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CONWAY HOSPITAL INC: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization
CONWAY HOSPITAL INC (EIN 57-0314381)
Tax period
2011-10-01 to 2012-09-30
Filed
2013-08-15
IRS object ID
201302279349304105
Schema version
2011v1.5
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)
Timestamp2013-08-15T16:09:32-05:00Timestamp
Tax Period End Date2012-09-30TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1Grant Thornton LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1201 S COLLEGE ST STE 2500AddressLine1
CityCHARLOTTECity
StateNCState
ZIP Code28244ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2011-10-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN570314381EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1Conway Hospital IncBusinessNameLine1
FieldValueIRS element (for citing)
In Care Of Name% BRET BARRInCareOfName
Name ControlCONWNameControl
Phone8433478037Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1300 SINGLETON RIDGE ROADAddressLine1
CityCONWAYCity
StateSCState
ZIP Code29526ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameBret BarrName
TitleCFOTitle
Phone8433477111Phone
Date Signed2014-08-15DateSigned
Authorize Third PartytrueAuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
Phone7046323500Phone
FieldValueIRS element (for citing)
Tax Year2011TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

Doing Business As DoingBusinessAs

FieldValueIRS element (for citing)
Business Name Line1Conway Medical CenterBusinessNameLine1
FieldValueIRS element (for citing)
Name Of Principal Officer PersonPHILIP CLAYTONNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1300 SINGLETON RIDGE ROADAddressLine1
CityCONWAYCity
StateSCState
ZIP Code29526ZIPCode
FieldValueIRS element (for citing)
Gross Receipts138633905GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.CONWAYMEDICALCENTER.COMWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1928YearFormation
State Legal DomicileSCStateLegalDomicile
Activity Or Mission DescriptionWE ARE AN ACUTE CARE HOSPITAL SERVING RESIDENTS OF HORRY AND SURROUNDING COUNTIES. OUR MISSION IS TO IMPROVE THE OVERALL HEALTH OF THE COMMUNITY BY BEING A LEADER IN HEALTH CARE.ActivityOrMissionDescription
Nbr Voting Members Governing Body14NbrVotingMembersGoverningBody
Nbr Independent Voting Members12NbrIndependentVotingMembers
Total Nbr Employees1220TotalNbrEmployees
Total Nbr Volunteers253TotalNbrVolunteers
Total Gross UBI36691TotalGrossUBI
Contributions Grants Prior Year171041ContributionsGrantsPriorYear
Contributions Grants Current Year2623023ContributionsGrantsCurrentYear
Program Service Revenue Prior Year157978294ProgramServiceRevenuePriorYear
Program Service Revenue CY132796778ProgramServiceRevenueCY
Investment Income Prior Year3592525InvestmentIncomePriorYear
Investment Income Current Year1840453InvestmentIncomeCurrentYear
Other Revenue Prior Year0OtherRevenuePriorYear
Other Revenue Current Year0OtherRevenueCurrentYear
Total Revenue Prior Year161741860TotalRevenuePriorYear
Total Revenue Current Year137260254TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year73864GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY76612GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year55852354SalariesEtcPriorYear
Salaries Etc Current Year60384627SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year88686887OtherExpensePriorYear
Other Expenses Current Year62270555OtherExpensesCurrentYear
Total Expenses Prior Year144613105TotalExpensesPriorYear
Total Expenses Current Year122731794TotalExpensesCurrentYear
Revenues Less Expenses Prior Year17128755RevenuesLessExpensesPriorYear
Revenues Less Expenses CY14528460RevenuesLessExpensesCY
Total Assets BOY321635685TotalAssetsBOY
Total Assets EOY341352922TotalAssetsEOY
Total Liabilities BOY94364012TotalLiabilitiesBOY
Total Liabilities EOY91310136TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY227271673NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY250042786NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionCONWAY 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.MissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense105865646Expense
Grants76612Grants
Revenue132112784Revenue
DescriptionCONWAY 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, 2012, THE HOSPITAL FURNISHED CHARITY CARE IN THE AMOUNT OF $16,868,877. IN FOREGONE CHARGES. THE TOTAL DAYS OF PATIENT CARE WERE 29,070 AND CONWAY HOSPITAL INC. SAW A TOTAL OF 109,878 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.Description
Total Program Service Expense105865646TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredtrueScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiestrueLobbyingActivities
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentstrueTermOrPermanentEndowments
Report Land Bldg EquiptrueReportLandBldgEquip
Report Invest Oth SecuritiesfalseReportInvestOthSecurities
Report Prog Rel InvestfalseReportProgRelInvest
Report Other AssetstrueReportOtherAssets
Report Other LiabilitiestrueReportOtherLiabilities
Report Fin48 FootnotefalseReportFin48Footnote
Independent Audit Financial StmtfalseIndependentAuditFinancialStmt
Consolidated Audit Financial StmttrueConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiesfalseForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiesfalseFundraisingActivities
GamingfalseGaming
HospitaltrueHospital
Financial Stmt AttachedtrueFinancialStmtAttached
Grants To OrganizationstrueGrantsToOrganizations
Grants To IndividualstrueGrantsToIndividuals
Schedule J RequiredtrueScheduleJRequired
Tax Exempt BondstrueTaxExemptBonds
Invest Tax Exempt BondsfalseInvestTaxExemptBonds
Escrow AccountfalseEscrowAccount
On Behalf Of IssuerfalseOnBehalfOfIssuer
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPfalseLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationfalseBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MemberfalseBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshptrueOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionstrueDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntityfalseDisregardedEntity
Related EntitytrueRelatedEntity
Related Org Controlled EntitytrueRelatedOrgControlledEntity
Transaction Related EntitytrueTransactionRelatedEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With1096125NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Number Of Employees1220NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncometrueUnrelatedBusinessIncome
Form990-T FiledtrueForm990-TFiled
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Non Deductible ContributionsfalseNonDeductibleContributions
Quid Pro Quo ContributionsfalseQuidProQuoContributions
Form8282 Property Disposed OffalseForm8282PropertyDisposedOf
Funds To Pay PremiumsfalseFundsToPayPremiums
Premiums PaidfalsePremiumsPaid
Indoor Tanning ServicesfalseIndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members14NbrVotingGoverningBodyMembers
Number Independent Voting Members12NumberIndependentVotingMembers
Family Or Business RelationshiptrueFamilyOrBusinessRelationship
Delegation Of Management DutiesfalseDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholdersfalseMembersOrStockholders
Election Of Board MembersfalseElectionOfBoardMembers
Decisions Subject To ApprovalfalseDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChaptersfalseLocalChapters
Form990 Provided To Governing BodytrueForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementtrueRegularMonitoringEnforcement
Whistleblower PolicytrueWhistleblowerPolicy
Document Retention PolicytrueDocumentRetentionPolicy
Compensation Process CEOtrueCompensationProcessCEO
Compensation Process OthertrueCompensationProcessOther
Investment In Joint VenturetrueInvestmentInJointVenture
Written Policy Or ProceduretrueWrittenPolicyOrProcedure
States Where Copy Of Return Is FiledNCStatesWhereCopyOfReturnIsFiled
States Where Copy Of Return Is FiledSCStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonBRET BARRNamePerson
Telephone Number8433477111TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1300 SINGLETON RIDGE ROADAddressLine1
CityCONWAYCity
StateSCState
ZIP Code29526ZIPCode
FieldValueIRS element (for citing)
Info In Schedule O Part VIIXInfoInScheduleOPartVII

