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CONWAY HOSPITAL INC: Form 990, tax year 2017

View the entire original 990 at ProPublica ↗

Organization
CONWAY HOSPITAL INC (EIN 57-0314381)
Tax period
2017-10-01 to 2018-09-30
Filed
2019-08-15
IRS object ID
201922279349301907
Schema version
2017v2.3
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)
Return2019-08-15T10:10:57-05:00ReturnTs
Tax Period End2018-09-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1Grant Thornton LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1201 S COLLEGE ST STE 2500AddressLine1Txt
CityCHARLOTTECityNm
State AbbreviationNCStateAbbreviationCd
ZIP28244ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2017-10-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN570314381EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Conway Hospital IncBusinessNameLine1Txt
FieldValueIRS element (for citing)
In Care Of% BRIAN ARGOInCareOfNm
Business Name ControlCONWBusinessNameControlTxt
Phone8433478037PhoneNum

US Address USAddress

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

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonBRIAN ARGOPersonNm
Person TitleCFOPersonTitleTxt
Phone8433478037PhoneNum
Signature2019-08-15SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonMichele N MelchiorPreparerPersonNm
PTINP00488037PTIN
Phone7046323500PhoneNum

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address209.220.136.124IPv4AddressTxt
FieldValueIRS element (for citing)
Federal Original Submission Id56917520192275000005FederalOriginalSubmissionId
Federal Original Submission Id2019-08-15FederalOriginalSubmissionIdDt
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device Id87CB2D37C3C7A01CF756A4210A0DE0A18D3FE25AAtSubmissionCreationDeviceId
At Submission Filing Device Id57942369B23AF8A4EA3FCCA2052C9A8DC356319DAtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2017TaxYr
Build TS2019-02-21 02:37:17ZBuildTS

Form 990 IRS990

Doing Business As Name DoingBusinessAsName

FieldValueIRS element (for citing)
Business Name Line1Conway Medical CenterBusinessNameLine1Txt
FieldValueIRS element (for citing)
Principal OfficerBRET BARRPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1300 SINGLETON RIDGE ROADAddressLine1Txt
CityCONWAYCityNm
State AbbreviationSCStateAbbreviationCd
ZIP29526ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$293,405,343GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.CONWAYMEDICALCENTER.COMWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1928FormationYr
Legal Domicile StateSCLegalDomicileStateCd
Activity Or MissionWE ARE AN ACUTE CARE HOSPITAL SERVING HORRY AND SURROUNDING COUNTIES. OUR MISSION IS TO IMPROVE THE OVERALL HEALTH OF THE COMMUNITY BY BEING A LEADER IN HEALTH CARE.ActivityOrMissionDesc
Voting Members Governing Body14VotingMembersGoverningBodyCnt
Voting Members Independent13VotingMembersIndependentCnt
Total Employee1362TotalEmployeeCnt
Total Volunteers235TotalVolunteersCnt
Total Gross UBI$48,078TotalGrossUBIAmt
PY Contributions Grants$288,641PYContributionsGrantsAmt
CY Contributions Grants$430,055CYContributionsGrantsAmt
PY Program Service Revenue$150,115,509PYProgramServiceRevenueAmt
CY Program Service Revenue$161,828,950CYProgramServiceRevenueAmt
PY Investment Income$7,388,942PYInvestmentIncomeAmt
CY Investment Income$15,251,896CYInvestmentIncomeAmt
PY Other Revenue$291,746PYOtherRevenueAmt
CY Other Revenue$292,733CYOtherRevenueAmt
PY Total Revenue$158,084,838PYTotalRevenueAmt
CY Total Revenue$177,803,634CYTotalRevenueAmt
PY Grants And Similar Paid$21,564PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$16,328CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$70,458,234PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$72,300,139CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$84,861,444PYOtherExpensesAmt
CY Other Expenses$89,385,799CYOtherExpensesAmt
PY Total Expenses$155,341,242PYTotalExpensesAmt
CY Total Expenses$161,702,266CYTotalExpensesAmt
PY Revenues Less Expenses$2,743,596PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$16,101,368CYRevenuesLessExpensesAmt
Total Assets BOY$511,639,806TotalAssetsBOYAmt
Total Assets EOY$518,162,163TotalAssetsEOYAmt
Total Liabilities BOY$146,568,751TotalLiabilitiesBOYAmt
Total Liabilities EOY$141,376,923TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$365,071,055NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$376,785,240NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionCONWAY HOSPITAL INC., LOCATED IN CONWAY, SOUTH CAROLINA, IS A NOT-FOR-PROFIT ACUTE CARE HOSPITAL THAT PROVIDES INPATIENT, OUTPATIENT AND EMERGENCY CARE SERVICES GENERALLY FOR RESIDENTS OF HORRY AND SURROUNDING COUNTIES.MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$127,974,624ExpenseAmt
Grant$16,328GrantAmt
Revenue$162,121,683RevenueAmt
DescCONWAY 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, 2018, THE HOSPITAL FURNISHED CHARITY CARE IN THE AMOUNT OF $16,512,908 IN FOREGONE CHARGES. THE TOTAL DAYS OF PATIENT CARE WERE 33,802 AND CONWAY HOSPITAL INC. SAW A TOTAL OF 129,635 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.Desc
Total Program Service Expenses$127,974,624TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredYes (true)ScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesYes (true)LobbyingActivitiesInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Temp Or Permanent EndowmentsYes (true)TempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecfalseReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsYes (true)ReportOtherAssetsInd
Report Other LiabilitiesfalseReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (true)IncludeFIN48FootnoteInd
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 OutstandingYes (true)LoanOutstandingInd
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 Document127IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee1362EmployeeCnt
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
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members14GoverningBodyVotingMembersCnt
Independent Voting Member13IndependentVotingMemberCnt
Family Or Business RlnYes (true)FamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
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 CEOYes (true)CompensationProcessCEOInd
Compensation Process OtherYes (true)CompensationProcessOtherInd
Investment In Joint VentureYes (true)InvestmentInJointVentureInd
Written Policy Or ProcedureYes (true)WrittenPolicyOrProcedureInd
States Where Copy Of Return Is FldNCStatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is FldSCStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonBRIAN ARGOPersonNm
Phone8433478037PhoneNum

