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CONWAY REGIONAL MEDICAL CENTER INC: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization
CONWAY REGIONAL MEDICAL CENTER INC (EIN 71-0249735)
Tax period
2010-01-01 to 2010-12-31
Filed
2011-11-15
IRS object ID
201133199349307258
Schema version
2010v3.4
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)
Timestamp2011-11-15T14:15:11-05:00Timestamp
Tax Period End Date2010-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1BKD LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 3667AddressLine1
CityLITTLE ROCKCity
StateARState
ZIP Code722033667ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2010-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN710249735EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1CONWAY REGIONAL MEDICAL CENTER INCBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlCONWNameControl
Phone5013293831Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line12302 COLLEGE AVENUEAddressLine1
CityCONWAYCity
StateARState
ZIP Code72034ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameSTEVEN ROSEName
TitleCFOTitle
Date Signed2011-11-14DateSigned
Authorize Third PartytrueAuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
Phone5013721040Phone
FieldValueIRS element (for citing)
Tax Year2010TaxYear
Build TS2016-03-07 17:11:31ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonJIM LAMBERTNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line12302 COLLEGE AVENUEAddressLine1
CityCONWAYCity
StateARState
ZIP Code72034ZIPCode
FieldValueIRS element (for citing)
Gross Receipts151751811GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.CONWAYREGIONAL.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1938YearFormation
State Legal DomicileARStateLegalDomicile
Activity Or Mission DescriptionPROVISION OF INPATIENT, OUTPATIENT, GERIATRIC, PSYCHIATRIC, CARDIAC, EMERGENCY CARE AND OTHER PATIENT CARE SERVICES TO PATIENTS IN CONWAY AND SURROUNDING AREAS IN CENTRAL ARKANSAS.ActivityOrMissionDescription
Nbr Voting Members Governing Body9NbrVotingMembersGoverningBody
Nbr Independent Voting Members9NbrIndependentVotingMembers
Total Nbr Employees1491TotalNbrEmployees
Total Nbr Volunteers89TotalNbrVolunteers
Total Gross UBI150640TotalGrossUBI
Net Unrelated Business Txbl Income-283025NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year80051ContributionsGrantsPriorYear
Contributions Grants Current Year376869ContributionsGrantsCurrentYear
Program Service Revenue Prior Year124979125ProgramServiceRevenuePriorYear
Program Service Revenue CY137926971ProgramServiceRevenueCY
Investment Income Prior Year2769999InvestmentIncomePriorYear
Investment Income Current Year1089794InvestmentIncomeCurrentYear
Other Revenue Prior Year5159607OtherRevenuePriorYear
Other Revenue Current Year6766370OtherRevenueCurrentYear
Total Revenue Prior Year132988782TotalRevenuePriorYear
Total Revenue Current Year146160004TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year0GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year52715233SalariesEtcPriorYear
Salaries Etc Current Year54578610SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year74494088OtherExpensePriorYear
Other Expenses Current Year81519147OtherExpensesCurrentYear
Total Expenses Prior Year127209321TotalExpensesPriorYear
Total Expenses Current Year136097757TotalExpensesCurrentYear
Revenues Less Expenses Prior Year5779461RevenuesLessExpensesPriorYear
Revenues Less Expenses CY10062247RevenuesLessExpensesCY
Total Assets BOY120106329TotalAssetsBOY
Total Assets EOY137193356TotalAssetsEOY
Total Liabilities BOY42998957TotalLiabilitiesBOY
Total Liabilities EOY47573526TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY77107372NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY89619830NetAssetsOrFundBalancesEOY
Mission DescriptionCONWAY REGIONAL HEALTHSYSTEM IS ACCOUNTABLE TO THE COMMUNITY TO PROVIDE HIGH-QUALITY AND COMPASSIONATE HEALTH CARE SERVICES.MissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense94337930Expense
Grants0Grants
Revenue142647457Revenue
DescriptionCONWAY REGIONAL MEDICAL CENTER PROVIDES COMPREHENSIVE HEALTHCARE SERVICES TO INDIVIDUALS REGARDLESS OF RACE, CREED, SEX, NATIONAL ORIGIN, OR ABILITY TO PAY. IN KEEPING WITH ITS MISSION, THE MEDICAL CENTER PROVIDES FREE AND DISCOUNTED CARE TO PATIENTS MEETING ITS CHARITY CARE POLICY.Description
Total Program Service Expense94337930TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredtrueScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiestrueLobbyingActivities
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentsfalseTermOrPermanentEndowments
Report Land Bldg EquiptrueReportLandBldgEquip
Report Invest Oth SecuritiesfalseReportInvestOthSecurities
Report Prog Rel InvesttrueReportProgRelInvest
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 AttachedfalseFinancialStmtAttached
Grants To OrganizationsfalseGrantsToOrganizations
Grants To IndividualsfalseGrantsToIndividuals
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 RltnshpfalseOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionsfalseDeductibleNonCashContributions
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 With1096105NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees1491NumberOfEmployees
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 Members9NbrVotingGoverningBodyMembers
Number Independent Voting Members9NumberIndependentVotingMembers
Family Or Business RelationshipfalseFamilyOrBusinessRelationship
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
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonKAREN DAYER CONTROLLERNamePerson
Telephone Number5015135451TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line12302 COLLEGE AVEAddressLine1
CityCONWAYCity
StateARState
ZIP Code72034ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (18 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerHighest Compensated EmployeeHighestCompensatedEmployee
CORNELL MALTBIA
DIRECTOR1.0X001368
ROBERT MCCARRON MD
DIRECTOR1.0X001368
BART THRONEBERRY MD
DIRECTOR1.0X001368
BARBARA WILLIAMS
DIRECTOR1.0X000
MARK FERGUSON
DIRECTOR1.0X001368
ROBERT MCCORMACK
DIRECTOR1.0X001176
BOB GANT
CHAIRMAN1.0X001176X
JACK ENGELKES
VICE CHAIRMAN1.0X001368X
JERRY ADAMS
DIRECTOR1.0X001176
STEVEN ROSE
VP FINANCIAL SERVICES/CFO40.0163711025805X
JAMES LAMBERT
PRESIDENT/CEO40.0361056028658X
ALAN FINLEY
COO40.0139846022404X
CAREN LEWIS
VP NURSING SERVICES/CNO40.0141184013267X
GREG KENDRICK MD
PHYSICIAN40.0259614024264X
CHARLES CLIFTON MD
PHYSICIAN40.0256477021296X
DENNIS WOODHALL MD
PHYSICIAN40.028688806191X
KRISHNA REDDY MD
PHYSICIAN40.0264783028106X
GARY BOWMAN MD
PHYSICIAN40.0283101021296X
FieldValueIRS element (for citing)
Total Reportable Comp From Org2156660TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation201655TotalOtherCompensation
Number Individuals GT100 K30NumberIndividualsGT100K
Formers ListedfalseFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Description Of ServicesDescriptionOfServicesCompensationCompensation
CONWAY REGIONAL SURGERY MANAGEMENT
MANAGEMENT3557829
THERAPY REHAB SOLUTIONS INC
THERAPY3435857
CONWAY EMERGENCY PHYSICIANS PA
PHYSICIAN COVERAGE3127441
NABHOLZ CONSTRUCTION CORP
CONSTRUCTION863376
CONWAY ANESTHESIOLOGY CONSULTANTS
ANESTHESIOLOGY786442
FieldValueIRS element (for citing)
Number Of Contractors GT100 K30NumberOfContractorsGT100K
Related Organizations63085RelatedOrganizations
Government Grants242604GovernmentGrants
All Other Contributions71180AllOtherContributions
Noncash Contributions7790NoncashContributions
Total Contributions376869TotalContributions

Program Service Revenue ProgramServiceRevenue (2 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncomeUnrelated Business RevenueUnrelatedBusinessRevenueExclusionExclusionAmount
PATIENT SERVICES6211101316590871316590870$0
REFERENCE LAB62150062678846117244150640$0
FieldValueIRS element (for citing)
Total Program Service Revenue137926971TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column1121665TotalRevenueColumn
Related Or Exempt Function Income0RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$1,121,665ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Royalties Revenue RoyaltiesRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real354755Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real354755Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column354755TotalRevenueColumn

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities5559936Securities

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities5589250Securities
Other2557Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities-29314Securities
Other-2557Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column-31871TotalRevenueColumn
Related Or Exempt Function Income0RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion-$31,871ExclusionAmount

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

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncomeUnrelated Business RevenueUnrelatedBusinessRevenueExclusionExclusionAmount
HEALTH/FITNESS CENTER900099228553122855310$0
CAFETERIA SALES900099116682011668200$0
MANAGEMENT SERVICES9000993581663581660$0

Miscellaneous Revenue MiscellaneousRevenue

FieldValueIRS element (for citing)
Total Revenue Column2601098TotalRevenueColumn
Related Or Exempt Function Income2601098RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$0ExclusionAmount
FieldValueIRS element (for citing)
Total Other Revenue6411615TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column146160004TotalRevenueColumn
Related Or Exempt Function Income144187946RelatedOrExemptFunctionIncome
Unrelated Business Revenue150640UnrelatedBusinessRevenue
Exclusion$1,089,794ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total0Total

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total0Total

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)
Total895931Total
Program Services0ProgramServices
Management And General895931ManagementAndGeneral
Fundraising0Fundraising

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total43997498Total
Program Services28649811ProgramServices
Management And General15347687ManagementAndGeneral
Fundraising0Fundraising

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total1380000Total
Program Services898613ProgramServices
Management And General481387ManagementAndGeneral
Fundraising0Fundraising

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total5138761Total
Program Services3346202ProgramServices
Management And General1792559ManagementAndGeneral
Fundraising0Fundraising

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total3166420Total
Program Services2061875ProgramServices
Management And General1104545ManagementAndGeneral
Fundraising0Fundraising

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total3435519Total
Program Services2237104ProgramServices
Management And General1198415ManagementAndGeneral
Fundraising0Fundraising

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total19821Total
Program Services12907ProgramServices
Management And General6914ManagementAndGeneral
Fundraising0Fundraising

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total244249Total
Program Services159047ProgramServices
Management And General85202ManagementAndGeneral
Fundraising0Fundraising

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total0Total

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total0Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total244879Total
Program Services159458ProgramServices
Management And General85421ManagementAndGeneral
Fundraising0Fundraising

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total16488546Total
Program Services10736832ProgramServices
Management And General5751714ManagementAndGeneral
Fundraising0Fundraising

Advertising Advertising

FieldValueIRS element (for citing)
Total533253Total
Program Services347238ProgramServices
Management And General186015ManagementAndGeneral
Fundraising0Fundraising

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total1041400Total
Program Services678127ProgramServices
Management And General363273ManagementAndGeneral
Fundraising0Fundraising

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total0Total

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total4124051Total
Program Services2685455ProgramServices
Management And General1438596ManagementAndGeneral
Fundraising0Fundraising

Travel Travel

FieldValueIRS element (for citing)
Total368599Total
Program Services240020ProgramServices
Management And General128579ManagementAndGeneral
Fundraising0Fundraising

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total0Total

Interest Interest

FieldValueIRS element (for citing)
Total1495716Total
Program Services973964ProgramServices
Management And General521752ManagementAndGeneral
Fundraising0Fundraising

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total6608901Total
Program Services4303512ProgramServices
Management And General2305389ManagementAndGeneral
Fundraising0Fundraising

Insurance Insurance

FieldValueIRS element (for citing)
Total775880Total
Program Services505229ProgramServices
Management And General270651ManagementAndGeneral
Fundraising0Fundraising

Other Expenses OtherExpenses (5 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneralFundraisingFundraising
PHARMACEUTICALS & MED SUPPLIES233058491517604981298000
PROVISION FOR BAD DEBTS180565411805654100
COLLECTION EXPENSE6729054381752347300
REPAIRS & MAINTENANCE6709684369142340540
.

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total3432070Total
Program Services2234857ProgramServices
Management And General1197213ManagementAndGeneral
Fundraising0Fundraising

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total136097757Total
Program Services94337930ProgramServices
Management And General41759827ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY608466BOY
EOY26110EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY23474743BOY
EOY29948567EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY9878184BOY
EOY12053943EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
BOY618570BOY
EOY582579EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY1951942BOY
EOY1957450EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY828740BOY
EOY848073EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis124439688LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec87306583LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY36631986BOY
EOY37133105EOY

Investments Program Related InvestmentsProgramRelated

FieldValueIRS element (for citing)
BOY36886041BOY
EOY39887439EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY9227657BOY
EOY14756090EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY120106329BOY
EOY137193356EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY9699025BOY
EOY11586319EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY29041217BOY
EOY28029465EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY1706749BOY
EOY3935020EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY2551966BOY
EOY4022722EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY42998957BOY
EOY47573526EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY77107372BOY
EOY89619830EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY77107372BOY
EOY89619830EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY120106329BOY
EOY137193356EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses10062247ReconcilationRevenueExpenses
Reconcilation Other Changes2450211ReconcilationOtherChanges
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$16,079OtherActivitiesAmount
Total Lobbying Expenditures IIB16079TotalLobbyingExpendituresIIB
Not Described In501c3falseNotDescribedIn501c3
Form4720 Filed4912 TaxfalseForm4720Filed4912Tax

Form990 Schedule C Part IV Form990ScheduleCPartIV

FieldValueIRS element (for citing)
IdentifierOTHER LOBBYING ACTIVITIESIdentifier
Return ReferenceFORM 990, SCHEDULE C, PART II-B, LINE 1IReturnReference
ExplanationTHIS AMOUNT REPRESENTS 18.00% ($450) OF MEMBERSHIP DUES PAID TO THE ARKANSAS STATE CHAMBER OF COMMERCE AND 24.42% ($15,629) OF MEMBERSHIP DUES PAID TO THE ARKNASAS HOSPITAL ASSOCIATION WHICH WENT TOWARD LOBBYING ACTIVITIES.Explanation

Schedule D IRS990ScheduleD

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

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis1336101OtherCostOrOtherBasis
Book Value1336101BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis60379597OtherCostOrOtherBasis
Depreciation41539434Depreciation
Book Value18840163BookValue
FieldValueIRS element (for citing)
Leasehold ImprovementsLeaseholdImprovements

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis59192765OtherCostOrOtherBasis
Depreciation45767149Depreciation
Book Value13425616BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis3531225OtherCostOrOtherBasis
Book Value3531225BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings37133105TotalOfBookValueLandBuildings

Investments Program Related InvestmentsProgramRelated

FieldValueIRS element (for citing)
DescriptionBOARD DESIGNATED INVESTMENTSDescription
Book Value39887439BookValue
Method Of ValuationFMethodOfValuation
FieldValueIRS element (for citing)
Total Of Book Value Program Related39887439TotalOfBookValueProgramRelated

Other Assets OtherAssets (7 entries)

DescriptionDescriptionBook ValueBookValue
FUNDS HELD BY TRUSTEE3005286
OTHER RECEIVABLES120880
MEET CURRENT OBLIGATIONS601978
UNAMORTIZED BOND ISSUE COSTS501939
INTERCOMPANY RECEIVABLES27445
INVESTMENT IN SUBSIDIARIES5445049
CERTIFICATES OF DEPOSIT5053513
FieldValueIRS element (for citing)
Total Book Value Other Assets14756090TotalBookValueOtherAssets
Federal Income Tax Liability0FederalIncomeTaxLiability

Other Liabilities OtherLiabilities (2 entries)

DescriptionDescriptionAmountAmount
ESTIMATED 3RD PARTY SETTLEMENT$3,411,502
ASSET RETIREMENT ENVIRON. RES.$611,220
FieldValueIRS element (for citing)
Total Of Amounts4022722TotalOfAmounts
Total Revenue146160004TotalRevenue
Total Expenses136097757TotalExpenses
Excess Or Deficit For Year10062247ExcessOrDeficitForYear
Net Unrealized GL On Investments2450211NetUnrealizedGLOnInvestments
Total Adjustments2450211TotalAdjustments
Excess Or Deficit Per FS12512458ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt148367893TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments2450211NetUnrealizedGainsInvestments
Revenue Not Rptd F9902450211RevenueNotRptdF990
Revenue Subtotal145917682RevenueSubtotal
Other Revenues Not Included242322OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt242322RevenueNotRptdOnFinStmt
Total Revenue Per Form990146160004TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt135855435TotExpensesEtcAuditedFinclStmt
Expenses Subtotal135855435ExpensesSubtotal
Other Expenses Not Included242322OtherExpensesNotIncluded
Expenses Not Rptd On Fin Stmt242322ExpensesNotRptdOnFinStmt
Total Expenses Per Form990136097757TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (2 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
REVENUE RECONCILIATIONFORM 990, SCHEDULE D, PART XII, LINE 4BLOSS ON SALE OF ASSETS (2,557) INVESTMENT FEES 244,879
EXPENSE RECONCILIATIONFORM 990, SCHEDULE D, PART XIII, LINE 4BLOSS ON SALE OF ASSETS (2,557) INVESTMENT FEES 244,879

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Charity Care PolicytrueCharityCarePolicy
Written PolicytrueWrittenPolicy
FPG Reference Free CaretrueFPGReferenceFreeCare
Pcent200XPcent200
FPG Reference Discounted CaretrueFPGReferenceDiscountedCare
Pcent300XPcent300
Free Disc Care Medically IndigentfalseFreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity CaretrueAmountsBudgetedForCharityCare
Expenses Exceeded BudgetfalseExpensesExceededBudget
Annual Community Benefit ReportfalseAnnualCommunityBenefitReport

Charity Care At Cost CharityCareAtCost

FieldValueIRS element (for citing)
Total Community Benefit Expense3066706TotalCommunityBenefitExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Benefit Expense3066706NetCommunityBenefitExpense
Percent Of Total Expense0.02600PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

FieldValueIRS element (for citing)
Total Community Benefit Expense12754872TotalCommunityBenefitExpense
Direct Offsetting Revenue12666047DirectOffsettingRevenue
Net Community Benefit Expense88825NetCommunityBenefitExpense
Percent Of Total Expense0.00080PercentOfTotalExpense

Total Charity Care TotalCharityCare

FieldValueIRS element (for citing)
Total Community Benefit Expense15821578TotalCommunityBenefitExpense
Direct Offsetting Revenue12666047DirectOffsettingRevenue
Net Community Benefit Expense3155531NetCommunityBenefitExpense
Percent Of Total Expense0.02680PercentOfTotalExpense

Community Health Services CommunityHealthServices

FieldValueIRS element (for citing)
Total Community Benefit Expense136475TotalCommunityBenefitExpense
Direct Offsetting Revenue8465DirectOffsettingRevenue
Net Community Benefit Expense128010NetCommunityBenefitExpense
Percent Of Total Expense0.00110PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

FieldValueIRS element (for citing)
Total Community Benefit Expense24241TotalCommunityBenefitExpense
Direct Offsetting Revenue4500DirectOffsettingRevenue
Net Community Benefit Expense19241NetCommunityBenefitExpense
Percent Of Total Expense0.00020PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

FieldValueIRS element (for citing)
Total Community Benefit Expense10223648TotalCommunityBenefitExpense
Direct Offsetting Revenue8385369DirectOffsettingRevenue
Net Community Benefit Expense1838278NetCommunityBenefitExpense
Percent Of Total Expense0.01560PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

FieldValueIRS element (for citing)
Total Community Benefit Expense88349TotalCommunityBenefitExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Benefit Expense88349NetCommunityBenefitExpense
Percent Of Total Expense0.00080PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense10472713TotalCommunityBenefitExpense
Direct Offsetting Revenue8398334DirectOffsettingRevenue
Net Community Benefit Expense2073878NetCommunityBenefitExpense
Percent Of Total Expense0.01770PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense26294291TotalCommunityBenefitExpense
Direct Offsetting Revenue21064381DirectOffsettingRevenue
Net Community Benefit Expense5229409NetCommunityBenefitExpense
Percent Of Total Expense0.04450PercentOfTotalExpense

Economic Development EconomicDevelopment

FieldValueIRS element (for citing)
Total Community Building Expense4780TotalCommunityBuildingExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Building Expense4780NetCommunityBuildingExpense
Percent Of Total Expense0.00010PercentOfTotalExpense

Community Support CommunitySupport

FieldValueIRS element (for citing)
Total Community Building Expense1601TotalCommunityBuildingExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Building Expense1601NetCommunityBuildingExpense

Leadership Development LeadershipDevelopment

FieldValueIRS element (for citing)
Total Community Building Expense517TotalCommunityBuildingExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Building Expense517NetCommunityBuildingExpense

Coalition Building CoalitionBuilding

FieldValueIRS element (for citing)
Total Community Building Expense3458TotalCommunityBuildingExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Building Expense3458NetCommunityBuildingExpense

Total Total

FieldValueIRS element (for citing)
Total Community Building Expense10356TotalCommunityBuildingExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Building Expense10356NetCommunityBuildingExpense
Percent Of Total Expense0.00010PercentOfTotalExpense
FieldValueIRS element (for citing)
Bad Debt Expense ReportedfalseBadDebtExpenseReported
Bad Debt Expense$6,189,782BadDebtExpenseAmount
Amount Attributable To2196135AmountAttributableTo
Amount Reimbursed By Medicare43440465AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare37755033CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall5685432MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

FieldValueIRS element (for citing)
OtherXOther
FieldValueIRS element (for citing)
Written Debt Collection PolicytrueWrittenDebtCollectionPolicy
Provision For Charity CaretrueProvisionForCharityCare

Form990 Schedule H Part IV Form990ScheduleHPartIV (3 entries)

Description Ent Primary ActivityDescriptionEntPrimaryActivityOrganization Profit Or OwnershipOrganizationProfitOrOwnershipOfficers Etc Profit Or OwnershipOfficersEtcProfitOrOwnershipPhysicans Profit Or OwnershipPhysicansProfitOrOwnership
CONWAY REG PHO
ADMIN SERVICES0.500000.000000.50000
CONWAY REG REHAB
REHAB SERVICES0.652000.000000.34800
CONWAY REG SURGERY
MEDICAL SERVICES0.722220.000000.27778
FieldValueIRS element (for citing)
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 REGIONAL MEDICAL CENTER INCBusinessNameLine1

Address Address

FieldValueIRS element (for citing)
Address Line12302 COLLEGE AVENUEAddressLine1
CityCONWAYCity
StateARState
ZIP Code72043ZIPCode
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 REGIONAL MEDICAL CENTER INCBusinessNameLine1
FieldValueIRS element (for citing)
Hospital Facility Number1HospitalFacilityNumber

Form990 Schedule H Part VI Form990ScheduleHPartVI (12 entries)

IdentifierIdentifierExplanationExplanationReturn ReferenceReturnReference
NEEDS ASSESSMENTCONWAY REGIONAL ASSESSES COMMUNITY NEEDS BY EVALUATING OUR PATIENT'S NEEDS, REQUESTS WITHIN THE COMMUNITY AND DATA COLLECTED THROUGH SECONDARY RESEARCH.
PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCEEACH PATIENT SIGNS A CONDITION OF ADMISSION FORM WHICH MAKES THEM AWARE OF CONWAY REGIONAL'S FINANCIAL ASSISTANCE POLICY. THERE IS ALSO A STATEMENT ON THE REVERSE SIDE OF THE PATIENT'S BILL WHICH EXPLAINS THAT FINANCIAL COUNSELORS ARE AVAILABLE AND IF A PATIENT CALLS THE PATIENT ACCOUNTING OFFICE ABOUT THEIR BILL, THEY ARE ALSO MADE AWARE OF THE ASSISTANCE POLICY.
COMMUNITY INFORMATIONCONWAY REGIONAL SERVES A FIVE COUNTY AREA IN CENTRAL ARKANSAS INCLUDING FAULKNER, PERRY, CONWAY, VAN BUREN AND CLEBURNE COUNTIES. MANY OF THE AREAS WE SERVE ARE CONSIDERED RURAL UNDERSERVED AREAS. CAUCASIANS ARE THE PRIMARY RACE FOLLOWED BY AFRICAN AMERICAN. WITH FOUR COLLEGES/UNIVERSITIES IN OUR SERVICE AREA, WE HAVE A LARGE POPULATION OF 18-30, BUT WE ALSO SERVE A LARGE POPULATION OF SENIORS AS WELL.
PROMOTION OF COMMUNITY HEALTHCONWAY REGIONAL PARTICIPATES IN SEVERAL COMMUNITY BUILDING ACTIVITIES THAT PROMOTE THE HEALTH OF THE COMMUNITIES WE SERVE. THROUGH PARTICIPATION AND SUPPORT OF THE FAULKNER COUNTY LEADERSHIP INSTITUTE, WE MEET WITH PARTICIPANTS AND DISCUSS HEALTHCARE IN THE COMMUNITY. THROUGH THESE RELATIONSHIPS AND NETWORKING WITH THESE PARTICIPANTS COALITIONS FORM AND IDEAS ARE GENERATED FOR ACTIVITIES AND CAMPAIGNS THAT COULD BETTER THE HEALTH OF THE COMMUNITY. THROUGH OUR WORK ON THE COALITION CREATING THE SENSITIVITY VIDEO FOR THE COMMUNITY TO HELP EDUCATE THE COMMUNITY ON DEALING WITH THE LOSS OF AN INFANT, OR PREGNANCY LOSS, HELPS TO PROMOTE THE EMOTIONAL HEALTH OF COMMUNITY MEMBERS. THROUGH OUR WORK WITH THE FAULKNER COUNTY DISASTER BOARD WE ARE ABLE TO STAY ON TOP OF AND PLAN FOR DISASTERS WHICH ULTIMATELY IMPACT THE HEALTH OF OUR COMMUNITY. MUCH OF OUR SERVICE AREA IS CONSIDERED UNDERSERVED, SO PHYSICIAN RECRUITMENT IS VERY IMPORTANT IN FURTHERING THE HEALTH AND ACCESS TO HEALTH CARE IN OUR COMMUNITY.
OTHER INFORMATIONCONWAY REGIONAL IS A NOT-FOR-PROFIT MEDICAL CENTER SERVING AS THE SOLE PROVIDER OF HOSPITAL SERVICES IN THE COUNTY. THE ORGANIZATION IS GOVERNED BY A BOARD COMPRISED OF COMMUNITY MEMBERS WHO RESIDE OR WORK WITHIN THE SERVICE AREA AND ARE DEDICATED TO MAKING BETTER HEALTHCARE A REALITY FOR ALL. COMMUNITY MEMBERS ALSO SERVE ON A COMMUNITY ADVISORY COUNCIL CREATED AS A SOUNDING BOARD FOR IDEAS, ISSUES IN THE COMMUNITY AND HELP PROVIDE INFORMATION ABOUT THINGS CONWAY REGIONAL CAN IMPROVE, OFFER OR CHANGE. THE CONWAY REGIONAL WOMEN'S COUNCIL, WORKING WITH CONWAY REGIONAL MEDICAL CENTER THROUGH ITS CONWAY REGIONAL HEALTH FOUNDATION, IS ALSO AN AREA WHERE COMMUNITY MEMBERS ARE ENCOURAGED TO GET INVOLVED AND MEMBERS OF THIS GROUP ADVOCATE FOR WOMEN'S HEALTH. THE GROUP WOMEN SUPPORT THE ORGANIZATION THROUGH FUNDRAISING ACTIVITIES AND VOLUNTEER HOURS IN ORDER TO HELP FURTHER WOMEN'S HEALTH EDUCATION AND AWARENESS IN THE COMMUNITY. COMMUNITY MEMBERS ARE ALSO OFFERED THE OPPORTUNITY TO WORK WITH THE ORGANIZATION AS A VOLUNTEER. THE VOLUNTEER OPPORTUNITIES ARE AVAILABLE TO ANYONE 18 AND OLDER AS A WAY TO ENGAGE INDIVIDUALS IN THE HEALTHCARE SYSTEM THAT SERVES THEM AS WELL AS THEIR FAMILY AND FRIENDS. CONWAY REGIONAL WORKS WITH THE PHYSICIANS OF THE COMMUNITY BY ALLOWING ALL QUALIFIED PHYSICIANS THE OPPORTUNITY TO HAVE STAFF PRIVILEGES DEPENDING ON THEIR AREA OF PRACTICE AND CREDENTIALS. CONWAY REGIONAL OFFERS SPECIALIZED SERVICES TO THE AREA SUCH AS A TRANSITIONAL CARE UNIT FOR SENIORS DEALING WITH VARIOUS FORMS OF DEMENTIA. A REHABILITATION HOSPITAL OFFERS THE AREA A FACILITY IN WHICH TO RECOVER CLOSE TO HOME. THE CONWAY REGIONAL EMERGENCY DEPARTMENT IS THE SOLE EMERGENCY DEPARTMENT FOR THE COUNTY ANDSERVES ALL PERSONS REGARDLESS OF ABILITY TO PAY. IN ADDITION, CONWAY REGIONAL EDUCATION SERVICES PROVIDES OPPORTUNITIES FOR ALL HEALTHCARE PROFESSIONALS, REGARDLESS OF EMPLOYMENT, OPPORTUNITIES TO RECEIVE CONTINUING EDUCATION AND CERTIFICATION THROUGH CONFERENCES, CLASSES AND CERTIFICATIONS. AS AN AMERICAN HEART ASSOCIATION TRAINING CENTER, CONWAY REGIONAL EDUCATION DEPARTMENT ALSO PROVIDES OPPORTUNITIES FOR THE COMMUNITY AND HEALTHCARE PROFESSIONALS TO RECEIVE AHA CLASSES AND TRAINING.
SUBSIDIZED SERVICESTHE SUBSIDIZED SERVICES AMOUNT INCLUDES A PHYSICIAN CLINIC WITH TOTAL COSTS OF $1,729,778 AND DIRECT OFFSETTING REVENUE OF $1,375,082 FOR A NET COMMUNITY BENEFIT EXPENSE OF $354,696.PART I, LINE 7G
COMMUNITY BENEFIT REPORTCONWAY REGIONAL HAS NOT PREPARED A COMMUNITY BENEFIT REPORT FOR 2010.PART I, LINE 6A
PERCENT OF TOTAL EXPENSEBAD DEBT EXPENSE IN THE AMOUNT OF $18,056,541 IS INCLUDED ON FORM 990, PART IX, LINE 25, COLUMN (A) ("TOTAL FUNCTIONAL EXPENSES"), BUT IS SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGES IN THIS COLUMN.PART I, LINE 7, COLUMN F
COMMUNITY BENEFITS AT COSTTHE COST TO CHARGE RATIO (CALCULATED USING WORKSHEET 2) WAS USED FOR LINE 7 AMOUNTS.PART I, LINE 7
AUDIT FOOTNOTE DESCRIBING BAD DEBT EXPENSETHE MEDICAL CENTER REPORTS PATIENT ACCOUNTS RECEIVABLE FOR SERVICES RENDERED AT NET REALIZABLE AMOUNTS FROM THIRD-PARTY PAYERS, PATIENTS AND OTHERS. THE MEDICAL CENTER PROVIDES AN ALLOWANCE FOR DOUBTFUL ACCOUNTS BASED UPON A REVIEW OF OUTSTANDING RECEIVABLES, HISTORICAL COLLECTION INFORMATION AND EXISTING ECONOMIC CONDITIONS. AS A SERVICE TO THE PATIENT, THE MEDICAL CENTER BILLS THIRD-PARTY PAYERS DIRECTLY AND BILLS THE PATIENT FOR THE REMAINING LIABILITY IF THE AMOUNT IS NOT COLLECTED AT THE TIME OF SERVICE. PATIENT ACCOUNTS RECEIVABLE ARE ORDINARILY DUE IN FULL WHEN BILLED. DELINQUENT RECEIVABLES ARE WRITTEN OFF BASED ON INDIVIDUAL CREDIT EVALUATION AND SPECIFIC CIRCUMSTANCES OF THE PATIENT OR THIRD-PARTY PAYER. THE AMOUNT REPORTED ON LINE 2 IS BASED ON BAD DEBTS PER THE AUDITED FINANCIAL STATEMENTS AFTER APPLYING THE COST TO CHARGE RATIO. LINE 3 WAS CALCULATED USING THE USDA POVERTY PERCENTAGE FOR THE COMMUNITY THE ORGANIZATION SERVES. A NUMBER OF PATIENTS ARE TRULY UNABLE TO PAY THEIR OUT-OF-POCKET LIABILITY BUT DO NOT COMPLETE THE PROCESS REQUIRED TO APPLY FOR FINANCIAL ASSISTANCE UNDER THE HOSPITAL'S CHARITY CARE POLICY. THESE PATIENTS WOULD QUALIFY FOR CHARITY CARE IF THEY COMPLETED THE PAPERWORK, SO THE BAD DEBT EXPENSE ASSOCIATED WITH TREATING THEM SHOULD BE TREATED AS COMMUNITY BENEFIT.PART III, LINE 4
COSTING METHODOLOGYTHE MEDICARE COST REPORT WAS USED TO CALCULATE THE AMOUNT OF LINE 6.PART III, LINE 8
COLLECTION POLICYIF A PATIENT FILLS OUT A FINANCIAL ASSISTANCE APPLICATION, THE ACCOUNT IS FROZEN AND NO FURTHER COLLECTION ACTIVITY OCCURS WHILE A DETERMINATION IS MADE AS TO IF THE PATIENT QUALIFIES FOR CHARITY CARE.PART III, LINE 9B

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Travel For CompanionsXTravelForCompanions
Club Dues Or FeesXClubDuesOrFees
Written Policy Re T And E ExpensestrueWrittenPolicyReTAndEExpenses
Substantiation RequiredtrueSubstantiationRequired
Written Employment ContractXWrittenEmploymentContract
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance PaymentfalseSeverancePayment
Supplemental Nonqual Retire PlanfalseSupplementalNonqualRetirePlan
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 (9 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
STEVEN ROSE
132987020727099970102160155890189516000
JAMES LAMBERT
2660480670810279270147000139580389714000
ALAN FINLEY
11774001800204104076340147700162250000
CAREN LEWIS
121911018449082407432058350154451000
GREG KENDRICK MD
20737505223900014490097740283878000
CHARLES CLIFTON MD
2564770000014700065960277773000
DENNIS WOODHALL MD
267566019115020700061910293079000
KRISHNA REDDY MD
25849506288000147000134060292889000
GARY BOWMAN MD
2831010000014700065960304397000

Form990 Schedule J Part III Form990ScheduleJPartIII

FieldValueIRS element (for citing)
IdentifierCOMPENSATION INFORMATIONIdentifier
Return ReferenceFORM 990, SCH J, PART I, LINE 1AReturnReference
ExplanationHEALTH & FITNESS CENTER. THE MEMBERS THAT HAVE A CURRENT MEMBERSHIP AND THE FMV OF THAT MEMBERSHIP ARE LISTED IN SCHEDULE J. TRAVEL FOR COMPANIONS. THREE BOARD MEMBERS WERE REIMBURSED FOR TRAVEL EXPENSES TO AHA EVENTS FOR THEIR SPOUSE THAT TOTALED $566. THE TRAVEL WAS NOT REPORTED ON FORM 1099 BECAUSE IT WAS BELOW THE REQUIRED REPORTABLE AMOUNT OF $600.Explanation

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI

Issuer Name IssuerName

FieldValueIRS element (for citing)
Business Name Line1CITY OF CONWAY AR HEALTH FACILITIES BOARDBusinessNameLine1
FieldValueIRS element (for citing)
Issuer EIN731574175IssuerEIN
CUSIP Number212584CE4CUSIPNumber
Date Issued2009-12-08DateIssued
Issue Price29579127IssuePrice
Description Of PurposeREFUNDED BONDS ISSUED 10/19/19DescriptionOfPurpose
DefeasedfalseDefeased
On Behalf Of IssuerfalseOnBehalfOfIssuer
Pool FinancingfalsePoolFinancing

Form990 Schedule K Part II Form990ScheduleKPartII

FieldValueIRS element (for citing)
Amount Retired540000AmountRetired
Amount Bond Defeased0AmountBondDefeased
Total Proceeds29579127TotalProceeds
Amount In Reserve Fund2478672AmountInReserveFund
Capitalized Interest0CapitalizedInterest
Refunding Escrow26637795RefundingEscrow
Issuance Costs From Proceeds462661IssuanceCostsFromProceeds
Credit Enhancement0CreditEnhancement
Working Capital Expenditures0WorkingCapitalExpenditures
Capital Expenditures0CapitalExpenditures
Other Spent Proceeds0OtherSpentProceeds
Amount Unspent0AmountUnspent
Year Of Subst Completion2009YearOfSubstCompletion
Current RefundingtrueCurrentRefunding
Advance RefundingfalseAdvanceRefunding
Final Allocation MadetrueFinalAllocationMade
Adequate Books And Recds MaintaindtrueAdequateBooksAndRecdsMaintaind

Form990 Schedule K Part III Form990ScheduleKPartIII

FieldValueIRS element (for citing)
Prcntge Prvt Business Use By Others0.00000PrcntgePrvtBusinessUseByOthers
Percentage Of Prvt Business Re UBI0.00000PercentageOfPrvtBusinessReUBI
Total Private Business Use0.00000TotalPrivateBusinessUse

Form990 Schedule K Part IV Form990ScheduleKPartIV

FieldValueIRS element (for citing)
Form8038 T FiledfalseForm8038TFiled
Variable Rate IssuefalseVariableRateIssue
Hedge Identified In Books And RecdsfalseHedgeIdentifiedInBooksAndRecds
Gross Proceeds Invested In GICfalseGrossProceedsInvestedInGIC
Gross Proceeds InvestedfalseGrossProceedsInvested
Exception To RebatefalseExceptionToRebate

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (7 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTSFORM 990, PART III, LINE 4ACONWAY REGIONAL MEDICAL CENTER PROVIDES COMPREHENSIVE HEALTHCARE SERVICES TO INDIVIDUALS REGARDLESS OF RACE, CREED, SEX, NATIONAL ORIGIN, OR ABILITY TO PAY. IN KEEPING WITH ITS MISSION, THE MEDICAL CENTER PROVIDES FREE AND DISCOUNTED CARE TO PATIENTS MEETING ITS CHARITY CARE POLICY. TOTAL CHARITY CARE PROVIDED IN 2010 WAS $3,155,531. IN ADDITION, THE MEDICAL CENTER PARTICIPATES IN THE MEDICARE AND MEDICAID PROGRAMS FOR THE ELDERLY AND POOR. THESE PROGRAMS REIMBURSE THE MEDICAL CENTER AT AMOUNTS DIFFERENT FROM ITS ESTABLISHED RATES. TOTAL DISCOUNTS PROVIDED TO THESE PROGRAMS WERE OVER $111,492,000 FOR 2010. THE HOSPITAL PROVIDED VITAL HEALTH CARE SERVICES TO THE FAULKNER COUNTY POPULATION AND THE SURROUNDING AREA. THESE SERVICES INCLUDED 31,590 INPATIENT DAYS OF CARE, INCLUDING 21,654 TO MEDICARE AND MEDICAID PATIENTS. ALSO, THE HOSPITAL SERVICED 40,408 VISITS TO ITS EMERGENCY ROOM AND PROVIDED 19,367 HOME HEALTH CARE VISITS, OF WHICH ABOUT 77 PERCENT WERE FOR MEDICARE PATIENTS. CONWAY REGIONAL MEDICAL CENTER PROVIDED VARIOUS COMMUNITY BENEFITS TO FAULKNER COUNTY AND SURROUNDING AREAS. THE ORGANIZATION HAS BEEN A MAJOR SUPPORTER OF COMMUNITY EVENTS THROUGH SPONSORSHIPS AND SUPPORT. THE HEALTH & FITNESS CENTER PROVIDES DONATIONS AND SCHOLARSHIPS THROUGHOUT THE COMMUNITY SUPPORTING BETTER HEALTH FOR OUR AREA. IN 2010 THE ORGANIZATION PARTICIPATED IN MORE THAN 30 HEALTH FAIRS AND SCREENING EVENTS, WHICH INCLUDED SEVERAL LARGE EVENTS SUCH AS THE WOMEN'S HEALTH FAIR, SENIOR EXPO AND THE ANNUAL MEN'S PROSTATE SCREENING. THE ORGANIZATION STRIVES TO PROVIDE HEALTH EDUCATION IN VARIOUS FORMATS INCLUDING SUPPORT GROUPS, TEACHING CHILDREN ABOUT THE DANGERS OF SMOKING THROUGH SCHOOL PRESENTATIONS AND TEACHING FIVE YEAR OLDS HOW TO STAY SAFE THROUGH THE WEEK-LONG PROGRAM "SAFETY TOWN" AS WELL AS PROVIDING FREE CLASSES TO CAREGIVERS OF SENIORS. CONWAY REGIONAL ORGANIZES AND OFFERS IN-SERVICE AND CONTINUING EDUCATION PROGRAMS FOR AREA PROFESSIONALS. AS A MEDICALLY UNDERSERVED AREA, CONWAY REGIONAL CONTINUES TO RECRUIT PHYSICIANS TO FULFILL THE MEDICAL NEEDS OF THE COMMUNITY. TOGETHER WITH CHARITY CARE DESCRIBED ABOVE, TOTAL COMMUNITY BENEFIT IS ESTIMATED TO BE $5,229,409 FOR 2010.
FORM 990 REVIEW PROCESSFORM 990, PART VI, SECTION A, LINE 10THE REVIEW PROCESS OF FORM 990 INCLUDES A REVIEW BY THE CFO AND CEO OF THE ORGANIZATION. THE FORM 990 IS THEN PRESENTED TO ALL MEMBERS OF THE GOVERNING BODY OF THE ORGANIZATION FOR REVIEW.
COMPLIANCE WITH CONFLICT OF INTEREST POLICYFORM 990, PART VI, SECTION B, LINE 12CTHE CONWAY REGIONAL HEALTH SYSTEM BOARD REVIEWS THE GOVERNING BOARD CONFLICT OF INTEREST POLICY YEARLY AT THE ANNUAL BOARD MEETING IN JANUARY AND EACH BOARD MEMBER FILLS OUT, ON AN ANNUAL BASIS, A NEW CONFLICT OF INTEREST STATEMENT. THESE STATEMENTS ARE REVIEWED ANNUALLY BY THE CHAIRMAN, PRESIDENT, AND CFO FOR MONITORING. BOARD MEMBERS WHO HAVE AN ACTUAL OR POTENTIAL CONFLICT OF INTEREST IN MATTERS BROUGHT BEFORE THE BOARD ARE TO ALERT THE CORPORATION BOARD BEFOREHAND OF THE POSSIBLE CONFLICT OF INTEREST AND WITHDRAW FROM THE MEETING DURING SAID DISCUSSION UNTIL THE MATTER HAS BEEN VOTED ON. IF THE MEMBER FAILS TO WITHDRAW VOLUNTARILY FROM ANY MEETING WHERE A POSSIBLE CONFLICT OF INTEREST EXISTS, THE CHAIRMAN IS EMPOWERED TO REQUIRE WITHDRAWAL FROM THE ROOM DURING BOTH DISCUSSION AND VOTE ON THE MATTER. IN THE EVENT THE CONFLICT OF INTEREST AFFECTS THE CHAIRMAN, THE VICE CHAIRMAN IS THEN EMPOWERED TO REQUIRE HIS WITHDRAWAL.
COMPENSATION DETERMINATION POLICYFORM 990, PART VI, SECTION B, LINE 15ATHE EXECUTIVE COMMITTEE OF THE ORGANIZATION'S BOARD REVIEWS THE CONTRACT AND COMPENSATION OF THE CEO ANNUALLY BASED ON AN EVALUATION OF PERFORMANCE. THE EXECUTIVE COMMITTEE THEN MAKES A FORMAL RECOMMENDATION TO THE FULL BOARD AS TO THE RECOMMENDED COMPENSATION LEVEL FOR THE CEO. THE EXECUTIVE COMMITTEE UTILIZES COMPARABLE COMPENSATION DATA FROM BOTH STATE AND REGIONAL SURVEYS IN ITS REVIEW OF THE COMPENSATION OF THE CEO.
AVAILABILITY OF GOVERNING DOCUMENTSFORM 990, PART VI, SECTION C, LINE 19THE ORGANIZATION DOES NOT MAKE ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC.
INDEPENDENT CONTRACTORSFORM 990, PART VII, SECTION B, LINE 1CONWAY REGIONAL SURGERY MANAGEMENT CO - 2200 ADA AVENUE CONWAY, AR 72034 THERAPY & REHAB SOLUTIONS, INC. - 550 CLUB LANE, SUITE 2 CONWAY, AR 72034 CONWAY EMERGENCY PHYSICIANS, PA - PO BOX 757 CONWAY, AR 72034 NABHOLZ CONSTRUCTION CORP - 612 GARLAND STREET CONWAY, AR 72034 CONWAY ANESTHESIOLOGY CONSULTANTS - 525 WESTERN, SUITE 201 CONWAY, AR 72034
COMPENSATION DETERMINATION POLICYFORM 990, PART VI, SECTION B, LINE 15BMARKET SURVEY DATA IS GATHERED AND UTILIZED TO DETERMINE COMPENSATION LEVELS FOR OTHER KEY EMPLOYEES BY HUMAN RESOURCES. A PORTION OF THE TOTAL COMPENSATION OF THESE EMPLOYEES IS PRESENTED TO THE BOARD FOR REVIEW AND APPROVAL COMPARING TOTAL COMPENSATION TO MARKET SURVEY DATA.

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII

Name Of Disregarded Entity NameOfDisregardedEntity

FieldValueIRS element (for citing)
Business Name Line1CONWAY REGIONAL HEALTH FOUNDATIONBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line12302 COLLEGE AVENUEAddressLine1
CityCONWAYCity
StateARState
ZIP Code72034ZIPCode
FieldValueIRS element (for citing)
EIN710797723EIN
Primary ActivitiesSUPPORTPrimaryActivities
Legal Domicile StateARLegalDomicileState
Exempt Code Section501(C)(3)ExemptCodeSection
Public Charity Status11APublicCharityStatus

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1CRMCBusinessNameLine1

Form990 Schedule R Part III Form990ScheduleRPartIII (2 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Predominant Income TypePredominantIncomeTypeShare Of Total IncomeShareOfTotalIncomeShare Of EOY AssetsShareOfEOYAssetsDisproportionate AllocationsDisproportionateAllocationsCode VCodeVAmountGeneral Or Managing PartnerGeneralOrManagingPartnerPercentage OwnershipPercentageOwnership
CONWAY REGIONAL REHABILITATION HOSPITAL
2210 ROBINSON AVENUECONWAYAR72034412136339REHAB SERVICEARNARELATED9511772104851false$0true0.65200
CONWAY REGIONAL SURGERY MGMT LLC
2200 ADA SUITE 100CONWAYAR72034710800852MEDICAL SERVIARNARELATED6228472369825false$0true0.72222

Form990 Schedule R Part IV Form990ScheduleRPartIV (2 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Type Of EntityTypeOfEntityShare Of Total IncomeShareOfTotalIncomeShare Of EOY AssetsShareOfEOYAssetsPercentage OwnershipPercentageOwnership
INSTITUTIONAL SERVICES CORPORATION
2302 COLLEGE AVENUECONWAYAR72034710575886PROP OWNERSHIARNAC CORP904634581511.00000
CONWAY REG PHYSICIAN HOSPITAL ORG
930 WINGATE SUITE A-2CONWAYAR72034710749388ADMIN SERVICEARNAC CORP1944142214820.50000
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents RoyaltiesfalseReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other OrgfalseGiftGrantOrCapContrToOtherOrg
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 OrgsfalseRentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other OrgstrueRentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other OrgsfalsePerformOfServicesForOtherOrgs
Perform Of Services By Other OrgstruePerformOfServicesByOtherOrgs
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 (9 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolved
INSTITUTIONAL SERVICES CORPORATION
J87173
CONWAY REGIONAL HEALTH FOUNDATION
J440424
CONWAY REGIONAL SURGERY MGMT
J287060
CONWAY REGIONAL HEALTH FOUNDATION
N73867
CONWAY REGIONAL HEALTH FOUNDATION
P288300
CONWAY REGIONAL REHABILITATION HOSPITAL
P146040
CONWAY REGIONAL REHABILITATION HOSPITAL
R360668
CONWAY REGIONAL HEALTH FOUNDATION
R98812
CONWAY REGIONAL HEALTH FOUNDATION
C63085