2022-05-06T15:46:56-05:00 2021-06-30 420714325 RSM US LLP 30 South Wacker Dr Ste 3300 Chicago IL 606063392 990 2020-07-01 362222696 SwedishAmerican Hospital SWED 7796964727 1401 E State Street Rockford IL 61104 Patricia DeWane Chief Financial Officer 7796964727 2022-05-04 1 Patricia DeWane XXX-XX-XXXX Rebekuh Eley P01247672 3126343400 2022-05-04 2 AAL1 IAL1 2020 2022-09-23 18:48:47Z Travis Andersen 1313 East State Street Rockford IL 61104 719130796 0 X www.swedishamerican.org X 1911 IL Through excellence in healthcare and compassionate service, we care for our community. 21 14 4199 59 -216017 0 2157310 27684305 616063023 669493409 12572317 11777915 6233212 5886381 637025862 714842010 254495 225000 0 0 298560801 337153103 0 0 0 328861070 348813587 627676366 686191690 9349496 28650320 973707288 1121572006 446467974 515582906 527239314 605989100 X Through excellence in healthcare and compassionate service, we care for our community. 0 0 385930172 225000 505915237 SwedishAmerican Hospital (SAH) operates two full service acute care hospitals with a combined total of 373 licensed beds serving the greater Rockford region, Northern Illinois and Southern Wisconsin. Our vision is to develop a fully integrated healthcare delivery network that will continuously set the standard for quality care and service, accept responsibility for building a healthier population, provide regional access, improve resource utilization through collaboration with key stakeholders, and manage patient care and our resources in such a way that we create value for our patients and benefit for our community. During 2021, we cared for 17,993 inpatients and performed 1,263,865 outpatient procedures. This includes 69,763 emergency room visits and 2,671 deliveries. We sponsor the University of Illinois - College of Medicine Program and provided $5.4 million in education for primary care residents. Our employees and volunteers provided near 3,300 hours in unpaid community services. SwedishAmerican recognizes its responsibility to all the people of our community, regardless of their ability to pay for care. 122632723 0 92475343 SwedishAmerican Hospital employs primary care and specialty physicians who practice at 34 locations throughout our service area. We employ specialists in orthopedics, cardiology, cardiothoracic surgery, endocrinology, allergy, neurology, neurosurgery, pulmonology/critical care, hematology/oncology, obstetrics and gynecology, maternal fetal medicine, rheumatology, psychiatry, podiatry, otolaryngology, as well as internal medicine, family practice, immediate care and pediatric physicians. During 2021, our physician encounters were 439,116. 47071957 0 70092392 SwedishAmerican Regional Cancer Center opened to the public in October 2013 and has been providing leading edge cancer care treatment for the Rock River Valley. The center is part of a collaborative with UW Health and its nationally recognized University of Wisconsin Carbone Cancer Center. The two-story facility offers radiation therapy, medical oncology, chemotherapy and infusion services. Patients have access to clinical trials, state-of-the-art linear acceleratory treatments such as IGRT, IMRT, Rapid Arc, OBI and stereotactic services, and advanced medical imaging. The Regional Cancer Center is staffed by medical and radiation oncologists, physicists, dosimetrists, radiation therapists and nurses. During 2021, our out-patient encounters were over 26,086. 6911282 0 5507463 SwedishAmerican Home Health Care is a quality leader in providing individualized care in patients' homes. Working in partnership with a patient's doctor, our certified, trained staff provides a wide range of services and specializes in helping patients to remain independent and comfortable. Our experienced caregivers include registered nurses; certified nursing assistants, dietitians; physical, occupational and speech therapists; and medical social workers. RNs provide assessments, treatments and medication administration and patient education/teaching. Our therapists provide assessments and treatments. Medical social workers assist with assessments, counseling and helping patients and their families' access available community resources. CNAs provide baths and personal grooming. Our staff has the credentials and advanced training needed to assure that patients receive the highest quality of care possible. During 2021, we recorded 20,334 visits. 6911282 0 5507463 562546134 1 1 0 1 0 0 0 0 0 1 1 1 0 1 1 1 0 1 0 0 0 0 0 0 0 0 1 1 1 0 1 1 0 0 0 1 1 0 0 0 1 0 0 0 0 0 0 1 1 1 1 0 1 247 0 1 4199 1 1 1 0 0 0 0 0 0 0 0 0 0 0 X 21 14 1 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 1 1 IL X Patricia DeWane 7796964727 1313 East State Street Rockford IL 61104 Elizabeth Bolt Trustee 2.00 55.00 X 0 899232 188837 Peter D Newcomer MD MMM Trustee (as of 8/24/20) 2.00 55.00 X 0 857651 166488 William Cunningham MD Medical Staff President 40.00 0.00 X 629956 0 38898 Jennifer Maher Interim Pres. & CEO (until 10/29/20) 40.00 6.00 X X 580185 0 4718 Allen D Williams MD Trustee 40.00 6.00 X 293773 0 50778 Tiffanie Ferry MD Trustee 40.00 6.00 X 214823 0 41038 Thomas D O'Connor President & CEO (as of 11/1/20) 40.00 6.00 X X 134056 0 1302 Jeffrey J Kaney Sr Chairman of the Board (as of 7/1/20) 2.00 6.00 X X 0 0 0 Daniel T Ross 1st Vice Chairman/Secretary 2.00 6.00 X X 0 0 0 Eric Fulcomer PhD 2nd Vice Chairman/Asst. Secretary 2.00 6.00 X X 0 0 0 William C Roop Immediate Past Chairman 2.00 6.00 X X 0 0 0 Thomas R Walsh Audit/Compliance Chairman 2.00 6.00 X 0 0 0 Patrick Derry Quality and Safety Chairman 2.00 6.00 X 0 0 0 Marco T Lenis Chairman of HR Committee 2.00 6.00 X 0 0 0 Amy J Wilcox Trustee 2.00 6.00 X 0 0 0 Anqunette Parham Trustee 2.00 6.00 X 0 0 0 Frank E Walter Trustee 2.00 8.00 X 0 0 0 Gregory R Jury Trustee (until 4/1/21) 2.00 8.00 X 0 0 0 Helen Chung Hill Trustee 2.00 6.00 X 0 0 0 Jeffrey S Hultman Trustee 2.00 6.00 X 0 0 0 Kathleen Kelly MD Trustee 2.00 6.00 X 0 0 0 Michael K Broski Trustee 2.00 6.00 X 0 0 0 Steven C Sjogren Trustee 2.00 8.00 X 0 0 0 Gerard Guinane VP Human Resources (until 4/30/21) 40.00 6.00 X 465432 0 72539 Don F Daniels VP & COO (until 4/30/21) 40.00 8.00 X 414559 0 84191 Timothy Flynn MD President, SA Medical Group 40.00 6.00 X 390710 0 74564 Michael Polizzotto MD Chief Medical Officer/CMIO 40.00 6.00 X 361823 0 76894 Patricia DeWane VP, CFO, & Treasurer 40.00 8.00 X 370578 0 56590 Ann Gantzer MD VP Patient Services & CNO 40.00 6.00 X 342129 0 79173 Noel Nickel VP Strategy & BusDev (until 6/18/21) 40.00 6.00 X 316871 0 63719 Jedediah Cantrell VP Operations 40.00 8.00 X 246519 0 45883 Julia Zimmerman VP SAMG and Regional Development 40.00 6.00 X 172922 0 62221 Celia Shaughnessy VP Human Resources (as of 5/21/21) 40.00 6.00 X 0 0 0 Jateen Patel MD Physician 40.00 0.00 X 1144002 0 15357 Mohamed Zeater MD Physician 40.00 0.00 X 890427 0 49616 Ben Durkee MD Physician 40.00 0.00 X 789091 0 44477 Tarek Harb MD Physician 40.00 0.00 X 760771 0 57933 Yaser Siraj MD Physician 40.00 0.00 X 765465 0 17510 Steven Ikenberry MD Former Medical Staff President 0.00 0.00 X 13000 0 0 Michael J Born MD Former President & CEO 0.00 0.00 X 676953 0 766 Thomas Schiller MD Former Chief Clinical Integ. Off 0.00 0.00 X 323016 0 23817 10297061 1756883 1317309 484 1 1 0 Ringland Johnson Construction 1725 Huntwood Drive Cherry Valley IL 61016 Construction Services 33247097 Sound Physicians of Illinois 401 S Lasalle Street Chicago IL 60605 Physician Services 4597670 University of Illinois 28394 Network Place Chicago IL 60673 Physician Services 4501914 Infinity Healthcare Physicians 111 East Wisconsin Ave Milwaukee WI 53202 Physician Services 2870888 Rockford Anesthesiologists 2202 Harlem Road Loves Park IL 61111 Physician Services 2720997 98 1649484 25872821 162000 27684305 Patient Services 621990 387270689 387270689 Medicare/Medicaid 621990 280745198 280745198 1477522 1477522 669493409 7784109 7784109 8255536 27056 4009434 279352 4246102 -252296 3993806 3993806 Day Care Center 624410 1605372 1605372 Interdept. Billing 561000 1235028 1235028 Cafeteria & Vending 722514 1177916 1169702 8214 1868065 2092296 -224231 5886381 714842010 673990435 -216017 13383287 225000 225000 7989538 1507019 6482519 416088 416088 258365665 219193359 39172306 9151754 2811325 6340429 44112753 36299123 7813630 17117305 14657058 2460247 551511 551511 222035 222035 122568 122568 644342 644342 51856007 40289974 11566033 2224258 102623 2121635 6172549 3688673 2483876 7292290 1688774 5603516 19519984 14234998 5284986 194233 150948 43285 146699 73635 73064 1945315 673322 1271993 26086619 22057252 4029367 22469173 5982881 16486292 Patient Supplies 134359314 132670983 1688331 Bad Debts 28406508 28406508 IPA Provider Tax 23739687 23739687 UBI Tax Expense 228390 228390 22632105 14092992 8539113 686191690 562546134 123645556 0 97707394 170934753 56586593 77164818 10710309 11654942 11448658 10534985 554853083 146205788 397060876 408647295 23007677 23928605 265847805 323188412 4738682 4784279 106599294 90733917 973707288 1121572006 86591974 108257550 234244199 236581937 125631801 170743419 446467974 515582906 X 518480740 597179092 8758574 8810008 527239314 605989100 973707288 1121572006 X 28650320 47855024 2244442 X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 122568 122568 0 Part II-B, Line 1: Portions of the 2020/2021 Illinois Health and Hospital Association and American Hospital Association dues are used for lobbying: $62,568. A law firm was engaged to review legislation affecting hospitals: $60,000. 6911513 8944 946640 11955 7855142 7189894 10679 -13961 275099 6911513 7072405 12701 320291 215503 7189894 6676376 90495 632791 327257 7072405 6662294 10754 480152 476824 6676376 0.65570 0.24550 0.09880 0 1 1 9343856 9343856 352527670 48907645 303620025 22786895 10860272 11926623 159669482 82601384 77068098 10525180 3836487 6688693 408647295 Beneficial Interest in Investment Pool 323188412 F 323188412 Advance to American Restaurant Assoc. (ARA) 189268 Interest In Net Assets of Recipient Organization 20932653 Due from Affiliated Organization 18692010 Insurance Recoveries Recievable 12692873 Bond Project Fund 21547761 Lease Assets 16679352 90733917 Due to Third Party Payors 116596875 Reserve for Self Insurance 30602229 Deferred Compensation 5667552 Current Maturities of Long-term Debt 1250000 Lease Liabilities 16626763 170743419 X Part V, Line 4: The Hospital's endowment consists of 12 Individual funds established for a variety of purposes. 1) Medical and Non-medical health improvement initiatives 2) Rehabilitation or orthopedic programming and services within the greater Rockford community 3) Oncology patient services 4) Educational materials for the families of oncology patients 5) Chaplaincy program including grief services and counseling 6) Cardiology services 7) Medical programs and care for children 8) Cardiac education for women 9) Ongoing support of surgical service and education of surgical technicians Part X, Line 2: The Hospital has received a determination letter from the Internal Revenue Service (IRS) stating it is tax-exempt under Section 501(c)(3) of the Code. The Hospital 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 hospitals 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, 2021 and 2020, there were no unrecognized tax benefits identified or recorded as liabilities. The Forms 990 and 990-T filed by the Hospital are subject to examination for up to three years from the extended due date of each return. These returns are no longer subject to examination for tax years ended before June 30, 2017. 1 1 X 1 X 1 X 600.000000000000 1 1 1 0 1 1 4681513 0 4681513 0.00710 150936448 117669232 33267216 0.05060 5843957 4587153 1256804 0.00190 161461918 122256385 39205533 0.05960 270032 0 270032 0.00040 7912661 2537666 5374995 0.00820 35850838 4069174 31781664 0.04830 400625 0 400625 0.00060 501375 27281 474094 0.00070 44935531 6634121 38301410 0.05820 206397449 128890506 77506943 0.11780 1 28406508 4260976 75210482 80784981 -5574499 X 1 1 1 Featherstone Partnership LP Ambulatory Surgery Center 0.28570 0.00000 0.71430 2 Northern Illinois Vein Clinic LLC Outpatient Physician Clinic 0.50000 0.00000 0.50000 2 1 SwedishAmerican Hospital 1401 East State Street Rockford IL 61104 www.swedishamerican.org IL License: 0002725 X X X X X n/a A 2 SwedishAmerican Medical Ctr Belvidere 1625 S State Street Belvidere IL 61008 www.swedishamerican.org IL License: 0005504 X X X n/a A Facility Reporting Group - A 0 0 1 X X X X X X X X X 18 1 1 0 1 X www.swedishamerican.org/community-health-needs-assessment X 1 18 1 www.swedishamerican.org/community-health-needs-assessment 0 1 X 200.000000000000 600.000000000000 X X X X X X 1 1 X X X 1 X www.swedishamerican.org/patients/financial-assistance-policy X www.swedishamerican.org/patients/financial-assistance-policy X www.swedishamerican.org/patients/financial-assistance-policy X X X X X X X 1 X 0 X X X X 1 X 0 0 Part V, Section B Facility Reporting Group A Facility Reporting Group A consists of: - Facility 1: SwedishAmerican Hospital, - Facility 2: SwedishAmerican Medical Ctr. Belvidere Group A-Facility 1 -- SwedishAmerican Hospital Part V, Section B, line 5: SwedishAmerican Hospital (SAH) participated in the Rockford Regional Health Council 2017 Healthy Community Study and provided funding to the RRHC for the purpose of conducting this study. Primary data was collected from Community Analysis, Household and Key Informant Surveys. The Hospital also engaged a third party to collect secondary data on a broad array of health indicators and demographic information. The Community Study consisted of six sections including demographics, social and economic characteristics, physical environment, clinical care, health behaviors, and health outcomes. The Household Survey was conducted via telephone, email, and conventional mail to a random cross section of residents living within Winnebago and Boone Counties. A total of 1,602 individuals completed the Household Survey for a response rate of 13% and 28 organizations completed the Key Informant Survey for a response rate of 42%. Group A-Facility 1 -- SwedishAmerican Hospital Part V, Section B, line 6a: SwedishAmerican Hospital (SAH) in Rockford, Illinois and SwedishAmerican Medical Center (SAMC) in Belvidere, Illinois collaborated for the purposes of executing the Community Health Needs Assessment. Both hospital facilities defined their communities geographically in the same way, serve the same demographic and geographic areas, work with the same community organizations and strategic partners, and in the same arenas for community benefit activities. Both Hospital Facilities defined its community for the CHNA as Boone and Winnebago Counties, Illinois since over 80% of inpatients draw from this area. The CHNA was conducted together for both facilities. Group A-Facility 1 -- SwedishAmerican Hospital Part V, Section B, line 11: Top 4 areas of need identified in the SwedishAmerican Community Health Needs Implementation Planinclude:Cancer CareWe are expanding our clinical programs to better serve cancer patients from our primary and secondary service areas through:1) Expansion of radiation oncology procedures to include those sought out but not yet offered in this area;2) Sustain and support a multidisciplinary lung and cancer team with a mission to improve patient experience;3) Sustain and support the comprehensive breast care team by working toward distinction with the National Accreditation Program for Breast Centers (NAPBC) from the American College of Surgeons (ACS);4) Provide health education through multiple events hosted throughout the region with a special focus on topics including cancer care, supportive and rehabilitative care, and palliative care.ObesityOur goal is to build a healthier Rockford by helping at-risk individuals within our community. Progress is measured via participation in fitness walks, lowered cholesterol, medical appointments with health coaches and smoking cessation rates. We partner with:1) Area employers to offer many opportunities to combat adult and child obesity, stress management and smoking cessation through increased awareness and encouragement of fitness participation;2) Area independent senior living centers to incentivize low income 55 and older residents to attend educational classes, receive chair massages, and meet with an RN for smoking cessation, diabetes management and goal setting;3) Employer based wellness initiative programs to encourage daily activity, healthy eating, stress management, and smoking cessation;4) Increase awareness and utilization of SA diabetic programs through onsite promotion and distribution of monthly health event calendars including food prep classes, nutrition and diabetic education, smoking cessation and much more.Poverty and UnemploymentSwedishAmerican Foundation Grant and Operating Committee provide grant funds to area not-for-profit agencies whose missions closely align that of SwedishAmerican Hospital Rockford & Belvidere. Through these third party grantees, SwedishAmerican serves as a critical safety net for services provided to indigent, self-pay and Medicaid patients with special emphasis on those needing maternity and behavioral healthcare. Each year we provide thousands of dollars in grants to area organizations dedicated to alleviating hunger, homelessness, unemployment or under employed, improving wellness, expanding early childhood development and improving offender rehabilitation and reintegration. In addition, SwedishAmerican provides free mammography screenings for the uninsured and underinsured. Additional areas of funding include providing free civil legal services to senior citizens and those with low incomes in Northern Illinois.Access to Medical CareGoal: Ensure that at least 48% of new primary care patients are scheduled for appointment within 10 days from initial contact.Measurement: Measurement will be achieved through the hospital's tracking software and regularly reported to leadership who monitor metrics pertaining to access to medical care.This is being accomplished through:1) Addressing primary care physician shortage by partnering with University of Illinois College of Medicine Rockford. We commit more than $4 million Annually to UICOM-R and provide a teaching site for their practice residency program to ensure that more primary care physicians are educated to treat the growing number of patients;2) Support the Rockford Health Council's efforts to improve our region's health through education, action and advocacy. We sustain our commitment as both a major sponsor and participant in the health council's efforts to be a catalyst for healthcare access and quality for all;3) We provide case management of our ER population to prevent overuse and provided a $160,000 grant to City of Rockford Fire Department EMTs to better connect individuals to primary care services;4) We strategically built 3 new clinics in areas of our city that were in need of increased primary care & OB services and allow same day access to medical professional to allow for greater access and ease of scheduling for our patients;5) We collaborate with a Federal Qualified Health Center (FQHC) to better meet the primary care needs of those who are underserved or uninsured in our community. Group A-Facility 1 -- SwedishAmerican Hospital Part V, Section B, line 16j: The hospital's financial assistance policy is transparent and available to all, at all points in the continuum, in languages appropriate for Hospital's service area. The hospital's financial assistance policy, application form, signage, and financial counselor contact information are available in English and Spanish. Signage is posted prominently at all points of admission and registration (including the emergency department). Written information about the hospital's financial assistance policy and copies of the financial assistance form are available in admission and registration areas. The hospital's financial assistance policy, application form and financial counselor contact information are also posted on the hospital's website. The hospital will make efforts to publicize its policy in print and television media, wherever practicable. Patient billing communications also inform patients of the availability of financial assistance. Each bill, invoice, or other summary of charges to an uninsured patient includes with it, or on it, a prominent statement that an uninsured patient who meets certain income requirements may qualify for financial assistance and information on how to apply for consideration under the hospital's financial assistance policy. All third-party agents who submit or collect bills on behalf of hospital are required to follow this policy. Group A-Facility 2 -- SwedishAmerican Medical Ctr. Belvidere Part V, Section B, line 5: SwedishAmerican Hospital (SAH) participated in the Rockford Regional Health Council 2017 Healthy Community Study and provided funding to the RRHC for the purpose of conducting this study. Primary data was collected from Community Analysis, Household and Key Informant Surveys. The Hospital also engaged a third party to collect secondary data on a broad array of health indicators and demographic information. The Community Study consisted of six sections including demographics, social and economic characteristics, physical environment, clinical care, health behaviors and health outcomes. The Household Survey was conducted via telephone, email and conventional mail to a random cross section of residents living within Winnebago and Boone Counties. A total of 1,602 individuals completed the Household Survey for a response rate of 13% and 28 organizations completed the Key Informant Survey for a response rate of 42%. Group A-Facility 2 -- SwedishAmerican Medical Ctr. Belvidere Part V, Section B, line 6a: SwedishAmerican Hospital (SAH) in Rockford, Illinois and SwedishAmerican Medical Center (SAMC) in Belvidere, Illinois collaborated for the purposes of executing the Community Health Needs Assessment. Both hospital facilities defined their communities geographically in the same way, serve the same demographic and geographic areas, work with the same community organizations and strategic partners, and in the same arenas for community benefit activities. Both Hospital Facilities defined its community for the CHNA as Boone and Winnebago Counties, Illinois since over 80% of inpatients draw from this area. The CHNA was conducted together for both facilities. Group A-Facility 2 -- SwedishAmerican Medical Ctr. Belvidere Part V, Section B, line 11: Top 4 areas of need identified in the SwedishAmerican Community Health Needs Implementation Planinclude:Cancer CareWe are expanding our clinical programs to better serve cancer patients from our primary and secondary service areas through:1) Expansion of radiation oncology procedures to include those sought out but not yet offered in this area;2) Sustain and support a multidisciplinary lung and cancer team with a mission to improve patient experience;3) Sustain and support the comprehensive breast care team by working toward distinction with the National Accreditation Program for Breast Centers (NAPBC) from the American College of Surgeons (ACS);4) Provide health education through multiple events hosted throughout the region with a special focus on topics including cancer care, supportive and rehabilitative care, and palliative care.ObesityOur goal is to build a healthier Rockford by helping at-risk individuals within our community. Progress is measured via participation in fitness walks, lowered cholesterol, medical appointments with health coaches and smoking cessation rates. We partner with:1) Area employers to offer many opportunities to combat adult and child obesity, stress management and smoking cessation through increased awareness and encouragement of fitness participation;2) Area independent senior living centers to incentivize low income 55 and older residents to attend educational classes receive chair massages and meet with an RN for smoking cessation, diabetes management and goal setting;3) Employer based wellness initiative programs to encourage daily activity, healthy eating, stress management and smoking cessation;4) Increase awareness and utilization of SA diabetic programs through onsite promotion and distribution of monthly health event calendars including food prep classes, nutrition and diabetic education, smoking cessation and much more.Poverty and UnemploymentSwedishAmerican Foundation Grant and Operating Committee provide grant funds to area not-for-profit agencies whose missions closely align that of SwedishAmerican Hospital Rockford & Belvidere. Through these third party grantees, SwedishAmerican serves as a critical safety net for services provided to indigent, self-pay and Medicaid patients with special emphasis on those needing maternity and behavioral healthcare. Each year we provide thousands of dollars in grants to area organizations dedicated to alleviating hunger, homelessness, unemployment or under employed, improving wellness, expanding early childhood development and improving offender rehabilitation and reintegration. In addition, SwedishAmerican provides free mammography screenings for the uninsured and underinsured. Additional areas of funding include providing free civil legal services to senior citizens and those with low incomes in Northern Illinois.Access to Medical CareGoal: Ensure that at least 48% of new primary care patients are scheduled for appointment within 10 days from initial contact.Measurement: Measurement will be achieved through the hospital's tracking software and regularly reported to leadership who monitor metrics pertaining to access to medical care.This is being accomplished through:1) Addressing primary care physician shortage by partnering with University of Illinois College of Medicine Rockford. We commit more than $4 million Annually to UICOM-R and provide a teaching site for their practice residency program to ensure that more primary care physicians are educated to treat the growing number of patients;2) Support the Rockford Health Council's efforts to improve our region's health through education, action and advocacy. We sustain our commitment as both a major sponsor and participant in the health council's efforts to be a catalyst for healthcare access and quality for all;3) We provide case management of our ER population to prevent overuse and provided a $160,000 grant to City of Rockford Fire Department EMTs to better connect individuals to primary care services;4) We strategically built 3 new clinics in areas of our city that were in need of increased primary care & OB services and allow same day access to medical professional to allow for greater access and ease of scheduling for our patients;5) We collaborate with a Federal Qualified Health Center (FQHC) to better meet the primary care needs of those who are underserved or uninsured in our community. Group A-Facility 2 -- SwedishAmerican Medical Ctr. Belvidere Part V, Section B, line 16j: The hospital's financial assistance policy is transparent and available to all, at all points in the continuum, in languages appropriate for Hospital's service area. The hospital's financial assistance policy, application form, signage, and financial counselor contact information are available in English and Spanish. Signage is posted prominently at all points of admission and registration (including the emergency department). Written information about the hospital's financial assistance policy and copies of the financial assistance form are available in admission and registration areas. The hospital's financial assistance policy, application form and financial counselor contact information are also posted on the hospital's website. The hospital will make efforts to publicize its policy in print and television media, wherever practicable. Patient billing communications also inform patients of the availability of financial assistance. Each bill, invoice, or other summary of charges to an uninsured patient includes with it, or on it, a prominent statement that an uninsured patient who meets certain income requirements may qualify for financial assistance and information on how to apply for consideration under the hospital's financial assistance policy. All third-party agents who submit or collect bills on behalf of hospital are required to follow this policy. 43 1 - Regional Cancer Center 3535 N Bell School Road Rockford IL 61114 Outpatient Clinic 2 - Women's and Children's Hospital 1350 Charles Street Rockford IL 61104 Outpatient Clinic 3 - SwedishAmerican Heart Institute 1340 Charles Street Suite 300 Rockford IL 61104 Outpatient Clinic 4 - Wound Care & Hyperbaric Clinics 1415 E State Street Ste 101 609 Rockford IL 61104 Outpatient Clinic 5 - Orthopedic and Sports Therapy 8451 Orth Road Loves Park IL 61111 Outpatient Clinic 6 - Breast Health Center 1340 Charles Street Suite 201 Rockford IL 61104 Outpatient Clinic 7 - Creekside Medical Center 3505 N Bell School Road Rockford IL 61114 Outpatient Clinic 8 - Lundholm Orthopedics 1340 Charles Street Suite 100 Rockford IL 61114 Outpatient Clinic 9 - Stateline Clinic & Immediate Care 4282 E Rockton Road Roscoe IL 61073 Outpatient Clinic 10 - Physical Therapy Center 209 9th Street Suite 201 Rockford IL 61104 Outpatient Clinic 11 - Neuro and Headache Center 1340 Charles Street Suite 400 Rockford IL 61104 Outpatient Clinic 12 - SAMG Obstetrics & Gynecology 209 9th Street Ste 200 Rockford IL 61104 Outpatient Clinic 13 - Rockford Vascular Surgery 1340 Charles Street Suite 200 Rockford IL 61104 Outpatient Clinic 14 - Brookside Specialty Center 1253 N Alpine Road Rockford IL 61107 Outpatient Clinic 15 - UW Health Surgery at SwedishAmerican 1340 Charles Street Suite 100 Rockford IL 61104 Outpatient Clinic 16 - Belvidere Clinic 1700 Henry Luckow Lane Belvidere IL 61008 Outpatient Clinic 17 - SwedishAmerican Home Health Care 2550 Charles Street Rockford IL 61108 Home Health Care 18 - Rockford Ambulatory Surgery Center 1016 Featherstone Road Rockford IL 61107 Ambulatory Surgery Center 19 - Valley Clinic 6824 Newburg Road Rockford IL 61108 Outpatient Clinic 20 - SA Immediate Care 2473 McFarland Road Rockford IL 61107 Outpatient Clinic 21 - State St OBGYN 1415 E State Street Rockford IL 61104 Outpatient Clinic 22 - Five Points Clinic 2404 Charles Street Suite 800 Rockford IL 61108 Outpatient Clinic 23 - Edgewater Medical Center 2909 N Main Street Rockford IL 61103 Outpatient Clinic 24 - Woodside Clinic COVID DriveThru Facility 3775 N Mulford Road Rockford IL 61104 COVID Drive Thru Facility 25 - Pediatric Theraphy and Adult Speech Therap 209 9th Street Suite 302 Rockford IL 61104 Outpatient Clinic 26 - Byron Clinic 220 W Blackhawk Drive Byron IL 61010 Outpatient Clinic 27 - Rock Valley Testing Center 6861 Villagreen View Rockford IL 61107 COVID testing center 28 - Cardiothorasic Surgery 1340 Charles Street Suite 300 Rockford IL 61104 Outpatient Clinic 29 - River West Clinic 815 Marchesnano Drive Rockford IL 61102 Outpatient Clinic 30 - Woodward Health Network Clinic 2473 McFarland Road Rockford IL 61107 Outpatient Clinic 31 - Davis Junction Clinic 5665 North Junction Way Davis Junction IL 61020 Outpatient Clinic 32 - FCA family Health and Wellness Center 1625 South State Street Belvidere IL 61008 Outpatient Clinic 33 - North Main Internal Medicine Clinic 2601 N Main St Rockford IL 61103 Outpatient Clinic 34 - Rochelle Clinic 380 Illinois Route 38 East Rochelle IL 61068 Outpatient Clinic 35 - Baptist Pediatric Clinic 461 N Mulford Road Suite 4 Rockford IL 61107 Outpatient Clinic 36 - Partners Health Clinic 2601 N Main Street Rockford IL 61103 Employer Based Clinic 37 - Diabetes Self-Management Center 1415 E State Street Suite 700 Rockford IL 61104 Outpatient Clinic 38 - Infectious Disease Consultants 1340 Charles Street Suite 404 Rockford IL 61104 Outpatient Clinic 39 - Northern Illinois Vein Clinic 1340 Charles Street Suite 404 Rockford IL 61104 Outpatient Clinic 40 - Winnebago County Employee & Family Welln 526 W State Street Rockford IL 61107 Employer Based Clinic 41 - Woodward Occupational Health Rock Cut 1 Woodward Way Loves Park IL 61111 Employer Based Clinic 42 - Woodward Occup Health Loves Park 5001 N 2nd Street Loves Park IL 61111 Employer Based Clinic 43 - District 100 Wellness Center 1320 East Ave Belvidere IL 61008 Outpatient Clinic Part I, Line 7g: The following subsidized health services are for physicians. These physicians are necessary to serve the community, are difficult to recruit, and the reimbursement does not cover the cost of the services.Hospital based physicians' specialty clinics and coverage payments: $22,504,410Emergency department physicians: $6,036,945Total: $28,541,355 Part I, Ln 7 Col(f): The bad debt expense on Part IX, Column A subtracted for the purpose of calculating the percentage of expense is $28,406,508. Part I, Line 7: 7a and 7f costs were calculated using the 2021 Medicare cost report cost to charge ratio. Lines 7b and 7c costs were calculated using the cost accounting system. The cost accounting system addresses all patient segments. All other amounts in Line 7 were calculated using direct costs. Part III, Line 2: Methodology for determining bad debt expense: It is our practice to identify, to the extent possible, charity cases at the time of service. If a patient provides documentation they meet our charity care policy, they are not sent to collection. Patients who do not meet presumptive eligibility and fail to apply or provide documentation are sent to collection after 90 days. The organization and its agents follow the fair patient billing act. If during the collection process we or our agents become aware of a patient qualifying for charity care or financial assistance and the patient cooperates with the requirements of the charity care policy, collection efforts are ceased and the account is written off to charity. Bad debt expense reported on line 2 represents the allowance for doubtful accounts. It is determined based on historical experience of uncollectible amounts, after contractual discounts, patient payments and amounts qualifying under charity assistance policy. Part III, Line 3: SwedishAmerican Hospital's charity policy allows a 100% charity write-off for those with household income of 200% or less of the federal poverty level and partial charity write-off for those up to 600% of the poverty level. The latest data from the U.S. Census bureau QuickFacts for Winnebago and Boone counties, which are the counties served by the healthcare facilities, indicates the following: Winnebago County 14.6% of the population is below the poverty level, the median household income was $54,489 and a household size of 2.44, Boone County 6.4% of the population is below the poverty level, the median household income was $69,272 and a household size of 2.86. The 2021 poverty guidelines per the Office of Assistant Secretary for Planning and Evaluation, (https://aspe.hhs.gov/poverty-guidelines) indicate for the household size of 3, and income of $43,920 is 200% of the poverty level and $131,760 is 600% of the poverty level. Approximately 89% of our charity write-offs are for patients without insurance while 80% of our bad debt write-offs are for patients without insurance. During FY2021 only 1% of all accounts written off to bad debt were recovered. This portion was not included as community benefit in Part I because it is an estimate based on the small percentage of bad debt this is recovered and the demographics of our service area. Part III, Line 4: Please refer to Pages 11 and 13 of the attached audit report for footnotes describing accounts receivable and patient service revenue. Part III, Line 8: SA Hospital must treat patients regardless of their ability to pay. The government sets non-negotiable Medicare rates and the reimbursement from Medicare has not kept pace with the rising cost of providing those services. The cost of care has increased due to: wages and benefits necessary to keep high demand skilled practitioners, medical supplies in particular cardiovascular and orthopedic implants and pharmaceuticals, malpractice insurance costs, and capital equipment. SA Hospital's treatment of Medicare beneficiaries relieves the federal government burden of directly providing medical care which by law they are required to provide to eligible beneficiaries. Due to the requirement to provide care and the inability of Medicare reimbursement to keep pace with the cost of providing services, we feel the loss from services provided to Medicare beneficiaries is a part of our mission and is a benefit to our community. The following is a reconciliation of the shortfall from Medicare reported on the cost report on Line 7 to the Medicare shortfall from all of the Medicare programs at SA Hospital. These shortfalls were calculated using the cost to charge ratio. Medicare shortfall hospital programs Part III, line 7: ($5,574,499)Medicare shortfall physician programs: ($31,927,061)Total Medicare Shortfall ($37,501,560) Part III, Line 9b: The organization and its agents follow the fair patient billing act. If during the collection process we or our agents become aware of a patient qualifying for charity care of financial assistance and the patient cooperates with the requirements of the charity care policy, collection efforts are ceased. Part VI, Line 2: SA hospital has provided monetary support for the 2017 Healthy Community Study, conducted by the Rockford Health council. The Council consists of the major health care providers in our metropolitan area such as the three hospitals, Crusader Clinic (a federally qualified healthcare clinic), the University of Illinois College of Medicine, Janet Wattles Mental Health Center, Rosecrance Substance Abuse Center as well as several representatives of not-for-profit agencies, and member of the corporate community. Since 2001, an assessment has been completed every three years to identify and track trends as well as areas to address. These stakeholders understand the need for a comprehensive community study that is focused on the overall needs of the community. SA has used this data to launch innovative programs and collaborative partnerships such as cardiac screenings within minority communities. In June of 2019, SA Hospital contracted with RSM-US LLP to complete a three year follow-up Community Health Needs Assessment (CHNA) for both SA Hospital and SA Medical Center Belvidere as required by the Internal Revenue Code, Section 501(r). An implementation strategy has been adopted to meet the prioritized needs identified by the CHNA. Part VI, Line 3: For services provided in the hospital, our employees and our agents follow the fair patient billing act and provide information regarding the availability of charity and financial assistance at all points during the collection process. We have posted signage disclosing the availability of charity care and financial assistance in emergency rooms and on our website. Inpatients are provided various written communications regarding the availability of charity care and financial assistance and any uninsured discount eligibility. For services provided in physician offices, financial counselors are instructed to make the patients aware of the charity care and financial assistance policy during the collection process and educate them on the process of applying for Medicaid. For services provided by home health, social workers assist patients by screening for Medicaid eligibility and completing the application, completing charity care application, assisting in applying for Medicare and social security disability benefits, and assisting with applications for food stamp, low income energy assistance, and circuit breaker/Illinois cares prescription programs. Part VI, Line 4: Explanation on Brand ChangeSwedishAmerican Health System was founded in 1911 and has a rich tradition in the Rock River Valley of being committed to caring for the community. Since 2015, when SwedishAmerican became a division of UW Health, that involvement continued as we worked together to provide remarkable patient care. On September 9, 2021, SwedishAmerican transitioned from a division to fully integrate with the UW Health brand. Aligning with the UW Health brand will continue to bring greater access to medical specialties, research and physicians to northern Illinois. Legally, SwedishAmerican Health System still exists but is doing business as UW Health. For the purposes of this report, we will refer to the community involvement in the northern Illinois area only, excluding the many additional gifts the Madison-based team brings to its community in Wisconsin.SwedishAmerican HospitalTwo of the remaining entities that still bear the SwedishAmerican name are the SwedishAmerican Foundation and the UW Health SwedishAmerican Hospital in downtown Rockford. The hospital was founded in 1911 and serves residents of 12 counties in northern Illinois and southern Wisconsin through a major acute care hospital; a medical center in Belvidere; a free-standing outpatient cancer center; a large network of primary care and multi-specialty clinics; a home healthcare agency; a full spectrum of outpatient, wellness and education programs; and the charitable endeavors of the SwedishAmerican Foundation. Recognized nationally for quality and excellence, UW Health SwedishAmerican Hospital has won many national awards, including designation as a 100 Top Hospital, a Magnet-designated hospital and a J.D. Power and Associates Distinguished Hospital. Community DescriptionFor more than 100 years, Rockford, IL has been known as a major industrial manufacturing center of machine tools, industrial fasteners, automotive parts and aerospace components. The Rockford metropolitan population was recorded as 153,283 (2010 US Census) people. Recent estimates show that the current population has since declined to 147,070 (V2020, Census.gov). Major employers in our service area include Fiat Chrysler Automobiles, Collins Aerospace, Woodward, City of Rockford, Rockford Public Schools, UPS, and three area hospitals. Rockford boasts many great parks, shopping, dining, cultural activities, entertainment and educational opportunities. But like many cities in the upper Midwest, it also continues to struggle to compete in what is now a global manufacturing economy. In the 1980s, Rockford's unemployment rate reached 25 percent, the highest in the nation, and it became a symbol for the plight of a "rust belt" city. Although the economy is more diversified now, Rockford remains heavily dependent on manufacturing. Also in the 1980s, charges of discrimination were leveled at the public school district, culminating in a federal lawsuit and 12 years of federal supervision. These two major developments have had their effect on the local economy, the stability of good paying jobs and the psyche and self-esteem of the community. They also have affected Rockford's changing role and importance to the region, state, and to some degree the nation. Unquestionably, these dynamics have impacted healthcare in the community. Today, Rockford's metro area unemployment rate is 13.8 (October 2020) percent, which is an 8.8 percent increase from 2019. Community surveys have identified coronary heart disease, obesity, diabetes, cancer, pre-natal care and depression as major healthcare issues in our market.By virtue of its mission, location in the central city and relationships with other providers, SwedishAmerican serves the needs of many of the community's underserved. Finding ways to improve the health of all and to make Rockford a model community in which to live, work and worship are significant and strategic initiatives for UW Health in Northern Illinois and SwedishAmerican Hospital. UW Health's Vision for a Healthier Community Community ChallengesIn recent years, UW Health SwedishAmerican helped fund the Winnebago and Boone Counties Healthy Community Study in partnership with the Rockford Regional Health Council. The purpose of the study was to develop information on the quality of life in the Rockford area to create and implement strategies to improve the lives of all residents. The study is an invaluable opportunity to connect with community stakeholders and discover unmet needs. The most recent study (2020) was dramatically impacted by COVID-19. Strengths included that 80-90 percent of respondents said they were able to get medical care when they needed it and that nearly 70 percent of people had seen a doctor for a checkup within the last 12 months. Weaknesses included that only half of the people in the region reported being able to access mental health/substance abuse care and that Blacks and Hispanics report being able to access medical care less easily than whites.The survey also found that 39 percent of local residents are overweight. Poverty, access to healthy food and activity-friendly spaces and a lack of education about nutrition and following nutritional guidelines are culprits, according to community leaders who responded to surveys as part of the study.Behavioral health: In 2020, the local area had 167 mental health care providers - psychiatrists, psychologists, clinical social workers and counselors - for every 100,000 residents, substantially lower than the same ratios for the state (230) and nation (202).Maternal/prenatal/early childhood: The rate of total births to women age 15-19 per 1,000 female population age 15-19 was 43.46, significantly higher than the state ratio of 35.Access to care: The Affordable Care Act reduced by half the number of adults and children who lacked health insurance. But among those with less than a high school education, 25 percent of adults say it is hard for them to understand information that doctors and nurses and other health professionals tell them. Part VI, Line 5: Making a DifferenceAlthough SwedishAmerican's community service efforts reach a broad segment of the population throughout northern Illinois, the hospital devotes a great deal of its energy and resources to serving the city's neediest people, many of whom live in the urban core where SwedishAmerican is located. Our organization contributes millions of dollars to charity and Medicaid care each year.Recognizing that healthy communities are characterized by strong interconnections between residents, infrastructure, organizations and services, we have worked in partnership with other community-based organizations as part of the non-profit Rockford Health Council Inc. The council seeks to build and improve community health through education, action, dialogue and legislative activity and serve as a catalyst and coordinator for agency and individual action to ensure access, cost effectiveness and quality. Beyond our work with the council, some of our initiatives take place in concert with other individual community organizations and healthcare providers, while others are carried out by SwedishAmerican Hospital teams.In the past, SwedishAmerican has worked with the City of Rockford and other area development groups - including ZION Development, Habitat for Humanity and Kids Around the World - to serve as a catalyst for revitalizing the area surrounding our campus with homes, green space and commerce. A large part of this movement was a $100 million campus expansion and renovation project. Despite economic and strategic pressures to move eastward, as many businesses in our area have done, SwedishAmerican joined several other area organizations and made a commitment to remain in central Rockford. One immediate benefit of our redevelopment effort was the expansion of the hospital's emergency department. Among the state's busiest, this is where many of our community's underserved residents come for medical care.In order to improve the low rate of home ownership identified in the healthy community studies, SwedishAmerican initiated a Neighborhood Revitalization Program in an 81-block area adjacent to our hospital campus. Working with the City of Rockford and local Habitat for Humanity officials, we have replaced substandard dwellings with new Habitat homes. Additionally, we partnered with the William Charles Charitable Trust and Kids Around the World to build a new playground that allows neighborhood children the opportunity for play, without having to cross major thoroughfares and traffic hazards.In the past decade, The Foundation purchased two, 12-unit apartment buildings adjacent to the hospital campus which were in a state of disrepair. Approximately three-quarters of a million dollars were invested in these two buildings to bring them to "market rate" status.Encouraged by our commitment to renovate our campus and revitalize the surrounding area, a number of commercial developments have occurred. Among them is a Walgreens' drug store, which returned retail pharmacy services to the area for the first time in years. A three-story office building south of the new Walgreens' was completed, followed by a 60,000-square-foot medical office building south of the hospital.SwedishAmerican has sought to improve the community's health by taking effective lifestyle modification programs to the people who need them most. Although this applies to the community at large, we have taken special efforts to bring these strategies to the city's elderly and underserved residents. This is demonstrated by our successful program to improve the health of residents at Longwood Plaza, a senior housing facility located two blocks from our hospital's campus. Finally, beyond lifestyle modification our ongoing community health initiatives involve research-based health screening programs, as well as unique health education events that target both at-risk members of the community and healthcare providers.SwedishAmerican's organization-led efforts to improve the quality of life in our community are not exclusively health-related. One example is the partnership we formed 20 years ago with nearby public schools, where a very high percentage of the students come from underserved families. The long-term and ongoing goal of our partnership with area schools has been to improve the academic and socioemotional well-being of the school environment and student body. While SwedishAmerican has come forward with a number of ideas and proposals for additional ways in which it can impact the students and faculty at area schools, it always has been sensitive to the wishes and desires of the community in implementing only those programs that correspond with the school's agenda and strategic goals.Beyond large-scale, organization-led initiatives, our employees independently devote extensive amounts of time and resources to a large number of programs, services and activities throughout northern Illinois.We continue to recognize that improving the health of our community means investing in our community. Following a detailed assessment of the region's population trends and projected healthcare needs, and keeping in line with our well-thought-out strategic planning process, SwedishAmerican announced plans for a $165 million investment in our community. This major construction, modernization and expansion project will help us continue to provide the outstanding, top-quality healthcare that residents of Rockford and surrounding communities expect and deserve. SwedishAmerican's building, renovation and modernization project promises to benefit the community in a number of important ways. Starting in the spring of 2018 with the Women's and Children's Tower expected to be completed in 2020, SwedishAmerican's 225,000-square-foot project will conclude in 2022. The total project consists of these major components:Four-Story Women's and Children's Tower. With nearly 2,000 deliveries and growing each year, we've designed this new facility to provide state-of-the-art care for new mothers and their infants. The Tower will be home to the region's newest Level III NICU, and will include in-house specialists from the University of Wisconsin American Family Children's Hospital. The facility will feature private labor and delivery suites and mother/baby suites as well as outpatient pediatric specialty clinics.New and Expanded Behavioral Health Services. Despite the increase of psychiatric afflictions such as depression and personality disorders, and the presence of a massive opioid epidemic sweeping our nation, many communities have downsized or eliminated behavioral health services. SwedishAmerican has chosen to go in a different direction. In response to the increased need for these services, we are expanding our behavioral health program to 26 beds including a new, much-needed, 16-bed child and adolescent unit - a service that has not been available in Rockford for more than 15 years.Three Additional Rockford Clinics. UW Health opened two primary care clinics in 2019 (Riverwest Clinic on the southwest side of Rockford and Creekside Medical Center on the north east side) and one in 2020 (Edgewater Medical Center on the north west side), illustrating the organization's unwavering commitment to provide services where they are most needed. These locations have proven to be of particular importance to our community with the 2021 from a competing hospital that they are removing west-side services on Rockton Avenue.Community Benefits Plan SummaryUW Health SwedishAmerican Hospital's Community Benefits Plan is focused on five objectives:1. Caring For Our Community Grants and Sponsorships2. Lifestyle Medicine and Wellness3. Academic & Career Promotion4. Health Education5. Community ServiceInitiatives designed to meet these objectives are on the following pages. Together, they illustrate our concerted effort to make improvements in the lives of residents at every life stage and income level. These programs reach young children, the elderly and underserved, people who are at risk for chronic diseases and healthcare professionals. Part VI, Line 6: Caring For Our Community Grants and SponsorshipsIn 2021, SwedishAmerican Foundation announced it would award grants through its fifth annual Caring For Our Community grant program. The Foundation provides financial support to not-for-profit organizations, particularly those that complement the SwedishAmerican Foundation's mission and vision.This unique opportunity was available for not-for-profit entities or organizations that serve or represent the Rockford community or communities within the service area of UW Health Northern Illinois/SwedishAmerican. Projects supported alleviating homelessness, hunger and un(under)employment; improving health and wellness; expanding early childhood