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Sweetwater Hospital Association
Sweetwater, TN 37874
| Bed count | 59 | Medicare provider number | 440084 | Member of the Council of Teaching Hospitals | YES | Children's hospital | NO |
(as % of functional expenses, which all tax-exempt organizations report on Form 990 Schedule H)
(as % of total functional expenses)
Community Benefit Expenditures: 2021
All tax-exempt organizations file a Form 990 with the IRS for every tax year. If the tax-exempt organization operates one or more hospital facilities during the tax year, the organization must attach a Schedule H to Form 990. On Part I of Schedule H, the organization records the expenditures it made during the tax year for various types of community benefits; 9 types are shown on this web tool. By default, this web tool presents community benefit expenditures as a percentage of the organization’s functional expenses, which it reports on Form 990, Part IX, Line 25, Column A. (The more commonly heard term, ‘total operating expenses’, which organizations report to CMS, is generally about 90% of the ‘functional expenses’). The user may change the default to see the dollar expenditures.
Operating expenses $ 69,419,343 Total amount spent on community benefits as % of operating expenses$ 5,522,310 7.96 %- Amount spent in the following IRS community benefit categories:
Financial Assistance at cost as % of operating expenses$ 1,913,771 2.76 %Medicaid as % of operating expenses$ 3,597,476 5.18 %Costs of other means-tested government programs as % of operating expenses$ 11,063 0.02 %Health professions education as % of operating expenses$ 0 0 %Subsidized health services as % of operating expenses$ 0 0 %Research as % of operating expenses$ 0 0 %Community health improvement services and community benefit operations*
as % of operating expensesNote: these two community benefit categories are reported together on the Schedule H, part I, line 7e.$ 0 0 %Cash and in-kind contributions for community benefit* as % of operating expenses$ 0 0 %Community building*
as % of operating expenses$ 0 0 %- * = CBI denoted preventative categories
- Community building activities details:
Did tax-exempt hospital report community building activities? Not available Number of activities or programs (optional) 0 Physical improvements and housing 0 Economic development 0 Community support 0 Environmental improvements 0 Leadership development and training for community members 0 Coalition building 0 Community health improvement advocacy 0 Workforce development 0 Other 0 Persons served (optional) 0 Physical improvements and housing 0 Economic development 0 Community support 0 Environmental improvements 0 Leadership development and training for community members 0 Coalition building 0 Community health improvement advocacy 0 Workforce development 0 Other 0 Community building expense
as % of operating expenses$ 0 0 %Physical improvements and housing as % of community building expenses$ 0 Economic development as % of community building expenses$ 0 Community support as % of community building expenses$ 0 Environmental improvements as % of community building expenses$ 0 Leadership development and training for community members as % of community building expenses$ 0 Coalition building as % of community building expenses$ 0 Community health improvement advocacy as % of community building expenses$ 0 Workforce development as % of community building expenses$ 0 Other as % of community building expenses$ 0 Direct offsetting revenue $ 0 Physical improvements and housing $ 0 Economic development $ 0 Community support $ 0 Environmental improvements $ 0 Leadership development and training for community members $ 0 Coalition building $ 0 Community health improvement advocacy $ 0 Workforce development $ 0 Other $ 0
Other Useful Tax-exempt Hospital Information: 2021
In addition to community benefit and community building expenditures, the Schedule H worksheet includes sections on what percentage of bad debt can be attributable to patients eligible for financial assistance, and questions on the tax-exempt hospital's debt collection policy. When searching a specific tax-exempt hospital in this web tool, Section II provides information about bad debt and the financial assistance policy, and whether the state in which the tax-exempt hospital resides has expanded Medicaid coverage under the federal ACA.
Of the tax-exempt hospital’s overall operating expenses, amount reported as bad debt
as % of operating expenses$ 12,761,105 18.38 %Is the tax-exempt hospital considered a "sole community hospital" under the Medicare program? NO - Information about the tax-exempt hospital's Financial Assistance Policy and Debt Collection Policy
The Financial Assistance Policy section of Schedule H has changed over the years. The questions listed below reflect the questions on the 2009-2011 Schedule H forms and the answers tax-exempt hospitals provided for those years. The Financial Assistance Policy requirements were changed under the ACA. In the future, as the Community Benefit Insight web site is populated with 2021 data and subsequent years, the web tool will also be updated to reflect the new wording and requirements. In the meantime, if you have any questions about this section, we encourage you to contact your tax-exempt hospital directly.
Does the organization have a written financial assistance (charity care) policy? YES Did the tax-exempt hospital rely upon Federal Poverty Guidelines (FPG) to determine when to provide free or discounted care for patients? YES Amount of the tax-exempt hospital’s bad debt (at cost) attributed to patients eligible under the organization’s financial assistance (charity care) policy
as % of operating expenses$ 1,990,732 15.60 %- Did the tax-exempt hospital, or an authorized third party, take any of the following collection activities before determining whether the patient was eligible for financial assistance:
Reported to credit agency Not available Under the ACA, states have the choice to expand Medicaid eligibility for their residents up to 138% of the federal poverty guidelines. The Medicaid expansion provision of the ACA did not go into effect until January 2014, so data in this web tool will not reflect each state's current Medicaid eligibility threshold. For up to date information, please visit the Terms and Glossary under the Resources tab.
After enactment of the ACA, has the state in which this tax-exempt hospital is located expanded Medicaid? NO The federal poverty guidelines (FPG) are set by the government and used to determine eligibility for many federal financial assistance programs. Tax-exempt hospitals often use FPG guidelines in their Financial Assistance policies to determine which patients will qualify for free or discounted care.
If not, is the state's Medicaid threshold for working parents at or below 76% of the federal poverty guidelines? NO In addition to the federal requirements, some states have laws stipulating community benefit requirements as a result of tax-exemption. The laws vary from state to state and may require the tax-exempt hospitals to submit community benefit reports. Data on this web tool captures whether or not a state had a mandatory community benefit reporting law as of 2011. For more information, please see Community Benefit State Law Profiles Comparison at The Hilltop Institute.
Does the state in which the tax-exempt hospital is located have a mandatory community benefit reporting statute? YES
Community Health Needs Assessment Activities: 2021
The ACA requires all 501(c)(3) tax-exempt hospitals to conduct a Community Health Needs Assessment (CHNA) every three years, starting with the hospital's tax year beginning after March 23, 2012. The 2011 Schedule H included an optional section of questions on the CHNA process. This web tool includes responses for those hospitals voluntary reporting this information. The web tool will be updated to reflect changes in these questions on the 2012 and subsequent Schedule H forms.
Did the tax-exempt hospital report that they had conducted a CHNA? YES Did the CHNA define the community served by the tax-exempt hospital? YES Did the CHNA consider input from individuals that represent the broad interests of the community served by the tax-exempt hospital? YES Did the tax-exempt hospital make the CHNA widely available (i.e. post online)? YES Did the tax-exempt hospital adopt an implementation strategy to address the community needs identified by the CHNA? YES
Supplemental Information: 2021
- Statement of Program Service Accomplishments
Description of the organization's program service accomplishments for each of its three largest program services, as measured by expenses. Section 501(c)(3) and 501(c)(4) organizations are required to report the amount of grants and allocations to others, the total expenses, and revenue, if any, for each program service reported.
4A (Expenses $ 60515568 including grants of $ 0) (Revenue $ 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.
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Facility Information
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.
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Supplemental Information
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.
