Civic Intelligence

Swedishamerican Hospital Self Insurance

EIN 36-6652702 • 501(c)3 • Rockford, IL

Profile

Through excellence in healthcare and compassionate service, we care for our community.

1401 E State StreetRockford, IL 61104

www.uwhealth.org

Siviq Scores

Precomputed percentiles relative to similar nonprofits. These scores are descriptive rather than judgmental.

Liabilities / Assets

9th percentile

0.00x

Tied with the lowest-debt nonprofits in its peer group.

501(c)3 • $5M-$10M nonprofits • Source year 2024

Liabilities / Revenue

10th percentile

0.00x

Tied with the lowest-debt nonprofits in its peer group.

501(c)3 • $5M-$10M nonprofits • Source year 2024

Net Margin

1st percentile

-5300%

Higher net margin than 1% of similar nonprofits.

501(c)3 • $5M-$10M nonprofits • Source year 2024

Top Officer Pay

99th percentile

$1,387,607

Higher top officer pay than 99% of similar nonprofits.

Top officer pay equals 2431.4% of source-year revenue.

501(c)3 • $5M-$10M nonprofits • Source year 2024

Asset Growth

7th percentile

-21%

Faster asset growth than 7% of similar nonprofits.

501(c)3 • $5M-$10M nonprofits • Annualized from 2023 to 2024

Revenue Growth

1st percentile

-93%

Faster revenue growth than 1% of similar nonprofits.

501(c)3 • $5M-$10M nonprofits • Annualized from 2023 to 2024

Assets

Down

$8,485,703

Down $2,251,220 (-21%) from 2023

Liabilities

Flat

$0

Flat from 2023

Net Assets

Down

$8,485,703

Down $2,251,220 (-21%) from 2023

Revenue

Down

$57,070

Down $795,237 (-93%) from 2023

Expenses

Up

$3,081,580

Up $2,504,870 (+434%) from 2023

Net Income

Down

-$3,024,510

Down $3,300,107 (-1197%) from 2023

Trend Graphs

Balance Sheet Trend

Grouped bars show assets, liabilities, and net assets across loaded filings.

$20M$15M$10M$5.0M$0Assets 2010: $14,913,248Liabilities 2010: $0Net Assets 2010: $14,913,2482010Assets 2011: $12,132,568Liabilities 2011: $0Net Assets 2011: $12,132,5682011Assets 2012: $13,870,431Liabilities 2012: $0Net Assets 2012: $13,870,4312012Assets 2013: $13,670,157Liabilities 2013: $0Net Assets 2013: $13,670,1572013Assets 2014: $12,857,829Liabilities 2014: $0Net Assets 2014: $12,857,8292014Assets 2015: $10,825,095Liabilities 2015: $0Net Assets 2015: $10,825,0952015Assets 2016: $10,548,213Liabilities 2016: $0Net Assets 2016: $10,548,2132016Assets 2017: $13,365,182Liabilities 2017: $0Net Assets 2017: $13,365,1822017Assets 2018: $11,199,103Liabilities 2018: $0Net Assets 2018: $11,199,1032018Assets 2019: $11,870,646Liabilities 2019: $0Net Assets 2019: $11,870,6462019Assets 2020: $17,883,265Liabilities 2020: $0Net Assets 2020: $17,883,2652020Assets 2021: $18,353,596Liabilities 2021: $0Net Assets 2021: $18,353,5962021Assets 2022: $10,885,599Liabilities 2022: $0Net Assets 2022: $10,885,5992022Assets 2023: $10,736,923Liabilities 2023: $0Net Assets 2023: $10,736,9232023Assets 2024: $8,485,703Liabilities 2024: $0Net Assets 2024: $8,485,7032024

Highlighted filing

2024

Assets$8,485,703
Liabilities$0
Net Assets$8,485,703

Operations Trend

Revenue, expenses, and net income by year, with the latest filing highlighted.

$10M$5.0M$0-$5.0M-$10MExpenses 2010: $3,607,1592010Expenses 2011: $4,519,2772011Expenses 2012: $1,962,4352012Expenses 2013: $2,048,8052013Revenue 2014: $5,820,135Expenses 2014: $6,516,268Net Income 2014: -$696,1332014Revenue 2015: $4,416,824Expenses 2015: $6,322,832Net Income 2015: -$1,906,0082015Revenue 2016: $4,635,314Expenses 2016: $5,218,311Net Income 2016: -$582,9972016Revenue 2017: $6,036,333Expenses 2017: $3,322,859Net Income 2017: $2,713,4742017Revenue 2018: $2,373,827Expenses 2018: $4,159,087Net Income 2018: -$1,785,2602018Revenue 2019: $1,679,013Expenses 2019: $1,412,653Net Income 2019: $266,3602019Revenue 2020: $6,730,019Expenses 2020: $1,083,602Net Income 2020: $5,646,4172020Revenue 2021: $915,935Expenses 2021: $781,940Net Income 2021: $133,9952021Revenue 2022: $327,524Expenses 2022: $5,999,232Net Income 2022: -$5,671,7082022Revenue 2023: $852,307Expenses 2023: $576,710Net Income 2023: $275,5972023Revenue 2024: $57,070Expenses 2024: $3,081,580Net Income 2024: -$3,024,5102024

Highlighted filing

2024

Revenue$57,070
Expenses$3,081,580
Net Income-$3,024,510

Filings

Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2024Detailed filing. Detailed filing data is available for this year.$8.49$0.00$8.49$0.06$3.08$3.02
2023Detailed filing. Detailed filing data is available for this year.$10.7$0.00$10.7$0.85$0.58$0.28
2022Detailed filing. Detailed filing data is available for this year.$10.9$0.00$10.9$0.33$6.00$5.67
2021Detailed filing. Detailed filing data is available for this year.$18.4$0.00$18.4$0.92$0.78$0.13
2020Detailed filing. Detailed filing data is available for this year.$17.9$0.00$17.9$6.73$1.08$5.65
2019Detailed filing. Detailed filing data is available for this year.$11.9$0.00$11.9$1.68$1.41$0.27
2018Detailed filing. Detailed filing data is available for this year.$11.2$0.00$11.2$2.37$4.16$1.79
2017Detailed filing. Detailed filing data is available for this year.$13.4$0.00$13.4$6.04$3.32$2.71
2016Detailed filing. Detailed filing data is available for this year.$10.5$0.00$10.5$4.64$5.22$0.58
2015Detailed filing. Detailed filing data is available for this year.$10.8$0.00$10.8$4.42$6.32$1.91
2014Detailed filing. Detailed filing data is available for this year.$12.9$0.00$12.9$5.82$6.52$0.70
2013Facts available. Structured filing facts are available, but richer extracted sections are limited.$13.7$0.00$13.7$2.05
2012Facts available. Structured filing facts are available, but richer extracted sections are limited.$13.9$0.00$13.9$1.96
2011Facts available. Structured filing facts are available, but richer extracted sections are limited.$12.1$0.00$12.1$4.52
2010Facts available. Structured filing facts are available, but richer extracted sections are limited.$14.9$0.00$14.9$3.61
Latest Filing Detail
Jump To
Filing Snapshot
Filing Period
Nov 1, 2023 to Oct 31, 2024
Signed
May 6, 2025
Return Version
2023v6.0
Gross Receipts
$4,171,648
Mission and Program Overview

Mission

Through excellence in healthcare and compassionate service, we care for our community.

Management and payment of Malpractice and General Liability claims of UW Health SwedishAmerican Hospital.

Balance Sheet Detail
LineBeginningEndChange
Assets
Investments in Publicly Traded Securities$7,214,087$6,682,046▼ $532,041
Savings and Temporary Cash Investments$3,522,836$1,803,657▼ $1,719,179
Pd in Cap Srpls Land Bldg Eqp Fund$0$0→ $0
Rtn Earn Endowment Incm Other Fnds$0$0→ $0
Cap Stk Tr Prin Current Funds$0$0→ $0
Total Assets$10,736,923$8,485,703▼ $2,251,220
Liabilities
Total Liabilities$0$0→ $0
Net Assets / Fund Balance
Total Net Assets Fund Balance$10,736,923$8,485,703▼ $2,251,220
Total Liabilities and Net Assets / Fund Balance$10,736,923$8,485,703▼ $2,251,220
Compensation and Service Providers

Board Members and Trustees

NameTitle
Thomas R WalshAudit/Compliance Chairman
Jeffrey J Kaney SrImmediate Past Chairman (until 6/24)
Sal AbabnehCOO & President of UWNI Hospitals
Thomas O'ConnorFormer President & CEO
Timothy Flynn MDPresident, SA Medical Group
Travis AndersenPresident/CEO
Daniel T RossChmn of the Board
Anqunette ParhamDirector
Frank WalterDirector
Helen Chung HillDirector
Kathleen Kelly MDDirector
Marco T LenisDirector
Michael BroskiDirector
Pamela MaherDirector
Steven C SjogrenDirector
Allen Williams MDTrustee
Carey GehlTrustee
Peter D Newcomer MD MMMTrustee
Jeffrey S Hultman1st Vice Chmn/Secy
Michael PolizzottoFormer CMO/CIO
William MewesFormer Interim VP Patient Svcs/CNO
Rosa JeschkeVP Human Resources
James Cole DOVP Medical Affairs/CMO
Anna TaylorVP Patient Services/CNO (until 2/24)
Julia ZimmermanVP Strategic Growth
Patricia DeWaneVP, CFO, & Treasurer
Revenue and Support

Revenue Composition

Contributions and Grants
$0
Program Service Revenue
$0
Investment Income
$57,070
Other Revenue
$0
Change in Net Assets
$-3,024,510
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Other Expenses$3,081,580
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0
Salaries, Compensation, and Employee Benefits$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Expenses$81,947--$81,947
Fees for Services Other-$49,633-$49,633
Total Functional Expenses$3,031,947$49,633$0$3,081,580
Fundraising, Events, and Gaming
Fundraising activities
No
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Professional Fundraising Fees$0
Political and Lobbying Activity
Political campaign activity
No
Lobbying activity
No
Subject to proxy tax
No
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Annual disclosure for covered persons
Yes
Audit committee
Yes
Business relationship with 35% controlled entity
No
Business relationship with family members
No
Business relationship with organization members
No
Material changes to governing documents
No
Compensation from other sources disclosed
No
CEO compensation reviewed
No
Other officer compensation reviewed
No
Conflict-of-interest policy
Yes
Audited financial statements prepared
Yes
Key decisions subject to board approval
Yes
Management duties delegated
No

Governance Explanations

Form 990, Part VI, Section A, line 6

UW Health SwedishAmerican Hospital elects the members and retains reserve powers over SwedishAmerican Hospital Self Insurance Trust.

Form 990, Part VI, Section A, line 7A

UW Health SwedishAmerican Hospital elects the members.

Form 990, Part VI, Section A, line 7B

UW Health SwedishAmerican Hospital retains reserve powers over SwedishAmerican Hospital Self Insurance Trust.

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

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 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 Hospital Self Insurance Trust, are available upon request.

Filing and Contact Details

Filer

Filer Name
SwedishAmerican Hospital Self Insurance
EIN
36-6652702
Phone
7796964009
Address
1401 E State Street, Rockford, IL 61104

Signing Officer

Name
Patricia DeWane
Title
VP, CFO and Treasurer
Phone
7796964009
Signed
2025-05-06
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Travis Andersen
Formed
1976
Legal Domicile
Il
Voting Board Members
15
Independent Board Members
10
Employees
0
Volunteers
11

Preparer

Firm
Rsm US Llp
Address
30 South Wacker Dr Suite 3300, Chicago, IL 60606-3392
Preparer
Rebekuh Eley
Phone
3126343400
Supplemental Narrative

Financial Statement Notes

Part X, Line 2:

SwedishAmerican Hospital Self Insurance Trust has received a determination letter from the Internal Revenue Service (IRS) stating it is tax-exempt under Section 501(c)(3) of the Code. SA Hospital Self Insurance Trust 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 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 Form 990 filed by the Trust is subject to examination for up to three years from the extended due date of each return.

Raw XML AppendixShowing 400 of 1,037 raw XML fields

This appendix keeps the raw XML leaves available for debugging and edge-case review. The human report above is the primary experience.

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IRS990/Form990PartVIISectionAGrp/PersonNm1Carey Gehl
IRS990/Form990PartVIISectionAGrp/PersonNm2Travis Andersen
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IRS990/Form990PartVIISectionAGrp/PersonNm5Thomas O'Connor
IRS990/Form990PartVIISectionAGrp/PersonNm6Patricia DeWane
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IRS990/Form990PartVIISectionAGrp/PersonNm8James Cole DO
IRS990/Form990PartVIISectionAGrp/PersonNm9Julia Zimmerman
IRS990/Form990PartVIISectionAGrp/PersonNm10William Mewes
IRS990/Form990PartVIISectionAGrp/PersonNm11Allen Williams MD
IRS990/Form990PartVIISectionAGrp/PersonNm12Rosa Jeschke
IRS990/Form990PartVIISectionAGrp/PersonNm13Anna Taylor
IRS990/Form990PartVIISectionAGrp/PersonNm14Daniel T Ross
IRS990/Form990PartVIISectionAGrp/PersonNm15Jeffrey J Kaney Sr
IRS990/Form990PartVIISectionAGrp/PersonNm16Jeffrey S Hultman
IRS990/Form990PartVIISectionAGrp/PersonNm17Thomas R Walsh
IRS990/Form990PartVIISectionAGrp/PersonNm18Michael Broski
IRS990/Form990PartVIISectionAGrp/PersonNm19Helen Chung Hill
IRS990/Form990PartVIISectionAGrp/PersonNm20Kathleen Kelly MD
IRS990/Form990PartVIISectionAGrp/PersonNm21Marco T Lenis
IRS990/Form990PartVIISectionAGrp/PersonNm22Pamela Maher
IRS990/Form990PartVIISectionAGrp/PersonNm23Anqunette Parham
IRS990/Form990PartVIISectionAGrp/PersonNm24Steven C Sjogren
IRS990/Form990PartVIISectionAGrp/PersonNm25Frank Walter
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IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt20
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IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt90
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt100
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt110
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt120
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IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt150
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IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt200
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IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt220
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt230
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt240
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt250
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IRS990/Form990PartVIISectionAGrp/TitleTxt0Trustee
IRS990/Form990PartVIISectionAGrp/TitleTxt1Trustee
IRS990/Form990PartVIISectionAGrp/TitleTxt2President/CEO
IRS990/Form990PartVIISectionAGrp/TitleTxt3President, SA Medical Group
IRS990/Form990PartVIISectionAGrp/TitleTxt4COO & President of UWNI Hospitals
IRS990/Form990PartVIISectionAGrp/TitleTxt5Former President & CEO
IRS990/Form990PartVIISectionAGrp/TitleTxt6VP, CFO, & Treasurer
IRS990/Form990PartVIISectionAGrp/TitleTxt7Former CMO/CIO
IRS990/Form990PartVIISectionAGrp/TitleTxt8VP Medical Affairs/CMO
IRS990/Form990PartVIISectionAGrp/TitleTxt9VP Strategic Growth
IRS990/Form990PartVIISectionAGrp/TitleTxt10Former Interim VP Patient Svcs/CNO
IRS990/Form990PartVIISectionAGrp/TitleTxt11Trustee
IRS990/Form990PartVIISectionAGrp/TitleTxt12VP Human Resources
IRS990/Form990PartVIISectionAGrp/TitleTxt13VP Patient Services/CNO (until 2/24)
IRS990/Form990PartVIISectionAGrp/TitleTxt14Chmn of the Board
IRS990/Form990PartVIISectionAGrp/TitleTxt15Immediate Past Chairman (until 6/24)
IRS990/Form990PartVIISectionAGrp/TitleTxt161st Vice Chmn/Secy
IRS990/Form990PartVIISectionAGrp/TitleTxt17Audit/Compliance Chairman
IRS990/Form990PartVIISectionAGrp/TitleTxt18Director
IRS990/Form990PartVIISectionAGrp/TitleTxt19Director
IRS990/Form990PartVIISectionAGrp/TitleTxt20Director
IRS990/Form990PartVIISectionAGrp/TitleTxt21Director
IRS990/Form990PartVIISectionAGrp/TitleTxt22Director
IRS990/Form990PartVIISectionAGrp/TitleTxt23Director
IRS990/Form990PartVIISectionAGrp/TitleTxt24Director
IRS990/Form990PartVIISectionAGrp/TitleTxt25Director
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