2024-11-15T08:52:11-06:00 2024-06-30 710355269 LANDMARK PLC CPAS 3101 S 70TH STREET FORT SMITH AR 72903 990 2023-07-01 237237381 ARKANSAS FOUNDATION FOR MEDICAL CARE INC ARKA 4795737616 PO BOX 180001 FORT SMITH AR 729180001 PHYLLIS ROGERS CHIEF FINANCIAL OFFICER 4795737616 2024-11-14 1 1 BARBARA HAMBRICK P00387600 4794845740 2024-11-13 2023 2024-10-15 13:58:12Z PHYLLIS ROGERS PO BOX 180001 FORT SMITH AR 729180001 46234968 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. 14 14 330 0 0 0 33792939 32478027 6993900 7258954 580313 1279754 124147 129381 41491299 41146116 0 0 0 0 27038708 27683812 0 0 0 14034796 13256366 41073504 40940178 417795 205938 39950911 41330422 3023124 3131262 36927787 38199160 X TO PROMOTE EXCELLENCE IN HEALTH CARE THROUGH EVALUATION AND EDUCATION 0 0 2761803 DPSQA INSPECTION OF CARE (IOC)THE STATE'S DHS DIVISION OF PROVIDER SERVICES & QUALITY ASSURANCE (DPSQA) IOC CONTRACT WITH AFMC CONTINUES TO CONSIST OF THREE TYPES OF REVIEWS: HEALTH AND SAFETY, QUALITY OF CARE AND INSPECTION OF CARE (INCLUDING INTENSIVE VISITS WITH DIVISION OF YOUTH SERVICES FACILITIES). THROUGH THIS WORK, WE ENSURE PROGRAM SERVICE PROVIDERS MEET THEIR MEDICAID PARTICIPATION REQUIREMENTS OR THE LICENSURE CERTIFICATION REQUIREMENTS AND THEIR CLIENTS ARE RECEIVING QUALITY SERVICES. OUR IOC TEAM IS FIELD-BASED AND SCATTERED ACROSS THE STATE. 7404508 ARKANSAS MEDICAID REVIEW - OUR CLINICAL REVIEW TEAM, BASED IN OUR FORT SMITH OFFICE, PERFORMS UTILIZATION REVIEW FOR THE STATE'S MEDICAID PROGRAM. A MULTI-DISCIPLINARY TEAM CONSISTING OF PHYSICIANS, NURSING, AND ADMINISTRATIVE STAFF APPLY MEDICAL NECESSITY REVIEW PROTOCOLS AND EXPERTISE FOR UTILIZATION REVIEW. DURING THE SFY 2024 OUR CLINICAL SERVICES DEPARTMENT PERFORMED 104,862 PRIOR AUTHORIZATION REVIEWS AND 63,336 RETROSPECTIVE REVIEWS. IN ADDITION, THIS TEAM PROVIDES OTHER SERVICES SUCH AS DRUG MONOGRAPH DEVELOPMENT, EXPERT WITNESS FOR APPEAL HEARINGS, AND CPT/HCPCS CODE REVIEWS. THROUGH THIS WORK, WE ENSURE APPROPRIATE UTILIZATION OF SERVICES AND BENEFICIARIES RECEIVE TREATMENT THAT CONFORMS TO STANDARDS OF CARE AND EVIDENCED BASED PRACTICES. PROVIDED REVIEW SERVICES AS REQUIRED BY CONTRACT:PRIOR AUTHORIZATION OF ASSISTANT SURGEON - 377PRIOR AUTHORIZATION OF MUMPS - 0PRIOR AUTHORIZATION OF DME - 28,003TARGETED CASE MANAGEMENT REVIEW - 0PHYSICIAN DRUG REVIEW - 4,583 EMERGENCY ROOM REVIEW - 45,334 INPATIENT REVIEW - 20,516RETRO REVIEW - 33,575OUT OF STATE - 75EMERGENCY MEDICAID NON-COVERED - 0EXTENSION