2022-12-15T09:22:39-06:00 2022-06-30 710355269 LANDMARK PLC CPAS P O BOX 10148 FORT SMITH AR 729170148 990 2021-07-01 237237381 ARKANSAS FOUNDATION FOR MEDICAL CARE INC ARKA 4795737616 PO BOX 180001 FORT SMITH AR 729180001 PHYLLIS ROGERS CHIEF FINANCIAL OFFICER 4795737616 2022-12-09 1 PHYLLIS ROGERS XXX-XX-XXXX BARBARA HAMBRICK P00387600 4794845740 2022-12-06 3 AAL1 IAL1 2021 2022-09-23 18:48:47Z PHYLLIS ROGERS PO BOX 180001 FORT SMITH AR 729180001 50879717 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. 15 15 379 3 0 0 20115131 28266215 32808509 21022630 582136 616220 115749 103092 53621525 50008157 0 0 0 0 25501674 27484469 0 0 0 24665689 16893757 50167363 44378226 3454162 5629931 39645381 38817634 7586487 3217960 32058894 35599674 X TO PROMOTE EXCELLENCE IN HEALTH CARE THROUGH EVALUATION AND EDUCATION 0 0 12624920 ADH CONTACT TRACING/ACTIVE RESPONSE TEAM - A SUB-CONTRACT AGREEMENT WITH THE ARKANSAS DEPARTMENT OF HEALTH INVOLVING HOSTING COVID TESTING AND VACCINE EVENTS, PROVIDING STAFF AUGMENTATION FOR HOSPITALS AND UNIVERSITY HEALTH CENTERS, AND EXPANDING CALL-CENTER SERVICES TO PROVIDE VACCINE SUPPORT SERVICES. 5390955 ARKANSAS MEDICAID REVIEW - PROVIDED REVIEW SERVICES AS REQUIRED BY CONTRACT:PRIOR AUTHORIZATION OF ASSISTANT SURGEON - 403PRIOR AUTHORIZATION OF MUMPS - 517PRIOR AUTHORIZATION OF MED/SURG - 1PRIOR AUTHORIZATION OF DME - 25,435TARGETED CASE MANAGEMENT REVIEW - 0PHYSICIAN DRUG REVIEW - 3,702RETRO EMERGENCY ROOM REVIEW - 45,514RETRO INPATIENT REVIEW - 33,372OUT OF STATE - 92EMERGENCY MEDICAID NON-COVERED - 117EXTENSION OF BENEFIT/MOLECULAR PATHOLOGY REVIEW - 48,253MOLECULAR PATHOLOGY - 3,364ORGAN TRANSPLANT REVIEW - 59PVT OPTION REVIEWS - 18NICU -0THERAPY PERSONAL CARE - 0PRIVATE DUTY NURSING - 308SUSPENDED CLAIMS - 2,023AMBULANCE - 264EPSDT - 8LONG TERM CARE - 0FORMULA - 2MEDICAL SUPPLIES - 179APPEAL HEARINGS - 144 11559525 MEDICAID BENEFICIARY RELATIONS - A CONTRACT TO MAINTAIN ACTIVE FEEDBACK AND PROFESSIONAL RELATIONS WITH MEDICAID BENEFICIARIES. IT ALSO INCLUDES MAINTAINING A CALL SERVICE CENTER TO ASSIST INDIVIDUALS WITH MEDICAID AND PRIVATE OPTION COVERAGE. SURVEYS AND MONITORING OF THE NON-EMERGENCY TRANSPORTATION (NET) SERVICES ARE ADDITIONAL DELIVERABLES UNDER THIS CONTRACT. PROVIDER RELATIONS AND CONNECTCARE ACTIVITIES WERE ALSO ADDED TO THIS CONTRACT THIS YEAR. 12972744 21022434 12972744 21022434 42548144 1 1 1 1 0 0 0 0 0 0 1 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 61 0 1 379 1 0 0 0 0 0 0 0 0 0 0 0 0 X 15 15 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 AR X JENNA CLEMMONS 5012128631 PO BOX 180001 FORT SMITH AR 72918 STACY C ZIMMERMAN MD CHAIRMAN OF BOARD 1.00 X X 6875 0 0 HARVEY POTTS MD MPH VICE CHAIRMAN 1.00 X X 5250 0 0 JENNIFER STRYON TREASURER 1.00 X X 7050 0 0 ALAN WILSON MD SECRETARY 1.00 X X 5400 0 0 LADELL DOUGLAS MD MEMBER-AT-LARGE 1.00 X X 6400 0 0 CAROLYN HOOD RN BSN BOD 1.00 X 6200 0 0 GARY PAXSON BOD 1.00 X 10100 0 0 JANE SNEED MD BOD 1.00 X 5900 0 0 DANNY WILKERSON MD BOD 1.00 X 6475 0 0 ANGIE WALKER BOD 1.00 X 5750 0 0 JOSHUA DILLEY BOD 1.00 X 8100 0 0 CHRISTOPHER S HARDIN BOD 1.00 X 5100 0 0 GLEN FENTER BOD 1.00 X 5600 0 0 DEBBIE T NYE BOD 1.00 X 5600 0 0 CHARLES FRAZIER BOD 1.00 X 1950 0 0 WALLACE R HANLEY CEO/PRESIDENT 39.00 X 398546 0 40391 MARILYN STRICKLAND CHIEF OPERATING OFFICER 39.00 X 243174 0 36219 CHAD T RODGERS MD CHIEF MEDICAL OFFICER 26.00 X 218036 0 8535 MARY S MOORE CHIEF COMPLIANCE OFFICER 44.00 X 174885 0 14278 PHYLLIS ROGERS CHIEF FINANCIAL OFFICER 44.00 X 237602 0 34934 NATHAN RAY SENIOR VP BUSINESS OPERATIONS 49.00 X 246661 0 9238 HANNAH RAY VP GOVERNMENT RELATIONS 43.00 X 111677 0 8699 GLORIA BOONE VP MEMBER SERVICES 45.00 X 169208 0 25437 PEGGY STARLING SENIOR VP OUTREACH SERVICES 42.00 X 198344 0 28220 CATHY BAIN SENIOR VP ADMIN SERVICES 45.00 X 184225 0 33595 MICHELLE RUPP VP COMMUNICATIONS & STRATEGY 40.00 X 142308 0 9708 KRISTY COWHERD ASSOCIATE MEDICAL DIRECTOR 29.50 X 170810 0 12049 SHANNON EDWARDS ASSOCIATE MEDICAL DIRECTOR 22.26 X 173402 0 14290 BRYON CURTNER ASSOCIATE MEDICAL DIRECTOR 26.59 X 168239 0 31351 MINDY DUNN DIRECTOR HUMAN RESOURCES 48.78 X 161461 0 8721 WILLIAM MASON ASSOCIATE MEDICAL DIRECTOR 41.25 X 236215 0 10541 3326543 0 326206 32 0 1 0 V-K GROUP INC 659 OUACHITA AVENUE HOT SPRINGS AR 71901 TEMPORARY STAFFING 11668312 CLIENT FIRST STAFFING 10 CORPORATE HILL STE 200 LITTLE ROCK AR 72205 TEMPORARY STAFFING 2840966 BLUIP 410 S RAMPART BLVD LAS VEGAS NV 89145 CUSTOMER RELATIONSHIP MGMT 1749538 SALESFORCECOM INC PO BOX 3370 TUPELO MS 38803 CUSTOMER RELATIONSHIP MGMT 608303 SOFTCHOICE CORPORATION 16609 COLLECTIONS CENTER DR CHICAGO IL 60693 CUSTOMER RELATIONSHIP MGMT 360868 13 28266215 28266215 COVID CONTRACTS 900099 15764025 15764025 PRIVATE REVENUE FROM OPERATIONS 900099 5258605 5258605 21022630 434874 434874 167751 64659 103092 103092 103092 988247 806705 196 181542 -196 181346 -196 181542 50008157 21022434 0 719508 X 2629389 2629389 15442972 14619302 823670 9412108 8983139 428969 9899103 9784466 114637 328733 320602 8131 OTHER COSTS 6647016 6192341 454675 PHYSICIAN ADVISORS 18905 18905 44378226 42548144 1830082 0 7213063 11161937 9040836 6637072 898401 1049968 13907353 7480097 6847750 6427256 15645331 13541401 39645381 38817634 3956257 3217960 3630230 7586487 3217960 X 32058894 35599674 32058894 35599674 39645381 38817634 5629931 -2089151 0 X X 0 1 X 1 1 1 X 23399932 16582486 26523253 20115131 28266215 114887017 5815958 4264937 4870969 32808509 21022630 68783003 29215890 20847423 31394222 52923640 49288845 183670020 0 0 0 183670020 488247 474885 527024 358635 602625 2451416 488247 474885 527024 358635 602625 2451416 29704137 21322308 31921246 53282275 49891470 186121436 0.98680 0.98610 0.01320 0.01390 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 84000 84000 44294226 44378226 1000000 250000 0 0 1000000 1000000 1500000 84000 84000 250000 250000 375000 PART I-A, LINE 1: THE CEO WAS INVOLVED IN EDUCATING LEGISLATORS ON PRIVATE OPTION IMPACT DURING THIS YEAR'S SESSION. 