STRATEGY STUDIO / NONPROFIT PEOPLE SEARCH

CONWAY REGIONAL MEDICAL CENTER INC: Form 990, tax year 2022

View the entire original 990 at ProPublica ↗

Organization
CONWAY REGIONAL MEDICAL CENTER INC (EIN 71-0249735)
Tax period
2022-01-01 to 2022-12-31
Filed
2023-11-14
IRS object ID
202313189349317096
Schema version
2022v5.0
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)
Return2023-11-14T17:21:35-06:00ReturnTs
Tax Period End2022-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1FORVIS LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 3667AddressLine1Txt
CityLITTLE ROCKCityNm
State AbbreviationARStateAbbreviationCd
ZIP722033667ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2022-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN710249735EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1CONWAY REGIONAL MEDICAL CENTER INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
In Care Of% BILL PACKInCareOfNm
Business Name ControlCONWBusinessNameControlTxt
Phone5013293831PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line12302 COLLEGE AVENUEAddressLine1Txt
CityCONWAYCityNm
State AbbreviationARStateAbbreviationCd
ZIP72034ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonWILLIAM PACKPersonNm
Person TitleCFOPersonTitleTxt
Phone5013293831PhoneNum
Signature2023-11-14SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstWILLIAMPersonFirstNm
Person LastPACKPersonLastNm
FieldValueIRS element (for citing)
SSN000000000SSN

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonAMBER SHERRILLPreparerPersonNm
PTINP00748683PTIN
Phone5013721040PhoneNum

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

FieldValueIRS element (for citing)
Trusted Customer2TrustedCustomerCd
FieldValueIRS element (for citing)
Tax2022TaxYr
Build TS2023-04-26 12:10:37ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerMATTHEW TROUPPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line12302 COLLEGE AVENUEAddressLine1Txt
CityCONWAYCityNm
State AbbreviationARStateAbbreviationCd
ZIP72034ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$261,916,127GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.CONWAYREGIONAL.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1938FormationYr
Legal Domicile StateARLegalDomicileStateCd
Activity Or MissionPROVISION OF INPATIENT, OUTPATIENT, GERIATRIC, PSYCHIATRIC, CARDIAC, EMERGENCY CARE AND OTHER PATIENT CARE SERVICES TO PATIENTS IN CONWAY AND SURROUNDING AREAS.ActivityOrMissionDesc
Voting Members Governing Body9VotingMembersGoverningBodyCnt
Voting Members Independent5VotingMembersIndependentCnt
Total Employee2149TotalEmployeeCnt
Total Volunteers66TotalVolunteersCnt
Total Gross UBI-$286,600TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$9,961,982PYContributionsGrantsAmt
CY Contributions Grants$10,848,113CYContributionsGrantsAmt
PY Program Service Revenue$241,353,009PYProgramServiceRevenueAmt
CY Program Service Revenue$247,014,003CYProgramServiceRevenueAmt
PY Investment Income$1,701,426PYInvestmentIncomeAmt
CY Investment Income$2,201,440CYInvestmentIncomeAmt
PY Other Revenue$1,080,310PYOtherRevenueAmt
CY Other Revenue$1,588,479CYOtherRevenueAmt
PY Total Revenue$254,096,727PYTotalRevenueAmt
CY Total Revenue$261,652,035CYTotalRevenueAmt
PY Grants And Similar Paid$798,251PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$249,191CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$130,405,838PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$138,085,145CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$235,699CYTotalFundraisingExpenseAmt
PY Other Expenses$115,944,885PYOtherExpensesAmt
CY Other Expenses$128,757,211CYOtherExpensesAmt
PY Total Expenses$247,148,974PYTotalExpensesAmt
CY Total Expenses$267,091,547CYTotalExpensesAmt
PY Revenues Less Expenses$6,947,753PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$5,439,512CYRevenuesLessExpensesAmt
Total Assets BOY$285,210,593TotalAssetsBOYAmt
Total Assets EOY$257,912,565TotalAssetsEOYAmt
Total Liabilities BOY$126,066,522TotalLiabilitiesBOYAmt
Total Liabilities EOY$115,278,542TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$159,144,071NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$142,634,023NetAssetsOrFundBalancesEOYAmt
MissionCONWAY REGIONAL MEDICAL CENTER IS ACCOUNTABLE TO THE COMMUNITY TO PROVIDE HIGH-QUALITY, COMPASSIONATE HEALTH CARE SERVICES.MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$207,700,669ExpenseAmt
Grant$249,191GrantAmt
Revenue$247,400,943RevenueAmt
DescCONWAY REGIONAL MEDICAL CENTER PROVIDES COMPREHENSIVE HEALTHCARE SERVICES TO INDIVIDUALS REGARDLESS OF RACE, CREED, SEX, NATIONAL ORIGIN, OR ABILITY TO PAY. IN KEEPING WITH ITS MISSION, THE MEDICAL CENTER PROVIDES FREE AND DISCOUNTED CARE TO PATIENTS MEETING ITS CHARITY CARE POLICY.Desc
Total Program Service Expenses$207,700,669TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredYes (true)ScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesYes (true)LobbyingActivitiesInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Donor Rstr Or Quasi EndowmentsfalseDonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecfalseReportInvestmentsOtherSecInd
Report Program Related InvstYes (true)ReportProgramRelatedInvstInd
Report Other AssetsYes (true)ReportOtherAssetsInd
Report Other LiabilitiesYes (true)ReportOtherLiabilitiesInd
Include FIN48 FootnotefalseIncludeFIN48FootnoteInd
Independent Audit Fincl StmtfalseIndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (true)ConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesfalseForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesfalseFundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalYes (true)OperateHospitalInd
Audited Financial Stmt AttYes (true)AuditedFinancialStmtAttInd
Grants To OrganizationsYes (true)GrantsToOrganizationsInd
Grants To IndividualsfalseGrantsToIndividualsInd
Schedule J RequiredYes (true)ScheduleJRequiredInd
Tax Exempt BondsYes (true)TaxExemptBondsInd
Invest Tax Exempt BondsfalseInvestTaxExemptBondsInd
Escrow AccountfalseEscrowAccountInd
On Behalf Of IssuerfalseOnBehalfOfIssuerInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemfalseBusinessRlnWithOrgMemInd
Business Rln With Fam MemfalseBusinessRlnWithFamMemInd
Business Rln With35 Ctrl EntfalseBusinessRlnWith35CtrlEntInd
Deductible Non Cash ContrifalseDeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityYes (true)DisregardedEntityInd
Related EntityYes (true)RelatedEntityInd
Related Organization Ctrl EntYes (true)RelatedOrganizationCtrlEntInd
Transaction With Control EntYes (true)TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document169IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee2149EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitYes (true)UnrelatedBusIncmOverLimitInd
Form990 T FiledYes (true)Form990TFiledInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Quid Pro Quo ContributionsfalseQuidProQuoContributionsInd
Form8282 Property Disposed OffalseForm8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht PymtfalseSubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst IncfalseSubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members9GoverningBodyVotingMembersCnt
Independent Voting Member5IndependentVotingMemberCnt
Family Or Business RlnfalseFamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesYes (true)DelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersfalseMembersOrStockholdersInd
Election Of Board MembersfalseElectionOfBoardMembersInd
Decisions Subject To ApprovafalseDecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Form990 Provided To Gvrn BodyYes (true)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (true)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (true)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (true)WhistleblowerPolicyInd
Document Retention PolicyYes (true)DocumentRetentionPolicyInd
Compensation Process CEOfalseCompensationProcessCEOInd
Compensation Process OtherfalseCompensationProcessOtherInd
Investment In Joint VentureYes (true)InvestmentInJointVentureInd
Written Policy Or ProcedureYes (true)WrittenPolicyOrProcedureInd
States Where Copy Of Return Is FldARStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonBILL PACKPersonNm
Phone5014502112PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line12302 COLLEGE AVEAddressLine1Txt
CityCONWAYCityNm
State AbbreviationARStateAbbreviationCd
ZIP72034ZIPCd
FieldValueIRS element (for citing)
Info In Schedule O Part VIIYes (X)InfoInScheduleOPartVIIInd

Form990 Part VII Section A Form990PartVIISectionAGrp (22 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtHighest Compensated EmployeeHighestCompensatedEmployeeIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtOfficerOfficerIndIndividual Trustee Or DirectorIndividualTrusteeOrDirectorInd
JAMES HEAD MD
PHYSICIAN40.00.0Yes (X)$1,182,384$0$50,236
OWEN MAAT MD
PHYSICIAN40.00.0Yes (X)$1,082,662$0$48,433
JAMES HOWELL MD
PHYSICIAN40.00.0Yes (X)$1,075,274$0$50,236
HARRY SMITH MD
PHYSICIAN40.00.0Yes (X)$978,468$0$49,222
BROCK KING MD
PHYSICIAN40.00.0Yes (X)$842,669$0$48,912
BILL PACK
CFO STARTING 8/29/202240.01.0$284,509$0$1,431Yes (X)
ALAN FINLEY
CHIEF OPERATING OFFICER40.01.0$119,864$0$14,109Yes (X)
THAD HARDIN MD
BOARD MEMBER1.01.0$36,777$0$0Yes (X)
ANDREW COLE MD
BOARD MEMBER1.01.0$28,761$0$0Yes (X)
CORNELL MALTBIA
BOARD MEMBER1.01.0$1,261$0$0Yes (X)
BRYAN BRUICH
BOARD MEMBER1.01.0$1,177$0$0Yes (X)
GENA ESTER
BOARD MEMBER1.01.0$792$0$0Yes (X)
MATTHEW TROUP
CHIEF EXECUTIVE OFFICER40.01.0$765$0$0Yes (X)
TOM POE
BOARD MEMBER1.01.0$443$0$0Yes (X)
TROY BROOKS
CFO THROUGH 6/17/202240.01.0$325$0$0Yes (X)
JEFF STANDRIDGE
BOARD MEMBER1.01.0$177$0$0Yes (X)
WAYNE COX
BOARD MEMBER1.01.0$84$0$0Yes (X)
ANDREA WOODSJD
CHAIRMAN1.01.0$0$0$0Yes (X)Yes (X)
BARBARA WILLIAMS PHD RN
BOARD MEMBER1.01.0$0$0$0Yes (X)
JIM RANKIN JR JD
VICE CHAIR1.01.0$0$0$0Yes (X)Yes (X)
SUSAN GATTO
BOARD MEMBER1.01.0$0$0$0Yes (X)
ANGIE LONGING RN
CHIEF NURSING OFFICER40.01.0$0$0$0Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$5,636,392TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$262,579TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K201IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedfalseFormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (true)TotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
QUALIVIS INC
1601 ASSEMBLY STCOLUMBIASC29201AGENCY$78,115,034
ST VINCENT INFIRMARY MEDICAL
2 ST VINCENT CIRCLELITTLE ROCKAR72205MANAGEMENT SERVICES$5,862,883
EDAFIO TECHNOLOGIES LLC
5400 NORTHSHORE DRIVENORTH LITTLE ROCKAR72118IT SERVICES$2,737,080
MAYO COLLABORATIVE SERVICES INC
PO BOX 4100ROCHESTERMN559034100LAB SERVICES$2,755,320
CATHOLIC HEALTH INITIATIVES
3900 OLYMPIC BOULEVARDERLANGERKY41018CLINICAL ENGINEERING$1,991,275
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K35CntrctRcvdGreaterThan100KCnt
Related Organizations$3,000,000RelatedOrganizationsAmt
Government Grants$7,848,113GovernmentGrantsAmt
Total Contributions$10,848,113TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
PATIENT SERVICES621110$234,007,591$234,007,591
340B PROGRAM REVENUE621610$4,835,570$4,835,570
HEALTH/FITNESS CENTER713940$2,601,104$2,601,104
CAFETERIA SALES722310$1,891,432$1,891,432
MANAGEMENT FEES561110$1,887,410$1,887,410

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,790,896TotalRevenueColumnAmt
Related Or Exempt Func Income$2,177,836RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue-$386,940UnrelatedBusinessRevenueAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$247,014,003TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,675,599TotalRevenueColumnAmt
Exclusion$1,675,599ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Royalties Revenue RoyaltiesRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$788TotalRevenueColumnAmt
Exclusion$788ExclusionAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$109,130RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$33,617RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$75,513RealAmt
Personal$0PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$75,513TotalRevenueColumnAmt
Unrelated Business Revenue$50,702UnrelatedBusinessRevenueAmt
Exclusion$24,811ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$750,481SecuritiesAmt
Other$5,835OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$128,416SecuritiesAmt
Other$102,059OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$622,065SecuritiesAmt
Other-$96,224OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$525,841TotalRevenueColumnAmt
Exclusion$525,841ExclusionAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$0FundraisingGrossIncomeAmt
Fundraising Direct Expenses$0FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
FieldValueIRS element (for citing)
Gaming Gross Income$0GamingGrossIncomeAmt
Gaming Direct Expenses$0GamingDirectExpensesAmt

Net Income From Gaming NetIncomeFromGamingGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
FieldValueIRS element (for citing)
Gross Sales Of Inventory$0GrossSalesOfInventoryAmt
Cost Of Goods Sold$0CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtExclusionExclusionAmt
SUPPLY REBATES900099$878,620$878,620
GIFT SHOP SALES453220$359,942$359,942
CREDENTIALLING SERVICES900099$52,354$52,354

Miscellaneous Revenue MiscellaneousRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$221,262TotalRevenueColumnAmt
Unrelated Business Revenue$49,638UnrelatedBusinessRevenueAmt
Exclusion$171,624ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$1,512,178OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$261,652,035TotalRevenueColumnAmt
Related Or Exempt Func Income$247,400,943RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue-$286,600UnrelatedBusinessRevenueAmt
Exclusion$3,689,579ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$249,191TotalAmt
Program Services$249,191ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Foreign Grants ForeignGrantsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Benefits To Members BenefitsToMembersGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$490,475TotalAmt
Management And General$490,475ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$113,072,921TotalAmt
Program Services$83,090,469ProgramServicesAmt
Management And General$29,746,753ManagementAndGeneralAmt
Fundraising$235,699FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$3,474,117TotalAmt
Program Services$2,558,252ProgramServicesAmt
Management And General$915,865ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$13,783,817TotalAmt
Program Services$10,150,053ProgramServicesAmt
Management And General$3,633,764ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$7,263,815TotalAmt
Program Services$5,348,889ProgramServicesAmt
Management And General$1,914,926ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$4,694,852TotalAmt
Program Services$3,457,170ProgramServicesAmt
Management And General$1,237,682ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$182,139TotalAmt
Program Services$134,123ProgramServicesAmt
Management And General$48,016ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$281,566TotalAmt
Program Services$207,338ProgramServicesAmt
Management And General$74,228ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$688,718TotalAmt
Program Services$507,154ProgramServicesAmt
Management And General$181,564ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$32,541,921TotalAmt
Program Services$23,963,045ProgramServicesAmt
Management And General$8,578,876ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$1,362,794TotalAmt
Program Services$1,003,527ProgramServicesAmt
Management And General$359,267ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$8,060,319TotalAmt
Program Services$5,935,415ProgramServicesAmt
Management And General$2,124,904ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$5,645,880TotalAmt
Program Services$4,157,483ProgramServicesAmt
Management And General$1,488,397ManagementAndGeneralAmt

Royalties RoyaltiesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$5,315,530TotalAmt
Program Services$3,914,222ProgramServicesAmt
Management And General$1,401,308ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$468,146TotalAmt
Program Services$344,731ProgramServicesAmt
Management And General$123,415ManagementAndGeneralAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$1,031,104TotalAmt
Program Services$759,279ProgramServicesAmt
Management And General$271,825ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$2,643,621TotalAmt
Program Services$1,946,695ProgramServicesAmt
Management And General$696,926ManagementAndGeneralAmt

Payments To Affiliates PaymentsToAffiliatesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$14,493,910TotalAmt
Program Services$10,672,948ProgramServicesAmt
Management And General$3,820,962ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$1,621,611TotalAmt
Program Services$1,194,113ProgramServicesAmt
Management And General$427,498ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
PHARMACEUTICALS & MED SUPPLY$40,485,811$40,485,811
MCD PROVIDER TAX$3,099,791$3,099,791
DIETARY EXPENSES$1,777,984$1,309,262$468,722
REPAIRS & MAINTENANCE$1,106,404$814,728$291,676

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$3,255,110TotalAmt
Program Services$2,396,980ProgramServicesAmt
Management And General$858,130ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$267,091,547TotalAmt
Program Services$207,700,669ProgramServicesAmt
Management And General$59,155,179ManagementAndGeneralAmt
Fundraising$235,699FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$1,227,595BOYAmt
EOY$3,534,948EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$28,815,389BOYAmt
EOY$8,194,803EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

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

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$33,146,783BOYAmt
EOY$30,378,315EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

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

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

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

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

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

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$3,851,614BOYAmt
EOY$4,084,739EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$1,470,474BOYAmt
EOY$1,960,890EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$308,433,263LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$197,036,073LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$113,603,373BOYAmt
EOY$111,397,190EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

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

Investments Other Securities InvestmentsOtherSecuritiesGrp

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

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
BOY$80,561,281BOYAmt
EOY$71,017,538EOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
BOY$552,468BOYAmt
EOY$492,387EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$21,981,616BOYAmt
EOY$26,851,755EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$285,210,593BOYAmt
EOY$257,912,565EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$26,792,932BOYAmt
EOY$31,918,843EOYAmt

Grants Payable GrantsPayableGrp

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

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$13,752,713BOYAmt
EOY$275,885EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$47,392,234BOYAmt
EOY$45,956,756EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

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

Loans From Officers Directors LoansFromOfficersDirectorsGrp

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

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$26,277,837BOYAmt
EOY$11,775,761EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

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

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$11,850,806BOYAmt
EOY$25,351,297EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$126,066,522BOYAmt
EOY$115,278,542EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$159,144,071BOYAmt
EOY$142,634,023EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

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

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$159,144,071BOYAmt
EOY$142,634,023EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$285,210,593BOYAmt
EOY$257,912,565EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss-$5,439,512ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst-$11,073,274NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets$2,738OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedYes (true)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (true)AuditCommitteeInd
Federal Grant Audit RequiredYes (true)FederalGrantAuditRequiredInd
Federal Grant Audit PerformedYes (true)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)
Total Grassroots LobbyingTotalGrassrootsLobbyingGrp
Total Direct LobbyingTotalDirectLobbyingGrp
Total Lobbying ExpendTotalLobbyingExpendGrp
Other Exempt Purpose ExpendOtherExemptPurposeExpendGrp
Total Exempt Purpose ExpendTotalExemptPurposeExpendGrp
Lobbying Nontaxable AmountLobbyingNontaxableAmountGrp
Grassroots NontaxableGrassrootsNontaxableGrp
Tot Lbbyng Grassroot Mns Non TxTotLbbyngGrassrootMnsNonTxGrp
Tot Lbby Expend Mns Lbbyng Non TxTotLbbyExpendMnsLbbyngNonTxGrp
VolunteersfalseVolunteersInd
Paid Staff Or ManagementfalsePaidStaffOrManagementInd
Media AdvertisementsfalseMediaAdvertisementsInd
Mailings MembersfalseMailingsMembersInd
Publications Or BroadcastfalsePublicationsOrBroadcastInd
Grants Other OrganizationsfalseGrantsOtherOrganizationsInd
Direct Contact LegislatorsfalseDirectContactLegislatorsInd
Rallies DemonstrationsfalseRalliesDemonstrationsInd
Other ActivitiesYes (true)OtherActivitiesInd
Other Activities$16,384OtherActivitiesAmt
Total Lobbying Expenditures$16,384TotalLobbyingExpendituresAmt
Not Described Section501c3falseNotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceFORM 990, SCHEDULE C, PART II-B, LINE 1IFormAndLineReferenceDesc
ExplanationLOBBYING ACTIVITIES INCLUDE A PORTION OF DUES FOR THE ARKANSAS HOSPITAL ASSOCIATION & THE AMERICAN HOSPITAL ASSOCIATION.ExplanationTxt