OF BENEFIT/MOLECULAR PATHOLOGY REVIEW - 0MOLECULAR PATHOLOGY - 4,805ORGAN TRANSPLANT REVIEW - 70PVT OPTION REVIEWS - 0NICU -0THERAPY PERSONAL CARE - 0PRIVATE DUTY NURSING - 318SUSPENDED CLAIMS - 898MEDICAL TRANSPORT - 659EPSDT - 4LONG TERM CARE - 0FORMULA - 0MEDICAL SUPPLIES - 228APPEAL HEARINGS - 131OPPD - 133LAB AND RADIOLOGY - 18,685PROFESSIONAL SERVICES - 25,759 18731171 MCAID BENEFICIARY RELATIONS & NET ADMINISTRATION CONTRACT / CALL CENTER SERVICESTHROUGH THIS CONTRACT, WE HAVE FIVE STATE AGENCIES THAT AVAIL THEMSELVES OF AFMC'S SERVICES FOR THEIR CLIENTS: DIVISION OF MEDICAL SERVICES (DMS); DIVISION OF COUNTY OPERATIONS (DCO); DIVISION OF AGING, ADULT & BEHAVIORAL HEALTH SERVICES (DAABHS); DIVISION OF PROVIDER SERVICES & QUALITY ASSURANCE; AND DIVISION OF CHILD & FAMILY SERVICES (DCFS). THROUGH THE DELIVERABLES OF THIS CONTRACT, WE PERFORM TWO PRIMARY FUNCTIONS: (1) SERVE TO LIAISE BETWEEN THE STATE PROVIDER NETWORK AND THE STATE AGENCIES, AND (2) SERVE THE CLIENTS OF THE RESPECTIVE STATE AGENCIES. OUR MISSION IS TO PROVIDE VALUABLE CUSTOMER SERVICE FOR ALL INDIVIDUALS WHO ARE ELIGIBLE FOR SERVICES THROUGH ARKANSAS'S SOCIAL SERVICES SYSTEMS, PRIMARILY THE MEDICAID PROGRAM. WE PERFORM OUTREACH TO EDUCATE AND SEEK FEEDBACK FROM THE PROVIDERS OF ARKANSAS TO ENSURE SUFFICIENT ACCESS TO HEALTH CARE AND MEDICAL RESOURCES. WE OFFER SERVICES TO CLIENTS RECEIVING BENEFITS THROUGH THE STATE'S MEDICAID PROGRAM AS WELL AS CLIENTS SEEKING MENTAL HEALTH, SUBSTANCE USE, OPIOID USE DISORDER ASSISTANCE, AND CHILDREN ENTERING THE FOSTER CARE/ADOPTION SYSTEM. WE SERVE OUR INTERNAL AND EXTERNAL CLIENTS WITH CUSTOMIZED, EFFICIENT, AND EFFECTIVE SERVICES TO ENSURE ACCESS TO NEEDED RESOURCES AND SERVICES TO PROMOTE THE HIGHEST PROBABILITY OF SUCCESS IN THEIR DAILY LIVES. WE ACCOMPLISH THIS THROUGH PURPOSEFUL GROWTH AND SUSTAINABLE PROFITABILITY WITH EXPERIENCED CUTTING-EDGE SYSTEMS, PROCESSES, AND STANDARDS AS WELL AS A STAFF DEDICATED TO SERVING PEOPLE WITH EXCELLENCE. OUR OUTREACH, EDUCATION, COMMUNICATION, AND CONTACT SERVICE CENTER ACTIVITIES DEMONSTRATE OUR MISSION AS WE EDUCATE THOSE WITH WHOM WE INTERACT, RESOLVE THEIR INQUIRIES, AND ENSURE ACCESS TO NECESSARY SERVICES. THIS CONTRACT CONTINUES TO GROW WHILE MEETING ALL DELIVERABLES. 9426374 7258954 9426374 7258954 38323856 1 1 1 1 0 0 0 0 0 0 1 0 0 0 0 0 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 79 0 1 330 1 0 0 0 0 0 0 0 0 0 0 0 0 X 14 14 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 AR X JENNA CLEMONS 5012128631 PO BOX 1508 FORT SMITH AR 72902 HARVEY POTTS MD MPH BOD 1.00 X 0 0 0 DANNY WILKERSON MD CHAIRMAN OF BOARD 1.00 X X 14300 0 0 ANGIE WALKER BOD 1.00 X 9750 0 0 CHRISTOPHER S HARDIN MEMBER AT LARGE 1.00 X 8100 0 0 DEBBY NYE BOD 1.00 X 9600 0 0 DEREK PIERCE TREASURER 1.00 X X 8700 0 0 JILL MHYRE SECRETARY 1.00 X X 7950 0 0 GARY PAXSON BOD 1.00 X 9750 0 0 JOSH DILLEY MD BOD 1.00 X 0 0 0 KRISTIN MARTIN VICE CHAIRMAN 1.00 X X 9750 0 0 MICHAEL STEWART BOD 1.00 X 4800 0 0 MARILYN STRICKLAND CHIEF OPERATING OFFICER 41.00 X 258484 0 40782 CHAD T RODGERS MD CHIEF MEDICAL OFFICER 26.00 X 229829 0 17744 MARY S MOORE CHIEF COMPLIANCE OFFICER 45.00 X 183774 0 22676 PHYLLIS ROGERS CHIEF FINANCIAL OFFICER 43.00 X 243309 0 30692 NATHAN RAY SENIOR VP BUSINESS OPERATI 44.00 X 239294 0 10799 HANNAH RAY VP GOVERNMENT RELATIONS 47.00 X 116124 0 11236 GLORIA BOONE VP MEMBER SERVICES 46.00 X 199650 0 31664 PEGGY STARLING SENIOR VP OUTREACH SERVICE 47.00 X 232270 0 30228 CATHY BAIN SENIOR VP ADMIN SERVICES 50.00 X 210275 0 32901 JOHN SELIG CEO/PRESIDENT 40.00 X 388199 0 29282 ELDRINA EASTERLY FULL TIME VP CO 43.00 X 173154 0 29673 KIMBERLY GARTMAN ASSOCIATE MEDICAL DIRECTOR 33.14 X 189161 0 14040 WILLIAM MASON ASSOCIATE MEDICAL DIRECTOR 27.76 X 168580 0 27773 ROBERY VANHOOK ASSOCIATE MEDICAL DIRECTOR 32.79 X 188169 0 14595 KRISTY COWHERD SERVICES 41.10 X 372123 0 43102 MINDY DUNN DIRECTOR HUMAN RESOURCES 42.97 X 156700 0 12901 3631795 0 400088 22 0 1 0 V-K GROUP INC 659 OUACHITA AVENUE HOT SPRINGS AR 71901 TEMPORARY STAFFING 1446824 BLUIP 410 S RAMPART BLVD LAS VEGAS NV 89145 CUSTOMER RELATIONSHIP MGMT 819768 SALESFORCECOM INC PO BOX 3370 TUPELO MS 38803 CUSTOMER RELATIONSHIP MGMT 714802 SKILLS UNLIMITED 11614 HURON LANE LITTLE ROCK AR 72211 TEMPORARY STAFFING 278077 SOFTCHOICE CORPORATION 16609 COLLECTIONS CENTER DR CHICAGO IL 60693 CUSTOMER RELATIONSHIP MGMT 273580 9 32478027 32478027 PRIVATE REVENUE FROM OPERATIONS 900099 7086852 7086852 COVID CONTRACTS 900099 172102 172102 7258954 569757 569757 211173 81792 129381 129381 129381 5717057 5007060 709997 709997 709997 41146116 7258954 0 1409135 X 2656974 2656974 16090577 14822120 1268457 8936261 8331635 604626 5972139 5805598 166541 514812 460056 54756 OTHER COSTS 6734904 6212962 521942 PHYSICIAN ADVISORS 34511 34511 40940178 38323856 2616322 0 8412229 9234322 7721066 3967467 1037598 1150765 16758541 7810336 8335449 8948205 14444569 18029663 39950911 41330422 3023124 3131262 3023124 3131262 X 36927787 38199160 36927787 38199160 39950911 41330422 205938 1065435 0 X X 0 1 X 1 1 1 X 26523253 20115131 28266215 33792939 32478027 141175565 4870969 32808509 21022630 6993900 7258954 72954962 31394222 52923640 49288845 40786839 39736981 214130527 0 0 0 214130527 527024 358635 602625 668091 780930 2937305 527024 358635 602625 668091 780930 2937305 31921246 53282275 49891470 41454930 40517911 217067832 0.98650 0.98670 0.01350 0.01330 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 70000 70000 40870178 40940178 1000000 250000 0 0 1000000 1000000 1000000 3000000 4500000 84000 84000 70000 238000 250000 250000 250000 750000 1125000 PART I-A, LINE 1: THE CEO WAS INVOLVED IN EDUCATING LEGISLATORS ON PRIVATE OPTION IMPACT DURING THIS YEAR'S SESSION. 1099900 1099900 9307517 3015371 6292146 424668 420733 3935 1629866 874310 755556 4296590 3499922 796668 8948205 X 42211551 1065435 1065435 41146116 0 41146116 40940178 0 40940178 0 40940178 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 JOHN SELIG CEO/PRESIDENT 388199 0 0 0 0 0 8400 0 20882 0 417481 0 0 0 KRISTY COWHERD SERVICES 372123 0 0 0 0 0 8400 0 34702 0 415225 0 0 0 MARILYN STRICKLAND CHIEF OPERATING OFFICER 258484 0 0 0 0 0 7843 0 32939 0 299266 0 0 0 PHYLLIS ROGERS CHIEF FINANCIAL OFFICER 243309 0 0 0 0 0 7579 0 23113 0 274001 0 0 0 PEGGY STARLING SENIOR VP OUTREACH SERVICE 232270 0 0 0 0 0 7031 0 23197 0 262498 0 0 0 NATHAN RAY SENIOR VP BUSINESS OPERATI 239294 0 0 0 0 0 7284 0 3515 0 250093 0 0 0 CHAD T RODGERS MD CHIEF MEDICAL OFFICER 229829 0 0 0 0 0 7008 0 10736 0 247573 0 0 0 CATHY BAIN SENIOR VP ADMIN SERVICES 210275 0 0 0 0 0 6430 0 26471 0 243176 0 0 0 GLORIA BOONE VP MEMBER SERVICES 199650 0 0 0 0 0 6190 0 25474 0 231314 0 0 0 MARY S MOORE CHIEF COMPLIANCE OFFICER 183774 0 0 0 0 0 5749 0 16927 0 206450 0 0 0 KIMBERLY GARTMAN ASSOCIATE MEDICAL DIRECTOR 189161 0 0 0 0 0 5675 0 8365 0 203201 0 0 0 ELDRINA EASTERLY FULL TIME VP CO 173154 0 0 0 0 0 5393 0 24280 0 202827 0 0 0 ROBERY VANHOOK ASSOCIATE MEDICAL DIRECTOR 188169 0 0 0 0 0 5645 0 8950 0 202764 0 0 0 WILLIAM MASON ASSOCIATE MEDICAL DIRECTOR 168580 0 0 0 0 0 5057 0 22716 0 196353 0 0 0 MINDY DUNN DIRECTOR HUMAN RESOURCES 156700 0 0 0 0 0 4701 0 8200 0 169601 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 5,805,598. MANAGEMENT AND GENERAL EXPENSES 166,541. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 5,972,139. PART XII, LINE 2C THE PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR.