2025-08-15T08:58:24-05:00 2024-09-30 991856619 GRANT THORNTON ADVISORS LLC 53 STATE STREET SUITE 1600 BOSTON MA 02109 990 2023-10-01 570875232 CONWAY HOSPITAL LONG TERM CARE SERVICES INC CONW 8433478037 300 SINGLETON RIDGE RD CONWAY SC 29526 BRIAN ARGO PRESIDENT 8433478037 2025-08-14 1 1 ERIN COUTURE P01390592 7046323500 2023 2025-03-06 01:10:19Z BRIAN ARGO 300 SINGLETON RIDGE RD CONWAY SC 29526 0 0 X WWW.CONWAYMEDICALCENTER.COM X 1995 SC OWNS A NURSING FACILITY OPERATED TO PROVIDE LONG-TERM CARE IN CONJUNCTION WITH CONWAY HOSPITAL, INC. 21 19 0 19 0 0 0 0 0 0 0 0 3751 0 3751 0 0 0 0 0 0 0 0 0 0 76449 12741 76449 12741 -72698 -12741 594371 608671 3755315 3782356 -3160944 -3173685 CONWAY HOSPITAL LONG TERM CARE SERVICES, INC. OWNS A NURSING FACILITY OPERATED TO PROVIDE LONG-TERM CARE IN HORRY COUNTY AND SURROUNDING AREAS IN CONJUNCTION WITH CONWAY HOSPITAL, INC., A NON-PROFIT ACUTE CARE HOSPITAL SYSTEM. 0 0 IN CONNECTION WITH THE LONG-TERM CARE BUSINESS, CONWAY HOSPITAL LONG TERM CARE SERVICES, INC. RETAINS OWNERSHIP OF THE BUILDING AND LAND ASSOCIATED WITH A SKILLED NURSING FACILITY, WHILE EMPLOYEES AND PATIENT ACCOUNTS ARE CONTROLLED BY AN UNRELATED ORGANIZATION. 1 0 0 0 0 0 0 0 0 0 1 0 0 0 1 1 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 X 21 19 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 0 0 0 SC X BRIAN ARGO 8433478037 300 SINGLETON RIDGE RD CONWAY SC 29526 LEROY RAINBOW JR CHAIRMAN 1.00 1.00 X X 0 0 0 DENNIS WADE VICE CHAIRMAN 1.00 1.00 X X 0 0 0 M WAYNE STATON SECRETARY 1.00 1.00 X X 0 0 0 JAMES ADAMSON MD TRUSTEE 1.00 1.00 X 0 0 0 BRET BARR TRUSTEE/FORMER PRESIDENT 1.00 43.00 X 0 952412 0 WILLIAM R BENSON TRUSTEE 1.00 1.00 X 0 0 0 JASON BERND TRUSTEE (AS OF 4/24) 1.00 1.00 X 0 0 0 BARB BIEHNER TRUSTEE 1.00 1.00 X 0 0 0 ERNIE BOVIO TRUSTEE (AS OF 4/24) 1.00 1.00 X 0 0 0 REGINALD F DAVES MD TRUSTEE 1.00 1.00 X 0 0 0 BRYAN DUNN TRUSTEE (AS OF 4/24) 1.00 1.00 X 0 0 0 MICHAEL H ELLIS MD TRUSTEE 1.00 1.00 X 0 0 0 CHRISTY EVERETTE TRUSTEE 1.00 1.00 X 0 0 0 HAFEZ HAYEK TRUSTEE (AS OF 4/24)/CHIEF OF STAFF 1.00 40.00 X 0 633295 30104 HEATHER VON HERRMANN TRUSTEE 1.00 1.00 X 0 0 0 HAL B HOLMES MD TRUSTEE 1.00 1.00 X 0 0 0 MITCH LAMM TRUSTEE 1.00 1.00 X 0 0 0 JEFF LINDSAY TRUSTEE (THRU 3/24) 1.00 1.00 X 0 0 0 GEORGE N MAGRATH JR TRUSTEE 1.00 1.00 X 0 0 0 DIANNE W RAY TRUSTEE 1.00 1.00 X 0 0 0 BILL SCHIFF TRUSTEE (THRU 3/24) 1.00 1.00 X 0 0 0 CURT SHAW TRUSTEE (THRU 3/24) 1.00 1.00 X 0 0 0 DELAN STEVENS TRUSTEE 1.00 1.00 X 0 0 0 SRINIVAS VUPPALA MD TRUSTEE 1.00 1.00 X 0 0 0 ROXIE WELLS MD TRUSTEE (THRU 3/24) 1.00 1.00 X 0 0 0 BRIAN ARGO PRESIDENT 1.00 43.00 X 0 961045 48752 DAVID MIER TREASURER 1.00 43.00 X 0 416787 39628 0 2963539 118484 0 0 1 0 0 0 0 0 0 7018 7018 3800 3800 1923 1923 12741 0 12741 0 35160 