SCHEDULE O
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service
Supplemental Information to Form 990 or 990-EZ

Complete to provide information for responses to specific questions on
Form 990 or 990-EZ or to provide any additional information.
MediumBullet Attach to Form 990 or 990-EZ.
MediumBullet Go to www.irs.gov/Form990 for the latest information.
OMB No. 1545-0047
2020
Open to Public
Inspection
Name of the organization
BELLIN HEALTH SYSTEMS INC
 
Employer identification number

39-1512904
Return Reference Explanation
FORM 990-EZ, PART II, LINE 24 - OTHER ASSETS DESCRIPTION: INVESTMENT IN LAKE MICHIGAN HEALTH SYSTEM. BEG. OF YEAR AMOUNT: 500. END OF YEAR AMOUNT: 500. DESCRIPTION: DUE FROM AFFILIATES. BEG. OF YEAR AMOUNT: 100,000. END OF YEAR AMOUNT: 100,000.
FORM 990-EZ, PART II, LINE 26 - OTHER LIABILITIES DESCRIPTION: ACCRUED LIABILITIES. BEG. OF YEAR AMOUNT: 13,306. END OF YEAR AMOUNT: 13,306.
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.
Cat. No. 51056K
Schedule O (Form 990 or 990-EZ) 2020


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