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CONWAY REGIONAL MEDICAL CENTER INC: Form 990, tax year 2018

View the entire original 990 at ProPublica ↗

Organization
CONWAY REGIONAL MEDICAL CENTER INC (EIN 71-0249735)
Tax period
2018-01-01 to 2018-12-31
Filed
2019-11-13
IRS object ID
201943179349305469
Schema version
2018v3.1
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 ReturnHeader

FieldValueIRS element (for citing)
Return2019-11-13T13:41:57-06:00ReturnTs
Tax Period End2018-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1BKD LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 3667AddressLine1Txt
CityLITTLE ROCKCityNm
State AbbreviationARStateAbbreviationCd
ZIP722033667ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2018-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN710249735EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1CONWAY REGIONAL MEDICAL CENTER INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
In Care Of% KAREN DAYER CONTROLLERInCareOfNm
Business Name ControlCONWBusinessNameControlTxt
Phone5013293831PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line12302 COLLEGE AVENUEAddressLine1Txt
CityCONWAYCityNm
State AbbreviationARStateAbbreviationCd
ZIP72034ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonTROY BROOKSPersonNm
Person TitleCFOPersonTitleTxt
Phone5013293831PhoneNum
Signature2019-11-13SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonAMBER SHERRILLPreparerPersonNm
PTINP00748683PTIN
Phone5013721040PhoneNum

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address167.68.126.162IPv4AddressTxt
FieldValueIRS element (for citing)
Federal Original Submission Id71015520193175000011FederalOriginalSubmissionId
Federal Original Submission Id2019-11-13FederalOriginalSubmissionIdDt
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device Id8B484ADD3177755575C2D061B48861D965F12CF4AtSubmissionCreationDeviceId
At Submission Filing Device IdCC61051F674196C1A7C00C4FC8A1F1691B9B2D69AtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2018TaxYr
Build TS2020-03-31 21:24:44ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerMATT TROUPPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line12302 COLLEGE AVENUEAddressLine1Txt
CityCONWAYCityNm
State AbbreviationARStateAbbreviationCd
ZIP72034ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$196,586,763GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.CONWAYREGIONAL.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1938FormationYr
Legal Domicile StateARLegalDomicileStateCd
Activity Or MissionPROVISION OF INPATIENT, OUTPATIENT, GERIATRIC, PSYCHIATRIC, CARDIAC, EMERGENCY CARE AND OTHER PATIENT CARE SERVICES TO PATIENTS IN CONWAY AND SURROUNDING AREAS.ActivityOrMissionDesc
Voting Members Governing Body10VotingMembersGoverningBodyCnt
Voting Members Independent9VotingMembersIndependentCnt
Total Employee1677TotalEmployeeCnt
Total Volunteers61TotalVolunteersCnt
Total Gross UBI$162,937TotalGrossUBIAmt
PY Contributions Grants$268,344PYContributionsGrantsAmt
CY Contributions Grants$271,339CYContributionsGrantsAmt
PY Program Service Revenue$155,998,005PYProgramServiceRevenueAmt
CY Program Service Revenue$181,461,257CYProgramServiceRevenueAmt
PY Investment Income$1,333,155PYInvestmentIncomeAmt
CY Investment Income$3,017,582CYInvestmentIncomeAmt
PY Other Revenue$6,124,218PYOtherRevenueAmt
CY Other Revenue$6,534,696CYOtherRevenueAmt
PY Total Revenue$163,723,722PYTotalRevenueAmt
CY Total Revenue$191,284,874CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$219,434CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$68,833,419PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$78,850,546CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$74,374CYTotalFundraisingExpenseAmt
PY Other Expenses$95,845,933PYOtherExpensesAmt
CY Other Expenses$105,236,017CYOtherExpensesAmt
PY Total Expenses$164,679,352PYTotalExpensesAmt
CY Total Expenses$184,305,997CYTotalExpensesAmt
PY Revenues Less Expenses-$955,630PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$6,978,877CYRevenuesLessExpensesAmt
Total Assets BOY$179,329,046TotalAssetsBOYAmt
Total Assets EOY$225,057,927TotalAssetsEOYAmt
Total Liabilities BOY$56,330,600TotalLiabilitiesBOYAmt
Total Liabilities EOY$96,210,119TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$122,998,446NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$128,847,808NetAssetsOrFundBalancesEOYAmt
MissionCONWAY REGIONAL MEDICAL CENTER IS ACCOUNTABLE TO THE COMMUNITY TO PROVIDE HIGH-QUALITY AND COMPASSIONATE HEALTH CARE SERVICES.MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$134,546,421ExpenseAmt
Grant$219,434GrantAmt
Revenue$184,756,397RevenueAmt
DescCONWAY 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$134,546,421TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredYes (true)ScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesfalseLobbyingActivitiesInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Temp Or Permanent EndowmentsfalseTempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecfalseReportInvestmentsOtherSecInd
Report Program Related InvstYes (true)ReportProgramRelatedInvstInd
Report Other AssetsYes (true)ReportOtherAssetsInd
Report Other LiabilitiesYes (true)ReportOtherLiabilitiesInd
Include FIN48 FootnotefalseIncludeFIN48FootnoteInd
Independent Audit Fincl StmtfalseIndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (true)ConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesfalseForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesfalseFundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalYes (true)OperateHospitalInd
Audited Financial Stmt AttYes (true)AuditedFinancialStmtAttInd
Grants To OrganizationsYes (true)GrantsToOrganizationsInd
Grants To IndividualsfalseGrantsToIndividualsInd
Schedule J RequiredYes (true)ScheduleJRequiredInd
Tax Exempt BondsYes (true)TaxExemptBondsInd
Invest Tax Exempt BondsfalseInvestTaxExemptBondsInd
Escrow AccountfalseEscrowAccountInd
On Behalf Of IssuerfalseOnBehalfOfIssuerInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemfalseBusinessRlnWithOrgMemInd
Business Rln With Fam MemfalseBusinessRlnWithFamMemInd
Business Rln With Officer EntfalseBusinessRlnWithOfficerEntInd
Deductible Non Cash ContrifalseDeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityfalseDisregardedEntityInd
Related EntityYes (true)RelatedEntityInd
Related Organization Ctrl EntYes (true)RelatedOrganizationCtrlEntInd
Transaction With Control EntYes (true)TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document205IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee1677EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitYes (true)UnrelatedBusIncmOverLimitInd
Form990 T FiledYes (true)Form990TFiledInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Quid Pro Quo ContributionsfalseQuidProQuoContributionsInd
Form8282 Property Disposed OffalseForm8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht PymtfalseSubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst IncfalseSubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members10GoverningBodyVotingMembersCnt
Independent Voting Member9IndependentVotingMemberCnt
Family Or Business RlnfalseFamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesYes (true)DelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersfalseMembersOrStockholdersInd
Election Of Board MembersfalseElectionOfBoardMembersInd
Decisions Subject To ApprovafalseDecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Form990 Provided To Gvrn BodyYes (true)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (true)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (true)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (true)WhistleblowerPolicyInd
Document Retention PolicyYes (true)DocumentRetentionPolicyInd
Compensation Process CEOfalseCompensationProcessCEOInd
Compensation Process OtherfalseCompensationProcessOtherInd
Investment In Joint VentureYes (true)InvestmentInJointVentureInd
Written Policy Or ProcedureYes (true)WrittenPolicyOrProcedureInd
States Where Copy Of Return Is FldARStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonKAREN DAYER CONTROLLERPersonNm
Phone5015135451PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line12302 COLLEGE AVEAddressLine1Txt
CityCONWAYCityNm
State AbbreviationARStateAbbreviationCd
ZIP72034ZIPCd
FieldValueIRS element (for citing)
Info In Schedule O Part VIIYes (X)InfoInScheduleOPartVIIInd

Form990 Part VII Section A Form990PartVIISectionAGrp (20 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtOfficerOfficerIndKey EmployeeKeyEmployeeIndHighest Compensated EmployeeHighestCompensatedEmployeeInd
WAYNE COX
BOARD MEMBER1.01.0Yes (X)$0$0$588
CORNELL MALTBIA
CHAIRMAN1.01.0Yes (X)$0$0$1,680Yes (X)
THAD HARDIN
BOARD MEMBER1.01.0Yes (X)$0$0$694
JEFF STANDRIDGE
BOARD MEMBER1.01.0Yes (X)$0$0$694
TOM POE
BOARD MEMBER1.01.0Yes (X)$0$0$588
BARBARA WILLIAMS
BOARD MEMBER1.01.0Yes (X)$0$0$372
ANDREW COLE
BOARD MEMBER1.01.0Yes (X)$0$0$708
JIM RANKIN JR
BOARD MEMBER1.01.0Yes (X)$0$0$588
ANDREA WOODS JD
BOARD MEMBER1.01.0Yes (X)$0$0$372
MATTHEW TROUP
CHIEF EXECUTIVE OFFICER40.01.0Yes (X)$0$0$288Yes (X)
ALAN FINLEY
CHIEF OPERATING OFFICER40.01.0$0$0$624Yes (X)
STEVE ROSE
FORMER CHIEF FINANCIAL OFFICER40.01.0$16,000$0$0Yes (X)
ANGIE LONGING
CHIEF NURSING OFFICER40.00.0$0$0$0Yes (X)
TROY BROOKS
CHIEF FINANCIAL OFFICER40.01.0$0$0$168Yes (X)
JAMES REED
CHIEF INFORMATION OFFICER40.01.0$178,427$0$0Yes (X)
REGAN GALLAHER MD
PHYSICIAN40.00.0$750,102$0$18,434Yes (X)
DENNIS WOODHALL MD
PHYSICIAN40.00.0$582,779$0$11,366Yes (X)
FRANK MARTIN MOIX JR
PHYSICIAN40.00.0$413,421$0$16,835Yes (X)
DARREN FREEMAN MD
PHYSICIAN40.00.0$402,064$0$25,151Yes (X)
BRENT SCROGGINS MD
PHYSICIAN40.00.0$389,405$0$23,979Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$2,732,198TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$103,129TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K78IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedfalseFormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (true)TotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
ST VINCENT HEALTH SYSTEM
2 ST VINCENT CIRCLELITTLE ROCKAR72205MANAGEMENT SERVICE$8,166,314
THERAPY AND REHAB SOLUTIONS INC
7115 SOUTH SPRINGS DRIVEFRANKLINTN37067REHAB SERVICES$3,161,141
CATHOLIC HEALTH INITIATIVES
3900 OLYMPIC BLVD STE 400ERLANGERKY410181099CLINICAL ENGINEERING$2,594,490
UNITY EMERGENCY PHYSICIANS LLP
PO BOX 674579DETROITMI48267PHYSICIAN SERVICES$1,549,101
REACH DIAGNOSTIC PARTNERS LLC
437 DENISON STE ACONWAYAR72034MANAGEMENT SERVICES$1,125,879
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K48CntrctRcvdGreaterThan100KCnt
Related Organizations$67,594RelatedOrganizationsAmt
Government Grants$183,284GovernmentGrantsAmt
All Other Contributions$20,461AllOtherContributionsAmt
Total Contributions$271,339TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtUnrelated Business RevenueUnrelatedBusinessRevenueAmt
PATIENT SERVICES621110$179,587,044$179,587,044
REFERENCE LAB621610$1,661,269$1,462,236$199,033
MEDICAL OFFICE BUILDING RENTAL INCOME621110$212,944$212,944
FieldValueIRS element (for citing)
Total Program Service Revenue$181,461,257TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,490,381TotalRevenueColumnAmt
Unrelated Business Revenue-$36,096UnrelatedBusinessRevenueAmt
Exclusion$1,526,477ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Royalties Revenue RoyaltiesRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$58,153RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$58,153RealAmt
Personal$0PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$58,153TotalRevenueColumnAmt
Exclusion$58,153ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$6,810,810SecuritiesAmt
Other$18,280OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$5,301,889SecuritiesAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$1,508,921SecuritiesAmt
Other$18,280OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,527,201TotalRevenueColumnAmt
Exclusion$1,527,201ExclusionAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$0FundraisingGrossIncomeAmt
Fundraising Direct Expenses$0FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
FieldValueIRS element (for citing)
Gaming Gross Income$0GamingGrossIncomeAmt
Gaming Direct Expenses$0GamingDirectExpensesAmt

Net Income From Gaming NetIncomeFromGamingGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
FieldValueIRS element (for citing)
Gross Sales Of Inventory$0GrossSalesOfInventoryAmt
Cost Of Goods Sold$0CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtExclusionExclusionAmt
HEALTH/FITNESS CENTER900099$1,853,986$1,853,986
CAFETERIA SALES900099$1,640,187$1,640,187
SUPPLY REBATES900099$554,265$554,265

Miscellaneous Revenue MiscellaneousRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$2,428,105TotalRevenueColumnAmt
Exclusion$2,428,105ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$6,476,543OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$191,284,874TotalRevenueColumnAmt
Related Or Exempt Func Income$184,756,397RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$162,937UnrelatedBusinessRevenueAmt
Exclusion$6,094,201ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$219,434TotalAmt
Program Services$219,434ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Foreign Grants ForeignGrantsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Benefits To Members BenefitsToMembersGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$194,427TotalAmt
Management And General$194,427ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$64,097,630TotalAmt
Program Services$53,445,936ProgramServicesAmt
Management And General$10,577,320ManagementAndGeneralAmt
Fundraising$74,374FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$1,845,170TotalAmt
Management And General$1,845,170ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$8,326,448TotalAmt
Program Services$159ProgramServicesAmt
Management And General$8,326,289ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$4,386,871TotalAmt
Management And General$4,386,871ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$9,292,193TotalAmt
Program Services$9,292,193ProgramServicesAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$590,460TotalAmt
Program Services$590,460ProgramServicesAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$428,374TotalAmt
Program Services$428,374ProgramServicesAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$367,372TotalAmt
Program Services$191,081ProgramServicesAmt
Management And General$176,291ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$24,006,493TotalAmt
Program Services$16,830,405ProgramServicesAmt
Management And General$7,176,088ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$1,229,101TotalAmt
Program Services$197,840ProgramServicesAmt
Management And General$1,031,261ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$6,342,245TotalAmt
Program Services$5,385,303ProgramServicesAmt
Management And General$956,942ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Royalties RoyaltiesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$3,299,293TotalAmt
Program Services$2,973,215ProgramServicesAmt
Management And General$326,078ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$455,646TotalAmt
Program Services$355,062ProgramServicesAmt
Management And General$100,584ManagementAndGeneralAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$1,800,360TotalAmt
Management And General$1,800,360ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$1,917,844TotalAmt
Program Services$28,888ProgramServicesAmt
Management And General$1,888,956ManagementAndGeneralAmt

Payments To Affiliates PaymentsToAffiliatesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$9,635,981TotalAmt
Program Services$1,021,950ProgramServicesAmt
Management And General$8,614,031ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$1,173,991TotalAmt
Program Services$98,317ProgramServicesAmt
Management And General$1,075,674ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
PHARMACY AND MEDICAL SUPPLIES$24,120,491$24,102,132$18,359
BAD DEBTS$12,960,827$12,960,827
DIETARY EXPENSES$1,520,383$1,500,659$19,724
REPAIRS & MAINTENANCE$914,316$846,156$68,160

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$5,180,647TotalAmt
Program Services$4,078,030ProgramServicesAmt
Management And General$1,102,617ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$184,305,997TotalAmt
Program Services$134,546,421ProgramServicesAmt
Management And General$49,685,202ManagementAndGeneralAmt
Fundraising$74,374FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$3,103,262BOYAmt
EOY$3,378,053EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$14,930,379BOYAmt
EOY$20,899,692EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

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

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$21,942,348BOYAmt
EOY$18,176,299EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

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

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

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

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

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

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$3,456,530BOYAmt
EOY$3,537,327EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$495,043BOYAmt
EOY$476,039EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$216,668,304LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$148,369,772LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$63,388,316BOYAmt
EOY$68,298,532EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

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

Investments Other Securities InvestmentsOtherSecuritiesGrp

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

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
BOY$61,643,435BOYAmt
EOY$60,359,459EOYAmt

Intangible Assets IntangibleAssetsGrp

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

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$10,369,733BOYAmt
EOY$49,932,526EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$179,329,046BOYAmt
EOY$225,057,927EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$16,387,412BOYAmt
EOY$18,532,279EOYAmt

Grants Payable GrantsPayableGrp

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

Deferred Revenue DeferredRevenueGrp

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

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$36,556,749BOYAmt
EOY$69,231,296EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

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

Loans From Officers Directors LoansFromOfficersDirectorsGrp

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

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$1,119,410BOYAmt
EOY$606,078EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

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

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$2,267,029BOYAmt
EOY$7,840,466EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$56,330,600BOYAmt
EOY$96,210,119EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$122,998,446BOYAmt
EOY$128,847,808EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

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

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

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

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$122,998,446BOYAmt
EOY$128,847,808EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$179,329,046BOYAmt
EOY$225,057,927EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$6,978,877ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst-$3,877,460NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets$2,747,945OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedYes (true)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

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

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

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

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Art Public Exhibition AmountsArtPublicExhibitionAmountsGrp
Held Works ArtHeldWorksArtGrp
CY Minus3 Yr Endwmt FundCYMinus3YrEndwmtFundGrp
CY Minus4 Yr Endwmt FundCYMinus4YrEndwmtFundGrp

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$2,767,543OtherCostOrOtherBasisAmt
Book Value$2,767,543BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$109,121,270OtherCostOrOtherBasisAmt
Depreciation$69,157,934DepreciationAmt
Book Value$39,963,336BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$2,352,401OtherCostOrOtherBasisAmt
Depreciation$1,211,841DepreciationAmt
Book Value$1,140,560BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$101,149,488OtherCostOrOtherBasisAmt
Depreciation$77,999,997DepreciationAmt
Book Value$23,149,491BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,277,602OtherCostOrOtherBasisAmt
Book Value$1,277,602BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$68,298,532TotalBookValueLandBuildingsAmt

Invst Program Related Org InvstProgramRelatedOrgGrp

FieldValueIRS element (for citing)
DescBOARD DESIGNATED INVESTMENTSDesc
Book Value$60,359,459BookValueAmt
Method ValuationFMethodValuationCd
FieldValueIRS element (for citing)
Total Book Value Program Rltd$60,359,459TotalBookValueProgramRltdAmt

Other Assets Org OtherAssetsOrgGrp (6 entries)

DescDescBook ValueBookValueAmt
FUNDS HELD BY TRUSTEE$44,605,731
OTHER RECEIVABLES$405,352
INTERCOMPANY RECEIVABLES$27,627
INVESTMENT IN SUBSIDIARIES$3,575,520
RESERVE - CD$1,210,915
OTHER ASSETS$107,381
FieldValueIRS element (for citing)
Total Book Value Other Assets$49,932,526TotalBookValueOtherAssetsAmt
Federal Income Tax Liability$0FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (4 entries)

DescDescAmtAmt
ESTIMATED 3RD PARTY SETTLEMENT$1,840,048
ASSET RETIREMENT ENVIRON. RES.$798,113
DUE TO AFFILIATES$63,665
TAXABLE BONDS$5,138,640
FieldValueIRS element (for citing)
Total Liability$7,840,466TotalLiabilityAmt
Total Rev Etc Audited Fincl Stmt$174,482,683TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst-$3,877,460NetUnrealizedGainsInvstAmt
Revenue Not Reported-$3,877,460RevenueNotReportedAmt
Revenue Subtotal$178,360,143RevenueSubtotalAmt
Other Revenues Not Included$12,924,731OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt$12,924,731RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$191,284,874TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$171,345,170TotExpnsEtcAuditedFinclStmtAmt
Expenses Subtotal$171,345,170ExpensesSubtotalAmt
Other Expenses Not Included$12,960,827OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt$12,960,827ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$184,305,997TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, SCHEDULE D, PART X, LINE 2MANAGEMENT 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 4BBAD DEBT EXPENSE $12,960,827 INVESTMENT INCOME FROM K-1S ($36,096) ---------------------------------------------- TOTAL $12,924,731
FORM 990, SCHEDULE D, PART XII, LINE 4BBAD DEBT EXPENSE $12,960,827

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Financial Assistance PolicyYes (true)FinancialAssistancePolicyInd
Written PolicyYes (true)WrittenPolicyInd
All Hospitals PolicyYes (X)AllHospitalsPolicyInd
FPG Reference Free CareYes (true)FPGReferenceFreeCareInd

Free Care Oth Percentage FreeCareOthPercentageGrp

FieldValueIRS element (for citing)
OtherYes (X)OtherInd
Free Care Other225.FreeCareOtherPct
FieldValueIRS element (for citing)
FPG Reference Discounted CareYes (true)FPGReferenceDiscountedCareInd
Percent300Yes (X)Percent300Ind
Free Care Medically IndigentYes (true)FreeCareMedicallyIndigentInd
Financial Assistance BudgetYes (true)FinancialAssistanceBudgetInd
Expenses Exceed BudgetfalseExpensesExceedBudgetInd
Annual Community Bnft ReportYes (true)AnnualCommunityBnftReportInd
Report Publically AvailableYes (true)ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$809,342TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$809,342NetCommunityBenefitExpnsAmt
Total Expense0.00470TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$17,130,110TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$13,922,084DirectOffsettingRevenueAmt
Net Community Benefit Expns$3,208,026NetCommunityBenefitExpnsAmt
Total Expense0.01870TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$17,939,452TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$13,922,084DirectOffsettingRevenueAmt
Net Community Benefit Expns$4,017,368NetCommunityBenefitExpnsAmt
Total Expense0.02340TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$658,500TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$22,344DirectOffsettingRevenueAmt
Net Community Benefit Expns$636,156NetCommunityBenefitExpnsAmt
Total Expense0.00370TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$50,000TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$50,000NetCommunityBenefitExpnsAmt
Total Expense0.00030TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$24,788,625TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$17,516,979DirectOffsettingRevenueAmt
Net Community Benefit Expns$7,271,646NetCommunityBenefitExpnsAmt
Total Expense0.04230TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$42,242TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$42,242NetCommunityBenefitExpnsAmt
Total Expense0.00020TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$25,539,367TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$17,539,323DirectOffsettingRevenueAmt
Net Community Benefit Expns$8,000,044NetCommunityBenefitExpnsAmt
Total Expense0.04650TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$43,478,819TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$31,461,407DirectOffsettingRevenueAmt
Net Community Benefit Expns$12,017,412NetCommunityBenefitExpnsAmt
Total Expense0.06990TotalExpensePct

Economic Development EconomicDevelopmentGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$45,400TotalCommunityBenefitExpnsAmt
Total Expense0.00030TotalExpensePct

Community Support CommunitySupportGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$15,905TotalCommunityBenefitExpnsAmt
Total Expense0.00010TotalExpensePct

Leadership Development LeadershipDevelopmentGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$6,295TotalCommunityBenefitExpnsAmt

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$67,600TotalCommunityBenefitExpnsAmt
Total Expense0.00040TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense ReportedYes (true)BadDebtExpenseReportedInd
Bad Debt Expense$12,960,827BadDebtExpenseAmt
Bad Debt Expense Attributable$2,102,246BadDebtExpenseAttributableAmt
Reimbursed By Medicare$43,206,257ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$43,518,984CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall-$312,727MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

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

Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp (2 entries)

Primary ActivitiesPrimaryActivitiesTxtOrg Profit Or OwnershipOrgProfitOrOwnershipPctOfcr Etc Profit Or OwnershipOfcrEtcProfitOrOwnershipPctPhysicians Profit Or OwnershipPhysiciansProfitOrOwnershipPct
CONWAY REGIONAL REHA
REHAB SERVICES0.6580.010.332
CONWAY REGIONAL PHO
ADMIN SERVICES0.50.5
FieldValueIRS element (for citing)
Hospital Facilities2HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp (2 entries)

FacilityFacilityNumAddress Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdWebsite AddressWebsiteAddressTxtState LicenseStateLicenseNumLicensed HospitalLicensedHospitalIndGeneral Medical And SurgicalGeneralMedicalAndSurgicalIndEmergency Room24 HrsEmergencyRoom24HrsIndFacility Reporting GroupFacilityReportingGroupCdOtherOtherDesc
CONWAY REGIONAL MEDICAL CENTER INC
12302 COLLEGE AVECONWAYAR72034WWW.CONWAYREGIONAL.ORGAR2657Yes (X)Yes (X)Yes (X)1
CONWAY REGIONAL REHABILITATION HOSPIT
22210 ROBINSON AVECONWAYAR72034WWW.CONWAYREGIONAL.ORG/REHABILITATIONHOSAR4261Yes (X)1REHAB HOSPITAL

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1CONWAY REGIONAL MEDICAL CENTER INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Facility1FacilityNum
First Licensed CY Or PYfalseFirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PYfalseTaxExemptHospitalCYOrPYInd
CHNA ConductedYes (true)CHNAConductedInd
Community DefinitionYes (X)CommunityDefinitionInd
Community DemographicsYes (X)CommunityDemographicsInd
Existing ResourcesYes (X)ExistingResourcesInd
How Data ObtainedYes (X)HowDataObtainedInd
Community Health NeedsYes (X)CommunityHealthNeedsInd
Other Health IssuesYes (X)OtherHealthIssuesInd
Community Hlth Needs Id ProcessYes (X)CommunityHlthNeedsIdProcessInd
Consulting ProcessYes (X)ConsultingProcessInd
Prior CHNA ImpactYes (X)PriorCHNAImpactInd
CHNA Conducted16CHNAConductedYr
Take Into Account Others InputYes (true)TakeIntoAccountOthersInputInd
CHNA Conducted With Other FcltsYes (true)CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non FcltsfalseCHNAConductedWithNonFcltsInd
CHNA Report Widely AvailableYes (true)CHNAReportWidelyAvailableInd
Rpt Available On Own WebsiteYes (X)RptAvailableOnOwnWebsiteInd
Own Website URLWWW.CONWAYREGIONAL.ORG/CHNAOwnWebsiteURLTxt
Paper Copy Public InspectionYes (X)PaperCopyPublicInspectionInd
Rpt Available Thru Other MethodYes (X)RptAvailableThruOtherMethodInd
Implementation Strategy AdoptYes (true)ImplementationStrategyAdoptInd
Implementation Strategy Adpt16ImplementationStrategyAdptYr
Strategy Posted WebsiteYes (true)StrategyPostedWebsiteInd
Strategy Website URLWWW.CONWAYREGIONAL.ORG/ABOUT-US/COMMUNITYHEALStrategyWebsiteURLTxt
Organization Incur Excise TaxfalseOrganizationIncurExciseTaxInd
Elig Criteria ExplainedYes (true)EligCriteriaExplainedInd
FPG Family Incm Lmt Free DscntYes (X)FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care225.FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care300.FPGFamilyIncmLmtDscntCarePct
Asset Level CriteriaYes (X)AssetLevelCriteriaInd
Medical Indigency CriteriaYes (X)MedicalIndigencyCriteriaInd
Insurance Status CriteriaYes (X)InsuranceStatusCriteriaInd
Underinsurance Stat CriteriaYes (X)UnderinsuranceStatCriteriaInd
Residency CriteriaYes (X)ResidencyCriteriaInd
Explained BasisYes (true)ExplainedBasisInd
App Financial Asst ExplnYes (true)AppFinancialAsstExplnInd
Described InfoYes (X)DescribedInfoInd
Described Suprt DocYes (X)DescribedSuprtDocInd
Provided Hospital ContactYes (X)ProvidedHospitalContactInd
Provided Nonprofit ContactYes (X)ProvidedNonprofitContactInd
Includes Publicity MeasuresYes (true)IncludesPublicityMeasuresInd
FAP Available On WebsiteYes (X)FAPAvailableOnWebsiteInd
FAP Available On Website URLWWW.CONWAYREGIONAL.ORGFAPAvailableOnWebsiteURLTxt
FAP App Available On WebsiteYes (X)FAPAppAvailableOnWebsiteInd
FAP App Available On Website URLWWW.CONWAYREGIONAL.ORGFAPAppAvailableOnWebsiteURLTxt
FAP Summary On WebsiteYes (X)FAPSummaryOnWebsiteInd
FAP Summary On Website URLWWW.CONWAYREGIONAL.ORGFAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No ChargeYes (X)FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No ChrgYes (X)FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No ChrgYes (X)FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill DisplayYes (X)NotifiedFAPCopyBillDisplayInd
Communtity Notified FAPYes (X)CommuntityNotifiedFAPInd
FAP TranslatedYes (X)FAPTranslatedInd
FAP Actions On NonpaymentYes (true)FAPActionsOnNonpaymentInd
Permit No ActionsYes (X)PermitNoActionsInd
Collection ActivitiesfalseCollectionActivitiesInd
Provided Written NoticeYes (X)ProvidedWrittenNoticeInd
Made Effort Orally NotifyYes (X)MadeEffortOrallyNotifyInd
Processed FAP ApplicationYes (X)ProcessedFAPApplicationInd
Made Presumptive Elig DetermYes (X)MadePresumptiveEligDetermInd
Nondis Emergency Care PolicyYes (true)NondisEmergencyCarePolicyInd
Look Back Medicare PrivateYes (X)LookBackMedicarePrivateInd
Amounts Generally BilledfalseAmountsGenerallyBilledInd
Gross ChargesfalseGrossChargesInd

Supplemental Information SupplementalInformationGrp (4 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
SCHEDULE H, PART V, SECTION B, LINE 5CONWAY 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 6ACONWAY REGIONAL REHABILITATION HOSPITAL, LLC
SCHEDULE H, PART V, SECTION B, LINE 7DTHE 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 11CONWAY REGIONAL HAS IDENTIFIED THREE NEEDS THAT WILL BE THE HOSPITAL'S PRIMARY FOCUS FOR IMPROVEMENT: OBESITY AND CHILDHOOD OBESITY, NUTRITION AND EXERCISE, AND CHRONIC DISEASE MANAGEMENT/DIABETES. SPECIFIC ACTIVITIES FOR HEALTH STATUS IMPROVEMENT INCLUDE THE FOLLOWING ELEMENTS FROM THE COMMUNITY HEALTH NEEDS ASSESSMENT: OBESITY KIDS RUN ARKANSAS INCREASED PARTICIPATION BY 194% TO 1,039 PARTICIPANTS IN 2016 FROM 52 SCHOOLS SPANNING 6 COUNTIES. SCHOOLS WITH RUNNING PROGRAMS SHOWED A 1.13% DECREASE IN OBESITY COMPARED TO SCHOOLS THAT DID NOT PARTICIPATE. CRMC WILL ALSO WORK WITH OTHER ORGANIZATIONS IN THE COMMUNITY TO INCREASE THE AVAILABILITY OF ORGANIZATION WELLNESS PROGRAMS, WITH A GOAL OF REDUCING ADULT OBESITY BY 3% OVER 3 YEARS. NUTRITION AND EXERCISE CONWAY REGIONAL WILL INCREASE ACTIVITY FOR THE POPULATION OF FAULKNER COUNTY BY 3% OVER THE NEXT THREE YEARS. THIS INITIATIVE WILL BE CALLED GET CONWAY MOVING. CRMC WILL CONTINUE TO SPONSOR AND SUPPORT INFRASTRUCTURE WITHIN THE COMMUNITY THAT ENCOURAGES EXERCISE. THIS COULD INCLUDE WALKING TRAILS, PLAYGROUNDS, OR OTHER FITNESS EQUIPMENT. CHRONIC DISEASE MANAGEMENT CONWAY REGIONAL WILL WORK TO REDUCE THE RATE OF CHRONIC DISEASE BY 2% OVER THE NEXT THREE YEARS BY FOCUSING ON IMPROVING NUTRITION, INCREASING EXERCISE, AND LOWERING OBESITY. DIABETES AFFECTS 35% OF CONWAY REGIONAL REHABILITATION HOSPITALS PATIENTS AND 20.4% OF CONWAY REGIONAL MEDICAL CENTER PATIENTS. CRMC OFFERS A WELLNESS PROGRAM TO EMPLOYEES TO HELP REDUCE THE RISK OF CHRONIC DISEASES. THIS PROGRAM HAS BEEN EXPANDED TO INCLUDE OTHER MEMBERS OF THE COMMUNITY. CONWAY REGIONAL ACKNOWLEDGES THE IMPORTANCE OF ALL IDENTIFIED NEEDS FROM THE ASSESSMENT, BUT DUE TO THE NUMBER OF NEEDS, CONWAY REGIONAL CANNOT ADDRESS ALL OF THE NEEDS ALONE. COMMUNITY ORGANIZATIONS AND BUSINESS ARE ENCOURAGED TO HELP IMPROVE THE HEALTH OF THE COMMUNITY AS WELL. IDENTIFIED NEEDS CURRENTLY NOT CONCENTRATED ON BY CONWAY REGIONAL ARE LISTED BELOW: ACCESS TO CARE INCREASES IN PHYSICIAN/CLINICAL WORKFORCE SHOULD IMPACT THE OVERALL ACCESS TO CARE. ONE WAY CONWAY REGIONAL IS WORKING TO INCREASE ACCESS TO CARE IS THROUGH COLLABORATION WITH UAMS CENTER FOR DISTANCE HEALTH THAT ALLOWS CONWAY REGIONAL TO PROVIDE EMERGENCY ROOM PATIENTS, EXPERIENCING A STROKE, LIFESAVING TREATMENT. THE PROGRAM PROVIDES PATIENTS WITH ACCESS TO SPECIALLY TRAINED NEUROLOGISTS THROUGH TWO-WAY VIDEO 24 HOURS A DAY, 7 DAYS A WEEK. CONWAY REGIONAL ALSO CONTINUES EFFORTS TO RECRUIT PHYSICIANS AND CLINICAL STAFF. AS THE AVAILABILITY OF PHYSICIANS INCREASES, THE NEED FOR ACCESS SHOULD DECREASE. SMOKING/DRINKING/DRUG ABUSE CONWAY REGIONAL OFFERS A SMOKING CESSATION PROGRAM FOR EMPLOYEES THROUGH AN EMPLOYEE BASED WELLNESS PROGRAM BUT DOES NOT CURRENTLY OFFER THIS SERVICE TO THE COMMUNITY. AS THE WELLNESS PROGRAMS INCREASE IN CONWAY AND FAULKNER COUNTY, SMOKING CESSATION WILL MOST LIKELY BE ONE ASPECT THE INDIVIDUAL ORGANIZATIONS WILL ADD TO THEIR BENEFITS. CURRENTLY, SUPPORT AND RESOURCES ARE AVAILABLE THROUGH COMMUNITY SERVICES, INC. AS THEY HAVE AN INITIATIVE IN PLACE TO DECREASE SMOKING IN FAULKNER COUNTY. WHILE THERE ARE DEFINED NEEDS FOR FAULKNER COUNTY THAT ARE NOT ESTABLISHED AS AREAS OF FOCUS FOR CONWAY REGIONAL, THE HOSPITAL WILL WORK WITH THE COMMUNITY IF PROGRAMS ARISE TO IMPACT THESE AREAS. IT WAS CONCLUDED THAT MANY OF THE NEEDS FOUND THROUGH THE NEEDS ASSESSMENT WILL SEE INDIRECT IMPACT FROM CONWAY REGIONAL'S FOCUS ON OUR THREE PRIORITY AREAS.
FieldValueIRS element (for citing)
Facility25FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (25 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdFacilityFacilityTxt
CONWAY MEDICAL GROUP
437 DENISON STREETCONWAYAR72034MEDICAL CLINIC
MAYFLOWER MEDICAL CLINIC
606 HIGHWAY 365MAYFLOWERAR72106MEDICAL CLINIC
GREENBRIER FAMILY MEDICINE
110 NORTH BROADVIEWGREENBRIERAR72058FAMILY CLINIC
HEALTH AND FITNESS CENTER
700 SALEM ROADCONWAYAR72034HEALTH CENTER
CONWAY REGIONAL AFTER HOURS CLINIC
437 DENISON SUITE 2CONWAYAR72034CLINIC
CONWAY REGIONAL MEDICAL CLINIC - VILONIA
1122 MAIN STREET SUITE 7VILONIAAR72173CLINIC
CONWAY REGIONAL MEDICAL CLINIC-PRINCE ST
1 MEDICAL LANECONWAYAR72034CLINIC
CONWAY REGIONAL CARDIOVASCULAR CLINIC
525 WESTERN AVENUE SUITE 202CONWAYAR72034CARDIOVASCULAR CLINIC
CLINTON MEDICAL CLINIC
2526 HIGHWAY 65 SUITE 203CLINTONAR72031CLINIC
CONWAY REGIONAL MED CLINIC-POTTSVILLE
2504 WEST MAIN STREET SUITE HRUSSELLVILLEAR72801CLINIC
CONWAY REGIONAL MEDICAL CLINIC - VILONIA
1159 MAIN STREETVILONIAAR72173MEDICAL CLINIC
CONWAY REGIONAL IMAGING CENTER
555 CLUB LANECONWAYAR72034IMAGING CENTER
CONWAY REGIONAL PERSONAL TRAINING STUDIO
CORNER OF COLLEGE AND DONAGHEYCONWAYAR72034PERSONAL TRAINING STUDIO
CR THERAPY CENTER - SCHERMAN HEIGHTS
550 CLUB LANE SUITE 2CONWAYAR72032THERAPY CENTER
CONWAY REG THERAPY CENTER - GREENBRIER
8E WILSON FARM ROADGREENBRIERAR72058THERAPY CENTER
CONWAY REGIONAL SPECIALTY THERAPY CLINIC
2200 ADA AVENUE SUITE 200CONWAYAR72034THERAPY CENTER
CONWAY REGIONAL WOUND HEALING CENTER
2200 ADA AVENUE SUITE 205CONWAYAR72034WOUND HEALING CENTER
CR ADVANCED PAIN MANAGEMENT CENTER
525 WESTERN AVENUE 304CONWAYAR72034MEDICAL CLINIC
CR CENTER FOR ORTHOPAEDIC AND SPORTS MED
525 WESTERN AVE SUITE 302CONWAYAR72034MEDICAL CLINIC
CONWAY REGIONAL NEUROSCIENCE CENTER
2200 ADA AVENUE SUITE 305CONWAYAR72034MEDICAL CLINIC
CONWAY REGIONAL GASTROENTEROLOGY CENTER
2200 ADA AVE SUITE 201CONWAYAR72034MEDICAL CLINIC
CONWAY REGIONAL HOMECARE
2134 ROBINSON STREETCONWAYAR72034HOME HEALTH SERVICES
CONWAY REGIONAL MEDICAL CLINIC - RUSSELL
108 SKYLINE DRIVERUSSELLVILLEAR72801MEDICAL CLINIC
CARDIOVASCULAR AND THORACIC SURGERY OF C
525 WESTERN AVENUECONWAYAR72034MEDICAL CLINIC
CONWAY REGIONAL INFECTIOUS DISEASE CLINI
2200 ADA AVENUE SUITE 203CONWAYAR72034MEDICAL CLINIC

