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CONWAY HOSPITAL INC: Form 990, tax year 2021

View the entire original 990 at ProPublica ↗

Organization
CONWAY HOSPITAL INC (EIN 57-0314381)
Tax period
2021-10-01 to 2022-09-30
Filed
2023-08-11
IRS object ID
202332239349301833
Schema version
2021v4.2
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)
Return2023-08-11T15:07:57-05:00ReturnTs
Tax Period End2022-09-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN366055558PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1GRANT THORNTON LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line175 STATE STREET 13TH FLOORAddressLine1Txt
CityBOSTONCityNm
State AbbreviationMAStateAbbreviationCd
ZIP02109ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2021-10-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN570314381EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1CONWAY HOSPITAL INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlCONWBusinessNameControlTxt
Phone8433478037PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1300 SINGLETON RIDGE ROADAddressLine1Txt
CityCONWAYCityNm
State AbbreviationSCStateAbbreviationCd
ZIP29526ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonDAVID MIERPersonNm
Person TitleCFOPersonTitleTxt
Phone8433478037PhoneNum
Signature2023-08-11SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstDAVIDPersonFirstNm
Person LastMIERPersonLastNm
FieldValueIRS element (for citing)
SSN999009999SSN

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonERIN COUTUREPreparerPersonNm
PTINP01390592PTIN
Phone6177237900PhoneNum

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

FieldValueIRS element (for citing)
Trusted Customer3TrustedCustomerCd
Authentication Assurance LevelAAL1AuthenticationAssuranceLevelCd
Identity Assurance LevelIAL1IdentityAssuranceLevelCd
FieldValueIRS element (for citing)
Tax2021TaxYr
Build TS2023-04-26 12:10:37ZBuildTS

Form 990 IRS990

Doing Business As Name DoingBusinessAsName

FieldValueIRS element (for citing)
Business Name Line1CONWAY MEDICAL CENTERBusinessNameLine1Txt
FieldValueIRS element (for citing)
Principal OfficerBRET BARRPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1300 SINGLETON RIDGE ROADAddressLine1Txt
CityCONWAYCityNm
State AbbreviationSCStateAbbreviationCd
ZIP29526ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$282,420,903GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.CONWAYMEDICALCENTER.COMWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1928FormationYr
Legal Domicile StateSCLegalDomicileStateCd
Activity Or MissionWE ARE AN ACUTE CARE HOSPITAL SERVING HORRY AND SURROUNDING COUNTIES. (CONTINUED IN SCHEDULE O)ActivityOrMissionDesc
Voting Members Governing Body15VotingMembersGoverningBodyCnt
Voting Members Independent15VotingMembersIndependentCnt
Total Employee2148TotalEmployeeCnt
Total Volunteers183TotalVolunteersCnt
Total Gross UBI$32,258TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$4,502,215PYContributionsGrantsAmt
CY Contributions Grants$6,643,819CYContributionsGrantsAmt
PY Program Service Revenue$241,993,551PYProgramServiceRevenueAmt
CY Program Service Revenue$264,781,838CYProgramServiceRevenueAmt
PY Investment Income$5,796,970PYInvestmentIncomeAmt
CY Investment Income$5,674,193CYInvestmentIncomeAmt
PY Other Revenue$435,136PYOtherRevenueAmt
CY Other Revenue$341,944CYOtherRevenueAmt
PY Total Revenue$252,727,872PYTotalRevenueAmt
CY Total Revenue$277,441,794CYTotalRevenueAmt
PY Grants And Similar Paid$47,877PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$2,136,535CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$123,009,621PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$141,368,608CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$124,599,765PYOtherExpensesAmt
CY Other Expenses$143,206,221CYOtherExpensesAmt
PY Total Expenses$247,657,263PYTotalExpensesAmt
CY Total Expenses$286,711,364CYTotalExpensesAmt
PY Revenues Less Expenses$5,070,609PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$9,269,570CYRevenuesLessExpensesAmt
Total Assets BOY$633,399,313TotalAssetsBOYAmt
Total Assets EOY$602,891,822TotalAssetsEOYAmt
Total Liabilities BOY$184,759,460TotalLiabilitiesBOYAmt
Total Liabilities EOY$200,230,055TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$448,639,853NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$402,661,767NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionCONWAY HOSPITAL INC., LOCATED IN CONWAY, SOUTH CAROLINA, IS A NOT-FOR-PROFIT ACUTE CARE HOSPITAL THAT PROVIDES INPATIENT, OUTPATIENT AND EMERGENCY CARE SERVICES GENERALLY FOR RESIDENTS OF HORRY AND SURROUNDING COUNTIES.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$238,666,770ExpenseAmt
Grant$2,136,535GrantAmt
Revenue$265,091,524RevenueAmt
DescSEE SCHEDULE ODesc
Total Program Service Expenses$238,666,770TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying ActivitiesYes (1)LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Donor Rstr Or Quasi EndowmentsYes (1)DonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other AssetsYes (1)ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (1)ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign ActivitiesYes (1)ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate HospitalYes (1)OperateHospitalInd
Audited Financial Stmt AttYes (1)AuditedFinancialStmtAttInd
Grants To OrganizationsYes (1)GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt BondsYes (1)TaxExemptBondsInd
Invest Tax Exempt Bonds0InvestTaxExemptBondsInd
Escrow Account0EscrowAccountInd
On Behalf Of Issuer0OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan OutstandingYes (1)LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent0BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl EntYes (1)RelatedOrganizationCtrlEntInd
Transaction With Control EntYes (1)TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document197IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee2148EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitYes (1)UnrelatedBusIncmOverLimitInd
Form990 T FiledYes (1)Form990TFiledInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt0SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc0SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members15GoverningBodyVotingMembersCnt
Independent Voting Member15IndependentVotingMemberCnt
Family Or Business RlnYes (1)FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or Stockholders0MembersOrStockholdersInd
Election Of Board Members0ElectionOfBoardMembersInd
Decisions Subject To Approva0DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process OtherYes (1)CompensationProcessOtherInd
Investment In Joint VentureYes (1)InvestmentInJointVentureInd
Written Policy Or ProcedureYes (1)WrittenPolicyOrProcedureInd
States Where Copy Of Return Is FldNCStatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is FldSCStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1BRIAN ARGOBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone8433478037PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1300 SINGLETON RIDGE ROADAddressLine1Txt
CityCONWAYCityNm
State AbbreviationSCStateAbbreviationCd
ZIP29526ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (27 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtHighest Compensated EmployeeHighestCompensatedEmployeeIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtOfficerOfficerIndKey EmployeeKeyEmployeeIndIndividual Trustee Or DirectorIndividualTrusteeOrDirectorInd
AARON EPSTEIN
PHYSICIAN40.000.00Yes (X)$838,768$0$26,598
STEPHEN BRADY
PHYSICIAN40.000.00Yes (X)$837,735$0$22,197
BRET BARR
CEO & TRUSTEE40.004.00$812,946$0$33,665Yes (X)
SAMER CHARBEL
PHYSICIAN40.000.00Yes (X)$748,641$0$26,598
ZAHER NUWAYHID
PHYSICIAN40.000.00Yes (X)$737,034$0$26,598
JASON ANDERSEN
PHYSICIAN40.000.00Yes (X)$733,623$0$26,598
PAUL RICHARDSON
VP OF MEDICAL AFFAIRS40.000.00$582,303$0$26,598Yes (X)
BRIAN ARGO
CFO40.004.00$459,170$0$32,733Yes (X)
MATTHEW SECURRO
VP OF HUMAN RESOURCES40.000.00$368,483$0$1,625Yes (X)
TONY MINSHEW
VP OF NURSING40.000.00$357,140$0$12,686Yes (X)
ANGELA WILLIFORD
CHIEF RISK OFFICER40.000.00$290,481$0$29,039Yes (X)
KEVIN LOVETT
VP OF FACILITIES40.000.00$288,888$0$29,401Yes (X)
LEROY RAINBOW JR
CHAIRMAN1.000.00$0$0$0Yes (X)Yes (X)
M WAYNE STATON
SECRETARY1.000.00$0$0$0Yes (X)Yes (X)
JAMES ADAMSON
TRUSTEE (AS OF 10/21)1.000.00$0$0$0Yes (X)
WILLIAM R BENSON
TRUSTEE1.000.00$0$0$0Yes (X)
DR REGINALD F DAVES
TRUSTEE1.000.00$0$0$0Yes (X)
DR MICHAEL ELLIS
TRUSTEE1.000.00$0$0$0Yes (X)
CHRISTI EVERETTE
TRUSTEE1.000.00$0$0$0Yes (X)
HEATHER VON HERMANN
TRUSTEE1.000.00$0$0$0Yes (X)
DR HAL B HOLMES
TRUSTEE1.000.00$0$0$0Yes (X)
TERRY LEVENSON
TRUSTEE1.000.00$0$0$0Yes (X)
GEORGE N MAGRATH JR
TRUSTEE1.000.00$0$0$0Yes (X)
DIANNE W RAY
TRUSTEE1.000.00$0$0$0Yes (X)
DELAN STEVENS
TRUSTEE (AS OF 10/21)1.000.00$0$0$0Yes (X)
DENNIS WADE
TRUSTEE1.000.00$0$0$0Yes (X)
SRINIVAS VUPPALA
TRUSTEE (AS OF 10/21)1.001.00$0$0$0Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$7,055,212TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$294,336TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K143IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
MONTEITH CONSTRUCTION CORP
32 N FRONT STREETWILMINGTONNC28401CONSTRUCTION$8,112,294
QUALIVIS LLC
5930 CORNERSTONE CT 300SAN DIEGOCA92121NURSING$4,991,888
COASTAL STRUCTURES CORP
PO BOX 937GEORGETOWNSC29442CONSTRUCTION$4,767,551
CERNER
5TH FLOOR 2800 ROCKCREEK PKWYKANSAS CITYMO64117TECHNICAL$2,550,248
HOSPITAL MEDICINE ASSOCIATES LLC
PO BOX 634850CINCINNATIOH45263PHYSICIAN$1,809,130
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K50CntrctRcvdGreaterThan100KCnt
Related Organizations$105,456RelatedOrganizationsAmt
Government Grants$6,379,619GovernmentGrantsAmt
All Other Contributions$158,744AllOtherContributionsAmt
Total Contributions$6,643,819TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtUnrelated Business RevenueUnrelatedBusinessRevenueAmt
NET PATIENT REVENUE621990$257,848,310$257,848,310
ALL OTHER PROGRAM REV.900099$4,417,818$4,417,818
PHARMACY900099$1,417,026$1,417,026
DIETARY REVENUE624210$1,008,779$976,521$32,258
COASTAL HOME CARE621610$89,905$89,905
FieldValueIRS element (for citing)
Total Program Service Revenue$264,781,838TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$5,753,302TotalRevenueColumnAmt
Exclusion$5,753,302ExclusionAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$341,944RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$0RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$341,944RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$341,944TotalRevenueColumnAmt
Related Or Exempt Func Income$341,944RelatedOrExemptFuncIncomeAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$4,900,000SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$4,862,816SecuritiesAmt
Other$116,293OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$37,184SecuritiesAmt
Other-$116,293OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column-$79,109TotalRevenueColumnAmt
Exclusion-$79,109ExclusionAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$277,441,794TotalRevenueColumnAmt
Related Or Exempt Func Income$265,091,524RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$32,258UnrelatedBusinessRevenueAmt
Exclusion$5,674,193ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$2,136,535TotalAmt
Program Services$2,136,535ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$6,937,717TotalAmt
Program Services$1,387,543ProgramServicesAmt
Management And General$5,550,174ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$107,229,348TotalAmt
Program Services$85,783,478ProgramServicesAmt
Management And General$21,445,870ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$2,092,293TotalAmt
Program Services$1,673,834ProgramServicesAmt
Management And General$418,459ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$17,569,854TotalAmt
Program Services$14,055,883ProgramServicesAmt
Management And General$3,513,971ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$7,539,396TotalAmt
Program Services$6,031,517ProgramServicesAmt
Management And General$1,507,879ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$26,861,181TotalAmt
Program Services$21,488,945ProgramServicesAmt
Management And General$5,372,236ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$2,450,150TotalAmt
Program Services$1,960,120ProgramServicesAmt
Management And General$490,030ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$203,884TotalAmt
Program Services$163,107ProgramServicesAmt
Management And General$40,777ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$60,493TotalAmt
Management And General$60,493ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$3,309,090TotalAmt
Program Services$2,647,272ProgramServicesAmt
Management And General$661,818ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$2,959,325TotalAmt
Program Services$2,367,460ProgramServicesAmt
Management And General$591,865ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$9,250,530TotalAmt
Program Services$7,400,424ProgramServicesAmt
Management And General$1,850,106ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$7,637,179TotalAmt
Program Services$6,109,743ProgramServicesAmt
Management And General$1,527,436ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$16,045TotalAmt
Program Services$12,836ProgramServicesAmt
Management And General$3,209ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$5,173,444TotalAmt
Program Services$5,173,444ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$16,772,120TotalAmt
Program Services$13,417,696ProgramServicesAmt
Management And General$3,354,424ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$2,324,813TotalAmt
Program Services$1,859,850ProgramServicesAmt
Management And General$464,963ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
MEDICAL SUPPLIES$55,558,723$55,558,723
MEDICAID PROVIDER TAX$3,628,868$3,628,868
MINOR EQUIPMENT$2,734,074$2,187,259$546,815
FOOD SUPPLIES$1,471,590$1,177,272$294,318

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$2,794,712TotalAmt
Program Services$2,444,961ProgramServicesAmt
Management And General$349,751ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$286,711,364TotalAmt
Program Services$238,666,770ProgramServicesAmt
Management And General$48,044,594ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$12,448,686BOYAmt
EOY$4,085,221EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$24,592,265BOYAmt
EOY$24,914,399EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

FieldValueIRS element (for citing)
BOY$5,071,360BOYAmt
EOY$5,198,144EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

FieldValueIRS element (for citing)
BOY$2,224,319BOYAmt
EOY$2,935,045EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$5,475,318BOYAmt
EOY$6,271,545EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$3,087,544BOYAmt
EOY$6,130,731EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$363,946,859LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$189,136,419LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$176,566,535BOYAmt
EOY$174,810,440EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$250,706,039BOYAmt
EOY$215,077,363EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
BOY$7,309,171BOYAmt
EOY$6,921,130EOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
BOY$4,338,260BOYAmt
EOY$10,845,985EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$141,579,816BOYAmt
EOY$145,701,819EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$633,399,313BOYAmt
EOY$602,891,822EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$44,064,941BOYAmt
EOY$38,473,151EOYAmt

Grants Payable GrantsPayableGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$9,000,000EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$491,730BOYAmt
EOY$491,730EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$50,675,513BOYAmt
EOY$50,338,668EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$13,503,063EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$89,527,276BOYAmt
EOY$88,423,443EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$184,759,460BOYAmt
EOY$200,230,055EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$442,505,523BOYAmt
EOY$396,862,412EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$6,134,330BOYAmt
EOY$5,799,355EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$448,639,853BOYAmt
EOY$402,661,767EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$633,399,313BOYAmt
EOY$602,891,822EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss-$9,269,570ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst-$36,373,540NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets-$334,976OtherChangesInNetAssetsAmt
Info In Schedule O Part XIIYes (X)InfoInScheduleOPartXIIInd
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit RequiredYes (1)FederalGrantAuditRequiredInd
Federal Grant Audit PerformedYes (1)FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Volunteers0VolunteersInd
Paid Staff Or Management0PaidStaffOrManagementInd
Media Advertisements0MediaAdvertisementsInd
Mailings Members0MailingsMembersInd
Publications Or Broadcast0PublicationsOrBroadcastInd
Grants Other Organizations0GrantsOtherOrganizationsInd
Direct Contact Legislators0DirectContactLegislatorsInd
Rallies Demonstrations0RalliesDemonstrationsInd
Other ActivitiesYes (1)OtherActivitiesInd
Other Activities$60,493OtherActivitiesAmt
Total Lobbying Expenditures$60,493TotalLobbyingExpendituresAmt
Not Described Section501c30NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART II-B, LINE 1:FormAndLineReferenceDesc
ExplanationCONWAY HOSPITAL, INC. PAYS ANNUAL MEMBERSHIP DUES AS PART OF ITS MEMBERSHIP WITH THE SOUTH CAROLINA HOSPITAL ASSOCIATION AND A PERCENTAGE OF THESE DUES IS USED FOR LOBBYING ACTIVITIES. CONWAY HOSPITAL, INC. PAYS TOMPKINS THOMPSON & BROWN $5,000 MONTHLY TO PRESENT HOSPITAL INTERESTS/CONCERNS TO VARIOUS GOVERNMENTAL BODIES.ExplanationTxt

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$6,134,330BeginningYearBalanceAmt
Contributions$552,465ContributionsAmt
Investment Earnings Or Losses-$643,986InvestmentEarningsOrLossesAmt
Other Expenditures$243,467OtherExpendituresAmt
End Year Balance$5,799,342EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$5,087,278BeginningYearBalanceAmt
Contributions$369,502ContributionsAmt
Investment Earnings Or Losses$937,342InvestmentEarningsOrLossesAmt
Other Expenditures$259,792OtherExpendituresAmt
End Year Balance$6,134,330EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$4,863,082BeginningYearBalanceAmt
Contributions$293,401ContributionsAmt
Investment Earnings Or Losses$255,994InvestmentEarningsOrLossesAmt
Other Expenditures$325,199OtherExpendituresAmt
End Year Balance$5,087,278EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$4,270,811BeginningYearBalanceAmt
Contributions$671,786ContributionsAmt
Investment Earnings Or Losses$233,327InvestmentEarningsOrLossesAmt
Other Expenditures$312,842OtherExpendituresAmt
End Year Balance$4,863,082EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$4,109,460BeginningYearBalanceAmt
Contributions$196,531ContributionsAmt
Investment Earnings Or Losses$363,724InvestmentEarningsOrLossesAmt
Other Expenditures$398,904OtherExpendituresAmt
End Year Balance$4,270,811EndYearBalanceAmt
FieldValueIRS element (for citing)
Board Designated Balance EOY0.28470BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY0.55330PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY0.16200TermEndowmentBalanceEOYPct
Endowments Held Unrelated Org0EndowmentsHeldUnrelatedOrgInd
Endowments Held Related OrgYes (1)EndowmentsHeldRelatedOrgInd
Related Org List Sch RYes (1)RelatedOrgListSchRInd

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$13,041,510OtherCostOrOtherBasisAmt
Book Value$13,041,510BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$186,044,265OtherCostOrOtherBasisAmt
Depreciation$71,258,246DepreciationAmt
Book Value$114,786,019BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$156,857,465OtherCostOrOtherBasisAmt
Depreciation$113,282,072DepreciationAmt
Book Value$43,575,393BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$8,003,619OtherCostOrOtherBasisAmt
Depreciation$4,596,101DepreciationAmt
Book Value$3,407,518BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$174,810,440TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (3 entries)

DescDescBook ValueBookValueAmt
DUE FROM AFFILIATES$136,792,464
BENEFICIAL INT. IN FOUNDATION$5,799,355
BOND REFUNDING$3,110,000
FieldValueIRS element (for citing)
Total Book Value Other Assets$145,701,819TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)

DescDescAmtAmt
2020 REVENUE BOND$87,905,000
OPERATING LEASES$518,443
FieldValueIRS element (for citing)
Total Liability$88,423,443TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART V, LINE 4:ENDOWMENT FUNDS ENDOWMENT FUNDS ARE HELD AND ADMINISTERED BY CONWAY HOSPITAL FOUNDATION. THE ENDOWMENT FUNDS BENEFIT A VARIETY OF PROGRAMS, INCLUDING: QUALITY PATIENT CARE AND SAFETY, PEDIATRIC AND CHILDREN'S MEDICINE, EQUIPMENT AND TECHNOLOGY IMPROVEMENTS, NURSING SCHOLARSHIPS AND OTHER PROGRAMS AND FUNDING AS IS CONSISTENT WITH THE WISHES AND DESIGNATIONS OF DONORS.
PART X, LINE 2:LIABILITY FOR UNCERTAIN TAX POSITION (ASC 740) THE HOSPITAL CONTINUES TO EVALUATE TAX POSITIONS RELATED TO ASC 740, "INCOME TAXES," WHICH PRESCRIBES FINANCIAL STATEMENT RECOGNITION THRESHOLD AND MEASUREMENT ATTRIBUTES FOR TAX POSITIONS TAKEN OR EXPECTED TO BE TAKEN IN TAX RETURNS. AS OF SEPTEMBER 30, 2022, THE TAX YEARS ENDED SEPTEMBER 30, 2022, 2021, AND 2020 FOR FEDERAL JURISDICTION REMAIN OPEN TO EXAMINATION.

Schedule F IRS990ScheduleF

Account Activities Outside US AccountActivitiesOutsideUSGrp

FieldValueIRS element (for citing)
RegionCENTRAL AMERICA AND THE CARIBBEANRegionTxt
Offices0OfficesCnt
Employee0EmployeeCnt
Type Of Activities ConductedINVESTMENTSTypeOfActivitiesConductedTxt
Region Total Expenditures$1,851,114RegionTotalExpendituresAmt
FieldValueIRS element (for citing)
Subtotal Offices0SubtotalOfficesCnt
Subtotal Employees0SubtotalEmployeesCnt
Continuation Total Office0ContinuationTotalOfficeCnt
Continuation Total Employee0ContinuationTotalEmployeeCnt
Total Office0TotalOfficeCnt
Total Employee0TotalEmployeeCnt
Subtotal Spent$1,851,114SubtotalSpentAmt
Continuation Spent$0ContinuationSpentAmt
Total Spent$1,851,114TotalSpentAmt
Transfer To Foreign Corp0TransferToForeignCorpInd
Interest In Foreign Trust0InterestInForeignTrustInd
Foreign Corp Ownership0ForeignCorpOwnershipInd
Passive Foreign Investmest Co0PassiveForeignInvestmestCoInd
Foreign PartnershipYes (1)ForeignPartnershipInd
Boycott Countries0BoycottCountriesInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART III ACCOUNTING METHOD:FormAndLineReferenceDesc

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Financial Assistance PolicyYes (1)FinancialAssistancePolicyInd
Written PolicyYes (1)WrittenPolicyInd
FPG Reference Free CareYes (1)FPGReferenceFreeCareInd
Percent100Yes (X)Percent100Ind
FPG Reference Discounted CareYes (1)FPGReferenceDiscountedCareInd
Percent200 DYes (X)Percent200DInd
Free Care Medically IndigentYes (1)FreeCareMedicallyIndigentInd
Financial Assistance BudgetYes (1)FinancialAssistanceBudgetInd
Expenses Exceed BudgetYes (1)ExpensesExceedBudgetInd
Unable To Provide Care0UnableToProvideCareInd
Annual Community Bnft ReportYes (1)AnnualCommunityBnftReportInd
Report Publically AvailableYes (1)ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$10,733,031TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$2,756,502DirectOffsettingRevenueAmt
Net Community Benefit Expns$7,976,529NetCommunityBenefitExpnsAmt
Total Expense0.02780TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$38,660,447TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$24,716,905DirectOffsettingRevenueAmt
Net Community Benefit Expns$13,943,542NetCommunityBenefitExpnsAmt
Total Expense0.04860TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$49,393,478TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$27,473,407DirectOffsettingRevenueAmt
Net Community Benefit Expns$21,920,071NetCommunityBenefitExpnsAmt
Total Expense0.07640TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Activities Or Programs194ActivitiesOrProgramsCnt
Persons Served6591PersonsServedCnt
Total Community Benefit Expns$57,719TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$57,719NetCommunityBenefitExpnsAmt
Total Expense0.00020TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Activities Or Programs194ActivitiesOrProgramsCnt
Persons Served6591PersonsServedCnt
Total Community Benefit Expns$57,719TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$57,719NetCommunityBenefitExpnsAmt
Total Expense0.00020TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Activities Or Programs194ActivitiesOrProgramsCnt
Persons Served6591PersonsServedCnt
Total Community Benefit Expns$49,451,197TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$27,473,407DirectOffsettingRevenueAmt
Net Community Benefit Expns$21,977,790NetCommunityBenefitExpnsAmt
Total Expense0.07660TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense Reported0BadDebtExpenseReportedInd
Bad Debt Expense$48,627,761BadDebtExpenseAmt
Reimbursed By Medicare$106,373,342ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$62,754,102CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall$43,619,240MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

FieldValueIRS element (for citing)
Cost To Charge RatioYes (X)CostToChargeRatioInd
FieldValueIRS element (for citing)
Written Debt Collection PolicyYes (1)WrittenDebtCollectionPolicyInd
Financial Assistance PrvsnYes (1)FinancialAssistancePrvsnInd
Hospital Facilities1HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

FieldValueIRS element (for citing)
Facility1FacilityNum

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1CONWAY HOSPITAL INCBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1300 SINGLETON RIDGE ROADAddressLine1Txt
CityCONWAYCityNm
State AbbreviationSCStateAbbreviationCd
ZIP29526ZIPCd
FieldValueIRS element (for citing)
Website AddressWWW.CONWAYMEDICALCENTER.COMWebsiteAddressTxt
State LicenseHTL-0083StateLicenseNum
Licensed HospitalYes (X)LicensedHospitalInd
General Medical And SurgicalYes (X)GeneralMedicalAndSurgicalInd
Emergency Room24 HrsYes (X)EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1CONWAY HOSPITALBusinessNameLine1Txt
FieldValueIRS element (for citing)
Facility1FacilityNum
First Licensed CY Or PY0FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY0TaxExemptHospitalCYOrPYInd
CHNA ConductedYes (1)CHNAConductedInd
Community DefinitionYes (X)CommunityDefinitionInd
Community DemographicsYes (X)CommunityDemographicsInd
Existing ResourcesYes (X)ExistingResourcesInd
How Data ObtainedYes (X)HowDataObtainedInd
Community Health NeedsYes (X)CommunityHealthNeedsInd
Other Health IssuesYes (X)OtherHealthIssuesInd
Community Hlth Needs Id ProcessYes (X)CommunityHlthNeedsIdProcessInd
Consulting ProcessYes (X)ConsultingProcessInd
Prior CHNA ImpactYes (X)PriorCHNAImpactInd
CHNA Conducted19CHNAConductedYr
Take Into Account Others InputYes (1)TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts0CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts0CHNAConductedWithNonFcltsInd
CHNA Report Widely AvailableYes (1)CHNAReportWidelyAvailableInd
Rpt Available On Own WebsiteYes (X)RptAvailableOnOwnWebsiteInd
Own Website URLSEE SECTION COwnWebsiteURLTxt
Paper Copy Public InspectionYes (X)PaperCopyPublicInspectionInd
Implementation Strategy AdoptYes (1)ImplementationStrategyAdoptInd
Implementation Strategy Adpt19ImplementationStrategyAdptYr
Strategy Posted WebsiteYes (1)StrategyPostedWebsiteInd
Strategy Website URLSEE SECTION CStrategyWebsiteURLTxt
Organization Incur Excise Tax0OrganizationIncurExciseTaxInd
Elig Criteria ExplainedYes (1)EligCriteriaExplainedInd
FPG Family Incm Lmt Free DscntYes (X)FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care100.000000000000FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care200.000000000000FPGFamilyIncmLmtDscntCarePct
Asset Level CriteriaYes (X)AssetLevelCriteriaInd
Medical Indigency CriteriaYes (X)MedicalIndigencyCriteriaInd
Insurance Status CriteriaYes (X)InsuranceStatusCriteriaInd
Underinsurance Stat CriteriaYes (X)UnderinsuranceStatCriteriaInd
Residency CriteriaYes (X)ResidencyCriteriaInd
Explained BasisYes (1)ExplainedBasisInd
App Financial Asst ExplnYes (1)AppFinancialAsstExplnInd
Described InfoYes (X)DescribedInfoInd
Described Suprt DocYes (X)DescribedSuprtDocInd
Provided Hospital ContactYes (X)ProvidedHospitalContactInd
Provided Nonprofit ContactYes (X)ProvidedNonprofitContactInd
Includes Publicity MeasuresYes (1)IncludesPublicityMeasuresInd
FAP Available On WebsiteYes (X)FAPAvailableOnWebsiteInd
FAP Available On Website URLSEE SECTION CFAPAvailableOnWebsiteURLTxt
FAP App Available On WebsiteYes (X)FAPAppAvailableOnWebsiteInd
FAP App Available On Website URLSEE SECTION CFAPAppAvailableOnWebsiteURLTxt
FAP Summary On WebsiteYes (X)FAPSummaryOnWebsiteInd
FAP Summary On Website URLSEE SECTION CFAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No ChargeYes (X)FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No ChrgYes (X)FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No ChrgYes (X)FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill DisplayYes (X)NotifiedFAPCopyBillDisplayInd
Communtity Notified FAPYes (X)CommuntityNotifiedFAPInd
FAP TranslatedYes (X)FAPTranslatedInd
Other PublicityYes (X)OtherPublicityInd
FAP Actions On NonpaymentYes (1)FAPActionsOnNonpaymentInd
Permit No ActionsYes (X)PermitNoActionsInd
Collection Activities0CollectionActivitiesInd
Provided Written NoticeYes (X)ProvidedWrittenNoticeInd
Made Effort Orally NotifyYes (X)MadeEffortOrallyNotifyInd
Processed FAP ApplicationYes (X)ProcessedFAPApplicationInd
Made Presumptive Elig DetermYes (X)MadePresumptiveEligDetermInd
Other Actions TakenYes (X)OtherActionsTakenInd
Nondis Emergency Care PolicyYes (1)NondisEmergencyCarePolicyInd
Look Back Medicare PrivateYes (X)LookBackMedicarePrivateInd
Amounts Generally Billed0AmountsGenerallyBilledInd
Gross Charges0GrossChargesInd

Supplemental Information SupplementalInformationGrp (4 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
CONWAY HOSPITALPART V, SECTION B, LINE 5: IN CONDUCTING OUR COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA), OUR TEAM USED SEVERAL SOURCES OF QUANTITATIVE HEALTH MEASURES AND SOCIAL AND DEMOGRAPHIC DATA SPECIFIC TO CONWAY MEDICAL CENTER'S (CMC'S) HOME COUNTY (HORRY) PROVIDED BY LOCAL PUBLIC HEALTH AGENCIES, HEALTH CARE ASSOCIATIONS AND VARIOUS OTHER DATA OUTLETS. CMC TOOK ADVANTAGE OF THIS OPPORTUNITY TO COLLABORATE WITH ITS ADMINISTRATORS, PHYSICIANS, OUTREACH PROGRAMS, AND LOCAL ORGANIZATIONS AS WELL. CONWAY MEDICAL CENTER SOUGHT OUTSIDE ASSISTANCE FROM THE DIXON HUGHES GOODMAN CHNA TEAM IN THIS PROCESS. DHG PROVIDED DATA, ORGANIZED COMMUNITY INPUT, FACILITATED PRIORITY SESSIONS, AND SUPPORTED THE REPORT DRAFTING PROCESS. THE ASSESSMENT PROCESS CONSISTS OF FIVE STEPS: DATA ASSESSMENT OF OUR COMMUNITY, COMMUNITY INPUT, PRIORITIZATION & IMPLEMENTATION STRATEGY, REPORTING, AND MONITORING.IN THE INITIAL STEP, SERVICE AREAS WERE DEFINED, EXTERNAL DATA RESEARCH WAS COMPLETED AND KEY FINDINGS WERE SUMMARIZED. AS THE DATA ASSESSMENT WAS COMPLETED, THE COMMUNITY INPUT PHASE WAS STARTED.DURING THE COMMUNITY INPUT PHASE, PHONE AND WRITTEN INTERVIEWS WERE CONDUCTED WITH PERSONS WITH SPECIAL KNOWLEDGE OF PUBLIC HEALTH. THIS INCLUDED HOSPITAL ADMINISTRATORS, LOCAL AND COMMUNITY ORGANIZATIONS, OTHER LOCAL GROUPS, AND PUBLIC HEALTH OFFICIALS FLORENCE HEALTH DEPARTMENT. IN ADDITION, HOSPITAL PERSONNEL, LOCAL ORGANIZATIONS, AND COMMUNITY OUTREACH ADVOCATES WERE INTERVIEWED. A SUMMARY OF THIS DIALOG WAS CREATED AND IS INCLUDED IN THE CHNA REPORT. A PRIORITIZATION SESSION WAS THEN HELD TO SUMMARIZE AND OVERLAY DATA ELEMENTS WITH KEY COMMUNITY INPUT FINDINGS. FROM THIS SESSION, PRIORITIES EMERGED BASED UPON THE SIGNIFICANCE OF THE NEED TO THE SERVICE AREA, AND CMC'S ABILITY TO IMPACT THE NEED. BASED ON THESE PRIORITIES, CMC DECIDED ON WHICH PRIORITIES WOULD BE INCLUDED IN THEIR IMPLEMENTATION STRATEGY AND WHICH PRIORITIES WOULD NOT BE ADDRESSED. THESE CAN BE FOUND IN THE IMPLEMENTATION STRATEGY DOCUMENT. THIS REPORT AND STRATEGY WERE THEN APPROVED BY THE BOARD AND MADE "WIDELY AVAILABLE" ON THE CONWAY MEDICAL CENTER WEBSITE. DATA ASSESSMENT HIGHLIGHTS AND FINDINGS:THE DATA ASSESSMENT PIECE OF THE CHNA PROCESS INCLUDED DATA TABLES, GRAPHS, AND MAPS FROM VARIOUS SOURCES WIDELY AVAILABLE. THESE DATA ELEMENTS WERE USED TO IDENTIFY AT-RISK POPULATIONS, UNDERSERVED POPULATIONS, HEALTH NEED AREAS, AND PROFESSIONAL SHORTAGE AREAS. A SUMMARY OF FINDINGS WAS THEN CREATED TO HIGHLIGHT AREAS OF NEED WITHIN THE SERVICE AREA.TO GATHER INPUT FROM VARIOUS SOURCES, THE TEAM USED A COMBINATION OF INTERVIEWS OF LOCAL COMMUNITY PERSONS AND GROUPS, AND SOUGHT OTHER DATA SUCH AS RECENT COUNTY HEALTH RANKINGS AND NATIONAL HEALTH STATISTICS. LOCAL COMMUNITY INPUT: HOSPITAL ADMINISTRATORS, LOCAL AND COMMUNITY ORGANIZATIONS, OTHER LOCAL GROUPS, AND PUBLIC HEALTH OFFICIALS FLORENCE HEALTH DEPARTMENT.2016 COUNTY HEALTH RANKINGS: THIS SOURCE IS A COLLABORATION BETWEEN THE ROBERT WOOD JOHNSON FOUNDATION AND THE UNIVERSITY OF WISCONSIN POPULATION HEALTH INSTITUTE. IT GIVES A GENERAL SNAPSHOT OF HOW HEALTHY EACH COUNTY IS IN RELATION TO OTHERS IN THE SAME STATE. IT MEASURES AND RANKS BOTH HEALTH OUTCOMES AND HEALTH FACTORS THAT LEAD TO THOSE OUTCOMES. EACH INDICATOR IS WEIGHED, STANDARDIZED, AND RANKED IN ORDER TO COME UP WITH AN OVERALL RANKING OF HEALTH FOR EACH COUNTY IN SOUTH CAROLINA. RANKING AREAS INCLUDED: HEALTH OUTCOMES (LENGTH OF LIFE, QUALITY OF LIFE), HEALTH FACTORS (HEALTH BEHAVIORS, CLINICAL CARE, SOCIAL AND ECONOMIC FACTORS, PHYSICAL ENVIRONMENT).HEALTH INDICATORS WAREHOUSE: THE HIW IS A COLLABORATION OF MANY AGENCIES AND OFFICES WITHIN THE DEPARTMENT OF HEALTH AND HUMAN SERVICES. THE HIW IS MAINTAINED BY THE CDC'S NATIONAL CENTER FOR HEALTH STATISTICS. HIW HAS MANY COUNTY LEVEL STATISTICS THAT ALLOW FOR COMPARISON TO STATE AND NATIONAL BENCHMARKS.
CONWAY HOSPITALPART V, SECTION B, LINE 11: THE COMMUNITY HEALTH NEEDS ASSESSMENT TEAM USED THE DATA AND INPUT THAT HAD BEEN COLLECTED TO PRIORITIZE THE NEEDS OF THE HOSPITAL'S DEFINED COMMUNITY. AFTER DISCUSSING THE PRIORITIES IN DEPTH AND DISCUSSING CONWAY'S EXPERTISE, THE EXPERTISE OF OTHER COMMUNITY ORGANIZATIONS AND OUTREACH, AND THE HOSPITAL'S WIDE RANGE OF SERVICES CURRENTLY AVAILABLE, THE FOLLOWING ISSUES WERE CHOSEN FOR IMPLEMENTATION: ACCESS TO PRIMARY CARE PROVIDERS, DISCHARGE FOLLOW UP, MOTOR VEHICLE FATALITY, DIABETES, AND PERCENTAGE OF MAMMOGRAPHY SCREENINGS.ACCESS TO PRIMARY CARE PROVIDERS (PCPS) - CMC WILL PARTNER WITH LOCAL CLINICS TO CONTINUE ASSISTING IN PROVIDING CARE AT REDUCED COSTS THROUGH SUPPORT IN AREAS OF RENT, UTILITY BILLS, AND HOSPITAL SERVICES AS WELL AS EVALUATE THE OPPORTUNITIES TO EXPAND ACCESS POINTS FOR CARE.DISCHARGE FOLLOW UP - IN ORDER TO REDUCE SEVERAL HEALTH CONCERNS, CMC HAS IDENTIFIED PATIENTS NO FOLLOWING DISCHARGE INSTRUCTIONS AS A SIGNIFICANT COMMUNITY NEED. IT IS CMC'S INTENT TO ESTABLISH BEST PRACTICES AND EDUCATION AROUND DISCHARGE INSTRUCTIONS.MOTOR VEHICLE FATALITY - ACCORDING TO THE ASSOCIATION OF STATE AND TERRITORIAL HEALTH OFFICIALS, CRASH-RELATED DEATHS AND INJURIES ARE LARGELY PREVENTABLE. STATES CAN UTILIZE SYSTEMS, POLICY, AND PROGRAMMATIC INTERVENTIONS TO TARGET AND PREVENT THIS SERIOUS PUBLIC HEALTH PROBLEM. CMC WILL FOCUS ITS EFFORTS ON THE TRAUMA SIDE IN PARTNERSHIP WITH LOCAL EMS PROVIDERS.DIABETES - DIABETES IS A MAJOR HEALTH NEEDS ACROSS THE US AND IN HORRY COUNTY. CMC WILL CONTINUE TO SUPPORT AND EDUCATE MEDICALLY UNDERSERVED DIABETICS IN THE COMMUNITY.PERCENTAGE OF MAMMOGRAPHY SCREENINGS - PROVIDE PREVENTATIVE SCREENINGS WHILE FINDING INNOVATIVE WAYS TO ADDRESS FINANCIAL AND TRANSPORTATION BARRIERS OF RECEIVING THESE SCREENINGS.ONE OF THE PRIORITIES IDENTIFIED WILL NOT BE ADDRESSED BY THE HOSPITAL: PERCENTAGE OF ADULTS SMOKING. AS PART OF CMC'S 2019 CHNA, CMC INCLUDED THIS NEED IN ITS PRIORITIZATION PLANNING AND ACTIVELY IMPLEMENTED ACTIONS. AT THIS TIME, HOWEVER, THERE ARE OTHER ORGANIZATIONS IN THE COUNTY THAT ARE SPECIFICALLY FOCUSED ON THIS NEED AND CMC WILL FOCUS ITS RESOURCES IN OTHER AREAS. CMC WILL CONTINUE TO BE AN ADVOCATE OF CREATING SMOKE FREE ENVIRONMENTS.OUR COMMUNITY HEALTH NEEDS ASSESSMENT AND IMPLEMENTATION STRATEGY CAN BE FOUND AT: HTTPS://WWW.CONWAYMEDICALCENTER.COM/ABOUT/COMMUNITY-HEALTH-NEEDS-ASSESSMENT
CONWAY HOSPITALPART V, SECTION B, LINE 16J: THE FINANCIAL ASSISTANCE POLICY WAS ALSO PROVIDED TO PATIENTS UPON DISHARGE BY CASE MANAGERS.
SCHEDULE H, PART V, SECTION B, QUESTION 16(A,B,C):THE URL WHERE OUR FAP DOCUMENTS CAN BE FOUND:HTTP://WWW.CONWAYMEDICALCENTER.COM/BILLING-AND-INSURANCE/FINANCIAL-ASSISTANCE/
FieldValueIRS element (for citing)
Facility1FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line11 - CONWAY HOSP OUTPATIENT DIAGNOSTIC CTRBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1801 FARRAR DRAddressLine1Txt
CityCONWAYCityNm
State AbbreviationSCStateAbbreviationCd
ZIP29526ZIPCd
FieldValueIRS element (for citing)
FacilityIMAGING, MAMMOGRAPHYFacilityTxt

Supplemental Information Detail SupplementalInformationDetail (10 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART I, LINE 7:COSTING METHODOLOGYTHE IRS WORKSHEETS WITH INPUT FROM OUR MEDICARE COST REPORT WERE USED TO COMPUTE THE AMOUNTS IN THE TABLE UTILIZING A COST TO CHARGE RATIO.
PART II, COMMUNITY BUILDING ACTIVITIES:THE HOSPITAL PARTICIPATED WITH THE LOCAL CHAMBER OF COMMERCE, CONWAY CITY AND HORRY COUNTY SCHOOLS IN VARIOUS PROJECTS INCLUDING RECYCLING AND CLEAN WATER PROGRAMS.
PART III, LINE 4:INFORMATION ABOUT CONWAY HOSPITAL'S ALLOWANCE FOR BAD DEBT CAN BE FOUND ON PAGE 12 OF THE ATTACHED FINANCIAL STATEMENT FOOTNOTES. CONTRACTUAL ADJUSTMENTS AND DISCOUNTS ARE APPLIED TO PATIENT ACCOUNTS BEFORE DETERMINING BAD DEBT. BAD DEBT AND ADJUSTMENTS TO ACCOUNTS RECEIVABLE ARE DETERMINED USING A LOOK-BACK METHOD AND AGING CATEGORIES BASED ON HISTORICAL COLLECTION PERCENTAGES. THE COST OF BAD-DEBT REPORTED ON LINE 2 OF PART III WAS COMPUTED WITH THE COST TO CHARGE RATIO DEVELOPED FROM THE IRS WORKSHEETS AND OUR MEDICARE COST REPORT.
PART III, LINE 9B:WHEN INDIVIDUALS ARE LATENTLY IDENTIFIED AS POTENTIALLY QUALIFYING FOR FINANCIAL ASSISTANCE, THE NORMAL COLLECTION PROCESS IS HALTED AND THE PATIENT IS REFERRED TO A FINANCIAL COUNSELOR TO DETERMINE THEIR NEED AND WHAT ASSISTANCE CAN BE PROVIDED. WE USE A THIRD PARTY TO ASSIST PATIENTS IN COMPLETING THE MEDICAID APPLICATION AND THE HOSPITAL ASSISTANCE APPLICATION. WE USE THE FEDERAL POVERTY GUIDELINES TO DETERMINE ELIGIBILITY FOR FREE OR DISCOUNTED CARE. IF A PATIENT IS FOUND TO QUALIFY WE APPLY A DISCOUNT TO THEIR ACCOUNT IN ACCORDANCE WITH OUR POLICY. FOR THE PORTION OF THE BILL THAT THE PATIENT IS RESPONSIBLE FOR, THE HOSPITAL WORKS OUT A PAYMENT PLAN WITH THE PATIENT AND THEN ANY FURTHER ACTION IS HANDLED THROUGH NORMAL COLLECTION PRACTICES.
PART VI, LINE 2:CONWAY MEDICAL CENTER UTILIZES THE HEALTHY PEOPLE 2020 REPORT, THE OFFICE OF RESEARCH AND STATISTICS, SC BUDGET AND CONTROL BOARD, SMALL AREA HEALTH INSURANCE ESTIMATES, NATIONAL CANCER INSTITUTE STATE CANCER PROFILES, AND THE SOUTH CAROLINA DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL IN ADDITION TO ITS OWN DATA COLLECTED THROUGH THE MEDICAL RECORDS SYSTEM TO ASSESS THE HEALTH CARE NEEDS OF HORRY COUNTY. THE FULL CHNA REPORT CAN BE FOUND AT HTTPS://WWW.CONWAYMEDICALCENTER.COM/ABOUT/COMMUNITY-HEALTH-NEEDS-ASSESSMENT
PART VI, LINE 3:SIGNS ARE POSTED THROUGHOUT THE HOSPITAL, INCLUDING THE PATIENT AREAS AND WAITING ROOMS, IN BOTH ENGLISH AND SPANISH (AND ON OUR WEBSITE UNDER PATIENT AND FAMILY RESPONSIBILITY) THAT INFORM PATIENTS OF OUR FINANCIAL ASSISTANCE POLICY. THE HOSPITAL WEBSITE CONTAINS THE HOSPITAL FINANCIAL ASSISTANCE POLICY AND THE PLAIN LANGUAGE SUMMARY IN ENGLISH AND SPANISH. ALL PATIENTS THAT DO NOT HAVE INSURANCE ARE REFERRED TO FINANCIAL COUNSELORS WHO ASSIST WITH HELPING TO INFORM PATIENTS OF VARIOUS FINANCIAL ASSISTANCE OPTIONS EITHER THROUGH GOVERNMENT PROGRAMS OR THROUGH THE HOSPITAL'S ASSISTANCE POLICY. ALL BILLING STATEMENTS SENT TO PATIENTS ALSO INCLUDE A NOTICE THAT THE HOSPITAL HAS AN ASSISTANCE PROGRAM AND HOW THEY CAN APPLY FOR ASSISTANCE. EXAMPLE OF LANGUAGE POSTED ON OUR WEBSITE AND THROUGHOUT THE HOSPITAL: 'IF A PATIENT OR FAMILY MEMBER CANNOT AFFORD TO PAY THEIR BILL, WE ENCOURAGE THEM TO ASK US ABOUT THE HOSPITAL ASSISTANCE PROGRAM. AND: 'SI USTED NO TIENE LOS RECURSOS PARA PAGAR SU CUENTA, POR FAVOR PREGNTENOS SOBRE EL PROGRAMA DE ASISTENCIA DEL HOSPITAL.' FINALLY, EVERY HOSPITAL REGISTRAR, FINANCIAL COUNSELOR, BILLING EMPLOYEE, AND OUTSOURCED BILLING OR COLLECTION PERSON IS TAUGHT, AND REQUIRED, TO DISCUSS THE FOLLOWING INSURANCE OR OTHER PAYMENT OPTIONS WITH PATIENTS OR RESPONSIBLE GUARANTOR TO LEAVE NO CHANCE AN ELIGIBLE PATIENT WILL BE MISSED: MEDICARE IF APPLICABLE, MEDICAID SCREENED INSURANCE EXCHANGE IF APPLICABLE, THE PATIENT IS ASKED ABOUT EMPLOYER COVERAGE AND ABOUT PRIVATE PURCHASED HEALTH INSURANCE, OR IF THE PATIENT OR GUARANTOR INDICATES THAT THEY HAVE NO INSURANCE OR THIRD PARTY THAT WOULD BE RESPONSIBLE FOR THEIR BILL, THEY WILL BE REFERRED TO THE HOSPITAL FINANCIAL ASSISTANCE PROGRAM, AND COUNSELORS ARE AVAILABLE TO ASSIST.
PART VI, LINE 4:CONWAY MEDICAL CENTER'S SERVICE AREA IS DEFINED AS HORRY COUNTY FOR THIS ASSESSMENT. 90% OF CONWAY MEDICAL CENTER'S PATIENTS COME FROM HORRY COUNTY. AS OF THE 2010 UNITED STATES CENSUS, THERE WERE 269,291 PEOPLE, 112,225 HOUSEHOLDS, AND 72,254 FAMILIES RESIDING IN THE COUNTY. THE POPULATION DENSITY WAS 237.5 INHABITANTS PER SQUARE MILE (91.7/KM2). THERE WERE 185,992 HOUSING UNITS AT AN AVERAGE DENSITY OF 164.0 PER SQUARE MILE (63.3/KM2). THE RACIAL MAKEUP OF THE COUNTY WAS 79.9% WHITE, 13.4% BLACK OR AFRICAN AMERICAN, 1.0% ASIAN, 0.5% AMERICAN INDIAN, 0.1% PACIFIC ISLANDER, 3.1% FROM OTHER RACES, AND 2.0% FROM TWO OR MORE RACES. THOSE OF HISPANIC OR LATINO ORIGIN MADE UP 6.2% OF THE POPULATION. OF THE 112,225 HOUSEHOLDS, 27.3% HAD CHILDREN UNDER THE AGE OF 18 LIVING WITH THEM, 47.2% WERE MARRIED COUPLES LIVING TOGETHER, 12.5% HAD A FEMALE HOUSEHOLDER WITH NO HUSBAND PRESENT, 35.6% WERE NON-FAMILIES, AND 26.8% OF ALL HOUSEHOLDS WERE MADE UP OF INDIVIDUALS. THE AVERAGE HOUSEHOLD SIZE WAS 2.37 AND THE AVERAGE FAMILY SIZE WAS 2.84. THE MEDIAN AGE WAS 41.1 YEARS.THE MEDIAN INCOME FOR A HOUSEHOLD IN THE COUNTY WAS $43,142 AND THE MEDIAN INCOME FOR A FAMILY WAS $51,608. MALES HAD A MEDIAN INCOME OF $37,351 VERSUS $29,525 FOR FEMALES. THE PER CAPITA INCOME FOR THE COUNTY WAS $24,811. ABOUT 11.6% OF FAMILIES AND 16.1% OF THE POPULATION WERE BELOW THE POVERTY LINE, INCLUDING 25.2% OF THOSE UNDER AGE 18 AND 7.5% OF THOSE AGE 65 OR OVER.THE POPULATION OF HORRY COUNTY IN 2016 WAS 311,020 AND IS EXPECTED TO BE 341,393 IN 2021 WHICH WILL BE 9.77% GROWTH. THE 65+ POPULATION IS EXPECTED TO INCREASE FROM 2016 AND 2021 BY 23.15%, WHILE THE POPULATION UNDER 65 IS ONLY EXPECTED TO GROW BY 6.24%.
PART VI, LINE 5:THE MISSION OF THE HOSPITAL IS TO IMPROVE THE OVERALL HEALTH OF THE COMMUNITY. MAJOR EFFORTS HAVE TAKEN PLACE TO PROVIDE FREE SCREENING WITHIN THE COMMUNITY THROUGH OUR MOBILE HEALTH OUTREACH PROGRAM TO DETECT ILLNESS AND DISEASE AT AN EARLY STAGE. THE 2020/2021 REPORT SHOWS THAT THE OUTREACH PROGRAM DELIVERED FREE HEALTH SCREENINGS TO 54 VARIOUS LOCATIONS PREDOMINATELY IN MEDICALLY UNDERSERVED AREAS OF HORRY COUNTY. THERE WERE 2,838 PARTICIPANTS WHO WERE SCREENED WITH RESULTS AS FOLLOWS: ELEVATED BLOOD PRESSURE; ELEVATED BLOOD GLUCOSE; ELEVATED BLOOD CHOLESTEROL. BY PROVIDING COUNSELING, PHYSICIAN REFERRAL AND FOLLOW-UP, THE OUTREACH STAFF PROVIDED EDUCATION TO THOSE INDIVIDUALS THAT ARE SCREENED. IN ADDITION TO THE HEALTHREACH VAN SCREENINGS, DURING SEPTEMBER THROUGH JUNE, THE STAFF OBTAINS AND DELIVERS SMART SNACKS TO 4 SCHOOLS AND 620 CHILDREN EVERY THURSDAY. HEALTHREACH PROVIDED 829 FLU SHOTS AT 26 EVENTS AND 623 COVID VACCINATIONS AT 9 EVENTS. THE DIABETES SUPPORT GROUP WAS RESTRICTED DUE TO COVID RESTRICTIONS. WE DID HOLD SUPPORT GROUP MEETINGS AND OFFERED HGBA1C'S ALONG WITH INFORMATION ON BLOOD GLUCOSE CONTROL. DUE TO COVID, ALL COMMUNITY EVENTS SUCH AS COMMUNITY FAIRS, SCHOOL FAIRS, AND BUSINESS HEALTH FAIRS WERE CANCELLED. HEALTHREACH PARTICIPATED IN A JUNETEENTH EVENT THAT TOOK PLACE AT CHARLIES PLACE IN MYRTLE BEACH, PROVIDING BLOOD PRESSURE SCREENINGS ALONG WITH HANDING OUT STROKE, CARDIAC, AND FALL PREVENTION INFORMATION. IN JULY, THE SALVATION ARMY SENIOR FAIR WAS HELD, AND OVER 250 SENIORS RECEIVED BLOOD PRESSURE MEASUREMENT ALONG WITH STROKE, CARDIAC AND FALL PREVENTION INFORMATION. THE HEALTHREACH VAN STAFF ALSO PARTICIPATED IN HGTC CAREER AND WELLNESS EXPO IN JULY AND OFFERED THYROID AND HGBA1C SCREENINGS. IN NOVEMBER, THE STAFF PARTICIPATED IN THE TOWN OF SURFSIDE BEACH SENIOR FAIR AND OFFERED FLU SHOTS ALONG WITH STROKE, CARDIAC AND FALL PREVENTION INFORMATION.
PART VI, LINE 6:CONWAY HOSPITAL, INC. (CONWAY HOSPITAL, THE HOSPITAL OR CHI), LOCATED IN CONWAY, SOUTH CAROLINA, IS A NOT-FOR-PROFIT ACUTE CARE HOSPITAL FOUNDED IN 1928. THE HOSPITAL HAS 210 LICENSED BEDS AND PROVIDES INPATIENT, OUTPATIENT AND EMERGENCY CARE SERVICES GENERALLY FOR RESIDENTS OF HORRY AND SURROUNDING COUNTIES. THE HOSPITAL IS GOVERNED BY A 15-MEMBER SELF-PERPETUATING, INDEPENDENT BOARD OF DIRECTORS. ADMITTING PHYSICIANS ARE PRACTITIONERS IN THE LOCAL AREA. CONWAY HOSPITAL LONG-TERM CARE SERVICES, INC. (KINGSTON NURSING CENTER) IS AN 88-BED NURSING FACILITY LOCATED IN CONWAY, SOUTH CAROLINA. THE KINGSTON NURSING CENTER WAS INCORPORATED IN 1988. MEDICAL PROPERTIES, INC., A WHOLLY OWNED FOR-PROFIT SUBSIDIARY OF THE HOSPITAL, OPERATES ASC HOLDINGS AND CAROLINA BONE & JOINT. CONWAY HOSPITAL EMERGENCY PROFESSIONAL SERVICES (CHEPS) AND CONWAY HOSPITAL ANESTHESIA PROFESSIONAL SERVICES (CHAPS) WERE BOTH CREATED TO KEEP BETTER TRACK OF EMERGENCY AND ANESTHESIA SERVICES PERFORMED BY THE HOSPITAL. CONWAY HOSPITAL COMMUNITY SERVICES, INC., A WHOLLY OWNED NOT-FOR-PROFIT SUBSIDIARY, OPERATES EMPLOYED PHYSICIAN PRACTICES.
PART VI, LINE 7, REPORTS FILED WITH STATESSC

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records MaintainedYes (1)GrantRecordsMaintainedInd

Recipient Table RecipientTable (2 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdRecipient EINRecipientEINIRC SectionIRCSectionDescCash GrantCashGrantAmtNon Cash AssistanceNonCashAssistanceAmtPurpose Of GrantPurposeOfGrantTxt
UNITED WAY OF HORRY COUNTY INC
PO BOX 673CONWAYSC29528570558692501(C)(3)$10,000$0GENERAL PURPOSE
COASTAL CAROLINA UNIVERSITY
100 CHANTICLEER DR ECONWAYSC29528570977955115(A)(2)$2,100,000$0GENERAL SUPPORT
FieldValueIRS element (for citing)
Total501c3 Org2Total501c3OrgCnt
Total Other Org0TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART I, LINE 2:FormAndLineReferenceDesc
ExplanationCONWAY HOSPITAL PAYS GRANTS TO VARIOUS LOCAL 501(C)(3) ENTITIES WHICH ARE QUALIFIED EXEMPT ORGANIZATIONS. THE BOARD APPROVES EACH GRANT BEFORE IT IS PAID AND EXPENDITURES ARE MONITORED USING INVOICES AND COPIES OF CLEARED CHECKS.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeYes (X)CompensationCommitteeInd
Independent ConsultantYes (X)IndependentConsultantInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance Payment0SeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (1)SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng OrgYes (1)CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments0AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (12 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
AARON EPSTEIN
PHYSICIAN$838,768$0$0$0$0$0$0$0$26,598$0$865,366$0$0$0
STEPHEN BRADY
PHYSICIAN$829,185$0$0$0$8,550$0$0$0$22,197$0$859,932$0$8,550$0
BRET BARR
CEO & TRUSTEE$592,689$0$168,372$0$51,885$0$4,317$0$29,348$0$846,611$0$14,250$0
SAMER CHARBEL
PHYSICIAN$734,391$0$0$0$14,250$0$0$0$26,598$0$775,239$0$14,250$0
ZAHER NUWAYHID
PHYSICIAN$722,784$0$0$0$14,250$0$0$0$26,598$0$763,632$0$14,250$0
JASON ANDERSEN
PHYSICIAN$732,123$0$0$0$1,500$0$0$0$26,598$0$760,221$0$1,500$0
PAUL RICHARDSON
VP OF MEDICAL AFFAIRS$452,817$0$67,846$0$61,640$0$0$0$26,598$0$608,901$0$14,250$0
BRIAN ARGO
CFO$363,979$0$66,357$0$28,834$0$2,238$0$30,495$0$491,903$0$14,250$0
MATTHEW SECURRO
VP OF HUMAN RESOURCES$244,266$0$43,050$0$81,167$0$1,625$0$0$0$370,108$0$13,878$0
TONY MINSHEW
VP OF NURSING$262,078$0$45,697$0$49,365$0$1,559$0$11,127$0$369,826$0$14,250$0
ANGELA WILLIFORD
CHIEF RISK OFFICER$219,168$0$38,974$0$32,339$0$2,231$0$26,808$0$319,520$0$12,119$0
KEVIN LOVETT
VP OF FACILITIES$215,782$0$39,458$0$33,648$0$762$0$28,639$0$318,289$0$12,234$0

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART I, LINE 4BSUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN DURING THE YEAR ENDED SEPTEMBER 30, 2022, CONWAY HOSPITAL, INC. AND KEY EXECUTIVES HELD JOINTLY OWNED SPLIT-DOLLAR AGREEMENTS THROUGH AN INSURANCE COMPANY. THE FOLLOWING EXECUTIVES PARTICIPATED IN THE PLAN DURING THE YEAR: BRET BARR. CERTAIN EXECUTIVES PARTICIPATED IN A CAPITAL ACCUMULATION PLAN PROVIDED BY THE COMPANY. THE FOLLOWING EMPLOYEES RECEIVED DISTRIBUTIONS FROM THE PLAN. ALL AMOUNTS ARE INCLUDED IN THE EMPLOYEE'S W-2. BRET BARR $14,507 PAUL RICHARDSON $39,934 TONY MINSHEW $35,115 MATTHEW SECURRO $57,828 KEVIN LOVETT $17,078 ANGELA WILLIFORD $20,220
PART I, LINE 6BONUS AND INCENTIVE PAYMENTS DURING THE YEAR ENDED SEPTEMBER 30, 2022 CONWAY HOSPITAL INC. PAID SOME EMPLOYEES ON SCHEDULE J, PART II BONUSES BASED ON TOTAL PROFIT FOR THE FISCAL YEAR AND THE PERCENTAGE OF THE TOTAL GOAL VALUE ACHIEVED. THE PAYMENTS WERE CALCULATED FOR POTENTIAL PAYOUT AS A PERCANTAGE OF SALARY AND WERE APPROVED BY THE COMPENSATION COMMITTEE.

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd

Issuer Name IssuerName

FieldValueIRS element (for citing)
Business Name Line1SC JOBS - ECONOMIC DEVELOPMENTBusinessNameLine1Txt
FieldValueIRS element (for citing)
Bond Issuer EIN570960018BondIssuerEIN
CUSIP83703FJNJCUSIPNum
Bond Issued2016-12-20BondIssuedDt
Issue Price$50,805,415IssuePriceAmt
PurposeACQUIRE AND INSTALL EQUIPMENTPurposeDesc
Defeased0DefeasedInd
On Behalf Of Issuer0OnBehalfOfIssuerInd
Pool Financing0PoolFinancingInd

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Total Proceeds$50,805,415TotalProceedsAmt
Issuance Costs From Proceeds$805,415IssuanceCostsFromProceedsAmt
Capital Expenditures$49,955,595CapitalExpendituresAmt
Unspent$44,405UnspentAmt
Substantial Completion2016SubstantialCompletionYr
Refunding Tax Exempt Bonds0RefundingTaxExemptBondsInd
Refunding Taxable Bonds0RefundingTaxableBondsInd
Final Allocation MadeYes (1)FinalAllocationMadeInd
Adequate Books And Rec MaintYes (1)AdequateBooksAndRecMaintInd

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Owning Bond Financed Property0OwningBondFinancedPropertyInd
Any Lease Arrangements0AnyLeaseArrangementsInd
Mgmt Contract Bond Fincd Prop0MgmtContractBondFincdPropInd
Any Research Agreements0AnyResearchAgreementsInd
Bond Iss Meet Prvt Sec Pymt Test0BondIssMeetPrvtSecPymtTestInd
Change In Use Bond Financed Prop0ChangeInUseBondFinancedPropInd
Procs Nonqualified Bond RemdtdYes (1)ProcsNonqualifiedBondRemdtdInd

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Form8038 T Filed0Form8038TFiledInd
Rebate Not Due Yet0RebateNotDueYetInd
Exception To Rebate0ExceptionToRebateInd
No Rebate DueYes (1)NoRebateDueInd
Variable Rate Issue0VariableRateIssueInd
Hedge Identified In Bks And Rec0HedgeIdentifiedInBksAndRecInd
Gross Proceeds Invested In GIC0GrossProceedsInvestedInGICInd
Gross Proceeds Invested0GrossProceedsInvestedInd
Written Proc To Monitor ReqsYes (1)WrittenProcToMonitorReqsInd

Procedures Corrective Action ProceduresCorrectiveActionGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Procedures Corrective ActionYes (1)ProceduresCorrectiveActionInd

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
DATE REBATE COMPUTATION PERFORMEDISSUER NAME: SC JOBS - ECONOMIC DEVELOPMENT DATE THE REBATE COMPUTATION WAS PERFORMED: 12/20/2020
PART I - LINE B, COLUMN (F)THE SERIES 2016 BONDS WERE ISSUED TO FINANCE CAPITAL ASSET PURCHASES OR RENOVATIONS AND TO PAY CERTAIN FEES, PREMIUMS AND EXPENSES INCURRED IN CONNECTION WITH THE ISSUANCE OF THE BONDS.

Schedule L IRS990ScheduleL

Loans Btwn Org Interested Prsn LoansBtwnOrgInterestedPrsnGrp

FieldValueIRS element (for citing)
PersonBRET BARRPersonNm
Relationship With OrgCEO AND TRUSTEERelationshipWithOrgTxt
Loan PurposeSPLIT DOLLAR PLANLoanPurposeTxt
Loan From OrganizationYes (X)LoanFromOrganizationInd
Original Principal$4,600,000OriginalPrincipalAmt
Balance Due$5,198,144BalanceDueAmt
Default0DefaultInd
Board Or Committee ApprovalYes (1)BoardOrCommitteeApprovalInd
Written AgreementYes (1)WrittenAgreementInd
FieldValueIRS element (for citing)
Total Balance Due$5,198,144TotalBalanceDueAmt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (9 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART I, LINE 1, DESCRIPTION OF ORGANIZATION MISSION:OUR MISSION IS TO IMPROVE THE OVERALL HEALTH OF THE COMMUNITY BY BEING A LEADER IN HEALTH CARE.
FORM 990, PART III - PROGRAM SERVICE, LINE 4ACONWAY HOSPITAL INC. IS A 210 BED ACUTE FACILITY LOCATED IN THE CITY OF CONWAY, SOUTH CAROLINA. THE HOSPITAL WAS ORGANIZED UNDER THE LAWS OF THE STATE OF SOUTH CAROLINA IN 1928 FOR THE PURPOSE OF OPERATING A COMMUNITY HOSPITAL IN HORRY COUNTY. THE HOSPITAL WAS CREATED FOR THE PURPOSE OF PROMOTING HEALTH FOR ALL RESIDENTS OF HORRY COUNTY AND ITS OUTLYING AREAS. THE PROMOTION OF HEALTH HAS BEEN ESTABLISHED AS A CHARITABLE PURPOSE UNDER INTERNAL REVENUE CODE (IRC) SECTION 501(C)3 REVENUE RULE 69-545, 1969-2 C B 117, AS MODIFIED BY REV RUL 83-157, 1983-2 C B 94, WHICH SETS FORTH THE FACTORS THE INTERNAL REVENUE SERVICE WILL CONSIDER IN DETERMINING WHETHER A NONPROFIT HOSPITAL QUALIFIES FOR TAX EXEMPT STATUS. THE HOSPITAL HAS A BOARD OF TRUSTEES COMPOSED OF INDEPENDENT CIVIC LEADERS AND PHYSICIANS. AN OPEN MEDICAL STAFF IS MAINTAINED BY THE HOSPITAL, WITH PRIVILEGES AVAILABLE TO ALL QUALIFIED PHYSICIANS. ALSO, THE HOSPITAL PROVIDES EMERGENCY AND NON-EMERGENCY CARE TO ANYONE REGARDLESS OF THEIR ABILITY TO PAY, EITHER DIRECTLY OR THROUGH THIRD-PARTY REIMBURSEMENT, INCLUDING MEDICARE AND MEDICAID. DURING THE YEAR ENDED SEPTEMBER 30, 2022, THE HOSPITAL FURNISHED CHARITY CARE IN THE AMOUNT OF $22,827,193 IN FOREGONE CHARGES. THE TOTAL DAYS OF PATIENT CARE WERE 37,012 AND CONWAY HOSPITAL INC. SAW A TOTAL OF 164,752 PATIENTS DURING THE YEAR. IN ADDITION TO PROVIDING PATIENT CHARITY CARE, AND IN FURTHERANCE OF ITS EXEMPT PURPOSE TO BENEFIT THE COMMUNITY, THE HOSPITAL OFFERS A MOBILE OUTREACH PROGRAM. THIS PROGRAM OFFERS FREE SCREENING SERVICES TO MEDICALLY UNDERSERVED AREAS OF OUR COMMUNITY. THESE AREAS ARE DESIGNATED AS SUCH THROUGH CENSUS DATA AND HEALTH SERVICE AREA STATISTICS. EXAMPLES OF SCREENING SERVICES OFFERED ON A WEEKLY BASIS INCLUDE BLOOD PRESSURE, CHOLESTEROL AND BLOOD SUGAR. EXAMPLES OF SCREENING SERVICES OFFERED THROUGHOUT THE YEAR INCLUDE MEDICAL BREAST EXAMS, PROSTATE CANCER EXAMS, THYROID SCREENINGS, AND PAP EXAMS. IN ADDITION, HEALTH EDUCATION AND REFERRAL ASSISTANCE ARE PROVIDED. THE HOSPITAL ALSO OFFERS FREE HEALTH SCREENINGS AND HEALTH EDUCATION PROGRAMS TO THE COMMUNITY AT LARGE RELATED TO SMOKING CESSATION, BREAST CANCER AWARENESS, HEART DISEASE PREVENTION AND EARLY DETECTION, NUTRITION AND WEIGHT MANAGEMENT, DIABETES EDUCATION, BREASTFEEDING EDUCATION. SELF HELP AND SUPPORT GROUPS ARE ALSO PROVIDED AT NO COST TO THE COMMUNITY ON A VARIETY OF TOPICS. FAMILY SUPPORT SERVICES ARE ALSO OFFERED TO ASSIST COMMUNITY MEMBERS IN LOCATING OTHER FREE OR REDUCED SERVICES AVAILABLE IN THE COMMUNITY IN ORDER TO IMPROVE THEIR HEALTH OUTCOMES.
FORM 990, PART VI, SECTION A, LINE 2BRET BARR AND BRIAN ARGO HAVE A BUSINESS RELATIONSHIP. BOTH ARE BOARD MEMBERS AND OFFICERS OF TAX EXEMPT ORGANIZATIONS RELATED TO THIS ORGANIZATION.
FORM 990, PART VI, SECTION B, LINE 11BFORM 990 REVIEW PROCESS THE ORGANIZATION'S ACCOUNTING DEPARTMENT PREPARES THE 990 INFORMATION IN CONSULTATION WITH THE VP OF FISCAL SERVICES. AN OUTSIDE ACCOUNTING FIRM PREPARES THE IRS FORM 990 AND SENDS IT TO THE ACCOUNTING DEPARTMENT AND VP OF FISCAL SERVICES WHO REVIEW THE FORM IN DETAIL. THE FORM 990 IS PROVIDED TO ALL BOARD OF TRUSTEE MEMBERS BEFORE IT IS FILED.
FORM 990, PART VI, SECTION B, LINE 12CCONFLICT OF INTEREST POLICY MONITORING & ENFORCEMENT CONWAY HOSPITAL HAS A CONFLICT OF INTEREST POLICY THAT APPLIES TO THE BOARD OF DIRECTORS, DEPARTMENT HEADS AND EXECUTIVE LEVEL EMPLOYEES. ALL OF THESE COVERED PERSONS ARE REQUIRED TO ATTEST IN WRITING ANNUALLY THEIR UNDERSTANDING OF AND COMPLIANCE WITH THIS POLICY, AND TO PROVIDE INFORMATION CONCERNING ANY POSSIBLE CONFLICTS OF INTEREST. BOARD MEMBERS DO NOT PARTICIPATE IN VOTING ON MATTERS WHERE A CONFLICT OF INTEREST MAY EXIST. DISCLOSURE OF POTENTIAL CONFLICT OF INTEREST: EVERY COVERED PERSON MUST SUBMIT IN WRITING TO THE CHIEF EXECUTIVE OFFICER A CONFLICT OF INTEREST DISCLOSURE STATEMENT LISTING ALL FINANCIAL AND/OR POTENTIAL CONFLICTING INTERESTS. INDIVIDUALS RESUBMIT UPDATED STATEMENTS EACH YEAR WITH ANY NECESSARY CHANGES OR AS ANY ADDITIONAL CONFLICTING OR FINANCIAL INTEREST ARISES. ALL BOARD MEMBERS WILL RECEIVE AN ANNUAL SUMMARY OF THE DISCLOSURES. IN ADDITION, THE BOARD CHAIR AND CHIEF EXECUTIVE OFFICER SHALL HAVE DISCLOSURE STATEMENTS AVAILABLE AT THE TIME OF ALL BOARD MEETINGS IN CASE A POTENTIAL CONFLICT ARISES. EVERY BOARD MEMBER HAS THE OBLIGATION TO INFORM THE BOARD CHAIR OR THE CHIEF EXECUTIVE OFFICER IF HE/SHE IS AWARE OF AN UNDISCLOSED POTENTIAL FINANCIAL AND/OR CONFLICTING INTEREST OF ANOTHER PERSON COVERED BY THE POLICY. IN THE EVENT OF SUCH NOTIFICATION, THE BOARD CHAIR OR CHIEF EXECUTIVE OFFICER SHALL INVESTIGATE THE POSSIBLE UNDISCLOSED INTEREST.
FORM 990, PART VI, SECTION B, LINE 15PROCESS FOR DETERMINING COMPENSATION THE BOARD EXECUTIVE COMPENSATION COMMITTEE IS RESPONSIBLE FOR REVIEWING AND APPROVING COMPENSATION FOR THE CEO, CFO, AND ALL VICE PRESIDENTS. AT A MINIMUM OF EVERY THREE YEARS (AND MORE FREQUENTLY WHEN THERE IS TURNOVER IN A POSITION), AN INDEPENDENT CONSULTING COMPANY IS UTILIZED TO PROVIDE APPROPRIATE BENCHMARKED DATA FOR COMPARATIVE POSITIONS TO ASSIST IN DETERMINING COMPENSATION. THE CEO AND CFO ARE RESPONSIBLE FOR APPROVING COMPENSATION FOR ALL OTHER POSITIONS. THEY UTILIZE INDEPENDENT BENCHMARK DATA GATHERED BY THE SOUTH CAROLINA HOSPITAL ASSOCIATION IN SETTING APPROPRIATE COMPENSATION FOR THOSE POSITIONS.
FORM 990, PART VI, SECTION C, LINE 19HOW DOCUMENTS ARE MADE AVAILABLE TO THE PUBLIC CONWAY HOSPITAL, INC. MAKES ITS FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST AS WELL AS ATTACHING THEM TO THIS RETURN. THE GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY ARE AVAILABLE UPON REQUEST.
FORM 990, PART XI, LINE 9:DONOR RESTRICTIONS- INTEREST IN FOUNDATION -334,976.
FORM 990, PART XII, LINE 2CTHE PROCESS FOR OVERSEEING THE AUDIT OF THE FINANCIAL STATEMENTS AND SELECTION OF AN INDEPENDENT ACCOUNTANT TO AUDIT THE FINANCIAL STATEMENTS HAS BEEN CONSISTENT WITH PRIOR YEARS.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (5 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtControlled OrganizationControlledOrganizationInd
CONWAY LONG-TERM CARE SERVICES INC
300 SINGLETON RIDGE RDCONWAYSC29526570875232HEALTHCARESC501(C)(3)LINE 3CONWAY HOSPYes (1)
CONWAY HOSPITAL COMMUNITY SERVICES
300 SINGLETON RIDGE RDCONWAYSC29526571119337HEALTHCARESC501(C)(3)LINE 3CONWAY HOSPYes (1)
CONWAY HOSPITAL EMERGENCY PROF SERVICES
300 SINGLETON RIDGE RDCONWAYSC29526208817905EMERGENCYSC501(C)(3)LINE 12A, ICONWAY HOSPYes (1)
CONWAY HOSPITAL ANESTHESIA PROF SERVICES
300 SINGLETON RIDGE RDCONWAYSC29526208817302ANESTHESIASC501(C)(3)LINE 12A, ICONWAY HOSPYes (1)
CONWAY HOSPITAL FOUNDATION
300 SINGLETON RIDGE RDCONWAYSC29526570870199FUNDRAISINGSC501(C)(3)LINE 12D, III-O0

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp

Related Organization Name RelatedOrganizationName

FieldValueIRS element (for citing)
Business Name Line1MEDICAL PROPERTIES INCBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1300 SINGLETON RIDGE RDAddressLine1Txt
CityCONWAYCityNm
State AbbreviationSCStateAbbreviationCd
ZIP29526ZIPCd
FieldValueIRS element (for citing)
EIN570751357EIN
Primary ActivitiesRENTALSPrimaryActivitiesTxt
Legal Domicile StateSCLegalDomicileStateCd

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1CONWAY HOSPBusinessNameLine1Txt
FieldValueIRS element (for citing)
Entity TypeCEntityTypeTxt
Share Of Total Income$2,245,200ShareOfTotalIncomeAmt
Share Of EOY Assets$9,683,362ShareOfEOYAssetsAmt
Ownership1.00000OwnershipPct
Controlled OrganizationYes (1)ControlledOrganizationInd
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org0GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (1)GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org0LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth OrgYes (1)RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgYes (1)RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgYes (1)PerformOfServicesForOthOrgInd
Perform Of Services By Other Org0PerformOfServicesByOtherOrgInd
Sharing Of FacilitiesYes (1)SharingOfFacilitiesInd
Paid Employees SharingYes (1)PaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (1)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (1)ReimbursementPaidByOtherOrgInd
Transfer To Other OrgYes (1)TransferToOtherOrgInd
Transfer From Other OrgYes (1)TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (15 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
CONWAY LONG-TERM CARE SERVICES INC
P$316,198CASH (FMV)
CONWAY LONG-TERM CARE SERVICES INC
Q$350,536CASH (FMV)
MEDICAL PROPERTIES INC
P$1,062,042CASH (FMV)
MEDICAL PROPERTIES INC
Q$335,739CASH (FMV)
MEDICAL PROPERTIES INC
K$417,256CASH (FMV)
MEDICAL PROPERTIES INC
S$1,944,500CASH (FMV)
CONWAY HOSPITAL COMMUNITY SERVICES INC
P$3,332,302CASH (FMV)
CONWAY HOSPITAL COMMUNITY SERVICES INC
Q$1,148,788CASH (FMV)
CONWAY HOSPITAL COMMUNITY SERVICES INC
S$2,658,022CASH (FMV)
CONWAY HOSPITAL COMMUNITY SERVICES INC
K$33,792CASH (FMV)
CONWAY HOSPITAL ANESTHESIA PROF SERVICES
P$4,613,432CASH (FMV)
CONWAY HOSPITAL ANESTHESIA PROF SERVICES
Q$133,420CASH (FMV)
CONWAY HOSPITAL EMERGENCY PROF SERVICES
P$6,616,264CASH (FMV)
CONWAY HOSPITAL EMERGENCY PROF SERVICES
Q$6,694CASH (FMV)
CONWAY HOSPITAL EMERGENCY PROF SERVICES
S$4,836,243CASH (FMV)