SWEETWATER HOSPITAL ASSOCIATION: Form 990, tax year 2020
View the entire original 990 at ProPublica ↗
- Organization
- SWEETWATER HOSPITAL ASSOCIATION (EIN 62-0544855)
- Tax period
- 2020-07-01 to 2021-06-30
- Filed
- 2022-05-12
- IRS object ID
- 202231329349304388
- Schema version
- 2020v4.2
- 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 J
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2022-05-12T12:59:58-05:00 | ReturnTs |
| Tax Period End | 2021-06-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 621046406 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | JOHNSON HICKEY & MURCHISON PC | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2215 OLAN MILLS DRIVE | AddressLine1Txt |
| City | CHATTANOOGA | CityNm |
| State Abbreviation | TN | StateAbbreviationCd |
| ZIP | 37421 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2020-07-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 620544855 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SWEETWATER HOSPITAL ASSOCIATION | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | SWEE | BusinessNameControlTxt |
| Phone | 8652138200 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 304 CHURCH STREET | AddressLine1Txt |
| City | SWEETWATER | CityNm |
| State Abbreviation | TN | StateAbbreviationCd |
| ZIP | 37874 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | IAN MCFADDEN | PersonNm |
| Person Title | CEO | PersonTitleTxt |
| Phone | 8652138200 | PhoneNum |
| Signature | 2022-05-12 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | IAN | PersonFirstNm |
| Person Last | MCFADDEN | PersonLastNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| SSN | XXX-XX-XXXX | SSN |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | TINA M HOWARD | PreparerPersonNm |
| PTIN | P00916876 | PTIN |
| Phone | 4237560052 | PhoneNum |
Additional Filer Information AdditionalFilerInformation
Trusted Customer TrustedCustomerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Trusted Customer | 2 | TrustedCustomerCd |
| Authentication Assurance Level | AAL1 | AuthenticationAssuranceLevelCd |
| Identity Assurance Level | IAL1 | IdentityAssuranceLevelCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2020 | TaxYr |
| Build TS | 2022-09-23 18:48:47Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | IAN MCFADDEN | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 304 WRIGHT STREET | AddressLine1Txt |
| City | SWEETWATER | CityNm |
| State Abbreviation | TN | StateAbbreviationCd |
| ZIP | 37874 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $60,085,902 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.SWEETWATERHOSPITAL.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1934 | FormationYr |
| Legal Domicile State | TN | LegalDomicileStateCd |
| Activity Or Mission | OUR MISSION IS TO PROVIDE THE HIGHEST QUALITY MEDICAL CARE AVAILABLE IN OUR SERVICE AREA WITHIN OUR SCOPE OF CARE. | ActivityOrMissionDesc |
| Voting Members Governing Body | 12 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 9 | VotingMembersIndependentCnt |
| Total Employee | 605 | TotalEmployeeCnt |
| Total Volunteers | 0 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $10,374,608 | PYContributionsGrantsAmt |
| CY Contributions Grants | $1,270,325 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $50,397,977 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $56,832,877 | CYProgramServiceRevenueAmt |
| PY Investment Income | $1,350,265 | PYInvestmentIncomeAmt |
| CY Investment Income | $1,457,864 | CYInvestmentIncomeAmt |
| PY Other Revenue | $511,197 | PYOtherRevenueAmt |
| CY Other Revenue | $424,638 | CYOtherRevenueAmt |
| PY Total Revenue | $62,634,047 | PYTotalRevenueAmt |
| CY Total Revenue | $59,985,704 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $0 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $23,341,195 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $24,167,570 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $30,519,169 | PYOtherExpensesAmt |
| CY Other Expenses | $32,617,916 | CYOtherExpensesAmt |
| PY Total Expenses | $53,860,364 | PYTotalExpensesAmt |
| CY Total Expenses | $56,785,486 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $8,773,683 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $3,200,218 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $94,823,444 | TotalAssetsBOYAmt |
