2020-11-13T10:24:52-06:00 2019-12-31 BKD LLP PO BOX 3667 LITTLE ROCK AR 722033667 990 2019-01-01 710249735 CONWAY REGIONAL MEDICAL CENTER INC % TROY BROOKS CFO CONW 5013293831 2302 COLLEGE AVENUE CONWAY AR 72034 TROY BROOKS CFO 5013293831 2020-11-12 true AMBER SHERRILL P00748683 5013721040 2020-11-11 208.127.241.49 71015520203185000007 2020-11-13 P 5C78A0EB25468B4AA4B79E764D8782665D95DC96 3F910C2EA158F392107FD01EE4BF28EF5850A170 2019 2021-01-29 14:40:06Z MATTHEW TROUP 2302 COLLEGE AVENUE CONWAY AR 72034 213558005 false X WWW.CONWAYREGIONAL.ORG X 1938 AR PROVISION OF INPATIENT, OUTPATIENT, GERIATRIC, PSYCHIATRIC, CARDIAC, EMERGENCY CARE AND OTHER PATIENT CARE SERVICES TO PATIENTS IN CONWAY AND SURROUNDING AREAS. 10 9 1803 74 2960899 271339 192401 181461257 194422725 3017582 4090684 6534696 8141657 191284874 206847467 219434 177252 0 0 78850546 93589640 0 0 321369 105236017 105694012 184305997 199460904 6978877 7386563 225057927 247766639 96210119 106240509 128847808 141526130 CONWAY REGIONAL MEDICAL CENTER IS ACCOUNTABLE TO THE COMMUNITY TO PROVIDE HIGH-QUALITY AND COMPASSIONATE HEALTH CARE SERVICES. false false 142206273 177252 195338667 CONWAY REGIONAL MEDICAL CENTER PROVIDES COMPREHENSIVE HEALTHCARE SERVICES TO INDIVIDUALS REGARDLESS OF RACE, CREED, SEX, NATIONAL ORIGIN, OR ABILITY TO PAY. IN KEEPING WITH ITS MISSION, THE MEDICAL CENTER PROVIDES FREE AND DISCOUNTED CARE TO PATIENTS MEETING ITS CHARITY CARE POLICY. 142206273 true true false false false false false false false false true false true true true false false true false false false false false false false false true true true false true true false false false false false false false false false false false false false false true true true true false false true 224 0 true 1803 true true true false false false false false false false false false false false X 10 9 false true false false false false false true true false false true true true true true true false false true true AR X TROY BROOKS CFO 5014502112 2302 COLLEGE AVE CONWAY AR 72034 X REGAN GALLAHER MD PHYSICIAN 40.0 0.0 X 731515 0 2019 OWEN MAAT MD PHYSICIAN 40.0 0.0 X 585777 0 9582 DENNIS WOODHALL MD PHYSICIAN 40.0 0.0 X 552563 0 4969 T MICHAEL STANTON MD PHYSICIAN 40.0 0.0 X 507684 0 29720 FRANK MOIX MD PHYSICIAN 40.0 0.0 X 490196 0 35066 ANDREW COLE MD BOARD MEMBER 1.0 1.0 X 18247 0 0 CORNELL MALTBIA BOARD MEMBER 1.0 1.0 X 2578 0 0 WAYNE COX BOARD MEMBER 1.0 1.0 X 1563 800 0 JEFF STANDRIDGE BOARD MEMBER 1.0 1.0 X 1980 0 0 THAD HARDIN MD BOARD MEMBER 1.0 1.0 X 1674 0 0 ANDREA WOODS JD CHAIRMAN 1.0 1.0 X X 1326 0 0 TOM POE BOARD MEMBER 1.0 1.0 X 1311 0 0 MATTHEW TROUP CHIEF EXECUTIVE OFFICER 40.0 1.0 X 1067 0 0 BARBARA WILLIAMS PHD BOARD MEMBER 1.0 1.0 X 855 0 0 JIM RANKIN JR JD VICE CHAIR 1.0 1.0 X X 0 0 0 ALAN FINLEY CHIEF OPERATING OFFICER 40.0 1.0 X 0 0 0 ANGIE LONGING RN CHIEF NURSING OFFICER 40.0 1.0 X 0 0 0 TROY BROOKS CHIEF FINANCIAL OFFICER 40.0 1.0 X 0 0 0 2898336 800 81356 104 false true false ST VINCENT HEALTH SYSTEM 2 ST VINCENT CIRCLE LITTLE ROCK AR 72205 MANAGEMENT SERVICES 8311478 EDAFIO TECHNOLOGIES 5400 NORTHSHORE DRIVE NORTH LITTLE ROCK AR 72118 IT SERVICES 3982862 THERAPY AND REHAB SOLUTIONS INC 7115 SOUTH SPRINGS DRIVE FRANKLIN TN 37067 REHAB SERVICES 2445890 CATHOLIC HEALTH INITIATIVES 3900 OLYMPIC BOULEVARD ERLANGER KY 41018 CLINICAL ENGINEERING 2445890 UNITY EMERGENCY PHYSICIANS LP PO BOX 674579 DETROIT MI 48267 PHYSICIAN SERVICES 1164241 45 178284 14117 192401 PATIENT SERVICES 621110 190297259 190297259 REFERENCE LAB 621610 3670468 687864 2982604 MEDICAL OFFICE BUILDING RENTAL INCOME 621110 454998 454998 194422725 2231177 -37875 2269052 0 0 15972 15972 0 15972 15972 8570045 6710538 1859507 1859507 1859507 0 0 0 0 0 0 0 0 0 HEALTH/FITNESS CENTER 900099 2139272 2139272 CAFETERIA SALES 900099 1759274 1759274 SUPPLY REBATES 900099 534805 534805 3692334 16170 3676164 8125685 206847467 195338667 2960899 8355500 177252 177252 0 0 0 30601 30601 0 75046279 61990462 12734448 321369 2004938 2004938 11551830 72887 11478944 4955992 4955992 8311478 8311478 514152 502102 12050 335361 335361 0 0 454287 221127 233160 26907279 19038251 7869028 1461806 210712 1251093 6544139 4497426 2046713 0 0 2864419 2476325 388094 456568 323705 132864 0 0 1937861 25113 1912748 0 11144822 1589034 9555788 1168615 159103 1009511 PHARMACY AND MEDICAL SUPPLIES 28155247 28045429 109818 BAD DEBTS 7940916 7940916 DIETARY EXPENSES 1753902 1729345 24557 REPAIRS & MAINTENANCE 876065 782984 93081 4867095 3777261 1089834 199460904 142206273 56933262 321369 3378053 2325481 20899692 13441369 0 0 18176299 19929507 0 0 0 0 0 0 3537327 3748282 476039 832021 239567656 159290469 68298532 80277187 0 0 0 0 60359459 67535988 0 0 49932526 59676804 225057927 247766639 18532279 21519976 0 0 0 0 69231296 66525277 0 0 0 0 606078 3726955 0 0 7840466 14468301 96210119 106240509 X 128847808 141526130 0 0 128847808 141526130 225057927 247766639 X 7386563 4871305 420454 X false true X true false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 5530034 5530034 117580924 73766507 43814417 2416701 1357817 1058884 108768822 84166145 24602677 5271175 5271175 80277187 BOARD DESIGNATED INVESTMENTS 67535988 F 67535988 FUNDS HELD BY TRUSTEE 39756863 OTHER RECEIVABLES 3019424 INTERCOMPANY RECEIVABLES 0 INVESTMENT IN SUBSIDIARIES 3637422 RESERVE - CD 1225725 OTHER ASSETS 93466 RIGHT OF USE ASSETS - OL 6877045 DUE FROM DRMC 5066859 59676804 0 ESTIMATED 3RD PARTY SETTLEMENT 1937680 ASSET RETIREMENT ENVIRON. RES. 819074 DUE TO CRMC 179970 TAXABLE BONDS 4612687 OPERATING LEASE LIABILITY 6918890 14468301 202985104 4871305 4871305 198113799 8733668 8733668 206847467 190689361 190689361 8771543 8771543 199460904 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 TAX POSITIONS TO BE RECORDED OR DISCLOSED IN THE FINANCIAL STATEMENTS. FORM 990, SCHEDULE D, PART XI, LINE 4B BAD DEBT EXPENSE $7,940,916 REVENUES INCLUDED IN EXPENSE PER AUDIT $830,627 INVESTMENT INCOME FROM K-1S ($37,875) -------------------------------------------------------- TOTAL $8,733,668 FORM 990, SCHEDULE D, PART XII, LINE 4B BAD DEBT EXPENSE $7,940,916 REVENUES INCLUDED IN EXPENSE PER AUDIT $830,627 -------------------------------------------------------- TOTAL $8,771,543 true true X true X 225. true X true true false true true 978733 978733 0.00510 20547993 13827447 6720546 0.03530 21526726 13827447 7699279 0.04040 16715 16715 0.00010 50000 50000 0.00030 24857892 15137436 9720456 0.03250 24924607 15137436 9787171 0.03290 46451333 28964883 17486450 0.07330 true 7940916 1262606 46850304 47003557 -153253 X true true CONWAY REGIONAL REHA REHAB SERVICES 0.658 0.01 0.332 CONWAY REGIONAL PHO ADMIN SERVICES 0.5 0.5 2 1 CONWAY REGIONAL MEDICAL CENTER INC 2302 COLLEGE AVENUE CONWAY AR 72034 WWW.CONWAYREGIONAL.ORG AR2657 X X X 1 2 CONWAY REGIONAL REHABILITATION HOSPIT 2210 ROBINSON AVENUE CONWAY AR 72034 WWW.CONWAYREGIONAL.ORG/REHABILITATIONHOS AR4261 X REHAB HOSPITAL 1 CONWAY REGIONAL MEDICAL CENTER INC 1 false false true X X X X X X X X X 19 true true false true X WWW.CONWAYREGIONAL.ORG/ABOUT-US/COMMUNIT X X true 19 true WWW.CONWAYREGIONAL.ORG/ABOUT-US/COMMUNITYHEAL false true X 225. 300. X X X X X true true X X X X true X WWW.CONWAYREGIONAL.ORG X WWW.CONWAYREGIONAL.ORG X WWW.CONWAYREGIONAL.ORG X X X X X X true X false X X X X true X false false SCHEDULE H, PART V, SECTION B, LINE 5 CONWAY REGIONAL MEDICAL CENTER INVITED THE ARKANSAS STATE DEPARTMENT OF HEALTH TO PRESENT AS WELL AS THE FAULKNER COUNTY DEPARTMENT OF HEALTH. IN DESIGNING THE COMMUNITY SAMPLE, CONWAY REGIONAL MEDICAL CENTER CONDUCTED AN OPEN FORUM WITH THE COMMUNITY. SPECIFICALLY, CONWAY REGIONAL MEDICAL CENTER'S LEADERSHIP REACHED OUT TO THE LARGEST EMPLOYERS IN THE COMMUNITY, THE LARGEST NONPROFIT ORGANIZATIONS, THE COMMUNITY HEALTH PROVIDERS, CONWAY REGIONAL'S DEPARTMENT DIRECTORS, THE FIRE DEPARTMENT, THE POLICE DEPARTMENT, SEVERAL CHURCHES, AND INDIVIDUALS WHO HAVE EXPRESSED INTEREST IN FAULKNER COUNTY'S HEALTH. SCHEDULE H, PART V, SECTION B, LINE 6A CONWAY REGIONAL REHABILITATION HOSPITAL, LLC SCHEDULE H, PART V, SECTION B, LINE 7D THE CHNA REPORT WAS MADE WIDELY AVAILABLE TO THE PUBLIC BY RELEASING TO LOCAL MEDIA, PROVIDING ACCESS ON THE HOSPITAL'S WEBSITE, AND MAKING HARD COPIES AVAILABLE IN THE ADMINISTRATIVE OFFICES. SCHEDULE H, PART V, SECTION B, LINE 11 CONWAY REGIONAL HAS IDENTIFIED FOUR NEEDS THAT WILL BE THE HOSPITAL'S PRIMARY FOCUS FOR IMPROVEMENT: OBESITY, CHRONIC DISEASE MANAGEMENT, SMOKING AND VAPING, AND ACCESS TO CARE. SPECIFIC ACTIVITIES FOR HEALTH STATUS IMPROVEMENT INCLUDE THE FOLLOWING ELEMENTS FROM THE COMMUNITY HEALTH NEEDS ASSESSMENT: OBESITY CRMC WILL DEVELOP A MEDICALLY FOCUSED WEIGHT LOSS PROGRAM FOR MEMBERS OF THE COMMUNITY THAT ARE CLASSIFIED AS OBESE. THE PROGRAM WILL FOCUS ON MAKING LASTING LIFESTYLE CHANGES TO IMPROVE OVERALL HEALTH AND DECREASE BODY MASS INDEX. CRMC WILL ALSO CONTINUE TO GROW CORPORATE HEALTH SERVICES, PARTNERING WITH LOCAL BUSINESSES TO IMPROVE THE HEALTH OF THEIR EMPLOYEES AND DECREASE OBESITY OVER TIME. CHRONIC DISEASE MANAGEMENT CRMC WILL CONTINUE TO PROVIDE DIABETES EDUCTION THROUGH THE DIABETES SELF-MANAGEMENT EDUCATION PROGRAM, AND WILL PARTNER WITH LOCAL PRIMARY CARE PHYSICIANS TO INCREAE AWARENESS OF THE PROGRAM. ADDITIONALLY, WELLNESS WEDNESDAYS ARE A PART OF THE DIABETES PREVENTION PROGRAM CURRENTLY OFFERED, AND THEY ARE FREE TO EMPLOYEES OF THE HEALTH SYSTEM AND THE COMMUNITY. SMOKING AND VAPING CRMC WILL BEGIN OFFERING A SMOKING CESSATION PROGRAM TAUGHT BY TOBACCO TREATMENT SPECIALISTS. THE PROGRAM WILL PROVIDE INFORMATION ABOUT THE DANGERS OF TOBACCO USE, AS WELL AS EXTENSIVE TRAINING ON QUITTING. THE PROGRAM IS ALSO AVAILABLE TO EMPLOYERS IN THE AREA THAT WOULD LIKE TO OFFER IT TO THEIR EMPLOYEES. ACCESS TO CARE EACH YEAR CRMC RE-EVALUATES THE COMMUNITY NEED FOR PHYSICIANS THROUGH A MULTI-STEP EVALUATION PROCESS, WHICH CULMINATES IN A MEDICAL STAFF DEVELOPMENT PLAN. CRMC USES INTEGRATED HEALTHCARE STRATEGIES, A THIRD-PARTY, TO ASSIST IN THE EVALUATION. OVER THE NEXT THREE YEARS, CRMC WILL CONTINUE TO EVALUATE PHYSICIAN NEEDS AND ADJUST THE PRIORITY AREAS AS NECESSARY IN ORDER TO WORK TOWARD RECRUITING THE PHYSICIANS NEEDED TO PROPERLY SERVE THE COMMUNITY. 28 CONWAY MEDICAL GROUP 437 DENISON STREET CONWAY AR 72034 MEDICAL CLINIC MAYFLOWER MEDICAL CLINIC 606 HIGHWAY 365 MAYFLOWER AR 72106 MEDICAL CLINIC GREENBRIER FAMILY MEDICINE 110 NORTH BROADVIEW GREENBRIER AR 72058 FAMILY CLINIC HEALTH AND FITNESS CENTER 700 SALEM ROAD CONWAY AR 72034 HEALTH CENTER CONWAY REGIONAL AFTER HOURS CLINIC 437 DENISON SUITE 2 CONWAY AR 72034 CLINIC CONWAY REGIONAL MEDICAL CLINIC - VILONIA 1122 MAIN STREET SUITE 7 VILONIA AR 72173 CLINIC CONWAY REGIONAL MEDICAL CLINIC-PRINCE ST 1 MEDICAL LANE CONWAY AR 72034 CLINIC CONWAY REGIONAL CARDIOVASCULAR CLINIC 525 WESTERN AVENUE SUITE 202 CONWAY AR 72034 CARDIOVASCULAR CLINIC CLINTON MEDICAL CLINIC 2526 HIGHWAY 65 SUITE 203 CLINTON AR 72031 CLINIC CONWAY REGIONAL MED CLINIC-POTTSVILLE 2504 WEST MAIN STREET SUITE H RUSSELLVILLE AR 72801 CLINIC CONWAY REGIONAL MEDICAL CLINIC - VILONIA 1159 MAIN STREET VILONIA AR 72173 MEDICAL CLINIC CONWAY REGIONAL IMAGING CENTER 555 CLUB LANE CONWAY AR 72034 IMAGING CENTER CONWAY REGIONAL PERSONAL TRAINING STUDIO CORNER OF COLLEGE AND DONAGHEY CONWAY AR 72034 PERSONAL TRAINING STUDIO CR THERAPY CENTER - SCHERMAN HEIGHTS 550 CLUB LANE SUITE 2 CONWAY AR 72032 THERAPY CENTER CONWAY REG THERAPY CENTER - GREENBRIER 8E WILSON FARM ROAD GREENBRIER AR 72058 THERAPY CENTER CONWAY REGIONAL SPECIALTY THERAPY CLINIC 2200 ADA AVENUE SUITE 200 CONWAY AR 72034 THERAPY CENTER CONWAY REGIONAL WOUND HEALING CENTER 2200 ADA AVENUE SUITE 205 CONWAY AR 72034 WOUND HEALING CENTER CR ADVANCED PAIN MANAGEMENT CENTER 525 WESTERN AVENUE 304 CONWAY AR 72034 MEDICAL CLINIC CR CENTER FOR ORTHOPAEDIC AND SPORTS MED 525 WESTERN AVE SUITE 302 CONWAY AR 72034 MEDICAL CLINIC CONWAY REGIONAL NEUROSCIENCE CENTER 2200 ADA AVENUE SUITE 305 CONWAY AR 72034 MEDICAL CLINIC CONWAY REGIONAL GASTROENTEROLOGY CENTER 2200 ADA AVE SUITE 201 CONWAY AR 72034 MEDICAL CLINIC CONWAY REGIONAL HOMECARE 2134 ROBINSON STREET CONWAY AR 72034 HOME HEALTH SERVICES CONWAY REGIONAL MEDICAL CLINIC - RUSSELL 108 SKYLINE DRIVE RUSSELLVILLE AR 72801 MEDICAL CLINIC CARDIOVASCULAR AND THORACIC SURGERY OF C 525 WESTERN AVENUE CONWAY AR 72034 MEDICAL CLINIC CONWAY REGIONAL INFECTIOUS DISEASE CLINI 2200 ADA AVENUE SUITE 203 CONWAY AR 72034 MEDICAL CLINIC CONWAY REGIONAL INTERFAITH DENTAL CLINIC 830 NORTH CREEK DRIVE CONWAY AR 72032 DENTAL CLINIC CONWAY REGIONAL MULTISPECIALTY CLINIC 525 WESTERN AVENUE SUITE 305 CONWAY AR 72034 MEDICAL CLINIC CONWAY REGIONAL SURGICAL ASSOCIATES 525 WESTERN AVENUE SUITE 203 CONWAY AR 72034 MEDICAL CLINIC FORM 990, SCHEDULE H CONWAY REGIONAL IS A NOT-FOR-PROFIT MEDICAL CENTER SERVING 6 COUNTIES IN CENTRAL ARKANSAS. THE ORGANIZATION IS GOVERNED BY A BOARD COMPRISED OF COMMUNITY MEMBERS WHO RESIDE OR WORK WITHIN THE SERVICE AREA ARE DEDICATED TO MAKING BETTER HEALTHCARE A REALITY FOR ALL. COMMUNITY MEMBERS ALSO SERVE ON A COMMUNITY ADVISORY COUNCIL CREATED AS A SOUNDING BOARD FOR IDEAS AND ISSUES IN THE COMMUNITY AND HELP PROVIDE INFORMATION ABOUT THINGS CONWAY REGIONAL CAN IMPROVE, OFFER, OR CHANGE. THE CONWAY REGIONAL WOMEN'S COUNCIL, WORKING WITH CONWAY REGIONAL MEDICAL CENTER THROUGH ITS CONWAY REGIONAL HEALTH FOUNDATION, IS ALSO AN AREA WHERE COMMUNITY MEMBERS ARE ENCOURAGED TO GET INVOLVED AND MEMBERS OF THIS GROUP ADVOCATE FOR WOMEN'S HEALTH. THE GROUP OF WOMEN SUPPORT THE ORGANIZATION THROUGH FUNDRAISING ACTIVITIES AND VOLUNTEER HOURS IN ORDER TO HELP FURTHER WOMEN'S HEALTH EDUCATION AND AWARENESS IN THE COMMUNITY. COMMUNITY MEMBERS ARE ALSO OFFERED THE OPPORTUNITY TO WORK WITH THE ORGANIZATION AS A VOLUNTEER. THE VOLUNTEER OPPORTUNITIES ARE AVAILABLE TO ANYONE 18 AND OLDER AS A WAY TO ENGAGE INDIVIDUALS IN THE HEALTHCARE SYSTEM THAT SERVES THEM AS WELL AS THEIR FAMILY AND FRIENDS. CONWAY REGIONAL WORKS WITH THE PHYSICIANS OF THE COMMUNITY BY ALLOWING ALL QUALIFIED PHYSICIANS THE OPPORTUNITY TO HAVE STAFF PRIVILEGES DEPENDING ON THEIR AREA OF PRACTICE AND CREDENTIALS. CONWAY REGIONAL OFFERS SPECIALIZED SERVICES TO THE AREA SUCH AS A TRANSITIONAL CARE UNIT FOR SENIORS DEALING WITH VARIOUS FORMS OF DEMENTIA. THE REHABILITATION HOSPITAL OFFERS THE AREA A FACILITY IN WHICH TO RECOVER CLOSE TO HOME. IN ADDITION, CONWAY REGIONAL EDUCATION SERVICES PROVIDES OPPORTUNITIES FOR ALL HEALTHCARE PROFESSIONALS, REGARDLESS OF EMPLOYMENT, OPPORTUNITIES TO RECEIVE CONTINUING EDUCATION AND CERTIFICATION THROUGH CONFERENCES, CLASSES AND CERTIFICATIONS. AS AN AMERICAN HEART ASSOCIATION TRAINING CENTER, CONWAY REGIONAL EDUCATION DEPARTMENT ALSO PROVIDES OPPORTUNITIES FOR THE COMMUNITY AND HEALTHCARE PROFESSIONALS TO RECEIVE AHA CLASSES AND TRAINING. FORM 990, SCHEDULE H, PART I, LINE 3C SEE SCHEDULE H, PART V, LINES 13 THROUGH 16 FOR ADDITIONAL INFORMATION ON OUR FINANCIAL ASSISTANCE POLICY. FORM 990, SCHEDULE H, PART I, LINE 7 THE COST TO CHARGE RATIO (CALCULATED USING WORKSHEET 2) WAS USED FOR LINE 7 AMOUNTS. FORM 990, SCHEDULE H, PART I, LINE 7, COLUMN F BAD DEBT EXPENSE IN THE AMOUNT OF $7,940,916 IS INCLUDED ON FORM 990, PART IX, LINE 25, COLUMN (A) ("TOTAL FUNCTIONAL EXPENSES"), BUT IS SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGES IN THIS COLUMN. A NUMBER OF PATIENTS ARE TRULY UNABLE TO PAY THEIR OUT-OF-POCKET LIABILITY BUT DO NOT COMPLETE THE PROCESS REQUIRED TO APPLY FOR FINANCIAL ASSISTANCE UNDER THE HOSPITAL'S CHARITY CARE POLICY. THESE PATIENTS WOULD QUALIFY FOR CHARITY CARE IF THEY COMPLETED THE PAPERWORK, SO THE BAD DEBT EXPENSE ASSOCIATED WITH TREATING THEM SHOULD BE TREATED AS COMMUNITY BENEFIT. FORM 990, SCHEDULE H, PART III, SECTION A, LINE 2 CONWAY REGIONAL MEDICAL CENTER USES A COMPLEX CALCULATION TO IDENTIFY REQUIRED BAD DEBT RESERVES BASED ON HISTORICAL KNOWLEDGE ASSOCIATED WITH THE AGE OF ACCOUNTS, THE PAYERS, AND THE PATIENT TYPES. FORM 990, SCHEDULE H, PART III, SECTION A, LINE 3 IT WAS ESTIMATED BY MULTIPLYING THE USDA POVERTY REPORT INDEX AVERAGE FOR THE TOP 7 COUNTIES SERVED, 15.9%, BY THE TOTAL BAD DEBT EXPENSE OF $7,940,916 A NUMBER OF PATIENTS ARE TRULY UNABLE TO PAY THEIR OUT OF POCKET LIABILITY, BUT THEY DO NOT COMPLETE THE PROCESS REQUIRED TO APPLY FOR FINANCIAL ASSISTANCE UNDER THE HOSPITAL'S CHARITY CARE POLICY. THESE PATIENTS WOULD QUALIFY FOR CHARITY CARE IF THEY COMPLETED THE PAPERWORK; THEREFORE, THE BAD DEBT EXPENSE ASSOCIATED WITH TREATING THEM SHOULD BE CLASSIFIED AS COMMUNITY BENEFIT. FORM 990, SCHEDULE H, PART III, SECTION A, LINE 4 PLEASE SEE ATTACHED AUDIT REPORT, NOTE 1, PATIENT ACCOUNTS RECEIVABLE. FORM 990, SCHEDULE H, PART III, SECTION B, LINE 8 THE MEDICARE COST REPORT WAS USED TO CALCULATE THE MEDICARE ALLOWABLE COSTS. THE ORGANIZATION DOES NOT COUNT MEDICARE SHORTFALL AS COMMUNITY BENEFIT. FORM 990, SCHEDULE H, PART III, SECTION C, LINE 9B ALL PATIENTS WILL BE OFFERED A FINANCIAL ASSISTANCE APPLICATION AT THE TIME OF REGISTRATION AND/OR DISCHARGE FROM THE FACILITY. IF THIS EVALUATION IS NOT CONDUCTED UNTIL AFTER THE PATIENT LEAVES THE FACILITY, OR IN CASE OF OUTPATIENTS OR EMERGENCY PATIENTS, A FINANCIAL COUNSELOR WILL MAIL A FINANCIAL ASSISTANCE APPLICATION TO THE PATIENT FOR COMPLETION. EACH PATIENT SIGNS A CONDITION OF ADMISSION FORM WHICH MAKES THEM AWARE OF CONWAY REGIONAL'S FINANCIAL ASSISTANCE POLICY. THERE IS ALSO A STATEMENT ON THE REVERSE SIDE OF THE PATIENT'S BILL WHICH EXPLAINS THAT FINANCIAL COUNSELORS ARE AVAILABLE. IF A PATIENT CALLS THE PATIENT ACCOUNTING OFFICE ABOUT THEIR BILL, THEY ARE MADE AWARE OF THE FINANCIAL ASSISTANCE POLICY. IN ADDITION, THE HOSPITAL WILL PROVIDE A PLAIN LANGUAGE SUMMARY OF THE FINANCIAL ASSISTANCE POLICY TO THE PATIENT WITH ALL BILLING STATEMENTS AND COMMUNICATIONS WITHIN THE FIRST 120 DAYS FOLLOWING THE