2017-05-01T15:37:54-05:00 2016-06-30 135565207 KPMG LLP 300 NORTH GREENE STREET SUITE 400 GREENSBORO NC 27401 990 2015-07-01 710236857 ARKANSAS CHILDREN'S HOSPITAL ARKA 5013642555 1 CHILDRENS WAY LITTLE ROCK AR 72202 MARCELLA DODERER PRESIDENT & CEO 5013642555 2017-05-01 1 ALLISON FRANKLIN P00448640 3362753394 2015 2021-01-29 14:40:06Z MARCELLA DODERER 1 CHILDRENS WAY LITTLE ROCK AR 72202 584284588 0 X WWW.ARCHILDRENS.ORG X 1912 AR WE CHAMPION CHILDREN BY MAKING THEM BETTER TODAY AND HEALTHIER TOMORROW. 15 11 4734 3684 0 0 37839032 36485015 506921438 530747550 4021865 2279216 15035203 12392068 563817538 581903849 6109741 5900130 0 0 253942823 262118276 0 0 0 246032776 250977764 506085340 518996170 57732198 62907679 787814566 834291161 185201266 186908407 602613300 647382754 X WE CHAMPION CHILDREN BY MAKING THEM BETTER TODAY AND HEALTHIER TOMORROW. 0 0 428221025 5900130 536822799 ARKANSAS CHILDREN'S HOSPITAL (ACH) IS A NOT-FOR-PROFIT PEDIATRIC HOSPITAL THAT SERVES AS THE ONLY 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, 2016, ACH EXPERIENCED THE FOLLOWING: 14,867 ADMISSIONS WITH AN AVERAGE STAY OF 5.29 DAYS; 81,001 PATIENT DAYS; 221.3 AVERAGE DAILY CENSUS; 334 OPERATING BEDS, INCLUDING 170 INTENSIVE CARE BEDS AND 151 MEDICAL/SURGICAL BEDS; 250,000 OUTPATIENT VISITS, EXCLUDING ER VISITS WHICH WERE 60,951; AND 14,999 SURGERIES INCLUDING 9 HEART TRANSPLANTS AND 3 KIDNEY TRANSPLANTS. CONTINUED ON SCHEDULE O:IN ADDITION TO PROVIDING CHARITY CARE, ACH WORKS WITH THE CENTRAL ARKANSAS COMMUNITY AND ORGANIZATIONS THROUGHOUT THE STATE TO PROVIDE THE FOLLOWING: FREE PHYSICALS, STAFF FOR HEALTH CAMPS, PROGRAMS ON HEALTH CARE TO ELEMENTARY STUDENTS, AND INFORMATION AND LEARNING EXPERIENCES FOR CHILDREN AND FAMILIES AT HEALTH FAIRS AND SEMINARS.ACH IS THE STATE'S ONLY PEDIATRIC LEVEL 1 TRAUMA CENTER, AN INDICATION THAT IT PROVIDES THE HIGHEST STANDARD OF CARE FOR INJURED CHILDREN. 428221025 1 1 0 1 0 0 0 0 0 1 1 0 0 1 1 1 0 1 0 0 0 0 0 0 0 0 1 1 1 1 1 1 1 0 0 0 0 1 0 0 1 1 0 0 0 0 0 1 1 1 0 0 1 282 0 1 4734 1 0 0 0 0 0 0 0 0 0 0 X 15 11 1 1 1 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 1 1 X GENA WINGFIELD 5013642555 1 CHILDRENS WAY LITTLE ROCK AR 72202 MARCELLA DODERER PRESIDENT/CEO 48.00 2.00 X X 740662 0 118101 TOM BAXTER CHAIRMAN OF THE BOARD 1.02 0.43 X X 0 0 0 JOHN BALE JR TRUSTEE/DIRECTOR 0.60 0.48 X 0 0 0 RON CLARK TRUSTEE/DIRECTOR (PARTIAL YEAR) 0.43 0.54 X 0 0 0 JEREMY COBB TRUSTEE/DIRECTOR (PARTIAL YEAR) 0.13 0.00 X 0 0 0 JAYANT DESHPANDE MD SVP AND CMO 50.00 0.00 X 521931 0 0 HASKELL DICKINSON TRUSTEE/DIRECTOR 0.44 0.00 X 0 0 0 HARRY C ERWIN III TRUSTEE/DIRECTOR (PARTIAL YEAR) 0.31 0.83 X 0 0 0 JEFF GARDNER TRUSTEE/DIRECTOR (PARTIAL YEAR) 0.00 0.00 X 0 0 0 SHARILYN GASAWAY TRUSTEE/DIRECTOR (PARTIAL YEAR) 0.46 0.95 X 0 0 0 MELISSA GRAHAM MD TRUSTEE/DIRECTOR 0.55 0.00 X 0 0 0 PAUL R HART TRUSTEE/DIRECTOR (PARTIAL YEAR) 0.26 0.28 X 0 0 0 JUDGE MARION HUMPHREY TRUSTEE/DIRECTOR (PARTIAL YEAR) 0.20 0.00 X 0 0 0 DORSEY JACKSON TREASURER 0.78 0.05 X X 0 0 0 DOUGLAS JACKSON TRUSTEE/DIRECTOR 0.34 0.00 X 0 0 0 RICHARD JACOBS MD TRUSTEE/DIRECTOR 40.00 0.18 X 107943 0 0 PHILLIP JETT VICE CHAIRMAN 0.81 0.15 X X 0 0 0 HOLLY MARR TRUSTEE/DIRECTOR 0.82 0.00 X 0 0 0 MARK MCCASLIN TRUSTEE/DIRECTOR (PARTIAL YEAR) 0.62 0.63 X 0 0 0 PAT MCCLELLAND TRUSTEE/DIRECTOR 0.51 0.10 X 0 0 0 BARBARA G MOORE TRUSTEE/DIRECTOR 0.88 0.38 X 0 0 0 BEVERLY A MORROW TRUSTEE/DIRECTOR 1.06 0.00 X 0 0 0 JEFFREY NOLAN TRUSTEE/DIRECTOR (PARTIAL YEAR) 0.58 0.42 X 0 0 0 DANIEL RAHN MD TRUSTEE/DIRECTOR 0.36 0.04 X 0 0 0 JAMES SKIP RUTHERFORD TRUSTEE/DIRECTOR (PARTIAL YEAR) 0.42 0.30 X 0 0 0 MARK SAVIERS TRUSTEE/DIRECTOR (PARTIAL YEAR) 0.66 0.68 X 0 0 0 STEVE SCHEXNAYDER MD CHIEF OF STAFF 40.00 0.00 X X 362906 0 0 JENNIFER SCHUECK TRUSTEE/DIRECTOR (PARTIAL YEAR) 0.47 1.63 X 0 0 0 PATRICK SCHUECK TRUSTEE/DIRECTOR (PARTIAL YEAR) 0.47 0.45 X 0 0 0 CHARLES B WHITESIDE III TRUSTEE/DIRECTOR (PARTIAL YEAR) 0.71 0.87 X 0 0 0 GENA WINGFIELD SVP AND CFO 44.00 1.00 X 505698 0 82246 CHARLES LARRY BECKIUS VP FACILITIES 50.00 0.00 X 231799 0 26461 DAVID BERRY SVP AND COO (PARTIAL YEAR) 50.00 0.00 X 469293 0 31555 LEE ANNE EDDY SVP/CHIEF NURSING OFFICER 50.00 0.00 X 342596 0 51889 MICHAEL HART VP IT APPLICATIONS 40.00 0.00 X 259253 0 27340 CYNTHIA HOLLAND VP ANCILLARY SERVICES 50.00 0.00 X 234387 0 27026 KATHERINE LEA VP ED/SURGICAL CARE 50.00 0.00 X 184933 0 21322 DARRELL LEONHARDT SVP AND CIO (PARTIAL YEAR) 40.00 0.00 X 210523 0 15740 MARY SALASSI-SCOTTER VP CRITICAL CARE SERVICES 47.00 0.00 X 183508 0 22879 ROBERT STEELE SVP AND CSO 40.00 0.00 X 526959 0 66006 ANDREE TROSCLAIR VP HUMAN RESOURCES 40.00 0.00 X 264006 0 25048 TAMMY WEBB VP ACUTE CARE 50.00 0.00 X 158191 0 7960 STEPHEN M BEETSTRA DENTAL ASSISTANT DIRECTOR 40.00 0.00 X 275760 0 31190 CARL CHIPMAN RN 1ST ASSISTANT- CVOR 40.00 0.00 X 227733 0 15500 RHONDA MCKINNIS VP LEGAL AFFAIRS 50.00 0.00 X 272386 0 23810 VENT MURPHY DIRECTOR - DENTAL CLINICAL ED. 40.00 0.00 X 261849 0 20343 KIRT SIMMONS DIRECTOR - CRANIOFACIAL OR 48.00 0.00 X 275470 0 25498 6617786 0 639914 250 0 1 1 UNIVERSITY OF ARKANSAS FOR MEDICAL SCIEN 4301 WEST MARKHAM LITTLE ROCK AR 72205 MEDICAL SERVICES 53363747 NABHOLZ CONSTRUCTION CORP PO BOX 2090 CONWAY AR 72033 GENERAL CONSTRUCTION CONTRACTOR 11327410 ARAMARK 24836 NETWORK PLACE CHICAGO IL 60673 FOOD SERVICE 6755757 ALESSE-KEYES CONSTRUCTION CO 10623 MAUMELLE BLVD NORTH LITTLE ROCK AR 72113 GENERAL CONSTRUCTION CONTRACTOR 3461681 MEDICAL INFORMATION TECHNOLOGY PO BOX 74569 CHICAGO IL 60696 IT CONTRACTED SERVICES 2922985 78 18297952 18187063 36485015 PAYMENTS FOR MED SVCS 900099 530747550 530747550 530747550 4577970 4577970 1340886 1535 1339351 1339351 1339351 80450 2379204 -2298754 -2298754 -2298754 NUTRITIONAL SERVICES 900099 3510351 3510351 PATIENT CENTERED MEDIC 900099 1718066 1718066 CHILD ENRICHMENT 900099 1467117 1467117 4357183 4357183 11052717 581903849 536822799 0 8596035 X 5615179 5615179 284951 284951 6528203 2535034 3993169 209845885 167297367 42548518 10048677 7948614 2100063 20099032 16069005 4030027 15596479 12336987 3259492 2021859 1108187 913672 824850 7919 816931 273366 273366 102510 102510 90718865 83746361 6972504 539581 497847 41734 7186951 2761983 4424968 12661372 6695273 5966099 4673998 3884771 789227 2249071 1882702 366369 803288 643820 159468 5891820 5891820 27468353 23845524 3622829 1541279 1173009 368270 MEDICAL SUPPLIES 73448521 73028390 420131 MINOR EQUIPMENT 4918498 3465346 1453152 DUES & SUBSCRIPTIONS 1245351 707964 537387 PROVISION FOR BAD DEBT 892777 892777 13515454 11689505 1825949 518996170 428221025 90775145 0 13431 12931 54396344 58058445 51645351 63388354 100000 8228480 8333021 5304832 5596371 582472340 297135623 285114777 285336717 262774498 269529289 439198 485277 368888 233916 119528767 143216840 787814566 834291161 58069321 68558363 126998208 118100210 133737 249834 185201266 186908407 X 576237364 620688454 26375936 26694300 602613300 647382754 787814566 834291161 X 62907679 1877354 -20015579 X X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 1 0 0 0 1 82510 1 0 1 232402 314912 0 PART II-B, LINE 1: IN ORDER TO EFFECTIVELY ADVOCATE FOR AND ASSIST WITH THE IMPROVEMENT OF CHILDREN'S HEALTH, ARKANSAS CHILDREN'S HOSPITAL HAS AN OFFICE OF GOVERNMENT RELATIONS THAT WORKS WITH OTHER ORGANIZATIONS, ON A STATE AND NATIONAL LEVEL, TO FORMULATE POLICY AND TO ARTICULATE OUR PUBLIC POLICY AGENDA. IN ADDITION, A PERCENTAGE OF DUES PAID TO THE AMERICAN HOSPITAL ASSOCIATION, ARKANSAS HOSPITAL ASSOCIATION, ASSOCIATION OF AMERICAN MEDICAL COLLEGES, CHILDREN'S HOSPITAL ASSOCIATION, LITTLE ROCK REGIONAL CHAMBER OF COMMERCE AND THE ARKANSAS STATE CHAMBER OF COMMERCE WAS FOR LOBBYING. 263164433 2013304 1498535 994115 265682157 260807759 2522174 3700116 3865616 263164433 212925418 25377876 27631730 5127265 260807759 176416750 27950863 11723854 3166049 212925418 166396164 13882530 1770907 5632851 176416750 0.72280 0.16290 0.11430 0 1 1 14211833 14211833 338641429 171432346 167209083 188365749 115815825 72549924 41253329 9887452 31365877 285336717 FUNDS HELD BY TRUSTEE UNDER BOND AGREEMENTS 10721023 ESTIMATED 3RD PARTY SETTLEMENT (MCD) 114286719 UPL RECEIVABLE 9556269 GME RECEIVABLE 1383943 OTHER RECEIVABLES 7175275 INTEREST RECEIVABLE - FUNDED DEPR 93611 143216840 OBLIGATIONS UNDER CAPITAL LEASES 249834 249834 X PART V, LINE 4: EARNINGS FROM ENDOWMENT FUNDS WILL BE USED TO SUPPORT VARIOUS HOSPITAL PROGRAMS. THE FILING ORGANIZATION DOES NOT HOLD ANY ENDOWMENTS; ALL ENDOWMENTS ARE HELD BY ARKANSAS CHILDREN'S HOSPITAL FOUNDATION, A RELATED ORGANIZATION. PART X, LINE 2: NOTE: THE AUDIT IS COMPRISED OF THE CONSOLIDATED FINANCIAL STATEMENTS OF ARKANSAS CHILDREN'S, INC., ARKANSAS CHILDREN'S HOSPITAL, ARKANSAS CHILDREN'S HOSPITAL FOUNDATION, ARKANSAS CHILDREN'S RESEARCH INSTITUTE, ARKANSAS CHILDREN'S NORTHWEST, AND ARKANSAS CHILDREN'S HOSPITAL BUILDING RESEARCH FACILITY (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, 2016 AND 2015, THERE ARE NO UNCERTAIN POSITIONS TAKEN OR EXPECTED TO BE TAKEN THAT WOULD REQUIRE RECOGNITION OF A LIABILITY (OR ASSET) OR DISCLOSURE IN THE CONSOLIDATED FINANCIAL STATEMENTS. 1 1 1 X 250.000000000000 1 X 0 1 0 0 10177925 0 10177925 0.01960 289027636 300447547 299205561 300447547 10177925 0.01960 11671900 6026118 5645782 0.01090 24537123 7013688 17523435 0.03380 41361784 18508891 22852893 0.04410 8043777 0 8043777 0.01550 512352 67894 444458 0.00090 86126936 31616591 54510345 0.10520 385332497 332064138 64688270 0.12480 25250 25250 0.00000 33265 33265 0.00010 345 345 0.00000 5718 5718 0.00000 53460 53460 0.00010 7000 7000 0.00000 125038 125038 0.00020 1 500361 0 1937443 1990847 -53404 X 1 1 1 1 ARKANSAS CHILDREN'S HOSPITAL 1 CHILDRENS WAY LITTLE ROCK AR 72202 WWW.ARCHILDRENS.ORG AR4640 X X X X X X ARKANSAS CHILDREN'S HOSPITAL 1 0 0 1 X X X X X X X X X X 15 1 0 1 1 X WWW.ARCHILDRENS.ORG X X 1 15 1 WWW.ARCHILDRENS.ORG 0 0 1 X 250.000000000000 400.000000000000 1 1 X X X 1 X WWW.ARCHILDRENS.ORG X WWW.ARCHILDRENS.ORG X WWW.ARCHILDRENS.ORG X X X X X 1 X 0 X X X X 1 X 0 0 ARKANSAS CHILDREN'S HOSPITAL PART V, SECTION B, LINE 3J: IN ADDITION TO THE ITEMS CHECKED IN BOXES A - I, OTHER INFORMATION WAS INCLUDED IN THE NEEDS ASSESSMENT. AS THE ONLY PEDIATRIC HOSPITAL IN THE STATE OF ARKANSAS, ACH CONSIDERS ITS COMMUNITY TO BE ALL 710,000 CHILDREN IN THE STATE. THE NEEDS ASSESSMENT CONTAINED INFORMATION ABOUT THE STATEWIDE COALITION IT CONVENES THAT UTILIZES THE COLLECTIVE IMPACT MODEL TO IMPROVE CHILD WELL-BEING, THE NATURAL WONDERS PARTNERSHIP COUNCIL (NWPC). 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 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 CONTAINED "BIG IDEAS AND "VISION" FROM THE QUALITATIVE DATA COLLECTION FOR IMPROVING CHILD HEALTH TO 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: THE HOSPITAL TOOK A COMPREHENSIVE APPROACH TO UNDERSTANDING CHILD HEALTH AND CONSIDERED BOTH SECONDARY AND PRIMARY DATA AT THE LOCAL, REGIONAL, AND STATE LEVEL AS IT DETERMINED THE HEALTH NEEDS OF ARKANSAS' CHILDREN. SECONDARY DATA SETS REVIEWED INCLUDE THE U.S. CENSUS BUREAU, THE ANNIE E. CASEY KIDS' COUNT DATA CENTER, ARKANSAS STATE AGENCY DATABASES, THE YOUTH RISK BEHAVIOR SURVEY, AND A VARIETY OF LOCAL ORGANIZATIONS' RESEARCH. MEMBERS OF THE NATURAL WONDERS PARTNERSHIP COUNCIL PROVIDED INPUT TO 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. NWPC MEMBERS REPRESENT A VARIETY OF STAKEHOLDERS INCLUDING ARKANSAS DEPARTMENT OF HEALTH OFFICIALS, THE UNIVERSITY OF ARKANSAS'S COLLEGE OF PUBLIC HEALTH AND CLINTON SCHOOL OF PUBLIC SERVICE, CHILD/CONSUMER ADVOCATES, HEALTH POLICY ORGANIZATIONS, HEALTH CARE PROVIDERS, RESEARCHERS, NONPROFIT ORGANIZATIONS, MEMBERSHIP ORGANIZATIONS INCLUDING THE AMERICAN ACADEMY OF PEDIATRICS AND THE ARKANSAS HOSPITAL ASSOCIATION, THE STATE'S DEPARTMENTS OF EDUCATION AND HUMAN SERVICES, THE ARKANSAS MINORITY HEALTH COMMISSION, COMMUNITY HEALTH CENTERS, BEHAVIORAL HEALTH AGENCIES, DENTAL INSURANCE PROVIDERS, PRIVATE HEALTH INSURANCE COMPANIES, THE FAITH COMMUNITY, LOW-INCOME LEGAL SERVICES, A JUVENILE COURT JUDGE, PRIVATE FOUNDATIONS, AND A STATEWIDE EDUCATION-FOCUSED COLLECTIVE IMPACT COALITION. 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 THIS CHNA. HUNDREDS OF PARENTS AND CAREGIVERS GAVE FEEDBACK ON CHILD HEALTH ASSETS AND NEEDS THROUGH FOCUS GROUPS AND A STATEWIDE TELEPHONE SURVEY. BOTH RURAL AND URBAN POPULATIONS WERE INCLUDED IN THE DATA COLLECTION, AND THE HISPANIC COMMUNITY WAS ABLE TO GIVE FEEDBACK VIA TWO FOCUS GROUPS CONDUCTED IN SPANISH. UNFORTUNATELY, LIMITED PRIMARY DATA WAS COLLECTED FROM THE SMALL BUT UNDERSERVED MARSHALLESE POPULATION IN NORTHWEST ARKANSAS.THE FOLLOWING DATA SOURCES CONTRIBUTED TO THE WIDE RANGE OF INPUT GATHERED FROM PEOPLE AND ORGANIZATIONS WHO REPRESENT CHILDREN'S HEALTH INTERESTS: ELEVEN FOCUS GROUPS TARGETED TO A DIVERSE POPULATION OF 96 PARENTS AND CHILDREN'S SERVICE PROVIDERS ACROSS ARKANSAS, THIRTY-FOUR KEY INFORMANT INTERVIEWS TARGETED TO ARKANSAS'S CHILD HEALTH THOUGHT LEADERS AND SUBJECT MATTER EXPERTS, AND A TELEPHONE SURVEY OF 400 ARKANSAS PARENTS THAT WAS STATISTICALLY SIGNIFICANT AT THE STATE LEVEL.THE FOCUS GROUPS AND KEY INFORMANT INTERVIEWS WERE PART OF A UNIFIED METHODOLOGY AND TOGETHER CREATED A STATEWIDE PURPOSEFUL SAMPLING QUALITATIVE DESIGN. THIS METHOD HELPED OBTAIN IN-DEPTH INFORMATION, OPINIONS, AND INSIGHT ABOUT IMPORTANT DIMENSIONS IN HEALTH, HEALTHCARE, AND HEALTH PROMOTION FROM CRITICAL STAKEHOLDERS IN CHILD HEALTH. TOGETHER THEY SELECTED A STATEWIDE SAMPLE TO STUDY CURRENT CHILD HEALTH NEEDS FROM SEVERAL PERSPECTIVES: PARENTS, FRONT LINE PROVIDERS, AND CHILD HEALTH EXPERTS. DIVERSITY IN GEOGRAPHIC AND RURAL/URBAN STATUS WAS PRIORITIZED, AND LANGUAGE DIVERSITY WAS PRIORITIZED BY CONDUCTING TWO FOCUS GROUPS IN SPANISH. FOCUS GROUPS ASSURED ANONYMITY FOR THE PARENTS AND CHILD SERVICE PROVIDERS WHO PARTICIPATED, SO NAMES WERE NOT COLLECTED. THE 34 KEY INFORMANT INTERVIEWS REACHED PUBLIC HEALTH OFFICIALS, HEALTH POLICY EXPERTS, HEALTH CARE PROVIDERS AND ADMINISTRATORS, NONPROFIT EXECUTIVES, STATE AGENCY LEADS, COMMUNITY LEADERS, RESEARCHERS, AND HEALTH INSURANCE REPRESENTATIVES. THE TELEPHONE SURVEY OF PARENTS DID NOT COLLECT NAMES FROM PARTICIPANTS. ARKANSAS CHILDREN'S HOSPITAL PART V, SECTION B, LINE 6B: ACH CONDUCTED ITS NEEDS ASSESSMENT IN PARTNERSHIP WITH OTHER MEMBERS OF THE NATURAL WONDERS PARTNERSHIP COUNCIL, WHO ALL PARTICIPATE IN A COLLECTIVE IMPACT EFFORT TO IMPROVE CHILD HEALTH USING THE CHNA AS THE COMMON AGENDA FOR CHILD HEALTH PRIORITIES AND INTERVENTIONS. MANY USE THE CHNA AS PART OF THEIR OWN NEEDS ASSESSMENTS, INCLUDING THE ARKANSAS DEPARTMENT OF HEALTH. NWPC MEMBER ORGANIZATIONS INCLUDE THE FOLLOWING: ARKANSAS CHILDREN'S HOSPITALUNIVERSITY OF ARKANSAS FOR MEDICAL SCIENCES - SEVERAL COLLEGES INCLUDING MEDICINE AND PUBLIC HEALTHAR ASSOCIATION OF EDUCATION ADMINISTRATORSCOMMUNITY HEALTH CENTERS OF ARKANSASARKANSAS DEPARTMENT OF HEALTHARKANSAS CAMPAIGN FOR GRADE-LEVEL READINGARKANSAS ADVOCATES FOR CHILDREN AND FAMILIESCLINTON FOUNDATIONARKANSAS ACCESS TO JUSTICE COMMISSIONHUMAN RIGHTS CAMPAIGN - ARKANSAS SEVERAL MEMBERS OF THE FAITH COMMUNITYARKANSAS MINORITY HEALTH COMMISSIONARKANSAS CENTER FOR HEALTH IMPROVEMENT AMERICAN ACADEMY OF PEDIATRICS, ARKANSAS CHAPTERARKANSAS DEPARTMENT OF HUMAN SERVICES, SEVERAL DIVISIONS INCLUDING MEDICAL SERVICES (MEDICAID), BEHAVIORAL HEALTH, EARLY CHILDHOOD EDUCATIONARKANSAS HOME VISITING NETWORKDELTA DENTAL OF ARKANSASARKANSAS COALITION FOR OBESITY PREVENTIONARKANSAS FOUNDATION FOR MEDICAL CAREARKANSAS FOOD BANKARKANSAS BLUE CROSS BLUE SHIELDARKANSAS DEPARTMENT OF EDUCATIONARKANSAS HOSPITAL ASSOCIATIONCLINTON SCHOOL OF PUBLIC SERVICEARKANSAS HUNGER RELIEF ALLIANCEPULASKI COUNTY JUVENILE COURTAR OUT OF SCHOOL NETWORKBLUE & YOU FOUNDATIONMARCH OF DIMES ARKANSAS CHAPTER ARKANSAS CHILDREN'S HOSPITAL PART V, SECTION B, LINE 7D: THE CHNA WAS DISTRIBUTED TO DOZENS OF PARTNERS THROUGH THE NATURAL WONDERS PARTNERSHIP COUNCIL AND ITS MULTIPLE SUBGROUPS. ADDITIONALLY, THE CHNA RESULTS WILL BE SIMPLIFIED AND COMBINED WITH THE COLLECTIVE IMPACT WORK PLANS FOR THE NATURAL WONDERS PARTNERSHIP COUNCIL'S LATEST REPORT. ARKANSAS CHILDREN'S HOSPITAL PART V, SECTION B, LINE 11: DURING TAX YEAR 2015, THE HOSPITAL COMPLETED THE FINAL YEAR OF IMPLEMENTATION RELATED TO THE 2012 CHNA. DETAILED INFORMATION ABOUT HOW THE HOSPITAL ADDRESSED THE 2012 CHNA ISSUES IS BELOW. THIS SECTION WILL ALSO INCLUDE INFORMATION FROM TAX YEAR 2016 SINCE THOSE ACTIVITIES ARE BASED ON THE "MOST RECENTLY CONDUCTED CHNA" THAT WAS COMPLETED AT THE END OF TAX YEAR 2015.DURING TAX YEAR 2015/FISCAL YEAR 2016, THE HOSPITAL CONTINUED ADDRESSING COMMUNITY NEEDS IN A NUMBER OF AREAS. IN A CAPACITY BUILDING ROLE, AT THE END OF THE PREVIOUS FISCAL YEAR, ACH HAD COMPLETED WORK WITH ITS NATURAL WONDERS PARTNERSHIP COUNCIL (NWPC) MEMBERS TO DEVELOP A COLLABORATIVE FIVE-YEAR STRATEGIC FRAMEWORK USING THE COLLECTIVE IMPACT MODEL. THIS FRAMEWORK PROVIDED STRATEGIC DIRECTION AND ENSURED BACKBONE SUPPORT FROM ACH FOR ORGANIZATIONS SEEKING TO IMPROVE THE HEALTH OF CHILDREN IN ARKANSAS. IN THIS FRAMEWORK, THE ACH CHNA IS USED AS THE "COMMON AGENDA" FOR MANY ORGANIZATIONS WORKING TOGETHER TO IMPROVE CHILD HEALTH IN ARKANSAS. THE NWPC SELECTED AN INITIAL "SHARED MEASUREMENT SYSTEM" OF DATA INDICATORS AND "MUTUALLY REINFORCING ACTIVITIES" FRAMED AS MEASURABLE GOALS TO MOVE FORWARD SHARED STRATEGIES. ACH PROVIDES "BACKBONE" FINANCIAL SUPPORT FOR THE NWPC AS WELL AS ADMINISTRATIVE GUIDANCE AND PARTNERSHIP-BUILDING FOR NWPC. PROGRAM EVALUATION CAPACITIES BEGAN TO BE DISCUSSED AND IMPLEMENTED.DURING TAX YEAR 2015 (FY 2016), ACH COMPLETED ITS SECOND TRI-ANNUAL COMMUNITY HEALTH NEEDS ASSESSMENT, WHICH HAS BEEN DETAILED IN OTHER AREAS OF THE SCHEDULE H. THIS CHNA WAS COMPLETED AND APPROVED BY THE ACH BOARD IN MAY 2016. ITS PRIMARY ISSUES ARE ALMOST IDENTICAL TO THOSE OUTLINED IN THE PREVIOUS STRATEGIC FRAMEWORK DOCUMENT. FOLLOWING THE APPROVAL OF THE MOST RECENT CHNA, ACH WORKED WITH ALL ISSUE AREAS TO UPDATE THE FRAMEWORK WITH A NEW COMMON AGENDA, SHARED MEASUREMENT SYSTEM, AND MUTUALLY REINFORCING ACTIVITIES THAT WILL BE USED FOR THE 3-YEAR CHNA CYCLE. BY OCTOBER 2016 (TAX YEAR 2016), ACH HAD COMPLETED ITS COMMUNITY HEALTH IMPLEMENTATION STRATEGY FOR FY17 - FY19 (TAX YEARS 16-18). IN PARTNERSHIP WITH HOSPITAL AND MEDICAL LEADERSHIP, A 3-YEAR PLAN WAS DEVELOPED TO HELP MEET THE NEEDS IN THE COORDINATING CHNA. AS THE NWPC BACKBONE AGENCY, TO HELP MOVE THE ISSUES AND RESOLUTIONS FORWARD, THE HOSPITAL APPROVED A NEW $200,000 "INNOVATION FUND" FOR THE NATURAL WONDERS PARTNERSHIP COUNCIL, WHICH IS CURRENTLY BEING DISTRIBUTED THROUGH CONTRACTS TO ORGANIZATIONS WORKING TO IMPROVE OUTCOMES FOR ISSUES IDENTIFIED IN THE CHNA AND IMPLEMENTATION STRATEGY. THIS CAPACITY-BUILDING WORK HAS DRAMATICALLY IMPROVED THE FUNCTIONS AROUND COMMUNITY BENEFIT WORK AND CREATED ACCOUNTABILITY STRUCTURES TO ENSURE PROGRESS IS MADE ON IMPROVING CHILD HEALTH. LASTLY, DURING TAX YEAR 2016, THE HOSPITAL HIRED TWO (2) ADDITIONAL STAFF TO SUPPORT COMMUNITY BENEFIT, THE NWPC, AND PROGRAM EVALUATION FOR INTERNAL AND NWPC INITIATIVES. THREE OTHER NEW 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 MEDICAL-LEGAL PARTNERSHIP. CHNA PRIORITIZED ISSUES ARE LISTED BELOW WITH THE ACTION STEPS THAT ACH TOOK TO IMPROVE THE HEALTH OF CHILDREN IN THESE AREAS. IN SOME CASES, NWPC MEMBER ORGANIZATIONS LED THE STRATEGY FOR AN ISSUE AND IDENTIFIED KEY WAYS FOR ACH TO PARTNER ON CHILD HEALTH IMPROVEMENT.ACCESS TO CARE: TY15/FY16: ACH BEGAN EXPLORING THE POSSIBILITY OF PROVIDING SCHOOL-BASED TELEMEDICINE SERVICES TO CHILDREN DURING FY16 WITH THE HOPE OF COMPLEMENTING A FEDERAL GRANT FOR TELEMEDICINE EQUIPMENT WITH PROVIDERS AND SUPPORT STAFF. THE FRANKLIN ELEMENTARY SCHOOL-BASED HEALTH CENTER CONTINUED TO SERVE PATIENTS IN A LOW-INCOME, URBAN SCHOOL NEAR THE HOSPITAL BY SUPPORTING THE COST OF A NURSE PRACTITIONER WHO WORKS AT THE SCHOOL 20 HOURS PER WEEK. ACH PARTICIPATED ACTIVELY IN THE NWPC'S ACCESS TO CARE GROUP WHICH SEEKS TO REDUCE SYSTEMIC BARRIERS TO ACCESS TO QUALITY CARE FOR CHILDREN IN ARKANSAS AND TO EXPAND SCHOOL-BASED HEALTH OFFERINGS. ON THE HOSPITAL CAMPUS, ACH FINANCIAL COUNSELORS HELPED CONNECT PATIENTS AND FAMILIES TO HEALTH CARE COVERAGE, AN AFTER-HOURS RESOURCE LINE HELPED FAMILIES ACCESS MEDICAL ADVICE AFTER-HOURS, AND INTERPRETERS ASSISTED NON-ENGLISH-SPEAKING FAMILIES TO ACCESS CARE, BEYOND TRANSLATION THAT IS REQUIRED FOR ACCREDITATION. ADDITIONALLY, THE HOSPITAL SUPPORTED CAREGIVER MEALS