2012-05-15T09:59:16-05:00 2011-06-30 WIPFLI LLP PO BOX 12237 GREEN BAY WI 543072237 990 2010-07-01 382124042 BELL MEDICAL CENTER BELL 9064864431 901 LAKESHORE DRIVE ISHPEMING MI 49849 GERALD MESSANA 9064852643 2012-05-11 1 TERRI REXRODE CPA MST 9206620016 2012-05-11 2010 2016-02-24 21:20:13Z GERALD MESSANA 901 LAKESHORE DRIVE ISHPEMING MI 49849 13292645 0 X WWW.BELLMEMORIAL.ORG X 1977 MI TO IMPROVE THE LIVES OF EVERYONE WE TOUCH. 9 4 148 0 0 0 4586198 3896013 8240164 9352532 0 0 1128044 35295 13954406 13283840 0 0 0 0 9509551 9165218 0 0 0 4858006 4102026 14367557 13267244 -413151 16596 2368251 2367585 661032 643770 1707219 1723815 TO IMPROVE THE LIVES OF EVERYONE WE TOUCH. 0 0 11817378 9352532 BELL MEDICAL IS A NOT-FOR-PROFIT PHYSICIAN PRACTICE CORPORATION PRIMARILY DEDICATED TO PROVIDING MEDICAL SERVICES TO THE COMMUNITIES OFMARQUETTE COUNTY. OVER THE PAST SEVERAL YEARS, BELL MEDICAL HAS EVOLVED INTO A MEDICAL GROUP OF PHYSICIANS, PHYSICIAN ASSISTANTS, NURSEPRACTITIONERS AND AUDIOLOGISTS PROVIDING FAMILY MEDICINE, OBSTETRICS AND GYNECOLOGY, INTERNAL MEDICINE, GERIATRIC MEDICINE,OTOLARYNGOLOGY, OCCUPATIONAL MEDICINE AND AUDIOLOGICAL SERVICES. EXPENSES INCURRED BY THIS ORGANIZATION RELATE TO DELIVERING HEALTHCARESERVICES TO THE RESIDENTS OF ISHPEMING, MI AND THE SURROUNDING AREA AND RENTAL OF OFFICE SPACE TO PHYSICIANS PROVIDING HEALTHCARE. 11817378 1 1 0 0 0 0 0 0 0 1 0 0 0 0 1 0 1 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 1 0 0 0 0 1 22 0 1 148 1 0 0 0 0 0 0 0 0 0 0 X 9 4 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 0 1 1 1 0 X GERALD MESSANA CFO 9064852643 901 LAKESHORE DRIVE ISHPEMING MI 49849 SAHAR MADJAR MD 40.00 X 495632 0 29087 HOLLY RAY DO 40.00 X 411271 0 46194 MICHAEL GROSSMAN MD 40.00 X X 312783 0 24837 MICHAEL PREVOST MD 40.00 X X 176078 0 29024 DICK GRAYBILL 3.00 X X 0 0 0 RAO CHITAMANENI 2.00 X 0 0 0 ROBERT DELLANGELO 2.00 X 0 0 0 NICK JOSEPH 2.00 X 0 0 0 JUDD JOHNSTON MD 2.00 X 0 268506 38758 RICK AMENT 5.00 X 0 295960 31248 GERALD MESSANA 5.00 X 0 107864 27387 JOEL JOHNSON MD 40.00 X 438114 0 28692 JUAN PEREZ MD 40.00 X 269669 0 25357 WAYNE CARLSON MD 40.00 X 258970 0 37740 RONALD SNYDER MD 20.00 X 248928 0 22186 ROBERT VANHOWE MD 40.00 X 181383 0 23837 2792828 672330 364347 24 0 1 0 WENDY MCDERMOTT 1952 GRANITE AVE MARQUETTE MI 49855 CONTRACTED IM PHYSICIAN 234413 NORTHERN MICHIGAN MEDICAL SERVICES 901 LAKESHORE DR ISHPEMING MI 49849 PROFESSIONAL FEES FOR STAFF 225631 ALLSCRIPTS 24630 NETWORK PLACE CHICAGO IL 60673 PROFESSIONAL FEES 179727 KELLY MENGE 351 W MAIN UNIT 9 MARQUETTE