2012-11-12T10:08:29-06:00 2012-06-30 390758449 WIPFLI LLP PO BOX 12237 GREEN BAY WI 543072237 990 2011-07-01 391620530 BELLIN COLLEGE INC BELL 9204333500 3201 EATON ROAD GREEN BAY WI 54311 CONNIE BOERST 9204333500 2012-11-08 1 TERRI REXRODE CPA MST P00096513 9206620016 2012-11-08 2011 2016-02-24 21:20:13Z CONNIE BOERST 3201 EATON ROAD GREEN BAY WI 54311 7869148 0 X WWW.BELLINCOLLEGE.EDU X 1988 WI BELLIN COLLEGE, INC. IS DEDICATED TO PRODUCING NURSING PROFESSIONALS. 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 PROFESSIONAL PRACTICE OF NURSING. 14 11 80 23 0 0 576913 421694 6745797 6842617 399705 547415 3135 0 7725550 7811726 409561 436078 0 0 4117161 4182467 0 0 225261 1812065 1826442 6338787 6444987 1386763 1366739 29503652 28566554 7612823 4768287 21890829 23798267 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 4802206 436078 6529900 BELLIN COLLEGE, INC. IS A NONSTOCK, NONPROFIT FOUR-YEAR TEACHING INSTITUTION FOR STUDENTS PURSUING A BACHELOR OF SCIENCE OR MASTER'S DEGREE IN NURSING. THE PURPOSE OF THE ORGANIZATION IS TO PLAN, ORGANIZE, IMPLEMENT, AND EVALUATE THE BACHELOR OF SCIENCE OF NURSING AND MASTER'S IN NURSING PROGRAMS IN ACCORDANCE WITH THE COLLEGE MISSION STATEMENT, RULES AND REGULATIONS OF THE WISCONSIN BOARD OF NURSING, AND THE CRITERIA OF THE ACCREDITING AGENCIES. THE COLLEGE GRADUATED 93 STUDENTS WITH THEIR BACHELOR OF SCIENCE DEGREE AND 18 STUDENTS WITH THEIR MASTERS IN NURSING DURING THE YEAR. 4802206 1 1 0 0 0 0 0 0 0 1 1 0 0 0 1 1 1 0 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 0 0 0 0 1 432 0 1 80 1 0 0 0 0 0 1 1 0 0 0 0 X 14 11 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 0 1 1 1 0 WI X JOE KEEBAUGH 9204336631 3201 EATON ROAD GREEN BAY WI 54311 X 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 MICHAEL FROST 1.00 X X 0 0 0 DR FERGUS HUGHES 1.00 X 0 0 0 GERALD CONDON JR 1.00 X 0 0 0 MIKE VAN ASTEN 1.00 X 0 0 0 RUTH FELDHAUS 1.00 X 0 0 0 DR CHARLES IHRKE 1.00 X 0 0 0 GEORGE KERWIN 1.00 X 0 648209 27584 DR WILLIAM J WITTMAN 1.00 X 0 402163 18716 KAREN BRUKARDT 1.00 X 0 0 0 DONALD SALMON 1.00 X 0 0 0 CONNIE BOERST 40.00 X X 117920 0 24596 JOSEPH KEEBAUGH 40.00 X 78480 0 20770 DR V JANE MUHL 0.00 X 115008 0 19504 311408 1050372 111170 2 1 1 0 0 102158 319536 421694 STUDENT TUITION & FEES 611710 6529900 6529900 LIBRARY 611710 297853 297853 OTHER REVENUE 611710 14864 14864 6842617 315134 315134 231876 405 0 0 231876 405 232281 232281 57422 102158 57422 0 7811726 6529900 0 860132 436078 436078 241766 241766 3191551 2603129 440458 147964 181566 151051 23520 6995 306490 252172 41797 12521 261094 200231 49099 11764 914 914 36102 36102 157241 35498 121743 35889 218 34208 1463 459617 361609 93272 4736 47294 47294 88718 61021 24481 3216 25046 15500 5211 4335 23862 13662 5739 4461 187890 137438 44594 5858 689502 504359 163647 21496 20059 10599 9008 452 DUES & SUBSCRIPTIONS 31781 90 31691 GRADUATION & EVENTS 14516 14516 RECRUITMENT 5035 5035 BAD DEBT 2648 2648 328 328 6444987 4802206 1417520 225261 237209 3280958 3049122 846388 144900 116030 100236 101523 113413 13839749 2180752 12184962 11658997 12613169 13240228 335004 0 25618 22449 29503652 28566554 342069 401004 332579 298259 5307531 3886343 1630644 182681 7612823 4768287 X 11812456 14048971 1653433 1229130 8424940 8520166 21890829 23798267 29503652 28566554 X 1366739 540699 X 0 1 0 X 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 9423580 75887 -15559 20850 -176765 9327993 8672924 203674 573232 26250 9423580 8326335 85115 292145 30671 8672924 0.05000 