ARKANSAS CHILDRENS HOSPITAL: Form 990, tax year 2009

View the entire original 990 at ProPublica ↗

Organization
ARKANSAS CHILDRENS HOSPITAL (EIN 71-0236857)
Tax period
2009-07-01 to 2010-06-30
Filed
2011-05-09
IRS object ID
201101299349301455
Schema version
2009v1.7
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)
Timestamp2011-05-09T15:54:49-05:00Timestamp
Tax Period End Date2010-06-30TaxPeriodEndDate

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 Date2009-07-01TaxPeriodBeginDate

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 Signed2011-05-09DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameDELOITTE TAX LLPName
Phone7139822000Phone
FieldValueIRS element (for citing)
Tax Year2009TaxYear
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 Receipts513101346GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501cXOrganization501c
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 Body32NbrVotingMembersGoverningBody
Nbr Independent Voting Members25NbrIndependentVotingMembers
Total Nbr Employees4729TotalNbrEmployees
Total Nbr Volunteers3315TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year15125746ContributionsGrantsPriorYear
Contributions Grants Current Year19339155ContributionsGrantsCurrentYear
Program Service Revenue Prior Year458746404ProgramServiceRevenuePriorYear
Program Service Revenue CY483187652ProgramServiceRevenueCY
Investment Income Prior Year4477789InvestmentIncomePriorYear
Investment Income Current Year5006737InvestmentIncomeCurrentYear
Other Revenue Prior Year3711837OtherRevenuePriorYear
Other Revenue Current Year5543785OtherRevenueCurrentYear
Total Revenue Prior Year482061776TotalRevenuePriorYear
Total Revenue Current Year513077329TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year7439162GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY8369068GrantsAndSimilarAmntsCY
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year225512714SalariesEtcPriorYear
Salaries Etc Current Year239416113SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year210534817OtherExpensePriorYear
Other Expenses Current Year222432859OtherExpensesCurrentYear
Total Expenses Prior Year443486693TotalExpensesPriorYear
Total Expenses Current Year470218040TotalExpensesCurrentYear
Revenues Less Expenses Prior Year38575083RevenuesLessExpensesPriorYear
Revenues Less Expenses CY42859289RevenuesLessExpensesCY
Total Assets BOY622271298TotalAssetsBOY
Total Assets EOY658956210TotalAssetsEOY
Total Liabilities BOY242066716TotalLiabilitiesBOY
Total Liabilities EOY232857759TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY380204582NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY426098451NetAssetsOrFundBalancesEOY
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
Expense400644082Expense
Grants8369068Grants
Revenue484352759Revenue
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, 2010, ACH experienced the following: 13,953 admissions with an average stay of 6.20 days; 88,923 patient days; 243.6 average daily census; 316 operating beds, including 142 intensive care beds and 163 medical/surgical beds; 216,336 outpatient visits, excluding ER visits which were 52,128; and 13,333 surgeries including 22 heart transplants, 8 kidney transplants, and 1 liver transplant. 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.Description
Total Program Service Expense400644082TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities1LobbyingActivities
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments1TermOrPermanentEndowments
Balance Sheet Amounts Reported1BalanceSheetAmountsReported
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
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 Organization1BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member1BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp1OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions1DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity1RelatedEntity
Related Org Controlled Entity1RelatedOrgControlledEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With1096214NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Number Of Employees4729NumberOfEmployees
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
Nbr Voting Governing Body Members32NbrVotingGoverningBodyMembers
Number Independent Voting Members25NumberIndependentVotingMembers
Family Or Business Relationship1FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
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

