ARKANSAS CHILDRENS HOSPITAL: Form 990, tax year 2022

View the entire original 990 at ProPublica ↗

Organization
ARKANSAS CHILDRENS HOSPITAL (EIN 71-0236857)
Tax period
2022-07-01 to 2023-06-30
Filed
2024-05-06
IRS object ID
202421279349302247
Schema version
2022v5.0
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2024-05-06T13:37:22-05:00ReturnTs
Tax Period End2023-06-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN135565207PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1KPMG LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1301 MAIN ST ONE AMERICAN PL STEAddressLine1Txt
Address Line22150AddressLine2Txt
CityBATON ROUGECityNm
State AbbreviationLAStateAbbreviationCd
ZIP708011705ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2022-07-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN710236857EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1ARKANSAS CHILDREN'S HOSPITALBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlARKABusinessNameControlTxt
Phone5013642555PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11 CHILDRENS WAYAddressLine1Txt
CityLITTLE ROCKCityNm
State AbbreviationARStateAbbreviationCd
ZIP72202ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonMARCELLA DODERERPersonNm
Person TitlePRESIDENT & CEOPersonTitleTxt
Phone5013642555PhoneNum
Signature2024-05-06SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstMARCELLAPersonFirstNm
Person LastDODERERPersonLastNm
FieldValueIRS element (for citing)
SSN999009999SSN
FieldValueIRS element (for citing)
IRS Responsible Prty Info Curr0IRSResponsiblePrtyInfoCurrInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonRYAN HOOKSPreparerPersonNm
PTINP00746825PTIN
Phone2253444000PhoneNum

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

FieldValueIRS element (for citing)
Trusted Customer2TrustedCustomerCd
Authentication Assurance LevelAAL1AuthenticationAssuranceLevelCd
Identity Assurance LevelIAL1IdentityAssuranceLevelCd
FieldValueIRS element (for citing)
Tax2022TaxYr
Build TS2023-04-26 12:10:37ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerMARCELLA DODERERPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line11 CHILDRENS WAYAddressLine1Txt
CityLITTLE ROCKCityNm
State AbbreviationARStateAbbreviationCd
ZIP72202ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$818,266,374GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.ARCHILDRENS.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1912FormationYr
Legal Domicile StateARLegalDomicileStateCd
Activity Or MissionWE CHAMPION CHILDREN BY MAKING THEM BETTER TODAY AND HEALTHIER TOMORROW.ActivityOrMissionDesc
Voting Members Governing Body15VotingMembersGoverningBodyCnt
Voting Members Independent12VotingMembersIndependentCnt
Total Employee4549TotalEmployeeCnt
Total Volunteers534TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$53,377,352PYContributionsGrantsAmt
CY Contributions Grants$36,302,216CYContributionsGrantsAmt
PY Program Service Revenue$687,675,434PYProgramServiceRevenueAmt
CY Program Service Revenue$774,292,402CYProgramServiceRevenueAmt
PY Investment Income-$12,895,338PYInvestmentIncomeAmt
CY Investment Income-$2,629,899CYInvestmentIncomeAmt
PY Other Revenue$9,298,179PYOtherRevenueAmt
CY Other Revenue$10,255,001CYOtherRevenueAmt
PY Total Revenue$737,455,627PYTotalRevenueAmt
CY Total Revenue$818,219,720CYTotalRevenueAmt
PY Grants And Similar Paid$28,002,492PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$9,907,678CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$331,868,749PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$372,558,266CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$341,169,721PYOtherExpensesAmt
CY Other Expenses$376,198,314CYOtherExpensesAmt
PY Total Expenses$701,040,962PYTotalExpensesAmt
CY Total Expenses$758,664,258CYTotalExpensesAmt
PY Revenues Less Expenses$36,414,665PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$59,555,462CYRevenuesLessExpensesAmt
Total Assets BOY$1,069,940,948TotalAssetsBOYAmt
Total Assets EOY$1,251,359,610TotalAssetsEOYAmt
Total Liabilities BOY$155,185,911TotalLiabilitiesBOYAmt
Total Liabilities EOY$277,192,853TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$914,755,037NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$974,166,757NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionWE CHAMPION CHILDREN BY MAKING THEM BETTER TODAY AND HEALTHIER TOMORROW.CONTINUED ON SCHEDULE O.ARKANSAS CHILDREN'S WILL FUNDAMENTALLY TRANSFORM HEALTHCARE DELIVERY FOR THE CHILDREN OF ARKANSAS AND BEYOND. ARKANSAS CHILDREN'S CORE VALUES ARE THE ORGANIZATIONAL PRINCIPLES THAT HIGHLIGHT OUR REGARD FOR EACH OTHER AND THOSE WE SERVE:SAFETY: WE ARE VIGILANT ABOUT CREATING AN ERROR-FREE ENVIRONMENT FOR PATIENTS, FAMILIES, AND TEAM MEMBERS.TEAMWORK: WE DEMONSTRATE ACTIONABLE CARE AND CONCERN FOR PATIENTS, FAMILIES, AND TEAM MEMBERS.COMPASSION: WE COORDINATE, COMMUNICATE, COOPERATE, AND COLLABORATE TO ENSURE THE HIGHEST LEVEL OF SERVICE FOR OUR PATIENTS, FAMILIES, AND TEAM MEMBERS.EXCELLENCE: WE ACHIEVE THE HIGHEST OF STANDARDS AND SERVE WITH DISTINCTION IN ORDER TO BE THE BEST.SAFETY AND EXCELLENCE FRAME OUR WORK. TEAMWORK AND COMPASSION PLACE PEOPLE AT THE CENTER OF ALL WE DO.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$628,937,463ExpenseAmt
Grant$9,907,678GrantAmt
Revenue$777,293,088RevenueAmt
DescARKANSAS CHILDREN'S HOSPITAL (ACH) IS A NOT-FOR-PROFIT PEDIATRIC HOSPITAL THAT SERVES AS THE ONLY QUATERNARY HEALTH CARE FACILITY FOR CHILDREN IN THE STATE OF ARKANSAS. ACH HAS THE ONLY BURN CENTER IN ARKANSAS AND PROVIDES TREATMENT TO ADULTS AS WELL AS CHILDREN. ACH IS LICENSED FOR 336 OPERATING BEDS, OF WHICH 166 ARE INTENSIVE CARE BEDS AND 147 ARE MEDICAL/SURGICAL BEDS. DURING THE YEAR ENDED JUNE 30, 2023, ACH'S UTILIZATION WAS AS FOLLOWS: 15,637 ADMISSIONS WITH AN AVERAGE STAY OF 5.79 DAYS; 89,010 PATIENT DAYS; 243.9 AVERAGE DAILY CENSUS; 263,576 OUTPATIENT VISITS, EXCLUDING ER VISITS WHICH WERE 67,375; AND 16,115 SURGERIES. CONTINUED ON SCHEDULE O.IN ADDITION TO PROVIDING CHARITY CARE, ACH IS A MAGNET RECOGNIZED FACILITY OPERATING THE STATE'S ONLY LEVEL I PEDIATRIC TRAUMA CENTER; THE STATE'S ONLY BURN CENTER; THE STATE'S ONLY LEVEL IV NEONATAL INTENSIVE CARE UNIT; THE STATE'S ONLY PEDIATRIC INTENSIVE CARE UNIT; THE STATE'S ONLY PEDIATRIC SURGERY PROGRAM WITH LEVEL 1 VERIFICATION FROM THE AMERICAN COLLEGE OF SURGEONS (ACS); THE STATE'S ONLY PEDIATRIC SPECIFIC MAGNETOENCEPHALOGRAPHY (MEG) SYSTEM FOR NEUROSURGICAL PLANNING AND CUTTING-EDGE RESEARCH; AND THE STATE'S ONLY NATIONALLY RECOGNIZED PEDIATRIC TRANSPORT PROGRAM. ADDITIONALLY, ARKANSAS CHILDREN'S IS NATIONALLY RANKED BY U.S. NEWS & WORLD REPORT IN SEVEN PEDIATRIC SUBSPECIALTIES: CANCER, CARDIOLOGY & HEART SURGERY, DIABETES & ENDOCRINOLOGY, NEPHROLOGY, ORTHOPEDICS, PULMONOLOGY & LUNG SURGERY, AND UROLOGY.Desc
Total Program Service Expenses$628,937,463TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying Activities0LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Donor Rstr Or Quasi EndowmentsYes (1)DonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other AssetsYes (1)ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (1)ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate HospitalYes (1)OperateHospitalInd
Audited Financial Stmt AttYes (1)AuditedFinancialStmtAttInd
Grants To OrganizationsYes (1)GrantsToOrganizationsInd
Grants To IndividualsYes (1)GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt BondsYes (1)TaxExemptBondsInd
Invest Tax Exempt Bonds0InvestTaxExemptBondsInd
Escrow Account0EscrowAccountInd
On Behalf Of Issuer0OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam MemYes (1)BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent0BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document268IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee4549EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt0SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc0SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members15GoverningBodyVotingMembersCnt
Independent Voting Member12IndependentVotingMemberCnt
Family Or Business RlnYes (1)FamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesYes (1)DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or StockholdersYes (1)MembersOrStockholdersInd
Election Of Board MembersYes (1)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (1)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process OtherYes (1)CompensationProcessOtherInd
Investment In Joint VentureYes (1)InvestmentInJointVentureInd
Written Policy Or ProcedureYes (1)WrittenPolicyOrProcedureInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1GENA WINGFIELDBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone5013642555PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11 CHILDRENS WAYAddressLine1Txt
CityLITTLE ROCKCityNm
State AbbreviationARStateAbbreviationCd
ZIP72202ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (40 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtKey EmployeeKeyEmployeeIndHighest Compensated EmployeeHighestCompensatedEmployeeIndFormer Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
MARCELLA DODERER
PRESIDENT/CEO0.5956.01Yes (X)Yes (X)$0$2,003,751$270,566
HUNTER BALE
TRUSTEE/DIRECTOR0.110.00Yes (X)$0$0$0
JOHN BALE JR
TRUSTEE/DIRECTOR (PARTIAL YEAR)0.240.14Yes (X)$0$0$0
TRAV BAXTER
TRUSTEE/DIRECTOR0.560.00Yes (X)$0$0$0
MELISSA GRAHAM MD
TRUSTEE/DIRECTOR0.510.00Yes (X)$0$0$0
DOUGLAS JACKSON
VICE CHAIR0.300.00Yes (X)$0$0$0
RICHARD JACOBS MD
TRUSTEE/DIRECTOR0.590.00Yes (X)$0$0$0
TIONNA JENKINS PHD
TRUSTEE/DIRECTOR0.470.00Yes (X)$0$0$0
PHILLIP JETT
BOARD TREASURER0.250.11Yes (X)$0$0$0
HOLLY MARR
TRUSTEE/DIRECTOR0.450.00Yes (X)$0$0$0
PAT MCCLELLAND
TRUSTEE/DIRECTOR0.420.21Yes (X)$0$0$0
BARBARA G MOORE
TRUSTEE/DIRECTOR0.310.17Yes (X)$0$0$0
BEVERLY A MORROW
CHAIR OF THE BOARD0.680.19Yes (X)$0$0$0
GRESHAM RICHTER MD
TRUSTEE/DIRECTOR-CHIEF OF MED STAFF55.560.00Yes (X)$649,911$2,275$61,040
ROSS WHIPPLE
TRUSTEE/DIRECTOR0.310.00Yes (X)$0$0$0
DARRIN WILLIAMS
TRUSTEE/DIRECTOR0.260.00Yes (X)$0$0$0
GENA WINGFIELD
EVP/CHIEF FINANCIAL OFFICER0.0048.06Yes (X)$0$819,786$96,771
FREDERICK BARR MD
EVP-CHIEF CLINICAL & ACADEMIC OFCR18.0042.31$0$872,402$96,924Yes (X)
JAMIE WIGGINS
EVP/COO0.0050.00$0$644,204$71,983Yes (X)
ERIN PARKER
SVP/CIO0.0048.00$0$439,171$59,250Yes (X)
CINDY HILL
FINANCIAL SERVICES VP55.000.00$336,822$0$24,096Yes (X)
LEE ANNE EDDY
PATIENT CARE SVC SVP/CNO (PARTIAL YR)50.000.00$313,762$0$5,557Yes (X)
LE'KITA BROWN
REVENUE CYCLE VP50.000.00$309,846$0$21,964Yes (X)
CARRIE LEE
PATIENT CARE SVCS VP (PARTIAL YR)50.000.00$256,741$0$25,148Yes (X)
TAMMY DIAMOND-WELLS
PATIENT CARE SERVICES VP50.000.00$252,075$0$27,335Yes (X)
ROBIN MITCHELL
VP OPERATIONS48.000.00$219,144$0$12,316Yes (X)
ANN KRUGER
INTERIM SVP/CNO (PARTIAL YEAR)50.000.00$196,380$0$16,702Yes (X)
KENDREA JONES
PHARMACY DIRECTOR50.000.00$175,029$0$27,623Yes (X)
KRIS MADDALENA
SVP/CNO (PARTIAL YEAR)50.000.00$172,236$0$3,357Yes (X)
JOHN MCNALLY
MEDICAL ADMINISTRATION DIRECTOR50.000.00$169,479$0$5,099Yes (X)
RACHEL FRENNER
DIRECTOR LABORATORY48.000.00$157,851$0$21,147Yes (X)
STEPHANIE ROCKETT
DIRECTOR PATIENT CARE SERVICES50.000.00$157,600$0$25,697Yes (X)
AMY FALLON
OPERATIONS SVP0.0050.00$20,114$331,727$31,144Yes (X)
GREGORY SHARP MD
SVP/CHIEF MEDICAL OFFCR (PARTIAL YR)55.000.00$494,016$0$70,182Yes (X)
JARED CAPOUYA
QUALITY & SAFETY VP (PARTIAL YEAR)50.000.00$385,981$0$28,451Yes (X)
CHRISTIAN EISENRING
SURGICAL ASSISTANT COORDINATOR50.000.00$252,404$0$25,147Yes (X)
ANGELA GLOVER
PATIENT CARE MANAGER50.000.00$230,092$0$20,141Yes (X)
BETH PETLAK
VP POPULATION HEALTH/CHS EXEC DIR50.000.00$224,894$0$15,289Yes (X)
STEPHANIE PIERCE
STRATEGIC MARKETING VP50.000.00$221,655$0$28,737Yes (X)
SHANNON HENDRIX
ACNW CHIEF ADMIN (FORMER ACH VP)0.0050.00$0$372,794$62,720Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$5,196,032TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$5,486,110TotReportableCompRltdOrgAmt
Total Other Compensation$1,154,386TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K479IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedYes (1)FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other SrcsYes (1)CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
UNIVERSITY OF ARKANSAS FOR MEDICAL SCIEN
4301 WEST MARKHAMLITTLE ROCKAR72205MEDICAL SERVICES$85,177,852
CROSS COUNTRY STAFFING INC
PO BOX 404674ATLANTAGA303844674STAFFING$19,674,213
CROTHALL HEALTHCARE
13028 COLLECTION CENTER DRIVECHICAGOIL60693PATIENT TRANSPORT/EVS/LINEN SVC$11,279,650
COMPASS ONE
PO BOX 102289ATLANTAGA303682289NUTRITION SERVICES$8,951,929
NABHOLZ CONSTRUCTION CORP
PO BOX 2090CONWAYAR72033GENERAL CONSTRUCTION CONTRACTOR$7,030,033
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K117CntrctRcvdGreaterThan100KCnt
Related Organizations$14,212,122RelatedOrganizationsAmt
Government Grants$22,090,094GovernmentGrantsAmt
Total Contributions$36,302,216TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
PAYMENTS FOR MED SVCS622110$763,553,279$763,553,279
PHARMACY - PATIENT456110$10,739,123$10,739,123
FieldValueIRS element (for citing)
Total Program Service Revenue$774,292,402TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column-$2,623,063TotalRevenueColumnAmt
Exclusion-$2,623,063ExclusionAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$2,110,373RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$25,300RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$2,085,073RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$2,085,073TotalRevenueColumnAmt
Exclusion$2,085,073ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Other$14,518OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Other$21,354OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Other-$6,836OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column-$6,836TotalRevenueColumnAmt
Exclusion-$6,836ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtExclusionExclusionAmt
NUTRITIONAL SERVICES622110$3,911,148$3,911,148
CHILD ENRICHMENT624410$1,258,094$1,258,094

Miscellaneous Revenue MiscellaneousRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$3,000,686TotalRevenueColumnAmt
Related Or Exempt Func Income$3,000,686RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Other Revenue Total$8,169,928OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$818,219,720TotalRevenueColumnAmt
Related Or Exempt Func Income$777,293,088RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$4,624,416ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$9,492,542TotalAmt
Program Services$9,492,542ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$415,136TotalAmt
Program Services$415,136ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$3,651,983TotalAmt
Program Services$2,899,259ProgramServicesAmt
Management And General$752,724ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$94,908TotalAmt
Program Services$94,908ProgramServicesAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$319,420,680TotalAmt
Program Services$250,034,283ProgramServicesAmt
Management And General$69,386,397ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$49,390,695TotalAmt
Program Services$42,567,558ProgramServicesAmt
Management And General$6,823,137ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$10,098,791TotalAmt
Program Services$10,015,083ProgramServicesAmt
Management And General$83,708ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$14,214TotalAmt
Program Services$14,214ProgramServicesAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$146,857,097TotalAmt
Program Services$129,456,532ProgramServicesAmt
Management And General$17,400,565ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$675,569TotalAmt
Program Services$41,715ProgramServicesAmt
Management And General$633,854ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$9,518,439TotalAmt
Program Services$5,580,013ProgramServicesAmt
Management And General$3,938,426ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$25,185,558TotalAmt
Program Services$6,764,986ProgramServicesAmt
Management And General$18,420,572ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$4,601,718TotalAmt
Program Services$3,407,782ProgramServicesAmt
Management And General$1,193,936ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$1,830,091TotalAmt
Program Services$1,660,512ProgramServicesAmt
Management And General$169,579ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$757,395TotalAmt
Program Services$717,682ProgramServicesAmt
Management And General$39,713ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$3,737,568TotalAmt
Management And General$3,737,568ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$38,681,258TotalAmt
Program Services$33,070,686ProgramServicesAmt
Management And General$5,610,572ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$192,006TotalAmt
Program Services$192,006ProgramServicesAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
MEDICAL SUPPLIES$117,236,058$116,891,467$344,591
OTHER ADMIN EXPENSES$13,760,906$12,976,249$784,657
MINOR EQUIPMENT$1,833,587$1,534,148$299,439
DUES & SUBSCRIPTIONS$1,218,059$1,110,702$107,357

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$758,664,258TotalAmt
Program Services$628,937,463ProgramServicesAmt
Management And General$129,726,795ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$41,095BOYAmt
EOY$28,961EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$42,557,078BOYAmt
EOY$99,396,683EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$100,142,022BOYAmt
EOY$102,881,891EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$10,889,963BOYAmt
EOY$12,063,877EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$9,211,405BOYAmt
EOY$12,980,810EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$648,830,369LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$409,716,297LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$253,231,668BOYAmt
EOY$239,114,072EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$470,577,547BOYAmt
EOY$449,753,333EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$1,812,684BOYAmt
EOY$1,841,366EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
BOY$420,545BOYAmt
EOY$547,383EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$181,056,941BOYAmt
EOY$332,751,234EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$1,069,940,948BOYAmt
EOY$1,251,359,610EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$61,798,967BOYAmt
EOY$52,758,514EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$111,272BOYAmt
EOY$215,079EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$87,459,111BOYAmt
EOY$219,152,337EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$5,816,561BOYAmt
EOY$5,066,923EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$155,185,911BOYAmt
EOY$277,192,853EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$876,472,637BOYAmt
EOY$937,282,941EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$38,282,400BOYAmt
EOY$36,883,816EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$914,755,037BOYAmt
EOY$974,166,757EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$1,069,940,948BOYAmt
EOY$1,251,359,610EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$59,555,462ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$4,056,999NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets-$4,200,741OtherChangesInNetAssetsAmt
Info In Schedule O Part XIIYes (X)InfoInScheduleOPartXIIInd
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit RequiredYes (1)FederalGrantAuditRequiredInd
Federal Grant Audit PerformedYes (1)FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$337,106,727BeginningYearBalanceAmt
Contributions$2,308,928ContributionsAmt
Investment Earnings Or Losses$22,159,442InvestmentEarningsOrLossesAmt
Other Expenditures$7,451,173OtherExpendituresAmt
End Year Balance$354,123,924EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$374,165,487BeginningYearBalanceAmt
Contributions$10,947,859ContributionsAmt
Investment Earnings Or Losses-$36,410,499InvestmentEarningsOrLossesAmt
Other Expenditures$11,596,120OtherExpendituresAmt
End Year Balance$337,106,727EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$310,862,422BeginningYearBalanceAmt
Contributions$1,798,329ContributionsAmt
Investment Earnings Or Losses$74,160,395InvestmentEarningsOrLossesAmt
Other Expenditures$12,655,659OtherExpendituresAmt
End Year Balance$374,165,487EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$309,182,507BeginningYearBalanceAmt
Contributions$4,459,025ContributionsAmt
Investment Earnings Or Losses$3,961,742InvestmentEarningsOrLossesAmt
Other Expenditures$6,740,852OtherExpendituresAmt
End Year Balance$310,862,422EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$296,307,577BeginningYearBalanceAmt
Contributions$5,224,717ContributionsAmt
Investment Earnings Or Losses$20,943,820InvestmentEarningsOrLossesAmt
Other Expenditures$13,293,607OtherExpendituresAmt
End Year Balance$309,182,507EndYearBalanceAmt
FieldValueIRS element (for citing)
Board Designated Balance EOY0.73970BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY0.13980PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY0.12050TermEndowmentBalanceEOYPct
Endowments Held Unrelated Org0EndowmentsHeldUnrelatedOrgInd
Endowments Held Related OrgYes (1)EndowmentsHeldRelatedOrgInd
Related Org List Sch RYes (1)RelatedOrgListSchRInd

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$15,242,556OtherCostOrOtherBasisAmt
Book Value$15,242,556BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$374,631,789OtherCostOrOtherBasisAmt
Depreciation$236,300,458DepreciationAmt
Book Value$138,331,331BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$226,242,368OtherCostOrOtherBasisAmt
Depreciation$159,531,875DepreciationAmt
Book Value$66,710,493BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$32,713,656OtherCostOrOtherBasisAmt
Depreciation$13,883,964DepreciationAmt
Book Value$18,829,692BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$239,114,072TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (7 entries)

DescDescBook ValueBookValueAmt
FUNDS HELD BY TRUSTEE UNDER BOND AGREEMENTS$135,699,581
ESTIMATED 3RD PARTY SETTLEMENT (MCD)$164,994,295
SUPPLEMENTAL MEDICAID RECEIVABLE$16,556,338
GME RECEIVABLE$2,080,787
OTHER RECEIVABLES$12,512,162
INTEREST RECEIVABLE - FUNDED DEPR$205,029
DUE FROM AFFILIATES$703,042
FieldValueIRS element (for citing)
Total Book Value Other Assets$332,751,234TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)

DescDescAmtAmt
OPERATING LEASES$2,947,020
CAPITAL LEASES$2,119,903
FieldValueIRS element (for citing)
Total Liability$5,066,923TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART V, LINE 4:EARNINGS FROM ENDOWMENT FUNDS WILL BE USED TO SUPPORT VARIOUS HOSPITAL PROGRAMS. THE FILING ORGANIZATION DOES NOT HOLD ANY ENDOWMENTS; ALL ENDOWMENTS ARE HELD BY ARKANSAS CHILDREN'S FOUNDATION, A RELATED ORGANIZATION.
PART X, LINE 2:NOTE: THE AUDIT WAS COMPRISED OF THE CONSOLIDATED FINANCIAL STATEMENTS OF ARKANSAS CHILDREN'S, INC., ARKANSAS CHILDREN'S HOSPITAL, ARKANSAS CHILDREN'S FOUNDATION, ARKANSAS CHILDREN'S RESEARCH INSTITUTE, ARKANSAS CHILDREN'S NORTHWEST, ARKANSAS CHILDREN'S CARE NETWORK, ARKANSAS CHILDREN'S MEDICAL GROUP, AND SACOVA INSURANCE COMPANY (COLLECTIVELY, ARKANSAS CHILDREN'S). FOOTNOTE: ARKANSAS CHILDREN'S APPLIES FASB ASC TOPIC 740 (TOPIC 740), ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES. TOPIC 740 CLARIFIES THE ACCOUNTING FOR UNCERTAINTY IN INCOME TAX POSITIONS AND PROVIDES GUIDANCE ON WHEN TAX POSITIONS ARE RECOGNIZED IN AN ENTITY'S FINANCIAL STATEMENTS AND HOW THE VALUES OF THESE POSITIONS ARE DETERMINED. MANAGEMENT HAS ANALYZED THE TAX POSITIONS TAKEN BY ARKANSAS CHILDREN'S AND HAS CONCLUDED THAT AS OF JUNE 30, 2023 AND 2022, THERE ARE NO UNCERTAIN POSITIONS TAKEN OR EXPECTED TO BE TAKEN THAT WOULD REQUIRE RECOGNITION OF A LIABILITY (OR ASSET) OR DISCLOSURE IN THE CONSOLIDATED FINANCIAL STATEMENTS.

