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ROGERS MEMORIAL HOSPITAL INCORPORATED: Form 990, tax year 2016

View the entire original 990 at ProPublica ↗

Organization
ROGERS MEMORIAL HOSPITAL INCORPORATED (EIN 39-1139101)
Tax period
2016-08-01 to 2017-07-31
Filed
2018-06-15
IRS object ID
201821669349301417
Schema version
2016v3.0
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)
Return2018-06-15T13:59:18-05:00ReturnTs
Tax Period End2017-07-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN390758449PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1Wipfli LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1PO Box 8010AddressLine1Txt
CityWausauCityNm
State AbbreviationWIStateAbbreviationCd
ZIP544028010ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2016-08-01TaxPeriodBeginDt

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
Phone2626463526PhoneNum

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
Phone2626463526PhoneNum
Signature2018-06-14SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonKimberly Heller CPAPreparerPersonNm
PTINP00766668PTIN
Phone7158453111PhoneNum
Preparation2018-06-14PreparationDt
FieldValueIRS element (for citing)
Tax2016TaxYr
Build TS2022-09-23 18:48:47ZBuildTS

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$180,647,473GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website Addresswww.rogersbh.orgWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1907FormationYr
Legal Domicile StateWILegalDomicileStateCd
Activity Or MissionROGERS MEMORIAL HOSPITAL, INC. OPERATES FACILITIES IN OCONOMOWOC, MILWAUKEE, KENOSHA, AND BROWN DEER, WISCONSIN TO PROVIDE INPATIENT AND OUTPATIENT PSYCHIATRIC SERVICES TO PATIENTS PRIMARILY FROM THE MIDWEST. SERVICES AVAILABLE AT THE HOSPITAL INCLUDE PROGRAMS RELATING TO THE RECOVERY FROM ADDICTIONS; TREATMENT FOR DISRUPTIVE BEHAVIOR OF CHILDREN AND ADOLESCENTS; GENERAL PSYCHIATRY FOR ADULTS; REGIONAL ADULT AND ADOLESCENT PARTIAL HOSPITALIZATION; AND CHILD AND ADOLESCENT EXTENDED CARE.ActivityOrMissionDesc
Voting Members Governing Body17VotingMembersGoverningBodyCnt
Voting Members Independent9VotingMembersIndependentCnt
Total Employee2231TotalEmployeeCnt
Total Volunteers0TotalVolunteersCnt
Total Gross UBI$737,310TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$270,233PYContributionsGrantsAmt
CY Contributions Grants$334,811CYContributionsGrantsAmt
PY Program Service Revenue$159,096,256PYProgramServiceRevenueAmt
CY Program Service Revenue$176,985,609CYProgramServiceRevenueAmt
PY Investment Income$754,059PYInvestmentIncomeAmt
CY Investment Income$3,189,656CYInvestmentIncomeAmt
PY Other Revenue$49,836PYOtherRevenueAmt
CY Other Revenue$50,666CYOtherRevenueAmt
PY Total Revenue$160,170,384PYTotalRevenueAmt
CY Total Revenue$180,560,742CYTotalRevenueAmt
PY Grants And Similar Paid$1,833,033PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$1,913,002CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$99,603,069PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$116,671,031CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$46,288,883PYOtherExpensesAmt
CY Other Expenses$49,610,034CYOtherExpensesAmt
PY Total Expenses$147,724,985PYTotalExpensesAmt
CY Total Expenses$168,194,067CYTotalExpensesAmt
PY Revenues Less Expenses$12,445,399PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$12,366,675CYRevenuesLessExpensesAmt
Total Assets BOY$222,993,521TotalAssetsBOYAmt
Total Assets EOY$240,154,326TotalAssetsEOYAmt
Total Liabilities BOY$94,073,411TotalLiabilitiesBOYAmt
Total Liabilities EOY$96,487,759TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$128,920,110NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$143,666,567NetAssetsOrFundBalancesEOYAmt
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 OUTCOM, FINANCIAL INTEGRITY, PERSONAL AND ORGANIZATIONAL GROWTH, AND COMMUNITY WELL-BEING.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$119,018,320ExpenseAmt
Grant$1,913,002GrantAmt
Revenue$177,320,369RevenueAmt
