2013-02-11T07:47:09-06:00 2012-09-30 710355269 BEALL BARCLAY & COMPANY PLC CPA P O BOX 10148 FORT SMITH AR 72917 990 2011-10-01 237237381 ARKANSAS FOUNDATION FOR MEDICAL CARE INC ARKA 4795737616 PO BOX 180001 FORT SMITH AR 729180001 MARY COUNTS 4795737616 2013-01-30 1 BARBARA HAMBRICK P00387600 4794845740 2013-01-30 2011 2016-02-25 16:41:14Z MARY COUNTS PO BOX 180001 FORT SMITH AR 729180001 20411953 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. 16 16 222 0 0 0 0 0 17409104 17380895 -54987 261761 -1867 20104 17352250 17662760 14416 1500 0 0 14838287 14594236 0 0 0 4245177 4197524 19097880 18793260 -1745630 -1130500 22033108 21427995 1645298 1221878 20387810 20206117 X TO PROMOTE EXCELLENCE IN HEALTH CARE THROUGH EVALUATION AND EDUCATION 0 0 3452697 3532482 QIO (QUALITY IMPROVEMENT ORGANIZATION) --- "FEDERAL" CONTRACT FOR MEDICAL PEER REVIEW AND QUALITY IMPROVEMENT. 5592580 4770162 MEDICAID REVIEW --- RETROSPECTIVE MEDICAL REVIEWS ON A PERCENTAGE OF PATIENTS DISCHARGED FROM THE HOSPITALS. 3186706 3169093 MEDICAID MMCS (MEDICAID MANAGED CARE SERVICES) --- PERFORM QUALITY IMPROVEMENT, SURVEYS, STATISTICAL ANALYSIS, AND EDUCATION. 6561277 6061290 OTHER PROGRAMS CONSISTS OF CONTRACTS THAT THE ORGANIZATION HAS WITH VARIOUS FEDERAL, STATE, AND PRIVATE AGENCIES. 6561277 6061290 18793260 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 0 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 95 0 222 1 0 0 0 0 0 0 X 16 16 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 4413 0 0 ROBERT SANDERS DO 1.00 X X 0 0 0 RANDY FORTNER FACHE 1.00 X X 6144 0 0 CARL COVEY MD 1.00 X X 4100 0 0 JAMES R TEETER 1.00 X 5425 0 0 JOHN HENDERSON MD 1.00 X 10227 0 0 SHARON ALLEN 1.00 X 2100 0 0 E SCOTT FERGUSON MD 1.00 X 0 0 0 SUSAN GREENWOOD 1.00 X 4988 0 0 RAY MONTGOMERY II FACHE 1.00 X 0 0 0 SHARON MOONE-JOCHUMS 1.00 X 3650 0 0 CHADWICK T RODGERS MD 1.00 X 1400 0 0 MARY PORTIA SHORT 1.00 X 2330 0 0 ALVIN SIMMONS 1.00 X 5038 0 0 RONALD WAUTERS MD 1.00 X 0 0 0 EUGENE SHELBY MD 1.00 X 5956 0 0 WALLACE R HANLEY 47.00 X 293577 0 28440 JONATHAN M FUCHS 42.00 X 188755 0 15856 MICHAEL N MOODY MD 18.00 X 155391 0 18649 MARY S MOORE 43.00 X 113590 0 22356 MARY N COUNTS 50.00 X 131477 0 14987 GREGORY J PETERSON 51.00 X 102441 0 10240 PAMELA R BROWN 43.00 X 130388 0 18977 PEGGY J STARLING 44.00 X 131151 0 13786 JUDITH E MCGHEE 28.00 X 156251 0 13110 KENYA C HARBIN 55.00 X 184927 0 10749 THOMAS D TINSMAN 41.00 X 184067 0 21946 PATRICIA J WILLIAMS 40.00 X 63737 0 9567 BRIAN C HERZIG 45.00 X 104582 0 18265 JOHN H CLAYBORN 41.00 X 94491 0 22656 JASON E SCHEEL 40.00 X 98089 0 19083 BETTY BENNETT 41.00 X 104528 0 15105 AMY L ROSSI 38.00 X 132072 0 8473 KAREN J GABEL 45.00 X 100571 0 15199 2525856 0 297444 15 0 1 0 CDI CONTRACTORS 3000 CANTRELL ROAD LITTLE ROCK AR 72202 BUILDING CONTRACTOR 940043 MEDECISION INC POB 7777 PHILADELPHIA PA 19175 SOFTWARE REVIEW 328466 BUSINESS COMMUNICATIONS INC 442 HIGHLAND COLONY PARKWAY RIDGELAND MS 39157 BUILDING CONTRACTOR 326268 GGNSC ADMINISTRATIVE SERVICES LLC 1000 FIANNA WAY FORT SMITH AR 72919 RENTAL 265295 HONIGBAUM & ASSOCIATES 12707 STANWICH PLACE CARMEL IN 46033 CONSULTING 168156 8 STATE REVENUE FROM OPE 900099 10707649 10707649 REVENUE FROM OPERATION 900099 5774583 5774583 PRIVATE REVENUE FROM O 900099 898663 898663 17380895 109629 109629 232035 211931 20104 20104 20104 2689294 100 2537262 0 152032 100 152132 152132 17662760 17533027 0 129733 1500 1886506 8369141 359456 3054041 925092 166426 51078 350373 65688 989877 709363 410365 593113 165272 510446 149858 PASS THROUGH COSTS 21790 MISCELLANEOUS 12164 PARKING 1711 18793260 1100 1100 371950 599645 2137793 2088982 267314 245846 11190755 2864759 8306193 8325996 10471667 9689335 477091 477091 22033108 21427995 1620039 1196619 25259 25259 1645298 1221878 X 20387810 20206117 20387810 20206117 22033108 21427995 X -1130500 948807 X X 0 1 1 X 1 1 1 0 0 1060000 1060000 4576720 4576720 55530 55530 5477105 2864759 2612346 21400 21400 8325996 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. X 0 0 0 WALLACE R HANLEY 293577 0 0 0 0 0 0 0 28440 0 322017 0 0 0 JONATHAN M FUCHS 188755 0 0 0 0 0 0 0 15856 0 204611 0 0 0 MICHAEL N MOODY MD 155391 0 0 0 0 0 0 0 18649 0 174040 0 0 0 JUDITH E MCGHEE 156251 0 0 0 0 0 0 0 13110 0 169361 0 0 0 KENYA C HARBIN 184927 0 0 0 0 0 0 0 10749 0 195676 0 0 0 THOMAS D TINSMAN 184067 0 0 0 0 0 0 0 21946 0 206013 0 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. CHANGES IN NET ASSETS OR FUND BALANCES: FORM 990, PART XI, LINE 5: NET UNREALIZED GAINS ON INVESTMENTS: 948,807. 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 1 0 0 0 0 0 ARKANSAS QUALITY FOUNDATION INC M QUALITY EXCELLENCE INC M