2021-11-15T09:37:15-06:00 2021-06-30 710355269 LANDMARK PLC CPAS P O BOX 10148 FORT SMITH AR 729170148 990 2020-07-01 237237381 ARKANSAS FOUNDATION FOR MEDICAL CARE INC ARKA 4795737616 PO BOX 180001 FORT SMITH AR 729180001 PHYLLIS ROGERS CHIEF FINANCIAL OFFICER 4795737616 2021-11-15 1 PHYLLIS ROGERS XXX-XX-XXXX BARBARA HAMBRICK P00387600 4794845740 2021-11-10 2 AAL1 IAL1 2020 2022-09-23 18:48:47Z PHYLLIS ROGERS PO BOX 180001 FORT SMITH AR 729180001 54694390 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 15 334 0 0 0 26523253 20115131 4870969 32808509 952297 582136 39969 115749 32386488 53621525 91097 0 0 0 22296187 25501674 0 0 0 9080604 24665689 31467888 50167363 918600 3454162 33011636 39645381 6524923 7586487 26486713 32058894 X TO PROMOTE EXCELLENCE IN HEALTH CARE THROUGH EVALUATION AND EDUCATION 0 0 22958764 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. 4717443 ARKANSAS MEDICAID REVIEW - PROVIDED REVIEW SERVICES AS REQUIRED BY CONTRACT:PRIOR AUTHORIZATION OF ASSISTANT SURGEON - 404PRIOR AUTHORIZATION OF MUMPS - 1,200PRIOR AUTHORIZATION OF MED/SURG - 1PRIOR AUTHORIZATION OF DME - 14,394TARGETED CASE MANAGEMENT REVIEW - 5PHYSICIAN DRUG REVIEW - 2,943RETRO EMERGENCY ROOM REVIEW - 39,272RETRO INPATIENT REVIEW - 28,457OUT OF STATE - 51EMERGENCY MEDICAID NON-COVERED - 150EXTENSION OF BENEFIT/MOLECULAR PATHOLOGY REVIEW - 52,124MOLECULAR PATHOLOGY - 2,793ORGAN TRANSPLANT REVIEW - 69PVT OPTION REVIEWS - 23NICU - 221THERAPY PERSONAL CARE - 997PRIVATE DUTY NURSING - 390SUSPENDED CLAIMS - 1,207AMBULANCE - 117EPSDT - 9LONG TERM CARE - 227FORMULA - 23MEDICAL SUPPLIES - 108 9861222 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. 10881214 32808509 10881214 32808509 48418643 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 33 0 1 334 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 8125 0 0 HARVEY POTTS MD MPH VICE CHAIRMAN 1.00 X X 5300 0 0 JENNIFER STRYON TREASURER 1.00 X X 5950 0 0 ALAN WILSON MD SECRETARY 1.00 X X 5950 0 0 LADELL DOUGLAS MD MEMBER-AT-LARGE 1.00 X X 5443 0 0 CAROLYN HOOD RN BSN BOD 1.00 X 5950 0 0 GARY PAXSON BOD 1.00 X 5950 0 0 AMY JOHNSON JD BOD 1.00 X 5300 0 0 TOM BUTLER BOD 1.00 X 4800 0 0 KAREN PETTIT RNP CPHQ BOD 1.00 X 5300 0 0 MELISSA PIERCE RNP BOD 1.00 X 5300 0 0 JANE SNEED MD BOD 1.00 X 5950 0 0 DANNY WILKERSON MD BOD 1.00 X 5950 0 0 MARCUS OSBORNE BOD 1.00 X 5950 0 0 ANGIE WALKER BOD 1.00 X 0 0 0 JOSHUA DILLEY BOD 1.00 X 500 0 0 CHRISTOPHER S HARDIN BOD 1.00 X 1150 0 0 GLEN FENTER BOD 1.00 X 1150 0 0 DEBBIE T NYE BOD 1.00 X 1150 0 0 CHARLES FRAZIER BOD 1.00 X 0 0 0 WALLACE R HANLEY CEO/PRESIDENT 38.00 X 373261 0 26588 MARILYN STRICKLAND CHIEF OPERATING OFFICER 39.00 X 187819 0 6635 CHAD T RODGERS MD VP & CHIEF MEDICAL OFFICER 25.00 X 224998 0 13653 MARY S MOORE CHIEF COMPLIANCE OFFICER 42.00 X 167042 0 23142 PHYLLIS ROGERS CHIEF FINANCIAL OFFICER 40.00 X 181792 0 19490 NATHAN RAY CHIEF BUSINESS OFFICER 48.00 X 199561 0 12834 HANNAH RAY GOVERNMENT AFFAIRS EXECUTI 41.00 X 100654 0 6199 GLORIA BOONE CHIEF MEMBER SERVICES OFFI 51.00 X 154849 0 18232 PEGGY STARLING CHIEF OUTREACH OFFICER 44.00 X 189780 0 12044 CATHY BAIN CHIEF ADMINISTRATIVE OFFIC 51.00 X 156862 0 11498 MICHELLE RUPP CHIEF COMM & STRATEGY OFFICER 38.00 X 113052 0 10280 THOMAS D TINSMAN ASSOCIATE MEDICAL DIRECTOR 32.00 X 182833 0 19231 SHANNON EDWARDS DDEPUTY MEDICAL DIRECTOR 34.00 X 261543 0 22681 JAMES GREENE ASSOCIATE MEDICAL DIRECTOR 27.00 X 151051 0 9692 JENNA CLEMONS CONTROLLER 49.00 X 143707 0 17241 WILLIAM MASON