SWEDISHAMERICAN HOSPITAL: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization: SWEDISHAMERICAN HOSPITAL (EIN 36-2222696)
Tax period: 2011-06-01 to 2012-05-31
Filed: 2013-04-12
IRS object ID: 201331029349300308
Schema version: 2011v1.5
Source: Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header
Form 990
Schedule A
Schedule B
Schedule C
Schedule D
Schedule H
Schedule I
Schedule J
Schedule K
Schedule L
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Timestamp	2013-04-12T08:22:00-05:00	Timestamp
Tax Period End Date	2012-05-31	TaxPeriodEndDate

Preparer Firm PreparerFirm

Field	Value	IRS element (for citing)
EIN	420714325	EIN

Preparer Firm Business Name PreparerFirmBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	MCGLADREY LLP	BusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

Field	Value	IRS element (for citing)
Address Line1	ONE SOUTH WACKER DR SUITE 800	AddressLine1
City	CHICAGO	City
State	IL	State
ZIP Code	60606	ZIPCode

Field	Value	IRS element (for citing)
Return Type	990	ReturnType
Tax Period Begin Date	2011-06-01	TaxPeriodBeginDate

Filer Filer

Field	Value	IRS element (for citing)
EIN	362222696	EIN

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	SWEDISHAMERICAN HOSPITAL	BusinessNameLine1

Field	Value	IRS element (for citing)
Name Control	SWED	NameControl
Phone	8159662087	Phone

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1401 E STATE STREET	AddressLine1
City	ROCKFORD	City
State	IL	State
ZIP Code	611042298	ZIPCode

Officer Officer

Field	Value	IRS element (for citing)
Name	WILLIAM GORSKI	Name
Title	CEO	Title
Phone	8159662087	Phone
Date Signed	2013-03-30	DateSigned
Authorize Third Party	1	AuthorizeThirdParty

Preparer Preparer

Field	Value	IRS element (for citing)
Name	ZACK FORTSCH	Name
PTIN	P00052725	PTIN
Phone	3126343400	Phone

Field	Value	IRS element (for citing)
Tax Year	2011	TaxYear
Build TS	2016-02-25 16:41:14Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Name Of Principal Officer Person	WILLIAM GORSKI MD	NameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

Field	Value	IRS element (for citing)
Address Line1	1313 EAST STATE ST	AddressLine1
City	ROCKFORD	City
State	IL	State
ZIP Code	61104	ZIPCode

Field	Value	IRS element (for citing)
Gross Receipts	605430294	GrossReceipts
Group Return For Affiliates	0	GroupReturnForAffiliates
Organization501c3	X	Organization501c3
Web Site	WWW.SWEDISHAMERICAN.ORG	WebSite
Type Of Organization Corporation	X	TypeOfOrganizationCorporation
Year Formation	1911	YearFormation
State Legal Domicile	IL	StateLegalDomicile
Activity Or Mission Description	THROUGH EXCELLENCE IN HEALTHCARE AND COMPASSIONATE SERVICE, WE CARE FOR OUR COMMUNITY.	ActivityOrMissionDescription
Nbr Voting Members Governing Body	29	NbrVotingMembersGoverningBody
Nbr Independent Voting Members	18	NbrIndependentVotingMembers
Total Nbr Employees	3561	TotalNbrEmployees
Total Nbr Volunteers	721	TotalNbrVolunteers
Total Gross UBI	513946	TotalGrossUBI
Net Unrelated Business Txbl Income	220112	NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year	6278731	ContributionsGrantsPriorYear
Contributions Grants Current Year	1813920	ContributionsGrantsCurrentYear
Program Service Revenue Prior Year	430571829	ProgramServiceRevenuePriorYear
Program Service Revenue CY	434827414	ProgramServiceRevenueCY
Investment Income Prior Year	7698068	InvestmentIncomePriorYear
Investment Income Current Year	8093553	InvestmentIncomeCurrentYear
Other Revenue Prior Year	6117475	OtherRevenuePriorYear
Other Revenue Current Year	4971442	OtherRevenueCurrentYear
Total Revenue Prior Year	450666103	TotalRevenuePriorYear
Total Revenue Current Year	449706329	TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year	912995	GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY	561606	GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year	0	BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY	0	BenefitsPaidToMembersCY
Salaries Etc Prior Year	206687231	SalariesEtcPriorYear
Salaries Etc Current Year	215843433	SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year	0	TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY	0	TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year	0	TotalFundrsngExpCurrentYear
Other Expense Prior Year	227479413	OtherExpensePriorYear
Other Expenses Current Year	223383007	OtherExpensesCurrentYear
Total Expenses Prior Year	435079639	TotalExpensesPriorYear
Total Expenses Current Year	439788046	TotalExpensesCurrentYear
Revenues Less Expenses Prior Year	15586464	RevenuesLessExpensesPriorYear
Revenues Less Expenses CY	9918283	RevenuesLessExpensesCY
Total Assets BOY	443747620	TotalAssetsBOY
Total Assets EOY	454467569	TotalAssetsEOY
Total Liabilities BOY	202281926	TotalLiabilitiesBOY
Total Liabilities EOY	207594843	TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY	241465694	NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY	246872726	NetAssetsOrFundBalancesEOY
Info In Schedule O Part III	X	InfoInScheduleOPartIII
Mission Description	THROUGH EXCELLENCE IN HEALTHCARE AND COMPASSIONATE SERVICE, WE CARE FOR OUR COMMUNITY.	MissionDescription
Significant New Program Services	0	SignificantNewProgramServices
Significant Change	0	SignificantChange
Expense	256650065	Expense
Grants	561606	Grants
Revenue	341397228	Revenue
Description	SWEDISHAMERICAN HOSPITAL OPERATES TWO FULL SERVICE ACUTE CARE HOSPITALS WITH 386 LICENSED BEDS, AND SERVES A 12 COUNTY AREA. 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 2012 WE CARED FOR 18,789 INPATIENTS AND PERFORMED 729,115 OUTPATIENT PROCEDURES. THIS INCLUDES 73,820 EMERGENCY ROOM VISITS AND 2,526 DELIVERIES. WE SPONSOR THE UNIVERSITY OF ILLINOIS COLLEGE OF MEDICINE PROGRAM AND PROVIDED $4.7 MILLION IN EDUCATION FOR PRIMARY CARE RESIDENTS. WE PARTICIPATE IN THE ILLINOIS EXCELLENCE IN ACADEMIC MEDICINE PROGRAM AND THE NATIONAL SURGICAL ADJUVANT BREAST AND BOWEL PROJECT, WHICH ARE GOVERNMENT SPONSORED RESEARCH. OUR EMPLOYEES AND VOLUNTEERS PROVIDED ALMOST 30,000 HOURS IN UNPAID COMMUNITY SERVICES. SWEDISHAMERICAN RECOGNIZES ITS RESPONSIBILITY TO ALL THE PEOPLE OF OUR COMMUNITY, REGARDLESS OF THEIR ABILITY TO PAY FOR CARE.	Description

Activity2 Activity2

Field	Value	IRS element (for citing)
Expense	88460671	Expense
Revenue	89221735	Revenue
Description	SWEDISHAMERICAN HOSPITAL EMPLOYS PRIMARY CARE AND SPECIALTY PHYSICIANS WHO PRACTICE AT 18 LOCATIONS THROUGHOUT OUR SERVICE AREA. WE EMPLOY SPECIALISTS IN ORTHOPEDICS, CARDIOLOGY, CARDIOTHORACIC SURGERY, NEUROLOGY, NEUROSURGERY, PULMONOLOGY/CRITICAL CARE, ONCOLOGY, OBSTETRICS AND GYNECOLOGY, RHEUMATOLOGY, PSYCHIATRY, PODIATRY, OTOLARYNGOLOGY, AS WELL AS INTERNAL MEDICINE, FAMILY PRACTICE AND PEDIATRIC PHYSICIANS. DURING 2012 OUR PHYSICIAN ENCOUNTERS WERE 368,343.	Description

Activity3 Activity3

Field	Value	IRS element (for citing)
Expense	9213272	Expense
Revenue	8683000	Revenue
Description	SWEDISHAMERICAN DELIVERS HOME HEALTH CARE SERVICES TO PATIENTS IN OUR SERVICE AREA. DURING 2012 WE PERFORMED 11,083 EPISODES OF CARE.	Description

Field	Value	IRS element (for citing)
Total Program Service Expense	354324008	TotalProgramServiceExpense
Described In501 C3	1	DescribedIn501C3
Schedule B Required	1	ScheduleBRequired
Political Activities	0	PoliticalActivities
Lobbying Activities	1	LobbyingActivities
Subject To Proxy Tax	0	SubjectToProxyTax
Donor Advised Funds	0	DonorAdvisedFunds
Conservation Easements	0	ConservationEasements
Collections Of Art	0	CollectionsOfArt
Credit Counseling	0	CreditCounseling
Term Or Permanent Endowments	1	TermOrPermanentEndowments
Report Land Bldg Equip	1	ReportLandBldgEquip
Report Invest Oth Securities	0	ReportInvestOthSecurities
Report Prog Rel Invest	0	ReportProgRelInvest
Report Other Assets	1	ReportOtherAssets
Report Other Liabilities	1	ReportOtherLiabilities
Report Fin48 Footnote	1	ReportFin48Footnote
Independent Audit Financial Stmt	0	IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt	1	ConsolidatedAuditFinancialStmt
School	0	School
Foreign Office	0	ForeignOffice
Foreign Activities	0	ForeignActivities
More Than5000 K To Organizations	0	MoreThan5000KToOrganizations
More Than5000 K To Individuals	0	MoreThan5000KToIndividuals
Professional Fundraising	0	ProfessionalFundraising
Fundraising Activities	0	FundraisingActivities
Gaming	0	Gaming
Hospital	1	Hospital
Financial Stmt Attached	1	FinancialStmtAttached
Grants To Organizations	1	GrantsToOrganizations
Grants To Individuals	1	GrantsToIndividuals
Schedule J Required	1	ScheduleJRequired
Tax Exempt Bonds	1	TaxExemptBonds
Invest Tax Exempt Bonds	0	InvestTaxExemptBonds
Escrow Account	0	EscrowAccount
On Behalf Of Issuer	0	OnBehalfOfIssuer
Excess Benefit Transaction	0	ExcessBenefitTransaction
Prior Excess Benefit Transaction	0	PriorExcessBenefitTransaction
Loan To Officer Or DQP	0	LoanToOfficerOrDQP
Grant To Related Person	0	GrantToRelatedPerson
Bsnss Rltnshp With Organization	0	BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member	1	BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp	0	OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions	0	DeductibleNonCashContributions
Deductible Contributions Of Art	0	DeductibleContributionsOfArt
Terminated	0	Terminated
Partial Liquidation	0	PartialLiquidation
Disregarded Entity	0	DisregardedEntity
Related Entity	1	RelatedEntity
Related Org Controlled Entity	1	RelatedOrgControlledEntity
Transaction Related Entity	1	TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org	1	TransfersToExemptNonChrtblOrg
Activities Conducted Partnership	0	ActivitiesConductedPartnership
Schedule O Required	1	ScheduleORequired
Number Forms Transmitted With1096	448	NumberFormsTransmittedWith1096
Number W2 G Included	0	NumberW2GIncluded
Compliance With Backup Witholding	1	ComplianceWithBackupWitholding
Number Of Employees	3561	NumberOfEmployees
Employment Tax Returns Filed	1	EmploymentTaxReturnsFiled
Unrelated Business Income	1	UnrelatedBusinessIncome
Form990-T Filed	1	Form990-TFiled
Foreign Financial Account	0	ForeignFinancialAccount
Prohibited Tax Shelter Trans	0	ProhibitedTaxShelterTrans
Taxable Party Notification	0	TaxablePartyNotification
Non Deductible Contributions	0	NonDeductibleContributions
Quid Pro Quo Contributions	0	QuidProQuoContributions
Form8282 Property Disposed Of	0	Form8282PropertyDisposedOf
Funds To Pay Premiums	0	FundsToPayPremiums
Premiums Paid	0	PremiumsPaid
Indoor Tanning Services	0	IndoorTanningServices
Info In Schedule O Part VI	X	InfoInScheduleOPartVI
Nbr Voting Governing Body Members	29	NbrVotingGoverningBodyMembers
Number Independent Voting Members	18	NumberIndependentVotingMembers
Family Or Business Relationship	1	FamilyOrBusinessRelationship
Delegation Of Management Duties	0	DelegationOfManagementDuties
Changes To Organizing Docs	0	ChangesToOrganizingDocs
Material Diversion Or Misuse	0	MaterialDiversionOrMisuse
Members Or Stockholders	1	MembersOrStockholders
Election Of Board Members	1	ElectionOfBoardMembers
Decisions Subject To Approval	1	DecisionsSubjectToApproval
Minutes Of Governing Body	1	MinutesOfGoverningBody
Minutes Of Committees	1	MinutesOfCommittees
Officer Mailing Address	0	OfficerMailingAddress
Local Chapters	0	LocalChapters
Form990 Provided To Governing Body	1	Form990ProvidedToGoverningBody
Conflict Of Interest Policy	1	ConflictOfInterestPolicy
Annual Disclosure Covered Persons	1	AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement	1	RegularMonitoringEnforcement
Whistleblower Policy	1	WhistleblowerPolicy
Document Retention Policy	1	DocumentRetentionPolicy
Compensation Process CEO	1	CompensationProcessCEO
Compensation Process Other	1	CompensationProcessOther
Investment In Joint Venture	1	InvestmentInJointVenture
Written Policy Or Procedure	1	WrittenPolicyOrProcedure
States Where Copy Of Return Is Filed	IL	StatesWhereCopyOfReturnIsFiled
Upon Request	X	UponRequest

