2013-07-24T13:33:17-05:00 2012-12-31 390758449 WIPFLI LLP PO BOX 12237 GREEN BAY WI 543072237 990 2012-01-01 391999260 NORTHREACH HEALTHCARE LLC NORT 7157322078 3100 SHORE DRIVE MARINETTE WI 54143 C MARK GREGSON 7157322078 2013-07-09 1 TERRI REXRODE CPA MST P00096513 9206620016 2013-07-09 2012 2016-02-24 21:20:13Z C MARK GREGSON 3100 SHORE DRIVE MARINETTE WI 54143 19322627 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. 9 4 227 0 0 0 3100000 4415000 13246413 14736973 -10853 313 113500 116016 16449060 19268302 0 0 0 0 11491126 13737405 0 0 0 5034095 5333402 16525221 19070807 -76161 197495 5294243 6817747 2207707 3533716 3086536 3284031 X NORTHREACH HEALTHCARE WILL BE THE LEADING PROVIDER OF COMPASSIONATE, HIGH QUALITY PRIMARY HEALTH CARE IN THE COMMUNITIES WE SERVE. 0 0 13901694 14735943 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 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. 13901694 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 53 0 1 227 1 0 0 0 0 0 0 0 0 0 0 X 9 4 0 0 0 0 1 0 0 1 1 0 0 0 1 1 1 1 1 1 0 0 X JILL BROWN 7157322078 3120 RIVERSIDE AVE MARINETTE WI 54143 ROBERT BARBER 40.00 X X 147835 0 16866 PAUL HAUPT 40.00 X 213042 0 25455 MARY GATZKE 40.00 X 158273 0 11078 SANDRA MACARTHUR 40.00 X 280048 0 46792 CHRIS WOLESKE 0.50 X 0 0 0 JOHN ROCHELEAU 0.50 X 0 0 0 DAN CARLSON 0.50 X 0 0 0 BETH GOETZMAN 40.00 X 282621 0 39145 ED HARDING 0.50 X 0 0 0 MICHAEL MASSEE 40.00 X 507635 0 43098 NICOLE HINIKER 40.00 X 231861 0 43668 LAURA ANKRUM 40.00 X 215769 0 38144 NEERAJANA GUPTA 40.00 X 298732 0 25663 JAMES OPOIEN 40.00 X 218106 0 45630 2553922 0 335539 24 0 1 0 BAY AREA MEDICAL CENTER 3100 SHORE DRIVE MARINETTE WI 54143 REFERENCE LAB AND INFORMATION TECHNOLOGY 389112 PRO ONE JANITORIAL 1101 ASHWAUBENON STREET GREEN BAY WI 54304 JANITORIAL SERVICES 101687 2 4415000 4415000 NET PATIENT SERVICE RE 621110 14736973 14735943 1030 14736973 313 313 170341 54325 116016 116016 116016 19268302 14735943 0 117359 1081818 933983 147835 9939699 7805579 2134120 283947 223190 60757 1815365 809379 1005986 616576 458480 158096 41684 17428 24256 1085623 596476 489147 87382 87382 1711368 1092795 618573 14851 14851 1031738 974683 57055 45675 16523 29152 22672 7061 15611 287 287 257559 243316 14243 186471 154239 32232 MISCELLANEOUS 373973 216882 157091 FASTCARE EXPENSES 186288 186288 PROVISION FOR BAD DEBTS 154004 154004 EMPLOYEE RECRUITMENT 58765 54986 3779 75062 55021 20041 19070807 13901694 5169113 0 536367 548945 2051652 2358999 163607 203397 324452 264675 5779466 3206074 1912318 2573392 0 548783 305847 319556 5294243 6817747 1901860 3150689 0 63471 305847 319556 2207707 3533716 X 3086536 3284031 3086536 3284031 5294243 6817747 197495 0 X X 0 1 X 1 0 X SCHEDULE 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. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 203082 203082 2042439 1057943 984496 304244 184461 119783 2639225 1891316 747909 590476 72354 518122 2573392 DEFERRED COMPENSATION 319556 319556 X 14907627 0 14907627 4360675 4360675 19268302 19125132 54325 54325 19070807 0 19070807 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. X 0 1 X X X 0 0 0 1 0 0 0 0 0 ROBERT BARBER 147061 0 0 0 774 0 3000 0 13866 0 164701 0 0 0 PAUL HAUPT 111656 0 100472 0 914 0 8556 0 16899 0 238497 0 0 0 MARY GATZKE 108344 0 35104 0 14825 0 6307 0 4771 0 169351 0 0 0 SANDRA MACARTHUR 205757 0 49213 0 25078 0 10000 0 36792 0 326840 0 0 0 BETH GOETZMAN 84219 0 137743 0 60659 0 10000 0 29145 0 321766 0 0 0 MICHAEL MASSEE 297035 0 142603 0 67997 0 10000 0 33098 0 550733 0 0 0 NICOLE HINIKER 97622 0 89190 0 45049 0 9380 0 34288 0 275529 0 0 0 LAURA ANKRUM 178202 0 23977 0 13590 0 3309 0 34835 0 253913 0 0 0 NEERAJANA GUPTA 298552 0 0 0 180 0 10000 0 15663 0 324395 0 0 0 JAMES OPOIEN 156598 0 36258 0 25250 0 9002 0 36628 0 263736 0 0 0 PART I, LINE 1B CEO WAS PROVIDED WITH AN APARTMENT, WHICH WAS OWNED BY BAY AREA MEDICAL CENTER. PART I, LINE 5 DR BRIODY'S COMPENSATION WAS BASED ON THE CLINIC'S NET REVENUE LESS CLINIC EXPENSES. 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. FORM 990, PART VI, SECTION B, LINE 15A A 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 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.