2020-08-17T16:54:22-05:00 2019-09-30 Grant Thornton LLP 201 S COLLEGE ST STE 2500 CHARLOTTE NC 28244 990 2018-10-01 571119337 Conway Hospital Community Services % BRIAN ARGO CONW 8433478037 300 SINGLETON RIDGE ROAD CONWAY SC 29526 BRIAN ARGO TREASURER 8433478037 2020-08-17 true Michele N Melchior P00488037 7046323500 68.23.17.128 56917520202305000008 2020-08-17 P 3CB246147D82D6CF537EA83D080ABF80292F9F5B 66BCC08F45C5522280F29D9EF7A99A39E4FFA4D3 2018 2020-09-22 18:59:49Z BRET BARR SAME AS C ABOVE CONWAY SC 29526 22485106 false X WWW.CONWAYMEDICALCENTER.COM X 2001 SC PROVISION OF OUTPATIENT HEALTH CARE SERVICES TO HORRY COUNTY AND THE SURROUNDING COMMUNITY IN CONJUNCTION WITH CONWAY HOSPITAL, INC. 2 0 246 6 0 0 74000 13190 20408148 22471724 -17648 -13089 0 0 20464500 22471825 0 0 0 0 21378219 24651180 0 0 0 5302456 6454482 26680675 31105662 -6216175 -8633837 14713155 12462409 69218567 75601658 -54505412 -63139249 PROVISION OF OUTPATIENT HEALTH CARE SERVICES TO HORRY COUNTY AND THE SURROUNDING COMMUNITY IN CONJUNCTION WITH CONWAY HOSPITAL, INC. false false 28377943 0 22471724 IT 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, 181,585 PATIENTS WERE TREATED BY EMPLOYED PROVIDERS OF THE CORPORATION. 28377943 true true false false false false false false false false true false false false true true false true false false false false false false false false false false false true false false false false false false false false false false false false false true false false false true 23 0 true 246 true false false false false false false false false false false false false X 2 0 true false false false true true true true true false false true true true true true true false true false SC X BRIAN ARGO 8433478037 300 SIGLETON RIDGE ROAD CONWAY SC 29526 BRET BARR PRESIDENT 1.0 43.0 X X 0 569863 81354 BRIAN ARGO TREASURER/SECRETARY 1.0 43.0 X X 0 345250 77682 WARREN RATLEY VICE PRESIDENT 40.0 0.0 X 261262 0 57208 GEORGE SANDOZ MD PHYSICIAN 40.0 0.0 X 484652 0 40114 ANDREW GRESKO PHYSICIAN 40.0 0.0 X 806605 0 40114 HAFEZ HAYEK PHYSICIAN 40.0 0.0 X 632755 0 40114 KEITH WYCHE PHYSICIAN 40.0 0.0 X 464968 0 24643 SAMER CHARBEL PHYSICIAN 40.0 0.0 X 563066 0 40114 DAVID E CRUTCHFIELD FORMER CIO 0.0 0.0 X 0 315105 23466 3213308 1230218 424809 38 true true false MONTEITH CONSTRUCTION CORP 32 N FRONT STREET WILMINGTON NC 28401 CONSTRUCTION 1567065 HARRELL DESIGN GROUP PC 8016 TOWER POINT DRIVE CHARLOTTE NC 28227 Construction 869065 Conway Commercial Cleaning 5786 ADRIAN HWY CONWAY SC 29526 Office Cleaning 149590 SSI GROUP 4721 MORRISON DRIVE MOBILE AL 36609 COLLECTIONS 132620 4 13163 27 13190 NET PATIENT REVENUE 621110 20250320 20250320 0 0 HOSPITAL PHYSICIAN FEES 900099 882826 882826 0 0 PROGRAM RENTAL INCOME 531120 53879 53879 0 ALL OTHER PROGRAM REVENUE 900099 1284699 1284699 0 0 22471724 0 0 0 0 0 0 192 13281 192 -13281 -13089 -13089 0 0 0 0 0 0 0 0 0 0 22471825 22471724 0 -13089 0 0 0 0 405681 405681 0 20752494 19487173 1265321 439081 394745 44336 1965768 1733874 231894 1088156 950403 137753 0 242040 239641 2399 35936 35936 0 0 0 1506770 1149357 357413 787 787 1612463 1588917 23546 12459 504 11955 0 1023884 1012172 11712 9039 4392 4647 0 0 0 0 862622 689723 172899 630606 630606 MEDICAL SUPPLIES 286573 286573 0 0 TRAINING/EDUCATION 52805 46168 6637 0 MINOR EQUIPMENT 53648 50205 3443 0 LICENSES 64557 64276 281 0 60293 48427 11866 31105662 28377943 2727719 0 1246637 1158021 0 0 0 0 772797 1532267 0 0 0 0 0 0 0 0 145291 166702 14148474 4543055 12548430 9605419 0 0 0 0 0 0 0 0 0 0 14713155 12462409 1700822 1861525 0 0 0 0 0 0 0 0 0 0 0 0 0 0 67517745 73740133 69218567 75601658 X -54505412 -63139249 0 0 0 0 -54505412 -63139249 14713155 12462409 -8633837 X false true X true