CONWAY REGIONAL HEALTH FOUNDATION INC: Form 990, tax year 2019

View the entire original 990 at ProPublica ↗

Organization
CONWAY REGIONAL HEALTH FOUNDATION INC (EIN 71-0797723)
Tax period
2019-01-01 to 2019-12-31
Filed
2020-11-13
IRS object ID
202013189349303616
Schema version
2019v5.1
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)
Return2020-11-13T10:16:58-06:00ReturnTs
Tax Period End2019-12-31TaxPeriodEndDt

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 Begin2019-01-01TaxPeriodBeginDt

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
Phone5013293831PhoneNum

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
Signature2020-11-12SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonAMBER SHERRILLPreparerPersonNm
PTINP00748683PTIN
Phone5013721040PhoneNum

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address167.68.126.162IPv4AddressTxt
FieldValueIRS element (for citing)
Federal Original Submission Id71015520203185000001FederalOriginalSubmissionId
Federal Original Submission Id2020-11-13FederalOriginalSubmissionIdDt
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device Id5C78A0EB25468B4AA4B79E764D8782665D95DC96AtSubmissionCreationDeviceId
At Submission Filing Device IdCC61051F674196C1A7C00C4FC8A1F1691B9B2D69AtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2019TaxYr
Build TS2021-01-29 14:40:06ZBuildTS

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$2,559,298GrossReceiptsAmt
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 Volunteers181TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
PY Contributions Grants$220,763PYContributionsGrantsAmt
CY Contributions Grants$675,959CYContributionsGrantsAmt
PY Program Service Revenue$1,615,470PYProgramServiceRevenueAmt
CY Program Service Revenue$834,863CYProgramServiceRevenueAmt
PY Investment Income$157,060PYInvestmentIncomeAmt
CY Investment Income$401,265CYInvestmentIncomeAmt
PY Other Revenue$106,036PYOtherRevenueAmt
CY Other Revenue$134,080CYOtherRevenueAmt
PY Total Revenue$2,099,329PYTotalRevenueAmt
CY Total Revenue$2,046,167CYTotalRevenueAmt
PY Grants And Similar Paid$108,473PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$131,597CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$0PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$800CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$701,869CYTotalFundraisingExpenseAmt
PY Other Expenses$1,965,677PYOtherExpensesAmt
CY Other Expenses$1,718,078CYOtherExpensesAmt
PY Total Expenses$2,074,150PYTotalExpensesAmt
CY Total Expenses$1,850,475CYTotalExpensesAmt
PY Revenues Less Expenses$25,179PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$195,692CYRevenuesLessExpensesAmt
Total Assets BOY$14,178,562TotalAssetsBOYAmt
Total Assets EOY$14,129,086TotalAssetsEOYAmt
Total Liabilities BOY$195,164TotalLiabilitiesBOYAmt
Total Liabilities EOY$212,325TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$13,983,398NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$13,916,761NetAssetsOrFundBalancesEOYAmt
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$932,822ExpenseAmt
Grant$131,597GrantAmt
Revenue$834,863RevenueAmt
DescTO PROVIDE FINANCIAL AID TO CONWAY REGIONAL MEDICAL CENTER, INC. TO SUPPORT PATIENT CARE, PROGRAMS, AND SERVICES.Desc
Total Program Service Expenses$932,822TotalProgramServiceExpensesAmt
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 FundraisingfalseProfessionalFundraisingInd
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 ContributionYes (true)DeductibleArtContributionInd
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 Document28IRPDocumentCnt
IRP Document W2 G4IRPDocumentW2GCnt
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$18,247$0
CORNELL MALTBIA
BOARD MEMBER1.01.0Yes (X)$0$2,578$0
WAYNE COX
BOARD MEMBER1.01.0Yes (X)$800$1,563$0
JEFF STANDRIDGE
BOARD MEMBER1.01.0Yes (X)$0$1,980$0
THAD HARDIN MD
BOARD MEMBER1.01.0Yes (X)$0$1,674$0
ANDREA WOODS JD
CHAIRMAN1.01.0Yes (X)$0$1,326$0Yes (X)
TOM POE
BOARD MEMBER1.01.0Yes (X)$0$1,311$0
MATTHEW TROUP
CHIEF EXECUTIVE OFFICER1.040.0Yes (X)$0$1,067$0Yes (X)
BARBARA WILLIAMS PHD
BOARD MEMBER1.01.0Yes (X)$0$855$0
JIM RANKIN JR JD
VICE CHAIR1.01.0Yes (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$800TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$30,601TotReportableCompRltdOrgAmt
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$3,095MembershipDuesAmt
Fundraising$251,791FundraisingAmt
All Other Contributions$421,073AllOtherContributionsAmt
Noncash Contributions$67,888NoncashContributionsAmt
Total Contributions$675,959TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

FieldValueIRS element (for citing)
DescMEDICAL OFFICE BUILDING RENTAL INCOMEDesc
Business621110BusinessCd
Total Revenue Column$834,863TotalRevenueColumnAmt
Related Or Exempt Func Income$834,863RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$834,863TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$265,276TotalRevenueColumnAmt
Exclusion$265,276ExclusionAmt

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$117,731RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$42,354RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$75,377RealAmt
Personal$0PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$75,377TotalRevenueColumnAmt
Exclusion$75,377ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Other$138,989OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Other$138,989OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$135,989TotalRevenueColumnAmt
Exclusion$135,989ExclusionAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$448,600FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event$251,791ContriRptFundraisingEventAmt
Fundraising Direct Expenses$426,147FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column$22,453TotalRevenueColumnAmt
Exclusion$22,453ExclusionAmt
FieldValueIRS element (for citing)
Gaming Gross Income$80,880GamingGrossIncomeAmt
Gaming Direct Expenses$44,630GamingDirectExpensesAmt

Net Income From Gaming NetIncomeFromGamingGrp

FieldValueIRS element (for citing)
Total Revenue Column$36,250TotalRevenueColumnAmt
Exclusion$36,250ExclusionAmt
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
FieldValueIRS element (for citing)
Other Revenue Total$0OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$2,046,167TotalRevenueColumnAmt
Related Or Exempt Func Income$834,863RelatedOrExemptFuncIncomeAmt
Exclusion$535,345ExclusionAmt
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$41,597TotalAmt
Program Services$41,597ProgramServicesAmt

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$800TotalAmt
Management And General$800ManagementAndGeneralAmt

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$153,228TotalAmt
Program Services$0ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$153,228FundraisingAmt

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$0TotalAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$118,016TotalAmt
Program Services$0ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$118,016FundraisingAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$215TotalAmt
Fundraising$215FundraisingAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$18,664TotalAmt
Fundraising$18,664FundraisingAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Royalties RoyaltiesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$630,826TotalAmt
Program Services$495,795ProgramServicesAmt
Management And General$133,031ManagementAndGeneralAmt
Fundraising$2,000FundraisingAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$6,473TotalAmt
Fundraising$6,473FundraisingAmt

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$0TotalAmt

Payments To Affiliates PaymentsToAffiliatesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$373,139TotalAmt
Program Services$294,199ProgramServicesAmt
Management And General$78,940ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtFundraisingFundraisingAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
BAD DEBT EXPENSE$7,915$7,915
FOOD & CATERING$2,901$2,901
DUES & MEMBERSHIPS$2,067$445$1,279$343
.$0

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$404,634TotalAmt
Program Services$9,952ProgramServicesAmt
Management And General$2,670ManagementAndGeneralAmt
Fundraising$392,012FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$1,850,475TotalAmt
Program Services$932,822ProgramServicesAmt
Management And General$215,784ManagementAndGeneralAmt
Fundraising$701,869FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$104,567BOYAmt
EOY$234,259EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$5,675,312BOYAmt
EOY$5,665,165EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

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

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$38,130BOYAmt
EOY$33,321EOYAmt

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$50,012BOYAmt
EOY$110,704EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$31,244BOYAmt
EOY$22,320EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$15,117,236LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$9,767,365LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$5,838,825BOYAmt
EOY$5,349,871EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$641,780BOYAmt
EOY$656,482EOYAmt

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$1,798,692BOYAmt
EOY$2,056,964EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$14,178,562BOYAmt
EOY$14,129,086EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$195,164BOYAmt
EOY$203,788EOYAmt

