4A (Expenses $ 238666770 including grants of $ 2136535) (Revenue $ 265091524)
SEE SCHEDULE O

CONWAY HOSPITAL
"PART V, SECTION B, LINE 5: IN CONDUCTING OUR COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA), OUR TEAM USED SEVERAL SOURCES OF QUANTITATIVE HEALTH MEASURES AND SOCIAL AND DEMOGRAPHIC DATA SPECIFIC TO CONWAY MEDICAL CENTER'S (CMC'S) HOME COUNTY (HORRY) PROVIDED BY LOCAL PUBLIC HEALTH AGENCIES, HEALTH CARE ASSOCIATIONS AND VARIOUS OTHER DATA OUTLETS. CMC TOOK ADVANTAGE OF THIS OPPORTUNITY TO COLLABORATE WITH ITS ADMINISTRATORS, PHYSICIANS, OUTREACH PROGRAMS, AND LOCAL ORGANIZATIONS AS WELL. CONWAY MEDICAL CENTER SOUGHT OUTSIDE ASSISTANCE FROM THE DIXON HUGHES GOODMAN CHNA TEAM IN THIS PROCESS. DHG PROVIDED DATA, ORGANIZED COMMUNITY INPUT, FACILITATED PRIORITY SESSIONS, AND SUPPORTED THE REPORT DRAFTING PROCESS. THE ASSESSMENT PROCESS CONSISTS OF FIVE STEPS: DATA ASSESSMENT OF OUR COMMUNITY, COMMUNITY INPUT, PRIORITIZATION & IMPLEMENTATION STRATEGY, REPORTING, AND MONITORING.IN THE INITIAL STEP, SERVICE AREAS WERE DEFINED, EXTERNAL DATA RESEARCH WAS COMPLETED AND KEY FINDINGS WERE SUMMARIZED. AS THE DATA ASSESSMENT WAS COMPLETED, THE COMMUNITY INPUT PHASE WAS STARTED.DURING THE COMMUNITY INPUT PHASE, PHONE AND WRITTEN INTERVIEWS WERE CONDUCTED WITH PERSONS WITH SPECIAL KNOWLEDGE OF PUBLIC HEALTH. THIS INCLUDED HOSPITAL ADMINISTRATORS, LOCAL AND COMMUNITY ORGANIZATIONS, OTHER LOCAL GROUPS, AND PUBLIC HEALTH OFFICIALS FLORENCE HEALTH DEPARTMENT. IN ADDITION, HOSPITAL PERSONNEL, LOCAL ORGANIZATIONS, AND COMMUNITY OUTREACH ADVOCATES WERE INTERVIEWED. A SUMMARY OF THIS DIALOG WAS CREATED AND IS INCLUDED IN THE CHNA REPORT. A PRIORITIZATION SESSION WAS THEN HELD TO SUMMARIZE AND OVERLAY DATA ELEMENTS WITH KEY COMMUNITY INPUT FINDINGS. FROM THIS SESSION, PRIORITIES EMERGED BASED UPON THE SIGNIFICANCE OF THE NEED TO THE SERVICE AREA, AND CMC'S ABILITY TO IMPACT THE NEED. BASED ON THESE PRIORITIES, CMC DECIDED ON WHICH PRIORITIES WOULD BE INCLUDED IN THEIR IMPLEMENTATION STRATEGY AND WHICH PRIORITIES WOULD NOT BE ADDRESSED. THESE CAN BE FOUND IN THE IMPLEMENTATION STRATEGY DOCUMENT. THIS REPORT AND STRATEGY WERE THEN APPROVED BY THE BOARD AND MADE ""WIDELY AVAILABLE"" ON THE CONWAY MEDICAL CENTER WEBSITE. DATA ASSESSMENT HIGHLIGHTS AND FINDINGS:THE DATA ASSESSMENT PIECE OF THE CHNA PROCESS INCLUDED DATA TABLES, GRAPHS, AND MAPS FROM VARIOUS SOURCES WIDELY AVAILABLE. THESE DATA ELEMENTS WERE USED TO IDENTIFY AT-RISK POPULATIONS, UNDERSERVED POPULATIONS, HEALTH NEED AREAS, AND PROFESSIONAL SHORTAGE AREAS. A SUMMARY OF FINDINGS WAS THEN CREATED TO HIGHLIGHT AREAS OF NEED WITHIN THE SERVICE AREA.TO GATHER INPUT FROM VARIOUS SOURCES, THE TEAM USED A COMBINATION OF INTERVIEWS OF LOCAL COMMUNITY PERSONS AND GROUPS, AND SOUGHT OTHER DATA SUCH AS RECENT COUNTY HEALTH RANKINGS AND NATIONAL HEALTH STATISTICS. LOCAL COMMUNITY INPUT: HOSPITAL ADMINISTRATORS, LOCAL AND COMMUNITY ORGANIZATIONS, OTHER LOCAL GROUPS, AND PUBLIC HEALTH OFFICIALS FLORENCE HEALTH DEPARTMENT.2016 COUNTY HEALTH RANKINGS: THIS SOURCE IS A COLLABORATION BETWEEN THE ROBERT WOOD JOHNSON FOUNDATION AND THE UNIVERSITY OF WISCONSIN POPULATION HEALTH INSTITUTE. IT GIVES A GENERAL SNAPSHOT OF HOW HEALTHY EACH COUNTY IS IN RELATION TO OTHERS IN THE SAME STATE. IT MEASURES AND RANKS BOTH HEALTH OUTCOMES AND HEALTH FACTORS THAT LEAD TO THOSE OUTCOMES. EACH INDICATOR IS WEIGHED, STANDARDIZED, AND RANKED IN ORDER TO COME UP WITH AN OVERALL RANKING OF HEALTH FOR EACH COUNTY IN SOUTH CAROLINA. RANKING AREAS INCLUDED: HEALTH OUTCOMES (LENGTH OF LIFE, QUALITY OF LIFE), HEALTH FACTORS (HEALTH BEHAVIORS, CLINICAL CARE, SOCIAL AND ECONOMIC FACTORS, PHYSICAL ENVIRONMENT).HEALTH INDICATORS WAREHOUSE: THE HIW IS A COLLABORATION OF MANY AGENCIES AND OFFICES WITHIN THE DEPARTMENT OF HEALTH AND HUMAN SERVICES. THE HIW IS MAINTAINED BY THE CDC'S NATIONAL CENTER FOR HEALTH STATISTICS. HIW HAS MANY COUNTY LEVEL STATISTICS THAT ALLOW FOR COMPARISON TO STATE AND NATIONAL BENCHMARKS."

