ROGERS MEMORIAL HOSPITAL INCORPORATED: Form 990, tax year 2018

View the entire original 990 at ProPublica ↗

Organization: ROGERS MEMORIAL HOSPITAL INCORPORATED (EIN 39-1139101)
Tax period: 2018-08-01 to 2019-07-31
Filed: 2020-04-29
IRS object ID: 202011209349301416
Schema version: 2018v3.1
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	2020-04-29T15:21:42-05:00	ReturnTs
Tax Period End	2019-07-31	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 VIRCHOW KRAUSE 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	2018-08-01	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	ARNOLD STUEBER	PersonNm
Person Title	CHIEF FINANCIAL OFFICER	PersonTitleTxt
Phone	2626464411	PhoneNum
Signature	2020-04-23	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	2020-04-15	PreparationDt

Filing Security Information FilingSecurityInformation

IP Address IPAddress

Field	Value	IRS element (for citing)
I Pv4 Address	104.190.122.166	IPv4AddressTxt

Field	Value	IRS element (for citing)
IP	2020-04-23	IPDt
IP Tm	11:18:54	IPTm
IP Timezone	CD	IPTimezoneCd
Filing License Type	P	FilingLicenseTypeCd
At Submission Creation Device Id	1C40C474E7DEB989202A97D331D649435C652DD4	AtSubmissionCreationDeviceId
At Submission Filing Device Id	F6719D0144B06E6FC05F7FF323A3B40607EDAFB2	AtSubmissionFilingDeviceId

Field	Value	IRS element (for citing)
Tax	2018	TaxYr
Build TS	2020-09-23 17:36:50Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Principal Officer	ARNOLD STUEBER	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	$248,947,419	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	15	VotingMembersGoverningBodyCnt
Voting Members Independent	12	VotingMembersIndependentCnt
Total Employee	2675	TotalEmployeeCnt
Total Volunteers	15	TotalVolunteersCnt
Total Gross UBI	$4,520,530	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$0	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$575,164	PYContributionsGrantsAmt
CY Contributions Grants	$79,627	CYContributionsGrantsAmt
PY Program Service Revenue	$203,166,820	PYProgramServiceRevenueAmt
CY Program Service Revenue	$234,124,615	CYProgramServiceRevenueAmt
PY Investment Income	$1,253,489	PYInvestmentIncomeAmt
CY Investment Income	$1,670,094	CYInvestmentIncomeAmt
PY Other Revenue	$0	PYOtherRevenueAmt
CY Other Revenue	$0	CYOtherRevenueAmt
PY Total Revenue	$204,995,473	PYTotalRevenueAmt
CY Total Revenue	$235,874,336	CYTotalRevenueAmt
PY Grants And Similar Paid	$2,452,305	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$2,582,012	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$131,242,370	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$148,984,773	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$52,591,296	PYOtherExpensesAmt
CY Other Expenses	$62,817,625	CYOtherExpensesAmt
PY Total Expenses	$186,285,971	PYTotalExpensesAmt
CY Total Expenses	$214,384,410	CYTotalExpensesAmt
PY Revenues Less Expenses	$18,709,502	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$21,489,926	CYRevenuesLessExpensesAmt
Total Assets BOY	$265,546,539	TotalAssetsBOYAmt
Total Assets EOY	$307,898,322	TotalAssetsEOYAmt
Total Liabilities BOY	$101,037,962	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$113,647,171	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$164,508,577	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$194,251,151	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	WE EXIST TO OFFER EXEMPLARY BEHAVIORAL HEALTHCARE SERVICES, INCLUDING TREATMENT, RESEARCH, EDUCATION, TRAINING AND CONSULTATION BUILT ON OUR CENTURY-LONG HERITAGE. WE ARE DEDICATED TO THE DELIVERY OF QUALITY CARE USING A SKILLED TEAM APPROACH THAT RESPECTS THE DIGNITY OF EACH INDIVIDUAL. OUR SUCCESS IS DEMONSTRATED IN PREMIER QUALITY CARE, SUCCESSFUL OUTCOMES, FINANCIAL INTEGRITY, PERSONAL AND ORGANIZATIONAL GROWTH, AND COMMUNITY WELL-BEING.	MissionDesc
Significant New Program Srvc	0	SignificantNewProgramSrvcInd
Significant Change	0	SignificantChangeInd
Expense	$173,859,132	ExpenseAmt
Grant	$2,582,012	GrantAmt
Revenue	$228,772,406	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 SEVEN 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 2019 WE SERVED OUR COMMUNITY WITH 61,476 INPATIENT DAYS 65,789 RESIDENTIAL PATIENT DAYS AND 186,973 OUTPATIENT PATIENT DAYS. THIS REPRESENTS A 13.7% INCREASE OVER THE PRIOR YEAR. IN 2019 WE EXPANDED RESIDENTIAL SERVICES IN OCONOMOWOC AND INCREASED PROGRAMING CAPACITY AT SEVERAL OF OUR EXISTING LOCATIONS. OVER THE NEXT 4 YEARS WE PLAN TO OPEN 3 CLINIC LOCATIONS PER YEAR TO SERVE MORE PATIENTS NATIONWIDE.	Desc
Total Program Service Expenses	$173,859,132	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
Temp Or Permanent Endowments	Yes (1)	TempOrPermanentEndowmentsInd
Report Land Building Equipment	Yes (1)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	Yes (1)	ReportInvestmentsOtherSecInd
Report Program Related Invst	0	ReportProgramRelatedInvstInd
Report Other Assets	Yes (1)	ReportOtherAssetsInd
Report Other Liabilities	Yes (1)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	Yes (1)	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	0	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (1)	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 With Officer Ent	0	BusinessRlnWithOfficerEntInd
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	197	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (1)	BackupWthldComplianceInd
Employee	2675	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	0	SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc	0	SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	15	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	ARNOLD STUEBER	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 (34 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	Key EmployeeKeyEmployeeInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd	Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
CALVIN SCHMIDT
BOARD CHAIR	3.00	3.00	Yes (X)	Yes (X)	$0	$0	$0
BARB GROMACKI
BOARD VICE CHAIR	3.00	3.00	Yes (X)	Yes (X)	$0	$0	$0
NICK BAUER
BOARD TREASURER	3.00	3.00	Yes (X)	Yes (X)	$0	$0	$0
BILL MULLIGAN
BOARD SECRETARY	3.00	3.00	Yes (X)	Yes (X)	$0	$0	$0
RICK ANDRITSCH
BOARD MEMBER	1.00	1.00	Yes (X)		$0	$0	$0
CHRIS FITZPATRICK
BOARD MEMBER	1.00	1.00	Yes (X)		$0	$0	$0
BARBARA ZABAWA
BOARD MEMBER	1.00	1.00	Yes (X)		$0	$0	$0
DANIEL BADER
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
BOB OLSON
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
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
MAUREEN STAPLETON
BOARD MEMBER	1.00	1.00	Yes (X)		$0	$0	$0
JON LEHRMANN
BOARD MEMBER	1.00	1.00	Yes (X)		$0	$0	$0
PATRICK HAMMER
CEO - RBHS/ BOARD MEMBER	1.00	40.00	Yes (X)	Yes (X)	$0	$1,059,885	$85,699
BRADLEY RIEMANN
CHIEF CLINICAL OFFICER/ BOARD MEMBER	40.00	1.00	Yes (X)	Yes (X)	$481,057	$0	$49,386
JERRY HALVERSON
CHIEF MEDICAL OFFICER/ BOARD MEMBER	40.00	1.00	Yes (X)	Yes (X)	$446,125	$0	$45,041
PAUL MUELLER
CEO - RMH	40.00	0.00		Yes (X)	$666,134	$0	$95,584
ARNOLD STUEBER
CFO	1.00	40.00		Yes (X)	$0	$255,890	$40,171
TERESA SCHULTZ
CHIEF REGULATORY OFFICER	40.00	0.00			$259,963	$0	$21,414	Yes (X)
JAMES KUBICEK
COO - BROWN DEER	40.00	0.00			$293,549	$0	$40,829	Yes (X)
SCOTT JOHNSON
COO - ECM	40.00	0.00			$224,163	$0	$40,715	Yes (X)
KIMBERLY EFFERTZ
COO - OCONOMOWOC	40.00	0.00			$230,635	$0	$41,206	Yes (X)
CAROLINE MCHALE
COO - RES SERVICES	40.00	0.00			$198,846	$0	$36,196	Yes (X)
JAY KELLISON
COO - SAN FRAN	40.00	0.00			$374,503	$0	$18,103	Yes (X)
ANGIE CRAWFORD
COO- WEST ALLIS (EFF. 05/2019)	40.00	0.00			$227,633	$0	$20,369	Yes (X)
ELIZABETH GILBERT
COO - WEST ALLIS (TO 05/2019)	40.00	0.00			$214,685	$0	$11,834	Yes (X)
AHMED NUMAN
MEDICAL DIRECTOR	40.00	0.00			$770,605	$0	$11,000		Yes (X)
KHAZI MUQEET
MEDICAL DIRECTOR	40.00	0.00			$776,989	$0	$11,944		Yes (X)
BRAD SMITH
MEDICAL DIRECTOR	40.00	0.00			$511,424	$0	$40,953		Yes (X)
PETER LAKE
MEDICAL DIRECTOR	40.00	0.00			$540,659	$0	$47,649		Yes (X)
ROGER LUHN
MEDICAL DIRECTOR	40.00	0.00			$469,283	$0	$44,835		Yes (X)
MICHAEL HEDRICK
FORMER EXECUTIVE VP CFO	0.00	0.00			$0	$222,372	$0			Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$6,686,253	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$1,538,147	TotReportableCompRltdOrgAmt
Total Other Compensation	$702,928	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	155	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	Yes (1)	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	$15,840,946
CERNER CORPORATION
2800 ROCKCREEK PARKWAY	NORTH KANSAS CITY	MO	64117	HEALTH INFORMATION TECHNOLOGY	$3,654,242
CIELO INC
200 S EXECUTIVE DRIVE SUITE 400	BROOKFIELD	WI	53005	RECRUITING SERVICE	$2,582,490
GORDON FOOD SERVICE INC
10901 38TH STREET	KENOSHA	WI	53144	FOOD SERVICE	$2,210,690
BEAR CONSTRUCTION COMPANY
1501 ROHLWING ROAD	ROLLING MEADOWS	IL	60008	CONSTRUCTION SERVICE	$1,427,301