Form990 Part VII Section A Form990PartVIISectionA (52 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationKey EmployeeKeyEmployeeHighest Compensated EmployeeHighestCompensatedEmployee
JONATHAN BATES MD
PRESIDENT AND CEO40.00XX4935710194576
DORSEY JACKSON
CHAIRMAN OF THE BOARD2.00XX000
TOM BAXTER
VICE CHAIRMAN1.00XX000
J FRENCH HILL
SECRETARY1.00XX000
PAUL R HART
TREASURER1.00XX000
MARY AITKEN MD
DIRECTOR/PROG MGR-PART YEAR8.00X000
JOHN BALE JR
TRUSTEE/DIRECTOR1.00X000
CHARLES M BOWER MD
TRUSTEE/DIRECTOR1.00X000
PATRICK H CASEY MD
TRUSTEE/DIRECTOR1.00X0044246
RON CLARK
TRUSTEE/DIRECTOR0.50X000
HASKELL DICKINSON
TRUSTEE/DIRECTOR0.30X000
EDWARD DRILLING
TRUSTEE/DIRECTOR0.10X000
HARRY C ERWIN III
TRUSTEE/DIRECTOR1.00X000
RHONDA FORRESTER
TRUSTEE/DIRECTOR0.20X000
FRANCIS SKIP FRANTZ
TRUSTEE/DIRECTOR-PART YEAR0.10X000
JUDGE MARION HUMPHREY
TRUSTEE/DIRECTOR0.50X000
RICHARD JACOBS MD
ACHRI PRESIDENT8.00X00196912
MICHAEL JOSHUA
TRUSTEE/DIRECTOR-PART YEAR0.00X000
LISA KIRKPATRICK
TRUSTEE/DIRECTOR0.20X000
DIANE MACKEY
TRUSTEE/DIRECTOR1.00X000
HOLLY MARR
TRUSTEE/DIRECTOR0.50X000
MARK MCCASLIN
TRUSTEE/DIRECTOR1.00X000
PAT MCCLELLAND
TRUSTEE/DIRECTOR1.00X000
BARBARA G MOORE
TRUSTEE/DIRECTOR1.00X000
BEVERLY A MORROW
TRUSTEE/DIRECTOR1.00X000
JEFFREY NOLAN
TRUSTEE/DIRECTOR1.00X000
DANIEL RAHN MD
TRUSTEE/DIRECTOR0.50X000
KATIE RANSDELL
TRUSTEE/DIRECTOR0.50X000
JAMES SKIP RUTHERFORD
TRUSTEE/DIRECTOR0.50X000
MARK SAVIERS
TRUSTEE/DIRECTOR0.50X000
PHILIP W SCHMIDT
TRUSTEE/DIRECTOR0.20X000
ROBERT SHULTS
TRUSTEE/DIRECTOR0.10X000
BONNIE TAYLOR MD
MEDICAL DIRECTOR40.00XX00215606
EVERETT TUCKER III
TRUSTEE/DIRECTOR0.10X000
RICK WATKINS
TRUSTEE/DIRECTOR-PART YEAR0.10X000
CHARLES B WHITESIDE III
TRUSTEE/DIRECTOR1.00X000
I DODD WILSON MD
TRUSTEE/DIRECTOR-PART YEAR0.10X000
GENA WINGFIELD
SVP AND CFO40.00X387774038008
CHARLES LARRY BECKIUS
VP FACILITIES40.00177273018203X
DAVID BERRY
SVP AND COO40.00382387041561X
LORI BROWN
CHIEF NURSING OFFICER40.0025644805627X
SCOTT GORDON
EXECUTIVE VICE PRESIDENT20.003669590175463X
CYNTHIA HOLLAND
VP ANCILLARY SERVICES40.00188608020034X
DARRELL LEONHARDT
CHIEF INFORMATION OFFICER40.00236754022051X
MARY MCDANIEL
VP PATIENT CARE SERVICES40.00159884016025X
MARY SALASSI-SCOTTER
VP PATIENT CARE SERVICES40.00157088017778X
CAROLE ZYLMAN
SVP, MEDICAL SERVICES40.00211052021785X
CARL CHIPMAN
CVICU FIRST NURSE ASST.40.00232373022610X
SHERRY FURR
CHIEF COUNSEL40.00211055019505X
CHARLES JOHNSON
CV SURGERY DIRECTOR40.00228859015190X
JAMES KOONCE
DENTIST40.00322059021069X
KIRT SIMMONS
ORTHODONIST40.00222361024431X
FieldValueIRS element (for citing)
Total Reportable Comp From Org4234505TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation1130680TotalOtherCompensation
Number Individuals GT100 K16NumberIndividualsGT100K
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 SERVICES51325180
NABHOLZ CONSTRUCTION CORP
PO BOX 2090CONWAYAR72033GENERAL CONSTRUCTION CONTRACTOR30922525
MUNROE-MEYER INSTITUTE
985450 NEBRASKA MEDICAL CENTEROMAHANE68198LAB SERVICES2628026
BLUEADVANTAGE ADMINISTRATORS OF ARKANSAS
PO BOX 1460LITTLE ROCKAR72203HEALTH INSURANCE PLAN ADMINISTRATOR1237821
CROMWELL ARCHITECTS ENGINEERS
101 SOUTH SPRING STREETLITTLE ROCKAR72201ARCHITECT AND ENGINEER SERVICES1134082
FieldValueIRS element (for citing)
Number Of Contractors GT100 K74NumberOfContractorsGT100K
Related Organizations10087592RelatedOrganizations
Government Grants9251563GovernmentGrants
Total Contributions19339155TotalContributions

Program Service Revenue ProgramServiceRevenue

FieldValueIRS element (for citing)
DescriptionPayments for Med SVCSDescription
Business Code900099BusinessCode
Total Revenue Column483187652TotalRevenueColumn
Related Or Exempt Function Income483187652RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue483187652TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column4975473TotalRevenueColumn
Exclusion$4,975,473ExclusionAmount

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real16489Real

Less Rental Expenses LessRentalExpenses

FieldValueIRS element (for citing)
Real7512Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real8977Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column8977TotalRevenueColumn
Exclusion$8,977ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Other47769Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Other16505Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Other31264Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column31264TotalRevenueColumn
Related Or Exempt Function Income31264RelatedOrExemptFunctionIncome

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnExclusionExclusionAmount
RENT9000991684567$1,684,567
NUTRITIONAL SERVICES9000991572125$1,572,125
CHILD ENRICHMENT9000991144273$1,144,273

Miscellaneous Revenue MiscellaneousRevenue

FieldValueIRS element (for citing)
Total Revenue Column1133843TotalRevenueColumn
Related Or Exempt Function Income1133843RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Other Revenue5534808TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column513077329TotalRevenueColumn
Related Or Exempt Function Income484352759RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$9,385,415ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total8298041Total
Program Services8298041ProgramServices

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total71027Total
Program Services71027ProgramServices

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total4084916Total
Program Services1430039ProgramServices
Management And General2654877ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total195594638Total
Program Services164032780ProgramServices
Management And General31561858ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total7455161Total
Program Services6184989ProgramServices
Management And General1270172ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total17351543Total
Program Services15497417ProgramServices
Management And General1854126ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total14929855Total
Program Services12386182ProgramServices
Management And General2543673ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total476477Total
Program Services476477ProgramServices

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total285177Total
Management And General285177ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total247286Total
Management And General247286ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total44383Total
Program Services44383ProgramServices

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total95137767Total
Program Services88603987ProgramServices
Management And General6533780ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total600837Total
Program Services395747ProgramServices
Management And General205090ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total11704678Total
Program Services6444452ProgramServices
Management And General5260226ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total8033860Total
Program Services3830372ProgramServices
Management And General4203488ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total6101000Total
Program Services5026178ProgramServices
Management And General1074822ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total1463507Total
Program Services1180616ProgramServices
Management And General282891ManagementAndGeneral

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total159055Total
Program Services103460ProgramServices
Management And General55595ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total3570041Total
Management And General3570041ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total17922903Total
Program Services13654234ProgramServices
Management And General4268669ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total1678458Total
Program Services307084ProgramServices
Management And General1371374ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
Medical supplies6459146364591463
Other expenses620759750525741155023
Minor equipment261090614351161175790
Provision for bad debt15974641597464

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total470218040Total
Program Services400644082ProgramServices
Management And General69573958ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY6040BOY
EOY11647EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY43824289BOY
EOY37381035EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY51029130BOY
EOY51105818EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY7744510BOY
EOY7468951EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY2320629BOY
EOY2740113EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis411139396LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec198219137LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY176856859BOY
EOY212920259EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY144021416BOY
EOY171364568EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY445636BOY
EOY443406EOY

