2020-08-17T16:54:22-05:00 2019-09-30 Grant Thornton LLP 201 S COLLEGE ST STE 2500 CHARLOTTE NC 28244 990 2018-10-01 570314381 Conway Hospital Inc % BRIAN ARGO CONW 8433478037 300 SINGLETON RIDGE ROAD CONWAY SC 29526 BRIAN ARGO CFO 8433478037 2020-08-17 true Michele N Melchior P00488037 7046323500 68.23.17.128 56917520202305000009 2020-08-17 P 3CB246147D82D6CF537EA83D080ABF80292F9F5B 66BCC08F45C5522280F29D9EF7A99A39E4FFA4D3 2018 2020-09-22 18:59:49Z Conway Medical Center BRET BARR 300 SINGLETON RIDGE ROAD CONWAY SC 29526 236616227 false X WWW.CONWAYMEDICALCENTER.COM X 1928 SC WE ARE AN ACUTE CARE HOSPITAL SERVING HORRY AND SURROUNDING COUNTIES. OUR MISSION IS TO IMPROVE THE OVERALL HEALTH OF THE COMMUNITY BY BEING A LEADER IN HEALTH CARE. 13 12 1404 271 56687 430055 1033568 161828950 183801959 15251896 12981840 292733 559749 177803634 198377116 16328 17053 0 0 72300139 73132143 0 0 0 89385799 89525615 161702266 162674811 16101368 35702305 518162163 547033854 141376923 133099451 376785240 413934403 X CONWAY HOSPITAL INC., LOCATED IN CONWAY, SOUTH CAROLINA, IS A NOT-FOR-PROFIT ACUTE CARE HOSPITAL THAT PROVIDES INPATIENT, OUTPATIENT AND EMERGENCY CARE SERVICES GENERALLY FOR RESIDENTS OF HORRY AND SURROUNDING COUNTIES. false false 132282283 17053 184305021 CONWAY HOSPITAL INC. IS A 210 BED ACUTE FACILITY LOCATED IN THE CITY OF CONWAY, SOUTH CAROLINA. THE HOSPITAL WAS ORGANIZED UNDER THE LAWS OF THE STATE OF SOUTH CAROLINA IN 1928 FOR THE PURPOSE OF OPERATING A COMMUNITY HOSPITAL IN HORRY COUNTY. THE HOSPITAL WAS CREATED FOR THE PURPOSE OF PROMOTING HEALTH FOR ALL RESIDENTS OF HORRY COUNTY AND ITS OUTLYING AREAS. THE PROMOTION OF HEALTH HAS BEEN ESTABLISHED AS A CHARITABLE PURPOSE UNDER INTERNAL REVENUE CODE (IRC) SECTION 501(C)3 REVENUE RULE 69-545, 1969-2 C B 117, AS MODIFIED BY REV RUL 83-157, 1983-2 C B 94, WHICH SETS FORTH THE FACTORS THE INTERNAL REVENUE SERVICE WILL CONSIDER IN DETERMINING WHETHER A NONPROFIT HOSPITAL QUALIFIES FOR TAX EXEMPT STATUS. THE HOSPITAL HAS A BOARD OF TRUSTEES COMPOSED OF INDEPENDENT CIVIC LEADERS AND PHYSICIANS. AN OPEN MEDICAL STAFF IS MAINTAINED BY THE HOSPITAL, WITH PRIVILEGES AVAILABLE TO ALL QUALIFIED PHYSICIANS. ALSO, THE HOSPITAL PROVIDES EMERGENCY AND NON-EMERGENCY CARE TO ANYONE REGARDLESS OF THEIR ABILITY TO PAY, EITHER DIRECTLY OR THROUGH THIRD-PARTY REIMBURSEMENT, INCLUDING MEDICARE AND MEDICAID. DURING THE YEAR ENDED SEPTEMBER 30, 2019, THE HOSPITAL FURNISHED CHARITY CARE IN THE AMOUNT OF $18,420,168 IN FOREGONE CHARGES. THE TOTAL DAYS OF PATIENT CARE WERE 34,900 AND CONWAY HOSPITAL INC. SAW A TOTAL OF 132,849 PATIENTS DURING THE YEAR. IN ADDITION TO PROVIDING PATIENT CHARITY CARE, AND IN FURTHERANCE OF ITS EXEMPT PURPOSE TO BENEFIT THE COMMUNITY, THE HOSPITAL OFFERS A MOBILE OUTREACH PROGRAM. THIS PROGRAM OFFERS FREE SCREENING SERVICES TO MEDICALLY UNDERSERVED AREAS OF OUR COMMUNITY. THESE AREAS ARE DESIGNATED AS SUCH THROUGH CENSUS DATA AND HEALTH SERVICE AREA STATISTICS. EXAMPLES OF SCREENING SERVICES OFFERED ON A WEEKLY BASIS INCLUDE BLOOD PRESSURE, CHOLESTEROL AND BLOOD SUGAR. EXAMPLES OF SCREENING SERVICES OFFERED THROUGHOUT THE YEAR INCLUDE MEDICAL BREAST EXAMS, PROSTATE CANCER EXAMS, THYROID SCREENINGS, AND PAP EXAMS. IN ADDITION, HEALTH EDUCATION AND REFERRAL ASSISTANCE ARE PROVIDED. THE HOSPITAL ALSO OFFERS FREE HEALTH SCREENINGS AND HEALTH EDUCATION PROGRAMS TO THE COMMUNITY AT LARGE RELATED TO SMOKING CESSATION, BREAST CANCER AWARENESS, HEART DISEASE PREVENTION AND EARLY DETECTION, NUTRITION AND WEIGHT MANAGEMENT, DIABETES EDUCATION, BREASTFEEDING EDUCATION. SELF HELP AND SUPPORT GROUPS ARE ALSO PROVIDED AT NO COST TO THE COMMUNITY ON A VARIETY OF TOPICS. FAMILY SUPPORT SERVICES ARE ALSO OFFERED TO ASSIST COMMUNITY MEMBERS IN LOCATING OTHER FREE OR REDUCED SERVICES AVAILABLE IN THE COMMUNITY IN ORDER TO IMPROVE THEIR HEALTH OUTCOMES. 132282283 true true false true false false false false false true true false false true true true false true false false false false false false false false true true true false true true false false false false false true false false false false false false false false false true true true false false true 127 0 true 1404 true true true false false false false false false false false false false false X 13 12 true false false false false false false true true false false true true true true true true true true true true NC SC X BRIAN ARGO 8433478037 300 SINGLETON RIDGE ROAD CONWAY SC 29526 BRET BARR CEO&TRUSTEE 40.0 5.0 X X 569863 0 81354 LEROY RAINBOW JR CHAIRMAN 1.0 1.0 X X 0 0 0 M WAYNE STATON SECRETARY 1.0 2.0 X X 0 0 0 WILLIAM R BENSON TRUSTEE 1.0 1.0 X 0 0 0 DR REGINALD F DAVES TRUSTEE 1.0 2.0 X 0 0 0 Dr MICHAEL ELLIS TRUSTEE 1.0 1.0 X 0 0 0 DIANNE W RAY TRUSTEE 1.0 1.0 X 0 0 0 CHRISTI EVERETTE TRUSTEE 1.0 2.0 X 0 0 0 HEATHER VON HERRMANN TRUSTEE 1.0 2.0 X 0 0 0 DR HAL B HOLMES TRUSTEE 1.0 1.0 X 0 0 0 DR DEIRDRE S WILLIAMS DDS TRUSTEE 1.0 1.0 X 0 0 0 DENNIS WADE TRUSTEE 1.0 1.0 X 0 0 0 GEORGE N MAGRATH JR TRUSTEE 1.0 2.0 X 0 0 0 BRIAN ARGO CFO 40.0 5.0 X 345250 0 77682 TONY MINSHEW VP OF NURSING 40.0 0.0 X 298325 0 59876 MATTHEW SECURRO VP OF HUMAN RESOURCES 40.0 0.0 X 260661 0 55167 PAUL RICHARDSON VP OF MEDICAL AFFAIRS 40.0 0.0 X 423208 0 82741 ANGELA WILLIFORD CHIEF RISK OFFICER 40.0 0.0 X 248421 0 54745 KEVIN LOVETT VP OF FACILITIES 40.0 0.0 X 224536 0 55872 ROBERT GAJEWSKI DIRECTOR OF PHARMACY 40.0 0.0 X 167927 0 35033 TERRI PICKENS FRMR DIR ODSU / CURRENT RN 40.0 0.0 X 178054 0 31529 FRANK GRELLA DIRECTOR OF PATIENT ACCTING 40.0 0.0 X 145203 0 18133 GLENN SISK PHARMACIST 40.0 0.0 X 142673 0 33695 WENDELL BEVERLY CLINICAL PHARMACY COORDINATOR 40.0 0.0 X 149065 0 34511 TERRENCE J EGAN FORMER VP OF FOUNDATION 0.0 0.0 X 163748 0 25314 DAVID CRUTCHFIELD FORMER CIO 0.0 0.0 X 315105 0 23466 3632039 0 669118 43 true true false MONTEITH CONSTRUCTION CORP 32 N FRONT STREET WILMINGTON NC 28401 construction 4029045 HOSPITAL MEDICINE ASSOCIATES LLC PO BOX 634850 CINCINNATI OH 45263 PHYSICIAN 3504935 CERNER 5TH FLOOR 2800 ROCKCREEK PKWY KANSAS CITY MO 64117 TECHNICAL 2834615 PREMIER HEALTHCARE SOLUTIONS 13034 BALLANTYNE CORP PLACE CHARLOTTE NC 28277 Technical 1152428 ALLIED UNIVERSAL SECURITY 1551 N TUSTIN AVE SUITE 650 SANTA ANA CA 92705 SECURITY 932364 41 210202 103366 720000 1033568 NET PATIENT REVENUE 621990 181435653 181435653 0 0 DIETARY REVENUE 624210 1029881 997321 32560 0 PHARMACY 900099 243371 243371 0 0 ALL OTHER PROGRAM REVENUE 900099 1101465 1077338 24127 0 COASTAL HOME CARE 900099 -8411 -8411 0 0 183801959 7628651 7628651 0 0 559749 559749 0 559749 559749 41080970 2511330 38192571 46540 2888399 2464790 5353189 5353189 0 0 0 0 0 0 0 0 0 0 198377116 184305021 56687 12981840 17053 17053 0 0 0 3683754 736750 2947004 0 51900712 41520570 10380142 2061510 1832152 229358 11575359 9357806 2217553 3910808 3128646 782162 9762148 7809718 1952430 1215968 972774 243194 159669 127735 31934 5298 5298 0 0 7452928 5962343 1490585 0 1434102 1147282 286820 5628143 5628143 0 5633557 4506846 1126711 7039 7039 0 0 4050962 4050962 0 12390483 9912386 2478097 421124 336899 84225 MEDICAL SUPPLIES 34213825 34213825 0 0 MEDICAID PROVIDER TAX 3655415 3655415 0 0 FOOD SUPPLIES 1085561 868449 217112 0 TRAINING/EDUCATION 161807 129446 32361 0 2247586 1995226 252360 162674811 132282283 30392528 0 18963705 13181476 0 0 0 0 12125009 17063641 13697464 13599821 0 0 21879820 11294175 4367632 4114051 2025577 1904857 289598362 145805374 128032713 143792988 202840866 212361260 0 0 6453118 6840679 1454256 3618601 106322003 119262305 518162163 547033854 32895931 28164045 0 0 491730 491730 101728690 57935783 0 0 0 0 6260572 3289893 0 0 0 43218000 141376923 133099451 X 372514431 409071322 1064778 1347396 3206031 3515685 376785240 413934403 518162163 547033854 35702305 1446858 X false true X true false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false true 5298 5298 false OTHER ACTIVITIES SCHEDULE C, PART II-B, LINE 1I CONWAY HOSPITAL, INC. PAYS ANNUAL MEMBERSHIP DUES AS PART OF ITS MEMBERSHIP WITH THE SOUTH CAROLINA HOSPITAL ASSOCIATION AND A PERCENTAGE OF THESE DUES IS USED FOR LOBBYING ACTIVITIES. 4270811 671786 233327 312842 4863082 4109460 196531 363724 398904 4270811 3713543 321331 403119 328533 4109460 3486048 245249 187247 205001 3713543 3465824 266360 -46641 199495 3486048 0.28980 0.46440 0.24580 false true true 4134301 4134301 142363930 54278309 88085621 90090 65805 24285 136431866 87564306 48867560 6578175 3896954 2681221 143792988 DUE FROM AFFILIATES 111289224 BOND REFUNDING 3110000 BENEFICIAL INT. IN FOUNDATION 4863081 119262305 0 2019 REVENUE BOND 43218000 43218000 X ENDOWMENT FUNDS SCHEDULE D, PART V, LINE 4 ENDOWMENT FUNDS ARE HELD AND ADMINISTERED BY CONWAY HOSPITAL FOUNDATION. THE ENDOWMENT FUNDS BENEFIT A VARIETY OF PROGRAMS, INCLUDING: QUALITY PATIENT CARE AND SAFETY, PEDIATRIC AND CHILDREN'S MEDICINE, EQUIPMENT AND TECHNOLOGY IMPROVEMENTS, NURSING SCHOLARSHIPS AND OTHER PROGRAMS AND FUNDING AS IS CONSISTENT WITH THE WISHES AND DESIGNATIONS OF DONORS. LIABILITY FOR UNCERTAIN TAX POSITION (ASC 740) SCHEDULE D, PART X, LINE 2 THE HOSPITAL CONTINUES TO EVALUATE TAX POSITIONS RELATED TO ASC 740, "INCOME TAXES," WHICH PRESCRIBES FINANCIAL STATEMENT RECOGNITION THRESHOLD AND MEASUREMENT ATTRIBUTES FOR TAX POSITIONS TAKEN OR EXPECTED TO BE TAKEN IN TAX RETURNS. AS OF SEPTEMBER 30, 2019, THE TAX YEARS ENDED SEPTEMBER 30, 2019, 2018 AND 2017 FOR FEDERAL JURISDICTION REMAIN OPEN TO EXAMINATION. true true true X true X true true true false true true 4420224 4452780 -32556 0.00000 23043760 18802869 4240891 0.02610 27463984 23255649 4208335 0.02610 381 4079 203172 203172 0.00120 168 168 381 4079 203340 203340 0.00120 381 4079 27667324 23255649 4411675 0.02730 false 46389336 69496980 56589072 12907908 X true true 1 1 Conway Hospital Inc 300 Singleton Ridge Road Conway SC 29526 www.conwaymedicalcenter.com HTL-0083 X X X CONWAY HOSPITAL INC false false true X X X X X X X X X 18 true false false true X See Section C X true 19 true SEE SECTION C false true X 100 200. X X X X X true true X X X X true X See Section C X See Section C X See Section C X X X X X X X true X false X X X X true X false false CONWAY HOSPITAL, INC. SCHEDULE H, PART V, SECTION B, QUESTION 5: Understanding the community's health needs is an important component to the Conway Medical Center's mission. The process of this understanding has two major elements: 1) what do we know? This involved reviewing the secondary information available from a wide variety of sources to understand health needs and behaviors. This included reviewing local, state, and national healthcare and demographic variables. 2) What are we hearing? CMC wanted to gain understanding from the residents we serve. This was a critically important element in this process. We listened as residents shared their thoughts through surveys. Input was sought from public health leaders, physicians, business leaders, religious leaders, former patients, community advocacy groups, and community members. Community input: The Community Needs Assessment Team entered into dialogue with key hospital administrators, physicians, key community members, those with knowledge/expertise in public health, and those serving underserved and chronic disease populations. During this phase, the team conducted focus groups and surveys to gain this knowledge. The survey participant list in this phase: VP of Medical Affairs (Conway), VP of Nursing (Conway), Director of Case Management (Conway), Senior Service Line Director (Conway) Healthreach, Lawyer and CMC Foundation Board Member, Marketing Health Care Partners of SC, CEO of Health Care Partners of SC, Director of Clinical Operations and Nursing Health Care Partners of SC, COO Health Care Partners of SC, Chief Nursing Officer Light House Care Center, CEO Care Team Plus, Friendship Medical Clinic, Access Health Horry, State Representatives, Horry County Council members, Conway Mayor, Conway Mayor Pro Tem, Conway City Council member, Dept Chair Horry Georgetown Technical College, Horry County Schools Director of Health & Safety Services, Horry County Schools Coordinator of Health & Safety Services, Horry County Schools Director of Strategic Communications and Community Engagement, Horry County Schools Special Needs Aid Horry County Schools High School Teacher, Director of Biddle Center for Teaching, Learning, and Community Engagement at Coastal Carolina University, 1243 VIP (Very Important Parent) Club Members, 100+ Senior Privilege Members. Each person participating ranked the current health of the community on a scale of 1 to 10, 10 being the best. The score after averaging the nine participants responses was 4.4. Respondents were asked what they viewed as the top health issues facing the service area counties and its residents. They were then asked to elaborate on certain barriers, gaps, and access to care issues. The team used several other sources of quantitative health measures and social and demographic data specific to Horry County (CMC's home county) provided by local public health agencies, health care associations and various other data outlets. Secondary data was also gathered from Healthy People 2020 and other resources that provided demographic and community information. OUR COMMUNITY HEALTH NEEDS ASSESSMENT AND IMPLEMENTATION STRATEGY CAN BE FOUND AT HTTPS://CONWAYMEDICALCENTER.COM/ABOUT/COMMUNITY-HEALTH-NEEDS-ASSESSMENT/. CONWAY HOSPITAL, INC. SCHEDULE H, PART V, SECTION B, QUESTIONS 7, 10 AND 11: Our Community Health Needs Assessment and Implementation Strategy can be found at Https://Conwaymedicalcenter.Com/About/Community-Health-Needs-Assessment/. The most recent Strategy that addresses the health needs in the new CHNA discussed above is discussed below: Members of the Community Health Needs Assessment Committee worked to prioritize the identified top health needs in the community. This resulted in the development of a prioritization ranking. The priorities were considered based on significance of the community need and CMC's ability to impact the need. This process identified priority health issues for Horry County that CMC feels it has an ability to impact at certain levels: Access to health services, Maternal, infant, and child, Nutritional, physical activity, and obesity, and Tobacco/substance abuse. Conway Medical Center (CMC) will collaborate with community partners in implementing evidence-based strategies across the community. CMC has taken into consideration both internal as well as external resources found within other organizations in the development of the 2019 CHNA Implementation Strategy. This phase of the CHNA, the Implementation Strategy, will outline CMC's action steps to address the health needs of the community identified in the prioritization phase of the CHNA by continuing effective programs or executing new strategies. In this phase, CMC will also explain why the hospital cannot address all of the needs identified in the CHNA, and if applicable, name an organization that CMC will support in meeting these needs. The following are needs that CMC has chosen to address. ACCESS TO HEALTH SERVICES- CMC understands that underserved populations often struggle to access the proper health services, whether it be due to limited personal or community resources. CMC is motivated to select "Access to Health Services" as a key topic of the 2019 CHNA Priorities and develop implementation strategies that would improve the access to health services in the community through health literacy education, increased awareness of existing resources, identification of community partnership opportunities, etc. MATERNAL, INFANT, AND CHILD- CMC has identified a need to continue education and action to improve Women and Children's health in the community. Some of the action steps outlined build upon previous screening initiatives implemented by CMC and additional education around prenatal care. NUTRITIONAL, PHYSICAL ACTIVITY, AND OBESITY - CMC has identified a need to target healthy lifestyle awareness education in the community to encourage preventive health habits. Strategies and action steps have been defined to help CMC address this community need with a focus on healthy lifestyle education, enhancing healthy lifestyle campaigns and collaborating on health programs with community organizations, just to name a few. One of the priority health needs identified is TOBACCO AND SUBSTANCE ABUSE. Tobacco abuse is currently addressed by various programs at CMC and in the community. As part of CMC's 2013 CHNA, CMC included this need in its prioritization planning and actively implemented actions. As other organizations are specifically focused on this need, CMC will focus its resources in other areas. CMC will continue to be an advocate of creating smoke free environments. CMC has chosen to address SUBSTANCE ABUSE by focusing on Mental Health. MENTAL HEALTH - CMC is aware of the importance of addressing mental health and behavioral health needs in the community and the significant role it plays in overall mental and physical health. Both CMC and community members feel that there is an opportunity to improve mental health education and access to a range of mental health programs and resources in the community. More information about CMC's goals and strategies to address these health needs can be found at our website listed above. CONWAY HOSPITAL, INC. SCHEDULE H, PART V, SECTION B, QUESTION 16 (A,B,C): THE URL WHERE OUR FAP DOCUMENTS CAN BE FOUND: HTTP://WWW.CONWAYMEDICALCENTER.COM/BILLING-AND-INSURANCE/FINANCIAL-ASSISTA NCE/ CONWAY HOSPITAL, INC. SCHEDULE H, PART V, SECTION B, QUESTION 16(J): THE FINANCIAL ASSISTANCE POLICY WAS ALSO PROVIDED TO PATIENTS UPON DISCHARGE BY CASE MANAGERS. 