FURP.ORG / PUBLIC DATA EXPLORER

SWEETWATER HOSPITAL ASSOCIATION: Form 990, tax year 2009

View the entire original 990 at ProPublica ↗

Organization
SWEETWATER HOSPITAL ASSOCIATION (EIN 62-0544855)
Tax period
2009-07-01 to 2010-06-30
Filed
2011-05-12
IRS object ID
201141329349302734
Schema version
2009v1.7
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 ReturnHeader

FieldValueIRS element (for citing)
Timestamp2011-05-12T14:00:27-05:00Timestamp
Tax Period End Date2010-06-30TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1JOHNSON HICKEY & MURCHISON PCBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1651 E 4TH ST STE 200AddressLine1
CityCHATTANOOGACity
StateTNState
ZIP Code37403ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2009-07-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN620544855EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1SWEETWATER HOSPITAL ASSOCIATIONBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlSWEENameControl
Phone8652138200Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1304 CHURCH STREETAddressLine1
CitySWEETWATERCity
StateTNState
ZIP Code37874ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameSCOTT BOWMANName
TitleSECRETARY TREASURERTitle
Phone8652138200Phone
Date Signed2011-04-25DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameJoel D SusmanName
Phone4237560052Phone
FieldValueIRS element (for citing)
Tax Year2009TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonSCOTT BOWMANNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1304 CHURCH STREETAddressLine1
CitySWEETWATERCity
StateTNState
ZIP Code37874ZIPCode
FieldValueIRS element (for citing)
Gross Receipts47420176GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501cXOrganization501c
Web Sitewww.sweetwater.orgWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1934YearFormation
State Legal DomicileTNStateLegalDomicile
Activity Or Mission DescriptionTHE MISSION OF THE SWEETWATER HOSPITAL ASSOCIATION IS TO PROMOTE HEALTHY LIFESTYLES AND TO PROVIDE THE HIGHEST QUALITY PRIMARY HEALTH CARE TO THE REGION AT THE LOWEST POSSIBLE COST.ActivityOrMissionDescription
Nbr Voting Members Governing Body13NbrVotingMembersGoverningBody
Nbr Independent Voting Members12NbrIndependentVotingMembers
Total Nbr Employees525TotalNbrEmployees
Total Nbr Volunteers38TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year1276ContributionsGrantsPriorYear
Contributions Grants Current Year3866ContributionsGrantsCurrentYear
Program Service Revenue Prior Year44354802ProgramServiceRevenuePriorYear
Program Service Revenue CY46870959ProgramServiceRevenueCY
Investment Income Prior Year276431InvestmentIncomePriorYear
Investment Income Current Year143334InvestmentIncomeCurrentYear
Other Revenue Prior Year468984OtherRevenuePriorYear
Other Revenue Current Year402017OtherRevenueCurrentYear
Total Revenue Prior Year45101493TotalRevenuePriorYear
Total Revenue Current Year47420176TotalRevenueCurrentYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year16795903SalariesEtcPriorYear
Salaries Etc Current Year17951069SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year24951697OtherExpensePriorYear
Other Expenses Current Year26159347OtherExpensesCurrentYear
Total Expenses Prior Year41747600TotalExpensesPriorYear
Total Expenses Current Year44110416TotalExpensesCurrentYear
Revenues Less Expenses Prior Year3353893RevenuesLessExpensesPriorYear
Revenues Less Expenses CY3309760RevenuesLessExpensesCY
Total Assets BOY40344706TotalAssetsBOY
Total Assets EOY43696561TotalAssetsEOY
Total Liabilities BOY2416760TotalLiabilitiesBOY
Total Liabilities EOY2458855TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY37927946NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY41237706NetAssetsOrFundBalancesEOY
Mission DescriptionTHE MISSION OF THE SWEETWATER HOSPITAL ASSOCIATION IS TO PROMOTE HEALTHY LIFESTYLES AND TO PROVIDE THE HIGHEST QUALITY PRIMARY HEALTHCARE TO THE REGION AT THE LOWEST POSSIBLE COST.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense6996692Expense
Revenue20520058Revenue
DescriptionPROVIDED FOR 264,689 LABORATORY TESTS DURING THE FISCAL YEAR ENDING 6/30/10.Description

Activity2 Activity2

FieldValueIRS element (for citing)
Expense3977475Expense
Revenue11665232Revenue
DescriptionPROVIDED FOR 21,741 EMERGENCY ROOM VISITS DURING THE FISCAL YEAR ENDING 6/30/2010Description

Activity3 Activity3

FieldValueIRS element (for citing)
Expense7840615Expense
Revenue22995139Revenue
DescriptionPROVIDED FOR 57,358 X-RAY PROCEDURES DURING THE FISCAL YEAR ENDING 6/30/10Description

Activity Other ActivityOther (2 entries)

ExpenseExpenseRevenueRevenueDescriptionDescription
1763949451733518PROVIDED FOR 34,875 OF CLINIC SERVICE VISITS DURING THE FISCAL YEAR ENDING 6/30/10. ALL OTHER SERVICES INCLUDE PHARMACY, ROUTINE CARE, OPERATING ROOM, MEDICAL SUPPLIES, THERAPY, HOME HEALTHCARE, LABOR AND DELIVERY. LESS CONTRACTUAL ADUSTMENTS AND POLICY DISCOUNTS
-60042988CONTRACTUAL ADJUSTMENTS AND POLICY DISCOUNTS
FieldValueIRS element (for citing)
Total Of Other Program Service Exp17639494TotalOfOtherProgramServiceExp
Total Of Other Program Service Rev-8309470TotalOfOtherProgramServiceRev
Total Program Service Expense36454276TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required0ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities0LobbyingActivities
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments0TermOrPermanentEndowments
Balance Sheet Amounts Reported1BalanceSheetAmountsReported
Independent Audit Financial Stmt0IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt1ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities0FundraisingActivities
Gaming0Gaming
Hospital1Hospital
Grants To Organizations0GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required1ScheduleJRequired
Tax Exempt Bonds0TaxExemptBonds
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member0BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp0OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity1RelatedEntity
Related Org Controlled Entity0RelatedOrgControlledEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With109628NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees525NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income0UnrelatedBusinessIncome
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions0QuidProQuoContributions
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Number Of8282 Filed0NumberOf8282Filed
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Excess Business Holdings0ExcessBusinessHoldings
Nbr Voting Governing Body Members13NbrVotingGoverningBodyMembers
Number Independent Voting Members12NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders0MembersOrStockholders
Election Of Board Members0ElectionOfBoardMembers
Decisions Subject To Approval0DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement0RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other1CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
States Where Copy Of Return Is FiledTNStatesWhereCopyOfReturnIsFiled
Other WebsiteXOtherWebsite
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1SWEETWATER HOSPITAL ASSOCIATIONBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number8652138200TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1304 CHURCH STREETAddressLine1
CitySWEETWATERCity
StateTNState
ZIP Code37874ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (17 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationHighest Compensated EmployeeHighestCompensatedEmployee
SCOTT BOWMAN
SECRETARY TREASURER40.00XX172272019722
DAVID VESTAL
DIRECTOR1.00X000
DR THOMAS EVANS
DIRECTOR1.00X000
DRJOE LITTLE
DIRECTOR1.00X000
DOUG WARREN
DIRECTOR1.00X000
RICK BETTIS
DIRECTOR1.00X000
BARBARA WATSON
DIRECTOR1.00X000
PEGGY WHITE
DIRECTOR1.00X000
JON CARSON III
DIRECTOR1.00X000
DR KENYA KOZAWA
DIRECTOR1.00X125856400
DR KEN ARCHER
DIRECTOR1.00X000
JIM FAIRWEATHER
DIRECTOR1.00X000
GARY KIMSEY
DIRECTOR1.00X000
DEBBIE J THOMPSON
CFO38.00X126685014280
PATTI N THOMPSON
PHARMACIST38.00115572015504X
ROGER EVANS
PHYSICAL THERAPIST38.0011737106419X
ANDREA B HENRY
DIRECTOR OF NURSING38.0010921402212X
FieldValueIRS element (for citing)
Total Reportable Comp From Org1899678TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation58137TotalOtherCompensation
Number Individuals GT100 K6NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
KEN KOZAWA I MD PC
132 FAIRLANE CIRCLESWEETWATERTN37874PHYSICIAN SERVICES1258564
CPSI
PO BOX 850309MOBILEAL366850309COMPUTER SUPPORT562133
COUILLARD & ASSOCIATES
9413 WOODBY HOLLOW DRIVECHATTANOOGATN37421PHYSICIAN SERVICES508250
ERIC POSTON
114 OLD ATHENS PIKESWEETWATERTN37874PHYSICIAN SERVICES417673
SYED M AMER MD
300 RIVERS EDGE DRIVELOUDONTN37774PHYSICIAN SERVICES410472
FieldValueIRS element (for citing)
Number Of Contractors GT100 K16NumberOfContractorsGT100K
All Other Contributions3866AllOtherContributions
Total Contributions3866TotalContributions

Program Service Revenue ProgramServiceRevenue

FieldValueIRS element (for citing)
DescriptionNET PATIENT REVENUEDescription
Business Code621990BusinessCode
Total Revenue Column46870959TotalRevenueColumn
Related Or Exempt Function Income46870959RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue46870959TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column143334TotalRevenueColumn
Exclusion$143,334ExclusionAmount

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnExclusionExclusionAmount
MISCELLANEOUS INCOME900099203456$203,456
CAFETERIA SALES900099141409$141,409
MEDICAL RECORDS TRANSC90009937398$37,398

Miscellaneous Revenue MiscellaneousRevenue

FieldValueIRS element (for citing)
Total Revenue Column19754TotalRevenueColumn
Exclusion$19,754ExclusionAmount
FieldValueIRS element (for citing)
Total Other Revenue402017TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column47420176TotalRevenueColumn
Related Or Exempt Function Income46870959RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$545,351ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total338318Total
Management And General338318ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total15297628Total
Program Services12224736ProgramServices
Management And General3072892ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total425412Total
Program Services339958ProgramServices
Management And General85454ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total769387Total
Program Services614837ProgramServices
Management And General154550ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total1120324Total
Program Services895280ProgramServices
Management And General225044ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total35399Total
Management And General35399ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total33000Total
Management And General33000ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total1863650Total
Program Services1489292ProgramServices
Management And General374358ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total260379Total
Program Services208076ProgramServices
Management And General52303ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total745831Total
Program Services596013ProgramServices
Management And General149818ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total85451Total
Program Services68286ProgramServices
Management And General17165ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total22576Total
Management And General22576ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total2919967Total
Program Services2339478ProgramServices
Management And General580489ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total322340Total
Program Services257590ProgramServices
Management And General64750ManagementAndGeneral

Other Expenses OtherExpenses (5 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
BAD DEBT74331197433119
SUPPLIES626567850070681258610
FEES AND REGISTRATIONS585682146803391176482
LAUNDRY137382137382
COLLECTION EXPENSE103685103685

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total74069Total
Program Services59137ProgramServices
Management And General14932ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total44110416Total
Program Services36454276ProgramServices
Management And General7656140ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY1579579BOY
EOY2513777EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY10420251BOY
EOY11480520EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY5645581BOY
EOY6725182EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
BOY510911BOY
EOY592589EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY767410BOY
EOY882898EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY125456BOY
EOY117728EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis45468160LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec25129742LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY20370841BOY
EOY20338418EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY924677BOY
EOY1045449EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY40344706BOY
EOY43696561EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY2112639BOY
EOY2297867EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY304121BOY
EOY160988EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY2416760BOY
EOY2458855EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY37927946BOY
EOY41237706EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY37927946BOY
EOY41237706EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY40344706BOY
EOY43696561EOY
FieldValueIRS element (for citing)
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited
Audit Committee1AuditCommittee
Financial Statement ConsolidatedXFinancialStatementConsolidated
Federal Grant Audit Required0FederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Hospital170b1 AiiiXHospital170b1Aiii

Schedule D IRS990ScheduleD

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis1060329OtherCostOrOtherBasis
Book Value1060329BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis20040303OtherCostOrOtherBasis
Depreciation9929059Depreciation
Book Value10111244BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis21909172OtherCostOrOtherBasis
Depreciation15200683Depreciation
Book Value6708489BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis2458356OtherCostOrOtherBasis
Book Value2458356BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings20338418TotalOfBookValueLandBuildings
Total Revenue47420176TotalRevenue
Total Expenses44110416TotalExpenses
Excess Or Deficit For Year3309760ExcessOrDeficitForYear
Total Adjustments0TotalAdjustments
Excess Or Deficit Per FS3309760ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt47420176TotRevenueEtcAuditedFinclStmt
Revenue Not Rptd F9900RevenueNotRptdF990
Revenue Subtotal47420176RevenueSubtotal
Revenue Not Rptd On Fin Stmt0RevenueNotRptdOnFinStmt
Total Revenue Per Form99047420176TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt44110416TotExpensesEtcAuditedFinclStmt
Expenses Not Rptd F9900ExpensesNotRptdF990
Expenses Subtotal44110416ExpensesSubtotal
Expenses Not Rptd On Fin Stmt0ExpensesNotRptdOnFinStmt
Total Expenses Per Form99044110416TotalExpensesPerForm990

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Charity Care Policy1CharityCarePolicy
Written Policy1WrittenPolicy
FPG Reference Free Care0FPGReferenceFreeCare
FPG Reference Discounted Care1FPGReferenceDiscountedCare
Pcent200 DXPcent200D
Free Disc Care Medically Indigent0FreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity Care0AmountsBudgetedForCharityCare
Expenses Exceeded Budget0ExpensesExceededBudget
Annual Community Benefit Report0AnnualCommunityBenefitReport

Community Health Services CommunityHealthServices

FieldValueIRS element (for citing)
Total Community Benefit Expense2858TotalCommunityBenefitExpense
Net Community Benefit Expense2858NetCommunityBenefitExpense
Percent Of Total Expense0.00010PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

FieldValueIRS element (for citing)
Total Community Benefit Expense4000TotalCommunityBenefitExpense
Net Community Benefit Expense4000NetCommunityBenefitExpense
Percent Of Total Expense0.00010PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

