NORTHREACH HEALTHCARE LLC: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
NORTHREACH HEALTHCARE LLC (EIN 39-1999260)
Tax period
2012-01-01 to 2012-12-31
Filed
2013-07-24
IRS object ID
201302059349300905
Schema version
2012v2.1
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 ReturnHeader

FieldValueIRS element (for citing)
Timestamp2013-07-24T13:33:17-05:00Timestamp
Tax Period End Date2012-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

FieldValueIRS element (for citing)
EIN390758449EIN

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1WIPFLI LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 12237AddressLine1
CityGREEN BAYCity
StateWIState
ZIP Code543072237ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2012-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN391999260EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1NORTHREACH HEALTHCARE LLCBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlNORTNameControl
Phone7157322078Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line13100 SHORE DRIVEAddressLine1
CityMARINETTECity
StateWIState
ZIP Code54143ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameC MARK GREGSONName
TitleINTERIM CEOTitle
Phone7157322078Phone
Date Signed2013-07-09DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameTERRI REXRODE CPA MSTName
PTINP00096513PTIN
Phone9206620016Phone
Date Prepared2013-07-09DatePrepared
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonC MARK GREGSONNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line13100 SHORE DRIVEAddressLine1
CityMARINETTECity
StateWIState
ZIP Code54143ZIPCode
FieldValueIRS element (for citing)
Gross Receipts19322627GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.NORTHREACH.ORGWebSite
Type Of Organization OtherXTypeOfOrganizationOther
Type Of Org Other DescriptionLLCTypeOfOrgOtherDescription
Year Formation2000YearFormation
State Legal DomicileWIStateLegalDomicile
Activity Or Mission DescriptionTO PROVIDE HEALTH CARE SERVICES TO PATIENTS THROUGH CLINICS LOCATED IN NORTHEASTERN WISCONSIN AND UPPER MICHIGAN.ActivityOrMissionDescription
Nbr Voting Members Governing Body9NbrVotingMembersGoverningBody
Nbr Independent Voting Members4NbrIndependentVotingMembers
Total Nbr Employees227TotalNbrEmployees
Total Nbr Volunteers0TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year3100000ContributionsGrantsPriorYear
Contributions Grants Current Year4415000ContributionsGrantsCurrentYear
Program Service Revenue Prior Year13246413ProgramServiceRevenuePriorYear
Program Service Revenue CY14736973ProgramServiceRevenueCY
Investment Income Prior Year-10853InvestmentIncomePriorYear
Investment Income Current Year313InvestmentIncomeCurrentYear
Other Revenue Prior Year113500OtherRevenuePriorYear
Other Revenue Current Year116016OtherRevenueCurrentYear
Total Revenue Prior Year16449060TotalRevenuePriorYear
Total Revenue Current Year19268302TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year0GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year11491126SalariesEtcPriorYear
Salaries Etc Current Year13737405SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year5034095OtherExpensePriorYear
Other Expenses Current Year5333402OtherExpensesCurrentYear
Total Expenses Prior Year16525221TotalExpensesPriorYear
Total Expenses Current Year19070807TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-76161RevenuesLessExpensesPriorYear
Revenues Less Expenses CY197495RevenuesLessExpensesCY
Total Assets BOY5294243TotalAssetsBOY
Total Assets EOY6817747TotalAssetsEOY
Total Liabilities BOY2207707TotalLiabilitiesBOY
Total Liabilities EOY3533716TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY3086536NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY3284031NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionNORTHREACH HEALTHCARE WILL BE THE LEADING PROVIDER OF COMPASSIONATE, HIGH QUALITY PRIMARY HEALTH CARE IN THE COMMUNITIES WE SERVE.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense13901694Expense
Revenue14735943Revenue