Form990 Part VII Section A Form990PartVIISectionA (27 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationKey EmployeeKeyEmployeeHighest Compensated EmployeeHighestCompensatedEmployee
PHILIP CLAYTON
CEO AND TRUSTEE40.0XX687948087976
LEROY RAINBOW JR
CHAIRMAN1.0XX000
M WAYNE STATON
SECRETARY1.0XX000
WILLIAM R BENSON
TRUSTEE1.0X000
DR REGINALD F DAVES
TRUSTEE1.0X000
DR MICHAEL ELLIS
TRUSTEE1.0X000
DIANNE W RAY
TRUSTEE1.0X000
GEORGE H GOLDFINCH JR
TRUSTEE1.0X000
CHARLES B JORDAN
TRUSTEE1.0X000
DR HAL B HOLMES
TRUSTEE1.0X000
CHRISTOPHER S HUGGINS
TRUSTEE1.0X000
DR DEIRDRE S WILLIAMS DDS
TRUSTEE1.0X000
JOHN P HENRY
TRUSTEE1.0X000
GEORGE N MAGRATH JR
TRUSTEE1.0X000
BRET BARR
CFO40.0X274940049589
PRESTON STROSNIDER
VP OF MEDICAL STAFF40.0326647069327X
ANNAMARIE EAKINS
VP OF NURSING40.0617688035807X
CRAIG HYMAN
VP OF HUMAN RESOURCES40.0198705036919X
DWIGHT GENTRY JR
VP OF ANCILLARY40.0190247040298X
ANGELA WILLIFORD
CHIEF RISK OFFICER40.0166362039122X
KEVIN LOVETT
VP OF FACILITIES40.0155867036663X
BERNARD MASSEY
VP OF FOUNDATION40.0151895027969X
ROBERT GAJEWSKI
DIRECTOR OF PHARMACY40.0141423031399X
DENNIS FINLEY
DIRECTOR OF PHYSICAL THERAPY40.0123966030034X
TONY MINSHEW
ASST VP- NURSING40.0120765017405X
GLENN SISK
PHARMACIST40.0125548028790X
WENDELL BEVERLY
CLINICAL PHARMACY COORDINATOR40.0123472030549X
FieldValueIRS element (for citing)
Total Reportable Comp From Org3405473TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation561847TotalOtherCompensation
Number Individuals GT100 K21NumberIndividualsGT100K
Formers ListedfalseFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
Aramark CTS Inc
10510 Twin Lakes ParkwayCHAROLTTENC28269Management877532
Morrison Management Specialists
P O Box 102289ATLANTAGA30368Management529522
Chamberlain Edmonds
P O Box 536969ATLANTAGA30353Enrollment Services344086
Premier
12225 El Camino RealSAN DIEGOCA92130Management331658
MB Kahn
101 FLINT LAKE ROADCOLUMBIASC29223Construction1143777
FieldValueIRS element (for citing)
Number Of Contractors GT100 K11NumberOfContractorsGT100K
Related Organizations268384RelatedOrganizations
Government Grants2202097GovernmentGrants
All Other Contributions152542AllOtherContributions
Noncash Contributions118384NoncashContributions
Total Contributions2623023TotalContributions

Program Service Revenue ProgramServiceRevenue (5 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncomeUnrelated Business RevenueUnrelatedBusinessRevenueExclusionExclusionAmount
NET PATIENT REVENUE621110128763280128763280
WELLNESS CENTER900099921508921508
DIETARY REVENUE72221068458165236932212
PREMIER INCOME9000993473643428854479
COASTAL HOME CARE900099336630$336,630

Total Oth Program Service Revenue TotalOthProgramServiceRevenue

FieldValueIRS element (for citing)
Total Revenue Column1743415TotalRevenueColumn
Related Or Exempt Function Income1743415RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue132796778TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column3205979TotalRevenueColumn
Exclusion$3,205,979ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Royalties Revenue RoyaltiesRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Other8125Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities1373651Securities

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities-1373651Securities
Other8125Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column-1365526TotalRevenueColumn
Exclusion-$1,365,526ExclusionAmount

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income From Gaming NetIncomeFromGaming

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income Or Loss NetIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn
FieldValueIRS element (for citing)
Total Other Revenue0TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column137260254TotalRevenueColumn
Related Or Exempt Function Income132423457RelatedOrExemptFunctionIncome
Unrelated Business Revenue36691UnrelatedBusinessRevenue
Exclusion$2,177,083ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total59200Total
Program Services59200ProgramServices

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total17412Total
Program Services17412ProgramServices

Foreign Grants ForeignGrants

FieldValueIRS element (for citing)
Total0Total

Benefits To Members BenefitsToMembers

FieldValueIRS element (for citing)
Total0Total

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total2352061Total
Program Services683119ProgramServices
Management And General1668942ManagementAndGeneral

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total41553782Total
Program Services33792645ProgramServices
Management And General7761137ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total1756662Total
Program Services1563429ProgramServices
Management And General193233ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total11622351Total
Program Services10343892ProgramServices
Management And General1278459ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total3099771Total
Program Services2758796ProgramServices
Management And General340975ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total5124951Total
Program Services4561206ProgramServices
Management And General563745ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total540638Total
Management And General540638ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total121755Total
Management And General121755ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total3434Total
Management And General3434ManagementAndGeneral

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total0Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total0Total

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total5812640Total
Program Services5173250ProgramServices
Management And General639390ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total0Total

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total26990801Total
Program Services24021813ProgramServices
Management And General2968988ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total188136Total
Management And General188136ManagementAndGeneral

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total2968111Total
Program Services2968111ProgramServices

Travel Travel

FieldValueIRS element (for citing)
Total17242Total
Program Services17242ProgramServices

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total0Total

Interest Interest

FieldValueIRS element (for citing)
Total2515901Total
Program Services2515901ProgramServices
Fundraising0Fundraising

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total7838512Total
Program Services7838512ProgramServices

Insurance Insurance

FieldValueIRS element (for citing)
Total386887Total
Program Services386887ProgramServices

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
MAINTENANCE CONTRACTS36651523261985403167
MEDICAID PROVIDER TAX34522953452295
FOOD SUPPLIES10337001033700
TRAINING/EDUCATION62289555437768518

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total987505Total
Program Services861874ProgramServices
Management And General125631ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total122731794Total
Program Services105865646ProgramServices
Management And General16866148ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY19788135BOY
EOY15505584EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY3796120BOY
EOY0EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY13019146BOY
EOY12247003EOY

Receivables From Officers Etc ReceivablesFromOfficersEtc

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Receivables From Disqual Persons ReceivablesFromDisqualPersons

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
BOY537115BOY
EOY2691242EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY2953224BOY
EOY2766171EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY3049490BOY
EOY1240990EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis186877540LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec90504258LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY97167252BOY
EOY96373282EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY140083733BOY
EOY162294153EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Investments Program Related InvestmentsProgramRelated

FieldValueIRS element (for citing)
BOY5355750BOY
EOY3913752EOY

Intangible Assets IntangibleAssets

FieldValueIRS element (for citing)
BOY0BOY
EOY456049EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY35885720BOY
EOY43864696EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY321635685BOY
EOY341352922EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY16326783BOY
EOY18007938EOY

Grants Payable GrantsPayable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY491730BOY
EOY491730EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY68725695BOY
EOY63221391EOY

Escrow Account Liability EscrowAccountLiability

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Loans From Officers Directors LoansFromOfficersDirectors

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Unsecured Notes Loans Payable UnsecuredNotesLoansPayable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY8819804BOY
EOY9589077EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY94364012BOY
EOY91310136EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY225944091BOY
EOY248711863EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY685823BOY
EOY769571EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY641759BOY
EOY561352EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY227271673BOY
EOY250042786EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY321635685BOY
EOY341352922EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses14528460ReconcilationRevenueExpenses
Reconcilation Other Changes8242653ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited
Audit CommitteetrueAuditCommittee
Financial Statement ConsolidatedXFinancialStatementConsolidated
Federal Grant Audit RequiredfalseFederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Hospital170b1 AiiiXHospital170b1Aiii

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Total Grassroots LobbyingTotalGrassrootsLobbying
Total Direct LobbyingTotalDirectLobbying
Total Lobbying ExpendituresTotalLobbyingExpenditures
Other Exempt Purpose ExpendituresOtherExemptPurposeExpenditures
Total Exempt Purpose ExpendituresTotalExemptPurposeExpenditures
Lobbying NontaxableLobbyingNontaxableAmount
Grassroots NontaxableGrassrootsNontaxableAmount
Tot Lobbying Grassroot Minus Non TxTotLobbyingGrassrootMinusNonTx
Tot Lobby Expend Mns Lobbying NontxTotLobbyExpendMnsLobbyingNontx
VolunteersfalseVolunteers
Paid Staff Or ManagementfalsePaidStaffOrManagement
Media AdvertisementsfalseMediaAdvertisements
Mailings MembersfalseMailingsMembers
Publications Or BroadcastfalsePublicationsOrBroadcast
Grants Other OrganizationsfalseGrantsOtherOrganizations
Direct Contact LegislatorsfalseDirectContactLegislators
Rallies DemonstrationsfalseRalliesDemonstrations
Other ActivitiestrueOtherActivities
Other Activities$3,434OtherActivitiesAmount
Total Lobbying Expenditures IIB3434TotalLobbyingExpendituresIIB
Not Described In501c3falseNotDescribedIn501c3

Form990 Schedule C Part IV Form990ScheduleCPartIV

FieldValueIRS element (for citing)
IdentifierOther ActivitiesIdentifier
Return ReferenceSchedule C, Part II-B, Line 1iReturnReference
ExplanationCONWAY HOSPITAL, INC. PAYS ANNUAL MEMBERSHIP DUES AS PART OF THEIR MEMBERSHIP WITH THE SOUTH CAROLINA HOSPITAL ASSOCIATION AND A PERCENTAGE OF THESE DUES ARE USED FOR LOBBYING ACTIVITIES.Explanation

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Art Public Exhibition AmtsArtPublicExhibitionAmts
Held Works Of Art AmtsHeldWorksOfArtAmts

Current Year CurrentYear

FieldValueIRS element (for citing)
Beginning Of Year Balance2533913BeginningOfYearBalance
Contributions334052Contributions
Investment Earnings Or Losses361512InvestmentEarningsOrLosses
Grants Or Scholarships6158GrantsOrScholarships
Other Expenditures398719OtherExpenditures
End Of Year Balance2824600EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

FieldValueIRS element (for citing)
Beginning Of Year Balance2464486BeginningOfYearBalance
Contributions421801Contributions
Investment Earnings Or Losses-11208InvestmentEarningsOrLosses
Other Expenditures341166OtherExpenditures
End Of Year Balance2533913EndOfYearBalance

Current Year Minus2 Years CurrentYearMinus2Years

FieldValueIRS element (for citing)
Beginning Of Year Balance2299137BeginningOfYearBalance
Contributions360688Contributions
Investment Earnings Or Losses106530InvestmentEarningsOrLosses
Other Expenditures301869OtherExpenditures
End Of Year Balance2464486EndOfYearBalance

Current Year Minus3 Years CurrentYearMinus3Years

FieldValueIRS element (for citing)
Beginning Of Year Balance2186079BeginningOfYearBalance
Contributions423964Contributions
Investment Earnings Or Losses353InvestmentEarningsOrLosses
Other Expenditures311259OtherExpenditures
End Of Year Balance2299137EndOfYearBalance
FieldValueIRS element (for citing)
Board Designated EOY Balance0.21000BoardDesignatedEOYBalance
Permanent Endowment EOY Balance0.56000PermanentEndowmentEOYBalance
Term Endowment EOY Balance0.23000TermEndowmentEOYBalance
Endowments Held By Unrelated OrgsfalseEndowmentsHeldByUnrelatedOrgs
Endowments Held By Related OrgstrueEndowmentsHeldByRelatedOrgs
Are Related Orgs Listed Schedule RtrueAreRelatedOrgsListedScheduleR

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis3279137OtherCostOrOtherBasis
Book Value3279137BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis83249124OtherCostOrOtherBasis
Depreciation28125084Depreciation
Book Value55124040BookValue
FieldValueIRS element (for citing)
Leasehold ImprovementsLeaseholdImprovements

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis81714646OtherCostOrOtherBasis
Depreciation55097456Depreciation
Book Value26617190BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis18634633OtherCostOrOtherBasis
Depreciation7281718Depreciation
Book Value11352915BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings96373282TotalOfBookValueLandBuildings

Other Assets OtherAssets (2 entries)

DescriptionDescriptionBook ValueBookValue
DUE FROM AFFILIATES40754696
BOND REFUNDING3110000
FieldValueIRS element (for citing)
Total Book Value Other Assets43864696TotalBookValueOtherAssets
Federal Income Tax Liability0FederalIncomeTaxLiability

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
DescriptionINTEREST RATE SWAP LIABILITYDescription
Amount$9,589,077Amount
FieldValueIRS element (for citing)
Total Of Amounts9589077TotalOfAmounts

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (2 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
Intended Uses of Endowment FundsSchedule D, Part V, Line 4ENDOWMENT 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 2THE ORGANIZATION ADOPTED FIN48 (NOW KNOWN AS ASC740) IN AN EARLIER YEAR, HOWEVER AS THE ORGANIZATION DID NOT HAVE ANY UNCERTAIN TAX POSITIONS THAT REQUIRED DISCLOSURE, NO FOOTNOTE IS INCLUDED IN THE CURRENT YEAR FINANCIAL STATEMENTS.

