BMH-WIND DOWN: Form 990, tax year 2009
View the entire original 990 at ProPublica ↗
- Organization
- BMH-WIND DOWN (EIN 38-1394903)
- Tax period
- 2009-07-01 to 2010-06-30
- Filed
- 2011-05-16
- IRS object ID
- 201101369349305395
- Schema version
- 2009v1.7
- 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 D
- Schedule H
- Schedule I
- Schedule J
- Schedule K
- Schedule L
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2011-05-16T16:35:12-05:00 | Timestamp |
| Tax Period End Date | 2010-06-30 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | PLANTE & MORAN PLLC | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 307 | AddressLine1 |
| City | SOUTHFIELD | City |
| State | MI | State |
| ZIP Code | 480370307 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2009-07-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 381394903 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BELL MEMORIAL HOSPITAL | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | BELL | NameControl |
| Phone | 9064864431 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 901 LAKE SHORE | AddressLine1 |
| City | ISHPEMING | City |
| State | MI | State |
| ZIP Code | 49849 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | GERRY MESSANA | Name |
| Title | CFO | Title |
| Phone | 9064864431 | Phone |
| Date Signed | 2011-05-16 | DateSigned |
| Authorize Third Party | 1 | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 2483522500 | Phone |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2009 | TaxYear |
| Build TS | 2016-02-24 21:20:13Z | BuildTS |
Form 990 IRS990
Doing Business As DoingBusinessAs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BELL HOSPITAL | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | RICK AMENT | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 901 LAKE SHORE | AddressLine1 |
| City | ISHPEMING | City |
| State | MI | State |
| ZIP Code | 49849 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 43159320 | GrossReceipts |
| Group Return For Affiliates | 0 | GroupReturnForAffiliates |
| Organization501c | X | Organization501c |
| Web Site | www.bellhospital.org | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1951 | YearFormation |
| State Legal Domicile | MI | StateLegalDomicile |
| Activity Or Mission Description | IMPROVE THE LIVES OF EVERYONE WE TOUCH. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 12 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 11 | NbrIndependentVotingMembers |
| Total Nbr Employees | 447 | TotalNbrEmployees |
| Total Nbr Volunteers | 190 | TotalNbrVolunteers |
| Total Gross UBI | 518816 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 0 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 416225 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 653646 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 42343289 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 39107149 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 26529 | InvestmentIncomePriorYear |
| Investment Income Current Year | 402991 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 1022579 | OtherRevenuePriorYear |
| Other Revenue Current Year | 941902 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 43808622 | TotalRevenuePriorYear |
| Total Revenue Current Year | 41105688 | TotalRevenueCurrentYear |
| Grants And Similar Amnts CY | 4586198 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 20161916 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 21505307 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 0 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 20478669 | OtherExpensePriorYear |
| Other Expenses Current Year | 20595520 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 40640585 | TotalExpensesPriorYear |
| Total Expenses Current Year | 46687025 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 3168037 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | -5581337 | RevenuesLessExpensesCY |
| Total Assets BOY | 66633672 | TotalAssetsBOY |
| Total Assets EOY | 63451083 | TotalAssetsEOY |
| Total Liabilities BOY | 45167282 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 48101892 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 21466390 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 15349191 | NetAssetsOrFundBalancesEOY |
| Mission Description | IMPROVE THE LIVES OF EVERYONE WE TOUCH. | MissionDescription |
| Significant New Program Services | 0 | SignificantNewProgramServices |
| Significant Change | 0 | SignificantChange |
| Expense | 38994570 | Expense |
| Grants | 4586198 | Grants |
| Revenue | 39107149 | Revenue |
| Description | EXPENSES WERE INCURRED IN PROVIDING HEALTHCARE SERVICES TO THE RESIDENTS OF ISHPEMING, MICHIGAN AND SURROUNDING AREA IN FURTHERANCE OF THE HOSPITAL'S EXEMPT PURPOSE. BELL HOSPITAL IS DEDICATED TO BEING A LEADER IN PROVIDING AND PROMOTING HEALTH AND WELLNESS TO OUR SURROUNDING COMMUNITY. BELL IS A CONVENIENT AND COMPASSIONATE ACUTE CARE HOSPITAL OFFERING A FULL RANGE OF SERVICSE. BELL OFFERS KEY ANCILLARY SERVICES AND ADVANCED MEDICAL TECHNOLOGIES JUST STEPS AWAY. THEIR SURGICAL CENTER PERFORMS PROCEDURES ON A DAILY BASIS. BELL ALSO OFFERS REHABILITATION SERVICES, INCLUDING PHYSICAL, OCCUPATIONAL AND SPEECH THERAPY, WITH THE NEWEST ADDITION BEING THE CORPORATE WELLNESS DEPARTMENT. | Description |
| Total Program Service Expense | 38994570 | TotalProgramServiceExpense |
| Described In501 C3 | 1 | DescribedIn501C3 |
| Schedule B Required | 1 | ScheduleBRequired |
| Political Activities | 0 | PoliticalActivities |
| Lobbying Activities | 0 | LobbyingActivities |
| Donor Advised Funds | 0 | DonorAdvisedFunds |
| Conservation Easements | 0 | ConservationEasements |
| Collections Of Art | 0 | CollectionsOfArt |
| Credit Counseling | 0 | CreditCounseling |
| Term Or Permanent Endowments | 0 | TermOrPermanentEndowments |
| Balance Sheet Amounts Reported | 1 | BalanceSheetAmountsReported |
| Independent Audit Financial Stmt | 0 | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | 1 | ConsolidatedAuditFinancialStmt |
| School | 0 | School |
| Foreign Office | 0 | ForeignOffice |
| Foreign Activities | 0 | ForeignActivities |
| More Than5000 K To Organizations | 0 | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividuals |
| Professional Fundraising | 0 | ProfessionalFundraising |
| Fundraising Activities | 0 | FundraisingActivities |
| Gaming | 0 | Gaming |
| Hospital | 1 | Hospital |
| Grants To Organizations | 1 | GrantsToOrganizations |