1 CONWAY HOSP OUTPATIENT DIAGNOSTIC CTR 801 FARRAR DR CONWAY SC 29526 IMAGING, MAMMOGRAPHY MAMMOGRAPHY COSTING METHODOLOGY SCHEDULE H, PART I, LINE 7: COSTING METHODOLOGY THE IRS WORKSHEETS WITH INPUT FROM OUR MEDICARE COST REPORT WERE USED TO COMPUTE THE AMOUNTS IN THE TABLE UTILIZING A COST TO CHARGE RATIO. FINANCIAL ASSISTANCE REIMBURSEMENTS FROM OTHER PROGRAMS OCCUR ON A DIFFERENT CYCLE FROM WHEN COST IS INCURRED, AT TIMES RESULTING IN A NEGATIVE CALCULATION. COMMUNITY BUILDING ACTIVITIES SCHEDULE H, PART II, LINE 9: THE HOSPITAL PARTICIPATED WITH THE LOCAL CHAMBER OF COMMERCE, CONWAY CITY AND HORRY COUNTY SCHOOLS IN VARIOUS PROJECTS INCLUDING RECYCLING AND CLEAN WATER PROGRAMS. BAD DEBT EXPENSE SCHEDULE H, PART III, LINE 4: INFORMATION ABOUT CONWAY HOSPITAL'S ALLOWANCE FOR BAD DEBT CAN BE FOUND ON PAGE 12 OF THE ATTACHED FINANCIAL STATEMENT FOOTNOTES. CONTRACTUAL ADJUSTMENTS AND DISCOUNTS ARE APPLIED TO PATIENT ACCOUNTS BEFORE DETERMINING BAD DEBT. BAD DEBT AND ADJUSTMENTS TO ACCOUNTS RECEIVABLE ARE DETERMINED USING A LOOK-BACK METHOD AND AGING CATEGORIES BASED ON HISTORICAL COLLECTION PERCENTAGES. THE COST OF BAD-DEBT REPORTED ON LINE 2 OF PART III WAS COMPUTED WITH THE COST TO CHARGE RATIO DEVELOPED FROM THE IRS WORKSHEETS AND OUR MEDICARE COST REPORT. COLLECTION PRACTICES SCHEDULE H, PART III, LINE 9B: WHEN INDIVIDUALS ARE LATENTLY IDENTIFIED AS POTENTIALLY QUALIFYING FOR FINANCIAL ASSISTANCE, THE NORMAL COLLECTION PROCESS IS HALTED AND THE PATIENT IS REFERRED TO A FINANCIAL COUNSELOR TO DETERMINE THEIR NEED AND WHAT ASSISTANCE CAN BE PROVIDED. WE USE A THIRD PARTY TO ASSIST PATIENTS IN COMPLETING THE MEDICAID APPLICATION AND THE HOSPITAL ASSISTANCE APPLICATION. WE USE THE FEDERAL POVERTY GUIDELINES TO DETERMINE ELIGIBILITY FOR FREE OR DISCOUNTED CARE. IF A PATIENT IS FOUND TO QUALIFY WE APPLY A DISCOUNT TO THEIR ACCOUNT IN ACCORDANCE WITH OUR POLICY. FOR THE PORTION OF THE BILL THAT THE PATIENT IS RESPONSIBLE FOR, THE HOSPITAL WORKS OUT A PAYMENT PLAN WITH THE PATIENT AND THEN ANY FURTHER ACTION IS HANDLED THROUGH NORMAL COLLECTION PRACTICES. COMMUNITY HEALTH CARE NEEDS ASSESSMENT SCHEDULE H, PART VI, LINE 2: CONWAY MEDICAL CENTER UTILIZES THE HEALTHY PEOPLE 2020 REPORT, THE OFFICE OF RESEARCH AND STATISTICS, SC BUDGET AND CONTROL BOARD, SMALL AREA HEALTH INSURANCE ESTIMATES, NATIONAL CANCER INSTITUTE STATE CANCER PROFILES, AND THE SOUTH CAROLINA DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL IN ADDITION TO ITS OWN DATA COLLECTED THROUGH THE MEDICAL RECORDS SYSTEM TO ASSESS THE HEALTH CARE NEEDS OF HORRY COUNTY. THE FULL CHNA REPORT CAN BE FOUND AT HTTP://WWW.CONWAYMEDICALCENTER.COM/ABOUT/COMMUNITY-HEALTH -NEEDS-ASSESSMENT/ ELIGIBILITY EDUCATION SCHEDULE H, PART VI, LINE 3: SIGNS ARE POSTED THROUGHOUT THE HOSPITAL, INCLUDING THE PATIENT AREAS AND WAITING ROOMS, IN BOTH ENGLISH AND SPANISH (AND ON OUR WEBSITE UNDER PATIENT AND FAMILY RESPONSIBILITY) THAT INFORM PATIENTS OF OUR FINANCIAL ASSISTANCE POLICY. THE HOSPITAL WEBSITE CONTAINS THE HOSPITAL FINANCIAL ASSISTANCE POLICY AND THE PLAIN LANGUAGE SUMMARY IN ENGLISH AND SPANISH. ALL PATIENTS THAT DO NOT HAVE INSURANCE ARE REFERRED TO FINANCIAL COUNSELORS WHO ASSIST WITH HELPING TO INFORM PATIENTS OF VARIOUS FINANCIAL ASSISTANCE OPTIONS EITHER THROUGH GOVERNMENT PROGRAMS OR THROUGH THE HOSPITAL'S ASSISTANCE POLICY. ALL BILLING STATEMENTS SENT TO PATIENTS ALSO INCLUDE A NOTICE THAT THE HOSPITAL HAS AN ASSISTANCE PROGRAM AND HOW THEY CAN APPLY FOR ASSISTANCE. EXAMPLE OF LANGUAGE POSTED ON OUR WEBSITE AND THROUGHOUT THE HOSPITAL: 'IF A PATIENT OR FAMILY MEMBER CANNOT AFFORD TO PAY THEIR BILL, WE ENCOURAGE THEM TO ASK US ABOUT THE HOSPITAL ASSISTANCE PROGRAM. 'SI USTED NO TIENE LOS RECURSOS PARA PAGAR SU CUENTA, POR FAVOR PREGNTENOS SOBRE EL PROGRAMA DE ASISTENCIA DEL HOSPITAL.' FINALLY, EVERY HOSPITAL REGISTRAR, FINANCIAL COUNSELOR, BILLING EMPLOYEE, AND OUTSOURCED BILLING OR COLLECTION PERSON IS TAUGHT, AND REQUIRED, TO DISCUSS THE FOLLOWING INSURANCE OR OTHER PAYMENT OPTIONS WITH PATIENTS OR RESPONSIBLE GUARANTOR TO LEAVE NO CHANCE AN ELIGIBLE PATIENT WILL BE MISSED: MEDICARE IF APPLICABLE, MEDICAID SCREENED INSURANCE EXCHANGE IF APPLICABLE, THE PATIENT IS ASKED ABOUT EMPLOYER COVERAGE AND ABOUT PRIVATE PURCHASED HEALTH INSURANCE, OR IF THE PATIENT OR GUARANTOR INDICATES THAT THEY HAVE NO INSURANCE OR THIRD PARTY THAT WOULD BE RESPONSIBLE FOR THEIR BILL, THEY WILL BE REFERRED TO THE HOSPITAL FINANCIAL ASSISTANCE PROGRAM, AND COUNSELORS ARE AVAILABLE TO ASSIST. DESCRIPTION OF COMMUNITY SERVED SCHEDULE H, PART VI, LINE 4: CONWAY MEDICAL CENTER'S SERVICE AREA IS DEFINED AS HORRY COUNTY FOR THIS ASSESSMENT. 90% OF CONWAY MEDICAL CENTER'S PATIENTS COME FROM HORRY COUNTY. ACCORDING TO US CENSUS BUREAU ONLINE FOR HORRY COUNTY JULY 1, 2019, THERE WERE 354,081 PEOPLE, 214,832 HOUSES, AND 128,586 FAMILIES RESIDING IN THE COUNTY. THE AVERAGE HOUSEHOLD SIZE WAS 2.46. THE POPULATION DENSITY WAS 237.5 INHABITANTS PER SQUARE MILE (91.7/KM2). THERE WERE 214,832 HOUSING UNITS AT AN AVERAGE DENSITY OF 164.0 PER SQUARE MILE (63.3/KM2). THE POPULATION INCREASED APPROXIMATELY 31.6% SINCE 2010 AND IS EXPECTED TO GROW TO NEARLY 385,000 BY 2024. OF THE POPULATION, 17.6% WERE UNDER THE AGE OF 18, 25.1% WERE OVER THE AGE OF 65, AND 51.9% WERE FEMALE. THE RACIAL MAKEUP OF THE COUNTY WAS 82.9% WHITE ALONE (WITH 77.7% NOT INCLUDING HISPANIC OR LATINO), 12.9% BLACK OR AFRICAN AMERICAN ALONE, 0.6%, AMERICAN INDIAN/ALASKA NATIVE ALONE, 1.4% ASIAN ALONE, 0.1% NATIVE HAWAIIAN/OTHER PACIFIC ISLANDER ALONE, 2.1% FROM TWO OR MORE RACES, AND 6.1% HISPANIC OR LATINO. 7.4% OF THE POPULATION SPEAK A LANGUAGE OTHER THAN ENGLISH AT HOME. FOR THE YEARS 2014-2018 THE MEDIAN INCOME FOR A HOUSEHOLD IN THE COUNTY WAS $48,279 AND THE PER CAPITA INCOME FOR THE COUNTY WAS $26,917. FOR THE TIME PERIOD 2014-2018, 89.8% OF THE POPULATION GRADUATED FROM HIGH SCHOOL OR HIGHER AND 23.6% HAD A HIGHER EDUCATION DEGREE. ABOUT 14.3% OF THE POPULATION WAS BELOW THE POVERTY LINE FOR THE SAME TIME PERIOD. 12% OF THE POPULATION UNDER THE AGE OF 65 HAD A DISABILITY AND 17.2% UNDER THE AGE OF 65 WERE WITHOUT HEALTH INSURANCE. PROMOTING THE HEALTH OF THE COMMUNITY SCHEDULE H, PART VI, LINE 5: The mission of the hospital is to improve the overall health of the community. Major efforts have taken place to provide free screening within the community through our mobile health outreach program to detect illness and disease at an early stage. The 2018/2020 report shows that the outreach program delivered free health screenings to 64 various locations predominately in medically underserved areas of Horry County. There were 3,032 participants who were screened with results as follows: elevated blood pressure; elevated blood glucose; elevated blood cholesterol. By providing counseling, physician referral and follow-up, the outreach staff provided education to those individuals that are screened. In addition to the Healthreach van screenings, during September through June, the staff obtains and delivers smart snacks to 4 schools and 620 children every Thursday. Healthreach provided 887 flu shots at 25 events. Various health fairs, community events, and school career days. Annual Diabetes Holiday Cooking Demo with 46 attending. Healthreach participated in a community health fairs at Bucksport Fire and Safety Health Fair, the MLK Health, Freedom and Unity Walk, the NMB Employee Benefit and Health Fair, Smith-Jones Health Fair, Cherry Hill Baptist Health Fair, Town of Surfside Beach Health Fair, City of Myrtle Beach Health Fair, OLLI @ CCU and Litchfield Health Fairs, Ladies and Littles Health Fair, Community Health Fair at Whittmore Park Middle School, Stroke Awareness Day at Farmers Market in Conway, and the Conway Community Health Fair. The Healthreach Van and staff were also available for tours of teh Healthreach Van and Heatlhreach program information at the grand opening of the CMC Health Plaza South. Safesitter was held in June and 6 children received certification. Healthreach provided program information and stroke BEFAST and chest pain signals for action to 48 Seniors at First Baptist Church (BALL Club) BE ACTIVE LIVE LONGER. Blood pressure monitoring and Stroke information was made available to the parents of children attending Conway Elementary's Jump Start Back to School (>300) event. Signs and symptoms of stroke and signals for action were given to children at Green Sea Floyds Elementary (>500). Heartsaver CPR was offered in March and 4 people were certified. In November, a community CPR/AED class was offered and 9 people received certification. AFFILIATED HEALTH CARE SYSTEM SCHEDULE H, PART VI, LINE 6: CONWAY HOSPITAL, INC. (CONWAY HOSPITAL, THE HOSPITAL OR CHI), LOCATED IN CONWAY, SOUTH CAROLINA, IS A NOT-FOR-PROFIT ACUTE CARE HOSPITAL FOUNDED IN 1928. THE HOSPITAL HAS 210 LICENSED BEDS AND PROVIDES INPATIENT, OUTPATIENT AND EMERGENCY CARE SERVICES GENERALLY FOR RESIDENTS OF HORRY AND SURROUNDING COUNTIES. THE HOSPITAL IS GOVERNED BY A 16-MEMBER SELF-PERPETUATING, INDEPENDENT BOARD OF DIRECTORS. ADMITTING PHYSICIANS ARE PRACTITIONERS IN THE LOCAL AREA. MEDICAL PROPERTIES, INC., A WHOLLY OWNED FOR-PROFIT SUBSIDIARY OF THE HOSPITAL, OPERATES ASC HOLDINGS AND CAROLINA BONE & JOINT. CONWAY HOSPITAL EMERGENCY PROFESSIONAL SERVICES (CHEPS) AND CONWAY HOSPITAL ANESTHESIA PROFESSIONAL SERVICES (CHAPS) WERE BOTH CREATED TO KEEP BETTER TRACK OF EMERGENCY AND ANESTHESIA SERVICES PERFORMED BY THE HOSPITAL. CONWAY HOSPITAL COMMUNITY SERVICES, INC., A WHOLLY OWNED NOT-FOR-PROFIT SUBSIDIARY, OPERATES EMPLOYED PHYSICIAN PRACTICES. COMMUNITY BENEFIT REPORT STATE FILINGS SCHEDULE H, PART VI, LINE 7: SC true UNITED WAY P O BOX 673 CONWAY SC 29526 570558692 501(C)3 11203 0 GENERAL PURPOSE 1 PROCEDURE FOR MONITORING USE OF GRANT FUNDS INSIDE U.S. SCHEDULE I, PART I, LINE 2 GRANTS TO ORGANIZATIONS - CONWAY HOSPITAL PAYS GRANTS TO VARIOUS LOCAL 501(C)3 ENTITIES WHICH ARE QUALIFIED EXEMPT ORGANIZATIONS. THE BOARD APPROVES EACH GRANT BEFORE IT IS PAID. X X X X true true false false false false false false false BRET BARR CEO&TRUSTEE 417368 0 125631 0 26864 0 47978 0 33376 0 651217 0 0 0 TONY MINSHEW VP OF NURSING 230273 0 45540 0 22512 0 48382 0 11494 0 358201 0 0 0 MATTHEW SECURRO VP OF HUMAN RESOURCES 212070 0 42768 0 5823 0 55167 0 0 0 315828 0 0 0 PAUL RICHARDSON VP OF MEDICAL AFFAIRS 296744 0 107964 0 18500 0 53197 0 29544 0 505949 0 0 0 ANGELA WILLIFORD CHIEF RISK OFFICER 196780 0 39681 0 11960 0 26167 0 28578 0 303166 0 0 0 KEVIN LOVETT VP OF FACILITIES 179943 0 37818 0 6775 0 26763 0 29109 0 280408 0 0 0 ROBERT GAJEWSKI DIRECTOR OF PHARMACY 164927 0 3000 0 0 0 8553 0 26480 0 202960 0 0 0 TERRI PICKENS FRMR DIR ODSU / CURRENT RN 91416 0 0 0 86638 0 9019 0 22510 0 209583 0 0 0 FRANK GRELLA DIRECTOR OF PATIENT ACCTING 135203 0 10000 0 0 0 7240 0 10893 0 163336 0 0 0 GLENN SISK PHARMACIST 142673 0 0 0 0 0 7331 0 26364 0 176368 0 0 0 WENDELL BEVERLY CLINICAL PHARMACY COORDINATOR 149065 0 0 0 0 0 7668 0 26843 0 183576 0 0 0 TERRENCE J EGAN FORMER VP OF FOUNDATION 58056 0 20292 0 85400 0 0 0 25314 0 189062 0 0 0 DAVID CRUTCHFIELD FORMER CIO 105412 0 76093 0 133600 0 0 0 23466 0 338571 0 0 0 BRIAN ARGO CFO 287434 0 57816 0 0 0 47251 0 30431 0 422932 0 0 0 Severance or change of control payment Schedule J, Part I, Line 4a The following received severance payments during the calendar year reported within this year, in the following amounts: Terrence J. Egan $ 85,400 David Crutchfield $133,600 Terri Pickens $ 86,638 SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN SCHEDULE J, PART I, LINE 4B DURING THE YEAR ENDED SEPTEMBER 30, 2019, CONWAY HOSPITAL, INC. AND KEY EXECUTIVES ENTERED INTO JOINTLY OWNED SPLIT-DOLLAR AGREEMENTS THROUGH AN INSURANCE COMPANY. THE FOLLOWING EXECUTIVES PARTICIPATED IN THE PLAN DURING THE YEAR: BRET BARR. CERTAIN EXECUTIVES PARTICIPATED IN A CAPITAL ACCUMULATION PLAN PROVIDED BY THE COMPANY. THE FOLLOWING EMPLOYEES RECEIVED DISTRIBUTIONS FROM THE PLAN. ALL AMOUNTS ARE INCLUDED IN THE EMPLOYEES W-2. BRET BARR $10,084 ANGELA WILLIFORD $11,960 TONY MINSHEW $22,512 A SC JOBS - ECONOMIC DEVELOPMENT 570960018 2011-09-30 19510000 REFUND 1998 SERIES BOND false false false B SC JOBS - ECONOMIC DEVELOPMENT 570960018 83703FJNJ 2016-12-20 50805415 ACQUIRE/INSTALL EQUIPMENT false false false A 15123605 0 19510000 0 0 0 146084 0 0 0 19363916 0 1998 true false true true B 0 0 50805415 0 0 0 805415 0 0 41188459 0 8811541 false false true true A false false false true false 0 false false false true B false false false true false 0 false false false true A false true false false 0 false 0 false true B false true false false 0 false 0 false true A true B true DESCRIPTION OF PURPOSE PART I - LINE A, COLUMN (F) THE 2011A SERIES BONDS WERE ISSUED TO REFUND THE OUTSTANDING MATURITIES OF HORRY COUNTY, SOUTH CAROLINA HOSPITAL REVENUE BONDS (CONWAY HOSPITAL, INC) SERIES 1998. DESCRIPTION OF PURPOSE PART I - LINE B, COLUMN (F) THE SERIES 2016 BONDS WERE ISSUED TO FINANCE CAPITAL ASSET PURCHASES OR RENOVATIONS AND TO PAY CERTAIN FEES, PREMIUMS AND EXPENSES INCURRED IN CONNECTION WITH THE ISSUANCE OF THE BONDS. Philip Clayton Former-OFFICER SPLIT DOLLAR LIFE X 9097464 8988793 false true true BRET BARR Officer SPLIT DOLLAR LIFE X 4600000 4611028 false true true 13599821 SPLIT DOLLAR AGREEMENTS Part II, Lines 1&2 During the year ended September 30, 2019, the Hospital and key executives entered into jointly owned split dollar agreements through an insurance company. The agreements allow for the key executives to borrow specified amounts to be repaid by the proceeds of the life insurance policies. Any remaining death proceeds are divided between the Company and the executive's beneficiary as agreed upon by the parties. FORM 990, PART VI, LINE 2 BRET BARR AND BRIAN ARGO HAVE A BUSINESS RELATIONSHIP. BOTH ARE BOARD MEMBERS AND OFFICERS OF TAX EXEMPT ORGANIZATIONS RELATED TO THIS ORGANIZATION. FORM 990 REVIEW PROCESS FORM 990, PART VI, LINE 11B THE ORGANIZATION'S ACCOUNTING DEPARTMENT PREPARES THE 990 INFORMATION IN CONSULTATION WITH THE VP OF FISCAL SERVICES. AN OUTSIDE ACCOUNTING FIRM PREPARES THE IRS FORM 990 AND SENDS IT TO THE ACCOUNTING DEPARTMENT AND VP OF FISCAL SERVICES WHO REVIEW THE FORM IN DETAIL. THE FORM 990 IS PROVIDED TO ALL BOARD OF TRUSTEE MEMBERS BEFORE IT IS FILED. CONFLICT OF INTEREST POLICY MONITORING & ENFORCEMENT FORM 990, PART VI, LINE 12C CONWAY HOSPITAL HAS A CONFLICT OF INTEREST POLICY THAT APPLIES TO THE BOARD OF DIRECTORS, DEPARTMENT HEADS AND EXECUTIVE LEVEL EMPLOYEES. ALL OF THESE COVERED PERSONS ARE REQUIRED TO ATTEST IN WRITING ANNUALLY THEIR UNDERSTANDING OF AND COMPLIANCE WITH THIS POLICY, AND TO PROVIDE INFORMATION CONCERNING ANY POSSIBLE CONFLICTS OF INTEREST. BOARD MEMBERS DO NOT PARTICIPATE IN VOTING ON MATTERS WHERE A CONFLICT OF INTEREST MAY EXIST. DISCLOSURE OF POTENTIAL CONFLICT OF INTEREST: EVERY COVERED PERSON MUST SUBMIT IN WRITING TO THE CHIEF EXECUTIVE OFFICER A CONFLICT OF INTEREST DISCLOSURE STATEMENT LISTING ALL FINANCIAL AND/OR POTENTIAL CONFLICTING INTERESTS. INDIVIDUALS RESUBMIT UPDATED STATEMENTS EACH YEAR WITH ANY NECESSARY CHANGES OR AS ANY ADDITIONAL CONFLICTING OR FINANCIAL INTEREST ARISES. ALL BOARD MEMBERS WILL RECEIVE AN ANNUAL SUMMARY OF THE DISCLOSURES. IN ADDITION, THE BOARD CHAIR AND CHIEF EXECUTIVE OFFICER SHALL HAVE DISCLOSURE STATEMENTS AVAILABLE AT THE TIME OF ALL BOARD MEETINGS IN CASE A POTENTIAL CONFLICT ARISES. EVERY BOARD MEMBER HAS THE OBLIGATION TO INFORM THE BOARD CHAIR OR THE CHIEF EXECUTIVE OFFICER IF HE/SHE IS AWARE OF AN UNDISCLOSED POTENTIAL FINANCIAL AND/OR CONFLICTING INTEREST OF ANOTHER PERSON COVERED BY THE POLICY. IN THE EVENT OF SUCH NOTIFICATION, THE BOARD CHAIR OR CHIEF EXECUTIVE OFFICER SHALL INVESTIGATE THE POSSIBLE UNDISCLOSED INTEREST. PROCESS FOR DETERMINING COMPENSATION FORM 990, PART VI, LINES 15A & 15B THE BOARD EXECUTIVE COMPENSATION COMMITTEE IS RESPONSIBLE FOR REVIEWING AND APPROVING COMPENSATION FOR THE CEO, CFO, AND ALL VICE PRESIDENTS. AT A MINIMUM OF EVERY THREE YEARS (AND MORE FREQUENTLY WHEN THERE IS TURNOVER IN A POSITION), AN INDEPENDENT CONSULTING COMPANY IS UTILIZED TO PROVIDE APPROPRIATE BENCHMARKED DATA FOR COMPARATIVE POSITIONS TO ASSIST IN DETERMINING COMPENSATION. THE CEO AND CFO ARE RESPONSIBLE FOR APPROVING COMPENSATION FOR ALL OTHER POSITIONS. THEY UTILIZE INDEPENDENT BENCHMARK DATA GATHERED BY THE SOUTH CAROLINA HOSPITAL ASSOCIATION IN SETTING APPROPRIATE COMPENSATION FOR THOSE POSITIONS. HOW DOCUMENTS ARE MADE AVAILABLE TO THE PUBLIC FORM 990, PART VI, LINE 19 Conway Hospital, Inc. makes its financial statements available to the public upon request as well as attaching them to this return. The governing documents and conflict of interest policy are available upon request. CONWAY LONG-TERM CARE SERVICES INC 300 SINGLETON RIDGE RD CONWAY SC 29526 570875232 HEALTHCARE SC 501(c)(3) 03 CONWAY HOSP true CONWAY HOSPITAL COMMUNITY SERVICES 300 SINGLETON RIDGE RD CONWAY SC 29526 571119337 HEALTHCARE SC 501(c)(3) 03 CONWAY HOSP true CONWAY HOSPITAL EMERGENCY PROF SERVICES 300 SINGLETON RIDGE RD CONWAY SC 29526 208817905 EMERGENCY SC 501(c)(3) 12 A-I CONWAY HOSP true CONWAY HOSPITAL ANESTHESIA PROF SERVICES 300 SINGLETON RIDGE RD CONWAY SC 29526 208817302 ANESTHESIA SC 501(c)(3) 12 A-I CONWAY HOSP true CONWAY HOSPITAL FOUNDATION 300 SINGLETON RIDGE RD CONWAY SC 29526 570870199 FUNDRAISING SC 501(c)(3) 12D-III-NFI CONWAY HOSP false MEDICAL PROPERTIES INC 300 SINGLETON RIDGE RD CONWAY SC 29526 570751357 MOB RENTAL SC CONWAY HOSP C Corp 320391 7625970 1.00000 true false false true false false false false false false true true true false true true true true true true MEDICAL PROPERTIES INC k 370203 CASH (FMV) MEDICAL PROPERTIES INC p 2342588 CASH(FMV) MEDICAL PROPERTIES INC Q 323494 CASH(FMV) MEDICAL PROPERTIES INC S 431835 CASH(FMV) CONWAY LONG-TERM CARE SERVICES INC p 1214408 CASH(FMV) CONWAY LONG-TERM CARE SERVICES INC s 394000 CASH(FMV) CONWAY LONG-TERM CARE SERVICES INC q 653876 CASH(FMV) CONWAY HOSPITAL COMMUNITY SERVICES INC k 36583 CASH(FMV) CONWAY HOSPITAL COMMUNITY SERVICES INC p 29905820 CASH(FMV) CONWAY HOSPITAL COMMUNITY SERVICES INC q 6339377 CASH(FMV) CONWAY HOSPITAL COMMUNITY SERVICES INC s 17628600 CASH(FMV) CONWAY HOSPITAL COMMUNITY SERVICES INC j 321129 CASH(FMV) CONWAY HOSPITAL ANESTHESIA PROF SERVICES p 4418355 CASH(FMV) CONWAY HOSPITAL ANESTHESIA PROF SERVICES q 672180 CASH(FMV) CONWAY HOSPITAL ANESTHESIA PROF SERVICES s 303879 CASH(FMV) CONWAY HOSPITAL EMERGENCY PROF SERVICES p 6382121 CASH(FMV) CONWAY HOSPITAL EMERGENCY PROF SERVICES q 436064 CASH(FMV) CONWAY HOSPITAL EMERGENCY PROF SERVICES s 4646299 CASH(FMV) Conway Hospital Foundation c 210202 cash(fmv)