CONWAY HOSPITAL COMMUNITY SERVICES: Form 990, tax year 2019

View the entire original 990 at ProPublica ↗

Organization
CONWAY HOSPITAL COMMUNITY SERVICES (EIN 57-1119337)
Tax period
2019-10-01 to 2020-09-30
Filed
2021-08-16
IRS object ID
202102289349302425
Schema version
2019v5.2
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)
Return2021-08-16T13:49:11-05:00ReturnTs
Tax Period End2020-09-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN366055558PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1GRANT THORNTON LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line175 STATE ST 13TH FLOORAddressLine1Txt
CityBOSTONCityNm
State AbbreviationMAStateAbbreviationCd
ZIP02109ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2019-10-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN571119337EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1CONWAY HOSPITAL COMMUNITY SERVICESBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlCONWBusinessNameControlTxt
Phone8433478037PhoneNum

US Address USAddress

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

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonBRIAN ARGOPersonNm
Person TitleTREASURERPersonTitleTxt
Phone8433478037PhoneNum
Signature2021-08-16SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonERIN COUTUREPreparerPersonNm
PTINP01390592PTIN
Phone6177237900PhoneNum
FieldValueIRS element (for citing)
Tax2019TaxYr
Build TS2022-09-23 18:48:47ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerBRET BARRPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1300 SINGLETON RIDGE ROADAddressLine1Txt
CityCONWAYCityNm
State AbbreviationSCStateAbbreviationCd
ZIP29526ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$3,134,372GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.CONWAYMEDICALCENTER.COMWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation2001FormationYr
Legal Domicile StateSCLegalDomicileStateCd
Activity Or MissionSEE SCHEDULE OActivityOrMissionDesc
Voting Members Governing Body2VotingMembersGoverningBodyCnt
Voting Members Independent0VotingMembersIndependentCnt
Total Employee298TotalEmployeeCnt
Total Volunteers0TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$13,190PYContributionsGrantsAmt
CY Contributions Grants$0CYContributionsGrantsAmt
PY Program Service Revenue$22,471,724PYProgramServiceRevenueAmt
CY Program Service Revenue$3,134,372CYProgramServiceRevenueAmt
PY Investment Income-$13,089PYInvestmentIncomeAmt
CY Investment Income-$328,994CYInvestmentIncomeAmt
PY Other Revenue$0PYOtherRevenueAmt
CY Other Revenue$0CYOtherRevenueAmt
PY Total Revenue$22,471,825PYTotalRevenueAmt
CY Total Revenue$2,805,378CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$24,651,180PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$2,337,761CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$6,454,482PYOtherExpensesAmt
CY Other Expenses$1,502,807CYOtherExpensesAmt
PY Total Expenses$31,105,662PYTotalExpensesAmt
CY Total Expenses$3,840,568CYTotalExpensesAmt
PY Revenues Less Expenses-$8,633,837PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$1,035,190CYRevenuesLessExpensesAmt
Total Assets BOY$12,462,409TotalAssetsBOYAmt
Total Assets EOY$8,189,575TotalAssetsEOYAmt
Total Liabilities BOY$75,601,658TotalLiabilitiesBOYAmt
Total Liabilities EOY$72,364,014TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY-$63,139,249NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY-$64,174,439NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionPROVISION OF OUTPATIENT HEALTH CARE SERVICES TO HORRY COUNTY AND THE SURROUNDING COMMUNITY IN CONJUNCTION WITH CONWAY HOSPITAL, INC.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$3,844,386ExpenseAmt
Grant$0GrantAmt
Revenue$3,134,372RevenueAmt
DescIT IS THE PURPOSE OF CONWAY HOSPITAL COMMUNITY SERVICES TO PROVIDE THE BEST OUTPATIENT CARE THROUGH HOSPITAL PHYSICIAN OFFICES LOCATED THROUGHOUT THE COMMUNITY. DURING THE FISCAL YEAR, 16,006 PATIENTS WERE TREATED BY EMPLOYED PROVIDERS OF THE CORPORATION. ALL BUT THE TWO AYNOR PRACTICES WERE TRANSFERRED UNDER CONWAY HOSPITAL'S FEIN AT THE END OF FISCAL YEAR 2019.IN MARCH 2020, THE WORLD HEALTH ORGANIZATION DECLARED COVID-19, THE DISEASE CAUSED BY THE NOVEL CORONAVIRUS, A PANDEMIC, WHICH STARTED TO AND CONTINUES TO SPREAD THROUGHOUT THE UNITED STATES OF AMERICA. AS A RESULT OF THE COVID-19 PANDEMIC, THE CONWAY HOSPITAL AND ITS AFFILITATES EXPERIENCED A DECLINE IN PATIENT VISITS, ADMISSIONS, AND MEDICAL PROCEDURES PERFORMED. ELECTIVE MEDICAL PROCEDURES WERE SUSPENDED BY STATE AND LOCAL GOVERNMENTS AT VARYING TIME PERIODS BEGINNING IN MID-MARCH THROUGH LATE JULY 2020, CONTRIBUTING TO A SIGNIFICANT DECLINE IN PATIENT SERVICE REVENUE DUE TO COVID-19 WHEN COMPARED TO HISTORIC AND FORECASTED RESULTS FOR THAT PERIOD.Desc
Total Program Service Expenses$3,844,386TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B Required0ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying Activities0LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Donor Rstr Or Quasi Endowments0DonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (1)ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To Organizations0GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent0BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document31IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee298EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt0SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc0SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members2GoverningBodyVotingMembersCnt
Independent Voting Member0IndependentVotingMemberCnt
Family Or Business RlnYes (1)FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or StockholdersYes (1)MembersOrStockholdersInd
Election Of Board MembersYes (1)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (1)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEO0CompensationProcessCEOInd
Compensation Process OtherYes (1)CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
States Where Copy Of Return Is FldSCStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1BRIAN ARGOBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone8433478037PhoneNum

US Address USAddress

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

Form990 Part VII Section A Form990PartVIISectionAGrp (8 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtHighest Compensated EmployeeHighestCompensatedEmployeeIndKey EmployeeKeyEmployeeInd
BRET BARR
PRESIDENT1.0043.00Yes (X)Yes (X)$0$608,195$47,331
ANDREW GRESKO
PHYSICIAN40.000.00$590,512$0$23,493Yes (X)
SAMER CHARBEL
PHYSICIAN40.000.00$426,224$0$17,800Yes (X)
BRIAN ARGO
TREASURER/SECRETARY1.0043.00Yes (X)Yes (X)$0$385,469$43,668
MEGHAN MALONE
PHYSICIAN40.000.00$387,099$0$14,000Yes (X)
WARREN RATLEY
VICE PRESIDENT40.000.00$345,921$0$23,098Yes (X)
RAM PENMETSA
PHYSICIAN40.000.00$386,250$0$2,327Yes (X)
HAFEZ HAYEK
PHYSICIAN40.000.00$474,277$0$3,800Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$2,610,283TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$993,664TotReportableCompRltdOrgAmt
Total Other Compensation$175,517TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K42IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
EARLY OUT SERVICES INC
5807 N 102ND STOMAHANE68134COLLECTIONS$164,623
CONWAY COMMERICAL CLEANING
5786 ADRIAN HWYCONWAYSC29526HOUSEKEEPING$147,865
SSI GROUP INC
4721 MORRISON DRMOBILEAL36609COLLECTIONS$126,527
OMEGA MEDICAL SOLUTIONS LLC
PO BOX 50431MYRTLE BEACHSC29579COLLECTIONS$115,651
DIXON HUGHES GOODMAN LLP
500 RIDGEFIELD COURTASHEVILLENC28806ACCOUNTING$110,119
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K5CntrctRcvdGreaterThan100KCnt

Program Service Revenue ProgramServiceRevenueGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
NET PATIENT REVENUE621110$2,820,214$2,820,214
ALL OTHER PROGRAM REVENUE900099$276,591$276,591
HOSPITAL PHYSICIAN FEES900099$37,567$37,567
FieldValueIRS element (for citing)
Total Program Service Revenue$3,134,372TotalProgramServiceRevenueAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Other$328,994OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Other-$328,994OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column-$328,994TotalRevenueColumnAmt
Exclusion-$328,994ExclusionAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$2,805,378TotalRevenueColumnAmt
Related Or Exempt Func Income$3,134,372RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion-$328,994ExclusionAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$2,059,324TotalAmt
Program Services$2,056,479ProgramServicesAmt
Management And General$2,845ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$37,976TotalAmt
Program Services$37,311ProgramServicesAmt
Management And General$665ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$142,839TotalAmt
Program Services$142,785ProgramServicesAmt
Management And General$54ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$97,622TotalAmt
Program Services$142,327ProgramServicesAmt
Management And General-$44,705ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$110,878TotalAmt
Program Services$110,468ProgramServicesAmt
Management And General$410ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$14,139TotalAmt
Management And General$14,139ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$340,045TotalAmt
Program Services$322,432ProgramServicesAmt
Management And General$17,613ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$147TotalAmt
Program Services$147ProgramServicesAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$232,343TotalAmt
Program Services$230,671ProgramServicesAmt
Management And General$1,672ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$110,138TotalAmt
Program Services$110,138ProgramServicesAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$791TotalAmt
Program Services$791ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$308,809TotalAmt
Program Services$308,809ProgramServicesAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$55,466TotalAmt
Program Services$55,466ProgramServicesAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
MINOR EQUIPMENT$151,604$151,604
MEDICAL SUPPLIES$97,729$97,729
LICENSES$50,704$50,704
TRAINING/EDUCATION$10,982$9,882$1,100

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$19,032TotalAmt
Program Services$16,643ProgramServicesAmt
Management And General$2,389ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$3,840,568TotalAmt
Program Services$3,844,386ProgramServicesAmt
Management And General-$3,818ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$1,158,021BOYAmt
EOY$140,597EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$1,532,267BOYAmt
EOY$490,728EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$166,702BOYAmt
EOY$9,404EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$9,487,148LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$1,938,302LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$9,605,419BOYAmt
EOY$7,548,846EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$12,462,409BOYAmt
EOY$8,189,575EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$1,861,525BOYAmt
EOY$236,603EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$73,740,133BOYAmt
EOY$72,127,411EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$75,601,658BOYAmt
EOY$72,364,014EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY-$63,139,249BOYAmt
EOY-$64,174,439EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY-$63,139,249BOYAmt
EOY-$64,174,439EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$12,462,409BOYAmt
EOY$8,189,575EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss-$1,035,190ReconcilationRevenueExpnssAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule D IRS990ScheduleD

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$2,562,443OtherCostOrOtherBasisAmt
Book Value$2,562,443BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$6,083,809OtherCostOrOtherBasisAmt
Depreciation$1,480,137DepreciationAmt
Book Value$4,603,672BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$240,345OtherCostOrOtherBasisAmt
Depreciation$204,052DepreciationAmt
Book Value$36,293BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$600,551OtherCostOrOtherBasisAmt
Depreciation$254,113DepreciationAmt
Book Value$346,438BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$7,548,846TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp

FieldValueIRS element (for citing)
DescDUE TO CONWAY HOSPITAL INC.Desc
Amt$72,127,411Amt
FieldValueIRS element (for citing)
Total Liability$72,127,411TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART X, LINE 2:FormAndLineReferenceDesc
ExplanationLIABILITY FOR UNCERTAIN TAX POSITION (ASC 740) THE HOSPITAL CONTINUES TO EVALUATE TAX POSITIONS RELATED TO ASC 740, "INCOME TAXES," WHICH PRESCRIBES FINANCIAL STATEMENT RECOGNITION THRESHOLD AND MEASUREMENT ATTRIBUTES FOR TAX POSITIONS TAKEN OR EXPECTED TO BE TAKEN IN TAX RETURNS. AS OF SEPTEMBER 30, 2020, THE TAX YEARS ENDED SEPTEMBER 30, 2020, 2019 AND 2018 FOR FEDERAL JURISDICTION REMAIN OPEN TO EXAMINATION.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance PaymentYes (1)SeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (1)SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments0AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (8 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
BRET BARR
PRESIDENT$0$417,418$0$166,853$0$23,924$0$18,317$0$29,014$0$655,526$0$0
ANDREW GRESKO
PHYSICIAN$457,179$0$0$0$133,333$0$0$0$23,493$0$614,005$0$0$0
SAMER CHARBEL
PHYSICIAN$426,224$0$0$0$0$0$14,000$0$3,800$0$444,024$0$0$0
BRIAN ARGO
TREASURER/SECRETARY$0$302,442$0$79,520$0$3,507$0$16,157$0$27,511$0$429,137$0$0
MEGHAN MALONE
PHYSICIAN$387,099$0$0$0$0$0$14,000$0$0$0$401,099$0$0$0
WARREN RATLEY
VICE PRESIDENT$66,381$0$0$0$279,540$0$0$0$23,098$0$369,019$0$0$0
RAM PENMETSA
PHYSICIAN$386,250$0$0$0$0$0$0$0$2,327$0$388,577$0$0$0
HAFEZ HAYEK
PHYSICIAN$474,277$0$0$0$0$0$0$0$3,800$0$478,077$0$0$0

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART I, LINES 4A-BFormAndLineReferenceDesc
ExplanationSUPPLEMENTAL SERVERANCE PAYMENTS CONWAY HOSPITAL PROVIDED SERVERANCE PAYMENTS OF $160,493 TO WILLIAM RATLEY AND $133,333 TO ANDREW GRESKO. THESE AMOUNTS ARE INCLUDED IN THE WAGES REPORTED ON THIS FORM 990. SUPPLEMENTAL NON-QUALIFIED RETIREMENT PLAN COMPENSATION FOR KEY EXECUTIVES IS PROVIDED BY RELATED ENTITY CONWAY HOSPITAL, INC. DURING THE YEAR ENDED SEPTEMBER 30, 2020, CONWAY HOSPITAL, INC. AND KEY EXECUTIVES HELD JOINTLY OWNED SPLIT-DOLLAR AGREEMENTS THROUGH AN INSURANCE COMPANY. THE FOLLOWING EXECUTIVES PARTICIPATED IN THE PLAN DURING THE YEAR: BRET BARR. CERTAIN EXECUTIVES PARTICIPATED IN A CAPITAL ACCUMULATION PLAN PROVIDED BY THE COMPANY. THE FOLLOWING EMPLOYEES RECEIVED DISTRIBUTIONS FROM THE PLAN. ALL AMOUNTS ARE INCLUDED IN THE EMPLOYEE'S W-2. BRET BARR - $7,144 WARREN RATLEY - $119,047ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (9 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990 PART I, ORGANIZATION MISSIONPROVISION OF OUTPATIENT HEALTH CARE SERVICES TO HORRY COUNTY AND THE SURROUNDING COMMUNITY IN CONJUNCTION WITH CONWAY HOSPITAL, INC.
FORM 990, PART VI, SECTION A, LINE 2BUSINESS RELATIONSHIPS BRET BARR AND BRIAN ARGO HAVE A BUSINESS RELATIONSHIP. BOTH ARE OFFICERS OF CONWAY HOSPITAL, INC., THE ORGANIZATION RELATED TO THIS ORGANIZATION.
FORM 990, PART VI, SECTION A, LINE 6MEMBERS OR STOCKHOLDERS CONWAY HOSPITAL, INC. IS THE SOLE MEMBER OF CONWAY HOSPITAL COMMUNITY SERVICES.
FORM 990, PART VI, SECTION A, LINE 7AMEMBERS OR STOCKHOLDERS WHO MAY ELECT THE TRUSTEES OF CONWAY HOSPITAL COMMUNITY SERVICES, INC. ARE APPOINTED BY CONWAY HOSPITAL INC.'S BOARD OF TRUSTEES.
FORM 990, PART VI, SECTION A, LINE 7BDECISIONS SUBJECT TO APPROVAL CONWAY HOSPITAL COMMUNITY SERVICES, INC. BOARD OF TRUSTEES SHALL MAKE OR OVERSEE MANAGEMENT AND OPERATIONAL MATTERS OF THE CORPORATION. CONWAY HOSPITAL, INC. RESERVES TO ITS OWN BOARD OF TRUSTEES THE AUTHORITY TO DIRECT ALL FINANCIAL MATTERS AND MATTERS AFFECTING THE PURPOSE OF THE CORPORATION. APPROVAL BY THE CONWAY HOSPITAL BOARD OF TRUSTEES IS REQUIRED FOR ALL AMENDMENTS TO THE BY LAWS OF THIS ORGANIZATION.
FORM 990, PART VI, SECTION B, LINE 11BFORM 990 REVIEW PROCESS THE CONWAY HOSPITAL, INC. ACCOUNTING DEPARTMENT PREPARES THE 990 INFORMATION IN CONSULTATION WITH THE VP OF FISCAL SERVICES. AN OUTSIDE ACCOUNTING FIRM PREPARES THE IRS FORM 990 AND SENDS IT TO THE ACCOUNTING DEPARTMENT AND VP OF FISCAL SERVICES WHO REVIEW THE FORM IN DETAIL. THE FORM 990 IS PROVIDED TO ALL BOARD OF TRUSTEE MEMBERS BEFORE IT IS FILED.
