2024-06-13T19:54:25-05:00 2023-07-31 390859910 BAKER TILLY ADVISORY GROUP LP 790 N WATER ST SUITE 2000 MILWAUKEE WI 53202 990 2022-08-01 391363507 ROGERS MEMORIAL HOSPITAL FOUNDATION INC ROGE 2626464411 34700 VALLEY ROAD OCONOMOWOC WI 53066 CHRIS JAGODITZ CFO 2626464411 2024-06-13 1 CHRIS JAGODITZ XXX-XX-XXXX 1 TROY MARINE CPA P00187863 4147775500 2024-06-13 2 AAL1 IAL1 2022 2023-04-26 12:10:37Z ROGERS BEHAVIORAL HEALTH FOUNDATION CHRIS JAGODITZ 34700 VALLEY ROAD OCONOMOWOC WI 53066 15636127 0 X WWW.ROGERSBHFOUNDATION.ORG X 1980 WI WE ADVANCE TREATMENT, EDUCATION, ADVOCACY AND RESEARCH ON BEHALF OF PEOPLE WITH MENTAL HEALTH OR ADDICTION CHALLENGES, THEIR FAMILIES AND THE COMMUNITIES WE SERVE. 12 11 0 11 0 0 6430180 10764379 0 0 1000488 900601 40888 -62486 7471556 11602494 5758000 4071850 0 0 0 0 0 0 522462 361631 579852 6119631 4651702 1351925 6950792 33690664 41423148 468344 279360 33222320 41143788 X ROGERS MEMORIAL HOSPITAL FOUNDATION:- ADVOCATES ON BEHALF OF THE MENTAL HEALTH CARE NEEDS OF CHILDREN, TEENS AND ADULTS,- INCREASES ACCESSIBILITY TO ROGERS' RENOWNED TREATMENT PROGRAMS THROUGH PATIENT CARE GRANTS- BREAKS DOWN THE STIGMA OF MENTAL ILLNESS AND ENCOURAGES THOSE IN NEEDOF HELP TO SEEK TREATMENT- SUSTAINS THE SPIRITUAL CARE PROGRAM AS A PART OF THE TREATMENTPROCESS FOR PATIENTS WHO REQUEST ITS SERVICES- PROVIDES FOR THE PERSONAL NEEDS OF OUR PATIENTS TO MAKE THE TREATMENTPROCESS EASIER AND TO INCREASE OVERALL COMFORT AND WELL-BEING- SUPPORTS THE GROWTH OF THE HOSPITAL, INCLUDING ITS TREATMENT PROGRAMSAND FACILITIES- ASSISTS MEDICAL STAFF BY FUNDING RESEARCH INITIATIVES AND OUTCOMESSTUDIES BENEFITING PATIENT CARE AT ROGERS, AS WELL AS THE BEHAVIORALHEALTH CARE INDUSTRY AS A WHOLE 0 0 4071850 4071850 ROGERS MEMORIAL HOSPITAL FOUNDATION, INC. SUPPORTS PATIENTS AND PROGRAMS OF AFFILIATES OF ROGERS BEHAVIORAL HEALTH SYSTEM, INC. BY RAISING AND MANAGING PHILANTHROPIC INCOME. THROUGH DONATIONS PROVIDED BY INDIVIDUALS, CORPORATIONS, AND LOCAL FOUNDATIONS, ROGERS MEMORIALHOSPITAL FOUNDATION, INC. SUPPORTS PROGRAMS SUCH AS THE FOLLOWING:ANGEL FUND - THE ANGEL FUND ENABLES THE SOCIAL SERVICES STAFF AND THE FOUNDATION TO RESPOND TO SMALL, BUT URGENT, NEEDS OF THE PATIENTS THAT ENHANCE THEIR TREATMENT EXPERIENCE. SOME EXAMPLES INCLUDE WINTER COATS, HATS, AND GLOVES, PAJAMAS, SCHOOL UNIFORMS, BOARD GAMES, BOOKS, ANDPERSONAL HYGIENE PRODUCTS AS WELL AS UNUSUAL MEDICATION NEEDS AND THE UNEXPECTED. THE ANGEL FUND ALSO PROVIDES DOLLARS TO ENSURE THAT EVERY CHILD IN TREATMENT AT ANY ROGERS MEMORIAL HOSPITAL LOCATION RECEIVES A GIFT AND SPECIAL TREATS DURING THE HOLIDAY SEASON.SPIRITUAL CARE PROGRAM - THE