FIRST BILLING STATEMENT. THE POLICY WILL ALSO BE AVAILABLE ON THE HOSPITAL WEBSITE, AT ALL POINTS OF REGISTRATION WITHIN THE FACILITY, AND WILL BE PROVIDED BY MAIL TO ANYONE REQUESTING IT AT NO CHARGE. A PLAIN LANGUAGE SUMMARY OF THE POLICY WILL BE MADE AVAILABLE IN THESE LOCATIONS AS WELL. FORM 990, SCHEDULE H, PART VI, LINE 2 CONWAY REGIONAL ANNUALLY UPDATES THE COMMUNITY HEALTH NEEDS SCORECARD FROM VARIOUS SOURCES FROM THE STATE OF ARKANSAS, ESRI, CENSUS, COUNTY HEALTH RANKING, AND PROPRIETARY DATA SOURCES. BOTH PRIMARY AND SECONDARY RESEARCH METHODS ARE USED. FORM 990, SCHEDULE H, PART VI, LINE 3 ALL PATIENTS ARE OFFERED A FINANCIAL ASSISTANCE APPLICATION AT THE TIME OF REGISTRATION AND/OR DISCHARGE FROM THE FACILITY. IF THIS EVALUATION IS NOT CONDUCTED UNTIL AFTER THE PATIENT LEAVES THE FACILITY, OR IN CASE OF OUTPATIENTS OR EMERGENCY PATIENTS, A FINANCIAL COUNSELOR WILL MAIL A FINANCIAL ASSISTANCE APPLICATION TO THE PATIENT FOR COMPLETION. EACH PATIENT SIGNS A CONDITION OF ADMISSION FORM WHICH MAKES THEM AWARE OF CONWAY REGIONAL'S FINANCIAL ASSISTANCE POLICY. THERE IS ALSO A STATEMENT ON THE REVERSE SIDE OF THE PATIENT'S BILL WHICH EXPLAINS THAT FINANCIAL COUNSELORS ARE AVAILABLE. IF A PATIENT CALLS THE PATIENT ACCOUNTING OFFICE ABOUT THEIR BILL, THEY ARE MADE AWARE OF THE ASSISTANCE POLICY. IN ADDITION, THE HOSPITAL WILL PROVIDE A PLAIN LANGUAGE SUMMARY OF THE FINANCIAL ASSISTANCE POLICY TO THE PATIENT WILL ALL BILLING STATEMENTS AND COMMUNICATIONS WITHIN THE FIRST 120 DAYS FOLLOWING THE FIRST BILLING STATEMENT. THE POLICY WILL ALSO BE MADE AVAILABLE ON THE HOSPITAL WEBSITE, AT ALL POINTS OF REGISTRATION WITHIN THE FACILITY, AND WILL BE PROVIDED BY MAIL TO ANYONE REQUESTING IT AT NO CHARGE. A PLAIN LANGUAGE SUMMARY OF THE POLICY WILL BE MADE AVAILABLE AT THESE LOCATIONS AS WELL. FORM 990, SCHEDULE H, PART VI, LINE 4 CONWAY REGIONAL SERVES A 7 COUNTY AREA IN CENTRAL ARKANSAS INCLUDING FAULKNER, PERRY, POPE, CONWAY, VAN BUREN, YELL, AND CLEBURNE COUNTIES. MANY OF THE AREAS SERVED ARE CONSIDERED RURAL, UNDER SERVED AREAS. CAUCASIANS ARE THE PRIMARY RACE FOLLOWED BY AFRICAN AMERICANS. WITH 5 COLLEGES/UNIVERSITIES IN THE SERVICE ARE, CONWAY REGIONAL HAS A LARGE POPULATION OF AGES 18 TO 30, BUT IT ALSO SERVES A LARGE POPULATION OF SENIORS. FORM 990, SCHEDULE H, PART VI, LINE 5 CONWAY REGIONAL PARTICIPATES IN NUMEROUS COMMUNITY BUILDING ACTIVITIES THAT PROMOTE THE HEALTH OF THE COMMUNITIES WE SERVE. WE WORK TO IMPROVE HEALTH BY FOCUSING ON THREE PRIMARY GOALS IDENTIFIED IN OUR COMMUNITY HEALTH NEEDS ASSESSMENT, INCLUDING OBESITY, NUTRITION AND EXERCISE, AND CHRONIC DISEASE MANAGEMENT. OUR FITNESS CENTER PROVIDES SUPPORT FOR MANY AREA SCHOOLS IN DEVELOPING RUNNING CLUBS AND ANNUALLY HOSTS THE KIDS RUN ARKANSAS EVENT TO ENCOURAGE FAMILIES TO EXERCISE TOGETHER. CONWAY REGIONAL PROVIDES HEALTHY EATING INFORMATION AND EDUCATION THROUGH OUR WOMEN'S COUNCIL AND OFFERS HUNDREDS OF FREE HEALTH SCREENINGS THROUGHOUT THE YEAR AT EVENTS SUCH AS THE SENIOR HEALTH FAIR AND THE WOMEN'S HEALTH FAIR. CONWAY REGIONAL PROVIDES EXPERT SPEAKERS FOR MANY CLUBS AND COMMUNITY MEETINGS TO HELP EDUCATE ON LIVING A HEALTHIER LIFE. CONWAY REGIONAL OFFERS SPECIALIZED SUPPORT FOR PARENTS INCLUDING BABY CARE CLASSES, BREASTFEEDING SUPPORT, AND SUPPORT DURING THE LOSS OF A PREGNANCY. FORM 990, SCHEDULE H, PART VI, LINE 7 AR true CONWAY AREA CHAMBER OF COMMERCE 900 WEST OAK STREET CONWAY AR 72032 710037470 501(C)(6) 25350 SPONSORSHIP GREENBRIER CHAMBER OF COMMERCE 89B NORTH BROADVIEW STREET GREENBRIER AR 72058 710605181 501(C)(6) 