NORTHREACH HEALTHCARE LLC: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization
NORTHREACH HEALTHCARE LLC (EIN 39-1999260)
Tax period
2011-01-01 to 2011-12-31
Filed
2012-05-10
IRS object ID
201201319349302065
Schema version
2011v1.2
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)
Timestamp2012-05-10T13:58:58-05:00Timestamp
Tax Period End Date2011-12-31TaxPeriodEndDate

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 12237AddressLine1
CityGREEN BAYCity
StateWIState
ZIP Code543072237ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2011-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN391999260EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1NORTHREACH HEALTHCARE LLCBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlNORTNameControl
Phone7157322078Phone

US Address USAddress

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

Officer Officer

FieldValueIRS element (for citing)
NameROBERT BARBERName
TitleCEOTitle
Phone7157322078Phone
Date Signed2012-05-10DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameTERRI REXRODE CPA MSTName
PTINP00096513PTIN
Phone9206620016Phone
Date Prepared2012-05-10DatePrepared
FieldValueIRS element (for citing)
Tax Year2011TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonROBERT BARBERNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line13100 SHORE DRIVEAddressLine1
CityMARINETTECity
StateWIState
ZIP Code54143ZIPCode
FieldValueIRS element (for citing)
Gross Receipts16511599GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.NORTHREACH.ORGWebSite
Type Of Organization OtherXTypeOfOrganizationOther
Type Of Org Other DescriptionLLCTypeOfOrgOtherDescription
Year Formation2000YearFormation
State Legal DomicileWIStateLegalDomicile
Activity Or Mission DescriptionTO PROVIDE HEALTH CARE SERVICES TO PATIENTS THROUGH CLINICS LOCATED IN NORTHEASTERN WISCONSIN AND UPPER MICHIGAN.ActivityOrMissionDescription
Nbr Voting Members Governing Body8NbrVotingMembersGoverningBody
Nbr Independent Voting Members4NbrIndependentVotingMembers
Total Nbr Employees190TotalNbrEmployees
Total Nbr Volunteers1TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year1940000ContributionsGrantsPriorYear
Contributions Grants Current Year3100000ContributionsGrantsCurrentYear
Program Service Revenue Prior Year13235678ProgramServiceRevenuePriorYear
Program Service Revenue CY13246413ProgramServiceRevenueCY
Investment Income Prior Year-3082InvestmentIncomePriorYear
Investment Income Current Year-10853InvestmentIncomeCurrentYear
Other Revenue Prior Year113009OtherRevenuePriorYear
Other Revenue Current Year113500OtherRevenueCurrentYear
Total Revenue Prior Year15285605TotalRevenuePriorYear
Total Revenue Current Year16449060TotalRevenueCurrentYear
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 Year10930877SalariesEtcPriorYear
Salaries Etc Current Year11491126SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year4293203OtherExpensePriorYear
Other Expenses Current Year5034095OtherExpensesCurrentYear
Total Expenses Prior Year15224080TotalExpensesPriorYear
Total Expenses Current Year16525221TotalExpensesCurrentYear
Revenues Less Expenses Prior Year61525RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-76161RevenuesLessExpensesCY
Total Assets BOY5011340TotalAssetsBOY
Total Assets EOY5294243TotalAssetsEOY
Total Liabilities BOY1848643TotalLiabilitiesBOY
Total Liabilities EOY2207707TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY3162697NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY3086536NetAssetsOrFundBalancesEOY
Mission DescriptionNORTHREACH HEALTHCARE WILL BE THE LEADING PROVIDER OF COMPASSIONATE, HIGH QUALITY PRIMARY HEALTH CARE IN THE COMMUNITIES WE SERVE.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense12584331Expense
Revenue13246113Revenue
DescriptionTO PROVIDE CLINICAL HEALTH CARE SERVICES THROUGH HEALTH CARE PROFESSIONALS PRACTICING PRIMARILY IN PRIMARY CARE SPECIALTIES.Description
Total Program Service Expense12584331TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities0LobbyingActivities
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 Assets1ReportOtherAssets
Report Other Liabilities1ReportOtherLiabilities
Report Fin48 Footnote0ReportFin48Footnote
Independent Audit Financial Stmt1IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt0ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities0FundraisingActivities
Gaming0Gaming
Hospital0Hospital
Grants To Organizations0GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required1ScheduleJRequired
Tax Exempt Bonds0TaxExemptBonds
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
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 Entity0RelatedEntity
Related Org Controlled Entity0RelatedOrgControlledEntity
Transaction Related Entity0TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With109626NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees190NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income0UnrelatedBusinessIncome
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 Members8NbrVotingGoverningBodyMembers
Number Independent Voting Members4NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders1MembersOrStockholders
Election Of Board Members0ElectionOfBoardMembers
Decisions Subject To Approval0DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body0Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other0CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1JILL BROWNBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number7157322078TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line13120 RIVERSIDE AVEAddressLine1
CityMARINETTECity
StateWIState
ZIP Code54143ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (14 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationHighest Compensated EmployeeHighestCompensatedEmployee
ROBERT BARBER
CEO40.00XX74618011522
J MICHAEL ARNOLD
BOARD MEMBER / MD40.00X341825033237
MARY GATZKE
BOARD MEMBER / NP40.00X145868013549
SANDRA MACARTHUR
BOARD MEMBER / MD40.00X231981045779
GEORGE KERWIN
BOARD MEMBER0.50X000
JOHN ROCHELEAU
BOARD MEMBER0.50X000
DAN CARLSON
BOARD MEMBER0.50X000
TONY FURTON
BOARD MEMBER0.50X000
C MARK GREGSON
INTERIM CEO40.00X23400000
MICHAEL MASSEE
PHYSICIAN40.00519588043905X
LINDA WERNER
PHYSICIAN40.00234548032029X
JOHN BRIODY
PHYSICIAN40.00356088039595X
BETH GOETZMAN
NURSE PRACTITIONER40.00231433036999X
NEERAJANA GUPTA
PHYSICIAN40.00298056035382X
FieldValueIRS element (for citing)
Total Reportable Comp From Org2668005TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation291997TotalOtherCompensation
Number Individuals GT100 K19NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation (2 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
BAY AREA MEDICAL CENTER
3100 SHORE DRIVEMARINETTEWI54143REFERENCE LAB AND INFORMATION TECHNOLOGY448481
HBL HEALTHCARE
4235 S BANDIT ROADGILBERTAZ85297INTERIM CEO SERVICES234000
FieldValueIRS element (for citing)
Number Of Contractors GT100 K2NumberOfContractorsGT100K
All Other Contributions3100000AllOtherContributions
Total Contributions3100000TotalContributions

