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Nonprofiteer
← ARKANSAS CHILDRENS MEDICAL GROUP PLLC

Form 990 for tax year 2023

Filed by ARKANSAS CHILDRENS MEDICAL GROUP PLLC.

Totals

Total revenue
$20,113,797
Total expenses
$20,064,981
Contributions and grants received
$10,100,000
Grants paid
$0
Program services expenses (Part IX)
$18,786,913
Management and general expenses
$1,278,068
Fundraising expenses
$0
Program service expenses (Part III)
$18,786,913

Program services were 93.6% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.

Listed in Part VII

  • FREDERICK BARR MD

    ACMG PRESIDENT & SECRETARY

    Total calculated
    $1,005,884
    From this org
    $0
    From related orgs
    $908,140
    Other
    $97,744
    Hours/week
    6.08 + 54.23 related

    Schedule J breakdown matched by us

    Base
    $0 + $697,745 related
    Bonus
    $0 + $205,203 related
    Other
    $0 + $5,192 related
    Deferred
    $0 + $88,074 related
    Nontaxable benefits
    $0 + $9,670 related
    Filer's total
    $0 + $1,005,884 related

  • ASHAY PATEL MD

    PHYS OPS MED DIR/PED UROLOGIST

    Total calculated
    $862,484
    From this org
    $827,731
    From related orgs
    $0
    Other
    $34,753
    Hours/week
    55.06

    Schedule J breakdown matched by us

    Base
    $656,349
    Bonus
    $170,932
    Other
    $450
    Deferred
    $17,351
    Nontaxable benefits
    $17,402
    Filer's total
    $862,484

  • ROBERT WILLIAMS MD

    CHIEF MED OFCR/BOARD OF MNGRS MBR

    Total calculated
    $466,717
    From this org
    $436,941
    From related orgs
    $0
    Other
    $29,776
    Hours/week
    10.04 + 40 related

    Schedule J breakdown matched by us

    Base
    $359,838
    Bonus
    $76,209
    Other
    $894
    Deferred
    $15,850
    Nontaxable benefits
    $13,926
    Filer's total
    $466,717

  • CHRISTINA DALTON MD

    MEDICAL DIRECTOR

    Total calculated
    $350,022
    From this org
    $317,816
    From related orgs
    $0
    Other
    $32,206
    Hours/week
    50.08

    Schedule J breakdown matched by us

    Base
    $215,180
    Bonus
    $102,414
    Other
    $222
    Deferred
    $17,350
    Nontaxable benefits
    $14,856
    Filer's total
    $350,022

  • GENA WINGFIELD

    AC CFO/BOARD OF MANAGERS MEMBER

    Total calculated
    $1,000,965
    From this org
    $0
    From related orgs
    $898,990
    Other
    $101,975
    Hours/week
    0.08 + 48.44 related

    Schedule J breakdown matched by us

    Base
    $0 + $609,274 related
    Bonus
    $0 + $218,520 related
    Other
    $0 + $71,196 related
    Deferred
    $0 + $92,367 related
    Nontaxable benefits
    $0 + $9,608 related
    Filer's total
    $0 + $1,000,965 related

  • JAMIE WIGGINS

    AC COO/BOARD OF MANAGERS MEMBER

    Total calculated
    $848,835
    From this org
    $0
    From related orgs
    $763,079
    Other
    $85,756
    Hours/week
    0.06 + 50 related

    Schedule J breakdown matched by us

    Base
    $0 + $577,629 related
    Bonus
    $0 + $184,486 related
    Other
    $0 + $964 related
    Deferred
    $0 + $76,169 related
    Nontaxable benefits
    $0 + $9,587 related
    Filer's total
    $0 + $848,835 related

  • CRYSTAL KOHANKE

    AC CPO/BOARD OF MANAGERS MEMBER

    Total calculated
    $560,597
    From this org
    $0
    From related orgs
    $486,683
    Other
    $73,914
    Hours/week
    0.08 + 50 related

    Schedule J breakdown matched by us

    Base
    $0 + $397,755 related
    Bonus
    $0 + $87,188 related
    Other
    $0 + $1,740 related
    Deferred
    $0 + $59,923 related
    Nontaxable benefits
    $0 + $13,991 related
    Filer's total
    $0 + $560,597 related

  • CINDY MARTIN

    AC PRACTICE PLAN VP

    Total calculated
    $323,587
    From this org
    $0
    From related orgs
    $302,878
    Other
    $20,709
    Hours/week
    5 + 45 related

    Schedule J breakdown matched by us

    Base
    $0 + $251,050 related
    Bonus
    $0 + $51,449 related
    Other
    $0 + $379 related
    Deferred
    $0 + $7,270 related
    Nontaxable benefits
    $0 + $13,439 related
    Filer's total
    $0 + $323,587 related

  • ISMAEL ZAMILPA MD

    PEDIATRIC UROLOGIST

    Total calculated
    $790,256
    From this org
    $751,754
    From related orgs
    $0
    Other
    $38,502
    Hours/week
    50

    Schedule J breakdown matched by us

    Base
    $586,254
    Bonus
    $164,810
    Other
    $690
    Deferred
    $21,100
    Nontaxable benefits
    $17,402
    Filer's total
    $790,256

  • JYH-I LU MD

    PEDIATRIC EMER MED PHYSICIAN

    Total calculated
    $634,350
    From this org
    $601,530
    From related orgs
    $0
    Other
    $32,820
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $291,816
    Bonus
    $309,391
    Other
    $323
    Deferred
    $17,350
    Nontaxable benefits
    $15,470
    Filer's total
    $634,350

  • ALEXA BOLLINGER MD

    PEDIATRIC EMER MED PHYSICIAN

    Total calculated
    $522,664
    From this org
    $498,295
    From related orgs
    $0
    Other
    $24,369
    Hours/week
    50

    Schedule J breakdown matched by us

    Base
    $296,363
    Bonus
    $201,632
    Other
    $300
    Deferred
    $17,350
    Nontaxable benefits
    $7,019
    Filer's total
    $522,664

  • TIFFANY PALMER MD

    PEDIATRIC EMER MED PHYSICIAN

    Total calculated
    $476,316
    From this org
    $461,121
    From related orgs
    $0
    Other
    $15,195
    Hours/week
    50

    Schedule J breakdown matched by us

    Base
    $316,778
    Bonus
    $144,073
    Other
    $270
    Deferred
    $8,176
    Nontaxable benefits
    $7,019
    Filer's total
    $476,316

  • SARAH WESTON

    MEDICAL DIRECTOR

    Total calculated
    $463,662
    From this org
    $446,421
    From related orgs
    $0
    Other
    $17,241
    Hours/week
    50

    Schedule J breakdown matched by us

    Base
    $293,887
    Bonus
    $152,234
    Other
    $300
    Deferred
    $6,100
    Nontaxable benefits
    $11,141
    Filer's total
    $463,662

Compensation is as filed in Part VII: reportable pay from this organization and from related organizations, other compensation, and hours per week. The total, marked calculated, is our sum of the three dollar columns, with a blank column counted as $0; the form itself has no total. On a Form 990-EZ the columns are Part IV's instead — compensation, contributions to benefit plans, and expense account — and the total sums those. A Schedule J breakdown is as filed: base pay, bonus, other, deferred compensation and nontaxable benefits from this organization, with any from related organizations beside each, and the filer's own total. It is shown with the Part VII listing of the same name on the same return. The form gives no key between the two, so that pairing is ours, and is marked matched by us.

Schedule J

Answered yes

  • 1a · First-class or charter travel
  • 1a · Travel for companions
  • 1b · Written policy on the line-1a expenses
  • 2 · Substantiation required before reimbursing expenses
  • 3 · Compensation committee
  • 3 · Independent compensation consultant
  • 3 · Compensation survey or study
  • 3 · Approval by the board or compensation committee
  • 4b · Supplemental nonqualified retirement plan

Answered no

  • 4a · Severance or change-of-control payment
  • 4c · Equity-based compensation arrangement
  • 5a · Pay contingent on this organization's revenues
  • 5b · Pay contingent on a related organization's revenues
  • 6a · Pay contingent on this organization's net earnings
  • 6b · Pay contingent on a related organization's net earnings
  • 7 · Other non-fixed payments
  • 8 · Paid under the initial-contract exception

The filer's explanations (Part III)

PART I, LINE 1A
CHARTER TRAVEL IS USED BY ARKANSAS CHILDREN'S AND AFFILIATED ENTITIES' BOARD MEMBERS AND STAFF (AND OCCASIONALLY ACCOMPANYING SPOUSES/COMPANIONS) WHEN IT IS DEEMED THE MOST EFFICIENT METHOD OF TRAVEL TO DISTANT AREAS WITHIN THE STATE OR TO SURROUNDING STATES FOR PURPOSES RELATED TO ARKANSAS CHILDREN'S BUSINESS. SEPARATE TRAVEL (NON-CHARTER) FOR COMPANIONS IS REIMBURSED BY THE EMPLOYEE IF SUCH TRAVEL IS ON AN INDIVIDUAL BASIS; THUS, SUCH TRAVEL IS NOT CONSIDERED TAXABLE COMPENSATION TO THE EMPLOYEE. FOUR OFFICERS/EMPLOYEES USED CHARTER TRAVEL DURING THE CALENDAR YEAR. BECAUSE THE CHARTER TRAVEL WAS USED FOR ARKANSAS CHILDREN'S BUSINESS PURPOSES, IT WAS NOT CONSIDERED AS TAXABLE WAGES.
PART I, LINE 3
COMPENSATION FOR ANY ACMG EXECUTIVE OR SENIOR OFFICER (PRESIDENT; EXECUTIVE VICE PRESIDENT; SENIOR VICE PRESIDENT) WHO IS NOT A CONTRACTED UAMS EMPLOYEE IS REVIEWED BY THE ARKANSAS CHILDREN'S HUMAN RESOURCES AND COMPENSATION COMMITTEE WHICH IS ESTABLISHED THROUGH THE BYLAWS OF ARKANSAS CHILDREN'S, INC. THE COMMITTEE HAS THE FULL AUTHORITY AND SPECIFIC RESPONSIBILITY FOR REVIEWING AND APPROVING EXECUTIVE COMPENSATION PRACTICES AS IT RELATES TO BASE SALARY, INCENTIVE COMPENSATION AND TOTAL REMUNERATION TARGETS. THE COMMITTEE HAS SPECIFIC RESPONSIBILITY FOR DETERMINING COMPENSATION FOR THE HEALTH SYSTEM PRESIDENT/CEO AND FOR APPROVAL OF RECOMMENDATIONS MADE BY THE CEO FOR POSITIONS DEEMED AS "DISQUALIFIED PERSONS" UNDER SECTION 4958 OF THE CODE. THE POLICIES AND PROGRAMS REVIEWED AND APPROVED BY THE COMMITTEE SHALL BE DESIGNED TO ENSURE THAT THE CORPORATION AND ITS AFFILIATES REMAIN COMPETITIVE AND REASONABLE RELATIVE TO THE COMPENSATION AND TOTAL REMUNERATION OF SIMILARLY SITUATED HEALTH SYSTEMS LOCALLY AND NATIONALLY, AND TO PERMIT THE CORPORATION AND SUCH AFFILIATES TO ATTRACT AND RETAIN SUPERIOR EXECUTIVES IN FURTHERANCE OF THE CORPORATION'S AND AFFILIATES PURPOSES. IN ITS PROCESS, THE COMMITTEE SHALL OBTAIN AND MUST RELY UPON APPROPRIATE DATA AS TO COMPARABILITY PRIOR TO MAKING ITS DETERMINATION OF REASONABLENESS WITH RESPECT TO THE COMPENSATION ARRANGEMENTS OF DISQUALIFIED PERSONS. APPROPRIATE DATA INCLUDES, BUT IS NOT LIMITED TO, COMPENSATION LEVELS PAID BY SIMILARLY SITUATED ORGANIZATIONS, BOTH TAXABLE AND TAX-EXEMPT, FOR FUNCTIONALLY COMPARABLE POSITIONS, CURRENT COMPENSATION SURVEYS COMPILED BY INDEPENDENT FIRMS; THE COMMITTEE MAY RELY UPON OPINIONS OF QUALIFIED LEGAL, ACCOUNTING, VALUATION AND EXECUTIVE COMPENSATION EXPERTS. CONTEMPORANEOUSLY WITH MAKING ITS DETERMINATION OF REASONABLENESS WITH RESPECT TO THE COMPENSATION ARRANGEMENT OF THE CEO AND DISQUALIFIED PERSONS, THE COMMITTEE SHALL DOCUMENT IN ITS MINUTES THE BASIS FOR ITS DECISIONS. A VERBAL REPORT IS PROVIDED TO THE BOARD BY THE CHAIR OF THE COMMITTEE. MINUTES ARE AVAILABLE FOR REVIEW UPON BOARD MEMBER REQUEST TO THE BOARD CHAIR. COMPENSATION FOR ANY ARKANSAS CHILDREN'S MEDICAL GROUP PHYSICIAN OR PROVIDER IS REVIEWED BY THE ARKANSAS CHILDREN'S MEDICAL GROUP EXECUTIVE COMMITTEE. THROUGH THE ACMG POLICY ON COMPENSATION ARRANGEMENTS WITH PHYSICIANS, THE EXECUTIVE COMMITTEE HAS THE FULL AUTHORITY AND SPECIFIC RESPONSIBILITY FOR REVIEWING AND APPROVING COMPENSATION POLICIES, BASE SALARY AND INCENTIVE COMPENSATION LEVELS, AND OTHER BENEFIT PLANS FOR EMPLOYED PHYSICIANS. THIS POLICY IS INTENDED TO ENSURE THAT COMPENSATION ARRANGEMENTS WITH PHYSICIANS ARE MADE IN ACCORDANCE WITH A STANDARDIZED PROCESS, AND TO ENSURE COMPLIANCE WITH ALL APPLICABLE FEDERAL AND STATE LAWS, INCLUDING THE FEDERAL PHYSICIAN SELF-REFERRAL LAW ("STARK LAW") AND THE FEDERAL ANTI-KICKBACK STATUTE. THE POLICY ALSO PROMOTES SOUND BUSINESS AND ETHICAL JUDGMENTS IN CONNECTION WITH COMPENSATION ARRANGEMENTS WITH PHYSICIANS. IN ITS PROCESS, THE COMMITTEE OBTAINS AND RELIES UPON APPROPRIATE DATA FROM MULTIPLE BENCHMARK SURVEYS PRIOR TO MAKING ITS DETERMINATION OF REASONABLENESS WITH RESPECT TO THE COMPENSATION ARRANGEMENTS OF PHYSICIANS.
PART I, LINE 4B
AC'S DEFERRED COMPENSATION PLAN (DCP), WAS INSTITUTED ON 6/30/2014. THE DCP IS A 457(F) NONQUALIFIED SUPPLEMENTAL RETIREMENT PLAN, PROVIDING ANNUAL CONTRIBUTIONS TO CERTAIN EXECUTIVES AT A PERCENTAGE OF THEIR BASE SALARY IN EFFECT ON JUNE 30 OF THE PLAN YEAR. THE SUPPLEMENTAL COMPENSATION SERVES TO ENCOURAGE CONTINUED EMPLOYMENT WITH ARKANSAS CHILDREN'S AND ITS AFFILIATES. THE PLAN PROVIDES THAT DEFERRED AMOUNTS ARE PAID AS SOON AS ADMINISTRATIVELY POSSIBLE AFTER BEING VESTED. IT IS INTENDED THAT SUCH PAYMENTS QUALIFY FOR THE "SHORT-TERM DEFERRAL" EXEMPTION FROM IRC SECTION 409A, AND FOR TAX DEFERRAL UNDER IRC SECTION 457(F). PER THE PLAN DOCUMENT, EACH DCP CONTRIBUTION FOR A PLAN YEAR AND ITS ASSOCIATED EARNINGS VEST AS FOLLOWS, ON THE EARLIER OF: - (SUBACCOUNT); THE FIRST DAY OF THE PLAN YEAR FOLLOWING THREE (3) CONTINUOUS PLAN YEARS OF EMPLOYMENT BY THE PARTICIPANT WITH ARKANSAS CHILDREN'S OR AFFILIATE, WHICH BEGINS ON THE FIRST DAY OF THE PLAN YEAR FOR WHICH THE CONTRIBUTION IS CREDITED. - (PRIMARY ACCOUNT, INCLUDING SUBACCOUNTS) - ATTAINMENT OF AGE 65 AND AT LEAST 3 YEARS OF SERVICE AS A DCP PARTICIPANT - (PRIMARY ACCOUNT, INCLUDING SUBACCOUNTS) - DEATH OR PERMANENT DISABILITY - (PRIMARY ACCOUNT, INCLUDING SUBACCOUNTS) - INVOLUNTARY TERMINATION (OTHER THAN FOR CAUSE) - (PRIMARY ACCOUNT, INCLUDING SUBACCOUNTS) - PLAN TERMINATION FOR TAX YEAR 2023 (FISCAL YEAR 2024), THE PRESIDENT AND THREE REPORTABLE EMPLOYEES WERE ELIGIBLE AND PARTICIPATING IN THE DEFERRED COMPENSATION PLAN. SOME OF THESE EMPLOYEES RECEIVED DISTRIBUTIONS PER THE PLAN DOCUMENT. SUCH AMOUNTS ARE NOTED BELOW. - GENA WINGFIELD: ACMG BOARD OF MANAGERS & AC EVP AND CFO - $66,700 PER THE PLAN DOCUMENT, UPON BECOMING VESTED IN A PLAN YEAR SUBACCOUNT AND AS SOON AS ADMINISTRATIVELY PRACTICABLE AFTER SUCH VESTING DATE, BUT NO LATER THAN THE END OF THE CALENDAR YEAR IN WHICH SUCH VESTING DATE OCCURRED, INDIVIDUAL PARTICIPANTS WILL BE PAID A LUMP SUM PAYMENT EQUAL TO THE PLAN YEAR SUBACCOUNT BALANCE AS OF THE JUNE 30 IMMEDIATELY PRECEDING SUCH VESTING DATE.
FORM 990, SCHEDULE J, PART I, LINES 5-7
THE INCENTIVE PLANS FOR ALL ENTITIES HAVE SPECIFIC RULES AND CALCULATIONS FOR BONUSES. NONE ARE CONTINGENT ON REVENUES OR NET EARNINGS OF THE ORGANIZATIONS (ANY), AND SINCE THEY ARE CALCULATED BASED ON A SPECIFIC FORMULA, THEY ARE NOT "NON-FIXED". THE QUESTIONS 5, 6, AND 7 IN PART I TO SCHEDULE J ARE ALL CORRECTLY ANSWERED "NO".

Part I's answers as filed. A line not listed was left unanswered; on lines 1a and 3 that means the box was not checked.

Grants on this return

No itemized grants to organizations on this return.

Related organizations on this return

Schedule R Part II: tax-exempt organizations related to the filer by control. It does not record shared board members or money.

Provenance

Return type
form_990
Tax year
2023
Filed
6 May 2025
IRS schema version
2023v6.0
Source object
202521269349302542

Check it against the return as filed: the GivingTuesday Data Lake hosts a public copy of the original XML.

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