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ROGERS MEMORIAL HOSPITAL INCORPORATED: Form 990, tax year 2020

View the entire original 990 at ProPublica ↗

Organization
ROGERS MEMORIAL HOSPITAL INCORPORATED (EIN 39-1139101)
Tax period
2020-08-01 to 2021-07-31
Filed
2022-06-13
IRS object ID
202211649349301326
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 ReturnHeader

FieldValueIRS element (for citing)
Return2022-06-13T17:00:23-05:00ReturnTs
Tax Period End2021-07-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN390859910PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1BAKER TILLY US LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1777 E WISCONSIN AVENUE 32ND FLOORAddressLine1Txt
CityMILWAUKEECityNm
State AbbreviationWIStateAbbreviationCd
ZIP53202ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2020-08-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN391139101EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1ROGERS MEMORIAL HOSPITAL INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlROGEBusinessNameControlTxt
Phone2626464411PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line134700 VALLEY ROADAddressLine1Txt
CityOCONOMOWOCCityNm
State AbbreviationWIStateAbbreviationCd
ZIP53066ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonJOANNE HORVATHPersonNm
Person TitleCHIEF FINANCIAL OFFICERPersonTitleTxt
Phone2626464411PhoneNum
Signature2022-06-13SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstJOANNEPersonFirstNm
Person LastHORVATHPersonLastNm
FieldValueIRS element (for citing)
SSNXXX-XX-XXXXSSN

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonTROY MARINE CPAPreparerPersonNm
PTINP00187863PTIN
Phone4147775500PhoneNum
Preparation2022-06-08PreparationDt

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

FieldValueIRS element (for citing)
Trusted Customer2TrustedCustomerCd
Authentication Assurance LevelAAL1AuthenticationAssuranceLevelCd
Identity Assurance LevelIAL1IdentityAssuranceLevelCd
FieldValueIRS element (for citing)
Tax2020TaxYr
Build TS2022-09-23 18:48:47ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerPATRICK HAMMERPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line134700 VALLEY ROADAddressLine1Txt
CityOCONOMOWOCCityNm
State AbbreviationWIStateAbbreviationCd
ZIP53066ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$361,487,437GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.ROGERSBH.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1907FormationYr
Legal Domicile StateWILegalDomicileStateCd
Activity Or MissionWE PROVIDE HIGHLY EFFECTIVE MENTAL HEALTH AND ADDICTION TREATMENT THAT HELPS PEOPLE REACH FULL POTENTIAL FOR HEALTH AND WELL-BEING.ActivityOrMissionDesc
Voting Members Governing Body17VotingMembersGoverningBodyCnt
Voting Members Independent14VotingMembersIndependentCnt
Total Employee3356TotalEmployeeCnt
Total Volunteers14TotalVolunteersCnt
Total Gross UBI$184,395TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$108,896PYContributionsGrantsAmt
CY Contributions Grants$105,489CYContributionsGrantsAmt
PY Program Service Revenue$287,030,348PYProgramServiceRevenueAmt
CY Program Service Revenue$329,941,253CYProgramServiceRevenueAmt
PY Investment Income$2,691,770PYInvestmentIncomeAmt
CY Investment Income$5,644,211CYInvestmentIncomeAmt
PY Other Revenue$0PYOtherRevenueAmt
CY Other Revenue$0CYOtherRevenueAmt
PY Total Revenue$289,831,014PYTotalRevenueAmt
CY Total Revenue$335,690,953CYTotalRevenueAmt
PY Grants And Similar Paid$4,198,413PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$3,885,690CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$178,118,029PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$201,908,612CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$71,615,297PYOtherExpensesAmt
CY Other Expenses$78,712,261CYOtherExpensesAmt
PY Total Expenses$253,931,739PYTotalExpensesAmt
CY Total Expenses$284,506,563CYTotalExpensesAmt
PY Revenues Less Expenses$35,899,275PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$51,184,390CYRevenuesLessExpensesAmt
Total Assets BOY$448,245,539TotalAssetsBOYAmt
Total Assets EOY$501,256,001TotalAssetsEOYAmt
Total Liabilities BOY$214,753,933TotalLiabilitiesBOYAmt
Total Liabilities EOY$200,517,048TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$233,491,606NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$300,738,953NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionOUR VISION:WE ENVISION A FUTURE WHERE PEOPLE HAVE THE TOOLS TO RISE ABOVE THE CHALLENGES OF MENTAL ILLNESS, ADDICTION, AND STIGMA TO LEAD HEALTHY LIVES. WE BRING THIS VISION TO LIFE BY CONSTANTLY ELEVATING THE STANDARD FOR BEHAVIORAL HEALTHCARE, DEMONSTRATING OUR EXCEPTIONAL TREATMENT OUTCOMES, AND ACTING WITH COMPASSION AND RESPECT.OUR VALUES:EXCELLENCE - WE ARE COMMITTED TO CONTINUOUS IMPROVEMENT INCLUDING RECRUITMENT AND RETENTION OF HIGHLY TALENTED EMPLOYEES WHO DELIVER CLINICALLY EFFECTIVE TREATMENTS WITH THE BEST POSSIBLE OUTCOMES.COMPASSION - WE ARE DEDICATED TO A HEALTHY CULTURE WHERE EMPLOYEES, PATIENTS, AND FAMILIES EXPERIENCE EMPATHY, ENCOURAGEMENT, AND RESPECT.ACCOUNTABILITY - WE EMBRACE OUR RESPONSIBILITY TO OUR PATIENTS, FAMILIES, REFERRING PROVIDERS, PAYORS AND COMMUNITY MEMBERS TO PROVIDE CARE THAT IS HIGH QUALITY, COST EFFECTIVE AND SUSTAINABLE.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$222,758,275ExpenseAmt
Grant$3,885,690GrantAmt
Revenue$329,756,858RevenueAmt
DescWE ARE A NOT-FOR-PROFIT INDEPENDENT PROVIDER OF SPECIALIZED MENTAL HEALTH AND ADDICTION SERVICES FOR ADULTS, TEENS AND CHILDREN. OFFERING TREATMENT IN NINE STATES, WE ARE ONE OF THE LARGEST SPECIALTY BEHAVIORAL HEALTHCARE SYSTEMS IN THE U.S. TO MEET THE NEEDS OF PATIENTS, WE OFFER THREE LEVELS OF CARE: INPATIENT, RESIDENTIAL AND OUTPATIENT. IN FISCAL YEAR 2021 WE SERVED OUR COMMUNITY WITH 64,552 INPATIENT DAYS, 93,866 RESIDENTIAL PATIENT DAYS AND 285,870 OUTPATIENT PATIENT DAYS. THIS REPRESENTS AN 18% INCREASE INCREASE OVER THE PRIOR FISCAL YEAR. THIS YEAR WE RESPONDED TO THE COVID-19 PANDEMIC BY CONTINUING TO OFFER TELEHEALTH CARE TO ELIGIBLE PATIENTS AND MAINTAINING AND ADOPTING EXTENSIVE SAFETY PROTOCALS. THIS ALLOWS US TO CONTINUE TO MEET PATIENTS DEMAND DURING THEIR MOST CRITICAL TIME OF NEED. OVER THE NEXT 3 YEARS, WE PLAN TO OPEN 2 CLINIC LOCATIONS PER YEAR TO SERVE MORE PATIENTS NATIONWIDE.Desc
Total Program Service Expenses$222,758,275TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying ActivitiesYes (1)LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Donor Rstr Or Quasi EndowmentsYes (1)DonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other AssetsYes (1)ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (1)ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign ActivitiesYes (1)ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate HospitalYes (1)OperateHospitalInd
Audited Financial Stmt AttYes (1)AuditedFinancialStmtAttInd
Grants To OrganizationsYes (1)GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt BondsYes (1)TaxExemptBondsInd
Invest Tax Exempt Bonds0InvestTaxExemptBondsInd
Escrow Account0EscrowAccountInd
On Behalf Of Issuer0OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent0BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl EntYes (1)RelatedOrganizationCtrlEntInd
Transaction With Control EntYes (1)TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document275IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee3356EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitYes (1)UnrelatedBusIncmOverLimitInd
Form990 T FiledYes (1)Form990TFiledInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht PymtYes (1)SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc0SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members17GoverningBodyVotingMembersCnt
Independent Voting Member14IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or StockholdersYes (1)MembersOrStockholdersInd
Election Of Board MembersYes (1)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (1)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process OtherYes (1)CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
States Where Copy Of Return Is FldWIStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1JOANNE HORVATHBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone2626464411PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line134700 VALLEY ROADAddressLine1Txt
CityOCONOMOWOCCityNm
State AbbreviationWIStateAbbreviationCd
ZIP53066ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (29 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtHighest Compensated EmployeeHighestCompensatedEmployeeIndKey EmployeeKeyEmployeeInd
PATRICK HAMMER
CEO - RBHS/ BOARD MEMBER1.0040.00Yes (X)Yes (X)$0$1,392,490$175,968
KHAZI MUQEET
MEDICAL DIRECTOR40.001.00$902,814$0$43,991Yes (X)
PAUL MUELLER
CEO - THROUGH 06/202140.001.00Yes (X)$790,186$0$143,147
AHMED NUMAN
MEDICAL DIRECTOR40.001.00$783,780$0$11,400Yes (X)
MOHAMMED IQBAL
MEDICAL DIRECTOR40.001.00$706,514$0$51,060Yes (X)
BRAD SMITH
MEDICAL DIRECTOR40.001.00$656,639$0$43,371Yes (X)
HEMALATHA RAJANNA
MEDICAL DIRECTOR40.001.00$617,917$0$8,854Yes (X)
BRADLEY RIEMANN
CHIEF CLINICAL OFFICER/ BOARD MEMBER40.001.00Yes (X)Yes (X)$568,220$0$53,484
JERRY HALVERSON
CHIEF MEDICAL OFFICER/ BOARD MEMBER40.001.00Yes (X)Yes (X)$523,950$0$47,487
ARNOLD STUEBER
CFO - THROUGH 06/20211.001.00Yes (X)$0$446,687$110,588
KIMBERLY EFFERTZ
COO40.001.00$408,484$0$63,829Yes (X)
JAY KELLISON
COO - THROUGH 12/202040.001.00$449,918$0$19,673Yes (X)
SCOTT JOHNSON
COO40.001.00$272,424$0$75,841Yes (X)
MAEVE O'NEIL
CRO40.001.00$175,754$0$28,169Yes (X)
PATRICK ANDRITSCH
BOARD CHAIR3.003.00Yes (X)Yes (X)$0$0$0
BARB GORMACKI
BOARD VICE-CHAIR3.003.00Yes (X)Yes (X)$0$0$0
CHRIS FITZPATRICK
BOARD TREASURER3.003.00Yes (X)Yes (X)$0$0$0
WILLIAM T MULLIGAN
BOARD SECRETARY3.003.00Yes (X)Yes (X)$0$0$0
BARBARA ZABAWA
BOARD MEMBER - THROUGH 08/20200.000.00Yes (X)$0$0$0
BOB OLSON
BOARD MEMBER1.001.00Yes (X)$0$0$0
DANIEL BADER
BOARD MEMBER1.001.00Yes (X)$0$0$0
ERIK CARDENAS
BOARD MEMBER1.001.00Yes (X)$0$0$0
GINA MARKSON
BOARD MEMBER1.001.00Yes (X)$0$0$0
KAMILAH WILLIAMS-KEMP
BOARD MEMBER1.001.00Yes (X)$0$0$0
KEVIN FLANAGAN
BOARD MEMBER1.001.00Yes (X)$0$0$0
MARTIN BORELL
BOARD MEMBER1.001.00Yes (X)$0$0$0
MAUREEN STAPLETON
BOARD MEMBER1.001.00Yes (X)$0$0$0
MICHAEL SEVI
BOARD MEMBER1.001.00Yes (X)$0$0$0
NICK BAUER
BOARD MEMBER1.001.00Yes (X)$0$0$0
FieldValueIRS element (for citing)
Total Reportable Comp From Org$6,856,600TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$1,839,177TotReportableCompRltdOrgAmt
Total Other Compensation$876,862TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K247IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
CATCON INC
833 E MICHIGAN STREET SUITE 1000MILWAUKEEWI53202CONSTRUCTION SERVICE$4,714,571
PROJECT4SERVICES LLC
7772 W HAWTHRONE RDMEQUONWI53097CONSTRUCTION SERVICE$3,395,428
HHS CULINARY & NUTRITION SOLUTIONS LLC
12495 SILVER CREEK ROADDRIPPING SPRINGSTX78620FOOD SERVICE$3,094,212
CERNER CORPORATION
2800 ROCKCREEK PARKWAYNORTH KANSAS CITYMO64117HEALTH INFORMATION TECHNOLOGY$2,989,077
CIELO INC
200 S EXECUTIVE DRIVE SUITE 400BROOKFIELDWI53005RECRUITING SERVICE$2,930,253
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K138CntrctRcvdGreaterThan100KCnt
Related Organizations$105,489RelatedOrganizationsAmt
Total Contributions$105,489TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtUnrelated Business RevenueUnrelatedBusinessRevenueAmt
OUTPATIENT REVENUE621420$129,654,244$129,654,244
RESIDENTIAL REVENUE623220$103,341,011$103,341,011
INPATIENT REVENUE622210$86,678,885$86,678,885
MANAGEMENT SERVICES541610$9,144,105$8,993,817$150,288
PROVIDER RELIEF FUNDS900099$1,088,901$1,088,901