DescriptionTO 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 2012, THERE WERE APPROXIMATELY 108,000 VISITS OVER THE COURSE OF THE YEAR. AT THE END OF 2012, NORTHREACH EMPLOYED APPROXIMATELY 30 HEALTHCARE PROVIDERS AND 170 SUPPORT STAFF. NORTHREACH IS COMMITTED TO THE HEALTH OF THE COMMUNITY AND DEMONSTRATES THAT COMMITMENT THRU ITS CHARITY CARE POLICY THRU WHICH APPROXIMATELY $91,000 OF SERVICES WERE PROVIDED AT FREE OR REDUCED COSTS TO INDIVIDUALS WHO WERE UNABLE TO PAY FOR SERVICES AND MET CERTAIN ELIGIBILITY CRITERIA.Description
Total Program Service Expense13901694TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities0LobbyingActivities
Subject To Proxy Tax0SubjectToProxyTax
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments0TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities0ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets0ReportOtherAssets
Report Other Liabilities1ReportOtherLiabilities
Report Fin48 Footnote0ReportFin48Footnote
Independent Audit Financial Stmt1IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt0ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities0FundraisingActivities
Gaming0Gaming
Hospital0Hospital
Grants To Organizations0GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required1ScheduleJRequired
Tax Exempt Bonds0TaxExemptBonds
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member0BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp0OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity0RelatedEntity
Related Org Controlled Entity0RelatedOrgControlledEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With109653NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees227NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income0UnrelatedBusinessIncome
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions0QuidProQuoContributions
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members9NbrVotingGoverningBodyMembers
Number Independent Voting Members4NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders1MembersOrStockholders
Election Of Board Members0ElectionOfBoardMembers
Decisions Subject To Approval0DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body0Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other0CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1JILL BROWNBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number7157322078TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line13120 RIVERSIDE AVEAddressLine1
CityMARINETTECity
StateWIState
ZIP Code54143ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (14 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationHighest Compensated EmployeeHighestCompensatedEmployee
ROBERT BARBER
CEO40.00XX147835016866
PAUL HAUPT
BOARD MEMBER / MD40.00X213042025455
MARY GATZKE
BOARD MEMBER / NP40.00X158273011078
SANDRA MACARTHUR
BOARD MEMBER / MD40.00X280048046792
CHRIS WOLESKE
BOARD MEMBER0.50X000
JOHN ROCHELEAU
BOARD MEMBER0.50X000
DAN CARLSON
BOARD MEMBER0.50X000
BETH GOETZMAN
BOARD MEMBER / NP40.00X282621039145
ED HARDING
BOARD MEMBER0.50X000
MICHAEL MASSEE
PHYSICIAN40.00507635043098X
NICOLE HINIKER
PHYSICIAN40.00231861043668X
LAURA ANKRUM
PHYSICIAN40.00215769038144X
NEERAJANA GUPTA
PHYSICIAN40.00298732025663X
JAMES OPOIEN
PHYSICIAN40.00218106045630X
FieldValueIRS element (for citing)
Total Reportable Comp From Org2553922TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation335539TotalOtherCompensation
Number Individuals GT100 K24NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation (2 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
BAY AREA MEDICAL CENTER
3100 SHORE DRIVEMARINETTEWI54143REFERENCE LAB AND INFORMATION TECHNOLOGY389112
PRO ONE JANITORIAL
1101 ASHWAUBENON STREETGREEN BAYWI54304JANITORIAL SERVICES101687
FieldValueIRS element (for citing)
Number Of Contractors GT100 K2NumberOfContractorsGT100K
All Other Contributions4415000AllOtherContributions
Total Contributions4415000TotalContributions

Program Service Revenue ProgramServiceRevenue

FieldValueIRS element (for citing)
DescriptionNET PATIENT SERVICE REDescription
Business Code621110BusinessCode
Total Revenue Column14736973TotalRevenueColumn
Related Or Exempt Function Income14735943RelatedOrExemptFunctionIncome
Exclusion$1,030ExclusionAmount
FieldValueIRS element (for citing)
Total Program Service Revenue14736973TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column313TotalRevenueColumn
Exclusion$313ExclusionAmount

