2013-11-21T08:43:34-06:00 2013-09-30 710355269 BEALL BARCLAY & COMPANY PLC CPA P O BOX 10148 FORT SMITH AR 72917 990 2012-10-01 237237381 ARKANSAS FOUNDATION FOR MEDICAL CARE INC ARKA 4795737616 PO BOX 180001 FORT SMITH AR 729180001 MARY COUNTS 4795737616 2013-11-14 1 BARBARA HAMBRICK P00387600 4794845740 2013-11-12 2012 2015-11-30 17:44:51Z MARY COUNTS PO BOX 180001 FORT SMITH AR 729180001 21688441 0 X WWW.AFMC.ORG X 1972 AR ARKANSAS 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. 17 17 243 0 0 0 0 0 17380895 20236424 261761 158223 20104 29078 17662760 20423725 1500 8600 0 0 14594236 15317515 0 0 0 4197524 4488779 18793260 19814894 -1130500 608831 21427995 23187298 1221878 1701598 20206117 21485700 X TO PROMOTE EXCELLENCE IN HEALTH CARE THROUGH EVALUATION AND EDUCATION 0 0 4193182 4327289 QIO (QUALITY IMPROVEMENT ORGANIZATION) --- "FEDERAL" CONTRACT FOR MEDICAL PEER REVIEW AND QUALITY IMPROVEMENT. 4931202 5524601 MEDICAID REVIEW --- RETROSPECTIVE MEDICAL REVIEWS ON A PERCENTAGE OF PATIENTS DISCHARGED FROM THE HOSPITALS. 2839077 2831900 MEDICAID MMCS (MEDICAID MANAGED CARE SERVICES) --- PERFORM QUALITY IMPROVEMENT, SURVEYS, STATISTICAL ANALYSIS, AND EDUCATION. 8611692 7587581 OTHER PROGRAMS CONSISTS OF CONTRACTS THAT THE ORGANIZATION HAS WITH VARIOUS FEDERAL, STATE, AND PRIVATE AGENCIES. 8611692 7587581 20575153 0 0 0 1 0 0 0 0 0 1 0 0 0 1 0 0 1 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 1 85 0 243 1 0 0 0 0 0 0 X 17 17 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 AR X MARY COUNTS 4795737616 PO BOX 180001 FORT SMITH AR 72918 DWIGHT WILLIAMS MD 1.00 X X 3175 0 0 ROBERT SANDERS DO 1.00 X X 0 0 0 RANDY FORTNER FACHE 1.00 X X 3144 0 0 CARL COVEY MD 1.00 X X 2100 0 0 JAMES R TEETER 1.00 X 2800 0 0 JOHN HENDERSON MD 1.00 X 6039 0 0 SHARON ALLEN 1.00 X 2100 0 0 E SCOTT FERGUSON MD 1.00 X 1400 0 0 SUSAN GREENWOOD 1.00 X 2800 0 0 RAY MONTGOMERY II FACHE 1.00 X 1400 0 0 SHARON MOONE-JOCHUMS 1.00 X 2819 0 0 CHADWICK T RODGERS MD 1.00 X 2100 0 0 MARY PORTIA SHORT 1.00 X 3025 0 0 ALVIN SIMMONS 1.00 X 2819 0 0 RONALD WAUTERS MD 1.00 X 2100 0 0 EUGENE SHELBY MD 1.00 X 3644 0 0 STACY C ZIMMERMAN MD 1.00 X 0 0 0 WALLACE R HANLEY 45.00 X 295827 0 33175 JONATHAN M FUCHS 41.00 X 180326 0 15572 MICHAEL N MOODY MD 17.00 X 145038 0 10519 MARY S MOORE 41.00 X 103291 0 22048 MARY N COUNTS 45.00 X 134535 0 15644 PAMELA R BROWN 51.00 X 142367 0 14203 JULIA KETTLEWELL 39.00 X 112835 0 18710 PEGGY J STARLING 45.00 X 142161 0 13639 JUDITH E MCGHEE 28.00 X 156001 0 12331 THOMAS D TINSMAN 38.00 X 190072 0 19370 PATRICIA J WILLIAMS 38.00 X 60054 0 9008 BRIAN C HERZIG 40.00 X 92365 0 20388 JOHN H CLAYBORN 39.00 X 92066 0 23562 JASON E SCHEEL 40.00 X 96460 0 19745 BETTY BENNETT 40.00 X 104921 0 15343 JARROD MCCLAIN 46.00 X 91457 0 14901 AMY CARSON 40.00 X 88163 0 14986 2269404 0 293144 11 0 1 0 MEDECISION INC POB 7777 PHILADELPHIA PA 19175 SOFTWARE VENDOR 854593 GGNSC ADMINISTRATIVE SERVICES LLC 1000 FIANNA WAY FORT SMITH AR 72919 RENTAL 260034 CROSS GUNTER WITHERSPOO PO BOX 3178 LITTLE ROCK AR 72203 LAW FIRM 182759 SOFTCHOICE CORPORATION 16609 COLLECTIONS CENTER DR CHICAGO IL 60693 IT SUPPORT 151291 JACKSON THOMAS R 36 MAISONS DRIVE LITTLE ROCK AR 72223 LEGAL SETTLEMENT 135000 10 STATE REVENUE FROM OPERATIONS 900099 11640857 11640857 REVENUE FROM OPERATIONS 900099 6774236 6774236 PRIVATE REVENUE FROM OPERATIONS 900099 1821331 1821331 20236424 123276 123276 230720 201642 29078 29078 29078 1098021 1063074 34947 34947 34947 20423725 20271371 0 152354 8600 2514023 8245301 333006 3288684 936501 60643 54520 408602 60937 1150745 843378 417010 662324 175245 486975 147919 PASS THROUGH COSTS 40227 PARKING 1805 MISCELLANEOUS -21551 19814894 1100 1100 599645 1344055 2088982 2314466 245846 306432 11354278 3288198 8325996 8066080 9689335 10678074 477091 477091 21427995 23187298 1196619 1676339 25259 25259 1221878 1701598 X 20206117 21485700 20206117 21485700 21427995 23187298 608831 670752 0 X X 0 0 0 1 0 0 1060000 1060000 4615883 4615883 55530 55530 5622865 3288198 2334667 8066080 DUE TO RELATED PARTIES 25259 25259 PART 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. 1 COMPREHENSIVE JUVENILE SVC 1000 CHARITABLE CONTRIBUTION STUFF THE SLEIGH 1000 CHARITABLE CONTRIBUTION MARKHAM GROUP LLC 3000 CHARITABLE CONTRIBUTION CHRIST EPISCOPAL CHURCH 50 CHARITABLE CONTRIBUTION ARKANSAS FOODBANK NETWORK 750 CHARITABLE CONTRIBUTION DEMOCRATIC PARTY OF ARK 2500 POLITICAL CONTRIBUTION ASU 50 CHARITABLE CONTRIBUTION CRAWFORD SEBASTIAN CDC 250 CHARITABLE CONTRIBUTION X 0 0 0 WALLACE R HANLEY 295827 0 0 0 0 0 0 0 0 33175 295827 33175 0 0 JONATHAN M FUCHS 180326 0 0 0 0 0 0 0 0 15572 180326 15572 0 0 MICHAEL N MOODY MD 145038 0 0 0 0 0 0 0 0 10519 145038 10519 0 0 MARY N COUNTS 134535 0 0 0 0 0 0 0 0 15644 134535 15644 0 0 PAMELA R BROWN 142367 0 0 0 0 0 0 0 0 14203 142367 14203 0 0 PEGGY J STARLING 142161 0 0 0 0 0 0 0 0 13639 142161 13639 0 0 JUDITH E MCGHEE 156001 0 0 0 0 0 0 0 0 12331 156001 12331 0 0 THOMAS D TINSMAN 190072 0 0 0 0 0 0 0 0 19370 190072 19370 0 0 FORM 990, PART VI, SECTION B, LINE 11 THE 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 12C THE 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 15 THE HIRING COMMITTEE OF THE BOARD OF DIRECTORS SET THE MAXIMUM DOLLAR AMOUNT OF SALARY. FORM 990, PART VI, SECTION C, LINE 19 DOCUMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART XI, LINE 2C THE PROCESS OF REVIEWING 990 HAS NOT BEEN CHANGED FROM PRIOR YEAR. ARKANSAS QUALITY FOUNDATION INC PO BOX 1800001 FORT SMITH AR 72918 264518098 TO PROMOTE HEALTH THROUGH RESEARCH AND DEVELOPMENT IN ARKANSAS AR 501(C)(3) LINE 9 N/A 0 QUALITY EXCELLENCE INC PO BOX 180001 FORT SMITH AR 72918 263908892 TO PROVIDE CONSULTING AND ADVISORY SERVICES FOR HEALTHCARE INDUSTRY AR N/A C 7256 1.00000 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 ARKANSAS QUALITY FOUNDATION INC N QUALITY EXCELLENCE INC N