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

FieldValueIRS element (for citing)
Total Revenue Column$34,107TotalRevenueColumnAmt
Unrelated Business Revenue$34,107UnrelatedBusinessRevenueAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$329,941,253TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$2,169,673TotalRevenueColumnAmt
Exclusion$2,169,673ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$29,271,022SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$25,692,620SecuritiesAmt
Other$103,864OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$3,578,402SecuritiesAmt
Other-$103,864OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$3,474,538TotalRevenueColumnAmt
Exclusion$3,474,538ExclusionAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$335,690,953TotalRevenueColumnAmt
Related Or Exempt Func Income$329,756,858RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$184,395UnrelatedBusinessRevenueAmt
Exclusion$5,644,211ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$3,885,690TotalAmt
Program Services$3,885,690ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$3,188,936TotalAmt
Program Services$218,434ProgramServicesAmt
Management And General$2,970,502ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$163,209,935TotalAmt
Program Services$143,309,050ProgramServicesAmt
Management And General$19,900,885ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$4,899,840TotalAmt
Program Services$4,305,992ProgramServicesAmt
Management And General$593,848ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$19,555,602TotalAmt
Program Services$16,884,198ProgramServicesAmt
Management And General$2,671,404ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$11,054,299TotalAmt
Program Services$9,613,461ProgramServicesAmt
Management And General$1,440,838ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$4,321,500TotalAmt
Management And General$4,321,500ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$164,405TotalAmt
Management And General$164,405ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$112,888TotalAmt
Management And General$112,888ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$137,181TotalAmt
Management And General$137,181ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$29,780,568TotalAmt
Program Services$11,481,365ProgramServicesAmt
Management And General$18,299,203ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$1,606,172TotalAmt
Program Services$87,004ProgramServicesAmt
Management And General$1,519,168ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$6,737,466TotalAmt
Program Services$2,588,770ProgramServicesAmt
Management And General$4,148,696ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$147,659TotalAmt
Management And General$147,659ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$6,562,119TotalAmt
Program Services$5,979,274ProgramServicesAmt
Management And General$582,845ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$527,158TotalAmt
Program Services$217,971ProgramServicesAmt
Management And General$309,187ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$80,106TotalAmt
Program Services$80,106ProgramServicesAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$4,268,265TotalAmt
Program Services$3,926,804ProgramServicesAmt
Management And General$341,461ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$14,394,016TotalAmt
Program Services$13,242,496ProgramServicesAmt
Management And General$1,151,520ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$2,632,829TotalAmt
Program Services$71,566ProgramServicesAmt
Management And General$2,561,263ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
BAD DEBT EXPENSE$3,500,921$3,500,921
FOOD$2,987,769$2,954,092$33,677
DUE/FEES/SUBSCRIPTIONS$747,178$407,020$340,158
CHARITABLE DONATION$4,061$4,061

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$284,506,563TotalAmt
Program Services$222,758,275ProgramServicesAmt
Management And General$61,748,288ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$123,591,473BOYAmt
EOY$131,105,631EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$30,504,333BOYAmt
EOY$37,664,006EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$2,605,512BOYAmt
EOY$3,263,823EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$248,613,043LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$91,903,471LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$151,054,416BOYAmt
EOY$156,709,572EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$83,521,786BOYAmt
EOY$111,611,290EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$8,835,844BOYAmt
EOY$9,729,229EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$48,132,175BOYAmt
EOY$51,172,450EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$448,245,539BOYAmt
EOY$501,256,001EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$24,380,699BOYAmt
EOY$35,810,306EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$103,025,000BOYAmt
EOY$100,970,000EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$41,671,968BOYAmt
EOY$26,105,198EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$45,676,266BOYAmt
EOY$37,631,544EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$214,753,933BOYAmt
EOY$200,517,048EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$218,452,952BOYAmt
EOY$284,820,367EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$15,038,654BOYAmt
EOY$15,918,586EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$233,491,606BOYAmt
EOY$300,738,953EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$448,245,539BOYAmt
EOY$501,256,001EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$51,184,390ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$11,283,477NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets$4,779,480OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit RequiredYes (1)FederalGrantAuditRequiredInd
Federal Grant Audit PerformedYes (1)FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Section4955 Organization Tax$0Section4955OrganizationTaxAmt
Section4955 Managers Tax$0Section4955ManagersTaxAmt
Volunteers0VolunteersInd
Paid Staff Or Management0PaidStaffOrManagementInd
Media Advertisements0MediaAdvertisementsInd
Mailings Members0MailingsMembersInd
Publications Or Broadcast0PublicationsOrBroadcastInd
Grants Other Organizations0GrantsOtherOrganizationsInd
Direct Contact Legislators0DirectContactLegislatorsInd
Rallies Demonstrations0RalliesDemonstrationsInd
Other ActivitiesYes (1)OtherActivitiesInd
Other Activities$112,888OtherActivitiesAmt
Total Lobbying Expenditures$112,888TotalLobbyingExpendituresAmt
Not Described Section501c30NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART II-B, LINE 1:FormAndLineReferenceDesc
ExplanationPORTIONS OF ASSOCIATION DUES ALLOCATED FOR LOBBYING EXPENSES OF WHA $37,724 (11.3%) TOTALING $4,262.81. ROGERS MEMORIAL HOSPITAL ALSO EMPLOYS MICHAEL BEST FOR $108,625 WHO COMMUNICATES ON THE HOSPITALS' BEHALF.ExplanationTxt

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$2,888,541BeginningYearBalanceAmt
Contributions$14,034ContributionsAmt
Investment Earnings Or Losses$808,297InvestmentEarningsOrLossesAmt
Other Expenditures$91,914OtherExpendituresAmt
End Year Balance$3,618,958EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$2,699,307BeginningYearBalanceAmt
Contributions$27,302ContributionsAmt
Investment Earnings Or Losses$217,800InvestmentEarningsOrLossesAmt
Other Expenditures$55,868OtherExpendituresAmt
End Year Balance$2,888,541EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$2,529,486BeginningYearBalanceAmt
Contributions$131,917ContributionsAmt
Investment Earnings Or Losses$116,018InvestmentEarningsOrLossesAmt
Other Expenditures$78,114OtherExpendituresAmt
End Year Balance$2,699,307EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$2,401,177BeginningYearBalanceAmt
Contributions$1,839ContributionsAmt
Investment Earnings Or Losses$186,974InvestmentEarningsOrLossesAmt
Other Expenditures$60,504OtherExpendituresAmt
End Year Balance$2,529,486EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$2,169,064BeginningYearBalanceAmt
Contributions$93,526ContributionsAmt
Investment Earnings Or Losses$181,954InvestmentEarningsOrLossesAmt
Other Expenditures$43,367OtherExpendituresAmt
End Year Balance$2,401,177EndYearBalanceAmt
FieldValueIRS element (for citing)
Board Designated Balance EOY0.00000BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY0.61950PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY0.38050TermEndowmentBalanceEOYPct
Endowments Held Unrelated Org0EndowmentsHeldUnrelatedOrgInd
Endowments Held Related OrgYes (1)EndowmentsHeldRelatedOrgInd
Related Org List Sch RYes (1)RelatedOrgListSchRInd

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$10,098,386OtherCostOrOtherBasisAmt
Book Value$10,098,386BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$157,760,746OtherCostOrOtherBasisAmt
Depreciation$51,134,584DepreciationAmt
Book Value$106,626,162BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$7,127,381OtherCostOrOtherBasisAmt
Depreciation$4,301,742DepreciationAmt
Book Value$2,825,639BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$58,311,901OtherCostOrOtherBasisAmt
Depreciation$36,467,145DepreciationAmt
Book Value$21,844,756BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$15,314,629OtherCostOrOtherBasisAmt
Book Value$15,314,629BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$156,709,572TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (3 entries)

DescDescBook ValueBookValueAmt
INTEREST IN NET ASSETS - ROGERS MEMORIAL FOUNDATION$15,918,586
DUE FROM RELATED ORGANIZATIONS$11,309,376
LEASE RIGHT OF USE ASSETS, NET$23,944,488
FieldValueIRS element (for citing)
Total Book Value Other Assets$51,172,450TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (4 entries)

DescDescAmtAmt
AR CREDIT BALANCES$643,002
DEFERRED COMPENSATION$8,023,816
DUE TO ROGERS BEHAVIORAL HEALTH SYSTEMS, INC.$543,287
LEASE LIABILITY$28,421,439
FieldValueIRS element (for citing)
Total Liability$37,631,544TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART V, LINE 4:THE ENDOWED FUND HELPS SUPPORT PATIENT CARE GRANTS FOR INDIVIDUALS WHO CAN'T PAY FOR TREATMENT. SOME OF THE SPECIFIC RESTRICTIONS ON THE ENDOWED FUNDS ARE FOR OCD TREATMENT, CHILD AND ADOLESCENT PROGRAMS, EATING DISORDERS, SPIRITUAL CARE, AND CAPITAL IMPROVEMENTS. AN ENDOWED FUND OFFERS LASTING FINANCIAL RESOURCES THAT EXTEND THE VALUE OF A DONOR'S GIFT. THROUGH CAREFUL INVESTMENT MANAGEMENT, INCOME GENERATED FROM THE FUND ENABLES ROGERS FOUNDATION TO MOVE FORWARD WITH PLANS, PROJECTS, AND RESEARCH THAT IMPROVE THE HEALTH AND WELL-BEING OF PATIENTS SUFFERING FROM MENTAL HEALTH AND ADDICTION CHALLENGES TODAY AND IN THE FUTURE.
PART X, LINE 2:ROGERS MEMORIAL HOSPITAL IS A TAX-EXEMPT ORGANIZATION AS DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE (THE CODE) AND IS EXEMPT FROM FEDERAL INCOME TAXES ON RELATED INCOME PURSUANT TO SECTION 509(A)(2) OF THE CODE. THE ORGANIZATION IS ALSO EXEMPT FROM STATE INCOME TAXES ON RELATED INCOME. ROGERS MEMORIAL HOSPITAL FILES A FORM 990 (RETURN OF ORGANIZATION EXEMPT FROM INCOME TAX) ANNUALLY. WHEN THE RETURN IS FILED IT IS HIGHLY CERTAIN THAT SOME POSITIONS TAKEN WOULD BE SUSTAINED UPON EXAMINATION BY THE TAXING AUTHORITIES, WHILE OTHERS ARE SUBJECT TO UNCERTAINTY ABOUT THE MERITS OF THE POSITION TAKEN OR THE AMOUNT OF THE POSITION THAT WOULD ULTIMATELY BE SUSTAINED. EXAMPLES OF TAX POSITIONS INCLUDE SUCH MATTERS AS THE FOLLOWING: THE TAX EXEMPT STATUS OF THE ENTITY AND VARIOUS POSITIONS RELATIVE TO POTENTIAL SOURCES OF UNRELATED BUSINESS INCOME TAX (UBIT). UBIT IS REPORTED ON FORM 990T, AS APPROPRIATE. THE BENEFIT OF A TAX POSITION IS RECOGNIZED IN THE CONSOLIDATED FINANCIAL STATEMENTS IN THE PERIOD DURING WHICH, BASED ON ALL AVAILABLE EVIDENCE, MANAGEMENT BELIEVES THAT IT IS MORE LIKELY THAN NOT THAT THE POSITIONS WILL BE SUSTAINED UPON EXAMINATION, INCLUDING THE RESOLUTION OF APPEALS OR LITIGATION PROCESSES, IF ANY.

Schedule F IRS990ScheduleF

Account Activities Outside US AccountActivitiesOutsideUSGrp

FieldValueIRS element (for citing)
RegionCENTRAL AMERICA AND THE CARIBBEAN - ANTIGUA & BARBUDA, ARUBA, BAHAMAS,RegionTxt
Offices0OfficesCnt
Employee0EmployeeCnt
Type Of Activities ConductedINVESTMENTSTypeOfActivitiesConductedTxt
Region Total Expenditures$1,521,125RegionTotalExpendituresAmt
FieldValueIRS element (for citing)
Subtotal Offices0SubtotalOfficesCnt
Subtotal Employees0SubtotalEmployeesCnt
Continuation Total Office0ContinuationTotalOfficeCnt
Continuation Total Employee0ContinuationTotalEmployeeCnt
Total Office0TotalOfficeCnt
Total Employee0TotalEmployeeCnt
Subtotal Spent$1,521,125SubtotalSpentAmt
Continuation Spent$0ContinuationSpentAmt
Total Spent$1,521,125TotalSpentAmt
Transfer To Foreign CorpYes (1)TransferToForeignCorpInd
Interest In Foreign Trust0InterestInForeignTrustInd
Foreign Corp OwnershipYes (1)ForeignCorpOwnershipInd
Passive Foreign Investmest CoYes (1)PassiveForeignInvestmestCoInd
Foreign Partnership0ForeignPartnershipInd
Boycott Countries0BoycottCountriesInd

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART III ACCOUNTING METHOD:
FORM 990, SCHEDULE F, PART IV:ROGERS MEMORIAL HOSPITAL, INC. INVESTS IN DOMESTIC AND FOREIGN LIMITED PARTNERSHIPS THAT MAY OWN AN INTEREST IN A FOREIGN CORPORATION, PASSIVE FOREIGN INVESTMENT COMPANY, OR FOREIGN PARTNERSHIP. NEVERTHELESS, ROGERS MEMORIAL HOSPITAL, INC.'S INVESTMENT ACTIVITIES MAY NOT REACH THE THRESHOLDS REQUIRED FOR FILING THE FORMS 926, 5471, 8621, 8865. TO THE EXTENT THAT ROGERS MEMORIAL HOSPITAL, INC. IS REQUIRED TO COMPLETE ONE OF THESE FOREIGN FORMS, IT HAS BEEN FILED WITH THE ANNUAL FORM 990-T.

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Financial Assistance PolicyYes (1)FinancialAssistancePolicyInd
Written PolicyYes (1)WrittenPolicyInd
All Hospitals PolicyYes (X)AllHospitalsPolicyInd
FPG Reference Free CareYes (1)FPGReferenceFreeCareInd
Percent100Yes (X)Percent100Ind
FPG Reference Discounted CareYes (1)FPGReferenceDiscountedCareInd
Percent400Yes (X)Percent400Ind
Free Care Medically IndigentYes (1)FreeCareMedicallyIndigentInd
Financial Assistance BudgetYes (1)FinancialAssistanceBudgetInd
Expenses Exceed BudgetYes (1)ExpensesExceedBudgetInd
Unable To Provide Care0UnableToProvideCareInd
Annual Community Bnft ReportYes (1)AnnualCommunityBnftReportInd
Report Publically AvailableYes (1)ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$3,881,960TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$3,881,960NetCommunityBenefitExpnsAmt
Total Expense0.01380TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$76,247,968TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$36,949,811DirectOffsettingRevenueAmt
Net Community Benefit Expns$39,298,157NetCommunityBenefitExpnsAmt
Total Expense0.13980TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$80,129,928TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$36,949,811DirectOffsettingRevenueAmt
Net Community Benefit Expns$43,180,117NetCommunityBenefitExpnsAmt
Total Expense0.15360TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$1,542,039TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$1,542,039NetCommunityBenefitExpnsAmt
Total Expense0.00550TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$29,654TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$29,654NetCommunityBenefitExpnsAmt
Total Expense0.00010TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$218,984TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$218,984NetCommunityBenefitExpnsAmt
Total Expense0.00080TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$1,790,677TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$1,790,677NetCommunityBenefitExpnsAmt
Total Expense0.00640TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$81,920,605TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$36,949,811DirectOffsettingRevenueAmt
Net Community Benefit Expns$44,970,794NetCommunityBenefitExpnsAmt
Total Expense0.16000TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense ReportedYes (1)BadDebtExpenseReportedInd
Bad Debt Expense$3,500,921BadDebtExpenseAmt
Reimbursed By Medicare$2,291,419ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$4,728,839CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall-$2,437,420MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

FieldValueIRS element (for citing)
OtherYes (X)OtherInd
FieldValueIRS element (for citing)
Written Debt Collection PolicyYes (1)WrittenDebtCollectionPolicyInd
Financial Assistance PrvsnYes (1)FinancialAssistancePrvsnInd
Hospital Facilities3HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp (3 entries)

FacilityFacilityNumAddress Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdWebsite AddressWebsiteAddressTxtLicensed HospitalLicensedHospitalInd
ROGERS MEMORIAL HOSPITAL - OCONOMOWOC
134700 VALLEY ROADOCONOMOWOCWI53006WWW.ROGERSBH.ORGYes (X)
ROGERS MEMORIAL HOSPITAL - WEST ALLIS
211101 W LINCOLN AVEUEMILWAUKEEWI53227WWW.ROGERSBH.ORGYes (X)
ROGERS MEMORIAL HOSPITAL - BROWN DEER
34600 WEST SCHROEDER DRIVE SUITE 2BROWN DEERWI53223WWW.ROGERSBH.ORGYes (X)

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp (3 entries)

FacilityFacilityNumFirst Licensed CY Or PYFirstLicensedCYOrPYIndTax Exempt Hospital CY Or PYTaxExemptHospitalCYOrPYIndCHNA ConductedCHNAConductedIndCommunity DefinitionCommunityDefinitionIndCommunity DemographicsCommunityDemographicsIndExisting ResourcesExistingResourcesIndHow Data ObtainedHowDataObtainedIndCommunity Health NeedsCommunityHealthNeedsIndOther Health IssuesOtherHealthIssuesIndCommunity Hlth Needs Id ProcessCommunityHlthNeedsIdProcessIndConsulting ProcessConsultingProcessIndPrior CHNA ImpactPriorCHNAImpactIndCHNA ConductedCHNAConductedYrTake Into Account Others InputTakeIntoAccountOthersInputIndCHNA Conducted With Other FcltsCHNAConductedWithOtherFcltsIndCHNA Conducted With Non FcltsCHNAConductedWithNonFcltsIndCHNA Report Widely AvailableCHNAReportWidelyAvailableIndRpt Available On Own WebsiteRptAvailableOnOwnWebsiteIndOwn Website URLOwnWebsiteURLTxtPaper Copy Public InspectionPaperCopyPublicInspectionIndRpt Available Thru Other MethodRptAvailableThruOtherMethodIndImplementation Strategy AdoptImplementationStrategyAdoptIndImplementation Strategy AdptImplementationStrategyAdptYrStrategy Posted WebsiteStrategyPostedWebsiteIndStrategy Website URLStrategyWebsiteURLTxtOrganization Incur Excise TaxOrganizationIncurExciseTaxIndElig Criteria ExplainedEligCriteriaExplainedIndFPG Family Incm Lmt Free DscntFPGFamilyIncmLmtFreeDscntIndFPG Family Incm Lmt Free CareFPGFamilyIncmLmtFreeCarePctFPG Family Incm Lmt Dscnt CareFPGFamilyIncmLmtDscntCarePctIncome Level CriteriaIncomeLevelCriteriaIndAsset Level CriteriaAssetLevelCriteriaIndMedical Indigency CriteriaMedicalIndigencyCriteriaIndInsurance Status CriteriaInsuranceStatusCriteriaIndUnderinsurance Stat CriteriaUnderinsuranceStatCriteriaIndExplained BasisExplainedBasisIndApp Financial Asst ExplnAppFinancialAsstExplnIndDescribed InfoDescribedInfoIndDescribed Suprt DocDescribedSuprtDocIndProvided Hospital ContactProvidedHospitalContactIndProvided Nonprofit ContactProvidedNonprofitContactIndIncludes Publicity MeasuresIncludesPublicityMeasuresIndFAP Available On WebsiteFAPAvailableOnWebsiteIndFAP Available On Website URLFAPAvailableOnWebsiteURLTxtFAP App Available On WebsiteFAPAppAvailableOnWebsiteIndFAP App Available On Website URLFAPAppAvailableOnWebsiteURLTxtFAP Summary On WebsiteFAPSummaryOnWebsiteIndFAP Summary On Website URLFAPSummaryOnWebsiteURLTxtFAP Avlbl On Request No ChargeFAPAvlblOnRequestNoChargeIndFAP App Avlbl On Request No ChrgFAPAppAvlblOnRequestNoChrgIndFAP Sum Avlbl On Request No ChrgFAPSumAvlblOnRequestNoChrgIndNotified FAP Copy Bill DisplayNotifiedFAPCopyBillDisplayIndCommuntity Notified FAPCommuntityNotifiedFAPIndFAP TranslatedFAPTranslatedIndOther PublicityOtherPublicityIndFAP Actions On NonpaymentFAPActionsOnNonpaymentIndPermit No ActionsPermitNoActionsIndCollection ActivitiesCollectionActivitiesIndMade Effort Orally NotifyMadeEffortOrallyNotifyIndMade Presumptive Elig DetermMadePresumptiveEligDetermIndNondis Emergency Care PolicyNondisEmergencyCarePolicyIndLook Back Medicare PrivateLookBackMedicarePrivateIndAmounts Generally BilledAmountsGenerallyBilledIndGross ChargesGrossChargesInd
ROGERS MEMORIAL HOSPITAL - OCONOMOWOC
100Yes (1)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)18Yes (1)00Yes (1)Yes (X)SEE PART V, SECTION B, LINE 7DYes (X)Yes (X)Yes (1)18Yes (1)SEE PART V, SECTION B, LINE 7D0Yes (1)Yes (X)100.000000000000400.000000000000Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (1)Yes (1)Yes (X)Yes (X)Yes (X)Yes (X)Yes (1)Yes (X)SEE SUPPLEMENTAL INFORMATION PART V, PAGE 8Yes (X)SEE SUPPLEMENTAL INFORMATION PART V, PAGE 8Yes (X)SEE SUPPLEMENTAL INFORMATION PART V, PAGE 8Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (1)Yes (X)0Yes (X)Yes (X)Yes (1)Yes (X)00
ROGERS MEMORIAL HOSPITAL - WEST ALLIS
200Yes (1)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)18Yes (1)00Yes (1)Yes (X)SEE PART V, SECTION B, LINE 7DYes (X)Yes (X)Yes (1)18Yes (1)SEE PART V, SECTION B, LINE 7D0Yes (1)Yes (X)100.000000000000400.000000000000Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (1)Yes (1)Yes (X)Yes (X)Yes (X)Yes (X)Yes (1)Yes (X)SEE SUPPLEMENTAL INFORMATION PART V, PAGE 8Yes (X)SEE SUPPLEMENTAL INFORMATION PART V, PAGE 8Yes (X)SEE SUPPLEMENTAL INFORMATION PART V, PAGE 8Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (1)Yes (X)0Yes (X)Yes (X)Yes (1)Yes (X)00
ROGERS MEMORIAL HOSPITAL - BROWN DEER
300Yes (1)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)18Yes (1)00Yes (1)Yes (X)SEE PART V, SECTION B, LINE 7DYes (X)Yes (X)Yes (1)18Yes (1)SEE PART V, SECTION B, LINE 7D0Yes (1)Yes (X)100.000000000000400.000000000000Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (1)Yes (1)Yes (X)Yes (X)Yes (X)Yes (X)Yes (1)Yes (X)SEE SUPPLEMENTAL INFORMATION PART V, PAGE 8Yes (X)SEE SUPPLEMENTAL INFORMATION PART V, PAGE 8Yes (X)SEE SUPPLEMENTAL INFORMATION PART V, PAGE 8Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (1)Yes (X)0Yes (X)Yes (X)Yes (1)Yes (X)00

