AURORA MEDICAL CENTER BAY AREA INC: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
AURORA MEDICAL CENTER BAY AREA INC (EIN 39-1528430)
Tax period
2012-01-01 to 2012-12-31
Filed
2013-08-05
IRS object ID
201322179349300712
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)
Timestamp2013-08-05T11:48:06-05:00Timestamp
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 8010AddressLine1
CityWAUSAUCity
StateWIState
ZIP Code544028010ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2012-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN391528430EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1BAY AREA MEDICAL CENTER INCBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlBAYANameControl
Phone7157354200Phone

US Address USAddress

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

Officer Officer

FieldValueIRS element (for citing)
NameDAN CARLSONName
TitleCFOTitle
Phone7157354200Phone
Date Signed2013-07-26DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameKIM HELLERName
PTINP00766668PTIN
Phone7158453111Phone
Date Prepared2013-07-26DatePrepared
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonDAN CARLSONNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line13100 SHORE DRIVEAddressLine1
CityMARINETTECity
StateWIState
ZIP Code54143ZIPCode
FieldValueIRS element (for citing)
Gross Receipts123828339GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.BAMC.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1985YearFormation
State Legal DomicileWIStateLegalDomicile
Activity Or Mission DescriptionBAY AREA MEDICAL CENTER (BAMC) IS A REGIONAL HEALTH CARE FACILITY PROVIDING A WIDE RANGE OF MEDICAL SERVICES TO THE RESIDENTS OF MARINETTE AND MENOMINEE COUNTIES AND THE SURROUNDING AREAS. BAMC'S PRIMARY EXEMPT PURPOSE IS THE PROVISION OF HEALTH CARE SERVICES.ActivityOrMissionDescription
Nbr Voting Members Governing Body9NbrVotingMembersGoverningBody
Nbr Independent Voting Members9NbrIndependentVotingMembers
Total Nbr Employees844TotalNbrEmployees
Total Nbr Volunteers0TotalNbrVolunteers
Total Gross UBI2824457TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year0ContributionsGrantsPriorYear
Contributions Grants Current Year38859ContributionsGrantsCurrentYear
Program Service Revenue Prior Year126286244ProgramServiceRevenuePriorYear
Program Service Revenue CY121323103ProgramServiceRevenueCY
Investment Income Prior Year1609358InvestmentIncomePriorYear
Investment Income Current Year2037961InvestmentIncomeCurrentYear
Other Revenue Prior Year-4527669OtherRevenuePriorYear
Other Revenue Current Year390529OtherRevenueCurrentYear
Total Revenue Prior Year123367933TotalRevenuePriorYear
Total Revenue Current Year123790452TotalRevenueCurrentYear
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 Year63371212SalariesEtcPriorYear
Salaries Etc Current Year63495048SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year55126022OtherExpensePriorYear
Other Expenses Current Year56234484OtherExpensesCurrentYear
Total Expenses Prior Year118497234TotalExpensesPriorYear
Total Expenses Current Year119729532TotalExpensesCurrentYear
Revenues Less Expenses Prior Year4870699RevenuesLessExpensesPriorYear
Revenues Less Expenses CY4060920RevenuesLessExpensesCY
Total Assets BOY147403026TotalAssetsBOY
Total Assets EOY155931655TotalAssetsEOY
Total Liabilities BOY61095783TotalLiabilitiesBOY
Total Liabilities EOY62700730TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY86307243NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY93230925NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionWE ARE YOUR MEDICAL CENTER, STRIVING TO EXCEED YOUR EXPECTATIONS BY PROVIDING COMPASSIONATE, COST-EFFECTIVE, QUALITY HEALTHCARE TO ALL.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense96845088Expense
Revenue117519767Revenue
DescriptionINPATIENT HOSPITAL SERVICES FOR MEDICAL, SURGICAL AND OBSTETRICS/GYNECOLOGY PATIENTS - BAMC PROVIDED CARE FOR 3,966 PATIENTS WHO WERE ADMITTED AS INPATIENTS DURING 2012. THESE SERVICES INCLUDED 24/7 CARE FOR PATIENTS ADMITTED WITH MEDICAL CONDITIONS WARRANTING A HOSPITAL STAY, PATIENTS ADMITTED FOR SURGICAL PROCEDURES EXTENSIVE ENOUGH TO REQUIRE A STAY OVERNIGHT OR FOR SEVERAL DAYS FOLLOWING THE PROCEDURES, AND PATIENTS ADMITTED FOR THE DELIVERY OF NEWBORNS.OUTPATIENT SURGICAL SERVICES - BAMC PERFORMED 3,152 OUTPATIENT SURGICAL PROCEDURES FOR PATIENTS DURING 2012. THESE PROCEDURES INCLUDED ORTHOPEDIC, UROLOGICAL, GENERAL SURGERY, GYNECOLOGY, AND ENT SURGERIES.EMERGENCY SERVICES - BAMC OPERATES AN EMERGENCY DEPARTMENT, WHICH INCLUDES AN AMBULANCE SERVICE STAFFED WITH PARAMEDICS, TO RESPOND TO EMERGENCY CARE NEEDS OF THE AREA. IT IS THE ONLY EMERGENCY DEPARTMENT AVAILABLE IN THE COMMUNITY. THE EMERGENCY DEPARTMENT IS STAFFED WITH EMERGENCY CARE PHYSICIANS ON A 24/7 BASIS AND THE DEPARTMENT SAW 21,461 PATIENT VISITS IN 2012, WITH 2,796 OF THESE VISITS RESULTING IN PATIENTS BEING ADMITTED TO THE HOSPITAL FOR INPATIENT CARE. THE AMBULANCE SERVICE HAD 3,353 PATIENT TRANSPORTS IN 2012.Description
Total Program Service Expense96845088TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required0ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities1LobbyingActivities
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 Footnote1ReportFin48Footnote
Independent Audit Financial Stmt0IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt1ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities0FundraisingActivities
Gaming0Gaming
Hospital1Hospital
Financial Stmt Attached1FinancialStmtAttached
Grants To Organizations0GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required1ScheduleJRequired
Tax Exempt Bonds1TaxExemptBonds
Invest Tax Exempt Bonds0InvestTaxExemptBonds
Escrow Account0EscrowAccount
On Behalf Of Issuer0OnBehalfOfIssuer
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP1LoanToOfficerOrDQP
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 Entity1RelatedEntity
Related Org Controlled Entity1RelatedOrgControlledEntity
Transaction Related Entity0TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With109680NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees844NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income1UnrelatedBusinessIncome
Form990-T Filed1Form990-TFiled
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 Members9NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders0MembersOrStockholders
Election Of Board Members1ElectionOfBoardMembers
Decisions Subject To Approval1DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other1CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
States Where Copy Of Return Is FiledWIStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1DAN CARLSON CFOBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number7157354200TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line13100 SHORE DRAddressLine1
CityMARINETTECity
StateWIState
ZIP Code54143ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (17 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationKey EmployeeKeyEmployeeHighest Compensated EmployeeHighestCompensatedEmployee
LOUISE POLICELLO
CHAIR JAN 20131.00XX000
TONY FURTON
VICE CHAIR JAN 20150.80XX000
WILLIAM MALLORY MD
SEC/TREAS JAN 20160.80XX000
MARY GATZKE DNP
BOARD MEMBER JAN 20130.80X000
CHARLES KALHOEFER
BOARD MEMBER JAN 20160.80X000
PAT KRAH
BOARD MEMBER JAN 20130.80X000
MARC JAMO
BOARD MEMBER JAN 20140.80X000
BOB SORENSON
BOARD MEMBER JAN 20140.80X000
TIM RENNES
BOARD MEMBER JAN 20150.80X000
BERNADINE VAN COURT
COO40.00300357030040X
C DANIEL CARLSON
CFO40.00284828045965X
EDWARD HARDING
CEO40.00464053040550X
THOMAS LEOW MD
PHYSICIAN40.001314143056464X
MICHAEL KARKKAINEN MD
PHYSICIAN40.001299726042061X
MOHAMED EL-JACK MD
PHYSICIAN40.001534718042061X
EDGAR MASSABNI MD
PHYSICIAN40.00895287045231X
BRANDON SCHARER MD
PHYSICIAN40.00869510045147X
FieldValueIRS element (for citing)
Total Reportable Comp From Org6962622TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation347519TotalOtherCompensation
Number Individuals GT100 K47NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
BELLIN MEMORIAL
744 S WEBSTER AVEGREEN BAYWI543053400PROFESSIONAL LAB FEES AND ER NURSE LINE1387994
EXECUTIVE HEALTH RESOURCES
15 CAMPUS BLVD SUITE 200NEWTON SQUAREPA19073MEDICAL RECORDS600822
INFINITY HEALTHCARE
111 E WISCONSIN AVE SUITE 2100MILWAUKEEWI532024809OCCUPATIONAL HEALTH SERVICE PHYSICIAN FE553746
PROFESSIONAL BENEFITS ADMIN
SUITE 210 15 SPINNING WHEEL ROADHINSDALEIL60521HEALTH AND DENTAL PLAN ADMINISTRATION FE536753
HEALTHCARE BUSINESS SERVICES
3916 SOUTH BUSINES PARK AVE PO BMARSHFIELDWI544498989BUSINESS SERVICES449933
FieldValueIRS element (for citing)
Number Of Contractors GT100 K24NumberOfContractorsGT100K
All Other Contributions38859AllOtherContributions
Total Contributions38859TotalContributions

Program Service Revenue ProgramServiceRevenue (5 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncomeUnrelated Business RevenueUnrelatedBusinessRevenueExclusionExclusionAmount
NET PATIENT REVENUE900099115886445115886445
RETAIL PHARMACY44611025490402549040
SPACE LEASED FOR MEDICAL PURPOSES62111013855801385580
OTHER MISCELLANEOUS ACTIVITIES900099542659$542,659
REFERENCE LAB621500275417275417

Total Oth Program Service Revenue TotalOthProgramServiceRevenue

FieldValueIRS element (for citing)
Total Revenue Column683962TotalRevenueColumn
Related Or Exempt Function Income247742RelatedOrExemptFunctionIncome
Exclusion$436,220ExclusionAmount
FieldValueIRS element (for citing)
Total Program Service Revenue121323103TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column1524771TotalRevenueColumn
Exclusion$1,524,771ExclusionAmount

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real53353Real

Less Rental Expenses LessRentalExpenses

FieldValueIRS element (for citing)
Real35291Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real18062Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column18062TotalRevenueColumn
Exclusion$18,062ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities507359Securities
Other8427Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities0Securities
Other2596Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities507359Securities
Other5831Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column513190TotalRevenueColumn
Exclusion$513,190ExclusionAmount

Other Revenue Misc OtherRevenueMisc

FieldValueIRS element (for citing)
DescriptionINTEREST RATE SWAP VALUATION ADJUDescription
Business Code900099BusinessCode
Total Revenue Column372467TotalRevenueColumn
Exclusion$372,467ExclusionAmount
FieldValueIRS element (for citing)
Total Other Revenue372467TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column123790452TotalRevenueColumn
Related Or Exempt Function Income117519767RelatedOrExemptFunctionIncome
Unrelated Business Revenue2824457UnrelatedBusinessRevenue
Exclusion$3,407,369ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total1165793Total
Management And General1165793ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total46553281Total
Program Services38118109ProgramServices
Management And General8435172ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total1949320Total
Program Services1572305ProgramServices
Management And General377015ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total13826654Total
Program Services11012867ProgramServices
Management And General2813787ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total374377Total
Management And General374377ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total98450Total
Management And General98450ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total8122994Total
Program Services4515283ProgramServices
Management And General3607711ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total175904Total
Program Services112847ProgramServices
Management And General63057ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total20896666Total
Program Services19583551ProgramServices
Management And General1313115ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total1418502Total
Program Services923133ProgramServices
Management And General495369ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total7137Total
Program Services7017ProgramServices
Management And General120ManagementAndGeneral

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total251958Total
Program Services169833ProgramServices
Management And General82125ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total1510338Total
Program Services1510338ProgramServices

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total6680278Total
Program Services5314413ProgramServices
Management And General1365865ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total962480Total
Program Services783902ProgramServices
Management And General178578ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
BAD DEBTS61081846108184
REPAIRS AND MAINTENANCE430453418325702471964
WI HOSPITAL ASSESSMENT30434483043448
NR/WUPOMS22070192207019

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total72215Total
Program Services30269ProgramServices
Management And General41946ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total119729532Total
Program Services96845088ProgramServices
Management And General22884444ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY9558740BOY
EOY10788958EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY16987656BOY
EOY17129763EOY

Receivables From Officers Etc ReceivablesFromOfficersEtc

FieldValueIRS element (for citing)
BOY1331597BOY
EOY1577441EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY2869974BOY
EOY2878227EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY1066703BOY
EOY1421356EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis121832074LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec67714312LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY52645453BOY
EOY54117762EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY59507535BOY
EOY64102933EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY2216762BOY
EOY2658743EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY1218606BOY
EOY1256472EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY147403026BOY
EOY155931655EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY10001292BOY
EOY10897674EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY37890000BOY
EOY36745000EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY13204491BOY
EOY15058056EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY61095783BOY
EOY62700730EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY86090742BOY
EOY92948862EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY216501BOY
EOY282063EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY86307243BOY
EOY93230925EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY147403026BOY
EOY155931655EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses4060920ReconcilationRevenueExpenses
Reconciliation Unrealized Invest2827108ReconciliationUnrealizedInvest
Reconcilation Other Changes35654ReconcilationOtherChanges
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 ConsolidatedXFinancialStatementConsolidated
FieldValueIRS element (for citing)
Audit Committee1AuditCommittee
Federal Grant Audit Required0FederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Hospital170b1 AiiiXHospital170b1Aiii

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Volunteers0Volunteers
Paid Staff Or Management0PaidStaffOrManagement
Media Advertisements0MediaAdvertisements
Mailings Members0MailingsMembers
Publications Or Broadcast0PublicationsOrBroadcast
Grants Other Organizations1GrantsOtherOrganizations
Grants Other Organizations$8,954GrantsOtherOrganizationsAmount
Direct Contact Legislators0DirectContactLegislators
Rallies Demonstrations0RalliesDemonstrations
Other Activities0OtherActivities
Total Lobbying Expenditures IIB8954TotalLobbyingExpendituresIIB
Not Described In501c30NotDescribedIn501c3

Form990 Schedule C Part IV Form990ScheduleCPartIV

FieldValueIRS element (for citing)
IdentifierEXPLANATION OF LOBBYING ACTIVITIES:Identifier
Return ReferencePART II-B, LINE 1:ReturnReference
ExplanationPORTION OF AHA ($5,100) AND WHA (3,854) DUES = $8,945.Explanation

Schedule D IRS990ScheduleD

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis1690620OtherCostOrOtherBasis
Book Value1690620BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis73159645OtherCostOrOtherBasis
Depreciation35320953Depreciation
Book Value37838692BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis2252760OtherCostOrOtherBasis
Depreciation1706895Depreciation
Book Value545865BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis42825617OtherCostOrOtherBasis
Depreciation30686464Depreciation
Book Value12139153BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis1903432OtherCostOrOtherBasis
Book Value1903432BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings54117762TotalOfBookValueLandBuildings

Other Liabilities OtherLiabilities (5 entries)

DescriptionDescriptionAmountAmount
ACCRUED POSTRETIREMENT BENEFITS$3,423,608
DEFERRED COMPENSATION$891,833
INTEREST RATE SWAP VALUATION$7,424,498
CAPITAL LEASE OBLIGATION$212,694
AMOUNTS PAYABLE TO THIRD-PARTY REIMBURSEMENT PROGRAM$3,105,423
FieldValueIRS element (for citing)
Total Of Amounts15058056TotalOfAmounts
Footnote In Part XIIIXFootnoteInPartXIII
Tot Revenue Etc Audited Fincl Stmt121596241TotRevenueEtcAuditedFinclStmt
Other Revenues-2207019OtherRevenues
Revenue Not Rptd F990-2207019RevenueNotRptdF990
Revenue Subtotal123803260RevenueSubtotal
Other Revenues Not Included-12808OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt-12808RevenueNotRptdOnFinStmt
Total Revenue Per Form990123790452TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt117557804TotExpensesEtcAuditedFinclStmt
Other Expenses Included35291OtherExpensesIncluded
Expenses Not Rptd F99035291ExpensesNotRptdF990
Expenses Subtotal117522513ExpensesSubtotal
Other Expenses Not Included2207019OtherExpensesNotIncluded
Expenses Not Rptd On Fin Stmt2207019ExpensesNotRptdOnFinStmt
Total Expenses Per Form990119729532TotalExpensesPerForm990

Form990 Schedule D Part XIII Form990ScheduleDPartXIII (5 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48:PART X, LINE 2:TO ACCOUNT FOR ANY UNCERTAIN TAX POSITIONS, THE ORGANIZATION ASSESSES 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 THE TAX POSITION IS NOT RECOGNIZED IN THE FINANCIAL STATEMENTS. MANAGEMENT DOES NOT BELIEVE BAY AREA HAS ANY MATERIAL UNCERTAIN TAX POSITIONS OR UNRECOGNIZED TAX BENEFITS. THE ORGANIZATION IS ALSO ENGAGED, TO A LIMITED EXTENT, IN ACTIVITIES THAT THE INTERNAL REVENUE SERVICE (IRS) CONSIDERS UNRELATED TO ITS EXEMPT PURPOSE AND, THEREFORE, TAXABLE. THESE ACTIVITIES, HOWEVER, ANNUALLY RESULT IN NET OPERATING LOSSES FOR INCOME TAX PURPOSES. THE ORGANIZATION DOES NOT PRESENTLY ANTICIPATE THAT A TAX BENEFIT FROM THESE NET OPERATING LOSSES WILL BE REALIZED IN THE FUTURE. ANY POTENTIAL DEFERRED TAX ASSET RESULTING FROM THE AVAILABILITY OF NET OPERATING LOSS CARRYFORWARDS IS OFFSET BY A VALUATION ALLOWANCE OF EQUAL AMOUNT. ACCORDINGLY, THE ACCOMPANYING FINANCIAL STATEMENTS DO NOT INCLUDE A PROVISION FOR INCOME TAXES. NO DEFERRED TAX ASSETS AND LIABILITIES HAVE BEEN RECOGNIZED SINCE NO OTHER DIFFERENCES EXIST BETWEEN THE FINANCIAL TAX BASIS OF REPORTING THE ORGANIZATION'S ASSETS AND LIABILITIES. THE ORGANIZATION'S FEDERAL TAX RETURNS FOR TAX YEARS 2009 AND BEYOND REMAIN SUBJECT TO EXAMINATION BY THE INTERNAL REVENUE SERVICE.
PART XI, LINE 2D - OTHER ADJUSTMENTS:DECREASE IN EQUITY IN NORTHREACH HEALTHCARE LLC AND WISCONSIN UPPER PENINSULA ONCOLOGY MANAGEMENT SERVICES, INC. -2,207,019.
PART XI, LINE 4B - OTHER ADJUSTMENTS:RENTAL EXPENSES -35,291. TEMPORARILY RESTRICTED CONTRIBUTIONS 22,483.
PART XII, LINE 2D - OTHER ADJUSTMENTS:RENTAL EXPENSES 35,291.
PART XII, LINE 4B - OTHER ADJUSTMENTS:DECREASE IN EQUITY IN NORTHREACH HEALTHCARE LLC AND WISCONSIN UPPER PENINSULA ONCOLOGY MANAGEMENT SERVICES, INC. 2,207,019.

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Charity Care Policy1CharityCarePolicy
Written Policy1WrittenPolicy
FPG Reference Free Care1FPGReferenceFreeCare
Pcent100XPcent100
FPG Reference Discounted Care1FPGReferenceDiscountedCare
Pcent200 DXPcent200D
Free Disc Care Medically Indigent1FreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity Care1AmountsBudgetedForCharityCare
Expenses Exceeded Budget0ExpensesExceededBudget
Annual Community Benefit Report1AnnualCommunityBenefitReport
Report Publically Available1ReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

FieldValueIRS element (for citing)
Total Community Benefit Expense2138117TotalCommunityBenefitExpense
Net Community Benefit Expense2138117NetCommunityBenefitExpense
Percent Of Total Expense0.01880PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

FieldValueIRS element (for citing)
Total Community Benefit Expense14712872TotalCommunityBenefitExpense
Direct Offsetting Revenue2778478DirectOffsettingRevenue
Net Community Benefit Expense11934394NetCommunityBenefitExpense
Percent Of Total Expense0.10500PercentOfTotalExpense

Total Charity Care TotalCharityCare

FieldValueIRS element (for citing)
Total Community Benefit Expense16850989TotalCommunityBenefitExpense
Direct Offsetting Revenue2778478DirectOffsettingRevenue
Net Community Benefit Expense14072511NetCommunityBenefitExpense
Percent Of Total Expense0.12380PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

FieldValueIRS element (for citing)
Total Community Benefit Expense92138TotalCommunityBenefitExpense
Net Community Benefit Expense92138NetCommunityBenefitExpense
Percent Of Total Expense0.00080PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense92138TotalCommunityBenefitExpense
Net Community Benefit Expense92138NetCommunityBenefitExpense
Percent Of Total Expense0.00080PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense16943127TotalCommunityBenefitExpense
Direct Offsetting Revenue2778478DirectOffsettingRevenue
Net Community Benefit Expense14164649NetCommunityBenefitExpense
Percent Of Total Expense0.12460PercentOfTotalExpense
FieldValueIRS element (for citing)
Bad Debt Expense Reported1BadDebtExpenseReported
Bad Debt Expense$2,614,542BadDebtExpenseAmount
Amount Reimbursed By Medicare23801121AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare26626946CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall-2825825MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

FieldValueIRS element (for citing)
Cost To Charge RatioXCostToChargeRatio
FieldValueIRS element (for citing)
Written Debt Collection Policy1WrittenDebtCollectionPolicy
Provision For Charity Care1ProvisionForCharityCare
Number Of Hospital Facilities1NumberOfHospitalFacilities

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA

FieldValueIRS element (for citing)
Facility Number1FacilityNumber

Name Name

FieldValueIRS element (for citing)
Business Name Line1BAY AREA MEDICAL CENTER INCBusinessNameLine1

Address Address

FieldValueIRS element (for citing)
Address Line13100 SHORE DRIVEAddressLine1
CityMARINETTECity
StateWIState
ZIP Code54143ZIPCode
FieldValueIRS element (for citing)
Licensed HospitalXLicensedHospital
General Medical And SurgicalXGeneralMedicalAndSurgical
Er24 HoursXEr24Hours

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1BAY AREA MEDICAL CENTERBusinessNameLine1
FieldValueIRS element (for citing)
Hospital Facility Number1HospitalFacilityNumber
CHNA Conducted0CHNAConducted
Eligibility Criteria Explained1EligibilityCriteriaExplained
Uses FPG Free1UsesFPGFree
FPG Free Percent100.000000000000FPGFreePercent
Uses FPG Discounted1UsesFPGDiscounted
FPG Discount Percent200.000000000000FPGDiscountPercent
Explains Basis1ExplainsBasis
Income LevelXIncomeLevel
Asset LevelXAssetLevel
Medicaid MedicareXMedicaidMedicare
Explains Application Method1ExplainsApplicationMethod
Includes Publicity Measures1IncludesPublicityMeasures
Posted On WebsiteXPostedOnWebsite
Available On RequestXAvailableOnRequest
Other PublicityXOtherPublicity
Actions On Nonpayment1ActionsOnNonpayment
Collection Activities0CollectionActivities
Notify Upon AdmissionXNotifyUponAdmission
Notify Before DischargeXNotifyBeforeDischarge
Notified All PatientsXNotifiedAllPatients
Documented DeterminationXDocumentedDetermination
Nondiscrim Emergency Care Policy1NondiscrimEmergencyCarePolicy
Used Other MethodXUsedOtherMethod
Amounts Generally Billed0AmountsGenerallyBilled
Gross Charges0GrossCharges

Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC

FieldValueIRS element (for citing)
Number Of Other Facilities2NumberOfOtherFacilities

Other Facilities OtherFacilities (2 entries)

Address Line1Address/AddressLine1CityAddress/CityStateAddress/StateZIP CodeAddress/ZIPCodeFacility TypeFacilityType
BAY AREA MOBILITY CENTER
3117 SHORE DRIVEMARINETTEWI54143REHABILITATION SERVICES AND OCCUPATIONAL HEALTH
BAY AREA REHAB SERVICES - CRIVITZ WI
218 S US HWY 141 SUITE 100CRIVITZWI54114REHABILITATION SERVICES AND OCCUPATIONAL HEALTH

Form990 Schedule H Part VI Form990ScheduleHPartVI (12 entries)

ExplanationExplanationIdentifierIdentifier
PART I, LINE 7: BAY AREA UTILIZES A COST TO CHARGE RATIO.
PART I, LINE 7G: TWIN COUNTIES FREE CLINIC
PART I, L7 COL(F): THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25, COLUMN (A), BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN IS $6,108,184. BAY AREA MEDICAL CENTER UTILIZED A COST TO CHARGE RATIO FOR DETERMINING THE COST OF BAD DEBT EXPENSE.
PART III, LINE 4: BAY AREA ANALYZES PAST RESULTS AND IDENTIFIES TRENDS FOR EACH OF ITS MAJOR PAYOR SOURCES OF REVENUE TO ESTIMATE THE APPROPRIATE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS AND PROVISION FOR BAD DEBTS. MANAGEMENT REGULARLY REVIEWS DATA ABOUT THESE MAJOR PAYOR SOURCES OF REVENUE IN EVALUATING THE SUFFICIENCY OF THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS. SPECIFICALLY, FOR RECEIVABLES ASSOCIATED WITH SERVICES PROVIDED TO PATIENTS WHO HAVE THIRD-PARTY COVERAGE, BAY AREA ANALYZES CONTRACTUALLY DUE AMOUNTS AND PROVIDES AN ALLOWANCE FOR DOUBTFUL ACCOUNTS AND A PROVISION FOR BAD DEBTS FOR EXPECTED UNCOLLECTIBLE DEDUCTIBLES AND COPAYMENTS ON ACCOUNTS FOR WHICH THIRD-PARTY PAYORS HAS NOT YET PAID, OR FOR PAYORS WHO ARE KNOWN TO HAVE FINANCIAL DIFFICULTIES THAT MAKE REALIZATION OF AMOUNTS DUE UNLIKELY. FOR RECEIVABLES ASSOCIATED WITH SELF-PAY PATIENTS (WHICH INCLUDES BOTH PATIENTS WITHOUT INSURANCE AND PATIENTS WITH DEDUCTIBLE AND COPAYMENT BALANCES DUE FOR WITH THIRD-PARTY COVERAGE EXISTS FOR PART OF THE BILL), BAY AREA RECORDS A SIGNIFICANT PROVISION FOR BAD DEBTS IN THE PERIOD OF SERVICE ON THE BASIS OF ITS PAST EXPERIENCE, WHICH INDICATES THAT MANY PATIENTS ARE UNALBE OR UNWILLING TO PAY THE PORTION OF THEIR BILL FOR WHICH THEY ARE FINANCIALLY RESPONSIBLE.
PART III, LINE 8: AMOUNTS ABOVE USE STANDARD MEDICARE DETERMINATION OF ALLOWABLE AND UNALLOWABLE DEPARTMENTS, STANDARD/RECOMMENDED MEDICARE ALLOCATION OF ADMINISTRATION AND GENERAL DEPARTMENTS COSTS TO ALLOWABLE AND UNALLOWABLE DEPARTMENTS BY THE USE OF BAY AREA MEDICAL CENTER'S MEDICARE COST REPORT. THE MEDICARE COST REPORT WAS CALCULATED ON A COST TO CHARGE RATIO. THE COST TO CHARGE RATIO FOLLOWS THE REGULATIONS FOR FILING THE MEDICARE COST REPORT.
PART III, LINE 9B: BAY AREA MEDICAL CENTER WILL PROVIDE NEEDED HOSPITAL CARE TO ALL PATIENTS REGARDLESS OF THEIR ABILITY TO PAY FOR THESE SERVICES. COMMUNITY CARE IS ALLOCATED TO PATIENTS BASED ON SET GUIDELINES ESTABLISHED BY THE ORGANIZATION. A FULL OR PARTIAL ADJUSTMENT WILL BE DETERMINED BY COMPARING THE PATIENT'S FINANCIAL STATUS TO A SLIDING FEE SCHEDULE BASED ON THE MOST RECENTLY PUBLISHED FEDERAL POVERTY GUIDELINES.IT IS THE POLICY OF BAY AREA MEDICAL CENTER TO WRITE-OFF BOTH PARTIAL AND FULL PATIENT BALANCES FOR ACCOUNTS THAT QUALIFY FOR COMMUNITY CARE. THERE ARE NO FURTHER COLLECTIONS EFFORTS RELATED TO THOSE WHO QUALIFY FOR A FULL COMMUNITY CARE WRITE-OFF. PATIENTS THAT HAVE HAD PARTIAL WRITE-OFFS THAT DO NOT COOPERATE WITH COLLECTION EFFORTS ON THE BALANCES REMAINING WILL BE REFERRED TO A THIRD-PARTY COLLECTION AGENCY. IF STILL UNCOLLECTIBLE, THE PATIENT ACCOUNT WILL BE WRITTEN OFF TO BAD DEBT.
PART V, SECTION B, LINE 14G: A FINANCIAL BROCHURE IS OFFERED TO PATIENTS UPON REGISTRATION AND BILLING STATEMENTS REFERENCE THE POLICY BUT DO NOT INCLUDE DETAIL.BAY AREA MEDICAL CENTER
PART V, SECTION B, LINE 20D: IT MATCHES OR EXCEEDS THE COMMERCIAL INSURANCE RATE PAID BY THE GREATEST NUMBER OF OUR NEGOTIATED COMMERCIAL INSURANCE MANAGED CARE PLANS.BAY AREA MEDICAL CENTER
PART VI, LINE 2: BAY AREA MEDICAL CENTER USES A BI-ANNUAL COMMUNITY SURVEY AND ALSO PARTICIPATES IN THE MARINETTE & MENOMINEE COUNTY HEALTH ASSESSMENT INITIATIVES.
PART VI, LINE 3: - BROCHURES ARE PROVIDED TO EVERY PATIENT.- THE INFORMATION IS AVAILABLE ON THE ORGANIZATION'S WEBSITE.- ONE ON ONE MEETINGS WITH FINACIAL ADVISORS ARE ALSO AVAILABLE.
PART VI, LINE 4: BAY AREA MEDICAL CENTER SERVES MARINETTE COUNTY, WI AND MENOMINEE COUNTY, MI. THERE ARE NO OTHER HOSPITALS LOCATED IN THESE COUNTIES.
PART VI, LINE 5: - THE BAMC BOARD IS MADE UP ENTIRELY OF RESIDENTS OF THE TWO COUNTIES IT SERVES. IN FACT EACH MEMBER MUST BE RATIFIED BY THE COUNTY BOARD OF THEIR RESIDENCE. - BAMC HOSTS QUARTERLY MEETINGS WITH LOCAL MENTAL HEALTH PROFESSIONALS TO SUPPORT THIS INITIATIVE. WE ARE ALSO MEMBERS OF THE MICHIGAN HEALTHCARE CONSORTIUM IN THE UPPER PENINSULA.- ANY SURPLUS FUNDS ARE USED FOR IMPROVEMENTS TO THE FACILITY, EQUIPMENT, STAFF DEVELOPMENT AND PATIENT CARE. - BAMC PROVIDES DIRECT FINANCIAL SUPPORT TO THE TWIN COUNTIES FREE CLINIC. - BAMC HAS WORKING ARRANGEMENTS WITH A TWO YEAR TECHNICAL SCHOOL AND TWO YEAR COLLEGE TO OFFER NURSING AND OTHER MEDICAL PROFESSIONAL STUDENTS INTERNSHIPS IN THEIR PREPARATION FOR HEALTH CARE CAREERS. - BAMC PROVIDES SUPPORT TO LOCAL AREA VOLUNTEER RESCUE SQUAD UNITS THAT WORK WITH THE HOSPITAL-BASED AMBULANCE SERVICE.WHILE THERE IS A GROWING AGREEMENT IN THE UNITED STATES ABOUT WHAT CONSTITUTES A NON-PROFIT HOSPITAL'S "COMMUNITY BENEFIT," THIS IS A WORK IN PROGRESS. OUR HOSPITAL PROVIDES SIGNIFICANT CHARITY CARE AND OTHER COMMUNITY BENEFITS AS DEFINED BY THE IRS. BUT IN ADDITION, WE BELIEVE THAT WE PROVIDE A CRITICALLY IMPORTANT COMMUNITY BENEFIT, WHICH IS NOT QUANTIFIED. OUR HOSPITAL, LIKE MOST RURAL HOSPITALS, WAS CREATED AND IS MAINTAINED IN ORDER TO PROVIDE CARE LOCALLY-CARE THAT WITHOUT OUR HOSPITAL, WOULD NOT BE AVAILABLE LOCALLY.BEYOND INPATIENT HOSPITALIZATIONS, WE PROVIDE LOCAL ACCESS TO MANY HEALTH SERVICES: AMBULANCE SERVICES, BIRTHING CENTER, DIALYSIS CENTER, DIAGNOSTICS, EMERGENCY SERVICES, INPATIENT CARE, LABORATORY SERVICES, OCCUPATIONAL HEALTH & REHABILITATION SERVICES, SURGICAL SERVICES AND WOMENS' SERVICES.

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeXCompensationCommittee
Independent ConsultantXIndependentConsultant
Written Employment ContractXWrittenEmploymentContract
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance Payment0SeverancePayment
Supplemental Nonqual Retire Plan1SupplementalNonqualRetirePlan
Equity Based Comp Arrangement0EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org0CompBasedOnRevenueOfFilingOrg
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 (8 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
BERNADINE VAN COURT
COO2126640337230539700111000276870339144087470
C DANIEL CARLSON
CFO20789303298204395301110004996003458880150950
EDWARD HARDING
CEO3421020528000691510111000294500504603000
THOMAS LEOW MD
PHYSICIAN3976660853370063107011100062725013879680173610
MICHAEL KARKKAINEN MD
PHYSICIAN39767006273920274664011100095893014067190649320
MOHAMED EL-JACK MD
PHYSICIAN39766507830550353998011100094262016400800633010
EDGAR MASSABNI MD
PHYSICIAN64449501425024936701110005979909661860256680
BRANDON SCHARER MD
PHYSICIAN18420406647240205820111000393520919962053050

Form990 Schedule J Part III Form990ScheduleJPartIII

FieldValueIRS element (for citing)
Return ReferencePART I, LINE 4BReturnReference
ExplanationTHE FOLLOWING INDIVIDUALS PARTICIPATED IN AND RECEIVED PAYMENT FROM A NON-QUALIFIED RETIREMENT PLAN: CONTRIBUTIONS TO 457F PLAN: THOMAS LEOW, M.D. $30,926; MICHAEL KARKKAINEN, M.D. $77,911; MOHAMED EL-JACK, M.D. $136,052; EDGAR MASSABNI, M.D. $ 46,000; BRANDON SCHARER, M.D. $19,507; BERNADINE VAN COURT $16,956; DANIEL CARLSON $26,351; EDWARD HARDING $67,516. PAYMENTS FROM 457F PLAN: THOMAS LEOW, M.D. $12; MICHAEL KARKKAINEN, M.D. $4,459; MOHAMED EL-JACK, M.D. $40; EDGAR MASSABNI, M.D. $18; BRANDON SCHARER, M.D. $558; BERNADINE VAN COURT $6; DANIEL CARLSON $1,369 DISTRIBUTIONS THAT WERE PREVIOUSLY TAXED FROM 457(F) PLANS: THOMAS LEOW, M.D. $17,361; MICHAEL KARKKAINEN, M.D. $64,932; MOHAMED EL-JACK, M.D. $63,301; EDGAR MASSABNI, M.D. $25,668; BRANDON SCHARER, M.D. $5,305; BERNADINE VAN COURT $8,747; DANIEL CARLSON $15,095Explanation

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd

Issuer Name IssuerName

FieldValueIRS element (for citing)
Business Name Line1WISCONSIN HEALTH AND EDUCATIONAL FACILITIES AUTHORITYBusinessNameLine1
FieldValueIRS element (for citing)
Issuer EIN391337955IssuerEIN
CUSIP Number97710V7Q5CUSIPNumber
Date Issued2008-02-20DateIssued
Issue Price40000000IssuePrice
Description Of PurposeTO FUND PURCHASE OF HOSPITAL BUILDINGS, FIXTURES, AND CAPITAL EQUIPMENT.DescriptionOfPurpose
Defeased0Defeased
On Behalf Of Issuer0OnBehalfOfIssuer
Pool Financing0PoolFinancing

Form990 Schedule K Part II Form990ScheduleKPartII

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Amount Retired3255000AmountRetired
Total Proceeds40000000TotalProceeds
Refunding Escrow13677860RefundingEscrow
Issuance Costs From Proceeds738720IssuanceCostsFromProceeds
Capital Expenditures25583420CapitalExpenditures
Year Of Subst Completion2008YearOfSubstCompletion
Current Refunding0CurrentRefunding
Advance Refunding1AdvanceRefunding
Final Allocation Made1FinalAllocationMade
Adequate Books And Recds Maintaind1AdequateBooksAndRecdsMaintaind

Form990 Schedule K Part III Form990ScheduleKPartIII

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Owning Bond Financed Property0OwningBondFinancedProperty
Any Lease Arrangements0AnyLeaseArrangements
Mngment Cntrct Bond Financd Prprty0MngmentCntrctBondFinancdPrprty
Any Research Agreements0AnyResearchAgreements
Prcntge Prvt Business Use By Others0.00470PrcntgePrvtBusinessUseByOthers
Total Private Business Use0.00470TotalPrivateBusinessUse
Bond Iss Meet Prvt Security Pay Test0BondIssMeetPrvtSecurityPayTest
Change In Use Bond Financed Prop0ChangeInUseBondFinancedProp
Non Qualified Bond Remed Procdrs0NonQualifiedBondRemedProcdrs

Form990 Schedule K Part IV Form990ScheduleKPartIV

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Form8038 T Filed0Form8038TFiled
Rebate Not Due Yet0RebateNotDueYet
Exception To Rebate0ExceptionToRebate
No Rebate Due1NoRebateDue
Variable Rate Issue1VariableRateIssue
Hedge Identified In Books And Recds1HedgeIdentifiedInBooksAndRecds

Name Of Hedge Provider NameOfHedgeProvider

FieldValueIRS element (for citing)
Business Name Line1PIPER JAFFRAYBusinessNameLine1
FieldValueIRS element (for citing)
Term Of Hedge30.000000000000TermOfHedge
Superintegrated Hedge0SuperintegratedHedge
Hedge Terminated0HedgeTerminated
Gross Proceeds Invested In GIC0GrossProceedsInvestedInGIC
Gross Proceeds Invested0GrossProceedsInvested
Written Proc To Monitor Reqs0WrittenProcToMonitorReqs

Form990 Schedule K Part VI Form990ScheduleKPartVI

FieldValueIRS element (for citing)
IdentifierSCHEDULE K PART IV, ARBITRAGE, LINE 2CIdentifier
Return ReferenceDATE REBATE COMPUTATION PERFORMEDReturnReference
ExplanationISSUER NAME: WISCONSIN HEALTH AND EDUCATIONAL FACILITIES AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 09/01/2012Explanation

Schedule L IRS990ScheduleL

Loan Table LoanTable (5 entries)

Relationship With OrganizationRelationshipWithOrganizationPurpose Of LoanPurposeOfLoanLoan From OrganizationLoanFromOrganizationOriginal PrincipalOriginalPrincipalAmountBalance DueBalanceDueDefaultDefaultApproved By BoardApprovedByBoardWritten AgreementWrittenAgreement
DAN CARLSON
CFOEXECUFLEX LIFE INSURANCEX$23,77823778011
MICHAEL KARKKAINEN
HIGHLY COMPENSATED EMPLOYEEEXECUFLEX LIFE INSURANCEX$1,211,4271211427011
THOMAS LEOW
HIGHLY COMPENSATED EMPLOYEEEXECUFLEX LIFE INSURANCEX$212,884212884011
ED HARDING
CEOEXECUFLEX LIFE INSURANCEX$91,16691166011
BRANDON SCHARER
HIGHLY COMPENSATED EMPLOYEEEXECUFLEX LIFE INSURANCEX$38,18638186011
FieldValueIRS element (for citing)
Total Balance Due1577441TotalBalanceDue

Form990 Schedule L Part V Form990ScheduleLPartV

FieldValueIRS element (for citing)
IdentifierSCHEDULE L, PART IIIdentifier
Return ReferenceEXPLANATION OF LOANSReturnReference
ExplanationSPLIT-DOLLAR INSURANCE TREATED UNDER THE LOAN REGIME (IRS NOTICE 2002-8) CREATED THE LOANS LISTED IN THIS SECTION. THE LOANS ARE ALL REPORTED AT THEIR CURRENT CUMULATIVE BALANCE.Explanation

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (10 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
FORM 990, PART VI, SECTION A, LINE 7ABAY AREA MEMDICAL CENTER'S BY-LAWS INDICATE THAT THE BOARD OF DIRECTORS OF THE CORPORATION SHALL BE NINE (9), FOUR OF WHOM SHALL BE RATIFIED BY MARINETTE COUNTY, FOUR OF WHOM SHALL BE RATIFIED BY MENOMINEE COUNTY, AND ONE OF WHOM SHALL BE AN AT-LARGE DIRECTOR SELECTED BY THE BOARD OF DIRECTORS. IN ADDITION THE EXECUTIVE COMMITTEE SHALL DETERMINE THE NUMBER OF RESERVE DIRECTORS TO NOMINATE AND SHALL NOMINATE INDIVIDUALS TO FILL THE NUMBER OF RESERVE DIRECTOR POSITIONS SO CREATED. THE RESERVE DIRECTORS SHALL HAVE NO VOTING RIGHTS.
FORM 990, PART VI, SECTION A, LINE 7BMARINETTE COUNTY, WISCONSIN AND MENOMINEE COUNTY, MICHIGAN RATIFY BAMC BOARD MEMBERS.
FORM 990, PART VI, SECTION B, LINE 11THE BOARD OF DIRECTORS ARE PROVIDED A COPY OF THE FORM 990 TO REVIEW AT A BOARD MEETING PRIOR TO WHEN THE FORM 990 IS FILED.
FORM 990, PART VI, SECTION B, LINE 12CCOPIES OF THE POLICY ARE PROVIDED TO ALL MANAGEMENT EMPLOYEES. CONFLICT OF INTEREST DISCLOSURE FORMS ARE COMPLETED ANNUALLY BY ALL DIRECTORS, OFFICERS AND KEY EMPLOYEES.
FORM 990, PART VI, SECTION B, LINE 15THE BOARD OF DIRECTOR'S COMPENSATION COMMITTEE REVIEWS COMPARABLE COMPENSATION INFORMATION ON OTHER HOSPITALS AND ESTABLISHES BAMC'S EXECUTIVE COMPENSATION LEVELS. MEMBERS OF THE COMPENSATION COMMITTEE DO NOT HAVE A CONFLICT OF INTEREST AND THE CONCLUSIONS ARE SUBSTANTIATED. THE REVIEW PROCESS TAKES PLACE AT LEAST ANNUALLY.
FORM 990, PART VI, SECTION C, LINE 19THE ANNUAL AUDITED FINANCIAL STATEMENTS ARE MADE AVAILABLE TO THE PUBLIC BY PROVIDING THEM TO MARINETTE COUNTY, WISCONSIN AND MENOMINEE COUNTY, MICHIGAN.
FORM 990, PART XI, LINE 9:INCREASE IN BENEFICIAL INTEREST IN BAMC FOUNDATION, INC. 84,629. ASSETS RELEASED FROM RESTRICTIONS -26,318. CHANGE IN POSTRETIREMENT BENEFIT OBLIGATION OTHER THAN EXPENSE -61,302. RECLASSIFICATION OF ACCUMULATED LOSS ON DESIGNATED CASHFLOW HEDGE 38,645.CHANGES IN NET ASSETS OR FUND BALANCES:
FORM 990, PART XI, LINE 2CTHE PROCESS OF OVERSIGHT AND SELECTION OF AN INDEPENDENT ACCOUNTANT HAS NOT CHANGED FROM THE PRIOR YEAR.CHANGE IN PROCESS
FORM 990, PART IV, LINE 12BAY AREA MEDICAL CENTER WAS AUDITED AS PART OF A COMBINED AUDIT. BAMC ASSETS MADE UP 99% OF TOTAL ASSETS IN THE COMBINED AUDIT.COMBINED AUDIT
FORM 990, PART XI, LINE 2B AND 2CBAY AREA MEDICAL CENTER WAS AUDITED AS PART OF A COMBINED AUDIT. SEE EXPLANATION TO PART IV, LINE 12.COMBINED AUDIT

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII

Name Of Disregarded Entity NameOfDisregardedEntity

FieldValueIRS element (for citing)
Business Name Line1BAY AREA MEDICAL CENTER FOUNDATION INCBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line13100 SHORE DRIVEAddressLine1
CityMARINETTECity
StateWIState
ZIP Code54143ZIPCode
FieldValueIRS element (for citing)
EIN392020734EIN
Primary ActivitiesFUNDRAISING FOR BAMC, INC.PrimaryActivities
Legal Domicile StateWILegalDomicileState
Exempt Code Section501 (C) 3ExemptCodeSection
Public Charity StatusLINE 11A, IPublicCharityStatus

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1BAY AREA MEDICAL CENTER INCBusinessNameLine1
FieldValueIRS element (for citing)
Controlled Org1ControlledOrg
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents Royalties0ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org0GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org1GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org0LoansOrGuaranteesFromOtherOrg
Dividends Related Organization0DividendsRelatedOrganization
Sale Of Assets To Other Org0SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org0PurchaseOfAssetsFromOtherOrg
Exchange Of Assets0ExchangeOfAssets
Rental Of Facilities To Other Orgs0RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs0RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs0PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs0PerformOfServicesByOtherOrgs
Sharing Of Facilities1SharingOfFacilities
Sharing Of Paid Employees1SharingOfPaidEmployees
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrg
Other Transfer To Other Org0OtherTransferToOtherOrg
Other Transfer From Other Org1OtherTransferFromOtherOrg

Comments

Anonymous: no account or email. Up to 2,000 characters, at most one link. Comments are checked automatically; some wait for review.