2013-08-15T16:09:32-05:00 2012-09-30 Grant Thornton LLP 201 S COLLEGE ST STE 2500 CHARLOTTE NC 28244 990 2011-10-01 570314381 Conway Hospital Inc % BRET BARR CONW 8433478037 300 SINGLETON RIDGE ROAD CONWAY SC 29526 Bret Barr 8433477111 2014-08-15 true 7046323500 2011 2016-02-24 21:20:13Z Conway Medical Center PHILIP CLAYTON 300 SINGLETON RIDGE ROAD CONWAY SC 29526 138633905 false X WWW.CONWAYMEDICALCENTER.COM X 1928 SC WE 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. 14 12 1220 253 36691 171041 2623023 157978294 132796778 3592525 1840453 0 0 161741860 137260254 73864 76612 0 0 55852354 60384627 0 0 0 88686887 62270555 144613105 122731794 17128755 14528460 321635685 341352922 94364012 91310136 227271673 250042786 X CONWAY HOSPITAL INC., LOCATED IN CONWAY, SOUTH CAROLINA, IS A NOT-FOR-PROFIT ACUTE CARE HOSPITAL THAT PROVIDES INPATIENT, OUTPATIENT AND EMERGENCY CARE SERVICES GENERALLY FOR RESIDENTS OF HORRY AND SURROUNDING COUNTIES. false false 105865646 76612 132112784 CONWAY HOSPITAL INC. IS A 210 BED ACUTE FACILITY LOCATED IN THE CITY OF CONWAY, SOUTH CAROLINA. THE HOSPITAL WAS ORGANIZED UNDER THE LAWS OF THE STATE OF SOUTH CAROLINA IN 1928 FOR THE PURPOSE OF OPERATING A COMMUNITY HOSPITAL IN HORRY COUNTY. THE HOSPITAL WAS CREATED FOR THE PURPOSE OF PROMOTING HEALTH FOR ALL RESIDENTS OF HORRY COUNTY AND ITS OUTLYING AREAS. THE PROMOTION OF HEALTH HAS BEEN ESTABLISHED AS A CHARITABLE PURPOSE UNDER INTERNAL REVENUE CODE (IRC) SECTION 501(C)3 REVENUE RULE 69-545, 1969-2 C B 117, AS MODIFIED BY REV RUL 83-157, 1983-2 C B 94, WHICH SETS FORTH THE FACTORS THE INTERNAL REVENUE SERVICE WILL CONSIDER IN DETERMINING WHETHER A NONPROFIT HOSPITAL QUALIFIES FOR TAX EXEMPT STATUS. THE HOSPITAL HAS A BOARD OF TRUSTEES COMPOSED OF INDEPENDENT CIVIC LEADERS AND PHYSICIANS. AN OPEN MEDICAL STAFF IS MAINTAINED BY THE HOSPITAL, WITH PRIVILEGES AVAILABLE TO ALL QUALIFIED PHYSICIANS. ALSO, THE HOSPITAL PROVIDES EMERGENCY AND NON-EMERGENCY CARE TO ANYONE REGARDLESS OF THEIR ABILITY TO PAY, EITHER DIRECTLY OR THROUGH THIRD-PARTY REIMBURSEMENT, INCLUDING MEDICARE AND MEDICAID. DURING THE YEAR ENDED SEPTEMBER 30, 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. 105865646 true true false true false false false false true true false false true true false false true false false false false false false false false true true true true true true false false false false false false false false false true true false false false false true true true false false true 125 0 1220 true true true false false false false false false false false false X 14 12 true false false false false false false true true false false true true true true true true true true true true NC SC X BRET BARR 8433477111 300 SINGLETON RIDGE ROAD CONWAY SC 29526 X PHILIP CLAYTON 40.0 X X 687948 0 87976 LEROY RAINBOW JR 1.0 X X 0 0 0 M WAYNE STATON 1.0 X X 0 0 0 WILLIAM R BENSON 1.0 X 0 0 0 DR REGINALD F DAVES 1.0 X 0 0 0 DR MICHAEL ELLIS 1.0 X 0 0 0 DIANNE W RAY 1.0 X 0 0 0 GEORGE H GOLDFINCH JR 1.0 