Supplemental Information SupplementalInformationGrp (13 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
ROGERS MEMORIAL HOSPITAL - OCONOMOWOCPART V, SECTION B, LINE 5: YES, WE SURVEYED COMMUNITY MEMBERS AND REVIEWED OTHER HOSPITAL AND GOVERNMENTAL SURVEYS CONDUCTED TO ASSESS THE COMMUNITY NEED.
ROGERS MEMORIAL HOSPITAL - WEST ALLISPART V, SECTION B, LINE 5: YES, WE SURVEYED COMMUNITY MEMBERS AND REVIEWED OTHER HOSPITAL AND GOVERNMENTAL SURVEYS CONDUCTED TO ASSESS THE COMMUNITY NEED.
ROGERS MEMORIAL HOSPITAL - BROWN DEERPART V, SECTION B, LINE 5: YES, WE SURVEYED COMMUNITY MEMBERS AND REVIEWED OTHER HOSPITAL AND GOVERNMENTAL SURVEYS CONDUCTED TO ASSESS THE COMMUNITY NEED.
ROGERS MEMORIAL HOSPITAL - OCONOMOWOCPART V, SECTION B, LINE 7D: HTTPS://ROGERSBH.ORG/APPLICATION/FILES/4215/6449/5496/2019_CHNA.V4.CLEAN_BRAND.PDF
ROGERS MEMORIAL HOSPITAL - WEST ALLISPART V, SECTION B, LINE 7D: HTTPS://ROGERSBH.ORG/APPLICATION/FILES/4215/6449/5496/2019_CHNA.V4.CLEAN_BRAND.PDF
ROGERS MEMORIAL HOSPITAL - BROWN DEERPART V, SECTION B, LINE 7D: HTTPS://ROGERSBH.ORG/APPLICATION/FILES/4215/6449/5496/2019_CHNA.V4.CLEAN_BRAND.PDF
ROGERS MEMORIAL HOSPITAL - OCONOMOWOCPART V, SECTION B, LINE 11: THE ADVISORY COMMITTEE MADE THE DECISION TO ADDRESS THE FOLLOWING PRIORITIES AS IDENTIFIED BY THE LATEST CHNA:1) ACCESS TO MENTAL HEALTH AND ADDICTION SERVICES - BY GROWING THE CHARITABLE GIVING FUND TO INCREASE ACCESS TO TREATMENT AND SERVICES FOR THOSE WITH LIMITED RESOURCES, INCREASE THE ROGERS BEHAVIORAL HEALTH FOUNDATION'S ANGEL FUND PROGRAM TO SUPPORT THE TRAVEL AND ACCOMMODATION EXPENSES THAT PATIENTS AND FAMILIES MAY ENCOUNTER WHILE SEEKING TREATMENT, EXPAND THE CAPACITY OF OUR MENTAL HEALTH AND ADDICTION PROGRAMS TO BE ABLE TO SERVE MORE PEOPLE, BROADEN THE SPECTRUM OF PROGRAMING TO SERVE INDIVIDUALS WITH MORE COMPLEX CASES, IMPROVE THE EASE OF TRANSFERS FROM EMERGENCY ROOMS FOR THOSE WHO ARE IN NEED OF URGENT MENTAL HEALTH AND ADDICTION SERVICES, AND EXPAND TELEMEDICINE SERVICES TO ADDITIONAL LOCATIONS AND PROGRAMS TO HELP ALLEVIATE ACCESS BARRIERS TO MENTAL HEALTH PROFESSIONALS. 2) EDUCATION AND STIGMA REDUCTION - BY PROVIDING TRAINING, COACHING, AND SUPPORT TO INCREASE THE DISTRIBUTION AND USE OF STIGMA REDUCTION PROGRAMMING WITH IN ROGERS AND WITH COMMUNITY PARTNERS, ONLINE AND OTHER ADAPTATIONS, PROVIDE CONSULTATION AND FACILITATIVE LEADERSHIP TO WISE, INVESTIGATE OPPORTUNITIES THAT PROVIDE INCREASED EDUCATION FOR MENTAL HEALTH PROFESSIONALS, SUCH AS INTERNSHIPS, RESIDENCIES AND OTHER BEHAVIORAL HEALTH CAREER TRAINING OPPORTUNITIES, CREATE AND OFFER ADDITIONAL RESOURCES FOR FAMILY AND COMMUNITY EDUCATION ABOUT EVIDENCE-BASED TREATMENT PRACTICES AND HOW TO OFFER SUPPORT AFTER TREATMENT, FINALLY, INCREASE AVAILABILITY TO COMPASSION RESILIENCE TRAINING RESOURCES TO TREATMENT PROVIDERS AND CARETAKERS OF THOSE WITH MENTAL HEALTH CHALLENGES. 3) CONTINUUM OF CARE - BY IMPROVING ACCESSIBILITY AND TYPES OF COMMUNITY SUPPORT GROUPS, PROVIDE TRANSITIONAL HOUSING OPTIONS FOR ADDICTION RECOVERY, AND INCREASE THE USE OF "STEP DOWN" PROGRAMS WITHIN ROGERS RESIDENTIAL, PARTIAL HOSPITALIZATION AND INTENSIVE OUTPATIENT LEVELS OF CARE.
ROGERS MEMORIAL HOSPITAL - WEST ALLISPART V, SECTION B, LINE 11: THE ADVISORY COMMITTEE MADE THE DECISION TO ADDRESS THE FOLLOWING PRIORITIES AS IDENTIFIED BY THE LATEST CHNA:1) ACCESS TO MENTAL HEALTH AND ADDICTION SERVICES - BY GROWING THE CHARITABLE GIVING FUND TO INCREASE ACCESS TO TREATMENT AND SERVICES FOR THOSE WITH LIMITED RESOURCES, INCREASE THE ROGERS BEHAVIORAL HEALTH FOUNDATION'S ANGEL FUND PROGRAM TO SUPPORT THE TRAVEL AND ACCOMMODATION EXPENSES THAT PATIENTS AND FAMILIES MAY ENCOUNTER WHILE SEEKING TREATMENT, EXPAND THE CAPACITY OF OUR MENTAL HEALTH AND ADDICTION PROGRAMS TO BE ABLE TO SERVE MORE PEOPLE, BROADEN THE SPECTRUM OF PROGRAMING TO SERVE INDIVIDUALS WITH MORE COMPLEX CASES, IMPROVE THE EASE OF TRANSFERS FROM EMERGENCY ROOMS FOR THOSE WHO ARE IN NEED OF URGENT MENTAL HEALTH AND ADDICTION SERVICES, AND EXPAND TELEMEDICINE SERVICES TO ADDITIONAL LOCATIONS AND PROGRAMS TO HELP ALLEVIATE ACCESS BARRIERS TO MENTAL HEALTH PROFESSIONALS. 2) EDUCATION AND STIGMA REDUCTION - BY PROVIDING TRAINING, COACHING, AND SUPPORT TO INCREASE THE DISTRIBUTION AND USE OF STIGMA REDUCTION PROGRAMMING WITH IN ROGERS AND WITH COMMUNITY PARTNERS, ONLINE AND OTHER ADAPTATIONS, PROVIDE CONSULTATION AND FACILITATIVE LEADERSHIP TO WISE, INVESTIGATE OPPORTUNITIES THAT PROVIDE INCREASED EDUCATION FOR MENTAL HEALTH PROFESSIONALS, SUCH AS INTERNSHIPS, RESIDENCIES AND OTHER BEHAVIORAL HEALTH CAREER TRAINING OPPORTUNITIES, CREATE AND OFFER ADDITIONAL RESOURCES FOR FAMILY AND COMMUNITY EDUCATION ABOUT EVIDENCE-BASED TREATMENT PRACTICES AND HOW TO OFFER SUPPORT AFTER TREATMENT, FINALLY, INCREASE AVAILABILITY TO COMPASSION RESILIENCE TRAINING RESOURCES TO TREATMENT PROVIDERS AND CARETAKERS OF THOSE WITH MENTAL HEALTH CHALLENGES. 3) CONTINUUM OF CARE - BY IMPROVING ACCESSIBILITY AND TYPES OF COMMUNITY SUPPORT GROUPS, PROVIDE TRANSITIONAL HOUSING OPTIONS FOR ADDICTION RECOVERY, AND INCREASE THE USE OF "STEP DOWN" PROGRAMS WITHIN ROGERS RESIDENTIAL, PARTIAL HOSPITALIZATION AND INTENSIVE OUTPATIENT LEVELS OF CARE.
ROGERS MEMORIAL HOSPITAL - BROWN DEERPART V, SECTION B, LINE 11: THE ADVISORY COMMITTEE MADE THE DECISION TO ADDRESS THE FOLLOWING PRIORITIES AS IDENTIFIED BY THE LATEST CHNA:1) ACCESS TO MENTAL HEALTH AND ADDICTION SERVICES - BY GROWING THE CHARITABLE GIVING FUND TO INCREASE ACCESS TO TREATMENT AND SERVICES FOR THOSE WITH LIMITED RESOURCES, INCREASE THE ROGERS BEHAVIORAL HEALTH FOUNDATION'S ANGEL FUND PROGRAM TO SUPPORT THE TRAVEL AND ACCOMMODATION EXPENSES THAT PATIENTS AND FAMILIES MAY ENCOUNTER WHILE SEEKING TREATMENT, EXPAND THE CAPACITY OF OUR MENTAL HEALTH AND ADDICTION PROGRAMS TO BE ABLE TO SERVE MORE PEOPLE, BROADEN THE SPECTRUM OF PROGRAMING TO SERVE INDIVIDUALS WITH MORE COMPLEX CASES, IMPROVE THE EASE OF TRANSFERS FROM EMERGENCY ROOMS FOR THOSE WHO ARE IN NEED OF URGENT MENTAL HEALTH AND ADDICTION SERVICES, AND EXPAND TELEMEDICINE SERVICES TO ADDITIONAL LOCATIONS AND PROGRAMS TO HELP ALLEVIATE ACCESS BARRIERS TO MENTAL HEALTH PROFESSIONALS. 2) EDUCATION AND STIGMA REDUCTION - BY PROVIDING TRAINING, COACHING, AND SUPPORT TO INCREASE THE DISTRIBUTION AND USE OF STIGMA REDUCTION PROGRAMMING WITH IN ROGERS AND WITH COMMUNITY PARTNERS, ONLINE AND OTHER ADAPTATIONS, PROVIDE CONSULTATION AND FACILITATIVE LEADERSHIP TO WISE, INVESTIGATE OPPORTUNITIES THAT PROVIDE INCREASED EDUCATION FOR MENTAL HEALTH PROFESSIONALS, SUCH AS INTERNSHIPS, RESIDENCIES AND OTHER BEHAVIORAL HEALTH CAREER TRAINING OPPORTUNITIES, CREATE AND OFFER ADDITIONAL RESOURCES FOR FAMILY AND COMMUNITY EDUCATION ABOUT EVIDENCE-BASED TREATMENT PRACTICES AND HOW TO OFFER SUPPORT AFTER TREATMENT, FINALLY, INCREASE AVAILABILITY TO COMPASSION RESILIENCE TRAINING RESOURCES TO TREATMENT PROVIDERS AND CARETAKERS OF THOSE WITH MENTAL HEALTH CHALLENGES. 3) CONTINUUM OF CARE - BY IMPROVING ACCESSIBILITY AND TYPES OF COMMUNITY SUPPORT GROUPS, PROVIDE TRANSITIONAL HOUSING OPTIONS FOR ADDICTION RECOVERY, AND INCREASE THE USE OF "STEP DOWN" PROGRAMS WITHIN ROGERS RESIDENTIAL, PARTIAL HOSPITALIZATION AND INTENSIVE OUTPATIENT LEVELS OF CARE.
ROGERS MEMORIAL HOSPITAL - OCONOMOWOCPART V, SECTION B, LINE 16J: NOTIFIED INDIVIDUALS THROUGH COMMUNICATIONS REGARDING THEIR BILLS.
ROGERS MEMORIAL HOSPITAL - WEST ALLISPART V, SECTION B, LINE 16J: NOTIFIED INDIVIDUALS THROUGH COMMUNICATIONS REGARDING THEIR BILLS.
ROGERS MEMORIAL HOSPITAL - BROWN DEERPART V, SECTION B, LINE 16J: NOTIFED INDIVIDUALS THROUGH COMMUNICATIONS REGARDING THEIR BILLS.
PART V, SECTION B, LINE 16A-16 - WEBSITE LINKSFAP:HTTPS://ROGERSBH.ORG/WHAT-EXPECT/FINANCING-YOUR-CARE/FINANCIAL-ASSISTANCE-PROGRAMFAP APPLICATION FORM:HTTPS://ROGERSBH.ORG/APPLICATION/FILES/2615/8169/6988/FINANCIAL_ASSISTANCE_APPLICATION_02072020.PDFPLAN LANGUAGE SUMMARY:HTTPS://ROGERSBH.ORG/WHAT-EXPECT/FINANCING-YOUR-CARE/FINANCIAL-ASSISTANCE-PROGRAM
FieldValueIRS element (for citing)
Facility17FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (17 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdFacilityFacilityTxtAddress Line2USAddress/AddressLine2Txt
1 - ROGERS MEMORIAL HOSPITAL - MADISON
406 SCIENCE DRIVE SUITE 110MADISONWI53711CENTER FOR EATING AND ANXIETY DISORDERS, AND COGNITIVE-BEHAVIORAL THERAPY
2 - ROGERS BEHAVIORAL HEALTH - SKOKIE
4711 GOLF ROAD SUITE 600SKOKIEIL60076CENTER FOR OCD, ANXIETY, EATING, DEPRESSION, AND MOOD DISORDERS
3 - ROGERS BEHAVIORAL HEALTH - MINNEAPOLIS
6442 CITY WEST PARKWAY SUITE 200EDEN PRAIRIEMN55344CENTER FOR OCD, ANXIETY, EATING, DEPRESSION, PTSD, AND MOOD DISORDERS
4 - ROGERS BEHAVIORAL HEALTH - APPLETON
4531 W COLLEGE AVE 300APPLETONWI54914CENTER FOR OCD, ANXIETY, EATING, DEPRESSION, PTSD, AND MOOD DISORDERS
5 - ROGERS BEHAVIORAL HEALTH - TAMPA
2002 N LOIS AVE SUITE 400TAMPAFL33607CENTER FOR OCD, ANXIETY, EATING, DEPRESSION, AND MOOD DISORDERS
6 - ROGERS BEHAVIORAL HEALTH - SAN FRANCISCO
420 N WIGET LANE BUILDING 2WALNUT CREEKCA94598CENTER FOR OCD, ANXIETY AND MOOD DISORDERS
7 - ROGERS BEHAVIORAL HEALTH - NASHVILLE
4230 HARDING ROAD SUITE 707NASHVILLETN37205CENTER FOR OCD, ANXIETY AND EATING DISORDERS
8 - ROGERS BEHAVIORAL HEALTH - HINSDALE
907 NORTH ELM STREET SUITE 300HINSDALEIL60521CENTER FOR MOOD DISORDERS, OCD, ANXIETY, PTSD, MENTAL HEALTH
9 - ROGERS MEMORIAL HOSPITAL - KENOSHA
9916 75TH STREETKENOSHAWI53142TREATMENT CENTER FOR CHILDREN AND ADOLESCENTS
10 - ROGERS BEHAVIORAL HEALTH - PHILADELPHIA
1 WINDING DRIVE SUITE 106PHILADELPHIAPA19131CENTER FOR OCD, ANXIETY, EATING, DEPRESSION, PTSD, AND MOOD DISORDERS
11 - ROGERS BEHAVIORAL HEALTH - ST PAUL
576 BEILENBERG DRIVE SUITE 180WOODBURYMN55125CENTER FOR OCD, ANXIETY, DEPRESSION RECOVERY, MENTAL HEALTH
12 - ROGERS BEHAVIORAL HEALTH - SAN DIEGO
17140 BERNARDO CENTER DRIVESAN DIEGOCA92128CENTER FOR OCD, ANXIETY, AND DEPRESSION RECOVERY
13 - ROGERS BEHAVIORAL HEALTH - MIAMI
5805 BLUE LAGOON DRIVE SUITE 440MIAMIFL33126CENTER FOR OCD, ANXIETY, DEPRESSION, MOOD DISORDERS, MENTAL HEALTH
14 - ROGERS BEHAVIORAL HEALTH - LOS ANGELES
5140 WEST GOLDLEAF CIRCLE SUITE 250LOS ANGELESCA90056CENTER FOR OCD, ANXIETY, AND DEPRESSION RECOVERY
15 - ROGERS BEHAVIORAL HEALTH - ATLANTA
50 GLENLAKE PARKWAY NORTHEAST SUITESANDY SPRINGSGA30328CENTER FOR OCD, ANXIETY, DEPRESSION, MOOD DISORDERS, MENTAL HEALTH, AND DEPR200
16 - ROGERS BEHAVIORAL HEALTH - SEATTLE
1215 114TH AVENUE SEBELLEVUEWA98004CENTER FOR OCD, ANXIETY, AND DEPRESSION RECOVERY
17 - ROGERS BEHAVIORAL HEALTH - SHEBOYGAN
1108 S WILDWOOD AVESHEBOYGANWI53081CENTER FOR OCD & ANXIETY, MENTAL HEALTH & ADDICTION RECOVERY, MENTAL HEALTH

Supplemental Information Detail SupplementalInformationDetail (11 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART I, LINE 6A:COMMUNITY BENEFIT WISCONSIN STATE ASSOCIATION SURVEY
PART I, LINE 7:LINES A - E: CONSISTENT WITH THE MISSION OF THE HOSPITAL, CARE IS PROVIDED TO PATIENTS REGARDLESS OF THEIR ABILITY TO PAY, INCLUDING PROVIDING SERVICES TO THOSE PERSONS WHO ARE UNINSURED AND WHO CANNOT AFFORD HEALTH INSURANCE BECAUSE OF INADEQUATE RESOURCES. THE HOSPITAL PROVIDES DISCOUNTS FROM ESTABLISHED CHARGES TO SELF-PAY PATIENTS WITHOUT REGARD TO THE PATIENT'S ABILITY TO PAY AND CONSIDERS THESE DISCOUNTS A PART OF THEIR COMMUNITY BENEFIT. PATIENTS WHO MEET CERTAIN CRITERIA FOR COMMUNITY CARE, GENERALLY BASED ON FEDERAL POVERTY GUIDELINES, ARE PROVIDED CARE WITHOUT CHARGE OR AT A REDUCED RATE, DETERMINED BASED ON QUALIFYING CRITERIA AS DEFINED IN THE HOSPITAL'S COMMUNITY CARE POLICY AND FROM APPLICATIONS COMPLETED BY PATIENTS AND THEIR FAMILIES.LINES E AND I: THESE ARE COSTS DEVELOPED BASED ON THE ESTIMATED TIME AND RESOURCES UTILIZED IN PROVIDING THESE COMMUNITY BENEFITS.
PART I, LN 7 COL(F):THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25(A), BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN IS $3,500,921.
PART III, LINE 2:BAD DEBT EXPENSE IS OBTAINED THROUGH OUR INTERNAL COSTING SYSTEM, REVIEWED AND VALIDATED BY OUR REVENUE CYCLE TEAM AND MEASURED AGAINST A ROLLING CLOSED CLAIMS ANALYSIS.
PART III, LINE 4:FROM THE ATTACHED AUDITED FINANCIAL STATEMENTS, PAGE 14 PATIENT SERVICE REVENUE: GENERALLY, PATIENTS WHO ARE COVERED BY THIRD-PARTY PAYORS ARE RESPONSIBLE FOR RELATED DEDUCTIBLES AND COINSURANCE, WHICH VARY IN AMOUNT. THE HOSPITAL ALSO PROVIDES SERVICES TO UNINSURED PATIENTS, AND OFFERS THOSE UNINSURED PATIENTS A DISCOUNT, EITHER BY POLICY OR LAW, FROM STANDARD CHARGES. THE HOSPITAL ESTIMATES THE TRANSACTION PRICE FOR PATIENTS WITH DEDUCTIBLES AND COINSURANCE AND FROM THOSE WHO ARE UNINSURED BASED ON HISTORICAL EXPERIENCE AND CURRENT MARKET CONDITIONS. THE INITIAL ESTIMATE OF THE TRANSACTION PRICE IS DETERMINED BY REDUCING THE STANDARD CHARGE BY ANY CONTRACTUAL ADJUSTMENTS, DISCOUNTS, AND IMPLICIT PRICE CONCESSIONS. SUBSEQUENT CHANGES TO THE ESTIMATION OF THE TRANSACTION PRICE ARE GENERALLY RECORDED AS ADJUSTMENTS TO PATIENT SERVICE REVENUE IN THE PERIOD OF THE CHANGE.SUBSEQUENT CHANGES THAT ARE DETERMINED TO BE A RESULT OF AN ADVERSE CHANGE IN THE PATIENT'S ABILITY TO PAY ARE RECORDED AS BAD DEBT EXPENSE. BAD DEBT EXPENSE FOR THESE ADVERSE CHANGES FOR THE YEARS ENDED JULY 31, 2021 AND 2020 WAS NOT SIGNIFICANT.SETTLEMENTS WITH THIRD-PARTY PAYORS FOR RETROACTIVE ADJUSTMENTS DUE TO AUDITS, REVIEWS OR INVESTIGATIONS ARE CONSIDERED VARIABLE CONSIDERATION AND ARE INCLUDED IN THE DETERMINATION OF THE ESTIMATED TRANSACTION PRICE FOR PROVIDING PATIENT CARE. THESE SETTLEMENTS ARE ESTIMATED BASED ON THE TERMS OF THE PAYMENT AGREEMENT WITH THE PAYOR, CORRESPONDENCE FROM THE PAYOR, AND THE HOSPITAL'S HISTORICAL SETTLEMENT ACTIVITY, INCLUDING AN ASSESSMENT TO ENSURE THAT IT IS PROBABLE THAT A SIGNIFICANT REVERSAL IN THE AMOUNT OF CUMULATIVE REVENUE RECOGNIZED WILL NOT OCCUR WHEN THE UNCERTAINTY ASSOCIATED WITH THE RETROACTIVE ADJUSTMENT IS SUBSEQUENTLY RESOLVED.
PART III, LINE 8:DATA REPORTED AS MEDICARE ALLOWABLE COSTS WERE TAKEN DIRECTLY FROM THE MEDICARE COST REPORT. THE MEDICARE SHORTFALL SHOULD BE CONSIDERED A COMMUNITY BENEFIT AS A HOSPITAL THAT SERVES PATIENTS WITH GOVERNMENT HEALTH BENEFITS (INCLUDING MEDICARE) INDICATES THAT THE HOSPITAL OPERATES TO PROMOTE THE HEALTH OF THE COMMUNITY AND THEREFORE IMPLIES THAT TREATING MEDICARE PATIENTS IS A COMMUNITY BENEFIT.
PART III, LINE 9B:ROGERS MEMORIAL HOSPITAL RECOGNIZES THE NEED FOR THE MEDICALLY INDIGENT TO RECEIVE NECESSARY SERVICES. PATIENT CARE IS NOT AFFECTED BY HIS/HER INABILITY TO PAY REGARDLESS OF FINANCIAL STATUS, RACE, COLOR, CREED, SEXUAL ORIENTATION, HANDICAP, SEX OR NATIONAL ORIGIN. SERVICES ARE RENDERED IN A CARING, RESPECTFUL AND CONCERNED MANNER. TO ENSURE THAT THE PHILOSOPHY OF THE HOSPITAL IS UPHELD, A CONSISTENT METHOD OF DETERMINING ELIGIBILITY FOR COMMUNITY CARE HAS BEEN DEVELOPED. IT IS THE POLICY OF ROGERS MEMORIAL HOSPITAL TO WRITE OFF ACCOUNTS THAT QUALIFY FOR CHARITY CARE, THUS THERE ARE NO COLLECTION EFFORTS RELATED TO THOSE THAT QUALIFY FOR CHARITY CARE. COMMUNITY CARE IS NOT TO BE USED AS A SUBSTITUTE FOR BAD DEBT. ONLY THOSE PATIENTS WHO MEET THE CRITERIA ARE ELIGIBLE FOR COMMUNITY CARE RELIEF. THOSE PATIENTS WHO DO NOT MEET THE CRITERIA AND REFUSE TO COOPERATE WITH COLLECTION EFFORTS WILL BE PURSUED TO THE EXTENT DEEMED NECESSARY BY MANAGEMENT FOR COLLECTION AND IF STILL UNCOLLECTIBLE, WILL BE WRITTEN OFF TO BAD DEBT.
PART VI, LINE 2:WE COLLABORATE WITH OTHER PROVIDERS THROUGH PARTNERSHIPS AND CONSULTING RELATIONSHIPS WITH THE MEDICAL COLLEGE OF WISCONSIN, CHILDREN'S HOSPITAL OF WISCONSIN, FROEDTERT HEALTH, COMMUNITY MEMORIAL HOSPITAL AND COLUMBIA ST. MARY'S, IN ORDER TO BRING QUALITY BEHAVIORAL HEALTH SERVICES TO WISCONSIN RESIDENTS.
PART VI, LINE 3:PRIOR TO RECEIVING SERVICES, THERE ARE A NUMBER OF WAYS A PATIENT CAN BE IDENTIFIED AND EVALUATED FOR FINANCIAL ASSISTANCE PRIOR TO, DURING, OR FOLLOWING CARE. THE FOLLOWING IS A NON-EXHAUSTIVE LIST OF EXAMPLES FOR IDENTIFICATION PRIOR TO RECEIVING SERVICES: PATIENTS OR THEIR REPRESENTATIVES MAY REQUEST FINANCIAL ASSISTANCE, ROGERS' EMPLOYEES MAY ROGERS MEMORIAL HOSPITAL, INC. 39-1139101 REFER PATIENTS TO A FINANCIAL COUNSELOR OR PATIENT FINANCIAL SERVICES REPRESENTATIVE, FINANCIAL COUNSELORS AND/OR PFS STAFF MAY IDENTIFY FINANCIAL NEED THROUGH CONVERSATIONS WITH PATIENTS REGARDING BILLING AND PAYMENT OPTIONS, REFERRING PHYSICIANS MAY REFER PATIENTS, COLLECTION AGENCIES OR ATTORNEYS MAY REFER PATIENTS BACK TO ROGERS, LOCAL GOVERNMENTS AGENCIES MAY REFER PATIENTS.
PART VI, LINE 4:ROGERS MEMORIAL HOSPITAL OPERATES FACILITIES IN THE WISCONSIN COMMUNITIES OF OCONOMOWOC, WEST ALLIS, BROWN DEER, KENOSHA, DELAFIELD, MADISON, AND APPLETON TO PROVIDE INPATIENT AND OUTPATIENT BEHAVIORAL HEALTH AND PSYCHIATRIC SERVICES TO PATIENTS PRIMARILY FROM THE MIDWEST. THE HOSPITAL PROVIDES SERVICES RELATING TO RECOVERY FROM ADDICTIONS, ABUSE, DISRUPTIVE BEHAVIOR, EATING AND OBSESSIVE COMPULSIVE DISORDERS; GENERAL PSYCHIATRY FOR ADULTS, ADOLESCENTS, AND CHILDREN; AND ADOLESCENT EXTENDED CARE.ROGERS SERVES A DIVERSE COMMUNITY, OPERATING IN 18 CITIES AND 9 DIFFERENT STATES ACROSS THE UNITED STATES. WITH OVER 26,130 ADMITS IN FY2021, APPROXIMATELY 69% WERE PATIENTS FROM WISCONSIN WHILE 31% WERE SOURCED FROM OTHER STATES. PATIENTS FROM SOUTHEAST WISCONSIN (MILWAUKEE, WAUKESHA, OZAUKEE, RACINE, SHEBOYGAN, AND WASHINGTON COUNTIES) MADE UP ABOUT 36% OF ALL PATIENT ADMITS. ROGERS CONTINUES TO SERVE PATIENTS IN THIS PRIMARY SERVICE AREA WHILE REACHING MORE PATIENTS NATIONWIDE.
PART VI, LINE 5:SEE STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS ON PART III OF FORM 990.

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records MaintainedYes (1)GrantRecordsMaintainedInd

Recipient Table RecipientTable (16 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdRecipient EINRecipientEINIRC SectionIRCSectionDescCash GrantCashGrantAmtNon Cash AssistanceNonCashAssistanceAmtValuation Method UsedValuationMethodUsedDescNon Cash AssistanceNonCashAssistanceDescPurpose Of GrantPurposeOfGrantTxt
ROGERS MEMORIAL HOSPITAL FOUNDATION INC
34700 VALLEY ROADOCONOMOWOCWI53066391363507501(C)(3)$2,700,000$1,069,190COSTIN-KIND SERVICESPROVIDES SUPPORT TO THE RMHF TO ASSIST IN CARRYING OT ITS EXEMPT PURPOSE
UNITED WAY OF GREATER MILWAUKEE & WAUKESHA COUNTY
PO BOX 88110MILWAUKEEWI53288390806190501(C)(3)$10,000CORPORATE CAMPAIGN
INTERNATIONAL OCD FOUNDATION
PO BOX 961029BOSTONMA02196222894564501(C)(3)$12,500PARTNERSHIP AND SUPPORT
OCD WISCONSIN FOUNDATION
PO BOX 623OCONOMOWOCWI53066462074424501(C)(3)$7,500PARTNERSHIP AND SUPPORT
IAEDP FOUNDATION PRESIDENT'S COUNCIL MEMBERSHIP
PO BOX 1295PERKINIL61555800760370501(C)(3)$10,000PARTNERSHIP AND SUPPORT
NTL ASSOC OF ANOREXIA NERVOSA & ASSOC DISORDERS
PO BOX 409047CHICAGOIL60640362938021501(C)(3)$10,000PARTNERSHIP AND SUPPORT
THE OVERTURE CENTER FOUNDATION INC
201 STATE STREETMADISONWI53703010645482501(C)(3)$10,000PARTNERSHIP AND SUPPORT
RIGHTWAY CLUB INC
4627 S 12TH STSHEBOYGANWI53081391416500501(C)(3)$10,000PARTNERSHIP AND SUPPORT
MILWAUKEE FILM INC
2230 N FARWELL AVEMILWAUKEEWI53205263049630501(C)(3)$10,000PARTNERSHIP AND SUPPORT
MINNESOTA ASSOCIATION FOR CHILDREN'S MENTAL HEALTH
23 EMPIRE DR SUITE 1000SAINT PAULMN55103411727185501(C)(3)$6,500PARTNERSHIP AND SUPPORT
MULTI-SERVICE EATING DISORDERS ASSOCIATION
1320 CENTER STREET SUITE 101NEWTONMA02459043224394501(C)(3)$5,000PARTNERSHIP AND SUPPORT
NAMI WAUKESHA
217 WISCONSIN AVEWAUKESHAWI53186391485627501(C)(3)$5,000PARTNERSHIP AND SUPPORT
WISHOPE INC
223 WISCONSIN AVEWAUKESHAWI53186833544716501(C)(3)$5,000PARTNERSHIP AND SUPPORT
AUTISM SPEAKS INC
1060 STATE ROADPRINCETONNJ08540202329938501(C)(3)$5,000PARTNERSHIP AND SUPPORT
THE SHUL
9540 COLLINS AVESURFSIDEFL33154592302315501(C)(3)$5,000PARTNERSHIP AND SUPPORT
THE MILE HALL FOUNDATION
1922 TICE VALLEY BLVD 2443WALNUT CREEKCA94595843451430501(C)(3)$5,000PARTNERSHIP AND SUPPORT
FieldValueIRS element (for citing)
Total501c3 Org16Total501c3OrgCnt
Total Other Org0TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART I, LINE 2:FormAndLineReferenceDesc
ExplanationAS GRANTS ARE MADE PRIMARILY TO ROGERS MEMORIAL HOSPITAL FOUNDATION, MONITORING OF THESE TRANSACTIONS ARE PERFORMED BY OFFICERS OF THE HOSPITAL WITH OVERSIGHT BY THE BOARD. FOR ASSISTANCE PROVIDED TO NON-ROGERS' AFFILIATES, THE GRANTEE ORGANIZATIONS GENERALLY PROVIDE AN ACKNOWLEDGEMENT LETTER INDICIATING HOW THE FUNDS WERE USED FOR THEIR INTENDED PURPOSE.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Club Dues Or FeesYes (X)ClubDuesOrFeesInd
Written Policy Ref T And E Expnss0WrittenPolicyRefTAndEExpnssInd
Substantiation Required0SubstantiationRequiredInd
Compensation CommitteeYes (X)CompensationCommitteeInd
Independent ConsultantYes (X)IndependentConsultantInd
Form990 Of Other OrganizationsYes (X)Form990OfOtherOrganizationsInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance PaymentYes (1)SeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (1)SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments0AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (14 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
PATRICK HAMMER
CEO - RBHS/ BOARD MEMBER$0$717,678$0$672,762$0$2,050$0$145,506$0$30,462$0$1,568,458$0$0
KHAZI MUQEET
MEDICAL DIRECTOR$756,394$0$146,070$0$350$0$11,272$0$32,719$0$946,805$0$0$0
PAUL MUELLER
CEO - THROUGH 06/2021$506,436$0$282,980$0$770$0$104,919$0$38,228$0$933,333$0$0$0
AHMED NUMAN
MEDICAL DIRECTOR$389,711$0$392,669$0$1,400$0$11,400$0$0$0$795,180$0$0$0
MOHAMMED IQBAL
MEDICAL DIRECTOR$346,174$0$359,597$0$743$0$11,400$0$39,660$0$757,574$0$0$0
BRAD SMITH
MEDICAL DIRECTOR$431,559$0$224,310$0$770$0$11,400$0$31,971$0$700,010$0$0$0
HEMALATHA RAJANNA
MEDICAL DIRECTOR$384,884$0$232,695$0$338$0$7,183$0$1,671$0$626,771$0$0$0
BRADLEY RIEMANN
CHIEF CLINICAL OFFICER/ BOARD MEMBER$444,235$0$122,585$0$1,400$0$11,400$0$42,084$0$621,704$0$0$0
JERRY HALVERSON
CHIEF MEDICAL OFFICER/ BOARD MEMBER$420,408$0$103,052$0$490$0$11,400$0$36,087$0$571,437$0$0$0
ARNOLD STUEBER
CFO - THROUGH 06/2021$0$331,852$0$114,485$0$350$0$71,400$0$39,188$0$557,275$0$0
KIMBERLY EFFERTZ
COO$289,489$0$118,225$0$770$0$31,408$0$32,421$0$472,313$0$0$0
JAY KELLISON
COO - THROUGH 12/2020$365,659$0$80,897$0$3,362$0$6,522$0$13,151$0$469,591$0$0$0
SCOTT JOHNSON
COO$225,130$0$46,944$0$350$0$30,720$0$45,121$0$348,265$0$0$0
MAEVE O'NEIL
CRO$155,217$0$19,827$0$710$0$4,462$0$23,707$0$203,923$0$0$0

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART I, LINE 1AHEALTH AND SOCIAL MEMBERSHIPS FOR CERTAIN OFFICERS, KEY EMPLOYEES AND HIGHEST COMPENSATED INDIVIDUALS ARE INCLUDED IN TAXABLE COMPENSATION AS THESE FEES ARE PAID BY ROGERS MEMORIAL HOSPITAL. $3,958 PAUL MUELLER $3,958 PAT HAMMER $3,372 ARNOLD STUEBER
PART I, LINES 4A-BSOME EMPLOYEES RECEIVED A SEVERANCE PAYMENT DURING THE CALENDER YEAR. THE TERMS AND CONDITIONS OF THE CONFIDENTIAL SEVERANCE AGREEMENT ARE AVAILABLE TO THE INTERNAL REVENUE SERVICE UPON REQUEST. ROGERS MEMORIAL HOSPITAL, INC. PROVIDES A SUPPLEMENTAL NON-QUALIFIED RETIREMENT PLAN TO ELIGIBLE EMPLOYEES. DURING FY2021, PATRICK HAMMER, PAUL MUELLER, KIMBERLY EFFERTZ, ARNOLD STUEBER, AND SCOTT JOHNSON PARTICIPATED IN THIS PLAN. THERE WERE NO AMOUNTS PAID DURING THE YEAR.

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (2 entries)

Bond ReferenceBondReferenceCdBond Issuer EINBondIssuerEINCUSIPCUSIPNumBond IssuedBondIssuedDtIssue PriceIssuePriceAmtPurposePurposeDescDefeasedDefeasedIndOn Behalf Of IssuerOnBehalfOfIssuerIndPool FinancingPoolFinancingInd
WISCONSIN HEALTH & EDUCATION FACILITIES AUTHORITY SERIES 2014 A & B
A39133785597712DEV42014-08-15$55,065,129BUILDING IMPROVEMENTS TO VARIOUS SITES000
WISCONSIN HEALTH & EDUCATION FACILITIES AUTHORITY SERIES 2019 A&B
B39133785597712D2C92019-08-28$46,574,029BUILDING IMPROVEMENTS TO VARIOUS SITES000

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (2 entries)

Bond ReferenceBondReferenceCdRetiredRetiredAmtTotal ProceedsTotalProceedsAmtIssuance Costs From ProceedsIssuanceCostsFromProceedsAmtCapital ExpendituresCapitalExpendituresAmtOther Spent ProceedsOtherSpentProceedsAmtSubstantial CompletionSubstantialCompletionYrRefunding Tax Exempt BondsRefundingTaxExemptBondsIndRefunding Taxable BondsRefundingTaxableBondsIndFinal Allocation MadeFinalAllocationMadeIndAdequate Books And Rec MaintAdequateBooksAndRecMaintIndUnspentUnspentAmt
A$13,000,000$55,082,968$757,709$21,301,703$33,023,5562016Yes (1)Yes (1)Yes (1)Yes (1)
B$2,000,000$46,799,562$214,561$26,215,408$6,686,259Yes (1)00Yes (1)$13,692,527

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (2 entries)

Bond ReferenceBondReferenceCdOwning Bond Financed PropertyOwningBondFinancedPropertyIndAny Lease ArrangementsAnyLeaseArrangementsIndMgmt Contract Bond Fincd PropMgmtContractBondFincdPropIndAny Research AgreementsAnyResearchAgreementsIndPrivate Bus Use By OthersPrivateBusUseByOthersPctPrivate Bus Concerning UBIPrivateBusConcerningUBIPctTotal Private Business UseTotalPrivateBusinessUsePctBond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestIndChange In Use Bond Financed PropChangeInUseBondFinancedPropIndProcs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
A00000.000000.000000.0000000Yes (1)
B00000.000000.000000.0000000Yes (1)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (2 entries)

Bond ReferenceBondReferenceCdForm8038 T FiledForm8038TFiledIndRebate Not Due YetRebateNotDueYetIndException To RebateExceptionToRebateIndNo Rebate DueNoRebateDueIndVariable Rate IssueVariableRateIssueIndHedge Identified In Bks And RecHedgeIdentifiedInBksAndRecIndGross Proceeds Invested In GICGrossProceedsInvestedInGICIndGross Proceeds InvestedGrossProceedsInvestedIndWritten Proc To Monitor ReqsWrittenProcToMonitorReqsInd
A000Yes (1)0000Yes (1)
B0Yes (1)000000Yes (1)

Procedures Corrective Action ProceduresCorrectiveActionGrp (2 entries)

Bond ReferenceBondReferenceCdProcedures Corrective ActionProceduresCorrectiveActionInd
AYes (1)
BYes (1)

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
DATE REBATE COMPUTATION PERFORMEDISSUER NAME: WISCONSIN HEALTH & EDUCATION FACILITIES AUTHORITY SERIES 2014 DATE THE REBATE COMPUTATION WAS PERFORMED: 10/31/2019
FORM 990, SCHEDULE K, PART 2, LINE 3, COLUMN (A)THE TOTAL PROCEEDS OF ISSUE AND THE ISSUE PRICE DIFFER DUE TO THE INCLUSION OF INTEREST EARNED IN THE TOTAL PROCEEDS OF ISSUE.
FORM 990, SCHEDULE K, PART 2, LINE 3, COLUMN (B)THE TOTAL PROCEEDS OF ISSUE AND THE ISSUE PRICE DIFFER DUE TO THE INCLUSION OF INTEREST EARNED IN THE TOTAL PROCEEDS OF ISSUE.

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (10 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 1THE EXECUTIVE COMMITTEE SHALL CONSIST OF THE CHAIR, VICE CHAIR, SECRETARY AND TREASURER. IN THE EVENT OF EMERGENCY BUSINESS WHICH REQUIRES PROMPT ATTENTION, THE EXECUTIVE COMMITTEE SHALL HAVE THE AUTHORITY TO MEET AS NECESSARY BETWEEN MEETINGS OF THE BOARD OF DIRECTORS, AND IS DELEGATED FULL AUTHORITY OF THE BOARD OF DIRECTORS TO APPOINT AND DENY APPOINTMENT TO THE MEDICAL STAFF (DEFINED BELOW) AND FOR ALL OTHER PURPOSES EXCEPT AS MAY BE LIMITED BY THESE BYLAWS OR BY RESOLUTION OF THE BOARD OF DIRECTORS.
FORM 990, PART VI, SECTION A, LINE 6ROGERS BEHAVIORAL HEALTH SYSTEM IS THE SOLE CORPORATE MEMBER.
FORM 990, PART VI, SECTION A, LINE 7APER THE BY-LAWS, ADDITIONAL MEMBERS OF THE BOARD OF DIRECTORS SHALL BE DETERMINED BY THE SOLE CORPORATE MEMBER FROM TIME TO TIME.
FORM 990, PART VI, SECTION A, LINE 7BTHE FOLLOWING ACTIONS MUST BE APPROVED BY THE SOLE CORPORATE MEMBER OF THE ORGANIZATION, ROGERS BEHAVIORAL HEALTH SYSTEM: 1) SELLING OF DISPOSING OF A MATERIAL PART OF THE CORPORATION'S ASSETS, 2) LENDING OR BORROWING MONEY OTHER THAN PURSUANT TO AN APPROVED LINE OF CREDIT, 3) GRANTING A MORTGAGE OR SUBJECTING TO ANOTHER SECURITY INTEREST IN ANY MATERIAL PORTION OF THE CORPORATION'S ASSETS, 4) ENTERING INTO CONTRACTS OR AGREEMENTS WITH PERSONS WHICH, INDIVIDUALLY, OR AS TO THE SAME PARTY, IN AGGREGATE CALL FOR THE PAYMENT BY THE CORPORATION OF AMOUNTS WHICH ARE GREATER THAN SUCH AMOUNTS WHICH ARE APPROVED BY RESOLUTION OF THE MEMBER FROM TIME TO TIME. THE MEMBER MAY ESTABLISH LIMITATIONS OF DIFFERING SIZES FOR DIFFERENT TYPES OF EXPENDITURES AND AREAS TO WHICH THESE LIMITS ARE NOT APPLICABLE,5) UNDERTAKING MAJOR CENTRAL IMPROVEMENTS TO OR OTHERWISE REHABILITATING THE CORPORATION'S PROPERTIES, 6) CONFESSING A JUDGEMENT AGAINST THE CORPORATION, 7) MAKING ANY CHANGES OR AMENDMENTS TO THE CORPORATION'S ARTICLES OF INCORPORATION OR BYLAWS.
FORM 990, PART VI, SECTION B, LINE 11BTHE CFO COMPLETES A DETAILED REVIEW OF THE 990 PRIOR TO MAKING THE 990 AVAILABLE TO THE BOARD MEMBERS. THE FORM 990 IS MADE AVAILABLE TO THE BOARD MEMBERS THROUGH THE BOARD'S WEBSITE SO THEY CAN REVIEW AND COMMENT ON IT PRIOR TO FILING.
FORM 990, PART VI, SECTION B, LINE 12CROGER'S MEMORIAL HOSPITAL'S DIRECTORS AND OFFICERS SHALL, SHOULD A CONFLICT OF INTEREST ARISE AT ANY TIME, PROMPTLY DISCLOSE SUCH CONFLICT IN WRITING TO THE CHAIRPERSON OF THE BOARD OF DIRECTOR'S; AND IN MATTERS WHERE A MEMBER HAS A CONFLICT THAT REQUIRES A VOTE, ABSTAIN. ANNUALLY, THE CONFLICT OF INTEREST FORM WILL BE SUBMITTED TO THE CHAIRMAN OF THE BOARD. IN ADDITION, EACH ADMINISTRATIVE STAFF MEMBER, MEDICAL STAFF OFFICER, MEDICAL/ADMINISTRATIVE AGENT, AND EMPLOYEE INVOLVED IN PURCHASING SUPPLIES AND EQUIPMENT FOR THE HOSPITAL SHALL HAVE A CONFLICT OF INTEREST STATEMENT ON FILE IN THE PRESIDENT'S OFFICE AND THOSE STATEMENTS SHALL BE UPDATED ANNUALLY AND WHENEVER THERE IS A NEED FOR ADDITIONS AND DELETIONS.
FORM 990, PART VI, SECTION B, LINE 15THE CEO'S COMPENSATION IS DETERMINED BY INDUSTRY ANALYSIS AND IS SUPPORTED BY AN ANALYSIS BY AN EXTERNAL CONSULTANT. APPROVAL OF THE RESULTS IS BY THOSE BOARD MEMBERS WITHOUT CONFLICT OF INTEREST AND THE APPROVAL IS DOCUMENTED. OTHER KEY OFFICERS' COMPENSATION IS DETERMINED BY INDUSTRY ANALYSIS SIMILAR TO THE PROCESS USED TO DETERMINE THE CEO'S COMPENSATION.
FORM 990, PART VI, SECTION C, LINE 19ROGER'S MEMORIAL HOSPITAL DOES NOT MAKE ITS GOVERNING DOCUMENTS OR CONFLICT OF INTEREST POLICY AVAILABLE TO THE PUBLIC. THE FINANCIAL STATEMENTS ARE MADE AVAILABLE TO THE PUBLIC AS THEY ARE ATTACHED TO THE FILED IRS FORM 990 AND SUBSEQUENTLY PUBLISHED ONLINE BY THE IRS.
FORM 990, PART IX, LINE 11GOTHER: PROGRAM SERVICE EXPENSES 11,481,365. MANAGEMENT AND GENERAL EXPENSES 18,299,203. TOTAL EXPENSES 29,780,568.
FORM 990, PART XI, LINE 9:CHANGE IN INTEREST IN NET ASSETS ROGERS MEMORIAL HOSPITAL FOUNDATION 4,781,281. LOSS ON INTEREST RATE SWAP -1,801.

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp (3 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdTotal IncomeTotalIncomeAmtEnd Of Year AssetsEndOfYearAssetsAmtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Txt
PARTNERS IN BEHAVIORAL HEALTH
34700 VALLEY ROADOCONOMOWOCWI53066391832142TO ASSIST IN PROVIDING BEHAVIORAL HEALTH SERVICESWI$34,107$0ROGERS MEMORIAL HOSPITAL
ROGERS BEHAVIORAL HEALTH MANAGEMENT LLC
34700 VALLEY ROADOCONOMOWOCWI53066853690429MANAGEMENT SERVICESWI$9,027,924$9,027,926ROGERS MEMORIAL HOSPITAL
ROGERS BEHAVIORAL HEALTH - SHEBOYGAN LLC
34700 VALLEY ROADOCONOMOWOCWI53066863243766OPERATE AN OUTPATIENT CLINICWI$0$0ROGERS MEMORIAL HOSPITAL

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (4 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtDirect Controlling NADirectControllingNACdControlled OrganizationControlledOrganizationIndBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Txt
ROGERS BEHAVIORAL HEALTH SYSTEM INC
34700 VALLEY ROADOCONOMOWOCWI53066263902724TO ASSIST ITS SUBSIDIARIES IN PROVIDING BEHAVIORAL HEALTH SERVICESWI501(C)(3)LINE 12B, IIN/A0
ROGERS MEMORIAL HOSPITAL FOUNDATION INC
34700 VALLEY ROADOCONOMOWOCWI53066391363507TO SUPPORT ALL ENTITITES OF ROGER'S BEHAVIORAL HEALTH SYSTEM, INC.WI501(C)(3)LINE 70ROGERS BEHAVIORAL HEALTH SYSTEM INC
ROGERS BEHAVIORAL HEALTH - GEORGIA INC
34700 VALLEY ROADOCONOMOWOCWI53066844421252PROVIDE MENTAL HEALTH AND ADDICTION TREATMENTGA501(C)(3)LINE 10Yes (1)ROGERS MEMORIAL HOSPITAL INC
ROGERS BEHAVIORAL HEALTH - WASHINGTON INC
34700 VALLEY ROADOCONOMOWOCWI53066852221921PROVIDE SUBSTANCE ABUSE AND MENTAL HEALTH CLINICSWA501(C)(3)LINE 10Yes (1)ROGERS MEMORIAL HOSPITAL INC
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgYes (1)GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (1)GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org0LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth Org0RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org0RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgYes (1)PerformOfServicesForOthOrgInd
Perform Of Services By Other OrgYes (1)PerformOfServicesByOtherOrgInd
Sharing Of FacilitiesYes (1)SharingOfFacilitiesInd
Paid Employees SharingYes (1)PaidEmployeesSharingInd
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (1)ReimbursementPaidByOtherOrgInd
Transfer To Other Org0TransferToOtherOrgInd
Transfer From Other Org0TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (4 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
ROGERS MEMORIAL HOSPITAL FOUNDATION INC
B$2,700,000FMV OF GRANTS PAID
ROGERS MEMORIAL HOSPITAL FOUNDATION INC
C$3,901,349FMV OF GRANTS RECEIVED
ROGERS MEMORIAL HOSPITAL FOUNDATION INC
L$1,069,147FMV OF SERVICES RENDERED
ROGERS BEHAVIORAL HEALTH SYSTEM INC
M$1,602,000FMV OF SERVICES RENDERED