AND OTHER FAMILY NEEDS. ACH SUPPORTED THE CONTINUATION OF THE MEDICAL-LEGAL PARTNERSHIP, A PROGRAM IMPLEMENTED IN COLLABORATION WITH LEGAL AID OF ARKANSAS TO HELP REDUCE HEALTH-HARMING LEGAL NEEDS.TY16/FY17: THE NEW IMPLEMENTATION STRATEGY OUTLINED NEW STRATEGIES FOR THE HOSPITAL TO ADDRESS BARRIERS TO ACCESS, INCLUDING EFFORTS TO IMPROVE ACCESS TO WELL-CHILD CARE AND ASTHMA CARE AND PLANS TO EXPLORE MOBILE HEALTH OPTIONS. THE HOSPITAL ALSO OPERATIONALIZED A SCREENER FOR SOCIAL DETERMINANTS OF HEALTH THAT REFERS FAMILIES TO PROGRAMS ADDRESSING FOOD INSECURITY, HOUSING ISSUES, AND EDUCATIONAL NEEDS FOR CHILDREN. CHILDHOOD OBESITY: TY15/FY16: ACH SUPPORTS STATEWIDE ACCESS TO AN ENHANCED VERSION OF "GONOODLE", A PHYSICAL ACTIVITY PROGRAM THAT ALLOWS TEACHERS TO WORK 2-5 MINUTE "BRAIN BREAKS" INTO THE SCHOOL DAY. MORE THAN 700 SCHOOLS AND HALF OF ARKANSAS'S PUBLIC SCHOOL ELEMENTARY TEACHERS UTILIZED THE PROGRAM IN MAY 2016, IMPROVING ACTIVE MINUTES FOR ALMOST 150,000 STUDENTS. ACH'S COMMUNITY OUTREACH TEAM REACHED HUNDREDS OF SCHOOLS AND THOUSANDS OF STUDENTS THROUGH OUTREACH PROGRAMS THAT EDUCATE STUDENTS ABOUT NUTRITION AND HYGIENE. ACH ALSO SUPPORTED "COOKING MATTERS" PROGRAMS THAT TEACH LOW-INCOME RESIDENTS TO COOK HEALTHFUL, LOW-COST MEALS.TY16/FY17: ACH'S COMMUNITY OUTREACH TEAM TRANSITIONED ITS SCHOOL-BASED INTERVENTIONS TO EVIDENCE-BASED PROGRAMS "CATCH AND ORGAN WISE GUYS". THOUGH THESE PROGRAMS REACH A SMALLER NUMBER OF STUDENTS OVERALL, THEY CONNECT WITH STUDENTS MULTIPLE TIMES OVER THE COURSE OF THE SCHOOL YEAR WITH A CURRICULUM THAT IS SHOWN TO REDUCE CHILDHOOD OBESITY. THE ARKANSAS CHILDREN'S RESEARCH INSTITUTE, WHICH ACH SUPPORTS, RECEIVED A LARGE GRANT FROM THE NATIONAL INSTITUTES OF HEALTH TO INCREASE STUDIES FOCUSED ON PREVENTING CHILDHOOD OBESITY. MENTAL HEALTH AND SUBSTANCE USE: TY15-16/FY1617: THE STATE HAS SEVERAL INITIATIVES ON BEHAVIORAL HEALTH, AND ACH BEGAN EXPLORING OPPORTUNITIES FOR BEHAVIORAL HEALTH PARTNERSHIPS AS PART OF ITS STRATEGIC PLANNING PROCESS. ACH SUPPORTED A VARIETY OF EVENTS AND FUNDRAISERS IN THE BEHAVIORAL HEALTH ARENA AND ALSO PROVIDED A $1 PER YEAR LEASE TO THE CHILDREN'S PROTECTION CENTER IN ITS NEW CLARK CENTER FOR CHILDREN, A BUILDING HOUSING ALL CHILD MALTREATMENT SERVICES. ACH SUPPORTED THE "REACH" PROGRAM, HELPING COMMUNITY PROVIDERS TO HELP INTEGRATE BEHAVIORAL HEALTH BEST PRACTICES INTO PRIMARY CARE ACROSS ARKANSAS. REPRODUCTIVE HEALTH: TY15/FY16: ACH PROVIDED BACKBONE SUPPORT TO THE REPRODUCTIVE HEALTH NWPC SUB-GROUP, WHICH HAD GREAT SUCCESS IN MOVING FORWARD SHARED STRATEGIES TO REDUCE TEENAGE PREGNANCY IN ARKANSAS THROUGH A VARIETY OF INVESTMENTS. TY16/FY17: ACH CONTRIBUTED NATURAL WONDERS INNOVATION FUNDS TO PILOT EVIDENCE-BASED HEALTH EDUCATION PROGRAMS IN COMMUNITIES AROUND ARKANSAS. ACH ALSO EXPLORED POSSIBILITIES OF A MOBILE HEALTH UNIT THAT WOULD PROVIDE ADOLESCENT-FOCUSED SERVICES IN UNDERSERVED AREAS OF THE STATE. SOCIAL ISSUES: THIS WAS A NEW ISSUE IDENTIFIED IN THE TY16/FY17 IMPLEMENTATION STRATEGY, BUT IT INCORPORATED SEVERAL ISSUES THAT HAD PREVIOUSLY BEEN LISTED SEPARATELY ON THE CHNA: COMMUNITY HEALTH, HOMELESSNESS, EDUCATION, POVERTY, ETC. THE PRIMARY NWPC GROUP IS MANAGING THESE ISSUES, STARTING WITH IMPROVING COORDINATION OF MEDICAL-LEGAL PARTNERSHIP SERVICES IN COMMUNITIES AROUND THE STATE THROUGH NWPC INNOVATION FUNDS. THESE FUNDS HAVE EXPANDED SCREENING FOR SOCIAL DETERMINANTS OF HEALTH BEYOND ONE CLINIC IN THE HOSPITAL TO PILOT CLINICS ACROSS ARKANSAS, AND OTHER STRATEGIC DISCUSSIONS AT ACH HAVE INCORPORATED SCREENING AS WELL. ARKANSAS CHILDREN'S HOSPITAL PART V, SECTION B, LINE 16I: THE FINANCIAL ASSISTANCE POLICY (FAP) ITSELF IS NOT ATTACHED TO THE BILLING INVOICES, HOWEVER, THE FOLLOWING INFORMATION IS NOTED ON THE STATEMENTS: ARKANSAS CHILDREN'S HOSPITAL PROVIDES FINANCIAL ASSISTANCE TO OUR PATIENTS AND FAMILIES THAT QUALIFY; APPLICATION FORMS ARE AVAILABLE AT ALL REGISTRATION AREAS OR BY CONTACTING CUSTOMER SERVICE (PHONE NUMBER IS INCLUDED); IF PATIENTS ARE NOT ELIGIBLE FOR INSURANCE OR A GOVERNMENT ASSISTANCE PROGRAM, ARKANSAS CHILDREN'S HOSPITAL OFFERS A PROMPT PAY DISCOUNT AS WELL. IN ADDITION, FINANCIAL COUNSELORS ASSIST FAMILIES IN APPLYING FOR MEDICAID, SSI, AND CHILDREN'S MEDICAL SERVICES.FINANCIAL ASSISTANCE POLICY (FAP) SUMMARY FLYERS ARE DISTRIBUTED THROUGHOUT THE HOSPITAL AND IN THE CLINICS. THE FLYERS EXPLAIN THE FAP, ELIGIBILITY REQUIREMENTS, AND HOW TO APPLY. THE FOLLOWING STATEMENT IS ALSO PRESENTED ON THE FLYERS REGARDING AVAILABILITY OF INFORMATION: "A NOTICE ABOUT THE FAP IS POSTED ON THE ACH WEB SITE, IN KEY AREAS OF THE HOSPITAL, AND ON BILLING STATEMENTS. OTHER INFORMATION IS AVAILABLE ONLINE AT ARCHILDRENS.ORG/FAP INCLUDING THE FULL POLICY, THIS SUMMARY, THE APPLICATION AND SPANISH AND MARSHALLESE TRANSLATIONS." ARKANSAS CHILDREN'S HOSPITAL PART V, SECTION B, LINE 22D: AN AVERAGE OF THE CONTRACT RATES WAS USED. SCHEDULE H, PART V, SECTION B, LINE 11 - CONTINUED PARENTING SKILLS: TY15/FY16: THE FEDERALLY-FUNDED HOME VISITING NETWORK, A GRANT-FUNDED PARTNERSHIP BETWEEN THE ARKANSAS DEPARTMENT OF HEALTH AND ACH, HAS IMPROVED MATERNAL-CHILD HEALTH OUTCOMES FOR CHILDREN IN THE PROGRAM. THE HOME INSTRUCTION FOR PARENTS OF PRESCHOOL YOUNGSTERS (HIPPY) AND PARENTS AS TEACHERS STATE OFFICES ARE HOUSED AT ACH AS WELL WITH STATE-FUNDED SUPPORT. ALL OF THESE DEPARTMENTS HAVE BEEN COMBINED UNDER ONE DIRECTOR WHO WORKS AT THE STATEWIDE AND NATIONAL LEVELS TO IMPROVE VISIBILITY AND REACH FOR HOME VISITING. THE EVALUATION TEAM AND TRAINING INSTITUTE FOR THE HOME VISITING NETWORK ARE NATIONALLY RECOGNIZED FOR THEIR WORK. ACH PROVIDES HIPPY USA WITH DISCOUNTED LEASED SPACE ON THE ACH CAMPUS FOR THE NATIONAL OFFICE. ADDITIONALLY, IN FY16, ACH OPENED ITS NEW FAMILY RESOURCE CENTER, WHICH HELPS TO CONNECT FAMILIES TO RESOURCES THAT ALLOW THEM GO HOME FROM THE HOSPITAL TO RAISE HEALTHY AND HAPPY CHILDREN. OTHER HOSPITAL-BASED PROGRAMS SUCH AS GOOD MOURNING HELP TO SUPPORT GRIEVING FAMILIES IN DIFFICULT TIMES. TY16/FY17: NWPC INNOVATION FUNDS ARE SUPPORTING A NEEDS ASSESSMENT AND MESSAGING ASSISTANCE FOR PARENTING SUPPORT IN ARKANSAS, AIMING TO DETERMINE THE RIGHT WAY TO ENGAGE FAMILIES AND TALK TO THEM ABOUT IMPROVING THEIR CHILD'S HEALTH AND WELL-BEING. ORAL HEALTH: TY15/FY16: ACH CONTINUED TO SUPPORT THREE (3) MOBILE DENTAL VANS THAT PROVIDE RESTORATIVE AND PREVENTIVE TREATMENT TO CHILDREN WITHOUT A DENTAL HOME IN THE SOUTHEAST, CENTRAL, AND NORTHWEST REGIONS OF ARKANSAS. THE HOSPITAL'S SCHOOL-BASED DENTAL SEALANT PROGRAM REACHES ABOUT 50 SCHOOLS AND 3,000 CHILDREN EACH YEAR. ACH STAFFS AND SUPPORTS THE ORAL HEALTH FOR CHILDREN SUBGROUP OF THE STATEWIDE ORAL HEALTH COALITION. TY16/FY17: ACH STAFF AND CONTRACTORS, WITH SUPPORT FROM THE ARKANSAS DEPARTMENT OF HEALTH, CARRIED OUT THE FIRST STATEWIDE CHILDREN'S ORAL HEALTH SCREENING SINCE 2010. ACH ALSO EXPLORED THE IDEA OF ADDING AN ADDITIONAL MOBILE DENTAL PROGRAM FOR SOUTHWEST ARKANSAS. FOOD INSECURITY: TY15/FY16: ACH WORKS THROUGH THE NWPC WITH THE HUNGER RELIEF ALLIANCE TO IDENTIFY AND IMPLEMENT INNOVATIVE WAYS TO ADDRESS CHILDHOOD FOOD INSECURITY FOR PATIENTS. THE HOSPITAL CONTINUED TO ADDRESS FOOD INSECURITY ON THE ACH CAMPUS THROUGH A VARIETY OF INVESTMENTS. EACH YEAR, THOUSANDS OF UNITED STATES DEPARTMENT OF AGRICULTURE (USDA) MEALS ARE PROVIDED TO CHILDREN THANKS TO ACH'S EFFORTS TO ESTABLISH THE CHILDREN'S MEDICAL NUTRITION AND FEEDING PROGRAM. THE HOSPITAL'S PARTNERSHIP WITH THE NEARBY HELPING HAND FOOD PANTRY CONTINUES TO PROVIDE FOOD TO HUNGRY PATIENT FAMILIES. FAMILIES CAN ALSO ENROLL IN THE SUPPLEMENTAL NUTRITION ASSISTANCE PROGRAM (SNAP) AND WOMEN, INFANTS AND CHILDREN (WIC) ON THE ACH CAMPUS THANKS TO STATE AGENCY PARTNERSHIPS. ACH'S COMMUNITY GARDEN WAS ESTABLISHED AND EXPANDED DURING FY16, AND A GARDENCORPS MEMBER STAFFS IT AS PART OF THE ACH COMMUNITY OUTREACH TEAM. PRODUCE FROM THE GARDEN IS PROVIDED TO HELPING HAND TO SUPPLEMENT ITS FOOD DONATIONS. ACH FACILITATED THE DONATION OF A RETRO-FITTED SCHOOL BUS TURNED INTO A MOBILE FOOD PANTRY TO HELPING HAND; THE MOBILE FOOD PANTRY VISITS THE HOSPITAL EACH TUESDAY.TY16/FY17: THE NEW IMPLEMENTATION STRATEGY OUTLINED NEW STRATEGIES FOR THE HOSPITAL TO ADDRESS FOOD INSECURITY, INCLUDING AN INCREASE IN THE NUMBER OF YOUTH AND FAMILIES PARTICIPATING IN "COOKING MATTERS" EVIDENCE-BASED PROGRAMS RUN BY THE HOSPITAL. THE COMMUNITY OUTREACH TEAM BEGAN A NEW PROGRAM CALLED "POP-UP COOKING MATTERS", WHICH IS AN EVIDENCE-BASED INTERVENTION WITH HIGH SCHOOL STUDENTS AROUND THE STATE. CHILD INJURY:TY15/FY16: 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 APPROACH THAT INCLUDES EDUCATION, AWARENESS, AND ADVOCACY. ACH ALSO IMPLEMENTS SEVERAL GRANTS THAT HELP TO REDUCE TRAUMA AND IMPROVE TRAUMA COORDINATION FOR ARKANSAS. THE IPC'S EFFORTS HAVE GENERATED MANY PROGRAM EVENTS, ACTIVITIES, BROCHURES, FACT SHEETS, AND OTHER USEFUL EDUCATIONAL MATERIALS FOR STATEWIDE DISTRIBUTION (INCLUDING RURAL AREAS). IN ADDITION, CONTINUING EDUCATION ACTIVITIES AND TRAINING CONTINUE TO BE AVAILABLE TO PHYSICIANS, MEDICAL STUDENTS, NURSES, MEDICAL APPLICATIONS OF SCIENCE STUDENTS, EMERGENCY MEDICAL SERVICES AND ARKANSAS DEPARTMENT OF HEALTH PROFESSIONALS. LIKEWISE, THE IPC IS LEADING THE EFFORTS OF THE INFANT DEATH REVIEW TEAM FOR THE STATE TO BETTER UNDERSTAND AND PREVENT INFANT MORTALITY.TY16/FY17: IN ADDITION TO CONTINUING TO SUPPORT THE ONGOING WORK OF THE IPC, NWPC INNOVATION FUNDS HELPED SUPPORT THE BROTHERS UNITED PROJECT, WHICH WORKS WITH AFRICAN-AMERICAN FRATERNITIES TO ENGAGE FATHERS AND OTHER MEN IN INFANT MORTALITY PREVENTION. IMMUNIZATION: TY15/FY16: ACH PARTICIPATED IN THE CHILDHOOD IMMUNIZATION TASK FORCE SUBGROUP OF THE ARKANSAS IMMUNIZATION ACTION COALITION AND ALSO PROVIDED FLU VACCINES AND EDUCATION TO THE GENERAL PUBLIC.TY16/FY17: AFTER LEADERSHIP TRANSITIONS IN THE CHILDHOOD IMMUNIZATION TASK FORCE, ACH TOOK ON A STRONGER FACILITATION ROLE IN THIS NWPC SUBGROUP TO ENSURE PROJECTS MOVED FORWARD. A NWPC INNOVATION FUND PROJECT TO EXPLORE BARRIERS TO SCHOOL NURSES BEING ALLOWED TO SUBMIT DATA TO THE STATE IMMUNIZATION DATABASE HAS BEEN INVESTIGATED BUT NOT YET STARTED. IN ADDITION TO PROGRAMMATIC WORK, ACH SUPPORTED HEALTH PROFESSIONS EDUCATION, RESEARCH, AND COMMUNITY EVENTS AND ORGANIZATIONS WHOSE MISSIONS AND ACTIVITIES ALIGN WITH ACH'S MISSION TO IMPROVE CHILD HEALTH.SEVERAL ISSUES THAT WERE ON THE PREVIOUS CHNA THAT HAVE BEEN INCORPORATED INTO AREAS ABOVE OR TRANSITIONED OFF THE MOST RECENT CHNA AND IMPLEMENTATION STRATEGY INCLUDE: HIGH SCHOOL GRADUATION RATE, POVERTY, AND HOMELESSNESS. 