MI 49855 SIGN ON BONUS 120000 4 3896013 3896013 PATIENT SERVICE REVENU 621110 8092581 8092581 OTHER 900099 669131 669131 TRAINING AND TESTING 900099 286872 286872 OCCUPATIONAL MED 900099 260886 260886 UROLOGY 900099 43062 43062 9352532 44100 8805 35295 35295 35295 13283840 9352532 0 35295 1524906 1524906 6151453 5198051 953402 360931 316103 44828 712196 623741 88455 415732 364098 51634 1564139 1437882 126257 877668 821762 55906 183017 172069 10948 32872 28634 4238 147849 147849 402277 401743 534 143667 143667 PROVISION FOR BAD DEBTS 565285 565285 DUES AND SUBSCRIPTIONS 152072 43115 108957 MISCELLANEOUS 33180 28473 4707 13267244 11817378 1449866 0 52287 1655608 1480911 0 1666 393323 32817 0 36464 34024 2422031 2021198 635489 400833 6207 6207 2368251 2367585 661032 643770 661032 643770 X 1707219 1723815 1707219 1723815 2368251 2367585 16596 0 X X 0 1 1 X 0 X X 0 0 0 BELL MEMORIAL HOSPITAL 381394903 501(C)(3) 1 1 1 0 1 0 RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 52500 52500 945195 944388 807 1424336 1076810 347526 400833 13283840 13267244 16596 0 16596 13276049 -7791 -7791 13283840 0 13283840 13276049 8805 8805 13267244 0 13267244 DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: PART X: IN ORDER TO ACCOUNT FOR ANY UNCERTAIN TAX POSITIONS, THE ORGANIZATION DETERMINES 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 THAT POSITION IS NOT RECOGNIZED IN THE COMBINED FINANCIAL STATEMENTS. THE ORGANIZATION RECORDED NO ASSETS OR LIABILITIES FOR UNCERTAIN TAX POSITIONS OR UNRECOGNIZED TAX BENEFITS IN FISCAL 2011 AND 2010. FEDERAL INCOME TAX RETURNS FOR THE FISCAL YEARS ENDED 2008 AND BEYOND REMAIN SUBJECT TO EXAMINATION BY THE INTERNAL REVENUE SERVICE (IRS). PART XII, LINE 2D - OTHER ADJUSTMENTS: RENTAL EXPENSES -8,805. RENTAL EXPENSE REPAIRS 1,014. PART XIII, LINE 2D - OTHER ADJUSTMENTS: RENTAL EXPENSES 8,805. 1 X X X 0 0 0 0 0 0 0 0 0 SAHAR MADJAR MD 494822 0 0 0 810 0 13123 0 15964 0 524719 0 0 0 HOLLY RAY DO 256338 0 154123 0 810 0 27730 0 18464 0 457465 0 0 0 MICHAEL GROSSMAN MD 254044 0 56417 0 2322 0 24837 0 0 0 337620 0 0 0 MICHAEL PREVOST MD 131643 0 43935 0 500 0 12060 0 16964 0 205102 0 0 0 JUDD JOHNSTON MD 0 248386 0 18159 0 1961 0 22794 0 15964 0 307264 0 0 RICK AMENT 0 244058 0 47600 0 4302 0 13359 0 17889 0 327208 0 0 JOEL JOHNSON MD 333322 0 103550 0 1242 0 15275 0 13417 0 466806 0 0 0 JUAN PEREZ MD 266105 0 0 0 3564 0 8143 0 17214 0 295026 0 0 0 WAYNE CARLSON MD 193241 0 63448 0 2281 0 20776 0 16964 0 296710 0 0 0 RONALD SNYDER MD 248398 0 0 0 530 0 5426 0 16760 0 271114 0 0 0 ROBERT