2022-05-10T12:26:34-05:00 2021-06-30 135565207 KPMG LLP 301 MAIN ST ONE AMERICAN PL STE 2150 BATON ROUGE LA 708011705 990 2020-07-01 710236857 ARKANSAS CHILDREN'S HOSPITAL ARKA 5013642555 1 CHILDRENS WAY LITTLE ROCK AR 72202 MARCELLA DODERER PRESIDENT & CEO 5013642555 2022-05-10 1 MARCELLA DODERER 999009999 MAXWELL E BARLOW P01959439 2253797995 2 AAL1 IAL1 2020 2022-09-23 18:48:47Z MARCELLA DODERER 1 CHILDRENS WAY LITTLE ROCK AR 72202 659632362 0 X WWW.ARCHILDRENS.ORG X 1912 AR WE CHAMPION CHILDREN BY MAKING THEM BETTER TODAY AND HEALTHIER TOMORROW. 15 13 4206 522 0 0 38511132 67470661 589565394 578893964 8641394 4250456 9725085 8240068 646443005 658855149 9359631 9473777 0 0 285868987 278120498 0 0 0 300260302 302835185 595488920 590429460 50954085 68425689 970496679 1044609032 144672508 154330471 825824171 890278561 X WE CHAMPION CHILDREN BY MAKING THEM BETTER TODAY AND HEALTHIER TOMORROW.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 474577775 9473777 582200322 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 180 ARE INTENSIVE CARE BEDS AND 143 ARE MEDICAL/SURGICAL BEDS. DURING THE YEAR ENDED JUNE 30, 2021, ACH'S UTILIZATION WAS AS FOLLOWS: 13,388 ADMISSIONS WITH AN AVERAGE STAY OF 5.56 DAYS; 71,395 PATIENT DAYS; 195.6 AVERAGE DAILY CENSUS; 231,228 OUTPATIENT VISITS, EXCLUDING ER VISITS WHICH WERE 48,852; AND 14,525 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 OUR PEDIATRIC SUBSPECIALTIES OF CARDIOLOGY/HEART SURGERY, NEPHROLOGY, PULMONOLOGY AND UROLOGY. 474577775 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 1 265 0 1 4206 1 0 0 0 0 0 0 0 0 0 0 0 0 X 15 13 1 1 0 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 0.57 55.86 X X 0 1400777 239655 RENEE BORNEMEIER MD DIRECTOR-CHIEF OF STAFF (PARTIAL YR) 55.23 0.00 X 236969 0 38594 JOHN BALE JR TRUSTEE/DIRECTOR 0.18 0.23 X 0 0 0 TOM BAXTER TRUSTEE/DIRECTOR (PARTIAL YEAR) 0.09 0.20 X 0 0 0 TRAV BAXTER TRUSTEE/DIRECTOR 0.44 0.00 X 0 0 0 MELISSA GRAHAM MD TRUSTEE/DIRECTOR 0.38 0.00 X 0 0 0 DORSEY JACKSON TRUSTEE/DIRECTOR (PARTIAL YEAR) 0.12 0.00 X 0 0 0 DOUGLAS JACKSON VICE CHAIR 0.42 0.00 X 0 0 0 RICHARD JACOBS MD TRUSTEE/DIRECTOR 0.61 0.00 X 0 0 0 TIONNA JENKINS PHD TRUSTEE/DIRECTOR 0.46 0.00 X 0 0 0 PHILLIP JETT BOARD TREASURER 0.62 0.07 X 0 0 0 HOLLY MARR TRUSTEE/DIRECTOR 0.82 0.00 X 0 0 0 PAT MCCLELLAND TRUSTEE/DIRECTOR 0.58 0.39 X 0 0 0 BARBARA G MOORE TRUSTEE/DIRECTOR 0.30 0.06 X 0 0 0 BEVERLY A MORROW CHAIR OF THE BOARD 0.64 0.06 X 0 0 0 GRESHAM RICHTER MD TRUSTEE/DIRECTOR-CHIEF OF STAFF 54.72 0.00 X 649269 0 63410 ROSS WHIPPLE TRUSTEE/DIRECTOR 0.31 0.06 X 0 0 0 DARRIN WILLIAMS TRUSTEE/DIRECTOR 0.13 0.00 X 0 0 0 GENA WINGFIELD EVP/CHIEF FINANCIAL OFFICER 0.00 48.00 X 0 689397 98731 CHANDA CHACON EVP/COO (PARTIAL YEAR) 0.00 50.00 X 0 400728 27865 PATRICIA MONTAGUE EVP/COO 0.00 50.00 X 0 547190 35514 JONATHAN GOLDBERG SVP/CIO (PARTIAL YEAR) 0.00 50.00 X 0 240557 26626 ERIN PARKER SVP/CIO 0.00 50.00 X 0 234540 24503 LEE ANNE EDDY SVP/CHIEF NURSING OFFICER 50.00 0.00 X 405461 0 73075 AMY FALLON VP FACILITIES & SUPPORT SVC 50.00 0.00 X 301242 0 24861 ANN KRUGER VP AMBULATORY CARE SVC 55.00 0.00 X 299671 0 42228 LE'KITA BROWN VP REVENUE CYCLE 50.00 0.00 X 288995 0 18821 CINDY HILL VP FINANCIAL SERVICES 55.00 0.00 X 275767 0 36700 SHANNON HENDRIX VP CLINICAL/DIAG SVC (PARTIAL YEAR) 45.83 4.17 X 259976 11941 36435 MARY SALASSI-SCOTTER VP PATIENT CARE SERVICES 50.00 0.00 X 239307 0 35111 CARRIE LEE VP PATIENT CARE SERVICES 50.00 0.00 X 202063 0 27437 ART SHUMATE PERIOPERATIVE SERVICES DIRECTOR 50.00 0.00 X 181150 0 7245 LUANN JONES NEONATAL SERVICES NURSING DIRECTOR 45.00 0.00 X 178356 0 13407 JOHN MCNALLY MEDICAL ADMIN DIRECTOR 60.00 0.00 X 171878 0 2977 ROBIN MITCHELL LAB ADMIN DIRECTOR 50.00 0.00 X 158456 0 7628 TAMMY DIAMOND-WELLS VP CLINICAL/DIAG SVC 50.00 0.00 X 154126 0 24159 GREGORY SHARP MD SVP/CHIEF MEDICAL OFFICER 55.00 0.00 X 455204 0 60009 JARED CAPOUYA VP QUALITY & SAFETY 55.00 0.00 X 381964 0 36947 CHRISTIAN EISENRING SURGICAL ASSISTANT COORDINATOR 45.00 0.00 X 254552 0 22354 BETH PETLAK VP POPULATION HEALTH/CHS EXEC DIR 13.75 41.25 X 198495 0 24456 SHERI NORTON CHIEF PERFUSIONIST 40.00 0.00 X 179258 0 22406 JOHN MCINTOSH STAFF PHARMACIST 45.00 0.00 X 177953 0 19143 5650112 3525130 1090297 221 0 1 1 UNIVERSITY OF ARKANSAS FOR MEDICAL SCIEN 4301 WEST MARKHAM LITTLE ROCK AR 72205 MEDICAL SERVICES 72677260 CROTHALL HEALTHCARE 13028 COLLECTION CENTER DRIVE CHICAGO IL 60693 PATIENT TRANSPORT/EVS/LINEN SVC 9281362 NABHOLZ CONSTRUCTION CORP PO BOX 2090 CONWAY AR 72033 GENERAL CONSTRUCTION CONTRACTOR 8821945 COMPASS ONE PO BOX 102289 ATLANTA GA 303682289 NUTRITION SERVICES 6909070 CROSS COUNTRY STAFFING INC PO BOX 404674 ATLANTA GA 303844674 STAFFING 4246525 106 20662676 46807985 67470661 PAYMENTS FOR MED SVCS 622110 578893964 578893964 578893964 4976750 4976750 1871011 38446 1832565 1832565 1832565 12473 738767 -726294 -726294 -726294 NUTRITIONAL SERVICES 622110 2509540 2509540 CHILD ENRICHMENT 624410 591605 591605 HEARING SCREENINGS 621399 414353 414353 2892005 2892005 6407503 658855149 582200322 0 9184166 X 9133583 9133583 340194 340194 5760656 3881685 1878971 61502 61502 227624129 169348991 58275138 44674211 36672249 8001962 7398072 7376616 21456 47083 46813 270 25758 11258 14500 130503922 112859868 17644054 487999 15454 472545 7868811 4705245 3163566 17995764 5566229 12429535 4006881 3113223 893658 972470 847368 125102 585395 570194 15201 3720035 3720035 38041293 32094646 5946647 309143 309143 MEDICAL SUPPLIES 82278613 81868346 410267 OTHER ADMINISTRATIVE EX 5602099 3955534 1646565 MINOR EQUIPMENT 1834320 754670 1079650 DUES & SUBSCRIPTIONS 1157527 1044964 112563 590429460 474577775 115851685 0 46543 45831 92732526 46314475 64274094 79962489 25003 0 10267148 9892603 6800883 8839758 625460810 357634297 278007514 267826513 342562404 463317680 711818 766853 549433 403048 174519313 167239782 970496679 1044609032 39187884 57889263 10917740 87094 91361027 89430510 3205857 6923604 144672508 154330471 X 792839818 855628430 32984353 34650131 825824171 890278561 970496679 1044609032 X 68425689 -4618274 646975 X X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 310862422 1798329 74160395 12655659 374165487 309182507 4459025 3961742 6740852 310862422 296307577 5224717 20943820 13293607 309182507 279051286 1174503 24842576 8760788 296307577 265682157 4087548 22707945 13426364 279051286 0.71920 0.14080 0.14000 0 1 1 14749929 14749929 358383588 204201055 154182533 221827722 141306336 80521386 30499571 12126906 18372665 267826513 FUNDS HELD BY TRUSTEE UNDER BOND AGREEMENTS 1278247 ESTIMATED 3RD PARTY SETTLEMENT (MCD) 143647280 SUPPLEMENTAL MEDICAID RECEIVABLE 8842699 GME RECEIVABLE 2201964 OTHER RECEIVABLES 8938251 INTEREST RECEIVABLE - FUNDED DEPR 224624 DUE FROM AFFILIATES 2106717 167239782 DEFERRED PAYROLL TAXES PAYABLE (UNDER CARES ACT) 4539876 OPERATING LEASES 2383728 6923604 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, 2021 AND 2020, 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 9892685 9892685 0.01680 350184923 351111185 0 0.00000 360077608 351111185 9892685 0.01680 7048654 1216177 5832477 0.00990 23616037 8331681 15284356 0.02590 31613951 13008154 18605797 0.03150 10829782 10829782 0.01830 1503424 36011 1467413 0.00250 74611848 22592023 52019825 0.08810 434689456 373703208 61912510 0.10490 3200 960 2240 0.00000 10250 420 9830 0.00000 4700 0 4700 0.00000 