3 1 - WEST LITTLE ROCK PEDIATRIC CLINIC BELLA ROSA CENTER 16101 CANTRELL RD LITTLE ROCK AR 72223 OUTPATIENT HOSPITAL CLINIC 2 - CENTERS FOR CHILDREN 519 LATHAM DRIVE LOWELL AR 72745 OUTPATIENT HOSPITAL CLINIC 3 - CENTERS FOR CHILDREN 520 CARSON STREET JONESBORO AR 72401 OUTPATIENT HOSPITAL CLINIC PART I, LINE 3C: ACH USES FEDERAL POVERTY GUIDELINES TO DETERMINE FREE OR DISCOUNTED CARE.PART I, LINE 4:ACH DOES NOT HAVE A SPECIFIC FINANCIAL ASSISTANCE PROGRAM FOR THE "MEDICALLY INDIGENT" AS DEFINED BY AR CODE SECTION 6-64-503(A), BUT ITS FINANCIAL ASSISTANCE POLICY DOES PROVIDE FREE CARE FOR INDIVIDUALS WITH HOUSEHOLD INCOMES UP TO 250% OF POVERTY AND DISCOUNTED CARE FORINDIVIDUALS WITH HOUSEHOLD INCOMES UP TO 400% OF POVERTY. AS PART OF THE APPLICATION PROCESS, ACH REQUESTS THAT PERSONS WITH NO INCOME AND ALSO INELIGIBLE FOR MEDICAID, MEDICARE, OR MARKETPLACE SUBSIDIES PROVIDE A WRITTEN SIGNED STATEMENT DESCRIBING HOW THEY ARE MEETING THEIR DAY TO DAY BASIC LIVING NEEDS. THE APPLICATION SPECIFIES SUCH REQUIREMENTS FOR APPLICANTS WITH "NO INCOME IN THE HOME". ACH ALSO ASSISTS FAMILIES IN APPLYING FOR MEDICAID (INCLUDING THE TEFRA PROGRAM FOR DISABLED CHILDREN THAT ONLY CONSIDERS THE CHILD'S INCOME), SSI, CHILDREN'S MEDICAL SERVICES, AS WELL AS ACH'S OWN FINANCIAL ASSISTANCE PROGRAM. THE HOSPITAL ALSO ALLOWS INTEREST FREE PAYMENTS TO BE MADE UNTIL THE OUTSTANDING BALANCE IS PAID WITHOUT TIME CONSTRAINTS. ACH DOES NOT REPORT TO COLLECTION AGENCIES OR TAKE OTHER EXTRAORDINARY COLLECTIONEFFORTS. 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 I, LN 7 COL(F): BAD DEBT EXPENSE - BAD DEBT EXPENSE OF $892,777 IS INCLUDED IN THE TOTAL PRESENTED ON FORM 990, PART IX, LINE 24D. THIS AMOUNT HAS BEEN EXCLUDED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN SCHEDULE H, PART I, LINE 7, COLUMN F. 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 RE-VITALIZE THE AREA FOR BOTH COMMERCE AND LIVING. ACH PARTICIPATES IN THE DOWNTOWN LITTLE ROCK PARTNERSHIP AND SUPPORTS EFFORTS TO IMPROVE CENTRAL ARKANSAS IN COLLABORATION WITH THE LITTLE ROCK CHAMBER OF COMMERCE, THE ARKANSAS ECONOMIC DEVELOPMENT FOUNDATION, THE LITTLE ROCK POLICE DEPARTMENT, AND THE CLINTON FOUNDATION, AMONG OTHERS. THESE ORGANIZATIONS ADDRESS ECONOMIC DEVELOPMENT, WORKFORCE ISSUES, SAFETY, AND EDUCATIONAL ACHIEVEMENT IN THE NEIGHBORHOOD AND CITY IN WHICH ACH RESIDES. ACH HAS PROVIDED SUPPORT TO BUSINESS DEVELOPMENT IN OTHER PARTS OF THE STATE WHERE THE HOSPITAL HAS CLINICAL SERVICES AS WELL. 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. THESE INCLUDE NONPROFITS THAT ADDRESS HOMELESSNESS, JOB SUPPORTS/SKILLS, DOMESTIC VIOLENCE, EDUCATION, AND NEIGHBORHOOD ENGAGEMENT. ACH PROVIDES OFFICE SPACE AT HIGHLY DISCOUNTED RATES FOR CHILD MALTREATMENT SERVICES. LOCALLY AND AROUND THE STATE, ACH PARTNERS WITH COMMUNITY ORGANIZATIONS TO IMPROVE THE CONDITIONS IN WHICH CHILDREN GROW UP. ACH IS A LEADING MEMBER OF MANY COALITIONS FOCUSING ON CHILD SAFETY MATTERS, INJURY PREVENTION, AND ENHANCED HEALTH SERVICES FOR CHILDREN. ACH HAS LONG SUPPORTED EDUCATION AND TRAINING PROGRAMS FOR YOUTH AND THEIR PARENTS, FOCUSING ON VIOLENCE PREVENTION, ALTERNATIVE DISPUTE RESOLUTION AMONG STUDENTS, AND DIVERSITY AND INCLUSION AMONG YOUTH. ACH SUPPORTS THE DEVELOPMENT OF INFORMATION AND EDUCATIONAL EFFORTS TO ILLUMINATE PROBLEMS IN CHILD HEALTH & SAFETY AND IDENTIFY BEST PRACTICES TO IMPROVE IDENTIFIED ISSUES. THROUGH ITS SUPPORT OF ORGANIZATIONS DEALING WITH SPECIFIC DISEASE STATES OR CHRONIC PHYSICAL AND BEHAVIORAL HEALTH CONDITIONS, ACH REMAINS AN ACTIVE PARTNER IN BUILDING COMMUNITIES TO BETTER SERVE THE OVERALL HEALTH NEEDS OF CHILDREN. ADDITIONALLY, THE HOSPITAL PARTNERS WITH VARIOUS AGENCIES' EFFORTS TO WORK WITH PARENTS TO ADDRESS THE SOCIAL DETERMINANTS OF ISSUES THAT IMPACT CHILDREN'S HEALTH, IMPROVE MENTAL HEALTH SERVICES FOR CHILDREN, AND SUPPORT VICTIMS OF DOMESTIC VIOLENCE AND CHILD ABUSE.ACH MAINTAINS ACTIVE PARTNERSHIPS WITH LOCAL UNIVERSITIES TO ENCOURAGE STUDENT INTEREST IN THE VARIOUS AREAS OF PROFESSIONAL DEVELOPMENT AND TO PROVIDE CLINICAL AND NON-CLINICAL TRAINING IMPORTANT TO ARKANSAS' HEALTH SYSTEM OPERATION. WHETHER ENCOURAGING YOUNG WOMEN AND MINORITIES TO CHOOSE PROFESSIONAL CAREERS IN HEALTHCARE AND SCIENCE OR WORKING WITH UNIVERSITY PROGRAMS TO PROVIDE CLINICAL EXPERIENCE FOR STUDENTS, ACH IS A KEY PLAYER IN COMMUNITY WORKFORCE DEVELOPMENT.ACH STAFF AND LEADERS CONTRIBUTE EXPERTISE AND LEADERSHIP IN MANY COMMUNITY SETTINGS IN PURSUIT OF THE HOSPITAL'S MISSION TO IMPROVE THE LIVES OF CHILDREN IN ARKANSAS. WHETHER SERVING ON VARIOUS BOARDS, COMMITTEES OR ADVISORY GROUPS OR SPENDING TIME WITH STUDENTS IN SUPPORT OF EDUCATION AND DEVELOPMENT, ACH IS AN ACTIVE CORPORATE PARTNER IN ITS COMMUNITY. ACH REGARDS THIS AS AN IMPORTANT COMPONENT OF ITS WORK IN THE LITTLE ROCK AND ARKANSAS COMMUNITY. PART III, LINE 2: THE BAD DEBT ATTRIBUTABLE TO PATIENT ACCOUNTS DOES NOT INCLUDE THE EXPENSEFOR PATIENTS WHO ARE LIKELY TO QUALIFY FOR FINANCIAL ASSISTANCE. AT YEAREND, ALL ACCOUNTS WRITTEN OFF AS BAD DEBT ARE SENT TO TRANSUNION FORCREDIT ANALYSIS. THOSE WITH CREDIT SCORES OF 620 AND BELOW ARERECLASSIFIED AS CHARITY SINCE THESE WOULD LIKELY QUALIFY FOR FINANCIALASSISTANCE HAD THE FAMILIES FURNISHED SUFFICIENT INFORMATION. THIS AMOUNTIS ADDED TO THE OTHER CHARITY ADJUSTMENTS. FOR THOSE ACCOUNTS REMAININGCLASSIFIED AS BAD DEBT, THE COST TO CHARGE RATIO FOR EACH ACCOUNT ISCALCULATED AND APPLIED TO THE BAD DEBT WRITE OFF TO ADJUST THIS AMOUNT TOCOST. 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 FINANCIAL STATEMENTS:ASC TOPIC 954 (TOPIC 954), PRESENTATION AND DISCLOSURE OF PATIENT SERVICE REVENUE, PROVISION FOR BAD DEBTS, AND THE ALLOWANCE FOR DOUBTFUL ACCOUNTS FOR CERTAIN HEALTH CARE ENTITIES, REQUIRES HEALTH CARE ENTITIES THAT RECOGNIZE SIGNIFICANT AMOUNTS OF PATIENT SERVICE REVENUE AT THE TIME THE SERVICES ARE RENDERED, EVEN THOUGH THEY DO NOT ASSESS THE PATIENT'S ABILITY TO PAY, TO PRESENT THE PROVISION FOR BAD DEBTS RELATED TO PATIENT SERVICE REVENUE AS A DEDUCTION FROM PATIENT SERVICE REVENUE (NET OF CONTRACTUAL ALLOWANCES AND DISCOUNTS) ON THE CONSOLIDATED STATEMENTS OF OPERATIONS.FOR UNINSURED PATIENTS WHO DO NOT QUALIFY FOR CHARITY CARE, ACH RECOGNIZES REVENUE BASED ON ESTABLISHED RATES, SUBJECT TO CERTAIN DISCOUNTS AS DETERMINED BY ACH. AN ESTIMATED PROVISION FOR UNCOLLECTIBLE ACCOUNTS IS RECORDED THAT RESULTS IN NET PATIENT SERVICE REVENUE BEING REPORTED AT THE NET AMOUNT EXPECTED TO BE RECEIVED. ACH HAS DETERMINED, BASED ON AN ASSESSMENT AT THE CONSOLIDATED ENTITY LEVEL, THAT PATIENT SERVICE REVENUE IS PRIMARILY RECORDED PRIOR TO ASSESSING THE PATIENT'S ABILITY TO PAY AND AS SUCH, THE ENTIRE PROVISION FOR UNCOLLECTIBLE ACCOUNTS RELATED TO PATIENT REVENUE IS RECORDED AS A DEDUCTION FROM PATIENT SERVICE REVENUE IN THE ACCOMPANYING CONSOLIDATED STATEMENTS OF OPERATIONS.PATIENT RECEIVABLES ARE REDUCED BY AN ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS. PERIODICALLY THROUGHOUT THE YEAR, MANAGEMENT ASSESSES THE ADEQUACY OF THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS BASED UPON HISTORICAL WRITE OFF EXPERIENCE BY PAYOR CATEGORY. THE RESULTS OF THIS REVIEW ARE THEN USED TO MAKE MODIFICATIONS TO THE PROVISION FOR UNCOLLECTIBLE ACCOUNTS TO ESTABLISH AN APPROPRIATE ALLOWANCE FOR UNCOLLECTIBLE RECEIVABLES.FOR PATIENT RECEIVABLES ASSOCIATED WITH SELF PAY PATIENTS, INCLUDING PATIENTS WITH DEDUCTIBLE AND COPAYMENT BALANCES FOR WHICH THIRD PARTY COVERAGE PROVIDES FOR A PORTION OF THE SERVICES PROVIDED, ACH RECORDS AN ESTIMATED PROVISION FOR UNCOLLECTIBLE ACCOUNTS IN THE YEAR OF SERVICE. ACH DOES NOT EXPERIENCE A LARGE SELF-PAY POPULATION DUE TO THE CURRENT PAYOR MIX OF ITS PATIENTS. 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.ACH INCLUDED $126,110 FROM PRIOR YEAR MEDICARE COST REPORT SETTLEMENTS THAT IS DUE TO ACH FROM THE MEDICARE PROGRAM. 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 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 2016. 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: 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 OF OUR REGISTRATION AREAS. THE GUARANTOR STATEMENTS AND OUR WEBSITE CONTAIN INFORMATION ABOUT THIS PROGRAM. THERE ARE FINANCIAL COUNSELORS AVAILABLE TO ALL THE REGISTRATION AREAS OF THE HOSPITAL TO ASSIST IN COMPLETING MEDICAID, CMS, SSI INTENTS, AND FINANCIAL ASSISTANCE APPLICATIONS. PART VI, LINE 4: AS THE ONLY 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 70.8% OF ITS OUTPATIENT POPULATION AND 58.7% OF ITS INPATIENT POPULATION FROM THE CENTRAL PART OF THE STATE (PULASKI COUNTY AND THE SURROUNDING COUNTIES OF LONOKE, FAULKNER, JEFFERSON, AND SALINE), AS WELL AS FROM WHITE COUNTY IN NORTH CENTRAL ARKANSAS, GARLAND COUNTY IN EAST CENTRAL ARKANSAS, AND BENTON, SEBASTIAN AND WASHINGTON COUNTIES IN THE NORTHWEST CORNER OF THE STATE. HOWEVER, ACH SERVES PATIENTS IN EVERY COUNTY ACROSS THE STATE AS WELL.ACH'S CURRENT PHYSICAL LOCATIONS INCLUDE A MAIN CAMPUS AND OUTPATIENT CLINIC IN LITTLE ROCK, A CLINIC IN NORTHWEST ARKANSAS, AND A CLINIC IN NORTHEAST ARKANSAS. IN ADDITION, THE HOSPITAL OFFERS REGIONAL CLINICS ACROSS THE STATE ON A PERIODIC BASIS. 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. BASED ON THE U.S. CENSUS BUREAU 2010 CENSUS DATA, POPULATION TOTALS WERE 2,915,918 FOR THE STATE OF ARKANSAS AND 382,748 FOR PULASKI COUNTY. ESTIMATED 2015 CENSUS DATA INDICATED POPULATION TOTALS TO BE 2,978,204 FOR ARKANSAS AND 392,664 FOR PULASKI COUNTY. ALSO ACCORDING TO ESTIMATED 2015 CENSUS DATA, APPROXIMATELY 23.7% OF THE ARKANSAS POPULATION WAS UNDER 18 YEARS OF AGE AND 6.4% WAS UNDER THE AGE OF 5. THE UNEMPLOYMENT RATE FOR THE STATE OF ARKANSAS FOR CALENDAR YEAR 2015 WAS 5.2%. THE PER CAPITA PERSONAL INCOME FOR THE STATE OF ARKANSAS FOR 2015 WAS $22,798. THE PERCENT OF ALL PEOPLE IN POVERTY IN AR WAS 19.3% AND THE PERCENT OF CHILDREN 18 OR YOUNGER IN POVERTY WAS 27.6%, INDICATING VERY LITTLE CHANGE 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 703,792 ARKANSAS CHILDREN UNDER AGE 18 REPRESENTED 23.7% OF THE STATE'S TOTAL POPULATION FOR 2015. 