CONWAY HOSPITAL COMMUNITY SERVICES: Form 990, tax year 2009
View the entire original 990 at ProPublica ↗
- Organization
- CONWAY HOSPITAL COMMUNITY SERVICES (EIN 57-1119337)
- Tax period
- 2009-10-01 to 2010-09-30
- Filed
- 2011-08-15
- IRS object ID
- 201132279349302568
- 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 ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2011-08-15T12:45:51-05:00 | 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 | 571119337 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Conway Hospital Community Services | 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 | 29526 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | BRET BARR | Name |
| Title | TREASURER | Title |
| Phone | 8433477111 | Phone |
| Date Signed | 2011-08-15 | DateSigned |
| Authorize Third Party | true | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| 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 | 6066913 | GrossReceipts |
| Group Return For Affiliates | false | GroupReturnForAffiliates |
| Organization501c | X | Organization501c |
| Web Site | WWW.CONWAYHOSPITAL.COM | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 2001 | YearFormation |
| State Legal Domicile | SC | StateLegalDomicile |
| Activity Or Mission Description | SEE SCHEDULE O | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 3 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 0 | NbrIndependentVotingMembers |
| Total Nbr Employees | 73 | TotalNbrEmployees |
| Total Nbr Volunteers | 2 | TotalNbrVolunteers |
| Total Gross UBI | 0 | TotalGrossUBI |
| Contributions Grants Prior Year | 0 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 6894 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 4535621 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 6060019 | ProgramServiceRevenueCY |
| Investment Income Prior Year | -29450 | InvestmentIncomePriorYear |
| Investment Income Current Year | 0 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 0 | OtherRevenuePriorYear |
| Other Revenue Current Year | 0 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 4506171 | TotalRevenuePriorYear |
| Total Revenue Current Year | 6066913 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 641 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 0 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 5253489 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 6904994 | 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 | 1949414 | OtherExpensePriorYear |
| Other Expenses Current Year | 2923349 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 7203544 | TotalExpensesPriorYear |
| Total Expenses Current Year | 9828343 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | -2697373 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | -3761430 | RevenuesLessExpensesCY |
| Total Assets BOY | 5016562 | TotalAssetsBOY |
| Total Assets EOY | 7073307 | TotalAssetsEOY |
| Total Liabilities BOY | 11036080 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 16854255 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | -6019518 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | -9780948 | NetAssetsOrFundBalancesEOY |
| Mission Description | SEE SCHEDULE O | MissionDescription |
| Significant New Program Services | false | SignificantNewProgramServices |
| Significant Change | false | SignificantChange |
| Expense | 9144336 | Expense |
| Revenue | 6060019 | Revenue |
| Description | It is the purpose of Conway Hospital Community Services to provide the best outpatient care through hospital physician offices located throughout the community. During the fiscal year, 67,947 patients were treated by employed providers of the corporation. | Description |
| Total Program Service Expense | 9144336 | TotalProgramServiceExpense |
| Described In501 C3 | true | DescribedIn501C3 |
| Schedule B Required | false | ScheduleBRequired |
| Political Activities | false | PoliticalActivities |
| Lobbying Activities | false | 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 | false | Hospital |
| Grants To Organizations | false | GrantsToOrganizations |
| Grants To Individuals | false | GrantsToIndividuals |
| Schedule J Required | true | ScheduleJRequired |
| Tax Exempt Bonds | false | TaxExemptBonds |
| 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 | false | 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 | false | RelatedOrgControlledEntity |
