FURP.ORG / PUBLIC DATA EXPLORER

CONWAY REGIONAL MEDICAL CENTER INC: Form 990, tax year 2016

View the entire original 990 at ProPublica ↗

Organization
CONWAY REGIONAL MEDICAL CENTER INC (EIN 71-0249735)
Tax period
2016-01-01 to 2016-12-31
Filed
2017-11-14
IRS object ID
201733189349311723
Schema version
2016v3.1
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)
Return2017-11-14T17:13:26-06:00ReturnTs
Tax Period End2016-12-31TaxPeriodEndDt

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 Begin2016-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN710249735EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1CONWAY REGIONAL MEDICAL CENTER INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
In Care Of% KAREN DAYER CONTROLLERInCareOfNm
Business Name ControlCONWBusinessNameControlTxt
Phone5013293831PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line12302 COLLEGE AVENUEAddressLine1Txt
CityCONWAYCityNm
State AbbreviationARStateAbbreviationCd
ZIP72034ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonSTEVEN ROSEPersonNm
Person TitleCFOPersonTitleTxt
Phone5013293831PhoneNum
Signature2017-11-14SignatureDt
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 Id71015520173185000005FederalOriginalSubmissionId
Federal Original Submission Id2017-11-14FederalOriginalSubmissionIdDt
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device Id1528D3B04E878A45895BB88E74696FB0CD9C2BB8AtSubmissionCreationDeviceId
At Submission Filing Device IdF5977BEB049942DED8E66FDC307AAD1CDA4A43EFAtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2016TaxYr
Build TS2017-02-10 21:41:12ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerMATT TROUPPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line12302 COLLEGE AVENUEAddressLine1Txt
CityCONWAYCityNm
State AbbreviationARStateAbbreviationCd
ZIP72034ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$162,853,278GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.CONWAYREGIONAL.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1938FormationYr
Legal Domicile StateARLegalDomicileStateCd
Activity Or MissionPROVISION OF INPATIENT, OUTPATIENT, GERIATRIC, PSYCHIATRIC, CARDIAC, EMERGENCY CARE AND OTHER PATIENT CARE SERVICES TO PATIENTS IN CONWAY AND SURROUNDING AREAS IN CENTRAL AR.ActivityOrMissionDesc
Voting Members Governing Body10VotingMembersGoverningBodyCnt
Voting Members Independent9VotingMembersIndependentCnt
Total Employee1588TotalEmployeeCnt
Total Volunteers82TotalVolunteersCnt
Total Gross UBI$3,157,929TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm-$1,422,330NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$446,289PYContributionsGrantsAmt
CY Contributions Grants$334,262CYContributionsGrantsAmt
PY Program Service Revenue$148,679,041PYProgramServiceRevenueAmt
CY Program Service Revenue$153,266,140CYProgramServiceRevenueAmt
PY Investment Income$1,317,117PYInvestmentIncomeAmt
CY Investment Income$1,186,207CYInvestmentIncomeAmt
PY Other Revenue$6,599,293PYOtherRevenueAmt
CY Other Revenue$6,394,630CYOtherRevenueAmt
PY Total Revenue$157,041,740PYTotalRevenueAmt
CY Total Revenue$161,181,239CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$4,000CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$62,372,529PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$65,015,844CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$89,686,547PYOtherExpensesAmt
CY Other Expenses$91,594,411CYOtherExpensesAmt
PY Total Expenses$152,059,076PYTotalExpensesAmt
CY Total Expenses$156,614,255CYTotalExpensesAmt
PY Revenues Less Expenses$4,982,664PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$4,566,984CYRevenuesLessExpensesAmt
Total Assets BOY$170,499,192TotalAssetsBOYAmt
Total Assets EOY$176,071,173TotalAssetsEOYAmt
Total Liabilities BOY$56,418,308TotalLiabilitiesBOYAmt
Total Liabilities EOY$55,665,081TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$114,080,884NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$120,406,092NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionCONWAY REGIONAL MEDICAL CENTER IS ACCOUNTABLE TO THE COMMUNITY TO PROVIDE HIGH-QUALITY AND COMPASSIONATE HEALTH CARE SERVICES.MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$122,622,563ExpenseAmt
Grant$4,000GrantAmt
Revenue$153,318,992RevenueAmt
DescCONWAY 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.Desc
Total Program Service Expenses$122,622,563TotalProgramServiceExpensesAmt
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
Temp Or Permanent EndowmentsfalseTempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecfalseReportInvestmentsOtherSecInd
Report Program Related InvstYes (true)ReportProgramRelatedInvstInd
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 ActivitiesfalseFundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalYes (true)OperateHospitalInd
Audited Financial Stmt AttYes (true)AuditedFinancialStmtAttInd
Grants To OrganizationsfalseGrantsToOrganizationsInd
Grants To IndividualsfalseGrantsToIndividualsInd
Schedule J RequiredYes (true)ScheduleJRequiredInd
Tax Exempt BondsYes (true)TaxExemptBondsInd
Invest Tax Exempt BondsfalseInvestTaxExemptBondsInd
Escrow AccountfalseEscrowAccountInd
On Behalf Of IssuerfalseOnBehalfOfIssuerInd
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 With Officer EntYes (true)BusinessRlnWithOfficerEntInd
Deductible Non Cash ContrifalseDeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
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 Document145IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee1588EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitYes (true)UnrelatedBusIncmOverLimitInd
Form990 T FiledYes (true)Form990TFiledInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Quid Pro Quo ContributionsfalseQuidProQuoContributionsInd
Form8282 Property Disposed OffalseForm8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members10GoverningBodyVotingMembersCnt
Independent Voting Member9IndependentVotingMemberCnt
Family Or Business RlnfalseFamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesYes (true)DelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersfalseMembersOrStockholdersInd
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 VentureYes (true)InvestmentInJointVentureInd
Written Policy Or ProcedureYes (true)WrittenPolicyOrProcedureInd
States Where Copy Of Return Is FldARStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonKAREN DAYER CONTROLLERPersonNm
Phone5015135451PhoneNum