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	116	CntrctRcvdGreaterThan100KCnt
Related Organizations	$79,627	RelatedOrganizationsAmt
Total Contributions	$79,627	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt	ExclusionExclusionAmt
OUTPATIENT REVENUE	621420	$81,687,180	$81,687,180
INPATIENT REVENUE	622210	$79,596,924	$79,596,924
RESIDENTIAL REVENUE	623220	$67,488,302	$67,488,302
MANAGEMENT SERVICES	541610	$4,487,136		$4,487,136
OTHER OPERATING REVENUE	621300	$865,073		$33,394	$831,679

Field	Value	IRS element (for citing)
Total Program Service Revenue	$234,124,615	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$2,040,274	TotalRevenueColumnAmt
Exclusion	$2,040,274	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$12,702,903	SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$12,946,451	SecuritiesAmt
Other	$126,632	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	-$243,548	SecuritiesAmt
Other	-$126,632	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$370,180	TotalRevenueColumnAmt
Exclusion	-$370,180	ExclusionAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$235,874,336	TotalRevenueColumnAmt
Related Or Exempt Func Income	$228,772,406	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$4,520,530	UnrelatedBusinessRevenueAmt
Exclusion	$2,501,773	ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$2,582,012	TotalAmt
Program Services	$2,582,012	ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$6,686,253	TotalAmt
Program Services	$3,254,396	ProgramServicesAmt
Management And General	$3,431,857	ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$116,442,912	TotalAmt
Program Services	$103,879,654	ProgramServicesAmt
Management And General	$12,563,258	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$2,402,856	TotalAmt
Program Services	$1,672,762	ProgramServicesAmt
Management And General	$730,094	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$15,410,287	TotalAmt
Program Services	$13,256,439	ProgramServicesAmt
Management And General	$2,153,848	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$8,042,465	TotalAmt
Program Services	$7,032,681	ProgramServicesAmt
Management And General	$1,009,784	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$671,303	TotalAmt
Management And General	$671,303	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$154,069	TotalAmt
Management And General	$154,069	ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$60,250	TotalAmt
Management And General	$60,250	ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$507,038	TotalAmt
Management And General	$507,038	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$17,686,468	TotalAmt
Program Services	$11,849,933	ProgramServicesAmt
Management And General	$5,836,535	ManagementAndGeneralAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$950,729	TotalAmt
Program Services	$43,940	ProgramServicesAmt
Management And General	$906,789	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$6,651,146	TotalAmt
Program Services	$4,094,619	ProgramServicesAmt
Management And General	$2,556,527	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$239,894	TotalAmt
Program Services	$26,497	ProgramServicesAmt
Management And General	$213,397	ManagementAndGeneralAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$7,536,118	TotalAmt
Program Services	$3,926,956	ProgramServicesAmt
Management And General	$3,609,162	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$825,729	TotalAmt
Program Services	$486,294	ProgramServicesAmt
Management And General	$339,435	ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$92,098	TotalAmt
Management And General	$92,098	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$2,413,151	TotalAmt
Program Services	$1,930,520	ProgramServicesAmt
Management And General	$482,631	ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$11,715,606	TotalAmt
Program Services	$8,526,709	ProgramServicesAmt
Management And General	$3,188,897	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$1,852,602	TotalAmt
Program Services	$32,795	ProgramServicesAmt
Management And General	$1,819,807	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (3 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
BAD DEBT EXPENSE	$7,897,889	$7,897,889
FOOD	$3,094,282	$2,940,669	$153,613
DUE/FEES/SUBSCRIPTIONS	$469,253	$424,367	$44,886

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$214,384,410	TotalAmt
Program Services	$173,859,132	ProgramServicesAmt
Management And General	$40,525,278	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$46,149,852	BOYAmt
EOY	$33,849,585	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$24,020,164	BOYAmt
EOY	$27,920,969	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$1,407,524	BOYAmt
EOY	$1,986,449	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$214,153,272	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$64,316,458	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$129,718,708	BOYAmt
EOY	$149,836,814	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$41,326,826	BOYAmt
EOY	$62,557,454	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$15,394,637	BOYAmt
EOY	$16,046,078	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$7,528,828	BOYAmt
EOY	$15,700,973	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$265,546,539	BOYAmt
EOY	$307,898,322	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$23,590,273	BOYAmt
EOY	$25,607,299	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$48,505,000	BOYAmt
EOY	$47,505,000	EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
BOY	$25,196,270	BOYAmt
EOY	$34,350,145	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$3,746,419	BOYAmt
EOY	$6,184,727	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$101,037,962	BOYAmt
EOY	$113,647,171	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows SFAS117	Yes (X)	OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$157,928,034	BOYAmt
EOY	$183,749,178	EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$4,511,704	BOYAmt
EOY	$0	EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$2,068,839	BOYAmt
EOY	$10,501,973	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$164,508,577	BOYAmt
EOY	$194,251,151	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$265,546,539	BOYAmt
EOY	$307,898,322	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$21,489,926	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$2,521,907	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	$5,730,741	OtherChangesInNetAssetsAmt
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	$65,231	OtherActivitiesAmt
Total Lobbying Expenditures	$65,231	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 $36,625 (13.6%), TOTALING $4,981. ROGERS MEMORIAL HOSPITAL, INC. EMPLOYS AN INDIVIDUAL, MARY PANZER, FOR $60,250 WHO COMMUNICATED WITH LEGISLATORS.	ExplanationTxt

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

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 Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

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 Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

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 Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

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

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$1,923,542	BeginningYearBalanceAmt
Contributions	$251,287	ContributionsAmt
Investment Earnings Or Losses	$42,097	InvestmentEarningsOrLossesAmt
Other Expenditures	$43,536	OtherExpendituresAmt
End Year Balance	$2,173,390	EndYearBalanceAmt

Field	Value	IRS element (for citing)
Board Designated Balance EOY	0.00000	BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY	0.81530	PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY	0.18470	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	$9,514,159	OtherCostOrOtherBasisAmt
Book Value	$9,514,159	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$127,639,743	OtherCostOrOtherBasisAmt
Depreciation	$37,564,384	DepreciationAmt
Book Value	$90,075,359	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$5,880,264	OtherCostOrOtherBasisAmt
Depreciation	$3,203,086	DepreciationAmt
Book Value	$2,677,178	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$50,077,376	OtherCostOrOtherBasisAmt
Depreciation	$23,548,988	DepreciationAmt
Book Value	$26,528,388	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$21,041,730	OtherCostOrOtherBasisAmt
Book Value	$21,041,730	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$149,836,814	TotalBookValueLandBuildingsAmt

Other Securities OtherSecuritiesGrp

Field	Value	IRS element (for citing)
Desc	ALTERNATIVE INVESTMENTS	Desc
Book Value	$16,046,078	BookValueAmt
Method Valuation	F	MethodValuationCd

Field	Value	IRS element (for citing)
Total Book Value Securities	$16,046,078	TotalBookValueSecuritiesAmt

Other Assets Org OtherAssetsOrgGrp (2 entries)

DescDesc	Book ValueBookValueAmt
INTEREST IN NET ASSETS - ROGERS MEMORIAL FOUNDATION	$10,501,973
DUE FROM RELATED ORGANIZATIONS	$5,199,000

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$15,700,973	TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)

DescDesc	AmtAmt
AR CREDIT BALANCES	$766,764
DEFERRED COMPENSATION	$4,874,677
DUE TO ROGERS BEHAVIORAL HEALTH SYSTEMS, INC.	$543,286

Field	Value	IRS element (for citing)
Total Liability	$6,184,727	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc

ExplanationExplanationTxt

PART V, LINE 4:

THE ENDOWED FUND HELPS SUPPORT PATIENT CARE GRANTS FOR INDIVIDUALS WHO CAN'T PAY FOR TREATMENT. SOME OF THE SPECIFIC RESTRICTIONS ON THE ENDOWED FUNDS ARE FOR OCD TREATMENT, CHILD AND ADOLESCENT PROGRAMS, EATING DISORDERS, SPIRITUAL CARE, AND CAPITAL IMPROVEMENTS. AN ENDOWED FUND OFFERS LASTING FINANCIAL RESOURCES THAT EXTEND THE VALUE OF A DONORS GIFT. THROUGH CAREFUL INVESTMENT MANAGEMENT, INCOME GENERATED FROM THE FUND ENABLES ROGERS FOUNDATION TO MOVE FORWARD WITH PLANS, PROJECTS, AND RESEARCH THAT IMPROVE THE HEALTH AND WELL-BEING OF PATIENTS SUFFERING FROM MENTAL HEALTH AND ADDICTION CHALLENGES TODAY AND IN THE FUTURE.

PART X, LINE 2:

THE HOSPITAL FILES A FORM 990 (RETURN OF ORGANIZATION EXEMPT FROM INCOME TAX) ANNUALLY. WHEN THIS RETURN IS FILED IT IS HIGHLY CERTAIN THAT SOME POSITIONS TAKEN WOULD BE SUSTAINED UPON EXAMINATION BY THE TAXING AUTHORITIES, WHILE OTHERS ARE SUBJECT TO UNCERTAINTY ABOUT THE MERITS OF THE POSITION TAKEN OR THE AMOUNT OF THE POSITION THAT WOULD ULTIMATELY BE SUSTAINED. EXAMPLES OF TAX POSITIONS INCLUDE SUCH MATTERS AS THE FOLLOWING: THE TAX EXEMPT STATUS OF THE ENTITY AND VARIOUS POSITIONS RELATIVE TO POTENTIAL SOURCES OF UNRELATED BUSINESS INCOME TAX (UBIT). UBIT IS REPORTED ON FORM 990T, AS APPROPRIATE. THE BENEFIT OF A TAX POSITION IS RECOGNIZED IN THE FINANCIAL STATEMENTS IN THE PERIOD DURING WHICH, BASED ON ALL AVAILABLE EVIDENCE, MANAGEMENT BELIEVES THAT IT IS MORE LIKELY THAN NOT THAT THE POSITIONS WILL BE SUSTAINED UPON EXAMINATION, INCLUDING THE RESOLUTION OF APPEALS OR LITIGATION PROCESSES, IF ANY.

Schedule F IRS990ScheduleF

Account Activities Outside US AccountActivitiesOutsideUSGrp

Field	Value	IRS element (for citing)
Region	CENTRAL AMERICA AND THE CARIBBEAN	RegionTxt
Type Of Activities Conducted	INVESTMENTS	TypeOfActivitiesConductedTxt
Region Total Expenditures	$3,468,418	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	$3,468,418	SubtotalSpentAmt
Continuation Spent	$0	ContinuationSpentAmt
Total Spent	$3,468,418	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

Field	Value	IRS element (for citing)
Form And Line Reference	FORM 990, SCHEDULE F, PART IV:	FormAndLineReferenceDesc
Explanation	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.	ExplanationTxt

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	$2,440,828	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$2,440,828	NetCommunityBenefitExpnsAmt
Total Expense	0.01180	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$55,396,155	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$34,410,450	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$20,985,705	NetCommunityBenefitExpnsAmt
Total Expense	0.10160	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$57,836,983	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$34,410,450	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$23,426,533	NetCommunityBenefitExpnsAmt
Total Expense	0.11340	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,104,320	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$1,104,320	NetCommunityBenefitExpnsAmt
Total Expense	0.00530	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$55,568	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$22,353	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$33,215	NetCommunityBenefitExpnsAmt
Total Expense	0.00020	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$281,702	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$281,702	NetCommunityBenefitExpnsAmt
Total Expense	0.00140	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,441,590	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$22,353	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,419,237	NetCommunityBenefitExpnsAmt
Total Expense	0.00690	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$59,278,573	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$34,432,803	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$24,845,770	NetCommunityBenefitExpnsAmt
Total Expense	0.12030	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (1)	BadDebtExpenseReportedInd
Bad Debt Expense	$3,915,433	BadDebtExpenseAmt
Reimbursed By Medicare	$3,119,763	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$5,817,857	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$2,698,094	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/APPLICATION/FILES/4215/6449/5496/2019_CHNA.V4.CLEAN_BRAND.PDF
ROGERS MEMORIAL HOSPITAL - WEST ALLIS	PART V, SECTION B, LINE 7D: HTTPS://ROGERSBH.ORG/APPLICATION/FILES/4215/6449/5496/2019_CHNA.V4.CLEAN_BRAND.PDF
ROGERS MEMORIAL HOSPITAL - BROWN DEER	PART V, SECTION B, LINE 7D: HTTPS://ROGERSBH.ORG/APPLICATION/FILES/4215/6449/5496/2019_CHNA.V4.CLEAN_BRAND.PDF
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 WITHIN 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 WITHIN 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 WITHIN 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 OFCARE.
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-AND-CHARITABLE-CARE-POLICYFAP APPLICATION FORM:HTTPS://ROGERSBH.ORG/APPLICATION/FILES/4914/9748/6210/FINANCIAL_ASSISTANCE_APPLICATION.PDFPLAN LANGUAGE SUMMARY:HTTPS://ROGERSBH.ORG/WHAT-EXPECT/FINANCING-YOUR-CARE/FINANCIAL-ASSISTANCE-PROGRAM

