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CONWAY HOSPITAL INC: Form 990, tax year 2020

View the entire original 990 at ProPublica ↗

Organization
CONWAY HOSPITAL INC (EIN 57-0314381)
Tax period
2020-10-01 to 2021-09-30
Filed
2022-08-15
IRS object ID
202202279349304085
Schema version
2020v4.2
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2022-08-15T16:47:58-05:00ReturnTs
Tax Period End2021-09-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN366055558PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1GRANT THORNTON LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line175 STATE STREET 13TH FLOORAddressLine1Txt
CityBOSTONCityNm
State AbbreviationMAStateAbbreviationCd
ZIP02109ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2020-10-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN570314381EIN

Business Name BusinessName

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

US Address USAddress

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

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonBRIAN ARGOPersonNm
Person TitleCFOPersonTitleTxt
Phone8433478037PhoneNum
Signature2022-08-15SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstBRIANPersonFirstNm
Person LastARGOPersonLastNm
FieldValueIRS element (for citing)
SSN999009999SSN

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonERIN COUTUREPreparerPersonNm
PTINP01390592PTIN
Phone6177237900PhoneNum

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

FieldValueIRS element (for citing)
Trusted Customer2TrustedCustomerCd
Authentication Assurance LevelAAL1AuthenticationAssuranceLevelCd
Identity Assurance LevelIAL1IdentityAssuranceLevelCd
FieldValueIRS element (for citing)
Tax2020TaxYr
Build TS2022-09-23 18:48:47ZBuildTS

Form 990 IRS990

Doing Business As Name DoingBusinessAsName

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

US Address USAddress

FieldValueIRS element (for citing)
Address Line1300 SINGLETON RIDGE ROADAddressLine1Txt
CityCONWAYCityNm
State AbbreviationSCStateAbbreviationCd
ZIP29526ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$258,620,941GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.CONWAYMEDICALCENTER.COMWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1928FormationYr
Legal Domicile StateSCLegalDomicileStateCd
Activity Or MissionWE ARE AN ACUTE CARE HOSPITAL SERVING HORRY AND SURROUNDING COUNTIES. (CONTINUED IN SCHEDULE O)ActivityOrMissionDesc
Voting Members Governing Body13VotingMembersGoverningBodyCnt
Voting Members Independent13VotingMembersIndependentCnt
Total Employee1787TotalEmployeeCnt
Total Volunteers164TotalVolunteersCnt
Total Gross UBI$25,262TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$6,371,374PYContributionsGrantsAmt
CY Contributions Grants$4,502,215CYContributionsGrantsAmt
PY Program Service Revenue$191,570,203PYProgramServiceRevenueAmt
CY Program Service Revenue$241,993,551CYProgramServiceRevenueAmt
PY Investment Income$18,905,828PYInvestmentIncomeAmt
CY Investment Income$5,796,970CYInvestmentIncomeAmt
PY Other Revenue$360,551PYOtherRevenueAmt
CY Other Revenue$435,136CYOtherRevenueAmt
PY Total Revenue$217,207,956PYTotalRevenueAmt
CY Total Revenue$252,727,872CYTotalRevenueAmt
PY Grants And Similar Paid$10,530PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$47,877CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$104,672,875PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$123,009,621CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$100,189,402PYOtherExpensesAmt
CY Other Expenses$124,599,765CYOtherExpensesAmt
PY Total Expenses$204,872,807PYTotalExpensesAmt
CY Total Expenses$247,657,263CYTotalExpensesAmt
PY Revenues Less Expenses$12,335,149PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$5,070,609CYRevenuesLessExpensesAmt
Total Assets BOY$554,679,264TotalAssetsBOYAmt
Total Assets EOY$633,399,313TotalAssetsEOYAmt
Total Liabilities BOY$133,503,035TotalLiabilitiesBOYAmt
Total Liabilities EOY$184,759,460TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$421,176,229NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$448,639,853NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionCONWAY HOSPITAL INC., LOCATED IN CONWAY, SOUTH CAROLINA, IS A NOT-FOR-PROFIT ACUTE CARE HOSPITAL THAT PROVIDES INPATIENT, OUTPATIENT AND EMERGENCY CARE SERVICES GENERALLY FOR RESIDENTS OF HORRY AND SURROUNDING COUNTIES.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$205,934,387ExpenseAmt
Grant$47,877GrantAmt
Revenue$242,403,425RevenueAmt
DescSEE SCHEDULE ODesc
Total Program Service Expenses$205,934,387TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying ActivitiesYes (1)LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Donor Rstr Or Quasi EndowmentsYes (1)DonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other AssetsYes (1)ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (1)ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate HospitalYes (1)OperateHospitalInd
Audited Financial Stmt AttYes (1)AuditedFinancialStmtAttInd
Grants To OrganizationsYes (1)GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt BondsYes (1)TaxExemptBondsInd
Invest Tax Exempt Bonds0InvestTaxExemptBondsInd
Escrow Account0EscrowAccountInd
On Behalf Of Issuer0OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan OutstandingYes (1)LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent0BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl EntYes (1)RelatedOrganizationCtrlEntInd
Transaction With Control EntYes (1)TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document93IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee1787EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitYes (1)UnrelatedBusIncmOverLimitInd
Form990 T FiledYes (1)Form990TFiledInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt0SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc0SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members13GoverningBodyVotingMembersCnt
Independent Voting Member13IndependentVotingMemberCnt
Family Or Business RlnYes (1)FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or Stockholders0MembersOrStockholdersInd
Election Of Board Members0ElectionOfBoardMembersInd
Decisions Subject To Approva0DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process OtherYes (1)CompensationProcessOtherInd
Investment In Joint VentureYes (1)InvestmentInJointVentureInd
Written Policy Or ProcedureYes (1)WrittenPolicyOrProcedureInd
States Where Copy Of Return Is FldNCStatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is FldSCStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