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 (19 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtOfficerOfficerIndHighest Compensated EmployeeHighestCompensatedEmployeeInd
WAYNE COX
BOARD MEMBER1.00.0Yes (X)$0$0$1,344
JACK ENGELKES
BOARD MEMBER1.00.0Yes (X)$0$0$1,452
CORNELL MALTBIA
VICE CHAIR1.00.0Yes (X)$0$0$1,452Yes (X)
TOM POE
BOARD MEMBER1.00.0Yes (X)$0$0$1,092
BART THRONEBERRY MD
BOARD MEMBER1.00.0Yes (X)$0$0$84
BARBARA WILLIAMS
CHAIR1.00.0Yes (X)$0$0$660Yes (X)
ANDREW COLE MD
BOARD MEMBER1.00.0Yes (X)$0$0$1,344
JIM RANKIN JR
BOARD MEMBER1.00.0Yes (X)$0$0$84
ANDREA WOODS JD
BOARD MEMBER1.00.0Yes (X)$0$0$372
MATT TROUP
PRESIDENT/CEO40.00.0Yes (X)$0$0$0Yes (X)
ALAN FINLEY
COO40.00.0$0$0$7,344Yes (X)
STEVE ROSE
CFO40.00.0$0$0$8,580Yes (X)
ANGIE LONGING
CNO (STARTING JUNE 2016)40.00.0$0$0$0Yes (X)
JACQUELYN WILKERSON
CNO (ENDING APRIL 2016)40.00.0$0$0$496Yes (X)
DENNIS WOODHALL MD
PHYSICIAN40.00.0$549,854$0$14,458Yes (X)
GREG KENDRICK MD
PHYSICIAN40.00.0$333,968$0$24,523Yes (X)
BRENT SCROGGINS MD
PHYSICIAN40.00.0$294,978$0$9,454Yes (X)
ROBERT BALENTINE MD
PHYSICIAN40.00.0$290,986$0$23,543Yes (X)
JEFFERY HALL MD
PHYSICIAN40.00.0$307,139$0$13,618Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$1,776,925TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$109,900TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K51IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedfalseFormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (true)TotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
ST VINCENT HEALTH SYSTEM
2 ST VINCENTLITTLE ROCKAR72205MANAGEMENT SERVICES$3,950,146
NABHOLZ CONSTRUCTION CORP
PO BOX 2090CONWAYAR72033CONSTRUCTION SERVICE$3,613,118
CONWAY EMERGENCY PHYSICIANS
PO BOX 757CONWAYAR72033PHYSICIAN SERVICES$3,505,241
THERAPY AND REHAB SOLUTIONS
550 CLUB LANE SUITE 2CONWAYAR72034THERAPY SERVICES$3,315,148
REACH DIAGNOSTIC PARTNERS LLC
437 DENNISON SUITE ACONWAYAR72034MANAGEMENT SERVICES$1,265,634
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K35CntrctRcvdGreaterThan100KCnt
Related Organizations$143,561RelatedOrganizationsAmt
Government Grants$168,327GovernmentGrantsAmt
All Other Contributions$22,374AllOtherContributionsAmt
Total Contributions$334,262TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtUnrelated Business RevenueUnrelatedBusinessRevenueAmt
PATIENT SERVICES621110$137,961,693$137,961,693
REFERENCE LAB621610$15,044,436$11,855,157$3,189,279
MEDICAL OFFICE BUILDING SPACE RENTAL INCOME621110$260,011$260,011
FieldValueIRS element (for citing)
Total Program Service Revenue$153,266,140TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,108,352TotalRevenueColumnAmt
Unrelated Business Revenue-$31,350UnrelatedBusinessRevenueAmt
Exclusion$1,139,702ExclusionAmt

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$116,821RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$116,821RealAmt
Personal$0PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$116,821TotalRevenueColumnAmt
Exclusion$116,821ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$1,749,894SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$1,669,039SecuritiesAmt
Other$3,000OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$80,855SecuritiesAmt
Other-$3,000OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$77,855TotalRevenueColumnAmt
Related Or Exempt Func Income$0RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$77,855ExclusionAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$0FundraisingGrossIncomeAmt
Fundraising Direct Expenses$0FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
FieldValueIRS element (for citing)
Gaming Gross Income$0GamingGrossIncomeAmt
Gaming Direct Expenses$0GamingDirectExpensesAmt

Net Income From Gaming NetIncomeFromGamingGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
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

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtExclusionExclusionAmt
HEALTH/FITNESS CENTER900099$1,788,353$1,788,353
CAFETERIA SALES900099$1,453,778$1,453,778
EHR FEES900099$669,852$669,852

Miscellaneous Revenue MiscellaneousRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$2,365,826TotalRevenueColumnAmt
Exclusion$2,365,826ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$6,277,809OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$161,181,239TotalRevenueColumnAmt
Related Or Exempt Func Income$153,318,992RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$3,157,929UnrelatedBusinessRevenueAmt
Exclusion$4,370,056ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$4,000TotalAmt
Program Services$4,000ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

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$0TotalAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$53,712,735TotalAmt
Program Services$38,468,875ProgramServicesAmt
Management And General$15,243,860ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$979,347TotalAmt
Program Services$701,405ProgramServicesAmt
Management And General$277,942ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$6,599,451TotalAmt
Program Services$4,726,504ProgramServicesAmt
Management And General$1,872,947ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$3,724,311TotalAmt
Program Services$2,667,339ProgramServicesAmt
Management And General$1,056,972ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$2,633,347TotalAmt
Program Services$1,885,994ProgramServicesAmt
Management And General$747,353ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$732,464TotalAmt
Program Services$524,588ProgramServicesAmt
Management And General$207,876ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$389,737TotalAmt
Program Services$279,128ProgramServicesAmt
Management And General$110,609ManagementAndGeneralAmt

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$293,257TotalAmt
Program Services$210,030ProgramServicesAmt
Management And General$83,227ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$24,394,842TotalAmt
Program Services$17,471,502ProgramServicesAmt
Management And General$6,923,340ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$1,156,569TotalAmt
Program Services$828,331ProgramServicesAmt
Management And General$328,238ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$3,598,245TotalAmt
Program Services$2,577,051ProgramServicesAmt
Management And General$1,021,194ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Royalties RoyaltiesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$2,934,833TotalAmt
Program Services$2,101,917ProgramServicesAmt
Management And General$832,916ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$349,073TotalAmt
Program Services$250,005ProgramServicesAmt
Management And General$99,068ManagementAndGeneralAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$232,003TotalAmt
Program Services$166,160ProgramServicesAmt
Management And General$65,843ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$2,050,844TotalAmt
Program Services$1,468,807ProgramServicesAmt
Management And General$582,037ManagementAndGeneralAmt

Payments To Affiliates PaymentsToAffiliatesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$8,576,258TotalAmt
Program Services$6,142,286ProgramServicesAmt
Management And General$2,433,972ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$1,250,547TotalAmt
Program Services$895,637ProgramServicesAmt
Management And General$354,910ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
PHARMACEUTICALS & MED SUPPLIES$27,197,837$27,197,837
PROVISION FOR BAD DEBTS$9,640,476$9,640,476
DIETARY EXPENSES$1,356,659$971,634$385,025
REPAIRS AND MAINTENANCE$1,039,407$744,420$294,987

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$3,768,013TotalAmt
Program Services$2,698,637ProgramServicesAmt
Management And General$1,069,376ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$156,614,255TotalAmt
Program Services$122,622,563ProgramServicesAmt
Management And General$33,991,692ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$3,295,411BOYAmt
EOY$5,650,433EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$25,020,525BOYAmt
EOY$26,726,728EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

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

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$12,290,128BOYAmt
EOY$12,142,444EOYAmt

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$3,315,647BOYAmt
EOY$3,545,983EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$515,015BOYAmt
EOY$485,987EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$190,585,567LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$130,112,160LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$60,109,330BOYAmt
EOY$60,473,407EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

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

Investments Other Securities InvestmentsOtherSecuritiesGrp

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

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
BOY$54,173,535BOYAmt
EOY$56,981,576EOYAmt

Intangible Assets IntangibleAssetsGrp

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

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$11,779,601BOYAmt
EOY$10,064,615EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$170,499,192BOYAmt
EOY$176,071,173EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$12,216,594BOYAmt
EOY$13,722,991EOYAmt

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$40,191,059BOYAmt
EOY$38,134,652EOYAmt

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$1,778,671BOYAmt
EOY$1,408,375EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

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

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$2,231,984BOYAmt
EOY$2,399,063EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$56,418,308BOYAmt
EOY$55,665,081EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$114,080,884BOYAmt
EOY$120,406,092EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

