Swedish American Hospital Self Insurance Trust
Donations deductibleSwedish American Hospital Self Insurance Trust's network
18 people8 organisationsi18 people and 8 organisations on this map.The large node is the subject of this page. Solid lines are what the register itself records (18). Violet dotted lines (43) are likely: the same full name sits on the current board of another organisation in the same register and region. Form 990 filings give names without a person identifier; SEC insider filings carry a CIK. It may be a different person.The board
18 listediTime on the board is observed from the annual filings: the IRS files no appointment date, so the bar counts years from the first filing the person appears on - a lower bound, not a filed start date. Names are exactly as filed. The IRS publishes no person identifier, so this edition does not yet link a person across organisations in the tables. The network map shows same-name matches as likely links only, never as confirmed.Tenure and departures are observed across annual filings. Observed tenure is a lower bound - a member may have joined before the first year on record. The organisation reported 14 voting members of its governing body on its latest Form 990 Part VI; we list 18 in Part VII (Part VII does not always name every voting member).| Name | Role as filed | Since | On the board |
|---|---|---|---|
| Daniel T Ross Chair | Chairman of the Board | 2018 | 8 yrs |
| Thomas R Walsh Chair | Audit/Compliance Chairman | 2018 | 8 yrs |
| Allen Williams MD | Trustee | 2018 | 8 yrs |
| Anqunette Parham | Trustee | 2018 | 8 yrs |
| Carey Gehl | Trustee (as of 9/16/23) | 2023 | 3 yrs |
| Elizabeth Bolt | Trustee (until 9/16/23) | 2018 | 8 yrs |
| Eric Fulcomer PhD | 1st Vice Chmn/Secy (until 12/31/22) | 2018 | 8 yrs |
| Frank Walter | Trustee | 2018 | 8 yrs |
| Helen Chung Hill | Trustee | 2018 | 8 yrs |
| Jeffrey Hultman | 1st Vice Chairman/Secretary | 2018 | 8 yrs |
| Kathleen Kelly MD | Trustee | 2018 | 8 yrs |
| Marco T Lenis | Trustee | 2018 | 8 yrs |
| Michael Broski | Trustee | 2018 | 8 yrs |
| Patrick T Derry (also filed as Patrick Derry) | Quality/Safety Chmn (until 12/31/22) | 2018 | 8 yrs |
| Peter D Newcomer MD MMM | Trustee | 2020 | 6 yrs |
| Steven C Sjogren | Trustee | 2018 | 8 yrs |
| Tiffanie Ferry MD | Trustee (until 12/31/22) | 2018 | 8 yrs |
| Travis Andersen | President/CEO | 2021 | 5 yrs |
Officers and senior leadership
16 listediNamed in Part VII as officers, key employees or highest-compensated staff - not board members, shown for completeness.| Name | Title as filed | On the filings |
|---|---|---|
| Ann Gantzer | VP Patient Services & CNO | 2021 |
| Ann Gantzer VP Patient | Services & CNO (until 9/23/22) | 2022 |
| Celia Shaughnessy | VP Human Resources (until 3/31/22) | since 2021 |
| Don F Daniels | VP & Chief Operating Officer | since 2018 |
| Gerard Guinane | VP Human Resources (until 4/30/21) | 2021 |
| James Cole DO | VP Medical Affairs/CMO (as of 1/1/22) | since 2022 |
| Jedediah Cantrell | VP Operations (until 3/18/22) | since 2021 |
| Julia Zimmerman | VP Strategic Growth | since 2021 |
| Michael M Polizzotto MD | CMO/CIO (until 12/31/21) | since 2021 |
| Noel Nickel | VP Strategy & BusDev (until 6/18/21) | 2021 |
| Patricia Dewane | VP, CFO, & Treasurer | since 2018 |
| Rosa Jeschke | VP Human Resources (as of 4/4/22) | since 2022 |
| Sal Ababneh | COO & President of UWNI Hospitals | since 2022 |
| Thomas O'Connor | President & CEO (until 10/15/21) | 2021 |
