BMC - WIND DOWN: Form 990, tax year 2011
View the entire original 990 at ProPublica ↗
- Organization
- BMC - WIND DOWN (EIN 38-2124042)
- Tax period
- 2011-07-01 to 2012-06-30
- Filed
- 2013-05-15
- IRS object ID
- 201321359349307077
- Schema version
- 2011v1.5
- 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2013-05-15T14:50:42-05:00 | Timestamp |
| Tax Period End Date | 2012-06-30 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 390758449 | EIN |
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | WIPFLI LLP | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 12237 | AddressLine1 |
| City | GREEN BAY | City |
| State | WI | State |
| ZIP Code | 543072237 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2011-07-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 382124042 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BELL MEDICAL CENTER | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | BELL | NameControl |
| Phone | 9064864431 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 901 LAKESHORE DRIVE | AddressLine1 |
| City | ISHPEMING | City |
| State | MI | State |
| ZIP Code | 49849 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | GERALD MESSANA | Name |
| Title | CFO | Title |
| Phone | 9064852643 | Phone |
| Date Signed | 2013-05-14 | DateSigned |
| Authorize Third Party | 1 | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | TERRI REXRODE CPA MST | Name |
| PTIN | P00096513 | PTIN |
| Phone | 9206620016 | Phone |
| Date Prepared | 2013-05-14 | DatePrepared |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2011 | TaxYear |
| Build TS | 2016-02-24 21:20:13Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | GERALD MESSANA | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 901 LAKESHORE DRIVE | AddressLine1 |
| City | ISHPEMING | City |
| State | MI | State |
| ZIP Code | 49849 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 12008954 | GrossReceipts |
| Group Return For Affiliates | 0 | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | WWW.BELLMEMORIAL.ORG | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1977 | YearFormation |
| State Legal Domicile | MI | StateLegalDomicile |
| Activity Or Mission Description | TO IMPROVE THE LIVES OF EVERYONE WE TOUCH. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 8 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 3 | NbrIndependentVotingMembers |
| Total Nbr Employees | 148 | TotalNbrEmployees |
| Total Nbr Volunteers | 3 | TotalNbrVolunteers |
| Total Gross UBI | 0 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 0 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 3896013 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 2568191 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 9352532 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 9388443 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 0 | InvestmentIncomePriorYear |
| Investment Income Current Year | 22243 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 35295 | OtherRevenuePriorYear |
| Other Revenue Current Year | 14548 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 13283840 | TotalRevenuePriorYear |
| Total Revenue Current Year | 11993425 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 0 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 0 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 9165218 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 9365634 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 0 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 0 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 4102026 | OtherExpensePriorYear |
| Other Expenses Current Year | 3429948 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 13267244 | TotalExpensesPriorYear |
