Form 990 for tax year 2022
Filed by ROGERS MEMORIAL HOSPITAL FOUNDATION INC.
Totals
- Total revenue
- $11,602,494
- Total expenses
- $4,651,702
- Contributions and grants received
- $10,764,379
- Grants paid
- $4,071,850
- Program service revenue
- $0
- Investment income
- $900,601
- Other revenue
- -$62,486
- Total assets, end of year
- $41,423,148
- Total liabilities, end of year
- $279,360
- Net assets or fund balances, end of year
- $41,143,788
- Program services expenses (Part IX)
- $4,071,850
- Management and general expenses
- $57,390
- Fundraising expenses
- $522,462
- Program service expenses (Part III)
- $4,071,850
Program services were 87.5% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.
Listed in Part VII
-
EDDIE TOMAICH
BOARD MEMBER
- Total calculated
- $169,261
- From this org
- $0
- From related orgs
- $130,781
- Other
- $38,480
- Hours/week
- 1 + 40 related
Schedule J breakdown matched by us
- Base
- $0 + $118,427 related
- Bonus
- $0 + $11,637 related
- Other
- $0 + $717 related
- Deferred
- $0 + $5,338 related
- Nontaxable benefits
- $0 + $33,142 related
- Filer's total
- $0 + $169,261 related
-
KEVIN KONOPA
BOARD CHAIR
- Total calculated
- $0
- Hours/week
- 2
-
BRIAN KEELING
VICE CHAIR
- Total calculated
- $0
- Hours/week
- 2
-
MYRIEM BENNANI
SECRETARY
- Total calculated
- $0
- Hours/week
- 2
-
NATE ZASTROW
TREASURER
- Total calculated
- $0
- Hours/week
- 1
-
ANNE SCHUMAKER
BOARD MEMBER
- Total calculated
- $0
- Hours/week
- 1
-
CAROLYN GAMBILL
BOARD MEMBER
- Total calculated
- $0
- Hours/week
- 1
-
CHRISTINE TOSON
BOARD MEMBER
- Total calculated
- $0
- Hours/week
- 1
-
DANIEL BADER
BOARD MEMBER
- Total calculated
- $0
- Hours/week
- 1
-
KEVIN JOY
BOARD MEMBER
- Total calculated
- $0
- Hours/week
- 1
-
LORI LORENZE
BOARD MEMBER
- Total calculated
- $0
- Hours/week
- 1
-
SPENCER MOATS
BOARD MEMBER
- Total calculated
- $0
- Hours/week
- 1
-
PATRICK HAMMER
CEO - RBHS - TERMED 05/2023
- Total calculated
- $1,730,328
- From this org
- $0
- From related orgs
- $1,473,243
- Other
- $257,085
- Hours/week
- 1 + 40 related
Schedule J breakdown matched by us
- Base
- $0 + $680,380 related
- Bonus
- $0 + $764,756 related
- Other
- $0 + $28,107 related
- Deferred
- $0 + $225,609 related
- Nontaxable benefits
- $0 + $31,476 related
- Filer's total
- $0 + $1,730,328 related
-
JOANNE HORVATH
CFO- TERMED 09/2022
- Total calculated
- $819,421
- From this org
- $0
- From related orgs
- $779,059
- Other
- $40,362
- Hours/week
- 1 + 40 related
Schedule J breakdown matched by us
- Base
- $0 + $217,089 related
- Bonus
- $0 + $1,075 related
- Other
- $0 + $560,895 related
- Deferred
- $0 + $9,124 related
- Nontaxable benefits
- $0 + $31,238 related
- Filer's total
- $0 + $819,421 related
-
JOHN BOYD
CEO - TERMED 05/2023
- Total calculated
- $825,325
- From this org
- $0
- From related orgs
- $684,636
- Other
- $140,689
- Hours/week
- 1 + 40 related
Schedule J breakdown matched by us
- Base
- $0 + $493,406 related
- Bonus
- $0 + $99,452 related
- Other
- $0 + $91,778 related
- Deferred
- $0 + $115,700 related
- Nontaxable benefits
- $0 + $24,989 related
- Filer's total
- $0 + $825,325 related
-
CYNTHIA MEYER
PRESIDENT & CEO - STARTED 06/2023
- Total calculated
- $79,083
- From this org
- $0
- From related orgs
- $79,083
- Other
- $0
- Hours/week
- 1 + 40 related
-
CHRIS JAGODITZ
CFO - STARTED 02/2023
- Total calculated
- $0
- Hours/week
- 1 + 40 related
-
MARTY VOGEL
VP PRINCIPAL GIFTS
- Total calculated
- $435,586
- From this org
- $0
- From related orgs
- $356,632
- Other
- $78,954
- Hours/week
- 1 + 40 related
Schedule J breakdown matched by us
- Base
- $0 + $296,617 related
- Bonus
- $0 + $58,725 related
- Other
- $0 + $1,290 related
- Deferred
- $0 + $42,318 related