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Financial Assistance PolicyYes (1)FinancialAssistancePolicyInd
Written PolicyYes (1)WrittenPolicyInd
FPG Reference Free CareYes (1)FPGReferenceFreeCareInd

Free Care Oth Percentage FreeCareOthPercentageGrp

FieldValueIRS element (for citing)
OtherYes (X)OtherInd
Free Care Other250.000000000000FreeCareOtherPct
FieldValueIRS element (for citing)
FPG Reference Discounted CareYes (1)FPGReferenceDiscountedCareInd
Percent400Yes (X)Percent400Ind
Free Care Medically Indigent0FreeCareMedicallyIndigentInd
Financial Assistance BudgetYes (1)FinancialAssistanceBudgetInd
Expenses Exceed Budget0ExpensesExceedBudgetInd
Annual Community Bnft Report0AnnualCommunityBnftReportInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$17,728,336TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$17,728,336NetCommunityBenefitExpnsAmt
Total Expense0.02340TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$441,856,501TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$428,568,905DirectOffsettingRevenueAmt
Net Community Benefit Expns$13,287,596NetCommunityBenefitExpnsAmt
Total Expense0.01750TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$459,584,837TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$428,568,905DirectOffsettingRevenueAmt
Net Community Benefit Expns$31,015,932NetCommunityBenefitExpnsAmt
Total Expense0.04090TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$9,172,025TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$2,791,155DirectOffsettingRevenueAmt
Net Community Benefit Expns$6,380,870NetCommunityBenefitExpnsAmt
Total Expense0.00840TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$25,933,464TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$10,370,191DirectOffsettingRevenueAmt
Net Community Benefit Expns$15,563,273NetCommunityBenefitExpnsAmt
Total Expense0.02050TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$46,467,395TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$17,324,662DirectOffsettingRevenueAmt
Net Community Benefit Expns$29,142,733NetCommunityBenefitExpnsAmt
Total Expense0.03840TotalExpensePct

Research ResearchGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$4,806,781TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$4,806,781NetCommunityBenefitExpnsAmt
Total Expense0.00630TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$9,734,950TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$168,535DirectOffsettingRevenueAmt
Net Community Benefit Expns$9,566,415NetCommunityBenefitExpnsAmt
Total Expense0.01260TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$96,114,615TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$30,654,543DirectOffsettingRevenueAmt
Net Community Benefit Expns$65,460,072NetCommunityBenefitExpnsAmt
Total Expense0.08620TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$555,699,452TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$459,223,448DirectOffsettingRevenueAmt
Net Community Benefit Expns$96,476,004NetCommunityBenefitExpnsAmt
Total Expense0.12710TotalExpensePct

Community Support CommunitySupportGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$4,750TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$485DirectOffsettingRevenueAmt
Net Community Benefit Expns$4,265NetCommunityBenefitExpnsAmt
Total Expense0.00000TotalExpensePct

Health Improvement Advocacy HealthImprovementAdvocacyGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$157,989TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$1DirectOffsettingRevenueAmt
Net Community Benefit Expns$157,988NetCommunityBenefitExpnsAmt
Total Expense0.00020TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$162,739TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$486DirectOffsettingRevenueAmt
Net Community Benefit Expns$162,253NetCommunityBenefitExpnsAmt
Total Expense0.00020TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense ReportedYes (1)BadDebtExpenseReportedInd
Bad Debt Expense$2,577,540BadDebtExpenseAmt
Reimbursed By Medicare$3,270,500ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$3,328,019CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall-$57,519MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

FieldValueIRS element (for citing)
Cost To Charge RatioYes (X)CostToChargeRatioInd
FieldValueIRS element (for citing)
Written Debt Collection PolicyYes (1)WrittenDebtCollectionPolicyInd
Financial Assistance PrvsnYes (1)FinancialAssistancePrvsnInd
Hospital Facilities1HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

FieldValueIRS element (for citing)
Facility1FacilityNum

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1ARKANSAS CHILDREN'S HOSPITALBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line11 CHILDRENS WAYAddressLine1Txt
CityLITTLE ROCKCityNm
State AbbreviationARStateAbbreviationCd
ZIP72202ZIPCd
FieldValueIRS element (for citing)
Website AddressWWW.ARCHILDRENS.ORGWebsiteAddressTxt
State LicenseAR4640StateLicenseNum
Licensed HospitalYes (X)LicensedHospitalInd
General Medical And SurgicalYes (X)GeneralMedicalAndSurgicalInd
Childrens HospitalYes (X)ChildrensHospitalInd
Teaching HospitalYes (X)TeachingHospitalInd
Research FacilityYes (X)ResearchFacilityInd
Emergency Room24 HrsYes (X)EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1ARKANSAS CHILDREN'S HOSPITALBusinessNameLine1Txt
FieldValueIRS element (for citing)
Facility1FacilityNum
First Licensed CY Or PY0FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY0TaxExemptHospitalCYOrPYInd
CHNA ConductedYes (1)CHNAConductedInd
Community DefinitionYes (X)CommunityDefinitionInd
Community DemographicsYes (X)CommunityDemographicsInd
Existing ResourcesYes (X)ExistingResourcesInd
How Data ObtainedYes (X)HowDataObtainedInd
Community Health NeedsYes (X)CommunityHealthNeedsInd
Other Health IssuesYes (X)OtherHealthIssuesInd
Community Hlth Needs Id ProcessYes (X)CommunityHlthNeedsIdProcessInd
Consulting ProcessYes (X)ConsultingProcessInd
Prior CHNA ImpactYes (X)PriorCHNAImpactInd
OtherYes (X)OtherInd
CHNA Conducted21CHNAConductedYr
Take Into Account Others InputYes (1)TakeIntoAccountOthersInputInd
CHNA Conducted With Other FcltsYes (1)CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non FcltsYes (1)CHNAConductedWithNonFcltsInd
CHNA Report Widely AvailableYes (1)CHNAReportWidelyAvailableInd
Rpt Available On Own WebsiteYes (X)RptAvailableOnOwnWebsiteInd
Own Website URLWWW.ARCHILDRENS.ORG/RESOURCES/COMMUNITY-NEEDS-ASSESSMENTOwnWebsiteURLTxt
Paper Copy Public InspectionYes (X)PaperCopyPublicInspectionInd
Rpt Available Thru Other MethodYes (X)RptAvailableThruOtherMethodInd
Implementation Strategy AdoptYes (1)ImplementationStrategyAdoptInd
Implementation Strategy Adpt22ImplementationStrategyAdptYr
Strategy Posted WebsiteYes (1)StrategyPostedWebsiteInd
Strategy Website URLWWW.ARCHILDRENS.ORG/RESOURCES/COMMUNITY-NEEDS-ASSESSMENTStrategyWebsiteURLTxt
Organization Incur Excise Tax0OrganizationIncurExciseTaxInd
Elig Criteria ExplainedYes (1)EligCriteriaExplainedInd
FPG Family Incm Lmt Free DscntYes (X)FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care250.000000000000FPGFamilyIncmLmtFreeCarePct
Explained BasisYes (1)ExplainedBasisInd
App Financial Asst ExplnYes (1)AppFinancialAsstExplnInd
Described InfoYes (X)DescribedInfoInd
Described Suprt DocYes (X)DescribedSuprtDocInd
Provided Hospital ContactYes (X)ProvidedHospitalContactInd
Includes Publicity MeasuresYes (1)IncludesPublicityMeasuresInd
FAP Available On WebsiteYes (X)FAPAvailableOnWebsiteInd
FAP Available On Website URLSEE PART V, SECTION CFAPAvailableOnWebsiteURLTxt
FAP App Available On WebsiteYes (X)FAPAppAvailableOnWebsiteInd
FAP App Available On Website URLSEE PART V, SECTION CFAPAppAvailableOnWebsiteURLTxt
FAP Summary On WebsiteYes (X)FAPSummaryOnWebsiteInd
FAP Summary On Website URLSEE PART V, SECTION CFAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No ChargeYes (X)FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No ChrgYes (X)FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No ChrgYes (X)FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill DisplayYes (X)NotifiedFAPCopyBillDisplayInd
Communtity Notified FAPYes (X)CommuntityNotifiedFAPInd
FAP TranslatedYes (X)FAPTranslatedInd
FAP Actions On NonpaymentYes (1)FAPActionsOnNonpaymentInd
Permit No ActionsYes (X)PermitNoActionsInd
Collection Activities0CollectionActivitiesInd
None MadeYes (X)NoneMadeInd
Nondis Emergency Care PolicyYes (1)NondisEmergencyCarePolicyInd
Look Back Medicaid Medcr PrvtYes (X)LookBackMedicaidMedcrPrvtInd
Amounts Generally Billed0AmountsGenerallyBilledInd
Gross Charges0GrossChargesInd

Supplemental Information SupplementalInformationGrp (15 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
ARKANSAS CHILDREN'S HOSPITALPART V, SECTION B, LINE 3J: IN ADDITION TO THE ITEMS CHECKED IN BOXES A - I, OTHER INFORMATION WAS INCLUDED IN THE NEEDS ASSESSMENT. AS THE ONLY PEDIATRIC HEALTHCARE SYSTEM, AND ONE OF ONLY TWO PEDIATRIC HOSPITALS IN THE STATE OF ARKANSAS, ARKANSAS CHILDREN'S HOSPITAL (ACH) CONSIDERS ITS COMMUNITY TO BE ALL CHILDREN UNDER AGE 18 WHO LIVE IN THE STATE. IN 2022, THIS INCLUDED ALMOST 700,000 CHILDREN ACROSS 75 COUNTIES. THE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) CONTAINS INFORMATION ABOUT THE NATURAL WONDERS PARTNERSHIP COUNCIL, WHICH IS A DIVERSE COALITION OF CHILD HEALTH ORGANIZATIONS WHO WORK TOGETHER TO IMPROVE CHILD HEALTH. ARKANSAS CHILDREN'S CHNA'S INFORM THE GOALS AND ACTION PLANS OF THE NATURAL WONDERS PARTNERSHIP COUNCIL. IN LIMITED CASES, TO ASSIST IN DEVELOPING A CLEAR PICTURE OF PARTICULAR ISSUES, ADULT DATA WERE ACCESSED AND INCLUDED IN THE ACH CHNA. THE REPORT ALSO CONTAINS "BIG IDEAS" FROM COMMUNITY STAKEHOLDERS TO HELP INSPIRE THE WORK THAT RESULTS FROM THE CHNA.
ARKANSAS CHILDREN'S HOSPITALPART V, SECTION B, LINE 5: THE FY22 STATEWIDE CHNA WAS CONDUCTED BY ARKANSAS CHILDREN'S COMMUNITY ENGAGEMENT, ADVOCACY, AND HEALTH DIVISION. FOR PORTIONS OF THE CHNA, ARKANSAS CHILDREN'S CONTRACTED WITH BOYETTE STRATEGIC ADVISORS AND KLEIN & PARTNERS. THIS TEAM REVIEWED ALL IRS REQUIREMENTS FOR THE 2022 ASSESSMENT AND DEVELOPED A REVISED AND THOROUGH PROCESS FOR COLLECTING AND ANALYZING ALL PRIMARY AND SECONDARY DATA NEEDED TO MAKE INFORMED DECISIONS ABOUT THE CURRENT CHILDREN'S HEALTH NEEDS IN ARKANSAS. A WIDE VARIETY OF PUBLIC HEALTH AND CHILD HEALTH STAKEHOLDERS PROVIDED INPUT, REVIEWED AND VETTED THE METHODS, DATA, PRIORITIZATION PROCESS, AND FINDINGS OF THE ASSESSMENT.THE STAKEHOLDER ENGAGEMENT PROCESS, AS WELL AS PRIMARY AND SECONDARY DATA REVIEW, OCCURRED FROM JUNE 2021 THROUGH APRIL 2022. A TOTAL OF 808 STAKEHOLDERS IN ARKANSAS PROVIDED THEIR PERSPECTIVES ON THE MOST IMPORTANT CHILD HEALTH ISSUES. STAKEHOLDERS PROVIDED FEEDBACK THROUGH PARTICIPATION IN FOCUS GROUPS, KEY INFORMANT INTERVIEWS, OR A PARENT AND CAREGIVER DIGITAL SURVEY. FOCUS GROUP WERE HELD IN-PERSON AND VIA ZOOM TO SEEK INPUT FROM PARENTS/CAREGIVERS, EDUCATORS, MEDICAL PROVIDERS, AND COMMUNITY LEADERS. A TOTAL OF 19 FOCUS GROUPS ENGAGED 161 OF THESE STAKEHOLDERS. OF THE 19 FOCUS GROUPS, FOUR WERE INTENTIONALLY HELD IN-PERSON, IN SPANISH, AND IN FOUR DIFFERENT REGIONS OF THE STATE: DEQUEEN (SOUTHWEST ARKANSAS), WARREN (SOUTHEAST ARKANSAS), LITTLE ROCK (CENTRAL ARKANSAS), AND SPRINGDALE (NORTHWEST ARKANSAS). EACH FOCUS GROUP CONVERSATION LASTED 60-MINUTES AND WAS RECORDED TO ENSURE THAT ALL COMMENTS WERE CAPTURED FOR ANALYSIS. TWO TEAM MEMBERS LED THE FOCUS GROUPS ONE WHO FACILITATED THE DISCUSSION AND ONE WHO CAPTURED COMMENTS AND IDENTIFIED THEMES. A FOCUS GROUP GUIDE WAS DEVELOPED TO PROVIDE STRUCTURE FOR THE DISCUSSIONS. IT INCLUDED A FULL SCRIPT OF THE INTRODUCTORY INFORMATION TO BE PROVIDED TO EACH GROUP ABOUT WHY THEY HAD BEEN INVITED TO JOIN THE CONVERSATION AND HOW THE INFORMATION WOULD BE USED TO HELP IDENTIFY AND ADDRESS CHILDREN'S HEALTH NEEDS IN ARKANSAS. IT ALSO INCLUDED POLL QUESTIONS THAT WERE INSERTED INTO THE CONVERSATION INTERMITTENTLY. CONVERSATIONS OPENED WITH GENERAL QUESTIONS ABOUT THEIR THOUGHTS ABOUT THE STATUS OF CHILDREN IN ARKANSAS, FOLLOWED BY MORE SPECIFIC EXPLORATION AROUND SOCIAL DETERMINANTS OF HEALTH, ACCESS TO AND QUALITY OF CLINICAL CARE, PHYSICAL ENVIRONMENT, HEALTHY BEHAVIORS, AND SOCIAL AND ECONOMIC FACTORS IMPACTING HEALTH. EACH TOPIC PROVIDED OPPORTUNITIES FOR THE FACILITATOR TO PROBE DEEPER TO GET FULL PERSPECTIVES FROM PARTICIPANTS. EACH FOCUS GROUP CLOSED WITH PARTICIPANTS BEING GIVEN THE OPPORTUNITY TO SHARE IDEAS OF HOW THEY WOULD IMPROVE CHILDREN'S HEALTH IF UNLIMITED RESOURCES WERE AVAILABLE. A COMBINATION OF INDUCTIVE AND DEDUCTIVE ANALYSIS WAS USED ON THE NOTES AND RECORDINGS CAPTURED DURING THE FOCUS GROUP DISCUSSIONS. THEMES THAT EMERGED ACROSS MULTIPLE GROUPS, AS WELL AS ANY GROUP DYNAMICS THAT MAY HAVE INFLUENCED COMMENTS, WERE NOTED. USING INITIAL THEMES, COMMENTS AND RESPONSES WERE CODED INTO PRELIMINARY CATEGORIES. ADDITIONAL THEMES OR "SUB-THEMES" THAT SURFACED WERE THEN ADDED TO THE CATEGORIES. THE THEMES AND COMMENTS WERE ORGANIZED IN A SPREADSHEET FORMAT WITH MULTIPLE TABS FOR THEMES RELATED TO THE PARTICULAR AUDIENCE IN THE FOCUS GROUP. A SUMMARY OF HIGH-LEVEL FINDINGS WAS DEVELOPED, ALONG WITH A COMPLETE NARRATIVE REPORT OF THE FOCUS GROUPS DATA. THE POLL QUESTIONS INSERTED INTO THE DISCUSSIONS ALSO PROVIDED A LIMITED AMOUNT OF QUANTITATIVE DATA FROM THE FOCUS GROUPS.KEY INFORMANT INTERVIEWS WERE CONDUCTED VIA ZOOM BY BOYETTE STRATEGIC ADVISORS IN JULY AND AUGUST 2021. INTERVIEWS WERE HELD WITH A TOTAL OF 41 SUBJECT MATTER EXPERTS AND OTHER KEY STAKEHOLDERS, INCLUDING MEDICAL PROVIDERS, EDUCATORS, POLICY OFFICIALS, ACH SENIOR LEADERSHIP, AND COMMUNITY LEADERS. THESE INFORMANTS WERE INCLUSIVE OF LEADERS WHO REPRESENTED MINORITY AND IMMIGRANT COMMUNITIES. QUESTIONS USED FOR THE INTERVIEWS WERE CENTERED ON THE CONDITIONS THAT IMPACT HEALTH OR SOCIAL DETERMINANTS OF HEALTH, BUT ALSO PROVIDED OPPORTUNITIES FOR THE INTERVIEWEES TO SHARE THEIR THOUGHTS ABOUT A VARIETY OF POTENTIAL NEEDS AND CONCERNS. INTERVIEWS ALSO INCLUDED AN OPPORTUNITY FOR KEY INFORMANTS TO SHARE THEIR THOUGHTS ON ANY COVID-19 IMPACTS TO CHILDREN'S HEALTH THAT MAY SURFACE OVER THE NEXT THREE TO FIVE YEARS. BOYETTE COMPLETED AN INITIAL ANALYSIS OF THE INTERVIEWS BY IDENTIFYING KEY THEMES THAT EMERGED OVER THE COURSE OF ALL CONVERSATIONS. ALL INTERVIEW NOTES WERE ORGANIZED IN A SPREADSHEET FORMAT THAT ALLOWED FOR QUANTIFYING THE FREQUENCY AND DEPTH OF CONCERNS ABOUT EACH OF THE NEEDS. A SERIES OF INTERSECTING FACTORS ALSO SURFACED AS THE THEMES WERE ANALYZED. BOYETTE PROVIDED A SUMMARY OF FINDINGS FROM THE INTERVIEWS TO THE ACH TEAM, INCLUDING QUOTES FROM KEY INFORMANTS THAT ILLUSTRATED THE PERSPECTIVES THAT WERE COMMON ACROSS MOST OF THE INTERVIEWS.ACH CONTRACTED KLEIN & PARTNERS, A HEALTHCARE FOCUSED MARKET RESEARCH FIRM, TO DESIGN AND FIELD A DIGITAL PARENT AND CAREGIVER SURVEY TO GATHER PARENT/CAREGIVER PERSPECTIVES ON A VARIETY OF ISSUES THAT POTENTIALLY IMPACT CHILDREN'S HEALTH AND WELL-BEING. WHILE THE 2019 CHNA PARENT AND CAREGIVER SURVEY WAS CONDUCTED BY TELEPHONE, THIS SURVEY WAS FIELDED DIGITALLY IN ORDER TO AVOID EMERGING LIMITATIONS WITH THE TELEPHONE METHODOLOGY. THE ONLINE SURVEY WAS FIELDED BETWEEN AUGUST 26 AND SEPTEMBER 16, 2021, TO A TOTAL OF 606 RESPONDENTS ACROSS ARKANSAS. TO ENSURE A VALID AND REPRESENTATIVE SAMPLE, DATA WERE WEIGHTED BY COUNTY, INCOME, EDUCATION, AND ETHNICITY. THE SAMPLE INCLUDED PARENTS OR CAREGIVERS WHO ARE THE HEALTHCARE DECISION-MAKERS FOR THEIR CHILDREN AND DO NOT WORK IN HEALTHCARE.CHILD HEALTH STAKEHOLDERS REVIEWED EACH COMPONENT OF THE CHNA, SUCH AS THE PARENT SURVEY QUESTIONS AND FOCUS GROUP GUIDE. MANY OF THESE STAKEHOLDERS SUPPLIED INPUT THROUGH THEIR WORK AS PART OF THE NATURAL WONDERS PARTNERSHIP COUNCIL.
ARKANSAS CHILDREN'S HOSPITALPART V, SECTION B, LINE 6A: THE ARKANSAS CHILDREN'S HOSPITAL CHNA WAS CONDUCTED IN PARTNERSHIP WITH ARKANSAS CHILDREN'S NORTHWEST. BOTH HOSPITALS ARE PART OF THE ARKANSAS CHILDREN'S SYSTEM AND NORTHWEST ARKANSAS IS A SHARED COMMUNITY OF BOTH HOSPITALS.
ARKANSAS CHILDREN'S HOSPITALPART V, SECTION B, LINE 6B: THE ACH NEEDS ASSESSMENT ENGAGED INDIVIDUALS AND ORGANIZATIONS THAT REPRESENT THE COMMUNITIES SERVED. MANY REPRESENTATIVES OF ORGANIZATIONS ARE PART OF THE NATURAL WONDERS PARTNERSHIP COUNCIL. SCHOOLS, PARENTS, CAREGIVERS, AND A VARIETY OF ORGANIZATIONS WITH AN INTEREST IN THESE ISSUES WERE ENGAGED IN DEFINING THE NEEDS FOR THIS CHNA. THOSE ORGANIZATIONS INCLUDE:ARKANSAS DEPARTMENT OF HEALTHARKANSAS DEPARTMENT OF EDUCATION DIVISION OF PRIMARY AND SECONDARY EDUCATIONARKANSAS DEPARTMENT OF HUMAN SERVICESARKANSAS MINORITY HEALTH COMMISSIONTHE ARKANSAS FOOD BANKTHE NORTHWEST ARKANSAS FOOD BANKTHE UNIVERSITY OF ARKANSAS FOR MEDICAL SCIENCESARKANSAS HUNGER RELIEF ALLIANCEARKANSAS ADVOCATES FOR CHILDREN AND FAMILIESHEALTH POLICY ORGANIZATIONS INCLUDING THE ARKANSAS CENTER FOR HEALTH IMPROVEMENTHEALTH CARE PROVIDERS INCLUDING PEDIATRICIANS, FAMILY PRACTICE PHYSICIANS, NURSES, DENTISTS, AND PHARMACISTSSCHOOLS AND SCHOOL-BASED HEALTH CLINICSHEALTH RESEARCHERSARKANSAS IMMUNIZATION ACTION COALITION (IMMUNIZEAR)THE ARKANSAS FOUNDATION FOR MEDICAL CARE (AFMC)NONPROFIT ORGANIZATIONS PROVIDING DIRECT SERVICES TO CHILDRENPRIVATE HEALTH INSURANCE COMPANIESFAITH COMMUNITY REPRESENTATIVESLOW-INCOME LEGAL SERVICES ORGANIZATIONSPRIVATE FOUNDATIONS LIKE THE ARKANSAS COMMUNITY FOUNDATIONTHE ARKANSAS CAMPAIGN FOR GRADE-LEVEL READINGPRIVATE INDUSTRIES RANGING FROM PHARMACEUTICAL COMPANIES TO CHAMBERS OF COMMERCE
ARKANSAS CHILDREN'S HOSPITALPART V, SECTION B, LINE 7D: PRESENTATIONS ON THE FINDINGS FROM THE FY22 ACH CHNA HAVE BEEN PROVIDED TO THE NATURAL WONDERS PARTNERSHIP COUNCIL, ACH STAFF, ACH VOLUNTEERS, THE NORTHWEST ARKANSAS COUNCIL, NEWS MEDIA OUTLETS, AND OTHER PUBLIC ORGANIZATIONS. THE FY22 CHNA, IMPLEMENTATION STRATEGY FOR ACH, AND THE 2020-2022 NATURAL WONDERS ACTION PLAN ARE EACH AVAILABLE FOR PUBLIC VIEW ON THE ARKANSAS CHILDREN'S WEBSITE.
ARKANSAS CHILDREN'S HOSPITALPART V, SECTION B, LINE 11: COMMUNITY HEALTH IMPROVEMENT INTRODUCTION: FOR THE MOST RECENT, FY22 CHNA, ARKANSAS CHILDREN'S USED A RATING AND WEIGHTING INDEX, DESCRIBED ON PAGE 16 OF THE CHNA, TO PRIORITIZE THE COMMUNITY HEALTH NEEDS WHICH WERE IDENTIFIED. THE RATING AND WEIGHTING TOOL WAS UNIQUELY DEVELOPED BY THE ARKANSAS CHILDREN'S COMMUNITY ENGAGEMENT, ADVOCACY AND HEALTH DIVISION AND BOYETTE STRATEGIC ADVISORS. USING THIS TOOL AND METHODOLOGY, THE IDENTIFIED NEEDS WERE SCORED. THE SCORING RESULTED IN THREE TIERS OF PRIORITIES (PRIMARY PRIORITIES, SECONDARY PRIORITIES, AND SUSTAINING ACTIVITIES), AND THE DETERMINATION THAT POVERTY AND FINANCES ARE AN INTERSECTING NEED. USING THESE SCORING RESULTS, ACH WORKED TO ADDRESS THE FOLLOWING PRIORITIZED HEALTH NEEDS:PRIMARY PRIORITIES: BEHAVIORAL AND MENTAL HEALTH IMMUNIZATIONSFOOD INSECURITYSECONDARY PRIORITIES: INFANT HEALTHCHILD ABUSE AND NEGLECTSUSTAINING ACTIVITIES: ACCESS TO CAREOBESITYINJURY PREVENTIONINTERSECTING NEED:POVERTY AND FINANCES(1) PRIMARY PRIORITY: BEHAVIORAL AND MENTAL HEALTHTHE BEHAVIORAL AND MENTAL HEALTH OF ARKANSAS CHILDREN WAS ONE OF THE MOST SIGNIFICANT TOPICS IDENTIFIED IN THE 2022 CHNA, A PROBLEM NOT UNIQUE TO ARKANSAS, BUT FELT NATIONWIDE. ACCORDING TO THE 2022 UNITED HEALTH FOUNDATION "AMERICA'S HEALTH RANKINGS", THE NUMBER OF ARKANSAS CHILDREN THAT DIE BY SUICIDE IS 13.3 PER 100,000, RANKING ARKANSAS 32ND IN THE NATION. ARKANSAS ALSO EXPERIENCES A SEVERE SHORTAGE OF MENTAL HEALTH PROFESSIONALS AND CONTINUES TO HAVE A STIGMA AROUND MENTAL HEALTH, WHICH ARE BARRIERS TO TREATMENT. THE 2023-2025 ACH IMPLEMENTATION STRATEGY OUTLINES ACTION STEPS TO ADDRESS THESE ISSUES, WITH THE FIRST BEING TO TEACH PARENTS, COMMUNITY MEMBERS, AND PROFESSIONALS TO BE ADVOCATES FOR CHILDREN'S BEHAVIORAL AND MENTAL HEALTH, THROUGH EDUCATION ABOUT TOPICS LIKE BULLYING, SELF-HARM, SUICIDE PREVENTION AND EVIDENCE-BASED TRAININGS SUCH AS SAFE TALK, MOTIVATIONAL INTERVIEWING AND APPLIED SUICIDE INTERVENTION SKILLS TRAINING (ASIST). ARKANSAS CHILDREN'S STAFF ARE TRAINED IN THESE THREE EVIDENCE-BASED PROGRAMS AND HAVE MADE THE TRAININGS AVAILABLE TO SCHOOLS, COMMUNITY MEMBERS, AND WORKPLACES AS NEEDED. IN FY23, STAFF HELD EIGHT ASIST TRAININGS WITH A TOTAL OF 85 PARTICIPANTS AND FIVE MOTIVATIONAL INTERVIEWING TRAININGS WITH 143 PARTICIPANTS. ARKANSAS CHILDREN'S, IN PARTNERSHIP WITH THE UNIVERSITY OF ARKANSAS MEDICAL SCIENCES, WAS AWARDED A HEALTH RESOURCES AND SERVICES ADMINISTRATION (HRSA) GRANT FOR OVER $2 MILLION FOR BEHAVIORAL HEALTH INTEGRATION INTO PEDIATRIC PRIMARY CARE BY SUPPORTING PEDIATRIC MENTAL HEALTH CARE TELEHEALTH ACCESS PROGRAMS. DURING FY23, THE PROGRAM, ARKANSAS MENTAL HEALTH ACCESS FOR PEDIATRIC PRIMARY CARE (ARMAPP), DEVELOPED A CURRICULUM ADDRESSING MENTAL AND BEHAVIORAL HEALTH EDUCATION USING THE IECHO PLATFORM AND ESTABLISHED A TELEHEALTH CONSULTATION PROCESS FOR PRIMARY CARE PROVIDERS ACROSS THE STATE. CONSULTATIONS AND MONTHLY EDUCATIONAL SESSIONS ARE PLANNED TO COMMENCE DURING FY24. THE ARKANSAS CHILDREN'S CENTER FOR GOOD MOURNING STRIVES TO PROVIDE, IMPROVE, AND INCREASE SUPPORT AND ASSISTANCE GIVEN TO BEREAVED CHILDREN AND FAMILIES IN ARKANSAS THROUGH EDUCATION, PROGRAM DEVELOPMENT, AND GRIEF SUPPORT PROGRAMS. FROM AN E-NEWSLETTER, THE MOURNING NEWS, TO GRIEF SUPPORT GROUPS AND GRIEF RESOURCES, THE GRIEF PROGRAMMING OFFERED IS FREE-OF-CHARGE FOR FAMILIES AND GROUPS ACROSS THE STATE. IN FY23, 172 PRESENTATIONS WERE GIVEN TO 2,384 COMMUNITY ATTENDEES THROUGH THIS PROGRAM.AN INTERSECTING NEED FOR THIS AREA IS THE USE OF TOBACCO, E-CIGARETTE, AND VAPING PRODUCTS, AS USAGE OF THESE HAVE A NEGATIVE ASSOCIATION WITH MENTAL HEALTH. IN ARKANSAS, 24.3% OF HIGH SCHOOL STUDENTS VAPE AND 9.7% SMOKE, ACCORDING TO THE CAMPAIGN FOR TOBACCO-FREE KIDS IN OCTOBER OF 2023. TO ADDRESS THIS ISSUE, ARKANSAS CHILDREN'S COORDINATES, AND THE ARKANSAS DEPARTMENT OF HEALTH FUNDS, PROJECT PREVENT, THE STATEWIDE YOUTH TOBACCO PREVENTION COALITION, WHICH WORKS WITH YOUNG PEOPLE ACROSS THE STATE TO ADDRESS THE HARMFUL EFFECTS OF SMOKING, DIPPING AND VAPING. IN FY23, 2,391 STUDENT MEMBERS IN 90 PROJECT PREVENT CHAPTERS ENGAGED THEIR COMMUNITIES IN EDUCATION AND PREVENTION OUTREACH. ADDITIONALLY, PROJECT PREVENT HOSTS TWO ANNUAL CONFERENCES, AS WELL AS A FILM, AN ESSAY, AND AN ART CONTEST FOR YOUTH IN THE STATE EACH YEAR. IN FY23, THE TWO ANNUAL CONFERENCES COMBINED SAW PARTICIPATION FROM 959 YOUTH. EACH CONTEST HELD IN FY23 HAD A COMMON THEME OF "INFLUENCER", CHALLENGING YOUTH TO ENCOURAGE OTHERS TO AVOID TOBACCO PRODUCTS. THE FILM CONTEST, READY.SET.RECORD., SAW PARTICIPATION FROM 498 YOUTH IN 7TH-12TH GRADES, WHILE THE ESSAY CONTEST, MY REASON TO WRITE, SAW PARTICIPATION FROM 244 YOUTH IN 4TH-6TH GRADES, AND THE ART CONTEST, DRAWING FOR A DIFFERENCE, SAW PARTICIPATION FROM 275 YOUTH IN KINDERGARTEN THROUGH THIRD GRADE.
SCHEDULE H, PART V, SECTION B, LINE 11 - CONTINUED(2) PRIMARY PRIORITY: IMMUNIZATIONSOVER THE YEARS, ARKANSAS HAS IMPROVED IN CHILDHOOD IMMUNIZATION RATES, HOWEVER, THE COVID-19 PANDEMIC NEGATIVELY AFFECTED IMMUNIZATION COVERAGE, AND WE CONTINUE TO SEE RISING RATES OF PHILOSOPHICAL EXEMPTIONS AND VACCINE HESITANCY. ARKANSAS ALSO EXPERIENCES A VACCINE ACCESS ISSUE, WHERE 12 COUNTIES IN THE STATE ONLY HAVE VACCINES FOR CHILDREN (VFC) PROVIDERS IN THE COUNTY LOCAL HEALTH UNITS (LHU'S). THESE FACTORS CAUSE IMMUNIZATIONS TO BE A CONTINUING HIGH-PRIORITY HEALTH NEED FOR THE CHILDREN OF ARKANSAS.DURING FY23, ARKANSAS CHILDREN'S CREATED A MOBILE VACCINE STRATEGY TO TARGET SEVEN ARKANSAS COUNTIES WITH LOW IMMUNIZATION RATES, HIGH EXEMPTION RATES, AND LOW VFC PROVIDER ACCESS. THESE COUNTIES INCLUDE CRAWFORD, FRANKLIN, SEBASTIAN, LOGAN, SCOTT, YELL, AND JEFFERSON. ARKANSAS CHILDREN'S CANNOT DO THIS WORK ALONE AND CONTINUES TO BUILD PARTNERSHIPS WITH ORGANIZATIONS ACROSS THE STATE WHICH CAN HELP CAUSE GREATER IMPACT IN THIS EFFORT. THROUGH THE WORK OF THIS MOBILE VACCINE STRATEGY AND PARTNERSHIPS, 709 NEEDED IMMUNIZATIONS WERE PROVIDED IN THE SEVEN TARGET LOW ACCESS COUNTIES, PLUS ADDITIONAL COUNTIES OF CARROLL AND BOONE, SUCCESSFULLY REACHING CHILDREN WHERE THEY LIVE, LEARN AND PLAY. THIS PROGRAM ACHIEVED TARGET IMMUNIZATION RATE GOALS IN ALL SEVEN TARGET COUNTIES, IMPROVING IMMUNIZATION RATES IN SOME COUNTIES BY AS MUCH AS 25% (YELL COUNTY).ONE LARGE PARTNER IN THIS VACCINATION WORK IS THE ARKANSAS IMMUNIZATION ACTION COALITION, ALSO KNOWN AS IMMUNIZEAR. IMMUNIZEAR, A LOCAL STATEWIDE COALITION FOCUSED ON INCREASING IMMUNIZATION RATES IN THE STATE, CO-LED THE NATURAL WONDERS INCREASING IMMUNIZATIONS WORKGROUP. THE WORKGROUP HAS CREATED GOALS TO RECRUIT PHARMACIES IN HIGH NEED AREAS TO BECOME VFC PROVIDERS; DEVELOP RECRUITMENT PLAN AND CAMPAIGN MESSAGES FOR PARTNER VACCINE ADVOCACY WORK; TO INCLUDE PARENTS AS IMPORTANT ADVOCATES; AND PROVIDE IMMUNIZATION EDUCATION MATERIAL FOR SCHOOL NURSES THROUGH THE ARKANSAS DEPARTMENT OF HEALTH COMMUNITY HEALTH PROMOTION SPECIALISTS AND COMMUNITY HEALTH NURSE SPECIALISTS. AS PLANNING COMMENCED FOR FY24, IT WAS DETERMINED THAT THE ARKANSAS CHILDREN'S COMMUNITY HEALTH FUND WOULD PROVIDE $50,000 TO IMMUNIZEAR TO SUPPORT THEIR WORK IN INCREASING VFC PROVIDERS IN COUNTIES WITH ONLY ONE PROVIDER DURING THE 2024 FISCAL YEAR.(3) PRIMARY PRIORITY: FOOD INSECURITYACH IS FOLLOWING BEST PRACTICES TO HELP IMPROVE THE FOOD SECURITY OF CHILDREN AND THEIR FAMILIES AROUND THE STATE. THIS PROCESS BEGINS WITH A SOCIAL DETERMINANTS OF HEALTH SCREENING TO DETERMINE FOOD SECURITY NEEDS AT THE INDIVIDUAL AND FAMILY LEVEL. PATIENTS ARE SCREENED ANNUALLY, IF THEY ARE A NEW PATIENT, OR IF THEY SCREENED AS VULNERABLE AT A RECENT VISIT, AND STAFF ARE ABLE TO MAKE REFERRALS THROUGH ARKANSAS CHILDREN'S RESOURCE CONNECT TO CONNECT FAMILIES TO RESOURCES TO ADDRESS A VARIETY OF BASIC NEEDS, INCLUDING FOOD SECURITY. ARKANSAS CHILDREN'S RESOURCE CONNECT (POWERED BY FINDHELP.ORG) IS A CLOSED-LOOP REFERRAL SYSTEM, WHICH WAS LAUNCHED IN APRIL 2021 FOR USE BY PATIENTS, FAMILIES, AND STAFF AT ARKANSAS CHILDREN'S HOSPITAL AND ARKANSAS CHILDREN'S NORTHWEST. ADDITIONALLY, THE SYSTEM WAS MADE PUBLICLY AVAILABLE AS A COMMUNITY RESOURCE AND HAS SEEN THE BULK OF USE COMING FROM EXTERNAL COMMUNITY MEMBERS AND COMMUNITY-BASED ORGANIZATIONS, OFTEN CALLED CBO'S. DURING FY23, 19,619 SEARCHES OCCURRED ON THE PLATFORM, MOST COMMONLY FOR FOOD PANTRIES (1,261), HELP TO PAY FOR UTILITIES (1,190), AND HELP TO PAY FOR HOUSING (617). THE BENEFIT OF THIS CLOSED-LOOP REFERRAL SYSTEM IS THAT REFERRED CBO'S, ARE ABLE TO UPDATE THE STATUS OF THE REFERRAL, CONFIRMING IF THE REFERRED PARTY RECEIVED HELP, WAS REFERRED ELSEWHERE, WAS NOT ELIGIBLE, COULDN'T BE CONTACTED, WAS NO LONGER INTERESTED, OR COULD NOT BE HELPED DUE TO A LACK OF CAPACITY AT THE CBO. A TOTAL OF 919 REFERRALS TOOK PLACE IN FY23, WITH 232 BEING CLOSED LOOP. THIS DIGITAL SYSTEM IS GREATLY HELPING ARKANSAS CHILDREN'S REFER FAMILIES TO RESOURCES FOR A VARIETY OF NEEDS AND IS PROVIDING USEFUL INSIGHT INTO WHAT ADDITIONAL COMMUNITY NEEDS EXIST.IF APPLICABLE, FAMILIES IN NEED WERE ALSO PROVIDED IMMEDIATE RESOURCES, SUCH AS EMERGENCY FOOD, AND ASSISTED IN APPLYING FOR THE SUPPLEMENTAL NUTRITION ASSISTANCE PROGRAM (SNAP) AND OTHER PUBLIC BENEFIT PROGRAMS. IN FY23, 1,533 BAGS OF NON-PERISHABLE GROCERIES WERE DISTRIBUTED TO PATIENT FAMILIES NEEDING EMERGENCY FOOD, THROUGH PARTNERSHIPS WITH HELPING HAND AND NEIGHBOR TO NEIGHBOR FOOD PANTRIES, SAVING OUR FAMILIES $35,872. THE ON-CAMPUS ACH COMMUNITY GARDEN PRODUCED MORE THAN 1,000 POUNDS OF FRESH PRODUCE, WHICH WERE DONATED TO HELPING HAND FOOD PANTRY AND EL ZOCALO IMMIGRANT RESOURCE CENTER. PRODUCE GROWN IN THE GARDEN INCLUDES COLLARD GREENS, MUSTARD GREENS, SWISS CHARD, LETTUCE, STRAWBERRIES, BLACKBERRIES, ONIONS, CORN, TOMATOES, AND A VARIETY OF PEPPERS, SUCH AS BELL, BANANA, JALAPENO, AND ANAHEIM. THESE TYPES OF PRODUCE ARE CULTURALLY PREFERRED BY THE COMMUNITIES SERVED AT EACH FOOD PANTRY. ADDITIONALLY, THE ACH CAMPUS, AS WELL AS ARKANSAS CHILDREN'S NORTHWEST AND THE PINE BLUFF AND SOUTHWEST LITTLE ROCK CLINICS, PARTICIPATE IN THE USDA MEAL PROGRAM. IN FY23, 26,351 FREE USDA MEALS WERE PROVIDED TO CHILDREN, THANKS TO THE EFFORTS TO MAINTAIN AND GROW THE HOSPITAL'S NUTRITION AND FEEDING PROGRAMS. TO FURTHER SUPPORT THE WORK OF AREA FOOD BANKS AND PANTRIES, IN JUNE OF 2023, ARKANSAS CHILDREN'S ORGANIZED AN ANNUAL FOOD DRIVE, AND A TREMENDOUS 15,249 NON-PERISHABLE FOOD ITEMS WERE COLLECTED. TEAM MEMBERS ACROSS OUR SYSTEM LOVE THE OPPORTUNITY TO CONNECT WITH AND GIVE BACK TO OUR AREA FOOD PANTRIES. PANTRIES WHO RECEIVED DONATIONS FROM THIS FOOD DRIVE WERE HELPING HAND FOOD PANTRY, NORTHWEST ARKANSAS FOOD BANK, NEIGHBOR-TO-NEIGHBOR FOOD PANTRY, EL ZOCALO IMMIGRANT RESOURCE CENTER, AND THE FOOD BANK OF NORTHEAST ARKANSAS. THE FOOD DRIVE WAS A WONDERFUL OPPORTUNITY TO COME TOGETHER AND EMPOWER THOSE WHO DO SO MUCH FOR OUR COMMUNITIES. IN FY23, ARKANSAS CHILDREN'S FINANCIALLY CONTRIBUTED TO A VARIETY OF NONPROFIT FOOD BANKS AND FOOD PANTRIES TO HELP STRENGTHEN THE FOOD SECURITY OF FAMILIES AND THEIR CHILDREN AROUND THE STATE. ORGANIZATIONS SUPPORTED INCLUDE FOOD BANKS SERVING LARGE REGIONS OF THE STATE, LIKE THE ARKANSAS FOOD BANK, ARKANSAS HUNGER RELIEF ALLIANCE, NORTHWEST ARKANSAS FOOD BANK, FOOD BANK OF NORTHEAST ARKANSAS, RIVER VALLEY REGIONAL FOOD BANK, AND FOOD BANK OF NORTH CENTRAL ARKANSAS, AS WELL AS SMALLER ORGANIZATIONS LIKE EL ZOCALO IMMIGRANT RESOURCE CENTER, NEIGHBOR-TO-NEIGHBOR OF JEFFERSON COUNTY, HELPING HAND OF GREATER LITTLE ROCK, TRI CYCLE FARMS, AND APPLE SEEDS. TRI CYCLE FARMS WAS ABLE TO DISTRIBUTE 33,700 EGGS TO FAMILIES IN THE NORTHWEST ARKANSAS REGION THANKS TO THIS SUPPORT.
