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ROGERS MEMORIAL HOSPITAL INCORPORATED: Form 990, tax year 2017

View the entire original 990 at ProPublica ↗

Organization
ROGERS MEMORIAL HOSPITAL INCORPORATED (EIN 39-1139101)
Tax period
2017-08-01 to 2018-07-31
Filed
2019-06-17
IRS object ID
201901689349301550
Schema version
2017v2.3
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2019-06-17T15:49:05-05:00ReturnTs
Tax Period End2018-07-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN420714325PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1RSM US LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line11 S WACKER DRIVE STE 800AddressLine1Txt
CityCHICAGOCityNm
State AbbreviationILStateAbbreviationCd
ZIP60606ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2017-08-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN391139101EIN

Business Name BusinessName

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

US Address USAddress

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

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonARNOLD STUEBERPersonNm
Person TitleCHIEF FINANCIAL OFFICERPersonTitleTxt
Phone2626464411PhoneNum
Signature2019-06-12SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonZACK FORTSCHPreparerPersonNm
PTINP00052725PTIN
Phone3126343400PhoneNum

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address66.98.98.129IPv4AddressTxt
FieldValueIRS element (for citing)
IP2019-06-12IPDt
IP Tm10:57:40IPTm
IP TimezoneCDIPTimezoneCd
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device Id972ACA630144D1186DE4CD2460E77C4D7B57CBE3AtSubmissionCreationDeviceId
At Submission Filing Device Id2A28FA2E2A09A40AF4F0A751499BE74D16D20E85AtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2017TaxYr
Build TS2019-02-21 02:37:17ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerARNOLD STUEBERPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line134700 VALLEY ROADAddressLine1Txt
CityOCONOMOWOCCityNm
State AbbreviationWIStateAbbreviationCd
ZIP53066ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$206,475,185GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.ROGERSBH.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1907FormationYr
Legal Domicile StateWILegalDomicileStateCd
Activity Or MissionWE PROVIDE HIGHLY EFFECTIVE MENTAL HEALTH AND ADDICTION TREATMENT THAT HELPS PEOPLE REACH THEIR FULL POTENTIAL FOR HEALTH AND WELL-BEING.ActivityOrMissionDesc
Voting Members Governing Body15VotingMembersGoverningBodyCnt
Voting Members Independent10VotingMembersIndependentCnt
Total Employee2544TotalEmployeeCnt
Total Volunteers0TotalVolunteersCnt
Total Gross UBI$779,416TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$334,811PYContributionsGrantsAmt
CY Contributions Grants$575,164CYContributionsGrantsAmt
PY Program Service Revenue$176,985,609PYProgramServiceRevenueAmt
CY Program Service Revenue$203,166,820CYProgramServiceRevenueAmt
PY Investment Income$3,189,656PYInvestmentIncomeAmt
CY Investment Income$1,253,489CYInvestmentIncomeAmt
PY Other Revenue$50,666PYOtherRevenueAmt
CY Other Revenue$0CYOtherRevenueAmt
PY Total Revenue$180,560,742PYTotalRevenueAmt
CY Total Revenue$204,995,473CYTotalRevenueAmt
PY Grants And Similar Paid$1,913,002PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$2,452,305CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$116,671,031PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$131,242,370CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$49,610,034PYOtherExpensesAmt
CY Other Expenses$52,591,296CYOtherExpensesAmt
PY Total Expenses$168,194,067PYTotalExpensesAmt
CY Total Expenses$186,285,971CYTotalExpensesAmt
PY Revenues Less Expenses$12,366,675PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$18,709,502CYRevenuesLessExpensesAmt
Total Assets BOY$240,154,326TotalAssetsBOYAmt
Total Assets EOY$265,546,539TotalAssetsEOYAmt
Total Liabilities BOY$96,487,759TotalLiabilitiesBOYAmt
Total Liabilities EOY$101,037,962TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$143,666,567NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$164,508,577NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionWE 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 Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$130,676,243ExpenseAmt
Grant$2,452,305GrantAmt
Revenue$199,771,069RevenueAmt
DescWE 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 2018 WE SERVED OUR COMMUNITY WITH 57,753 INPATIENT PATIENT DAYS 62,325 RESIDENTIAL PATIENT DAYS AND 154,887 OUTPATIENT PATIENT DAYS. THIS REPRESENTS A 16.7% INCREASE OVER THE PRIOR YEAR. IN 2018 WE EXPANDED OUTPATIENT SERVICES TO CALIFORNIA AND INCREASED PROGRAMING CAPACITY AT SEVERAL OF OUR EXISTING LOCATIONS.OVER THE NEXT 5 YEARS WE PLAN TO OPEN 3 CLINIC LOCATIONS PER YEAR TO SERVE MORE PATIENTS NATIONWIDE.Desc
Total Program Service Expenses$130,676,243TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying ActivitiesYes (1)LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Temp Or Permanent EndowmentsYes (1)TempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl StmtYes (1)IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (1)ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate HospitalYes (1)OperateHospitalInd
Audited Financial Stmt AttYes (1)AuditedFinancialStmtAttInd
Grants To OrganizationsYes (1)GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt BondsYes (1)TaxExemptBondsInd
Invest Tax Exempt Bonds0InvestTaxExemptBondsInd
Escrow Account0EscrowAccountInd
On Behalf Of Issuer0OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org MemYes (1)BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With Officer EntYes (1)BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl EntYes (1)RelatedOrganizationCtrlEntInd
Transaction With Control EntYes (1)TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document186IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee2544EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitYes (1)UnrelatedBusIncmOverLimitInd
Form990 T FiledYes (1)Form990TFiledInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members15GoverningBodyVotingMembersCnt
Independent Voting Member10IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or StockholdersYes (1)MembersOrStockholdersInd
Election Of Board MembersYes (1)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (1)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process OtherYes (1)CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
States Where Copy Of Return Is FldWIStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1ARNOLD STUEBERBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone2626464411PhoneNum

US Address USAddress

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

Form990 Part VII Section A Form990PartVIISectionAGrp (35 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtKey EmployeeKeyEmployeeIndHighest Compensated EmployeeHighestCompensatedEmployeeIndFormer Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
CALVIN SCHMIDT
BOARD CHAIR3.00Yes (X)Yes (X)$0$0$0
PATRICK ANDRITSCH
BOARD VICE-CHAIR3.00Yes (X)Yes (X)$0$0$0
NICK BAUER
BOARD TREASURER3.00Yes (X)Yes (X)$0$0$0
BARBARA GORMACKI
BOARD SECRETARY3.00Yes (X)Yes (X)$0$0$0
DANIEL BADER
BOARD MEMBER1.00Yes (X)$0$0$0
MARTIN BORELL
BOARD MEMBER1.00Yes (X)$0$0$0
KEVIN FLANAGAN
BOARD MEMBER1.00Yes (X)$0$0$0
CHRISTOPHER FITZPATRICK
BOARD MEMBER1.00Yes (X)$0$0$0
PATRICK HAMMER
CEO - RBHS / BOARD MEMBER1.00Yes (X)Yes (X)$0$796,011$32,46640.00
JERRY HALVERSON
CHIEF MEDICAL OFFICER/BOARD MEMBER40.00Yes (X)Yes (X)$458,456$0$38,0971.00
JON LEHRMANN
BOARD MEMBER1.00Yes (X)$0$0$0
GINA MARKSON MAGNUS
BOARD MEMBER1.00Yes (X)$0$0$0
BILL MULLIGAN
BOARD MEMBER1.00Yes (X)$0$0$0
BRADLEY RIEMANN
CHIEF CLINICAL OFFICER/BOARD MEMBER40.00Yes (X)Yes (X)$437,871$0$38,1241.00
MAUREEN STAPLETON
BOARD MEMBER1.00Yes (X)$0$0$0
MARK MOHR
BOARD VICE CHAIR THRU 9/173.00Yes (X)$0$0$0
MARY PANZER
BOARD SECRETARY THRU 9/173.00Yes (X)$0$0$0
PAUL MUELLER
CEO - RMH40.00Yes (X)$546,604$0$40,676
ARNOLD STUEBER
INTERIM CF0-6/14/17, CFO-8/17/1740.00Yes (X)$0$118,946$19,500
JAMES KUBICEK
CHIEF OPERATING OFFICER - BD40.00$272,007$0$38,407Yes (X)
ELIZABETH GILBERT
CHIEF OPERATING OFFICER - WA40.00$189,174$0$10,157Yes (X)
JAY KELLISON
CHIEF OPERATING OFFICER - WC40.00$236,780$0$14,029Yes (X)
SCOTT JOHNSON
CHIEF OPERATING OFFICER - ECM40.00$217,615$0$37,226Yes (X)
KIMBERLY EFFERTZ
CHIEF OPERATING OFFICER - OCON40.00$208,166$0$36,533Yes (X)
CAROLINE MCHALE
CHIEF OPERATING OFFICER - RES SERVICES40.00$153,932$0$8,210Yes (X)
AHMED NUMAN
MEDICAL DIRECTOR40.00$702,510$0$15,379Yes (X)
KHAZI MUQEET
MEDICAL DIRECTOR40.00$615,929$0$11,498Yes (X)
RAYMOND MOY
MEDICAL DIRECTOR40.00$547,436$0$0Yes (X)
PETER LAKE
MEDICAL DIRECTOR40.00$535,481$0$40,616Yes (X)
ROGER LUHN
MEDICAL DIRECTOT40.00$468,908$0$37,910Yes (X)
MICHAEL HEDRICK
EXECUTIVE VP CFO - THRU 6/14/170.00$0$384,245$22,3530.00Yes (X)
KEITH DEGNER
FORMER CFO - RMH- THRU 10/4/160.00$254,330$0$0Yes (X)
SUZANNE HARRISON
FORMER VP OF OPERATIONS - OCON0.00$247,378$0$11,745Yes (X)
ORVIN FILLMAN
FORMER VP OF OPERATIONS - MKE0.00$244,408$0$18,705Yes (X)
JAMES LEDBETTER
FORMER VP OF REGIONAL PARTIAL HOS0.00$187,743$0$10,870Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$6,524,728TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$1,299,202TotReportableCompRltdOrgAmt
Total Other Compensation$482,501TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K18IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedYes (1)FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
CERNER CORPORATION
2800 ROCKCREEK PARKWAYNORTH KANSAS CITYMO64117HEALTH INFORMATION TECHNOLOGY$3,098,682
CIELO INC
200 S EXECUTIVE DRIVE SUITE 400BROOKFIELDWI53005RECRUITING SERVICE$2,287,224
RS COMPANY
1870 ARNOLD INDUSTRIAL PLACE 1050CONCORDCA94520CONSTRUCTION$1,908,705
VJS CONSTRUCTION SERVICES INC
W233N2847 ROUNDY CIRCLE WPEWAUKEEWI53072CONSTRUCTION SERVICE$1,879,492
GORDON FOOD SERVICE INC
10901 38TH STREETKENOSHAWI53144FOOD SERVICE$1,605,039
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K110CntrctRcvdGreaterThan100KCnt
Related Organizations$575,164RelatedOrganizationsAmt
Total Contributions$575,164TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtExclusionExclusionAmtUnrelated Business RevenueUnrelatedBusinessRevenueAmt
NET PATIENT REVENUE900099$199,771,069$199,771,069
OTHER OPERATING REVENUE900099$1,782,665$1,782,665
MANAGEMENT SERVICES541610$1,613,086$833,670$779,416
FieldValueIRS element (for citing)
Total Program Service Revenue$203,166,820TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,247,015TotalRevenueColumnAmt
Exclusion$1,247,015ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$717,814SecuritiesAmt
Other$768,372OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$0SecuritiesAmt
Other$1,479,712OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$717,814SecuritiesAmt
Other-$711,340OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$6,474TotalRevenueColumnAmt
Exclusion$6,474ExclusionAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$204,995,473TotalRevenueColumnAmt
Related Or Exempt Func Income$200,604,739RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$779,416UnrelatedBusinessRevenueAmt
Exclusion$3,036,154ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$2,452,305TotalAmt
Program Services$2,452,305ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$6,524,729TotalAmt
Program Services$6,524,729ProgramServicesAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$101,770,060TotalAmt
Program Services$81,824,103ProgramServicesAmt
Management And General$19,945,957ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$2,992,100TotalAmt
Program Services$2,351,508ProgramServicesAmt
Management And General$640,592ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$12,855,592TotalAmt
Program Services$9,840,578ProgramServicesAmt
Management And General$3,015,014ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$7,099,889TotalAmt
Program Services$5,783,495ProgramServicesAmt
Management And General$1,316,394ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$625,848TotalAmt
Management And General$625,848ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$208,399TotalAmt
Management And General$208,399ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$60,000TotalAmt
Management And General$60,000ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$142,746TotalAmt
Management And General$142,746ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$14,365,469TotalAmt
Program Services$3,606,621ProgramServicesAmt
Management And General$10,758,848ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$1,110,732TotalAmt
Program Services$26,033ProgramServicesAmt
Management And General$1,084,699ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$7,749,049TotalAmt
Program Services$1,794,672ProgramServicesAmt
Management And General$5,954,377ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$289,724TotalAmt
Program Services$140ProgramServicesAmt
Management And General$289,584ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$3,609,162TotalAmt
Management And General$3,609,162ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$1,049,886TotalAmt
Program Services$223,873ProgramServicesAmt
Management And General$826,013ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$45,434TotalAmt
Management And General$45,434ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$2,930,732TotalAmt
Program Services$1,878,593ProgramServicesAmt
Management And General$1,052,139ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$10,908,920TotalAmt
Program Services$6,992,596ProgramServicesAmt
Management And General$3,916,324ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$1,405,778TotalAmt
Program Services$236ProgramServicesAmt
Management And General$1,405,542ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
BAD DEBT EXPENSE$4,600,774$4,600,774
FOOD$2,780,588$2,595,291$185,297
DUE/FEES/SUBSCRIPTIONS$592,588$180,675$411,913
CHARITABLE DONATION$115,467$21$115,446

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$186,285,971TotalAmt
Program Services$130,676,243ProgramServicesAmt
Management And General$55,609,728ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$35,096,609BOYAmt
EOY$46,149,852EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$23,516,376BOYAmt
EOY$24,020,164EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$1,268,440BOYAmt
EOY$1,407,524EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$184,055,972LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$54,337,264LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$126,103,794BOYAmt
EOY$129,718,708EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$47,427,486BOYAmt
EOY$56,721,463EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$6,741,621BOYAmt
EOY$7,528,828EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$240,154,326BOYAmt
EOY$265,546,539EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$17,463,023BOYAmt
EOY$23,590,273EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$49,470,000BOYAmt
EOY$48,505,000EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

FieldValueIRS element (for citing)
BOY$26,022,768BOYAmt
EOY$25,196,270EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$3,531,968BOYAmt
EOY$3,746,419EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$96,487,759BOYAmt
EOY$101,037,962EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$137,206,302BOYAmt
EOY$157,928,034EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$4,393,265BOYAmt
EOY$4,511,704EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$2,067,000BOYAmt
EOY$2,068,839EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$143,666,567BOYAmt
EOY$164,508,577EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$240,154,326BOYAmt
EOY$265,546,539EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$18,709,502ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$335,447NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets$1,797,061OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consol And Sep Basis Fincl StmtYes (X)ConsolAndSepBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule B IRS990ScheduleB

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Volunteers0VolunteersInd
Paid Staff Or Management0PaidStaffOrManagementInd
Media Advertisements0MediaAdvertisementsInd
Mailings Members0MailingsMembersInd
Publications Or Broadcast0PublicationsOrBroadcastInd
Grants Other Organizations0GrantsOtherOrganizationsInd
Direct Contact Legislators0DirectContactLegislatorsInd
Rallies Demonstrations0RalliesDemonstrationsInd
Other ActivitiesYes (1)OtherActivitiesInd
Other Activities$65,110OtherActivitiesAmt
Total Lobbying Expenditures$65,110TotalLobbyingExpendituresAmt
Not Described Section501c30NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART II-B, LINE 1:FormAndLineReferenceDesc
ExplanationPORTIONS OF ASSOCIATION DUES ALLOCATED FOR LOBBYING EXPENSES OF WHA $35,732 (14.3%) TOTALING $5,110. ROGERS MEMORIAL HOSPITAL, INC. EMPLOYS AN INDIVIDUAL, MARY PANZER, FOR $60,000 WHO COMMUNICATED WITH LEGISLATORS.ExplanationTxt

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

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

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$2,169,064BeginningYearBalanceAmt
Contributions$93,526ContributionsAmt
Investment Earnings Or Losses$181,954InvestmentEarningsOrLossesAmt
Other Expenditures$43,367OtherExpendituresAmt
End Year Balance$2,401,177EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$2,173,390BeginningYearBalanceAmt
Contributions$5,208ContributionsAmt
Investment Earnings Or Losses$21,697InvestmentEarningsOrLossesAmt
Other Expenditures$31,231OtherExpendituresAmt
End Year Balance$2,169,064EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

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

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$1,263,229BeginningYearBalanceAmt
Contributions$565,929ContributionsAmt
Investment Earnings Or Losses$94,384InvestmentEarningsOrLossesAmt
End Year Balance$1,923,542EndYearBalanceAmt
FieldValueIRS element (for citing)
Board Designated Balance EOY0.00000BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY0.81790PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY0.18210TermEndowmentBalanceEOYPct
Endowments Held Unrelated Org0EndowmentsHeldUnrelatedOrgInd
Endowments Held Related OrgYes (1)EndowmentsHeldRelatedOrgInd
Related Org List Sch RYes (1)RelatedOrgListSchRInd

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$7,969,141OtherCostOrOtherBasisAmt
Book Value$7,969,141BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$119,216,397OtherCostOrOtherBasisAmt
Depreciation$32,667,360DepreciationAmt
Book Value$86,549,037BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$5,852,401OtherCostOrOtherBasisAmt
Depreciation$2,748,171DepreciationAmt
Book Value$3,104,230BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$45,499,739OtherCostOrOtherBasisAmt
Depreciation$18,921,733DepreciationAmt
Book Value$26,578,006BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$5,518,294OtherCostOrOtherBasisAmt
Book Value$5,518,294BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$129,718,708TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)

DescDescAmtAmt
AR CREDIT BALANCES$559,609
DEFERRED COMPENSATION$2,644,665
DUE TO ROGERS BEHAVIORAL HEALTH SYSTEM, INC.$542,145
FieldValueIRS element (for citing)
Total Liability$3,746,419TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$202,314,479TotalRevEtcAuditedFinclStmtAmt
Other Revenue-$3,249,588OtherRevenueAmt
Revenue Not Reported-$3,249,588RevenueNotReportedAmt
Revenue Subtotal$205,564,067RevenueSubtotalAmt
Other Revenues Not Included-$568,594OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt-$568,594RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$204,995,473TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$179,081,317TotExpnsEtcAuditedFinclStmtAmt
Expenses Not Reported$0ExpensesNotReportedAmt
Expenses Subtotal$179,081,317ExpensesSubtotalAmt
Other Expenses Not Included$7,204,654OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt$7,204,654ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$186,285,971TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART V, LINE 4:THE ENDOWMENT FUNDS ARE USED TO SUPPORT HOSPITAL CAPITAL PROJECTS, SPECIFIC PROGRAMS DESIGNATED BY THE DONOR AND PATIENT CARE ASSISTANCE.
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 PROCESS, IF ANY.
PART XI, LINE 2D - OTHER ADJUSTMENTS:BAD DEBT EXPENSE -4,600,774. NET ASSETS RELEASED FROM RESTRICTION 1,351,186.
PART XI, LINE 4B - OTHER ADJUSTMENTS:INVESTMENT MANAGEMENT FEES 142,746. GAIN/LOSS ON DISPOSAL OF PPE -711,340.
PART XII, LINE 4B - OTHER ADJUSTMENTS:BAD DEBT EXPENSE 4,600,774. INVESTMENT MANAGEMENT FEES 142,746. CONTRIBUTIONS/GRANTS 2,461,134.

Schedule H IRS990ScheduleH

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

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$2,056,650TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$2,056,650NetCommunityBenefitExpnsAmt
Total Expense0.01100TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$52,631,684TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$37,819,472DirectOffsettingRevenueAmt
Net Community Benefit Expns$14,812,212NetCommunityBenefitExpnsAmt
Total Expense0.07950TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$54,688,334TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$37,819,472DirectOffsettingRevenueAmt
Net Community Benefit Expns$16,868,862NetCommunityBenefitExpnsAmt
Total Expense0.09050TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$1,065,715TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$1,065,715NetCommunityBenefitExpnsAmt
Total Expense0.00570TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$51,179TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$21,716DirectOffsettingRevenueAmt
Net Community Benefit Expns$29,463NetCommunityBenefitExpnsAmt
Total Expense0.00020TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$179,821TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$179,821NetCommunityBenefitExpnsAmt
Total Expense0.00100TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$1,296,715TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$21,716DirectOffsettingRevenueAmt
Net Community Benefit Expns$1,274,999NetCommunityBenefitExpnsAmt
Total Expense0.00690TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$55,985,049TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$37,841,188DirectOffsettingRevenueAmt
Net Community Benefit Expns$18,143,861NetCommunityBenefitExpnsAmt
Total Expense0.09740TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense ReportedYes (1)BadDebtExpenseReportedInd
Bad Debt Expense$2,208,371BadDebtExpenseAmt
Reimbursed By Medicare$3,220,467ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$4,162,932CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall-$942,465MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

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

Hospital Facilities HospitalFacilitiesGrp (3 entries)

FacilityFacilityNumAddress Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdWebsite AddressWebsiteAddressTxtLicensed HospitalLicensedHospitalInd
ROGERS MEMORIAL HOSPITAL - OCONOMOWOC
134700 VALLEY ROADOCONOMOWOCWI53006WWW.ROGERSBH.ORGYes (X)
ROGERS MEMORIAL HOSPITAL - WEST ALLIS
211101 W LINCOLN AVENUEMILWAUKEEWI53227WWW.ROGERSBH.ORGYes (X)
ROGERS MEMORIAL HOSPITAL - BROWN DEER
34600 WEST SCHROEDER DRIVE SUITE 2BROWN DEERWI53223WWW.ROGERSBH.ORGYes (X)

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp (3 entries)

FacilityFacilityNumFirst Licensed CY Or PYFirstLicensedCYOrPYIndTax Exempt Hospital CY Or PYTaxExemptHospitalCYOrPYIndCHNA ConductedCHNAConductedIndCommunity DefinitionCommunityDefinitionIndCommunity DemographicsCommunityDemographicsIndExisting ResourcesExistingResourcesIndHow Data ObtainedHowDataObtainedIndCommunity Health NeedsCommunityHealthNeedsIndOther Health IssuesOtherHealthIssuesIndCommunity Hlth Needs Id ProcessCommunityHlthNeedsIdProcessIndConsulting ProcessConsultingProcessIndPrior CHNA ImpactPriorCHNAImpactIndCHNA ConductedCHNAConductedYrTake Into Account Others InputTakeIntoAccountOthersInputIndCHNA Conducted With Other FcltsCHNAConductedWithOtherFcltsIndCHNA Conducted With Non FcltsCHNAConductedWithNonFcltsIndCHNA Report Widely AvailableCHNAReportWidelyAvailableIndRpt Available On Own WebsiteRptAvailableOnOwnWebsiteIndOwn Website URLOwnWebsiteURLTxtPaper Copy Public InspectionPaperCopyPublicInspectionIndRpt Available Thru Other MethodRptAvailableThruOtherMethodIndImplementation Strategy AdoptImplementationStrategyAdoptIndImplementation Strategy AdptImplementationStrategyAdptYrStrategy Posted WebsiteStrategyPostedWebsiteIndStrategy Website URLStrategyWebsiteURLTxtOrganization Incur Excise TaxOrganizationIncurExciseTaxIndElig Criteria ExplainedEligCriteriaExplainedIndFPG Family Incm Lmt Free DscntFPGFamilyIncmLmtFreeDscntIndFPG Family Incm Lmt Free CareFPGFamilyIncmLmtFreeCarePctFPG Family Incm Lmt Dscnt CareFPGFamilyIncmLmtDscntCarePctIncome Level CriteriaIncomeLevelCriteriaIndAsset Level CriteriaAssetLevelCriteriaIndMedical Indigency CriteriaMedicalIndigencyCriteriaIndInsurance Status CriteriaInsuranceStatusCriteriaIndUnderinsurance Stat CriteriaUnderinsuranceStatCriteriaIndExplained BasisExplainedBasisIndApp Financial Asst ExplnAppFinancialAsstExplnIndDescribed InfoDescribedInfoIndDescribed Suprt DocDescribedSuprtDocIndProvided Hospital ContactProvidedHospitalContactIndProvided Nonprofit ContactProvidedNonprofitContactIndIncludes Publicity MeasuresIncludesPublicityMeasuresIndFAP Available On WebsiteFAPAvailableOnWebsiteIndFAP Available On Website URLFAPAvailableOnWebsiteURLTxtFAP App Available On WebsiteFAPAppAvailableOnWebsiteIndFAP App Available On Website URLFAPAppAvailableOnWebsiteURLTxtFAP Summary On WebsiteFAPSummaryOnWebsiteIndFAP Summary On Website URLFAPSummaryOnWebsiteURLTxtFAP Avlbl On Request No ChargeFAPAvlblOnRequestNoChargeIndFAP App Avlbl On Request No ChrgFAPAppAvlblOnRequestNoChrgIndFAP Sum Avlbl On Request No ChrgFAPSumAvlblOnRequestNoChrgIndNotified FAP Copy Bill DisplayNotifiedFAPCopyBillDisplayIndCommuntity Notified FAPCommuntityNotifiedFAPIndFAP TranslatedFAPTranslatedIndOther PublicityOtherPublicityIndFAP Actions On NonpaymentFAPActionsOnNonpaymentIndPermit No ActionsPermitNoActionsIndCollection ActivitiesCollectionActivitiesIndMade Effort Orally NotifyMadeEffortOrallyNotifyIndMade Presumptive Elig DetermMadePresumptiveEligDetermIndNondis Emergency Care PolicyNondisEmergencyCarePolicyIndLook Back Medicare PrivateLookBackMedicarePrivateIndAmounts Generally BilledAmountsGenerallyBilledIndGross ChargesGrossChargesInd
ROGERS MEMORIAL HOSPITAL - OCONOMOWOC
100Yes (1)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)15Yes (1)00Yes (1)Yes (X)SEE PART V, SECTION B, LINE 7DYes (X)Yes (X)Yes (1)15Yes (1)SEE PART V, SECTION B, LINE 7D0Yes (1)Yes (X)100.000000000000400.000000000000Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (1)Yes (1)Yes (X)Yes (X)Yes (X)Yes (X)Yes (1)Yes (X)SEE SUPPLEMENTAL INFORMATION PART V, PAGE 8Yes (X)SEE SUPPLEMENTAL INFORMATION PART V, PAGE 8Yes (X)SEE SUPPLEMENTAL INFORMATION PART V, PAGE 8Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (1)Yes (X)0Yes (X)Yes (X)Yes (1)Yes (X)00
ROGERS MEMORIAL HOSPITAL - WEST ALLIS
200Yes (1)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)15Yes (1)00Yes (1)Yes (X)SEE PART V, SECTION B, LINE 7DYes (X)Yes (X)Yes (1)15Yes (1)SEE PART V, SECTION B, LINE 7D0Yes (1)Yes (X)100.000000000000400.000000000000Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (1)Yes (1)Yes (X)Yes (X)Yes (X)Yes (X)Yes (1)Yes (X)SEE SUPPLEMENTAL INFORMATION PART V, PAGE 8Yes (X)SEE SUPPLEMENTAL INFORMATION PART V, PAGE 8Yes (X)SEE SUPPLEMENTAL INFORMATION PART V, PAGE 8Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (1)Yes (X)0Yes (X)Yes (X)Yes (1)Yes (X)00
ROGERS MEMORIAL HOSPITAL - BROWN DEER
300Yes (1)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)15Yes (1)00Yes (1)Yes (X)SEE PART V, SECTION B, LINE 7DYes (X)Yes (X)Yes (1)15Yes (1)SEE PART V, SECTION B, LINE 7D0Yes (1)Yes (X)100.000000000000400.000000000000Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (1)Yes (1)Yes (X)Yes (X)Yes (X)Yes (X)Yes (1)Yes (X)SEE SUPPLEMENTAL INFORMATION PART V, PAGE 8Yes (X)SEE SUPPLEMENTAL INFORMATION PART V, PAGE 8Yes (X)SEE SUPPLEMENTAL INFORMATION PART V, PAGE 8Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (1)Yes (X)0Yes (X)Yes (X)Yes (1)Yes (X)00

Supplemental Information SupplementalInformationGrp (14 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
ROGERS MEMORIAL HOSPITAL - OCONOMOWOCPART V, SECTION B, LINE 5: YES, WE SURVEYED COMMUNITY MEMBERS AND REVIEWED OTHER HOSPITAL AND GOVERNMENTAL SURVEYS CONDUCTED TO ASSESS THE COMMUNITY NEED.
ROGERS MEMORIAL HOSPITAL - WEST ALLISPART V, SECTION B, LINE 5: YES, WE SURVEYED COMMUNITY MEMBERS AND REVIEWED OTHER HOSPITAL AND GOVERMENTAL SURVEYS CONDUCTED TO ASSESS THE COMMUNITY NEED.
ROGERS MEMORIAL HOSPITAL - BROWN DEERPART V, SECTION B, LINE 5: YES, WE SURVEYED COMMUNITY MEMBERS AND REVIEWED OTHER HOSPITAL AND GOVERMENTAL SURVEYS CONDUCTED TO ASSESS THE COMMUNITY NEED.
ROGERS MEMORIAL HOSPITAL - OCONOMOWOCPART V, SECTION B, LINE 7D: HTTPS://ROGERSBH.ORG/APPLICATION/FILES/2814/9602/3104/2016_CHNA_WRITTEN_REPORT_V2FORMATTED_0.PDF
ROGERS MEMORIAL HOSPITAL - WEST ALLISPART V, SECTION B, LINE 7D: HTTPS://ROGERSBH.ORG/APPLICATION/FILES/2814/9602/3104/2016_CHNA_WRITTEN_REPORT_V2FORMATTED_0.PDF
ROGERS MEMORIAL HOSPITAL - BROWN DEERPART V, SECTION B, LINE 7D: HTTPS://ROGERSBH.ORG/APPLICATION/FILES/2814/9602/3104/2016_CHNA_WRITTEN_REPORT_V2FORMATTED_0.PDF
ROGERS MEMORIAL HOSPITAL - OCONOMOWOCPART V, SECTION B, LINE 11: THE ADVISORY COMMITTEE MADE THE DECISION TO ADDRESS THE FOLLOWING PRIORITIES AS IDENTIFIED BY THE LATEST CHNA:1) ACCESS TO SERVICES - BY BUILDING A CHARITY FUND FOR THOSE WHO HAVE LIMITED RESOURCES, SHIFT/EXPAND SPECIALIZED PROGRAMMING ACROSS LEVELS OF CARE, INCREASE IMPLEMENTATION OF TELEPSYCHIATRY SERVICES, EXPANDING CALL CENTER CAPABILITIES TO HANDLE HIGHER CALL VOLUMES, AND EXPLORE EVENING AND WEEKEND PROGRAMS FOR PARTIAL AND INTENSIVE OUTPATIENT SERVICES; THE COMMUNITY WOULD SEE MORE ACCESSIBLE CARE, A DECREASE IN BARRIERS TO CARE, AND AN IMPROVED PATIENT FLOW INTO OUR LEVELS OF CARE.2) SUBSTANCE USE DISORDER - USING CURRENT TRENDS AND PROVEN METHODS TOEVALUATE THE NEED TO CREATE/STRENGTHEN SERVICES FOR SPECIAL POPULATIONS,REVISE AND EXPAND FAMILY AND FRIEND PROGRAMMING, LOOK INTO APPROPRIATEDELIVERY AND LOCATION OF SUPPORTIVE LIVING FACILITIES, EXPLORE ANDEVALUATE POTENTIAL COMMUNITY PARTNERSHIPS TO SUPPLEMENT AND ENHANCESERVICES PROVIDED BY ROGERS; TARGETED SERVICES WILL BE DESIGNED TO MEET COMMUNITY-SPECIFIC NEEDS AS WELL AS PROVIDE ONGOING INNOVATION ANDBEST-PRACTICES ACROSS ROGERS MEMORIAL HOSPITAL.3) EDUCATION, AWARENESS, ADVOCACY AND STIGMA REDUCTION - BY PROVIDINGFACILITATIVE LEADERSHIP TO WISE, SERVING ON WI DPI DESIGN ANDIMPLEMENTATION TEAM FOR WISCONSIN'S YOUTH MENTAL HEALTH FRAMEWORK, ALSO BYPROVIDING TRAINING TO SCHOOLS, WORKPLACES, CONGREGATIONS AND COMMUNITYORGANIZATIONS, AND BY BUILDING THE CAPACITY OF STAFF IN MENTAL HEALTH ORGANIZATIONS AROUND THE STATE; WE CAN REDUCE STIGMA AND ALLOW PEOPLEACCESS TO CARE AND SUPPORT EARLIER IN THE PROCESS OF THE ILLNESS,POLICYMAKERS WILL LEARN ABOUT HOW TO IMPROVE THE MENTAL HEALTH CARESYSTEM, AND ORGANIZATIONS DEDICATED TO EDUCATION AND STIGMA REDUCTION WITHIMPLEMENTING EVIDENCE-BASED PROGRAMMING AND APPROACHES.4) STAFF MENTAL HEALTH TRAINING - WITH UPDATING TRAINING TOPICS IN AVARIETY OF AREAS, RECRUITING AN EMPLOYEE SAFETY MANAGER, THEIMPLEMENTATION OF TRAINING PROGRAMS TO MINIMIZE INJURIES ASSOCIATED WITHPATIENT CARE AND CRISIS ESCALATION, INCREASED OPPORTUNITIES FOR STUDENTSTO LEARN ABOUT MENTAL HEALTHCARE THROUGH INTERNSHIPS, PRACTICUM ANDRESIDENCY PROGRAMS, TRAINING EMPLOYEES ON ACTIVE LISTENING TECHNIQUES ANDESTABLISHING VIRTUAL TRAINING DELIVERY METHODS IN ALL REGIONAL FACILITIES;ROGERS' EMPLOYEES WILL HAVE GREATER COMPETENCIES AND SKILL SETS AS WELL ASPROVIDE IMPROVED CARE AND PATIENT SAFETY.5) AFTER CARE SUPPORT - BY EXPLORING OPTIONS FOR SUPPORT GROUPS ANDVARYING APPROACHES, ESTABLISHING ROGERS FIRST TRANSITIONAL HOUSING UNIT,AND BY HIRING A SUPPORT GROUP SPECIALIST; WE WILL SEE A DECREASED NUMBEROF RE-ADMISSIONS, IMPROVED PATIENT OUTCOMES AND EXPAND THE HOSPITALS AFTER-DISCHARGE SUPPORT OPTIONS.6) PEER SUPPORT SPECIALIST - EXPLORING THE ROLE OF A PEER SUPPORTSPECIALIST WITHIN INPATIENT AND OUTPATIENT SETTINGS AND ACROSS ADOLESCENTAND ADULT PROGRAMS; ROGERS LOOKS TO DECREASE THE NUMBER OF RE-ADMISSIONSAND IMPROVE PATIENT OUTCOMES.
ROGERS MEMORIAL HOSPITAL - WEST ALLISPART V, SECTION B, LINE 11: THE ADVISORY COMMITTEE MADE THE DECISION TOADDRESS THE FOLLOWING PRIORITIES AS IDENTIFIED BY THE LATEST CHNA:1) ACCESS TO SERVICES - BY BUILDING A CHARITY FUND FOR THOSE WHO HAVE LIMITED RESOURCES, SHIFT/EXPAND SPECIALIZED PROGRAMMING ACROSS LEVELS OF CARE, INCREASE IMPLEMENTATION OF TELEPSYCHIATRY SERVICES, EXPANDING CALL CENTER CAPABILITIES TO HANDLE HIGHER CALL VOLUMES, AND EXPLORE EVENING AND WEEKEND PROGRAMS FOR PARTIAL AND INTENSIVE OUTPATIENT SERVICES; THE COMMUNITY WOULD SEE MORE ACCESSIBLE CARE, A DECREASE IN BARRIERS TO CARE, AND AN IMPROVED PATIENT FLOW INTO OUR LEVELS OF CARE.2) SUBSTANCE USE DISORDER - USING CURRENT TRENDS AND PROVEN METHODS TO EVALUATE THE NEED TO CREATE/STRENGTHEN SERVICES FOR SPECIAL POPULATIONS, REVISE AND EXPAND FAMILY AND FRIEND PROGRAMMING, LOOK INTO APPROPRIATE DELIVERY AND LOCATION OF SUPPORTIVE LIVING FACILITIES, EXPLORE AND EVALUATE POTENTIAL COMMUNITY PARTNERSHIPS TO SUPPLEMENT AND ENHANCE SERVICES PROVIDED BY ROGERS; TARGETED SERVICES WILL BE DESIGNED TO MEET COMMUNITY-SPECIFIC NEEDS AS WELL AS PROVIDE ONGOING INNOVATION AND BEST-PRACTICES ACROSS ROGERS MEMORIAL HOSPITAL.3) EDUCATION, AWARENESS, ADVOCACY AND STIGMA REDUCTION - BY PROVIDING FACILITATIVE LEADERSHIP TO WISE, SERVING ON WI DPI DESIGN AND IMPLEMENTATION TEAM FOR WISCONSIN'S YOUTH MENTAL HEALTH FRAMEWORK, ALSO BY PROVIDING TRAINING TO SCHOOLS, WORKPLACES, CONGREGATIONS AND COMMUNITY ORGANIZATIONS, AND BY BUILDING THE CAPACITY OF STAFF IN MENTAL HEALTH ORGANIZATIONS AROUND THE STATE; WE CAN REDUCE STIGMA AND ALLOW PEOPLE ACCESS TO CARE AND SUPPORT EARLIER IN THE PROCESS OF THE ILLNESS, POLICYMAKERS WILL LEARN ABOUT HOW TO IMPROVE THE MENTAL HEALTH CARE SYSTEM, AND ORGANIZATIONS DEDICATED TO EDUCATION AND STIGMA REDUCTION WITH IMPLEMENTING EVIDENCE-BASED PROGRAMMING AND APPROACHES.4) STAFF MENTAL HEALTH TRAINING - WITH UPDATING TRAINING TOPICS IN A VARIETY OF AREAS, RECRUITING AN EMPLOYEE SAFETY MANAGER, THE IMPLEMENTATION OF TRAINING PROGRAMS TO MINIMIZE INJURIES ASSOCIATED WITH PATIENT CARE AND CRISIS ESCALATION, INCREASED OPPORTUNITIES FOR STUDENTS TO LEARN ABOUT MENTAL HEALTHCARE THROUGH INTERNSHIPS, PRACTICUM AND RESIDENCY PROGRAMS, TRAINING EMPLOYEES ON ACTIVE LISTENING TECHNIQUES AND ESTABLISHING VIRTUAL TRAINING DELIVERY METHODS IN ALL REGIONAL FACILITIES; ROGERS' EMPLOYEES WILL HAVE GREATER COMPETENCIES AND SKILL SETS AS WELL AS PROVIDE IMPROVED CARE AND PATIENT SAFETY. 5) AFTER CARE SUPPORT - BY EXPLORING OPTIONS FOR SUPPORT GROUPS AND VARYING APPROACHES, ESTABLISHING ROGERS FIRST TRANSITIONAL HOUSING UNIT, AND BY HIRING A SUPPORT GROUP SPECIALIST; WE WILL SEE A DECREASED NUMBER OF RE-ADMISSIONS, IMPROVED PATIENT OUTCOMES AND EXPAND THE HOSPITALS AFTER-DISCHARGE SUPPORT OPTIONS.6) PEER SUPPORT SPECIALIST - EXPLORING THE ROLE OF A PEER SUPPORT ROGERS SPECIALIST WITHIN INPATIENT AND OUTPATIENT SETTINGS AND ACROSS ADOLESCENT AND ADULT PROGRAMS; ROGERS LOOKS TO DECREASE THE NUMBER OF RE-ADMISSIONS AND IMPROVE PATIENT OUTCOMES.
ROGERS MEMORIAL HOSPITAL - BROWN DEERPART V, SECTION B, LINE 11: THE ADVISORY COMMITTEE MADE THE DECISION TO ADDRESS THE FOLLOWING PRIORITIES AS IDENTIFIED BY THE LATEST CHNA:1) ACCESS TO SERVICES - BY BUILDING A CHARITY FUND FOR THOSE WHO HAVE LIMITED RESOURCES, SHIFT/EXPAND SPECIALIZED PROGRAMMING ACROSS LEVELS OF CARE, INCREASE IMPLEMENTATION OF TELEPSYCHIATRY SERVICES, EXPANDING CALL CENTER CAPABILITIES TO HANDLE HIGHER CALL VOLUMES, AND EXPLORE EVENING AND WEEKEND PROGRAMS FOR PARTIAL AND INTENSIVE OUTPATIENT SERVICES; THE COMMUNITY WOULD SEE MORE ACCESSIBLE CARE, A DECREASE IN BARRIERS TO CARE, AND AN IMPROVED PATIENT FLOW INTO OUR LEVELS OF CARE.2) SUBSTANCE USE DISORDER - USING CURRENT TRENDS AND PROVEN METHODS TO EVALUATE THE NEED TO CREATE/STRENGTHEN SERVICES FOR SPECIAL POPULATIONS, REVISE AND EXPAND FAMILY AND FRIEND PROGRAMMING, LOOK INTO APPROPRIATE DELIVERY AND LOCATION OF SUPPORTIVE LIVING FACILITIES, EXPLORE AND EVALUATE POTENTIAL COMMUNITY PARTNERSHIPS TO SUPPLEMENT AND ENHANCE SERVICES PROVIDED BY ROGERS; TARGETED SERVICES WILL BE DESIGNED TO MEET COMMUNITY-SPECIFIC NEEDS AS WELL AS PROVIDE ONGOING INNOVATION AND BEST-PRACTICES ACROSS ROGERS MEMORIAL HOSPITAL.3) EDUCATION, AWARENESS, ADVOCACY AND STIGMA REDUCTION - BY PROVIDING FACILITATIVE LEADERSHIP TO WISE, SERVING ON WI DPI DESIGN AND IMPLEMENTATION TEAM FOR WISCONSIN'S YOUTH MENTAL HEALTH FRAMEWORK, ALSO BY PROVIDING TRAINING TO SCHOOLS, WORKPLACES, CONGREGATIONS AND COMMUNITY ORGANIZATIONS, AND BY BUILDING THE CAPACITY OF STAFF IN MENTAL HEALTH ORGANIZATIONS AROUND THE STATE; WE CAN REDUCE STIGMA AND ALLOW PEOPLE ACCESS TO CARE AND SUPPORT EARLIER IN THE PROCESS OF THE ILLNESS, POLICYMAKERS WILL LEARN ABOUT HOW TO IMPROVE THE MENTAL HEALTH CARE SYSTEM, AND ORGANIZATIONS DEDICATED TO EDUCATION AND STIGMA REDUCTION WITH IMPLEMENTING EVIDENCE-BASED PROGRAMMING AND APPROACHES.4) STAFF MENTAL HEALTH TRAINING - WITH UPDATING TRAINING TOPICS IN A VARIETY OF AREAS, RECRUITING AN EMPLOYEE SAFETY MANAGER, THE IMPLEMENTATION OF TRAINING PROGRAMS TO MINIMIZE INJURIES ASSOCIATED WITH PATIENT CARE AND CRISIS ESCALATION, INCREASED OPPORTUNITIES FOR STUDENTS TO LEARN ABOUT MENTAL HEALTHCARE THROUGH INTERNSHIPS, PRACTICUM AND RESIDENCY PROGRAMS, TRAINING EMPLOYEES ON ACTIVE LISTENING TECHNIQUES AND ESTABLISHING VIRTUAL TRAINING DELIVERY METHODS IN ALL REGIONAL FACILITIES; ROGERS' EMPLOYEES WILL HAVE GREATER COMPETENCIES AND SKILL SETS AS WELL AS PROVIDE IMPROVED CARE AND PATIENT SAFETY. 5) AFTER CARE SUPPORT - BY EXPLORING OPTIONS FOR SUPPORT GROUPS AND VARYING APPROACHES, ESTABLISHING ROGERS FIRST TRANSITIONAL HOUSING UNIT, AND BY HIRING A SUPPORT GROUP SPECIALIST; WE WILL SEE A DECREASED NUMBER OF RE-ADMISSIONS, IMPROVED PATIENT OUTCOMES AND EXPAND THE HOSPITALS AFTER-DISCHARGE SUPPORT OPTIONS.6) PEER SUPPORT SPECIALIST - EXPLORING THE ROLE OF A PEER SUPPORT SPECIALIST WITHIN INPATIENT AND OUTPATIENT SETTINGS AND ACROSS ADOLESCENT AND ADULT PROGRAMS; ROGERS LOOKS TO DECREASE THE NUMBER OF RE-ADMISSIONS AND IMPROVE PATIENT OUTCOMES.
ROGERS MEMORIAL HOSPITAL - OCONOMOWOCPART V, SECTION B, LINE 16J: NOTIFIED INDIVIDUALS THROUGH COMMUNICATIONS REGARDING THEIR BILLS.
ROGERS MEMORIAL HOSPITAL - WEST ALLISPART V, SECTION B, LINE 16J: NOTIFIED INDIVIDUALS IN COMMUNICATIONS REGARDING THEIR BILLS.
ROGERS MEMORIAL HOSPITAL - BROWN DEERPART V, SECTION B, LINE 16J: NOTIFIED INDIVIDUALS IN COMMUNICATIONS REGARDING THEIR BILLS.
PART V, SECTION B, LINE 16A - 16C - WEBSITE LINKSFAP: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
PART V, SECTION B, LINE 16I - FAP, FAP APPLICATION AND PLSROGERS MEMORIAL HOSPITAL, INC. HAS TRANSLATED THE FAP INTO SPANISH WHICH IS AVAILABLE UPON REQUEST. ROGERS MEMORIAL HOSPITAL, INC. IS IN THE PROCESS OF FINALIZING THE TRANSLATION OF THE FAP APPLICATION AND PLS.
FieldValueIRS element (for citing)
Facility9FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (9 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdFacilityFacilityTxt
1 - ROGERS MEMORIAL HOSPITAL - MADISON
406 SCIENCE DRIVE SUITE 110MADISONWI53711CENTER FOR EATING AND ANXIETY DISORDERS, AND COGNITIVE-BEHAVIORAL THERAPY
2 - ROGERS BEHAVIORAL HEALTH - TAMPA
2002 N LOIS AVE SUITE 400TAMPAFL33607CENTER FOR OCD, ANXIETY AND EATING DISORDERS
3 - ROGERS BEHAVIORAL HEALTH - CHICAGO
4711 GOLF ROAD SUITE 600SKOKIEIL60076CENTER FOR OCD, ANXIETY, EATING, DEPRESSION, AND MOOD DISORDERS
4 - ROGERS BEHAVIORAL HEALTH - MINNEAPOLIS
6442 CITY WEST PARKWAY SUITE 200EDEN PRAIRIEMN55344CENTER FOR OCD, ANXIETY, EATING, DEPRESSION, PTSD, AND MOOD DISORDERS
5 - ROGERS MEMORIAL HOSPITAL - KENOSHA
9916 75TH STREETKENOSHAWI53142TREATMENT CENTER FOR CHILDREN AND ADOLESCENTS
6 - ROGERS BEHAVIORAL HEALTH - NASHVILLE
4230 HARDING ROAD SUITE 707NASHVILLETN37205CENTER FOR OCD, ANXIETY AND EATING DISORDERS
7 - ROGERS BEHAVIORAL HEALTH - APPLETON
4531 W COLLEGE AVE 300APPLETONWI54914CENTER FOR OCD, ANXIETY, EATING, DEPRESSION, PTSD, AND MOOD DISORDERS
8 - ROGERS BEHAVIORAL HEALTH - PHILADELPHIA
1 WINDING DRIVE SUITE 106PHILADELPHIAPA19131CENTER FOR OCD, ANXIETY, EATING, DEPRESSION, PTSD, AND MOOD DISORDERS
9 - ROGERS BEHAVIORAL HEALTH - SAN FRANCISCO
420 N WIGET LANE BUILDING 2WALNUT CREEKCA94598CENTER FOR OCD, ANXIETY AND MOOD DISORDERS

Supplemental Information Detail SupplementalInformationDetail (10 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART I, LINE 6A:COMMUNITY BENEFIT WISCONSIN STATE ASSOCIATION SURVEY
PART I, LINE 7:LINES A - E: CONSISTENT WITH THE MISSION OF THE HOSPITAL, CARE IS PROVIDED TO PATIENTS REGARDLESS OF THEIR ABILITY TO PAY, INCLUDING PROVIDING SERVICES TO THOSE PERSONS WHO ARE UNINSURED AND WHO CANNOT AFFORD HEALTH INSURANCE BECAUSE OF INADEQUATE RESOURCES. THE HOSPITAL PROVIDES DISCOUNTS FROM ESTABLISHED CHARGES TO SELF-PAY PATIENTS WITHOUT REGARD TO THE PATIENT'S ABILITY TO PAY AND CONSIDERS THESE DISCOUNTS A PART OF THEIR COMMUNITY BENEFIT. PATIENTS WHO MEET CERTAIN CRITERIA FOR COMMUNITY CARE, GENERALLY BASED ON FEDERAL POVERTY GUIDELINES, ARE PROVIDED CARE WITHOUT CHARGE OR AT A REDUCED RATE, DETERMINED BASED ON QUALIFYING CRITERIA AS DEFINED IN THE HOSPITAL'S COMMUNITY CARE POLICY AND FROM APPLICATIONS COMPLETED BY PATIENTS AND THEIR FAMILIES.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 RESOUCES 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 $4,600,774
PART III, LINE 4: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 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 INABLILITY 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 PSYCIATRIC 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. IN FISCAL YEAR 2018, OVER 16,000 INDIVIDUALS FROM THE STATE OF WISCONSIN WERE ADMITTED TO ROGERS. OF THE 72 WISCONSIN COUNTIES, RESIDENTS FROM 68 OF THESE COUNTIES RECEIVED SERVICES AT ROGERS. MILWAUKEE AND WAUKESHA COUNTY RESIDENTS CONSTITUTED OVER 54 PERCENT OF THE POPULATION SERVED, WHILE 46 PERCENT WERE FROM OTHER WISCONSIN COUNTIES. THIS SERVICES AREA SUGGESTS THAT ROGERS NOT ONLY PROVIDES A SIGNIFICANT SERVICE TO ITS SURROUNDING COMMUNITY BUT ALSO TO THE GREATER WISCONSIN COMMUNITY AS A WHOLE.
PART VI, LINE 5:SEE STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS ON PART III OF FORM 990.