DescROGERS MEMORIAL HOSPITAL, INC.PRIAMARY EXEMPT PURPOSE AND PROGRAM ACCOMPLISHMENTSROGERS MEMORIAL HOSPITAL, INC. (ROGERS) IS A TAX-EXEMPT HOSPITAL WHICH EXISTS TO OFFER EXEMPLARY BEHAVIORAL HEALTHCARE SERVICES, INCLUDING TREATMENT, RESEARCH, EDUCATION AND TRAINING, IN CONTINUATION OF A CENTURY LONG TRADITION. ROGERS IS DEDICATED TO A SKILLED, PROFESSIONAL, TEAM APPROACH OF INDIVIDUALIZED CARE WITHIN A TREATMENT COMMUNITY, RESPECTING THE DIGNITY OF EACH PERSON.ROGERS IS GOVERNED BY A VOLUNTEER CITIZEN BOARD OF DIRECTORS AND IS STAFFED BY HIGHLY QUALIFIED MENTAL HEALTH PROFESSIONALS INCLUDING TEAMS OF PHSICIANS, THERAPISTS, COUNSELORS, DIETICIANS, AND OTHER PROFESSIONAL STAFF. ROGERS HAS DEVELOPED COMMUNITY GOODWILL AND CONFIDENCE THROUGH STABLE OWNERSHIP AND GOVERNANCE STRUCTURES.TO MEET THE INDIVIDIAUL NEEDS OF PATIENTS, ROGERS OFFERS THE FOLLOWING THREE LEVELS OF CARE:INPATIENT CARE - THIS INTENSIVE, SHORT-TERM LEVEL OF CARE PROVIDES STABILIZATION FOR A VARIETY OF ACUTE PSYCHIATRIC SYMPTOMS AND DIAGNOSES. THE PRIMARY FOCUS IS ASSESSMENT, STABILIZATION AND TRANSITION INTO PARTIAL HOSPITALIZATION (DAY TREATEMENT) OR OUTPATIENT THERAPY.PARTIAL HOSPITALIZATION - PARTIAL HOSPITALIZATION PROGRAMS PROVIDE TRANSITION FROM INPATIENT CARE, AN ALTERNATIVE TO INPATIENT TREATMENT, OR A SUPPLEMENT TO OUTPATIENT THERAPY. THESE HALF-DAY OR PART-TIME STRUCTURED PROGRAMS ALLOW PATIENTS TO CONTINUE INVOLVEMENT AT HOME, WORK, OR SCHOOL.RESIDENTIAL TREATMENT - RESIDENTIAL TREATMENT CENTERS PROVIDE INTENSIVE EXTENDED CARE OPPORTUNITIES IN A HOME-LIKE SETTING FOR INDIVIDUALS SEEKING TO OVERCOME SEVERE EATHING DISORDERS, ALCOHOL AND OTHER ADDITIONS, AND OBSESSIVE-COMPULSIVE DISORDER. LOCATED AT OUR OCONOMOWOC SITE ON 80 ACRES OF WOODED LAKEFRONT PROPERTY, EACH CENTER PROVIDES A CALMING, CONFIDENTIAL ENVIRONMENT THAT ALLOWS PATIENTS TO FOCUS ON THEIR TREATMENT. OUR RESIDENTIAL PROGRAMS ARE TYPICALLY ONE-THIRD THE DAILY RATE OF INPATIENT CARE, WHILE PROVIDNG INPATIENT-INTENSIVE TREATMENT. IN Fiscal Year 2017, ROGERS PATIENT CARE SERVICES INCLUDED 37,471 INPATIENT DAYS, 79,165 PARTIAL TREATMENT DAYS, AND 35,143 RESIDENTIAL PROGRAM DAYS.Desc
Total Program Service Expenses$119,018,320TotalProgramServiceExpensesAmt
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 Document132IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee2231EmployeeCnt
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 Members17GoverningBodyVotingMembersCnt
Independent Voting Member9IndependentVotingMemberCnt
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 (30 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
Mark Mohr
Board Vice Chair3.00Yes (X)Yes (X)$0$0$0
Nick Bauer
Board Treasurer3.00Yes (X)Yes (X)$0$0$0
Mary Panzer
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
Molly Kubly Fritz
Board Member1.00Yes (X)$0$0$0
Demond Means
Board Member1.00Yes (X)$0$0$0
Jonathan Wertz
Board Member1.00Yes (X)$0$0$0
Bradley Riemann
Board Member41.00Yes (X)$364,657$0$39,014
Patrick Andritsch
Board Member1.00Yes (X)$0$0$0
Gina Markson Magnus
Board Member1.00Yes (X)$0$0$0
Maureen Stapleton
Board Member1.00Yes (X)$0$0$0
Kristine Seymour
Board Member1.00Yes (X)$0$0$0
Jerry Halverson
Board Member41.00Yes (X)$426,993$0$40,212
Kevin Flanagan
Board Member1.00Yes (X)$0$0$0
Patrick Hammer
CEO - RBHS/ Board Member1.00Yes (X)Yes (X)$0$751,761$41,79640.00
Michael Hedrick Term 062017
CFO - RBHS1.00Yes (X)$0$385,701$38,05740.00
Paul Mueller
COO - RMH40.00Yes (X)$411,594$0$38,450
Arnold Stueber
Interim CFO RBHS (06/2017-07/2017)40.00Yes (X)$0$0$0
Suzanne Harrison Term 072017
VP of Operations - Ocon40.00$262,924$0$17,181Yes (X)
James Kubicek
VP of Operations - BD40.00$242,732$0$37,618Yes (X)
Orvin Fillman Term 072017
VP of Operations - MKE40.00$264,767$0$31,287Yes (X)
James Ledbetter Term 062017
VP of Regional Partial Hos40.00$287,036$0$19,925Yes (X)
Peter Lake
Medical Director40.00$519,376$0$41,625Yes (X)
Khazi Muqeet
Medical Director40.00$486,091$0$14,793Yes (X)
Brad Smith
Physician40.00$447,849$0$39,034Yes (X)
Ahmed Numaan
Medical Director40.00$517,626$0$15,065Yes (X)
Theodore Weltzin
Medical Director40.00$374,845$0$30,827Yes (X)
Keith Degner
Former CFO - RMH40.00$373,213$0$31,553Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$4,979,703TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$1,137,462TotReportableCompRltdOrgAmt
Total Other Compensation$476,437TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K140IndivRcvdGreaterThan100KCnt
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
Serve You Custome (Prescription Mgmt In
P O BOX 2079MILWAUKEEWI53201Pharmacy Services$2,457,662
VJS Construction Services
W233N2847 ROUNDY CIRCLE WPEWAUKEEWI53072Construction$2,283,887
VJS Lincoln Inc
W233N2847 ROUNDY CIRCLE WPEWAUKEEWI53072Construction$2,255,490
Sysco Food Services
One Sysco DriveJACKSONWI53037Food Service$2,092,538
Cerner Corporation
