ARKANSAS CHILDRENS HOSPITAL: Form 990, tax year 2018

View the entire original 990 at ProPublica ↗

Organization: ARKANSAS CHILDRENS HOSPITAL (EIN 71-0236857)
Tax period: 2018-07-01 to 2019-06-30
Filed: 2020-05-14
IRS object ID: 202011359349304111
Schema version: 2018v3.1
Source: Download XML · Original 990 at ProPublica

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

Return header
Form 990
Schedule A
Schedule B
Schedule D
Schedule H
Schedule I
Schedule J
Schedule K
Schedule L
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2020-05-14T18:05:16-05:00	ReturnTs
Tax Period End	2019-06-30	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Field	Value	IRS element (for citing)
Preparer Firm EIN	135565207	PreparerFirmEIN

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	KPMG LLP	BusinessNameLine1Txt

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	301 MAIN ST ONE AMERICAN PL STE	AddressLine1Txt
Address Line2	2150	AddressLine2Txt
City	BATON ROUGE	CityNm
State Abbreviation	LA	StateAbbreviationCd
ZIP	708011705	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2018-07-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	710236857	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	ARKANSAS CHILDREN'S HOSPITAL	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Business Name Control	ARKA	BusinessNameControlTxt
Phone	5013642555	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1 CHILDRENS WAY	AddressLine1Txt
City	LITTLE ROCK	CityNm
State Abbreviation	AR	StateAbbreviationCd
ZIP	72202	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	MARCELLA DODERER	PersonNm
Person Title	PRESIDENT & CEO	PersonTitleTxt
Phone	5013642555	PhoneNum
Signature	2020-05-14	SignatureDt
Discuss With Paid Preparer	Yes (1)	DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	SHANNON KIRKPATRICK	PreparerPersonNm
PTIN	P00566467	PTIN
Phone	2253444000	PhoneNum

Filing Security Information FilingSecurityInformation

IP Address IPAddress

Field	Value	IRS element (for citing)
I Pv4 Address	107.126.67.65	IPv4AddressTxt

Field	Value	IRS element (for citing)
IP	2020-05-14	IPDt
IP Tm	18:05:10	IPTm
IP Timezone	CD	IPTimezoneCd
Filing License Type	P	FilingLicenseTypeCd
At Submission Creation Device Id	6410079965079D3074AAD5C60F569B728853E432	AtSubmissionCreationDeviceId
At Submission Filing Device Id	D02687732C874149E379C6F1F0D04F13DC8FD286	AtSubmissionFilingDeviceId

Field	Value	IRS element (for citing)
Tax	2018	TaxYr
Build TS	2020-09-23 17:36:50Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Principal Officer	MARCELLA DODERER	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1 CHILDRENS WAY	AddressLine1Txt
City	LITTLE ROCK	CityNm
State Abbreviation	AR	StateAbbreviationCd
ZIP	72202	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$644,776,288	GrossReceiptsAmt
Group Return For Affiliates	0	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	WWW.ARCHILDRENS.ORG	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1912	FormationYr
Legal Domicile State	AR	LegalDomicileStateCd
Activity Or Mission	WE CHAMPION CHILDREN BY MAKING THEM BETTER TODAY AND HEALTHIER TOMORROW.	ActivityOrMissionDesc
Voting Members Governing Body	15	VotingMembersGoverningBodyCnt
Voting Members Independent	13	VotingMembersIndependentCnt
Total Employee	4393	TotalEmployeeCnt
Total Volunteers	1184	TotalVolunteersCnt
Total Gross UBI	$0	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$0	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$34,671,598	PYContributionsGrantsAmt
CY Contributions Grants	$39,577,405	CYContributionsGrantsAmt
PY Program Service Revenue	$588,717,237	PYProgramServiceRevenueAmt
CY Program Service Revenue	$587,414,091	CYProgramServiceRevenueAmt
PY Investment Income	$6,775,790	PYInvestmentIncomeAmt
CY Investment Income	$7,063,120	CYInvestmentIncomeAmt
PY Other Revenue	$11,168,282	PYOtherRevenueAmt
CY Other Revenue	$9,976,498	CYOtherRevenueAmt
PY Total Revenue	$641,332,907	PYTotalRevenueAmt
CY Total Revenue	$644,031,114	CYTotalRevenueAmt
PY Grants And Similar Paid	$6,543,224	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$14,111,043	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$276,617,342	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$267,256,455	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$310,733,862	PYOtherExpensesAmt
CY Other Expenses	$303,082,623	CYOtherExpensesAmt
PY Total Expenses	$593,894,428	PYTotalExpensesAmt
CY Total Expenses	$584,450,121	CYTotalExpensesAmt
PY Revenues Less Expenses	$47,438,479	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$59,580,993	CYRevenuesLessExpensesAmt
Total Assets BOY	$868,150,306	TotalAssetsBOYAmt
Total Assets EOY	$911,398,842	TotalAssetsEOYAmt
Total Liabilities BOY	$140,861,965	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$141,487,687	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$727,288,341	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$769,911,155	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	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.	MissionDesc
Significant New Program Srvc	0	SignificantNewProgramSrvcInd
Significant Change	0	SignificantChangeInd
Expense	$478,155,199	ExpenseAmt
Grant	$14,111,043	GrantAmt
Revenue	$589,975,048	RevenueAmt
Desc	ARKANSAS CHILDREN'S HOSPITAL (ACH) IS A NOT-FOR-PROFIT PEDIATRIC HOSPITAL THAT SERVES AS THE CENTRAL TERTIARY 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. DURING THE YEAR ENDED JUNE 30, 2019, ACH EXPERIENCED THE FOLLOWING: 16,177 ADMISSIONS WITH AN AVERAGE STAY OF 5.28 DAYS; 82,225 PATIENT DAYS; 225.3 AVERAGE DAILY CENSUS; 336 OPERATING BEDS, INCLUDING 180 INTENSIVE CARE BEDS AND 143 MEDICAL/SURGICAL BEDS; 242,690 OUTPATIENT VISITS, EXCLUDING ER VISITS WHICH WERE 62,307; AND 15,480 SURGERIES. CONTINUED ON SCHEDULE O:IN ADDITION TO PROVIDING CHARITY CARE, ACH COORDINATES A VARIETY OF PROGRAMS, SERVICES AND INITIATIVES WHICH BENEFIT CHILDREN AND FAMILIES IN THE STATE. ACH IS THE BACKBONE ORGANIZATION FOR A COALITION CALLED THE NATURAL WONDERS PARTNERSHIP COUNCIL (NWPC), WHICH BRINGS TOGETHER CHILD HEALTH STAKEHOLDERS TO WORK STRATEGICALLY TO IMPROVE THE HEALTH OF CHILDREN IN ARKANSAS. ACH FUNDS SEVERAL PROGRAMS THAT HAVE BEEN IDENTIFIED AS SHARED PRIORITIES BY THE NWPC MEMBERS. FOR EXAMPLE, ACH'S INJURY PREVENTION CENTER HAS BEEN INSTRUMENTAL IN HELPING TO SIGNIFICANTLY REDUCE THE NUMBER OF CHILDREN KILLED IN AUTOMOBILE ACCIDENTS AND OTHER INJURY-RELATED DEATHS THROUGH DATA COLLECTION, PROGRAM DEVELOPMENT AND IMPLEMENTATION, AND OUTREACH. ACH HAS IMPROVED THE ORAL HEALTH OF CHILDREN THROUGH ITS MOBILE DENTAL VANS AND PORTABLE SEALANT OUTREACH EFFORTS, AND ALSO SUPPORTS A PHYSICAL ACTIVITY PROGRAM TO HELP REDUCE OBESITY FOR ELEMENTARY SCHOOL CHILDREN STATEWIDE, REACHING ALMOST 160,000 YOUNG CHILDREN. ACH PARTNERED WITH LEGAL AID OF ARKANSAS TO OPERATE A MEDICAL/LEGAL PARTNERSHIP THAT ADDRESSES HEALTH HARMING LEGAL NEEDS FOR PATIENTS ACROSS THE STATE. ADDITIONALLY, MORE THAN 30,000 CHILDREN RECEIVED FREE USDA MEALS WHILE ON CAMPUS THROUGH THE INNOVATIVE NEW CHILDREN'S MEDICAL NUTRITION AND FEEDING PROGRAM THANKS TO PARTNERSHIPS WITH FEDERAL AND STATE STAKEHOLDERS. THROUGH ITS COMMUNITY EFFORTS, ACH'S OUTREACH DEPARTMENT PROVIDED CHILDREN AND FAMILIES THROUGHOUT THE STATE WITH INFORMATIVE HEALTH EDUCATION PROGRAMS RELATING TO CHILD SAFETY, HYGIENE EDUCATION, WELLNESS AND PREVENTION ACTIVITIES, AND SEASONAL INFORMATION RELATING TO HEALTH RISKS. ACH HAS BEEN DESIGNATED BY THE ARKANSAS DEPARTMENT OF HEALTH AS THE STATE'S ONLY PEDIATRIC LEVEL 1 TRAUMA CENTER, AN INDICATION THAT IT PROVIDES THE HIGHEST STANDARD OF CARE FOR INJURED CHILDREN.	Desc
Total Program Service Expenses	$478,155,199	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (1)	DescribedInSection501c3Ind
Schedule B Required	Yes (1)	ScheduleBRequiredInd
Political Campaign Acty	0	PoliticalCampaignActyInd
Lobbying Activities	0	LobbyingActivitiesInd
Subject To Proxy Tax	0	SubjectToProxyTaxInd
Donor Advised Fund	0	DonorAdvisedFundInd
Conservation Easements	0	ConservationEasementsInd
Collections Of Art	0	CollectionsOfArtInd
Credit Counseling	0	CreditCounselingInd
Temp Or Permanent Endowments	Yes (1)	TempOrPermanentEndowmentsInd
Report Land Building Equipment	Yes (1)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	0	ReportInvestmentsOtherSecInd
Report Program Related Invst	0	ReportProgramRelatedInvstInd
Report Other Assets	Yes (1)	ReportOtherAssetsInd
Report Other Liabilities	0	ReportOtherLiabilitiesInd
Include FIN48 Footnote	Yes (1)	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	0	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (1)	ConsolidatedAuditFinclStmtInd
School Operating	0	SchoolOperatingInd
Foreign Office	0	ForeignOfficeInd
Foreign Activities	0	ForeignActivitiesInd
More Than5000 K To Org	0	MoreThan5000KToOrgInd
More Than5000 K To Individuals	0	MoreThan5000KToIndividualsInd
Professional Fundraising	0	ProfessionalFundraisingInd
Fundraising Activities	0	FundraisingActivitiesInd
Gaming Activities	0	GamingActivitiesInd
Operate Hospital	Yes (1)	OperateHospitalInd
Audited Financial Stmt Att	Yes (1)	AuditedFinancialStmtAttInd
Grants To Organizations	Yes (1)	GrantsToOrganizationsInd
Grants To Individuals	Yes (1)	GrantsToIndividualsInd
Schedule J Required	Yes (1)	ScheduleJRequiredInd
Tax Exempt Bonds	Yes (1)	TaxExemptBondsInd
Invest Tax Exempt Bonds	0	InvestTaxExemptBondsInd
Escrow Account	0	EscrowAccountInd
On Behalf Of Issuer	0	OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans	0	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	0	PYExcessBenefitTransInd
Loan Outstanding	Yes (1)	LoanOutstandingInd
Grant To Related Person	0	GrantToRelatedPersonInd
Business Rln With Org Mem	0	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	Yes (1)	BusinessRlnWithFamMemInd
Business Rln With Officer Ent	0	BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri	0	DeductibleNonCashContriInd
Deductible Art Contribution	0	DeductibleArtContributionInd
Terminate Operations	0	TerminateOperationsInd
Partial Liquidation	0	PartialLiquidationInd
Disregarded Entity	0	DisregardedEntityInd
Related Entity	Yes (1)	RelatedEntityInd
Related Organization Ctrl Ent	0	RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	0	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	0	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (1)	ScheduleORequiredInd
IRP Document	409	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (1)	BackupWthldComplianceInd
Employee	4393	EmployeeCnt
Employment Tax Returns Filed	Yes (1)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	0	UnrelatedBusIncmOverLimitInd
Foreign Financial Account	0	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	0	ProhibitedTaxShelterTransInd
Taxable Party Notification	0	TaxablePartyNotificationInd
Nondeductible Contributions	0	NondeductibleContributionsInd
Quid Pro Quo Contributions	0	QuidProQuoContributionsInd
Form8282 Property Disposed Of	0	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	0	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	0	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	0	IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt	0	SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc	0	SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	15	GoverningBodyVotingMembersCnt
Independent Voting Member	13	IndependentVotingMemberCnt
Family Or Business Rln	0	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	Yes (1)	DelegationOfMgmtDutiesInd
Change To Org Documents	Yes (1)	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	0	MaterialDiversionOrMisuseInd
Members Or Stockholders	Yes (1)	MembersOrStockholdersInd
Election Of Board Members	Yes (1)	ElectionOfBoardMembersInd
Decisions Subject To Approva	Yes (1)	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (1)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (1)	MinutesOfCommitteesInd
Officer Mailing Address	0	OfficerMailingAddressInd
Local Chapters	0	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (1)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (1)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (1)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (1)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (1)	WhistleblowerPolicyInd
Document Retention Policy	Yes (1)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (1)	CompensationProcessCEOInd
Compensation Process Other	Yes (1)	CompensationProcessOtherInd
Investment In Joint Venture	Yes (1)	InvestmentInJointVentureInd
Written Policy Or Procedure	Yes (1)	WrittenPolicyOrProcedureInd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	GENA WINGFIELD	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Phone	5013642555	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1 CHILDRENS WAY	AddressLine1Txt
City	LITTLE ROCK	CityNm
State Abbreviation	AR	StateAbbreviationCd
ZIP	72202	ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (33 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	OfficerOfficerInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Key EmployeeKeyEmployeeInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd	Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
MARCELLA DODERER
PRESIDENT/CEO	0.52	56.40	Yes (X)	Yes (X)	$0	$1,160,823	$148,595
JOHN BALE JR
TRUSTEE/DIRECTOR	0.20	0.20	Yes (X)		$0	$0	$0
TOM BAXTER
TRUSTEE/DIRECTOR	0.17	0.18	Yes (X)		$0	$0	$0
RENEE BORNEMEIER MD
TRUSTEE/DIRECTOR-CHIEF OF STAFF	54.48	0.00	Yes (X)		$308,522	$0	$55,969
MELISSA GRAHAM MD
TRUSTEE/DIRECTOR	0.36	0.00	Yes (X)		$0	$0	$0
DORSEY JACKSON
TRUSTEE/DIRECTOR	0.14	0.00	Yes (X)		$0	$0	$0
DOUGLAS JACKSON
TRUSTEE/DIRECTOR	0.45	0.00	Yes (X)		$0	$0	$0
RICHARD JACOBS MD
TRUSTEE/DIRECTOR	0.45	0.00	Yes (X)		$0	$0	$0
TIONNA JENKINS PHD
TRUSTEE/DIRECTOR	0.26	0.00	Yes (X)		$0	$0	$0
PHILLIP JETT
CHAIR OF THE BOARD	0.53	0.00	Yes (X)		$0	$0	$0
HOLLY MARR
TRUSTEE/DIRECTOR	0.45	0.00	Yes (X)		$0	$0	$0
PAT MCCLELLAND
TRUSTEE/DIRECTOR	0.45	0.32	Yes (X)		$0	$0	$0
BARBARA G MOORE
TRUSTEE/DIRECTOR	0.26	0.20	Yes (X)		$0	$0	$0
BEVERLY A MORROW
VICE CHAIR	0.48	0.06	Yes (X)		$0	$0	$0
ROSS WHIPPLE
TREASURER	0.24	0.12	Yes (X)		$0	$0	$0
GENA WINGFIELD
EVP/CHIEF FINANCIAL OFFICER	12.00	36.00		Yes (X)	$0	$621,832	$84,067
CHANDA CHACON
EVP/COO	35.00	15.00			$0	$548,652	$71,681	Yes (X)
AMY CRESS
VP FACILITIES & SUPPORT SVC	50.00	0.00			$290,804	$0	$20,851	Yes (X)
JAY DESHPANDE
SVP/CMO (PARTIAL YEAR)	47.92	0.00			$315,145	$0	$27,660	Yes (X)
LEE ANNE EDDY
SVP/CHIEF NURSING OFFICER	50.00	0.00			$400,658	$0	$56,495	Yes (X)
JONATHAN GOLDBERG
SVP/CIO	40.00	10.00			$0	$431,543	$64,654	Yes (X)
SHANNON HENDRIX
VP CLINICAL/DIAG SVC	50.00	0.00			$209,031	$0	$18,090	Yes (X)
MARY SALASSI-SCOTTER
VP PATIENT CARE SVC	50.00	0.00			$210,315	$0	$25,627	Yes (X)
GREGORY SHARP MD
SVP/CHIEF MEDICAL OFFICER	54.88	0.00			$275,625	$0	$53,567	Yes (X)
MEL STIMSON
PHARMACY DIRECTOR	50.00	0.00			$173,598	$0	$17,623	Yes (X)
TAMMY WEBB
VP ACUTE CARE	50.00	0.00			$204,410	$0	$11,342	Yes (X)
LE'KITA BROWN
VP REVENUE CYCLE	50.00	0.00			$236,003	$0	$3,014		Yes (X)
CINDY HILL
VP FINANCIAL SERVICES	54.00	0.00			$239,963	$0	$26,170		Yes (X)
JEFF HOUSE
VP STRATEGIC MARKETING	50.00	0.00			$253,631	$0	$5,447		Yes (X)
CAROL HUDGENS
VP REVENUE CYCLE (PARTIAL YEAR)	50.00	0.00			$242,890	$0	$27,559		Yes (X)
ANN KRUGER
VP AMBULATORY CARE SVC	55.00	0.00			$292,962	$0	$27,305		Yes (X)
KATHERINE LEA
VP ED/SURGICAL CARE-FORMER	50.00	0.00			$211,628	$0	$18,784			Yes (X)
ANDREE TROSCLAIR
SVP/CHIEF PEOPLE OFFICER-FORMER	0.00	50.00			$0	$326,775	$26,343			Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$3,865,185	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$3,089,625	TotReportableCompRltdOrgAmt
Total Other Compensation	$790,843	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	198	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	Yes (1)	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (1)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	Yes (1)	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
UNIVERSITY OF ARKANSAS FOR MEDICAL SCIEN
4301 WEST MARKHAM	LITTLE ROCK	AR	72205	MEDICAL SERVICES	$72,489,736
COMPASS ONE
PO BOX 102289	ATLANTA	GA	303682289	NUTRITION SERVICES	$9,468,911
EPIC SYSTEMS CORPORATION
PO BOX 88314	MILWAUKEE	WI	53288	IT SYSTEMS DEVELOPMENT	$8,413,721
CROTHALL HEALTHCARE
13028 COLLECTION CENTER DRIVE	CHICAGO	IL	60693	PATIENT TRANSPORT/EVS/LINEN SVC	$8,355,532
NABHOLZ CONSTRUCTION CORP
PO BOX 2090	CONWAY	AR	72033	GENERAL CONSTRUCTION CONTRACTOR	$7,673,829

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	84	CntrctRcvdGreaterThan100KCnt
Related Organizations	$21,069,243	RelatedOrganizationsAmt
Government Grants	$18,508,162	GovernmentGrantsAmt
Total Contributions	$39,577,405	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

Field	Value	IRS element (for citing)
Desc	PAYMENTS FOR MED SVCS	Desc
Business	622110	BusinessCd
Total Revenue Column	$587,414,091	TotalRevenueColumnAmt
Related Or Exempt Func Income	$587,414,091	RelatedOrExemptFuncIncomeAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$587,414,091	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$7,777,453	TotalRevenueColumnAmt
Exclusion	$7,777,453	ExclusionAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$1,771,778	RealAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$12,241	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$1,759,537	RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,759,537	TotalRevenueColumnAmt
Exclusion	$1,759,537	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Other	$18,600	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Other	$732,933	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Other	-$714,333	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$714,333	TotalRevenueColumnAmt
Exclusion	-$714,333	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	ExclusionExclusionAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
NUTRITIONAL SERVICES	900099	$4,172,840	$4,172,840
CHILD ENRICHMENT	900099	$1,483,164	$1,483,164
HEARING SCREENINGS	900099	$404,834		$404,834

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$2,156,123	TotalRevenueColumnAmt
Related Or Exempt Func Income	$2,156,123	RelatedOrExemptFuncIncomeAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$8,216,961	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$644,031,114	TotalRevenueColumnAmt
Related Or Exempt Func Income	$589,975,048	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$14,478,661	ExclusionAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part IX	Yes (X)	InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$13,333,844	TotalAmt
Program Services	$13,333,844	ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

Field	Value	IRS element (for citing)
Total	$777,199	TotalAmt
Program Services	$777,199	ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$2,739,012	TotalAmt
Program Services	$2,413,652	ProgramServicesAmt
Management And General	$325,360	ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

Field	Value	IRS element (for citing)
Total	$71,446	TotalAmt
Program Services	$71,446	ProgramServicesAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$225,701,496	TotalAmt
Program Services	$177,716,300	ProgramServicesAmt
Management And General	$47,985,196	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$38,744,501	TotalAmt
Program Services	$32,200,515	ProgramServicesAmt
Management And General	$6,543,986	ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$10,080,942	TotalAmt
Program Services	$9,660,637	ProgramServicesAmt
Management And General	$420,305	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$36,997	TotalAmt
Program Services	$36,697	ProgramServicesAmt
Management And General	$300	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$120,175,360	TotalAmt
Program Services	$101,195,692	ProgramServicesAmt
Management And General	$18,979,668	ManagementAndGeneralAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$1,212,598	TotalAmt
Program Services	$40,958	ProgramServicesAmt
Management And General	$1,171,640	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$7,787,760	TotalAmt
Program Services	$4,490,869	ProgramServicesAmt
Management And General	$3,296,891	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$14,912,878	TotalAmt
Program Services	$4,867,158	ProgramServicesAmt
Management And General	$10,045,720	ManagementAndGeneralAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$4,260,262	TotalAmt
Program Services	$3,244,712	ProgramServicesAmt
Management And General	$1,015,550	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$1,631,619	TotalAmt
Program Services	$1,446,697	ProgramServicesAmt
Management And General	$184,922	ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$804,689	TotalAmt
Program Services	$743,100	ProgramServicesAmt
Management And General	$61,589	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$3,993,378	TotalAmt
Management And General	$3,993,378	ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$37,899,157	TotalAmt
Program Services	$31,960,441	ProgramServicesAmt
Management And General	$5,938,716	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$14,122	TotalAmt
Program Services	$14,122	ProgramServicesAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
MEDICAL SUPPLIES	$85,981,665	$85,191,460	$790,205
OTHER ADMINISTRATIVE EX	$11,690,302	$6,449,008	$5,241,294
MINOR EQUIPMENT	$1,716,066	$1,481,287	$234,779
DUES & SUBSCRIPTIONS	$884,828	$819,405	$65,423

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$584,450,121	TotalAmt
Program Services	$478,155,199	ProgramServicesAmt
Management And General	$106,294,922	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$12,440	BOYAmt
EOY	$44,309	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$44,522,516	BOYAmt
EOY	$53,307,193	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$74,006,853	BOYAmt
EOY	$78,203,326	EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

Field	Value	IRS element (for citing)
BOY	$60,000	BOYAmt
EOY	$40,000	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$9,412,740	BOYAmt
EOY	$10,056,345	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$7,052,718	BOYAmt
EOY	$7,542,340	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$614,472,172	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$317,241,914	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$310,336,409	BOYAmt
EOY	$297,230,258	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$252,645,338	BOYAmt
EOY	$310,919,650	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$593,319	BOYAmt
EOY	$648,106	EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
BOY	$509,622	BOYAmt
EOY	$423,585	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$168,998,351	BOYAmt
EOY	$152,983,730	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$868,150,306	BOYAmt
EOY	$911,398,842	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$36,452,004	BOYAmt
EOY	$40,964,551	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$104,355,474	BOYAmt
EOY	$100,523,136	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$54,487	BOYAmt
EOY	$0	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$140,861,965	BOYAmt
EOY	$141,487,687	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows SFAS117	Yes (X)	OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$693,715,008	BOYAmt
EOY	$738,898,181	EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$33,573,333	BOYAmt
EOY	$31,012,974	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$727,288,341	BOYAmt
EOY	$769,911,155	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$868,150,306	BOYAmt
EOY	$911,398,842	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$59,580,993	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$7,847,986	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	-$24,806,165	OtherChangesInNetAssetsAmt
Info In Schedule O Part XII	Yes (X)	InfoInScheduleOPartXIIInd
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	0	AccountantCompileOrReviewInd
FS Audited	Yes (1)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

Field	Value	IRS element (for citing)
Consolidated Basis Fincl Stmt	Yes (X)	ConsolidatedBasisFinclStmtInd

Field	Value	IRS element (for citing)
Audit Committee	Yes (1)	AuditCommitteeInd
Federal Grant Audit Required	Yes (1)	FederalGrantAuditRequiredInd
Federal Grant Audit Performed	Yes (1)	FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital	Yes (X)	HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor US Address ContributorUSAddress

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Total Contributions	RESTRICTED	TotalContributionsAmt

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$296,307,577	BeginningYearBalanceAmt
Contributions	$5,224,717	ContributionsAmt
Investment Earnings Or Losses	$20,943,820	InvestmentEarningsOrLossesAmt
Other Expenditures	$13,293,607	OtherExpendituresAmt
End Year Balance	$309,182,507	EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$279,051,286	BeginningYearBalanceAmt
Contributions	$1,174,503	ContributionsAmt
Investment Earnings Or Losses	$24,842,576	InvestmentEarningsOrLossesAmt
Other Expenditures	$8,760,788	OtherExpendituresAmt
End Year Balance	$296,307,577	EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$265,682,157	BeginningYearBalanceAmt
Contributions	$4,087,548	ContributionsAmt
Investment Earnings Or Losses	$22,707,945	InvestmentEarningsOrLossesAmt
Other Expenditures	$13,426,364	OtherExpendituresAmt
End Year Balance	$279,051,286	EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$263,164,433	BeginningYearBalanceAmt
Contributions	$2,013,304	ContributionsAmt
Investment Earnings Or Losses	$1,498,535	InvestmentEarningsOrLossesAmt
Other Expenditures	$994,115	OtherExpendituresAmt
End Year Balance	$265,682,157	EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$260,807,759	BeginningYearBalanceAmt
Contributions	$2,522,174	ContributionsAmt
Investment Earnings Or Losses	$3,700,116	InvestmentEarningsOrLossesAmt
Other Expenditures	$3,865,616	OtherExpendituresAmt
End Year Balance	$263,164,433	EndYearBalanceAmt

Field	Value	IRS element (for citing)
Board Designated Balance EOY	0.71530	BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY	0.16350	PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY	0.12120	TermEndowmentBalanceEOYPct
Endowments Held Unrelated Org	0	EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org	Yes (1)	EndowmentsHeldRelatedOrgInd
Related Org List Sch R	Yes (1)	RelatedOrgListSchRInd

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$14,306,370	OtherCostOrOtherBasisAmt
Book Value	$14,306,370	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$350,536,202	OtherCostOrOtherBasisAmt
Depreciation	$185,777,359	DepreciationAmt
Book Value	$164,758,843	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$219,336,779	OtherCostOrOtherBasisAmt
Depreciation	$120,879,211	DepreciationAmt
Book Value	$98,457,568	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$30,292,821	OtherCostOrOtherBasisAmt
Depreciation	$10,585,344	DepreciationAmt
Book Value	$19,707,477	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$297,230,258	TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (7 entries)

DescDesc	Book ValueBookValueAmt
FUNDS HELD BY TRUSTEE UNDER BOND AGREEMENTS	$2,146,168
ESTIMATED 3RD PARTY SETTLEMENT (MCD)	$130,463,770
UPL RECEIVABLE	$9,727,281
GME RECEIVABLE	$1,506,756
OTHER RECEIVABLES	$8,741,828
INTEREST RECEIVABLE - FUNDED DEPR	$112,845
DUE FROM AFFILIATES	$285,082

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$152,983,730	TotalBookValueOtherAssetsAmt
Footnote Text	Yes (X)	FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc

ExplanationExplanationTxt

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 FINANCIAL ACCOUNTING STANDARDS BOARD (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, 2019 AND 2018, THERE ARE NO UNCERTAIN POSITIONS TAKEN OR EXPECTED TO BE TAKEN THAT WOULD REQUIRE RECOGNITION OF A LIABILITY (OR ASSET) OR DISCLOSURE IN THE CONSOLIDATED FINANCIAL STATEMENTS.

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (1)	FinancialAssistancePolicyInd
Written Policy	Yes (1)	WrittenPolicyInd
FPG Reference Free Care	Yes (1)	FPGReferenceFreeCareInd

Free Care Oth Percentage FreeCareOthPercentageGrp

Field	Value	IRS element (for citing)
Other	Yes (X)	OtherInd
Free Care Other	250.000000000000	FreeCareOtherPct

Field	Value	IRS element (for citing)
FPG Reference Discounted Care	Yes (1)	FPGReferenceDiscountedCareInd
Percent400	Yes (X)	Percent400Ind
Free Care Medically Indigent	0	FreeCareMedicallyIndigentInd
Financial Assistance Budget	Yes (1)	FinancialAssistanceBudgetInd
Expenses Exceed Budget	0	ExpensesExceedBudgetInd
Annual Community Bnft Report	0	AnnualCommunityBnftReportInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$12,789,227	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$12,789,227	NetCommunityBenefitExpnsAmt
Total Expense	0.02190	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$345,455,026	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$354,854,598	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$358,244,253	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$354,854,598	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$12,789,227	NetCommunityBenefitExpnsAmt
Total Expense	0.02190	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$10,157,352	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$2,166,556	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$7,990,796	NetCommunityBenefitExpnsAmt
Total Expense	0.01370	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$22,667,989	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$7,992,600	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$14,675,389	NetCommunityBenefitExpnsAmt
Total Expense	0.02510	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$30,517,325	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$12,670,004	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$17,847,321	NetCommunityBenefitExpnsAmt
Total Expense	0.03050	TotalExpensePct

Research ResearchGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$9,811,306	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$9,811,306	NetCommunityBenefitExpnsAmt
Total Expense	0.01680	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$242,390	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$31,158	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$211,232	NetCommunityBenefitExpnsAmt
Total Expense	0.00040	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$73,396,362	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$22,860,318	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$50,536,044	NetCommunityBenefitExpnsAmt
Total Expense	0.08650	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$431,640,615	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$377,714,916	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$63,325,271	NetCommunityBenefitExpnsAmt
Total Expense	0.10840	TotalExpensePct

Community Support CommunitySupportGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$15,805	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$15,805	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Leadership Development LeadershipDevelopmentGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,500	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$1,500	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Coalition Building CoalitionBuildingGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$6,820	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$6,820	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Health Improvement Advocacy HealthImprovementAdvocacyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$57,666	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$57,666	NetCommunityBenefitExpnsAmt
Total Expense	0.00010	TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$4,650	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$4,650	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Other Communtity Building Acty OtherCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$74,562	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$74,562	DirectOffsettingRevenueAmt

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$161,003	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$74,562	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$86,441	NetCommunityBenefitExpnsAmt
Total Expense	0.00010	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (1)	BadDebtExpenseReportedInd
Reimbursed By Medicare	$2,616,776	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$2,415,400	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	$201,376	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

Field	Value	IRS element (for citing)
Cost To Charge Ratio	Yes (X)	CostToChargeRatioInd

Field	Value	IRS element (for citing)
Written Debt Collection Policy	Yes (1)	WrittenDebtCollectionPolicyInd
Financial Assistance Prvsn	Yes (1)	FinancialAssistancePrvsnInd
Hospital Facilities	1	HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

Field	Value	IRS element (for citing)
Facility	1	FacilityNum

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	ARKANSAS CHILDREN'S HOSPITAL	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1 CHILDRENS WAY	AddressLine1Txt
City	LITTLE ROCK	CityNm
State Abbreviation	AR	StateAbbreviationCd
ZIP	72202	ZIPCd

Field	Value	IRS element (for citing)
Website Address	WWW.ARCHILDRENS.ORG	WebsiteAddressTxt
State License	AR4640	StateLicenseNum
Licensed Hospital	Yes (X)	LicensedHospitalInd
General Medical And Surgical	Yes (X)	GeneralMedicalAndSurgicalInd
Childrens Hospital	Yes (X)	ChildrensHospitalInd
Teaching Hospital	Yes (X)	TeachingHospitalInd
Research Facility	Yes (X)	ResearchFacilityInd
Emergency Room24 Hrs	Yes (X)	EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	ARKANSAS CHILDREN'S HOSPITAL	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Facility	1	FacilityNum
First Licensed CY Or PY	0	FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY	0	TaxExemptHospitalCYOrPYInd
CHNA Conducted	Yes (1)	CHNAConductedInd
Community Definition	Yes (X)	CommunityDefinitionInd
Community Demographics	Yes (X)	CommunityDemographicsInd
Existing Resources	Yes (X)	ExistingResourcesInd
How Data Obtained	Yes (X)	HowDataObtainedInd
Community Health Needs	Yes (X)	CommunityHealthNeedsInd
Other Health Issues	Yes (X)	OtherHealthIssuesInd
Community Hlth Needs Id Process	Yes (X)	CommunityHlthNeedsIdProcessInd
Consulting Process	Yes (X)	ConsultingProcessInd
Prior CHNA Impact	Yes (X)	PriorCHNAImpactInd
Other	Yes (X)	OtherInd
CHNA Conducted	18	CHNAConductedYr
Take Into Account Others Input	Yes (1)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	Yes (1)	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	Yes (1)	CHNAConductedWithNonFcltsInd
CHNA Report Widely Available	Yes (1)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	WWW.ARCHILDRENS.ORG/MEDIA/FILE/ACH-CHNA-2019.PDF	OwnWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Rpt Available Thru Other Method	Yes (X)	RptAvailableThruOtherMethodInd
Implementation Strategy Adopt	Yes (1)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	18	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (1)	StrategyPostedWebsiteInd
Strategy Website URL	WWW.ARCHILDRENS.ORG/MEDIA/FILE/2019-COMM-HEALTH-IMPL-STRAT-ACH.PDF	StrategyWebsiteURLTxt
Organization Incur Excise Tax	0	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (1)	EligCriteriaExplainedInd
FPG Family Incm Lmt Free Dscnt	Yes (X)	FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care	250.000000000000	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	400.000000000000	FPGFamilyIncmLmtDscntCarePct
Explained Basis	Yes (1)	ExplainedBasisInd
App Financial Asst Expln	Yes (1)	AppFinancialAsstExplnInd
Described Info	Yes (X)	DescribedInfoInd
Described Suprt Doc	Yes (X)	DescribedSuprtDocInd
Provided Hospital Contact	Yes (X)	ProvidedHospitalContactInd
Includes Publicity Measures	Yes (1)	IncludesPublicityMeasuresInd
FAP Available On Website	Yes (X)	FAPAvailableOnWebsiteInd
FAP Available On Website URL	ARCHILDRENS.ORG/MEDIA/FILE/FINANCIAL%20ASSISTANCE%20(SHARED%20HOSPITAL).PDF	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	WWW.ARCHILDRENS.ORG/MEDIA/FILE/FAP-ENGLISH-0032019.PDF	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	WWW.ARCHILDRENS.ORG/MEDIA/FILE/AC_FINANCIALASSISTANCEFLYER.PDF	FAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No Charge	Yes (X)	FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No Chrg	Yes (X)	FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No Chrg	Yes (X)	FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill Display	Yes (X)	NotifiedFAPCopyBillDisplayInd
Communtity Notified FAP	Yes (X)	CommuntityNotifiedFAPInd
FAP Translated	Yes (X)	FAPTranslatedInd
FAP Actions On Nonpayment	Yes (1)	FAPActionsOnNonpaymentInd
Permit No Actions	Yes (X)	PermitNoActionsInd
Collection Activities	0	CollectionActivitiesInd
None Made	Yes (X)	NoneMadeInd
Nondis Emergency Care Policy	Yes (1)	NondisEmergencyCarePolicyInd
Look Back Medicaid Medcr Prvt	Yes (X)	LookBackMedicaidMedcrPrvtInd
Amounts Generally Billed	0	AmountsGenerallyBilledInd
Gross Charges	0	GrossChargesInd

Supplemental Information SupplementalInformationGrp (9 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
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, ACH CONSIDERS ITS COMMUNITY TO BE ALL 710,000 CHILDREN IN THE STATE. THE NEEDS ASSESSMENT REPORT CONTAINED INFORMATION ABOUT THE STATEWIDE COALITION IT CONVENES, THE NATURAL WONDERS PARTNERSHIP COUNCIL (NWPC), WHICH UTILIZES THE COLLECTIVE IMPACT MODEL TO WORK TOGETHER TO IMPROVE CHILD HEALTH. THE NWPC USES THE NEEDS ASSESSMENT AS ITS COMMON 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 TY18/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 THE MEDICAL SCIENCES COLLEGE OF PUBLIC HEALTH, THE UNIVERSITY OF ARKANSAS CLINTON SCHOOL OF PUBLIC SERVICE, 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 500 PEOPLE AROUND THE STATE, IN THE COMMUNITY THE HOSPITAL SERVES, GAVE FEEDBACK ON CHILD HEALTH ASSETS AND NEEDS THROUGH THE CHNA PROCESS, WHICH HELPED 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 164 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 THREE 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 IDENTIFIED 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 OTHER ORGANIZATIONS OTHER THAN HOSPITAL FACILITIES. MEMBERS OF THE NATURAL WONDERS PARTNERSHIP COUNCIL, A COALITION OF STATEWIDE ORGANIZATIONS, IN ADDITION TO OTHER ORGANIZATIONAL AND COMMUNITY PARTNERS PARTICIPATED. THE FOLLOWING ORGANIZATIONS PROVIDED INPUT AND FEEDBACK ON THE ACH AND ACNW COMMUNITY HEALTH NEEDS ASSESSMENTS. MANY ALSO PROVIDED DATA AND INTERVIEWS TO THE ARKANSAS CHILDREN'S STAFF MEMBERS WHO WORKED ON BOTH OF THE NEEDS ASSESSMENTS. ARKANSAS CHILDREN'S HOSPITAL AND ARKANSAS CHILDREN'S NORTHWESTARKANSAS DEPARTMENT OF HEALTHARKANSAS DEPARTMENT OF EDUCATIONARKANSAS DEPARTMENT OF HUMAN SERVICESARKANSAS MINORITY HEALTH COMMISSIONTHE ARKANSAS COALITION FOR OBESITY PREVENTIONTHE ARKANSAS FOOD BANK AND THE NORTHWEST ARKANSAS FOOD BANKTHE UNIVERSITY OF ARKANSAS FOR MEDICAL SCIENCESTHE UNIVERSITY OF ARKANSAS' COLLEGE OF PUBLIC HEALTHTHE CLINTON SCHOOL OF PUBLIC SERVICEADVOCACY ORGANIZATIONS INCLUDING ARKANSAS ADVOCATES FOR CHILDREN AND FAMILIES, THE HUNGER RELIEF ALLIANCE, THENORTHWEST ARKANSAS WORKERS JUSTICE CENTER, AND THE HISPANIC WOMEN'S ORGANIZATION OF ARKANSASHEALTH POLICY ORGANIZATIONS INCLUDING THE ARKANSAS CENTER FOR HEALTH IMPROVEMENT AND THE ARKANSAS SUPPORT NETWORKHEALTH CARE PROVIDERS INCLUDING PEDIATRICIANS, FAMILY PRACTICE PHYSICIANS, AND NURSESHEALTH RESEARCHERSTHE ARKANSAS ORAL HEALTH COALITIONTHE ARKANSAS IMMUNIZATION ACTION COALITIONTHE ARKANSAS FOUNDATION FOR MEDICAL CARE (AFMC)THE NETWORK OF ARKANSAS SCHOOL-BASED HEALTH CENTERS AND THE SCHOOL-BASED HEALTH ALLIANCE OF ARKANSASNONPROFIT ORGANIZATIONS PROVIDING DIRECT SERVICESMEMBERSHIP ORGANIZATIONS INCLUDING THE AMERICAN ACADEMY OF PEDIATRICS, THE ARKANSAS HOSPITAL ASSOCIATION, PHARMACY REPRESENTATIVES, AND DENTIST REPRESENTATIVESCOMMUNITY HEALTH CENTERS OF ARKANSASBEHAVIORAL HEALTH AGENCIESDENTAL INSURANCE COMPANIES AND PROVIDERSPRIVATE HEALTH INSURANCE COMPANIESFAITH COMMUNITY REPRESENTATIVESLOW-INCOME LEGAL SERVICESPRIVATE FOUNDATIONS AND THE ARKANSAS COMMUNITY FOUNDATIONTHE ARKANSAS CAMPAIGN FOR GRADE-LEVEL READINGPRIVATE INDUSTRIES RANGING FROM PHARMACEUTICAL COMPANIES TO CHAMBERS OF COMMERCEPARENTS
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 SUB WORKGROUPS. ADDITIONALLY, THE 2019 CHNA RESULTS WERE SIMPLIFIED AND COMBINED WITH NATURAL WONDERS' COLLECTIVE IMPACT STRATEGIC FRAMEWORK TO GENERATE A NEW 2020-2022 NATURAL WONDERS ACTION PLAN REPORT. IT IS ALSO AVAILABLE FOR PUBLIC VIEW WITHOUT CHARGE ON THE ACH WEBSITE.
ARKANSAS CHILDREN'S HOSPITAL	PART V, SECTION B, LINE 11: IN THE FALL OF 2017, ARKANSAS CHILDREN'S HOSPITAL (ACH) BEGAN TO CARRY OUT THE ACTIONS IN THE 2017-2019 IMPLEMENTATION STRATEGY BASED ON THE HOSPITAL'S 2016 CHNA WHICH WAS COMPLETED AT THE END OF TAX YEAR 2015. FROM MAY TO SEPTEMBER 2016, STAKEHOLDER GROUPS AND ACH ADMINISTRATIVE AND CLINICAL LEADERS WORKED TO IDENTIFY ACTION ORIENTED GOALS AND ACTIVITIES TO ADDRESS THE IDENTIFIED PRIORITY CHILD HEALTH NEEDS. THE 2017-2019 IMPLEMENTATION STRATEGY INCLUDES DESCRIPTIONS OF THE GOALS, EXPECTED OUTCOMES AND COLLABORATIVE PARTNERS FOR EACH CHILD HEALTH NEED. BY THE FALL OF 2016 (TY16/FY17), ACH COMPLETED AND RECEIVED APPROVAL FOR ITS COMMUNITY HEALTH IMPLEMENTATION STRATEGY FOR FY17 - FY19. BELOW IS A BRIEF BACKGROUND ON HOW THE HOSPITAL FACILITATED THE DEVELOPMENT OF THE IMPLEMENTATION STRATEGY AND UPDATED INFORMATION ON HOW THE HOSPITAL HAS ADDRESSED THE CHILD HEALTH NEEDS IDENTIFIED IN THE 2016 CHNA DURING FY19. IN A CAPACITY BUILDING ROLE, ACH COMMUNITY BENEFIT STAFF SUPPORT THE COLLECTIVE IMPACT WORK OF THE NATURAL WONDERS PARTNERSHIP COUNCIL. THE COALITION USES THE ACH CHNA AS ITS "SHARED MEASUREMENT SYSTEM" OF CHILD HEALTH INDICATORS AND DEVELOPS "MUTUALLY REINFORCING ACTIVITIES" THAT ADDRESS IDENTIFIED CHILD HEALTH NEEDS. THE COLLECTIVE IMPACT FRAMEWORK HAS PROVIDED STRATEGIC DIRECTION AND ENSURED BACKBONE SUPPORT FROM ACH FOR PARTNER ORGANIZATIONS SEEKING TO IMPROVE THE HEALTH OF CHILDREN IN ARKANSAS. ACH HAS PROVIDED NATURAL WONDERS WITH FINANCIAL SUPPORT, ADMINISTRATIVE GUIDANCE, AND PROGRAM EVALUATION CAPACITIES FOR PARTNERSHIP-DEVELOPMENT AND SUCCESSFUL REALIZATION OF THE COMMON AGENDA ADDRESSING IDENTIFIED CHILD HEALTH NEEDS. THE FY16 CHNA IDENTIFIED TWELVE CHILD HEALTH ISSUES WHICH WERE PRIORITIZED AND REGROUPED BASED ON TOPIC RELEVANCE INTO TEN CHILD HEALTH ISSUES. DURING THE SPRING AND SUMMER OF 2016, ACH WORKED WITH THE NATURAL WONDERS TO UPDATE THE PARTNERSHIP'S "SHARED MEASUREMENT SYSTEM AND DEVELOP MEASURABLE "MUTUALLY REINFORCING ACTIVITIES" AIMED TO MOVE FORWARD PRIORITIZED CHILD HEALTH STRATEGIES DURING THE 3-YEAR CHNA CYCLE. DURING THE SAME PERIOD, COMMUNITY BENEFIT STAFF ENGAGED A VARIETY OF STAKEHOLDERS THROUGHOUT THE ARKANSAS CHILDREN'S NETWORK AND WITHIN THE ARKANSAS CHILDREN'S HOSPITAL TO IDENTIFY WAYS TO ADDRESS THE NEEDS FOUND IN THE CHNA. THESE INCLUDED HOSPITAL AND MEDICAL LEADERS, STAFF FROM PATIENT AND FAMILY-SERVING PROGRAMS IN THE HOSPITAL AND DIRECTORS AND STAFF FROM COMMUNITY-SERVING PROGRAMS. BASED ON THESE STAKEHOLDERS' INPUT, COMMUNITY BENEFIT STAFF DEVELOPED AN OPERATIONAL 3-YEAR PLAN AND IDENTIFIED APPROPRIATE INTERNAL LEADS AND RESOURCES FOR EACH OF THE ACTIONS GENERATED. BY THE FALL OF 2016 (FY17), ACH HAD COMPLETED AND APPROVED ITS COMMUNITY HEALTH IMPLEMENTATION STRATEGY. IN TY16/FY17 ACH APPROVED A $200,000 "CHILD HEALTH INNOVATION FUND" FOR THE NATURAL WONDERS PARTNERSHIP COUNCIL WHICH WAS DISTRIBUTED THROUGH CONTRACTS TO ORGANIZATIONS WORKING TO IMPROVE OUTCOMES FOR ISSUES IDENTIFIED IN THE CHNA. DURING TY16/FY17 ACH INVESTED SUBSTANTIALLY IN THE DEVELOPMENT OF ITS CHILD ADVOCACY AND PUBLIC HEALTH DIVISION BY HIRING NEW STAFF TO SUPPORT AND CONTINUE TO DEVELOP COLLABORATIVE AND COMMUNITY-INFORMED PROGRAMS THAT ADDRESS IDENTIFIED CHILD HEALTH NEEDS IN ITS SERVICE AREA. STAFF WERE HIRED TO SUPPORT COMMUNITY BENEFIT, NATURAL WONDERS PARTNERSHIP COUNCIL, AND THE PROGRAM EVALUATION FOR INTERNAL AND NATURAL WONDERS INITIATIVES. ALSO, STAFF WERE HIRED TO DO RURAL OUTREACH WORK ACROSS ARKANSAS TO ESTABLISH RELATIONSHIPS FOR NEW COMMUNITY-DRIVEN PROGRAMS, AND A COORDINATOR WAS HIRED FOR THE HOSPITAL'S MEDICAL-LEGAL PARTNERSHIP PROGRAM. THIS CAPACITY-BUILDING WORK HAS IMPROVED THE FUNCTIONS AROUND COMMUNITY BENEFIT WORK AND INITIATED ACCOUNTABILITY STRUCTURES TO ENSURE PROGRESS IS MADE TOWARD IMPROVED CHILD HEALTH IN THE STATE.UPDATES ON ACTIONS UNDERTAKEN DURING FY19 FOR EACH OF THE 2016 CHNA PRIORITIZED ISSUES ARE LISTED BELOW. 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 OR WERE SUPPORTED THROUGH THE NATURAL WONDERS INNOVATION FUND.ACCESS TO QUALITY CARE:THE ACCESS TO QUALITY CARE STRATEGY IS PRIMARILY FOCUSED ON ADDRESSING THE HEALTH CARE NEEDS OF CHILDREN AND ADOLESCENTS WHEN THEY ARE HEALTHY OR ILL IN A TIMELY MANNER, WITH HIGH QUALITY, AND WITH CARE CLOSE TO HOME. WHERE VIABLE AND APPROPRIATE, ACTIONS ALSO ADDRESSED THE HEALTH OF PARENTS AND CARETAKERS. 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 FY19 FINANCIAL COUNSELORS PROCESSED OVER 7,400 MEDICAID APPLICATIONS. THEY ALSO HELPED FAMILIES COMPLETE VARIOUS OTHER PUBLIC ASSISTANCE APPLICATIONS WHICH ARE DIRECTLY SENT TO THE DEPARTMENT OF HEALTH AND HUMAN SERVICES FOR PROCESSING. OTHER SUPPORT FOR PATIENTS AND THEIR FAMILIES INCLUDED A WOMEN, INFANTS, AND CHILDREN (WIC) PROGRAM WITHIN ACH'S SOUTHWEST LITTLE ROCK CLINIC, WHICH OPENED IN AUGUST 2017. FAMILIES ARE ALSO HELPED BY AN AFTER-HOURS RESOURCE LINE, ANSWERED BY REGISTERED NURSES AT ACH. IN FY19 DEDICATED NURSES RESPONDED TO ALMOST 27,000 AFTER-HOURS CALLS IN WHICH THEY PROVIDED MEDICAL ADVICE FOR EITHER NON-EMERGENT ISSUES, OR THEY HELPED TO IDENTIFY POTENTIAL COMPLICATIONS BEFORE THEY BECAME MORE SERIOUS PROBLEMS. ANOTHER WAY ACH HELPS FAMILIES IS BY MAINTAINING ON-SITE SPANISH INTERPRETERS OR INTERPRETERS TO ASSIST NON-ENGLISH-SPEAKING FAMILIES TO ACCESS CARE, 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 700 CASES FOR PATIENTS AND THEIR FAMILIES.THE STEPHENS ELEMENTARY SCHOOL-BASED HEALTH CLINIC, SUPPORTED BY ACH-FUNDED PRACTITIONERS, PERFORMED 534 ACUTE-CARE AND WELLNESS VISITS DURING FY19. THIS WAS A 170% INCREASE FROM THE LESS THAN 200 VISITS IN FY15, AND MORE THAN 20 VISITS MORE EACH MONTH COMPARING FY19 TO THE PREVIOUS YEAR, FY18. THE SCHOOL-BASED CLINIC ALSO ENSURES STUDENTS ARE CONNECTED TO OTHER TYPES OF CARE. THE CLINIC MADE 55 SPECIALTY CARE REFERRALS TO OTHER PROVIDERS AND MORE THAN 30 BEHAVIORAL HEALTH CARE REFERRALS IN FY19. THE NWPC ACCESS TO CARE WORK GROUP ALLOWS STAKEHOLDERS, INCLUDING ACH PROGRAMS, TO MEET AND IDENTIFY SYSTEMATIC WAYS TO IMPROVE ACCESS FOR PATIENTS ACROSS THE SYSTEM OF CARE THAT SERVES CHILDREN IN ARKANSAS. ACH ENGAGED ON AVERAGE 10 ACCESS TO CARE WORKGROUP MEMBERS AND HOSTED 6 BI-MONTHLY MEETINGS.
SCHEDULE H, PART V, SECTION B, LINE 11 - CONTINUED	CHILDHOOD OBESITY: THE CHILDHOOD OBESITY STRATEGY WAS DEVELOPED WITH THE AIM TO DECREASE THE HEALTH RISKS OF OBESITY FOR ARKANSAS CHILDREN BY ADDRESSING QUALITY HEALTHY FOOD AND SAFE OPPORTUNITIES FOR PHYSICAL ACTIVITY IN CHILDREN'S HOMES, SCHOOLS AND COMMUNITIES. ACH WORKS CLOSELY WITH THE ARKANSAS COALITION FOR OBESITY PREVENTION (ARCOP) TO INFORM AND GUIDE THE COLLECTIVE AGENDA ON CHILDHOOD OBESITY IN ARKANSAS. IT REGULARLY SUPPORTS AND PROMOTES ARCOP INITIATIVES BY ATTENDING QUARTERLY MEETINGS AND SUPPORTING COMMUNITY EVENTS. IN FY19 ACH CONTINUED TO SUPPORT STATEWIDE ACCESS TO AN ENHANCED VERSION OF GONOODLE, A PHYSICAL ACTIVITY PROGRAM THAT ALLOWS TEACHERS TO WORK 2-5 MINUTE "BRAIN BREAKS" THAT ACTIVATE KIDS' BODIES AND BRAINS, TRANSFORMING THE HEALTH OF ARKANSAS KIDS. FOR THE 2018-19 SCHOOL YEAR, 12,146 CLASSROOMS, WHICH REPRESENTS 93% OF ELIGIBLE ELEMENTARY CLASSROOM TEACHERS, USED GONOODLE AT LEAST ONCE DURING THE SCHOOL YEAR. ALMOST EVERY ELEMENTARY SCHOOL IN ARKANSAS IS ACTIVE WITH GONOODLE, AND IT HAS BEEN BUILT INTO THE CULTURE AT THE AR DEPARTMENT OF EDUCATION AND MANY SCHOOLS AND DISTRICTS ACROSS ARKANSAS. IN FY19 ACH'S COMMUNITY OUTREACH DEPARTMENT, PART OF ACH'S CHILD ADVOCACY AND PUBLIC HEALTH DIVISION, CONTINUED TO IMPLEMENT THE COORDINATED APPROACH TO CHILD HEALTH (CATCH) AND ORGAN WISE GUYS, FOCUSING ON IMPROVING NUTRITION KNOWLEDGE FOR CHILDREN AND ADOLESCENTS. THERE HAS BEEN SUCCESS WITH LONG-TERM, EVIDENCE-BASED PROGRAMS CATCH, ORGAN WISE GUYS, AND POP-UP COOKING MATTERS PROGRAMS. THESE PROGRAMS REACH THOUSANDS OF CHILDREN ACROSS AR. PRIORITY WAS GIVEN TO DISTRICTS WITH HIGHER OBESITY RATES FOR THESE PROGRAMS THAT, TOGETHER, CAN REACH K-12. IN FY19, ORGAN WISE GUYS REACHED 14 SCHOOLS, CATCH REACHED 20 SCHOOLS, AND POP-UP COOKING MATTERS REACHED 36 SITES.IN SEPTEMBER 2015, ACH PARTNERED WITH THE ARKANSAS CHILDREN'S RESEARCH INSTITUTE AND THE ARKANSAS GARDENCORPS PROGRAM TO MANAGE A COMMUNITY GARDEN. THE COMMUNITY GARDEN PROGRAM EXPANDED DRAMATICALLY IN THE PAST FEW YEARS. THE GARDEN YIELDED 4,304 POUNDS OF PRODUCE FOR NEARBY HELPING HAND FOOD PANTRY IN FY19. NEIGHBORS, VOLUNTEERS AND BROADER COMMUNITY MEMBERS WERE ENGAGED IN WORKING THE GARDEN. MANY OF THE FRESH FRUITS AND VEGETABLES PROVIDED TO HELPING HAND ARE GIVEN TO ACH'S PATIENTS AND FAMILIES WHO IDENTIFY AS FOOD INSECURE. OVER 1,600 BAGS OF FOOD FOR FOOD INSECURE PATIENTS AND FAMILIES WERE PROVIDED IN FY19.MENTAL HEALTH AND SUBSTANCE USE:IN FY17 ACH BEGAN EXPLORING OPPORTUNITIES FOR MENTAL AND BEHAVIORAL HEALTH PARTNERSHIPS AS PART OF ITS STRATEGIC PLANNING PROCESS. ACH SUPPORTED A VARIETY OF EVENTS AND FUNDRAISERS IN THE BEHAVIORAL HEALTH ARENA, AS WELL SEVERAL STATE INITIATIVES ON BEHAVIORAL HEALTH. IN FY19, ACH PROVIDED A $1 PER YEAR LEASE TO THE CHILDREN'S PROTECTION CENTER IN THE CLARK CENTER FOR CHILDREN. THE NEW DAVID M. CLARK CENTER FOR SAFE AND HEALTHY CHILDREN, WHICH OPENED IN FY17, 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 IT HOUSES: CHILD AND ADOLESCENT PSYCHIATRY, CHILD MALTREATMENT, FAMILY TREATMENT PROGRAM AND THE PULASKI COUNTY CHILDREN'S ADVOCACY CENTER. IN FY19, A NATURAL WONDERS BEHAVIORAL HEALTH WORKGROUP WAS ESTABLISHED AND BEGAN BUILDING THEIR ACTION PLAN FOR 2020-22. THE TEN-MEMBER GROUP IS WORKING TO IMPROVE CHILD HEALTH IN ARKANSAS BY CREATING A CULTURE OF EMOTIONAL RESILIENCE-BUILDING IN SCHOOLS AND THE BROADER COMMUNITY. IN THIS FUTURE WORK, THEY WILL BE FOCUSING ON SCHOOL AND COMMUNITY MENTAL HEALTH AND SUBSTANCE USE INTERVENTIONS RANGING FROM TRAINING SCHOOL PERSONNEL ON EVIDENCE-BASED MENTAL HEALTH FIRST AID TO PROJECT PREVENT YOUTH COALITION YOUTH TOBACCO PREVENTION. REGARDLESS OF PROVIDER AND PAYER ISSUES, SCHOOLS AND COMMUNITIES WILL BE TRAINED TO BUILD CULTURES THAT SUPPORT POSITIVE MENTAL HEALTH FOR CHILDREN. REPRODUCTIVE HEALTH:ACH AIMED TO ADDRESS ADOLESCENT REPRODUCTIVE HEALTH BY HELPING ADOLESCENTS REDUCE RISKY BEHAVIORS, DELAY SEXUAL ACTIVITY, AND PREVENT TEEN PREGNANCIES AND SEXUALLY TRANSMITTED INFECTIONS BY IMPROVING ACCESS TO NEEDED SERVICES FOR YOUTH. ACH CONTINUED TO PROMOTE AND IMPLEMENT THE LOVE NOTES HEALTHY RELATIONSHIP PROGRAM THROUGH THE NATURAL WONDERS PARTNERSHIP COUNCIL (NWPC) INNOVATION FUND. SINCE 2017, THE LOVE NOTES PROGRAM HAS BEEN PILOTED AT 14 DIFFERENT SITES. LOVE NOTES IS AN EVIDENCE-BASED PREGNANCY PREVENTION PROGRAM. 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 -18 YEAR OLDS. IT HAS PROVEN RESULTS THROUGH A CURRICULUM NOT FOCUSED SOLELY ON SEXUAL HEALTH BUT INSTEAD INCLUDES SEXUAL HEALTH AS AN ASPECT OF SKILLS TO LEARN TO CREATE HEALTHY RELATIONSHIPS. IN FY19 THERE WERE TWO PILOT PROGRAMS TO TRAIN EDUCATORS THAT COULD IMPLEMENT THE EDUCATIONAL PROGRAM IN DIFFERENT SETTINGS. TWO ARKANSAS CHILDREN'S EDUCATORS WERE TRAINED ON THE PROGRAM BY THE LOVE NOTES CREATOR, MARLINE PEARSON. THEY WILL IMPLEMENT THE PROGRAM AT TWO SCHOOLS IN THE 2019-20 SCHOOL YEAR. ADDITIONALLY, A CONSULTANT RECRUITED TWO LEADERS IN OTHER COMMUNITIES IN ARKANSAS THAT WERE TRAINED IN IMPLEMENTING THE LOVE NOTES PROGRAM. THIS WAS A SEPARATE FOCUS OF THE PROJECT THAT MIGHT APPEAL TO CHILDREN IN A SETTING OUTSIDE OF SCHOOL.SOCIAL ISSUES:ALL THE ENVIRONMENTAL AND SOCIOECONOMIC NEEDS IDENTIFIED BY THE COMMUNITY IN THE FY16 CHNA SUCH AS COMMUNITY HEALTH, POOR HOME ENVIRONMENT, LACK OF TRANSPORTATION, HOMELESSNESS, EDUCATION, AND POVERTY WERE BUNDLED IN A SOCIAL ISSUES STRATEGY IN THE 2017-19 COMMUNITY HEALTH IMPLEMENTATION STRATEGY. THE ACH CIRCLE OF FRIENDS PRIMARY CARE CLINIC HAS LED THE WAY WITHIN THE HOSPITAL TO IDENTIFY AND HELP MEET THEIR NEEDS. IN 2016, ACH DEVELOPED AND IMPLEMENTED A CHILD SOCIAL NEEDS SCREENING TOOL IN ITS CIRCLE OF FRIENDS (COF) PRIMARY CARE CLINIC. THE SCREENING TOOL WAS IMPLEMENTED IN THE NEW SOUTHWEST LITTLE ROCK PRIMARY CARE CLINIC IN JUNE 2017 AND IN THE GENERAL PEDIATRICS CLINIC IN JUNE 2018. THE PAPER TOOL CONTAINS 14 YES-OR-NO QUESTIONS RELATED TO FOOD INSECURITY, HOUSING AND SPECIAL EDUCATION NEEDS - ALL AREAS IN WHICH ACH IS ABLE TO INTERVENE WITH FAMILIES. THE SOCIAL NEEDS DATA OF PATIENTS AT THESE CLINICS HAS BEGUN TO HELP INFORM AND GUIDE DISCUSSION ON WHAT NEEDS THE HOSPITAL MAY BE APPROPRIATELY ABLE TO ADDRESS IN THE FUTURE. OVER 12,000 SCREENERS WERE COMPLETED IN FY19, AND 43% OF THOSE HAD AT LEAST ONE SOCIAL-DETERMINANT NEED INDICATED. OF THE LEGAL NEEDS, 24% REQUIRED EXTENDED SERVICES, WHICH INCLUDES COURT REPRESENTATION BY AN ATTORNEY. EDUCATION, SUCH AS ENSURING APPROPRIATE ACCOMMODATIONS AT SCHOOL FOR A STUDENT WITH SPECIAL NEEDS, WAS THE MOST COMMON HEALTH-HARMING LEGAL NEED FOR THE YEAR; 22% OF THE MEDICAL-LEGAL PARTNERSHIP CASES WERE EDUCATION RELATED.
SCHEDULE H, PART V, SECTION B, LINE 11 - CONTINUED	PARENTING SUPPORTS:ACH FACILITATED THE NATURAL WONDERS PARENTING SUPPORTS WORKGROUP, IN ORDER TO IDENTIFY EFFECTIVE STRATEGIES TO BETTER UNDERSTAND PARENT EDUCATIONAL NEEDS AND EXPAND THEM, PROMOTE COMMUNITY-WIDE UNDERSTANDING OF SOME OF THE CHALLENGES PARENTS AND CAREGIVERS HAVE, AND EXPAND EXISTING PROGRAMS THAT HELP IMPROVE FAMILIES. PARENTS AND CAREGIVERS ARE VERY IMPORTANT IN THE WELL-BEING AND DEVELOPMENT OF CHILDREN. 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. ACH SUPPORTED AND CONVENED THIS WORKGROUP THROUGHOUT THE YEAR WITH MONTHLY MEETINGS, NATURAL WONDERS INNOVATION FUND SUPPORT AND STAFF TIME. THE ARKANSAS HOME VISITING NETWORK (AHVN), A PARTNERSHIP BETWEEN THE ARKANSAS DEPARTMENT OF HEALTH AND ACH SUPPORTED WITH A FEDERAL GRANT TO ADH AND CONTRACTED TO ACH, HAS IMPROVED MATERNAL-CHILD HEALTH OUTCOMES FOR CHILDREN IN THE PROGRAM. 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 FY19, THESE PROGRAMS HELPED APPROXIMATELY 8,000 FAMILIES WITH CHILDREN PRENATAL TO AGE FIVE IN 73 COUNTIES IN THE STATE. SINCE THE BEGINNING OF THE 2017-2019 IMPLEMENTATION STRATEGY, THE NUMBER OF AVAILABLE SLOTS HAS GROWN BY 1,700. AHVN IS A THRIVING COALITION OF PROVIDERS AND STAKEHOLDERS THAT WORK TOGETHER TO HELP PARENTS AND CHILDREN. THIS WORK IS A KEY COMPONENT OF THE STRATEGY TO ENSURE ARKANSAS PARENTS AND CAREGIVERS ARE CAPABLE AND THAT CHILDREN THRIVE. ACH CONTINUED TO LEASE OFFICE SPACE ON ITS CAMPUS AT A DISCOUNTED RATE TO THE NATIONAL HOME VISITING PARTNER HEADQUARTERED IN LITTLE ROCK, HIPPY USA, FOR THE NATIONAL OFFICE.ACH'S CENTER FOR GOOD MOURNING, A MEMBER OF THE NATIONAL ALLIANCE FOR GRIEVING CHILDREN, PROVIDED OVER 70 GRIEF SUPPORT GROUPS AROUND THE STATE, WITH AROUND 750 PEOPLE PARTICIPATING. THESE SESSIONS PROVIDED SUPPORT AND ASSISTANCE TO BEREAVED CHILDREN AND FAMILIES AND PROFESSIONAL CAREGIVERS IN ARKANSAS THROUGH EDUCATION, PROGRAM DEVELOPMENT, AND GRIEF SUPPORT PROGRAMS. THE NATURAL WONDERS PARENTING WORKGROUP ENSURES THAT A DIVERSE, INCLUSIVE GROUP OF STAKEHOLDERS HELPS TO BUILD STRATEGIES TO IMPROVE CAREGIVER SUPPORT. THE WORKGROUP MET FREQUENTLY DURING FY19. ORAL HEALTH:ACH ORAL HEALTH STRATEGIES IMPROVED ACCESS TO APPROPRIATE PREVENTIVE ORAL HEALTH AND DENTAL TREATMENT SERVICES AND INCREASED THE NUMBER OF CHILDREN AND ADOLESCENTS THAT ARE FREE FROM MOUTH OR GUM DISEASE. DURING FY19, SCHOOL-AGE CHILDREN IN ARKANSAS RECEIVED 5,520 DENTAL SEALANTS AND 1,654 DENTAL VISITS THROUGH ACH'S COMMUNITY CLINICAL PROGRAMS' SCHOOL-BASED ORAL HEALTH SERVICES. THROUGH PHILANTHROPIC AND COMMUNITY BENEFIT INVESTMENTS, ACH SUPPORTED FOUR REGIONAL, MOBILE DENTAL VANS THAT PROVIDED RESTORATIVE AND PREVENTIVE TREATMENT TO THOUSANDS OF 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 EACH YEAR. ACH CCP STAFF ALSO CONVENED AND SUPPORTED 6 MEETINGS OF THE CHILDREN'S ORAL HEALTH NETWORK, A SUBGROUP OF THE ARKANSAS ORAL HEALTH COALITION. FOOD INSECURITY: ACH FOOD INSECURITY PROGRAMS HELPED ENSURE THAT MANY CHILDREN AND FAMILIES DID NOT GO HUNGRY AND HELPED IN A SMALL WAY ALLEVIATE THE HEALTH TRADEOFFS THAT FAMILIES MAKE IN ORDER TO FEED THEIR FAMILIES. IT PROVIDED IN A VARIETY OF SETTINGS NUTRITIOUS FOOD FOR EVERYONE IN THE HOME. DURING FY19, ACH WORKED WITH THE ARKANSAS HUNGER RELIEF ALLIANCE TO IDENTIFY AND IMPLEMENT INNOVATIVE WAYS TO ADDRESS CHILDHOOD FOOD INSECURITY. ACH SUPPORTED COOKING MATTERS PROGRAMS THAT TEACH LOW-INCOME RESIDENTS TO COOK HEALTHFUL, LOW-COST MEALS IN A VARIETY OF COMMUNITY SETTINGS, INCLUDING COOKING MATTERS, COOKING MATTERS AT THE STORE, AND 'POP-UP COOKING MATTERS' A CURRICULUM FOR HIGH SCHOOL STUDENTS. DURING FY19, THE 6-SESSION COOKING MATTERS CLASSES ENGAGED 23 ADULTS AND 36 TEENS. POP-UP COOKING MATTERS REACHED 36 SITES IN 17 COUNTIES AND PROVIDED 205 "TOURS" REACHING 4,722 STUDENTS. THE COMMUNITY GARDEN PRODUCED 4,304 POUNDS OF FRESH PRODUCE WHICH WERE PROVIDED TO HELPING HAND FOOD PANTRY. NATURAL WONDERS SUPPORTED THE "FIVE TO THRIVE" SCHOOL NUTRITION ASSISTANCE PROGRAM WITH THE ARKANSAS HUNGER RELIEF ALLIANCE THROUGH THE NATURAL WONDERS INNOVATION FUND IN 2019. THE INITIATIVE ASSISTS ARKANSAS SCHOOL DISTRICTS TO ADD OR EXPAND "BREAKFAST AFTER THE BELL", SUMMER AND/OR AFTERSCHOOL MEAL PROGRAMMING, AND COOKING MATTERS OR OTHER NUTRITION EDUCATION, PLUS FACILITATES PLANS FOR SCHOOL PANTRIES AND PHYSICAL ACTIVITY PROGRAMMING WHERE NEEDED. AFTER TWO YEARS OF THE "FIVE TO THRIVE" INITIATIVE, THERE ARE 22 TOTAL SCHOOL DISTRICTS WITH THESE COORDINATED RESOURCES. OF THE 13 NEW DISTRICTS FOR 2019, THESE INCLUDE OVER 67,000 STUDENTS AND AN AVERAGE 72% FREE-REDUCED LUNCH SCHOOL POPULATION. THE HOSPITAL CONTINUED TO ADDRESS FOOD INSECURITY ON THE ACH CAMPUS THROUGH A VARIETY OF INVESTMENTS. ACH PROVIDED FOOD BAGS TO INPATIENT AND CLINIC PATIENT FAMILIES IDENTIFIED TO BE FOOD INSECURE. EACH YEAR THOUSANDS OF USDA MEALS ARE PROVIDED TO CHILDREN THANKS TO ACH'S EFFORTS TO MAINTAIN AND GROW THE HOSPITAL'S NUTRITION AND FEEDING PROGRAMS. OVER 1,600 BAGS OF NON-PERISHABLE, HEALTHY GROCERIES WERE DISTRIBUTED TO PATIENT FAMILIES, AND 165 FAMILIES RECEIVED FRESH PRODUCE THROUGH A MOBILE FOOD PANTRY, BOTH MANAGED BY HELPING HAND FOOD PANTRY. ADDITIONALLY, FAMILIES CAN OBTAIN ASSISTANCE THROUGH THE FINANCIAL COUNSELORS TO COMPLETE ENROLLMENT APPLICATIONS IN THE SUPPLEMENTAL NUTRITION ASSISTANCE PROGRAM (SNAP) AND MEET WITH ARKANSAS DEPARTMENT OF HEALTH STAFF TO ENROLL IN WOMEN, INFANTS AND CHILDREN (WIC) ON THE ACH CAMPUS DUE TO STATE AGENCY PARTNERSHIPS.
SCHEDULE H, PART V, SECTION B, LINE 11 - CONTINUED	CHILD INJURY:IN FY19, THE 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 REACH ITS GOALS. ACH INJURY PREVENTION CENTER HAS PARTNERS IN MORE THAN 20 SITES TO CONDUCT CAR SEAT FITTINGS.THIS HELPS ENSURE CHILDREN ARE PROPERLY RESTRAINED WITHIN THE CAR TO ADDRESS MOTOR VEHICLE-RELATED DEATHS, ONE OF THE LEADING CAUSES OF DEATH FOR INFANTS AND CHILDREN. IN ARKANSAS, 93% OF BIRTHING HOSPITALS ARE SAFE-SLEEP CERTIFIED BY CRIBS FOR KIDS, A NATIONAL STANDARD. ARKANSAS HAS ONE OF THE HIGHEST PERCENTAGE OF CERTIFICATIONS IN THE NATION. THE ACH INJURY PREVENTION CENTER PLAYED A LEAD ROLE IN ACCOMPLISHING THIS IN PARTNERSHIP WITH THE COLLABORATIVE GROUP CONVENED BY THE ARKANSAS DEPARTMENT OF HEALTH. INFANTS BORN IN ARKANSAS ARE VERY LIKELY TO BE BORN AT HOSPITALS WHERE SAFE SLEEP IS DEMONSTRATED AND TAUGHT TO NEW PARENTS. THE ACH 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. THESE ARE AVAILABLE TO SCHOOLS, COMMUNITY MEMBERS, AND WORKPLACES AS NEEDED. A FIREARM COALITION HAS WORKED EXTENSIVELY TO DEFINE MESSAGING FOR SAFE GUN STORAGE. THE ACH INJURY PREVENTION CENTER COMPLETED FOCUS GROUPS IN SOUTHERN STATES WITH GUN OWNERS ABOUT SAFE STORAGE. THEY MADE RECOMMENDATIONS FOR MESSAGING STRATEGIES AND MESSENGERS, PRESENTING TO THE NATURAL WONDERS PARTNERSHIP COUNCIL TO SHARE WITH OTHER STAKEHOLDERS. 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. THE ACH INJURY PREVENTION CENTER CONTINUES TO MOVE FORWARD WITH THE CDC FRAMEWORK OF INJURY PREVENTION ON THE TOPIC OF MOTOR VEHICLE SAFETY. IN ADDITION TO ITS CAR SEAT WORK, THEY HAVE PARTNERED WITH SCHOOLS TO CONDUCT TEEN DRIVING SURVEYS AND LEADERSHIP WORK AS WELL AS TEEN DRIVING ROADEOS THAT EQUIP TEENAGERS WITH THE SKILLS THEY NEED TO BE SAFE DRIVERS. IMMUNIZATION:ARKANSAS CHILDREN'S HOSPITAL IMMUNIZATION FOCUSED PROGRAMS INCREASED THE NUMBER OF CHILDREN THAT RECEIVED ALL NEEDED VACCINATIONS IN ORDER TO PROTECT THEIR LIVES AND HEALTH AS WELL AS THE HEALTH OF THE BROADER COMMUNITY.IN TY18/FY19 THE ARKANSAS IMMUNIZATION ACTION COALITION'S EXECUTIVE DIRECTOR FACILITATED THE NATURAL WONDERS CHILDHOOD IMMUNIZATION WORKGROUP. THE GROUP HAS GAINED IMPRESSIVE MOMENTUM, HOSTING CONTINUING EDUCATION EVENTS, DRAWING 20 PLUS MEMBERS TO MEETINGS AND IMPLEMENTING MINI-GRANTS.

Field	Value	IRS element (for citing)
Facility	3	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (3 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	FacilityFacilityTxt
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

Supplemental Information Detail SupplementalInformationDetail (12 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
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 COMMUNITY IT SERVES BOTH AT A NEIGHBORHOOD LEVEL AND AT A STATEWIDE 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. DURING 2018 ACH STOOD BY ITS COMMITMENT TO COMMUNITY FINANCIAL WELLBEING BY INCREASING ITS MINIMUM WAGE FROM $10.10 TO $14 AN HOUR. THIS EXCEEDS THE RECENT STATE MINIMUM WAGE INCREASE OF $11. 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 SUPPORTED A VARIETY OF NONPROFIT ORGANIZATIONS AND COMMUNITY GROUPS THAT HELP BUILD SAFETY AND RESILIENCY FOR CHILDREN AND THEIR CARETAKERS ACROSS THE STATE. THESE ORGANIZATIONS ADDRESS HOMELESSNESS, JOB SUPPORTS/SKILLS, DOMESTIC VIOLENCE, EDUCATION, AND NEIGHBORHOOD ENGAGEMENT. THERE ARE MULTIPLE EXAMPLES OF ORGANIZATIONS THAT ACH SUPPORTS. FOR INSTANCE, THE BOYS AND GIRLS CLUB HELPS KIDS AND TEENS DEVELOP ESSENTIAL SKILLS, MAKE LASTING CONNECTIONS AND HAVE FUN WITH ENRICHING AND EDUCATIONAL ACTIVITIES. WOMEN AND CHILDREN FIRST TACKLES AN OFTEN UNSPOKEN PROBLEM IN THE COMMUNITY: FAMILY VIOLENCE. IT PROVIDES SAFETY, STRENGTH, AND HOPE FOR VICTIMS OF FAMILY VIOLENCE. ACH CONTINUED TO PROVIDE OFFICE SPACE AT HIGHLY DISCOUNTED RATES FOR CHILD MALTREATMENT SERVICES. THE WOMEN'S FOUNDATION OF ARKANSAS INVESTS IN YOUNG GIRLS TO PROMOTE FINANCIAL STABILITY AND EDUCATIONAL ACHIEVEMENT.
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.TEXT OF FOOTNOTE IN CONSOLIDATED FINANCIAL STATEMENTS:IN MAY 2014, THE FASB ISSUED ASU 2014-09, AMENDED BY 2015-14, REVENUE FROM CONTRACTS WITH CUSTOMERS, WHICH SUPERSEDES VIRTUALLY ALL EXISTING REVENUE RECOGNITION GUIDANCE UNDER U.S. GAAP. THE ASU PROVIDES A FIVE-STEP MODEL FOR REVENUE RECOGNITION THAT ENTITIES WILL APPLY TO RECOGNIZE REVENUE IN A MANNER THAT REFLECTS THE TIMING OF THE TRANSFER OF SERVICES TO CUSTOMERS AND THE CONSIDERATION THAT AN ENTITY EXPECTS TO RECEIVE FOR THE GOODS AND SERVICES PROVIDED. ARKANSAS CHILDREN'S ADOPTED ASU 2014-09 ON JULY 1, 2018 USING THE RETROSPECTIVE METHOD OF TRANSITION. ARKANSAS CHILDREN'S PERFORMED AN ANALYSIS OF REVENUE STREAMS AND TRANSACTIONS UNDER ASU 2014-09. IN PARTICULAR, FOR NET PATIENT SERVICE REVENUE, ARKANSAS CHILDREN'S PERFORMED AN ANALYSIS INTO THE APPLICATION OF THE PORTFOLIO APPROACH AS A PRACTICAL EXPEDIENT TO GROUP PATIENT CONTRACTS WITH SIMILAR CHARACTERISTICS, SUCH THAT REVENUE FOR A GIVEN PORTFOLIO WOULD NOT BE MATERIALLY DIFFERENT THAN IF IT WERE EVALUATED ON A CONTRACT-BY-CONTRACT BASIS. UPON ADOPTION, THE MAJORITY OF WHAT WAS PREVIOUSLY CLASSIFIED AS PROVISION FOR UNCOLLECTIBLE ACCOUNTS AND PRESENTED AS A REDUCTION IN NET PATIENT SERVICE REVENUE ON THE CONSOLIDATED STATEMENTS OF OPERATIONS IS TREATED AS AN IMPLICIT PRICE CONCESSION THAT REDUCES THE TRANSACTION PRICE, WHICH IS REPORTED AS NET PATIENT SERVICE REVENUE. FOR THE YEAR ENDED JUNE 30, 2018, ARKANSAS CHILDREN'S RECORDED APPROXIMATELY $11.90 MILLION OF IMPLICIT PRICE CONCESSIONS AS A DIRECT REDUCTION OF PATIENT SERVICE REVENUE THAT WOULD HAVE BEEN RECORDED AS PROVISION FOR BAD DEBT PRIOR TO THE ADOPTION OF ASC 606. FOR THE YEAR ENDED JUNE 30, 2018, ARKANSAS CHILDREN'S RECORDED APPROXIMATELY $5.42 MILLION AS A DIRECT REDUCTION OF PATIENT ACCOUNTS RECEIVABLE THAT WOULD HAVE BEEN REFLECTED AS ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS PRIOR TO THE ADOPTION OF ASC 606. THE NEW STANDARD ALSO REQUIRES ENHANCED DISCLOSURES RELATED TO THE DISAGGREGATION OF REVENUE AND SIGNIFICANT JUDGMENTS MADE IN MEASUREMENT AND RECOGNITION.
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 ON PAGE 66.
PART VI, LINE 4:	AS THE CENTRAL PEDIATRIC MEDICAL CENTER IN THE STATE, ACH DEFINES THE COMMUNITY IT SERVES AS ALL CHILDREN FROM BIRTH TO AGE 18 IN THE STATE OF ARKANSAS. THOUGH THE HOSPITAL SERVES A SMALL NUMBER OF ADULT PATIENTS WITH PEDIATRIC CHRONIC CONDITIONS OR SEVERE BURNS AND A HANDFUL OF OUT-OF-STATE PATIENTS FOR PARTICULAR HEALTH CONDITIONS, THE MAJORITY OF ITS PATIENTS ARE FROM CENTRAL ARKANSAS AND THE REMAINDER OF THE STATE. ACH DRAWS APPROXIMATELY 73.6% OF ITS OUTPATIENT POPULATION AND 59.6% OF ITS INPATIENT POPULATION FROM PULASKI COUNTY AND SURROUNDING COUNTIES, INCLUDING SALINE, FAULKNER, LONOKE, AND JEFFERSON. ALTHOUGH PULASKI COUNTY IS THE HOSPITAL'S PRIMARY SERVICE AREA, ACH SERVES PATIENTS FROM WHITE COUNTY IN NORTH CENTRAL ARKANSAS, GARLAND COUNTY IN EAST CENTRAL ARKANSAS AND BENTON AND WASHINGTON COUNTIES IN THE NORTHWEST CORNER OF THE STATE. ACH'S CURRENT PHYSICAL LOCATIONS INCLUDE A MAIN CAMPUS AND TWO OUTPATIENT CLINICS IN LITTLE ROCK, A CLINIC IN NORTHWEST ARKANSAS, 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 2010 CENSUS DATA, POPULATION TOTALS AT THAT TIME WERE 2,915,918 FOR THE STATE OF ARKANSAS AND 382,748 FOR PULASKI COUNTY. ESTIMATED 2018 CENSUS DATA INDICATED POPULATION TOTALS TO BE 3,013,825 FOR ARKANSAS AND 392,680 FOR PULASKI COUNTY. ALSO ACCORDING TO ESTIMATED 2018 CENSUS DATA, APPROXIMATELY 23.3% OF THE ARKANSAS POPULATION WAS UNDER 18 YEARS OF AGE AND 6.3% WAS UNDER THE AGE OF 5. THE UNEMPLOYMENT RATE FOR THE STATE OF ARKANSAS FOR CALENDAR YEAR 2018 WAS 3.7%. THE PER CAPITA PERSONAL INCOME FOR THE STATE OF ARKANSAS FOR 2018 WAS $25,635. THE PERCENT OF ALL PEOPLE IN POVERTY IN ARKANSAS WAS 17.6% AND THE PERCENT OF CHILDREN 18 OR YOUNGER IN POVERTY WAS 24.7%, 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 702,358 ARKANSAS CHILDREN UNDER AGE 18 REPRESENTED 23.3% OF THE STATE'S TOTAL POPULATION FOR 2018. DEMOGRAPHIC SHIFTS OCCUR RAPIDLY; THE HISPANIC CHILD POPULATION GREW DRAMATICALLY FROM 3.0% AS REPORTED IN THE 2000 CENSUS TO 9.3% AS REPORTED IN THE 2010 CENSUS, AND THE NUMBER OF AFRICAN AMERICAN CHILDREN UNDER AGE 18 ALSO GREW FROM 15.7% TO 19.3% DURING THE SAME PERIOD. ESTIMATES FOR 2018 INDICATE THAT THE HISPANIC CHILD POPULATION IN ARKANSAS WAS 12.1% AND THE AFRICAN AMERICAN CHILD POPULATION WAS 18.0%. THE RATE OF POVERTY IN ARKANSAS (2018 ESTIMATE) WAS APPROXIMATELY 17.6%, WITH APPROXIMATELY 24.7% OF CHILDREN UNDER AGE 18 LIVING IN POVERTY. 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 4.7% OF CHILDREN LACKING COVERAGE AS OF 2018. 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 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 FY19. THE STAFF IS COMPRISED OF APPROXIMATELY 595 PHYSICIANS, OVER 200 RESIDENTS IN PEDIATRICS AND PEDIATRIC SPECIALTIES AND APPROXIMATELY 4,400 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.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.ACH'S BURN CENTER IS THE ONLY ONE IN ARKANSAS AND TREATS BOTH PEDIATRIC AND ADULT BURN PATIENTS. THEIR OUTREACH PROGRAM HELPS TO PREVENT BURNS THROUGH SEVERAL OUTREACH AND EDUCATIONAL INITIATIVES. THEY EDUCATE EMERGENCY MEDICAL PERSONNEL IN THE EMERGENCY TREATMENT OF BURNS, INCLUDING EMERGENCY MEDICAL TECHNICIANS (EMTS), DOCTORS, NURSES, AND PARAMEDICS. IN ADDITION, THEY DELIVER BURN PREVENTION EDUCATION TO CHILDREN AND FAMILIES STATEWIDE THROUGH HEALTH FAIRS, SCHOOLS AND OTHER COMMUNITY-BASED VENUES. IN COLLABORATION WITH THE VOLUNTEER FIRE FIGHTERS PROGRAM THEY DISTRIBUTE SMOKE DETECTORS TO REACH RURAL COMMUNITIES. THEY ALSO REACHED RURAL COMMUNITIES THROUGH A MAIL CAMPAIGN OF MORE THAN 6,000 BURN PREVENTION EDUCATION MATERIALS TO ALL COUNTIES OF THE STATE. THE HOSPITAL'S CHILD ADVOCACY AND PUBLIC HEALTH DIVISION EMPLOYS MORE THAN 60 STAFF FOCUSED ON HEALTH PROMOTION AND PREVENTION, HOME VISITING SERVICES FOR VULNERABLE FAMILIES, UNIQUE ACCESS TO CARE SOLUTIONS SUCH AS SCHOOL-BASED HEALTH, AND POPULATION HEALTH SERVICES SUCH AS A MEDICAL-LEGAL PARTNERSHIP. MUCH OF THIS WORK IS GRANT-FUNDED OR CONTRACT-FUNDED, MEANING THAT IT IS NOT COUNTED AS COMMUNITY BENEFIT, BUT IT IS THE HOSPITAL'S INFRASTRUCTURE FOR ITS BROADER MISSION OF DELIVERING ON THE PROMISE OF A HEALTHIER TOMORROW FOR ARKANSAS CHILDREN. 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. IN THE FAMILY LIBRARY, PATIENTS, FAMILIES AND COMMUNITY MEMBERS CAN ACCESS EVIDENCED-BASED, PEER-REVIEWED HEALTH INFORMATION TO LEARN ABOUT A NEW OR EXISTING DIAGNOSIS OR CONDITION. THE LIBRARY OFFERS MANY HEALTH APPS WHERE PATIENTS AND FAMILIES CAN INTERACT WITH BODY SYSTEMS IN 2D FORMAT. THE FAMILY LIBRARY INCLUDES A BIBLIOTHERAPY PROGRAM, WHICH ARE CHILDREN'S BOOKS THAT CONVEY HEALTH INFORMATION. THIS MAY ALLOW A CHILD OR THEIR SIBLINGS TO UNDERSTAND WHAT MAY BE OCCURRING WITH THEIR BODY OR AN UPCOMING SURGERY OR HOSPITAL ADMISSION. THE SAFETY ZONE IS A WONDERFUL PLACE WHERE VISITORS CAN LEARN ABOUT INJURY PREVENTION WHILE AT HOME, WHILE DRIVING, AND WHILE DOING RECREATIONAL ACTIVITIES. FAMILIES COMPLETE AN INJURY PREVENTION ASSESSMENT AND RECEIVE TAILORED, EVIDENCED-BASED INJURY PREVENTION INFORMATION. TOPICS RANGE FROM GENERAL HOME SAFETY, SAFE SLEEP, WATER SAFETY, ATV SAFETY, GUN SAFETY, BURN PREVENTION SAFETY, CAR SEAT SAFETY AND MUCH MORE. FAMILIES WHO COMPLETE THE ASSESSMENT ARE ELIGIBLE FOR UP TO THREE FREE SAFETY PRODUCTS TO ADDRESS SAFETY RISKS IDENTIFIED. THE FAMILY RESOURCE CENTER IS ALSO THE HUB FOR PATIENT AND FAMILY ENGAGEMENT IN THE HOSPITAL. ARKANSAS CHILDREN'S VOLUNTEER ENGAGEMENT VOLUNTEER RESOURCES ARE INTEGRATED INTO MORE THAN 35 DEPARTMENTS ACROSS BOTH ARKANSAS CHILDREN'S HOSPITAL AND ARKANSAS CHILDREN'S NORTHWEST. THERE ARE EIGHT SEPARATE VOLUNTEER PROGRAMS AT ACH INCLUDING A JUNIOR VOLUNTEER PROGRAM AND ANIMAL ASSISTED THERAPY. THERE WERE OVER 1,100 VOLUNTEERS AT ACH FOR FY19, AND 41 ANIMAL ASSISTED THERAPY VOLUNTEERS. 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.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 ADAM TRAINING TO PREVENT SUDDEN CARDIAC ARREST.THE ADVANCE 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 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), AND ARKANSAS CHILDREN'S MEDICAL GROUP (ACMG). 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.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 AND SERVICES AND FUNDING FOR MAJOR EDUCATIONAL AND CLINICAL EXPERTISE.

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Grant Records Maintained	Yes (1)	GrantRecordsMaintainedInd

Recipient Table RecipientTable (18 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Recipient EINRecipientEIN	IRC SectionIRCSectionDesc	Cash GrantCashGrantAmt	Purpose Of GrantPurposeOfGrantTxt	Non Cash AssistanceNonCashAssistanceAmt	Valuation Method UsedValuationMethodUsedDesc	Non Cash AssistanceNonCashAssistanceDesc
AMERICAN HEART ASSOCIATION
909 W 2ND STREET	LITTLE ROCK	AR	72201	132932696	501(C)(3)	$19,838	GENERAL SUPPORT
ARKANSAS ADVOCATES FOR CHILDREN & FAMILIES
1400 W MARKHAM SUITE 306	LITTLE ROCK	AR	72201	710492205	501(C)(3)	$5,875	GENERAL SUPPORT
ARKANSAS ARTS CENTER FOUNDATION
PO BOX 2137	LITTLE ROCK	AR	72203	237337495	501(C)(3)	$6,000	GENERAL SUPPORT
ARKANSAS CHILDREN'S FOUNDATION
1 CHILDRENS WAY	LITTLE ROCK	AR	72202	710568795	501(C)(3)	$2,568,000	TRAUMA/CARDIAC ENDOWMENT
ARKANSAS CHILDREN'S NORTHWEST
2601 GENE GEORGE BLVD	SPRINGDALE	AR	72762	810817660	501(C)(3)	$4,240,633	GENERAL SUPPORT
ARKANSAS CHILDREN'S RESEARCH INSTITUTE
13 CHILDRENS WAY	LITTLE ROCK	AR	72202	710694931	501(C)(3)	$3,867,879	GENERAL SUPPORT	$2,279,083	FMV	INDIRECT SUPPORT
CAMP ALDERSGATE
2000 ALDERSGATE RD	LITTLE ROCK	AR	72205	710265209	501(C)(3)	$15,723	CAMP SUNSHINE
CENTERS FOR YOUTH & FAMILIES
5800 WEST 10TH STREET SUITE 402	LITTLE ROCK	AR	72225	710826334	501(C)(3)	$6,750	GENERAL SUPPORT
CHILDREN'S PROTECTION CENTER
1123 BISHOP	LITTLE ROCK	AR	72202	261086937	501(C)(3)		GENERAL SUPPORT	$46,766	FMV	PROVIDE OFFICE SPACE
FERNCLIFF CAMP
1720 FERNCLIFF ROAD	LITTLE ROCK	AR	72223	710657898	501(C)(3)	$7,199	CAMP FOR BURN SURVIVORS
GREAT 100 NURSES FOUNDATION
2748 METAIRIE LAWN DR	METAIRIE	LA	72002	465606080	501(C)(3)	$6,900	GENERAL SUPPORT AND CAMPS FOR CHILDREN WITH PHYSICAL CONDITIONS
HOME INSTRUCTION FOR PARENTS OF PRESCHOOL YOUNGSTERS (HIPPY)
1221 BISHOP	LITTLE ROCK	AR	72202	133672592	501(C)(3)	$5,000	GENERAL SUPPORT	$40,200	FMV	PROVIDE OFFICE SPACE & PHONE
LITTLE ROCK ZOO
1 ZOO DRIVE	LITTLE ROCK	AR	72205	352241655	501(C)(3)	$5,000	GENERAL SUPPORT
MARCH OF DIMES
PO BOX 932852	ATLANTA	GA	31193	131846366	501(C)(3)	$46,997	NICU FAMILY SUPPORT PROGRAM
RONALD MCDONALD HOUSE CHARITIES
1009 WOLFE STREET	LITTLE ROCK	AR	72202	710525252	501(C)(3)	$13,578	GENERAL SUPPORT
SUSAN G KOMEN FOUNDATION ARKANSAS AFFILIATE
904 AUTUMN ROAD SUITE 500	LITTLE ROCK	AR	72211	710724439	501(C)(3)	$5,720	GENERAL SUPPORT
THE WISE FOUNDATION
8177 S HARVARD AVE BOX 203	TULSA	OK	74137	463077129	501(C)(3)	$25,000	GENERAL SUPPORT
UNIVERSITY OF ARKANSAS FOR MEDICAL SCIENCES
4301 W MARKHAM	LITTLE ROCK	AR	72205	716056774	GOV'T ENTITY	$24,000	GENERAL SUPPORT

Field	Value	IRS element (for citing)
Total501c3 Org	18	Total501c3OrgCnt
Total Other Org	0	TotalOtherOrgCnt

Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp (8 entries)

Grant TypeGrantTypeTxt	RecipientRecipientCnt	Non Cash AssistanceNonCashAssistanceAmt	Valuation Method UsedValuationMethodUsedDesc	Non Cash AssistanceNonCashAssistanceDesc	Cash GrantCashGrantAmt
MEALS	8959	$532,759	COST	MEALS FOR PATIENT FAMILIES/CAREGIVERS
INSURANCE PREMIUMS	27	$64,897	COST	PAYMENT OF PREMIUMS FOR PATIENT'S FAMILIES ALLOWED BY COBRA
TRANSPORTATION COSTS (BUS TOKENS, CAB FARE, GAS CARDS)	1287		COST		$32,304
FUNERAL EXPENSES	19		COST		$8,880
RENT, MORTGAGE EXPENSE, UTILITIES, LODGING	62		COST		$26,738
CAR SEATS FOR INFANTS AND CHILDREN	649	$43,962	COST	CAR SEATS FOR INFANTS AND CHILDREN
GROCERY GIFT CARDS AND OTHER MISC. ASSISTANCE	50		COST		$67,419
ADDITIONAL FAMILY ASSISTANCE (TRANSPORTATION, FOOD, GENERAL)	0		COST		$240

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART I, LINE 2:	FormAndLineReferenceDesc
Explanation	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.	ExplanationTxt

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
First Class Or Charter Travel	Yes (X)	FirstClassOrCharterTravelInd
Travel For Companions	Yes (X)	TravelForCompanionsInd
Written Policy Ref T And E Expnss	Yes (1)	WrittenPolicyRefTAndEExpnssInd
Substantiation Required	Yes (1)	SubstantiationRequiredInd
Compensation Committee	Yes (X)	CompensationCommitteeInd
Independent Consultant	Yes (X)	IndependentConsultantInd
Compensation Survey	Yes (X)	CompensationSurveyInd
Board Or Committee Approval	Yes (X)	BoardOrCommitteeApprovalInd
Severance Payment	Yes (1)	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	Yes (1)	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	0	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	0	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	0	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	0	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	0	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	0	AnyNonFixedPaymentsInd
Initial Contract Exception	0	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (20 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
MARCELLA DODERER
PRESIDENT/CEO	$0	$827,233	$0	$228,000	$0	$105,590	$0	$137,101	$0	$11,494	$0	$1,309,418	$0	$101,134
RENEE BORNEMEIER MD
TRUSTEE/DIRECTOR-CHIEF OF STAFF	$304,511	$0	$4,011	$0	$0	$0	$0	$0	$55,969	$0	$364,491	$0	$0	$0
GENA WINGFIELD
EVP/CHIEF FINANCIAL OFFICER	$0	$462,223	$0	$101,966	$0	$57,643	$0	$73,716	$0	$10,351	$0	$705,899	$0	$54,329
CHANDA CHACON
EVP/COO	$0	$452,780	$0	$95,572	$0	$300	$0	$61,337	$0	$10,344	$0	$620,333	$0	$0
AMY CRESS
VP FACILITIES & SUPPORT SVC	$242,588	$0	$48,001	$0	$215	$0	$0	$0	$20,851	$0	$311,655	$0	$0	$0
JAY DESHPANDE
SVP/CMO (PARTIAL YEAR)	$222,440	$0	$92,705	$0	$0	$0	$0	$0	$27,660	$0	$342,805	$0	$0	$0
LEE ANNE EDDY
SVP/CHIEF NURSING OFFICER	$303,429	$0	$64,367	$0	$32,862	$0	$50,517	$0	$5,978	$0	$457,153	$0	$31,017	$0
JONATHAN GOLDBERG
SVP/CIO	$0	$352,188	$0	$78,905	$0	$450	$0	$52,169	$0	$12,485	$0	$496,197	$0	$32,676
SHANNON HENDRIX
VP CLINICAL/DIAG SVC	$186,072	$0	$22,786	$0	$173	$0	$11,087	$0	$7,003	$0	$227,121	$0	$0	$0
MARY SALASSI-SCOTTER
VP PATIENT CARE SVC	$183,588	$0	$25,608	$0	$1,119	$0	$16,848	$0	$8,779	$0	$235,942	$0	$0	$0
GREGORY SHARP MD
SVP/CHIEF MEDICAL OFFICER	$273,750	$0	$1,875	$0	$0	$0	$0	$0	$53,567	$0	$329,192	$0	$0	$0
MEL STIMSON
PHARMACY DIRECTOR	$171,788	$0	$1,250	$0	$560	$0	$12,031	$0	$5,592	$0	$191,221	$0	$0	$0
TAMMY WEBB
VP ACUTE CARE	$180,363	$0	$23,810	$0	$237	$0	$8,561	$0	$2,781	$0	$215,752	$0	$0	$0
LE'KITA BROWN
VP REVENUE CYCLE	$188,844	$0	$47,000	$0	$159	$0	$0	$0	$3,014	$0	$239,017	$0	$0	$0
CINDY HILL
VP FINANCIAL SERVICES	$203,356	$0	$35,759	$0	$848	$0	$15,565	$0	$10,605	$0	$266,133	$0	$0	$0
JEFF HOUSE
VP STRATEGIC MARKETING	$229,673	$0	$23,660	$0	$298	$0	$0	$0	$5,447	$0	$259,078	$0	$0	$0
CAROL HUDGENS
VP REVENUE CYCLE (PARTIAL YEAR)	$201,626	$0	$39,012	$0	$2,252	$0	$18,739	$0	$8,820	$0	$270,449	$0	$0	$0
ANN KRUGER
VP AMBULATORY CARE SVC	$248,063	$0	$43,836	$0	$1,063	$0	$15,397	$0	$11,908	$0	$320,267	$0	$0	$0
KATHERINE LEA
VP ED/SURGICAL CARE-FORMER	$188,149	$0	$23,275	$0	$204	$0	$15,403	$0	$3,381	$0	$230,412	$0	$0	$0
ANDREE TROSCLAIR
SVP/CHIEF PEOPLE OFFICER-FORMER	$0	$278,112	$0	$46,788	$0	$1,875	$0	$19,972	$0	$6,371	$0	$353,118	$0	$0

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART I, LINE 1A	CHARTER TRAVEL IS USED BY ARKANSAS CHILDREN'S AND AFFILIATED ENTITIES' BOARD MEMBERS AND STAFF (AND OCCASIONALLY ACCOMPANYING SPOUSES/COMPANIONS) WHEN IT IS DEEMED THE MOST EFFICIENT METHOD OF TRAVEL TO DISTANT AREAS WITHIN THE STATE OR TO SURROUNDING STATES FOR PURPOSES RELATED TO ARKANSAS CHILDREN'S BUSINESS. SEPARATE TRAVEL (NON-CHARTER) FOR COMPANIONS IS REIMBURSED BY THE EMPLOYEE IF SUCH TRAVEL IS ON AN INDIVIDUAL BASIS; THUS, SUCH TRAVEL IS NOT CONSIDERED TAXABLE COMPENSATION TO THE EMPLOYEE. SEVEN OFFICERS/EMPLOYEES AND ONE BOARD MEMBER USED CHARTER TRAVEL DURING THE CALENDAR YEAR. BECAUSE THE CHARTER TRAVEL WAS USED FOR ARKANSAS CHILDREN'S BUSINESS PURPOSES, IT WAS NOT CONSIDERED AS TAXABLE WAGES.
PART I, LINE 3	COMPENSATION FOR ANY ARKANSAS CHILDREN'S HOSPITAL EXECUTIVE OR SENIOR OFFICER (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 A WRITTEN REPORT THE BASIS FOR ITS DECISIONS AND FORWARD THE REPORT TO THE BOARD.
PART I, LINES 4A-B	SCHEDULE J, PART I, LINE 4A: ONE FORMER ACH KEY EMPLOYEE WAS PARTY TO A SEVERANCE AGREEMENT, WHICH INCLUDED COMPENSATION-RELATED PAYMENTS AS FOLLOWS: *SALARY AND BENEFIT PAYMENTS FROM THE FINAL DATE OF EMPLOYMENT THROUGH THE SUBSEQUENT SIX (6) MONTHS; ALTHOUGH THIS KEY EMPLOYEE WAS NOT EMPLOYED IN FY19, A PORTION OF THIS SEVERANCE COMPENSATION WAS PAID OUT WITHIN THE FISCAL YEAR. 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 2018 (FISCAL YEAR 2019), THE FOLLOWING ACH REPORTABLE EMPLOYEES WERE ELIGIBLE AND PARTICIPATING IN THE DEFERRED COMPENSATION PLAN: - MARCELLA DODERER: ACH PRESIDENT AND CEO - LEE ANNE EDDY: ACH SVP AND CNO - JONATHAN GOLDBERG: AC SVP AND CIO - GENA WINGFIELD: ACH EVP AND CFO 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. FOUR ACH REPORTABLE EMPLOYEES ELIGIBLE AND PARTICIPATING IN THE PLAN RECEIVED PAYMENTS IN FY19, DISTRIBUTED AS PER THE PLAN DOCUMENT. SUCH AMOUNTS ARE NOTED IN SCHEDULE J, PART II, COLUMN F AS PREVIOUSLY EARNED.
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:	SVP/CHIEF QUALITY/MEDICAL OFFICER (PARTIAL YEAR) JAY DESHPANDE, M.D. AND DIRECTOR AND CURRENT CHIEF MEDICAL OFFICER GREGORY SHARP, M.D. WERE COMPENSATED BY UAMS AS EMPLOYEES FOR SERVICES RENDERED TO ARKANSAS CHILDREN'S HOSPITAL (ACH) AND FOR WHICH ACH REMITTED PAYMENT LISTED AS "REPORTABLE COMPENSATION FROM THE ORGANIZATION" IN PART VII. THE AMOUNTS NOTED AS COMPENSATION IN SCHEDULE J FOR THE PHYSICIANS NOTED ABOVE WERE THE DESIGNATED AMOUNTS PER THE RELATED CONTRACTS WITH UAMS.

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (3 entries)

Bond ReferenceBondReferenceCd	Bond Issuer EINBondIssuerEIN	CUSIPCUSIPNum	Bond IssuedBondIssuedDt	Issue PriceIssuePriceAmt	PurposePurposeDesc	DefeasedDefeasedInd	On Behalf Of IssuerOnBehalfOfIssuerInd	Pool FinancingPoolFinancingInd
PULASKI COUNTY ARKANSAS
A	716006487	745392HR4	2010-11-17	$31,051,199	SEE SCHEDULE K, PART VI.	0	0	0
ARKANSAS DEVELOPMENT FINANCE AUTHORITY
B	710503641	000000000	2013-09-05	$19,800,000	SEE SCHEDULE K, PART VI.	0	0	0
PULASKI COUNTY ARKANSAS
C	716006487	745392JN1	2016-08-24	$98,721,147	SEE SCHEDULE K, PART VI.	0	0	0

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (3 entries)

Bond ReferenceBondReferenceCd	RetiredRetiredAmt	Total ProceedsTotalProceedsAmt	Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt	Credit EnhancementCreditEnhancementAmt	Other Spent ProceedsOtherSpentProceedsAmt	Substantial CompletionSubstantialCompletionYr	Refunding Tax Exempt BondsRefundingTaxExemptBondsInd	Refunding Taxable BondsRefundingTaxableBondsInd	Final Allocation MadeFinalAllocationMadeInd	Adequate Books And Rec MaintAdequateBooksAndRecMaintInd	Capital ExpendituresCapitalExpendituresAmt
A	$22,850,000	$31,051,199	$192,600	$206,911	$30,651,688	2010	Yes (1)	0	Yes (1)	Yes (1)
B	$11,776,496	$19,800,000				2015	0	0	Yes (1)	Yes (1)	$19,800,000
C		$98,721,147	$702,808		$98,018,339	2016	0	Yes (1)	Yes (1)	Yes (1)

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (2 entries)

Bond ReferenceBondReferenceCd	Owning Bond Financed PropertyOwningBondFinancedPropertyInd	Any Lease ArrangementsAnyLeaseArrangementsInd	Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd	Any Research AgreementsAnyResearchAgreementsInd	Private Bus Use By OthersPrivateBusUseByOthersPct	Private Bus Concerning UBIPrivateBusConcerningUBIPct	Total Private Business UseTotalPrivateBusinessUsePct	Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd	Change In Use Bond Financed PropChangeInUseBondFinancedPropInd	Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd	Engage Bond Counsel ContractsEngageBondCounselContractsInd	Engage Bond Counsel ResearchEngageBondCounselResearchInd
B	0	0	0	0	0.00000	0.00000	0.00000	0	0	Yes (1)
C	0	0	Yes (1)	Yes (1)	0.00030	0.00000	0.00030	0	0	Yes (1)	Yes (1)	Yes (1)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (3 entries)

Bond ReferenceBondReferenceCd	Rebate Not Due YetRebateNotDueYetInd	Exception To RebateExceptionToRebateInd	Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd
A	0	Yes (1)	Yes (1)
B	0	Yes (1)	Yes (1)
C	Yes (1)	0	Yes (1)

Procedures Corrective Action ProceduresCorrectiveActionGrp (3 entries)

Bond ReferenceBondReferenceCd	Procedures Corrective ActionProceduresCorrectiveActionInd
A	Yes (1)
B	Yes (1)
C	Yes (1)

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	SCHEDULE K SUPPLENTAL INFORMATION	FormAndLineReferenceDesc
Explanation	PART I, LINE A - DESCRIPTION OF PURPOSE. TO REFUND HOSPITAL REVENUE BONDS (ARKANSAS CHILDREN'S HOSPITAL PROJECT), SERIES 2002A AND SERIES 2002B REFUNDING, ISSUED 7/31/2002. PART I, LINE B - DESCRIPTION OF PURPOSE. PROCEEDS USED TO PURCHASE TWO SIKORSKY S-76D HELICOPTERS TO BE USED FOR MEDICAL TRANSPORT. PART I, LINE C - DESCRIPTION OF PURPOSE. TO REFUND HOSPITAL REVENUE BONDS (ARKANSAS CHILDREN'S HOSPITAL PROJECT), SERIES 2009, ISSUED 5/28/2009. PART IV, LINE 6, COLUMN C: THIS QUESTION IS BEING ANSWERED WITHOUT REGARD TO A YIELD-RESTRICTED ADVANCE REFUNDING ESCROW FUNDED WITH PROCEEDS OF THE BONDS.	ExplanationTxt

Schedule L IRS990ScheduleL

Loans Btwn Org Interested Prsn LoansBtwnOrgInterestedPrsnGrp (2 entries)

Relationship With OrgRelationshipWithOrgTxt	Loan PurposeLoanPurposeTxt	Loan From OrganizationLoanFromOrganizationInd	Original PrincipalOriginalPrincipalAmt	Balance DueBalanceDueAmt	DefaultDefaultInd	Board Or Committee ApprovalBoardOrCommitteeApprovalInd	Written AgreementWrittenAgreementInd
JONATHAN GOLDBERG
CHIEF INFORMATION OFFICER	RECRUITMENT	Yes (X)	$50,000	$20,000	0	0	Yes (1)
JONATHAN GOLDBERG
CHIEF INFORMATION OFFICER	RECRUITMENT	Yes (X)	$50,000	$20,000	0	0	Yes (1)

Field	Value	IRS element (for citing)
Total Balance Due	$40,000	TotalBalanceDueAmt

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp

Name Of Interested NameOfInterested

Field	Value	IRS element (for citing)
Person	DAVID M WEBB	PersonNm

Field	Value	IRS element (for citing)
Relationship Description	SEE PART V. FAMILY MEMBER	RelationshipDescriptionTxt
Transaction	$71,446	TransactionAmt
Transaction	SEE PART V. DAVID M. WEBB IS A FAMILY MEMBER OF KEY EMPLOYEE, TAMMY WEBB. CONSISTENT WITH ARKANSAS CHILDREN'S HOSPITAL POLICY, HE DID NOT WORK WITHIN MS. WEBB'S LINE OF AUTHORITY AT ANY POINT DURING THE YEAR. HIS COMPENSATION WAS REASONABLE FOR SERVICES RENDERED.	TransactionDesc
Sharing Of Revenues	0	SharingOfRevenuesInd

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	SCHEDULE L, PART II -LOANS TO AND/OR FROM INTERESTED PERSONS	FormAndLineReferenceDesc
Explanation	ALTHOUGH NOT SPECIFICALLY APPROVED BY A BOARD OR COMMITTEE, THE RECRUITMENT LOANS TO JONATHAN GOLDBERG WERE REVIEWED WITH TOM BAXTER, THE CHAIRMAN OF THE ACH BOARD.	ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (14 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
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 DIRECTORS WERE EMPLOYEES OF THE UNIVERSITY OF ARKANSAS FOR MEDICAL SCIENCES (UAMS) DURING THE TAX YEAR: GREGORY SHARP, M.D. AND RENEE BORNEMEIER, M.D. EACH WAS COMPENSATED BY ACH VIA ITS CONTRACT WITH UAMS.
FORM 990, PART VI, SECTION A, LINE 3	THE HOSPITAL'S SVP/CHIEF MEDICAL OFFICER POSITION IS HELD BY GREGORY SHARP, M.D., WHO HOLDS A FACULTY APPOINTMENT IN THE UNIVERSITY OF ARKANSAS FOR MEDICAL SCIENCES, COLLEGE OF MEDICINE DEPARTMENT OF NEUROSCIENCES. ALTHOUGH DR. SHARP IS AN EMPLOYEE OF UAMS, AS SVP/CMO, HE IS ALSO A KEY EMPLOYEE OF ACH. AS A UAMS EMPLOYEE, THE HOSPITAL REIMBURSES UAMS FOR HIS ROLE, WHICH IS TO FURTHER DEVELOP AND ENHANCE PATIENT/FAMILY CENTERED ROUNDS WITH AN IMPROVED DELIVERY OF CARE AND PATIENT/FAMILY EXPERIENCE; TO PARTNER WITH THE CNO AND OTHERS TO FOCUS ON TEAM CARE; TO IMPROVE EFFICIENCY OF CARE; TO WORK CLOSELY WITH CHIEF QUALITY OFFICER; AND TO LISTEN TO MEDICAL STAFF AND TEAM MEMBERS AND FOSTER CHANGE THAT WILL POSITIVELY IMPACT PATIENT CARE. THE CHIEF MEDICAL OFFICER POSITION WAS PREVIOUSLY HELD BY DR. JAY DESHPANDE, WHO HOLDS FACULTY APPOINTMENTS IN THE UNIVERSITY OF ARKANSAS FOR MEDICAL SCIENCES, COLLEGE OF MEDICINE DEPARTMENTS OF PEDIATRICS AND ANESTHESIOLOGY. ALTHOUGH DR. DESHPANDE IS AN EMPLOYEE OF UAMS, AS SVP/CQO AND CMO, DR. DESHPANDE IS ALSO A KEY EMPLOYEE OF ACH. SINCE HE IS A UAMS EMPLOYEE, THE HOSPITAL REIMBURSES UAMS FOR HIS ROLE, WHICH IS TO HELP BROADEN AND STRENGTHEN THE HOSPITAL'S QUALITY EFFORTS AND OVERALL QUALITY PROGRAM FOR PATIENT CARE.
FORM 990, PART VI, SECTION A, LINE 4	ARKANSAS CHILDREN'S HOSPITAL AMENDED AND RESTATED ITS BYLAWS AS OF OCTOBER 2018. ACH REMAINS A NON-PROFIT PUBLIC BENEFIT CORPORATION UNDER THE LAWS OF THE STATE OF ARKANSAS. SIGNIFICANT CHANGES AFFECTING GOVERNANCE ARE AS FOLLOWS: * REGARDING THE ANNUAL MEETING, THE AMENDED BYLAWS CLARIFY THAT THE BOARD TREASURER WILL REPORT ON THE ACTIVITIES AND FINANCIAL CONDITION OF THE CORPORATION. * THE DIRECTORS' TERMS WERE AMENDED SUCH THAT EACH DIRECTOR SHALL HOLD OFFICE FOR A TERM OF THREE (3) YEARS THAT BEGINS JANUARY 1 FOLLOWING THE ANNUAL MEETING OF THE MEMBER AT WHICH HE OR SHE IS APPOINTED AND WHICH ENDS AT THE CLOSE OF THE THIRD CALENDAR YEAR FOLLOWING HIS OR HER APPOINTMENT, AND UNTIL HIS OR HER SUCCESSOR IS DULY APPOINTED AND QUALIFIED OR UNTIL HIS OR HER EARLIER RESIGNATION, REMOVAL OR DEATH. THE TERMS OF OFFICE OF APPOINTED DIRECTORS SHALL BE STAGGERED SUCH THAT, TO THE EXTENT POSSIBLE, THE TERMS OF ONE-THIRD (1/3) OF THE DIRECTORS SHALL EXPIRE EACH YEAR. THE MEMBER SHALL APPOINT DIRECTORS AT EACH ANNUAL MEETING TO REPLACE THOSE DIRECTORS WHOSE TERMS ARE EXPIRING AT THE END OF THE CALENDAR YEAR. * SPECIAL MEETINGS WERE FURTHER CLARIFIED TO STATE THAT THEY MAY BE CALLED BY THE CHAIR OF THE BOARD OF THE CORPORATION OR THE MEMBER, BY THE BOARD OR AT THE WRITTEN REQUEST OF AT LEAST TWENTY PERCENT (20%) OF THE DIRECTORS. * REGARDING THE OFFICERS OF THE BOARD, IT WAS CLARIFIED THAT THE CHAIR OF THE BOARD SHALL PRESIDE AT ALL MEETINGS OF THE BOARD OF DIRECTORS, AND SHALL PERFORM SUCH OTHER DUTIES AS ARE COMMONLY ASSOCIATED WITH SUCH OFFICE OR AS OTHERWISE DESIGNATED BY THE BOARD FROM TIME TO TIME. * IN REGARDS TO THE ORGANIZATION, APPOINTMENT AND HEARINGS OF MEDICAL STAFF, THE FOLLOWING AMENDMENTS WERE MADE: (A) ALL INDIVIDUALS WHO ARE NOT HOSPITAL EMPLOYEES WHO MAKE ENTRIES INTO THE HOSPITAL'S MEDICAL RECORDS SHALL BE CREDENTIALED THROUGH THE APPROPRIATE MEDICAL, DENTAL OR ADVANCE PRACTICE PROFESSIONAL STAFFS. THE BOARD OF DIRECTORS ORGANIZES PHYSICIANS AND DENTISTS INTO A MEDICAL STAFF. OTHER LICENSED INDEPENDENT PRACTITIONERS GRANTED PRIVILEGES BY THE BOARD OF DIRECTORS ARE ORGANIZED AS ADVANCE PRACTICE PROFESSIONAL STAFF. THE MEDICAL STAFF AND ADVANCE PRACTICE PROFESSIONAL STAFF ARE GOVERNED BY THESE BYLAWS AND THE MEDICAL STAFF BYLAWS AS APPROVED BY THE BOARD OF DIRECTORS. (B) THE BOARD OF DIRECTORS SHALL CONSIDER RECOMMENDATIONS OF THE MEC (MEDICAL EXECUTIVE COMMITTEE) AND QUALITY AND SAFETY COMMITTEE, AND APPOINT PHYSICIANS, DENTISTS OR OTHER LICENSED INDEPENDENT PRACTITIONERS TO THE ACTIVE OR COURTESY MEDICAL, DENTAL, OR ADVANCE PRACTICE PROFESSIONAL STAFFS. (C) ALL INITIAL APPOINTMENTS TO THE MEDICAL, DENTAL, AND ADVANCE PRACTICE PROFESSIONAL STAFFS SHALL BE FOR A PERIOD NOT TO EXCEED TWO (2) YEARS FROM THE DATE OF INITIAL GRANTING OF PRIVILEGES, RENEWABLE BY THE BOARD OF DIRECTORS PURSUANT TO FORMAL REAPPLICATION. * CLARIFICATIONS WERE MADE TO THE ROLE OF THE CHIEF OF MEDICAL STAFF AS FOLLOWS: (A) THE CHIEF OF THE MEDICAL STAFF SHALL SERVE AS LIAISON BETWEEN THE BOARD OF DIRECTORS, MEDICAL STAFF AND THE MEC, AND HIS/HER ACTIVITIES IN THIS CAPACITY SHALL BE DOCUMENTED AT LEAST QUARTERLY, INCLUDING THROUGH A REPORT TO THE BOARD WHICH SHALL BE PRESENTED AT LEAST QUARTERLY AND DOCUMENTED IN THE BOARD MINUTES. HIS/HER RESPONSIBILITIES SHALL BE AS FOLLOWS: (B) RECEIVE RECOMMENDATIONS FROM THE MEDICAL STAFF AND THE MEC, AND MAKE RECOMMENDATIONS TO THE BOARD OF DIRECTORS ON ALL APPOINTMENTS TO THE MEDICAL STAFF AND ADVANCE PRACTICE PROFESSIONAL STAFF OF THE HOSPITAL AND ON ALL ASSIGNMENTS OF RESPONSIBILITIES WITHIN THE MEDICAL STAFF, INCLUDING DEFINITION OF THE SCOPE OF PRIVILEGES, REAPPOINTMENTS, AND REDUCTIONS, EXTENSIONS, SUSPENSIONS, AND TERMINATIONS OF PRIVILEGES. (C) RECOMMEND TO THE BOARD OF DIRECTORS THE SPECIFIC CLINICAL PRIVILEGES TO BE GRANTED TO EACH MEMBER OF THE MEDICAL STAFF AND ADVANCE PRACTICE PROFESSIONAL STAFF CONSISTENT WITH THE SCOPE OF CLINICAL PRIVILEGES ALLOWED IN THE INSTITUTION.
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; 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 A WRITTEN REPORT THE BASIS FOR ITS DECISIONS AND FORWARD THE REPORT TO THE BOARD.
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 80,567,196. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 80,567,196. TESTING: PROGRAM SERVICE EXPENSES 3,702,239. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 3,702,239. REPAIRS & MAINTENANCE: PROGRAM SERVICE EXPENSES 2,678,915. MANAGEMENT AND GENERAL EXPENSES 740,142. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 3,419,057. OTHER FEES FOR SERVICE: PROGRAM SERVICE EXPENSES 14,247,342. MANAGEMENT AND GENERAL EXPENSES 18,239,526. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 32,486,868.
FORM 990, PART XI, LINE 9:	UNEXPENDED GRANT CARRYOVER ADJUSTMENTS 67,166. TEMPORARY TRANSFER OF NET ASSETS TO ACNW -15,000,000. ALLOCATION OF ADDITIONAL COSTS - PARENT -7,811,378. TRANSFER OF FUNDS TO ACCN -1,943,000. ASSET TRANSFER TO ACNW -118,953.
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.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (6 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Controlled OrganizationControlledOrganizationInd	Direct Controlling NADirectControllingNACd
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		0	N/A
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

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (3 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Direct Controlling NADirectControllingNACd	Entity TypeEntityTypeTxt	Share Of Total IncomeShareOfTotalIncomeAmt	Share Of EOY AssetsShareOfEOYAssetsAmt	OwnershipOwnershipPct	Controlled OrganizationControlledOrganizationInd	Address Line1ForeignAddress/AddressLine1Txt	CityForeignAddress/CityNm	Province Or StateForeignAddress/ProvinceOrStateNm	CountryForeignAddress/CountryCd	Foreign PostalForeignAddress/ForeignPostalCd	Legal Domicile Foreign CountryLegalDomicileForeignCountryCd
CHILDREN'S HEALTHCARE SYSTEM INC
1 CHILDRENS WAY	LITTLE ROCK	AR	72202	586304957	MANAGEMENT SERVICES	AR	N/A	C	$209,652	$749,265	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
				981472934	CAPTIVE INSURANCE COMPANY		N/A	C				0	18 FORUM LANE 2ND FLOOR	CAMANA BAY	GRAND CAYMAN	CJ	KY1-1102	CJ

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	0	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	Yes (1)	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	Yes (1)	GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org	Yes (1)	LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org	Yes (1)	LoansOrGuaranteesFromOthOrgInd
Div Related Organization	0	DivRelatedOrganizationInd
Asset Sale To Other Org	Yes (1)	AssetSaleToOtherOrgInd
Asset Purchase From Other Org	0	AssetPurchaseFromOtherOrgInd
Asset Exchange	0	AssetExchangeInd
Rental Of Facilities To Oth Org	Yes (1)	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	0	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	Yes (1)	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	Yes (1)	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	Yes (1)	SharingOfFacilitiesInd
Paid Employees Sharing	Yes (1)	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	Yes (1)	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	Yes (1)	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	Yes (1)	TransferToOtherOrgInd
Transfer From Other Org	Yes (1)	TransferFromOtherOrgInd

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	SCHEDULE R, PART V, LINE 1E	FormAndLineReferenceDesc
Explanation	ACH AND ARKANSAS CHILDREN'S FOUNDATION GUARANTEE THE OUTSTANDING BOND INDENTURES.	ExplanationTxt