CONWAY REGIONAL MEDICAL CENTER INC: Form 990, tax year 2020

View the entire original 990 at ProPublica ↗

Organization: CONWAY REGIONAL MEDICAL CENTER INC (EIN 71-0249735)
Tax period: 2020-01-01 to 2020-12-31
Filed: 2021-11-15
IRS object ID: 202103199349314870
Schema version: 2020v4.1
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
Form 990
Schedule A
Schedule B
Schedule D
Schedule H
Schedule I
Schedule J
Schedule K
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2021-11-15T11:54:05-06:00	ReturnTs
Tax Period End	2020-12-31	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	BKD LLP	BusinessNameLine1Txt

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	PO BOX 3667	AddressLine1Txt
City	LITTLE ROCK	CityNm
State Abbreviation	AR	StateAbbreviationCd
ZIP	722033667	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2020-01-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	710249735	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	CONWAY REGIONAL MEDICAL CENTER INC	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
In Care Of	% TROY BROOKS CFO	InCareOfNm
Business Name Control	CONW	BusinessNameControlTxt
Phone	5013293831	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	2302 COLLEGE AVENUE	AddressLine1Txt
City	CONWAY	CityNm
State Abbreviation	AR	StateAbbreviationCd
ZIP	72034	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	TROY BROOKS	PersonNm
Person Title	CFO	PersonTitleTxt
Phone	5013293831	PhoneNum
Signature	2021-11-12	SignatureDt
Discuss With Paid Preparer	Yes (true)	DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

Field	Value	IRS element (for citing)
Person First	TROY	PersonFirstNm
Person Last	BROOKS	PersonLastNm

Field	Value	IRS element (for citing)
SSN	000000000	SSN

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	AMBER SHERRILL	PreparerPersonNm
PTIN	P00748683	PTIN
Phone	5013721040	PhoneNum

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

Field	Value	IRS element (for citing)
Trusted Customer	2	TrustedCustomerCd

Field	Value	IRS element (for citing)
Tax	2020	TaxYr
Build TS	2022-09-23 18:48:47Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Principal Officer	MATTHEW TROUP	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	2302 COLLEGE AVENUE	AddressLine1Txt
City	CONWAY	CityNm
State Abbreviation	AR	StateAbbreviationCd
ZIP	72034	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$236,990,604	GrossReceiptsAmt
Group Return For Affiliates	false	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	WWW.CONWAYREGIONAL.ORG	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1938	FormationYr
Legal Domicile State	AR	LegalDomicileStateCd
Activity Or Mission	PROVISION OF INPATIENT, OUTPATIENT, GERIATRIC, PSYCHIATRIC, CARDIAC, EMERGENCY CARE AND OTHER PATIENT CARE SERVICES TO PATIENTS IN CONWAY AND SURROUNDING AREAS.	ActivityOrMissionDesc
Voting Members Governing Body	9	VotingMembersGoverningBodyCnt
Voting Members Independent	6	VotingMembersIndependentCnt
Total Employee	2065	TotalEmployeeCnt
Total Volunteers	57	TotalVolunteersCnt
Total Gross UBI	$3,513,176	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$0	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$192,401	PYContributionsGrantsAmt
CY Contributions Grants	$9,708,635	CYContributionsGrantsAmt
PY Program Service Revenue	$194,422,725	PYProgramServiceRevenueAmt
CY Program Service Revenue	$201,673,025	CYProgramServiceRevenueAmt
PY Investment Income	$4,090,684	PYInvestmentIncomeAmt
CY Investment Income	$3,242,993	CYInvestmentIncomeAmt
PY Other Revenue	$8,141,657	PYOtherRevenueAmt
CY Other Revenue	$944,853	CYOtherRevenueAmt
PY Total Revenue	$206,847,467	PYTotalRevenueAmt
CY Total Revenue	$215,569,506	CYTotalRevenueAmt
PY Grants And Similar Paid	$177,252	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$295,700	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$93,589,640	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$108,068,521	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$332,631	CYTotalFundraisingExpenseAmt
PY Other Expenses	$105,694,012	PYOtherExpensesAmt
CY Other Expenses	$103,781,755	CYOtherExpensesAmt
PY Total Expenses	$199,460,904	PYTotalExpensesAmt
CY Total Expenses	$212,145,976	CYTotalExpensesAmt
PY Revenues Less Expenses	$7,386,563	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$3,423,530	CYRevenuesLessExpensesAmt
Total Assets BOY	$247,759,900	TotalAssetsBOYAmt
Total Assets EOY	$277,338,838	TotalAssetsEOYAmt
Total Liabilities BOY	$106,233,770	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$130,002,894	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$141,526,130	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$147,335,944	NetAssetsOrFundBalancesEOYAmt
Mission	CONWAY REGIONAL MEDICAL CENTER IS ACCOUNTABLE TO THE COMMUNITY TO PROVIDE HIGH-QUALITY AND COMPASSIONATE HEALTH CARE SERVICES.	MissionDesc
Significant New Program Srvc	false	SignificantNewProgramSrvcInd
Significant Change	false	SignificantChangeInd
Expense	$169,090,529	ExpenseAmt
Grant	$295,700	GrantAmt
Revenue	$198,147,673	RevenueAmt
Desc	CONWAY REGIONAL MEDICAL CENTER PROVIDES COMPREHENSIVE HEALTHCARE SERVICES TO INDIVIDUALS REGARDLESS OF RACE, CREED, SEX, NATIONAL ORIGIN, OR ABILITY TO PAY. IN KEEPING WITH ITS MISSION, THE MEDICAL CENTER PROVIDES FREE AND DISCOUNTED CARE TO PATIENTS MEETING ITS CHARITY CARE POLICY.	Desc
Total Program Service Expenses	$169,090,529	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (true)	DescribedInSection501c3Ind
Schedule B Required	Yes (true)	ScheduleBRequiredInd
Political Campaign Acty	false	PoliticalCampaignActyInd
Lobbying Activities	false	LobbyingActivitiesInd
Subject To Proxy Tax	false	SubjectToProxyTaxInd
Donor Advised Fund	false	DonorAdvisedFundInd
Conservation Easements	false	ConservationEasementsInd
Collections Of Art	false	CollectionsOfArtInd
Credit Counseling	false	CreditCounselingInd
Donor Rstr Or Quasi Endowments	false	DonorRstrOrQuasiEndowmentsInd
Report Land Building Equipment	Yes (true)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	false	ReportInvestmentsOtherSecInd
Report Program Related Invst	Yes (true)	ReportProgramRelatedInvstInd
Report Other Assets	Yes (true)	ReportOtherAssetsInd
Report Other Liabilities	Yes (true)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	false	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	false	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (true)	ConsolidatedAuditFinclStmtInd
School Operating	false	SchoolOperatingInd
Foreign Office	false	ForeignOfficeInd
Foreign Activities	false	ForeignActivitiesInd
More Than5000 K To Org	false	MoreThan5000KToOrgInd
More Than5000 K To Individuals	false	MoreThan5000KToIndividualsInd
Professional Fundraising	false	ProfessionalFundraisingInd
Fundraising Activities	false	FundraisingActivitiesInd
Gaming Activities	false	GamingActivitiesInd
Operate Hospital	Yes (true)	OperateHospitalInd
Audited Financial Stmt Att	Yes (true)	AuditedFinancialStmtAttInd
Grants To Organizations	Yes (true)	GrantsToOrganizationsInd
Grants To Individuals	false	GrantsToIndividualsInd
Schedule J Required	Yes (true)	ScheduleJRequiredInd
Tax Exempt Bonds	Yes (true)	TaxExemptBondsInd
Invest Tax Exempt Bonds	false	InvestTaxExemptBondsInd
Escrow Account	false	EscrowAccountInd
On Behalf Of Issuer	false	OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans	false	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	false	PYExcessBenefitTransInd
Loan Outstanding	false	LoanOutstandingInd
Grant To Related Person	false	GrantToRelatedPersonInd
Business Rln With Org Mem	false	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	false	BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent	false	BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri	false	DeductibleNonCashContriInd
Deductible Art Contribution	false	DeductibleArtContributionInd
Terminate Operations	false	TerminateOperationsInd
Partial Liquidation	false	PartialLiquidationInd
Disregarded Entity	Yes (true)	DisregardedEntityInd
Related Entity	Yes (true)	RelatedEntityInd
Related Organization Ctrl Ent	Yes (true)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	Yes (true)	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	false	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	false	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (true)	ScheduleORequiredInd
IRP Document	190	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (true)	BackupWthldComplianceInd
Employee	2065	EmployeeCnt
Employment Tax Returns Filed	Yes (true)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	Yes (true)	UnrelatedBusIncmOverLimitInd
Form990 T Filed	Yes (true)	Form990TFiledInd
Foreign Financial Account	false	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTransInd
Taxable Party Notification	false	TaxablePartyNotificationInd
Nondeductible Contributions	false	NondeductibleContributionsInd
Quid Pro Quo Contributions	false	QuidProQuoContributionsInd
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	false	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	false	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	false	IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt	false	SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc	false	SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	9	GoverningBodyVotingMembersCnt
Independent Voting Member	6	IndependentVotingMemberCnt
Family Or Business Rln	false	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	Yes (true)	DelegationOfMgmtDutiesInd
Change To Org Documents	false	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	false	MaterialDiversionOrMisuseInd
Members Or Stockholders	false	MembersOrStockholdersInd
Election Of Board Members	false	ElectionOfBoardMembersInd
Decisions Subject To Approva	false	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (true)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (true)	MinutesOfCommitteesInd
Officer Mailing Address	false	OfficerMailingAddressInd
Local Chapters	false	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (true)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (true)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (true)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (true)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (true)	WhistleblowerPolicyInd
Document Retention Policy	Yes (true)	DocumentRetentionPolicyInd
Compensation Process CEO	false	CompensationProcessCEOInd
Compensation Process Other	false	CompensationProcessOtherInd
Investment In Joint Venture	Yes (true)	InvestmentInJointVentureInd
Written Policy Or Procedure	Yes (true)	WrittenPolicyOrProcedureInd
States Where Copy Of Return Is Fld	AR	StatesWhereCopyOfReturnIsFldCd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Field	Value	IRS element (for citing)
Person	TROY BROOKS CFO	PersonNm
Phone	5014502112	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	2302 COLLEGE AVE	AddressLine1Txt
City	CONWAY	CityNm
State Abbreviation	AR	StateAbbreviationCd
ZIP	72034	ZIPCd