VANHOWE MD 180508 0 0 0 875 0 6733 0 17104 0 205220 0 0 0 FORM 990, PART VI, SECTION A, LINE 6 SUPERIOR HEALTHCARE SYSTEMS HAS THE RIGHT TO ELECT BOARD MEMBERS OF BELL MEDICAL CENTER AND CAN BE SAID TO HAVE CONTROL OF THIS ORGANIZATION. FORM 990, PART VI, SECTION A, LINE 7A SUPERIOR HEALTHCARE SYSTEMS HAS THE RIGHT TO ELECT BOARD MEMBERS OF BELL MEDICAL CENTER AND CAN BE SAID TO HAVE CONTROL OF THIS ORGANIZATION. FORM 990, PART VI, SECTION A, LINE 7B SUPERIOR HEALTHCARE SYSTEMS HAS THE RIGHT TO ELECT BOARD MEMBERS OF BELL MEDICAL CENTER AND CAN BE SAID TO HAVE CONTROL OF THIS ORGANIZATION. FORM 990, PART VI, SECTION B, LINE 11 FORM 990 WAS PRESENTED TO THE BOARD OF DIRECTORS FOR REVIEW PRIOR TO BEING SUBMITTED TO THE IRS. QUESTIONS AND COMMENTS WERE SOLICITED FROM THE BOARD OF DIRECTORS TO ENSURE THE COMPLETENESS AND ACCURACY OF THE FORM. FORM 990, PART VI, SECTION B, LINE 12C BOARD MEMBERS REVIEW AND SIGN CONFLICT OF INTEREST DISCLOSURES ANNUALLY. THESE STATEMENTS ARE REVIEWED BY THE ORGANIZATION'S LEGAL COUNCIL TO ENSURE COMPLIANCE WITH THE POLICY. IF A BOARD MEMBER IS FOUND TO HAVE A CONFLICT, THEY ARE REQUIRED TO REMOVE THEMSELVES FROM ANY DISCUSSIONS OF THE MATTER. IF THE CONFLICT COULD NOT BE DEALT WITH, THE BOARD WOULD HAVE TO CONSIDER WHETHER THE BOARD MEMBER SHOULD STAY A MEMBER OF THE BOARD OF DIRECTORS. TO DATE, THE ORGANIZATION HAS NOT HAD ANY BOARD MEMBERS WITH CONFLICTS OF INTEREST. FORM 990, PART VI, SECTION B, LINE 15 THE ORGANIZATION USES COMPENSATION SURVEYS AND MEDICAL GROUP MANAGEMENT ASSOCIATION DATA TO ENSURE COMPENSATION DATA IS COMPARABLE. DETERMINATION OF THE PHYSICIANS' COMPENSATION PACKAGES WERE LAST CONDUCTED IN 2010 USING THE AFOREMENTIONED DATA. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART XII, LINE 2C: THE PROCESS FOR INDEPENDENT AUDITOR SELECTION HAS NOT CHANGED FROM THE PRIOR YEAR. FORM 990, PART VII: RICK AMENT AND GERALD MESSANA WORK 40 HOURS AT A RELATED ORGANIZATION, BELL MEMORIAL HOSPITAL. JUDD JOHNSTON WORKED 38 HOURS FOR BELL MEMORIAL HOSPITAL. SUPERIOR HEALTHCARE SYSTEMS 901 LAKESHORE DR ISHPEMING MI 49849 383040126 HEALTHCARE SERVICES MI 501(C)(3) LINE 11B, II N/A 0 BELL MEMORIAL HOSPITAL 901 LAKESHORE DR ISHPEMING MI 49849 381394903 HEALTHCARE SERVICES MI 501(C)(3) LINE 3 SUPERIOR HEALTHCARE SYSTEMS 0 BELL FOUNDATION 97 S FOURTH ST ISHPEMING MI 49849 383040125 FUNDRAISING MI 501(C)(3) LINE 11B, II SUPERIOR HEALTHCARE SYSTEMS 0 SUPERIOR ENTERPRISES INC 97 S FOURTH ST ISHPEMING MI 49849 383112668 REHABILITATION SERVICES MI N/A C 0 0 1 0 0 0 0 0 0 0 0 0 1 1 1 1 1 1