Investments Program Related InvestmentsProgramRelated

FieldValueIRS element (for citing)
BOY702226BOY
EOY701502EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY195320563BOY
EOY174818911EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY622271298BOY
EOY658956210EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY56947379BOY
EOY54784798EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY185119337BOY
EOY178072961EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY242066716BOY
EOY232857759EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY368853736BOY
EOY410919546EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY11350846BOY
EOY15178905EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY380204582BOY
EOY426098451EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY622271298BOY
EOY658956210EOY
FieldValueIRS element (for citing)
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$44,383GrantsOtherOrganizationsAmount
Direct Contact Legislators1DirectContactLegislators
Rallies Demonstrations0RalliesDemonstrations
Other Activities1OtherActivities
Other Activities$206,814OtherActivitiesAmount
Total Lobbying Expenditures IIB251197TotalLobbyingExpendituresIIB
Not Described In501c30NotDescribedIn501c3

Form990 Schedule C Part IV Form990ScheduleCPartIV

FieldValueIRS element (for citing)
IdentifierPart II-B, Line 1i:Identifier
Return ReferenceExplanation of Other Lobbying Activities: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, Association of American Medical Colleges and the National Association of Children's Hospitals was for lobbying.Explanation

Schedule D IRS990ScheduleD

Current Year CurrentYear

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 Balance0.82820BoardDesignatedEOYBalance
Permanent Endowment EOY Balance0.17180PermanentEndowmentEOYBalance
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 Basis11667204OtherCostOrOtherBasis
Book Value11667204BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis191048642OtherCostOrOtherBasis
Depreciation112647179Depreciation
Book Value78401463BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis131952522OtherCostOrOtherBasis
Depreciation81092441Depreciation
Book Value50860081BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis76471028OtherCostOrOtherBasis
Depreciation4479517Depreciation
Book Value71991511BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings212920259TotalOfBookValueLandBuildings

Other Assets OtherAssets (7 entries)

DescriptionDescriptionBook ValueBookValue
Funds Held By Trustee Under Bond Agreements95134073
Estimated 3rd party settlement (MCD)56350100
UPL Receivable13426115
GME Receivable1576512
Other Receivables2713120
Bond Issue Costs4254258
Interest Receivable1364733
FieldValueIRS element (for citing)
Total Book Value Other Assets174818911TotalBookValueOtherAssets
Total Revenue513077329TotalRevenue
Total Expenses470218040TotalExpenses
Excess Or Deficit For Year42859289ExcessOrDeficitForYear
Net Unrealized GL On Investments2188417NetUnrealizedGLOnInvestments
Other$846,163OtherAmount
Total Adjustments3034580TotalAdjustments
Excess Or Deficit Per FS45893869ExcessOrDeficitPerFS

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (2 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
Part V, Line 4:Description of Intended Use of Endowment Funds:EARNINGS FROM ENDOWMENT FUNDS WILL BE USED TO SUPPORT VARIOUS HOSPITAL PROGRAMS. THE FILING ORGANIZATION DOES NOT HOLD ANY ENDOWMENTS; ALL ENDOWMENTS ARE HELD BY ARKANSAS CHILDREN'S HOSPITAL FOUNDATION, A RELATED ORGANIZATION.
Part XI, Line 8 - Other Adjustments:DONATED ASSET - MOBILE DENTAL UNIT: 375000. OTHER ADJUSTMENT: 471163.

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 Expense16809858TotalCommunityBenefitExpense
Net Community Benefit Expense16809858NetCommunityBenefitExpense
Percent Of Total Expense0.03590PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

FieldValueIRS element (for citing)
Total Community Benefit Expense249264346TotalCommunityBenefitExpense
Direct Offsetting Revenue275757015DirectOffsettingRevenue
Net Community Benefit Expense-26492669NetCommunityBenefitExpense
Percent Of Total Expense0.00000PercentOfTotalExpense

Total Charity Care TotalCharityCare

FieldValueIRS element (for citing)
Total Community Benefit Expense266074204TotalCommunityBenefitExpense
Direct Offsetting Revenue275757015DirectOffsettingRevenue
Net Community Benefit Expense-9682811NetCommunityBenefitExpense
Percent Of Total Expense0.03590PercentOfTotalExpense

Community Health Services CommunityHealthServices

FieldValueIRS element (for citing)
Total Community Benefit Expense12127177TotalCommunityBenefitExpense
Direct Offsetting Revenue6404519DirectOffsettingRevenue
Net Community Benefit Expense5722658NetCommunityBenefitExpense
Percent Of Total Expense0.01220PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

FieldValueIRS element (for citing)
Total Community Benefit Expense16625553TotalCommunityBenefitExpense
Direct Offsetting Revenue8586985DirectOffsettingRevenue
Net Community Benefit Expense8038568NetCommunityBenefitExpense
Percent Of Total Expense0.01720PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

FieldValueIRS element (for citing)
Total Community Benefit Expense38775178TotalCommunityBenefitExpense
Direct Offsetting Revenue18842190DirectOffsettingRevenue
Net Community Benefit Expense19932988NetCommunityBenefitExpense
Percent Of Total Expense0.04250PercentOfTotalExpense

Research Research

FieldValueIRS element (for citing)
Total Community Benefit Expense8259476TotalCommunityBenefitExpense
Net Community Benefit Expense8259476NetCommunityBenefitExpense
Percent Of Total Expense0.01760PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

FieldValueIRS element (for citing)
Total Community Benefit Expense555320TotalCommunityBenefitExpense
Net Community Benefit Expense555320NetCommunityBenefitExpense
Percent Of Total Expense0.00120PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense76342704TotalCommunityBenefitExpense
Direct Offsetting Revenue33833694DirectOffsettingRevenue
Net Community Benefit Expense42509010NetCommunityBenefitExpense
Percent Of Total Expense0.09070PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense342416908TotalCommunityBenefitExpense
Direct Offsetting Revenue309590709DirectOffsettingRevenue
Net Community Benefit Expense32826199NetCommunityBenefitExpense
Percent Of Total Expense0.12660PercentOfTotalExpense

Physical Improvements And Housing PhysicalImprovementsAndHousing

FieldValueIRS element (for citing)
Total Community Building Expense35426TotalCommunityBuildingExpense
Net Community Building Expense35426NetCommunityBuildingExpense
Percent Of Total Expense0.00010PercentOfTotalExpense

Economic Development EconomicDevelopment

FieldValueIRS element (for citing)
Total Community Building Expense1250TotalCommunityBuildingExpense
Net Community Building Expense1250NetCommunityBuildingExpense
Percent Of Total Expense0.00000PercentOfTotalExpense