| Total Expenses Current Year | 12795582 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 16596 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | -802157 | RevenuesLessExpensesCY |
| Total Assets BOY | 2367585 | TotalAssetsBOY |
| Total Assets EOY | 1644386 | TotalAssetsEOY |
| Total Liabilities BOY | 643770 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 722728 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 1723815 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 921658 | NetAssetsOrFundBalancesEOY |
| Info In Schedule O Part III | X | InfoInScheduleOPartIII |
| Mission Description | TO IMPROVE THE LIVES OF EVERYONE WE TOUCH. | MissionDescription |
| Significant New Program Services | 0 | SignificantNewProgramServices |
| Significant Change | 1 | SignificantChange |
| Expense | 11052598 | Expense |
| Revenue | 9388443 | Revenue |
| Description | BELL MEDICAL IS A NOT-FOR-PROFIT PHYSICIAN PRACTICE CORPORATION PRIMARILY DEDICATED TO PROVIDING MEDICAL SERVICES TO THE COMMUNITIES OFMARQUETTE COUNTY. OVER THE PAST SEVERAL YEARS, BELL MEDICAL HAS EVOLVED INTO A MEDICAL GROUP OF PHYSICIANS, PHYSICIAN ASSISTANTS, NURSEPRACTITIONERS AND AUDIOLOGISTS PROVIDING FAMILY MEDICINE, OBSTETRICS AND GYNECOLOGY, INTERNAL MEDICINE, GERIATRIC MEDICINE,OTOLARYNGOLOGY, OCCUPATIONAL MEDICINE AND AUDIOLOGICAL SERVICES. EXPENSES INCURRED BY THIS ORGANIZATION RELATE TO DELIVERING HEALTHCARESERVICES TO THE RESIDENTS OF ISHPEMING, MI AND THE SURROUNDING AREA. | Description |
| Total Program Service Expense | 11052598 | TotalProgramServiceExpense |
| Described In501 C3 | 1 | DescribedIn501C3 |
| Schedule B Required | 1 | ScheduleBRequired |
| Political Activities | 0 | PoliticalActivities |
| Lobbying Activities | 0 | LobbyingActivities |
| Subject To Proxy Tax | 0 | SubjectToProxyTax |
| Donor Advised Funds | 0 | DonorAdvisedFunds |
| Conservation Easements | 0 | ConservationEasements |
| Collections Of Art | 0 | CollectionsOfArt |
| Credit Counseling | 0 | CreditCounseling |
| Term Or Permanent Endowments | 0 | TermOrPermanentEndowments |
| Report Land Bldg Equip | 1 | ReportLandBldgEquip |
| Report Invest Oth Securities | 0 | ReportInvestOthSecurities |
| Report Prog Rel Invest | 0 | ReportProgRelInvest |
| Report Other Assets | 0 | ReportOtherAssets |
| Report Other Liabilities | 0 | ReportOtherLiabilities |
| Report Fin48 Footnote | 1 | ReportFin48Footnote |
| Independent Audit Financial Stmt | 0 | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | 1 | ConsolidatedAuditFinancialStmt |
| School | 0 | School |
| Foreign Office | 0 | ForeignOffice |
| Foreign Activities | 0 | ForeignActivities |
| More Than5000 K To Organizations | 0 | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividuals |
| Professional Fundraising | 0 | ProfessionalFundraising |
| Fundraising Activities | 0 | FundraisingActivities |
| Gaming | 0 | Gaming |
| Hospital | 0 | Hospital |
| Grants To Organizations | 0 | GrantsToOrganizations |
| Grants To Individuals | 0 | GrantsToIndividuals |
| Schedule J Required | 1 | ScheduleJRequired |
| Tax Exempt Bonds | 0 | TaxExemptBonds |
| Excess Benefit Transaction | 0 | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | 0 | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | 0 | LoanToOfficerOrDQP |
| Grant To Related Person | 0 | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | 0 | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | 0 | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | 0 | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | 0 | DeductibleNonCashContributions |
| Deductible Contributions Of Art | 0 | DeductibleContributionsOfArt |
| Terminated | 0 | Terminated |
| Partial Liquidation | 0 | PartialLiquidation |
| Disregarded Entity | 0 | DisregardedEntity |
| Related Entity | 1 | RelatedEntity |
| Related Org Controlled Entity | 1 | RelatedOrgControlledEntity |