| Transfers To Exempt Non Chrtbl Org | false | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | false | ActivitiesConductedPartnership |
| Schedule O Required | true | ScheduleORequired |
| Number Forms Transmitted With1096 | 31 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | true | ComplianceWithBackupWitholding |
| Number Of Employees | 73 | NumberOfEmployees |
| Employment Tax Returns Filed | true | EmploymentTaxReturnsFiled |
| Unrelated Business Income | false | UnrelatedBusinessIncome |
| 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 | 3 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 0 | 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 | true | MembersOrStockholders |
| Election Of Board Members | true | ElectionOfBoardMembers |
| Decisions Subject To Approval | true | 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 | false | InvestmentInJointVenture |
| 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 (9 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 |
|---|---|---|---|---|---|---|---|---|
| Philip Clayton | ||||||||
| President of Board | 1.0 | X | X | 0 | 643759 | 198582 | ||
| Bret Barr | ||||||||
| Secretary/Treasurer of Board | 1.0 | X | X | 0 | 304134 | 60197 | ||
| Dwight Gentry | ||||||||
| Vice President of Board | 1.0 | X | X | 0 | 198960 | 29291 | ||
| Warren Ratley | ||||||||
| Vice President | 40.0 | 184227 | 0 | 32726 | X | |||
| Darin Sutton | ||||||||
| Physician | 40.0 | 672025 | 0 | 27775 | X | |||
| Richard Eisenman | ||||||||
| Physician | 40.0 | 573263 | 0 | 27775 | X | |||
| Joseph Edelson | ||||||||
| Physician | 40.0 | 512896 | 0 | 15525 | X | |||
| Terry Levenson | ||||||||
| Physician | 40.0 | 363677 | 0 | 15525 | X | |||
| James W Adamson | ||||||||
| Physician | 40.0 | 207908 | 0 | 25934 | X | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 2513996 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 1146853 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 433330 | TotalOtherCompensation |
| Number Individuals GT100 K | 12 | 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 Construction Co Inc | |||||
| 101 Flint Lake Rd | COLUMBIA | SC | 29223 | Construction | 1046634 |
| Omega Medical Solutions | |||||
| 4728 Jenn Dr Ste 103 | MYRTLE BEACH | SC | 29577 | Billing Service | 238317 |
| Allscripts | |||||
| 8529 Six Forks Rd | RALEIGH | NC | 27615 | PHYS. CLINIC SOFTWAR | 199879 |
| Forms Supply | |||||
| P O Box 563953 | CHARLOTTE | NC | 28256 | Office Supplies | 166539 |
| Usery Wolfe Peterson Doyle | |||||
| 4610 Oleander Dr Suite 201 | MYRTLE BEACH | SC | 29577 | Architecture | 103014 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 5 | NumberOfContractorsGT100K |
| All Other Contributions | 6894 | AllOtherContributions |
| Total Contributions | 6894 | TotalContributions |
Program Service Revenue ProgramServiceRevenue (3 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome | ExclusionExclusionAmount |
|---|---|---|---|---|
| NET PATIENT REVENUE | 621110 | 5722029 | 5722029 | |
| HOSPITAL PHYSICIAN FEES | 900099 | 175134 | 175134 | |
| PROGRAM RENTAL INCOME | 531120 | 162856 | $162,856 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 6060019 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
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 |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
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 | 6066913 | TotalRevenueColumn |
| Related Or Exempt Function Income | 5897163 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | $162,856 | ExclusionAmount |
Grants To Domestic Orgs GrantsToDomesticOrgs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Grants To Domestic Individuals GrantsToDomesticIndividuals
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
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 | 179552 | Total |
| Management And General | 179552 | 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 | 5609425 | Total |
| Program Services | 5421848 | ProgramServices |
| Management And General | 187577 | ManagementAndGeneral |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 120510 | Total |
| Program Services | 110395 | ProgramServices |
| Management And General | 10115 | ManagementAndGeneral |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 748727 | Total |
| Program Services | 693848 | ProgramServices |
| Management And General | 54879 | ManagementAndGeneral |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 246780 | Total |
| Program Services | 227595 | ProgramServices |
| Management And General | 19185 | ManagementAndGeneral |
Fees For Services Management FeesForServicesManagement
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 11899 | Total |
| Program Services | 11287 | ProgramServices |
| Management And General | 612 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 7525 | Total |
| Management And General | 7525 | ManagementAndGeneral |
Fees For Services Lobbying FeesForServicesLobbying
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
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 | 950781 | Total |
| Program Services | 887771 | ProgramServices |
| Management And General | 63010 | ManagementAndGeneral |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 844030 | Total |
| Program Services | 785075 | ProgramServices |
| Management And General | 58955 | 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 | 174147 | Total |
| Program Services | 168631 | ProgramServices |
| Management And General | 5516 | ManagementAndGeneral |
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 | 0 | Total |
Payments To Affiliates PaymentsToAffiliates
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 412438 | Total |
| Program Services | 379685 | ProgramServices |
| Management And General | 32753 | ManagementAndGeneral |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 193901 | Total |
| Program Services | 193901 | ProgramServices |
Other Expenses OtherExpenses (4 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral |
|---|---|---|---|
| MINOR EQUIPMENT | 266400 | 221565 | 44835 |
| RECRUITMENT AND RETENTION | 10293 | 5982 | 4311 |
| EDUCATION | 49551 | 35697 | 13854 |
| OTHER EXPENSES | 2384 | 1056 | 1328 |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 9828343 | Total |
| Program Services | 9144336 | ProgramServices |
| Management And General | 684007 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 221045 | BOY |
| EOY | 825844 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 40688 | BOY |
| EOY | 70138 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 29575 | BOY |
| EOY | 44095 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 7574320 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 1441090 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 4725254 | BOY |
| EOY | 6133230 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 5016562 | BOY |
| EOY | 7073307 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1131623 | BOY |
| EOY | 843899 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 9904457 | BOY |
| EOY | 16010356 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 11036080 | BOY |
| EOY | 16854255 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -6019518 | BOY |
| EOY | -9780948 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -6019518 | BOY |
| EOY | -9780948 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 5016562 | BOY |
| EOY | 7073307 | 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 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 | 1117423 | OtherCostOrOtherBasis |
| Book Value | 1117423 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 4865639 | OtherCostOrOtherBasis |
| Depreciation | 933101 | Depreciation |
| Book Value | 3932538 | BookValue |
Leasehold Improvements LeaseholdImprovements
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 210379 | OtherCostOrOtherBasis |
| Depreciation | 56349 | Depreciation |
| Book Value | 154030 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 1186113 | OtherCostOrOtherBasis |
| Depreciation | 388866 | Depreciation |
| Book Value | 797247 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 194766 | OtherCostOrOtherBasis |
| Depreciation | 62774 | Depreciation |
| Book Value | 131992 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 6133230 | TotalOfBookValueLandBuildings |
| Federal Income Tax Liability | 0 | FederalIncomeTaxLiability |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | DUE TO CONWAY HOSPITAL, INC. | Description |
| Amount | $16,010,356 | Amount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 16010356 | 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 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 (9 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 | |||||||||||||
| 0 | 425036 | 0 | 218723 | 0 | 0 | 0 | 183057 | 0 | 15525 | 0 | 842341 | 0 | 0 |
| Bret Barr | |||||||||||||
| 0 | 227625 | 0 | 76509 | 0 | 0 | 0 | 44672 | 0 | 15525 | 0 | 364331 | 0 | 0 |
| Dwight Gentry | |||||||||||||
| 0 | 159012 | 0 | 39948 | 0 | 0 | 0 | 3769 | 0 | 25522 | 0 | 228251 | 0 | 0 |
| Warren Ratley | |||||||||||||
| 155476 | 0 | 28751 | 0 | 0 | 0 | 17201 | 0 | 15525 | 0 | 216953 | 0 | 0 | 0 |
| Darin Sutton | |||||||||||||
| 547633 | 0 | 124392 | 0 | 0 | 0 | 12250 | 0 | 15525 | 0 | 699800 | 0 | 0 | 0 |
| Richard Eisenman | |||||||||||||
| 391791 | 0 | 181472 | 0 | 0 | 0 | 12250 | 0 | 15525 | 0 | 601038 | 0 | 0 | 0 |
| Joseph Edelson | |||||||||||||
| 433100 | 0 | 79796 | 0 | 0 | 0 | 0 | 0 | 15525 | 0 | 528421 | 0 | 0 | 0 |
| Terry Levenson | |||||||||||||
| 264476 | 0 | 99201 | 0 | 0 | 0 | 0 | 0 | 15525 | 0 | 379202 | 0 | 0 | 0 |
| James W Adamson | |||||||||||||
| 207908 | 0 | 0 | 0 | 0 | 0 | 10409 | 0 | 15525 | 0 | 233842 | 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 | Explanation |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (8 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| Organization's Mission | Part I, Line 1 and Part III, Line 1: | PROVISION OF OUTPATIENT HEALTH CARE SERVICES TO HORRY COUNTY AND THE SURROUNDING COMMUNITY IN CONJUNCTION WITH CONWAY HOSPITAL, INC. |
| ORGANIZATION MEMBER | PART VI, SECTION A, LINE 6: | Conway Hospital, Inc. is the sole member of Conway Hospital Community Services, Inc. |
| ELECTION OF GOVERNING BODY | PART VI, SECTION A, LINE 7A: | The Trustees of Conway Hospital Community Services, Inc. are appointed by Conway Hospital Inc.'s Board of Trustees. |
| DECISIONS OF GOVERNING BODY SUBJECT TO APPROVAL BY MEMBERS | PART VI, SECTION A, LINE 7B: | Conway Hospital Community Services, Inc. Board of Trustees shall make or oversee management and operational matters of the Corporation. Conway Hospital, Inc. reserves to its own board of trustees the authority to direct all financial matters and matters affecting the purpose of the corporation. Approval by the Conway Hospital board of trustees is required for all amendments to the By Laws of this organization. |
| ORGANIZATION'S FORM 990 REVIEW PROCESS | PART VI, SECTION B, LINE 11: | The Conway Hospital Inc 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: | The policy is distributed to all covered persons affiliated with this entity and Conway Hospital Inc (board of trustees, department heads and executive level employees) and each covered person must sign an annual statement that he or she: Received a copy of the policy; Read and understands the policy; Agrees to comply with the policy; and Understands the policy applies to the board and all board committees. 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 Conway Hospital Inc 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 Community Services, Inc. makes its financial statements available to the public upon request. |
Schedule R IRS990ScheduleR
Form990 Schedule R Part II Form990ScheduleRPartII (3 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivities | Legal Domicile StateLegalDomicileState | Exempt Code SectionExemptCodeSection | Public Charity StatusPublicCharityStatus |
|---|---|---|---|---|---|---|---|---|
| CONWAY HOSPITAL INC | ||||||||
| 300 SINGLETON RIDGE RD | CONWAY | SC | 29526 | 570314381 | HEALTHCARE | SC | 501(c)3 | 3 |
| CONWAY HOSPITAL ANESTHESIA PROFESSIONAL | ||||||||
| 300 SINGLETON RIDGE RD | CONWAY | SC | 29526 | 208817302 | ANESTHESIA | SC | 501(c)3 | 11a-I |
| CONWAY HOSPITAL EMERGENCY PROFESSIONAL | ||||||||
| 300 SINGLETON RIDGE RD | CONWAY | SC | 29526 | 208817905 | EMERGENCY | SC | 501(c)3 | 11a-I |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | false | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | false | 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 | false | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | true | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | false | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | true | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | true | SharingOfFacilities |
| Sharing Of Paid Employees | true | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | true | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | false | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | true | OtherTransferToOtherOrg |
| Other Transfer From Other Org | false | OtherTransferFromOtherOrg |
Transactions Related Orgs Table TransactionsRelatedOrgsTable
Name Of Other Organization NameOfOtherOrganization
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | No disclosure required | BusinessNameLine1 |