The Books Are In Care Of TheBooksAreInCareOf

Field	Value	IRS element (for citing)
Name Person	DONALD HARING CFO	NamePerson
Telephone Number	8159662087	TelephoneNumber

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	1313 EAST STATE ST	AddressLine1
City	ROCKFORD	City
State	IL	State
ZIP Code	61104	ZIPCode

Field	Value	IRS element (for citing)
Info In Schedule O Part VII	X	InfoInScheduleOPartVII

Form990 Part VII Section A Form990PartVIISectionA (36 entries)

TitleTitle	Average Hours Per WeekAverageHoursPerWeek	Individual Trustee Or DirectorIndividualTrusteeOrDirector	Reportable Comp From OrganizationReportableCompFromOrganization	Reportable Comp From Related OrgsReportableCompFromRelatedOrgs	Other CompensationOtherCompensation	OfficerOfficer	Key EmployeeKeyEmployee	Highest Compensated EmployeeHighestCompensatedEmployee
FRANK BONELLI MD
TRUSTEE	2.00	X	75	0	0
PETER CHRISTMAN
TRUSTEE	2.00	X	75	0	0
DANNY L COPELAND MD
TRUSTEE	40.00	X	163915	0	47317
MICHAEL DALLMAN
TRUSTEE	2.00	X	75	0	0
PATRICK DERRY
TRUSTEE	2.00	X	75	0	0
SARA FLEMING MD - EX OFFICIO
TRUSTEE	2.00	X	75	0	0
JAMES L GINGRICH
TRUSTEE	2.00	X	75	0	0
WILLIAM R GORSKI MD
CHIEF EXECUTIVE OFFICER	40.00	X	558167	0	219820	X
ROBERT L HEAD PHD
TRUSTEE	2.00	X	75	0	0
HELEN CHUNG HILL
TRUSTEE	2.00	X	75	0	0
MICHAEL HOUSELOG
TRUSTEE	2.00	X	75	0	0
DENNIS W JOHNSON
TRUSTEE	2.00	X	75	0	0
GREGORY JURY
TRUSTEE	2.00	X	75	0	0
MARCO T LENIS
TRUSTEE	2.00	X	75	0	0
DAN LOESCHER
1ST VICE CHAIRMAN/SECRETARY	2.00	X	75	0	0	X
FRAN MORRISSEY
TRUSTEE	2.00	X	75	0	0
JOHN C MYERS MD
TRUSTEE	40.00	X	454855	0	50655
WILLIAM ROOP
CHAIRMAN	2.00	X	75	0	0	X
DANIEL T ROSS
TRUSTEE	2.00	X	75	0	0
DAVID R RYDELL
TRUSTEE	2.00	X	75	0	0
JOHN SCHEUB MD
TRUSTEE	2.00	X	75	0	0
WILLIAM SCHULZ MD
EX OFFICIO TRUSTEE	40.00	X	573270	0	50342
STEVEN C SJOGREN
TRUSTEE	2.00	X	75	0	0
JAMES WADDELL
TRUSTEE	2.00	X	75	0	0
RICHARD WALSH
CHIEF OPERATING OFFICER	40.00	X	365295	0	126709	X
THOMAS R WALSH
2ND VICE CHAIRMAN/ASSIT. SECRETARY	2.00	X	75	0	0	X
FRANK WALTER
IMMEDIATE PAST CHAIRMAN	2.00	X	2475	0	0
AMY WILCOX
TRUSTEE	2.00	X	75	0	0
ALLEN WILLIAMS MD
TRUSTEE	40.00	X	211762	0	42385
DONALD HARING
VP FINANCE/TREASURER	40.00		324242	0	78713	X
KATHLEEN KELLY MD
VP MEDICAL AFFAIRS	40.00		345607	0	45801		X
MERAT ESFAHANI MD
PHYSICIAN	40.00		808914	0	50806			X
STEVEN MILOS MD
PHYSICIAN	40.00		629890	0	27981			X
HARVEY EINHORN MD
PHYSICIAN	40.00		694387	0	78945			X
PRAKASH PEDAPATI
PHYSICIAN	40.00		579350	0	37037			X
JON MICHEL MD
PHYSICIAN	40.00		784168	0	30023			X

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	6497947	TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs	0	TotalReportableCompFrmRltdOrgs
Total Other Compensation	886534	TotalOtherCompensation
Number Individuals GT100 K	183	NumberIndividualsGT100K
Formers Listed	0	FormersListed
Total Comp GT150 K	1	TotalCompGT150K
Compensation From Other Sources	0	CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1	CityAddressOfContractor/AddressUS/City	StateAddressOfContractor/AddressUS/State	ZIP CodeAddressOfContractor/AddressUS/ZIPCode	Description Of ServicesDescriptionOfServices	CompensationCompensation
MIDWEST HEART SPECIALISTS LTD
1901 S MEYERS ROAD SUITE 350	OAKBROOK TERRACE	IL	60181	PHYSICIANS	4259410
RINGLAND-JOHNSON CONSTRUCTION
PO BOX 5165	ROCKFORD	IL	61125	CONSTRUCTION SERVICES	3367468
ARAMARK HEALTHCARE
THE ARA TOWER 1101 MARKET ST	PHILADELPHIA	PA	19107	CAFETERIA AND DIETARY	2658816
UNIVERSAL HOSPITAL SERVICES INC
2601 CROSSROADS DR SUITE 105	MADISON	WI	53704	EQUIPMENT SERVICES	2358487
ARUP LABORATORIES INC
PO BOX 27964	SALT LAKE CITY	UT	84127	LAB TESTING	1908510

Field	Value	IRS element (for citing)
Number Of Contractors GT100 K	118	NumberOfContractorsGT100K
Related Organizations	9230	RelatedOrganizations
Government Grants	1660520	GovernmentGrants
All Other Contributions	144170	AllOtherContributions
Total Contributions	1813920	TotalContributions

Program Service Revenue ProgramServiceRevenue (3 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome
PATIENT SERVICES	621990	267535251	267535251
MEDICARE/MEDICAID	621990	165226227	165226227
N.IL IMAGING JV	621990	352573	352573

Total Oth Program Service Revenue TotalOthProgramServiceRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	1713363	TotalRevenueColumn
Related Or Exempt Function Income	1713363	RelatedOrExemptFunctionIncome

Field	Value	IRS element (for citing)
Total Program Service Revenue	434827414	TotalProgramServiceRevenue

Investment Income InvestmentIncome

Field	Value	IRS element (for citing)
Total Revenue Column	6019785	TotalRevenueColumn
Exclusion	$6,019,785	ExclusionAmount

Gross Rents GrossRents

Field	Value	IRS element (for citing)
Real	26904	Real

Less Rental Expenses LessRentalExpenses

Field	Value	IRS element (for citing)
Real	43957	Real

Rental Income Or Loss RentalIncomeOrLoss

Field	Value	IRS element (for citing)
Real	-17053	Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

Field	Value	IRS element (for citing)
Total Revenue Column	-17053	TotalRevenueColumn
Exclusion	-$17,053	ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

Field	Value	IRS element (for citing)
Securities	152631161	Securities
Other	4380183	Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

Field	Value	IRS element (for citing)
Securities	150427389	Securities
Other	4510187	Other

Gain Or Loss GainOrLoss

Field	Value	IRS element (for citing)
Securities	2203772	Securities
Other	-130004	Other

Net Gain Or Loss Investments NetGainOrLossInvestments

Field	Value	IRS element (for citing)
Total Revenue Column	2073768	TotalRevenueColumn
Exclusion	$2,073,768	ExclusionAmount

Field	Value	IRS element (for citing)
Gross Sales Of Inventory	502420	GrossSalesOfInventory
Cost Of Goods Sold	742432	CostOfGoodsSold

Net Income Or Loss NetIncomeOrLoss

Field	Value	IRS element (for citing)
Total Revenue Column	-240012	TotalRevenueColumn
Related Or Exempt Function Income	-240012	RelatedOrExemptFunctionIncome

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome	Unrelated Business RevenueUnrelatedBusinessRevenue
INTERDEPT BILLING	561000	2214158	2072830	141328
CAFETERIA & VENDING	561000	1382507	1364903	17604
DAY CARE CENTER	624410	1276828	1276828

Miscellaneous Revenue MiscellaneousRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	355014	TotalRevenueColumn
Unrelated Business Revenue	355014	UnrelatedBusinessRevenue

Field	Value	IRS element (for citing)
Total Other Revenue	5228507	TotalOtherRevenue

Total Revenue TotalRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	449706329	TotalRevenueColumn
Related Or Exempt Function Income	439301963	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	513946	UnrelatedBusinessRevenue
Exclusion	$8,076,500	ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

Field	Value	IRS element (for citing)
Total	531606	Total
Program Services	531606	ProgramServices

Grants To Domestic Individuals GrantsToDomesticIndividuals

Field	Value	IRS element (for citing)
Total	30000	Total
Program Services	30000	ProgramServices

Comp Current Officers Directors CompCurrentOfficersDirectors

Field	Value	IRS element (for citing)
Total	4055582	Total
Program Services	1545456	ProgramServices
Management And General	2510126	ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

Field	Value	IRS element (for citing)
Total	162792433	Total
Program Services	126274907	ProgramServices
Management And General	36517526	ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

Field	Value	IRS element (for citing)
Total	7002993	Total
Program Services	5893478	ProgramServices
Management And General	1109515	ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

Field	Value	IRS element (for citing)
Total	30907573	Total
Program Services	28063133	ProgramServices
Management And General	2844440	ManagementAndGeneral

Payroll Taxes PayrollTaxes

Field	Value	IRS element (for citing)
Total	11084852	Total
Program Services	8409376	ProgramServices
Management And General	2675476	ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

Field	Value	IRS element (for citing)
Total	1525100	Total
Management And General	1525100	ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

Field	Value	IRS element (for citing)
Total	129096	Total
Management And General	129096	ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

Field	Value	IRS element (for citing)
Total	134496	Total
Management And General	134496	ManagementAndGeneral

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

Field	Value	IRS element (for citing)
Total	588187	Total
Management And General	588187	ManagementAndGeneral