Program Service Revenue ProgramServiceRevenue

FieldValueIRS element (for citing)
DescriptionNET PATIENT SERVICE REDescription
Business Code621110BusinessCode
Total Revenue Column13246413TotalRevenueColumn
Related Or Exempt Function Income13246113RelatedOrExemptFunctionIncome
Exclusion$300ExclusionAmount
FieldValueIRS element (for citing)
Total Program Service Revenue13246413TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column493TotalRevenueColumn
Exclusion$493ExclusionAmount

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real164693Real

Less Rental Expenses LessRentalExpenses

FieldValueIRS element (for citing)
Real51193Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real113500Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column113500TotalRevenueColumn
Exclusion$113,500ExclusionAmount

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Other11346Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Other-11346Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column-11346TotalRevenueColumn
Exclusion-$11,346ExclusionAmount

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column16449060TotalRevenueColumn
Related Or Exempt Function Income13246113RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$102,947ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total794292Total
Program Services719674ProgramServices
Management And General74618ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total8367431Total
Program Services6719867ProgramServices
Management And General1647564ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total268988Total
Program Services218163ProgramServices
Management And General50825ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total1560864Total
Program Services743234ProgramServices
Management And General817630ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total499551Total
Program Services380887ProgramServices
Management And General118664ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total23876Total
Program Services6850ProgramServices
Management And General17026ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total1107187Total
Program Services755011ProgramServices
Management And General352176ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total67774Total
Program Services67774ProgramServices

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total1240768Total
Program Services925773ProgramServices
Management And General314995ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total2686Total
Program Services111ProgramServices
Management And General2575ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total957369Total
Program Services899813ProgramServices
Management And General57556ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total45976Total
Program Services21347ProgramServices
Management And General24629ManagementAndGeneral

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total11635Total
Program Services8604ProgramServices
Management And General3031ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total362Total
Program Services362ProgramServices

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total257774Total
Program Services242462ProgramServices
Management And General15312ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total178481Total
Program Services152043ProgramServices
Management And General26438ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
MISCELLANEOUS614997497096117901
FASTCARE EXPENSES277573277573
PROVISION FOR BAD DEBTS136949136949
EMPLOYEE RECRUITMENT562184584410374

