2012-05-10T13:58:58-05:00 2011-12-31 390758449 WIPFLI LLP PO BOX 12237 GREEN BAY WI 543072237 990 2011-01-01 391999260 NORTHREACH HEALTHCARE LLC NORT 7157322078 3100 SHORE DRIVE MARINETTE WI 54143 ROBERT BARBER 7157322078 2012-05-10 1 TERRI REXRODE CPA MST P00096513 9206620016 2012-05-10 2011 2016-02-24 21:20:13Z ROBERT BARBER 3100 SHORE DRIVE MARINETTE WI 54143 16511599 0 X WWW.NORTHREACH.ORG X LLC 2000 WI TO PROVIDE HEALTH CARE SERVICES TO PATIENTS THROUGH CLINICS LOCATED IN NORTHEASTERN WISCONSIN AND UPPER MICHIGAN. 8 4 190 1 0 0 1940000 3100000 13235678 13246413 -3082 -10853 113009 113500 15285605 16449060 0 0 0 0 10930877 11491126 0 0 0 4293203 5034095 15224080 16525221 61525 -76161 5011340 5294243 1848643 2207707 3162697 3086536 NORTHREACH HEALTHCARE WILL BE THE LEADING PROVIDER OF COMPASSIONATE, HIGH QUALITY PRIMARY HEALTH CARE IN THE COMMUNITIES WE SERVE. 0 0 12584331 13246113 TO PROVIDE CLINICAL HEALTH CARE SERVICES THROUGH HEALTH CARE PROFESSIONALS PRACTICING PRIMARILY IN PRIMARY CARE SPECIALTIES. 12584331 1 1 0 0 0 0 0 0 0 1 0 0 1 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 26 0 1 190 1 0 0 0 0 0 0 0 0 0 0 X 8 4 0 0 0 0 1 0 0 1 1 0 0 0 1 1 1 1 1 1 0 0 X JILL BROWN 7157322078 3120 RIVERSIDE AVE MARINETTE WI 54143 ROBERT BARBER 40.00 X X 74618 0 11522 J MICHAEL ARNOLD 40.00 X 341825 0 33237 MARY GATZKE 40.00 X 145868 0 13549 SANDRA MACARTHUR 40.00 X 231981 0 45779 GEORGE KERWIN 0.50 X 0 0 0 JOHN ROCHELEAU 0.50 X 0 0 0 DAN CARLSON 0.50 X 0 0 0 TONY FURTON 0.50 X 0 0 0 C MARK GREGSON 40.00 X 234000 0 0 MICHAEL MASSEE 40.00 X 519588 0 43905 LINDA WERNER 40.00 X 234548 0 32029 JOHN BRIODY 40.00 X 356088 0 39595 BETH GOETZMAN 40.00 X 231433 0 36999 NEERAJANA GUPTA 40.00 X 298056 0 35382 2668005 0 291997 19 0 1 0 BAY AREA MEDICAL CENTER 3100 SHORE DRIVE MARINETTE WI 54143 REFERENCE LAB AND INFORMATION TECHNOLOGY 448481 HBL HEALTHCARE 4235 S BANDIT ROAD GILBERT AZ 85297 INTERIM CEO SERVICES 234000 2 3100000 3100000 NET PATIENT SERVICE RE 621110 13246413 13246113 300 13246413 493 493 164693 51193 113500 113500 113500 11346 -11346 -11346 -11346 16449060 13246113 0 102947 794292 719674 74618 8367431 6719867 1647564 268988 218163 50825 1560864 743234 817630 499551 380887 118664 23876 6850 17026 1107187 755011 352176 67774 67774 1240768 925773 314995 2686 111 2575 957369 899813 57556 45976 21347 24629 11635 8604 3031 362 362 257774 242462 15312 178481 152043 26438 MISCELLANEOUS 614997 497096 117901 FASTCARE EXPENSES 277573 277573 PROVISION FOR BAD DEBTS 136949 136949 EMPLOYEE RECRUITMENT 56218 45844 10374 54470 42467 12003 16525221 12584331 3940890 0 474488 536367 1727215 2051652 182616 163607 297059 324452 4845797 2933479 2056422 1912318 273540 305847 5011340 5294243 1561876 1901860 13227 273540 305847 1848643 2207707 X 3162697 3086536 3162697 3086536 5011340 5294243 -76161 0 X X 0 1 1 X 0 X SCHEDULE 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. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 203082 203082 2042439 959506 1082933 258923 167706 91217 2269145 1734720 534425 72208 71547 661 1912318 DEFERRED COMPENSATION 305847 305847 DEFERRED COMPENSATION 305847 305847 16449060 16525221 -76161 -76161 13400253 0 13400253 3048807 3048807 16449060 16576414 51193 51193 16525221 0 16525221 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. X 0 1 X X X 0 1 0 0 0 0 0 0 0 J MICHAEL ARNOLD 299404 0 5337 0 37084 0 0 0 33237 0 375062 0 36670 0 MARY GATZKE 108414 0 25516 0 11938 0 5811 0 7738 0 159417 0 11349 0 SANDRA MACARTHUR 188980 0 29825 0 13176 0 9614 0 36165 0 277760 0 12721 0 C MARK GREGSON 234000 0 0 0 0 0 0 0 0 0 234000 0 0 0 MICHAEL MASSEE 297962 0 140192 0 81434 0 9800 0 34105 0 563493 0 81254 0 LINDA WERNER 154497 0 47015 0 33036 0 9592 0 22437 0 266577 0 32262 0 JOHN BRIODY 305887 0 14545 0 35656 0 9800 0 29795 0 395683 0 34612 0 BETH GOETZMAN 83039 0 104657 0 43737 0 9431 0 27568 0 268432 0 43417 0 NEERAJANA GUPTA 297893 0 0 0 163 0 9800 0 25582 0 333438 0 0 0 PART I, LINE 1B CEO WAS PROVIDED WITH AN APARTMENT FOR 6 MONTHS FROM DATE OF HIRE, WHICH WAS OWNED BY BAY AREA MEDICAL CENTER. PART I, LINE 4B QUESTION 4B: 457B: NEERAJANA GUPTA - $16,500 FORM 990, PART VI, SECTION A, LINE 6 NORTHREACH 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 11 THE 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 12C EACH 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 15A A 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 19 GOVERNING DOCUMENTS AND FINANCIAL STATEMENTS ARE NOT MADE AVAILABLE TO THE PUBLIC. FORM 990, PART XII, LINE 2C THE 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.