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

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

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

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$114,080,884BOYAmt
EOY$120,406,092EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$170,499,192BOYAmt
EOY$176,071,173EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$4,566,984ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$1,832,620NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets-$74,396OtherChangesInNetAssetsAmt
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)
HospitalYes (X)HospitalInd

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$1,894,304OtherCostOrOtherBasisAmt
Book Value$1,894,304BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$97,533,576OtherCostOrOtherBasisAmt
Depreciation$61,364,611DepreciationAmt
Book Value$36,168,965BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$2,312,293OtherCostOrOtherBasisAmt
Depreciation$918,534DepreciationAmt
Book Value$1,393,759BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$85,611,731OtherCostOrOtherBasisAmt
Depreciation$67,829,015DepreciationAmt
Book Value$17,782,716BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$3,233,663OtherCostOrOtherBasisAmt
Book Value$3,233,663BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$60,473,407TotalBookValueLandBuildingsAmt

Invst Program Related Org InvstProgramRelatedOrgGrp

FieldValueIRS element (for citing)
DescBOARD DESIGNATED INVESTMENTSDesc
Book Value$56,981,576BookValueAmt
Method ValuationFMethodValuationCd
FieldValueIRS element (for citing)
Total Book Value Program Rltd$56,981,576TotalBookValueProgramRltdAmt

Other Assets Org OtherAssetsOrgGrp (8 entries)

DescDescBook ValueBookValueAmt
FUNDS HELD BY TRUSTEE$5,092,883
OTHER RECEIVABLES$102,096
AMORTIZED BOND ISSUE COSTS$0
INTERCOMPANY RECEIVABLES$72,480
INVESTMENT IN SUBSIDIARIES$3,636,439
AMOUNT DUE FROM THIRD-PARTY$340,000
RESERVE - CD$751,501
OTHER ASSETS$69,216
FieldValueIRS element (for citing)
Total Book Value Other Assets$10,064,615TotalBookValueOtherAssetsAmt
Federal Income Tax Liability$0FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)

DescDescAmtAmt
ESTIMATED 3RD PARTY SETTLEMENT$1,614,997
ASSET RETIREMENT ENVIRON. RES.$758,668
DUE TO CRMC$25,398
FieldValueIRS element (for citing)
Total Liability$2,399,063TotalLiabilityAmt
Total Rev Etc Audited Fincl Stmt$153,407,733TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst$1,832,620NetUnrealizedGainsInvstAmt
Revenue Not Reported$1,832,620RevenueNotReportedAmt
Revenue Subtotal$151,575,113RevenueSubtotalAmt
Other Revenues Not Included$9,606,126OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt$9,606,126RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$161,181,239TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$146,976,779TotExpnsEtcAuditedFinclStmtAmt
Other Expenses Included$3,000OtherExpensesIncludedAmt
Expenses Not Reported$3,000ExpensesNotReportedAmt
Expenses Subtotal$146,973,779ExpensesSubtotalAmt
Other Expenses Not Included$9,640,476OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt$9,640,476ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$156,614,255TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (4 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 TAX POSITIONS TO BE RECORDED OR DISCLOSED IN THE FINANCIAL STATEMENTS.
FORM 990, SCHEDULE D, PART XI, LINE 4BBAD DEBT EXPENSE $9,640,476 INVESTMENT INCOME FROM K-1S ($31,350) LOSS ON DISPOSAL OF ASSET ($3,000) ---------------------------------------------- TOTAL $9,606,126
FORM 990, SCHEDULE D, PART XII, LINE 2DLOSS ON DISPOSAL OF ASSET $3,000
FORM 990, SCHEDULE D, PART XII, LINE 4BBAD DEBT EXPENSE $9,640,476

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Financial Assistance PolicyYes (true)FinancialAssistancePolicyInd
Written PolicyYes (true)WrittenPolicyInd
All Hospitals PolicyYes (X)AllHospitalsPolicyInd
FPG Reference Free CareYes (true)FPGReferenceFreeCareInd

Free Care Oth Percentage FreeCareOthPercentageGrp

FieldValueIRS element (for citing)
OtherYes (X)OtherInd
Free Care Other225.FreeCareOtherPct
FieldValueIRS element (for citing)
FPG Reference Discounted CareYes (true)FPGReferenceDiscountedCareInd
Percent300Yes (X)Percent300Ind
Free Care Medically IndigentYes (true)FreeCareMedicallyIndigentInd
Financial Assistance BudgetYes (true)FinancialAssistanceBudgetInd
Expenses Exceed BudgetfalseExpensesExceedBudgetInd
Annual Community Bnft ReportYes (true)AnnualCommunityBnftReportInd
Report Publically AvailableYes (true)ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$563,811TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$563,811NetCommunityBenefitExpnsAmt
Total Expense0.00380TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$13,966,347TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$12,477,966DirectOffsettingRevenueAmt
Net Community Benefit Expns$1,488,381NetCommunityBenefitExpnsAmt
Total Expense0.01010TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$14,530,158TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$12,477,966DirectOffsettingRevenueAmt
Net Community Benefit Expns$2,052,192NetCommunityBenefitExpnsAmt
Total Expense0.01390TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Activities Or Programs16ActivitiesOrProgramsCnt
Persons Served14759PersonsServedCnt
Total Community Benefit Expns$88,580TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$690DirectOffsettingRevenueAmt
Net Community Benefit Expns$87,890NetCommunityBenefitExpnsAmt
Total Expense0.00060TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

FieldValueIRS element (for citing)
Activities Or Programs2ActivitiesOrProgramsCnt
Persons Served200PersonsServedCnt
Total Community Benefit Expns$23,855TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$23,855NetCommunityBenefitExpnsAmt
Total Expense0.00020TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$13,680,081TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$11,167,534DirectOffsettingRevenueAmt
Net Community Benefit Expns$2,512,547NetCommunityBenefitExpnsAmt
Total Expense0.01700TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

FieldValueIRS element (for citing)
Activities Or Programs6ActivitiesOrProgramsCnt
Persons Served5014PersonsServedCnt
Total Community Benefit Expns$92,601TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$92,601NetCommunityBenefitExpnsAmt
Total Expense0.00060TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Activities Or Programs24ActivitiesOrProgramsCnt
Persons Served19973PersonsServedCnt
Total Community Benefit Expns$13,885,117TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$11,168,224DirectOffsettingRevenueAmt
Net Community Benefit Expns$2,716,893NetCommunityBenefitExpnsAmt
Total Expense0.01840TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Activities Or Programs24ActivitiesOrProgramsCnt
Persons Served19973PersonsServedCnt
Total Community Benefit Expns$28,415,275TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$23,646,190DirectOffsettingRevenueAmt
Net Community Benefit Expns$4,769,085NetCommunityBenefitExpnsAmt
Total Expense0.03230TotalExpensePct

Community Support CommunitySupportGrp

FieldValueIRS element (for citing)
Activities Or Programs1ActivitiesOrProgramsCnt
Total Community Benefit Expns$96TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$96NetCommunityBenefitExpnsAmt

Leadership Development LeadershipDevelopmentGrp

FieldValueIRS element (for citing)
Activities Or Programs1ActivitiesOrProgramsCnt
Total Community Benefit Expns$587TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$587NetCommunityBenefitExpnsAmt

Coalition Building CoalitionBuildingGrp

FieldValueIRS element (for citing)
Activities Or Programs1ActivitiesOrProgramsCnt
Total Community Benefit Expns$10,375TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$10,375NetCommunityBenefitExpnsAmt
Total Expense0.00010TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Activities Or Programs3ActivitiesOrProgramsCnt
Total Community Benefit Expns$11,058TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$11,058NetCommunityBenefitExpnsAmt
Total Expense0.00010TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense ReportedfalseBadDebtExpenseReportedInd
Bad Debt Expense$9,640,476BadDebtExpenseAmt
Bad Debt Expense Attributable$1,619,600BadDebtExpenseAttributableAmt
Reimbursed By Medicare$39,532,622ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$39,549,292CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall-$16,670MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

FieldValueIRS element (for citing)
Cost To Charge RatioYes (X)CostToChargeRatioInd
FieldValueIRS element (for citing)
Written Debt Collection PolicyYes (true)WrittenDebtCollectionPolicyInd
Financial Assistance PrvsnYes (true)FinancialAssistancePrvsnInd

Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp (2 entries)

Primary ActivitiesPrimaryActivitiesTxtOrg Profit Or OwnershipOrgProfitOrOwnershipPctPhysicians Profit Or OwnershipPhysiciansProfitOrOwnershipPct
CONWAY REG PHO
ADMIN SERVICES0.50.5
CONWAY REG REHAB
REHAB SERVICES0.6580.342
FieldValueIRS element (for citing)
Hospital Facilities2HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp (2 entries)

FacilityFacilityNumAddress Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdWebsite AddressWebsiteAddressTxtState LicenseStateLicenseNumLicensed HospitalLicensedHospitalIndGeneral Medical And SurgicalGeneralMedicalAndSurgicalIndEmergency Room24 HrsEmergencyRoom24HrsIndFacility Reporting GroupFacilityReportingGroupCdOtherOtherDesc
CONWAY REGIONAL MEDICAL CENTER INC
12302 COLLEGE AVENUECONWAYAR72034WWW.CONWAYREGIONAL.ORGAR2657Yes (X)Yes (X)Yes (X)1
CONWAY REGIONAL REHABILITATION HOSPIT
22210 ROBINSON AVENUECONWAYAR72034CONWAYREGIONAL.ORG/REHABILITATIONHOSPITAAR4261Yes (X)1REHAB HOSPITAL

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1CONWAY REGIONAL MEDICAL CENTER INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Facility1FacilityNum
First Licensed CY Or PYfalseFirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PYfalseTaxExemptHospitalCYOrPYInd
CHNA ConductedYes (true)CHNAConductedInd
Community DefinitionYes (X)CommunityDefinitionInd
Community DemographicsYes (X)CommunityDemographicsInd
Existing ResourcesYes (X)ExistingResourcesInd
How Data ObtainedYes (X)HowDataObtainedInd
Community Health NeedsYes (X)CommunityHealthNeedsInd
Other Health IssuesYes (X)OtherHealthIssuesInd
Community Hlth Needs Id ProcessYes (X)CommunityHlthNeedsIdProcessInd
Consulting ProcessYes (X)ConsultingProcessInd
Prior CHNA ImpactYes (X)PriorCHNAImpactInd
CHNA Conducted16CHNAConductedYr
Take Into Account Others InputYes (true)TakeIntoAccountOthersInputInd
CHNA Conducted With Other FcltsYes (true)CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non FcltsfalseCHNAConductedWithNonFcltsInd
CHNA Report Widely AvailableYes (true)CHNAReportWidelyAvailableInd
Rpt Available On Own WebsiteYes (X)RptAvailableOnOwnWebsiteInd
Own Website URLWWW.CONWAYREGIONAL.ORG/CHNAOwnWebsiteURLTxt
Paper Copy Public InspectionYes (X)PaperCopyPublicInspectionInd
Rpt Available Thru Other MethodYes (X)RptAvailableThruOtherMethodInd
Implementation Strategy AdoptYes (true)ImplementationStrategyAdoptInd
Implementation Strategy Adpt16ImplementationStrategyAdptYr
Strategy Posted WebsitefalseStrategyPostedWebsiteInd
Strategy AttachedYes (true)StrategyAttachedInd
Organization Incur Excise TaxfalseOrganizationIncurExciseTaxInd
Elig Criteria ExplainedYes (true)EligCriteriaExplainedInd
FPG Family Incm Lmt Free DscntYes (X)FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care225.FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care300.FPGFamilyIncmLmtDscntCarePct
Asset Level CriteriaYes (X)AssetLevelCriteriaInd
Medical Indigency CriteriaYes (X)MedicalIndigencyCriteriaInd
Insurance Status CriteriaYes (X)InsuranceStatusCriteriaInd
Underinsurance Stat CriteriaYes (X)UnderinsuranceStatCriteriaInd
Residency CriteriaYes (X)ResidencyCriteriaInd
Explained BasisYes (true)ExplainedBasisInd
App Financial Asst ExplnYes (true)AppFinancialAsstExplnInd
Described InfoYes (X)DescribedInfoInd
Described Suprt DocYes (X)DescribedSuprtDocInd
Provided Hospital ContactYes (X)ProvidedHospitalContactInd
Provided Nonprofit ContactYes (X)ProvidedNonprofitContactInd
Includes Publicity MeasuresYes (true)IncludesPublicityMeasuresInd
FAP Available On WebsiteYes (X)FAPAvailableOnWebsiteInd
FAP Available On Website URLWWW.CONWAYREGIONAL.ORGFAPAvailableOnWebsiteURLTxt
FAP App Available On WebsiteYes (X)FAPAppAvailableOnWebsiteInd
FAP App Available On Website URLWWW.CONWAYREGIONAL.ORGFAPAppAvailableOnWebsiteURLTxt
FAP Summary On WebsiteYes (X)FAPSummaryOnWebsiteInd
FAP Summary On Website URLWWW.CONWAYREGIONAL.ORGFAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No ChargeYes (X)FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No ChrgYes (X)FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No ChrgYes (X)FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill DisplayYes (X)NotifiedFAPCopyBillDisplayInd
Communtity Notified FAPYes (X)CommuntityNotifiedFAPInd
FAP TranslatedYes (X)FAPTranslatedInd
FAP Actions On NonpaymentYes (true)FAPActionsOnNonpaymentInd
Permit No ActionsYes (X)PermitNoActionsInd
Collection ActivitiesfalseCollectionActivitiesInd
Provided Written NoticeYes (X)ProvidedWrittenNoticeInd
Made Effort Orally NotifyYes (X)MadeEffortOrallyNotifyInd
Processed FAP ApplicationYes (X)ProcessedFAPApplicationInd
Made Presumptive Elig DetermYes (X)MadePresumptiveEligDetermInd
Nondis Emergency Care PolicyYes (true)NondisEmergencyCarePolicyInd
Look Back Medicare PrivateYes (X)LookBackMedicarePrivateInd
Amounts Generally BilledfalseAmountsGenerallyBilledInd
Gross ChargesfalseGrossChargesInd