Community Support CommunitySupport

FieldValueIRS element (for citing)
Total Community Building Expense40000TotalCommunityBuildingExpense
Net Community Building Expense40000NetCommunityBuildingExpense
Percent Of Total Expense0.00010PercentOfTotalExpense

Leadership Development LeadershipDevelopment

FieldValueIRS element (for citing)
Total Community Building Expense1500TotalCommunityBuildingExpense
Net Community Building Expense1500NetCommunityBuildingExpense
Percent Of Total Expense0.00000PercentOfTotalExpense

Coalition Building CoalitionBuilding

FieldValueIRS element (for citing)
Total Community Building Expense26771TotalCommunityBuildingExpense
Net Community Building Expense26771NetCommunityBuildingExpense
Percent Of Total Expense0.00010PercentOfTotalExpense

Health Improvement Advocacy HealthImprovementAdvocacy

FieldValueIRS element (for citing)
Total Community Building Expense22100TotalCommunityBuildingExpense
Net Community Building Expense22100NetCommunityBuildingExpense
Percent Of Total Expense0.00000PercentOfTotalExpense

Workforce Development WorkforceDevelopment

FieldValueIRS element (for citing)
Total Community Building Expense32454TotalCommunityBuildingExpense
Net Community Building Expense32454NetCommunityBuildingExpense
Percent Of Total Expense0.00010PercentOfTotalExpense

Other Other

FieldValueIRS element (for citing)
Total Community Building Expense83214TotalCommunityBuildingExpense
Net Community Building Expense83214NetCommunityBuildingExpense
Percent Of Total Expense0.00020PercentOfTotalExpense

Total Total

FieldValueIRS element (for citing)
Total Community Building Expense242715TotalCommunityBuildingExpense
Net Community Building Expense242715NetCommunityBuildingExpense
Percent Of Total Expense0.00060PercentOfTotalExpense
FieldValueIRS element (for citing)
Bad Debt Expense Reported0BadDebtExpenseReported
Bad Debt Expense$1,090,532BadDebtExpenseAmount
Amount Attributable To0AmountAttributableTo
Amount Reimbursed By Medicare2413770AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare3027260CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall-613490MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