2800 Rockcreek ParkwayNorth Kansas CityMO64117Health Information Technology$1,881,726
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K98CntrctRcvdGreaterThan100KCnt
Related Organizations$334,811RelatedOrganizationsAmt
Total Contributions$334,811TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (4 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtUnrelated Business RevenueUnrelatedBusinessRevenueAmtExclusionExclusionAmt
NET PATIENT SVC REVENUE900099$175,563,460$175,563,460
MANAGEMENT SERVICES541610$737,310$737,310
Miscellaneous Revenue900099$565,721$565,721
CAFETERIA900099$119,118$119,118
FieldValueIRS element (for citing)
Total Program Service Revenue$176,985,609TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$622,337TotalRevenueColumnAmt
Exclusion$622,337ExclusionAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$50,666RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$0RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$50,666RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$50,666TotalRevenueColumnAmt
Exclusion$50,666ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$2,639,050SecuritiesAmt
Other$15,000OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$0SecuritiesAmt
Other$86,731OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$2,639,050SecuritiesAmt
Other-$71,731OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$2,567,319TotalRevenueColumnAmt
Exclusion$2,567,319ExclusionAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$180,560,742TotalRevenueColumnAmt
Related Or Exempt Func Income$176,129,181RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$737,310UnrelatedBusinessRevenueAmt
Exclusion$3,359,440ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$1,913,002TotalAmt
Program Services$1,913,002ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$5,376,287TotalAmt
Program Services$5,376,287ProgramServicesAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$91,715,674TotalAmt
Program Services$73,907,424ProgramServicesAmt
Management And General$17,808,250ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$2,800,626TotalAmt
Program Services$2,333,325ProgramServicesAmt
Management And General$467,301ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$10,417,190TotalAmt
Program Services$7,377,611ProgramServicesAmt
Management And General$3,039,579ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$6,361,254TotalAmt
Program Services$5,210,883ProgramServicesAmt
Management And General$1,150,371ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$256,519TotalAmt
Management And General$256,519ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$153,411TotalAmt
Program Services$31ProgramServicesAmt
Management And General$153,380ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$60,300TotalAmt
Management And General$60,300ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$86,452TotalAmt
Management And General$86,452ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$14,778,456TotalAmt
Program Services$4,544,782ProgramServicesAmt
Management And General$10,233,674ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$1,069,881TotalAmt
Program Services$45,131ProgramServicesAmt
Management And General$1,024,750ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$6,762,103TotalAmt
Program Services$1,696,925ProgramServicesAmt
Management And General$5,065,178ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$407,644TotalAmt
Program Services$19,814ProgramServicesAmt
Management And General$387,830ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$2,495,828TotalAmt
Management And General$2,495,828ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$887,690TotalAmt
Program Services$239,329ProgramServicesAmt
Management And General$648,361ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$42,868TotalAmt
Management And General$42,868ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$3,018,528TotalAmt
Program Services$1,939,536ProgramServicesAmt
Management And General$1,078,992ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$9,971,522TotalAmt
Program Services$6,407,137ProgramServicesAmt
Management And General$3,564,385ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$682,210TotalAmt
Management And General$682,210ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
Bad Debt Expense$5,508,305$5,508,305
Food$2,495,498$2,373,740$121,758
Dues/Fees/Subscriptions$819,839$124,978$694,861
Charitable Donations$112,980$80$112,900

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$168,194,067TotalAmt
Program Services$119,018,320ProgramServicesAmt
Management And General$49,175,747ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY-$294,869BOYAmt
EOY-$411,283EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$24,554,736BOYAmt
EOY$35,507,892EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$20,964,922BOYAmt
EOY$23,516,376EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$1,014,978BOYAmt
EOY$1,268,440EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$171,397,085LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$45,293,291LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$124,866,381BOYAmt
EOY$126,103,794EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$45,158,784BOYAmt
EOY$47,427,486EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$6,728,589BOYAmt
EOY$6,741,621EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$222,993,521BOYAmt
EOY$240,154,326EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$13,590,762BOYAmt
EOY$17,463,023EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$49,850,000BOYAmt
EOY$49,470,000EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

FieldValueIRS element (for citing)
BOY$27,391,270BOYAmt
EOY$26,022,768EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$3,241,379BOYAmt
EOY$3,531,968EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$94,073,411BOYAmt
EOY$96,487,759EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$122,367,463BOYAmt
EOY$137,206,302EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$4,579,173BOYAmt
EOY$4,393,265EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$1,973,474BOYAmt
EOY$2,067,000EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$128,920,110BOYAmt
EOY$143,666,567EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$222,993,521BOYAmt
EOY$240,154,326EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$12,366,675ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst-$1,385,302NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets$3,765,084OtherChangesInNetAssetsAmt
Info In Schedule O Part XIIYes (X)InfoInScheduleOPartXIIInd
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

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

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

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Volunteers0VolunteersInd
Paid Staff Or Management0PaidStaffOrManagementInd
Media Advertisements0MediaAdvertisementsInd
Mailings Members0MailingsMembersInd
Publications Or Broadcast0PublicationsOrBroadcastInd
Grants Other Organizations0GrantsOtherOrganizationsInd
Direct Contact Legislators0DirectContactLegislatorsInd
Rallies Demonstrations0RalliesDemonstrationsInd
Other ActivitiesYes (1)OtherActivitiesInd
Other Activities$112,835OtherActivitiesAmt
Total Lobbying Expenditures$112,835TotalLobbyingExpendituresAmt
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 $34,861 (14.3%) TOTALING $4,985. ROGERS MEMORIAL HOSPITAL, INC. EMPLOYS AN INDIVIDUAL FOR $60,300 WHO COMMUNICATED TO LEGISLATORS. THE INDIVIDUAL WORKED ON THE SPEAKERS BEHAVIORAL HEALTH TASK FORCE, AND THE DEVELOPMENT OF A PROPOSAL TO CREATE A PROFESSIONALS HEALTH PROGRAM. IN ADDITION, LOBBYING EXPENSES OF $47,550 WERE PAID TO THE WISCONSIN MEDICAL SOCIETY.ExplanationTxt

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

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 Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

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 Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

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 Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

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

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$578,612BeginningYearBalanceAmt
Contributions$596,745ContributionsAmt
Investment Earnings Or Losses$87,872InvestmentEarningsOrLossesAmt
End Year Balance$1,263,229EndYearBalanceAmt
FieldValueIRS element (for citing)
Prmnnt Endowment Balance EOY0.86080PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY0.13920TermEndowmentBalanceEOYPct
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$114,308,194OtherCostOrOtherBasisAmt
Depreciation$28,462,660DepreciationAmt
Book Value$85,845,534BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$5,426,923OtherCostOrOtherBasisAmt
Depreciation$2,291,118DepreciationAmt
Book Value$3,135,805BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$41,930,248OtherCostOrOtherBasisAmt
Depreciation$14,539,513DepreciationAmt
Book Value$27,390,735BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,762,579OtherCostOrOtherBasisAmt
Book Value$1,762,579BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$126,103,794TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (4 entries)

DescDescAmtAmt
EST. THIRD PARTY SETTLEMENTS$896,107
DEFERRED COMPENSATION$2,092,932
DUE TO ROGERS BEHAVIORAL HEALTH SYSTEM, INC.$517,333
Due to Rogers InHealth, Inc.$25,596
FieldValueIRS element (for citing)
Total Liability$3,531,968TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$175,895,077TotalRevEtcAuditedFinclStmtAmt
Other Revenue-$4,650,944OtherRevenueAmt
Revenue Not Reported-$4,650,944RevenueNotReportedAmt
Revenue Subtotal$180,546,021RevenueSubtotalAmt
Other Revenues Not Included$14,721OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt$14,721RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$180,560,742TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$160,686,308TotExpnsEtcAuditedFinclStmtAmt
Expenses Not Reported$0ExpensesNotReportedAmt
Expenses Subtotal$160,686,308ExpensesSubtotalAmt
Other Expenses Not Included$7,507,759OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt$7,507,759ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$168,194,067TotalExpensesPerForm990Amt

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 BELEIVES THAT IS IS MORE LIKELY THAN NOT THAT THE POSITIIONS WILL BE SUSTAINED UPON EXAMINATION, INCLUDING THE RESOLUTION OF APPEALS OR LITIGATION PROCESS, IF ANY.
Part XI, Line 2d - Other Adjustments:BAD DEBT EXPENSE -5,508,305. Net Assets Released from restrictions 857,361.
Part XI, Line 4b - Other Adjustments:Gain/loss on disposal of PPE -71,731. Investment Mgmt Fees 86,452.
Part XII, Line 4b - Other Adjustments:BAD DEBT EXPENSE 5,508,305. Investment Mgmt Fees 86,452. Contributions/grants 1,913,002.

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$1,284,656TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$334,811DirectOffsettingRevenueAmt
Net Community Benefit Expns$949,845NetCommunityBenefitExpnsAmt
Total Expense0.00580TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$51,435,277TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$40,622,738DirectOffsettingRevenueAmt
Net Community Benefit Expns$10,812,539NetCommunityBenefitExpnsAmt
Total Expense0.06650TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$52,719,933TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$40,957,549DirectOffsettingRevenueAmt
Net Community Benefit Expns$11,762,384NetCommunityBenefitExpnsAmt
Total Expense0.07230TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$132,105TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$132,105NetCommunityBenefitExpnsAmt
Total Expense0.00080TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$290,606TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$290,606NetCommunityBenefitExpnsAmt
Total Expense0.00180TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$422,711TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$422,711NetCommunityBenefitExpnsAmt
Total Expense0.00260TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$53,142,644TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$40,957,549DirectOffsettingRevenueAmt
Net Community Benefit Expns$12,185,095NetCommunityBenefitExpnsAmt
Total Expense0.07490TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense ReportedYes (1)BadDebtExpenseReportedInd
Bad Debt Expense$2,556,132BadDebtExpenseAmt
Reimbursed By Medicare$3,421,081ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$4,547,651CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall-$1,126,570MedicareSurplusOrShortfallAmt

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.ROGERSHOSPITAL.ORGYes (X)
ROGERS MEMORIAL HOSPITAL - WEST ALLIS
211101 W LINCOLN AVENUEMILWAUKEEWI53227WWW.ROGERSHOSPITAL.ORGYes (X)
ROGERS MEMORIAL HOSPITAL - BROWN DEER
34600 WEST SHROEDER DRIVE SUITE 2BROWN DEERWI53223WWW.ROGERSHOSPITAL.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 (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 PROGRAMING ACROSS LEVELS OF CARE, INCREASE IMPLEMENTATION OF TELEPSYCHIARTY 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 IMPLEMENT 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 WILLS 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 - WEST ALLISPart V, Section B, Line 11: THE ADVISORY COMMITTEE MADE THE DECISION TO ADDRESS THE FOLLOWING PRIORITIES AS IDENTIFIED BY THE LATEST CHNA:1) ACCESS TO SERVICES - BY BUILDING A CHARITY FUND FOR THOSE WHO HAVE LIMITED RESOURCES, SHIFT/EXPAND SPECIALIZED PROGRAMING ACROSS LEVELS OF CARE, INCREASE IMPLEMENTATION OF TELEPSYCHIARTY 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 IMPLEMENT 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 WILLS 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 - 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 PROGRAMING ACROSS LEVELS OF CARE, INCREASE IMPLEMENTATION OF TELEPSYCHIARTY 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 IMPLEMENT 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 WILLS 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)
Facility8FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (8 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 MEMORIAL HOSPITAL - KENOSHA
9916 75th STREETKENOSHAWI53142TREATMENT CENTER FOR CHILDREN AND ADOLESCENTS
3 - ROGERS BEHAVIORAL HEALTH - TAMPA
2002 N LOIS AVE SUITE 400TAMPAFL33607CENTER FOR OCD, ANXIETY AND EATING DISORDERS
4 - ROGERS BEHAVIORAL HEALTH - NASHVILLE
4230 HARDING ROAD SUITE 707NASHVILLETN37205CENTER FOR OCD, ANXIETY AND EATING DISORDERS
5 - ROGERS BEHAVIORAL HEALTH - CHICAGO
4711 GOLF ROAD SUITE 600SKOKIEIL60076CENTER FOR OCD, ANXIETY, EATING, DEPRESSION, AND MOOD DISORDERS
6 - ROGERS BEHAVIORAL HEALTH - MINNEAPOLIS
6442 CITY WEST PARKWAY SUITE 200EDEN PRAIRIEMN55344CENTER FOR OCD, ANXIETY, EATING, DEPRESSION, PTSD, AND MOOD 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

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, Line 7, Column (f):The Bad Debt expense included on Form 990, Part IX, Line 25, Column (A), but subtracted for purposes of calculating the percentage in this column is $ 5,508,305.
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 2017, OVER 15,000 INDIVIDUALS 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 55 PERCENT OF THE POPULATION SERVED, WHILE 45 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 (2 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdRecipient EINRecipientEINIRC SectionIRCSectionDescCash GrantCashGrantAmtNon Cash AssistanceNonCashAssistanceAmtValuation Method UsedValuationMethodUsedDescNon Cash AssistanceNonCashAssistanceDescPurpose Of GrantPurposeOfGrantTxt
ROGERS MEMORIAL HOSPITAL FOUNDATION INC
34700 VALLEY ROADOCONOMOWOCWI53066391363507501(C)3$1,000,000$590,119CostPROVIDES SUPPORT TO FOUNDATION TO ASSIST IN CARRYING OUT ITS EXEMPT PURPOSETHE HOSPITAL PROVIDES SUPPORT TO THE FOUNDATION TO ASSIST IN CARRYING OUT ITS EXEMPT PURPOSE
ROGERS INHEALTH INC
34700 VALLEY ROADOCONOMOWOCWI53066463960059501(C)3$319,232CostPROVIDES SUPPORT TO INHEALTH TO ASSIST IN CARRYING OUT ITS EXEMPT PURPOSETHE HOSPITAL PROVIDES SUPPORT TO INHEALTH TO ASSIST IN CARRYING OUT ITS EXEMPT PURPOSE
FieldValueIRS element (for citing)
Total501c3 Org2Total501c3OrgCnt

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 OVERSIGNT BY THE BOARD OF DIRECTORS.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Club Dues Or FeesYes (X)ClubDuesOrFeesInd
Written Policy Ref T And E ExpnssYes (1)WrittenPolicyRefTAndEExpnssInd
Substantiation RequiredYes (1)SubstantiationRequiredInd
Compensation CommitteeYes (X)CompensationCommitteeInd
Independent ConsultantYes (X)IndependentConsultantInd
Written Employment ContractYes (X)WrittenEmploymentContractInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance Payment0SeverancePaymentInd
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 (15 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
Bradley Riemann
Board Member$363,967$0$0$0$690$0$12,438$0$26,576$0$403,671$0$0$0
Jerry Halverson
Board Member$364,258$0$45,000$0$17,735$0$13,849$0$26,363$0$467,205$0$0$0
Patrick Hammer
CEO - RBHS/ Board Member$0$742,471$0$0$0$9,290$0$17,325$0$24,471$0$793,557$0$0
Michael Hedrick Term 062017
CFO - RBHS$0$328,017$0$48,894$0$8,790$0$11,481$0$26,576$0$423,758$0$0
Paul Mueller
COO - RMH$409,524$0$0$0$2,070$0$12,209$0$26,241$0$450,044$0$0$0
Suzanne Harrison Term 072017
VP of Operations - Ocon$231,807$0$28,128$0$2,989$0$7,790$0$9,391$0$280,105$0$0$0
James Kubicek
VP of Operations - BD$215,397$0$26,825$0$510$0$8,909$0$28,709$0$280,350$0$0$0
Orvin Fillman Term 072017
VP of Operations - MKE$232,497$0$29,213$0$3,057$0$9,600$0$21,687$0$296,054$0$0$0
James Ledbetter Term 062017
VP of Regional Partial Hos$252,395$0$31,238$0$3,403$0$10,341$0$9,584$0$306,961$0$0$0
Peter Lake
Medical Director$454,034$0$56,347$0$8,995$0$13,262$0$28,363$0$561,001$0$0$0
Khazi Muqeet
Medical Director$419,868$0$65,923$0$300$0$9,793$0$5,000$0$500,884$0$0$0
Brad Smith
Physician$433,804$0$5,000$0$9,045$0$13,826$0$25,208$0$486,883$0$0$0
Ahmed Numaan
Medical Director$516,936$0$0$0$690$0$15,065$0$0$0$532,691$0$0$0
Theodore Weltzin
Medical Director$374,845$0$0$0$0$0$9,613$0$21,214$0$405,672$0$0$0
Keith Degner
Former CFO - RMH$281,149$0$42,357$0$49,707$0$9,181$0$22,372$0$404,766$0$0$0