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Charity Care PolicytrueCharityCarePolicy
Written PolicytrueWrittenPolicy
FPG Reference Free CaretrueFPGReferenceFreeCare
Pcent100XPcent100
FPG Reference Discounted CaretrueFPGReferenceDiscountedCare
Pcent200 DXPcent200D
Free Disc Care Medically IndigenttrueFreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity CaretrueAmountsBudgetedForCharityCare
Expenses Exceeded BudgetfalseExpensesExceededBudget
Annual Community Benefit ReporttrueAnnualCommunityBenefitReport
Report Publically AvailabletrueReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

FieldValueIRS element (for citing)
Total Community Benefit Expense7360245TotalCommunityBenefitExpense
Direct Offsetting Revenue5722943DirectOffsettingRevenue
Net Community Benefit Expense1637302NetCommunityBenefitExpense
Percent Of Total Expense0.01330PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

FieldValueIRS element (for citing)
Total Community Benefit Expense20586321TotalCommunityBenefitExpense
Direct Offsetting Revenue18814592DirectOffsettingRevenue
Net Community Benefit Expense1771729NetCommunityBenefitExpense
Percent Of Total Expense0.01440PercentOfTotalExpense

Total Charity Care TotalCharityCare

FieldValueIRS element (for citing)
Total Community Benefit Expense27946566TotalCommunityBenefitExpense
Direct Offsetting Revenue24537535DirectOffsettingRevenue
Net Community Benefit Expense3409031NetCommunityBenefitExpense
Percent Of Total Expense0.02770PercentOfTotalExpense

Community Health Services CommunityHealthServices

FieldValueIRS element (for citing)
Number Of Activities Or Programs610NumberOfActivitiesOrPrograms
Persons Served41148PersonsServed
Total Community Benefit Expense246583TotalCommunityBenefitExpense
Direct Offsetting Revenue12000DirectOffsettingRevenue
Net Community Benefit Expense234583NetCommunityBenefitExpense
Percent Of Total Expense0.00190PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

FieldValueIRS element (for citing)
Number Of Activities Or Programs5NumberOfActivitiesOrPrograms
Persons Served205PersonsServed
Total Community Benefit Expense25605TotalCommunityBenefitExpense
Net Community Benefit Expense25605NetCommunityBenefitExpense
Percent Of Total Expense0.00020PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

FieldValueIRS element (for citing)
Number Of Activities Or Programs60NumberOfActivitiesOrPrograms
Persons Served1200PersonsServed
Total Community Benefit Expense28000TotalCommunityBenefitExpense
Net Community Benefit Expense28000NetCommunityBenefitExpense
Percent Of Total Expense0.00020PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

FieldValueIRS element (for citing)
Number Of Activities Or Programs675NumberOfActivitiesOrPrograms
Persons Served42553PersonsServed
Total Community Benefit Expense300188TotalCommunityBenefitExpense
Direct Offsetting Revenue12000DirectOffsettingRevenue
Net Community Benefit Expense288188NetCommunityBenefitExpense
Percent Of Total Expense0.00230PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

FieldValueIRS element (for citing)
Number Of Activities Or Programs675NumberOfActivitiesOrPrograms
Persons Served42553PersonsServed
Total Community Benefit Expense28246754TotalCommunityBenefitExpense
Direct Offsetting Revenue24549535DirectOffsettingRevenue
Net Community Benefit Expense3697219NetCommunityBenefitExpense
Percent Of Total Expense0.03000PercentOfTotalExpense

Health Improvement Advocacy HealthImprovementAdvocacy

FieldValueIRS element (for citing)
Number Of Activities Or Programs3NumberOfActivitiesOrPrograms
Persons Served80PersonsServed
Total Community Building Expense1700TotalCommunityBuildingExpense
Net Community Building Expense1700NetCommunityBuildingExpense

Total Total

FieldValueIRS element (for citing)
Number Of Activities Or Programs3NumberOfActivitiesOrPrograms
Persons Served80PersonsServed
Total Community Building Expense1700TotalCommunityBuildingExpense
Net Community Building Expense1700NetCommunityBuildingExpense
FieldValueIRS element (for citing)
Bad Debt Expense ReportedfalseBadDebtExpenseReported
Bad Debt Expense$31,472,044BadDebtExpenseAmount
Amount Reimbursed By Medicare43529855AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare47023082CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall-3493227MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

FieldValueIRS element (for citing)
Cost To Charge RatioXCostToChargeRatio
FieldValueIRS element (for citing)
Written Debt Collection PolicytrueWrittenDebtCollectionPolicy
Provision For Charity CaretrueProvisionForCharityCare
Number Of Hospital Facilities1NumberOfHospitalFacilities

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA

FieldValueIRS element (for citing)
Facility Number1FacilityNumber

Name Name

FieldValueIRS element (for citing)
Business Name Line1Conway Hospital IncBusinessNameLine1

Address Address

FieldValueIRS element (for citing)
Address Line1300 Singleton Ridge RoadAddressLine1
CityConwayCity
StateSCState
ZIP Code29526ZIPCode
FieldValueIRS element (for citing)
Licensed HospitalXLicensedHospital
General Medical And SurgicalXGeneralMedicalAndSurgical
Er24 HoursXEr24Hours

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1Conway Hospital IncBusinessNameLine1
FieldValueIRS element (for citing)
Hospital Facility Number1HospitalFacilityNumber
Eligibility Criteria ExplainedtrueEligibilityCriteriaExplained
Uses FPG FreetrueUsesFPGFree
FPG Free Percent100FPGFreePercent
Uses FPG DiscountedtrueUsesFPGDiscounted
FPG Discount Percent200.FPGDiscountPercent
Explains BasistrueExplainsBasis
Income LevelXIncomeLevel
Asset LevelXAssetLevel
Medical IndigencyXMedicalIndigency
Insurance StatusXInsuranceStatus
Uninsured DiscountXUninsuredDiscount
Medicaid MedicareXMedicaidMedicare
State RegulationXStateRegulation
Explains Application MethodtrueExplainsApplicationMethod
Includes Publicity MeasurestrueIncludesPublicityMeasures
Posted In Emergency RoomXPostedInEmergencyRoom
Posted In Admission OfficeXPostedInAdmissionOffice
Provided On AdmissionXProvidedOnAdmission
Available On RequestXAvailableOnRequest
Other PublicityXOtherPublicity
Actions On NonpaymenttrueActionsOnNonpayment
Collection ActivitiesfalseCollectionActivities
Notify Upon AdmissionXNotifyUponAdmission
Notify Before DischargeXNotifyBeforeDischarge
Notified All PatientsXNotifiedAllPatients
Documented DeterminationXDocumentedDetermination
Other Actions TakenXOtherActionsTaken
Nondiscrim Emergency Care PolicytrueNondiscrimEmergencyCarePolicy
Used Other MethodXUsedOtherMethod
Amounts Generally BilledtrueAmountsGenerallyBilled
Gross ChargesfalseGrossCharges

Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC

FieldValueIRS element (for citing)
Number Of Other Facilities1NumberOfOtherFacilities

Other Facilities OtherFacilities

Name Name

FieldValueIRS element (for citing)
Business Name Line1Conway Hosp Outpatient Diagnostic CTRBusinessNameLine1

Address Address

FieldValueIRS element (for citing)
Address Line1801 Farrar DrAddressLine1
CityConwayCity
StateSCState
ZIP Code29526ZIPCode
FieldValueIRS element (for citing)
Facility TypeImaging MAMMOGRAPHYFacilityType

