2020-11-13T10:16:58-06:00 2019-12-31 BKD LLP PO BOX 3667 LITTLE ROCK AR 722033667 990 2019-01-01 710797723 CONWAY REGIONAL HEALTH FOUNDATION INC % AMY MANION CONTROLLER CONW 5013293831 2302 COLLEGE AVE CONWAY AR 72034 TROY BROOKS CFO 5013293831 2020-11-12 true AMBER SHERRILL P00748683 5013721040 167.68.126.162 71015520203185000001 2020-11-13 P 5C78A0EB25468B4AA4B79E764D8782665D95DC96 CC61051F674196C1A7C00C4FC8A1F1691B9B2D69 2019 2021-01-29 14:40:06Z TROY BROOKS 2302 COLLEGE AVENUE CONWAY AR 72034 2559298 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 0 181 0 220763 675959 1615470 834863 157060 401265 106036 134080 2099329 2046167 108473 131597 0 0 0 800 0 0 701869 1965677 1718078 2074150 1850475 25179 195692 14178562 14129086 195164 212325 13983398 13916761 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 932822 131597 834863 TO PROVIDE FINANCIAL AID TO CONWAY REGIONAL MEDICAL CENTER, INC. TO SUPPORT PATIENT CARE, PROGRAMS, AND SERVICES. 932822 true true false false false false false false false false true false false true true false false true false false false false false false true true false true true false false false false false false false false false true true false false false true true true false false true 28 4 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 18247 0 CORNELL MALTBIA BOARD MEMBER 1.0 1.0 X 0 2578 0 WAYNE COX BOARD MEMBER 1.0 1.0 X 800 1563 0 JEFF STANDRIDGE BOARD MEMBER 1.0 1.0 X 0 1980 0 THAD HARDIN MD BOARD MEMBER 1.0 1.0 X 0 1674 0 ANDREA WOODS JD CHAIRMAN 1.0 1.0 X X 0 1326 0 TOM POE BOARD MEMBER 1.0 1.0 X 0 1311 0 MATTHEW TROUP CHIEF EXECUTIVE OFFICER 1.0 40.0 X X 0 1067 0 BARBARA WILLIAMS PHD BOARD MEMBER 1.0 1.0 X 0 855 0 JIM RANKIN JR JD VICE CHAIR 1.0 1.0 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 0 800 30601 0 0 false false false 0 3095 251791 421073 67888 675959 MEDICAL OFFICE BUILDING RENTAL INCOME 621110 834863 834863 834863 265276 265276 0 0 117731 42354 75377 0 75377 75377 138989 138989 135989 135989 448600 251791 426147 22453 22453 80880 44630 36250 36250 0 0 0 0 2046167 834863 535345 X 90000 90000 41597 41597 0 0 800 800 0 0 0 0 0 153228 0 0 153228 0 0 0 0 0 118016 0 0 118016 215 215 18664 18664 0 0 630826 495795 133031 2000 6473 6473 0 0 0 0 373139 294199 78940 0 BAD DEBT EXPENSE 7915 7915 FOOD & CATERING 2901 2901 DUES & MEMBERSHIPS 2067 1279 343 445 . 0 404634 9952 2670 392012 1850475 932822 215784 701869 104567 234259 5675312 5665165 0 0 38130 33321 0 0 0 0 0 0 50012 110704 31244 22320 15117236 9767365 5838825 5349871 641780 656482 0 0 0 0 0 0 1798692 2056964 14178562 14129086 195164 203788 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 8537 195164 212325 X 13286822 12951050 696576 965711 13983398 13916761 14178562 14129086 X 195692 120250 -382579 X false true X true false X X 1 CONWAY REGIONAL MEDICAL CENTER 710249735 3 true 0 0 1 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 3229358 3229358 10875450 8953721 1921729 70463 54249 16214 941965 759395 182570 5349871 DEFERRED LEASE 1068981 EXTERNALLY RESTRICTED CASH 965711 DUE FROM AFFILIATES 22272 2056964 0 DUE TO AFFILIATES 8537 8537 2543559 120250 513131 633381 1910178 135989 135989 2046167 2227617 513131 513131 1714486 135989 135989 1850475 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 $42,354 GAMING EXPENSES $44,630 FUNDRAISING EXPENSES $426,147 ---------- TOTAL $513,131 FORM 990, SCHEDULE D, PART XI, LINE 4B GAIN ON SALE OF ASSET $135,989 FORM 990, SCHEDULE D, PART XII, LINE 2D RENTAL EXPENSES $42,354 GAMING EXPENSES $44,630 FUNDRAISING EXPENSES $426,147 ---------- TOTAL $513,131 FORM 990, SCHEDULE D, PART XII, LINE 4B GAIN ON SALE OF ASSET $135,989 DAZZLE DAZE 320131 132875 187256 49109 24109 11044 7058 152069 DUCK DERBY 262110 104266 157844 6563 6636 5189 5856 750 120654 2 118150 14650 103500 5400 9514 8240 5304 8652 700391 251791 448600 61072 40259 24473 18218 750 281375 426147 22453 false false 80880 2000 29990 12640 true 1.00000 80880 2000 29990 12640 44630 36250 AR true false true false 0.50000 0.50000 MARLA HAMBUCHEN 2302 COLLEGE AVENUE CONWAY AR 72034 false MARLA HAMBUCHEN 52671 RECORDKEEPING, MONEY COUNTING X X true 36250 FORM 990, SCHEDULE G, PART III, LINE 16 MARLA HAMBUCHEN, GAMING MANAGER, IS AN EMPLOYEE OF CONWAY REGIONAL MEDICAL CENTER, A RELATED ENTITY. SHE BECAME AN EMPLOYEE IN APRIL 2019. true THE UCA FOUNDATION 201 DONAGHEY AVENUE CONWAY AR 72034 710550590 501(C)(3) 90000 N/A N/A GENERAL SUPPORT 1 SCHOLARSHIPS 13 22500 N/A N/A BENEVOLENCE 17 19097 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 4 3500 FMV X 12680 FMV X 1 10000 RETAIL VALUE X 28 17988 FMV X MAKEUP 1 10000 FMV X TRUCK PARTS 1 5000 FMV X DEER STAND AND DUCK BLIND 1 8720 FMV false true true FORM 990, SCHEDULE M, PART I, COLUMN B COLUMN B REPRESENTS THE NUMBER OF CONTRIBUTIONS RECEIVED. FORM 990, PART V, LINE 7H BOAT 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 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 2019. FORM 990, PART XI, LINE 9 TRANSFERS TO AFFILIATES $382,579 FORM 990 PART IX LINE 24 - OTHER EXPENSES DESCRIPTION:OTHER EXPENSES TOTAL EXPENSES:404634 PROGRAM SERVICES:9952 MANAGEMENT AND GENERAL:2670 FUNDRAISING:392012 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 SERVICES 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 REHABILITATION HOSPITAL LLC J 403700 FMV FORM 990, SCHEDULE R, PART V, LINE 2 (1) 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.