| Grants To Individuals | 0 | GrantsToIndividuals |
| Schedule J Required | 1 | ScheduleJRequired |
| Tax Exempt Bonds | 1 | TaxExemptBonds |
| Invest Tax Exempt Bonds | 0 | InvestTaxExemptBonds |
| Escrow Account | 0 | EscrowAccount |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuer |
| Excess Benefit Transaction | 0 | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | 0 | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | 0 | LoanToOfficerOrDQP |
| Grant To Related Person | 0 | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | 1 | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | 0 | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | 0 | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | 0 | DeductibleNonCashContributions |
| Deductible Contributions Of Art | 0 | DeductibleContributionsOfArt |
| Terminated | 0 | Terminated |
| Partial Liquidation | 0 | PartialLiquidation |
| Disregarded Entity | 0 | DisregardedEntity |
| Related Entity | 1 | RelatedEntity |
| Related Org Controlled Entity | 1 | RelatedOrgControlledEntity |
| Transfers To Exempt Non Chrtbl Org | 0 | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | 0 | ActivitiesConductedPartnership |
| Schedule O Required | 1 | ScheduleORequired |
| Number Forms Transmitted With1096 | 66 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | 1 | ComplianceWithBackupWitholding |
| Number Of Employees | 447 | NumberOfEmployees |
| Employment Tax Returns Filed | 1 | EmploymentTaxReturnsFiled |
| Unrelated Business Income | 1 | UnrelatedBusinessIncome |
| Form990-T Filed | 1 | Form990-TFiled |
| Foreign Financial Account | 0 | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTrans |
| Taxable Party Notification | 0 | TaxablePartyNotification |
| Non Deductible Contributions | 0 | NonDeductibleContributions |
| Quid Pro Quo Contributions | 1 | QuidProQuoContributions |
| Quid Pro Quo Disclosure | 1 | QuidProQuoDisclosure |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOf |
| Funds To Pay Premiums | 0 | FundsToPayPremiums |
| Premiums Paid | 0 | PremiumsPaid |
| Nbr Voting Governing Body Members | 12 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 11 | NumberIndependentVotingMembers |
| Family Or Business Relationship | 0 | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | 0 | DelegationOfManagementDuties |
| Changes To Organizing Docs | 0 | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuse |
| Members Or Stockholders | 1 | MembersOrStockholders |
| Election Of Board Members | 1 | ElectionOfBoardMembers |
| Decisions Subject To Approval | 1 | DecisionsSubjectToApproval |
| Minutes Of Governing Body | 1 | MinutesOfGoverningBody |
| Minutes Of Committees | 1 | MinutesOfCommittees |
| Officer Mailing Address | 0 | OfficerMailingAddress |
| Local Chapters | 0 | LocalChapters |
| Form990 Provided To Governing Body | 1 | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | 1 | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | 1 | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | 1 | RegularMonitoringEnforcement |
| Whistleblower Policy | 0 | WhistleblowerPolicy |
| Document Retention Policy | 1 | DocumentRetentionPolicy |
| Compensation Process CEO | 1 | CompensationProcessCEO |
| Compensation Process Other | 1 | CompensationProcessOther |
| Investment In Joint Venture | 0 | InvestmentInJointVenture |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
Name Business NameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | GERRY MESSANA CFO | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Telephone Number | 9064852643 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 901 LAKESHORE DR | AddressLine1 |
| City | ISHPEMING | City |
| State | MI | State |
| ZIP Code | 49849 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionA (19 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | OfficerOfficer | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | Highest Compensated EmployeeHighestCompensatedEmployee |
|---|---|---|---|---|---|---|---|
| RONALD KATERS | |||||||
| CHAIRMAN | 4.00 | X | X | 0 | 0 | 0 | |
| BYRAN JOHNSON | |||||||
| VICE-CHAIRMAN | 4.00 | X | X | 0 | 0 | 0 | |
| JANICE ANDERSON | |||||||
| SECRETARY | 2.00 | X | X | 0 | 0 | 0 | |
| LARRY ARGALL CPA | |||||||
| TREASURER | 4.00 | X | X | 0 | 0 | 0 | |
| ROBERT DELLANGELO MD | |||||||
| BOARD MEMBER | 4.00 | X | 0 | 0 | 0 | ||
| ELMBER MOISIO PHD | |||||||
| BOARD MEMBER | 2.00 | X | 0 | 0 | 0 | ||
| NICHOLAS JOSEPH | |||||||
| BOARD MEMBER | 2.00 | X | 0 | 0 | 0 | ||
| REVEREND RUDY KEMPPAINEN | |||||||
| BOARD MEMBER | 2.00 | X | 0 | 0 | 0 | ||
| RICHARD GRAYBILL | |||||||
| BOARD MEMBER | 2.00 | X | 0 | 0 | 0 | ||
| TOM EDMARK | |||||||
| BOARD MEMBER | 2.00 | X | 0 | 0 | 0 | ||
| WAYNE CARLSON MD | |||||||
| BOARD MEMBER | 4.00 | X | 0 | 0 | 0 | ||
| MARLIN KITCHEN | |||||||
| BOARD MEMBER | 2.00 | X | 0 | 0 | 0 | ||
| RICK AMENT | |||||||
| CHIEF EXECUTIVE OFFICER | 40.00 | X | 273631 | 0 | 29843 | ||
| GREG PERTTULA | |||||||
| CHIEF FINANCIAL OFFICER | 40.00 | X | 128713 | 0 | 15528 | ||
| HAROLD HILDEBRAND | |||||||
| ER PHYSICIAN | 40.00 | 220245 | 0 | 32893 | X | ||
| DENNIS KLEBA | |||||||
| ANESTHSIA PHYSICIAN | 40.00 | 271108 | 0 | 13108 | X | ||
| JUDD JOHNSTON | |||||||
| PATHOLOGIST | 38.00 | 268545 | 0 | 37192 | X | ||
| LYLE VANDRSCHAAF | |||||||
| ER PHYSICIAN | 40.00 | 242419 | 0 | 29726 | X | ||
| DOUGLAS LABELLE | |||||||
| ER PHYSICIAN | 40.00 | 241443 | 0 | 29796 | X | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 1646104 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 0 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 188086 | TotalOtherCompensation |
| Number Individuals GT100 K | 17 | NumberIndividualsGT100K |
| Formers Listed | 0 | FormersListed |
| Total Comp GT150 K | 1 | TotalCompGT150K |
| Compensation From Other Sources | 0 | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (5 entries)
| Address Line1AddressOfContractor/AddressUS/AddressLine1 | CityAddressOfContractor/AddressUS/City | StateAddressOfContractor/AddressUS/State | ZIP CodeAddressOfContractor/AddressUS/ZIPCode | Description Of ServicesDescriptionOfServices | CompensationCompensation |
|---|---|---|---|---|---|
| UPPER PENINSULA HEALTH CARE NETWORK | |||||
| 228 W WASHINGTON ST 2 | MARQUETTE | MI | 49855 | MRI SERVICES | 396098 |
| PLANTE & MORAN PLLC | |||||
| PO BOX 307 | SOUTHFIELD | MI | 480370307 | ACCOUNTING SERVICES | 311272 |
| CARLOS MORENO | |||||
| 23916 OLD 16 RD | CENTREVILLE | MI | 49032 | ANSETHILOGIST | 251474 |
| HHA SERVICES | |||||
| 22622 HARPER AVE | ST CLAIRE SHORES | MI | 48080 | MANAGEMENT SERVICES | 245759 |
| GE MEDICAL - SERVICE CONTRACTS | |||||
| 5517 COLLECTIONS CENTER DR | CHICAGO | IL | 60693 | CONTRACTED SERVICES | 218452 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 8 | NumberOfContractorsGT100K |
| Related Organizations | 634142 | RelatedOrganizations |
| Government Grants | 19504 | GovernmentGrants |
| Total Contributions | 653646 | TotalContributions |
Program Service Revenue ProgramServiceRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | PATIENT REVENUE | Description |
| Business Code | 624100 | BusinessCode |
| Total Revenue Column | 39107149 | TotalRevenueColumn |
| Related Or Exempt Function Income | 39107149 | RelatedOrExemptFunctionIncome |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 39107149 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 236426 | TotalRevenueColumn |
| Exclusion | $236,426 | ExclusionAmount |
Gross Amount Sales Assets GrossAmountSalesAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 1880164 | Securities |
| Other | 340033 | Other |
Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 1751948 | Securities |
| Other | 301684 | Other |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 128216 | Securities |
| Other | 38349 | Other |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 166565 | TotalRevenueColumn |
| Exclusion | $166,565 | ExclusionAmount |
Other Revenue Misc OtherRevenueMisc (3 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Unrelated Business RevenueUnrelatedBusinessRevenue | ExclusionExclusionAmount |
|---|---|---|---|---|
| ASSISTED LIVING | 623000 | 518816 | 518816 | |
| MISCELLANEOUS | 900099 | 244102 | $244,102 | |
| CAFETERIA REVENUE | 722210 | 178984 | $178,984 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 941902 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 41105688 | TotalRevenueColumn |
| Related Or Exempt Function Income | 39107149 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 518816 | UnrelatedBusinessRevenue |
| Exclusion | $826,077 | ExclusionAmount |
Grants To Domestic Orgs GrantsToDomesticOrgs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 4586198 | Total |
| Program Services | 4586198 | ProgramServices |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 447715 | Total |
| Program Services | 358946 | ProgramServices |
| Management And General | 88769 | ManagementAndGeneral |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 16469914 | Total |
| Program Services | 13389318 | ProgramServices |
| Management And General | 3080596 | ManagementAndGeneral |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 767246 | Total |
| Program Services | 615123 | ProgramServices |
| Management And General | 152123 | ManagementAndGeneral |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2698657 | Total |
| Program Services | 2163591 | ProgramServices |
| Management And General | 535066 | ManagementAndGeneral |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1121775 | Total |
| Program Services | 899359 | ProgramServices |
| Management And General | 222416 | ManagementAndGeneral |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 60742 | Total |
| Management And General | 60742 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 168547 | Total |
| Management And General | 168547 | ManagementAndGeneral |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1166178 | Total |
| Program Services | 1118786 | ProgramServices |
| Management And General | 47392 | ManagementAndGeneral |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 5423108 | Total |
| Program Services | 4347863 | ProgramServices |
| Management And General | 1075245 | ManagementAndGeneral |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1880984 | Total |
| Program Services | 1400285 | ProgramServices |
| Management And General | 480699 | ManagementAndGeneral |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2514569 | Total |
| Program Services | 1871953 | ProgramServices |
| Management And General | 642616 | ManagementAndGeneral |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 378900 | Total |
| Program Services | 303775 | ProgramServices |
| Management And General | 75125 | ManagementAndGeneral |
Other Expenses OtherExpenses (5 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral |
|---|---|---|---|
| Provision for Bad Debts | 4890046 | 4890046 | |
| administrative expenses | 1586745 | 523626 | 1063119 |
| Miscellaneous Expenses | 928746 | 928746 | |
| operation expenses | 724992 | 724992 | |
| laboratory expenses | 575462 | 575462 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 296501 | Total |
| Program Services | 296501 | ProgramServices |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 46687025 | Total |
| Program Services | 38994570 | ProgramServices |
| Management And General | 7692455 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 6826309 | BOY |
| EOY | 6433839 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3894543 | BOY |
| EOY | 5605896 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1331553 | BOY |
| EOY | 1618717 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 272455 | BOY |
| EOY | 287811 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 57581065 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 12429523 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 46050491 | BOY |
| EOY | 45151542 | EOY |
Investments Pub Traded Securities InvestmentsPubTradedSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1751949 | BOY |
| EOY | 2006726 | EOY |
Investments Other Securities InvestmentsOtherSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 173273 | BOY |
| EOY | 173273 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 6333099 | BOY |
| EOY | 2173279 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 66633672 | BOY |
| EOY | 63451083 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3613048 | BOY |
| EOY | 3621760 | EOY |
Tax Exempt Bond Liabilities TaxExemptBondLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 35203497 | BOY |
| EOY | 34372534 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 6350737 | BOY |
| EOY | 10107598 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 45167282 | BOY |
| EOY | 48101892 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 20576407 | BOY |
| EOY | 13523655 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 889983 | BOY |
| EOY | 1825536 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 21466390 | BOY |
| EOY | 15349191 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 66633672 | BOY |
| EOY | 63451083 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | 0 | AccountantCompileOrReview |
| FS Audited | 1 | FSAudited |
| Audit Committee | 1 | AuditCommittee |
| Financial Statement Consolidated | X | FinancialStatementConsolidated |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequired |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital170b1 Aiii | X | Hospital170b1Aiii |
Schedule B IRS990ScheduleB
Contributor Info ContributorInfo
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor Number | RESTRICTED | ContributorNumber |
Contributor Name Business ContributorNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor Address US ContributorAddressUS
| 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) |
|---|---|---|
| Aggregate Contributions | RESTRICTED | AggregateContributions |
Schedule D IRS990ScheduleD
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 2177495 | OtherCostOrOtherBasis |
| Book Value | 2177495 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 38837359 | OtherCostOrOtherBasis |
| Depreciation | 4602419 | Depreciation |
| Book Value | 34234940 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 16551211 | OtherCostOrOtherBasis |
| Depreciation | 7827104 | Depreciation |
| Book Value | 8724107 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 15000 | OtherCostOrOtherBasis |
| Book Value | 15000 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 45151542 | TotalOfBookValueLandBuildings |
Other Liabilities OtherLiabilities (4 entries)
| DescriptionDescription | AmountAmount |
|---|---|
| ACCRUED PROFESSIONAL AND OTHER LIAB | $1,068,969 |
| FAS 87 LIABILITY | $3,955,625 |
| Other - FMV of interest rate swaps | $3,434,776 |
| COST REPORT SETTLEMENT PAYABLE | $1,648,228 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 10107598 | TotalOfAmounts |
| Total Revenue | 41105688 | TotalRevenue |
| Total Expenses | 46687025 | TotalExpenses |
| Excess Or Deficit For Year | -5581337 | ExcessOrDeficitForYear |
| Net Unrealized GL On Investments | 286954 | NetUnrealizedGLOnInvestments |
| Other | -$822,816 | OtherAmount |
| Total Adjustments | -535862 | TotalAdjustments |
| Excess Or Deficit Per FS | -6117199 | ExcessOrDeficitPerFS |
Form990 Schedule D Part XIV Form990ScheduleDPartXIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | Part XI, Line 8 - Other Adjustments: | Identifier |
| Explanation | change in fair value of interest rate swap agreements: -849572. pension related changes other than net periodic pension costs: -908797. CHANGE IN INTEREST OF NET ASSETS OF CHARITABLE FOUNDATION: 935553. | Explanation |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Charity Care Policy | 1 | CharityCarePolicy |
| Written Policy | 1 | WrittenPolicy |
| Policy Applied To All Hospitals | X | PolicyAppliedToAllHospitals |
| FPG Reference Free Care | 1 | FPGReferenceFreeCare |
| Pcent200 | X | Pcent200 |
| FPG Reference Discounted Care | 1 | FPGReferenceDiscountedCare |
| Pcent400 | X | Pcent400 |
| Free Disc Care Medically Indigent | 1 | FreeDiscCareMedicallyIndigent |
| Amounts Budgeted For Charity Care | 1 | AmountsBudgetedForCharityCare |
| Expenses Exceeded Budget | 0 | ExpensesExceededBudget |
| Annual Community Benefit Report | 1 | AnnualCommunityBenefitReport |
| Report Publically Available | 1 | ReportPublicallyAvailable |
Charity Care At Cost CharityCareAtCost
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 1619339 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 1619339 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.04750 | PercentOfTotalExpense |
Unreimbursed Medicaid UnreimbursedMedicaid
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 4307971 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 1430611 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 2877360 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.08440 | PercentOfTotalExpense |
Total Charity Care TotalCharityCare
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 5927310 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 1430611 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 4496699 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.13190 | PercentOfTotalExpense |
Community Health Services CommunityHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 253593 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 253593 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00740 | PercentOfTotalExpense |
Cash And In Kind Contributions CashAndInKindContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 13865 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 13865 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00040 | PercentOfTotalExpense |
Total Other Benefits TotalOtherBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 267458 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 267458 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00780 | PercentOfTotalExpense |
Total Community Benefits TotalCommunityBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 6194768 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 1430611 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 4764157 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.13970 | PercentOfTotalExpense |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | 1 | BadDebtExpenseReported |
| Bad Debt Expense | $2,740,545 | BadDebtExpenseAmount |
| Amount Attributable To | 1395684 | AmountAttributableTo |
| Amount Reimbursed By Medicare | 50139654 | AmountReimbursedByMedicare |
| Cost Of Care Reimbursed By Medicare | 32062321 | CostOfCareReimbursedByMedicare |
| Medicare Surplus Or Shortfall | 18077333 | MedicareSurplusOrShortfall |
Costing Methodology Used CostingMethodologyUsed
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | X | CostToChargeRatio |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | 1 | WrittenDebtCollectionPolicy |
| Provision For Charity Care | 0 | ProvisionForCharityCare |
Form990 Schedule H Part V Form990ScheduleHPartV
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BELL MEMORIAL HOSPITAL | BusinessNameLine1 |
Address Address
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 901 LAKESHORE DRIVE | AddressLine1 |
| City | ISHPEMING | City |
| State | MI | State |
| ZIP Code | 49849 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Licensed Hospital | X | LicensedHospital |
| General Medical And Surgical | X | GeneralMedicalAndSurgical |
| Critical Access Hospital | X | CriticalAccessHospital |
| Er24 Hours | X | Er24Hours |
Form990 Schedule H Part VI Form990ScheduleHPartVI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Income Based Criteria | Part I, Line 3c: N/A | IncomeBasedCriteria |
| Annual Community Benefit Expln | Part I, Line 6a: | AnnualCommunityBenefitExpln |
| Costing Method Used | Part I, Line 7: THE COST-TO-CHARGE RATIO METHOD WAS USED FROM WORKSHEET 2. | CostingMethodUsed |
| Subsidized Health Services Expln | Part I, Line 7g: N/A | SubsidizedHealthServicesExpln |
| Percent Of Total Expense Expln | Part I, Line 7f: BAD DEBT EXPENSE OF $4,890,046 WAS REMOVED FROM THE DENOMINATOR. | PercentOfTotalExpenseExpln |
| Bad Debt Footnote | Part III, Line 4: AN ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS IS ESTABLISHED ON AN AGGREGATE BASIS BY USING HISTORICAL LOSS RATE FACTORS APPLIED TO UnPAID ACCOUNTS BASED ON AGING. LOSS RATE FACTORS ARE BASED ON HISTORICAL LOSS EXPERIENCE AND ADJUSTED FOR ECONOMIC CONDITIONS AND OTHER TRENDS AFFECTING THE HOSPITAL'S ABILITY TO COLLECT OUTSTANDING AMMOUNTS. UNCOLLECTIBLE AMOUNTS ARE WRITTEN OFF AGAINST THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS IN THE PERIOD THEY ARE DEEMED TO BE UNCOLLECTIBLE. THE ALLOWANCE FOR CONTRACTUAL ADJUSTMENTS IS BASED ON EXPECTED PAYMENT RATES FROM PAYORS BASED ON CURRENT REIMBURSEMENT METHODOLOGIES. THIS AMOUNT ALSO INCLUDES AMOUNTS RECEIVED AS INTERIM PAYMENTS AGAINST UNPAID CLAIMS BY CERTAIN PAYORS. BELL USES A COST-TO-CHARGE RATIO FOR DETERMINING BAD DEBT EXPENSE AMOUNTS. FURTHER, BELL MEMORIAL HOSPITAL USES THE KNOWLEDGE OF ITS ACCOUNTING STAFF TO HELP THEM ESTIMATE THE AMOUNT OF THE ORGANIZATION'S BAD DEBT EXPENSE ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER THE ORGANIZATION'S CHARITY CARE POLICY. | BadDebtFootnote |
| Shortfall As Community Benefit | Part III, Line 8: AS MOST OF THE MEDICARE CLIENTELE ARE FROM MARQUETTE COUNTY, THE COST-TO-CHARGE RATIO PERCENTAGE ON THE SHORTFALL IS BELIEVED TO BE A COMMUNITY BENEFIT. THE COSTING METHODOLOGY USED WAS THE COST-TO-CHARGE RATIO. | ShortfallAsCommunityBenefit |
| Debt Collection Policy | Part III, Line 9b: THE DEBT COLLECTION POLICY MAY APPLY TO PATIENTS WHO QUALIFY UNDER THE CHARITY CARE POLICY. FOR EXAMPLE, IF THE CHARITY CARE POLICY COVERED 80% OF THE MEDICAL COSTS UNDER THE SLIDING SCALE OF THE FEDERAL POVERTY GUIDELINES, THE HOSPITAL WOULD USE DEBT COLLECTION PRACTICES TO COLLECT THE REMAINING 20%. THE HOSPITAL USES THE SAME DEBT COLLECTION PRACTICES FOR ALL INDIVIDUALS. | DebtCollectionPolicy |
| Needs Assessment | Part VI, Line 2: Following the Michigan Surgeon General's Health Status Report, which aligns with the Healthy Michigan 2010 initiative, "the definition of health is more than the absence of illness or disease. A broader definition of health that includes aspect mental, emotional spiritual, and social well-being should be used." Eliminating certain risk factors that lead to negative health outcomes will improve the life expectancy of citizens. The report continues to state that in 1999, over 3.2 million Michigan citizens were medically underserved and over 1.5 million were unserved; the issued tended to affect rural areas more. The second highest priority for the Health Status Report was the need to emphasize healthy lifestyles, following the need to prevent chronic diseases. Over 50 percent of adults reported participated in physical activity less than the recommended 30 minutes per day. Twenty-five percent said that they participated in no leisure time physical activity at all and the rate of obesity, especially in Michigan's children, was a particular concern. Specific statistics of particular concern include: - 75% of Michigan adults and 79% of students surveyed ate less than the recommended five servings of fruits and vegetables per day- Michigan ranks the third worse among states for the rate of obesity and has been among the ten heaviest states for the past 14 years- 62% of adults in Michigan are considered either overweight or obese- A majority of high school students and adults indicated that they were trying to lose or maintain weight. Other priorities in Michigan's Health status report include substance abuse, tobacco use, maternal/child health and immunizations, all of which directly affect Michigan's children. In addition to specifics outlined in the Health Status Report, specific regions also conducted community health assessment and improvement (CHAI) initiatives designed to direct local efforts toward improving community's health through partnerships between public and private health organizations and stakeholders. In these initiatives, community health priorities were established that were aligned with the Healthy People 2010 initiative that includes promoting healthy behaviors and promoting healthy and safe communities. According to the CHAI assessments (2000-2001) the Upper Peninsula of Michigan created a regional priority profile for health improvement. Included in its list of twenty-three areas are early childhood health improvement, physical well-being, tobacco use, substance abuse and youth assets. Within Marquette County's community strategies was the commitment to improve child health outcomes through programming that promotes preventative health services. Bell Memorial Hospital does not conduct its own needs assessment. The local county health department along with local coalitions have conducted needs assessments and have published the information. Bell Memorial Hospital uses this information to develop programs and initiatives to improve the health of the community. | NeedsAssessment |
| Patient Education Assistance | Part VI, Line 3: At the point of registration it is determined whether a patient has insurance coverage or is a "self-pay" patient. If a "self-pay" patient, they are made aware of their responsiblity for payment and referred to a Hospital Financial counselor to determine eligibility. For all inpatients noted as "self-pay", a financial counselor will meet them in person while at the hospital and review eligibility options. Further, a charity care flyer is inserted in their billing statement, as well as, the financial counselor's contact information. Also, each billing statement sent to the individual is stamped with counselor's phone number and states to call them if unable to pay in 30 days. | PatientEducationAssistance |
