BELLIN MEMORIAL HOSPITAL INC: Form 990, tax year 2020

View the entire original 990 at ProPublica ↗

Organization: BELLIN MEMORIAL HOSPITAL INC (EIN 39-0884478)
Tax period: 2020-10-01 to 2021-09-30
Filed: 2022-08-09
IRS object ID: 202222219349301617
Schema version: 2020v4.2
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
Form 990
Schedule A
Schedule B
Schedule C
Schedule D
Schedule H
Schedule I
Schedule J
Schedule K
Schedule L
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2022-08-09T13:02:56-05:00	ReturnTs
Tax Period End	2021-09-30	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Field	Value	IRS element (for citing)
Preparer Firm EIN	390758449	PreparerFirmEIN

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	WIPFLI LLP	BusinessNameLine1Txt

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	PO BOX 12237	AddressLine1Txt
City	GREEN BAY	CityNm
State Abbreviation	WI	StateAbbreviationCd
ZIP	543072237	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2020-10-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	390884478	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	BELLIN MEMORIAL HOSPITAL INC	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Business Name Control	BELL	BusinessNameControlTxt
Phone	9204457260	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	744 S WEBSTER AVENUE	AddressLine1Txt
City	GREEN BAY	CityNm
State Abbreviation	WI	StateAbbreviationCd
ZIP	54301	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	JAMES DIETSCHE	PersonNm
Person Title	EVP-CFO	PersonTitleTxt
Phone	9204457260	PhoneNum
Signature	2022-08-03	SignatureDt
Discuss With Paid Preparer	Yes (1)	DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

Field	Value	IRS element (for citing)
Person First	JAMES	PersonFirstNm
Person Last	DIETSCHE	PersonLastNm

Field	Value	IRS element (for citing)
SSN	999009999	SSN

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	TERRI REXRODE CPA MST	PreparerPersonNm
PTIN	P00096513	PTIN
Phone	9206620016	PhoneNum
Preparation	2022-07-28	PreparationDt

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

Field	Value	IRS element (for citing)
Trusted Customer	2	TrustedCustomerCd
Authentication Assurance Level	AAL1	AuthenticationAssuranceLevelCd
Identity Assurance Level	IAL1	IdentityAssuranceLevelCd

Field	Value	IRS element (for citing)
Tax	2020	TaxYr
Build TS	2022-09-23 18:48:47Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Address Change	Yes (X)	AddressChangeInd
Principal Officer	JAMES DIETSCHE	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	744 S WEBSTER AVENUE	AddressLine1Txt
City	GREEN BAY	CityNm
State Abbreviation	WI	StateAbbreviationCd
ZIP	54301	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$711,845,058	GrossReceiptsAmt
Group Return For Affiliates	0	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	WWW.BELLIN.ORG	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1908	FormationYr
Legal Domicile State	WI	LegalDomicileStateCd
Activity Or Mission	BELLIN MEMORIAL HOSPITAL, INC. (BMH) PROVIDES HEALTH CARE SERVICES AND OTHER FINANCIAL SUPPORT THROUGH VARIOUS PROGRAMS THAT ARE DESIGNED, AMONG OTHER MATTERS, TO ENHANCE THE HEALTH OF THE COMMUNITY AND IMPROVE THE HEALTH OF LOW-INCOME PATIENTS. CONSISTENT WITH THE MISSION OF BMH, CARE IS PROVIDED TO PATIENTS REGARDLESS OF THEIR ABILITY TO PAY. IN ADDITION, BMH PROVIDES SERVICES INTENDED TO BENEFIT THE POOR AND UNDERSERVED, INCLUDING THOSE PERSONS WHO CANNOT AFFORD HEALTH INSURANCE BECAUSE OF INADEQUATE RESOURCES OR ARE UNINSURED OR UNDERINSURED. HEALTH CARE SERVICES TO PATIENTS UNDER GOVERNMENT PROGRAMS, SUCH AS MEDICAID, ARE ALSO CONSIDERED PART OF THE BELLIN HEALTH BENEFITS PROVIDED TO THE COMMUNITY SINCE A SUBSTANTIAL PORTION OF SUCH SERVICES ARE REIMBURSED AT AMOUNTS LESS THAN COST.	ActivityOrMissionDesc
Voting Members Governing Body	23	VotingMembersGoverningBodyCnt
Voting Members Independent	17	VotingMembersIndependentCnt
Total Employee	4665	TotalEmployeeCnt
Total Volunteers	180	TotalVolunteersCnt
Total Gross UBI	$2,491,985	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$0	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$13,409,509	PYContributionsGrantsAmt
CY Contributions Grants	$12,382,982	CYContributionsGrantsAmt
PY Program Service Revenue	$566,552,003	PYProgramServiceRevenueAmt
CY Program Service Revenue	$645,692,306	CYProgramServiceRevenueAmt
PY Investment Income	$11,326,522	PYInvestmentIncomeAmt
CY Investment Income	$20,818,918	CYInvestmentIncomeAmt
PY Other Revenue	$15,268,701	PYOtherRevenueAmt
CY Other Revenue	$31,821,568	CYOtherRevenueAmt
PY Total Revenue	$606,556,735	PYTotalRevenueAmt
CY Total Revenue	$710,715,774	CYTotalRevenueAmt
PY Grants And Similar Paid	$686,264	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$620,721	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$322,933,154	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$359,521,018	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$235,799,424	PYOtherExpensesAmt
CY Other Expenses	$257,337,595	CYOtherExpensesAmt
PY Total Expenses	$559,418,842	PYTotalExpensesAmt
CY Total Expenses	$617,479,334	CYTotalExpensesAmt
PY Revenues Less Expenses	$47,137,893	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$93,236,440	CYRevenuesLessExpensesAmt
Total Assets BOY	$753,402,442	TotalAssetsBOYAmt
Total Assets EOY	$944,354,274	TotalAssetsEOYAmt
Total Liabilities BOY	$247,167,372	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$328,605,809	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$506,235,070	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$615,748,465	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	BELLIN HEALTH IS A COMMUNITY-OWNED NOT-FOR-PROFIT ORGANIZATION RESPONSIBLE FOR IMPROVING THE HEALTH AND WELLBEING OF PEOPLE LIVING IN NORTHEAST WISCONSIN AND THE UPPER PENINSULA OF MICHIGAN, AND ALL OTHERS WE SERVE. WE CARRY OUT THIS RESPONSIBILITY THROUGH INDIVIDUALIZED CARE EXCELLENCE, COMMUNITY HEALTH IMPROVEMENT, AND EQUITABLE HEALTHCARE FINANCING PLANS ALL DESIGNED TO POSITIVELY IMPACT HEALTH AND WELLBEING. WE ARE STEADFAST IN OUR COMMITMENT TO PROVIDING COMPASSIONATE, SAFE, AND COORDINATED CARE THAT IS ACCESSIBLE AND AFFORDABLE FOR EVERYONE. WE BUILD TRUSTED RELATIONSHIPS AND ADVANCE TRUE COLLABORATION, FUELING OUR DESIRE TO CONSTANTLY IMPROVE AND INNOVATE.	MissionDesc
Significant New Program Srvc	0	SignificantNewProgramSrvcInd
Significant Change	0	SignificantChangeInd
Expense	$516,017,236	ExpenseAmt
Grant	$620,721	GrantAmt
Revenue	$672,730,397	RevenueAmt
Desc	THE HOSPITAL PROVIDES ACUTE HOSPITAL CARE TO RESIDENTS OF NORTHEASTERN WISCONSIN. DURING FISCAL YEAR 2021 36,484 INPATIENT DAYS WERE PROVIDED (32,480 ADULTS AND PEDIATRICS), AS COMPARED TO 35,357 (32,396 ADULTS AND PEDIATRICS) IN FISCAL YEAR 2020. THE NUMBER OF OUTPATIENTS REGISTERED FOR 2021 AND 2020 WERE 173,924 AND 151,772, RESPECTIVELY. BELLIN MEMORIAL HOSPITAL ALSO PROVIDED 1,183,171 (AS COMPARED TO 939,032 IN 2020) PHYSICIAN CLINIC VISITS THROUGH BELLIN MEDICAL AND SPECIALTY GROUPS.	Desc
Total Program Service Expenses	$516,017,236	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (1)	DescribedInSection501c3Ind
Schedule B Required	Yes (1)	ScheduleBRequiredInd
Political Campaign Acty	0	PoliticalCampaignActyInd
Lobbying Activities	Yes (1)	LobbyingActivitiesInd
Subject To Proxy Tax	0	SubjectToProxyTaxInd
Donor Advised Fund	0	DonorAdvisedFundInd
Conservation Easements	0	ConservationEasementsInd
Collections Of Art	0	CollectionsOfArtInd
Credit Counseling	0	CreditCounselingInd
Donor Rstr Or Quasi Endowments	Yes (1)	DonorRstrOrQuasiEndowmentsInd
Report Land Building Equipment	Yes (1)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	0	ReportInvestmentsOtherSecInd
Report Program Related Invst	0	ReportProgramRelatedInvstInd
Report Other Assets	0	ReportOtherAssetsInd
Report Other Liabilities	Yes (1)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	0	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	0	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (1)	ConsolidatedAuditFinclStmtInd
School Operating	0	SchoolOperatingInd
Foreign Office	0	ForeignOfficeInd
Foreign Activities	0	ForeignActivitiesInd
More Than5000 K To Org	0	MoreThan5000KToOrgInd
More Than5000 K To Individuals	0	MoreThan5000KToIndividualsInd
Professional Fundraising	0	ProfessionalFundraisingInd
Fundraising Activities	0	FundraisingActivitiesInd
Gaming Activities	0	GamingActivitiesInd
Operate Hospital	Yes (1)	OperateHospitalInd
Audited Financial Stmt Att	Yes (1)	AuditedFinancialStmtAttInd
Grants To Organizations	Yes (1)	GrantsToOrganizationsInd
Grants To Individuals	0	GrantsToIndividualsInd
Schedule J Required	Yes (1)	ScheduleJRequiredInd
Tax Exempt Bonds	Yes (1)	TaxExemptBondsInd
Invest Tax Exempt Bonds	0	InvestTaxExemptBondsInd
Escrow Account	0	EscrowAccountInd
On Behalf Of Issuer	0	OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans	0	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	0	PYExcessBenefitTransInd
Loan Outstanding	0	LoanOutstandingInd
Grant To Related Person	0	GrantToRelatedPersonInd
Business Rln With Org Mem	Yes (1)	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	0	BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent	0	BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri	0	DeductibleNonCashContriInd
Deductible Art Contribution	0	DeductibleArtContributionInd
Terminate Operations	0	TerminateOperationsInd
Partial Liquidation	0	PartialLiquidationInd
Disregarded Entity	0	DisregardedEntityInd
Related Entity	Yes (1)	RelatedEntityInd
Related Organization Ctrl Ent	Yes (1)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	Yes (1)	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	0	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	0	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (1)	ScheduleORequiredInd
IRP Document	293	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Employee	4665	EmployeeCnt
Employment Tax Returns Filed	Yes (1)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	Yes (1)	UnrelatedBusIncmOverLimitInd
Form990 T Filed	Yes (1)	Form990TFiledInd
Foreign Financial Account	0	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	0	ProhibitedTaxShelterTransInd
Taxable Party Notification	0	TaxablePartyNotificationInd
Nondeductible Contributions	0	NondeductibleContributionsInd
Quid Pro Quo Contributions	0	QuidProQuoContributionsInd
Form8282 Property Disposed Of	0	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	0	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	0	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	0	IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt	Yes (1)	SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc	0	SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	23	GoverningBodyVotingMembersCnt
Independent Voting Member	17	IndependentVotingMemberCnt
Family Or Business Rln	Yes (1)	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	0	DelegationOfMgmtDutiesInd
Change To Org Documents	0	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	0	MaterialDiversionOrMisuseInd
Members Or Stockholders	Yes (1)	MembersOrStockholdersInd
Election Of Board Members	Yes (1)	ElectionOfBoardMembersInd
Decisions Subject To Approva	Yes (1)	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (1)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (1)	MinutesOfCommitteesInd
Officer Mailing Address	0	OfficerMailingAddressInd
Local Chapters	0	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (1)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (1)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (1)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (1)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (1)	WhistleblowerPolicyInd
Document Retention Policy	Yes (1)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (1)	CompensationProcessCEOInd
Compensation Process Other	Yes (1)	CompensationProcessOtherInd
Investment In Joint Venture	Yes (1)	InvestmentInJointVentureInd
Written Policy Or Procedure	Yes (1)	WrittenPolicyOrProcedureInd
States Where Copy Of Return Is Fld	WI	StatesWhereCopyOfReturnIsFldCd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	JAMES DIETSCHE EPV-CFO	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Phone	9204457260	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	744 S WEBSTER AVENUE	AddressLine1Txt
City	GREEN BAY	CityNm
State Abbreviation	WI	StateAbbreviationCd
ZIP	54301	ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (30 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	OfficerOfficerInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Highest Compensated EmployeeHighestCompensatedEmployeeInd
CHRISTINE WOLESKE
PRESIDENT/CEO	50.00	Yes (X)	Yes (X)	$1,286,907	$0	$35,711
TERRY FULWILER
BOARD CHAIR	0.50	Yes (X)	Yes (X)	$0	$0	$0
JOHN DYKEMA
VICE-CHAIR	0.50	Yes (X)	Yes (X)	$0	$0	$0
ELL LEE DDS
BOARD TREASURER	0.50	Yes (X)	Yes (X)	$0	$0	$0
MARK MCMULLEN
BOARD SECRETARY	0.50	Yes (X)	Yes (X)	$0	$0	$0
DANIEL ARIENS
BOARD MEMBER	0.50	Yes (X)		$0	$0	$0
NANCY ARMBRUST
BOARD MEMBER	0.50	Yes (X)		$0	$0	$0
SAIED ASSEF MD
BOARD MEMBER/PHYSICIAN DIRECTOR	50.00	Yes (X)		$0	$0	$0
BILL BOHN
BOARD MEMBER	0.50	Yes (X)		$0	$0	$0
ROBERT CLAUSEN
BOARD MEMBER	0.50	Yes (X)		$0	$0	$0
G CORT CONDON
BOARD MEMBER	0.50	Yes (X)		$0	$0	$0
SUSAN FINCO
BOARD MEMBER	0.50	Yes (X)		$0	$0	$0
STEVEN GERNDT MD
BOARD MEMBER/PRESIDENT MED	50.00	Yes (X)		$762,027	$0	$32,098
BARB GILLING
BOARD MEMBER	0.50	Yes (X)		$0	$0	$0
MICHAEL HADDAD
BOARD MEMBER	0.50	Yes (X)		$0	$0	$0
JOHN JONES
BOARD MEMBER (THRU JUNE)	0.50	Yes (X)		$0	$0	$0
JENNIFER LYNCH MD
BOARD MEMBER/PRESIDENT BEL	50.00	Yes (X)		$544,172	$0	$13,267
ROBERT MEAD MD
BOARD MEMBER/PAST PRESIDENT	50.00	Yes (X)		$363,776	$0	$39,495
FRED SCHMIDT MD
BOARD MEMBER	0.50	Yes (X)		$0	$0	$0
KARL SCHMIDT
BOARD MEMBER	0.50	Yes (X)		$0	$0	$0
SABINA SINGH MD
BOARD MEMBER/PRESIDENT BEL	50.00	Yes (X)		$261,491	$0	$25,464
JAMIE SPITZER
BOARD MEMBER	0.50	Yes (X)		$0	$0	$0
WILLIAM WITTMAN MD
BOARD MEMBER/BMG PHYSIAN	50.00	Yes (X)		$143,331	$58,944	$30,269
SAID HASSAN
BOARD MEMBER	0.50	Yes (X)		$0	$0	$0
JAMES DIETSCHE
EVP-CFO	50.00		Yes (X)	$665,488	$0	$68,111
DAVID STAMPFL MD
PHYSICIAN	40.00			$1,405,277	$0	$39,369	Yes (X)
PATRICK MCKENZIE MD
PHYSICIAN	40.00			$1,194,681	$0	$38,686	Yes (X)
JAMES SPEARS MD
PHYSICIAN	40.00			$1,280,694	$0	$34,312	Yes (X)
ROBERT ANDERSON MD
PHYSICIAN	40.00			$1,371,753	$0	$38,428	Yes (X)
ALLAHYAR JAZAYERI MD
PHYSICIAN (THRU FEB)	40.00			$1,296,564	$0	$31,297	Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$10,576,161	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$58,944	TotReportableCompRltdOrgAmt
Total Other Compensation	$426,507	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	460	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	0	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (1)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	Yes (1)	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
IEI GENERAL CONTRACTORS
1725 MIDWAY RD	DEPERE	WI	54115	GENERAL CONTRACTOR	$10,101,114
APOGEE MEDICAL MANAGEMENT
15059 N SCOTTSDALE RD STE 600	SCOTTSDALE	AZ	85254	CONTRACTED PHYSICIAN/MANAGEMENT SERVICES	$5,166,440
MAYO COLLABORATIVE SERVICES
200 1ST ST SW	ROCHESTER	MN	55905	LAB SERVICES	$2,284,743
NORDIC CONSULTING PARTNERS INC
2601 W BELTLINE HWY STE 600	MADISON	WI	53713	IT CONSULTING/EPIC SERVICES	$2,017,831
SOMERVILLE INC
2100 RIVERSIDE DR	GREEN BAY	WI	54301	ARCHITECT/DESIGN SERVICES	$1,958,549

