Form 990 for tax year 2022

Revenue

Part VIII, the statement of revenue.

• 3 · Investment income

  total $384,247 · excluded $384,247

• 7a · Gross sales of assets other than inventory

  securities $8,553,123

• 7b · Less cost or other basis and sales expenses

  securities $8,085,063

• 7c · Gain or loss

  securities $468,060

• 7d · Net gain or loss

  total $468,060 · excluded $468,060

Functional expenses

Part IX, the statement of functional expenses.

• 11g · Fees: other

  total $51,249 · management and general $51,249

• 24a · Other expenses: Malpractice/Gen Claims

  total $321,800 · program services $321,800

• 24b · Other expenses: Shared Services

  total $203,661 · program services $203,661

Balance sheet

Part X, book values.

• 2 · Savings and temporary cash investments

  beginning of year $580,238 · end of year $3,522,836

• 11 · Investments: publicly traded securities

  beginning of year $10,305,361 · end of year $7,214,087

• 29 · Capital stock, trust principal or current funds

  beginning of year $0 · end of year $0

• 30 · Paid-in or capital surplus, or land, building or equipment fund

  beginning of year $0 · end of year $0

• 31 · Retained earnings, endowment or other funds

  beginning of year $0 · end of year $0

The filer's explanations (Part III)

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

Severance payments during 2022 include: Tom O'Connor - $710,161. These payments are reported as taxable compensation on Part II, column (B)(iii). Contributions to the 457(f) plan during 2022 include: Peter Newcomer - $119,355; Elizabeth Bolt - $143,610; Travis Andersen - $59,719; Patricia DeWane - $30,310; Timothy Flynn MD -$24,210; Sal Ababneh - $19,878; Rosa Jeschke - $13,963; Carey Gehl - $89,865. Payments from the 457(f) plan during 2022 include: Elizabeth Bolt - $432,157; Michael Polizzotto - $88,726; Ann Gantzer - $86,178; Julia Zimmerman - $14,725; Jedediah Cantrell - $91,176. These payments are reported as taxable income on Part II, column (B) (iii). Part II, Column F: The amounts shown in column F were reported as deferred compensation in prior years but paid out in the current year. The amounts are also included in column B (iii).

Related partnerships

Part III: related organizations taxable as a partnership, with the filer's share.

• Chartwell Wisconsin Enterprises LLC

  Parent Entity of CW and CMW-HR · WI

• Madison Medical Center LLP

  Real Estate · WI

• Northern Illinois Vein Clinic

  Outpatient Health Services · IL

• Sixth Street Medical LLC

  Real Estate · WI

• Three Rivers Partners LLC

  Information Technology Services · IL

Related corporations and trusts

Part IV: related organizations taxable as a corporation or trust.

• Physician's Care Network Inc

  C · Health Services · IL

• Quartz Health Benefit Plans Corporation

  C · Health Maintenance Organization · WI

• Quartz Health Insurance Corporation

  C · Health Maintenance Organization · WI

• Quartz Health Solutions Inc

  C · Insurance · WI

• Quartz Holding Company

  C · Holding Company · WI

• SARI Insurance Company

  C · Captive Insurance Company · VT

• State & Charles Inc

  C · Holding Company · IL

• SwedishAmerican Health Managment Corp

  C · Management Services · IL

• Wisconsin Dialysis Inc

  C · Dialysis Services · WI

• Charitable Remainder Unitrusts (5)

  T · Trust · IL