2026-05-13T08:03:51+00:00 2025-06-30 440160260 Forvis Mazars LLP One Oak Plaza Suite 300 Asheville NC 28801 990 2024-07-01 620544855 Sweetwater Hospital Association SWEE 8652138200 304 CHURCH STREET SWEETWATER TN 37874 Andrea Henry CEO 8652138200 2026-05-13 true true Amy Bibby P00445891 8282542254 2026-05-12 2024 2025-03-06 01:10:19Z Andrea Henry 304 CHURCH STREET SWEETWATER TN 37874 85009053 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. 13 10 723 3 0 8350 5000 73271873 82794688 1610086 1554216 505389 557910 75395698 84911814 0 0 0 0 29345524 29552390 0 0 0 54891671 52437154 84237195 81989544 -8841497 2922270 96277521 96835478 16580045 11911034 79697476 84924444 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 69097077 82794688 Sweetwater Hospital Association has a strong foundation of caring and excellence that supports the delivery of 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 2025, the hospital launched a new urology program, began an operating room renovation project, added updated surgical equipment and systems, and upgraded its nursing central monitoring system to improve patient safety, communication, and overall efficiency of care delivery. 69097077 true false false true false false false false false false true false false true 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 true false false false false false false true true false false false true 47 0 true 723 true false false false false false false false false false false false false X 13 10 false false false false false false false true true false false false true true true true true true true true false false X ASHLEY VOTRUBA 8652138200 304 WRIGHT STREET SWEETWATER TN 37874 Douglas 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 599280 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 3101579 0 0 Kenneth Archer Board Member 1.0 X 2400 0 0 Laurence James Board Member/PHYSICIAN 40.0 X 878403 0 0 Mark Clinton Board Member 1.0 X 2400 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 CEO 40.0 X 277649 0 14819 Ashley Shamblin CFO 40.0 X 233839 0 11747 Heather McDonald Pharmacist 37.5 X 164091 0 6176 Ian McFadden Chief Liason Officer 37.5 X 184500 0 10523 Melissa Harris COO 40.0 X 196136 0 13647 Patti Thompson Pharmacist 37.5 X 192693 0 11015 5853370 0 67927 33 false true false Ken KozawaI MD PC 304 Wright Street Sweetwater TN 37874 Physician Services 3101599 TruBridge 3725 Airport Blvd Mobile AL 36608 Billing and IT Services 2439440 Sam Couillard 9128 Stoney Mtn Drive Chattanooga TN 37421 Anesthesia Services 2129400 Gifted Nurses PO Box 205426 Dallas TX 75320 Nursing Services 2013404 Quest Diagnostics PO Box 740736 Atlanta GA 30374 Lab Services 1059316 30 5000 5000 Net Patient Revenue 621990 81122168 81122168 340B Revenue 621990 1592261 1592261 Pharmacy Sales 621990 80259 80259 0 0 0 0 82794688 1651455 1651455 0 0 97239 -97239 0 -97239 -97239 Cafeteria Sales 900099 258191 258191 Miscellaneous Income 900099 181003 181003 Gift Shop Sales 900099 98951 98951 19765 0 0 19765 557910 84911814 82794688 0 2112126 X 302849 302849 24765383 22448440 2316943 624486 559223 65263 2066859 1850859 216000 1792813 1616538 176275 49299 49299 10198601 7411311 2787290 0 1572639 3592 1569047 1286156 1055045 231111 81436 59602 21834 347223 347223 3507856 3507856 588680 588680 Bad Debt 13289805 13289805 Supplies and Raw food 10723113 10475467 247646 Fees and registration 10297749 10122324 175425 Laundry 172986 172986 321611 31885 289726 0 81989544 69097077 12892467 0 1847238 934949 1882000 1882000 9539632 8299004 0 0 0 0 346505 923536 2711997 2493898 595284 613026 102081772 69150295 34511597 32931477 43495102 34451903 155017 155017 0 1193149 14150668 96277521 96835478 8011634 6079743 0 0 3860854 4291744 4707557 1539547 16580045 11911034 X 79697476 84924444 79697476 84924444 96277521 96835478 2922270 2301844 2854 0 X false true true false X false false false false false false false false true 1919 1919 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. 1383572 1383572 46565710 31996809 14568901 52837824 36333121 16504703 1294666 820365 474301 32931477 Goodwill 276632 Board Designated Savings Account 192796 Board Designated Scholarship Fund 28061 Operating Lease Right-of-Use Assets 29547 Other 23369 Estimated Third Party Settlements 13600263 14150668 Federal Income Taxes Operating Lease Liability 29547 Line of Credit 1510000 1539547 X 73923853 2301844 0 2301844 71622009 13289805 13289805 84911814 68699739 0 0 68699739 13289805 13289805 81989544 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, 2025 and 2024. Schedule D, Part XI, Line 4(b) Other revenues in form 990 not in audited financial statements Bad Debts Expense - 13289805 Schedule D, Part XII, Line 4(b) Other expenses in form 990 not in audited financial statements Bad Debts Expense - 13289805 true true false true X 100 3111641 1401555 1710086 0.02489 11381105 18757482 0 0.0 164293 394711 0 0.0 0 0 14657039 20553748 1710086 0.02489 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0 0 0 0 0.0 0 0 14657039 20553748 1710086 0.02489 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 13289805 2166238 6007856 7142588 -1134732 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 24 true false false true X HTTPS://SWEETWATERHOSPITAL.ORG/COMMUNITY X true 24 true WWW.SWEETWATERHOSPITAL.ORG false true X 0 100.0 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 285 SURVEY RESPONSES WERE COMPLETED. 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 $13,289,805. 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 13289805 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 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, 20.4% OF THE POPULATION WAS UNDER 18 YEARS OF AGE AND 22.0% 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 47,740. 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 Christopher Bowman Board Member/PHYSICIAN 599280 0 0 0 0 0 0 0 0 0 599280 0 0 0 Ken Kozawa Board Member/PHYSICIAN 3101579 0 0 0 0 0 0 0 0 0 3101579 0 0 0 Laurence James Board Member/PHYSICIAN 878403 0 0 0 0 0 0 0 0 0 878403 0 0 0 Andrea Henry CEO 277649 0 0 0 0 0 11078 0 3741 0 292468 0 0 0 Ashley Shamblin CFO 233839 0 0 0 0 0 9168 0 2579 0 245586 0 0 0 Melissa Harris COO 196136 0 0 0 0 0 7794 0 5853 0 209783 0 0 0 Patti Thompson Pharmacist 192693 0 0 0 0 0 7274 0 3741 0 203708 0 0 0 Ian McFadden Chief Liason Officer 184500 0 0 0 0 0 6255 0 4268 0 195023 0 0 0 Heather McDonald Pharmacist 164091 0 0 0 0 0 6176 0 0 0 170267 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 Kaleb Henry Family Member of CEO 17427 Employee Compensation false Jim Fairweather Entity more than 35% owned by Director 7816374 Financial Advisor and Investing Services false 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: 19765, Related or Exempt Function Revenue: , Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: 19765; Form 990, Part IX, Line 11g Other Fees Contracted Labor - Total Expense: 2993824, Program Service Expense: 2993824, Management and General Expenses: , Fundraising Expenses: ; Purchased Services - Total Expense: 7204777, Program Service Expense: 4417487, Management and General Expenses: 2787290, 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