CONWAY HOSPITAL
PART V, SECTION B, LINE 11: THE COMMUNITY HEALTH NEEDS ASSESSMENT TEAM USED THE DATA AND INPUT THAT HAD BEEN COLLECTED TO PRIORITIZE THE NEEDS OF THE HOSPITAL'S DEFINED COMMUNITY. AFTER DISCUSSING THE PRIORITIES IN DEPTH AND DISCUSSING CONWAY'S EXPERTISE, THE EXPERTISE OF OTHER COMMUNITY ORGANIZATIONS AND OUTREACH, AND THE HOSPITAL'S WIDE RANGE OF SERVICES CURRENTLY AVAILABLE, THE FOLLOWING ISSUES WERE CHOSEN FOR IMPLEMENTATION: ACCESS TO PRIMARY CARE PROVIDERS, DISCHARGE FOLLOW UP, MOTOR VEHICLE FATALITY, DIABETES, AND PERCENTAGE OF MAMMOGRAPHY SCREENINGS.ACCESS TO PRIMARY CARE PROVIDERS (PCPS) - CMC WILL PARTNER WITH LOCAL CLINICS TO CONTINUE ASSISTING IN PROVIDING CARE AT REDUCED COSTS THROUGH SUPPORT IN AREAS OF RENT, UTILITY BILLS, AND HOSPITAL SERVICES AS WELL AS EVALUATE THE OPPORTUNITIES TO EXPAND ACCESS POINTS FOR CARE.DISCHARGE FOLLOW UP - IN ORDER TO REDUCE SEVERAL HEALTH CONCERNS, CMC HAS IDENTIFIED PATIENTS NO FOLLOWING DISCHARGE INSTRUCTIONS AS A SIGNIFICANT COMMUNITY NEED. IT IS CMC'S INTENT TO ESTABLISH BEST PRACTICES AND EDUCATION AROUND DISCHARGE INSTRUCTIONS.MOTOR VEHICLE FATALITY - ACCORDING TO THE ASSOCIATION OF STATE AND TERRITORIAL HEALTH OFFICIALS, CRASH-RELATED DEATHS AND INJURIES ARE LARGELY PREVENTABLE. STATES CAN UTILIZE SYSTEMS, POLICY, AND PROGRAMMATIC INTERVENTIONS TO TARGET AND PREVENT THIS SERIOUS PUBLIC HEALTH PROBLEM. CMC WILL FOCUS ITS EFFORTS ON THE TRAUMA SIDE IN PARTNERSHIP WITH LOCAL EMS PROVIDERS.DIABETES - DIABETES IS A MAJOR HEALTH NEEDS ACROSS THE US AND IN HORRY COUNTY. CMC WILL CONTINUE TO SUPPORT AND EDUCATE MEDICALLY UNDERSERVED DIABETICS IN THE COMMUNITY.PERCENTAGE OF MAMMOGRAPHY SCREENINGS - PROVIDE PREVENTATIVE SCREENINGS WHILE FINDING INNOVATIVE WAYS TO ADDRESS FINANCIAL AND TRANSPORTATION BARRIERS OF RECEIVING THESE SCREENINGS.ONE OF THE PRIORITIES IDENTIFIED WILL NOT BE ADDRESSED BY THE HOSPITAL: PERCENTAGE OF ADULTS SMOKING. AS PART OF CMC'S 2019 CHNA, CMC INCLUDED THIS NEED IN ITS PRIORITIZATION PLANNING AND ACTIVELY IMPLEMENTED ACTIONS. AT THIS TIME, HOWEVER, THERE ARE OTHER ORGANIZATIONS IN THE COUNTY THAT ARE SPECIFICALLY FOCUSED ON THIS NEED AND CMC WILL FOCUS ITS RESOURCES IN OTHER AREAS. CMC WILL CONTINUE TO BE AN ADVOCATE OF CREATING SMOKE FREE ENVIRONMENTS.OUR COMMUNITY HEALTH NEEDS ASSESSMENT AND IMPLEMENTATION STRATEGY CAN BE FOUND AT: HTTPS://WWW.CONWAYMEDICALCENTER.COM/ABOUT/COMMUNITY-HEALTH-NEEDS-ASSESSMENT