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total54470Total
Program Services42467ProgramServices
Management And General12003ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total16525221Total
Program Services12584331ProgramServices
Management And General3940890ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY474488BOY
EOY536367EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY1727215BOY
EOY2051652EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY182616BOY
EOY163607EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY297059BOY
EOY324452EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis4845797LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec2933479LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY2056422BOY
EOY1912318EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY273540BOY
EOY305847EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY5011340BOY
EOY5294243EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY1561876BOY
EOY1901860EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY13227BOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY273540BOY
EOY305847EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY1848643BOY
EOY2207707EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY3162697BOY
EOY3086536EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY3162697BOY
EOY3086536EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY5011340BOY
EOY5294243EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses-76161ReconcilationRevenueExpenses
Reconcilation Other Changes0ReconcilationOtherChanges
Info In Schedule O Part XIIXInfoInScheduleOPartXII
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited
Audit Committee1AuditCommittee
Financial Statement SeparateXFinancialStatementSeparate
Federal Grant Audit Required0FederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Hospital170b1 AiiiXHospital170b1Aiii
General ExplanationSCHEDULE A, PART IV, SUPPLEMENTAL INFORMATION: NORTHREACH HEALTHCARE, LLC IS A NONPROFIT, LIMITED LIABILITY COMPANY THAT PROVIDES HEALTH CARE SERVICES THROUGH CLINICS LOCATED IN NORTHEASTERN WISCONSIN AND MICHIGAN. ITS EXEMPT STATUS WAS APPROVED UNDER IRC 509(A) (1) AND 170(B) (1) (A) (III). IT IS NOT REQUIRED TO BE LICENSED AS A HOSPITAL AND THEREFORE IS NOT REQUIRED TO COMPLETE SCHEDULE H.GeneralExplanation

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule D IRS990ScheduleD

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis203082OtherCostOrOtherBasis
Book Value203082BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis2042439OtherCostOrOtherBasis
Depreciation959506Depreciation
Book Value1082933BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis258923OtherCostOrOtherBasis
Depreciation167706Depreciation
Book Value91217BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis2269145OtherCostOrOtherBasis
Depreciation1734720Depreciation
Book Value534425BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis72208OtherCostOrOtherBasis
Depreciation71547Depreciation
Book Value661BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings1912318TotalOfBookValueLandBuildings

Other Assets OtherAssets

FieldValueIRS element (for citing)
DescriptionDEFERRED COMPENSATIONDescription
Book Value305847BookValue
FieldValueIRS element (for citing)
Total Book Value Other Assets305847TotalBookValueOtherAssets

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
DescriptionDEFERRED COMPENSATIONDescription
Amount$305,847Amount
FieldValueIRS element (for citing)
Total Of Amounts305847TotalOfAmounts
Total Revenue16449060TotalRevenue
Total Expenses16525221TotalExpenses
Excess Or Deficit For Year-76161ExcessOrDeficitForYear
Excess Or Deficit Per FS-76161ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt13400253TotRevenueEtcAuditedFinclStmt
Revenue Not Rptd F9900RevenueNotRptdF990
Revenue Subtotal13400253RevenueSubtotal
Other Revenues Not Included3048807OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt3048807RevenueNotRptdOnFinStmt
Total Revenue Per Form99016449060TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt16576414TotExpensesEtcAuditedFinclStmt
Other Expenses Included51193OtherExpensesIncluded
Expenses Not Rptd F99051193ExpensesNotRptdF990
Expenses Subtotal16525221ExpensesSubtotal
Expenses Not Rptd On Fin Stmt0ExpensesNotRptdOnFinStmt
Total Expenses Per Form99016525221TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (3 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48:PART X:THE FINANCIAL STATEMENTS DID NOT CONTAIN A FOONOTE REGARDING TAX POSITIONS UNDER FIN 48.
PART XII, LINE 4B - OTHER ADJUSTMENTS:RENTAL EXPENSE -51,193. OWNER CONTRIBUTIONS 3,100,000.
PART XIII, LINE 2D - OTHER ADJUSTMENTS:RENTAL EXPENSE 51,193.