X 0 0 0 CHARLES B JORDAN 1.0 X 0 0 0 DR HAL B HOLMES 1.0 X 0 0 0 CHRISTOPHER S HUGGINS 1.0 X 0 0 0 DR DEIRDRE S WILLIAMS DDS 1.0 X 0 0 0 JOHN P HENRY 1.0 X 0 0 0 GEORGE N MAGRATH JR 1.0 X 0 0 0 BRET BARR 40.0 X 274940 0 49589 PRESTON STROSNIDER 40.0 X 326647 0 69327 ANNAMARIE EAKINS 40.0 X 617688 0 35807 CRAIG HYMAN 40.0 X 198705 0 36919 DWIGHT GENTRY JR 40.0 X 190247 0 40298 ANGELA WILLIFORD 40.0 X 166362 0 39122 KEVIN LOVETT 40.0 X 155867 0 36663 BERNARD MASSEY 40.0 X 151895 0 27969 ROBERT GAJEWSKI 40.0 X 141423 0 31399 DENNIS FINLEY 40.0 X 123966 0 30034 TONY MINSHEW 40.0 X 120765 0 17405 GLENN SISK 40.0 X 125548 0 28790 WENDELL BEVERLY 40.0 X 123472 0 30549 3405473 0 561847 21 false true false Aramark CTS Inc 10510 Twin Lakes Parkway CHAROLTTE NC 28269 Management 877532 Morrison Management Specialists P O Box 102289 ATLANTA GA 30368 Management 529522 Chamberlain Edmonds P O Box 536969 ATLANTA GA 30353 Enrollment Services 344086 Premier 12225 El Camino Real SAN DIEGO CA 92130 Management 331658 MB Kahn 101 FLINT LAKE ROAD COLUMBIA SC 29223 Construction 1143777 11 268384 2202097 152542 118384 2623023 NET PATIENT REVENUE 621110 128763280 128763280 WELLNESS CENTER 900099 921508 921508 DIETARY REVENUE 722210 684581 652369 32212 PREMIER INCOME 900099 347364 342885 4479 COASTAL HOME CARE 900099 336630 336630 1743415 1743415 132796778 3205979 3205979 0 0 8125 1373651 -1373651 8125 -1365526 -1365526 0 0 0 0 137260254 132423457 36691 2177083 59200 59200 17412 17412 0 0 2352061 683119 1668942 0 41553782 33792645 7761137 1756662 1563429 193233 11622351 10343892 1278459 3099771 2758796 340975 5124951 4561206 563745 540638 540638 121755 121755 3434 3434 0 0 5812640 5173250 639390 0 26990801 24021813 2968988 188136 188136 0 2968111 2968111 17242 17242 0 0 2515901 2515901 0 0 7838512 7838512 386887 386887 MAINTENANCE CONTRACTS 3665152 3261985 403167 MEDICAID PROVIDER TAX 3452295 3452295 FOOD SUPPLIES 1033700 1033700 TRAINING/EDUCATION 622895 554377 68518 987505 861874 125631 122731794 105865646 16866148 0 19788135 15505584 3796120 0 0 0 13019146 12247003 0 0 0 0 537115 2691242 2953224 2766171 3049490 1240990 186877540 90504258 97167252 96373282 140083733 162294153 0 0 5355750 3913752 0 456049 35885720 43864696 321635685 341352922 16326783 18007938 0 0 491730 491730 68725695 63221391 0 0 0 0 0 0 0 0 8819804 9589077 94364012 91310136 X 225944091 248711863 685823 769571 641759 561352 227271673 250042786 321635685 341352922 X 14528460 8242653 X false true true X false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false true 3434 3434 false Other Activities Schedule C, Part II-B, Line 1i CONWAY 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. 2533913 334052 361512 6158 398719 2824600 2464486 421801 -11208 341166 2533913 2299137 360688 106530 301869 2464486 2186079 423964 353 311259 2299137 0.21000 0.56000 0.23000 false true true 3279137 3279137 83249124 28125084 55124040 81714646 55097456 26617190 18634633 7281718 11352915 96373282 DUE FROM AFFILIATES 40754696 BOND REFUNDING 3110000 43864696 0 INTEREST RATE SWAP LIABILITY 9589077 9589077 Intended Uses of Endowment Funds Schedule D, Part V, Line 4 ENDOWMENT FUNDS ARE HELD AND ADMINISTERED BY CONWAY HOSPITAL FOUNDATION. THE ENDOWMENT FUNDS BENEFIT A VARIETY OF PROGRAMS, INCLUDING: QUALITY PATIENT CARE AND SAFETY, PEDIATRIC AND CHILDREN'S MEDICINE, EQUIPMENT AND TECHNOLOGY IMPROVEMENTS, NURSING SCHOLARSHIPS AND OTHER PROGRAMS AND FUNDING AS IS CONSISTENT WITH THE WISHES AND DESIGNATIONS OF DONORS. Liability for Uncertain Tax Position (ASC 740) Schedule D, Part X, Line 2 THE 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. true true true X true X true true false true true 7360245 5722943 1637302 0.01330 20586321 18814592 1771729 0.01440 27946566 24537535 3409031 0.02770 610 41148 246583 12000 234583 0.00190 5 205 25605 25605 0.00020 60 1200 28000 28000 0.00020 675 42553 300188 12000 288188 0.00230 675 42553 28246754 24549535 3697219 0.03000 3 80 1700 1700 3 80 1700 1700 false 31472044 43529855 47023082 -3493227 X true true 1 1 Conway Hospital Inc

300 Singleton Ridge Road Conway SC 29526

X X X Conway Hospital Inc 1 true true 100 true 200. true X X X X X X X true true X X X X X true false X X X X X true X true false 1 Conway Hosp Outpatient Diagnostic CTR

801 Farrar Dr Conway SC 29526

Imaging MAMMOGRAPHY Costing Methodology Schedule H, Part I, Line 7 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. Bad Debt Expense Methodology Schedule 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. Medicare Shortfall Schedule H, Part III, Line 8 THE 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 Assistance Schedule H, Part III, Line 9B WHEN INDIVIDUALS ARE LATENTLY IDENTIFIED AS POTENTIALLY QUALIFYING FOR FINANCIAL ASSISTANCE, THE NORMAL COLLECTION PROCESS IS HALTED AND THE PATIENT IS REFERRED TO A FINANCIAL COUNSELOR TO DETERMINE THEIR NEED AND WHAT ASSISTANCE CAN BE PROVIDED. WE USE A THIRD PARTY TO ASSIST PATIENTS IN COMPLETING THE MEDICAID APPLICATION AND THE HOSPITAL ASSISTANCE APPLICATION. WE USE THE FEDERAL POVERTY GUIDELINES TO DETERMINE ELIGIBILITY FOR FREE OR DISCOUNTED CARE. IF A PATIENT IS FOUND TO QUALIFY WE APPLY A DISCOUNT TO THEIR ACCOUNT IN ACCORDANCE WITH OUR POLICY. FOR THE PORTION OF THE BILL THAT THE PATIENT IS RESPONSIBLE FOR, THE HOSPITAL WORKS OUT A PAYMENT PLAN WITH THE PATIENT AND THEN ANY FURTHER ACTION IS HANDLED THROUGH NORMAL COLLECTION PRACTICES. 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 17 The 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 20 During 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 Assessment Schedule H, Part VI, Line 2 THE 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 Assistance Schedule H, Part VI, Line 3 SIGNS 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 Served Schedule H, Part VI, Line 4 CONWAY 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 Community Schedule H, Part VI, Line 5 THE MISSION OF THE HOSPITAL IS TO IMPROVE THE OVERALL HEALTH OF THE