Field	Value	IRS element (for citing)
Facility	13	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (13 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	FacilityFacilityTxt
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 - TAMPA
2002 N LOIS AVE SUITE 400	TAMPA	FL	33607	CENTER FOR OCD, ANXIETY, EATING, DEPRESSION, AND MOOD DISORDERS
3 - ROGERS BEHAVIORAL HEALTH - CHICAGO
4711 GOLF ROAD SUITE 600	SKOKIE	IL	60076	CENTER FOR OCD, ANXIETY, EATING, DEPRESSION, AND MOOD DISORDERS
4 - ROGERS BEHAVIORAL HEALTH - MINNEAPOLIS
6442 CITY WEST PARKWAY SUITE 200	EDEN PRAIRIE	MN	55344	CENTER FOR OCD, ANXIETY, EATING, DEPRESSION, PTSD, AND MOOD DISORDERS
5 - ROGERS MEMORIAL HOSPITAL - KENOSHA
9916 75TH STREET	KENOSHA	WI	53142	TREATMENT CENTER FOR CHILDREN AND ADOLESCENTS
6 - ROGERS BEHAVIORAL HEALTH - NASHVILLE
4230 HARDING ROAD SUITE 707	NASHVILLE	TN	37205	CENTER FOR OCD, ANXIETY AND EATING DISORDERS
7 - ROGERS BEHAVIORAL HEALTH - APPLETON
4531 W COLLEGE AVE 300	APPLETON	WI	54914	CENTER FOR OCD, ANXIETY, EATING, DEPRESSION, PTSD, AND MOOD DISORDERS
8 - ROGERS BEHAVIORAL HEALTH - PHILADELPHIA
1 WINDING DRIVE SUITE 106	PHILADELPHIA	PA	19131	CENTER FOR OCD, ANXIETY, EATING, DEPRESSION, PTSD, AND MOOD DISORDERS
9 - ROGERS BEHAVIORAL HEALTH - SAN FRANCISCO
420 N WIGET LANE BUILDING 2	WALNUT CREEK	CA	94598	CENTER FOR OCD, ANXIETY AND MOOD DISORDERS
10 - ROGERS BEHAVIORAL HEALTH - HINSDALE
907 NORTH ELM STREET SUITE 300	HINSDALE	IL	60521	CENTER FOR MOOD DISORDERS, OCD, ANXIETY, PTSD, MENTAL HEALTH
11 - ROGERS BEHAVIORAL HEALTH - MIAMI
5805 BLUE LAGOON DRIVE SUITE 440	MIAMI	FL	33126	CENTER FOR OCD, ANXIETY, DEPRESSION, MOOD DISORDERS, 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 - ST PAUL
576 BEILENBERG DRIVE SUITE 180	WOODBURY	MN	55125	CENTER FOR OCD, ANXIETY, DEPRESSION RECOVERY, MENTAL HEALTH

Supplemental Information Detail SupplementalInformationDetail (10 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 AND FROM APPLICATIONS COMPLETED BY PATIENTS AND THEIR FAMILIES.LINE H: RESEARCH AND RELATED COSTS ARE DIRECTLY ASSIGNED BASED ON UTILIZATION OF RESOURCES. 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 $7,897,889.
PART I, LN 7 COL(F):	ROGERS MEMORIAL HOSPITAL UTILIZED A COST TO CHARGE RATIO FOR DETERMINING COST OF BAD DEBT EXPENSE. 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. CERTAIN AMOUNTS OF BAD DEBT EXPENSE COULD BE ATTRIBUTED TO CHARITY CARE AS ALL RELEVANT INFORMATION IS NOT READILY AVAILABLE FOR ALL PATIENTS. IF, AT THE TIME OF ADMISSION AND BEFORE BILLING, PATIENTS WHO KNEW THEY COULD NOT PAY FOR SERVICES REQUESTED ASSISTANCE UP FRONT OR THE HOSPITAL BECAME AWARE UPON ADMISSION THAT A PATIENT WOULD BE UNABLE TO PAY, THEY WOULD HAVE HAD THOSE PATIENTS APPLY FOR CHARITY CARE INSTEAD OF HAVING THE FACTS COME TO LIGHT AFTER THE PATIENT HAD BEEN BILLED AND NOT BEEN ABLE TO PAY.
PART III, LINE 2:	COST TO CHARGE RATIO
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 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 16 CITIES AND 6 DIFFERENT STATES ACROSS THE UNITED STATES. WITH OVER 22,000 ADMITS IN FY2019, APPROXIMATELY 77% WERE PATIENTS FROM WISCONSIN WHILE 23% WERE SOURCED FROM OTHER STATES. PATIENTS FROM SOUTHEAST WISCONSIN (MILWAUKEE, WAUKESHA, OZAUKEE, RACINE AND WASHINGTON COUNTIES) MADE UP ABOUT 49%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 (4 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)	$1,400,000	$1,146,012	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)	$11,000				CORPORATE CAMPAIGN
OCONOMOWOC AREA SCHOOL DISTRICT
915 E SUMMIT AVE	OCONOMOWOC	WI	53066	396003743	115	$10,000				GALE DOUGLAS FIELDHOUSE PROJECT
KATHY'S HOUSE
600 NORTH 103RD ST	WAUWATOSA	WI	53226	392022115	501(C)(3)	$15,000				HOME FOR HEALING CAMPAIGN

Field	Value	IRS element (for citing)
Total501c3 Org	4	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 (19 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	$640,202	$0	$279,000	$0	$140,683	$0	$57,184	$0	$28,515	$0	$1,145,584	$0	$0
BRADLEY RIEMANN
CHIEF CLINICAL OFFICER/ BOARD MEMBER	$405,085	$0	$75,000	$0	$972	$0	$11,000	$0	$38,386	$0	$530,443	$0	$0	$0
JERRY HALVERSON
CHIEF MEDICAL OFFICER/ BOARD MEMBER	$362,933	$0	$67,500	$0	$15,692	$0	$11,000	$0	$34,041	$0	$491,166	$0	$0	$0
PAUL MUELLER
CEO - RMH	$436,649	$0	$225,330	$0	$4,155	$0	$57,762	$0	$37,822	$0	$761,718	$0	$0	$0
ARNOLD STUEBER
CFO	$0	$202,658	$0	$45,000	$0	$8,232	$0	$7,500	$0	$32,671	$0	$296,061	$0	$0
TERESA SCHULTZ
CHIEF REGULATORY OFFICER	$205,352	$0	$47,621	$0	$6,990	$0	$4,126	$0	$17,288	$0	$281,377	$0	$0	$0
JAMES KUBICEK
COO - BROWN DEER	$239,133	$0	$53,699	$0	$717	$0	$11,000	$0	$29,829	$0	$334,378	$0	$0	$0
SCOTT JOHNSON
COO - ECM	$181,960	$0	$41,891	$0	$312	$0	$9,217	$0	$31,498	$0	$264,878	$0	$0	$0
KIMBERLY EFFERTZ
COO - OCONOMOWOC	$186,948	$0	$42,970	$0	$717	$0	$9,458	$0	$31,748	$0	$271,841	$0	$0	$0
CAROLINE MCHALE
COO - RES SERVICES	$160,965	$0	$37,569	$0	$312	$0	$6,104	$0	$30,092	$0	$235,042	$0	$0	$0
JAY KELLISON
COO - SAN FRAN	$303,344	$0	$67,953	$0	$3,206	$0	$5,654	$0	$12,449	$0	$392,606	$0	$0	$0
ANGIE CRAWFORD
COO- WEST ALLIS (EFF. 05/2019)	$184,723	$0	$42,598	$0	$312	$0	$7,006	$0	$13,363	$0	$248,002	$0	$0	$0
ELIZABETH GILBERT
COO - WEST ALLIS (TO 05/2019)	$174,218	$0	$39,750	$0	$717	$0	$8,648	$0	$3,186	$0	$226,519	$0	$0	$0
AHMED NUMAN
MEDICAL DIRECTOR	$410,034	$0	$359,700	$0	$871	$0	$11,000	$0	$0	$0	$781,605	$0	$0	$0
KHAZI MUQEET
MEDICAL DIRECTOR	$421,244	$0	$355,713	$0	$32	$0	$10,049	$0	$1,895	$0	$788,933	$0	$0	$0
BRAD SMITH
MEDICAL DIRECTOR	$390,689	$0	$119,120	$0	$1,615	$0	$11,000	$0	$29,953	$0	$552,377	$0	$0	$0
PETER LAKE
MEDICAL DIRECTOR	$422,327	$0	$107,253	$0	$11,079	$0	$11,000	$0	$36,649	$0	$588,308	$0	$0	$0
ROGER LUHN
MEDICAL DIRECTOR	$361,905	$0	$97,230	$0	$10,148	$0	$11,000	$0	$33,835	$0	$514,118	$0	$0	$0
MICHAEL HEDRICK
FORMER EXECUTIVE VP CFO	$0	$30,450	$0	$0	$0	$191,922	$0	$0	$0	$0	$0	$222,372	$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

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 FY2019, PATRICK HAMMER AND PAUL MUELLER PARTICIPATED IN THIS PLAN. AMOUNTS PAID TO EACH PARTICIPANT WERE $58,884 AND $44,897, RESPECTIVELY, DURING CALENDAR YEAR 2018.

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd

Issuer Name IssuerName

Field	Value	IRS element (for citing)
Business Name Line1	WISCONSIN HEALTH & EDUCATION FACILITIES AUTHORITY SERIES 2014 A & B	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Bond Issuer EIN	391337855	BondIssuerEIN
CUSIP	97712DEV4	CUSIPNum
Bond Issued	2014-08-15	BondIssuedDt
Issue Price	$55,065,129	IssuePriceAmt
Purpose	BUILDING IMPROVEMENTS TO VARIOUS SITES	PurposeDesc
Defeased	0	DefeasedInd
On Behalf Of Issuer	0	OnBehalfOfIssuerInd
Pool Financing	0	PoolFinancingInd

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Retired	$2,315,000	RetiredAmt
In Reserve Fund	$55,065,129	InReserveFundAmt
Refunding Escrow	$24,173,555	RefundingEscrowAmt
Issuance Costs From Proceeds	$757,709	IssuanceCostsFromProceedsAmt
Capital Expenditures	$21,283,864	CapitalExpendituresAmt
Other Spent Proceeds	$8,850,000	OtherSpentProceedsAmt
Substantial Completion	2016	SubstantialCompletionYr
Refunding Tax Exempt Bonds	Yes (1)	RefundingTaxExemptBondsInd
Refunding Taxable Bonds	Yes (1)	RefundingTaxableBondsInd
Final Allocation Made	Yes (1)	FinalAllocationMadeInd
Adequate Books And Rec Maint	Yes (1)	AdequateBooksAndRecMaintInd

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Owning Bond Financed Property	0	OwningBondFinancedPropertyInd
Any Lease Arrangements	0	AnyLeaseArrangementsInd
Mgmt Contract Bond Fincd Prop	0	MgmtContractBondFincdPropInd
Any Research Agreements	0	AnyResearchAgreementsInd
Bond Iss Meet Prvt Sec Pymt Test	0	BondIssMeetPrvtSecPymtTestInd
Change In Use Bond Financed Prop	0	ChangeInUseBondFinancedPropInd
Procs Nonqualified Bond Remdtd	Yes (1)	ProcsNonqualifiedBondRemdtdInd

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Form8038 T Filed	0	Form8038TFiledInd
Rebate Not Due Yet	Yes (1)	RebateNotDueYetInd
Exception To Rebate	0	ExceptionToRebateInd
No Rebate Due	0	NoRebateDueInd
Variable Rate Issue	0	VariableRateIssueInd
Hedge Identified In Bks And Rec	0	HedgeIdentifiedInBksAndRecInd
Gross Proceeds Invested In GIC	0	GrossProceedsInvestedInGICInd
Gross Proceeds Invested	0	GrossProceedsInvestedInd
Written Proc To Monitor Reqs	Yes (1)	WrittenProcToMonitorReqsInd

Procedures Corrective Action ProceduresCorrectiveActionGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Procedures Corrective Action	Yes (1)	ProceduresCorrectiveActionInd

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (2 entries)

Relationship DescriptionRelationshipDescriptionTxt	TransactionTransactionAmt	TransactionTransactionDesc	Sharing Of RevenuesSharingOfRevenuesInd
VJS CONSTRUCTION COMPANY
PATRICK ANDRITSCH, BOARD MEMBER	$15,840,946	CONSTRUCTION FEES	0
MEDICAL COLLEGE OF WISCONSIN
JON LEHRMANN, BOARD MEMBER	$362,459	FELLOWSHIP	0

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (9 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
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. THE EXECUTIVE COMMITTEE MUST IMMEDIATELY NOTIFY THE MEMBERS OF THE BOARD OF DIRECTORS OF ANY ACTION TAKEN BY THE EXECUTIVE COMMITTEE.
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 DIRECTORS; 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 WITH 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 XI, LINE 9:	CHANGE IN INTEREST IN NET ASSETS ROGERS MEMORIAL HOSPITAL FOUNDATION 5,730,741.

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp

Disregarded Entity Name DisregardedEntityName

Field	Value	IRS element (for citing)
Business Name Line1	PARTNERS IN BEHAVIORAL HEALTH	BusinessNameLine1Txt

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)
EIN	391832142	EIN
Primary Activities	TO ASSIST IN PROVIDING BEHAVIORAL HEALTH SERVICES	PrimaryActivitiesTxt
Legal Domicile State	WI	LegalDomicileStateCd
Total Income	$33,394	TotalIncomeAmt
End Of Year Assets	$0	EndOfYearAssetsAmt

Direct Controlling Entity Name DirectControllingEntityName

Field	Value	IRS element (for citing)
Business Name Line1	ROGERS MEMORIAL HOSPITAL	BusinessNameLine1Txt

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (2 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Controlled OrganizationControlledOrganizationInd
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	NA	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	ROGERS BEHAVIORAL HEALTH SYSTEM INC	0

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	$1,400,000	FMV OF GRANTS PAID
ROGERS MEMORIAL HOSPITAL FOUNDATION INC
C	$1,682,916	FMV OF GRANTS RECEIVED
ROGERS MEMORIAL HOSPITAL FOUNDATION INC
L	$1,146,014	FMV OF SERVICES RENDERED
ROGERS BEHAVIORAL HEALTH SYSTEM INC
M	$1,867,353	FMV OF SERVICES RENDERED