CONWAY HOSPITAL INC: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
CONWAY HOSPITAL INC (EIN 57-0314381)
Tax period
2012-10-01 to 2013-09-30
Filed
2014-08-15
IRS object ID
201412279349301016
Schema version
2012v2.3
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)
Timestamp2014-08-15T10:48:49-05:00Timestamp
Tax Period End Date2013-09-30TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1Grant Thornton LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1201 S COLLEGE ST STE 2500AddressLine1
CityCHARLOTTECity
StateNCState
ZIP Code28244ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2012-10-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN570314381EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1Conway Hospital IncBusinessNameLine1
FieldValueIRS element (for citing)
In Care Of Name% BRET BARRInCareOfName
Name ControlCONWNameControl
Phone8433478037Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1300 SINGLETON RIDGE ROADAddressLine1
Address Line2SuiteAddressLine2
CityCONWAYCity
StateSCState
ZIP Code29526ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameBret BarrName
TitleCFOTitle
Phone8433477111Phone
Date Signed2014-08-14DateSigned
Authorize Third PartytrueAuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameMICHELE N MELCHIORName
Phone7046323500Phone
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2015-11-30 17:44:51ZBuildTS

Form 990 IRS990

Doing Business As DoingBusinessAs

FieldValueIRS element (for citing)
Business Name Line1Conway Medical CenterBusinessNameLine1
FieldValueIRS element (for citing)
Name Of Principal Officer PersonPHILIP CLAYTONNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1300 SINGLETON RIDGE ROADAddressLine1
CityCONWAYCity
StateSCState
ZIP Code29526ZIPCode
FieldValueIRS element (for citing)
Gross Receipts140404616GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501c3XOrganization501c3
Web Sitewww.CONWAYMEDICALCENTER.COMWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1928YearFormation
State Legal DomicileSCStateLegalDomicile
Activity Or Mission DescriptionWE ARE AN ACUTE CARE HOSPITAL SERVING RESIDENTS OF HORRY AND SURROUNDING COUNTIES. OUR MISSION IS TO IMPROVE THE OVERALL HEALTH OF THE COMMUNITY BY BEING A LEADER IN HEALTH CARE.ActivityOrMissionDescription
Nbr Voting Members Governing Body14NbrVotingMembersGoverningBody
Nbr Independent Voting Members12NbrIndependentVotingMembers
Total Nbr Employees1225TotalNbrEmployees
Total Nbr Volunteers238TotalNbrVolunteers
Total Gross UBI42051TotalGrossUBI
Contributions Grants Prior Year2623023ContributionsGrantsPriorYear
Contributions Grants Current Year918025ContributionsGrantsCurrentYear
Program Service Revenue Prior Year132796778ProgramServiceRevenuePriorYear
Program Service Revenue CY135028388ProgramServiceRevenueCY
Investment Income Prior Year1840453InvestmentIncomePriorYear
Investment Income Current Year3827701InvestmentIncomeCurrentYear
Other Revenue Prior Year0OtherRevenuePriorYear
Other Revenue Current Year271616OtherRevenueCurrentYear
Total Revenue Prior Year137260254TotalRevenuePriorYear
Total Revenue Current Year140045730TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year76612GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY163653GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year60384627SalariesEtcPriorYear
Salaries Etc Current Year59642946SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year62270555OtherExpensePriorYear
Other Expenses Current Year63851688OtherExpensesCurrentYear
Total Expenses Prior Year122731794TotalExpensesPriorYear
Total Expenses Current Year123658287TotalExpensesCurrentYear
Revenues Less Expenses Prior Year14528460RevenuesLessExpensesPriorYear
Revenues Less Expenses CY16387443RevenuesLessExpensesCY
Total Assets BOY341352922TotalAssetsBOY
Total Assets EOY358229547TotalAssetsEOY
Total Liabilities BOY91310136TotalLiabilitiesBOY
Total Liabilities EOY80109903TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY250042786NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY278119644NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionCONWAY HOSPITAL INC., LOCATED IN CONWAY, SOUTH CAROLINA, IS A NOT-FOR-PROFIT ACUTE CARE HOSPITAL THAT PROVIDES INPATIENT, OUTPATIENT AND EMERGENCY CARE SERVICES GENERALLY FOR RESIDENTS OF HORRY AND SURROUNDING COUNTIES.MissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense105173140Expense
Grants163653Grants
Revenue135300004Revenue
DescriptionCONWAY HOSPITAL INC. IS A 210 BED ACUTE FACILITY LOCATED IN THE CITY OF CONWAY, SOUTH CAROLINA. THE HOSPITAL WAS ORGANIZED UNDER THE LAWS OF THE STATE OF SOUTH CAROLINA IN 1928 FOR THE PURPOSE OF OPERATING A COMMUNITY HOSPITAL IN HORRY COUNTY. THE HOSPITAL WAS CREATED FOR THE PURPOSE OF PROMOTING HEALTH FOR ALL RESIDENTS OF HORRY COUNTY AND ITS OUTLYING AREAS. THE PROMOTION OF HEALTH HAS BEEN ESTABLISHED AS A CHARITABLE PURPOSE UNDER INTERNAL REVENUE CODE (IRC) SECTION 501(C)3 REVENUE RULE 69-545, 1969-2 C B 117, AS MODIFIED BY REV RUL 83-157, 1983-2 C B 94, WHICH SETS FORTH THE FACTORS THE INTERNAL REVENUE SERVICE WILL CONSIDER IN DETERMINING WHETHER A NONPROFIT HOSPITAL QUALIFIES FOR TAX EXEMPT STATUS. THE HOSPITAL HAS A BOARD OF TRUSTEES COMPOSED OF INDEPENDENT CIVIC LEADERS AND PHYSICIANS. AN OPEN MEDICAL STAFF IS MAINTAINED BY THE HOSPITAL, WITH PRIVILEGES AVAILABLE TO ALL QUALIFIED PHYSICIANS. ALSO, THE HOSPITAL PROVIDES EMERGENCY AND NON-EMERGENCY CARE TO ANYONE REGARDLESS OF THEIR ABILITY TO PAY, EITHER DIRECTLY OR THROUGH THIRD-PARTY REIMBURSEMENT, INCLUDING MEDICARE AND MEDICAID. DURING THE YEAR ENDED SEPTEMBER 30, 2013, THE HOSPITAL FURNISHED CHARITY CARE IN THE AMOUNT OF $16,188,800 IN FOREGONE CHARGES. THE TOTAL DAYS OF PATIENT CARE WERE 29,070 AND CONWAY HOSPITAL INC. SAW A TOTAL OF 118,174 PATIENTS DURING THE YEAR. IN ADDITION TO PROVIDING PATIENT CHARITY CARE, AND IN FURTHERANCE OF ITS EXEMPT PURPOSE TO BENEFIT THE COMMUNITY, THE HOSPITAL OFFERS A MOBILE OUTREACH PROGRAM. THIS PROGRAM OFFERS FREE SCREENING SERVICES TO MEDICALLY UNDERSERVED AREAS OF OUR COMMUNITY. THESE AREAS ARE DESIGNATED AS SUCH THROUGH CENSUS DATA AND HEALTH SERVICE AREA STATISTICS. EXAMPLES OF SCREENING SERVICES OFFERED ON A WEEKLY BASIS INCLUDE BLOOD PRESSURE, CHOLESTEROL AND BLOOD SUGAR. EXAMPLES OF SCREENING SERVICES OFFERED THROUGHOUT THE YEAR INCLUDE MEDICAL BREAST EXAMS, PROSTATE CANCER EXAMS, THYROID SCREENINGS, AND PAP EXAMS. IN ADDITION, HEALTH EDUCATION AND REFERRAL ASSISTANCE ARE PROVIDED. THE HOSPITAL ALSO OFFERS FREE HEALTH SCREENINGS AND HEALTH EDUCATION PROGRAMS TO THE COMMUNITY AT LARGE RELATED TO SMOKING CESSATION, BREAST CANCER AWARENESS, HEART DISEASE PREVENTION AND EARLY DETECTION, NUTRITION AND WEIGHT MANAGEMENT, DIABETES EDUCATION, BREASTFEEDING EDUCATION. SELF HELP AND SUPPORT GROUPS ARE ALSO PROVIDED AT NO COST TO THE COMMUNITY ON A VARIETY OF TOPICS. FAMILY SUPPORT SERVICES ARE ALSO OFFERED TO ASSIST COMMUNITY MEMBERS IN LOCATING OTHER FREE OR REDUCED SERVICES AVAILABLE IN THE COMMUNITY IN ORDER TO IMPROVE THEIR HEALTH OUTCOMES.Description
Total Program Service Expense105173140TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredtrueScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiestrueLobbyingActivities
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentstrueTermOrPermanentEndowments
Report Land Bldg EquiptrueReportLandBldgEquip
Report Invest Oth SecuritiesfalseReportInvestOthSecurities
Report Prog Rel InvestfalseReportProgRelInvest
Report Other AssetstrueReportOtherAssets
Report Other LiabilitiesfalseReportOtherLiabilities
Report Fin48 FootnotetrueReportFin48Footnote
Independent Audit Financial StmtfalseIndependentAuditFinancialStmt
Consolidated Audit Financial StmttrueConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiesfalseForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiesfalseFundraisingActivities
GamingfalseGaming
HospitaltrueHospital
Financial Stmt AttachedtrueFinancialStmtAttached
Grants To OrganizationstrueGrantsToOrganizations
Grants To IndividualsfalseGrantsToIndividuals
Schedule J RequiredtrueScheduleJRequired
Tax Exempt BondstrueTaxExemptBonds
Invest Tax Exempt BondsfalseInvestTaxExemptBonds
Escrow AccountfalseEscrowAccount
On Behalf Of IssuerfalseOnBehalfOfIssuer
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPfalseLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationfalseBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MemberfalseBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshptrueOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionsfalseDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntityfalseDisregardedEntity
Related EntitytrueRelatedEntity
Related Org Controlled EntitytrueRelatedOrgControlledEntity
Transaction Related EntitytrueTransactionRelatedEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With1096144NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Number Of Employees1225NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncometrueUnrelatedBusinessIncome
Form990-T FiledtrueForm990-TFiled
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Non Deductible ContributionsfalseNonDeductibleContributions
Quid Pro Quo ContributionsfalseQuidProQuoContributions
Form8282 Property Disposed OffalseForm8282PropertyDisposedOf
Funds To Pay PremiumsfalseFundsToPayPremiums
Premiums PaidfalsePremiumsPaid
Indoor Tanning ServicesfalseIndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members14NbrVotingGoverningBodyMembers
Number Independent Voting Members12NumberIndependentVotingMembers
Family Or Business RelationshiptrueFamilyOrBusinessRelationship
Delegation Of Management DutiesfalseDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholdersfalseMembersOrStockholders
Election Of Board MembersfalseElectionOfBoardMembers
Decisions Subject To ApprovalfalseDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChaptersfalseLocalChapters
Form990 Provided To Governing BodytrueForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementtrueRegularMonitoringEnforcement
Whistleblower PolicytrueWhistleblowerPolicy
Document Retention PolicytrueDocumentRetentionPolicy
Compensation Process CEOtrueCompensationProcessCEO
Compensation Process OthertrueCompensationProcessOther
Investment In Joint VenturetrueInvestmentInJointVenture
Written Policy Or ProceduretrueWrittenPolicyOrProcedure
States Where Copy Of Return Is FiledNCStatesWhereCopyOfReturnIsFiled
States Where Copy Of Return Is FiledSCStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonBRET BARRNamePerson
Telephone Number8433477111TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1300 SINGLETON RIDGE ROADAddressLine1
CityCONWAYCity
StateSCState
ZIP Code29526ZIPCode
FieldValueIRS element (for citing)
Info In Schedule O Part VIIXInfoInScheduleOPartVII