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

Form990 Schedule H Part V Form990ScheduleHPartV

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 VI Form990ScheduleHPartVI

FieldValueIRS element (for citing)
Costing Method UsedPart 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 detail 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.CostingMethodUsed
Subsidized Health Services ExplnPart 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.SubsidizedHealthServicesExpln
Percent Of Total Expense ExplnPart I, Line 7f: BAD DEBT EXPENSE OF $1,597,464 IS INCLUDED IN THE TOTAL PRESENTED ON FORM 990, PART IX, LINE 25, COLUMN A. THIS AMOUNT HAS BEEN SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN SCHEDULE H, PART I, LINE 7, COLUMN F.PercentOfTotalExpenseExpln
Bad Debt FootnotePart 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.BadDebtFootnote
Shortfall As Community BenefitPart 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 ($427,607) from prior year Medicare cost report settlements that was paid back to the Medicare program in fiscal year 10.ShortfallAsCommunityBenefit
Debt Collection PolicyPart 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.DebtCollectionPolicy
General ExplanationPART 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.GeneralExplanation
General ExplanationPART 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 -5.65%, AND THE AMOUNT ON LINE 7K, COLUMN F SHOULD BE 7.01%. However, the software would not accept a negative percentage, and therefore, Line 7B column F is blank, resulting in 12.66% to show on Line 7K column F.GeneralExplanation
Needs AssessmentPart VI, Line 2: Arkansas ChildreN'S Hospital began OUR formal needs assessment of the status of childreN'S health in Arkansas in 2006. 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 work culminated in a report to the state published in 2007. This first 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. Our next report will be published in May 2011.NeedsAssessment
Patient Education AssistancePart 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.PatientEducationAssistance
Community InformationPart VI, Line 4: SINCE ARKANSAS CHILDREN'S HOSPITAL IS THE ONLY pediatric medical center in Arkansas, WE SERVE PATIENTS THROUGHOUT THE STATE AND, ON OCCASION, FROM OTHER STATES AND COUNTRIES. ACH DRAWS APPROXIMATELY 71.1% OF OUR OUTPATIENTS AND 53.3% OF OUR INPATIENTS FROM THE CENTRAL PART OF THE STATE (PULASKI COUNTY AND THE SURROUNDING COUNTIES OF JEFFERSON, LONOKE, FAULKNER, BENTON, AND SALINE), AS WELL AS FROM WHITE COUNTY IN NORTH CENTRAL ARKANSAS AND SEBASTIAN AND WASHINGTON COUNTIES IN THE NORTHWEST CORNER OF THE STATE.ACCORDING TO THE U.S. CENSUS BUREAU, AS OF JULY 1, 2009, THE POPULATION FOR PULASKI COUNTY WAS 381,904. AS OF THIS SAME DATE, THE STATE OF ARKANSAS' POPULATION WAS 2,889,450 WITH APPROXIMATELY 63% BEING IN METROPOLITAN AREAS AND 37% IN RURAL AREAS. THERE ARE APPROXIMATELY 746,200 CHILDREN 18 AND UNDER IN THE STATE OF ARKANSAS.THE UNEMPLOYMENT RATE FOR THE STATE OF ARKANSAS FOR CALENDAR YEAR 2009 WAS 7.3%. BY FEBRUARY 2010, THE UNEMPLOYMENT RATE HAD RISEN TO 8%.ACCORDING TO THE U.S. DEPARTMENT OF COMMERCE, THE PER CAPITA PERSONAL INCOME FOR THE STATE OF ARKANSAS WAS $31,946. THE NUMBER OF CHILDREN LIVING IN POVERTY IN OUR STATE IS 218,300.CommunityInformation
Community Building ActivitiesPart VI, Line 5: ACH participates with a wide variety of programs and agencies across the state to address 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 better serving 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. ACH partners with local agencies, non-government organizations, and institutions to improve the Central Little Rock neighborhood in which our hospital is located. Our work with Arkansas Baptist College (ABC) this year helped to prepare a building in the neighborhood to serve as a child care center for local residents, ABC students and to serve as a laboratory setting for student experiences. ACH has for years provided space for the local Community Development Corporation to use as a base of operations. City Connections, a local non-government organization, used our support to modify housing in our neighborhood to accommodate handicapped children, allowing them to remain at home vs. being placed in residential care facilities. 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 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. This year we also targeted support for hospice care information regarding children's needs and efforts to improve healthcare quality.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.Many 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 in many ways. 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.CommunityBuildingActivities
Other InformationPart 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 316 beds, a staff of approximately 500 physicians, 80 residents in pediatrics and pediatric specialties and more than 4,400 employees. The private, nonprofit healthcare facility boasts an internationally renowned reputation for medical breakthroughs and intensive treatments, unique surgical procedures and forward-thinking medical research - all dedicated to fulfilling our mission of enhancing, sustaining and restoring childreN'S health and development. For three years in a row ACH has been ranked on FORTUNE'S "100 Best Companies to Work For" list, most recently at No. 75. IN 2012, ARKANSAS CHILDREN'S HOSPITAL WILL CELEBRATE OUR 100TH ANNIVERSARY.Our physicians are consistently recognized for their outstanding performance and achievement in taking care of our young patients. Doctors from ACH are consistently listed on Best Doctors and Top Doctor lists locally and nationally. 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 breakthroughs and technological advancements. UAMS faculty on the 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, Newborn 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.In order to enhance, sustain and restore the health and development of children, Arkansas Children's Hospital provides excellent clinical services, teaching and research. ACH is committed to working with others to achieve high quality, cost-effective, fully accessible services for Arkansas' most precious resource - our children, without regard to race, religion or inability to pay.Community Outreach programs are just another way that ACH is striving to make a positive impact on children throughout our state. As Arkansas' only pediatric medical center, ACH has taken a proactive leadership role in reaching children and families with informative and fun health education. We have developed several statewide outreach programs with a focus on wellness, prevention, and health promotion. sOME OF OUR COMMUNITY OUTREACH PROGRAMS ARE AS FOLLOWS:-"Healthy Habits" Classroom Presentations - Last school year, "Healthy HabitS" was presented to over 14,000 children across the state. These fun and informative classroom presentations are geared for children in Kindergarten through 4th grade. As part of each presentation, a short, high-energy DVD is used to teach children the importance of healthy eating and having an active lifestyle to maintain good health. -F.A.N. Club - The F.A.N. Club (Fitness and Nutrition) is a presentation-based program targeting middle school students who will learn the importance of daily physical activity as well as fun AND creative ways to include exercise into an active lifestyle. The program emphasizeS creating positive fitness and nutrition choices for a lifetime of good health.-Child Passenger Safety - nationally certified child passenger safety technicians are available to offer presentations focusing on the correct use of car safety seats, booster seats, and seat belts. Information can be tailored for a variety of groups. -Fire Safety House - The mobile KohL'S Fire Safety House Program at ACH helps teach children how to best respond to a house fire situation. With two training rooms, props, and non-toxic smoke, the house is designed to provide a realistic environment for teaching basic fire prevention and survival skills. -Speaker's Bureau - The ACH Speaker's Bureau consists of hospital employees and medical staff who are available to speak to your organization on a wide-range of topics related to children's health issues such as Childhood Asthma, Angel One Transport, Child Passenger Safety, and Children and Grief. -Babysitting 101 - Babysitting 101 is taught by instructors from ACH, using the Safe Sitter Curriculum. It is a great introduction to the basics of babysitting. In Babysitting 101, participants will learn about child development, what to do in an emergency, how to properly accept a babysitting job, and ensure that the job is safe for them to accept. -ACH Health Fair - For 28 years, the ACH Health Fair has been an annual educational and informational event for children and parents in our community. Children are invited to participate in the event by following a map from booth to booth, such as Picture Yourself a Surgeon and Fingercasting. The booths provide children and families with an excellent learning experience and a chance to interact with ACH professionals in a relaxed environment outside the hospital. -Little Rockers Kids Marathon - ACH is a proud sponsor of the annual Little Rockers Kids Marathon. ACH is thrilled to cheer on hundreds of kids as they train and log their exercise and then sprint the last mile toward the finish line on race day.-Riverfest Kidzone - The Community Outreach Department always has fun in the Kid Zone Area during Little Rock's annual Riverfest. Each year the Outreach Staff can be seen manning the Fingercasting booth and the Fire Safety House.-Summer Cereal Drive - The Community Outreach Department is proud to facilitate ACH'S participation each year in the Summer Cereal Drive, benefiting the Arkansas Food Bank. -King Elementary - Partner in Education - ACH is proud to be a Partner in Education with Martin Luther King Elementary School. ACH employees volunteer as readers for the Reading Renaissance Program, offer programs during the schooL'S Wellness Week, and participate in many other activities with the school.-Arkansas Safe Kids Coalition - ACH is proud to be the lead organization for the Arkansas Safe Kids Coalition. This diverse coalition of organizations and individuals meets bi-monthly in an on-going grass roots effort to raise awareness and increase education regarding preventable injuries in children. -Outreach Video Library - The Community Outreach Department has a video library available as a resource to the community. The topics INCLUDE hygiene, nutrition, fire safety, and many more. -KidsHealth Web Resource - KidsHealth is a terrific resource for medical information that includes interactive games and quizzes. It also provides families with perspective, advice, and comfort about a wide range of physical, emotional, and behavioral issues that affect children and teens.-Centers for Good Mourning - These groups have been offered at ACH since 1995. Good Mourning Grief Support Groups are free educational support groups for young people who have experienced the death of someone close to them. The purpose of the groups is to help young people cope with their feelings of grief and loss in a supportive setting with similar age peers. An optional group for parents and adult caregivers is also available.-Injury Prevention Center (IPC) - Arkansas has one of the highest child and adolescent injury rates in the nation. The IPC at ACH is working to reduce the number of injuries and fatalities to Arkansas children through an aggressive and proactive program. Goals of the IPC are to reduce unintentional injury-related deaths and disability among the children of Arkansas. Strategies include public awareness and education, professional training, and identification of evidence-based policies to promote safety in motor vehicles, in recreation, and in the home. Particular focus areas for Arkansas include increased and proper use of seatbelts and car seats for children, teenage driving initiatives, and the safe operation of all-terrain vehicles.OtherInformation
Affiliated Health Care SystemPart 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.In fiscal year 2010, Arkansas ChildreN'S Hospital Research Institute (ACHRI) researchers received over $22 million in grants and contracts from federal, state, and private agencies, industry sponsors, and philanthropic donations. Over 120 researchers, many who are physicians at ACH, conduct research on the ACH campus. ACHRI has over 190,000 square feet of research space. Physicians at ACH have conducted clinical trials or industry-sponsored research for over 25 years. ACH physicians are leaders in the effort to study newly developed medicines and medical devices that will be used to treat common and rare medical conditions in children. In fiscal year 2010, ACHRI'S total revenue for industry-sponsored projects was over $1 million, and nearly 300 children and adolescents were enrolled in clinical studies. Researchers at ACHRI strive to move discoveries quickly from the laboratory bench to the bedside for the benefit of children receiving care at ACH and throughout the world. Areas of study include: Asthma Research, Unlocking the secrets of autoimmune disease, Food Allergy Research, Injury Prevention Research, birth Defects, Pediatric Pharmacology Research Unit, Influence of Diet in Early Childhood Development, Effects of Eating breakfast on Behavioral Regulation and Brain Activity in Preadolescents, Impact of early diet on reproductive organ development in infants, Effects of Infant formula vs. Breast Feeding on Bone Formation in Neonates, Maternal Overweight Programs Multiple Aspects of Energy Balance in Offspring, Soy protein consumption reduces body fat stores and fatty liver, Early blueberry consumption dramatically increases bone quality, Diet-mediated mechanisms of breast cancer protection, Early fruit consumption and breast health, Rice diet and prevention of atherosclerosis, Blueberry diet and atherosclerosis, and Nursing Research.AffiliatedHealthCareSystem

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records Maintained1RecordsMaintained

Recipient Table RecipientTable (17 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
AMERICAN HEART ASSOCIATION
PO BOX 1610LITTLE ROCKAR72203135613797501(c)(3)10000GENERAL SUPPORT
ARKANSAS ADVOCATES FOR CHILDREN & FAMILIES
1400 WEST MARKHAM SUITE 306LITTLE ROCKAR72201710492205501(c)(3)8150GENERAL SUPPORT
ARKANSAS BAPTIST COLLEGE
1621 MARTIN LUTHER KING DRIVELITTLE ROCKAR72202710298658501(c)(3)10000BUILDING RENOVATION
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)1625728GENERAL SUPPORT
ARKANSAS CHILDREN'S HOSPITAL RESEARCH INSTITUTE
13 CHILDRENS WAYLITTLE ROCKAR72202710694931501(c)(3)6263954GENERAL SUPPORT
ARKANSAS DISCOVERY NETWORK
500 PRESIDENT CLINTON AVE S 150LITTLE ROCKAR72201710391707501(c)(3)7500GENERAL SUPPORT
CENTRAL LITTLE ROCK COMMUNITY DEVELOPMENT CENTER
1825 W 13TH STREETLITTLE ROCKAR72202710739065501(c)(3)GENERAL SUPPORT12150FMVPROVIDE OFFICE SPACE
CITY CONNECTIONS INC
200 RIVER MARKET AVE SUITE 100LITTLE ROCKAR72201263532549501(c)(3)10000GENERAL SUPPORT
HOME INSTRUCTION FOR PARENTS OF PRESCHOOL YOUNGSTERS (HIPPY)
1221 BISHOPLITTLE ROCKAR72202133672592501(c)(3)15000GENERAL SUPPORT29175FMVPROVIDE OFFICE SPACE & PHONE
LITTLE ROCK MARATHON
500 W MARKHAM SUITE 108LITTLE ROCKAR72201716014465gOV'T ENTITY10000GENERAL SUPPORT
LITTLE ROCK POLICE DEPARTMENT
600 W MARKHAMLITTLE ROCKAR72201716014465GOV'T ENTITY6892GENERAL SUPPORT
NATIONAL INITIATIVE FOR CHILDREN'S HEALTHCARE QUALITY
30 WINTER STREET 6TH FLOORBOSTONMA02108010647374501(c)(3)15000GENERAL SUPPORT
RONALD MCDONALD HOUSE CHARITIES
1009 WOLFE STREETLITTLE ROCKAR72202710525252501(c)(3)12500GENERAL SUPPORT
THE ADVOCACY FOR CHILDREN
PO BOX 165815LITTLE ROCKAR72216261086937501(c)(3)GENERAL SUPPORT14992FMVPROVIDE OFFICE SPACE
UNIVERSITY OF ARKANSAS AT LITTLE ROCK FOUNDATION
2801 S UNIVERSITY AVENUELITTLE ROCKAR72204716056774GOV'T ENTITY16000GENERAL SUPPORT
WOMEN'S FOUNDATION OF ARKANSAS
1202 MAIN STREET SUITE 230LITTLE ROCKAR72202300034070501(c)(3)8000GENERAL SUPPORT
FieldValueIRS element (for citing)
Total Nbr Of501 C3 And Govt Grants17TotalNbrOf501C3AndGovtGrants

Form990 Schedule I Part III Form990ScheduleIPartIII (9 entries)

Type Of GrantTypeOfGrantNumber Of RecipientsNumberOfRecipientsAmount Of Non Cash AssistanceAmountOfNonCashAssistanceMethod Of ValuationMethodOfValuationDescription Of Non Cash AssistanceDescriptionOfNonCashAssistanceAmount Of Cash GrantAmountOfCashGrant
Food3737173379FMVMeals for families/lactating Mothers
INSURANCE PREMIUMS4079582FMVPAYMENT OF PREMIUMS FOR PATIENT'S FAMILIES ALLOWED BY COBRA
TRANSPORTATION COSTS (BUS TOKENS, CAB FARE, GAS CARDS)114731283
Funeral Expenses2721468
RENT, MORTGAGE EXPENSE, UTILITIES, LODGING9414715
Car seats for infants and children16713169FMVCar seats for infants and children
CLOTHING AND BLANKETS5817FMVCLOTHING AND BLANKETS PROVIDED FOR PATIENTS AND FAMILIES
DOCTOR'S APPOINTMENTS AND MEDICINE18262
GROCERY GIFT CARDS AND OTHER MISC. ASSISTANCE463299