Fees For Services Other FeesForServicesOther

Field	Value	IRS element (for citing)
Total	21990981	Total
Program Services	19582535	ProgramServices
Management And General	2408446	ManagementAndGeneral

Advertising Advertising

Field	Value	IRS element (for citing)
Total	2320285	Total
Program Services	87351	ProgramServices
Management And General	2232934	ManagementAndGeneral

Office Expenses OfficeExpenses

Field	Value	IRS element (for citing)
Total	10911383	Total
Program Services	6365848	ProgramServices
Management And General	4545535	ManagementAndGeneral

Information Technology InformationTechnology

Field	Value	IRS element (for citing)
Total	4646136	Total
Program Services	4095874	ProgramServices
Management And General	550262	ManagementAndGeneral

Occupancy Occupancy

Field	Value	IRS element (for citing)
Total	12643293	Total
Program Services	7069025	ProgramServices
Management And General	5574268	ManagementAndGeneral

Travel Travel

Field	Value	IRS element (for citing)
Total	251121	Total
Program Services	192722	ProgramServices
Management And General	58399	ManagementAndGeneral

Conferences Meetings ConferencesMeetings

Field	Value	IRS element (for citing)
Total	338330	Total
Program Services	137524	ProgramServices
Management And General	200806	ManagementAndGeneral

Interest Interest

Field	Value	IRS element (for citing)
Total	5046196	Total
Program Services	3762652	ProgramServices
Management And General	1283544	ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

Field	Value	IRS element (for citing)
Total	19784818	Total
Program Services	15159192	ProgramServices
Management And General	4625626	ManagementAndGeneral

Insurance Insurance

Field	Value	IRS element (for citing)
Total	7457206	Total
Program Services	6921436	ProgramServices
Management And General	535770	ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescription	TotalTotal	Management And GeneralManagementAndGeneral	Program ServicesProgramServices
INCOME TAX EXPENSE	294131	294131
PATIENT SUPPLIES	68753736	619556	68134180
BAD DEBTS	27980347		27980347
PURCHASED SERVICES	16799841	7153328	9646513

All Other Expenses AllOtherExpenses

Field	Value	IRS element (for citing)
Total	21788324	Total
Program Services	14440853	ProgramServices
Management And General	7347471	ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

Field	Value	IRS element (for citing)
Total	439788046	Total
Program Services	354324008	ProgramServices
Management And General	85464038	ManagementAndGeneral
Fundraising	0	Fundraising

Savings And Temp Cash Investments SavingsAndTempCashInvestments

Field	Value	IRS element (for citing)
BOY	27361347	BOY
EOY	15151325	EOY

Accounts Receivable AccountsReceivable

Field	Value	IRS element (for citing)
BOY	56790303	BOY
EOY	78384996	EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

Field	Value	IRS element (for citing)
BOY	312119	BOY
EOY	294828	EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

Field	Value	IRS element (for citing)
BOY	4972377	BOY
EOY	6380256	EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

Field	Value	IRS element (for citing)
BOY	8400620	BOY
EOY	6126896	EOY

Field	Value	IRS element (for citing)
Land Buildings Equipment Basis	386378355	LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec	222810215	LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Field	Value	IRS element (for citing)
BOY	158663845	BOY
EOY	163568140	EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

Field	Value	IRS element (for citing)
BOY	159390048	BOY
EOY	155892313	EOY

Investments Program Related InvestmentsProgramRelated

Field	Value	IRS element (for citing)
BOY	1975596	BOY
EOY	1834079	EOY

Other Assets Total OtherAssetsTotal

Field	Value	IRS element (for citing)
BOY	25881365	BOY
EOY	26834736	EOY

Total Assets TotalAssets

Field	Value	IRS element (for citing)
BOY	443747620	BOY
EOY	454467569	EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Field	Value	IRS element (for citing)
BOY	45381916	BOY
EOY	48095146	EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

Field	Value	IRS element (for citing)
BOY	111228588	BOY
EOY	106708525	EOY

Other Liabilities OtherLiabilities

Field	Value	IRS element (for citing)
BOY	45671422	BOY
EOY	52791172	EOY

Total Liabilities TotalLiabilities

Field	Value	IRS element (for citing)
BOY	202281926	BOY
EOY	207594843	EOY

Field	Value	IRS element (for citing)
Follow SFAS117	X	FollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	233938728	BOY
EOY	239487137	EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	1890721	BOY
EOY	1896459	EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	5636245	BOY
EOY	5489130	EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	241465694	BOY
EOY	246872726	EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	443747620	BOY
EOY	454467569	EOY

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	X	InfoInScheduleOPartXI
Reconcilation Revenue Expenses	9918283	ReconcilationRevenueExpenses
Reconcilation Other Changes	-4511251	ReconcilationOtherChanges
Method Of Accounting Accrual	X	MethodOfAccountingAccrual
Accountant Compile Or Review	0	AccountantCompileOrReview
FS Audited	1	FSAudited
Audit Committee	1	AuditCommittee
Financial Statement Consolidated	X	FinancialStatementConsolidated
Federal Grant Audit Required	0	FederalGrantAuditRequired

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital170b1 Aiii	X	Hospital170b1Aiii

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

Field	Value	IRS element (for citing)
Contributor Number	RESTRICTED	ContributorNumber

Contributor Name Business ContributorNameBusiness

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor Address US ContributorAddressUS

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Aggregate Contributions	RESTRICTED	AggregateContributions

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Volunteers	0	Volunteers
Paid Staff Or Management	0	PaidStaffOrManagement
Media Advertisements	0	MediaAdvertisements
Mailings Members	0	MailingsMembers
Publications Or Broadcast	0	PublicationsOrBroadcast
Grants Other Organizations	0	GrantsOtherOrganizations
Direct Contact Legislators	0	DirectContactLegislators
Rallies Demonstrations	0	RalliesDemonstrations
Other Activities	1	OtherActivities
Other Activities	$133,944	OtherActivitiesAmount
Total Lobbying Expenditures IIB	133944	TotalLobbyingExpendituresIIB
Not Described In501c3	0	NotDescribedIn501c3

Form990 Schedule C Part IV Form990ScheduleCPartIV

Field	Value	IRS element (for citing)
Identifier	EXPLANATION OF LOBBYING ACTIVITIES:	Identifier
Return Reference	PART II-B, LINE 1:	ReturnReference
Explanation	PORTIONS OF THE 2011/2012 ILLINOIS HOSPITAL AND AMERICAN HOSPITAL ASSOCIATION DUES USED FOR LOBBYING: $36,444. A LAW FIRM WAS ENGAGED TO REVIEW LEGISLATION AFFECTING HOSPITALS: $97,500.	Explanation

Schedule D IRS990ScheduleD

Current Year CurrentYear

Field	Value	IRS element (for citing)
Beginning Of Year Balance	6377718	BeginningOfYearBalance
Contributions	43659	Contributions
Investment Earnings Or Losses	-269495	InvestmentEarningsOrLosses
Other Expenditures	144575	OtherExpenditures
End Of Year Balance	6007307	EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

Field	Value	IRS element (for citing)
Beginning Of Year Balance	5553681	BeginningOfYearBalance
Contributions	98184	Contributions
Investment Earnings Or Losses	763174	InvestmentEarningsOrLosses
Other Expenditures	37321	OtherExpenditures
End Of Year Balance	6377718	EndOfYearBalance

Current Year Minus2 Years CurrentYearMinus2Years

Field	Value	IRS element (for citing)
Beginning Of Year Balance	5098504	BeginningOfYearBalance
Contributions	13425	Contributions
Investment Earnings Or Losses	457937	InvestmentEarningsOrLosses
Other Expenditures	16185	OtherExpenditures
End Of Year Balance	5553681	EndOfYearBalance

Current Year Minus3 Years CurrentYearMinus3Years

Field	Value	IRS element (for citing)
Beginning Of Year Balance	6059940	BeginningOfYearBalance
Contributions	14405	Contributions
Investment Earnings Or Losses	-958754	InvestmentEarningsOrLosses
Other Expenditures	17087	OtherExpenditures
End Of Year Balance	5098504	EndOfYearBalance

Field	Value	IRS element (for citing)
Board Designated EOY Balance	0.00000	BoardDesignatedEOYBalance
Permanent Endowment EOY Balance	0.91000	PermanentEndowmentEOYBalance
Term Endowment EOY Balance	0.09000	TermEndowmentEOYBalance
Endowments Held By Unrelated Orgs	0	EndowmentsHeldByUnrelatedOrgs
Endowments Held By Related Orgs	1	EndowmentsHeldByRelatedOrgs
Are Related Orgs Listed Schedule R	1	AreRelatedOrgsListedScheduleR

Land Land

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	2459970	OtherCostOrOtherBasis
Book Value	2459970	BookValue

Buildings Buildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	193453798	OtherCostOrOtherBasis
Depreciation	91572020	Depreciation
Book Value	101881778	BookValue

Leasehold Improvements LeaseholdImprovements

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	9249517	OtherCostOrOtherBasis
Depreciation	4552998	Depreciation
Book Value	4696519	BookValue

Equipment Equipment

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	174655952	OtherCostOrOtherBasis
Depreciation	121920977	Depreciation
Book Value	52734975	BookValue

Other Land Buildings OtherLandBuildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	6559118	OtherCostOrOtherBasis
Depreciation	4764220	Depreciation
Book Value	1794898	BookValue

Field	Value	IRS element (for citing)
Total Of Book Value Land Buildings	163568140	TotalOfBookValueLandBuildings

Other Assets OtherAssets (4 entries)

DescriptionDescription	Book ValueBookValue
DEFERRED BOND ISSUANCE COSTS	2963144
ADVANCE TO AMERICAN RESTAURANT ASSOC. (ARA)	189268
INTEREST IN NET ASSETS OF RECIPIENT ORGANIZATION	6880982
GOODWILL	16801342

Field	Value	IRS element (for citing)
Total Book Value Other Assets	26834736	TotalBookValueOtherAssets

Other Liabilities OtherLiabilities (6 entries)

DescriptionDescription	AmountAmount
ESTIMATED DUE-3RD PARTY PAYORS	$24,726,421
RESERVE FOR SELF INSURNACE	$12,665,349
DEFERRED COMPENSATION	$8,808,999
ASBESTOS RETIREMENT OBLIGATION	$239,942
DUE TO AFFILIATED ORGANIZATION	$1,830,398
CURRENT MATURITIES OF LONG TERM DEBT	$4,520,063

Field	Value	IRS element (for citing)
Total Of Amounts	52791172	TotalOfAmounts

Form990 Schedule D Part XIV Form990ScheduleDPartXIV

Field	Value	IRS element (for citing)
Identifier	DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48:	Identifier
Return Reference	PART X:	ReturnReference
Explanation	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 BALANCE SHEET ALONG WITH ANY ASSOCIATED INTEREST AND PENALTIES THAT WOULD BE PAYABLE TO THE TAXING AUTHORITIES UPON EXAMINATION. AT MAY 31, 2012 AND 2011, THERE WERE NO UNRECOGNIZED TAX BENEFITS IDENTIFIED OR RECORDED AS LIABILITIES.	Explanation

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Charity Care Policy	1	CharityCarePolicy
Written Policy	1	WrittenPolicy
Policy Applied To All Hospitals	X	PolicyAppliedToAllHospitals
FPG Reference Free Care	1	FPGReferenceFreeCare
Pcent200	X	Pcent200
FPG Reference Discounted Care	1	FPGReferenceDiscountedCare

Discounted Other DiscountedOther

Field	Value	IRS element (for citing)
Other	X	Other
Discounted Other Percentage	600.000000000000	DiscountedOtherPercentage

Field	Value	IRS element (for citing)
Free Disc Care Medically Indigent	1	FreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity Care	1	AmountsBudgetedForCharityCare
Expenses Exceeded Budget	1	ExpensesExceededBudget
Unable To Provide Care	0	UnableToProvideCare
Annual Community Benefit Report	1	AnnualCommunityBenefitReport
Report Publically Available	1	ReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

Field	Value	IRS element (for citing)
Total Community Benefit Expense	13819766	TotalCommunityBenefitExpense
Net Community Benefit Expense	13819766	NetCommunityBenefitExpense
Percent Of Total Expense	0.03360	PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

Field	Value	IRS element (for citing)
Total Community Benefit Expense	89559001	TotalCommunityBenefitExpense
Direct Offsetting Revenue	71393896	DirectOffsettingRevenue
Net Community Benefit Expense	18165105	NetCommunityBenefitExpense
Percent Of Total Expense	0.04410	PercentOfTotalExpense

Unreimbursed Costs UnreimbursedCosts

Field	Value	IRS element (for citing)
Total Community Benefit Expense	1737362	TotalCommunityBenefitExpense
Direct Offsetting Revenue	1517341	DirectOffsettingRevenue
Net Community Benefit Expense	220021	NetCommunityBenefitExpense
Percent Of Total Expense	0.00050	PercentOfTotalExpense

Total Charity Care TotalCharityCare

Field	Value	IRS element (for citing)
Total Community Benefit Expense	105116129	TotalCommunityBenefitExpense
Direct Offsetting Revenue	72911237	DirectOffsettingRevenue
Net Community Benefit Expense	32204892	NetCommunityBenefitExpense
Percent Of Total Expense	0.07820	PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

Field	Value	IRS element (for citing)
Total Community Benefit Expense	7100179	TotalCommunityBenefitExpense
Direct Offsetting Revenue	1057223	DirectOffsettingRevenue
Net Community Benefit Expense	6042956	NetCommunityBenefitExpense
Percent Of Total Expense	0.01470	PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

Field	Value	IRS element (for citing)
Total Community Benefit Expense	17038205	TotalCommunityBenefitExpense
Direct Offsetting Revenue	3012529	DirectOffsettingRevenue
Net Community Benefit Expense	14025676	NetCommunityBenefitExpense
Percent Of Total Expense	0.03410	PercentOfTotalExpense

Research Research

Field	Value	IRS element (for citing)
Total Community Benefit Expense	1952227	TotalCommunityBenefitExpense
Direct Offsetting Revenue	1125055	DirectOffsettingRevenue
Net Community Benefit Expense	827172	NetCommunityBenefitExpense
Percent Of Total Expense	0.00200	PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

Field	Value	IRS element (for citing)
Total Community Benefit Expense	928673	TotalCommunityBenefitExpense
Direct Offsetting Revenue	287585	DirectOffsettingRevenue
Net Community Benefit Expense	641088	NetCommunityBenefitExpense
Percent Of Total Expense	0.00160	PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

Field	Value	IRS element (for citing)
Total Community Benefit Expense	27019284	TotalCommunityBenefitExpense
Direct Offsetting Revenue	5482392	DirectOffsettingRevenue
Net Community Benefit Expense	21536892	NetCommunityBenefitExpense
Percent Of Total Expense	0.05230	PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

Field	Value	IRS element (for citing)
Total Community Benefit Expense	132135413	TotalCommunityBenefitExpense
Direct Offsetting Revenue	78393629	DirectOffsettingRevenue
Net Community Benefit Expense	53741784	NetCommunityBenefitExpense
Percent Of Total Expense	0.13050	PercentOfTotalExpense

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	0	BadDebtExpenseReported
Bad Debt Expense	$27,980,000	BadDebtExpenseAmount
Amount Attributable To	4197000	AmountAttributableTo
Amount Reimbursed By Medicare	75926972	AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare	94989541	CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall	-19062569	MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

Field	Value	IRS element (for citing)
Cost To Charge Ratio	X	CostToChargeRatio

Field	Value	IRS element (for citing)
Written Debt Collection Policy	1	WrittenDebtCollectionPolicy
Provision For Charity Care	1	ProvisionForCharityCare

Form990 Schedule H Part IV Form990ScheduleHPartIV (2 entries)

Description Ent Primary ActivityDescriptionEntPrimaryActivity	Organization Profit Or OwnershipOrganizationProfitOrOwnership	Officers Etc Profit Or OwnershipOfficersEtcProfitOrOwnership	Physicans Profit Or OwnershipPhysicansProfitOrOwnership
1 FEATHERSTONE PARTNERSHIP LLC
AMBULATORY SURGERY CENTER	0.29630	0.00000	0.70370
2 NORTHERN ILLINOIS VEIN CLINIC LLC
OUTPATIENT PHYSICIAN CLINIC	0.50000	0.00000	0.50000

Field	Value	IRS element (for citing)
Number Of Hospital Facilities	2	NumberOfHospitalFacilities

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA (2 entries)

Facility NumberFacilityNumber	Address Line1Address/AddressLine1	CityAddress/City	StateAddress/State	ZIP CodeAddress/ZIPCode	Licensed HospitalLicensedHospital	General Medical And SurgicalGeneralMedicalAndSurgical	Teaching HospitalTeachingHospital	Research FacilityResearchFacility	Er24 HoursEr24Hours
SWEDISHAMERICAN HOSPITAL
1	1401 E STATE STREET	ROCKFORD	IL	61104	X	X	X	X	X
SWEDISHAMERICAN MEDICAL CTR BELVIDERE
2	1625 S STATE STREET	BELVIDERE	IL	61008	X	X			X

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB (2 entries)

Hospital Facility NumberHospitalFacilityNumber	CHNA ConductedCHNAConducted	Eligibility Criteria ExplainedEligibilityCriteriaExplained	Uses FPG FreeUsesFPGFree	FPG Free PercentFPGFreePercent	Uses FPG DiscountedUsesFPGDiscounted	FPG Discount PercentFPGDiscountPercent	Explains BasisExplainsBasis	Income LevelIncomeLevel	Asset LevelAssetLevel	Insurance StatusInsuranceStatus	Uninsured DiscountUninsuredDiscount	State RegulationStateRegulation	Explains Application MethodExplainsApplicationMethod	Includes Publicity MeasuresIncludesPublicityMeasures	Posted On WebsitePostedOnWebsite	Other PublicityOtherPublicity	Actions On NonpaymentActionsOnNonpayment	Collection ActivitiesCollectionActivities	Nondiscrim Emergency Care PolicyNondiscrimEmergencyCarePolicy	Used Other MethodUsedOtherMethod	Amounts Generally BilledAmountsGenerallyBilled	Gross ChargesGrossCharges
SWEDISHAMERICAN HOSPITAL
1	0	1	1	200.000000000000	1	600.000000000000	1	X	X	X	X	X	1	1	X	X	1	0	1	X	0	0
SWEDISHAMERICAN MEDICAL CTR BELVIDERE
2	0	1	1	200.000000000000	1	600.000000000000	1	X	X	X	X	X	1	1	X	X	1	0	1	X	0	0

Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC

Field	Value	IRS element (for citing)
Number Of Other Facilities	25	NumberOfOtherFacilities

Other Facilities OtherFacilities (25 entries)

Address Line1Address/AddressLine1	CityAddress/City	StateAddress/State	ZIP CodeAddress/ZIPCode	Facility TypeFacilityType
ONCOLOGY
209 9TH STREET	ROCKFORD	IL	61104	OUTPATIENT CLINIC
ACT
2473 MCFARLAND ROAD	ROCKFORD	IL	61107	OUTPATIENT CLINIC
ROCKFORD AMBULATORY SURGERY CENTER
1016 FEATHERSTONE ROAD	ROCKFORD	IL	61107	AMBULATORY SURGERY CENTER
BROOKSIDE SPECIALTY CENTER
1253 N ALPINE ROAD	ROCKFORD	IL	61107	OUTPATIENT CLINIC
LUNDHOLM ORTHOPEDICS
1340 CHARLES STREET	ROCKFORD	IL	61104	OUTPATIENT CLINIC
MIDWEST HEART SPECIALISTS
1340 CHARLES STREET SUITE 300	ROCKFORD	IL	61104	OUTPATIENT CLINIC
WOODSIDE
3775 N MULFORD ROAD	ROCKFORD	IL	61114	OUTPATIENT CLINIC
HOME HEALTH CARE
2550 CHARLES STREET	ROCKFORD	IL	61108	HOME HEALTH
BROOKSIDE OCCUPATIONAL & IMMED CARE
1215 N ALPINE ROAD	ROCKFORD	IL	61107	OUTPATIENT CLINIC
5 POINTS CLINIC
2404 CHARLES STREET	ROCKFORD	IL	61108	OUTPATIENT CLINIC
CAMELOT OBGYN
1415 E STATE STREET	ROCKFORD	IL	61104	OUTPATIENT CLINIC
VALLEY CLINIC
6824 NEWBURG ROAD	ROCKFORD	IL	61108	OUTPATIENT CLINIC
ROCK VALLEY WOMEN'S HEALTH CENTER
6861 VILLAGE GREEN VIEW	ROCKFORD	IL	61107	OUTPATIENT CLINIC
BELVIDERE CLINIC
1700 HENRY LUCKOW LANE	BELVIDERE	IL	61008	OUTPATIENT CLINIC
MIDTOWN CLINIC
1340 CHARLES STREET SUITE 405	ROCKFORD	IL	61103	OUTPATIENT CLINIC
ROSCOE CLINIC & IMMEDIATE CARE
5005 HONONEGAH ROAD	ROSCOE	IL	61073	OUTPATIENT CLINIC
DAVIS JUNCTION CLINIC
5665 NORTH JUNCTION WAY	DAVIS JUNCTION	IL	61020	OUTPATIENT CLINIC
WOUND CARE & HYPERBARIC CLINICS
1415 E STATE STREET SUITE 408 609	ROCKFORD	IL	61104	OUTPATIENT CLINIC
BYRON CLINIC
220 W BLACKHAWK DRIVE	BYRON	IL	61010	OUTPATIENT CLINIC
NEURO AND HEADACHE CENTER
1340 CHARLES STREET SUITE 400	ROCKFORD	IL	61104	OUTPATIENT CLINIC
NORTHERN ILLINOIS VEIN CLINIC
1340 CHARLES STREET SUITE 404	ROCKFORD	IL	61104	OUTPATIENT CLINIC
MATERNAL FETAL MEDICINE
1401 EAST STATE ST	ROCKFORD	IL	61104	OUTPATIENT CLINIC
CENTER FOR WOMEN
1340 CHARLES STREET SUITE 301	ROCKFORD	IL	61104	OUTPATIENT CLINIC
MARENGO CLINIC & IMMEDIATE CARE
204 E PRAIRIE STREET	MARENGO	IL	60152	OUTPATIENT CLINIC
DIXON ONCOLOGY
101 W 2ND STREET	DIXON	IL	61021	OUTPATIENT CLINIC

Form990 Schedule H Part VI Form990ScheduleHPartVI (15 entries)

ExplanationExplanation	IdentifierIdentifier
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 CALL COVERAGE PAYMENTS $11,071,137EMERGENCY DEPARTMENT PHYSICIANS $1,342,766TOTAL $12,413,903
PART I, L7 COL(F): THE BAD DEBT EXPENSE IN PART IX COLUMN A WAS SUBTRACTED FOR THE PURPOSE OF CALCULATING THE PERCENTAGE OF EXPENSE IS $27,980,347.PART 1 LINES 7 - LINES 7A AND 7F COSTS WERE CALCULATED USING THE 2012 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 4: 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. THOSE PATIENTS WHO DO NOT MEET PRESUMPTIVE ELIGIBILTY 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 ALLOWENCE FOR DOUBTFUL ACCOUNTS. IT IS DETERMINED BASED ON HISTORICAL EXPERIENCE OF UNCOLLECTIBLE AMOUNTS AFTER CONTRACTUAL DISCOUNTS, PATIENT PAYMENTS AND AMOUNTS QUALIFIYING UNDER CHARITY ASSISTANCE POLICY.FROM THE AUDITED FINANCIAL STATEMENTS:PATIENT RECEIVABLES DUE DIRECTLY FROM PATIENTS ARE CARRIED AT THE ORIGINAL CHARGE FOR THE SERVICE PROVIDED, LESS AMOUNTS COVERED BY THIRD-PARTY PAYERS AND LESS AN ESTIMATED ALLOWANCE FOR DOUBTFUL RECEIVABLES. MANAGEMENT DETERMINES THE ALLOWANCE FOR DOUBTFUL ACCOUNTS BY IDENTIFYING TROUBLED ACCOUNTS AND BY HISTORICAL EXPERIENCE APPLIED TO AN AGING OF ACCOUNTS. PATIENT RECEIVABLES ARE WRITTEN OFF WHEN DEEMED UNCOLLECTIBLE. RECOVERIES OF RECEIVABLES PREVIOUSLY WRITTEN OFF ARE RECORDED WHEN RECEIVED. THE PAST DUE STATUS OF RECEIVABLES IS DETERMINED ON A CASE-BY-CASE BASIS DEPENDING ON THE PAYER RESPONSIBLE. PART III LINE 2 COSTS WERE CALCULATED USING THE 2012 MEDICARE COST REPORT COST TO CHARGE RATIO.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 INDICATES 16.8% OF THE POPULATION IN WINNEBAGO COUNTY IS BELOW THE POVERTY LEVEL AND THE MEDIAN HOUSEHOLD INCOME WAS $47,597 WITH A HOUSEHOLD SIZE OF 2.57. FOR A HOUSEHOLD SIZE OF 3 AN INCOME OF $37,060 IS 200% OF THE POVERTY LEVEL AND $111,180 IS 600% OF THE POVERTY LEVEL. APPROXIMATELY 94% OF OUR CHARITY WRITE-OFFS ARE FOR PATIENTS WITHOUT INSURANCE WHILE 67% OF OUR BAD DEBT WRITE-OFFS ARE FOR PATIENTS WITHOUT INSURANCE. IN 2012 ONLY 15% OF ALL ACCOUNTS WRITTEN OFF TO BAD DEBT WERE RECOVERED. BASED ON DEMOGRAPHICS AND INTERNAL DATA WE BELIEVE THAT A MINIMUM OF 15% OF THE AMOUNTS WRITTEN OFF AS BAD DEBT WOULD QUALIFY FOR CHARITY, AND AS SUCH 15% OF THE BAD DEBT EXPENSE FROM LINE 2 IS REPORTED ON LINE 3.
PART III, LINE 8: SWEDISHAMERICAN HOSPITAL MUST TREAT PATIENTS REGARDLESS OF THEIR ABILITY TO PAY. THE GOVERNEMENT 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. SWEDISHAMERICAN HOSPITAL'S TREATMENT OF MEDICARE BENEFICIARIES RELIEVES THE GOVERNMENT BURDEN OF DIRECTLY PROVIDING MEDICAL CARE WHERE BY LAW THEY ARE REQUIRED TO PROVIDE TO ELIGIBLE BENEFICIARIES. DUE TO THE REQUIRMENT 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 SWEDISHAMERICAN HOSPITAL. THESE SHORTFALLS WERE CALCULATED USING THE COST TO CHARGE RATIO.MEDICARE SHORTFALL HOSPITAL PROGRAMS PART III LINE 7 ($19,062,569)MEDICARE SHORTFALL PHYSICIAN PROGRAMS ($29,798,415)TOTAL MEDICARE SHORTFALL ($48,860,984)
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 OR FINANCIAL ASSISTANCE AND THE PATIENT COOPERATES WITH THE REQUIREMENTS OF THE CHARITY CARE POLICY, COLLECTION EFFORTS ARE CEASED.
PART V, SECTION B, LINE 13G: 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.	SWEDISHAMERICAN HOSPITAL
PART V, SECTION B, LINE 13G: 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.	SWEDISHAMERICAN MEDICAL CTR. BELVIDERE
PART V, SECTION B, LINE 19D: THE MAXIMUM AMOUNT THAT MAY BE COLLECTED IN A 12-MONTH PERIOD FROM AN UNINSURED PATIENT WITH FAMILY INCOME OF LESS THAN OR EQUAL TO 600 PERCENT OF THE FEDERAL POVERTY GUIDELINES FOR MEDICALLY NECESSARY SERVICES IS 25 PERCENT OF THAT PATIENT'S FAMILY INCOME. THE HOSPITAL WILL DETERMINE, ON A CASE-BY-CASE BASIS, WHETHER TO EXTEND THE SAME OR SIMILAR 12-MONTH MAXIMUM COLLECTIBLE AMOUNT TO ANY OTHER QUALIFYING SELF-PAY PATIENT WITH FAMILY INCOME OF LESS THAN OR EQUAL TO 600 PERCENT OF THE FEDERAL POVERTY GUIDELINES FOR QUALIFYING SERVICES. THE HOSPITAL RESERVES THE RIGHT TO EXCLUDE PATIENTS HAVING ASSETS WITH A VALUE IN EXCESS OF 600 PERCENT OF THE FEDERAL POVERTY GUIDELINES FROM THE APPLICATION OF THE 12-MONTH MAXIMUM COLLECTIBLE AMOUNT. FOR PURPOSES OF DETERMINING THE APPLICABILITY OF THE 12-MONTH MAXIMUM COLLECTIBLE AMOUNT, THE FOLLOWING ASSETS SHALL NOT BE COUNTED:A. THE UNINSURED PATIENT'S PRIMARY RESIDENCE.B. PERSONAL PROPERTY EXEMPT FROM JUDGMENT UNDER SECTION 12-1001 OF THE CODE OF CIVIL PROCEDURE.C. ANY AMOUNTS HELD IN A PENSION OR RETIREMENT PLAN, PROVIDED, HOWEVER, THAT DISTRIBUTIONS AND PAYMENTS FROM PENSION OR RETIREMENT PLAN MAY BE INCLUDED AS INCOME.TO BE ELIGIBLE TO HAVE THIS MAXIMUM AMOUNT APPLIED TO SUBSEQUENT CHARGES, A PATIENT SHALL INFORM THE HOSPITAL, IN SUBSEQUENT HOSPITAL INPATIENT ADMISSIONS OR OUTPATIENT ENCOUNTERS, THAT THE PATIENT HAS PREVIOUSLY RECEIVED MEDICALLY NECESSARY SERVICES FROM THE HOSPITAL AND WAS DETERMINED TO BE ENTITLED TO DISCOUNTED CARE UNDER THIS POLICY.IN NO EVENT SHALL A PATIENT WHO RECEIVES FINANCIAL ASSISTANCE UNDER THIS POLICY BE CHARGED GROSS CHARGES IN VIOLATION OF THE INTERNAL REVENUE CODE SECTION 501(R)(5)(B). FOR EMERGENCY OR OTHER MEDICALLY NECESSARY CARE PROVIDED TO PATIENTS WHO RECEIVE FINANCIAL ASSISTANCE UNDER THIS POLICY, HOSPITAL SHALL NOT CHARGE AMOUNTS IN EXCESS OF CHARGES ALLOWED UNDER INTERNAL REVENUE CODE 501(R)(5)(A). ASSETS ARE NOT CONSIDERED IN DETERMINING A SELF-PAY PATIENT'S ELIGIBILITY FOR FINANCIAL ASSISTANCE UNDER THIS POLICY, EXCEPT FOR PURPOSES OF:A. DETERMINING THE APPLICABILITY OF THE 12-MONTH MAXIMUM COLLECTIBLE AMOUNT DESCRIBED ABOVE; ANDB. IN THE CASE OF A MEDICARE BENEFICIARY, APPLYING THE MANDATORY ASSET TEST FOR MEDICARE BENEFICIARIES DESCRIBED ABOVE.	SWEDISHAMERICAN HOSPITAL
PART V, SECTION B, LINE 19D: THE MAXIMUM AMOUNT THAT MAY BE COLLECTED IN A 12-MONTH PERIOD FROM AN UNINSURED PATIENT WITH FAMILY INCOME OF LESS THAN OR EQUAL TO 600 PERCENT OF THE FEDERAL POVERTY GUIDELINES FOR MEDICALLY NECESSARY SERVICES IS 25 PERCENT OF THAT PATIENT'S FAMILY INCOME. THE HOSPITAL WILL DETERMINE, ON A CASE-BY-CASE BASIS, WHETHER TO EXTEND THE SAME OR SIMILAR 12-MONTH MAXIMUM COLLECTIBLE AMOUNT TO ANY OTHER QUALIFYING SELF-PAY PATIENT WITH FAMILY INCOME OF LESS THAN OR EQUAL TO 600 PERCENT OF THE FEDERAL POVERTY GUIDELINES FOR QUALIFYING SERVICES. THE HOSPITAL RESERVES THE RIGHT TO EXCLUDE PATIENTS HAVING ASSETS WITH A VALUE IN EXCESS OF 600 PERCENT OF THE FEDERAL POVERTY GUIDELINES FROM THE APPLICATION OF THE 12-MONTH MAXIMUM COLLECTIBLE AMOUNT. FOR PURPOSES OF DETERMINING THE APPLICABILITY OF THE 12-MONTH MAXIMUM COLLECTIBLE AMOUNT, THE FOLLOWING ASSETS SHALL NOT BE COUNTED:A. THE UNINSURED PATIENT'S PRIMARY RESIDENCE.B. PERSONAL PROPERTY EXEMPT FROM JUDGMENT UNDER SECTION 12-1001 OF THE CODE OF CIVIL PROCEDURE.C. ANY AMOUNTS HELD IN A PENSION OR RETIREMENT PLAN, PROVIDED, HOWEVER, THAT DISTRIBUTIONS AND PAYMENTS FROM PENSION OR RETIREMENT PLAN MAY BE INCLUDED AS INCOME.TO BE ELIGIBLE TO HAVE THIS MAXIMUM AMOUNT APPLIED TO SUBSEQUENT CHARGES, A PATIENT SHALL INFORM THE HOSPITAL, IN SUBSEQUENT HOSPITAL INPATIENT ADMISSIONS OR OUTPATIENT ENCOUNTERS, THAT THE PATIENT HAS PREVIOUSLY RECEIVED MEDICALLY NECESSARY SERVICES FROM THE HOSPITAL AND WAS DETERMINED TO BE ENTITLED TO DISCOUNTED CARE UNDER THIS POLICY.IN NO EVENT SHALL A PATIENT WHO RECEIVES FINANCIAL ASSISTANCE UNDER THIS POLICY BE CHARGED "GROSS CHARGES" IN VIOLATION OF THE INTERNAL REVENUE CODE SECTION 501(R)(5)(B). FOR EMERGENCY OR OTHER MEDICALLY NECESSARY CARE PROVIDED TO PATIENTS WHO RECEIVE FINANCIAL ASSISTANCE UNDER THIS POLICY, HOSPITAL SHALL NOT CHARGE AMOUNTS IN EXCESS OF CHARGES ALLOWED UNDER INTERNAL REVENUE CODE 501(R)(5)(A). ASSETS ARE NOT CONSIDERED IN DETERMINING A SELF-PAY PATIENT'S ELIGIBILITY FOR FINANCIAL ASSISTANCE UNDER THIS POLICY, EXCEPT FOR PURPOSES OF:A. DETERMINING THE APPLICABILITY OF THE 12-MONTH MAXIMUM COLLECTIBLE AMOUNT DESCRIBED ABOVE; ANDB. IN THE CASE OF A MEDICARE BENEFICIARY, APPLYING THE MANDATORY ASSET TEST FOR MEDICARE BENEFICIARIES DESCRIBED ABOVE.	SWEDISHAMERICAN MEDICAL CTR. BELVIDERE
PART VI, LINE 2: SWEDISHAMERICAN HOSPITAL HAS PROVIDED A THIRD OF THE MONETARY SUPPORT FOR THE 2010 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 MEMBERS 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. SWEDISHAMERICAN HAS USED THIS DATA TO LAUNCH INNOVATIVE PROGRAMS AND COLLABORATIVE PARTNERSHIPS SUCH AS CARDIAC SCREENINGS WITHIN MINORITY COMMUNITIES.
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 PATIENTS ARE SCREENED FOR MEDICAID AND ILLINOIS 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: FOR MORE THAN 100 YEARS, ROCKFORD, ILLINOIS HAS BEEN KNOWN AS A MAJOR INDUSTRIAL MANUFACTURING CENTER OF MACHINE TOOLS, INDUSTRIAL FASTENERS, AUTOMOTIVE PARTS AND AEROSPACE COMPONENTS. THE ROCKFORD METROPOLITAN POPULATION HAS GROWN TO MORE THAN 250,000 PEOPLE AND IT SERVES AS THE REGIONAL TRADE CENTER FOR MORE THAN 400,000 PEOPLE IN NORTHERN ILLINOIS. MAJOR EMPLOYERS IN OUR SERVICE AREA INCLUDE CHRYSLER, HAMILTON SUNDSTRAND, TEXTRON, CITY OF ROCKFORD, ROCKFORD PUBLIC SCHOOLS, 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 UNEMPLOYMENT RATE OF 13.4% IS 15TH HIGHEST IN THE NATION. LOSS OF MANUFACTURING JOBS AND HEALTH INSURANCE COVERAGE HAS CONTRIBUTED TO STRESS AND STRAIN ON EMPLOYERS, EMPLOYEES AND HEALTHCARE PROVIDERS. TWO COMMUNITY SURVEYS HAVE IDENTIFIED HEART DISEASE, DIABETES, CANCER, PRE-NATAL CARE AND DEPRESSION AS MAJOR HEALTHCARE ISSUES IN OUR MARKET.SWEDISHAMERICAN HELPED FUND THE 2010 ROCKFORD HEALTHY COMMUNITY STUDY IN PARTNERSHIP WITH THE UNIVERSITY OF ILLINOIS COLLEGE OF MEDICINE AT ROCKFORD AND THE ROCKFORD HEALTH COUNCIL. THE STUDY REVEALED THAT MORE THAN 20 PERCENT OF THE RESIDENTS IN OUR HOSPITAL'S ZIP CODE LIVE BELOW THE POVERTY LEVEL, AND THAT THE MEDIAN HOUSEHOLD INCOME OF $25,527 IS THE LOWEST OF ALL ROCKFORD-AREA ZIP CODES. OUT-OF-POCKET HEALTHCARE COSTS ARE A PROBLEM FOR MORE THAN 45 PERCENT OF THIS AREA'S RESIDENTS, WHICH IS THE HIGHEST RATE IN THE CITY OF ROCKFORD. ADDITIONALLY, MANY RESIDENTS IN THIS VICINITY-WHICH IS AMONG THE STATE'S MOST DEPRESSED AREAS-ARE NOT ABLE TO RECEIVE NEEDED PHYSICAL OR MENTAL HEALTHCARE. THE UNITED WAY OF ROCK RIVER VALLEY' COMMUNITY ASSESSMENT FURTHER REVEALED THAT MANY LOCAL RESIDENTS LACK HEALTH INSURANCE AND ACCESS TO PRIMARY HEALTHCARE, LEADING TO PREMATURE MORBIDITY. THE ROCKFORD HEALTHY COMMUNITY STUDY IDENTIFIED EXTREMELY LOW LEVELS OF HOME OWNERSHIP IN SWEDISHAMERICAN HOSPITAL'S IMMEDIATE VICINITY. ACCORDING TO THE STUDY, MORE THAN 60 PERCENT OF RESIDENTS RENTED, WHICH WAS MUCH HIGHER THAN THE OVERALL SAMPLE (APPROXIMATELY 17 PERCENT). THE STUDY ALSO INDICATED THAT MORE THAN 12 PERCENT OF AREA RESIDENTS COULD NOT AFFORD TO MAKE BASIC HOME REPAIRS. THE UNITED WAY'S ASSESSMENT FURTHER IDENTIFIED THE NEED FOR MORE AFFORDABLE PERMANENT HOUSING UNITS, STATING: "EVEN THOUGH HOUSING IN ROCKFORD IS AMONG THE MOST AFFORDABLE IN THE COUNTRY, MANY FAMILIES, ESPECIALLY RENTERS, CANNOT AFFORD SHELTER." 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 SWEDISHAMERICAN.
PART VI, LINE 5: ALTHOUGH SWEDISHAMERICAN HOSPITAL'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. 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. OUR MISSION IS "THROUGH EXCELLENCE IN HEALTHCARE AND COMPASSIONATE SERVICE WE CARE FOR OUR COMMUNITY." IN FURTHERANCE OF ITS EXEMPT PURPOSE SWEDISHAMERICAN HOSPITAL CONTINUALLY INVESTS IN THE SURROUNDING COMMUNITY WITH PHYSICIAN ACQUISITIONS AND REGIONAL EXPANSION TO ASSURE ACCESS TO HEALTH CARE. SWEDISHAMERICAN HOSPITAL ALSO ESTABLISHED CENTERS OF EXCELLENCE AND ALLIANCES WITH OTHER HEALTH CARE PROVIDERS, INCLUDING CRUSADER CLINIC, A FEDERALLY QUALIFIED HEALTH CENTER, AND UNIVERSITY OF WISCONSIN. THIS ASSURES THE COMMUNITY WE SERVE RECEIVES THE HIGHEST QUALITY CARE. WE ALSO INVEST IN TECHNOLOGY TO ASSURE COST EFFECTIVE CARE IS DELIVERED FOR WHICH SWEDISHAMERICAN HOSPITAL HAS WON NUMEROUS AWARDS FOR ITS QUALITY OF CARE. IN ADDITION, SWEDISHAMERICAN HOSPITAL MAINTAINS AN OPEN MEDICAL STAFF AND COMMUNITY BOARD AS PART OF ITS EXEMPT PURPOSE.
PART VI, LINE 6: SWEDISHAMERICAN HOSPITAL IS A STAND ALONE HEALTH CARE PROVIDER THAT INCLUDES TWO ACUTE CARE HOSPITALS, PHYSICIAN CLINICS, PHYSICIAN EMERGENCY SERVICES, AND HOME HEALTH CARE. SWEDISHAMERICAN FOUNDATION IS A SUBSIDIARY OF SWEDISHAMERICAN HOSPITAL AND IS ORGANIZED FOR TAX PURPOSES AS A SUPPORTING ORGANIZATION. IN ORDER TO IMPROVE THE LOW RATE OF HOME OWNERSHIP IDENTIFIED IN THE ROCKFORD HEALTHY COMMUNITY STUDY, SWEDISHAMERICAN FOUNDATION (SAF) INITIATED A NEIGHBORHOOD REVITALIZATION PROGRAM IN A SIX-BLOCK AREA DIRECTLY SOUTH OF OUR HOSPITAL CAMPUS. SAF'S NEIGHBORHOOD REVITALIZATION EFFORT INCLUDES:HABITAT FOR HUMANITY HOMES: SAF ENTERED INTO A FORMAL AGREEMENT WITH THE ROCKFORD HABITAT FOR HUMANITY CHAPTER IN 2002 TO CONSTRUCT NEW AREA HOMES. BY THE END OF 2012, A TOTAL OF 29 HABITAT FOR HUMANITY HOMES HAVE NOW BEEN COMPLETED AND SOLD TO LOW-INCOME HOME OWNERS.NEW CITY-BUILT HOMES: SAF PURCHASED AND RAZED THREE, ADDITIONAL SUBSTANDARD HOMES IN THE NEIGHBORHOOD AND PROVIDED THE LOTS TO THE CITY OF ROCKFORD. THE CITY SUBSEQUENTLY BUILT THREE NEW HOMES ON THESE SITES FOR SALE TO MODERATE INCOME FAMILIES WITH PURCHASE ASSISTANCE.CRUISE FUNDRAISER: OVER THE PAST 17 YEARS, SAF'S ANNUAL FUNDRAISING GALA HAS RAISED MORE THAN $1,000,000, WHICH HAS BEEN REINVESTED INTO COMMUNITY IMPACT INITIATIVES, SUCH AS SCHOOL PHYSICALS AND IMMUNIZATIONS FOR AREA CHILDREN AND CANCER SCREENINGS FOR NEIGHBORHOOD RESIDENTS.NEIGHBORHOOD PLAYGROUND AND PARKS: BECAUSE AREA CHILDREN DID NOT HAVE A SAFE PLACE TO PLAY, SAF PURCHASED THREE CONTIGUOUS PIECES OF PROPERTY, REMOVED EXISTING COMMERCIAL AND RESIDENTIAL STRUCTURES AND PARTNERED WITH TWO LOCAL CHARITIES TO CONSTRUCT A NEW NEIGHBORHOOD PLAYGROUND. DRIVEWAY/GARAGE RENOVATION PROJECT: FOLLOWING A NEIGHBORHOOD-WIDE SURVEY, SAF COORDINATED AND IMPLEMENTED A GARAGE CONSTRUCTION AND DRIVEWAY REPLACEMENT PROGRAM. IN ADDITION TO INCREASING EXISTING HOME VALUES, THIS PROGRAM WILL HELP REDUCE ON-STREET PARKING, THEREBY INCREASING TRAFFIC FLOW AND MAKING PARKED CARS LESS VISIBLE/ACCESSIBLE TO POTENTIAL THIEVES AND VANDALS. REVERSE HOME GIFT ANNUITY PROGRAM: TO HELP STRUGGLING ELDERLY RESIDENTS REMAIN IN THEIR HOMES, SAF DEVELOPED A PROGRAM WHEREBY HOMEOWNERS DEED PHYSICAL OWNERSHIP OF THEIR PROPERTY TO THE FOUNDATION IN EXCHANGE FOR THE RIGHT TO LIVE IN THEIR HOME UNTIL DEATH OR INCAPACITY. SAF ASSUMES RESPONSIBILITIES FOR TAXES, REPAIRS, UPKEEP, LAWN MAINTENANCE AND SNOW REMOVAL. UPON TAKING ULTIMATE POSSESSION OF A HOUSE, IT WILL BE SOLD TO AN EMPLOYEE OR OTHER OWNER OCCUPANT, TO HELP INCREASE [OR AT LEAST MAINTAIN] A SIGNIFICANT PERCENTAGE OF OWNER OCCUPIED HOMES.HOMEOWNER GRANTS TO EMPLOYEES: SINCE 2004, SWEDISHAMERICAN HOSPITAL HAS OFFERED $5,000 DOWN PAYMENT ASSISTANCE TO EMPLOYEES TO HELP ENCOURAGE HOME OWNERSHIP IN THE SIX-BLOCK AREA SURROUNDING THE HOSPITAL. THIS INITIATIVE INCLUDES A FIVE-YEAR FORGIVABLE GRANT TO EMPLOYEES IN GOOD STANDING WITH NO INCOME RESTRICTIONS, AND A SECOND POSSIBLE $5,000 GRANT FOR LOW-INCOME EMPLOYEES. SINCE INCEPTION, THIS PROGRAM HAS ASSISTED 17 EMPLOYEES PURCHASE HOMES IN THE SWEDISHAMERICAN NEIGHBORHOOD.HOME RESTORATION: SINCE 2004, SAF HAS PURCHASED A TOTAL OF 27 HOMES IN THE NEIGHBORHOOD TARGET AREA, REHABBED THEM AND MADE THEM AVAILABLE TO EMPLOYEES, FIREFIGHTERS, POLICE OFFICERS AND PUBLIC SCHOOL TEACHERS, AT DISCOUNT (LESS THAN THE COST OF PURCHASE AND REPAIRS). TO DATE, 20 HOMES HAVE BEEN SOLD TO EMPLOYEES AND OTHER ELIGIBLE OWNER OCCUPANTS. IN ORDER TO ALLEVIATE FIRST-TIME HOME BUYERS' CONCERNS ABOUT THE RISING COSTS OF OWNERSHIP, THESE HOMES HAVE A SOLID ROOF, SIDING, PLUMBING, ELECTRICAL, AND A GOOD WORKING FURNACE. THIS PROGRAM WILL CONTINUE FOR AT LEAST FOUR ADDITIONAL YEARS. IN COOPERATION WITH ROCKFORD EAST HIGH SCHOOL AND DE LA GARDIE HIGH SCHOOL/GYMNASIET (LIDKOPINGS, SWEDEN), THE SWEDISHAMERICAN FOUNDATION CONSTRUCTED TWO NEW NEIGHBORHOOD HOUSES AVAILABLE FOR SALE TO EMPLOYEES OR OTHER ELIGIBLE OWNER-OCCUPANTS.IN ADDITION, THE FOUNDATION HAS 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 NEW WALGREEN'S 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 WALGREEN'S WAS COMPLETED FOLLOWED BY A 60,000-SQUARE-FOOT MEDICAL OFFICE BUILDING SOUTH OF THE HOSPITAL.
PART I LINE 6A AND PART VI LINE 7 - SWEDISHAMERICAN HOSPITAL FILES A COMMUNITY BENEFIT REPORT WITH THE ILLINOIS ATTORNEY GENERAL.

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Records Maintained	1	RecordsMaintained

Recipient Table RecipientTable (2 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EIN Of RecipientEINOfRecipient	IRC SectionIRCSection	Amount Of Cash GrantAmountOfCashGrant	Purpose Of GrantPurposeOfGrant
ILLINOIS HOSPITAL RESEARCH & HEALTH FOUNDATION
700 SOUTH SECOND	SPRINGFIELD	IL	62704	237421930	501(C)(3)	193356	QUALITY HEALTHCARE FOR ILLINOIS
UNIVERSITY OF ILLINOIS COLLEGE OF MEDICINE
1601 PARKVIEW AVE	ROCKFORD	IL	61107	376000511	501(C)(3)	338250	ACADEMIC RESEARCH

Field	Value	IRS element (for citing)
Total Nbr Of501 C3 And Govt Grants	2	TotalNbrOf501C3AndGovtGrants

Form990 Schedule I Part III Form990ScheduleIPartIII

Field	Value	IRS element (for citing)
Type Of Grant	EDUCATIONAL SCHOLARSHIP FOR CHILDREN OF NON-MANAGEMENT EMPLOYEES	TypeOfGrant
Number Of Recipients	30	NumberOfRecipients
Amount Of Cash Grant	30000	AmountOfCashGrant

Form990 Schedule I Part IV Form990ScheduleIPartIV

Field	Value	IRS element (for citing)
Explanation	SWEDISHAMERICAN HOSPITAL ONLY MAKES DONATIONS TO OTHER TAX EXEMPT ORGANIZATIONS.	Explanation

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Compensation Committee	X	CompensationCommittee
Independent Consultant	X	IndependentConsultant
Compensation Survey	X	CompensationSurvey
Board Or Committee Approval	X	BoardOrCommitteeApproval
Severance Payment	0	SeverancePayment
Supplemental Nonqual Retire Plan	1	SupplementalNonqualRetirePlan
Equity Based Comp Arrangement	0	EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org	0	CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs	0	CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org	0	CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs	0	CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments	0	AnyNonFixedPayments
Initial Contract Exception	0	InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (13 entries)

Base Compensation Filing OrgBaseCompensationFilingOrg	Comp Based On Related OrgsCompBasedOnRelatedOrgs	Bonus Filing OrgBonusFilingOrg	Bonus Related OrgsBonusRelatedOrgs	Other Compensation Filing OrgOtherCompensationFilingOrg	Other Compensation Related OrgsOtherCompensationRelatedOrgs	Deferred Comp Filing OrgDeferredCompFilingOrg	Deferred Comp Related OrgsDeferredCompRelatedOrgs	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg	Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs	Total Compensation Filing OrgTotalCompensationFilingOrg	Total Compensation Related OrgsTotalCompensationRelatedOrgs	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg	Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
DANNY L COPELAND MD
163915	0	0	0	0	0	13539	0	33778	0	211232	0	0	0
WILLIAM R GORSKI MD
558167	0	0	0	0	0	203194	0	16626	0	777987	0	0	0
JOHN C MYERS MD
454855	0	0	0	0	0	9924	0	40731	0	505510	0	0	0
WILLIAM SCHULZ MD
573270	0	0	0	0	0	17867	0	32475	0	623612	0	0	0
RICHARD WALSH
365295	0	0	0	0	0	101472	0	25237	0	492004	0	0	0
ALLEN WILLIAMS MD
211762	0	0	0	0	0	13671	0	28714	0	254147	0	0	0
DONALD HARING
324242	0	0	0	0	0	54670	0	24043	0	402955	0	0	0
KATHLEEN KELLY MD
345607	0	0	0	0	0	45211	0	590	0	391408	0	0	0
MERAT ESFAHANI MD
808914	0	0	0	0	0	12395	0	38411	0	859720	0	0	0
STEVEN MILOS MD
629890	0	0	0	0	0	12286	0	15695	0	657871	0	0	0
HARVEY EINHORN MD
694387	0	0	0	0	0	36204	0	42741	0	773332	0	0	0
PRAKASH PEDAPATI
579350	0	0	0	0	0	19704	0	17333	0	616387	0	0	0
JON MICHEL MD
784168	0	0	0	0	0	1244	0	28779	0	814191	0	0	0

Form990 Schedule J Part III Form990ScheduleJPartIII

Field	Value	IRS element (for citing)
Return Reference	PART I, LINE 4B	ReturnReference
Explanation	WILLIAM GORSKI M.D.-457(F)-$185,327; RICHARD WALSH-457(F)-$83,605; DONALD HARING-457(F)-$34,965; KATHLEEN KELLY M.D.-457(F)-$27,344; HARVEY EINHORN M.D.-457(B)-$16,500.	Explanation

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI (2 entries)

Issuer EINIssuerEIN	CUSIP NumberCUSIPNumber	Date IssuedDateIssued	Issue PriceIssuePrice	Description Of PurposeDescriptionOfPurpose	DefeasedDefeased	On Behalf Of IssuerOnBehalfOfIssuer	Pool FinancingPoolFinancing
ILLINOIS FINANCE AUTHORITY - 2004
861091967	45200BKQ0	2004-12-21	105360720	CONSTRUCTION & EQUIPMENT CARDIAC PAVILION, RENOVATE OPERATING RM & CATH LAB	0	0	0
ILLINOIS FINANCE AUTHORITY - 2010
861091967		2010-04-19	25000000	CONSTRUCTION & EQUIPMENT CARDIAC PAVILION, RENOVATE OPERATING RM & CATH LAB	0	0	0

Form990 Schedule K Part II Form990ScheduleKPartII (2 entries)

Total ProceedsTotalProceeds	Amount In Reserve FundAmountInReserveFund	Refunding EscrowRefundingEscrow	Issuance Costs From ProceedsIssuanceCostsFromProceeds	Credit EnhancementCreditEnhancement	Capital ExpendituresCapitalExpenditures	Year Of Subst CompletionYearOfSubstCompletion	Current RefundingCurrentRefunding	Advance RefundingAdvanceRefunding	Final Allocation MadeFinalAllocationMade	Adequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaind
106458982	12819	74126290	991204	3672433	27656236	2007	1	1	1	1
25000000					25000000	2010	1	1	1	1

Form990 Schedule K Part III Form990ScheduleKPartIII (2 entries)

Owning Bond Financed PropertyOwningBondFinancedProperty	Any Lease ArrangementsAnyLeaseArrangements	Mngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprty	Any Research AgreementsAnyResearchAgreements	Post Issuance Compliance ProcdrsPostIssuanceComplianceProcdrs
0	0	0	0	1
0	0	0	0	1

Form990 Schedule K Part IV Form990ScheduleKPartIV (2 entries)

Form8038 T FiledForm8038TFiled	Variable Rate IssueVariableRateIssue	Hedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecds	Gross Proceeds Invested In GICGrossProceedsInvestedInGIC	Gross Proceeds InvestedGrossProceedsInvested	Exception To RebateExceptionToRebate
0	0	0	0	0	1
0	0	0	0	0	1

Form990 Schedule K Part VI Form990ScheduleKPartVI (2 entries)

IdentifierIdentifier

ExplanationExplanation

SCHEDULE K SUPPLENTAL INFORMATION

SCHEDULE K, PART II, LINE 7 : BOND INSURANCE OF $3,672,397 WAS PURCHASED FROM BOND PROCEEDS AND IS INCLUDED AS A COST OF ISSUANCE.

SCHEDULE K PART V

WE ARE IN THE PROCESS OF ADOPTING A BOARD APPROVED WRITTEN POLICY THAT ESTABLISHES WRITTEN PROCEDURES TO ENSURE THAT VIOLATIONS OF FEDERAL TAX REQUIREMENTS ARE TIMELY IDENTIFIED AND CORRECTED THROUGH THE VOLUNTARY CLOSING AGREEMENT IF SELF-REMEDIATION IS NOT AVAILABLE UNDER APPLICABLE REGULATIONS. OUR CURRENT PROCEDURES ARE NOT WRITTEN, BUT LEGAL COUNSEL, CFO AND THE CONTROLLER REVIEW FOR COMPLIANCE.

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV (5 entries)

RelationshipRelationship	Amount Of TransactionAmountOfTransaction	Description Of TransactionDescriptionOfTransaction	Sharing Of RevenuesSharingOfRevenues
SHERYL HEAD
ROBERT L. HEAD PH.D TRUSTEE, SPOUSE	82953	EMPLOYEE COMPENSATION	0
BEVERLY DERRY
PATRICK DERRY TRUSTEE, SISTER-IN-LAW	76371	EMPLOYEE COMPENSATION	0
RIVERSIDE COMMUNITY BANK
DAN LOESCHER TRUSTEE AND OFFICER, CHAIRMAN OF RIVERSIDE COMMUNITY BANK	10478860	BANKS FEES, CERTIFICATE OF DEPOSIT, DEMAND DEPOSIT ACCOUNTS	0
MICHELLE ROOP
WILLIAM ROOP TRUSTEE, DAUGHTER	48251	EMPLOYEE COMPENSATION	0
NORTHERN ILLINOIS VEIN CLINIC
FRANK BONELLI TRUSTEE	925690	1/8 PARTNER PHYSICIAN FEES	0

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (10 entries)