| Transaction Related Entity | 0 | TransactionRelatedEntity |
| Transfers To Exempt Non Chrtbl Org | 0 | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | 0 | ActivitiesConductedPartnership |
| Schedule O Required | 1 | ScheduleORequired |
| Number Forms Transmitted With1096 | 23 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | 1 | ComplianceWithBackupWitholding |
| Number Of Employees | 148 | NumberOfEmployees |
| Employment Tax Returns Filed | 1 | EmploymentTaxReturnsFiled |
| Unrelated Business Income | 0 | UnrelatedBusinessIncome |
| Foreign Financial Account | 0 | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTrans |
| Taxable Party Notification | 0 | TaxablePartyNotification |
| Non Deductible Contributions | 0 | NonDeductibleContributions |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributions |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOf |
| Funds To Pay Premiums | 0 | FundsToPayPremiums |
| Premiums Paid | 0 | PremiumsPaid |
| Indoor Tanning Services | 0 | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 8 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 3 | NumberIndependentVotingMembers |
| Family Or Business Relationship | 0 | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | 0 | DelegationOfManagementDuties |
| Changes To Organizing Docs | 0 | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuse |
| Members Or Stockholders | 1 | MembersOrStockholders |
| Election Of Board Members | 1 | ElectionOfBoardMembers |
| Decisions Subject To Approval | 1 | DecisionsSubjectToApproval |
| Minutes Of Governing Body | 1 | MinutesOfGoverningBody |
| Minutes Of Committees | 1 | MinutesOfCommittees |
| Officer Mailing Address | 0 | OfficerMailingAddress |
| Local Chapters | 0 | LocalChapters |
| Form990 Provided To Governing Body | 1 | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | 1 | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | 1 | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | 1 | RegularMonitoringEnforcement |
| Whistleblower Policy | 1 | WhistleblowerPolicy |
| Document Retention Policy | 1 | DocumentRetentionPolicy |
| Compensation Process CEO | 1 | CompensationProcessCEO |
| Compensation Process Other | 1 | CompensationProcessOther |
| Investment In Joint Venture | 0 | InvestmentInJointVenture |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
Name Business NameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | GERALD MESSANA CFO | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Telephone Number | 9064852658 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 901 LAKESHORE DRIVE | AddressLine1 |
| City | ISHPEMING | City |
| State | MI | State |
| ZIP Code | 49849 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionA (16 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | OfficerOfficer | Highest Compensated EmployeeHighestCompensatedEmployee |
|---|---|---|---|---|---|---|---|
| SHAHAR MADJAR MD | |||||||
| UROLOGIST | 40.00 | X | 413750 | 0 | 26356 | ||
| HOLLY RAY DO | |||||||
| VICE CHAIRPERSON | 40.00 | X | 431274 | 0 | 31600 | X | |
| MICHAEL GROSSMAN MD | |||||||
| SECRETARY | 40.00 | X | 299796 | 0 | 19600 | X | |
| MICHAEL PREVOST MD | |||||||
| CHAIRPERSON | 40.00 | X | 209624 | 0 | 27967 | X | |
| RICHARD GRAYBILL | |||||||
| CHAIRMAN | 2.00 | X | 0 | 0 | 0 | X | |
| CB RAO MD | |||||||
| BOARD MEMBER | 2.00 | X | 0 | 0 | 0 | ||
| NICK JOSEPH | |||||||
| BOARD MEMBER | 2.00 | X | 0 | 0 | 0 | ||
| RICK AMENT | |||||||
| CHIEF EXECUTIVE OFFICER | 5.00 | X | 0 | 248840 | 24432 | X | |
| GERALD MESSANA | |||||||
| CHIEF FINANCIAL OFFICER | 5.00 | X | 0 | 112089 | 22106 | X | |
| JUDD JOHNSTON MD | |||||||
| BOARD MEMBER | 2.00 | X | 0 | 262825 | 34050 | ||
| ROBERT DELLANGELO MD | |||||||
| BOARD MEMBER | 2.00 | X | 0 | 0 | 0 | ||