46767 1 46766 0.00010 25000 300 24700 0.00000 89917 1681 88236 0.00010 1 3506776 5041209 6556199 -1514990 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 18 1 1 1 1 X WWW.ARCHILDRENS.ORG/RESOURCES/COMMUNITY-NEEDS-ASSESSMENT X X 1 19 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 CENTRAL PEDIATRIC HOSPITAL IN THE STATE OF ARKANSAS, ARKANSAS CHILDREN'S HOSPITAL (ACH) CONSIDERS ITS COMMUNITY TO INCLUDE ALL 700,000 CHILDREN IN THE STATE. THE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) CONTAINED INFORMATION ABOUT THE STATEWIDE COALITION IT CONVENES, THE NATURAL WONDERS PARTNERSHIP COUNCIL (NWPC), WHICH WORKS TOGETHER TO IMPROVE CHILD HEALTH. NATURAL WONDERS USES THE NEEDS ASSESSMENT AS ITS AGENDA FOR IMPROVING CHILD HEALTH IN ARKANSAS, INCLUDING IN AREAS THE HOSPITAL DOES NOT ADDRESS IN A LEADERSHIP ROLE. SINCE CHILDREN'S HEALTH IS SO CLOSELY TIED TO ADULT HEALTH, ACH INCLUDED SOME INFORMATION ABOUT THE HEALTH STATUS OF ADULTS. THE REPORT ALSO CONTAINED "BIG IDEAS AND "VISION" FROM THE QUALITATIVE DATA COLLECTION FOR IMPROVING CHILD HEALTH TO HELP INSPIRE THE WORK THAT RESULTS FROM THE NEEDS ASSESSMENT. THE REPORT CONTAINED INFORMATION ABOUT THE IMPACT OF THE ACTIVITIES RESULTING FROM THE PREVIOUS CHNA. ARKANSAS CHILDREN'S HOSPITAL PART V, SECTION B, LINE 5: IN FY19, THE HOSPITAL TOOK A COMPREHENSIVE APPROACH TO UNDERSTAND CHILD HEALTH AND CONSIDERED BOTH SECONDARY AND PRIMARY DATA AT THE LOCAL, REGIONAL, AND STATE LEVEL TO DETERMINE THE HEALTH NEEDS OF ARKANSAS' CHILDREN. SECONDARY DATA SETS REVIEWED INCLUDED: U.S. CENSUS BUREAU, CENTERS FOR DISEASE CONTROL & PREVENTION, ANNIE E. CASEY KIDS COUNT DATA CENTER, ARKANSAS STATE AGENCY DATABASES, THE YOUTH RISK BEHAVIOR SURVEILLANCE SYSTEM (YRBSS), AND RESEARCH FROM LOCAL ORGANIZATIONS.MEMBERS OF THE NATURAL WONDERS PARTNERSHIP COUNCIL PROVIDED INPUT AND FEEDBACK ON THE CHNA AT ALL STAGES OF ITS DEVELOPMENT, FROM DESIGN, TO INITIAL OUTCOMES, TO A FINAL REPORT. MANY MEMBERS ALSO PARTICIPATED BY PROVIDING DATA, TO AND INTERVIEWS FOR, THE CHNA TEAM. NATURAL WONDERS MEMBERS REPRESENT A VARIETY OF STAKEHOLDERS INCLUDING: ARKANSAS DEPARTMENT OF HEALTH OFFICIALS, THE UNIVERSITY OF ARKANSAS FOR MEDICAL SCIENCES COLLEGE OF PUBLIC HEALTH, HEALTH POLICY ORGANIZATIONS, HEALTH CARE PROVIDERS, RESEARCHERS, NONPROFIT ORGANIZATIONS, MEMBERSHIP ORGANIZATIONS INCLUDING THE AMERICAN ACADEMY OF PEDIATRICS, THE ARKANSAS DEPARTMENTS OF EDUCATION AND HUMAN SERVICES, BEHAVIORAL HEALTH AGENCIES, DENTAL INSURANCE PROVIDERS, MEMBERS OF FAITH COMMUNITIES, LOW-INCOME LEGAL AID SERVICES, PRIVATE FOUNDATIONS, AND A STATEWIDE EDUCATION-FOCUSED COLLECTIVE IMPACT COALITION.OVER 600 PEOPLE AROUND THE STATE GAVE FEEDBACK ON CHILD HEALTH ASSETS AND NEEDS THROUGH THE CHNA PROCESS, HELPING TO OBTAIN IN-DEPTH INFORMATION, OPINIONS, AND INSIGHT ABOUT IMPORTANT DIMENSIONS IN HEALTH, HEALTHCARE, AND HEALTH PROMOTION FROM THESE CRITICAL STAKEHOLDERS IN CHILD HEALTH. ALTHOUGH THE CHNA TEAM DID NOT SEEK FEEDBACK DIRECTLY FROM CHILDREN, MEANINGFUL ENGAGEMENT AND INPUT FROM A BROAD CROSS-SECTION OF ORGANIZATIONS AND INDIVIDUALS THROUGHOUT THE STATE WAS IMPORTANT TO THE SUCCESSFUL COMPLETION OF THE FY19 CHNA. AN ANONYMOUS TELEPHONE SURVEY OF 400 ARKANSAS PARENTS PROVIDED A STATISTICALLY SIGNIFICANT MEASURE OF PARENT OPINIONS AND PERCEIVED NEEDS AT THE STATE LEVEL. TO GATHER A MORE IN-DEPTH UNDERSTANDING OF STATEWIDE CHILD HEALTH NEEDS, A PURPOSEFUL SAMPLE OF 169 PARENTS AND CHILDREN'S SERVICE PROVIDERS FROM DIVERSE REGIONS AND POPULATIONS ACROSS ARKANSAS WERE ENGAGED THROUGH 16 NINETY-MINUTE FOCUS GROUPS. DIVERSITY IN GEOGRAPHIC AND RURAL/URBAN STATUS WAS PRIORITIZED, AND LANGUAGE DIVERSITY WAS PRIORITIZED BY CONDUCTING TWO FOCUS GROUPS IN SPANISH AND ONE IN MARSHALLESE. NAMES WERE NOT COLLECTED IN THE FOCUS GROUPS OR THE STATEWIDE SURVEY TO ASSURE ANONYMITY FOR THE PARENTS AND CHILD SERVICE PROVIDERS WHO PARTICIPATED. TO PROVIDE A DEEPER UNDERSTANDING OF THE SECONDARY DATA USED IN THE FY19 CHNA, ONE-HOUR INTERVIEWS WERE CONDUCTED WITH CHILD HEALTH THOUGHT LEADERS AND SUBJECT MATTER EXPERTS IN THE STATE. THE 39 KEY INFORMANT INTERVIEWS REACHED PUBLIC HEALTH OFFICIALS, HEALTH POLICY EXPERTS, HEALTH CARE PROVIDERS AND ADMINISTRATORS, NON-PROFIT EXECUTIVES, STATE AGENCY LEADS, COMMUNITY LEADERS, RESEARCHERS, AND HEALTH INSURANCE REPRESENTATIVES. THROUGH THE FY19 CHNA PROCESS THE FOLLOWING CHILD HEALTH NEEDS WERE IDENTIFIED AND PRIORITIZED WITH PARTICIPATION OF THE NWPC: PARENTING SUPPORTS, SOCIAL ISSUES, MENTAL HEALTH AND SUBSTANCE ABUSE, EQUITABLE ACCESS TO CARE, FOOD INSECURITY, CHILD OBESITY, REPRODUCTIVE HEALTH, ORAL HEALTH, CHILD INJURY, AND IMMUNIZATIONS. THESE ELEVATED AND PRIORITIZED ISSUES FORMED THE DEVELOPMENT OF THE 2020-2022 IMPLEMENTATION STRATEGY. 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: ARKANSAS CHILDREN'S CONDUCTED THE NEEDS ASSESSMENTS FOR EACH OF THE TWO HOSPITALS IN PARTNERSHIP WITH ORGANIZATIONS OTHER THAN HOSPITAL FACILITIES. MEMBERS OF THE NATURAL WONDERS PARTNERSHIP COUNCIL, A COALITION OF STATEWIDE ORGANIZATIONS, PROVIDED INPUT AND FEEDBACK ON THE COMMUNITY HEALTH NEEDS ASSESSMENTS FOR ARKANSAS CHILDREN'S HOSPITAL AS WELL AS ARKANSAS CHILDREN'S NORTHWEST. MANY ALSO PROVIDED DATA AND INTERVIEWS TO THE ARKANSAS CHILDREN'S STAFF MEMBERS WHO WORKED ON THE NEEDS ASSESSMENTS. THE NEEDS ASSESSMENTS OF BOTH HOSPITALS WERE USED IN CREATING THE ACTION PLAN FOR NATURAL WONDERS' EFFORTS TO IMPROVE CHILD HEALTH. NATURAL WONDERS MEMBER ORGANIZATIONS INCLUDE THE FOLLOWING: AMERICAN ACADEMY OF PEDIATRICS, ARKANSAS CHAPTER ARKANSAS ACCESS TO JUSTICE COMMISSIONARKANSAS ADVOCATES FOR CHILDREN AND FAMILIESARKANSAS ASSOCIATION OF EDUCATION ADMINISTRATORSARKANSAS BLUE CROSS BLUE SHIELDARKANSAS CAMPAIGN FOR GRADE-LEVEL READINGARKANSAS CENTER FOR HEALTH IMPROVEMENT ARKANSAS CHILDREN'S HOSPITALARKANSAS COALITION FOR OBESITY PREVENTIONARKANSAS DEPARTMENT OF EDUCATIONARKANSAS DEPARTMENT OF HEALTH ARKANSAS DEPARTMENT OF HUMAN SERVICES, DIVISION OF BEHAVIORAL HEALTH SERVICESARKANSAS DEPARTMENT OF HUMAN SERVICES, DIVISION OF MEDICAL SERVICES (MEDICAID)ARKANSAS FOODBANKARKANSAS FOUNDATION FOR MEDICAL CAREARKANSAS HOME VISITING NETWORKARKANSAS HUNGER RELIEF ALLIANCEARKANSAS MINORITY HEALTH COMMISSIONARKANSAS PHARMACIST ASSOCIATIONBLUE & YOU FOUNDATIONCOMMUNITY HEALTH CENTERS OF ARKANSASDELTA DENTAL OF ARKANSASUNIVERSITY OF ARKANSAS FOR MEDICAL SCIENCES - COLLEGE OF PUBLIC HEALTHUNIVERSITY OF ARKANSAS FOR MEDICAL SCIENCES - COLLEGE OF MEDICINE ARKANSAS CHILDREN'S HOSPITAL PART V, SECTION B, LINE 7D: THE 2019 CHNA WAS DISTRIBUTED TO OVER 40 OF ITS PARTNERS THROUGH THE NATURAL WONDERS PARTNERSHIP COUNCIL (NWPC) AND ITS MULTIPLE WORKGROUPS. ADDITIONALLY, THE 2019 CHNA RESULTS WERE SIMPLIFIED AND COMBINED TO GENERATE A NEW 2020-2022 NATURAL WONDERS ACTION PLAN REPORT. THE 2019 CHNA, 2020-2022 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: DURING FISCAL YEAR 2021, ARKANSAS CHILDREN'S HOSPITAL (ACH) CONTINUED WORKING ON THE NEW ACTIONS AND CONTINUING INITIATIVES FROM THE 2020-2022 ACH IMPLEMENTATION STRATEGY. THE IMPLEMENTATION STRATEGY INCLUDES DESCRIPTIONS OF THE PROPOSED NEW ACTIONS, CONTINUING INITIATIVES AND THE ANTICIPATED IMPACT AND STAKEHOLDER GROUPS FOR EACH OF THE TEN CHILD HEALTH NEEDS IDENTIFIED IN THE 2019 ACH COMMUNITY HEALTH NEEDS ASSESSMENT. THE 2020-2022 IMPLEMENTATION STRATEGY WAS APPROVED BY THE ACH BOARD OF DIRECTORS IN OCTOBER 2019. UPDATES ON ACTIONS MADE DURING FY21 FOR EACH OF THE 2019 CHNA PRIORITIZED ISSUES ARE LISTED BELOW. MANY STRATEGIES WERE COMPLETED BY ARKANSAS CHILDREN'S HOSPITAL STAFF. SOME STRATEGIES WERE LED BY NATURAL WONDERS PARTNERSHIP COUNCIL MEMBER ORGANIZATIONS WHO IDENTIFIED KEY WAYS FOR ACH TO PARTNER WITH THEM ON CHILD HEALTH IMPROVEMENT. IN ADDITION, SOME STRATEGIES WERE SUPPORTED THROUGH ACH FUNDING, AND WORK WAS COMPLETED BY A CONTRACTED PARTNER. ADDRESSING FY21 COMMUNITY IMPACTS OF COVID-19: THE WORK TO ADDRESS THE SOCIAL NEEDS AND HEALTH NEEDS CREATED BY THE COVID-19 PANDEMIC HAVE STRETCHED BEYOND A SINGLE YEAR. THIS SUMMARY OF THE WORK ARKANSAS CHILDREN'S IS DOING TO ADDRESS THE SOCIAL IMPACTS OF THE COVID-19 PANDEMIC ON CHILDREN AND THEIR FAMILIES INCLUDES INITIATIVES THAT BEGAN IN MARCH 2020 AND HAVE CONTINUED TO FULFILL ONGOING NEEDS. SPECIFIC NUMBERS AND INITIATIVES MENTIONED BELOW ARE RELATED TO THE JULY 2020 TO JUNE 2021 FISCAL YEAR. THE ARKANSAS CHILDREN'S TELEHEALTH DEPARTMENT CREATED THE CAPABILITY FOR MORE THAN 70 CLINICS TO HAVE TELEMEDICINE APPOINTMENTS. BEFORE THE ONSET OF THE COVID-19 PANDEMIC, ARKANSAS CHILDREN'S HELD ANYWHERE FROM 10 TO 20 TELEMEDICINE VISITS PER DAY. WITH THE EXPANDED CAPABILITY AND THE INCREASED NEED, THE NUMBER OF TELEMEDICINE VISITS HAS INCREASED TO OVER 100 VISITS EACH DAY, INCLUDING VISITS FOR PATIENTS OF ARKANSAS CHILDREN'S HOSPITAL AND ARKANSAS CHILDREN'S NORTHWEST. OF THE TELEHEALTH VISITS SINCE JULY 2020, 29% OF THE VISITS ORIGINATED IN A RURAL COUNTY. THE OTHER TWO-THIRDS OF VISITS WERE FOR PATIENTS THAT LIVE IN COUNTIES THAT ARE PARTIALLY RURAL. TELEHEALTH IS AN IMPORTANT METHOD FOR ARKANSAS CHILDREN'S TO REACH RURAL AND VULNERABLE CHILDREN CLOSER TO THEIR HOMES. ARKANSAS CHILDREN'S SET UP A STATEWIDE HOTLINE TO RESPOND TO CALLS RELATED TO COVID-19 AND CHILDREN'S HEALTH QUESTIONS AND CONCERNS. THE HOTLINE WAS LAUNCHED ON MARCH 12, 2020 AND FACILITATED OVER 3,000 PHONE CALLS EACH MONTH. THE SERVICE CONTINUED UNTIL OCTOBER 25, 2020. CALLS WERE ANSWERED 24 HOURS A DAY, SEVEN DAYS A WEEK BY CLINICAL SUPPORT STAFF; THESE 63 TEAM MEMBERS HELPED PROVIDE INFORMATION, CLINICAL EXPERTISE, AND GUIDANCE TO CALLERS WITH QUESTIONS ABOUT COVID-19. ARKANSAS CHILDREN'S STRATEGIC MARKETING DEPARTMENT CREATED PUBLIC SERVICE COMMUNICATION TO ENCOURAGE HAND WASHING, SOCIAL DISTANCING, AND WEARING MASKS. THESE MESSAGES WERE SHARED WITH OTHER HEALTHCARE FACILITIES FOR COLLABORATIVE USE. ARKANSAS CHILDREN'S CHILD LIFE LEADERS SHARED EXPERT CONTENT ON PLATFORMS LIKE FACEBOOK LIVE TO GIVE ADVICE TO FAMILIES PREPARING FOR CLINIC VISITS, IN ADDITION TO HOW TO PROPERLY WEAR A MASK.AS ARKANSAS CHILDREN'S WORKED TO SERVE THE STATE THROUGH THE PANDEMIC, COMMUNITIES SHARED THEIR GENEROSITY WITH ARKANSAS CHILDREN'S, AS WELL. FROM JULY 2020 TO JUNE 2021, 47,330 CLOTH MASKS WERE DONATED TO THE ARKANSAS CHILDREN'S SYSTEM FOR DISTRIBUTION TO ANY PATIENT OR CAREGIVER WHO NEEDED ONE WHILE ATTENDING AN APPOINTMENT AT AN ARKANSAS CHILDREN'S FACILITY. OF THE SYSTEM TOTAL, 43,266 MASKS WERE DONATED TO ARKANSAS CHILDREN'S HOSPITAL SPECIFICALLY, FOR REDISTRIBUTION AND USE. ARKANSAS CHILDREN'S SENIOR LEADERSHIP SERVED IN VARIOUS CAPACITIES ON LOCAL AND STATEWIDE ADVISORY BOARDS. ARKANSAS CHILDREN'S PARTICIPATED IN A COLLABORATIVE TASK FORCE THAT HAS FOCUSED ON PROVIDING RESOURCES FOR SCHOOLS, EDUCATORS, STUDENTS, AND FAMILIES, AS THE STATE PREPARED FOR A RETURN TO SAFE, IN-PERSON LEARNING. ARKANSAS CHILDREN'S PRESIDENT AND CEO, MARCY DODERER, SERVED ON THE GOVERNANCE COMMITTEE OF THIS TASKFORCE. DR. FREDERICK BARR, CHAIR OF PEDIATRICS AND PEDIATRICIAN IN CHIEF, SERVED AS THE CHAIR OF THE SCHOOL RESOURCE CENTER & HOTLINE WORK GROUP. DR. MARISHA DICARLO, VICE PRESIDENT OF COMMUNITY ENGAGEMENT, ADVOCACY, AND HEALTH, SERVED AS THE CHAIR OF THE HEALTHY SCHOOLS GUIDE WORK GROUP. ADDITIONAL TEAM MEMBERS FROM ARKANSAS CHILDREN'S SERVED IN A VARIETY OF CAPACITIES TO CONTRIBUTE TO THE ASSETS THE TASKFORCE PRODUCED. THIS TASKFORCE PROVIDED IMPORTANT AND TIMELY GUIDES AND INFORMATION TO SCHOOLS AND FAMILIES ABOUT SCHOOLS REOPENING IN FALL 2020. TWO IMPORTANT GUIDES WERE PRODUCED, ARKANSAS READY TO LEARN: HEALTHY SCHOOL GUIDE (AVAILABLE IN ENGLISH AND SPANISH), AS WELL AS HELPING STUDENTS COPE GUIDE: SOCIAL EMOTIONAL SUPPORTS FOR THE CLASSROOM. ALL OF THESE TASK FORCES PROVIDED GUIDANCE AND INFORMATIONAL PRODUCTS THAT WERE USED ACROSS BROAD COMMUNITIES AND A VARIETY OF SECTORS IN THE STATE.ADDITIONALLY, PART OF THE 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. RESOURCE CONNECT HELPS STAFF ADDRESS SOCIAL NEEDS IN A CLINICAL SETTING AND PROVIDES CONNECTION TO COMMUNITY RESOURCES. IN ADDITION, THE SITE HAS AN OUTWARD FACING COMPONENT THAT ALLOWS FOR ANYONE, ANYWHERE TO SEARCH FOR FREE AND REDUCED-COST RESOURCES THAT HELP ADDRESS AND ALLEVIATE THE SOCIAL VULNERABILITIES THAT IMPACT HEALTH. IN THE FIRST THREE MONTHS OF USE (APRIL TO JUNE 2021), OVER 350 SEARCHES OCCURRED WITH THE MOST COMMON SEARCHES BEING FOR FOOD PANTRIES, HELP TO PAY FOR UTILITIES, AND HELP TO PAY FOR HOUSING. THIS DIGITAL SYSTEM IS HELPING ARKANSAS CHILDREN'S CONNECT FAMILIES WITH ITEMS TO MEET THEIR BASIC NEEDS AND OTHER SOCIAL RESOURCES DURING A CHALLENGING TIME. SCHEDULE H, PART V, SECTION B, LINE 11 - CONTINUED (1) PARENTING SUPPORTS:IN FY21, NATURAL WONDERS RECONFIGURED ITS WORKGROUPS, AND A NEW GROUP WAS CREATED FOR THE FIRST 2,100 DAYS OF LIFE. THIS WORKGROUP FOCUSES ON THE RESOURCES AND SUPPORT THAT EXPECTING MOTHERS AND CHILDREN BIRTH TO FIVE YEARS OLD NEED TO BE HEALTHY. THEY ARE ALSO FURTHERING THE PREVIOUS WORK OF THE NATURAL WONDERS PARENTING SUPPORTS WORKGROUP. 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) IS A PARTNERSHIP BETWEEN THE ARKANSAS DEPARTMENT OF HEALTH AND ACH. AHVN IS A THRIVING COALITION OF PROVIDERS AND STAKEHOLDERS THAT WORK TOGETHER TO HELP PARENTS AND CHILDREN IMPROVE HEALTH OUTCOMES. 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. IT IS BEING IMPLEMENTED WITH FIDELITY, AND EXPECTS TO ACHIEVE CERTIFICATION IN FY23.IN FY21, THESE PROGRAMS HELPED APPROXIMATELY 8,000 FAMILIES WITH CHILDREN NEWBORN TO AGE FIVE IN ALL 75 COUNTIES IN ARKANSAS. 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. APPROXIMATELY 20% OF FAMILIES SERVED THROUGH HOME VISITING MODELS HAVE NO ACCESS TO VIRTUAL MEANS OF CONDUCTING VISITS AND FOR THOSE FAMILIES, HOME VISITORS HAVE CONDUCTED A MIX OF VISITS IN PERSON UTILIZING PPE AND VISITS BY PHONE. ADDITIONALLY, ACH CONTINUED TO LEASE OFFICE SPACE ON ITS CAMPUS AT A DISCOUNTED RATE OF $1 PER YEAR TO THE NATIONAL HOME VISITING PARTNER HEADQUARTERED IN LITTLE ROCK, HIPPY USA.THE ARKANSAS CHILDREN'S INJURY PREVENTION CENTER PROVIDES MANY PROGRAMS TO ASSIST PARENTS AND CAREGIVERS. THE SAFETY ZONE IS A PUBLIC SPACE ON THE ACH CAMPUS WHERE FAMILIES CAN RECEIVE EDUCATION AND PRODUCTS TO PROMOTE SAFETY. IN FY21, THE SAFETY ZONE HELPED OVER 600 VISITORS AND DISTRIBUTED MORE THAN 1,200 PRODUCTS LIKE SMOKE ALARMS AND CABINET LOCKS. THE INJURY PREVENTION CENTER (IPC) ALSO PROVIDES SAFE SLEEP TRAINING THROUGHOUT THE STATE. IN RESPONSE TO THE COVID PANDEMIC, IPC STAFF PIVOTED TO PROVIDING MANY OF ITS SERVICES OVER VIDEO CALLS, INCLUDING HELPING PARENTS PROPERLY INSTALL CAR SEATS. ADDITIONALLY, STAFF ADAPTED THE SAFETY BABY SHOWER MODEL TO WORK OVER ZOOM, BUT STILL REACH MANY NEW PARENTS. IN ARKANSAS, 95% OF BIRTHING