ROGERS MEMORIAL HOSPITAL INCORPORATED: Form 990, tax year 2019
View the entire original 990 at ProPublica ↗
- Organization
- ROGERS MEMORIAL HOSPITAL INCORPORATED (EIN 39-1139101)
- Tax period
- 2019-08-01 to 2020-07-31
- Filed
- 2022-08-31
- IRS object ID
- 202222439349301587
- Schema version
- 2019v5.2
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
- Return header
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule F
- Schedule H
- Schedule I
- Schedule J
- Schedule K
- Schedule L
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2022-08-31T21:57:54-05:00 | ReturnTs |
| Tax Period End | 2020-07-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 390859910 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BAKER TILLY US LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 777 E WISCONSIN AVENUE 32ND FLOOR | AddressLine1Txt |
| City | MILWAUKEE | CityNm |
| State Abbreviation | WI | StateAbbreviationCd |
| ZIP | 53202 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2019-08-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 391139101 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ROGERS MEMORIAL HOSPITAL INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | ROGE | BusinessNameControlTxt |
| Phone | 2626464411 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 34700 VALLEY ROAD | AddressLine1Txt |
| City | OCONOMOWOC | CityNm |
| State Abbreviation | WI | StateAbbreviationCd |
| ZIP | 53066 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | JOANNE HORVATH | PersonNm |
| Person Title | CHIEF FINANCIAL OFFICER | PersonTitleTxt |
| Phone | 2626464411 | PhoneNum |
| Signature | 2022-08-29 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | TROY MARINE CPA | PreparerPersonNm |
| PTIN | P00187863 | PTIN |
| Phone | 4147775500 | PhoneNum |
| Preparation | 2022-08-29 | PreparationDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2019 | TaxYr |
| Build TS | 2022-09-23 18:48:47Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Amended Return | Yes (X) | AmendedReturnInd |
| Principal Officer | PATRICK HAMMER | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 34700 VALLEY ROAD | AddressLine1Txt |
| City | OCONOMOWOC | CityNm |
| State Abbreviation | WI | StateAbbreviationCd |
| ZIP | 53066 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $321,752,877 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.ROGERSBH.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1907 | FormationYr |
| Legal Domicile State | WI | LegalDomicileStateCd |
| Activity Or Mission | WE PROVIDE HIGHLY EFFECTIVE MENTAL HEALTH AND ADDICTION TREATMENT THAT HELPS PEOPLE REACH FULL POTENTIAL FOR HEALTH AND WELL-BEING. | ActivityOrMissionDesc |
| Voting Members Governing Body | 16 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 12 | VotingMembersIndependentCnt |
| Total Employee | 3516 | TotalEmployeeCnt |
| Total Volunteers | 12 | TotalVolunteersCnt |
| Total Gross UBI | $8,332,060 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $79,627 | PYContributionsGrantsAmt |
| CY Contributions Grants | $108,896 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $234,156,146 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $287,030,348 | CYProgramServiceRevenueAmt |
| PY Investment Income | $1,670,094 | PYInvestmentIncomeAmt |
| CY Investment Income | $2,691,770 | CYInvestmentIncomeAmt |
| PY Other Revenue | $0 | PYOtherRevenueAmt |
| CY Other Revenue | $0 | CYOtherRevenueAmt |
| PY Total Revenue | $235,905,867 | PYTotalRevenueAmt |
| CY Total Revenue | $289,831,014 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $2,582,012 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $4,198,413 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $148,984,773 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $178,118,029 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $62,817,625 | PYOtherExpensesAmt |
| CY Other Expenses | $71,615,297 | CYOtherExpensesAmt |
| PY Total Expenses | $214,384,410 | PYTotalExpensesAmt |
| CY Total Expenses | $253,931,739 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $21,521,457 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $35,899,275 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $307,428,253 | TotalAssetsBOYAmt |
| Total Assets EOY | $448,245,539 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $121,316,933 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $214,753,933 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $186,111,320 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $233,491,606 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | OUR 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 Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $199,538,643 | ExpenseAmt |
| Grant | $4,198,413 | GrantAmt |
| Revenue | $277,833,419 | RevenueAmt |
| Desc | WE ARE A NOT-FOR-PROFIT INDEPENDENT PROVIDER OF SPECIALIZED MENTAL HEALTH AND ADDICTION SERVICES FOR ADULTS, TEENS AND CHILDREN. OFFERING TREATMENT IN EIGHT STATES, WE ARE ONE OF THE LARGEST SPECIALTY BEHAVIORAL HEALTHCARE SYSTEMS IN THE U.S. TO MEET THE NEED OF PATIENTS, WE OFFER THREE LEVELS OF CARE: INPATIENT, RESIDENTIAL AND OUTPATIENT. IN FISCAL YEAR 2020, WE SERVED OUR COMMUNITY WITH 61,110 INPATIENT DAYS 91,435 RESIDENTIAL PATIENT DAYS AND 209,278 OUTPATIENT PATIENT DAYS. THIS 15% INCREASE FROM THE PRIOR YEAR IS DUE TO AN ENTIRE FISCAL YEAR OF CARE IN THE NEW 2019 RESIDENTIAL EXPANSION SPACE AND CONTINUED PROGRAMING GROWTH. THIS YEAR WE RESPONDED TO THE COVID-19 PANDEMIC BY QUICKLY CONVERTING ELIGIBLE PATIENTS TO TELEHEALTH CARE AND ADOPTING MORE EXTENSIVE SAFETY PROTOCOLS. THIS ALLOWED 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 | $199,538,643 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (1) | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | Yes (1) | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | Yes (1) | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | 0 | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | 0 | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | Yes (1) | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | Yes (1) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (1) | AuditedFinancialStmtAttInd |
| Grants To Organizations | Yes (1) | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | Yes (1) | TaxExemptBondsInd |
| Invest Tax Exempt Bonds | 0 | InvestTaxExemptBondsInd |
| Escrow Account | 0 | EscrowAccountInd |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuerInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | Yes (1) | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | 0 | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (1) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | Yes (1) | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 260 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 3516 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | Yes (1) | UnrelatedBusIncmOverLimitInd |
| Form990 T Filed | Yes (1) | Form990TFiledInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | Yes (1) | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | 0 | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 16 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 12 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (1) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (1) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (1) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (1) | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | WI | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | THE ORGANIZATION | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 2626464411 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 34700 VALLEY ROAD | AddressLine1Txt |
| City | OCONOMOWOC | CityNm |
| State Abbreviation | WI | StateAbbreviationCd |
| ZIP | 53066 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (31 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Highest Compensated EmployeeHighestCompensatedEmployeeInd | Key EmployeeKeyEmployeeInd |
|---|---|---|---|---|---|---|---|---|---|
| PATRICK HAMMER | |||||||||
| CEO - RBHS/ BOARD MEMBER | 1.00 | 40.00 | Yes (X) | Yes (X) | $0 | $1,154,049 | $180,511 | ||
| PAUL MUELLER | |||||||||
| CEO - RMH | 40.00 | 0.00 | Yes (X) | $757,130 | $0 | $135,161 | |||
| AHMED NUMAAN | |||||||||
| MEDICAL DIRECTOR | 40.00 | 0.00 | $817,051 | $0 | $11,200 | Yes (X) | |||
| KHAZI MUQEET | |||||||||
| MEDICAL DIRECTOR | 40.00 | 0.00 | $657,255 | $0 | $39,700 | Yes (X) | |||
| BRAD SMITH | |||||||||
| MEDICAL DIRECTOR | 40.00 | 0.00 | $596,243 | $0 | $40,206 | Yes (X) | |||
| MOHAMMED IQBAL | |||||||||
| PSYCHIATRIST | 40.00 | 0.00 | $577,959 | $0 | $37,103 | Yes (X) | |||
| PETER LAKE | |||||||||
| MEDICAL DIRECTOR | 40.00 | 0.00 | $555,795 | $0 | $46,252 | Yes (X) | |||
| BRADLEY RIEMANN | |||||||||
| CHIEF CLINICAL OFFICER/ BOARD MEMBER | 40.00 | 1.00 | Yes (X) | Yes (X) | $512,105 | $0 | $50,086 | ||
| JERRY HALVERSON | |||||||||
| CHIEF MEDICAL OFFICER/ BOARD MEMBER | 40.00 | 1.00 | Yes (X) | Yes (X) | $449,180 | $0 | $44,252 | ||
| ARNOLD STUEBER | |||||||||
| CFO | 1.00 | 40.00 | Yes (X) | $0 | $325,860 | $90,183 | |||
| JAY KELLISON | |||||||||
| COO - SAN FRAN | 40.00 | 0.00 | $384,723 | $0 | $18,558 | Yes (X) | |||
| KIMBERLY EFFERTZ | |||||||||
| COO - OCONOMOWOC | 40.00 | 0.00 | $300,201 | $0 | $42,198 | Yes (X) | |||
| JAMES KUBICEK | |||||||||
| COO - BROWN DEER (TO 06/2020) | 40.00 | 0.00 | $291,444 | $0 | $41,401 | Yes (X) | |||
| TERESA SCHULTZ | |||||||||
| CHIEF REGULATORY OFFICER | 40.00 | 0.00 | $257,859 | $0 | $30,246 | Yes (X) | |||
| SCOTT JOHNSON | |||||||||
| COO - ECM | 40.00 | 0.00 | $243,359 | $0 | $41,742 | Yes (X) | |||
| ANGIE CRAWFORD | |||||||||
| COO - WEST ALLIS (TO 12/2019) | 40.00 | 0.00 | $245,669 | $0 | $33,538 | Yes (X) | |||
| PATRICK ANDRITSCH | |||||||||
| BOARD CHAIR (EFF. 09/2019) | 3.00 | 3.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| CALVIN SCHMIDT | |||||||||
| BOARD CHAIR (TO 09/2019) | 3.00 | 3.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| BARBARA GROMACKI | |||||||||
| BOARD VICE CHAIR | 3.00 | 3.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| CHRISTOPHER FITZPATRICK | |||||||||
| BOARD TREASURER (EFF. 09/2019) | 3.00 | 3.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| WILLIAM MULLIGAN | |||||||||
| BOARD SECRETARY | 3.00 | 3.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| DANIEL BADER | |||||||||
| BOARD MEMBER | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| NICHOLAS BAUER | |||||||||
| BOARD MEMBER | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| MARTIN BORELL | |||||||||
| BOARD MEMBER | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| KEVIN FLANAGAN | |||||||||
| BOARD MEMBER | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| GINA MARKSON MAGNUS | |||||||||
| BOARD MEMBER | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| BOB OLSON | |||||||||
| BOARD MEMBER | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| MAUREEN STAPLETON | |||||||||
| BOARD MEMBER | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| KAMILAH WILLIAMS-KEMP | |||||||||
| BOARD MEMBER | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| BARBARA ZABAWA | |||||||||
| BOARD MEMBER | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| JON LEHRMANN | |||||||||
| BOARD MEMBER (TO 08/2019) | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $6,645,973 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $1,479,909 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $882,337 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 212 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| VJS CONSTRUCTIONS SERVICES INC | |||||
| W233N2847 ROUNDY CIRCLE W | PEWAUKEE | WI | 53072 | CONSTRUCTION SERVICE | $5,612,797 |
| CERNER CORPORATION | |||||
| 2800 ROCKCREEK PARKWAY | NORTH KANSAS CITY | MO | 64117 | HEALTH INFORMATION TECHNOLOGY | $3,709,888 |
| GORDON FOOD SERVICE INC | |||||
| 10901 38TH STREET | KENOSHA | WI | 53144 | FOOD SERVICE | $2,678,933 |
| CIELO INC | |||||
| 200 S EXECUTIVE DRIVE SUITE 400 | BROOKFIELD | WI | 53005 | RECRUITING SERVICE | $2,425,186 |
| WARNER CONSTRUCTORS INC | |||||
| 6333 SAN FERNANDO BLVD | GLENDALE | CA | 91201 | CONSTRUCTION SERVICE | $1,461,212 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 123 | CntrctRcvdGreaterThan100KCnt |
| Related Organizations | $108,896 | RelatedOrganizationsAmt |
| Total Contributions | $108,896 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (5 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | Unrelated Business RevenueUnrelatedBusinessRevenueAmt |
|---|---|---|---|---|
| RESIDENTIAL REVENUE | 623220 | $97,258,124 | $97,258,124 | |
| OUTPATIENT REVENUE | 621420 | $96,218,074 | $96,218,074 | |
| INPATIENT REVENUE | 622210 | $80,178,999 | $80,178,999 | |
| MANAGEMENT SERVICES | 541610 | $8,305,389 | $8,305,389 | |
| PROVIDER RELIEF FUNDS | 900099 | $4,178,222 | $4,178,222 |
Total Oth Program Service Rev TotalOthProgramServiceRevGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $891,540 | TotalRevenueColumnAmt |
| Unrelated Business Revenue | $26,671 | UnrelatedBusinessRevenueAmt |
| Exclusion | $864,869 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $287,030,348 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $2,643,915 | TotalRevenueColumnAmt |
| Exclusion | $2,643,915 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $31,969,718 | SecuritiesAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $31,904,652 | SecuritiesAmt |
| Other | $17,211 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $65,066 | SecuritiesAmt |
| Other | -$17,211 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $47,855 | TotalRevenueColumnAmt |
| Exclusion | $47,855 | ExclusionAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $289,831,014 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $277,833,419 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $8,332,060 | UnrelatedBusinessRevenueAmt |
| Exclusion | $3,556,639 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,198,413 | TotalAmt |
| Program Services | $4,198,413 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,741,335 | TotalAmt |
| Program Services | $192,257 | ProgramServicesAmt |
| Management And General | $3,549,078 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $143,661,225 | TotalAmt |
| Program Services | $128,274,788 | ProgramServicesAmt |
| Management And General | $15,386,437 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,312,362 | TotalAmt |
| Program Services | $3,671,995 | ProgramServicesAmt |
| Management And General | $640,367 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $16,648,585 | TotalAmt |
| Program Services | $14,261,526 | ProgramServicesAmt |
| Management And General | $2,387,059 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $9,754,522 | TotalAmt |
| Program Services | $8,506,258 | ProgramServicesAmt |
| Management And General | $1,248,264 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,689,853 | TotalAmt |
| Management And General | $1,689,853 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $136,950 | TotalAmt |
| Management And General | $136,950 | ManagementAndGeneralAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $114,743 | TotalAmt |
| Management And General | $114,743 | ManagementAndGeneralAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $598,352 | TotalAmt |
| Management And General | $598,352 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $25,833,549 | TotalAmt |
| Program Services | $9,692,317 | ProgramServicesAmt |
| Management And General | $16,141,232 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,521,368 | TotalAmt |
| Program Services | $176,927 | ProgramServicesAmt |
| Management And General | $1,344,441 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,539,108 | TotalAmt |
| Program Services | $1,868,948 | ProgramServicesAmt |
| Management And General | $3,670,160 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $207,262 | TotalAmt |
| Program Services | $35,366 | ProgramServicesAmt |
| Management And General | $171,896 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,857,123 | TotalAmt |
| Program Services | $5,312,193 | ProgramServicesAmt |
| Management And General | $544,930 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,367,617 | TotalAmt |
| Program Services | $629,325 | ProgramServicesAmt |
| Management And General | $738,292 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $88,463 | TotalAmt |
| Program Services | $88,463 | ProgramServicesAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,913,603 | TotalAmt |
| Program Services | $3,522,243 | ProgramServicesAmt |
| Management And General | $391,360 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $13,907,911 | TotalAmt |
| Program Services | $10,240,064 | ProgramServicesAmt |
| Management And General | $3,667,847 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,565,291 | TotalAmt |
| Program Services | $52,723 | ProgramServicesAmt |
| Management And General | $1,512,568 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (3 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| BAD DEBT EXPENSE | $5,528,299 | $5,528,299 | |
| FOOD | $3,234,186 | $2,991,336 | $242,850 |
| DUE/FEES/SUBSCRIPTIONS | $511,619 | $295,202 | $216,417 |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $253,931,739 | TotalAmt |
| Program Services | $199,538,643 | ProgramServicesAmt |
| Management And General | $54,393,096 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $33,849,585 | BOYAmt |
| EOY | $123,591,473 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $27,450,900 | BOYAmt |
| EOY | $30,504,333 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,986,449 | BOYAmt |
| EOY | $2,605,512 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $228,999,074 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $77,944,658 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $149,836,814 | BOYAmt |
| EOY | $151,054,416 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $62,557,454 | BOYAmt |
| EOY | $83,521,786 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $16,046,078 | BOYAmt |
| EOY | $8,835,844 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $15,700,973 | BOYAmt |
| EOY | $48,132,175 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $307,428,253 | BOYAmt |
| EOY | $448,245,539 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $25,607,299 | BOYAmt |
| EOY | $24,380,699 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $47,505,000 | BOYAmt |
| EOY | $103,025,000 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $34,350,145 | BOYAmt |
| EOY | $41,671,968 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $13,854,489 | BOYAmt |
| EOY | $45,676,266 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $121,316,933 | BOYAmt |
| EOY | $214,753,933 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows FASB117 | Yes (X) | OrganizationFollowsFASB117Ind |
No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $175,609,347 | BOYAmt |
| EOY | $218,452,952 | EOYAmt |
Donor Restriction Net Assets DonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $10,501,973 | BOYAmt |
| EOY | $15,038,654 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $186,111,320 | BOYAmt |
| EOY | $233,491,606 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $307,428,253 | BOYAmt |
| EOY | $448,245,539 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $35,899,275 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $4,118,693 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | $7,362,318 | OtherChangesInNetAssetsAmt |
| Info In Schedule O Part XII | Yes (X) | InfoInScheduleOPartXIIInd |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Section4955 Organization Tax | $0 | Section4955OrganizationTaxAmt |
| Section4955 Managers Tax | $0 | Section4955ManagersTaxAmt |
| Volunteers | 0 | VolunteersInd |
| Paid Staff Or Management | 0 | PaidStaffOrManagementInd |
| Media Advertisements | 0 | MediaAdvertisementsInd |
| Mailings Members | 0 | MailingsMembersInd |
| Publications Or Broadcast | 0 | PublicationsOrBroadcastInd |
| Grants Other Organizations | 0 | GrantsOtherOrganizationsInd |
| Direct Contact Legislators | 0 | DirectContactLegislatorsInd |
| Rallies Demonstrations | 0 | RalliesDemonstrationsInd |
| Other Activities | Yes (1) | OtherActivitiesInd |
| Other Activities | $114,743 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $114,743 | TotalLobbyingExpendituresAmt |
| Not Described Section501c3 | 0 | NotDescribedSection501c3Ind |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART II-B, LINE 1: | FormAndLineReferenceDesc |
| Explanation | PORTIONS OF ASSOCIATION DUES ALLOCATED FOR LOBBYING EXPENSES OF WHA $40,377 (16.7%) TOTALING $6,742.96. ROGERS MEMORIAL HOSPITAL ALSO EMPLOYS MICHAEL BEST FOR $108,000 WHO COMMUNICATE ON THE HOSPITALS' BEHALF. | ExplanationTxt |
Schedule D IRS990ScheduleD
CY Endwmt Fund CYEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $2,699,307 | BeginningYearBalanceAmt |
| Contributions | $27,302 | ContributionsAmt |
| Investment Earnings Or Losses | $217,800 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $55,868 | OtherExpendituresAmt |
| End Year Balance | $2,888,541 | EndYearBalanceAmt |
CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $2,529,486 | BeginningYearBalanceAmt |
| Contributions | $131,917 | ContributionsAmt |