1060000 1060000 6854852 2430430 4424422 424668 326333 98335 1372902 777375 595527 4194931 3945959 248972 6427256 X 47919006 -2089151 -2089151 50008157 0 50008157 44378226 0 44378226 0 44378226 PART X, LINE 2: 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 LIEKLY 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. ARKANSAS FOUNDATION FOR MEDICAL CARE, INC. (AFMC) FILES INFORMATIONAL "RETURN OF ORGANIZATION EXEMPT FROM INCOME TAX" (FORM 990) IN THE U.S. FEDERAL JURISDICTION AND ARKANSAS. X 0 0 0 0 0 0 0 0 0 WALLACE R HANLEY CEO/PRESIDENT 398546 0 0 0 0 0 8400 0 31991 0 438937 0 0 0 MARILYN STRICKLAND CHIEF OPERATING OFFICER 243174 0 0 0 0 0 7380 0 28839 0 279393 0 0 0 PHYLLIS ROGERS CHIEF FINANCIAL OFFICER 237602 0 0 0 0 0 7258 0 27676 0 272536 0 0 0 NATHAN RAY SENIOR VP BUSINESS OPERATIONS 246661 0 0 0 0 0 7453 0 1785 0 255899 0 0 0 WILLIAM MASON ASSOCIATE MEDICAL DIRECTOR 236215 0 0 0 0 0 7087 0 3454 0 246756 0 0 0 CHAD T RODGERS MD CHIEF MEDICAL OFFICER 218036 0 0 0 0 0 6585 0 1950 0 226571 0 0 0 PEGGY STARLING SENIOR VP OUTREACH SERVICES 198344 0 0 0 0 0 6034 0 22186 0 226564 0 0 0 CATHY BAIN SENIOR VP ADMIN SERVICES 184225 0 0 0 0 0 5595 0 28000 0 217820 0 0 0 BRYON CURTNER ASSOCIATE MEDICAL DIRECTOR 168239 0 0 0 0 0 5047 0 26304 0 199590 0 0 0 GLORIA BOONE VP MEMBER SERVICES 169208 0 0 0 0 0 5185 0 20252 0 194645 0 0 0 MARY S MOORE CHIEF COMPLIANCE OFFICER 174885 0 0 0 0 0 5382 0 8896 0 189163 0 0 0 SHANNON EDWARDS ASSOCIATE MEDICAL DIRECTOR 173402 0 0 0 0 0 5202 0 9088 0 187692 0 0 0 KRISTY COWHERD ASSOCIATE MEDICAL DIRECTOR 170810 0 0 0 0 0 5124 0 6925 0 182859 0 0 0 MINDY DUNN DIRECTOR HUMAN RESOURCES 161461 0 0 0 0 0 4844 0 3877 0 170182 0 0 0 MICHELLE RUPP VP COMMUNICATIONS & STRATEGY 142308 0 0 0 0 0 4307 0 5401 0 152016 0 0 0 FORM 990, PART VI, SECTION B, LINE 11B THE CHIEF FINANCIAL OFFICER, THE CONTROLLER AND THE FINANCE COMMITTEE REVIEWS A PRELIMINARY 990 BEFORE FILING. AFTER ALL QUESTIONS ARE ANSWERED AND CHANGES MADE. THE RETURN IS THEN APPROVED FOR FILING. THE BOARD OF DIRECTORS IS PROVIDED WITH A COPY OF THE FINAL FORM AT THE NEXT BOARD MEETING. 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 IX, LINE 11G CONSULTING: PROGRAM SERVICE EXPENSES 9,784,466. MANAGEMENT AND GENERAL EXPENSES 114,637. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 9,899,103. PART XII, LINE 2C THE PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR.