2013-11-14T13:27:23-06:00 2013-06-30 390758449 WIPFLI LLP PO BOX 12237 GREEN BAY WI 543072237 990 2012-07-01 391620530 BELLIN COLLEGE INC BELL 9204333500 3201 EATON ROAD GREEN BAY WI 54311 CONNIE BOERST 9204333500 2013-11-11 1 TERRI REXRODE CPA MST P00096513 9206620016 2013-11-11 2012 2016-02-25 16:41:14Z CONNIE BOERST 3201 EATON ROAD GREEN BAY WI 54311 9015007 0 X WWW.BELLINCOLLEGE.EDU X 1988 WI BELLIN COLLEGE, INC. IS DEDICATED TO PRODUCING HEALTH CARE PROFESSIONALS FOR NURSING AND RADIOLOGIC SCIENCES. THE COLLEGE IS AN INDEPENDENT, ACCREDITED, COEDUCATIONAL BACCALAUREATE AND MASTERS DEGREE GRANTING INSTITUTION. STUDENTS CAN OBTAIN A BACHELOR OF SCIENCE IN NURSING, A BACHELOR OF SCIENCE IN RADIOLOGIC SCIENCES, AND A MASTER OF SCIENCE IN NURSING. OUR GRADUATES ARE PREPARED TO ADDRESS THE HEALTH CARE NEEDS OF A DIVERSE, GLOBAL SOCIETY AND ITS INDIVDUALS, AND ARE COMMITTED TO ADVANCING THE PROFESSION. 17 14 83 21 0 0 421694 1309451 6842617 6763388 547415 894906 0 0 7811726 8967745 436078 485474 0 0 4182467 4350733 0 0 189642 1826442 1917081 6444987 6753288 1366739 2214457 28566554 30138053 4768287 3668168 23798267 26469885 X BELLIN COLLEGE, INC. IS DEDICATED TO PREPARING HEALTHCARE PROFESSIONALS BY PROVIDING AN INTELLECTUALLY STIMULATING ENVIRONMENT FOCUSED ON LEADERSHIP, COMMUNITY SERVICE AND LIFELONG LEARNING THAT PROMOTES EXCELLENCE IN HEALTHCARE PRACTICE AND THE ADVANCEMENT OF THE PROFESSION. 0 0 4988919 485474 6403353 BELLIN COLLEGE, INC. IS A NONSTOCK, NONPROFIT FOUR-YEAR TEACHING INSTITUTION FOR STUDENTS PURSUING A BACHELOR OF SCIENCE OR MASTER'S DEGREE IN NURSING OR A BACHELOR OF SCIENCE IN RADIOLOGIC SCIENCES. THE PURPOSE OF THE ORGANIZATION IS TO PLAN, ORGANIZE, IMPLEMENT, AND EVALUATE THE BACHELOR OF SCIENCE OF NURSING, MASTER'S IN NURSING PROGRAMS, AND BACHELOR OF SCIENCE OF RADIOLOGIC SCIENSES PROGRAMS IN ACCORDANCE WITH THE COLLEGE MISSION STATEMENT, RULES AND REGULATIONS OF THE WISCONSIN BOARD OF NURSING, AND THE CRITERIA OF THE ACCREDITING BODIES. THE COLLEGE GRADUATED 80 STUDENTS WITH THEIR BACHELOR OF SCIENCE NURSING DEGREE , 8 STUDENTS WITH THEIR BACHELOR OF RADIOLOGICAL SCIENCE DEGREE AND 11 STUDENTS WITH THEIR MASTERS IN NURSING DURING THE YEAR. 4988919 1 1 0 0 0 0 0 0 0 1 1 0 0 0 1 1 1 1 1 0 0 0 0 0 1 0 0 0 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 1 492 0 1 83 1 0 0 0 0 0 1 1 0 0 0 0 X 17 14 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 WI X JOE KEEBAUGH 9204336631 3201 EATON ROAD GREEN BAY WI 54311 X GERALD CONDON JR 1.00 X 0 0 0 DR CHARLES IRKE 1.00 X 0 0 0 GEORGE KERWIN 1.00 X 0 877514 36641 DR WILLIAM J WITTMAN 1.00 X 0 417778 19407 KAREN BRUKARDT 1.00 X 0 0 0 CINDY DEHN 1.00 X 0 0 0 BRANNON GUYETTE 1.00 X 0 0 0 JON P MOREAU 1.00 X 0 0 0 DONALD SALMON 1.00 X 0 0 0 TERRY FULWILER 1.00 X 0 0 0 DR HERB COUSSONS 1.00 X 0 0 0 CONNIE BOERST 40.00 X X 148589 0 26398 THOMAS PRUST 1.00 X X 0 0 0 KATHLEEN RILEY 1.00 X X 0 0 0 ROBERT CLAUSEN 1.00 X X 0 0 0 DR FERGUS HUGHES 1.00 X X 0 0 0 MIKE VAN ASTEN 1.00 X X 0 0 0 JOSEPH KEEBAUGH 40.00 X 82260 0 18776 VERA DAUFFENBACH 40.00 X 100674 0 25100 331523 1295292 126322 2 0 1 0 0 57854 1251597 1309451 STUDENT TUITION & FEES 611710 6403353 6403353 LIBRARY 611710 322679 322679 OTHER REVENUE 611710 37356 37356 6763388 305380 305380 589516 10 0 0 589516 10 589526 589526 47262 57854 47262 0 8967745 6403353 0 1254941 485474 485474 276022 276022 3286495 2721902 447128 117465 183721 169458 11954 2309 326563 258519 57812 10232 277932 203022 65615 9295 10400 10400 44853 44853 140190 32790 107400 52523 50236 2287 464706 362408 95246 7052 74624 74624 88953 65068 21112 2773 29298 15712 12153 1433 31699 15498 6519 9682 138801 101531 32943 4327 709089 518686 168296 22107 21800 15946 5174 680 DUES & SUBSCRIPTIONS 78495 78495 GRADUATION & EVENTS 12577 11545 1032 RECRUITMENT 11018 11018 OTHER EXPENSES 6637 342 6295 1418 1418 6753288 4988919 1574727 189642 237209 719770 3049122 3077363 144900 82537 100236 109794 113413 70160 13962558 2887201 11658997 11075357 13240228 14983267 22449 19805 28566554 30138053 401004 372079 298259 298023 3886343 2906908 182681 91158 4768287 3668168 X 14048971 15925523 1229130 1463702 8520166 9080660 23798267 26469885 28566554 30138053 2214457 457161 0 X 0 1 X 0 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 10540178 1172602 563297 -295894 -701146 11279037 10916688 336498 -17107 -121082 -574819 10540178 11651371 526729 639449 -126319 -1774542 10916688 16448839 572364 66417 -112727 -5323522 11651371 0.07000 0.13000 0.80000 0 0 1055165 1055165 6882914 694369 6188545 462498 146068 316430 5560981 2046764 3514217 1000 1000 11075357 DUE TO AFFILIATE 91158 91158 X 9149489 457161 457161 8692328 275417 275417 8967745 6477871 -275417 -275417 6753288 0 6753288 DESCRIPTION OF INTENDED USE OF ENDOWMENT FUNDS: PART V, LINE 4: THE ENDOWMENT FUNDS ARE USED FOR OPERATION EXPENSES AND SCHOLARSHIPS. DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: PART X, LINE 2: IN ORDER TO ACCOUNT FOR UNCERTAIN TAX POSITIONS, THE COLLEGE DETERMINES WHETHER IT IS MORE LIKELY THAN NOT THAT A TAX