US Address USAddress

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

Form990 Part VII Section A Form990PartVIISectionAGrp (31 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtKey EmployeeKeyEmployeeIndHighest Compensated EmployeeHighestCompensatedEmployeeInd
PHILIP CLAYTON
CEO&TRUSTEE (THRU 12/2017)40.05.0Yes (X)Yes (X)$818,481$0$308,181
LEROY RAINBOW JR
CHAIRMAN1.01.0Yes (X)Yes (X)$0$0$0
M WAYNE STATON
SECRETARY1.02.0Yes (X)Yes (X)$0$0$0
WILLIAM R BENSON
TRUSTEE1.01.0Yes (X)$0$0$0
DR REGINALD F DAVES
TRUSTEE1.02.0Yes (X)$0$0$0
Dr MICHAEL ELLIS
TRUSTEE1.01.0Yes (X)$0$0$0
DIANNE W RAY
TRUSTEE1.01.0Yes (X)$0$0$0
CHRISTI EVERETTE
TRUSTEE1.02.0Yes (X)$0$0$0
HEATHER VON HERRMANN
TRUSTEE1.02.0Yes (X)$0$0$0
DR HAL B HOLMES
TRUSTEE1.01.0Yes (X)$0$0$0
CHRISTOPHER S HUGGINS
TRUSTEE1.01.0Yes (X)$0$0$0
DR DEIRDRE S WILLIAMS DDS
TRUSTEE1.01.0Yes (X)$0$0$0
DENNIS WADE
TRUSTEE1.01.0Yes (X)$0$0$0
GEORGE N MAGRATH JR
TRUSTEE1.01.0Yes (X)$0$0$0
BRET BARR
CEO&TRUSTEE (BEG 1/2018)40.05.0Yes (X)Yes (X)$401,134$0$109,504
GEORGE H GOLDFINCH JR
TRUSTEE (THRU 12/20171.01.0Yes (X)$0$0$0
JOHN P HENRY
TRUSTEE (THRU 12/2017)1.01.0Yes (X)$0$0$0
CHARLES B JORDAN
TRUSTEE (THRU 12/2017)1.01.0Yes (X)$0$0$0
BRIAN ARGO
CFO (BEG 7/2017)40.05.0Yes (X)$114,264$0$8,931
DAVID E CRUTCHFIELD
CIO (THRU 4/2018)40.04.0Yes (X)$315,354$0$67,497
TONY MINSHEW
VP OF NURSING40.00.0$285,584$0$59,245Yes (X)
MATTHEW SECURRO
VP OF HUMAN RESOURCES40.00.0$229,603$0$47,159Yes (X)
PAUL RICHARDSON
VP OF MEDICAL AFFAIRS40.00.0$400,637$0$80,178Yes (X)
ANGELA WILLIFORD
CHIEF RISK OFFICER40.00.0$232,935$0$54,383Yes (X)
KEVIN LOVETT
VP OF FACILITIES40.00.0$221,724$0$52,139Yes (X)
TERRENCE J EGAN
VP OF FOUNDATION40.00.0$189,642$0$43,756Yes (X)
ROBERT GAJEWSKI
DIRECTOR OF PHARMACY40.00.0$169,332$0$35,977Yes (X)
DENNIS FINLEY
DIRECTOR OF PHYSICAL THERAPY40.00.0$143,553$0$33,720Yes (X)
FRANK GRELLA
DIRECTOR OF PATIENT ACCTING40.00.0$143,097$0$17,838Yes (X)
GLENN SISK
PHARMACIST40.00.0$146,202$0$33,598Yes (X)
WENDELL BEVERLY
CLINICAL PHARMACY COORDINATOR40.00.0$145,114$0$34,037Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$3,956,656TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$986,143TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K47IndivRcvdGreaterThan100KCnt
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
MONTEITH CONSTRUCTION CORP
32 N FRONT STREETWILMINGTONNC28401CONSTRUCTION$8,992,022
HOSPITAL MEDICINE ASSOCIATES LLC
PO BOX 634850CINCINNATIOH45263PHYSICIAN$3,166,636
ALLIED UNIVERSAL SECURITY
1551 N TUSTIN AVENUE SUITE 650SANTA ANACA92705SECURITY$968,000
ARAMARK CTS INC
10510 TWIN LAKES PARKWAYCHARLOTTENC28269TECHNICAL$902,695
CERNER
5TH FLOOR 2800 ROCKCREEK PKWYKANSAS CITYMO64117TECHNICAL$697,664
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K32CntrctRcvdGreaterThan100KCnt
Related Organizations$125,000RelatedOrganizationsAmt
Government Grants$19,055GovernmentGrantsAmt
All Other Contributions$286,000AllOtherContributionsAmt
Total Contributions$430,055TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtUnrelated Business RevenueUnrelatedBusinessRevenueAmt
NET PATIENT REVENUE621990$158,718,068$158,718,068
DIETARY REVENUE624210$1,130,207$1,095,921$34,286
PHARMACY900099$223,992$223,992
COASTAL HOME CARE900099-$17,982-$17,982
ALL OTHER PROGRAM REVENUE900099$1,774,665$1,760,873$13,792
FieldValueIRS element (for citing)
Total Program Service Revenue$161,828,950TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$4,940,853TotalRevenueColumnAmt
Exclusion$4,940,853ExclusionAmt

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$292,733RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$292,733RealAmt
Personal$0PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$292,733TotalRevenueColumnAmt
Related Or Exempt Func Income$292,733RelatedOrExemptFuncIncomeAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$125,912,752SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$115,383,928SecuritiesAmt
Other$217,781OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$10,528,824SecuritiesAmt
Other-$217,781OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$10,311,043TotalRevenueColumnAmt
Exclusion$10,311,043ExclusionAmt
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
FieldValueIRS element (for citing)
Other Revenue Total$0OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$177,803,634TotalRevenueColumnAmt
Related Or Exempt Func Income$162,073,605RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$48,078UnrelatedBusinessRevenueAmt
Exclusion$15,251,896ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$16,328TotalAmt
Program Services$16,328ProgramServicesAmt

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$4,569,953TotalAmt
Program Services$913,991ProgramServicesAmt
Management And General$3,655,962ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$50,385,917TotalAmt
Program Services$40,308,734ProgramServicesAmt
Management And General$10,077,183ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$1,621,315TotalAmt
Program Services$1,297,052ProgramServicesAmt
Management And General$324,263ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$11,851,705TotalAmt
Program Services$9,481,364ProgramServicesAmt
Management And General$2,370,341ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$3,871,249TotalAmt
Program Services$3,096,999ProgramServicesAmt
Management And General$774,250ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$10,229,910TotalAmt
Program Services$8,183,928ProgramServicesAmt
Management And General$2,045,982ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$886,048TotalAmt
Program Services$708,838ProgramServicesAmt
Management And General$177,210ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$178,162TotalAmt
Program Services$142,530ProgramServicesAmt
Management And General$35,632ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$2,517TotalAmt
Management And General$2,517ManagementAndGeneralAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$5,486,372TotalAmt
Program Services$4,389,098ProgramServicesAmt
Management And General$1,097,274ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$1,494,395TotalAmt
Program Services$1,195,516ProgramServicesAmt
Management And General$298,879ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$8,830,882TotalAmt
Management And General$8,830,882ManagementAndGeneralAmt

Royalties RoyaltiesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$6,135,883TotalAmt
Program Services$4,908,706ProgramServicesAmt
Management And General$1,227,177ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$12,702TotalAmt
Management And General$12,702ManagementAndGeneralAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$4,686,728TotalAmt
Program Services$4,686,728ProgramServicesAmt

Payments To Affiliates PaymentsToAffiliatesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$11,167,956TotalAmt
Program Services$8,934,365ProgramServicesAmt
Management And General$2,233,591ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$624,387TotalAmt
Program Services$499,510ProgramServicesAmt
Management And General$124,877ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
MEDICAL SUPPLIES$33,287,052$33,287,052
MEDICAID PROVIDER TAX$3,516,202$3,516,202
FOOD SUPPLIES$1,196,812$957,450$239,362
TRAINING/EDUCATION-$436,358-$349,086-$87,272

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$2,086,149TotalAmt
Program Services$1,799,319ProgramServicesAmt
Management And General$286,830ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$161,702,266TotalAmt
Program Services$127,974,624ProgramServicesAmt
Management And General$33,727,642ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$15,184,668BOYAmt
EOY$18,963,705EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

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

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

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

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$20,994,177BOYAmt
EOY$12,125,009EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$13,697,464EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

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

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

FieldValueIRS element (for citing)
BOY$33,079,330BOYAmt
EOY$21,879,820EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$3,659,365BOYAmt
EOY$4,367,632EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$2,043,418BOYAmt
EOY$2,025,577EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$262,590,326LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$134,557,613LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$126,765,658BOYAmt
EOY$128,032,713EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$209,794,386BOYAmt
EOY$202,840,866EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