Field	Value	IRS element (for citing)
Info In Schedule O Part VII	Yes (X)	InfoInScheduleOPartVIIInd

Form990 Part VII Section A Form990PartVIISectionAGrp (18 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Highest Compensated EmployeeHighestCompensatedEmployeeInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	OfficerOfficerInd
JAMES HOWELL MD
PHYSICIAN	40.0	0.0	Yes (X)	$873,444	$0	$23,834
HARRY SMITH MD
PHYSICIAN	40.0	0.0	Yes (X)	$856,810	$0	$23,520
JAMES HEAD MD
PHYSICIAN	40.0	0.0	Yes (X)	$836,357	$0	$22,691
OWEN MAAT MD
PHYSICIAN	40.0	0.0	Yes (X)	$802,239	$0	$24,823
RODNEY MCCARVER MD
PHYSICIAN	40.0	0.0	Yes (X)	$779,169	$0	$24,278
ANDREW COLE MD
BOARD MEMBER	1.0	1.0		$40,957	$0	$0	Yes (X)
THAD HARDIN MD
BOARD MEMBER	1.0	1.0		$37,276	$0	$0	Yes (X)
WAYNE COX
BOARD MEMBER	1.0	1.0		$3,537	$0	$0	Yes (X)
ANDREA WOODS JD
CHAIRMAN	1.0	1.0		$1,618	$0	$0	Yes (X)	Yes (X)
CORNELL MALTBIA
BOARD MEMBER	1.0	1.0		$1,618	$0	$0	Yes (X)
JEFF STANDRIDGE
BOARD MEMBER	1.0	1.0		$1,618	$0	$0	Yes (X)
TOM POE
BOARD MEMBER	1.0	1.0		$1,353	$0	$0	Yes (X)
MATTHEW TROUP
CHIEF EXECUTIVE OFFICER	40.0	1.0		$934	$0	$0		Yes (X)
JIM RANKIN JR JD
VICE CHAIR	1.0	1.0		$684	$0	$0	Yes (X)	Yes (X)
BARBARA WILLIAMS PHD RN
BOARD MEMBER	1.0	1.0		$0	$0	$84	Yes (X)
ALAN FINLEY
CHIEF OPERATING OFFICER	40.0	1.0		$0	$0	$0		Yes (X)
ANGIE LONGING RN
CHIEF NURSING OFFICER	40.0	1.0		$0	$0	$0		Yes (X)
TROY BROOKS
CHIEF FINANCIAL OFFICER	40.0	1.0		$0	$0	$0		Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$4,237,614	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$0	TotReportableCompRltdOrgAmt
Total Other Compensation	$119,230	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	136	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	false	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (true)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	false	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
ST VINCENT HEALTH SYSTEM
2 ST VINCENT CIRCLE	LITTLE ROCK	AR	72205	MANAGEMENT SERVICES	$4,999,097
EDAFIO TECHNOLOGIES
5400 NORTHSHORE DRIVE	NORTH LITTLE ROCK	AR	72118	IT SERVICES	$2,167,352
THERAPY AND REHAB SOLUTIONS INC
7115 SOUTH SPRINGS DRIVE	FRANKLIN	TN	37067	REHAB SERVICES	$2,751,027
CATHOLIC HEALTH INITIATIVES
3900 OLYMPIC BOULEVARD	ERLANGER	KY	41018	CLINICAL ENGINEERING	$2,279,308
MAYO COLLABORATIVE SERVICES INC
PO BOX 4100	ROCHESTER	MN	559034100	LAB SERVICES	$2,019,186