POSITION WILL BE SUSTAINED UPON EXAMINATION ON 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 FINANCIAL STATEMENTS. THE COLLEGE RECORDED NO ASSETS OR LIABILITIES RELATED TO UNCERTAIN TAX POSITIONS. INCOME TAX RETURNS FOR THE YEARS ENDED 2010 AND BEYOND REMAIN SUBJECT TO EXAMINATION BY THE APPLICABLE TAXING AUTHORITIES. PART XI, LINE 4B - OTHER ADJUSTMENTS: SPECIAL EVENT EXPENSE -47,262. LIBRARY INTERCOMPANY CHARGES 322,679. PART XII, LINE 2D - OTHER ADJUSTMENTS: SPECIAL EVENTS EXPENSE 47,262. LIBRARY INTERCOMPANY CHARGES -322,679. 1 1 1 1 1 1 1 0 0 0 0 0 0 0 0 1 0 1 EXPLANATION OF NONDISCRIMINATORY POLICY PUBLICATION SCHEDULE E, PART I, LINE 3 THROUGH WRITTEN AND BROADCAST MEDIA, BELLIN COLLEGE, INC. PUBLICIZES ITS NONDISCRIMINATION POLICY TO THE GENERAL PUBLIC WITH WRITTEN OR VISIBLE EXAMPLES THAT ARE EASILY IDENTIFIABLE TO THE AVERAGE CITIZEN. EXPLANATION OF GOVERNMENT FINANCIAL ASSISTANCE SCHEDULE E, PART I, LINE 6 THE COLLEGE PARTICIPATES IN FEDERAL AND STATE STUDENT FINANCIAL ASSISTANCE PROGRAMS INCLUDING THE FOLLOWING: FEDERAL SUPPLEMENTAL EDUCATION OPPERATING GRANT, FEDERAL PELL GRANT PROGRAM, FEDERAL DIRECT LOANS AND VARIOUS STATE LOANS AND GRANTS. THE COLLEGE IS REQUIRED TO PROVIDE MATCHING FUNDS FOR CERTAIN FEDERAL PROGRAMS. GOLF CLASSIC OUTING 105116 57854 47262 47262 105116 57854 47262 47262 47262 0 1 BELLIN COLLEGE SCHOLARSHIP 81 188330 BOARD ENDOWMENT 15 12199 BOARD CURRENT 7 5911 NISHIOKA 2 1250 CURRENT SCHOLARSHIPS 96 94603 ENDOWED SCHOLARSHIP 129 183181 PROCEDURE FOR MONITORING GRANTS IN THE U.S.: PART I, LINE 2: SCHEDULE I, PART I, LINE 2: MOST GRANTS AND SCHOLARHSIPS ADMINISTERED BY BELLIN COLLEGE ARE AWARDED BASED ON FINANCIAL NEED; SOME HAVE ADDITIONAL ELIGIBILITY REQUIREMENTS SET BY DONORS OR OTHER ENTITIES. THE BURSAR AND DIRECTOR OF FINANCIAL AID RECONCILE AWARDS/PAYMENTS ON A REGULAR BASIS TO ENSURE ACCURACY ON STUDENTS' ACCOUNTS. X X 0 0 0 0 0 0 0 0 0 GEORGE KERWIN 0 414658 0 453500 0 9356 0 21611 0 15030 0 914155 0 0 DR WILLIAM J WITTMAN 0 223571 0 193433 0 774 0 7877 0 11530 0 437185 0 0 CONNIE BOERST 136147 0 7500 0 4942 0 9892 0 16506 0 174987 0 0 0 A VILLAGE OF BELLEVUE WISCONSIN 391223437 2009-04-28 10000000 CONSTRUCTION OF NEW CAMPUS 0 0 0 A 5223354 10000000 7950000 2050000 2009 1 0 1 1 A 0 0 0 0 0.00000 0.00000 0.00000 0 0 0 A 0 1 0 0 1 0 0 0 1 A 0 FORM 990, SCHEDULE K, PART VI THE REBATE CALCULATION IS NOT YET DUE. FORM 990, PART VI, SECTION B, LINE 11 THE 990 IS GIVEN TO THE CHAIRMAN OF THE BOARD OF TRUSTEES FOR REVIEW. THE 990 IS THEN