- Nontaxable benefits
- $0 + $36,636 related
- Filer's total
- $0 + $435,586 related
-
MATTIAS SCHUETH
EXECUTIVE VICE PRESIDENT
- Total calculated
- $288,709
- From this org
- $0
- From related orgs
- $266,266
- Other
- $22,443
- Hours/week
- 1 + 40 related
Schedule J breakdown matched by us
- Base
- $0 + $201,080 related
- Bonus
- $0 + $42,681 related
- Other
- $0 + $22,505 related
- Deferred
- $0 + $10,606 related
- Nontaxable benefits
- $0 + $11,837 related
- Filer's total
- $0 + $288,709 related
-
ARNOLD STUEBER
FORMER CFO - TERMED 06/2021
- Total calculated
- $247,520
- From this org
- $0
- From related orgs
- $247,520
- Other
- $0
- Hours/week
- 1 + 40 related
Schedule J breakdown matched by us
- Base
- $0
- Bonus
- $0
- Other
- $0 + $247,520 related
- Deferred
- $0
- Nontaxable benefits
- $0
- Filer's total
- $0 + $247,520 related
Compensation is as filed in Part VII: reportable pay from this organization and from related organizations, other compensation, and hours per week. The total, marked calculated, is our sum of the three dollar columns, with a blank column counted as $0; the form itself has no total. On a Form 990-EZ the columns are Part IV's instead, and on a Form 990-PF Part VIII's — compensation, contributions to benefit plans, and expense account — and the total sums those. A Schedule J breakdown is as filed: base pay, bonus, other, deferred compensation and nontaxable benefits from this organization, with any from related organizations beside each, and the filer's own total. It is shown with the Part VII listing of the same name on the same return. The form gives no key between the two, so that pairing is ours, and is marked matched by us.
Schedule J
Answered yes
- 4a · Severance or change-of-control payment
- 4b · Supplemental nonqualified retirement plan
Answered no
- 4c · Equity-based compensation arrangement
- 5a · Pay contingent on this organization's revenues
- 5b · Pay contingent on a related organization's revenues
- 6a · Pay contingent on this organization's net earnings
- 6b · Pay contingent on a related organization's net earnings
- 7 · Other non-fixed payments
- 8 · Paid under the initial-contract exception
The filer's explanations (Part III)
- 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.
Part I's answers as filed. A line not listed was left unanswered; on lines 1a and 3 that means the box was not checked.
Grants on this return
-
$2,377,921
PROGRAM RELATED COSTS RESTRICTED BY DONOR AND PATIENT CARE GRANTS RESTRICTED BY DONORS.
-
$1,018,929
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.
-
$675,000
PROVIDE FOR FIXED ASSETS RESTRICTED BY DONORS.
Related organizations on this return
Schedule R Part II: tax-exempt organizations related to the filer by control. It does not record shared board members or money.
-
ROGERS BEHAVIORAL HEALTH SYSTEM
501(C)(3) · COORDINATE HEALTH CARE EFFORTS OF THE HOSPITAL AND FOUNDATION · WI
-
501(C)(3) · PROVIDE INPATIENT AND OUTPATIENT PSYCHIATRIC SERVICES TO PATIENTS · WI
Directly controlled by ROGERS BEHAVIORAL HEALTH SYSTEM
-
ROGERS BEHAVIORAL HEALTH - GEORGIA INC
501(C)(3) · PROVIDE MENTAL HEALTH AND ADDICTION TREATMENT · GA
Directly controlled by ROGERS MEMORIAL HOSPITAL INC
-
ROGERS BEHAVIORAL HEALTH - WASHINGTON INC
501(C)(3) · PROVIDE MENTAL HEALTH AND ADDICTION TREATMENT · WA
Directly controlled by ROGERS MEMORIAL HOSPITAL INC
-
ROGERS BEHAVIORAL HEALTH - COLORADO INC
501(C)(3) · PROVIDE MENTAL HEALTH AND ADDICAITION TREATMENT · CO
Directly controlled by ROGERS MEMORIAL HOSPITAL INC
Provenance
- Return type
- form_990
- Tax year
- 2022
- Filed
- 13 June 2024
- IRS schema version
- 2022v5.0
- Source object
- 202411659349300446
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