2017-11-14T17:13:26-06:00 2016-12-31 BKD LLP PO BOX 3667 LITTLE ROCK AR 722033667 990 2016-01-01 710249735 CONWAY REGIONAL MEDICAL CENTER INC % KAREN DAYER CONTROLLER CONW 5013293831 2302 COLLEGE AVENUE CONWAY AR 72034 STEVEN ROSE CFO 5013293831 2017-11-14 true AMBER SHERRILL P00748683 5013721040 167.68.126.162 71015520173185000005 2017-11-14 P 1528D3B04E878A45895BB88E74696FB0CD9C2BB8 F5977BEB049942DED8E66FDC307AAD1CDA4A43EF 2016 2017-02-10 21:41:12Z MATT TROUP 2302 COLLEGE AVENUE CONWAY AR 72034 162853278 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 IN CENTRAL AR. 10 9 1588 82 3157929 -1422330 446289 334262 148679041 153266140 1317117 1186207 6599293 6394630 157041740 161181239 0 4000 0 0 62372529 65015844 0 0 0 89686547 91594411 152059076 156614255 4982664 4566984 170499192 176071173 56418308 55665081 114080884 120406092 X CONWAY REGIONAL MEDICAL CENTER IS ACCOUNTABLE TO THE COMMUNITY TO PROVIDE HIGH-QUALITY AND COMPASSIONATE HEALTH CARE SERVICES. false false 122622563 4000 153318992 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. 122622563 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 false false true true false false false false false false false false false true false false false false false true true true false false true 145 0 true 1588 true true true 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 KAREN DAYER CONTROLLER 5015135451 2302 COLLEGE AVE CONWAY AR 72034 X WAYNE COX BOARD MEMBER 1.0 0.0 X 0 0 1344 JACK ENGELKES BOARD MEMBER 1.0 0.0 X 0 0 1452 CORNELL MALTBIA VICE CHAIR 1.0 0.0 X X 0 0 1452 TOM POE BOARD MEMBER 1.0 0.0 X 0 0 1092 BART THRONEBERRY MD BOARD MEMBER 1.0 0.0 X 0 0 84 BARBARA WILLIAMS CHAIR 1.0 0.0 X X 0 0 660 ANDREW COLE MD BOARD MEMBER 1.0 0.0 X 0 0 1344 JIM RANKIN JR BOARD MEMBER 1.0 0.0 X 0 0 84 ANDREA WOODS JD BOARD MEMBER 1.0 0.0 X 0 0 372 MATT TROUP PRESIDENT/CEO 40.0 0.0 X X 0 0 0 ALAN FINLEY COO 40.0 0.0 X 0 0 7344 STEVE ROSE CFO 40.0 0.0 X 0 0 8580 ANGIE LONGING CNO (STARTING JUNE 2016) 40.0 0.0 X 0 0 0 JACQUELYN WILKERSON CNO (ENDING APRIL 2016) 40.0 0.0 X 0 0 496 DENNIS WOODHALL MD PHYSICIAN 40.0 0.0 X 549854 0 14458 GREG KENDRICK MD PHYSICIAN 40.0 0.0 X 333968 0 24523 BRENT SCROGGINS MD PHYSICIAN 40.0 0.0 X 294978 0 9454 ROBERT BALENTINE MD PHYSICIAN 40.0 0.0 X 290986 0 23543 JEFFERY HALL MD PHYSICIAN 40.0 0.0 X 307139 0 13618 1776925 0 109900 51 false true false ST VINCENT HEALTH SYSTEM 2 ST VINCENT LITTLE ROCK AR 72205 MANAGEMENT SERVICES 3950146 NABHOLZ CONSTRUCTION CORP PO BOX 2090 CONWAY AR 72033 CONSTRUCTION SERVICE 3613118 CONWAY EMERGENCY PHYSICIANS PO BOX 757 CONWAY AR 72033 PHYSICIAN SERVICES 3505241 THERAPY AND REHAB SOLUTIONS 550 CLUB LANE SUITE 2 CONWAY AR 72034 THERAPY SERVICES 3315148 REACH DIAGNOSTIC PARTNERS LLC 437 DENNISON SUITE A CONWAY AR 72034 MANAGEMENT SERVICES 1265634 35 143561 168327 22374 334262 PATIENT SERVICES 621110 137961693 137961693 REFERENCE LAB 621610 15044436 11855157 3189279 MEDICAL OFFICE BUILDING SPACE RENTAL INCOME 621110 260011 260011 153266140 1108352 -31350 1139702 0 0 116821 116821 0 116821 116821 1749894 1669039 3000 80855 -3000 77855 0 0 77855 0 0 0 0 0 0 0 0 0 HEALTH/FITNESS CENTER 900099 1788353 1788353 CAFETERIA SALES 900099 1453778 1453778 EHR FEES 900099 669852 669852 2365826 2365826 6277809 161181239 153318992 3157929 4370056 X 4000 4000 0 0 0 0 0 53712735 38468875 15243860 0 979347 701405 277942 6599451 4726504 1872947 3724311 2667339 1056972 2633347 1885994 747353 732464 524588 207876 389737 279128 110609 0 0 293257 210030 83227 24394842 17471502 6923340 1156569 828331 328238 3598245 2577051 1021194 0 0 2934833 2101917 832916 349073 250005 99068 0 232003 166160 65843 2050844 1468807 582037 0 8576258 6142286 2433972 1250547 