2021-11-15T11:54:05-06:00 2020-12-31 BKD LLP PO BOX 3667 LITTLE ROCK AR 722033667 990 2020-01-01 710249735 CONWAY REGIONAL MEDICAL CENTER INC % TROY BROOKS CFO CONW 5013293831 2302 COLLEGE AVENUE CONWAY AR 72034 TROY BROOKS CFO 5013293831 2021-11-12 true TROY BROOKS 000000000 AMBER SHERRILL P00748683 5013721040 2 2020 2022-09-23 18:48:47Z MATTHEW TROUP 2302 COLLEGE AVENUE CONWAY AR 72034 236990604 false X WWW.CONWAYREGIONAL.ORG X 1938 AR PROVISION OF INPATIENT, OUTPATIENT, GERIATRIC, PSYCHIATRIC, CARDIAC, EMERGENCY CARE AND OTHER PATIENT CARE SERVICES TO PATIENTS IN CONWAY AND SURROUNDING AREAS. 9 6 2065 57 3513176 0 192401 9708635 194422725 201673025 4090684 3242993 8141657 944853 206847467 215569506 177252 295700 0 0 93589640 108068521 0 0 332631 105694012 103781755 199460904 212145976 7386563 3423530 247759900 277338838 106233770 130002894 141526130 147335944 CONWAY REGIONAL MEDICAL CENTER IS ACCOUNTABLE TO THE COMMUNITY TO PROVIDE HIGH-QUALITY AND COMPASSIONATE HEALTH CARE SERVICES. false false 169090529 295700 198147673 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. 169090529 true true false false false false false false false false true false true true true false false true false false false false false false false false true true true false true true false false false false false false false false false false false false false false true true true true false false true 190 0 true 2065 true true true false false false false false false false false false false false X 9 6 false true false false false false false true true false false true true true true true true false false true true AR X TROY BROOKS CFO 5014502112 2302 COLLEGE AVE CONWAY AR 72034 X JAMES HOWELL MD PHYSICIAN 40.0 0.0 X 873444 0 23834 HARRY SMITH MD PHYSICIAN 40.0 0.0 X 856810 0 23520 JAMES HEAD MD PHYSICIAN 40.0 0.0 X 836357 0 22691 OWEN MAAT MD PHYSICIAN 40.0 0.0 X 802239 0 24823 RODNEY MCCARVER MD PHYSICIAN 40.0 0.0 X 779169 0 24278 ANDREW COLE MD BOARD MEMBER 1.0 1.0 X 40957 0 0 THAD HARDIN MD BOARD MEMBER 1.0 1.0 X 37276 0 0 WAYNE COX BOARD MEMBER 1.0 1.0 X 3537 0 0 ANDREA WOODS JD CHAIRMAN 1.0 1.0 X X 1618 0 0 CORNELL MALTBIA BOARD MEMBER 1.0 1.0 X 1618 0 0 JEFF STANDRIDGE BOARD MEMBER 1.0 1.0 X 1618 0 0 TOM POE BOARD MEMBER 1.0 1.0 X 1353 0 0 MATTHEW TROUP CHIEF EXECUTIVE OFFICER 40.0 1.0 X 934 0 0 JIM RANKIN JR JD VICE CHAIR 1.0 1.0 X X 684 0 0 BARBARA WILLIAMS PHD RN BOARD MEMBER 1.0 1.0 X 0 0 84 ALAN FINLEY CHIEF OPERATING OFFICER 40.0 1.0 X 0 0 0 ANGIE LONGING RN CHIEF NURSING OFFICER 40.0 1.0 X 0 0 0 TROY BROOKS CHIEF FINANCIAL OFFICER 40.0 1.0 X 0 0 0 4237614 0 119230 136 false true false ST VINCENT HEALTH SYSTEM 2 ST VINCENT CIRCLE LITTLE ROCK AR 72205 MANAGEMENT SERVICES 4999097 EDAFIO TECHNOLOGIES 5400 NORTHSHORE DRIVE NORTH LITTLE ROCK AR 72118 IT SERVICES 2167352 THERAPY AND REHAB SOLUTIONS INC 7115 SOUTH SPRINGS DRIVE FRANKLIN TN 37067 REHAB SERVICES 2751027 CATHOLIC HEALTH INITIATIVES 3900 OLYMPIC BOULEVARD ERLANGER KY 41018 CLINICAL ENGINEERING 2279308 MAYO COLLABORATIVE SERVICES INC PO BOX 4100 ROCHESTER MN 559034100 LAB SERVICES 2019186 44 241381 9299563 167691 9708635 PATIENT SERVICES 621110 191147207 191147207 REFERENCE LAB 621610 3956801 431449 3525352 MANAGEMENT FEES 561110 1945621 1945621 HEALTH/FITNESS CENTER 713940 1730125 1730125 CAFETERIA SALES 722310 895119 895119 1998152 1998152 201673025 1951677 -43372 1995049 0 84 84 14641 14641 0 14641 14641 22710334 2080 21420118 980 1290216 1100 1291316 1291316 0 0 0 0 0 0 0 0 0 SUPPLY REBATES 900099 435425 435425 GIFT SHOP SALES 453220 109572 109572 CREDENTIALING SERVICES 900099 38353 38353 346778 31196 315582 930128 215569506 198147673 3513176 4200022 295700 295700 0 0 0 89595 89595 0 89912414 67757477 21822306 332631 2117874 1601944 515930 10201441 7716294 2485147 5747197 4347137 1400060 3797769 2872604 925165 174047 131648 42399 415245 314088 101157 0 0 422173 319328 102845 28765707 21758165 7007542 0 857147 648340 208807 7461870 5644103 1817767 143918 108858 35060 0 3170451 2398105 772346 318638 241015 77623 0 238920 180717 58203 1449040 1096043 352997 0 12844946 9715821 3129125 1408649 1065492 343157 PHARMACEUTICALS & MED SUPPLIES 33714681 33714681 MCD PROVDER TAX 2705525 2705525 REPAIRS & MAINTENANCE 1027335 777069 250266 DIETARY EXPENSES 1022425 773355 249070 3843269 2907020 936249 212145976 169090529 42722816 332631 2325481 250649 13441369 40447895 0 0 19929507 24696764 0 0 0 0 0 0 3748282 3719428 832021 1312069 269109766 171852867 80277187 97256899 0 0 0 0 67535988 71988481 93466 137551 59576599 37529102 247759900 277338838 21324712 22982564 0 0 195264 7752890 66525277 63270356 0 0 0 0 3726955 8615161 0 0 14461562 27381923 106233770 130002894 X 141526130 147335944 0 0 141526130 147335944 247759900 277338838 X 3423530 2100409 285875 X false true X true false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 6165675 6165675 135071544 79049586 56021958 3060336 1501382 1558954 115011667 91301899 23709768 9800544 9800544 97256899 BOARD DESIGNATED INVESTMENTS 71988481 F 71988481 FUNDS HELD BY TRUSTEE 22273417 OTHER RECEIVABLES 560927 INTERCOMPANY RECEIVABLES 103946 INVESTMENT IN SUBSIDIARIES 3712958 ROU ASSETS - OPERATING LEASE 5904498 RESERVE - CD 1245943 DUE FROM DRMC 3727413 37529102 0 ESTIMATED 3RD PARTY SETTLEMENT 17904788 ASSET RETIREMENT ENVIRON. RES. 840410 DUE TO AFFILIATES 23230 TAXABLE BONDS 2635952 OPERATING LEASE LIABILITY 5977543 27381923 217205071 2100409 43372 2143781 215061290 508216 508216 215569506 211880263 242503 242503 211637760 508216 508216 212145976 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 true true X true X 225. true X true true false true true 947924 947924 0.00450 23857726 18676219 5181507 0.02440 24805650 18676219 6129431 0.02890 13307 13307 0.00010 28896008 17923577 10972431 0.05180 28909315 17923577 10985738 0.05190 53714965 36599796 17115169 0.08080 true 41524416 42262943 -738527 X true true CONWAY REGIONAL REHA ADMIN SERVICES 0.662 0.338 CONWAY REGIONAL PHO ADMIN SERVICES 0.5 0.5 2 1 CONWAY REGIONAL MEDICAL CENTER INC 2302 COLLEGE AVENUE CONWAY AR 72034 WWW.CONWAYREGIONAL.ORG AR2657 X X X A 2 CONWAY REGIONAL REHABILITATION HOSPIT 2210 ROBINSON AVENUE CONWAY AR 72034 WWW.CONWAYREGIONAL.ORG/REHABILITATIONHOS AR4261 X REHAB HOSPITAL A A 12 false false true X X X X X X X X X 19 true true false true X SEE ATTACHMENT X X true 19 true SEE ATTACHMENT false true X 225. 300. X X X X X true true X X X X true X WWW.CONWAYREGIONAL.ORG X WWW.CONWAYREGIONAL.ORG X WWW.CONWAYREGIONAL.ORG X X X X X X true X false X X X X true X false false 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. 