Form990 Part VII Section A Form990PartVIISectionA (27 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekAverage Hours Per Week RelatedAverageHoursPerWeekRelatedIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationKey EmployeeKeyEmployeeHighest Compensated EmployeeHighestCompensatedEmployee
PHILIP CLAYTON
CEO AND TRUSTEE40.04.0XX683662057373
LEROY RAINBOW JR
CHAIRMAN1.01.0XX000
M WAYNE STATON
SECRETARY1.01.0XX000
WILLIAM R BENSON
TRUSTEE1.01.0X000
DR REGINALD F DAVES
TRUSTEE1.01.0X000
Dr MICHAEL ELLIS
TRUSTEE1.01.0X000
DIANNE W RAY
TRUSTEE1.01.0X000
GEORGE H GOLDFINCH JR
TRUSTEE1.01.0X000
CHARLES B JORDAN
TRUSTEE1.01.0X000
DR HAL B HOLMES
TRUSTEE1.01.0X000
CHRISTOPHER S HUGGINS
TRUSTEE1.01.0X000
DR DEIRDRE S WILLIAMS DDS
TRUSTEE1.01.0X000
JOHN P HENRY
TRUSTEE1.01.0X000
GEORGE N MAGRATH JR
TRUSTEE1.01.0X000
BRET BARR
CFO40.04.0X315186041218
PRESTON STROSNIDER
VP OF MEDICAL STAFF40.0381729039066X
TONY MINSHEW
VP OF NURSING40.0202175023257X
CRAIG HYMAN
VP OF HUMAN RESOURCES40.0225622022749X
DWIGHT GENTRY JR
VP OF ANCILLARY40.03.0255665026557X
ANGELA WILLIFORD
CHIEF RISK OFFICER40.0196497036599X
KEVIN LOVETT
VP OF FACILITIES40.0181988034394X
BERNARD MASSEY
VP OF FOUNDATION40.0172807031092X
ROBERT GAJEWSKI
DIRECTOR OF PHARMACY40.0145621032036X
DENNIS FINLEY
DIRECTOR OF PHYSICAL THERAPY40.0127955030673X
ANGELA PORTER
ASST VP- NURSING40.0107353017653X
GLENN SISK
PHARMACIST40.012932106466X
WENDELL BEVERLY
CLINICAL PHARMACY COORDINATOR40.0123256027058X
FieldValueIRS element (for citing)
Total Reportable Comp From Org3248837TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation426191TotalOtherCompensation
Number Individuals GT100 K39NumberIndividualsGT100K
Formers ListedfalseFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
Hospital Medicine Associates LLC
P O Box 634850CINCINNATIOH45263Physician Services2527223
Harrell Saltrick Associates LLC
8016 Tower Point DriveCHARLOTTENC28227Collections/legal1562185
MB KAHN INC
101 FLINT LAKE ROADCOLUMBIASC29223CONSTRUCTION912658
ARAMARK CTS INC
10510 TWIN LAKES PARKWAYCHARLOTTENC28269DIETARY MANAGEMENT803397
MERIDIAN HEALTHCARE GROUP INC
3500 FINANCIAL PLAZA SUITE 200TALLAHASSEEFL32312THERAPY MANAGEMENT684039
FieldValueIRS element (for citing)
Number Of Contractors GT100 K15NumberOfContractorsGT100K
Related Organizations150000RelatedOrganizations
Government Grants768025GovernmentGrants
Total Contributions918025TotalContributions

Program Service Revenue ProgramServiceRevenue (5 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncomeUnrelated Business RevenueUnrelatedBusinessRevenueExclusionExclusionAmount
NET PATIENT REVENUE621110131598039131598039
WELLNESS CENTER900099951296951296
DIETARY REVENUE7222101093151106009833053
PREMIER INCOME9000992353222263248998
COASTAL HOME CARE900099255438$255,438

Total Oth Program Service Revenue TotalOthProgramServiceRevenue

FieldValueIRS element (for citing)
Total Revenue Column895142TotalRevenueColumn
Related Or Exempt Function Income895142RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue135028388TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column4186360TotalRevenueColumn
Exclusion$4,186,360ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Royalties Revenue RoyaltiesRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real271616Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real271616Real
Personal0Personal

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column271616TotalRevenueColumn
Related Or Exempt Function Income271616RelatedOrExemptFunctionIncome

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Other227Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities296922Securities
Other61964Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities-296922Securities
Other-61737Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column-358659TotalRevenueColumn
Exclusion-$358,659ExclusionAmount

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income From Gaming NetIncomeFromGaming

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income Or Loss NetIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn
FieldValueIRS element (for citing)
Total Other Revenue0TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column140045730TotalRevenueColumn
Related Or Exempt Function Income135002515RelatedOrExemptFunctionIncome
Unrelated Business Revenue42051UnrelatedBusinessRevenue
Exclusion$4,083,139ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total160388Total
Program Services160388ProgramServices

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total3265Total
Program Services3265ProgramServices

Foreign Grants ForeignGrants

FieldValueIRS element (for citing)
Total0Total

Benefits To Members BenefitsToMembers

FieldValueIRS element (for citing)
Total0Total

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total3248836Total
Program Services1217421ProgramServices
Management And General2031415ManagementAndGeneral

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total42063543Total
Program Services34354532ProgramServices
Management And General7709011ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total0Total

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total11073376Total
Program Services9855305ProgramServices
Management And General1218071ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total3257191Total
Program Services2898900ProgramServices
Management And General358291ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total5317307Total
Program Services4732403ProgramServices
Management And General584904ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total465573Total
Management And General465573ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total117116Total
Management And General117116ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total2549Total
Management And General2549ManagementAndGeneral

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total0Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total0Total

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total5491569Total
Program Services5491569ProgramServices

Advertising Advertising

FieldValueIRS element (for citing)
Total0Total

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total3155254Total
Program Services2808176ProgramServices
Management And General347078ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total1427722Total
Management And General1427722ManagementAndGeneral

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total4533985Total
Program Services4267258ProgramServices
Management And General266727ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total16713Total
Program Services16713ProgramServices

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total0Total

Interest Interest

FieldValueIRS element (for citing)
Total3181341Total
Program Services3181341ProgramServices

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total8123707Total
Program Services7230099ProgramServices
Management And General893608ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total721147Total
Program Services641821ProgramServices
Management And General79326ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
MEDICAL SUPPLIES25161289223935472767742
MEDICAL PROVIDER TAX34510163451016
FOOD SUPPLIES1007318896513110805
PATIENT INFORMATION721634721634

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total956448Total
Program Services851239ProgramServices
Management And General105209ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total123658287Total
Program Services105173140ProgramServices
Management And General18485147ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY15505584BOY
EOY11900214EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY12247003BOY
EOY14422479EOY

Receivables From Officers Etc ReceivablesFromOfficersEtc

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Receivables From Disqual Persons ReceivablesFromDisqualPersons

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
BOY2691242BOY
EOY833703EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY2766171BOY
EOY2663029EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY1240990BOY
EOY1443559EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis191790186LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec96740557LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY96373282BOY
EOY95049629EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY162294153BOY
EOY177279546EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Investments Program Related InvestmentsProgramRelated

FieldValueIRS element (for citing)
BOY3913752BOY
EOY3824115EOY

Intangible Assets IntangibleAssets

FieldValueIRS element (for citing)
BOY456049BOY
EOY770981EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY43864696BOY
EOY50042292EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY341352922BOY
EOY358229547EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY18007938BOY
EOY18314150EOY

Grants Payable GrantsPayable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY491730BOY
EOY491730EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY63221391BOY
EOY61304023EOY

Escrow Account Liability EscrowAccountLiability

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Loans From Officers Directors LoansFromOfficersDirectors

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Unsecured Notes Loans Payable UnsecuredNotesLoansPayable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY9589077BOY
EOY0EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY91310136BOY
EOY80109903EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY248711863BOY
EOY276640019EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY769571BOY
EOY664690EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY561352BOY
EOY814935EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY250042786BOY
EOY278119644EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY341352922BOY
EOY358229547EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses16387443ReconcilationRevenueExpenses
Reconciliation Unrealized Invest11689415ReconciliationUnrealizedInvest
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited

FS Audited Basis FSAuditedBasis

FieldValueIRS element (for citing)
Financial Statement ConsolidatedXFinancialStatementConsolidated
FieldValueIRS element (for citing)
Audit CommitteetrueAuditCommittee
Federal Grant Audit RequiredfalseFederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Hospital170b1 AiiiXHospital170b1Aiii

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Total Grassroots LobbyingTotalGrassrootsLobbying
Total Direct LobbyingTotalDirectLobbying
Total Lobbying ExpendituresTotalLobbyingExpenditures
Other Exempt Purpose ExpendituresOtherExemptPurposeExpenditures
Total Exempt Purpose ExpendituresTotalExemptPurposeExpenditures
Lobbying NontaxableLobbyingNontaxableAmount
Grassroots NontaxableGrassrootsNontaxableAmount
Tot Lobbying Grassroot Minus Non TxTotLobbyingGrassrootMinusNonTx
Tot Lobby Expend Mns Lobbying NontxTotLobbyExpendMnsLobbyingNontx
VolunteersfalseVolunteers
Paid Staff Or ManagementfalsePaidStaffOrManagement
Media AdvertisementsfalseMediaAdvertisements
Mailings MembersfalseMailingsMembers
Publications Or BroadcastfalsePublicationsOrBroadcast
Grants Other OrganizationsfalseGrantsOtherOrganizations
Direct Contact LegislatorsfalseDirectContactLegislators
Rallies DemonstrationsfalseRalliesDemonstrations
Other ActivitiestrueOtherActivities
Other Activities$2,549OtherActivitiesAmount
Total Lobbying Expenditures IIB2549TotalLobbyingExpendituresIIB
Not Described In501c3falseNotDescribedIn501c3

Form990 Schedule C Part IV Form990ScheduleCPartIV

FieldValueIRS element (for citing)
IdentifierOther ActivitiesIdentifier
Return ReferenceSchedule C, Part II-B, Line 1iReturnReference
ExplanationCONWAY HOSPITAL, INC. PAYS ANNUAL MEMBERSHIP DUES AS PART OF THEIR MEMBERSHIP WITH THE SOUTH CAROLINA HOSPITAL ASSOCIATION AND A PERCENTAGE OF THESE DUES ARE USED FOR LOBBYING ACTIVITIES.Explanation

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Art Public Exhibition AmtsArtPublicExhibitionAmts
Held Works Of Art AmtsHeldWorksOfArtAmts

Current Year CurrentYear

FieldValueIRS element (for citing)
Beginning Of Year Balance2824600BeginningOfYearBalance
Contributions334226Contributions
Investment Earnings Or Losses318538InvestmentEarningsOrLosses
Grants Or Scholarships308821GrantsOrScholarships
End Of Year Balance3168543EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

FieldValueIRS element (for citing)
Beginning Of Year Balance2533913BeginningOfYearBalance
Contributions334052Contributions
Investment Earnings Or Losses361512InvestmentEarningsOrLosses
Grants Or Scholarships6158GrantsOrScholarships
Other Expenditures398719OtherExpenditures
End Of Year Balance2824600EndOfYearBalance

Current Year Minus2 Years CurrentYearMinus2Years

FieldValueIRS element (for citing)
Beginning Of Year Balance2464486BeginningOfYearBalance
Contributions421801Contributions
Investment Earnings Or Losses-11208InvestmentEarningsOrLosses
Other Expenditures341166OtherExpenditures
End Of Year Balance2533913EndOfYearBalance

Current Year Minus3 Years CurrentYearMinus3Years

FieldValueIRS element (for citing)
Beginning Of Year Balance2299137BeginningOfYearBalance
Contributions360688Contributions
Investment Earnings Or Losses106530InvestmentEarningsOrLosses
Other Expenditures301869OtherExpenditures
End Of Year Balance2464486EndOfYearBalance

Current Year Minus4 Years CurrentYearMinus4Years

FieldValueIRS element (for citing)
Beginning Of Year Balance2186079BeginningOfYearBalance
Contributions423964Contributions
Investment Earnings Or Losses353InvestmentEarningsOrLosses
Other Expenditures311259OtherExpenditures
End Of Year Balance2299137EndOfYearBalance
FieldValueIRS element (for citing)
Board Designated EOY Balance0.23000BoardDesignatedEOYBalance
Permanent Endowment EOY Balance0.51000PermanentEndowmentEOYBalance
Term Endowment EOY Balance0.26000TermEndowmentEOYBalance
Endowments Held By Unrelated OrgsfalseEndowmentsHeldByUnrelatedOrgs
Endowments Held By Related OrgstrueEndowmentsHeldByRelatedOrgs
Are Related Orgs Listed Schedule RtrueAreRelatedOrgsListedScheduleR

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis3279136OtherCostOrOtherBasis
Book Value3279136BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis83249124OtherCostOrOtherBasis
Depreciation30064303Depreciation
Book Value53184821BookValue
FieldValueIRS element (for citing)
Leasehold ImprovementsLeaseholdImprovements

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis85785396OtherCostOrOtherBasis
Depreciation58445583Depreciation
Book Value27339813BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis19476530OtherCostOrOtherBasis
Depreciation8230671Depreciation
Book Value11245859BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings95049629TotalOfBookValueLandBuildings

Other Assets OtherAssets (2 entries)

DescriptionDescriptionBook ValueBookValue
DUE FROM AFFILIATES46932292
BOND REFUNDING3110000
FieldValueIRS element (for citing)
Total Book Value Other Assets50042292TotalBookValueOtherAssets
Federal Income Tax Liability0FederalIncomeTaxLiability
Total Of Amounts0TotalOfAmounts
Footnote In Part XIIIXFootnoteInPartXIII

Form990 Schedule D Part XIII Form990ScheduleDPartXIII (2 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
Intended Uses of Endowment FundsSchedule D, Part V, Line 4ENDOWMENT FUNDS ARE HELD AND ADMINISTERED BY CONWAY HOSPITAL FOUNDATION. THE ENDOWMENT FUNDS BENEFIT A VARIETY OF PROGRAMS, INCLUDING: QUALITY PATIENT CARE AND SAFETY, PEDIATRIC AND CHILDREN'S MEDICINE, EQUIPMENT AND TECHNOLOGY IMPROVEMENTS, NURSING SCHOLARSHIPS AND OTHER PROGRAMS AND FUNDING AS IS CONSISTENT WITH THE WISHES AND DESIGNATIONS OF DONORS.
Liability for Uncertain Tax Position (ASC 740)Schedule D, Part X, Line 2The Hospital continues to evaluate tax positions related to ASC 740, "Income Taxes," which prescribes financial statement recognition threshold and measurement attributes for tax positions taken or expected to be taken in tax returns. As of September 30, 2013, the tax years ended September 30, 2012, 2011 and 2010 for federal jurisdiction remain open to examination.

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Charity Care PolicytrueCharityCarePolicy
Written PolicytrueWrittenPolicy
FPG Reference Free CaretrueFPGReferenceFreeCare
Pcent100XPcent100
FPG Reference Discounted CaretrueFPGReferenceDiscountedCare
Pcent200 DXPcent200D
Free Disc Care Medically IndigenttrueFreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity CaretrueAmountsBudgetedForCharityCare
Expenses Exceeded BudgetfalseExpensesExceededBudget
Annual Community Benefit ReporttrueAnnualCommunityBenefitReport
Report Publically AvailabletrueReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

FieldValueIRS element (for citing)
Total Community Benefit Expense6632275TotalCommunityBenefitExpense
Direct Offsetting Revenue5655968DirectOffsettingRevenue
Net Community Benefit Expense976307NetCommunityBenefitExpense
Percent Of Total Expense0.00790PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

FieldValueIRS element (for citing)
Total Community Benefit Expense21546794TotalCommunityBenefitExpense
Direct Offsetting Revenue19999249DirectOffsettingRevenue
Net Community Benefit Expense1547545NetCommunityBenefitExpense
Percent Of Total Expense0.01250PercentOfTotalExpense

Total Charity Care TotalCharityCare

FieldValueIRS element (for citing)
Total Community Benefit Expense28179069TotalCommunityBenefitExpense
Direct Offsetting Revenue25655217DirectOffsettingRevenue
Net Community Benefit Expense2523852NetCommunityBenefitExpense
Percent Of Total Expense0.02040PercentOfTotalExpense

Community Health Services CommunityHealthServices

FieldValueIRS element (for citing)
Number Of Activities Or Programs610NumberOfActivitiesOrPrograms
Persons Served41748PersonsServed
Total Community Benefit Expense224583TotalCommunityBenefitExpense
Net Community Benefit Expense224583NetCommunityBenefitExpense
Percent Of Total Expense0.00180PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

FieldValueIRS element (for citing)
Number Of Activities Or Programs5NumberOfActivitiesOrPrograms
Persons Served205PersonsServed
Total Community Benefit Expense25605TotalCommunityBenefitExpense
Net Community Benefit Expense25605NetCommunityBenefitExpense
Percent Of Total Expense0.00020PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

FieldValueIRS element (for citing)
Number Of Activities Or Programs60NumberOfActivitiesOrPrograms
Persons Served1200PersonsServed
Total Community Benefit Expense153000TotalCommunityBenefitExpense
Net Community Benefit Expense153000NetCommunityBenefitExpense
Percent Of Total Expense0.00120PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

FieldValueIRS element (for citing)
Number Of Activities Or Programs675NumberOfActivitiesOrPrograms
Persons Served43153PersonsServed
Total Community Benefit Expense403188TotalCommunityBenefitExpense
Net Community Benefit Expense403188NetCommunityBenefitExpense
Percent Of Total Expense0.00320PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

FieldValueIRS element (for citing)
Number Of Activities Or Programs675NumberOfActivitiesOrPrograms
Persons Served43153PersonsServed
Total Community Benefit Expense28582257TotalCommunityBenefitExpense
Direct Offsetting Revenue25655217DirectOffsettingRevenue
Net Community Benefit Expense2927040NetCommunityBenefitExpense
Percent Of Total Expense0.02360PercentOfTotalExpense

Other Other

FieldValueIRS element (for citing)
Number Of Activities Or Programs3NumberOfActivitiesOrPrograms
Total Community Building Expense1700TotalCommunityBuildingExpense
Net Community Building Expense1700NetCommunityBuildingExpense

Total Total

FieldValueIRS element (for citing)
Number Of Activities Or Programs3NumberOfActivitiesOrPrograms
Total Community Building Expense1700TotalCommunityBuildingExpense
Net Community Building Expense1700NetCommunityBuildingExpense
FieldValueIRS element (for citing)
Bad Debt Expense ReportedfalseBadDebtExpenseReported
Bad Debt Expense$33,604,296BadDebtExpenseAmount
Amount Reimbursed By Medicare46699452AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare41874734CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall4824718MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

FieldValueIRS element (for citing)
Cost To Charge RatioXCostToChargeRatio
FieldValueIRS element (for citing)
Written Debt Collection PolicytrueWrittenDebtCollectionPolicy
Provision For Charity CaretrueProvisionForCharityCare
Number Of Hospital Facilities1NumberOfHospitalFacilities

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA

FieldValueIRS element (for citing)
Facility Number1FacilityNumber

Name Name

FieldValueIRS element (for citing)
Business Name Line1Conway Hospital IncBusinessNameLine1

Address Address

FieldValueIRS element (for citing)
Address Line1300 Singleton Ridge RoadAddressLine1
CityConwayCity
StateSCState
ZIP Code29526ZIPCode
FieldValueIRS element (for citing)
Licensed HospitalXLicensedHospital
General Medical And SurgicalXGeneralMedicalAndSurgical
Er24 HoursXEr24Hours

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1Conway Hospital IncBusinessNameLine1
FieldValueIRS element (for citing)
CHNA ConductedtrueCHNAConducted
Community DefinitionXCommunityDefinition
Community DemographicsXCommunityDemographics
Existing ResourcesXExistingResources
How Data ObtainedXHowDataObtained
Community Health NeedsXCommunityHealthNeeds
Other Health IssuesXOtherHealthIssues
Identifying ProcessXIdentifyingProcess
Consulting ProcessXConsultingProcess
Needs Assessment Conducted13NeedsAssessmentConducted
Take Into AccounttrueTakeIntoAccount
Other FacilitiesfalseOtherFacilities
CHNA Widely AvailabletrueCHNAWidelyAvailable
Own WebsiteXOwnWebsite
On RequestXOnRequest
Adopt Implement StrategyXAdoptImplementStrategy
Execute Implement StrategyXExecuteImplementStrategy
Develop Community PlanXDevelopCommunityPlan
Participate Community PlanXParticipateCommunityPlan
Include Operational PlansXIncludeOperationalPlans
Adopt BudgetXAdoptBudget
Prioritize Health NeedsXPrioritizeHealthNeeds
Prioritize ServicesXPrioritizeServices
All Needs AddressedfalseAllNeedsAddressed
Organization Incur Excise TaxfalseOrganizationIncurExciseTax
Eligibility Criteria ExplainedtrueEligibilityCriteriaExplained
Uses FPG FreetrueUsesFPGFree
FPG Free Percent100FPGFreePercent
Uses FPG DiscountedtrueUsesFPGDiscounted
FPG Discount Percent200.FPGDiscountPercent
Explains BasistrueExplainsBasis
Income LevelXIncomeLevel
Asset LevelXAssetLevel
Medical IndigencyXMedicalIndigency
Insurance StatusXInsuranceStatus
Uninsured DiscountXUninsuredDiscount
Medicaid MedicareXMedicaidMedicare
State RegulationXStateRegulation
Explains Application MethodtrueExplainsApplicationMethod
Includes Publicity MeasurestrueIncludesPublicityMeasures
Posted In Emergency RoomXPostedInEmergencyRoom
Posted In Admission OfficeXPostedInAdmissionOffice
Provided On AdmissionXProvidedOnAdmission
Available On RequestXAvailableOnRequest
Other PublicityXOtherPublicity
Actions On NonpaymenttrueActionsOnNonpayment
Collection ActivitiesfalseCollectionActivities
Notify Upon AdmissionXNotifyUponAdmission
Notify Before DischargeXNotifyBeforeDischarge
Notified All PatientsXNotifiedAllPatients
Documented DeterminationXDocumentedDetermination
Other Actions TakenXOtherActionsTaken
Nondiscrim Emergency Care PolicytrueNondiscrimEmergencyCarePolicy
Used Other MethodXUsedOtherMethod
Amounts Generally BilledtrueAmountsGenerallyBilled
Gross ChargesfalseGrossCharges

Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC

FieldValueIRS element (for citing)
Number Of Other Facilities1NumberOfOtherFacilities

Other Facilities OtherFacilities

Name Name

FieldValueIRS element (for citing)
Business Name Line1Conway Hosp Outpatient Diagnostic CTRBusinessNameLine1

Address Address

FieldValueIRS element (for citing)
Address Line1801 Farrar DrAddressLine1
CityConwayCity
StateSCState
ZIP Code29526ZIPCode
FieldValueIRS element (for citing)
Facility TypeImaging MammographyFacilityType

Form990 Schedule H Part VI Form990ScheduleHPartVI (15 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
Costing MethodologySchedule H, Part I, Line 7The IRS Worksheets with input from our medicare cost report were used to compute the amounts in the table utilizing a cost to charge ratio.
Community Building ActivitiesSCHEDULE H, PART II, LINE 9The hospital participated with local chamber of commerce, Conway City and Horry County Schools in various projects including recycling and clean water programs.
Bad Debt ExpenseSchedule H, Part III, Line 4Information about Conway Hospital's allowance for bad debt can be found on pages 10 and 11 of the attached financial statement footnotes. Contractual adjustments and discounts are applied to patient accounts before determining bad debt. Bad debt and adjustments to accounts receivable are determined using a look-back method and aging categories based on historical collection percentages. The cost of bad-debt reported on Line 2 of part III was computed with the cost to charge ratio developed from the IRS worksheets and our Medicare cost report.
Collection PracticesSchedule H, Part III, Line 9bWhen individuals are latently identified as potentially qualifying for financial assistance, the normal collection process is halted and the patient is referred to a financial counselor to determine their need and what assistance can be provided. We use a third party to assist patients in completing the Medicaid application and the hospital assistance application. We use the Federal Poverty Guidelines to determine eligibility for free or discounted care. If a patient is found to qualify we apply a discount to their account in accordance with our policy. For the portion of the bill that the patient is responsible for, the hospital works out a payment plan with the patient and then any further action is handled through normal collection practices.
Conway Hospital, Inc.Schedule H, Part V, Section B, Question 3The Community Needs Assessment Team entered into dialogue with key hospital administrators, physicians, those with knowledge and expertise in public health, and those serving underserved and chronic disease populations. During this phase, the team conducted face to face interviews, phone interviews, and written questionnaires in which respondents were able to comment and discuss general community health issues of their specific service area. Through these numerous interviews and surveys, a summary of community input was created. This summary would eventually be used to help focus in on priorities and ultimately, implementation strategies. The respondents who participated in this phase include experts in the field of public health, hospital administration members, community outreach groups, and other local organizations. Public health, hospital administration members, community outreach groups, and other local organizations were included in the process. All input was collected and summarized during April 2013. Respondents included: The CEO of Conway Medical Center; the Director of Case Management of Conway Medical Center; the VP of Nursing Services of Conway Medical Center; HEALTHREACH Coordinator (Community Outreach); HEALTHREACH Educator; Director of Friendship Medical Clinic; Director of School Nurses of Horry County Schools; Director of AccessHealth - Horry; Community Systems Director of Pee Dee Region - SCDHEC (Public Health Department). Respondents were asked what they viewed as the top health issues facing Horry County and its residents. They were then asked to elaborate on certain barriers and strategies for addressing these needs. After combining input from these individuals, a summary table was created to illustrate the frequency in which certain issues were mentioned.
Conway Hospital, Inc.Schedule H, Part V, Section B, Question 7The Community Health Needs Assessment Team used the data and input that had been collected to prioritize the needs of the hospital's defined community. After discussing the priorities in depth and discussing Conway's expertise, the expertise of other community organizations and outreach, and the hospital's wide range of services currently available, the following issues were chosen for implementation: access to care for the uninsured, prevention/screenings, diabetes, smoking, and infant mortality. The priorities not addressed by the hospital are as follows: Oral Health - Due to resource constraints along with the presence of other local organizations championing this area of need, Conway Medical Center will not address oral health at this time. Horry Georgetown Technical College is one organization in the area that has plans for improvement in this area. Obesity/Nutrition - Conway Medical Center offers programs to give children healthy food options to take home on the weekends. Conway Medical Center will also continue to participate in health fairs on educating the community on the importance of nutrition and exercise. There are also numerous local organizations that continue to address this need through weight loss classes, healthy food outlets and local recreational facilities. Transportation - Through prioritization, the team found a lack of effective interventions to address this need. Conway Medical Center will, however, continue to use available resources to offer the HEALTHREACH mobile van when possible. Mental Health - Due to other local facilities specifically addressing mental health issues, along with certain resource constraints and lack of expertise in the mental health area, Conway Medical Center has chosen not to address this need in this year's strategies.
Conway Hospital, Inc.Schedule H, Part V, Section B, Question 14(G)The financial assistance policy was also provided to patients upon discharge by case managers.
Conway Hospital, Inc.Schedule H, Part V, Section B, Question 18(e)The hospital did not perform any of the actions indicated on Line 17 before making reasonable efforts to qualify patients for eligibility under our financial assistance policy. The hospital made all efforts checked in Line 18.
Conway Hospital, Inc.Schedule H, Part V, Section B, Question 20The hospital provided discounted care to individuals qualifying for financial assistance based on the federal poverty guidelines. In addition to those patients who did not qualify according to the financial assistance policy, we take into consideration the patient's current social and economic circumstances and provide additional reductions depending on their specific situation.
Conway Hospital, Inc.Schedule H, Part V, Section B, Question 21During the filing year, the hospital was in process of evaluating the methodology options provided in the proposed IRS Regulations but had not yet determined the best approach in order to update its financial assitance policy.
Community Health Care Needs AssessmentSCHEDULE H, PART VI, LINE 2The South Carolina Department of Health and Environmental Control issued a report in 2012 related to the impact of chronic health conditions for those in Horry County. The full report can be found at http://www.scdhec.gov/Health/docs/Epi/chronic/Horry.pdf. Horry County ranks higher than the state average for the following risk factors which contribute to chronic health conditions: sedentary lifestyle and high cholesterol. The age-adjusted death rate for lung cancer in Horry County (per 100,000) is 55.9% compared to the state average of 51.4%. The hospital offers a free program for the community two times a year related to smoking cessation. Additionally, all patients are assessed for their use of tobacco and provided with appropriate education should they report they do use tobacco. The hospital's mobile outreach program also conducts a similar assessment and education for those individuals seen in the community by the outreach van. The county's age-adjusted death rate for heart disease (per 100,000) is 193.6 which is also higher than the state average of 178.5. The mobile health outreach van offers free blood pressure and cholesterol testing as well as nutritional education on a routine basis throughout the western part of Horry County. Additional statistics are noted below under 'promotion of community health.' The hospital produced a Community Health Needs Assessment (CHNA) during 2013 and created an Implementation Strategy to address many of those needs. The full CHNA report can be found at http://www.conwaymedicalcenter.com/aboutcmc.aspx.
Eligibility EducationSchedule H, Part VI, Line 3Signs are posted throughout the hospital in both English and Spanish (and on our website under patient and family responsibility) that inform patients of our assistance policy. All patients that do not have insurance are referred to financial counselors who assist with helping to inform patients of various financial assistance options either through government programs or through the hospital's assistance policy. Invoices sent to patients also include a notice that the hospital has an assistance program and how to they can apply for assistance. Example of language posted on our website and throughout the hospital: 'if a patient or family member cannot afford to pay their bill, we encourage them to ask us about the hospital assistance program.' and: 'si usted no tiene los recursos para pagar su cuenta, por favor pregntenos sobre el programa de asistencia del hospital.'
Description of Community ServedSchedule H, Part VI, Line 4Conway Medical Center serves those persons living in Horry County as well as the bordering counties of Marion and Georgetown. Two other hospitals, McLeod Loris/Seacoast and Grand Strand Regional Medical Center are located in Horry County. The population of Horry County, according to the latest census figures, is as follows: population in 2012 was 282,290; the population grew by 7.6% from 2010 to 2013; in 2012, 20% of the population under 18 years, 33.4% if the population was 18-44 years of age, 27.9% of the population was aged 45-64, 17.1% of the population was 65-84 years of age, and 1.6% was over the age of 85%. Median household income for Horry County for 2008-2012 was $42,183 as compared to the state average of $44,263 with 18.1% of persons living below poverty level, compared to the state average of 17.6%. The Conway area's median household income for 2012 was $33,247 and there were 37.4% of persons living below poverty level. The metropolitan statistical area is considered to be Myrtle Beach-North Myrtle Beach-Conway, SC Metro area. The primary service area of the hospital includes those zip codes within a 15 mile radius of the hospital with approximately 40% of that area being in a rural location.
Promoting the Health of the CommunitySchedule H, Part VI, Line 5The mission of the hospital is to improve the overall health of the community. Major efforts have taken place to provide free screening within the community through our mobile health outreach program to detect illness and disease at an early stage. The 2012/2013 report shows that the outreach program delivered free health screenings to 92 various locations predominately in medically underserved areas of Horry County. There were 1,358 participants who were screened with results as follows: elevated blood pressure - 31%; elevated blood glucose - 20%; elevated blood cholesterol - 29%. By providing counseling, physician referral and follow-up, the outreach staff provided education to those individuals that are screened. In addition to the HEALTHREACH van screenings, during September through June, the staff obtains and delivers smart snacks to 4 schools and 605 children every Thursday. HEALTHREACH provided 605 flu shots at two events and provided diabetes screenings for 1200 persons at 65 events. Safesitter babysitting training classes were provided in June and July with a total of 17 children participating and receiving certification. Mammogram referrals are also initiated through the HEALTHREACH office and additional tracking and follow up communication is provided. As part of the program, over 614 patients, meeting financial eligibility status, were referred for either screening or diagnostic mammography at Conway Medical Center at no charge to the patient. In some cases, ultrasounds were required and also provided by the hospital at no charge. The hospital has also committed $15,000 per year to support a faculty position for the nursing program at Horry-Georgetown Technical College. A variety of community health education programs and health screenings were offered throughout the year such as blood pressure and cholesterol screenings for 1054 persons at 64 events.
Community Benefit Report State FilingsSchedule H, Part VI, Line 7SC

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records MaintainedtrueRecordsMaintained

Recipient Table RecipientTable (3 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEIN Of RecipientEINOfRecipientIRC SectionIRCSectionAmount Of Cash GrantAmountOfCashGrantPurpose Of GrantPurposeOfGrant
UNITED WAY
P O BOX 673CONWAYSC29526570558692501 (c)(3)10434GENERAL PURPOSE GENERAL PURPOSE NURSING SCHOLARSHIPS, BOOKS, TUITION GENERAL PURPOSE GENERAL PURPOSE GENERAL PURPOSE
CONWAY MED CTR FOUNDATION
P O BOX 829CONWAYSC29526570870199501 (c)(3)23271GENERAL PURPOSE
ACCESSHEALTH HORRY
P O Box 1732CONWAYSC29526542075560501 (c)(3)125000Community Health Access
FieldValueIRS element (for citing)
Total Nbr Of501 C3 And Govt Grants3TotalNbrOf501C3AndGovtGrants

Form990 Schedule I Part IV Form990ScheduleIPartIV

FieldValueIRS element (for citing)
IdentifierProcedure for Monitoring Use of Grant Funds Inside U.S.Identifier
Return ReferenceSchedule I, Part I, Line 2ReturnReference
ExplanationGRANTS TO ORGANIZATIONS - CONWAY HOSPITAL PAYS GRANTS TO VARIOUS LOCAL 501(C)3 ENTITIES WHICH ARE QUALIFIED EXEMPT ORGANIZATIONS. THE BOARD APPROVES EACH GRANT BEFORE IT IS PAID.Explanation

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeXCompensationCommittee
Independent ConsultantXIndependentConsultant
Written Employment ContractXWrittenEmploymentContract
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance PaymentfalseSeverancePayment
Supplemental Nonqual Retire PlantrueSupplementalNonqualRetirePlan
Equity Based Comp ArrangementfalseEquityBasedCompArrangement
Comp Based On Revenue Of Filing OrgfalseCompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related OrgsfalseCompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing OrgfalseCompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate OrgsfalseCompBasedNetEarningsRelateOrgs
Any Non Fixed PaymentsfalseAnyNonFixedPayments
Initial Contract ExceptionfalseInitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (12 entries)

TitleTitleBase Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
PHILIP CLAYTON
CEO AND TRUSTEE4646640209988090100330970242760741035000
BRET BARR
CFO251183064003000169420242760356404000
PRESTON STROSNIDER
VP OF MEDICAL STAFF2580890956600279800147900242760420795026402
TONY MINSHEW
VP OF NURSING165049037126000116670115900225432000
CRAIG HYMAN
VP OF HUMAN RESOURCES173096045646068800112810114680248371000
DWIGHT GENTRY JR
VP OF ANCILLARY175014080651000155680109890282222000
ANGELA WILLIFORD
CHIEF RISK OFFICER158099038398000121140244850233096000
KEVIN LOVETT
VP OF FACILITIES14048204150600098610245330216382000
BERNARD MASSEY
VP OF FOUNDATION139685033122000198180112740203899000
ROBERT GAJEWSKI
DIRECTOR OF PHARMACY1427710285000072810247550177657000
DENNIS FINLEY
DIRECTOR OF PHYSICAL THERAPY11795501000000063970242760158628000
WENDELL BEVERLY
CLINICAL PHARMACY COORDINATOR1232560000061620208960150314000

Form990 Schedule J Part III Form990ScheduleJPartIII

FieldValueIRS element (for citing)
IdentifierSupplemental nonqualified retirement planIdentifier
Return ReferenceSchedule J, Part I, Line 4bReturnReference
ExplanationCONWAY HOSPITAL PROVIDES A NON-QUALIFIED SUPPLEMENTAL EMPLOYEE RETIREMENT PLAN, A CAPITAL ACCUMULATION PLAN AND AN ENVISION PLUS PLAN TO SENIOR EXECUTIVES SUBJECT TO CERTAIN VESTING REQUIREMENTS AND/OR SUBSTANTIAL RISKS OF FORFEITURE. THE FOLLOWING EXECUTIVES PARTICIPATED IN ONE OR MORE OF THE PLANS DURING THE YEAR: PHILIP CLAYTON, BRET BARR, PRESTON STROSNIDER, CRAIG HYMAN, DWIGHT GENTRY, JR., KEVIN LOVETT, BERNARD MASSEY, AND TONY MINSHEW. DURING THE CALENDAR YEAR REPORTED WITHIN THIS YEAR, THE FOLLOWING INDIVIDUAL RECEIVED PAYOUTS FROM THE PLAN: PRESTON STROSNIDER - $27,980. THESE AMOUNTS ARE INCLUDED IN THE WAGES REPORTED ON THIS FORM 990.Explanation

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI (2 entries)

Bond ReferenceBondReferenceCdIssuer EINIssuerEINCUSIP NumberCUSIPNumberDate IssuedDateIssuedIssue PriceIssuePriceDescription Of PurposeDescriptionOfPurposeDefeasedDefeasedOn Behalf Of IssuerOnBehalfOfIssuerPool FinancingPoolFinancing
SC JOBS - ECONOMIC DEVELOPMENT
A57096001883703FFY32012-11-0146017931REFUND OF 2011 BONDSfalsefalsefalse
SC JOBS - ECONOMIC DEVELOPMENT
B5709600182011-09-3019510000REFUND 1998 SERIES BONDfalsefalsefalse

Form990 Schedule K Part II Form990ScheduleKPartII (2 entries)

Bond ReferenceBondReferenceCdAmount RetiredAmountRetiredAmount Bond DefeasedAmountBondDefeasedTotal ProceedsTotalProceedsAmount In Reserve FundAmountInReserveFundCapitalized InterestCapitalizedInterestRefunding EscrowRefundingEscrowIssuance Costs From ProceedsIssuanceCostsFromProceedsCredit EnhancementCreditEnhancementWorking Capital ExpendituresWorkingCapitalExpendituresCapital ExpendituresCapitalExpendituresOther Spent ProceedsOtherSpentProceedsAmount UnspentAmountUnspentYear Of Subst CompletionYearOfSubstCompletionCurrent RefundingCurrentRefundingAdvance RefundingAdvanceRefundingFinal Allocation MadeFinalAllocationMadeAdequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaind
A00460179310006079310004541000002009truefalsetruetrue
B17502750195100000001460840001936391601998truefalsetruetrue

Form990 Schedule K Part III Form990ScheduleKPartIII (2 entries)

Bond ReferenceBondReferenceCdOwning Bond Financed PropertyOwningBondFinancedPropertyAny Lease ArrangementsAnyLeaseArrangementsMngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprtyEngage Bond Counsel ContractsEngageBondCounselContractsAny Research AgreementsAnyResearchAgreementsPrcntge Prvt Business Use By OthersPrcntgePrvtBusinessUseByOthersBond Iss Meet Prvt Security Pay TestBondIssMeetPrvtSecurityPayTestChange In Use Bond Financed PropChangeInUseBondFinancedPropRemedial Action TakenRemedialActionTakenNon Qualified Bond Remed ProcdrsNonQualifiedBondRemedProcdrs
Afalsefalsetruetruefalse0falsefalsefalsetrue
Bfalsefalsetruetruefalse0falsefalsefalsetrue

Form990 Schedule K Part IV Form990ScheduleKPartIV (2 entries)

Bond ReferenceBondReferenceCdForm8038 T FiledForm8038TFiledException To RebateExceptionToRebateVariable Rate IssueVariableRateIssueHedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecdsGross Proceeds Invested In GICGrossProceedsInvestedInGICBusiness Name Line1NameOfGICProvider/BusinessNameLine1Gross Proceeds InvestedGrossProceedsInvestedWritten Proc To Monitor ReqsWrittenProcToMonitorReqs
0
Afalsetruefalsefalsefalse0falsetrue
0
Bfalsetruefalsefalsefalse0falsetrue

Form990 Schedule K Part V Form990ScheduleKPartV (2 entries)

Bond ReferenceBondReferenceCdProc To Undertk Corrective ActionProcToUndertkCorrectiveAction
Atrue
Btrue

Form990 Schedule K Part VI Form990ScheduleKPartVI (2 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
Description of PurposePart I - Line A, Column (f)The 2012 series bond was issued to refund the 2011 series bond which refunded the 2007 series bond which was used to construct and renovate a patient tower, administrative annex, and central energy plant at Conway Hospital. Hospital.
Description of PurposePart I - Line B, Column (f)Bonds issued to refund the outstanding maturities of Horry County, South Carolina Hospital Revenue Bonds (Conway Hospital, Inc) Series 1998.

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV

Name Of Interested Person NameOfInterestedPerson

FieldValueIRS element (for citing)
Name PersonCharles JordanNamePerson
FieldValueIRS element (for citing)
RelationshipSee Part VRelationship
Amount Of Transaction912658AmountOfTransaction
Description Of TransactionIndependent ContractorDescriptionOfTransaction
Sharing Of RevenuesfalseSharingOfRevenues

Form990 Schedule L Part V Form990ScheduleLPartV

FieldValueIRS element (for citing)
IdentifierBUSINESS TRANSACTIONS INVOLVING INTERESTED PERSONSIdentifier
Return ReferenceSCHEDULE L, PART IV, COLUMN BReturnReference
ExplanationCHARLES JORDAN, TRUSTEE OF CONWAY HOSPITAL, HAS A BUSINESS RELATIONSHIP WITH CONWAY HOSPITAL. HE WAS CHAIRMAN OF MB KAHN, A CONSTRUCTION COMPANY HIRED TO ASSIST WITH HOSPITAL EXPANSION. MR. JORDAN DID NOT PARTICIPATE IN BOARD DISCUSSION AND VOTING REGARDING THIS ACTIVITY.Explanation

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (5 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
Business RelationshipsForm 990, Part VI, Line 2PHILIP CLAYTON, BRETT BARR, AND DWIGHT GENTRY HAVE A BUSINESS RELATIONSHIP. ALL THREE ARE BOARD MEMBERS AND OFFICERS OF TAX EXEMPT ORGANIZATIONS RELATED TO THIS ORGANIZATION. JOHN PAT HENRY, BOARD MEMBER, AND CHARLES JORDAN, BOARD MEMBER, HAVE A BUSINESS RELATIONSHIP.
Form 990 Review ProcessForm 990, Part VI, Line 11bTHE ORGANIZATION'S ACCOUNTING DEPARTMENT PREPARES THE 990 INFORMATION IN CONSULTATION WITH THE VP OF FISCAL SERVICES. AN OUTSIDE ACCOUNTING FIRM PREPARES THE IRS FORM 990 AND SENDS IT TO THE ACCOUNTING DEPARTMENT AND VP OF FISCAL SERVICES WHO REVIEW THE FORM IN DETAIL. THE FORM 990 IS PROVIDED TO ALL BOARD OF TRUSTEE MEMBERS BEFORE IT IS FILED.
Conflict of Interest Policy Monitoring & EnforcementForm 990, Part VI, Line 12cCONWAY HOSPITAL HAS A CONFLICT OF INTEREST POLICY THAT APPLIES TO THE BOARD OF DIRECTORS, DEPARTMENT HEADS AND EXECUTIVE LEVEL EMPLOYEES. ALL OF THESE COVERED PERSONS ARE REQUIRED TO ATTEST IN WRITING ANNUALLY THEIR UNDERSTANDING OF AND COMPLIANCE WITH THIS POLICY, AND TO PROVIDE INFORMATION CONCERNING ANY POSSIBLE CONFLICTS OF INTEREST. BOARD MEMBERS DO NOT PARTICIPATE IN VOTING ON MATTERS WHERE A CONFLICT OF INTEREST MAY EXIST. DISCLOSURE OF POTENTIAL CONFLICT OF INTEREST: EVERY COVERED PERSON MUST SUBMIT IN WRITING TO THE CHIEF EXECUTIVE OFFICER A CONFLICT OF INTEREST DISCLOSURE STATEMENT LISTING ALL FINANCIAL AND/OR POTENTIAL CONFLICTING INTERESTS. INDIVIDUALS RESUBMIT UPDATED STATEMENTS EACH YEAR WITH ANY NECESSARY CHANGES OR AS ANY ADDITIONAL CONFLICTING OR FINANCIAL INTEREST ARISES. ALL BOARD MEMBERS WILL RECEIVE AN ANNUAL SUMMARY OF THE DISCLOSURES. IN ADDITION, THE BOARD CHAIR AND CHIEF EXECUTIVE OFFICER SHALL HAVE DISCLOSURE STATEMENTS AVAILABLE AT THE TIME OF ALL BOARD MEETINGS IN CASE A POTENTIAL CONFLICT ARISES. EVERY BOARD MEMBER HAS THE OBLIGATION TO INFORM THE BOARD CHAIR OR THE CHIEF EXECUTIVE OFFICER IF HE/SHE IS AWARE OF AN UNDISCLOSED POTENTIAL FINANCIAL AND/OR CONFLICTING INTEREST OF ANOTHER PERSON COVERED BY THE POLICY. IN THE EVENT OF SUCH NOTIFICATION, THE BOARD CHAIR OR CHIEF EXECUTIVE OFFICER SHALL INVESTIGATE THE POSSIBLE UNDISCLOSED INTEREST.
Process for Determining CompensationForm 990, Part VI, Lines 15a & 15bTHE BOARD EXECUTIVE COMPENSATION COMMITTEE IS RESPONSIBLE FOR REVIEWING AND APPROVING COMPENSATION FOR THE CEO, CFO AND ALL VICE PRESIDENTS. AT A MINIMUM OF EVERY THREE YEARS (AND MORE FREQUENTLY WHEN THERE IS TURNOVER IN A POSITION), AN INDEPENDENT CONSULTING COMPANY IS UTILIZED TO PROVIDE APPROPRIATE BENCHMARKED DATA FOR COMPARATIVE POSITIONS TO ASSIST IN DETERMINING COMPENSATION. THE CEO AND CFO ARE RESPONSIBLE FOR APPROVING COMPENSATION FOR ALL OTHER POSITIONS. THEY UTILIZE INDEPENDENT BENCHMARK DATA GATHERED BY THE SOUTH CAROLINA HOSPITAL ASSOCIATION IN SETTING APPROPRIATE COMPENSATION FOR THOSE POSITIONS.
How Documents are Made Available to the PublicForm 990, Part VI, Line 19CONWAY HOSPITAL MAKES ITS FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST AS WELL AS ATTACHING THEM TO THIS RETURN.

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (5 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Controlled OrgControlledOrg
CONWAY LONG-TERM CARE SERVICES INC
300 SINGLETON RIDGE RDCONWAYSC29526570875232HEALTHCARESC501(c)(3)03CONWAY HOSPtrue
CONWAY HOSPITAL COMMUNITY SERVICES
300 SINGLETON RIDGE RDCONWAYSC29526571119337HEALTHCARESC501(c)(3)03CONWAY HOSPtrue
CONWAY HOSPITAL EMERGENCY PROF SERVICES
300 SINGLETON RIDGE RDCONWAYSC29526208817905EMERGENCYSC501(c)(3)11 A-ICONWAY HOSPtrue
CONWAY HOSPITAL ANESTHESIA PROF SERVICES
300 SINGLETON RIDGE RDCONWAYSC29526208817302ANESTHESIASC501(c)(3)11 A-ICONWAY HOSPtrue
CONWAY HOSPITAL FOUNDATION
300 SINGLETON RIDGE RDCONWAYSC29526570870199FUNDRAISINGSC501(c)(3)11C-III-FICONWAY HOSPfalse

Form990 Schedule R Part IV Form990ScheduleRPartIV

Name Of Related Org NameOfRelatedOrg

FieldValueIRS element (for citing)
Business Name Line1MEDICAL PROPERTIES INCBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1300 SINGLETON RIDGE RDAddressLine1
CityCONWAYCity
StateSCState
ZIP Code29526ZIPCode
FieldValueIRS element (for citing)
EIN570751357EIN
Primary ActivityRENTALSPrimaryActivity
Legal Domicile StateSCLegalDomicileState

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1CONWAY HOSPITALBusinessNameLine1
FieldValueIRS element (for citing)
Type Of EntityC CorpTypeOfEntity
Share Of Total Income1412789ShareOfTotalIncome
Share Of EOY Assets6730352ShareOfEOYAssets
Percentage Ownership1.00000PercentageOwnership
Controlled OrgtrueControlledOrg
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents RoyaltiesfalseReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other OrgtrueGiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other OrgtrueGiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other OrgfalseLoansOrGuaranteesFromOtherOrg
Dividends Related OrganizationfalseDividendsRelatedOrganization
Sale Of Assets To Other OrgfalseSaleOfAssetsToOtherOrg
Purchase Of Assets From Other OrgfalsePurchaseOfAssetsFromOtherOrg
Exchange Of AssetsfalseExchangeOfAssets
Rental Of Facilities To Other OrgstrueRentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other OrgsfalseRentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other OrgstruePerformOfServicesForOtherOrgs
Perform Of Services By Other OrgsfalsePerformOfServicesByOtherOrgs
Sharing Of FacilitiestrueSharingOfFacilities
Sharing Of Paid EmployeestrueSharingOfPaidEmployees
Reimbursement Paid To Other OrgfalseReimbursementPaidToOtherOrg
Reimbursement Paid By Other OrgtrueReimbursementPaidByOtherOrg
Other Transfer To Other OrgfalseOtherTransferToOtherOrg
Other Transfer From Other OrgtrueOtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (10 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolvedMethod Of Amt DeterminationMethodOfAmtDetermination
CONWAY LONG-TERM CARE SERVICES INC
B4813959CASH (FMV)
CONWAY HOSPITAL COMMUNITY SERVICES INC
B11670751CASH (FMV)
CONWAY HOSPITAL EMERGENCY PROF SERVICES
B27667CASH (FMV)
CONWAY HOSPITAL ANESTHESIA PROF SERVICES
B4039537CASH (FMV)
MEDICAL PROPERTIES INC
B98953CASH (FMV)
CONWAY HOSPITAL ANESTHESIA PROF SERVICES
Q3295862COST
CONWAY HOSPITAL ANESTHESIA PROF SERVICES
S1875128COST
CONWAY LONG-TERM CARE SERVICES INC
S4751639COST
CONWAY HOSPITAL COMMUNITY SERVICES INC
S7144007COST
MEDICAL PROPERTIES INC
S820755COST

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