0.91000 0.04000 0 0 1055165 1055165 6882914 694369 6188545 462498 146068 316430 5439172 1340315 4098857 11658997 DUE TO AFFILIATE 182681 182681 7811726 6444987 1366739 -491495 1032194 540699 1907438 7079800 -491495 -491495 7571295 240431 240431 7811726 6204556 -240431 -240431 6444987 0 6444987 DESCRIPTION OF INTENDED USE OF ENDOWMENT FUNDS: PART V, LINE 4: THE COLLEGE'S ENDOWED FUNDS ARE RESTRICTED FOR SCHOLARSHIP AND FOR OPERATIONS. THE SCHOLARSHIPS ARE GIVEN TO THE STUDENTS BASED UPON FINANCIAL NEED THE OPERATION FUNDS ARE USED TO SUPPORT THE SALARY OF FACULTY, STAFF AND THE NORMAL OPERATING EXPENSES OF THE COLLEGE. DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: PART X: 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. PART XI, LINE 8 - OTHER ADJUSTMENTS: DEBT FORGIVENESS 1,007,862. TRANSFER SCHOLARSHIPS FROM THE BELLIN HEALTH FOUNDATION, INC. 24,332. TOTAL TO SCHEDULE D, PART XI, LINE 8: 1,032,194. PART XII, LINE 4B - OTHER ADJUSTMENTS: SPECIAL EVENT EXPENSE -57,422. LIBRARY INTERCOMPANY CHARGES 297,853. SCHOLARSHIP CONTRIBUTION PART XIII, LINE 2D - OTHER ADJUSTMENTS: SPECIAL EVENTS EXPENSE 57,422. LIBRARY INTERCOMPANY CHARGES -297,853. 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 38580 19232 19348 19348 GOLF CLASSIC OUTING 121000 82926 38074 38074 159580 102158 57422 57422 57422 0 1 BELLIN COLLEGE SCHOLARSHIP 62 136219 ENDOWED SCHOLARSHIP 125 177529 BOARD DESIGNATED 8 11400 BOARD CURRENT 4 5899 GROENDAHL SCHOLARSHIP 2 3990 NISHIOKA SCHOLARSHIP 3 2760 CURRENT SCHOLARSHIP 97 98281 PROCEDURE FOR MONITORING GRANTS IN THE U.S.: PART I, LINE 2: SCHEDULE I, PART I, LINE 2: THE COLLEGE FOLLOWS THE FINANCIAL AID AWARDS POLICY. SCHOLARSHIPS CAN BE AWARDED BASED ON THE DONORS DIRECTION TO A PARTICULAR PROGRAM, ACADEMIC PROGRESS OF THE STUDENT IF THE SCHOLARSHIP IS MERIT BASED, OR OTHER CRITERIA. X X 0 0 0 0 0 0 0 0 0 GEORGE KERWIN 0 397059 0 233500 0 17650 0 11752 0 15832 0 675793 0 0 DR WILLIAM J WITTMAN 0 396789 0 4600 0 774 0 6384 0 12332 0 420879 0 0 DR V JANE MUHL 110817 0 0 0 4191 0 6368 0 13136 0 134512 0 0 0 VILLAGE OF BELLEVUE WISCONSIN 391223437 NONEAVAIL 2009-04-28 10000000 CONSTRUCTION OF NEW CAMPUS 0 0 0 6113657 10000000 8130262 2009 1 1 0 1 0 0 0 0 0.00000 0.00000 0.00000 0 0 1 0 0 0 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 AT THE NEXT BOARD MEETING PRIOR TO FILING. FORM 990, PART VI, SECTION B, LINE 12C ANNUALLY TRUSTEES SIGN CONFLICT OF INTEREST STATEMENTS. 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. CHANGES IN NET ASSETS OR FUND BALANCES: FORM 990, PART XI, LINE 5: NET UNREALIZED LOSSES ON INVESTMENTS: -491,495. DEBT FORGIVENESS 1,007,862. TRANSFER SCHOLARSHIPS FROM THE BELLIN HEALTH FOUNDATION, INC. 24,332. TOTAL TO FORM 990, PART XI, LINE 5: 540,699. 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 0 THE BELLIN HEALTH FOUNDATION INC PO BOX 23400 GREEN BAY WI 54305 391809171 FOUNDATION WI 501(C)(3) LINE 7 BELLIN HEALTH SYSTEMS INC 0 BELLIN PSYCHIATRIC CENTER INC PO BOX 23725 GREEN BAY WI 54305 391657627 PSYCHIATRIC HOSPITAL WI 501(C)(3) LINE 3 BELLIN HEALTH SYSTEMS INC 0 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 0 OCONTO HOSPITAL & MEDICAL CENTER INC PO BOX 357 OCONTO WI 54153 061745397 HOSPITAL WI 501(C)(3) LINE 3 BELLIN MEMORIAL HOSPITAL INC 0 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 BELLIN INVESTMENTS INC PO BOX 23400 GREEN BAY WI 54305 391564939 OTHER WI N/A C UNITED PROVIDERS INC PO BOX 23400 GREEN BAY WI 54305 391907541 OTHER WI N/A C 0 0 1 0 0 0 0 0 0 0 0 0 0 0 1 1 0 1