Supplemental Information SupplementalInformationGrp (4 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, SCHEDULE H, PART V, SECTION B, LINE 5CRMC INVITED THE ARKANSAS STATE DEPARTMENT OF HEALTH TO PRESENT AND REVIEW THE DATA TO THE COMMUNITY. THE LOCAL FAULKNER COUNTY DEPARTMENT OF HEALTH WAS ALSO INVOLVED IN THE DISCUSSION AND DEVELOPMENT OF THE COUNTY'S HEALTH NEEDS ASSESSMENT. IN DESIGNING THE COMMUNITY SAMPLE, CRMC CONDUCTED AN OPEN FORUM WITH THE COMMUNITY. CRMC REACHED OUT TO THE LARGEST EMPLOYERS IN THE COMMUNITY, THE LARGEST NON-PROFITS, COMMUNITY HEALTH PROVIDERS, HOSPITAL DEPARTMENTAL DIRECTORS, FIRE DEPARTMENT, POLICE DEPARTMENT, CHURCHES, AND INDIVIDUALS WHO HAVE EXPRESSED INTEREST IN FAULKNER COUNTY'S HEALTH.
FORM 990, SCHEDULE H, PART V, SECTION B, LINE 6ACONWAY REGIONAL REHABILITATION HOSPITAL, LLC.
FORM 990, SCHEDULE H, PART V, SECTION B, LINE 7DTHE CHNA REPORT WAS MADE WIDELY AVAILABLE TO THE PUBLIC BY RELEASING TO LOCAL MEDIA, AND MAKING HARD COPIES AVAILABLE IN THE ADMINISTRATIVE OFFICES.
FORM 990, SCHEDULE H, PART V, SECTION B, LINE 11CONWAY REGIONAL HAS IDENTIFIED THREE NEEDS THAT WILL BE THE HOSPITAL'S PRIMARY FOCUS FOR IMPROVEMENT: OBESITY AND CHILDHOOD OBESITY, NUTRITION AND EXERCISE, AND CHRONIC DISEASE MANAGEMENT/DIABETES. SPECIFIC ACTIVITIES FOR HEALTH STATUS IMPROVEMENT INCLUDE THE FOLLOWING ELEMENTS FROM THE COMMUNITY HEALTH NEEDS ASSESSMENT: OBESITY ARKANSAS KIDS RUN INCREASED PARTICIPATION BY 194% TO 1,039 PARTICIPANTS IN 2016 FROM 52 SCHOOLS AND 6 COUNTIES REPRESENTED, SCHOOLS WITH RUNNING PROGRAMS SHOWED A 1.13% DECREASE IN OBESITY COMPARED TO SCHOOLS WITH NO RUNNING PROGRAMS THAT DID NOT PARTICIPATE IN THE CRMC PROGRAM, REDUCE THE RATE OF ADULT OBESITY, AND INCREASE THE ACTIVITY LEVEL AND PROVIDE MORE NUTRITIONAL EDUCATION. NUTRITION AND EXERCISE CONWAY REGIONAL WILL INCREASE ACTIVITY FOR THE POPULATION OF FAULKNER COUNTY BY 3% OVER THE NEXT THREE YEARS. THIS INITIATIVE WILL BE CALLED "GET CONWAY MOVING". CRMC WILL CONTINUTE TO SPONSOR AND SUPPORT INFRASTRUCTURE WITHIN THE COMMUNITY THAT ENCOURAGES EXERCISE. THIS COULD INCLUDE WALKING TRAILS, PLAYGROUNDS, OR OTHER FITNESS EQUIPMENT. CHRONIC DISEASE MANAGEMENT CONWAY REGIONAL WILL WORK TO REDUCE THE RATE BY 2% OVER THE NEXT THREE YEARS BY FOCUSING ON IMPROVING NUTRITION, INCREASING EXERCISE, AND LOWERING OBESITY. DIABETES AFFECTS 35% OF CONWAY REGIONAL REHABILITATION HOSPITAL PATIENTS AND 20.4% OF CONWAY REGIONAL MEDICAL CENTER PATIENTS. CRMC WILL OFFER A WELLNESS PROGRAM TO EMPLOYEES TO HELP DECREASE THE RISK OF CHRONIC DISEASES, AND THIS PROGRAM WILL BE EXPANDED TO OTHER MEMBERS OF THE COMMUNITY. CONWAY REGIONAL ACKNOWLEDGES THE IMPORTANCE OF ALL IDENTIFIED NEEDS FROM THE ASSESSMENT BUT DUE TO THE NUMBER OF NEEDS, CONWAY REGIONAL CANNOT ADDRESS ALL THE NEEDS ALONE. COMMUNITY ORGANIZATIONS AND BUSINESSES ARE WELCOME TO HELP IMPROVE THE HEALTH OF THE COMMUNITY. IDENTIFIED NEEDS NOT ADDRESSED BY CONWAY REGIONAL ARE LISTED BELOW. ACCESS TO CARE THE NEED FOR INCREASED PHYSICIAN/CLINICAL WORKFORCE SHOULD IMPACT THE OVERALL ACCESS TO CARE. ONE WAY WE ARE INCREASING ACCESS IS COLLABORATION WITH UAMS CENTER FOR DISTANCE HEALTH THAT ALLOWS CONWAY REGIONAL TO PROVIDE EMERGENCY ROOM PATIENTS, EXPERIENCING A STROKE, LIFESAVING TREATMENT. THE PROGRAM PROVIDES PATIENTS WITH ACCESS TO SPECIALLY TRAINED NEUROLOGISTS THROUGH TWO-WAY VIDEO 24 HOURS A DAY, 7 DAYS A WEEK. WE ALSO CONTINUE EFFORTS TO RECRUIT PHYSICIANS AND CLINICAL STAFF AS THE AVAILABILITY OF PHYSICIANS INCREASES, THE NEED FOR ACCESS SHOULD DECREASE. CONWAY REGIONAL WILL CONTINUE EFFORTS TO RECRUIT PHYSICIANS BUT THERE IS NOT A POINT ESTABLISHED WHERE ALL PHYSICIAN NEEDS OR ACCESS NEEDS WILL BE MET. SMOKING/DRINKING/DRUG ABUSE CONWAY REGIONAL OFFERS A SMOKING CESSATION PROGRAM FOR OUR EMPLOYEES THROUGH AN EMPLOYEE BASED WELLNESS PROGRAM BUT DOES NOT CURRENTLY OFFER THIS SERVICE TO THE COMMUNITY. AS THE WELLNESS PROGRAMS INCREASE IN CONWAY AND FAULKNER COUNTY, SMOKING CESSATION WILL MOST LIKELY BE ONE ASPECT THE INDIVIDUAL ORGANIZATIONS WILL ADD TO THEIR BENEFITS. CURRENTLY, SUPPORT AND RESOURCES ARE AVAILABLE THROUGH COMMUNITY SERVICES, INC. AS THEY HAVE AN INITIATIVE IN PLACE TO DECREASE SMOKING IN FAULKNER COUNTY. WHILE THERE ARE DEFINED NEEDS FOR FAULKNER COUNTY THAT ARE NOT ESTABLISHED AS AREAS OF FOCUS FOR CONWAY REGIONAL, WE WILL WORK WITH THE COMMUNITY IF A PROGRAM ARISES TO IMPACT THESE AREAS. IT WAS CONCLUDED THAT MANY OF THE NEEDS FOUND THROUGH THE NEEDS ASSESSMENT WILL SEE INDIRECT EFFECTS FROM CONWAY REGIONAL'S FOCUS ON OUR THREE PRIORITY AREAS.
FieldValueIRS element (for citing)
Facility10FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (10 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdFacilityFacilityTxt
CONWAY MEDICAL GROUP
437 DENISON STREETCONWAYAR72034MEDICAL CLINIC
MAYFLOWER MEDICAL CLINIC
606 HIGHWAY 365MAYFLOWERAR72106MEDICAL CLINIC
GREENBRIER FAMILY MEDICINE
110 NORTH BROADVIEWGREENBRIERAR72058FAMILY CLINIC
HEALTH AND FITNESS CENTER
700 SALEM ROADCONWAYAR72034HEALTH CENTER
CONWAY REGIONAL AFTER HOURS CLINIC
437 DENISON SUITE 2CONWAYAR72034CLINIC
CONWAY REGIONAL MEDICAL CLINIC - VILONIA
1122 MAIN STREET SUITE 7VILONIAAR72173CLINIC
CONWAY REGIONAL MEDICAL CLINIC-PRINCE ST
1 MEDICAL LANECONWAYAR72034CLINIC
CONWAY REGIONAL CARDIOVASCULAR CLINIC
525 WESTERN AVENUE SUITE 202CONWAYAR72034CARDIOVASCULAR CLINIC
CLINTON MEDICAL CLINIC
2526 HIGHWAY 65 SUITE 203CLINTONAR72031CLINIC
CONWAY REGIONAL MED CLINIC-POTTSVILLE
2504 WEST MAIN STREET SUITE HRUSSELLVILLEAR72801CLINIC