Form990 Schedule H Part VI Form990ScheduleHPartVI (13 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
Costing MethodologySchedule H, Part I, Line 7THE IRS WORKSHEETS WITH INPUT FROM OUR MEDICARE COST REPORT WERE USED TO COMPUTE THE AMOUNTS IN THE TABLE UTILIZING A COST TO CHARGE RATIO.
Bad Debt Expense MethodologySchedule H, Part III, Line 4INFORMATION 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.
Medicare ShortfallSchedule H, Part III, Line 8THE ENTIRE AMOUNT OF MEDICARE SHORTFALL SHOULD BE CONSIDERED A COMMUNITY BENEFIT. BY ACCEPTING MEDICARE PATIENTS, THE HOSPITAL PROMOTES ACCESS TO HEALTHCARE SERVICES, THUS PROVIDING A COMMUNITY BENEFIT. WE USED THE MEDICARE COST TO CHARGE RATIO FROM OUR MEDICARE COST REPORT FOR THIS SAME PERIOD.
Collection Policy for Those Qualifying for Financial AssistanceSchedule H, Part III, Line 9BWHEN 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.
Conway Hospital, Inc.Schedule H, Part V, Section B, Question 13(g)The financial assistance policy was also provided to patients upon discharge by case managers.
Conway Hospital, Inc.Schedule H, Part V, Section B, Question 17The hospital did not perform any of the actions indicated on line 16 before making reasonable efforts to qualify patients for eligiiblity under our financial assistance policy. The hospital made all efforts checked in line 17.
Conway Hospital, Inc.Schedule H, Part V, Section B, Question 19(d)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 OUR FINANCIAL ASSISTANCE POLICY, WE TAKE INTO CONSIDERATION THE PATIENT'S CURRENT SOCIAL AND ECONOMIC CIRCUMSTANCES AND PROVIDE ADDITIONAL REDUCTIONS DEPENDING ON THEIR SPECIFIC SITUATION.
Conway Hospital, Inc.Schedule H, Part V, Section B, Question 20During the filing year, the hospital was in process of evaluating the methodology options provided in the proposed IRS regulations but had not yet determined the best approach in order to update its financial assistance policy.
Community Health Care Needs AssessmentSchedule H, Part VI, Line 2THE SOUTH CAROLINA DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL ISSUED A REPORT IN 2010 RELATED TO THE IMPACT OF CHRONIC HEALTH CONDITIONS FOR THOSE IN HORRY COUNTY. THE FULL REPORT CAN BE FOUND AT HTTP://WWW.SCDHEC.GOV/HS/EPIDATA/COUNTY_REPORTS.HTM. HORRY COUNTY RANKS HIGHER THAN THE STATE AVERAGE FOR THE FOLLOWING RISK FACTORS WHICH CONTRIBUTE TO CHRONIC HEALTH CONDITIONS: SMOKING, AND LESS THAN 5-A DAY. THE AGE-ADJUSTED DEATH RATE FOR LUNG CANCER IN HORRY COUNTY (PER 100,000) IS 58.4% COMPARED TO THE STATE AVERAGE OF 52.6% THE HOSPITAL OFFERS A FREE PROGRAM FOR THE COMMUNITY TWO TIMES A YEAR RELATED TO SMOKING CESSATION. ADDITIONALLY, ALL PATIENTS ARE ASSESSED FOR THEIR USE OF TOBACCO AND PROVIDED WITH APPROPRIATE EDUCATION SHOULD THEY REPORT THEY DO USE TOBACCO. THE HOSPITAL'S MOBILE OUTREACH PROGRAM ALSO CONDUCTS A SIMILAR ASSESSMENT AND EDUCATION FOR THOSE INDIVIDUALS SEEN IN THE COMMUNITY BY THE OUTREACH VAN. THE COUNTY'S AGE-ADJUSTED DEATH RATE FOR HEART DISEASE (PER 100,000) IS 197.4 WHICH IS ALSO HIGHER THAN THE STATE AVERAGE OF 188.9. THE MOBILE HEALTH OUTREACH VAN OFFERS FREE BLOOD PRESSURE AND CHOLESTEROL TESTING AS WELL AS NUTRITIONAL EDUCATION ON A ROUTINE BASIS THROUGHOUT THE WESTERN PART OF HORRY COUNTY. ADDITIONAL STATISTICS ARE NOTED BELOW UNDER 'PROMOTION OF COMMUNITY HEALTH.' THE HOSPITAL IS CURRENTLY WORKING ON A COMMUNITY HEALTH NEEDS ASSESSMENT FOR FISCAL YEAR 2013.
Patient Education of Eligibility for AssistanceSchedule H, Part VI, Line 3SIGNS ARE POSTED THROUGHOUT THE HOSPITAL IN BOTH ENGLISH AND SPANISH (AND ON OUR WEBSITE UNDER PATIENT AND FAMILY RESPONSIBILITY) THAT INFORM PATIENTS OF OUR ASSISTANCE POLICY. 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. INVOICES SENT TO PATIENTS ALSO INCLUDE A NOTICE THAT THE HOSPITAL HAS AN ASSISTANCE PROGRAM AND HOW TO 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.' AND: 'SI USTED NO TIENE LOS RECURSOS PARA PAGAR SU CUENTA, POR FAVOR PREGNTENOS SOBRE EL PROGRAMA DE ASISTENCIA DEL HOSPITAL.'
Description of Community ServedSchedule H, Part VI, Line 4CONWAY MEDICAL CENTER SERVES THOSE PERSONS LIVING IN HORRY COUNTY AS WELL AS THE BORDERING COUNTIES OF MARION AND GEORGETOWN. TWO OTHER HOSPITALS, MCLEOD LORIS/SEACOAST AND GRAND STRAND REGIONAL MEDICAL CENTER ARE LOCATED IN HORRY COUNTY. THE POPULATION OF HORRY COUNTY, ACCORDING TO THE LATEST CENSUS FIGURES, IS AS FOLLOWS: POPULATION IN 2010 WAS 269,291; THE POPULATION GREW BY 37% FROM 2000 TO 2010; IN 2010, THE POPULATION CONSISTED OF 6.3% OF PEOPLE UNDER THE AGE OF 5, 20.6% OF THE POPULATION AS UNDER 18 YEARS OF AGE AND 18% OF THE POPULATION WAS AGED 65 AND OLDER. MEDIAN HOUSEHOLD INCOME FOR HORRY COUNTY FOR 2006-2010 WAS $43,142 AS COMPARED TO THE STATE AVERAGE OF $43,939 WITH 16.1% OF PERSONS LIVING BELOW POVERTY LEVEL, COMPARED TO THE STATE AVERAGE OF 16.4%. THE CONWAY AREA'S MEDIAN HOUSEHOLD INCOME FOR 2006-1010 WAS $35,999 AND THERE WERE 23.6% OF PERSONS LIVING BELOW POVERTY LEVEL. THE METROPOLITAN STATISTICAL AREA IS CONSIDERED TO BE MYRTLE BEACH-NORTH MYRTLE BEACH-CONWAY, SC METRO AREA. THE PRIMARY SERVICE AREA OF THE HOSPITAL INCLUDES THOSE ZIP CODES WITHIN A 15 MILE RADIUS OF THE HOSPITAL WITH APPROXIMATELY 50% OF THAT AREA BEING IN A RURAL LOCATION.
Promoting the Health of the CommunitySchedule H, Part VI, Line 5THE 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 2011 REPORT SHOWS THAT THE OUTREACH PROGRAM DELIVERED FREE HEALTH SCREENINGS TO 75 VARIOUS LOCATIONS PREDOMINATELY IN MEDICALLY UNDERSERVED AREAS OF HORRY COUNTY. THERE WERE 1,186 PARTICIPANTS WHO WERE SCREENED WITH RESULTS AS FOLLOWS: ELEVATED BLOOD PRESSURE - 19%; ELEVATED BLOOD GLUCOSE - 16%; ELEVATED BLOOD CHOLESTEROL - 37%. 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 662 CHILDREN EVERY THURSDAY. HEALTHREACH PROVIDED 647 FLU SHOTS AT 13 FLU CLINICS AND HELD TWO PROSTATE CANCER SCREENING CLINICS WITH 100 PARTICIPANTS AND 4 FOLLOW-UP PHYSICIAN REFERRALS DURING 2011. SAFESITTER BABYSITTING TRAINING CLASSES WERE PROVIDED IN JUNE AND JULY WITH A TOTAL OF 17 CHILDREN PARTICIPATING AND RECEIVING CERTIFICATION. MAMMOGRAM REFERRALS ARE ALSO INITIATED THROUGH THE HEALTHREACH OFFICE AND ADDITIONAL TRACKING AND FOLLOW UP COMMUNICATION IS PROVIDED. AS PART OF THE PROGRAM, OVER 375 PATIENTS, MEETING FINANCIAL ELIGIBILITY STATUS, WERE REFERRED FOR EITHER SCREENING OR DIAGNOSTIC MAMMOGRAPHY AT CONWAY MEDICAL CENTER AT NO CHARGE TO THE PATIENT. IN SOME CASES, ULTRASOUNDS WERE REQUIRED AND ALSO PROVIDED BY THE HOSPITAL AT NO CHARGE. THE HOSPITAL HAS ALSO COMMITTED $15,000 PER YEAR TO SUPPORT A FACULTY POSITION FOR THE NURSING PROGRAM AT HORRY-GEORGETOWN TECHNICAL COLLEGE. PASTORAL EDUCATION WAS PROVIDED TO AREA CLERGY AND LAY CLERGY AND BEREAVEMENT COUNSELING WAS OFFERED BY THE HOSPITAL PASTORAL SERVICES DEPARTMENT TO APPROXIMATELY 350 INDIVIDUALS FOR AN ESTIMATED COST OF $5,000. FREE HEALTH AND WELLNESS EDUCATION CLASSES WERE OFFERED BY THE HOSPITAL REACHING APPROXIMATELY 361 MEMBERS OF THE COMMUNITY FOR A COST OF $3,027. FREE HEALTH EDUCATION AND WELLNESS INFORMATION HAS ALSO BEEN PROVIDED THROUGH THE HOSPITAL'S WEBSITE AND COMMUNITY RELATIONS DEPARTMENT AT A COST OF APPROXIMATELY $237,000. THIS IS ESTIMATED TO HAVE REACHED IN EXCESS OF 240,500 INDIVIDUALS. THE HOSPITAL ALSO HAS AN OPEN MEDICAL STAFF AND ITS BOARD MEMBERS ARE COMPRISED OF LOCAL COMMUNITY INDIVIDUALS WHO SERVE ON A VOLUNTARY BASIS. SURPLUS FUNDS OF THE HOSPITAL ARE RETURNED TO THE COMMUNITY THROUGH EXPANDED SERVICES AND CONTINUED ACCESS FOR ALL INDIVIDUALS REGARDLESS OF THEIR ABILITY TO PAY.
Community Benefit Report State FilingsSchedule H, Part VI, Line 7SC

