Form 990 for tax year 2023
Filed by ROGERS BEHAVIORAL HEALTH SYSTEM INC.
Totals
- Total revenue
- $770,645
- Total expenses
- $770,645
- Contributions and grants received
- $0
- Grants paid
- $0
- Program service revenue
- $770,645
- Investment income
- $0
- Other revenue
- $0
- Total assets, end of year
- $2,080,169
- Total liabilities, end of year
- $0
- Net assets or fund balances, end of year
- $2,080,169
- Program services expenses (Part IX)
- $738,897
- Management and general expenses
- $31,748
- Fundraising expenses
- $0
- Program service expenses (Part III)
- $738,897
Program services were 95.9% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.
Line items
Every line the filer filed in Parts VIII, IX and X, as filed and in filed order. Blank columns are left out, and the lines are not forced to add up to the totals above.
Revenue
Part VIII, the statement of revenue.
-
2a · Program service revenue: AFFILIATE MGMT FEES
total $770,645 · related or exempt $770,645
Functional expenses
Part IX, the statement of functional expenses.
-
5 · Compensation of officers, directors and key employees
total $640,357 · program services $640,357
-
8 · Pension plan contributions
total $6,240 · program services $6,240
-
9 · Other employee benefits
total $72,380 · program services $72,380
-
10 · Payroll taxes
total $19,920 · program services $19,920
-
11g · Fees: other
total $12,620 · management and general $12,620
-
17 · Travel
total $11,926 · management and general $11,926
-
19 · Conferences, conventions and meetings
total $3,900 · management and general $3,900
-
24a · Other expenses: IRC SECTION 4960 EXCISE
total $2,728 · management and general $2,728
-
24b · Other expenses: DUES/FEES & SUBSCRIPTIO
total $574 · management and general $574
Balance sheet
Part X, book values.
-
2 · Savings and temporary cash investments
beginning of year $2,080,169 · end of year $2,080,169
-
27 · Net assets without donor restrictions
beginning of year $2,080,169 · end of year $2,080,169
Mission and programs · 2023
Mission
OUR VISION:WE ENVISION A FUTURE WHERE PEOPLE HAVE THE TOOLS TO RISE ABOVE THE CHALLENGES OF MENTAL ILLNESS, ADDICTION, AND STIGMA TO LEAD HEALTHY LIVES. WE BRING THIS VISION TO LIFE BY CONSTANTLY ELEVATING THE STANDARD FOR BEHAVIORAL HEALTHCARE, DEMONSTRATING OUR EXCEPTIONAL TREATMENT OUTCOMES, AND ACTING WITH COMPASSION AND RESPECT.OUR VALUES:EXCELLENCE - WE ARE COMMITTED TO CONTINUOUS IMPROVEMENT INCLUDING RECRUITMENT AND RETENTION OF HIGHLY TALENTED EMPLOYEES WHO DELIVER CLINICALLY EFFECTIVE TREATMENTS WITH THE BEST POSSIBLE OUTCOMES.COMPASSION - WE ARE DEDICATED TO A HEALTHY CULTURE WHERE EMPLOYEES, PATIENTS, AND FAMILIES EXPERIENCE EMPATHY, ENCOURAGEMENT, AND RESPECT.ACCOUNTABILITY - WE EMBRACE OUR RESPONSIBILITY TO OUR PATIENTS, FAMILIES, REFERRING PROVIDERS, PAYORS AND COMMUNITY MEMBERS TO PROVIDE CARE THAT IS HIGH QUALITY, COST EFFECTIVE AND SUSTAINABLE.
Activities or mission (Part I)
THE PARENT ORGANIZATION FOR OUR BEHAVIORAL HEALTH CARE OPERATIONS (ROGERS MEMORIAL HOSPITAL, INC. ) AND SUPPORTING FOUNDATION (ROGERS MEMORIAL HOSPITAL FOUNDATION, INC.).
