2025-09-23T17:06:08+00:00 2024-06-30 440160260 Forvis Mazars LLP 500 Ridgefield Court Asheville NC 28806 990 2023-07-01 620544855 Sweetwater Hospital Association SWEE 8652138200 304 CHURCH STREET SWEETWATER TN 37874 Andrea Henry CEO 8652138200 2025-09-23 true true Amy Bibby P00445891 8282542254 2025-09-23 2023 2025-03-06 01:10:19Z Andrea Henry 304 CHURCH STREET SWEETWATER TN 37874 75395698 false X WWW.SWEETWATERHOSPITAL.ORG X 1934 TN OUR MISSION IS TO PROVIDE THE HIGHEST QUALITY MEDICAL CARE AVAILABLE IN OUR SERVICE AREA WITHIN OUR SCOPE OF CARE. 12 9 703 2 0 0 8200 8350 66441654 73271873 -1361833 1610086 380121 505389 65468142 75395698 0 0 0 0 28082356 29345524 0 0 0 45512265 54891671 73594621 84237195 -8126479 -8841497 98045099 96277521 12272771 16580045 85772328 79697476 TO PROVIDE THE HIGHEST QUALITY OF MEDICAL CARE. TO CONTINUE OUR REPUTATION FOR HAVING HIGHLY KNOWLEDGEABLE AND TECHNICALLY SKILLED STAFF. TO PROVIDE OUTSTANDING PATIENT CARE IN STATE OF THE ART FACILITIES WITH GENUINE KINDNESS AND COMPASSION FOR OTHERS. false false 71635255 73271873 SWEETWATER HOSPITAL ASSOCIATION HAS A STRONG FOUNDATION OF CARING AND EXCELLENCE THAT PROVIDES QUALITY PATIENT CARE. THE HOSPITAL IS PROUD TO HAVE RECEIVED A 3 STAR RATING ON THE HOSPITAL CONSUMER ASSESSMENT OF HEALTHCARE PROVIDERS AND SYSTEMS (HCAHPS) PATIENTS' PERSPECTIVES OF CARE SURVEY. THROUGHOUT 2024, THE HOSPITAL ADVANCED ITS MISSION IN MANY WAYS. DURING THIS PERIOD THE HOSPITAL BEGAN OFFERING WOUND CARE, INFUSION THERAPY, AND ROBOTICS SERVICES. IN ADDITION, THE HOSPITAL ADDED A NEW CT SCANNER AND PHONE SYSTEM. 71635255 true false false true false false false false false true false false false true true true true false false false false false false false false true true false false true false false false false false false false false false false false false false true true false false false true 48 0 true 703 true false false false false false false false false false false false false X 12 9 false false false false false false false true true false false true true true true true true true true false X ASHLEY VOTRUBA 8652138200 304 WRIGHT STREET SWEETWATER TN 37874 Doug Warren Chairman 1.0 X X 3600 0 0 John Carson Vice Chairman 1.0 X X 2400 0 0 Barbara Watson Board Member 1.0 X 2400 0 0 Christopher Bowman Board Member/PHYSICIAN 40.0 X 636562 0 0 Gary Kimsey Board Member 1.0 X 2400 0 0 Jim Fairweather Board Member 1.0 X 2400 0 0 Ken Kozawa Board Member/PHYSICIAN 40.0 X 2899810 0 0 Kenny Archer Board Member 1.0 X 2400 0 0 Laurence James Board Member/PHYSICIAN 40.0 X 715983 0 0 Pat Pennington Board Member 1.0 X 2400 0 0 Teresa Harrill Board Member 1.0 X 2400 0 0 TK Sloan Board Member 1.0 X 2400 0 0 Andrea Henry Interim CEO 40.0 X 187625 0 14808 Ian McFadden CEO 40.0 X 376874 0 27843 Ashley Pinette PHYSICIAN 40.0 X 353804 0 17086 Ashley Shamblin CFO 40.0 X 250306 0 21241 Gretchan Williams CNO 40.0 X 207223 0 12760 John Dawson PHYSICIAN 40.0 X 235549 0 14473 Melissa Harris COO 40.0 X 184284 0 15998 6070820 0 124209 29 false true false KEN KOZAWA I MD PC 304 WRIGHT ST SWEETWATER TN 37874 PHYSICIAN SERVICES 3022293 GIFTED NURSES PO BOX 205426 