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records MaintainedtrueRecordsMaintained

Recipient Table RecipientTable (2 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEIN Of RecipientEINOfRecipientIRC SectionIRCSectionAmount Of Cash GrantAmountOfCashGrantPurpose Of GrantPurposeOfGrant
UNITED WAY
P O BOX 673CONWAYSC29526570558692501(C)38454GENERAL PURPOSE GENERAL PURPOSE NURSING SCHOLARSHIPS, BOOKS, TUITION
CONWAY MED CTR FOUNDATION
P O BOX 829CONWAYSC29526570870199501(C)350352GENERAL PURPOSE
FieldValueIRS element (for citing)
Total Nbr Of501 C3 And Govt Grants2TotalNbrOf501C3AndGovtGrants

Form990 Schedule I Part III Form990ScheduleIPartIII

FieldValueIRS element (for citing)
Type Of GrantNURSING SCHOLARSHIPS, BOOKS, TUITIONTypeOfGrant
Number Of Recipients9NumberOfRecipients
Amount Of Cash Grant17412AmountOfCashGrant

Form990 Schedule I Part IV Form990ScheduleIPartIV

FieldValueIRS element (for citing)
IdentifierProcedure for Monitoring Use of Grant Funds Inside U.S.Identifier
Return ReferenceSchedule I, Part I, Line 2ReturnReference
ExplanationGRANTS 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. SCHOLARSHIPS TO INDIVIDUALS - NURSING SCHOLARSHIPS ARE GIVEN OUT TO EMPLOYEES OF THE HOSPITAL AND OTHER MEMBERS OF THE COMMUNITY BASED ON FINANCIAL NEED AND NURSING SHORTAGES. TUITION REIMBURSEMENT IS ALSO GRANTED TO INDIVIDUALS FOR CERTAIN EDUCATIONAL ASSISTANCE. CONWAY PAYS FOR BOOKS AND TUITION ONLY, AND STUDENTS ARE REQUIRED TO MAINTAIN CERTAIN MINIMUM GRADES IN ORDER TO QUALIFY FOR ASSISTANCE.Explanation

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeXCompensationCommittee
Independent ConsultantXIndependentConsultant
Written Employment ContractXWrittenEmploymentContract
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance PaymentfalseSeverancePayment
Supplemental Nonqual Retire PlantrueSupplementalNonqualRetirePlan
Equity Based Comp ArrangementfalseEquityBasedCompArrangement
Comp Based On Revenue Of Filing OrgfalseCompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related OrgsfalseCompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing OrgfalseCompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate OrgsfalseCompBasedNetEarningsRelateOrgs
Any Non Fixed PaymentsfalseAnyNonFixedPayments
Initial Contract ExceptionfalseInitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (13 entries)

Base Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
PHILIP CLAYTON
4373540250594000642620237140775924000
BRET BARR
230503044437000258750237140324529000
PRESTON STROSNIDER
274193052454000456130237140395974000
ANNAMARIE EAKINS
1863240569850374379024698011109065349503672940
CRAIG HYMAN
166826031879000257200111990235624000
DWIGHT GENTRY JR
161544028703000170540232440230545000
ANGELA WILLIFORD
140887025475000151990239230205484000
KEVIN LOVETT
130269025598000129490237140192530000
BERNARD MASSEY
129043022852000169640110050179864000
ROBERT GAJEWSKI
1402230120000072060241930172822000
DENNIS FINLEY
11396601000000063200237140154000000
GLENN SISK
1235480200000063760224140154338000
WENDELL BEVERLY
1214720200000063560241930154021000

Form990 Schedule J Part III Form990ScheduleJPartIII

FieldValueIRS element (for citing)
IdentifierSupplemental nonqualified retirement planIdentifier
Return ReferenceSchedule J, Part I, Line 4bReturnReference
ExplanationCONWAY 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, PRESTON STROSNIDER, ANNAMARIE EAKINS, CRAIG HYMAN, DWIGHT GENTRY, JR., ANGELA WILLIFORD, KEVIN LOVETT, BERNARD MASSEY. DURING THE CALENDAR YEAR REPORTED WITHIN THIS YEAR, ANNMARIE EAKINS REACHED RETIREMENT AGE AND HER ACCRUED BENEFIT WAS PAID OUT AND $374,379 IS INCLUDED IN HER REPORTED WAGES REFLECTED IN THIS FORM 990.Explanation

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI (2 entries)

Issuer EINIssuerEINDate IssuedDateIssuedIssue PriceIssuePriceDescription Of PurposeDescriptionOfPurposeDefeasedDefeasedOn Behalf Of IssuerOnBehalfOfIssuerPool FinancingPoolFinancing
SC JOBS - ECONOMIC DEVELOPMENT
5709600182011-10-1845855000REISSUE OF 2007 BONDSfalsefalsefalse
SC JOBS - ECONOMIC DEVELOPMENT
5709600182011-09-3019510000REFUND 1998 SERIES BONDfalsefalsefalse

Form990 Schedule K Part II Form990ScheduleKPartII (2 entries)

Amount RetiredAmountRetiredAmount Bond DefeasedAmountBondDefeasedTotal ProceedsTotalProceedsAmount In Reserve FundAmountInReserveFundCapitalized InterestCapitalizedInterestRefunding EscrowRefundingEscrowIssuance Costs From ProceedsIssuanceCostsFromProceedsCredit EnhancementCreditEnhancementWorking Capital ExpendituresWorkingCapitalExpendituresCapital ExpendituresCapitalExpendituresOther Spent ProceedsOtherSpentProceedsAmount UnspentAmountUnspentYear Of Subst CompletionYearOfSubstCompletionCurrent RefundingCurrentRefundingAdvance RefundingAdvanceRefundingFinal Allocation MadeFinalAllocationMadeAdequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaind
11000000458550000003114490004585500002009truefalsetruetrue
17502750195100000001460840001936391601998truefalsetruetrue

Form990 Schedule K Part III Form990ScheduleKPartIII (2 entries)

Owning Bond Financed PropertyOwningBondFinancedPropertyAny Lease ArrangementsAnyLeaseArrangementsMngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprtyEngage Bond Counsel ContractsEngageBondCounselContractsAny Research AgreementsAnyResearchAgreementsPrcntge Prvt Business Use By OthersPrcntgePrvtBusinessUseByOthersPercentage Of Prvt Business Re UBIPercentageOfPrvtBusinessReUBITotal Private Business UseTotalPrivateBusinessUsePost Issuance Compliance ProcdrsPostIssuanceComplianceProcdrs
falsefalsetruetruefalse0.000000.000000.00000true
falsefalsetruetruefalse0true

Form990 Schedule K Part IV Form990ScheduleKPartIV (2 entries)

Form8038 T FiledForm8038TFiledVariable Rate IssueVariableRateIssueHedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecdsGross Proceeds Invested In GICGrossProceedsInvestedInGICBusiness Name Line1NameOfGICProvider/BusinessNameLine1Gross Proceeds InvestedGrossProceedsInvestedException To RebateExceptionToRebate
0
falsetruefalsefalse0falsetrue
0
falsefalsefalsefalse0falsetrue
FieldValueIRS element (for citing)
Fed Tax Requirements ComplianceXFedTaxRequirementsCompliance

Form990 Schedule K Part VI Form990ScheduleKPartVI (3 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
Part I - Line A, Column (f)0Reissue of 2007 bonds that funded the construction and renovation of an administrative annes, patient tower, and central energy plant at Conway Hospital.
Part II - Column A, line 70Issuance costs were not paid from the proceeds of this bond issuance, but were paid out of the reserve funds of the 2007 retired bonds.
Part I - Line B, Column (f)0Bonds issued to refund the outstanding maturities of Horry County, South Carolina Hospital Revenue Bonds (Conway Hospital, Inc) Series 1998.

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV

Name Of Interested Person NameOfInterestedPerson

FieldValueIRS element (for citing)
Name PersonCharles JordanNamePerson
FieldValueIRS element (for citing)
RelationshipSee Part VRelationship
Amount Of Transaction1019444AmountOfTransaction
Description Of TransactionIndependent ContractorDescriptionOfTransaction
Sharing Of RevenuesfalseSharingOfRevenues

Form990 Schedule L Part V Form990ScheduleLPartV

FieldValueIRS element (for citing)
IdentifierBUSINESS TRANSACTIONS INVOLVING INTERESTED PERSONSIdentifier
Return ReferenceSCHEDULE L, PART IV, COLUMN BReturnReference
ExplanationCHARLES JORDAN, TRUSTEE OF CONWAY HOSPITAL, HAS A BUSINESS RELATIONSHIP WITH CONWAY HOSPITAL. HE WAS CHAIRMAN OF MB KAHN, A CONSTRUCTION COMPANY HIRED TO ASSIST WITH HOSPITAL EXPANSION. MR. JORDAN DID NOT PARTICIPATE IN BOARD DISCUSSION AND VOTING REGARDING THIS ACTIVITY.Explanation

Schedule M IRS990ScheduleM

FieldValueIRS element (for citing)
Works Of ArtWorksOfArt
Art Historical TreasuresArtHistoricalTreasures
Art Fractional InterestArtFractionalInterest
Books And PublicationsBooksAndPublications
Clothing And Household GoodsClothingAndHouseholdGoods
Cars And Other VehiclesCarsAndOtherVehicles
Boats And PlanesBoatsAndPlanes
Intellectual PropertyIntellectualProperty
Securities Publicly TradedSecuritiesPubliclyTraded
Securities Closely Held StockSecuritiesCloselyHeldStock
Securities Prtnrshp Trust IntrstsSecuritiesPrtnrshpTrustIntrsts
Securities MiscellaneousSecuritiesMiscellaneous
Qualified Contrib Hist StructQualifiedContribHistStruct
Qualified Contrib OtherQualifiedContribOther
Real Estate ResidentialRealEstateResidential
Real Estate CommercialRealEstateCommercial
Real Estate OtherRealEstateOther
CollectiblesCollectibles
Food InventoryFoodInventory
Drugs And Medical SuppliesDrugsAndMedicalSupplies
TaxidermyTaxidermy
Historical ArtifactsHistoricalArtifacts
Scientific SpecimensScientificSpecimens
Archaeological ArtifactsArchaeologicalArtifacts

