Civic Intelligence

Sweetwater Hospital Association

EIN 62-0544855 • 501(c)3 • Sweetwater, TN

Profile

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.

304 Church StreetSweetwater, TN 37874

www.sweetwaterhospital.org

Siviq Scores

Precomputed percentiles relative to similar nonprofits. These scores are descriptive rather than judgmental.

Liabilities / Assets

42nd percentile

0.17x

Higher debt load relative to assets than 42% of similar nonprofits.

501(c)3 • $50M-$100M nonprofits • Source year 2024

Liabilities / Revenue

38th percentile

0.22x

Higher debt load relative to revenue than 38% of similar nonprofits.

501(c)3 • $50M-$100M nonprofits • Source year 2024

Net Margin

14th percentile

-12%

Higher net margin than 14% of similar nonprofits.

501(c)3 • $50M-$100M nonprofits • Source year 2024

Top Officer Pay

98th percentile

$2,899,810

Higher top officer pay than 98% of similar nonprofits.

Top officer pay equals 3.8% of source-year revenue.

501(c)3 • $50M-$100M nonprofits • Source year 2024

Asset Growth

21st percentile

-1.8%

Faster asset growth than 21% of similar nonprofits.

501(c)3 • $50M-$100M nonprofits • Annualized from 2023 to 2024

Revenue Growth

64th percentile

15%

Faster revenue growth than 64% of similar nonprofits.

501(c)3 • $50M-$100M nonprofits • Annualized from 2023 to 2024

Assets

Down

$96,277,521

Down $1,767,578 (-1.8%) from 2023

Liabilities

Up

$16,580,045

Up $4,307,274 (+35%) from 2023

Net Assets

Down

$79,697,476

Down $6,074,852 (-7.1%) from 2023

Revenue

Up

$75,395,698

Up $9,927,556 (+15%) from 2023

Expenses

Up

$84,237,195

Up $10,642,574 (+14%) from 2023

Net Income

Down

-$8,841,497

Down $715,018 (-8.8%) from 2023

Trend Graphs

Balance Sheet Trend

Grouped bars show assets, liabilities, and net assets across loaded filings.

$150M$100M$50M$0Assets 2010: $43,696,561Liabilities 2010: $2,458,855Net Assets 2010: $41,237,7062010Assets 2011: $46,741,897Liabilities 2011: $3,001,355Net Assets 2011: $43,740,5422011Assets 2012: $56,017,648Liabilities 2012: $3,413,284Net Assets 2012: $52,604,3642012Assets 2013: $64,012,662Liabilities 2013: $4,611,568Net Assets 2013: $59,401,0942013Assets 2014: $69,953,223Liabilities 2014: $3,544,655Net Assets 2014: $66,408,5682014Assets 2015: $80,792,099Liabilities 2015: $3,799,040Net Assets 2015: $76,993,0592015Assets 2016: $81,760,408Liabilities 2016: $2,430,057Net Assets 2016: $79,330,3512016Assets 2017: $83,927,343Liabilities 2017: $3,097,179Net Assets 2017: $80,830,1642017Assets 2018: $82,517,712Liabilities 2018: $2,779,140Net Assets 2018: $79,738,5722018Assets 2019: $83,196,765Liabilities 2019: $3,921,333Net Assets 2019: $79,275,4322019Assets 2020: $94,823,444Liabilities 2020: $7,358,786Net Assets 2020: $87,464,6582020Assets 2021: $100,982,739Liabilities 2021: $7,529,581Net Assets 2021: $93,453,1582021Assets 2022: $95,564,222Liabilities 2022: $4,946,665Net Assets 2022: $90,617,5572022Assets 2023: $98,045,099Liabilities 2023: $12,272,771Net Assets 2023: $85,772,3282023Assets 2024: $96,277,521Liabilities 2024: $16,580,045Net Assets 2024: $79,697,4762024

Highlighted filing

2024

Assets$96,277,521
Liabilities$16,580,045
Net Assets$79,697,476

Operations Trend

Revenue, expenses, and net income by year, with the latest filing highlighted.

$100M$50M$0-$50MExpenses 2010: $44,110,4162010Expenses 2011: $45,015,2882011Expenses 2012: $48,161,6702012Expenses 2013: $50,565,5312013Revenue 2014: $58,728,627Expenses 2014: $51,766,735Net Income 2014: $6,961,8922014Revenue 2015: $64,131,281Expenses 2015: $53,140,437Net Income 2015: $10,990,8442015Revenue 2016: $56,911,464Expenses 2016: $53,480,298Net Income 2016: $3,431,1662016Revenue 2017: $54,761,359Expenses 2017: $52,776,478Net Income 2017: $1,984,8812017Revenue 2018: $53,184,142Expenses 2018: $53,760,366Net Income 2018: -$576,2242018Revenue 2019: $55,080,437Expenses 2019: $55,436,561Net Income 2019: -$356,1242019Revenue 2020: $62,634,047Expenses 2020: $53,860,364Net Income 2020: $8,773,6832020Revenue 2021: $59,985,704Expenses 2021: $56,785,486Net Income 2021: $3,200,2182021Revenue 2022: $63,803,200Expenses 2022: $69,419,343Net Income 2022: -$5,616,1432022Revenue 2023: $65,468,142Expenses 2023: $73,594,621Net Income 2023: -$8,126,4792023Revenue 2024: $75,395,698Expenses 2024: $84,237,195Net Income 2024: -$8,841,4972024

Highlighted filing

2024

Revenue$75,395,698
Expenses$84,237,195
Net Income-$8,841,497

Filings

Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2024Detailed filing. Detailed filing data is available for this year.$96.3$16.6$79.7$75.4$84.2$8.84
2023Detailed filing. Detailed filing data is available for this year.$98.0$12.3$85.8$65.5$73.6$8.13
2022Facts available. Structured filing facts are available, but richer extracted sections are limited.$95.6$4.95$90.6$63.8$69.4$5.62
2021Detailed filing. Detailed filing data is available for this year.$101$7.53$93.5$60.0$56.8$3.20
2020Detailed filing. Detailed filing data is available for this year.$94.8$7.36$87.5$62.6$53.9$8.77
2019Detailed filing. Detailed filing data is available for this year.$83.2$3.92$79.3$55.1$55.4$0.36
2018Detailed filing. Detailed filing data is available for this year.$82.5$2.78$79.7$53.2$53.8$0.58
2017Detailed filing. Detailed filing data is available for this year.$83.9$3.10$80.8$54.8$52.8$1.98
2016Detailed filing. Detailed filing data is available for this year.$81.8$2.43$79.3$56.9$53.5$3.43
2015Detailed filing. Detailed filing data is available for this year.$80.8$3.80$77.0$64.1$53.1$11.0
2014Detailed filing. Detailed filing data is available for this year.$70.0$3.54$66.4$58.7$51.8$6.96
2013Facts available. Structured filing facts are available, but richer extracted sections are limited.$64.0$4.61$59.4$50.6
2012Facts available. Structured filing facts are available, but richer extracted sections are limited.$56.0$3.41$52.6$48.2
2011Facts available. Structured filing facts are available, but richer extracted sections are limited.$46.7$3.00$43.7$45.0
2010Facts available. Structured filing facts are available, but richer extracted sections are limited.$43.7$2.46$41.2$44.1
Latest Filing Detail
Jump To
Filing Snapshot
Filing Period
Jul 1, 2023 to Jun 30, 2024
Signed
Sep 23, 2025
Return Version
2023v6.0
Gross Receipts
$75,395,698
Mission and Program Overview

Mission

Our mission is to provide the highest quality medical care available in our service area within our scope of care.

Balance Sheet Detail
LineBeginningEndChange
Assets
Investments in Publicly Traded Securities$45,879,643$43,495,102▼ $2,384,541
Land, Buildings, and Equipment, Net$35,006,508$34,511,597▼ $494,911
Accounts Receivable$8,515,925$9,539,632▲ $1,023,707
Inventories for Sale or Use$2,657,119$2,711,997▲ $54,878
Savings and Temporary Cash Investments$1,682,000$1,882,000▲ $200,000
Cash and Non-Interest-Bearing Accounts$2,316,756$1,847,238▼ $469,518
Prepaid Expenses and Deferred Charges$469,837$595,284▲ $125,447
Other Notes and Loans Receivable, Net$362,810$346,505▼ $16,305
Investments Other Securities$155,017$155,017→ $0
Receivable From Disqualified Prsn-$0-
Receivables From Officers Etc-$0-
Investments Program Related$0--
Loans From Officers Directors-$0-
Total Assets$98,045,099$96,277,521▼ $1,767,578
Other Assets Total$999,484$1,193,149▲ $193,665
Liabilities
Accounts Payable and Accrued Expenses$6,466,642$8,011,634▲ $1,544,992
Other Liabilities$3,315,735$4,707,557▲ $1,391,822
Mortgage Notes Payable Secured by Investment Property$2,490,394$3,860,854▲ $1,370,460
Total Liabilities$12,272,771$16,580,045▲ $4,307,274
Net Assets / Fund Balance
Net Assets Without Donor Restrictions$85,772,328$79,697,476▼ $6,074,852
Total Net Assets Fund Balance$85,772,328$79,697,476▼ $6,074,852
Total Liabilities and Net Assets / Fund Balance$98,045,099$96,277,521▼ $1,767,578

Asset Categories

AssetBook ValueDepreciationBasis
Equipment$16,663,252$33,969,239$50,632,491
Buildings$15,337,622$31,191,209$46,528,831
Other Land Buildings$855,867$800,397$1,656,264
Land$1,654,856-$1,654,856
Compensation and Service Providers

Employees

NameTitleFull / Part TimeBaseOtherTotal
Ken KozawaBoard Member/PHYSICIANFT$2,899,810-$2,899,810
Laurence JamesBoard Member/PHYSICIANFT$715,983-$715,983
Christopher BowmanBoard Member/PHYSICIANFT$636,562-$636,562
Ian McFaddenCEOFT$376,874$27,843$404,717
Ashley PinettePhysicianFT$353,804$17,086$370,890
Ashley ShamblinCFOFT$250,306$21,241$271,547
John DawsonPhysicianFT$235,549$14,473$250,022
Gretchan WilliamsCNOFT$207,223$12,760$219,983
Andrea HenryInterim CEOFT$187,625$14,808$202,433
Melissa HarrisCOOFT$184,284$15,998$200,282
Doug WarrenChairman-$3,600-$3,600
Barbara WatsonBoard Member-$2,400-$2,400
Gary KimseyBoard Member-$2,400-$2,400
Jim FairweatherBoard Member-$2,400-$2,400
John CarsonVice Chairman-$2,400-$2,400
Kenny ArcherBoard Member-$2,400-$2,400
Pat PenningtonBoard Member-$2,400-$2,400
TK SloanBoard Member-$2,400-$2,400
Teresa HarrillBoard Member-$2,400-$2,400

Highest Paid Contractors

ContractorServicesLocationCompensation
Ken Kozawa I Md PCPhysician Services304 WRIGHT ST, Sweetwater, TN 37874$3,022,293
Gifted NursesContract Nursing LaborPO BOX 205426, Dallas, TX 75320$2,467,143
Sam CouillardAnesthesia Services9128 STONEY MTN DRIVE, Chattanooga, TN 37421$1,998,340
TrubridgeEhr Software ServicesPO BOX 11407, Birmingham, AL 35246$1,853,049
Thomas Layman MdPhysician Services719 COOK DRIVE, Athens, TN 37303$908,630
Revenue and Support

Revenue Composition

Contributions and Grants
$8,350
Program Service Revenue
$73,271,873
Investment Income
$1,610,086
Other Revenue
$505,389
All Other Contributions
$8,350
Change in Net Assets
$-8,841,497

Audited Revenue Reconciliation

Revenue per Audited Statements
$59,306,249
Revenue Not Reported on Financial Statements
$16,089,449
Revenue Not Reported on Form 990
$2,766,645
Other Revenue Adjustments
$16,089,449
Total Revenue per Audited Statements
$62,072,894
Total Revenue per Form 990
$75,395,698
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Other Expenses$54,891,671
Salaries, Compensation, and Employee Benefits$29,345,524
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$21,556,953$2,460,612-$24,017,565
Fees for Services Other$8,058,932$2,724,126$0$10,783,058
Depreciation Depletion-$3,629,159-$3,629,159
Other Employee Benefits$2,078,816$293,915-$2,372,731
Payroll Taxes$1,538,055$199,849-$1,737,904
Occupancy$968,164$224,557-$1,192,721
Office Expenses$2,944$737,477-$740,421
Pension Plan Contributions$552,044$78,051-$630,095
Current Officers, Directors, Trustees, and Key Employees-$587,229-$587,229
Insurance-$485,053-$485,053
Interest-$305,024-$305,024
All Other Expenses$38,279$247,396$0$285,675
Other Expenses$236,275$180,609-$236,275
Fees for Services Legal-$204,699-$204,699
Conferences and Meetings$71,616$54,619-$126,235
Fees for Services Accounting-$-95,000-$-95,000
Total Functional Expenses$71,635,255$12,601,940$0$84,237,195

Audited Expense Reconciliation

Line ItemAmount
Total Expenses per Form 990$84,237,195
Expenses per Audited Statements$68,147,746
Total Expenses per Audited Statements$68,147,746
Expenses Not Reported on Financial Statements$16,089,449
Other Expense Adjustments$16,089,449
Expenses Not Reported on Form 990$0
Fundraising, Events, and Gaming
Fundraising activities
No
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Professional Fundraising Fees$0
Political and Lobbying Activity
Political campaign activity
No
Lobbying activity
Yes
Insider Transactions and Loans

Loans and Receivables

Line ItemBeginningEndChange
Loans from Officers, Directors, Trustees, and Key Employees-$0-
Receivables from Disqualified Persons-$0-
Receivables from Officers, Directors, Trustees, and Key Employees-$0-
Debt and Bond Financing

Other Reported Liabilities

LiabilityAmount
Line of Credit$4,510,000
Operating Lease Liability$197,557
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Annual disclosure for covered persons
Yes
Audit committee
No
Backup withholding compliance
Yes
Business relationship with 35% controlled entity
No
Business relationship with family members
No
Business relationship with organization members
No
Material changes to governing documents
No
Compensation from other sources disclosed
No
CEO compensation reviewed
Yes
Other officer compensation reviewed
Yes
Conflict-of-interest policy
Yes
Audited financial statements prepared
Yes
Key decisions subject to board approval
No
Management duties delegated
No

Governance Explanations

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;

Filing and Contact Details

Filer

Filer Name
Sweetwater Hospital Association
EIN
62-0544855
Phone
8652138200
Address
304 CHURCH STREET, SWEETWATER, TN 37874

Signing Officer

Name
Andrea Henry
Title
CEO
Phone
8652138200
Signed
2025-09-23
Discuss with paid preparer
Yes

Organization Details

Formed
1934
Legal Domicile
Tn
Voting Board Members
12
Independent Board Members
9
Employees
703
Volunteers
2

Preparer

Firm
Forvis Mazars LLP
Address
500 Ridgefield Court, Asheville, NC 28806
Preparer
Amy Bibby
Phone
8282542254
Supplemental Narrative

Additional Explanations

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.

Financial Statement Notes

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

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This appendix keeps the raw XML leaves available for debugging and edge-case review. The human report above is the primary experience.

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IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt0KEN KOZAWA I MD PC
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IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt4THOMAS LAYMAN MD
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IRS990/Desc0SWEETWATER 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.
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