895637 354910 PHARMACEUTICALS & MED SUPPLIES 27197837 27197837 PROVISION FOR BAD DEBTS 9640476 9640476 DIETARY EXPENSES 1356659 971634 385025 REPAIRS AND MAINTENANCE 1039407 744420 294987 3768013 2698637 1069376 156614255 122622563 33991692 0 3295411 5650433 25020525 26726728 0 0 12290128 12142444 0 0 0 0 0 0 3315647 3545983 515015 485987 190585567 130112160 60109330 60473407 0 0 0 0 54173535 56981576 0 0 11779601 10064615 170499192 176071173 12216594 13722991 0 0 0 0 40191059 38134652 0 0 0 0 1778671 1408375 0 0 2231984 2399063 56418308 55665081 X 114080884 120406092 0 0 0 0 114080884 120406092 170499192 176071173 X 4566984 1832620 -74396 X false true X true false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1894304 1894304 97533576 61364611 36168965 2312293 918534 1393759 85611731 67829015 17782716 3233663 3233663 60473407 BOARD DESIGNATED INVESTMENTS 56981576 F 56981576 FUNDS HELD BY TRUSTEE 5092883 OTHER RECEIVABLES 102096 AMORTIZED BOND ISSUE COSTS 0 INTERCOMPANY RECEIVABLES 72480 INVESTMENT IN SUBSIDIARIES 3636439 AMOUNT DUE FROM THIRD-PARTY 340000 RESERVE - CD 751501 OTHER ASSETS 69216 10064615 0 ESTIMATED 3RD PARTY SETTLEMENT 1614997 ASSET RETIREMENT ENVIRON. RES. 758668 DUE TO CRMC 25398 2399063 153407733 1832620 1832620 151575113 9606126 9606126 161181239 146976779 3000 3000 146973779 9640476 9640476 156614255 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 $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 2D LOSS ON DISPOSAL OF ASSET $3,000 FORM 990, SCHEDULE D, PART XII, LINE 4B BAD DEBT EXPENSE $9,640,476 true true X true X 225. true X true true false true true 563811 563811 0.00380 13966347 12477966 1488381 0.01010 14530158 12477966 2052192 0.01390 16 14759 88580 690 87890 0.00060 2 200 23855 23855 0.00020 13680081 11167534 2512547 0.01700 6 5014 92601 92601 0.00060 24 19973 13885117 11168224 2716893 0.01840 24 19973 28415275 23646190 4769085 0.03230 1 96 96 1 587 587 1 10375 10375 0.00010 3 11058 11058 0.00010 false 9640476 1619600 39532622 39549292 -16670 X true true CONWAY REG PHO ADMIN SERVICES 0.5 0.5 CONWAY REG REHAB REHAB SERVICES 0.658 0.342 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 CONWAYREGIONAL.ORG/REHABILITATIONHOSPITA AR4261 X REHAB HOSPITAL 1 CONWAY REGIONAL MEDICAL CENTER INC 1 false false true X X X X X X X X X 16 true true false true X WWW.CONWAYREGIONAL.ORG/CHNA X X true 16 false true 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 FORM 990, SCHEDULE H, PART V, SECTION B, LINE 5 CRMC 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 6A CONWAY REGIONAL REHABILITATION HOSPITAL, LLC. FORM 990, SCHEDULE H, PART V, SECTION B, LINE 7D THE 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 11 CONWAY 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. 10 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 FORM 990, SCHEDULE H CONWAY 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 F BAD 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 7 THE COST TO CHARGE RATIO (CALCULATED USING WORKSHEET 2) WAS USED FOR LINE 7 AMOUNTS. FORM 990, SCHEDULE H, PART III, LINE 2 CALCULATED USING THE TOTAL BAD DEBT EXPENSE FROM THE AUDIT REPORT, $9,640,476. FORM 990, SCHEDULE H, PART III, LINE 3 CALCULATED 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 4 SEE ATTACHED AUDIT REPORT, NOTE 1, PATIENT ACCOUNTS RECEIVABLE. FORM 990, SCHEDULE H, PART III, LINE 8 THE MEDICARE COST REPORT WAS USED TO CALCULATE THE AMOUNT OF LINE 6. FORM 990, SCHEDULE H, PART III, LINE 9B IF 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 2 CRMC 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 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 4 CONWAY 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 