COMMUNITY. MAJOR EFFORTS HAVE TAKEN PLACE TO PROVIDE FREE SCREENING WITHIN THE COMMUNITY THROUGH OUR MOBILE HEALTH OUTREACH PROGRAM TO DETECT ILLNESS AND DISEASE AT AN EARLY STAGE. THE 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 Filings Schedule H, Part VI, Line 7 SC true UNITED WAY P O BOX 673 CONWAY SC 29526 570558692 501(C)3 8454 GENERAL PURPOSE GENERAL PURPOSE NURSING SCHOLARSHIPS, BOOKS, TUITION CONWAY MED CTR FOUNDATION P O BOX 829 CONWAY SC 29526 570870199 501(C)3 50352 GENERAL PURPOSE 2 NURSING SCHOLARSHIPS, BOOKS, TUITION 9 17412 Procedure for Monitoring Use of Grant Funds Inside U.S. Schedule I, Part I, Line 2 GRANTS TO ORGANIZATIONS - CONWAY HOSPITAL PAYS GRANTS TO VARIOUS LOCAL 501(C)3 ENTITIES WHICH ARE QUALIFIED EXEMPT ORGANIZATIONS. THE BOARD APPROVES EACH GRANT BEFORE IT IS PAID. 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. X X X X X false true false false false false false false false PHILIP CLAYTON 437354 0 250594 0 0 0 64262 0 23714 0 775924 0 0 0 BRET BARR 230503 0 44437 0 0 0 25875 0 23714 0 324529 0 0 0 PRESTON STROSNIDER 274193 0 52454 0 0 0 45613 0 23714 0 395974 0 0 0 ANNAMARIE EAKINS 186324 0 56985 0 374379 0 24698 0 11109 0 653495 0 367294 0 CRAIG HYMAN 166826 0 31879 0 0 0 25720 0 11199 0 235624 0 0 0 DWIGHT GENTRY JR 161544 0 28703 0 0 0 17054 0 23244 0 230545 0 0 0 ANGELA WILLIFORD 140887 0 25475 0 0 0 15199 0 23923 0 205484 0 0 0 KEVIN LOVETT 130269 0 25598 0 0 0 12949 0 23714 0 192530 0 0 0 BERNARD MASSEY 129043 0 22852 0 0 0 16964 0 11005 0 179864 0 0 0 ROBERT GAJEWSKI 140223 0 1200 0 0 0 7206 0 24193 0 172822 0 0 0 DENNIS FINLEY 113966 0 10000 0 0 0 6320 0 23714 0 154000 0 0 0 GLENN SISK 123548 0 2000 0 0 0 6376 0 22414 0 154338 0 0 0 WENDELL BEVERLY 121472 0 2000 0 0 0 6356 0 24193 0 154021 0 0 0 Supplemental nonqualified retirement plan Schedule 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, 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. SC JOBS - ECONOMIC DEVELOPMENT 570960018 2011-10-18 45855000 REISSUE OF 2007 BONDS false false false SC JOBS - ECONOMIC DEVELOPMENT 570960018 2011-09-30 19510000 REFUND 1998 SERIES BOND false false false 1100000 0 45855000 0 0 0 311449 0 0 0 45855000 0 2009 true false true true 1750275 0 19510000 0 0 0 146084 0 0 0 19363916 0 1998 true false true true false false true true false 0.00000 0.00000 0.00000 true false false true true false 0 true false true false 0 false 0 false true false false false 0 false 0 false true X Part I - Line A, Column (f) 0 Reissue 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 7 0 Issuance 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) 0 Bonds issued to refund the outstanding maturities of Horry County, South Carolina Hospital Revenue Bonds (Conway Hospital, Inc) Series 1998. Charles Jordan See Part V 1019444 Independent Contractor false BUSINESS TRANSACTIONS INVOLVING INTERESTED PERSONS SCHEDULE L, PART IV, COLUMN B CHARLES 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. X MEDICAL VAN 1 118384 