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	65	CntrctRcvdGreaterThan100KCnt
Related Organizations	$580,466	RelatedOrganizationsAmt
Government Grants	$11,348,428	GovernmentGrantsAmt
All Other Contributions	$454,088	AllOtherContributionsAmt
Total Contributions	$12,382,982	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt	ExclusionExclusionAmt
NET PATIENT SERVICE REVENUE	621500	$631,674,403	$630,138,538	$1,535,865
ACO INCENTIVE	621110	$3,752,556	$3,752,556
CONTRACTED SERVICES	621110	$3,552,707	$3,552,707
RENT FROM AFFILIATES	621110	$2,088,752	$2,088,752
CAFETERIA REVENUE	621110	$1,509,050			$1,509,050

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$3,114,838	TotalRevenueColumnAmt
Related Or Exempt Func Income	$2,182,231	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$911,329	UnrelatedBusinessRevenueAmt
Exclusion	$21,278	ExclusionAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$645,692,306	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$6,504,249	TotalRevenueColumnAmt
Exclusion	$6,504,249	ExclusionAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$1,670,929	RealAmt
Personal	$44,791	PersonalAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$909,765	RealAmt
Personal	$0	PersonalAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$761,164	RealAmt
Personal	$44,791	PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$805,955	TotalRevenueColumnAmt
Unrelated Business Revenue	$44,791	UnrelatedBusinessRevenueAmt
Exclusion	$761,164	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$14,287,195	SecuritiesAmt
Other	$246,993	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$0	SecuritiesAmt
Other	$219,519	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$14,287,195	SecuritiesAmt
Other	$27,474	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$14,314,669	TotalRevenueColumnAmt
Exclusion	$14,314,669	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
BOSC K-1 INCOME	900099	$22,875,666	$22,875,666
EHR INCENTIVE	621110	$5,407,398	$5,407,398
GAIN FROM HEALTHCARE AFFILIATES	900099	$2,732,549	$2,732,549

Field	Value	IRS element (for citing)
Other Revenue Total	$31,015,613	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$710,715,774	TotalRevenueColumnAmt
Related Or Exempt Func Income	$672,730,397	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$2,491,985	UnrelatedBusinessRevenueAmt
Exclusion	$23,110,410	ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$620,721	TotalAmt
Program Services	$620,721	ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$4,391,591	TotalAmt
Program Services	$2,265,534	ProgramServicesAmt
Management And General	$2,126,057	ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$281,524,488	TotalAmt
Program Services	$240,609,737	ProgramServicesAmt
Management And General	$40,914,751	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$14,195,192	TotalAmt
Program Services	$11,836,803	ProgramServicesAmt
Management And General	$2,358,389	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$41,550,596	TotalAmt
Program Services	$34,575,633	ProgramServicesAmt
Management And General	$6,974,963	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$17,859,151	TotalAmt
Program Services	$14,989,959	ProgramServicesAmt
Management And General	$2,869,192	ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$773,981	TotalAmt
Program Services	$745,231	ProgramServicesAmt
Management And General	$28,750	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$767,194	TotalAmt
Management And General	$767,194	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$1,259,745	TotalAmt
Management And General	$1,259,745	ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$21,104	TotalAmt
Management And General	$21,104	ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$752,669	TotalAmt
Management And General	$752,669	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$37,776,079	TotalAmt
Program Services	$35,577,520	ProgramServicesAmt
Management And General	$2,198,559	ManagementAndGeneralAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$6,215,660	TotalAmt
Program Services	$28,165	ProgramServicesAmt
Management And General	$6,187,495	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$7,210,519	TotalAmt
Program Services	$3,804,076	ProgramServicesAmt
Management And General	$3,406,443	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$11,102,048	TotalAmt
Program Services	$977,095	ProgramServicesAmt
Management And General	$10,124,953	ManagementAndGeneralAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$11,824,411	TotalAmt
Program Services	$10,778,791	ProgramServicesAmt
Management And General	$1,045,620	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$861,173	TotalAmt
Program Services	$767,696	ProgramServicesAmt
Management And General	$93,477	ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$1,851,028	TotalAmt
Program Services	$729,835	ProgramServicesAmt
Management And General	$1,121,193	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$6,348,602	TotalAmt
Program Services	$587,385	ProgramServicesAmt
Management And General	$5,761,217	ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$24,911,086	TotalAmt
Program Services	$17,438,071	ProgramServicesAmt
Management And General	$7,473,015	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$765,530	TotalAmt
Program Services	$344,672	ProgramServicesAmt
Management And General	$420,858	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
SUPPLIES	$106,396,483	$106,396,483
EQUIPMENT RENT & MAINT	$13,795,022	$11,023,086	$2,771,936
BAD DEBTS	$11,926,895	$11,926,895
DUES/SUBSCRIPTIONS	$10,519,920	$8,083,555	$2,436,365

