CONWAY REGIONAL HEALTH FOUNDATION INC: Form 990, tax year 2020

View the entire original 990 at ProPublica ↗

Organization
CONWAY REGIONAL HEALTH FOUNDATION INC (EIN 71-0797723)
Tax period
2020-01-01 to 2020-12-31
Filed
2021-11-15
IRS object ID
202123199349316452
Schema version
2020v4.1
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)
Return2021-11-15T11:54:05-06:00ReturnTs
Tax Period End2020-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1BKD LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 3667AddressLine1Txt
CityLITTLE ROCKCityNm
State AbbreviationARStateAbbreviationCd
ZIP722033667ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2020-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN710797723EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1CONWAY REGIONAL HEALTH FOUNDATION INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
In Care Of% AMY MANION CONTROLLERInCareOfNm
Business Name ControlCONWBusinessNameControlTxt
Phone5015135184PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line12302 COLLEGE AVEAddressLine1Txt
CityCONWAYCityNm
State AbbreviationARStateAbbreviationCd
ZIP72034ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonTROY BROOKSPersonNm
Person TitleCFOPersonTitleTxt
Phone5013293831PhoneNum
Signature2021-11-12SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstTROYPersonFirstNm
Person LastBROOKSPersonLastNm
FieldValueIRS element (for citing)
SSN000000000SSN

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonAMBER SHERRILLPreparerPersonNm
PTINP00748683PTIN
Phone5013721040PhoneNum

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

FieldValueIRS element (for citing)
Trusted Customer2TrustedCustomerCd
FieldValueIRS element (for citing)
Tax2020TaxYr
Build TS2022-09-23 18:48:47ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerTROY BROOKSPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line12302 COLLEGE AVENUEAddressLine1Txt
CityCONWAYCityNm
State AbbreviationARStateAbbreviationCd
ZIP72034ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$4,065,284GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.CONWAYREGIONAL.ORG/ABOUT/FOUNDATIONWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1994FormationYr
Legal Domicile StateARLegalDomicileStateCd
Activity Or MissionTHE PURPOSE OF CONWAY REGIONAL HEALTH FOUNDATION, INC. IS TO FOSTER SUPPORT, ENCOURAGE ACTIVITIES, AND ADVANCE THE OBJECTIVES OF CONWAY REGIONAL MEDICAL CENTER, INC.ActivityOrMissionDesc
Voting Members Governing Body10VotingMembersGoverningBodyCnt
Voting Members Independent9VotingMembersIndependentCnt
Total Employee0TotalEmployeeCnt
Total Volunteers57TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$675,959PYContributionsGrantsAmt
CY Contributions Grants$2,374,478CYContributionsGrantsAmt
PY Program Service Revenue$834,863PYProgramServiceRevenueAmt
CY Program Service Revenue$955,402CYProgramServiceRevenueAmt
PY Investment Income$401,265PYInvestmentIncomeAmt
CY Investment Income$153,421CYInvestmentIncomeAmt
PY Other Revenue$134,080PYOtherRevenueAmt
CY Other Revenue$217,590CYOtherRevenueAmt
PY Total Revenue$2,046,167PYTotalRevenueAmt
CY Total Revenue$3,700,891CYTotalRevenueAmt
PY Grants And Similar Paid$131,597PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$127,287CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$800PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$0CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$100,673CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$1,169,092CYTotalFundraisingExpenseAmt
PY Other Expenses$1,718,078PYOtherExpensesAmt
CY Other Expenses$1,749,113CYOtherExpensesAmt
PY Total Expenses$1,850,475PYTotalExpensesAmt
CY Total Expenses$1,977,073CYTotalExpensesAmt
PY Revenues Less Expenses$195,692PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$1,723,818CYRevenuesLessExpensesAmt
Total Assets BOY$14,129,086TotalAssetsBOYAmt
Total Assets EOY$16,345,846TotalAssetsEOYAmt
Total Liabilities BOY$212,325TotalLiabilitiesBOYAmt
Total Liabilities EOY$183,145TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$13,916,761NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$16,162,701NetAssetsOrFundBalancesEOYAmt
MissionTHE PURPOSE OF CONWAY REGIONAL HEALTH FOUNDATION, INC. IS TO FOSTER SUPPORT, ENCOURAGE ACTIVITIES, AND ADVANCE THE OBJECTIVES OF CONWAY REGIONAL MEDICAL CENTER, INC.MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$670,745ExpenseAmt
Grant$127,287GrantAmt
Revenue$955,402RevenueAmt
DescTO PROVIDE FINANCIAL AID TO CONWAY REGIONAL MEDICAL CENTER, INC. TO SUPPORT PATIENT CARE, PROGRAMS, AND SERVICES.Desc
Total Program Service Expenses$670,745TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredYes (true)ScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesfalseLobbyingActivitiesInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Donor Rstr Or Quasi EndowmentsfalseDonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecfalseReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsYes (true)ReportOtherAssetsInd
Report Other LiabilitiesYes (true)ReportOtherLiabilitiesInd
Include FIN48 FootnotefalseIncludeFIN48FootnoteInd
Independent Audit Fincl StmtfalseIndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (true)ConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesfalseForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingYes (true)ProfessionalFundraisingInd
Fundraising ActivitiesYes (true)FundraisingActivitiesInd
Gaming ActivitiesYes (true)GamingActivitiesInd
Operate HospitalfalseOperateHospitalInd
Grants To OrganizationsYes (true)GrantsToOrganizationsInd
Grants To IndividualsYes (true)GrantsToIndividualsInd
Schedule J RequiredfalseScheduleJRequiredInd
Tax Exempt BondsfalseTaxExemptBondsInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemfalseBusinessRlnWithOrgMemInd
Business Rln With Fam MemfalseBusinessRlnWithFamMemInd
Business Rln With35 Ctrl EntfalseBusinessRlnWith35CtrlEntInd
Deductible Non Cash ContriYes (true)DeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityfalseDisregardedEntityInd
Related EntityYes (true)RelatedEntityInd
Related Organization Ctrl EntYes (true)RelatedOrganizationCtrlEntInd
Transaction With Control EntYes (true)TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document21IRPDocumentCnt
IRP Document W2 G2IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee0EmployeeCnt
Unrelated Bus Incm Over LimitfalseUnrelatedBusIncmOverLimitInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsYes (true)NondeductibleContributionsInd
Nondeductible Contri DisclYes (true)NondeductibleContriDisclInd
Quid Pro Quo ContributionsYes (true)QuidProQuoContributionsInd
Quid Pro Quo Contri DisclYes (true)QuidProQuoContriDisclInd
Form8282 Property Disposed OffalseForm8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Form1098 C FiledfalseForm1098CFiledInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht PymtfalseSubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst IncfalseSubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members10GoverningBodyVotingMembersCnt
Independent Voting Member9IndependentVotingMemberCnt
Family Or Business RlnfalseFamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersYes (true)MembersOrStockholdersInd
Election Of Board MembersfalseElectionOfBoardMembersInd
Decisions Subject To ApprovafalseDecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Form990 Provided To Gvrn BodyYes (true)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (true)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (true)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (true)WhistleblowerPolicyInd
Document Retention PolicyYes (true)DocumentRetentionPolicyInd
Compensation Process CEOfalseCompensationProcessCEOInd
Compensation Process OtherfalseCompensationProcessOtherInd
Investment In Joint VenturefalseInvestmentInJointVentureInd
States Where Copy Of Return Is FldARStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonAMY MANION CONTROLLERPersonNm
Phone5015135184PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line12302 COLLEGE AVEAddressLine1Txt
CityCONWAYCityNm
State AbbreviationARStateAbbreviationCd
ZIP72034ZIPCd
FieldValueIRS element (for citing)
Info In Schedule O Part VIIYes (X)InfoInScheduleOPartVIIInd