Supplemental Information Detail SupplementalInformationDetail (15 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, SCHEDULE HCONWAY 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. THCONWAY 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 3CSEE SCHEDULE H, PART V, LINES 13 THROUGH 16 FOR ADDITIONAL INFORMATION ON OUR FINANCIAL ASSISTANCE POLICY.
FORM 990, SCHEDULE H, PART I, LINE 7THE COST TO CHARGE RATIO (CALCULATED USING WORKSHEET 2) WAS USED FOR LINE 7 AMOUNTS.
FORM 990, SCHEDULE H, PART I, LINE 7, COLUMN FBAD DEBT EXPENSE IN THE AMOUNT OF $12,960,827 IS INCLUDED ON FORM 990, PART IX, LINE 25, COLUMN (A) ("TOTAL FUNCTIONAL EXPENSES"), BUT IS SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGES IN THIS COLUMN. A NUMBER OF PATIENTS ARE TRULY UNABLE TO PAY THEIR OUT-OF-POCKET LIABILITY BUT DO NOT COMPLETE THE PROCESS REQUIRED TO APPLY FOR FINANCIAL ASSISTANCE UNDER THE HOSPITAL'S CHARITY CARE POLICY. THESE PATIENTS WOULD QUALIFY FOR CHARITY CARE IF THEY COMPLETED THE PAPERWORK, SO THE BAD DEBT EXPENSE ASSOCIATED WITH TREATING THEM SHOULD BE TREATED AS COMMUNITY BENEFIT.
FORM 990, SCHEDULE H, PART II, LINES 1 10CONWAY REGIONAL MEDICAL CENTER PROMOTED HEALTH AND WELLNESS THROUGH PROGRAMS THAT INCREASED COMMUNITY MEMBER EDUCATION, FREE HEALTH SCREENINGS, CASH DONATIONS, IN-KIND GIFTS, AND SUPPORT OF COMMUNITY EVENTS. THESE BENEFITS, WHICH COME AT A DIRECT COST TO THE HEALTH SYSTEM, WERE OFFERED TO MEMBERS OF THE COMMUNITY IN AN EFFORT TO INCREASE THE OVERALL HEALTH OF THE SURROUNDING AREA.
FORM 990, SCHEDULE H, PART III, SECTION A, LINE 2CONWAY REGIONAL MEDICAL CENTER USES A COMPLEX CALCULATION TO IDENTIFY BAD DEBT BASED ON HISTORICAL KNOWLEDGE ASSOCIATED WITH THE AGE OF ACCOUNTS, THE PAYERS, AND THE PATIENT TYPES. IF A PATIENT FILLS OUT A FINANCIAL ASSISTANCE APPLICATION, THE ACCOUNT IS FROZEN AND NO FURTHER COLLECTION ACTIVITY OCCURS WHILE A DETERMINATION IS MADE AS TO IF THE PATIENT QUALIFIES FOR CHARITY CARE.
FORM 990, SCHEDULE H, PART III, SECTION A, LINE 3THE ESTIMATED AMOUNT OF THE ORGANIZATION'S BAD DEBT EXPENSE ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER THE ORGANIZATION'S FINANCIAL ASSISTANCE POLICY WAS CALCULATED BY MULTIPLYING THE USDA POVERTY REPORT INDEX AVERAGE FOR THE TOP 5 COUNTIES SERVED, 16.22%, BY THE TOTAL BAD DEBT EXPENSE OF $12,960,827. A NUMBER OF PATIENTS ARE TRULY UNABLE TO PAY THEIR OUT OF POCKET LIABILITY, BUT THEY DO NOT COMPLETE THE PROCESS REQUIRED TO APPLY FOR FINANCIAL ASSISTANCE UNDER THE HOSPITAL'S CHARITY CARE POLICY. THESE PATIENTS WOULD QUALIFY FOR CHARITY CARE IF THEY COMPLETED THE PAPERWORK; THEREFORE, THE BAD DEBT EXPENSE ASSOCIATED WITH TREATING THEM SHOULD BE CLASSIFIED AS COMMUNITY BENEFIT.
FORM 990, SCHEDULE H, PART III, SECTION A, LINE 4PLEASE SEE ATTACHED AUDIT REPORT, NOTE 1, PATIENT ACCOUNTS RECEIVABLE.
FORM 990, SCHEDULE H, PART III, SECTION B, LINE 8THE 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 9BALL 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 2CONWAY 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 3ALL 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 4CONWAY REGIONAL SERVES A 6 COUNTY AREA IN CENTRAL ARKANSAS INCLUDING FAULKNER, PERRY, POPE, CONWAY, VAN BUREN, AND CLEBURNE COUNTIES. MANY OF THE AREAS SERVED ARE CONSIDERED RURAL, UNDERSERVED AREAS. CAUCASIANS ARE THE PRIMARY RACE FOLLOWED BY AFRICAN AMERICANS. WITH 5 COLLEGES/UNIVERSITIES IN OUR SERVICE AREA, WE HAVE A LARGE POPULATION OF AGES 18 TO 30, BUT WE ALSO SERVE A LARGE POPULATION OF SENIORS AS WELL.
FORM 990, SCHEDULE H, PART VI, LINE 5CONWAY 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 7AR

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records MaintainedYes (true)GrantRecordsMaintainedInd

Recipient Table RecipientTable (7 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdRecipient EINRecipientEINIRC SectionIRCSectionDescCash GrantCashGrantAmtValuation Method UsedValuationMethodUsedDescPurpose Of GrantPurposeOfGrantTxt
CONWAY AREA CHAMBER OF COMMERCE
900 WEST OAK STREETCONWAYAR72032710037470501(C)(6)$32,800N/A
CONWAY PARKS AND RECREATION
10 LOWER RIDGE ROADCONWAYAR72032$5,200N/APARK SCOREBOARDS
HAVEN
PO BOX 10105CONWAYAR72034237198398501(C)(3)$15,500N/A
CONWAY PUBLIC SCHOOLS
2220 PRINCE STREETCONWAYAR72034352312254501(C)(3)$25,000N/A
TOAD SUCK DAZE
900 WEST OAK STREETCONWAYAR72032464378633501(C)(3)$10,000N/A
UNIVERSITY OF CENTRAL ARKANSAS
UCA BOX 4986CONWAYAR72035716001828501(C)(3)$110,700N/A
VILONIA SCHOOLS
PO BOX 160VILONIAAR72173$15,234N/A
FieldValueIRS element (for citing)
Total501c3 Org6Total501c3OrgCnt
Total Other Org1TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE I, PART I, LINE 2FormAndLineReferenceDesc
ExplanationGRANTS 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

FieldValueIRS element (for citing)
Travel For CompanionsYes (X)TravelForCompanionsInd
Club Dues Or FeesYes (X)ClubDuesOrFeesInd
Written Policy Ref T And E ExpnssYes (true)WrittenPolicyRefTAndEExpnssInd
Substantiation RequiredYes (true)SubstantiationRequiredInd
Severance PaymentYes (true)SeverancePaymentInd
Supplemental Nonqual Rtr PlanfalseSupplementalNonqualRtrPlanInd
Equity Based Comp ArrngmfalseEquityBasedCompArrngmInd
Comp Based On Revenue Of Flng OrgfalseCompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related OrgsfalseCompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng OrgYes (true)CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd OrgsfalseCompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsfalseAnyNonFixedPaymentsInd
Initial Contract ExceptionfalseInitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (6 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmt
REGAN GALLAHER MD
PHYSICIAN$750,102$0$0$0$0$0$11,000$0$7,434$0$768,536$0
DENNIS WOODHALL MD
PHYSICIAN$558,614$0$24,165$0$0$0$11,000$0$366$0$594,145$0
FRANK MARTIN MOIX JR
PHYSICIAN$325,199$0$88,222$0$0$0$7,322$0$9,513$0$430,256$0
DARREN FREEMAN MD
PHYSICIAN$317,336$0$69,343$0$15,385$0$11,000$0$14,151$0$427,215$0
BRENT SCROGGINS MD
PHYSICIAN$319,446$0$69,959$0$0$0$10,086$0$13,893$0$413,384$0
JAMES REED
CHIEF INFORMATION OFFICER$154,573$0$23,051$0$803$0$0$0$0$0$178,427$0

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
SCHEDULE J, PART I, LINE 1AMEMBERSHIP TO CONWAY REGIONAL HEALTH AND FITNESS CENTER, TREATED AS NONTAXABLE COMPENSATION. SPOUSAL TRAVEL TO BOARD RETREAT TREATED AS NONTAXABLE COMPENSATION.
SCHEDULE J, PART I, LINE 4ASTEVE ROSE, FORMER CFO, RECEIVED $16,000 FOR HIS SERVICE WHEN HE LEFT CONWAY REGIONAL MEDICAL CENTER. HE WAS REQUIRED TO TAKE A MONTH OFF OF WORK AND HE WAS NOT ALLOWED TO WORK FOR A DIRECT COMPETITOR.
SCHEDULE J, PART I, LINE 6AA 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 ReferenceBondReferenceCdBond Issuer EINBondIssuerEINCUSIPCUSIPNumBond IssuedBondIssuedDtIssue PriceIssuePriceAmtPurposePurposeDescDefeasedDefeasedIndOn Behalf Of IssuerOnBehalfOfIssuerIndPool FinancingPoolFinancingInd
CITY OF CONWAY AR - HEALTH FACILITIES BOARD
A731574175212584CE42009-12-08$29,579,127REFUNDED BOND ISSUED 10/19/99falsefalsefalse
CITY OF CONWAY AR - HEALTH FACILITIES BOARD
B731574175212584CS32012-03-15$18,363,658CAPITAL IMPROVEMENTSfalsefalsefalse
CITY OF CONWAY AR - HEALTH FACILITIES BOARD
C731574175212584DC72018-12-27$34,890,730CAPITAL IMPROVEMENTSfalsefalsefalse

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (3 entries)

Bond ReferenceBondReferenceCdRetiredRetiredAmtBond DefeasedBondDefeasedAmtTotal ProceedsTotalProceedsAmtIn Reserve FundInReserveFundAmtCapitalized InterestCapitalizedInterestAmtRefunding EscrowRefundingEscrowAmtIssuance Costs From ProceedsIssuanceCostsFromProceedsAmtCredit EnhancementCreditEnhancementAmtWorking Capital ExpendituresWorkingCapitalExpendituresAmtCapital ExpendituresCapitalExpendituresAmtOther Spent ProceedsOtherSpentProceedsAmtUnspentUnspentAmtSubstantial CompletionSubstantialCompletionYrRefunding Tax Exempt BondsRefundingTaxExemptBondsIndRefunding Taxable BondsRefundingTaxableBondsIndFinal Allocation MadeFinalAllocationMadeIndAdequate Books And Rec MaintAdequateBooksAndRecMaintInd
A$9,880,000$29,622,237$29,590,498$2,477,401$0$0$553,554$0$0$0$26,637,795$1,081,6712009Yes (true)falseYes (true)Yes (true)
B$2,955,000$18,380,658$0$1,097,926$0$0$262,329$0$0$17,005,514$0$488,9712012falsefalsefalseYes (true)
C$0$0$34,890,730$2,302,111$0$0$584,285$0$0$0$0$0falsefalsefalseYes (true)

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (3 entries)

Bond ReferenceBondReferenceCdOwning Bond Financed PropertyOwningBondFinancedPropertyIndAny Lease ArrangementsAnyLeaseArrangementsIndMgmt Contract Bond Fincd PropMgmtContractBondFincdPropIndAny Research AgreementsAnyResearchAgreementsIndPrivate Bus Use By OthersPrivateBusUseByOthersPctBond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestIndChange In Use Bond Financed PropChangeInUseBondFinancedPropIndRemedial Action TakenRemedialActionTakenIndProcs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
Afalsefalsefalsefalse0falsefalsefalseYes (true)
Bfalsefalsefalsefalse0falsefalsefalseYes (true)
Cfalsefalsefalsefalse0falsefalsefalseYes (true)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (3 entries)

Bond ReferenceBondReferenceCdForm8038 T FiledForm8038TFiledIndRebate Not Due YetRebateNotDueYetIndException To RebateExceptionToRebateIndNo Rebate DueNoRebateDueIndVariable Rate IssueVariableRateIssueIndHedge Identified In Bks And RecHedgeIdentifiedInBksAndRecIndGross Proceeds Invested In GICGrossProceedsInvestedInGICIndBusiness Name Line1GICProviderName/BusinessNameLine1TxtGross Proceeds InvestedGrossProceedsInvestedIndWritten Proc To Monitor ReqsWrittenProcToMonitorReqsInd
0
AfalsefalsefalseYes (true)falsefalsefalse0falseYes (true)
0
BfalsefalsefalseYes (true)falsefalsefalse0falseYes (true)
0
CfalseYes (true)falsefalsefalsefalsefalse0falseYes (true)

Procedures Corrective Action ProceduresCorrectiveActionGrp (3 entries)

Bond ReferenceBondReferenceCdProcedures Corrective ActionProceduresCorrectiveActionInd
AYes (true)
BYes (true)
CYes (true)

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, SCHEDULE K, PART I, LINE A&BSERIES 2009 BONDS ARE CALCULATED ON THE BOND YEAR END, 08/01/2018. SERIES 2012 BONDS ARE CALCULATED ON THE TAX YEAR END, 08/01/2018. SERIES 2018 BONDS ARE CALCULATED ON THE BOND YEAR END, 12/27/2018
FORM 990, SCHEDULE K, PART II, LINE 3THE TOTAL PROCEEDS OF ISSUE IS DIFFERENT THAN THE ISSUE PRICE, DUE TO INVESTMENT EARNINGS INCLUDED.
FORM 990, SCHEDULE K, PART IV, LINE 2CSERIES 2009 THE LAST REBATE CALCULATION DATE WAS 08/01/2014. SERIES 2012 THE LAST REBATE CALCULATION DATE WAS 08/01/2016.