FORM 990, PART VI, SECTION B, LINE 12CCONFLICT OF INTEREST POLICY MONITORING & ENFORCEMENT THE POLICY IS DISTRIBUTED TO ALL COVERED PERSONS AFFILIATED WITH THIS ENTITY AND CONWAY HOSPITAL, INC. (BOARD OF TRUSTEES AND KEY MANAGEMENT PERSONNEL) AND EACH COVERED PERSON MUST SIGN AN ANNUAL STATEMENT THAT HE OR SHE: RECEIVED A COPY OF THE POLICY, READ AND UNDERSTANDS THE POLICY, AGREES TO COMPLY WITH THE POLICY, AND UNDERSTANDS THE POLICY APPLIES TO THE BOARD AND ALL BOARD COMMITTEES. 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.
FORM 990, PART VI, SECTION B, LINE 15BPROCESS FOR DETERMINING COMPENSATION COMPENSATION IS PROVIDED BY CONWAY HOSPITAL, INC. THE CONWAY HOSPITAL, INC. 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.
FORM 990, PART VI, SECTION C, LINE 19HOW DOCUMENTS ARE MADE AVAILABLE TO THE PUBLIC CONWAY HOSPITAL COMMUNITY SERVICES, INC. MAKES ITS FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (4 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtDirect Controlling NADirectControllingNACdControlled OrganizationControlledOrganizationIndBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Txt
CONWAY HOSPITAL INC
300 SINGLETON RIDGE ROADCONWAYSC29526570314381HEALTHCARESC501(C)(3)LINE 3N/A0
CONWAY HOSPITAL ANESTHESIA PROF SERVICES
300 SINGLETON RIDGE ROADCONWAYSC29526208817302ANESTHESIASC501(C)(3)LINE 12A, I0CONWAY HOSP
CONWAY HOSPITAL EMERGENCY PROF SERVICES
300 SINGLETON RIDGE ROADCONWAYSC29526208817905EMERGENCYSC501(C)(3)LINE 12A, I0CONWAY HOSP
CONWAY LONG-TERM CARE SERVICES INC
300 SINGLETON RIDGE ROADCONWAYSC29526570875232HEALTHCARESC501(C)(3)LINE 30CONWAY HOSP

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp

Related Organization Name RelatedOrganizationName

FieldValueIRS element (for citing)
Business Name Line1MEDICAL PROPERTIES INCBusinessNameLine1Txt

US Address USAddress

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

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1CONWAY HOSPBusinessNameLine1Txt
FieldValueIRS element (for citing)
Entity TypeCEntityTypeTxt
Controlled Organization0ControlledOrganizationInd
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org0GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org0GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org0LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth OrgYes (1)RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgYes (1)RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org0PerformOfServicesForOthOrgInd
Perform Of Services By Other OrgYes (1)PerformOfServicesByOtherOrgInd
Sharing Of FacilitiesYes (1)SharingOfFacilitiesInd
Paid Employees SharingYes (1)PaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (1)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (1)ReimbursementPaidByOtherOrgInd
Transfer To Other OrgYes (1)TransferToOtherOrgInd
Transfer From Other OrgYes (1)TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp

Other Organization Name OtherOrganizationName

FieldValueIRS element (for citing)
Business Name Line1NOT REQUIREDBusinessNameLine1Txt

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