FMV false false false Gift Acceptance Policy Schedule M, Part I, Line 31 The 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. Business Relationships Form 990, Part VI, Line 2 PHILIP 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 Process Form 990, Part VI, Line 11b THE ORGANIZATION'S ACCOUNTING DEPARTMENT PREPARES THE 990 INFORMATION IN CONSULTATION WITH THE VP OF FISCAL SERVICES. AN OUTSIDE ACCOUNTING FIRM PREPARES THE FORM 990 AND SENDS IT TO THE ACCOUNTING DEPARTMENT AND VP OF FISCAL SERVICES WHO REVIEW THE FORM IN DETAIL. THE FORM 990 IS PROVIDED TO ALL BOARD OF TRUSTEE MEMBERS BEFORE IT IS FILED. Conflict of Interest Policy Monitoring & Enforcement Form 990, Part VI, Line 12c CONWAY HOSPITAL HAS A CONFLICT OF INTEREST POLICY THAT APPLIES TO THE BOARD OF DIRECTORS, DEPARTMENT HEADS AND EXECUTIVE LEVEL EMPLOYEES. ALL OF THESE COVERED PERSONS ARE REQUIRED TO ATTEST IN WRITING ANNUALLY THEIR UNDERSTANDING OF AND COMPLIANCE WITH THIS POLICY, AND TO PROVIDE INFORMATION CONCERNING ANY POSSIBLE CONFLICTS OF INTEREST. BOARD MEMBERS DO NOT PARTICIPATE IN VOTING ON MATTERS WHERE A CONFLICT OF INTEREST MAY EXIST. DISCLOSURE OF POTENTIAL CONFLICT OF INTEREST: EVERY COVERED PERSON MUST SUBMIT IN WRITING TO THE CHIEF EXECUTIVE OFFICER A CONFLICT OF INTEREST DISCLOSURE STATEMENT LISTING ALL FINANCIAL AND/OR POTENTIAL CONFLICTING INTERESTS. INDIVIDUALS RESUBMIT UPDATED STATEMENTS EACH YEAR WITH ANY NECESSARY CHANGES OR AS ANY ADDITIONAL CONFLICTING OR FINANCIAL INTEREST ARISES. ALL BOARD MEMBERS WILL RECEIVE AN ANNUAL SUMMARY OF THE DISCLOSURES. IN ADDITION, THE BOARD CHAIR AND CHIEF EXECUTIVE OFFICER SHALL HAVE DISCLOSURE STATEMENTS AVAILABLE AT THE TIME OF ALL BOARD MEETINGS IN CASE A POTENTIAL CONFLICT ARISES. EVERY BOARD MEMBER HAS THE OBLIGATION TO INFORM THE BOARD CHAIR OR THE CHIEF EXECUTIVE OFFICER IF HE/SHE IS AWARE OF AN UNDISCLOSED POTENTIAL FINANCIAL AND/OR CONFLICTING INTEREST OF ANOTHER PERSON COVERED BY THE POLICY. IN THE EVENT OF SUCH NOTIFICATION, THE BOARD CHAIR OR CHIEF EXECUTIVE OFFICER SHALL INVESTIGATE THE POSSIBLE UNDISCLOSED INTEREST. Process for Determining Compensation Form 990, Part VI, Line 15a THE BOARD EXECUTIVE COMPENSATION COMMITTEE IS RESPONSIBLE FOR REVIEWING AND APPROVING COMPENSATION FOR THE CEO, CFO AND ALL VICE PRESIDENTS. AT A MINIMUM OF EVERY THREE YEARS (AND MORE FREQUENTLY WHEN THERE IS TURNOVER IN A POSITION), AN INDEPENDENT CONSULTING COMPANY IS UTILIZED TO PROVIDE APPROPRIATE BENCHMARKED DATA FOR COMPARATIVE POSITIONS TO ASSIST IN DETERMINING COMPENSATION. THE CEO AND CFO ARE RESPONSIBLE FOR APPROVING COMPENSATION FOR ALL OTHER POSITIONS. THEY UTILIZE INDEPENDENT BENCHMARK DATA GATHERED BY THE SOUTH CAROLINA HOSPITAL ASSOCIATION IN SETTING APPROPRIATE COMPENSATION FOR THOSE POSITIONS. How Documents are Made Available to the Public Form 990, Part VI, Line 19 CONWAY HOSPITAL MAKES ITS FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST AS WELL AS ATTACHING THEM TO THIS RETURN. Reconciliation of Net Assets