Civic Intelligence

Sch Inc

990 • Fiscal year 2011 • EIN 56-0629325

Oct 01, 2010 to Sep 30, 2011 • Filed on Aug 15, 2012

Organization ProfileN/A
45 Plateau Street28713
Siviq Scores

Scores are not available for this record yet.

Balance Sheet

Assets

Flat

$8,467,636

Flat from 2011

Net Assets

Flat

$954,157

Flat from 2011

Liabilities

Flat

$7,513,479

Flat from 2011

Revenue And Expenses

Revenue

-

No earlier filing loaded for comparison.

Expenses

Flat

$13,045,696

Flat from 2011

Net Income

-

No earlier filing loaded for comparison.

Historical Trend

Balance Sheet Trend

The highlighted filing sits inside the broader history for assets, liabilities, and net assets.

$10M$5.0M$0-$5.0MAssets 2010: $7,023,249Liabilities 2010: $6,961,498Net Assets 2010: $61,7512010Assets 2011: $8,467,636Liabilities 2011: $7,513,479Net Assets 2011: $954,1572011Assets 2011: $8,467,636Liabilities 2011: $7,513,479Net Assets 2011: $954,1572011Assets 2012: $7,849,535Liabilities 2012: $6,557,517Net Assets 2012: $1,292,0182012Assets 2013: $7,444,650Liabilities 2013: $5,929,229Net Assets 2013: $1,515,4212013Assets 2014: $268,369Liabilities 2014: $1,167,951Net Assets 2014: -$899,5822014Assets 2015: $0Liabilities 2015: $0Net Assets 2015: $02015Assets 2016: $0Net Assets 2016: $02016Assets 2017: $0Net Assets 2017: $02017Assets 2018: $1Liabilities 2018: $02018Assets 2019: $0Net Assets 2019: $02019Assets 2020: $0Net Assets 2020: $02020

Highlighted filing

2011

Assets$8,467,636
Liabilities$7,513,479
Net Assets$954,157
Open 2011 Filing

Operations Trend

Revenue, expenses, and net income across loaded years, with this filing highlighted.

$15M$10M$5.0M$0Expenses 2010: $14,008,9712010Expenses 2011: $13,045,6962011Revenue 2011: $14,068,979Expenses 2011: $13,045,696Net Income 2011: $1,023,2832011Revenue 2012: $14,556,841Expenses 2012: $14,205,799Net Income 2012: $351,0422012Expenses 2013: $14,159,8592013Revenue 2014: $13,393,644Expenses 2014: $12,134,815Net Income 2014: $1,258,8292014Revenue 2015: $0Expenses 2015: $0Net Income 2015: $02015Revenue 2016: $02016Revenue 2017: $02017Revenue 2018: $0Expenses 2018: $0Net Income 2018: $02018Revenue 2019: $02019Revenue 2020: $02020

Highlighted filing

2011

Revenue-
Expenses$13,045,696
Net Income-
Open 2011 Filing
Jump To
Filing Snapshot
Filing Period
Oct 1, 2010 to Sep 30, 2011
Signed
Aug 15, 2012
Return Version
2010v3.4
Gross Receipts
$14,081,727
Mission and Program Overview

Mission

To provide high quality, cost effective healthcare targeted to the needs of the people we serve.

