2026-08-14T10:17:25+00:00 2025-09-30 135565207 KPMG LLP 200 EAST RANDOLPH DRIVE SUITE 5500 CHICAGO IL 606016436 990EZ 2024-10-01 391512903 LAKE MICHIGAN HEALTH SERVICES LAKE 9204457260 744 S WEBSTER AVENUE GREEN BAY WI 54301 JOHN CEELEN CFO 2026-08-14 true RILEY KOBRICK P02401884 3126651000 2026-08-12 2024 2025-03-06 01:10:19Z X X N/A X X 0 0 0 0 0 0 0 0 0 0 500 0 500 X 0 0 0 0 500 500 500 500 0 0 500 500 X LAKE MICHIGAN HEALTH SERVICES, INC. IS OPERATED EXCLUSIVELY FOR THE BENEFIT OF, TO PERFORM THE FUNCTIONS OF, AND TO CARRY OUT THE PURPOSES OF BELLIN MEMORIAL HOSPITAL. LAKE MICHIGAN HEALTH CARE SERVICES, INC. PROMOTES AND ADVANCES CHARITABLE, HEALTH, SCIENTIFIC, SOCIAL AND EDUCATIONAL PURPOSES THROUGH SUPPORT OF NON-PROFIT CORPORATIONS. 0 SHARLA BAENEN BOARD OF DIRECTORS, CHIEF OPERATING OFFICER 2.000 0 0 0 LAURA HIEB BOARD OF DIRECTORS, CHIEF NURSING OFFICER 2.000 0 0 0 PETER VANDENHOUTEN BOARD OF DIRECTORS, SECRETARY, SR VP LEGAL COUNSEL 2.000 0 0 0 CHRISTINE WOLESKE BOARD OF DIRECTORS, PRESIDENT 2.000 0 0 0 MICHAEL LANDRUM MD BOARD OF DIRECTORS, PHYSICIAN DIRECTOR 2.000 0 0 0 JOHN CEELEN TREASURER, CHIEF FINANCIAL OFFICER 2.000 0 0 0 AMY DETTMAN VP PRIMARY CARE 2.000 0 0 0 DANIEL LILLY ASSISTANT SECRETARY, CHIEF LEGAL OFFICER 2.000 0 0 0 JEN MACDONALD VP SPECIALTY SERVICES 2.000 0 0 0 MICHELLE MICKA ASSISTANT TREASURER, VICE PRESIDENT, FINANCE & ACCOUNTING 2.000 0 0 0 SCOTT RATHGABER MD BOARD OF DIRECTORS, CEO 1.000 0 0 0 STEVE LITTLE FORMER CHIEF FINANCIAL OFFICER 0.000 0 0 0 X false false false false false false false 0 0 0 0 false false JOHN CEELEN 744 S WEBSTER AVENUE GREEN BAY WI 54301 9204457260 false false false false false true false false false false false true X X 1 BELLIN MEMORIAL HOSPTIAL INC 390884478 3 false 0 0 1 0 0 false false false false false false false false false false false false false false false true SCHEDULE A, PART I, LINE 12G THE ORGANIZATION IS DESIGNATED BY CLASS OR PURPOSE. SEE PART IV, SECTION A, LINE 1 DISCLOSURE. SCHEDULE A, PART IV, SECTION A, LINE 1 SUPPORTED ORGS LISTED BY NAME THE SUPPORTED ORGANIZATION IS DESIGNATED BY PURPOSE. THE CORPORATION IS ORGANIZED AND SHALL BE OPERATED EXCLUSIVELY FOR CHARITABLE, EDUCATIONAL, LITERARY AND SCIENTIFIC PURPOSES WITHIN THE MEANING OF SECTION 501(C)(3) OF THE UNITED STATES INTERNAL REVENUE CODE AS AMENDED (HEREINAFTER THE "INTERNAL REVENUE CODE"). THE CORPORATION MAY CARRY OUT ITS PURPOSES DIRECTLY OR BY MAKING DISTRIBUTIONS TO OTHER QUALIFYING ORGANIZATIONS. FORM 990-EZ, PART II, LINE 24B OTHER ASSETS INVESTMENT IN BEL-REGIONAL - BOY:500,EOY:500; FORM 990-EZ, PART III, EXEMPT PURPOSE PRIMARY EXEMPT PURPOSE LAKE MICHIGAN HEALTH SERVICES, INC. IS OPERATED EXCLUSIVELY FOR THE BENEFIT OF, TO PERFORM THE FUNCTIONS OF, AND TO CARRY OUT THE PURPOSES OF BELLIN MEMORIAL HOSPITAL. FORM 990-EZ, PART V, LINE 33 INFORMATION REGARDING PERSONAL BENEFIT CONTRACTS THE ORGANIZATION DID NOT, DURING THE YEAR, RECEIVE ANY FUNDS, DIRECTLY, OR INDIRECTLY, TO PAY PREMIUMS ON A PERSONAL BENEFIT CONTRACT. THE ORGANIZATION, DID NOT, DURING THE YEAR, PAY ANY PREMIUMS, DIRECTLY, OR INDIRECTLY, ON A PERSONAL BENEIFT CONTRACT.