STRATEGY STUDIO / PUBLIC DATA EXPLORER

ARKANSAS FOUNDATION FOR MEDICAL CARE INC: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization
ARKANSAS FOUNDATION FOR MEDICAL CARE INC (EIN 23-7237381)
Tax period
2011-10-01 to 2012-09-30
Filed
2013-02-11
IRS object ID
201340429349300404
Schema version
2011v1.2
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)
Timestamp2013-02-11T07:47:09-06:00Timestamp
Tax Period End Date2012-09-30TaxPeriodEndDate

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 Date2011-10-01TaxPeriodBeginDate

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 Signed2013-01-30DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameBARBARA HAMBRICKName
PTINP00387600PTIN
Phone4794845740Phone
Date Prepared2013-01-30DatePrepared
FieldValueIRS element (for citing)
Tax Year2011TaxYear
Build TS2016-02-25 16:41:14ZBuildTS

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 Receipts20411953GrossReceipts
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 Body16NbrVotingMembersGoverningBody
Nbr Independent Voting Members16NbrIndependentVotingMembers
Total Nbr Employees222TotalNbrEmployees
Total Nbr Volunteers0TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year0ContributionsGrantsPriorYear
Contributions Grants Current Year0ContributionsGrantsCurrentYear
Program Service Revenue Prior Year17409104ProgramServiceRevenuePriorYear
Program Service Revenue CY17380895ProgramServiceRevenueCY
Investment Income Prior Year-54987InvestmentIncomePriorYear
Investment Income Current Year261761InvestmentIncomeCurrentYear
Other Revenue Prior Year-1867OtherRevenuePriorYear
Other Revenue Current Year20104OtherRevenueCurrentYear
Total Revenue Prior Year17352250TotalRevenuePriorYear
Total Revenue Current Year17662760TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year14416GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY1500GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year14838287SalariesEtcPriorYear
Salaries Etc Current Year14594236SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year4245177OtherExpensePriorYear
Other Expenses Current Year4197524OtherExpensesCurrentYear
Total Expenses Prior Year19097880TotalExpensesPriorYear
Total Expenses Current Year18793260TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-1745630RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-1130500RevenuesLessExpensesCY
Total Assets BOY22033108TotalAssetsBOY
Total Assets EOY21427995TotalAssetsEOY
Total Liabilities BOY1645298TotalLiabilitiesBOY
Total Liabilities EOY1221878TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY20387810NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY20206117NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionTO PROMOTE EXCELLENCE IN HEALTH CARE THROUGH EVALUATION AND EDUCATIONMissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense3452697Expense
Revenue3532482Revenue
DescriptionQIO (QUALITY IMPROVEMENT ORGANIZATION) --- "FEDERAL" CONTRACT FOR MEDICAL PEER REVIEW AND QUALITY IMPROVEMENT.Description

Activity2 Activity2

FieldValueIRS element (for citing)
Expense5592580Expense
Revenue4770162Revenue
DescriptionMEDICAID REVIEW --- RETROSPECTIVE MEDICAL REVIEWS ON A PERCENTAGE OF PATIENTS DISCHARGED FROM THE HOSPITALS.Description

Activity3 Activity3

FieldValueIRS element (for citing)
Expense3186706Expense
Revenue3169093Revenue
DescriptionMEDICAID MMCS (MEDICAID MANAGED CARE SERVICES) --- PERFORM QUALITY IMPROVEMENT, SURVEYS, STATISTICAL ANALYSIS, AND EDUCATION.Description

Activity Other ActivityOther

FieldValueIRS element (for citing)
Expense6561277Expense
Revenue6061290Revenue
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 Exp6561277TotalOfOtherProgramServiceExp
Total Of Other Program Service Rev6061290TotalOfOtherProgramServiceRev
Total Program Service Expense18793260TotalProgramServiceExpense
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 Organizations0GrantsToOrganizations
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
Transaction Related Entity0TransactionRelatedEntity
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With109695NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Number Of Employees222NumberOfEmployees
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 Members16NbrVotingGoverningBodyMembers
Number Independent Voting Members16NumberIndependentVotingMembers
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 BOARD1.00XX441300
ROBERT SANDERS DO
VICE-CHAIRMAN1.00XX000
RANDY FORTNER FACHE
TREASURER1.00XX614400
CARL COVEY MD
SECRETARY1.00XX410000
JAMES R TEETER
MEMBER-AT-LARGE1.00X542500
JOHN HENDERSON MD
IMMEDIATE PAST CHAIR1.00X1022700
SHARON ALLEN
BOD, MEDICARE BENEFICIARY1.00X210000
E SCOTT FERGUSON MD
BOD1.00X000
SUSAN GREENWOOD
BOD1.00X498800
RAY MONTGOMERY II FACHE
BOD1.00X000
SHARON MOONE-JOCHUMS
BOD1.00X365000
CHADWICK T RODGERS MD
BOD1.00X140000
MARY PORTIA SHORT
BOD, MEDICARE BENEFICIARY1.00X233000
ALVIN SIMMONS
BOD1.00X503800
RONALD WAUTERS MD
BOD1.00X000
EUGENE SHELBY MD
BOD1.00X595600
WALLACE R HANLEY
CEO/PRESIDENT47.00X293577028440
JONATHAN M FUCHS
CHIEF OPERATING OFFICER42.00X188755015856
MICHAEL N MOODY MD
VP CORPORATE MED DIRECTOR18.00X155391018649
MARY S MOORE
CHIEF COMPLIANCE OFFICER43.00X113590022356
MARY N COUNTS
AVP COMPTROLLER/INTERIM CFO AS OF 6/20/1150.00X131477014987
GREGORY J PETERSON
CHIEF FINANCIAL OFFICER (TERMINATED 6/20/11)51.00X102441010240
PAMELA R BROWN
AVP QUALITY PROGRAMS43.00X130388018977
PEGGY J STARLING
AVP MMCS44.00X131151013786
JUDITH E MCGHEE
ASSOC MED DIR MEDICAID28.00X156251013110
KENYA C HARBIN
VP CLINICAL REVIEW55.00X184927010749
THOMAS D TINSMAN
ASSOC MED DIRECTOR41.00X184067021946
PATRICIA J WILLIAMS
SENIOR EXECUTIVE ASSISTANT40.00X6373709567
BRIAN C HERZIG
DIRECTOR INFORMATION SERVI45.00X104582018265
JOHN H CLAYBORN
DIRECTOR HUMAN RESOURCES41.00X94491022656
JASON E SCHEEL
DIRECTOR M'CAID ANALYTICAL SERV40.00X98089019083
BETTY BENNETT
DIRECTOR AIPP41.00X104528015105
AMY L ROSSI
VP INNOVATION & STRATEGIC DEVELOPMENT38.00X13207208473
KAREN J GABEL
DIRECTOR INPATIENT RET REV45.00X100571015199
FieldValueIRS element (for citing)
Total Reportable Comp From Org2525856TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation297444TotalOtherCompensation
Number Individuals GT100 K15NumberIndividualsGT100K
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
CDI CONTRACTORS
3000 CANTRELL ROADLITTLE ROCKAR72202BUILDING CONTRACTOR940043
MEDECISION INC
POB 7777PHILADELPHIAPA19175SOFTWARE REVIEW328466
BUSINESS COMMUNICATIONS INC
442 HIGHLAND COLONY PARKWAYRIDGELANDMS39157BUILDING CONTRACTOR326268
GGNSC ADMINISTRATIVE SERVICES LLC
1000 FIANNA WAYFORT SMITHAR72919RENTAL265295
HONIGBAUM & ASSOCIATES
12707 STANWICH PLACECARMELIN46033CONSULTING168156
FieldValueIRS element (for citing)
Number Of Contractors GT100 K8NumberOfContractorsGT100K

Program Service Revenue ProgramServiceRevenue (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
STATE REVENUE FROM OPE9000991070764910707649
REVENUE FROM OPERATION90009957745835774583
PRIVATE REVENUE FROM O900099898663898663
FieldValueIRS element (for citing)
Total Program Service Revenue17380895TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column109629TotalRevenueColumn
Exclusion$109,629ExclusionAmount

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real232035Real

Less Rental Expenses LessRentalExpenses

FieldValueIRS element (for citing)
Real211931Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real20104Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column20104TotalRevenueColumn
Exclusion$20,104ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities2689294Securities
Other100Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities2537262Securities
Other0Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities152032Securities
Other100Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column152132TotalRevenueColumn
Related Or Exempt Function Income152132RelatedOrExemptFunctionIncome

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column17662760TotalRevenueColumn
Related Or Exempt Function Income17533027RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$129,733ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total1500Total

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total1886506Total

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total8369141Total

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total359456Total

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total3054041Total

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total925092Total

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total166426Total

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total51078Total

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total350373Total

Advertising Advertising

FieldValueIRS element (for citing)
Total65688Total

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total989877Total

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total709363Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total410365Total

Travel Travel

FieldValueIRS element (for citing)
Total593113Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total165272Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total510446Total

Insurance Insurance

FieldValueIRS element (for citing)
Total149858Total

Other Expenses OtherExpenses (3 entries)

DescriptionDescriptionTotalTotal
PASS THROUGH COSTS21790
MISCELLANEOUS12164
PARKING1711

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total18793260Total

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY1100BOY
EOY1100EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY371950BOY
EOY599645EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY2137793BOY
EOY2088982EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY267314BOY
EOY245846EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis11190755LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec2864759LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY8306193BOY
EOY8325996EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY10471667BOY
EOY9689335EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY477091BOY
EOY477091EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY22033108BOY
EOY21427995EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY1620039BOY
EOY1196619EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY25259BOY
EOY25259EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY1645298BOY
EOY1221878EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY20387810BOY
EOY20206117EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY20387810BOY
EOY20206117EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY22033108BOY
EOY21427995EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses-1130500ReconcilationRevenueExpenses
Reconcilation Other Changes948807ReconcilationOtherChanges
Info In Schedule O Part XIIXInfoInScheduleOPartXII
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited
Audit Committee1AuditCommittee
Financial Statement ConsolidatedXFinancialStatementConsolidated
Federal Grant Audit Required1FederalGrantAuditRequired
Federal Grant Audit Performed1FederalGrantAuditPerformed

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 Basis4576720OtherCostOrOtherBasis
Book Value4576720BookValue

Leasehold Improvements LeaseholdImprovements

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

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis5477105OtherCostOrOtherBasis
Depreciation2864759Depreciation
Book Value2612346BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis21400OtherCostOrOtherBasis
Book Value21400BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings8325996TotalOfBookValueLandBuildings

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 XIV Form990ScheduleDPartXIV

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 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 (6 entries)

Base 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
2935770000000284400322017000
JONATHAN M FUCHS
1887550000000158560204611000
MICHAEL N MOODY MD
1553910000000186490174040000
JUDITH E MCGHEE
1562510000000131100169361000
KENYA C HARBIN
1849270000000107490195676000
THOMAS D TINSMAN
1840670000000219460206013000

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (6 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
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 5:NET UNREALIZED GAINS ON INVESTMENTS: 948,807.CHANGES IN NET ASSETS OR FUND BALANCES:
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
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
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
M
QUALITY EXCELLENCE INC
M