SHS - WIND DOWN: Form 990EZ, tax year 2011
View the entire original 990 at ProPublica ↗
- Organization
- SHS - WIND DOWN (EIN 38-3040126)
- Tax period
- 2011-07-01 to 2012-06-30
- Filed
- 2013-05-15
- IRS object ID
- 201331359349203468
- 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 | 990EZ | ReturnType |
| Tax Period Begin Date | 2011-07-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 383040126 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SUPERIOR HEALTHCARE SYSTEM | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | SUPE | 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 | 498491367 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | GERALD MESSANA | Name |
| Title | CFO | Title |
| Phone | 9064864431 | 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-EZ IRS990EZ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Schedule B Not Required | X | ScheduleBNotRequired |
| Web Site | WWW.BELLHOSPITAL.ORG | WebSite |
| Organization501c3 | X | Organization501c3 |
| Gross Receipts | 8 | GrossReceipts |
| Info In Schedule O Part I | X | InfoInScheduleOPartI |
| Investment Income | 8 | InvestmentIncome |
| Total Revenue | 8 | TotalRevenue |
| Total Expenses | 0 | TotalExpenses |
| Excess Or Deficit For Year | 8 | ExcessOrDeficitForYear |
| Net Assets Or Fund Balances BOY | 45099 | NetAssetsOrFundBalancesBOY |
| Other Changes In Net Assets | 0 | OtherChangesInNetAssets |
| Net Assets Or Fund Balances EOY | 45107 | NetAssetsOrFundBalancesEOY |
| Info In Schedule O Part II | X | InfoInScheduleOPartII |
Cash Savings And Investments CashSavingsAndInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 15099 | BOY |
| EOY | 15107 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 30000 | BOY |
| EOY | 30000 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 45099 | BOY |
| EOY | 45107 | EOY |
Sum Of Total Liabilities SumOfTotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Net Assets Or Fund Balances NetAssetsOrFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 45099 | BOY |
| EOY | 45107 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part III | X | InfoInScheduleOPartIII |
| Primary Exempt Purpose | TO SUPPORT BELL MEMORIAL HOSPITAL, BELL FOUNDATION AND BELL MEDICAL CENTER. | PrimaryExemptPurpose |
Program Service Accomplishment ProgramServiceAccomplishment (3 entries)
| Description Program Service AccomDescriptionProgramServiceAccom | Grants And AllocationsGrantsAndAllocations | Program Service ExpensesProgramServiceExpenses |
|---|---|---|
| TO CONDUCT ACTIVITIES, EITHER DIRECTLY, THROUGH RELATED ORGANIZATIONS OR IN COOPERATION WITH ORGANIZATIONS EXEMPT FROM TAX UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE OF 1986, OR COMPARABLE PROVISIONS OF SUBSEQUENT LEGISLATION (THE "CODE"), IN ORDER TO SUPPORT AND FURTHER THE PURPOSES OF BELL MEMORIAL HOSPITAL, BELL FOUNDATION AND ANY RELATED ORGANIZATIONS EXEMPT FROM TAX UNDER SECTION 501(C)(3) OF THE CODE AS LONG AS SUCH ORGANIZATIONS REMAIN EXEMPT UNDER SECTION 501(C)(3) OF THE CODE, SUBJECT, HOWEVER, TO ALL LIMITATIONS ON THE NATURE OR EXTENT OF SUCH ACTIVITIES APPLICABLE, FROM TIME TO TIME, TO ORGANIZATIONS EXEMPT FROM TAX UNDER THE CODE. | 0 | 0 |
