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IN KEEPING WITH ITS MISSION, THE MEDICAL CENTER PROVIDES FREE AND DISCOUNTED CARE TO PATIENTS MEETING ITS CHARITY CARE POLICY. 207700669 true true false true false false false false false false true false true true true false false true false false false false false false false false true true true false true true false false false false false false false false false false false false false false true true true true false false true 169 0 true 2149 true true true false false false false false false false false false false false X 9 5 false true false false false false false true true false false true true true true true true false false true true AR X BILL PACK 5014502112 2302 COLLEGE AVE CONWAY AR 72034 X JAMES HEAD MD PHYSICIAN 40.0 0.0 X 1182384 0 50236 OWEN MAAT MD PHYSICIAN 40.0 0.0 X 1082662 0 48433 JAMES HOWELL MD PHYSICIAN 40.0 0.0 X 1075274 0 50236 HARRY SMITH MD PHYSICIAN 40.0 0.0 X 978468 0 49222 BROCK KING MD PHYSICIAN 40.0 0.0 X 842669 0 48912 BILL PACK CFO STARTING 8/29/2022 40.0 1.0 X 284509 0 1431 ALAN FINLEY CHIEF OPERATING OFFICER 40.0 1.0 X 119864 0 14109 THAD HARDIN MD BOARD MEMBER 1.0 1.0 X 36777 0 0 ANDREW COLE MD BOARD MEMBER 1.0 1.0 X 28761 0 0 CORNELL MALTBIA BOARD MEMBER 1.0 1.0 X 1261 0 0 BRYAN BRUICH BOARD MEMBER 1.0 1.0 X 1177 0 0 GENA ESTER BOARD MEMBER 1.0 1.0 X 792 0 0 MATTHEW TROUP CHIEF EXECUTIVE OFFICER 40.0 1.0 X 765 0 0 TOM POE BOARD MEMBER 1.0 1.0 X 443 0 0 TROY BROOKS CFO THROUGH 6/17/2022 40.0 1.0 X 325 0 0 JEFF STANDRIDGE BOARD MEMBER 1.0 1.0 X 177 0 0 WAYNE COX BOARD MEMBER 1.0 1.0 X 84 0 0 ANDREA WOODSJD CHAIRMAN 1.0 1.0 X X 0 0 0 BARBARA WILLIAMS PHD RN BOARD MEMBER 1.0 1.0 X 0 0 0 JIM RANKIN JR JD VICE CHAIR 1.0 1.0 X X 0 0 0 SUSAN GATTO BOARD MEMBER 1.0 1.0 X 0 0 0 ANGIE LONGING RN CHIEF NURSING OFFICER 40.0 1.0 X 0 0 0 5636392 0 262579 201 false true false QUALIVIS INC 1601 ASSEMBLY ST COLUMBIA SC 29201 AGENCY 78115034 ST VINCENT INFIRMARY MEDICAL 2 ST VINCENT CIRCLE LITTLE ROCK AR 72205 MANAGEMENT SERVICES 5862883 EDAFIO TECHNOLOGIES LLC 5400 NORTHSHORE DRIVE NORTH LITTLE ROCK AR 72118 IT SERVICES 2737080 MAYO COLLABORATIVE SERVICES INC PO BOX 4100 ROCHESTER MN 559034100 LAB SERVICES 2755320 CATHOLIC HEALTH INITIATIVES 3900 OLYMPIC BOULEVARD ERLANGER KY 41018 CLINICAL ENGINEERING 1991275 35 3000000 7848113 10848113 PATIENT SERVICES 621110 234007591 234007591 340B PROGRAM REVENUE 621610 4835570 4835570 HEALTH/FITNESS CENTER 713940 2601104 2601104 CAFETERIA SALES 722310 1891432 1891432 MANAGEMENT FEES 561110 1887410 1887410 1790896 2177836 -386940 247014003 1675599 1675599 0 788 788 109130 33617 75513 0 75513 50702 24811 750481 5835 128416 102059 622065 -96224 525841 525841 0 0 0 0 0 0 0 0 0 SUPPLY REBATES 900099 878620 878620 GIFT SHOP SALES 453220 359942 359942 CREDENTIALLING SERVICES 900099 52354 52354 221262 49638 171624 1512178 261652035 247400943 -286600 3689579 X 249191 249191 0 0 0 490475 490475 0 113072921 83090469 29746753 235699 3474117 2558252 915865 13783817 10150053 3633764 7263815 5348889 1914926 4694852 3457170 1237682 182139 134123 48016 281566 207338 74228 0 0 688718 507154 181564 32541921 23963045 8578876 0 1362794 1003527 359267 8060319 5935415 2124904 5645880 4157483 1488397 0 5315530 3914222 1401308 468146 344731 123415 0 1031104 759279 271825 2643621 1946695 696926 0 14493910 10672948 3820962 1621611 1194113 427498 PHARMACEUTICALS & MED SUPPLY 40485811 40485811 MCD PROVIDER TAX 3099791 3099791 DIETARY EXPENSES 1777984 1309262 468722 REPAIRS & MAINTENANCE 1106404 814728 291676 3255110 2396980 858130 267091547 207700669 59155179 235699 1227595 3534948 28815389 8194803 0 0 33146783 30378315 0 0 0 0 0 0 3851614 4084739 1470474 1960890 308433263 197036073 113603373 111397190 0 0 0 0 80561281 71017538 552468 492387 21981616 26851755 285210593 257912565 26792932 31918843 0 0 13752713 275885 47392234 45956756 0 0 0 0 26277837 11775761 0 0 11850806 25351297 126066522 115278542 X 159144071 142634023 0 0 159144071 142634023 285210593 257912565 X -5439512 -11073274 2738 X false true X true true true X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false true 16384 16384 false FORM 990, SCHEDULE C, PART II-B, LINE 1I LOBBYING ACTIVITIES INCLUDE A PORTION OF DUES FOR THE ARKANSAS HOSPITAL ASSOCIATION & THE AMERICAN HOSPITAL ASSOCIATION. 6511470 6511470 176500948 93120837 83380111 3339535 1895406 1444129 121796568 102019830 19776738 284742 284742 111397190 BOARD DESIGNATED INVESTMENTS 71017538 F 71017538 FUNDS HELD BY TRUSTEE 7766779 OTHER RECEIVABLES 344064 DUE FROM AFFILIATES 6430507 INVESTMENT IN SUBSIDIARIES 3631531 ROU ASSETS - OPERATING LEASE 7426637 RESERVE - CD 1252237 26851755 0 ESTIMATED 3RD PARTY SETTLEMENT 3121876 ASSET RETIREMENT ENVIRON. RES. 875128 DUE TO AFFILIATES 26542 TAXABLE BONDS 13768457 OPERATING LEASE LIABILITY 7559294 25351297 250202943 -11073274 132579 -10940695 261143638 508397 508397 261652035 266712991 129841 129841 266583150 508397 508397 267091547 FORM 990, SCHEDULE D, PART X, LINE 2 MANAGEMENT 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 2D INVESTMENT 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 4B REVENUES INCLUDED IN EXPENSE PER AUDIT $508,397 FORM 990, SCHEDULE D, PART XII, LINE 2D LOSS ON SALE OF ASSETS $96,224 RENTAL EXPENSES $33,617 ----------------------------------------------- TOTAL $129,841 FORM 990, SCHEDULE D, PART XII, LINE 4B REVENUES INCLUDED IN EXPENSE PER AUDIT $508,397 true true X true X 225. true X true true false true true 981924 981924 0.00370 26710661 20228823 6481838 0.02430 27692585 20228823 7463762 0.02800 1750 1750 0.00000 3360232 1244141 2116091 0.00790 34544399 23380286 11164113 0.04170 37906381 24624427 13281954 0.04960 65598966 44853250 20745716 0.07760 true 45921275 54180333 -8259058 X true true CONWAY REGIONAL REHA ADMIN SERVICES 0.674 0.326 CONWAY REGIONAL PHO ADMIN SERVICES 0.5 0.5 2 1 CONWAY REGIONAL MEDICAL CENTER INC 2302 COLLEGE AVE CONWAY AR 72034 WWW.CONWAYREGIONAL.ORG AR2657 X X X A 2 CONWAY REGIONAL REHAB HOSPITAL 2210 ROBINSON AVENUE CONWAY AR 72034 SEE PART V SECTION C AR4261 X REHAB HOSPITAL A A 12 false false true X X X X X X X X X 22 true true false true X SEE PART V, SECTION C X X true 22 true SEE PART V, SECTION C false true X 225. 300. X X X X X true true X X X X true X SEE PART V, SECTION C X SEE PART V, SECTION C X SEE PART V, SECTION C X X X X X X true X false X X X X true X false false FORM 990, SCHEDULE H, PART V, SECTION A, LINE 2 www.conwayregional.org/locations/conway-regional-rehabilitation-hospital FORM 990, SCHEDULE H, PART V, SECTION B, LINE 5 THE 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 6A CONWAY REGIONAL REHABILITATION HOSPITAL, DARDANELLE REGIONAL MEDICAL CENTER FORM 990, SCHEDULE H, PART V, SECTION B, LINE 7A & 10A CONWAYREGIONAL.ORG/ABOUT/MISSION-VISION/COMMUNITY-HEALTH FORM 990, SCHEDULE H, PART V, SECTION B, LINE 7D THE 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 11 CONWAY 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, & 16C https://www.conwayregional.org/patients-visitors/billing-insurance 33 CONWAY MEDICAL GROUP 437 DENISON STREET CONWAY AR 72034 MEDICAL CLINIC MAYFLOWER MEDICAL CLINIC 587 HIGHWAY 365 MAYFLOWER AR 72106 MEDICAL CLINIC GREENBRIER FAMILY MEDICINE 110 NORTH BROADVIEW GREENBRIER AR 72058 FAMILY CLINIC HEALTH AND FITNESS CENTER 700 SALEM ROAD CONWAY AR 72034 HEALTH CENTER CONWAY REGIONAL AFTER HOURS CLINIC 437 DENISON SUITE 2 CONWAY AR 72034 CLINIC CONWAY REGIONAL MEDICAL CLINIC-PRINCE ST 1 MEDICAL LANE CONWAY AR 72034 CLINIC CONWAY REGIONAL CARDIOVASCULAR CLINIC 525 WESTERN AVENUE SUITE 202 CONWAY AR 72034 CARDIOVASCULAR CLINIC CLINTON MEDICAL CLINIC HWY 65 S VOLUNTEER PARKWAY CLINTON AR 72031 CLINIC CONWAY REGIONAL MED CLINIC-POTTSVILLE 2504 WEST MAIN STREET SUITE H RUSSELLVILLE AR 72801 CLINIC CONWAY REGIONAL MEDICAL CLINIC - VILONIA 1159 MAIN STREET VILONIA AR 72173 MEDICAL CLINIC CONWAY REGIONAL IMAGING CENTER 555 CLUB LANE CONWAY AR 72034 IMAGING CENTER CONWAY REGIONAL PERSONAL TRAINING STUDIO CORNER OF COLLEGE AND DONAGHEY CONWAY AR 72034 PERSONAL TRAINING STUDIO CR THERAPY CENTER - SCHERMAN HEIGHTS 550 CLUB LANE SUITE 2 CONWAY AR 72032 THERAPY CENTER CONWAY REG THERAPY CENTER - GREENBRIER 8E WILSON FARM ROAD GREENBRIER AR 72058 THERAPY CENTER CONWAY REGIONAL SPECIALTY THERAPY CLINIC 2200 ADA AVENUE SUITE 200 CONWAY AR 72034 THERAPY CENTER CONWAY REGIONAL WOUND HEALING CENTER 2200 ADA AVENUE SUITE 205 CONWAY AR 72034 WOUND HEALING CENTER CR ADVANCED PAIN MANAGEMENT CENTER 525 WESTERN AVENUE 304 CONWAY AR 72034 MEDICAL CLINIC CR CENTER FOR ORTHOPAEDIC AND SPORTS MED 525 WESTERN AVENUE SUITE 302 CONWAY AR 72034 MEDICAL CLINIC CONWAY REGIONAL NEUROSCIENCE CENTER 2200 ADA AVENUE SUITE 305 CONWAY AR 72034 MEDICAL CLINIC CONWAY REGIONAL GASTROENTEROLOGY CENTER 2200 ADA AVENUE SUITE 201 CONWAY AR 72034 MEDICAL CLINIC CONWAY REGIONAL HOMECARE 2134 ROBINSON STREET CONWAY AR 72034 HOME HEALTH SERVICES CONWAY REGIONAL MEDICAL CLINIC - RUSSELL 108 SKYLINE DRIVE RUSSELLVILLE AR 72801 MEDICAL CLINIC CARDIOVASCULAR AND THORACIC SURGERY OF C 525 WESTERN AVENUE CONWAY AR 72034 MEDICAL CLINIC CONWAY REGIONAL INFECTIOUS DISEASE CLINI 2200 ADA AVENUE SUITE 203 CONWAY AR 72034 MEDICAL CLINIC CONWAY REGIONAL INTERFAITH DENTAL CLINIC 830 NORTH CREEK DRIVE CONWAY AR 72032 DENTAL CLINIC CONWAY REGIONAL MULTISPECIALTY CLINIC 525 WESTERN AVENUE SUITE 305 CONWAY AR 72034 MEDICAL CLINIC CONWAY REGIONAL SURGICAL ASSOCIATES 525 WESTERN AVENUE SUITE 203 CONWAY AR 72034 MEDICAL CLINIC RENAISSANCE WOMENS CENTER 2300 ROBNINSON AVENUE CONWAY AR 72034 OBGYN COSMC 550 CLUB LANE CONWAY AR 72034 MEDICAL CLINIC HENDRIX CLINIC 1600 WASHINGTON AVENUE CONWAY AR 72032 MEDICAL CLINIC BURNT RIDGE 2526 HIGHWAY 65 SOUTH CLINTON AR 72031 MEDICAL OFFICE CONWAY REGIONAL ENDOCRINOLOGY AND DIABET 525 WESTERN AVE 303 CONWAY AR 72034 MEDICAL CLINIC MATERNAL FETAL MEDICINE CENTER 2200 ADA AVE SUITE 200 CONWAY AR 72034 MEDICAL CLINIC FORM 990, SCHEDULE H, PART I, LINE 3C SEE SCHEDULE H, PART V, LINES 13 THROUGH 16 FOR ADDITIONAL INFORMATION ON OUR FINANCIAL ASSISTANCE POLICY. FORM 990, SCHEDULE H, PART I, LINE 7 THE COST TO CHARGE RATIO (CALCULATED USING WORKSHEET 2) WAS USED FOR LINE 7 AMOUNTS. FORM 990, SCHEDULE H, PART III, SECTION A, LINE 2 CONWAY 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 4 PLEASE SEE ATTACHED AUDIT REPORT, NOTE 1, PATIENT ACCOUNTS RECEIVABLE. FORM 990, SCHEDULE H, PART III, SECTION B, LINE 8 THE 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 9B ALL 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 2 CONWAY 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 3 ALL 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 4 IN 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 5 CONWAY 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 6 CONWAY 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 7 AR FORM 990, SCHEDULE H CONWAY 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. true CONWAY AREA CHAMBER OF COMMERCE 900 WEST OAK STREET CONWAY AR 72032 710037470 501(C)(6) 41450 N/A N/A SPONSORSHIP GREENBRIER CHAMBER OF COMMERCE 89B NORTH BROADVIEW STREET GREENBRIER AR 72058 710605181 501(C)(6) 6500 N/A N/A SPONSORSHIP CONWAY PUBLIC SCHOOLS 2220 PRINCE STREET CONWAY AR 72034 352312254 115 38500 N/A N/A SPONSORSHIP TOAD SUCK