Form 990, Part XI, Line 5 Unrealized Gains 8,239,313 Change in Foundation Restricted Assets 3,340 Total 8,242,653 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:PHILIP CLAYTON TITLE:CEO AND TRUSTEE HOURS:4 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:LEROY RAINBOW, JR. TITLE:CHAIRMAN HOURS:1 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:M. WAYNE STATON TITLE:SECRETARY HOURS:1 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:WILLIAM R. BENSON TITLE:TRUSTEE HOURS:1 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:DR. REGINALD F. DAVES TITLE:TRUSTEE HOURS:1 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:DR. MICHAEL ELLIS TITLE:TRUSTEE HOURS:1 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:DIANNE W. RAY TITLE:TRUSTEE HOURS:1 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:GEORGE H. GOLDFINCH, JR. TITLE:TRUSTEE HOURS:1 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:CHARLES B. JORDAN TITLE:TRUSTEE HOURS:1 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:DR. HAL B. HOLMES TITLE:TRUSTEE HOURS:1 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:CHRISTOPHER S. HUGGINS TITLE:TRUSTEE HOURS:1 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:DR. DEIRDRE S. WILLIAMS, DDS TITLE:TRUSTEE HOURS:1 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:JOHN P. HENRY TITLE:TRUSTEE HOURS:1 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:GEORGE N. MAGRATH JR. TITLE:TRUSTEE HOURS:1 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:BRET BARR TITLE:CFO HOURS:4 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:DWIGHT GENTRY, JR. TITLE:VP OF ANCILLARY HOURS:3 CONWAY LONG-TERM CARE SERVICES INC 300 SINGLETON RIDGE RD CONWAY SC 29526 570875232 HEALTHCARE SC 501(c)3 03 NA true CONWAY HOSPITAL COMMUNITY SERVICES 300 SINGLETON RIDGE RD CONWAY SC 29526 571119337 HEALTHCARE SC 501(c)3 03 NA true CONWAY HOSPITAL EMERGENCY PROF SERVICES 300 SINGLETON RIDGE RD CONWAY SC 29526 208817905 EMERGENCY SC 501(c)3 11 A-I NA true CONWAY HOSPITAL ANESTHESIA PROF SERVICES 300 SINGLETON RIDGE RD CONWAY SC 29526 208817302 ANESTHESIA SC 501(c)3 11 A-I NA true CONWAY HOSPITAL FOUNDATION 300 SINGLETON RIDGE RD CONWAY SC 29526 570870199 FUNDRAISING SC 501(c)3 11C-III-FI NA false MEDICAL PROPERTIES INC 300 SINGLETON RIDGE RD CONWAY SC 29526 570751357 RENTALS SC NA C Corp 385953 7076560 1.00000 false true true false false false false false true false true false true true false true false true CONWAY LONG-TERM CARE SERVICES INC B 4915875 CASH (FMV) CONWAY HOSPITAL COMMUNITY SERVICES INC B 10855171 CASH (FMV) CONWAY HOSPITAL EMERGENCY PROF SERVICES B 217098 CASH (FMV) CONWAY HOSPITAL ANESTHESIA PROF SERVICES B 4126586 CASH (FMV) MEDICAL PROPERTIES INC B 1157658 CASH (FMV) CONWAY HOSPITAL ANESTHESIA PROF SERVICES P 3347607 COST CONWAY HOSPITAL ANESTHESIA PROF SERVICES R 1823315 COST CONWAY LONG-TERM CARE SERVICES INC R 4774767 COST CONWAY HOSPITAL COMMUNITY SERVICES INC R 6764507 COST MEDICAL PROPERTIES INC R 1223942 COST