2013-11-11T08:26:01-06:00 2012-12-31 BKD LLP PO BOX 3667 LITTLE ROCK AR 722033667 990 2012-01-01 710797723 CONWAY REGIONAL HEALTH FOUNDATION INC % KAREN DAYER CONTROLLER CONW 5013293831 2302 COLLEGE AVE Suite CONWAY AR 72034 STEVE ROSE 5013721040 2013-08-13 true AMBER SHERRILL 5013721040 2012 2016-02-24 21:20:13Z JIM LAMBERT 2302 COLLEGE AVENUE CONWAY AR 72034 2384048 false X WWW.CONWAYREGIONAL.ORG/ABOUT/FOUNDATION X 1994 AR THE PURPOSE OF CONWAY REGIONAL HEALTH FOUNDATION, INC. IS TO FOSTER SUPPORT, ENCOURAGE THE ACTIVITIES, AND TO ADVANCE THE OBJECTIVES OF CONWAY REGIONAL MEDICAL CENTER, INC. 10 7 0 106 0 0 1215141 404342 0 0 21550 38277 1213359 1332589 2450050 1775208 108609 490576 0 0 0 0 67552 24000 24000 1444109 1721604 1620270 2236180 829780 -460972 18069331 17465841 413747 195243 17655584 17270598 THE PURPOSE OF CONWAY REGIONAL HEALTH FOUNDATION, INC IS TO FOSTER SUPPORT, ENCOURAGE THE ACTIVITIES, AND TO ADVANCE THE OBJECTIVES OF CONWAY REGIONAL MEDICAL CENTER, INC. false false 1764908 490576 TO PROVIDE FINANCIAL AID TO CONWAY REGIONAL MEDICAL CENTER, INC TO HELP SUPPORT PATIENT CARE, PROGRAMS AND SERVICES. 1764908 true true false false false false false true false false true false false true false false false true false false false false false true true true false true true true false false false false false false false false true true false false false true false false false true 18 5 true 0 true false false false false true true true true false false false false X 10 7 false false false false true false false true true false false true true true true true true false false false X KAREN DAYER CONTROLLER 5013293831 2302 COLLEGE AVE CONWAY AR 72034 BOB GANT 1.0 X X 0 0 1218 JACK ENGELKES 1.0 X X 0 0 1452 CORNELL MALTBIA 1.0 X 0 0 1452 ROBERT MCCORMACK 1.0 X 0 0 1320 BART THRONEBERRY MD 1.0 X 0 0 1452 BARBARA WILLIAMS 1.0 X 0 0 660 JIM LAMBERT 1.0 40.0 X X 0 416956 36421 KEITH BELL MD 1.0 X 0 0 1260 ANDREW COLE MD 1.0 X 0 0 711 JIM RANKIN JR 1.0 X 0 0 63 ANDREA WOODS JD 1.0 X 0 0 1071 ALAN FINLEY 1.0 40.0 X 0 153190 22834 STEVEN ROSE 1.0 40.0 X 0 186066 25473 JACQUELYN WILKERSON 1.0 40.0 X 0 150275 14788 0 906487 110175 0 false true false 0 3410 108626 23000 269306 130869 404342 0 38277 0 0 38277 0 513 0 0 513 1684256 324114 1360142 0 1360142 0 0 1360142 0 203653 108626 257064 -53411 0 -53411 52862 27662 25200 0 0 25200 0 OTHER INCOME 900099 145 145 145 145 145 1775208 0 0 1370866 457711 457711 32865 32865 0 0 0 0 0 0 0 0 161904 119787 42117 0 0 0 0 24000 24000 0 65127 48185 16942 0 0 4493 3324 1169 0 0 0 382013 282638 99375 0 12 9 3 0 0 0 0 0 988851 731617 257234 0 44168 32678 11490 0 BAD DEBT 2216 2216 0 0 . . . 72820 53878 18942 2236180 1764908 447272 24000 283444 300947 2653226 3093285 0 0 1002503 1053126 0 0 0 0 516121 0 7500 7500 32452 27093 21533023 10666862 11908757 10866161 0 0 0 0 0 0 0 0 1665328 2117729 18069331 17465841 228784 195243 0 0 0 0 0 0 0 0 0 0 0 0 0 0 184963 0 413747 195243 X 16154164 16000382 1501420 1270216 0 0 17655584 17270598 18069331 17465841 -460972 342 75644 X false true X true false X X X true true false CONWAY REG MED CENTER 710249735 03 true true true 457711 1 457711 RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED true 4116708 4116708 17347649 10616817 6730832 50066 50045 21 18600 18600 10866161 DEFERRED LEASE 1227336 EXTERNALLY RESTRICTED CASH 890393 2117729 2499962 342 75644 648768 724754 1775208 1775208 2845020 608840 608840 2236180 2236180 RECONCILIATION OF REVENUES FORM 990, SCHEDULE D, PART XII, LINE 2D RENTAL EXPENSES $324,114 FUNDRAISING EXPENSES $257,064 GAMING EXPENSES $27,662 NET ASSETS RELEASED $39,928 ========= $648,768 RECONCILIATION OF EXPENSES FORM 990, SCHEDULE D, PART XIII, LINE 2D RENTAL EXPENSES $324,114 FUNDRAISING EXPENSES $257,064 GAMING EXPENSES $27,662 ========= $608,840 FIN 48 DISCLOSURE FORM 990, SCHEDULE D, PART X, LINE 2 MANAGEMENT HAS EVALUATED THEIR INCOME TAX POSITIONS UNDER THE GUIDANCE INCLUDED IN ASC 740. BASED ON THEIR REVIEW, MANAGEMENT HAS NOT IDENTIFIED ANY MATERIAL UNCERTAIN TAX POSITIONS TO BE RECORDED OR DISCLOSED IN THE FINANCIAL STATEMENTS. X X X X X X true HUESTON CONSULTING GROUP LLC FUNDRAISING CONSULTANT false 0 24000 0 24000 AR DAZZLE DAZE 235204 96971 138233 0 0 17656 6484 550 185580 GOLF CLASSIC 71905 11655 60250 5450 11833 7776 7400 0 12688 2 5170 0 5170 0 0 0 0 0 1647 312279 108626 203653 5450 11833 25432 13884 550 199915 257064 -53411 52862 26714 948 true 0.20000 52862 26714 948 27662 25200 AR true false true false 0.50000 0.50000 DOT WELCH 2302 COLLEGE AVENUE CONWAY AR 72034 false DOT WELCH 0 RECORDKEEPING, MONEY COUNTING X true 25200 GAMING MANAGER FORM 990, SCHEDULE G, PART III, LINE 16 DOT WELCH, GAMING MANAGER, IS AN EMPLOYEE OF CONWAY REGIONAL MEDICAL CENTER, A RELATED ENTITY. true CONWAY REGIONAL MEDICAL CENTER 2302 COLLEGE AVENUE CONWAY AR 72034 710249735 501(C)(3) 457711 FMV N/A GENERAL SUPPORT 1 SCHOLARSHIPS 15 24000 FMV N/A BENEVOLENCE ASSISTANCE 89 8865 FMV N/A PROCEDURE FOR MONITORING GRANT FUNDS FORM 990, SCHEDULE I, PART I, LINE 2 THE FOUNDATION AWARDS COLLEGE SCHOLARSHIPS TO RECIPIENTS WHO ARE SELECTED BY A DIVERSE SCHOLARSHIP COMMITTEE COMPRISED OF HOSPITAL EMPLOYEES. WINNERS ARE SELECTED BASED ON ACADEMIC SUCCESS, FINANCIAL NEED, ESSAY SCORES, AND INTERVIEW SCORES. false false false false false false false false false JIM LAMBERT 0 296420 0 90058 0 30478 0 10001 0 26420 0 453377 0 0 ALAN FINLEY 0 124757 0 24362 0 4071 0 5411 0 17423 0 176024 0 0 STEVEN ROSE 0 144167 0 27766 0 14133 0 7730 0 17743 0 211539 0 0 JACQUELYN WILKERSON 0 119547 0 25021 0 5707 0 0 0 14788 0 165063 0 0 X 35927 RETAIL ESTIMATE X 1 5000 RETAIL ESTIMATE X 2 1249 FMV X DONATED FOOD 21 12014 RETAIL ESTIMATE X TECHNOLOGY/ EQUIPMENT 2 49902 RETAIL ESTIMATE X NONCASH PRIZES FOR EVENTS 118 25527 RETAIL ESTIMATE X INSURANCE 1 1250 RETAIL ESTIMATE false false false MEMBERSHIP FORM 990, PART VI, SECTION A, LINE 6 THE CORPORATION SHALL HAVE ONE CLASS OF MEMBER ONLY, WHICH CLASS SHALL CONSIST OF ONE MEMBER, WHICH SHALL BE CONWAY REGIONAL MEDICAL CENTER, INC., AN ARKANSAS NONPROFIT CORPORATION. ALL OF THE BUSINESS AND AFFAIRS OF THE CORPORATION SHALL BE MANAGED AND CONTROLLED BY THE MEMBER. FORM 990 REVIEW PROCESS FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 IS REVIEWED BY THE TREASURER AND THE PRESIDENT OF THE ORGANIZATION. THE FORM 990 IS THEN PRESENTED TO ALL MEMBERS OF THE GOVERNING BODY OF THE ORGANIZATION FOR REVIEW. CONFLICT OF INTEREST MONITORING POLICY FORM 990, PART VI, SECTION B, LINE 12C EACH BOARD MEMBER IS REQUIRED TO COMPLETE A CONFLICT OF INTEREST STATEMENT ANNUALLY. THESE STATEMENTS ARE REVIEWED BY THE CHAIRMAN OF THE BOARD, THE PRESIDENT OF THE ORGANIZATION, AND THE TREASURER OF THE ORGANIZATION. COMPENSATION DETERMINATION POLICY FORM 990, PART VI, SECTION B, LINE 15A & 15B CONWAY REGIONAL HEALTH FOUNDATION DOES NOT COMPENSATE ANY OFFICERS OR KEY EMPLOYEES. THEREFORE, REVIEW AND APPROVAL BY INDEPENDENT PERSONS USING COMPARABILITY DATA AND CONTEMPORANEOUS SUBSTANTIATION OF THE DELIBERATION AND DECISION IS NOT NECESSARY. AVAILABILITY OF GOVERNING DOCUMENTS 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. CONWAY REGIONAL MEDICAL CENTER INC 2302 COLLEGE AVENUE CONWAY AR 72034 710249735 HOSPITAL AR 501 (c) (3) 3 NA false true true false false false false false false false true false true false true true true false false false