| Investment Earnings Or Losses | $116,018 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $78,114 | OtherExpendituresAmt |
| End Year Balance | $2,699,307 | EndYearBalanceAmt |
CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $2,401,177 | BeginningYearBalanceAmt |
| Contributions | $1,839 | ContributionsAmt |
| Investment Earnings Or Losses | $186,974 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $60,504 | OtherExpendituresAmt |
| End Year Balance | $2,529,486 | EndYearBalanceAmt |
CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $2,169,064 | BeginningYearBalanceAmt |
| Contributions | $93,526 | ContributionsAmt |
| Investment Earnings Or Losses | $181,954 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $43,367 | OtherExpendituresAmt |
| End Year Balance | $2,401,177 | EndYearBalanceAmt |
CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $2,173,390 | BeginningYearBalanceAmt |
| Contributions | $5,208 | ContributionsAmt |
| Investment Earnings Or Losses | $21,697 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $31,231 | OtherExpendituresAmt |
| End Year Balance | $2,169,064 | EndYearBalanceAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Board Designated Balance EOY | 0.00000 | BoardDesignatedBalanceEOYPct |
| Prmnnt Endowment Balance EOY | 0.77130 | PrmnntEndowmentBalanceEOYPct |
| Term Endowment Balance EOY | 0.22870 | TermEndowmentBalanceEOYPct |
| Endowments Held Unrelated Org | 0 | EndowmentsHeldUnrelatedOrgInd |
| Endowments Held Related Org | Yes (1) | EndowmentsHeldRelatedOrgInd |
| Related Org List Sch R | Yes (1) | RelatedOrgListSchRInd |
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $10,098,386 | OtherCostOrOtherBasisAmt |
| Book Value | $10,098,386 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $148,637,552 | OtherCostOrOtherBasisAmt |
| Depreciation | $44,065,215 | DepreciationAmt |
| Book Value | $104,572,337 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $6,308,554 | OtherCostOrOtherBasisAmt |
| Depreciation | $3,766,144 | DepreciationAmt |
| Book Value | $2,542,410 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $54,629,716 | OtherCostOrOtherBasisAmt |
| Depreciation | $30,113,299 | DepreciationAmt |
| Book Value | $24,516,417 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $9,324,866 | OtherCostOrOtherBasisAmt |
| Book Value | $9,324,866 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $151,054,416 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp (3 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| INTEREST IN NET ASSETS - ROGERS MEMORIAL FOUNDATION | $15,038,654 |
| DUE FROM RELATED ORGANIZATIONS | $8,810,658 |
| LEASE RIGHT OF USE ASSETS, NET | $24,282,863 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $48,132,175 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (5 entries)
| DescDesc | AmtAmt |
|---|---|
| AR CREDIT BALANCES | $563,797 |
| DEFERRED COMPENSATION | $6,730,363 |
| DUE TO ROGERS BEHAVIORAL HEALTH SYSTEMS, INC. | $543,287 |
| LEASE LIABILITY | $27,541,131 |
| DUE TO THIRD PARTY PAYORS | $10,297,688 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $45,676,266 | TotalLiabilityAmt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART V, LINE 4: | FormAndLineReferenceDesc |
| Explanation | 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. | ExplanationTxt |
Schedule F IRS990ScheduleF
Account Activities Outside US AccountActivitiesOutsideUSGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Region | CENTRAL AMERICA AND THE CARIBBEAN - ANTIGUA & BARBUDA, ARUBA, BAHAMAS, | RegionTxt |
| Offices | 0 | OfficesCnt |
| Employee | 0 | EmployeeCnt |
| Type Of Activities Conducted | INVESTMENTS | TypeOfActivitiesConductedTxt |
| Region Total Expenditures | $2,652,851 | RegionTotalExpendituresAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Subtotal Offices | 0 | SubtotalOfficesCnt |
| Subtotal Employees | 0 | SubtotalEmployeesCnt |
| Continuation Total Office | 0 | ContinuationTotalOfficeCnt |
| Continuation Total Employee | 0 | ContinuationTotalEmployeeCnt |
| Total Office | 0 | TotalOfficeCnt |
| Total Employee | 0 | TotalEmployeeCnt |
| Subtotal Spent | $2,652,851 | SubtotalSpentAmt |
| Continuation Spent | $0 | ContinuationSpentAmt |
| Total Spent | $2,652,851 | TotalSpentAmt |
| Transfer To Foreign Corp | Yes (1) | TransferToForeignCorpInd |
| Interest In Foreign Trust | 0 | InterestInForeignTrustInd |
| Foreign Corp Ownership | Yes (1) | ForeignCorpOwnershipInd |
| Passive Foreign Investmest Co | Yes (1) | PassiveForeignInvestmestCoInd |
| Foreign Partnership | 0 | ForeignPartnershipInd |
| Boycott Countries | 0 | BoycottCountriesInd |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (1) | FinancialAssistancePolicyInd |
| Written Policy | Yes (1) | WrittenPolicyInd |
| All Hospitals Policy | Yes (X) | AllHospitalsPolicyInd |
| FPG Reference Free Care | Yes (1) | FPGReferenceFreeCareInd |
| Percent100 | Yes (X) | Percent100Ind |
| FPG Reference Discounted Care | Yes (1) | FPGReferenceDiscountedCareInd |
| Percent400 | Yes (X) | Percent400Ind |
| Free Care Medically Indigent | Yes (1) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (1) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | Yes (1) | ExpensesExceedBudgetInd |
| Unable To Provide Care | 0 | UnableToProvideCareInd |
| Annual Community Bnft Report | Yes (1) | AnnualCommunityBnftReportInd |
| Report Publically Available | Yes (1) | ReportPublicallyAvailableInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $3,897,771 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $3,897,771 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01570 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $64,944,589 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $32,407,903 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $32,536,686 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.13100 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $68,842,360 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $32,407,903 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $36,434,457 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.14670 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $1,208,305 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $1,208,305 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00490 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $120,158 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $29,265 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $90,893 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00040 | TotalExpensePct |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $274,211 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $274,211 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00110 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $1,602,674 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $29,265 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $1,573,409 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00640 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $70,445,034 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $32,437,168 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $38,007,866 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.15310 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (1) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $5,528,299 | BadDebtExpenseAmt |
| Reimbursed By Medicare | $2,586,393 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $4,618,856 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$2,032,463 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | Yes (X) | OtherInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | Yes (1) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (1) | FinancialAssistancePrvsnInd |
| Hospital Facilities | 3 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp (3 entries)
| FacilityFacilityNum | Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | Website AddressWebsiteAddressTxt | Licensed HospitalLicensedHospitalInd |
|---|---|---|---|---|---|---|
| ROGERS MEMORIAL HOSPITAL - OCONOMOWOC | ||||||
| 1 | 34700 VALLEY ROAD | OCONOMOWOC | WI | 53006 | WWW.ROGERSBH.ORG | Yes (X) |
| ROGERS MEMORIAL HOSPITAL - WEST ALLIS | ||||||
| 2 | 11101 W LINCOLN AVEUE | MILWAUKEE | WI | 53227 | WWW.ROGERSBH.ORG | Yes (X) |
| ROGERS MEMORIAL HOSPITAL - BROWN DEER | ||||||
| 3 | 4600 WEST SCHROEDER DRIVE SUITE 2 | BROWN DEER | WI | 53223 | WWW.ROGERSBH.ORG | Yes (X) |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp (3 entries)
| FacilityFacilityNum | First Licensed CY Or PYFirstLicensedCYOrPYInd | Tax Exempt Hospital CY Or PYTaxExemptHospitalCYOrPYInd | CHNA ConductedCHNAConductedInd | Community DefinitionCommunityDefinitionInd | Community DemographicsCommunityDemographicsInd | Existing ResourcesExistingResourcesInd | How Data ObtainedHowDataObtainedInd | Community Health NeedsCommunityHealthNeedsInd | Other Health IssuesOtherHealthIssuesInd | Community Hlth Needs Id ProcessCommunityHlthNeedsIdProcessInd | Consulting ProcessConsultingProcessInd | Prior CHNA ImpactPriorCHNAImpactInd | CHNA ConductedCHNAConductedYr | Take Into Account Others InputTakeIntoAccountOthersInputInd | CHNA Conducted With Other FcltsCHNAConductedWithOtherFcltsInd | CHNA Conducted With Non FcltsCHNAConductedWithNonFcltsInd | CHNA Report Widely AvailableCHNAReportWidelyAvailableInd | Rpt Available On Own WebsiteRptAvailableOnOwnWebsiteInd | Own Website URLOwnWebsiteURLTxt | Paper Copy Public InspectionPaperCopyPublicInspectionInd | Rpt Available Thru Other MethodRptAvailableThruOtherMethodInd | Implementation Strategy AdoptImplementationStrategyAdoptInd | Implementation Strategy AdptImplementationStrategyAdptYr | Strategy Posted WebsiteStrategyPostedWebsiteInd | Strategy Website URLStrategyWebsiteURLTxt | Organization Incur Excise TaxOrganizationIncurExciseTaxInd | Elig Criteria ExplainedEligCriteriaExplainedInd | FPG Family Incm Lmt Free DscntFPGFamilyIncmLmtFreeDscntInd | FPG Family Incm Lmt Free CareFPGFamilyIncmLmtFreeCarePct | FPG Family Incm Lmt Dscnt CareFPGFamilyIncmLmtDscntCarePct | Income Level CriteriaIncomeLevelCriteriaInd | Asset Level CriteriaAssetLevelCriteriaInd | Medical Indigency CriteriaMedicalIndigencyCriteriaInd | Insurance Status CriteriaInsuranceStatusCriteriaInd | Underinsurance Stat CriteriaUnderinsuranceStatCriteriaInd | Explained BasisExplainedBasisInd | App Financial Asst ExplnAppFinancialAsstExplnInd | Described InfoDescribedInfoInd | Described Suprt DocDescribedSuprtDocInd | Provided Hospital ContactProvidedHospitalContactInd | Provided Nonprofit ContactProvidedNonprofitContactInd | Includes Publicity MeasuresIncludesPublicityMeasuresInd | FAP Available On WebsiteFAPAvailableOnWebsiteInd | FAP Available On Website URLFAPAvailableOnWebsiteURLTxt | FAP App Available On WebsiteFAPAppAvailableOnWebsiteInd | FAP App Available On Website URLFAPAppAvailableOnWebsiteURLTxt | FAP Summary On WebsiteFAPSummaryOnWebsiteInd | FAP Summary On Website URLFAPSummaryOnWebsiteURLTxt | FAP Avlbl On Request No ChargeFAPAvlblOnRequestNoChargeInd | FAP App Avlbl On Request No ChrgFAPAppAvlblOnRequestNoChrgInd | FAP Sum Avlbl On Request No ChrgFAPSumAvlblOnRequestNoChrgInd | Notified FAP Copy Bill DisplayNotifiedFAPCopyBillDisplayInd | Communtity Notified FAPCommuntityNotifiedFAPInd | FAP TranslatedFAPTranslatedInd | Other PublicityOtherPublicityInd | FAP Actions On NonpaymentFAPActionsOnNonpaymentInd | Permit No ActionsPermitNoActionsInd | Collection ActivitiesCollectionActivitiesInd | Made Effort Orally NotifyMadeEffortOrallyNotifyInd | Made Presumptive Elig DetermMadePresumptiveEligDetermInd | Nondis Emergency Care PolicyNondisEmergencyCarePolicyInd | Look Back Medicare PrivateLookBackMedicarePrivateInd | Amounts Generally BilledAmountsGenerallyBilledInd | Gross ChargesGrossChargesInd |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| ROGERS MEMORIAL HOSPITAL - OCONOMOWOC | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| 1 | 0 | 0 | Yes (1) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | 18 | Yes (1) | 0 | 0 | Yes (1) | Yes (X) | SEE PART V, SECTION B, LINE 7D | Yes (X) | Yes (X) | Yes (1) | 18 | Yes (1) | SEE PART V, SECTION B, LINE 7D | 0 | Yes (1) | Yes (X) | 100.000000000000 | 400.000000000000 | Yes (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 8 | Yes (X) | SEE SUPPLEMENTAL INFORMATION PART V, PAGE 8 | Yes (X) | SEE SUPPLEMENTAL INFORMATION PART V, PAGE 8 | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (1) | Yes (X) | 0 | Yes (X) | Yes (X) | Yes (1) | Yes (X) | 0 | 0 |
| ROGERS MEMORIAL HOSPITAL - WEST ALLIS | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| 2 | 0 | 0 | Yes (1) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | 18 | Yes (1) | 0 | 0 | Yes (1) | Yes (X) | SEE PART V, SECTION B, LINE 7D | Yes (X) | Yes (X) | Yes (1) | 18 | Yes (1) | SEE PART V, SECTION B, LINE 7D | 0 | Yes (1) | Yes (X) | 100.000000000000 | 400.000000000000 | Yes (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 8 | Yes (X) | SEE SUPPLEMENTAL INFORMATION PART V, PAGE 8 | Yes (X) | SEE SUPPLEMENTAL INFORMATION PART V, PAGE 8 | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (1) | Yes (X) | 0 | Yes (X) | Yes (X) | Yes (1) | Yes (X) | 0 | 0 |
| ROGERS MEMORIAL HOSPITAL - BROWN DEER | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| 3 | 0 | 0 | Yes (1) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | 18 | Yes (1) | 0 | 0 | Yes (1) | Yes (X) | SEE PART V, SECTION B, LINE 7D | Yes (X) | Yes (X) | Yes (1) | 18 | Yes (1) | SEE PART V, SECTION B, LINE 7D | 0 | Yes (1) | Yes (X) | 100.000000000000 | 400.000000000000 | Yes (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 8 | Yes (X) | SEE SUPPLEMENTAL INFORMATION PART V, PAGE 8 | Yes (X) | SEE SUPPLEMENTAL INFORMATION PART V, PAGE 8 | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (1) | Yes (X) | 0 | Yes (X) | Yes (X) | Yes (1) | Yes (X) | 0 | 0 |
Supplemental Information SupplementalInformationGrp (13 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| ROGERS MEMORIAL HOSPITAL - OCONOMOWOC | PART 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 ALLIS | PART 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 DEER | PART 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 - OCONOMOWOC | PART V, SECTION B, LINE 7D: HTTPS://ROGERSBH.ORG/ABOUT-US/NEWSROOM/PUBLICATIONS |
| ROGERS MEMORIAL HOSPITAL - WEST ALLIS | PART V, SECTION B, LINE 7D: HTTPS://ROGERSBH.ORG/ABOUT-US/NEWSROOM/PUBLICATIONS |
| ROGERS MEMORIAL HOSPITAL - BROWN DEER | PART V, SECTION B, LINE 7D: HTTPS://ROGERSBH.ORG/ABOUT-US/NEWSROOM/PUBLICATIONS |
| ROGERS MEMORIAL HOSPITAL - OCONOMOWOC | PART 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 ALLIS | PART 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 DEER | PART 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 - OCONOMOWOC | PART V, SECTION B, LINE 16J: NOTIFIED INDIVIDUALS THROUGH COMMUNICATIONS REGARDING THEIR BILLS. |
| ROGERS MEMORIAL HOSPITAL - WEST ALLIS | PART V, SECTION B, LINE 16J: NOTIFIED INDIVIDUALS THROUGH COMMUNICATIONS REGARDING THEIR BILLS. |
| ROGERS MEMORIAL HOSPITAL - BROWN DEER | PART V, SECTION B, LINE 16J: NOTIFED INDIVIDUALS THROUGH COMMUNICATIONS REGARDING THEIR BILLS. |
| PART V, SECTION B, LINE 16A-16 - WEBSITE LINKS | FAP: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 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 15 | FacilityNum |
Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp
Oth Hlth Care Fclts OthHlthCareFcltsGrp (15 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | FacilityFacilityTxt | Address Line2USAddress/AddressLine2Txt |
|---|---|---|---|---|---|
| 1 - ROGERS MEMORIAL HOSPITAL - MADISON | |||||
| 406 SCIENCE DRIVE SUITE 110 | MADISON | WI | 53711 | CENTER FOR EATING AND ANXIETY DISORDERS, AND COGNITIVE-BEHAVIORAL THERAPY | |
| 2 - ROGERS BEHAVIORAL HEALTH - SKOKIE | |||||
| 4711 GOLF ROAD SUITE 600 | SKOKIE | IL | 60076 | CENTER FOR OCD, ANXIETY, EATING, DEPRESSION, AND MOOD DISORDERS | |
| 3 - ROGERS BEHAVIORAL HEALTH - MINNEAPOLIS | |||||
| 6442 CITY WEST PARKWAY SUITE 200 | EDEN PRAIRIE | MN | 55344 | CENTER FOR OCD, ANXIETY, EATING, DEPRESSION, PTSD, AND MOOD DISORDERS | |
| 4 - ROGERS BEHAVIORAL HEALTH - APPLETON | |||||
| 4531 W COLLEGE AVE 300 | APPLETON | WI | 54914 | CENTER FOR OCD, ANXIETY, EATING, DEPRESSION, PTSD, AND MOOD DISORDERS | |
| 5 - ROGERS BEHAVIORAL HEALTH - TAMPA | |||||
| 2002 N LOIS AVE SUITE 400 | TAMPA | FL | 33607 | CENTER FOR OCD, ANXIETY, EATING, DEPRESSION, AND MOOD DISORDERS | |
| 6 - ROGERS BEHAVIORAL HEALTH - SAN FRANCISCO | |||||
| 420 N WIGET LANE BUILDING 2 | WALNUT CREEK | CA | 94598 | CENTER FOR OCD, ANXIETY AND MOOD DISORDERS | |
| 7 - ROGERS BEHAVIORAL HEALTH - NASHVILLE | |||||
| 4230 HARDING ROAD SUITE 707 | NASHVILLE | TN | 37205 | CENTER FOR OCD, ANXIETY AND EATING DISORDERS | |
| 8 - ROGERS BEHAVIORAL HEALTH - HINSDALE | |||||
| 907 NORTH ELM STREET SUITE 300 | HINSDALE | IL | 60521 | CENTER FOR MOOD DISORDERS, OCD, ANXIETY, PTSD, MENTAL HEALTH | |
| 9 - ROGERS MEMORIAL HOSPITAL - KENOSHA | |||||
| 9916 75TH STREET | KENOSHA | WI | 53142 | TREATMENT CENTER FOR CHILDREN AND ADOLESCENTS | |
| 10 - ROGERS BEHAVIORAL HEALTH - PHILADELPHIA | |||||
| 1 WINDING DRIVE SUITE 106 | PHILADELPHIA | PA | 19131 | CENTER FOR OCD, ANXIETY, EATING, DEPRESSION, PTSD, AND MOOD DISORDERS | |
| 11 - ROGERS BEHAVIORAL HEALTH - ST PAUL | |||||
| 576 BEILENBERG DRIVE SUITE 180 | WOODBURY | MN | 55125 | CENTER FOR OCD, ANXIETY, DEPRESSION RECOVERY, MENTAL HEALTH | |
| 12 - ROGERS BEHAVIORAL HEALTH - SAN DIEGO | |||||
| 17140 BERNARDO CENTER DRIVE | SAN DIEGO | CA | 92128 | CENTER FOR OCD, ANXIETY, AND DEPRESSION RECOVERY | |
| 13 - ROGERS BEHAVIORAL HEALTH - MIAMI | |||||
| 5805 BLUE LAGOON DRIVE SUITE 440 | MIAMI | FL | 33126 | CENTER FOR OCD, ANXIETY, DEPRESSION, MOOD DISORDERS, MENTAL HEALTH | |
| 14 - ROGERS BEHAVIORAL HEALTH - LOS ANGELES | |||||
| 5140 WEST GOLDLEAF CIRCLE SUITE 250 | LOS ANGELES | CA | 90056 | CENTER FOR OCD, ANXIETY, AND DEPRESSION RECOVERY | |
| 15 - ROGERS BEHAVIORAL HEALTH - ATLANTA | |||||
| 50 GLENLAKE PARKWAY NORTHEAST SUITE | SANDY SPRINGS | GA | 30328 | CENTER FOR OCD, ANXIETY, DEPRESSION, MOOD DISORDERS, MENTAL HEALTH, AND DEPR | 200 |
Supplemental Information Detail SupplementalInformationDetail (11 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| 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 OR 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 $5,528,299. |
| 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: | THE AUDITED FINANCIAL STATEMENTS DO NOT INCLUDE A DETAILED FOOTNOTE DISCUSSING BAD DEBT EXPENSE. THE ORGANIZATION IS PROVIDING THE SUPPLEMENTAL INFORMATION BELOW:THE CARRYING AMOUNTS OF PATIENT ACCOUNTS RECEIVABLE ARE REDUCED BY ALLOWANCES THAT REFLECT MANAGEMENT'S BEST ESTIMATE OF THE AMOUNTS THAT WILL NOT BE COLLECTED. MANAGEMENT PROVIDES FOR CONTRACTUAL ADJUSTMENTS UNDER TERMS OF THIRD-PARTY REIMBURSEMENT AGREEMENTS THROUGH A CHARGE TO GROSS REVENUE AND A CREDIT TO PATIENT ACCOUNTS RECEIVABLE. IN ADDITION, MANAGEMENT PROVIDES FOR PROBABLE UNCOLLECTIBLE AMOUNTS, PRIMARILY FROM UNINSURED PATIENTS AND AMOUNTS PATIENTS ARE PERSONALLY RESPONSIBLE FOR, THROUGH A CHARGE TO OPERATIONS AND A CREDIT TO A VALUATION ALLOWANCE BASED ON ITS ASSESSMENT OF HISTORICAL COLLECTION LIKELIHOOD AND THE CURRENT STATUS OF INDIVIDUAL ACCOUNTS. BALANCES THAT ARE STILL OUTSTANDING AFTER MANAGEMENT HAS USED REASONABLE COLLECTION EFFORTS ARE WRITTEN OFF THROUGH A CHARGE TO THE VALUATION ALLOWANCE AND A CREDIT TO PATIENT ACCOUNTS RECEIVABLE.ROGERS USES PROPENSITY TO PAY TO IDENTIFY INDIVIDUALS THAT ARE ELIGIBLE FOR CHARITY CARE. THE USE OF THIS TOOL HAS HELPED ROGERS RECOGNIZE MORE CHARITY CARE AND DIRECTLY DECREASED BAD DEBT. |
| 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 7 DIFFERENT STATES ACROSS THE UNITED STATES. WITH OVER 24,284 ADMITS IN FY2020, APPROXIMATELY 72% WERE PATIENTS FROM WISCONSIN WHILE 28% WERE SOURCED FROM OTHER STATES. PATIENTS FROM SOUTHEAST WISCONSIN (MILWAUKEE, WAUKESHA, OZAUKEE, RACINE AND WASHINGTON COUNTIES) MADE UP ABOUT 44% 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (1) | GrantRecordsMaintainedInd |
Recipient Table RecipientTable (5 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | Recipient EINRecipientEIN | IRC SectionIRCSectionDesc | Cash GrantCashGrantAmt | Non Cash AssistanceNonCashAssistanceAmt | Valuation Method UsedValuationMethodUsedDesc | Non Cash AssistanceNonCashAssistanceDesc | Purpose Of GrantPurposeOfGrantTxt |
|---|---|---|---|---|---|---|---|---|---|---|
| ROGERS MEMORIAL HOSPITAL FOUNDATION INC | ||||||||||
| 34700 VALLEY ROAD | OCONOMOWOC | WI | 53066 | 391363507 | 501(C)(3) | $3,000,000 | $1,082,826 | COST | IN-KIND SERVICES | PROVIDES SUPPORT TO THE RMHF TO ASSIST IN CARRYING OT ITS EXEMPT PURPOSE |
| UNITED WAY OF GREATER MILWAUKEE & WAUKESHA COUNTY | ||||||||||
| PO BOX 88110 | MILWAUKEE | WI | 53288 | 390806190 | 501(C)(3) | $10,000 | CORPORATE CAMPAIGN | |||
| VILLAGE OF SUMMIT POLICE DEPARTMENT | ||||||||||
| 37100 DELAFIELD RD | OCONOMOWOC | WI | 53066 | $37,488 | NEW SQUAD CAR | |||||
| INTERNATIONAL OCD FOUNDATION | ||||||||||
| PO BOX 961029 | BOSTON | MA | 02196 | 222894564 | 501(C)(3) | $50,000 | PARTNERSHIP AND SUPPORT | |||
| OCD WISCONSIN FOUNDATION | ||||||||||
| PO BOX 623 | OCONOMOWOC | WI | 53066 | 462074424 | 501(C)(3) | $10,000 | PARTNERSHIP AND SUPPORT | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 5 | Total501c3OrgCnt |
| Total Other Org | 0 | TotalOtherOrgCnt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART I, LINE 2: | FormAndLineReferenceDesc |
| Explanation | AS 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. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Club Dues Or Fees | Yes (X) | ClubDuesOrFeesInd |
| Written Policy Ref T And E Expnss | 0 | WrittenPolicyRefTAndEExpnssInd |
| Substantiation Required | 0 | SubstantiationRequiredInd |
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| Independent Consultant | Yes (X) | IndependentConsultantInd |
| Form990 Of Other Organizations | Yes (X) | Form990OfOtherOrganizationsInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | Yes (1) | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | Yes (1) | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (16 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| PATRICK HAMMER | ||||||||||||||
| CEO - RBHS/ BOARD MEMBER | $0 | $667,682 | $0 | $319,300 | $0 | $167,067 | $0 | $152,727 | $0 | $27,784 | $0 | $1,334,560 | $0 | $5,319 |
| PAUL MUELLER | ||||||||||||||
| CEO - RMH | $594,367 | $0 | $153,147 | $0 | $9,616 | $0 | $98,193 | $0 | $36,968 | $0 | $892,291 | $0 | $0 | $0 |
| AHMED NUMAAN | ||||||||||||||
| MEDICAL DIRECTOR | $384,850 | $0 | $430,911 | $0 | $1,290 | $0 | $11,200 | $0 | $0 | $0 | $828,251 | $0 | $0 | $0 |
| KHAZI MUQEET | ||||||||||||||
| MEDICAL DIRECTOR | $381,208 | $0 | $275,747 | $0 | $300 | $0 | $10,891 | $0 | $28,809 | $0 | $696,955 | $0 | $0 | $0 |
| BRAD SMITH | ||||||||||||||
| MEDICAL DIRECTOR | $399,554 | $0 | $195,830 | $0 | $859 | $0 | $11,200 | $0 | $29,006 | $0 | $636,449 | $0 | $0 | $0 |
| MOHAMMED IQBAL | ||||||||||||||
| PSYCHIATRIST | $313,166 | $0 | $264,655 | $0 | $138 | $0 | $1,521 | $0 | $35,582 | $0 | $615,062 | $0 | $0 | $0 |
| PETER LAKE | ||||||||||||||
| MEDICAL DIRECTOR | $423,064 | $0 | $118,052 | $0 | $14,679 | $0 | $11,200 | $0 | $35,052 | $0 | $602,047 | $0 | $0 | $0 |
| BRADLEY RIEMANN | ||||||||||||||
| CHIEF CLINICAL OFFICER/ BOARD MEMBER | $413,688 | $0 | $96,250 | $0 | $2,167 | $0 | $11,200 | $0 | $38,886 | $0 | $562,191 | $0 | $0 | $0 |
| JERRY HALVERSON | ||||||||||||||
| CHIEF MEDICAL OFFICER/ BOARD MEMBER | $370,480 | $0 | $55,000 | $0 | $23,700 | $0 | $11,200 | $0 | $33,052 | $0 | $493,432 | $0 | $0 | $0 |
| ARNOLD STUEBER | ||||||||||||||
| CFO | $0 | $249,970 | $0 | $66,000 | $0 | $9,890 | $0 | $58,294 | $0 | $31,889 | $0 | $416,043 | $0 | $0 |
| JAY KELLISON | ||||||||||||||
| COO - SAN FRAN | $312,482 | $0 | $69,039 | $0 | $3,202 | $0 | $6,304 | $0 | $12,254 | $0 | $403,281 | $0 | $0 | $0 |
| KIMBERLY EFFERTZ | ||||||||||||||
| COO - OCONOMOWOC | $223,382 | $0 | $75,750 | $0 | $1,069 | $0 | $11,200 | $0 | $30,998 | $0 | $342,399 | $0 | $0 | $0 |
| JAMES KUBICEK | ||||||||||||||
| COO - BROWN DEER (TO 06/2020) | $235,387 | $0 | $54,264 | $0 | $1,793 | $0 | $11,200 | $0 | $30,201 | $0 | $332,845 | $0 | $0 | $0 |
| TERESA SCHULTZ | ||||||||||||||
| CHIEF REGULATORY OFFICER | $207,499 | $0 | $48,343 | $0 | $2,017 | $0 | $4,604 | $0 | $25,642 | $0 | $288,105 | $0 | $0 | $0 |
| SCOTT JOHNSON | ||||||||||||||
| COO - ECM | $192,452 | $0 | $47,150 | $0 | $3,757 | $0 | $9,888 | $0 | $31,854 | $0 | $285,101 | $0 | $0 | $0 |
| ANGIE CRAWFORD | ||||||||||||||
| COO - WEST ALLIS (TO 12/2019) | $200,455 | $0 | $44,682 | $0 | $532 | $0 | $9,098 | $0 | $24,440 | $0 | $279,207 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINE 1A | HEALTH 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. $3,962 PAUL MUELLER $3,962 PAT HAMMER $4,017 ARNOLD STUEBER |
| PART I, LINES 4A-B | SOME 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 FY2020, PATRICK HAMMER, PAUL MUELLER, ARNOLD STUEBER, KIMBERLY EFFERTZ, AND SCOTT JOHNSON PARTICIPATED IN THIS PLAN. THE AMOUNT PAID TO PATRICK HAMMER IN CALENDAR YEAR 2019 WAS $58,884. THIS WAS INADVERTENTLY REPORTED AS PAID IN CALENDAR YEAR 2018, HOWEVER IT WAS PAID IN CALENDAR 2019 FROM THE 2018 VESTED RETIREMENT PLAN. THE OTHER INDIVIDUALS DID NOT HAVE AMOUNTS PAID TO THEM DURING THE CALENDAR YEAR 2019. |
Schedule K IRS990ScheduleK
Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (2 entries)
| Bond ReferenceBondReferenceCd | Bond Issuer EINBondIssuerEIN | CUSIPCUSIPNum | Bond IssuedBondIssuedDt | Issue PriceIssuePriceAmt | PurposePurposeDesc | DefeasedDefeasedInd | On Behalf Of IssuerOnBehalfOfIssuerInd | Pool FinancingPoolFinancingInd |
|---|---|---|---|---|---|---|---|---|
| WISCONSIN HEALTH & EDUCATION FACILITIES AUTHORITY SERIES 2014 A & B | ||||||||
| A | 391337855 | 97712DEV4 | 2014-08-15 | $55,065,129 | BUILDING IMPROVEMENTS TO VARIOUS SITES | 0 | 0 | 0 |
| WISCONSIN HEALTH & EDUCATION FACILITIES AUTHORITY SERIES 2019 A&B | ||||||||
| B | 391337855 | 97712D2C9 | 2019-08-28 | $46,574,029 | BUILDING IMPROVEMENTS TO VARIOUS SITES | 0 | 0 | 0 |
Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (2 entries)
| Bond ReferenceBondReferenceCd | RetiredRetiredAmt | Total ProceedsTotalProceedsAmt | Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt | Capital ExpendituresCapitalExpendituresAmt | Other Spent ProceedsOtherSpentProceedsAmt | Substantial CompletionSubstantialCompletionYr | Refunding Tax Exempt BondsRefundingTaxExemptBondsInd | Refunding Taxable BondsRefundingTaxableBondsInd | Final Allocation MadeFinalAllocationMadeInd | Adequate Books And Rec MaintAdequateBooksAndRecMaintInd | UnspentUnspentAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|
| A | $8,955,000 | $55,065,129 | $757,709 | $21,283,864 | $8,850,000 | 2016 | Yes (1) | Yes (1) | Yes (1) | Yes (1) | |
| B | $46,799,562 | $214,561 | $19,173,850 | $6,686,259 | Yes (1) | 0 | 0 | Yes (1) | $20,724,892 |
Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (2 entries)
| Bond ReferenceBondReferenceCd | Owning Bond Financed PropertyOwningBondFinancedPropertyInd | Any Lease ArrangementsAnyLeaseArrangementsInd | Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd | Any Research AgreementsAnyResearchAgreementsInd | Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd | Change In Use Bond Financed PropChangeInUseBondFinancedPropInd | Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd |
|---|---|---|---|---|---|---|---|
| A | 0 | 0 | 0 | 0 | 0 | 0 | Yes (1) |
| B | 0 | 0 | 0 | 0 | 0 | 0 | Yes (1) |
Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (2 entries)
| Bond ReferenceBondReferenceCd | Form8038 T FiledForm8038TFiledInd | Rebate Not Due YetRebateNotDueYetInd | Exception To RebateExceptionToRebateInd | No Rebate DueNoRebateDueInd | Variable Rate IssueVariableRateIssueInd | Hedge Identified In Bks And RecHedgeIdentifiedInBksAndRecInd | Gross Proceeds Invested In GICGrossProceedsInvestedInGICInd | Gross Proceeds InvestedGrossProceedsInvestedInd | Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd |
|---|---|---|---|---|---|---|---|---|---|
| A | 0 | 0 | 0 | Yes (1) | 0 | 0 | 0 | 0 | Yes (1) |
| B | 0 | Yes (1) | 0 | 0 | 0 | 0 | 0 | 0 | Yes (1) |
Procedures Corrective Action ProceduresCorrectiveActionGrp (2 entries)
| Bond ReferenceBondReferenceCd | Procedures Corrective ActionProceduresCorrectiveActionInd |
|---|---|
| A | Yes (1) |
| B | Yes (1) |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE K, PART IV, LINE 2C: | FormAndLineReferenceDesc |
| Explanation | THE FIRST DUE DATE FOR REBATE IS 60 DAYS AFTER THE FIFTH ANNIVERSARY OF THE DATE OF ISSUE. | ExplanationTxt |
Schedule L IRS990ScheduleL
Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp
Name Of Interested NameOfInterested
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | VJS CONSTRUCTION COMPANY | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Relationship Description | PATRICK ANDRITSCH, BOARD MEMBER | RelationshipDescriptionTxt |
| Transaction | $5,612,797 | TransactionAmt |
| Transaction | CONSTRUCTION FEES | TransactionDesc |
| Sharing Of Revenues | 0 | SharingOfRevenuesInd |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (12 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART IV, LINE 12B: | THE ORGANIZATION'S BOARD OF DIRECTORS RECENTLY DISCOVERED AN ERROR IN THE APPLICATION OF ITS BILLING SYSTEM FOR A CERTAIN CLASSIFICATION OF BILLINGS THAT PRINCIPALLY IMPACTS BILLINGS PROCESSED BY MEDICAID/THE STATE OF WISCONSIN. AFTER CONDUCTING A THOROUGH INTERNAL INVESTIGATION LED BY OUTSIDE LEGAL COUNSEL, THE ORGANIZATION PROMPTLY IMPLEMENTED A REMEDIATION PLAN AND THUS HAS CONTACTED ALL PAYERS/VENDORS WHO WERE IMPACTED BY THIS ERRONEOUS BILLING APPLICATION IN ORDER TO PROVIDE AN EXPLANATION OF THE ERRORS. THE ORGANIZATION ALSO RETAINED TWO SUBJECT MATTER EXPERT INDEPENDENT CONSULTING FIRMS TO DETERMINE AND VERIFY THE NATURE AND EXTENT OF ANY BILLING ERRORS AND THE NECESSARY REIMBURSEMENTS TO APPLICABLE PAYERS/VENDORS IN ORDER TO ENSURE THE ORGANIZATION'S BOOKS AND RECORDS, INCLUDING ITS FINANCIAL STATEMENTS AND TAX RETURNS, ARE ACCURATE AND COMPLETE. ON JUNE 10, 2021, THE ORGANIZATION'S BOARD OF DIRECTORS (THE "BOARD") UNANIMOUSLY APPROVED A PLAN (I) TO FILE THE FISCAL YEAR 2020 FORM 990 BASED ON CORRECTED BILLING AND ALL APPLICABLE COMPUTED REIMBURSEMENTS AND (II) TO AMEND THE ORGANIZATION'S APPLICABLE FEDERAL AND STATE TAX RETURNS AND AUDITED FINANCIAL STATEMENTS FOR THE 2018 THROUGH 2020 TAX YEARS. THE BOARD FURTHER AUTHORIZED ON JUNE 10, 2021 FOR THE ORGANIZATION TO IMPLEMENT A REMEDIATION PLAN TO CORRECT ITS BILLING SYSTEM AND HAS INSTITUTED A MONITORING SYSTEM TO ENSURE THAT POST-REMEDIATION BILLINGS WILL BE TRUTHFUL, ACCURATE AND COMPLETE. |
| FORM 990, PART VI, SECTION A, LINE 1 | THE 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 6 | ROGERS BEHAVIORAL HEALTH SYSTEM IS THE SOLE CORPORATE MEMBER. |
| FORM 990, PART VI, SECTION A, LINE 7A | PER 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 7B | THE 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 11B | THE 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 12C | ROGER'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 15 | THE 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 19 | ROGER'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 11G | OTHER: PROGRAM SERVICE EXPENSES 9,692,317. MANAGEMENT AND GENERAL EXPENSES 16,141,232. TOTAL EXPENSES 25,833,549. |
| FORM 990, PART XI, LINE 9: | CHANGE IN INTEREST IN NET ASSETS ROGERS MEMORIAL HOSPITAL FOUNDATION 7,963,118. LOSS ON DEBT EXTINGUISHMENT -600,800. |
| FORM 990, PAGE 1, LINE B: | FORM 990, EXPLANATION OF CHANGES SUBSEQUENT TO THE ISSUANCE OF THE HEALTH SYSTEM'S 2020 CONSOLIDATED FINANCIAL STATEMENTS, THE HEALTH SYSTEM, AFTER AN INTERNAL REVIEW, DISCOVERED ERRORS IN BILLINGS FOR CERTAIN WISCONSIN MEDICAID RELATED SERVICES BY THE HEALTH SYSTEM TO WISCONSIN MEDICAID AND CERTAIN MEDICAID MANAGED CARE PAYORS BETWEEN 2017 THROUGH 2021, FOR WHICH THE HEALTH SYSTEM VOLUNTARILY REPAID THE ERRORS RELATED TO THESE BILLINGS IN JUNE 2021. THE AMOUNT OF $2,627,926 WAS REPAID FOR 2020. ACCORDINGLY, THE CHANGES TO THE FORM 990 RESULTING FROM THE CORRECTION ARE AS FOLLOWS: I. PART III, LINE 4A REVENUE II. PART VIII, LINE 2B AND LINE 2G III. PART X, LINE 4, LINE 16, LINE 17, LINE 25, LINE 27, LINE 33, AND LINE 34 IV. SCHEDULE D, PART X V. SCHEDULE H, PART 1, LINE 7B V. RESTATED AUDITED FINANCIAL STATEMENTS ATTACHED |
Schedule R IRS990ScheduleR
Id Disregarded Entities IdDisregardedEntitiesGrp (2 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Total IncomeTotalIncomeAmt | End Of Year AssetsEndOfYearAssetsAmt | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt |
|---|---|---|---|---|---|---|---|---|---|
| PARTNERS IN BEHAVIORAL HEALTH | |||||||||
| 34700 VALLEY ROAD | OCONOMOWOC | WI | 53066 | 391832142 | TO ASSIST IN PROVIDING BEHAVIORAL HEALTH SERVICES | WI | $26,671 | $0 | ROGERS MEMORIAL HOSPITAL |
| ROGERS BEHAVIORAL HEALTH MANAGEMENT LLC | |||||||||
| 34700 VALLEY ROAD | OCONOMOWOC | WI | 53066 | 853690429 | MANAGEMENT SERVICES | WI | $231,862 | $231,862 | ROGERS MEMORIAL HOSPITAL |
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (4 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Direct Controlling NADirectControllingNACd | Controlled OrganizationControlledOrganizationInd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt |
|---|---|---|---|---|---|---|---|---|---|---|---|
| ROGERS BEHAVIORAL HEALTH SYSTEM INC | |||||||||||
| 34700 VALLEY ROAD | OCONOMOWOC | WI | 53066 | 263902724 | TO ASSIST ITS SUBSIDIARIES IN PROVIDING BEHAVIORAL HEALTH SERVICES | WI | 501(C)(3) | LINE 12B, II | N/A | 0 | |
| ROGERS MEMORIAL HOSPITAL FOUNDATION INC | |||||||||||
| 34700 VALLEY ROAD | OCONOMOWOC | WI | 53066 | 391363507 | TO SUPPORT ALL ENTITITES OF ROGER'S BEHAVIORAL HEALTH SYSTEM, INC. | WI | 501(C)(3) | LINE 7 | 0 | ROGERS BEHAVIORAL HEALTH SYSTEM INC | |
| ROGERS BEHAVIORAL HEALTH - GEORGIA INC | |||||||||||
| 34700 VALLEY ROAD | OCONOMOWOC | WI | 53066 | 844421252 | PROVIDE MENTAL HEALTH AND ADDICTION TREATMENT | GA | 501(C)(3) | LINE 10 | Yes (1) | ROGERS MEMORIAL HOSPITAL INC | |
| ROGERS BEHAVIORAL HEALTH - WASHINGTON INC | |||||||||||
| 34700 VALLEY ROAD | OCONOMOWOC | WI | 53066 | 852221921 | PROVIDE SUBSTANCE ABUSE AND MENTAL HEALTH CLINICS | WA | 501(C)(3) | LINE 10 | Yes (1) | ROGERS MEMORIAL HOSPITAL INC | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | Yes (1) | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | Yes (1) | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | 0 | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | 0 | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | 0 | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | Yes (1) | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | Yes (1) | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | Yes (1) | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (1) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | 0 | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (1) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | 0 | TransferToOtherOrgInd |
| Transfer From Other Org | 0 | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (4 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| ROGERS MEMORIAL HOSPITAL FOUNDATION INC | ||
| B | $3,000,000 | FMV OF GRANTS PAID |
| ROGERS MEMORIAL HOSPITAL FOUNDATION INC | ||
| C | $3,396,419 | FMV OF GRANTS RECEIVED |
| ROGERS MEMORIAL HOSPITAL FOUNDATION INC | ||
| L | $1,082,826 | FMV OF SERVICES RENDERED |
| ROGERS BEHAVIORAL HEALTH SYSTEM INC | ||
| M | $2,167,061 | FMV OF SERVICES RENDERED |