development; and improving offender rehabilitation/reintegration.In June, $66,798 in seven grants was awarded to local not-for-profits through the SwedishAmerican Foundation. This year's Caring For Our Community grants, included:1) $17,500 to Life Decisions to support the resourcing and equipping of a home for relational mentoring with at-risk and justice-involved youth ages 15-23. This home renovation project will be done by youth, under the direction of mentors, as part of a dedicated program consisting of two 3-month Building Trades Mentoring Programs. Upon completion, the day home will serve as a safe place to provide programming and create opportunities for relational mentoring.2) $5,000 to Rock House Kids to provide field trip enrichment opportunities to Rockford's inner city children ages 6-16. These field trips will provide positive opportunities and learning experiences that these children would not otherwise have access to, including exposure to places like zoos, museums, escape rooms and Six Flags Great America.3) $11,189 to Rockford Barbell to support their Youth Weightlifting Program. This grant helps sustain a physical space for this organization and provides the appropriate tools for teaching and learning specific social-emotional skills through physical activity. Rockford Barbell engages kids ages 10-18 through free programming three days a week.4) $10,000 to the Rockford Park District Foundation for their "Help Me Play" program. This initiative provides supplemental funding to youth programming to keep them free or low fee so families have options to participate regardless of their financial circumstances. This also includes fee assistance to anyone in need that cannot afford to pay fees associated with things like team sports, lessons or camps.5) $6,609 to the Rockford Rescue Mission for updating computer equipment and electronic devices for their education and employment center known as the Works! Center. The Works! Center directly combats the unemployment crisis by linking individuals to education, job readiness, networking and securing stable and sustainable employment.6) $4,500 to Starlight Theatre for their Camp Supernova program. This camp introduces children in poverty in grades 4 through 6 to the skills learned from participating in musical theatre while also demonstrating future career opportunities in the field. The camp will present experiences in acting, dancing, singing, stage, and costume design and will culminate in a final program presented to family and friends.7) $12,000 to Stateline Youth for Christ for their Juvenile Justice Ministry program. This grant will help increase this organization's capacity to engage at-risk, justice-involved youth holistically upon reentry through mentorship, life skills training, and activities-based programming in an effort to provide them with a positive support system - empowering them to make healthy life choices that break unhealthy patterns of behavior.Last year's grant recipients were Boys and Girls Club of Rockford for its Academic Success Program, Family Counseling Services for Counseling During Troubled Times, Rockford Area Habitat for Humanity for its Expansion of Community Partnership, Rockford Barbell for its Youth Outreach Program, Rockford Park District Foundation for its Healthy Kids are Happy Kids Program and Rockford Sexual Assault Counseling for its Crisis Intervention Programming.In addition to the grants from our SwedishAmerican Foundation, our Community Engagement Committee also gifted $116,355 to 45 different local organizations last year. Crusader Community Health, Rosecrance and the Rockford Fire Department were among some of the top partners.Lifestyle Medicine and Wellness ProgramsUW Health is committed to building a healthier community of senior adults. In 2001, the health system and ZION Development Corporation began discussing the unique health needs of low-income senior residents living at Longwood Plaza, a 65-unit facility located two blocks from SwedishAmerican Hospital's campus. The two partners wanted to not only provide a way for seniors to have safe housing; they also wanted to equip residents with the tools and education for living healthier lives. With the assistance of a generous donation by the Walter D. Williams estate, SwedishAmerican and ZION created a wellness program to meet the needs of seniors' right where they lived. The program has been going strong since 2001.Every week, participants check in with a registered nurse for blood pressure, weight and fasting glucose if needed. Current health status, medication adherence, diet and nutrition are some of the topics discussed. Twice weekly, participants receive a therapeutic massage and meet individually with a fitness trainer for exercise. Monthly, healthy meals and nutrition presentations are held. Periodically, speakers from the community such as the fire and police department provide presentations. Several participants take advantage of the Licensed Clinic Professional Counselor that the program provides. As an incentive for participation, residents receive up to $40 off of their monthly rent. Like many projects, the program has been on hold during COVID-19 but will resume at full strength when the pandemic eases.Better Life Wellness/YMCA PartnershipIn 2014, SwedishAmerican created a medical wellness center called BetterLife Wellness within the downtown Rockford YMCA. In 2018, the medical wellness center moved to the lower level of Camelot Tower on the hospital campus. The center offers a variety of services for SwedishAmerican associates, corporate partners and the general public, including:1) Wellness educational programs, classes and support groups2) Screenings and health risk assessments3) Personal health coaching4) Healthy cooking classes and grocery tours5) Relaxation and stress management education6) Weight management programs7) Nutrition education8) Therapeutic Massage9) Smoking Cessation programs10) Interactive customized wellness web portalBetterLife expands our capacity to help people of all ages, physical abilities and limitations lead healthier lives. The powerful combination of active medical oversight, experienced and credentialed staff, and the utilization of an individual's personal health status are intended to reduce health risks, improve wellbeing and bring a measurable impact upon improving the overall health of our community.Many of the BetterLife Wellness programs are currently on hold due to COVID-19 but will resume when the pandemic eases.Academic & Career PromotionIn order to help young people understand the economics of life and open their minds to career possibilities within the business world, SwedishAmerican has made a major commitment to the community's public school system. Our employees have shared their professional experiences in the classroom and served as volunteers to tutor students. We've partnered with area schools as a part of our mission to care for our community through compassionate service. We realize that a stronger neighborhood, with achieving children and fully functioning families, is an environment where tomorrow's leaders may be nurtured and protected. As a major corporate anchor in the neighborhood and a source of influence within the greater community, SwedishAmerican believes that it has a responsibility to help create an environment at area schools that enables it to serve as an agent for growth, maturation and positive change. A SwedishAmerican representative has been involved with the schools' planning process since our partnerships began two decades ago. Over the last 20 years SwedishAmerican has positively impacted students and faculty in a number of ways, including: Academy Expo During FY2020, we continued our efforts as a key community partner in expanding Rockford's Academy Expo. The purpose of the Academy Expo was to expose Rockford Public Schools 9th, 10th and 11th graders to a variety of careers to assist them in making an academy and forge a relevant link between high school curriculum and future careers. Unlike a job fair where students visit companies, the Academy Expo invited companies to present career options for students to explore. The main focus of the event, therefore, was to showcase a broad spectrum of possible careers. Students at the Academy Expo learned about classroom curriculum that will prompt them to develop professional behaviors and to evaluate their strengths/interests related to careers. This event was postponed in 2020 due to COVID-19, but SwedishAmerican will remain a committed partner when it is safe to plan it again.Employees' Children Scholarship ProgramIn 2020, SwedishAmerican awarded 12 one-year $1,000 scholarships to children of SwedishAmerican associates. The Associates' Children Scholarship Program is designed to assist children of SwedishAmerican associates pursue higher education. The program was put on hold this year due to COVID-19 but there are plans for it to return in 2021.Medical Career Exploring PostFor several years, SwedishAmerican Hospital hosted a Medical Career Exploring Post to area youth, ages 14-20, through the Boy Scouts. The Exploring program assists youth in learning more about career fields they are interested in, while developing leadership skills. Programs involved tours, job shadowing, youth leadership opportunities and meeting people in the professional community that they are interested in pursuing. The 2020 Exploring Post was interrupted due to COVID-19, but SwedishAmerican remains committed to bring back the program when the pandemic eases.Swedes ReadsPrior to COVID-19, more than a dozen SwedishAmerican staff volunteered their time to help Lincoln middle school students improve their reading skills with our "Swedes Reads" program. The partnership will continue when the pandemic is over.Health EducationAccording to the Community Assessment, cancer and heart disease are the leading causes of death in the three-county area surrounding SwedishAmerican Hospital. These conditions also are leading contributors to "years of life lost" before age 65. In the last decade, the number of baby boomers born between 1946 and 1964 increased more than 31 percent in the Rockford area. As this demographic segment continues to age, it will result in an increased incidence of disease, as well as a range of health issues affecting midlife women. According to the Rockford Health Council's 2017 Healthy Community Study, among the 202,808 people living in Winnebago County, 9,823, or 4.8%, reported having been diagnosed with heart disease. The Illinois average is 3.8% while the nation is slightly higher at 4.4%. Because of these rates, SwedishAmerican is committed to educating public and professional audiences within our community about matters of prevention, detection and treatment.Child's Safety FairEach May for the past decade, SwedishAmerican has hosted SAM's Safety Fair on the grounds of our hospital campus in downtown Rockford. More than thirty different agencies were represented at the event in 2019, which was held in conjunction with Emergency Medical Services Week. Kids were able to explore the inside of an ambulance; learn about bicycle safety; poison prevention; water and sun safety; sports safety; and animal safety. Children also could visit the splinting and casting station. Engine and ladder trucks from local fire departments, as well as the Rockford Fire Department Smoke House, were on site for kids to explore. Bicycle safety rodeo and car-seat safety checks rounded out the offerings. The Safety Fair provides a place for families to learn about safety and healthy habits. This event is a great place for parents and caregivers to learn what safety resources are available in our community. COVID-19 prevented the festival from happening in 2020, but SwedishAmerican is committed to bringing SAM's Safety Fair back to our community when the pandemic ends.Opioid Education, Free Narcan KitsDrug overdose is the #1 cause of accidental death for adults in Illinois - 80% involve heroin. SwedishAmerican's EMS services in partnership with the Winnebago County Health Department and Hope Over Addiction offer free Narcan training classes. Free Narcan kits are provided after completion of the class. Some of the classes in 2020 have been interrupted or postponed due to COVID-19, but SwedishAmerican remains committed to bringing the program back in its entirety when the pandemic ends. Our hospital also still participates in the Opioid Warm Hand-Off Program. Additionally, we have a partnership with Rockford Fire for our Mobile Integrated Health Behavioral Program that will allow us to meet patients in the community to assist with linking them to outpatient resources.Community ServicePartnership with IDHS in Fight against Opioid AddictionSwedishAmerican has been recognized by the Illinois Department of Human Services (IDHS) as one of only 14 Illinois hospitals that will participate in its Warm Hand-off Program to combat opioid addiction. The IDHS Hospital Warm Hand-off Program connects recovery support specialists directly to patients with opioid use disorder while they are in the hospital recovering from an overdose or receiving other hospital treatment. SwedishAmerican will now have a recovery specialist that will do a Warm Hand-off with a patient when they leave the hospital to enter a treatment center. The grant will allow SwedishAmerican to hire and train nine employees to be involved in the collaborative relationship between the patient and recovery support specialist. Community Paramedic Programs In 2016, SwedishAmerican, a division of UW Health continued to help connect underutilized resources to the underserved population at SwedishAmerican through its Mobile Integrated Healthcare (MIH) program with Rockford Fire. Officials from both SwedishAmerican and Rockford Fire provided the community with an update on its partnership and the benefits it's had on the city of Rockford and surrounding communities. From August 2016 to December 2017, the program concentrated on SwedishAmerican patients with a high probability of readmission. Patients enrolled in the program experienced a reduction of Emergency Department (ED) visits by 35 percent, ambulance runs by 42 percent and hospital admissions by 40 percent.In 2018 the patients enrolled in the program came from referrals made by the Case Management program. During this time the MIH Manager saw 20 patients on a weekly basis often accompanied by a SwedishAmerican nurse case manager. Each patient received regularly scheduled home visits where the MIH Manager provided a medical assessment, ensured the patient was taking their prescribed medications and was following up with their primary care provider. The MIH Manager offered community resource support to help improve the patients' health and wellbeing. In addition, the MIH Manager checked smoke detectors, CO2 detectors and any hazards that may exist in the patient's home.Additionally, in 2018 expanded to include a partnership with Humana Inc., a large health insurance provider. With an expanded population to serve, an additional MIH Manager was appointed in April. MIH Managers made nearly 500 patient visits in 2018 and served 250 individual patients. The MIH Program's success can be measured by both evaluating the impact on the enrollee's overall health, and the cost savings to the healthcare system.1) MIH Patients had a 50% decrease in ED arrival by ambulance.2) MIH Patients had a 22% decrease in hospital admissions.3) Rockford Fire and Swedish American realized a cost savings of $3,289.77 per enrolled MIH Patient.The MIH program began a program called "Knock and Talk" in 2018 to begin addressing the opioid epidemic in Rockford. This initiative was put in place due to a 28% increase in overdose deaths in Winnebago County from 2017 to 2018. This program involves an MIH Manager visiting an overdose patient transported by Rockford Fire within 72 hours to provide Naloxone. Naloxone is the only medication that is able to reverse an opioid overdose. This program is offered in conjunction with the Winnebago County Health Department Drug Overdose Prevention Program. Through a grant the Health Department is able to provide the Naloxone at no charge to the patient. Naloxone distribution through the MIH program was expanded to include patients who were active in their addiction, attempting to be in recovery, and many community groups. In all, the MIH program distributed over 2,000 Naloxone kits in the community including many SwedishAmerican staff who work in the hospital and SwedishAmerican clinics in order to raise awareness of the program and the local epidemic. In 2019, instead of the prediction of another year with increased overdose deaths, Winnebago County experienced a 27% reduction of overdose deaths. MIH also continued to provide in home patient visits providing over 600 patient interventions for patient education, medication reconciliation, connections to local resources such as food banks and housing, and home safety inspections.While 2021 has been a challenging year for in-home visits the MIH program has continued with the programs that began in 2019. In addition to the referrals from SwedishAmerican Case Management there has been an increase of referrals from within Rockford Fire as well. An additional MIH Manager was hired. The program began a pilot utilizing an MIH Manager and SwedishAmerican nursing staff from the Center for Mental Health. Connections with local resources have expanded to include Community Services for the homeless population. Little Free LibrariesThe percentage of children in grade 4 whose reading skills tested below the "proficient" level for the English Language Arts portion of the state-specific standardized test are relevant because an inability to read English well is linked to poverty, unemployment, and barriers to healthcare access, provider communications, and health literacy/education. In the Healthy Community Study, nearly two-thirds of 4th-graders (65.6%) were found to not be proficient with reading skills in 2015. This was higher than the state rate of 60.7% and much higher than the national rate of 45.6%.To help combat this, SwedishAmerican maintains four Little Free Libraries around the SwedishAmerican Hospital campus and its surrounding neighborhoods. Little Free Libraries are an international movement where people place small, weatherproof boxes in their communities. These boxes are stocked with books which are free to the public to take, return, or add to the collection. The hope is that when someone takes a book, they will return it or replace it with another book.Since inception of this program, we have added two more Little Free Libraries at the Regional Cancer Center and the other on the campus of the SwedishAmerican Hospital in Belvidere. Over the last three years, five Little Free Libraries have been strategically placed within the adjoining SwedishAmerican neighborhoods allowing easy access to books and library materials by those who wish to take advantage of this wonderful resource. The Little Free Libraries are stocked throughout the year through the SwedishAmerican Foundation.Drives and DonationsSwedishAmerican employees have long been committed to serving the community by organizing several drives and donations throughout the year. Even during their challenging and busy schedules created by COVID-19 in 2021, employees have given back to the community in multiple ways, including:1) Rock River Valley Food Pantry Drive2) Miss Carly's Drive to provide food and items for the homeless community 3) Face Coverings Drive benefitting Rockford Public Schools students4) Pregnancy Care Center Donation5) Child Life Wish List6) Foster Care Alliance Adopt-An-Angel Drive 7) Rock House Kids Donation8) Goodwill Drive9) Angel Tree Donations10) Hat, Scarf and Mittens Drive to benefit the local homeless community and the Rockford Rescue Mission11) Carpenter's Place12) Riverwest Clinic Backpack Drive13) Riverwest Clinic Trunk or Treat Part VI, Line 7: SA Hospital files a community benefit report with the Illinois Attorney General. 1 Aunt Martha's Youth Service Center Inc 19990 Governors Hwy Olympia Fields IL 60461 237188150 501(c)(3) 100000 Federally qualified health center that provides health services to uninsured and underserved in our community City of Rockford Fire Department PO Box 15537 Rockford IL 61132 366006082 City of Rockford 125000 Funding for a paramedic for the mobile integrated healthcare program 2 0 Part I, Line 2: Aunt Martha's Youth Service Center, Inc. is a federally qualified health center that provides health services to uninsured and under served in our community. SA Hospital works closely with the grantee organization or receives reports from them as appropriate. SwedishAmerican Hospital has enterened into an agreement with the City of Rockford to provide EMS training and also provides funding for one paramedic for the Mobile Integrated Healthcare Program. X X 1 1 1 1 0 0 0 0 0 0 0 Jateen Patel MD Physician 1141452 0 0 0 2550 0 5808 0 9549 0 1159359 0 0 0 Elizabeth Bolt Trustee 0 889516 0 0 0 9716 0 152661 0 36176 0 1088069 0 0 Peter D Newcomer MD MMM Trustee (as of 8/24/20) 0 573402 0 0 0 284249 0 165052 0 1436 0 1024139 0 284249 Mohamed Zeater MD Physician 875427 0 0 0 15000 0 10688 0 38928 0 940043 0 0 0 Ben Durkee MD Physician 764091 0 0 0 25000 0 10084 0 34393 0 833568 0 0 0 Tarek Harb MD Physician 751345 0 0 0 9426 0 13391 0 44542 0 818704 0 0 0 Yaser Siraj MD Physician 762915 0 0 0 2550 0 7961 0 9549 0 782975 0 0 0 Michael J Born MD Former President & CEO 0 0 0 0 676953 0 0 0 766 0 677719 0 0 0 William Cunningham MD Medical Staff President 608206 0 0 0 21750 0 16347 0 22551 0 668854 0 0 0 Jennifer Maher Interim Pres. & CEO (until 10/29/20) 486889 0 0 0 93296 0 0 0 4718 0 584903 0 0 0 Gerard Guinane VP Human Resources (until 4/30/21) 346917 0 0 0 118515 0 42457 0 30082 0 537971 0 112177 0 Don F Daniels VP & COO (until 4/30/21) 403844 0 0 0 10715 0 58147 0 26044 0 498750 0 0 0 Timothy Flynn MD President, SA Medical Group 350063 0 0 0 40647 0 35320 0 39244 0 465274 0 0 0 Michael Polizzotto MD Chief Medical Officer/CMIO 355434 0 0 0 6389 0 42013 0 34881 0 438717 0 0 0 Patricia DeWane VP, CFO, & Treasurer 365479 0 0 0 5099 0 45845 0 10745 0 427168 0 0 0 Ann Gantzer MD VP Patient Services & CNO 340541 0 0 0 1588 0 42157 0 37016 0 421302 0 0 0 Noel Nickel VP Strategy & BusDev (until 6/18/21) 244620 0 0 0 72251 0 31341 0 32378 0 380590 0 69276 0 Thomas Schiller MD Former Chief Clinical Integ. Off 317016 0 0 0 6000 0 13182 0 10635 0 346833 0 0 0 Allen D Williams MD Trustee 284098 0 0 0 9675 0 13686 0 37092 0 344551 0 0 0 Jedediah Cantrell VP Operations 243607 0 0 0 2912 0 31439 0 14444 0 292402 0 0 0 Tiffanie Ferry MD Trustee 199768 0 0 0 15055 0 10098 0 30940 0 255861 0 0 0 Julia Zimmerman VP SAMG and Regional Development 170310 0 0 0 2612 0 23891 0 38330 0 235143 0 0 0 Steven Ikenberry MD Former Medical Staff President 13000 0 0 0 0 0 0 0 0 0 13000 0 0 0 Part I, Line 1a SwedishAmerican Hospital amended Form W-2 to include previously unreported taxable income to executives. To account for FICA this increase in taxable income was grossed up and reported as taxable income on the Form W-2. During Calendar year 2020, the Interim CEO received a housing allowance. This benefit was included in taxable income. 