2012-11-14T10:34:08-06:00 2011-12-31 BKD LLP PO BOX 3667 LITTLE ROCK AR 722033667 990 2011-01-01 710797723 CONWAY REGIONAL HEALTH FOUNDATION INC % KAREN DAYER CONW 5013293831 2302 COLLEGE AVE CONWAY AR 72034 STEVE ROSE 2012-10-30 true AMBER SHERRILL 5013721040 2011 2016-02-24 21:20:13Z JIM LAMBERT 2302 COLLEGE AVENUE CONWAY AR 72034 2952919 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 0 110 0 0 447644 1215141 0 0 20110 21550 1378609 1213359 1846363 2450050 104969 108609 0 0 0 0 49407 67552 67552 1522116 1444109 1676492 1620270 169871 829780 17028154 18069331 264806 413747 16763348 17655584 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 1243304 108609 TO PROVIDE FINANCIAL AID TO CONWAY REGIONAL MEDICAL CENTER, INC TO HELP SUPPORT PATIENT CARE, PROGRAMS AND SERVICES. 1243304 true true false false false false true false false true false false true true 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 false true 18 4 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 5013293831 2302 COLLEGE AVE CONWAY AR 72034 X BOB GANT 1.0 X X 0 0 182 JACK ENGELKES 1.0 X X 0 0 198 JERRY ADAMS 1.0 X 0 0 182 MARK FERGUSON 1.0 X 0 0 258 CORNELL MALTBIA 1.0 X 0 0 198 ROBERT MCCARRON MD 1.0 X 0 0 258 ROBERT MCCORMACK 1.0 X 0 0 242 BART THRONEBERRY MD 1.0 X 0 0 198 BARBARA WILLIAMS 1.0 X 0 0 132 JIM LAMBERT 1.0 X X 0 377011 35372 ALAN FINLEY 1.0 X 0 146062 23091 STEVEN ROSE 1.0 X 0 175262 26173 JACQUELYN WILKERSON 1.0 X 0 131065 9788 0 829400 96272 0 false true false NABHOLZ CONSTRUCTION CORP CONSTRUCTION 145903 1 4910 314975 19500 12000 863756 66155 1215141 0 21550 0 0 21550 0 452 0 0 452 1660322 223539 1436783 1436783 0 0 1436783 0 308975 247389 -247389 0 -247389 55302 31941 23361 0 0 23361 0 OTHER INCOME 900099 152 0 152 152 2450050 0 0 1234909 55156 55156 53453 53453 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 101570 79808 21762 0 0 0 0 0 0 0 0 0 0 0 0 0 67552 67552 0 0 0 0 0 0 0 8035 6313 1722 0 0 0 0 0 280910 220722 60188 0 7961 6255 1706 0 0 0 0 0 0 0 0 0 215 169 46 0 0 0 0 0 994424 781359 213065 0 46590 36608 9982 0 . 0 0 . . . 4404 3461 943 1620270 1243304 309414 67552 193951 283444 1790665 2653226 0 0 242652 1002503 0 0 0 0 559421 516121 0 7500 33074 32452 21586768 9678011 12721385 11908757 0 0 0 0 0 0 0 0 1487006 1665328 17028154 18069331 233689 228784 0 0 0 0 0 0 0 0 0 0 10549 0 0 0 20568 184963 264806 413747 X 16763348 16154164 0 1501420 0 0 16763348 17655584 17028154 18069331 X 829780 62456 X false true true X false X X X true true false CONWAY REG MED CENTER 710249735 03 true true true 55156 1 55156 RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED true 0 4105766 4105766 0 17347649 9628318 7719331 0 50066 49693 373 83287 83287 11908757 DEFERRED LEASE 1154351 EXTERNALLY RESTRICTED CASH 510977 1665328 0 DUE TO AFFILIATES 184963 184963 2450050 1620270 829780 6 62450 62456 892236 3015375 6 62450 502869 565325 2450050 2450050 2123139 502869 502869 1620270 1620270 OTHER REVENUE INCLUDED ON BOOKS NOT ON RETURN FORM 990, SCHEDULE D, PART XII, LINE 2D RENTAL EXPENSES 223,539 FUNDRAISING EXPENSES 279,330 -------------------------------- TOTAL $ 502,869 OTHER EXPENSES INCLUDED ON BOOKS NOT ON RETURN FORM 990, SCHEDULE D, PART XIII, LINE 2D RENTAL EXPENSES 223,539 FUNDRAISING EXPENSES 279,330 -------------------------------- TOTAL $ 502,869 FIN 48 FOOTNOTE 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 SMITH PROJECT DEVELOPMENT GRANT WRITING false 27495 HUESTON CONSULTING GROUP LLC FUNDRAISING CONSULTANT false 40057 67552 AR DAZZLE DAZE 231090 231090 0 31092 16764 8932 500 149480 GOLF CLASSIC 69145 69145 4000 10696 7344 2104 0 13641 1 9740 9740 0 0 0 0 0 2836 309975 309975 4000 41788 24108 11036 500 165957 247389 -247389 55302 31092 849 true 0.20000 55302 31092 849 31941 23361 AR true false true false 0.50000 0.50000 DOT WELCH 2302 COLLEGE AVENUE CONWAY AR 72034 false DOT WELCH 0 RECORDKEEPING, MONEY COUNTING, MAKING DE X true 23361 FUNDRAISING ACTIVITIES FORM 990, SCHEDULE G, PART I, LINE 2B SMITH PROJECT DEVELOPMENT ASSISTED THE FOUNDATION IN OBTAINING A GOVERNMENT GRANT IN THE AMOUNT OF $99,995 THAT WAS PAID DIRECTLY TO CONWAY REGIONAL MEDICAL CENTER, INC. 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) 55156 0 FMV N/A GENERAL SUPPORT 1 SCHOLARSHIPS 17 23400 0 FMV N/A BENEVOLENCE ASSISTANCE 48 30053 0 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 276591 0 71865 0 28555 0 14700 0 20672 0 412383 0 0 ALAN FINLEY 0 120341 0 20362 0 5359 0 7634 0 15457 0 169153 0 0 STEVEN ROSE 0 142349 0 22346 0 10567 0 10216 0 15957 0 201435 0 0 X 1 33000 APPRAISAL X 5533 RETAIL ESTIMATE X 1 5000 RETAIL ESTIMATE X FOOD FOR EVENTS 29 11231 RETAIL ESTIMATE X INSURANCE 2 2000 RETAIL ESTIMATE X NONCASH PRIZES FOR EVENTS 29 9391 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. OTHER CHANGES IN NET ASSETS FORM 990, PART XI, LINE 5 UNREALIZED GAIN ON INVESTMENTS $6 DONATED SERVICES $40,000 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:JIM LAMBERT TITLE:PRESIDENT HOURS:40 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:ALAN FINLEY TITLE:VICE PRESIDENT HOURS:40 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:STEVEN ROSE TITLE:TREASURER HOURS:40 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:JACQUELYN WILKERSON TITLE:SECRETARY HOURS:40 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 true false true false true true true false false false