CONWAY HOSPITAL INC: Form 990, tax year 2009
View the entire original 990 at ProPublica ↗
- Organization
- CONWAY HOSPITAL INC (EIN 57-0314381)
- Tax period
- 2009-10-01 to 2010-09-30
- Filed
- 2011-08-16
- IRS object ID
- 201102289349300425
- Schema version
- 2009v1.7
- 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
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule H
- Schedule I
- Schedule J
- Schedule K
- Schedule L
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2011-08-16T10:08:28-04:00 | Timestamp |
| Tax Period End Date | 2010-09-30 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Grant Thornton LLP | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 201 S COLLEGE ST STE 2500 | AddressLine1 |
| City | CHARLOTTE | City |
| State | NC | State |
| ZIP Code | 28244 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2009-10-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 570314381 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CONWAY HOSPITAL INC | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | CONW | NameControl |
| Phone | 8433478037 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 300 SINGLETON RIDGE ROAD | AddressLine1 |
| City | CONWAY | City |
| State | SC | State |
| ZIP Code | 295820829 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | BRET BARR | Name |
| Title | CHIEF FINANCIAL OFFICER | Title |
| Phone | 8433477111 | Phone |
| Date Signed | 2011-08-15 | DateSigned |
| Authorize Third Party | true | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | MICHELE N MELCHIOR | Name |
| Phone | 7046323500 | Phone |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2009 | TaxYear |
| Build TS | 2016-02-24 21:20:13Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | PHILIP CLAYTON | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 300 SINGLETON RIDGE RD | AddressLine1 |
| City | CONWAY | City |
| State | SC | State |
| ZIP Code | 29526 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 157273365 | GrossReceipts |
| Group Return For Affiliates | false | GroupReturnForAffiliates |
| Organization501c | X | Organization501c |
| Web Site | WWW.CONWAYHOSPITAL.COM | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1928 | YearFormation |
| State Legal Domicile | SC | StateLegalDomicile |
| Activity Or Mission Description | ACUTE CARE HOSPITAL SERVING RESIDENTS OF HORRY AND SURROUNDING COUNTIES. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 15 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 13 | NbrIndependentVotingMembers |
| Total Nbr Employees | 1177 | TotalNbrEmployees |
| Total Nbr Volunteers | 254 | TotalNbrVolunteers |
| Total Gross UBI | 65252 | TotalGrossUBI |
| Contributions Grants Prior Year | 649893 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 221132 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 144614683 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 154602155 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 3685864 | InvestmentIncomePriorYear |
| Investment Income Current Year | 2145656 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 56715 | OtherRevenuePriorYear |
| Other Revenue Current Year | 178847 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 149007155 | TotalRevenuePriorYear |
| Total Revenue Current Year | 157147790 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 160287 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 249558 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 54143248 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 55758286 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 0 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 0 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 79783907 | OtherExpensePriorYear |
| Other Expenses Current Year | 88610712 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 134087442 | TotalExpensesPriorYear |
| Total Expenses Current Year | 144618556 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 14919713 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 12529234 | RevenuesLessExpensesCY |
| Total Assets BOY | 292339083 | TotalAssetsBOY |
| Total Assets EOY | 309034146 | TotalAssetsEOY |
| Total Liabilities BOY | 93417659 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 95115862 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 198921424 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 213918284 | NetAssetsOrFundBalancesEOY |
| Mission Description | SEE SCHEDULE O | MissionDescription |
| Significant New Program Services | false | SignificantNewProgramServices |
| Significant Change | false | SignificantChange |
| Expense | 126996600 | Expense |
| Grants | 225226 | Grants |
| Revenue | 154602155 | Revenue |
| Description | SEE SCHEDULE O | Description |
| Total Program Service Expense | 126996600 | TotalProgramServiceExpense |
| Described In501 C3 | true | DescribedIn501C3 |
| Schedule B Required | true | ScheduleBRequired |
| Political Activities | false | PoliticalActivities |
| Lobbying Activities | true | LobbyingActivities |
| Donor Advised Funds | false | DonorAdvisedFunds |
| Conservation Easements | false | ConservationEasements |
| Collections Of Art | false | CollectionsOfArt |
| Credit Counseling | false | CreditCounseling |
| Term Or Permanent Endowments | false | TermOrPermanentEndowments |
| Balance Sheet Amounts Reported | true | BalanceSheetAmountsReported |
| Independent Audit Financial Stmt | false | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | true | ConsolidatedAuditFinancialStmt |
| School | false | School |
| Foreign Office | false | ForeignOffice |
| Foreign Activities | false | ForeignActivities |
| More Than5000 K To Organizations | false | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividuals |
| Professional Fundraising | false | ProfessionalFundraising |
| Fundraising Activities | false | FundraisingActivities |
| Gaming | false | Gaming |
| Hospital | true | Hospital |
| Grants To Organizations | true | GrantsToOrganizations |
| Grants To Individuals | true | GrantsToIndividuals |