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	44	CntrctRcvdGreaterThan100KCnt
Related Organizations	$241,381	RelatedOrganizationsAmt
Government Grants	$9,299,563	GovernmentGrantsAmt
All Other Contributions	$167,691	AllOtherContributionsAmt
Total Contributions	$9,708,635	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt
PATIENT SERVICES	621110	$191,147,207	$191,147,207
REFERENCE LAB	621610	$3,956,801	$431,449	$3,525,352
MANAGEMENT FEES	561110	$1,945,621	$1,945,621
HEALTH/FITNESS CENTER	713940	$1,730,125	$1,730,125
CAFETERIA SALES	722310	$895,119	$895,119

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,998,152	TotalRevenueColumnAmt
Related Or Exempt Func Income	$1,998,152	RelatedOrExemptFuncIncomeAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$201,673,025	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,951,677	TotalRevenueColumnAmt
Unrelated Business Revenue	-$43,372	UnrelatedBusinessRevenueAmt
Exclusion	$1,995,049	ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Royalties Revenue RoyaltiesRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$84	TotalRevenueColumnAmt
Exclusion	$84	ExclusionAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$14,641	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$14,641	RealAmt
Personal	$0	PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$14,641	TotalRevenueColumnAmt
Exclusion	$14,641	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$22,710,334	SecuritiesAmt
Other	$2,080	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$21,420,118	SecuritiesAmt
Other	$980	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$1,290,216	SecuritiesAmt
Other	$1,100	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,291,316	TotalRevenueColumnAmt
Exclusion	$1,291,316	ExclusionAmt

Field	Value	IRS element (for citing)
Fundraising Gross Income	$0	FundraisingGrossIncomeAmt
Fundraising Direct Expenses	$0	FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Field	Value	IRS element (for citing)
Gaming Gross Income	$0	GamingGrossIncomeAmt
Gaming Direct Expenses	$0	GamingDirectExpensesAmt

Net Income From Gaming NetIncomeFromGamingGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Field	Value	IRS element (for citing)
Gross Sales Of Inventory	$0	GrossSalesOfInventoryAmt
Cost Of Goods Sold	$0	CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	ExclusionExclusionAmt
SUPPLY REBATES	900099	$435,425	$435,425
GIFT SHOP SALES	453220	$109,572	$109,572
CREDENTIALING SERVICES	900099	$38,353	$38,353

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$346,778	TotalRevenueColumnAmt
Unrelated Business Revenue	$31,196	UnrelatedBusinessRevenueAmt
Exclusion	$315,582	ExclusionAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$930,128	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$215,569,506	TotalRevenueColumnAmt
Related Or Exempt Func Income	$198,147,673	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$3,513,176	UnrelatedBusinessRevenueAmt
Exclusion	$4,200,022	ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$295,700	TotalAmt
Program Services	$295,700	ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Foreign Grants ForeignGrantsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Benefits To Members BenefitsToMembersGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$89,595	TotalAmt
Management And General	$89,595	ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$89,912,414	TotalAmt
Program Services	$67,757,477	ProgramServicesAmt
Management And General	$21,822,306	ManagementAndGeneralAmt
Fundraising	$332,631	FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$2,117,874	TotalAmt
Program Services	$1,601,944	ProgramServicesAmt
Management And General	$515,930	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$10,201,441	TotalAmt
Program Services	$7,716,294	ProgramServicesAmt
Management And General	$2,485,147	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$5,747,197	TotalAmt
Program Services	$4,347,137	ProgramServicesAmt
Management And General	$1,400,060	ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$3,797,769	TotalAmt
Program Services	$2,872,604	ProgramServicesAmt
Management And General	$925,165	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$174,047	TotalAmt
Program Services	$131,648	ProgramServicesAmt
Management And General	$42,399	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$415,245	TotalAmt
Program Services	$314,088	ProgramServicesAmt
Management And General	$101,157	ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$422,173	TotalAmt
Program Services	$319,328	ProgramServicesAmt
Management And General	$102,845	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$28,765,707	TotalAmt
Program Services	$21,758,165	ProgramServicesAmt
Management And General	$7,007,542	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$857,147	TotalAmt
Program Services	$648,340	ProgramServicesAmt
Management And General	$208,807	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$7,461,870	TotalAmt
Program Services	$5,644,103	ProgramServicesAmt
Management And General	$1,817,767	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$143,918	TotalAmt
Program Services	$108,858	ProgramServicesAmt
Management And General	$35,060	ManagementAndGeneralAmt

Royalties RoyaltiesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$3,170,451	TotalAmt
Program Services	$2,398,105	ProgramServicesAmt
Management And General	$772,346	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$318,638	TotalAmt
Program Services	$241,015	ProgramServicesAmt
Management And General	$77,623	ManagementAndGeneralAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$238,920	TotalAmt
Program Services	$180,717	ProgramServicesAmt
Management And General	$58,203	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$1,449,040	TotalAmt
Program Services	$1,096,043	ProgramServicesAmt
Management And General	$352,997	ManagementAndGeneralAmt

Payments To Affiliates PaymentsToAffiliatesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$12,844,946	TotalAmt
Program Services	$9,715,821	ProgramServicesAmt
Management And General	$3,129,125	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$1,408,649	TotalAmt
Program Services	$1,065,492	ProgramServicesAmt
Management And General	$343,157	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
PHARMACEUTICALS & MED SUPPLIES	$33,714,681	$33,714,681
MCD PROVDER TAX	$2,705,525	$2,705,525
REPAIRS & MAINTENANCE	$1,027,335	$777,069	$250,266
DIETARY EXPENSES	$1,022,425	$773,355	$249,070

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$3,843,269	TotalAmt
Program Services	$2,907,020	ProgramServicesAmt
Management And General	$936,249	ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$212,145,976	TotalAmt
Program Services	$169,090,529	ProgramServicesAmt
Management And General	$42,722,816	ManagementAndGeneralAmt
Fundraising	$332,631	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$2,325,481	BOYAmt
EOY	$250,649	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$13,441,369	BOYAmt
EOY	$40,447,895	EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$19,929,507	BOYAmt
EOY	$24,696,764	EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$3,748,282	BOYAmt
EOY	$3,719,428	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$832,021	BOYAmt
EOY	$1,312,069	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$269,109,766	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$171,852,867	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$80,277,187	BOYAmt
EOY	$97,256,899	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
BOY	$67,535,988	BOYAmt
EOY	$71,988,481	EOYAmt

Intangible Assets IntangibleAssetsGrp

Field	Value	IRS element (for citing)
BOY	$93,466	BOYAmt
EOY	$137,551	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$59,576,599	BOYAmt
EOY	$37,529,102	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$247,759,900	BOYAmt
EOY	$277,338,838	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$21,324,712	BOYAmt
EOY	$22,982,564	EOYAmt

Grants Payable GrantsPayableGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$195,264	BOYAmt
EOY	$7,752,890	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$66,525,277	BOYAmt
EOY	$63,270,356	EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
BOY	$3,726,955	BOYAmt
EOY	$8,615,161	EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$14,461,562	BOYAmt
EOY	$27,381,923	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$106,233,770	BOYAmt
EOY	$130,002,894	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows FASB117	Yes (X)	OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$141,526,130	BOYAmt
EOY	$147,335,944	EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$141,526,130	BOYAmt
EOY	$147,335,944	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$247,759,900	BOYAmt
EOY	$277,338,838	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$3,423,530	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$2,100,409	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	$285,875	OtherChangesInNetAssetsAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	false	AccountantCompileOrReviewInd
FS Audited	Yes (true)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

Field	Value	IRS element (for citing)
Consolidated Basis Fincl Stmt	Yes (X)	ConsolidatedBasisFinclStmtInd

Field	Value	IRS element (for citing)
Audit Committee	Yes (true)	AuditCommitteeInd
Federal Grant Audit Required	false	FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital	Yes (X)	HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor US Address ContributorUSAddress

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Total Contributions	RESTRICTED	TotalContributionsAmt

Schedule D IRS990ScheduleD

Field	Value	IRS element (for citing)
Art Public Exhibition Amounts		ArtPublicExhibitionAmountsGrp
Held Works Art		HeldWorksArtGrp
CY Minus3 Yr Endwmt Fund		CYMinus3YrEndwmtFundGrp
CY Minus4 Yr Endwmt Fund		CYMinus4YrEndwmtFundGrp

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$6,165,675	OtherCostOrOtherBasisAmt
Book Value	$6,165,675	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$135,071,544	OtherCostOrOtherBasisAmt
Depreciation	$79,049,586	DepreciationAmt
Book Value	$56,021,958	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$3,060,336	OtherCostOrOtherBasisAmt
Depreciation	$1,501,382	DepreciationAmt
Book Value	$1,558,954	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$115,011,667	OtherCostOrOtherBasisAmt
Depreciation	$91,301,899	DepreciationAmt
Book Value	$23,709,768	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$9,800,544	OtherCostOrOtherBasisAmt
Book Value	$9,800,544	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$97,256,899	TotalBookValueLandBuildingsAmt

Invst Program Related Org InvstProgramRelatedOrgGrp

Field	Value	IRS element (for citing)
Desc	BOARD DESIGNATED INVESTMENTS	Desc
Book Value	$71,988,481	BookValueAmt
Method Valuation	F	MethodValuationCd

Field	Value	IRS element (for citing)
Total Book Value Program Rltd	$71,988,481	TotalBookValueProgramRltdAmt

Other Assets Org OtherAssetsOrgGrp (7 entries)

DescDesc	Book ValueBookValueAmt
FUNDS HELD BY TRUSTEE	$22,273,417
OTHER RECEIVABLES	$560,927
INTERCOMPANY RECEIVABLES	$103,946
INVESTMENT IN SUBSIDIARIES	$3,712,958
ROU ASSETS - OPERATING LEASE	$5,904,498
RESERVE - CD	$1,245,943
DUE FROM DRMC	$3,727,413

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$37,529,102	TotalBookValueOtherAssetsAmt
Federal Income Tax Liability	$0	FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (5 entries)

DescDesc	AmtAmt
ESTIMATED 3RD PARTY SETTLEMENT	$17,904,788
ASSET RETIREMENT ENVIRON. RES.	$840,410
DUE TO AFFILIATES	$23,230
TAXABLE BONDS	$2,635,952
OPERATING LEASE LIABILITY	$5,977,543

Field	Value	IRS element (for citing)
Total Liability	$27,381,923	TotalLiabilityAmt
Total Rev Etc Audited Fincl Stmt	$217,205,071	TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst	$2,100,409	NetUnrealizedGainsInvstAmt
Other Revenue	$43,372	OtherRevenueAmt
Revenue Not Reported	$2,143,781	RevenueNotReportedAmt
Revenue Subtotal	$215,061,290	RevenueSubtotalAmt
Other Revenues Not Included	$508,216	OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt	$508,216	RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990	$215,569,506	TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt	$211,880,263	TotExpnsEtcAuditedFinclStmtAmt
Other Expenses Included	$242,503	OtherExpensesIncludedAmt
Expenses Not Reported	$242,503	ExpensesNotReportedAmt
Expenses Subtotal	$211,637,760	ExpensesSubtotalAmt
Other Expenses Not Included	$508,216	OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt	$508,216	ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990	$212,145,976	TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
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-1S $43,372
FORM 990, SCHEDULE D, PART XI, LINE 4B	REVENUES INCLUDED IN EXPENSE PER AUDIT $508,216
FORM 990, SCHEDULE D, PART XII, LINE 2D	TRANSFER FROM AFFILIATE $242,503
FORM 990, SCHEDULE D, PART XII, LINE 4B	REVENUES INCLUDED IN EXPENSE PER AUDIT $508,216

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (true)	FinancialAssistancePolicyInd
Written Policy	Yes (true)	WrittenPolicyInd
All Hospitals Policy	Yes (X)	AllHospitalsPolicyInd
FPG Reference Free Care	Yes (true)	FPGReferenceFreeCareInd

Free Care Oth Percentage FreeCareOthPercentageGrp

Field	Value	IRS element (for citing)
Other	Yes (X)	OtherInd
Free Care Other	225.	FreeCareOtherPct

Field	Value	IRS element (for citing)
FPG Reference Discounted Care	Yes (true)	FPGReferenceDiscountedCareInd
Percent300	Yes (X)	Percent300Ind
Free Care Medically Indigent	Yes (true)	FreeCareMedicallyIndigentInd
Financial Assistance Budget	Yes (true)	FinancialAssistanceBudgetInd
Expenses Exceed Budget	false	ExpensesExceedBudgetInd
Annual Community Bnft Report	Yes (true)	AnnualCommunityBnftReportInd
Report Publically Available	Yes (true)	ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$947,924	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$947,924	NetCommunityBenefitExpnsAmt
Total Expense	0.00450	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$23,857,726	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$18,676,219	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$5,181,507	NetCommunityBenefitExpnsAmt
Total Expense	0.02440	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$24,805,650	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$18,676,219	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$6,129,431	NetCommunityBenefitExpnsAmt
Total Expense	0.02890	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$13,307	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$13,307	NetCommunityBenefitExpnsAmt
Total Expense	0.00010	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$28,896,008	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$17,923,577	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$10,972,431	NetCommunityBenefitExpnsAmt
Total Expense	0.05180	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$28,909,315	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$17,923,577	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$10,985,738	NetCommunityBenefitExpnsAmt
Total Expense	0.05190	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$53,714,965	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$36,599,796	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$17,115,169	NetCommunityBenefitExpnsAmt
Total Expense	0.08080	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (true)	BadDebtExpenseReportedInd
Reimbursed By Medicare	$41,524,416	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$42,262,943	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$738,527	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

Field	Value	IRS element (for citing)
Cost To Charge Ratio	Yes (X)	CostToChargeRatioInd

Field	Value	IRS element (for citing)
Written Debt Collection Policy	Yes (true)	WrittenDebtCollectionPolicyInd
Financial Assistance Prvsn	Yes (true)	FinancialAssistancePrvsnInd

Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp (2 entries)

Primary ActivitiesPrimaryActivitiesTxt	Org Profit Or OwnershipOrgProfitOrOwnershipPct	Physicians Profit Or OwnershipPhysiciansProfitOrOwnershipPct
CONWAY REGIONAL REHA
ADMIN SERVICES	0.662	0.338
CONWAY REGIONAL PHO
ADMIN SERVICES	0.5	0.5

Field	Value	IRS element (for citing)
Hospital Facilities	2	HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp (2 entries)

FacilityFacilityNum	Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Website AddressWebsiteAddressTxt	State LicenseStateLicenseNum	Licensed HospitalLicensedHospitalInd	General Medical And SurgicalGeneralMedicalAndSurgicalInd	Emergency Room24 HrsEmergencyRoom24HrsInd	Facility Reporting GroupFacilityReportingGroupCd	OtherOtherDesc
CONWAY REGIONAL MEDICAL CENTER INC
1	2302 COLLEGE AVENUE	CONWAY	AR	72034	WWW.CONWAYREGIONAL.ORG	AR2657	Yes (X)	Yes (X)	Yes (X)	A
CONWAY REGIONAL REHABILITATION HOSPIT
2	2210 ROBINSON AVENUE	CONWAY	AR	72034	WWW.CONWAYREGIONAL.ORG/REHABILITATIONHOS	AR4261	Yes (X)			A	REHAB HOSPITAL

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	A	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Facility	12	FacilityNum
First Licensed CY Or PY	false	FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY	false	TaxExemptHospitalCYOrPYInd
CHNA Conducted	Yes (true)	CHNAConductedInd
Community Definition	Yes (X)	CommunityDefinitionInd
Community Demographics	Yes (X)	CommunityDemographicsInd
Existing Resources	Yes (X)	ExistingResourcesInd
How Data Obtained	Yes (X)	HowDataObtainedInd
Community Health Needs	Yes (X)	CommunityHealthNeedsInd
Other Health Issues	Yes (X)	OtherHealthIssuesInd
Community Hlth Needs Id Process	Yes (X)	CommunityHlthNeedsIdProcessInd
Consulting Process	Yes (X)	ConsultingProcessInd
Prior CHNA Impact	Yes (X)	PriorCHNAImpactInd
CHNA Conducted	19	CHNAConductedYr
Take Into Account Others Input	Yes (true)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	Yes (true)	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	false	CHNAConductedWithNonFcltsInd
CHNA Report Widely Available	Yes (true)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	SEE ATTACHMENT	OwnWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Rpt Available Thru Other Method	Yes (X)	RptAvailableThruOtherMethodInd
Implementation Strategy Adopt	Yes (true)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	19	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (true)	StrategyPostedWebsiteInd
Strategy Website URL	SEE ATTACHMENT	StrategyWebsiteURLTxt
Organization Incur Excise Tax	false	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (true)	EligCriteriaExplainedInd
FPG Family Incm Lmt Free Dscnt	Yes (X)	FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care	225.	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	300.	FPGFamilyIncmLmtDscntCarePct
Asset Level Criteria	Yes (X)	AssetLevelCriteriaInd
Medical Indigency Criteria	Yes (X)	MedicalIndigencyCriteriaInd
Insurance Status Criteria	Yes (X)	InsuranceStatusCriteriaInd
Underinsurance Stat Criteria	Yes (X)	UnderinsuranceStatCriteriaInd
Residency Criteria	Yes (X)	ResidencyCriteriaInd
Explained Basis	Yes (true)	ExplainedBasisInd
App Financial Asst Expln	Yes (true)	AppFinancialAsstExplnInd
Described Info	Yes (X)	DescribedInfoInd
Described Suprt Doc	Yes (X)	DescribedSuprtDocInd
Provided Hospital Contact	Yes (X)	ProvidedHospitalContactInd
Provided Nonprofit Contact	Yes (X)	ProvidedNonprofitContactInd
Includes Publicity Measures	Yes (true)	IncludesPublicityMeasuresInd
FAP Available On Website	Yes (X)	FAPAvailableOnWebsiteInd
FAP Available On Website URL	WWW.CONWAYREGIONAL.ORG	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	WWW.CONWAYREGIONAL.ORG	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	WWW.CONWAYREGIONAL.ORG	FAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No Charge	Yes (X)	FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No Chrg	Yes (X)	FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No Chrg	Yes (X)	FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill Display	Yes (X)	NotifiedFAPCopyBillDisplayInd
Communtity Notified FAP	Yes (X)	CommuntityNotifiedFAPInd
FAP Translated	Yes (X)	FAPTranslatedInd
FAP Actions On Nonpayment	Yes (true)	FAPActionsOnNonpaymentInd
Permit No Actions	Yes (X)	PermitNoActionsInd
Collection Activities	false	CollectionActivitiesInd
Provided Written Notice	Yes (X)	ProvidedWrittenNoticeInd
Made Effort Orally Notify	Yes (X)	MadeEffortOrallyNotifyInd
Processed FAP Application	Yes (X)	ProcessedFAPApplicationInd
Made Presumptive Elig Determ	Yes (X)	MadePresumptiveEligDetermInd
Nondis Emergency Care Policy	Yes (true)	NondisEmergencyCarePolicyInd
Look Back Medicare Private	Yes (X)	LookBackMedicarePrivateInd
Amounts Generally Billed	false	AmountsGenerallyBilledInd
Gross Charges	false	GrossChargesInd