CONWAY HOSPITAL
PART V, SECTION B, LINE 16J: THE FINANCIAL ASSISTANCE POLICY WAS ALSO PROVIDED TO PATIENTS UPON DISHARGE BY CASE MANAGERS.

SCHEDULE H, PART V, SECTION B, QUESTION 16(A,B,C):
THE URL WHERE OUR FAP DOCUMENTS CAN BE FOUND:HTTP://WWW.CONWAYMEDICALCENTER.COM/BILLING-AND-INSURANCE/FINANCIAL-ASSISTANCE/

PART I, LINE 7:
COSTING METHODOLOGYTHE IRS WORKSHEETS WITH INPUT FROM OUR MEDICARE COST REPORT WERE USED TO COMPUTE THE AMOUNTS IN THE TABLE UTILIZING A COST TO CHARGE RATIO.

PART II, COMMUNITY BUILDING ACTIVITIES:
THE HOSPITAL PARTICIPATED WITH THE LOCAL CHAMBER OF COMMERCE, CONWAY CITY AND HORRY COUNTY SCHOOLS IN VARIOUS PROJECTS INCLUDING RECYCLING AND CLEAN WATER PROGRAMS.

PART III, LINE 4:
INFORMATION ABOUT CONWAY HOSPITAL'S ALLOWANCE FOR BAD DEBT CAN BE FOUND ON PAGE 12 OF THE ATTACHED FINANCIAL STATEMENT FOOTNOTES. CONTRACTUAL ADJUSTMENTS AND DISCOUNTS ARE APPLIED TO PATIENT ACCOUNTS BEFORE DETERMINING BAD DEBT. BAD DEBT AND ADJUSTMENTS TO ACCOUNTS RECEIVABLE ARE DETERMINED USING A LOOK-BACK METHOD AND AGING CATEGORIES BASED ON HISTORICAL COLLECTION PERCENTAGES. THE COST OF BAD-DEBT REPORTED ON LINE 2 OF PART III WAS COMPUTED WITH THE COST TO CHARGE RATIO DEVELOPED FROM THE IRS WORKSHEETS AND OUR MEDICARE COST REPORT.

PART III, LINE 9B:
WHEN INDIVIDUALS ARE LATENTLY 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. WE USE A THIRD PARTY TO ASSIST PATIENTS IN COMPLETING THE MEDICAID APPLICATION AND THE HOSPITAL ASSISTANCE APPLICATION. WE USE THE FEDERAL POVERTY GUIDELINES TO DETERMINE ELIGIBILITY FOR FREE OR DISCOUNTED CARE. IF A PATIENT IS FOUND TO QUALIFY WE APPLY A DISCOUNT TO THEIR ACCOUNT IN ACCORDANCE WITH OUR POLICY. FOR THE PORTION OF THE BILL THAT THE PATIENT IS RESPONSIBLE FOR, THE HOSPITAL WORKS OUT A PAYMENT PLAN WITH THE PATIENT AND THEN ANY FURTHER ACTION IS HANDLED THROUGH NORMAL COLLECTION PRACTICES.

PART VI, LINE 2:
CONWAY MEDICAL CENTER UTILIZES THE HEALTHY PEOPLE 2020 REPORT, THE OFFICE OF RESEARCH AND STATISTICS, SC BUDGET AND CONTROL BOARD, SMALL AREA HEALTH INSURANCE ESTIMATES, NATIONAL CANCER INSTITUTE STATE CANCER PROFILES, AND THE SOUTH CAROLINA DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL IN ADDITION TO ITS OWN DATA COLLECTED THROUGH THE MEDICAL RECORDS SYSTEM TO ASSESS THE HEALTH CARE NEEDS OF HORRY COUNTY. THE FULL CHNA REPORT CAN BE FOUND AT HTTPS://WWW.CONWAYMEDICALCENTER.COM/ABOUT/COMMUNITY-HEALTH-NEEDS-ASSESSMENT

PART VI, LINE 3:
SIGNS ARE POSTED THROUGHOUT THE HOSPITAL, INCLUDING THE PATIENT AREAS AND WAITING ROOMS, IN BOTH ENGLISH AND SPANISH (AND ON OUR WEBSITE UNDER PATIENT AND FAMILY RESPONSIBILITY) THAT INFORM PATIENTS OF OUR FINANCIAL ASSISTANCE POLICY. THE HOSPITAL WEBSITE CONTAINS THE HOSPITAL FINANCIAL ASSISTANCE POLICY AND THE PLAIN LANGUAGE SUMMARY IN ENGLISH AND SPANISH. 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. ALL BILLING STATEMENTS SENT TO PATIENTS ALSO INCLUDE A NOTICE THAT THE HOSPITAL HAS AN ASSISTANCE PROGRAM AND HOW THEY CAN APPLY FOR ASSISTANCE. EXAMPLE OF LANGUAGE POSTED ON OUR WEBSITE AND THROUGHOUT THE HOSPITAL: 'IF A PATIENT OR FAMILY MEMBER CANNOT AFFORD TO PAY THEIR BILL, WE ENCOURAGE THEM TO ASK US ABOUT THE HOSPITAL ASSISTANCE PROGRAM. AND: 'SI USTED NO TIENE LOS RECURSOS PARA PAGAR SU CUENTA, POR FAVOR PREGNTENOS SOBRE EL PROGRAMA DE ASISTENCIA DEL HOSPITAL.' FINALLY, EVERY HOSPITAL REGISTRAR, FINANCIAL COUNSELOR, BILLING EMPLOYEE, AND OUTSOURCED BILLING OR COLLECTION PERSON IS TAUGHT, AND REQUIRED, TO DISCUSS THE FOLLOWING INSURANCE OR OTHER PAYMENT OPTIONS WITH PATIENTS OR RESPONSIBLE GUARANTOR TO LEAVE NO CHANCE AN ELIGIBLE PATIENT WILL BE MISSED: MEDICARE IF APPLICABLE, MEDICAID SCREENED INSURANCE EXCHANGE IF APPLICABLE, THE PATIENT IS ASKED ABOUT EMPLOYER COVERAGE AND ABOUT PRIVATE PURCHASED HEALTH INSURANCE, OR IF THE PATIENT OR GUARANTOR INDICATES THAT THEY HAVE NO INSURANCE OR THIRD PARTY THAT WOULD BE RESPONSIBLE FOR THEIR BILL, THEY WILL BE REFERRED TO THE HOSPITAL FINANCIAL ASSISTANCE PROGRAM, AND COUNSELORS ARE AVAILABLE TO ASSIST.

PART VI, LINE 4:
CONWAY MEDICAL CENTER'S SERVICE AREA IS DEFINED AS HORRY COUNTY FOR THIS ASSESSMENT. 90% OF CONWAY MEDICAL CENTER'S PATIENTS COME FROM HORRY COUNTY. AS OF THE 2010 UNITED STATES CENSUS, THERE WERE 269,291 PEOPLE, 112,225 HOUSEHOLDS, AND 72,254 FAMILIES RESIDING IN THE COUNTY. THE POPULATION DENSITY WAS 237.5 INHABITANTS PER SQUARE MILE (91.7/KM2). THERE WERE 185,992 HOUSING UNITS AT AN AVERAGE DENSITY OF 164.0 PER SQUARE MILE (63.3/KM2). THE RACIAL MAKEUP OF THE COUNTY WAS 79.9% WHITE, 13.4% BLACK OR AFRICAN AMERICAN, 1.0% ASIAN, 0.5% AMERICAN INDIAN, 0.1% PACIFIC ISLANDER, 3.1% FROM OTHER RACES, AND 2.0% FROM TWO OR MORE RACES. THOSE OF HISPANIC OR LATINO ORIGIN MADE UP 6.2% OF THE POPULATION. OF THE 112,225 HOUSEHOLDS, 27.3% HAD CHILDREN UNDER THE AGE OF 18 LIVING WITH THEM, 47.2% WERE MARRIED COUPLES LIVING TOGETHER, 12.5% HAD A FEMALE HOUSEHOLDER WITH NO HUSBAND PRESENT, 35.6% WERE NON-FAMILIES, AND 26.8% OF ALL HOUSEHOLDS WERE MADE UP OF INDIVIDUALS. THE AVERAGE HOUSEHOLD SIZE WAS 2.37 AND THE AVERAGE FAMILY SIZE WAS 2.84. THE MEDIAN AGE WAS 41.1 YEARS.THE MEDIAN INCOME FOR A HOUSEHOLD IN THE COUNTY WAS $43,142 AND THE MEDIAN INCOME FOR A FAMILY WAS $51,608. MALES HAD A MEDIAN INCOME OF $37,351 VERSUS $29,525 FOR FEMALES. THE PER CAPITA INCOME FOR THE COUNTY WAS $24,811. ABOUT 11.6% OF FAMILIES AND 16.1% OF THE POPULATION WERE BELOW THE POVERTY LINE, INCLUDING 25.2% OF THOSE UNDER AGE 18 AND 7.5% OF THOSE AGE 65 OR OVER.THE POPULATION OF HORRY COUNTY IN 2016 WAS 311,020 AND IS EXPECTED TO BE 341,393 IN 2021 WHICH WILL BE 9.77% GROWTH. THE 65+ POPULATION IS EXPECTED TO INCREASE FROM 2016 AND 2021 BY 23.15%, WHILE THE POPULATION UNDER 65 IS ONLY EXPECTED TO GROW BY 6.24%.

PART VI, LINE 7, REPORTS FILED WITH STATES
SC

PART VI, LINE 5:
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 2020/2021 REPORT SHOWS THAT THE OUTREACH PROGRAM DELIVERED FREE HEALTH SCREENINGS TO 54 VARIOUS LOCATIONS PREDOMINATELY IN MEDICALLY UNDERSERVED AREAS OF HORRY COUNTY. THERE WERE 2,838 PARTICIPANTS WHO WERE SCREENED WITH RESULTS AS FOLLOWS: ELEVATED BLOOD PRESSURE; ELEVATED BLOOD GLUCOSE; ELEVATED BLOOD CHOLESTEROL. BY PROVIDING COUNSELING, PHYSICIAN REFERRAL AND FOLLOW-UP, THE OUTREACH STAFF PROVIDED EDUCATION TO THOSE INDIVIDUALS THAT ARE SCREENED. IN ADDITION TO THE HEALTHREACH VAN SCREENINGS, DURING SEPTEMBER THROUGH JUNE, THE STAFF OBTAINS AND DELIVERS SMART SNACKS TO 4 SCHOOLS AND 620 CHILDREN EVERY THURSDAY. HEALTHREACH PROVIDED 829 FLU SHOTS AT 26 EVENTS AND 623 COVID VACCINATIONS AT 9 EVENTS. THE DIABETES SUPPORT GROUP WAS RESTRICTED DUE TO COVID RESTRICTIONS. WE DID HOLD SUPPORT GROUP MEETINGS AND OFFERED HGBA1C'S ALONG WITH INFORMATION ON BLOOD GLUCOSE CONTROL. DUE TO COVID, ALL COMMUNITY EVENTS SUCH AS COMMUNITY FAIRS, SCHOOL FAIRS, AND BUSINESS HEALTH FAIRS WERE CANCELLED. HEALTHREACH PARTICIPATED IN A JUNETEENTH EVENT THAT TOOK PLACE AT CHARLIES PLACE IN MYRTLE BEACH, PROVIDING BLOOD PRESSURE SCREENINGS ALONG WITH HANDING OUT STROKE, CARDIAC, AND FALL PREVENTION INFORMATION. IN JULY, THE SALVATION ARMY SENIOR FAIR WAS HELD, AND OVER 250 SENIORS RECEIVED BLOOD PRESSURE MEASUREMENT ALONG WITH STROKE, CARDIAC AND FALL PREVENTION INFORMATION. THE HEALTHREACH VAN STAFF ALSO PARTICIPATED IN HGTC CAREER AND WELLNESS EXPO IN JULY AND OFFERED THYROID AND HGBA1C SCREENINGS. IN NOVEMBER, THE STAFF PARTICIPATED IN THE TOWN OF SURFSIDE BEACH SENIOR FAIR AND OFFERED FLU SHOTS ALONG WITH STROKE, CARDIAC AND FALL PREVENTION INFORMATION.

PART VI, LINE 6:
CONWAY HOSPITAL, INC. (CONWAY HOSPITAL, THE HOSPITAL OR CHI), LOCATED IN CONWAY, SOUTH CAROLINA, IS A NOT-FOR-PROFIT ACUTE CARE HOSPITAL FOUNDED IN 1928. THE HOSPITAL HAS 210 LICENSED BEDS AND PROVIDES INPATIENT, OUTPATIENT AND EMERGENCY CARE SERVICES GENERALLY FOR RESIDENTS OF HORRY AND SURROUNDING COUNTIES. THE HOSPITAL IS GOVERNED BY A 15-MEMBER SELF-PERPETUATING, INDEPENDENT BOARD OF DIRECTORS. ADMITTING PHYSICIANS ARE PRACTITIONERS IN THE LOCAL AREA. CONWAY HOSPITAL LONG-TERM CARE SERVICES, INC. (KINGSTON NURSING CENTER) IS AN 88-BED NURSING FACILITY LOCATED IN CONWAY, SOUTH CAROLINA. THE KINGSTON NURSING CENTER WAS INCORPORATED IN 1988. MEDICAL PROPERTIES, INC., A WHOLLY OWNED FOR-PROFIT SUBSIDIARY OF THE HOSPITAL, OPERATES ASC HOLDINGS AND CAROLINA BONE & JOINT. CONWAY HOSPITAL EMERGENCY PROFESSIONAL SERVICES (CHEPS) AND CONWAY HOSPITAL ANESTHESIA PROFESSIONAL SERVICES (CHAPS) WERE BOTH CREATED TO KEEP BETTER TRACK OF EMERGENCY AND ANESTHESIA SERVICES PERFORMED BY THE HOSPITAL. CONWAY HOSPITAL COMMUNITY SERVICES, INC., A WHOLLY OWNED NOT-FOR-PROFIT SUBSIDIARY, OPERATES EMPLOYED PHYSICIAN PRACTICES.