DALLAS TX 75320 CONTRACT NURSING LABOR 2467143 SAM COUILLARD 9128 STONEY MTN DRIVE CHATTANOOGA TN 37421 ANESTHESIA SERVICES 1998340 TRUBRIDGE PO BOX 11407 BIRMINGHAM AL 35246 EHR SOFTWARE SERVICES 1853049 THOMAS LAYMAN MD 719 COOK DRIVE ATHENS TN 37303 PHYSICIAN SERVICES 908630 22 8350 8350 Net Patient Revenue 621990 72786299 72786299 340B Revenue 621990 432236 432236 Pharmacy Sales 621990 53338 53338 0 0 0 0 73271873 1606591 1606591 0 0 3495 3495 0 3495 3495 Cafeteria Sales 900099 243072 243072 Gift Shop Sales 900099 106079 106079 Miscellaneous Income 900099 143203 143203 13035 0 0 13035 505389 75395698 73271873 0 2115475 X 587229 587229 24017565 21556953 2460612 630095 552044 78051 2372731 2078816 293915 1737904 1538055 199849 204699 204699 -95000 -95000 10783058 8058932 2724126 0 740421 2944 737477 1192721 968164 224557 126235 71616 54619 305024 305024 3629159 3629159 485053 485053 Bad Debt 16089449 16089449 Supplies and Raw food 10871514 10586949 284565 Fees and registration 10037388 9856779 180609 Laundry 236275 236275 285675 38279 247396 0 84237195 71635255 12601940 0 2316756 1847238 1682000 1882000 8515925 9539632 0 0 362810 346505 2657119 2711997 469837 595284 100472442 65960845 35006508 34511597 45879643 43495102 155017 155017 0 999484 1193149 98045099 96277521 6466642 8011634 0 2490394 3860854 3315735 4707557 12272771 16580045 X 85772328 79697476 85772328 79697476 98045099 96277521 -8841497 2766645 0 X false true X false false X false false false false false false false false true false Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY PORTION OF HOSPITAL ASSOCIATION MEMBERSHIP DUES THAT ARE USED FOR LOBBYING. 1654856 1654856 46528831 31191209 15337622 50632491 33969239 16663252 1656264 800397 855867 34511597 Operating Lease Liability 197557 Line of Credit 4510000 4707557 X 62072894 2766645 0 2766645 59306249 16089449 16089449 75395698 68147746 0 0 68147746 16089449 16089449 84237195 Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnote The Internal Revenue Service has determined that the Association and its wholly owned Subsidiary are exempt from federal income taxes under Section 501(c)(3) of the Internal Revenue Code ("IRC"). The Association is required to operate in conformity with the IRC in order to maintain its tax-exempt status. The Association has determined that it does not have any material uncertain tax positions as of June 30, 2024 and 2023. Schedule D, Part XI, Line 4(b) Other revenues in form 990 not in audited financial statements Bad Debts Expense - 16089449 Schedule D, Part XII, Line 4(b) Other expenses in form 990 not in audited financial statements Bad Debts Expense - 16089449 true true false true X 100 false false true true 3504651 1897402 1607249 0.0236 11696971 9409625 2287346 0.0336 133411 382229 0 0.0 0 0 15335033 11689256 3894595 0.0571 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0 0 0 0 0.0 0 0 15335033 11689256 3894595 0.0571 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0 0 0 0 0.0 true 16089449 2574312 6126398 6271877 -145479 X true true 1 1 SWEETWATER HOSPITAL ASSOCIATION 304 WRIGHT STREET SWEETWATER TN 37874 