DISTRIBUTED TO THE ENTIRE BOARD OF TRUSTEES PRIOR TO FILING. FORM 990, PART VI, SECTION B, LINE 12C WHEN A BOARD OR TRUSTEE MEMBER IS ELECTED TO THE BOARD THEY ARE REQUIRED TO SIGN A CONFLICT OF INTEREST POLICY. STARTING FISCAL YEAR 2014, MEMBERS OF THE BOARD WILL BE REQUIRED TO SIGN THE CONFLICT OF INTEREST POLICY ANNUALLY. FORM 990, PART VI, SECTION B, LINE 15 SALARIES ARE APPROVED AS PART OF THE ANNUAL BUDGET PROCESS. FOR FACULTY SALARIES THERE IS A COMPARISON OF COMPENSATION OF SIMILAR INSTITUTIONS. THE PRESIDENT'S SALARY IS DETERMINED BY THE EXECUTIVE BOARD. TO DETERMINE THE PRESIDENT'S COMPENSATION THERE IS A REVIEW OF PERFORMANCE EVALUATION AND COMPARISON TO SURVEY OF COMPENSATION FOR SIMILAR POSITIONS. FORM 990, PART VI, SECTION C, LINE 19 GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE MADE AVAILABLE TO THE PUBLIC UPON REQUEST. AVERAGE HOURS PER WEEK FORM 990, PART VII, LINE 1A, GEORGE KERWIN WORKED AN AVERAGE OF 40.0 HOURS PER WEEK AT A RELATED ORGANIZATION. DR. WILLIAM J. WITTMAN WORKED AN AVERAGE OF 40.0 HOURS PER WEEK AT A RELATED ORGANIZAITON. BELLIN HEALTH SYSTEMS INC 744 SOUTH WEBSTER GREEN BAY WI 54305 391512904 SUPPORT OF NON-PROFIT HEALTHCARE ORGANIZATIONS WI 501(C)(3) LINE 11B, II N/A 0 LAKE MICHIGAN HEALTH SERVICES INC 744 SOUTH WEBSTER GREEN BAY WI 54305 391512903 SUPPORT PURPOSES OF BELLIN MEMORIAL HOSPITAL WI 501(C)(3) LINE 11B, II BELLIN HEALTH SYSTEMS INC 1 THE BELLIN HEALTH FOUNDATION INC PO BOX 23400 GREEN BAY WI 54305 391809171 FOUNDATION WI 501(C)(3) LINE 7 BELLIN HEALTH SYSTEMS INC 1 BELLIN PSYCHIATRIC CENTER INC PO BOX 23725 GREEN BAY WI 54305 391657627 PSYCHIATRIC HOSPITAL WI 501(C)(3) LINE 3 BELLIN HEALTH SYSTEMS INC 1 BELLIN MEMORIAL HOSPITAL INC PO BOX 23400 GREEN BAY WI 54305 390884478 ACUTE CARE HOSPITAL WI 501(C)(3) LINE 3 BELLIN HEALTH SYSTEMS INC 1 OCONTO HOSPITAL & MEDICAL CENTER INC PO BOX 357 OCONTO WI 54153 061745397 HOSPITAL WI 501(C)(3) LINE 3 BELLIN MEMORIAL HOSPITAL INC 1 BELLIN ORTHOPEDIC SURGERY CENTER 2223 LIM KILN RD GREEN BAY WI 54311 264677834 AMBULATORY ORTHOPEDIC SURGERY WI N/A BEL-REGIONAL HOME MEDICAL INC 617 S ROOSEVELT GREEN BAY WI 54301 391504766 DURABLE MEDICAL EQUIPMENT, RETAIL PHARMACY, FITNESS WI N/A C 0 BELLIN INVESTMENTS INC PO BOX 23400 GREEN BAY WI 54305 391564939 OTHER WI N/A C 0 UNITED PROVIDERS INC PO BOX 23400 GREEN BAY WI 54305 391907541 OTHER WI N/A C 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 BELLIN MEMORIAL HOSPITAL P 304810 ACCRUAL ACCOUNTING BELLIN MEMORIAL HOSPITAL Q 322679 ACCRUAL ACCOUNTING