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

US Address USAddress

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

Form990 Part VII Section A Form990PartVIISectionAGrp (26 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtKey EmployeeKeyEmployeeIndHighest Compensated EmployeeHighestCompensatedEmployeeIndFormer Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
LEROY RAINBOW JR
CHAIRMAN1.000.00Yes (X)Yes (X)$0$0$0
M WAYNE STATON
SECRETARY1.000.00Yes (X)Yes (X)$0$0$0
WILLIAM R BENSON
TRUSTEE1.000.00Yes (X)$0$0$0
DR REGINALD F DAVES
TRUSTEE1.000.00Yes (X)$0$0$0
DR MICHAEL ELLIS
TRUSTEE1.000.00Yes (X)$0$0$0
CHRISTI EVERETTE
TRUSTEE1.000.00Yes (X)$0$0$0
HEATHER VON HERMANN
TRUSTEE1.000.00Yes (X)$0$0$0
DR HAL B HOLMES
TRUSTEE1.000.00Yes (X)$0$0$0
TERRY LEVENSON
TRUSTEE1.000.00Yes (X)$0$0$0
GEORGE N MAGRATH JR
TRUSTEE1.000.00Yes (X)$0$0$0
DIANNE W RAY
TRUSTEE1.000.00Yes (X)$0$0$0
DARIN SUTTON
TRUSTEE1.000.00Yes (X)$0$0$0
DENNIS WADE
TRUSTEE1.000.00Yes (X)$0$0$0
BRET BARR
CEO & TRUSTEE40.004.00Yes (X)$708,692$0$33,431
BRIAN ARGO
CFO40.004.00Yes (X)$404,352$0$32,415
PAUL RICHARDSON
VP OF MEDICAL AFFAIRS40.000.00$532,825$0$26,364Yes (X)
TONY MINSHEW
VP OF NURSING40.000.00$313,900$0$13,053Yes (X)
MATTHEW SECURRO
VP OF HUMAN RESOURCES40.000.00$292,692$0$1,625Yes (X)
KEVIN LOVETT
VP OF FACILITIES40.000.00$252,351$0$29,167Yes (X)
ANGELA WILLIFORD
CHIEF RISK OFFICER40.000.00$252,165$0$28,805Yes (X)
AARON EPSTEIN
PHYSICIAN40.000.00$705,271$0$26,364Yes (X)
SAMER CHARBEL
PHYSICIAN40.000.00$694,611$0$26,364Yes (X)
STEPHEN BRADY
PHYSICIAN40.000.00$671,668$0$21,963Yes (X)
HAFEZ HAYEK
PHYSICIAN40.000.00$649,480$0$26,364Yes (X)
MEGHAN MALONE
PHYSICIAN40.000.00$606,141$0$26,364Yes (X)
PHILIP CLAYTON
FORMER CEO0.000.00$462,295$0$0Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$6,546,443TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$292,279TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K104IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedYes (1)FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
MONTEITH CONSTRUCTION CORP
32 N FRONT STREETWILMINGTONNC28401CONSTRUCTION$9,670,869
CERNER
5TH FLOOR 2800 ROCKCREEK PKWYKANSAS CITYMO64117TECHNICAL$3,924,789
HOSPITAL MEDICINE ASSOCIATES LLC
PO BOX 634850CINCINNATIOH45263PHYSICIAN$2,727,150
HARRELL DESIGN GROUP
8016 TOWER POINT DRCHARLOTTENC28227CONSTRUCTION$1,980,903
QUALIVIS LLC
5930 CORNERSTONE CT 300SAN DIEGOCA92121NURSING$1,481,771
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K52CntrctRcvdGreaterThan100KCnt
Related Organizations$157,986RelatedOrganizationsAmt
Government Grants$3,865,167GovernmentGrantsAmt
All Other Contributions$479,062AllOtherContributionsAmt
Total Contributions$4,502,215TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtUnrelated Business RevenueUnrelatedBusinessRevenueAmt
NET PATIENT REVENUE621990$232,054,689$232,054,689
ALL OTHER PROGRAM REV.900099$8,111,045$8,111,045
DIETARY REVENUE624210$893,548$868,286$25,262
PHARMACY900099$889,405$889,405
COASTAL HOME CARE621610$44,864$44,864
FieldValueIRS element (for citing)
Total Program Service Revenue$241,993,551TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$5,542,332TotalRevenueColumnAmt
Exclusion$5,542,332ExclusionAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$435,136RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$0RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$435,136RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$435,136TotalRevenueColumnAmt
Related Or Exempt Func Income$435,136RelatedOrExemptFuncIncomeAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$6,100,000SecuritiesAmt
Other$47,707OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$5,893,069SecuritiesAmt
Other$0OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$206,931SecuritiesAmt
Other$47,707OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$254,638TotalRevenueColumnAmt
Exclusion$254,638ExclusionAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$252,727,872TotalRevenueColumnAmt
Related Or Exempt Func Income$242,403,425RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$25,262UnrelatedBusinessRevenueAmt
Exclusion$5,796,970ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$47,877TotalAmt
Program Services$47,877ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$6,396,416TotalAmt
Program Services$1,279,283ProgramServicesAmt
Management And General$5,117,133ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$90,303,452TotalAmt
Program Services$72,242,762ProgramServicesAmt
Management And General$18,060,690ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$1,847,665TotalAmt
Program Services$1,478,132ProgramServicesAmt
Management And General$369,533ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$18,031,388TotalAmt
Program Services$14,425,110ProgramServicesAmt
Management And General$3,606,278ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$6,430,700TotalAmt
Program Services$5,144,560ProgramServicesAmt
Management And General$1,286,140ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$16,140,825TotalAmt
Program Services$12,912,660ProgramServicesAmt
Management And General$3,228,165ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$1,942,687TotalAmt
Program Services$1,554,150ProgramServicesAmt
Management And General$388,537ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$177,471TotalAmt
Program Services$141,977ProgramServicesAmt
Management And General$35,494ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$65,454TotalAmt
Management And General$65,454ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$2,830,238TotalAmt
Program Services$2,264,190ProgramServicesAmt
Management And General$566,048ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$2,083,429TotalAmt
Program Services$1,666,743ProgramServicesAmt
Management And General$416,686ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$8,549,881TotalAmt
Program Services$6,839,905ProgramServicesAmt
Management And General$1,709,976ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$8,139,678TotalAmt
Program Services$6,511,742ProgramServicesAmt
Management And General$1,627,936ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$14,456TotalAmt
Program Services$11,565ProgramServicesAmt
Management And General$2,891ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$4,674,303TotalAmt
Program Services$4,674,303ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$17,348,982TotalAmt
Program Services$13,879,186ProgramServicesAmt
Management And General$3,469,796ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$3,301,366TotalAmt
Program Services$2,641,093ProgramServicesAmt
Management And General$660,273ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
MEDICAL SUPPLIES$49,157,671$49,157,671$0
MEDICAID PROVIDER TAX$3,625,252$3,625,252$0
MINOR EQUIPMENT$2,837,024$2,269,619$567,405
FOOD SUPPLIES$1,147,630$918,104$229,526

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$2,563,418TotalAmt
Program Services$2,248,503ProgramServicesAmt
Management And General$314,915ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$247,657,263TotalAmt
Program Services$205,934,387ProgramServicesAmt
Management And General$41,722,876ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$6,006,307BOYAmt
EOY$12,448,686EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$15,893,108BOYAmt
EOY$24,592,265EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

FieldValueIRS element (for citing)
BOY$4,947,668BOYAmt
EOY$5,071,360EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

FieldValueIRS element (for citing)
BOY$2,267,163BOYAmt
EOY$2,224,319EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$4,912,006BOYAmt
EOY$5,475,318EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$2,453,772BOYAmt
EOY$3,087,544EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$352,206,655LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$175,640,120LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$147,350,919BOYAmt
EOY$176,566,535EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$224,188,836BOYAmt
EOY$250,706,039EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
BOY$7,265,867BOYAmt
EOY$7,309,171EOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
BOY$3,384,912BOYAmt
EOY$4,338,260EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$136,008,706BOYAmt
EOY$141,579,816EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$554,679,264BOYAmt
EOY$633,399,313EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$33,776,091BOYAmt
EOY$44,064,941EOYAmt

Deferred Revenue DeferredRevenueGrp

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

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$55,760,383BOYAmt
EOY$50,675,513EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$256,831BOYAmt
EOY$0EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$43,218,000BOYAmt
EOY$89,527,276EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$133,503,035BOYAmt
EOY$184,759,460EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$416,092,349BOYAmt
EOY$442,505,523EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$5,083,880BOYAmt
EOY$6,134,330EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$421,176,229BOYAmt
EOY$448,639,853EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$554,679,264BOYAmt
EOY$633,399,313EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$5,070,609ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$21,342,829NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets$1,050,186OtherChangesInNetAssetsAmt
Info In Schedule O Part XIIYes (X)InfoInScheduleOPartXIIInd
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

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

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Volunteers0VolunteersInd
Paid Staff Or Management0PaidStaffOrManagementInd
Media Advertisements0MediaAdvertisementsInd
Mailings Members0MailingsMembersInd
Publications Or Broadcast0PublicationsOrBroadcastInd
Grants Other Organizations0GrantsOtherOrganizationsInd
Direct Contact Legislators0DirectContactLegislatorsInd
Rallies Demonstrations0RalliesDemonstrationsInd
Other ActivitiesYes (1)OtherActivitiesInd
Other Activities$65,454OtherActivitiesAmt
Total Lobbying Expenditures$65,454TotalLobbyingExpendituresAmt
Not Described Section501c30NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

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

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

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

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

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

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

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

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$4,109,460BeginningYearBalanceAmt
Contributions$196,531ContributionsAmt
Investment Earnings Or Losses$363,724InvestmentEarningsOrLossesAmt
Other Expenditures$398,904OtherExpendituresAmt
End Year Balance$4,270,811EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$3,713,543BeginningYearBalanceAmt
Contributions$321,331ContributionsAmt
Investment Earnings Or Losses$403,119InvestmentEarningsOrLossesAmt
Other Expenditures$328,533OtherExpendituresAmt
End Year Balance$4,109,460EndYearBalanceAmt
FieldValueIRS element (for citing)
Board Designated Balance EOY0.29790BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY0.56524PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY0.13686TermEndowmentBalanceEOYPct
Endowments Held Unrelated Org0EndowmentsHeldUnrelatedOrgInd
Endowments Held Related OrgYes (1)EndowmentsHeldRelatedOrgInd
Related Org List Sch RYes (1)RelatedOrgListSchRInd

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$12,569,507OtherCostOrOtherBasisAmt
Book Value$12,569,507BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$171,458,913OtherCostOrOtherBasisAmt
Depreciation$64,345,645DepreciationAmt
Book Value$107,113,268BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$90,090OtherCostOrOtherBasisAmt
Depreciation$90,090DepreciationAmt
Book Value$0BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$153,807,876OtherCostOrOtherBasisAmt
Depreciation$106,837,652DepreciationAmt
Book Value$46,970,224BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$14,280,269OtherCostOrOtherBasisAmt
Depreciation$4,366,733DepreciationAmt
Book Value$9,913,536BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$176,566,535TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (3 entries)

