2023-04-27T08:43:03-05:00 2022-06-30 135565207 KPMG LLP 301 MAIN ST ONE AMERICAN PL STE 2150 BATON ROUGE LA 708011705 990 2021-07-01 710236857 ARKANSAS CHILDREN'S HOSPITAL ARKA 5013642555 1 CHILDRENS WAY LITTLE ROCK AR 72202 MARCELLA DODERER PRESIDENT & CEO 5013642555 2023-04-27 1 MARCELLA DODERER 999009999 MAXWELL E BARLOW P01959439 2253797995 3 AAL1 IAL1 2021 2023-04-26 12:10:37Z MARCELLA DODERER 1 CHILDRENS WAY LITTLE ROCK AR 72202 737597102 0 X WWW.ARCHILDRENS.ORG X 1912 AR WE CHAMPION CHILDREN BY MAKING THEM BETTER TODAY AND HEALTHIER TOMORROW. 15 13 4331 453 0 0 67470661 53377352 578893964 687675434 4250456 -12895338 8240068 9298179 658855149 737455627 9473777 28002492 0 0 278120498 331868749 0 0 0 302835185 341169721 590429460 701040962 68425689 36414665 1044609032 1069940948 154330471 155185911 890278561 914755037 X WE 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. 0 0 576624438 28002492 690514100 ARKANSAS 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 170 ARE INTENSIVE CARE BEDS AND 133 ARE MEDICAL/SURGICAL BEDS. DURING THE YEAR ENDED JUNE 30, 2022, ACH'S UTILIZATION WAS AS FOLLOWS: 15,374 ADMISSIONS WITH AN AVERAGE STAY OF 5.68 DAYS; 85,024 PATIENT DAYS; 232.9 AVERAGE DAILY CENSUS; 256,816 OUTPATIENT VISITS, EXCLUDING ER VISITS WHICH WERE 62,600; AND 14,926 SURGERIES. CONTINUED ON SCHEDULE O.IN ADDITION TO PROVIDING CHARITY CARE, ACH IS A MAGNET-RECOGNIZED FACILITY IN LITTLE ROCK OPERATING THE STATE'S ONLY LEVEL I PEDIATRIC TRAUMA CENTER, BURN CENTER, LEVEL 4 NEONATAL INTENSIVE CARE UNIT, PEDIATRIC INTENSIVE CARE UNIT, PEDIATRIC SURGERY PROGRAM WITH LEVEL 1 VERIFICATION FROM THE AMERICAN COLLEGE OF SURGEONS (ACS), MAGNETOENCEPHALOGRAPHY (MEG) SYSTEM FOR NEUROSURGICAL PLANNING AND CUTTING-EDGE RESEARCH, AND NATIONALLY RECOGNIZED PEDIATRIC TRANSPORT PROGRAM. ADDITIONALLY, ACH IS NATIONALLY RANKED BY U.S. NEWS & WORLD REPORT IN SEVEN PEDIATRIC SUBSPECIALTIES: CANCER, CARDIOLOGY/HEART SURGERY, DIABETES/ENDOCRINOLOGY, NEPHROLOGY/NEUROSURGERY, PULMONOLOGY/LUNG SURGERY, AND UROLOGY. 576624438 1 1 0 0 0 0 0 0 0 1 1 0 0 1 1 1 0 1 0 0 0 0 0 0 0 0 1 1 1 1 1 1 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 1 0 0 0 1 251 0 1 4331 1 0 0 0 0 0 0 0 0 0 0 0 0 X 15 13 0 1 1 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 1 1 X GENA WINGFIELD 5013642555 1 CHILDRENS WAY LITTLE ROCK AR 72202 MARCELLA DODERER PRESIDENT/CEO 0.46 55.88 X X 0 1789717 250954 JOHN BALE JR TRUSTEE/DIRECTOR 0.31 0.22 X 0 0 0 TRAV BAXTER TRUSTEE/DIRECTOR 0.62 0.00 X 0 0 0 MELISSA GRAHAM MD TRUSTEE/DIRECTOR 0.46 0.00 X 0 0 0 DOUGLAS JACKSON VICE CHAIR 0.50 0.00 X 0 0 0 RICHARD JACOBS MD TRUSTEE/DIRECTOR 0.62 0.00 X 0 0 0 TIONNA JENKINS PHD TRUSTEE/DIRECTOR 0.38 0.00 X 0 0 0 PHILLIP JETT BOARD TREASURER 0.29 0.20 X 0 0 0 HOLLY MARR TRUSTEE/DIRECTOR 0.83 0.00 X 0 0 0 PAT MCCLELLAND TRUSTEE/DIRECTOR 0.58 0.46 X 0 0 0 BARBARA G MOORE TRUSTEE/DIRECTOR 0.33 0.08 X 0 0 0 BEVERLY A MORROW CHAIR OF THE BOARD 0.79 0.08 X 0 0 0 GRESHAM RICHTER MD TRUSTEE/DIRECTOR-CHIEF OF MED STAFF 55.50 0.00 X 666125 0 58754 ROSS WHIPPLE TRUSTEE/DIRECTOR 0.27 0.00 X 0 0 0 DARRIN WILLIAMS TRUSTEE/DIRECTOR 0.27 0.00 X 0 0 0 GENA WINGFIELD EVP/CHIEF FINANCIAL OFFICER 0.00 48.00 X 0 806113 92699 FREDERICK BARR MD EVP/CHIEF CLINICAL & ACADEMIC OFCR 16.50 38.63 X 0 806319 22350 ERIN PARKER SVP/CIO 0.00 52.00 X 0 415316 23973 JAMIE WIGGINS EVP/COO 0.00 50.00 X 0 281991 3438 LEE ANNE EDDY SVP/CNO (PARTIAL YEAR) 50.00 0.00 X 438400 0 27154 AMY FALLON OPERATIONS SVP 50.00 0.00 X 329574 0 30815 ANN KRUGER INTERIM PATIENT CARE SRVC SVP/CNO 55.00 0.00 X 328398 0 33272 CINDY HILL VP FINANCIAL SERVICES 50.00 0.00 X 317382 0 23990 LE'KITA BROWN VP REVENUE CYCLE 50.00 0.00 X 303095 0 23198 MARY SALASSI-SCOTTER VP PATIENT CARE SRVC (PARTIAL YR) 50.00 0.00 X 264097 0 25888 CARRIE LEE VP PATIENT CARE SERVICES 55.00 0.00 X 259295 0 23974 TAMMY DIAMOND-WELLS VP PATIENT CARE SERVICES 50.00 0.00 X 228729 0 24687 LUANN JONES NEONATAL SRVC NURSING DIR (PARTIAL YR) 45.00 0.00 X 182387 0 14476 KENDREA JONES PHARMACY DIRECTOR 50.00 0.00 X 179624 0 24819 JOHN MCNALLY MEDICAL ADMIN DIRECTOR 60.00 0.00 X 173875 0 6513 ART SHUMATE PERIOPERATIVE SRVC DIR (PARTIAL YR) 50.00 0.00 X 172937 0 12135 ROBIN MITCHELL VP OPERATIONS 48.00 0.00 X 165437 0 9361 GREGORY SHARP MD SVP/CHIEF MEDICAL OFFICER 55.00 0.00 X 510592 0 60637 JARED CAPOUYA VP QUALITY & SAFETY 50.00 0.00 X 443171 0 31285 CHRISTIAN EISENRING SURGICAL ASST COORDINATOR 65.00 0.00 X 250647 0 22173 LOREN UTLEY PATIENT CARE MANAGER 60.00 0.00 X 221219 0 7877 BETH PETLAK VP POPULATION HEALTH/CHS EXEC DIR 12.50 37.50 X 217306 0 16046 ANDREW DICK VP IT APPLICATIONS 0.00 50.00 X 59910 146488 17307 PATRICIA MONTAGUE FORMER EVP/COO-RETIRED 6/30/21 0.00 0.00 X 0 467133 9726 SHANNON HENDRIX ACNW CHIEF ADMIN (FORMER ACH VP) 0.00 50.00 X 0 397431 30764 5712200 5110508 928265 291 1 1 1 UNIVERSITY OF ARKANSAS FOR MEDICAL SCIEN 4301 WEST MARKHAM LITTLE ROCK AR 72205 MEDICAL SERVICES 83799899 CROTHALL HEALTHCARE 13028 COLLECTION CENTER DRIVE CHICAGO IL 60693 PATIENT TRANSPORT/EVS/LINEN SVC 9492617 COMPASS ONE PO BOX 102289 ATLANTA GA 303682289 NUTRITION SERVICES 7537514 NABHOLZ CONSTRUCTION CORP PO BOX 2090 CONWAY AR 72033 GENERAL CONSTRUCTION CONTRACTOR 6396802 CROSS COUNTRY STAFFING INC PO BOX 404674 ATLANTA GA 303844674 STAFFING 5633048 103 18698075 34679277 53377352 PAYMENTS FOR MED SVCS 622110 675841430 675841430 PHARMACY - PATIENT 456110 11834004 11834004 687675434 -12857139 -12857139 2056750 39771 2016979 2016979 2016979 63505 101704 -38199 -38199 -38199 NUTRITIONAL SERVICES 622110 3303654 3303654 CHILD ENRICHMENT 624410 1138880 1138880 2838666 2838666 7281200 737455627 690514100 0 -6435825 X 27638388 27638388 364104 364104 5152201 3987577 1164624 88923 88923 278744589 212232362 66512227 47883036 39879480 8003556 8913228 8901028 12200 13875 13875 138800782 119941500 18859282 530231 17275 512956 9448716 5629740 3818976 19316721 6059539 13257182 4744030 3729151 1014879 1464931 1362553 102378 583831 546000 37831 3779176 3779176 38432042 32885580 5546462 1159828 1159828 MEDICAL SUPPLIES 100724050 100444265 279785 OTHER ADMINISTRATIVE EX 9705559 9037107 668452 MINOR EQUIPMENT 2235478 1540565 694913 DUES & SUBSCRIPTIONS 1317243 1165598 151645 701040962 576624438 124416524 0 45831 41095 46314475 42557078 79962489 100142022 9892603 10889963 8839758 9211405 642835697 389604029 267826513 253231668 463317680 470577547 766853 1812684 403048 420545 167239782 181056941 1044609032 1069940948 57889263 61798967 87094 111272 89430510 87459111 6923604 5816561 154330471 155185911 X 855628430 876472637 34650131 38282400 890278561 914755037 1044609032 1069940948 X 36414665 -8658128 -3280061 X X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 374165487 10947859 -36410499 11596120 337106727 310862422 1798329 74160395 12655659 374165487 309182507 4459025 3961742 6740852 310862422 296307577 5224717 20943820 13293607 309182507 279051286 1174503 24842576 8760788 296307577 0.73840 0.14400 0.11760 0 1 1 14749929 14749929 365650483 220120997 145529486 230379190 156480157 73899033 32056095 13002875 19053220 253231668 FUNDS HELD BY TRUSTEE UNDER BOND AGREEMENTS 1375642 ESTIMATED 3RD PARTY SETTLEMENT (MCD) 150294072 SUPPLEMENTAL MEDICAID RECEIVABLE 8313633 GME RECEIVABLE 1153657 OTHER RECEIVABLES 14778560 INTEREST RECEIVABLE - FUNDED DEPR 194621 DUE FROM AFFILIATES 4946756 181056941 OPERATING LEASES 3465317 CAPITAL LEASES 2351244 5816561 X 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, 2022 AND 2021, 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. 1 1 1 X 250.000000000000 1 X 0 1 0 0 10479845 10479845 0.01490 396954192 379642184 17312008 0.02470 407434037 379642184 27791853 0.03960 8257694 1583663 6674031 0.00950 26033458 8346791 17686667 0.02520 37939580 13682160 24257420 0.03460 11384058 11384058 0.01620 735787 85031 650756 0.00090 84350577 23697645 60652932 0.08640 491784614 403339829 88444785 0.12600 2000 260 1740 0.00000 3500 430 3070 0.00000 45456 1 45455 0.00010 50956 691 50265 0.00010 1 3579152 2905643 2535716 369927 X 1 1 1 1 ARKANSAS CHILDREN'S HOSPITAL 1 CHILDRENS WAY LITTLE ROCK AR 72202 WWW.ARCHILDRENS.ORG AR4640 X X X X X X ARKANSAS CHILDREN'S HOSPITAL 1 0 0 1 X X X X X X X X X X 21 1 1 1 1 X WWW.ARCHILDRENS.ORG/RESOURCES/COMMUNITY-NEEDS-ASSESSMENT X X 1 22 1 WWW.ARCHILDRENS.ORG/RESOURCES/COMMUNITY-NEEDS-ASSESSMENT 0 1 X 250.000000000000 400.000000000000 1 1 X X X 1 X SEE PART V, SECTION C X SEE PART V, SECTION C X SEE PART V, SECTION C X X X X X X 1 X 0 X 1 X 0 0 ARKANSAS CHILDREN'S HOSPITAL PART 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 2021, THIS INCLUDED MORE THAN 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 HOSPITAL PART V, SECTION B, LINE 5: THE FY22 STATEWIDE CHNA WAS CONDUCTED BY ARKANSAS CHILDREN'S COMMUNITY ENGAGEMENT, ADVOCACY, AND HEALTH DIVISION AND BOYETTE STRATEGIC ADVISORS. THIS TEAM REVIEWED ALL IRS REQUIREMENTS FOR THE FY22 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 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 GROUPS 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, SEVERAL 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 POLLING 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 VERBATIM 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. A TOTAL OF 41 SUBJECT MATTER EXPERTS WERE INTERVIEWED 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 AS WELL. 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 HOSPITAL PART 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 HOSPITAL PART 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 COMMISSIONARKANSAS FOOD BANKNORTHWEST ARKANSAS FOOD BANKUNIVERSITY 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 PRACTICES PHYSICIANS, NURSES, DENTISTS, AND PHARMACISTSSCHOOLS AND SCHOOL-BASED HEALTH CLINICSHEALTH RESEARCHERSIMMUNIZE ARKANSASTHE 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 HOSPITAL PART V, SECTION B, LINE 7D: PRESENTATIONS ON THE FINDINGS FROM THE 2022 ACH CHNA ARE ON-GOING AND HAVE ALREADY BEEN PROVIDED TO THE NATURAL WONDERS PARTNERSHIP COUNCIL, ACH STAFF, ACH VOLUNTEERS, THE NORTHWEST ARKANSAS COUNCIL, NEWS MEDIA OUTLETS, AND OTHER PUBLIC ORGANIZATIONS. THE 2022 CHNA, 2022 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 HOSPITAL PART V, SECTION B, LINE 11: COMMUNITY HEALTH IMPROVEMENT INTRODUCTION: FOR THE 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 TEAM 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 WILL WORK TO ADDRESS THE FOLLOWING PRIORITIZED HEALTH NEEDS OVER THE NEXT THREE YEARS: PRIMARY PRIORITIES: BEHAVIORAL AND MENTAL HEALTH IMMUNIZATIONSFOOD INSECURITYSECONDARY PRIORITIES: INFANT HEALTHCHILD ABUSE AND NEGLECTSUSTAINING ACTIVITIES: ACCESS TO CAREOBESITYINJURY PREVENTIONAS ARKANSAS CHILDREN'S HOSPITAL WAS CONDUCTING THE 2022 CHNA DURING TAX YEAR 2021/FISCAL YEAR 2022, THEY WERE ALSO CONTINUING THEIR WORK TO ADDRESS HEALTH NEEDS IDENTIFIED IN THEIR LAST CHNA (2019) AND OUTLINED IN THEIR 2020-2022 IMPLEMENTATION STRATEGY. THE FOLLOWING INFORMATION WILL UPDATE ON ACTIONS AND WORK WHICH TOOK PLACE DURING FY22 FOR EACH OF THE 2019 CHNA PRIORITIZED HEALTH ISSUES LISTED BELOW. (1) PARENTING SUPPORTS:IN FY22, THE NATURAL WONDERS PARTNERSHIP COUNCIL FIRST 2100 DAYS OF LIFE WORKGROUP CONTINUED TO FOCUS ON THE RESOURCES AND SUPPORT THAT EXPECTING MOTHERS AND CHILDREN BIRTH TO FIVE YEARS OLD NEED TO BE HEALTHY. ACH AND ITS PARTNERS KNOW THAT A STRONG COMMUNITY CAN AND SHOULD PROVIDE VARIOUS SOCIAL AND COMMUNITY SUPPORTS TO HELP MORE ARKANSAS PARENTS RAISE HAPPY, HEALTHY CHILDREN CAPABLE OF LIFE-LONG LEARNING. THE ARKANSAS HOME VISITING NETWORK (AHVN), A PARTNERSHIP BETWEEN THE ARKANSAS DEPARTMENT OF HEALTH (ADH) AND ACH, SUPPORTED WITH A FEDERAL GRANT TO ADH AND CONTRACTED TO ACH, 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 CONTINUES TO IMPLEMENT SIX EVIDENCE-BASED HOME VISITING MODELS: (FOLLOWING BABY BACK HOME (FBBH), HEALTHY FAMILIES ARKANSAS (HFA), HOME INSTRUCTION FOR PARENTS OF PRESCHOOL YOUNGSTERS (HIPPY), NURSE FAMILY PARTNERSHIP (NFP), PARENTS AS TEACHERS (PAT), AND SAFECARE). IN ADDITION, ACH IS PILOTING THE FAMILY CONNECTS PROGRAM IN UNION COUNTY, WHERE PREVIOUSLY THERE WAS SPARSE HOME VISITING COVERAGE. IT IS THE FIRST UNIVERSAL HOME VISITING PROGRAM IN THE STATE AND ACHIEVED MODEL CERTIFICATION FROM FAMILY CONNECTS INTERNATIONAL IN JULY OF 2022.IN FY22, THESE PROGRAMS HELPED APPROXIMATELY 8,500 FAMILIES WITH CHILDREN RANGING FROM PRENATAL TO AGE FIVE ACROSS ALL 75 COUNTIES IN THE STATE. IN RESPONSE TO THE COVID PANDEMIC, EACH OF THE HOME VISITING MODELS ADAPTED ITS APPROACH. THE MAJORITY OF THE MODELS STOPPED IN-PERSON HOME VISITING SERVICES AT THE END OF MARCH 2020 AND RAPIDLY TRANSITIONED TO VIRTUAL FORMATS BY EARLY MAY. TOWARD THE END OF THE 2021 PROGRAM YEAR, SERVICES BEGAN SLOWLY TRANSITIONING BACK TO NORMAL IN-PERSON SERVICE DELIVERY. CURRENTLY, MORE THAN 70% OF FAMILIES PARTICIPATING IN HOME VISITING ARE RECEIVING IN-PERSON HOME VISITS. THE ARKANSAS CHILDREN'S INJURY PREVENTION CENTER (IPC) PROVIDES MANY PROGRAMS TO ASSIST PARENTS AND CAREGIVERS. ONE PROGRAM THE IPC LEADS IS 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 FY22, 45 SAFETY BABY SHOWERS WERE HELD VIRTUALLY, WHILE 3 WERE OFFERED IN-PERSON, TO REACH A TOTAL OF 190 PARTICIPANTS IN 49 ARKANSAS COUNTIES. THE TEAM ALSO TRAINED 116 COMMUNITY MEMBERS TO IMPLEMENT SAFETY BABY SHOWER CLASSES AND DISTRIBUTED 822 BUNDLES OF SAFETY PRODUCTS AND 7,695 BOOKS TO FAMILIES. A SECOND PROGRAM OFFERED IS THE SAFETY ZONE, A PUBLIC SPACE ON THE ACH CAMPUS WHERE FAMILIES CAN RECEIVE EDUCATION AND PRODUCTS TO PROMOTE SAFETY. IN FY22, IPC, ASSISTED BY ACH VOLUNTEER ENGAGEMENT STAFF, CONDUCTED 791 SAFETY ASSESSMENTS, DISTRIBUTED 1,590 SAFETY PRODUCTS, SUCH AS SMOKE ALARMS AND CABINET LOCKS, AND PROVIDED 840 EDUCATIONAL FACT SHEETS AND FACT SHEET BOOKLETS TO SAFETY ZONE VISITORS. IPC STAFF 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 26 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 FY22, 848 CAR SEATS WERE DONATED TO FAMILIES IN NEED THROUGH THE WORK OF THE IPC STAFF AND SATELLITE SITE PARTNERSHIPS. SCHEDULE H, PART V, SECTION B, LINE 11 - CONTINUED (2) SOCIAL ISSUES:THE ENVIRONMENTAL AND SOCIOECONOMIC NEEDS IDENTIFIED IN THE 2019 CHNA SUCH AS POVERTY, HOUSING, LACK OF TRANSPORTATION, EDUCATION, AND DISCRIMINATION WERE BUNDLED IN A SOCIAL ISSUES STRATEGY IN THE 2020-2022 IMPLEMENTATION STRATEGY. PART OF THE STATEWIDE, SYSTEM-WIDE WORK TO ADDRESS THE SOCIAL ISSUES OF FAMILIES IS THE CLOSED-LOOP REFERRAL SYSTEM, ARKANSAS CHILDREN'S RESOURCE CONNECT (POWERED BY FINDHELP.ORG). THIS SYSTEM WAS LAUNCHED IN APRIL 2021 FOR USE BY PATIENTS, FAMILIES, AND STAFF AT ARKANSAS CHILDREN'S HOSPITAL AND ARKANSAS CHILDREN'S NORTHWEST. DURING FY22, 11,658 SEARCHES OCCURRED, MOST COMMONLY FOR FOOD PANTRIES, HELP TO PAY FOR UTILITIES, AND HELP TO PAY FOR HOUSING. ALSO, A TOTAL OF 349 REFERRALS TOOK PLACE, WITH 91 BEING CLOSED LOOP, WHERE IT IS CONFIRMED THAT THE INDIVIDUAL OR FAMILY RECEIVED HELP. THIS DIGITAL SYSTEM IS GREATLY HELPING ARKANSAS CHILDREN'S REFER FAMILIES TO RESOURCES FOR MEETING BASIC NEED AND HELP WITH OTHER SOCIAL RESOURCES.THE ARKANSAS CHILDREN'S MEDICAL LEGAL PARTNERSHIP IS ONE OF THE REFERRALS POSSIBLE WITH ARKANSAS CHILDREN'S RESOURCE CONNECT. THESE LEGAL AID ATTORNEYS HELP ELIGIBLE FAMILIES WITH HEALTH-HARMING LEGAL NEEDS. FROM JULY 2021 THROUGH JUNE 2022, THE ATTORNEYS CLOSED 147 CASES, RANGING FROM BRIEF LEGAL ADVICE AND/OR SERVICES TO EXTENDED REPRESENTATION. THE MOST FREQUENT TYPES OF CASES WERE TO SUPPORT FAMILY STABILITY INCLUDING CHILD CUSTODY, DIVORCE, ADDRESSING DOMESTIC VIOLENCE (30 CASES), HOUSING AND RENTING CONDITIONS (28 CASES), OR ADULT GUARDIANSHIP ISSUES (27 CASES). (3) MENTAL HEALTH AND SUBSTANCE USE:ACH PROVIDED 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 CO-LOCATED WITH 3 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 ACH CAMPUS. DR. KAREN FARST IS THE DIRECTOR AND PHYSICIAN LEADER FOR THE ACH MEDICAL CLINIC LOCATED IN THE BUILDING, AS WELL AS THE UAMS FAMILY TREATMENT PROGRAM WHICH PROVIDES TRAUMA-FOCUSED THERAPY TO CHILDREN IMPACTED BY SEXUAL ABUSE. THE BUILDING IS ALSO HOME TO THE UAMS CHILD AND ADOLESCENT PSYCHIATRY SERVICE LINE. CO-LOCATING THE MISSION AND EXPERTISE OF THESE 4 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. THE INJURY PREVENTION CENTER (IPC) USES THE CENTERS FOR DISEASE CONTROL & PREVENTION (CDC) FRAMEWORK OF INJURY PREVENTION TO ADDRESS THE PROBLEM OF INTENTIONAL INJURIES. STAFF ARE TRAINED IN 3 EVIDENCE-BASED PROGRAMS FOR SUICIDE PREVENTION AND POSITIVE MENTAL HEALTH: MENTAL HEALTH FIRST AID, APPLIED SUICIDE INTERVENTION SKILLS TRAINING (ASIST), AND SAFETALK. THE TRAININGS ARE AVAILABLE TO SCHOOLS, COMMUNITY MEMBERS, AND WORKPLACES AS NEEDED. IN FY22, IPC STAFF HELD 8 ASIST TRAININGS WITH A TOTAL OF 85 PARTICIPANTS. IPC ALSO LEADS A FIREARM SAFE STORAGE COALITION, WHICH HAS WORKED EXTENSIVELY TO DEFINE MESSAGING FOR SAFE GUN STORAGE. THEY CONTINUE TO REFINE THE MESSAGING IN PRACTICE AND EXPAND THE COALITION. PROJECT PREVENT IS THE STATEWIDE YOUTH TOBACCO PREVENTION COALITION IN ARKANSAS. COORDINATED BY ARKANSAS CHILDREN'S AND FUNDED BY THE ARKANSAS DEPARTMENT OF HEALTH, PROJECT PREVENT WORKS WITH YOUNG PEOPLE ACROSS THE STATE TO ADDRESS THE HARMFUL EFFECTS OF SMOKING, DIPPING AND VAPING. IN FY22, 890 STUDENT MEMBERS IN 42 PROJECT PREVENT CHAPTERS PROVIDED EDUCATION AND PREVENTION OUTREACH IN THEIR COMMUNITIES. 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 FY22, THE TWO ANNUAL CONFERENCES COMBINED SAW PARTICIPATION FROM 1,037 YOUTH. EACH CONTEST HELD IN FY22 HAD A COMMON THEME OF "CHANGING GEARS", CHALLENGING YOUTH TO ENCOURAGE OTHERS TO AVOID TOBACCO PRODUCTS. THE FILM CONTEST, READY.SET.RECORD., SAW PARTICIPATION FROM 547 YOUTH IN 7TH-12TH GRADES, WHILE THE ESSAY CONTEST, MY REASON TO WRITE, SAW PARTICIPATION FROM 368 YOUTH IN 4TH-6TH GRADES, AND THE ART CONTEST, DRAWING FOR A DIFFERENCE, SAW PARTICIPATION FROM 651 YOUTH IN K-3RD GRADES.(4) ACCESS TO QUALITY CARE:ON THE HOSPITAL CAMPUS, ACH FINANCIAL COUNSELORS HELPED PATIENTS, AS WELL AS SIBLINGS AND PARENTS, SIGN UP FOR HEALTHCARE COVERAGE. ACH DEDICATES MORE THAN $3 MILLION EACH YEAR TO SUPPORT THIS EFFORT TO INCREASE EQUITABLE ACCESS TO CARE. IN FY22, 29 FINANCIAL COUNSELORS PROCESSED 6,228 APPLICATIONS FOR MEDICAID AND TEFRA, 4,418 APPLICATIONS FOR THE FINANCIAL ASSISTANCE PROGRAM (FAP), AND 295 APPLICATIONS FOR SUPPLEMENTAL NUTRITION ASSISTANCE PROGRAM (SNAP). FAMILIES ARE ALSO HELPED BY AN AFTER-HOURS RESOURCE LINE, ANSWERED BY REGISTERED NURSES AT ACH. IN FY22 DEDICATED NURSES RESPONDED TO 31,914 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, A PROGRAM IMPLEMENTED IN COLLABORATION WITH LEGAL AID OF ARKANSAS TO ADDRESS HEALTH-HARMING LEGAL NEEDS. THE MEDICAL-LEGAL PARTNERSHIP IS COVERED FURTHER IN THE SOCIAL ISSUES NEED CATEGORY. ACH MEDICAL PROVIDERS SUPPORT TWO SCHOOL-BASED HEALTH CENTERS IN THE LITTLE ROCK SCHOOL DISTRICT (LRSD). THE TWO CLINICS SERVED 769 PATIENTS AND COMPLETED 1,602 VISITS WITH LRSD STUDENTS AND THEIR SIBLINGS DURING FY22. THE TOP THREE DIAGNOSES FOUND DURING FY22 WERE ENCOUNTER FOR IMMUNIZATION, ENCOUNTER FOR ROUTINE CHILD HEALTH EXAMINATION WITH ABNORMAL FINDINGS, AND PEDIATRIC BODY MASS INDEX (BMI) GREATER THAN OR EQUAL TO 95TH PERCENTILE FOR AGE. THE CLINIC PROVIDED 1,433 VACCINATIONS, MADE 415 SPECIALTY CARE REFERRALS, AND MADE 76 BEHAVIORAL HEALTH CARE REFERRALS IN FY22. ARKANSAS CHILDREN'S HOSPITAL ALSO SUPPORTS SCHOOL NURSES STATEWIDE THROUGH THE SCHOOL NURSE ACADEMY, A PARTNERSHIP BETWEEN THE HOSPITAL, ARKANSAS DEPARTMENT OF HEALTH, AND ARKANSAS DEPARTMENT OF EDUCATION. THROUGH THE SCHOOL NURSE ACADEMY IN FY22, SCHOOL NURSES WERE ABLE TO RECEIVE VIRTUAL ASYNCHRONOUS ASTHMA TRAINING, IN A COURSE CALLED "TACKLING ASTHMA", AND WERE ALSO ABLE TO RECEIVE IN-PERSON TRAINING ON POVERTY, THROUGH A COURSE CALLED "WHAT'S POVERTY GOT TO DO WITH IT? CHILDREN AND FAMILIES IN CRISIS". THIS IN-PERSON POVERTY TRAINING WAS HELD IN DIFFERENT REGIONS OF THE STATE AND REACHED A TOTAL OF 144 SCHOOL NURSES, REPRESENTING 72 SCHOOL DISTRICTS. TO ADDITIONALLY SUPPORT THE INCREDIBLE WORK THAT SCHOOL NURSES DO, IN AUGUST OF 2021, ARKANSAS CHILDREN'S ADDED A SCHOOL NURSE EDUCATIONAL RESOURCES WEBPAGE TO 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 FY22, FIVE BROADCASTS REACHED 168 PARTICIPANTS IN 47 COUNTIES AND COVERED THE FOLLOWING TOPICS: STOP THE BLEED, CHILDHOOD CANCER, ASTHMA, AND TALKING TO STUDENTS ABOUT DEATH. ARKANSAS CHILDREN'S HOSPITAL SUPPORTED GOODNESS VILLAGE IN LITTLE ROCK, 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 ARKANSAS CHILDREN'S HOSPITAL. ACH OWNS THE LAND OF THE BUILDING'S LOCATION AND PROVIDES A $1 A YEAR LEASE AS A BENEFIT TO THE ORGANIZATION. 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. MANY FAMILIES HAVE A CHILD BEING TREATED AT ACH, BUT IT IS ALSO OPEN TO FAMILIES WITH CHILDREN TREATED AT OTHER HOSPITAL FACILITIES. SCHEDULE H, PART V, SECTION B, LINE 11 - CONTINUED (5) FOOD INSECURITY: ARKANSAS CHILDREN'S HOSPITAL 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 INSECURITY NEEDS AT THE INDIVIDUAL AND FAMILY LEVEL. PATIENTS ARE SCREENED ANNUALLY, IF THEY ARE A NEW PATIENT OR IF THEY SCREENED 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 NEEDS. THE FAMILIES IN NEED ARE CONNECTED TO RESOURCES, SUCH AS GROCERY BAGS OF FOOD THAT DAY, AND ASSISTED IN APPLYING FOR THE SUPPLEMENTAL NUTRITION ASSISTANCE PROGRAM (SNAP), AS WELL AS OTHER PUBLIC BENEFIT PROGRAMS. IN FY22, 1,118 BAGS OF NON-PERISHABLE GROCERIES WERE DISTRIBUTED TO PATIENT FAMILIES, THROUGH A PARTNERSHIP WITH NEARBY HELPING HAND FOOD PANTRY. THE ON-CAMPUS ACH COMMUNITY GARDEN PRODUCED 1,879 POUNDS OF FRESH PRODUCE, WHICH WERE DONATED TO HELPING HAND FOOD PANTRY. ADDITIONALLY, THE ACH CAMPUS, AS WELL AS THE PINE BLUFF AND SOUTHWEST LITTLE ROCK CLINICS, PARTICIPATE IN THE USDA MEAL PROGRAM. IN FY22, 24,897 FREE USDA MEALS WERE PROVIDED TO CHILDREN THANKS TO ACH'S 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 2022, ARKANSAS CHILDREN'S ORGANIZED THEIR ANNUAL FOOD DRIVE. THIS YEAR WAS THE FIRST TIME THE PROJECT WAS TRULY SYSTEM WIDE AND A TREMENDOUS 19,802 NON-PERISHABLE FOOD ITEMS WERE COLLECTED. AT ACH, 34 TEAMS COLLECTED 16,578 ITEMS FOR THE HELPING HAND FOOD PANTRY, AND AT ACNW, 10 TEAMS COLLECTED 2,414 ITEMS FOR THE NORTHWEST ARKANSAS FOOD BANK. THE AC CLINICS ACROSS THE STATE ALSO PARTICIPATED. THE PINE BLUFF CLINIC COLLECTED 500 ITEMS FOR THE NEIGHBOR-TO-NEIGHBOR FOOD PANTRY, WHILE THE SOUTHWEST LITTLE ROCK CLINIC COLLECTED 200 ITEMS FOR THE EL ZOCALO IMMIGRANT RESOURCE CENTER. THE WEST LITTLE ROCK CLINIC COLLECTED 80 ITEMS FOR THEIR OWN FOOD PANTRY FOR PATIENTS, AND THE JONESBORO CLINIC COLLECTED 30 ITEMS FOR THE FOOD BANK OF NORTHEAST ARKANSAS. THE FOOD DRIVE WAS A WONDERFUL OPPORTUNITY TO COME TOGETHER AND GIVE BACK TO THOSE WHO ARE FOOD INSECURE IN OUR COMMUNITIES. ADDRESSING FOOD SECURITY AT A COMMUNITY LEVEL, ARKANSAS CHILDREN'S HEALTH EDUCATORS PROVIDE SPECIFIC EDUCATION ABOUT COOKING AND HEALTHY EATING ON A BUDGET. THESE COOKING MATTERS PROGRAMS PROVIDE FAMILIES AND THEIR CHILDREN WITH SPECIFIC SKILLS TO COOK HEALTHFUL, LOW-COST MEALS. ACH SUPPORTED SEVERAL RELATED PROGRAMS INCLUDING COOKING MATTERS, COOKING MATTERS AT THE STORE, AND 'POP-UP COOKING MATTERS', AN INTERACTIVE CURRICULUM FOR HIGH SCHOOL STUDENTS. IN FY22, 62 POP-UP COOKING MATTERS PRESENTATIONS WERE GIVEN TO 1,447 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 BETTER MAKE HEALTHY CHOICES, READING INGREDIENT LISTS TO FIND WHOLE GRAINS, AND CHOOSING FRUITS AND VEGETABLES IN ALL ITS FORMS (FRESH, FROZEN, OR CANNED). IN FY22, ARKANSAS CHILDREN'S SYSTEM 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 THE EL ZOCALO IMMIGRANT RESOURCE CENTER, NEIGHBOR-TO-NEIGHBOR OF JEFFERSON COUNTY, AND HELPING HAND OF GREATER LITTLE ROCK. ANOTHER FINANCIAL CONTRIBUTION WAS MADE TO APPLE SEEDS INC., A NORTHWEST ARKANSAS NON-PROFIT WHOSE MISSION IS TO CREATE PROGRAMS THAT EDUCATE AND EXCITE YOUNG STUDENTS ABOUT HEALTHY FOOD WHILE INCREASING THEIR ACCESS TO THOSE HEALTHY FOODS. THIS FINANCIAL CONTRIBUTION WAS GIVEN TO SUPPORT THE EVALUATION AND GROWTH OF THE EVIDENCE BASE FOR THEIR GROWING MY PLATE PROGRAM, WHICH TAUGHT 35 NEW SITES ABOUT GARDENING AND NUTRITION IN THE CLASSROOM IN FY22.(6) CHILDHOOD OBESITY: IN ARKANSAS THE LINK BETWEEN FOOD INSECURITY AND CHILDHOOD OBESITY MEANS THAT THE HEALTH NEEDS NEGATIVELY AFFECT EACH AREA, AND PROGRESS IN EACH IS NEEDED FOR EITHER NEED TO IMPROVE. THEY ARE INTERCONNECTED NEEDS. THE 2019 ARKANSAS CHILDREN'S HOSPITAL CHNA INCLUDED "MAINTAINING A QUALITY, NUTRITIOUS, DIET IS A PROBLEM IN GENERAL FOR ARKANSANS, 255,000 (OR 8.9%) OF WHO HAVE LIMITED ACCESS TO HEALTHY FOODS (RWJF ANALYSIS OF USDA FOOD ENVIRONMENT ATLAS, 2015). THE WORK COVERED IN FOOD INSECURITY, THE FIFTH HEALTH NEED AREA, HAS COMPONENTS OF OBESITY PREVENTION. THE POP-UP COOKING MATTERS AND SIX-SESSION COOKING MATTERS COURSES PROVIDED IMPORTANT EDUCATION TO SECONDARY STUDENTS AND FAMILIES ABOUT EATING HEALTHY ON A BUDGET. THESE PROGRAMS PROVIDE IMPORTANT INFORMATION ABOUT HOW TO PREPARE SIMPLE, AFFORDABLE, HEALTHY MEALS TO STUDENTS AND FAMILIES AROUND THE STATE. ADDITIONALLY, DONATIONS MADE BY ARKANSAS CHILDREN'S HEALTH SYSTEM TO FOOD BANKS AND FOOD PANTRIES AROUND THE STATE IS TO PROVIDE FOR MORE HEALTHY OPTIONS FOR FAMILIES AND THEIR CHILDREN. MANY CHILDREN HAVE TO PREPARE SNACKS OR MEALS FOR THEMSELVES. DONATIONS FROM ARKANSAS CHILDREN'S PROVIDES HEALTHY, EASY TO PREPARE FOOD FOR CHILDREN AND THEIR FAMILIES.(7) REPRODUCTIVE HEALTH:LOVE NOTES IS AN INNOVATIVE AND COMPREHENSIVE HEALTHY RELATIONSHIP PROGRAM CONSISTING OF 13-LESSONS.THE EVIDENCE-BASED CURRICULUM FOR STUDENTS IN 9TH-12TH GRADES 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 THE LOVE NOTES PROGRAM 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.FY22 WAS THE THIRD CONSECUTIVE SCHOOL YEAR THAT ARKANSAS CHILDREN'S HEALTH EDUCATORS OFFERED THIS INNOVATIVE PROGRAM. ACH HEALTH EDUCATORS IMPLEMENTED THE LOVE NOTES PROGRAM IN 23 SCHOOLS ACROSS THE STATE, WHERE 730 HIGH SCHOOL STUDENTS RECEIVED THIS IMPORTANT EDUCATION. THE PROGRAM WAS WELL RECEIVED BY TEACHERS AND STUDENTS AND INTEREST IN THE PROGRAM REMAINS HIGH. PROGRAM POST-TEST EVALUATION DURING JUNE OF 2022, FOUND THAT 67% OF THE STUDENTS REPORTED THEY WERE ABLE TO RECOGNIZE THE WARNING SIGNS OF AN UNHEALTHY RELATIONSHIP AND KNOW HOW TO DEAL WITH IT, A 21% INCREASE FROM PRE-TEST, AND 72% 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 24% INCREASE FROM PRE-TEST. ARKANSAS CHILDREN'S HOSPITAL 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 TO PARTICIPATE IN THIS VALUABLE PROGRAM. SCHEDULE H, PART V, SECTION B, LINE 11 - CONTINUED (8) ORAL HEALTH:DURING FY22, THE ARKANSAS CHILDREN'S DENTAL SEALANT PROGRAM CONTINUED TO BE UNABLE TO PLACE SEALANTS DUE TO COVID RESTRICTIONS. INSTEAD, THE PROGRAM OFFERED ORAL HEALTH SCREENINGS AND FLUORIDE APPLICATIONS AT 63 SCHOOLS IN 23 COUNTIES OF THE STATE. THEY SAW 8,631 CHILDREN, IN WHICH 2,449 (28%) 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 568 PATIENTS WERE SERVED ACROSS 1,252 VISITS. IN FY22, THE MOBILE DENTAL OUTREACH PROGRAM PROVIDED PREVENTATIVE WORK, INCLUDING 1,695 SEALANTS AND 483 CLEANINGS, AND RESTORATIVE WORK, INCLUDING 67 ROOT CANALS, 162 CROWNS, 683 FILLINGS, 164 EXTRACTIONS, AND 2,196 OTHER PROCEDURES, SUCH AS ORAL EXAMS, X-RAYS, FLUORIDE APPLICATIONS, NITROUS ADMINISTRATION, AND PLACING SPACE MAINTAINERS. WHEN ASKED ABOUT THEIR FAVORITE SUCCESS STORY, ONE MOBILE DENTAL TEAM MEMBER SAID "HE WAS SEVEN, WEIGHED ONLY 28 LBS. AND COULDN'T EAT A NORMAL DIET BECAUSE HIS TEETH WERE IN SUCH BAD SHAPE. WE WORKED ON AND REPAIRED 21 OF HIS 24 TEETH; AND WE SAVED 3 PERMANENT MOLARS THAT WOULD HAVE BEEN EXTRACTED ANYWHERE ELSE. WE SAW HIM 4 MONTHS LATER AT A FOLLOW UP APPOINTMENT, AND HE HAD ACTUALLY GAINED ALMOST 10 LBS. BECAUSE HE COULD FINALLY EAT QUALITY FOOD. HE LEFT OUR TRUCK A HAPPIER AND MORE CONFIDENT LITTLE BOY. THAT IS WHY I LOVE WHAT WE DO HERE. WE NOT ONLY IMPACT A CHILD'S ORAL HEALTH, WE INCREASE THEIR CONFIDENCE AND IMPROVE THEIR OVERALL HEALTH."(9) CHILD INJURY:ACH INJURY PREVENTION CENTER (IPC) CONTINUED TO WORK TO REDUCE CHILD INJURIES AND DEATHS THROUGH RESEARCH AND OUTREACH ON THE ISSUES OF MOTOR VEHICLE SAFETY, SAFE SLEEP/INFANT MORTALITY, INTENTIONAL INJURIES, RECREATIONAL SAFETY, AND BURN/FIRE PREVENTION UTILIZING A COMPREHENSIVE PUBLIC HEALTH APPROACH THAT INCLUDES EDUCATION, AWARENESS, AND ADVOCACY. AS PREVIOUSLY MENTIONED UNDER THE FIRST HEALTH NEED, PARENTAL SUPPORTS, THE IPC TEAM 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 FY22, 45 SAFETY BABY SHOWERS WERE HELD VIRTUALLY, WHILE 3 WERE OFFERED IN-PERSON, TO REACH A TOTAL OF 190 PARTICIPANTS IN 49 ARKANSAS COUNTIES. THE TEAM ALSO TRAINED 116 COMMUNITY MEMBERS TO IMPLEMENT SAFETY BABY SHOWER CLASSES AND DISTRIBUTED 822 BUNDLES OF SAFETY PRODUCTS AND 7,695 BOOKS TO FAMILIES.CHILD PASSENGER SAFETY IS ANOTHER OF THE PRIMARY FOCUSES OF THE IPC PREVIOUSLY DISCUSSED UNDER THE PARENTAL SUPPORTS HEALTH NEED. EIGHT CHILD PASSENGER SAFETY CERTIFICATION COURSES WERE OFFERED IN FY22, WHICH TRAINED 103 PROFESSIONALS TO PROPERLY INSTALL CAR SEATS. CLASSES AND CORRESPONDING COMMUNITY SEAT CHECK EVENTS WERE HELD IN BENTON, WASHINGTON, WHITE, PULASKI, SALINE, DREW, FAULKNER, AND LONOKE COUNTIES. FAMILIES ALSO HAVE ACCESS TO CHILD PASSENGER SAFETY EDUCATION AT 26 SATELLITE SITES AROUND THE STATE, WHERE 423 CAR SEATS WERE DONATED TO FAMILIES IN NEED. THE IPC STAFF DONATED ANOTHER 425 CAR SEATS THROUGH ONE-ON-ONE CAR SEAT CONSULTATIONS ON OUR CAMPUSES AND MONTHLY FITTING STATIONS WITH PARTICIPANTS FROM PULASKI, SALINE, LONOKE, CRITTENDEN, CLARK, FAULKNER, JEFFERSON, LITTLE RIVER, HEMPSTEAD, GARLAND, WASHINGTON, WHITE, ARKANSAS, DALLAS, AND MISSISSIPPI. ADDITIONAL COMMUNITY SEAT CHECK EVENTS WERE HELD IN CONJUNCTION WITH CHILD PASSENGER SAFETY TECHNICIAN CERTIFICATION CLASSES IN THE FOLLOWING COUNTIES: BENTON, PULASKI (3), SALINE, WHITE, WASHINGTON, DREW.TEEN DRIVING SAFETY IS ANOTHER FOCUS OF THE INJURY PREVENTION CENTER. TWO THOUSAND FOUR HUNDRED AND SEVEN HIGH SCHOOL STUDENTS RECEIVED SAFE DRIVING EDUCATION THROUGH THE YOUTH ACCIDENT PREVENTION PROGRAM (YAPP) PRESENTATIONS AND OTHER TEEN PRESENTATIONS AROUND THE STATE. THE TEEN DRIVING TEAM ALSO SUPPORTED TWO TEEN DRIVING COALITIONS IN CENTRAL ARKANSAS AND NORTHWEST ARKANSAS WHICH HELD 2 MEETINGS WITH A COMBINED TOTAL OF 30 COMMUNITY PARTNERS (IN PULASKI & WASHINGTON COUNTIES). ADDITIONALLY, THE TEEN DRIVING TEAM FACILITATED A PEER LED ARKANSAS DRIVE SMART CHALLENGE IN 17 SCHOOLS ACROSS THE STATE, TRAINING 341 STUDENT LEADERS, WHICH IMPLEMENTED 58 ACTIVITIES AND COLLECTED 1,826 OBSERVATIONS OF STUDENT SEATBELT AND CELL PHONE USE. A TOTAL OF 29 SCHOOLS RECEIVED SUPPORT AND SAFETY PRODUCTS TO PROMOTE TEEN DRIVING SAFETY WEEK. THE FOLLOWING COUNTIES PARTICIPATED IN AR DRIVE SMART: JEFFERSON, CHICOT, CRITTENDEN, PULASKI, JACKSON, DREW, OUACHITA, GARLAND, ST. FRANCIS, LEE, AND DESHA. THE FOLLOWING COUNTIES RECEIVED A NATIONAL TEEN DRIVING SAFETY WEEK TOOL-KIT: PULASKI, JACKSON, OUACHITA, GARLAND, CHICOT, DESHA, LEE, JEFFERSON, DREW, BENTON, WASHINGTON, SALINE, FAULKNER, GRANT, STONE, AND INDEPENDENCE. ARKANSAS CHILDREN'S HEALTH EDUCATORS FROM THE COMMUNITY ENGAGEMENT DEPARTMENT CONTINUED TO OFFER BABYSITTING 101 CLASSES IN FY22. 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 IN JUNE 2022, OF WHICH ONE CLASS WAS OFFERED VIRTUALLY AND THE OTHER FIVE CLASSES WERE OFFERED IN-PERSON FOR THE FIRST TIME SINCE THE START OF THE COVID-19 PANDEMIC. THIS YEAR, THE PROGRAM TRAINED 68 STUDENTS IN 9 COUNTIES (BENTON, FAULKNER, INDEPENDENCE, LONOKE, MADISON, PULASKI, SALINE, WASHINGTON, AND WHITE) TO BE SAFE AND FUN BABYSITTERS. SCHEDULE H, PART V, SECTION B, LINE 11 - CONTINUED (10) IMMUNIZATIONS:ARKANSAS CHILDREN'S HOSPITAL IS FOCUSED ON INCREASING THE NUMBER OF CHILDREN THAT RECEIVE ALL NEEDED CHILDHOOD VACCINES, IN ORDER TO PROTECT THEIR LIVES AND HEALTH AS WELL AS THE HEALTH OF THE BROADER COMMUNITY. IN SEPTEMBER OF 2021, ARKANSAS CHILDREN'S FULLY LAUNCHED THE "LET'S TALK ABOUT IT" CAMPAIGN, TARGETING PARENTS WITH KIDS ELIGIBLE TO RECEIVE THE COVID-19 VACCINE, AS WELL AS THOSE NOT ELIGIBLE YET. WE ENCOURAGED UNDECIDED CONSUMERS TO ENGAGE IN A DIALOGUE WITH AC AND ITS PROVIDERS, EMPOWERING INDIVIDUALS TO MAKE INFORMED DECISIONS FOR THEMSELVES AND THEIR FAMILIES, BY CREATING COMPREHENSIVE, EASY-TO-READ FAQS THAT ARE HOUSED ON THE AC WEBSITE AND GUIDE ALL COMMUNICATIONS, CREATING FAQ VIDEOS, AND A PLACE WHERE PEOPLE CAN BE DIRECTED TO ASK QUESTIONS AND GET ANSWERS, PARTICULARLY ON SOCIAL MEDIA. IN THE INITIAL THREE-MONTH FLIGHT OF THE CAMPAIGN, WE GENERATED MORE THAN 180 MILLION IMPRESSIONS ACROSS TRADITIONAL AND DIGITAL CHANNELS, SERVING OUR PRIMARY GOAL OF GENERATING AWARENESS. THE COMMUNITY ENGAGED WITH OUR DIGITAL CONTENT AT A REMARKABLE LEVEL, GENERATING A 300% INCREASE IN CALLS TO ARKANSAS CHILDREN'S AND A 44% INCREASE IN SOCIAL MEDIA REACH ON FACEBOOK AND INSTAGRAM. THE ARKANSAS CHILDREN'S COMMUNITY HEALTH FUND PROVIDED $49,181 TO THE ARKANSAS RURAL HEALTH PARTNERSHIP TO SUPPORT FLU AND COVID IMMUNIZATION EFFORTS TARGETING 18 RURAL AND DELTA COUNTIES (FROM OCTOBER 2021-JUNE 2022). A TOTAL OF 1,574 VACCINES WERE PROVIDED AT 71 MOBILE SITES AND REACHED 10 OF 18 TARGETED COUNTIES. ARKANSAS CHILDREN'S ALSO PARTNERED WITH EL CENTRO IN JONESBORO FOR A COVID & FLU VACCINE EVENT. WE WERE ABLE TO PROVIDE 67 COVID AND 27 FLU VACCINES. COVID VACCINATION CLINICS WERE ALSO HELD AT TWO LITTLE ROCK SCHOOLS, KING ELEMENTARY AND CLOVERDALE MIDDLE, WHICH PROVIDED A TOTAL OF 82 DOSES OF THE VACCINE. IMMUNIZE ARKANSAS, A LOCAL STATEWIDE COALITION FOCUSED ON INCREASING IMMUNIZATION RATES IN THE STATE, CO-LED THE NATURAL WONDERS CHILDHOOD IMMUNIZATION WORKGROUP. THE WORKGROUP HAS WORKED WITH HEALTHCARE LEADERS TO COMMUNICATE THE IMPORTANCE OF CATCHING UP ON THE VACCINATION SERIES THAT WERE DELAYED DUE TO CLINIC CLOSURES BECAUSE OF COVID-19. NATURAL WONDERS SURVEYED ALL SCHOOL-BASED HEALTH CENTERS IN THE STATE TO UNDERSTAND WHICH SCHOOL-BASED HEALTH CENTERS NEED ASSISTANCE IN SIGNING UP FOR THE FEDERAL VACCINE FOR CHILDREN (VFC) PROGRAM OR NEED RESOURCES TO IMMUNIZE MORE CHILDREN. THE GOAL OF THE WORKGROUP IS FOR 90% OF ALL SCHOOL-BASED HEALTH CENTERS TO OFFER ALL ADVISORY COMMITTEE ON IMMUNIZATION PRACTICES RECOMMENDED VACCINES. TO DATE, FIVE SCHOOL-BASED HEALTH CENTERS HAVE RECEIVED RESOURCES TO INCREASE THE CAPACITY FOR VACCINATING CHILDREN. IN FY23, THE IMMUNIZATION WORKGROUP WILL WORK 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. SCHEDULE H, PART V, SECTION B, LINE 16A - FAP WEBSITE WWW.ARCHILDRENS.ORG/PATIENTS-AND-VISITORS/BILLING-AND-INSURANCE/FINANCIAL-ASSISTANCE SCHEDULE H, PART V, SECTION B, LINE 16B - FAP APPLICATION WWW.ARCHILDRENS.ORG/PATIENTS-AND-VISITORS/BILLING-AND-INSURANCE/FINANCIAL-ASSISTANCE SCHEDULE H, PART V, SECTION B, LINE 16C - FAP PLAIN LANGUAGE SUMMARY WWW.ARCHILDRENS.ORG/PATIENTS-AND-VISITORS/BILLING-AND-INSURANCE/FINANCIAL-ASSISTANCE 4 1 - ACH WEST LITTLE ROCK CLINIC BELLA ROSA CENTER 16101 CANTRELL RD LITTLE ROCK AR 72223 OUTPATIENT HOSPITAL CLINIC 2 - ACH JONESBORO CLINIC 520 CARSON STREET JONESBORO AR 72401 OUTPATIENT HOSPITAL CLINIC 3 - ACH SOUTHWEST LITTLE ROCK CLINIC 9015 DAILEY DRIVE LITTLE ROCK AR 72209 OUTPATIENT HOSPITAL CLINIC 4 - ACH PINE BLUFF CLINIC 1500 W 42ND AVENUE PINE BLUFF AR 71603 OUTPATIENT HOSPITAL CLINIC 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 ITS FINANCIAL ASSISTANCE POLICY DOES PROVIDE FREE CARE FOR INDIVIDUALS WITH HOUSEHOLD INCOMES UP TO 250% OF POVERTY AND DISCOUNTED CARE FORINDIVIDUALS WITH HOUSEHOLD INCOMES UP TO 400% OF POVERTY. AS PART OF THE APPLICATION PROCESS, ACH REQUESTS THAT PERSONS WITH NO INCOME AND 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.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 LAB SERVICES TO ITS MEDICARE PATIENT POPULATION THAT ARE REIMBURSED LESS THAN COST. 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. COMMUNITY ENGAGEMENT DEPARTMENT STAFF PARTICIPATE IN LOCAL NEIGHBORHOOD ASSOCIATION MEETINGS AND SERVE AS THE PRIMARY LIAISON WITH THE GROUP. THIS IS A PRODUCTIVE AND PROACTIVE PLATFORM IN WHICH 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 SCHOOL. 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 PANTRY, 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 COORDINATED BY THE AC COMMUNITY ENGAGEMENT DEPARTMENT ON THE GROUNDS OF ARKANSAS CHILDREN'S HOSPITAL, PLAYS AN ACTIVE ROLE IN FOOD SECURITY EFFORTS DESIGNED TO BENEFIT PATIENT FAMILIES AND THE BROADER COMMUNITY. THE GARDEN IS REGULARLY TENDED TO BY A PART-TIME GARDEN MANAGER AS WELL AS A NUMBER OF DEDICATED COMMUNITY VOLUNTEERS. IN FY22, 1,879 POUNDS OF VEGETABLES AND FRUITS WERE HARVESTED FROM THE GARDEN AND DONATED TO THE HELPING HAND FOOD PANTRY, LOCATED IN THE NEARBY CENTRAL HIGH NEIGHBORHOOD. PRODUCE GROWN IN THE GARDEN INCLUDED TOMATOES, BEANS, CUCUMBERS, POTATOES, OKRA, TURNIP GREENS, CHARD, CARROTS, PURPLE HULL PEAS, SQUASH, STRAWBERRIES, WATERMELONS, BLACKBERRIES AND A VARIETY OF PEPPERS. THE VAST MAJORITY OF THIS PRODUCE WAS GIVEN TO CLIENTS SERVED BY HELPING HAND, WHILE THE REST WENT DIRECTLY TO NEIGHBORHOOD RESIDENTS. SOME OF THIS FRESH PRODUCE EVEN COMES BACK TO THE HOSPITAL EACH WEEK AS PART OF THE FOOD DISTRIBUTED TO FOOD INSECURE FAMILIES AT ACH FROM THE HELPING HAND MOBILE VAN. THE GARDEN REPRESENTS MANY OF THE MUTUALLY-BENEFICIAL PARTNERSHIPS OF COMMUNITY HEALTH. IN FY22, ARKANSAS CHILDREN'S ALSO CONTINUED ITS PARTNER IN EDUCATION PROGRAM. KING ELEMENTARY SCHOOL IN LITTLE ROCK IS NEAR THE ARKANSAS CHILDREN'S HOSPITAL CAMPUS AND HAS BEEN A PARTNER FOR 28 YEARS. CLOVERDALE MIDDLE SCHOOL IN LITTLE ROCK IS LOCATED NEAR THE ACH SOUTHWEST LITTLE ROCK CLINIC AND WAS A NEW PARTNER FOR 2021. JONESBORO HIGH SCHOOL - HEALTH AND HUMAN SERVICES ACADEMY - IS NEAR THE ACH JONESBORO CLINIC AND ALSO JOINED AS A PARTNER IN 2021. SPRINGDALE HIGH SCHOOL - MEDICAL ACADEMY - IS LOCATED NEAR ARKANSAS CHILDREN'S NORTHWEST AND WAS ADDED IN 2021 AS WELL. ARKANSAS CHILDREN'S LEADERS AND TEAMS WILL HELP WORK ON GOALS FOR THESE PARTNERSHIPS, INCLUDING: PROMOTING HEALTH EDUCATION, HEALTHY HABITS AND HEALTHY CHOICES, PROMOTING EXPLORATION AND LEARNING OF HEALTHCARE CAREERS, AS WELL AS FOSTERING A CLIMATE OF INVOLVEMENT, INTERACTION AND MUTUAL COOPERATION BETWEEN ARKANSAS CHILDREN'S AND OUR PARTNER IN EDUCATION SCHOOLS. 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. 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. FINANCIAL ASSISTANCE BROCHURES ARE OFFERED AT REGISTRATION AND ARE 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 21 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. ACH DRAWS APPROXIMATELY 71.4% OF ITS OUTPATIENT POPULATION AND 62.0% OF ITS INPATIENT POPULATION FROM PULASKI COUNTY AND SURROUNDING COUNTIES, INCLUDING SALINE, FAULKNER, LONOKE, AND JEFFERSON. ACH ALSO SERVES PATIENTS FROM WHITE COUNTY IN NORTH CENTRAL ARKANSAS, GARLAND COUNTY IN EAST CENTRAL ARKANSAS, WASHINGTON AND BENTON COUNTIES 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 43.1% OF OUTPATIENT DISCHARGES AND 25.2% OF INPATIENT DISCHARGES DURING FY2022.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 NEW CLINIC IN PINE BLUFF, 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 2022 CENSUS DATA INDICATED POPULATION TOTALS TO BE 3,045,637 FOR ARKANSAS. ALSO ACCORDING TO ESTIMATED 2022 CENSUS DATA, APPROXIMATELY 23.2% OF THE ARKANSAS POPULATION WAS UNDER 18 YEARS OF AGE AND 6.0% WAS UNDER THE AGE OF 5. THE UNEMPLOYMENT RATE FOR THE STATE OF ARKANSAS FOR CALENDAR YEAR 2021 WAS 4.0%, A DECREASE FROM THE PREVIOUS YEAR. THE PER CAPITA PERSONAL INCOME FOR THE STATE OF ARKANSAS FOR 2021 WAS $29,252. THE PERCENT OF ALL PEOPLE IN POVERTY IN ARKANSAS WAS 16.3% AND THE PERCENT OF CHILDREN 18 OR YOUNGER IN POVERTY WAS 22.4%, INDICATING A SLIGHT INCREASE 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 JONES TRUCK LINES, AND A STRONG AGRICULTURAL ECONOMY, THE CONSEQUENCES OF POVERTY ARE FELT IN MOST COMMUNITIES IN THE STATE.THE ESTIMATED 701,575 ARKANSAS CHILDREN UNDER AGE 18 REPRESENTED 23.2% OF THE STATE'S TOTAL POPULATION FOR 2021. THE HISPANIC CHILD POPULATION GREW FROM 12.2% AS ESTIMATED IN THE 2020 CENSUS TO 13.2% FOR 2021. HOWEVER, THE NUMBER OF AFRICAN AMERICAN CHILDREN UNDER AGE 18 DROPPED SLIGHTLY FROM 17.1% TO 17.0%. 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 5.8% OF CHILDREN LACKING COVERAGE AS OF 2021. 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: ARKANSAS CHILDREN'S HOSPITAL (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 FY22 ON THE ACH CAMPUS, 291 VOLUNTEERS SERVED A TOTAL OF 10,914 HOURS AS WELL AS AN ADDITIONAL 162 NEEDLEWORK VOLUNTEERS. 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, THE MEDICAL LEGAL PARTNERSHIP AND THE ACH FAMILY RESOURCE CENTER. IN JUNE OF 2022, THE VOLUNTEER ENGAGEMENT TEAM WAS THRILLED TO WELCOME BACK AN IN-PERSON SUMMER JUNIOR VOLUNTEER PROGRAM FOR THE FIRST TIME SINCE 2019 WITH 25 HIGH SCHOOL STUDENTS. THE JUNIOR VOLUNTEERS SERVED 678 HOURS IN VARIOUS AREAS AROUND THE ACH CAMPUS, PROVIDING VALUABLE SERVICE FOR OUR PATIENTS, FAMILIES AND STAFF IN CLINICAL AND NON-CLINICAL SETTINGS. TWELVE HIGH SCHOOL STUDENTS FROM AROUND THE STATE OF ARKANSAS ALSO PARTICIPATED IN A VIRTUAL FORMAT OF THE SUMMER JUNIOR VOLUNTEER PROGRAM. MANY AC 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.THE HOSPITAL'S 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. IT IS ESTIMATED THAT OVER 1,200 CHILDREN'S BOOKS WERE DISTRIBUTED DURING FY22. 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, EVIDENCE-BASED INJURY PREVENTION INFORMATION AND FREE SAFETY PRODUCTS TO ADDRESS THE RISKS IDENTIFIED. IN FY22, THERE WERE 791 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, SEVEN OPEN HOUSES PROMOTING THE SPACE WITH VARIED SAFETY THEMES, AS WELL AS WORD OF MOUTH THROUGHOUT THE HOSPITAL AND COMMUNITY. 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 AS WELL AS 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, AND 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 (EMT'S), 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 DISTRIBUTE SMOKE DETECTORS TO REACH RURAL COMMUNITIES. THEY ALSO REACHED RURAL COMMUNITIES THROUGH A MAIL CAMPAIGN OF MORE THAN 6,000 BURN PREVENTION EDUCATION MATERIALS TO ALL COUNTIES OF THE STATE. 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. 1 AMERICAN CANCER SOCIETY 7700 E MCCAIN BLVD 16328 LITTLE ROCK AR 72231 131788491 501(C)(3) 25000 0 GENERAL SUPPORT AMERICAN HEART ASSOCIATION PO BOX 4002903 DES MOINES IA 50340 135613797 501(C)(3) 14360 0 GENERAL SUPPORT APPLE SEEDS 2648 N OLD WIRE ROAD FAYETTEVILLE AR 72703 208081842 501(C)(3) 70000 0 GENERAL SUPPORT ARKANSAS 4H FOUNDATION 1 4-H WAY LITTLE ROCK AR 72223 716060767 501(C)(3) 9673 0 GENERAL SUPPORT ARKANSAS ADVOCATES FOR CHILDREN & FAMILIES 1400 W MARKHAM SUITE 306 LITTLE ROCK AR 72201 710492205 501(C)(3) 6900 0 GENERAL SUPPORT ARKANSAS ARTS CENTER FOUNDATION PO BOX 2137 LITTLE ROCK AR 72203 237337495 501(C)(3) 10000 0 GENERAL SUPPORT ARKANSAS CHILDREN'S FOUNDATION 1 CHILDRENS WAY LITTLE ROCK AR 72202 710568795 501(C)(3) 20000000 0 GENERAL SUPPORT ARKANSAS CHILDREN'S NORTHWEST 2601 GENE GEORGE BLVD SPRINGDALE AR 72762 810817660 501(C)(3) 85098 0 GENERAL SUPPORT ARKANSAS CHILDREN'S RESEARCH INSTITUTE 13 CHILDRENS WAY LITTLE ROCK AR 72202 710694931 501(C)(3) 4278111 2520171 FMV INDIRECT SUPPORT GENERAL SUPPORT ARKANSAS FOODBANK 4301 W 65TH ST LITTLE ROCK AR 72209 710596734 501(C)(3) 78182 0 GENERAL SUPPORT ARKANSAS IMMUNIZATION ACTION COALITION PO BOX 3798 LITTLE ROCK AR 72203 821825362 501(C)(3) 7420 0 GENERAL SUPPORT BRANDON BURLSWORTH FOUNDATION 119 WEST CENTRAL HARRISON AR 72601 710826035 501(C)(3) 9700 0 GENERAL SUPPORT CAMP ALDERSATE 2000 ALDERSGATE ROAD LITTLE ROCK AR 72205 710265209 501(C)(3) 9145 0 GENERAL SUPPORT CHILDREN'S PROTECTION CENTER 1123 BISHOP LITTLE ROCK AR 72202 261086937 501(C)(3) 0 45455 FMV PROVIDE OFFICE SPACE GENERAL SUPPORT EL ZOCALO IMMIGRANT RESOURCE CENTER 5500 GEYER SPRINGS RD LITTLE ROCK AR 72209 800858272 501(C)(3) 10000 0 GENERAL SUPPORT FOOD BANK OF NORTH CENTRAL ARKANSAS 1042 HIGHLAND CIRCLE MOUNTAIN HOME AR 72653 581881897 501(C)(3) 10000 0 GENERAL SUPPORT FOOD BANK OF NORTHEAST ARKANSAS 3414 ONE PLACE JONESBORO AR 72402 710810999 501(C)(3) 12347 0 GENERAL SUPPORT GLOBAL SMILE FOUNDATION 106 ACCESS ROAD SUITE 209 NORWOOD MA 02062 262668127 501(C)(3) 10000 0 GENERAL SUPPORT GOODNESS VILLAGE 11610 PLEASANT RIDGE ROAD SUITE 103-174 LITTLE ROCK AR 72223 843284848 501(C)(3) 5500 0 GENERAL SUPPORT HARVEST REGIONAL FOOD BANK PO BOX 707 TEXARKANA AR 75504 752671647 501(C)(3) 10000 0 GENERAL SUPPORT HUNGER RELIEF ALLIANCE 1400 W MARKHAM ST STE 304 LITTLE ROCK AR 72201 300254995 501(C)(3) 11300 0 GENERAL SUPPORT LEUKEMIA & LYMPHOMA SOCIETY PO BOX 735285 DALLAS TX 75373 135644916 501(C)(3) 7200 0 GENERAL SUPPORT MARCH OF DIMES PO BOX 932852 ATLANTA GA 31193 131846366 501(C)(3) 48997 0 GENERAL SUPPORT NEIGHBOR TO NEIGHBOR 1419 S PINE STREET PINE BLUFF AR 72601 710587864 501(C)(3) 10000 0 GENERAL SUPPORT NORTHWEST ARKANSAS FOOD BANK 1387 JUNE SELF DR SPRINGDALE AR 72764 710680830 501(C)(3) 10000 0 GENERAL SUPPORT RIVER VALLEY REGIONAL FOOD BANK 1617 SOUTH ZERO ST FT SMITH AR 72901 710388927 501(C)(3) 10000 0 GENERAL SUPPORT RONALD MCDONALD HOUSE CHARITIES 1501 W 10TH STREET LITTLE ROCK AR 72202 710525252 501(C)(3) 13165 20000 FMV PROVIDE LAND GENERAL SUPPORT THE HELPING HAND OF GREATER LITTLE ROCK 1601 MARSHALL ST LITTLE ROCK AR 72216 710588564 501(C)(3) 10000 0 GENERAL SUPPORT TOPPS (TARGETING OUR PEOPLE'S PRIORITIES WITH SERVICE) PO BOX 2793 PINE BLUFF AR 71613 743041819 501(C)(3) 10000 0 GENERAL SUPPORT UNIVERSITY OF ARKANSAS FOR MEDICAL SCIENCES 4301 W MARKHAM LITTLE ROCK AR 72205 716056774 GOV'T ENTITY 204800 0 GENERAL SUPPORT WOMEN & CHILDREN FIRST PO BOX 1954 LITTLE ROCK AR 72203 710513011 501(C)(3) 9000 0 GENERAL SUPPORT 31 0 MEALS 4729 218249 COST MEALS FOR PATIENT FAMILIES/CAREGIVERS INSURANCE PREMIUMS 14 25501 COST PAYMENT OF PREMIUMS FOR PATIENT'S FAMILIES ALLOWED BY COBRA TRANSPORTATION COSTS (BUS TOKENS, CAB FARE, GAS CARDS) 1002 28035 COST FUNERAL EXPENSES 16 6908 COST RENT, MORTGAGE EXPENSE, UTILITIES, LODGING 30 8777 COST CAR SEATS FOR INFANTS AND CHILDREN 848 63384 COST CAR SEATS FOR INFANTS AND CHILDREN CLOTHING, GROCERY GIFT CARDS, AND OTHER MISC. ASSISTANCE 42 13250 COST PART I, LINE 2: THE 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. X X 1 1 X X X X 0 1 0 0 0 0 0 0 0 MARCELLA DODERER PRESIDENT/CEO 0 1091424 0 550104 0 148189 0 241552 0 9402 0 2040671 0 138001 GENA WINGFIELD EVP/CHIEF FINANCIAL OFFICER 0 529766 0 215704 0 60643 0 83428 0 9271 0 898812 0 53820 FREDERICK BARR MD EVP/CHIEF CLINICAL & ACADEMIC OFCR 0 644523 0 158700 0 3096 0 13000 0 9350 0 828669 0 0 GRESHAM RICHTER MD TRUSTEE/DIRECTOR-CHIEF OF MED STAFF 646649 0 19476 0 0 0 0 0 58754 0 724879 0 0 0 GREGORY SHARP MD SVP/CHIEF MEDICAL OFFICER 404215 0 106377 0 0 0 0 0 60637 0 571229 0 0 0 PATRICIA MONTAGUE FORMER EVP/COO-RETIRED 6/30/21 0 241269 0 176382 0 49482 0 6742 0 2984 0 476859 0 32835 JARED CAPOUYA VP QUALITY & SAFETY 351861 0 90752 0 558 0 18300 0 12985 0 474456 0 0 0 LEE ANNE EDDY SVP/CNO (PARTIAL YEAR) 309885 0 94811 0 33704 0 21550 0 5604 0 465554 0 30651 0 ERIN PARKER SVP/CIO 0 331194 0 83782 0 340 0 18243 0 5730 0 439289 0 0 SHANNON HENDRIX ACNW CHIEF ADMIN (FORMER ACH VP) 0 302409 0 94552 0 470 0 18040 0 12724 0 428195 0 0 ANN KRUGER INTERIM PATIENT CARE SRVC SVP/CNO 260195 0 67081 0 1122 0 20770 0 12502 0 361670 0 0 0 AMY FALLON OPERATIONS SVP 261609 0 67700 0 265 0 18300 0 12515 0 360389 0 0 0 CINDY HILL VP FINANCIAL SERVICES 250778 0 64954 0 1650 0 15685 0 8305 0 341372 0 0 0 LE'KITA BROWN VP REVENUE CYCLE 237718 0 65001 0 376 0 18300 0 4898 0 326293 0 0 0 MARY SALASSI-SCOTTER VP PATIENT CARE SRVC (PARTIAL YR) 208867 0 53852 0 1378 0 17864 0 8024 0 289985 0 0 0 JAMIE WIGGINS EVP/COO 0 251579 0 30100 0 312 0 0 0 3438 0 285429 0 0 CARRIE LEE VP PATIENT CARE SERVICES 205267 0 53852 0 176 0 16107 0 7867 0 283269 0 0 0 CHRISTIAN EISENRING SURGICAL ASST COORDINATOR 242737 0 6405 0 1505 0 13963 0 8210 0 272820 0 0 0 TAMMY DIAMOND-WELLS VP PATIENT CARE SERVICES 195363 0 32940 0 426 0 12516 0 12171 0 253416 0 0 0 BETH PETLAK VP POPULATION HEALTH/CHS EXEC DIR 173281 0 43681 0 344 0 14515 0 1531 0 233352 