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Art Public Exhibition AmountsArtPublicExhibitionAmountsGrp
Held Works ArtHeldWorksArtGrp
CY Minus3 Yr Endwmt FundCYMinus3YrEndwmtFundGrp
CY Minus4 Yr Endwmt FundCYMinus4YrEndwmtFundGrp

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$6,511,470OtherCostOrOtherBasisAmt
Book Value$6,511,470BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$176,500,948OtherCostOrOtherBasisAmt
Depreciation$93,120,837DepreciationAmt
Book Value$83,380,111BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$3,339,535OtherCostOrOtherBasisAmt
Depreciation$1,895,406DepreciationAmt
Book Value$1,444,129BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$121,796,568OtherCostOrOtherBasisAmt
Depreciation$102,019,830DepreciationAmt
Book Value$19,776,738BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$284,742OtherCostOrOtherBasisAmt
Book Value$284,742BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$111,397,190TotalBookValueLandBuildingsAmt

Invst Program Related Org InvstProgramRelatedOrgGrp

FieldValueIRS element (for citing)
DescBOARD DESIGNATED INVESTMENTSDesc
Book Value$71,017,538BookValueAmt
Method ValuationFMethodValuationCd
FieldValueIRS element (for citing)
Total Book Value Program Rltd$71,017,538TotalBookValueProgramRltdAmt

Other Assets Org OtherAssetsOrgGrp (6 entries)

DescDescBook ValueBookValueAmt
FUNDS HELD BY TRUSTEE$7,766,779
OTHER RECEIVABLES$344,064
DUE FROM AFFILIATES$6,430,507
INVESTMENT IN SUBSIDIARIES$3,631,531
ROU ASSETS - OPERATING LEASE$7,426,637
RESERVE - CD$1,252,237
FieldValueIRS element (for citing)
Total Book Value Other Assets$26,851,755TotalBookValueOtherAssetsAmt
Federal Income Tax Liability$0FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (5 entries)

DescDescAmtAmt
ESTIMATED 3RD PARTY SETTLEMENT$3,121,876
ASSET RETIREMENT ENVIRON. RES.$875,128
DUE TO AFFILIATES$26,542
TAXABLE BONDS$13,768,457
OPERATING LEASE LIABILITY$7,559,294
FieldValueIRS element (for citing)
Total Liability$25,351,297TotalLiabilityAmt
Total Rev Etc Audited Fincl Stmt$250,202,943TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst-$11,073,274NetUnrealizedGainsInvstAmt
Other Revenue$132,579OtherRevenueAmt
Revenue Not Reported-$10,940,695RevenueNotReportedAmt
Revenue Subtotal$261,143,638RevenueSubtotalAmt
Other Revenues Not Included$508,397OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt$508,397RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$261,652,035TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$266,712,991TotExpnsEtcAuditedFinclStmtAmt
Other Expenses Included$129,841OtherExpensesIncludedAmt
Expenses Not Reported$129,841ExpensesNotReportedAmt
Expenses Subtotal$266,583,150ExpensesSubtotalAmt
Other Expenses Not Included$508,397OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt$508,397ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$267,091,547TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, SCHEDULE D, PART X, LINE 2MANAGEMENT HAS EVALUATED THEIR INCOME TAX POSITIONS UNDER THE GUIDANCE INCLUDED IN ASC 740. BASED ON THEIR REVIEW, MANAGEMENT HAS NOT IDENTIFIED ANY MATERIAL TAX POSITIONS TO BE RECORDED OR DISCLOSED IN THE FINANCIAL STATEMENTS.
FORM 990, SCHEDULE D, PART XI, LINE 2DINVESTMENT INCOME FROM K-1 $2,738 LOSS ON SALE OF ASSETS $96,224 RENTAL EXPENSES $33,617 ----------------------------------------------- TOTAL $132,579
FORM 990, SCHEDULE D, PART XI, LINE 4BREVENUES INCLUDED IN EXPENSE PER AUDIT $508,397
FORM 990, SCHEDULE D, PART XII, LINE 2DLOSS ON SALE OF ASSETS $96,224 RENTAL EXPENSES $33,617 ----------------------------------------------- TOTAL $129,841
FORM 990, SCHEDULE D, PART XII, LINE 4BREVENUES INCLUDED IN EXPENSE PER AUDIT $508,397

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Financial Assistance PolicyYes (true)FinancialAssistancePolicyInd
Written PolicyYes (true)WrittenPolicyInd
All Hospitals PolicyYes (X)AllHospitalsPolicyInd
FPG Reference Free CareYes (true)FPGReferenceFreeCareInd

Free Care Oth Percentage FreeCareOthPercentageGrp

FieldValueIRS element (for citing)
OtherYes (X)OtherInd
Free Care Other225.FreeCareOtherPct
FieldValueIRS element (for citing)
FPG Reference Discounted CareYes (true)FPGReferenceDiscountedCareInd
Percent300Yes (X)Percent300Ind
Free Care Medically IndigentYes (true)FreeCareMedicallyIndigentInd
Financial Assistance BudgetYes (true)FinancialAssistanceBudgetInd
Expenses Exceed BudgetfalseExpensesExceedBudgetInd
Annual Community Bnft ReportYes (true)AnnualCommunityBnftReportInd
Report Publically AvailableYes (true)ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$981,924TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$981,924NetCommunityBenefitExpnsAmt
Total Expense0.00370TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$26,710,661TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$20,228,823DirectOffsettingRevenueAmt
Net Community Benefit Expns$6,481,838NetCommunityBenefitExpnsAmt
Total Expense0.02430TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$27,692,585TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$20,228,823DirectOffsettingRevenueAmt
Net Community Benefit Expns$7,463,762NetCommunityBenefitExpnsAmt
Total Expense0.02800TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$1,750TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$1,750NetCommunityBenefitExpnsAmt
Total Expense0.00000TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$3,360,232TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$1,244,141DirectOffsettingRevenueAmt
Net Community Benefit Expns$2,116,091NetCommunityBenefitExpnsAmt
Total Expense0.00790TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$34,544,399TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$23,380,286DirectOffsettingRevenueAmt
Net Community Benefit Expns$11,164,113NetCommunityBenefitExpnsAmt
Total Expense0.04170TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$37,906,381TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$24,624,427DirectOffsettingRevenueAmt
Net Community Benefit Expns$13,281,954NetCommunityBenefitExpnsAmt
Total Expense0.04960TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$65,598,966TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$44,853,250DirectOffsettingRevenueAmt
Net Community Benefit Expns$20,745,716NetCommunityBenefitExpnsAmt
Total Expense0.07760TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense ReportedYes (true)BadDebtExpenseReportedInd
Reimbursed By Medicare$45,921,275ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$54,180,333CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall-$8,259,058MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

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

Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp (2 entries)

Primary ActivitiesPrimaryActivitiesTxtOrg Profit Or OwnershipOrgProfitOrOwnershipPctPhysicians Profit Or OwnershipPhysiciansProfitOrOwnershipPct
CONWAY REGIONAL REHA
ADMIN SERVICES0.6740.326
CONWAY REGIONAL PHO
ADMIN SERVICES0.50.5
FieldValueIRS element (for citing)
Hospital Facilities2HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp (2 entries)

FacilityFacilityNumAddress Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdWebsite AddressWebsiteAddressTxtState LicenseStateLicenseNumLicensed HospitalLicensedHospitalIndGeneral Medical And SurgicalGeneralMedicalAndSurgicalIndEmergency Room24 HrsEmergencyRoom24HrsIndFacility Reporting GroupFacilityReportingGroupCdOtherOtherDesc
CONWAY REGIONAL MEDICAL CENTER INC
12302 COLLEGE AVECONWAYAR72034WWW.CONWAYREGIONAL.ORGAR2657Yes (X)Yes (X)Yes (X)A
CONWAY REGIONAL REHAB HOSPITAL
22210 ROBINSON AVENUECONWAYAR72034SEE PART V SECTION CAR4261Yes (X)AREHAB HOSPITAL

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1ABusinessNameLine1Txt
FieldValueIRS element (for citing)
Facility12FacilityNum
First Licensed CY Or PYfalseFirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PYfalseTaxExemptHospitalCYOrPYInd
CHNA ConductedYes (true)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 Conducted22CHNAConductedYr
Take Into Account Others InputYes (true)TakeIntoAccountOthersInputInd
CHNA Conducted With Other FcltsYes (true)CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non FcltsfalseCHNAConductedWithNonFcltsInd
CHNA Report Widely AvailableYes (true)CHNAReportWidelyAvailableInd
Rpt Available On Own WebsiteYes (X)RptAvailableOnOwnWebsiteInd
Own Website URLSEE PART V, SECTION COwnWebsiteURLTxt
Paper Copy Public InspectionYes (X)PaperCopyPublicInspectionInd
Rpt Available Thru Other MethodYes (X)RptAvailableThruOtherMethodInd
Implementation Strategy AdoptYes (true)ImplementationStrategyAdoptInd
Implementation Strategy Adpt22ImplementationStrategyAdptYr
Strategy Posted WebsiteYes (true)StrategyPostedWebsiteInd
Strategy Website URLSEE PART V, SECTION CStrategyWebsiteURLTxt
Organization Incur Excise TaxfalseOrganizationIncurExciseTaxInd
Elig Criteria ExplainedYes (true)EligCriteriaExplainedInd
FPG Family Incm Lmt Free DscntYes (X)FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care225.FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care300.FPGFamilyIncmLmtDscntCarePct
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 (true)ExplainedBasisInd
App Financial Asst ExplnYes (true)AppFinancialAsstExplnInd
Described InfoYes (X)DescribedInfoInd
Described Suprt DocYes (X)DescribedSuprtDocInd
Provided Hospital ContactYes (X)ProvidedHospitalContactInd
Provided Nonprofit ContactYes (X)ProvidedNonprofitContactInd
Includes Publicity MeasuresYes (true)IncludesPublicityMeasuresInd
FAP Available On WebsiteYes (X)FAPAvailableOnWebsiteInd
FAP Available On Website URLSEE PART V, SECTION CFAPAvailableOnWebsiteURLTxt
FAP App Available On WebsiteYes (X)FAPAppAvailableOnWebsiteInd
FAP App Available On Website URLSEE PART V, SECTION CFAPAppAvailableOnWebsiteURLTxt
FAP Summary On WebsiteYes (X)FAPSummaryOnWebsiteInd
FAP Summary On Website URLSEE PART V, 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
FAP Actions On NonpaymentYes (true)FAPActionsOnNonpaymentInd
Permit No ActionsYes (X)PermitNoActionsInd
Collection ActivitiesfalseCollectionActivitiesInd
Provided Written NoticeYes (X)ProvidedWrittenNoticeInd
Made Effort Orally NotifyYes (X)MadeEffortOrallyNotifyInd
Processed FAP ApplicationYes (X)ProcessedFAPApplicationInd
Made Presumptive Elig DetermYes (X)MadePresumptiveEligDetermInd
Nondis Emergency Care PolicyYes (true)NondisEmergencyCarePolicyInd
Look Back Medicare PrivateYes (X)LookBackMedicarePrivateInd
Amounts Generally BilledfalseAmountsGenerallyBilledInd
Gross ChargesfalseGrossChargesInd

Supplemental Information SupplementalInformationGrp (7 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, SCHEDULE H, PART V, SECTION A, LINE 2www.conwayregional.org/locations/conway-regional-rehabilitation-hospital
FORM 990, SCHEDULE H, PART V, SECTION B, LINE 5THE COUNTY HEALTH RANKINGS MODEL (CHRM) WILL GUIDE THE CONWAY REGIONAL HEALTH SYSTEM 2022 CHNA. THE COUNTY HEALTH RANKINGS ARE BASED ON A POPULATION HEALTH MODEL THAT INCLUDES BOTH HEALTH OUTCOMES (LENGTH AND QUALITY OF LIFE) AND HEALTH FACTORS. THE CHRM HEALTH FACTORS ARE DIVIDED INTO FOUR CATEGORIES: PHYSICAL ENVIRONMENT, SOCIAL AND ECONOMIC FACTORS, CLINICAL CARE, AND HEALTH BEHAVIORS. THE CHRM INCLUDES 30 MEASURES ACROSS THE FOUR CATEGORIES THAT DEFINES THE OVERALL HEALTH OF THE COUNTY. THE RESEARCH TEAM WILL UTILIZE BOTH PRIMARY AND SECONDARY DATA SOURCES TO GATHER INFORMATION FOR THE CHNA. THE RESEARCH TEAM FURTHER REFINED THE POTENTIAL COMMUNITY HEALTH FOCUS AREAS THROUGH TWO SUBSEQUENT RESEARCH METHODOLOGIES: 1) COMMUNITY SURVEY RESEARCH (APPENDIX B) AND 2) COMMUNITY FOCUS GROUPS. THESE APPROACHES ALLOWED THE RESEARCHERS TO ENGAGE WITH AND RECEIVE FEEDBACK FROM A BROAD RANGE OF STAKEHOLDERS AS PER THE IRS REQUIREMENTS FOR NON-PROFIT HOSPITALS. THE SURVEY LINK WAS DISTRIBUTED BY EMAIL TO MORE THAN 150 COMMUNITY STAKEHOLDERS INCLUDING PHYSICIANS, HOSPITAL OFFICIALS, CHURCHES, SCHOOLS, COMMUNITY AGENCIES, PUBLIC SAFETY, AND PUBLIC HEALTH REPRESENTATIVES ACROSS FAULKNER COUNTY. INCOMPLETE OR ABANDONED SURVEYS WERE EXCLUDED FROM THE DATA SET. AT THE CONCLUSION OF THE SURVEY ENDING JULY 10, 2022, 37 STAKEHOLDERS COMPLETED THE SURVEY FOR A RESPONSE RATE OF 24.6%. FOCUS GROUPS WERE HELD IN JULY AND AUGUST 2022 AND WERE DESIGNED TO ALLOW FOR DIRECT ENGAGEMENT WITH COMMUNITY MEMBERS ACROSS A RANGE OF DEMOGRAPHICS. SESSIONS WERE HELD AT COMMUNITY CENTERS AND CONWAY REGIONAL MEDICAL CENTER WITH A TOTAL OF 40 PARTICIPANTS.
FORM 990, SCHEDULE H, PART V, SECTION B, LINE 6ACONWAY REGIONAL REHABILITATION HOSPITAL, DARDANELLE REGIONAL MEDICAL CENTER
FORM 990, SCHEDULE H, PART V, SECTION B, LINE 7A & 10ACONWAYREGIONAL.ORG/ABOUT/MISSION-VISION/COMMUNITY-HEALTH
FORM 990, SCHEDULE H, PART V, SECTION B, LINE 7DTHE CHNA REPORT WAS MADE WIDELY AVAILABLE TO THE PUBLIC BY RELEASING TO LOCAL MEDIA, PROVIDING ACCESS ON THE HOSPITAL'S WEBSITE, AND MAKING HARD COPIES AVAILABLE IN THE ADMINISTRATIVE OFFICES.
FORM 990, SCHEDULE H, PART V, SECTION B, LINE 11CONWAY REGIONAL HAS IDENTIFIED FOUR NEEDS THAT WILL BE THE HOSPITAL'S PRIMARY FOCUS FOR IMPROVEMENT: OBESITY, SUSTANCE ABUSE, ACCESS TO CARE, AND MANAGEMENT OF CHRONIC DISEASES (HEART DISEASE) & DIABETES. SPECIFIC ACTIVITIES FOR HEALTH STATUS IMPROVEMENT INCLUDE THE FOLLOWING: OBESITY A. INCREASE AWARENESS FOR OBESITY MANAGEMENT OPTIONS I. BARIATRIC SERVICES: INCREASE PATIENT ENGAGEMENT IN BARIATRIC SURGERY FOR OBESITY MANAGEMENT. II. OBESITY MANAGEMENT: PARTNER WITH PRIMARY CARE PROVIDERS TO REFER PATIENTS FOR MEDICAL NUTRITIONAL THERAPY WITH DX OF OBESITY. IN ADDITION, EDUCATE AND PRESCRIBE PATIENT PHARMACOLOGICAL APPROACHES. III. SCRIPT TO FIT: EXPAND SCRIPT TO FIT OFFERINGS. 2. ACCESS TO CARE A. ENHANCE ACCESS POINTS FOR PATIENT TO RECEIVE CARE I. TELEHEALTH: CONTINUE TO MAKE THIS A FOCUS AND EXPAND SERVICES THROUGHOUT THE ORGANIZATION. II. MOBILE HEALTH UNIT: PROVIDE CARE OUTSIDE OF OUR PRIMARY CARE AND SPECIALTY CARE CLINICS. III. REMOTE PATIENT MONITORING: UTILIZE TECHNOLOGY TO ENABLE MONITORING OF PATIENTS OUTSIDE OF CLINICAL SETTINGS. IV. CONTINUE TO PROMOTE AND ENHANCE PATIENT NAVIGATION CENTER; ONE CALL FOR HEALTHCARE NAVIGATION. B. CONTINUED FOCUS ON PROVIDER RECRUITMENT I. RECRUITMENT: RECRUIT PROVIDERS FOR AREAS IDENTIFIED AS COMMUNITY NEEDS. II. GRADUATE MEDICAL EDUCATION: SINCE 2020, CONWAY REGIONAL HAS WELCOMED TWELVE FAMILY MEDICINE RESIDENTS, FIVE INTERNAL MEDICINE RESIDENTS, AND TWO RURAL TRACK FAMILY MEDICINE RESIDENTS. WE WILL CONTINUE TO SUPPORT AND ENGAGE WITH OUR GME PROGRAMS WHICH WHEN FILLED THERE WILL BE A TOTAL OF 33 RESIDENTS. 3. SUBSTANCE ABUSE A. INCREASE ACCESS TO TOBACCO CESSATION PROGRAMS I. PROVIDE OPPORTUNITIES FOR TOBACCO TREATMENT WITH TOBACCO TREATMENT SPECIALISTS AT CONWAY REGIONAL. II. INCREASE PUBLIC HEALTH INFORMATION REGARDING RISKS ASSOCIATED WITH TOBACCO USAGE AND TOBACCO TREATMENT. 4. MANAGEMENT OF CHRONIC DISEASES (HEART DISEASE) & DIABETES A. IMPROVE CHRONIC DISEASE MANAGEMENT AND DIABETES MANAGEMENT I. INCREASE AVAILABILITY FOR HEART AND HEALTH WELLNESS SCREENINGS II. INCREASE ATTENDANCE RATES OF DIABETES SELF-MANAGEMENT PROGRAM III. INCREASE REFERRALS TO SCRIPT TO FIT - DIABETES TRACK & HEART DISEASE TRACK IV. ADD ONENTS TO SCRIPT TO FIT V. CREATE AND IMPLEMENT COMMUNITY HEALTH EDUCATION LECTURES
FORM 990, SCHEDULE H, PART V, LINE 16A, 16B, & 16Chttps://www.conwayregional.org/patients-visitors/billing-insurance
FieldValueIRS element (for citing)
Facility33FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (33 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdFacilityFacilityTxt
CONWAY MEDICAL GROUP
437 DENISON STREETCONWAYAR72034MEDICAL CLINIC
MAYFLOWER MEDICAL CLINIC
587 HIGHWAY 365MAYFLOWERAR72106MEDICAL CLINIC
GREENBRIER FAMILY MEDICINE
110 NORTH BROADVIEWGREENBRIERAR72058FAMILY CLINIC
HEALTH AND FITNESS CENTER
700 SALEM ROADCONWAYAR72034HEALTH CENTER
CONWAY REGIONAL AFTER HOURS CLINIC
437 DENISON SUITE 2CONWAYAR72034CLINIC
CONWAY REGIONAL MEDICAL CLINIC-PRINCE ST
1 MEDICAL LANECONWAYAR72034CLINIC
CONWAY REGIONAL CARDIOVASCULAR CLINIC
525 WESTERN AVENUE SUITE 202CONWAYAR72034CARDIOVASCULAR CLINIC
CLINTON MEDICAL CLINIC
HWY 65 S VOLUNTEER PARKWAYCLINTONAR72031CLINIC
CONWAY REGIONAL MED CLINIC-POTTSVILLE
2504 WEST MAIN STREET SUITE HRUSSELLVILLEAR72801CLINIC
CONWAY REGIONAL MEDICAL CLINIC - VILONIA
1159 MAIN STREETVILONIAAR72173MEDICAL CLINIC
CONWAY REGIONAL IMAGING CENTER
555 CLUB LANECONWAYAR72034IMAGING CENTER
CONWAY REGIONAL PERSONAL TRAINING STUDIO
CORNER OF COLLEGE AND DONAGHEYCONWAYAR72034PERSONAL TRAINING STUDIO
CR THERAPY CENTER - SCHERMAN HEIGHTS
550 CLUB LANE SUITE 2CONWAYAR72032THERAPY CENTER
CONWAY REG THERAPY CENTER - GREENBRIER
8E WILSON FARM ROADGREENBRIERAR72058THERAPY CENTER
CONWAY REGIONAL SPECIALTY THERAPY CLINIC
2200 ADA AVENUE SUITE 200CONWAYAR72034THERAPY CENTER
CONWAY REGIONAL WOUND HEALING CENTER
2200 ADA AVENUE SUITE 205CONWAYAR72034WOUND HEALING CENTER
CR ADVANCED PAIN MANAGEMENT CENTER
525 WESTERN AVENUE 304CONWAYAR72034MEDICAL CLINIC
CR CENTER FOR ORTHOPAEDIC AND SPORTS MED
525 WESTERN AVENUE SUITE 302CONWAYAR72034MEDICAL CLINIC
CONWAY REGIONAL NEUROSCIENCE CENTER
2200 ADA AVENUE SUITE 305CONWAYAR72034MEDICAL CLINIC
CONWAY REGIONAL GASTROENTEROLOGY CENTER
2200 ADA AVENUE SUITE 201CONWAYAR72034MEDICAL CLINIC
CONWAY REGIONAL HOMECARE
2134 ROBINSON STREETCONWAYAR72034HOME HEALTH SERVICES
CONWAY REGIONAL MEDICAL CLINIC - RUSSELL
108 SKYLINE DRIVERUSSELLVILLEAR72801MEDICAL CLINIC
CARDIOVASCULAR AND THORACIC SURGERY OF C
525 WESTERN AVENUECONWAYAR72034MEDICAL CLINIC
CONWAY REGIONAL INFECTIOUS DISEASE CLINI
2200 ADA AVENUE SUITE 203CONWAYAR72034MEDICAL CLINIC
CONWAY REGIONAL INTERFAITH DENTAL CLINIC
830 NORTH CREEK DRIVECONWAYAR72032DENTAL CLINIC
CONWAY REGIONAL MULTISPECIALTY CLINIC
525 WESTERN AVENUE SUITE 305CONWAYAR72034MEDICAL CLINIC
CONWAY REGIONAL SURGICAL ASSOCIATES
525 WESTERN AVENUE SUITE 203CONWAYAR72034MEDICAL CLINIC
RENAISSANCE WOMENS CENTER
2300 ROBNINSON AVENUECONWAYAR72034OBGYN
COSMC
550 CLUB LANECONWAYAR72034MEDICAL CLINIC
HENDRIX CLINIC
1600 WASHINGTON AVENUECONWAYAR72032MEDICAL CLINIC
BURNT RIDGE
2526 HIGHWAY 65 SOUTHCLINTONAR72031MEDICAL OFFICE
CONWAY REGIONAL ENDOCRINOLOGY AND DIABET
525 WESTERN AVE 303CONWAYAR72034MEDICAL CLINIC
MATERNAL FETAL MEDICINE CENTER
2200 ADA AVE SUITE 200CONWAYAR72034MEDICAL CLINIC