5 CONWAY 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. X true true false false false false false false false false false DENNIS WOODHALL MD PHYSICIAN 523064 0 26774 0 16 0 13249 0 1209 0 564312 0 0 0 GREG KENDRICK MD PHYSICIAN 284030 0 46477 0 3461 0 13249 0 11274 0 358491 0 0 0 BRENT SCROGGINS MD PHYSICIAN 230014 0 60232 0 4732 0 0 0 9454 0 304432 0 0 0 ROBERT BALENTINE MD PHYSICIAN 235221 0 51031 0 4734 0 13249 0 10294 0 314529 0 0 0 JEFFERY HALL MD PHYSICIAN 247721 0 58693 0 725 0 13249 0 369 0 320757 0 0 0 FORM 990, SCHEDULE J, PART I, LINE 1A HEALTH & 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. A CITY OF CONWAY AR - HEALTH FACILITIES BOARD 731574175 212584CE4 2009-12-08 29579127 REFUNDED BOND ISSUED 10/19/99 false false false B CITY OF CONWAY AR - HEALTH FACILITIES BOARD 731574175 212584CS3 2012-03-15 18363658 CAPITAL IMPROVEMENTS false false false A 7275000 0 29586481 2477401 0 0 553554 0 0 0 26637795 1052710 2009 true false true true B 2205000 0 18365267 1097926 0 0 262329 0 0 17005514 0 464845 2012 false false false true A false false false false 0 false false false true B false false false false 0 false false false true A false false false true false false 0 false 0 false true B false false false true false false 0 false 0 false true A true B true FORM 990, SCHEDULE K, PART I, LINE A&B SERIES 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 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 2009 THE LAST REBATE CALCULATION DATE WAS 08/01/2014. SERIES 2012 THE LAST REBATE CALCULATION DATE WAS 08/01/2016. THERAPY REHAB SOLUTIONS INC DR. THRONEBERRY - FAMILY 3315148 THERAPY SERVICES false CONWAY ORTHOPEDIC AND SPORTS MED DR. MCCARRON - OWNER 193335 LEASE PAYMENTS false FORM 990, PART III, LINE 4A 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. 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 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, 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 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 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 & 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 $31,350 TRANSFER TO AFFILIATE ($150,746) ------------------------------------------------------------------ TOTAL ($74,396) FORM 990 PART IX LINE 11G DESCRIPTION:OTHER FEES TOTAL FEES:9645620 FORM 990 PART IX LINE 11G DESCRIPTION:PHYSICIAN FEES TOTAL FEES:7918145 FORM 990 PART IX LINE 11G DESCRIPTION:EQUIPMENT SERVICE TOTAL FEES:4609073 FORM 990 PART IX LINE 11G DESCRIPTION:AGENCY STAFF TOTAL FEES:1226842 FORM 990 PART IX LINE 11G DESCRIPTION:CONTRACTS TOTAL FEES:593738 FORM 990 PART IX LINE 11G DESCRIPTION:DIALYSIS MEDICAL SERVICES TOTAL FEES:220216 FORM 990 PART IX LINE 11G DESCRIPTION:PURCHASED SERVICES TOTAL FEES:181208 CONWAY REGIONAL HEALTH FOUNDATION 2302 COLLEGE AVENUE CONWAY AR 72034 710797723 SUPPORT AR 501 (C) (3) 12A CRMC true CONWAY REG REHAB 2210 ROBINSON AVENUE CONWAY AR 72034 412136339 IP REHAB SERV AR CRMC RELATED 844327 1011227 false 0 true 0.65800 INSTITUTIONAL SERVICES CORPORATION 2302 COLLEGE AVENUE CONWAY AR 72034 710575886 PROP OWNERSHIP AR CRMC C CORPORATION 0 696802 1.00000 true false false true false false false false false false false true false true true true true true true false CONWAY REGIONAL HEALTH FOUNDATION C 143561 FMV CONWAY REGIONAL HEALTH FOUNDATION K 1783015 FMV INSTITUTIONAL SERVICES CORPORATION K 87384 FMV CONWAY REGIONAL HEALTH FOUNDATION O 71020 FMV CONWAY REGIONAL REHABILITATION HOSPITAL P 473180 FMV CONWAY REGIONAL HEALTH FOUNDATION P 153222 FMV CONWAY REGIONAL HEALTH FOUNDATION Q 601260 FMV CONWAY REGIONAL REHABILITATION HOSPITAL Q 316587 FMV CONWAY REGIONAL HEALTH FOUNDATION R 105746 FMV