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 (18 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
440456050000031150187679068970688147000
RICHARD JACOBS MD
000000000000
BONNIE TAYLOR MD
000000000000
GENA WINGFIELD
3512220360000552028450095580425782000
CHARLES LARRY BECKIUS
1656900110000583012303059000195476000
DAVID BERRY
3498100320000577032003095580423948000
LORI BROWN
231936024000051200056270262075000
SCOTT GORDON
337614027000023450165905095580542422000
CYNTHIA HOLLAND
1749680130000640014050059840208642000
DARRELL LEONHARDT
22332701200001427012986090650258805000
MARY MCDANIEL
1493920100000492011647043780175909000
MARY SALASSI-SCOTTER
1468250100000263012011057670174866000
CAROLE ZYLMAN
19287701700001175015622061630232837000
CARL CHIPMAN
22220108903012690108750117350254983000
SHERRY FURR
19488701400002168014962045430230560000
CHARLES JOHNSON
224490041570212013375018150244049000
JAMES KOONCE
317954050003605015875051940343128000
KIRT SIMMONS
22126705000594015846085850246792000

Form990 Schedule J Part III Form990ScheduleJPartIII (3 entries)

Return ReferenceReturnReferenceExplanationExplanation
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 4aARKANSAS 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 2009 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 2009 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.

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI (2 entries)

Issuer EINIssuerEINCUSIP NumberCUSIPNumberDate IssuedDateIssuedIssue PriceIssuePriceDescription Of PurposeDescriptionOfPurposeDefeasedDefeasedOn Behalf Of IssuerOnBehalfOfIssuer
Pulaski County Arkansas
716006487745392HD52009-05-28109526869See Schedule O.00
Pulaski County Arkansas
716006487745392GKO2005-12-0833917692See Schedule O.00

Form990 Schedule K Part II Form990ScheduleKPartII (2 entries)

Total ProceedsTotalProceedsAmount In Reserve FundAmountInReserveFundAmount UnspentAmountUnspentIssuance Costs From ProceedsIssuanceCostsFromProceedsCapital ExpendituresCapitalExpendituresCurrent RefundingCurrentRefundingAdvance RefundingAdvanceRefundingFinal Allocation MadeFinalAllocationMadeAdequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaindYear Of Subst CompletionYearOfSubstCompletion
1104038607409584773652543172529224564930001
3465947710962139106433374883400112006

Form990 Schedule K Part III Form990ScheduleKPartIII (2 entries)

Owning Bond Financed PropertyOwningBondFinancedPropertyAny Lease ArrangementsAnyLeaseArrangementsMngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprtyAny Research AgreementsAnyResearchAgreementsBond Counsel Routinely EngagedBondCounselRoutinelyEngagedPrcntge Prvt Business Use By OthersPrcntgePrvtBusinessUseByOthersPercentage Of Prvt Business Re UBIPercentageOfPrvtBusinessReUBITotal Private Business UseTotalPrivateBusinessUsePost Issuance Compliance ProcdrsPostIssuanceComplianceProcdrs
000010.000000.000000.000001
001010.001200.000000.001201

Form990 Schedule K Part IV Form990ScheduleKPartIV (2 entries)

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

Schedule L IRS990ScheduleL

Loan Table LoanTable

FieldValueIRS element (for citing)
Name PersonLori BrownNamePerson
Purpose Of LoanADVANCED HEALTHCARE EDUCATIONPurposeOfLoan
Loan From OrganizationXLoanFromOrganization
Original Principal$18,075OriginalPrincipalAmount
Balance Due23250BalanceDue
Default0Default
Approved By Board0ApprovedByBoard
Written Agreement1WrittenAgreement
FieldValueIRS element (for citing)
Total Balance Due23250TotalBalanceDue

Form990 Schedule L Part IV Form990ScheduleLPartIV (6 entries)

RelationshipRelationshipAmount Of TransactionAmountOfTransactionDescription Of TransactionDescriptionOfTransactionSharing Of RevenuesSharingOfRevenues
WINDSTREAM
SCHEDULE O STMT - PERFORMANCE OF SERVICES1416168SCHEDULE O - TELECOMMUNICATIONS SERVICES DIRECTOR FRANCIS X. FRANTZ 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
ALARMCO INC
SCHEDULE O STMT - INDIRECT OWNERSHIP145169SCHEDULE O - SALES AND INSTALLATION OF EQUIPMENT ALARMCO, INC. IS MORE THAN 35% OWNED BY A FAMILY MEMBER OF DIRECTOR BARBARA MOORE. TRANSACTIONS WITH INTERESTED PERSONS WERE PERFORMED IN ACCORDANCE WITH THE ACH BOARD OF DIRECTORS CONFLICT OF INTEREST POLICY.0
AT&T
SCHEDULE O STMT - PERFORMANCE OF SERVICES132305SCHEDULE O - TELECOMMUNICATIONS SERVICES 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
BALE CHEVROLET
SCHEDULE O STMT - PERFORMANCE OF SERVICES122098SCHEDULE O - SALE AND SERVICE OF VEHICLES BALE CHEVROLET IS OWNED BY DIRECTOR JOHN BALE. TRANSACTIONS WITH INTERESTED PERSONS WERE PERFORMED IN ACCORDANCE WITH THE ACH BOARD OF DIRECTORS CONFLICT OF INTEREST POLICY.0
JENNIFER J BECKIUS
SCHEDULE O STMT - FAMILY MEMBER28521SCHEDULE O - 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 AUTHORITY0
JEFFREY DAVID BERRY
SCHEDULE O STMT - FAMILY MEMBER16489SCHEDULE O - ACH EMPLOYEE JEFFREY DAVID BERRY IS A FAMILY MEMBER OF KEY EMPLOYEE DAVID BERRY; HOWEVER, CONSISTENT WITH ARKANSAS CHILDREN'S HOSPITAL POLICY, HE DOES NOT WORK WITHIN MR. BERRY'S LINE OF AUTHORITY.0

Schedule M IRS990ScheduleM

Cars And Other Vehicles CarsAndOtherVehicles

FieldValueIRS element (for citing)
Non Cash CheckboxXNonCashCheckbox
Number Of Contributions1NumberOfContributions
FieldValueIRS element (for citing)
Any Property That Must Be Held0AnyPropertyThatMustBeHeld
Review Process Unusual NC Gifts1ReviewProcessUnusualNCGifts
Third Parties Used0ThirdPartiesUsed