SCHEDULE H, PART V, SECTION B, LINE 11 - CONTINUED(4) SECONDARY PRIORITY: INFANT HEALTHIDENTIFIED AS A SECONDARY PRIORITY IN THE 2022 CHNA, INFANT HEALTH ENCOMPASSES ARKANSAS'S POOR INFANT MORTALITY RATE AND HIGH TEEN BIRTH RATE. IN 2022, ARKANSAS HAD 272 INFANT DEATHS AND HAD THE 3RD HIGHEST INFANT MORTALITY RATE IN THE NATION AT A RATE OF 7.67 INFANT DEATHS PER 1,000 LIVE BIRTHS. WHEN LOOKING AT INFANT MORTALITY RATES BY AGE, ARKANSAS SEES THE HIGHEST RATES IN MOTHERS AGED 15-19 YEARS, AND BY RACE, THE HIGHEST RATES IN AFRICAN AMERICAN MOTHERS. RECOGNIZING THAT THIS ISSUE CANNOT BE SOLVED ALONE, ARKANSAS CHILDREN'S WORKS WITH PARTNERS ACROSS THE STATE, IN PART DUE TO THE WORK OF THE NATURAL WONDERS PARTNERSHIP COUNCIL FIRST 2100 DAYS OF LIFE AND HEALTHY RELATIONSHIPS WORKGROUPS. IN FY23, THESE GROUPS CONTINUED TO FOCUS ON THE RESOURCES AND SUPPORT THAT EXPECTING MOTHERS AND CHILDREN, ESPECIALLY THOSE FROM BIRTH TO FIVE YEARS OLD, NEED TO BE HEALTHY. THE ARKANSAS HOME VISITING NETWORK (AHVN), A PARTNERSHIP BETWEEN THE ARKANSAS DEPARTMENT OF HEALTH AND ARKANSAS CHILDREN'S, HAS IMPROVED MATERNAL-CHILD HEALTH OUTCOMES FOR CAREGIVERS AND CHILDREN IN THE PROGRAM. AHVN IS A THRIVING COALITION OF PROVIDERS AND STAKEHOLDERS THAT WORK TOGETHER TO HELP PARENTS AND CHILDREN. THE AHVN IMPLEMENTS EIGHT EVIDENCE-BASED HOME VISITING MODELS: EARLY HEAD START - HOME BASED MODEL, FAMILY CONNECTS, FOLLOWING BABY BACK HOME, HEALTHY FAMILIES AMERICA, HOME INSTRUCTION FOR PARENTS OF PRESCHOOL YOUNGSTERS (HIPPY), NURSE FAMILY PARTNERSHIP, PARENTS AS TEACHERS, AND SAFECARE. IN FY23, THESE PROGRAMS SERVED 8,725 FAMILIES WITH CHILDREN FROM BEFORE BIRTH TO AGE FIVE ACROSS ALL 75 COUNTIES IN THE STATE AND COMPLETED 126,780 HOME VISITS. ARKANSAS CHILDREN'S LEADS THE SAFETY BABY SHOWER PROGRAM, WHICH PROVIDES SAFE SLEEP EDUCATION ACROSS THE STATE. SAFETY BABY SHOWER CLASSES ARE TAUGHT TO PARENTS AND OFFERED IN A TRAIN-THE-TRAINER MODEL TO EQUIP COMMUNITY MEMBERS TO LEAD THEIR OWN CLASSES. DURING FY23, 54 SAFETY BABY SHOWERS WERE HELD, REACHING A TOTAL OF 365 PARTICIPANTS ACROSS ARKANSAS, AND 152 COMMUNITY MEMBERS WERE TRAINED TO IMPLEMENT SAFETY BABY SHOWER CLASSES IN THEIR OWN COMMUNITIES. ARKANSAS CHILDREN'S IS CONTRACTED BY THE ARKANSAS DEPARTMENT OF HEALTH TO COORDINATE THE ARKANSAS INFANT AND CHILD DEATH REVIEW PROGRAM (ICDR). ESTABLISHED IN 2010, THE ICDR PROGRAM CONSISTS OF 11 REGIONAL TEAMS THAT REVIEW UNNATURAL UNEXPECTED DEATHS OF ARKANSAS CHILDREN AGES 0-17. THE TEAMS COVER ALL 75 ARKANSAS COUNTIES, GIVING THE ICDR PROGRAM THE POTENTIAL TO EVALUATE 100% OF UNNATURAL, REVIEWABLE PEDIATRIC DEATHS, AS REQUIRED BY ARKANSAS ACT 1818 OF 2005. INFANT AND CHILD DEATH REVIEWS FOCUS ON PREVENTION OF UNNATURAL DEATHS WITH EFFECTIVE RECOMMENDATIONS TO KEEP CHILDREN HEALTHY, SAFE, AND PROTECTED. DURING FY23, ICDR TEAMS REVIEWED THE CASES OF 147 CHILDREN WHO DIED FROM INJURIES IN 2021. THE MAJORITY OF THESE DEATHS WERE DUE TO MOTOR VEHICLE CRASHES, SUICIDE AND UNDETERMINED/SUDDEN UNEXPECTED INFANT DEATH (SUID), WITH THE FOLLOWING KEY FINDINGS: FOR THE MAJORITY OF CHILD DEATHS DUE TO MOTOR VEHICLE CRASHES, CHILD SAFETY SEATS WERE EITHER NOT USED OR USED INCORRECTLY; MORE THAN HALF OF THE SUICIDE DEATHS WERE COMPLETED USING A FIREARM; AND UNSAFE SLEEP PRACTICES IN AN ADULT BED WAS THE TOP CONTRIBUTING FACTOR IN INFANT MORTALITY DEATHS. ADDITIONALLY, FAMILIES CAN ACCESS THE ACH WINNIE M. LOWE FAMILY RESOURCE CENTER AND SAFETY ZONE, A PUBLIC SPACE ON THE ACH CAMPUS TO RECEIVE EDUCATION AND PRODUCTS WHICH PROMOTE SAFETY. IN FY23, 1,089 SAFETY ASSESSMENTS WERE CONDUCTED IN THE SPACE AND SAFETY AND EDUCATIONAL PRODUCTS WERE ALSO DISTRIBUTED. THESE PRODUCTS INCLUDED SMOKE ALARMS, CABINET LOCKS, OUTLET COVERS, BIKE HELMETS AND KNEE PADS, PLAY YARDS WITH FITTED SHEETS, LIFE JACKETS, MEDICATION LOCK BOXES, AND MORE, DEPENDING ON NEEDS IDENTIFIED WITH THE FAMILY DURING THE SAFETY ASSESSMENT.ARKANSAS CHILDREN'S CHILD PASSENGER SAFETY TEAM MEMBERS ALSO PROVIDE CAR SEAT INSPECTIONS TO PARENTS, WHICH EDUCATE ON THE PROPER INSTALLATION OF CAR SEATS AND OTHER CAR SAFETY TOPICS, LIKE HOT CAR DEATHS, UNSECURED PROJECTILES, AND WEARING WINTER COATS. PARENTS HAVE ACCESS TO THIS EDUCATION AT ARKANSAS CHILDREN'S CAMPUSES, AS WELL AS THROUGH 31 SATELLITE SITES AROUND THE STATE. DURING THIS INSPECTION, PARENTS MAY ALSO HAVE THEIR CHILD'S CAR SEAT REPLACED IF THEY DO NOT HAVE A PROPER CAR SEAT FOR THEIR CHILD OR IF THE CAR SEAT THEY HAVE IS EXPIRED OR DAMAGED. DURING FY23, 1,515 CAR SEATS WERE DONATED TO FAMILIES IN NEED THROUGH THE WORK OF THE CHILD PASSENGER SAFETY TEAM AND SATELLITE SITE PARTNERSHIPS. OF THESE, 1,065 WERE FUNDED THROUGH A GRANTEE PARTNERSHIP WITH THE ARKANSAS HIGHWAY SAFETY OFFICE, AND AN ADDITIONAL 450 WERE PURCHASED WITH ARKANSAS CHILDREN'S ORGANIZATIONAL DOLLARS AND SPECIFIED PURPOSE FUNDING. TO FURTHER EXPAND THIS RESOURCE, THE TEAM HOSTS CHILD PASSENGER SAFETY CERTIFICATION COURSES, TRAINING PROFESSIONALS TO PROPERLY INSTALL CAR SEATS. IN FY23, 11 CERTIFICATION COURSES WERE HELD ACROSS THE STATE, IN BENTON, BOONE, CRAIGHEAD, GARLAND, MISSISSIPPI, OUACHITA, PHILLIPS, PULASKI, AND SEBASTIAN COUNTIES. THIS LED TO THE CERTIFICATION OF 133 ADDITIONAL PROFESSIONALS ACROSS THE STATE OF ARKANSAS, AND EVEN FROM SURROUNDING STATES OF OKLAHOMA AND MISSOURI. LOVE NOTES, AN EVIDENCE-BASED, INNOVATIVE AND COMPREHENSIVE HEALTHY RELATIONSHIP PROGRAM, CONSISTS OF 13-LESSONS AND IS GEARED TOWARD STUDENTS IN 9TH-12TH GRADES. IT BUILDS SKILLS AND KNOWLEDGE FOR HEALTHY AND SUCCESSFUL RELATIONSHIPS. A FIVE-YEAR EVALUATION, BY THE US DEPARTMENT OF HEALTH AND HUMAN SERVICES OFFICE OF ADOLESCENT HEALTH, SHOWED LOVE NOTES REDUCED TEEN PREGNANCY RATES BY 46% COMPARED TO THE CONTROL GROUP. THE STUDY ALSO FOUND THAT TEENS WHO WERE TAUGHT LOVE NOTES HAD LESS RECENT SEXUAL ACTIVITY, HAD LESS FREQUENT SEXUAL ACTIVITY OVERALL, WERE MORE LIKELY TO USE PROTECTION IF DECIDING TO STAY SEXUALLY ACTIVE, AND IF DECIDING TO REMAIN ABSTINENT, A HIGHER PERCENTAGE OF THOSE IN THE LOVE NOTES GROUP ACTUALLY REMAINED ABSTINENT.FY23 WAS THE FOURTH CONSECUTIVE SCHOOL YEAR THAT ARKANSAS CHILDREN'S HAS IMPLEMENTED THE LOVE NOTES PROGRAM, REACHING 26 SCHOOLS AND 677 HIGH SCHOOL STUDENTS ACROSS THE STATE. THE PROGRAM IS WELL-RECEIVED BY TEACHERS AND STUDENTS AND INTEREST IN THE PROGRAM CONTINUES TO GROW. AT THE END OF FY23, 25 SCHOOLS WERE ON THE EVER-GROWING WAITING LIST FOR A PARTNERSHIP OPPORTUNITY WITH THE PROGRAM. ARKANSAS CHILDREN'S CONTINUES TO EXPLORE FUNDING OPPORTUNITIES TO EXPAND THIS NEEDED PROGRAM TO THOSE ON THE WAITING LIST. PROGRAM POST-TEST EVALUATIONS DURING JUNE OF 2023 FOUND THAT 66% OF STUDENTS REPORTED THEY WERE ABLE TO RECOGNIZE THE WARNING SIGNS OF AN UNHEALTHY RELATIONSHIP AND KNOW HOW TO DEAL WITH IT, A 14% INCREASE FROM PRE-TEST, AND 70% OF THE STUDENTS REPORTED THEY HAVE A PLAN FOR THEIR OWN SEXUAL ACTIVITY, EITHER TO BE ABSTINENT OR HOW TO PACE SEXUAL INVOLVEMENT WITH A TRUSTED PARTNER, A 15% INCREASE FROM PRE-TEST. ACH CONTINUED TO PAY FOR THE TOTAL COST OF THE MATERIALS NEEDED FOR THE 2022-2023 SCHOOL YEAR, ALLOWING SCHOOLS WHO COULD NOT FINANCIALLY AFFORD TO PURCHASE THESE MATERIALS BE ABLE TO PARTICIPATE IN THIS VALUABLE PROGRAM.
SCHEDULE H, PART V, SECTION B, LINE 11 - CONTINUED(5) SECONDARY PRIORITY: CHILD ABUSE AND NEGLECTCHILD ABUSE AND NEGLECT WAS IDENTIFIED AS A SECONDARY PRIORITY HEALTH NEED DURING THE 2022 ACH CHNA. THE 2021 KIDS COUNT REPORT SHOWS THAT ARKANSAS RANKS 47TH FOR CHILDREN SUBJECT TO INVESTIGATIVE REPORTING, WITH A STATE RATE OF 78 OUT OF EVERY 1,000 CHILDREN COMPARED TO THE U.S. RATE OF 47 IN EVERY 1,000 CHILDREN. THE REPORT ALSO SHOWS THAT 12 OF EVERY 1,000 ARKANSAS CHILDREN EXPERIENCE MALTREATMENT, COMPARED TO NINE OF EVERY 1,000 CHILDREN NATIONALLY. ARKANSAS CHILDREN'S TEAM MEMBERS PARTICIPATED IN THE GOVERNOR-APPOINTED BLUE RIBBON TASK FORCE TO END CHILD ABUSE. THIS TASK FORCE CONCLUDED DURING FY23 AND WAS CREATED THROUGH THE PASSING OF ACT 920 OF THE ARKANSAS LEGISLATURE. THE PURPOSE OF THE TASKFORCE WAS TO DEVELOP A SYSTEMATIC AND HOLISTIC APPROACH TO ELIMINATE CHILD ABUSE IN ARKANSAS, IN ADDITION TO ADDRESSING PRIMARY AND SECONDARY PREVENTION EFFORTS, AND IMPROVING PREVENTION NETWORKS AND PARTNERSHIPS. FOLLOWING THIS, A SECONDARY TASK FORCE WAS DEVELOPED BY EXECUTIVE ORDER 23-18: TO PROTECT CHILDREN, SUPPORT FAMILIES, AND IMPROVE THE FOSTER CARE SYSTEM. ARKANSAS CHILDREN'S WAS ASKED TO PARTICIPATE IN THIS TASKFORCE, AS WELL, TO MAKE RECOMMENDATIONS AROUND REDUCING THE NUMBER OF CHILDREN ENTERING THE FOSTER CARE SYSTEM.DURING FY23, ACH CONTINUED TO PROVIDE A $1 PER YEAR LEASE TO THE CHILDREN'S PROTECTION CENTER (CPC) WHICH IS A COMMUNITY NON-PROFIT CHILDREN'S ADVOCACY CENTER SERVING PULASKI COUNTY. THE CPC IS LOCATED WITH THREE OTHER PROGRAMS WHOSE MISSION IS TO PROVIDE SERVICES TO CHILDREN AND FAMILIES IMPACTED BY CHILD MALTREATMENT AND OTHER FORMS OF VIOLENCE IN THE DAVID M. CLARK CENTER FOR SAFE AND HEALTHY CHILDREN ON THE CAMPUS OF ACH. THE UAMS FAMILY TREATMENT PROGRAM, WHICH PROVIDES TRAUMA-FOCUSED THERAPY TO CHILDREN IMPACTED BY SEXUAL ABUSE, IS HOUSED IN THE BUILDING, AS WELL AS THE ACH MEDICAL CLINIC AND THE UAMS CHILD AND ADOLESCENT PSYCHIATRY SERVICE LINE. HAVING THE MISSION AND EXPERTISE OF THESE FOUR PROGRAMS IN ONE LOCATION ON THE ACH CAMPUS HAS BROUGHT A NEW LEVEL OF COORDINATED, EVIDENCED-BASED, EFFICIENT AND COMPREHENSIVE CARE TO THIS VULNERABLE AND AT-RISK POPULATION. AS WE ARE STILL IN YEAR ONE OF THE 2023-2025 IMPLEMENTATION PERIOD FOLLOWING THE 2022 ACH CHNA, ACH CONTINUES TO PLAN AND BUILD PROGRAMMING IN RESPONSE TO THIS HEALTH NEED. WE ARE EXPLORING PARTNERSHIPS IN NATIONALLY KNOWN FORUMS, LIKE WORKING TO REINSTATE A STATE CHAPTER OF PREVENT CHILD ABUSE AMERICA, AS WELL AS EXPLORING PARTNERSHIPS WITHIN OUR STATE, BY WORKING WITH OUR NATURAL WONDERS PARTNERSHIP COUNCIL - HEALTHY RELATIONSHIPS WORKGROUP. THIS WORKGROUP BEGAN AN ENVIRONMENTAL SCAN IN APRIL OF 2023 TO DETERMINE WHAT RESOURCES ARE AVAILABLE IN THE STATE AND WHO MIGHT BE MISSING FROM THE WORKGROUP CONVERSATION. AS MENTIONED IN THE PREVIOUS INFANT HEALTH PRIORITY NEED, THE AHVN SERVED 8,725 FAMILIES WITH CHILDREN FROM BEFORE BIRTH TO AGE FIVE ACROSS THE STATE IN FY23. THE AHVN PROGRAMMING IMPACTS INFANT HEALTH, AS WELL AS CHILD ABUSE AND NEGLECT, WITH THEIR HEALTHY FAMILIES AMERICA, SAFE CARE, HIPPY, AND PARENTS AS TEACHERS PROGRAMS POSITIVELY IMPACTING PARENT-CHILD ENGAGEMENT, PARENTING PRACTICES, RATES OF CHILD MALTREATMENT FATALITIES, AND REDUCING PARTICIPANTS DEEMED AT-RISK FOR CHILD EMOTIONAL NEGLECT. THE ARKANSAS CHILDREN'S SAFETY BABY SHOWER PROGRAM HAS CONNECTIONS TO HELP PREVENT CHILD ABUSE AND NEGLECT AS WELL, AS IT EDUCATED 365 PARTICIPANTS ON THE PERIOD OF PURPLE CRYING, AN EVIDENCE-BASED SHAKEN BABY SYNDROME/ABUSIVE HEAD TRAUMA PREVENTION PROGRAM.
SCHEDULE H, PART V, SECTION B, LINE 11 - CONTINUED(6) SUSTAINING ACTIVITY: ACCESS TO CAREACCESS TO CARE WAS A CHILD HEALTH NEED MENTIONED BY VIRTUALLY EVERY STAKEHOLDER WHO PARTICIPATED IN THE 2022 ACH CHNA PROCESS, EITHER FROM A GENERAL PERSPECTIVE, OR WITH A FOCUS ON TELEHEALTH OR ORAL HEALTH. THIS NEED HAS BEEN MENTIONED AND PRIORITIZED IN CHNA'S FOR SEVERAL YEARS, AND THEREFORE, IS IDENTIFIED AS A SUSTAINING ACTIVITY. ACH SUPPORTS ACCESS TO CARE BY DEDICATING MORE THAN $3 MILLION EACH YEAR TO SUPPORT THE WORK OF THE ACH FINANCIAL COUNSELORS. THESE COUNSELORS HELP PATIENTS, AS WELL AS SIBLINGS AND PARENTS, SIGN UP FOR HEALTHCARE COVERAGE, AND IN FY23, 25 FINANCIAL COUNSELORS PROCESSED 6,475 APPLICATIONS FOR MEDICAID, 480 APPLICATIONS FOR TEFRA, 4,833 APPLICATIONS FOR OUR FINANCIAL ASSISTANCE PROGRAM (FAP), AND 316 APPLICATIONS FOR SUPPLEMENTAL NUTRITION ASSISTANCE PROGRAM (SNAP). FAMILIES ARE ALSO HELPED BY AN AFTER-HOURS RESOURCE LINE, ANSWERED BY REGISTERED NURSES AT ACH. IN FY23 DEDICATED NURSES RESPONDED TO 28,739 AFTER-HOURS CALLS IN WHICH THEY PROVIDED MEDICAL ADVICE FOR EITHER NON-EMERGENT ISSUES, OR THEY HELPED TO IDENTIFY POTENTIAL COMPLICATIONS BEFORE THEY BECAME MORE SERIOUS PROBLEMS. ANOTHER WAY ACH HELPS FAMILIES IS BY MAINTAINING ON-SITE SPANISH INTERPRETERS, BEYOND TRANSLATION THAT IS REQUIRED FOR ACCREDITATION. ACH SUPPORTED THE CONTINUATION AND EXPANSION OF THE MEDICAL LEGAL PARTNERSHIP (MLP), A PROGRAM IMPLEMENTED IN COLLABORATION WITH LEGAL AID OF ARKANSAS TO REDUCE HEALTH-HARMING LEGAL NEEDS. THE ARKANSAS CHILDREN'S MLP IS ONE OF THE REFERRALS POSSIBLE WITH ARKANSAS CHILDREN'S RESOURCE CONNECT, MENTIONED IN THE FOOD INSECURITY SECTION OF THIS REPORT. THESE LEGAL AID ATTORNEYS HELP ELIGIBLE FAMILIES WITH HEALTH-HARMING LEGAL NEEDS. DURING FY23, THE ATTORNEYS RECEIVED 688 REFERRALS AND CLOSED 315 CASES, RANGING FROM BRIEF LEGAL ADVICE AND/OR SERVICES TO EXTENDED REPRESENTATION. THE MOST FREQUENT TYPES OF CASE REFERRALS WERE RELATED TO EDUCATION (105 CASES), HOUSING AND RENTING CONDITIONS (90 CASES), ADULT GUARDIANSHIP ISSUES (87 CASES), AND SUPPLEMENTAL SECURITY INCOME/SOCIAL SECURITY DISABILITY INSURANCE (SSDI) (75 CASES). FROM THIS WORK, THE MLP TEAM ASSISTED CLIENTS WITH RECOVERING BENEFITS AND AVOIDING UNWARRANTED COSTS FOR A TOTAL VALUE OF $157,033.ACH MEDICAL PROVIDERS SUPPORT TWO SCHOOL-BASED HEALTH CENTERS IN THE LITTLE ROCK SCHOOL DISTRICT (LRSD). THE TWO CLINICS COMPLETED 1,618 VISITS WITH LRSD STUDENTS AND THEIR SIBLINGS DURING FY23. THE TOP THREE UTILIZATIONS DURING THIS TIME WERE ENCOUNTERS FOR IMMUNIZATION (876), ENCOUNTERS FOR ROUTINE CHILD HEALTH EXAMINATIONS WITH ABNORMAL FINDINGS (504), AND ENCOUNTERS FOR ROUTINE CHILD HEALTH EXAMINATIONS WITHOUT ABNORMAL FINDINGS (238). THE CLINIC PROVIDED 1,885 VACCINATIONS, MADE 337 SPECIALTY CARE REFERRALS, AND MADE 86 BEHAVIORAL HEALTH CARE REFERRALS. ACH ALSO SUPPORTS SCHOOL NURSES STATEWIDE THROUGH THE SCHOOL NURSE ACADEMY, A PARTNERSHIP BETWEEN ARKANSAS CHILDREN'S, ARKANSAS DEPARTMENT OF EDUCATION, AND ARKANSAS DEPARTMENT OF HEALTH. THROUGH THE SCHOOL NURSE ACADEMY IN FY23, 48 SCHOOL NURSES RECEIVED VIRTUAL, ASYNCHRONOUS ASTHMA MANAGEMENT TRAINING AND 143 PARTICIPANTS ATTENDED AN IN-PERSON MOTIVATIONAL INTERVIEWING TRAINING. THIS IN-PERSON TRAINING WAS HELD FIVE TIMES IN DIFFERENT REGIONS OF THE STATE AND REACHED NURSES IN 47 SCHOOL DISTRICTS. IN ADDITION, TO SUPPORT THE INCREDIBLE WORK OF SCHOOL NURSES, ARKANSAS CHILDREN'S CONTINUES TO SUPPORT A SCHOOL NURSE EDUCATIONAL RESOURCES WEBPAGE ON THEIR WEBSITE. THIS WEBPAGE MAKES AVAILABLE A VARIETY OF HEALTH RESOURCES TO KEEP SCHOOL NURSES INFORMED, SUCCESSFUL, AND CONFIDENT IN THEIR WORK TO CARE FOR STUDENTS. ONE RESOURCE AVAILABLE IS A VIRTUAL BROADCAST. IN FY23, EIGHT BROADCASTS REACHED 746 PARTICIPANTS IN 9 STATES (ARKANSAS, KENTUCKY, MARYLAND, MISSOURI, NEW YORK, OHIO, SOUTH CAROLINA, TENNESSEE, AND TEXAS) AND 70 OF 75 ARKANSAS COUNTIES. BROADCASTED TOPICS INCLUDED DIABETES: BACK-TO-SCHOOL, ALLERGIC REACTIONS, SCHOOL AGE RESPIRATORY EMERGENCIES, DEPRESSION AND ANXIETY: TOLERATING DISTRESS IS A SKILL WE ALL NEED TO LEARN, PROJECT ADAM: HEART SAFE SCHOOLS IN ARKANSAS, SEIZURES, CHILDHOOD IMMUNIZATIONS/MENINGITIS, AND HUMAN PAPILLOMA VIRUS (HPV). TO IMPROVE ACCESS TO CARE ISSUES RELATED TO LODGING, ACH SUPPORTED GOODNESS VILLAGE, RONALD MCDONALD HOUSE, AND HOME FOR HEALING. GOODNESS VILLAGE, LOCATED IN LITTLE ROCK, ARKANSAS, RECEIVED CONTRIBUTIONS HELPING TO COVER THE COSTS OF A 1-BEDROOM APARTMENT FOR THREE MONTHS FOR CAREGIVERS OF A CHILD BEING SEEN AT A CENTRAL ARKANSAS HOSPITAL. GOODNESS VILLAGE PROVIDES AFFORDABLE APARTMENT HOUSING IN LITTLE ROCK FOR PATIENTS AND THEIR FAMILIES WHO REQUIRE OUTPATIENT MEDICAL TREATMENT. RONALD MCDONALD HOUSE, THE FAMILY HOME OF THE RONALD MCDONALD HOUSE CHARITIES OF ARKANSAS, IS LOCATED ON THE CAMPUS OF ACH. THE LAND WHERE THE BUILDING IS LOCATED IS OWNED BY ACH AND PROVIDED AS A BENEFIT TO THE ORGANIZATION AT A $1 PER YEAR LEASE. THE RONALD MCDONALD HOUSE IS OPEN TO FAMILIES WITH A CHILD WHO IS AGE 21 OR YOUNGER AND LIVES 50-MILES AWAY FROM LITTLE ROCK. WHILE MANY FAMILIES HAVE A CHILD BEING TREATED AT ACH, IT IS OPEN TO FAMILIES WITH CHILDREN TREATED AT OTHER HOSPITAL FACILITIES AS WELL. ADDITIONALLY, ACH SUPPORTED HOME FOR HEALING IN LITTLE ROCK, WHICH FOR THE PAST 20 YEARS, HAS OFFERED SUPPORT TO PARENTS OF NICU INFANTS, INDIVIDUALS AND THEIR CAREGIVERS UNDERGOING CANCER TREATMENT, AND CAREGIVERS OF INDIVIDUALS WHO ARE IN INTENSIVE CARE UNITS, BY PROVIDING CONVENIENT AND FREE LODGING IN A PEACEFUL AND RESTORATIVE ENVIRONMENT.ACCESS TO CARE ISSUES CONTINUE TO EXIST IN ARKANSAS, WITH 15 COUNTIES IN ARKANSAS SCORING IN THE HIGHEST TIER OF RATING FOR DENTAL HEALTH PROFESSIONALS SHORTAGE AREAS (HPSA). DURING FY23, THE ARKANSAS CHILDREN'S DENTAL SEALANT PROGRAM OFFERED ORAL HEALTH SCREENINGS, FLUORIDE APPLICATIONS, AND DENTAL SEALANTS AT 34 SCHOOLS IN 18 COUNTIES OF THE STATE. THEY SAW 2,910 CHILDREN, IN WHICH 919 (32%) WERE IDENTIFIED TO HAVE OBVIOUS DECAY. NOTES WERE SENT HOME WITH THESE STUDENTS TO INFORM THEIR PARENTS THAT THEY NEED TO SEEK DENTAL CARE. THE PROGRAM RECEIVED POSITIVE FEEDBACK FROM SCHOOL NURSES, WHO SAID THIS PROCESS HELPED AFFIRM THE MESSAGE THEY HAD BEEN TRYING TO GET ACROSS TO PARENTS, AS WELL AS MOTIVATING PARENTS TO GET THE NEEDED DENTAL CARE FOR THEIR CHILDREN.STUDENTS WERE ALSO SERVED BY MOBILE DENTAL CLINICS, WHERE 844 PATIENTS WERE SERVED ACROSS 2,138 VISITS. IN FY23, THE MOBILE DENTAL OUTREACH PROGRAM PROVIDED PREVENTATIVE WORK, INCLUDING 2,851 SEALANTS AND 799 CLEANINGS, AND RESTORATIVE WORK, INCLUDING 140 ROOT CANALS, 290 CROWNS, 1,203 FILLINGS, 326 EXTRACTIONS, AND 7,625 OTHER PROCEDURES, SUCH AS ORAL EXAMS, X-RAYS, FLUORIDE APPLICATIONS, NITROUS ADMINISTRATION, AND PLACING SPACE MAINTAINERS.(7) SUSTAINING ACTIVITY: OBESITYCHILDHOOD OBESITY AND FOOD SECURITY ARE INTERCONNECTED NEEDS, WITH PROGRESS NEEDED IN BOTH AREAS FOR EITHER TO IMPROVE. MUCH OF THE WORK REPORTED UNDER THE FOOD INSECURITY SECTION OF THIS REPORT HAS COMPONENTS OF OBESITY PREVENTION AS WELL. TO ADDRESS OBESITY, AND THE INTERSECTING NEED OF FOOD SECURITY, AT A COMMUNITY LEVEL, ARKANSAS CHILDREN'S HEALTH EDUCATORS UTILIZED THE COOKING MATTERS CURRICULUM, PROVIDING FAMILIES AND THEIR CHILDREN WITH SPECIFIC SKILLS TO COOK HEALTHY, LOW-COST MEALS. ACH SUPPORTED COOKING MATTERS PROGRAMS INCLUDING COOKING MATTERS, COOKING MATTERS AT THE STORE, AND POP-UP COOKING MATTERS, AN INTERACTIVE CURRICULUM FOR HIGH SCHOOL STUDENTS. IN FY23, 74 POP-UP COOKING MATTERS PRESENTATIONS WERE GIVEN TO 1,629 JUNIOR HIGH AND HIGH SCHOOL STUDENTS THROUGHOUT THE STATE. AFTER COMPLETING POP-UP COOKING MATTERS, STUDENTS ARE SURVEYED TO DETERMINE INTENT TO CHANGE BEHAVIOR AROUND TOPICS LIKE COMPARING FOOD LABELS TO MAKE HEALTHY CHOICES, READING INGREDIENT LISTS TO FIND WHOLE GRAINS, AND CHOOSING FRUITS AND VEGETABLES IN ALL FORMS (FRESH, FROZEN, OR CANNED). ANOTHER FINANCIAL CONTRIBUTION WAS MADE TO APPLE SEEDS INC., A NORTHWEST ARKANSAS BASED NONPROFIT WHOSE MISSION IS TO INSPIRE HEALTHY LIVING THROUGH GARDEN-BASED EDUCATION. THEY CREATE PROGRAMS THAT EDUCATE AND EXCITE YOUNG STUDENTS ABOUT HEALTHY FOOD WHILE INCREASING THEIR ACCESS TO THOSE HEALTHY FOODS. OUR SUPPORT ASSISTED THEM IN EXPANDING THEIR GROWING MY PLATE PROGRAMMING ACROSS THE STATE, PROVIDING EDUCATION TO OVER 60 SCHOOLS AND TRAINING 68 TEACHERS IN 2022. GROWING MY PLATE PROGRAM EVALUATIONS ALSO SHOWED THAT 100% OF PARENTS REPORTED AN IMPROVEMENT IN THEIR CHILD IN A LEAST ONE BEHAVIOR AFTER IMPLEMENTATION (EITHER CHILD TALKING ABOUT NUTRITION, HEALTHY EATING, PARTICIPATION IN GROCERY SHOPPING, TRYING A NEW MEAL, AND FAMILY CONSUMPTION OF HEALTHY FOODS).
SCHEDULE H, PART V, SECTION B, LINE 11 - CONTINUED(8) SUSTAINING ACTIVITY: INJURY PREVENTION IMPROVEMENTS HAVE BEEN MADE OVER THE PAST 10 YEARS IN REGARDS TO INJURY PREVENTION; HOWEVER, THE FY22 ACH CHNA FOUND THAT ARKANSAS STILL RANKS 42ND IN THE NATION FOR CHILD AND TEEN DEATH RATE AND STILL RANKS NEGATIVELY COMPARED WITH NATIONAL AVERAGES IN MOST INJURY MECHANISMS.BECAUSE OF THIS, ARKANSAS CHILDREN'S CONTINUED TO WORK TO REDUCE CHILD INJURIES AND DEATHS THROUGH PROGRAMMING FOCUSED ON THE ISSUES OF MOTOR VEHICLE SAFETY, SAFE SLEEP/INFANT MORTALITY, INTENTIONAL INJURIES, AND RECREATIONAL SAFETY, AND BURN/FIRE PREVENTION DURING FY23, UTILIZING A COMPREHENSIVE PUBLIC HEALTH APPROACH THAT INCLUDES EDUCATION, AWARENESS, AND ADVOCACY. AS PREVIOUSLY MENTIONED UNDER THE INFANT HEALTH SECONDARY PRIORITY, ARKANSAS CHILDREN'S LEADS THE SAFETY BABY SHOWER PROGRAM, WHICH PROVIDES SAFE SLEEP EDUCATION ACROSS THE STATE. SAFETY BABY SHOWER CLASSES ARE TAUGHT TO PARENTS AND OFFERED IN A TRAIN-THE-TRAINER MODEL TO EQUIP COMMUNITY MEMBERS TO LEAD THEIR OWN CLASSES. DURING FY23, 54 SAFETY BABY SHOWERS WERE HELD, TO REACH A TOTAL OF 365 PARTICIPANTS ACROSS ARKANSAS, AND 152 COMMUNITY MEMBERS WERE TRAINED TO IMPLEMENT SAFETY BABY SHOWER CLASSES IN THEIR OWN COMMUNITIES. MOTOR VEHICLE SAFETY EFFORTS WERE FOCUSED AROUND CHILD PASSENGER SAFETY AND TEEN DRIVING SAFETY DURING THE FY23 TIMEFRAME. CHILD PASSENGER SAFETY EFFORTS WERE PREVIOUSLY DISCUSSED UNDER THE INFANT HEALTH SECONDARY PRIORITY, AND INCLUDED 11 CHILD PASSENGER SAFETY CERTIFICATION COURSES, WHICH TRAINED 133 PROFESSIONALS TO PROPERLY INSTALL CAR SEATS. CLASSES AND CORRESPONDING COMMUNITY SEAT CHECK EVENTS WERE HELD IN BENTON, BOONE, CRAIGHEAD, GARLAND, MISSISSIPPI, OUACHITA, PHILLIPS, PULASKI, AND SEBASTIAN COUNTIES. FAMILIES ALSO HAVE ACCESS TO CHILD PASSENGER SAFETY EDUCATION AT ARKANSAS CHILDREN'S LOCATIONS, AS WELL AS 31 SATELLITE SITES AROUND THE STATE, WHERE 1,065 CAR SEATS WERE DONATED TO FAMILIES IN NEED THROUGH AN ARKANSAS HIGHWAY SAFETY OFFICE GRANT AND ANOTHER 450 WERE DONATED THROUGH ARKANSAS CHILDREN'S ORGANIZATIONAL DOLLARS AND SPECIFIED PURPOSE FUNDING IN FY23. TEEN DRIVING SAFETY EFFORTS WERE CONDUCTED THROUGH THE YOUTH ACCIDENT PREVENTION PROGRAM (YAPP), WHICH REACHED 2,271 STUDENTS DURING FY23, AND A PEER LED ARKANSAS DRIVE SMART CHALLENGE, WITH 13 SCHOOLS AND 342 STUDENT LEADERS TRAINED. ARKANSAS CHILDREN'S CONTINUED TO OFFER BABYSITTING 101 CLASSES IN FY23. DURING BABYSITTING 101, STUDENTS RECEIVE TRAINING IN SAFETY SKILLS, CHILD CARE SKILLS, FIRST AID AND RESCUE SKILLS, AND LIFE AND BUSINESS SKILLS. SIX CLASSES TOOK PLACE THIS YEAR (FOUR IN LITTLE ROCK, ONE IN SPRINGDALE, AND ONE IN JONESBORO), AND 72 STUDENTS WERE TRAINED FROM 10 COUNTIES TO BE SAFE BABYSITTERS.INTERSECTING NEED: POVERTY AND FINANCES AS STATED IN THE 2022 ACH CHNA, BY MOST MEASURES, ARKANSAS CONSISTENTLY RANKS AS ONE OF THE POOREST STATES IN THE NATION, AND LACK OF INCOME AND/OR MONETARY RESOURCES AFFECTS THE HEALTH OUTCOMES OF ARKANSAS CHILDREN, PERHAPS MORE SO THAN ANY OTHER SINGLE TOPIC AREA REVIEWED. VIRTUALLY EVERY STAKEHOLDER WHO PROVIDED INPUT INTO THE CHNA CONNECTED THE DOTS BETWEEN POVERTY AND CHILDREN'S HEALTH. AS MENTIONED IN PRIOR SECTIONS OF THIS NARRATIVE, ARKANSAS CHILDREN'S RESOURCE CONNECT (POWERED BY FINDHELP.ORG) AND THE ARKANSAS CHILDREN'S MEDICAL LEGAL PARTNERSHIP HAVE BOTH PROVEN TO PROVIDE GREAT RESOURCES AND ASSISTANCE TO IMPOVERISHED FAMILIES. IN FY23, ARKANSAS CHILDREN'S SUPPORTED THE ALICE IN THE CROSSCURRENTS: COVID AND FINANCIAL HARDSHIP IN ARKANSAS 2023 REPORT, WITH TEAM MEMBERS SITTING ON THE STATE RESEARCH ADVISORY COMMITTEE. THIS ALICE (ASSET LIMITED, INCOME CONSTRAINED, EMPLOYED) REPORT PROVIDES THE FIRST LOOK AT THE EXTENT OF FINANCIAL HARDSHIP IN ARKANSAS USING ALICE METRICS SINCE THE COVID-19 PANDEMIC BEGAN. UNDERSTANDING THE LINKS BETWEEN LITERACY AND POVERTY, ACH PARTNERS WITH LITERACY ACTION OF CENTRAL ARKANSAS TO OFFER LITERACY CLASSES ON CAMPUS, WITH PLANS TO EXPAND THIS RESOURCE THROUGH PHILANTHROPIC DOLLARS IN THE COMING YEAR. WHILE ARKANSAS CHILDREN'S IS NOT POSITIONED TO HAVE A SIGNIFICANT IMPACT ON INCREASING FAMILY INCOME AND DECREASING POVERTY RATES, THE SYSTEM WILL CONTINUE TO SEEK AND PARTICIPATE IN ACTIVITIES WHICH MAY CONTRIBUTE TO IMPROVING THIS NEED.
SCHEDULE H, PART V, SECTION B, LINE 16A - FAP WEBSITEWWW.ARCHILDRENS.ORG/PATIENTS-AND-VISITORS/BILLING-AND-INSURANCE/FINANCIAL-ASSISTANCE
SCHEDULE H, PART V, SECTION B, LINE 16B - FAP APPLICATIONWWW.ARCHILDRENS.ORG/PATIENTS-AND-VISITORS/BILLING-AND-INSURANCE/FINANCIAL-ASSISTANCE
SCHEDULE H, PART V, SECTION B, LINE 16C - FAP PLAIN LANGUAGE SUMMARYWWW.ARCHILDRENS.ORG/PATIENTS-AND-VISITORS/BILLING-AND-INSURANCE/FINANCIAL-ASSISTANCE
SCHEDULE H, PART V, SECTION B, LINE 20SCHEDULE H, PART V, QUESTION 20A-20E ARE NOT CHECKED BECAUSE ARKANSAS CHILDREN'S HOSPITAL DOES NOT PERFORM EXTRAORDINARY COLLECTION ACTIONS (ECA'S) OF ANY KIND. AS SUCH, NONE OF THE BOX 20 QUESTIONS OCCURRED "BEFORE INITIATING THE LISTED ACTIONS" BECAUSE THE LISTED ACTIONS WERE NEVER INITIATED. PLEASE REFER TO DESCRIPTION AT SCHEDULE H, PART III, SECTION C, QUESTION 9B FOR A COMPLETE DESCRIPTION OF ARKANSAS CHILDREN'S COLLECTION PRACTICES.
FieldValueIRS element (for citing)
Facility4FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (4 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdFacilityFacilityTxt
1 - ACH WEST LITTLE ROCK CLINIC
BELLA ROSA CENTER 16101 CANTRELL RDLITTLE ROCKAR72223OUTPATIENT HOSPITAL CLINIC
2 - ACH JONESBORO CLINIC
520 CARSON STREETJONESBOROAR72401OUTPATIENT HOSPITAL CLINIC
3 - ACH SOUTHWEST LITTLE ROCK CLINIC
9015 DAILEY DRIVELITTLE ROCKAR72209OUTPATIENT HOSPITAL CLINIC
4 - ACH PINE BLUFF CLINIC
1500 W 42ND AVENUEPINE BLUFFAR71603OUTPATIENT HOSPITAL CLINIC