Schedule I IRS990ScheduleI

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

Recipient Table RecipientTable (5 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdRecipient EINRecipientEINIRC SectionIRCSectionDescCash GrantCashGrantAmtNon Cash AssistanceNonCashAssistanceAmtValuation Method UsedValuationMethodUsedDescNon Cash AssistanceNonCashAssistanceDescPurpose Of GrantPurposeOfGrantTxt
ROGERS MEMORIAL HOSPITAL FOUNDATIONINC
34700 VALLEY ROADOCONOMOWOCWI53066391363507501(C)3$1,087,000$750,592COSTIN KIND SERVICESPROVIDES SUPPORT TO THE RMHF TO ASSIST IN CARRYING OUT ITS EXEMPT PURPOSE
ROGERS INHEALTH INC
34700 VALLEY ROADOCONOMOWOCWI53066463960059501(C)3$468,393COSTIN KIND SERVICESPROVIDES SUPPORT TO INHEALTH TO ASSIST IN CARRYING OUT ITS EXEMPT PURPOSE
UNITED WAY OF GREATER MILWAUKEE & WUAKESHA COUNTY
PO BOX 88110MILWAUKEEWI53288390806190501(C)3$10,000CORPORATE CAMPAIGN PLEDGE
VILLAGE OF SUMMIT POLICE DEPARTMENT
37100 DELAFIELD ROADSUMMITWI53066115$7,200$12,067DONATION OF NEW EXERCISE EQUIPMENTFUNDS TO PURCHASE NEW HANDHELD RADIOS
MILWAUKEE PUBLIC MUSEUM
800 WEST WELLS STREETMILWAUKEEWI53233391723105501(C)3$5,000CORPORATE CAMPAIGN PLEDGE
FieldValueIRS element (for citing)
Total501c3 Org5Total501c3OrgCnt
Total Other Org0TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART I, LINE 2:FormAndLineReferenceDesc
ExplanationAS GRANTS ARE MADE PRIMARILY TO ROGERS MEMORIAL HOSPITAL FOUNDATION, MONITORING OF THESE TRANSACTIONS ARE PERFORMED BY OFFICERS OF THE HOSPITAL WITH OVERSIGHT BY THE BOARD.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Club Dues Or FeesYes (X)ClubDuesOrFeesInd
Written Policy Ref T And E Expnss0WrittenPolicyRefTAndEExpnssInd
Substantiation Required0SubstantiationRequiredInd
Compensation CommitteeYes (X)CompensationCommitteeInd
Independent ConsultantYes (X)IndependentConsultantInd
Form990 Of Other OrganizationsYes (X)Form990OfOtherOrganizationsInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance PaymentYes (1)SeverancePaymentInd
Supplemental Nonqual Rtr Plan0SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments0AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (20 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
PATRICK HAMMER
CEO - RBHS / BOARD MEMBER$0$624,632$0$170,000$0$1,379$0$10,800$0$21,666$0$828,477$0$0
JERRY HALVERSON
CHIEF MEDICAL OFFICER/BOARD MEMBER$349,284$0$97,167$0$12,005$0$10,987$0$27,110$0$496,553$0$0$0
BRADLEY RIEMANN
CHIEF CLINICAL OFFICER/BOARD MEMBER$393,204$0$44,667$0$0$0$10,800$0$27,324$0$475,995$0$0$0
PAUL MUELLER
CEO - RMH$436,584$0$105,250$0$4,770$0$10,800$0$29,876$0$587,280$0$0$0
JAMES KUBICEK
CHIEF OPERATING OFFICER - BD$230,830$0$40,897$0$280$0$10,800$0$27,607$0$310,414$0$0$0
ELIZABETH GILBERT
CHIEF OPERATING OFFICER - WA$160,661$0$27,958$0$555$0$7,657$0$2,500$0$199,331$0$0$0
JAY KELLISON
CHIEF OPERATING OFFICER - WC$226,203$0$9,824$0$753$0$6,000$0$8,029$0$250,809$0$0$0
SCOTT JOHNSON
CHIEF OPERATING OFFICER - ECM$168,858$0$47,842$0$915$0$8,696$0$28,530$0$254,841$0$0$0
KIMBERLY EFFERTZ
CHIEF OPERATING OFFICER - OCON$174,184$0$33,727$0$255$0$8,580$0$27,953$0$244,699$0$0$0
CAROLINE MCHALE
CHIEF OPERATING OFFICER - RES SERVIC$138,927$0$14,171$0$834$0$4,537$0$3,673$0$162,142$0$0$0
AHMED NUMAN
MEDICAL DIRECTOR$358,733$0$343,522$0$255$0$15,379$0$0$0$717,889$0$0$0
KHAZI MUQEET
MEDICAL DIRECTOR$330,088$0$285,586$0$255$0$10,286$0$1,212$0$627,427$0$0$0
RAYMOND MOY
MEDICAL DIRECTOR$221,226$0$325,955$0$255$0$0$0$0$0$547,436$0$0$0
PETER LAKE
MEDICAL DIRECTOR$400,701$0$126,820$0$7,960$0$10,800$0$29,816$0$576,097$0$0$0
ROGER LUHN
MEDICAL DIRECTOT$354,108$0$106,862$0$7,938$0$10,800$0$27,110$0$506,818$0$0$0
MICHAEL HEDRICK
EXECUTIVE VP CFO - THRU 6/14/17$0$219,740$0$0$0$164,505$0$8,390$0$13,963$0$406,598$0$0
KEITH DEGNER
FORMER CFO - RMH- THRU 10/4/16$0$0$3,000$0$251,330$0$0$0$0$0$254,330$0$0$0
SUZANNE HARRISON
FORMER VP OF OPERATIONS - OCON$171,668$0$0$0$75,710$0$5,678$0$6,067$0$259,123$0$0$0
ORVIN FILLMAN
FORMER VP OF OPERATIONS - MKE$167,302$0$0$0$77,106$0$5,744$0$12,961$0$263,113$0$0$0
JAMES LEDBETTER
FORMER VP OF REGIONAL PARTIAL HOS$142,743$0$45,000$0$0$0$4,915$0$5,955$0$198,613$0$0$0

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART I, LINE 1AHEALTH AND SOCIAL MEMBERSHIPS FOR CERTAIN OFFICERS, KEY EMPLOYEES AND HIGHEST COMPENSATED INDIVIDUALS ARE INCLUDED IN TAXABLE COMPENSATION AS THESE FEES ARE PAID BY ROGERS MEMORIAL HOSPITAL. $3,962 PAUL MUELLER $3,962 PAT HAMMER
PART I, LINE 4AA NUMBER OF EMPLOYEES RECEIVED A SEVERANCE PAYMENT DURING THE CALENDAR YEAR. THE PAYMENT IS INCLUDED IN PART VII, COLUMN D AND SCHEDULE J, PART II, COLUMN B(III). THE TERMS AND CONDITIONS OF THE CONFIDENTIAL SEVERANCE AGREEMENT ARE AVAILABLE TO THE INTERNAL REVENUE SERVICE UPON REQUEST.

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd

Issuer Name IssuerName

FieldValueIRS element (for citing)
Business Name Line1WISCONSIN HEALTH & EDUCATION FACILITIES AUTHORITY SERIES 2014 A & BBusinessNameLine1Txt
FieldValueIRS element (for citing)
Bond Issuer EIN391337855BondIssuerEIN
CUSIP97712DEV4CUSIPNum
Bond Issued2014-08-15BondIssuedDt
Issue Price$55,065,129IssuePriceAmt
PurposeBUILDING IMPROVEMENTS TO VARIOUS SITESPurposeDesc
Defeased0DefeasedInd
On Behalf Of Issuer0OnBehalfOfIssuerInd
Pool Financing0PoolFinancingInd

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Retired$2,315,000RetiredAmt
In Reserve Fund$55,065,129InReserveFundAmt
Refunding Escrow$24,173,555RefundingEscrowAmt
Issuance Costs From Proceeds$757,709IssuanceCostsFromProceedsAmt
Capital Expenditures$21,283,864CapitalExpendituresAmt
Other Spent Proceeds$8,850,000OtherSpentProceedsAmt
Substantial Completion2016SubstantialCompletionYr
Current RefundingYes (1)CurrentRefundingInd
Advance RefundingYes (1)AdvanceRefundingInd
Final Allocation MadeYes (1)FinalAllocationMadeInd
Adequate Books And Rec MaintYes (1)AdequateBooksAndRecMaintInd

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Owning Bond Financed Property0OwningBondFinancedPropertyInd
Any Lease Arrangements0AnyLeaseArrangementsInd
Mgmt Contract Bond Fincd Prop0MgmtContractBondFincdPropInd
Any Research Agreements0AnyResearchAgreementsInd
Bond Iss Meet Prvt Sec Pymt Test0BondIssMeetPrvtSecPymtTestInd
Change In Use Bond Financed Prop0ChangeInUseBondFinancedPropInd
Procs Nonqualified Bond RemdtdYes (1)ProcsNonqualifiedBondRemdtdInd

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Form8038 T Filed0Form8038TFiledInd
Rebate Not Due YetYes (1)RebateNotDueYetInd
Exception To Rebate0ExceptionToRebateInd
No Rebate Due0NoRebateDueInd
Variable Rate Issue0VariableRateIssueInd
Hedge Identified In Bks And Rec0HedgeIdentifiedInBksAndRecInd
Gross Proceeds Invested In GIC0GrossProceedsInvestedInGICInd
Gross Proceeds Invested0GrossProceedsInvestedInd
Written Proc To Monitor ReqsYes (1)WrittenProcToMonitorReqsInd

Procedures Corrective Action ProceduresCorrectiveActionGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Procedures Corrective ActionYes (1)ProceduresCorrectiveActionInd

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (2 entries)

Relationship DescriptionRelationshipDescriptionTxtTransactionTransactionAmtTransactionTransactionDescSharing Of RevenuesSharingOfRevenuesInd
VJS CONSTRUCTION COMPANY
PARTICK ANDRITSCH, BOARD MEMBER$1,879,492CONSTRUCTION FEES0
MEDICAL COLLEGE OF WISCONSIN
JON LEHRMANN, BOARD MEMBER$301,936FELLOWSHIP SUPPORT0

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (8 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 6ROGERS BEHAVIORAL HEALTH SYSTEM IS THE SOLE CORPORATE MEMBER.
FORM 990, PART VI, SECTION A, LINE 7APER THE BY-LAWS, ADDITIONAL MEMBERS OF THE BOARD OF DIRECTORS SHALL BE DETERMINED BY THE SOLE CORPORATE MEMBER FROM TIME TO TIME.
FORM 990, PART VI, SECTION A, LINE 7BTHE FOLLOWING ACTIONS MUST BE APPROVED BY THE SOLE CORPORATE MEMBER OF THE ORGANIZATION, ROGERS BEHAVIORAL HEALTH SYSTEM: 1) SELLING OF DISPOSING OF A MATERIAL PART OF THE CORPORATION'S ASSETS, 2) LENDING OR BORROWING MONEY OTHER THAN PURSUANT TO AN APPROVED LINE OF CREDIT, 3) GRANTING A MORTGAGE OR SUBJECTING TO ANOTHER SECURITY INTEREST 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 DIFERING SIZES FOR DIFFERENT TYPES OF EXPENDITURES AND AREAS TO WHICH THESE LIMITS ARE NOT APPLICABLE, 5) UNDERTAKING MAJOR CENTRAL IMPROVEMENTS TO OR OTHERWISE REHABILITATING THE CORPORATION'S PROPERTIES, 6) CONFESSING A JUDGEMENT AGAINST THE CORPORATION, 7) MAKING ANY CHANGES OR AMENDMENTS TO THE CORPORATION'S ARTICLES OF INCORPORATION OR BYLAWS.
FORM 990, PART VI, SECTION B, LINE 11BTHE CFO COMPLETES A DETAILED REVIEW OF THE 990 PRIOR TO MAKING THE 990 AVAILABLE TO THE BOARD MEMBERS. THE FORM 990 IS MADE AVAILABLE TO THE BOARD MEMBERS THROUGH THE BOARD'S WEBSITE SO THEY CAN REVIEW AND COMMENT ON IT PRIOR TO FILING.
FORM 990, PART VI, SECTION B, LINE 12CROGER'S MEMORIAL HOSPITAL'S DIRECTORS AND OFFICER 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 OR DELETIONS.
FORM 990, PART VI, SECTION B, LINE 15THE CEO'S COMPENSATION IS DETERMINED BY INDUSTRY ANALYSIS AND IS SUPPORTED BY AN ANALYSIS BY AN EXTERNAL CONSULTANT. APPROVAL OF THE RESULTS IS BY THOSE BOARD MEMBERS WITHOUT CONFLICT OF INTEREST AND THE APPROVAL IS DOCUMENTED. OTHER KEY OFFICERS' COMPENSATION IS DETERMINED BY INDUSTRY ANALYSIS SIMILAR TO THE PROCESS USED TO DETERMINE THE CEO'S COMPENSATION.
FORM 990, PART VI, SECTION C, LINE 19ROGER'S MEMORIAL HOSPITAL DOES NOT MAKE ITS GOVERNING DOCUMENTS OR CONFLICT OF INTEREST POLICY AVAILABLE TO THE PUBLIC. THE FINANCIAL STATEMENTS ARE MADE AVAILABLE TO THE PUBLIC AS THEY ARE ATTACHED TO THE FILED IRS FORM 990 AND SUBSEQUENTLY PUBLISHED ONLINE BY THE IRS.
FORM 990, PART XI, LINE 9:NET ASSET TRANSFER - INHEALTH 257,144. CHANGE IN INTEREST IN NET ASSETS ROGERS MEMORIAL HOSPITAL FOUNDATION 1,539,917.

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp

Disregarded Entity Name DisregardedEntityName

FieldValueIRS element (for citing)
Business Name Line1PARTNERS IN BEHAVIORAL HEALTHBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line134700 VALLEY ROADAddressLine1Txt
CityOCONOMOWOCCityNm
State AbbreviationWIStateAbbreviationCd
ZIP53066ZIPCd
FieldValueIRS element (for citing)
EIN391832142EIN
Primary ActivitiesTO ASSIST IN PROVIDING BEHAVIORAL HEALTH SERVICESPrimaryActivitiesTxt
Legal Domicile StateWILegalDomicileStateCd
Total Income$12,021TotalIncomeAmt

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1ROGERS MEMORIAL HOSPITALBusinessNameLine1Txt

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (3 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtDirect Controlling NADirectControllingNACdControlled OrganizationControlledOrganizationIndBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Txt
ROGERS BEHAVIORAL HEALTH SYSTEM INC
34700 VALLEY ROADOCONOMOWOCWI53066263902724TO ASSIST ITS SUBSIDIARIES IN PROVIDING BEHAVIORAL HEALTH SERVICESWI501(C)(3)LINE 12B, IIN/A0
ROGERS MEMORIAL HOSPITAL FOUNDATION INC
34700 VALLEY ROADOCONOMOWOCWI53066391363507TO SUPPORT ALL ENTITIES OF ROGER'S BEHAVIORAL HEALTH SYSTEM, INC.WI501(C)(3)LINE 10Yes (1)ROGERS BEHAVIORAL HEALTH SYSTEM INC
ROGERS INHEALTH INC
34700 VALLEY ROADOCONOMOWOCWI53066463960059IMPLEMENTS AND PROMOTES ACCESSIBLE EDUCATION AND PATIENT ADVOCACY RESOURCESWI501(C)(3)LINE 10Yes (1)ROGERS BEHAVIORAL HEALTH SYSTEM INC
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgYes (1)GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (1)GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org0LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth Org0RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org0RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgYes (1)PerformOfServicesForOthOrgInd
Perform Of Services By Other OrgYes (1)PerformOfServicesByOtherOrgInd
Sharing Of FacilitiesYes (1)SharingOfFacilitiesInd
Paid Employees SharingYes (1)PaidEmployeesSharingInd
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (1)ReimbursementPaidByOtherOrgInd
Transfer To Other Org0TransferToOtherOrgInd
Transfer From Other Org0TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (4 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
ROGERS MEMORIAL HOSPITAL FOUNDATION INC
B$1,087,000FMV OF GRANTS PAID
ROGERS MEMORIAL HOSPITAL FOUNDATION INC
C$575,164FMV OF GRANTS RECEIVED
ROGERS MEMORIAL HOSPITAL FOUNDATION INC
L$750,592FMV OF SERVICES RENDERED
ROGERS INHEALTH INC
L$579,906FMV OF SERVICES RENDERED