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

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
BOY$5,890,741BOYAmt
EOY$6,453,118EOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
BOY$1,537,544BOYAmt
EOY$1,454,256EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$92,690,519BOYAmt
EOY$106,322,003EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$511,639,806BOYAmt
EOY$518,162,163EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$32,367,015BOYAmt
EOY$32,895,931EOYAmt

Grants Payable GrantsPayableGrp

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

Deferred Revenue DeferredRevenueGrp

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

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$104,541,073BOYAmt
EOY$101,728,690EOYAmt

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$9,168,933BOYAmt
EOY$6,260,572EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

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

Other Liabilities OtherLiabilitiesGrp

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

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$146,568,751BOYAmt
EOY$141,376,923EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$360,961,725BOYAmt
EOY$372,514,431EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$786,017BOYAmt
EOY$1,064,778EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$3,323,313BOYAmt
EOY$3,206,031EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$365,071,055BOYAmt
EOY$376,785,240EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$511,639,806BOYAmt
EOY$518,162,163EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$16,101,368ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst-$4,548,663NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets$161,480OtherChangesInNetAssetsAmt
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

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Total Grassroots LobbyingTotalGrassrootsLobbyingGrp
Total Direct LobbyingTotalDirectLobbyingGrp
Total Lobbying ExpendTotalLobbyingExpendGrp
Other Exempt Purpose ExpendOtherExemptPurposeExpendGrp
Total Exempt Purpose ExpendTotalExemptPurposeExpendGrp
Lobbying Nontaxable AmountLobbyingNontaxableAmountGrp
Grassroots NontaxableGrassrootsNontaxableGrp
Tot Lbbyng Grassroot Mns Non TxTotLbbyngGrassrootMnsNonTxGrp
Tot Lbby Expend Mns Lbbyng Non TxTotLbbyExpendMnsLbbyngNonTxGrp
VolunteersfalseVolunteersInd
Paid Staff Or ManagementfalsePaidStaffOrManagementInd
Media AdvertisementsfalseMediaAdvertisementsInd
Mailings MembersfalseMailingsMembersInd
Publications Or BroadcastfalsePublicationsOrBroadcastInd
Grants Other OrganizationsfalseGrantsOtherOrganizationsInd
Direct Contact LegislatorsfalseDirectContactLegislatorsInd
Rallies DemonstrationsfalseRalliesDemonstrationsInd
Other ActivitiesYes (true)OtherActivitiesInd
Other Activities$2,517OtherActivitiesAmt
Total Lobbying Expenditures$2,517TotalLobbyingExpendituresAmt
Not Described Section501c3falseNotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceOTHER ACTIVITIESFormAndLineReferenceDesc
ExplanationSCHEDULE 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.ExplanationTxt

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Art Public Exhibition AmountsArtPublicExhibitionAmountsGrp
Held Works ArtHeldWorksArtGrp

CY Endwmt Fund CYEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$4,109,460BeginningYearBalanceAmt
Contributions$256,531ContributionsAmt
Investment Earnings Or Losses$303,724InvestmentEarningsOrLossesAmt
Other Expenditures$398,904OtherExpendituresAmt
End Year Balance$4,270,811EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$3,713,543BeginningYearBalanceAmt
Contributions$321,331ContributionsAmt
Investment Earnings Or Losses$403,119InvestmentEarningsOrLossesAmt
Other Expenditures$328,533OtherExpendituresAmt
End Year Balance$4,109,460EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$3,486,048BeginningYearBalanceAmt
Contributions$245,249ContributionsAmt
Investment Earnings Or Losses$187,247InvestmentEarningsOrLossesAmt
Other Expenditures$205,001OtherExpendituresAmt
End Year Balance$3,713,543EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$3,465,824BeginningYearBalanceAmt
Contributions$266,360ContributionsAmt
Investment Earnings Or Losses-$46,641InvestmentEarningsOrLossesAmt
Other Expenditures$199,495OtherExpendituresAmt
End Year Balance$3,486,048EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$3,168,543BeginningYearBalanceAmt
Contributions$277,647ContributionsAmt
Investment Earnings Or Losses$221,714InvestmentEarningsOrLossesAmt
Other Expenditures$202,080OtherExpendituresAmt
End Year Balance$3,465,824EndYearBalanceAmt
FieldValueIRS element (for citing)
Board Designated Balance EOY0.30400BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY0.45640PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY0.23960TermEndowmentBalanceEOYPct
Endowments Held Unrelated OrgfalseEndowmentsHeldUnrelatedOrgInd
Endowments Held Related OrgYes (true)EndowmentsHeldRelatedOrgInd
Related Org List Sch RYes (true)RelatedOrgListSchRInd

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$3,962,465OtherCostOrOtherBasisAmt
Book Value$3,962,465BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$125,745,828OtherCostOrOtherBasisAmt
Depreciation$50,028,850DepreciationAmt
Book Value$75,716,978BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$90,090OtherCostOrOtherBasisAmt
Depreciation$47,590DepreciationAmt
Book Value$42,500BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$127,351,957OtherCostOrOtherBasisAmt
Depreciation$80,819,861DepreciationAmt
Book Value$46,532,096BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$5,439,986OtherCostOrOtherBasisAmt
Depreciation$3,661,312DepreciationAmt
Book Value$1,778,674BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$128,032,713TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (3 entries)

DescDescBook ValueBookValueAmt
DUE FROM AFFILIATES$98,941,194
BENEFICIAL INT. IN FOUNDATION$4,270,809
BOND REFUNDING$3,110,000
FieldValueIRS element (for citing)
Total Book Value Other Assets$106,322,003TotalBookValueOtherAssetsAmt
Federal Income Tax Liability$0FederalIncomeTaxLiabilityAmt
Total Liability$0TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
ENDOWMENT FUNDSSCHEDULE 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, 2018, THE TAX YEARS ENDED SEPTEMBER 30, 2018, 2017 AND 2016 FOR FEDERAL JURISDICTION REMAIN OPEN TO EXAMINATION.

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Financial Assistance PolicyYes (true)FinancialAssistancePolicyInd
Written PolicyYes (true)WrittenPolicyInd
FPG Reference Free CareYes (true)FPGReferenceFreeCareInd
Percent100Yes (X)Percent100Ind
FPG Reference Discounted CareYes (true)FPGReferenceDiscountedCareInd
Percent200 DYes (X)Percent200DInd
Free Care Medically IndigentYes (true)FreeCareMedicallyIndigentInd
Financial Assistance BudgetYes (true)FinancialAssistanceBudgetInd
Expenses Exceed BudgetYes (true)ExpensesExceedBudgetInd
Unable To Provide CarefalseUnableToProvideCareInd
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$4,881,692TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$3,396,073DirectOffsettingRevenueAmt
Net Community Benefit Expns$1,485,619NetCommunityBenefitExpnsAmt
Total Expense0.00920TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$23,144,521TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$11,197,506DirectOffsettingRevenueAmt
Net Community Benefit Expns$11,947,015NetCommunityBenefitExpnsAmt
Total Expense0.07390TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$28,026,213TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$14,593,579DirectOffsettingRevenueAmt
Net Community Benefit Expns$13,432,634NetCommunityBenefitExpnsAmt
Total Expense0.08310TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Activities Or Programs888ActivitiesOrProgramsCnt
Persons Served93185PersonsServedCnt
Total Community Benefit Expns$268,303TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$268,303NetCommunityBenefitExpnsAmt
Total Expense0.00170TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