| Community Information | Part VI, Line 4: Marquette County is ranked #10 in the State for at-risk health behaviors. 29% of the people in Marquette County are considered obese. Accordingly, Bell Hospital has built a Fitness Trail along with having multiple Wellness programs available to the community to address the issue and improve the health in the community. Various statistics which help to explain the health picture of Marquette County are as follows: 1.) Morbidity 50%2.) Tobacco use 18%3.) Obese population 29% 4.) Binge drinking 21% A few county statistics are as follows:1.) 11% of population is uninsured with a 1o% target2.) 16% children live in poverty with a 11% target3.) 88% of adults have a high school education and 30% have a college education This data was provided form University of Wisconsin Madison in 2009. | CommunityInformation |
| Community Building Activities | Part VI, Line 5: N/A | CommunityBuildingActivities |
| Other Information | Part VI, Line 6: Bell Memorial Hospital has engaged in the following activities to promote the health of the community:Health FairsPhysicians and sports therapy staff at local sporting eventsCommuniuty Health improvement advocacyAssistance to enroll in Public medical porgrams (Financial Counselors)Ambulance/EMS staff at sporting eventsThe need to address health, wellness and prevention at a young age is prevalent in the nation, state and region. Bell Memorial Hospital is proposing addressing this through Bell Buddies Pediatric Wellness Initiative, a comprehensive program that utilizes educational presentations, activities and health assessments for youth, from infancy through high school. To maximize the outreach to at-risk youth, the hospital has partnered with four of the region's rural school districts: NICE Community Schools, Ishpeming Schools, Negaunee Schools, and Republic/ Michigamme Schools, which have a total enrollment of approximately 3,700 youth. As outlined in the letter of inquiry, Bell Buddies is based on three keystone strategies: outreach, education and assessment/treatment. Throughout the grant year, four wellness outreach activities focused on these strategies will be conducted at each of the school districts. Each activity is strategically placed to launch, reinforce and assess the Bell Buddies School Outreach. Launching a Healthy Lifestyle: Youth Wellness Fair - Beginning in September 2010, the Youth Wellness Coordinator and staff from the Bell Wellness department will implement an on-site Youth Wellness Fair at each partner school. Throughout the span of the 6 hour fair, age-specific cohorts will be brought to the gymnasium for attendance. The Bell Buddies Youth Wellness Fair is an opportunity to introduce and reinforce wellness and healthy lifestyles concepts and is conducted during the fall to generate interest and excitement in the year-long After School Program and create awareness of the In-Class Presentations. The Wellness Fair is envisioned as a way to highlight safety and wellness topics that include proper fitness, nutrition, dental care, hand washing, traffic safety, and the negative effects of smoking. Wellness staff will create a multi-disciplinary program that includes educational stations, as well as hands-on activities for fitness and nutrition. Designed to be placed along the perimeter of the gym, these activities will focus heavily on learning how to make healthy lifestyle choices; for instance, the fair will include 6-8 educational stations that focus on varied topics. Some examples include:1)Hand Washing: Students will rub Glitter Bug Lotion on their hands and proceed to wash them as normal and then be directed to a black light that identifies the places they missed and where germs still reside. Print materials on proper hand washing techniques and why it's important (exposure to flu strains, cold viruses and bacteria) will accompany the activity. 2)USDA MyPyramid: Students will have the opportunity to play MyPyramid bingo. This station will highlight the USDA website, and students will be made aware of both the food and activity pyramid for youth. Educational materials will include healthy snack options and ways to stay active.3)Choosing the Right Beverage: This station will compare drinking soda with water. Educational materials may include Fizzics of Soda educational packet and Wet your Whistle activity handbook. Students will also receive water bottles to reinforce the healthy choice. 4)Portion Sizes: This station will utilize portion distortion educational materials, as well as include an educationally enhanced Supersize Me DVD and portion size bingo. Educational materials will include simple ways to limit portion sizes and reduce overeating.5)Nutrition Labels: This station will focus on "demystifying" the nutrition label for each age group. Utilizing a Nutrition Label PowerPoint Presentation, information will highlight identifying proper nutritional components by assessing carbohydrates in comparison to sugars and fiber.6)Heart Rate Zones: Focusing on identifying heart rate as an indicator of physical activity, this station will use the Heart Rate Race Game and information on the correct training heart rate zones. The station will include heart rate monitors to test a students resting heart rate and identify the levels of fitness activity intensity. 7)Anatomy: This station will highlight educational materials including The Human Body Book, Marvelous Muscles Chart, as well as models of the heart and skeleton. This station will provide students with knowledge on how the body works and why it's important to make the right choices to stay healthy. Physical fitness activities will be included in the Youth Wellness Fair. Bell Wellness staff will create a fitness-based obstacle course in the center of the gym to provide cardio and strength activities, as well as additional areas that demonstrate the importance of stretching exercises. Wellness staff will be on-site to conduct fitness testing, which includes height and weight measurements, blood pressure, resting heart rate, body composition and girth measurements. Bell's body composition scale, which utilizes bio-electrical impedance analysis, may also be used. This will provide interested students with a body fat percentage, lean and fat mass, basal metabolic rate and overall weight. Students will have the opportunity to take this information home to their parents, included in a Bell Buddies Youth Wellness Guide that outlines Bell programs, information on healthy eating and physical activity, additional resources and contacts, and