2021-11-15T11:54:05-06:00 2020-12-31 BKD LLP PO BOX 3667 LITTLE ROCK AR 722033667 990 2020-01-01 710797723 CONWAY REGIONAL HEALTH FOUNDATION INC % AMY MANION CONTROLLER CONW 5015135184 2302 COLLEGE AVE CONWAY AR 72034 TROY BROOKS CFO 5013293831 2021-11-12 true TROY BROOKS 000000000 AMBER SHERRILL P00748683 5013721040 2 2020 2022-09-23 18:48:47Z TROY BROOKS 2302 COLLEGE AVENUE CONWAY AR 72034 4065284 false X WWW.CONWAYREGIONAL.ORG/ABOUT/FOUNDATION X 1994 AR THE PURPOSE OF CONWAY REGIONAL HEALTH FOUNDATION, INC. IS TO FOSTER SUPPORT, ENCOURAGE ACTIVITIES, AND ADVANCE THE OBJECTIVES OF CONWAY REGIONAL MEDICAL CENTER, INC. 10 9 0 57 0 0 675959 2374478 834863 955402 401265 153421 134080 217590 2046167 3700891 131597 127287 0 0 800 0 0 100673 1169092 1718078 1749113 1850475 1977073 195692 1723818 14129086 16345846 212325 183145 13916761 16162701 THE PURPOSE OF CONWAY REGIONAL HEALTH FOUNDATION, INC. IS TO FOSTER SUPPORT, ENCOURAGE ACTIVITIES, AND ADVANCE THE OBJECTIVES OF CONWAY REGIONAL MEDICAL CENTER, INC. false false 670745 127287 955402 TO PROVIDE FINANCIAL AID TO CONWAY REGIONAL MEDICAL CENTER, INC. TO SUPPORT PATIENT CARE, PROGRAMS, AND SERVICES. 670745 true true false false false false false false false false true false false true true false false true false false false false false true true true false true true false false false false false false false false false true false false false false true true true false false true 21 2 true 0 false false false false true true true true false false false false false false false X 10 9 false false false false true false false true true false false true true true true true true false false false AR X AMY MANION CONTROLLER 5015135184 2302 COLLEGE AVE CONWAY AR 72034 X ANDREW COLE MD BOARD MEMBER 1.0 1.0 X 0 40957 0 THAD HARDIN MD BOARD MEMBER 1.0 1.0 X 0 37276 0 ANDREA WOODS JD CHAIRMAN 1.0 1.0 X X 0 1618 0 CORNELL MALTBIA BOARD MEMBER 1.0 1.0 X 0 1618 0 JEFF STANDRIDGE BOARD MEMBER 1.0 1.0 X 0 1618 0 WAYNE COX BOARD MEMBER 1.0 1.0 X 0 1437 0 TOM POE BOARD MEMBER 1.0 1.0 X 0 1353 0 JIM RANKIN JR JD VICE CHAIR 1.0 1.0 X X 0 684 0 BARBARA WILLIAMS PHD RN BOARD MEMBER 1.0 1.0 X 0 84 0 MATTHEW TROUP CHIEF EXECUTIVE OFFICER 1.0 40.0 X X 0 0 0 ALAN FINLEY CHIEF OPERATING OFFICER 1.0 40.0 X 0 0 0 ANGIE LONGING CHIEF NURSING OFFICER 1.0 40.0 X 0 0 0 TROY BROOKS CHIEF FINANCIAL OFFICER 1.0 40.0 X 0 0 0 0 86645 0 0 false false false 0 280 300993 2073205 80279 2374478 MEDICAL OFFICE BUILDING RENTAL INCOME 531120 955402 955402 955402 153421 153421 0 0 34910 34082 828 0 828 828 0 200973 300993 275935 -74962 -74962 57340 54376 2964 2964 0 0 0 All Other Misc Revenue 288760 288760 288760 288760 288760 3700891 955402 371011 X 90000 90000 37287 37287 0 0 0 0 0 0 0 0 412728 412728 0 0 0 100673 100673 0 35261 35261 0 8771 8771 0 0 369903 295326 74577 3547 3547 0 0 440 440 0 247632 197707 49925 0 REPAIRS & MAINTENANCE 6955 4113 1039 1803 DUES & MEMBERSHIPS 5075 1295 327 3453 FOOD & CATERING 1677 1677 MINOR EQUIPMENT 385 307 78 656739 44710 11290 600739 1977073 670745 137236 1169092 234259 258168 5665165 7675671 0 0 33321 -255 0 0 0 0 0 0 110704 7500 22320 23722 12961943 7884057 5349871 5077886 656482 617503 0 0 0 0 0 0 2056964 2685651 14129086 16345846 203788 170492 0 0 0 0 0 0 0 0 0 0 0 0 0 0 8537 12653 212325 183145 X 12951050 14573769 965711 1588932 13916761 16162701 14129086 16345846 X 1723818 522122 X false true X true false X X 1 CONWAY REGIONAL MEDICAL CENTER 710249735 3 true 0 101099 1 0 101099 true false false false false false false false false false false false false false false true true SCHEDULE A, PART IV, SECTION B, LINE 2 THE 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. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 3226361 3226361 8924961 7199772 1725189 70463 55198 15265 740158 629087 111071 5077886 DEFERRED LEASE 1096719 EXTERNALLY RESTRICTED CASH 1588932 2685651 0 DUE TO AFFILIATES 12653 12653 4065284 364393 364393 3700891 3700891 2341466 364393 364393 1977073 1977073 FORM 990, SCHEDULE D, PART X, LINE 2 MANAGEMENT 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 2D RENTAL EXPENSES $34,082 GAMING EXPENSES $54,376 FUNDRAISING EXPENSE $275,935 ---------- TOTAL $364,393 FORM 990, SCHEDULE D, PART XII, LINE 2D RENTAL EXPENSES $34,082 GAMING EXPENSES $54,376 FUNDRAISING EXPENSE $275,935 ---------- TOTAL $364,393 X X X X true DINI SPHERES INC 2727 ALLEN PKWY 1650 HOUSTON TX 77019 FUNDRAISING CONSULTANT false 774294 100673 673621 774294 100673 673621 AR DUCK DERBY 385383 233923 151460 9950 799 10090 12091 800 209897 DAZZLE DAZE 100555 62620 37935 515 116 2892 16197 0 16028 4450 11578 350 12238 501966 300993 200973 9950 799 10955 12207 3692 238332 275935 -74962 false false 57340 1000 53376 true 1.00000 57340 1000 53376 54376 2964 AR true false true false 0.50000 0.50000 MARLA HAMBUCHEN 2302 COLLEGE AVENUE CONWAY AR 72034 false MARLA HAMBUCHEN 67572 RECORDKEEPING, MONEY COUNTING X true 2964 FORM 990, SCHEDULE G, PART III, LINE 16 MARLA HAMBUCHEN, GAMING MANAGER, IS AN EMPLOYEE OF CONWAY REGIONAL MEDICAL CENTER, A RELATED ENTITY. true THE UCA FOUNDATION 201 DONAGHEY AVENUE CONWAY AR 72034 710550590 501(C)(3) 90000 N/A N/A GENERAL SUPPORT 1 SCHOLARSHIPS 15 27000 N/A N/A BENEVOLENCE 9 10287 N/A N/A SCHEDULE I, PART I, LINE 2 THE 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. X 1 54 fmv X 45 fmv X 13595 fmv X 6 7200 FMV X 28 16988 fmv X 14 27455 fmv X SPA TREATMENTS 3 14915 FMV X COATALL 1 27 FMV false true true SCHEDULE M, PART I, LINE 32B AN 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. FORM 990, PART VI, SECTION A, LINE 6 THE 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 11B THE 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 12C EACH 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 19 THE ORGANIZATION DOES NOT MAKE ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, OR FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC. FORM 990, PART VII, SECTION A NO RELATED COMPENSATION TO REPORT THIS YEAR, AS OFFICERS ARE PAID BY AN UNRELATED MANAGEMENT COMPANY FOR 2020. FORM 990, PART XI, LINE 9 TRANSFERS TO AFFILIATES ($101,099) NET ASSETS RELEASED FROM RESTRICTIONS $623,221 ---------- TOTAL $522,122 FORM 990 PART IX LINE 24 - OTHER EXPENSES DESCRIPTION:OTHER EXPENSES TOTAL EXPENSES:656739 PROGRAM SERVICES:44710 MANAGEMENT AND GENERAL:11290 FUNDRAISING:600739 CONWAY REGIONAL MEDICAL CENTER 2302 COLLEGE AVENUE CONWAY AR 72034 710249735 HOSPITAL AR 501(C)(3) 3 NA false CR HOSPITAL EMPLOYEES' MEDICAL TRUST 2302 COLLEGE AVENUE CONWAY AR 72034 521561768 INSURANCE AR 501(C)(9) CRMC true CONWAY REGIONAL REHABILITATION HOSPITAL 2210 ROBINSON AVENUE CONWAY AR 72034 412136339 REHAB SERVICE AR NA N/A false false INSTITUTIONAL SERVICES CORPORATION 2302 COLLEGE AVENUE CONWAY AR 72034 710575886 PROPERTY OWNERSHI AR NA C CORPORATION true false false false false false false false false false true false false true true true true true true false CONWAY REGIONAL MEDICAL CENTER J 477227 FMV CONWAY REGIONAL REHABILITATION HOSPITAL LLC J 468217 FMV CONWAY REGIONAL MEDICAL CENTER M 409964 FMV CONWAY REGIONAL MEDICAL CENTER R 101099 FMV FORM 990, SCHEDULE R, PART V, LINE 2 (2) DUE 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.