2024-05-07T09:30:51-05:00 2023-06-30 420714325 RSM US LLP 30 South Wacker Dr Suite 3300 Chicago IL 60606 990 2022-07-01 363248013 SwedishAmerican Realty Corporation SWED 7796964009 1313 E State Street Rockford IL 61104 Patricia DeWane VP, CFO & Treasurer 7796964009 2024-05-02 1 Patricia DeWane 999009999 1 Rebekuh Eley P01247672 3126343400 2024-05-02 2 AAL1 IAL1 2022 2023-04-26 12:10:37Z Travis Andersen 1313 E State Street Rockford IL 61104 8608911 0 X www.uwhealth.org X 1982 IL Title Holding Company 3 2 0 4 0 0 0 0 6781407 6704456 -2850 883185 299684 224126 7078241 7811767 0 0 0 0 0 0 0 0 0 7044700 6840737 7044700 6840737 33541 971030 18233525 19203002 307215 305662 17926310 18897340 None 0 0 SwedishAmerican Realty Corporation is the title holding company for SwedishAmerican Health System Corporation, a 501(c)(3) tax exempt entity. SwedishAmerican Realty Corporation leases property to subsidiaries of SwedishAmerican Health System and other third parties. 0 0 0 0 0 0 0 0 0 1 0 0 1 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 1 0 0 0 0 0 0 0 0 0 0 0 X 3 2 0 0 0 0 0 1 1 1 1 0 0 1 1 1 1 1 1 0 0 1 1 IL X Patricia DeWane 7796964009 1313 East State St Rockford IL 61104 Travis Andersen President & CEO 2.00 46.00 X X 0 1014145 85450 Daniel T Ross Director 2.00 8.00 X 0 0 0 Jeffrey J Kaney Sr Director (until 8/31/22) 2.00 6.00 X 0 0 0 Jeffrey Hultman Director (as of 1/1/2023) 2.00 8.00 X 0 0 0 Eric Fulcomer PhD Director (until 12/31/22) 2.00 8.00 X 0 0 0 Patricia DeWane Treasurer/Secretary 2.00 46.00 X 0 566671 62593 Jedediah Cantrell Former President/VP & COO 0.00 0.00 X 0 150775 9592 0 1731591 157635 0 1 1 0 0 Rental Income 531110 6704456 6704456 6704456 669313 445187 224126 224126 224126 1235142 351957 883185 883185 883185 7811767 6704456 0 1107311 41868 4750 3996 197042 1047 48654 4229432 1737963 67659 Repairs/Maintenance 508299 27 6840737 300 300 36963 81095 32807089 21711360 12883095 11095729 225000 225000 5088167 7800878 18233525 19203002 307215 305662 307215 305662 X 17926310 18897340 17926310 18897340 18233525 19203002 971030 0 X 0 1 X 1 0 6292136 6292136 24440664 20196173 4244491 1865815 1476768 389047 108474 38419 70055 100000 100000 11095729 Due From Affiliates 7800878 7800878 X Part X, Line 2: SwedishAmerican Realty Corporation has received a determination letter from the Internal Revenue Service (IRS) stating that it is tax-exempt under section 501(c)(2) of the code. SA Realty Corporation files a Form 990 (Return of Organization Exempt from Income Tax) anually. 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 common to health systems include such matters as the following: tax-exempt status of each entity, the nature, characterization and taxability of joint venture income and various positions relative to potential sources of unrelated business taxable income (UBTI). UBTI is reported on Internal Revenue Service Form 990-T, as appropriate. The benefit of a tax position is recognized in the consolidated financial statements in the period during which, based on all available evidence, management believes that it is more likely than not that the tax position will be sustained upon examination, including the resolution of appeals or litigation processes, if any. Tax positions are not offset or aggregated with other positions. Tax positions that meet the "more likely than not" recognition threshold are measured as the largest amount of tax benefit that is more than 50% likely to be realized on settlement with the applicable taxing authority. The portion of the benefits associated with the tax positions taken that exceeds the amount measured as described above is reflected as a liability for unrecognized tax benefits in the accompanying consolidated balance sheets along with any associated interest and penalties that would be payable to the taxing authorities upon examination. At June 30, 2023 and 2022, there were no unrecognized tax benefits identified or recorded as liabilities. The Form 990 filed by the corporation is subject to examination for up to three years from the extended due date of each return. This return is no longer subject to examination for tax years ended before June 30, 2020. 0 1 0 Travis Andersen President & CEO 0 685014 0 210627 0 118504 0 60071 0 25379 0 1099595 0 0 Patricia DeWane Treasurer/Secretary 0 384070 0 177799 0 4802 0 54710 0 7883 0 629264 0 0 Jedediah Cantrell Former President/VP & COO 0 59096 0 0 0 91679 0 438 0 9154 0 160367 0 91176 Part I, Line 3 All compensation is determined by the Executive Compensation Committee of SwedishAmerican Health System Corporation and is paid by SwedishAmerican Hospital. All compensation decisions are made by independent persons. With respect to the President & CEO and other Officers, SwedishAmerican Health System Corporation follows a compensation approval procedure annually that involves approval of proposed and final compensation arrangements by SwedishAmerican Health System Corporation's Executive Compensation Committee using comparability data as well as contemporaneous documentation of compensation decisions in the minutes. Part I, Line 4b Contributions to the 457(f) plan during 2022 include: Travis Andersen - $59,719; Patricia DeWane - $30,310. Payments from the 457(f) plan during 2022 include: Jedediah Cantrell - $91,176. These payments are reported as taxable income on Part II, column (B) (iii). Part II, Column F: The amounts shown in column F were reported as deferred compensation in prior years but paid out in the current year. The amounts are also included in column (B) (iii). Form 990, Part VI, Section A, line 7a SwedishAmerican Health System Corporation's (SAHSC) President and CEO, Chairman and First Vice-Chairman of the SAHSC Board of Directors automatically serve as Directors of the Corporation. Form 990, Part VI, Section A, line 7b SwedishAmerican Health System Corporation retains reserve powers over SwedishAmerican Realty Corporation. Form 990, Part VI, Section B, line 11b A draft version of Form 990 was reviewed by the Chief Financial Officer. The entire SwedishAmerican Health System Board of Directors were provided a copy of Form 990 before it was filed. Form 990, Part VI, Section B, line 12c The organization regularly and consistently monitors and enforces compliance with its conflict of interest policies, which apply to all members of the Board of Directors and to all employees. Procedures are in place to identify conflicts of both directors and employees. Director conflicts are handled by Board deliberation and Board vote from which the interested director is excluded. Employee conflicts are handled by the Compliance Department and in certain instances may require separate Board action. The Board is provided with periodic compliance reports regarding conflicts of interest. Form 990, Part VI, Section B, line 15 All compensation is determined by the Executive Compensation Committee of SwedishAmerican Health System Corporation and is paid by SwedishAmerican Hospital. All compensation decisions are made by independent persons. With respect to the President & CEO and other Officers, SwedishAmerican Health System Corporation follows a compensation approval procedure annually that involves approval of proposed and final compensation arrangements by SwedishAmerican Health System Corporation's Executive Compensation Committee using comparability data as well as contemporaneous documentation of compensation decisions in the minutes. Form 990, Part VI, Section C, line 19 The governing documents, conflict of interest policy and financial statements have not been made available to the public. The consolidated audited financial statements of SwedishAmerican Health System, which includes SwedishAmerican Realty Corporation, are available upon request. Generations Fertility Care 2365 Deming Way Middleton WI 53562 273496527 Reproductive endocrinology and infertility services WI 501(c)(3) Line 10 N/A 0 Isthmus Project Inc 600 Highland Avenue Madison WI 53792 832278676 Research and innovation WI 501(c)(3) Line 12a, I University of WI Hospital and Clinics Authority 0 Madison Surgery Center 7974 UW Health Court Middleton WI 53562 391940656 Health care services and training WI 501(c)(3) Line 10 N/A 0 Regional Division Inc 7974 UW Health Court No MC1020 Middleton WI 53562 391446049 Regional Parent Corp. to manage and direct activities of entities WI 501(c)(3) Line 12a, I University of WI Hospital and Clinics Authority 0 SwedishAmerican Health Foundation 1415 E State Street Rockford IL 61104 363097493 Supports fundraising for SwedishAmerican Hospital IL 501(c)(3) Line 7 SwedishAmerican Health System Corporation 1 SwedishAmerican Health System Corporation 1401 E State Street Rockford IL 61104 363241458 Parent Corporation to manage and direct activities of entities IL 501(c)(3) Line 12a, I Regional Division Inc 0 SwedishAmerican Hospital 1401 E State Street Rockford IL 61104 362222696 Hospital IL 501(c)(3) Line 3 SwedishAmerican Health System Corporation 1 SwedishAmerican Hospital Self Insurance Trust 1401 E State Street Rockford IL 61104 366652702 Hospital Malpractice Trust VT 501(c)(3) Line 12a, I SwedishAmerican Hospital 1 University Health Care Inc 7974 UW Health Court Middleton WI 53562 472553196 Support Organization WI 501(c)(3) Line 12a, I University of WI Hospital and Clinics Authority 0 University of Wisconsin Hospital and Clinics Authority 7974 UW Health Court Middleton WI 53562 391835630 Hospital and Clinics WI 501(c)(3) Line 3 N/A 0 University of Wisconsin Medical Foundation 7974 UW Health Court Middleton WI 53562 391824445 Physician Services WI 501(c)(3) Line 10 University of WI Hospital and Clinics Authority 0 UW Health ACO Inc 7974 UW Health Court Middleton WI 53562 455490584 Accountable Care Organization WI 501(c)(3) Line 10 University of WI Hospital and Clinics Authority 0 Wisconsin Therapies Inc 7974 UW Health Court Middleton WI 53562 391807425 Infusion Therapy WI 501(c)(3) Line 12a, I University of WI Hospital and Clinics Authority 0 Chartwell Wisconsin Enterprises LLC 2241 Pinehurst Drive Middleton WI 53562 391796267 Parent Entity of CW and CMW-HR WI N/A 0 0 Madison Medical Center LLP 7974 UW Health Court Middleton WI 53562 391329429 Real Estate WI N/A 0 0 Northern Illinois Vein Clinic 2550 Charles St Rockford IL 61108 201642329 Outpatient Health Services IL N/A 0 0 Sixth Street Medical LLC 7974 UW Health Court Middleton WI 53562 472705724 Real Estate WI N/A 0 0 Three Rivers Partners LLC 1313 East State Street Rockford IL 61104 262231757 Information Technology Services IL N/A 0 0 Physician's Care Network Inc 1313 East State Street Rockford IL 61104 363455791 Health Services IL N/A C 1 Quartz Health Benefit Plans Corporation 840 Carolina Street Sauk City WI 53583 391450766 Health Maintenance Organization WI N/A C 0 Quartz Health Insurance Corporation 840 Carolina Street Sauk City WI 53583 391565691 Health Maintenance Organization WI N/A C 0 Quartz Health Solutions Inc 840 Carolina Street Sauk City WI 53583 465710709 Insurance WI N/A C 0 Quartz Holding Company 840 Carolina Street Sauk City WI 53583 821728929 Holding Company WI N/A C 0 SARI Insurance Company 76 St Paul Street Suite 500 Burlington VT 054014477 030308753 Captive Insurance Company VT N/A C 1 State & Charles Inc 1313 East State Street Rockford IL 61104 363321193 Holding Company IL N/A C 1 SwedishAmerican Health Management Corp 1401 East State Street Rockford IL 61104 363246511 Management Services IL N/A C 1 Wisconsin Dialysis Inc 3034 Fish Hatchery Road Fitchburg WI 53713 300072647 Dialysis Services WI N/A C 0 Charitable Remainder Unitrusts (5) Trust IL N/A T 1 1 0 0 0 0 0 0 0 0 1 0 0 0 0 1 0 0 0 0 SwedishAmerican Hospital A 6693588 Cash Paid