a notes section for individualized plans, goal setting and food/activity journals. Throughout the Wellness Fair, the Youth Wellness Coordinator will monitor the number of children attending, the desirability of each station, questions and comments from students and teachers and the overall flow of the fair. In addition, the fitness and knowledge testing will establish baseline data for individual students at the beginning of the year, which will provide an evaluation mechanism throughout the academic year and in the other School Outreach Programs.Reinforcing a Healthy Lifestyle: After School Program - The Bell Buddies After School Program expects to run during the academic year for two days per week, two hours per day, and at least 45 minutes of each session will be dedicated to physical activity. Each session will include structured exercise, movement games, skill building nutrition and other topics including anatomy and safety activities. Students will be provided important educational materials to reinforce healthy lifestyle choices.The Bell Buddies After School Program will run for approximately 28 weeks and a lessons schedule will be created. During the first week, students will learn about goal-setting and set their personal goals for the year. The schedule will include in-depth activities similar to the Wellness Fair, such as nutrition games, portion distortion, a healthy breakfast, how to identify a healthy snack, and a "Healthy Plate" lesson. The schedule will frame certain activities during specific timeframes: i.e. healthy Halloween options and a sugar lesson in October, healthy choices in the lunchroom, portion size lessons during Thanksgiving, healthy baking during Christmas holidays, hydration and sun protection during the summer, as well as ways to stay active, regardless of the season. The Youth Wellness Coordinator will continue to utilize the nutrition and physical education packets available for health centers and schools that were used in the Youth Wellness Fairs. Specifically, fitness programming will include a physical education starter package, an elementary rainy day play package, heart rate games and clever catch exercise balls. Activities will include obstacle courses, fitness games and group sports. Educational and activity-based sessions will increase knowledge of proper nutrition and physical activity and enhance physical skills. | OtherInformation |
| Affiliated Health Care System | Part VI, Line 7: N/A | AffiliatedHealthCareSystem |
| Reports Filed With States | MI | ReportsFiledWithStates |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Records Maintained | 0 | RecordsMaintained |
Recipient Table RecipientTable
Recipient Name Business RecipientNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BELL MEDICAL CENTER | BusinessNameLine1 |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 901 LAKESHORE | AddressLine1 |
| City | ISHPEMING | City |
| State | MI | State |
| ZIP Code | 49849 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN Of Recipient | 382124042 | EINOfRecipient |
| IRC Section | 501(C)3 | IRCSection |
| Amount Of Cash Grant | 4586198 | AmountOfCashGrant |
| Method Of Valuation | n/a | MethodOfValuation |
| Description Of Non Cash Assistance | n/a | DescriptionOfNonCashAssistance |
| Purpose Of Grant | TO SUPPORT THE OPERATIONS OF BELL MEDICAL CENTER IN ITS CHARITABLE PURPOSE. | PurposeOfGrant |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Nbr Of501 C3 And Govt Grants | 1 | TotalNbrOf501C3AndGovtGrants |
| Total Nbr Of Other Organizations | 0 | TotalNbrOfOtherOrganizations |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Club Dues Or Fees | X | ClubDuesOrFees |
| Written Policy Re T And E Expenses | 1 | WrittenPolicyReTAndEExpenses |
| Substantiation Required | 1 | SubstantiationRequired |
| Written Employment Contract | X | WrittenEmploymentContract |
| Compensation Survey | X | CompensationSurvey |
| Board Or Committee Approval | X | BoardOrCommitteeApproval |
| Severance Payment | 0 | SeverancePayment |
| Supplemental Nonqual Retire Plan | 0 | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | 0 | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | 0 | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | 0 | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | 0 | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | 0 | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | 0 | AnyNonFixedPayments |
| Initial Contract Exception | 0 | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII (6 entries)
| Base Compensation Filing OrgBaseCompensationFilingOrg | Comp Based On Related OrgsCompBasedOnRelatedOrgs | Bonus Filing OrgBonusFilingOrg | Bonus Related OrgsBonusRelatedOrgs | Other Compensation Filing OrgOtherCompensationFilingOrg | Other Compensation Related OrgsOtherCompensationRelatedOrgs | Deferred Comp Filing OrgDeferredCompFilingOrg | Deferred Comp Related OrgsDeferredCompRelatedOrgs | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg | Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs | Total Compensation Filing OrgTotalCompensationFilingOrg | Total Compensation Related OrgsTotalCompensationRelatedOrgs | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg | Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| RICK AMENT | |||||||||||||
| 231231 | 0 | 42400 | 0 | 0 | 0 | 13475 | 0 | 16368 | 0 | 303474 | 0 | 0 | 0 |
| HAROLD HILDEBRAND | |||||||||||||
| 220245 | 0 | 0 | 0 | 0 | 0 | 16525 | 0 | 16368 | 0 | 253138 | 0 | 0 | 0 |
| DENNIS KLEBA | |||||||||||||
| 271108 | 0 | 0 | 0 | 0 | 0 | 2164 | 0 | 10944 | 0 | 284216 | 0 | 0 | 0 |
| JUDD JOHNSTON | |||||||||||||
| 247668 | 0 | 20877 | 0 | 0 | 0 | 20825 | 0 | 16367 | 0 | 305737 | 0 | 0 | 0 |
| LYLE VANDRSCHAAF | |||||||||||||
| 242419 | 0 | 0 | 0 | 0 | 0 | 13358 | 0 | 16368 | 0 | 272145 | 0 | 0 | 0 |
| DOUGLAS LABELLE | |||||||||||||
| 241443 | 0 | 0 | 0 | 0 | 0 | 13429 | 0 | 16367 | 0 | 271239 | 0 | 0 | 0 |
Form990 Schedule J Part III Form990ScheduleJPartIII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Reference | Part I, Line 1a | ReturnReference |
| Explanation | RICK AMENT HAD HIS GOLF DUES PAID BY BELL MEMORIAL HOSPITAL. THESE DUES WERE TAXABLE TO HIM FOR 2009. | Explanation |
Schedule K IRS990ScheduleK
Form990 Schedule K Part I Form990ScheduleKPartI (2 entries)
| Issuer EINIssuerEIN | CUSIP NumberCUSIPNumber | Date IssuedDateIssued | Issue PriceIssuePrice | Description Of PurposeDescriptionOfPurpose | DefeasedDefeased | On Behalf Of IssuerOnBehalfOfIssuer |