SPIRITUAL CARE PROGRAM EXISTS TO EVALUATE, PLAN AND IMPLEMENT ONE-TO-ONE SUPPORT AND GROUP PROGRAMMING THAT WILL ENCOURAGE AND BRING HOPE, WHILE MEETING THE SPIRITUAL NEEDS OF PATIENTS. THE SPIRITUALITY COORDINATOR AND CHAPLAIN WORK HAND-IN-HAND WITH THE MEDICAL STAFF THROUGH PARTICIPATION IN THE MULTI-DISCIPLINARY TEAM APPROACH, AS WELL AS BY BUILDING PARTNERSHIPS WITH LEADERS OF OTHER FAITH COMMUNITIES FOR THE PURPOSE OF REFERRALS. THE FOUNDATION WORKS IN CONJUNCTION WITH THE SPIRITUALITY COORDINATOR TO RAISE 100% OF THE PROGRAM'S BUDGETARY NEEDS.HOSPITAL CAPITAL EXPANSION PROJECTS - THE SYSTEM IS DEDICATED TO EXPANDING AND UPDATING ITS FACILITIES TO IMPROVE THE QUALITY OF ITS PROGRAMS. THE FOUNDATION IS AN INTEGRAL PART OF RAISING FUNDS IN SUPPORT OF THESE EXPANSION PROJECTS.IN FISCAL YEAR 2023, THE FOUNDATION PROVIDED FUNDING FOR 1000 REQUESTS FOR OUR ANGEL FUND WORTH $506,000; FREE DAYS OF CARE FOR CLOSE TO 400 PATIENTS FOR $1,821,000. IN ADDITION, THE FOUNDATION SUPPORTED THE ACCESS OF MORE THAN 6,000 PATIENTS TO SPIRITUAL CARE, COACHING OF YOUTH LEADERS AND SCHOOL COUNSELORS IN HOW TO DEAL WITH MENTAL HEALTH CHALLENGES IN THEIR RESPECTIVE ENVIRONMENT.OTHER AREAS OF SUPPORT: COACHING OF YOUTH LEADERS AND SCHOOL COUNSELORS IN MILWAUKEE AND SHEBOYGAN HOW TO DEAL WITH MENTAL HEALTH CHALLENGES IN THEIR RESPECTIVE ENVIRONMENT AND SUPPORTING THE ONGOING RESEARCH OF THE ROGERS RESEARCH CENTER IN GENETIC, DATANAYLSIS, AND NEUROSCIENCE. 4071850 1 1 0 0 0 0 0 0 0 1 0 0 0 0 1 1 1 1 0 0 0 0 0 0 1 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 0 0 0 0 0 0 0 0 1 1 0 0 0 0 0 0 X 12 11 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 0 0 0 CA FL PA TN WI X CHRIS JAGODITZ 2626464411 34700 VALLEY ROAD OCONOMOWOC WI 53066 EDDIE TOMAICH BOARD MEMBER 1.00 40.00 X 0 130781 38480 KEVIN KONOPA BOARD CHAIR 2.00 0.00 X X 0 0 0 BRIAN KEELING VICE CHAIR 2.00 0.00 X X 0 0 0 MYRIEM BENNANI SECRETARY 2.00 0.00 X X 0 0 0 NATE ZASTROW TREASURER 1.00 0.00 X X 0 0 0 ANNE SCHUMAKER BOARD MEMBER 1.00 0.00 X 0 0 0 CAROLYN GAMBILL BOARD MEMBER 1.00 0.00 X 0 0 0 CHRISTINE TOSON BOARD MEMBER 1.00 0.00 X 0 0 0 DANIEL BADER BOARD MEMBER 1.00 0.00 X 0 0 0 KEVIN JOY BOARD MEMBER 1.00 0.00 X 0 0 0 LORI LORENZE BOARD MEMBER 1.00 0.00 X 0 0 0 SPENCER MOATS BOARD MEMBER 1.00 0.00 X 0 0 0 PATRICK HAMMER CEO - RBHS - TERMED 05/2023 1.00 40.00 X 0 1473243 257085 JOANNE HORVATH CFO- TERMED 09/2022 1.00 40.00 X 0 779059 40362 JOHN BOYD CEO - TERMED 05/2023 1.00 40.00 X 0 684636 140689 CYNTHIA MEYER PRESIDENT & CEO - STARTED 06/2023 1.00 40.00 X 0 79083 0 CHRIS JAGODITZ CFO - STARTED 02/2023 1.00 40.00 X 0 0 0 MARTY VOGEL VP PRINCIPAL GIFTS 1.00 40.00 X 0 356632 78954 MATTIAS SCHUETH EXECUTIVE VICE PRESIDENT 1.00 40.00 X 0 266266 22443 ARNOLD STUEBER FORMER CFO - TERMED 06/2021 1.00 40.00 X 0 247520 0 0 4017220 578013 0 1 1 0 0 196746 4400000 6167633 10764379 537479 537479 4269000 3905878 363122 363122 363122 65269 196746 127755 -62486 -62486 11602494 0 0 838115 4071850 4071850 57390 57390 OTHER FUNDRAISING FEES 497462 497462 UNCOLLECTED PLEDGE 25000 25000 4651702 4071850 57390 522462 1005340 1390001 9400998 12472804 3947582 5874292 19336744 21685951 0 100 33690664 41423148 376385 223579 91959 55781 468344 279360 X 19965115 24085060 13257205 17058728 33222320 41143788 33690664 41423148 6950792 970676 0 X X 0 1 X 1 0 X 6941565 11079496 6957311 6430180 10764379 42172931 6941565 11079496 6957311 6430180 10764379 42172931 24029749 18143182 266275 264729 259244 327831 537479 1655558 43828489 0.41400 0.36180 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 17285249 1320000 1186000 25000 19766249 17633249 1737000 -2045000 40000 17285249 13045338 1264033 3323878 17633249 11348779 1027302 652572 16685 13045338 10871817 331917 145045 11348779 0.66000 0.14000 0.20000 0 0 0 DUE TO ROGERS MEMORIAL HOSPITAL 55781 55781 X 13857781 970676 1239245 102756 2312677 11545104 57390 57390 11602494 5936313 1239245 127756 1367001 4569312 57390 25000 82390 4651702 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 FOUNDATION IS A TAX-EXEMPT ORGANIZATION AS DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE (THE CODE) AND IS EXEMPT FROM FEDERAL INCOME TAXES ON RELATED INCOME PURSUANT TO SECTION 509(A)(2) OF THE CODE. THE ORGANIZATION IS ALSO EXEMPT FROM STATE INCOME TAXES ON RELATED INCOME. THE FOUNDATION 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 990-T, 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 REPORTED ON PART IX -25,000. SPECIAL EVENT EXPENSES 127,756. PART XII, LINE 2D - OTHER ADJUSTMENTS: SPECIAL EVENT EXPENSES 127,756. PART XII, LINE 4B - OTHER ADJUSTMENTS: BAD DEBT EXPENSE 25,000. ANNUAL BENEFIT 185212 185212 65549 43542 WOMEN'S GATHERING 76803 11534 65269 11293 7371 262015 196746 65269 76842 50913 127755 -62486 1 ROGERS MEMORIAL HOSPITAL INC 34700 VALLEY ROAD OCONOMOWOC WI 53066 391139101 501(C) 3 2377921 0 PROGRAM RELATED COSTS RESTRICTED BY DONOR AND PATIENT CARE GRANTS RESTRICTED BY DONORS. ROGERS MEMORIAL HOSPITAL INC 34700 VALLEY ROAD OCONOMOWOC WI 53066 391139101 501(C) 3 1018929 0 TO PROVIDE ASSISTANCE TO THE INHEALTH AND RESEARCH DEPARTMENTS FOR COSTS TO PROMOTE AND INCREASE THE UNDERSTANDING OF RECOVERY TO MENTAL ILLNESS AND ADDICTIONS AND RESEARCH. ROGERS MEMORIAL HOSPITAL INC 34700 VALLEY ROAD OCONOMOWOC WI 53066 391139101 501(C) 3 675000 0 PROVIDE FOR FIXED ASSETS RESTRICTED BY DONORS. 