| Schedule J Required | true | ScheduleJRequired |
| Tax Exempt Bonds | true | TaxExemptBonds |
| Invest Tax Exempt Bonds | false | InvestTaxExemptBonds |
| Escrow Account | false | EscrowAccount |
| On Behalf Of Issuer | false | OnBehalfOfIssuer |
| Excess Benefit Transaction | false | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | false | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | false | LoanToOfficerOrDQP |
| Grant To Related Person | false | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | false | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | false | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | true | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | false | DeductibleNonCashContributions |
| Deductible Contributions Of Art | false | DeductibleContributionsOfArt |
| Terminated | false | Terminated |
| Partial Liquidation | false | PartialLiquidation |
| Disregarded Entity | false | DisregardedEntity |
| Related Entity | true | RelatedEntity |
| Related Org Controlled Entity | true | RelatedOrgControlledEntity |
| Transfers To Exempt Non Chrtbl Org | false | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | false | ActivitiesConductedPartnership |
| Schedule O Required | true | ScheduleORequired |
| Number Forms Transmitted With1096 | 140 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | true | ComplianceWithBackupWitholding |
| Number Of Employees | 1177 | NumberOfEmployees |
| Employment Tax Returns Filed | true | EmploymentTaxReturnsFiled |
| Unrelated Business Income | true | UnrelatedBusinessIncome |
| Form990-T Filed | true | Form990-TFiled |
| Foreign Financial Account | false | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTrans |
| Taxable Party Notification | false | TaxablePartyNotification |
| Non Deductible Contributions | false | NonDeductibleContributions |
| Quid Pro Quo Contributions | false | QuidProQuoContributions |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOf |
| Funds To Pay Premiums | false | FundsToPayPremiums |
| Premiums Paid | false | PremiumsPaid |
| Nbr Voting Governing Body Members | 15 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 13 | NumberIndependentVotingMembers |
| Family Or Business Relationship | false | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | false | DelegationOfManagementDuties |
| Changes To Organizing Docs | false | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuse |
| Members Or Stockholders | false | MembersOrStockholders |
| Election Of Board Members | false | ElectionOfBoardMembers |
| Decisions Subject To Approval | false | DecisionsSubjectToApproval |
| Minutes Of Governing Body | true | MinutesOfGoverningBody |
| Minutes Of Committees | true | MinutesOfCommittees |
| Officer Mailing Address | false | OfficerMailingAddress |
| Local Chapters | false | LocalChapters |
| Form990 Provided To Governing Body | true | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | true | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | true | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | true | RegularMonitoringEnforcement |
| Whistleblower Policy | true | WhistleblowerPolicy |
| Document Retention Policy | true | DocumentRetentionPolicy |
| Compensation Process CEO | true | CompensationProcessCEO |
| Compensation Process Other | true | CompensationProcessOther |
| Investment In Joint Venture | true | InvestmentInJointVenture |
| Written Policy Or Procedure | true | WrittenPolicyOrProcedure |
| States Where Copy Of Return Is Filed | NC | StatesWhereCopyOfReturnIsFiled |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Person | BRET BARR | NamePerson |
| Telephone Number | 8433477111 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 300 SINGLETON RIDGE ROAD | AddressLine1 |
| City | CONWAY | City |
| State | SC | State |
| ZIP Code | 29526 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionA (26 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | OfficerOfficer | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | Key EmployeeKeyEmployee | Highest Compensated EmployeeHighestCompensatedEmployee |
|---|---|---|---|---|---|---|---|---|
| Leroy Rainbow Jr | ||||||||
| Chairman of Board | 1.0 | X | X | 0 | 0 | 0 | ||
| George Hearn | ||||||||
| Secretary of Board | 1.0 | X | X | 0 | 0 | 0 | ||
| M Wayne Staton | ||||||||
| Trustee | 1.0 | X | 0 | 0 | 0 | |||
| William R Benson | ||||||||
| Trustee | 1.0 | X | 0 | 0 | 0 | |||
| Reginald F Daves | ||||||||
| Trustee | 1.0 | X | 0 | 0 | 0 | |||
| Michael Ellis | ||||||||
| Trustee | 1.0 | X | 0 | 0 | 0 | |||
| Henry V Saunders | ||||||||
| Trustee | 1.0 | X | 0 | 0 | 0 | |||
| Dianne W Ray | ||||||||
| Trustee | 1.0 | X | 0 | 0 | 0 | |||
| William L Huggins | ||||||||
| Trustee | 1.0 | X | 0 | 0 | 0 | |||
| George H Goldfinch Jr | ||||||||
| Trustee | 1.0 | X | 0 | 0 | 0 | |||
| Charles B Jordan | ||||||||
| Trustee | 1.0 | X | 0 | 0 | 0 | |||
| Hal B Holmes | ||||||||
| Trustee | 1.0 | X | 0 | 0 | 0 | |||
| Christopher S Huggins | ||||||||
| Trustee | 1.0 | X | 0 | 0 | 0 | |||
| Deirdre S Williams | ||||||||
| Trustee | 1.0 | X | 0 | 0 | 0 | |||
| Philip Clayton | ||||||||
| CEO and Trustee | 40.0 | X | X | 643759 | 0 | 198582 | ||
| Bret Barr | ||||||||
| CFO | 40.0 | X | 304134 | 0 | 60197 | |||
| Dwight Gentry | ||||||||
| Vice President | 40.0 | X | 198960 | 0 | 29291 | X | ||
| Preston Strosnider | ||||||||
| VP of Medical Affairs | 40.0 | 319985 | 0 | 18434 | X | |||
| Ann Sheffield | ||||||||
| VP of Nursing | 40.0 | 216338 | 0 | 92269 | X | |||
| Craig Hyman | ||||||||
| VP of Human Resources | 40.0 | 219518 | 0 | 55682 | X | |||
| Angela Williford | ||||||||
| VP of Risk Management | 40.0 | 168973 | 0 | 24863 | X | |||
| Robert Gajewski | ||||||||
| Director Pharmacy | 40.0 | 140607 | 0 | 22678 | X | |||
| Bernard Massey | ||||||||
| VP of Foundation | 40.0 | 155805 | 0 | 88426 | X | |||
| Kevin Lovett | ||||||||
| VP of Facilities | 40.0 | 147367 | 0 | 26105 | X | |||
| Michael Weisner | ||||||||
| Pharmacist | 40.0 | 125690 | 0 | 14721 | X | |||
| Dennis Finley | ||||||||
| Director Of Physical Therapy | 40.0 | 119981 | 0 | 15525 | X | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 2761117 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 0 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 646773 | TotalOtherCompensation |
| Number Individuals GT100 K | 21 | NumberIndividualsGT100K |
| Formers Listed | false | FormersListed |
| Total Comp GT150 K | true | TotalCompGT150K |
| Compensation From Other Sources | false | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (5 entries)
| Address Line1AddressOfContractor/AddressUS/AddressLine1 | CityAddressOfContractor/AddressUS/City | StateAddressOfContractor/AddressUS/State | ZIP CodeAddressOfContractor/AddressUS/ZIPCode | Description Of ServicesDescriptionOfServices | CompensationCompensation |
|---|---|---|---|---|---|
| MB Kahn | |||||
| 101 Flint Lake Rd | COLUMBIA | SC | 29223 | Construction | 10839162 |
| AmeriSourcebergen Drug Company | |||||
| P O Box 502964 | ST LOUIS | MO | 63150 | Pharmaceutical Suppl | 3654758 |
| Medline Industries | |||||
| P O Box 92301 | CHICAGO | IL | 60675 | Medical Supplies | 3076543 |
| Phiilips Medical Systems NA Co | |||||
| P O Box 847182 | DALLAS | TX | 75284 | Medical Equipment | 2411299 |
| SORIN CRM USA INC | |||||
| 14401 W 65TH WAY | ARVADA | CO | 80004 | PACEMAKER EQUIPMENT | 1173894 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 98 | NumberOfContractorsGT100K |
| Related Organizations | 171101 | RelatedOrganizations |
| Government Grants | 22707 | GovernmentGrants |
| All Other Contributions | 27324 | AllOtherContributions |
| Total Contributions | 221132 | TotalContributions |
Program Service Revenue ProgramServiceRevenue (5 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome | Unrelated Business RevenueUnrelatedBusinessRevenue | ExclusionExclusionAmount |
|---|---|---|---|---|---|
| NET PATIENT REVENUE | 621110 | 150720431 | 150720431 | ||
| WELLNESS CENTER | 900099 | 1221587 | 1221587 | ||
| DIETARY REVENUE | 722210 | 1068749 | 407866 | 29368 | $631,515 |
| COASTAL HOME CARE | 900099 | 350254 | 350254 | ||
| PREMIER INCOME | 900099 | 492319 | 471071 | 21248 |
Total Oth Program Service Revenue TotalOthProgramServiceRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 748815 | TotalRevenueColumn |
| Related Or Exempt Function Income | 646167 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 14636 | UnrelatedBusinessRevenue |
| Exclusion | $88,012 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 154602155 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 2213208 | TotalRevenueColumn |
| Exclusion | $2,213,208 | ExclusionAmount |
Income From Invest Bond Proceeds IncomeFromInvestBondProceeds
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Royalties Revenue RoyaltiesRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Gross Rents GrossRents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 236620 | Real |
Less Rental Expenses LessRentalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 57773 | Real |
Rental Income Or Loss RentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 178847 | Real |
Net Rental Income Or Loss NetRentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 178847 | TotalRevenueColumn |
| Exclusion | $178,847 | ExclusionAmount |
Gross Amount Sales Assets GrossAmountSalesAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | 250 | Other |
Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | 67802 | Other |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | -67552 | Other |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -67552 | TotalRevenueColumn |
| Exclusion | -$67,552 | ExclusionAmount |
Net Income From Fundraising Events NetIncomeFromFundraisingEvents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Net Income From Gaming NetIncomeFromGaming
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Net Income Or Loss NetIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 0 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 157147790 | TotalRevenueColumn |
| Related Or Exempt Function Income | 153817376 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 65252 | UnrelatedBusinessRevenue |
| Exclusion | $3,044,030 | ExclusionAmount |
Grants To Domestic Orgs GrantsToDomesticOrgs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 225226 | Total |
| Program Services | 225226 | ProgramServices |
Grants To Domestic Individuals GrantsToDomesticIndividuals
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 24332 | Total |
| Program Services | 24332 | ProgramServices |
Foreign Grants ForeignGrants
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Benefits To Members BenefitsToMembers
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2238428 | Total |
| Program Services | 214791 | ProgramServices |
| Management And General | 2023637 | ManagementAndGeneral |
Comp Disqual Persons CompDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 39310636 | Total |
| Program Services | 33674949 | ProgramServices |
| Management And General | 5635687 | ManagementAndGeneral |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1752809 | Total |
| Program Services | 1419775 | ProgramServices |
| Management And General | 333034 | ManagementAndGeneral |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 9481423 | Total |
| Program Services | 7743493 | ProgramServices |
| Management And General | 1737930 | ManagementAndGeneral |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2974990 | Total |
| Program Services | 2426568 | ProgramServices |
| Management And General | 548422 | ManagementAndGeneral |
Fees For Services Management FeesForServicesManagement
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2085274 | Total |
| Program Services | 1689072 | ProgramServices |
| Management And General | 396202 | ManagementAndGeneral |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 42605 | Total |
| Program Services | 34510 | ProgramServices |
| Management And General | 8095 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 85672 | Total |
| Program Services | 69394 | ProgramServices |
| Management And General | 16278 | ManagementAndGeneral |
Fees For Services Lobbying FeesForServicesLobbying
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3051 | Total |
| Management And General | 3051 | ManagementAndGeneral |
Fees For Services Prof Fundraising FeesForServicesProfFundraising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 13140946 | Total |
| Program Services | 8021451 | ProgramServices |
| Management And General | 5119495 | ManagementAndGeneral |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 22828295 | Total |
| Program Services | 21997854 | ProgramServices |
| Management And General | 830441 | ManagementAndGeneral |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Royalties Royalties
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2313603 | Total |
| Program Services | 2313603 | ProgramServices |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2923796 | Total |
| Program Services | 2923796 | ProgramServices |
Payments To Affiliates PaymentsToAffiliates
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 7755177 | Total |
| Program Services | 7315669 | ProgramServices |
| Management And General | 439508 | ManagementAndGeneral |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 896904 | Total |
| Program Services | 726492 | ProgramServices |
| Management And General | 170412 | ManagementAndGeneral |
Other Expenses OtherExpenses (5 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral |
|---|---|---|---|
| BAD DEBT | 30338053 | 30338053 | |
| MINOR EQUIPMENT | 453139 | 367043 | 86096 |
| FOOD SUPPLIES | 1327390 | 1075186 | 252204 |
| TRAINING/EDUCATION | 112970 | 91506 | 21464 |
| MEDICAID PROVIDER TAX | 4303837 | 4303837 |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 144618556 | Total |
| Program Services | 126996600 | ProgramServices |
| Management And General | 17621956 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 16204869 | BOY |
| EOY | 19068643 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 6347338 | BOY |
| EOY | 6131575 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 10817865 | BOY |
| EOY | 9999941 | EOY |
Other Notes Loans Receivable Net OtherNotesLoansReceivableNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 58546 | BOY |
| EOY | 338473 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2524209 | BOY |
| EOY | 2661615 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3122781 | BOY |
| EOY | 3023138 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 175702450 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 76849763 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 99134902 | BOY |
| EOY | 98852687 | EOY |
Investments Pub Traded Securities InvestmentsPubTradedSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 126210031 | BOY |
| EOY | 133007441 | EOY |
Investments Program Related InvestmentsProgramRelated
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 5323390 | BOY |
| EOY | 5447024 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 22595152 | BOY |
| EOY | 30503609 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 292339083 | BOY |
| EOY | 309034146 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 15093122 | BOY |
| EOY | 15803979 | EOY |
Deferred Revenue DeferredRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 483573 | BOY |
| EOY | 491730 | EOY |
Tax Exempt Bond Liabilities TaxExemptBondLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 73152825 | BOY |
| EOY | 71845972 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 4688139 | BOY |
| EOY | 6974181 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 93417659 | BOY |
| EOY | 95115862 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 197618675 | BOY |
| EOY | 212588211 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 575212 | BOY |
| EOY | 709110 | EOY |
Permanently Restricted Net Assets PermanentlyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 727537 | BOY |
| EOY | 620963 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 198921424 | BOY |
| EOY | 213918284 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 292339083 | BOY |
| EOY | 309034146 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | false | AccountantCompileOrReview |
| FS Audited | true | FSAudited |
| Audit Committee | true | AuditCommittee |
| Financial Statement Consolidated | X | FinancialStatementConsolidated |
| Federal Grant Audit Required | false | FederalGrantAuditRequired |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital170b1 Aiii | X | Hospital170b1Aiii |
Schedule B IRS990ScheduleB
Contributor Info ContributorInfo
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor Number | RESTRICTED | ContributorNumber |
Contributor Name Business ContributorNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor Address US ContributorAddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Aggregate Contributions | RESTRICTED | AggregateContributions |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Grassroots Lobbying | TotalGrassrootsLobbying | |
| Total Direct Lobbying | TotalDirectLobbying | |
| Total Lobbying Expenditures | TotalLobbyingExpenditures | |
| Other Exempt Purpose Expenditures | OtherExemptPurposeExpenditures | |
| Total Exempt Purpose Expenditures | TotalExemptPurposeExpenditures | |
| Lobbying Nontaxable | LobbyingNontaxableAmount | |
| Grassroots Nontaxable | GrassrootsNontaxableAmount | |
| Tot Lobbying Grassroot Minus Non Tx | TotLobbyingGrassrootMinusNonTx | |
| Tot Lobby Expend Mns Lobbying Nontx | TotLobbyExpendMnsLobbyingNontx | |
| Volunteers | false | Volunteers |
| Paid Staff Or Management | false | PaidStaffOrManagement |
| Media Advertisements | false | MediaAdvertisements |
| Mailings Members | false | MailingsMembers |
| Publications Or Broadcast | false | PublicationsOrBroadcast |
| Grants Other Organizations | false | GrantsOtherOrganizations |
| Direct Contact Legislators | false | DirectContactLegislators |
| Rallies Demonstrations | false | RalliesDemonstrations |
| Other Activities | true | OtherActivities |
| Other Activities | $3,051 | OtherActivitiesAmount |
| Total Lobbying Expenditures IIB | 3051 | TotalLobbyingExpendituresIIB |
Form990 Schedule C Part IV Form990ScheduleCPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | Lobbying Activities | Identifier |
| Return Reference | Schedule C, Part II-B, Line I: | ReturnReference |
| Explanation | Conway 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Art Public Exhibition Amts | ArtPublicExhibitionAmts | |
| Held Works Of Art Amts | HeldWorksOfArtAmts |
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 3262667 | OtherCostOrOtherBasis |
| Book Value | 3262667 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 80805434 | OtherCostOrOtherBasis |
| Depreciation | 24272195 | Depreciation |
| Book Value | 56533239 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Leasehold Improvements | LeaseholdImprovements |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 74995840 | OtherCostOrOtherBasis |
| Depreciation | 46937995 | Depreciation |
| Book Value | 28057845 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 16638509 | OtherCostOrOtherBasis |
| Depreciation | 5639573 | Depreciation |
| Book Value | 10998936 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 98852687 | TotalOfBookValueLandBuildings |
Other Assets OtherAssets (2 entries)
| DescriptionDescription | Book ValueBookValue |
|---|---|
| DUE FROM AFFILIATES | 27393609 |
| BOND REFUNDING | 3110000 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | 30503609 | TotalBookValueOtherAssets |
| Federal Income Tax Liability | 0 | FederalIncomeTaxLiability |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | INTEREST RATE SWAP LIABILITY | Description |
| Amount | $6,974,181 | Amount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 6974181 | TotalOfAmounts |
Form990 Schedule D Part XIV Form990ScheduleDPartXIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | FIN 48 FOOTNOTE | Identifier |
| Return Reference | SCHEDULE D, PART X, LINE 2 | ReturnReference |
| Explanation | The organization adopted FIN48 (now known as ASC740) in an earlier year, however as the organization did not have any Uncertain Tax positions that required disclosure, no footnote is included in the current year financial statements. | Explanation |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Charity Care Policy | true | CharityCarePolicy |
| Written Policy | true | WrittenPolicy |
| FPG Reference Free Care | true | FPGReferenceFreeCare |
| Pcent100 | X | Pcent100 |
| FPG Reference Discounted Care | true | FPGReferenceDiscountedCare |
| Pcent200 D | X | Pcent200D |
| Free Disc Care Medically Indigent | true | FreeDiscCareMedicallyIndigent |
| Amounts Budgeted For Charity Care | true | AmountsBudgetedForCharityCare |
| Expenses Exceeded Budget | true | ExpensesExceededBudget |
| Unable To Provide Care | false | UnableToProvideCare |
| Annual Community Benefit Report | true | AnnualCommunityBenefitReport |
| Report Publically Available | true | ReportPublicallyAvailable |
Charity Care At Cost CharityCareAtCost
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 6042030 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 6042030 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.05300 | PercentOfTotalExpense |
Unreimbursed Medicaid UnreimbursedMedicaid
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 23321292 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 23321292 | DirectOffsettingRevenue |
Total Charity Care TotalCharityCare
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 29363322 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 23321292 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 6042030 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.05300 | PercentOfTotalExpense |
Community Health Services CommunityHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 237778 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 237778 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00200 | PercentOfTotalExpense |
Cash And In Kind Contributions CashAndInKindContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 80511 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 80511 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00100 | PercentOfTotalExpense |
Total Other Benefits TotalOtherBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 318289 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 318289 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00300 | PercentOfTotalExpense |
Total Community Benefits TotalCommunityBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 29681611 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 23321292 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 6360319 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.05600 | PercentOfTotalExpense |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | false | BadDebtExpenseReported |
| Bad Debt Expense | $9,404,796 | BadDebtExpenseAmount |
| Amount Reimbursed By Medicare | 34269912 | AmountReimbursedByMedicare |
| Cost Of Care Reimbursed By Medicare | 52183564 | CostOfCareReimbursedByMedicare |
| Medicare Surplus Or Shortfall | -17913652 | MedicareSurplusOrShortfall |
Costing Methodology Used CostingMethodologyUsed
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | X | CostToChargeRatio |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | true | WrittenDebtCollectionPolicy |
| Provision For Charity Care | true | ProvisionForCharityCare |
Form990 Schedule H Part V Form990ScheduleHPartV
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CONWAY HOSPITAL INC | BusinessNameLine1 |
Address Address
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 300 SINGLETON RIDGE ROAD | AddressLine1 |
| City | CONWAY | City |
| State | SC | State |
| ZIP Code | 29526 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Licensed Hospital | X | LicensedHospital |
| General Medical And Surgical | X | GeneralMedicalAndSurgical |
| Er24 Hours | X | Er24Hours |
Form990 Schedule H Part VI Form990ScheduleHPartVI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Costing Method Used | Costing methodology followed in computing the amounts in the table: The IRS worksheets were used to compute the amounts in the table with input from our Medicare Cost report. | CostingMethodUsed |
| Percent Of Total Expense Expln | Bad-debt of $30,338,053 has been removed from total expenses in the calculation of the table on line 7. | PercentOfTotalExpenseExpln |
| Bad Debt Footnote | The cost of bad-debts reported on line 2 was computed using the cost to charge ratio computed using IRS worksheet 2. | BadDebtFootnote |
| Shortfall As Community Benefit | Medicare shortfall: The entire amount of Medicare Shortfall should be considered a community benefit. By accepting Medicare patients, the hospital promotes access to healthcare services, thus providing a community benefit. | ShortfallAsCommunityBenefit |
| Debt Collection Policy | Collection policy for those qualifying for assistance: When these individuals are 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. The hospital works out a payment plan with the patient and then any further action is handled through normal collection practices. | DebtCollectionPolicy |
| Needs Assessment | The hospital, along with our local university Coastal Carolina University, developed a community health needs assessment in 2007. This needs assessment is evaluated every 4 years for significant changes within our population served. Additionally, through research conducted by other local, state and federal sources, the community health needs are evaluated every year. | NeedsAssessment |
| Patient Education Assistance | Signs are posted throughout the hospital to 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 apply. | PatientEducationAssistance |
| Community Information | Conway Medical Center serves those persons living in Horry County as well as the bordering counties of Marion and Georgetown. The population of Horry County, according to the latest Census figures, is as follows: Population in 2010 was 269,291; The population grew by 37% from 2000 to 2010; In 2009, the population consisted of 6.3% of people under the age of 5, 20.6% of the population as under 18 years of age and 18% of the population was aged 65 and older. The primary service area of the hospital includes those zip codes within a 15 mile radius of the hospital. | CommunityInformation |
| Other Information | The 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 FY 2010 report shows that the outreach program delivered free health screenings to 125 various locations predominately in medically underserved areas of Horry County. There were 2100 participants who were screened with results as follows: Elevated blood pressure - 17%; Elevated Blood Glucose - 14%; Elevated Blood Cholesterol - 39%. By providing counseling, physician referral and follow-up, the outreach staff work to lower the elevations for each individual screened. The hospital also has an open medical staff and its board members are comprised of individuals who serve on a voluntary basis. Surplus funds of the hospital are returned to the community through expanded services and continued access for all individuals regardless of their ability to pay. | OtherInformation |
| Reports Filed With States | SC | ReportsFiledWithStates |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Records Maintained | true | RecordsMaintained |
Recipient Table RecipientTable (3 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EIN Of RecipientEINOfRecipient | IRC SectionIRCSection | Amount Of Cash GrantAmountOfCashGrant | Purpose Of GrantPurposeOfGrant |
|---|---|---|---|---|---|---|---|
| Horry Georgetown Technical College | |||||||
| 743 Hemlock Ave | Myrtle Beach | SC | 29577 | 570681224 | 501(c)(3) | 30000 | Funding for Nursing Instructors |
| United Way | |||||||
| P O Box 673 | Conway | SC | 29526 | 570558692 | 501(c)(3) | 9504 | General Purpose |
| Conway Hospital Foundation | |||||||
| P O Box 829 | Conway | SC | 29528 | 570870199 | 501(c)(3) | 32186 | General Purpose |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Nbr Of501 C3 And Govt Grants | 3 | TotalNbrOf501C3AndGovtGrants |
| Total Nbr Of Other Organizations | 0 | TotalNbrOfOtherOrganizations |
Form990 Schedule I Part III Form990ScheduleIPartIII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Type Of Grant | NURSING SCHOLARSHIPS, BOOKS, AND TUITION | TypeOfGrant |
| Number Of Recipients | 14 | NumberOfRecipients |
| Amount Of Cash Grant | 24332 | AmountOfCashGrant |
Form990 Schedule I Part IV Form990ScheduleIPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | PROCEDURES FOR MONITORING GRANT FUNDS | Identifier |
| Return Reference | PART I, LINE 2: | ReturnReference |
| Explanation | Grants 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. Scholarships to Individuals - Nursing Scholarships are given out to employees of the hospital and other members of the community based on financial need and nursing shortages. Tuition reimbursement is also granted to individuals for certain educational assistance. Conway pays for books and tuition only, and students are required to maintain certain minimum grades in order to qualify for assistance. | Explanation |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | X | CompensationCommittee |
| Independent Consultant | X | IndependentConsultant |
| Written Employment Contract | X | WrittenEmploymentContract |
| Compensation Survey | X | CompensationSurvey |
| Board Or Committee Approval | X | BoardOrCommitteeApproval |
| Severance Payment | false | SeverancePayment |
| Supplemental Nonqual Retire Plan | true | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | false | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | false | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | false | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | false | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | false | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | false | AnyNonFixedPayments |
| Initial Contract Exception | false | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII (10 entries)
| Base Compensation Filing OrgBaseCompensationFilingOrg | Comp Based On Related OrgsCompBasedOnRelatedOrgs | Bonus Filing OrgBonusFilingOrg | Bonus Related OrgsBonusRelatedOrgs | Other Compensation Filing OrgOtherCompensationFilingOrg | Other Compensation Related OrgsOtherCompensationRelatedOrgs | Deferred Comp Filing OrgDeferredCompFilingOrg | Deferred Comp Related OrgsDeferredCompRelatedOrgs | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg | Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs | Total Compensation Filing OrgTotalCompensationFilingOrg | Total Compensation Related OrgsTotalCompensationRelatedOrgs | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg | Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Philip Clayton | |||||||||||||
| 425036 | 0 | 218723 | 0 | 0 | 0 | 183057 | 0 | 15525 | 0 | 842341 | 0 | 0 | 0 |
| Bret Barr | |||||||||||||
| 227625 | 0 | 76509 | 0 | 0 | 0 | 44672 | 0 | 15525 | 0 | 364331 | 0 | 0 | 0 |
| Dwight Gentry | |||||||||||||
| 159012 | 0 | 39948 | 0 | 0 | 0 | 13766 | 0 | 15525 | 0 | 228251 | 0 | 0 | 0 |
| Preston Strosnider | |||||||||||||
| 270926 | 0 | 49059 | 0 | 0 | 0 | 15159 | 0 | 3275 | 0 | 338419 | 0 | 0 | 0 |
| Ann Sheffield | |||||||||||||
| 181550 | 0 | 34788 | 0 | 0 | 0 | 83550 | 0 | 8719 | 0 | 308607 | 0 | 0 | 0 |
| Craig Hyman | |||||||||||||
| 165452 | 0 | 54066 | 0 | 0 | 0 | 46936 | 0 | 8719 | 0 | 275173 | 0 | 0 | 0 |
| Angela Williford | |||||||||||||
| 138953 | 0 | 30020 | 0 | 0 | 0 | 9338 | 0 | 15525 | 0 | 193836 | 0 | 0 | 0 |
| Robert Gajewski | |||||||||||||
| 138357 | 0 | 2250 | 0 | 0 | 0 | 7153 | 0 | 15525 | 0 | 163285 | 0 | 0 | 0 |
| Bernard Massey | |||||||||||||
| 122188 | 0 | 33617 | 0 | 0 | 0 | 79707 | 0 | 8719 | 0 | 244231 | 0 | 0 | 0 |
| Kevin Lovett | |||||||||||||
| 122104 | 0 | 25263 | 0 | 0 | 0 | 10580 | 0 | 15525 | 0 | 173472 | 0 | 0 | 0 |
Form990 Schedule J Part III Form990ScheduleJPartIII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | Part I, Question 4b | Identifier |
| Return Reference | Persons who participate in supplemental retirement plan | ReturnReference |
| Explanation | Conway provides a supplemental retirement benefit to senior executives that is contingent on them remaining at Conway until retirement. The accrual amounts reflect the change in actuarial value during the year and are impacted by various factors, including age of the participant and changes in interest rates. Philip Clayton 170,807 Bret Barr 32,422 Ann Sheffield 72,810 Craig Hyman 36,009 Bernard Massey 1,927 Kevin Lovett 3,066 | Explanation |
Schedule K IRS990ScheduleK
Form990 Schedule K Part I Form990ScheduleKPartI
Issuer Name IssuerName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SC Jobs -Economic Development | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Issuer EIN | 570960018 | IssuerEIN |
| CUSIP Number | 83703FBB7 | CUSIPNumber |
| Date Issued | 2007-11-08 | DateIssued |
| Issue Price | 50000000 | IssuePrice |
| Description Of Purpose | See schedule O | DescriptionOfPurpose |
| Defeased | false | Defeased |
| On Behalf Of Issuer | false | OnBehalfOfIssuer |
Form990 Schedule K Part II Form990ScheduleKPartII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Proceeds | 50325379 | TotalProceeds |
| Amount In Reserve Fund | 3782704 | AmountInReserveFund |
| Issuance Costs From Proceeds | 1629648 | IssuanceCostsFromProceeds |
| Capital Expenditures | 44913027 | CapitalExpenditures |
| Year Of Subst Completion | 2009 | YearOfSubstCompletion |
| Current Refunding | false | CurrentRefunding |
| Advance Refunding | false | AdvanceRefunding |
| Final Allocation Made | true | FinalAllocationMade |
| Adequate Books And Recds Maintaind | true | AdequateBooksAndRecdsMaintaind |
Form990 Schedule K Part III Form990ScheduleKPartIII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Owning Bond Financed Property | false | OwningBondFinancedProperty |
| Any Lease Arrangements | false | AnyLeaseArrangements |
| Mngment Cntrct Bond Financd Prprty | false | MngmentCntrctBondFinancdPrprty |
| Any Research Agreements | false | AnyResearchAgreements |
| Bond Counsel Routinely Engaged | true | BondCounselRoutinelyEngaged |
| Post Issuance Compliance Procdrs | true | PostIssuanceComplianceProcdrs |
Form990 Schedule K Part IV Form990ScheduleKPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form8038 T Filed | true | Form8038TFiled |
| Variable Rate Issue | true | VariableRateIssue |
| Hedge Identified In Books And Recds | true | HedgeIdentifiedInBooksAndRecds |
Name Of Hedge Provider NameOfHedgeProvider
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | WACHOVIA | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Term Of Hedge | 30. | TermOfHedge |
| Gross Proceeds Invested In GIC | false | GrossProceedsInvestedInGIC |
| Gross Proceeds Invested | false | GrossProceedsInvested |
| Exception To Rebate | false | ExceptionToRebate |
Schedule L IRS990ScheduleL
Form990 Schedule L Part IV Form990ScheduleLPartIV
Name Of Interested Person NameOfInterestedPerson
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Person | CHARLES JORDAN | NamePerson |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Relationship | See Schedule O | Relationship |
| Amount Of Transaction | 2818871 | AmountOfTransaction |
| Description Of Transaction | INDEPENDENT CONTRACTOR | DescriptionOfTransaction |
| Sharing Of Revenues | false | SharingOfRevenues |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (9 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| ORGANIZATION'S MISSION | Part III, Line 1: | Conway 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. |
