2025-05-07T14:18:12-05:00 2024-06-30 420714325 RSM US LLP 30 South Wacker Dr Suite 3300 Chicago IL 60606 990 2023-07-01 363241458 SwedishAmerican Health System Corp SWED 7796964009 1401 E State Street Rockford IL 61104 Patricia DeWane VP, CFO & Treasurer 7796964727 2025-05-06 1 1 Rebekuh Eley P01247672 3126343400 2025-05-06 2023 2025-03-06 01:10:19Z Travis Andersen 1313 E State Street Rockford IL 61104 39277 0 X www.uwhealth.org X 1982 IL Through excellence in healthcare and compassionate service, we care for our community. 15 10 0 11 0 0 0 0 0 0 0 0 85163 39277 85163 39277 0 0 0 0 0 0 0 0 0 1228453 1345876 1228453 1345876 -1143290 -1306599 39669975 39669775 8448581 9794257 31221394 29875518 Through excellence in healthcare and compassionate service, we care for our community. 0 0 1312052 0 39277 Regional Division, Inc. is the parent corporation of SwedishAmerican Health System Corporation. SwedishAmerican Health System Corporation is the parent corporation of SwedishAmerican Hospital, SwedishAmerican Foundation, SwedishAmerican Self Insurance Trust and SwedishAmerican Realty Corporation, which are exempt organizations. SwedishAmerican Health System Corporation is also the parent of State & Charles, Inc. (disclosed on Schedule R) which is a for profit entity. The purpose of SwedishAmerican Health System Corporation is to manage and direct the activities of these entities. 1312052 1 0 0 0 0 0 0 0 0 0 0 1 0 0 1 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 0 0 1 1 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 X 15 10 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 1 1 IL X Patricia DeWane 7796964009 1313 East State Street Rockford IL 61104 Elizabeth Bolt Director (until 9/16/23) 2.00 55.00 X 0 1364369 239970 Peter D Newcomer MD MMM Director 2.00 55.00 X 0 1121369 266238 Carey Gehl Trustee (as of 9/16/23) 2.00 55.00 X 0 1169859 173863 Travis Andersen President & CEO 2.00 46.00 X X 0 948984 206937 Timothy Flynn MD President, SA Medical Group 2.00 44.00 X 0 550572 132148 Sal Ababneh COO & President of UWNI Hospitals 2.00 44.00 X 0 571410 107200 Thomas O'Connor Former President & CEO 0.00 0.00 X 0 585228 0 Patricia DeWane VP, CFO, & Treasurer 2.00 46.00 X 0 497721 80556 Michael Polizzotto Former CMO/CIO 0.00 0.00 X 0 409575 57282 James Cole DO VP Medical Affairs/CMO 2.00 44.00 X 0 363596 98367 Julia Zimmerman VP Strategic Growth 2.00 44.00 X 0 314180 120021 William Mewes Interim VP Patient Services & CNO 2.00 44.00 X 0 393941 39841 Allen D Williams MD Director 2.00 44.00 X 0 347963 73004 Rosa Jeschke VP Human Resources 2.00 44.00 X 0 297585 40004 Anna Taylor VP Patient Svcs & CNO (until 2/24) 2.00 44.00 X 0 196225 5683 Daniel T Ross Chmn of the Board 2.00 8.00 X X 0 0 0 Jeffrey J Kaney Sr Immediate Past Chairman (until 6/24) 2.00 6.00 X X 0 0 0 Jeffrey S Hultman 1st Vice Chmn/Secy 2.00 8.00 X X 0 0 0 Thomas R Walsh Audit/Compliance Chairman 2.00 6.00 X 0 0 0 Michael Broski Director 2.00 6.00 X 0 0 0 Helen Chung Hill Director 2.00 6.00 X 0 0 0 Kathleen Kelly MD Director 2.00 6.00 X 0 0 0 Marco T Lenis Director 2.00 6.00 X 0 0 0 Pamela Maher Director 2.00 4.00 X 0 0 0 Anqunette Parham Director 2.00 6.00 X 0 0 0 Steven C Sjogren Director 2.00 6.00 X 0 0 0 Frank Walter Director 2.00 6.00 X 0 0 0 0 9132577 1641114 0 1 1 0 0 Three Rivers Partners, 518210 39277 39277 39277 39277 39277 0 0 11480 11480 22344 22344 38612 38612 17 17 Organizational Costs 1273423 1273423 1345876 1312052 33824 0 200 0 37996757 37996757 1673018 1673018 39669975 39669775 8448581 9794257 8448581 9794257 X 31221394 29875518 31221394 29875518 39669975 39669775 X -1306599 -39277 X 0 1 X 1 0 X X 3 SwedishAmerican Hospital 362222696 3 1 0 0 SwedishAmerican Health Foundation 363097493 7 1 0 0 Regional Division Inc 391446049 3 1 0 0 3 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 Investment in State & Charles, Inc. 37996757 C 37996757 Due to Affiliates 9794257 9794257 X Part X, Line 2: SwedishAmerican Health System Corporation has received a determination letter from the Internal Revenue Service (IRS) stating it is tax-exempt under Section 501(c)(3) of the Code. SwedishAmerican Health System Corporation files a Form 990 (Return of Organization Exempt from Income Tax). 