| JOEL JOHNSON MD | |||||||
| VASCULAR SURGEON | 40.00 | 719050 | 0 | 24285 | X | ||
| WAYNE CARLSON MD | |||||||
| FAMILY PRACTICE PHYSICIAN | 40.00 | 266573 | 0 | 32825 | X | ||
| RONALD SNYDER MD | |||||||
| INTERNAL MEDICINE PHYSICIA | 20.00 | 280740 | 0 | 26898 | X | ||
| WENDY FRYE MD | |||||||
| GENERAL SURGEON | 40.00 | 455970 | 0 | 18559 | X | ||
| KURT LEHMANN MD | |||||||
| PEDIATRICIAN | 40.00 | 172907 | 0 | 25331 | X | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 3249684 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 623754 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 314009 | TotalOtherCompensation |
| Number Individuals GT100 K | 25 | NumberIndividualsGT100K |
| Formers Listed | 0 | FormersListed |
| Total Comp GT150 K | 1 | TotalCompGT150K |
| Compensation From Other Sources | 0 | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (3 entries)
| Address Line1AddressOfContractor/AddressUS/AddressLine1 | CityAddressOfContractor/AddressUS/City | StateAddressOfContractor/AddressUS/State | ZIP CodeAddressOfContractor/AddressUS/ZIPCode | Description Of ServicesDescriptionOfServices | CompensationCompensation |
|---|---|---|---|---|---|
| NORTHERN MICHIGAN MEDICAL SERVICES | |||||
| 901 LAKESHORE DR | ISHPEMING | MI | 49849 | OB/GYN SUPPORT SERVICES FOR STAFF | 244434 |
| DOUGLAS HENKE MD PC | |||||
| 1711 STEPHENSON AVE STE 125 | IRON MOUNTAIN | MI | 49801 | OB/GYN PHYSICIAN | 165570 |
| WENDY MCDERMOTT MD | |||||
| 1952 GRANITE AVE | MARQUETTE | MI | 49855 | HOSPITALIST | 124350 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 3 | NumberOfContractorsGT100K |
| Related Organizations | 2568191 | RelatedOrganizations |
| Total Contributions | 2568191 | TotalContributions |
Program Service Revenue ProgramServiceRevenue (5 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome |
|---|---|---|---|
| PATIENT SERVICE REVENU | 621110 | 7934545 | 7934545 |
| OTHER | 900099 | 638119 | 638119 |
| TRAINING AND TESTING | 900099 | 531612 | 531612 |
| OCCUPATIONAL MED | 900099 | 259647 | 259647 |
| UROLOGY | 900099 | 24520 | 24520 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 9388443 | TotalProgramServiceRevenue |
Gross Rents GrossRents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 22320 | Real |
Less Rental Expenses LessRentalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 7772 | Real |
Rental Income Or Loss RentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 14548 | Real |
Net Rental Income Or Loss NetRentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 14548 | TotalRevenueColumn |
| Exclusion | $14,548 | ExclusionAmount |
Gross Amount Sales Assets GrossAmountSalesAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | 30000 | Other |
Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | 7757 | Other |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | 22243 | Other |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 22243 | TotalRevenueColumn |
| Exclusion | $22,243 | ExclusionAmount |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 11993425 | TotalRevenueColumn |
| Related Or Exempt Function Income | 9388443 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | $36,791 | ExclusionAmount |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1459967 | Total |
| Program Services | 1459967 | ProgramServices |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 6735771 | Total |
| Program Services | 5713847 | ProgramServices |
| Management And General | 1021924 | ManagementAndGeneral |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 357049 | Total |
| Program Services | 311979 | ProgramServices |
| Management And General | 45070 | ManagementAndGeneral |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 366360 | Total |
| Program Services | 306708 | ProgramServices |