Supplemental Information Detail SupplementalInformationDetail (13 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART I, LINE 3C:ACH USES FEDERAL POVERTY GUIDELINES TO DETERMINE FREE OR DISCOUNTED CARE.PART I, LINE 4:ACH DOES NOT HAVE A SPECIFIC FINANCIAL ASSISTANCE PROGRAM FOR THE "MEDICALLY INDIGENT" AS DEFINED BY AR CODE SECTION 6-64-503(A), BUT IT DOES PROVIDE FREE CARE FOR INDIVIDUALS WITH HOUSEHOLD INCOMES UP TO 250% OF POVERTY AND DISCOUNTED CARE FOR INDIVIDUALS WITH HOUSEHOLD INCOMES UP TO 400% OF POVERTY. AS PART OF THE APPLICATION PROCESS, ACH REQUESTS THAT PERSONS WITH NO INCOME WHO ARE ALSO INELIGIBLE FOR MEDICAID, MEDICARE, OR MARKETPLACE SUBSIDIES PROVIDE A WRITTEN SIGNED STATEMENT DESCRIBING HOW THEY ARE MEETING THEIR DAY TO DAY BASIC LIVING NEEDS. THE APPLICATION SPECIFIES SUCH REQUIREMENTS FOR APPLICANTS WITH "NO INCOME IN THE HOME". ACH ALSO ASSISTS FAMILIES IN APPLYING FOR MEDICAID (INCLUDING THE TEFRA PROGRAM FOR DISABLED CHILDREN THAT ONLY CONSIDERS THE CHILD'S INCOME), SSI, CHILDREN'S MEDICAL SERVICES, AS WELL AS ACH'S OWN FINANCIAL ASSISTANCE PROGRAM. THE HOSPITAL ALSO ALLOWS INTEREST FREE PAYMENTS TO BE MADE UNTIL THE OUTSTANDING BALANCE IS PAID WITHOUT TIME CONSTRAINTS. ACH DOES NOT REPORT TO COLLECTION AGENCIES OR TAKE OTHER EXTRAORDINARY COLLECTION EFFORTS.
PART I, LINE 7:COSTING METHOD - ARKANSAS CHILDREN'S HOSPITAL (ACH) USES A COST ACCOUNTING (CA) SYSTEM AS THE BASIS FOR DETERMINING COST FOR ITS PATIENTS. ALL PATIENT ENCOUNTERS (INPATIENT, OUTPATIENT, ED, AMBULATORY SURGERY) ARE CAPTURED IN THE COST ACCOUNTING SYSTEM FOR ALL PATIENTS (MEDICAID, INSURANCE, UNINSURED) WITH NO DIFFERENTIATION FOR TYPE OF INSURANCE, IF ANY. A BRIEF DESCRIPTION OF THE COST ACCOUNTING SYSTEM IS BELOW.THE COST ACCOUNTING SYSTEM AT ACH IS A DETAILED PROCEDURE SYSTEM. ALL SERVICES PERFORMED BY PATIENT CARE STAFF HAVE BEEN EVALUATED AS TO THE RESOURCES UTILIZED TO PROVIDE THE SERVICES INCLUDING LABOR, DIRECT MATERIALS AND EQUIPMENT. IN ADDITION, OVERHEAD TYPE COSTS (BUILDING, UTILITIES, PAYROLL, ETC.) HAVE ALSO BEEN ALLOCATED TO THESE SERVICES. THE TWO COMPONENTS, DIRECT AND INDIRECT COSTS, ARE COMBINED AND REPRESENT THE TOTAL COST TO PROVIDE EACH SERVICE. THIS IS DONE ON A PROCEDURE LEVEL BASIS. AS A PATIENT IS ADMITTED AND INCURS SERVICES (X-RAYS, ROOM & BOARD, LAB, ETC.), THE APPLICABLE PROCEDURE COSTS ARE ASSIGNED TO EACH PARTICULAR PATIENT. UPON DISCHARGE, THE COSTS FROM THE INDIVIDUAL PROCEDURES THAT WERE PROVIDED TO EACH PATIENT ARE ADDED UP FOR A TOTAL COST OF PROVIDING CARE FOR EACH INDIVIDUAL PATIENT.THE COST ACCOUNTING SYSTEM IS UPDATED ANNUALLY TO REFLECT THE CURRENT YEAR'S EXPENSES.
PART I, LINE 7G:SUBSIDIZED HEALTH SERVICES - ACH PROVIDES MANY PEDIATRIC AND SOME ADULT SPECIALIZED SERVICES TO THE COMMUNITY THAT ARE EITHER NOT AVAILABLE OR ARE BEYOND THE CAPACITY OF THE COMMUNITY TO PROVIDE. MANY OF THESE SERVICES ARE PROVIDED BY ACH AT A LOSS. THESE LOSSES WERE OBTAINED FROM THE COST ACCOUNTING SYSTEM.ACH SUBSIDIZED HEALTH SERVICES INCLUDES ONE STANDALONE CLINIC. THE NET LOSS OF $81,963 INCLUDED FROM THIS CLINIC REPRESENTS THE FACILITY PORTION OF THE CLINIC WHICH INCLUDES THE CLINIC VISIT, VACCINE ADMINISTRATION AND POINT OF CARE TESTING.IN ADDITION, ACH PROVIDES PEDIATRIC RENAL SERVICES THAT ARE NOT PROVIDED IN THE COMMUNITY. THE COST OF THESE SERVICES PROVIDED TO PEDIATRIC PATIENTS IS MORE EXPENSIVE DUE TO THE SPECIALTY NATURE OF THE PATIENTS. THESE COSTS ARE GREATER THAN WHAT IS ALLOWED ON THE MEDICARE COST REPORT, AND THAT LOSS HAS BEEN REPORTED IN SUBSIDIZED HEALTH SERVICES.SIMILARLY, ACH INCURS LOSSES FROM PROVIDING PEDIATRIC RENAL LAB SERVICES TO ITS MEDICARE PATIENT POPULATION THAT ARE NOT REIMBURSED. THOSE LOSSES ARE ALSO INCLUDED AS SUBSIDIZED HEALTH SERVICES.
PART II, COMMUNITY BUILDING ACTIVITIES:ARKANSAS CHILDREN'S HOSPITAL SEEKS TO BE AN ACTIVE MEMBER OF THE LOCAL NEIGHBORHOOD. THE HOSPITAL IS LOCATED IN AN OLDER, ESTABLISHED, HISTORIC URBAN NEIGHBORHOOD IN DOWNTOWN LITTLE ROCK. OUR CAMPUS COVERS MORE THAN 30 CITY BLOCKS AND EMPLOYS MORE THAN 4,500 PEOPLE. ACH PARTICIPATES IN LOCAL NEIGHBORHOOD ASSOCIATION MEETINGS, IN ORDER TO SHARE INFORMATION AND/OR HEAR CONCERNS AND FEEDBACK. IN ADDITION TO ATTENDANCE AT MONTHLY CENTRAL HIGH NEIGHBORHOOD ASSOCIATION MEETINGS, ARKANSAS CHILDREN'S OFTEN ASSISTS WITH NEIGHBORHOOD ACTIVITIES SUCH AS NATIONAL NIGHT OUT, PARK CLEAN-UP DAYS, COMMUNITY GARDEN VOLUNTEERING, AND SPONSORSHIP OF ACTIVITIES AT NEARBY NEIGHBORHOOD SCHOOLS CENTRAL HIGH SCHOOL AND KING ELEMENTARY. ACH ALSO SUPPORTS THE DOWNTOWN LITTLE ROCK PARTNERSHIP AND ITS WORK TO CONTINUE AND GROW A THRIVING DOWNTOWN, RICH IN BUSINESS, ARTS AND CULTURE. ACH ALSO FINANCIALLY SUPPORTS OTHER ORGANIZATIONS THAT SEEK TO ADDRESS THE NEEDS OF CHILDREN AND FAMILIES, INCLUDING THE ARKANSAS CHAPTER OF THE AMERICAN FOUNDATION FOR SUICIDE PREVENTION; WOMEN & CHILDREN FIRST, WHICH ADDRESSES FAMILY VIOLENCE THROUGH SAFETY, STRENGTH, AND HOPE FOR ALL VICTIMS OF FAMILY VIOLENCE; ARKANSAS HUNGER RELIEF ALLIANCE AND FOOD BANKS AND FOOD PANTRIES ACROSS THE STATE; HELPING HAND FOOD PANTRY, NEIGHBOR-TO-NEIGHBOR FOOD PANTY, EL ZOCALO IMMIGRANT RESOURCE CENTER, AND LEGAL AID OF ARKANSAS. ACH ALSO PROVIDES OFFICE SPACE AT HIGHLY DISCOUNTED RATES FOR CHILD MALTREATMENT SERVICES. THE CENTENNIAL GARDEN, A COMMUNITY GARDEN ON THE GROUNDS OF ACH, PLAYS AN ACTIVE ROLE IN FOOD SECURITY EFFORTS DESIGNED TO BENEFIT PATIENT FAMILIES AND THE BROADER COMMUNITY. THE GARDEN IS REGULARLY TENDED BY A PART-TIME GARDEN MANAGER AS WELL AS A NUMBER OF DEDICATED COMMUNITY VOLUNTEERS. IN FY23, MORE THAN 1,000 POUNDS OF FRESH PRODUCE WERE DONATED TO HELPING HAND FOOD PANTRY AND EL ZOCALO IMMIGRANT RESOURCE CENTER. PRODUCE GROWN INCLUDES COLLARD GREENS, MUSTARD GREENS, SWISS CHARD, LETTUCE, STRAWBERRIES, BLACKBERRIES, ONIONS, CORN, TOMATOES, AND A VARIETY OF PEPPERS, SUCH AS BELL, BANANA, JALAPENO, AND ANAHEIM. THESE ARE THE TYPES OF PRODUCE CULTURALLY PREFERRED BY THE COMMUNITIES SERVED AT EACH FOOD PANTRY.ARKANSAS CHILDREN'S CONTINUES TO CLOSELY PARTNER WITH SCHOOLS AND HAS FORMAL PARTNERSHIPS WITH KING ELEMENTARY SCHOOL, IN LITTLE ROCK NEAR THE ACH CAMPUS; CLOVERDALE MIDDLE SCHOOL, LOCATED NEAR THE ACH SOUTHWEST LITTLE ROCK CLINIC; JONESBORO HIGH SCHOOL - HEALTH AND HUMAN SERVICES ACADEMY, NEAR THE ACH JONESBORO CLINIC; SPRINGDALE HIGH SCHOOL - MEDICAL ACADEMY, LOCATED NEAR ARKANSAS CHILDREN'S NORTHWEST, AND JAMES MATTHEW ELEMENTARY, NEAR THE ACH PINE BLUFF CLINIC. GOALS FOR THESE PARTNERSHIPS INCLUDE PROMOTING HEALTH EDUCATION, PROMOTING EXPLORATION AND LEARNING OF HEALTHCARE CAREERS, AND FOSTERING A CLIMATE OF INVOLVEMENT, INTERACTION AND MUTUAL COOPERATION BETWEEN EACH PARTY. ALSO IN PINE BLUFF, WE PARTNER WITH AN AFTER-SCHOOL MENTORING PROGRAM FOR AT-RISK YOUTH, CALLED TARGETING OUR PEOPLE'S PRIORITIES WITH SERVICE (TOPPS). THIS PROGRAM PROVIDES MEALS TO MORE THAN 2,600 CHILDREN YEAR-ROUND, OFFERS AFTER-SCHOOL LEARNING SUPPORT, AND OFFERS JOB TRAINING, MENTORING AND OTHER SUPPORT PROGRAMS TO STUDENTS OVER AGE 14.ADDITIONALLY, IN APRIL OF 2023, ARKANSAS CHILDREN'S ENTERED A FORMAL PARTNERSHIP WITH SYLVAN HILLS HIGH SCHOOL AND THE PULASKI COUNTY SPECIAL SCHOOL DISTRICT TO ESTABLISH THE ARKANSAS CHILDREN'S ACADEMY OF BUSINESS AND THE ARKANSAS CHILDREN'S ACADEMY OF MEDICAL SCIENCE. LOCATED AT SYLVAN HILLS HIGH SCHOOL, THESE ACADEMIES PROVIDE ENHANCED LEARNING OPPORTUNITIES TO STUDENTS, SUCH AS CAREER EXPOSURE THROUGH CLASSROOM SPEAKERS AND GUEST LECTURERS. THESE STUDENTS WILL ATTEND A CAREER EXPOSURE EVENT WHERE ARKANSAS CHILDREN'S, ALONG WITH OTHER CENTRAL ARKANSAS BUSINESSES, WILL SHOWCASE CAREER OPPORTUNITIES. SOPHOMORE STUDENTS ARE PROVIDED FIELD TRIPS AND BUSINESS TOURS, AND JUNIOR STUDENTS ARE THEN PROVIDED JOB SHADOWING OPPORTUNITIES. TOGETHER, ARKANSAS CHILDREN'S AND SYLVAN HILLS HIGH SCHOOL DEVELOP CAPSTONE PROJECTS AND INTERNSHIP OPPORTUNITIES FOR SENIOR STUDENTS, AND ARKANSAS CHILDREN'S COLLABORATES WITH SYLVAN HILLS TEACHERS AND THE DISTRICT LEAD ACADEMY COACH ON CURRICULUM ADVISEMENT, INDUSTRY CREDENTIALS, HANDS-ON LEARNING OPPORTUNITIES TO PROVIDE REQUIRED SKILLS FOR STUDENTS, AND NEEDED FINANCIAL RESOURCES TO CREATE A LEARNING LABORATORY SPACE FOR STUDENTS.
PART III, LINE 2:BAD DEBT EXPENSE REPORTED ON LINE 2 REPRESENTS UNCOLLECTIBLE PATIENT ACCOUNTS AND IS CALCULATED ON A COST BASIS.
PART III, LINE 4:UNCOLLECTIBLE UNCOMPENSATED CARE GENERALLY REPRESENTS STANDARD CHARGES THAT ARE UNREALIZED DUE TO AN UNWILLINGNESS TO PAY BY THOSE RESPONSIBLE FOR PAYMENT, THEREFORE BAD DEBT. UNCOLLECTIBLE UNCOMPENSATED CARE IS REPORTED AS A DEDUCTION FROM GROSS PATIENT REVENUE.FOR UNINSURED PATIENTS WHO DO NOT QUALIFY FOR CHARITY CARE, ACH RECOGNIZES REVENUE BASED ON ESTABLISHED RATES, SUBJECT TO CERTAIN DISCOUNTS AS DETERMINED BY ACH. AN ESTIMATED PROVISION FOR UNCOLLECTIBLE ACCOUNTS IS RECORDED THAT RESULTS IN NET PATIENT SERVICE REVENUE BEING REPORTED AT THE NET AMOUNT EXPECTED TO BE RECEIVED. IT HAS BEEN DETERMINED, BASED ON AN ASSESSMENT AT THE CONSOLIDATED ENTITY LEVEL, THAT PATIENT SERVICE REVENUE IS PRIMARILY RECORDED PRIOR TO ASSESSING THE PATIENT'S ABILITY TO PAY AND AS SUCH, THE ENTIRE PROVISION FOR UNCOLLECTIBLE ACCOUNTS RELATED TO PATIENT REVENUE IS RECORDED AS A DEDUCTION FROM PATIENT SERVICE REVENUE IN THE ACCOMPANYING CONSOLIDATED STATEMENTS OF OPERATIONS.PATIENT RECEIVABLES ARE REDUCED BY AN ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS. PERIODICALLY THROUGHOUT THE YEAR, MANAGEMENT ASSESSES THE ADEQUACY OF THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS BASED UPON HISTORICAL WRITE OFF EXPERIENCE BY PAYOR CATEGORY. THE RESULTS OF THIS REVIEW ARE THEN USED TO MAKE MODIFICATIONS TO THE PROVISION FOR UNCOLLECTIBLE ACCOUNTS TO ESTABLISH AN APPROPRIATE ALLOWANCE FOR UNCOLLECTIBLE RECEIVABLES.FOR PATIENT RECEIVABLES ASSOCIATED WITH SELF PAY PATIENTS, INCLUDING PATIENTS WITH DEDUCTIBLE AND COPAYMENT BALANCES FOR WHICH THIRD PARTY COVERAGE PROVIDES FOR A PORTION OF THE SERVICES PROVIDED, ACH RECORDS AN ESTIMATED PROVISION FOR UNCOLLECTIBLE ACCOUNTS IN THE YEAR OF SERVICE.
PART III, LINE 8:THE ACH MEDICARE POPULATION IS PRIMARILY RENAL PEDIATRIC PATIENTS AND ADULT BURN PATIENTS. ACH IS THE ONLY BURN CENTER IN THE STATE AND SERVES BOTH PEDIATRIC AND ADULT PATIENTS. THE COST OF PROVIDING CARE FOR THE ACUTE ADULT PATIENTS IS TYPICALLY GREATER THAN THE REIMBURSEMENT THAT MEDICARE ALLOWS ON THE MEDICARE COST REPORT. THEREFORE, THE MEDICARE SHORTFALL, IF ANY, SHOULD BE INCLUDED AS A COMPONENT OF COMMUNITY BENEFIT BECAUSE THE REIMBURSEMENT IS NOT NEGOTIATED AND SERVICES CANNOT BE PROVIDED ELSEWHERE.
PART III, LINE 9B:ARKANSAS CHILDREN'S HOSPITAL'S PATIENT ACCOUNTS DEPARTMENT USES ITS BEST EFFORTS TO ASSIST PATIENTS/GUARANTORS IN MEETING THEIR FINANCIAL RESPONSIBILITY FOR SERVICES PROVIDED AT ACH. THE ACH POLICY IS TO ACT WITH INTEGRITY IN ALL ENDEAVORS; TREATING ALL PATIENTS AND THEIR FAMILIES WITH DIGNITY, RESPECT, AND COMPASSION. THE STANDARD PROCESS INCLUDES OFFERING FINANCIAL ASSISTANCE TO ELIGIBLE FAMILIES. NOTICES REGARDING THE FINANCIAL ASSISTANCE PROGRAM ARE POSTED IN ENGLISH AND SPANISH IN ALL REGISTRATION AREAS. IN ADDITION TO OFFERING FINANCIAL ASSISTANCE BROCHURES UPON ADMISSION, THEY ARE ALSO MADE AVAILABLE TO FAMILIES UPON REQUEST. THE GUARANTOR STATEMENTS AND THE ACH WEBSITE CONTAIN INFORMATION ABOUT THIS PROGRAM. THERE ARE FINANCIAL COUNSELORS AVAILABLE TO ALL REGISTRATION AREAS OF THE HOSPITAL TO ASSIST IN COMPLETING MEDICAID, CMS, SSI INTENTS, AND FINANCIAL ASSISTANCE APPLICATIONS. IT IS STANDARD PRACTICE AT ACH TO UTILIZE INTERNAL RESOURCES FOR COLLECTION THROUGH THE PATIENT ACCOUNTS DEPARTMENT. NO EXTRAORDINARY COLLECTION EFFORTS ARE TAKEN. ACH DOES NOT REPORT TO CREDIT BUREAUS OR CHARGE INTEREST OR FILE LIENS AGAINST A PATIENT'S OR FAMILY'S RESIDENCE TO SECURE PAYMENT ON PATIENT ACCOUNT BALANCES. UPON RECEIPT OF A PERSONAL BANKRUPTCY NOTICE, ANY OUTSTANDING SELF-PAY BALANCES FOR THE ASSOCIATED PATIENT ARE WRITTEN OFF ONCE ALL OTHER PAYMENTS HAVE BEEN RECEIVED. ALL SELF-PAY COLLECTION ACTIVITY IS STOPPED UPON NOTIFICATION OF THE BANKRUPTCY.UPFRONT DISCOUNTS ON SERVICES FOR THE UNINSURED ARE OFFERED. THE FAMILY CAN ALSO REQUEST A PROMPT PAY DISCOUNT. ADDITIONALLY, ACH ATTEMPTS TO ACCOMMODATE U.S. FAMILIES WHO DESIRE TO SET UP REASONABLE PAYMENT PLANS. INTEREST IS NOT CHARGED. THE HOSPITAL'S GUARANTOR STATEMENTS ARE DESIGNED TO KEEP THE GUARANTOR UPDATED AS TO WHETHER THE ACCOUNT IS STILL PENDING RESOLUTION BY INSURANCE OR DUE FROM THE GUARANTOR. SELF-PAY COLLECTION ATTEMPTS ARE DISCONTINUED ONCE CHARGES ARE DETERMINED TO QUALIFY FOR FINANCIAL ASSISTANCE.
PART VI, LINE 2:ARKANSAS CHILDREN'S HOSPITAL HAS BEEN CONDUCTING REGULAR NEEDS ASSESSMENTS OF THE STATUS OF CHILDREN'S HEALTH IN ARKANSAS SINCE 2006, WITH THE MOST RECENT CHNA AND IMPLEMENTATION STRATEGY ISSUED IN 2022. PLEASE SEE PART V, SECTION B FOR RELATED DETAILS AND DISCUSSION.BUILDING ON YEARS OF EXPERIENCE ASSESSING THE NEEDS OF THE COMMUNITY, ACH'S CHNA IS COMPREHENSIVE AND HAS A STATEWIDE REACH. HOWEVER, CLINICAL ASSESSMENT OF NEEDS HAS DRIVEN ADDITIONAL EFFORTS TO IMPROVE ACCESS TO APPROPRIATE HEALTH CARE FOR CHILDREN AND TO EDUCATE A VARIETY OF STAKEHOLDERS IN ARKANSAS. FOR EXAMPLE, AFTER REALIZING THAT SOME HEALTH CARE WORKERS (FROM FIRST RESPONDERS TO SMALL HOSPITALS' STAFF MEMBERS) WERE UNFAMILIAR WITH PEDIATRIC PROTOCOLS, ACH HAS WORKED TO EDUCATE PROFESSIONALS ACROSS THE STATE THROUGH SIMULATION EDUCATION. SCHOOL NURSES IDENTIFIED CERTAIN AREAS, SUCH AS TRACHEOSTOMY CARE, IN WHICH THEY FELT THEY NEEDED ADDITIONAL EDUCATION, AND ACH PARTNERED WITH THE AR DEPARTMENT OF HEALTH TO MEET THOSE NEEDS THROUGH THE SCHOOL NURSE ACADEMY. ACH SUPPORTS CAMPS FOR CHILDREN WITH SPECIAL HEALTH CARE NEEDS WHICH IS DRIVEN BY STAFF MEMBERS WHO WORK IN SPECIALTY CLINICS AND INPATIENT UNITS EACH DAY. ACH'S FAMILY ADVISORY BOARD HELPS GUIDE THE HOSPITAL STAFF AND BOARD REGARDING ISSUES RELATED TO ITS SERVICES AND TO CREATING A FAMILY-FRIENDLY, FAMILY-CENTERED PLACE OF CARE.
PART VI, LINE 3:PLEASE SEE PART III, LINE 9B DESCRIPTION.
PART VI, LINE 4:AS THE CENTRAL PEDIATRIC MEDICAL CENTER IN THE STATE, ACH DEFINES THE COMMUNITY IT SERVES AS ALL CHILDREN FROM BIRTH TO AGE 18 IN THE STATE OF ARKANSAS. THOUGH THE HOSPITAL SERVES A SMALL NUMBER OF ADULT PATIENTS WITH PEDIATRIC CHRONIC CONDITIONS OR SEVERE BURNS AND A HANDFUL OF OUT-OF-STATE PATIENTS FOR PARTICULAR HEALTH CONDITIONS, THE MAJORITY OF ITS PATIENTS ARE FROM CENTRAL ARKANSAS AND THE REMAINDER OF THE STATE. IN FY23, ACH DREW APPROXIMATELY 74.4% OF ITS OUTPATIENTS AND 60.2% OF ITS INPATIENTS FROM PULASKI COUNTY AND THE SURROUNDING COUNTIES OF SALINE, FAULKNER, LONOKE, AND JEFFERSON, AS WELL AS FROM WHITE COUNTY IN NORTH CENTRAL ARKANSAS, GARLAND COUNTY IN EAST CENTRAL ARKANSAS, WASHINGTON AND BENTON COUNTY IN THE NORTHWEST CORNER OF THE STATE, AND POPE COUNTY IN NORTHWEST CENTRAL ARKANSAS. ALTHOUGH PULASKI COUNTY IS THE HOSPITAL'S PRIMARY SERVICE AREA, WITH 42.4% OF OUTPATIENT DISCHARGES AND 24.4% OF INPATIENT DISCHARGES DURING FY23.ACH'S CURRENT PHYSICAL LOCATIONS INCLUDE A MAIN CAMPUS AND TWO OUTPATIENT CLINICS IN LITTLE ROCK, A CLINIC IN JONESBORO IN NORTHEAST ARKANSAS, AND A CLINIC IN PINE BLUFF IN SOUTH CENTRAL ARKANSAS. GROWING TELEMEDICINE CAPABILITIES HELP CONNECT ACH TO OFF-CAMPUS PROVIDERS AND ALLOW REMOTE SITES ACCESS TO SPECIALTIES INCLUDING NEONATOLOGY, EMERGENCY MEDICINE, PEDIATRIC INTENSIVE CARE, BURN, GENETICS, CARDIOLOGY, AND PULMONOLOGY. ACCORDING TO U.S. CENSUS BUREAU 2020 CENSUS DATA, POPULATION TOTALS AT THAT TIME WERE 3,011,524 FOR THE STATE OF ARKANSAS AND 399,125 FOR PULASKI COUNTY. ESTIMATED 2023 CENSUS DATA INDICATED POPULATION TOTALS TO BE 3,067,732 FOR ARKANSAS. ALSO ACCORDING TO ESTIMATED 2023 CENSUS DATA, APPROXIMATELY 22.9% OF THE ARKANSAS POPULATION WAS UNDER 18 YEARS OF AGE AND 5.9% WAS UNDER THE AGE OF 5. THE UNEMPLOYMENT RATE FOR THE STATE OF ARKANSAS FOR CALENDAR YEAR 2022 WAS 3.3%, A DECREASE FROM THE PREVIOUS YEAR. THE PER CAPITA PERSONAL INCOME FOR THE STATE OF ARKANSAS FOR 2022 WAS $31,380. THE PERCENT OF ALL PEOPLE IN POVERTY IN ARKANSAS ROSE SLIGHTLY TO 16.8% AND THE PERCENT OF CHILDREN 18 OR YOUNGER IN POVERTY WAS 22.1%, INDICATING A SLIGHT DECREASE FOR CHILDREN FROM THE PRIOR YEAR.ARKANSAS CHILDREN'S HOSPITAL (ACH) DEFINES ITS COMMUNITY AS ALL CHILDREN WHO RESIDE IN THE STATE. CHILDREN SERVED BY ACH COME FROM DIVERSE COMMUNITIES, RANGING FROM NORTHWEST ARKANSAS' BOOMING BUSINESS INDUSTRY TO THE PERSISTENT POVERTY OF THE MISSISSIPPI DELTA. RACIAL AND ETHNIC SUBCULTURES VARY ACROSS THE STATE INCLUDING A GROWING HISPANIC POPULATION IN THE NORTH AND WEST TO A LARGER AFRICAN AMERICAN POPULATION IN THE SOUTH AND EAST. IN GENERAL, ARKANSAS CHILDREN FARE WORSE THAN OTHERS IN THE U.S. IN TERMS OF HEALTH RISK FACTORS AND OUTCOMES, HIGHLIGHTING A NEED FOR INVESTMENTS IN PUBLIC HEALTH INITIATIVES. DESPITE THE PRESENCE OF LARGE PRIVATE EMPLOYERS INCLUDING THE CORPORATE HOMES FOR WAL-MART, TYSON FOODS, AND J.B. HUNT TRANSPORT SERVICES, AND A STRONG AGRICULTURAL ECONOMY, THE CONSEQUENCES OF POVERTY ARE FELT IN MOST COMMUNITIES IN THE STATE.THE ESTIMATED 694,298 ARKANSAS CHILDREN UNDER AGE 18 REPRESENTED 22.9% OF THE STATE'S TOTAL POPULATION FOR 2022. THE HISPANIC CHILD POPULATION GREW FROM 12.2% AS ESTIMATED IN THE 2020 CENSUS TO 12.9% FOR 2022. HOWEVER, THE NUMBER OF AFRICAN AMERICAN CHILDREN UNDER AGE 18 DROPPED SLIGHTLY FROM 17.1% TO 16.0%. WITH A PRIMARILY RURAL POPULATION LIVING IN MANY SMALL AND MEDIUM-SIZED COMMUNITIES, ACCESS TO HEALTH CARE SERVICES PRESENTS A VERY REAL CHALLENGE. ARKANSAS HAS SEEN A LARGE DECLINE IN UNINSURED CHILDREN SINCE 1990, WITH 5.9% OF CHILDREN LACKING COVERAGE AS OF 2022. ARKANSAS' "ARKIDS FIRST" HEALTH INSURANCE PROGRAM HAS BEEN A MAJOR FACTOR IN PROVIDING HEALTH INSURANCE FOR CHILDREN WHO MAY HAVE OTHERWISE GONE WITHOUT. ARKIDS FIRST WAS DESIGNED BY THE STATE OF ARKANSAS TO PROVIDE INSURANCE FOR CHILDREN OF WORKING FAMILIES WHO EARNED TOO MUCH FOR PUBLIC ASSISTANCE BUT COULD STILL NOT AFFORD TO PURCHASE HEALTH INSURANCE.
PART VI, LINE 5:ACH SERVES AS THE PEDIATRIC TEACHING AFFILIATE OF THE UNIVERSITY OF ARKANSAS FOR MEDICAL SCIENCES (UAMS) AND IS HOME TO THE UAMS DEPARTMENT OF PEDIATRICS. ACH IS THE CLASSROOM WHERE MEDICAL STUDENTS STUDY THE PEDIATRIC COMPONENT OF ALL DISCIPLINES. UAMS FACULTY ON THE ACH CAMPUS ARE PRACTICING PHYSICIANS AS WELL AS TEACHERS TO UAMS STUDENTS IN MEDICINE, NURSING, PHARMACY, PUBLIC HEALTH, AND ALLIED HEALTH SPECIALTIES.ARKANSAS CHILDREN'S VOLUNTEER ENGAGEMENT PROVIDES SYSTEM-WIDE VOLUNTEER SUPPORT TO ELEVATE PATIENT EXPERIENCE BY PROVIDING HELP TO CAREGIVERS, POSITIVE DISTRACTIONS FOR PATIENTS, AND SUPPORT TO HARDWORKING TEAMS. THE SYSTEM-WIDE TEAM LEADS MANY STRATEGIC HOSPITAL VOLUNTEER PROGRAMS IN ADDITION TO ENGAGING MORE THAN 250 WEEKLY ADULT VOLUNTEERS SERVING AT TWO HOSPITAL CAMPUSES. IN FY23 ON THE ACH CAMPUS, 343 ADULT, YEAR-ROUND JUNIOR AND SPECIAL EVENT VOLUNTEERS SERVED A TOTAL OF 14,275 HOURS. THERE WERE ALSO AN ADDITIONAL 191 VOLUNTEERS WHO PROVIDED UNIQUE HANDMADE NEEDLEWORK ITEMS FOR THE HOSPITAL'S PATIENTS AND PATIENT FAMILIES. THE VOLUNTEER ENGAGEMENT TEAM SOLICITS, ACCEPTS, STEWARDS, AND DISTRIBUTES TOYS, CONVENIENCE ITEMS AND OTHER IN-KIND DONATIONS VALUED AT APPROXIMATELY $1,000,000 ANNUALLY. VOLUNTEER ENGAGEMENT ALSO PROVIDES STRATEGIC LEADERSHIP AND OPERATIONAL OVERSIGHT TO HOSPITAL GIFT SHOPS AND THE ACH FAMILY RESOURCE CENTER. IN JUNE OF 2023, THE VOLUNTEER ENGAGEMENT TEAM WAS THRILLED TO WELCOME STUDENTS FOR THE 2023 SUMMER JUNIOR VOLUNTEER PROGRAM WITH 18 HIGH SCHOOL STUDENTS. THE SUMMER JUNIOR VOLUNTEERS SERVED 554 HOURS OVER THE COURSE OF TWO WEEKS, IN VARIOUS AREAS AROUND THE ACH CAMPUS, PROVIDING VALUABLE SERVICE FOR OUR PATIENTS, FAMILIES AND STAFF IN CLINICAL AND NON-CLINICAL SETTINGS. MANY ARKANSAS CHILDREN'S TEAM MEMBERS PARTICIPATED BY LEADING SESSIONS COVERING BROAD TOPICS OF OPERATIONS AND AVENUES TO CHAMPION CHILDREN THROUGH OUR HEALTHCARE SYSTEM. PARTICIPANTS WERE INTRODUCED TO DIVERSE CAREER OPPORTUNITIES AND GOT TO MEANINGFULLY ENGAGE WITH LEADERS THROUGHOUT THE ORGANIZATION DURING THE WEEKLONG PROGRAM. HIGHLIGHTS INCLUDED A TOUR OF THE ACH SIMULATION EDUCATION CENTER AND A VISIT WITH OUR ANGEL ONE TEAM THAT INCLUDED A TOUR OF ONE OF THE MEDICALLY EQUIPPED TWIN ENGINE HELICOPTERS.THE ACH WINNIE M. LOWE FAMILY RESOURCE CENTER IS HOME TO A FAMILY LIBRARY, SAFETY ZONE AND MEDICAL LIBRARY. THE FAMILY RESOURCE CENTER IS THE HUB FOR PATIENT AND FAMILY ENGAGEMENT IN THE HOSPITAL INCLUDING A DONOR-FUNDED COMPASSION CLOSET WITH NOURISHMENT AND CONVENIENCE ITEMS AND A CHILDREN'S LIBRARY WHERE EVERY CHILD MAY TAKE HOME A FREE BOOK. IN THE FAMILY & MEDICAL LIBRARY, PATIENTS, FAMILIES AND EVEN TEAM MEMBERS CAN ACCESS EVIDENCED-BASED, PEER-REVIEWED HEALTH INFORMATION TO LEARN ABOUT A NEW OR EXISTING DIAGNOSIS OR CONDITION. THE SAFETY ZONE PROVIDES PATIENT AND FAMILY EDUCATION ON INJURY PREVENTION IN THE HOME, WHILE DRIVING, AND DURING RECREATIONAL ACTIVITIES. CAREGIVERS COMPLETE AN INJURY PREVENTION ASSESSMENT AND RECEIVE TAILORED, EVIDENCED-BASED INJURY PREVENTION INFORMATION AND FREE SAFETY PRODUCTS TO ADDRESS THE RISKS IDENTIFIED. IN FY23, THERE WERE 1,089 CUSTOMIZED SAFETY ASSESSMENTS COMPLETED IN THE ACH WINNIE M. LOWE FAMILY RESOURCE CENTER/SAFETY ZONE IN WHICH FREE SAFETY PRODUCTS ARE PROVIDED BASED ON INDIVIDUAL FAMILY NEEDS. THESE ASSESSMENTS WERE THE RESULT OF ACH CLINIC REFERRALS, NINE OPEN HOUSES PROMOTING THE SPACE WITH VARIED SAFETY THEMES, AS WELL AS WORD OF MOUTH THROUGHOUT THE HOSPITAL AND COMMUNITY. IN ADDITION TO SAFETY ASSESSMENTS, FREE BOOKS WERE OFFERED TO ALL CHILDREN EACH TIME THEY VISITED THE FAMILY RESOURCE CENTER. THE ARKANSAS CHILDREN'S PATIENT AND FAMILY ADVISOR PROGRAM ENGAGES PARENTS AND CAREGIVERS IN A VARIETY OF WAYS TO CONTINUE ADVANCING OUR COMMITMENT TO PATIENT AND FAMILY-CENTERED CARE. THE HOSPITAL BEGAN WITH ONE FAMILY ADVISORY BOARD, AND THIS HAS GROWN TO TEN FAMILY ADVISORY BOARDS AND ONE YOUTH ADVISORY COUNCIL ACROSS THE ARKANSAS CHILDREN'S SYSTEM. THESE GROUPS HAVE BROUGHT ABOUT MANY MEANINGFUL CHANGES TO THE HOSPITAL INCLUDING: VIDEO STREAMING, CO-DESIGNED PATIENT SAFETY INFORMATION, A MEAL ASSISTANCE PROGRAM, THE DEVELOPMENT OF PATIENT AND FAMILY HEALTH INFORMATION. PATIENT AND FAMILY ADVISORS ARE ENGAGED IN OTHER CAPACITIES, INCLUDING HOSPITAL COMMITTEES, A MENTOR PROGRAM, AND OUR E-COUNCIL. THE ADVISORS ARE A MAJOR ASSET IN THE COMMITMENT TO PATIENT SAFETY AND TO THE HOSPITAL MISSION.ACH'S BURN CENTER IS THE ONLY ONE IN ARKANSAS AND TREATS BOTH PEDIATRIC AND ADULT BURN PATIENTS. THEIR OUTREACH PROGRAM HELPS TO PREVENT BURNS THROUGH SEVERAL OUTREACH AND EDUCATIONAL INITIATIVES. THEY EDUCATE EMERGENCY MEDICAL PERSONNEL IN THE EMERGENCY TREATMENT OF BURNS, INCLUDING EMERGENCY MEDICAL TECHNICIANS (EMTS), DOCTORS, NURSES, AND PARAMEDICS. IN ADDITION, THEY DELIVER BURN PREVENTION EDUCATION TO CHILDREN AND FAMILIES STATEWIDE THROUGH HEALTH FAIRS, SCHOOL VISITS, AND OTHER COMMUNITY-BASED VENUES. IN COLLABORATION WITH THE VOLUNTEER FIREFIGHTERS PROGRAM THEY ALSO DISTRIBUTE SMOKE DETECTORS TO REACH RURAL COMMUNITIES. ARKANSAS CHILDREN'S CARE NETWORK (ACCN), WITHIN THE ARKANSAS CHILDREN'S SYSTEM, IS A COLLABORATOR WITH ACH. ACCN SEEKS TO FUNDAMENTALLY AND POSITIVELY TRANSFORM HEALTH FOR THE CHILDREN OF ARKANSAS THROUGH A CLINICALLY INTEGRATED NETWORK (CIN) COMPRISED OF HEALTH CARE PROFESSIONALS WHO PROVIDE COORDINATED AND ACCOUNTABLE PEDIATRIC CARE. ACCN WILL ACHIEVE THIS BY IMPROVING QUALITY, ACCESS, AND PATIENT/FAMILY EXPERIENCE, WHILE IMPACTING THE AFFORDABILITY OF HEALTH CARE AND INCREASING PHYSICIAN ENGAGEMENT AND SATISFACTION.
PART VI, LINE 6:ACH IS PART OF AN AFFILIATED HEALTH CARE SYSTEM, FOR WHICH ARKANSAS CHILDRENS, INC., INCORPORATED IN DECEMBER 2015, SERVES AS THE PARENT CORPORATION. THE ARKANSAS CHILDREN'S HEALTH SYSTEM CONSISTS OF ARKANSAS CHILDREN'S, INC., ARKANSAS CHILDREN'S HOSPITAL (ACH), ARKANSAS CHILDREN'S NORTHWEST (ACNW), ARKANSAS CHILDREN'S FOUNDATION (ACF), ARKANSAS CHILDREN'S RESEARCH INSTITUTE (ACRI), ARKANSAS CHILDREN'S CARE NETWORK (ACCN), ARKANSAS CHILDREN'S MEDICAL GROUP (ACMG), AND SACOVA INSURANCE COMPANY. ACNW IS A NOT-FOR-PROFIT PEDIATRIC HOSPITAL LOCATED IN SPRINGDALE, ARKANSAS, THAT OPENED IN FEBRUARY 2018. ACNW SERVES AS THE ONLY EXCLUSIVELY PEDIATRIC HEALTH CARE FACILITY FOR CHILDREN IN THE NORTHWEST REGION OF THE STATE. ACF IS A NOT-FOR-PROFIT ORGANIZATION THAT EXISTS AS THE FUNDRAISING BRANCH OF ARKANSAS CHILDREN'S. ACRI OPERATES TO SUPPORT, THROUGH CHARITABLE, SCIENTIFIC, AND EDUCATIONAL MEANS, THE MISSION OF ARKANSAS CHILDREN'S. ACCN IS A NOT-FOR-PROFIT PEDIATRIC STATEWIDE CLINICALLY INTEGRATED NETWORK. ACMG WAS FORMED TO PROVIDE PHYSICIAN SERVICES TO ACH AND ACNW. SACOVA IS A SINGLE PARENT CAPTIVE INSURANCE COMPANY PROVIDING PROFESSIONAL AND GENERAL LIABILITY AND WORKER'S COMPENSATION COVERAGE.ALTHOUGH NOT CORPORATE AFFILIATES, ACH AND THE UNIVERSITY OF ARKANSAS FOR MEDICAL SCIENCES (UAMS) ARE INVOLVED IN AN AGREEMENT IN THE PURSUIT OF PROFESSIONAL EDUCATION, RESEARCH, AND CLINICAL CARE FOR CHILDREN. ALL PEDIATRIC SUB-SPECIALTY WORK IS CONDUCTED ON THE ACH CAMPUS WITH ACH PROVIDING SPACE, SUPPORTING STAFF, SERVICES AND FUNDING FOR MAJOR EDUCATIONAL AND CLINICAL EXPERTISE.