Return ReferenceReturnReference	ExplanationExplanation	IdentifierIdentifier
FORM 990, PART VI, SECTION A, LINE 2	DIRECTORS WILLIAM ROOP AND JAMES GINGRICH ARE BOARD MEMBERS OF SWEDISHAMERICAN HOSPITAL AND HAVE A BUSINESS RELATIONSHIP. DIRECTORS DAVE RYDELL AND JAMES GINGRICH ARE BOARD MEMBERS OF SWEDISHAMERICAN HOSPITAL AND HAVE A BUSINESS RELATIONSHIP. DIRECTORS DAN LOESCHER AND FRANK WALTER ARE BOARD MEMBERS OF SWEDISHAMERICAN HOSPITAL AND HAVE A BUSINESS RELATIONSHIP.
FORM 990, PART VI, SECTION A, LINE 6	SWEDISHAMERICAN HEALTH SYSTEM (PARENT CORPORATION) IS THE SOLE CORPORATE MEMBER OF SWEDISHAMERICAN HOSPITAL (HOSPITAL) AND AS SUCH APPOINTS ALL TRUSTEES OF AND HAS THE AUTHORITY TO APPROVE CERTAIN DECISIONS OF THE HOSPITAL.
FORM 990, PART VI, SECTION A, LINE 7A	SWEDISHAMERICAN HEALTH SYSTEM (PARENT CORPORATION) IS THE SOLE CORPORATE MEMBER OF SWEDISHAMERICAN HOSPITAL (HOSPITAL) AND AS SUCH APPOINTS ALL TRUSTEES OF AND HAS THE AUTHORITY TO APPROVE CERTAIN DECISIONS OF THE HOSPITAL.
FORM 990, PART VI, SECTION A, LINE 7B	SWEDISHAMERICAN HEALTH SYSTEM (PARENT CORPORATION) IS THE SOLE CORPORATE MEMBER OF SWEDISHAMERICAN HOSPITAL (HOSPITAL) AND AS SUCH APPOINTS ALL TRUSTEES OF AND HAS THE AUTHORITY TO APPROVE CERTAIN DECISIONS OF THE HOSPITAL.
FORM 990, PART VI, SECTION B, LINE 11	A DRAFT VERSION OF THE FORM 990 WAS REVIEWED BY LEGAL COUNSEL AND THE CHIEF FINANCIAL OFFICER. SUBSEQUENTLY, THE AUDIT/COMPLIANCE COMMITTEE OF THE BOARD OF DIRECTORS OF SWEDISHAMERICAN HEALTH SYSTEM (PARENT CORPORATION) REVIEWED A FINAL DRAFT OF THE FORM 990 AND WAS PROVIDED WITH THE OPPORTUNITY TO COMMENT AND ASK QUESTIONS. THE ENTIRE BOARD OF DIRECTORS WAS PROVIDED WITH A COPY OF THE FORM 990 BEFORE IT WAS FILED.
FORM 990, PART VI, SECTION B, LINE 12C	THE ORGANIZATION REGULARLY AND CONSISTENTLY MONITORS AND ENFORCES COMPLIANCE WITH ITS CONFLICT OF INTEREST POLICIES, WHICH APPLY TO ALL MEMBERS OF THE BOARD OF DIRECTORS AND TO ALL EMPLOYEES. PROCEDURES ARE IN PLACE TO INDENTIFY CONFLICTS OF BOTH DIRECTORS AND EMPLOYEES. DIRECTOR CONFLICTS ARE HANDLED BY BOARD DELIBERATION AND BOARD VOTE FROM WHICH THE INTERESTED DIRECTOR IS EXCLUDED. EMPLOYEE CONFLICTS ARE HANDLED BY THE COMPLIANCE DEPARTMENT AND IN CERTAIN INSTANCES MAY REQUIRE SEPARATE BOARD ACTION. THE BOARD IS PROVIDED WITH PERIODIC COMPLIANCE REPORTS REGARDING CONFLICTS OF INTEREST.
FORM 990, PART VI, SECTION B, LINE 15	ALL COMPENSATION DECISIONS ARE MADE BY INDEPENDENT PERSONS. WITH RESPECT TO THE PRESIDENT, CEO, OFFICERS, AND KEY EMPLOYEES, THE ORGANIZATION FOLLOWS A COMPENSATION APPROVAL PROCEDURE ANNUALLY THAT INVOLVES APPROVAL OF PROPOSED AND FINAL COMPENSATION ARRANGEMENTS BY THE ORGANIZATION'S EXECUTIVE COMPENSATION COMMITTEE USING COMPARABILITY DATA, AS WELL AS CONTEMPORANEOUS DOCUMENTATION OF COMPENSATION DECISIONS IN THE MINUTES. ALL PHYSICIAN COMPENSATION ARRANGEMENTS ARE APPROVED BY THE FINANCE COMMITTEE AND FULL BOARD OF DIRECTORS 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 AND AUDITED FINANCIAL STATEMENTS OF SWEDISHAMERICAN HOSPITAL ARE AVAILABLE FROM PUBLICLY DISCLOSED FORM 990, THE ILLINOIS ATTORNEY GENERAL WEBSITE AND FROM THE U.S. SECURITIES AND EXCHANGE COMMISSION ELECTRONIC MUNICIPAL MARKET ACCESS SYSTEM.
FORM 990, PART VII, COL. B, HOURS DONATED ANNUALLY TO RELATED ORGANIZATION:	DURING THE TAX YEAR 2011 THE FOLLOWING TRUSTEES AND OFFICERS HAVE DEVOTED AN AVERAGE OF 2 HOURS PER WEEK TO SWEDISH AMERICAN HOSPITAL INSURANCE TRUST: PETER CHRISTMAN, MICHAEL DALLMAN, PATRICK DERRY, JAMES GINGRICH, ROBERT HEAD, HELEN CHUNG HILL, MIKE HOUSELOG, DENNIS JOHNSON, GREG JURY, MARCO LENIS, DAN LOESCHER, FRAN MORRISSEY, BILL ROOP, DANIEL ROSS, DAVE RYDELL, JOHN SCHEUB MD, STEVEN SJOGREN, JAMES WADDELL, THOMAS WALSH, FRANK WALTER, AMY WILCOX, SARA FLEMING MD, FRANK BONELLI MD, WILLIAM GORSKI, MD, DANNY COPELAND, MD, JOHN MYERS, MD, ALLEN WILLIAMS, MD, RICHARD WALSH, WILLIAM SCHULTZ AND DONALD HARING. DURING THE TAX YEAR 2011 THE FOLLOWING TRUSTEES AND OFFICERS HAVE DEVOTED AN AVERAGE OF 2 HOURS PER WEEK TO SWEDISH AMERICAN HEALTH SYSTEM: PETER CHRISTMAN, MICHAEL DALLMAN, PATRICK DERRY, JAMES GINGRICH, ROBERT HEAD, HELEN CHUNG HILL, MIKE HOUSELOG, DENNIS JOHNSON, GREG JURY, MARCO LENIS, DAN LOESCHER, FRAN MORRISSEY, BILL ROOP, DANIEL ROSS, DAVE RYDELL, JOHN SCHEUB MD, STEVEN SJOGREN, JAMES WADDELL, THOMAS WALSH, FRANK WALTER, AMY WILCOX, WILLIAM GORSKI, MD, RICHARD WALSH, DONALD HARING, DANNY COPELAND, MD, JOHN MYERS, MD, ALLEN WILLIAMS, MD. DURING THE TAX YEAR 2011 THE FOLLOWING TRUSTEES AND OFFICERS HAVE DEVOTED AN AVERAGE OF 2 HOURS PER WEEK TO SWEDISH AMERICAN FOUNDATION: MARCO LENIS, DAVE RYDELL, STEVEN SJOGREN, JAMES WADDELL, WILLIAM GORSKI, MD, DONALD HARING AND JOHN MYERS, MD. DURING THE TAX YEAR 2011 THE FOLLOWING TRUSTEES AND OFFICERS HAVE DEVOTED AN AVERAGE OF 2 HOURS PER WEEK TO SWEDISH AMERICAN REALTY CORPORATION: GREG JURY, STEVEN SJOGREN, FRANK WALTER, AND RICHARD WALSH AND DONALD HARING.
FORM 990, PART XI, LINE 5:	NET UNREALIZED LOSSES ON INVESTMENTS: -3,194,737. INTEREST IN RECIPIENT ORGANIZATION -1,559,552. SURGI CENTER BOOK/TAX DIFFERENCE 176,863. OTHER 75,405. SWEDISHAMERICAN FOUNDATION -9,230. TOTAL TO FORM 990, PART XI, LINE 5: -4,511,251.	CHANGES IN NET ASSETS OR FUND BALANCES:

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (4 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Primary ActivitiesPrimaryActivities	Legal Domicile StateLegalDomicileState	Exempt Code SectionExemptCodeSection	Public Charity StatusPublicCharityStatus	Direct Controlling Entity NADirectControllingEntityNA	Controlled OrgControlledOrg	Business Name Line1DirectControllingEntityName/BusinessNameLine1
SWEDISHAMERICAN HEALTH SYSTEM CORPORATION
1401 E STATE STREET	ROCKFORD	IL	61104	363241458	PARENT CORP. TO MANAGE & DIRECT ACTIVITIES OF ENTITITES	IL	501(C)(3)	LINE 3	N/A	0
SWEDISHAMERICAN FOUNDATION
1415 E STATE STREET	ROCKFORD	IL	61104	363097493	SUPPORTING ORG. FOR SWEDISHAMERICAN HOSPITAL FUND RAISING	IL	501(C)(3)	LINE 7		1	SWEDISHAMERICAN HOSPITAL
SWEDISHAMERICAN REALTY CORPORATION
1313 E STATE STREET	ROCKFORD	IL	611042298	363248013	TITLE HOLDING COMPANY	IL	501(C)(2)			1	SWEDISHAMERICAN HEALTH SYSTEM CORPORATION
SWEDISHAMERICAN HOSPITAL SELF INSURANCE TRUST
1401 E STATE STREET	ROCKFORD	IL	611042333	366652702	HOSPITAL MALPRACTICE TRUST	IL	501(C)(3)	LINE 11A		1	SWEDISHAMERICAN HOSPITAL

Form990 Schedule R Part III Form990ScheduleRPartIII (2 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Primary ActivityPrimaryActivity	Legal Domicile StateLegalDomicileState	Direct Controlling Entity NADirectControllingEntityNA	Predominant Income TypePredominantIncomeType	Disproportionate AllocationsDisproportionateAllocations	General Or Managing PartnerGeneralOrManagingPartner	Share Of Total IncomeShareOfTotalIncome	Share Of EOY AssetsShareOfEOYAssets
THREE RIVERS PARTNES LLC
1313 E STATE ST	ROCKFORD	IL	61104	262231757	INFORMATION TECHNOLOGY SERVICES	IL	N/A	N/A	0	0
NORTHERN ILLINOIS VEIN CLINIC
2550 CHARLES ST	ROCKFORD	IL	61108	201642329	OUTPATIENT HEALTH SERVICES	IL	N/A	RELATED	0	1	266866	159695

Form990 Schedule R Part IV Form990ScheduleRPartIV (4 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Primary ActivityPrimaryActivity	Legal Domicile StateLegalDomicileState	Direct Controlling Entity NADirectControllingEntityNA	Type Of EntityTypeOfEntity
SARI INSURANCE COMPANY
76 ST PAUL ST SUITE 500	BURLINGTON	VT	05401	030308753	CAPTIVE INSURANCE COMPANY	VT	N/A	C
LSG BUILDING CORPORATION
1313 EAST STATE ST	ROCKFORD	IL	61104	363033985	REAL ESTATE	IL	N/A	S
STATE & CHARLES INC
1313 EAST STATE ST	ROCKFORD	IL	61104	363321193	HOLDING COMPANY	IL	N/A	C
SWEDISHAERICAN HEALTH MANAGEMENT CORP
1401 EAST STATE ST	ROCKFORD	IL	61104	363246511	SERVICE	IL	N/A	C

Field	Value	IRS element (for citing)
Receipt Of Int Ann Rents Royalties	0	ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org	0	GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org	0	GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org	1	LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org	0	LoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other Org	0	SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org	0	PurchaseOfAssetsFromOtherOrg
Exchange Of Assets	0	ExchangeOfAssets
Rental Of Facilities To Other Orgs	0	RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs	1	RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs	0	PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs	0	PerformOfServicesByOtherOrgs
Sharing Of Facilities	0	SharingOfFacilities
Sharing Of Paid Employees	1	SharingOfPaidEmployees
Reimbursement Paid To Other Org	0	ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org	1	ReimbursementPaidByOtherOrg
Other Transfer To Other Org	1	OtherTransferToOtherOrg
Other Transfer From Other Org	1	OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (3 entries)

Transaction TypeTransactionType	Amount InvolvedAmountInvolved	Method Of Amt DeterminationMethodOfAmtDetermination
SWEDISHAMERICAN REALTY CORPORATION
J	7016091	COST
SWEDISHAMERICAN HOSPITAL SELF INSURANCE TRUST
Q	4199481	COST
SWEDISHAMERICAN HOSPITAL SELF INSURANCE TRUST
P	1679903	COST