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 2015 INDICATE THAT THE HISPANIC CHILD POPULATION IN ARKANSAS WAS 11.4% AND THE AFRICAN AMERICAN CHILD POPULATION WAS 18.5%. THE RATE OF POVERTY IN ARKANSAS (2015 ESTIMATE) WAS APPROXIMATELY 19.1%, WITH APPROXIMATELY 27% OF CHILDREN UNDER AGE 18 AND 32% OF CHILDREN UNDER AGE 5 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 5.4% OF CHILDREN LACKING COVERAGE AS OF 2015. 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 ONLY 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 334 OPERATING BEDS IN FY16 (ACH IS LICENSED FOR 359 BEDS). THE STAFF IS COMPRISED OF APPROXIMATELY 523 PHYSICIANS, OVER 200 RESIDENTS IN PEDATRICS AND PEDIATRIC SPECIALTIES AND MORE THAN 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 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 ACH CAMPUS ARE PRACTICING PHYSICIANS AS WELL AS TEACHERS TO UAMS STUDENTS IN MEDICINE, NURSING, PHARMACY AND ALLIED HEALTH.INPATIENT SERVICES INCLUDE: INFANT/TODDLER, CARDIOVASCULAR INTENSIVE CARE, NEONATAL INTENSIVE CARE, PEDIATRIC INTENSIVE CARE, INTERMEDIATE CARE, GENERAL MEDICINE, ORTHOPEDICS, HEMATOLOGY/ONCOLOGY, SURGERY/AMBULATORY SURGERY, NEUROSCIENCE, PROGRESSIVE/REHABILITATION, BURN CENTER, RENAL DIALYSIS, ADOLESCENT & YOUNG ADULT, EMERGENCY MEDICINE, AND EXTRACORPOREAL MEMBRANE OXYGENATION (ECMO).ACH OFFERS MORE THAN 80 SPECIALTY AND SUBSPECIALTY CLINICS, LOCATED ON THE MAIN CAMPUS, WEST LITTLE ROCK, NORTHWEST ARKANSAS, AND OTHER AREAS OF THE STATE. THESE INCLUDE: ADOLESCENT & SPORTS MEDICINE, ASTHMA/ALLERGY, AUDIOLOGY/SPEECH PATHOLOGY, GENETICS, CARDIOLOGY, GASTROENTEROLOGY, HIGH RISK NEWBORN, OTOLARYNGOLOGY, CYSTIC FIBROSIS/PULMONARY, OPHTHALMOLOGY, SPINA BIFIDA, AND NUTRITION RESEARCH. ACH MAINTAINS A PRIMARY CARE CLINIC IN THE CITY OF LOWELL, LOCATED IN NORTHWEST ARKANSAS. THE LOWELL LOCATION INCLUDES 12 EXAMINATION ROOMS STAFFED BY FOUR PHYSICIANS, AND ADJACENT CLINIC SPACE FOR LANGUAGE DEVELOPMENT AND PHYSICAL, OCCUPATIONAL, AND SPEECH THERAPIES. THIS PRIMARY CARE CLINIC AND EXPANDED SERVICES IN NORTHWEST ARKANSAS WERE OFFERED IN AN EFFORT TO MEET THE NEEDS OF APPROXIMATELY 7,000 CHILDREN IN NORTHWEST ARKANSAS WITHOUT A PRIMARY CARE PHYSICIAN. ACH ALSO MAINTAINS A CLINIC IN JONESBORO, AR TO SERVE THE CHILDREN OF NORTHEAST ARKANSAS. THIS STATEWIDE PRESENCE HAS GROWN AS ACH CONTINUES TO EXPAND ITS REACH INTO COMMUNITIES IN NEED OF ITS SERVICES WITH INNOVATIVE NEW STRATEGIES.THE NATURAL WONDERS PARTNERSHIP COUNCIL (NWPC), NOW IN ITS TENTH YEAR, SERVES AS A CENTER OF MULTIPLE ACTIVITIES DESIGNED TO IMPROVE THE HEALTH STATUS OF CHILDREN IN OUR STATE. THE NWPC IS NATIONALLY RECOGNIZED AS AN OUTSTANDING EXAMPLE OF HOW A CHILDREN'S HOSPITAL CAN USE ITS RESOURCES AND REPUTATION AS A COMMUNITY LEADER TO BRING FOCUS AND COORDINATED ACTION TO A VARIETY OF ISSUES FACING CHILDREN AND THEIR FAMILIES. THE NWPC CONTINUES ITS EFFORTS IN ACCESS TO CARE, FOOD INSECURITY, SEXUAL HEALTH, CHILDHOOD OBESITY, INTENTIONAL AND UNINTENTIONAL INJURIES, PARENTING SKILLS, BEHAVIORAL HEALTH, ORAL HEALTH, AND IMMUNIZATIONS. THE NWPC CONTINUES TO SERVE AS THE PREFERRED FORUM FOR INFORMING, STRATEGIZING, AND SHARING INFORMATION ABOUT ISSUES IMPORTANT TO THE HEALTH AND DEVELOPMENT OF CHILDREN IN ARKANSAS. 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 HOSPITAL FOUNDATION (ACHF), ARKANSAS CHILDREN'S RESEARCH INSTITUTE (ACRI) AND THE ARKANSAS CHILDREN'S BUILDING RESEARCH FACILITY (BRFI), WHICH WAS MERGED WITH ACRI DURING FISCAL YEAR 2016. ACNW IS A NOT-FOR-PROFIT PEDIATRIC HOSPITAL CURRENTLY UNDER CONSTRUCTION IN SPRINGDALE, ARKANSAS AND WILL SERVE AS THE ONLY EXCLUSIVELY PEDIATRIC HEALTH CARE FACILITY FOR CHILDREN IN THE NORTHWEST REGION OF THE STATE. ACHF 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. 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. 1 ARKANSAS HUNGER RELIEF ALLIANCE 1400 WEST MARKHAM SUITE 304 LITTLE ROCK AR 72201 300254995 501(C)(3) 7400 GENERAL SUPPORT ARKANSAS CENTER FOR HEALTH IMPROVEMENT (UAMS) 1401 W CAPITOL AVE SUITE 300 LITTLE ROCK AR 72201 716046242 GOV'T ENTITY 200000 HEALTH IMPROVEMENT PROGRAMS ARKANSAS ARTS CENTER FOUNDATION PO BOX 2137 LITTLE ROCK AR 72203 237337495 501(C)(3) 6000 GENERAL SUPPORT ARKANSAS CHILDREN'S HOSPITAL RESEARCH INSTITUTE 13 CHILDRENS WAY LITTLE ROCK AR 72202 710694931 501(C)(3) 4185062 1006958 FMV INDIRECT SUPPORT GENERAL SUPPORT HOME INSTRUCTION FOR PARENTS OF PRESCHOOL YOUNGSTERS (HIPPY) 1221 BISHOP LITTLE ROCK AR 72202 133672592 501(C)(3) 38870 FMV PROVIDE OFFICE SPACE & PHONE GENERAL SUPPORT MARCH OF DIMES PO BOX 932852 ATLANTA GA 31193 131846366 501(C)(3) 8200 GENERAL SUPPORT ST BERNARD'S FOUNDATION 400 EAST STREET JONESBORO AR 72401 710563245 501(C)(3) 5000 GENERAL SUPPORT RONALD MCDONALD HOUSE CHARITIES 1009 WOLFE STREET LITTLE ROCK AR 72202 710525252 501(C)(3) 10600 GENERAL SUPPORT THEA FOUNDATION 401 MAIN STREET SUITE 100 NORTH LITTLE ROCK AR 72114 522356755 501(C)(3) 9000 CENTRAL LR PROMISE NEIGHBORHOOD WOMEN & CHILDREN FIRST PO BOX 1954 LITTLE ROCK AR 72203 710513011 501(C)(3) 7000 GENERAL SUPPORT AND CAMPS FOR CHILDREN WITH PHYSICAL CONDITIONS. NATIONAL ASSOCIATION OF CHILDREN'S HOSPITALS PO BOX 79334 BALTIMORE MD 21279 510120256 501(C)(6) 15927 GME ADVOCACY CHILDREN'S PROTECTION CENTER 1123 BISHOP LITTLE ROCK AR 72202 261086937 501(C)(3) 49460 FMV PROVIDE OFFICE SPACE GENERAL SUPPORT SUSAN G KOMEN FOUNDATION - ARKANSAS AFFILIATE 904 AUTUMN ROAD SUITE 500 LITTLE ROCK AR 72211 752845062 501(C)(3) 5718 GENERAL SUPPORT LITTLE ROCK TECHNOLOGY PARK AUTHORITY ONE CHAMBER PLAZA LITTLE ROCK AR 72201 455531676 GOV'T UNIT 25000 GENERAL SUPPORT WOMENS FOUNDATION OF ARKANSAS 200 RIVER MARKET AVENUE SUITE 100 LITTLE ROCK AR 72201 300034070 501(C)(3) 5000 GENERAL SUPPORT 14 1 MEALS 2977 67577 COST MEALS FOR PATIENT FAMILIES/LACTATING MOTHERS INSURANCE PREMIUMS 47 92415 COST PAYMENT OF PREMIUMS FOR PATIENT'S FAMILIES ALLOWED BY COBRA TRANSPORTATION COSTS (BUS TOKENS, CAB FARE, GAS CARDS) 1062 26861 COST FUNERAL EXPENSES 16 4394 COST RENT, MORTGAGE EXPENSE, UTILITIES, LODGING 10 2764 COST CAR SEATS FOR INFANTS AND CHILDREN 478 25173 COST CAR SEATS FOR INFANTS AND CHILDREN GROCERY GIFT CARDS AND OTHER MISC. ASSISTANCE 148 64005 COST ADDITIONAL FAMILY ASSISTANCE (TRANSPORTATION, FOOD, GENERAL) 134 1762 PART I, LINE 2: THE HOSPITAL CONSIDERS REQUESTS FROM NON-PROFIT OR GOVERNMENTAL ENTITIES FOR PROGRAMS OR ACTIVITIES THAT ALIGN WITH ITS PLAN TO ADDRESS NEEDS AS IDENTIFIED IN THE CHNA OR THAT OTHERWISE SUPPORT THE HOSPITAL'S MISSION. THE HOSPITAL ANTICIPATES THAT THESE NON-PROFIT OR GOVERNMENTAL ENTITIES WILL MONITOR THE USE OF FUNDS IN ACCORDANCE WITH NON-PROFIT OR GOVERNMENTAL REQUIREMENTS. THE HOSPITAL PROVIDES SOME ASSISTANCE TO INDIGENT FAMILIES. THE HOSPITAL'S SOCIAL WORK DEPARTMENT EVALUATES THE NEED ON A CASE BY CASE BASIS AND PROVIDES THE APPROPRIATE ASSISTANCE, WHICH IS TYPICALLY FOOD, CLOTHING, SHELTER, OR TRAVEL VOUCHERS. CASH OR CASH EQUIVALENT ASSISTANCE IS SOMETIMES PROVIDED. THE ASSISTANCE PROVIDED IS DOCUMENTED BY THE HOSPITAL'S SOCIAL WORK DEPARTMENT. X 1 1 X X X X 1 1 0 0 0 0 0 0 0 MARCELLA DODERER PRESIDENT/CEO 601672 0 138000 0 990 0 106096 0 12005 0 858763 0 0 0 JAYANT DESHPANDE MD SVP AND CMO 0 0 0 0 521931 0 0 0 0 0 521931 0 0 0 STEVE SCHEXNAYDER MD CHIEF OF STAFF 0 0 0 0 362906 0 0 0 0 0 362906 0 0 0 GENA WINGFIELD SVP AND CFO 433163 0 71474 0 1061 0 70241 0 12005 0 587944 0 0 0 CHARLES LARRY BECKIUS VP FACILITIES 202787 0 27779 0 1233 0 18180 0 8281 0 258260 0 0 0 DAVID BERRY SVP AND COO (PARTIAL YEAR) 399355 0 68098 0 1840 0 19550 0 12005 0 500848 0 0 0 LEE ANNE EDDY SVP/CHIEF NURSING OFFICER 292929 0 49228 0 439 0 45958 0 5931 0 394485 0 0 0 MICHAEL HART VP IT APPLICATIONS 201287 0 57685 0 281 0 15919 0 11421 0 286593 0 0 0 CYNTHIA HOLLAND VP ANCILLARY SERVICES 203953 0 29177 0 1257 0 18808 0 8218 0 261413 0 0 0 KATHERINE LEA VP ED/SURGICAL CARE 161552 0 23172 0 209 0 14528 0 6794 0 206255 0 0 0 DARRELL LEONHARDT SVP AND CIO (PARTIAL YEAR) 208865 0 0 0 1658 0 11586 0 4154 0 226263 0 0 0 MARY SALASSI-SCOTTER VP CRITICAL CARE SERVICES 159662 0 23192 0 654 0 14943 0 7936 0 206387 0 0 0 ROBERT STEELE SVP AND CSO 450293 0 75939 0 727 0 54001 0 12005 0 592965 0 0 0 ANDREE TROSCLAIR VP HUMAN RESOURCES 230203 0 32599 0 1204 0 19515 0 5533 0 289054 0 0 0 TAMMY WEBB VP ACUTE CARE 139182 0 18863 0 146 0 7012 0 948 0 166151 0 0 0 STEPHEN M BEETSTRA DENTAL ASSISTANT DIRECTOR 260556 0 14636 0 568 0 19442 0 11748 0 306950 0 0 0 CARL CHIPMAN RN 1ST ASSISTANT- CVOR 218268 0 6771 0 2694 0 11883 0 3617 0 243233 0 0 0 RHONDA MCKINNIS VP LEGAL AFFAIRS 239256 0 32599 0 531 0 16403 0 7407 0 296196 0 0 0 VENT MURPHY DIRECTOR - DENTAL CLINICAL ED. 242901 0 17499 0 1449 0 11830 0 8513 0 282192 0 0 0 KIRT SIMMONS DIRECTOR - CRANIOFACIAL OR 268395 0 5401 0 1674 0 19800 0 5698 0 300968 0 0 0 PART I, LINE 1A CHARTER TRAVEL IS USED BY ARKANSAS CHILDREN'S, ARKANSAS CHILDREN'S HOSPITAL, ARKANSAS CHILDREN'S HOSPITAL FOUNDATION, AND ARKANSAS CHILDREN'S RESEARCH INSTITUTE 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 (NON-CHARTER) TRAVEL 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. PART I, LINE 3 COMPENSATION FOR ANY ARKANSAS CHILDREN'S HOSPITAL 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. PART I, LINES 4A-B DARRELL LEONHARDT RECEIVED APPROXIMATELY THREE (3) MONTHS OF SEVERANCE PAY FOLLOWING HIS DATE OF TERMINATION, 6/5/2015. ARKANSAS CHILDREN'S HOSPITAL HAS SUPPLEMENTAL EXECUTIVE RETIREMENT PLANS TO PROVIDE EXECUTIVES WITH RETIREMENT AND DEATH BENEFITS. THE PLANS ARE INTENDED TO CONSTITUTE UNFUNDED PLANS FOR A SELECT GROUP OF MANAGEMENT OR HIGHLY COMPENSATED EMPLOYEES WITHIN THE MEANING OF TITLE I OF THE EMPLOYEE RETIREMENT INCOME SECURITY ACT OF 1974, AS AMENDED. THE ORIGINAL SUPPLEMENTAL RETIREMENT PLAN (SERP) WAS FROZEN TO NEW PARTICIPANTS IN FY14; HOWEVER, SOME EXECUTIVES REMAINED IN THE PLAN. AS OF 6/30/16, THE FOLLOWING ACH REPORTABLE INDIVIDUAL HAD A BALANCE IN THE PLAN: GENA WINGFIELD SR. VP/CFO EFFECTIVE 6/30/2014, ACH INITIATED A NEW EXECUTIVE COMPENSATION PLAN, THE "DEFERRED COMPENSATION PLAN" (DCP). 