Supplemental Information Detail SupplementalInformationDetail (12 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, SCHEDULE HCONWAY REGIONAL IS A NOT-FOR-PROFIT MEDICAL CENTER SERVING AS THE SOLE PROVIDER OF HOSPITAL SERVICES IN THE COUNTY. THE ORGANIZATION IS GOVERNED BY A BOARD COMPRISED OF COMMUNITY MEMBERS WHO RESIDE OR WORK WITHIN THE SERVICE AREA AND 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, 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 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. A REHABILITATION HOSPITAL OFFERS THE AREA A FACILITY IN WHICH TO RECOVER CLOSE TO HOME. THE CONWAY REGIONAL EMERGENCY DEPARTMENT IS THE SOLE EMERGENCY DEPARTMENT FOR THE COUNTY AND SERVES ALL PERSONS REGARDLESS OF ABILITY TO PAY. 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 7, COLUMN FBAD DEBT EXPENSE IN THE AMOUNT OF $9,640,476 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 I, LINE 7THE COST TO CHARGE RATIO (CALCULATED USING WORKSHEET 2) WAS USED FOR LINE 7 AMOUNTS.
FORM 990, SCHEDULE H, PART III, LINE 2CALCULATED USING THE TOTAL BAD DEBT EXPENSE FROM THE AUDIT REPORT, $9,640,476.
FORM 990, SCHEDULE H, PART III, LINE 3CALCULATED BY USING THE AVERAGE PERCENT OF THE TOP 5 COUNTIES SERVED, 16.80%, BY THE TOTAL BAD DEBT FROM THE AUDIT REPORT, $9,640,476. SOURCE USDA POVERTY REPORT BY AR COUNTY. 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 CLASSIFIED AS COMMUNITY BENEFIT.
FORM 990, SCHEDULE H, PART III, LINE 4SEE ATTACHED AUDIT REPORT, NOTE 1, PATIENT ACCOUNTS RECEIVABLE.
FORM 990, SCHEDULE H, PART III, LINE 8THE MEDICARE COST REPORT WAS USED TO CALCULATE THE AMOUNT OF LINE 6.
FORM 990, SCHEDULE H, PART III, LINE 9BIF A PATIENT FILLS OUT A FINANCIAL ASSISTANCE APPLICATION, THE ACCOUNT IS FROZEN AND NO FURTHER COLLECTION ACTIVITY OCCURS WHILE A DETERMINATION IS MADE AS TO IF THE PATIENT QUALIFIES FOR CHARITY CARE.
FORM 990, SCHEDULE H, PART VI, LINE 2CRMC 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 3ALL 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 AND IF A PATIENT CALLS THE PATIENT ACCOUNTING OFFICE ABOUT THEIR BILL, THEY ARE ALSO MADE AWARE OF THE 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. NOTICES OF THIS FINANCIAL ASSISTANCE POLICY WILL ALSO BE INCLUDED ON BILLING STATEMENTS.
FORM 990, SCHEDULE H, PART VI, LINE 4CONWAY REGIONAL SERVES A FIVE COUNTY AREA IN CENTRAL ARKANSAS INCLUDING FAULKNER, PERRY, CONWAY, VAN BUREN AND CLEBURNE COUNTIES. MANY OF THE AREAS WE SERVE ARE CONSIDERED RURAL UNDERSERVED AREAS. CAUCASIANS ARE THE PRIMARY RACE FOLLOWED BY AFRICAN AMERICAN. WITH FOUR COLLEGES/UNIVERSITIES IN OUR SERVICE AREA, WE HAVE A LARGE POPULATION OF 18-30, BUT WE ALSO SERVE A LARGE POPULATION OF SENIORS AS WELL.
FORM 990, SCHEDULE H, PART VI, LINE 5CONWAY REGIONAL PARTICIPATES IN SEVERAL 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 AND CHILDHOOD OBESITY, NUTRITION AND EXERCISE, AND CHRONIC DISEASE MANAGEMENT/DIABETES. 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; WE PROVIDE HEALTHY EATING INFORMATION AND EDUCATION THROUGH OUR WOMEN'S COUNCIL AND OFFER HUNDREDS OF FREE INDIVIDUAL HEALTH SCREENINGS THROUGHOUT THE YEAR AT EVENTS SUCH AS THE SENIOR HEALTH FAIR AND THE WOMEN'S HEALTH FAIR. WE PROVIDE EXPERT SPEAKERS FOR MANY CLUBS AND COMMUNITY MEETINGS WHICH PROVIDE EDUCATION ON LIVING A HEALTHIER LIFE. WE PROVIDE SUPPORT TO PARENTS SUFFERING A PREGNANCY LOSS AND OFFER CLASSES TO ENCOURAGE BREASTFEEDING TO NEW MOTHERS.

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Club Dues Or FeesYes (X)ClubDuesOrFeesInd
Written Policy Ref T And E ExpnssYes (true)WrittenPolicyRefTAndEExpnssInd
Substantiation RequiredYes (true)SubstantiationRequiredInd
Severance PaymentfalseSeverancePaymentInd
Supplemental Nonqual Rtr PlanfalseSupplementalNonqualRtrPlanInd
Equity Based Comp ArrngmfalseEquityBasedCompArrngmInd
Comp Based On Revenue Of Flng OrgfalseCompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related OrgsfalseCompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng OrgfalseCompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd OrgsfalseCompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsfalseAnyNonFixedPaymentsInd
Initial Contract ExceptionfalseInitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (5 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
DENNIS WOODHALL MD
PHYSICIAN$523,064$0$26,774$0$16$0$13,249$0$1,209$0$564,312$0$0$0
GREG KENDRICK MD
PHYSICIAN$284,030$0$46,477$0$3,461$0$13,249$0$11,274$0$358,491$0$0$0
BRENT SCROGGINS MD
PHYSICIAN$230,014$0$60,232$0$4,732$0$0$0$9,454$0$304,432$0$0$0
ROBERT BALENTINE MD
PHYSICIAN$235,221$0$51,031$0$4,734$0$13,249$0$10,294$0$314,529$0$0$0
JEFFERY HALL MD
PHYSICIAN$247,721$0$58,693$0$725$0$13,249$0$369$0$320,757$0$0$0

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceFORM 990, SCHEDULE J, PART I, LINE 1AFormAndLineReferenceDesc
ExplanationHEALTH & FITNESS CENTER - THE MEMBERS THAT HAVE A CURRENT MEMBERSHIP AND THE FMV OF THAT MEMBERSHIP ARE LISTED IN SCHEDULE J. THE TAXABLE PORTION OF CLUB DUES THAT WAS PAID ON BEHALF OF THESE INDIVIDUALS WAS INCLUDED AS COMPENSATION ON THEIR FORMS W-2.ExplanationTxt

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (2 entries)

Bond ReferenceBondReferenceCdBond Issuer EINBondIssuerEINCUSIPCUSIPNumBond IssuedBondIssuedDtIssue PriceIssuePriceAmtPurposePurposeDescDefeasedDefeasedIndOn Behalf Of IssuerOnBehalfOfIssuerIndPool FinancingPoolFinancingInd
CITY OF CONWAY AR - HEALTH FACILITIES BOARD
A731574175212584CE42009-12-08$29,579,127REFUNDED BOND ISSUED 10/19/99falsefalsefalse
CITY OF CONWAY AR - HEALTH FACILITIES BOARD
B731574175212584CS32012-03-15$18,363,658CAPITAL IMPROVEMENTSfalsefalsefalse

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (2 entries)

Bond ReferenceBondReferenceCdRetiredRetiredAmtBond DefeasedBondDefeasedAmtTotal ProceedsTotalProceedsAmtIn Reserve FundInReserveFundAmtCapitalized InterestCapitalizedInterestAmtRefunding EscrowRefundingEscrowAmtIssuance Costs From ProceedsIssuanceCostsFromProceedsAmtCredit EnhancementCreditEnhancementAmtWorking Capital ExpendituresWorkingCapitalExpendituresAmtCapital ExpendituresCapitalExpendituresAmtOther Spent ProceedsOtherSpentProceedsAmtUnspentUnspentAmtSubstantial CompletionSubstantialCompletionYrCurrent RefundingCurrentRefundingIndAdvance RefundingAdvanceRefundingIndFinal Allocation MadeFinalAllocationMadeIndAdequate Books And Rec MaintAdequateBooksAndRecMaintInd
A$7,275,000$0$29,586,481$2,477,401$0$0$553,554$0$0$0$26,637,795$1,052,7102009Yes (true)falseYes (true)Yes (true)
B$2,205,000$0$18,365,267$1,097,926$0$0$262,329$0$0$17,005,514$0$464,8452012falsefalsefalseYes (true)

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (2 entries)

Bond ReferenceBondReferenceCdOwning Bond Financed PropertyOwningBondFinancedPropertyIndAny Lease ArrangementsAnyLeaseArrangementsIndMgmt Contract Bond Fincd PropMgmtContractBondFincdPropIndAny Research AgreementsAnyResearchAgreementsIndPrivate Bus Use By OthersPrivateBusUseByOthersPctBond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestIndChange In Use Bond Financed PropChangeInUseBondFinancedPropIndRemedial Action TakenRemedialActionTakenIndProcs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
Afalsefalsefalsefalse0falsefalsefalseYes (true)
Bfalsefalsefalsefalse0falsefalsefalseYes (true)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (2 entries)

Bond ReferenceBondReferenceCdForm8038 T FiledForm8038TFiledIndRebate Not Due YetRebateNotDueYetIndException To RebateExceptionToRebateIndNo Rebate DueNoRebateDueIndVariable Rate IssueVariableRateIssueIndHedge Identified In Bks And RecHedgeIdentifiedInBksAndRecIndGross Proceeds Invested In GICGrossProceedsInvestedInGICIndBusiness Name Line1GICProviderName/BusinessNameLine1TxtGross Proceeds InvestedGrossProceedsInvestedIndWritten Proc To Monitor ReqsWrittenProcToMonitorReqsInd
0
AfalsefalsefalseYes (true)falsefalsefalse0falseYes (true)
0
BfalsefalsefalseYes (true)falsefalsefalse0falseYes (true)

Procedures Corrective Action ProceduresCorrectiveActionGrp (2 entries)

Bond ReferenceBondReferenceCdProcedures Corrective ActionProceduresCorrectiveActionInd
AYes (true)
BYes (true)

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, SCHEDULE K, PART I, LINE A&BSERIES 2009 BONDS ARE CALCULATED ON THE BOND YEAR END, 08/01/2016. SERIES 2012 BONDS ARE CALCULATED ON THE TAX YEAR END, 08/01/2016.
FORM 990, SCHEDULE K, PART II, LINE 3THE TOTAL PROCEEDS OF ISSUE IS DIFFERENT THAN THE ISSUE PRICE, DUE TO INVESTMENT EARNINGS INCLUDED.
FORM 990, SCHEDULE K, PART IV, LINE 2CSERIES 2009 THE LAST REBATE CALCULATION DATE WAS 08/01/2014. SERIES 2012 THE LAST REBATE CALCULATION DATE WAS 08/01/2016.

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (2 entries)

Relationship DescriptionRelationshipDescriptionTxtTransactionTransactionAmtTransactionTransactionDescSharing Of RevenuesSharingOfRevenuesInd
THERAPY REHAB SOLUTIONS INC
DR. THRONEBERRY - FAMILY$3,315,148THERAPY SERVICESfalse
CONWAY ORTHOPEDIC AND SPORTS MED
DR. MCCARRON - OWNER$193,335LEASE PAYMENTSfalse

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (14 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART III, LINE 4ACONWAY 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. TOTAL CHARITY CARE PROVIDED IN 2016 WAS $827,868. IN ADDITION, THE MEDICAL CENTER PARTICIPATES IN THE MEDICARE AND MEDICAID PROGRAMS FOR THE ELDERLY AND POOR. THESE PROGRAMS REIMBURSE THE MEDICAL CENTER AT AMOUNTS DIFFERENT FROM ITS ESTABLISHED RATES. TOTAL DISCOUNTS PROVIDED TO THESE PROGRAMS WERE OVER $130,867,597 FOR 2016. THE HOSPITAL PROVIDED VITAL HEALTH CARE SERVICES TO THE FAULKNER COUNTY POPULATION AND THE SURROUNDING AREA. THESE SERVICES INCLUDED 24,787 INPATIENT DAYS OF CARE, INCLUDING 18,399 TO MEDICARE PATIENTS AND 3,793 TO MEDICAID PATIENTS. ALSO, THE HOSPITAL SERVICED 32,416 VISITS TO ITS EMERGENCY ROOM AND PROVIDED 9,847 HOME HEALTH CARE VISITS, OF WHICH ABOUT 68 PERCENT WERE FOR MEDICARE PATIENTS. CONWAY REGIONAL MEDICAL CENTER PROVIDED VARIOUS COMMUNITY BENEFITS TO FAULKNER COUNTY AND SURROUNDING AREAS. THE ORGANIZATION HAS BEEN A MAJOR SUPPORTER OF COMMUNITY EVENTS THROUGH SPONSORSHIPS AND SUPPORT. THE HEALTH & FITNESS CENTER PROVIDES DONATIONS AND SCHOLARSHIPS THROUGHOUT THE COMMUNITY SUPPORTING BETTER HEALTH FOR OUR AREA. IN 2016, THE ORGANIZATION PARTICIPATED IN MORE THAN 30 HEALTH FAIRS AND SCREENING EVENTS, WHICH INCLUDED SEVERAL LARGE EVENTS SUCH AS THE WOMEN'S HEALTH FAIR, THE STATE OF HEALTH LUNCHEON, SENIOR EXPO AND THE ANNUAL MEN'S PROSTATE SCREENING. THE ORGANIZATION STRIVES TO PROVIDE HEALTH EDUCATION IN VARIOUS FORMATS INCLUDING SUPPORT GROUPS, TEACHING FIVE YEAR OLDS HOW TO STAY SAFE THROUGH THE WEEK-LONG PROGRAM "SAFETY TOWN," AS WELL AS PROVIDING FREE CLASSES TO CAREGIVERS OF SENIORS. CONWAY REGIONAL ORGANIZES AND OFFERS IN-SERVICE AND CONTINUING EDUCATION PROGRAMS FOR AREA PROFESSIONALS. AS A MEDICALLY UNDERSERVED AREA, CONWAY REGIONAL CONTINUES TO RECRUIT PHYSICIANS TO FULFILL THE MEDICAL NEEDS OF THE COMMUNITY. TOGETHER WITH CHARITY CARE DESCRIBED ABOVE, TOTAL COMMUNITY BENEFIT IS ESTIMATED TO BE $3,612,888 FOR 2016.
FORM 990, PART VI, SECTION A, LINE 3EFFECTIVE 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, COORDINATED AND LOWER COST CARE FOR THE COMMUNITIES OF CENTRAL ARKANSAS THAT THEY SERVE 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, 2016, WERE $3,950,146, WHICH INCLUDES THE COST OF EXECUTIVE SALARIES AND BENEFITS.
FORM 990, PART VI, SECTION B, LINE 11BTHE 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 12CTHE CONWAY REGIONAL HEALTH SYSTEM BOARD REVIEWS THE GOVERNING BOARD CONFLICT OF INTEREST POLICY YEARLY AT THE ANNUAL BOARD MEETING IN JANUARY AND EACH BOARD MEMBER FILLS OUT, ON AN ANNUAL BASIS, A NEW CONFLICT OF INTEREST STATEMENT. THESE STATEMENTS ARE REVIEWED ANNUALLY 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 CORPORATION BOARD BEFOREHAND OF THE POSSIBLE CONFLICT OF INTEREST AND WITHDRAW FROM THE MEETING DURING SAID DISCUSSION UNTIL THE MATTER HAS BEEN VOTED ON. IF THE MEMBER FAILS TO WITHDRAW VOLUNTARILY FROM ANY MEETING WHERE A POSSIBLE CONFLICT OF INTEREST EXISTS, THE CHAIRMAN IS EMPOWERED TO REQUIRE WITHDRAWAL FROM THE ROOM DURING BOTH DISCUSSION AND VOTE ON THE MATTER. IN THE EVENT THE CONFLICT OF INTEREST AFFECTS THE CHAIRMAN, THE VICE CHAIRMAN IS THEN EMPOWERED TO REQUIRE HIS WITHDRAWAL.
FORM 990, PART VI, SECTION B, LINE 15A & 15BCONWAY 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 19THE ORGANIZATION DOES NOT MAKE ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC.
FORM 990, PART XI, LINE 9INVESTMENT INCOME FROM K-1S INCLUDED IN REVENUE $31,350 TRANSFER TO AFFILIATE ($150,746) ------------------------------------------------------------------ TOTAL ($74,396)
FORM 990 PART IX LINE 11GDESCRIPTION:OTHER FEES TOTAL FEES:9645620
FORM 990 PART IX LINE 11GDESCRIPTION:PHYSICIAN FEES TOTAL FEES:7918145
FORM 990 PART IX LINE 11GDESCRIPTION:EQUIPMENT SERVICE TOTAL FEES:4609073
FORM 990 PART IX LINE 11GDESCRIPTION:AGENCY STAFF TOTAL FEES:1226842
FORM 990 PART IX LINE 11GDESCRIPTION:CONTRACTS TOTAL FEES:593738
FORM 990 PART IX LINE 11GDESCRIPTION:DIALYSIS MEDICAL SERVICES TOTAL FEES:220216
FORM 990 PART IX LINE 11GDESCRIPTION:PURCHASED SERVICES TOTAL FEES:181208

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp

Disregarded Entity Name DisregardedEntityName

FieldValueIRS element (for citing)
Business Name Line1CONWAY REGIONAL HEALTH FOUNDATIONBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line12302 COLLEGE AVENUEAddressLine1Txt
CityCONWAYCityNm
State AbbreviationARStateAbbreviationCd
ZIP72034ZIPCd
FieldValueIRS element (for citing)
EIN710797723EIN
Primary ActivitiesSUPPORTPrimaryActivitiesTxt
Legal Domicile StateARLegalDomicileStateCd
Exempt Code Section501 (C) (3)ExemptCodeSectionTxt
Public Charity Status12APublicCharityStatusTxt

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1CRMCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Controlled OrganizationYes (true)ControlledOrganizationInd

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp

Related Organization Name RelatedOrganizationName

FieldValueIRS element (for citing)
Business Name Line1CONWAY REG REHABBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line12210 ROBINSON AVENUEAddressLine1Txt
CityCONWAYCityNm
State AbbreviationARStateAbbreviationCd
ZIP72034ZIPCd
FieldValueIRS element (for citing)
EIN412136339EIN
Primary ActivitiesIP REHAB SERVPrimaryActivitiesTxt
Legal Domicile StateARLegalDomicileStateCd

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1CRMCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Predominant Income TypeRELATEDPredominantIncomeTypeTxt
Share Of Total Income$844,327ShareOfTotalIncomeAmt
Share Of EOY Assets$1,011,227ShareOfEOYAssetsAmt
Disproportionate AllocationsfalseDisproportionateAllocationsInd
UBI Code V$0UBICodeVAmt
General Or Managing PartnerYes (true)GeneralOrManagingPartnerInd
Ownership0.65800OwnershipPct

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 ActivitiesPROP OWNERSHIPPrimaryActivitiesTxt
Legal Domicile StateARLegalDomicileStateCd

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1CRMCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Entity TypeC CORPORATIONEntityTypeTxt
Share Of Total Income$0ShareOfTotalIncomeAmt
Share Of EOY Assets$696,802ShareOfEOYAssetsAmt
Ownership1.00000OwnershipPct
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 OrgYes (true)GiftGrntCapContriFromOthOrgInd
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 OrgfalseRentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgYes (true)RentalOfFcltsFromOthOrgInd
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 (9 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
CONWAY REGIONAL HEALTH FOUNDATION
C$143,561FMV
CONWAY REGIONAL HEALTH FOUNDATION
K$1,783,015FMV
INSTITUTIONAL SERVICES CORPORATION
K$87,384FMV
CONWAY REGIONAL HEALTH FOUNDATION
O$71,020FMV
CONWAY REGIONAL REHABILITATION HOSPITAL
P$473,180FMV
CONWAY REGIONAL HEALTH FOUNDATION
P$153,222FMV
CONWAY REGIONAL HEALTH FOUNDATION
Q$601,260FMV
CONWAY REGIONAL REHABILITATION HOSPITAL
Q$316,587FMV
CONWAY REGIONAL HEALTH FOUNDATION
R$105,746FMV