Supplemental Information Detail SupplementalInformationDetail (13 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, SCHEDULE H, PART I, LINE 3CSEE SCHEDULE H, PART V, LINES 13 THROUGH 16 FOR ADDITIONAL INFORMATION ON OUR FINANCIAL ASSISTANCE POLICY.
FORM 990, SCHEDULE H, PART I, LINE 7THE COST TO CHARGE RATIO (CALCULATED USING WORKSHEET 2) WAS USED FOR LINE 7 AMOUNTS.
FORM 990, SCHEDULE H, PART III, SECTION A, LINE 2CONWAY REGIONAL MEDICAL CENTER USES A COMPLEX CALCULATION TO IDENTIFY REQUIRED BAD DEBT RESERVES BASED ON HISTORICAL KNOWLEDGE ASSOCIATED WITH THE AGE OF ACCOUNTS, THE PAYERS, AND THE PATIENT TYPES.
FORM 990, SCHEDULE H, PART III, SECTION A, LINE 4PLEASE SEE ATTACHED AUDIT REPORT, NOTE 1, PATIENT ACCOUNTS RECEIVABLE.
FORM 990, SCHEDULE H, PART III, SECTION B, LINE 8THE MEDICARE COST REPORT WAS USED TO CALCULATE THE MEDICARE ALLOWABLE COSTS. THE ORGANIZATION DOES NOT COUNT MEDICARE SHORTFALL AS COMMUNITY BENEFIT.
FORM 990, SCHEDULE H, PART III, SECTION C, LINE 9BALL PATIENTS WILL BE OFFERED A FINANCIAL ASSISTANCE APPLICATION AT THE TIME OF REGISTRATION AND/OR DISCHARGE FROM THE FACILITY. IF THIS EVALUATION IS NOT CONDUCTED UNTIL AFTER THE PATIENT LEAVES THE FACILITY, OR IN CASE OF OUTPATIENTS OR EMERGENCY PATIENTS, A FINANCIAL COUNSELOR WILL MAIL A FINANCIAL ASSISTANCE APPLICATION TO THE PATIENT FOR COMPLETION. EACH PATIENT SIGNS A CONDITION OF ADMISSION FORM WHICH MAKES THEM AWARE OF CONWAY REGIONAL'S FINANCIAL ASSISTANCE POLICY. THERE IS ALSO A STATEMENT ON THE REVERSE SIDE OF THE PATIENT'S BILL WHICH EXPLAINS THAT FINANCIAL COUNSELORS ARE AVAILABLE. IF A PATIENT CALLS THE PATIENT ACCOUNTING OFFICE ABOUT THEIR BILL, THEY ARE MADE AWARE OF THE FINANCIAL ASSISTANCE POLICY. IN ADDITION, THE HOSPITAL WILL PROVIDE A PLAIN LANGUAGE SUMMARY OF THE FINANCIAL ASSISTANCE POLICY TO THE PATIENT WITH ALL BILLING STATEMENTS AND COMMUNICATIONS WITHIN THE FIRST 120 DAYS FOLLOWING THE FIRST BILLING STATEMENT. THE POLICY WILL ALSO BE AVAILABLE ON THE HOSPITAL WEBSITE, AT ALL POINTS OF REGISTRATION WITHIN THE FACILITY, AND WILL BE PROVIDED BY MAIL TO ANYONE REQUESTING IT AT NO CHARGE. A PLAIN LANGUAGE SUMMARY OF THE POLICY WILL BE MADE AVAILABLE IN THESE LOCATIONS AS WELL.
FORM 990, SCHEDULE H, PART VI, LINE 2CONWAY REGIONAL ANNUALLY UPDATES THE COMMUNITY HEALTH NEEDS SCORECARD FROM VARIOUS SOURCES FROM THE STATE OF ARKANSAS, ESRI, CENSUS, COUNTY HEALTH RANKING, AND PROPRIETARY DATA SOURCES. BOTH PRIMARY AND SECONDARY RESEARCH METHODS ARE USED.
FORM 990, SCHEDULE H, PART VI, LINE 3ALL PATIENTS ARE OFFERED A FINANCIAL ASSISTANCE APPLICATION AT THE TIME OF REGISTRATION AND/OR DISCHARGE FROM THE FACILITY. IF THIS EVALUATION IS NOT CONDUCTED UNTIL AFTER THE PATIENT LEAVES THE FACILITY OR IN CASE OF OUTPATIENTS OR EMERGENCY PATIENTS, A FINANCIAL COUNSELOR WILL MAIL A FINANCIAL ASSISTANCE APPLICATION TO THE PATIENT FOR COMPLETION. EACH PATIENT SIGNS A CONDITION OF ADMISSION FORM WHICH MAKES THEM AWARE OF CONWAY REGIONAL'S FINANCIAL ASSISTANCE POLICY. THERE IS ALSO A STATEMENT ON THE REVERSE SIDE OF THE PATIENT'S BILL WHICH EXPLAINS THAT FINANCIAL COUNSELORS ARE AVAILABLE. IF A PATIENT CALLS THE PATIENT ACCOUNTING OFFICE ABOUT THEIR BILL, THEY ARE MADE AWARE OF THE ASSISTANCE POLICY. IN ADDITION, THE HOSPITAL WILL PROVIDE A PLAIN LANGUAGE SUMMARY OF THE FINANCIAL ASSISTANCE POLICY TO THE PATIENT WITH ALL BILLING STATEMENTS AND COMMUNICATIONS WITHIN THE FIRST 120 DAYS FOLLOWING THE FIRST BILLING STATEMENT. THE POLICY WILL ALSO BE MADE AVAILABLE ONT HE HOSPITAL WEBSITE, AT ALL POINTS OF REGISTRATION WITHIN THE FACILITY, AND WILL BE PROVIDED BY MAIL TO ANYONE REQUESTING IT AT NO CHARGE. A PLAIN LANGUAGE SUMMARY OF THE POLICY WILL BE MADE AVAILABLE AT THESE LOCATIONS AS WELL.
FORM 990,SCHEDULE H, PART VI, LINE 4IN 2022: THE POPULATION OF FAULKNER COUNTY IS 128,614 - A 3.0% INCREASE SINCE THE LAST CHNA IN 2019. THE MEDIAN AGE OF FAULKNER COUNTY IS 33.3, WHICH IS 4.8 YEARS YOUNGER THAN THE NATIONAL MEDIAN AGE OF 38.1. THE MEDIAN HOUSEHOLD INCOME IN FAULKNER COUNTY IS $54,191. THIS IS HIGHER THAN THE ARKANSAS AVERAGE OF $49,475. FAULKNER COUNTY IS RANKED THE 4TH HEALTHIEST COUNTY IN ARKANSAS OUT OF 75 TOTAL COUNTIES. FAULKNER COUNTY IS THE PRIMARY SERVICE AREA FOR CONWAY REGIONAL MEDICAL CENTER. IN FAULKNER COUNTY, 83% OF THE POPULATION IS CAUCASIAN, 12.5% IS AFRICAN AMERICAN, 0.7% IS AMERICAN INDIAN OR ALASKAN NATIVE, 1.3% IS ASIAN, 0.01% IS HAWAIIAN OR OTHER PACIFIC ISLANDER, AND 2.49% IS TWO OR MORE RACES.
FORM 990, SCHEDULE H, PART VI, LINE 5CONWAY REGIONAL PARTICIPATES IN NUMEROUS COMMUNITY BUILDING ACTIVITIES THAT PROMOTE THE HEALTH OF THE COMMUNITIES WE SERVE. WE WORK TO IMPROVE HEALTH BY FOCUSING ON THREE PRIMARY GOALS IDENTIFIED IN OUR COMMUNITY HEALTH NEEDS ASSESSMENT, INCLUDING OBESITY, NUTRITION AND EXERCISE, AND CHRONIC DISEASE MANAGEMENT. OUR FITNESS CENTER PROVIDES SUPPORT FOR MANY AREA SCHOOLS IN DEVELOPING RUNNING CLUBS AND ANNUALLY HOSTS THE KIDS RUN ARKANSAS EVENT TO ENCOURAGE FAMILIES TO EXERCISE TOGETHER. CONWAY REGIONAL PROVIDES HEALTHY EATING INFORMATION AND EDUCATION THROUGH OUR WOMEN'S COUNCIL AND OFFERS HUNDREDS OF FREE HEALTH SCREENINGS THROUGHOUT THE YEAR AT EVENTS SUCH AS THE SENIOR HEALTH FAIR AND THE WOMEN'S HEALTH FAIR. CONWAY REGIONAL PROVIDES EXPERT SPEAKERS FOR MANY CLUBS AND COMMUNITY MEETINGS TO HELP EDUCATE ON LIVING A HEALTHIER LIFE. CONWAY REGIONAL OFFERS SPECIALIZED SUPPORT FOR PARENTS INCLUDING BABY CARE CLASSES, BREASTFEEDING SUPPORT, AND SUPPORT DURING THE LOSS OF A PREGNANCY.
FORM 990, SCHEDULE H, PART VI, LINE 6CONWAY REGIONAL MEDICAL CENTER, INC. (THE MEDICAL CENTER) PRIMARILY EARNS REVENUES BY PROVIDING INPATIENT, OUTPATIENT, PSYCHIATRIC AND EMERGENCY CARE SERVICES TO PATIENTS IN CONWAY, ARKANSAS, AND SURROUNDING AREAS IN CENTRAL ARKANSAS. IT ALSO OPERATES A HOME HEALTH AGENCY AND PHYSICIAN CLINICS IN THE SAME GEOGRAPHIC AREA. EFFECTIVE APRIL 1, 2022, THE MEDICAL CENTER'S BOARD OF DIRECTORS RENEWED THE AGREEMENT THROUGH APRIL 1, 2023, WITH CHI ST. VINCENT INFIRMARY MEDICAL CENTER, D/B/A CHI ST. VINCENT, AN ARKANSAS NONPROFIT CORPORATION AND A SUBSIDIARY OF CATHOLIC HEALTH INITIATIVES. THE GOAL OF THE AGREEMENT IS TO DEVELOP A LEVEL OF INTEGRATION AND COORDINATION THAT RESULTS IN MORE ACCESSIBLE, HIGHQUALITY, CLINICALLY INTEGRATED, COORDINATED AND LOWER-COST CARE FOR THE COMMUNITIES OF CENTRAL ARKANSAS THAT THEY SERVE WHILE ENHANCING THE OVERALL HEALTH OF THOSE COMMUNITIES. INSTITUTIONAL SERVICES CORPORATION (ISC) IS A WHOLLY OWNED TAXABLE SUBSIDIARY OF THE MEDICAL CENTER. ISC OWNS AND LEASES REAL ESTATE AND PERSONAL PROPERTY, PRIMARILY TO THE MEDICAL CENTER. THIRD TABLE, LLC WAS FORMED WITH THE MEDICAL CENTER AS THE SOLE MEMBER. EFFECTIVE DECEMBER 7, 2018, THIRD TABLE PROVIDES ACCOUNTABLE CARE MANAGEMENT (ACM) SERVICES THROUGH PARTICIPATING PHYSICIANS TO THE MEDICAL CENTER AND IS MANAGED BY AN ACM COMMITTEE WITH MEDICAL CENTER REPRESENTATION. CONWAY REGIONAL HEALTH FOUNDATION (THE FOUNDATION) IS A NOT-FOR-PROFIT ORGANIZATION WHOSE MISSION AND PRINCIPAL ACTIVITIES ARE TO SOLICIT AND RECEIVE CONTRIBUTIONS FOR THE BENEFIT OF THE MEDICAL CENTER. THE FOUNDATION'S REVENUES AND OTHER SUPPORT ARE DERIVED PRINCIPALLY FROM CONTRIBUTIONS IN FAULKNER COUNTY AND SURROUNDING AREAS. THE BOARD OF DIRECTORS OF THE FOUNDATION IS ELECTED ANNUALLY BY THE BOARD OF DIRECTORS OF THE MEDICAL CENTER. THE MEDICAL CENTER OWNS A MAJORITY MEMBER INTEREST OF 66.2% IN CONWAY REGIONAL REHABILITATION HOSPITAL, LLC (CRRH). CRRH PRIMARILY EARNS REVENUE BY PROVIDING INPATIENT REHABILITATIVE CARE TO PATIENTS IN CONWAY, ARKANSAS, AND SURROUNDING AREAS IN CENTRAL ARKANSAS.
FORM 990, SCHEDULE H, PART VI, LINE 7AR
FORM 990, SCHEDULE HCONWAY REGIONAL IS A NOT-FOR-PROFIT MEDICAL CENTER SERVING 6 COUNTIES IN CENTRAL ARKANSAS. THE ORGANIZATION IS GOVERNED BY A BOARD COMPRISED OF COMMUNITY MEMBERS WHO RESIDE OR WORK WITHIN THE SERVICE AREA ARE DEDICATED TO MAKING BETTER HEALTHCARE A REALITY FOR ALL. COMMUNITY MEMBERS ALSO SERVE ON A COMMUNITY ADVISORY COUNCIL CREATED AS A SOUNDING BOARD FOR IDEAS AND ISSUES IN THE COMMUNITY AND HELP PROVIDE INFORMATION ABOUT THINGS CONWAY REGIONAL CAN IMPROVE, OFFER, OR CHANGE. THE CONWAY REGIONAL WOMEN'S COUNCIL, WORKING WITH CONWAY REGIONAL MEDICAL CENTER THROUGH ITS CONWAY REGIONAL HEALTH FOUNDATION, IS ALSO AN AREA WHERE COMMUNITY MEMBERS ARE ENCOURAGED TO GET INVOLVED AND MEMBERS OF THIS GROUP ADVOCATE FOR WOMEN'S HEALTH. THE GROUP OF WOMEN SUPPORT THE ORGANIZATION THROUGH FUNDRAISING ACTIVITIES AND VOLUNTEER HOURS IN ORDER TO HELP FURTHER WOMEN'S HEALTH EDUCATION AND AWARENESS IN THE COMMUNITY. COMMUNITY MEMBERS ARE ALSO OFFERED THE OPPORTUNITY TO WORK WITH THE ORGANIZATION AS A VOLUNTEER. THE VOLUNTEER OPPORTUNITIES ARE AVAILABLE TO ANYONE 18 AND OLDER AS A WAY TO ENGAGE INDIVIDUALS IN THE HEALTHCARE SYSTEM THAT SERVES THEM AS WELL AS THEIR FAMILY AND FRIENDS. CONWAY REGIONAL WORKS WITH THE PHYSICIANS OF THE COMMUNITY BY ALLOWING ALL QUALIFIED PHYSICIANS THE OPPORTUNITY TO HAVE STAFF PRIVILEGES DEPENDING ON THEIR AREA OF PRACTICE AND CREDENTIALS. CONWAY REGIONAL OFFERS SPECIALIZED SERVICES TO THE AREA SUCH AS A TRANSITIONAL CARE UNIT FOR SENIORS DEALING WITH VARIOUS FORMS OF DEMENTIA. THE REHABILITATION HOSPITAL OFFERS THE AREA A FACILITY IN WHICH TO RECOVER CLOSE TO HOME. IN ADDITION, CONWAY REGIONAL EDUCATION SERVICES PROVIDES OPPORTUNITIES FOR ALL HEALTHCARE PROFESSIONALS, REGARDLESS OF EMPLOYMENT, OPPORTUNITIES TO RECEIVE CONTINUING EDUCATION AND CERTIFICATION THROUGH CONFERENCES, CLASSES AND CERTIFICATIONS. AS AN AMERICAN HEART ASSOCIATION TRAINING CENTER, CONWAY REGIONAL EDUCATION DEPARTMENT ALSO PROVIDES OPPORTUNITIES FOR THE COMMUNITY AND HEALTHCARE PROFESSIONALS TO RECEIVE AHA CLASSES AND TRAINING.

Schedule I IRS990ScheduleI

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

Recipient Table RecipientTable (10 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdRecipient EINRecipientEINIRC SectionIRCSectionDescCash GrantCashGrantAmtValuation Method UsedValuationMethodUsedDescNon Cash AssistanceNonCashAssistanceDescPurpose Of GrantPurposeOfGrantTxt
CONWAY AREA CHAMBER OF COMMERCE
900 WEST OAK STREETCONWAYAR72032710037470501(C)(6)$41,450N/AN/ASPONSORSHIP
GREENBRIER CHAMBER OF COMMERCE
89B NORTH BROADVIEW STREETGREENBRIERAR72058710605181501(C)(6)$6,500N/AN/ASPONSORSHIP
CONWAY PUBLIC SCHOOLS
2220 PRINCE STREETCONWAYAR72034352312254115$38,500N/AN/ASPONSORSHIP
TOAD SUCK DAZE
900 WEST OAK STREETCONWAYAR72032464378633501(C)(3)$10,000N/AN/ASPONSORSHIP
UNIVERSITY OF CENTRAL ARKANSAS FOUNDATION
201 DONAGHEY AVENUECONWAYAR72035710550590501(C)(3)$92,555N/AN/ASPONSORSHIP
UNITED WAY OF CENTRAL ARKANSAS
PO BOX 489CONWAYAR72033237222534501(C)(3)$6,500N/AN/ASPONSORSHIP
ALL SPORTS PRODUCTIONS INC
1629 S RIVER MEADOWS DRIVEFAYETTEVILLEAR72701050561939$8,000N/AN/ASPONSORSHIP
CONWAY DOWNTOWN PARTNERSHIP
900 OAK STREETCONWAYAR72032710860188$5,750N/AN/ASPONSORSHIP
KIWANIS CLUB OF CONWAY
811 PARKWAY STREETCONWAYAR72034510224599501(c)(4)$10,000N/AN/ASPONSORSHIP
CONWAY PARKS AND RECREATION
10 LOWER RIDGE ROADCONWAYAR72032115$5,200N/AN/ASPONSORSHIP
FieldValueIRS element (for citing)
Total501c3 Org5Total501c3OrgCnt
Total Other Org5TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE I, PART I, LINE 2FormAndLineReferenceDesc
ExplanationGRANTS ARE PROVIDED TO LOCAL COMMUNITY ORGANIZATIONS PRIMARILY. CONWAY REGIONAL EMPLOYEES WORK CLOSELY WITH THE ORGANIZATIONS, ASSURING FUNDS ARE USED AS ANTICIPATED.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Travel For CompanionsYes (X)TravelForCompanionsInd
Club Dues Or FeesYes (X)ClubDuesOrFeesInd
Written Policy Ref T And E ExpnssYes (true)WrittenPolicyRefTAndEExpnssInd
Substantiation RequiredYes (true)SubstantiationRequiredInd
Severance PaymentfalseSeverancePaymentInd
Supplemental Nonqual Rtr PlanfalseSupplementalNonqualRtrPlanInd
Equity Based Comp ArrngmfalseEquityBasedCompArrngmInd
Comp Based On Revenue Of Flng OrgfalseCompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related OrgsfalseCompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng OrgfalseCompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd OrgsfalseCompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsfalseAnyNonFixedPaymentsInd
Initial Contract ExceptionfalseInitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (6 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
BILL PACK
CFO STARTING 8/29/2022$89,762$0$153,575$0$41,172$0$923$0$508$0$285,940$0$0$0
JAMES HEAD MD
PHYSICIAN$551,514$0$630,870$0$0$0$32,700$0$17,536$0$1,232,620$0$0$0
OWEN MAAT MD
PHYSICIAN$579,564$0$503,098$0$0$0$32,700$0$15,733$0$1,131,095$0$0$0
JAMES HOWELL MD
PHYSICIAN$612,518$0$462,756$0$0$0$32,700$0$17,536$0$1,125,510$0$0$0
HARRY SMITH MD
PHYSICIAN$615,017$0$363,451$0$0$0$32,700$0$16,522$0$1,027,690$0$0$0
BROCK KING MD
PHYSICIAN$500,011$0$342,658$0$0$0$32,700$0$16,212$0$891,581$0$0$0

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE J, PART I, LINE 1AFormAndLineReferenceDesc
ExplanationMEMBERSHIP TO CONWAY REGIONAL HEALTH AND FITNESS CENTER, IS TREATED AS TAXABLE COMPENSATION. SPOUSAL TRAVEL TO BOARD RETREAT TREATED AS TAXABLE COMPENSATION.ExplanationTxt

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (2 entries)

Bond ReferenceBondReferenceCdBond Issuer EINBondIssuerEINCUSIPCUSIPNumBond IssuedBondIssuedDtIssue PriceIssuePriceAmtPurposePurposeDescDefeasedDefeasedIndOn Behalf Of IssuerOnBehalfOfIssuerIndPool FinancingPoolFinancingInd
CITY OF CONWAY AR - HEALTH FACILITIES BOARD
A731574175212584DC72018-12-27$34,890,730CAPITAL IMPROVEMENTSfalsefalsefalse
CITY OF CONWAY AR - HEALTH FACILITIES BOARD
B731574175212584DU72019-11-05$17,852,782REFUNDED BOND ISSUED 12/08/2009falsefalsefalse

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (2 entries)

Bond ReferenceBondReferenceCdRetiredRetiredAmtBond DefeasedBondDefeasedAmtTotal ProceedsTotalProceedsAmtIn Reserve FundInReserveFundAmtCapitalized InterestCapitalizedInterestAmtRefunding EscrowRefundingEscrowAmtIssuance Costs From ProceedsIssuanceCostsFromProceedsAmtCredit EnhancementCreditEnhancementAmtWorking Capital ExpendituresWorkingCapitalExpendituresAmtCapital ExpendituresCapitalExpendituresAmtOther Spent ProceedsOtherSpentProceedsAmtUnspentUnspentAmtSubstantial CompletionSubstantialCompletionYrRefunding Tax Exempt BondsRefundingTaxExemptBondsIndRefunding Taxable BondsRefundingTaxableBondsIndFinal Allocation MadeFinalAllocationMadeIndAdequate Books And Rec MaintAdequateBooksAndRecMaintInd
A$0$0$34,890,730$2,302,111$0$0$584,285$0$0$32,004,334$0$704,4802022falsefalsefalseYes (true)
B$3,560,000$0$17,852,782$1,564,500$0$0$335,454$0$0$15,948,276$0$911,077Yes (true)falsefalseYes (true)

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (2 entries)

Bond ReferenceBondReferenceCdOwning Bond Financed PropertyOwningBondFinancedPropertyIndAny Lease ArrangementsAnyLeaseArrangementsIndMgmt Contract Bond Fincd PropMgmtContractBondFincdPropIndAny Research AgreementsAnyResearchAgreementsIndPrivate Bus Use By OthersPrivateBusUseByOthersPctBond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestIndChange In Use Bond Financed PropChangeInUseBondFinancedPropIndRemedial Action TakenRemedialActionTakenIndProcs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
Afalsefalsefalsefalse0falsefalsefalseYes (true)
Bfalsefalsefalsefalse0falsefalsefalseYes (true)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (2 entries)

Bond ReferenceBondReferenceCdForm8038 T FiledForm8038TFiledIndRebate Not Due YetRebateNotDueYetIndException To RebateExceptionToRebateIndNo Rebate DueNoRebateDueIndVariable Rate IssueVariableRateIssueIndHedge Identified In Bks And RecHedgeIdentifiedInBksAndRecIndGross Proceeds Invested In GICGrossProceedsInvestedInGICIndBusiness Name Line1GICProviderName/BusinessNameLine1TxtGross Proceeds InvestedGrossProceedsInvestedIndWritten Proc To Monitor ReqsWrittenProcToMonitorReqsInd
0
AfalseYes (true)falsefalsefalsefalsefalse0falseYes (true)
0
BfalseYes (true)falsefalsefalsefalsefalse0falseYes (true)

Procedures Corrective Action ProceduresCorrectiveActionGrp (2 entries)

Bond ReferenceBondReferenceCdProcedures Corrective ActionProceduresCorrectiveActionInd
AYes (true)
BYes (true)

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceFORM 990, SCHEDULE K, PART I, LINE A&BFormAndLineReferenceDesc
ExplanationSERIES 2018 BONDS ARE CALCULATED ON THE BOND YEAR END, 12/27/2022. SERIES 2019 BONDS ARE CALCULATED ON THE BOND YEAR END, 11/05/2022.ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (14 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 3EFFECTIVE APRIL 1, 2022, THE MEDICAL CENTER'S BOARD OF DIRECTORS RENEWED A ONE-YEAR MANAGEMENT AGREEMENT WITH CHI ST. VINCENT INFIRMARY MEDICAL CENTER, D/B/A CHI ST. VINCENT, AN ARKANSAS NONPROFIT CORPORATION AND A SUBSIDIARY OF CATHOLIC HEALTH INITIATIVES. THE GOAL OF THE AGREEMENT IS TO DEVELOP A LEVEL OF INTEGRATION AND COORDINATION THAT RESULTS IN MORE ACCESSIBLE, HIGH QUALITY, CLINICALLY-INTEGRATED, AND LOWER COST CARE FOR THE COMMUNITIES OF CENTRAL ARKANSAS SERVED WHILE ENHANCING THE OVERALL HEALTH OF THOSE COMMUNITIES. UNDER THE AGREEMENT, EACH PARTY RETAINS ITS NAME, GOVERNANCE AND AUTONOMY, WHILE CERTAIN MEDICAL CENTER EXECUTIVES INCLUDING THE CHIEF EXECUTIVE OFFICER AND CHIEF NURSING OFFICER BECAME EMPLOYEES OF CHI ST. VINCENT. TOTAL MANAGEMENT FEES PAID BY THE MEDICAL CENTER FOR THE YEAR ENDED DECEMBER 31, 2022 WERE $3,011,516
FORM 990, PART VI, SECTION B, LINE 11BTHE REVIEW PROCESS OF FORM 990 INCLUDES A REVIEW BY THE CFO AND CEO OF THE ORGANIZATION. THE FORM 990 IS THEN PRESENTED TO ALL BOARD MEMBERS OF THE GOVERNING BODY OF THE ORGANIZATION FOR REVIEW PRIOR TO FILING WITH THE IRS.
FORM 990, PART VI, SECTION B, LINE 12CTHE CONWAY REGIONAL HEALTH SYSTEM BOARD REVIEWS THE GOVERNING BOARD CONFLICT OF INTEREST POLICY ANNUALLY DURING THE JANUARY BOARD MEETING. A NEW CONFLICT OF INTEREST STATEMENT IS REQUIRED OF EACH BOARD MEMBER EVERY YEAR. THESE STATEMENTS ARE REVIEWED BY THE CHAIRMAN, PRESIDENT, AND CFO FOR MONITORING. BOARD MEMBERS WHO HAVE AN ACTUAL OR POTENTIAL CONFLICT OF INTEREST IN MATTERS BROUGHT BEFORE THE BOARD ARE TO ALERT THE OTHER MEMBERS OF THE BOARD BEFOREHAND. THE CONFLICTED BOARD MEMBER IS TO WITHDRAW FROM THE MEETING DURING SAID DISCUSSION UNTIL THE MATTER HAS BEEN VOTED ON. IF THE MEMBER FAILS TO WITHDRAW VOLUNTARILY, THE CHAIRMAN IS EMPOWERED TO REQUIRE WITHDRAWAL FROM THE ROOM DURING DISCUSSION AND VOTE ON THE MATTER. IN THE EVENT THE CONFLICT OF INTEREST AFFECTS THE CHAIRMAN, THE VICE CHAIRMAN IS THEN EMPOWERED TO REQUIRE THE CHAIRMAN'S WITHDRAWAL.
FORM 990, PART VI, SECTION B, LINE 15A & 15BCONWAY REGIONAL MEDICAL CENTER DOES NO COMPENSATE ANY TOP MANAGEMENT OFFICIALS, OFFICERS, OR KEY EMPLOYEES OF THE ORGANIZATION, THEREFORE THIS WILL NOT BE APPLICABLE.
FORM 990, PART VI, SECTION C, LINE 19THE ORGANIZATION DOES NOT MAKE ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC.
FORM 990, PART XI, LINE 9INVESTMENT INCOME FROM K-1S INCLUDED IN REVENUE $2,738
FORM 990 PART IX LINE 11GDESCRIPTION:PURCHASED SERVICES TOTAL FEES:10745877
FORM 990 PART IX LINE 11GDESCRIPTION:PHYSICIAN FEES TOTAL FEES:3557784
FORM 990 PART IX LINE 11GDESCRIPTION:EQUIPMENT SERVICES TOTAL FEES:4153492
FORM 990 PART IX LINE 11GDESCRIPTION:CONTRACTS TOTAL FEES:4945653
FORM 990 PART IX LINE 11GDESCRIPTION:MEDICAL SERVICES TOTAL FEES:635218
FORM 990 PART IX LINE 11GDESCRIPTION:CLEANING & LAUNDRY SERVICE TOTAL FEES:712364
FORM 990 PART IX LINE 11GDESCRIPTION:OTHER FEES TOTAL FEES:848853
FORM 990 PART IX LINE 11GDESCRIPTION:AGENCY STAFF TOTAL FEES:6942680

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp (2 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdTotal IncomeTotalIncomeAmtEnd Of Year AssetsEndOfYearAssetsAmtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Txt
THIRD TABLE LLC
2302 COLLEGE AVENUECONWAYAR72034833232713CONTRACT MGMTAR$0-$896CRMC
BURNT RIDGE ENTERPRISES
2302 COLLEGE AVENUECONWAYAR72034710249735RENTALAR$256,720$100CRMC

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (3 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtControlled OrganizationControlledOrganizationIndPublic Charity StatusPublicCharityStatusTxt
CR HOSPITAL EMPLOYEE' MEDICAL TRUST
2302 COLLEGE AVECONWAYAR72034521561768INSURANCEAR501(C)(9)CRMCYes (true)
CONWAY REGIONAL HEALTH FOUNDATION
2302 COLLEGE AVECONWAYAR72034710797723SUPPORTAR501(C)(3)CRMCYes (true)12A
DARDANELLE REGIONAL LLC
200 NORTH STREETDARDANELLEAR72834834538290MGMT SERVICESAR501(C)(3)CRMCYes (true)3

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp

Related Organization Name RelatedOrganizationName

FieldValueIRS element (for citing)
Business Name Line1CONWAY REG REHABBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line12210 ROBINSON AVEAddressLine1Txt
CityCONWAYCityNm
State AbbreviationARStateAbbreviationCd
ZIP72034ZIPCd
FieldValueIRS element (for citing)
EIN412136339EIN
Primary ActivitiesIP REHAB SERVICESPrimaryActivitiesTxt
Legal Domicile StateARLegalDomicileStateCd

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1CRMCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Predominant Income TypeRELATEDPredominantIncomeTypeTxt
Share Of Total Income$556,634ShareOfTotalIncomeAmt
Share Of EOY Assets$2,159,137ShareOfEOYAssetsAmt
Disproportionate AllocationsfalseDisproportionateAllocationsInd
UBI Code V$0UBICodeVAmt
General Or Managing PartnerYes (true)GeneralOrManagingPartnerInd
Ownership0.67400OwnershipPct

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp

Related Organization Name RelatedOrganizationName

FieldValueIRS element (for citing)
Business Name Line1INSTITUTIONAL SERVICES CORPORATIONBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line12302 COLLEGE AVEAddressLine1Txt
CityCONWAYCityNm
State AbbreviationARStateAbbreviationCd
ZIP72034ZIPCd
FieldValueIRS element (for citing)
EIN710575886EIN
Primary ActivitiesPROP OWNERSHIPPrimaryActivitiesTxt
Legal Domicile StateARLegalDomicileStateCd

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1CRMCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Entity TypeC CORPORATIONEntityTypeTxt
Share Of Total Income$393,770ShareOfTotalIncomeAmt
Share Of EOY Assets$1,613,389ShareOfEOYAssetsAmt
Ownership1.00000OwnershipPct
Controlled OrganizationYes (true)ControlledOrganizationInd
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts RyltsfalseReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgfalseGiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (true)GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgfalseLoansOrGuaranteesFromOthOrgInd
Div Related OrganizationfalseDivRelatedOrganizationInd
Asset Sale To Other OrgfalseAssetSaleToOtherOrgInd
Asset Purchase From Other OrgfalseAssetPurchaseFromOtherOrgInd
Asset ExchangefalseAssetExchangeInd
Rental Of Facilities To Oth OrgfalseRentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgYes (true)RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgYes (true)PerformOfServicesForOthOrgInd
Perform Of Services By Other OrgYes (true)PerformOfServicesByOtherOrgInd
Sharing Of FacilitiesYes (true)SharingOfFacilitiesInd
Paid Employees SharingYes (true)PaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (true)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (true)ReimbursementPaidByOtherOrgInd
Transfer To Other OrgYes (true)TransferToOtherOrgInd
Transfer From Other OrgYes (true)TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (5 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
CONWAY REGIONAL HEALTH FOUNDATION
C$3,000,000FMV
CONWAY REGIONAL HEALTH FOUNDATION
K$277,986FMV
INSTITUTIONAL SERVICES CORPORATION
K$331,728FMV
CONWAY REGIONAL REHABILITATION HOSPITAL
L$625,365FMV
CONWAY REGIONAL HEALTH FOUNDATION
O$266,210FMV