| Management And General | 59652 | ManagementAndGeneral |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 446487 | Total |
| Program Services | 390926 | ProgramServices |
| Management And General | 55561 | ManagementAndGeneral |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1062084 | Total |
| Program Services | 822988 | ProgramServices |
| Management And General | 239096 | ManagementAndGeneral |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 785012 | Total |
| Program Services | 670227 | ProgramServices |
| Management And General | 114785 | ManagementAndGeneral |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 164017 | Total |
| Program Services | 156843 | ProgramServices |
| Management And General | 7174 | ManagementAndGeneral |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 19843 | Total |
| Program Services | 17146 | ProgramServices |
| Management And General | 2697 | ManagementAndGeneral |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 217965 | Total |
| Program Services | 217965 | ProgramServices |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 319505 | Total |
| Program Services | 318971 | ProgramServices |
| Management And General | 534 | ManagementAndGeneral |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 121473 | Total |
| Program Services | 121473 | ProgramServices |
Other Expenses OtherExpenses (3 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral |
|---|---|---|---|
| PROVISION FOR BAD DEBTS | 484789 | 484789 | |
| MISCELLANEOUS | 149179 | 26949 | 122230 |
| DUES AND SUBSCRIPTIONS | 106081 | 31820 | 74261 |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 12795582 | Total |
| Program Services | 11052598 | ProgramServices |
| Management And General | 1742984 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 52287 | BOY |
| EOY | 213579 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1480911 | BOY |
| EOY | 854980 | EOY |
Other Notes Loans Receivable Net OtherNotesLoansReceivableNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 393323 | BOY |
| EOY | 297366 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 34024 | BOY |
| EOY | 46221 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 2144023 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 1917990 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 400833 | BOY |
| EOY | 226033 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 6207 | BOY |
| EOY | 6207 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2367585 | BOY |
| EOY | 1644386 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 643770 | BOY |
| EOY | 722728 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 643770 | BOY |
| EOY | 722728 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1723815 | BOY |
| EOY | 921658 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1723815 | BOY |
| EOY | 921658 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2367585 | BOY |
| EOY | 1644386 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expenses | -802157 | ReconcilationRevenueExpenses |
| Reconcilation Other Changes | 0 | ReconcilationOtherChanges |
| Info In Schedule O Part XII | X | InfoInScheduleOPartXII |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | 0 | AccountantCompileOrReview |
| FS Audited | 1 | FSAudited |
| Audit Committee | 1 | AuditCommittee |
| Financial Statement Consolidated | X | FinancialStatementConsolidated |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequired |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Supporting Organization509a3 | X | SupportingOrganization509a3 |
| Supporting Org509a3 Type2 | X | SupportingOrg509a3Type2 |
| Certification Checkbox | X | CertificationCheckbox |
| Contrib By Controlling Individual | 0 | ContribByControllingIndividual |
| Contribution By Related Party | 0 | ContributionByRelatedParty |