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePart I, Line 1aFormAndLineReferenceDesc
ExplanationHEALTH 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 $5,911 PAT HAMMERExplanationTxt

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 2014A & 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
Total Proceeds$55,065,129TotalProceedsAmt
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 (6 entries)

Relationship DescriptionRelationshipDescriptionTxtTransactionTransactionAmtTransactionTransactionDescSharing Of RevenuesSharingOfRevenuesInd
VJS Construction Services
Patrick Andritsch, Board Member$2,283,887Rogers Memorial Hospital has contracted with VJS for construction and const0
Panzer Public Affairs Consulting
Mary Panzer, Board Treasurer$60,300Panzer Public Affairs communicates with legislators, works on Speakers Beha0
Medical College of Wisconsin
Jonathan Wertz, Board Member$258,861Payment for fellowship intern and consulting services0
Humana
Kristine Seymour, Board Member$131,803Payment for Humana Vitality Program rewards and health screenings0
First Bank Financial Center
Mark Mohr, Board Member$108,925Shared Suite for Bradley Center0
VJS Lincoln Inc
Patrick Andritsch, Board Member$2,255,490Rogers Memorial Hospital has contracted with VJS for construction and const0

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (9 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 MEMBER OF THE ORGANIZATION, ROGERS BEHAVIORAL HEALTH SYSTEM: 1) SELLING OR 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 DIFFERING SIZES FOR DIFFERENT TYPES OF EXPENDITURES AND AREAS TO WHICH THESE LIMITS ARE NOT APPLICABLE, 5) UNDERTAKING MAJOR CAPITAL IMPROVEMENTS TO OR OTHERWISE REHABILITATING THE CORPORATION'S PROPERTIES, 6) CONFESSING A JUDGEMENT AGAINST THE CORPORATION, 7) MAKING ANY CHANGES OR AMENDMENTS TO THE CORPORATION'S ARTICLES OF INCORPORATION OR BYLAWS.
Form 990, Part VI, Section B, line 11bTHE CFO COMPLETES A DETAILED REVIEW OF THE 990 PRIOR TO MAKING THE 990 AVAILABLE TO THE BOARD MEMBERS. THE FORM 990 IS MADE AVAILABLE TO THE BOARD MEMBERS THROUGH THE BOARD'S WEBSITE SO THEY CAN REVIEW AND COMMENT ON IT PRIOR TO FILING.
Form 990, Part VI, Section B, line 12cRoger's Memorial Hospital's Directors and officers shall, should a conflict 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:CHANGE IN INTEREST IN NET ASSETS OF ROGERS MEMORIAL HOSPITAL FOUNDATION, IN 3,765,084.
Form 990, Part XII, Line 2CThis process has not changed from the prior year.

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$13,861TotalIncomeAmt

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 (5 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
Rogers Memorial Hospital Foundation Inc
B$1,000,000FMV of Grants Paid
Rogers Memorial Hospital Foundation Inc
C$4,155,098FMV of Grants Received
Rogers Memorial Hospital Foundation Inc
L$590,119FMV of Services Performed
Rogers InHealth Inc
L$319,232FMV of Services Performed
Rogers Behavioral Health System Inc
M$2,136,330FMV of Services Received