2023-08-01T10:29:40-05:00 2022-06-30 440160260 FORVIS LLP 500 RIDGEFIELD COURT ASHEVILLE NC 28806 990 2021-07-01 620544855 SWEETWATER HOSPITAL ASSOCIATION SWEE 8652138200 304 CHURCH STREET SWEETWATER TN 37874 ASHLEY VOTRUBA CFO 8652138200 2023-08-01 1 ASHLEY VOTRUBA 999009999 AMY BIBBY P00445891 8282542254 2023-08-01 0 AAL1 IAL1 2021 2023-04-26 12:10:37Z ASHLEY VOTRUBA 304 CHURCH STREET SWEETWATER TN 37874 84097549 0 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. 14 10 645 5 0 0 1270325 3791826 56832877 65579645 1457864 -5993947 424638 425676 59985704 63803200 0 0 0 0 24167570 26279341 0 0 0 32617916 43140002 56785486 69419343 3200218 -5616143 100982739 95564222 7529581 4946665 93453158 90617557 X 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. 0 0 60515568 65579645 SWEETWATER HOSPITAL ASSOCIATION HAS A STRONG FOUNDATION OF CARING AND EXCELLENCE THAT PROVIDES QUALITY PATIENT CARE. THE HOSPITAL IS PROUD TO HAVE RECEIVED A 5 STAR RATING ON THE HOSPITAL CONSUMER ASSESSMENT OF HEALTHCARE PROVIDERS AND SYSTEMS (HCAHPS) PATIENTS' PERSPECTIVES OF CARE SURVEY. THROUGHOUT 2022, THE HOSPITAL ADVANCED ITS MISSION IN MANY WAYS. THREE NEW CLINICS WERE OPENED INCLUDING THE LOUDON FAMILY PRACTICE AND WOMEN'S HEALTH CLINIC, INDUSTRIAL AND FAMILY MEDICINE VONORE, AND PHYSICAN THERAPY VONORE. THE HOSPITAL CELEBRATED THE ONE YEAR ANNIVERSARY OF THE NEW SEVEN BED INTENSIVE CARE UNIT THAT PROVIDES CARE FOR CRITICALL ILL PATIENTS WITH A VARIETY OF DIAGNOSES. THE HOSPITAL WELCOMED MANY NEW PHYSICIANS, INCLUDING THOSE SPECIALIZING IN GENERAL SURGERY, FAMILY AND WOMEN'S HEALTH, INTERNAL MEDICINE AND OBSTETRICS. THE HOSPITAL RECENTLY UPGRADED ITS PACS COMMUNICATION SYSTEM WHICH ALLOWS FOR BETTER COMMUNICATION BETWEEN PROVIDERS AND PATIENTS. THE HOSPITAL ALSO EMBARKED ON A NEW WEBSITE-BASED PATIENT CONNECT SYSTEM THAT WILL PROVIDE BETTER COMMUNICATION AND SCHEDULING CAPABILITIES BETWEEN PAITENTS AND THEIR PROVIDERS. 60515568 1 0 0 1 0 0 0 0 0 0 1 0 0 0 0 0 1 1 0 0 0 0 0 0 0 0 1 1 0 0 1 0 0 0 0 0 0 1 0 0 0 0 0 0 1 1 0 0 0 1 44 0 1 645 1 0 0 0 0 0 0 0 0 0 0 0 0 X 14 10 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 X ASHLEY VOTRUBA 8652138200 304 WRIGHT STREET SWEETWATER TN 37874 DOUG WARREN CHAIRMAN 2.00 X X 0 0 0 JOHN CARSON III VICE CHAIRMAN 1.00 X 600 0 0 KENNY ARCHER BOARD MEMBER 1.00 X 600 0 0 DR CHRISTOPHER BOWMAN BOARD MEMBER, PHYSICIAN 1.00 X 546630 0 0 DR LARRY JAMES BOARD MEMBER, PHYSICIAN 1.00 X 432137 0 0 TERESA HARRILL BOARD MEMBER 1.00 X 0 0 0 JIM FAIRWEATHER BOARD MEMBER 1.00 X 700 0 0 GARY KIMSEY BOARD MEMBER 1.00 X 600 0 0 TOM KORN BOARD MEMBER 1.00 X 0 0 0 PAT PENNINGTON BOARD MEMBER 1.00 X 0 0 0 DR KEN KOZAWA BOARD MEMBER, PHYSICIAN 1.00 X 0 0 0 TK SLOAN BOARD MEMBER 1.00 X 0 0 0 BARBARA WATSON BOARD MEMBER 1.00 X 0 0 0 IAN MCFADDEN CEO 37.50 X 244472 0 16239 MICHAEL REYNOLDS CFO 37.50 X 0 0 0 MELISSA HARRIS CHIEF CLINICAL OFFICER 37.50 X 209034 0 10260 ANDREA HENRY CHIEF PHYSICIAN PRACTICE OFFICER 37.50 X 199792 0 15018 PATTI THOMPSON PHARMACY DIRECTOR 37.50 X 180928 0 14562 HEATHER MCDONALD PHARMACIST 37.50 X 148041 0 5862 DARLA WARFIELD DIETITIAN 37.50 X 119414 0 4646 LUCRETIA ALLEN HUMAN RESOURCES DIRECTOR 37.50 X 118001 0 7382 SUSAN PETERSON RESPIRATORY THERAPY DIRECTOR 37.50 X 115591 0 6748 SCOTT BOWMAN FORMER CEO 37.50 X 121956 0 3985 2438496 0 84702 22 1 1 0 EMERGENCY COVERAGE CORP PO BOX 634850 CINCINNATI OH 45263 EMERGENCY ROOM PHYSICIANS 2280295 KEN KOZAWA I MD PC 304 WRIGHT STREET SWEETWATER TN 37874 PHYSICIAN SERVICES 2088621 HS WHITSON CONSTRUCTION PO BOX 7343 KNOXVILLE TN 37921 CONSTRUCTION SERVICES 1087408 SAM COUILLARD 304 WRIGHT STREET SWEETWATER TN 37874 ANESTHESIA SERVICES 992740 TRUBRIDGE PO BOX 11407 BIRMINGHAM AL 35246 COMPUTER SOFTWARE SERVICES 762578 21 3787075 4751 3791826 NET PATIENT REVENUE 621990 65579645 65579645 65579645 1255547 1255547 13044855 20294349 -7249494 -7249494 -7249494 CAFETERIA SALES 900099 183777 183777 MISCELLANEOUS INCOME 900099 167859 167859 GIFT SHOP SALES 900099 56923 56923 17117 17117 425676 63803200 65579645 0 -5568271 342317 342317 31753 31753 21587767 18087260 3500507 615117 507485 107632 2147644 1771855 375789 1554743 1294185 260558 188931 188931 112600 112600 4673002 3486536 1186466 473149 2949 470200 1151318 1002304 149014 97587 72365 25222 92373 92373 3021167 1852017 1169150 333398 333398 BAD DEBT 12761105 12761105 SUPPLIES AND RAW FOOD 10633677 10413374 220303 FEE AND REGISTRATIONS 8980729 8979537 1192 LAUNDRY 215444 215444 405522 37399 368123 69419343 60515568 8903775 0 14227217 26548406 19904634 2558767 5906078 6994854 624547 386418 1640938 1703764 142124 236335 91228688 58787850 31730295 32440838 24556309 22349249 155017 155017 2095580 2190574 100982739 95564222 7230410 4798772 299171 147893 7529581 4946665 X 93453158 90617557 93453158 90617557 100982739 95564222 X -5616143 2785213 -4671 X X 0 1 X 0 0 X 0 0 0 0 0 0 0 0 1 4369 4369 0 PART II-B, LINE 1: PORTION OF HOSPITAL ASSOCIATION MEMBERSHIP DUES THAT ARE USED FOR LOBBYING. 1666368 1666368 43983270 28856883 15126387 43822963 28777780 15045183 1756087 1153187 602900 32440838 53827308 2785213 2785213 51042095 12761105 12761105 63803200 56658238 0 56658238 12761105 12761105 69419343 PART XI, LINE 4B - OTHER ADJUSTMENTS: BAD DEBT EXPENSE 12,761,105. PART XII, LINE 4B - OTHER ADJUSTMENTS: BAD DEBT EXPENSE 12,761,105. 1 1 0 1 X 100.000000000000 0 0 1 1 3592228 1678457 1913771 0.03380 9631126 6033650 3597476 0.06350 27557 16494 11063 0.00020 13250911 7728601 5522310 0.09750 13250911 7728601 5522310 0.09750 1 12761105 1990732 7821350 7149380 671970 X 1 1 1 1 SWEETWATER HOSPITAL ASSOCIATION 304 WRIGHT STREET SWEETWATER TN 37874 HTTPS://SWEETWATERHOSPITAL.ORG 00000089 X X X SWEETWATER HOSPITAL ASSOCIATION 1 0 0 1 X X X X X X X X X 21 1 0 0 1 X HTTPS://SWEETWATERHOSPITAL.ORG/COMMUNITY-NEEDS-ASSESSMENT/ X 1 21 1 WWW.SWEETWATERHOSPITAL.ORG 0 1 X 100.000000000000 1 1 X X X 1 X HTTPS://SWEETWATERHOSPITAL.ORG/FINANCIAL-POLICY/ X HTTPS://SWEETWATERHOSPITAL.ORG/FINANCIAL-POLICY/ X X X X X X 1 X 0 X X 1 X 0 0 SWEETWATER HOSPITAL ASSOCIATION PART V, SECTION B, LINE 5: 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 PRIORITIZE THE THREE GREATEST HEALTH NEEDS, THREE MOST IMPORTANT HEALTH PROBLEMS, AND THE THREE MOST IMPORTANT FACTORS FOR A HEALTHY COMMUNITY. 4 1 - SWEETWATER HOSPITAL HOME HEALTH 304 WRIGHT STREET SWEETWATER TN 37874 HOME HEALTH 2 - FAMILY MEDICINE AND WOMEN'S HEALTH LOUDEN 901 GROVE STREET LOUDEN TN 37774 FAMILY AND WOMEN'S HEALTH 3 - FAMILY AND INDUSTRIAL MEDICINE 156 GRAND VISTA VONORE TN 37885 FAMILY AND INDUSTRIAL MEDICINE 4 - PHYSICAL THERAPY VONORE 155 GRAND VISTA VONORE TN 37885 PHYSICAL THERAPY PART I, LN 7 COL(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 $12,761,105 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. PART VI, LINE 2: PART V, SECTION B, LINE 5: 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. PART VI, LINE 3: 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. PART VI, LINE 4: 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, 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, 2022 THERE WERE 18,574 HOUSEHOLDS IN MONROE COUNTY. THE POVERTY LEVEL OF MONROE COUNTY WAS 15.6% AS OF JULY 1, 2022. PART VI, LINE 5: 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 ORGANIZAITON. 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 RECEIVED. PART VI, LINE 3: PATIENTS ARE EDUCATED IN THE AVAILABILTY 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 RANKSAS THE SIXTH LARGEST IN LAND AREA AMONG 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 MEDIAN 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. X X X X 0 0 0 0 0 0 0 0 0 DR CHRISTOPHER BOWMAN BOARD MEMBER, PHYSICIAN 546630 0 0 0 0 0 0 0 0 0 546630 0 0 0 DR LARRY JAMES BOARD MEMBER, PHYSICIAN 432137 0 0 0 0 0 0 0 0 0 432137 0 0 0 IAN MCFADDEN CEO 244472 0 0 0 0 0 8463 0 7776 0 260711 0 0 0 MELISSA HARRIS CHIEF CLINICAL OFFICER 208790 0 244 0 0 0 6786 0 3474 0 219294 0 0 0 ANDREA HENRY CHIEF PHYSICIAN PRACTICE OFFICER 199792 0 0 0 0 0 7692 0 7326 0 214810 0 0 0 PATTI THOMPSON PHARMACY DIRECTOR 180928 0 0 0 0 0 7236 0 7326 0 195490 0 0 0 HEATHER MCDONALD PHARMACIST 148041 0 0 0 0 0 5862 0 0 0 153903 0 0 0 SCOTT BOWMAN FORMER CEO 37788 0 84168 0 0 0 3132 0 853 0 125941 0 0 0 PART I, LINE 3 (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 KENNETH ARCHER - SPOUSE BOARD MEMBER 31753 PHARMACIST - FAMILY MEMBER COMPENSATION 0 KEN KOZAWA BOARD MEMBER 2088621 PHYSICIAN 0 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 (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, SECTION C, LINE 19 DOCUMENTS ARE MADE AVAILABLE UPON REQUEST. FORM 990, PART XI, LINE 9: IDEAL -4,671. 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 16183 1.00000 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0