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, 2024 and 2023, there were no unrecognized tax benefits identified or recorded as liabilities. The Forms 990 filed by the Corporation are subject to examination for up to three years from the extended due date of each return. X X X X 1 1 0 0 0 0 0 0 0 Elizabeth Bolt Director (until 9/16/23) 0 763298 0 398403 0 202668 0 210666 0 29304 0 1604339 0 185256 Peter D Newcomer MD MMM Director 0 773250 0 348119 0 0 0 264810 0 1428 0 1387607 0 0 Carey Gehl Trustee (as of 9/16/23) 0 642233 0 241202 0 286424 0 137568 0 36295 0 1343722 0 285741 Travis Andersen President & CEO 0 797792 0 123125 0 28067 0 159713 0 47224 0 1155921 0 0 Timothy Flynn MD President, SA Medical Group 0 471882 0 53431 0 25259 0 82440 0 49708 0 682720 0 0 Sal Ababneh COO & President of UWNI Hospitals 0 474686 0 54163 0 42561 0 60914 0 46286 0 678610 0 0 Thomas O'Connor Former President & CEO 0 11766 0 0 0 573462 0 0 0 0 0 585228 0 0 Patricia DeWane VP, CFO, & Treasurer 0 426805 0 67788 0 3128 0 72684 0 7872 0 578277 0 0 Michael Polizzotto Former CMO/CIO 0 382884 0 26691 0 0 0 19965 0 37317 0 466857 0 0 James Cole DO VP Medical Affairs/CMO 0 289076 0 74520 0 0 0 98312 0 55 0 461963 0 0 Julia Zimmerman VP Strategic Growth 0 277273 0 33991 0 2916 0 48957 0 71064 0 434201 0 18973 William Mewes Interim VP Patient Services & CNO 0 248557 0 12145 0 133239 0 4326 0 35515 0 433782 0 0 Allen D Williams MD Director 0 338640 0 6900 0 2423 0 26400 0 46604 0 420967 0 0 Rosa Jeschke VP Human Resources 0 268720 0 26193 0 2672 0 34668 0 5336 0 337589 0 0 Anna Taylor VP Patient Svcs & CNO (until 2/24) 0 187369 0 8856 0 0 0 5538 0 145 0 201908 0 0 Part I, Line 3 All compensation is determined by the Executive Compensation Committee of SwedishAmerican Health System Corporation and is paid by UW Health 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, Lines 4a-b Severance payments during 2023 include: Tom O'Connor - $573,462; William Mewes - $87,850. These payments are reported as taxable compensation on Part II, column (B)(iii). Contributions to the 457(f) plan during 2023 include: Travis Andersen - $151,133; Faisal Ababneh - $55,164; Timothy Flynn MD - $56,040; Patricia DeWane - $46,284; Julia Zimmerman - $29,700; Rose Jeschke - $30,972; James Cole - $32,312; Elizabeth Bolt - $185,256; Carey Gehl - $112,158; Peter Newcomer - $198,810. Payments from the 457(f) plan during 2023 include: Julia Zimmerman - $18,973; Elizabeth Bolt - $185,256; Carey Gehl - $285,741. 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 6 The sole corporate member of the organization is Regional Division, Inc. Form 990, Part VI, Section A, line 7a Regional Division, Inc. as the sole corporate member shall have powers and voting rights to approve and remove Directors on the Board. Form 990, Part VI, Section A, line 7b Regional Division, Inc. as the sole corporate member shall have powers and voting rights to do the following: - Approve the appointment, hiring and termination of the President and Chief Executive Officer of the Corporation, in each instance taking into consideration the recommendation of the Board of Directors. - Approve the Corporation's strategic plan. - Approve of the Corporation's annual budget. - Approve any unbudgeted capital expenditures (i) above One Hundred