Form990 Schedule M Part II Form990ScheduleMPartII

FieldValueIRS element (for citing)
IdentifierNon Reporting of Revenue:Identifier
Return ReferencePart I, Line 33:ReturnReference
ExplanationThe Hospital received a Mobile Dental Clinic valued at $375,000 which was recorded as donated property. See the item listed on the fund balance reconciliation on Schedule D.Explanation

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (9 entries)

IdentifierIdentifierExplanationExplanation
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 ACH Foundation, Inc., the Chairman of the Board of Directors of ACH Research Institute, Inc., and three additional members elected by the ACH Board at its annual meeting for the election of Directors. The Medical Director, the Chief of Staff of ACH, the UAMS Chairman of the Department of Pediatrics, and the President/Chief Executive Officer of ACH 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 Board of Directors. The Executive Committee has final oversight of long-range planning activities and is responsible for reviewing legal activities involving the hospital and for intitiating revisions to the hospital bylaws. Minutes of the Executive Committee meetings are submitted to the Board, and its actions are subject to approval or disapproval as soon as practicable at a regular Board meeting.
Form 990, Part VI, Section A, line 2Directors Mary Aitken, Charles Bower, Patrick Casey, Richard Jacobs, Diane Mackey, DANIEL RAHN, Bonnie Taylor, and I. Dodd Wilson, were all employees of the University of Arkansas for Medical Sciences (UAMS) during the tax year.
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 delivered to members of the Board's Finance and Audit Committees prior to a joint Finance and Audit Committee meeting, during which the Form 990 is presented by the external tax return preparers and 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.
Form 990, Part VI, Section B, line 12cThe 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 15Compensation 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 or related organizations. 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 C, line 19The Hospital's governing documents, conflict of interest policy and financial statements are available to the public upon request AS REQUIRED.
FORM 990, PART VII, SECTION A, COLUMNS E & F: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 XI, LINE 3BTHE CONSOLIDATED ORGANIZATION IS REQUIRED TO UNDERGO AN AUDIT AS SET FORTH IN THE SINGLE AUDIT ACT AND OMB CIRCULAR A-133 AND DID UNDERGO THAT REQUIRED AUDIT.
Schedule K Supplental InformationPART I, LINE A - Description of Purpose. Proceeds will be used to accomplish the Utility Project and the South Wing Project. The Utility Project includes major infrastructure improvements in sewer, oxygen system rework, fire and life safety, electrical, and HVAC, including an expansion of the energy building and thermal link. 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. SCHEDULE K, SUPPLEMENTAL INFORMATION: PART I, 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. SCHEDULE K, SUPPLEMENTAL INFORMATION: Part II, Line 5, Column A - Of the total amount of $3,172,529, issuance costs were $1,296,277 and credit enhancement fees were $1,876,252. SCHEDULE K, SUPPLEMENTAL INFORMATION: Part II, Line 5, Column B - Of the total amount of $910,643, issuance costs were $307,020 and credit enhancement fees were $603,623.

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/BusinessNameLine1
Arkansas Children's Hospital Foundation
1 Childrens WayLittle rockAR72202710568795FundraisingAR501(c)(3)Line 7Arkansas Children's Hospital
Arkansas Children's Hospital Research Institute
13 Childrens WayLittle rockAR72202710694931ResearchAR501(c)(3)Line 11a, IArkansas Children's Hospital
ARKANSAS CHILDREN'S HOSPITAL Building Research Facility Inc
1 Childrens WayLittle rockAR72202911940376Building ManagementAR501(c)(3)Line 11a, IArkansas Children's Hospital
Arkansas Children's Hospital Auxiliary
1 Childrens WayLittle rockAR72202710606585FundraisingAR501(c)(3)Line 11a, IArkansas Children's Hospital

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 HospitalC1513202900361.00000
Children's Healthcare System Inc
1 Childrens Waylittle RockAR72202586304957Management servicesARC-119903767800.50000
Children's Health Network Inc
1 Childrens WayLittle RockAR72202710797428management servicesARArkansas Children's HospitalC-841365091.00000
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 Org0LoansOrGuaranteesFromOtherOrg
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 (24 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolved
HOSPITAL FINANCE CORPORATION INC
A2592
ARKANSAS CHILDREN'S HOSPITAL FOUNDATION
B1625728
ARKANSAS CHILDREN'S HOSPITAL RESEARCH INSTITUTE
B6263954
ARKANSAS CHILDREN'S HOSPITAL FOUNDATION
C10085547
ARKANSAS CHILDREN'S HOSPITAL FOUNDATION
L3956311
CHILDREN'S HEALTHCARE SYSTEM INC
L131250
HOSPITAL FINANCE CORPORATION INC
L375464
ARKANSAS CHILDREN'S HOSPITAL FOUNDATION
M1561626
ARKANSAS CHILDREN'S HOSPITAL RESEARCH INSTITUTE
M2170522
ARKANSAS CHILDREN'S HOSPITAL BUILDING RESEARCH FACILITY INC
M52683
ARKANSAS CHILDREN'S HOSPITAL AUXILIARY
M166895
HOSPITAL FINANCE CORPORATION INC
N72138
CHILDREN'S HEALTHCARE SYSTEM INC
N265394
ARKANSAS CHILDREN'S HOSPITAL AUXILIARY
N232079
ARKANSAS CHILDREN'S HOSPITAL BUILDING RESEARCH FACILITY INC
N116903
ARKANSAS CHILDREN'S HOSPITAL RESEARCH INSTITUTE
N218455
CHILDREN'S HEALTHCARE SYSTEM INC
P70441
ARKANSAS CHILDREN'S HOSPITAL RESEARCH INSTITUTE
P1092096
ARKANSAS CHILDREN'S HOSPITAL FOUNDATION
P780435
ARKANSAS CHILDREN'S HOSPITAL RESEARCH INSTITUTE
R22889918
ARKANSAS CHILDREN'S HOSPITAL FOUNDATION
R2265357
ARKANSAS CHILDREN'S HOSPITAL BUILDING RESEARCH FACILITY INC
R246647
ARKANSAS CHILDREN'S HOSPITAL AUXILIARY
R1152125
CHILDREN'S HEALTHCARE SYSTEM INC
R74433

Comments

Anonymous: no account or email. Up to 2,000 characters, at most one link. Comments are checked automatically; some wait for review.