| Contrib By35 Controlled Entity | 0 | ContribBy35ControlledEntity |
Supported Org Information SupportedOrgInformation
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BELL MEMORIAL HOSPITAL | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 381394903 | EIN |
| Type Of Organization | 501(C)(3) | TypeOfOrganization |
| Listed In Governing Doc | 1 | ListedInGoverningDoc |
| Supported Organization Notified | 1 | SupportedOrganizationNotified |
| Organized In US | 1 | OrganizedInUS |
| Amount | $0 | Amount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Number Of Supported Orgs | 1 | TotalNumberOfSupportedOrgs |
| Sum Of Amounts | 0 | SumOfAmounts |
Schedule B IRS990ScheduleB
Contributor Info ContributorInfo
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor Number | RESTRICTED | ContributorNumber |
Contributor Name Business ContributorNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor Address US ContributorAddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Aggregate Contributions | RESTRICTED | AggregateContributions |
Schedule D IRS990ScheduleD
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 52500 | OtherCostOrOtherBasis |
| Book Value | 52500 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 945195 | OtherCostOrOtherBasis |
| Depreciation | 876587 | Depreciation |
| Book Value | 68608 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 1146328 | OtherCostOrOtherBasis |
| Depreciation | 1041403 | Depreciation |
| Book Value | 104925 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 226033 | TotalOfBookValueLandBuildings |
| Total Revenue | 11993425 | TotalRevenue |
| Total Expenses | 12795582 | TotalExpenses |
| Excess Or Deficit For Year | -802157 | ExcessOrDeficitForYear |
| Excess Or Deficit Per FS | -802157 | ExcessOrDeficitPerFS |
| Tot Revenue Etc Audited Fincl Stmt | 12001197 | TotRevenueEtcAuditedFinclStmt |
| Revenue Not Rptd F990 | 0 | RevenueNotRptdF990 |
| Revenue Subtotal | 12001197 | RevenueSubtotal |
| Other Revenues Not Included | -7772 | OtherRevenuesNotIncluded |
| Revenue Not Rptd On Fin Stmt | -7772 | RevenueNotRptdOnFinStmt |
| Total Revenue Per Form990 | 11993425 | TotalRevenuePerForm990 |
| Tot Expenses Etc Audited Fincl Stmt | 12803354 | TotExpensesEtcAuditedFinclStmt |
| Other Expenses Included | 7772 | OtherExpensesIncluded |
| Expenses Not Rptd F990 | 7772 | ExpensesNotRptdF990 |
| Expenses Subtotal | 12795582 | ExpensesSubtotal |
| Expenses Not Rptd On Fin Stmt | 0 | ExpensesNotRptdOnFinStmt |
| Total Expenses Per Form990 | 12795582 | TotalExpensesPerForm990 |
Form990 Schedule D Part XIV Form990ScheduleDPartXIV (3 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: | PART X: | IN ORDER TO ACCOUNT FOR ANY UNCERTAIN TAX POSITIONS, THE ORGANIZATION DETERMINES WHETHER IT IS MORE LIKELY THAN NOT THAT A TAX POSITION WILL BE SUSTAINED UPON EXAMINATION OF 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 THAT POSITION IS NOT RECOGNIZED IN THE COMBINED FINANCIAL STATEMENTS. THE ORGANIZATION RECORDED NO ASSETS OR LIABILITIES FOR UNCERTAIN TAX POSITIONS OR UNRECOGNIZED TAX BENEFITS IN FISCAL 2012 AND 2011. FEDERAL INCOME TAX RETURNS FOR THE FISCAL YEARS ENDED 2009 AND BEYOND REMAIN SUBJECT TO EXAMINATION BY THE INTERNAL REVENUE SERVICE (IRS). |
| PART XII, LINE 4B - OTHER ADJUSTMENTS: | RENTAL EXPENSES -7,772. | |
| PART XIII, LINE 2D - OTHER ADJUSTMENTS: | RENTAL EXPENSES 7,772. |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Substantiation Required | 1 | SubstantiationRequired |
| Written Employment Contract | X | WrittenEmploymentContract |
| Compensation Survey | X | CompensationSurvey |
| Severance Payment | 0 | SeverancePayment |