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records MaintainedYes (1)GrantRecordsMaintainedInd

Recipient Table RecipientTable (29 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdRecipient EINRecipientEINIRC SectionIRCSectionDescCash GrantCashGrantAmtNon Cash AssistanceNonCashAssistanceAmtPurpose Of GrantPurposeOfGrantTxtValuation Method UsedValuationMethodUsedDescNon Cash AssistanceNonCashAssistanceDescAddress Line2USAddress/AddressLine2Txt
AMERICAN HEART ASSOCIATION
PO BOX 4002903DES MOINESIA50340135613797501(C)(3)$14,360$0GENERAL SUPPORT
APPLE SEEDS
2648 N OLD WIRE ROADFAYETTEVILLEAR72703208081842501(C)(3)$10,000$0GENERAL SUPPORT
ARKANSAS 4H FOUNDATION
1 4-H WAYLITTLE ROCKAR72223716060767501(C)(3)$9,662$0GENERAL SUPPORT
ARKANSAS ADVOCATES FOR CHILDREN & FAMILIES
1400 W MARKHAM SUITE 306LITTLE ROCKAR72201710492205501(C)(3)$5,350$0GENERAL SUPPORT
ARKANSAS ARTS CENTER
PO BOX 2137LITTLE ROCKAR72203237337495501(C)(3)$10,000$0GENERAL SUPPORT
ARKANSAS CHILDREN'S MEDICAL GROUP
1 CHILDRENS WAYLITTLE ROCKAR72202820771462501(C)(3)$1,490,679$0GENERAL SUPPORT
ARKANSAS CHILDREN'S NORTHWEST
2601 GENE GEORGE BLVDSPRINGDALEAR72762810817660501(C)(3)$111,788$0GENERAL SUPPORT
ARKANSAS CHILDREN'S RESEARCH INSTITUTE
13 CHILDRENS WAYLITTLE ROCKAR72202710694931501(C)(3)$4,308,441$2,711,820GENERAL SUPPORTFMVINDIRECT SUPPORT
ARKANSAS FOODBANK
4301 W 65TH STLITTLE ROCKAR72209710596734501(C)(3)$79,808$0GENERAL SUPPORT
ARKANSAS FOUNDATION FOR MEDICAL CARE
401 WEST CAPITOL AVENUE SUITE 508LITTLE ROCKAR72201237237381501(C)(3)$10,000$0GENERAL SUPPORT
ARKANSAS IMMUNIZATION ACTION COALITION
PO BOX 3798LITTLE ROCKAR72203821825362501(C)(3)$7,340$0GENERAL SUPPORT
CHILDREN'S PROTECTION CENTER
1123 BISHOPLITTLE ROCKAR72202261086937501(C)(3)$0$157,988GENERAL SUPPORTFMVPROVIDE OFFICE SPACE
EL ZOCALO IMMIGRANT RESOURCE CENTER
5500 GEYER SPRINGS RDLITTLE ROCKAR72209800858272501(C)(3)$10,000$0GENERAL SUPPORT
FETAL HEART SOCIETY
14750 SWEITZER LANE SUITE 100LAURELMD20707472144989501(C)(3)$7,500$0GENERAL SUPPORT
FOOD BANK OF NORTHEAST ARKANSAS
3414 ONE PLACEJONESBOROAR72402710810999501(C)(3)$27,500$0GENERAL SUPPORT
GOODNESS VILLAGE
11610 PLEASANT RIDGE ROAD SUITELITTLE ROCKAR72223843284848501(C)(3)$5,500$0GENERAL SUPPORT103-174
GREAT 100 NURSES FOUNDATION
2748 METAIRIE LAWN DRIVEMETAIRIELA70002465606080501(C)(3)$7,500$0GENERAL SUPPORT
HUNGER RELIEF ALLIANCE
1400 W MARKHAM ST STE 304LITTLE ROCKAR72201300254995501(C)(3)$12,300$0GENERAL SUPPORT
NEIGHBOR TO NEIGHBOR
1419 S PINE STREETPINE BLUFFAR72601710587864501(C)(3)$10,500$0GENERAL SUPPORT
NORTHWEST ARKANSAS FOOD BANK
1387 JUNE SELF DRSPRINGDALEAR72764710680830501(C)(3)$10,000$0GENERAL SUPPORT
OUACHITA BAPTIST UNIVERSITY
PO BOX 3754ARKADELPHIAAR71998710239383501(C)(3)$50,000$0GENERAL SUPPORT
PEDIATRIC HEART TRANSPLANT SOCIETY FOUNDATION
PO BOX 55904BIRMINGHAMAL35255274436351501(C)(3)$6,000$0GENERAL SUPPORT
PHILANDER SMITH COLLEGE
900 WEST DAISY BATES DRIVELITTLE ROCKAR72202710239729501(C)(3)$52,500$0GENERAL SUPPORT
RONALD MCDONALD HOUSE CHARITIES
1501 W 10TH STREETLITTLE ROCKAR72202710525252501(C)(3)$13,190$19,999GENERAL SUPPORTFMVPROVIDE LAND
THE HELPING HAND OF GREATER LITTLE ROCK
1601 MARSHALL STLITTLE ROCKAR72216710588564501(C)(3)$10,000$0GENERAL SUPPORT
TOPPS (TARGETING OUR PEOPLE'S PRIORITIES WITH SERVICE)
PO BOX 2793PINE BLUFFAR71613743041819501(C)(3)$10,000$0GENERAL SUPPORT
UNIVERSITY OF ARKANSAS FOR MEDICAL SCIENCES
4301 W MARKHAMLITTLE ROCKAR72205716056774GOV'T ENTITY$202,350$0GENERAL SUPPORT
WOMEN & CHILDREN FIRST
PO BOX 1954LITTLE ROCKAR72203710513011501(C)(3)$8,800$0GENERAL SUPPORT
WOMEN'S FOUNDATION OF ARKANSAS
400 WEST CAPITOL AVENUE SUITE 1242LITTLE ROCKAR72201300034070501(C)(3)$24,300$0GENERAL SUPPORT
FieldValueIRS element (for citing)
Total501c3 Org29Total501c3OrgCnt
Total Other Org0TotalOtherOrgCnt

Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp (7 entries)

Grant TypeGrantTypeTxtRecipientRecipientCntNon Cash AssistanceNonCashAssistanceAmtValuation Method UsedValuationMethodUsedDescNon Cash AssistanceNonCashAssistanceDescCash GrantCashGrantAmt
MEALS4980$248,701COSTMEALS FOR PATIENT FAMILIES/CAREGIVERS
INSURANCE PREMIUMS16$42,298COSTPAYMENT OF PREMIUMS FOR PATIENT'S FAMILIES ALLOWED BY COBRA
TRANSPORTATION COSTS (BUS TOKENS, CAB FARE, GAS CARDS)820COST$27,965
FUNERAL EXPENSES11COST$9,998
RENT, MORTGAGE EXPENSE, UTILITIES, LODGING131COST$11,133
CAR SEATS FOR INFANTS AND CHILDREN450$39,538COSTCAR SEATS FOR INFANTS AND CHILDREN
CLOTHING, GROCERY GIFT CARDS, AND OTHER MISC. ASSISTANCE25COST$35,503

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART I, LINE 2:FormAndLineReferenceDesc
ExplanationTHE HOSPITAL CONSIDERS REQUESTS FROM NON-PROFIT OR GOVERNMENTAL ENTITIES FOR PROGRAMS OR ACTIVITIES THAT ALIGN WITH ITS PLAN TO ADDRESS NEEDS AS IDENTIFIED IN THE CHNA OR THAT OTHERWISE SUPPORT THE HOSPITAL'S MISSION. THE HOSPITAL ANTICIPATES THAT THESE NON-PROFIT OR GOVERNMENTAL ENTITIES WILL MONITOR THE USE OF FUNDS IN ACCORDANCE WITH NON-PROFIT OR GOVERNMENTAL REQUIREMENTS. THE HOSPITAL PROVIDES SOME ASSISTANCE TO INDIGENT FAMILIES. THE HOSPITAL'S SOCIAL WORK DEPARTMENT EVALUATES THE NEED ON A CASE BY CASE BASIS AND PROVIDES THE APPROPRIATE ASSISTANCE, WHICH IS TYPICALLY FOOD, CLOTHING, SHELTER, OR TRAVEL VOUCHERS. CASH OR CASH EQUIVALENT ASSISTANCE IS SOMETIMES PROVIDED. THE ASSISTANCE PROVIDED IS DOCUMENTED BY THE HOSPITAL'S SOCIAL WORK DEPARTMENT.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
First Class Or Charter TravelYes (X)FirstClassOrCharterTravelInd
Travel For CompanionsYes (X)TravelForCompanionsInd
Written Policy Ref T And E ExpnssYes (1)WrittenPolicyRefTAndEExpnssInd
Substantiation RequiredYes (1)SubstantiationRequiredInd
Compensation CommitteeYes (X)CompensationCommitteeInd
Independent ConsultantYes (X)IndependentConsultantInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance Payment0SeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (1)SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments0AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (26 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
MARCELLA DODERER
PRESIDENT/CEO$0$1,187,391$0$600,000$0$216,360$0$258,803$0$11,763$0$2,274,317$0$200,000
FREDERICK BARR MD
EVP-CHIEF CLINICAL & ACADEMIC OFCR$0$667,364$0$200,096$0$4,942$0$85,600$0$11,324$0$969,326$0$0
GENA WINGFIELD
EVP/CHIEF FINANCIAL OFFICER$0$568,077$0$184,957$0$66,752$0$85,609$0$11,162$0$916,557$0$59,202
JAMIE WIGGINS
EVP/COO$0$502,611$0$140,764$0$829$0$60,926$0$11,057$0$716,187$0$0
GRESHAM RICHTER MD
TRUSTEE/DIRECTOR-CHIEF OF MED STAFF$645,787$2,275$4,124$0$0$0$0$0$60,679$361$710,590$2,636$0$0
GREGORY SHARP MD
SVP/CHIEF MEDICAL OFFCR (PARTIAL YR)$494,016$0$0$0$0$0$0$0$70,182$0$564,198$0$0$0
ERIN PARKER
SVP/CIO$0$362,202$0$76,588$0$381$0$52,549$0$6,701$0$498,421$0$0
SHANNON HENDRIX
ACNW CHIEF ADMIN (FORMER ACH VP)$0$310,403$0$61,901$0$490$0$47,530$0$15,190$0$435,514$0$0
JARED CAPOUYA
QUALITY & SAFETY VP (PARTIAL YEAR)$325,146$0$60,337$0$498$0$14,672$0$13,779$0$414,432$0$0$0
AMY FALLON
OPERATIONS SVP$20,094$272,291$0$59,154$20$282$1,040$15,010$1,161$13,933$22,315$360,670$0$0
CINDY HILL
FINANCIAL SERVICES VP$276,450$0$58,519$0$1,853$0$13,934$0$10,162$0$360,918$0$0$0
LE'KITA BROWN
REVENUE CYCLE VP$256,804$0$52,647$0$395$0$16,050$0$5,914$0$331,810$0$0$0
LEE ANNE EDDY
PATIENT CARE SVC SVP/CNO (PARTIAL YR$313,435$0$0$0$327$0$3,500$0$2,057$0$319,319$0$0$0
CARRIE LEE
PATIENT CARE SVCS VP (PARTIAL YR)$218,169$0$38,362$0$210$0$15,709$0$9,439$0$281,889$0$0$0
TAMMY DIAMOND-WELLS
PATIENT CARE SERVICES VP$214,568$0$37,028$0$479$0$12,692$0$14,643$0$279,410$0$0$0
CHRISTIAN EISENRING
SURGICAL ASSISTANT COORDINATOR$243,099$0$7,800$0$1,505$0$11,538$0$13,609$0$277,551$0$0$0
STEPHANIE PIERCE
STRATEGIC MARKETING VP$190,035$0$31,477$0$143$0$14,235$0$14,502$0$250,392$0$0$0
ANGELA GLOVER
PATIENT CARE MANAGER$215,213$0$14,840$0$39$0$6,284$0$13,857$0$250,233$0$0$0
BETH PETLAK
VP POPULATION HEALTH/CHS EXEC DIR$188,080$0$36,098$0$716$0$13,532$0$1,757$0$240,183$0$0$0
ROBIN MITCHELL
VP OPERATIONS$197,494$0$21,240$0$410$0$11,069$0$1,247$0$231,460$0$0$0
ANN KRUGER
INTERIM SVP/CNO (PARTIAL YEAR)$164,544$0$31,158$0$678$0$12,896$0$3,806$0$213,082$0$0$0
KENDREA JONES
PHARMACY DIRECTOR$160,549$0$14,329$0$151$0$13,254$0$14,369$0$202,652$0$0$0
STEPHANIE ROCKETT
DIRECTOR PATIENT CARE SERVICES$146,935$0$10,476$0$189$0$11,449$0$14,248$0$183,297$0$0$0
RACHEL FRENNER
DIRECTOR LABORATORY$151,861$0$5,923$0$67$0$10,651$0$10,496$0$178,998$0$0$0
KRIS MADDALENA
SVP/CNO (PARTIAL YEAR)$118,043$0$53,971$0$222$0$358$0$2,999$0$175,593$0$0$0
JOHN MCNALLY
MEDICAL ADMINISTRATION DIRECTOR$157,309$0$11,593$0$577$0$3,501$0$1,598$0$174,578$0$0$0

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART I, LINE 1ACHARTER 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 AND ONE BOARD MEMBER 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 3COMPENSATION FOR ANY ACH 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 HUMAN RESOURCES AND COMPENSATION COMMITTEE HAS THE FULL AUTHORITY AND SPECIFIC RESPONSIBILITY FOR REVIEWING AND APPROVING COMPENSATION POLICIES, BASE SALARY AND INCENTIVE COMPENSATION LEVELS, EXECUTIVE RETIREMENT AND OTHER EXECUTIVE BENEFIT PLANS FOR HEALTH SYSTEM SENIOR MANAGEMENT, INCLUDING OFFICERS OF THE CORPORATION AND AFFILIATES WHO ARE "DISQUALIFIED PERSONS" UNDER SECTION 4958 OF THE CODE. THE POLICIES AND PROGRAMS REVIEWED AND APPROVED BY THE HUMAN RESOURCES AND COMPENSATION COMMITTEE SHALL BE DESIGNED TO ENSURE THAT THE CORPORATION AND ITS AFFILIATES REMAIN COMPETITIVE AND REASONABLE RELATIVE TO THE COMPENSATION AND BENEFITS PRACTICES OF SIMILARLY SITUATED HEALTH SYSTEMS LOCALLY AND NATIONALLY, AND TO PERMIT THE CORPORATION AND SUCH AFFILIATES TO ATTRACT AND RETAIN SUPERIOR SENIOR MANAGEMENT, IN FURTHERANCE OF THE CORPORATION'S AND AFFILIATES PURPOSES. THE HUMAN RESOURCES AND COMPENSATION COMMITTEE SHALL HAVE, TO THE FULLEST EXTENT OF THE LAW, THE AUTHORITY TO APPROVE THE COMPENSATION PACKAGES FOR SENIOR MANAGEMENT OF THE CORPORATION AND THE AFFILIATES. 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; THE AVAILABILITY OF SIMILAR SERVICES IN THE GEOGRAPHIC AREA OF THE CORPORATION, CURRENT COMPENSATION SURVEYS COMPILED BY INDEPENDENT FIRMS; AND ACTUAL WRITTEN OFFERS FROM SIMILAR INSTITUTIONS COMPETING FOR THE SERVICES OF THE DISQUALIFIED PERSON. 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.
PART I, LINE 4BSCHEDULE J, 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 2022 (FISCAL YEAR 2023), EIGHT 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. - MARCELLA DODERER: AC/ACH/ACNW PRESIDENT/CEO - $211,458 - GENA WINGFIELD: AC EVP AND CFO - $62,593 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 5-7THE INCENTIVE PLANS FOR ALL ENTITIES CHANGED WITH THE 2013 TAX RETURNS, AND THERE ARE 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".
FORM 990, PART VII, SECTION A, LINE 5:CHIEF MEDICAL OFFICER, GREGORY SHARP, M.D. AND DIRECTOR AND CHIEF OF MEDICAL STAFF, GRESHAM RICHTER, M.D. WERE COMPENSATED BY UAMS AS EMPLOYEES FOR SERVICES RENDERED TO ARKANSAS CHILDREN'S HOSPITAL (ACH) AND FOR WHICH ACH REMITTED PAYMENT LISTED AS "REPORTABLE COMPENSATION FROM THE ORGANIZATION" IN PART VII. THE AMOUNTS NOTED AS COMPENSATION IN SCHEDULE J FOR THE PHYSICIANS NOTED ABOVE WERE THE DESIGNATED AMOUNTS PER THE RELATED CONTRACTS WITH UAMS.