| EXEMPT PURPOSE ACHIEVEMENT | PART III, LINE 4a: | Conway Hospital Inc. Is a 168 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, 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, 2010, the hospital furnished charity care in the amount of $19,590,065. The total days of patient care were 34,334 and Conway Hospital Inc. saw a total of 140,779 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. |
| ORGANIZATION'S FORM 990 REVIEW PROCESS | PART VI, SECTION B, LINE 11: | The 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. |
| ORGANIZATION'S MONITORING CONFLICT OF INTEREST POLICY | PART VI, SECTION B, LINE 12C: | Conway 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. |
| OFFICER/KEY EMPLOYEE COMPENSATION DECISIONS | PART VI, SECTION B, LINE 15A and 15B: | The Board Executive Compensation Committee is responsible for reviewing and approving compensation for the CEO, CFO and all Vice Presidents. 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. |
| DOCUMENTS AVAILABLE TO THE PUBLIC | PART VI, SECTION C, LINE 19: | Conway Hospital makes its financial statements available to the public upon request. |
| TAX-EXEMPT BONDS | SCHEDULE K, PART I AND II | Part I, A, (f) - Construct and equip hospital bed tower Part II, A, line 5 - Includes $440,000 issuance costs plus $1,189,648 credit enhancement. |
| BUSINESS TRANSACTIONS INVOLVING INTERESTED PERSONS | SCHEDULE L, PART IV, COLUMN B: | Charles 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 discussions and voting regarding this activity. |
| TRANSACTIONS WITH RELATED ORGANIZATIONS | Schedule R, Part V, Question 2 | All reported transactions between related organization are the actual amounts transferred or contributed. Reimbursements are provided at cost which represents the fair value of the expenses incurred by the applicable organization. |
Schedule R IRS990ScheduleR
Form990 Schedule R Part II Form990ScheduleRPartII (5 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivities | Legal Domicile StateLegalDomicileState | Exempt Code SectionExemptCodeSection | Public Charity StatusPublicCharityStatus |
|---|---|---|---|---|---|---|---|---|
| CONWAY LONG-TERM CARE SERVICES INC | ||||||||
| 300 SINGLETON RIDGE ROAD | CONWAY | SC | 29526 | 570875232 | HEALTHCARE | SC | 501(c)3 | 3 |
| CONWAY HOSPITAL COMMUNITY SERVICES | ||||||||
| 300 SINGLETON RIDGE RD | CONWAY | SC | 29526 | 571119337 | HEALTHCARE | SC | 501(c)3 | 3 |
| CONWAY HOSPITAL EMERGENCY PROFESSIONAL | ||||||||
| 300 SINGLETON RIDGE RD | CONWAY | SC | 29526 | 208817905 | EMERGENCY | SC | 501(c)3 | 11c-I |
| CONWAY HOSPITAL ANESTHESIA PROFESSIONAL | ||||||||
| 300 SINGLETON RIDGE RD | CONWAY | SC | 29526 | 208817302 | ANESTHESIA | SC | 501(c)3 | 11c-I |
| CONWAY HOSPITAL FOUNDATION INC | ||||||||
| PO BOX 829 | CONWAY | SC | 29526 | 570870199 | FUNDRAISING | SC | 501(c)3 | 11c-III-FI |
Form990 Schedule R Part III Form990ScheduleRPartIII
Name Of Related Org NameOfRelatedOrg
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MPIVP LLC | BusinessNameLine1 |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 300 SINGLETON RIDGE ROAD | AddressLine1 |
| City | CONWAY | City |
| State | SC | State |
| ZIP Code | 29526 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 432009574 | EIN |
| Primary Activity | MED OFFICE RE | PrimaryActivity |
| Legal Domicile State | SC | LegalDomicileState |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | NA | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Predominant Income Type | N/A | PredominantIncomeType |
Form990 Schedule R Part IV Form990ScheduleRPartIV
Name Of Related Org NameOfRelatedOrg
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MEDICAL PROPERTIES INC | BusinessNameLine1 |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 829 | AddressLine1 |
| City | CONWAY | City |
| State | SC | State |
| ZIP Code | 29526 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 570751357 | EIN |
| Primary Activity | HEALTHCARE | PrimaryActivity |
| Legal Domicile State | SC | LegalDomicileState |
| Type Of Entity | C CORP | TypeOfEntity |
| Share Of Total Income | 620336 | ShareOfTotalIncome |
| Share Of EOY Assets | 7284284 | ShareOfEOYAssets |
| Percentage Ownership | 1.00000 | PercentageOwnership |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | false | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | true | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | true | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | false | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | false | LoansOrGuaranteesFromOtherOrg |
| Sale Of Assets To Other Org | false | SaleOfAssetsToOtherOrg |
| Purchase Of Assets From Other Org | false | PurchaseOfAssetsFromOtherOrg |
| Exchange Of Assets | false | ExchangeOfAssets |
| Rental Of Facilities To Other Orgs | true | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | false | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | true | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | false | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | true | SharingOfFacilities |
| Sharing Of Paid Employees | true | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | false | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | true | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | false | OtherTransferToOtherOrg |
| Other Transfer From Other Org | true | OtherTransferFromOtherOrg |
Transactions Related Orgs Table TransactionsRelatedOrgsTable (11 entries)
| Transaction TypeTransactionType | Amount InvolvedAmountInvolved |
|---|---|
| Conway Hospital Community Services | |
| b | 8198138 |
| Conway Hospital Anesthesia Professional | |
| b | 4166338 |
| Conway Hospital Long Term Care (KNC) | |
| b | 5907594 |
| Medical Properties Inc | |
| b | 580355 |
| Conway Hospital Emergency Professional | |
| b | 307084 |
| Conway Hospital Anesthesia Professional | |
| p | 3215538 |
| Conway Hospital Long Term Care (KNC) | |
| p | 458229 |
| Conway Hospital Long Term Care (KNC) | |
| r | 5857667 |
| Conway Hospital Anesthesia Professional | |
| r | 2037313 |
| Conway Hospital Community Services | |
| r | 2093239 |
| Medical Properties Inc | |
| r | 1260065 |
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