| Supplemental Nonqual Retire Plan | 0 | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | 0 | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | 0 | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | 0 | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | 0 | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | 0 | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | 0 | AnyNonFixedPayments |
| Initial Contract Exception | 0 | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII (11 entries)
| Base Compensation Filing OrgBaseCompensationFilingOrg | Comp Based On Related OrgsCompBasedOnRelatedOrgs | Bonus Filing OrgBonusFilingOrg | Bonus Related OrgsBonusRelatedOrgs | Other Compensation Filing OrgOtherCompensationFilingOrg | Other Compensation Related OrgsOtherCompensationRelatedOrgs | Deferred Comp Filing OrgDeferredCompFilingOrg | Deferred Comp Related OrgsDeferredCompRelatedOrgs | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg | Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs | Total Compensation Filing OrgTotalCompensationFilingOrg | Total Compensation Related OrgsTotalCompensationRelatedOrgs | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg | Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| SHAHAR MADJAR MD | |||||||||||||
| 385244 | 0 | 28506 | 0 | 0 | 0 | 13131 | 0 | 13225 | 0 | 440106 | 0 | 0 | 0 |
| HOLLY RAY DO | |||||||||||||
| 265573 | 0 | 165701 | 0 | 0 | 0 | 18375 | 0 | 13225 | 0 | 462874 | 0 | 0 | 0 |
| MICHAEL GROSSMAN MD | |||||||||||||
| 244313 | 0 | 55483 | 0 | 0 | 0 | 19600 | 0 | 0 | 0 | 319396 | 0 | 0 | 0 |
| MICHAEL PREVOST MD | |||||||||||||
| 159344 | 0 | 50280 | 0 | 0 | 0 | 14742 | 0 | 13225 | 0 | 237591 | 0 | 0 | 0 |
| RICK AMENT | |||||||||||||
| 0 | 212317 | 0 | 0 | 0 | 36523 | 0 | 11207 | 0 | 13225 | 0 | 273272 | 0 | 0 |
| JUDD JOHNSTON MD | |||||||||||||
| 0 | 250893 | 0 | 11932 | 0 | 0 | 0 | 20825 | 0 | 13225 | 0 | 296875 | 0 | 0 |
| JOEL JOHNSON MD | |||||||||||||
| 456532 | 0 | 262518 | 0 | 0 | 0 | 13475 | 0 | 10810 | 0 | 743335 | 0 | 0 | 0 |
| WAYNE CARLSON MD | |||||||||||||
| 201917 | 0 | 64656 | 0 | 0 | 0 | 19600 | 0 | 13225 | 0 | 299398 | 0 | 0 | 0 |
| RONALD SNYDER MD | |||||||||||||
| 272240 | 0 | 8500 | 0 | 0 | 0 | 11173 | 0 | 15725 | 0 | 307638 | 0 | 0 | 0 |
| WENDY FRYE MD | |||||||||||||
| 455970 | 0 | 0 | 0 | 0 | 0 | 7356 | 0 | 11203 | 0 | 474529 | 0 | 0 | 0 |
| KURT LEHMANN MD | |||||||||||||
| 159128 | 0 | 13779 | 0 | 0 | 0 | 12106 | 0 | 13225 | 0 | 198238 | 0 | 0 | 0 |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (10 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| CHANGES IN PROGRAM SERVICES | FORM 990, PART III, LINE 3 | THE OTOLARYNGOLOGY AND AUDIOLOGY CLINICS WERE SOLD AS OF 9/30/11. |
| FORM 990, PART VI, SECTION A, LINE 6 | SUPERIOR HEALTHCARE SYSTEM IS THE SOLE MEMBER OF BELL MEDICAL CENTER. | |
| FORM 990, PART VI, SECTION A, LINE 7A | SUPERIOR HEALTHCARE SYSTEM HAS THE RIGHT TO ELECT BOARD MEMBERS OF BELL MEDICAL CENTER AND CAN BE SAID TO HAVE CONTROL OF THIS ORGANIZATION. | |
| FORM 990, PART VI, SECTION A, LINE 7B | SUPERIOR HEALTHCARE SYSTEM HAS THE RIGHT TO ELECT BOARD MEMBERS OF BELL MEDICAL CENTER AND CAN BE SAID TO HAVE CONTROL OF THIS ORGANIZATION. | |
| FORM 990, PART VI, SECTION B, LINE 11 | FORM 990 WAS PRESENTED TO THE BOARD OF DIRECTORS FOR REVIEW PRIOR TO BEING SUBMITTED TO THE IRS. QUESTIONS AND COMMENTS WERE SOLICITED FROM THE BOARD OF DIRECTORS TO ENSURE THE COMPLETENESS AND ACCURACY OF THE FORM. | |
| FORM 990, PART VI, SECTION B, LINE 12C | BOARD MEMBERS REVIEW AND SIGN CONFLICT OF INTEREST DISCLOSURES ANNUALLY. THESE STATEMENTS ARE REVIEWED BY THE ORGANIZATION'S LEGAL COUNSEL TO ENSURE COMPLIANCE WITH THE POLICY. IF A BOARD MEMBER IS FOUND TO HAVE A CONFLICT, THEY ARE REQUIRED TO REMOVE THEMSELVES FROM ANY DISCUSSIONS OF THE MATTER. IF THE CONFLICT COULD NOT BE DEALT WITH, THE BOARD WOULD HAVE TO CONSIDER WHETHER THE BOARD MEMBER SHOULD STAY A MEMBER OF THE BOARD OF DIRECTORS. TO DATE, THE ORGANIZATION HAS NOT HAD ANY BOARD MEMBERS WITH CONFLICTS OF INTEREST. | |