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. PER THE PLAN DOCUMENT, EACH DCP CONTRIBUTION FOR A PLAN YEAR AND ITS ASSOCIATED EARNINGS VEST ON THE EARLIER OF: - THE FIRST DAY OF THE PLAN YEAR FOLLOWING THREE YEARS OF SERVICE WHICH BEGINS ON THE FIRST DAY OF THE PLAN YEAR FOR WHICH THE CONTRIBUTION IS CREDITED. - ATTAINMENT OF AGE 65 AND AT LEAST 3 YEARS OF SERVICE AS A DCP PARTICIPANT - DEATH OR PERMANENT DISABILITY - INVOLUNTARY TERMINATION (OTHER THAN FOR CAUSE) - PLAN TERMINATION FOR TAX YEAR 2015 (FISCAL YEAR 2016), THE FOLLOWING ACH REPORTABLE EMPLOYEES WERE ELIGIBLE TO PARTICIPATE IN THE DCP PLAN: - MARCELLA DODERER: PRES/CEO - LEE ANN EDDY: SVP/CNO - GENA WINGFIELD: SVP/CFO - ROB STEELE: SVP/CSO NONE OF THE ELIGIBLE EMPLOYEES LISTED ABOVE RECEIVED PAYMENT FROM THE PLAN DURING THE PERIOD REPORTED. 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: DIRECTORS JAY DESHPANDE, M.D., STEVE SCHEXNAYDER, M.D., AND RICHARD JACOBS, M.D. WERE COMPENSATED BY UAMS AS EMPLOYEES FOR SERVICES RENDERED TO ARKANSAS CHILDREN HOSPITAL (ACH) AND FOR WHICH ACH REMITTED PAYMENT LISTED AS "REPORTABLE COMPENSATION FROM THE ORGANIZATION" IN PART VII. THE AMOUNTS NOTED AS COMPENSATION IN SCHEDULE J FOR THE PHYSICIANS NOTED ABOVE WERE THE DESIGNATED AMOUNTS PER THE RELATED CONTRACTS WITH UAMS. A PULASKI COUNTY ARKANSAS 716006487 745392HD5 2009-05-28 109526869 SEE SCHEDULE K, PART VI. 0 0 0 B PULASKI COUNTY ARKANSAS 716006487 745392HR4 2010-11-17 31051199 SEE SCHEDULE K, PART VI. 0 0 0 C ARKANSAS DEVELOPMENT FINANCE AUTHORITY 710503641 000000000 2013-09-05 19800000 SEE SCHEDULE K, PART VI. 0 0 0 A 15370000 111070517 7360415 439815 1296277 1876252 100097782 2012 0 0 1 1 B 16720000 31051199 192600 206911 30651688 2010 1 0 1 1 C 6743835 19800000 19800000 2015 0 0 1 1 A 0 0 1 1 1 0 0.00070 0.00000 0.00070 0 0 1 C 0 0 0 0 0.00000 0.00000 0.00000 0 0 1 A 0 0 0 1 0 0 0 1 1 B 0 0 1 0 0 0 0 0 1 C 0 1 0 0 0 0 0 0 1 A 1 B 1 C 1 DATE REBATE COMPUTATION PERFORMED ISSUER NAME: PULASKI COUNTY, ARKANSAS DATE THE REBATE COMPUTATION WAS PERFORMED: 07/18/2013 SCHEDULE K SUPPLENTAL INFORMATION PART I, LINE A - DESCRIPTION OF PURPOSE. PROCEEDS USED TO ACCOMPLISH THE UTILITY PROJECT AND THE SOUTH WING PROJECT. THE UTILITY PROJECT INCLUDED MAJOR INFRASTRUCTURE IMPROVEMENTS, INCLUDING ADDED CAPACITY FOR THE SOUTH WING. THE SOUTH WING PROJECT WAS NEW CONSTRUCTION THAT ADDED APPROXIMATELY 243,114 SQUARE FEET INCLUDING A NEW EMERGENCY DEPARTMENT, ADDITIONAL OUTPATIENT CLINIC AREAS AND A NET ADDITION OF 54 INPATIENT BEDS. PART I, LINE B - 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 C - DESCRIPTION OF PURPOSE. PROCEEDS USED TO PURCHASE TWO SIKORSKY S-76D HELICOPTERS TO BE USED FOR MEDICAL TRANSPORT. PART II, LINE 3, BOND A - TOTAL PROCEEDS DIFFER FROM ISSUE PRICE DUE TO CUMULATIVE INVESTMENT EARNINGS. PART II, LINE 4 - THE AMOUNTS SHOWN HERE CONSIST SOLELY OF DEBT SERVICE RESERVE FUNDS. THE ORGANIZATION ALSO HAS THE FOLLOWING AMOUNTS IN BONA FIDE DEBT SERVICE FUNDS AS OF 6/30/2016: SERIES 2009: $2,559,001; SERIES 2010: $801,608. PART IV, LINE 6, BOND A - SUCH AMOUNTS WERE APPROPRIATELY YIELD RESTRICTED. JONATHAN GOLDBERG CHIEF INFORMATION OFFICER RECRUITMENT X 50000 50000 0 0 1 JONATHAN GOLDBERG CHIEF INFORMATION OFFICER RECRUITMENT X 50000 50000 0 0 1 100000 MISTY DAWN BERRY FAMILY MEMBER 32712 SEE PART V. MISTY DAWN BERRY IS A FAMILY MEMBER OF KEY EMPLOYEE DAVID BERRY, WHO IS NO LONGER WITH THE HOSPITAL. CONSISTENT WITH ARKANSAS CHILDREN'S HOSPITAL POLICY, SHE DID NOT WORK WITHIN MR. BERRY'S LINE OF AUTHORITY DURING HIS TENURE AT ACH. 0 JENNIFER J BECKIUS FAMILY MEMBER 33608 SEE PART V. JENNIFER J. BECKIUS IS A FAMILY MEMBER OF KEY EMPLOYEE LARRY BECKIUS; HOWEVER, CONSISTENT WITH ARKANSAS CHILDREN'S HOSPITAL POLICY, SHE DOES NOT WORK WITHIN MR. BECKIUS'S LINE OF AUTHORITY. 0 ALARMCO INC PERFORMANCE OF SERVICES 133622 BOARD MEMBER BARBARA MOORE'S SON, JOHN MOORE III, OWNS 45% OF ALARMCO INC. WHICH PROVIDES GOODS AND/OR SERVICES TO THE HOSPITAL AS AN INDEPENDENT CONTRACTOR. ACH TOTAL FOR FY16 IS $133,622. 0 SCHEDULE L, PART II -LOANS TO AND/OR FROM INTERESTED PERSONS 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. 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. FORM 990, PART VI, SECTION A, LINE 2: ALTHOUGH NOT CONSIDERED COVERED RELATIONSHIPS AS NOTED IN PART VI, SECTION A, LINE 2, THE FOLLOWING DIRECTORS WERE ALL EMPLOYEES OF THE UNIVERSITY OF ARKANSAS FOR MEDICAL SCIENCES (UAMS) DURING THE TAX YEAR: JAYANT DESHPANDE, M.D., RICHARD JACOBS, M.D., STEVE SCHEXNAYDER, M.D., AND DANIEL RAHN, M.D. FORM 990, PART VI, SECTION A, LINE 2 PATRICK SCHUECK WAS AN ELECTED MEMBER OF THE ACH BOARD OF DIRECTORS FOR PART OF FISCAL YEAR 2016. HIS WIFE, JENNIFER SCHUECK, WAS THE PRESIDENT OF THE ACH AUXILIARY BOARD AND IN THAT ROLE WAS A DESIGNATED MEMBER OF THE ACH BOARD OF DIRECTORS. BOTH OF THEIR BOARD TERMS ENDED MARCH 30, 2016. FORM 990, PART VI, SECTION A, LINE 3 THE HOSPITAL'S SVP/CHIEF QUALITY AND CHIEF MEDICAL OFFICER POSITION IS 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. AS 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 BY-LAWS AND ARTICLES OF INCORPORATION AS OF MARCH 30, 2016. ACH REMAINS A NON-PROFIT PUBLIC BENEFIT CORPORATION UNDER THE LAWS OF THE STATE OF ARKANSAS. SIGNIFICANT CHANGES AFFECTING GOVERNANCE ARE AS FOLLOWS: *ARKANSAS CHILDREN'S HOSPITAL IS NOW PART OF THE NEWLY FORMED HEALTH SYSTEM UNDER ONE CONTROLLING ENTITY, ARKANSAS CHILDREN'S, INC. *THE SOLE MEMBER OF ACH IS NOW ARKANSAS CHILDREN'S, INC. *THE PURPOSE OF ACH HAS BEEN CHANGED TO THE FOLLOWING: "THE CORPORATION IS ORGANIZED EXCLUSIVELY FOR CHARITABLE, SCIENTIFIC, AND EDUCATIONAL PURPOSES, RELIEF OF THE POOR AND DISTRESSED AND LESSENING THE BURDENS OF GOVERNMENT WITHIN THE MEANING OF SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE...INCLUDING TO IMPROVE AND PROMOTE THE HEALTH AND WELFARE OF THE POPULATION OF THE STATE OF ARKANSAS AND TO SUPPORT AND PROMOTE THE ADVANCEMENT OF SCIENTIFIC AND MEDICAL EDUCATION, TRAINING, RESEARCH, AND KNOWLEDGE FOR THE BENEFIT OF THE GENERAL PUBLIC, BY: A) ESTABLISHING AND OPERATING HOSPITAL AND OUTPATIENT FACILITIES, CLINICS AND PROGRAMS FOR THE DIAGNOSIS, CARE AND TREATMENT OF SICK, INJURED AND DISABLED PERSONS, WITH AN EMPHASIS ON PEDIATRIC MEDICAL CARE, AND INCLUDING BUT NOT LIMITED TO INPATIENT CARE, OUTPATIENT CARE, EXTENDED CARE AND HOME CARE, SUBJECT TO OBTAINING SUCH LICENSURE, CONSENT AND APPROVALS AS REQUIRED BY APPLICABLE LAW; B) CONDUCTING, FACILITATING AND/OR SUPPORTING EDUCATIONAL TRAINING FOR MEDICAL AND HEALTH PROFESSIONALS; C) SUPPORTING AND FURTHERING THE CHARITABLE HEALTHCARE MISSION OF THE INTEGRATED GROUP OF AFFILIATED HEALTH CARE PROVIDERS AND RELATED ENTITIES OF WHICH THE SOLE MEMBER IS THE DIRECT OR INDIRECT SOLE MEMBER; D) BENEFITING, PROMOTING, AND FURTHERING THE PURPOSES OF THOSE SECTION 50I(C)(3) TAX-EXEMPT ORGANIZATIONS THAT ARE DIRECTLY OR INDIRECTLY CONTROLLED BY THE SOLE MEMBER, INCLUDING BY MAKING GRANTS, GUARANTEEING DEBT, PROVIDING SERVICES AND OTHER FORMS OF SUPPORT, AND/OR OTHER MEANS; E) OTHERWISE PROMOTING THE HEALTH AND WELFARE OF THE POPULATION OF THE STATE OF ARKANSAS, AND CHILDREN IN PARTICULAR " ADDITIONAL CHANGES REGARDING GOVERNANCE ARE AS FOLLOWS: *IN THE EVENT OF DISSOLUTION, THE BOARD OF DIRECTORS SHALL, AFTER PAYING OR MAKING PROVISION FOR PAYMENT OF ALL LIABILITIES OF THE CORPORATION, DISTRIBUTE ITS ASSETS TO ONE OR MORE ENTITIES THAT ARE DIRECTLY OR INDIRECTLY CONTROLLED BY THE SOLE MEMBER AND/OR SUCCESSORS OF THE CORPORATION, IN SUCH PROPORTIONS AS THE BOARD SHALL DETERMINE, PROVIDED THAT EACH SUCH ORGANIZATION QUALIFIES AS EXEMPT FROM FEDERAL INCOME TAX. *AS SOLE MEMBER OF ACH, ARKANSAS CHILDREN'S, INC. HAS EXCLUSIVE AUTHORITY UNDER ARKANSAS LAW AND ACH'S GOVERNING DOCUMENTS TO CERTAIN RESERVED POWERS, WHICH INCLUDE THE FOLLOWING: (A) TO APPROVE AND MODIFY THE PURPOSES AND MISSION OF ACH AND/OR AFFILIATES; (B) TO FIX THE SIZE OF THE BOARD OF DIRECTORS AND APPOINT AND/OR REMOVE ITS MEMBERS FOR ACH AND/OR AFFILIATES; (C) TO ESTABLISH FINANCIAL AND STRATEGIC PLANS OF ACH AND/OR AFFILIATES; (D) TO APPROVE ALL BUDGETS OF ACH AND/OR AFFILIATES; (E) TO CONTROL INVESTMENT OF ASSETS HELD BY OR ON BEHALF OF ACH AND/OR AFFILIATES; (F) TO APPROVE ANY UNBUDGETED CAPITAL EXPENDITURES MADE BY ACH AND/OR AFFILIATES IN ACCORDANCE WITH POLICY; (G) TO APPROVE ANY REAL OR PERSONAL PROPERTY TRANSACTION MADE BY ACH AND/OR AFFILIATES IN ACCORDANCE WITH POLICY; (H) TO APPROVE INCURRENCE OF DEBT OR GUARANTEES MADE BY ACH AND/OR AFFILIATES; (I) TO APPROVE THE INITIATION OR SETTLEMENT OF ANY MATERIAL LEGAL PROCEEDING OF ACH AND/OR AFFILIATES; (J) TO APPROVE ANY MATERIAL SETTLEMENT OF ANY GOVERNMENTAL, AUDIT OR OTHER PROCEEDING INVOLVING ACH AND/OR AFFILIATES; (K) TO APPROVE ANY UNBUDGETED CONTRACT PROCEEDING THAT OCCURS OUTSIDE THE ORDINARY COURSE OF BUSINESS OF ACH AND/OR AFFILIATES IN ACCORDANCE WITH POLICY; (L) TO APPROVE ANY EFFORTS TO RE-BRAND OR ALTER THE PUBLIC FACING IMAGE OF ACH AND/OR AFFILIATES; (M) TO APPROVE THE SALE, LEASE, EXCHANGE, OR OTHER DISPOSITION OF ALL OR SUBSTANTIALLY ALL OF THE PROPERTY OF ACH AND/OR AFFILIATES OTHER THAN IN THE REGULAR COURSE OF BUSINESS; (N) TO RATIFY ELECTION AND REMOVAL OF OFFICERS OF THE BOARD; (O) TO NOMINATE CANDIDATES FOR ELECTION OR APPOINTMENT BY ACH AS PRESIDENT AND CHIEF EXECUTIVE OFFICER, AND TO REMOVE THE PRESIDENT AND CHIEF EXECUTIVE OFFICER OF ACH, WITH OR WITHOUT CAUSE, AFTER CONSULTATION WITH ACH'S BOARD OF DIRECTORS AND THE PRESIDENT AND CHIEF EXECUTIVE OFFICER OF THE MEMBER; (P) TO RETAIN, OVERSEE, AND TERMINATE INDEPENDENT EXTERNAL AUDITORS OF ACH AND/OR AFFILIATES; (Q) TO AUTHORIZE AMENDMENT AND RESTATEMENT AND/OR REPEAL OF GOVERNANCE DOCUMENTS OF ACH AND/OR AFFILIATES; (R) TO AUTHORIZE AND CAUSE ACH AND/OR AFFILIATES TO FORM A NEW SUBSIDIARY OR OTHERWISE BECOME A MEMBER, SHAREHOLDER, OR OTHER EQUITY OWNER OF ANY OTHER LEGAL ENTITY; (S) TO AUTHORIZE MERGER, ACQUISITION, CONSOLIDATION, OR JOINT VENTURE OF ACH AND/OR AFFILIATES; (T) TO AUTHORIZE CONVERSION, REORGANIZATION, OR DISSOLUTION AND SUBSEQUENT DISPOSITION OF ASSETS OF ACH AND/OR AFFILIATES; (U) TO APPROVE ANY OTHER ACTION BY ACH AND/OR AFFILIATES ESTABLISHED FROM TIME TO TIME BY RESOLUTION OF THE SOLE MEMBER AS REQUIRING ITS APPROVAL, INCLUDING BUT NOT LIMITED TO ANY APPROVALS RELATED TO COMPLIANCE WITH ANY CREDIT AGREEMENT, MASTER INDENTURE OR LOAN AGREEMENT ASSOCIATED WITH ACH AND/OR AFFILIATES. *REGARDING THE BOARD OF DIRECTORS, SPECIFIC MODIFICATIONS TO THE GOVERNING DOCUMENTS ARE AS FOLLOWS: (A) WITH RESPECT TO THE ACTIVITIES, OPERATIONS AND ASSETS OF ACH, THE BOARD OF DIRECTORS SHALL HAVE AND MAY EXERCISE ALL OF THE POWERS CONFERRED BY APPLICABLE LAW, WHICH ARE NOT INCONSISTENT WITH ACH'S ARTICLES OF INCORPORATION, BYLAWS, THE RESERVED POWERS OF THE MEMBER, OR APPLICABLE LAW. THE BOARD SHALL BE RESPONSIBLE FOR (I) MAINTENANCE OF PROPER STANDARDS OF PROFESSIONAL WORK IN THE HOSPITAL; AND (II) ENSURING THAT THE MEDICAL STAFF OF THE HOSPITAL FUNCTIONS IN CONFORMITY WITH AT LEAST REASONABLE STANDARDS OF COMPETENCY. (B) ACH'S BOARD OF DIRECTORS SHALL CONSIST OF NOT LESS THAN TWELVE (12) NOR MORE THAN FIFTEEN (15) DIRECTORS, WITH THE SPECIFIC NUMBER WITHIN THAT RANGE TO BE DETERMINED BY THE MEMBER FROM TIME TO TIME; PROVIDED, HOWEVER, THAT THE MEMBER MAY BY RESOLUTION INCREASE OR DECREASE THE NUMBER OF DIRECTORS OF THE CORPORATION TO THE EXTENT CONSISTENT WITH THE CORPORATION'S ARTICLES OF INCORPORATION, THE BYLAWS OF THE MEMBER AND APPLICABLE LAW. NO DECREASE IN THE NUMBER OF DIRECTORS SHALL SHORTEN THE TERM OF ANY INCUMBENT DIRECTOR. (C) ACH'S PRESIDENT AND CHIEF EXECUTIVE OFFICER, THE CHIEF OF THE MEDICAL STAFF OF THE HOSPITAL AND THE PRESIDENT AND CHIEF EXECUTIVE OFFICER OF THE MEMBER WILL SERVE AS EX OFFICIO VOTING MEMBERS OF THE BOARD FOR AS LONG AS THEY SERVE IN THEIR RESPECTIVE ROLES. (D) THE SOLE MEMBER SHALL APPOINT SUCH OTHER INDIVIDUALS AS THE REMAINING DIRECTORS ON THE BASIS OF A DEMONSTRATED INTEREST IN THE PURPOSES OF THE CORPORATION, THE ABILITY AND COMMITMENT TO ACTIVELY AND EFFECTIVELY PARTICIPATE IN THE BOARD'S ROLE IN FULFILLING THOSE PURPOSES, INCLUDING POSSESSION OF THE SKILLS NEEDED TO OVERSEE THE ACTIVITIES OF THE HOSPITAL (E.G., MEDICAL, LEGAL, FINANCIAL/ACCOUNTING OR OTHER BUSINESS EXPERTISE), A RECORD OF COMMUNITY INVOLVEMENT AND A REPUTATION FOR INTEGRITY, AND WITH DUE REGARD TO REPRESENTATION OF THE COMMUNITIES SERVED BY THE HOSPITAL. THE APPOINTED DIRECTORS MAY INCLUDE PHYSICIANS AND OTHER HEALTHCARE PROFESSIONALS OR OTHER PERSONS WITH EXPERIENCE AND EXPERTISE IN CHILDREN'S HEALTH AND HEALTHCARE WITHIN THE COMMUNITY SERVED BY THE HOSPITAL. (E) THE BOARD SHALL AT ALL TIMES INCLUDE AT LEAST THREE (3) INDIVIDUALS WHO DO NOT ALSO SERVE ON THE BOARD OF DIRECTORS OF ANY AFFILIATE. (F) DIRECTORS (OTHER THAN EX OFFICIO DIRECTORS) WILL BE APPOINTED AT THE SOLE MEMBER'S ANNUAL MEETING. EACH DIRECTOR WILL HOLD OFFICE FOR A TERM OF THREE (3) YEARS. THE TERMS OF APPOINTED DIRECTORS WILL BE STAGGERED SUCH THAT THE TERMS OF ONE-THIRD (1/3) OF THE DIRECTORS EXPIRE EACH YEAR. DIRECTORS TO REPLACE THOSE WHOSE TERMS ARE EXPIRING WILL BE APPOINTED AT THE SOLE MEMBER'S ANNUAL MEETING. IN ORDER TO ESTABLISH THESE STAGGERED TERMS, THE INITIAL TERMS OF 1/3 OF THE INITIAL DIRECTORS SHALL BE ONE (1) YEAR, THE INITIAL TERMS OF 1/3 OF THE INITIAL DIRECTORS SHALL BE TWO (2) YEARS, AND THE INITIAL TERMS OF 1/3 OF THE INITIAL DIRECTORS SHALL BE THREE (3) YEARS. DIRECTORS MAY SERVE ONE OR MORE SUBSEQUENT TERMS BY REAPPOINTMENT. (G) A MAJORITY OF THE NUMBER OF DIRECTORS IN OFFICE IMMEDIATELY BEFORE A MEETING BEGINS SHALL CONSTITUTE A QUORUM FOR THE TRANSACTION OF BUSINESS AT ANY MEETING OF THE BOARD OF DIRECTORS. IF LESS THAN SUCH MAJORITY IS PRESENT AT ANY TIME DURING A MEETING, A MAJORITY OF THE DIRECTORS PRESENT MAY ADJOURN THE MEETING FROM TIME TO TIME WITHOUT FURTHER NOTICE. 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 ON 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 11 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 PRESENTED 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, EXTERNAL COUNSEL 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 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. 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 VI, SECTION A, LINE 4 (CONTINUED); *REGARDING OFFICERS OF THE BOARD, SPECIFIC MODIFICATIONS TO THE GOVERNING DOCUMENTS ARE AS FOLLOWS: (A) THE OFFICERS OF ACH'S BOARD OF DIRECTORS SHALL INCLUDE A CHAIR, VICE CHAIR, SECRETARY, AND TREASURER. (B) THE OFFICERS OF THE BOARD SHALL BE APPOINTED BY THE BOARD, SUBJECT TO RATIFICATION BY THE SOLE MEMBER. WITH THE EXCEPTION OF THE SECRETARY, THE OFFICERS OF THE BOARD SHALL BE APPOINTED FROM AMONG ACH'S EXISTING DIRECTORS. (C) DUTIES OF THE CHAIR INCLUDE PRESIDING AT ALL MEETINGS OF THE BOARD OF DIRECTORS AND PERFORMING OTHER DUTIES COMMONLY ASSOCIATED BY SUCH OFFICE AND AS DESIGNATED BY THE BOARD FROM TIME TO TIME. THE CHAIR WILL BE AN EX OFFICIO VOTING MEMBER OF ALL COMMITTEES. (D) DUTIES OF THE VICE CHAIR INCLUDE ACTING AS CHAIR IN THE ABSENCE OF THE CHAIR AND PERFORMING SUCH OTHER DUTIES AS DESIGNATED BY THE CHAIR FROM TIME TO TIME. (E) DUTIES OF THE SECRETARY INCLUDE KEEPING RECORDS OF ALL MEETINGS AND PROCEEDINGS OF THE BOARD OF DIRECTORS, ACTING AS CUSTODIAN OF ALL RECORDS AND REPORTS OF THE BOARD, AUTHENTICATING THE RECORDS OF ACH, AND PERFORMING OTHER DUTIES INCIDENT TO THE OFFICE OF SECRETARY AND AS DESIGNATED BY THE BOARD FROM TIME TO TIME. (F) DUTIES OF THE TREASURER INCLUDE ASSISTING WITH SUBMITTING THE OPERATING BUDGET AND CAPITAL BUDGET TO THE SOLE MEMBER FOLLOWING APPROVAL BY THE BOARD, MONITORING OPERATING PERFORMANCE TO THE OPERATING BUDGET ON A QUARTERLY BASIS, AND PERFORMING OTHER DUTIES AS PRESCRIBED BY THE BOARD FROM TIME TO TIME. *REGARDING OFFICERS OF THE CORPORATION, SPECIFIC MODIFICATIONS TO THE GOVERNING DOCUMENTS ARE AS FOLLOWS: (A) THE OFFICERS OF THE CORPORATION SHALL INCLUDE A PRESIDENT AND CHIEF EXECUTIVE OFFICER AND SUCH OTHER OFFICERS HAVING SUCH DUTIES AND AUTHORITY AS MAY BE DETERMINED FROM TIME TO TIME BY THE PRESIDENT AND CHIEF EXECUTIVE OFFICER IN HIS OR HER DISCRETION OR BY THE BOARD IN ITS DISCRETION, CONSISTENT WITH THE CORPORATION'S ARTICLES OF INCORPORATION, THE BYLAWS, THE RESERVED POWERS OF THE MEMBER, AND ARKANSAS LAW. (B) THE PRESIDENT AND CHIEF EXECUTIVE OFFICER SHALL BE THE CHIEF EXECUTIVE OFFICER OF THE CORPORATION AND SHALL BE RESPONSIBLE FOR THE OPERATIONS AND MAINTENANCE OF THE HOSPITAL. THE PRESIDENT AND CHIEF EXECUTIVE OFFICER SHALL BE RESPONSIBLE FOR THE ADMINISTRATION OF ALL DEPARTMENTS OF THE CORPORATION, SUBJECT ONLY TO THE POLICIES ADOPTED AND DECISIONS MADE BY THE BOARD OF DIRECTORS. THE PRESIDENT AND CHIEF EXECUTIVE OFFICER SHALL BE THE DIRECT EXECUTIVE REPRESENTATIVE OF THE BOARD OF DIRECTORS AND THE MEMBER IN THE MANAGEMENT OF THE OPERATIONS OF THE CORPORATION. THE PRESIDENT AND CHIEF EXECUTIVE OFFICER SHALL BE APPOINTED BY THE CORPORATION'S BOARD OF DIRECTORS FROM AMONG CANDIDATES OR A CANDIDATE NOMINATED BY THE MEMBER, AND SHALL HOLD OFFICE UNTIL HER OR HIS SUCCESSOR SHALL BE APPOINTED AND QUALIFIED OR UNTIL HER OR HIS EARLIER RESIGNATION OR REMOVAL. NOTWITHSTANDING ANYTHING TO THE CONTRARY HEREIN, THE PRESIDENT AND CHIEF EXECUTIVE OFFICER MAY ALSO SERVE AS AN OFFICER AND/OR DIRECTOR OF THE MEMBER AND/OR AN AFFILIATE THEREOF. *REGARDING COMMITTEES OF THE BOARD, SPECIFIC MODIFICATIONS TO THE GOVERNING DOCUMENTS ARE AS FOLLOWS: (A) THE BOARD OF DIRECTORS MAY FROM TIME TO TIME DESIGNATE ONE (1) OR MORE COMMITTEES OF THE BOARD WITH SUCH DUTIES AND RESPONSIBILITIES AS IT DEEMS NECESSARY, ADVISABLE OR CONVENIENT. A COMMITTEE OF THE BOARD MAY BE ESTABLISHED EITHER AS A STANDING COMMITTEE OR AS AN AD HOC COMMITTEE FOR A SPECIAL PURPOSE. EACH COMMITTEE OF THE BOARD SHALL BE ESTABLISHED BY THE BOARD OF DIRECTORS, BY AT LEAST MAJORITY VOTE, AND SHALL CONSIST OF AT LEAST THREE (3) DIRECTORS. ALL COMMITTEES SHALL REPORT TO THE BOARD OF DIRECTORS, AND SHALL SERVE AT THE PLEASURE OF THE BOARD. THE CHAIR SHALL SERVE AS AN EX OFFICIO MEMBER OF ALL COMMITTEES OF WHICH THE CHAIR IS NOT OTHERWISE A REGULAR MEMBER, TO THE EXTENT PERMITTED BY APPLICABLE LAW. THE BOARD SHALL HAVE THE POWER AT ANY TIME TO CHANGE THE MEMBERSHIP OF ANY COMMITTEE, TO FILL VACANCIES ON ANY COMMITTEE AND TO DISCHARGE ANY COMMITTEE. THE BOARD MAY DESIGNATE ONE OR MORE DIRECTORS AS ALTERNATE MEMBERS OF ANY COMMITTEE, WHO MAY REPLACE ANY ABSENT OR DISQUALIFIED MEMBER AT ANY MEETING OF SUCH COMMITTEE. (B) NON-DIRECTOR MEMBERS SHALL BE AUTHORIZED TO PARTICIPATE AS VOTING MEMBERS OF A COMMITTEE ONLY ON MATTERS WHICH WILL BE REFERRED OR RECOMMENDED TO THE BOARD OF DIRECTORS FOR ITS FINAL ACTION. NON-DIRECTOR MEMBERS SHALL BE REQUIRED TO COMPLETE A CONFLICT OF INTEREST DISCLOSURE STATEMENT ANNUALLY, AND TO COMPLY WITH THE CORPORATION'S CONFLICT OF INTEREST POLICY. SUCH NON-DIRECTOR REPRESENTATIVES SHALL SERVE EITHER FOR A ONE (1) YEAR TERM (WHICH MAY BE RENEWED) OR AT THE PLEASURE OF THE BOARD OF DIRECTORS, AS DETERMINED BY THE BOARD OF DIRECTORS FROM TIME TO TIME. NON-DIRECTOR MEMBERS OF A COMMITTEE MAY INCLUDE MEMBERS OF THE MANAGEMENT TEAM OF THE CORPORATION OR THE MEMBER. (C) 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 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 THESE BYLAWS. (D) THE STANDING COMMITTEES OF THE BOARD SHALL BE: (I) QUALITY AND SAFETY COMMITTEE AND (II) PLANNING AND DEVELOPMENT COMMITTEE. (E) THE QUALITY AND SAFETY COMMITTEE SHALL CONSIST OF AT LEAST FOUR (4) DIRECTORS APPOINTED ANNUALLY BY THE CHAIR, SUBJECT TO APPROVAL BY THE BOARD, AND SHALL ALSO INCLUDE THE CHIEF OF THE MEDICAL STAFF, THE CHIEF MEDICAL OFFICER, AND THE CHIEF NURSING OFFICER OF THE HOSPITAL. (F) THE QUALITY AND SAFETY COMMITTEE SHALL BE RESPONSIBLE FOR PROVIDING OVERSIGHT FOR QUALITY IMPROVEMENT ACTIVITIES AS RELATED TO QUALITY AND SAFETY OF PATIENT CARE AS OUTLINED IN ARTICLE VIII OF THE BYLAWS, AND FOR THE FOLLOWING DUTIES: (I) PROVIDE OVERSIGHT FOR QUALITY IMPROVEMENT/PATIENT CARE ACTIVITIES; (II) ADVISE WHERE APPROPRIATE TO ENSURE THAT GOALS AND PRIORITIES OF THE BOARD OF DIRECTORS ARE BEING ADEQUATELY ADDRESSED; (III) COMMUNICATE PERTINENT ACTIONS TAKEN OR CONTEMPLATED BY THE BOARD OF DIRECTORS OR MEDICAL STAFF; (IV) DELIBERATE ISSUES AFFECTING THE DISCHARGE OF MEDICAL STAFF RESPONSIBILITIES; (V) REVIEW PROBLEMS RELATIVE TO ACHIEVING AND MAINTAINING STANDARDS OF ACCREDITING AGENCIES; (VI) REVIEW AND EVALUATE THE QUALIFICATIONS AND COMPETENCE OF THOSE INDIVIDUALS PROPOSED FOR APPOINTMENT OR REAPPOINTMENT TO THE MEDICAL, DENTAL, AND AFFILIATED STAFFS THAT HAVE BEEN REFERRED TO IT BY THE MEDICAL STAFF EXECUTIVE COMMITTEE (MSEC) AND SHALL DETERMINE MEMBERSHIP TO THE MEDICAL, DENTAL, AND AFFILIATED STAFFS AND PRIVILEGES TO PRACTICE. THE COMMITTEE SHALL PERIODICALLY REVIEW AND APPROVE THE PROCESS FOR CREDENTIALING AND PRIVILEGING AS OUTLINED IN THE MEDICAL STAFF BYLAWS. (G) THE QUALITY AND SAFETY COMMITTEE SHALL MEET AT LEAST ELEVEN TIMES PER YEAR. (H) THE PLANNING AND DEVELOPMENT COMMITTEE SHALL CONSIST OF AT LEAST FOUR (4) DIRECTORS APPOINTED ANNUALLY BY THE CHAIR, SUBJECT TO APPROVAL BY THE BOARD, AND SHALL ALSO INCLUDE THE CHIEF FINANCIAL OFFICER AND THE CHIEF STRATEGY OFFICER OF THE MEMBER. (I) THE DUTIES OF THE PLANNING AND DEVELOPMENT COMMITTEE SHALL INCLUDE THE FOLLOWING: (I) CAUSE TO BE PREPARED, AND SUBMIT TO THE BOARD FOR ITS REVIEW AND APPROVAL, AND FOR SUBMISSION TO THE MEMBER FOR APPROVAL, AT ITS LAST MEETING BEFORE THE END OF THE FISCAL YEAR, AN OPERATING BUDGET AND CAPITAL BUDGET SHOWING THE EXPECTED RECEIPTS, INCOME EXPENSES AND CAPITAL EXPENDITURES FOR THE ENSUING YEAR; (II) OVERSEE THE DEVELOPMENT, IMPLEMENTATION AND UPDATING OF THE CORPORATION'S CAPITAL PLANS AND PROGRAMS, INCLUDING THE DURATION THEREOF, AND RECOMMEND FOR APPROVAL OF THE BOARD, SUCH CAPITAL PLANS AND PROGRAMS; (III) REVIEW, PROVIDE OVERSIGHT AND MAKE RECOMMENDATIONS TO THE BOARD REGARDING NEW STRATEGIC INITIATIVES AND REVIEW AND EVALUATE PERFORMANCE AGAINST THE CORPORATION'S BUSINESS DEVELOPMENT GOALS; (IV) OVERSEE THE CONDUCT OF THE HOSPITAL'S COMMUNITY HEALTH NEEDS ASSESSMENT AND THE PREPARATION OF ITS RELATED REPORT AND IMPLEMENTATION STRATEGY IN COMPLIANCE WITH THE REQUIREMENTS IMPOSED ON THE HOSPITAL UNDER SECTION 501(R) OF THE INTERNAL REVENUE CODE OF 1986, AS AMENDED, AND THE PREPARATION OF THE HOSPITAL'S ANNUAL COMMUNITY BENEFIT REPORT. (J) THE PLANNING AND DEVELOPMENT COMMITTEE SHALL MEET AT LEAST QUARTERLY. PART VI, SECTION A, LINE 4 (CONTINUED); *REGARDING GENERAL PROVISIONS, SPECIFIC MODIFICATIONS TO THE GOVERNING DOCUMENTS ARE AS FOLLOWS: (A) BOOKS & RECORDS - THE FOLLOWING ITEMS SHALL BE KEPT AT THE ACH OFFICE: CORRECT AND COMPLETE BOOKS OF ACCOUNT; MINUTES AND RECORDS OF THE PROCEEDINGS OF THE SOLE MEMBER ACTING IN ITS CAPACITY OF MEMBER OF THE CORPORATION AND OF THE BOARD AND COMMITTEES THEREOF, INCLUDING ANY ACTIONS TAKEN BY UNANIMOUS WRITTEN CONSENT; A CURRENT LIST OF ACH'S DIRECTORS AND OFFICERS; A COPY OF ACH'S APPLICATION FOR RECOGNITION OF ITS 501(C)(3) TAX-EXEMPT STATUS; AND COPIES OF ACH'S FILED ANNUAL IRS FORMS 990. (B) ANNUAL AUDITS - AT LEAST ONCE EACH YEAR, THE SOLE MEMBER SHALL ENGAGE AN INDEPENDENT ACCOUNTING FIRM TO CONDUCT AN AUDIT OF THE BOOKS AND ACCOUNTS OF ACH AND ITS AFFILIATES AND WILL PROVIDE A COPY OF THE AUDIT REPORT TO THE BOARD OF DIRECTORS. (C) REVIEW OF BYLAWS - AT LEAST ONCE EVERY TWO (2) YEARS, OR PROMPTLY UPON A CHANGE IN APPLICABLE LAW, THE BOARD OF DIRECTORS SHALL REVIEW, OR DELEGATE THE REVIEW OF THE BYLAWS AND SHALL RECOMMEND TO THE SOLE MEMBER ANY SUCH AMENDMENTS AS ARE NECESSARY OR ADVISABLE. (D) CONFLICT OF INTEREST POLICY - THE BOARD SHALL ADOPT, AND SHALL CAUSE THE DIRECTORS, NON-DIRECTOR COMMITTEE MEMBERS, OFFICERS, AND KEY EMPLOYEES OF THE CORPORATION TO ADHERE TO, A CONFLICT OF INTEREST POLICY THAT IS SUBSTANTIALLY CONSISTENT WITH THE PRINCIPLES AND STANDARDS ESTABLISHED FOR ADDRESSING CONFLICTS OF INTEREST BY APPLICABLE LAW, REGULATION, OR ADMINISTRATIVE GUIDANCE AND WITH PREVAILING BEST PRACTICES FOR 501(C)(3) TAX-EXEMPT ORGANIZATIONS. A COPY OF SUCH CONFLICT OF INTEREST POLICY SHALL BE PROVIDED TO EACH NEWLY APPOINTED DIRECTOR AND TO ALL DIRECTORS ON AN ANNUAL BASIS, TOGETHER WITH AN ANNUAL CONFLICT OF INTEREST DISCLOSURE STATEMENT. *REGARDING MAINTAINING A UNIFIED HEALTH SYSTEM, THE BYLAWS STATE THE FOLLOWING: "IN ORDER TO ESTABLISH THE RELATIONSHIPS AMONG THE CONSTITUENT ENTITIES OF THE HEALTH SYSTEM WHICH ARE NECESSARY TO MAINTAIN AN INTEGRATED, UNIFIED SYSTEM, THE CORPORATION SHALL REQUIRE, TO THE EXTENT PERMITTED BY APPLICABLE LAW, THAT THE GOVERNING DOCUMENTS OF ANY ENTITY OF WHICH THE CORPORATION IS THE SOLE CORPORATE MEMBER OR OTHER SOLE CONTROLLING ORGANIZATION CONTAIN THE FOLLOWING: (A) PROVISIONS WHICH RESERVE TO THE CORPORATION THE POWERS OVER SUCH ENTITY AS MAY BE REQUIRED BY THESE BYLAWS, APPLICABLE HEALTH SYSTEM POLICIES OR AS OTHERWISE DETERMINED BY THE MEMBER FROM TIME TO TIME; (B) PROVISIONS WHICH RESERVE TO SUCH ENTITY SUCH POWERS OVER ORGANIZATIONS IT CONTROLS AS MAY BE REQUIRED BY THESE BYLAWS, APPLICABLE HEALTH SYSTEM POLICIES OR AS OTHERWISE DETERMINED BY THE MEMBER FROM TIME TO TIME; AND (C) PROVISIONS WHICH REQUIRE SUCH ENTITY TO REQUIRE THAT THE GOVERNING DOCUMENTS OF ORGANIZATIONS THAT IT IN TURN CONTROLS CONTAIN PROVISIONS WHICH RESERVE TO THE CORPORATION THE POWERS SET FORTH IN THESE BYLAWS, THE GOVERNING DOCUMENTS OF SUCH ENTITY, THESE BYLAWS, APPLICABLE HEALTH SYSTEM POLICIES OR AS OTHERWISE DETERMINED BY THE MEMBER FROM TIME TO TIME." FORM 990, PART IX, LINE 11G PHYSICIAN'S REMUNERATION: PROGRAM SERVICE EXPENSES 68,483,176. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 68,483,176. TESTING: PROGRAM SERVICE EXPENSES 3,547,629. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 3,547,629. OTHER FEES FOR SERVICE: PROGRAM SERVICE EXPENSES 11,715,556. MANAGEMENT AND GENERAL EXPENSES 6,972,504. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 18,688,060. FORM 990, PART XI, LINE 9: UNEXPENDED GRANT CARRYOVER ADJUSTMENTS -21,924. ASSET TRANSFER TO ACRI -9,119. TEMPORARY TRANSFER OF NET ASSETS TO ACNW -20,000,000. TRANSFER OF HIPPY FROM ACRI TO ACH 15,464. FORM 990, PART XII, LINE 2C IT IS PART OF THE RESERVED POWERS OF ARKANSAS CHILDREN'S, INC. TO RETAIN, OVERSEE AND TERMINATE INDEPENDENT EXTERNAL AUDITORS TO AUDIT THE FINANCIAL STATEMENTS OF ACH OR OF ANY AFFILIATE. ONE OF THE STANDING COMMITTEES OF ARKANSAS CHILDREN'S, THE FINANCIAL PLANNING AND OVERSIGHT COMMITTEE, SHALL UNDERTAKE THE FOLLOWING DUTIES IN THE AREAS OF FINANCE AND AUDITS: (I) CAUSING TO BE PREPARED, AND SUBMIT TO THE BOARD OF DIRECTORS AT ITS LAST MEETING BEFORE THE END OF THE FISCAL YEAR, THE CAPITAL AND OPERATING BUDGETS OF THE CORPORATION, AS WELL AS THE CAPITAL AND OPERATING BUDGETS OF AFFILIATES; (II) EXAMINING THE MONTHLY FINANCIAL REPORTS OF THE HEALTH SYSTEM; (III) REVIEWING THE INTERNAL AUDITING FUNCTIONS OF THE HEALTH SYSTEM; (IV) ENGAGING AN EXTERNAL AUDIT FIRM, SUBJECT TO APPROVAL BY THE BOARD OF DIRECTORS; (V) REVIEWING WITH THE INDEPENDENT AUDITOR THE SCOPE AND PLANNING OF THE AUDIT PRIOR TO THE COMMENCEMENT OF THE AUDIT, AS WELL AS UPON COMPLETION OF THE AUDIT, REVIEWING AND DISCUSSING WITH THE INDEPENDENT AUDITOR ANY MATERIAL RISKS OR WEAKNESSES IN INTERNAL CONTROLS IDENTIFIED BY THE AUDITOR, ANY RESTRICTIONS ON THE SCOPE OF THE AUDITOR'S ACTIVITIES OR ACCESS TO REQUESTED INFORMATION, ANY SIGNIFICANT DISAGREEMENTS BETWEEN THE AUDITOR AND MANAGEMENT, AND THE ADEQUACY OF THE HEALTH SYSTEM'S ACCOUNTING AND FINANCIAL REPORTING PROCESSES; (VI) ANNUALLY CONSIDERING THE PERFORMANCE AND INDEPENDENCE OF THE INDEPENDENT AUDITOR; (VII) REVIEWING AND REPORTING TO THE BOARD ON THE ANNUAL AUDITED FINANCIAL STATEMENT OF THE HEALTH SYSTEM CERTIFIED BY THE CORPORATION'S CERTIFIED PUBLIC ACCOUNTANTS, TOGETHER WITH SUCH CERTIFIED PUBLIC ACCOUNTANTS' MANAGEMENT LETTER TO THE CORPORATION WHICH THE COMMITTEE SHALL REVIEW AND REPORT ON TO THE BOARD OF DIRECTORS; (VIII) SUGGESTING MEANS TO IMPROVE FISCAL ACCOUNTABILITY AND INTERNAL AUDIT PROCEDURES FOR THOSE AREAS IDENTIFIED AS REQUIRING IMPROVEMENT; (IX) PROVIDING OVERSIGHT FOR THE HEALTH SYSTEM'S CORPORATE COMPLIANCE PROGRAM, INCLUDING CORPORATE ETHICS AND COMPLIANCE WITH LEGAL AND REGULATORY REQUIREMENTS; AND (X) REPORTING ON THE FINANCIAL PLANNING AND OVERSIGHT COMMITTEE'S ACTIVITIES TO THE FULL BOARD. FORM 990, PART XII, LINE 3B THE CONSOLIDATED ORGANIZATION IS REQUIRED TO UNDERGO AN AUDIT AS SET FORTH IN THE SINGLE AUDIT ACT AND OMB CIRCULAR A-133 AND DID UNDERGO THAT REQUIRED AUDIT. ARKANSAS CHILDREN'S HOSPITAL 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 BUILDING RESEARCH FACILITY INC 1 CHILDRENS WAY LITTLE ROCK AR 72202 911940376 BUILDING MANAGEMENT AR 501(C)(3) LINE 11A, I NA - MERGED INTO ACRI AS OF 6302016 0 ARKANSAS CHILDREN'S HOSPITAL AUXILIARY 1 CHILDRENS WAY LITTLE ROCK AR 72202 710606585 FUNDRAISING AR 501(C)(3) LINE 11A, I ARKANSAS CHILDREN'S INC 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 SYSTEM - PARENT CORPORATION AR 501(C)(3) LINE 11B, II NA 0 CHILDREN'S HEALTHCARE SYSTEM INC 1 CHILDRENS WAY LITTLE ROCK AR 72202 586304957 MANAGEMENT SERVICES AR ARKANSAS CHILDREN'S HOSPITAL C 184744 564939 0.50000 1 1 1 1 0 1 0 0 0 0 0 0 1 1 1 1 0 1 1 1 ARKANSAS CHILDREN'S RESEARCH INSTITUTE B 4221330 FMV ARKANSAS CHILDREN'S HOSPITAL FOUNDATION C 18297952 FMV ARKANSAS CHILDREN'S HOSPITAL FOUNDATION M 6096127 COST CHILDREN'S HEALTHCARE SYSTEM INC M 184350 FMV ARKANSAS CHILDREN'S HOSPITAL FOUNDATION N 2246847 COST ARKANSAS CHILDREN'S RESEARCH INSTITUTE N 1006958 COST ARKANSAS CHILDREN'S HOSPITAL BUILDING RESEARCH FACILITY INC N 58307 COST ARKANSAS CHILDREN'S HOSPITAL AUXILIARY N 265560 COST CHILDREN'S HEALTHCARE SYSTEM INC O 168923 COST ARKANSAS CHILDREN'S HOSPITAL AUXILIARY O 263611 COST ARKANSAS CHILDREN'S HOSPITAL BUILDING RESEARCH FACILITY INC O 72656 COST ARKANSAS CHILDREN'S HOSPITAL FOUNDATION O 383231 COST ARKANSAS CHILDREN'S RESEARCH INSTITUTE O 549184 COST CHILDREN'S HEALTHCARE SYSTEM INC Q 64101 FMV ARKANSAS CHILDREN'S HOSPITAL AUXILIARY Q 77067 FMV ARKANSAS CHILDREN'S RESEARCH INSTITUTE Q 1197697 FMV ARKANSAS CHILDREN'S HOSPITAL FOUNDATION Q 563957 FMV ARKANSAS CHILDREN'S RESEARCH INSTITUTE R 4117145 FMV ARKANSAS CHILDREN'S RESEARCH INSTITUTE S 17970451 FMV ARKANSAS CHILDREN'S HOSPITAL FOUNDATION S 4327781 FMV ARKANSAS CHILDREN'S HOSPITAL BUILDING RESEARCH FACILITY INC S 124886 FMV ARKANSAS CHILDREN'S HOSPITAL AUXILIARY S 1379129 FMV ARKANSAS CHILDREN'S NORTHWEST S 3612512 FMV ARKANSAS CHILDREN'S NORTHWEST R 20000000 COST CHILDREN'S HEALTHCARE SYSTEM INC A 4831 FMV SCHEDULE R, PART V, LINE 1E ACH AND ARKANSAS CHILDREN'S HOSPITAL FOUNDATION GUARANTEE THE OUTSTANDING BOND INDENTURES.