Thousand Dollars ($100,000) for capital expenditures relating to new lines of business, (ii) above Two Hundred Fifty Thousand Dollars ($250,000) for capital expenditures relating to existing lines of business, and (iii) cumulative unbudgeted capital expenditures exceeding One Million Dollars ($1,000,000) per year. - Approve the Corporation's quality and safety measures and compliance policies. - Approve any amendment, change, or modification to the Corporation's Articles of Incorporation or Bylaws a provided in Article XIV of the Corporation's Bylaws. - Approve any act or omission, or any changes to the Corporation's structure or operations that could affect the Corporation's not-for-profit or tax-exempt status. - Approve any transaction or series of related transactions involving the purchase, lease, license, exchange, or other acquisition (including by merger, consolidation, member substitution, acquisition of stock or equity, or acquisition of assets by the Corporation) of any assets and/or equity interests of any entity. - Approve any transaction or series of related transactions involving the merger, consolidation, dissolution, or wind-up of the Corporation, or the sale, lease, exchange, mortgage, pledge, or other disposition of all or substantially all of the assets of the Corporation. - Approve any Indebtedness (as defined below) of the Corporation (i) in excess of One Million Dollars ($1,000,000) in principal amount, (ii) that is effective for longer than sixty (60) months, or (iii) that would require notice to or consent from the lenders or bondholders under bonds or other credit facilities of the Corporation or University of Wisconsin Hospitals and Clinics Authority ("UWHCA"). "Indebtedness" means obligations for borrowed money evidenced by notes, bonds, debentures, letters of credit, or other similar instruments; obligations for deferred purchase price of property or services (other than trade payables incurred in the ordinary course of business); or any guaranty of any obligation of any other person or entity in the nature of any of the foregoing. Form 990, Part VI, Section B, line 11b A draft version of the Form 990 was reviewed by the Chief Financial Officer. The entire Board of Directors was provided with a copy of the Form 990 before it was filed. Form 990, Part VI, Section B, line 12c SAHS 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 UW Health 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 Health System Corporation, are available upon request. Form 990, Part XI, line 9: Book/Tax Difference Joint Venture -39,277. 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 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 SwedishAmerican Realty Corporation 1313 E State Street Rockford IL 61104 363248013 Title Holding Company IL 501(c)(2) SwedishAmerican Health System Corporation 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 Three Rivers Partners LLC 1313 East State Street Rockford IL 61104 262231757 Information Technology Services IL SAHS Corporation Related 39277 2564248 0 1 0.50000 Chartwell Wisconsin Enterprises LLC 2241 Pinehurst Drive Middleton WI 53562 391796267 Parent Entity of CW and CMW-HR WI N/A N/A 0 0 Sixth Street Medical LLC 7974 UW Health Court Middleton WI 53562 472705724 Real Estate WI N/A N/A 0 0 Physician's Care Network 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 State & Charles Inc 1313 East State Street Rockford IL 61104 363321193 Holding Company IL SAHS Corporation C 20614495 17137060 1.00000 1 SwedishAmerican Health Management Corp 1401 East State Street Rockford IL 61104 363246511 Management Services IL N/A C 1 Wisconsin Dialysis 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 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0