31161 34211 52510 5123278 4598278 525000 525000 594371 608671 -24954 -24954 3780269 3807310 3755315 3782356 X -3160944 -3173685 -3160944 -3173685 594371 608671 -12741 0 X 0 1 X 1 0 X X 1 CONWAY HOSPITAL INC 570314381 3 1 12741 0 1 12741 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 525000 525000 2773776 2773776 0 1610085 1610085 0 214417 214417 0 525000 DUE TO AFFILIATE 697310 DUE TO AFFILIATE - BOND REFUNDING 3110000 3807310 X PART X, LINE 2: LIABILITY FOR UNCERTAIN TAX POSITION (ASC 740) THE ORGANIZATION IS INCLUDED IN THE CONSOLIDATED FINANCIAL STATEMENTS OF CONWAY HOSPITAL, INC. THE RELEVANT TEXT OF THE INCOME TAX FOOTNOTE FROM THOSE FINANCIALS IS AS FOLLOWS: THE HOSPITAL CONTINUES TO EVALUATE TAX POSITIONS RELATED TO ASC 740, INCOME TAXES, WHICH PRESCRIBES FINANCIAL STATEMENT RECOGNITION THRESHOLD AND MEASUREMENT ATTRIBUTES FOR TAX POSITIONS TAKEN OR EXPECTED TO BE TAKEN IN TAX RETURNS. FOR THE YEARS ENDED SEPTEMBER 30, 2024 AND 2023, MANAGEMENT OF THE HOSPITAL BELIEVES IT HAS ADEQUATE SUPPORT FOR ALL MATERIAL TAX POSITIONS AND THAT IT IS MORE-LIKELY-THAN-NOT, BASED ON THE TECHNICAL MERITS, THAT THE POSITIONS WILL BE SUSTAINED UPON EXAMINATION. 1 1 0 0 0 0 0 0 0 BRIAN ARGO PRESIDENT 0 601784 0 224350 0 134911 0 15606 0 33146 0 1009797 0 0 BRET BARR TRUSTEE/FORMER PRESIDENT 0 27843 0 0 0 924569 0 0 0 0 0 952412 0 0 HAFEZ HAYEK TRUSTEE (AS OF 4/24)/CHIEF OF STAFF 0 557595 0 0 0 75700 0 0 0 30104 0 663399 0 0 DAVID MIER TREASURER 0 332034 0 78514 0 6239 0 14501 0 25127 0 456415 0 0 PART I, LINE 3 CONWAY HOSPITAL INC. USES THE FOLLOWING METHODS WHEN ESTABLISHING THE COMPENSATION OF THE ORGANIZATION'S CEO/EXECUTIVE DIRECTOR: COMPENSATION COMMITTEE, INDEPENDENT COMPENSATION CONSULTANT, COMPENSATION SURVEY OR STUDY, AND APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE. PART I, LINE 4A: SEVERANCE PAYMENTS DURING THE YEAR, CONWAY HOSPITAL, INC. MADE A SEVERANCE PAYMENT TO THE FOLLOWING INDIVIDUAL AS REPORTED ON SCHEDULE J, PART II, COLUMN (B)(III): BRET BARR $924,569 PART I, LINE 4B: SUPPLEMENTAL NON-QUALIFIED RETIREMENT PLAN CONWAY HOSPITAL PROVIDES A NON-QUALIFIED SUPPLEMENTAL EMPLOYEE RETIREMENT PLAN, A CAPITAL ACCUMULATION PLAN AND AN ENVISION PLUS PLAN TO SENIOR EXECUTIVES SUBJECT TO CERTAIN VESTING REQUIREMENTS AND/OR SUBSTANTIAL RISKS OF FORFEITURE. THE FOLLOWING EXECUTIVE PARTICIPATED IN ONE OR MORE OF THE PLANS DURING THE YEAR: BRIAN ARGO. DURING THE CALENDAR YEAR REPORTED WITHIN THIS YEAR, THE FOLLOWING INDIVIDUAL RECEIVED PAYOUTS FROM THE PLAN: BRIAN ARGO $92,567 THIS AMOUNT IS INCLUDED IN THE WAGES REPORTED ON THIS FORM 990. FORM 990, PART VI, SECTION A, LINE 6 MEMBERS OR STOCKHOLDERS CONWAY HOSPITAL, INC. IS THE SOLE MEMBER OF CONWAY HOSPITAL LONG TERM CARE SERVICES, INC. FORM 990, PART VI, SECTION A, LINE 7A MEMBERS OR STOCKHOLDERS WHO MAY ELECT THE TRUSTEES OF CONWAY HOSPITAL LONG TERM CARE SERVICES, INC. ARE APPOINTED BY CONWAY HOSPITAL INC.'S BOARD OF TRUSTEES. FORM 990, PART VI, SECTION A, LINE 7B DECISIONS SUBJECT TO APPROVAL CONWAY HOSPITAL LONG TERM CARE 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. FORM 990, PART VI, SECTION B, LINE 11B FORM 990 REVIEW PROCESS THE CONWAY HOSPITAL, INC. ACCOUNTING DEPARTMENT PREPARES THE 990 INFORMATION IN CONSULTATION WITH THE VP OF FISCAL SERVICES. AN OUTSIDE TAX ADVISOR 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. FORM 990, PART VI, SECTION B, LINE 12C CONFLICT OF INTEREST POLICY MONITORING & ENFORCEMENT THE POLICY IS DISTRIBUTED TO ALL COVERED PERSONS AFFILIATED WITH THIS ENTITY AND CONWAY HOSPITAL, INC. (BOARD OF TRUSTEES AND KEY MANAGEMENT PERSONNEL) 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. FORM 990, PART VI, SECTION B, LINE 15 PROCESS FOR DETERMINING COMPENSATION COMPENSATION IS PROVIDED BY CONWAY HOSPITAL, INC. THE CONWAY HOSPITAL, INC. BOARD EXECUTIVE COMPENSATION COMMITTEE IS RESPONSIBLE FOR REVIEWING AND APPROVING COMPENSATION FOR THE CEO, CFO AND ALL VICE PRESIDENTS. AT A MINIMUM OF EVERY THREE YEARS (AND MORE FREQUENTLY WHEN THERE IS TURNOVER IN A POSITION), 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. FORM 990, PART VI, SECTION C, LINE 19 HOW DOCUMENTS ARE MADE AVAILABLE TO THE PUBLIC CONWAY HOSPITAL LONG TERM CARE SERVICES, INC. MAKES ITS FINANCIAL STATEMENTS, GOVERNING DOCUMENTS, AND CONFLICT OF INTEREST POLICY AVAILABLE TO THE PUBLIC UPON REQUEST. CONWAY HOSPITAL INC 300 SINGLETON RIDGE RD CONWAY SC 29526 570314381 HEALTHCARE SC 501(C)(3) LINE 3 CONWAY HOSPITAL HOLDINGS LLC 0 CONWAY HOSPITAL COMMUNITY SERVICES 300 SINGLETON RIDGE RD CONWAY SC 29526 571119337 HEALTHCARE SC 501(C)(3) LINE 3 CONWAY HOSPITAL INC 0 CONWAY HOSPITAL EMERGENCY PROF SERVICES 300 SINGLETON RIDGE RD CONWAY SC 29526 208817905 PROVISION OF EMERGENCY PHYSICIAN SERVICES SC 501(C)(3) LINE 12A, I CONWAY HOSPITAL INC 0 CONWAY HOSPITAL ANESTHESIA PROF SERVICES 300 SINGLETON RIDGE RD CONWAY SC 29526 208817302 PROVISION OF ANESTHESIA PHYSICIAN SERVICES SC 501(C)(3) LINE 12A, I CONWAY HOSPITAL INC 0 CONWAY PARENT INC 300 SINGLETON RIDGE RD CONWAY SC 29526 931759006 HOLDING COMPANY SC APPLIED LINE 12C, III-FI N/A 0 CONWAY HOSPITAL HOLDINGS LLC 300 SINGLETON RIDGE RD CONWAY SC 29526 933254842 HOLDING COMPANY SC N/A 0 0 MEDICAL PROPERTIES INC 300 SINGLETON RIDGE RD CONWAY SC 29526 570751357 RENTALS SC N/A C 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 1 1 1 1 NOT REQUIRED 0 SCHEDULE R, PART II, COLUMN (D) CONWAY PARENT, INC. WAS FORMED EFFECTIVE JUNE 2023 AND IS IN THE PROCESS OF APPLYING FOR TAX EXEMPTION WITH THE INTERNAL REVENUE SERVICE.