Supplemental Information SupplementalInformationGrp (6 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
SCHEDULE H, PART V, SECTION B, LINE 5	CONWAY REGIONAL MEDICAL CENTER INVITED THE ARKANSAS STATE DEPARTMENT OF HEALTH TO PRESENT AS WELL AS THE FAULKNER COUNTY DEPARTMENT OF HEALTH. IN DESIGNING THE COMMUNITY SAMPLE, CONWAY REGIONAL MEDICAL CENTER CONDUCTED AN OPEN FORUM WITH THE COMMUNITY. SPECIFICALLY, CONWAY REGIONAL MEDICAL CENTER'S LEADERSHIP REACHED OUT TO THE LARGEST EMPLOYERS IN THE COMMUNITY, THE LARGEST NONPROFIT ORGANIZATIONS, THE COMMUNITY HEALTH PROVIDERS, CONWAY REGIONAL'S DEPARTMENT DIRECTORS, THE FIRE DEPARTMENT, THE POLICE DEPARTMENT, SEVERAL CHURCHES, AND INDIVIDUALS WHO HAVE EXPRESSED INTEREST IN FAULKNER COUNTY'S HEALTH.
SCHEDULE H, PART V, SECTION B, LINE 6A	CONWAY REGIONAL REHABILITATION HOSPITAL, LLC
SCHEDULE H, PART V, SECTION B, LINE 7A	conwayregional.org/about/mission-vision/community-health
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.
SCHEDULE H, PART V, SECTION B, LINE 10A	conwayregional.org/about/mission-vision/community-health
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, CHRONIC DISEASE MANAGEMENT, SMOKING AND VAPING, AND ACCESS TO CARE. SPECIFIC ACTIVITIES FOR HEALTH STATUS IMPROVEMENT INCLUDE THE FOLLOWING ELEMENTS FROM THE COMMUNITY HEALTH NEEDS ASSESSMENT: OBESITY CRMC WILL DEVELOP A MEDICALLY FOCUSED WEIGHT LOSS PROGRAM FOR MEMBERS OF THE COMMUNITY THAT ARE CLASSIFIED AS OBESE. THE PROGRAM WILL FOCUS ON MAKING LASTING LIFESTYLE CHANGES TO IMPROVE OVERALL HEALTH AND DECREASE BODY MASS INDEX. CRMC WILL ALSO CONTINUE TO GROW CORPORATE HEALTH SERVICES, PARTNERING WITH LOCAL BUSINESSES TO IMPROVE THE HEALTH OF THEIR EMPLOYEES AND DECREASE OBESITY OVER TIME. CHRONIC DISEASE MANAGEMENT CRMC WILL CONTINUE TO PROVIDE DIABETES EDUCTION THROUGH THE DIABETES SELF-MANAGEMENT EDUCATION PROGRAM, AND WILL PARTNER WITH LOCAL PRIMARY CARE PHYSICIANS TO INCREAE AWARENESS OF THE PROGRAM. ADDITIONALLY, WELLNESS WEDNESDAYS ARE A PART OF THE DIABETES PREVENTION PROGRAM CURRENTLY OFFERED, AND THEY ARE FREE TO EMPLOYEES OF THE HEALTH SYSTEM AND THE COMMUNITY. SMOKING AND VAPING CRMC WILL BEGIN OFFERING A SMOKING CESSATION PROGRAM TAUGHT BY TOBACCO TREATMENT SPECIALISTS. THE PROGRAM WILL PROVIDE INFORMATION ABOUT THE DANGERS OF TOBACCO USE, AS WELL AS EXTENSIVE TRAINING ON QUITTING. THE PROGRAM IS ALSO AVAILABLE TO EMPLOYERS IN THE AREA THAT WOULD LIKE TO OFFER IT TO THEIR EMPLOYEES. ACCESS TO CARE EACH YEAR CRMC RE-EVALUATES THE COMMUNITY NEED FOR PHYSICIANS THROUGH A MULTI-STEP EVALUATION PROCESS, WHICH CULMINATES IN A MEDICAL STAFF DEVELOPMENT PLAN. CRMC USES INTEGRATED HEALTHCARE STRATEGIES, A THIRD-PARTY, TO ASSIST IN THE EVALUATION. OVER THE NEXT THREE YEARS, CRMC WILL CONTINUE TO EVALUATE PHYSICIAN NEEDS AND ADJUST THE PRIORITY AREAS AS NECESSARY IN ORDER TO WORK TOWARD RECRUITING THE PHYSICIANS NEEDED TO PROPERLY SERVE THE COMMUNITY.

Field	Value	IRS element (for citing)
Facility	31	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (31 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	FacilityFacilityTxt
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 - VILONIA
1122 MAIN STREET SUITE 7	VILONIA	AR	72173	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 AVE 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 AVE 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 AVE	CONWAY	AR	72034	OBGYN
COSMC
550 CLUB LANE	CONWAY	AR	72034	MEDICAL CLINIC
HENDRIX CLINIC
1600 WASHINGTON AVE	CONWAY	AR	72032	MEDICAL CLINIC

Supplemental Information Detail SupplementalInformationDetail (13 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
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.
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 WILL ALL BILLING STATEMENTS AND COMMUNICATIONS WITHIN THE FIRST 120 DAYS FOLLOWING THE FIRST BILLING STATEMENT. THE POLICY WILL ALSO BE MADE 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 AT THESE LOCATIONS AS WELL.
FORM 990, SCHEDULE H, PART VI, LINE 4	CONWAY REGIONAL SERVES A 7 COUNTY AREA IN CENTRAL ARKANSAS INCLUDING FAULKNER, PERRY, POPE, CONWAY, VAN BUREN, YELL, AND CLEBURNE COUNTIES. MANY OF THE AREAS SERVED ARE CONSIDERED RURAL, UNDER SERVED AREAS. CAUCASIANS ARE THE PRIMARY RACE FOLLOWED BY AFRICAN AMERICANS. WITH 5 COLLEGES/UNIVERSITIES IN THE SERVICE ARE, CONWAY REGIONAL HAS A LARGE POPULATION OF AGES 18 TO 30, BUT IT ALSO SERVES A LARGE POPULATION OF SENIORS. THE PRIMARY SERVICE AREA IS FAULKNER COUNTY, WHICH INCLUDES BOTH URBAN AND RURAL AREAS. THE ECONOMY OF FAULKNER COUNTY IS MAINLY COMPOSED OF THE MANUFACTURING, TECHNOLOGY, RETAIL, AND OIL AND GAS INDUSTRIES. THE POPULATION OF FAULKNER COUNTY IS 124,806 AS OF THE LATEST CHNA. THE MEDIAN AGE IS 32.3, WHICH IS APPROXIMATELY 5.5 YEARS YOUNGER THAN THE NATIONAL MEDIAN AGE. THE MEDIAN HOUSEHOLD INCOME IS $50,316. ALTHOUGH THIS IS HIGHER THAN THE ARKANSAS AVERAGE OF $43,813, THIS NUMBER WAS A 3.1% DECREASE SINCE THE LAST CHNA. FAULKNER COUNTY IS RANKED THE 4TH HEALTHIEST COUNTY IN ARKANSAS.
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 SEPTEMBER 1, 2015, THE MEDICAL CENTER'S BOARD OF DIRECTORS ENTERED INTO A FIVE-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, 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. AFTER THE INITIAL 5-YEAR TERM, THE AGREEMENT CAN BE RENEWED FOR SUCH ADDITIONAL TERMS AS MAY BE MUTUALLY AGREED TO BY THE PARTIES. 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

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Grant Records Maintained	Yes (true)	GrantRecordsMaintainedInd

Recipient Table RecipientTable (9 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Recipient EINRecipientEIN	IRC SectionIRCSectionDesc	Cash GrantCashGrantAmt	Purpose Of GrantPurposeOfGrantTxt
CONWAY AREA CHAMBER OF COMMERCE
900 WEST OAK STREET	CONWAY	AR	72032	710037470	501(C)(6)	$25,350	SPONSORSHIP
GREENBRIER CHAMBER OF COMMERCE
89B NORTH BROADVIEW STREET	GREENBRIER	AR	72058	710605181	501(C)(6)	$6,000	SPONSORSHIP
HAVEN
PO BOX 10105	CONWAY	AR	72034	237198398	501(C)(3)	$15,000	SPONSORSHIP
CONWAY PUBLIC SCHOOLS
2220 PRINCE STREET	CONWAY	AR	72034	352312254	501(C)(3)	$10,000	SPONSORSHIP
TOAD SUCK DAZE
900 WEST OAK STREET	CONWAY	AR	72032	464378633	501(C)(3)	$7,500	SPONSORSHIP
UNIVERSITY OF CENTRAL ARKANSAS FOUNDATION
201 DONAGHEY AVENUE	CONWAY	AR	72035	710550590	501(C)(3)	$194,100	SPONSORSHIP
UNITED WAY OF CENTRAL ARKANSAS
PO BOX 489	CONWAY	AR	72033	237222534	501(C)(3)	$5,250	SPONSORSHIP
ALL SPORTS PRODUCTIONS INC
1629 S RIVER MEADOWS DRIVE	FAYETTEVILLE	AR	72701	050561939		$7,500	SPONSORSHIP
CHI ALPHA CAMPUS MINISTRIES
PO BOX 10614	CONWAY	AR	72034	900077953	501(C)(3)	$15,000	SPONSORSHIP

Field	Value	IRS element (for citing)
Total501c3 Org	6	Total501c3OrgCnt
Total Other Org	3	TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	SCHEDULE I, PART I, LINE 2	FormAndLineReferenceDesc
Explanation	GRANTS ARE PROVIDED TO LOCAL COMMUNITY ORGANIZATIONS PRIMARILY. CONWAY REGIONAL EMPLOYEES WORK CLOSELY WITH THE ORGANIZATIONS, ASSURING FUNDS ARE USED AS ANTICIPATED.	ExplanationTxt

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Travel For Companions	Yes (X)	TravelForCompanionsInd
Club Dues Or Fees	Yes (X)	ClubDuesOrFeesInd
Written Policy Ref T And E Expnss	Yes (true)	WrittenPolicyRefTAndEExpnssInd
Substantiation Required	Yes (true)	SubstantiationRequiredInd
Severance Payment	false	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	false	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	false	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	false	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	false	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	Yes (true)	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	false	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	false	AnyNonFixedPaymentsInd
Initial Contract Exception	false	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (5 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
RODNEY MCCARVER MD
PHYSICIAN	$700,003	$0	$79,166	$0	$0	$0	$18,078	$0	$6,200	$0	$803,447	$0	$0	$0
OWEN MAAT MD
PHYSICIAN	$511,678	$0	$290,561	$0	$0	$0	$18,623	$0	$6,200	$0	$827,062	$0	$0	$0
JAMES HOWELL MD
PHYSICIAN	$583,863	$0	$289,581	$0	$0	$0	$17,634	$0	$6,200	$0	$897,278	$0	$0	$0
JAMES HEAD MD
PHYSICIAN	$535,207	$0	$301,150	$0	$0	$0	$15,787	$0	$6,904	$0	$859,048	$0	$0	$0
HARRY SMITH MD
PHYSICIAN	$597,363	$0	$259,447	$0	$0	$0	$17,320	$0	$6,200	$0	$880,330	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
SCHEDULE J, PART I, LINE 1A	MEMBERSHIP TO CONWAY REGIONAL HEALTH AND FITNESS CENTER, TREATED AS TAXABLE COMPENSATION. SPOUSAL TRAVEL TO BOARD RETREAT TREATED AS TAXABLE COMPENSATION.
SCHEDULE J, PART I, LINE 6A	A PORTION OF MANAGEMENT'S ANNUAL BONUS IS BASED ON THE ORGANIZATION'S PROFITS AND HOW IT COMPARES TO BUDGET.

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (3 entries)

Bond ReferenceBondReferenceCd	Bond Issuer EINBondIssuerEIN	CUSIPCUSIPNum	Bond IssuedBondIssuedDt	Issue PriceIssuePriceAmt	PurposePurposeDesc	DefeasedDefeasedInd	On Behalf Of IssuerOnBehalfOfIssuerInd	Pool FinancingPoolFinancingInd
CITY OF CONWAY AR - HEALTH FACILITIES BOARD
A	731574175	212584CS3	2012-03-15	$18,363,658	CAPITAL IMPROVEMENTS	false	false	false
CITY OF CONWAY AR - HEALTH FACILITIES BOARD
B	731574175	212584DC7	2018-12-27	$34,890,730	CAPITAL IMPROVEMENTS	false	false	false
CITY OF CONWAY AR - HEALTH FACILITIES BOARD
C	731574175	212584DU7	2019-11-05	$17,852,782	REFUNDED BOND ISSUED 12/08/2009	false	false	false

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (3 entries)

Bond ReferenceBondReferenceCd	RetiredRetiredAmt	Bond DefeasedBondDefeasedAmt	Total ProceedsTotalProceedsAmt	In Reserve FundInReserveFundAmt	Capitalized InterestCapitalizedInterestAmt	Refunding EscrowRefundingEscrowAmt	Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt	Credit EnhancementCreditEnhancementAmt	Working Capital ExpendituresWorkingCapitalExpendituresAmt	Capital ExpendituresCapitalExpendituresAmt	Other Spent ProceedsOtherSpentProceedsAmt	UnspentUnspentAmt	Substantial CompletionSubstantialCompletionYr	Refunding Tax Exempt BondsRefundingTaxExemptBondsInd	Refunding Taxable BondsRefundingTaxableBondsInd	Final Allocation MadeFinalAllocationMadeInd	Adequate Books And Rec MaintAdequateBooksAndRecMaintInd
A	$3,760,000	$0	$18,405,335	$1,097,926	$0	$0	$262,329	$0	$0	$17,203,124	$0	$525,637	2012	false	false	false	Yes (true)
B	$0	$0	$34,890,730	$2,302,111	$0	$0	$584,285	$0	$0	$17,631,129	$0	$15,054,086		false	false	false	Yes (true)
C	$800,000	$0	$17,852,782	$1,564,500	$0	$0	$335,454	$0	$0	$15,948,276	$0	$882,144		Yes (true)	false	false	Yes (true)

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (3 entries)

Bond ReferenceBondReferenceCd	Owning Bond Financed PropertyOwningBondFinancedPropertyInd	Any Lease ArrangementsAnyLeaseArrangementsInd	Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd	Any Research AgreementsAnyResearchAgreementsInd	Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd	Change In Use Bond Financed PropChangeInUseBondFinancedPropInd	Remedial Action TakenRemedialActionTakenInd	Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
A	false	false	false	false	false	false	false	Yes (true)
B	false	false	false	false	false	false	false	Yes (true)
C	false	false	false	false	false	false	false	Yes (true)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (3 entries)

Bond ReferenceBondReferenceCd	Form8038 T FiledForm8038TFiledInd	Rebate Not Due YetRebateNotDueYetInd	Exception To RebateExceptionToRebateInd	No Rebate DueNoRebateDueInd	Variable Rate IssueVariableRateIssueInd	Hedge Identified In Bks And RecHedgeIdentifiedInBksAndRecInd	Gross Proceeds Invested In GICGrossProceedsInvestedInGICInd	Business Name Line1GICProviderName/BusinessNameLine1Txt	Gross Proceeds InvestedGrossProceedsInvestedInd	Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd
0
A	false	false	false	Yes (true)	false	false	false	0	false	Yes (true)
0
B	false	Yes (true)	false	false	false	false	false	0	false	Yes (true)
0
C	false	Yes (true)	false	false	false	false	false	0	false	Yes (true)

Procedures Corrective Action ProceduresCorrectiveActionGrp (3 entries)

Bond ReferenceBondReferenceCd	Procedures Corrective ActionProceduresCorrectiveActionInd
A	Yes (true)
B	Yes (true)
C	Yes (true)

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FORM 990, SCHEDULE K, PART I, LINE A&B	SERIES 2012 BONDS ARE CALCULATED ON THE TAX YEAR END, 08/01/2020. SERIES 2018 BONDS ARE CALCULATED ON THE BOND YEAR END, 12/27/2020. SERIES 2019 BONDS ARE CALCULATED ON THE BOND YEAR END, 11/05/2020.
FORM 990, SCHEDULE K, PART II, LINE 3	THE TOTAL PROCEEDS OF ISSUE IS DIFFERENT THAN THE ISSUE PRICE, DUE TO INVESTMENT EARNINGS INCLUDED.
FORM 990, SCHEDULE K, PART IV, LINE 2C	SERIES 2012 THE LAST REBATE CALCULATION DATE WAS 08/01/2016.

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (14 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 3	EFFECTIVE SEPTEMBER 1, 2015, THE MEDICAL CENTER'S BOARD OF DIRECTORS ENTERED INTO A FIVE-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, CHIEF FINANCIAL OFFICER, CHIEF OPERATING 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, 2020 WERE $4,999,097.
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, LINES 15A & 15B	CONWAY REGIONAL MEDICAL CENTER DOES NOT COMPENSATE ANY TOP MANAGEMENT OFFICICALS, 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.
FORM 990, PART XI, LINE 9	INVESTMENT INCOME FROM K-1S INCLUDED IN REVENUE $43,372 TRANSFERS FROM AFFILIATES $242,503 ------------------------ TOTAL $285,875
FORM 990 PART IX LINE 11G	DESCRIPTION:PURCHASED SERVICES TOTAL FEES:9261978
FORM 990 PART IX LINE 11G	DESCRIPTION:PHYSICIAN FEES TOTAL FEES:6839490
FORM 990 PART IX LINE 11G	DESCRIPTION:EQUIPMENT SERVICE TOTAL FEES:6329305
FORM 990 PART IX LINE 11G	DESCRIPTION:CONTRACTS TOTAL FEES:4226287
FORM 990 PART IX LINE 11G	DESCRIPTION:MEDICAL SERVICES TOTAL FEES:622531
FORM 990 PART IX LINE 11G	DESCRIPTION:CLEANING & LAUNDRY SERVICE TOTAL FEES:543169
FORM 990 PART IX LINE 11G	DESCRIPTION:OTHER FEES TOTAL FEES:533255
FORM 990 PART IX LINE 11G	DESCRIPTION:AGENCY STAFF TOTAL FEES:409692

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp

Disregarded Entity Name DisregardedEntityName

Field	Value	IRS element (for citing)
Business Name Line1	THIRD TABLE LLC	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	2302 COLLEGE AVENUE	AddressLine1Txt
City	CONWAY	CityNm
State Abbreviation	AR	StateAbbreviationCd
ZIP	72034	ZIPCd

Field	Value	IRS element (for citing)
EIN	833232713	EIN
Primary Activities	CONTRACT MGMT	PrimaryActivitiesTxt
Legal Domicile State	AR	LegalDomicileStateCd
Total Income	$0	TotalIncomeAmt
End Of Year Assets	$0	EndOfYearAssetsAmt

Direct Controlling Entity Name DirectControllingEntityName

Field	Value	IRS element (for citing)
Business Name Line1	CRMC	BusinessNameLine1Txt

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (2 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Controlled OrganizationControlledOrganizationInd
CONWAY REGIONAL HEALTH FOUNDATION
2302 COLLEGE AVE	CONWAY	AR	73034	710797723	SUPPORT	AR	501(C)(3)	12A	CRMC	Yes (true)
CR HOSPITAL EMPLOYEES' MEDICAL TRUST
2302 COLLEGE AVE	CONWAY	AR	72034	521561768	INSURANCE	AR	501(C)(9)		CRMC	Yes (true)

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp

Related Organization Name RelatedOrganizationName

Field	Value	IRS element (for citing)
Business Name Line1	CONWAY REG REHAB	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	2210 ROBINSON AVE	AddressLine1Txt
City	CONWAY	CityNm
State Abbreviation	AR	StateAbbreviationCd
ZIP	72034	ZIPCd

Field	Value	IRS element (for citing)
EIN	412136339	EIN
Primary Activities	IP REHAB SERVICES	PrimaryActivitiesTxt
Legal Domicile State	AR	LegalDomicileStateCd

Direct Controlling Entity Name DirectControllingEntityName

Field	Value	IRS element (for citing)
Business Name Line1	CRMC	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Predominant Income Type	RELATED	PredominantIncomeTypeTxt
Share Of Total Income	$747,003	ShareOfTotalIncomeAmt
Share Of EOY Assets	$2,465,420	ShareOfEOYAssetsAmt
Disproportionate Allocations	false	DisproportionateAllocationsInd
UBI Code V	$0	UBICodeVAmt
General Or Managing Partner	Yes (true)	GeneralOrManagingPartnerInd
Ownership	0.66200	OwnershipPct

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp

Related Organization Name RelatedOrganizationName

Field	Value	IRS element (for citing)
Business Name Line1	INSTITUTIONAL SERVICES CORPORATION	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	2302 COLLEGE AVE	AddressLine1Txt
City	CONWAY	CityNm
State Abbreviation	AR	StateAbbreviationCd
ZIP	72034	ZIPCd

Field	Value	IRS element (for citing)
EIN	710575886	EIN
Primary Activities	PROP OWNERSHIP	PrimaryActivitiesTxt
Legal Domicile State	AR	LegalDomicileStateCd

Direct Controlling Entity Name DirectControllingEntityName

Field	Value	IRS element (for citing)
Business Name Line1	CRMC	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Entity Type	C CORPORATION	EntityTypeTxt
Share Of Total Income	$352,161	ShareOfTotalIncomeAmt
Share Of EOY Assets	$928,499	ShareOfEOYAssetsAmt
Ownership	1.00000	OwnershipPct
Controlled Organization	Yes (true)	ControlledOrganizationInd

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	false	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	false	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	false	GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org	false	LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org	false	LoansOrGuaranteesFromOthOrgInd
Div Related Organization	false	DivRelatedOrganizationInd
Asset Sale To Other Org	false	AssetSaleToOtherOrgInd
Asset Purchase From Other Org	false	AssetPurchaseFromOtherOrgInd
Asset Exchange	false	AssetExchangeInd
Rental Of Facilities To Oth Org	false	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	Yes (true)	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	Yes (true)	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	Yes (true)	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	Yes (true)	SharingOfFacilitiesInd
Paid Employees Sharing	Yes (true)	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	Yes (true)	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	Yes (true)	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	Yes (true)	TransferToOtherOrgInd
Transfer From Other Org	Yes (true)	TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (8 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
CONWAY REGIONAL HEALTH FOUNDATION
K	$477,227	FMV
INSTITUTIONAL SERVICES CORPORATION
K	$294,469	FMV
CONWAY REGIONAL HEALTH FOUNDATION
L	$412,728	FMV
CONWAY REGIONAL REHABILITATION HOSPITAL
L	$406,907	FMV
CONWAY REGIONAL HEALTH FOUNDATION
O	$318,017	FMV
CONWAY REGIONAL HEALTH FOUNDATION
P	$410,478	FMV
CR EMPLOYEE MEDICAL TRUST
R	$7,877,705	FMV
CONWAY REGIONAL HEALTH FOUNDATION
S	$361,381	FMV