Filing and Contact Details

Filer

EIN
56-0629325
Raw XML AppendixShowing 400 of 682 raw XML fields

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/Description0SWAIN COUNTY HOSPITAL ("THE HOSPITAL") IS A CRITICAL ACCESS HOSPITAL LOCATED IN BRYSON CITY, NORTH CAROLINA. TWENTY-FIVE MILES SEPARATE IT FROM ITS SISTER HOSPITAL, HARRIS REGIONAL IN SYLVA, NORTH CAROLINA. THE 48-BED, FULLY ACCREDITED HOSPITAL HAS BEEN A STABLE FORCE IN PROVIDING HEALTHCARE TO THE CITIZENS OF SWAIN AND GRAHAM COUNTIES FOR OVER 50 YEARS. THE MISSION OF SWAIN COUNTY HOSPITAL HAS ALWAYS BEEN TO PROVIDE THE BEST PRIMARY MEDICAL CARE TO RESIDENTS AND VISITORS OF THE BRYSON CITY AREA.SWAIN COUNTY HOSPITAL OFFERS A BROAD RANGE OF SERVICES TO MEET THE NEEDS OF SWAIN COUNTY, SOME OF WHICH INCLUDE: OUTPATIENT SURGERY, LABORATORY SERVICES, IMAGING SERVICES, REHABILITATIVE SERVICES, WOUND CARE, SURGICAL SERVICES, CARDIAC REHABILITATION SERVICES, PULMONARY REHABILITATION SERVICES, PHARMACY, EMERGENCY DEPARTMENT, AND SLEEP SERVICES.
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IRS990/MissionDescription0SWAIN COUNTY HOSPITAL, INC. IS A MEMBER OF THE WESTCARE HEALTH SYSTEM ("WESTCARE"). THE MISSION OF WESTCARE IS TO PROVIDE HIGH QUALITY, COST EFFECTIVE HEALTHCARE TARGETED TO THE NEEDS OF THE PEOPLE WE SERVE. WESTCARE'S VISION IS EXCELLENCE IN CARE, SERVICE, AND VALUE - ONE PATIENT AT A TIME. WESTCARE'S CORE VALUES ARE COMPASSION, ACCOUNTABILITY, RESPECT, AND EXCELLENCE WHICH TOGETHER COMPRISE "WE C.A.R.E."
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IRS990ScheduleD/Form990ScheduleDPartXIV/Explanation0WESTCARE, HARRIS, AND SWAIN ARE EXEMPT FROM INCOME TAXES UNDER THE PROVISIONS OF SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. ACCORDINGLY, NO PROVISION FOR INCOME TAXES HAS BEEN INCLUDED IN THE ACCOMPANYING CONSOLIDATED FINANCIAL STATEMENTS RELATED TO THESE ORGANIZATIONS. PROCOR, INC. IS A TAXABLE ENTITY AND ACCOUNTS FOR INCOME TAXES IN ACCORDANCE WITH FASB ASC 740, INCOME TAXES. IN 2010, PROCOR, INC. ADOPTED THE UNCERTAIN TAX POSITIONS PROVISIONS OF FASB ASC 740. THE ADOPTION OF THESE PROVISIONS HAD NO MATERIAL IMPACT ON THE ORGANIZATIONS' CONSOLIDATED FINANCIAL STATEMENTS. PROCOR, INC. HAS NO UNCERTAIN TAX POSITIONS AT SEPTEMBER 30, 2011 AND 2010.
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IRS990ScheduleH/CostOfCareReimbursedByMedicare04678723
IRS990ScheduleH/ExpensesExceededBudget01
IRS990ScheduleH/Form990ScheduleHPartVI/Explanation0PART I, LINE 7: COST IS DERIVED FROM THE ACTUAL EXPENSE DATA ACCUMULATED WITHIN THE HOSPITAL GENERAL LEDGER WHICH ADDRESSES ALL PATIENT SEGMENTS (INPATIENT, OUTPATIENT, EMERGENCY ROOM, PRIVATE INSURANCE, MEDICAID, MEDICARE, UNINSURED, AND SELF-PAY). THE HOSPITAL ALLOCATES THOSE EXPENSES TO ALL PATIENT SEGMENTS AT THE PROCEDURE LEVEL BASED ON A COST-TO-CHARGE RATIO.
IRS990ScheduleH/Form990ScheduleHPartVI/Explanation1PART I, L7 COL(F): BAD DEBT EXPENSE INCLUDED IN FORM 990, PART IX, LINE 25, COLUMN (A) IS $2,236,554. THE HOSPITAL EXCLUDED THE FULL AMOUNT, $2,236,554, FOR PURPOSES OF CALCULATING THE PERCENTAGE IN COLUMN (F), ON PART I, LINE 7.
IRS990ScheduleH/Form990ScheduleHPartVI/Explanation2PART III, LINE 4: A COST-TO-CHARGE RATIO WAS ALSO USED TO DETERMINE BAD DEBT COST. THE TOTAL OPERATING EXPENSE WAS DIVIDED BY PATIENT REVENUES TO CALCULATE AN OVERALL RATIO THAT WAS THEN APPLIED TO THE BAD DEBT EXPENSE TO ARRIVE AT COST.UNINSURED DISCOUNTS AND BAD DEBTS INCLUDE THE COST OF SERVICES TO UNINSURED OR UNDERINSURED PATIENTS AND TO PATIENTS WHO OTHERWISE DO NOT PAY FOR THEIR HEALTHCARE SERVICES. DURING FISCAL YEAR 2010, THE ORGANIZATION BEGAN APPLYING A 40% DISCOUNT AT TIME OF BILLING FOR SERVICES PROVIDED TO UNINSURED PATIENTS. GROSS CHARGES SO DISCOUNTED ARE EXCLUDED FROM PATIENT REVENUE.
IRS990ScheduleH/Form990ScheduleHPartVI/Explanation3PART III, LINE 8: MEDICARE ALLOWABLE COSTS WERE REPORTED USING THE HOSPITAL'S FILED MEDICARE COST REPORT (C/R). THE C/R USES A COST TO CHARGE RATIO BASED ON A STEP-DOWN ALLOCATION METHODOLOGY. IN CARING FOR THE PATIENT, THERE ARE SEVERAL SERVICES THAT ARE CONSIDERED NON-ALLOWABLE BY CMS SUCH AS: TRANSPORTATION OF A PATIENT, COMFORT ITEMS TO INCLUDE A TELEVISION OR A TELEPHONE. ADDITIONAL NON-ALLOWABLE COSTS INCLUDE THE RECRUITMENT OF PHYSICIANS, PHYSICIAN GUARANTEES AND A PORTION OF THE BAD DEBT ASSOCIATED WITH THE CARE OF THE PATIENT.
IRS990ScheduleH/Form990ScheduleHPartVI/Explanation4PART III, LINE 9B: IT IS THE POLICY OF THE HOSPITAL TO PURSUE COLLECTION OF PATIENT BALANCES FROM PATIENTS WHO HAVE THE ABILITY TO PAY FOR THESE SERVICES. THE HOSPITALS COLLECTION PRACTICES APPLY TO ALL PATIENTS, CHARITY CARE AND NON-CHARITY CARE, CONSISTENTLY AND FAIRLY REGARDLESS OF INSURANCE STATUS. AFTER THE PATIENT VISIT HAS BEEN CONCLUDED, A SUMMARY OF THE CHARGES WILL BE MAILED TO THE PATIENT FOR REVIEW. IF INSURANCE INFORMATION WAS PROVIDED UPON REGISTRATION, A CLAIM WILL BE SUBMITTED TO THE INSURANCE CARRIER ON THE PATIENT'S BEHALF. AFTER INSURANCE PROCESSING, THE PATIENT WILL RECEIVE A STATEMENT EXPLAINING THE INSURANCE RESPONSE AND OUTLINING THE PATIENT'S REMAINING BALANCE. SELF-PAY PATIENTS ARE ELIGIBLE TO RECEIVE A 20% PROMPT DISCOUNT IF THE ACCOUNT IS PAID IN FULL PRIOR TO OR ON THE DATE OF SERVICES. A 15% DISCOUNT WILL BE ISSUED IF PAYMENT IS MADE WITHIN 25 DAYS OF SERVICE. ADDITIONALLY, PATIENTS LACKING ADEQUATE RESOURCES TO PAY FOR MEDICAL CARE MAY QUALIFY FOR THE HOSPITAL'S CARE ASSISTANCE PROGRAM WHICH PROVIDES EXTENDED PAYMENT PLANS AND/OR PROMPT PAY DISCOUNTS UP TO 20% FOR PAYMENT IN FULL WITHIN 5 DAYS OF THE DISCHARGE AND ASSISTS PATIENTS IN APPLYING FOR STATE PROGRAMS TO MEET THEIR MEDICAL NEEDS. IF PAYMENT FOR SERVICES IS NOT RECEIVED IN FULL WITHIN 25 DAYS, THE ACCOUNT IS FORWARDED TO PROCOR BILLING SERVICES. THIS SERVICE ALLOWS FOR PATIENTS TO MAKE FINANCIAL ARRANGEMENTS THAT ARE BOTH ACCEPTABLE TO THE PATIENT AND TO THE HOSPITAL. FINANCIAL COUNSELORS DILIGENTLY WORK WITH PATIENTS AND EVALUATE NEW INFORMATION LEARNED DURING THE COLLECTION PROCESS TO DETERMINE IF COLLECTION ACTIVITIES SHOULD BE CEASED OR IF THE PATIENT QUALIFIES FOR FINANCIAL ASSISTANCE. THE HOSPITAL, ALONG WITH ASSISTANCE FROM PROCOR STRIVES TO MEET EACH PATIENT'S FINANCIAL RESPONSIBILITIES. IF THIS IS NOT SUCCESSFUL, PAST DUE AMOUNTS WILL BE FORWARDED TO AN OUTSIDE COLLECTION AGENCY, WITH SUBSTANTIAL EXPERIENCE IN COLLECTION OF PATIENT ACCOUNTS, ONLY AFTER ALL ESTABLISHED STEPS HAVE BEEN UNDERTAKEN, WITHOUT SUCCESS.
IRS990ScheduleH/Form990ScheduleHPartVI/Explanation5PART VI, LINE 2: THE HOSPITAL COMPLETES AN ANNUAL SURVEY, WHICH INCLUDES CHARITY CARE AND COMMUNITY BENEFIT INFORMATION. THE HOSPITAL SUBMITS THIS SURVEY WITH ITS FINANCIAL ASSISTANCE POLICY TO THE NORTH CAROLINA HOSPITAL ASSOCIATION ("NCHA"). THE HOSPITAL'S CHARITY CARE AND COMMUNITY BENEFIT DATA ALONG WITH ITS FINANCIAL ASSISTANCE POLICY IS AVAILABLE FOR VIEWING ON THE NCHA PUBLIC WEBSITE. THE HOSPITAL'S FINANCIAL DATA IS REPORTED USING GUIDELINES DEVELOPED BY NCHA AND ITS MEMBERS.OUTSIDE OF THE INFORMATION SUBMITTED TO THE NCHA, THE HOSPITAL DOES NOT FORMALLY ASSESS THE HEALTH CARE NEEDS OF THE COMMUNITY IT SERVES AT THIS TIME. HOWEVER, ANY NEW PHYSICIAN POSITIONS CREATED ARE APPROVED BY THE BOARD OF TRUSTEES AND EVALUATED FOR THE OVERALL BENEFIT PROVIDED TO THE COMMUNITY.
IRS990ScheduleH/Form990ScheduleHPartVI/Explanation6PART VI, LINE 3: TO COMMUNICATE THE HOSPITAL'S FINANCIAL POLICY TO THE PATIENT, THE HOSPITAL'S WEBSITE HAS A "PATIENTS AND VISITORS" MENU WHERE PATIENTS CAN GO TO VIEW INFORMATION ABOUT PAYMENT POLICIES, INSURANCE INFORMATION, AND THE HOSPITAL FINANCIAL ASSISTANCE (CARE ASSISTANCE) PROGRAM. THE WEBSITE GIVES THREE PHONE NUMBERS THAT PATIENTS CAN USE TO CONTACT A FINANCIAL COUNSELOR TO DISCUSS THEIR INDIVIDUAL FINANCIAL ALTERNATIVES. THE HOSPITAL'S CHARITY CARE POLICY AND FINANCIAL ASSISTANCE CONTACT INFORMATION IS POSTED IN THE ADMISSIONS AREAS, EMERGENCY AREAS, AND OTHER AREAS OF THE HOSPITAL'S FACILITIES IN WHICH ELIGIBLE PATIENTS MAY BE PRESENT. ALL STAFF WITH PATIENT CONTACT ARE KNOWLEDGEABLE ABOUT THE CHARITY CARE POLICY (ADMITTING AND BILLING CLERKS, NURSING AND MEDICAL STAFFS, SOCIAL WORKERS, CHAPLAINS, PATIENT ADVOCATES, ETC.).
IRS990ScheduleH/Form990ScheduleHPartVI/Explanation7PART VI, LINE 4: THE HOSPITAL IS LOCATED IN BRYSON CITY, SWAIN COUNTY WHICH IS IN RURAL WESTERN NORTH CAROLINA. SWAIN COUNTY IS A FEDERALLY DESIGNATED MEDICALLY UNDERSERVED AREA WITH NEARLY 20% OF ITS POPULATION AS UNINSURED. THE POPULATION OF SWAIN COUNTY IS JUST UNDER 14,000 AND ACCORDING TO THE U.S. CENSUS BUREAU, BRYSON CITY HAS A POPULATION OF 1,424. SWAIN COUNTY HAS A MEDIAN HOUSEHOLD INCOME OF $35,000 WITH 22.4% OF THE POPULATION LIVING BELOW THE POVERTY LEVEL.
IRS990ScheduleH/Form990ScheduleHPartVI/Explanation8PART VI, LINE 6: THE HOSPITAL IS DEDICATED TO SERVING THE COMMUNITY BY IMPROVING THE QUALITY OF LIFE OF THE COMMUNITY THROUGH BETTER HEALTH. THE HOSPITAL IS COMMITTED TO PROVIDING QUALITY HEALTH CARE SERVICES IN A CARING ENVIRONMENT THAT FULFILLS THE NEEDS OF OUR PATIENTS, PHYSICIANS, EMPLOYERS, EMPLOYEES, AND COMMUNITY. THE HOSPITAL OPERATES AN EMERGENCY ROOM OPEN TO ALL PERSONS, WITHOUT REGARD TO THE ABILITY TO PAY. THE HOSPITAL USES ANY SURPLUS FUNDS TO IMPROVE THE QUALITY OF PATIENT CARE, EXPAND, OR IMPROVE ITS FACILITIES, AND ADVANCE ITS MEDICAL TRAINING, EDUCATION AND RESEARCH PROGRAMS. THE HOSPITAL'S BOARD OF DIRECTORS CONSISTS OF INDIVIDUALS REPRESENTING THE COMMUNITY. THE HOSPITAL MAINTAINS AN OPEN MEDICAL STAFF, WITH MEMBERSHIP AND PRIVILEGES AVAILABLE TO ALL QUALIFIED PHYSICIANS AND HEALTHCARE PROFESSIONALS. IN THESE AND OTHER RESPECTS, THE HOSPITAL IS ORGANIZED AND OPERATED IN A MANNER THAT PROMOTES THE HEALTH OF THE COMMUNITY AND THEREFORE FULFILLS CHARITABLE PURPOSES WITHIN THE MEANING OF INTERNAL REVENUE CODE SECTION 501(C)(3).
IRS990ScheduleH/Form990ScheduleHPartVI/Explanation9PART VI, LINE 7: SWAIN COUNTY HOSPITAL ("THE HOSPITAL") IS A 48-BED, FULLY ACCREDITED HOSPITAL AND HAS BEEN A STABLE FORCE IN PROVIDING HEALTHCARE TO THE CITIZENS OF SWAIN AND GRAHAM COUNTIES FOR OVER 50 YEARS. SWAIN COUNTY HOSPITAL IS OWNED BY THE WESTCARE HEALTH SYSTEM, A GROWING, WELL-RESPECTED, NON-PROFIT HEALTH CARE PROVIDER THAT DELIVERS A FULL SPECTRUM OF HEALTH CARE FOR OVER 80,000 PEOPLE LIVING IN FOUR COUNTIES. WESTCARE HEALTH SYSTEM ("WESTCARE") WAS FORMED IN FEBRUARY 1997 WITH THE ESTABLISHMENT OF A COMBINATION BUSINESS AGREEMENT BETWEEN HARRIS REGIONAL HOSPITAL AND SWAIN COUNTY HOSPITAL TO DEVELOP A FULL SPECTRUM OF HEALTH SERVICES FOR WESTERN NORTH CAROLINA. WESTCARE ALSO OWNS THREE MEDICAL PARKS, WESTCARE MEDICAL PARK OF FRANKLIN LOCATED IN MACON COUNTY, WESTCARE MEDICAL PARK OF BRYSON CITY LOCATED IN SWAIN COUNTY, AND WESTCARE MEDICAL PARK OF SYLVA LOCATED IN JACKSON COUNTY. WESTCARE ALSO OPERATES MOUNTAIN REGIONAL CANCER CENTERS, TWO STATE-OF-THE-ART RADIATION THERAPY FACILITIES PROVIDING ALL ASPECTS OF COMPREHENSIVE RADIATION THERAPY SERVICES. WESTCARE EMPLOYS ALMOST 1200 FULL AND PART TIME EMPLOYEES AND HAS A MEDICAL STAFF OF OVER 90 PHYSICIANS REPRESENTING 22 SPECIALTIES. WESTCARE IS GOVERNED BY A BOARD OF TRUSTEES, WHICH IS DRAWN FROM COMMUNITY LEADERS IN EACH OF THE FOUR PRIMARY COUNTIES IT SERVES. WESTCARE IS MANAGED AND OPERATED BY THE PEOPLE OF WESTERN NORTH CAROLINA, FOR THE PEOPLE OF WESTERN NORTH CAROLINA.IN JANUARY 2010, WESTCARE ENTERED INTO A JOINT OPERATING AGREEMENT WITH HAYWOOD REGIONAL MEDICAL CENTER IN WAYNESVILLE, NORTH CAROLINA, TO FORM MEDWEST HEALTH SYSTEM ("MEDWEST"). MEDWEST CONSISTS OF 323 LICENSED BEDS SYSTEM-WIDE. MEDWEST IS ALSO AFFILIATED WITH CAROLINAS HEALTHCARE SYSTEM, ONE OF THE SOUTHEAST'S LEADING HEALTHCARE SYSTEMS. PATIENTS BENEFIT FROM THE HOSPITAL'S AFFILIATION WITH A HEALTHCARE SYSTEM WHERE THEY CAN BE EFFICIENTLY MOVED ALONG AN INTEGRATED, COMPREHENSIVE CONTINUUM OF CARE AS THEIR HEALTH STATUS DICTATES.
IRS990ScheduleH/Form990ScheduleHPartVI/Explanation10NC
IRS990ScheduleH/Form990ScheduleHPartVI/Identifier0REPORTS FILED WITH STATES
IRS990ScheduleH/Form990ScheduleHPartVI/ReturnReference0PART VI, LINE 7
IRS990ScheduleH/Form990ScheduleHPartVSectionA/Address/AddressLine1045 PLATEAU STREET

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Filings

Displayed year

2011 • Form 990Facts available. Structured filing facts are available, but richer extracted sections are limited.

Open filing
Assets
$8,467,636
Liabilities
$7,513,479
Net assets
$954,157
Revenue
-
Expenses
$13,045,696
Net income
-
Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2020Detailed filing. Detailed filing data is available for this year.$0.00$0.00$0.00
2019Detailed filing. Detailed filing data is available for this year.$0.00$0.00$0.00
2018Summary only. Only limited summary data is available for this year.$0.00$0.00$0.00$0.00$0.00
2017Detailed filing. Detailed filing data is available for this year.$0.00$0.00$0.00
2016Detailed filing. Detailed filing data is available for this year.$0.00$0.00$0.00
2015Detailed filing. Detailed filing data is available for this year.$0.00$0.00$0.00$0.00$0.00$0.00
2014Summary only. Only limited summary data is available for this year.$0.27$1.17$0.90$13.4$12.1$1.26
2013Facts available. Structured filing facts are available, but richer extracted sections are limited.$7.44$5.93$1.52$14.2
2012Summary only. Only limited summary data is available for this year.$7.85$6.56$1.29$14.6$14.2$0.35
2011Facts available. Structured filing facts are available, but richer extracted sections are limited.$8.47$7.51$0.95$13.0
2011Summary only. Only limited summary data is available for this year.$8.47$7.51$0.95$14.1$13.0$1.02
2010Facts available. Structured filing facts are available, but richer extracted sections are limited.$7.02$6.96$0.06$14.0