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$0BOYAmt
EOY$8,537EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$195,164BOYAmt
EOY$212,325EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$13,286,822BOYAmt
EOY$12,951,050EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$696,576BOYAmt
EOY$965,711EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$13,983,398BOYAmt
EOY$13,916,761EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$14,178,562BOYAmt
EOY$14,129,086EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$195,692ReconcilationRevenueExpnssAmt
Donated Services And Use Fclts$120,250DonatedServicesAndUseFcltsAmt
Other Changes In Net Assets-$382,579OtherChangesInNetAssetsAmt
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$0OtherSupportAmt
FieldValueIRS element (for citing)
Supported Organizations Total1SupportedOrganizationsTotalCnt

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$3,229,358OtherCostOrOtherBasisAmt
Book Value$3,229,358BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$10,875,450OtherCostOrOtherBasisAmt
Depreciation$8,953,721DepreciationAmt
Book Value$1,921,729BookValueAmt
FieldValueIRS element (for citing)
Leasehold ImprovementsLeaseholdImprovementsGrp

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$70,463OtherCostOrOtherBasisAmt
Depreciation$54,249DepreciationAmt
Book Value$16,214BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$941,965OtherCostOrOtherBasisAmt
Depreciation$759,395DepreciationAmt
Book Value$182,570BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$5,349,871TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (3 entries)

DescDescBook ValueBookValueAmt
DEFERRED LEASE$1,068,981
EXTERNALLY RESTRICTED CASH$965,711
DUE FROM AFFILIATES$22,272
FieldValueIRS element (for citing)
Total Book Value Other Assets$2,056,964TotalBookValueOtherAssetsAmt
Federal Income Tax Liability$0FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp

FieldValueIRS element (for citing)
DescDUE TO AFFILIATESDesc
Amt$8,537Amt
FieldValueIRS element (for citing)
Total Liability$8,537TotalLiabilityAmt
Total Rev Etc Audited Fincl Stmt$2,543,559TotalRevEtcAuditedFinclStmtAmt
Donated Services And Use Fclts$120,250DonatedServicesAndUseFcltsAmt
Other Revenue$513,131OtherRevenueAmt
Revenue Not Reported$633,381RevenueNotReportedAmt
Revenue Subtotal$1,910,178RevenueSubtotalAmt
Other Revenues Not Included$135,989OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt$135,989RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$2,046,167TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$2,227,617TotExpnsEtcAuditedFinclStmtAmt
Other Expenses Included$513,131OtherExpensesIncludedAmt
Expenses Not Reported$513,131ExpensesNotReportedAmt
Expenses Subtotal$1,714,486ExpensesSubtotalAmt
Other Expenses Not Included$135,989OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt$135,989ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$1,850,475TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (5 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 $42,354 GAMING EXPENSES $44,630 FUNDRAISING EXPENSES $426,147 ---------- TOTAL $513,131
FORM 990, SCHEDULE D, PART XI, LINE 4BGAIN ON SALE OF ASSET $135,989
FORM 990, SCHEDULE D, PART XII, LINE 2DRENTAL EXPENSES $42,354 GAMING EXPENSES $44,630 FUNDRAISING EXPENSES $426,147 ---------- TOTAL $513,131
FORM 990, SCHEDULE D, PART XII, LINE 4BGAIN ON SALE OF ASSET $135,989

Schedule G IRS990ScheduleG

Fundraising Event Information FundraisingEventInformationGrp

FieldValueIRS element (for citing)
Event1DAZZLE DAZEEvent1Nm
Gross Receipts Event1$320,131GrossReceiptsEvent1Amt
Charitable Contri Event1$132,875CharitableContriEvent1Amt
Gross Revenue Event1$187,256GrossRevenueEvent1Amt
Cash Prizes Event1$49,109CashPrizesEvent1Amt
Non Cash Prizes Event1$24,109NonCashPrizesEvent1Amt
Rent Facility Costs Event1$11,044RentFacilityCostsEvent1Amt
Food And Beverage Event1$7,058FoodAndBeverageEvent1Amt
Other Direct Expenses Event1$152,069OtherDirectExpensesEvent1Amt
Event2DUCK DERBYEvent2Nm
Gross Receipts Event2$262,110GrossReceiptsEvent2Amt
Charitable Contri Event2$104,266CharitableContriEvent2Amt
Gross Revenue Event2$157,844GrossRevenueEvent2Amt
Cash Prizes Event2$6,563CashPrizesEvent2Amt
Non Cash Prizes Event2$6,636NonCashPrizesEvent2Amt
Rent Facility Costs Event2$5,189RentFacilityCostsEvent2Amt
Food And Beverage Event2$5,856FoodAndBeverageEvent2Amt
Entertainment Event2$750EntertainmentEvent2Amt
Other Direct Expenses Event2$120,654OtherDirectExpensesEvent2Amt
Other Events Total2OtherEventsTotalCnt
Gross Receipts Other Events$118,150GrossReceiptsOtherEventsAmt
Charitable Contri Other Events$14,650CharitableContriOtherEventsAmt
Gross Revenue Other Events$103,500GrossRevenueOtherEventsAmt
Cash Prizes Other Events$5,400CashPrizesOtherEventsAmt
Non Cash Prizes Other Events$9,514NonCashPrizesOtherEventsAmt
Rent Fclty Costs Other Events$8,240RentFcltyCostsOtherEventsAmt
Food And Beverage Other Events$5,304FoodAndBeverageOtherEventsAmt
Oth Direct Expnss Other Events$8,652OthDirectExpnssOtherEventsAmt
Gross Receipts Total$700,391GrossReceiptsTotalAmt
Charitable Contributions Tot$251,791CharitableContributionsTotAmt
Gross Revenue Total Events$448,600GrossRevenueTotalEventsAmt
Cash Prizes Total Events$61,072CashPrizesTotalEventsAmt
Non Cash Prizes Total Events$40,259NonCashPrizesTotalEventsAmt
Rent Fclty Costs Total Events$24,473RentFcltyCostsTotalEventsAmt
Food And Beverage Total Events$18,218FoodAndBeverageTotalEventsAmt
Entertainment Total Events$750EntertainmentTotalEventsAmt
Oth Direct Expnss Total Events$281,375OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events$426,147DirectExpenseSummaryEventsAmt
Net Income Summary$22,453NetIncomeSummaryAmt

Gaming Information GamingInformationGrp

FieldValueIRS element (for citing)
Volunteer Labor BingofalseVolunteerLaborBingoInd
Volunteer Labor Pull TabsfalseVolunteerLaborPullTabsInd
Gross Revenue Other Gaming$80,880GrossRevenueOtherGamingAmt
Cash Prizes Other Gaming$2,000CashPrizesOtherGamingAmt
Non Cash Prizes Other Gaming$29,990NonCashPrizesOtherGamingAmt
Oth Direct Expnss Other Gaming$12,640OthDirectExpnssOtherGamingAmt
Volunteer Labor Other GamingYes (true)VolunteerLaborOtherGamingInd
Volunteer Labor Other Gaming1.00000VolunteerLaborOtherGamingPct
Gross Revenue Total Gaming$80,880GrossRevenueTotalGamingAmt
Cash Prizes Total Gaming$2,000CashPrizesTotalGamingAmt
Non Cash Prizes Total Gaming$29,990NonCashPrizesTotalGamingAmt
Oth Direct Expnss Total Gaming$12,640OthDirectExpnssTotalGamingAmt
Direct Expense Summary Gaming$44,630DirectExpenseSummaryGamingAmt
Net Gaming Income Summary$36,250NetGamingIncomeSummaryAmt
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$52,671GamingManagerCompensationAmt
Gaming Manager Services ProvRECORDKEEPING, MONEY COUNTINGGamingManagerServicesProvTxt
Gaming Manager Is EmployeeYes (X)GamingManagerIsEmployeeInd
Gaming Manager Is Ind CntrctYes (X)GamingManagerIsIndCntrctInd
Charitable Distribution RqrYes (true)CharitableDistributionRqrInd
Distributed$36,250DistributedAmt

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. SHE BECAME AN EMPLOYEE IN APRIL 2019.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
SCHOLARSHIPS13$22,500N/AN/A
BENEVOLENCE17$19,097N/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
Contribution4ContributionCnt
Noncash Contributions Rpt F990$3,500NoncashContributionsRptF990Amt
Method Of Determining RevenuesFMVMethodOfDeterminingRevenuesTxt
FieldValueIRS element (for citing)
Art Historical TreasuresArtHistoricalTreasuresGrp
Art Fractional InterestArtFractionalInterestGrp
Books And PublicationsBooksAndPublicationsGrp

Clothing And Household Goods ClothingAndHouseholdGoodsGrp

FieldValueIRS element (for citing)
Non Cash CheckboxYes (X)NonCashCheckboxInd
Noncash Contributions Rpt F990$12,680NoncashContributionsRptF990Amt
Method Of Determining RevenuesFMVMethodOfDeterminingRevenuesTxt
FieldValueIRS element (for citing)
Cars And Other VehiclesCarsAndOtherVehiclesGrp

Boats And Planes BoatsAndPlanesGrp

FieldValueIRS element (for citing)
Non Cash CheckboxYes (X)NonCashCheckboxInd
Contribution1ContributionCnt
Noncash Contributions Rpt F990$10,000NoncashContributionsRptF990Amt
Method Of Determining RevenuesRETAIL VALUEMethodOfDeterminingRevenuesTxt
FieldValueIRS element (for citing)
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 OtherRealEstateOtherGrp
CollectiblesCollectiblesGrp

Food Inventory FoodInventoryGrp

FieldValueIRS element (for citing)
Non Cash CheckboxYes (X)NonCashCheckboxInd
Contribution28ContributionCnt
Noncash Contributions Rpt F990$17,988NoncashContributionsRptF990Amt
Method Of Determining RevenuesFMVMethodOfDeterminingRevenuesTxt
FieldValueIRS element (for citing)
Drugs And Medical SuppliesDrugsAndMedicalSuppliesGrp
TaxidermyTaxidermyGrp
Historical ArtifactsHistoricalArtifactsGrp
Scientific SpecimensScientificSpecimensGrp
Archaeological ArtifactsArchaeologicalArtifactsGrp

Other Non Cash Contri Table OtherNonCashContriTableGrp (3 entries)

Non Cash CheckboxNonCashCheckboxIndDescDescContributionContributionCntNoncash Contributions Rpt F990NoncashContributionsRptF990AmtMethod Of Determining RevenuesMethodOfDeterminingRevenuesTxt
Yes (X)MAKEUP1$10,000FMV
Yes (X)TRUCK PARTS1$5,000FMV
Yes (X)DEER STAND AND DUCK BLIND1$8,720FMV
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 ReferenceFORM 990, SCHEDULE M, PART I, COLUMN BFormAndLineReferenceDesc
ExplanationCOLUMN B REPRESENTS THE NUMBER OF CONTRIBUTIONS RECEIVED.ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (8 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART V, LINE 7HBOAT AND TRAILER DONATED WERE HELD BY THE DONOR PRIMARILY FOR SALE TO CUSTOMERS, SO IT IS NOT CONSIDERED A QUALIFIED VEHICLE FOR PURPOSES OF FORM 1098-C FILING REQUIREMENTS.
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 2019.
FORM 990, PART XI, LINE 9TRANSFERS TO AFFILIATES $382,579
FORM 990 PART IX LINE 24 - OTHER EXPENSESDESCRIPTION:OTHER EXPENSES TOTAL EXPENSES:404634 PROGRAM SERVICES:9952 MANAGEMENT AND GENERAL:2670 FUNDRAISING:392012

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 SERVICESPrimaryActivitiesTxt
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

Other Organization Name OtherOrganizationName

FieldValueIRS element (for citing)
Business Name Line1CONWAY REGIONAL REHABILITATION HOSPITAL LLCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Transaction TypeJTransactionTypeTxt
Involved$403,700InvolvedAmt
Method Of Amount DeterminationFMVMethodOfAmountDeterminationTxt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceFORM 990, SCHEDULE R, PART V, LINE 2 (1)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

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