DescDescBook ValueBookValueAmt
DUE FROM AFFILIATES$132,335,486
BENEFICIAL INT. IN FOUNDATION$6,134,330
BOND REFUNDING$3,110,000
FieldValueIRS element (for citing)
Total Book Value Other Assets$141,579,816TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)

DescDescAmtAmt
2020 REVENUE BOND$87,905,000
OPERATING LEASES$1,622,276
FieldValueIRS element (for citing)
Total Liability$89,527,276TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART V, LINE 4:ENDOWMENT FUNDS ENDOWMENT FUNDS ARE HELD AND ADMINISTERED BY CONWAY HOSPITAL FOUNDATION. THE ENDOWMENT FUNDS BENEFIT A VARIETY OF PROGRAMS, INCLUDING: QUALITY PATIENT CARE AND SAFETY, PEDIATRIC AND CHILDREN'S MEDICINE, EQUIPMENT AND TECHNOLOGY IMPROVEMENTS, NURSING SCHOLARSHIPS AND OTHER PROGRAMS AND FUNDING AS IS CONSISTENT WITH THE WISHES AND DESIGNATIONS OF DONORS.
PART X, LINE 2:LIABILITY FOR UNCERTAIN TAX POSITION (ASC 740) THE HOSPITAL CONTINUES TO EVALUATE TAX POSITIONS RELATED TO ASC 740, "INCOME TAXES," WHICH PRESCRIBES FINANCIAL STATEMENT RECOGNITION THRESHOLD AND MEASUREMENT ATTRIBUTES FOR TAX POSITIONS TAKEN OR EXPECTED TO BE TAKEN IN TAX RETURNS. AS OF SEPTEMBER 30, 2021, THE TAX YEARS ENDED SEPTEMBER 30, 2021, 2020 AND 2019 FOR FEDERAL JURISDICTION REMAIN OPEN TO EXAMINATION.

Schedule H IRS990ScheduleH

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

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$12,463,071TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$3,386,504DirectOffsettingRevenueAmt
Net Community Benefit Expns$9,076,567NetCommunityBenefitExpnsAmt
Total Expense0.03660TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$35,328,305TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$25,547,240DirectOffsettingRevenueAmt
Net Community Benefit Expns$9,781,065NetCommunityBenefitExpnsAmt
Total Expense0.03950TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$47,791,376TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$28,933,744DirectOffsettingRevenueAmt
Net Community Benefit Expns$18,857,632NetCommunityBenefitExpnsAmt
Total Expense0.07610TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Activities Or Programs140ActivitiesOrProgramsCnt
Persons Served5530PersonsServedCnt
Total Community Benefit Expns$62,279TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$62,279NetCommunityBenefitExpnsAmt
Total Expense0.00030TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Activities Or Programs140ActivitiesOrProgramsCnt
Persons Served5530PersonsServedCnt
Total Community Benefit Expns$62,279TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$62,279NetCommunityBenefitExpnsAmt
Total Expense0.00030TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Activities Or Programs140ActivitiesOrProgramsCnt
Persons Served5530PersonsServedCnt
Total Community Benefit Expns$47,853,655TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$28,933,744DirectOffsettingRevenueAmt
Net Community Benefit Expns$18,919,911NetCommunityBenefitExpnsAmt
Total Expense0.07640TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense Reported0BadDebtExpenseReportedInd
Bad Debt Expense$30,566,227BadDebtExpenseAmt
Reimbursed By Medicare$92,650,358ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$60,793,341CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall$31,857,017MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

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

Hospital Facilities HospitalFacilitiesGrp

FieldValueIRS element (for citing)
Facility1FacilityNum

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1CONWAY HOSPITAL INCBusinessNameLine1Txt

US Address USAddress

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

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

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

Supplemental Information SupplementalInformationGrp (4 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
CONWAY HOSPITALPART V, SECTION B, LINE 5: IN CONDUCTING OUR COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA), OUR TEAM USED SEVERAL SOURCES OF QUANTITATIVE HEALTH MEASURES AND SOCIAL AND DEMOGRAPHIC DATA SPECIFIC TO CONWAY MEDICAL CENTER'S (CMC'S) HOME COUNTY (HORRY) PROVIDED BY LOCAL PUBLIC HEALTH AGENCIES, HEALTH CARE ASSOCIATIONS AND VARIOUS OTHER DATA OUTLETS. CMC TOOK ADVANTAGE OF THIS OPPORTUNITY TO COLLABORATE WITH ITS ADMINISTRATORS, PHYSICIANS, OUTREACH PROGRAMS, AND LOCAL ORGANIZATIONS AS WELL. CONWAY MEDICAL CENTER SOUGHT OUTSIDE ASSISTANCE FROM THE DIXON HUGHES GOODMAN CHNA TEAM IN THIS PROCESS. DHG PROVIDED DATA, ORGANIZED COMMUNITY INPUT, FACILITATED PRIORITY SESSIONS, AND SUPPORTED THE REPORT DRAFTING PROCESS. THE ASSESSMENT PROCESS CONSISTS OF FIVE STEPS: DATA ASSESSMENT OF OUR COMMUNITY, COMMUNITY INPUT, PRIORITIZATION & IMPLEMENTATION STRATEGY, REPORTING, AND MONITORING.IN THE INITIAL STEP, SERVICE AREAS WERE DEFINED, EXTERNAL DATA RESEARCH WAS COMPLETED AND KEY FINDINGS WERE SUMMARIZED. AS THE DATA ASSESSMENT WAS COMPLETED, THE COMMUNITY INPUT PHASE WAS STARTED.DURING THE COMMUNITY INPUT PHASE, PHONE AND WRITTEN INTERVIEWS WERE CONDUCTED WITH PERSONS WITH SPECIAL KNOWLEDGE OF PUBLIC HEALTH. THIS INCLUDED HOSPITAL ADMINISTRATORS, LOCAL AND COMMUNITY ORGANIZATIONS, OTHER LOCAL GROUPS, AND PUBLIC HEALTH OFFICIALS FLORENCE HEALTH DEPARTMENT. IN ADDITION, HOSPITAL PERSONNEL, LOCAL ORGANIZATIONS, AND COMMUNITY OUTREACH ADVOCATES WERE INTERVIEWED. A SUMMARY OF THIS DIALOG WAS CREATED AND IS INCLUDED IN THE CHNA REPORT. A PRIORITIZATION SESSION WAS THEN HELD TO SUMMARIZE AND OVERLAY DATA ELEMENTS WITH KEY COMMUNITY INPUT FINDINGS. FROM THIS SESSION, PRIORITIES EMERGED BASED UPON THE SIGNIFICANCE OF THE NEED TO THE SERVICE AREA, AND CMC'S ABILITY TO IMPACT THE NEED. BASED ON THESE PRIORITIES, CMC DECIDED ON WHICH PRIORITIES WOULD BE INCLUDED IN THEIR IMPLEMENTATION STRATEGY AND WHICH PRIORITIES WOULD NOT BE ADDRESSED. THESE CAN BE FOUND IN THE IMPLEMENTATION STRATEGY DOCUMENT. THIS REPORT AND STRATEGY WERE THEN APPROVED BY THE BOARD AND MADE "WIDELY AVAILABLE" ON THE CONWAY MEDICAL CENTER WEBSITE. DATA ASSESSMENT HIGHLIGHTS AND FINDINGS:THE DATA ASSESSMENT PIECE OF THE CHNA PROCESS INCLUDED DATA TABLES, GRAPHS, AND MAPS FROM VARIOUS SOURCES WIDELY AVAILABLE. THESE DATA ELEMENTS WERE USED TO IDENTIFY AT-RISK POPULATIONS, UNDERSERVED POPULATIONS, HEALTH NEED AREAS, AND PROFESSIONAL SHORTAGE AREAS. A SUMMARY OF FINDINGS WAS THEN CREATED TO HIGHLIGHT AREAS OF NEED WITHIN THE SERVICE AREA.TO GATHER INPUT FROM VARIOUS SOURCES, THE TEAM USED A COMBINATION OF INTERVIEWS OF LOCAL COMMUNITY PERSONS AND GROUPS, AND SOUGHT OTHER DATA SUCH AS RECENT COUNTY HEALTH RANKINGS AND NATIONAL HEALTH STATISTICS. LOCAL COMMUNITY INPUT: HOSPITAL ADMINISTRATORS, LOCAL AND COMMUNITY ORGANIZATIONS, OTHER LOCAL GROUPS, AND PUBLIC HEALTH OFFICIALS FLORENCE HEALTH DEPARTMENT.2016 COUNTY HEALTH RANKINGS: THIS SOURCE IS A COLLABORATION BETWEEN THE ROBERT WOOD JOHNSON FOUNDATION AND THE UNIVERSITY OF WISCONSIN POPULATION HEALTH INSTITUTE. IT GIVES A GENERAL SNAPSHOT OF HOW HEALTHY EACH COUNTY IS IN RELATION TO OTHERS IN THE SAME STATE. IT MEASURES AND RANKS BOTH HEALTH OUTCOMES AND HEALTH FACTORS THAT LEAD TO THOSE OUTCOMES. EACH INDICATOR IS WEIGHED, STANDARDIZED, AND RANKED IN ORDER TO COME UP WITH AN OVERALL RANKING OF HEALTH FOR EACH COUNTY IN SOUTH CAROLINA. RANKING AREAS INCLUDED: HEALTH OUTCOMES (LENGTH OF LIFE, QUALITY OF LIFE), HEALTH FACTORS (HEALTH BEHAVIORS, CLINICAL CARE, SOCIAL AND ECONOMIC FACTORS, PHYSICAL ENVIRONMENT).HEALTH INDICATORS WAREHOUSE: THE HIW IS A COLLABORATION OF MANY AGENCIES AND OFFICES WITHIN THE DEPARTMENT OF HEALTH AND HUMAN SERVICES. THE HIW IS MAINTAINED BY THE CDC'S NATIONAL CENTER FOR HEALTH STATISTICS. HIW HAS MANY COUNTY LEVEL STATISTICS THAT ALLOW FOR COMPARISON TO STATE AND NATIONAL BENCHMARKS.
CONWAY HOSPITALPART V, SECTION B, LINE 11: THE COMMUNITY HEALTH NEEDS ASSESSMENT TEAM USED THE DATA AND INPUT THAT HAD BEEN COLLECTED TO PRIORITIZE THE NEEDS OF THE HOSPITAL'S DEFINED COMMUNITY. AFTER DISCUSSING THE PRIORITIES IN DEPTH AND DISCUSSING CONWAY'S EXPERTISE, THE EXPERTISE OF OTHER COMMUNITY ORGANIZATIONS AND OUTREACH, AND THE HOSPITAL'S WIDE RANGE OF SERVICES CURRENTLY AVAILABLE, THE FOLLOWING ISSUES WERE CHOSEN FOR IMPLEMENTATION: ACCESS TO PRIMARY CARE PROVIDERS, DISCHARGE FOLLOW UP, MOTOR VEHICLE FATALITY, DIABETES, AND PERCENTAGE OF MAMMOGRAPHY SCREENINGS. ACCESS TO PRIMARY CARE PROVIDERS (PCPS) CMC WILL PARTNER WITH LOCAL CLINICS TO CONTINUE ASSISTING IN PROVIDING CARE AT REDUCED COSTS THROUGH SUPPORT IN AREAS OF RENT, UTILITY BILLS, AND HOSPITAL SERVICES AS WELL AS EVALUATE THE OPPORTUNITIES TO EXPAND ACCESS POINTS FOR CARE.DISCHARGE FOLLOW UP IN ORDER TO REDUCE SEVERAL HEALTH CONCERNS, CMC HAS IDENTIFIED PATIENTS NO FOLLOWING DISCHARGE INSTRUCTIONS AS A SIGNIFICANT COMMUNITY NEED. IT IS CMC'S INTENT TO ESTABLISH BEST PRACTICES AND EDUCATION AROUND DISCHARGE INSTRUCTIONS.MOTOR VEHICLE FATALITY ACCORDING TO THE ASSOCIATION OF STATE AND TERRITORIAL HEALTH OFFICIALS, CRASH-RELATED DEATHS AND INJURIES ARE LARGELY PREVENTABLE. STATES CAN UTILIZE SYSTEMS, POLICY, AND PROGRAMMATIC INTERVENTIONS TO TARGET AND PREVENT THIS SERIOUS PUBLIC HEALTH PROBLEM. CMC WILL FOCUS ITS EFFORTS ON THE TRAUMA SIDE IN PARTNERSHIP WITH LOCAL EMS PROVIDERS.DIABETES DIABETES IS A MAJOR HEALTH NEEDS ACROSS THE US AND IN HORRY COUNTY. CMC WILL CONTINUE TO SUPPORT AND EDUCATE MEDICALLY UNDERSERVED DIABETICS IN THE COMMUNITY.PERCENTAGE OF MAMMOGRAPHY SCREENINGS PROVIDE PREVENTATIVE SCREENINGS WHILE FINDING INNOVATIVE WAYS TO ADDRESS FINANCIAL AND TRANSPORTATION BARRIERS OF RECEIVING THESE SCREENINGS.ONE OF THE PRIORITIES IDENTIFIED WILL NOT BE ADDRESSED BY THE HOSPITAL: PERCENTAGE OF ADULTS SMOKING. AS PART OF CMC'S 2013 CHNA, CMC INCLUDED THIS NEED IN ITS PRIORITIZATION PLANNING AND ACTIVELY IMPLEMENTED ACTIONS. AT THIS TIME, HOWEVER, THERE ARE OTHER ORGANIZATIONS IN THE COUNTY THAT ARE SPECIFICALLY FOCUSED ON THIS NEED AND CMC WILL FOCUS ITS RESOURCES IN OTHER AREAS. CMC WILL CONTINUE TO BE AN ADVOCATE OF CREATING SMOKE FREE ENVIRONMENTS.OUR COMMUNITY HEALTH NEEDS ASSESSMENT AND IMPLEMENTATION STRATEGY CAN BE FOUND AT: HTTP://WWW.CONWAYMEDICALCENTER.COM/ABOUTCMC.ASPX
CONWAY HOSPITALPART V, SECTION B, LINE 16J: THE FINANCIAL ASSISTANCE POLICY WAS ALSO PROVIDED TO PATIENTS UPON DISHARGE BY CASE MANAGERS.
SCHEDULE H, PART V, SECTION B, QUESTION 16(A,B,C):THE URL WHERE OUR FAP DOCUMENTS CAN BE FOUND:HTTP://WWW.CONWAYMEDICALCENTER.COM/BILLING-AND-INSURANCE/FINANCIAL-ASSISTANCE/

Supplemental Information Detail SupplementalInformationDetail (11 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART I, LINE 7:SCHEDULE H, PART I, LINE 7:COSTING METHODOLOGYTHE IRS WORKSHEETS WITH INPUT FROM OUR MEDICARE COST REPORT WERE USED TO COMPUTE THE AMOUNTS IN THE TABLE UTILIZING A COST TO CHARGE RATIO.
PART II, COMMUNITY BUILDING ACTIVITIES:THE HOSPITAL PARTICIPATED WITH THE LOCAL CHAMBER OF COMMERCE, CONWAY CITY AND HORRY COUNTY SCHOOLS IN VARIOUS PROJECTS INCLUDING RECYCLING AND CLEAN WATER PROGRAMS.
PART III, LINE 4:PART III, LINES 2 & 4: INFORMATION ABOUT CONWAY HOSPITAL'S ALLOWANCE FOR BAD DEBT CAN BE FOUND ON PAGES 11 AND 12 OF THE ATTACHED FINANCIAL STATEMENT FOOTNOTES. CONTRACTUAL ADJUSTMENTS AND DISCOUNTS ARE APPLIED TO PATIENT ACCOUNTS BEFORE DETERMINING BAD DEBT. BAD DEBT AND ADJUSTMENTS TO ACCOUNTS RECEIVABLE ARE DETERMINED USING A LOOK-BACK METHOD AND AGING CATEGORIES BASED ON HISTORICAL COLLECTION PERCENTAGES. THE COST OF BAD-DEBT REPORTED ON LINE 2 OF PART III WAS COMPUTED WITH THE COST TO CHARGE RATIO DEVELOPED FROM THE IRS WORKSHEETS AND OUR MEDICARE COST REPORT.
PART III, LINE 8:THE ENTIRE AMOUNT OF MEDICARE SHORTFALL SHOULD BE CONSIDERED A COMMUNITY BENEFIT. BY ACCEPTING MEDICARE PATIENTS, THE HOSPITAL PROMOTES ACCESS TO HEALTHCARE SERVICES, THUS PROVIDING A COMMUNITY BENEFIT. WE USED THE MEDICARE COST TO CHARGE RATIO FROM OUR MEDICARE COST REPORT FOR THIS SAME PERIOD.
PART III, LINE 9B:WHEN INDIVIDUALS ARE LATENTLY IDENTIFIED AS POTENTIALLY QUALIFYING FOR FINANCIAL ASSISTANCE, THE NORMAL COLLECTION PROCESS IS HALTED AND THE PATIENT IS REFERRED TO A FINANCIAL COUNSELOR TO DETERMINE THEIR NEED AND WHAT ASSISTANCE CAN BE PROVIDED. WE USE A THIRD PARTY TO ASSIST PATIENTS IN COMPLETING THE MEDICAID APPLICATION AND THE HOSPITAL ASSISTANCE APPLICATION. WE USE THE FEDERAL POVERTY GUIDELINES TO DETERMINE ELIGIBILITY FOR FREE OR DISCOUNTED CARE. IF A PATIENT IS FOUND TO QUALIFY WE APPLY A DISCOUNT TO THEIR ACCOUNT IN ACCORDANCE WITH OUR POLICY. FOR THE PORTION OF THE BILL THAT THE PATIENT IS RESPONSIBLE FOR, THE HOSPITAL WORKS OUT A PAYMENT PLAN WITH THE PATIENT AND THEN ANY FURTHER ACTION IS HANDLED THROUGH NORMAL COLLECTION PRACTICES.
PART VI, LINE 2:CONWAY MEDICAL CENTER UTILIZES THE HEALTHY PEOPLE 2020 REPORT, THE OFFICE OF RESEARCH AND STATISTICS, SC BUDGET AND CONTROL BOARD, SMALL AREA HEALTH INSURANCE ESTIMATES, NATIONAL CANCER INSTITUTE STATE CANCER PROFILES, AND THE SOUTH CAROLINA DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL IN ADDITION TO ITS OWN DATA COLLECTED THROUGH THE MEDICAL RECORDS SYSTEM TO ASSESS THE HEALTH CARE NEEDS OF HORRY COUNTY.THE FULL CHNA REPORT CAN BE FOUND AT HTTPS://WWW.CONWAYMEDICALCENTER.COM/ABOUT/COMMUNITY-HEALTH-NEEDS-ASSESSMENT/
PART VI, LINE 3:SIGNS ARE POSTED THROUGHOUT THE HOSPITAL, INCLUDING THE PATIENT AREAS AND WAITING ROOMS, IN BOTH ENGLISH AND SPANISH (AND ON OUR WEBSITE UNDER PATIENT AND FAMILY RESPONSIBILITY) THAT INFORM PATIENTS OF OUR FINANCIAL ASSISTANCE POLICY. THE HOSPITAL WEBSITE CONTAINS THE HOSPITAL FINANCIAL ASSISTANCE POLICY AND THE PLAIN LANGUAGE SUMMARY IN ENGLISH AND SPANISH. ALL PATIENTS THAT DO NOT HAVE INSURANCE ARE REFERRED TO FINANCIAL COUNSELORS WHO ASSIST WITH HELPING TO INFORM PATIENTS OF VARIOUS FINANCIAL ASSISTANCE OPTIONS EITHER THROUGH GOVERNMENT PROGRAMS OR THROUGH THE HOSPITAL'S ASSISTANCE POLICY. ALL BILLING STATEMENTS SENT TO PATIENTS ALSO INCLUDE A NOTICE THAT THE HOSPITAL HAS AN ASSISTANCE PROGRAM AND HOW THEY CAN APPLY FOR ASSISTANCE. EXAMPLE OF LANGUAGE POSTED ON OUR WEBSITE AND THROUGHOUT THE HOSPITAL: 'IF A PATIENT OR FAMILY MEMBER CANNOT AFFORD TO PAY THEIR BILL, WE ENCOURAGE THEM TO ASK US ABOUT THE HOSPITAL ASSISTANCE PROGRAM. AND: 'SI USTED NO TIENE LOS RECURSOS PARA PAGAR SU CUENTA, POR FAVOR PREGNTENOS SOBRE EL PROGRAMA DE ASISTENCIA DEL HOSPITAL.' FINALLY, EVERY HOSPITAL REGISTRAR, FINANCIAL COUNSELOR, BILLING EMPLOYEE, AND OUTSOURCED BILLING OR COLLECTION PERSON IS TAUGHT, AND REQUIRED, TO DISCUSS THE FOLLOWING INSURANCE OR OTHER PAYMENT OPTIONS WITH PATIENTS OR RESPONSIBLE GUARANTOR TO LEAVE NO CHANCE AN ELIGIBLE PATIENT WILL BE MISSED: MEDICARE IF APPLICABLE, MEDICAID SCREENED INSURANCE EXCHANGE IF APPLICABLE, THE PATIENT IS ASKED ABOUT EMPLOYER COVERAGE AND ABOUT PRIVATE PURCHASED HEALTH INSURANCE, OR IF THE PATIENT OR GUARANTOR INDICATES THAT THEY HAVE NO INSURANCE OR THIRD PARTY THAT WOULD BE RESPONSIBLE FOR THEIR BILL, THEY WILL BE REFERRED TO THE HOSPITAL FINANCIAL ASSISTANCE PROGRAM, AND COUNSELORS ARE AVAILABLE TO ASSIST.
PART VI, LINE 4:CONWAY MEDICAL CENTER'S SERVICE AREA IS DEFINED AS HORRY COUNTY FOR THIS ASSESSMENT. 90% OF CONWAY MEDICAL CENTER'S PATIENTS COME FROM HORRY COUNTY. AS OF THE 2010 UNITED STATES CENSUS, THERE WERE 269,291 PEOPLE, 112,225 HOUSEHOLDS, AND 72,254 FAMILIES RESIDING IN THE COUNTY. THE POPULATION DENSITY WAS 237.5 INHABITANTS PER SQUARE MILE (91.7/KM2). THERE WERE 185,992 HOUSING UNITS AT AN AVERAGE DENSITY OF 164.0 PER SQUARE MILE (63.3/KM2). THE RACIAL MAKEUP OF THE COUNTY WAS 79.9% WHITE, 13.4% BLACK OR AFRICAN AMERICAN, 1.0% ASIAN, 0.5% AMERICAN INDIAN, 0.1% PACIFIC ISLANDER, 3.1% FROM OTHER RACES, AND 2.0% FROM TWO OR MORE RACES. THOSE OF HISPANIC OR LATINO ORIGIN MADE UP 6.2% OF THE POPULATION. OF THE 112,225 HOUSEHOLDS, 27.3% HAD CHILDREN UNDER THE AGE OF 18 LIVING WITH THEM, 47.2% WERE MARRIED COUPLES LIVING TOGETHER, 12.5% HAD A FEMALE HOUSEHOLDER WITH NO HUSBAND PRESENT, 35.6% WERE NON-FAMILIES, AND 26.8% OF ALL HOUSEHOLDS WERE MADE UP OF INDIVIDUALS. THE AVERAGE HOUSEHOLD SIZE WAS 2.37 AND THE AVERAGE FAMILY SIZE WAS 2.84. THE MEDIAN AGE WAS 41.1 YEARS.THE MEDIAN INCOME FOR A HOUSEHOLD IN THE COUNTY WAS $43,142 AND THE MEDIAN INCOME FOR A FAMILY WAS $51,608. MALES HAD A MEDIAN INCOME OF $37,351 VERSUS $29,525 FOR FEMALES. THE PER CAPITA INCOME FOR THE COUNTY WAS $24,811. ABOUT 11.6% OF FAMILIES AND 16.1% OF THE POPULATION WERE BELOW THE POVERTY LINE, INCLUDING 25.2% OF THOSE UNDER AGE 18 AND 7.5% OF THOSE AGE 65 OR OVER.THE POPULATION OF HORRY COUNTY IN 2016 WAS 311,020 AND IS EXPECTED TO BE 341,393 IN 2021 WHICH WILL BE 9.77% GROWTH. THE 65+ POPULATION IS EXPECTED TO INCREASE FROM 2016 AND 2021 BY 23.15%, WHILE THE POPULATION UNDER 65 IS ONLY EXPECTED TO GROW BY 6.24%.
PART VI, LINE 5:THE MISSION OF THE HOSPITAL IS TO IMPROVE THE OVERALL HEALTH OF THE COMMUNITY. MAJOR EFFORTS HAVE TAKEN PLACE TO PROVIDE FREE SCREENING WITHIN THE COMMUNITY THROUGH OUR MOBILE HEALTH OUTREACH PROGRAM TO DETECT ILLNESS AND DISEASE AT AN EARLY STAGE. THE 2020/2021 REPORT SHOWS THAT THE OUTREACH PROGRAM DELIVERED FREE HEALTH SCREENINGS TO 54 VARIOUS LOCATIONS PREDOMINATELY IN MEDICALLY UNDERSERVED AREAS OF HORRY COUNTY. THERE WERE 2,838 PARTICIPANTS WHO WERE SCREENED WITH RESULTS AS FOLLOWS: ELEVATED BLOOD PRESSURE; ELEVATED BLOOD GLUCOSE; ELEVATED BLOOD CHOLESTEROL. BY PROVIDING COUNSELING, PHYSICIAN REFERRAL AND FOLLOW-UP, THE OUTREACH STAFF PROVIDED EDUCATION TO THOSE INDIVIDUALS THAT ARE SCREENED. IN ADDITION TO THE HEALTHREACH VAN SCREENINGS, DURING SEPTEMBER THROUGH JUNE, THE STAFF OBTAINS AND DELIVERS SMART SNACKS TO 4 SCHOOLS AND 620 CHILDREN EVERY THURSDAY. HEALTHREACH PROVIDED 829 FLU SHOTS AT 26 EVENTS AND 623 COVID VACCINATIONS AT 9 EVENTS. THE DIABETES SUPPORT GROUP WAS RESTRICTED DUE TO COVID RESTRICTIONS. WE DID HOLD SUPPORT GROUP MEETINGS AND OFFERED HGBA1C'S ALONG WITH INFORMATION ON BLOOD GLUCOSE CONTROL. DUE TO COVID, ALL COMMUNITY EVENTS SUCH AS COMMUNITY FAIRS, SCHOOL FAIRS, AND BUSINESS HEALTH FAIRS WERE CANCELLED. HEALTHREACH PARTICIPATED IN A JUNETEENTH EVENT THAT TOOK PLACE AT CHARLIES PLACE IN MYRTLE BEACH, PROVIDING BLOOD PRESSURE SCREENINGS ALONG WITH HANDING OUT STROKE, CARDIAC, AND FALL PREVENTION INFORMATION. IN JULY, THE SALVATION ARMY SENIOR FAIR WAS HELD, AND OVER 250 SENIORS RECEIVED BLOOD PRESSURE MEASUREMENT ALONG WITH STROKE, CARDIAC AND FALL PREVENTION INFORMATION. THE HEALTHREACH VAN STAFF ALSO PARTICIPATED IN HGTC CAREER AND WELLNESS EXPO IN JULY AND OFFERED THYROID AND HGBA1C SCREENINGS. IN NOVEMBER, THE STAFF PARTICIPATED IN THE TOWN OF SURFSIDE BEACH SENIOR FAIR AND OFFERED FLU SHOTS ALONG WITH STROKE, CARDIAC AND FALL PREVENTION INFORMATION.
PART VI, LINE 6:CONWAY HOSPITAL, INC. (CONWAY HOSPITAL, THE HOSPITAL OR CHI), LOCATED IN CONWAY, SOUTH CAROLINA, IS A NOT-FOR-PROFIT ACUTE CARE HOSPITAL FOUNDED IN 1928. THE HOSPITAL HAS 210 LICENSED BEDS AND PROVIDES INPATIENT, OUTPATIENT AND EMERGENCY CARE SERVICES GENERALLY FOR RESIDENTS OF HORRY AND SURROUNDING COUNTIES. THE HOSPITAL IS GOVERNED BY A 16-MEMBER SELF-PERPETUATING, INDEPENDENT BOARD OF DIRECTORS. ADMITTING PHYSICIANS ARE PRACTITIONERS IN THE LOCAL AREA. CONWAY HOSPITAL LONG-TERM CARE SERVICES, INC. (KINGSTON NURSING CENTER) IS AN 88-BED NURSING FACILITY LOCATED IN CONWAY, SOUTH CAROLINA. THE KINGSTON NURSING CENTER WAS INCORPORATED IN 1988. MEDICAL PROPERTIES, INC., A WHOLLY OWNED FOR-PROFIT SUBSIDIARY OF THE HOSPITAL, OPERATES ASC HOLDINGS AND CAROLINA BONE & JOINT. CONWAY HOSPITAL EMERGENCY PROFESSIONAL SERVICES (CHEPS) AND CONWAY HOSPITAL ANESTHESIA PROFESSIONAL SERVICES (CHAPS) WERE BOTH CREATED TO KEEP BETTER TRACK OF EMERGENCY AND ANESTHESIA SERVICES PERFORMED BY THE HOSPITAL. CONWAY HOSPITAL COMMUNITY SERVICES, INC., A WHOLLY OWNED NOT-FOR-PROFIT SUBSIDIARY, OPERATES EMPLOYED PHYSICIAN PRACTICES.
PART VI, LINE 7, REPORTS FILED WITH STATESSC

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records Maintained0GrantRecordsMaintainedInd

Recipient Table RecipientTable

Recipient Business Name RecipientBusinessName

FieldValueIRS element (for citing)
Business Name Line1FOUNDERS NATIONAL GOLFBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 7517AddressLine1Txt
CityMYRTLE BEACHCityNm
State AbbreviationSCStateAbbreviationCd
ZIP29572ZIPCd
FieldValueIRS element (for citing)
Recipient EIN000000000RecipientEIN
Cash Grant$5,000CashGrantAmt
Purpose Of GrantGENERAL PURPOSEPurposeOfGrantTxt

Schedule J IRS990ScheduleJ

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

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (13 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
BRET BARR
CEO & TRUSTEE$549,584$0$111,471$0$47,637$0$4,317$0$29,114$0$742,123$0$14,000$0
AARON EPSTEIN
PHYSICIAN$705,271$0$0$0$0$0$0$0$26,364$0$731,635$0$0$0
SAMER CHARBEL
PHYSICIAN$680,611$0$0$0$14,000$0$0$0$26,364$0$720,975$0$14,000$0
STEPHEN BRADY
PHYSICIAN$662,980$0$0$0$8,688$0$0$0$21,963$0$693,631$0$0$0
HAFEZ HAYEK
PHYSICIAN$635,480$0$0$0$14,000$0$0$0$26,364$0$675,844$0$14,000$0
MEGHAN MALONE
PHYSICIAN$592,141$0$0$0$14,000$0$0$0$26,364$0$632,505$0$14,000$0
PAUL RICHARDSON
VP OF MEDICAL AFFAIRS$482,891$0$35,934$0$14,000$0$0$0$26,364$0$559,189$0$14,000$0
PHILIP CLAYTON
FORMER CEO$0$0$0$0$462,295$0$0$0$0$0$462,295$0$0$0
BRIAN ARGO
CFO$344,392$0$35,146$0$24,814$0$2,154$0$30,261$0$436,767$0$14,000$0
TONY MINSHEW
VP OF NURSING$245,274$0$24,203$0$44,423$0$1,559$0$11,494$0$326,953$0$14,000$0
MATTHEW SECURRO
VP OF HUMAN RESOURCES$232,867$0$22,801$0$37,024$0$1,625$0$0$0$294,317$0$14,000$0
KEVIN LOVETT
VP OF FACILITIES$202,779$0$20,900$0$28,672$0$762$0$28,405$0$281,518$0$13,228$0
ANGELA WILLIFORD
CHIEF RISK OFFICER$204,817$0$20,642$0$26,706$0$2,231$0$26,574$0$280,970$0$13,172$0

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART I, LINE 4BSUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN DURING THE YEAR ENDED SEPTEMBER 30, 2021, CONWAY HOSPITAL, INC. AND KEY EXECUTIVES HELD JOINTLY OWNED SPLIT-DOLLAR AGREEMENTS THROUGH AN INSURANCE COMPANY. THE FOLLOWING EXECUTIVES PARTICIPATED IN THE PLAN DURING THE YEAR: BRET BARR. CERTAIN EXECUTIVES PARTICIPATED IN A CAPITAL ACCUMULATION PLAN PROVIDED BY THE COMPANY. THE FOLLOWING EMPLOYEES RECEIVED DISTRIBUTIONS FROM THE PLAN. ALL AMOUNTS ARE INCLUDED IN THE EMPLOYEE'S W-2. BRET BARR $12,200 ANGELA WILLIFORD $13,534 TONY MINSHEW $30,243 MATTHEW SECURRO $19,516 KEVIN LOVETT $13,033 PHILIP CLAYTON $370,601
PART I, LINE 6BONUS AND INCENTIVE PAYMENTS DURING THE YEAR ENDED SEPTEMBER 30, 2021 CONWAY HOSPITAL INC. PAID SOME EMPLOYEES ON SCHEDULE J, PART II BONUSES BASED ON TOTAL PROFIT FOR THE FISCAL YEAR AND THE PERCENTAGE OF THE TOTAL GOAL VALUE ACHIEVED. THE PAYMENTS WERE CALCULATED FOR POTENTIAL PAYOUT AS A PERCANTAGE OF SALARY AND WERE APPROVED BY THE COMPENSATION COMMITTEE.

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd

Issuer Name IssuerName

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

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp

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

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp

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

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Form8038 T Filed0Form8038TFiledInd
Rebate Not Due YetYes (1)RebateNotDueYetInd
Exception To Rebate0ExceptionToRebateInd
No Rebate Due0NoRebateDueInd
Variable Rate Issue0VariableRateIssueInd
Hedge Identified In Bks And Rec0HedgeIdentifiedInBksAndRecInd
Gross Proceeds Invested In GIC0GrossProceedsInvestedInGICInd
Gross Proceeds Invested0GrossProceedsInvestedInd
Written Proc To Monitor ReqsYes (1)WrittenProcToMonitorReqsInd

Procedures Corrective Action ProceduresCorrectiveActionGrp

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

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART I - LINE B, COLUMN (F)FormAndLineReferenceDesc
ExplanationTHE SERIES 2016 BONDS WERE ISSUED TO FINANCE CAPITAL ASSET PURCHASES OR RENOVATIONS AND TO PAY CERTAIN FEES, PREMIUMS AND EXPENSES INCURRED IN CONNECTION WITH THE ISSUANCE OF THE BONDS.ExplanationTxt

Schedule L IRS990ScheduleL

Loans Btwn Org Interested Prsn LoansBtwnOrgInterestedPrsnGrp

FieldValueIRS element (for citing)
PersonBRETT BARRPersonNm
Relationship With OrgCEO AND TRUSTEERelationshipWithOrgTxt
Loan PurposeSPLIT DOLLAR PLANLoanPurposeTxt
Loan From OrganizationYes (X)LoanFromOrganizationInd
Original Principal$4,600,000OriginalPrincipalAmt
Balance Due$5,071,360BalanceDueAmt
Default0DefaultInd
Board Or Committee ApprovalYes (1)BoardOrCommitteeApprovalInd
Written AgreementYes (1)WrittenAgreementInd
FieldValueIRS element (for citing)
Total Balance Due$5,071,360TotalBalanceDueAmt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (9 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART I, LINE 1, DESCRIPTION OF ORGANIZATION MISSION:OUR MISSION IS TO IMPROVE THE OVERALL HEALTH OF THE COMMUNITY BY BEING A LEADER IN HEALTH CARE.
FORM 990, PART III - PROGRAM SERVICE, LINE 4ACONWAY HOSPITAL INC. IS A 210 BED ACUTE FACILITY LOCATED IN THE CITY OF CONWAY, SOUTH CAROLINA. THE HOSPITAL WAS ORGANIZED UNDER THE LAWS OF THE STATE OF SOUTH CAROLINA IN 1928 FOR THE PURPOSE OF OPERATING A COMMUNITY HOSPITAL IN HORRY COUNTY. THE HOSPITAL WAS CREATED FOR THE PURPOSE OF PROMOTING HEALTH FOR ALL RESIDENTS OF HORRY COUNTY AND ITS OUTLYING AREAS. THE PROMOTION OF HEALTH HAS BEEN ESTABLISHED AS A CHARITABLE PURPOSE UNDER INTERNAL REVENUE CODE (IRC) SECTION 501(C)3 REVENUE RULE 69-545, 1969-2 C B 117, AS MODIFIED BY REV RUL 83-157, 1983-2 C B 94, WHICH SETS FORTH THE FACTORS THE INTERNAL REVENUE SERVICE WILL CONSIDER IN DETERMINING WHETHER A NONPROFIT HOSPITAL QUALIFIES FOR TAX EXEMPT STATUS. THE HOSPITAL HAS A BOARD OF TRUSTEES COMPOSED OF INDEPENDENT CIVIC LEADERS AND PHYSICIANS. AN OPEN MEDICAL STAFF IS MAINTAINED BY THE HOSPITAL, WITH PRIVILEGES AVAILABLE TO ALL QUALIFIED PHYSICIANS. ALSO, THE HOSPITAL PROVIDES EMERGENCY AND NON-EMERGENCY CARE TO ANYONE REGARDLESS OF THEIR ABILITY TO PAY, EITHER DIRECTLY OR THROUGH THIRD-PARTY REIMBURSEMENT, INCLUDING MEDICARE AND MEDICAID. DURING THE YEAR ENDED SEPTEMBER 30, 2021, THE HOSPITAL FURNISHED CHARITY CARE IN THE AMOUNT OF $46,628,302 IN FOREGONE CHARGES. THE TOTAL DAYS OF PATIENT CARE WERE 39,017 AND CONWAY HOSPITAL INC. SAW A TOTAL OF 221,998 PATIENTS DURING THE YEAR. IN ADDITION TO PROVIDING PATIENT CHARITY CARE, AND IN FURTHERANCE OF ITS EXEMPT PURPOSE TO BENEFIT THE COMMUNITY, THE HOSPITAL OFFERS A MOBILE OUTREACH PROGRAM. THIS PROGRAM OFFERS FREE SCREENING SERVICES TO MEDICALLY UNDERSERVED AREAS OF OUR COMMUNITY. THESE AREAS ARE DESIGNATED AS SUCH THROUGH CENSUS DATA AND HEALTH SERVICE AREA STATISTICS. EXAMPLES OF SCREENING SERVICES OFFERED ON A WEEKLY BASIS INCLUDE BLOOD PRESSURE, CHOLESTEROL AND BLOOD SUGAR. EXAMPLES OF SCREENING SERVICES OFFERED THROUGHOUT THE YEAR INCLUDE MEDICAL BREAST EXAMS, PROSTATE CANCER EXAMS, THYROID SCREENINGS, AND PAP EXAMS. IN ADDITION, HEALTH EDUCATION AND REFERRAL ASSISTANCE ARE PROVIDED. THE HOSPITAL ALSO OFFERS FREE HEALTH SCREENINGS AND HEALTH EDUCATION PROGRAMS TO THE COMMUNITY AT LARGE RELATED TO SMOKING CESSATION, BREAST CANCER AWARENESS, HEART DISEASE PREVENTION AND EARLY DETECTION, NUTRITION AND WEIGHT MANAGEMENT, DIABETES EDUCATION, BREASTFEEDING EDUCATION. SELF HELP AND SUPPORT GROUPS ARE ALSO PROVIDED AT NO COST TO THE COMMUNITY ON A VARIETY OF TOPICS. FAMILY SUPPORT SERVICES ARE ALSO OFFERED TO ASSIST COMMUNITY MEMBERS IN LOCATING OTHER FREE OR REDUCED SERVICES AVAILABLE IN THE COMMUNITY IN ORDER TO IMPROVE THEIR HEALTH OUTCOMES.
FORM 990, PART VI, SECTION A, LINE 2BRET BARR AND BRIAN ARGO HAVE A BUSINESS RELATIONSHIP. BOTH ARE BOARD MEMBERS AND OFFICERS OF TAX EXEMPT ORGANIZATIONS RELATED TO THIS ORGANIZATION.
FORM 990, PART VI, SECTION B, LINE 11BFORM 990 REVIEW PROCESS THE ORGANIZATION'S ACCOUNTING DEPARTMENT PREPARES THE 990 INFORMATION IN CONSULTATION WITH THE VP OF FISCAL SERVICES. AN OUTSIDE ACCOUNTING FIRM PREPARES THE IRS FORM 990 AND SENDS IT TO THE ACCOUNTING DEPARTMENT AND VP OF FISCAL SERVICES WHO REVIEW THE FORM IN DETAIL. THE FORM 990 IS PROVIDED TO ALL BOARD OF TRUSTEE MEMBERS BEFORE IT IS FILED.
FORM 990, PART VI, SECTION B, LINE 12CCONFLICT OF INTEREST POLICY MONITORING & ENFORCEMENT CONWAY HOSPITAL HAS A CONFLICT OF INTEREST POLICY THAT APPLIES TO THE BOARD OF DIRECTORS, DEPARTMENT HEADS AND EXECUTIVE LEVEL EMPLOYEES. ALL OF THESE COVERED PERSONS ARE REQUIRED TO ATTEST IN WRITING ANNUALLY THEIR UNDERSTANDING OF AND COMPLIANCE WITH THIS POLICY, AND TO PROVIDE INFORMATION CONCERNING ANY POSSIBLE CONFLICTS OF INTEREST. BOARD MEMBERS DO NOT PARTICIPATE IN VOTING ON MATTERS WHERE A CONFLICT OF INTEREST MAY EXIST. DISCLOSURE OF POTENTIAL CONFLICT OF INTEREST: EVERY COVERED PERSON MUST SUBMIT IN WRITING TO THE CHIEF EXECUTIVE OFFICER A CONFLICT OF INTEREST DISCLOSURE STATEMENT LISTING ALL FINANCIAL AND/OR POTENTIAL CONFLICTING INTERESTS. INDIVIDUALS RESUBMIT UPDATED STATEMENTS EACH YEAR WITH ANY NECESSARY CHANGES OR AS ANY ADDITIONAL CONFLICTING OR FINANCIAL INTEREST ARISES. ALL BOARD MEMBERS WILL RECEIVE AN ANNUAL SUMMARY OF THE DISCLOSURES. IN ADDITION, THE BOARD CHAIR AND CHIEF EXECUTIVE OFFICER SHALL HAVE DISCLOSURE STATEMENTS AVAILABLE AT THE TIME OF ALL BOARD MEETINGS IN CASE A POTENTIAL CONFLICT ARISES. EVERY BOARD MEMBER HAS THE OBLIGATION TO INFORM THE BOARD CHAIR OR THE CHIEF EXECUTIVE OFFICER IF HE/SHE IS AWARE OF AN UNDISCLOSED POTENTIAL FINANCIAL AND/OR CONFLICTING INTEREST OF ANOTHER PERSON COVERED BY THE POLICY. IN THE EVENT OF SUCH NOTIFICATION, THE BOARD CHAIR OR CHIEF EXECUTIVE OFFICER SHALL INVESTIGATE THE POSSIBLE UNDISCLOSED INTEREST.
FORM 990, PART VI, SECTION B, LINE 15PROCESS FOR DETERMINING COMPENSATION THE BOARD EXECUTIVE COMPENSATION COMMITTEE IS RESPONSIBLE FOR REVIEWING AND APPROVING COMPENSATION FOR THE CEO, CFO, AND ALL VICE PRESIDENTS. AT A MINIMUM OF EVERY THREE YEARS (AND MORE FREQUENTLY WHEN THERE IS TURNOVER IN A POSITION), AN INDEPENDENT CONSULTING COMPANY IS UTILIZED TO PROVIDE APPROPRIATE BENCHMARKED DATA FOR COMPARATIVE POSITIONS TO ASSIST IN DETERMINING COMPENSATION. THE CEO AND CFO ARE RESPONSIBLE FOR APPROVING COMPENSATION FOR ALL OTHER POSITIONS. THEY UTILIZE INDEPENDENT BENCHMARK DATA GATHERED BY THE SOUTH CAROLINA HOSPITAL ASSOCIATION IN SETTING APPROPRIATE COMPENSATION FOR THOSE POSITIONS.
FORM 990, PART VI, SECTION C, LINE 19HOW DOCUMENTS ARE MADE AVAILABLE TO THE PUBLIC CONWAY HOSPITAL, INC. MAKES ITS FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST AS WELL AS ATTACHING THEM TO THIS RETURN. THE GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY ARE AVAILABLE UPON REQUEST.
FORM 990, PART XI, LINE 9:DONOR RESTRICTIONS- INTEREST IN FOUNDATION 1,050,186.
FORM 990, PART XII, LINE 2CTHE PROCESS FOR OVERSEEING THE AUDIT OF THE FINANCIAL STATEMENTS AND SELECTION OF AN INDEPENDENT ACCOUNTANT TO AUDIT THE FINANCIAL STATEMENTS HAS BEEN CONSISTENT WITH PRIOR YEARS.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (5 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtControlled OrganizationControlledOrganizationInd
CONWAY LONG-TERM CARE SERVICES INC
300 SINGLETON RIDGE RDCONWAYSC29526570875232HEALTHCARESC501(C)(3)LINE 3CONWAY HOSPYes (1)
CONWAY HOSPITAL COMMUNITY SERVICES
300 SINGLETON RIDGE RDCONWAYSC29526571119337HEALTHCARESC501(C)(3)LINE 3CONWAY HOSPYes (1)
CONWAY HOSPITAL EMERGENCY PROF SERVICES
300 SINGLETON RIDGE RDCONWAYSC29526208817905EMERGENCYSC501(C)(3)LINE 12A, ICONWAY HOSPYes (1)
CONWAY HOSPITAL ANESTHESIA PROF SERVICES
300 SINGLETON RIDGE RDCONWAYSC29526208817302ANESTHESIASC501(C)(3)LINE 12A, ICONWAY HOSPYes (1)
CONWAY HOSPITAL FOUNDATION
300 SINGLETON RIDGE RDCONWAYSC29526570870199FUNDRAISINGSC501(C)(3)LINE 12D, III-OCONWAY HOSP0