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Housing Allowance Or ResidenceXHousingAllowanceOrResidence
Written Policy Re T And E Expenses0WrittenPolicyReTAndEExpenses
Substantiation Required1SubstantiationRequired
Independent ConsultantXIndependentConsultant
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 (9 entries)

Base 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
J MICHAEL ARNOLD
299404053370370840003323703750620366700
MARY GATZKE
108414025516011938058110773801594170113490
SANDRA MACARTHUR
1889800298250131760961403616502777600127210
C MARK GREGSON
234000000000000234000000
MICHAEL MASSEE
29796201401920814340980003410505634930812540
LINDA WERNER
1544970470150330360959202243702665770322620
JOHN BRIODY
3058870145450356560980002979503956830346120
BETH GOETZMAN
8303901046570437370943102756802684320434170
NEERAJANA GUPTA
297893000163098000255820333438000

Form990 Schedule J Part III Form990ScheduleJPartIII (2 entries)

Return ReferenceReturnReferenceExplanationExplanation
PART I, LINE 1BCEO WAS PROVIDED WITH AN APARTMENT FOR 6 MONTHS FROM DATE OF HIRE, WHICH WAS OWNED BY BAY AREA MEDICAL CENTER.
PART I, LINE 4BQUESTION 4B: 457B: NEERAJANA GUPTA - $16,500

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (6 entries)

Return ReferenceReturnReferenceExplanationExplanation
FORM 990, PART VI, SECTION A, LINE 6NORTHREACH CONSISTS OF TWO MEMBERS: BELLIN MEMORIAL HOSPITAL, INC. AND BAY AREA MEDICAL CENTER, INC. THE BOARD OF DIRECTORS HAS INDIVIDUALS FROM NORTHREACH HEALTHCARE, BAY AREA MEDICAL CENTER AND BELLIN MEMORIAL HOSPITAL. BELLIN MEMORIAL HOSPITAL AND BAY AREA MEDICAL CENTER ARE MEMBERS OF NORTHREACH HEALTHCARE.
FORM 990, PART VI, SECTION B, LINE 11THE 990 IS REVIEWED BY ACCOUNTING STAFF. IN ADDITION A COPY OF THE FORM 990 IS DISTRIBUTED AND REVIEWED BY A SUBSET OF THE BOARD OF DIRECTORS THAT IS CREATED SPECIFICALLY FOR THE PURPOSE OF FORM 990 REVIEW AND APPROVAL. AFTER APPROVAL, IT IS ELECTRONICALLY FILED WITH THE IRS.
FORM 990, PART VI, SECTION B, LINE 12CEACH DIRECTOR, OFFICER AND COMMITTEE MEMBER SHALL DISCLOSE TO THE BOD OR TO THE OTHER MEMBERS OF ANY COMMITTEE CONSIDERING A PROPOSED TRANSACTION OR ARRANGEMENT, THE EXISTENCE OF ANY FINANCIAL INTEREST AND ALL MATERIAL FACTS SUCH PERSON MAY HAVE WITH RESPECT TO SUCH PROPOSED TRANSACTION OR ARRANGEMENT. EACH DIRECTOR, OFFICER AND COMMITTEE MEMBER SHALL PROMPTLY MAKE DISCLOSURES AS MAY BE NECESSARY TO KEEP THE BOARD OR COMMITTEE FULLY APPRISED OF SUCH PERSON'S FINANCIAL INTERESTS. DISCLOSURE SHALL ALSO BE ACCOMPLISHED ON AN ANNUAL BASIS BY HAVING EACH DIRECTOR AND PRINCIPAL OFFICER EXECUTE AND DELIVER TO THE COMPANY A CERTIFICATE REGARDING CONFLICTS OF INTEREST.
FORM 990, PART VI, SECTION B, LINE 15AA REVIEW IS PERFORMED BY BELLIN HUMAN RESOURCE STAFF AND APPROVED BY BELLIN AND BAY AREA MEDICAL CENTER. BENCHMARK DATA IS STUDIED FOR SIMILAR POSITIONS AND CONSIDERED (ALONG WITH PERFORMANCE) WHEN DETERMINING THE COMPENSATION AND ANY PAY INCREASES AND/OR BONUS PAYMENTS. THE COMPENSATION, PAY INCREASE, OR BONUS IS APPROVED BY THE CEOS OF THE TWO OWNERS (BAY AREA MEDICAL CENTER AND BELLIN). THE INFORMATION IS DOCUMENTED AND THE DECISIONS ARE MADE BY INDIVIDUALS WHO DO NOT HAVE A CONFLICT OF INTEREST.
FORM 990, PART VI, SECTION C, LINE 19GOVERNING DOCUMENTS AND FINANCIAL STATEMENTS ARE NOT MADE AVAILABLE TO THE PUBLIC.
FORM 990, PART XII, LINE 2CTHE BOARD OF DIRECTORS IS RESPONSIBLE FOR THE OVERSIGHT OF THE AUDIT. THE BOARD OF DIRECTORS RECEIVES A REPORT FROM THE INDEPENDENT AUDITORS UPON THE COMPLETION OF THE AUDIT. THE PROCESS HAS NOT CHANGED FROM LAST YEAR.

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