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real170341Real

Less Rental Expenses LessRentalExpenses

FieldValueIRS element (for citing)
Real54325Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real116016Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column116016TotalRevenueColumn
Exclusion$116,016ExclusionAmount

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column19268302TotalRevenueColumn
Related Or Exempt Function Income14735943RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$117,359ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total1081818Total
Program Services933983ProgramServices
Management And General147835ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total9939699Total
Program Services7805579ProgramServices
Management And General2134120ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total283947Total
Program Services223190ProgramServices
Management And General60757ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total1815365Total
Program Services809379ProgramServices
Management And General1005986ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total616576Total
Program Services458480ProgramServices
Management And General158096ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total41684Total
Program Services17428ProgramServices
Management And General24256ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total1085623Total
Program Services596476ProgramServices
Management And General489147ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total87382Total
Program Services87382ProgramServices

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total1711368Total
Program Services1092795ProgramServices
Management And General618573ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total14851Total
Management And General14851ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total1031738Total
Program Services974683ProgramServices
Management And General57055ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total45675Total
Program Services16523ProgramServices
Management And General29152ManagementAndGeneral

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total22672Total
Program Services7061ProgramServices
Management And General15611ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total287Total
Program Services287ProgramServices

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total257559Total
Program Services243316ProgramServices
Management And General14243ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total186471Total
Program Services154239ProgramServices
Management And General32232ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
MISCELLANEOUS373973216882157091
FASTCARE EXPENSES186288186288
PROVISION FOR BAD DEBTS154004154004
EMPLOYEE RECRUITMENT58765549863779

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total75062Total
Program Services55021ProgramServices
Management And General20041ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total19070807Total
Program Services13901694ProgramServices
Management And General5169113ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY536367BOY
EOY548945EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY2051652BOY
EOY2358999EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY163607BOY
EOY203397EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY324452BOY
EOY264675EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis5779466LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec3206074LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY1912318BOY
EOY2573392EOY

Intangible Assets IntangibleAssets

FieldValueIRS element (for citing)
BOY0BOY
EOY548783EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY305847BOY
EOY319556EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY5294243BOY
EOY6817747EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY1901860BOY
EOY3150689EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY0BOY
EOY63471EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY305847BOY
EOY319556EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY2207707BOY
EOY3533716EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY3086536BOY
EOY3284031EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY3086536BOY
EOY3284031EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY5294243BOY
EOY6817747EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses197495ReconcilationRevenueExpenses
Reconcilation Other Changes0ReconcilationOtherChanges
Info In Schedule O Part XIIXInfoInScheduleOPartXII
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited

FS Audited Basis FSAuditedBasis

FieldValueIRS element (for citing)
Financial Statement SeparateXFinancialStatementSeparate
FieldValueIRS element (for citing)
Audit Committee1AuditCommittee
Federal Grant Audit Required0FederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Hospital170b1 AiiiXHospital170b1Aiii
General ExplanationSCHEDULE A, PART IV, SUPPLEMENTAL INFORMATION: 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.GeneralExplanation

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule D IRS990ScheduleD

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis203082OtherCostOrOtherBasis
Book Value203082BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis2042439OtherCostOrOtherBasis
Depreciation1057943Depreciation
Book Value984496BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis304244OtherCostOrOtherBasis
Depreciation184461Depreciation
Book Value119783BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis2639225OtherCostOrOtherBasis
Depreciation1891316Depreciation
Book Value747909BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis590476OtherCostOrOtherBasis
Depreciation72354Depreciation
Book Value518122BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings2573392TotalOfBookValueLandBuildings

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
DescriptionDEFERRED COMPENSATIONDescription
Amount$319,556Amount
FieldValueIRS element (for citing)
Total Of Amounts319556TotalOfAmounts
Footnote In Part XIIIXFootnoteInPartXIII
Tot Revenue Etc Audited Fincl Stmt14907627TotRevenueEtcAuditedFinclStmt
Revenue Not Rptd F9900RevenueNotRptdF990
Revenue Subtotal14907627RevenueSubtotal
Other Revenues Not Included4360675OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt4360675RevenueNotRptdOnFinStmt
Total Revenue Per Form99019268302TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt19125132TotExpensesEtcAuditedFinclStmt
Other Expenses Included54325OtherExpensesIncluded
Expenses Not Rptd F99054325ExpensesNotRptdF990
Expenses Subtotal19070807ExpensesSubtotal
Expenses Not Rptd On Fin Stmt0ExpensesNotRptdOnFinStmt
Total Expenses Per Form99019070807TotalExpensesPerForm990

Form990 Schedule D Part XIII Form990ScheduleDPartXIII (3 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48:PART X, LINE 2:NORTHREACH'S FEDERAL TAX RETURNS FOR TAX YEARS 2009 AND BEYOND REMAIN SUBJECT TO EXAMINATION BY THE INTERNAL REVENUE SERVICE.
PART XI, LINE 4B - OTHER ADJUSTMENTS:RENTAL EXPENSE -54,325. OWNER CONTRIBUTIONS 4,415,000.
PART XII, LINE 2D - OTHER ADJUSTMENTS:RENTAL EXPENSE 54,325.

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Housing Allowance Or ResidenceXHousingAllowanceOrResidence
Written Policy Re T And E Expenses0WrittenPolicyReTAndEExpenses
Substantiation Required1SubstantiationRequired
Independent ConsultantXIndependentConsultant
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance Payment0SeverancePayment
Supplemental Nonqual Retire Plan0SupplementalNonqualRetirePlan
Equity Based Comp Arrangement0EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org1CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs0CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org0CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs0CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments0AnyNonFixedPayments
Initial Contract Exception0InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (10 entries)

TitleTitleBase Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
ROBERT BARBER
CEO147061000774030000138660164701000
PAUL HAUPT
BOARD MEMBER / MD11165601004720914085560168990238497000
MARY GATZKE
BOARD MEMBER / NP10834403510401482506307047710169351000
SANDRA MACARTHUR
BOARD MEMBER / MD2057570492130250780100000367920326840000
BETH GOETZMAN
BOARD MEMBER / NP8421901377430606590100000291450321766000
MICHAEL MASSEE
PHYSICIAN29703501426030679970100000330980550733000
NICOLE HINIKER
PHYSICIAN97622089190045049093800342880275529000
LAURA ANKRUM
PHYSICIAN178202023977013590033090348350253913000
NEERAJANA GUPTA
PHYSICIAN2985520001800100000156630324395000
JAMES OPOIEN
PHYSICIAN156598036258025250090020366280263736000

Form990 Schedule J Part III Form990ScheduleJPartIII (2 entries)

Return ReferenceReturnReferenceExplanationExplanation
PART I, LINE 1BCEO WAS PROVIDED WITH AN APARTMENT, WHICH WAS OWNED BY BAY AREA MEDICAL CENTER.
PART I, LINE 5DR BRIODY'S COMPENSATION WAS BASED ON THE CLINIC'S NET REVENUE LESS CLINIC EXPENSES.

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (6 entries)

Return ReferenceReturnReferenceExplanationExplanation
FORM 990, PART VI, SECTION A, LINE 6NORTHREACH 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 11THE 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 12CEACH 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.
FORM 990, PART VI, SECTION B, LINE 15AA REVIEW 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. THERE ARE NO OFFICERS OR KEY EMPLOYEES OTHER THAN THE CEO.
FORM 990, PART VI, SECTION C, LINE 19GOVERNING DOCUMENTS AND FINANCIAL STATEMENTS ARE NOT MADE AVAILABLE TO THE PUBLIC.
FORM 990, PART XII, LINE 2CTHE 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.

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