FieldValueIRS element (for citing)
Activities Or Programs5ActivitiesOrProgramsCnt
Persons Served1000PersonsServedCnt
Total Community Benefit Expns$8,904TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$8,904NetCommunityBenefitExpnsAmt
Total Expense0.00010TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Activities Or Programs893ActivitiesOrProgramsCnt
Persons Served94185PersonsServedCnt
Total Community Benefit Expns$277,207TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$277,207NetCommunityBenefitExpnsAmt
Total Expense0.00180TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Activities Or Programs893ActivitiesOrProgramsCnt
Persons Served94185PersonsServedCnt
Total Community Benefit Expns$28,303,420TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$14,593,579DirectOffsettingRevenueAmt
Net Community Benefit Expns$13,709,841NetCommunityBenefitExpnsAmt
Total Expense0.08490TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense ReportedfalseBadDebtExpenseReportedInd
Bad Debt Expense$43,294,762BadDebtExpenseAmt
Reimbursed By Medicare$58,758,398ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$52,331,802CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall$6,426,596MedicareSurplusOrShortfallAmt

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
Hospital Facilities1HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

FieldValueIRS element (for citing)
Facility1FacilityNum

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Conway Hospital IncBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1300 Singleton Ridge RoadAddressLine1Txt
CityConwayCityNm
State AbbreviationSCStateAbbreviationCd
ZIP29526ZIPCd
FieldValueIRS element (for citing)
Website Addresswww.conwaymedicalcenter.comWebsiteAddressTxt
State LicenseHTL-0083StateLicenseNum
Licensed HospitalYes (X)LicensedHospitalInd
General Medical And SurgicalYes (X)GeneralMedicalAndSurgicalInd
Emergency Room24 HrsYes (X)EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1CONWAY HOSPITAL INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
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 Conducted15CHNAConductedYr
Take Into Account Others InputYes (true)TakeIntoAccountOthersInputInd
CHNA Conducted With Other FcltsfalseCHNAConductedWithOtherFcltsInd
CHNA Conducted With Non FcltsfalseCHNAConductedWithNonFcltsInd
CHNA Report Widely AvailableYes (true)CHNAReportWidelyAvailableInd
Rpt Available On Own WebsiteYes (X)RptAvailableOnOwnWebsiteInd
Own Website URLSee Section COwnWebsiteURLTxt
Paper Copy Public InspectionYes (X)PaperCopyPublicInspectionInd
Implementation Strategy AdoptYes (true)ImplementationStrategyAdoptInd
Implementation Strategy Adpt16ImplementationStrategyAdptYr
Strategy Posted WebsiteYes (true)StrategyPostedWebsiteInd
Strategy Website URLSEE SECTION CStrategyWebsiteURLTxt
Organization Incur Excise TaxfalseOrganizationIncurExciseTaxInd
Elig Criteria ExplainedYes (true)EligCriteriaExplainedInd
FPG Family Incm Lmt Free DscntYes (X)FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care100FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care200.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 URLSee section C.FAPAvailableOnWebsiteURLTxt
FAP App Available On WebsiteYes (X)FAPAppAvailableOnWebsiteInd
FAP App Available On Website URLSee section C.FAPAppAvailableOnWebsiteURLTxt
FAP Summary On WebsiteYes (X)FAPSummaryOnWebsiteInd
FAP Summary On Website URLSee section C.FAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No ChargeYes (X)FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No ChrgYes (X)FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No ChrgYes (X)FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill DisplayYes (X)NotifiedFAPCopyBillDisplayInd
Communtity Notified FAPYes (X)CommuntityNotifiedFAPInd
FAP TranslatedYes (X)FAPTranslatedInd
Other PublicityYes (X)OtherPublicityInd
FAP Actions On NonpaymentYes (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 (5 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
CONWAY HOSPITAL, INC.SCHEDULE H, PART V, SECTION B, QUESTION 5: IN CONDUCTING OUR COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA), OUR TEAM USED SEVERAL SOURCES OF QUANTITATIVE HEALTH MEASURES AND SOCIAL AND DEMOGRAPHIC DATA SPECIFIC TO CONWAY MEDICAL CENTER'S (CMC'S) HOME COUNTY (HORRY) PROVIDED BY LOCAL PUBLIC HEALTH AGENCIES, HEALTH CARE ASSOCIATIONS AND VARIOUS OTHER DATA OUTLETS. CMC TOOK ADVANTAGE OF THIS OPPORTUNITY TO COLLABORATE WITH ITS ADMINISTRATORS, PHYSICIANS, OUTREACH PROGRAMS, AND LOCAL ORGANIZATIONS AS WELL. CONWAY MEDICAL CENTER SOUGHT OUTSIDE ASSISTANCE FROM THE DIXON HUGHES GOODMAN CHNA TEAM IN THIS PROCESS. DHG PROVIDED DATA, ORGANIZED COMMUNITY INPUT, FACILITATED PRIORITY SESSIONS, AND SUPPORTED THE REPORT DRAFTING PROCESS. THE ASSESSMENT PROCESS CONSISTS OF FIVE STEPS: DATA ASSESSMENT OF OUR COMMUNITY, COMMUNITY INPUT, PRIORITIZATION & IMPLEMENTATION STRATEGY, REPORTING, AND MONITORING. IN THE INITIAL STEP, SERVICE AREAS WERE DEFINED, EXTERNAL DATA RESEARCH WAS COMPLETED AND KEY FINDINGS WERE SUMMARIZED. AS THE DATA ASSESSMENT WAS COMPLETED, THE COMMUNITY INPUT PHASE WAS STARTED. DURING THE COMMUNITY INPUT PHASE, PHONE AND WRITTEN INTERVIEWS WERE CONDUCTED WITH PERSONS WITH SPECIAL KNOWLEDGE OF PUBLIC HEALTH. THIS INCLUDED HOSPITAL ADMINISTRATORS, LOCAL AND COMMUNITY ORGANIZATIONS, OTHER LOCAL GROUPS, AND PUBLIC HEALTH OFFICIALS - FLORENCE HEALTH DEPARTMENT. IN ADDITION, HOSPITAL PERSONNEL, LOCAL ORGANIZATIONS, AND COMMUNITY OUTREACH ADVOCATES WERE INTERVIEWED. A SUMMARY OF THIS DIALOG WAS CREATED AND IS INCLUDED IN THE CHNA REPORT. A PRIORITIZATION SESSION WAS THEN HELD TO SUMMARIZE AND OVERLAY DATA ELEMENTS WITH KEY COMMUNITY INPUT FINDINGS. FROM THIS SESSION, PRIORITIES EMERGED BASED UPON THE SIGNIFICANCE OF THE NEED TO THE SERVICE AREA, AND CMC'S ABILITY TO IMPACT THE NEED. BASED ON THESE PRIORITIES, CMC DECIDED ON WHICH PRIORITIES WOULD BE INCLUDED IN THEIR IMPLEMENTATION STRATEGY AND WHICH PRIORITIES WOULD NOT BE ADDRESSED. THESE CAN BE FOUND IN THE IMPLEMENTATION STRATEGY DOCUMENT. THIS REPORT AND STRATEGY WERE THEN APPROVED BY THE BOARD AND MADE "WIDELY AVAILABLE" ON THE CONWAY MEDICAL CENTER WEBSITE. DATA ASSESSMENT HIGHLIGHTS AND FINDINGS: THE DATA ASSESSMENT PIECE OF THE CHNA PROCESS INCLUDED DATA TABLES, GRAPHS, AND MAPS FROM VARIOUS SOURCES WIDELY AVAILABLE. THESE DATA ELEMENTS WERE USED TO IDENTIFY AT-RISK POPULATIONS, UNDERSERVED POPULATIONS, HEALTH NEED AREAS, AND PROFESSIONAL SHORTAGE AREAS. A SUMMARY OF FINDINGS WAS THEN CREATED TO HIGHLIGHT AREAS OF NEED WITHIN THE SERVICE AREA. TO GATHER INPUT FROM VARIOUS SOURCES, THE TEAM USED A COMBINATION OF INTERVIEWS OF LOCAL COMMUNITY PERSONS AND GROUPS, AND SOUGHT OTHER DATA SUCH AS RECENT COUNTY HEALTH RANKINGS AND NATIONAL HEALTH STATISTICS. LOCAL COMMUNITY INPUT: HOSPITAL ADMINISTRATORS, LOCAL AND COMMUNITY ORGANIZATIONS, OTHER LOCAL GROUPS, AND PUBLIC HEALTH OFFICIALS - FLORENCE HEALTH DEPARTMENT. 2016 COUNTY HEALTH RANKINGS: THIS SOURCE IS A COLLABORATION BETWEEN THE ROBERT WOOD JOHNSON FOUNDATION AND THE UNIVERSITY OF WISCONSIN POPULATION HEALTH INSTITUTE. IT GIVES A GENERAL SNAPSHOT OF HOW HEALTHY EACH COUNTY IS IN RELATION TO OTHERS IN THE SAME STATE. IT MEASURES AND RANKS BOTH HEALTH OUTCOMES AND HEALTH FACTORS THAT LEAD TO THOSE OUTCOMES. EACH INDICATOR IS WEIGHED, STANDARDIZED, AND RANKED IN ORDER TO COME UP WITH AN OVERALL RANKING OF HEALTH FOR EACH COUNTY IN SOUTH CAROLINA. RANKING AREAS INCLUDED: HEALTH OUTCOMES (LENGTH OF LIFE, QUALITY OF LIFE), HEALTH FACTORS (HEALTH BEHAVIORS, CLINICAL CARE, SOCIAL AND ECONOMIC FACTORS, PHYSICAL ENVIRONMENT). HEALTH INDICATORS WAREHOUSE: THE HIW IS A COLLABORATION OF MANY AGENCIES AND OFFICES WITHIN THE DEPARTMENT OF HEALTH AND HUMAN SERVICES. THE HIW IS MAINTAINED BY THE CDC'S NATIONAL CENTER FOR HEALTH STATISTICS. HIW HAS MANY COUNTY LEVEL STATISTICS THAT ALLOW FOR COMPARISON TO STATE AND NATIONAL BENCHMARKS. IN ADDITION, OTHER GOVERNMENT SITES WERE USED: CMS STANDARD ANALYTICAL INPATIENT FILE, STATE CANCER PROFILES, SMALL AREA HEALTH INSURANCE ESTIMATES, DATA.CMS.GOV, SOUTH CAROLINA DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL, SOUTH CAROLINA DEPARTMENT OF SOCIAL SERVICES.
CONWAY HOSPITAL, INC.SCHEDULE H, PART V, SECTION B, QUESTIONS 7, 10 AND 11: OUR COMMUNITY HEALTH NEED ASSESMENT AND IMPLEMENTATION STRATEGY CAN BE FOUND AT HTTPS://CONWAYMEDICALCENTER.COM/ABOUT/COMMUNITY-HEALTH-NEEDS -ASSESSMENT/. THE COMMUNITY HEALTH NEEDS ASSESSMENT TEAM USED THE DATA AND INPUT THAT HAD BEEN COLLECTED TO PRIORITIZE THE NEEDS OF THE HOSPITAL'S DEFINED COMMUNITY. AFTER DISCUSSING THE PRIORITIES IN DEPTH AND DISCUSSING CONWAY'S EXPERTISE, THE EXPERTISE OF OTHER COMMUNITY ORGANIZATIONS AND OUTREACH, AND THE HOSPITAL'S WIDE RANGE OF SERVICES CURRENTLY AVAILABLE, THE FOLLOWING ISSUES WERE CHOSEN FOR IMPLEMENTATION: ACCESS TO PRIMARY CARE PROVIDERS, DISCHARGE FOLLOW UP, MOTOR VEHICLE FATALITY, DIABETES, AND PERCENTAGE OF MAMMOGRAPHY SCREENINGS. ACCESS TO PRIMARY CARE PROVIDERS (PCPS) - CMC WILL PARTNER WITH LOCAL CLINICS TO CONTINUE ASSISTING IN PROVIDING CARE AT REDUCED COSTS THROUGH SUPPORT IN AREAS OF RENT, UTILITY BILLS, AND HOSPITAL SERVICES AS WELL AS EVALUATE THE OPPORTUNITIES TO EXPAND ACCESS POINTS FOR CARE. DISCHARGE FOLLOW UP - IN ORDER TO REDUCE SEVERAL HEALTH CONCERNS, CMC HAS IDENTIFIED PATIENTS NOT FOLLOWING DISCHARGE INSTRUCTIONS AS A SIGNIFICANT COMMUNITY NEED. IT IS CMC'S INTENT TO ESTABLISH BEST PRACTICES AND EDUCATION AROUND DISCHARGE INSTRUCTIONS. MOTOR VEHICLE FATALITY - ACCORDING TO THE ASSOCIATION OF STATE AND TERRITORIAL HEALTH OFFICIALS, CRASH-RELATED DEATHS AND INJURIES ARE LARGELY PREVENTABLE. STATES CAN UTILIZE SYSTEMS, POLICY, AND PROGRAMMATIC INTERVENTIONS TO TARGET AND PREVENT THIS SERIOUS PUBLIC HEALTH PROBLEM. CMC WILL FOCUS ITS EFFORTS ON THE TRAUMA SIDE IN PARTNERSHIP WITH LOCAL EMS PROVIDERS. DIABETES - DIABETES IS A MAJOR HEALTH NEEDS ACROSS THE US AND IN HORRY COUNTY. CMC WILL CONTINUE TO SUPPORT AND EDUCATE MEDICALLY UNDERSERVED DIABETICS IN THE COMMUNITY. PERCENTAGE OF MAMMOGRAPHY SCREENINGS - PROVIDE PREVENTATIVE SCREENINGS WHILE FINDING INNOVATIVE WAYS TO ADDRESS FINANCIAL AND TRANSPORTATION BARRIERS OF RECEIVING THESE SCREENINGS. ONE OF THE PRIORITIES IDENTIFIED WILL NOT BE ADDRESSED BY THE HOSPITAL: PERCENTAGE OF ADULTS SMOKING. AS PART OF CMC'S 2013 CHNA, CMC INCLUDED THIS NEED IN ITS PRIORITIZATION PLANNING AND ACTIVELY IMPLEMENTED ACTIONS. AT THIS TIME, HOWEVER, THERE ARE OTHER ORGANIZATIONS IN THE COUNTY THAT ARE SPECIFICALLY FOCUSED ON THIS NEED AND CMC WILL FOCUS ITS RESOURCES IN OTHER AREAS. CMC WILL CONTINUE TO BE AN ADVOCATE OF CREATING SMOKE FREE ENVIRONMENTS.
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.
CONWAY HOSPITAL, INC.SCHEDULE H, PART V, SECTION B, QUESTION 22: THE HOSPITAL PROVIDED DISCOUNTED CARE TO INDIVIDUALS QUALIFYING FOR FINANCIAL ASSISTANCE BASED ON THE FEDERAL POVERTY GUIDELINES. IN ADDITION TO THOSE PATIENTS WHO DID NOT QUALIFY ACCORDING TO THE FINANCIAL ASSISTANCE POLICY, WE TAKE INTO CONSIDERATION THE PATIENT'S CURRENT SOCIAL AND ECONOMIC CIRCUMSTANCES AND PROVIDE ADDITIONAL REDUCTIONS DEPENDING ON THEIR SPECIFIC SITUATION.
FieldValueIRS element (for citing)
Facility1FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1CONWAY HOSP OUTPATIENT DIAGNOSTIC CTRBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1801 FARRAR DRAddressLine1Txt
CityCONWAYCityNm
State AbbreviationSCStateAbbreviationCd
ZIP29526ZIPCd
FieldValueIRS element (for citing)
FacilityIMAGING, MAMMOGRAPHY MAMMOGRAPHYFacilityTxt

Supplemental Information Detail SupplementalInformationDetail (10 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
COSTING METHODOLOGYSCHEDULE 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.
COMMUNITY BUILDING ACTIVITIESSCHEDULE 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 EXPENSESCHEDULE H, PART III, LINE 4: INFORMATION ABOUT CONWAY HOSPITAL'S ALLOWANCE FOR BAD DEBT CAN BE FOUND ON PAGES 11 AND 12 OF THE ATTACHED FINANCIAL STATEMENT FOOTNOTES. CONTRACTUAL ADJUSTMENTS AND DISCOUNTS ARE APPLIED TO PATIENT ACCOUNTS BEFORE DETERMINING BAD DEBT. BAD DEBT AND ADJUSTMENTS TO ACCOUNTS RECEIVABLE ARE DETERMINED USING A LOOK-BACK METHOD AND AGING CATEGORIES BASED ON HISTORICAL COLLECTION PERCENTAGES. THE COST OF BAD-DEBT REPORTED ON LINE 2 OF PART III WAS COMPUTED WITH THE COST TO CHARGE RATIO DEVELOPED FROM THE IRS WORKSHEETS AND OUR MEDICARE COST REPORT.
COLLECTION PRACTICESSCHEDULE 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 ASSESSMENTSCHEDULE 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 EDUCATIONSCHEDULE 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 SERVEDSCHEDULE H, PART VI, LINE 4: CONWAY MEDICAL CENTERS SERVICE AREA IS DEFINED AS HORRY COUNTY FOR THIS ASSESSMENT. 90% OF CONWAY MEDICAL CENTERS PATIENTS COME FROM HORRY COUNTY. AS OF THE 2010 UNITED STATES CENSUS, THERE WERE 269,291 PEOPLE, 112,225 HOUSEHOLDS, AND 72,254 FAMILIES RESIDING IN THE COUNTY. THE POPULATION DENSITY WAS 237.5 INHABITANTS PER SQUARE MILE (91.7/KM2). THERE WERE 185,992 HOUSING UNITS AT AN AVERAGE DENSITY OF 164.0 PER SQUARE MILE (63.3/KM2). THE RACIAL MAKEUP OF THE COUNTY WAS 79.9% WHITE, 13.4% BLACK OR AFRICAN AMERICAN, 1.0% ASIAN, 0.5% AMERICAN INDIAN, 0.1% PACIFIC ISLANDER, 3.1% FROM OTHER RACES, AND 2.0% FROM TWO OR MORE RACES. THOSE OF HISPANIC OR LATINO ORIGIN MADE UP 6.2% OF THE POPULATION. OF THE 112,225 HOUSEHOLDS, 27.3% HAD CHILDREN UNDER THE AGE OF 18 LIVING WITH THEM, 47.2% WERE MARRIED COUPLES LIVING TOGETHER, 12.5% HAD A FEMALE HOUSEHOLDER WITH NO HUSBAND PRESENT, 35.6% WERE NON-FAMILIES, AND 26.8% OF ALL HOUSEHOLDS WERE MADE UP OF INDIVIDUALS. THE AVERAGE HOUSEHOLD SIZE WAS 2.37 AND THE AVERAGE FAMILY SIZE WAS 2.84. THE MEDIAN AGE WAS 41.1 YEARS. THE MEDIAN INCOME FOR A HOUSEHOLD IN THE COUNTY WAS $43,142 AND THE MEDIAN INCOME FOR A FAMILY WAS $51,608. MALES HAD A MEDIAN INCOME OF $37,351 VERSUS $29,525 FOR FEMALES. THE PER CAPITA INCOME FOR THE COUNTY WAS $24,811. ABOUT 11.6% OF FAMILIES AND 16.1% OF THE POPULATION WERE BELOW THE POVERTY LINE, INCLUDING 25.2% OF THOSE UNDER AGE 18 AND 7.5% OF THOSE AGE 65 OR OVER. THE POPULATION OF HORRY COUNTY IN 2016 WAS 311,020 AND IS EXPECTED TO BE 341,393 IN 2021 WHICH WILL BE 9.77% GROWTH. THE 65+ POPULATION IS EXPECTED TO INCREASE FROM 2016 AND 2021 BY 23.15%, WHILE THE POPULATION UNDER 65 IS ONLY EXPECTED TO GROW BY 6.24%.
PROMOTING THE HEALTH OF THE COMMUNITYSCHEDULE 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 2016/2017 REPORT SHOWS THAT THE OUTREACH PROGRAM DELIVERED FREE HEALTH SCREENINGS TO 86 VARIOUS LOCATIONS PREDOMINATELY IN MEDICALLY UNDERSERVED AREAS OF HORRY COUNTY. THERE WERE 581 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 750 CHILDREN EVERY THURSDAY. HEALTHREACH PROVIDED 912 FLU SHOTS AT 22 EVENTS. VARIOUS HEALTH FAIRS, COMMUNITY EVENTS, AND SCHOOL CAREER DAYS. ANNUAL DIABETES HOLIDAY COOKING DEMO WITH 45 ATTENDING. HEALTHREACH PARTICIPATED IN A COMMUNITY HEALTH FAIR AT WHITTEMORE PARK AND PROVIDED STROKE AWARENESS INFORMATION WITH BLOOD PRESSURES. THIS ALSO TOOK PLACE AT AYNOR FAMILY PHARMACY WHICH WAS ATTENDED BY OVER 100 PEOPLE.
AFFILIATED HEALTH CARE SYSTEMSCHEDULE 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. CONWAY HOSPITAL LONG-TERM CARE SERVICES, INC. (KINGSTON NURSING CENTER) IS AN 88-BED NURSING FACILITY LOCATED IN CONWAY, SOUTH CAROLINA. THE KINGSTON NURSING CENTER WAS INCORPORATED IN 1988. MEDICAL PROPERTIES, INC., A WHOLLY OWNED FOR-PROFIT SUBSIDIARY OF THE HOSPITAL, OPERATES ASC HOLDINGS AND CAROLINA BONE & JOINT. CONWAY HOSPITAL EMERGENCY PROFESSIONAL SERVICES (CHEPS) AND CONWAY HOSPITAL ANESTHESIA PROFESSIONAL SERVICES (CHAPS) WERE BOTH CREATED TO KEEP BETTER TRACK OF EMERGENCY AND ANESTHESIA SERVICES PERFORMED BY THE HOSPITAL. CONWAY HOSPITAL COMMUNITY SERVICES, INC., A WHOLLY OWNED NOT-FOR-PROFIT SUBSIDIARY, OPERATES EMPLOYED PHYSICIAN PRACTICES.
COMMUNITY BENEFIT REPORT STATE FILINGSSCHEDULE H, PART VI, LINE 7: SC

Schedule I IRS990ScheduleI

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

Recipient Table RecipientTable (2 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdRecipient EINRecipientEINIRC SectionIRCSectionDescCash GrantCashGrantAmtNon Cash AssistanceNonCashAssistanceAmtPurpose Of GrantPurposeOfGrantTxt
UNITED WAY
PO BOX 673CONWAYSC29526570558692501(C)3$6,159$0GENERAL PURPOSE
AMERICAN HEART ASSOCIATION
PO BOX 50045PRESCOTTAZ863045045135613797501(C)3$9,250$0GENERAL PURPOSE
FieldValueIRS element (for citing)
Total501c3 Org2Total501c3OrgCnt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePROCEDURE FOR MONITORING USE OF GRANT FUNDS INSIDE U.S.FormAndLineReferenceDesc
ExplanationSCHEDULE 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.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeYes (X)CompensationCommitteeInd
Independent ConsultantYes (X)IndependentConsultantInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance PaymentfalseSeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (true)SupplementalNonqualRtrPlanInd
Equity Based Comp ArrngmfalseEquityBasedCompArrngmInd
Comp Based On Revenue Of Flng OrgfalseCompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related OrgsfalseCompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng OrgfalseCompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd OrgsfalseCompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsfalseAnyNonFixedPaymentsInd
Initial Contract ExceptionfalseInitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (14 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
PHILIP CLAYTON
CEO&TRUSTEE (THRU 12/2017)$505,887$0$251,452$0$61,142$0$279,737$0$28,444$0$1,126,662$0$61,142$0
BRET BARR
CEO&TRUSTEE (BEG 1/2018)$306,597$0$78,169$0$16,368$0$78,271$0$31,233$0$510,638$0$10,503$0
DAVID E CRUTCHFIELD
CIO (THRU 4/2018)$258,874$0$56,480$0$0$0$39,359$0$28,138$0$382,851$0$0$0
TONY MINSHEW
VP OF NURSING$225,383$0$60,201$0$0$0$47,933$0$11,312$0$344,829$0$0$0
MATTHEW SECURRO
VP OF HUMAN RESOURCES$191,490$0$33,224$0$4,889$0$47,159$0$0$0$276,762$0$0$0
PAUL RICHARDSON
VP OF MEDICAL AFFAIRS$284,884$0$97,753$0$18,000$0$51,394$0$28,784$0$480,815$0$0$0
ANGELA WILLIFORD
CHIEF RISK OFFICER$191,966$0$40,969$0$0$0$26,296$0$28,087$0$287,318$0$0$0
KEVIN LOVETT
VP OF FACILITIES$174,686$0$40,774$0$6,264$0$23,490$0$28,649$0$273,863$0$1,564$0
TERRENCE J EGAN
VP OF FOUNDATION$154,432$0$35,210$0$0$0$17,652$0$26,104$0$233,398$0$0$0
ROBERT GAJEWSKI
DIRECTOR OF PHARMACY$165,632$0$3,700$0$0$0$8,614$0$27,363$0$205,309$0$0$0
DENNIS FINLEY
DIRECTOR OF PHYSICAL THERAPY$130,891$0$12,662$0$0$0$7,304$0$26,416$0$177,273$0$0$0
FRANK GRELLA
DIRECTOR OF PATIENT ACCTING$132,097$0$11,000$0$0$0$7,127$0$10,711$0$160,935$0$0$0
GLENN SISK
PHARMACIST$146,202$0$0$0$0$0$7,494$0$26,104$0$179,800$0$0$0
WENDELL BEVERLY
CLINICAL PHARMACY COORDINATOR$141,838$0$3,276$0$0$0$7,454$0$26,583$0$179,151$0$0$0

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSUPPLEMENTAL NONQUALIFIED RETIREMENT PLANFormAndLineReferenceDesc
ExplanationSCHEDULE J, PART I, LINE 4B CONWAY HOSPITAL PROVIDES A NON-QUALIFIED SUPPLEMENTAL EMPLOYEE RETIREMENT PLAN, A CAPITAL ACCUMULATION PLAN AND AN ENVISION PLUS PLAN TO SENIOR EXECUTIVES SUBJECT TO CERTAIN VESTING REQUIREMENTS AND/OR SUBSTANTIAL RISKS OF FORFEITURE. THE FOLLOWING EXECUTIVES PARTICIPATED IN ONE OR MORE OF THE PLANS DURING THE YEAR: PHILIP CLAYTON, BRET BARR, KEVIN LOVETT, ANGELA WILLIFORD, MATTHEW SECURRO AND TONY MINSHEW. DURING THE CALENDAR YEAR REPORTED WITHIN THIS YEAR, THE FOLLOWING INDIVIDUALS RECEIVED PAYOUTS FROM THE PLAN: BRET BARR $10,503 PHILIP CLAYTON $61,142 KEVIN LOVETT $1,564 THESE AMOUNTS ARE INCLUDED IN THE WAGES REPORTED ON THIS FORM 990.ExplanationTxt

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (3 entries)

Bond ReferenceBondReferenceCdBond Issuer EINBondIssuerEINCUSIPCUSIPNumBond IssuedBondIssuedDtIssue PriceIssuePriceAmtPurposePurposeDescDefeasedDefeasedIndOn Behalf Of IssuerOnBehalfOfIssuerIndPool FinancingPoolFinancingInd
SC JOBS - ECONOMIC DEVELOPMENT
A57096001883703FFY32012-11-01$46,017,931REFUND OF 2011 BONDSfalsefalsefalse
SC JOBS - ECONOMIC DEVELOPMENT
B5709600182011-09-30$19,510,000REFUND 1998 SERIES BONDfalsefalsefalse
SC JOBS - ECONOMIC DEVELOPMENT
C57096001883703FJNJ2016-12-20$50,805,415ACQUIRE/INSTALL EQUIPMENTfalsefalsefalse

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (3 entries)

Bond ReferenceBondReferenceCdRetiredRetiredAmtBond DefeasedBondDefeasedAmtTotal ProceedsTotalProceedsAmtIn Reserve FundInReserveFundAmtCapitalized InterestCapitalizedInterestAmtRefunding EscrowRefundingEscrowAmtIssuance Costs From ProceedsIssuanceCostsFromProceedsAmtCredit EnhancementCreditEnhancementAmtWorking Capital ExpendituresWorkingCapitalExpendituresAmtCapital ExpendituresCapitalExpendituresAmtOther Spent ProceedsOtherSpentProceedsAmtUnspentUnspentAmtSubstantial CompletionSubstantialCompletionYrCurrent RefundingCurrentRefundingIndAdvance RefundingAdvanceRefundingIndFinal Allocation MadeFinalAllocationMadeIndAdequate Books And Rec MaintAdequateBooksAndRecMaintInd
A$5,272,931$0$46,017,931$0$0$0$607,931$0$0$0$45,410,000$02009Yes (true)falseYes (true)Yes (true)
B$13,031,933$0$19,510,000$0$0$0$146,084$0$0$0$19,363,916$01998Yes (true)falseYes (true)Yes (true)
C$0$0$50,805,415$0$0$0$805,415$0$0$28,279,881$0$21,720,119falsefalseYes (true)Yes (true)

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (3 entries)

Bond ReferenceBondReferenceCdOwning Bond Financed PropertyOwningBondFinancedPropertyIndAny Lease ArrangementsAnyLeaseArrangementsIndMgmt Contract Bond Fincd PropMgmtContractBondFincdPropIndEngage Bond Counsel ContractsEngageBondCounselContractsIndAny Research AgreementsAnyResearchAgreementsIndPrivate Bus Use By OthersPrivateBusUseByOthersPctBond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestIndChange In Use Bond Financed PropChangeInUseBondFinancedPropIndRemedial Action TakenRemedialActionTakenIndProcs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
AfalsefalsefalseYes (true)false0falsefalsefalseYes (true)
BfalsefalsefalseYes (true)false0falsefalsefalseYes (true)
CfalsefalsefalseYes (true)false0falsefalsefalseYes (true)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (3 entries)

Bond ReferenceBondReferenceCdForm8038 T FiledForm8038TFiledIndException To RebateExceptionToRebateIndVariable Rate IssueVariableRateIssueIndHedge Identified In Bks And RecHedgeIdentifiedInBksAndRecIndGross Proceeds Invested In GICGrossProceedsInvestedInGICIndBusiness Name Line1GICProviderName/BusinessNameLine1TxtGross Proceeds InvestedGrossProceedsInvestedIndWritten Proc To Monitor ReqsWrittenProcToMonitorReqsIndRebate Not Due YetRebateNotDueYetInd
0
AfalseYes (true)falsefalsefalse0falseYes (true)
0
BfalseYes (true)falsefalsefalse0falseYes (true)
0
Cfalsefalsefalsefalse0falseYes (true)Yes (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
DESCRIPTION OF PURPOSEPART I - LINE A, COLUMN (F) THE 2012 SERIES BOND WAS ISSUED TO REFUND THE 2011B SERIES BOND WHICH REFUNDED THE 2007 SERIES BOND WHICH WAS USED TO CONSTRUCT AND RENOVATE A PATIENT TOWER, ADMINISTRATIVE ANNEX, AND CENTRAL ENERGY PLANT AT CONWAY HOSPITAL.
DESCRIPTION OF PURPOSEPART I - LINE B, 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 PURPOSEPART I - LINE C, 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.

Schedule L IRS990ScheduleL

Loans Btwn Org Interested Prsn LoansBtwnOrgInterestedPrsnGrp (2 entries)

Relationship With OrgRelationshipWithOrgTxtLoan PurposeLoanPurposeTxtLoan From OrganizationLoanFromOrganizationIndOriginal PrincipalOriginalPrincipalAmtBalance DueBalanceDueAmtDefaultDefaultIndBoard Or Committee ApprovalBoardOrCommitteeApprovalIndWritten AgreementWrittenAgreementInd
PHILIP CLAYTON
OFFICERSPLIT DOLLAR LIFEYes (X)$9,097,464$9,097,464falseYes (true)Yes (true)
BRET BARR
OFFICERSPLIT DOLLAR LIFEYes (X)$4,600,000$4,600,000falseYes (true)Yes (true)
FieldValueIRS element (for citing)
Total Balance Due$13,697,464TotalBalanceDueAmt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSPLIT DOLLAR AGREEMENTSFormAndLineReferenceDesc
ExplanationPart II, Lines 1&2 During the year ended September 30, 2018, 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 executives beneficiary as agreed upon by the parties.ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (6 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
BUSINESS RELATIONSHIPSFORM 990, PART VI, LINE 2 PHILIP CLAYTON, BRET BARR, AND BRIAN ARGO HAVE A BUSINESS RELATIONSHIP. ALL THREE ARE BOARD MEMBERS AND OFFICERS OF TAX EXEMPT ORGANIZATIONS RELATED TO THIS ORGANIZATION. JOHN PAT HENRY AND CHARLES JORDAN, BOARD MEMBERS, HAVE A BUSINESS RELATIONSHIP.
FORM 990 REVIEW PROCESSFORM 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 & ENFORCEMENTFORM 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 COMPENSATIONFORM 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 PUBLICFORM 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.
OTHER CHANGES TO NET ASSETS AND FUND BALANCESFORM 990, PART XI, LINE 9 CHANGE IN TEMPORARILY RESTRICTED NET ASSETS OF INTEREST IN FOUNDATION $278,761 CHANGE IN PERMANENTLY RESTRICTED NET ASSETS OF INTEREST IN FOUNDATION ($117,281) -------------- TOTAL $161,480 --------------

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (5 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtControlled OrganizationControlledOrganizationInd
CONWAY LONG-TERM CARE SERVICES INC
300 SINGLETON RIDGE RDCONWAYSC29526570875232HEALTHCARESC501(c)(3)03CONWAY HOSPYes (true)
CONWAY HOSPITAL COMMUNITY SERVICES
300 SINGLETON RIDGE RDCONWAYSC29526571119337HEALTHCARESC501(c)(3)03CONWAY HOSPYes (true)
CONWAY HOSPITAL EMERGENCY PROF SERVICES
300 SINGLETON RIDGE RDCONWAYSC29526208817905EMERGENCYSC501(c)(3)12 A-ICONWAY HOSPYes (true)
CONWAY HOSPITAL ANESTHESIA PROF SERVICES
300 SINGLETON RIDGE RDCONWAYSC29526208817302ANESTHESIASC501(c)(3)12 A-ICONWAY HOSPYes (true)
CONWAY HOSPITAL FOUNDATION
300 SINGLETON RIDGE RDCONWAYSC29526570870199FUNDRAISINGSC501(c)(3)12D-III-NFICONWAY HOSPfalse

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp

Related Organization Name RelatedOrganizationName

FieldValueIRS element (for citing)
Business Name Line1MEDICAL PROPERTIES INCBusinessNameLine1Txt

US Address USAddress

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

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1CONWAY HOSPBusinessNameLine1Txt
FieldValueIRS element (for citing)
Entity TypeC CorpEntityTypeTxt
Share Of Total Income$1,199,613ShareOfTotalIncomeAmt
Share Of EOY Assets$5,346,741ShareOfEOYAssetsAmt
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 ExchangefalseAssetExchangeInd
Rental Of Facilities To Oth OrgYes (true)RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgYes (true)RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgYes (true)PerformOfServicesForOthOrgInd
Perform Of Services By Other OrgfalsePerformOfServicesByOtherOrgInd
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 (18 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
MEDICAL PROPERTIES INC
K$274,375CASH(FMV)
MEDICAL PROPERTIES INC
P$716,576CASH(FMV)
MEDICAL PROPERTIES INC
Q$161,029CASH(FMV)
MEDICAL PROPERTIES INC
S$586,000CASH(FMV)
CONWAY LONG-TERM CARE SERVICES INC
p$5,775,361CASH(FMV)
CONWAY LONG-TERM CARE SERVICES INC
s$5,225,000CASH(FMV)
CONWAY LONG-TERM CARE SERVICES INC
q$453,771CASH(FMV)
CONWAY HOSPITAL COMMUNITY SERVICES INC
p$29,615,073CASH(FMV)
CONWAY HOSPITAL COMMUNITY SERVICES INC
q$4,320,243CASH(FMV)
CONWAY HOSPITAL COMMUNITY SERVICES INC
s$15,922,000CASH(FMV)
CONWAY HOSPITAL COMMUNITY SERVICES INC
j$241,781CASH(FMV)
CONWAY HOSPITAL ANESTHESIA PROF SERVICES
p$5,331,798CASH(FMV)
CONWAY HOSPITAL ANESTHESIA PROF SERVICES
q$1,180,381CASH(FMV)
CONWAY HOSPITAL ANESTHESIA PROF SERVICES
s$1,505,611CASH(FMV)
CONWAY HOSPITAL EMERGENCY PROF SERVICES
P$6,933,705CASH(FMV)
CONWAY HOSPITAL EMERGENCY PROF SERVICES
q$609,479CASH(FMV)
CONWAY HOSPITAL EMERGENCY PROF SERVICES
s$4,772,257CASH(FMV)
CONWAY HOSPITAL FOUNDATION INC
C$125,000CASH(FMV)