HOSPITALS ARE NOW SAFE-SLEEP CERTIFIED BY CRIBS FOR KIDS, A NATIONAL STANDARD. ARKANSAS HAS ONE OF THE HIGHEST PERCENTAGE OF CERTIFICATIONS IN THE NATION. THE INJURY PREVENTION CENTER PLAYED A LEAD ROLE IN ACCOMPLISHING THIS IN PARTNERSHIP WITH A COLLABORATIVE GROUP CONVENED BY THE ARKANSAS DEPARTMENT OF HEALTH. AS A RESULT OF THIS, INFANTS BORN IN ARKANSAS ARE VERY LIKELY TO BE BORN AT HOSPITALS WHERE SAFE SLEEP IS DEMONSTRATED AND TAUGHT TO NEW PARENTS. ADDITIONALLY, ARKANSAS CHILDREN'S HOSPITAL MADE FINANCIAL CONTRIBUTIONS TO FOUR ORGANIZATIONS THAT ASSIST FAMILIES EXPERIENCING HOMELESSNESS IN CENTRAL ARKANSAS AND THE NORTHWEST ARKANSAS AREAS. THESE DONATIONS HELP COVER THE EXPENSES DUE TO INCREASED NEED OF FAMILIES EXPERIENCING HOMELESSNESS DURING THE PANDEMIC, AS WELL AS SPARK A PARTNERSHIP FOR FUTURE SAFETY BABY SHOWER PROGRAMS. THE ACH INJURY PREVENTION CENTER WILL WORK WITH THESE ORGANIZATIONS IN FY22 TO PROVIDE INJURY PREVENTION PROGRAMING FOR EXPECTING MOTHERS AS WELL AS YOUNG FAMILIES. THESE ORGANIZATIONS INCLUDED DORCAS HOUSE, PART OF UNION RESCUE MISSION, DESIRE HAVEN FAMILY CARE HOME, PART OF ARKANSAS BAPTIST CHILDREN'S HOME, WOMEN AND CHILDREN FIRST, AND COMPASSION HOUSE IN SPRINGDALE. (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. AS MENTIONED EARLIER, PART OF THE 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. IN THE FIRST THREE MONTHS OF USE (APRIL TO JUNE 2021), THE MOST COMMON SEARCHES WERE FOR FOOD PANTRIES, HELP TO PAY FOR UTILITIES, AND HELP TO PAY FOR HOUSING. THIS DIGITAL SYSTEM IS HELPING ARKANSAS CHILDREN'S CONNECT FAMILIES TO RESOURCES FOR MEETING BASIC NEEDS AND HELPING WITH OTHER SOCIAL RESOURCES.THE ARKANSAS CHILDREN'S MEDICAL LEGAL PARTNERSHIP IS ONE OF THE REFERRALS FROM THE SOCIAL NEEDS SCREENING PROCESS. THESE LEGAL AID ATTORNEYS HELP ELIGIBLE FAMILIES WITH HEALTH-HARMING LEGAL NEEDS. FROM JULY 2020 THROUGH JUNE 2021, THE ATTORNEYS CLOSED 226 CASES, AND 62 OF THOSE CASES WERE FOR EXTENDED REPRESENTATION. THE MOST FREQUENT TYPES OF CASES WERE TO SUPPORT FAMILY STABILITY INCLUDING CHILD CUSTODY, DIVORCE, AND DOMESTIC VIOLENCE (53 CASES) AND HOUSING AND RENTAL CONDITIONS (52 CASES). OTHER CASES FOCUSED ON EDUCATION AND ADULT GUARDIANSHIP. (3) MENTAL HEALTH AND SUBSTANCE USE:ACH PROVIDED A $1 PER YEAR LEASE TO THE CHILDREN'S PROTECTION CENTER IN THE CLARK CENTER FOR CHILDREN. THE DAVID M. CLARK CENTER FOR SAFE AND HEALTHY CHILDREN, IS DEDICATED TO THE CARE AND TREATMENT OF NEGLECTED AND ABUSED CHILDREN AND THEIR FAMILIES. IN THIS FACILITY, CHILDREN RECEIVE MEDICAL, PSYCHOLOGICAL AND SOCIAL HEALTH SERVICES THROUGH THE FOUR MAIN SERVICE PROVIDERS LOCATED THERE: CHILD AND ADOLESCENT PSYCHIATRY, CHILD MALTREATMENT, FAMILY TREATMENT PROGRAM AND THE PULASKI COUNTY CHILDREN'S ADVOCACY CENTER. DR. KAREN FARST IS THE PHYSICIAN LEADER OF THE CENTER FOR SAFE AND HEALTHY CHILDREN; IN THIS ROLE SHE HAS WORKED TO TREAT CHILDREN WHO HAVE EXPERIENCED CHILD ABUSE AND MALTREATMENT, WHILE ALSO ADVOCATING AND WORKING ON SYSTEM CHANGES FOR THE STATE. THIS SPRING, DR. FARST WAS APPOINTED TO THE BLUE RIBBON TASK FORCE TO END CHILD ABUSE FOR THE STATE. THE PURPOSE OF THE TASKFORCE IS TO DEVELOP A SYSTEMATIC AND HOLISTIC APPROACH TO ELIMINATE CHILD ABUSE IN THE STATE, IN ADDITION TO ADDRESSING PRIMARY AND SECONDARY PREVENTION EFFORTS, AND IMPROVING PREVENTION NETWORKS AND PARTNERSHIPS. THE INJURY PREVENTION CENTER USED THE CENTERS FOR DISEASE CONTROL & PREVENTION (CDC) FRAMEWORK OF INJURY PREVENTION TO ADDRESS THE PROBLEM OF INTENTIONAL INJURIES. STAFF ARE NOW TRAINED ON 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. A FIREARM COALITION IS WORKING EXTENSIVELY TO DEFINE MESSAGING FOR SAFE GUN STORAGE. A TASK FORCE ON SAFE FIREARM STORAGE CONTINUES TO REFINE THE MESSAGING IN PRACTICE. THE ACH INJURY PREVENTION CENTER IS PART OF A SMALL GROUP OF ORGANIZATIONS THAT ARE OFFERING IMPORTANT HELP TO SCHOOLS AND COMMUNITIES TO PREVENT INTENTIONAL INJURY. 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. HUNDREDS OF STUDENTS IN THE PROJECT PREVENT CHAPTERS PARTICIPATE TO PROVIDE EDUCATION AND PREVENTION MESSAGING IN THEIR COMMUNITIES. THE COALITION CONTINUED TO GROW IN FY21, THERE WERE 64 CHAPTERS IN 41 COUNTIES. OVER 1,200 YOUTH HAVE PARTICIPATED IN ACTIVITIES INCLUDING AN ANNUAL CONFERENCE AND A FILM CONTEST TO PROMOTE MESSAGING FOR YOUTH TO AVOID TOBACCO. SCHEDULE H, PART V, SECTION B, LINE 11 - CONTINUED (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 FY21, 35 FINANCIAL COUNSELORS PROCESSED 8,206 MEDICAID APPLICATIONS. FAMILIES ARE ALSO HELPED BY AN AFTER-HOURS RESOURCE LINE, ANSWERED BY REGISTERED NURSES AT ACH. IN FY21 DEDICATED NURSES RESPONDED TO AFTER-HOURS CALLS IN WHICH THEY PROVIDED MEDICAL ADVICE FOR NON-EMERGENT ISSUES AND HELPED 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 REDUCE HEALTH-HARMING LEGAL NEEDS. SINCE 2017, THE MEDICAL-LEGAL PARTNERSHIP ATTORNEYS HAVE CLOSED MORE THAN 800 CASES FOR PATIENTS AND THEIR FAMILIES. THE MEDICAL-LEGAL PARTNERSHIP IS COVERED MORE IN THE SOCIAL ISSUES NEED CATEGORY. ACH MEDICAL PROVIDERS SUPPORT TO TWO SCHOOL-BASED HEALTH CENTERS IN THE LITTLE ROCK SCHOOL DISTRICT. THESE TWO CLINICS PERFORMED 990 VISITS IN FY21. THE SCHOOL-BASED CLINIC ALSO ENSURES STUDENTS ARE CONNECTED TO OTHER TYPES OF CARE. THE CLINIC PROVIDED 393 VACCINATIONS, MADE 49 SPECIALTY CARE REFERRALS, AND 47 BEHAVIORAL HEALTH CARE REFERRALS IN FY21. 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. DUE TO THE COVID-19 PANDEMIC, THE TYPICAL IN-PERSON, HANDS-ON COURSES WERE CONVERTED TO A VIRTUAL PLATFORM WITH SYNCHRONISTIC AND ASYNCHRONISTIC OPTIONS. ONE HUNDRED AND TWENTY-SEVEN SCHOOL NURSES, REPRESENTING 104 SCHOOL DISTRICTS ACROSS THE STATE, WERE TRAINED IN THE LATEST IN CLINICAL PATHWAYS FOR PEDIATRIC DIABETES TREATMENT AND HAVE RECEIVED KEY SUPPLIES AND RESOURCES TO HANDLE THE DAY-TO-DAY MANAGEMENT OF THE DISEASE FOR THE CHILDREN IN THEIR CARE AT SCHOOL.ADDITIONALLY, ARKANSAS CHILDREN'S HOSPITAL SUPPORTED GOODNESS VILLAGE IN LITTLE ROCK HELPING TO COVER 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 PER YEAR LEASE AS A BENEFIT TO THE ORGANIZATION. THE RONALD MCDONALD HOUSE IS OPEN TO FAMILIES WITH A CHILD AGE 21 OR YOUNGER WHO LIVE 50-MILES AWAY FROM LITTLE ROCK. MANY FAMILIES HAVE A CHILD BEING TREATED AT ACH, BUT IT IS OPEN TO FAMILIES WITH CHILDREN TREATED AT OTHER HOSPITAL FACILITIES. (5) FOOD INSECURITY: ARKANSAS CHILDREN'S HOSPITAL IS FOLLOWING BEST PRACTICE MODELS TO HELP IMPROVE THE FOOD SECURITY OF CHILDREN AND THEIR FAMILIES AROUND THE STATE. THIS PROCESS BEGINS AT THE INDIVIDUAL LEVEL WITH SCREENING PROGRAMS TO DETERMINE FOOD INSECURITY NEEDS AT THE INDIVIDUAL AND FAMILY LEVEL. PATIENTS ARE SCREENED AT MOST PRIMARY CARE APPOINTMENTS. THE NEWLY LAUNCHED ARKANSAS CHILDREN'S RESOURCE CONNECT ALSO ALLOWS FAMILIES TO CONNECT 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 FULL OF FOOD FOR THE DAY, AND ASSISTED IN APPLYING FOR THE SUPPLEMENTAL NUTRITION ASSISTANCE PROGRAM (SNAP), AS WELL AS OTHER PUBLIC BENEFIT PROGRAMS. IN FY21, OVER 2,000 BAGS OF NON-PERISHABLE GROCERIES WERE DISTRIBUTED TO PATIENT FAMILIES, THROUGH A PARTNERSHIP WITH THE NEARBY HELPING HAND FOOD PANTRY. THE ON-CAMPUS ACH COMMUNITY GARDEN PRODUCED 4,425 POUNDS OF FRESH PRODUCE WHICH WERE PROVIDED TO HELPING HAND FOOD PANTRY. ADDITIONALLY, THE ACH CAMPUS PARTICIPATES IN THE USDA MEAL PROGRAM. FUNDS HELPED COVER A DEDICATED REFRIGERATOR FOR THIS PROGRAM, IN ORDER TO INCREASE THE NUMBER OF MEALS AVAILABLE EACH DAY. EACH YEAR, USDA MEALS ARE PROVIDED TO CHILDREN THANKS TO ACH'S EFFORTS TO MAINTAIN AND GROW THE HOSPITAL'S NUTRITION AND FEEDING PROGRAMS. 