DIRECTORS HAS INDIVIDUALS FROM NORTHREACH HEALTHCARE, BAY AREA MEDICAL CENTER AND BELLIN MEMORIAL HOSPITAL. BELLIN MEMORIAL HOSPITAL AND BAY AREA MEDICAL CENTER ARE MEMBERS OF NORTHREACH HEALTHCARE. FORM 990, PART VI, SECTION B, LINE 11 THE 990 IS REVIEWED BY ACCOUNTING STAFF. IN ADDITION A COPY OF THE FORM 990 IS DISTRIBUTED AND REVIEWED BY A SUBSET OF THE BOARD OF DIRECTORS THAT IS CREATED SPECIFICALLY FOR THE PURPOSE OF FORM 990 REVIEW AND APPROVAL. AFTER APPROVAL, IT IS ELECTRONICALLY FILED WITH THE IRS. FORM 990, PART VI, SECTION B, LINE 12C EACH DIRECTOR, OFFICER AND COMMITTEE MEMBER SHALL DISCLOSE TO THE BOD OR TO THE OTHER MEMBERS OF ANY COMMITTEE CONSIDERING A PROPOSED TRANSACTION OR ARRANGEMENT, THE EXISTENCE OF ANY FINANCIAL INTEREST AND ALL MATERIAL FACTS SUCH PERSON MAY HAVE WITH RESPECT TO SUCH PROPOSED TRANSACTION OR ARRANGEMENT. EACH DIRECTOR, OFFICER AND COMMITTEE MEMBER SHALL PROMPTLY MAKE DISCLOSURES AS MAY BE NECESSARY TO KEEP THE BOARD OR COMMITTEE FULLY APPRISED OF SUCH PERSON'S FINANCIAL INTERESTS. DISCLOSURE SHALL ALSO BE ACCOMPLISHED ON AN ANNUAL BASIS BY HAVING EACH DIRECTOR AND PRINCIPAL OFFICER EXECUTE AND DELIVER TO THE COMPANY A CERTIFICATE REGARDING CONFLICTS OF INTEREST. IF A CONFLICT DOES ARISE, THE RESPONSE IS DEPENDENT UPON THE CIRCUMSTANCES AND IS RESPONDED TO IN ACCORDANCE WITH THE CONFLICT OF INTEREST POLICY. FORM 990, PART VI, SECTION B, LINE 15A A REVEIW IS PERFORMED BY BELLIN HUMAN RESOURCE STAFF AND APPROVED BY BELLIN AND BAY AREA MEDICAL CENTER. BENCHMARK DATA IS STUDIED FOR SIMILAR POSITIONS AND CONSIDERED (ALONG WITH PERFORMANCE) WHEN DETERMINING THE COMPENSATION AND ANY PAY INCREASES AND/OR BONUS PAYMENTS. THE COMPENSATION, PAY INCREASE, OR BONUS IS APPROVED BY THE CEOS OF THE TWO OWNERS (BAY AREA MEDICAL CENTER AND BELLIN). THE INFORMATION IS DOCUMENTED AND THE DECISIONS ARE MADE BY INDIVIDUALS WHO DO NOT HAVE A CONFLICT OF INTEREST. FORM 990, PART VI, SECTION C, LINE 19 GOVERNING DOCUMENTS AND FINANCIAL STATEMENTS ARE NOT MADE AVAILABLE TO THE PUBLIC. FORM 990, PART XII, LINE 2C THE BOARD OF DIRECTORS IS RESPONSIBLE FOR THE OVERSIGHT OF THE AUDIT. THE BOARD OF DIRECTORS RECEIVES A REPORT FROM THE INDEPENDENT AUDITORS UPON THE COMPLETION OF THE AUDIT. THE PROCESS HAS NOT CHANGED FROM LAST YEAR.