HTTPS://SWEETWATERHOSPITAL.ORG 00000089 X X X SWEETWATER HOSPITAL ASSOCIATION 1 false false true X X X X X X X X X 21 true false false true X HTTPS://SWEETWATERHOSPITAL.ORG/COMMUNITY X true 21 true WWW.SWEETWATERHOSPITAL.ORG false true X 100.0 true true X X X true X HTTPS://SWEETWATERHOSPITAL.ORG/FINANCIAL-POLICY/ X HTTPS://SWEETWATERHOSPITAL.ORG/FINANCIAL-POLICY/ X X X X X X true X false X X true X false false Schedule H, Part V, Section B, Line 5 Facility , 1 Facility , 1 - SWEETWATER HOSPITAL ASSOCIATION. 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 PRIORITIZE THE THREE GREATEST HEALTH NEEDS, THREE MOST IMPORTANT HEALTH PROBLEMS, AND THE THREE MOST IMPORTANT FACTORS FOR A HEALTHY COMMUNITY. 4 SWEETWATER HOSPITAL HOME HEALTH 304 WRIGHT STREET SWEETWATER TN 37874 HOME HEALTH PHYSICAL THERAPY VONORE 155 GRAND VISTA VONORE TN 37885 PHYSICAL THERAPY Family Medicine and Women's Health Madisonville 321 Tellico Str S Madisonville TN 37354 Family Medicine Schedule H, Part I, Line 7f 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 $16,089,449 Schedule H, 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 SCREENING AND DIABETIC TRAINING WERE AMONG SOME OF THE COMMUNITY EVENTS THAT THE HOSPITAL PARTICIPATED IN. Schedule H, Part I, Line 7 Bad Debt Expense excluded from financial assistance calculation 16089449 Schedule H, Part V, Section B, Line 16a FAP website - SWEETWATER HOSPITAL ASSOCIATION: Line 16a URL: HTTPS://SWEETWATERHOSPITAL.ORG/FINANCIAL-POLICY/; Schedule H, Part V, Section B, Line 16c FAP plain language summary website - SWEETWATER HOSPITAL ASSOCIATION: Line 16c URL: HTTPS://SWEETWATERHOSPITAL.ORG/FINANCIAL-POLICY/; Schedule H, Part VI, Line 2 Needs assessment A HEALTH NEEDS ASSESSMENT IS COMPLETED IN COLLABORATION WITH OTHER HEALTH ORGANZIATIONS WITHIN THE COMMUNITY. A SURVEY IS DISTRIBUTED TO PUBLIC OFFICIALS, LOCAL SCHOOL OFFICIALS, AND THE COMMUNITY AT LARGE VIA HARD COPY AND GOOGLE DOC. A NOTIFICATION OF THE SURVEY IS PUBLICIZED ON SOCIAL MEDIA, COMMUNITY VENUES, AND SCHOOL EVENTS. ONCE SURVEY RESPONSES ARE RECEIVED, THE INFORMATION GATHERED IS USED TO DETERMINE THE THREE GREATEST HEALTH NEEDS OF THE COMMUNITY. Schedule H, Part VI, Line 3 Patient education of eligibility for assistance PATIENTS ARE EDUCATED ON THE AVAILABILITY OF FINANCIAL ASSISTANCE THROUGH THE POSTING OF POLICY IN THE REGISTRATION AREAS, ON THE HOSPITAL WEBSITE, AND DIRECT REQUEST FROM THE PATIENT OR REPRESENTATIVE. Schedule H, Part VI, Line 4 Community information MONROE COUNTY IS LOCATED IN THE SOUTHEASTERN PORTION OF THE STATE OF TENNESSEE IN THE FOOTHILLS OF THE SMOKY MOUNTAINS. MONROE COUNTY HAS A SWEETWATER HOSPITAL ASSOCIATION 62-0544855 TOTAL AREA OF 653 SQUARE MILES, OF WHICH 635 SQUARE MILES IS LAND AND 18 SQUARE MILES IS WATER. MONROE COUNTY RANKS AS THE SIXTH LARGEST IN LAND AREA AMONG TENNESSEE'S 95 COUNTIES. ON THE MOST RECENT CENSUS, 5.3% OF THE POPULATION WAS UNDER 5 YEARS OF AGE, 20.8% WERE UNDER 18 YEARS OF AGE, AND 21.9% WERE OVER 65 YEARS OF AGE. AS OF JULY 1, 2023 THERE WERE 18,976 HOUSEHOLDS IN MONROE COUNTY. THE POVERTY LEVEL OF MONROE COUNTY WAS 14.9% AS OF JULY 1, 2023. Schedule H, Part VI, Line 5 Promotion of community health 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. THE MAJORITY OF THE BOARD IS COMPRISED OF UNRELATED, LOCAL PEOPLE. LOCAL PHYSICIANS HAVE PRIVILEGES IN ALL OR ALMOST ALL DEPARTMENTS. SURPLUS FUNDS ARE INVESTED BACK INTO THE ORGANZIATION FOR IMPROVEMENTS IN THE CARE DELIVERY TO THE PEOPLE SERVED BY SWEETWATER HOSPITAL ASSOCIATION. THESE FUNDS ARE UTILIZED TO UPDATE AND IMPROVE FACILITIES, EXPAND SERVICES, AND SUPPORT EMPLOYEES AND PHYSICIANS WITHIN THE ORGANIZATION. X X X X false false false false false false false false false Ken Kozawa Board Member/PHYSICIAN 2899810 0 0 0 0 0 0 0 0 0 2899810 0 0 0 Christopher Bowman Board Member/PHYSICIAN 636562 0 0 0 0 0 0 0 0 0 636562 0 0 0 Laurence James Board Member/PHYSICIAN 715983 0 0 0 0 0 0 0 0 0 715983 0 0 0 Ian McFadden CEO 376874 0 0 0 0 0 13380 0 14463 0 404717 0 0 0 Andrea Henry Interim CEO 187625 0 0 0 0 0 7482 0 7326 0 202433 0 0 0 Ashley Pinette PHYSICIAN 353804 0 0 0 0 0 10823 0 6263 0 370890 0 0 0 Ashley Shamblin CFO 250306 0 0 0 0 0 6923 0 14318 0 271547 0 0 0 John Dawson PHYSICIAN 235549 0 0 0 0 0 8491 0 5982 0 250022 0 0 0 Gretchan Williams CNO 207223 0 0 0 0 0 7939 0 4821 0 219983 0 0 0 Melissa Harris COO 184284 0 0 0 0 0 7320 0 8678 0 200282 0 0 0 Schedule J, Part I, Line 3 Arrangement used to establish the top management official's compensation (A) BOARD SELECTED MEMBERS OF THE NOMINATING/COMPENSATION COMMITTEE ARE INVOLVED IN THE DECISION (B) COMPARABILITY DATA USED: US HOSPITAL SALARY SURVEY AND COMPARABLE ORGANIZATIONS FORM 990 (C) CEO Form 990, Part VI, Line 15 TOP OFFICIALS ARE APPROVED BY THE BOARD OF DIRECTORS. COMPENSATION FOR OFFICERS USE: (A) BOARD SELECTED MEMBERS OF THE NOMINATING/COMPENSATION COMMITTEE ARE INVOLVED IN THE DECISION (B) COMPARABILITY DATA USED: US HOSPITAL SALARY SURVEY AND COMPARABLE ORGANIZATIONS FORM 990 (C) CEO Form 990, Part VI, Line 11b Review of form 990 by governing body MANAGEMENT WILL REVIEW THIS RETURN BEFORE IT IS FILED. Form 990, Part VI, Line 12c Conflict of interest policy POSSIBLE CONFLICT OF INTEREST ARE REQUIRED TO BE DISCLOSED ANNUALLY. Form 990, Part VI, Line 19 Required documents available to the public DOCUMENTS ARE MADE AVAILABLE UPON REQUEST. Form 990, Part VIII, Line 11d Other Miscellaneous Revenue Medical Records - Total Revenue: 13035, Related or Exempt Function Revenue: , Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: 13035; Form 990, Part IX, Line 11g Other Fees Contracted Labor - Total Expense: 3823468, Program Service Expense: 3823468, Management and General Expenses: , Fundraising Expenses: ; Purchased Services - Total Expense: 6959590, Program Service Expense: 4235464, Management and General Expenses: 2724126, Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; Form 990, Part XII, Line 2c THE ORGANIZATION'S PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR. IDEAL RENTAL COMPANY INC 304 WRIGHT STREET SWEETWATER TN 37874 620933728 REAL ESTATE TN SWEETWATER HOSPITAL ASSOCIATION C Corporation 1 false false false false false false false false false false false false false false false false false false false false