-
ROGERS BEHAVIORAL HEALTH SYSTEM, INC. (RBH, INC.) WAS FORMED TO COORDINATE THE ACTIVITIES OF AFFILIATE ORGANIZATIONS - ROGERS MEMORIAL HOSPITAL, INC. AND ROGERS MEMORIAL HOSPITAL FOUNDATION, INC. - WITH THE GOAL OF EXPANDING ACCESS TO BEHAVIORAL HEALTH SERVICES. RBH, INC. ESTABLISHES, MONITORS AND EXECUTES STRATEGIC INITIATIVES. RBH, INC. IS ONE OF THE NATION'S LARGEST PROVIDERS OF SPECIALIZED BEHAVIORAL HEALTH SERVICES. IN STUB YEAR 2023 WE SERVED OUR COMMUNITY WITH 23,006 INPATIENT DAYS 37,888 RESIDENTIAL PATIENT DAYS AND 109,384 OUTPATIENT PATIENT DAYS.
Expenses $738,897 · Revenue $770,645
As filed on the 2023 return. The filer continues this part on Schedule O, which is not shown here.
Listed in Part VII
-
Cynthia MeyerCYNTHIA MEYER
CEO
- Total calculated
- $634,502
- From this org
- $583,138
- From related orgs
- $0
- Other
- $51,364
- Hours/week
- 1 + 40 related
Schedule J breakdown matched by us
- Base
- $522,292
- Bonus
- $58,585
- Other
- $2,261
- Deferred
- $13,200
- Nontaxable benefits
- $38,164
- Filer's total
- $634,502
-
Jerry HalversonJERRY HALVERSON
CHIEF MEDICAL OFFICER/ BOA
- Total calculated
- $482,488
- From this org
- $0
- From related orgs
- $423,693
- Other
- $58,795
- Hours/week
- 1 + 40 related
Schedule J breakdown matched by us
- Base
- $0 + $376,287 related
- Bonus
- $0 + $24,216 related
- Other
- $0 + $23,190 related
- Deferred
- $0 + $13,200 related
- Nontaxable benefits
- $0 + $45,595 related
- Filer's total
- $0 + $482,488 related
-
Barb GormackiBARB GORMACKI
BOARD CHAIR
- Total calculated
- $0
- Hours/week
- 3 + 3 related
-
Bob OlsonBOB OLSON
BOARD VICE-CHAIR
- Total calculated
- $0
- Hours/week
- 3 + 3 related
-
Michael SeviMICHAEL SEVI
BOARD SECRETARY
- Total calculated
- $0
- Hours/week
- 3 + 3 related
-
William T MulliganWILLIAM T MULLIGAN
BOARD TREASURER
- Total calculated
- $0
- Hours/week
- 3 + 3 related
-
Chris FitzpatrickCHRIS FITZPATRICK
BOARD MEMBER
- Total calculated
- $0
- Hours/week
- 1 + 1 related
-
Erik CardenasERIK CARDENAS
BOARD MEMBER
- Total calculated
- $0
- Hours/week
- 1 + 1 related
-
Gina MarksonGINA MARKSON
BOARD MEMBER
- Total calculated
- $0
- Hours/week
- 1 + 1 related
-
Kamilah Williams-KempKAMILAH WILLIAMS-KEMP
BOARD MEMBER
- Total calculated
- $0
- Hours/week
- 1 + 1 related
-
Martin BorellMARTIN BORELL
BOARD MEMBER
- Total calculated
- $0
- Hours/week
- 1 + 1 related
-
Maureen StapletonMAUREEN STAPLETON
BOARD MEMBER
- Total calculated
- $0
- Hours/week
- 1 + 1 related
-
Chris JagoditzCHRIS JAGODITZ
CFO
- Total calculated
- $315,224
- From this org
- $305,090
- From related orgs
- $0
- Other
- $10,134
- Hours/week
- 1 + 40 related
Schedule J breakdown matched by us
- Base
- $287,827
- Bonus
- $16,785
- Other
- $478
- Deferred
- $9,317
- Nontaxable benefits
- $817
- Filer's total
- $315,224
-
Bradley Riemann Former CooBRADLEY RIEMANN FORMER COO
/BOARD MEMBER - TERMED 07/2023
- Total calculated
- $655,438
- From this org
- $0
- From related orgs
- $600,546
- Other
- $54,892
- Hours/week
- 0
Schedule J breakdown matched by us
- Base
- $0 + $324,360 related
- Bonus
- $0 + $59,381 related
- Other
- $0 + $216,805 related
- Deferred
- $0 + $14,142 related
- Nontaxable benefits
- $0 + $40,750 related
- Filer's total
- $0 + $655,438 related
-
Patrick Hammer Former Ceo -PATRICK HAMMER FORMER CEO -
RBHS / BOARD MEMBER - TERMED 05/2023
- Total calculated
- $1,512,785
- From this org
- $1,486,317
- From related orgs
- $0
- Other
- $26,468
- Hours/week
- 0
Schedule J breakdown matched by us
- Base
- $227,230
- Bonus
- $1,020,103
- Other
- $238,984
- Deferred
- $12,200
- Nontaxable benefits
- $14,268
- Filer's total
- $1,512,785
-
John BoydJOHN BOYD
FORMER CEO - TERMED 05/2023
- Total calculated
- $762,747
- From this org
- $0
- From related orgs
- $732,937
- Other
- $29,810
- Hours/week
- 0
Schedule J breakdown matched by us
- Base
- $0 + $517,504 related
- Bonus
- $0 + $70,620 related
- Other
- $0 + $144,813 related
- Deferred
- $0 + $13,200 related
- Nontaxable benefits
- $0 + $16,610 related
- Filer's total
- $0 + $762,747 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
- 4b · Supplemental nonqualified retirement plan
Answered no
- 4a · Severance or change-of-control payment
- 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 1A
- HEALTH AND SOCIAL MEMBERSHIPS FOR CERTAIN OFFICERS, DIRECTORS, TRUSTEES, KEY EMPLOYEES AND HIGHEST COMPENSATED INDIVIDUALS ARE INCLUDED IN TAXABLE WAGES AS THEY ARE PAID BY ROGERS MEMORIAL HOSPITAL.
- PART I, LINE 3
- THE CEO IS PAID BY ROGERS MEMORIAL HOSPITAL, INC., A RELATED ORGANIZATION; HOWEVER, THEY DEVOTE THE MAJORITY OF THEIR TIME TO THE FILING 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, LINE 4B
- 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 2023, PATRICK HAMMER, JOHN BOYD, BRADLEY RIEMANN, CINDY MEYER, AND CHRIS JAGODITZ PARTICIPATED IN THIS PLAN. $213,409 WAS PAID TO PATRICK HAMMER. THE OTHER 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
No itemized grants to organizations on this return.
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.
-
501(C)(3) · PROVIDE INPATIENT AND OUTPATIENT PSYCHIATRIC SERVICES TO PATIENTS · WI · controlled entity
Directly controlled by ROGERS BEHAVIORAL HEALTH SYSTEM INC
-
ROGERS MEMORIAL HOSPITAL FOUNDATION INC
501(C)(3) · OPERATED TO RAISE FUNDS FOR THE BENEFIT OF RELATED ORGANIZATIONS · WI · controlled entity
Directly controlled by ROGERS BEHAVIORAL HEALTH SYSTEM INC
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ROGERS BEHAVIORAL HEALTH - GEORGIA INC
501(C)(3) · PROVIDE MENTAL HEALTH AND ADDICTION TREATMENT · GA · controlled entity
Directly controlled by ROGERS MEMORIAL HOSPITAL INC
-
ROGERS BEHAVIORAL HEALTH - WASHINGTON INC
501(C)(3) · PROVIDE SUBSTANCE ABUSE AND MENTAL HEALTH CLINICS · WA · controlled entity
Directly controlled by ROGERS MEMORIAL HOSPITAL INC
-
ROGERS BEHAVIORAL HEALTH - COLORADO INC
501(C)(3) · PROVIDE MENTAL HEALTH AND ADDICTION TREATMENT · CO · controlled entity
Directly controlled by ROGERS MEMORIAL HOSPITAL INC
Provenance
- Return type
- form_990
- Tax year
- 2023
- Filed
- 8 November 2024
- IRS schema version
- 2023v5.1
- Source object
- 202423179349303297
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