31 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 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 true CONWAY AREA CHAMBER OF COMMERCE 900 WEST OAK STREET CONWAY AR 72032 710037470 501(C)(6) 25350 SPONSORSHIP GREENBRIER CHAMBER OF COMMERCE 89B NORTH BROADVIEW STREET GREENBRIER AR 72058 710605181 501(C)(6) 6000 SPONSORSHIP HAVEN PO BOX 10105 CONWAY AR 72034 237198398 501(C)(3) 15000 SPONSORSHIP CONWAY PUBLIC SCHOOLS 2220 PRINCE STREET CONWAY AR 72034 352312254 501(C)(3) 10000 SPONSORSHIP TOAD SUCK DAZE 900 WEST OAK STREET CONWAY AR 72032 464378633 501(C)(3) 7500 SPONSORSHIP UNIVERSITY OF CENTRAL ARKANSAS FOUNDATION 201 DONAGHEY AVENUE CONWAY AR 72035 710550590 501(C)(3) 194100 SPONSORSHIP UNITED WAY OF CENTRAL ARKANSAS PO BOX 489 CONWAY AR 72033 237222534 501(C)(3) 5250 SPONSORSHIP ALL SPORTS PRODUCTIONS INC 1629 S RIVER MEADOWS DRIVE FAYETTEVILLE AR 72701 050561939 7500 SPONSORSHIP CHI ALPHA CAMPUS MINISTRIES PO BOX 10614 CONWAY AR 72034 900077953 501(C)(3) 15000 SPONSORSHIP 6 3 SCHEDULE I, PART I, LINE 2 GRANTS ARE PROVIDED TO LOCAL COMMUNITY ORGANIZATIONS PRIMARILY. CONWAY REGIONAL EMPLOYEES WORK CLOSELY WITH THE ORGANIZATIONS, ASSURING FUNDS ARE USED AS ANTICIPATED. X X true true false false false false false true false false false RODNEY MCCARVER MD PHYSICIAN 700003 0 79166 0 0 0 18078 0 6200 0 803447 0 0 0 OWEN MAAT MD PHYSICIAN 511678 0 290561 0 0 0 18623 0 6200 0 827062 0 0 0 JAMES HOWELL MD PHYSICIAN 583863 0 289581 0 0 0 17634 0 6200 0 897278 0 0 0 JAMES HEAD MD PHYSICIAN 535207 0 301150 0 0 0 15787 0 6904 0 859048 0 0 0 HARRY SMITH MD PHYSICIAN 597363 0 259447 0 0 0 17320 0 6200 0 880330 0 0 0 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. A CITY OF CONWAY AR - HEALTH FACILITIES BOARD 731574175 212584CS3 2012-03-15 18363658 CAPITAL IMPROVEMENTS false false false B CITY OF CONWAY AR - HEALTH FACILITIES BOARD 731574175 212584DC7 2018-12-27 34890730 CAPITAL IMPROVEMENTS false false false C CITY OF CONWAY AR - HEALTH FACILITIES BOARD 731574175 212584DU7 2019-11-05 17852782 REFUNDED BOND ISSUED 12/08/2009 false false false A 3760000 0 18405335 1097926 0 0 262329 0 0 17203124 0 525637 2012 false false false true B 0 0 34890730 2302111 0 0 584285 0 0 17631129 0 15054086 false false false true C 800000 0 17852782 1564500 0 0 335454 0 0 15948276 0 882144 true false false true A false false false false 0 false false false true B false false false false 0 false false false true C false false false false 0 false false false true A false false false true false false 0 false 0 false true B false true false false false false 0 false 0 false true C false true false false false false 0 false 0 false true A true B true C true 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. 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 THIRD TABLE LLC 2302 COLLEGE AVENUE CONWAY AR 72034 833232713 CONTRACT MGMT AR 0 0 CRMC CONWAY REGIONAL HEALTH FOUNDATION 2302 COLLEGE AVE CONWAY AR 73034 710797723 SUPPORT AR 501(C)(3) 12A CRMC true CR HOSPITAL EMPLOYEES' MEDICAL TRUST 2302 COLLEGE AVE CONWAY AR 72034 521561768 INSURANCE AR 501(C)(9) CRMC true CONWAY REG REHAB 2210 ROBINSON AVE CONWAY AR 72034 412136339 IP REHAB SERVICES AR CRMC RELATED 747003 2465420 false 0 true 0.66200 INSTITUTIONAL SERVICES CORPORATION 2302 COLLEGE AVE CONWAY AR 72034 710575886 PROP OWNERSHIP AR CRMC C CORPORATION 352161 928499 1.00000 true false false false false false false false false false false true true true true true true true true true CONWAY REGIONAL HEALTH FOUNDATION K 477227 FMV INSTITUTIONAL SERVICES CORPORATION K 294469 FMV CONWAY REGIONAL HEALTH FOUNDATION L 412728 FMV CONWAY REGIONAL REHABILITATION HOSPITAL L 406907 FMV CONWAY REGIONAL HEALTH FOUNDATION O 318017 FMV CONWAY REGIONAL HEALTH FOUNDATION P 410478 FMV CR EMPLOYEE MEDICAL TRUST R 7877705 FMV CONWAY REGIONAL HEALTH FOUNDATION S 361381 FMV