Form990 Part VII Section A Form990PartVIISectionAGrp (13 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtOfficerOfficerInd
ANDREW COLE MD
BOARD MEMBER1.01.0Yes (X)$0$40,957$0
THAD HARDIN MD
BOARD MEMBER1.01.0Yes (X)$0$37,276$0
ANDREA WOODS JD
CHAIRMAN1.01.0Yes (X)$0$1,618$0Yes (X)
CORNELL MALTBIA
BOARD MEMBER1.01.0Yes (X)$0$1,618$0
JEFF STANDRIDGE
BOARD MEMBER1.01.0Yes (X)$0$1,618$0
WAYNE COX
BOARD MEMBER1.01.0Yes (X)$0$1,437$0
TOM POE
BOARD MEMBER1.01.0Yes (X)$0$1,353$0
JIM RANKIN JR JD
VICE CHAIR1.01.0Yes (X)$0$684$0Yes (X)
BARBARA WILLIAMS PHD RN
BOARD MEMBER1.01.0Yes (X)$0$84$0
MATTHEW TROUP
CHIEF EXECUTIVE OFFICER1.040.0Yes (X)$0$0$0Yes (X)
ALAN FINLEY
CHIEF OPERATING OFFICER1.040.0$0$0$0Yes (X)
ANGIE LONGING
CHIEF NURSING OFFICER1.040.0$0$0$0Yes (X)
TROY BROOKS
CHIEF FINANCIAL OFFICER1.040.0$0$0$0Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$0TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$86,645TotReportableCompRltdOrgAmt
Total Other Compensation$0TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K0IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedfalseFormerOfcrEmployeesListedInd
Total Comp Greater Than150 KfalseTotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd
Cntrct Rcvd Greater Than100 K0CntrctRcvdGreaterThan100KCnt
Membership Dues$280MembershipDuesAmt
Fundraising$300,993FundraisingAmt
All Other Contributions$2,073,205AllOtherContributionsAmt
Noncash Contributions$80,279NoncashContributionsAmt
Total Contributions$2,374,478TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

FieldValueIRS element (for citing)
DescMEDICAL OFFICE BUILDING RENTAL INCOMEDesc
Business531120BusinessCd
Total Revenue Column$955,402TotalRevenueColumnAmt
Related Or Exempt Func Income$955,402RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$955,402TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$153,421TotalRevenueColumnAmt
Exclusion$153,421ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Royalties Revenue RoyaltiesRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$34,910RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$34,082RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$828RealAmt
Personal$0PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$828TotalRevenueColumnAmt
Exclusion$828ExclusionAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$200,973FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event$300,993ContriRptFundraisingEventAmt
Fundraising Direct Expenses$275,935FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column-$74,962TotalRevenueColumnAmt
Exclusion-$74,962ExclusionAmt
FieldValueIRS element (for citing)
Gaming Gross Income$57,340GamingGrossIncomeAmt
Gaming Direct Expenses$54,376GamingDirectExpensesAmt

Net Income From Gaming NetIncomeFromGamingGrp

FieldValueIRS element (for citing)
Total Revenue Column$2,964TotalRevenueColumnAmt
Exclusion$2,964ExclusionAmt
FieldValueIRS element (for citing)
Gross Sales Of Inventory$0GrossSalesOfInventoryAmt
Cost Of Goods Sold$0CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Other Revenue Misc OtherRevenueMiscGrp

FieldValueIRS element (for citing)
DescAll Other Misc RevenueDesc
Total Revenue Column$288,760TotalRevenueColumnAmt
Exclusion$288,760ExclusionAmt

Miscellaneous Revenue MiscellaneousRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$288,760TotalRevenueColumnAmt
Exclusion$288,760ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$288,760OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$3,700,891TotalRevenueColumnAmt
Related Or Exempt Func Income$955,402RelatedOrExemptFuncIncomeAmt
Exclusion$371,011ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$90,000TotalAmt
Program Services$90,000ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$37,287TotalAmt
Program Services$37,287ProgramServicesAmt

Foreign Grants ForeignGrantsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Benefits To Members BenefitsToMembersGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$412,728TotalAmt
Fundraising$412,728FundraisingAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total$100,673TotalAmt
Fundraising$100,673FundraisingAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$35,261TotalAmt
Fundraising$35,261FundraisingAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$8,771TotalAmt
Fundraising$8,771FundraisingAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Royalties RoyaltiesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$369,903TotalAmt
Program Services$295,326ProgramServicesAmt
Management And General$74,577ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$3,547TotalAmt
Fundraising$3,547FundraisingAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$440TotalAmt
Fundraising$440FundraisingAmt

Payments To Affiliates PaymentsToAffiliatesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$247,632TotalAmt
Program Services$197,707ProgramServicesAmt
Management And General$49,925ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmtFundraisingFundraisingAmt
REPAIRS & MAINTENANCE$6,955$4,113$1,039$1,803
DUES & MEMBERSHIPS$5,075$1,295$327$3,453
FOOD & CATERING$1,677$1,677
MINOR EQUIPMENT$385$307$78

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$656,739TotalAmt
Program Services$44,710ProgramServicesAmt
Management And General$11,290ManagementAndGeneralAmt
Fundraising$600,739FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$1,977,073TotalAmt
Program Services$670,745ProgramServicesAmt
Management And General$137,236ManagementAndGeneralAmt
Fundraising$1,169,092FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$234,259BOYAmt
EOY$258,168EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$5,665,165BOYAmt
EOY$7,675,671EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

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

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$33,321BOYAmt
EOY-$255EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

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

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

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

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

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

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$110,704BOYAmt
EOY$7,500EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$22,320BOYAmt
EOY$23,722EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$12,961,943LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$7,884,057LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$5,349,871BOYAmt
EOY$5,077,886EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$656,482BOYAmt
EOY$617,503EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

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

Investments Program Related InvestmentsProgramRelatedGrp

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

Intangible Assets IntangibleAssetsGrp

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

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$2,056,964BOYAmt
EOY$2,685,651EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$14,129,086BOYAmt
EOY$16,345,846EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$203,788BOYAmt
EOY$170,492EOYAmt

Grants Payable GrantsPayableGrp

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

Deferred Revenue DeferredRevenueGrp

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

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

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

Escrow Account Liability EscrowAccountLiabilityGrp

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

Loans From Officers Directors LoansFromOfficersDirectorsGrp

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

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

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

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

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

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$8,537BOYAmt
EOY$12,653EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$212,325BOYAmt
EOY$183,145EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$12,951,050BOYAmt
EOY$14,573,769EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$965,711BOYAmt
EOY$1,588,932EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$13,916,761BOYAmt
EOY$16,162,701EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$14,129,086BOYAmt
EOY$16,345,846EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$1,723,818ReconcilationRevenueExpnssAmt
Other Changes In Net Assets$522,122OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedYes (true)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

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

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Supporting Organization509a3Yes (X)SupportingOrganization509a3Ind
Supporting Org Type1Yes (X)SupportingOrgType1Ind
Supported Organizations1SupportedOrganizationsCnt

Supported Org Information SupportedOrgInformationGrp

Supported Organization Name SupportedOrganizationName

FieldValueIRS element (for citing)
Business Name Line1CONWAY REGIONAL MEDICAL CENTERBusinessNameLine1Txt
FieldValueIRS element (for citing)
EIN710249735EIN
Organization Type3OrganizationTypeCd
Governing Document ListedYes (true)GoverningDocumentListedInd
Support$0SupportAmt
Other Support$101,099OtherSupportAmt
FieldValueIRS element (for citing)
Supported Organizations Total1SupportedOrganizationsTotalCnt
Support Sum$0SupportSumAmt
Other Support Sum$101,099OtherSupportSumAmt

Form990 Sch A Supporting Org Form990SchASupportingOrgGrp

FieldValueIRS element (for citing)
Listed By Name Governing DocYes (true)ListedByNameGoverningDocInd
Suprt Org No IRS DeterminationfalseSuprtOrgNoIRSDeterminationInd
Supported Org Section C456falseSupportedOrgSectionC456Ind
Supported Org Not Organized USfalseSupportedOrgNotOrganizedUSInd
Organization Change Suprt OrgfalseOrganizationChangeSuprtOrgInd
Support Non Supported OrgfalseSupportNonSupportedOrgInd
Payment Substantial ContribtrfalsePaymentSubstantialContribtrInd
Loan Disqualified PersonfalseLoanDisqualifiedPersonInd
Controlled Disqualified PrsnfalseControlledDisqualifiedPrsnInd
Disqualified Prsn Controll IntfalseDisqualifiedPrsnControllIntInd
Disqualified Prsn Ownr IntfalseDisqualifiedPrsnOwnrIntInd
Excess Business Holdings RulesfalseExcessBusinessHoldingsRulesInd
Contribution ControllerfalseContributionControllerInd
Contribution FamilyfalseContributionFamilyInd
Contribution35 ControlledfalseContribution35ControlledInd

Form990 Sch A Type1 Suprt Org Form990SchAType1SuprtOrgGrp

FieldValueIRS element (for citing)
Power Appoint Majority Dir TrstYes (true)PowerAppointMajorityDirTrstInd
Operate Benefit Non Suprt OrgYes (true)OperateBenefitNonSuprtOrgInd

Form990 Schedule A Part VI Form990ScheduleAPartVIGrp

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE A, PART IV, SECTION B, LINE 2FormAndLineReferenceDesc
ExplanationTHE CONWAY REGIONAL HEALTH FOUNDATION, AS A SUPPORTING ORGANIZATION OF THE CONWAY REGIONAL HEALTH SYSTEM, SUPPORTS THE HEALTH OF OUR COMMUNITY AND THE FUTURE OF HEALTHCARE IN A NUMBER OF WAYS: TEACHER GRANTS TO SUPPORT AREA TEACHERS WHO PROVIDE INNOVATIVE CLASSROOM PROGRAMS RELATED TO FITNESS, WELLNESS AND NUTRITION, SCHOLARSHIPS FOR AREA SCHOOL STUDENTS PURSUING A CAREER IN HEALTHCARE AND THROUGH A PARTNERSHIP FOR CLINICAL EXCELLENCE TO ADDRESS THE NATIONAL NURSING SHORTAGE AT THE LOCAL LEVEL BY OFFERING SCHOLARSHIPS TO UNIVERSITY OF CENTRAL ARKANSAS STUDENTS WHO AGREE TO WORK FOR THE HEALTH SYSTEM FOR AN AGREED-UPON TIME FRAME.ExplanationTxt

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Art Public Exhibition AmountsArtPublicExhibitionAmountsGrp
Held Works ArtHeldWorksArtGrp
CY Minus3 Yr Endwmt FundCYMinus3YrEndwmtFundGrp
CY Minus4 Yr Endwmt FundCYMinus4YrEndwmtFundGrp

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$3,226,361OtherCostOrOtherBasisAmt
Book Value$3,226,361BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$8,924,961OtherCostOrOtherBasisAmt
Depreciation$7,199,772DepreciationAmt
Book Value$1,725,189BookValueAmt
FieldValueIRS element (for citing)
Leasehold ImprovementsLeaseholdImprovementsGrp

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$70,463OtherCostOrOtherBasisAmt
Depreciation$55,198DepreciationAmt
Book Value$15,265BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$740,158OtherCostOrOtherBasisAmt
Depreciation$629,087DepreciationAmt
Book Value$111,071BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$5,077,886TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (2 entries)

DescDescBook ValueBookValueAmt
DEFERRED LEASE$1,096,719
EXTERNALLY RESTRICTED CASH$1,588,932
FieldValueIRS element (for citing)
Total Book Value Other Assets$2,685,651TotalBookValueOtherAssetsAmt
Federal Income Tax Liability$0FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp

FieldValueIRS element (for citing)
DescDUE TO AFFILIATESDesc
Amt$12,653Amt
FieldValueIRS element (for citing)
Total Liability$12,653TotalLiabilityAmt
Total Rev Etc Audited Fincl Stmt$4,065,284TotalRevEtcAuditedFinclStmtAmt
Other Revenue$364,393OtherRevenueAmt
Revenue Not Reported$364,393RevenueNotReportedAmt
Revenue Subtotal$3,700,891RevenueSubtotalAmt
Total Revenue Per Form990$3,700,891TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$2,341,466TotExpnsEtcAuditedFinclStmtAmt
Other Expenses Included$364,393OtherExpensesIncludedAmt
Expenses Not Reported$364,393ExpensesNotReportedAmt
Expenses Subtotal$1,977,073ExpensesSubtotalAmt
Total Expenses Per Form990$1,977,073TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, SCHEDULE D, PART X, LINE 2MANAGEMENT HAS EVALUATED THEIR INCOME TAX POSITIONS UNDER THE GUIDANCE INCLUDED IN ASC 740. BASED ON THEIR REVIEW, MANAGEMENT HAS NOT IDENTIFIED ANY MATERIAL UNCERTAIN TAX POSITIONS TO BE RECORDED OR DISCLOSED IN THE FINANCIAL STATEMENTS.
FORM 990, SCHEDULE D, PART XI, LINE 2DRENTAL EXPENSES $34,082 GAMING EXPENSES $54,376 FUNDRAISING EXPENSE $275,935 ---------- TOTAL $364,393
FORM 990, SCHEDULE D, PART XII, LINE 2DRENTAL EXPENSES $34,082 GAMING EXPENSES $54,376 FUNDRAISING EXPENSE $275,935 ---------- TOTAL $364,393

Schedule G IRS990ScheduleG

FieldValueIRS element (for citing)
Email SolicitationsYes (X)EmailSolicitationsInd
In Person SolicitationsYes (X)InPersonSolicitationsInd
Solicitation Of Non Govt GrantsYes (X)SolicitationOfNonGovtGrantsInd
Special Fundraising EventsYes (X)SpecialFundraisingEventsInd
Agrmt Prof Fundraising ActyYes (true)AgrmtProfFundraisingActyInd

Fundraiser Activity Info FundraiserActivityInfoGrp

FieldValueIRS element (for citing)
PersonDINI SPHERES INCPersonNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line12727 ALLEN PKWY 1650AddressLine1Txt
CityHOUSTONCityNm
State AbbreviationTXStateAbbreviationCd
ZIP77019ZIPCd
FieldValueIRS element (for citing)
ActivityFUNDRAISING CONSULTANTActivityTxt
Fundraiser Control Of FundsfalseFundraiserControlOfFundsInd
Gross Receipts$774,294GrossReceiptsAmt
Retained By Contractor$100,673RetainedByContractorAmt
Net To Organization$673,621NetToOrganizationAmt
FieldValueIRS element (for citing)
Total Gross Receipts$774,294TotalGrossReceiptsAmt
Total Retained By Contractors$100,673TotalRetainedByContractorsAmt
Total Net To Organization$673,621TotalNetToOrganizationAmt
Licensed StatesARLicensedStatesCd

Fundraising Event Information FundraisingEventInformationGrp

FieldValueIRS element (for citing)
Event1DUCK DERBYEvent1Nm
Gross Receipts Event1$385,383GrossReceiptsEvent1Amt
Charitable Contri Event1$233,923CharitableContriEvent1Amt
Gross Revenue Event1$151,460GrossRevenueEvent1Amt
Cash Prizes Event1$9,950CashPrizesEvent1Amt
Non Cash Prizes Event1$799NonCashPrizesEvent1Amt
Rent Facility Costs Event1$10,090RentFacilityCostsEvent1Amt
Food And Beverage Event1$12,091FoodAndBeverageEvent1Amt
Entertainment Event1$800EntertainmentEvent1Amt
Other Direct Expenses Event1$209,897OtherDirectExpensesEvent1Amt
Event2DAZZLE DAZEEvent2Nm
Gross Receipts Event2$100,555GrossReceiptsEvent2Amt
Charitable Contri Event2$62,620CharitableContriEvent2Amt
Gross Revenue Event2$37,935GrossRevenueEvent2Amt
Rent Facility Costs Event2$515RentFacilityCostsEvent2Amt
Food And Beverage Event2$116FoodAndBeverageEvent2Amt
Entertainment Event2$2,892EntertainmentEvent2Amt
Other Direct Expenses Event2$16,197OtherDirectExpensesEvent2Amt
Other Events Total0OtherEventsTotalCnt
Gross Receipts Other Events$16,028GrossReceiptsOtherEventsAmt
Charitable Contri Other Events$4,450CharitableContriOtherEventsAmt
Gross Revenue Other Events$11,578GrossRevenueOtherEventsAmt
Rent Fclty Costs Other Events$350RentFcltyCostsOtherEventsAmt
Oth Direct Expnss Other Events$12,238OthDirectExpnssOtherEventsAmt
Gross Receipts Total$501,966GrossReceiptsTotalAmt
Charitable Contributions Tot$300,993CharitableContributionsTotAmt
Gross Revenue Total Events$200,973GrossRevenueTotalEventsAmt
Cash Prizes Total Events$9,950CashPrizesTotalEventsAmt
Non Cash Prizes Total Events$799NonCashPrizesTotalEventsAmt
Rent Fclty Costs Total Events$10,955RentFcltyCostsTotalEventsAmt
Food And Beverage Total Events$12,207FoodAndBeverageTotalEventsAmt
Entertainment Total Events$3,692EntertainmentTotalEventsAmt
Oth Direct Expnss Total Events$238,332OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events$275,935DirectExpenseSummaryEventsAmt
Net Income Summary-$74,962NetIncomeSummaryAmt

Gaming Information GamingInformationGrp

FieldValueIRS element (for citing)
Volunteer Labor BingofalseVolunteerLaborBingoInd
Volunteer Labor Pull TabsfalseVolunteerLaborPullTabsInd
Gross Revenue Other Gaming$57,340GrossRevenueOtherGamingAmt
Cash Prizes Other Gaming$1,000CashPrizesOtherGamingAmt
Non Cash Prizes Other Gaming$53,376NonCashPrizesOtherGamingAmt
Volunteer Labor Other GamingYes (true)VolunteerLaborOtherGamingInd
Volunteer Labor Other Gaming1.00000VolunteerLaborOtherGamingPct
Gross Revenue Total Gaming$57,340GrossRevenueTotalGamingAmt
Cash Prizes Total Gaming$1,000CashPrizesTotalGamingAmt
Non Cash Prizes Total Gaming$53,376NonCashPrizesTotalGamingAmt
Direct Expense Summary Gaming$54,376DirectExpenseSummaryGamingAmt
Net Gaming Income Summary$2,964NetGamingIncomeSummaryAmt
FieldValueIRS element (for citing)
States Where Gaming ConductedARStatesWhereGamingConductedCd
LicensedYes (true)LicensedInd
License Suspended EtcfalseLicenseSuspendedEtcInd
Gaming With NonmembersYes (true)GamingWithNonmembersInd
Member Of Other EntityfalseMemberOfOtherEntityInd
Gaming Own Facility0.50000GamingOwnFacilityPct
Gaming Other Facility0.50000GamingOtherFacilityPct
Individual With BooksMARLA HAMBUCHENIndividualWithBooksNm

Persons With Books US Address PersonsWithBooksUSAddress

FieldValueIRS element (for citing)
Address Line12302 COLLEGE AVENUEAddressLine1Txt
CityCONWAYCityNm
State AbbreviationARStateAbbreviationCd
ZIP72034ZIPCd
FieldValueIRS element (for citing)
Cntrct With3rd Prty For Game RevfalseCntrctWith3rdPrtyForGameRevInd
Gaming Manager PersonMARLA HAMBUCHENGamingManagerPersonNm
Gaming Manager Compensation$67,572GamingManagerCompensationAmt
Gaming Manager Services ProvRECORDKEEPING, MONEY COUNTINGGamingManagerServicesProvTxt
Gaming Manager Is EmployeeYes (X)GamingManagerIsEmployeeInd
Charitable Distribution RqrYes (true)CharitableDistributionRqrInd
Distributed$2,964DistributedAmt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceFORM 990, SCHEDULE G, PART III, LINE 16FormAndLineReferenceDesc
ExplanationMARLA HAMBUCHEN, GAMING MANAGER, IS AN EMPLOYEE OF CONWAY REGIONAL MEDICAL CENTER, A RELATED ENTITY.ExplanationTxt

Schedule I IRS990ScheduleI

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

Recipient Table RecipientTable

Recipient Business Name RecipientBusinessName

FieldValueIRS element (for citing)
Business Name Line1THE UCA FOUNDATIONBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1201 DONAGHEY AVENUEAddressLine1Txt
CityCONWAYCityNm
State AbbreviationARStateAbbreviationCd
ZIP72034ZIPCd
FieldValueIRS element (for citing)
Recipient EIN710550590RecipientEIN
IRC Section501(C)(3)IRCSectionDesc
Cash Grant$90,000CashGrantAmt
Valuation Method UsedN/AValuationMethodUsedDesc
Non Cash AssistanceN/ANonCashAssistanceDesc
Purpose Of GrantGENERAL SUPPORTPurposeOfGrantTxt
FieldValueIRS element (for citing)
Total501c3 Org1Total501c3OrgCnt

Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp (2 entries)

Grant TypeGrantTypeTxtRecipientRecipientCntCash GrantCashGrantAmtValuation Method UsedValuationMethodUsedDescNon Cash AssistanceNonCashAssistanceDesc
SCHOLARSHIPS15$27,000N/AN/A
BENEVOLENCE9$10,287N/AN/A

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE I, PART I, LINE 2FormAndLineReferenceDesc
ExplanationTHE FOUNDATION AWARDS COLLEGE SCHOLARSHIPS TO RECIPIENTS WHO ARE SELECTED BY A DIVERSE SCHOLARSHIP COMMITTEE. WINNERS ARE SELECTED BASED ON ACADEMIC SUCCESS, FINANCIAL NEED, ESSAY SCORES, AND INTERVIEW SCORES.ExplanationTxt

Schedule M IRS990ScheduleM

Works Of Art WorksOfArtGrp

FieldValueIRS element (for citing)
Non Cash CheckboxYes (X)NonCashCheckboxInd
Contribution1ContributionCnt
Noncash Contributions Rpt F990$54NoncashContributionsRptF990Amt
Method Of Determining RevenuesfmvMethodOfDeterminingRevenuesTxt
FieldValueIRS element (for citing)
Art Historical TreasuresArtHistoricalTreasuresGrp
Art Fractional InterestArtFractionalInterestGrp

Books And Publications BooksAndPublicationsGrp

FieldValueIRS element (for citing)
Non Cash CheckboxYes (X)NonCashCheckboxInd
Noncash Contributions Rpt F990$45NoncashContributionsRptF990Amt
Method Of Determining RevenuesfmvMethodOfDeterminingRevenuesTxt

Clothing And Household Goods ClothingAndHouseholdGoodsGrp

FieldValueIRS element (for citing)
Non Cash CheckboxYes (X)NonCashCheckboxInd
Noncash Contributions Rpt F990$13,595NoncashContributionsRptF990Amt
Method Of Determining RevenuesfmvMethodOfDeterminingRevenuesTxt
FieldValueIRS element (for citing)
Cars And Other VehiclesCarsAndOtherVehiclesGrp
Boats And PlanesBoatsAndPlanesGrp
Intellectual PropertyIntellectualPropertyGrp
Securities Publicly TradedSecuritiesPubliclyTradedGrp
Securities Closely Held StockSecuritiesCloselyHeldStockGrp
Secur Prtnrshp Trust IntrstsSecurPrtnrshpTrustIntrstsGrp
Securities MiscellaneousSecuritiesMiscellaneousGrp
Qualified Contrib Hist StructQualifiedContribHistStructGrp
Qualified Contrib OtherQualifiedContribOtherGrp
Real Estate ResidentialRealEstateResidentialGrp
Real Estate CommercialRealEstateCommercialGrp

Real Estate Other RealEstateOtherGrp

FieldValueIRS element (for citing)
Non Cash CheckboxYes (X)NonCashCheckboxInd
Contribution6ContributionCnt
Noncash Contributions Rpt F990$7,200NoncashContributionsRptF990Amt
Method Of Determining RevenuesFMVMethodOfDeterminingRevenuesTxt
FieldValueIRS element (for citing)
CollectiblesCollectiblesGrp

Food Inventory FoodInventoryGrp

FieldValueIRS element (for citing)
Non Cash CheckboxYes (X)NonCashCheckboxInd
Contribution28ContributionCnt
Noncash Contributions Rpt F990$16,988NoncashContributionsRptF990Amt
Method Of Determining RevenuesfmvMethodOfDeterminingRevenuesTxt

Drugs And Medical Supplies DrugsAndMedicalSuppliesGrp

FieldValueIRS element (for citing)
Non Cash CheckboxYes (X)NonCashCheckboxInd
Contribution14ContributionCnt
Noncash Contributions Rpt F990$27,455NoncashContributionsRptF990Amt
Method Of Determining RevenuesfmvMethodOfDeterminingRevenuesTxt
FieldValueIRS element (for citing)
TaxidermyTaxidermyGrp
Historical ArtifactsHistoricalArtifactsGrp
Scientific SpecimensScientificSpecimensGrp
Archaeological ArtifactsArchaeologicalArtifactsGrp

Other Non Cash Contri Table OtherNonCashContriTableGrp (2 entries)

Non Cash CheckboxNonCashCheckboxIndDescDescContributionContributionCntNoncash Contributions Rpt F990NoncashContributionsRptF990AmtMethod Of Determining RevenuesMethodOfDeterminingRevenuesTxt
Yes (X)SPA TREATMENTS3$14,915FMV
Yes (X)COATALL1$27FMV
FieldValueIRS element (for citing)
Any Property That Must Be HeldfalseAnyPropertyThatMustBeHeldInd
Review Process Unusual NC GiftsYes (true)ReviewProcessUnusualNCGiftsInd
Third Parties UsedYes (true)ThirdPartiesUsedInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE M, PART I, LINE 32BFormAndLineReferenceDesc
ExplanationAN AUCTIONEER DONATED SERVICES AT THE ARKANSAS DUCK DERBY TO ASSIST IN AUCTIONING OFF DONATED GIFTS IN KIND. ADDITIONALLY, A COMPANY DINISPHERES SERVES AS AN EXPERT FUNDRAISING CONSULTANT TO ASSIST IN THE DEVELOPMENT AND EXECUTION OF A CAPITAL CAMPAIGN STRATEGY.ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (7 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 6THE CORPORATION SHALL HAVE ONE CLASS OF STOCK AND ONE STOCKHOLDER ONLY, WHICH SHALL BE CONWAY REGIONAL MEDICAL CENTER, INC., AN ARKANSAS NONPROFIT CORPORATION. ALL OF THE BUSINESS AND AFFAIRS OF THE CORPORATION SHALL BE MANAGED AND CONTROLLED BY THE STOCKHOLDER.
FORM 990, PART VI, SECTION B, LINE 11BTHE FORM 990 IS REVIEWED BY THE TREASURER AND THE PRESIDENT OF THE ORGANIZATION. THE FORM 990 IS THEN PRESENTED TO ALL MEMBERS OF THE GOVERNING BODY OF THE ORGANIZATION FOR REVIEW.
FORM 990, PART VI, SECTION B, LINE 12CEACH BOARD MEMBER IS REQUIRED TO COMPLETE A CONFLICT OF INTEREST STATEMENT ANNUALLY. THESE STATEMENTS ARE REVIEWED BY THE CHAIRMAN OF THE BOARD, THE PRESIDENT OF THE ORGANIZATION, AND THE TREASURER OF THE ORGANIZATION.
FORM 990, PART VI, SECTION C, LINE 19THE ORGANIZATION DOES NOT MAKE ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, OR FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC.
FORM 990, PART VII, SECTION ANO RELATED COMPENSATION TO REPORT THIS YEAR, AS OFFICERS ARE PAID BY AN UNRELATED MANAGEMENT COMPANY FOR 2020.
FORM 990, PART XI, LINE 9TRANSFERS TO AFFILIATES ($101,099) NET ASSETS RELEASED FROM RESTRICTIONS $623,221 ---------- TOTAL $522,122
FORM 990 PART IX LINE 24 - OTHER EXPENSESDESCRIPTION:OTHER EXPENSES TOTAL EXPENSES:656739 PROGRAM SERVICES:44710 MANAGEMENT AND GENERAL:11290 FUNDRAISING:600739

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (2 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtControlled OrganizationControlledOrganizationInd
CONWAY REGIONAL MEDICAL CENTER
2302 COLLEGE AVENUECONWAYAR72034710249735HOSPITALAR501(C)(3)3NAfalse
CR HOSPITAL EMPLOYEES' MEDICAL TRUST
2302 COLLEGE AVENUECONWAYAR72034521561768INSURANCEAR501(C)(9)CRMCYes (true)

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp

Related Organization Name RelatedOrganizationName

FieldValueIRS element (for citing)
Business Name Line1CONWAY REGIONAL REHABILITATION HOSPITALBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line12210 ROBINSON AVENUEAddressLine1Txt
CityCONWAYCityNm
State AbbreviationARStateAbbreviationCd
ZIP72034ZIPCd
FieldValueIRS element (for citing)
EIN412136339EIN
Primary ActivitiesREHAB SERVICEPrimaryActivitiesTxt
Legal Domicile StateARLegalDomicileStateCd

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1NABusinessNameLine1Txt
FieldValueIRS element (for citing)
Predominant Income TypeN/APredominantIncomeTypeTxt
Disproportionate AllocationsfalseDisproportionateAllocationsInd
General Or Managing PartnerfalseGeneralOrManagingPartnerInd

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp

Related Organization Name RelatedOrganizationName

FieldValueIRS element (for citing)
Business Name Line1INSTITUTIONAL SERVICES CORPORATIONBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line12302 COLLEGE AVENUEAddressLine1Txt
CityCONWAYCityNm
State AbbreviationARStateAbbreviationCd
ZIP72034ZIPCd
FieldValueIRS element (for citing)
EIN710575886EIN
Primary ActivitiesPROPERTY OWNERSHIPrimaryActivitiesTxt
Legal Domicile StateARLegalDomicileStateCd

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1NABusinessNameLine1Txt
FieldValueIRS element (for citing)
Entity TypeC CORPORATIONEntityTypeTxt
Controlled OrganizationYes (true)ControlledOrganizationInd
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts RyltsfalseReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgfalseGiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgfalseGiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgfalseLoansOrGuaranteesFromOthOrgInd
Div Related OrganizationfalseDivRelatedOrganizationInd
Asset Sale To Other OrgfalseAssetSaleToOtherOrgInd
Asset Purchase From Other OrgfalseAssetPurchaseFromOtherOrgInd
Asset ExchangefalseAssetExchangeInd
Rental Of Facilities To Oth OrgYes (true)RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgfalseRentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgfalsePerformOfServicesForOthOrgInd
Perform Of Services By Other OrgYes (true)PerformOfServicesByOtherOrgInd
Sharing Of FacilitiesYes (true)SharingOfFacilitiesInd
Paid Employees SharingYes (true)PaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (true)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (true)ReimbursementPaidByOtherOrgInd
Transfer To Other OrgYes (true)TransferToOtherOrgInd
Transfer From Other OrgfalseTransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (4 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
CONWAY REGIONAL MEDICAL CENTER
J$477,227FMV
CONWAY REGIONAL REHABILITATION HOSPITAL LLC
J$468,217FMV
CONWAY REGIONAL MEDICAL CENTER
M$409,964FMV
CONWAY REGIONAL MEDICAL CENTER
R$101,099FMV

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceFORM 990, SCHEDULE R, PART V, LINE 2 (2)FormAndLineReferenceDesc
ExplanationDUE TO THE FACT THAT ALL INCOME IS EXEMPT ON CONWAY REGIONAL MEDICAL CENTER'S K-1 FLOWING FROM CONWAY REGIONAL REHABILITATION HOSPITAL, LLC. (CRRH), RENTAL PAYMENTS FROM CRRH ARE NOT CONSIDERED UNRELATED BUSINESS INCOME.ExplanationTxt

Comments

Anonymous: no account or email. Up to 2,000 characters, at most one link. Comments are checked automatically; some wait for review.