6000 SPONSORSHIP GREENBRIER SCHOOL DISTRICT 4 SCHOOL DRIVE GREENBRIER AR 72058 821697006 5750 SPONSORSHIP HAVEN PO BOX 10105 CONWAY AR 72034 237198398 501(C)(3) 15000 SPONSORSHIP CONWAY PUBLIC SCHOOLS 2220 PRINCE STREET CONWAY AR 72034 352312254 501(C)(3) 20000 SPONSORSHIP TOAD SUCK DAZE 900 WEST OAK STREET CONWAY AR 72032 464378633 501(C)(3) 20102 SPONSORSHIP UNIVERSITY OF CENTRAL ARKANSAS FOUNDATION 201 DONAGHEY AVENUE CONWAY AR 72035 710550590 501(C)(3) 69800 SPONSORSHIP UNITED WAY OF CENTRAL ARKANSAS PO BOX 489 CONWAY AR 72033 237222534 501(C)(3) 5250 SPONSORSHIP 6 2 SCHEDULE I, PART I, LINE 2 GRANTS ARE PROVIDED TO LOCAL COMMUNITY ORGANIZATIONS PRIMARILY. CONWAY REGIONAL EMPLOYEES WORK CLOSELY WITH THE ORGANIZATIONS, ASSURING FUNDS ARE USED AS ANTICIPATED. X X true true false false false false false true false false false REGAN GALLAHER MD PHYSICIAN 723120 0 0 0 8395 0 2019 0 0 0 733534 0 0 0 OWEN MAAT MD PHYSICIAN 505365 0 75000 0 5412 0 0 0 9582 0 595359 0 0 0 DENNIS WOODHALL MD PHYSICIAN 540663 0 11900 0 0 0 0 0 4969 0 557532 0 0 0 T MICHAEL STANTON MD PHYSICIAN 443458 0 64226 0 0 0 15096 0 14624 0 537404 0 0 0 FRANK MOIX MD PHYSICIAN 490196 0 0 0 0 0 19000 0 16066 0 525262 0 0 0 SCHEDULE J, PART I, LINE 1A MEMBERSHIP TO CONWAY REGIONAL HEALTH AND FITNESS CENTER, TREATED AS TAXABLE COMPENSATION. SPOUSAL TRAVEL TO BOARD RETREAT TREATED AS TAXABLE COMPENSATION. SCHEDULE J, PART I, LINE 6A A PORTION OF MANAGEMENT'S ANNUAL BONUS IS BASED ON THE ORGANIZATION'S PROFITS AND HOW IT COMPARES TO BUDGET. A CITY OF CONWAY AR - HEALTH FACILITIES BOARD 731574175 212584CS3 2012-03-15 18401267 CAPITAL IMPROVEMENTS false false false B CITY OF CONWAY AR - HEALTH FACILITIES BOARD 731574175 212584DC7 2018-12-27 34890730 CAPITAL IMPROVEMENTS false false false C CITY OF CONWAY AR - HEALTH FACILITIES BOARD 731574175 212584DU7 2019-11-05 17852782 REFUNDED BOND ISSUED 12/08/2009 false false false A 3350000 0 18401267 1097926 0 0 262329 0 0 17005514 0 517852 2012 false false false true B 0 0 34890730 2302111 0 0 584285 0 0 0 0 0 false false false true C 0 0 17852782 1564500 0 0 335454 0 0 0 0 0 true false false true A false false false false 0 false false false true B false false false false 0 false false false true C false false false false 0 false false false true A false false false true false false 0 false 0 false true B false true false false false false 0 false 0 false true C false true false false false false 0 false 0 false true A true B true C true FORM 990, SCHEDULE K, PART I, LINE A&B SERIES 2012 BONDS ARE CALCULATED ON THE TAX YEAR END, 08/01/2019. SERIES 2018 BONDS ARE CALCULATED ON THE BOND YEAR END, 12/27/2019. SERIES 2019 BONDS ARE CALCULATED ON THE BOND YEAR END, 11/05/2019. FORM 990, SCHEDULE K, PART II, LINE 3 THE TOTAL PROCEEDS OF ISSUE IS DIFFERENT THAN THE ISSUE PRICE, DUE TO INVESTMENT EARNINGS INCLUDED. FORM 990, SCHEDULE K, PART IV, LINE 2C SERIES 2012 THE LAST REBATE CALCULATION DATE WAS 08/01/2016. FORM 990, PART VI, SECTION A, LINE 3 EFFECTIVE SEPTEMBER 1, 2015, THE MEDICAL CENTER'S BOARD OF DIRECTORS ENTERED INTO A FIVE-YEAR MANAGEMENT AGREEMENT WITH CHI ST. VINCENT INFIRMARY MEDICAL CENTER, D/B/A CHI ST. VINCENT, AN ARKANSAS NONPROFIT CORPORATION AND A SUBSIDIARY OF CATHOLIC HEALTH INITIATIVES. THE GOAL OF THE AGREEMENT IS TO DEVELOP A LEVEL OF INTEGRATION AND COORDINATION THAT RESULTS IN MORE ACCESSIBLE, HIGH QUALITY, CLINICALLY-INTEGRATED, AND LOWER COST CARE FOR THE COMMUNITIES OF CENTRAL ARKANSAS SERVED WHILE ENHANCING THE OVERALL HEALTH OF THOSE COMMUNITIES. UNDER THE AGREEMENT, EACH PARTY RETAINS ITS NAME, GOVERNANCE AND AUTONOMY, WHILE CERTAIN MEDICAL CENTER EXECUTIVES INCLUDING THE CHIEF EXECUTIVE OFFICER, CHIEF FINANCIAL OFFICER, CHIEF OPERATING OFFICER AND CHIEF NURSING OFFICER BECAME EMPLOYEES OF CHI ST. VINCENT. TOTAL MANAGEMENT FEES PAID BY THE MEDICAL CENTER FOR THE YEAR ENDED DECEMBER 31, 2019, WERE $8,322,756, WHICH INCLUDES THE COST OF EXECUTIVE SALARIES AND BENEFITS. FORM 990, PART VI, SECTION B, LINE 11B THE REVIEW PROCESS OF FORM 990 INCLUDES A REVIEW BY THE CFO AND CEO OF THE ORGANIZATION. THE FORM 990 IS THEN PRESENTED TO ALL BOARD MEMBERS OF THE GOVERNING BODY OF THE ORGANIZATION FOR REVIEW. FORM 990, PART VI, SECTION B, LINE 12C THE CONWAY REGIONAL HEALTH SYSTEM BOARD REVIEWS THE GOVERNING BOARD CONFLICT OF INTEREST POLICY ANNUALLY DURING THE JANUARY BOARD MEETING. A NEW CONFLICT OF INTEREST STATEMENT IS REQUIRED OF EACH BOARD MEMBER EVERY YEAR. THESE STATEMENTS ARE REVIEWED BY THE CHAIRMAN, PRESIDENT, AND CFO FOR MONITORING. BOARD MEMBERS WHO HAVE AN ACTUAL OR POTENTIAL CONFLICT OF INTEREST IN MATTERS BROUGHT BEFORE THE BOARD ARE TO ALERT THE OTHER MEMBERS OF THE BOARD BEFOREHAND. THE CONFLICTED BOARD MEMBER IS TO WITHDRAW FROM THE MEETING DURING SAID DISCUSSION UNTIL THE MATTER HAS BEEN VOTED ON. IF THE MEMBER FAILS TO WITHDRAW VOLUNTARILY, THE CHAIRMAN IS EMPOWERED TO REQUIRE WITHDRAWAL FROM THE ROOM DURING DISCUSSION AND VOTE ON THE MATTER. IN THE EVENT THE CONFLICT OF INTEREST AFFECTS THE CHAIRMAN, THE VICE CHAIRMAN IS THEN EMPOWERED TO REQUIRE THE CHAIRMAN'S WITHDRAWAL. FORM 990, PART VI, SECTION B, LINE 15A & 15B CONWAY REGIONAL MEDICAL CENTER DOES NOT COMPENSATE ANY TOP MANAGEMENT OFFICICALS, OFFICERS, OR KEY EMPLOYEES OF THE ORGANIZATION, THEREFORE THIS WILL NOT BE APPLICABLE. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION DOES NOT MAKE ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC. FORM 990, PART XI, LINE 9 INVESTMENT INCOME FROM K-1S INCLUDED IN REVENUE $37,875 TRANSFERS FROM AFFILIATES $382,579 ------------------------ TOTAL $420,454 FORM 990 PART IX LINE 11G DESCRIPTION:PHYSICIAN FEES TOTAL FEES:8677517 FORM 990 PART IX LINE 11G DESCRIPTION:OTHER FEES TOTAL FEES:6397126 FORM 990 PART IX LINE 11G DESCRIPTION:EQUIPMENT SERVICE TOTAL FEES:5638275 FORM 990 PART IX LINE 11G DESCRIPTION:CONTRACTS TOTAL FEES:4953445 FORM 990 PART IX LINE 11G DESCRIPTION:PURCHASED SERVICES TOTAL FEES:530027 FORM 990 PART IX LINE 11G DESCRIPTION:DIALYSIS MEDICAL SERVICES TOTAL FEES:403718 FORM 990 PART IX LINE 11G DESCRIPTION:AGENCY STAFF TOTAL FEES:307171 THIRD TABLE LLC 2302 COLLEGE AVENUE CONWAY AR 72034 833232713 CONTRACT MGMT AR 0 0 CRMC CONWAY REGIONAL HEALTH FOUNDATION 2302 COLLEGE AVE CONWAY AR 73034 710797723 SUPPORT AR 501(C)(3) 12A CRMC true CR HOSPITAL EMPLOYEES' MEDICAL TRUST 2302 COLLEGE AVE CONWAY AR 72034 521561768 INSURANCE AR 501(C)(9) CRMC true CONWAY REG REHAB 2210 ROBINSON AVE CONWAY AR 72034 412136339 IP REHAB SERVICES AR CRMC RELATED 938815 1059035 false 0 true 0.65800 INSTITUTIONAL SERVICES CORPORATION 2302 COLLEGE AVE CONWAY AR 72034 710575886 PROP OWNERSHIP AR CRMC C CORPORATION 0 771855 1.00000 true false false false false false false false false false false true true true true true true true true true CONWAY REGIONAL HEALTH FOUNDATION K 455004 FMV INSTITUTIONAL SERVICES CORPORATION K 88372 FMV CONWAY REGIONAL HEALTH FOUNDATION L 153228 FMV CONWAY REGIONAL REHABILITATION HOSPITAL L 446679 FMV CONWAY REGIONAL HEALTH FOUNDATION O 319510 FMV CONWAY REGIONAL HEALTH FOUNDATION Q 348612 FMV CR EMPLOYEE MEDICAL TRUST R 7957937 FMV