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (14 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART III, LINE 4ACONWAY 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. TOTAL CHARITY CARE PROVIDED IN 2018 WAS $3,052,548. IN ADDITION, THE MEDICAL CENTER PARTICIPATES IN THE MEDICARE AND MEDICAID PROGRAMS FOR THE ELDERLY AND POOR. THESE PROGRAMS REIMBURSE THE MEDICAL CENTER AT AMOUNTS DIFFERENT FROM ITS ESTABLISHED RATES. TOTAL DISCOUNTS PROVIDED TO THESE PROGRAMS WERE OVER $241,201,036 FOR 2018. THE HOSPITAL PROVIDED VITAL HEALTH CARE SERVICES TO THE FAULKNER COUNTY POPULATION AND THE SURROUNDING AREA. THESE SERVICES INCLUDED 35,317 INPATIENT DAYS OF CARE, INCLUDING 17,870 TO MEDICARE PATIENTS AND 4,456 TO MEDICAID PATIENTS. ALSO, THE HOSPITAL SERVICED 31,853 VISITS TO ITS EMERGENCY ROOM AND PROVIDED 13,993 HOME HEALTH CARE VISITS, OF WHICH ABOUT 63% PERCENT WERE FOR MEDICARE PATIENTS. CONWAY REGIONAL MEDICAL CENTER PROVIDED VARIOUS COMMUNITY BENEFITS TO FAULKNER COUNTY AND SURROUNDING AREAS. THE ORGANIZATION HAS BEEN A MAJOR SUPPORTER OF COMMUNITY EVENTS THROUGH SPONSORSHIPS. THE HEALTH and FITNESS CENTER PROVIDES DONATIONS AND SCHOLARSHIPS THROUGHOUT THE COMMUNITY SUPPORTING BETTER HEALTH FOR OUR AREA. IN 2018, THE ORGANIZATION PARTICIPATED IN MORE THAN 30 HEALTH FAIRS AND SCREENING EVENTS, WHICH INCLUDED SEVERAL LARGE EVENTS SUCAS THE WOMEN'S HEALTH FAIR AND THE STATE OF HEALTH LUNCHEON. THE ORGANIZATION STRIVES TO PROVIDE HEALTH EDUCATION IN VARIOUS FORMATS INCLUDING SUPPORT GROUPS, TEACHING FIVE YEAR OLDS HOW TO STAY SAFE THROUGHWEEK-LONG PROGRAM SAFETY TOWN, AS WELL AS PROVIDING FREE CLASSES TO CAREGIVERS OF SENIORS. CONWAY REGIONAL ORGANIZES AND OFFERS IN-SERVICE AND CONTINUING EDUCATION PROGRAMS FOR AREA PROFESSIONALS. AS A MEDICALLY UNDERSERVED AREA, CONWAY REGIONAL CONTINUES TO RECRUIT PHYSICIAN TO FULFILL THE MEDICAL NEEDS OF THE COMMUNITY.
FORM 990, PART VI, SECTION A, LINE 3EFFECTIVE 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, 2018, WERE $8,166,313, WHICH INCLUDES THE COST OF EXECUTIVE SALARIES AND BENEFITS.
FORM 990, PART VI, SECTION B, LINE 11BTHE 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.
FORM 990, PART VI, SECTION B, LINE 12CTHE CONWAY REGIONAL HEALTH SYSTEM BOARD REVIEWS THE GOVERNING BOARD CONFLICT OF INTEREST POLICY ANNUALLY DURING THE JANUARY BOARD MEETING. A NEW CONFLICT OF INTEREST STATEMENT IS REQUIRED OF EACH BOARD MEMBER EVERY YEAR. THESE STATEMENTS ARE REVIEWED BY THE CHAIRMAN, PRESIDENT, AND CFO FOR MONITORING. BOARD MEMBERS WHO HAVE AN ACTUAL OR POTENTIAL CONFLICT OF INTEREST IN MATTERS BROUGHT BEFORE THE BOARD ARE TO ALERT THE OTHER MEMBERS OF THE BOARD BEFOREHAND. THE CONFLICTED BOARD MEMBER IS TO WITHDRAW FROM THE MEETING DURING SAID DISCUSSION UNTIL THE MATTER HAS BEEN VOTED ON. IF THE MEMBER FAILS TO WITHDRAW VOLUNTARILY, THE CHAIRMAN IS EMPOWERED TO REQUIRE WITHDRAWAL FROM THE ROOM DURING DISCUSSION AND VOTE ON THE MATTER. IN THE EVENT THE CONFLICT OF INTEREST AFFECTS THE CHAIRMAN, THE VICE CHAIRMAN IS THEN EMPOWERED TO REQUIRE THE CHAIRMAN'S WITHDRAWAL.
FORM 990, PART VI, SECTION B, LINE 15A & 15BCONWAY 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 19THE ORGANIZATION DOES NOT MAKE ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC.
FORM 990, PART XI, LINE 9INVESTMENT INCOME FROM K-1S INCLUDED IN REVENUE $36,096 TRANSFERS TO AFFILIATES $2,711,849 ------------------------ TOTAL $2,747,945
FORM 990 PART IX LINE 11GDESCRIPTION:PHYSCIAN FEES TOTAL FEES:8933609
FORM 990 PART IX LINE 11GDESCRIPTION:EQUIPMENT SERVICE TOTAL FEES:5328991
FORM 990 PART IX LINE 11GDESCRIPTION:CONTRACTS TOTAL FEES:4550422
FORM 990 PART IX LINE 11GDESCRIPTION:OTHER FEES TOTAL FEES:4144668
FORM 990 PART IX LINE 11GDESCRIPTION:AGENCY STAFF TOTAL FEES:420884
FORM 990 PART IX LINE 11GDESCRIPTION:DIALYSIS MEDICAL SERIVES TOTAL FEES:325899
FORM 990 PART IX LINE 11GDESCRIPTION:PURCHASED SERVICES TOTAL FEES:302020

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (2 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtControlled OrganizationControlledOrganizationInd
CONWAY REGIONAL HEALTH FOUNDATION
2302 COLLEGE AVECONWAYAR73034710797723SUPPORTAR501(C)(3)12ACRMCYes (true)
CR HOSPITAL EMPLOYEES' MEDICAL TRUST
2302 COLLEGE AVECONWAYAR72034521561768INSURANCEAR501(C)(9)CRMCYes (true)

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp

Related Organization Name RelatedOrganizationName

FieldValueIRS element (for citing)
Business Name Line1CONWAY REG REHABBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line12210 ROBINSON AVEAddressLine1Txt
CityCONWAYCityNm
State AbbreviationARStateAbbreviationCd
ZIP72034ZIPCd
FieldValueIRS element (for citing)
EIN412136339EIN
Primary ActivitiesIP REHAB SERVICESPrimaryActivitiesTxt
Legal Domicile StateARLegalDomicileStateCd

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1CRMCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Predominant Income TypeRELATEDPredominantIncomeTypeTxt
Share Of Total Income$672,913ShareOfTotalIncomeAmt
Share Of EOY Assets$956,255ShareOfEOYAssetsAmt
Disproportionate AllocationsfalseDisproportionateAllocationsInd
UBI Code V$0UBICodeVAmt
General Or Managing PartnerYes (true)GeneralOrManagingPartnerInd
Ownership0.65800OwnershipPct

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp

Related Organization Name RelatedOrganizationName

FieldValueIRS element (for citing)
Business Name Line1INSTITUTIONAL SERVICES CORPORATIONBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line12302 COLLEGE AVEAddressLine1Txt
CityCONWAYCityNm
State AbbreviationARStateAbbreviationCd
ZIP72034ZIPCd
FieldValueIRS element (for citing)
EIN710575886EIN
Primary ActivitiesPROPERT OWNERSHIPPrimaryActivitiesTxt
Legal Domicile StateARLegalDomicileStateCd

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1CRMCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Entity TypeC CORPORATIONEntityTypeTxt
Share Of Total Income$0ShareOfTotalIncomeAmt
Share Of EOY Assets$773,083ShareOfEOYAssetsAmt
Ownership1.00000OwnershipPct
Controlled OrganizationYes (true)ControlledOrganizationInd
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts RyltsfalseReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgfalseGiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (true)GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgfalseLoansOrGuaranteesFromOthOrgInd
Div Related OrganizationfalseDivRelatedOrganizationInd
Asset Sale To Other OrgfalseAssetSaleToOtherOrgInd
Asset Purchase From Other OrgfalseAssetPurchaseFromOtherOrgInd
Asset ExchangeYes (true)AssetExchangeInd
Rental Of Facilities To Oth OrgfalseRentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgYes (true)RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgYes (true)PerformOfServicesForOthOrgInd
Perform Of Services By Other OrgYes (true)PerformOfServicesByOtherOrgInd
Sharing Of FacilitiesYes (true)SharingOfFacilitiesInd
Paid Employees SharingYes (true)PaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (true)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (true)ReimbursementPaidByOtherOrgInd
Transfer To Other OrgYes (true)TransferToOtherOrgInd
Transfer From Other OrgYes (true)TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (7 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
CONWAY REGIONAL HEALTH FOUNDATION
C$67,594FMV
CONWAY REGIONAL HEALTH FOUNDATION
I$2,825,326BOOK VALUE
CONWAY REGIONAL HEALTH FOUNDATION
K$1,296,953FMV
INSTITUTIONAL SERVICES CORPORATION
K$87,384FMV
CONWAY REGIONAL HEALTH FOUNDATION
L$151,845FMV
CONWAY REGIONAL REHABILITATION HOSPITAL
L$438,710FMV
CR HOSPITAL EMPLOYEES' MEDICAL TRUST
R$6,665,611FMV