ARKANSAS CHILDRENS HOSPITAL: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization
ARKANSAS CHILDRENS HOSPITAL (EIN 71-0236857)
Tax period
2010-07-01 to 2011-06-30
Filed
2012-05-11
IRS object ID
201201329349301675
Schema version
2010v3.4
Source
Download XML · Original 990 at ProPublica

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

Return header ReturnHeader

FieldValueIRS element (for citing)
Timestamp2012-05-11T11:05:07-05:00Timestamp
Tax Period End Date2011-06-30TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1DELOITTE TAX LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line11111 BAGBY STREET SUITE 4500AddressLine1
CityHOUSTONCity
StateTXState
ZIP Code770022591ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2010-07-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN710236857EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1ARKANSAS CHILDREN'S HOSPITALBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlARKANameControl
Phone5013642555Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line11 CHILDRENS WAYAddressLine1
CityLITTLE ROCKCity
StateARState
ZIP Code72202ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameJONATHAN BATES MDName
TitlePRESIDENT & CEOTitle
Phone5013642555Phone
Date Signed2012-05-11DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameSRIRAM SRINIVASANName
Phone7139822000Phone
FieldValueIRS element (for citing)
Tax Year2010TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonJONATHAN BATES MDNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line11 CHILDRENS WAYAddressLine1
CityLITTLE ROCKCity
StateARState
ZIP Code72202ZIPCode
FieldValueIRS element (for citing)
Gross Receipts509363247GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.ARCHILDRENS.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1912YearFormation
State Legal DomicileARStateLegalDomicile
Activity Or Mission DescriptionTO PROVIDE CLINICAL SERVICES TO ENHANCE, SUSTAIN AND RESTORE THE HEALTH AND DEVELOPMENT OF CHILDREN.ActivityOrMissionDescription
Nbr Voting Members Governing Body31NbrVotingMembersGoverningBody
Nbr Independent Voting Members24NbrIndependentVotingMembers
Total Nbr Employees4784TotalNbrEmployees
Total Nbr Volunteers2649TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year19339155ContributionsGrantsPriorYear
Contributions Grants Current Year23871841ContributionsGrantsCurrentYear
Program Service Revenue Prior Year483187652ProgramServiceRevenuePriorYear
Program Service Revenue CY470664466ProgramServiceRevenueCY
Investment Income Prior Year5006737InvestmentIncomePriorYear
Investment Income Current Year4726917InvestmentIncomeCurrentYear
Other Revenue Prior Year5543785OtherRevenuePriorYear
Other Revenue Current Year9902309OtherRevenueCurrentYear
Total Revenue Prior Year513077329TotalRevenuePriorYear
Total Revenue Current Year509165533TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year8369068GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY10654630GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year239416113SalariesEtcPriorYear
Salaries Etc Current Year225264429SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year222432859OtherExpensePriorYear
Other Expenses Current Year224681049OtherExpensesCurrentYear
Total Expenses Prior Year470218040TotalExpensesPriorYear
Total Expenses Current Year460600108TotalExpensesCurrentYear
Revenues Less Expenses Prior Year42859289RevenuesLessExpensesPriorYear
Revenues Less Expenses CY48565425RevenuesLessExpensesCY
Total Assets BOY658956210TotalAssetsBOY
Total Assets EOY691531517TotalAssetsEOY
Total Liabilities BOY232857759TotalLiabilitiesBOY
Total Liabilities EOY217448680TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY426098451NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY474082837NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionIN ORDER TO ENHANCE, SUSTAIN, AND RESTORE THE HEALTH AND DEVELOPMENT OF CHILDREN, ARKANSAS CHILDREN'S HOSPITAL PROVIDES EXCELLENT CLINICAL SERVICES, TEACHING AND RESEARCH.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense399595689Expense
Grants10654630Grants
Revenue474193687Revenue
DescriptionARKANSAS 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 THEREFORE PROVIDES SERVICES TO ADULTS AS WELL AS CHILDREN. DURING THE YEAR ENDED JUNE 30, 2011, ACH EXPERIENCED THE FOLLOWING: 14,114 ADMISSIONS WITH AN AVERAGE STAY OF 6.00 DAYS; 81,164 PATIENT DAYS; 222.4 AVERAGE DAILY CENSUS; 306 OPERATING BEDS, INCLUDING 142 INTENSIVE CARE BEDS AND 164 MEDICAL/SURGICAL BEDS; 213,565 OUTPATIENT VISITS, EXCLUDING ER VISITS WHICH WERE 50,524; AND 13,814 SURGERIES INCLUDING 22 HEART TRANSPLANTS AND 7 KIDNEY TRANSPLANTS. 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 TO CHILDREN AND PARENTS AT HEALTH FAIRS AND SEMINARS. DURING THE YEAR, ACH WAS ALSO DESIGNATED AS THE STATE'S ONLY PEDIATRIC LEVEL 1 TRAUMA CENTER, AN INDICATION THAT IT PROVIDES THE HIGHEST STANDARD OF CARE FOR INJURED CHILDREN.Description
Total Program Service Expense399595689TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities1LobbyingActivities
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments1TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities0ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets1ReportOtherAssets
Report Other Liabilities0ReportOtherLiabilities
Report Fin48 Footnote0ReportFin48Footnote
Independent Audit Financial Stmt0IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt1ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities0FundraisingActivities
Gaming0Gaming
Hospital1Hospital
Financial Stmt Attached1FinancialStmtAttached
Grants To Organizations1GrantsToOrganizations
Grants To Individuals1GrantsToIndividuals
Schedule J Required1ScheduleJRequired
Tax Exempt Bonds1TaxExemptBonds
Invest Tax Exempt Bonds0InvestTaxExemptBonds
Escrow Account0EscrowAccount
On Behalf Of Issuer0OnBehalfOfIssuer
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP1LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member1BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp1OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity1RelatedEntity
Related Org Controlled Entity1RelatedOrgControlledEntity
Transaction Related Entity1TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With1096218NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Number Of Employees4784NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income0UnrelatedBusinessIncome
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions0QuidProQuoContributions
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members31NbrVotingGoverningBodyMembers
Number Independent Voting Members24NumberIndependentVotingMembers
Family Or Business Relationship1FamilyOrBusinessRelationship
Delegation Of Management Duties1DelegationOfManagementDuties
Changes To Organizing Docs1ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders0MembersOrStockholders
Election Of Board Members0ElectionOfBoardMembers
Decisions Subject To Approval0DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other1CompensationProcessOther
Investment In Joint Venture1InvestmentInJointVenture
Written Policy Or Procedure1WrittenPolicyOrProcedure
States Where Copy Of Return Is FiledARStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1GENA WINGFIELDBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number5013642555TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line11 CHILDRENS WAYAddressLine1
CityLITTLE ROCKCity
StateARState
ZIP Code72202ZIPCode
FieldValueIRS element (for citing)
Info In Schedule O Part VIIXInfoInScheduleOPartVII

Form990 Part VII Section A Form990PartVIISectionA (50 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationKey EmployeeKeyEmployeeHighest Compensated EmployeeHighestCompensatedEmployee
JONATHAN BATES MD
PRESIDENT AND CEO40.00XX521420092262
DORSEY JACKSON
CHAIRMAN OF THE BOARD2.00XX000
TOM BAXTER
VICE CHAIRMAN1.30XX000
J FRENCH HILL
SECRETARY0.50XX000
PAUL R HART
TREASURER1.00XX000
JOHN BALE JR
TRUSTEE/DIRECTOR0.40X000
CHARLES M BOWER MD
TRUSTEE/DIRECTOR1.10X0025000
PATRICK H CASEY MD
TRUSTEE/DIRECTOR0.40X0044246
RON CLARK
TRUSTEE/DIRECTOR0.70X000
HASKELL DICKINSON
TRUSTEE/DIRECTOR0.40X000
EDWARD DRILLING
TRUSTEE/DIRECTOR0.30X000
HARRY C ERWIN III
TRUSTEE/DIRECTOR0.50X000
BEVERLY FITZPATRICK
TRUSTEE/DIRECTOR0.30X000
JEFF GARDNER
TRUSTEE/DIRECTOR0.30X000
JAMES HARKINS
TRUSTEE/DIRECTOR0.80X000
MARY HEALEY
TRUSTEE/DIRECTOR PARTIAL YEAR0.00X000
JUDGE MARION HUMPHREY
TRUSTEE/DIRECTOR0.50X000
RICHARD JACOBS MD
ACHRI PRESIDENT8.00X00180574
ROBIN LOCKHART
TRUSTEE/DIRECTOR0.50X000
DIANE MACKEY
TRUSTEE/DIRECTOR1.20X000
HOLLY MARR
TRUSTEE/DIRECTOR0.70X000
MARK MCCASLIN
TRUSTEE/DIRECTOR0.50X000
PAT MCCLELLAND
TRUSTEE/DIRECTOR1.20X000
BARBARA G MOORE
TRUSTEE/DIRECTOR0.90X000
BEVERLY A MORROW
TRUSTEE/DIRECTOR0.70X000
W ROBERT MORROW
MEDICAL DIRECTOR PARTIAL YEAR40.00XX000
JEFFREY NOLAN
TRUSTEE/DIRECTOR0.50X000
DANIEL RAHN MD
TRUSTEE/DIRECTOR0.40X000
JAMES SKIP RUTHERFORD
TRUSTEE/DIRECTOR0.50X000
MARK SAVIERS
TRUSTEE/DIRECTOR0.90X000
PHILIP W SCHMIDT
TRUSTEE/DIRECTOR0.30X000
BONNIE TAYLOR MD
MEDICAL DIRECTOR PARTIAL YEAR40.00XX00200347
EVERETT TUCKER III
TRUSTEE/DIRECTOR PARTIAL YEAR0.00X000
CHARLES B WHITESIDE III
TRUSTEE/DIRECTOR0.90X000
GENA WINGFIELD
SVP AND CFO40.00X397669038759
CHARLES LARRY BECKIUS
VP FACILITIES40.00183283019092X
DAVID BERRY
SVP AND COO40.00391484052727X
LORI BROWN
CHIEF NURSING OFFICER40.00263384020346X
SCOTT GORDON
EXECUTIVE VICE PRESIDENT40.003639250176201X
CYNTHIA HOLLAND
VP ANCILLARY SERVICES40.00187253020101X
DARRELL LEONHARDT
CHIEF INFORMATION OFFICER40.00248241021844X
MARY MCDANIEL
VP PATIENT CARE SERVICES40.00159959012584X
MARY SALASSI-SCOTTER
VP PATIENT CARE SERVICES40.00156638017624X
CAROLE ZYLMAN
SVP, MEDICAL SERVICES40.00214804021908X
KATHERINE BRANDON
VP PATIENT CARE SERVICES40.00151111010732X
SHERRY FURR
CHIEF COUNSEL40.00219662018856X
JAMES KOONCE
DENTIST40.00337681020872X
KIRT SIMMONS
ORTHODONIST40.00230929024149X
DAVID HIGGINSON
CHIEF INFORMATION TECHNOLOGY OFFICER40.00206620017965X
ANDREE TROSCLAIR
VP OF HUMAN RESOURCES40.00201457018512X
FieldValueIRS element (for citing)
Total Reportable Comp From Org4435520TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation1054701TotalOtherCompensation
Number Individuals GT100 K199NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources1CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
UNIVERSITY OF ARKANSAS FOR MEDICAL SCIEN
4301 WEST MARKHAMLITTLE ROCKAR72205MEDICAL SERVICES53745046
NABHOLZ CONSTRUCTION CORP
PO BOX 2090CONWAYAR72033GENERAL CONSTRUCTION CONTRACTOR37460481
MUNROE-MEYER INSTITUTE
985450 NEBRASKA MEDICAL CENTEROMAHANE68198LAB SERVICES2671990
BLUEADVANTAGE ADMINISTRATORS OF ARKANSAS
PO BOX 1460LITTLE ROCKAR72203HEALTH INSURANCE PLAN ADMINISTRATOR1248042
HELICOPTER SUPPORT INC
124 QUARRY ROADTRUMBULLCT06611HELICOPTER MAINTENANCE SUPPORT1168976
FieldValueIRS element (for citing)
Number Of Contractors GT100 K96NumberOfContractorsGT100K
Related Organizations12090351RelatedOrganizations
Government Grants11781490GovernmentGrants
Noncash Contributions3000NoncashContributions
Total Contributions23871841TotalContributions

Program Service Revenue ProgramServiceRevenue

FieldValueIRS element (for citing)
DescriptionPAYMENTS FOR MED SVCSDescription
Business Code900099BusinessCode
Total Revenue Column470664466TotalRevenueColumn
Related Or Exempt Function Income470664466RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue470664466TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column4813807TotalRevenueColumn
Exclusion$4,813,807ExclusionAmount

Royalties Revenue RoyaltiesRevenue

FieldValueIRS element (for citing)
Total Revenue Column5000TotalRevenueColumn
Related Or Exempt Function Income5000RelatedOrExemptFunctionIncome

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real9735Real

Less Rental Expenses LessRentalExpenses

FieldValueIRS element (for citing)
Real4347Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real5388Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column5388TotalRevenueColumn
Exclusion$5,388ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Other106477Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Other193367Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Other-86890Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column-86890TotalRevenueColumn
Related Or Exempt Function Income-86890RelatedOrExemptFunctionIncome

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnExclusionExclusionAmount
NUTRITIONAL SERVICES9000993863124$3,863,124
CHILD ENRICHMENT9000991231276$1,231,276
RENT9000991186410$1,186,410

Miscellaneous Revenue MiscellaneousRevenue

FieldValueIRS element (for citing)
Total Revenue Column3611111TotalRevenueColumn
Related Or Exempt Function Income3611111RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Other Revenue9891921TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column509165533TotalRevenueColumn
Related Or Exempt Function Income474193687RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$11,100,005ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total10337557Total
Program Services10337557ProgramServices

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total317073Total
Program Services317073ProgramServices

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total4366435Total
Program Services1845542ProgramServices
Management And General2520893ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total183841812Total
Program Services154342430ProgramServices
Management And General29499382ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total7298386Total
Program Services6042466ProgramServices
Management And General1255920ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total15387475Total
Program Services14102613ProgramServices
Management And General1284862ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total14370321Total
Program Services11897448ProgramServices
Management And General2472873ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total2069654Total
Program Services1142910ProgramServices
Management And General926744ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total232674Total
Management And General232674ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total192811Total
Management And General192811ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total84485Total
Program Services84485ProgramServices

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total95727771Total
Program Services92330181ProgramServices
Management And General3397590ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total662698Total
Program Services566912ProgramServices
Management And General95786ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total10674538Total
Program Services6531832ProgramServices
Management And General4142706ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total7975995Total
Program Services3830069ProgramServices
Management And General4145926ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total4645693Total
Program Services4056864ProgramServices
Management And General588829ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total1094629Total
Program Services779782ProgramServices
Management And General314847ManagementAndGeneral

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total71313Total
Program Services54207ProgramServices
Management And General17106ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total2775048Total
Management And General2775048ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total19654764Total
Program Services15075566ProgramServices
Management And General4579198ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total1974544Total
Program Services339451ProgramServices
Management And General1635093ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
MEDICAL SUPPLIES6237658962376589
FIXED ASSET IMPAIRMENT24063332406333
PROVISION FOR BAD DEBT20293682029368
MINOR EQUIPMENT16579811183822474159

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total8374161Total
Program Services7922189ProgramServices
Management And General451972ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total460600108Total
Program Services399595689ProgramServices
Management And General61004419ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY11647BOY
EOY11840EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY37381035BOY
EOY65992947EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY51105818BOY
EOY52518932EOY

Receivables From Officers Etc ReceivablesFromOfficersEtc

FieldValueIRS element (for citing)
EOY24788EOY

Receivables From Disqual Persons ReceivablesFromDisqualPersons

FieldValueIRS element (for citing)
EOY12500EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY7468951BOY
EOY7406554EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY2740113BOY
EOY3034964EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis457861401LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec211022425LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY212920259BOY
EOY246838976EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY171364568BOY
EOY204254864EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY443406BOY
EOY457790EOY

Investments Program Related InvestmentsProgramRelated

FieldValueIRS element (for citing)
BOY701502BOY
EOY891021EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY174818911BOY
EOY110086341EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY658956210BOY
EOY691531517EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY54784798BOY
EOY51813008EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY178072961BOY
EOY165635672EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY232857759BOY
EOY217448680EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY410919546BOY
EOY454489779EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY15178905BOY
EOY19593058EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY426098451BOY
EOY474082837EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY658956210BOY
EOY691531517EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses48565425ReconcilationRevenueExpenses
Reconcilation Other Changes-581039ReconcilationOtherChanges
Info In Schedule O Part XIIXInfoInScheduleOPartXII
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited
Audit Committee1AuditCommittee
Financial Statement ConsolidatedXFinancialStatementConsolidated
Federal Grant Audit Required1FederalGrantAuditRequired
Federal Grant Audit Performed1FederalGrantAuditPerformed

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Hospital170b1 AiiiXHospital170b1Aiii

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Volunteers0Volunteers
Paid Staff Or Management1PaidStaffOrManagement
Media Advertisements0MediaAdvertisements
Mailings Members0MailingsMembers
Publications Or Broadcast0PublicationsOrBroadcast
Grants Other Organizations1GrantsOtherOrganizations
Grants Other Organizations$50,014GrantsOtherOrganizationsAmount
Direct Contact Legislators1DirectContactLegislators
Rallies Demonstrations0RalliesDemonstrations
Other Activities1OtherActivities
Other Activities$201,068OtherActivitiesAmount
Total Lobbying Expenditures IIB251082TotalLobbyingExpendituresIIB
Not Described In501c30NotDescribedIn501c3

Form990 Schedule C Part IV Form990ScheduleCPartIV

FieldValueIRS element (for citing)
IdentifierEXPLANATION OF OTHER LOBBYING ACTIVITIES:Identifier
Return ReferencePART II-B, LINE 1I:ReturnReference
ExplanationIN 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. THE ACH BOARD OF DIRECTORS MUST APPROVE ANY LEGISLATIVE OR PUBLIC ISSUE INVOLVEMENT. IN ADDITION, A PERCENTAGE OF DUES PAID TO THE AMERICAN HOSPITAL ASSOCIATION, ARKANSAS HOSPITAL ASSOCIATION, ASSOCIATION OF AMERICAN MEDICAL COLLEGES, NATIONAL ASSOCIATION OF CHILDREN'S HOSPITALS, LITTLE ROCK REGIONAL CHAMBER OF COMMERCE AND THE ARKANSAS STATE CHAMBER OF COMMERCE WAS FOR LOBBYING.Explanation

Schedule D IRS990ScheduleD

Current Year CurrentYear

FieldValueIRS element (for citing)
Beginning Of Year Balance145568315BeginningOfYearBalance
Contributions4959714Contributions
Investment Earnings Or Losses21536391InvestmentEarningsOrLosses
Other Expenditures5668256OtherExpenditures
End Of Year Balance166396164EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

FieldValueIRS element (for citing)
Beginning Of Year Balance135770735BeginningOfYearBalance
Contributions7045011Contributions
Investment Earnings Or Losses13385881InvestmentEarningsOrLosses
Other Expenditures10633312OtherExpenditures
End Of Year Balance145568315EndOfYearBalance
FieldValueIRS element (for citing)
Board Designated EOY Balance0.83220BoardDesignatedEOYBalance
Permanent Endowment EOY Balance0.16780PermanentEndowmentEOYBalance
Endowments Held By Unrelated Orgs0EndowmentsHeldByUnrelatedOrgs
Endowments Held By Related Orgs1EndowmentsHeldByRelatedOrgs
Are Related Orgs Listed Schedule R1AreRelatedOrgsListedScheduleR

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis11920204OtherCostOrOtherBasis
Book Value11920204BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis205989373OtherCostOrOtherBasis
Depreciation120498374Depreciation
Book Value85490999BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis134454874OtherCostOrOtherBasis
Depreciation84995336Depreciation
Book Value49459538BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis105496950OtherCostOrOtherBasis
Depreciation5528715Depreciation
Book Value99968235BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings246838976TotalOfBookValueLandBuildings

Other Assets OtherAssets (7 entries)

DescriptionDescriptionBook ValueBookValue
FUNDS HELD BY TRUSTEE UNDER BOND AGREEMENTS26657206
ESTIMATED 3RD PARTY SETTLEMENT (MCD)64704418
UPL RECEIVABLE9628685
GME RECEIVABLE1678839
OTHER RECEIVABLES1914994
BOND ISSUE COSTS4309278
INTEREST RECEIVABLE1192921
FieldValueIRS element (for citing)
Total Book Value Other Assets110086341TotalBookValueOtherAssets

Form990 Schedule D Part XIV Form990ScheduleDPartXIV

FieldValueIRS element (for citing)
IdentifierDESCRIPTION OF INTENDED USE OF ENDOWMENT FUNDS:Identifier
Return ReferencePART V, LINE 4:ReturnReference
ExplanationEARNINGS 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.Explanation

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Charity Care Policy1CharityCarePolicy
Written Policy1WrittenPolicy
Policy Applied To All HospitalsXPolicyAppliedToAllHospitals
FPG Reference Free Care1FPGReferenceFreeCare
Pcent200XPcent200
FPG Reference Discounted Care1FPGReferenceDiscountedCare
Pcent400XPcent400
Free Disc Care Medically Indigent0FreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity Care1AmountsBudgetedForCharityCare
Expenses Exceeded Budget0ExpensesExceededBudget
Annual Community Benefit Report1AnnualCommunityBenefitReport
Report Publically Available1ReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

FieldValueIRS element (for citing)
Total Community Benefit Expense14055954TotalCommunityBenefitExpense
Net Community Benefit Expense14055954NetCommunityBenefitExpense
Percent Of Total Expense0.03050PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

FieldValueIRS element (for citing)
Total Community Benefit Expense249120621TotalCommunityBenefitExpense
Direct Offsetting Revenue276191366DirectOffsettingRevenue
Net Community Benefit Expense-27070745NetCommunityBenefitExpense
Percent Of Total Expense0.00000PercentOfTotalExpense

Total Charity Care TotalCharityCare

FieldValueIRS element (for citing)
Total Community Benefit Expense263176575TotalCommunityBenefitExpense
Direct Offsetting Revenue276191366DirectOffsettingRevenue
Net Community Benefit Expense-13014791NetCommunityBenefitExpense
Percent Of Total Expense0.03050PercentOfTotalExpense

Community Health Services CommunityHealthServices

FieldValueIRS element (for citing)
Total Community Benefit Expense10990302TotalCommunityBenefitExpense
Direct Offsetting Revenue4570949DirectOffsettingRevenue
Net Community Benefit Expense6419354NetCommunityBenefitExpense
Percent Of Total Expense0.01390PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

FieldValueIRS element (for citing)
Total Community Benefit Expense18420441TotalCommunityBenefitExpense
Direct Offsetting Revenue7237055DirectOffsettingRevenue
Net Community Benefit Expense11183386NetCommunityBenefitExpense
Percent Of Total Expense0.02430PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

FieldValueIRS element (for citing)
Total Community Benefit Expense35982735TotalCommunityBenefitExpense
Direct Offsetting Revenue17369743DirectOffsettingRevenue
Net Community Benefit Expense18612992NetCommunityBenefitExpense
Percent Of Total Expense0.04040PercentOfTotalExpense

Research Research

FieldValueIRS element (for citing)
Total Community Benefit Expense8132237TotalCommunityBenefitExpense
Net Community Benefit Expense8132237NetCommunityBenefitExpense
Percent Of Total Expense0.01770PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

FieldValueIRS element (for citing)
Total Community Benefit Expense705110TotalCommunityBenefitExpense
Net Community Benefit Expense705110NetCommunityBenefitExpense
Percent Of Total Expense0.00150PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense74230825TotalCommunityBenefitExpense
Direct Offsetting Revenue29177747DirectOffsettingRevenue
Net Community Benefit Expense45053079NetCommunityBenefitExpense
Percent Of Total Expense0.09780PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense337407400TotalCommunityBenefitExpense
Direct Offsetting Revenue305369113DirectOffsettingRevenue
Net Community Benefit Expense32038288NetCommunityBenefitExpense
Percent Of Total Expense0.12830PercentOfTotalExpense

Physical Improvements And Housing PhysicalImprovementsAndHousing

FieldValueIRS element (for citing)
Total Community Building Expense37000TotalCommunityBuildingExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Building Expense37000NetCommunityBuildingExpense
Percent Of Total Expense0.00010PercentOfTotalExpense

Economic Development EconomicDevelopment

FieldValueIRS element (for citing)
Total Community Building Expense28850TotalCommunityBuildingExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Building Expense28850NetCommunityBuildingExpense
Percent Of Total Expense0.00010PercentOfTotalExpense

Community Support CommunitySupport

FieldValueIRS element (for citing)
Total Community Building Expense19905TotalCommunityBuildingExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Building Expense19905NetCommunityBuildingExpense
Percent Of Total Expense0.00000PercentOfTotalExpense

Leadership Development LeadershipDevelopment

FieldValueIRS element (for citing)
Total Community Building Expense1000TotalCommunityBuildingExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Building Expense1000NetCommunityBuildingExpense
Percent Of Total Expense0.00000PercentOfTotalExpense

Coalition Building CoalitionBuilding

FieldValueIRS element (for citing)
Total Community Building Expense23908TotalCommunityBuildingExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Building Expense23908NetCommunityBuildingExpense
Percent Of Total Expense0.00010PercentOfTotalExpense

Health Improvement Advocacy HealthImprovementAdvocacy

FieldValueIRS element (for citing)
Total Community Building Expense19092TotalCommunityBuildingExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Building Expense19092NetCommunityBuildingExpense
Percent Of Total Expense0.00000PercentOfTotalExpense

Workforce Development WorkforceDevelopment

FieldValueIRS element (for citing)
Total Community Building Expense8085TotalCommunityBuildingExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Building Expense8085NetCommunityBuildingExpense
Percent Of Total Expense0.00000PercentOfTotalExpense

Other Other

FieldValueIRS element (for citing)
Total Community Building Expense82001TotalCommunityBuildingExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Building Expense82001NetCommunityBuildingExpense
Percent Of Total Expense0.00020PercentOfTotalExpense

Total Total

FieldValueIRS element (for citing)
Total Community Building Expense219841TotalCommunityBuildingExpense
Net Community Building Expense219841NetCommunityBuildingExpense
Percent Of Total Expense0.00050PercentOfTotalExpense
FieldValueIRS element (for citing)
Bad Debt Expense Reported0BadDebtExpenseReported
Bad Debt Expense$1,294,034BadDebtExpenseAmount
Amount Reimbursed By Medicare2340417AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare3107201CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall-766784MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

FieldValueIRS element (for citing)
Cost To Charge RatioXCostToChargeRatio
FieldValueIRS element (for citing)
Written Debt Collection Policy1WrittenDebtCollectionPolicy
Provision For Charity Care1ProvisionForCharityCare
Number Of Hospital Facilities1NumberOfHospitalFacilities

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA

FieldValueIRS element (for citing)
Facility Number1FacilityNumber

Name Name

FieldValueIRS element (for citing)
Business Name Line1ARKANSAS CHILDREN'S HOSPITALBusinessNameLine1

Address Address

FieldValueIRS element (for citing)
Address Line11 CHILDRENS WAYAddressLine1
CityLITTLE ROCKCity
StateARState
ZIP Code72202ZIPCode
FieldValueIRS element (for citing)
Licensed HospitalXLicensedHospital
General Medical And SurgicalXGeneralMedicalAndSurgical
Childrens HospitalXChildrensHospital
Teaching HospitalXTeachingHospital
Research FacilityXResearchFacility
Er24 HoursXEr24Hours

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1ARKANSAS CHILDREN'S HOSPITALBusinessNameLine1
FieldValueIRS element (for citing)
Hospital Facility Number1HospitalFacilityNumber

Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC

FieldValueIRS element (for citing)
Number Of Other Facilities2NumberOfOtherFacilities

Other Facilities OtherFacilities (2 entries)

Address Line1Address/AddressLine1CityAddress/CityStateAddress/StateZIP CodeAddress/ZIPCodeFacility TypeFacilityType
WEST LITTLE ROCK PEDIATRIC CLINIC
BELLA ROSA CENTER 16101 CANTRELL RDLITTLE ROCKAR72223OUTPATIENT HOSPITAL CLINIC
CENTERS FOR CHILDREN
519 LATHAM DRIVELOWELLAR72745OUTPATIENT HOSPITAL CLINIC

Form990 Schedule H Part VI Form990ScheduleHPartVI (14 entries)

ExplanationExplanation
PART I, LINE 7: ARKANSAS CHILDREN'S HOSPITAL (ACH) USES A COST ACCOUNTING (CA) SYSTEM AS THE BASIS FOR DETERMINING COST FOR OUR PATIENTS. ALL PATIENT ENCOUNTERS (INPATIENT, OUTPATIENT, ED, AMBULATORY SURGERY) ARE CAPTURED IN THE CA SYSTEM FOR ALL OF OUR PATIENTS (MEDICAID, INSURANCE, UNINSURED) WITH NO DIFFERENTIATION FOR TYPE OF INSURANCE, IF ANY. A BRIEF DESCRIPTION OF THE CA 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 THAT SERVICE. THIS IS DONE ON A PROCEDURE LEVEL BASIS. AS A PATIENT IS ADMITTED AND INCURS SERVICES (X-RAYS, ROOM & BOARD, LAB, ETC.) THAT PROCEDURE COST IS ASSIGNED TO THAT PATIENT. AT DISCHARGE, THE COSTS FROM THE INDIVIDUAL PROCEDURES THAT WERE PROVIDED TO THAT PATIENT ARE ADDED UP FOR A TOTAL COST OF PROVIDING CARE FOR THAT PATIENT. THE CA SYSTEM IS UPDATED ANNUALLY TO REFLECT THE CURRENT YEAR'S EXPENSES.
PART I, LINE 7G: ACH PROVIDES MANY PEDIATRIC AND SOME ADULT SPECIALIZED SERVICES TO OUR COMMUNITY THAT ARE EITHER NOT AVAILABLE IN THE COMMUNITY OR BEYOND THE CAPACITY OF THE COMMUNITY TO PROVIDE THE SERVICE. MANY OF THESE SERVICES ARE PROVIDED BY ACH AT A LOSS. THESE LOSSES WERE OBTAINED FROM THE CA 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 HERE.SIMILARLY, ACH INCURS LOSSES FROM PROVIDING PEDIATRIC LAB SERVICES TO OUR MEDICARE PATIENT POPULATION THAT ARE REIMBURSED LESS THAN COST. THOSE LOSSES ARE INCLUDED HERE ALSO.
PART I, L7 COL(F): BAD DEBT EXPENSE OF $2,029,368 IS INCLUDED IN THE TOTAL PRESENTED ON FORM 990, PART IX, LINE 24C. THIS AMOUNT HAS BEEN SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN SCHEDULE H, PART I, LINE 7, COLUMN F.
PART II: 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 WITH A WIDE VARIETY OF PROGRAMS AND AGENCIES ACROSS THE STATE TO ADDRESS THE MYRIAD NEEDS OF CHILDREN. THROUGH OUR SUPPORT OF ORGANIZATIONS DEALING WITH SPECIFIC DISEASE STATES OR CHRONIC HEALTH CONDITIONS (CANCER, HEART PROBLEMS, DIABETES, CYSTIC FIBROSIS, ETC.) OR AGENCIES SERVING CHILDREN AND THEIR FAMILIES WITH SOCIAL, CLINICAL AND ACADEMIC SERVICES, ACH IS AN ACTIVE PARTNER IN BUILDING COMMUNITIES TO BETTER SERVE THE HEALTH NEEDS OF CHILDREN. LOCALLY, ACH PARTNERS WITH A VARIETY OF COMMUNITY ORGANIZATIONS TO IMPROVE THE CONDITIONS IN WHICH CHILDREN GROW UP AND BECOME ADULT MEMBERS OF THE COMMUNITY. A NEW DEVELOPMENT IN 2011 HAS BEEN THE INVOLVEMENT OF ACH AS A PARTNER IN THE DEVELOPMENT OF THE CENTRAL LITTLE ROCK PROMISE NEIGHBORHOOD (CLRPN). MODELED AFTER THE HARLEM CHILDREN'S ZONE, THE CLRPN INCLUDES AN AREA INCLUDING THE ACH CAMPUS AND STRETCHING WEST AND SOUTH TO INCLUDE SEVEN CENSUS TRACKS. THE PROMISE TO ALL THE CHILDREN GROWING UP IN THE CLRPN IS THAT WE, AS A COMMUNITY, WILL TAKE STEPS TO ENSURE THAT THEY HAVE HAPPY, HEALTHY AND PRODUCTIVE CHILDHOODS AND CAN NAVIGATE THE ROAD FROM CRADLE TO CAREER SUCCESSFULLY. WORKING WITH OTHER PARTNERS, INCLUDING THE UNIVERSITY OF ARKANSAS AT LITTLE ROCK, THE UNIVERSITY OF ARKANSAS FOR MEDICAL SCIENCE, THE CENTRAL LITTLE ROCK LIBRARY, THE CITY OF LITTLE ROCK, THE LITTLE ROCK SCHOOL DISTRICT, NEW FUTURES, AND THE LITTLE ROCK PREPARATORY ACADEMY, ACH IS HELPING TO ORGANIZE PROGRAMS AND SERVICES NEEDED TO FULFILL THIS PROMISE TO THE COMMUNITY. WE HAVE IDENTIFIED 10 FOCUS AREAS THAT WE CONSIDER KEYS TO KEEPING THE PROMISE. FOR EACH OF THESE AREAS, WE ARE FORMING A "PROMISE GROUP" MADE UP OF MEMBERS WHO WILL COMMIT TO ACCEPTING RESPONSIBILITY FOR KEEPING THE SERIES OF KEY PROMISES IT WILL TAKE FOR OUR COMMUNITY TO CREATE A CLEAR PATHWAY TO SUCCESS FOR ALL NEIGHBORHOOD CHILDREN TO PROGRESS ON THEIR JOURNEY TO ADULTHOOD. PROMISE GROUPS WILL BE ORGANIZED AROUND A KEY PROMISE AND SPECIFIC PERFORMANCE GOALS RELATED TO THE CLRPN'S RESULTS FRAMEWORK. WORKING CLOSELY WITH THE CLRPN STAFF, PROMISE GROUPS WILL BE RESPONSIBLE FOR SETTING ANNUAL GOALS, DEVISING THE STRATEGIES AND IMPLEMENTING THE PROGRAMS THAT WILL BE NEEDED TO MEET THESE GOALS. TO THE EXTENT POSSIBLE AND PRACTICAL, THE PROMISE GROUP PARTNERS WILL BASE THEIR EFFORTS ON RESEARCH-SUPPORTED BEST PRACTICES. ACH WILL FOCUS ITS EFFORTS ON THE DELIVERY OF HEALTH CARE TO CHILDREN IN THE CLRPN, ESTABLISH HOME VISITING PROGRAMS IN THE AREA, PROVIDE COMMUNITY EDUCATION/OUTREACH AROUND CHILDREN'S HEALTH ISSUES, PROVIDE HEALTH LITERACY PROGRAMMING FOR THE CLRPN SCHOOLS, AND WORK TO PREVENT AVOIDABLE CHILD INJURIES. THE CLRPN PROMISE GROUPS INCLUDE: PARENTING AND NURTURING SUPPORT; EARLY LEARNING; SUCCESSFUL SCHOOLS; AFTER SCHOOL/SUMMER PROGRAMS; COLLEGE/CAREER READINESS; SCHOLARSHIP; MEANINGFUL EMPLOYMENT; COMMUNITY-CENTERED FACILITIES; COMMUNITY BUILDING; AND COMMUNITY WELLNESS.ACH COLLABORATES WITH MANY PROVIDERS OF SERVICES TO CHILDREN AND THEIR FAMILIES TO ASSURE A WIDE RANGE OF ACTIVITY IN OUR COMMUNITY. INCLUDED IN OUR PARTNERSHIP EFFORTS IS OUR WORK WITH OUR NEIGHBORHOOD HIGH SCHOOL, THE CITY PARKS AND RECREATION DEPARTMENT AND LOCAL POLICE DEPARTMENT TO ENCOURAGE HEALTHY EVENTS AND CHILD SAFETY INITIATIVES FOR ALL CHILDREN IN OUR COMMUNITY. THESE EFFORTS INCLUDE SAFE GRADUATION MESSAGES AND EVENTS, COMMUNITY EVENTS IN PARKS, AND CHILD SAFETY SUPPORT IN CONCERT WITH LOCAL POLICE PROGRAMMING. ADDITIONALLY, WE PARTNER WITH VARIOUS AGENCIES TARGETING EFFORTS TO WORK WITH PARENTS OF HOSPITALIZED CHILDREN, IMPROVING MENTAL HEALTH SERVICES FOR CHILDREN, VICTIMS OF DOMESTIC VIOLENCE AND CHILD ABUSE AS WELL AS STATEWIDE SCIENCE EDUCATION NETWORKS. IN EACH OF THESE ACTIVITIES ACH REQUIRES THE PARTNER AGENCY TO SPECIFICALLY REPORT HOW OUR SUPPORT WORKS TO IMPROVE THE LIVES OF CHILDREN.ACH HAS LONG SUPPORTED TRAINING PROGRAMS FOR YOUTH FOCUSING ON VIOLENCE PREVENTION, ALTERNATIVE DISPUTE RESOLUTION AMONG STUDENTS AS WELL AS CULTURAL/DIVERSITY SENSITIVITY AMONG YOUTH.ACH IS A LEADING MEMBER OF MANY COALITIONS FOCUSING ON CHILD SAFETY MATTERS, INJURY PREVENTION, AND ENHANCED HEALTH SERVICES FOR CHILDREN. ACH SUPPORTS THE DEVELOPMENT OF INFORMATION AND EDUCATIONAL EFFORTS TO ILLUMINATE NOT ONLY PROBLEMS IN CHILD HEALTH & SAFETY BUT ALSO BEST PRACTICES TO IMPROVE IDENTIFIED ISSUES. MANY OF THESE EFFORTS ARE TARGETED TO SPECIFIC ISSUES SUCH AS CAR SEAT AND SEATBELT UTILIZATION, OBESITY PREVENTION, AVOIDANCE OF "RISKY" BEHAVIORS AND MORE GENERAL ISSUES SUCH AS THE IMPACT OF NANOTECHNOLOGY ON IMPROVING THE LIVES OF CHILDREN.ACH PROVIDES SUPPORT TO OUR LOCAL UNIVERSITY AFFILIATES AND OTHERS TO DEVELOP EDUCATIONAL PROGRAMS TO ADDRESS MAJOR CLINICAL ISSUES, SUCH AS CANCER, FACING CHILDREN AND OTHERS IN OUR COMMUNITY. ACH MAINTAINS ACTIVE PARTNERSHIPS THROUGH FINANCIAL SUPPORT AND KEY STAFF INVOLVEMENT WITH OUR LOCAL UNIVERSITIES TO ENCOURAGE STUDENT INTEREST IN THE VARIOUS AREAS OF PROFESSIONAL DEVELOPMENT AND TRAINING IMPORTANT TO OUR HEALTH SYSTEM OPERATION. WHETHER ENCOURAGING YOUNG WOMEN TO CHOOSE PROFESSIONAL CAREERS IN SCIENCE OR WORKING WITH UNIVERSITY PROGRAMS TO PROVIDE CLINICAL EXPERIENCE FOR STUDENTS, ACH IS A KEY PLAYER IN OUR COMMUNITY IN WORKFORCE DEVELOPMENT.ACH STAFF AND LEADERS CONTRIBUTE EXPERTISE AND LEADERSHIP IN MANY COMMUNITY SETTINGS IN PURSUIT OF OUR MISSION TO IMPROVE THE LIVES OF CHILDREN IN ARKANSAS. WHETHER WE ARE 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 OUR COMMUNITY. WE REGARD THIS AS AN IMPORTANT COMPONENT OF OUR WORK IN THE LITTLE ROCK AND ARKANSAS COMMUNITY.ACH IS A VALUED PARTNER IN THE EFFORTS DETAILED ABOVE AND REMAINS A KEY ORGANIZATION IN IMPROVING THE LIVES OF CHILDREN, BOTH IN LITTLE ROCK AS WELL AS THE ENTIRE STATE.
PART III, LINE 4: THE BAD DEBT ATTRIBUTABLE TO PATIENT ACCOUNTS DOES NOT INCLUDE THE EXPENSE FOR PATIENTS WHO ARE LIKELY TO QUALIFY FOR FINANCIAL ASSISTANCE. AT YEAR END, ALL ACCOUNTS WRITTEN OFF AS BAD DEBT ARE SENT TO TRANS UNION FOR CREDIT ANALYSIS. THOSE WITH CREDIT SCORES OF 620 AND BELOW ARE RECLASSIFIED AS CHARITY SINCE THESE WOULD QUALIFY FOR FINANCIAL ASSISTANCE HAD THE FAMILIES FURNISHED SUFFICIENT INFORMATION. THIS AMOUNT IS ADDED TO THE OTHER CHARITY ADJUSTMENTS. THE PERCENT CALCULATED IS APPLIED TO THE BAD DEBT EXPENSE FOR THE YEAR TO DETERMINE THE AMOUNT OF CHARITY AND THE REMAINDER IS BAD DEBT. FOR THOSE ACCOUNTS REMAINING CLASSIFIED AS BAD DEBT, THE COST TO CHARGE RATIO FOR EACH ACCOUNT IS CALCULATED AND APPLIED TO THE BAD DEBT WRITE OFF TO ADJUST THIS AMOUNT TO COST.
PART III, LINE 8: THE ACH MEDICARE POPULATION IS PRIMARILY RENAL PEDIATRIC PATIENTS AND BURN ADULT PATIENTS. ACH IS THE ONLY CERTIFIED 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 ($227,977) FROM PRIOR YEAR MEDICARE COST REPORT SETTLEMENTS THAT WAS PAID BACK TO THE MEDICARE PROGRAM IN FISCAL YEAR 2011.
PART III, LINE 9B: ARKANSAS CHILDREN'S HOSPITAL'S PATIENT ACCOUNTS DEPARTMENT USES ITS BEST EFFORTS TO ASSIST OUR 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 REGISTRATIONS AREAS. FINANCIAL ASSISTANCE BROCHURES ARE AVAILABLE TO OUR FAMILIES UPON REQUEST. 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. IT IS OUR STANDARD PRACTICE TO USE OUR INTERNAL RESOURCES WHICH INCLUDES OUR PATIENT ACCOUNTS DEPARTMENT AND OUR COLLECTION AGENCY HOSPITAL FINANCE CORPORATION (HFC). NO EXTRAORDINARY COLLECTION EFFORTS ARE TAKEN. WE DO 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. OUR 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 I, LINE 4: ACH DOES NOT HAVE A SPECIFIC FINANCIAL ASSISTANCE PROGRAM FOR THE MEDICALLY INDIGENT, BUT WE DO PROVIDE DISCOUNTED CARE FOR INDIVIDUALS WITH HOUSEHOLD INCOMES UP TO 400% OF POVERTY. WE ALSO ASSIST 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 OUR FINANCIAL ASSISTANCE PROGRAM. WE ALSO ALLOW INTEREST FREE PAYMENTS TO BE MADE UNTIL THE OUTSTANDING BALANCE IS PAID WITHOUT TIME CONSTRAINTS. ACH DOES NOT REPORT TO COLLECTION AGENCIES OR TAKE OTHER EXTRAORDINARY COLLECTION EFFORTS.
PART I, LINES 7B AND 7K, COLUMN F: DUE TO SOFTWARE LIMITATIONS RELATED TO ELECTRONICALLY FILING THIS TAX RETURN, THE CALCULATED AMOUNT ON LINE 7B, COLUMN F SHOULD BE -5.88%, AND THE AMOUNT ON LINE 7K, COLUMN F SHOULD BE 6.96%. HOWEVER, THE SOFTWARE WOULD NOT ACCEPT A NEGATIVE PERCENTAGE, AND THEREFORE, LINE 7B COLUMN F IS BLANK, RESULTING IN 12.83% TO SHOW ON LINE 7K COLUMN F.
PART VI, LINE 2: ARKANSAS CHILDREN'S HOSPITAL BEGAN OUR FORMAL NEEDS ASSESSMENT OF THE STATUS OF CHILDREN'S HEALTH IN ARKANSAS IN 2006 WITH OUR FIRST REPORT PUBLISHED IN 2007 AND SUBSEQUENT REPORTS PUBLISHED IN 2009 AND 2011. SINCE ACH SERVES THE ENTIRE STATE OF ARKANSAS, OUR WORK IN THIS AREA ENCOMPASSES ALL CHILDREN IN THE STATE VS. A SINGLE COMMUNITY OR NEIGHBORHOOD. INITIALLY, OUR EFFORTS INCLUDED A REVIEW OF 44 SEPARATE DATASETS, EACH DEALING WITH SOME ASPECT OF CHILDREN'S HEALTH. SUCH A COMPREHENSIVE REVIEW HAD NOT PREVIOUSLY BEEN DONE IN OUR STATE. THIS FIRST NEEDS ASSESSMENT, WHICH WE REFER TO AS OUR "NATURAL WONDERS" REPORT, REFLECTED NOT ONLY THE THOUGHTS OF ACH, BUT OF THE NATURAL WONDERS PARTNERSHIP COUNCIL (NWPC), A GROUP OF THEN 11 ORGANIZATIONS AND AGENCIES COMMITTED TO COLLABORATIVE EFFORTS AIMED AT IMPROVING THE STATUS OF THE HEALTH OF THE CHILDREN OF ARKANSAS. IN 2007 AND 2008 WE EXPANDED THIS NEEDS ASSESSMENT WITH RANDOM TELEPHONE INTERVIEWS WITH OVER 2500 FAMILIES ACROSS THE STATE TO LEARN OF THEIR HIGHEST CONCERNS REGARDING THE STATUS OF THEIR CHILDREN'S HEALTH. THIS WORK WAS SUPPLEMENTED WITH COMMUNITY FORUMS IN 5 CITIES AROUND THE STATE AND NUMEROUS FOCUS GROUPS INCLUDING HEALTHCARE PROFESSIONALS, EDUCATORS, HEALTHCARE PAYERS, AND ACADEMIC LEADERS. THIS WORK WAS PUBLISHED IN OUR SECOND REPORT IN FEBRUARY 2009. FROM THIS WORK, NINE MAJOR AREAS OF NEED WERE HIGHLIGHTED, AND ACH HAS TAKEN THE LEAD IN ADDRESSING FOUR OF THE AREAS WHILE PLAYING A SUPPORTIVE ROLE IN THE REMAINING AREAS. THE AREAS IN WHICH ACH PLAYS A LEADING ROLE INCLUDE INJURY PREVENTION, ORAL HEALTH, HEALTH LITERACY FOR CHILDREN, AND EXPANSION/IMPROVEMENT OF HOME VISITING PROGRAMS. WORK HAS CONTINUED IN ALL OF THE AREAS NOTED IN THE ORIGINAL NATURAL WONDERS REPORT WITH THE MEMBERSHIP OF THE NWPC GROWING TO OVER 27 AGENCIES AND ORGANIZATIONS. IN FY11 THE 3RD EDITION OF THE NATURAL WONDERS REPORT WAS PUBLISHED, INCLUDING A FULL REVIEW AND UPDATE OF THE ORIGINAL DATA SETS EXAMINED IN 2006 AND NOTING PROGRESS TO DATE IN THE MANY AREAS OF NEED IDENTIFIED IN THE ORIGINAL REPORT. MANY SIGNIFICANT IMPROVEMENTS HAVE BEEN ACHIEVED IN THE PAST FIVE YEARS. THE CREATION OF AN INJURY PREVENTION CENTER AT ACH HAS PROVIDED A FOCUS OF ATTENTION AND ACTIVITY AROUND THE ISSUES OF UNINTENDED INJURY AND DEATH AMONG OUR YOUNG PEOPLE. THIS HAS CONTRIBUTED IN A MAJOR WAY TO THE CREATION OF A TRAUMA SYSTEM FOR THE STATE OF ARKANSAS AS WELL AS IMPROVEMENTS SUCH AS GRADUATED DRIVERS' LICENSES, PRIMARY SEAT BELT LAWS, NO TEXTING AND DRIVING LAWS FOR MINORS, DRIVING CURFEWS FOR MINORS AND OTHER INJURY PREVENTION EFFORTS ASSOCIATED WITH THE NEW TRAUMA SYSTEM. ACH HAS LED THE CLINICAL TEAMS IN THE DEVELOPMENT AND OPERATION OF THREE MOBILE DENTAL VANS [TWO IN PARTNERSHIP WITH LOCAL RONALD MCDONALD CHARITIES] AND HAS LED THE STATE'S EFFORTS TO PROVIDE ACCESS TO DENTAL SEALANTS TO THE YOUNG PEOPLE IN OUR STATE. WE HAVE ALSO BEEN A LEADER IN THE EFFORT TO ENACT LEGISLATION TO FLUORIDATE THE DRINKING WATER IN COMMUNITIES OF 5000 PERSONS OR MORE IN OUR STATE. ACH HAS INITIATED HEALTH LITERACY EFFORTS IN PUBLIC SCHOOLS ACROSS THE STATE AND NOW, IN PARTNERSHIP WITH OTHERS, TO MAKE THIS PROGRAM AVAILABLE TO OVER 409 SCHOOLS AND 210,100 STUDENTS FREE OF CHARGE. OVER THE PAST FEW YEARS, NEWBORN HEALTH SCREENINGS HAVE BEEN GREATLY EXPANDED [FROM 6 CONDITIONS TO 29 CONDITIONS] WHICH, IN TURN, HAS MEANT THAT OVER 150 CASES OF SERIOUS DISEASE HAVE BEEN DETECTED AT BIRTH, WHICH HAS FACILITATED EARLY INTERVENTION TO TREAT AND CARE FOR THESE CHILDREN. IN JUNE, 2011 ACH PARTNERED WITH THE ARKANSAS DEPARTMENT OF HEALTH TO SUBMIT A COMPETITIVE APPLICATION TO THE FEDERAL GOVERNMENT FOR EXPANSION OF HOME VISITING SERVICES IN ARKANSAS. THIS APPLICATION WAS APPROVED IN SEPTEMBER, 2011 AND WILL BE IMPLEMENTED WITH ACH AS THE PROGRAM MANAGER IN FY12.
PART VI, LINE 3: ARKANSAS CHILDREN'S HOSPITAL'S PATIENT ACCOUNTS DEPARTMENT USES ITS BEST EFFORTS TO ASSIST OUR 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: SINCE ARKANSAS CHILDREN'S HOSPITAL IS THE ONLY PEDICATRIC MEDICAL CENTER IN ARKANSAS, WE SERVE PATIENTS THROUGHOUT THE STATE AND, ON OCCASION, FROM OTHER STATES AND COUNTRIES. ACH DRAWS APPROXIMATELY 71.8% OF OUR OUTPATIENTS AND 52.2% OF OUR INPATIENTS FROM THE CENTRAL PART OF THE STATE (PULASKI COUNTY AND THE SURROUNDING COUNTIES OF JEFFERSON, LONOKE, FAULKNER, JEFFERSON, AND SALINE), AS WELL AS FROM WHITE COUNTY IN NORTH CENTRAL ARKANSAS AND SEBASTIAN AND WASHINGTON COUNTIES IN THE NORTHWEST CORNER OF THE STATE.BASED ON THE U.S. CENSUS BUREAU 2010 CENSUS DATA, THE POPULATION WAS 382,748 FOR PULASKI COUNTY AND 2,915,918 FOR THE STATE OF ARKANSAS. OF THE STATES' POPULATION, APPROXIMATELY 24.4% ARE UNDER 18 YEARS OF AGE AND 6.8% ARE UNDER THE AGE OF 5. THE UNEMPLOYMENT RATE FOR THE STATE OF ARKANSAS FOR CALENDAR YEAR 2010 WAS 7.9%.ACCORDING TO THE U.S. DEPARTMENT OF COMMERCE, THE PER CAPITA PERSONAL INCOME FOR THE STATE OF ARKANSAS FOR 2010 WAS $33,150. THE PERCENT OF ALL PEOPLE IN POVERTY IN OUR STATE IS 18.7% AND THE PERCENT OF CHILDREN 17 OR YOUNGER IN POVERTY IS 27.3%.
PART VI, LINE 6: 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 29 CITY BLOCKS AND HOUSES 306 BEDS, A STAFF OF APPROXIMATELY 500 PHYSICIANS, 80 RESIDENTS IN 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 OUR MISSION OF ENHANCING, SUSTAINING AND RESTORING CHILDREN'S HEALTH AND DEVELOPMENT. ACH HAS BEEN RANKED ON FORTUNE'S "100 BEST COMPANIES TO WORK FOR" LIST FOUR YEARS, MOST RECENTLY AT NO. 75, AND WAS THE ONLY ARKANSAS-HEADQUARTERED COMPANY THAT MADE THE 2011 LIST. OUR PHYSICIANS ARE CONSISTENTLY RECOGNIZED FOR THEIR OUTSTANDING PERFORMANCE AND ACHIEVMENT IN TAKING CARE OF OUR YOUNG PATIENTS. DOCTORS FROM ACH ARE CONSISTELY LISTED ON BEST DOCTORS AND TOP DOCTOR LISTS LOCALLY AND NAATIONALLY. IN FACT, 124 ACH STAFF PHYSICIANS WERE RECOGNIZED AS 2009-2010 BEST DOCTORS IN AMERICA. ACH SERVES AS THE PEDIATRIC TEACHING AFFILIATE OF UAMS AND IS HOME TO THE DEPARTMENT OF PEDIATRICS. ACH IS THE CLASSROOM WHERE MEDICAL STUDENTS STUDY THE PEDIATRIC COMPONENT OF ALL DISCIPLINES. IN TURN, UAMS SHARES ITS CURRENT MEDICAL BREATHROUGHS AND TECHNOLOGICAL ADVANCEMENTS. UAMS FACULTY ON ACH CAMPUS ARE PRACTICING PHYSICIANS AS WELL AS TEACHERS TO UAMS STUDENTS IN MEDICINE, NURSING, PHARMACY AND ALLIED HEALTH. THE GOAL OF ACH IS TO IMPROVE THE LIVES OF CHILDREN BY PROVIDING THE BEST IN WELL-CHILD CARE AS WELL AS EMERGENCY MEDICINE AND ACUTE CARE TO RESTORE, ENHANCE AND SUSTAIN A CHILD'S 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).IN CONJUNCTION WITH THE UNIVERSITY OF ARKANSAS FOR MEDICAL SCIENCES DEPARTMENT OF PEDIATRICS, ACH OFFERS MORE THAN 70 SPECIALTY AND SUBSPECIALTY CLINICS, LOCATED ON THE MAIN CAMPUS, AND IN WEST LITTLE ROCK, AS WELL AS IN 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. DURING THE YEAR, A PRIMARY CARE CLINIC WAS OPENED IN THE CENTERS FOR CHILDREN, THE NORTHWEST ARKANSAS CLINIC. THE CLINIC INCLUDES 12 EXAMINATION ROOMS THAT WILL BE STAFFED BY FOUR PHYSICIANS. CLINIC SPACE FOR PHYSICAL, OCCUPATIONAL AND SPEECH THERAPY, AND LANGUAGE DEVELOPMENT IS LOCATED ADJACENT TO THE PRIMARY CARE CLINIC; ALL ARE NEW SERVICE AREAS. THE 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 WHO ARE WITHOUT A PRIMARY CARE PHYSICIAN. THE NATURAL WONDERS PARTNERSHIP COUNCIL (NWPC), NOW IN ITS FIFTH YEAR, HAS GROWN TO OVER 27 MEMBERS AND SERVES AS A CENTER OF MULTIPLE ACTIVITIES DESIGNED TO IMPROVE THE HEALTH STATUS OF CHILDREN IN OUR STATE. THE NWPC HAS BECOME 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. IN ADDITION TO CONTINUED EFFORTS IN INJURY PREVENTION, HEALTH LITERACY, COORDINATED SCHOOL HEALTH, AND HOME VISITING, THE NWPC HAS ACTIVE WORK GROUPS ADDRESSING INFANT MORTALITY AND INFANT DEATH REVIEWS, SCHOOL WELLNESS PROGRAMS, TEXTING CAN WAIT, FOOD INSECURITY, AND TEENAGE PREGNANCY PREVENTION. THE NWPC CONTINUES TO SERVE AS THE PREFERRED FORUM FOR INFORMING, STRATEGIZING, AND SHARING ABOUT ISSUES IMPORTANT TO THE HEALTH AND DEVELOPMENT OF CHILDREN IN ARKANSAS. IN 2011 A MAJOR REVIEW OF THE FUNDAMENTAL DATA SETS UNDERLYING OUR ENTIRE COMMUNITY BENEFIT EFFORT OCCURRED. THIS REVIEW, COMBINED WITH AN ANALYSIS OF PROGRESS MADE TO DATE, WAS PUBLISHED IN THE 3RD EDITION OF THE NATURAL WONDERS DOCUMENT.THE ACH INJURY PREVENTION CENTER (IPC) CONTINUES TO BUILD SYNERGY AROUND VARIOUS EFFORTS, COMBINING A COMPREHENSIVE APPROACH THAT INCLUDES EDUCATION, AWARENESS, AND ADVOCACY. THE IPC HAS BEEN ABLE TO CONTINUE AND EXPAND EFFORTS THAT INCLUDE SAFER TEEN DRIVING, ALL-TERRAIN VEHICLE SAFETY EDUCATION, CHILD PASSENGER SAFETY, AND SAFETY BABY SHOWERS, WHICH ARE LEARNING PARTIES FOR EXPECTANT MOTHERS AND THEIR SUPPORT SYSTEMS, WHICH FOCUS ON HOME AND CHILD PASSENGER SAFETY. THE CENTER'S EFFORTS HAVE GENERATED MANY PROGRAM EVENTS, ACTIVITIES, BROCHURES, FACT SHEETS, AND MANY OTHER USEFUL EDUCATIONAL MATERIALS FOR STATEWIDE DISTRIBUTION (INCLUDING RURAL AREAS). THE IPC SPONSORED OR ASSISTED IN 296 OUTREACH EVENTS AND/OR PRESENTATIONS REACHING OVER 16,000 PEOPLE, AND DISTRIBUTED OVER 200,000 PIECES OF SAFETY INFORMATION OR SAFETY PRODUCTS. ARKANSAS CHILDREN'S HOSPITAL CONTINUES TO SUPPORT STATEWIDE DENTAL HEALTH EFFORTS TO IMPROVE PEDIATRIC ORAL HEALTH IN ARKANSAS. TO AVOID DUPLICATION AND INCREASE SYNERGY AROUND ORAL HEALTH ISSUES, THE HOSPITAL IS PARTNERING WITH MANY OF THE MEMBERS OF THE ORAL HEALTH COALITION. THROUGH THE COALITION, CHILDREN'S DENTAL HEALTH HAS MADE PROGRESS IN VARIOUS EFFORTS: THE 2011 PEW CHILDREN'S DENTAL CAMPAIGN'S REPORT, "THE STATE OF CHILDREN'S DENTAL HEALTH: MAKING COVERAGE MATTER," GRADED ARKANSAS AT A "C," A TWO-LETTER GRADE INCREASE. THE GRADE INCREASE WAS ATTRIBUTED TO AN INCREASE OF THE CHILDREN ENROLLED IN MEDICAID THAT ARE RECEIVING DENTAL CARE AND THREE PIECES OF LEGISLATION SIGNED INTO LAW IN EARLY 2011. THESE INCLUDE 1) A LAW GUARANTEED FLUORIDATED WATER TO COMMUNITIES OVER A CERTAIN POPULATION, 2) ANOTHER THAT ALLOWS PHYSICIANS TO PROVIDE PREVENTATIVE DENTAL SERVICES (E.G. FLUORIDE VARNISH), AND 3) ONE THAT ALLOWS PUBLIC HEALTH DENTAL HYGIENISTS TO BE ABLE TO PLACE SEALANTS WITHOUT A DENTIST'S PRIOR EXAM. AS FAR AS THE HOSPITAL'S EFFORTS, ACH DENTAL OUTREACH CONTINUES TO MAKE GREAT STRIDES IN ADDRESSING ACCESS TO DENTAL CARE. THREE MOBILE CLINICS VISIT VARIOUS UNDERSERVED AREAS, PROVIDING COMPREHENSIVE DENTAL CARE TO THOSE IN URGENT NEED. IN ADDITION, ACH CONTINUES TO PARTNER WITH THE ARKANSAS DEPARTMENT OF HEALTH OFFICE OF ORAL HEALTH'S "SEAL-THE-STATE" INITIATIVE, WHICH FOCUSES ON PROVIDING DENTAL SEALANTS TO ELEMENTARY SCHOOL AGE STUDENTS IN ARKANSAS PUBLIC SCHOOLS. THIS STATEWIDE COLLABORATION IS IN ITS THIRD YEAR AND CONTINUES TO SEE AN INCREASED NUMBER OF CHILDREN AROUND ARKANSAS. IN FY 2011, THE PROGRAM SAW NEARLY 800 CHILDREN AND SEALED OVER 2,800 TEETH. ACH CONTINUES ITS WORK IN THE AREA OF HEALTH LITERACY WITH THE CONTINUATION OF THE HEALTHTEACHER.COM PROGRAM IN PUBLIC SCHOOLS ACROSS ARKANSAS. IN FY11, THIS PROGRAM GREW TO INCLUDE 362 SCHOOLS IN 79 DISTRICTS IN ARKANSAS. THIS YEAR SAW A 47% INCREASE IN ACTIVE USERS FROM 182 SCHOOLS TO 267, AS WELL AS A 57% INCREASE IN REGISTERED USERS FROM 917 TO 1430. THE MOST SIGNIFICANT CHANGE IN 2011 IN OUR EFFORTS TO IMPROVE HEALTH LITERACY FOR STUDENTS IN ARKANSAS WAS THE ANNOUNCEMENT OF A NEW PARTNERSHIP BETWEEN ACH AND MERCY HEALTH SYSTEM TO JOINTLY SPONSOR HEALTHTEACHER.COM IN PORTIONS OF NORTHERN, WESTERN AND WEST-CENTRAL ARKANSAS. THIS MULTI-YEAR PARTNERSHIP POTENTIALLY ADDS 63 NEW SCHOOL DISTRICTS WITH 170 NEW SCHOOLS, 9,905 NEW TEACHERS AND 129,276 NEW STUDENTS TO THIS PROGRAM. OUR EFFORTS WILL REACH A POTENTIAL OF 409 SCHOOLS AND 210,106 STUDENTS IN ARKANSAS.COMMUNITY OUTREACH PROGRAMS ARE JUST ANOTHER WAY THAT ACH IS STRIVING TO MAKE A POSITIVE IMPACT ON CHILDREN THROUGHOUT OUR STATE. ACH HAS TAKEN A PROACTIVE LEADERSHIP ROLE IN REACHING CHILDREN AND FAMILIES WITH INFORMATIVE AND FUN HEALTH EDUCATION THROUGH SEVERAL STATEWIDE OUTREACH PROGRAMS WITH A FOCUS ON WELLNESS, PREVENTION, AND HEALTH PROMOTION.
PART VI, LINE 7: ACH IS NOT PART OF AN AFFILIATED HEALTH CARE SYSTEM. ACH AND THE UNIVERSITY OF ARKANSAS FOR MEDICAL SCIENCES (UAMS) ARE INVOLVED IN AN AFFILIATION AGREEMENT IN THE PURSUIT OF PROFESSIONAL EDUCATION, RESEARCH, AND CLINICAL CARE FOR CHILDREN. ALL PEDIATRIC SUB-SPECIALTY WORK IS CONDUCTED ON THE ACH CAMPUS WITH ACH PROVIDING SPACE, SUPPORTING STAFF AND SERVICES AND FUNDING FOR MAJOR EDUCATIONAL AND CLINICAL EXPERTISE.

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records Maintained1RecordsMaintained

Recipient Table RecipientTable (18 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEIN Of RecipientEINOfRecipientIRC SectionIRCSectionAmount Of Cash GrantAmountOfCashGrantPurpose Of GrantPurposeOfGrantAmount Of Non Cash AssistanceAmountOfNonCashAssistanceMethod Of ValuationMethodOfValuationDescription Of Non Cash AssistanceDescriptionOfNonCashAssistance
ARKANSAS ADVOCATES FOR CHILDREN & FAMILIES
1400 WEST MARKHAM SUITE 306LITTLE ROCKAR72201710492205501(C)(3)7900GENERAL SUPPORT
ARKANSAS CENTER FOR HEALTH IMPROVEMENT (UAMS)
1401 W CAPITOL AVE SUITE 300LITTLE ROCKAR72201716046242GOV'T ENTITY200000HEALTH IMPROVEMENT PROGRAMS
ARKANSAS CHILDREN'S HOSPITAL FOUNDATION
1 CHILDRENS WAYLITTLE ROCKAR72202710568795501(C)(3)1549691GENERAL SUPPORT
ARKANSAS CHILDREN'S HOSPITAL RESEARCH INSTITUTE
13 CHILDRENS WAYLITTLE ROCKAR72202710694931501(C)(3)5570224GENERAL SUPPORT2663689COSTINDIRECT SUPPORT
ARKANSAS DISCOVERY NETWORK
500 PRESIDENT CLINTON AVE S 150LITTLE ROCKAR72201710391707501(C)(3)7500GENERAL SUPPORT
HOME INSTRUCTION FOR PARENTS OF PRESCHOOL YOUNGSTERS (HIPPY)
1221 BISHOPLITTLE ROCKAR72202133672592501(C)(3)GENERAL SUPPORT17061FMVPROVIDE OFFICE SPACE & PHONE
LITTLE ROCK MARATHON
500 W MARKHAM SUITE 108LITTLE ROCKAR72201716014465GOV'T ENTITY10000GENERAL SUPPORT
LITTLE ROCK POLICE DEPARTMENT
600 W MARKHAMLITTLE ROCKAR72201716014465GOV'T ENTITY6938GENERAL SUPPORT
RONALD MCDONALD HOUSE CHARITIES
1009 WOLFE STREETLITTLE ROCKAR72202710525252501(C)(3)10400GENERAL SUPPORT
THE ADVOCACY FOR CHILDREN
PO BOX 165815LITTLE ROCKAR72216261086937501(C)(3)GENERAL SUPPORT14992FMVPROVIDE OFFICE SPACE
ARKANSAS DEPARTMENT OF HUMAN SERVICES
PO BOX 1437LITTLE ROCKAR72203710847443GOV'T ENTITY60000PRENATAL CARE AND INFANT MORTALITY PREVENTION PROGRAMS
CAMP ALDERSGATE
2000 ALDERSGATE ROADLITTLE ROCKAR72205680560043501(C)(3)22060GENERAL SUPPORT AND CAMPS FOR CHILDREN WITH PHYSCIAL CONDITIONS.
THE FIRST TEE OF CENTRAL ARKANSAS
1 FIRST TEE WAYLITTLE ROCKAR72204710845382501(C)(3)10000YOUTH OUTREACH AND OBESITY PREVENTION
NATIONAL ASSOCIATION OF CHILDREN'S HOSPITALS
PO BOX 79334BALTIMOREMD21279510120256501(C)(6)57701GME ADVOCACY
ARKANSAS ZOOLOGICAL FOUNDATION
1 ZOO DRIVELITTLE ROCKAR72205581837949GOV'T ENTITY2500HEALTH/SAFETY AND GENERAL SUPPORT36000COSTCONSTRUCTION OF A HANDWASHING STATION
ST FRANCIS HOUSE
2701 S ELM STLITTLE ROCKAR722046339710460783501(C)(3)COMMUNITY SUPPORT13572COSTMEALS READY TO EAT
ARKANSAS DREAM CENTER
1116 WEST DAISY BATESLITTLE ROCKAR72202270730530501(C)(3)COMMUNITY SUPPORT13572COSTMEALS READY TO EAT
LITTLE ROCK CHAMBER OF COMMERCE
ONE CHAMBER PLAZALITTLE ROCKAR722011618710108510501(C)(6)25000COMMUNITY DEVELOPMENT
FieldValueIRS element (for citing)
Total Nbr Of501 C3 And Govt Grants16TotalNbrOf501C3AndGovtGrants
Total Nbr Of Other Organizations2TotalNbrOfOtherOrganizations

Form990 Schedule I Part III Form990ScheduleIPartIII (7 entries)

Type Of GrantTypeOfGrantNumber Of RecipientsNumberOfRecipientsAmount Of Cash GrantAmountOfCashGrantAmount Of Non Cash AssistanceAmountOfNonCashAssistanceMethod Of ValuationMethodOfValuationDescription Of Non Cash AssistanceDescriptionOfNonCashAssistance
MEALS30381790111685COSTMEALS FOR FAMILIES/LACTATING MOTHERS
INSURANCE PREMIUMS58105130COSTPAYMENT OF PREMIUMS FOR PATIENT'S FAMILIES ALLOWED BY COBRA
TRANSPORTATION COSTS (BUS TOKENS, CAB FARE, GAS CARDS)120334963
FUNERAL EXPENSES2723342
RENT, MORTGAGE EXPENSE, UTILITIES, LODGING11016268
CAR SEATS FOR INFANTS AND CHILDREN19116755COSTCAR SEATS FOR INFANTS AND CHILDREN
GROCERY GIFT CARDS AND OTHER MISC. ASSISTANCE467140

Form990 Schedule I Part IV Form990ScheduleIPartIV

FieldValueIRS element (for citing)
IdentifierPROCEDURE FOR MONITORING GRANTS IN THE U.S.:Identifier
Return ReferencePART I, LINE 2:ReturnReference
ExplanationSCHEDULE I, PART I, LINE 2: 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 ALSO SOMETIMES PROVIDED. THE ASSISTANCE PROVIDED IS DOCUMENTED BY THE HOSPITAL'S SOCIAL WORK DEPARTMENT.Explanation

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
First Class Or Charter TravelXFirstClassOrCharterTravel
Written Policy Re T And E Expenses1WrittenPolicyReTAndEExpenses
Substantiation Required1SubstantiationRequired
Compensation CommitteeXCompensationCommittee
Independent ConsultantXIndependentConsultant
Written Employment ContractXWrittenEmploymentContract
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance Payment0SeverancePayment
Supplemental Nonqual Retire Plan1SupplementalNonqualRetirePlan
Equity Based Comp Arrangement0EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org0CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs0CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org0CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs0CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments1AnyNonFixedPayments
Initial Contract Exception0InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (19 entries)

Base Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
JONATHAN BATES MD
45245906500003961084998072640613682000
RICHARD JACOBS MD
000000000000
BONNIE TAYLOR MD
000000000000
GENA WINGFIELD
36210103500005680286960100630436428000
CHARLES LARRY BECKIUS
1696640130000619012602064900202375000
DAVID BERRY
35961303100008710426640100630444211000
LORI BROWN
2398560230000528015450048960283730000
SCOTT GORDON
3425400190000238501661380100630540126000
CYNTHIA HOLLAND
1735900130000663013546065550207354000
DARRELL LEONHARDT
23076901600001472012164096800270085000
MARY MCDANIEL
148175011000078408214043700172543000
MARY SALASSI-SCOTTER
1453030110000335011237063870174262000
CAROLE ZYLMAN
19859001500001214015213066950236712000
KATHERINE BRANDON
1400010110000110000107320161843000
SHERRY FURR
195518014000010144014374044820238518000
JAMES KOONCE
32323901025104191015900049720358553000
KIRT SIMMONS
22947505000954014891092580255078000
DAVID HIGGINSON
1904580160000162012378055870224585000
ANDREE TROSCLAIR
1848840160000573013925045870219969000

Form990 Schedule J Part III Form990ScheduleJPartIII (4 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
PART I, LINE 1ACHARTER TRAVEL IS USED FOR STAFF TO TRAVEL TO A CLINIC LOCATED IN NORTHWEST ARKANSAS. UTILIZATION OF CHARTER TRAVEL, RATHER THAN HAVING STAFF DRIVE TO THE LOCATION, IS OCCASIONALLY DEEMED THE MOST EFFICIENT METHOD OF TRAVEL. STAFF WHO TRAVEL TO THIS LOCATION MAY INCLUDE EMPLOYEES LISTED AS OFFICERS AND KEY EMPLOYEES, AS WELL AS PHYSICIANS, NURSES, AND OTHER ADMINISTRATIVE OR PATIENT CARE STAFF.
PART I, LINE 4BARKANSAS CHILDREN'S HOSPITAL HAS SUPPLEMENTAL EXECUTIVE RETIREMENT PLANS TO PROVIDE EXECUTIVES WITH RETIREMENT AND DEATH BENEFITS. THE PLAN IS INTENDED TO CONSTITUTE AN UNFUNDED PLAN 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. DURING THE 2010 TAX YEAR, THE FOLLOWING ACH REPORTABLE INDIVIDUALS WERE ELIGIBLE TO PARTICIPATE: JONATHAN BATES, M.D. PRESIDENT/CEO DAVID BERRY SR. VP/COO SCOTT GORDON EXECUTIVE VP GENA WINGFIELD SR. VP/CFO NO LISTED PLAN PARTICIPANT RECEIVED PAYMENTS FROM THE SERP OR ANY OTHER RELATED RETIREMENT PLAN DURING THE 2010 TAX YEAR.
PART I, LINE 7A BONUS TO RECOGNIZE PERFORMANCE, PAID AT THE DISCRETION OF THE BOARD OF DIRECTORS, WAS PAID BASED ON CRITERIA INCLUDING PERFORMANCE AND PERIOD OF TIME WORKED DURING THE FISCAL YEAR. FOR ALL EMPLOYEES LISTED AS KEY EMPLOYEES OR OFFICERS, THE BONUS WAS REVIEWED AND APPROVED BY THE COMPENSATION COMMITTEE.
PART IIIFORM 990, PART VII, SECTION A, LINE 5: DIRECTORS WILLIAM MORROW, M.D., BONNIE TAYLOR, M.D., CHARLES BOWER, M.D., AND PATRICK H. CASEY, M.D. WERE COMPENSATED BY UAMS AS EMPLOYEES FOR SERVICES RENDERED TO ARKANSAS CHILDREN HOSPITAL (ACH) AND FOR WHICH ACH REMITTED PAYMENT LISTED AS "OTHER COMPENSATION" IN PART VII. DIRECTOR RICHARD JACOBS, M.D., COMPENSATED BY UAMS AS THE CHAIRMAN OF THE UAMS DEPARTMENT OF PEDIATRICS, IS A MEMBER OF VARIOUS ACH ADMINISTRATIVE COMMITTEES; HOWEVER, THE "OTHER COMPENSATION" LISTED IN PART VII IS FOR COMPENSATION FOR HIS ROLE AS PRESIDENT OF THE ARKANSAS CHILDREN'S HOSPITAL RESEARCH INSTITUTE, A RELATED ORGANIZATION.SUPPLEMENTAL INFORMATION

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI (3 entries)

Issuer EINIssuerEINCUSIP NumberCUSIPNumberDate IssuedDateIssuedIssue PriceIssuePriceDescription Of PurposeDescriptionOfPurposeDefeasedDefeasedOn Behalf Of IssuerOnBehalfOfIssuerPool FinancingPoolFinancing
PULASKI COUNTY ARKANSAS
716006487745392HD52009-05-28109526869SEE SCHEDULE K, PART V.000
PULASKI COUNTY ARKANSAS
716006487745392GKO2005-12-0833917692SEE SCHEDULE K, PART V.000
PULASKI COUNTY ARKANSAS
716006487745392HR42010-11-1731051199SEE SCHEDULE K, PART V.000

Form990 Schedule K Part II Form990ScheduleKPartII (3 entries)

Amount RetiredAmountRetiredTotal ProceedsTotalProceedsAmount In Reserve FundAmountInReserveFundCapitalized InterestCapitalizedInterestIssuance Costs From ProceedsIssuanceCostsFromProceedsCredit EnhancementCreditEnhancementCapital ExpendituresCapitalExpendituresAmount UnspentAmountUnspentCurrent RefundingCurrentRefundingAdvance RefundingAdvanceRefundingFinal Allocation MadeFinalAllocationMadeAdequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaindYear Of Subst CompletionYearOfSubstCompletionOther Spent ProceedsOtherSpentProceeds
477000011092056574062052634901296277187625285725803143525380001
3255000346594773070206036233374883400112006
720000310511991926002069111011201030651688

Form990 Schedule K Part III Form990ScheduleKPartIII (2 entries)

Owning Bond Financed PropertyOwningBondFinancedPropertyAny Lease ArrangementsAnyLeaseArrangementsMngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprtyAny Research AgreementsAnyResearchAgreementsBond Counsel Routinely EngagedBondCounselRoutinelyEngagedPost Issuance Compliance ProcdrsPostIssuanceComplianceProcdrsPrcntge Prvt Business Use By OthersPrcntgePrvtBusinessUseByOthersPercentage Of Prvt Business Re UBIPercentageOfPrvtBusinessReUBITotal Private Business UseTotalPrivateBusinessUse
000011
0010110.001200.000000.00120

Form990 Schedule K Part IV Form990ScheduleKPartIV (3 entries)

Form8038 T FiledForm8038TFiledVariable Rate IssueVariableRateIssueHedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecdsGross Proceeds Invested In GICGrossProceedsInvestedInGICGross Proceeds InvestedGrossProceedsInvestedException To RebateExceptionToRebate
000000
000001
000001

Form990 Schedule K Part V Form990ScheduleKPartV

FieldValueIRS element (for citing)
IdentifierSCHEDULE K SUPPLENTAL INFORMATIONIdentifier
ExplanationPART I, LINE A - DESCRIPTION OF PURPOSE. PROCEEDS USED TO ACCOMPLISH THE UTILITY PROJECT AND THE SOUTH WING PROJECT. THE UTILITY PROJECT INCLUDES MAJOR INFRASTRUCTURE IMPROVEMENTS. THE SOUTH WING PROJECT IS NEW CONSTRUCTION THAT WILL ADD APPROXIMATELY 258,034 SQUARE FEET THAT WILL INCLUDE A NEW EMERGENCY DEPARTMENT, ADDITIONAL OUTPATIENT CLINIC AREAS AND A NET ADDITION OF 54 INPATIENT BEDS. PARTI, LINE B - DESCRIPTION OF PURPOSE. THE PROJECT GENERALLY INCLUDED THE CONSTRUCTION OF A FOUR STORY PARKING DECK, CONSTRUCTION OF A 116,525 SQUARE FOOT OFFICE BUILDING, THE ACQUISITION OF TWO MAGNETIC RESONANCE IMAGING SYSTEMS, AND THE ACQUISITION OF OPERATING ROOM EQUIPMENT. PART I, LINE C - DESCRIPTION OF PURPOSE. TO REFUND HOSPITAL REVENUE BONDS (ARKANSAS CHILDREN'S HOSPITAL PROJECT), SERIES 2002A AND SERIES 2002B REFUNDING. PART II, LINE 3, BOND A - TOTAL PROCEEDS DIFFER FROM ISSUE PRICE DUE TO CUMULATIVE INVESTMENT EARNINGS OF $1,393,695. PART II, LINE 3, BOND B - TOTAL PROCEEDS DIFFER FROM ISSUE PRICE DUE TO CUMULATIVE INVESTMENT EARNINGS OF $741,785.Explanation

Schedule L IRS990ScheduleL

Loan Table LoanTable (2 entries)

Purpose Of LoanPurposeOfLoanLoan From OrganizationLoanFromOrganizationOriginal PrincipalOriginalPrincipalAmountBalance DueBalanceDueDefaultDefaultApproved By BoardApprovedByBoardWritten AgreementWrittenAgreement
LORI BROWN
ADVANCED HEALTHCARE EDUCATIONX$42,54124788001
JAYANT DESHPANDE
RECRUITMENT LOANX$20,00012500001
FieldValueIRS element (for citing)
Total Balance Due37288TotalBalanceDue

Form990 Schedule L Part IV Form990ScheduleLPartIV (5 entries)

RelationshipRelationshipAmount Of TransactionAmountOfTransactionDescription Of TransactionDescriptionOfTransactionSharing Of RevenuesSharingOfRevenues
WINDSTREAM
PERFORMANCE OF SERVICES335829SEE PART V. WINDSTREAM IS A TELECOMMUNICATIONS SERVICES COMPANY AND DIRECTOR JEFF GARDNER IS CHAIRMAN OF THE BOARD OF WINDSTREAM. TRANSACTIONS WITH INTERESTED PERSONS WERE PERFORMED IN ACCORDANCE WITH THE ACH BOARD OF DIRECTORS CONFLICT OF INTEREST POLICY.0
AT&T
PERFORMANCE OF SERVICES152760SEE PART V. AT&T IS A TELECOMMUNICATIONS SERVICES COMPANY AND DIRECTOR EDWARD DRILLING IS PRESIDENT OF ARKANSAS AT&T. TRANSACTIONS WITH INTERESTED PERSONS WERE PERFORMED IN ACCORDANCE WITH THE ACH BOARD OF DIRECTORS CONFLICT OF INTEREST POLICY.0
JENNIFER J BECKIUS
FAMILY MEMBER28411SEE 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
MISTY DAWN BERRY
FAMILY MEMBER43819SEE PART V. MISTY DAWN BERRY IS A FAMILY MEMBER OF KEY EMPLOYEE DAVID BERRY; HOWEVER, CONSISTENT WITH ARKANSAS CHILDREN'S HOSPITAL POLICY, SHE DOES NOT WORK WITHIN MR. BERRY'S LINE OF AUTHORITY.0
BRANSON BOLDEN
FAMILY MEMBER45044SEE PART V. BRANSON BOLDEN IS A FAMILY MEMBER OF OFFICER GENA WINGFIELD. HE WAS A RESIDENT EMPLOYED BY UAMS; HOWEVER, ARKANSAS CHILDREN'S HOSPITAL REIMBURSES UAMS FOR RESIDENTS WORKING ON THE ACH CAMPUS THROUGH A CONTRACT WITH UAMS.0

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (11 entries)

IdentifierIdentifierExplanationExplanationReturn ReferenceReturnReference
FORM 990, PART VI, SECTION A, LINE 1THE EXECUTIVE COMMITTEE CONSISTS OF THE CHAIRMAN OF THE ARKANSAS CHILDREN'S HOSPITAL (ACH) BOARD OF DIRECTORS, WHO SERVES AS THE CHAIRMAN OF THE EXECUTIVE COMMITTEE, THE VICE-CHAIRMAN, THE SECRETARY, THE TREASURER, AND THE IMMEDIATE PAST CHAIRMAN OF THE ACH BOARD OF DIRECTORS. IN ADDITION, THE EXECUTIVE COMMITTEE INCLUDES THE VICE-CHAIRMAN OF THE BOARD OF DIRECTORS OF THE ACH FOUNDATION, INC., THE CHAIRMAN OF THE BOARD OF DIRECTORS OF THE ACH RESEARCH INSTITUTE, INC., AND THREE ADDITIONAL MEMBERS OF THE ACH BOARD OF DIRECTORS ELECTED BY THE BOARD AT ITS ANNUAL MEETING FOR THE ELECTION OF DIRECTORS. THE MEDICAL DIRECTOR, THE CHIEF OF STAFF OF ACH, THE UNIVERSITY OF ARKANSAS FOR MEDICAL SCIENCES CHAIRMAN OF THE DEPARTMENT OF PEDIATRICS, AND THE PRESIDENT/CHIEF EXECUTIVE OFFICER SHALL ALSO BE EX-OFFICIO MEMBERS OF THE EXECUTIVE COMMITTEE WITHOUT VOTE. THE EXECUTIVE COMMITTEE SHALL HAVE THE POWER TO TRANSACT ALL REGULAR BUSINESS OF THE HOSPITAL DURING THE PERIOD BETWEEN THE MEETINGS OF THE BOARD, SUBJECT TO ANY PRIOR LIMITATIONS IMPOSED BY THE BOARD AND WITH THE UNDERSTANDING THAT ALL MATTERS OF MAJOR IMPORTANCE WILL BE REFERRED TO THE ACH BOARD OF DIRECTORS. THE EXECUTIVE COMMITTEE SHALL ALSO HAVE FINAL OVERSIGHT OF LONG-RANGE PLANNING ACTIVITIES. IT ALSO SHALL BE RESPONSIBLE FOR REVIEWING LEGAL ACTIVITIES INVOLVING THE HOSPITAL. MINUTES OF THE EXECUTIVE COMMITTEE ARE SUBMITTED TO THE ACH BOARD, AND ITS ACTIONS ARE SUBJECT TO THE APPROVAL OR DISAPPROVAL AS SOON AS IS PRACTICAL AT A REGULAR ACH BOARD MEETING.
FORM 990, PART VI, SECTION A, LINE 2DIRECTORS CHARLES BOWER, PATRICK CASEY, RICHARD JACOBS, ROBERT MORROW, DANIEL RAHN, AND BONNIE TAYLOR WERE ALL EMPLOYEES OF THE UNIVERSITY OF ARKANSAS FOR MEDICAL SCIENCES (UAMS) DURING THE TAX YEAR.
FORM 990, PART VI, SECTION A, LINE 3THE HOSPITAL'S SVP/CHIEF QUALITY 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 4THE ARKANSAS CHILDREN'S HOSPITAL BYLAWS WERE CHANGED DURING THE YEAR AS FOLLOWS: (1) NON-DIRECTOR MEDICAL STAFF AND NON-DIRECTOR COMMUNITY REPRESENTATIVES MAY SERVE AT THE PLEASURE OF THE BOARD ON ANY COMMITTEE EXCEPT THE FOLLOWING: EXECUTIVE, GOVERNANCE OR COMPENSATION. THE NUMBER OF NON-DIRECTOR MEMBERS ON THE VARIOUS ALLOWABLE COMMITTEES WAS CHANGED FROM 20% TO 50%. (2) THE NUMBER OF DIRECTORS ON THE ACH FINANCE COMMITTEE CHANGED FROM THE TREASURER PLUS SIX DIRECTORS TO THE TREASURER PLUS THREE OTHER DIRECTORS. (3) THE NUMBER OF DIRECTORS ON THE GOVERNANCE COMMITTEE (PREVIOUSLY CALLED THE "NOMINATING COMMITTEE") CHANGED FROM BEING THE THREE PAST BOARD CHAIRMEN ABLE TO SERVE TO THE PAST BOARD CHAIRMEN ABLE TO SERVE. (4) THE NUMBER OF DIRECTORS ON THE SERVICES AND QUALITY COMMITTEE CHANGED FROM FIVE TO FOUR. (5) THE NUMBER OF DIRECTORS ON THE AUDIT COMMITTEE CHANGED FROM FIVE TO FOUR AND EXPLICITLY STATES THAT EACH MEMBER WILL BE BOTH INDEPENDENT AND FINANCIALLY LITERATE, WITH AT LEAST ONE MEMBER QUALIFYING AS A FINANCIAL EXPERT AS DEFINED BY SECTION 407 OF THE SARBANES-OXLEY ACT OF 2002 AND REGULATIONS THEREUNDER. THE SCOPE OF THE COMMITTEE WAS REVISED TO INDICATE THE COMMITTEE WILL ENGAGE AN INDEPENDENT AUDIT FIRM, SUBJECT TO BOARD APPROVAL.(6) THE INVESTMENT COMMITTEE WAS CHANGED TO BE COMPOSED OF FIVE MEMBERS, THREE FROM THE ACH BOARD AND 2 FROM THE ARKANSAS CHILDREN'S HOSPITAL FOUNDATION BOARD FOR A THREE YEAR APPOINTMENT. THE ACH TREASURER WILL BE AN EX OFFICIO MEMBER WITH VOTING PRIVILEGES AND THE COMMITTEE CHAIRMAN MUST BE ONE OF THE THREE ACH BOARD MEMBERS. (7) THE RESPONSIBILITY OF REVIEWING THE PERFORMANCE AND COMPENSATION OF THE CEO AND ADMINISTRATIVE OFFICERS WAS TRANSFERRED FROM THE EXECUTIVE COMMITTEE TO THE COMPENSATION COMMITTEE WITH A WRITTEN PERFORMANCE REVIEW OF THE CEO TO BE PROVIDED TO THE EXECUTIVE COMMITTEE.
FORM 990, PART VI, SECTION B, LINE 11HOSPITAL 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 A JOINT FINANCE AND AUDIT COMMITTEE MEETING BY HOSPITAL MANAGEMENT. IF THE REVIEW BY THE COMMITTEES 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.
THE HOSPITAL HAS A BOARD OF DIRECTORS CONFLICT OF INTEREST POLICY THAT IS REVIEWED WITH ALL NEW BOARD MEMBERS DURING THEIR BOARD ORIENTATION. IN ADDITION, PERIODICALLY EXTERNAL COUNSEL WILL REVIEW THE POLICY WITH THE FULL BOARD DURING A REGULAR BOARD MEETING. ANNUAL DISCLOSURE OF POTENTIAL CONFLICTS OR AFFIRMATIVE CONFIRMATION THAT NONE EXIST IS REQUIRED OF ALL BOARD MEMBERS. THE ANNUAL DISCLOSURES ARE REVIEWED AND APPROVED BY A MAJORITY OF THE DISINTERESTED DIRECTORS ON THE EXECUTIVE COMMITTEE. ALL CONFLICT DISCLOSURES ARE THEN COMPILED AND LISTED IN THE BOARD BOOK AT THE NEXT REGULARLY SCHEDULED MEETING. DETERMINATION OF WHETHER A LISTED CONFLICT IS MATERIAL IS DETERMINED BY THE CORPORATE COMPLIANCE OFFICER, WITH ADVICE FROM LEGAL COUNSEL IF STILL UNCERTAIN. DURING THE YEAR, WHILE BOARD MEMBERS MAY PARTICIPATE IN INITIAL DISCUSSION, BOARD MEMBERS WHO HAVE A CONFLICT ARE PROHIBITED FROM PARTICIPATING IN DELIBERATIONS AND DECISIONS IN THE RELATED TRANSACTION AND ABSTAIN FROM VOTING, WHICH IS NOTED IN THE MINUTES.FORM 990, PART VI, SECTION B, LINE 12C
COMPENSATION FOR THE ORGANIZATION'S CEO, SENIOR VICE PRESIDENTS, VICE PRESIDENTS, AND KEY EMPLOYEES IS REVIEWED BY THE COMPENSATION COMMITTEE WHICH IS ESTABLISHED THROUGH THE BYLAWS OF ARKANSAS CHILDREN'S HOSPITAL TO DISCHARGE THE DUTY OF THE BOARD IN FULFILLING ITS OVERSIGHT RESPONSIBILITIES FOR DETERMINING THE ADEQUACY AND REASONABLENESS OF THE COMPENSATION PAID THE CEO AND OTHER EMPLOYEES THAT THE COMMITTEE BELIEVES ARE IN A POSITION TO EXERCISE A SUBSTANTIAL INFLUENCE OVER THE AFFAIRS OF THE HOSPITAL. THE COMMITTEE IS COMPOSED OF MEMBERS WHO PERSONALLY RECEIVE NO COMPENSATION, FEES, OR OTHER BENEFITS FROM THE HOSPITAL, RELATED ORGANIZATIONS OR FROM THE UNIVERSITY OF ARKANSAS FOR MEDICAL SCIENCES. THE COMMITTEE MAY RELY UPON REASONED WRITTEN OPINIONS OF QUALIFIED LEGAL, ACCOUNTING, VALUATION AND EXECUTIVE COMPENSATION EXPERTS. THE COMMITTEE HAS THE SOLE AUTHORITY TO RETAIN AND TERMINATE ANY SPECIAL ADVISORS USED TO ASSIST IN THE EVALUATION OF COMPENSATION. THE COMMITTEE CONTEMPORANEOUSLY, WITH MAKING ITS DETERMINATION OF REASONABLENESS WITH RESPECT TO THE COMPENSATION OF DISQUALIFIED PERSONS, DOCUMENTS IN A WRITTEN REPORT TO THE EXECUTIVE COMMITTEE AND THE BOARD, THE BASIS FOR ITS DECISION.FORM 990, PART VI, SECTION B, LINE 15
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 C, LINE 19
COMPENSATION REPORTED IN THESE COLUMNS IS ATTRIBUTABLE TO EMPLOYEES' TIME DEVOTED EACH WEEK TO THIS ENTITY AS WELL AS RELATED ORGANIZATIONS, AS FOLLOWS: JONATHAN BATES, M.D.: ARKANSAS CHILDREN'S HOSPITAL - 40 HOURS ARKANSAS CHILDREN'S HOSPITAL FOUNDATION - 3 HOURS ARKANSAS CHILDREN'S HOSPITAL RESEARCH INSTITUTE - 1 HOUR ARKANSAS CHILDREN'S HOSPITAL BUILDING RESEARCH FACILITY - .1 HOURS RICHARD JACOBS, M.D.: ARKANSAS CHILDREN'S HOSPITAL - 8 HOURS ARKANSAS CHILDREN'S HOSPITAL FOUNDATION - 1 HOUR ARKANSAS CHILDREN'S HOSPITAL RESEARCH INSTITUTE - 16 HOURS ARKANSAS CHILDREN'S HOSPITAL BUILDING RESEARCH FACILITY - .25 HOURS GENA WINGFIELD: ARKANSAS CHILDREN'S HOSPITAL - 40 HOURS ARKANSAS CHILDREN'S HOSPITAL FOUNDATION - 2 HOURS ARKANSAS CHILDREN'S HOSPITAL RESEARCH INSTITUTE - 2 HOURS ARKANSAS CHILDREN'S HOSPITAL BUILDING RESEARCH FACILITY - .1 HOURS SCOTT GORDON: ARKANSAS CHILDREN'S HOSPITAL - 20 HOURS ARKANSAS CHILDREN'S HOSPITAL FOUNDATION - 20 HOURS ALL OTHER COMPENSATION LISTED IN COLUMNS E OR F RELATES TO EMPLOYEES' TIME THAT IS DEVOTED TO ARKANSAS CHILDREN'S HOSPITAL. ARKANSAS CHILDREN'S HOSPITAL ACCOUNTING DEPARTMENT MANAGES THE PAYROLL FUNCTION CENTRALLY FOR ARKANSAS CHILDREN'S HOSPITAL AND ALL RELATED ORGANIZATIONS.FORM 990, PART VII, SECTION A, COLUMNS E & F:
CHANGES IN NET ASSETS OR FUND BALANCES:NET UNREALIZED LOSSES ON INVESTMENTS: -176,952. OTHER ADJUSTMENTS -404,087. TOTAL TO FORM 990, PART XI, LINE 5: -581,039.FORM 990, PART XI, LINE 5:
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.FORM 990, PART XI, LINE 3B

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (4 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Controlled OrgControlledOrg
ARKANSAS CHILDREN'S HOSPITAL FOUNDATION
1 CHILDRENS WAYLITTLE ROCKAR72202710568795FUNDRAISINGAR501(C)(3)LINE 7ARKANSAS CHILDREN'S HOSPITAL0
ARKANSAS CHILDREN'S HOSPITAL RESEARCH INSTITUTE
13 CHILDRENS WAYLITTLE ROCKAR72202710694931RESEARCHAR501(C)(3)LINE 11A, IARKANSAS CHILDREN'S HOSPITAL0
ARKANSAS CHILDREN'S HOSPITAL BUILDING RESEARCH FACILITY INC
1 CHILDRENS WAYLITTLE ROCKAR72202911940376BUILDING MANAGEMENTAR501(C)(3)LINE 11A, IARKANSAS CHILDREN'S HOSPITAL0
ARKANSAS CHILDREN'S HOSPITAL AUXILIARY
1 CHILDRENS WAYLITTLE ROCKAR72202710606585FUNDRAISINGAR501(C)(3)LINE 11A, IARKANSAS CHILDREN'S HOSPITAL0

Form990 Schedule R Part IV Form990ScheduleRPartIV (3 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Type Of EntityTypeOfEntityShare Of Total IncomeShareOfTotalIncomeShare Of EOY AssetsShareOfEOYAssetsPercentage OwnershipPercentageOwnership
HOSPITAL FINANCE CORPORATION
1 CHILDRENS WAYLITTLE ROCKAR72202710443671COLLECTIONSARARKANSAS CHILDREN'S HOSPITALC-175842195811.00000
CHILDREN'S HEALTHCARE SYSTEM INC
1 CHILDRENS WAYLITTLE ROCKAR72202586304957MANAGEMENT SERVICESARC107433564490.50000
CHILDREN'S HEALTH NETWORK INC
1 CHILDRENS WAYLITTLE ROCKAR72202710797428MANAGEMENT SERVICESARARKANSAS CHILDREN'S HOSPITALC-758357511.00000
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents Royalties1ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org1GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org1GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org1LoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other Org0SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org0PurchaseOfAssetsFromOtherOrg
Exchange Of Assets0ExchangeOfAssets
Rental Of Facilities To Other Orgs1RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs0RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs1PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs1PerformOfServicesByOtherOrgs
Sharing Of Facilities1SharingOfFacilities
Sharing Of Paid Employees1SharingOfPaidEmployees
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org1ReimbursementPaidByOtherOrg
Other Transfer To Other Org1OtherTransferToOtherOrg
Other Transfer From Other Org1OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (26 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolvedMethod Of Amt DeterminationMethodOfAmtDetermination
HOSPITAL FINANCE CORPORATION INC
A2592FMV
ARKANSAS CHILDREN'S HOSPITAL FOUNDATION
B1549691FMV
ARKANSAS CHILDREN'S HOSPITAL RESEARCH INSTITUTE
B6642741FMV
ARKANSAS CHILDREN'S HOSPITAL FOUNDATION
C12090351FMV
ARKANSAS CHILDREN'S HOSPITAL FOUNDATION
L4526439COST
CHILDREN'S HEALTHCARE SYSTEM INC
L142200FMV
HOSPITAL FINANCE CORPORATION INC
L113408FMV
ARKANSAS CHILDREN'S HOSPITAL FOUNDATION
M1727943COST
ARKANSAS CHILDREN'S HOSPITAL RESEARCH INSTITUTE
M2663689COST
ARKANSAS CHILDREN'S HOSPITAL AUXILIARY
M156321COST
HOSPITAL FINANCE CORPORATION INC
N71531FMV
CHILDREN'S HEALTHCARE SYSTEM INC
N272018FMV
ARKANSAS CHILDREN'S HOSPITAL AUXILIARY
N268803FMV
ARKANSAS CHILDREN'S HOSPITAL BUILDING RESEARCH FACILITY INC
N103704FMV
ARKANSAS CHILDREN'S HOSPITAL RESEARCH INSTITUTE
N320370FMV
CHILDREN'S HEALTHCARE SYSTEM INC
P66192FMV
ARKANSAS CHILDREN'S HOSPITAL RESEARCH INSTITUTE
P1272683FMV
ARKANSAS CHILDREN'S HOSPITAL FOUNDATION
P764188FMV
ARKANSAS CHILDREN'S HOSPITAL RESEARCH INSTITUTE
R25633237FMV
ARKANSAS CHILDREN'S HOSPITAL FOUNDATION
R2258979FMV
ARKANSAS CHILDREN'S HOSPITAL BUILDING RESEARCH FACILITY INC
R175434FMV
ARKANSAS CHILDREN'S HOSPITAL AUXILIARY
R1147762FMV
ARKANSAS CHILDREN'S HOSPITAL AUXILIARY
P61828FMV
CHILDREN'S HEALTHCARE SYSTEM INC
Q56395FMV
ARKANSAS CHILDREN'S HOSPITAL FOUNDATION
Q75539FMV
ARKANSAS CHILDREN'S HOSPITAL FOUNDATION
E153446127BOOK VALUE

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