2011-11-15T15:40:19-06:00 2010-12-31 BKD LLP PO BOX 3667 LITTLE ROCK AR 722033667 990 2010-01-01 710797723 CONWAY REGIONAL HEALTH FOUNDATION INC CONW 5013293831 2302 COLLEGE AVE CONWAY AR 72034 STEVE ROSE 2011-11-15 true CHERYL SCHLUTERMAN 5013721040 2010 2016-03-07 17:11:31Z JIM LAMBERT 2302 COLLEGE AVENUE CONWAY AR 72034 2261417 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 89 0 0 245348 447644 0 0 13176 20110 1260228 1378609 1518752 1846363 116595 104969 0 0 0 0 21357 49407 49407 1452972 1522116 1590924 1676492 -72172 169871 16835283 17028154 242118 264806 16593165 16763348 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 1127835 104969 0 TO PROVIDE FINANCIAL AID TO CONWAY REGIONAL MEDICAL CENTER, INC TO HELP SUPPORT PATIENT CARE, PROGRAMS AND SERVICES. 1127835 true true false false false false false 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 17 1 true 0 true false false false false 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 1176 JACK ENGELKES 1.0 X X 0 0 1368 JERRY ADAMS 1.0 X 0 0 1176 MARK FERGUSON 1.0 X 0 0 1368 CORNELL MATLBIA 1.0 X 0 0 1368 ROBERT MCCARRON MD 1.0 X 0 0 1368 ROBERT MCCORMACK 1.0 X 0 0 1176 BART THRONEBERRY MD 1.0 X 0 0 1368 BARBARA WILLIAMS 1.0 X 0 0 0 JIM LAMBERT 1.0 X X 0 361056 28658 ALAN FINLEY 1.0 X 0 139846 22404 STEVEN ROSE 1.0 X 0 163711 25805 CAREN LEWIS 1.0 X 0 141184 13267 0 805797 100502 0 false true false NABHOLZ CONSTRUCTION CORP CONSTRUCTION 295612 1 54377 4650 79557 19500 124926 164634 25967 447644 0 20110 0 0 20110 0 1526 0 0 1526 1575856 192213 1383643 1383643 1383643 0 159261 79557 181097 -21836 -21836 56850 41744 15106 15106 0 OTHER INCOME 900099 170 0 0 170 170 1846363 0 0 1398719 68319 68319 36650 36650 0 0 0 0 0 0 0 0 98812 66385 32427 0 0 0 0 49407 49407 0 24974 16778 8196 0 0 26961 18113 8848 0 0 0 280311 188321 91990 0 86 58 28 0 0 0 1506 1012 494 0 0 980695 658860 321835 0 50886 34187 16699 0 BAD DEBT EXPENSE 800 800 0 0 MISCELLANEOUS EXPENSE 57085 38352 18733 0 1676492 1127835 499250 49407 143095 193951 1997565 1790665 46136 242652 600695 559421 34944 33074 21404972 8683587 13000493 12721385 1012355 1487006 16835283 17028154 183940 233689 30571 10549 27607 20568 242118 264806 X 16593165 16763348 16593165 16763348 16835283 17028154 X 169871 312 X false true true X false X X true true false CONWAY REG MED CENTER 710249735 03 true true true 63085 1 63085 RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 4071418 4071418 16880989 8634451 8246538 50066 49136 930 402499 402499 12721385 DEFERRED LEASE 1081366 EXTERNALLY RESTRICTED CASH 405640 1487006 0 DUE TO AFFILIATES 20568 20568 1846363 1676492 169871 312 312 170183 2261729 312 415054 415366 1846363 1846363 2091546 415054 415054 1676492 1676492 OTHER REVENUE INCLUDED ON BOOKS NOT ON RETURN FORM 990, SCHEDULE D, PART XII, LINE 2D RENTAL EXPENSES 192,213 FUNDRAISING EXPENSES 222,841 -------------------------------- TOTAL $ 415,054 OTHER EXPENSES INCLUDED ON BOOKS NOT ON RETURN FORM 990, SCHEDULE D, PART XIII, LINE 2D RENTAL EXPENSES 192,213 FUNDRAISING EXPENSES 222,841 -------------------------------- TOTAL $ 415,054 X X X X X X true SMITH PROJECT DEVELOPMENT GRANT WRITING false 52422 7407 HUESTON CONSULTING GROUP LLC FUNDRAISING CONSULTANT false 42000 52422 49407 AR DAZZLE DAZE 157320 64414 92906 0 4384 8904 500 0 121360 GOLF CLASSIC 67608 8613 58995 4100 0 5880 3596 0 25040 2 13890 6530 7360 0 0 0 65 100 7168 238818 79557 159261 4100 4384 14784 4161 100 153568 181097 -21836 56850 0 38793 0 2951 true 0.20000 56850 0 38793 0 2951 41744 15106 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 DEPOSITS X true 15106 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 $124,926 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) 63085 0 FMV N/A GENERAL SUPPORT 1 0 SCHOLARSHIPS 20 20000 0 FMV N/A BENEVOLENCE ASSISTANCE 73 16650 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 265868 0 67061 0 28127 0 14700 0 13958 0 389714 0 0 ALAN FINLEY 0 117740 0 18002 0 4104 0 7634 0 14770 0 162250 0 0 STEVEN ROSE 0 132987 0 20727 0 9997 0 10216 0 15589 0 189516 0 0 CAREN LEWIS 0 121911 0 18449 0 824 0 7432 0 5835 0 154451 0 0 X 4 4395 APPRAISAL X 2398 RETAIL ESTIMATE X 1 4000 RETAIL ESTIMATE X JEWELRY 1 1000 APPRAISAL X LASER TREATMENT SERVICE 2 4000 RETAIL ESTIMATE X DOOR PRIZES 85 2384 RETAIL ESTIMATE X DYNA VOX SPEECH GENERATED DEVICE 1 7790 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 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 B, 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: $312 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:CAREN LEWIS TITLE:SECRETARY HOURS:40 CONWAY REGIONAL MEDICAL CENTER INC 2302 COLLEGE AVENUE CONWAY AR 72034 710249735 HOSPITAL AR 501(C)(3) 3 NA true true false false false false false false true false true false true true true false false false