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (3 entries)

Bond ReferenceBondReferenceCdBond Issuer EINBondIssuerEINCUSIPCUSIPNumBond IssuedBondIssuedDtIssue PriceIssuePriceAmtPurposePurposeDescDefeasedDefeasedIndOn Behalf Of IssuerOnBehalfOfIssuerIndPool FinancingPoolFinancingInd
ARKANSAS DEVELOPMENT FINANCE AUTHORITY
A7105036410000000002013-09-05$19,800,000SEE SCHEDULE K, PART VI.000
PULASKI COUNTY ARKANSAS
B716006487745392JN12016-08-24$98,721,147SEE SCHEDULE K, PART VI.000
PULASKI COUNTY ARKANSAS
C716006487745392KL32023-06-28$135,097,050SEE SCHEDULE K, PART VI.000

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (3 entries)

Bond ReferenceBondReferenceCdRetiredRetiredAmtTotal ProceedsTotalProceedsAmtCapital ExpendituresCapitalExpendituresAmtSubstantial CompletionSubstantialCompletionYrRefunding Tax Exempt BondsRefundingTaxExemptBondsIndRefunding Taxable BondsRefundingTaxableBondsIndFinal Allocation MadeFinalAllocationMadeIndAdequate Books And Rec MaintAdequateBooksAndRecMaintIndIssuance Costs From ProceedsIssuanceCostsFromProceedsAmtOther Spent ProceedsOtherSpentProceedsAmtUnspentUnspentAmt
A$19,318,322$19,800,000$19,800,000201500Yes (1)Yes (1)
B$725,000$98,721,14720160Yes (1)Yes (1)Yes (1)$702,808$98,018,339
C$135,097,050000Yes (1)$1,093,653$134,003,397

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (3 entries)

Bond ReferenceBondReferenceCdOwning Bond Financed PropertyOwningBondFinancedPropertyIndAny Lease ArrangementsAnyLeaseArrangementsIndMgmt Contract Bond Fincd PropMgmtContractBondFincdPropIndAny Research AgreementsAnyResearchAgreementsIndPrivate Bus Use By OthersPrivateBusUseByOthersPctPrivate Bus Concerning UBIPrivateBusConcerningUBIPctTotal Private Business UseTotalPrivateBusinessUsePctBond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestIndChange In Use Bond Financed PropChangeInUseBondFinancedPropIndProcs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdIndEngage Bond Counsel ContractsEngageBondCounselContractsIndEngage Bond Counsel ResearchEngageBondCounselResearchInd
A00000.000000.000000.0000000Yes (1)
B00Yes (1)Yes (1)0.000500.000000.0005000Yes (1)Yes (1)Yes (1)
C00000.000000.000000.0000000Yes (1)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (3 entries)

Bond ReferenceBondReferenceCdForm8038 T FiledForm8038TFiledIndRebate Not Due YetRebateNotDueYetIndException To RebateExceptionToRebateIndNo Rebate DueNoRebateDueIndVariable Rate IssueVariableRateIssueIndHedge Identified In Bks And RecHedgeIdentifiedInBksAndRecIndGross Proceeds Invested In GICGrossProceedsInvestedInGICIndGross Proceeds InvestedGrossProceedsInvestedIndWritten Proc To Monitor ReqsWrittenProcToMonitorReqsInd
A00Yes (1)00000Yes (1)
B000Yes (1)0000Yes (1)
C0Yes (1)000000Yes (1)

Procedures Corrective Action ProceduresCorrectiveActionGrp (3 entries)

Bond ReferenceBondReferenceCdProcedures Corrective ActionProceduresCorrectiveActionInd
AYes (1)
BYes (1)
CYes (1)

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE K SUPPLENTAL INFORMATIONFormAndLineReferenceDesc
ExplanationPART I, LINE A - DESCRIPTION OF PURPOSE. PROCEEDS USED TO PURCHASE TWO SIKORSKY S-76D HELICOPTERS TO BE USED FOR MEDICAL TRANSPORT. PART I, LINE B - DESCRIPTION OF PURPOSE. TO REFUND HOSPITAL REVENUE BONDS (ARKANSAS CHILDREN'S HOSPITAL PROJECT), SERIES 2009, ISSUED 5/28/2009. PART I, LINE C - DESCRIPTION OF PURPOSE. PROCEEDS USED TO (I) FINANCE THE ACQUISITION, CONSTRUCTION, AND EQUIPPING OF CERTAIN ADDITIONS AND IMPROVEMENTS TO ARKANSAS CHILDREN'S HOSPITAL, A PEDIATRIC HOSPITAL FACILITY LOCATED IN THE CITY OF LITTLE ROCK, AR, AND (II) PAY CERTAIN EXPENSES IN CONNECTION WITH THE ISSUANCE OF THE SERIES 2023 BONDS. PART IV, LINE 2C, COLUMN B: THE REBATE COMPUTATION WAS PERFORMED 8/30/2022. PART IV, LINE 6, COLUMN B: THIS QUESTION IS BEING ANSWERED WITHOUT REGARD TO A YIELD-RESTRICTED ADVANCE REFUNDING ESCROW FUNDED WITH PROCEEDS OF THE BONDS.ExplanationTxt

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (2 entries)

Relationship DescriptionRelationshipDescriptionTxtTransactionTransactionAmtTransactionTransactionDescSharing Of RevenuesSharingOfRevenuesInd
AMY KRUGER
SEE PART V. FAMILY MEMBER$94,908SEE PART V. AMY KRUGER IS A FAMILY MEMBER OF KEY EMPLOYEE, ANN KRUGER. CONSISTENT WITH ARKANSAS CHILDREN'S HOSPITAL POLICY, SHE DID NOT WORK WITHIN ANN KRUGER'S LINE OF AUTHORITY AT ANY POINT DURING THE YEAR. HER COMPENSATION WAS REASONABLE FOR SERVICES RENDERED.0
ALARMCO INC
SEE PART V. ENTITY MORE-THAN-35%-OWNED BY FAMILY MEMBER OF DIRECTOR$159,097SEE PART V. SECURITY SERVICES FROM INTERESTED PERSON. COST OF SERVICE WAS REASONABLE AND AT FMV RATE.0

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (14 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 1ATHE BOARD OF DIRECTORS MAY DELEGATE SUCH OF ITS POWERS AS IT DEEMS NECESSARY OR ADVISABLE TO COMMITTEES OF THE BOARD; PROVIDED, HOWEVER, THAT NO COMMITTEE OF THE BOARD SHALL HAVE THE AUTHORITY TO: (I) AUTHORIZE DISTRIBUTIONS; (II) ELECT, APPOINT OR REMOVE DIRECTORS OR FILL VACANCIES ON THE BOARD OR ANY OF ITS COMMITTEES; (III) ADOPT, AMEND OR REPEAL THE ARTICLES OF INCORPORATION OR BYLAWS; OR (IV) APPOINT OR ELECT THE PRESIDENT AND CHIEF EXECUTIVE OFFICER OF THE CORPORATION. ANY COMMITTEE MAY EXERCISE SUCH OF THE BOARD'S AUTHORITY AS IS GRANTED BY THE BOARD OF DIRECTORS, SUBJECT TO THE RESTRICTIONS CONTAINED IN THE CORPORATION'S ARTICLES OF INCORPORATION OR THE BYLAWS. THE FOLLOWING LISTED PERSONS WERE EMPLOYEES OF THE UNIVERSITY OF ARKANSAS FOR MEDICAL SCIENCES (UAMS) DURING THE TAX YEAR: GREGORY SHARP, M.D. AND GRESHAM RICHTER, M.D. EACH WAS COMPENSATED BY ACH VIA ITS CONTRACT WITH UAMS.
FORM 990, PART VI, SECTION A, LINE 2THE FOLLOWING BOARD MEMBERS HAD A BUSINESS RELATIONSHIP DURING THE FISCAL YEAR: MARCELLA DODERER AND PHILLIP JETT. BOTH SERVED ON THE BOARD OF ANOTHER COMPANY THAT IS NOT AFFILIATED WITH ARKANSAS CHILDREN'S. THE FOLLOWING OFFICERS HAD A BUSINESS RELATIONSHIP DURING THE FISCAL YEAR: MARCELLA DODERER AND GENA WINGFIELD. BOTH SERVED ON THE BOARDS OF THE CHILDREN'S HEALTHCARE SYSTEM AND SACOVA INSURANCE COMPANY, LTD., WHICH ARE AFFILIATED COMPANIES.
FORM 990, PART VI, SECTION A, LINE 3THE HOSPITAL'S SVP/CHIEF MEDICAL OFFICER POSITION IS HELD BY GREGORY SHARP, M.D., WHO HOLDS A FACULTY APPOINTMENT IN THE UNIVERSITY OF ARKANSAS FOR MEDICAL SCIENCES, COLLEGE OF MEDICINE DEPARTMENT OF NEUROSCIENCES. ALTHOUGH DR. SHARP IS AN EMPLOYEE OF UAMS, AS SVP/CMO, HE IS ALSO A KEY EMPLOYEE OF ACH. AS A UAMS EMPLOYEE, THE HOSPITAL REIMBURSES UAMS FOR HIS ROLE, WHICH IS TO FURTHER DEVELOP AND ENHANCE PATIENT/FAMILY CENTERED ROUNDS WITH AN IMPROVED DELIVERY OF CARE AND PATIENT/FAMILY EXPERIENCE; TO PARTNER WITH THE CNO AND OTHERS TO FOCUS ON TEAM CARE; TO IMPROVE EFFICIENCY OF CARE; TO WORK CLOSELY WITH THE CHIEF QUALITY OFFICER; AND TO LISTEN TO MEDICAL STAFF AND TEAM MEMBERS AND FOSTER CHANGE THAT WILL POSITIVELY IMPACT PATIENT CARE.
FORM 990, PART VI, SECTION A, LINE 6THE SOLE MEMBER OF ARKANSAS CHILDREN'S HOSPITAL IS ARKANSAS CHILDREN'S, INC.
FORM 990, PART VI, SECTION A, LINE 7AARKANSAS CHILDREN'S, INC., ACH'S SOLE MEMBER, HAS THE RESERVED POWER TO FIX THE SIZE OF THE BOARD OF DIRECTORS, AND THE GOVERNING BOARD OF ANY AFFILIATE CONTROLLED BY THE CORPORATION, AND APPOINT AND REMOVE, WITH OR WITHOUT CAUSE, THE DIRECTORS OF THE CORPORATION, AND MEMBERS OF THE GOVERNING BOARD OF ANY AFFILIATE CONTROLLED BY THE CORPORATION.
FORM 990, PART VI, SECTION A, LINE 7BACH'S ARTICLES OF INCORPORATION MAY BE AMENDED, AND THE BYLAWS MAY BE ALTERED, AMENDED, OR REPEALED AND NEW BYLAWS MAY BE ADOPTED: (I) UPON THE APPROVAL OF BOTH THE BOARD AND THE SOLE MEMBER, IF THE AMENDMENT DOES NOT RELATE TO THE NUMBER OF DIRECTORS, THE COMPOSITION OF THE BOARD, THE TERM OF OFFICE OF DIRECTORS, OR THE METHOD OR WAY IN WHICH DIRECTORS ARE ELECTED OR SELECTED; OR (II) BY THE MEMBER.
FORM 990, PART VI, SECTION B, LINE 11BHOSPITAL MANAGEMENT REVIEWS THE DRAFT FORM 990 AND RECONCILES IT TO THE HOSPITAL'S INTERNAL FINANCIALS AND CONSOLIDATED AUDIT REPORT. THE DRAFT IS ALSO REVIEWED IN DETAIL WITH THE VP OF FINANCIAL OPERATIONS OF ARKANSAS CHILDREN'S, INC. THE REVIEWED DRAFT OF THE FORM 990 IS PROVIDED TO THE PLANNING & DEVELOPMENT COMMITTEE BY HOSPITAL MANAGEMENT. IF THE REVIEW BY THE COMMITTEE RESULTS IN REVISIONS TO THE FORM 990, THOSE REVISIONS ARE MADE. THE FORM 990 TO BE FILED IS THEN PROVIDED TO THE ENTIRE BOARD PRIOR TO FILING.
FORM 990, PART VI, SECTION B, LINE 12CTHE HOSPITAL HAS A BOARD OF DIRECTORS CONFLICT OF INTEREST POLICY THAT IS ISSUED TO AND REVIEWED WITH ALL NEW BOARD MEMBERS DURING THEIR BOARD ORIENTATION. IN ADDITION, THE INTERNAL GENERAL COUNSEL OR THE SYSTEM COMPLIANCE OFFICER WILL PERIODICALLY REVIEW THE POLICY WITH THE FULL BOARD DURING A REGULAR BOARD MEETING. A DIRECTOR SHALL DISCLOSE IN WRITING TO THE BOARD OF DIRECTORS ANY ACTUAL OR POTENTIAL CONFLICT OF INTEREST WHEN THE SITUATION DEVELOPS, INCLUDING THE FACTS THAT MAKE IT AN ACTUAL OR POTENTIAL CONFLICT. EACH DIRECTOR SHALL SIGN AN INITIAL CONFLICT OF INTEREST DISCLOSURE STATEMENT UPON ELECTION TO THE BOARD OF DIRECTORS. EACH DIRECTOR ALSO SHALL SIGN AN ANNUAL CONFLICT OF INTEREST DISCLOSURE STATEMENT. IF AN ACTUAL OR POTENTIAL CONFLICT OF INTEREST DEVELOPS AFTER THE DIRECTOR'S INITIAL AND ANNUAL STATEMENTS ARE SIGNED, THE DIRECTOR SHALL IMMEDIATELY SIGN A NEW DISCLOSURE STATEMENT TO ADDRESS THE NEW SITUATION OR TRANSACTION. CONFLICT OF INTEREST DISCLOSURE STATEMENTS OR DECLARED CONFLICTS WILL BE REVIEWED BY THE DIRECTOR BOARD OFFICERS. REVIEW WILL RESULT IN ONE OF THE FOLLOWING ACTIONS BY MAJORITY VOTE: (1) DETERMINED NOT TO BE A CONFLICT; (2) CONFLICT IS ACCEPTED; OR (3) CONFLICT IS NOT ACCEPTED AND THE DIRECTOR WILL NEED TO ABSTAIN FROM PARTICIPATION IN CERTAIN VOTES. CONFLICT DISCLOSURES, FACTS AND ACTIONS WILL BE DOCUMENTED IN THE APPROPRIATE COMMITTEE OR BOARD MINUTES. A DIRECTOR WITH A CONFLICT OF INTEREST WILL NOT PARTICIPATE IN DELIBERATIONS OR VOTE BY THE BOARD OF DIRECTORS, OR COMMITTEE THEREOF, ON THE MATTER GIVING RISE TO THE CONFLICT. HE OR SHE MAY PRESENT RELEVANT INFORMATION ABOUT THE MATTER AND ALSO MAY RESPOND TO REQUESTS FOR FACTS NEEDED BY THE BOARD TO REACH AN INFORMED DECISION. AFTER ANY DISCUSSION, THE INTERESTED DIRECTOR SHALL EITHER ABSTAIN FROM VOTE OR RECUSE COMPLETELY AND BE ABSENT DURING FURTHER DELIBERATIONS AND ACTION ON THE MATTER, AS DETERMINED BY THE DIRECTOR BOARD OFFICERS OF THE ENTITY.
FORM 990, PART VI, SECTION B, LINE 15COMPENSATION FOR ANY ACH 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 HUMAN RESOURCES AND COMPENSATION COMMITTEE HAS THE FULL AUTHORITY AND SPECIFIC RESPONSIBILITY FOR REVIEWING AND APPROVING COMPENSATION POLICIES, BASE SALARY AND INCENTIVE COMPENSATION LEVELS, EXECUTIVE RETIREMENT AND OTHER EXECUTIVE BENEFIT PLANS FOR HEALTH SYSTEM SENIOR MANAGEMENT, INCLUDING OFFICERS OF THE CORPORATION AND AFFILIATES WHO ARE "DISQUALIFIED PERSONS" UNDER SECTION 4958 OF THE CODE. THE POLICIES AND PROGRAMS REVIEWED AND APPROVED BY THE HUMAN RESOURCES AND COMPENSATION COMMITTEE SHALL BE DESIGNED TO ENSURE THAT THE CORPORATION AND ITS AFFILIATES REMAIN COMPETITIVE AND REASONABLE RELATIVE TO THE COMPENSATION AND BENEFITS PRACTICES OF SIMILARLY SITUATED HEALTH SYSTEMS LOCALLY AND NATIONALLY, AND TO PERMIT THE CORPORATION AND SUCH AFFILIATES TO ATTRACT AND RETAIN SUPERIOR SENIOR MANAGEMENT, IN FURTHERANCE OF THE CORPORATION'S AND AFFILIATES PURPOSES. THE HUMAN RESOURCES AND COMPENSATION COMMITTEE SHALL HAVE, TO THE FULLEST EXTENT OF THE LAW, THE AUTHORITY TO APPROVE THE COMPENSATION PACKAGES FOR SENIOR MANAGEMENT OF THE CORPORATION AND THE AFFILIATES. 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; THE AVAILABILITY OF SIMILAR SERVICES IN THE GEOGRAPHIC AREA OF THE CORPORATION, CURRENT COMPENSATION SURVEYS COMPILED BY INDEPENDENT FIRMS; AND ACTUAL WRITTEN OFFERS FROM SIMILAR INSTITUTIONS COMPETING FOR THE SERVICES OF THE DISQUALIFIED PERSON. 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.
FORM 990, PART VI, SECTION C, LINE 19THE HOSPITAL'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST AS REQUIRED.
FORM 990, PART IX, LINE 11GPHYSICIANS' REMUNERATION: PROGRAM SERVICE EXPENSES 103,612,090. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 103,612,090. TESTING: PROGRAM SERVICE EXPENSES 4,169,347. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 4,169,347. REPAIRS & MAINTENANCE: PROGRAM SERVICE EXPENSES 5,075,783. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 5,075,783. OTHER FEES FOR SERVICE: PROGRAM SERVICE EXPENSES 16,599,312. MANAGEMENT AND GENERAL EXPENSES 17,400,565. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 33,999,877.
FORM 990, PART XI, LINE 9:TRANSFER OF FUNDS BETWEEN ACH & AC -3,656,267. TRANSFER OF FUNDS BETWEEN ACH & ACCN -788,800. TRANSFER OF ASSETS BETWEEN ACH & ACF 244,326.
FORM 990, PART XII, LINE 2CIT IS PART OF THE RESERVED POWERS OF ARKANSAS CHILDREN'S, INC. TO RETAIN, OVERSEE AND TERMINATE INDEPENDENT EXTERNAL AUDITORS TO AUDIT THE FINANCIAL STATEMENTS OF ACH OR OF ANY AFFILIATE. ONE OF THE STANDING COMMITTEES OF ARKANSAS CHILDREN'S, THE FINANCIAL PLANNING AND OVERSIGHT COMMITTEE, SHALL UNDERTAKE THE FOLLOWING DUTIES IN THE AREAS OF FINANCE AND AUDITS: (I) CAUSING TO BE PREPARED, AND SUBMIT TO THE BOARD OF DIRECTORS AT ITS LAST MEETING BEFORE THE END OF THE FISCAL YEAR, THE CAPITAL AND OPERATING BUDGETS OF THE CORPORATION, AS WELL AS THE CAPITAL AND OPERATING BUDGETS OF AFFILIATES; (II) EXAMINING THE MONTHLY FINANCIAL REPORTS OF THE HEALTH SYSTEM; (III) REVIEWING THE INTERNAL AUDITING FUNCTIONS OF THE HEALTH SYSTEM; (IV) ENGAGING AN EXTERNAL AUDIT FIRM, SUBJECT TO APPROVAL BY THE BOARD OF DIRECTORS; (V) REVIEWING WITH THE INDEPENDENT AUDITOR THE SCOPE AND PLANNING OF THE AUDIT PRIOR TO THE COMMENCEMENT OF THE AUDIT, AS WELL AS UPON COMPLETION OF THE AUDIT, REVIEWING AND DISCUSSING WITH THE INDEPENDENT AUDITOR ANY MATERIAL RISKS OR WEAKNESSES IN INTERNAL CONTROLS IDENTIFIED BY THE AUDITOR, ANY RESTRICTIONS ON THE SCOPE OF THE AUDITOR'S ACTIVITIES OR ACCESS TO REQUESTED INFORMATION, ANY SIGNIFICANT DISAGREEMENTS BETWEEN THE AUDITOR AND MANAGEMENT, AND THE ADEQUACY OF THE HEALTH SYSTEM'S ACCOUNTING AND FINANCIAL REPORTING PROCESSES; (VI) ANNUALLY CONSIDERING THE PERFORMANCE AND INDEPENDENCE OF THE INDEPENDENT AUDITOR; (VII) REVIEWING AND REPORTING TO THE BOARD ON THE ANNUAL AUDITED FINANCIAL STATEMENT OF THE HEALTH SYSTEM CERTIFIED BY THE CORPORATION'S CERTIFIED PUBLIC ACCOUNTANTS, TOGETHER WITH SUCH CERTIFIED PUBLIC ACCOUNTANTS' MANAGEMENT LETTER TO THE CORPORATION WHICH THE COMMITTEE SHALL REVIEW AND REPORT ON TO THE BOARD OF DIRECTORS; (VIII) SUGGESTING MEANS TO IMPROVE FISCAL ACCOUNTABILITY AND INTERNAL AUDIT PROCEDURES FOR THOSE AREAS IDENTIFIED AS REQUIRING IMPROVEMENT; (IX) PROVIDING OVERSIGHT FOR THE HEALTH SYSTEM'S CORPORATE COMPLIANCE PROGRAM, INCLUDING CORPORATE ETHICS AND COMPLIANCE WITH LEGAL AND REGULATORY REQUIREMENTS; AND (X) REPORTING ON THE FINANCIAL PLANNING AND OVERSIGHT COMMITTEE'S ACTIVITIES TO THE FULL BOARD.
FORM 990, PART XII, LINE 3BTHE CONSOLIDATED ORGANIZATION IS REQUIRED TO UNDERGO AN AUDIT AS SET FORTH IN THE SINGLE AUDIT ACT AND OMB CIRCULAR A-133 AND DID UNDERGO THAT REQUIRED AUDIT.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (6 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtControlled OrganizationControlledOrganizationIndDirect Controlling NADirectControllingNACd
ARKANSAS CHILDREN'S FOUNDATION
1 CHILDRENS WAYLITTLE ROCKAR72202710568795FUNDRAISINGAR501(C)(3)LINE 7ARKANSAS CHILDREN'S INC0
ARKANSAS CHILDREN'S RESEARCH INSTITUTE
13 CHILDRENS WAYLITTLE ROCKAR72202710694931RESEARCHAR501(C)(3)LINE 7ARKANSAS CHILDREN'S INC0
ARKANSAS CHILDREN'S HOSPITAL AUXILIARY
1 CHILDRENS WAYLITTLE ROCKAR72202710606585FUNDRAISING & VOLUNTEERSAR501(C)(3)LINE 12A, IARKANSAS CHILDREN'S INC THRU ARKANSAS CHILDREN'S HOSPITAL AND FOUNDATION0
ARKANSAS CHILDREN'S NORTHWEST
1 CHILDRENS WAYLITTLE ROCKAR72202810817660HOSPITALAR501(C)(3)LINE 3ARKANSAS CHILDREN'S INC0
ARKANSAS CHILDREN'S INC
1 CHILDRENS WAYLITTLE ROCKAR72202810801296HEALTH CARE PARENT CORPORATIONAR501(C)(3)LINE 12B, II0N/A
ARKANSAS CHILDREN'S MEDICAL GROUP
1 CHILDRENS WAYLITTLE ROCKAR72202820771462HOSPITAL/PHYSICIAN SERVICESAR501(C)(3)LINE 3ARKANSAS CHILDREN'S INC0

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (3 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdDirect Controlling NADirectControllingNACdEntity TypeEntityTypeTxtShare Of Total IncomeShareOfTotalIncomeAmtShare Of EOY AssetsShareOfEOYAssetsAmtOwnershipOwnershipPctControlled OrganizationControlledOrganizationIndAddress Line1ForeignAddress/AddressLine1TxtCityForeignAddress/CityNmProvince Or StateForeignAddress/ProvinceOrStateNmCountryForeignAddress/CountryCdForeign PostalForeignAddress/ForeignPostalCdLegal Domicile Foreign CountryLegalDomicileForeignCountryCd
CHILDREN'S HEALTHCARE SYSTEM INC
1 CHILDRENS WAYLITTLE ROCKAR72202586304957MANAGEMENT SERVICESARN/AC$275,539$854,0620.500000
ARKANSAS CHILDREN'S CARE NETWORK
1 CHILDRENS WAYLITTLE ROCKAR72202371854930CLINICALLY INTEGRATED NETWORKARN/AC0
SACOVA INSURANCE COMPANY LTD
981472934CAPTIVE INSURANCE COMPANYN/AC018 FORUM LANE 2ND FLOORCAMANA BAYGRAND CAYMANCJKY1-1102CJ
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgYes (1)GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (1)GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgYes (1)LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgYes (1)LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other OrgYes (1)AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth OrgYes (1)RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org0RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgYes (1)PerformOfServicesForOthOrgInd
Perform Of Services By Other OrgYes (1)PerformOfServicesByOtherOrgInd
Sharing Of FacilitiesYes (1)SharingOfFacilitiesInd
Paid Employees SharingYes (1)PaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (1)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (1)ReimbursementPaidByOtherOrgInd
Transfer To Other OrgYes (1)TransferToOtherOrgInd
Transfer From Other OrgYes (1)TransferFromOtherOrgInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE R, PART V, LINE 1EFormAndLineReferenceDesc
ExplanationACH AND ARKANSAS CHILDREN'S FOUNDATION GUARANTEE THE OUTSTANDING BOND INDENTURES.ExplanationTxt

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