false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 2733008 2733008 7791533 1866637 5924896 2965291 2243015 722276 658642 433403 225239 9605419 0 DUE TO CONWAY HOSPITAL INC. 73740133 73740133 X LIABILITY FOR UNCERTAIN TAX POSITION (ASC 740) SCHEDULE D, PART X, LINE 2 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, 2019, THE TAX YEARS ENDED SEPTEMBER 30, 2019, 2018 AND 2017 FOR FEDERAL JURISDICTION REMAIN OPEN TO EXAMINATION. true true false false false false false false false BRET BARR PRESIDENT 0 417368 0 125631 0 26864 0 47978 0 33376 0 651217 0 0 WARREN RATLEY VICE PRESIDENT 192935 0 42372 0 25955 0 29292 0 27916 0 318470 0 0 0 GEORGE SANDOZ MD PHYSICIAN 361166 0 123486 0 0 0 13750 0 26364 0 524766 0 0 0 ANDREW GRESKO PHYSICIAN 682544 0 124061 0 0 0 13750 0 26364 0 846719 0 0 0 HAFEZ HAYEK PHYSICIAN 569180 0 45075 0 18500 0 13750 0 26364 0 672869 0 0 0 KEITH WYCHE PHYSICIAN 420459 0 44509 0 0 0 13750 0 10893 0 489611 0 0 0 SAMER CHARBEL PHYSICIAN 541716 0 2850 0 18500 0 13750 0 26364 0 603180 0 0 0 BRIAN ARGO TREASURER/SECRETARY 0 287434 0 57816 0 0 0 47251 0 30431 0 422932 0 0 DAVID E CRUTCHFIELD FORMER CIO 0 105412 0 76093 0 133600 0 0 0 23466 0 338571 0 0 SUPPLEMENTAL SEVERANCE PAYMENTS SCHEDULE J, PART I, LINE 4A CONWAY HOSPITAL PROVIDED A SEVERANCE PAYMENT OF $133,600 TO DAVID E. CRUTCHFIELD. THIS AMOUNT IS INCLUDED IN THE WAGES REPORTED ON THIS FORM 990. SUPPLEMENTAL NON-QUALIFIED RETIREMENT PLAN SCHEDULE J, PART I, LINE 4B COMPENSATION FOR KEY EXECUTIVES IS PROVIDED BY RELATED ENTITY CONWAY HOSPITAL, INC. DURING THE YEAR ENDED SEPTEMBER 30, 2019, CONWAY HOSPITAL, INC. AND KEY EXECUTIVES ENTERED INTO 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 EMPLOYEES W-2. BRET BARR $10,084 WARREN RATLEY $ 7,455 BUSINESS RELATIONSHIPS FORM 990, PART VI, SECTION A, LINE 2 BRET BARR AND BRIAN ARGO HAVE A BUSINESS RELATIONSHIP. BOTH ARE OFFICERS OF CONWAY HOSPITAL, INC., THE ORGANIZATION SUPPORTED BY THIS ORGANIZATION. MEMBERS OR STOCKHOLDERS FORM 990, PART VI, SECTION A, LINE 6 CONWAY HOSPITAL, INC. IS THE SOLE MEMBER OF CONWAY HOSPITAL COMMUNITY SERVICES. MEMBERS OR STOCKHOLDERS WHO MAY ELECT FORM 990, PART VI, SECTION A, LINE 7A THE TRUSTEES OF CONWAY HOSPITAL COMMUNITY SERVICES, INC. ARE APPOINTED BY CONWAY HOSPITAL INC.'S BOARD OF TRUSTEES. DECISIONS SUBJECT TO APPROVAL FORM 990, PART VI, SECTION A, LINE 7B 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 REVIEW PROCESS FORM 990, PART VI, SECTION B, LINE 11B 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. CONFLICT OF INTEREST POLICY MONITORING & ENFORCEMENT FORM 990, PART VI, SECTION B, LINE 12C 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. PROCESS FOR DETERMINING COMPENSATION FORM 990, PART VI, SECTION B, LINES 15A & 15B 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. HOW DOCUMENTS ARE MADE AVAILABLE TO THE PUBLIC FORM 990, PART VI, SECTION C, LINE 19 CONWAY HOSPITAL COMMUNITY SERVICES, INC. MAKES ITS FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. CONWAY HOSPITAL INC 300 SINGLETON RIDGE ROAD CONWAY SC 29526 570314381 HEALTHCARE SC 501(c)(3) 3 NA false CONWAY HOSPITAL ANESTHESIA PROF SERVICES 300 SINGLETON RIDGE ROAD CONWAY SC 29526 208817302 ANESTHESIA SC 501(c)(3) 12 A-I CONWAY HOSP false CONWAY HOSPITAL EMERGENCY PROF SERVICES 300 SINGLETON RIDGE ROAD CONWAY SC 29526 208817905 EMERGENCY SC 501(c)(3) 12 A-I CONWAY HOSP false CONWAY LONG-TERM CARE SERVICES INC 300 SINGLETON RIDGE ROAD CONWAY SC 29526 570875232 HEALTHCARE SC 501(c)(3) 3 CONWAY HOSP false MEDICAL PROPERTIES INC 300 SINGLETON RIDGE RD CONWAY SC 29526 570751357 RENTALS SC Conway Hosp C Corp 0 0 false false false false false false false false false false true true false true true true true true true true NOT REQUIRED