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, Lines 4a-b Michael Born received severance payments of $649,296 during 2020 that was reported as taxable compensation on Part II, column (B)(iii). Contributions to the 457(f) plan during 2020 include: Elizabeth Bolt - $130,004; Don F. Daniels - $41,876; Patricia DeWane - $30,131; Michael Polizzotto - $29,597; Gerard Guinane - $28,522; Ann Gantzer - $27,973; Timothy Flynn MD - $20,931; Jedediah Cantrell - $20,587; Noel Nickel - $20,523; Julia Zimmerman - $14,608; Peter Newcomer - $108,052 Payments from the 457(f) plan during 2020 include: Gerard Guinane - $112,177; Noel Nickel - $69,276; Peter Newcomer - $284,249. 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). A Illinois Finance Authority - 2010A 861091967 2016-10-11 8820000 See Part IV 0 0 0 B Illinios Finance Authority - 2010B 861091967 2016-10-26 8370000 See Part IV 0 0 0 C University of Wisconsin Hospitals and Clinics Authority - 2018A 391835630 915260CQ4 2018-11-15 120913330 See Part IV 0 0 1 D University of Wisconsin Hospitals and Clinics Authority - 2018C 391835630 915260CQ4 2018-11-15 63918493 See Part IV 0 0 1 A 3150000 8820000 8820000 2010 1 0 1 1 B 2790000 8370000 8370000 2010 1 0 1 1 C 1886780 125672088 913330 103210997 21547761 2021 0 0 0 1 D 363493 63918493 363493 63555000 2007 1 0 1 1 A 0 0 0 0 0 0 1 B 0 0 0 0 0 0 1 C 0 0 0 0 0 0 1 D 0 0 0 0 0 0 1 A 0 0 1 0 0 0 0 0 1 B 0 0 1 0 0 0 0 0 1 C 0 1 0 0 0 0 0 0 1 D 0 0 1 0 1 0 0 0 1 A 1 B 1 C 1 D 1 Part I, column (f): 2010A and 2010B Bonds: Original bond issue in 2005 for Construction & Equipment Cardiac pavilion, renovation of operating room & catheterization lab completed in 2004. Bond was re-issued in 2010 as a direct bank placement and reissued in 2016. 2018A Bond: UWHCA parent of SAHS issued on behalf of Hospital fixed rate revenue bonds to fund the Master Facility Plan. Used for construction and equipment for Women's and Children's tower, and three new clinics. 2018C Bond: UWHCA parent of SAHS issued on behalf of Hospital fixed rate revenue bonds to refund the Hospital Series 2004 bonds. 2020D Bonds: UWHCA parent of SAHS issued on behalf of Hospital fixed rate revenue bonds to refund the Hospital Series 2012 bonds. Part I, column (e): The issue price for the 2018A and 2018C Bonds is the allocated portion from the total issue price on the Form 8038. Part II, Line 3: The total proceeds of the 2012 and 2018A Bond issues received is different than the amounts reported on Part I, column (e) because of investment earnings. A University of Wisconsin Hospitals and Clinics Authority - 2020D 391835630 915260AA0 2020-12-18 45200000 See Part IV 0 0 1 A 130297 45330297 130297 45200000 2013 1 0 1 1 A 0 0 0 0 0 0 1 A 0 0 1 0 0 0 0 0 1 A 1 Julie Wiest See Part V See Part V 0 Chad Jury See Part V See Part V 0 5356 Andrea Fulcomer See Part V 65326 See Part V 0 Sch L, Part I, Excess Benefit Transactions: (a) Name of Person: Julie Wiest(b) Relationship with Disqualified Person: Family member of trustee(c) Unpaid Child Care Services(a) Name of Person: Chad Jury(b) Relationship with Disqualified Person: Family member of trustee(c) Unpaid Child Care ServicesOrganization Managers:Don F. Daniels, VP & Chief Operating OfficerGerard Guinane, VP Human ResourcesGregory R. Jury, Trustee Sch L, Part IV, Business Transactions Involving Interested Persons: (b) Relationship Between Interested Person and Organization:Spouse of trustee Eric Fulcomer(d) Description of Transaction: Compensation Form 990, Part VI, Section A, line 2 Michael Broski, Jeffrey Hultman and Frank Walter have a business relationship. Form 990, Part VI, Section A, line 6 SwedishAmerican Health System Corporation (SAHSC) is the sole corporate member of SwedishAmerican Hospital. Form 990, Part VI, Section A, line 7a SwedishAmerican Health System Corporation is the sole corporate member of SwedishAmerican Hospital and as such appoints all trustees. Form 990, Part VI, Section A, line 7b SAHSC shall have powers and voting rights to do the following: (a) Appoint all the Trustees of the Hospital. (b) Elect the President and Chief Executive Officer of SAHSC, who shall automatically become the Hospital's President and Chief Executive Officer (this officer is sometimes also referred to in these Bylaws as the "President"). (c) Approve expressly all amendments to the Hospital's Articles of Incorporation and Bylaws. (d) Approve annual budgets, and strategic, long-range and health manpower development plans of the Hospital. (e) Approve all contracts of indebtedness that exceed One Million Dollars ($1,000,000.00) in principal amount or that are effective for longer than sixty (60) months. "Contracts of Indebtedness" shall mean notes, bonds or other written evidences of borrowings. (f) Approve all plans of merger or consolidation of the Hospital; or the sale, lease, exchange, mortgage, pledge or other disposition of all or substantially all, the property and assets of the Hospital; or a voluntary dissolution of the Hospital. (g) Require the Hospital's Board of Trustees to take any action (including amending the Hospital's Articles of Incorporation or Bylaws), or to modify or rescind an action already taken, if either the Hospital or SAHSC receives notification from a federal agency that failure to take the action, or to modify or rescind an action already taken, may result in the Hospital's failure to obtain or maintain its exemption as an organization described m Section 501(c)(3) of the Code; provided, however, that: (i) SAHSC shall exercise this authority only to the extent necessary to eliminate the basis for the federal agency's position and only after the Hospital and/ or SAHSC have exhausted other alternative means available to each of them to address the matter (to the extent the exhaustion of such other alternatives will not, through lapse of time or otherwise, cause the Hospital not to obtain or maintain its federal tax exemption); and (ii) in the event SAHSC is required to exercise this authority, prior to or as soon as possible thereafter, the Hospital's Board of Trustees and SAHSC jointly shall use their best efforts to develop a mutually acceptable plan of action to appropriately address the objections of the Hospital's Board of Trustees, if any, to the actions of SAHSC. Form 990, Part VI, Section B, line 11b A draft version of the Form 990 was reviewed by Legal Counsel and the Chief Financial Officer. The entire Board of Trustees were 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 Trustees and to all employees. Procedures are in place to identify conflicts of both trustees and employees. Trustee 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 previously made available to the public. The consolidated audited financial statements of SwedishAmerican Hospital are available from the Illinois Attorney General Website and from the U.S. Securities and Exchange Commission electronic municipal market access system through MSRB.org. Form 990, Part XI, line 9: Interest in SwedishAmerican Foundation 1,863,679. Joint Venture Book/Tax Difference 380,763. 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 Quartz Health Plan Corporation 840 Carolina Street Sauk City WI 53583 491807071 Health Maintenance Organization WI 501(c)(4) University Health Care Inc 0 Quartz Health Plan MN Corporation 840 Carolina Street Sauk City WI 53583 452633920 Health Insurance WI 501(c)(4) Quartz Health Plan Corporation 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 Foundation 1415 East State St Rockford IL 61104 363097493 Supports fundraising for SwedishAmerican Hospital IL 501(c)(3) Line 7 SwedishAmerican Hospital 1 SwedishAmerican Health System Corporation 1401 East State St Rockford IL 61104 363241458 Parent Corporation to manage and direct activites of entities IL 501(c)(3) Line 12a, I Regional Division Inc 0 SwedishAmerican Hospital Self Insurance Trust 1401 East State Street Rockford IL 61104 366652702 Hospital Malpractice Trust VT 501(c)(3) Line 12a, I SwedishAmerican Hospital 1 SwedishAmerican Realty Corporation 1313 East 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 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 Madison Medical Center LLP 7974 UW Health Court Middleton WI 53562 391329429 Real Estate WI N/A N/A 0 0 Northern Illinois Vein Clinic 2550 Charles Street Rockford IL 61108 201642329 Outpatient Health Services IL N/A RELATED 79382 353209 0 1 0.50000 Sixth Street Medical LLC 7974 UW Health Court Middleton WI 53562 472705724 Real Estate WI N/A N/A 0 0 Three Rivers Partners LLC 1313 East State Street Rockford IL 61104 262231757 Information Technology Services IL N/A N/A 0 0 Health Professionals of Wisconsin 301 South Westfield Road Madison WI 53717 391806711 Real Estate WI N/A C 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 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 3034 Fish Hatchery Road Fitchburg WI 53713 300072647 Dialysis Services WI N/A C 0 Charitable Remainder Unitrusts (6) Trust IL N/A T 1 0 0 1 0 1 0 0 0 0 1 1 0 0 0 1 1 1 1 0 SwedishAmerican Foundation C 1649484 Cost SwedishAmerican Hospital Self Insurance Trust Q 603634 Cost SwedishAmerican Realty Corporation K 6639690 Cost Three Rivers Partners LLC J 291638 Cost University of WI Medical Foundation P 5427638 Cost University of WI Hospital and Clinics P 10895236 Cost Regional Division Inc Q 3928516 Cost Regional Division Inc P 288124 Cost University of WI Hospital and Clinics E 221886241 Cost