Other Non Cash Contributions Table OtherNonCashContributionsTable

FieldValueIRS element (for citing)
Non Cash CheckboxXNonCashCheckbox
DescriptionMEDICAL VANDescription
Number Of Contributions1NumberOfContributions
Noncash Contribs Rptd F990118384NoncashContribsRptdF990
Method Of Determining RevenuesFMVMethodOfDeterminingRevenues
FieldValueIRS element (for citing)
Any Property That Must Be HeldfalseAnyPropertyThatMustBeHeld
Review Process Unusual NC GiftsfalseReviewProcessUnusualNCGifts
Third Parties UsedfalseThirdPartiesUsed

Form990 Schedule M Part II Form990ScheduleMPartII

FieldValueIRS element (for citing)
IdentifierGift Acceptance PolicyIdentifier
Return ReferenceSchedule M, Part I, Line 31ReturnReference
ExplanationThe non-cash contribution was donated by a related organization. Conway Hospital typically does not accept non-cash donations from sources other than related organizations and therefore does not have a formal gift acceptance policy.Explanation

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (22 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
Business RelationshipsForm 990, Part VI, Line 2PHILIP CLAYTON, BRETT BAR, AND DWIGHT GENTRY HAVE A BUSINESS RELATIONSHIP. ALL THREE ARE BOARD MEMBERS AND OFFICERS OF TAX EXEMPT ORGANIZATIONS RELATED TO THIS ORGANIZATION.
Form 990 Review ProcessForm 990, Part VI, Line 11bTHE ORGANIZATION'S ACCOUNTING DEPARTMENT PREPARES THE 990 INFORMATION IN CONSULTATION WITH THE VP OF FISCAL SERVICES. AN OUTSIDE ACCOUNTING FIRM PREPARES THE 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 12cCONWAY 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, Line 15aTHE 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 19CONWAY HOSPITAL MAKES ITS FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST AS WELL AS ATTACHING THEM TO THIS RETURN.
Reconciliation of Net AssetsForm 990, Part XI, Line 5Unrealized Gains 8,239,313 Change in Foundation Restricted Assets 3,340 Total 8,242,653
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:PHILIP CLAYTON TITLE:CEO AND TRUSTEE HOURS:4
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:LEROY RAINBOW, JR. TITLE:CHAIRMAN HOURS:1
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:M. WAYNE STATON TITLE:SECRETARY HOURS:1
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:WILLIAM R. BENSON TITLE:TRUSTEE HOURS:1
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:DR. REGINALD F. DAVES TITLE:TRUSTEE HOURS:1
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:DR. MICHAEL ELLIS TITLE:TRUSTEE HOURS:1
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:DIANNE W. RAY TITLE:TRUSTEE HOURS:1
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:GEORGE H. GOLDFINCH, JR. TITLE:TRUSTEE HOURS:1
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:CHARLES B. JORDAN TITLE:TRUSTEE HOURS:1
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:DR. HAL B. HOLMES TITLE:TRUSTEE HOURS:1
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:CHRISTOPHER S. HUGGINS TITLE:TRUSTEE HOURS:1
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:DR. DEIRDRE S. WILLIAMS, DDS TITLE:TRUSTEE HOURS:1
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:JOHN P. HENRY TITLE:TRUSTEE HOURS:1
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:GEORGE N. MAGRATH JR. TITLE:TRUSTEE HOURS:1
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:BRET BARR TITLE:CFO HOURS:4
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:DWIGHT GENTRY, JR. TITLE:VP OF ANCILLARY HOURS:3

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (5 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Controlled OrgControlledOrg
CONWAY LONG-TERM CARE SERVICES INC
300 SINGLETON RIDGE RDCONWAYSC29526570875232HEALTHCARESC501(c)303NAtrue
CONWAY HOSPITAL COMMUNITY SERVICES
300 SINGLETON RIDGE RDCONWAYSC29526571119337HEALTHCARESC501(c)303NAtrue
CONWAY HOSPITAL EMERGENCY PROF SERVICES
300 SINGLETON RIDGE RDCONWAYSC29526208817905EMERGENCYSC501(c)311 A-INAtrue
CONWAY HOSPITAL ANESTHESIA PROF SERVICES
300 SINGLETON RIDGE RDCONWAYSC29526208817302ANESTHESIASC501(c)311 A-INAtrue
CONWAY HOSPITAL FOUNDATION
300 SINGLETON RIDGE RDCONWAYSC29526570870199FUNDRAISINGSC501(c)311C-III-FINAfalse

Form990 Schedule R Part IV Form990ScheduleRPartIV

Name Of Related Org NameOfRelatedOrg

FieldValueIRS element (for citing)
Business Name Line1MEDICAL PROPERTIES INCBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1300 SINGLETON RIDGE RDAddressLine1
CityCONWAYCity
StateSCState
ZIP Code29526ZIPCode
FieldValueIRS element (for citing)
EIN570751357EIN
Primary ActivityRENTALSPrimaryActivity
Legal Domicile StateSCLegalDomicileState

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1NABusinessNameLine1
FieldValueIRS element (for citing)
Type Of EntityC CorpTypeOfEntity
Share Of Total Income385953ShareOfTotalIncome
Share Of EOY Assets7076560ShareOfEOYAssets
Percentage Ownership1.00000PercentageOwnership
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents RoyaltiesfalseReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other OrgtrueGiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other OrgtrueGiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other OrgfalseLoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other OrgfalseSaleOfAssetsToOtherOrg
Purchase Of Assets From Other OrgfalsePurchaseOfAssetsFromOtherOrg
Exchange Of AssetsfalseExchangeOfAssets
Rental Of Facilities To Other OrgstrueRentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other OrgsfalseRentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other OrgstruePerformOfServicesForOtherOrgs
Perform Of Services By Other OrgsfalsePerformOfServicesByOtherOrgs
Sharing Of FacilitiestrueSharingOfFacilities
Sharing Of Paid EmployeestrueSharingOfPaidEmployees
Reimbursement Paid To Other OrgfalseReimbursementPaidToOtherOrg
Reimbursement Paid By Other OrgtrueReimbursementPaidByOtherOrg
Other Transfer To Other OrgfalseOtherTransferToOtherOrg
Other Transfer From Other OrgtrueOtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (10 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolvedMethod Of Amt DeterminationMethodOfAmtDetermination
CONWAY LONG-TERM CARE SERVICES INC
B4915875CASH (FMV)
CONWAY HOSPITAL COMMUNITY SERVICES INC
B10855171CASH (FMV)
CONWAY HOSPITAL EMERGENCY PROF SERVICES
B217098CASH (FMV)
CONWAY HOSPITAL ANESTHESIA PROF SERVICES
B4126586CASH (FMV)
MEDICAL PROPERTIES INC
B1157658CASH (FMV)
CONWAY HOSPITAL ANESTHESIA PROF SERVICES
P3347607COST
CONWAY HOSPITAL ANESTHESIA PROF SERVICES
R1823315COST
CONWAY LONG-TERM CARE SERVICES INC
R4774767COST
CONWAY HOSPITAL COMMUNITY SERVICES INC
R6764507COST
MEDICAL PROPERTIES INC
R1223942COST