0 0 0 LOREN UTLEY PATIENT CARE MANAGER 215996 0 5200 0 23 0 4427 0 3450 0 229096 0 0 0 ANDREW DICK VP IT APPLICATIONS 55226 126081 4615 20229 69 178 3098 9473 1966 2770 64974 158731 0 0 KENDREA JONES PHARMACY DIRECTOR 165150 0 14328 0 146 0 12815 0 12004 0 204443 0 0 0 LUANN JONES NEONATAL SRVC NURSING DIR (PARTIAL Y 164879 0 17175 0 333 0 6627 0 7849 0 196863 0 0 0 ART SHUMATE PERIOPERATIVE SRVC DIR (PARTIAL YR) 154699 0 17379 0 859 0 8035 0 4100 0 185072 0 0 0 JOHN MCNALLY MEDICAL ADMIN DIRECTOR 154271 0 19047 0 557 0 5067 0 1446 0 180388 0 0 0 ROBIN MITCHELL VP OPERATIONS 147930 0 17328 0 179 0 7960 0 1401 0 174798 0 0 0 PART I, LINE 1A CHARTER TRAVEL IS USED BY ARKANSAS CHILDREN'S AND AFFILIATED ENTITIES' BOARD MEMBERS AND STAFF (AND OCCASIONALLY ACCOMPANYING SPOUSES/COMPANIONS) WHEN IT IS DEEMED THE MOST EFFICIENT METHOD OF TRAVEL TO DISTANT AREAS WITHIN THE STATE OR TO SURROUNDING STATES FOR PURPOSES RELATED TO ARKANSAS CHILDREN'S BUSINESS. SEPARATE TRAVEL (NON-CHARTER) FOR COMPANIONS IS REIMBURSED BY THE EMPLOYEE IF SUCH TRAVEL IS ON AN INDIVIDUAL BASIS; THUS, SUCH TRAVEL IS NOT CONSIDERED TAXABLE COMPENSATION TO THE EMPLOYEE. SEVEN 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 3 COMPENSATION 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 4B SCHEDULE 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 2021 (FISCAL YEAR 2022), THE FOLLOWING ACH REPORTABLE EMPLOYEES WERE ELIGIBLE AND PARTICIPATING IN THE DEFERRED COMPENSATION PLAN. THESE EMPLOYEES RECEIVED DISTRIBUTIONS PER THE PLAN DOCUMENT. SUCH AMOUNTS ARE NOTED BELOW. - MARCELLA DODERER: AC/ACH/ACNW PRESIDENT/CEO - $145,567 - TRISHA MONTAGUE: AC EVP/COO (PARTIAL YEAR) - $47,501 - LEE ANNE EDDY: ACH SVP AND CNO - $32,331 - GENA WINGFIELD: AC EVP AND CFO - $56,770 PER THE PLAN DOCUMENT, UPON BECOMING VESTED IN A PLAN YEAR SUBACCOUNT AND AS SOON AS ADMINISTRATIVELY PRACTICABLE AFTER SUCH VESTING DATE, BUT NO LATER THAN THE END OF THE CALENDAR YEAR IN WHICH SUCH VESTING DATE OCCURRED, INDIVIDUAL PARTICIPANTS WILL BE PAID A LUMP SUM PAYMENT EQUAL TO THE PLAN YEAR SUBACCOUNT BALANCE AS OF THE JUNE 30 IMMEDIATELY PRECEDING SUCH VESTING DATE. FORM 990, SCHEDULE J, PART I, LINES 5-7 THE INCENTIVE PLANS FOR ALL ENTITIES 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. A ARKANSAS DEVELOPMENT FINANCE AUTHORITY 710503641 000000000 2013-09-05 19800000 SEE SCHEDULE K, PART VI. 0 0 0 B PULASKI COUNTY ARKANSAS 716006487 745392JN1 2016-08-24 98721147 SEE SCHEDULE K, PART VI. 0 0 0 A 17415239 19800000 19800000 2015 0 0 1 1 B 315000 98721147 702808 98018339 2016 0 1 1 1 A 0 0 0 0 0.00000 0.00000 0.00000 0 0 1 B 0 0 1 1 1 1 0.00060 0.00000 0.00060 0 0 1 A 0 0 1 0 0 0 0 0 1 B 0 0 0 1 0 0 0 0 1 A 1 B 1 SCHEDULE K SUPPLENTAL INFORMATION PART 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 IV, LINE 2C, COLUMN B: THE REBATE COMPUTATION WAS PERFORMED 7/18/2017. 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. AMY KRUGER SEE PART V. FAMILY MEMBER 88923 SEE 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 FORM 990, PART VI, SECTION A, LINE 1A THE 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 3 THE 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 4 ARKANSAS CHILDREN'S HOSPITAL AMENDED AND RESTATED ITS BYLAWS AS OF MARCH 2022. SIGNIFICANT CHANGES AFFECTING GOVERNANCE ARE AS FOLLOWS: * REGARDING REVIEW OF THE BYLAWS - AT LEAST ONCE EVERY THREE (3) YEARS, OR PROMPTLY UPON A CHANGE IN APPLICABLE LAW, THE BOARD OF DIRECTORS SHALL REVIEW, OR DELEGATE TO AN APPROPRIATE COMMITTEE THE REVIEW OF THESE BYLAWS AND SHALL RECOMMEND TO THE MEMBER SUCH AMENDMENTS TO THESE BYLAWS AS ARE NECESSARY OR ADVISABLE TO ASSURE THE CORPORATION'S COMPLIANCE WITH ALL APPLICABLE REQUIREMENTS FOR LICENSURE AND ACCREDITATION OF THE HOSPITAL AND THE HEALTH CARE FACILITIES OF THE CORPORATION BY STATE AGENCIES AND THE JOINT COMMISSION, RESPECTIVELY. FORM 990, PART VI, SECTION A, LINE 6 THE SOLE MEMBER OF ARKANSAS CHILDREN'S HOSPITAL IS ARKANSAS CHILDREN'S, INC. FORM 990, PART VI, SECTION A, LINE 7A ARKANSAS 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 7B ACH'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 11B HOSPITAL MANAGEMENT REVIEWS THE DRAFT FORM 990 AND RECONCILES IT TO THE HOSPITAL'S INTERNAL FINANCIALS AND CONSOLIDATED AUDIT REPORT. 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 12C THE 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 15 COMPENSATION 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 19 THE 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 11G PHYSICIANS' REMUNERATION: PROGRAM SERVICE EXPENSES 98,188,726. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 98,188,726. TESTING: PROGRAM SERVICE EXPENSES 4,076,749. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 4,076,749. REPAIRS & MAINTENANCE: PROGRAM SERVICE EXPENSES 5,318,476. MANAGEMENT AND GENERAL EXPENSES 57,854. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 5,376,330. OTHER FEES FOR SERVICE: PROGRAM SERVICE EXPENSES 12,357,549. MANAGEMENT AND GENERAL EXPENSES 18,801,428. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 31,158,977. FORM 990, PART XI, LINE 9: ALLOCATION OF ADDITIONAL COSTS - PARENT -1,524,642. TRANSFER OF FUNDS BETWEEN ACH & ACCN -190,000. TRANSFER OF FUNDS BETWEEN ACH & ACMG -1,575,897. TRANSFER OF ASSETS BETWEEN ACH AND ACF 10,478. FORM 990, PART XII, LINE 2C IT 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 3B THE 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. ARKANSAS CHILDREN'S FOUNDATION 1 CHILDRENS WAY LITTLE ROCK AR 72202 710568795 FUNDRAISING AR 501(C)(3) LINE 7 ARKANSAS CHILDREN'S INC 0 ARKANSAS CHILDREN'S RESEARCH INSTITUTE 13 CHILDRENS WAY LITTLE ROCK AR 72202 710694931 RESEARCH AR 501(C)(3) LINE 7 ARKANSAS CHILDREN'S INC 0 ARKANSAS CHILDREN'S HOSPITAL AUXILIARY 1 CHILDRENS WAY LITTLE ROCK AR 72202 710606585 FUNDRAISING & VOLUNTEERS AR 501(C)(3) LINE 12A, I ARKANSAS CHILDREN'S INC THRU ARKANSAS CHILDREN'S HOSPITAL AND FOUNDATION 0 ARKANSAS CHILDREN'S NORTHWEST 1 CHILDRENS WAY LITTLE ROCK AR 72202 810817660 HOSPITAL AR 501(C)(3) LINE 3 ARKANSAS CHILDREN'S INC 0 ARKANSAS CHILDREN'S INC 1 CHILDRENS WAY LITTLE ROCK AR 72202 810801296 HEALTH CARE PARENT CORPORATION AR 501(C)(3) LINE 12B, II N/A 0 ARKANSAS CHILDREN'S MEDICAL GROUP 1 CHILDRENS WAY LITTLE ROCK AR 72202 820771462 HOSPITAL/PHYSICIAN SERVICES AR 501(C)(3) LINE 3 ARKANSAS CHILDREN'S INC 0 CHILDREN'S HEALTHCARE SYSTEM INC 1 CHILDRENS WAY LITTLE ROCK AR 72202 586304957 MANAGEMENT SERVICES AR N/A C 248935 819164 0.50000 0 ARKANSAS CHILDREN'S CARE NETWORK 1 CHILDRENS WAY LITTLE ROCK AR 72202 371854930 CLINICALLY INTEGRATED NETWORK AR N/A C 0 SACOVA INSURANCE COMPANY LTD 18 FORUM LANE 2ND FLOOR CAMANA BAY GRAND CAYMAN CJ KY1-1102 981472934 CAPTIVE INSURANCE COMPANY CJ N/A C 0 0 1 1 1 1 0 1 0 0 1 0 1 1 1 1 1 1 1 1 SCHEDULE R, PART V, LINE 1E ACH AND ARKANSAS CHILDREN'S FOUNDATION GUARANTEE THE OUTSTANDING BOND INDENTURES.