| Timothy Flynn MD | President, SA Medical Group | since 2021 |
| William Mewes | Interim VP Patient Services & CNO | 2023 |
Pay and hours
year to 31 October 2025iFrom Part VII of the Form 990: compensation reported for each officer, director, trustee, key employee and highest-paid staff member, and the average hours a week they report. Most board members are unpaid; a blank means nothing was reported. Pay from related organisations is shown separately.| Name | Title as filed | Hours a week | Pay from the organisation | Related organisations | Other |
|---|---|---|---|---|---|
| Carey Gehl | Trustee | 2 | $0 | $940k | $188k |
| Peter D Newcomer MD MMM | Trustee | 2 | $0 | $2m | $277k |
| Travis Andersen | President/CEO | 0.1 | $0 | $1.5m | $197k |
| Allen Williams MD | Trustee | 2 | $0 | $344k | $65k |
| Jeffrey S Hultman | Chmn of the Board | 2 | $0 | ||
| Michael Broski | 1st Vice Chmn/Secry | 2 | $0 | ||
| Kenneth Copeland | Director | 2 | $0 | ||
| Justin Franklin | Director | 2 | $0 | ||
| Jeffrey J Kaney Sr | Director | 2 | $0 | ||
| Kathleen Kelly MD | Director | 2 | $0 | ||
| Marco T Lenis | Director | 2 | $0 | ||
| Pamela Maher | Director | 2 | $0 | ||
| Anqunette Parham | Director | 2 | $0 | ||
| Daniel T Ross | Director | 2 | $0 | ||
| Thomas R Walsh | Director | 2 | $0 | ||
| James Cole DO | VP Medical Affairs/CMO | 0.1 | $0 | $415k | $103k |
| Patricia DeWane | VP, CFO, & Treasurer | 0.1 | $0 | $700k | $74k |
| Timothy Flynn MD | President, SA Medical Group | 0.1 | $0 | $606k | $105k |
| Rosa Jeschke | VP Human Resources | 0.1 | $0 | $424k | $38k |
| Julia Zimmerman | VP Strategic Growth | 0.1 | $0 | $325k | $75k |
| Sal Ababneh | COO & President of UWNI Hospitals | 0.1 | $0 | $321k | $110k |
| Christopher Carter | VP Operations & Org Mgmt | 0.1 | $0 | $281k | $23k |
| Deanna Berg | Int. VP Pt. Svcs/CNO (until 9/30/24) | 0.1 | $0 | $228k | $27k |
| Patrick Lundquist | VP Clinics | 0.1 | $0 | $137k | $31k |
| Kristie Geil | VP Patient Services/CNO | 0.1 | $0 | $77k | $19k |
| Anna Taylor | Former VP Patient Svcs. & CNO | 0 | $0 | $266k | $22k |
| Michael Polizzotto | Former CMO/CIO | 0 | $0 | $424k | $54k |
About
- Legal name
- Swedish American Hospital Self Insurance Trust
- EIN
- 366652702
- Address
- 1401 E State St, Rockford, IL, 61104-2315
- State
- Illinois
- Mission
- Through excellence in healthcare and compassionate service, we care for our community. (as filed on the Form 990)
- IRS classification
- 501(c)03 (tax-exempt under section 501(c)(3) where shown)
- Size band
- 7 (IRS master file code)
- Formed
- 1976
- Principal officer
- Travis Andersen (as named on the Form 990)
- IRS ruling date
- 1 January 1979
- Status
- Code 01 (unconditional exemption)
- Form 990 filings on record
- 6, latest 2023
- IRS Publication 78
- SOUNK (contributions deductible)
Most connected
Related organisations (Schedule R)
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Longest observed on the filings
≥8years on the filingsDaniel T Ross
≥8years on the filingsThomas R Walsh
≥8years on the filingsAllen Williams MD
≥8years on the filingsAnqunette Parham
Latest return
year to 31 October 2025iFigures from the newest Form 990 or 990-EZ in the IRS e-file releases of 2025 and 2026, for the year ending 31 October 2025. US dollars, as filed.- Total assets
- $8.9m
- Total liabilities
- $0
- Net assets or fund balances
- $8.9m
- Contributions and grants received
- $0
- Program service revenue
- $0
- Employees
- 0
- Volunteers
- 10