DAZE 900 WEST OAK STREET CONWAY AR 72032 464378633 501(C)(3) 10000 N/A N/A SPONSORSHIP UNIVERSITY OF CENTRAL ARKANSAS FOUNDATION 201 DONAGHEY AVENUE CONWAY AR 72035 710550590 501(C)(3) 92555 N/A N/A SPONSORSHIP UNITED WAY OF CENTRAL ARKANSAS PO BOX 489 CONWAY AR 72033 237222534 501(C)(3) 6500 N/A N/A SPONSORSHIP ALL SPORTS PRODUCTIONS INC 1629 S RIVER MEADOWS DRIVE FAYETTEVILLE AR 72701 050561939 8000 N/A N/A SPONSORSHIP CONWAY DOWNTOWN PARTNERSHIP 900 OAK STREET CONWAY AR 72032 710860188 5750 N/A N/A SPONSORSHIP KIWANIS CLUB OF CONWAY 811 PARKWAY STREET CONWAY AR 72034 510224599 501(c)(4) 10000 N/A N/A SPONSORSHIP CONWAY PARKS AND RECREATION 10 LOWER RIDGE ROAD CONWAY AR 72032 115 5200 N/A N/A SPONSORSHIP 5 5 SCHEDULE I, PART I, LINE 2 GRANTS ARE PROVIDED TO LOCAL COMMUNITY ORGANIZATIONS PRIMARILY. CONWAY REGIONAL EMPLOYEES WORK CLOSELY WITH THE ORGANIZATIONS, ASSURING FUNDS ARE USED AS ANTICIPATED. X X true true false false false false false false false false false BILL PACK CFO STARTING 8/29/2022 89762 0 153575 0 41172 0 923 0 508 0 285940 0 0 0 JAMES HEAD MD PHYSICIAN 551514 0 630870 0 0 0 32700 0 17536 0 1232620 0 0 0 OWEN MAAT MD PHYSICIAN 579564 0 503098 0 0 0 32700 0 15733 0 1131095 0 0 0 JAMES HOWELL MD PHYSICIAN 612518 0 462756 0 0 0 32700 0 17536 0 1125510 0 0 0 HARRY SMITH MD PHYSICIAN 615017 0 363451 0 0 0 32700 0 16522 0 1027690 0 0 0 BROCK KING MD PHYSICIAN 500011 0 342658 0 0 0 32700 0 16212 0 891581 0 0 0 SCHEDULE J, PART I, LINE 1A MEMBERSHIP TO CONWAY REGIONAL HEALTH AND FITNESS CENTER, IS TREATED AS TAXABLE COMPENSATION. SPOUSAL TRAVEL TO BOARD RETREAT TREATED AS TAXABLE COMPENSATION. A CITY OF CONWAY AR - HEALTH FACILITIES BOARD 731574175 212584DC7 2018-12-27 34890730 CAPITAL IMPROVEMENTS false false false B CITY OF CONWAY AR - HEALTH FACILITIES BOARD 731574175 212584DU7 2019-11-05 17852782 REFUNDED BOND ISSUED 12/08/2009 false false false A 0 0 34890730 2302111 0 0 584285 0 0 32004334 0 704480 2022 false false false true B 3560000 0 17852782 1564500 0 0 335454 0 0 15948276 0 911077 true false false true A false false false false 0 false false false true B false false false false 0 false false false true A false true false false false false 0 false 0 false true B false true false false false false 0 false 0 false true A true B true FORM 990, SCHEDULE K, PART I, LINE A&B SERIES 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. FORM 990, PART VI, SECTION A, LINE 3 EFFECTIVE 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 11B THE 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 12C THE 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 & 15B CONWAY 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 19 THE ORGANIZATION DOES NOT MAKE ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC. 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