STRATEGY STUDIO / PUBLIC DATA EXPLORER

ARKANSAS FOUNDATION FOR MEDICAL CARE INC: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
ARKANSAS FOUNDATION FOR MEDICAL CARE INC (EIN 23-7237381)
Tax period
2012-10-01 to 2013-09-30
Filed
2013-11-21
IRS object ID
201333259349300503
Schema version
2012v2.1
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

FieldValueIRS element (for citing)
Timestamp2013-11-21T08:43:34-06:00Timestamp
Tax Period End Date2013-09-30TaxPeriodEndDate

Preparer Firm PreparerFirm

FieldValueIRS element (for citing)
EIN710355269EIN

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1BEALL BARCLAY & COMPANY PLC CPABusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1P O BOX 10148AddressLine1
CityFORT SMITHCity
StateARState
ZIP Code72917ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2012-10-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN237237381EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1ARKANSAS FOUNDATION FOR MEDICAL CARE INCBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlARKANameControl
Phone4795737616Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 180001AddressLine1
CityFORT SMITHCity
StateARState
ZIP Code729180001ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameMARY COUNTSName
TitleCHIEF FINANCIAL OFFICERTitle
Phone4795737616Phone
Date Signed2013-11-14DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameBARBARA HAMBRICKName
PTINP00387600PTIN
Phone4794845740Phone
Date Prepared2013-11-12DatePrepared
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2015-11-30 17:44:51ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonMARY COUNTSNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1PO BOX 180001AddressLine1
CityFORT SMITHCity
StateARState
ZIP Code729180001ZIPCode
FieldValueIRS element (for citing)
Gross Receipts21688441GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501cXOrganization501c
Web SiteWWW.AFMC.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1972YearFormation
State Legal DomicileARStateLegalDomicile
Activity Or Mission DescriptionARKANSAS FOUNDATION FOR MEDICAL CARE, INC. DEVELOPS AND PROMOTES COOPERATIVE QUALITY IMPROVEMENT PROJECTS INVOLVING HOSPITALS, NURSING HOMES, HOME HEALTH AGENCIES, PHYSICIANS, AND OTHER STAKEHOLDERS IN ORDER TO IMPROVE THE DELIVERY, QUALITY, AND COST-EFFECTIVENESS OF HEALTH CARE PROVIDED FOR MEDICARE AND MEDICAID BENEFICIARIES.ActivityOrMissionDescription
Nbr Voting Members Governing Body17NbrVotingMembersGoverningBody
Nbr Independent Voting Members17NbrIndependentVotingMembers
Total Nbr Employees243TotalNbrEmployees
Total Nbr Volunteers0TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year0ContributionsGrantsPriorYear
Contributions Grants Current Year0ContributionsGrantsCurrentYear
Program Service Revenue Prior Year17380895ProgramServiceRevenuePriorYear
Program Service Revenue CY20236424ProgramServiceRevenueCY
Investment Income Prior Year261761InvestmentIncomePriorYear
Investment Income Current Year158223InvestmentIncomeCurrentYear
Other Revenue Prior Year20104OtherRevenuePriorYear
Other Revenue Current Year29078OtherRevenueCurrentYear
Total Revenue Prior Year17662760TotalRevenuePriorYear
Total Revenue Current Year20423725TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year1500GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY8600GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year14594236SalariesEtcPriorYear
Salaries Etc Current Year15317515SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year4197524OtherExpensePriorYear
Other Expenses Current Year4488779OtherExpensesCurrentYear
Total Expenses Prior Year18793260TotalExpensesPriorYear
Total Expenses Current Year19814894TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-1130500RevenuesLessExpensesPriorYear
Revenues Less Expenses CY608831RevenuesLessExpensesCY
Total Assets BOY21427995TotalAssetsBOY
Total Assets EOY23187298TotalAssetsEOY
Total Liabilities BOY1221878TotalLiabilitiesBOY
Total Liabilities EOY1701598TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY20206117NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY21485700NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionTO PROMOTE EXCELLENCE IN HEALTH CARE THROUGH EVALUATION AND EDUCATIONMissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense4193182Expense
Revenue4327289Revenue
DescriptionQIO (QUALITY IMPROVEMENT ORGANIZATION) --- "FEDERAL" CONTRACT FOR MEDICAL PEER REVIEW AND QUALITY IMPROVEMENT.Description

Activity2 Activity2

FieldValueIRS element (for citing)
Expense4931202Expense
Revenue5524601Revenue
DescriptionMEDICAID REVIEW --- RETROSPECTIVE MEDICAL REVIEWS ON A PERCENTAGE OF PATIENTS DISCHARGED FROM THE HOSPITALS.Description

Activity3 Activity3

FieldValueIRS element (for citing)
Expense2839077Expense
Revenue2831900Revenue
DescriptionMEDICAID MMCS (MEDICAID MANAGED CARE SERVICES) --- PERFORM QUALITY IMPROVEMENT, SURVEYS, STATISTICAL ANALYSIS, AND EDUCATION.Description

Activity Other ActivityOther

FieldValueIRS element (for citing)
Expense8611692Expense
Revenue7587581Revenue
DescriptionOTHER PROGRAMS CONSISTS OF CONTRACTS THAT THE ORGANIZATION HAS WITH VARIOUS FEDERAL, STATE, AND PRIVATE AGENCIES.Description
FieldValueIRS element (for citing)
Total Of Other Program Service Exp8611692TotalOfOtherProgramServiceExp
Total Of Other Program Service Rev7587581TotalOfOtherProgramServiceRev
Total Program Service Expense20575153TotalProgramServiceExpense
Described In501 C30DescribedIn501C3
Schedule B Required0ScheduleBRequired
Political Activities0PoliticalActivities
Subject To Proxy Tax1SubjectToProxyTax
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments0TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities0ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets0ReportOtherAssets
Report Other Liabilities1ReportOtherLiabilities
Report Fin48 Footnote0ReportFin48Footnote
Independent Audit Financial Stmt0IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt1ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities0FundraisingActivities
Gaming0Gaming
Hospital0Hospital
Grants To Organizations1GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required1ScheduleJRequired
Tax Exempt Bonds0TaxExemptBonds
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member0BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp0OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity1RelatedEntity
Related Org Controlled Entity0RelatedOrgControlledEntity
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With109685NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Number Of Employees243NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income0UnrelatedBusinessIncome
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members17NbrVotingGoverningBodyMembers
Number Independent Voting Members17NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders0MembersOrStockholders
Election Of Board Members0ElectionOfBoardMembers
Decisions Subject To Approval0DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other1CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
States Where Copy Of Return Is FiledARStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1MARY COUNTSBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number4795737616TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1PO BOX 180001AddressLine1
CityFORT SMITHCity
StateARState
ZIP Code72918ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (34 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensation
DWIGHT WILLIAMS MD
CHAIRMAN OF BOARD1.00XX317500
ROBERT SANDERS DO
VICE-CHAIRMAN1.00XX000
RANDY FORTNER FACHE
TREASURER1.00XX314400
CARL COVEY MD
SECRETARY1.00XX210000
JAMES R TEETER
MEMBER-AT-LARGE1.00X280000
JOHN HENDERSON MD
IMMEDIATE PAST CHAIR1.00X603900
SHARON ALLEN
BOD, MEDICARE BENEFICIARY1.00X210000
E SCOTT FERGUSON MD
BOD1.00X140000
SUSAN GREENWOOD
BOD1.00X280000
RAY MONTGOMERY II FACHE
BOD1.00X140000
SHARON MOONE-JOCHUMS
BOD1.00X281900
CHADWICK T RODGERS MD
BOD1.00X210000
MARY PORTIA SHORT
BOD, MEDICARE BENEFICIARY1.00X302500
ALVIN SIMMONS
BOD1.00X281900
RONALD WAUTERS MD
BOD1.00X210000
EUGENE SHELBY MD
BOD1.00X364400
STACY C ZIMMERMAN MD
BOD1.00X000
WALLACE R HANLEY
CEO/PRESIDENT45.00X295827033175
JONATHAN M FUCHS
CHIEF OPERATING OFFICER41.00X180326015572
MICHAEL N MOODY MD
VP CORPORATE MED DIRECTOR17.00X145038010519
MARY S MOORE
CHIEF COMPLIANCE OFFICER41.00X103291022048
MARY N COUNTS
AVP COMPTROLLER/INTERIM CF45.00X134535015644
PAMELA R BROWN
AVP QUALITY PROGRAMS51.00X142367014203
JULIA KETTLEWELL
AVP QUALITY PROGRAMS39.00X112835018710
PEGGY J STARLING
AVP MMCS45.00X142161013639
JUDITH E MCGHEE
ASSOC MED DIR MEDICAID28.00X156001012331
THOMAS D TINSMAN
ASSOC MED DIRECTOR38.00X190072019370
PATRICIA J WILLIAMS
SENIOR EXECUTIVE ASSISTANT38.00X6005409008
BRIAN C HERZIG
DIRECTOR INFORMATION SERVI40.00X92365020388
JOHN H CLAYBORN
DIRECTOR HUMAN RESOURCES39.00X92066023562
JASON E SCHEEL
DIRECTOR M'CAID ANALYTICAL40.00X96460019745
BETTY BENNETT
DIRECTOR AIPP40.00X104921015343
JARROD MCCLAIN
SR DIRECTOR CLINICAL REVIEW46.00X91457014901
AMY CARSON
DIRECTOR CLINICAL REVIEW40.00X88163014986
FieldValueIRS element (for citing)
Total Reportable Comp From Org2269404TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation293144TotalOtherCompensation
Number Individuals GT100 K11NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
MEDECISION INC
POB 7777PHILADELPHIAPA19175SOFTWARE VENDOR854593
GGNSC ADMINISTRATIVE SERVICES LLC
1000 FIANNA WAYFORT SMITHAR72919RENTAL260034
CROSS GUNTER WITHERSPOO
PO BOX 3178LITTLE ROCKAR72203LAW FIRM182759
SOFTCHOICE CORPORATION
16609 COLLECTIONS CENTER DRCHICAGOIL60693IT SUPPORT151291
JACKSON THOMAS R
36 MAISONS DRIVELITTLE ROCKAR72223LEGAL SETTLEMENT135000
FieldValueIRS element (for citing)
Number Of Contractors GT100 K10NumberOfContractorsGT100K

Program Service Revenue ProgramServiceRevenue (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
STATE REVENUE FROM OPERATIONS9000991164085711640857
REVENUE FROM OPERATIONS90009967742366774236
PRIVATE REVENUE FROM OPERATIONS90009918213311821331
FieldValueIRS element (for citing)
Total Program Service Revenue20236424TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column123276TotalRevenueColumn
Exclusion$123,276ExclusionAmount

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real230720Real

Less Rental Expenses LessRentalExpenses

FieldValueIRS element (for citing)
Real201642Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real29078Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column29078TotalRevenueColumn
Exclusion$29,078ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities1098021Securities

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities1063074Securities

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities34947Securities

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column34947TotalRevenueColumn
Related Or Exempt Function Income34947RelatedOrExemptFunctionIncome

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column20423725TotalRevenueColumn
Related Or Exempt Function Income20271371RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$152,354ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total8600Total

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total2514023Total

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total8245301Total

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total333006Total

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total3288684Total

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total936501Total

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total60643Total

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total54520Total

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total408602Total

Advertising Advertising

FieldValueIRS element (for citing)
Total60937Total

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total1150745Total

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total843378Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total417010Total

Travel Travel

FieldValueIRS element (for citing)
Total662324Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total175245Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total486975Total

Insurance Insurance

FieldValueIRS element (for citing)
Total147919Total

Other Expenses OtherExpenses (3 entries)

DescriptionDescriptionTotalTotal
PASS THROUGH COSTS40227
PARKING1805
MISCELLANEOUS-21551

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total19814894Total

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY1100BOY
EOY1100EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY599645BOY
EOY1344055EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY2088982BOY
EOY2314466EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY245846BOY
EOY306432EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis11354278LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec3288198LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY8325996BOY
EOY8066080EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY9689335BOY
EOY10678074EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY477091BOY
EOY477091EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY21427995BOY
EOY23187298EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY1196619BOY
EOY1676339EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY25259BOY
EOY25259EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY1221878BOY
EOY1701598EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY20206117BOY
EOY21485700EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY20206117BOY
EOY21485700EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY21427995BOY
EOY23187298EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses608831ReconcilationRevenueExpenses
Reconciliation Unrealized Invest670752ReconciliationUnrealizedInvest
Reconcilation Other Changes0ReconcilationOtherChanges
Info In Schedule O Part XIIXInfoInScheduleOPartXII
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited0FSAudited
Federal Grant Audit Required0FederalGrantAuditRequired

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Substantially All Dues Nondeduct1SubstantiallyAllDuesNondeduct
Only In House Lobbying0OnlyInHouseLobbying
Agree To Carryover Prior Year0AgreeToCarryoverPriorYear

Schedule D IRS990ScheduleD

Land Land

FieldValueIRS element (for citing)
Investment Cost Or Other Basis1060000InvestmentCostOrOtherBasis
Book Value1060000BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis4615883OtherCostOrOtherBasis
Book Value4615883BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis55530OtherCostOrOtherBasis
Book Value55530BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis5622865OtherCostOrOtherBasis
Depreciation3288198Depreciation
Book Value2334667BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings8066080TotalOfBookValueLandBuildings

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
DescriptionDUE TO RELATED PARTIESDescription
Amount$25,259Amount
FieldValueIRS element (for citing)
Total Of Amounts25259TotalOfAmounts

Form990 Schedule D Part XIII Form990ScheduleDPartXIII

FieldValueIRS element (for citing)
ExplanationPART X, LINE 2. FIN 48 (ASC 740) FOOTNOTE - THE ORGANIZATION ACCOUNTS FOR UNCERTAIN TAX POSITIONS IN ACCORDANCE WITH THE PROVISIONS OF FINANCIAL ACCOUNTING STANDARDS BOARD (FASB) CODIFICATION TOPIC INCOME TAXES. FASB CODIFICATION TOPIC INCOME TAXES CLARIFIES THE ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES AND REQUIRES THE ORGANIZATION TO RECOGNIZE IN THEIR FINANCIAL STATEMENTS THE IMPACT OF A TAX POSITION TAKEN OR EXPECTED TO BE TAKEN IN A TAX RETURN, IF THAT POSITION IS MORE LIKELY THAN NOT TO BE SUSTAINED UNDER AUDIT, BASED ON THE TECHNICAL MERITS OF THE POSITION. MANAGEMENT HAS ASSESSED THE TAX POSITIONS OF THE ORGANIZATION AND DETERMINED THAT NO POSITIONS EXIST THAT REQUIRE ADJUSTMENT OR DISCLOSURE UNDER THE PROVISIONS OF FASB CODIFICATION TOPIC INCOME TAXES.Explanation

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records Maintained1RecordsMaintained

Recipient Table RecipientTable (8 entries)

Amount Of Cash GrantAmountOfCashGrantPurpose Of GrantPurposeOfGrant
COMPREHENSIVE JUVENILE SVC
1000CHARITABLE CONTRIBUTION
STUFF THE SLEIGH
1000CHARITABLE CONTRIBUTION
MARKHAM GROUP LLC
3000CHARITABLE CONTRIBUTION
CHRIST EPISCOPAL CHURCH
50CHARITABLE CONTRIBUTION
ARKANSAS FOODBANK NETWORK
750CHARITABLE CONTRIBUTION
DEMOCRATIC PARTY OF ARK
2500POLITICAL CONTRIBUTION
ASU
50CHARITABLE CONTRIBUTION
CRAWFORD SEBASTIAN CDC
250CHARITABLE CONTRIBUTION

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance Payment0SeverancePayment
Supplemental Nonqual Retire Plan0SupplementalNonqualRetirePlan
Equity Based Comp Arrangement0EquityBasedCompArrangement

Form990 Schedule J Part II Form990ScheduleJPartII (8 entries)

TitleTitleBase Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
WALLACE R HANLEY
CEO/PRESIDENT29582700000000331752958273317500
JONATHAN M FUCHS
CHIEF OPERATING OFFICER18032600000000155721803261557200
MICHAEL N MOODY MD
VP CORPORATE MED DIRECTOR14503800000000105191450381051900
MARY N COUNTS
AVP COMPTROLLER/INTERIM CF13453500000000156441345351564400
PAMELA R BROWN
AVP QUALITY PROGRAMS14236700000000142031423671420300
PEGGY J STARLING
AVP MMCS14216100000000136391421611363900
JUDITH E MCGHEE
ASSOC MED DIR MEDICAID15600100000000123311560011233100
THOMAS D TINSMAN
ASSOC MED DIRECTOR19007200000000193701900721937000

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (5 entries)

Return ReferenceReturnReferenceExplanationExplanation
FORM 990, PART VI, SECTION B, LINE 11THE BOARD OF DIRECTORS REVIEWS A PRELIMINARY 990 AT THEIR BOARD MEETING. ANY QUESTIONS ARE ANSWERED. THE RETURN IS THEN APPROVED BY THE BOARD FOR FILING.
FORM 990, PART VI, SECTION B, LINE 12CTHE COMPLIANCE OFFICER OF THE ORGANIZATION CONTINOUSLY MONITORS THESE POLICIES. THEY ALSO PROVIDE TRAINING AND EDUCATION RELATED TO CONFLICTS OF INTEREST AND REQUIRE THAT ALL EMPLOYEES AND BOARD MEMBERS SIGN A CONFLICTS OF INTEREST FORM ANNUALLY.
FORM 990, PART VI, SECTION B, LINE 15THE HIRING COMMITTEE OF THE BOARD OF DIRECTORS SET THE MAXIMUM DOLLAR AMOUNT OF SALARY.
FORM 990, PART VI, SECTION C, LINE 19DOCUMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST.
FORM 990, PART XI, LINE 2CTHE PROCESS OF REVIEWING 990 HAS NOT BEEN CHANGED FROM PRIOR YEAR.

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII

Name Of Disregarded Entity NameOfDisregardedEntity

FieldValueIRS element (for citing)
Business Name Line1ARKANSAS QUALITY FOUNDATION INCBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1PO BOX 1800001AddressLine1
CityFORT SMITHCity
StateARState
ZIP Code72918ZIPCode
FieldValueIRS element (for citing)
EIN264518098EIN
Primary ActivitiesTO PROMOTE HEALTH THROUGH RESEARCH AND DEVELOPMENT IN ARKANSASPrimaryActivities
Legal Domicile StateARLegalDomicileState
Exempt Code Section501(C)(3)ExemptCodeSection
Public Charity StatusLINE 9PublicCharityStatus
Direct Controlling Entity NAN/ADirectControllingEntityNA
Controlled Org0ControlledOrg

Form990 Schedule R Part IV Form990ScheduleRPartIV

Name Of Related Org NameOfRelatedOrg

FieldValueIRS element (for citing)
Business Name Line1QUALITY EXCELLENCE INCBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1PO BOX 180001AddressLine1
CityFORT SMITHCity
StateARState
ZIP Code72918ZIPCode
FieldValueIRS element (for citing)
EIN263908892EIN
Primary ActivityTO PROVIDE CONSULTING AND ADVISORY SERVICES FOR HEALTHCARE INDUSTRYPrimaryActivity
Legal Domicile StateARLegalDomicileState
Direct Controlling Entity NAN/ADirectControllingEntityNA
Type Of EntityCTypeOfEntity
Share Of EOY Assets7256ShareOfEOYAssets
Percentage Ownership1.00000PercentageOwnership
Controlled Org0ControlledOrg
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents Royalties0ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org0GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org0GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org0LoansOrGuaranteesFromOtherOrg
Dividends Related Organization0DividendsRelatedOrganization
Sale Of Assets To Other Org0SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org0PurchaseOfAssetsFromOtherOrg
Exchange Of Assets0ExchangeOfAssets
Rental Of Facilities To Other Orgs0RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs0RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs0PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs0PerformOfServicesByOtherOrgs
Sharing Of Facilities1SharingOfFacilities
Sharing Of Paid Employees0SharingOfPaidEmployees
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrg
Other Transfer To Other Org0OtherTransferToOtherOrg
Other Transfer From Other Org0OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (2 entries)

Transaction TypeTransactionType
ARKANSAS QUALITY FOUNDATION INC
N
QUALITY EXCELLENCE INC
N