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$2,258,446	TotalAmt
Program Services	$1,910,293	ProgramServicesAmt
Management And General	$348,153	ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$617,479,334	TotalAmt
Program Services	$516,017,236	ProgramServicesAmt
Management And General	$101,462,098	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$17,230	BOYAmt
EOY	$17,319	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$187,655,201	BOYAmt
EOY	$230,573,639	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$74,462,322	BOYAmt
EOY	$100,241,238	EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

Field	Value	IRS element (for citing)
BOY	$29,113,453	BOYAmt
EOY	$23,425,251	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$7,679,094	BOYAmt
EOY	$8,438,761	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$3,280,278	BOYAmt
EOY	$8,264,761	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$532,201,472	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$245,592,234	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$200,822,236	BOYAmt
EOY	$286,609,238	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$211,699,500	BOYAmt
EOY	$244,151,872	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$15,068,245	BOYAmt
EOY	$24,422,898	EOYAmt

Intangible Assets IntangibleAssetsGrp

Field	Value	IRS element (for citing)
BOY	$2,159,664	BOYAmt
EOY	$1,355,767	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$21,445,219	BOYAmt
EOY	$16,853,530	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$753,402,442	BOYAmt
EOY	$944,354,274	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$82,203,489	BOYAmt
EOY	$92,516,454	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$38,042	BOYAmt
EOY	$212,852	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$94,366,285	BOYAmt
EOY	$88,131,466	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$70,559,556	BOYAmt
EOY	$147,745,037	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$247,167,372	BOYAmt
EOY	$328,605,809	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows FASB117	Yes (X)	OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$501,241,175	BOYAmt
EOY	$605,978,577	EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$4,993,895	BOYAmt
EOY	$9,769,888	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$506,235,070	BOYAmt
EOY	$615,748,465	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$753,402,442	BOYAmt
EOY	$944,354,274	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$93,236,440	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$10,089,903	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	$6,187,052	OtherChangesInNetAssetsAmt
Info In Schedule O Part XII	Yes (X)	InfoInScheduleOPartXIIInd
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	0	AccountantCompileOrReviewInd
FS Audited	Yes (1)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

Field	Value	IRS element (for citing)
Consolidated Basis Fincl Stmt	Yes (X)	ConsolidatedBasisFinclStmtInd

Field	Value	IRS element (for citing)
Audit Committee	Yes (1)	AuditCommitteeInd
Federal Grant Audit Required	Yes (1)	FederalGrantAuditRequiredInd
Federal Grant Audit Performed	Yes (1)	FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital	Yes (X)	HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor US Address ContributorUSAddress

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Total Contributions	RESTRICTED	TotalContributionsAmt

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Volunteers	0	VolunteersInd
Paid Staff Or Management	0	PaidStaffOrManagementInd
Media Advertisements	0	MediaAdvertisementsInd
Mailings Members	0	MailingsMembersInd
Publications Or Broadcast	0	PublicationsOrBroadcastInd
Grants Other Organizations	0	GrantsOtherOrganizationsInd
Direct Contact Legislators	0	DirectContactLegislatorsInd
Rallies Demonstrations	0	RalliesDemonstrationsInd
Other Activities	Yes (1)	OtherActivitiesInd
Other Activities	$21,104	OtherActivitiesAmt
Total Lobbying Expenditures	$21,104	TotalLobbyingExpendituresAmt
Not Described Section501c3	0	NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART II-B, LINE 1:	FormAndLineReferenceDesc
Explanation	AHA AND WHA DUES	ExplanationTxt

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$2,813,187	BeginningYearBalanceAmt
Contributions	$365	ContributionsAmt
Investment Earnings Or Losses	$140,490	InvestmentEarningsOrLossesAmt
Other Expenditures	$11,878	OtherExpendituresAmt
End Year Balance	$2,942,164	EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$2,778,946	BeginningYearBalanceAmt
Contributions	$5,651	ContributionsAmt
Investment Earnings Or Losses	$46,602	InvestmentEarningsOrLossesAmt
Other Expenditures	$18,012	OtherExpendituresAmt
End Year Balance	$2,813,187	EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$2,697,255	BeginningYearBalanceAmt
Contributions	$63,290	ContributionsAmt
Investment Earnings Or Losses	$27,788	InvestmentEarningsOrLossesAmt
Other Expenditures	$9,387	OtherExpendituresAmt
End Year Balance	$2,778,946	EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$2,689,035	BeginningYearBalanceAmt
Contributions	$50	ContributionsAmt
Investment Earnings Or Losses	$32,052	InvestmentEarningsOrLossesAmt
Other Expenditures	$23,882	OtherExpendituresAmt
End Year Balance	$2,697,255	EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$2,637,679	BeginningYearBalanceAmt
Contributions	$7,394	ContributionsAmt
Investment Earnings Or Losses	$56,750	InvestmentEarningsOrLossesAmt
Other Expenditures	$12,788	OtherExpendituresAmt
End Year Balance	$2,689,035	EndYearBalanceAmt

Field	Value	IRS element (for citing)
Board Designated Balance EOY	0.00000	BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY	0.87237	PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY	0.12763	TermEndowmentBalanceEOYPct
Endowments Held Unrelated Org	Yes (1)	EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org	Yes (1)	EndowmentsHeldRelatedOrgInd
Related Org List Sch R	Yes (1)	RelatedOrgListSchRInd

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$10,093,211	OtherCostOrOtherBasisAmt
Book Value	$10,093,211	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$262,317,629	OtherCostOrOtherBasisAmt
Depreciation	$85,381,526	DepreciationAmt
Book Value	$176,936,103	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$239,171,223	OtherCostOrOtherBasisAmt
Depreciation	$160,210,708	DepreciationAmt
Book Value	$78,960,515	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$20,619,409	OtherCostOrOtherBasisAmt
Book Value	$20,619,409	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$286,609,238	TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (4 entries)

DescDesc	AmtAmt
DEFERRED COMPENSATION	$18,969,194
FINANCE LEASE OBLIGATIONS	$108,854,960
INTEREST RATE SWAP VALUATION	$6,385,575
OPERATING LEASE OGLIGATIONS	$13,535,308

Field	Value	IRS element (for citing)
Total Liability	$147,745,037	TotalLiabilityAmt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART V, LINE 4:	FormAndLineReferenceDesc
Explanation	ENDOWMENT FUNDS ARE INTENDED TO BE USED FOR HEALTH CARE SERVICES AND EMPLOYEE TRAINING AND DEVELOPMENT.	ExplanationTxt

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (1)	FinancialAssistancePolicyInd
Written Policy	Yes (1)	WrittenPolicyInd
All Hospitals Policy	Yes (X)	AllHospitalsPolicyInd
FPG Reference Free Care	Yes (1)	FPGReferenceFreeCareInd

Free Care Oth Percentage FreeCareOthPercentageGrp

Field	Value	IRS element (for citing)
Other	Yes (X)	OtherInd
Free Care Other	220.000000000000	FreeCareOtherPct

Field	Value	IRS element (for citing)
FPG Reference Discounted Care	Yes (1)	FPGReferenceDiscountedCareInd
Percent400	Yes (X)	Percent400Ind
Free Care Medically Indigent	Yes (1)	FreeCareMedicallyIndigentInd
Financial Assistance Budget	Yes (1)	FinancialAssistanceBudgetInd
Expenses Exceed Budget	Yes (1)	ExpensesExceedBudgetInd
Unable To Provide Care	0	UnableToProvideCareInd
Annual Community Bnft Report	Yes (1)	AnnualCommunityBnftReportInd
Report Publically Available	Yes (1)	ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$5,590,213	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$5,590,213	NetCommunityBenefitExpnsAmt
Total Expense	0.00920	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$68,177,396	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$34,312,052	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$33,865,344	NetCommunityBenefitExpnsAmt
Total Expense	0.05590	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$73,767,609	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$34,312,052	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$39,455,557	NetCommunityBenefitExpnsAmt
Total Expense	0.06510	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$6,464,179	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$6,464,179	NetCommunityBenefitExpnsAmt
Total Expense	0.01070	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$5,385,041	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$5,385,041	NetCommunityBenefitExpnsAmt
Total Expense	0.00890	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,518,372	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$1,518,372	NetCommunityBenefitExpnsAmt
Total Expense	0.00250	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$13,367,592	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$13,367,592	NetCommunityBenefitExpnsAmt
Total Expense	0.02210	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$87,135,201	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$34,312,052	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$52,823,149	NetCommunityBenefitExpnsAmt
Total Expense	0.08720	TotalExpensePct

Other Communtity Building Acty OtherCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$208,049	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$208,049	NetCommunityBenefitExpnsAmt
Total Expense	0.00030	TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$208,049	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$208,049	NetCommunityBenefitExpnsAmt
Total Expense	0.00030	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (1)	BadDebtExpenseReportedInd
Bad Debt Expense	$4,529,060	BadDebtExpenseAmt
Reimbursed By Medicare	$179,451,781	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$202,140,654	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$22,688,873	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

Field	Value	IRS element (for citing)
Cost To Charge Ratio	Yes (X)	CostToChargeRatioInd

Field	Value	IRS element (for citing)
Written Debt Collection Policy	Yes (1)	WrittenDebtCollectionPolicyInd
Financial Assistance Prvsn	Yes (1)	FinancialAssistancePrvsnInd

Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp

Entity Name EntityName

Field	Value	IRS element (for citing)
Business Name Line1	1 BELLIN ORTHOPEDIC SURGERY CENTER LLC	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Primary Activities	ORTHOPEDIC SURGERY CENTER	PrimaryActivitiesTxt
Org Profit Or Ownership	0.55000	OrgProfitOrOwnershipPct
Physicians Profit Or Ownership	0.45000	PhysiciansProfitOrOwnershipPct

Field	Value	IRS element (for citing)
Hospital Facilities	1	HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

Field	Value	IRS element (for citing)
Facility	1	FacilityNum

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	BELLIN MEMORIAL HOSPITAL	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	744 S WEBSTER AVE	AddressLine1Txt
City	GREEN BAY	CityNm
State Abbreviation	WI	StateAbbreviationCd
ZIP	54305	ZIPCd

Field	Value	IRS element (for citing)
Website Address	WWW.BELLIN.ORG	WebsiteAddressTxt
State License	147	StateLicenseNum
Licensed Hospital	Yes (X)	LicensedHospitalInd
General Medical And Surgical	Yes (X)	GeneralMedicalAndSurgicalInd
Emergency Room24 Hrs	Yes (X)	EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	BELLIN MEMORIAL HOSPITAL	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Facility	1	FacilityNum
First Licensed CY Or PY	0	FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY	0	TaxExemptHospitalCYOrPYInd
CHNA Conducted	Yes (1)	CHNAConductedInd
Community Definition	Yes (X)	CommunityDefinitionInd
Community Demographics	Yes (X)	CommunityDemographicsInd
Existing Resources	Yes (X)	ExistingResourcesInd
How Data Obtained	Yes (X)	HowDataObtainedInd
Community Health Needs	Yes (X)	CommunityHealthNeedsInd
Other Health Issues	Yes (X)	OtherHealthIssuesInd
Community Hlth Needs Id Process	Yes (X)	CommunityHlthNeedsIdProcessInd
Consulting Process	Yes (X)	ConsultingProcessInd
Prior CHNA Impact	Yes (X)	PriorCHNAImpactInd
CHNA Conducted	20	CHNAConductedYr
Take Into Account Others Input	Yes (1)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	Yes (1)	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	Yes (1)	CHNAConductedWithNonFcltsInd
CHNA Report Widely Available	Yes (1)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	SEE PART V, SECTION C, LINE 7D	OwnWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Rpt Available Thru Other Method	Yes (X)	RptAvailableThruOtherMethodInd
Implementation Strategy Adopt	Yes (1)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	19	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (1)	StrategyPostedWebsiteInd
Strategy Website URL	SEE PART V, SECTION B, LINE 7D	StrategyWebsiteURLTxt
Organization Incur Excise Tax	0	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (1)	EligCriteriaExplainedInd
FPG Family Incm Lmt Free Dscnt	Yes (X)	FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care	220.000000000000	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	400.000000000000	FPGFamilyIncmLmtDscntCarePct
Income Level Criteria	Yes (X)	IncomeLevelCriteriaInd
Underinsurance Stat Criteria	Yes (X)	UnderinsuranceStatCriteriaInd
Other Criteria	Yes (X)	OtherCriteriaInd
Explained Basis	Yes (1)	ExplainedBasisInd
App Financial Asst Expln	Yes (1)	AppFinancialAsstExplnInd
Described Info	Yes (X)	DescribedInfoInd
Described Suprt Doc	Yes (X)	DescribedSuprtDocInd
Provided Hospital Contact	Yes (X)	ProvidedHospitalContactInd
Provided Nonprofit Contact	Yes (X)	ProvidedNonprofitContactInd
Includes Publicity Measures	Yes (1)	IncludesPublicityMeasuresInd
FAP Available On Website	Yes (X)	FAPAvailableOnWebsiteInd
FAP Available On Website URL	HTTPS://WWW.BELLIN.ORG/IMAGES/UPLOADS/BUSOF.001_-_FINANCIAL_ASSISTANCE.PDF	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	HTTPS://WWW.BELLIN.ORG/IMAGES/UPLOADS/COMMUNITY_CARE_APPLICATION.PDF	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	HTTPS://WWW.BELLIN.ORG/IMAGES/UPLOADS/PLAIN_LANGUAGE_SUMMARY_-_FINANCIAL_AS	FAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No Charge	Yes (X)	FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No Chrg	Yes (X)	FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No Chrg	Yes (X)	FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill Display	Yes (X)	NotifiedFAPCopyBillDisplayInd
Communtity Notified FAP	Yes (X)	CommuntityNotifiedFAPInd
FAP Translated	Yes (X)	FAPTranslatedInd
FAP Actions On Nonpayment	Yes (1)	FAPActionsOnNonpaymentInd
Permit No Actions	Yes (X)	PermitNoActionsInd
Collection Activities	0	CollectionActivitiesInd
Provided Written Notice	Yes (X)	ProvidedWrittenNoticeInd
Made Effort Orally Notify	Yes (X)	MadeEffortOrallyNotifyInd
Processed FAP Application	Yes (X)	ProcessedFAPApplicationInd
Made Presumptive Elig Determ	Yes (X)	MadePresumptiveEligDetermInd
Nondis Emergency Care Policy	Yes (1)	NondisEmergencyCarePolicyInd
Look Back Medicare Private	Yes (X)	LookBackMedicarePrivateInd
Amounts Generally Billed	0	AmountsGenerallyBilledInd
Gross Charges	0	GrossChargesInd

Supplemental Information SupplementalInformationGrp (6 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
BELLIN MEMORIAL HOSPITAL	PART V, SECTION B, LINE 5: THE PRIORITIES FROM 2018-2020 WERE MENTAL HEALTH, ALCOHOL/DRUG USE AND ABUSE, AND NUTRITION/PHYSICAL ACTIVITY. WE NOW KNOW THAT WE NEED TO LOOK AT THE REASONS WHY HEALTH GAPS EXIST. COMMUNITY FEEDBACK WAS INCLUDED IN THE COMMUNITY MEMBER CHA SUMMARY. FEEDBACK WAS SOLICITED IN THE FOLLOWING WAYS:- ONGOING CHA/CHIP SURVEY ON THE BCHP WEBSITE, WHICH ASKS FOR FEEDBACK IN ENGLISH, HMONG OR SPANISH. SEVENTY-NINE RESPONSES WERE RECEIVED FROM THE GENERAL PUBLIC. - ORGANIZATIONAL REPRESENTATIVES WERE ALSO SURVEYED AND ASKED FOR THEIR FEEDBACK ON THE PRIORITIES, WITH TWENTY-ONE RESPONSES, WITH THOSE ORGANIZATIONS LISTED BELOW.- ADS WERE RUN IN THE NEWSPAPER AND ON SOCIAL MEDIA ASKING FOR COMMUNITY MEMBERS' FEEDBACK -BEYOND HEALTH STEERING COMMITTEE, WHICH INCLUDES REPRESENTATION FROM LOCAL PUBLIC HEALTH AGENCIES, AREA HEALTH SYSTEMS, AND COMMUNITY AGENCIES. THE FOLLOWING ARE REPRESENTED ON THE BEYOND HEALTH STEERING COMMITTEE:- BROWN COUNTY PUBLIC HEALTH- DE PERE HEALTH DEPARTMENT- WI DEPARTMENT OF HEALTH SERVICES, DIVISION OF PUBLIC HEALTH- BROWN COUNTY UNITED WAY- NEW COMMUNITY CLINIC- PREVEA HEALTH- HSHS- ADVOCATE AURORA- BELLIN HEALTHORGANIZATIONS REPRESENTED THROUGH FEEDBACK TO SURVEYS:- UNIVERSITY OF WISCONSIN-MADISON, DIVISION OF EXTENSION BROWN COUNT- BROWN COUNTY VETERANS SERVICE- WELLO- FORWARD SERVICE CORPORATION- JACKIE NITSCHKE CENTER- THE FRIENDS OF THE FOX RIVER TRAIL- OPTIONS FOR INDEPENDENT LIVING- NWTC- GREEN BAY AREA PUBLIC SCHOOLS- CONNECTIONS FOR MENTAL WELLNESS- UNIVERSITY OF WISCONSIN-MADISON, DIVISION OF EXTENSION FOODWISE- ASHWAUBENON SCHOOL DISTRICT- UW CENTER FOR TOBACCO RESEARCH AND INTERVENTION- GREEN BAY POLICE DEPT- NEW NORTH, INC.- DOWNTOWN GREEN BAY, INC.- ONEIDA COMMUNITY HEALTH SERVICES- HMONG/ASIAN COMMUNITY
BELLIN MEMORIAL HOSPITAL	PART V, SECTION B, LINE 6A: AURORA BAYCARE MEDICAL CENTER (GREEN BAY) AND ST. MARY'S AND ST. VINCENT HOSPITALS (HSHS, GREEN BAY)
BELLIN MEMORIAL HOSPITAL	PART V, SECTION B, LINE 6B: BEYOND HEALTH, A STEERING COMMITTEE COMPRISED OF LEADERS FROM BOTH THE PUBLIC AND PRIVATE SECTORS: HEALTHCARE PARTNERS, PUBLIC HEALTH AGENCIES, AND NON-PROFIT PARTNERS WHO WORK COLLABORATIVELY TO IDENTIFY ACTIONABLE PRIORITIES, MINIMIZE DISPARITIES IN HEALTH, AND ADAPT AS NEEDED TO NEW AND EMERGING HEALTH CONCERNS.
BELLIN MEMORIAL HOSPITAL	PART V, SECTION B, LINE 7D: FULL URL FOR PART V, SECTION B, LINE 7A:HTTPS://WWW.BELLIN.ORG/IMAGES/UPLOADS/PDF/BELLIN_FY2021-CHNA.PDFFULL URL FOR PART V, SECTION B, LINE 10A:HTTPS://WWW.BELLIN.ORG/IMAGES/UPLOADS/BROWN_COUNTY_FY2018_IMPLEMENTATION_PL
BELLIN MEMORIAL HOSPITAL	PART V, SECTION B, LINE 11: THE MOST RECENT CHNA IDENTIFIED COMMUNITY NEEDS FOR FISCAL YEARS 2021 THROUGH 2023.AS DETAILED IN THE CHNA REPORT, BELLIN HEALTH, IN COLLABORATION WITH COMMUNITY PARTNERS, IDENTIFIED THE FOLLOWING HEALTH PRIORITIES IN BROWN COUNTY: EQUITABLE ACCESS SOCIAL COHESION UNIFIED PLANNING AND POLICYUNDER THE BROAD UMBRELLAS OF THESE PRIORITIES, BASED ON THE HEALTH OUTCOME DATA AND OBSERVED COMMUNITY NEEDS, BELLIN HAS CHOSEN TO FOCUS SPECIFICALLY ON THE AREAS OUTLINED IN THE ACTION PLAN.PLANNED ACTIONS EQUITABLE ACCESSSTRATEGY: PARTNER WITH LOCAL HEALTH SYSTEMS AND THE N.E.W. COMMUNITY CLINIC ON EFFORTS TO INCREASE ACCESS TO PREVENTATIVE SCREENINGS AND EARLY INTERVENTION SERVICES FOR DIVERSE POPULATIONS. PRIORITY FOCUS WILL BE AROUND ACCESS TO DIABETES SERVICES AND EQUITABLE ACCESS TO DEPRESSION SCREENINGS.STRATEGY: INCREASE ACCESS TO SCREENINGS AND EARLY INTERVENTION SERVICES FOR INDIVIDUALS OF COLOR AND THE SOMALI AND REFUGEE COMMUNITY.STRATEGY: CONTINUE TO SUPPORT THE ORAL HEALTH PARTNERSHIP AND PROVIDE ACCESS TO ORAL CARE FOR THE LOW-INCOME CHILDREN IN OUR COMMUNITY.PLANNED ACTIONS UNIFIED POLICY AND PLANNINGSTRATEGY: CONTINUE TO SUPPORT THE ALCOHOL AND DRUG COALITION FOR CHANGE WITH COMMUNITY PARTNERS TO INCREASE POLICY CHANGES THAT CREATE SAVER COMMUNITIES AND SUPPORT CULTURAL CHANGE AROUND ALCOHOL AND DRUG USE.STRATEGY: LEAD A UNIQUE COLLABORATION WITH LOCAL NURSING HOME, HEALTH SYSTEM, COLLEGE, AND THE WISCONSIN NATIONAL GUARD TO PRODUCE MORE CERTIFIED NURSING ASSISTANTS (CNAS) AND INCREASE CAPACITY AT A LOCAL NURSING HOME.PLANNED ACTIONS SOCIAL COHESIONSTRATEGY: FACILITATION OF THE COMMUNITY-WIDE ALCOHOL AND DRUG COALITION FOR CHANGES WITH A FOCUS ON INTERVENTIONS THAT LEAD TO INCREASED SOBER AWARENESS AND CULTURAL CHANGE AT LOCAL EVENTS AND BUSINESSES.HEALTH NEEDS THAT WILL NOT BE ADDRESSED AT THIS TIMEIN ADDITION TO THE HEALTH NEEDS BELLIN SELECTED AS TOP PRIORITIES, THE CHNA IDENTIFIED OTHER SIGNIFICANT HEALTH NEEDS IN BROWN COUNTY. STRATEGY OWNERS/ORGANIZATIONS ARE ASSIGNED TO LEAD WORK WITHIN THIS SPACE AND CAPITALIZE ON COMMUNITY RESOURCES AND PARTNERS COLLABORATING TO ADDRESS THE NEEDS.
BELLIN MEMORIAL HOSPITAL	PART V, SECTION B, LINE 13H: PRESUMPTIVE ELIGIBILITY INCLUDES FACTORS AS: HOMELESS, DECEASED WITH NO KNOWN ESTATE, APPROVED COURT BANKRUPTCY, PAYMENT ASSISTANCE RANK ORDER SCORE, ELIGIBLE FOR STATE OF WI FOOD SHARE PROGRAM.

Field	Value	IRS element (for citing)
Facility	33	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (33 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	FacilityFacilityTxt
1 - FAMILY MEDICAL CENTER ASHWAUBENON
1630 COMMANCHE AVE	GREEN BAY	WI	54313	PROVIDER CLINIC SITE
2 - BELLIN HEALTH TITLETOWN SPORTS MEDICINE &
1970 S RIDGE ROAD	GREEN BAY	WI	54304	PROVIDER CLINIC SITE
3 - BELLIN HEALTH IRON MOUNTAIN
440 WOODWARD AVE	IRON MOUNTAIN	MI	49801	PROVIDER CLINIC SITE
4 - BELLIN HEALTH GENERATIONS
704 S WEBSTER AVE SUITE 300	GREEN BAY	WI	54301	PROVIDER CLINIC SITE
5 - FAMILY MEDICAL CENTER BELLEVUE
3263 EATON RD	GREEN BAY	WI	543116830	PROVIDER CLINIC SITE
6 - NEUROLOGY CONSULTANTS OF BELLIN HEALTH
725 S WEBSTER AVE	GREEN BAY	WI	54301	PROVIDER CLINIC SITE
7 - FAMILY MEDICAL CENTER DE PERE EAST
555 REDBIRD CIRCLE	DE PERE	WI	54115	PROVIDER CLINIC SITE
8 - FAMILY MEDICAL CENTER HOWARD
2714 RIVERVIEW	GREEN BAY	WI	54313	PROVIDER CLINIC SITE
9 - BELLIN HEALTH ESCANABA
610 S LINCOLN ROAD	ESCANABA	MI	49829	PROVIDER CLINIC SITE
10 - FAMILY MEDICAL CENTER GREEN BAY
704 S WEBSTER AVE	GREEN BAY	WI	54301	PROVIDER CLINIC SITE
11 - FAMILY MEDICAL CENTER DE PERE WEST
1800 LAWRENCE DR	DE PERE	WI	54115	PROVIDER CLINIC SITE
12 - FAMILY MEDICAL CENTER KEWAUNEE
575 - 4TH STREET	KEWAUNEE	WI	54216	PROVIDER CLINIC SITE
13 - BELLIN HEALTH NEPHROLOGY
2020 RIVERSIDE DR SUITE 200	GREEN BAY	WI	54301	PROVIDER CLINIC SITE
14 - FAMILY MEDICAL CENTER BRILLION
964 W RYAN ST SUITE B	BRILLION	WI	54110	PROVIDER CLINIC SITE
15 - FAMILY MEDICAL CENTER ALGOMA
831 PARKER AVE	ALGOMA	WI	54201	PROVIDER CLINIC SITE
16 - BELLIN HEALTH ASTHMA & ALLERGY
519 S MONROE AVENUE	GREEN BAY	WI	54301	PROVIDER CLINIC SITE
17 - CARDIOLOGY ASSOCIATES OF BELLIN HEALTH
744 S WEBSTER AVE	GREEN BAY	WI	54301	HOSPITAL BASED SITE
18 - THE CANCER TEAM OF BELLIN HEALTH
1580 COMMANCHE AVE	GREEN BAY	WI	54313	HOSPITAL BASED SITE
19 - BELLIN HEALTH SURGICAL ASSOCIATES
720 S VAN BUREN ST SUITE 201	GREEN BAY	WI	54301	PROVIDER CLINIC SITE
20 - FAMILY MEDICAL CENTER MANITOWOC
3415 CUSTER ST SUITE D	MANITOWOC	WI	54221	PROVIDER CLINIC SITE
21 - FAMILY MEDICAL CENTER DENMARK
595 COUNTY ROAD R	DENMARK	WI	54208	PROVIDER CLINIC SITE
22 - FAMILY MEDICAL CENTER PULASKI
723 S WISCONSIN ST	PULASKI	WI	541620109	PROVIDER CLINIC SITE
23 - BELLIN HEALTH ENDOCRINOLOGY
704 S WEBSTER SUITE 501	GREEN BAY	WI	54301	PROVIDER CLINIC SITE
24 - FAMILY MEDICAL CENTER SEYMOUR
405 COMMERCIAL ST	SEYMOUR	WI	54165	PROVIDER CLINIC SITE
25 - FAMILY MEDICAL CENTER LUXEMBURG
140 B SCHOOL CREEK TRAIL	LUXEMBURG	WI	54217	PROVIDER CLINIC SITE
26 - FAMILY MEDICAL CENTER STURGEON BAY
311 N 3RD AVE	STURGEON BAY	WI	43235	PROVIDER CLINIC SITE
27 - FAMILY MEDICAL CENTER WRIGHTSTOWN
555 QUALITY CT	WRIGHTSTOWN	WI	54180	PROVIDER CLINIC SITE
28 - GASTROENTEROLOGY ASSOCIATES OF GREEN BAY
725 S WEBSTER AVE	GREEN BAY	WI	54301	PROVIDER CLINIC SITE
29 - FAMILY MEDICAL CENTER BONDUEL
401 W MILL ST	BONDUEL	WI	54107	PROVIDER CLINIC SITE
30 - BELLIN HEALTH CARDIO & THORACIC SURGERY
720 S VAN BUREN ST SUITE 303	GREEN BAY	WI	54301	PROVIDER CLINIC SITE
31 - BELLIN HEALTH FASTCARE - GREEN BAY EAST
1976 LIME KILN RD	GREEN BAY	WI	54311	CONVENIENT CARE CENTER
32 - BELLIN HEALTH FASTCARE - GREEN BAY WEST
2015 SHAWANO AVE	GREEN BAY	WI	54303	CONVENIENT CARE CENTER
33 - FAMILY MEDICAL CENTER SURING
307 MANOR DR	SURING	WI	54174	PROVIDER CLINIC SITE

Supplemental Information Detail SupplementalInformationDetail (15 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART I, LINE 6A:	BELLIN MEMORIAL HOSPITAL IN INCLUDED IN THE BELLIN HEALTH SYSTEMS, INC. COMMUNITY BENEFIT REPORT.
PART I, LINE 7:	AMOUNTS ARE CALCULATED BASED ON COST TO CHARGE RATIOS AND AMOUNTS PER THE FINANCIAL STATEMENTS.
PART I, LN 7 COL(F):	BAD DEBT EXPENSE OF $11,926,895 INCLUDED ON FORM 990, PART IX, LINE 25 WAS EXCLUDED FROM THE DENOMINATOR PER INSTRUCTIONS WHEN CALCULATING THE PERCENT TOTAL EXPENSES ON SCHEDULE H.
PART II, COMMUNITY BUILDING ACTIVITIES:	COMMUNITY BUILDING ACTIVITIES FOCUS ON SOCIAL CONDITIONS THAT CONTRIBUTE TO HEALTH PROBLEMS, SUCH AS HOMELESSNESS, POVERTY, AND OTHER LIVING CONDITIONS AFFECTING THE QUALITY OF LIFE. THESE RANGE FROM DEVELOPING COMMUNITY LEADERS, DISASTER READINESS, AND SUPPORT OF LOCAL ECONOMIC DEVELOPMENT, TO HEALTH IMPROVEMENT ADVOCACY. BELLIN MEMORIAL HOSPITAL IS ACTIVE IN THE GREEN BAY PUBLIC SCHOOLS WITH OUR THRIVE PROGRAM THAT ASSISTS IN SETTING AND MEETING HEALTH AND WELLNESS GOALS FOR STUDENTS IN THIS SCHOOL SYSTEM. BELLIN ALSO HOLDS AN ANNUAL BELLIN RUN/WALK 10K EVENT EACH YEAR WITH OVER 13,000 PARTICIPANTS OF ALL AGES LEARNING FIRST-HAND THE VALUE OF EXERCISE IN DAILY LIFE.
PART III, LINE 2:	THE BAD DEBT EXPENSE AT COST IS CALCULATED BASED ON THE COST TO CHARGE RATIOS.
PART III, LINE 3:	THE HOSPITAL UTILIZES HFMA #15 THEREFORE NONE OF THE BAD DEBT WOULD BE DEEMED CHARITY CARE.
PART III, LINE 4:	THE ATTACHED FINANCIAL STATEMENTS DO NOT CONTAIN A SPECIFIC BAD DEBT EXPENSE FOOTNOTE. HOWEVER, THE SUMMARY OF SIGNIFICANT ACCOUNTING POLICIES DESCRIBES THE HOSPITAL'S POLICY ON PAGE 19 OF THE FINANCIAL STATEMENTS. CONSISTENT WITH BELLIN HEALTH SYSTEMS' MISSION, CARE IS PROVIDED TO PATIENTS REGARDLESS OF THEIR ABILITY TO PAY. THEREFORE, BELLIN HEALTH SYSTEMS HAS DETERMINED IT HAS PROVIDED IMPLICIT PRICE CONCESSIONS TO UNINSURED PATIENTS AND PATIENTS WITH OTHER UNINSURED BALANCES (FOR EXAMPLE, COPAYS AND DEDUCTIBLES). THE IMPLICIT PRICE CONCESSIONS INCLUDED IN ESTIMATING THE TRANSACTION PRICE REPRESENT THE DIFFERENCE BETWEEN AMOUNTS BILLED TO PATIENTS AND THE AMOUNTS BELLIN HEALTH SYSTEMS EXPECTS TO COLLECT BASED ON ITS COLLECTION HISTORY WITH THOSE PATIENTS. BELLIN HEALTH SYSTEMS' POLICY IS TO PROVIDE A 35% DISCOUNT FROM ESTABLISHED CHARGES TO UNINSURED PATIENTS. THIS POLICY DID NOT CHANGE IN 2021 AND 2020.
PART III, LINE 8:	THE AMOUNTS REPORTED FOR MEDICARE WERE CALCULATED USING A COST TO CHARGE RATIO. THE SHORTFALL SHOULD BE TREATED AS A COMMUNITY BENEFIT FOR THE FOLLOWING REASONS. IRS REV RULE 69-545 WHICH ESTABLISHED THE COMMUNITY BENEFIT STANDARD FOR NONPROFIT HOSPITALS STATES THAT IF A HOSPITAL SERVICES PATIENT WITH GOVERNMENT HEALTH BENEFITS, INCLUDING MEDICARE, THEN THIS IS AN INDICATION THAT THE HOSPITAL OPERATES TO PROMOTE THE HEALTH OF THE COMMUNITY. IN ADDITION, FOR-PROFIT HOSPITALS HAVE CARVED OUT HIGH-MARGIN SERVICES (I.E. ONCOLOGY, ORTHO, ETC.) LEAVING GENERAL ACUTE CARE HOSPITALS WITH LOWER-MARGIN MEDICARE SERVICES. THIS MEANS THAT THE SHORTFALL IS NOT NECESSARILY FROM INEFFICIENT OPERATIONS. MEDICARE CAN BE THE LARGEST PAYOR AND HOSPITALS HAVE NO ABILITY TO DENY COVERAGE. THIS, IN TURN, IS A PROMOTION OF ACCESS TO HEALTHCARE SERVICES (A COMMUNITY BENEFIT). ALSO, ELDERLY PATIENTS ARE OFTEN UNDERSERVED AND EXPERIENCE ISSUES WITH ACCESS TO HEALTHCARE SERVICES.
PART III, LINE 9B:	FOR PATIENTS WHO CANNOT MEET THE EXPECTATIONS OF THE DEBT COLLECTION POLICY, THE ORGANIZATION OFFERS FINANCIAL ASSITANCE. THE ORGANIZATION WILL NOT ENGAGE IN EXTRAORDINARY COLLECTION ACTIONS BEFORE DETERMING WHETHER A GUARANTOR IS ELIGILBE FOR ASSISTANCE UNTER THE FINANCIAL ASSISTANCE POLICY. ALL PATIENTS ARE OFFERED A PLAIN LANGUAGE SUMMARY EXPLAINING THE FINANCIAL ASSISTANCE PROGRAM AS PART OF THE REGISTRATION PROCESS IN ADDITION, ALL STATEMENTS INCLUDE INFORMATION REGARDING FINANCIAL ASSISTANCE AVAILABILITY.
PART VI, LINE 2:	IN FY2021, BELLIN MEMORIAL HOSPITAL CONTINUALLY ASSESSED THE HEALTHCARE NEEDS OF OUR COMMUNITIES, WITH A CONTINUED AREA OF FOCUS ON COVID-19. THROUGH OUR PARTNERSHIP WITH PUBLIC HEALTH AND THE BEYOND HEALTH COMMUNITY COLLABORATIVE, EFFORTS WERE AIMED AT CONTINUING COVID-19 INTERVENTIONS TO ADDRESS ACCESS TO HEALTHCARE, TESTING, AND PREVENTION MEASURES. INTENTIONAL EFFORTS WERE MADE BY BELLIN HEALTH TO UNDERSTAND AND ADDRESS THE BURDEN OF COVID-19 IN BROWN COUNTY SPECIFIC TO GROUPS IMPACTED BY INEQUITY AND HEALTH DISPARITIES IN THE COMMUNITY. INTERVENTIONS INCLUDED ONSITE TESTING AT LOCAL COMPANIES, TO ADDRESS THE NEEDS OF ESSENTIAL WORKERS. ADDITIONAL COMMUNITY ASSESSMENT AND OUTREACH INCLUDED SAFE-AT-WORK AND SAFE-AT-SCHOOL ASSESSMENTS TO SUPPORT SAFE RETURN TO WORK AND SCHOOL EFFORTS IN PARTNERSHIP WITH EMPLOYERS AND SCHOOLS. LOCAL EMPLOYERS WERE SURVEYED THROUGHOUT FY2021 TO ASSESS AND ADDRESS HEALTHCARE NEEDS. COMMUNITY UPDATES AND EDUCATION WERE PROVIDED THROUGH VIRTUAL TOWNHALL SESSIONS. ADDITIONALLY, MONTHLY VIRTUAL SESSIONS WERE HELD TO ADDRESS MENTAL HEALTH TOPICS. DURING THIS TIME, BELLIN HEALTH TEAM MEMBERS CONTRIBUTED TO THE NEXT CHNA, WHILE CHIP WORKGROUPS MET VIRTUALLY TO WORK TOWARD SET GOALS.
PART VI, LINE 3:	FINANCIAL COUNSELORS ADVISE PATIENTS OF ASSISTANCE PROGRAMS. A SERVICE CALLED HRS ERASE IS USED TO REVIEW SELF PAY ACCOUNTS FOR POSSIBLE COVERAGE THROUGH GOVERNMENT PROGRAMS.
PART VI, LINE 4:	BELLIN MEMORIAL HOSPITAL SERVES NORTHEAST WISCONSIN AND UPPER MICHIGAN. OUR CURRENT PAYOR SUPPLEMENTAL INFORMATION MIX IS 48.2% MEDICARE AND 10.1% MEDICAID.
PART VI, LINE 5:	A MAJORITY OF BELLIN MEMORIAL HOSPITALS GOVERNING BODY IS COMPRISED OF PERSONS WHO RESIDE IN BELLIN MEMORIAL HOSPITAL'S PRIMARY SERVICE AREA WHO ARE NEITHER EMPLOYEES NOR CONTRACTORS OF THE ORGANIZATION, NOR FAMILY MEMBERS THEROF. IN ADDITION, BELLIN MEMORIAL HOSPITAL EXTENDS MEDICAL STAFF PRIVELEGES TO ALL QUALIFIED PHYSICIANS IN ITS COMMUNITY FOR ALL OF ITS DEPARTMENTS. BELLIN MEMORIAL HOSPITAL APPLIES SURPLUS FUNDS TO IMPROVEMENTS IN PATIENT CARE, EDUCATION, AND FACILITIES.
PART VI, LINE 6:	BELLIN HEALTH IS A COMMUNITY-OWNED NOT-FOR-PROFIT ORGANIZATION RESPONSIBLE FOR THE PHYSICAL AND EMOTIONAL HEALTH OF PEOPLE LIVING IN NORTHEAST WISCONSIN AND THE UPPER PENINSULA OF MICHIGAN. DIRECTLY, AND IN PARTNERSHIP WITH COMMUNITIES, EMPLOYERS, SCHOOLS, AND GOVERNMENT OFFICIALS, WE GUIDE INDIVIDUALS AND FAMILIES IN THEIR LIFELONG JOURNEY TOWARD OPTIMAL HEALTH. WE ARE COMMITTED TO PROVIDING SAFE, RELIABLE, COST-EFFECTIVE TOTAL HEALTH SOLUTIONS WITH RESPECT AND COMPASSION. OUR INNOVATIVE WORK WILL IMPACT HEALTHCARE DELIVERY IN OUR REGION AS WELL AS THROUGHOUT THE WORLD.
PART VI, LINE 7, REPORTS FILED WITH STATES	WI

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Grant Records Maintained	Yes (1)	GrantRecordsMaintainedInd

Recipient Table RecipientTable (22 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Recipient EINRecipientEIN	IRC SectionIRCSectionDesc	Cash GrantCashGrantAmt	Purpose Of GrantPurposeOfGrantTxt
ALTRUSA HOUSE
1116 E MASON ST	GREEN BAY	WI	54301	391593989	501(C)(3)	$25,000	COMMUNITY SPONSORSHIP
BAY LAKES COUNCIL
PO BOX 267	APPLETON	WI	54912	391184320	501(C)(3)	$5,000	DONATION
CEREBRAL PALSY INC
2801 S WEBSTER AVE	GREEN BAY	WI	54301	390901265	501(C)(3)	$23,000	CAPITAL CAMPAIGN - BUILDING EXPANSION
CURATIVE CONNECTIONS
2900 CURRY LN	GREEN BAY	WI	54311	390806435	501(C)(3)	$20,000	DONATION
DOOR COUNTY ECONOMIC
185 E WALNUT ST	STURGEON BAY	WI	54235	391621905	501(C)(3)	$5,000	DONATION
ENCOMPASS EARLY EDUCATION AND
2589 S WEBSTER AVE	GREEN BAY	WI	54301	390824004	501(C)(3)	$35,000	DONATION
FAMILY SERVICES OF NORTHEAST WISCONSIN INC
300 CROOKS ST	GREEN BAY	WI	54305	390827320	501(C)(3)	$44,500	DONATION
BOYS & GIRLS CLUB OF GREEN BAY
1724 LAWRENCE DR	DEPERE	WI	54115	396102943	501(C)(3)	$5,000	DONATION
GREATER GREEN BAY COMMUN FOUND
310 W WALNUT	GREEN BAY	WI	54303	391699966	501(C)(3)	$66,500	GREEN BAY NEIGHBORHOOD LEADERSHIP COUNCIL, ACHIEVE BROWN COUNTY
YMCA GREATER MARINETTE-MENOMINEE
1600 WEST DR	MENOMINEE	MI	49858	386119445	501(C)(3)	$5,000	DONATION
GREEN BAY AREA CHAMBER OF COMM
300 N BROADWAY STE 3A	GREEN BAY	WI	54303	390318170	501(C)(3)	$31,000	DONATION
GREEN BAY PUBLIC SCHOOLS
PO BOX 23387	GREEN BAY	WI	543053387	396002329	GOVT-PUBLIC SCHOOLS	$50,000	HEALTH & WELLNES PROGRAM
HOWARD SUAMICO SCHOOL DISTRICT
2706 LINEVILLE RD	GREEN BAY	WI	543137151	396031599	GOVT-PUBLIC SCHOOLS	$50,000	ATHLETIC PROGRAMS - FIELD SURFACE
LUXEMBURG-CASCO SCHOOL DISTR
318 N MAIN ST	LUXEMBURG	WI	54217	391087534	GOVT-PUBLIC SCHOOLS	$5,000	DONATION
M&M AREA COMMUNITY FOUNDATION
1101 11TH AVENUE	MENOMINEE	WI	49858	383264725	501(C)(3)	$5,000	DONATION
NEVILLE PUBLIC MUSEUM
PO BOX 325	GREEN BAY	WI	54305	930756332	MUSEUM	$10,000	DONATION
NEW COMMUNITY CLINIC
622 BODART ST	GREEN BAY	WI	54301	391200636	501(C)(3)	$100,000	SUPPORT OF FREE COMMUNITY HEALTH CLINIC
OUR PLACE COMMUNITY CENTER
217 IZZO MARIUCCI WAY	IRON MOUNTAIN	MI	49801	831861223	501(C)(3)	$5,000	DONATION
ROTARY CLUB OF GREEN BAY
2360 DUCK CREEK PARKWAY	GREEN BAY	WI	54303	391254434	501(C)(3)	$5,000	DONATION
UNIV OF WI GREEN BAY
2420 NICOLET DR	GREEN BAY	WI	54311	391805963	GOVT-STATE AGENCY	$20,000	MARK REINKE, MD MEMORIAL SCHOLARSHIP
UNIV OF WI OSHKOSH
842 ALGOMA BLVD	OSHKOSH	WI	54901	391805963	GOVT-STATE AGENCY	$21,250	SUPPORT ORGANIZATIONS ACTIVITIES
YWCA GREATER GREEN BAY
230 S MADISON ST	GREEN BAY	WI	54301	390806277	501(C)(3)	$21,000	DONATION

Field	Value	IRS element (for citing)
Total501c3 Org	22	Total501c3OrgCnt
Total Other Org	0	TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART I, LINE 2:	FormAndLineReferenceDesc
Explanation	THE ORGANIZATION REQUIRES A COMPREHENSIVE REQUEST OF THE GRANTEE TO PROVIDE RATIONALE FOR THE REQUEST. REQUIRED INFORMATION TO BE PROVIDED BY THE GRANTEE INCLUDES, TAX-EXEMPT STATUS, IDENTIFICATION OF USE OF RESOURCES AND FOLLOW UP INFORMATION AS TO THE UTILIZATION OF THE RESOURCES. THE ORGANIZATION REVIEWS EACH GRANTEE REQUEST IN RELATIONSHIP TO THE MISSION OF THE ORGANIZATION AND COMMUNITY SUPPORT. ALL REQUESTS REQUIRE APPROVAL BY SENIOR LEADERSHIP OF THE ORGANIZATION.	ExplanationTxt

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Club Dues Or Fees	Yes (X)	ClubDuesOrFeesInd
Written Policy Ref T And E Expnss	Yes (1)	WrittenPolicyRefTAndEExpnssInd
Substantiation Required	Yes (1)	SubstantiationRequiredInd
Compensation Committee	Yes (X)	CompensationCommitteeInd
Independent Consultant	Yes (X)	IndependentConsultantInd
Written Employment Contract	Yes (X)	WrittenEmploymentContractInd
Compensation Survey	Yes (X)	CompensationSurveyInd
Board Or Committee Approval	Yes (X)	BoardOrCommitteeApprovalInd
Severance Payment	0	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	Yes (1)	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	0	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	0	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	0	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	0	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	0	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	0	AnyNonFixedPaymentsInd
Initial Contract Exception	0	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (12 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
DAVID STAMPFL MD
PHYSICIAN	$968,090	$0	$435,999	$0	$1,188	$0	$16,208	$0	$23,161	$0	$1,444,646	$0	$0	$0
ROBERT ANDERSON MD
PHYSICIAN	$747,003	$0	$623,562	$0	$1,188	$0	$17,717	$0	$20,711	$0	$1,410,181	$0	$0	$0
ALLAHYAR JAZAYERI MD
PHYSICIAN (THRU FEB)	$842,542	$0	$452,834	$0	$1,188	$0	$8,550	$0	$22,747	$0	$1,327,861	$0	$0	$0
CHRISTINE WOLESKE
PRESIDENT/CEO	$681,954	$0	$535,089	$0	$69,864	$0	$16,000	$0	$19,711	$0	$1,322,618	$0	$0	$0
JAMES SPEARS MD
PHYSICIAN	$721,920	$0	$557,586	$0	$1,188	$0	$13,998	$0	$20,314	$0	$1,315,006	$0	$0	$0
PATRICK MCKENZIE MD
PHYSICIAN	$1,123,230	$0	$70,263	$0	$1,188	$0	$15,165	$0	$23,521	$0	$1,233,367	$0	$0	$0
STEVEN GERNDT MD
BOARD MEMBER/PRESIDENT MED	$457,510	$0	$303,773	$0	$744	$0	$13,285	$0	$18,813	$0	$794,125	$0	$0	$0
JAMES DIETSCHE
EVP-CFO	$470,692	$0	$170,055	$0	$24,741	$0	$60,714	$0	$7,397	$0	$733,599	$0	$0	$0
JENNIFER LYNCH MD
BOARD MEMBER/PRESIDENT BEL	$511,084	$0	$32,674	$0	$414	$0	$11,987	$0	$1,280	$0	$557,439	$0	$0	$0
ROBERT MEAD MD
BOARD MEMBER/PAST PRESIDENT	$228,392	$0	$134,196	$0	$1,188	$0	$16,000	$0	$23,495	$0	$403,271	$0	$0	$0
SABINA SINGH MD
BOARD MEMBER/PRESIDENT BEL	$199,779	$0	$61,298	$0	$414	$0	$12,296	$0	$13,168	$0	$286,955	$0	$0	$0
WILLIAM WITTMAN MD
BOARD MEMBER/BMG PHYSIAN	$135,949	$55,908	$5,762	$2,370	$1,620	$666	$10,094	$4,151	$11,354	$4,670	$164,779	$67,765	$0	$0

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART I, LINE 1A	BELLIN MEMORIAL HOSPITAL PAYS FOR A PORTION OF MEMBERSHIP DUES AT A LOCAL COUNTRY CLUB FOR CHRISTINE WOLESKE IN ORDER TO HOLD VARIOUS EVENTS AT THE CLUB. THIS BENEFIT IS TREATED AS TAXABLE COMPENSATION.
PART I, LINE 4B	THE HOSPITAL HAS A DEFERRED COMPENSATION PLAN FOR SELECTED EXECUTIVES. JAMES DIETSCHE PARTICIPATED IN THE 457(F) PLAN. THERE WERE NO DISTRIBUTIONS DURING CALENDAR YEAR 2020. THE FOLLOWING AMOUNTS WERE ACCRUED DURING CALENDAR YEAR 2020: JAMES DIETSCHE $46,179
FORM 990, PART VII, SECTION A, LINE 5	SAIED ASSEF WAS COMPENSATED BY BELLIN HEALTH PARTNERS, AN UNRELATED ORGANIZATION, FOR INDIVIDUAL SERVICES RENDERED TO BELLIN MEMORIAL HOSPITAL, INC. IN THE AMOUNT OF $182,500 DURING CALENDAR YEAR 2020.

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (4 entries)

Bond ReferenceBondReferenceCd	Bond Issuer EINBondIssuerEIN	CUSIPCUSIPNum	Bond IssuedBondIssuedDt	Issue PriceIssuePriceAmt	PurposePurposeDesc	DefeasedDefeasedInd	On Behalf Of IssuerOnBehalfOfIssuerInd	Pool FinancingPoolFinancingInd
WISCONSIN HEALTH AND EDUCATIONAL FACILITIES AUTHORITY
A	391337855	97712DLH7	2015-04-09	$44,994,006	REFUND AND LEGALLY DEFEASE	0	0	0
WISCONSIN HEALTH AND EDUCATIONAL FACILITIES AUTHORITY
B	391337855		2011-11-23	$12,944,000	REFINANCING OF 2001 BONDS	0	0	0
WISCONSIN HEALTH AND EDUCATIONAL FACILITIES AUTHORITY
C	391337855		2019-08-29	$35,000,000	FUNDING OF NICU EXPANSION PROJECT AND VARIOUS RENOVATION AND EQUIPMENT PURCH	0	0	0
WISCONSIN HEALTH AND EDUCATIONAL FACILITIES AUTHORITY
D	391337855		2019-08-29	$8,000,000	FUNDING OF IT INFRASTRUCTURE	0	0	0

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (4 entries)

Bond ReferenceBondReferenceCd	RetiredRetiredAmt	Total ProceedsTotalProceedsAmt	Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt	Other Spent ProceedsOtherSpentProceedsAmt	Substantial CompletionSubstantialCompletionYr	Refunding Tax Exempt BondsRefundingTaxExemptBondsInd	Refunding Taxable BondsRefundingTaxableBondsInd	Final Allocation MadeFinalAllocationMadeInd	Adequate Books And Rec MaintAdequateBooksAndRecMaintInd	In Reserve FundInReserveFundAmt	Capital ExpendituresCapitalExpendituresAmt
A	$1,905,000	$44,994,006	$528,236	$44,465,770	2009	0	Yes (1)	Yes (1)	Yes (1)
B	$1,365,000	$12,944,000	$79,844		2001	Yes (1)	0	Yes (1)	Yes (1)
C		$41,624,205	$314,452			0	0	0	Yes (1)	$12,546,069	$28,763,684
D		$8,351,848	$74,748		2021	0	0	Yes (1)	Yes (1)		$8,277,100

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (4 entries)

Bond ReferenceBondReferenceCd	Any Lease ArrangementsAnyLeaseArrangementsInd	Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd	Engage Bond Counsel ContractsEngageBondCounselContractsInd	Private Bus Use By OthersPrivateBusUseByOthersPct	Total Private Business UseTotalPrivateBusinessUsePct	Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd	Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
A	Yes (1)	Yes (1)	Yes (1)	0.01000	0.01000	Yes (1)	Yes (1)
B	Yes (1)	Yes (1)	Yes (1)	0.01000	0.01000	Yes (1)	Yes (1)
C	Yes (1)	Yes (1)	Yes (1)	0.01000	0.01000	Yes (1)	Yes (1)
D	Yes (1)	Yes (1)	Yes (1)	0.01000	0.01000	Yes (1)	Yes (1)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (4 entries)

Bond ReferenceBondReferenceCd	Form8038 T FiledForm8038TFiledInd	Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd	Rebate Not Due YetRebateNotDueYetInd	Exception To RebateExceptionToRebateInd	No Rebate DueNoRebateDueInd
A	Yes (1)	Yes (1)
B	Yes (1)	Yes (1)
C	0	Yes (1)	Yes (1)	0	0
D	0	Yes (1)	Yes (1)	0	0

Procedures Corrective Action ProceduresCorrectiveActionGrp (4 entries)

Bond ReferenceBondReferenceCd	Procedures Corrective ActionProceduresCorrectiveActionInd
A	Yes (1)
B	Yes (1)
C	Yes (1)
D	Yes (1)

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp

Name Of Interested NameOfInterested

Field	Value	IRS element (for citing)
Person	SUSAN FINCO	PersonNm

Field	Value	IRS element (for citing)
Relationship Description	OWNER OF LEONARD & FINCO COMMUNICATIONS	RelationshipDescriptionTxt
Transaction	$213,331	TransactionAmt
Transaction	PROVISION OF MARKETING SERVICES	TransactionDesc
Sharing Of Revenues	0	SharingOfRevenuesInd

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (10 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 2	SABINA SINGH, MARK MCMULLEN, AND TERRY FULWILER HAVE A BUSINESS RELATIONSHIP. SUSAN FINCO _________
FORM 990, PART VI, SECTION A, LINE 6	THE ORGANIZATION HAS ONE CORPORATE MEMBER, BELLIN HEALTH SYSTEMS, INC.
FORM 990, PART VI, SECTION A, LINE 7A	THE CORPORATE MEMBER, BELLIN HEALTH SYSTEMS, INC. HAS THE POWER TO APPOINT BOARD MEMBERS.
FORM 990, PART VI, SECTION A, LINE 7B	THE CORPORATE MEMBER, BELLIN HEALTH SYSTEMS, INC., HAS THE POWER TO APPROVE MAJOR EXPENDITURES AND LONG-TERM BORROWINGS.
FORM 990, PART VI, SECTION B, LINE 11B	THE FORM 990 IS REVIEWED IN DETAIL BY SENIOR ADMINISTRATION AND IS PRESENTED TO THE EXECUTIVE COMMITTEE IN ITS ENTIRETY FOR A REVIEW OF THE DOCUMENT.
FORM 990, PART VI, SECTION B, LINE 12C	EACH YEAR A CONFLICT OF INTEREST REQUEST DOCUMENT IS PROVIDED TO EACH BOARD MEMBER. ALL DOCUMENTS ARE PROVIDED BACK TO ADMINISTRATION AND REVIEWED. ALL EMPLOYEES ARE REQUIRED TO REVIEW THE CONFLICT OF INTEREST POLICY AS PART OF ANNUAL MANDATORY EDUCATION. IF THERE IS A CONFLICT OF INTEREST, THE CORPORATE COMPLIANCE OFFICER AND CORPORATE COMPLIANCE COMMITTEE WHICH IS A COMMITTEE OF THE BOARD OF DIRECTORS IS NOTIFIED. THE CORPORATE COMPLIANCE OFFICER AND CORPORATE COMPLIANCE COMMITTEE ADDRESSES THE ISSUE.
FORM 990, PART VI, SECTION B, LINE 15	COMPENSATION FOR THE CEO AND KEY EXECUTIVES ARE SET BY THE EXECUTIVE COMMITTEE OF THE BOARD SUPPORTED BY MARKET DATA FROM SURVEYS AND AN INDEPENDENT CONSULTANT'S REPORT. THE COMPENSATION IS DETERMINED BY MEMBERS OF THE EXECUTIVE COMMITTEE WITHOUT CONFLICT AND IS DOCUMENTED. CEO COMPENSATION: CEO PRESENTS RESULTS OF PERFORMANCE OBJECTIVES TO THE EXECUTIVE COMMITTEE IN JANUARY OF EACH YEAR. THE CHAIR APPLIES A FORMULA TO THE RESULTS AND COMES UP WITH A RECOMMENDATION. THE CHAIR FACILITATES GETTING APPROVAL FROM OTHER MEMBERS OF THE EXECUTIVE COMMITTEE. SENIOR LEADERS: COMPENSATION FOR THOSE WHO REPORT TO THE CEO IS TAKEN TO THE EXECUTIVE COMMITTEE FOR DISCUSSION/APPROVAL.
FORM 990, PART VI, SECTION C, LINE 19	THE ORGANIZATION BELIEVES THE FINANCIAL STATEMENTS, GOVERNING DOCUMENTS, AND POLICIES ARE THE PROPERTY OF THE ORGANIZATION AND ARE NOT AVAILABLE FOR PUBLIC INSPECTION.
FORM 990, PART XI, LINE 9:	CHANGE IN INTEREST IN FOUNDATION 4,779,641. INTEREST RATE SWAP AGREEMENT 2,407,629. OTHER CHANGES IN NET ASSETS 83,332. NON-CONTROLLING INTEREST IN CONSOLIDATED AFFILIATE -1,083,550.
FORM 990, PART XI, LINE 2B-2C	BELLIN MEMORIAL HOSPITAL, INC. IS INCLUDED IN THE CONSOLIDATED AUDIT OF BELLIN HEALTH SYSTEMS, INC. THE BOARD OF DIRECTORS OF BELLIN HEALTH SYSTEMS, INC. ASSUMES RESPONSIBILITY FOR THE OVERSIGHT OF THE AUDIT AND SELECTION OF AN INDEPENDENT AUDITOR. THIS PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (7 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Controlled OrganizationControlledOrganizationInd	Direct Controlling NADirectControllingNACd
LAKE MICHIGAN HEALTH SERVICES INC
744 SOUTH WEBSTER AVE	GREEN BAY	WI	54301	391512903	SUPPORT PURPOSES OF BELLIN MEMORIAL HOSPITAL	WI	501(C)(3)	LINE 12B, II	BELLIN HEALTH SYSTEMS INC	Yes (1)
BELLIN COLLEGE INC
3201 EATON ROAD	GREEN BAY	WI	54311	391620530	NURSING COLLEGE	WI	501(C)(3)	LINE 2	BELLIN HEALTH SYSTEMS INC	Yes (1)
THE BELLIN HEALTH FOUNDATION INC
744 SOUTH WEBSTER AVE	GREEN BAY	WI	54301	391809171	FOUNDATION	WI	501(C)(3)	LINE 7	BELLIN HEALTH SYSTEMS INC	Yes (1)
BELLIN PSYCHIATRIC CENTER INC
PO BOX 23725	GREEN BAY	WI	54305	391657627	PPSYCHIATRIC HOSPITAL	WI	501(C)(3)	LINE 3	BELLIN HEALTH SYSTEMS INC	Yes (1)
OCONTO HOSPITAL & MEDICAL CENTER INC
820 ARBUTUS AVENUE	OCONTO	WI	54153	061745397	HOSPITAL	WI	501(C)(3)	LINE 3	BELLIN MEMORIAL HOSPITAL INC	Yes (1)
BELLIN HEALTH SYSTEMS INC
744 SOUTH WEBSTER AVE	GREEN BAY	WI	54301	391512904	SUPPORT OF HEALTHCARE ORGANIZATIONS	WI	501(C)(3)	LINE 12B, II		0	N/A
UNITY LIMITED PARTNERSHIP
2366 OAK RIDGE CIRCLE	DE PERE	WI	54115	391750729	HOSPICE, PALLIATIVE & BEREAVEMENT SERVICES	WI	501(C)(3)	LINE 10		0	N/A

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp

Related Organization Name RelatedOrganizationName

Field	Value	IRS element (for citing)
Business Name Line1	BELLIN ORTHOPEDIC SURGERY CENTER LLC	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	2223 LIME KILN RD	AddressLine1Txt
City	GREEN BAY	CityNm
State Abbreviation	WI	StateAbbreviationCd
ZIP	54311	ZIPCd

Field	Value	IRS element (for citing)
EIN	264677834	EIN
Primary Activities	AMBULATORY ORTHOPEDIC SURGERY	PrimaryActivitiesTxt
Legal Domicile State	WI	LegalDomicileStateCd

Direct Controlling Entity Name DirectControllingEntityName

Field	Value	IRS element (for citing)
Business Name Line1	BELLIN MEMORIAL HOSPITAL INC	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Predominant Income Type	RELATED	PredominantIncomeTypeTxt
Share Of Total Income	$3,784,902	ShareOfTotalIncomeAmt
Share Of EOY Assets	$881,782	ShareOfEOYAssetsAmt
Disproportionate Allocations	0	DisproportionateAllocationsInd
General Or Managing Partner	0	GeneralOrManagingPartnerInd
Ownership	0.55000	OwnershipPct

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (2 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Direct Controlling NADirectControllingNACd	Entity TypeEntityTypeTxt	Controlled OrganizationControlledOrganizationInd
BEL-REGIONAL HOME MEDICAL INC
617 S ROOSEVELT	GREEN BAY	WI	54301	391504766	DURABLE MEDICAL EQUIPMENT, RETAIL PHARMACY, FITNESS	WI	N/A	C	Yes (1)
BELLIN INVESTMENTS INC
744 SOUTH WEBSTER AVE	GREEN BAY	WI	54301	391564939	OTHER	WI	N/A	C	Yes (1)

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	Yes (1)	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	Yes (1)	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	Yes (1)	GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org	Yes (1)	LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org	0	LoansOrGuaranteesFromOthOrgInd
Div Related Organization	0	DivRelatedOrganizationInd
Asset Sale To Other Org	0	AssetSaleToOtherOrgInd
Asset Purchase From Other Org	0	AssetPurchaseFromOtherOrgInd
Asset Exchange	0	AssetExchangeInd
Rental Of Facilities To Oth Org	Yes (1)	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	Yes (1)	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	Yes (1)	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	Yes (1)	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	Yes (1)	SharingOfFacilitiesInd
Paid Employees Sharing	Yes (1)	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	Yes (1)	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	Yes (1)	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	0	TransferToOtherOrgInd
Transfer From Other Org	Yes (1)	TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (13 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
OCONTO HOSPITAL & MEDICAL CENTER INC
D	$31,716,655	ACTUAL
OCONTO HOSPITAL & MEDICAL CENTER INC
E	$1,713,758	ACTUAL
OCONTO HOSPITAL & MEDICAL CENTER INC
J	$2,065,985	ACTUAL
OCONTO HOSPITAL & MEDICAL CENTER INC
L	$7,569,473	ACTUAL
OCONTO HOSPITAL & MEDICAL CENTER INC
O	$9,008,456	ACTUAL
OCONTO HOSPITAL & MEDICAL CENTER INC
S	$49,000,000	ACTUAL
BELLIN HEALTH FOUNDATION INC
C	$508,466	ACTUAL
BELLIN HEALTH FOUNDATION INC
O	$445,368	ACTUAL
BELLIN HEALTH FOUNDATION INC
S	$1,000,000	ACTUAL
BELLIN PSYCHIATRIC CENTER INC
D	$9,853,498	ACTUAL
BELLIN PSYCHIATRIC CENTER INC
J	$56,277	ACTUAL
BELLIN PSYCHIATRIC CENTER INC
Q	$2,320,410	ACTUAL
BELLIN PSYCHIATRIC CENTER INC
S	$11,000,000	ACTUAL