| TO ACQUIRE, TO OWN, TO DISPOSE OF, AND TO DEAL WITH REAL AND PERSONAL PROPERTY AND INTERESTS THEREIN; TO LOAN, BORROW, MANAGE, AND INVEST FUNDS; AND TO APPLY GIFTS, GRANTS, BEQUESTS AND DEVICES, AND THE PROCEEDS THEREOF IN FURTHERANCE OF THE PURPOSES OF THE CORPORATION. | 0 | 0 |
| TO DO SUCH THINGS AND TO PERFORM SUCH ACTS TO ACCOMPLISH ITS PURPOSES AS THE BOARD OF DIRECTORS MAY DETERMINE TO BE APPROPRIATE AND AS ARE NOT FORBIDDEN BY SECTION 501(C)(3) OF THE CODE WITH ALL THE POWERS CONFERRED ON NONPROFIT CORPORATIONS BY THE LAWS OF THE STATE OF MICHIGAN. | 0 | 0 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expenses | 0 | TotalProgramServiceExpenses |
| Info In Schedule O Part IV | X | InfoInScheduleOPartIV |
Officer Director Trustee Key Empl OfficerDirectorTrusteeKeyEmpl (12 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | TitleTitle | Avg Hours Per Wk Devoted To PositionAvgHoursPerWkDevotedToPosition | CompensationCompensation | Contri To Empl Benefit Plans EtcContriToEmplBenefitPlansEtc | Expense Account Other AllowancesExpenseAccountOtherAllowances |
|---|---|---|---|---|---|---|---|---|
| JANICE ANDERSON | ||||||||
| 901 LAKESHORE DRIVE | ISHPEMING | MI | 49849 | DIRECTOR | 1.00 | 0 | 0 | 0 |
| REV RUDY KEMPPAINEN | ||||||||
| 901 LAKESHORE DRIVE | ISHPEMING | MI | 49849 | VICE CHAIR; DIRECTOR | 1.00 | 0 | 0 | 0 |
| ROBERT DELLANGELO MD | ||||||||
| 901 LAKESHORE DRIVE | ISHPEMING | MI | 49849 | TREASURER; DIRECTOR | 1.00 | 0 | 0 | 0 |
| RICHARD GRAYBILL | ||||||||
| 901 LAKESHORE DRIVE | ISHPEMING | MI | 49849 | CHAIR; DIRECTOR | 1.00 | 0 | 0 | 0 |
| MARLIN KITCHEN | ||||||||
| 901 LAKESHORE DRIVE | ISHPEMING | MI | 49849 | SECRETARY; DIRECTOR | 1.00 | 0 | 0 | 0 |
| BILL STREAM | ||||||||
| 901 LAKESHORE DRIVE | ISHPEMING | MI | 49849 | DIRECTOR | 1.00 | 0 | 0 | 0 |
| BARBARA MEYER | ||||||||
| 901 LAKESHORE DRIVE | ISHPEMING | MI | 49849 | DIRECTOR | 1.00 | 0 | 0 | 0 |
| JAMES HAYWARD DDS | ||||||||
| 901 LAKESHORE DRIVE | ISHPEMING | MI | 49849 | DIRECTOR | 1.00 | 0 | 0 | 0 |
| KEN FARLEY | ||||||||
| 901 LAKESHORE DRIVE | ISHPEMING | MI | 49849 | DIRECTOR | 1.00 | 0 | 0 | 0 |
| TOM FLEURY | ||||||||
| 901 LAKESHORE DRIVE | ISHPEMING | MI | 49849 | DIRECTOR | 1.00 | 0 | 0 | 0 |
| DAVID HOLLI | ||||||||
| 901 LAKESHORE DRIVE | ISHPEMING | MI | 49849 | DIRECTOR | 1.00 | 0 | 0 | 0 |
| RON KATERS | ||||||||
| 901 LAKESHORE DRIVE | ISHPEMING | MI | 49849 | DIRECTOR | 1.00 | 0 | 0 | 0 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part V | X | InfoInScheduleOPartV |
| Activities Not Previously Rpt | 0 | ActivitiesNotPreviouslyRpt |
| Made Changes To Orgnzng Etc Doc | 0 | MadeChangesToOrgnzngEtcDoc |
| Organization Had UBI | 0 | OrganizationHadUBI |
| Subject To Proxy Tax | 0 | SubjectToProxyTax |
| Organization Dissolved Etc | 0 | OrganizationDissolvedEtc |
| Direct Indirect Political Expend | 0 | DirectIndirectPoliticalExpend |
| Made Loans To From Officers | 0 | MadeLoansToFromOfficers |
