Form 990 for tax year 2023
Filed by CONWAY HOSPITAL LONG TERM CARE SERVICES INC.
Totals
- Total revenue
- $0
- Total expenses
- $12,741
- Contributions and grants received
- $0
- Grants paid
- $0
- Program service revenue
- $0
- Investment income
- $0
- Other revenue
- $0
- Total assets, end of year
- $608,671
- Total liabilities, end of year
- $3,782,356
- Net assets or fund balances, end of year
- -$3,173,685
- Program services expenses (Part IX)
- $0
- Management and general expenses
- $12,741
- Fundraising expenses
- $0
- Program service expenses (Part III)
- not reported
Program services were 0.0% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.
Listed in Part VII
-
LEROY RAINBOW JR
CHAIRMAN
- Total calculated
- $0
- Hours/week
- 1 + 1 related
-
DENNIS WADE
VICE CHAIRMAN
- Total calculated
- $0
- Hours/week
- 1 + 1 related
-
M WAYNE STATON
SECRETARY
- Total calculated
- $0
- Hours/week
- 1 + 1 related
-
JAMES ADAMSON MD
TRUSTEE
- Total calculated
- $0
- Hours/week
- 1 + 1 related
-
BRET BARR
TRUSTEE/FORMER PRESIDENT
- Total calculated
- $952,412
- From this org
- $0
- From related orgs
- $952,412
- Other
- $0
- Hours/week
- 1 + 43 related
Schedule J breakdown matched by us
- Base
- $0 + $27,843 related
- Bonus
- $0
- Other
- $0 + $924,569 related
- Deferred
- $0
- Nontaxable benefits
- $0
- Filer's total
- $0 + $952,412 related
-
WILLIAM R BENSON
TRUSTEE
- Total calculated
- $0
- Hours/week
- 1 + 1 related
-
JASON BERND
TRUSTEE (AS OF 4/24)
- Total calculated
- $0
- Hours/week
- 1 + 1 related
-
BARB BIEHNER
TRUSTEE
- Total calculated
- $0
- Hours/week
- 1 + 1 related
-
ERNIE BOVIO
TRUSTEE (AS OF 4/24)
- Total calculated
- $0
- Hours/week
- 1 + 1 related
-
REGINALD F DAVES MD
TRUSTEE
- Total calculated
- $0
- Hours/week
- 1 + 1 related
-
BRYAN DUNN
TRUSTEE (AS OF 4/24)
- Total calculated
- $0
- Hours/week
- 1 + 1 related
-
MICHAEL H ELLIS MD
TRUSTEE
- Total calculated
- $0
- Hours/week
- 1 + 1 related
-
CHRISTY EVERETTE
TRUSTEE
- Total calculated
- $0
- Hours/week
- 1 + 1 related
-
HAFEZ HAYEK
TRUSTEE (AS OF 4/24)/CHIEF OF STAFF
- Total calculated
- $663,399
- From this org
- $0
- From related orgs
- $633,295
- Other
- $30,104
- Hours/week
- 1 + 40 related
Schedule J breakdown matched by us
- Base
- $0 + $557,595 related
- Bonus
- $0
- Other
- $0 + $75,700 related
- Deferred
- $0
- Nontaxable benefits
- $0 + $30,104 related
- Filer's total
- $0 + $663,399 related
-
HEATHER VON HERRMANN
TRUSTEE
- Total calculated
- $0
- Hours/week
- 1 + 1 related
-
HAL B HOLMES MD
TRUSTEE
- Total calculated
- $0
- Hours/week
- 1 + 1 related
-
MITCH LAMM
TRUSTEE
- Total calculated
- $0
- Hours/week
- 1 + 1 related
-
JEFF LINDSAY
TRUSTEE (THRU 3/24)
- Total calculated
- $0
- Hours/week
- 1 + 1 related
-
GEORGE N MAGRATH JR
TRUSTEE
- Total calculated
- $0
- Hours/week
- 1 + 1 related
-
DIANNE W RAY
TRUSTEE
- Total calculated
- $0
- Hours/week
- 1 + 1 related
-
BILL SCHIFF
TRUSTEE (THRU 3/24)
- Total calculated
- $0
- Hours/week
- 1 + 1 related
-
CURT SHAW
TRUSTEE (THRU 3/24)
- Total calculated
- $0
- Hours/week
- 1 + 1 related
-
DELAN STEVENS
TRUSTEE
- Total calculated
- $0
- Hours/week
- 1 + 1 related
-
SRINIVAS VUPPALA MD
TRUSTEE
- Total calculated
- $0
- Hours/week
- 1 + 1 related
-
ROXIE WELLS MD
TRUSTEE (THRU 3/24)
- Total calculated
- $0
- Hours/week
- 1 + 1 related
-
BRIAN ARGO
PRESIDENT
- Total calculated
- $1,009,797
- From this org
- $0
- From related orgs
- $961,045
- Other
- $48,752
- Hours/week
- 1 + 43 related
Schedule J breakdown matched by us
- Base
- $0 + $601,784 related
- Bonus
- $0 + $224,350 related
- Other
- $0 + $134,911 related
- Deferred
- $0 + $15,606 related
- Nontaxable benefits
- $0 + $33,146 related
- Filer's total
- $0 + $1,009,797 related
-
DAVID MIER
TREASURER
- Total calculated
- $456,415
- From this org
- $0
- From related orgs
- $416,787
- Other
- $39,628
- Hours/week
- 1 + 43 related
Schedule J breakdown matched by us
- Base
- $0 + $332,034 related
- Bonus
- $0 + $78,514 related
- Other
- $0 + $6,239 related
- Deferred
- $0 + $14,501 related
- Nontaxable benefits
- $0 + $25,127 related
- Filer's total
- $0 + $456,415 related
Compensation is as filed in Part VII: reportable pay from this organization and from related organizations, other compensation, and hours per week. The total, marked calculated, is our sum of the three dollar columns, with a blank column counted as $0; the form itself has no total. On a Form 990-EZ the columns are Part IV's instead, and on a Form 990-PF Part VIII's — compensation, contributions to benefit plans, and expense account — and the total sums those. A Schedule J breakdown is as filed: base pay, bonus, other, deferred compensation and nontaxable benefits from this organization, with any from related organizations beside each, and the filer's own total. It is shown with the Part VII listing of the same name on the same return. The form gives no key between the two, so that pairing is ours, and is marked matched by us.
Schedule J
Answered yes
- 4a · Severance or change-of-control payment
- 4b · Supplemental nonqualified retirement plan
Answered no
- 4c · Equity-based compensation arrangement
- 5a · Pay contingent on this organization's revenues
- 5b · Pay contingent on a related organization's revenues
- 6a · Pay contingent on this organization's net earnings
- 6b · Pay contingent on a related organization's net earnings
- 7 · Other non-fixed payments
- 8 · Paid under the initial-contract exception
The filer's explanations (Part III)
- 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.
Part I's answers as filed. A line not listed was left unanswered; on lines 1a and 3 that means the box was not checked.
Grants on this return
No itemized grants to organizations on this return.
Related organizations on this return
Schedule R Part II: tax-exempt organizations related to the filer by control. It does not record shared board members or money.
-
501(C)(3) · HEALTHCARE · SC
Directly controlled by CONWAY HOSPITAL HOLDINGS LLC
-
CONWAY HOSPITAL COMMUNITY SERVICES
501(C)(3) · HEALTHCARE · SC
Directly controlled by CONWAY HOSPITAL INC
-
CONWAY HOSPITAL EMERGENCY PROF SERVICES
501(C)(3) · PROVISION OF EMERGENCY PHYSICIAN SERVICES · SC
Directly controlled by CONWAY HOSPITAL INC
-
CONWAY HOSPITAL ANESTHESIA PROF SERVICES
501(C)(3) · PROVISION OF ANESTHESIA PHYSICIAN SERVICES · SC
Directly controlled by CONWAY HOSPITAL INC
-
APPLIED · HOLDING COMPANY · SC
Taxable family on this return
Schedule R Parts I, III and IV, as filed. These record ownership and control, not shared board members or money moved.
Related partnerships
Part III: related organizations taxable as a partnership, with the filer's share.
-
HOLDING COMPANY · SC
Related corporations and trusts
Part IV: related organizations taxable as a corporation or trust.
-
C · RENTALS · SC
Provenance
- Return type
- form_990
- Tax year
- 2023
- Filed
- 14 August 2025
- IRS schema version
- 2023v6.0
- Source object
- 202522279349300527
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