| FORM 990, PART VI, SECTION B, LINE 15 | THE ORGANIZATION USES COMPENSATION SURVEYS AND MEDICAL GROUP MANAGEMENT ASSOCIATION DATA TO ENSURE COMPENSATION DATA IS COMPARABLE. DETERMINATION OF THE PHYSICIANS' COMPENSATION PACKAGES WERE LAST CONDUCTED IN 2010 USING THE AFOREMENTIONED DATA. | |
| FORM 990, PART VI, SECTION C, LINE 19 | THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. | |
| FORM 990, PART XII, LINE 2C | THE PROCESS FOR INDEPENDENT AUDITOR SELECTION HAS NOT CHANGED FROM THE PRIOR YEAR. | |
| FORM 990, PART VII: | RICK AMENT AND GERALD MESSANA WORK 40 HOURS AT A RELATED ORGANIZATION, BELL MEMORIAL HOSPITAL. JUDD JOHNSTON WORKED 38 HOURS FOR BELL MEMORIAL HOSPITAL. |
Schedule R IRS990ScheduleR
Form990 Schedule R Part II Form990ScheduleRPartII (3 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivities | Legal Domicile StateLegalDomicileState | Exempt Code SectionExemptCodeSection | Public Charity StatusPublicCharityStatus | Direct Controlling Entity NADirectControllingEntityNA | Controlled OrgControlledOrg | Business Name Line1DirectControllingEntityName/BusinessNameLine1 |
|---|---|---|---|---|---|---|---|---|---|---|---|
| SUPERIOR HEALTHCARE SYSTEMS | |||||||||||
| 901 LAKESHORE DR | ISHPEMING | MI | 49849 | 383040126 | HEALTHCARE SERVICES | MI | 501(C)(3) | LINE 11B, II | N/A | 0 | |
| BELL MEMORIAL HOSPITAL | |||||||||||
| 901 LAKESHORE DR | ISHPEMING | MI | 49849 | 381394903 | HEALTHCARE SERVICES | MI | 501(C)(3) | LINE 3 | 1 | SUPERIOR HEALTHCARE SYSTEMS | |
| BELL FOUNDATION | |||||||||||
| 97 S FOURTH ST | ISHPEMING | MI | 49849 | 383040125 | FUNDRAISING | MI | 501(C)(3) | LINE 11B, II | 1 | SUPERIOR HEALTHCARE SYSTEMS | |
Form990 Schedule R Part IV Form990ScheduleRPartIV
Name Of Related Org NameOfRelatedOrg
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SUPERIOR ENTERPRISES INC | BusinessNameLine1 |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 97 S FOURTH ST | AddressLine1 |
| City | ISHPEMING | City |
| State | MI | State |
| ZIP Code | 49849 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 383112668 | EIN |
| Primary Activity | REHABILITATION SERVICES | PrimaryActivity |
| Legal Domicile State | MI | LegalDomicileState |
| Direct Controlling Entity NA | N/A | DirectControllingEntityNA |
| Type Of Entity | C | TypeOfEntity |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | 0 | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | 0 | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | 1 | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | 0 | LoansOrGuaranteesFromOtherOrg |
| Sale Of Assets To Other Org | 0 | SaleOfAssetsToOtherOrg |
| Purchase Of Assets From Other Org | 0 | PurchaseOfAssetsFromOtherOrg |
| Exchange Of Assets | 0 | ExchangeOfAssets |
| Rental Of Facilities To Other Orgs | 0 | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | 0 | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | 0 | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | 0 | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | 1 | SharingOfFacilities |
| Sharing Of Paid Employees | 1 | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | 1 | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | 1 | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | 1 | OtherTransferToOtherOrg |
| Other Transfer From Other Org | 1 | OtherTransferFromOtherOrg |
Transactions Related Orgs Table TransactionsRelatedOrgsTable (2 entries)
| Transaction TypeTransactionType | Amount InvolvedAmountInvolved | Method Of Amt DeterminationMethodOfAmtDetermination |
|---|---|---|
| BELL MEMORIAL HOSPITAL | ||
| N | 70000 | FMV |
| SUPERIOR ENTERPRISES | ||
| N | 22750 | FMV |
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