2014-11-13T15:37:25-06:00 2014-06-30 390758449 WIPFLI LLP PO BOX 12237 GREEN BAY WI 543072237 990 2013-07-01 391620530 BELLIN COLLEGE INC BELL 9204336631 3201 EATON ROAD GREEN BAY WI 54311 CONNIE BOERST PRESIDENT 9204336631 2014-11-06 1 TERRI REXRODE CPA MST P00096513 9206620016 2014-11-06 2013 2015-11-30 17:44:51Z CONNIE BOERST 3201 EATON ROAD GREEN BAY WI 54311 12204047 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 INDIVDUALS, AND ARE COMMITTED TO ADVANCING THE PROFESSION. THE COLLEGE GRADUATED 72 STUDENTS WITH THEIR BACHELOR OF SCIENCE NURSING DEGREE, 9 STUDENTS WITH THEIR BACHELOR OF RADIOLOGICAL SCIENCE DEGREE, AND 6 STUDENTS WITH THEIR MASTERS IN NURSING DURING THE YEAR. 17 14 97 16 0 0 1309451 1055357 6763388 7558536 894906 927421 0 -3412 8967745 9537902 485474 686426 0 0 4350733 4472009 0 0 223763 1917081 2435441 6753288 7593876 2214457 1944026 30138053 33175907 3668168 3263656 26469885 29912251 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 5301777 686426 7224105 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. 5301777 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 1 412 0 97 1 0 0 0 0 0 1 1 0 0 0 0 X 17 14 0 0 0 0 0 0 0 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 GERALD CONDON JR 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 459411 29540 DR WILLIAM J WITTMAN BOARD MEMBER 1.00 40.00 X 0 296028 22524 KAREN BRUKARDT BOARD MEMBER 1.00 X 0 0 0 CINDY DEHN BOARD MEMBER 1.00 X 0 0 0 BRANNON GUYETTE BOARD MEMBER 1.00 X 0 0 0 JON P MOREAU BOARD MEMBER 1.00 X 0 0 0 DONALD SALMON BOARD MEMBER 1.00 X 0 0 0 TERRY FULWILER MEMBER AT-LARGE 1.00 X 0 0 0 DR HERB COUSSONS BOARD MEMBER 1.00 X 0 0 0 CONNIE BOERST PRESIDENT 40.00 X X 156695 0 28617 THOMAS PRUST VICE CHAIRPERSON 1.00 X X 0 0 0 KATHLEEN RILEY BOARD MEMBER 1.00 X 0 0 0 ROBERT CLAUSEN CHAIRPERSON 1.00 X X 0 0 0 DR FERGUS HUGHES TREASURER 1.00 X X 0 0 0 MIKE VAN ASTEN SECRETARY 1.00 X X 0 0 0 JOSEPH KEEBAUGH FORMER VP OF BUSINESS AND FINANCE 40.00 X 81528 0 20293 GINGER KRUMMEN SCHRAVEN VP OF BUSINESS AND FINANCE 40.00 X 64339 0 3703 302562 755439 104677 1 0 1 0 0 64257 991100 1055357 STUDENT TUITION & FEES 611710 7224105 7224105 LIBRARY 611710 321146 321146 OTHER REVENUE 611710 13285 13285 7558536 452901 452901 610 0 610 610 610 3107202 2630796 1886 476406 -1886 474520 474520 27236 64257 33463 -6227 -6227 2205 0 2205 2205 9537902 7224105 0 1258440 686426 686426 287133 287133 3416607 2620351 668549 127707 154168 124123 26093 3952 335948 270959 48177 16812 278153 191377 77054 9722 2297 2297 38195 38195 68135 68135 215409 34264 181145 100385 99545 840 651366 542347 90656 18363 65812 65812 102975 74652 25234 3089 39169 17109 20687 1373 36242 15089 7403 13750 68031 49663 16327 2041 851026 621249 204246 25531 20180 14935 4662 583 DUES & SUBSCRIPTIONS 118452 1936 116516 GRADUATION & EVENTS 20467 20467 BAD DEBT 10143 10143 27157 16830 10327 7593876 5301777 2068336 223763 719770 1030789 3077363 2503121 82537 116786 109794 56830 70160 131074 14502258 3503256 11075357 10999002 14983267 18325935 19805 12370 30138053 33175907 372079 483355 298023 354062 2906908 2317872 91158 108367 3668168 3263656 X 15925523 18058627 1463702 2157639 9080660 9695985 26469885 29912251 30138053 33175907 1944026 1498340 0 X 0 1 X 0 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 10675444 615325 961810 -221179 12031400 9734476 613521 524078 -196631 10675444 9314126 75888 -15559 -195682 555703 9734476 8544936 223013 587832 -56282 14627 9314126 8454481 86510 292145 -30672 -257528 8544936 0.03000 0.81000 0.16000 0 0 1157910 1157910 6882914 1157310 5725604 472772 243692 229080 5982133 2102254 3879879 6529 6529 10999002 DUE TO AFFILIATE 108367 108367 X 10680424 1498340 -68135 1430205 9250219 287683 287683 9537902 7238058 -287683 -287683 7525741 68135 68135 7593876 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, 2014 AND 2013. THE COLLEGE'S FEDERAL TAX RETURNS FOR THE YEARS 2011 AND BEYOND REMAIN SUBJECT TO EXAMINATION BY THE APPLICABLE TAXING AUTHORITIES. PART XI, LINE 2D - OTHER ADJUSTMENTS: INVESTMENT EXPENSES -68,135. PART XI, LINE 4B - OTHER ADJUSTMENTS: SPECIAL EVENT EXPENSE -33,463. LIBRARY INTERCOMPANY CHARGES 321,146. PART XII, LINE 2D - OTHER ADJUSTMENTS: SPECIAL EVENTS EXPENSE 33,463. LIBRARY INTERCOMPANY CHARGES -321,146. PART XII, LINE 4B - OTHER ADJUSTMENTS: INVESTMENT EXPENSES 68,135. 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 OPPERATING 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 91493 64257 27236 33463 91493 64257 27236 33463 33463 -6227 1 BELLIN COLLEGE SCHOLARSHIP 100 290717 BOARD ENDOWMENT 15 14352 BOARD CURRENT 19 25345 NISHIOKA 1 1000 CURRENT SCHOLARSHIPS 110 121747 ENDOWED SCHOLARSHIP 158 192597 GROENDAHL 1 865 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 430687 0 0 0 28724 0 13554 0 15986 0 488951 0 0 DR WILLIAM J WITTMAN BOARD MEMBER 0 220670 0 74584 0 774 0 6538 0 15986 0 318552 0 0 CONNIE BOERST PRESIDENT 148925 0 7500 0 270 0 10451 0 18166 0 185312 0 0 0 A VILLAGE OF BELLEVUE WISCONSIN 391223437 2013-07-11 2906908 REFINANCE 0 0 0 A 589036 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 CT SCANNER 1 220000 FAIR VALUE 0 0 0 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 UNITY LIMITED PARTNERSHIP 2366 OAK RIDGE CIRCLE DE PERE WI 54115 391750729 HOSPICE, PALLIATIVE & BEREAVEMENT SERVICES WI 501(C)(3) LINE 9 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 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 BELLIN MEMORIAL HOSPITAL P 321147 ACTUAL BELLIN HEALTH SYSTEMS INC Q 314397 ACTUAL BELLIN HEALTH SYSTEMS INC P 169348 ACTUAL