| Tax Imposed Under IRC4911 | 0 | TaxImposedUnderIRC4911 |
| Tax Imposed Under IRC4912 | 0 | TaxImposedUnderIRC4912 |
| Tax Imposed Under IRC4955 | 0 | TaxImposedUnderIRC4955 |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTrans |
| Amount Of Tax Imposed On Org Mgr | 0 | AmountOfTaxImposedOnOrgMgr |
| Amount Of Tax Reimbursed By Org | 0 | AmountOfTaxReimbursedByOrg |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTrans |
The Books Are In Care Of TheBooksAreInCareOf
Name Business NameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | GERALD MESSANA | BusinessNameLine1 |
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 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Telephone Number | 9204864431 | TelephoneNumber |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Foreign Financial Account | 0 | ForeignFinancialAccount |
| Foreign Office | 0 | ForeignOffice |
| Maintain Any Donor Advised Funds | 0 | MaintainAnyDonorAdvisedFunds |
| Does Org Have Hospital | 0 | DoesOrgHaveHospital |
| Tanning Services Provided | 0 | TanningServicesProvided |
| Related Org Controlled Entity | 1 | RelatedOrgControlledEntity |
| Transaction With Control Entity | 0 | TransactionWithControlEntity |
| Engage Political Cmpgn Activities | 0 | EngagePoliticalCmpgnActivities |
| Engage In Lobbying Activities | 0 | EngageInLobbyingActivities |
| Operating School | 0 | OperatingSchool |
| Trnsfrs Exempt Non Char Related Org | 0 | TrnsfrsExemptNonCharRelatedOrg |
| Part VI Of Comp Of Highest Paid Empl | NONE | PartVIOfCompOfHighestPaidEmpl |
| Part VIA Hghst Paid Cntrct Prof Ser | NONE | PartVIAHghstPaidCntrctProfSer |
| Filed Schedule A | 1 | FiledScheduleA |
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 (3 entries)
| EINEIN | Type Of OrganizationTypeOfOrganization | Listed In Governing DocListedInGoverningDoc | Supported Organization NotifiedSupportedOrganizationNotified | Organized In USOrganizedInUS | AmountAmount |
|---|---|---|---|---|---|
| BELL MEMORIAL HOSPITAL | |||||
| 381394903 | 3 | 1 | 1 | 1 | $0 |
| BELL FOUNDATION | |||||
| 383040125 | 11(B) | 1 | 1 | 1 | $0 |
| BELL MEDICAL CENTER | |||||
| 382124042 | 3 | 1 | 1 | 1 | $0 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Number Of Supported Orgs | 3 | TotalNumberOfSupportedOrgs |
| Sum Of Amounts | 0 | SumOfAmounts |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (2 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| OTHER INVESTMENT INCOME | FORM 990-EZ, PART I, LINE 4 | INTEREST INCOME 8.. |
| OTHER ASSETS | FORM 990-EZ, PART II, LINE 24 | DESCRIPTION: INVESTMENT IN SUBSIDIARIES. BEG. OF YEAR AMOUNT: 30,000. END OF YEAR AMOUNT: 30,000. |
Transfer Prsnl Bnft Contracts Decl TransferPrsnlBnftContractsDecl
| Field | Value | IRS element (for citing) |
|---|---|---|
| Declaration | THE ORGANIZATION DID NOT, DURING THE YEAR, RECEIVE ANY FUNDS, DIRECTLY,OR INDIRECTLY, TO PAY PREMIUMS ON A PERSONAL BENEFIT CONTRACT.THE ORGANIZATION, DID NOT, DURING THE YEAR, PAY ANY PREMIUMS, DIRECTLY,OR INDIRECTLY, ON A PERSONAL BENEFIT CONTRACT. | Declaration |
Comments