| Total Assets EOY | $100,982,739 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $7,358,786 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $7,529,581 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $87,464,658 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $93,453,158 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | OUR MISSION IS TO PROVIDE THE HIGHEST QUALITY MEDICAL CARE AVAILABLE IN OUR SERVICE AREA WITHIN OUR SCOPE OF CARE. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $7,305,794 | ExpenseAmt |
| Revenue | $8,788,850 | RevenueAmt |
| Desc | PROVIDED FOR 309,330 LABORATORY TESTS DURING THE FISCAL YEAR ENDING 6/30/2021 | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $10,116,912 | ExpenseAmt |
| Revenue | $12,170,618 | RevenueAmt |
| Desc | PROVIDED FOR 16,860 EMERGENCY ROOM VISITS DURING THE FISCAL YEAR ENDING 6/30/2021 | Desc |
Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $10,208,363 | ExpenseAmt |
| Revenue | $12,280,634 | RevenueAmt |
| Desc | PROVIDED FOR 69,421 X-RAY PROCEDURES DURING THE FISCAL YEAR ENDING 6/30/2021 | Desc |
Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $19,964,644 | ExpenseAmt |
| Revenue | $24,017,413 | RevenueAmt |
| Desc | ALL OTHER SERVICES INCLUDE PHARMACY, ROUTINE CARE, OPERATING ROOM, MEDICAL SUPPLIES, THERAPY, HOME HEALTHCARE, LABOR AND DELIVERY. LESS CONTRACTUAL ADUSTMENTS AND POLICY DISCOUNTS | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Prog Srvc Expense | $19,964,644 | TotalOtherProgSrvcExpenseAmt |
| Total Other Prog Srvc Revenue | $24,017,413 | TotalOtherProgSrvcRevenueAmt |
| Total Program Service Expenses | $47,595,713 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (1) | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | 0 | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | 0 | ReportOtherAssetsInd |
| Report Other Liabilities | 0 | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | 0 | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | Yes (1) | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (1) | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | Yes (1) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (1) | AuditedFinancialStmtAttInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | 0 | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (1) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | 0 | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 42 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Employee | 605 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | 0 | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | 0 | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 12 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 9 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | 0 | MembersOrStockholdersInd |
| Election Of Board Members | 0 | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | 0 | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (1) | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SWEETWATER HOSPITAL ASSOCIATION | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 8652138200 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 304 CHURCH STREET | AddressLine1Txt |
| City | SWEETWATER | CityNm |
| State Abbreviation | TN | StateAbbreviationCd |
| ZIP | 37874 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part VII | Yes (X) | InfoInScheduleOPartVIIInd |
Form990 Part VII Section A Form990PartVIISectionAGrp (18 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|
| IAN MCFADDEN | |||||||
| CEO | 37.50 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| DOUG WARREN | |||||||
| CHAIRMAN | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| RICK BETTIS | |||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| BARBARA WATSON | |||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| PAT PENNINGTON | |||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| JOHN CARSON III | |||||||
| VICE CHAIRMAN | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| DR KEN KOZAWA | |||||||
| DIRECTOR | 40.00 | Yes (X) | $1,882,468 | $0 | $0 | ||
| DR KEN ARCHER | |||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| JIM FAIRWEATHER | |||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| GARY KIMSEY | |||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| TOM KORN | |||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| DR THOMAS EVANS | |||||||
| DIRECTOR | 40.00 | Yes (X) | $0 | $0 | $0 | ||
| ASHLEY OELGOETZ | |||||||
| CFO | 37.50 | Yes (X) | $156,920 | $0 | $9,802 | ||
| MELISSA HARRIS | |||||||
| CLINICAL OFFICER | 41.00 | $150,891 | $0 | $7,555 | Yes (X) | ||
| PATTI N THOMPSON | |||||||
| PHARMACIST | 38.00 | $179,163 | $0 | $10,830 | Yes (X) | ||
| ANDREA B HENRY | |||||||
| DIRECTOR OF NURSING | 38.00 | $183,113 | $0 | $10,808 | Yes (X) | ||
| HEATHER MCDONALD | |||||||
| PHARMACIST | 39.00 | $137,553 | $0 | $5,460 | Yes (X) | ||
| SCOTT BOWMAN | |||||||
| SECRETARY TREASURER | 37.50 | $301,506 | $0 | $14,048 | Yes (X) | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $2,991,614 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $58,503 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 20 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| HS WHITSON CONSTRUCTION CO | |||||
| PO BOX 7343 | KNOXVILLE | TN | 37921 | CONSTRUCTION | $2,206,313 |
| EMERGENCY COVERAGE CORP | |||||
| PO BOX 634850 | CINCINNATI | OH | 452634850 | ER PHYSICIAN SERVICES | $1,921,070 |
| KEN KOZAWA I MD PC | |||||
| 132 FAIRLANE CIRCLE | SWEETWATER | TN | 37874 | PHYSICIAN SERVICES | $1,910,740 |
| SAM COUILLARD | |||||
| 9413 WOODY HOLLOW DRIVE | CHATTANOOGA | TN | 37421 | ANESTHESIA SERVICES | $998,460 |
| QUEST DIAGNOSTICS | |||||
| PO BOX 740736 | ATLANTA | GA | 30374 | LAB SERVICES | $757,905 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 22 | CntrctRcvdGreaterThan100KCnt |
| Government Grants | $1,268,450 | GovernmentGrantsAmt |
| All Other Contributions | $1,875 | AllOtherContributionsAmt |
| Total Contributions | $1,270,325 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | NET PATIENT REVENUE | Desc |
| Business | 621990 | BusinessCd |
| Total Revenue Column | $56,832,877 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $56,832,877 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $56,832,877 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $1,546,755 | TotalRevenueColumnAmt |
| Exclusion | $1,546,755 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $11,307 | OtherAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $100,198 | SecuritiesAmt |
| Other | $0 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | -$100,198 | SecuritiesAmt |
| Other | $11,307 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$88,891 | TotalRevenueColumnAmt |
| Exclusion | -$88,891 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| MISCELLANEOUS INCOME | 900099 | $223,865 | $223,865 |
| CAFETERIA SALES | 900099 | $179,018 | $179,018 |
| MEDICAL RECORDS TRANSCRIPTS | 900099 | $21,755 | $21,755 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $424,638 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $59,985,704 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $57,257,515 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $1,457,864 | ExclusionAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $333,411 | TotalAmt |
| Management And General | $333,411 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $20,371,290 | TotalAmt |
| Program Services | $17,135,168 | ProgramServicesAmt |
| Management And General | $3,236,122 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $489,965 | TotalAmt |
| Management And General | $489,965 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,514,931 | TotalAmt |
| Management And General | $1,514,931 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,457,973 | TotalAmt |
| Program Services | $1,215,351 | ProgramServicesAmt |
| Management And General | $242,622 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $17,603 | TotalAmt |
| Management And General | $17,603 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $169,638 | TotalAmt |
| Management And General | $169,638 | ManagementAndGeneralAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $61,010 | TotalAmt |
| Management And General | $61,010 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,628,046 | TotalAmt |
| Program Services | $1,892,203 | ProgramServicesAmt |
| Management And General | $735,843 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $312,140 | TotalAmt |
| Program Services | $2,933 | ProgramServicesAmt |
| Management And General | $309,207 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $815,498 | TotalAmt |
| Program Services | $736,646 | ProgramServicesAmt |
| Management And General | $78,852 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $93,190 | TotalAmt |
| Program Services | $70,568 | ProgramServicesAmt |
| Management And General | $22,622 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $198,278 | TotalAmt |
| Management And General | $198,278 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,663,249 | TotalAmt |
| Program Services | $1,696,516 | ProgramServicesAmt |
| Management And General | $966,733 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $296,395 | TotalAmt |
| Management And General | $296,395 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| SUPPLIES AND RAW FOOD | $9,433,550 | $9,223,599 | $209,951 |
| FEES AND REGISTRATIONS | $8,057,637 | $8,052,954 | $4,683 |
| BAD DEBT | $7,357,075 | $7,357,075 | |
| LAUNDRY | $181,667 | $181,667 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $332,940 | TotalAmt |
| Program Services | $31,033 | ProgramServicesAmt |
| Management And General | $301,907 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $56,785,486 | TotalAmt |
| Program Services | $47,595,713 | ProgramServicesAmt |
| Management And General | $9,189,773 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,374,357 | BOYAmt |
| EOY | $14,227,217 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $39,076,858 | BOYAmt |
| EOY | $19,904,634 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,874,691 | BOYAmt |
| EOY | $5,906,078 | EOYAmt |
Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $587,670 | BOYAmt |
| EOY | $624,547 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,467,699 | BOYAmt |
| EOY | $1,640,938 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $133,241 | BOYAmt |
| EOY | $142,124 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $87,582,136 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $55,851,841 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $29,184,298 | BOYAmt |
| EOY | $31,730,295 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $16,001,176 | BOYAmt |
| EOY | $24,556,309 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $146,968 | BOYAmt |
| EOY | $155,017 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,976,486 | BOYAmt |
| EOY | $2,095,580 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $94,823,444 | BOYAmt |
| EOY | $100,982,739 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,859,838 | BOYAmt |
| EOY | $7,230,410 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $498,948 | BOYAmt |
| EOY | $299,171 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,358,786 | BOYAmt |
| EOY | $7,529,581 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows FASB117 | Yes (X) | OrganizationFollowsFASB117Ind |
No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $87,464,658 | BOYAmt |
| EOY | $93,453,158 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $87,464,658 | BOYAmt |
| EOY | $93,453,158 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $94,823,444 | BOYAmt |
| EOY | $100,982,739 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $3,200,218 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $2,785,213 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | $3,069 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consol And Sep Basis Fincl Stmt | Yes (X) | ConsolAndSepBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | 0 | AuditCommitteeInd |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| 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) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | 0 | VolunteersInd |
| Paid Staff Or Management | 0 | PaidStaffOrManagementInd |
| Media Advertisements | 0 | MediaAdvertisementsInd |
| Mailings Members | 0 | MailingsMembersInd |
| Publications Or Broadcast | 0 | PublicationsOrBroadcastInd |
| Grants Other Organizations | 0 | GrantsOtherOrganizationsInd |
| Direct Contact Legislators | 0 | DirectContactLegislatorsInd |
| Rallies Demonstrations | 0 | RalliesDemonstrationsInd |
| Other Activities | Yes (1) | OtherActivitiesInd |
| Other Activities | $2,591 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $2,591 | TotalLobbyingExpendituresAmt |
| Not Described Section501c3 | 0 | NotDescribedSection501c3Ind |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART II-B, LINE 1: | FormAndLineReferenceDesc |
| Explanation | PORTION OF HOSPITAL ASSOCIATION MEMBERSHIP DUES THAT ARE USED FOR LOBBYING. | ExplanationTxt |
Schedule D IRS990ScheduleD
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,395,084 | OtherCostOrOtherBasisAmt |
| Book Value | $1,395,084 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $34,179,859 | OtherCostOrOtherBasisAmt |
| Depreciation | $19,956,077 | DepreciationAmt |
| Book Value | $14,223,782 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $41,664,845 | OtherCostOrOtherBasisAmt |
| Depreciation | $35,126,352 | DepreciationAmt |
| Book Value | $6,538,493 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $10,342,348 | OtherCostOrOtherBasisAmt |
| Depreciation | $769,412 | DepreciationAmt |
| Book Value | $9,572,936 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $31,730,295 | TotalBookValueLandBuildingsAmt |
| Total Rev Etc Audited Fincl Stmt | $62,712,976 | TotalRevEtcAuditedFinclStmtAmt |
| Net Unrealized Gains Invst | $2,785,213 | NetUnrealizedGainsInvstAmt |
| Other Revenue | $3,069 | OtherRevenueAmt |
| Revenue Not Reported | $2,788,282 | RevenueNotReportedAmt |
| Revenue Subtotal | $59,924,694 | RevenueSubtotalAmt |
| Investment Expenses Not Incld | $61,010 | InvestmentExpensesNotIncldAmt |
| Revenue Not Reported Fincl Stmt | $61,010 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $59,985,704 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $56,724,476 | TotExpnsEtcAuditedFinclStmtAmt |
| Expenses Not Reported | $0 | ExpensesNotReportedAmt |
| Expenses Subtotal | $56,724,476 | ExpensesSubtotalAmt |
| Investment Expenses Not Incld2 | $61,010 | InvestmentExpensesNotIncld2Amt |
| Expenses Not Rpt Fincl Stmt | $61,010 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $56,785,486 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART XI, LINE 2D - OTHER ADJUSTMENTS: | FormAndLineReferenceDesc |
| Explanation | INCOME FROM SUBSIDIARY 3,069. | ExplanationTxt |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (1) | FinancialAssistancePolicyInd |
| Written Policy | Yes (1) | WrittenPolicyInd |
| FPG Reference Free Care | 0 | FPGReferenceFreeCareInd |
| FPG Reference Discounted Care | Yes (1) | FPGReferenceDiscountedCareInd |
Discounted Care Oth Percentage DiscountedCareOthPercentageGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | Yes (X) | OtherInd |
| Discounted Care Other | 100.000000000000 | DiscountedCareOtherPct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Free Care Medically Indigent | 0 | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | 0 | FinancialAssistanceBudgetInd |
| Annual Community Bnft Report | 0 | AnnualCommunityBnftReportInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $2,933,958 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $1,343,971 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $1,589,987 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.03220 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $6,776,970 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $3,378,640 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $3,398,330 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.06880 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $9,710,928 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $4,722,611 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $4,988,317 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.10100 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $402,299 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $402,299 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00810 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $26,900 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $26,900 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00050 | TotalExpensePct |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $14,550 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $14,550 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00030 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $443,749 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $443,749 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00890 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $10,154,677 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $4,722,611 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $5,432,066 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.10990 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (1) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $9,986,782 | BadDebtExpenseAmt |
| Bad Debt Expense Attributable | $1,255,566 | BadDebtExpenseAttributableAmt |
| Reimbursed By Medicare | $8,743,665 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $7,730,309 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | $1,013,356 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | Yes (X) | CostToChargeRatioInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | Yes (1) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (1) | FinancialAssistancePrvsnInd |
| Hospital Facilities | 1 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SWEETWATER HOSPITAL ASSOCIATION | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 304 WRIGHT ST | AddressLine1Txt |
| City | SWEETWATER | CityNm |
| State Abbreviation | TN | StateAbbreviationCd |
| ZIP | 37874 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| State License | 00000089 | StateLicenseNum |
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
| General Medical And Surgical | Yes (X) | GeneralMedicalAndSurgicalInd |
| Emergency Room24 Hrs | Yes (X) | EmergencyRoom24HrsInd |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SWEETWATER HOSPITAL ASSOCIATION | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
| First Licensed CY Or PY | 0 | FirstLicensedCYOrPYInd |
| Tax Exempt Hospital CY Or PY | 0 | TaxExemptHospitalCYOrPYInd |
| CHNA Conducted | Yes (1) | CHNAConductedInd |
| Community Definition | Yes (X) | CommunityDefinitionInd |
| Community Demographics | Yes (X) | CommunityDemographicsInd |
| Existing Resources | Yes (X) | ExistingResourcesInd |
| How Data Obtained | Yes (X) | HowDataObtainedInd |
| Community Health Needs | Yes (X) | CommunityHealthNeedsInd |
| Other Health Issues | Yes (X) | OtherHealthIssuesInd |
| Community Hlth Needs Id Process | Yes (X) | CommunityHlthNeedsIdProcessInd |
| Consulting Process | Yes (X) | ConsultingProcessInd |
| Prior CHNA Impact | Yes (X) | PriorCHNAImpactInd |
| CHNA Conducted | 20 | CHNAConductedYr |
| Take Into Account Others Input | Yes (1) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | 0 | CHNAConductedWithOtherFcltsInd |
| CHNA Conducted With Non Fclts | 0 | CHNAConductedWithNonFcltsInd |
| CHNA Report Widely Available | Yes (1) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | WWW.SWEETWATERHOSPITAL.ORG | OwnWebsiteURLTxt |
| Paper Copy Public Inspection | Yes (X) | PaperCopyPublicInspectionInd |
| Implementation Strategy Adopt | Yes (1) | ImplementationStrategyAdoptInd |
| Implementation Strategy Adpt | 20 | ImplementationStrategyAdptYr |
| Strategy Posted Website | Yes (1) | StrategyPostedWebsiteInd |
| Strategy Website URL | WWW.SWEETWATERHOSPITAL.ORG | StrategyWebsiteURLTxt |
| Organization Incur Excise Tax | 0 | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (1) | EligCriteriaExplainedInd |
| FPG Family Incm Lmt Free Dscnt | Yes (X) | FPGFamilyIncmLmtFreeDscntInd |
| FPG Family Incm Lmt Dscnt Care | 100.000000000000 | FPGFamilyIncmLmtDscntCarePct |
| Explained Basis | Yes (1) | ExplainedBasisInd |
| App Financial Asst Expln | Yes (1) | AppFinancialAsstExplnInd |
| Described Info | Yes (X) | DescribedInfoInd |
| Described Suprt Doc | Yes (X) | DescribedSuprtDocInd |
| Provided Hospital Contact | Yes (X) | ProvidedHospitalContactInd |
| Includes Publicity Measures | Yes (1) | IncludesPublicityMeasuresInd |
| FAP Available On Website | Yes (X) | FAPAvailableOnWebsiteInd |
| FAP Available On Website URL | WWW.SWEETWATERHOSPITAL.ORG | FAPAvailableOnWebsiteURLTxt |
| FAP Summary On Website | Yes (X) | FAPSummaryOnWebsiteInd |
| FAP Summary On Website URL | WWW.SWEETWATERHOSPITAL.ORG | FAPSummaryOnWebsiteURLTxt |
| FAP Avlbl On Request No Charge | Yes (X) | FAPAvlblOnRequestNoChargeInd |
| FAP App Avlbl On Request No Chrg | Yes (X) | FAPAppAvlblOnRequestNoChrgInd |
| FAP Sum Avlbl On Request No Chrg | Yes (X) | FAPSumAvlblOnRequestNoChrgInd |
| Notified FAP Copy Bill Display | Yes (X) | NotifiedFAPCopyBillDisplayInd |
| Communtity Notified FAP | Yes (X) | CommuntityNotifiedFAPInd |
| FAP Translated | Yes (X) | FAPTranslatedInd |
| FAP Actions On Nonpayment | Yes (1) | FAPActionsOnNonpaymentInd |
| Permit No Actions | Yes (X) | PermitNoActionsInd |
| Collection Activities | 0 | CollectionActivitiesInd |
| Made Effort Orally Notify | Yes (X) | MadeEffortOrallyNotifyInd |
| Processed FAP Application | Yes (X) | ProcessedFAPApplicationInd |
| Nondis Emergency Care Policy | Yes (1) | NondisEmergencyCarePolicyInd |
| Look Back Medicaid Medcr Prvt | Yes (X) | LookBackMedicaidMedcrPrvtInd |
| Amounts Generally Billed | 0 | AmountsGenerallyBilledInd |
| Gross Charges | 0 | GrossChargesInd |
Supplemental Information SupplementalInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SWEETWATER HOSPITAL ASSOCIATION | FormAndLineReferenceDesc |
| Explanation | PART V, SECTION B, LINE 5: IN COLLABORATION WITH CHOTA, A CONVENIENCE SURVEY WAS DISTRIBUTED AS FOLLOWS:-PUBLIC OFFICIALS - MAYORS, POLICE CHIEFS, EMS DIRECTOR, MONROE COUNTY HEALTH DEPARTMENT DIRECTOR, LOCAL HEALTH PROVIDERS, SWEETWATER HOSPITAL ASSOCIATION BOARD OF DIRECTORS.-LOCAL SCHOOL OFFICIALS-THE COMMUNITY AT LARGE VIA HARD COPY AND GOOGLE DOC AS A SOCIAL MEDIA BLAST, LOCAL SHOPPING VENUES AND SCHOOL EVENTS.A TOTAL OF 403 SURVEY RESPONSES WERE RECEIVED.THIS INFORMATION WAS USED TO PRIORITZE THE THREE GREATEST HEALTH NEEDS, THREE MOST IMPORTANT HEALTH PROBLEMS THE THREE MOST IMPORTANT FACTORS FOR A HEALTHY COMMUNITY. | ExplanationTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp
Oth Hlth Care Fclts OthHlthCareFcltsGrp