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 HEALTHY, LOW-COST MEALS. ACH SUPPORTED COOKING MATTERS PROGRAMS INCLUDE COOKING MATTERS, COOKING MATTERS AT THE STORE, AND POP-UP COOKING MATTERS, A CURRICULUM FOR HIGH SCHOOL STUDENTS. POP-UP COOKING MATTERS IS AN INTERACTIVE EXPERIENCE FOR STUDENTS AND OTHER PEOPLE TO LEARN ABOUT COOKING HEALTHY FOOD AND SHOPPING ON A BUDGET. FIFTY-FIVE PRESENTATIONS WERE GIVEN TO 847 JUNIOR HIGH AND HIGH SCHOOL STUDENTS THROUGHOUT THE STATE DURING FY21. STATEWIDE, ARKANSAS CHILDREN'S SYSTEM FINANCIALLY CONTRIBUTED TO NONPROFIT FOOD BANKS AND FOOD PANTRIES AROUND THE STATE IN JUNE 2021. THESE FOOD BANKS AND FOOD PANTRIES HAVE SUPPORTED AN INCREASED NUMBER OF CHILDREN AND FAMILIES DURING AN UNPRECEDENTED TIME, THROUGH THE ONGOING COVID-19 PANDEMIC. AS A HEALTH SYSTEM, ARKANSAS CHILDREN'S DONATED OVER $1,000,000 TO FOOD BANKS AND PANTRIES AROUND THE STATE. ACROSS THE STATE, 2,080,704 MEALS HAVE BEEN DISTRIBUTED AND 78,542 FAMILIES HAVE BENEFITED FROM THIS DONATION. STATEWIDE ORGANIZATIONS THAT WERE SUPPORTED INCLUDED SOME OF THE LARGER FOOD BANKS SERVING LARGE REGIONS OF THE STATE, LIKE THE NORTHWEST ARKANSAS FOOD BANK, ARKANSAS FOOD BANK AND SMALLER ORGANIZATIONS LIKE THE SAMARITAN COMMUNITY CENTER, ARKANSAS COALITION OF THE MARSHALLESE, COMPASSION NWA, FOOD BANK OF NORTH CENTRAL ARKANSAS, AND THE NORTHWEST ARKANSAS FOOD BANK. THE ARKANSAS FOOD BANK PROVIDED 1,365,000 MEALS THAT BENEFITED 25,148 FAMILIES. EL ZOCALO IMMIGRANT RESOURCE CENTER IN SOUTHWEST LITTLE ROCK PROVIDED 126,270 MEALS TO 848 CHILDREN IN 320 FAMILIES. THE ARKANSAS HUNGER RELIEF ALLIANCE PROVIDED 205,167 MEALS TO 10,330 CHILDREN IN 11,905 FAMILIES. ST. JAMES MISSIONARY BAPTIST CHURCH IN FAYETTEVILLE PROVIDED 1,094 MEALS TO 535 CHILDREN IN 1,094 FAMILIES. COMPASSION NWA IN SPRINGDALE PROVIDED 177,282 MEALS TO 8,442 CHILDREN IN 10,552 FAMILIES. RIVER VALLEY REGIONAL FOOD BANK IN FORT SMITH PROVIDED OVER 300,000 MEALS WITH THE DONATION. OTHER ORGANIZATIONS SUPPORTED INCLUDE ARKANSAS COALITION OF MARSHALLESE, NORTHWEST ARKANSAS FOOD BANK, FOOD BANK OF NORTH CENTRAL ARKANSAS, SAMARITAN COMMUNITY CENTER, AND HELPING HAND OF GREATER LITTLE ROCK. THESE FUNDS HELPED STRENGTHEN THE FOOD SECURITY OF FAMILIES AND THEIR CHILDREN AROUND THE STATE, DURING AN EXTREMELY CHALLENGING TIME. SCHEDULE H, PART V, SECTION B, LINE 11 - CONTINUED (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 OF THESE HEALTH NEEDS TO IMPROVE. THESE ARE INTERCONNECTED NEEDS. THE 2019 ARKANSAS CHILDREN'S HOSPITAL CHNA INCLUDED A NOTE THAT MAINTAINING A QUALITY, NUTRITIOUS, DIET IS A PROBLEM IN GENERAL FOR ARKANSANS WITH 255,000 (OR 8.9%) WHO HAVE LIMITED ACCESS TO HEALTHY FOODS (RWJF ANALYSIS OF USDA FOOD ENVIRONMENT ATLAS). THE WORK COVERED IN FOOD INSECURITY 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, AND HEALTHY MEALS TO STUDENTS AND FAMILIES AROUND THE STATE. ADDITIONALLY, THE $1 MILLION DONATION BY ARKANSAS CHILDREN'S HEALTH SYSTEM TO FOOD BANKS AND FOOD PANTRIES AROUND THE STATE PROVIDES MORE HEALTHY FOOD OPTIONS FOR ARKANSAS FAMILIES. MANY CHILDREN HAVE TO PREPARE SNACKS OR MEALS FOR THEMSELVES. THIS DONATION ALLOWED THE FOOD BANKS AND PANTRIES TO BUY HEALTHY, EASY-TO-PREPARE FOODS THAT ARE IDEAL FOR CHILDREN. ARKANSAS CHILDREN'S IS ONE OF THE PRIMARY PARTNERS OF THE STATEWIDE COALITION TO END OBESITY IN ARKANSAS, HEALTHY ACTIVE ARKANSAS (HAA). MARCY DODERER, PRESIDENT AND CHIEF EXECUTIVE OFFICER OF ARKANSAS CHILDREN'S IS A BOARD MEMBER OF HEALTHY ACTIVE ARKANSAS, ALONG WITH 15 OTHER STATEWIDE HEALTH LEADERS LIKE THE ARKANSAS SECRETARY OF STATE AND THE CHANCELLOR OF THE UNIVERSITY OF ARKANSAS FOR MEDICAL SCIENCES (UAMS). HEALTHY ACTIVE ARKANSAS FOCUSES ON THREE BIG AREAS: COMMUNITY ACCESS TO HEALTHY FOODS, COMMUNITY ACCESS TO PHYSICAL ACTIVITY, AS WELL AS POLICY ANALYSIS AND CHANGE. IN ADDITION TO OTHER SPECIFIC PROGRAMS TO ADDRESS THE INCREASED CHALLENGES DUE TO THE COVID-19 PANDEMIC, HEALTHY ACTIVE ARKANSAS SHARED FOOD ACCESS MAPS TO BETTER CONNECT INDIVIDUALS AND FAMILIES TO MEAL PROGRAMS AND FOOD PANTRIES. (7) REPRODUCTIVE HEALTH:LOVE NOTES IS AN EVIDENCE-BASED HEALTHY RELATIONSHIPS PROGRAM FOR TEENAGERS. THE PROGRAM TEACHES HOW TO BUILD HEALTHY RELATIONSHIPS, RECOGNIZE DATING VIOLENCE, AND MORE. ACCORDING TO UNITED STATES DEPARTMENT OF HEALTH AND HUMAN SERVICES, OFFICE OF ADOLESCENT HEALTH, IT HAS SHOWN TO INCREASE RATES OF CONTRACEPTIVE USE, DELAY THE INITIATION OF SEXUAL ACTIVITY, REDUCE THE FREQUENCY OF SEXUAL ACTIVITY, AND REDUCE RATES OF PREGNANCY OR BIRTHS AMONG 14- TO 19-YEAR-OLDS. FY21 WAS THE SECOND CONSECUTIVE SCHOOL YEAR THAT ARKANSAS CHILDREN'S HEALTH EDUCATORS OFFERED THIS INNOVATIVE PROGRAM. ACH HEALTH EDUCATORS IMPLEMENTED THE LOVE NOTES PROGRAM FIVE TIMES AT FOUR DIFFERENT HIGH SCHOOLS IN THE STATE. ONE HUNDRED AND TWELVE HIGH SCHOOL STUDENTS PARTICIPATED THIS IMPORTANT PROGRAM. THE PROGRAM WAS WELL RECEIVED BY TEACHERS AND STUDENTS AND INTEREST IN THE PROGRAM REMAINS HIGH. AFTER THE LESSONS IN SPRING 2021, 77% OF THE STUDENTS REPORTED THEY WERE ABLE TO RECOGNIZE THE WARNING SIGNS OF AN UNHEALTHY RELATIONSHIP AND KNOW HOW TO DEAL WITH IT, COMPARED TO 60% OF PARTICIPANTS AT PRETEST. AT THE END OF FY21, ARKANSAS CHILDREN'S HEALTH EDUCATORS WORKED TO IDENTIFY SCHOOLS IN AREAS OF THE STATE WITH HIGH TEEN BIRTH RATES AND HIGH RATES OF INFANT MORTALITY. DURING THE 2021-22 SCHOOL YEAR, THE PROGRAM WILL EXPAND SIGNIFICANTLY FROM FOUR SCHOOLS TO TWENTY SCHOOLS. ARKANSAS CHILDREN'S HOSPITAL PAID FOR THE TOTAL COST OF THE MATERIALS NEEDED FOR THE 2021-2022 SCHOOL YEAR. COVERING THESE COSTS ALLOWED SCHOOLS WHO COULD NOT FINANCIALLY AFFORD TO PURCHASE THESE MATERIALS TO PARTICIPATE IN THIS VALUABLE PROGRAM. (8) ORAL HEALTH:DURING FY21, STUDENTS WERE SERVED BY MOBILE DENTAL CLINICS, WHERE 520 RESTORATIVE DENTAL VISITS AND 412 PREVENTIVE DENTAL VISITS OCCURRED. THROUGH PHILANTHROPIC AND COMMUNITY BENEFIT INVESTMENTS, ACH SUPPORTED FOUR REGIONAL, MOBILE DENTAL VANS THAT PROVIDED THIS RESTORATIVE AND PREVENTIVE TREATMENT TO CHILDREN WITHOUT A DENTAL HOME IN DIVERSE COMMUNITY SITES IN THE CENTRAL, NORTHWEST, SOUTHEAST, AND SOUTHWEST REGIONS OF ARKANSAS. THE MOBILE DENTAL PROGRAM REACHES OVER 1,000 CHILDREN PER YEAR, OFFERING OVER $1.2 MILLION IN DENTAL SERVICES. THE HOSPITAL'S SCHOOL-BASED SEALANT PROGRAM REACHES ABOUT 60 SCHOOLS AND OVER 6,000 CHILDREN EACH YEAR. ARKANSAS CHILDREN'S HOSPITAL HELPED SOLVE A NEED FOR SCHOOLS WHO HAVE NOT BEEN ABLE TO PARTICIPATE IN THE MOBILE DENTAL PROGRAM. THE MOBILE DENTAL CLINIC IS A LARGE RECREATION VEHICLE EQUIPPED TO BE A FULL- SERVICE DENTAL CLINIC ITS SIZE, WEIGHT, AND CAPABILITIES MEAN THAT IT HAS SPECIFIC REQUIREMENTS FOR ITS PARKING PAD AND ELECTRICAL NEEDS. SOME SCHOOLS, MANY WITH AT-RISK AND VULNERABLE STUDENTS, HAVE NOT HAD THE CAPABILITIES TO HOST THE MOBILE CLINIC. FUNDS PROVIDED CONCRETE PARKING PADS FOR THE MOBILE DENTAL CLINIC AND IMPROVED ELECTRICAL CAPACITY AT FOUR SCHOOLS IN THE SPRINGDALE SCHOOL DISTRICT IN WASHINGTON COUNTY. THE SCHOOLS CHOSEN HAVE A LARGE MARSHALLESE STUDENT POPULATION, WHICH IS A COMMUNITY DISPROPORTIONATELY AFFECTED BY POOR DENTAL HEALTH OUTCOMES. IN PREVIOUS FOCUS GROUPS, MARSHALLESE COMMUNITY MEMBERS CITED ORAL HEALTH AS A MAJOR NEED FOR THEIR CHILDREN, SO THESE FUNDS WERE DIRECTED TO HELP THAT NEED. THE SPRINGDALE AREA SCHOOLS SELECTED WERE GEORGE ELEMENTARY SCHOOL, T.G. SMITH ELEMENTARY SCHOOL, TURNBOW ELEMENTARY SCHOOL, AND J.O. KELLY MIDDLE SCHOOL. THE NORTHWEST ARKANSAS MOBILE DENTAL CLINIC WILL VISIT THESE SCHOOLS IN THE NEAR FUTURE. (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, AND RECREATIONAL SAFETY, UTILIZING A COMPREHENSIVE PUBLIC HEALTH APPROACH THAT INCLUDES EDUCATION, AWARENESS, AND ADVOCACY. THE IPC OFFERS MORE THAN 20 DIFFERENT PROGRAMS THAT REACH ACROSS ARKANSAS TO ACHIEVE ITS GOALS. CHILD PASSENGER SAFETY IS ONE OF THE PRIMARY FOCUSES OF THE INJURY PREVENTION CENTER. CERTIFICATION COURSES EDUCATED OVER 700 PROFESSIONALS TO PROPERLY INSTALL CAR SEATS. FAMILIES HAVE ACCESS TO 26 SATELLITE SITES AROUND THE STATE. TEEN DRIVING SAFETY IS ANOTHER FOCUS OF THE INJURY PREVENTION CENTER. FOUR HUNDRED AND FORTY-EIGHT HIGH SCHOOL STUDENTS RECEIVED SAFE DRIVING EDUCATION THROUGH PRESENTATIONS AROUND THE STATE. ADDITIONALLY, THE INJURY PREVENTION CENTER AT ARKANSAS CHILDREN'S HOSPITAL HAS PROVIDED TRAININGS LIKE SAFETY BABY SHOWERS TO PARENTS AROUND THE STATE. DUE TO COVID-19, THESE TRAININGS MIGRATED ONLINE AS WELL. FIVE HUNDRED AND FIVE PEOPLE PARTICIPATED IN ONLINE SAFETY BABY SHOWERS. TWENTY-THREE PEOPLE PARTICIPATED IN CHILD PASSENGER SAFETY TRAININGS. ARKANSAS CHILDREN'S HEALTH EDUCATORS HAVE ADAPTED PROGRAM DELIVERY TO ENSURE THAT PROGRAMS CAN BE SAFELY IMPLEMENTED AND EFFECTIVE DURING THE COVID-19 PANDEMIC. FOR THE SECOND TIME, ARKANSAS CHILDREN'S OFFERED A VIRTUAL TRAINING FOR ITS BABYSITTING SAFETY CLASS. IN JULY 2021, THIS TRAINING WAS OFFERED THREE TIMES AND OPEN TO STUDENTS AROUND THE STATE OF ARKANSAS. DURING THESE TRAININGS, 45 STUDENTS FROM AROUND THE STATE WERE TRAINED TO BE SAFER CAREGIVERS OF INFANTS AND CHILDREN. 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. ACH CREATED MARKETING ASSETS FOR PARTNER ORGANIZATIONS, AND PROVIDED FUNDING TO LOCAL-NON-PROFITS TO RUN VACCINATION CAMPAIGNS. WE PARTICIPATED IN MULTIPLE EFFORTS TO PROVIDE SCIENCE-BASED INFORMATION TO PARTNERS FOR DISSEMINATION. ONE OF THESE INCLUDED A BACK-TO-SCHOOL CAMPAIGN ABOUT THE IMPORTANCE OF IMMUNIZATION SCHEDULES. THIS WAS A PARTNERSHIP BETWEEN ARKANSAS BLUE CROSS BLUE SHIELD, ARKANSAS CHAPTER OF THE AMERICAN ACADEMY OF PEDIATRICS, AND IMMUNIZE ARKANSAS TO PROMOTE THE IMPORTANCE OF CHILDREN AND YOUTH STAYING ON SCHEDULE FOR VACCINATIONS EVEN DURING THE COVID-19 PANDEMIC. ARKANSAS CHILDREN'S HOSPITAL HELPED MANAGE THE BACK-TO-SCHOOL CAMPAIGN AND PROVIDED DOLLARS AND CAMPAIGN MATERIALS.IMMUNIZE ARKANSAS, A STATEWIDE COALITION FOCUSED ON INCREASING IMMUNIZATION RATES IN THE STATE, CO-LED THE NATURAL WONDERS CHILDHOOD IMMUNIZATION WORKGROUP. THE WORKGROUP WORKED WITH HEALTHCARE LEADERS TO COMMUNICATE THE IMPORTANCE OF CATCHING UP ON VACCINATION SERIES THAT WERE DELAYED DUE TO CLINIC CLOSURES BECAUSE OF COVID-19. NATURAL WONDER'S 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 PROGRAM, OR ARE IN NEED OF RESOURCES TO IMMUNIZE MORE CHILDREN. THE GOAL OF THE WORKGROUP IS FOR 90% OF ALL SCHOOL-BASED HEALTH CENTERS TO OFFER ALL VACCINES RECOMMENDED BY THE ADVISORY COMMITTEE ON IMMUNIZATION PRACTICES (ACIP). SO FAR, FIVE SCHOOL-BASED HEALTH CENTERS HAVE RECEIVED RESOURCES TO INCREASE THE CAPACITY FOR VACCINATING CHILDREN. ACH SPONSORED IMMUNIZE ARKANSAS' STATEWIDE IMMUNIZATION SUMMIT, WHERE IMPORTANT INFORMATION ABOUT VACCINES WAS PROVIDED TO HEALTHCARE PROFESSIONALS FOR CONTINUING EDUCATION. 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 3 1 - WEST LITTLE ROCK PEDIATRIC CLINIC BELLA ROSA CENTER 16101 CANTRELL RD LITTLE ROCK AR 72223 OUTPATIENT HOSPITAL CLINIC 2 - CENTERS FOR CHILDREN 520 CARSON STREET JONESBORO AR 72401 OUTPATIENT HOSPITAL CLINIC 3 - SOUTHWEST LITTLE ROCK COMMUNITY CLINIC 9015 DAILEY DRIVE LITTLE ROCK AR 72209 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: ACH CONTRIBUTES TO THE COMMUNITIES IT SERVES AT A NEIGHBORHOOD, COMMUNITY, CITY AND STATE LEVEL. LOCALLY, ACH IS A MAJOR EMPLOYER IN THE DOWNTOWN LITTLE ROCK AREA AND SERVES AS AN ACTIVE MEMBER OF THE BUSINESS COMMUNITY'S WORK TO REVITALIZE THE AREA FOR BOTH COMMERCE AND LIVING. ACH 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, CENTERS FOR YOUTH AND FAMILIES, AND OUR HOUSE SHELTER. ACH SUPPORTS A VARIETY OF NEIGHBORHOOD-BASED ORGANIZATIONS IN THE GEOGRAPHIC AREA SURROUNDING THE HOSPITAL, INCLUDING FORMAL NEIGHBORHOOD ASSOCIATIONS, BY ATTENDING MEETINGS AND SPONSORING INITIATIVES THAT SUPPORT THE COMMUNITY. ACH SUPPORTS A VARIETY OF NONPROFIT ORGANIZATIONS AND COMMUNITY GROUPS THAT HELP BUILD SAFETY AND RESILIENCY FOR CHILDREN AND THEIR CAREGIVERS ACROSS THE STATE. THESE ORGANIZATIONS ADDRESS HOMELESSNESS, JOB SUPPORTS/SKILLS, DOMESTIC VIOLENCE, EDUCATION, AND NEIGHBORHOOD ENGAGEMENT. A FEW OF THE ORGANIZATIONS THAT ACH PARTNERS WITH INCLUDE: THE BOYS AND GIRLS CLUB, WHICH HELPS KIDS AND TEENS DEVELOP ESSENTIAL SKILLS, MAKE LASTING CONNECTIONS AND HAVE FUN WITH ENRICHING AND EDUCATIONAL ACTIVITIES; WOMEN AND CHILDREN FIRST, WHICH ADDRESSES FAMILY VIOLENCE THROUGH SAFETY, STRENGTH, AND HOPE FOR ALL VICTIMS OF FAMILY VIOLENCE; THE WOMEN'S FOUNDATION OF ARKANSAS, WHICH INVESTS IN YOUNG GIRLS TO PROMOTE FINANCIAL STABILITY AND EDUCATIONAL ACHIEVEMENT; ARKANSAS HUNGER RELIEF ALLIANCE AND FOOD BANKS AND FOOD PANTRIES ACROSS THE STATE; HELPING HAND FOOD PANTRY, AND LEGAL AID OF ARKANSAS. ACH PROVIDES OFFICE SPACE AT HIGHLY DISCOUNTED RATES FOR CHILD MALTREATMENT SERVICES. 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 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 2019. PLEASE SEE PART V, SECTION B FOR RELATED DETAILS AND DISCUSSION.BUILDING ON YEARS OF EXPERIENCE ASSESSING THE NEEDS OF THE COMMUNITY THROUGH THE NATURAL WONDERS PARTNERSHIP COUNCIL'S EFFORTS, ACH'S CHNA IS VERY COMPREHENSIVE AND REACHES STATEWIDE. 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, 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 SUPPORT OF CAMPS FOR CHILDREN WITH SPECIAL HEALTH CARE NEEDS IS ALSO DRIVEN BY STAFF MEMBERS WHO WORK IN SPECIALTY CLINICS AND INPATIENT UNITS EACH DAY. MEDICAL STAFF ALSO COLLECT AND ANALYZE DATA; FOR EXAMPLE, SEVERAL PHYSICIANS COLLECT DATA FOR CHILDREN'S HEALTH WATCH ON FOOD INSECURITY, HOUSING, AND OTHER BASIC NEEDS. 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 64.7% OF ITS OUTPATIENT POPULATION AND 60.4% 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 34.6% OF OUTPATIENT DISCHARGES AND 24.5% OF INPATIENT DISCHARGES DURING FY2021.ACH'S CURRENT PHYSICAL LOCATIONS INCLUDE A MAIN CAMPUS AND TWO OUTPATIENT CLINICS IN LITTLE ROCK AND A CLINIC IN NORTHEAST ARKANSAS. GROWING TELEMEDICINE CAPABILITIES 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 2021 CENSUS DATA INDICATED POPULATION TOTALS TO BE 3,025,891 FOR ARKANSAS. ALSO ACCORDING TO ESTIMATED 2021 CENSUS DATA, APPROXIMATELY 23.2% OF THE ARKANSAS POPULATION WAS UNDER 18 YEARS OF AGE AND 6.2% WAS UNDER THE AGE OF 5. THE UNEMPLOYMENT RATE FOR THE STATE OF ARKANSAS FOR CALENDAR YEAR 2020 WAS 6.1%, A SHARP INCREASE FROM THE PREVIOUS YEAR. THE PER CAPITA PERSONAL INCOME FOR THE STATE OF ARKANSAS FOR 2020 WAS $27,274. THE PERCENT OF ALL PEOPLE IN POVERTY IN ARKANSAS WAS 16.2% AND THE PERCENT OF CHILDREN 18 OR YOUNGER IN POVERTY WAS 22.1%, INDICATING A SLIGHT IMPROVEMENT 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 696,686 ARKANSAS CHILDREN UNDER AGE 18 REPRESENTED 23.2% OF THE STATE'S TOTAL POPULATION FOR 2020. THE HISPANIC CHILD POPULATION GREW FROM 9.3% AS REPORTED IN THE 2010 CENSUS TO 12.2% AS REPORTED IN THE 2020 CENSUS. HOWEVER, THE NUMBER OF AFRICAN AMERICAN CHILDREN UNDER AGE 18 DROPPED SLIGHTLY FROM 19.3% TO 17.1%. WITH A PRIMARILY RURAL POPULATION LIVING IN MANY SMALL AND MEDIUM-SIZED COMMUNITIES, ACCESS TO HEALTH CARE SERVICES PRESENTS A VERY REAL CHALLENGE. ARKANSAS HAS SEEN A LARGE DECLINE IN UNINSURED CHILDREN SINCE 1990, WITH 5.9% OF CHILDREN LACKING COVERAGE AS OF 2020. 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 IS THE CENTRAL PEDIATRIC MEDICAL CENTER IN ARKANSAS AND ONE OF THE LARGEST IN THE UNITED STATES SERVING CHILDREN FROM BIRTH TO AGE 21. THE CAMPUS SPANS OVER 36 CITY BLOCKS AND HOUSED 336 OPERATING BEDS IN FY21. THE STAFF IS COMPRISED OF APPROXIMATELY 603 PHYSICIANS AND APPROXIMATELY 4,300 EMPLOYEES. THE PRIVATE, NONPROFIT HEALTHCARE FACILITY BOASTS AN INTERNATIONALLY RENOWNED REPUTATION FOR MEDICAL BREAKTHROUGHS AND INTENSIVE TREATMENTS, UNIQUE SURGICAL PROCEDURES AND FORWARD-THINKING MEDICAL RESEARCH - ALL DEDICATED TO FULFILLING ITS MISSION.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.IN FY21, ARKANSAS CHILDREN'S GREW ITS PARTNER IN EDUCATION PROGRAM FROM ONE SCHOOL NEAR THE MAIN HOSPITAL CAMPUS TO FOUR SCHOOLS IN THE AREAS WITH HOSPITALS AND CLINICS. 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 IS 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 ANOTHER NEW SCHOOL FOR 2021. 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. 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 ADDITION, THE VOLUNTEER ENGAGEMENT TEAM SOLICITS, ACCEPTS, STEWARDS, AND DISTRIBUTES TOYS, CONVENIENCE ITEMS AND OTHER IN-KIND DONATIONS VALUED AT APPROXIMATELY $1,000,000 ANNUALLY. ADDITIONALLY IN FY21, THE 2021 SUMMER JUNIOR VOLUNTEER PROGRAM WAS A VIRTUAL EXPERIENCE FOR 46 JUNIOR VOLUNTEERS FROM TEN DIFFERENT CITIES AND TWO REGIONS OF THE STATE (CENTRAL AND NORTHWEST ARKANSAS). VOLUNTEER ENGAGEMENT ALSO PROVIDES STRATEGIC LEADERSHIP AND OPERATIONAL OVERSIGHT TO HOSPITAL GIFT SHOPS, MEDICAL LEGAL PARTNERSHIP AND THE ACH FAMILY RESOURCE CENTER.THE HOSPITAL'S WINNIE M. LOWE FAMILY RESOURCE CENTER IS STAFFED BY 3 EMPLOYEES AND IS HOME TO A FAMILY LIBRARY, SAFETY ZONE AND MEDICAL LIBRARY. THE FAMILY RESOURCE CENTER IS THE HUB FOR PATIENT AND FAMILY ENGAGEMENT IN THE HOSPITAL INCLUDING A DONOR-FUNDED COMPASSION CLOSET WITH NOURISHMENT AND CONVENIENCE ITEMS AND A CHILDREN'S LIBRARY WHERE EVERY CHILD MAY TAKE HOME A FREE BOOK. IN THE FAMILY & MEDICAL LIBRARY, PATIENTS, FAMILIES AND EVEN TEAM MEMBERS CAN ACCESS EVIDENCE-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. 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 1 FAMILY ADVISORY BOARD, AND THIS HAS GROWN TO 10 FAMILY ADVISORY BOARDS AND 1 YOUTH ADVISORY COUNCIL ACROSS THE ARKANSAS CHILDREN'S SYSTEM. THESE GROUPS HAVE BROUGHT ABOUT MANY MEANINGFUL CHANGES TO THE HOSPITAL INCLUDING: VIDEO STREAMING, CO-DESIGNED PATIENT SAFETY INFORMATION, A MEAL ASSISTANCE PROGRAM, THE DEVELOPMENT OF PATIENT AND FAMILY HEALTH INFORMATION. PATIENT AND FAMILY ADVISORS ARE ENGAGED IN OTHER CAPACITIES, INCLUDING HOSPITAL COMMITTEES, A MENTOR PROGRAM, OUR E-COUNCIL, ETC. 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, SCHOOLS AND OTHER COMMUNITY-BASED VENUES. IN COLLABORATION WITH THE VOLUNTEER FIREFIGHTER'S PROGRAM, THEY DISTRIBUTE SMOKE DETECTORS IN 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. THROUGH ARKANSAS CHILDREN'S SIMULATION CENTER, PREVIOUSLY CALLED THE PEDIATRIC UNDERSTANDING AND LEARNING THROUGH SIMULATIONS EDUCATION (PULSE), NON-ACH HEALTH PROFESSIONALS, PATIENT FAMILIES AND OTHER INTERESTED COMMUNITY MEMBERS AROUND THE STATE HAVE BEEN TRAINED ON LIFE-SAVING PEDIATRIC CARE SKILLS. THE AMOUNT OF PEOPLE AROUND THE STATE TRAINED HAS INCREASED AS MORE COMMUNITY-BASED TRAINING IS PROVIDED, LIKE PROJECT ADEM TRAINING TO PREVENT SUDDEN CARDIAC ARREST.THE ADVANCED CARDIAC LIFE SUPPORT (ACLS), AN AMERICAN HEART ASSOCIATION COURSE, TEACHES THE RECOGNITION AND TREATMENT OF CARDIAC DYSRHYTHMIAS IN CHILDREN OVER 10 YEARS OF AGE. INSTRUCTORS HAVE HELPED SEVERAL COMMUNITIES AND BUSINESSES LEARN TOOLS FOR BASIC LIFE SUPPORT. THEY TRAIN PATIENT FAMILIES TO TAKE THEIR CHILDREN HOME AND ALSO GO TO SCHOOLS, CHURCHES, YOUTH AND ADULT ACTIVITIES AND BUSINESS TO EDUCATE IN FIRST AID AND BASIC LIFE SUPPORT. THE TEAM HAS TAUGHT PEDIATRIC ASSESSMENT RECOGNITION AND STABILIZATION (PEARS) TO SCHOOL NURSES. MANY INSTRUCTORS ALSO TEACH FIRST AID TO DAYCARES AND BUSINESSES. THE HOSPITAL'S ANGEL ONE TRANSPORT PROGRAM TRAINS HEALTHCARE PROFESSIONALS IN TWO PROGRAMS: NEONATAL RESUSCITATION AND THE STABLE PROGRAMS THAT FOCUS ON IMPROVING OUTCOMES FOR NEWBORNS BY INCREASING THE NUMBER OF HEALTH CARE PROFESSIONALS TRAINED IN RURAL AND COMMUNITY HOSPITALS, WHICH MAY BE THE FIRST LINE OF INTERVENTION FOR PATIENTS.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 IN 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 ARKANSAS ADVOCATES FOR CHILDREN & FAMILIES 1400 W MARKHAM SUITE 306 LITTLE ROCK AR 72201 710492205 501(C)(3) 7500 GENERAL SUPPORT ARKANSAS ARTS CENTER FOUNDATION PO BOX 2137 LITTLE ROCK AR 72203 237337495 501(C)(3) 10000 GENERAL SUPPORT ARKANSAS CHILDREN'S FOUNDATION 1 CHILDRENS WAY LITTLE ROCK AR 72202 710568795 501(C)(3) 977893 GENERAL SUPPORT ARKANSAS CHILDREN'S NORTHWEST 2601 GENE GEORGE BLVD SPRINGDALE AR 72762 810817660 501(C)(3) 92128 GENERAL SUPPORT ARKANSAS CHILDREN'S RESEARCH INSTITUTE 13 CHILDRENS WAY LITTLE ROCK AR 72202 710694931 501(C)(3) 4055754 2317155 FMV INDIRECT SUPPORT GENERAL SUPPORT ARKANSAS COALITION OF MARSHALLESE 614 E EMMA AVE STE 113 SPRINGDALE AR 72764 352416698 501(C)(3) 20000 GENERAL SUPPORT ARKANSAS FOODBANK 4301 W 65TH ST LITTLE ROCK AR 72209 710596734 501(C)(3) 363978 GENERAL SUPPORT ARKANSAS IMMUNIZATION ACTION COALITION PO BOX 3798 LITTLE ROCK AR 72203 821825362 501(C)(3) 7420 GENERAL SUPPORT CHILDREN'S PROTECTION CENTER 1123 BISHOP LITTLE ROCK AR 72202 261086937 501(C)(3) 46766 FMV PROVIDE OFFICE SPACE GENERAL SUPPORT COMPASSION HOUSE PO BOX 1876 SPRINGDALE AR 72765 710799510 501(C)(3) 10000 GENERAL SUPPORT COMPASSION NORTHWEST ARKANSAS 3157 W SUNSET AVE SPRINGDALE AR 72762 465137266 501(C)(3) 40000 GENERAL SUPPORT DDX3X FOUNDATION 322 A STREET SUITE 300 WILMINGTON DE 19801 811159359 501(C)(3) 5000 GENERAL SUPPORT EL ZOCALO IMMIGRANT RESOURCE CENTER 5500 GEYER SPRINGS RD LITTLE ROCK AR 72209 800858272 501(C)(3) 40000 GENERAL SUPPORT FOOD BANK OF NORTH CENTRAL ARKANSAS 1042 HIGHLAND CIRCLE MOUNTAIN HOME AR 72653 581881897 501(C)(3) 42000 GENERAL SUPPORT FOOD BANK OF NORTHEAST ARKANSAS 3414 ONE PLACE JONESBORO AR 72402 710810999 501(C)(3) 110200 GENERAL SUPPORT GOODNESS VILLAGE 11610 PLEASANT RIDGE ROAD SUITE 103-174 LITTLE ROCK AR 72223 843284848 501(C)(3) 5000 GENERAL SUPPORT HARVEST REGIONAL FOOD BANK PO BOX 707 TEXARKANA AR 75504 752671647 501(C)(3) 75000 GENERAL SUPPORT HELPING NEIGHBORS FOOD PANTRY PO BOX 19182 JONESBORO AR 72403 710726566 501(C)(3) 20000 GENERAL SUPPORT HOME INSTRUCTION FOR PARENTS OF PRESCHOOL YOUNGSTERS (HIPPY) 1221 BISHOP LITTLE ROCK AR 72202 133672592 501(C)(3) 41121 FMV PROVIDE OFFICE SPACE & PHONE GENERAL SUPPORT HUNGER RELIEF ALLIANCE 1400 W MARKHAM ST STE 304 LITTLE ROCK AR 72201 300254995 501(C)(3) 101500 GENERAL SUPPORT JUNIOR LEAGUE OF LITTLE ROCK 401 SOUTH SCOTT STREET LITTLE ROCK AR 72201 710245505 501(C)(3) 5000 GENERAL SUPPORT LEUKEMIA & LYMPHOMA SOCIETY PO BOX 735285 DALLAS TX 75373 135644916 501(C)(3) 5000 GENERAL SUPPORT LITTLE ROCK ZOO 1 ZOO DRIVE LITTLE ROCK AR 72205 352241655 501(C)(3) 5000 GENERAL SUPPORT MARCH OF DIMES PO BOX 932852 ATLANTA GA 31193 131846366 501(C)(3) 48997 GENERAL SUPPORT NEIGHBOR TO NEIGHBOR 1419 S PINE STREET PINE BLUFF AR 72601 710587864 501(C)(3) 10000 GENERAL SUPPORT NORTHWEST ARKANSAS COUNCIL - HEALTHCARE TRANSFORMATION DIVISION 4100 CORPORATE CENTER DRIVE SUITE 205 SPRINGDALE AR 72762 460807914 501(C)(3) 60000 GENERAL SUPPORT NORTHWEST ARKANSAS FOOD BANK 1387 JUNE SELF DR SPRINGDALE AR 72764 710680830 501(C)(3) 60000 GENERAL SUPPORT OUR HOUSE 302 E ROOSEVELT LITTLE ROCK AR 72206 710653846 501(C)(3) 61007 GENERAL SUPPORT RIVER VALLEY REGIONAL FOOD BANK 1617 SOUTH ZERO ST FT SMITH AR 72901 710388927 501(C)(3) 42000 GENERAL SUPPORT RONALD MCDONALD HOUSE CHARITIES 1501 W 10TH STREET LITTLE ROCK AR 72202 710525252 501(C)(3) 14040 20000 FMV PROVIDE LAND GENERAL SUPPORT SAMARITAN COMMUNITY CENTER 1211 W HUDSON RD ROGERS AR 72756 ROGERS AR 72756 043703020 501(C)(3) 40000 GENERAL SUPPORT ST JAMES BAPTIST CHURCH PO BOX 433 FAYETTEVILLE AR 72701 651216181 501(C)(3) 20000 GENERAL SUPPORT THE HELPING HAND OF GREATER LITTLE ROCK 1601 MARSHALL ST LITTLE ROCK AR 72216 710588564 501(C)(3) 60000 GENERAL SUPPORT TOPPS (TARGETING OUR PEOPLE'S PRIORITIES WITH SERVICE) PO BOX 2793 PINE BLUFF AR 71613 743041819 501(C)(3) 20000 GENERAL SUPPORT UNIVERSITY OF ARKANSAS FOR MEDICAL SCIENCES 4301 W MARKHAM LITTLE ROCK AR 72205 716056774 GOV'T ENTITY 204800 GENERAL SUPPORT WOMEN & CHILDREN FIRST PO BOX 1954 LITTLE ROCK AR 72203 710513011 501(C)(3) 7275 GENERAL SUPPORT WOMEN'S FOUNDATION OF ARKANSAS 400 W CAPITOL AVE SUITE 1242 LITTLE ROCK AR 72201 300034070 501(C)(3) 24700 GENERAL SUPPORT 37 0 MEALS 3559 142222 COST MEALS FOR PATIENT FAMILIES/CAREGIVERS INSURANCE PREMIUMS 25 31375 COST PAYMENT OF PREMIUMS FOR PATIENT'S FAMILIES ALLOWED BY COBRA TRANSPORTATION COSTS (BUS TOKENS, CAB FARE, GAS CARDS) 682 21839 COST FUNERAL EXPENSES 19 6544 COST RENT, MORTGAGE EXPENSE, UTILITIES, LODGING 53 17594 COST CAR SEATS FOR INFANTS AND CHILDREN 733 50036 COST CAR SEATS FOR INFANTS AND CHILDREN CLOTHING, GROCERY GIFT CARDS, AND OTHER MISC. ASSISTANCE 56 70584 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 1033366 0 236539 0 130872 0 231100 0 8555 0 1640432 0 120001 GENA WINGFIELD EVP/CHIEF FINANCIAL OFFICER 0 528461 0 100975 0 59961 0 90295 0 8436 0 788128 0 53820 GRESHAM RICHTER MD TRUSTEE/DIRECTOR-CHIEF OF STAFF 643217 0 6052 0 0 0 0 0 63410 0 712679 0 0 0 PATRICIA MONTAGUE EVP/COO 0 395437 0 50295 0 101458 0 30086 0 5428 0 582704 0 28835 GREGORY SHARP MD SVP/CHIEF MEDICAL OFFICER 403265 0 51939 0 0 0 0 0 60009 0 515213 0 0 0 LEE ANNE EDDY SVP/CHIEF NURSING OFFICER 324912 0 47037 0 33512 0 62664 0 10411 0 478536 0 30651 0 CHANDA CHACON EVP/COO (PARTIAL YEAR) 0 351714 0 0 0 49014 0 22471 0 5394 0 428593 0 45510 JARED CAPOUYA VP QUALITY & SAFETY 340551 0 41058 0 355 0 24850 0 12097 0 418911 0 0 0 ANN KRUGER VP AMBULATORY CARE SVC 265918 0 32612 0 1141 0 30510 0 11718 0 341899 0 0 0 AMY FALLON VP FACILITIES & SUPPORT SVC 268098 0 32875 0 269 0 16879 0 7982 0 326103 0 0 0 CINDY HILL VP FINANCIAL SERVICES 244095 0 30068 0 1604 0 25077 0 11623 0 312467 0 0 0 SHANNON HENDRIX VP CLINICAL/DIAG SVC (PARTIAL YEAR) 230246 11923 29390 0 340 18 23805 1035 11112 483 294893 13459 0 0 LE'KITA BROWN VP REVENUE CYCLE 257951 0 30792 0 252 0 14251 0 4570 0 307816 0 0 0 CHRISTIAN EISENRING SURGICAL ASSISTANT COORDINATOR 245462 0 8072 0 1018 0 14962 0 7392 0 276906 0 0 0 RENEE BORNEMEIER MD DIRECTOR-CHIEF OF STAFF (PARTIAL YR) 232995 0 3974 0 0 0 0 0 38594 0 275563 0 0 0 MARY SALASSI-SCOTTER VP PATIENT CARE SERVICES 211213 0 25877 0 2217 0 27883 0 7228 0 274418 0 0 0 JONATHAN GOLDBERG SVP/CIO (PARTIAL YEAR) 0 202622 0 0 0 37935 0 20215 0 6411 0 267183 0 35069 ERIN PARKER SVP/CIO 0 172970 0 61420 0 150 0 18909 0 5594 0 259043 0 0 CARRIE LEE VP PATIENT CARE SERVICES 185494 0 16416 0 153 0 19978 0 7459 0 229500 0 0 0 BETH PETLAK VP POPULATION HEALTH/CHS EXEC DIR 176927 0 21221 0 347 0 22990 0 1466 0 222951 0 0 0 SHERI NORTON CHIEF PERFUSIONIST 177881 0 1250 0 127 0 18196 0 4210 0 201664 0 0 0 JOHN MCINTOSH STAFF PHARMACIST 176724 0 1000 0 229 0 11875 0 7268 0 197096 0 0 0 LUANN JONES NEONATAL SERVICES NURSING DIRECTOR 169643 0 8375 0 338 0 6256 0 7151 0 191763 0 0 0 ART SHUMATE PERIOPERATIVE SERVICES DIRECTOR 171716 0 8447 0 987 0 2779 0 4466 0 188395 0 0 0 TAMMY DIAMOND-WELLS VP CLINICAL/DIAG SVC 146552 0 7296 0 278 0 12455 0 11704 0 178285 0 0 0 JOHN MCNALLY MEDICAL ADMIN DIRECTOR 163422 0 7877 0 579 0 1579 0 1398 0 174855 0 0 0 ROBIN MITCHELL LAB ADMIN DIRECTOR 151011 0 7264 0 181 0 6290 0 1338 0 166084 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. THREE 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 2020 (FISCAL YEAR 2021), 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: ACH PRESIDENT AND CEO - $128,223 - CHANDA CHACON: AC EVP AND COO (PARTIAL YEAR) - $48,628 - LEE ANNE EDDY: ACH SVP AND CNO - $32,751 - JONATHAN GOLDBERG: AC SVP AND CIO (PARTIAL YEAR) - $37,471 - TRISHA MONTAGUE: AC EVP/COO - $30,811 - GENA WINGFIELD: ACH EVP AND CFO - $57,507 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., DIRECTOR AND CHIEF OF MEDICAL STAFF , RENEE BORNEMEIER, M.D. (PARTIAL YEAR), 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 15403605 19800000 19800000 2015 0 0 1 1 B 205000 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 0.00080 0.00000 0.00080 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 61502 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 1 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., RENEE BORNEMEIER, M.D., AND GRESHAM RICHTER, M.D. EACH WAS COMPENSATED BY ACH VIA ITS CONTRACT WITH UAMS. FORM 990, PART VI, SECTION A, LINE 2 BOARD MEMBERS TOM BAXTER AND TRAV BAXTER HAVE A FAMILY RELATIONSHIP, HOWEVER, THEIR TERMS OF SERVICE ON THE BOARD DID NOT OVERLAP. THEY NEVER SERVED ON THE BOARD AT THE SAME TIME. 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 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 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 94,802,528. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 94,802,528. TESTING: PROGRAM SERVICE EXPENSES 3,680,117. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 3,680,117. REPAIRS & MAINTENANCE: PROGRAM SERVICE EXPENSES 5,302,744. MANAGEMENT AND GENERAL EXPENSES 41,976. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 5,344,720. OTHER FEES FOR SERVICE: PROGRAM SERVICE EXPENSES 9,074,479. MANAGEMENT AND GENERAL EXPENSES 17,602,078. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 26,676,557. FORM 990, PART XI, LINE 9: UNEXPENDED GRANT CARRYOVER ADJUSTMENTS -72,860. ALLOCATION OF ADDITIONAL COSTS - PARENT 1,615,809. TRANSFER OF FUNDS BETWEEN ACH & ACCN 785,000. TRANSFER OF FUNDS BETWEEN ACH & ACMG -1,654,501. ASSET TRANSFER TO ACNW & ACRI -26,473. 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 244205 776795 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 0 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.