1 0 PART I, LINE 2: AS GRANTS ARE MADE PRIMARILY TO ROGERS MEMORIAL HOSPITAL, MONITORING OF THESE TRANSACTIONS ARE MADE BY OFFICERS OF THE FOUNDATION WITH OVERSIGHT BY THE BOARD OF DIRECTORS. 1 1 0 0 0 0 0 0 0 PATRICK HAMMER CEO - RBHS - TERMED 05/2023 0 680380 0 764756 0 28107 0 225609 0 31476 0 1730328 0 0 JOHN BOYD CEO - TERMED 05/2023 0 493406 0 99452 0 91778 0 115700 0 24989 0 825325 0 0 JOANNE HORVATH CFO- TERMED 09/2022 0 217089 0 1075 0 560895 0 9124 0 31238 0 819421 0 0 MARTY VOGEL VP PRINCIPAL GIFTS 0 296617 0 58725 0 1290 0 42318 0 36636 0 435586 0 0 MATTIAS SCHUETH EXECUTIVE VICE PRESIDENT 0 201080 0 42681 0 22505 0 10606 0 11837 0 288709 0 0 ARNOLD STUEBER FORMER CFO - TERMED 06/2021 0 0 0 0 0 247520 0 0 0 0 0 247520 0 0 EDDIE TOMAICH BOARD MEMBER 0 118427 0 11637 0 717 0 5338 0 33142 0 169261 0 0 PART I, LINE 3 THE CEO IS PAID BY ROGERS MEMORIAL HOSPITAL, INC., A RELATED ORGANIZATION. ROGERS MEMORIAL HOSPITAL, INC. USES THE FOLLOWING TO ESTABLISH THE CEO'S COMPENSATION: - COMPENSATION COMMITTEE - INDEPENDENT COMPENSATION CONSULTANT - FORM 990 OF OTHER ORGANIZATIONS - COMPENSATION SURVEY OR STUDY - APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE PART I, LINES 4A-B SOME EMPLOYEES RECEIVED A SEVERANCE PAYMENT DURING THE CALENDER YEAR. THE TERMS AND CONDITIONS OF THE CONFIDENTIAL SEVERANCE AGREEMENT ARE AVAILABLE TO THE INTERNAL REVENUE SERVICE UPON REQUEST. ROGERS MEMORIAL HOSPITAL, INC., PROVIDES A SUPPLEMENTAL NON-QUALIFIED RETIRMENT PLAN TO ELIGIBLE EMPLOYEES. DURING 2022, PATRICK HAMMER, JOHN BOYD, MARTY VOGEL, CINDY MEYER, AND CHRIS JAGODITZ PARTICIPATED IN THIS PLAN. INDIVIDUALS DID NOT HAVE AMOUNTS VESTED AND PAID DURING THIS TIME. FORM 990, PART VI, SECTION A, LINE 6 ROGERS BEHAVIORAL HEALTH SYSTEM IS THE SOLE CORPORATE MEMBER. FORM 990, PART VI, SECTION A, LINE 7A MEMBERS OF THE BOARD OF DIRECTORS SHALL BE ELECTED AT EACH ANNUAL MEETING AFTER FORMALLY CONSIDERING RECOMMENDATIONS FROM ANY NOMINATING COMMITTEE. ALL PARTIES ELECTED SHALL BE SUBJECT TO APPROVAL BY THE SOLE CORPORATE MEMBER, ROGERS BEHAVIORAL HEALTH SYSTEM, INC. VACANCIES ON THE BOARD OF DIRECTORS DUE TO DEATH, RESIGNATION, OR OTHER CAUSE SHALL BE FILLED BY ELECTION BY THE REMAINING MEMBERS OF THE BOARD OF DIRECTORS IN A TIMELY MANNER. ALL MEMBERS EXCEPT THE PRESIDENT WHO IS SERVING IN AN EX-OFFICIO STATUS ARE SUBJECT TO REMOVAL BY THE SOLE CORPORATE MEMBER, ROGERS BEHAVIORAL HEALTH SYSTEM, INC. FORM 990, PART VI, SECTION A, LINE 7B THE 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 LEVELS OF APPROVAL 