|---|---|---|---|---|---|---|
| ECONOMIC DEVELOPMENT CORP OF THE COUNTY OF MARQUETTE MI | ||||||
| 382401335 | 57147NAC7 | 2007-03-29 | 32825000 | Acquisition, construction and equipping of a new critical access hospital | 0 | 0 |
| ECONOMIC DEVELOPMENT CORP OF THE COUNTY OF MARQUETTE MI | ||||||
| 382401335 | 57147NAD5 | 2007-08-28 | 3700000 | Construction of water, sewer and utility extensions for new hospital | 0 | 0 |
Form990 Schedule K Part II Form990ScheduleKPartII (2 entries)
| Total ProceedsTotalProceeds | Issuance Costs From ProceedsIssuanceCostsFromProceeds | Capital ExpendituresCapitalExpenditures | Year Of Subst CompletionYearOfSubstCompletion | Current RefundingCurrentRefunding | Advance RefundingAdvanceRefunding | Final Allocation MadeFinalAllocationMade | Adequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaind | Amount UnspentAmountUnspent |
|---|---|---|---|---|---|---|---|---|
| 33767401 | 925623 | 32841778 | 2008 | 0 | 0 | 1 | 1 | |
| 3733927 | 120924 | 3609667 | 2008 | 0 | 0 | 1 | 1 | 3336 |
Form990 Schedule K Part III Form990ScheduleKPartIII (2 entries)
| Owning Bond Financed PropertyOwningBondFinancedProperty | Any Lease ArrangementsAnyLeaseArrangements | Mngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprty | Any Research AgreementsAnyResearchAgreements | Bond Counsel Routinely EngagedBondCounselRoutinelyEngaged | Post Issuance Compliance ProcdrsPostIssuanceComplianceProcdrs |
|---|---|---|---|---|---|
| 0 | 0 | 1 | 0 | 1 | 0 |
| 0 | 0 | 0 | 0 | 1 | 0 |
Form990 Schedule K Part IV Form990ScheduleKPartIV (2 entries)
| Form8038 T FiledForm8038TFiled | Variable Rate IssueVariableRateIssue | Hedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecds | Business Name Line2NameOfHedgeProvider/BusinessNameLine2 | Term Of HedgeTermOfHedge | Gross Proceeds Invested In GICGrossProceedsInvestedInGIC | Gross Proceeds InvestedGrossProceedsInvested | Exception To RebateExceptionToRebate |
|---|---|---|---|---|---|---|---|
| CHARTER ONE BANK | |||||||
| 0 | 1 | 1 | NA | 9.800000000000 | 0 | 0 | 1 |
| CHARTER ONE BANK | |||||||
| 0 | 1 | 1 | NA | 9.900000000000 | 0 | 0 | 1 |
Schedule L IRS990ScheduleL
Form990 Schedule L Part IV Form990ScheduleLPartIV
Name Of Interested Person NameOfInterestedPerson
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Person | Iron Range Agency | NamePerson |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Relationship | TOM EDMARK IS THE OWNER AND BOARD MEMBER | Relationship |
| Amount Of Transaction | 168965 | AmountOfTransaction |
| Description Of Transaction | PROVIDER OF WORKER'S COMPENSATION POLICY | DescriptionOfTransaction |
| Sharing Of Revenues | 0 | SharingOfRevenues |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (9 entries)
| IdentifierIdentifier | ExplanationExplanation |
|---|---|
| Form 990, Part VI, Section A, line 6 | SUPERIOR HEALTHCARE SYSTEM IS THE SOLE MEMBER OF BELL MEMORIAL HOSPITAL. |
| 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 BEFORE BEING SUBMITTED TO THE IRS. QUESTIONS AND COMMENTS WERE SOLICITED FROM THE BOARD OF DIRECTORS TO ENSURE THE COMPLETENESS AND ACCURACY OF THIS 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 OFFICER'S COMPENSATION PACKAGES WERE LAST CONDUCTED IN 2009 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 XI, LINE 2C | THE AUDIT PROCESS HAS NOT CHANGED IN THE CURRENT YEAR. |
| FORM 990, SCHEDULE K | Schedule K, Part II, Line 3, Bond Issue B: The current refunding escrow was expended on November 7, 2007. Schedule K, Part II, Line 5, Bond Issue A: Of the total costs of issuance of the Bonds, $332,678 was for credit enhancement and $592,945 was for costs of issuance. Schedule K, Part II, Line 5, Bond Issue B: Of the total costs of issuance of the Bonds, $46,924 was for credit enhancement and $74,000 was for costs of issuance. Schedule K, Part III, Line 3a, Bond Issue A: The organization has determined that its management or service contracts meet the safe harbor under Rev. Proc. 97-13, 1997-1 C.B. 632. Schedule K, Part III, Line 7 - The organization will seek to adopt management practices to ensure post-issuance compliance this up-coming year. Schedule K, Part IV, Line 6, Bond Issues A and B: The organization reasonably believes that the bond issues qualified for an exception to rebate and has hired a rebate analyst to confirm. |
Schedule R IRS990ScheduleR
Form990 Schedule R Part II Form990ScheduleRPartII (3 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivities | Legal Domicile StateLegalDomicileState | Exempt Code SectionExemptCodeSection | Public Charity StatusPublicCharityStatus | Direct Controlling Entity NADirectControllingEntityNA | Business Name Line1DirectControllingEntityName/BusinessNameLine1 |
|---|---|---|---|---|---|---|---|---|---|---|
| Superior Healthcare Systems | ||||||||||
| 901 Lakeshore Dr | Ishpeming | MI | 49849 | 383040126 | Healthcare Services | MI | 501(C)(3) | 3 | N/A | |
| Bell Medical Center | ||||||||||
| 901 Lakeshore Dr | ishpeming | MI | 49849 | 382124042 | healthcare Services | MI | 501(C)(3) | 11(B) - TYPE II | BELL MEMORIAL HOSPITAL | |
| Bell Foundation | ||||||||||
| 97 S Fourth St | ishpeming | MI | 49849 | 383040125 | Fund Raising | MI | 501(C)(3) | 11(B) - TYPE II | BELL MEMORIAL HOSPITAL | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | 0 | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | 1 | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | 1 | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | 0 | LoansOrGuaranteesFromOtherOrg |
| Sale Of Assets To Other Org | 0 | SaleOfAssetsToOtherOrg |
| Purchase Of Assets From Other Org | 0 | PurchaseOfAssetsFromOtherOrg |
| Exchange Of Assets | 0 | ExchangeOfAssets |
| Rental Of Facilities To Other Orgs | 0 | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | 0 | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | 0 | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | 0 | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | 0 | SharingOfFacilities |
| Sharing Of Paid Employees | 1 | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | 0 | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | 0 | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | 0 | OtherTransferToOtherOrg |
| Other Transfer From Other Org | 0 | OtherTransferFromOtherOrg |
Transactions Related Orgs Table TransactionsRelatedOrgsTable (2 entries)
| Transaction TypeTransactionType | Amount InvolvedAmountInvolved |
|---|---|
| BELL FOUNDATION | |
| C | 634142 |
| BELL MEDICAL CENTER | |
| B | 4586198 |