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | 1 - SWEETWATER HOSPITAL HOME HEALTH | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 304 WRIGHT STREET | AddressLine1Txt |
| City | SWEETWATER | CityNm |
| State Abbreviation | TN | StateAbbreviationCd |
| ZIP | 37874 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | HOME HEALTH | FacilityTxt |
Supplemental Information Detail SupplementalInformationDetail (9 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINE 7, COLUMN (F): | THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25, COLUMN (A), BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN IS $ 7,357,075. |
| PART II, COMMUNITY BUILDING ACTIVITIES: | (1)NUTRITION OBESITY: PROVIDED COMMUNITY BASED FITNESS OPPORTUNITIES IN THE SCHOOLS,THROUGH THE CITY PARKS AND HEALTH DEPARTMENT. (2)ACCESS TO HEALTH CARE: PROVIDED HIGH QUALITY CARE IN AN EFFICIENT MANNER TO ALL PATIENTS WHO PRESENT TO THE EMERGENCY DEPARTMENT REGARDLESS OF THE LEVEL OF COMPLAINT OR ABILITY TO PAY. (3)SUBSTANCE ABUSE AND MENTAL HEALTH: SUPPORTED LOCAL NONABUSE MEETINGS, SCHOOL BASED EDUCATION AND POLICE TASK FORCES. COMMUNITY BASED ADULT AND YOUTH EDUCATION AND CRISIS SERVICES WERE PROVIDED. IN COUNTY SERVICES FOR MENTAL HEALTH WERE PROVIDED BY HIAWASSEE MENTAL HEALTH MOBILE CRISIS. COMMUNITY MENTAL HEALTH FORUM TO MEET TO PROVIDE A NETWORKING OPPORTUNITY FOR ALL MENTAL HEALTH PROVIDERS. (4)PREVENTION OF CHRONIC DISEASES: EDUCATION WAS PROVIDER BASED. THE HOSPITAL CONTINUES TO REVIEW IN FUTURE LONG RANGE PLANNING COMMITTEES.HEALTH FAIRS FOR SCHOOLS, HEALTH SCREENING AND DIABETIC TRAINING WERE AMONG SOME OF THE COMMUNITY EVENTS THAT THE HOSPITAL PARTICIPATED IN. |
| PART III, LINE 4: | THE ASSOCIATION ACCEPTS PATIENTS REGARDLESS OF THEIR ABILITY TO PAY. A PATIENT IS CLASSIFIED AS A CHARITY PATIENT WHEN NO PAYMENT IS ANTICIPATED. IN ASSESSING A PATIENT'S ABILITY TO PAY, THE ASSOCIATION USES POVERTY GUIDELINES PUBLISHED BY THE FEDERAL GOVERNMENT FOR MONROE COUNTY. WHEN INCURRED CHARGES ARE SIGNIFICANT COMPARED TO THE PATIENT'S INCOME LEVEL, THE ASSOCIATION MAY CHOOSE TO QUALIFY THE SERVICES AS CHARITY CARE. CHARITY CARE CHARGES ARE NOT INCLUDED IN NET PATIENT SERVICE REVENUE. FOOTNOTE IN FINANCIALS: PROVISION FOR BAD DEBTSTHE ASSOCIATION RECOGNIZES PATIENT SERVICE REVENUE ASSOCIATED WITH SERVICES PROVIDED TO PATIENTS WHO HAVE THIRD PARTY PAYER COVERAGE ON THE BASIS OF CONTRACTUAL RATES FOR THE SERVICES RENDERED. FOR UNINSURED PATIENTS THAT DO NOT QUALIFY FOR CHARITY CARE, THE ASSOCIATION RECOGNIZES REVENUE ON THE BASIS OF ITS STANDARD RATES FOR SERVICES PROVIDED (OR ON THE BASIS OF DISCOUNTED RATES, IF NEGOTIATED OR PROVIDED BY THE POLICY). ON THE BASIS OF HISTORICAL EXPERIENCE, A SIGNIFICANT PORTION OF THE ASSOCIATION'S UNINSURED PATIENTS WILL BE UNABLE OR UNWILLING TO PAY FOR THE SERVICES PROVIDED. THUS, THE ASSOCIATION RECORDS A SIGNIFICANT PROVISION FOR BAD DEBTS RELATED TO UNINSURED PATIENTS IN THE PERIOD THE SERVICES ARE PROVIDED. BAD DEBT AS A RESULT OF NONPAYMENT OR REDUCED PAYMENT PROVIDES A COMMUNITY BENEFIT TO THOSE WHO ARE UNABLE TO PAY FOR MEDICAL CARE. |
| PART III, LINE 8: | THE COST TO CHARGE RATIO WAS USED TO DETERMINE THE MEDICARE ALLOWABLE COSTS. THE EXCESS OF THE COST OVER REVENUE PROVIDES A BENEFIT TO THOSE IN THE COMMUNITY REGARDLESS OF THEIR ABILITY TO PAY FOR SERVICES. |
| PART III, LINE 9B: | FOR PATIENTS NOT ELIGIBLE FOR FINANCIAL ASSISTANCE, IT IS THE POLICY OF SWEETWATER HOSPITAL ASSOCIATION TO PERMIT PATIENTS, WHERE ELIGIBLE TO MAKE REGULAR PAYMENTS ON A MONTHLY BASIS. SWEETWATER HOSPITAL ASSOCIATION DOES UTILIZE EXTERNAL COLLECTION FIRMS FOR DEBT COLLECTION AS NEEDED |
| PART VI, LINE 2: | SWEETWATER HOSPITAL ASSESSED THE HEALTH NEEDS OF THE COMMUNITY SERVED BY A REVIEW OF THE EXISTING DATA ALREADY AVAILABLE IN THE COMMUNITY, REGION AND STATE. A SURVEY OF THE COMMUNITY WAS CONDUCTED. THIS SURVEY INCLUDED PATIENTS, FAMILY, VISITORS, PUBLIC OFFICIALS,SCHOOL OFFICIALS AND SOCIAL MEDIA. THE TOP THREE COMMUNITY HEALTH NEEDS WERE IDENTIFIED IN FEBRUARY 12, 2021 AS: (1) SUBSTANCE ABUSE (2)WELLNESS/HEALTHY LIFESTYLE (3)CHRONIC DISEASE. 403 SURVEY RESPONSES WERE RECIEVED. |
| PART VI, LINE 3: | PATIENTS ARE EDUCATED IN THE AVAILABILITY OF FINANCIAL ASSISTANCE THROUGH THE POSTING OF POLICY IN THE REGISTRATION OFFICE, POSTING OF THE POLICY ONLINE, AND REQUEST FROM THEIR PATIENT REPRESENTATIVE. |
| PART VI, LINE 4: | MONROE COUNTY IS LOCATED IN THE SOUTHEASTERN PORTION OF THE STATE OF TENNESSEE IN THE FOOTHILLS OF THE SMOKY MOUNTAINS. THE COUNTY HAS A TOTAL AREA OF 653 SQUARE MILES, OF WHICH 635 SQUARE MILES IS LAND AND 18 SQUARE MILES OF IT IS WATER. MONROE COUNTY RANKS AS THE SIXTH LARGEST IN LAND AREA AMOUNG TENNESSEE'S 95 COUNTIES.AS OF 2013, 5.3% OF THE POPULATION WAS UNDER 5 YEARS OLD, 21.9% WAS UNDER 18 YEARS OLD AND 18.8% WAS 65 YEARS OF AGE OR OLDER. FEMALES OUTNUMBER MALES IN ALL AREAS OF THE COUNTY AND THE MEDIAM AGE ROSE FROM 36.8 IN 2000 TO 41.6 IN 2010.AS OF JULY 1, 2014 THERE WAS A TOTAL OF 18,330 HOUSEHOLDS IN MONROE COUNTY |
| PART VI, LINE 5: | SWEETWATER HOSPITAL ASSOCIATION IS A 59-BED ACUTE CARE NOT-FOR-PROFIT CORPORATION WHICH WAS CHARTERED BY THE STATE OF TENNESSEE IN 1936. IT IS A UNIQUE ORGANIZATION IN THAT NO STOCK HAS EVER BEEN ISSUED, NOR CAN BE ISSUED IN THE FUTURE. SINCE THERE ARE NEITHER OWNERS NOR STOCKHOLDERS, ANY MONEY GENERATED IN EXCESS OF OPERATIONAL FUNDS IS DEDICATED BY LAW AND RESOLUTION OF THE BOARD OF DIRECTORS TO PERPETUAL USE FOR IMPROVING HEALTH CARE DELIVERY TO THE PEOPLE SERVED BY SWEETWATER HOSPITAL ASSOCIATION.SWEETWATER HOSPITAL ASSOCIATION IS LOCATED IN RURAL EAST TENNESSEE AND PROUDLY SERVES PARTS OF MEIGS COUNTY, MCMINN COUNTY, ROANE COUNTY, LOUDON COUNTY, AND MONROE COUNTY. IT IS THE ONLY HOSPITAL LOCATED IN MONROE COUNTY WHICH HAS A POPULATION OF APPROXIMATELY 38,000. |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | 0 | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (6 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| DR KEN KOZAWA | ||||||||||||||
| DIRECTOR | $1,882,468 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $1,882,468 | $0 | $0 | $0 |
| SCOTT BOWMAN | ||||||||||||||
| SECRETARY TREASURER | $301,506 | $0 | $0 | $0 | $0 | $0 | $11,916 | $0 | $2,132 | $0 | $315,554 | $0 | $0 | $0 |
| ANDREA B HENRY | ||||||||||||||
| DIRECTOR OF NURSING | $183,113 | $0 | $0 | $0 | $0 | $0 | $7,067 | $0 | $3,741 | $0 | $193,921 | $0 | $0 | $0 |
| PATTI N THOMPSON | ||||||||||||||
| PHARMACIST | $179,163 | $0 | $0 | $0 | $0 | $0 | $7,089 | $0 | $3,741 | $0 | $189,993 | $0 | $0 | $0 |
| ASHLEY OELGOETZ | ||||||||||||||
| CFO | $156,920 | $0 | $0 | $0 | $0 | $0 | $6,056 | $0 | $3,746 | $0 | $166,722 | $0 | $0 | $0 |
| MELISSA HARRIS | ||||||||||||||
| CLINICAL OFFICER | $150,891 | $0 | $0 | $0 | $0 | $0 | $5,537 | $0 | $2,018 | $0 | $158,446 | $0 | $0 | $0 |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (7 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION B, LINE 11B | MANAGEMENT WILL REVIEW THIS RETURN BEFORE IT IS FILED |
| FORM 990, PART VI, SECTION B, LINE 12C | POSSIBLE CONFLICT OF INTEREST ARE REQUIRED TO BE DISCLOSED ANNUALLY. |
| FORM 990, PART VI, SECTION B, LINE 15 | TOP OFFICIALS ARE APPROVED BY THE BOARD OF DIRECTORS. COMPENSATION FOR OFFICERS USE INDUSTRY STANDARDS, AND COMPENSATION COMMITTEE. |
| FORM 990, PART VI, SECTION C, LINE 19 | DOCUMENTS ARE MADE AVAILABLE UPON REQUEST |
| FORM 990, PART VII CONTACT ADDRESSES FOR OFFICERS, DIRECTORS, ETC | DR. KEN KOZAWA - 132 FAIRLANE CIRCLE, SWEETWATER, TN 37874. |
| PHYSICIAN COMPENSATION | COMPENSATION FOR DR. KOWAZA WAS FOR THE PHYSICIANS SERVICES RENDERED BY HIS PC. |
| FORM 990, PART XI, LINE 9: | SUBSIDIARY INCOME 3,069. |
Schedule R IRS990ScheduleR
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp
Related Organization Name RelatedOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | IDEAL RENTAL COMPANY INC | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 304 WRIGHT ST | AddressLine1Txt |
| City | SWEETWATER | CityNm |
| State Abbreviation | TN | StateAbbreviationCd |
| ZIP | 37874 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 620933728 | EIN |
| Primary Activities | REAL ESTATE | PrimaryActivitiesTxt |
| Legal Domicile State | TN | LegalDomicileStateCd |
| Entity Type | C | EntityTypeTxt |
| Share Of Total Income | $3,069 | ShareOfTotalIncomeAmt |
| Share Of EOY Assets | $16,439 | ShareOfEOYAssetsAmt |
| Ownership | 1.00000 | OwnershipPct |
| Controlled Organization | Yes (1) | ControlledOrganizationInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | 0 | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | 0 | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | 0 | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | 0 | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | 0 | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | 0 | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | 0 | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | 0 | SharingOfFacilitiesInd |
| Paid Employees Sharing | 0 | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | 0 | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | 0 | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | 0 | TransferToOtherOrgInd |
| Transfer From Other Org | 0 | TransferFromOtherOrgInd |