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 MISSION, PURPOSE OR SCOPE OF THE CORPORATION OR TO THE CORPORATION'S ARTICLES OF INCORPORATION OR BYLAWS; 8) MAKING ANY DISTRIBUTIONS TO ANY CORPORATION UNLESS: (I) THE DISTRIBUTION IS MADE IN ACCORDANCE WITH THE STATED PURPOSES OF THE CORPORATION; (II) AFTER THE DISTRIBUTION, THE CORPORATION WILL BE ABLE TO PAY ITS DEBTS AS THEY BECOME DUE IN THE USUAL COURSE OF ITS ACTIVITIES; (III) AFTER THE DISTRIBUTION, THE CORPORATION'S TOTAL ASSETS WILL EQUAL TO AT LEAST THE SUM OF ITS TOTAL LIABILITIES; (IV) THE CORPORATION TO WHICH THE DISTRIBUTION IS MADE IS PROHIBITED FROM DISTRIBUTING ANY PART OF ITS INCOME TO MEMBERS, DIRECTORS OR OFFICERS, AND IS EXEMPT FROM TAXATION UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. FORM 990, PART VI, SECTION B, LINE 11B THE CFO OF ROGERS BEHAVIORAL HEALTH SYSTEM, PARENT ORGANIZATION, COMPLETES A DETAILED REVIEW OF THE 990 PRIOR TO MAKING IT AVAILABLE TO THE BOARD MEMBERS. THE FORM 990 IS MADE AVAILABLE TO THE BOARD MEMBERS ELECTRONICALLY VIA THE BOARD'S WEBSITE FOR REVIEW PRIOR TO FILING. FORM 990, PART VI, SECTION B, LINE 12C ROGERS MEMORIAL HOSPITAL FOUNDATION'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. FORM 990, PART VI, SECTION B, LINE 15 ROGERS MEMORIAL HOSPITAL FOUNDATION DOES NOT HAVE ANY EMPLOYEES, THUS QUESTIONS REGARDING THE PROCESS FOR DETERMINING COMPENSATION ARE NOT APPLICABLE. FORM 990, PART VI, SECTION C, LINE 19 ROGERS MEMORIAL HOSPITAL FOUNDATION DOES NOT MAKE ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, OR FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC. FORM 990, PART XII, LINE 2C: THE PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR. ROGERS BEHAVIORAL HEALTH SYSTEM 34700 VALLEY ROAD OCONOMOWOC WI 53066 263902724 COORDINATE HEALTH CARE EFFORTS OF THE HOSPITAL AND FOUNDATION WI 501(C)(3) LINE 12B, II 0 ROGERS MEMORIAL HOSPITAL INC 34700 VALLEY ROAD OCONOMOWOC WI 53066 391139101 PROVIDE INPATIENT AND OUTPATIENT PSYCHIATRIC SERVICES TO PATIENTS WI 501(C)(3) LINE 3 ROGERS BEHAVIORAL HEALTH SYSTEM 0 ROGERS BEHAVIORAL HEALTH - GEORGIA INC 34700 VALLEY ROAD OCONOMOWOC WI 53066 844421252 PROVIDE MENTAL HEALTH AND ADDICTION TREATMENT GA 501(C)(3) LINE 10 ROGERS MEMORIAL HOSPITAL INC 0 ROGERS BEHAVIORAL HEALTH - WASHINGTON INC 34700 VALLEY ROAD OCONOMOWOC WI 53066 852221921 PROVIDE MENTAL HEALTH AND ADDICTION TREATMENT WA 501(C)(3) LINE 10 ROGERS MEMORIAL HOSPITAL INC 0 ROGERS BEHAVIORAL HEALTH - COLORADO INC 34700 VALLEY ROAD OCONOMOWOC WI 53066 873488063 PROVIDE MENTAL HEALTH AND ADDICAITION TREATMENT CO 501(C)(3) LINE 10 ROGERS MEMORIAL HOSPITAL INC 0 0 1 1 0 0 0 0 0 0 0 1 1 1 1 1 0 0 0 0