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp

Related Organization Name RelatedOrganizationName

FieldValueIRS element (for citing)
Business Name Line1MEDICAL PROPERTIES INCBusinessNameLine1Txt

US Address USAddress

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

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1CONWAY HOSPBusinessNameLine1Txt
FieldValueIRS element (for citing)
Entity TypeCEntityTypeTxt
Share Of Total Income$1,573,928ShareOfTotalIncomeAmt
Share Of EOY Assets$8,650,544ShareOfEOYAssetsAmt
Ownership1.00000OwnershipPct
Controlled OrganizationYes (1)ControlledOrganizationInd
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org0GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (1)GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org0LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth OrgYes (1)RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgYes (1)RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgYes (1)PerformOfServicesForOthOrgInd
Perform Of Services By Other Org0PerformOfServicesByOtherOrgInd
Sharing Of FacilitiesYes (1)SharingOfFacilitiesInd
Paid Employees SharingYes (1)PaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (1)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (1)ReimbursementPaidByOtherOrgInd
Transfer To Other OrgYes (1)TransferToOtherOrgInd
Transfer From Other OrgYes (1)TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (15 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
CONWAY LONG-TERM CARE SERVICES INC
P$729,786CASH (FMV)
CONWAY LONG-TERM CARE SERVICES INC
Q$316,005CASH (FMV)
MEDICAL PROPERTIES INC
P$775,374CASH (FMV)
MEDICAL PROPERTIES INC
Q$133,886CASH (FMV)
MEDICAL PROPERTIES INC
K$414,280CASH (FMV)
MEDICAL PROPERTIES INC
S$1,216,600CASH (FMV)
CONWAY HOSPITAL COMMUNITY SERVICES INC
P$2,309,801CASH (FMV)
CONWAY HOSPITAL COMMUNITY SERVICES INC
Q$853,553CASH (FMV)
CONWAY HOSPITAL COMMUNITY SERVICES INC
S$1,782,776CASH (FMV)
CONWAY HOSPITAL COMMUNITY SERVICES INC
K$36,583CASH (FMV)
CONWAY HOSPITAL ANESTHESIA PROF SERVICES
P$3,422,738CASH (FMV)
CONWAY HOSPITAL ANESTHESIA PROF SERVICES
Q$228,899CASH (FMV)
CONWAY HOSPITAL EMERGENCY PROF SERVICES
P$6,602,008CASH (FMV)
CONWAY HOSPITAL EMERGENCY PROF SERVICES
Q$95,561CASH (FMV)
CONWAY HOSPITAL EMERGENCY PROF SERVICES
S$4,613,321CASH (FMV)