FieldValueIRS element (for citing)
Total Community Benefit Expense14737TotalCommunityBenefitExpense
Net Community Benefit Expense14737NetCommunityBenefitExpense
Percent Of Total Expense0.00040PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense21595TotalCommunityBenefitExpense
Net Community Benefit Expense21595NetCommunityBenefitExpense
Percent Of Total Expense0.00060PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense21595TotalCommunityBenefitExpense
Net Community Benefit Expense21595NetCommunityBenefitExpense
Percent Of Total Expense0.00060PercentOfTotalExpense
FieldValueIRS element (for citing)
Bad Debt Expense Reported1BadDebtExpenseReported
Bad Debt Expense$7,433,119BadDebtExpenseAmount
Amount Attributable To6747352AmountAttributableTo
Amount Reimbursed By Medicare11814148AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare11102571CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall711577MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

FieldValueIRS element (for citing)
Cost To Charge RatioXCostToChargeRatio
FieldValueIRS element (for citing)
Written Debt Collection Policy1WrittenDebtCollectionPolicy
Provision For Charity Care1ProvisionForCharityCare

Form990 Schedule H Part V Form990ScheduleHPartV (2 entries)

Address Line1Address/AddressLine1CityAddress/CityStateAddress/StateZIP CodeAddress/ZIPCodeLicensed HospitalLicensedHospitalGeneral Medical And SurgicalGeneralMedicalAndSurgicalEr24 HoursEr24HoursOtherOther
SWEETWATER HOSPITAL ASSOCIATION
304 WRIGHT STSWEETWATERTN37874XXX
SWEETWATER HOSPITAL HOME HEALTH
304 WRIGHT STSWEETWATERTN37874HOME HEALTH

Form990 Schedule H Part VI Form990ScheduleHPartVI

FieldValueIRS element (for citing)
Bad Debt FootnotePart 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.BadDebtFootnote
Debt Collection PolicyPart 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 NEEDEDDebtCollectionPolicy

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeXCompensationCommittee
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance Payment0SeverancePayment
Supplemental Nonqual Retire Plan0SupplementalNonqualRetirePlan
Equity Based Comp Arrangement0EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org0CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs0CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org0CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs0CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments0AnyNonFixedPayments
Initial Contract Exception0InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (2 entries)

Base Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
SCOTT BOWMAN
172272000001723502487019199401980840
DR KENYA KOZAWA
12585640000000001258564012707590

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (5 entries)

IdentifierIdentifierExplanationExplanationReturn ReferenceReturnReference
Form 990, Part VI, Section B, line 11MANAGEMENT WILL REVIEW THIS RETURN BEFORE IT IS FILED
Form 990, Part VI, Section B, line 15TOP OFFICIALS ARE APPROVED BY THE BOARD OF DIRECTORS. COMPENSATION FOR OFFICERS USE INDUSTRY STANDARDS, AND COMPENSATION COMMITTEE.
Form 990, Part VI, Section C, line 19DOCUMENTS ARE MADE AVAILABLE UPON REQUEST
Form 990, Part VIIDR, KENYA KOZAWA - 132 FAIRLANE CIRCLE, SWEETWATER, TN 37874.Contact Addresses for Officers, Directors, Etc
990 PART IV OFFICER COMPENSATIONCOMPENSATION FOR DR. KOWAZA WAS FOR THE PHYSICIAN SERVICES RENDERED BY HIS P.C.

Schedule R IRS990ScheduleR

Form990 Schedule R Part IV Form990ScheduleRPartIV

Name Of Related Org NameOfRelatedOrg

FieldValueIRS element (for citing)
Business Name Line1IDEAL RENTAL COMPANY INCBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1304 WRIGHT STAddressLine1
CitySWEETWATERCity
StateTNState
ZIP Code37874ZIPCode
FieldValueIRS element (for citing)
EIN620933728EIN
Primary ActivityREAL ESTATEPrimaryActivity
Legal Domicile StateTNLegalDomicileState
Type Of EntityCTypeOfEntity
Share Of Total Income-3151ShareOfTotalIncome
Share Of EOY Assets21048ShareOfEOYAssets
Percentage Ownership1.00000PercentageOwnership
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents Royalties0ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org0GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org0GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org0LoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other Org0SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org0PurchaseOfAssetsFromOtherOrg
Exchange Of Assets0ExchangeOfAssets
Rental Of Facilities To Other Orgs0RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs0RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs0PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs0PerformOfServicesByOtherOrgs
Sharing Of Facilities0SharingOfFacilities
Sharing Of Paid Employees0SharingOfPaidEmployees
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrg
Other Transfer To Other Org0OtherTransferToOtherOrg
Other Transfer From Other Org0OtherTransferFromOtherOrg