ASSOCIATE MEDICAL DIRECTOR 40.00 X 221068 0 9068 3095040 0 238508 30 0 1 0 V-K GROUP INC 659 OUACHITA AVENUE HOT SPRINGS AR 71901 TEMPORARY STAFFING 5633671 CLIENT FIRST STAFFING 10 CORPORATE HILL STE 200 LITTLE ROCK AR 722033546 TEMPORARY STAFFING 1678860 BLUIP 410 S RAMPART BLVD LAS VEGAS NV 89145 CUSTOMER RELATIONSHIP MGMT 1501172 SALESFORCECOM INC PO BOX 3370 TUPELO MS 38803 CUSTOMER RELATIONSHIP MGMT 1437636 DELL MARKETING PO BOX 3370 TUPELO MS 38803 CUSTOMER RELATIONSHIP MGMT 871160 16 20115131 20115131 COVID CONTRACTS 900099 28085876 28085876 PRIVATE REVENUE FROM OPERATIONS 900099 4722633 4722633 32808509 156554 156554 202081 86332 115749 115749 115749 1412115 986533 425582 425582 425582 53621525 32808509 0 697885 X 2288722 2288722 15038779 14292328 746451 8174173 7822037 352136 15357115 15047641 309474 134831 115612 19219 OTHER COSTS 9140401 8818961 321440 PHYSICIAN ADVISORS 33342 33342 50167363 48418643 1748720 0 1100 7511695 7213063 5262368 9040836 709409 898401 13868177 7020427 7213735 6847750 12313329 15645331 33011636 39645381 2786595 3956257 3738328 3630230 6524923 7586487 X 26486713 32058894 26486713 32058894 33011636 39645381 3454162 2118019 0 X X 0 1 X 1 1 1 X 25029850 23399932 16582486 26523253 20115131 111650652 3919768 5815958 4264937 4870969 32808509 51680141 28949618 29215890 20847423 31394222 52923640 163330793 0 0 0 163330793 449393 488247 474885 527024 358635 2298184 449393 488247 474885 527024 358635 2298184 29399011 29704137 21322308 31921246 53282275 165628977 0.98610 0.98330 0.01390 0.01670 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 X 84000 84000 50083363 50167363 1000000 250000 0 0 PART I-A, LINE 1: THE CEO WAS INVOLVED IN EDUCATING LEGISLATORS ON PRIVATE OPTION IMPACT DURING THIS YEAR'S SESSION. 1060000 1060000 6839262 2176870 4662392 424668 279152 145516 1373476 706714 666762 4170771 3857691 313080 6847750 X 55739544 2118019 2118019 53621525 0 53621525 50167363 0 50167363 0 50167363 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 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. 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 373261 0 0 0 0 0 8428 0 18160 0 399849 0 0 0 SHANNON EDWARDS DDEPUTY MEDICAL DIRECTOR 261543 0 0 0 0 0 8278 0 14403 0 284224 0 0 0 CHAD T RODGERS MD VP & CHIEF MEDICAL OFFICER 224998 0 0 0 0 0 6529 0 7124 0 238651 0 0 0 WILLIAM MASON ASSOCIATE MEDICAL DIRECTOR 221068 0 0 0 0 0 6703 0 2365 0 230136 0 0 0 NATHAN RAY CHIEF BUSINESS OFFICER 199561 0 0 0 0 0 6571 0 6263 0 212395 0 0 0 THOMAS D TINSMAN ASSOCIATE MEDICAL DIRECTOR 182833 0 0 0 0 0 5885 0 13346 0 202064 0 0 0 PEGGY STARLING CHIEF OUTREACH OFFICER 189780 0 0 0 0 0 5781 0 6263 0 201824 0 0 0 PHYLLIS ROGERS CHIEF FINANCIAL OFFICER 181792 0 0 0 0 0 6339 0 13151 0 201282 0 0 0 MARILYN STRICKLAND CHIEF OPERATING OFFICER 187819 0 0 0 0 0 6635 0 0 0 194454 0 0 0 MARY S MOORE CHIEF COMPLIANCE OFFICER 167042 0 0 0 0 0 4982 0 18160 0 190184 0 0 0 GLORIA BOONE CHIEF MEMBER SERVICES OFFI 154849 0 0 0 0 0 5081 0 13151 0 173081 0 0 0 CATHY BAIN CHIEF ADMINISTRATIVE OFFIC 156862 0 0 0 0 0 5235 0 6263 0 168360 0 0 0 JENNA CLEMONS CONTROLLER 143707 0 0 0 0 0 4688 0 12553 0 160948 0 0 0 JAMES GREENE ASSOCIATE MEDICAL DIRECTOR 151051 0 0 0 0 0 4682 0 5010 0 160743 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 15,047,641. MANAGEMENT AND GENERAL EXPENSES 309,474. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 15,357,115. PART XII, LINE 2C THE PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR.