ARKANSAS CHILDRENS NORTHWEST INC: Form 990, tax year 2021
View the entire original 990 at ProPublica ↗
- Organization
- ARKANSAS CHILDRENS NORTHWEST INC (EIN 81-0817660)
- Tax period
- 2021-07-01 to 2022-06-30
- Filed
- 2023-04-27
- IRS object ID
- 202311179349301001
- Schema version
- 2021v4.2
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
- Return header
- Form 990
- Schedule A
- Schedule B
- Schedule D
- Schedule H
- Schedule I
- Schedule J
- Schedule K
- Schedule L
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2023-04-27T09:26:03-05:00 | ReturnTs |
| Tax Period End | 2022-06-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 135565207 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | KPMG LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 301 MAIN ST ONE AMERICAN PL STE | AddressLine1Txt |
| Address Line2 | 2150 | AddressLine2Txt |
| City | BATON ROUGE | CityNm |
| State Abbreviation | LA | StateAbbreviationCd |
| ZIP | 708011705 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2021-07-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 810817660 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ARKANSAS CHILDREN'S NORTHWEST INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | ARKA | BusinessNameControlTxt |
| Phone | 4797256800 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1 CHILDRENS WAY | AddressLine1Txt |
| City | LITTLE ROCK | CityNm |
| State Abbreviation | AR | StateAbbreviationCd |
| ZIP | 72202 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | MARCELLA DODERER | PersonNm |
| Person Title | PRESIDENT/CEO | PersonTitleTxt |
| Phone | 5013648000 | PhoneNum |
| Signature | 2023-04-27 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | MARCELLA | PersonFirstNm |
| Person Last | DODERER | PersonLastNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| SSN | 999009999 | SSN |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | MAXWELL E BARLOW | PreparerPersonNm |
| PTIN | P01959439 | PTIN |
| Phone | 2253797995 | PhoneNum |
Additional Filer Information AdditionalFilerInformation
Trusted Customer TrustedCustomerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Trusted Customer | 3 | TrustedCustomerCd |
| Authentication Assurance Level | AAL1 | AuthenticationAssuranceLevelCd |
| Identity Assurance Level | IAL1 | IdentityAssuranceLevelCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2021 | TaxYr |
| Build TS | 2023-04-26 12:10:37Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | MARCELLA DODERER | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1 CHILDRENS WAY | AddressLine1Txt |
| City | LITTLE ROCK | CityNm |
| State Abbreviation | AR | StateAbbreviationCd |
| ZIP | 72202 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $106,390,253 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.ARCHILDRENS.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 2015 | FormationYr |
| Legal Domicile State | AR | LegalDomicileStateCd |
| Activity Or Mission | WE CHAMPION CHILDREN BY MAKING THEM BETTER TODAY AND HEALTHIER TOMORROW. | ActivityOrMissionDesc |
| Voting Members Governing Body | 14 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 11 | VotingMembersIndependentCnt |
| Total Employee | 564 | TotalEmployeeCnt |
| Total Volunteers | 265 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $20,914,545 | PYContributionsGrantsAmt |
| CY Contributions Grants | $9,565,863 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $68,778,958 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $95,777,725 | CYProgramServiceRevenueAmt |
| PY Investment Income | $382,926 | PYInvestmentIncomeAmt |
| CY Investment Income | $293,957 | CYInvestmentIncomeAmt |
| PY Other Revenue | $555,595 | PYOtherRevenueAmt |
| CY Other Revenue | $752,708 | CYOtherRevenueAmt |
| PY Total Revenue | $90,632,024 | PYTotalRevenueAmt |
| CY Total Revenue | $106,390,253 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $54,976 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $279,200 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $25,788,369 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $40,061,463 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $41,553,533 | PYOtherExpensesAmt |
| CY Other Expenses | $51,704,599 | CYOtherExpensesAmt |
| PY Total Expenses | $67,396,878 | PYTotalExpensesAmt |
| CY Total Expenses | $92,045,262 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $23,235,146 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $14,344,991 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $211,078,044 | TotalAssetsBOYAmt |
| Total Assets EOY | $225,679,663 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $80,943,168 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $85,628,703 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $130,134,876 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $140,050,960 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | WE CHAMPION CHILDREN BY MAKING THEM BETTER TODAY AND HEALTHIER TOMORROW.CONTINUED ON SCHEDULE O.ARKANSAS CHILDREN'S WILL FUNDAMENTALLY TRANSFORM HEALTHCARE DELIVERY FOR THE CHILDREN OF ARKANSAS AND BEYOND. ARKANSAS CHILDREN'S CORE VALUES ARE THE ORGANIZATIONAL PRINCIPLES THAT HIGHLIGHT OUR REGARD FOR EACH OTHER AND THOSE WE SERVE:SAFETY: WE ARE VIGILANT ABOUT CREATING AN ERROR-FREE ENVIRONMENT FOR PATIENTS, FAMILIES, AND TEAM MEMBERS.TEAMWORK: WE DEMONSTRATE ACTIONABLE CARE AND CONCERN FOR PATIENTS, FAMILIES, AND TEAM MEMBERS.COMPASSION: WE COORDINATE, COMMUNICATE, COOPERATE, AND COLLABORATE TO ENSURE THE HIGHEST LEVEL OF SERVICE FOR OUR PATIENTS, FAMILIES, AND TEAM MEMBERS.EXCELLENCE: WE ACHIEVE THE HIGHEST OF STANDARDS AND SERVE WITH DISTINCTION IN ORDER TO BE THE BEST.SAFETY AND EXCELLENCE FRAME OUR WORK. TEAMWORK AND COMPASSION PLACE PEOPLE AT THE CENTER OF ALL WE DO. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $74,357,333 | ExpenseAmt |
| Grant | $279,200 | GrantAmt |
| Revenue | $95,847,229 | RevenueAmt |
| Desc | ARKANSAS CHILDREN'S NORTHWEST (ACNW) IS A PEDIATRIC HOSPITAL LOCATED IN SPRINGDALE, ARKANSAS THAT OPENED ON FEBRUARY 27, 2018. THE HOSPITAL IS 233,613 SQUARE FEET THAT INCLUDES INPATIENT BEDS, EMERGENCY CARE, DIAGNOSTIC SERVICES AND CLINIC SPACE. THE 37-ACRE CAMPUS INCLUDES NATURE TRAILS AND GARDENS FOR PATIENTS AND THEIR FAMILIES. DURING THE YEAR ENDED JUNE 30, 2022, ACNW'S UTILIZATION WAS AS FOLLOWS: 3,088 ADMISSIONS WITH AN AVERAGE STAY OF 2.09 DAYS; 6,137 PATIENT DAYS; 16.8 AVERAGE DAILY CENSUS; 50,266 OUTPATIENT VISITS, EXCLUDING ER VISITS WHICH WERE 38,205; AND 3,889 SURGERIES. CONTINUED ON SCHEDULE O.ACNW, THE REGION'S FIRST AND ONLY PEDIATRIC HOSPITAL, IS A LEVEL IV PEDIATRIC TRAUMA CENTER. ACNW WILL ADVANCE PEDIATRIC HEALTHCARE IN THE NORTHWEST PORTION OF ARKANSAS AND PROVIDE CARE CLOSE TO HOME FOR MORE THAN 200,000 CHILDREN IN THE REGION BY PROVIDING THE FOLLOWING SERVICES:*24 INPATIENT BEDS TO CARE FOR CHILDREN REQUIRING OVERNIGHT STAYS*24-HOUR PEDIATRIC EMERGENCY DEPARTMENT*AN OUTPATIENT CLINIC WITH 30 EXAM ROOMS SUPPORTING MORE THAN 20 SUBSPECIALTY AREAS AND A PRIMARY CARE CLINIC*PEDIATRIC SURGERY UNIT WITH 5 OPERATING ROOMS*A FULL RANGE OF ANCILLARY AND DIAGNOSTIC SERVICES*IMAGING CAPABILITIES (MRI, CT, ULTRASOUND, AND ROUTINE X-RAY)*DIAGNOSTIC SERVICES (INFUSION, PFT, EEG, ECHO, NEUROPHYSIOLOGY, AUDIOLOGY, AND REHABILITATION)*HELIPAD AND REFUELING STATION SUPPORTING THE HELICOPTER TRANSPORT TEAM, ONE OF THE NATION'S LEADING PEDIATRIC INTENSIVE CARE TRANSPORT SERVICES | Desc |
| Total Program Service Expenses | $74,357,333 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | 0 | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | Yes (1) | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | Yes (1) | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (1) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (1) | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | Yes (1) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (1) | AuditedFinancialStmtAttInd |
| Grants To Organizations | Yes (1) | GrantsToOrganizationsInd |
| Grants To Individuals | Yes (1) | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | Yes (1) | TaxExemptBondsInd |
| Invest Tax Exempt Bonds | 0 | InvestTaxExemptBondsInd |
| Escrow Account | 0 | EscrowAccountInd |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuerInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | Yes (1) | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | 0 | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 49 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 564 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | 0 | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | 0 | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 14 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 11 | IndependentVotingMemberCnt |
| Family Or Business Rln | Yes (1) | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | Yes (1) | DelegationOfMgmtDutiesInd |
| Change To Org Documents | Yes (1) | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (1) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (1) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (1) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (1) | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | GENA WINGFIELD | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 5013642555 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1 CHILDRENS WAY | AddressLine1Txt |
| City | LITTLE ROCK | CityNm |
| State Abbreviation | AR | StateAbbreviationCd |
| ZIP | 72202 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (31 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Key EmployeeKeyEmployeeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd | Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd |
|---|---|---|---|---|---|---|---|---|---|---|
| MARCELLA DODERER | ||||||||||
| PRESIDENT/CEO | 0.22 | 56.12 | Yes (X) | Yes (X) | $0 | $1,789,717 | $250,954 | |||
| JENNIFER AUNSPAUGH MD | ||||||||||
| TRUSTEE/DIRECTOR-CHIEF OF MED STAFF | 0.23 | 55.00 | Yes (X) | $0 | $542,552 | $61,651 | ||||
| RON CLARK | ||||||||||
| TRUSTEE/DIRECTOR | 0.08 | 0.35 | Yes (X) | $0 | $0 | $0 | ||||
| JON DYER | ||||||||||
| CHAIR OF THE BOARD | 0.33 | 0.00 | Yes (X) | $0 | $0 | $0 | ||||
| HARRY C ERWIN | ||||||||||
| TRUSTEE/DIRECTOR | 0.14 | 0.46 | Yes (X) | $0 | $0 | $0 | ||||
| GARY GEORGE | ||||||||||
| TRUSTEE/DIRECTOR | 0.14 | 0.29 | Yes (X) | $0 | $0 | $0 | ||||
| PAT MCCLELLAND | ||||||||||
| TRUSTEE/DIRECTOR | 0.46 | 0.58 | Yes (X) | $0 | $0 | $0 | ||||
| JOHN NOLEN MD | ||||||||||
| TRUSTEE/DIRECTOR | 0.02 | 0.00 | Yes (X) | $0 | $0 | $0 | ||||
| KELVIN PARKS | ||||||||||
| TRUSTEE/DIRECTOR (PARTIAL YEAR) | 0.17 | 0.00 | Yes (X) | $0 | $0 | $0 | ||||
| CHARLES REDFIELD | ||||||||||
| TRUSTEE/DIRECTOR | 0.11 | 0.00 | Yes (X) | $0 | $0 | $0 | ||||
| JOHN ROBERTS | ||||||||||
| TRUSTEE/DIRECTOR | 0.11 | 0.00 | Yes (X) | $0 | $0 | $0 | ||||
| MARSHALL SAVIERS | ||||||||||
| TRUSTEE/DIRECTOR | 0.11 | 0.00 | Yes (X) | $0 | $0 | $0 | ||||
| KC TUCKER | ||||||||||
| BOARD TREASURER | 0.18 | 0.05 | Yes (X) | $0 | $0 | $0 | ||||
| BARBARA TYSON | ||||||||||
| TRUSTEE/DIRECTOR | 0.08 | 0.00 | Yes (X) | $0 | $0 | $0 | ||||
| NOEL WHITE | ||||||||||
| VICE CHAIR | 0.14 | 0.00 | Yes (X) | $0 | $0 | $0 | ||||
| GENA WINGFIELD | ||||||||||
| EVP AND CFO | 0.00 | 48.00 | Yes (X) | $0 | $806,113 | $92,699 | ||||
| FREDERICK BARR MD | ||||||||||
| EVP/CHIEF CLINICAL & ACADEMIC OFCR | 5.50 | 49.63 | $0 | $806,319 | $22,350 | Yes (X) | ||||
| JAMIE WIGGINS | ||||||||||
| EVP/COO | 0.00 | 50.00 | $0 | $281,991 | $3,438 | Yes (X) | ||||
| CINDY HILL | ||||||||||
| FINANCIAL SERVICES VP | 0.00 | 50.00 | $0 | $317,382 | $23,990 | Yes (X) | ||||
| LE'KITA BROWN | ||||||||||
| REVENUE CYCLE VP | 0.00 | 50.00 | $0 | $303,095 | $23,198 | Yes (X) | ||||
| SHANNON HENDRIX | ||||||||||
| SVP/CHIEF ADMINISTRATOR | 50.00 | 0.00 | $397,431 | $0 | $30,764 | Yes (X) | ||||
| MICHAEL HOWARD | ||||||||||
| VP/CHIEF NURSING OFFICER | 55.00 | 0.00 | $258,009 | $0 | $18,886 | Yes (X) | ||||
| DIANA MCDANIEL | ||||||||||
| OPERATIONS VP | 50.00 | 0.00 | $226,762 | $0 | $12,580 | Yes (X) | ||||
| JAMA HUNTLEY | ||||||||||
| PHARMACY DIRECTOR | 50.00 | 0.00 | $182,545 | $0 | $18,382 | Yes (X) | ||||
| KEITH VEIT | ||||||||||
| PATIENT CARE SVC DIRECTOR | 50.00 | 0.00 | $157,995 | $0 | $23,684 | Yes (X) | ||||
| LESLIE RYLEE | ||||||||||
| PATIENT CARE SVC DIR (PARTIAL YR) | 50.00 | 0.00 | $161,393 | $0 | $12,498 | Yes (X) | ||||
| JEFFREY WILLIAMS | ||||||||||
| PHARMACY COORDINATOR | 40.00 | 0.00 | $146,654 | $0 | $23,708 | Yes (X) | ||||
| ROBIN COOKE | ||||||||||
| STAFF PHARMACIST | 40.00 | 0.00 | $139,897 | $0 | $11,838 | Yes (X) | ||||
| SARAH SMITH | ||||||||||
| AMBULATORY SERVICES DIRECTOR | 45.00 | 0.00 | $138,285 | $0 | $6,203 | Yes (X) | ||||
| MICAH KIGHT | ||||||||||
| DIRECTOR OF OPERATIONS | 55.00 | 0.00 | $137,365 | $0 | $21,930 | Yes (X) | ||||
| PATRICIA MONTAGUE | ||||||||||
| FORMER EVP/COO-RETIRED 6/30/21 | 0.00 | 0.00 | $0 | $467,133 | $9,726 | Yes (X) | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $1,946,336 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $5,314,302 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $668,479 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 18 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | Yes (1) | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | Yes (1) | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| CROTHALL HEALTHCARE | |||||
| 13028 COLLECTION CENTER DRIVE | CHICAGO | IL | 60693 | PATIENT TRANSPORT/EVS/LINEN SERVICES | $1,684,199 |
| BIOFIRE DIAGNOSTICS | |||||
| PO BOX 500308 | ST LOUIS | MO | 63150 | CLINICAL DIAGNOSTIC TESTING | $1,593,185 |
| COMPASS ONE | |||||
| PO BOX 102289 | ATLANTA | GA | 30368 | CAFETERIA SERVICES | $1,510,745 |
| CROSS COUNTRY STAFFING | |||||
| PO BOX 404674 | ATLANTA | GA | 30384 | STAFFING SERVICES | $1,470,550 |
| ALLIED UNIVERSAL SECURITY SERVICE | |||||
| PO BOX 828854 | PHILADELPHIA | PA | 19182 | SECURITY SERVICES | $1,024,598 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 19 | CntrctRcvdGreaterThan100KCnt |
| Related Organizations | $7,763,278 | RelatedOrganizationsAmt |
| Government Grants | $1,802,585 | GovernmentGrantsAmt |
| Total Contributions | $9,565,863 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | PMTS FOR MEDICAL SERVI | Desc |
| Business | 622110 | BusinessCd |
| Total Revenue Column | $95,777,725 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $95,777,725 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $95,777,725 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $293,957 | TotalRevenueColumnAmt |
| Exclusion | $293,957 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | ExclusionExclusionAmt |
|---|---|---|---|
| NUTRITIONAL SERVICES | 622110 | $482,031 | $482,031 |
| GIFT SHOP | 459420 | $201,173 | $201,173 |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $69,504 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $69,504 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $752,708 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $106,390,253 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $95,847,229 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $977,161 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $239,974 | TotalAmt |
| Program Services | $239,974 | ProgramServicesAmt |
Grants To Domestic Individuals GrantsToDomesticIndividualsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $39,226 | TotalAmt |
| Program Services | $39,226 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,981,335 | TotalAmt |
| Program Services | $1,274,830 | ProgramServicesAmt |
| Management And General | $706,505 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $32,611,144 | TotalAmt |
| Program Services | $28,641,664 | ProgramServicesAmt |
| Management And General | $3,969,480 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,468,984 | TotalAmt |
| Program Services | $4,878,796 | ProgramServicesAmt |
| Management And General | $590,188 | ManagementAndGeneralAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,912,231 | TotalAmt |
| Program Services | $2,003,209 | ProgramServicesAmt |
| Management And General | $2,909,022 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $18,155 | TotalAmt |
| Program Services | $13,800 | ProgramServicesAmt |
| Management And General | $4,355 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $8,715 | TotalAmt |
| Management And General | $8,715 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $11,851,020 | TotalAmt |
| Program Services | $10,328,550 | ProgramServicesAmt |
| Management And General | $1,522,470 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $485,882 | TotalAmt |
| Program Services | $1,444 | ProgramServicesAmt |
| Management And General | $484,438 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,368,002 | TotalAmt |
| Program Services | $1,147,526 | ProgramServicesAmt |
| Management And General | $220,476 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,128,424 | TotalAmt |
| Program Services | $864,559 | ProgramServicesAmt |
| Management And General | $1,263,865 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,392,145 | TotalAmt |
| Program Services | $664,849 | ProgramServicesAmt |
| Management And General | $727,296 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $243,413 | TotalAmt |
| Program Services | $69,773 | ProgramServicesAmt |
| Management And General | $173,640 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $27,152 | TotalAmt |
| Program Services | $22,329 | ProgramServicesAmt |
| Management And General | $4,823 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,755,456 | TotalAmt |
| Management And General | $2,755,456 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $8,888,164 | TotalAmt |
| Program Services | $7,164,366 | ProgramServicesAmt |
| Management And General | $1,723,798 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $467,265 | TotalAmt |
| Program Services | $152,291 | ProgramServicesAmt |
| Management And General | $314,974 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| MEDICAL SUPPLIES | $15,337,067 | $15,240,146 | $96,921 |
| OTHER ADMINISTRATIVE EX | $1,413,076 | $1,383,728 | $29,348 |
| MINOR EQUIPMENT | $236,468 | $180,489 | $55,979 |
| DUES & SUBSCRIPTIONS | $171,964 | $45,784 | $126,180 |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $92,045,262 | TotalAmt |
| Program Services | $74,357,333 | ProgramServicesAmt |
| Management And General | $17,687,929 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $34,022,815 | BOYAmt |
| EOY | $37,550,475 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,335,877 | BOYAmt |
| EOY | $11,387,344 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $916,674 | BOYAmt |
| EOY | $1,149,952 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $827,072 | BOYAmt |
| EOY | $1,043,288 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $154,647,244 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $39,476,095 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $122,512,451 | BOYAmt |
| EOY | $115,171,149 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,730,136 | BOYAmt |
| EOY | $1,731,262 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $43,733,019 | BOYAmt |
| EOY | $57,646,193 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $211,078,044 | BOYAmt |
| EOY | $225,679,663 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,768,436 | BOYAmt |
| EOY | $7,686,255 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $73,805,519 | BOYAmt |
| EOY | $71,074,724 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,369,213 | BOYAmt |
| EOY | $6,867,724 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $80,943,168 | BOYAmt |
| EOY | $85,628,703 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows FASB117 | Yes (X) | OrganizationFollowsFASB117Ind |
No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $122,844,379 | BOYAmt |
| EOY | $130,160,615 | EOYAmt |
Donor Restriction Net Assets DonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,290,497 | BOYAmt |
| EOY | $9,890,345 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $130,134,876 | BOYAmt |
| EOY | $140,050,960 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $211,078,044 | BOYAmt |
| EOY | $225,679,663 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $14,344,991 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $7,195 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | -$4,436,102 | OtherChangesInNetAssetsAmt |
| Info In Schedule O Part XII | Yes (X) | InfoInScheduleOPartXIIInd |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule D IRS990ScheduleD
CY Endwmt Fund CYEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $6,032,250 | BeginningYearBalanceAmt |
| Contributions | $1,854,372 | ContributionsAmt |
| Investment Earnings Or Losses | -$666,773 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $252,745 | OtherExpendituresAmt |
| End Year Balance | $6,967,104 | EndYearBalanceAmt |
CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $4,895,940 | BeginningYearBalanceAmt |
| Contributions | $71,460 | ContributionsAmt |
| Investment Earnings Or Losses | $1,332,000 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $267,150 | OtherExpendituresAmt |
| End Year Balance | $6,032,250 | EndYearBalanceAmt |
CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $4,944,705 | BeginningYearBalanceAmt |
| Contributions | $41,476 | ContributionsAmt |
| Investment Earnings Or Losses | $52,607 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $142,848 | OtherExpendituresAmt |
| End Year Balance | $4,895,940 | EndYearBalanceAmt |
CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributions | $3,721,746 | ContributionsAmt |
| Investment Earnings Or Losses | $1,402,615 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $179,656 | OtherExpendituresAmt |
| End Year Balance | $4,944,705 | EndYearBalanceAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Board Designated Balance EOY | 0.00000 | BoardDesignatedBalanceEOYPct |
| Prmnnt Endowment Balance EOY | 0.58800 | PrmnntEndowmentBalanceEOYPct |
| Term Endowment Balance EOY | 0.41200 | TermEndowmentBalanceEOYPct |
| Endowments Held Unrelated Org | 0 | EndowmentsHeldUnrelatedOrgInd |
| Endowments Held Related Org | Yes (1) | EndowmentsHeldRelatedOrgInd |
| Related Org List Sch R | Yes (1) | RelatedOrgListSchRInd |
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $6,740,000 | OtherCostOrOtherBasisAmt |
| Book Value | $6,740,000 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $121,324,664 | OtherCostOrOtherBasisAmt |
| Depreciation | $22,439,172 | DepreciationAmt |
| Book Value | $98,885,492 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $26,273,967 | OtherCostOrOtherBasisAmt |
| Depreciation | $16,977,680 | DepreciationAmt |
| Book Value | $9,296,287 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $308,613 | OtherCostOrOtherBasisAmt |
| Depreciation | $59,243 | DepreciationAmt |
| Book Value | $249,370 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $115,171,149 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp (5 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| MEDICAID RECEIVABLE | $46,973,733 |
| OTHER RECEIVABLES | $174,430 |
| OPERATING LEASES | $6,855,554 |
| DUE FROM AFFILIATES | $3,635,647 |
| GRANT RECEIVABLE | $6,829 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $57,646,193 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)
| DescDesc | AmtAmt |
|---|---|
| OPERATING LEASE - NONCURRENT | $6,249,603 |
| OPERATING LEASE - CURRENT | $605,951 |
| CAPITAL LEASE OBLIGATIONS | $12,170 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $6,867,724 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART V, LINE 4: | EARNINGS FROM ENDOWMENT FUNDS WILL BE USED TO SUPPORT VARIOUS HOSPITAL PROGRAMS. THE FILING ORGANIZATION DOES NOT HOLD ANY ENDOWMENTS; ALL ENDOWMENTS ARE HELD BY ARKANSAS CHILDREN'S FOUNDATION, A RELATED ORGANIZATION. |
| PART X, LINE 2: | NOTE: THE AUDIT IS COMPRISED OF THE CONSOLIDATED FINANCIAL STATEMENTS OF ARKANSAS CHILDREN'S, INC., ARKANSAS CHILDREN'S HOSPITAL, ARKANSAS CHILDREN'S FOUNDATION, ARKANSAS CHILDREN'S RESEARCH INSTITUTE, ARKANSAS CHILDREN'S NORTHWEST, ARKANSAS CHILDREN'S CARE NETWORK, ARKANSAS CHILDREN'S MEDICAL GROUP, AND SACOVA INSURANCE COMPANY (COLLECTIVELY, ARKANSAS CHILDREN'S). FOOTNOTE: ARKANSAS CHILDREN'S APPLIES FASB ASC TOPIC 740 (TOPIC 740), ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES. TOPIC 740 CLARIFIES THE ACCOUNTING FOR UNCERTAINTY IN INCOME TAX POSITIONS AND PROVIDES GUIDANCE ON WHEN TAX POSITIONS ARE RECOGNIZED IN AN ENTITY'S FINANCIAL STATEMENTS AND HOW THE VALUES OF THESE POSITIONS ARE DETERMINED. MANAGEMENT HAS ANALYZED THE TAX POSITIONS TAKEN BY ARKANSAS CHILDREN'S AND HAS CONCLUDED THAT AS OF JUNE 30, 2022 AND 2021, THERE ARE NO UNCERTAIN POSITIONS TAKEN OR EXPECTED TO BE TAKEN THAT WOULD REQUIRE RECOGNITION OF A LIABILITY (OR ASSET) OR DISCLOSURE IN THE CONSOLIDATED FINANCIAL STATEMENTS. |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (1) | FinancialAssistancePolicyInd |
| Written Policy | Yes (1) | WrittenPolicyInd |
| FPG Reference Free Care | Yes (1) | FPGReferenceFreeCareInd |
Free Care Oth Percentage FreeCareOthPercentageGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | Yes (X) | OtherInd |
| Free Care Other | 250.000000000000 | FreeCareOtherPct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| FPG Reference Discounted Care | Yes (1) | FPGReferenceDiscountedCareInd |
| Percent400 | Yes (X) | Percent400Ind |
| Free Care Medically Indigent | 0 | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (1) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | 0 | ExpensesExceedBudgetInd |
| Annual Community Bnft Report | 0 | AnnualCommunityBnftReportInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $2,247,951 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $2,247,951 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.02440 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $69,726,388 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $62,233,869 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $7,492,519 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.08140 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $71,974,339 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $62,233,869 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $9,740,470 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.10580 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $769,446 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $8,849 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $760,597 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00830 | TotalExpensePct |
Subsidized Health Services SubsidizedHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $9,478,540 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $3,756,229 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $5,722,311 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.06220 | TotalExpensePct |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $80,500 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $900 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $79,600 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00090 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $10,328,486 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $3,765,978 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $6,562,508 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.07140 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $82,302,825 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $65,999,847 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $16,302,978 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.17720 | TotalExpensePct |
Community Support CommunitySupportGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $5,250 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $5,250 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00010 | TotalExpensePct |
Workforce Development WorkforceDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $2,500 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $2,500 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Total Communtity Building Acty TotalCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $7,750 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $7,750 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00010 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (1) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $1,074,375 | BadDebtExpenseAmt |
| Reimbursed By Medicare | $13,047 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $49,434 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$36,387 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | Yes (X) | CostToChargeRatioInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | Yes (1) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (1) | FinancialAssistancePrvsnInd |
| Hospital Facilities | 1 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ARKANSAS CHILDREN'S NORTHWEST | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2601 GENE GEORGE BLVD | AddressLine1Txt |
| City | SPRINGDALE | CityNm |
| State Abbreviation | AR | StateAbbreviationCd |
| ZIP | 72762 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Website Address | WWW.ARCHILDRENS.ORG | WebsiteAddressTxt |
| State License | AR5392 | StateLicenseNum |
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
| General Medical And Surgical | Yes (X) | GeneralMedicalAndSurgicalInd |
| Childrens Hospital | Yes (X) | ChildrensHospitalInd |
| Emergency Room24 Hrs | Yes (X) | EmergencyRoom24HrsInd |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ARKANSAS CHILDREN'S NORTHWEST | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
| First Licensed CY Or PY | 0 | FirstLicensedCYOrPYInd |
| Tax Exempt Hospital CY Or PY | 0 | TaxExemptHospitalCYOrPYInd |
| CHNA Conducted | Yes (1) | CHNAConductedInd |
| Community Definition | Yes (X) | CommunityDefinitionInd |
| Community Demographics | Yes (X) | CommunityDemographicsInd |
| Existing Resources | Yes (X) | ExistingResourcesInd |
| How Data Obtained | Yes (X) | HowDataObtainedInd |
| Community Health Needs | Yes (X) | CommunityHealthNeedsInd |
| Other Health Issues | Yes (X) | OtherHealthIssuesInd |
| Community Hlth Needs Id Process | Yes (X) | CommunityHlthNeedsIdProcessInd |
| Consulting Process | Yes (X) | ConsultingProcessInd |
| Prior CHNA Impact | Yes (X) | PriorCHNAImpactInd |
| Other | Yes (X) | OtherInd |
| CHNA Conducted | 21 | CHNAConductedYr |
| Take Into Account Others Input | Yes (1) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | Yes (1) | CHNAConductedWithOtherFcltsInd |
| CHNA Conducted With Non Fclts | Yes (1) | CHNAConductedWithNonFcltsInd |
| CHNA Report Widely Available | Yes (1) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | WWW.ARCHILDRENS.ORG/RESOURCES/COMMUNITY-NEEDS-ASSESSMENT | OwnWebsiteURLTxt |
| Paper Copy Public Inspection | Yes (X) | PaperCopyPublicInspectionInd |
| Rpt Available Thru Other Method | Yes (X) | RptAvailableThruOtherMethodInd |
| Implementation Strategy Adopt | Yes (1) | ImplementationStrategyAdoptInd |
| Implementation Strategy Adpt | 22 | ImplementationStrategyAdptYr |
| Strategy Posted Website | Yes (1) | StrategyPostedWebsiteInd |
| Strategy Website URL | WWW.ARCHILDRENS.ORG/RESOURCES/COMMUNITY-NEEDS-ASSESSMENT | StrategyWebsiteURLTxt |
| Organization Incur Excise Tax | 0 | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (1) | EligCriteriaExplainedInd |
| FPG Family Incm Lmt Free Dscnt | Yes (X) | FPGFamilyIncmLmtFreeDscntInd |
| FPG Family Incm Lmt Free Care | 250.000000000000 | FPGFamilyIncmLmtFreeCarePct |
| FPG Family Incm Lmt Dscnt Care | 400.000000000000 | FPGFamilyIncmLmtDscntCarePct |
| Explained Basis | Yes (1) | ExplainedBasisInd |
| App Financial Asst Expln | Yes (1) | AppFinancialAsstExplnInd |
| Described Info | Yes (X) | DescribedInfoInd |
| Described Suprt Doc | Yes (X) | DescribedSuprtDocInd |
| Provided Hospital Contact | Yes (X) | ProvidedHospitalContactInd |
| Includes Publicity Measures | Yes (1) | IncludesPublicityMeasuresInd |
| FAP Available On Website | Yes (X) | FAPAvailableOnWebsiteInd |
| FAP Available On Website URL | SEE PART V, SECTION C | FAPAvailableOnWebsiteURLTxt |
| FAP App Available On Website | Yes (X) | FAPAppAvailableOnWebsiteInd |
| FAP App Available On Website URL | SEE PART V, SECTION C | FAPAppAvailableOnWebsiteURLTxt |
| FAP Summary On Website | Yes (X) | FAPSummaryOnWebsiteInd |
| FAP Summary On Website URL | SEE PART V, SECTION C | FAPSummaryOnWebsiteURLTxt |
| FAP Avlbl On Request No Charge | Yes (X) | FAPAvlblOnRequestNoChargeInd |
| FAP App Avlbl On Request No Chrg | Yes (X) | FAPAppAvlblOnRequestNoChrgInd |
| FAP Sum Avlbl On Request No Chrg | Yes (X) | FAPSumAvlblOnRequestNoChrgInd |
| Notified FAP Copy Bill Display | Yes (X) | NotifiedFAPCopyBillDisplayInd |
| Communtity Notified FAP | Yes (X) | CommuntityNotifiedFAPInd |
| FAP Translated | Yes (X) | FAPTranslatedInd |
| FAP Actions On Nonpayment | Yes (1) | FAPActionsOnNonpaymentInd |
| Permit No Actions | Yes (X) | PermitNoActionsInd |
| Collection Activities | 0 | CollectionActivitiesInd |
| None Made | Yes (X) | NoneMadeInd |
| Nondis Emergency Care Policy | Yes (1) | NondisEmergencyCarePolicyInd |
| Look Back Medicaid Medcr Prvt | Yes (X) | LookBackMedicaidMedcrPrvtInd |
| Amounts Generally Billed | 0 | AmountsGenerallyBilledInd |
| Gross Charges | 0 | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (11 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| ARKANSAS CHILDREN'S NORTHWEST | PART V, SECTION B, LINE 3J: ARKANSAS CHILDREN'S NORTHWEST (ACNW) IS A PRIVATE, NONPROFIT HOSPITAL WITHIN ARKANSAS CHILDREN'S, INC., WHICH IS THE ONLY HEALTHCARE SYSTEM IN THE STATE SOLELY DEDICATED TO CARING FOR THE CHILDREN OF ARKANSAS. ARKANSAS CHILDREN'S, INC. IS A PRIVATE, NON-PROFIT ORGANIZATION WHICH INCLUDES TWO PEDIATRIC HOSPITALS, A PEDIATRIC RESEARCH INSTITUTE AND USDA NUTRITION CENTER, A PHILANTHROPIC FOUNDATION, A NURSERY ALLIANCE, STATEWIDE CLINICS, AND MANY EDUCATION AND OUTREACH PROGRAMS. ARKANSAS CHILDREN'S NORTHWEST (ACNW), THE FIRST AND ONLY PEDIATRIC HOSPITAL IN THE NORTHWEST ARKANSAS REGION, OPENED IN SPRINGDALE IN EARLY 2018.ACNW DEFINES THE COMMUNITY IT SERVES AS ALL CHILDREN FROM BIRTH TO AGE 21 IN THE 15-COUNTY NORTHWEST REGION OF ARKANSAS (BAXTER, BENTON, BOONE, CARROLL, CRAWFORD, FRANKLIN, JOHNSON, LOGAN, MADISON, MARION, NEWTON, POPE, SCOTT, SEBASTIAN, WASHINGTON). ACCORDING TO THE U.S. CENSUS BUREAU, THERE ARE ABOUT 251,028 CHILDREN UNDER AGE 18 IN THIS REGION. THE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) CONTAINS INFORMATION ABOUT THE NATURAL WONDERS PARTNERSHIP COUNCIL, WHICH IS A DIVERSE COALITION OF CHILD HEALTH ORGANIZATIONS WHO WORK TOGETHER TO IMPROVE CHILD HEALTH. ARKANSAS CHILDREN'S CHNA'S INFORM THE GOALS AND ACTION PLANS OF THE NATURAL WONDERS PARTNERSHIP COUNCIL. IN LIMITED CASES, TO ASSIST IN DEVELOPING A CLEAR PICTURE OF PARTICULAR ISSUES, ADULT DATA WERE ACCESSED AND INCLUDED IN THE ACNW CHNA. THE REPORT ALSO CONTAINS "BIG IDEAS" FROM COMMUNITY STAKEHOLDERS TO HELP INSPIRE THE WORK THAT RESULTS FROM THE CHNA. |
| ARKANSAS CHILDREN'S NORTHWEST | PART V, SECTION B, LINE 5: THE FY22 ACNW CHNA WAS CONDUCTED BY ARKANSAS CHILDREN'S COMMUNITY ENGAGEMENT, ADVOCACY, AND HEALTH DIVISION AND BOYETTE STRATEGIC ADVISORS. THIS TEAM REVIEWED ALL IRS REQUIREMENTS FOR THE FY22 ASSESSMENT AND DEVELOPED A REVISED AND THOROUGH PROCESS FOR COLLECTING AND ANALYZING ALL PRIMARY AND SECONDARY DATA NEEDED TO MAKE INFORMED DECISIONS ABOUT THE CURRENT CHILDREN'S HEALTH NEEDS IN ARKANSAS. A WIDE VARIETY OF PUBLIC HEALTH AND CHILD HEALTH STAKEHOLDERS REVIEWED AND VETTED THE METHODS, DATA, PRIORITIZATION PROCESS, AND FINDINGS OF THE ASSESSMENT.THE STAKEHOLDER ENGAGEMENT PROCESS, AS WELL AS PRIMARY AND SECONDARY DATA REVIEW, OCCURRED FROM JUNE 2021 THROUGH APRIL 2022. A TOTAL OF 808 STAKEHOLDERS IN ARKANSAS PROVIDED THEIR PERSPECTIVES ON THE MOST IMPORTANT CHILD HEALTH ISSUES. STAKEHOLDERS PROVIDED FEEDBACK THROUGH PARTICIPATION IN FOCUS GROUPS, KEY INFORMANT INTERVIEWS, OR A PARENT AND CAREGIVER DIGITAL SURVEY. FOCUS GROUPS WERE HELD IN-PERSON AND VIA ZOOM TO SEEK INPUT FROM PARENTS/CAREGIVERS, EDUCATORS, MEDICAL PROVIDERS, AND COMMUNITY LEADERS. A TOTAL OF 19 FOCUS GROUPS ENGAGED 161 OF THESE STAKEHOLDERS, 40 OF WHICH WERE SPECIFICALLY FROM NORTHWEST ARKANSAS. OF THE 19 FOCUS GROUPS, FOUR WERE INTENTIONALLY HELD IN-PERSON, IN SPANISH, AND IN FOUR DIFFERENT REGIONS OF THE STATE: DEQUEEN (SOUTHWEST ARKANSAS), WARREN (SOUTHEAST ARKANSAS), LITTLE ROCK (CENTRAL ARKANSAS), AND SPRINGDALE (NORTHWEST ARKANSAS). EACH FOCUS GROUP CONVERSATION LASTED 60-MINUTES AND WAS RECORDED TO ENSURE THAT ALL COMMENTS WERE CAPTURED FOR ANALYSIS. TWO TEAM MEMBERS LED THE FOCUS GROUPS: ONE WHO FACILITATED THE DISCUSSION AND ONE WHO CAPTURED COMMENTS AND IDENTIFIED THEMES. A FOCUS GROUP GUIDE WAS DEVELOPED TO PROVIDE STRUCTURE FOR THE DISCUSSIONS. IT INCLUDED A FULL SCRIPT OF THE INTRODUCTORY INFORMATION TO BE PROVIDED TO EACH GROUP ABOUT WHY THEY HAD BEEN INVITED TO JOIN THE CONVERSATION AND HOW THE INFORMATION WOULD BE USED TO HELP IDENTIFY AND ADDRESS CHILDREN'S HEALTH NEEDS IN ARKANSAS. IT ALSO INCLUDED POLL QUESTIONS THAT WERE INSERTED INTO THE CONVERSATION INTERMITTENTLY. CONVERSATIONS OPENED WITH GENERAL QUESTIONS ABOUT THEIR THOUGHTS ABOUT THE STATUS OF CHILDREN IN ARKANSAS, FOLLOWED BY MORE SPECIFIC EXPLORATION AROUND SOCIAL DETERMINANTS OF HEALTH, ACCESSIBILITY AND QUALITY OF CLINICAL CARE, PHYSICAL ENVIRONMENT, HEALTHY BEHAVIORS, AND SOCIAL AND ECONOMIC FACTORS IMPACTING HEALTH. EACH TOPIC PROVIDED OPPORTUNITIES FOR THE FACILITATOR TO PROBE DEEPER TO GET FULL PERSPECTIVES FROM PARTICIPANTS. EACH FOCUS GROUP CLOSED WITH PARTICIPANTS BEING GIVEN THE OPPORTUNITY TO SHARE IDEAS OF HOW THEY WOULD IMPROVE CHILDREN'S HEALTH IF UNLIMITED RESOURCES WERE AVAILABLE.A COMBINATION OF INDUCTIVE AND DEDUCTIVE ANALYSIS WAS USED ON THE VERBATIM NOTES AND RECORDINGS CAPTURED DURING THE FOCUS GROUP DISCUSSIONS. ADDITIONALLY, THEMES THAT EMERGED ACROSS MULTIPLE GROUPS, AS WELL AS ANY GROUP DYNAMICS THAT MAY HAVE INFLUENCED COMMENTS, WERE NOTED. USING INITIAL THEMES, COMMENTS AND RESPONSES WERE CODED INTO PRELIMINARY CATEGORIES. ADDITIONAL THEMES OR "SUB-THEMES" THAT SURFACED WERE THEN ADDED TO THE CATEGORIES. THE THEMES AND COMMENTS WERE ORGANIZED IN A SPREADSHEET FORMAT WITH MULTIPLE TABS FOR THEMES RELATED TO THE PARTICULAR AUDIENCE IN THE FOCUS GROUP. A SUMMARY OF HIGH-LEVEL FINDINGS WAS DEVELOPED, ALONG WITH A COMPLETE NARRATIVE REPORT OF THE FOCUS GROUPS DATA. THE POLL QUESTIONS INSERTED INTO THE DISCUSSIONS ALSO PROVIDED A LIMITED AMOUNT OF QUANTITATIVE DATA FROM THE FOCUS GROUPS.KEY INFORMANT INTERVIEWS WERE CONDUCTED VIA ZOOM BY BOYETTE STRATEGIC ADVISORS IN JULY AND AUGUST 2021. A TOTAL OF 41 SUBJECT MATTER EXPERTS AND OTHER KEY STAKEHOLDERS, INCLUDING MEDICAL PROVIDERS, EDUCATORS, POLICY OFFICIALS, ACNW SENIOR LEADERSHIP, AND COMMUNITY LEADERS WERE INTERVIEWED. THESE INFORMANTS WERE INCLUSIVE OF LEADERS WHO REPRESENTED MINORITY AND IMMIGRANT COMMUNITIES, AND EIGHT OF THE INFORMANTS WERE FROM NORTHWEST ARKANSAS. QUESTIONS USED FOR THE INTERVIEWS WERE CENTERED ON THE CONDITIONS THAT IMPACT HEALTH OR SOCIAL DETERMINANTS OF HEALTH, BUT ALSO PROVIDED OPPORTUNITIES FOR THE INTERVIEWEES TO SHARE THEIR THOUGHTS ABOUT A VARIETY OF POTENTIAL NEEDS AND CONCERNS. INTERVIEWS ALSO INCLUDED AN OPPORTUNITY FOR KEY INFORMANTS TO SHARE THEIR THOUGHTS ON ANY COVID-19 IMPACTS TO CHILDREN'S HEALTH THAT MAY SURFACE OVER THE NEXT THREE TO FIVE YEARS.BOYETTE COMPLETED AN INITIAL ANALYSIS OF THE INTERVIEWS BY IDENTIFYING KEY THEMES THAT EMERGED OVER THE COURSE OF ALL CONVERSATIONS. ALL INTERVIEW NOTES WERE ORGANIZED IN A SPREADSHEET FORMAT THAT ALLOWED FOR QUANTIFYING THE FREQUENCY AND DEPTH OF CONCERNS ABOUT EACH OF THE NEEDS. A SERIES OF INTERSECTING FACTORS ALSO SURFACED AS THE THEMES WERE ANALYZED. BOYETTE PROVIDED A SUMMARY OF FINDINGS FROM THE INTERVIEWS TO THE ACH TEAM, INCLUDING QUOTES FROM KEY INFORMANTS THAT ILLUSTRATED THE PERSPECTIVES THAT WERE COMMON ACROSS MOST OF THE INTERVIEWS.ARKANSAS CHILDREN'S CONTRACTED KLEIN & PARTNERS, A HEALTHCARE FOCUSED MARKET RESEARCH FIRM, TO DESIGN AND FIELD A DIGITAL PARENT AND CAREGIVER SURVEY TO GATHER PARENT/CAREGIVER PERSPECTIVES ON A VARIETY OF ISSUES THAT POTENTIALLY IMPACT CHILDREN'S HEALTH AND WELL-BEING. WHILE THE 2019 CHNA'S PARENT AND CAREGIVER SURVEY WAS CONDUCTED BY TELEPHONE, THIS SURVEY WAS FIELDED DIGITALLY IN ORDER TO AVOID EMERGING LIMITATIONS WITH THE TELEPHONE METHODOLOGY. THE ONLINE SURVEY WAS FIELDED BETWEEN AUGUST 26 AND SEPTEMBER 16, 2021, TO A TOTAL OF 606 RESPONDENTS ACROSS ARKANSAS, 206 OF WHOM WERE FROM NORTHWEST ARKANSAS. TO ENSURE A VALID AND REPRESENTATIVE SAMPLE, DATA WAS WEIGHTED BY COUNTY, INCOME, EDUCATION, AND ETHNICITY. THE SAMPLE INCLUDED PARENTS OR CAREGIVERS WHO ARE THE HEALTHCARE DECISION-MAKERS FOR THEIR CHILDREN AND DO NOT WORK IN HEALTHCARE.ADDITIONALLY INCLUDED IN THE ACNW CHNA WAS INFORMATION FROM THE NORTHWEST ARKANSAS COMMUNITY HEALTH SURVEY, CONDUCTED BY THE NORTHWEST ARKANSAS COUNCIL IN 2021. CHILD HEALTH STAKEHOLDERS REVIEWED EACH COMPONENT OF THE CHNA, SUCH AS THE PARENT AND CAREGIVER SURVEY QUESTIONS AND FOCUS GROUP GUIDE. MANY OF THESE STAKEHOLDERS SUPPLIED INPUT THROUGH THEIR WORK AS PART OF THE NATURAL WONDERS PARTNERSHIP COUNCIL. |
| ARKANSAS CHILDREN'S NORTHWEST | PART V, SECTION B, LINE 6A: THE ARKANSAS CHILDREN'S NORTHWEST CHNA WAS CONDUCTED IN PARTNERSHIP WITH ARKANSAS CHILDREN'S HOSPITAL. BOTH HOSPITALS ARE PART OF THE ARKANSAS CHILDREN'S SYSTEM, AND NORTHWEST ARKANSAS IS A SHARED COMMUNITY OF BOTH HOSPITALS. |
| ARKANSAS CHILDREN'S NORTHWEST | PART V, SECTION B, LINE 6B: THE ACNW NEEDS ASSESSMENT ENGAGED INDIVIDUALS AND ORGANIZATIONS THAT REPRESENT THE COMMUNITIES SERVED. MANY REPRESENTATIVES OF ORGANIZATIONS ARE PART OF NATURAL WONDERS PARTNERSHIP COUNCIL. SCHOOLS, PARENTS, CAREGIVERS, AND A VARIETY OF ORGANIZATIONS WITH AN INTEREST IN THESE ISSUES WERE ENGAGED IN DEFINING THE NEEDS FOR THIS CHNA. THOSE ORGANIZATIONS INCLUDE:-ARKANSAS DEPARTMENT OF HEALTH-ARKANSAS DEPARTMENT OF EDUCATION DIVISION OF PRIMARY AND SECONDARY EDUCATION-ARKANSAS DEPARTMENT OF HUMAN SERVICES-ARKANSAS MINORITY HEALTH COMMISSION-ARKANSAS FOOD BANK-NORTHWEST ARKANSAS FOOD BANK-UNIVERSITY OF ARKANSAS FOR MEDICAL SCIENCES-ARKANSAS HUNGER RELIEF ALLIANCE-ARKANSAS ADVOCATES FOR CHILDREN AND FAMILIES-HEALTH POLICY ORGANIZATIONS INCLUDING THE ARKANSAS CENTER FOR HEALTH IMPROVEMENT-HEALTH CARE PROVIDERS INCLUDING PEDIATRICIANS, FAMILY PRACTICE PHYSICIANS, NURSES, DENTISTS, AND PHARMACISTS-SCHOOLS AND SCHOOL-BASED HEALTH CLINICS-IMMUNIZE ARKANSAS-ARKANSAS FOUNDATION FOR MEDICAL CARE (AFMC)-NONPROFIT ORGANIZATIONS PROVIDING DIRECT SERVICES TO CHILDREN-PRIVATE HEALTH INSURANCE COMPANIES-FAITH COMMUNITY REPRESENTATIVES-LOW-INCOME LEGAL SERVICES ORGANIZATIONS-PRIVATE FOUNDATIONS LIKE THE ARKANSAS COMMUNITY FOUNDATION-THE ARKANSAS CAMPAIGN FOR GRADE-LEVEL READING-PRIVATE INDUSTRIES FROM PHARMACEUTICAL COMPANIES TO CHAMBERS OF COMMERCE |
| ARKANSAS CHILDREN'S NORTHWEST | PART V, SECTION B, LINE 7D: PRESENTATIONS ON THE FINDINGS FROM THE 2022 ACNW CHNA ARE ON-GOING AND HAVE ALREADY BEEN PROVIDED TO THE NATURAL WONDERS PARTNERSHIP COUNCIL, ACNW STAFF, ACNW VOLUNTEERS, THE NORTHWEST ARKANSAS COUNCIL, NEWS MEDIA OUTLETS, AND OTHER PUBLIC ORGANIZATIONS. IT IS ALSO AVAILABLE FOR PUBLIC VIEW WITHOUT CHARGE ON THE ARKANSAS CHILDREN'S WEBSITE. |
| ARKANSAS CHILDREN'S NORTHWEST | PART V, SECTION B, LINE 11: COMMUNITY HEALTH IMPROVEMENT INTRODUCTION: FOR THE 2022 CHNA, ARKANSAS CHILDREN'S USED A RATING AND WEIGHTING INDEX, DESCRIBED ON PAGES 16-17 OF THE CHNA, TO PRIORITIZE THE COMMUNITY HEALTH NEEDS WHICH WERE IDENTIFIED. THE RATING AND WEIGHTING TOOL WAS UNIQUELY DEVELOPED BY THE ARKANSAS CHILDREN'S COMMUNITY ENGAGEMENT TEAM AND BOYETTE STRATEGIC ADVISORS. USING THIS TOOL AND METHODOLOGY, THE IDENTIFIED NEEDS WERE SCORED. THE SCORING RESULTED IN THREE TIERS OF PRIORITIES (PRIMARY PRIORITIES, SECONDARY PRIORITIES, AND SUSTAINING ACTIVITIES), AND THE DETERMINATION THAT POVERTY AND FINANCES ARE AN INTERSECTING NEED. USING THESE SCORING RESULTS, ACNW WILL WORK TO ADDRESS THE FOLLOWING PRIORITIZED HEALTH NEEDS OVER THE NEXT THREE YEARS: *PRIMARY PRIORITIES: -BEHAVIORAL AND MENTAL HEALTH -IMMUNIZATIONS-FOOD INSECURITY*SECONDARY PRIORITIES: -INFANT HEALTH-CHILD ABUSE AND NEGLECT-ACCESS TO CARE*SUSTAINING ACTIVITIES: -OBESITY-INJURY PREVENTIONAS ARKANSAS CHILDREN'S NORTHWEST WAS CONDUCTING THE 2022 CHNA DURING TAX YEAR 2021/FISCAL YEAR 2022, THEY WERE ALSO CONTINUING THEIR WORK TO ADDRESS HEALTH NEEDS IDENTIFIED IN THEIR LAST CHNA (2019) AND OUTLINED IN THEIR 2020-2022 IMPLEMENTATION STRATEGY. THE FOLLOWING INFORMATION WILL PROVIDE AN UPDATE ON ACTIONS AND WORK WHICH TOOK PLACE DURING FY22 FOR EACH OF THE 2019 CHNA PRIORITIZED HEALTH ISSUES LISTED BELOW.(1)FOOD INSECURITY AND CHILD OBESITY THE FIRST COMPONENT OF THE IMPLEMENTATION STRATEGY IS TO IMPLEMENT EVIDENCE-BASED NUTRITION EDUCATION CURRICULUM TO ADDRESS THE FOCUS AREAS OF FOOD INSECURITY AND CHILD OBESITY. ACNW HAS WORKED WITH ARKANSAS CHILDREN'S HEALTH EDUCATORS TO PROVIDE POP-UP COOKING MATTERS CLASSES TO STUDENTS IN THE NORTHWEST ARKANSAS REGION. POP-UP COOKING MATTERS IS AN INTERACTIVE EXPERIENCE FOR STUDENTS AND OTHER PEOPLE TO LEARN ABOUT COOKING HEALTHY FOOD AND SHOPPING ON A BUDGET. IN FY22, 62 POP-UP COOKING MATTERS PRESENTATIONS WERE GIVEN TO 1,447 JUNIOR HIGH AND HIGH SCHOOL STUDENTS THROUGHOUT THE STATE, INCLUDING STUDENTS AT THESE NORTHWEST ARKANSAS SCHOOLS: ARCHER LEARNING CENTER (14 STUDENTS), LAKESIDE JUNIOR HIGH SCHOOL (104 STUDENTS), AND CENTRAL JUNIOR HIGH SCHOOL (228 STUDENTS) IN BENTON COUNTY AND POTTSVILLE HIGH SCHOOL (14 STUDENTS) IN POPE COUNTY. TO SUPPORT THE WORK OF AREA FOOD BANKS AND PANTRIES, IN JUNE OF 2022, ARKANSAS CHILDREN'S ORGANIZED THEIR ANNUAL FOOD DRIVE. THIS YEAR WAS THE FIRST TIME THE PROJECT WAS TRULY SYSTEM WIDE AND A TREMENDOUS 19,802 NON-PERISHABLE FOOD ITEMS WERE COLLECTED. AT ACNW, 10 TEAMS COLLECTED 2,414 ITEMS FOR THE NORTHWEST ARKANSAS FOOD BANK. OTHER WORK TO ADDRESS FOOD SECURITY INCLUDES STOCKING THE FAMILY HOUSE FOR INPATIENT FAMILIES AT ACNW, AN INPATIENT CAREGIVER MEAL PROGRAM THAT PROVIDES FREE MEALS TO AT-RISK FAMILIES. EMERGENCY FOOD BOXES, DONATED TO ACNW BY THE NORTHWEST ARKANSAS FOOD BANK, ARE ALSO PROVIDED TO FAMILIES WHO SCREEN AS FOOD INSECURE WHEN THEY PRESENT TO THE EMERGENCY DEPARTMENT OR IN PRIMARY CARE AREAS. IN FY22, ARKANSAS CHILDREN'S SYSTEM FINANCIALLY CONTRIBUTED TO A VARIETY OF NONPROFIT FOOD BANKS AND FOOD PANTRIES TO HELP STRENGTHEN THE FOOD SECURITY OF FAMILIES AND THEIR CHILDREN AROUND THE STATE. ORGANIZATIONS SUPPORTED INCLUDE FOOD BANKS SERVING LARGE REGIONS OF THE STATE, LIKE THE ARKANSAS FOOD BANK, ARKANSAS HUNGER RELIEF ALLIANCE, NORTHWEST ARKANSAS FOOD BANK, FOOD BANK OF NORTHEAST ARKANSAS, RIVER VALLEY REGIONAL FOOD BANK, AND FOOD BANK OF NORTH CENTRAL ARKANSAS, AS WELL AS SMALLER ORGANIZATIONS LIKE THE EL ZOCALO IMMIGRANT RESOURCE CENTER, NEIGHBOR-TO-NEIGHBOR OF JEFFERSON COUNTY, AND HELPING HAND OF GREATER LITTLE ROCK. |
| SCHEDULE H, PART V, SECTION B, LINE 11 - CONTINUED | (2) EQUITABLE ACCESS TO CARETHE SECOND COMPONENT OF THE IMPLEMENTATION STRATEGY IS TO IMPROVE ACCESS TO CARE BY PROMOTING CULTURAL AND LANGUAGE COMMUNICATION OPTIONS RELATED TO HEALTH CARE TO ADDRESS THE FOCUS AREA OF EQUITABLE ACCESS TO CARE. NORTHWEST ARKANSAS HAS A DIVERSE PATIENT POPULATION WITH MANY NON-ENGLISH SPEAKING CHILDREN AND FAMILIES. FOR PATIENTS OF ACNW, ENGLISH, SPANISH, AND MARSHALLESE LANGUAGES ARE THE COMMON PRIMARY LANGUAGE. TO ENSURE ALL PATIENTS ARE SERVED IN A CULTURALLY SENSITIVE MANNER, ACNW HAS 12 INTERPRETERS (SEVEN FULL-TIME AND FIVE PART-TIME), AND IS CONTINUALLY EVOLVING AND CUSTOMIZING INTERPRETER SERVICES, BOTH IN PERSON AND VIRTUALLY, IN ORDER TO ENSURE COVERAGE AND BETTER SERVE OUR FAMILIES WHO HAVE LIMITED ENGLISH. INSURANCE AND A FAMILY'S ABILITY TO PAY FOR HEALTH CARE IS AN IMPORTANT COMPONENT OF EQUITABLE ACCESS TO CARE. ACNW HAS AN ESTABLISHED TEAM OF FINANCIAL COUNSELORS WHOSE GOAL IS TO PROVIDE ALL FAMILIES WITH GUIDANCE AND SUPPORT TO ESTABLISH A HEALTHCARE PAYER SOURCE. FINANCIAL COUNSELORS MEET WITH PATIENT FAMILIES WHO HAVE HIGH BALANCES AND DEDUCTIBLES, AS WELL AS SCREEN ALL PATIENTS THAT IDENTIFY AS UNINSURED FOR MEDICAID. IF CRITERIA ARE MET, THEN ACNW FINANCIAL COUNSELING STAFF BEGIN THE APPLICATION PROCESS. FINANCIAL COUNSELING IS OFFERED BY BOTH SPANISH AND MARSHALLESE-SPEAKING STAFF, IN ADDITION TO ENGLISH, TO BEST SERVE THE NORTHWEST ARKANSAS COMMUNITY. DURING FY22, 1,325 APPLICATIONS FOR MEDICAID, THE FINANCIAL ASSISTANCE PROGRAM (FAP), TEFRA, AND SUPPLEMENTAL NUTRITION ASSISTANCE PROGRAM (SNAP) WERE COMPLETED FOR FAMILIES WITH ASSISTANCE BY FINANCIAL COUNSELORS. (3) CHILD INJURY AND PARENTINGTHE THIRD COMPONENT OF THE IMPLEMENTATION STRATEGY IS TO ADDRESS CHILD INJURY BY OFFERING SAFETY MATERIALS AND EDUCATIONAL CLASSES TO PARENTS AND CAREGIVERS IN THE COMMUNITY, ADDRESSING THE FOCUS AREAS OF CHILD INJURY AND PARENTING SUPPORTS. ARKANSAS CHILDREN'S HEALTH EDUCATORS FROM THE COMMUNITY ENGAGEMENT DEPARTMENT CONTINUED TO OFFER BABYSITTING 101 CLASSES IN FY22. DURING BABYSITTING 101, STUDENTS RECEIVE TRAINING IN SAFETY SKILLS, CHILD CARE SKILLS, FIRST AID AND RESCUE SKILLS, AND LIFE AND BUSINESS SKILLS. SIX CLASSES TOOK PLACE IN JUNE 2022, ONE VIRTUAL, FOUR IN-PERSON AT ACH IN LITTLE ROCK, AND ONE IN-PERSON AT ACNW. FIVE OF THE EIGHT VIRTUAL PARTICIPANTS WERE FROM THE ACNW SERVICE AREA. IN TOTAL THIS YEAR, THE PROGRAM TRAINED 68 STUDENTS IN 9 COUNTIES (BENTON, FAULKNER, INDEPENDENCE, LONOKE, MADISON, PULASKI, SALINE, WASHINGTON, AND WHITE) TO BE SAFE AND FUN BABYSITTERS. THE ARKANSAS CHILDREN'S INJURY PREVENTION CENTER (IPC) PROVIDES MANY PROGRAMS TO ASSIST PARENTS AND CAREGIVERS ACROSS THE STATE, INCLUDING NORTHWEST ARKANSAS. ONE PROGRAM THE IPC LEADS IS THE SAFETY BABY SHOWER PROGRAM, WHICH PROVIDES SAFE SLEEP EDUCATION. SAFETY BABY SHOWER CLASSES ARE TAUGHT TO PARENTS AND OFFERED IN A TRAIN-THE-TRAINER MODEL TO EQUIP COMMUNITY MEMBERS TO LEAD THEIR OWN CLASSES. DURING FY22, 45 SAFETY BABY SHOWERS WERE HELD VIRTUALLY, WHILE 3 WERE OFFERED IN-PERSON, TO REACH A TOTAL OF 190 PARTICIPANTS IN 49 ARKANSAS COUNTIES. THE TEAM ALSO TRAINED 116 COMMUNITY MEMBERS TO IMPLEMENT SAFETY BABY SHOWER CLASSES AND DISTRIBUTED 822 BUNDLES OF SAFETY PRODUCTS AND 7,695 BOOKS TO FAMILIES.CHILD PASSENGER SAFETY IS ANOTHER ONE OF THE PRIMARY FOCUSES OF THE IPC. EIGHT CHILD PASSENGER SAFETY CERTIFICATION COURSES WERE OFFERED IN FY22, WHICH TRAINED 103 PROFESSIONALS TO PROPERLY INSTALL CAR SEATS. CLASSES AND CORRESPONDING COMMUNITY SEAT CHECK EVENTS WERE HELD IN BENTON, WASHINGTON, WHITE, PULASKI, SALINE, DREW, FAULKNER, AND LONOKE COUNTIES. FAMILIES ALSO HAVE ACCESS TO CHILD PASSENGER SAFETY EDUCATION AT 26 SATELLITE SITES AROUND THE STATE, WHERE 423 CAR SEATS WERE DONATED TO FAMILIES IN NEED. THE IPC STAFF DONATED ANOTHER 425 CAR SEATS THROUGH ONE-ON-ONE CAR SEAT CONSULTATIONS ON OUR CAMPUSES AND MONTHLY FITTING STATIONS WITH PARTICIPANTS FROM PULASKI, SALINE, LONOKE, CRITTENDEN, CLARK, FAULKNER, JEFFERSON, LITTLE RIVER, HEMPSTEAD, GARLAND, WASHINGTON, WHITE, ARKANSAS, DALLAS, AND MISSISSIPPI. ADDITIONAL COMMUNITY SEAT CHECK EVENTS WERE HELD IN CONJUNCTION WITH CHILD PASSENGER SAFETY TECHNICIAN CERTIFICATION CLASSES IN THE FOLLOWING COUNTIES: BENTON, PULASKI (3), SALINE, WHITE, WASHINGTON, DREW.TEEN DRIVING SAFETY IS ALSO A FOCUS OF THE INJURY PREVENTION CENTER. TWO THOUSAND FOUR HUNDRED AND SEVEN HIGH SCHOOL STUDENTS RECEIVED SAFE DRIVING EDUCATION THROUGH THE YOUTH ACCIDENT PREVENTION PROGRAM (YAPP) PRESENTATIONS AND OTHER TEEN PRESENTATIONS AROUND THE STATE. THE TEEN DRIVING TEAM ALSO SUPPORTED TWO TEEN DRIVING COALITIONS IN CENTRAL ARKANSAS AND NORTHWEST ARKANSAS WHICH HELD 2 MEETINGS WITH A COMBINED TOTAL OF 30 COMMUNITY PARTNERS (PULASKI & WASHINGTON COUNTIES). ADDITIONALLY, THE TEEN DRIVING TEAM FACILITATED A PEER LED ARKANSAS DRIVE SMART CHALLENGE IN 17 SCHOOLS ACROSS THE STATE, TRAINING 341 STUDENT LEADERS, WHICH IMPLEMENTED 58 ACTIVITIES AND COLLECTED 1,826 OBSERVATIONS OF STUDENT SEATBELT AND CELL PHONE USE. A TOTAL OF 29 SCHOOLS RECEIVED SUPPORT AND SAFETY PRODUCTS TO PROMOTE TEEN DRIVING SAFETY WEEK. THE FOLLOWING COUNTIES PARTICIPATE IN AR DRIVE SMART: JEFFERSON, CHICOT, CRITTENDEN, PULASKI, JACKSON, DREW, OUACHITA, GARLAND, ST. FRANCIS, LEE, AND DESHA. THE FOLLOWING COUNTIES RECEIVED A NATIONAL TEEN DRIVING SAFETY WEEK TOOL-KIT: PULASKI, JACKSON, OUACHITA, GARLAND, CHICOT, DESHA, LEE, JEFFERSON, DREW, BENTON, WASHINGTON, SALINE, FAULKNER, GRANT, STONE, AND INDEPENDENCE.OTHER ACTIONS TO ADDRESS CHILD INJURY AND TO SUPPORT PARENTS INCLUDE OFFERING RESOURCES TO FAMILIES IDENTIFIED AS UNDER-RESOURCED BY SOCIAL WORK. THESE INCLUDE CAR SEATS, MEDICATION LOCK BOXES, FIREARMS STORAGE AND LOCKS, AND HALO SLEEP SACKS. ACNW ALSO MADE A FINANCIAL CONTRIBUTION TO THE CHILDREN'S SAFETY CENTER OF WASHINGTON COUNTY, WHICH IS A NON-PROFIT ORGANIZATION BASED ON THE CHILDREN'S ADVOCACY CENTER (CAC) MODEL AND FACILITATES MORE EFFECTIVE PREVENTION, DETECTION, INVESTIGATION, AND TREATMENT OF CHILD ABUSE.(4) IMMUNIZATIONSTHE FOURTH COMPONENT OF THE IMPLEMENTATION STRATEGY IS TO IMPROVE ACCESS TO IMMUNIZATIONS BY COORDINATING PROGRAMS WITH ACTIVITIES THAT PARENTS AND FAMILIES ALREADY ATTEND IN ORDER TO MORE EFFECTIVELY ADDRESS THE FOCUS AREA OF IMMUNIZATIONS. THIS WORK WILL BE ONGOING AS A STATEWIDE IMMUNIZATION STRATEGY IS A KEY COMPONENT OF THE 2020-2025 ARKANSAS CHILDREN'S STRATEGIC PLAN AND IMMUNIZATIONS WERE IDENTIFIED AS A PRIMARY PRIORITY HEALTH NEED DURING THE MOST RECENT CHNA. IMPLEMENTATION PLANNING FOR THIS WORK TOOK PLACE IN FY22, INCLUDING PLANNING FOR BACK-TO-SCHOOL AND MOBILE COMMUNITY VACCINE CLINICS WHICH ARE ALREADY TAKING PLACE IN FY23. ACNW ALSO PARTICIPATES IN THE NATURAL WONDERS PARTNERSHIP COUNCIL - A STATEWIDE ORGANIZATION TO PROMOTE CHILD HEALTH, CONVENED BY ARKANSAS CHILDREN'S HOSPITAL. ONE OF THE WORKGROUPS OF NATURAL WONDERS FOCUSES ON INCREASING PEDIATRIC IMMUNIZATIONS IN ARKANSAS. IMMUNIZE ARKANSAS, A LOCAL STATEWIDE COALITION FOCUSED ON INCREASING IMMUNIZATION RATES IN THE STATE, CO-LED THE NATURAL WONDERS CHILDHOOD IMMUNIZATION WORKGROUP. THE WORKGROUP HAS WORKED WITH HEALTHCARE LEADERS TO COMMUNICATE THE IMPORTANCE OF CATCHING UP ON THE VACCINATION SERIES THAT WERE DELAYED DUE TO CLINIC CLOSURES BECAUSE OF COVID-19. NATURAL WONDERS SURVEYED ALL SCHOOL-BASED HEALTH CENTERS IN THE STATE TO UNDERSTAND WHICH SCHOOL-BASED HEALTH CENTERS NEED ASSISTANCE IN SIGNING UP FOR THE FEDERAL VACCINE FOR CHILDREN (VFC) PROGRAM OR NEED RESOURCES TO IMMUNIZE MORE CHILDREN. THE GOAL OF THE WORKGROUP IS FOR 90% OF ALL SCHOOL-BASED HEALTH CENTERS TO OFFER ALL ADVISORY COMMITTEE ON IMMUNIZATION PRACTICES RECOMMENDED VACCINES. TO-DATE, FIVE SCHOOL-BASED HEALTH CENTERS HAVE RECEIVED RESOURCES TO INCREASE THE CAPACITY FOR VACCINATING CHILDREN. IN THE COMING YEAR IN FY23, THE IMMUNIZATION WORKGROUP WILL WORK TO RECRUIT PHARMACIES IN HIGH NEED AREAS TO BECOME VFC PROVIDERS; DEVELOP RECRUITMENT PLAN AND CAMPAIGN MESSAGES FOR PARTNER VACCINE ADVOCACY WORK; TO INCLUDE PARENTS AS IMPORTANT ADVOCATES; AND PROVIDE IMMUNIZATION EDUCATION MATERIAL FOR SCHOOL NURSES THROUGH THE ARKANSAS DEPARTMENT OF HEALTH COMMUNITY HEALTH PROMOTION SPECIALISTS AND COMMUNITY HEALTH NURSE SPECIALISTS. |
| SCHEDULE H, PART V, SECTION B, LINE 11 - CONTINUED | (5) REPRODUCTIVE HEALTHTHE FIFTH COMPONENT OF THE IMPLEMENTATION STRATEGY IS TO IMPROVE ACCESS TO REPRODUCTIVE HEALTH EDUCATION AND RESOURCES BY EXPANDING PARTNERSHIPS WITH OTHER HEALTHCARE GROUPS, TO ADDRESS THE FOCUS AREA OF REPRODUCTIVE HEALTH. ACNW HAS A PARTNERSHIP WITH COMPASSION HOUSE IN SPRINGDALE, AR. COMPASSION HOUSE OFFERS IMPORTANT SUPPORT TO PREGNANT TEENS, INCLUDING A SAFE PLACE TO LIVE, LIFE SKILLS EDUCATION, AND OTHER SUPPORT. WHILE THIS WORK IS PRIMARILY FOCUSED ON INJURY PREVENTION AND PARENTING SUPPORT (MORE DETAIL IS COVERED IN THAT SECTION), THIS IS RELATED TO THE OVERALL REPRODUCTIVE HEALTH NEEDS OF PREGNANT TEENAGE WOMEN. ACNW HAS PROVIDED DONATIONS AND PLANS TO PROVIDE VOLUNTEER OPPORTUNITIES TO COMPASSION HOUSE IN FY23. ALSO, FY22 WAS THE THIRD CONSECUTIVE SCHOOL YEAR THAT ARKANSAS CHILDREN'S HEALTH EDUCATORS FACILITATED IMPLEMENTATION OF THE LOVE NOTES CURRICULUM, WHICH IS AN INNOVATIVE AND COMPREHENSIVE HEALTHY RELATIONSHIP PROGRAM CONSISTING OF 13 LESSONS. THE EVIDENCE-BASED CURRICULUM FOR STUDENTS IN 9TH-12TH GRADES BUILDS SKILLS AND KNOWLEDGE FOR HEALTHY AND SUCCESSFUL RELATIONSHIPS. A FIVE-YEAR EVALUATION, BY THE US DEPARTMENT OF HEALTH AND HUMAN SERVICES OFFICE OF ADOLESCENT HEALTH, SHOWED LOVE NOTES REDUCED TEEN PREGNANCY RATES BY 46% COMPARED TO THE CONTROL GROUP. THE STUDY ALSO FOUND THAT TEENS WHO WERE TAUGHT LOVE NOTES HAD LESS RECENT SEXUAL ACTIVITY, HAD LESS FREQUENT SEXUAL ACTIVITY OVERALL, WERE MORE LIKELY TO USE PROTECTION IF DECIDING TO STAY SEXUALLY ACTIVE, AND IF DECIDING TO REMAIN ABSTINENT, A HIGHER PERCENTAGE OF THOSE IN THE LOVE NOTES GROUP ACTUALLY REMAINED ABSTINENT.IN FY22, ACH HEALTH EDUCATORS IMPLEMENTED THE LOVE NOTES PROGRAM IN 23 SCHOOLS ACROSS THE STATE, 4 OF WHICH ARE IN THE ACNW COMMUNITY, AND IN TOTAL, 730 HIGH SCHOOL STUDENTS RECEIVED THIS IMPORTANT EDUCATION. THE PROGRAM WAS WELL RECEIVED BY TEACHERS AND STUDENTS AND INTEREST IN THE PROGRAM REMAINS HIGH. PROGRAM POST-TEST EVALUATION DURING JUNE OF 2022, FOUND THAT 67% OF THE STUDENTS REPORTED THEY WERE ABLE TO RECOGNIZE THE WARNING SIGNS OF AN UNHEALTHY RELATIONSHIP AND KNOW HOW TO DEAL WITH IT, A 21% INCREASE FROM PRE-TEST, AND 72% OF THE STUDENTS REPORTED THEY HAVE A PLAN FOR THEIR OWN SEXUAL ACTIVITY, EITHER TO BE ABSTINENT OR HOW TO PACE SEXUAL INVOLVEMENT WITH A TRUSTED PARTNER, A 24% INCREASE FROM PRE-TEST. (6) ORAL HEALTHTHE SIXTH COMPONENT OF THE IMPLEMENTATION STRATEGY IS TO INCREASE ACCESS TO ORAL HEALTH CARE FOR CHILDREN IN NORTHWEST ARKANSAS BY PROVIDING ANCILLARY SUPPORT TO A NETWORK OF PARTNERS TO ADDRESS THIS FOCUS AREA. ACNW WILL CONTINUE TO WORK TO LEVERAGE CURRENT RESOURCES TO EXPAND THE REACH OF PARTNER GROUPS PROVIDING DENTAL OUTREACH. CURRENT ACTIONS TO ADDRESS ORAL HEALTH INCLUDE THE WORK OF THE ARKANSAS CHILDREN'S HOSPITAL MOBILE DENTAL CLINIC AND THE ARKANSAS CHILDREN'S DENTAL SEALANT PROGRAM. IN THE ACNW REGION DURING FY22, THE MOBILE DENTAL CLINICS SERVED 141 PATIENTS ACROSS 305 VISITS, PROVIDING PREVENTATIVE WORK, INCLUDING 261 SEALANTS AND 132 CLEANINGS, AND RESTORATIVE WORK, INCLUDING 17 ROOT CANALS, 61 CROWNS, 195 FILLINGS, 55 EXTRACTIONS, AND 744 OTHER PROCEDURES, SUCH AS ORAL EXAMS, X-RAYS, FLUORIDE APPLICATIONS, NITROUS ADMINISTRATION, AND PLACING SPACE MAINTAINERS. WHEN ASKED ABOUT THEIR FAVORITE SUCCESS STORY, ONE NORTHWEST ARKANSAS MOBILE DENTAL TEAM MEMBER SAID, "HE WAS SEVEN, WEIGHED ONLY 28 LBS. AND COULDN'T EAT A NORMAL DIET BECAUSE HIS TEETH WERE IN SUCH BAD SHAPE. WE WORKED ON AND REPAIRED 21 OF HIS 24 TEETH; AND WE SAVED 3 PERMANENT MOLARS THAT WOULD HAVE BEEN EXTRACTED ANYWHERE ELSE. WE SAW HIM 4 MONTHS LATER AT A FOLLOW UP APPOINTMENT, AND HE HAD ACTUALLY GAINED ALMOST 10 LBS. BECAUSE HE COULD FINALLY EAT QUALITY FOOD. HE LEFT OUR TRUCK A HAPPIER AND MORE CONFIDENT LITTLE BOY. THAT IS WHY I LOVE WHAT WE DO HERE. WE NOT ONLY IMPACT A CHILD'S ORAL HEALTH, WE INCREASE THEIR CONFIDENCE AND IMPROVE THEIR OVERALL HEALTH."DURING FY22, THE ARKANSAS CHILDREN'S DENTAL SEALANT PROGRAM CONTINUED TO BE UNABLE TO PLACE SEALANTS DUE TO COVID RESTRICTIONS. INSTEAD, THE PROGRAM OFFERED ORAL HEALTH SCREENINGS AND FLUORIDE APPLICATIONS AT 63 SCHOOLS IN 23 COUNTIES OF THE STATE. SPECIFICALLY, IN THE ACNW SERVICE AREA (BENTON, WASHINGTON, AND CARROLL COUNTIES), THEY SCREENED AND GAVE FLUORIDE APPLICATIONS TO 2,698 CHILDREN AND IDENTIFIED 894 (33%) OF THOSE CHILDREN AS HAVING OBVIOUS DECAY. NOTES WERE SENT HOME WITH THESE STUDENTS TO INFORM THEIR PARENTS THAT THEY NEED TO SEEK DENTAL CARE. THE PROGRAM RECEIVED POSITIVE FEEDBACK FROM SCHOOL NURSES, WHO SAID THIS PROCESS HELPED AFFIRM THE MESSAGE THEY HAD BEEN TRYING TO GET ACROSS TO PARENTS, AS WELL AS MOTIVATING PARENTS TO GET THE NEEDED DENTAL CARE FOR THEIR CHILDREN.(7) SOCIAL ISSUESTHE SEVENTH COMPONENT OF THE IMPLEMENTATION STRATEGY IS TO ADDRESS SOCIAL ISSUES THAT IMPACT CHILD HEALTH BY COLLABORATING WITH A BROAD NETWORK OF CHILD HEALTH STAKEHOLDERS IN NORTHWEST ARKANSAS. PART OF THE STATEWIDE, SYSTEM-WIDE WORK TO ADDRESS THE SOCIAL ISSUES OF FAMILIES IS THE CLOSED-LOOP REFERRAL SYSTEM, ARKANSAS CHILDREN'S RESOURCE CONNECT (POWERED BY FINDHELP.ORG). THIS SYSTEM WAS LAUNCHED IN APRIL 2021 FOR USE BY PATIENTS, FAMILIES, AND STAFF AT ARKANSAS CHILDREN'S HOSPITAL AND ARKANSAS CHILDREN'S NORTHWEST. DURING FY22, 11,658 SEARCHES OCCURRED, MOST COMMONLY FOR FOOD PANTRIES, HELP TO PAY FOR UTILITIES, AND HELP TO PAY FOR HOUSING. ALSO, A TOTAL OF 349 REFERRALS TOOK PLACE, WITH 91 BEING CLOSED LOOP, WHERE IT IS CONFIRMED THAT THE INDIVIDUAL OR FAMILY RECEIVED HELP. THIS DIGITAL SYSTEM IS GREATLY HELPING ARKANSAS CHILDREN'S REFER FAMILIES TO RESOURCES FOR MEETING BASIC NEED AND HELP WITH OTHER SOCIAL RESOURCES.IN ADDITION, THE SITE HAS AN OUTWARD FACING COMPONENT THAT ALLOWS FOR ANYONE, ANYWHERE TO SEARCH FOR FREE AND REDUCED-COST RESOURCES THAT HELP ADDRESS AND ALLEVIATE THE SOCIAL VULNERABILITIES THAT IMPACT HEALTH. THE ARKANSAS CHILDREN'S MEDICAL LEGAL PARTNERSHIP IS ONE OF THE REFERRALS POSSIBLE WITH ARKANSAS CHILDREN'S RESOURCE CONNECT. THESE LEGAL AID ATTORNEYS HELP ELIGIBLE FAMILIES WITH HEALTH-HARMING LEGAL NEEDS. FROM JULY 2021 THROUGH JUNE 2022, THE ATTORNEYS CLOSED 147 CASES, RANGING FROM BRIEF LEGAL ADVICE AND/OR SERVICES TO EXTENDED REPRESENTATION. THE MOST FREQUENT TYPES OF CASES WERE TO SUPPORT FAMILY STABILITY INCLUDING CHILD CUSTODY, DIVORCE, ADDRESSING DOMESTIC VIOLENCE (30 CASES), HOUSING AND RENTING CONDITIONS (28 CASES), OR ADULT GUARDIANSHIP ISSUES (27 CASES).IN ADDITION TO THESE NEWER SCREENING PROCESSES, THE ACNW SOCIAL WORK DEPARTMENT CONTINUES TO SUPPORT THE BASIC NEEDS OF FAMILIES. THROUGH SOCIAL WORK, ACNW IS ABLE TO PROVIDE GAS CARDS, WARM MEALS AND LODGING FOR ELIGIBLE FAMILIES, BEREAVEMENT ASSISTANCE FOR GRIEVING FAMILIES, AND IN EXTENUATING CIRCUMSTANCES, FINANCIAL ASSISTANCE WITH MONTHLY BILLS LIKE HOUSING AND UTILITY PAYMENTS. OTHER ITEMS THAT ARE SHARED TO MEET FAMILIES' IMMEDIATE NEEDS INCLUDE: SAFETY ITEMS, CLOTHING, TRANSPORTATION, FOOD, AND PRESCRIPTION ASSISTANCE. SAFETY ITEMS REFER TO PRODUCTS SUCH AS PACK 'N PLAYS, CAR SEATS, AND LOCK BOXES FOR MEDICATIONS OR GUNS THAT ARE USED IN COMBINATION WITH EDUCATION TO REDUCE PREVENTABLE INJURY AND DEATH IN CHILDREN. FUTURE OPPORTUNITIESDUE TO THE CURRENT LIMITED RESOURCES AT ACNW, AND THE WORK ALREADY BEING DONE TO ADDRESS MENTAL HEALTH AND SUBSTANCE USE IN THE NORTHWEST REGION OF THE STATE, ACNW CHOSE NOT TO FOCUS ON MENTAL HEALTH AND SUBSTANCE USE DURING FY22. HOWEVER, AS BEHAVIORAL AND MENTAL HEALTH WAS IDENTIFIED AS A PRIMARY PRIORITY HEALTH NEED DURING THE LATEST CHNA, ACNW HAS MADE PLANS IN THEIR LATEST IMPLEMENTATION STRATEGY TO BEGIN ADDRESSING THE NEEDS IN THIS AREA BEGINNING IN FY23. |
| SCHEDULE H, PART V, SECTION B, LINE 16A - FAP WEBSITE | WWW.ARCHILDRENS.ORG/PATIENTS-AND-VISITORS/BILLING-AND-INSURANCE/FINANCIAL-ASSISTANCE |
| SCHEDULE H, PART V, SECTION B, LINE 16B - FAP APPLICATION | WWW.ARCHILDRENS.ORG/PATIENTS-AND-VISITORS/BILLING-AND-INSURANCE/FINANCIAL-ASSISTANCE |
| SCHEDULE H, PART V, SECTION B, LINE 16C - FAP PLAIN LANGUAGE SUMMARY | WWW.ARCHILDRENS.ORG/PATIENTS-AND-VISITORS/BILLING-AND-INSURANCE/FINANCIAL-ASSISTANCE |
Supplemental Information Detail SupplementalInformationDetail (13 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINE 3C: | ACNW USES FEDERAL POVERTY GUIDELINES TO DETERMINE FREE OR DISCOUNTED CARE.PART I, LINE 4:ACNW DOES NOT HAVE A SPECIFIC FINANCIAL ASSISTANCE PROGRAM FOR THE "MEDICALLY INDIGENT" AS DEFINED BY AR CODE SECTION 6-64-503(A), BUT ITS FINANCIAL ASSISTANCE POLICY DOES PROVIDE FREE CARE FOR INDIVIDUALS WITH HOUSEHOLD INCOMES UP TO 250% OF POVERTY AND DISCOUNTED CARE FORINDIVIDUALS WITH HOUSEHOLD INCOMES UP TO 400% OF POVERTY. AS PART OF THE APPLICATION PROCESS, ACNW REQUESTS THAT PERSONS WITH NO INCOME AND ALSO INELIGIBLE FOR MEDICAID, MEDICARE, OR MARKETPLACE SUBSIDIES PROVIDE A WRITTEN SIGNED STATEMENT DESCRIBING HOW THEY ARE MEETING THEIR DAY TO DAY BASIC LIVING NEEDS. THE APPLICATION SPECIFIES SUCH REQUIREMENTS FOR APPLICANTS WITH "NO INCOME IN THE HOME". ACNW ALSO ASSISTS FAMILIES IN APPLYING FOR MEDICAID (INCLUDING THE TEFRA PROGRAM FOR DISABLED CHILDREN THAT ONLY CONSIDERS THE CHILD'S INCOME), SSI, CHILDREN'S MEDICAL SERVICES, AS WELL AS ACH'S OWN FINANCIAL ASSISTANCE PROGRAM. THE HOSPITAL ALSO ALLOWS INTEREST FREE PAYMENTS TO BE MADE UNTIL THE OUTSTANDING BALANCE IS PAID WITHOUT TIME CONSTRAINTS. ACNW DOES NOT REPORT TO COLLECTION AGENCIES OR TAKE OTHER EXTRAORDINARY COLLECTION EFFORTS. |
| PART I, LINE 7: | COSTING METHOD - ARKANSAS CHILDREN'S NORTHWEST (ACNW) USES A COST ACCOUNTING (CA) SYSTEM AS THE BASIS FOR DETERMINING COST FOR ITS PATIENTS. ALL PATIENT ENCOUNTERS (INPATIENT, OUTPATIENT, ED, AMBULATORY SURGERY) ARE CAPTURED IN THE COST ACCOUNTING SYSTEM FOR ALL PATIENTS (MEDICAID, INSURANCE, UNINSURED) WITH NO DIFFERENTIATION FOR TYPE OF INSURANCE, IF ANY. A BRIEF DESCRIPTION OF THE COST ACCOUNTING SYSTEM IS BELOW.THE COST ACCOUNTING SYSTEM AT ACNW IS A DETAILED PROCEDURE SYSTEM. ALL SERVICES PERFORMED BY PATIENT CARE STAFF HAVE BEEN EVALUATED AS TO THE RESOURCES UTILIZED TO PROVIDE THE SERVICES INCLUDING LABOR, DIRECT MATERIALS AND EQUIPMENT. IN ADDITION, OVERHEAD TYPE COSTS (BUILDING, UTILITIES, PAYROLL, ETC.) HAVE ALSO BEEN ALLOCATED TO THESE SERVICES. THE TWO COMPONENTS, DIRECT AND INDIRECT COSTS, ARE COMBINED AND REPRESENT THE TOTAL COST TO PROVIDE EACH SERVICE. THIS IS DONE ON A PROCEDURE LEVEL BASIS. AS A PATIENT IS ADMITTED AND INCURS SERVICES (X-RAYS, ROOM & BOARD, LAB, ETC.), THE APPLICABLE PROCEDURE COSTS ARE ASSIGNED TO EACH PARTICULAR PATIENT. UPON DISCHARGE, THE COSTS FROM THE INDIVIDUAL PROCEDURES THAT WERE PROVIDED TO EACH PATIENT ARE ADDED UP FOR A TOTAL COST OF PROVIDING CARE FOR EACH INDIVIDUAL PATIENT.THE COST ACCOUNTING SYSTEM IS UPDATED ANNUALLY TO REFLECT THE CURRENT YEAR'S EXPENSES. |
| PART I, LINE 7G: | SUBSIDIZED HEALTH SERVICES - ACNW PROVIDES MANY PEDIATRIC SPECIALIZED SERVICES TO THE COMMUNITY THAT ARE EITHER NOT AVAILABLE OR ARE BEYOND THE CAPACITY OF THE COMMUNITY TO PROVIDE. MANY OF THESE SERVICES ARE PROVIDED BY ACNW AT A LOSS. THESE LOSSES WERE OBTAINED FROM THE COST ACCOUNTING SYSTEM. |
| PART II, COMMUNITY BUILDING ACTIVITIES: | ACNW CONTRIBUTES TO THE COMMUNITY IT SERVES BOTH AT A LOCAL AND A REGIONAL LEVEL. THERE ARE MULTIPLE EXAMPLES OF ORGANIZATIONS THAT ACNW HELPS SUPPORT. AS DETAILED IN THE FOOD SECURITY SECTION, ACNW AND THE ARKANSAS CHILDREN'S SYSTEM MAKE FINANCIAL CONTRIBUTIONS TO NWA FOOD PANTRIES AND FOOD BANKS. OTHER ORGANIZATIONS ACNW SUPPORTED THIS FISCAL YEAR INCLUDE, THE ANNUAL NORTHWEST ARKANSAS FUNDRAISER OF ARKANSAS ADVOCATES FOR CHILDREN AND FAMILIES. ARKANSAS ADVOCATES FOR CHILDREN AND FAMILIES WORKS TO ENSURE THAT ALL CHILDREN AND THEIR FAMILIES HAVE THE RESOURCES AND OPPORTUNITIES TO LEAD HEALTHY AND PRODUCTIVE LIVES. THEY WORK TO ACHIEVE THIS GOAL THROUGH POLICY ADVOCACY, SHARING DATA TO SUPPORT PUBLIC POLICY, AND ORGANIZING COALITIONS OF DIVERSE GROUPS TO DRIVE CHANGE. ACNW HAS ALSO CONTRIBUTED TO THE CHILDREN'S SAFETY CENTER OF WASHINGTON COUNTY, LEUKEMIA & LYMPHOMA SOCIETY, SPRINGDALE CHAMBER OF COMMERCE, BENTONVILLE CHAMBER OF COMMERCE, FAYETTEVILLE CHAMBER OF COMMERCE, DOWN SYNDROME CONNECTION OF NWA, SPRINGDALE FIRE DEPARTMENT, AND MORE. |
| PART III, LINE 2: | BAD DEBT EXPENSE REPORTED ON LINE 2 REPRESENTS UNCOLLECTIBLE PATIENT ACCOUNTS AND IS CALCULATED ON A COST BASIS. |
| PART III, LINE 4: | UNCOLLECTIBLE UNCOMPENSATED CARE GENERALLY REPRESENTS STANDARD CHARGES THAT ARE UNREALIZED DUE TO AN UNWILLINGNESS TO PAY BY THOSE RESPONSIBLE FOR PAYMENT, THEREFORE BAD DEBT. UNCOLLECTIBLE UNCOMPENSATED CARE IS REPORTED AS A DEDUCTION FROM GROSS PATIENT REVENUE.FOR UNINSURED PATIENTS WHO DO NOT QUALIFY FOR CHARITY CARE, ACNW RECOGNIZES REVENUE BASED ON ESTABLISHED RATES, SUBJECT TO CERTAIN DISCOUNTS AS DETERMINED BY ACNW. AN ESTIMATED PROVISION FOR UNCOLLECTIBLE ACCOUNTS IS RECORDED THAT RESULTS IN NET PATIENT SERVICE REVENUE BEING REPORTED AT THE NET AMOUNT EXPECTED TO BE RECEIVED. IT HAS BEEN DETERMINED, BASED ON AN ASSESSMENT AT THE CONSOLIDATED ENTITY LEVEL, THAT PATIENT SERVICE REVENUE IS PRIMARILY RECORDED PRIOR TO ASSESSING THE PATIENT'S ABILITY TO PAY AND AS SUCH, THE ENTIRE PROVISION FOR UNCOLLECTIBLE ACCOUNTS RELATED TO PATIENT REVENUE IS RECORDED AS A DEDUCTION FROM PATIENT SERVICE REVENUE IN THE ACCOMPANYING CONSOLIDATED STATEMENTS OF OPERATIONS.PATIENT RECEIVABLES ARE REDUCED BY AN ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS. PERIODICALLY THROUGHOUT THE YEAR, MANAGEMENT ASSESSES THE ADEQUACY OF THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS BASED UPON HISTORICAL WRITE OFF EXPERIENCE BY PAYOR CATEGORY. THE RESULTS OF THIS REVIEW ARE THEN USED TO MAKE MODIFICATIONS TO THE PROVISION FOR UNCOLLECTIBLE ACCOUNTS TO ESTABLISH AN APPROPRIATE ALLOWANCE FOR UNCOLLECTIBLE RECEIVABLES.FOR PATIENT RECEIVABLES ASSOCIATED WITH SELF PAY PATIENTS, INCLUDING PATIENTS WITH DEDUCTIBLE AND COPAYMENT BALANCES FOR WHICH THIRD PARTY COVERAGE PROVIDES FOR A PORTION OF THE SERVICES PROVIDED, ACNW RECORDS AN ESTIMATED PROVISION FOR UNCOLLECTIBLE ACCOUNTS IN THE YEAR OF SERVICE. |
| PART III, LINE 8: | THE ACNW MEDICARE POPULATION IS PRIMARILY RENAL PEDIATRIC PATIENTS. THEREFORE, THE MEDICARE SHORTFALL, IF ANY, SHOULD BE INCLUDED AS A COMPONENT OF COMMUNITY BENEFIT BECAUSE THE REIMBURSEMENT IS NOT NEGOTIATED AND SERVICES CANNOT BE PROVIDED ELSEWHERE. |
| PART III, LINE 9B: | ARKANSAS CHILDREN'S USES ITS BEST EFFORTS TO ASSIST PATIENTS/GUARANTORS IN MEETING THEIR FINANCIAL RESPONSIBILITY FOR SERVICES PROVIDED AT ACNW. OUR POLICY IS TO ACT WITH INTEGRITY IN ALL ENDEAVORS; TREATING ALL PATIENTS AND THEIR FAMILIES WITH DIGNITY, RESPECT, AND COMPASSION. THE STANDARD PROCESS INCLUDES OFFERING FINANCIAL ASSISTANCE TO ELIGIBLE FAMILIES. NOTICES REGARDING THE FINANCIAL ASSISTANCE PROGRAM ARE POSTED IN ENGLISH AND SPANISH IN ALL REGISTRATION AREAS. FINANCIAL ASSISTANCE BROCHURES ARE AVAILABLE TO FAMILIES UPON REQUEST. THE GUARANTOR STATEMENTS AND THE ARKANSAS CHILDREN'S WEBSITE CONTAIN INFORMATION ABOUT THIS PROGRAM. THERE ARE FINANCIAL COUNSELORS AVAILABLE TO ALL REGISTRATION AREAS OF THE HOSPITAL TO ASSIST IN COMPLETING MEDICAID, CMS, SSI INTENTS, AND FINANCIAL ASSISTANCE APPLICATIONS. ACNW BILLING AND COLLECTIONS IS A SERVICE PROVIDED BY ARKANSAS CHILDREN'S HOSPITAL (ACH), WHICH IS AN AFFILIATED COMPANY. ACH TAKES NO EXTRAORDINARY COLLECTION EFFORTS. ACH DOES NOT REPORT TO CREDIT BUREAUS OR CHARGE INTEREST OR FILE LIENS AGAINST A PATIENT'S OR FAMILY'S RESIDENCE TO SECURE PAYMENT ON PATIENT ACCOUNT BALANCES. UPON RECEIPT OF A PERSONAL BANKRUPTCY NOTICE, ANY OUTSTANDING SELF-PAY BALANCES FOR THE ASSOCIATED PATIENT ARE WRITTEN OFF ONCE ALL OTHER PAYMENTS HAVE BEEN RECEIVED. ALL SELF-PAY COLLECTION ACTIVITY IS STOPPED UPON NOTIFICATION OF THE BANKRUPTCY.UPFRONT DISCOUNTS ON SERVICES FOR THE UNINSURED ARE OFFERED. THE FAMILY CAN ALSO REQUEST A PROMPT PAY DISCOUNT. ADDITIONALLY, ACH ATTEMPTS TO ACCOMMODATE U.S. FAMILIES WHO DESIRE TO SET UP REASONABLE PAYMENT PLANS. INTEREST IS NOT CHARGED. THE HOSPITAL'S GUARANTOR STATEMENTS ARE DESIGNED TO KEEP THE GUARANTOR UPDATED AS TO WHETHER THE ACCOUNT IS STILL PENDING RESOLUTION BY INSURANCE OR DUE FROM THE GUARANTOR. SELF-PAY COLLECTION ATTEMPTS ARE DISCONTINUED ONCE CHARGES ARE DETERMINED TO QUALIFY FOR FINANCIAL ASSISTANCE. |
| PART VI, LINE 2: | ARKANSAS CHILDREN'S NORTHWEST CONDUCTED ITS INITIAL COMMUNITY HEALTH NEEDS ASSESSMENT AND IMPLEMENTATION STRATEGY DURING FISCAL YEAR 2019 AND EARLY FISCAL YEAR 2020, AND HAS CONTINUED ASSESSMENT WITH THEIR MOST RECENT CHNA AND IMPLEMENTATION STRATEGY ISSUED IN 2022.ACNW'S CHNA IS COMPREHENSIVE AND FOCUSES ON THE HOSPITAL'S 15 COUNTY SERVICE AREA. HOWEVER, CLINICAL ASSESSMENT OF NEEDS HAS DRIVEN ADDITIONAL EFFORTS TO IMPROVE ACCESS TO APPROPRIATE HEALTH CARE FOR CHILDREN AND TO EDUCATE A VARIETY OF STAKEHOLDERS IN ARKANSAS. FOR EXAMPLE, SCHOOL NURSES IDENTIFIED CERTAIN AREAS, SUCH AS TRACHEOSTOMY CARE, IN WHICH THEY FELT THEY NEEDED ADDITIONAL EDUCATION, AND ARKANSAS CHILDREN'S PARTNERED WITH THE AR DEPARTMENT OF HEALTH TO MEET THOSE NEEDS THROUGH THE SCHOOL NURSE ACADEMY. ACNW'S FAMILY ADVISORY BOARD HELPS GUIDE THE HOSPITAL STAFF AND BOARD REGARDING ISSUES RELATED TO ITS SERVICES AND IN CREATING A FAMILY-FRIENDLY, FAMILY-CENTERED PLACE OF CARE. |
| PART VI, LINE 3: | PLEASE SEE PART III, LINE 9B DESCRIPTION. |
| PART VI, LINE 4: | AS THE REGION'S FIRST AND ONLY PEDIATRIC HOSPITAL, ACNW DEFINES THE COMMUNITY IT SERVES AS THE APPROXIMATELY 250,000 CHILDREN LOCATED IN THE 15-COUNTY NORTHWEST ARKANSAS REGION. THOUGH THE HOSPITAL SERVES OUT-OF-STATE PATIENTS AS WELL, ACNW DREW APPROXIMATELY 80.1% OF ITS OUTPATIENTS AND 75.1% OF ITS INPATIENTS FROM WASHINGTON AND BENTON COUNTIES FOR THE FISCAL YEAR ENDING JUNE 30, 2022, WITH THE MAJORITY OF THE PATIENTS COMING FROM WASHINGTON COUNTY. ACCORDING TO U.S. CENSUS BUREAU 2020 CENSUS DATA, POPULATION TOTALS AT THAT TIME WERE 3,011,524 FOR THE STATE OF ARKANSAS AND 530,204 FOR WASHINGTON AND BENTON COUNTIES COMBINED. ESTIMATED 2022 CENSUS DATA INDICATED POPULATION TOTALS TO BE 3,045,637 FOR ARKANSAS. ALSO ACCORDING TO ESTIMATED 2022 CENSUS DATA, APPROXIMATELY 23.2% OF THE ARKANSAS POPULATION WAS UNDER 18 YEARS OF AGE AND 6.0% WAS UNDER THE AGE OF 5. THE UNEMPLOYMENT RATE FOR THE STATE OF ARKANSAS FOR CALENDAR YEAR 2021 WAS 4.0%, A DECREASE FROM THE PREVIOUS YEAR. THE PER CAPITA PERSONAL INCOME FOR THE STATE OF ARKANSAS FOR 2021 WAS $29,252. THE PERCENT OF ALL PEOPLE IN POVERTY IN ARKANSAS WAS 16.3% AND THE PERCENT OF CHILDREN 18 OR YOUNGER IN POVERTY WAS 22.4%, INDICATING A SLIGHT INCREASE FROM THE PRIOR YEAR.THE ESTIMATED 701,575 ARKANSAS CHILDREN UNDER AGE 18 REPRESENTED 23.2% OF THE STATE'S TOTAL POPULATION FOR 2021. THE HISPANIC CHILD POPULATION GREW FROM 12.2% AS ESTIMATED IN THE 2020 CENSUS TO 13.2% FOR 2021. HOWEVER, THE NUMBER OF AFRICAN AMERICAN CHILDREN UNDER AGE 18 DROPPED SLIGHTLY FROM 17.1% TO 17.0%. WITH A PRIMARILY RURAL POPULATION LIVING IN MANY SMALL AND MEDIUM-SIZED COMMUNITIES, ACCESS TO HEALTH CARE SERVICES PRESENTS A VERY REAL CHALLENGE. ARKANSAS HAS SEEN A LARGE DECLINE IN UNINSURED CHILDREN SINCE 1990, WITH 5.8% OF CHILDREN LACKING COVERAGE AS OF 2021. ARKANSAS' "ARKIDS FIRST" HEALTH INSURANCE PROGRAM HAS BEEN A MAJOR FACTOR IN PROVIDING HEALTH INSURANCE FOR CHILDREN WHO MAY HAVE OTHERWISE GONE WITHOUT. ARKIDS FIRST WAS DESIGNED BY THE STATE OF ARKANSAS TO PROVIDE INSURANCE FOR CHILDREN OF WORKING FAMILIES WHO EARNED TOO MUCH FOR PUBLIC ASSISTANCE BUT COULD STILL NOT AFFORD TO PURCHASE HEALTH INSURANCE. |
| PART VI, LINE 5: | ARKANSAS CHILDREN'S VOLUNTEER ENGAGEMENT PROVIDES SYSTEM-WIDE VOLUNTEER SUPPORT TO ELEVATE THE PATIENT EXPERIENCE BY PROVIDING HELP TO CAREGIVERS, POSITIVE DISTRACTIONS FOR PATIENTS, AND SUPPORT TO HARDWORKING TEAMS. THE SYSTEM-WIDE TEAM LEADS MANY STRATEGIC HOSPITAL VOLUNTEER PROGRAMS IN ADDITION TO ENGAGING MORE THAN 250 WEEKLY ADULT VOLUNTEERS SERVING AT TWO HOSPITAL CAMPUSES. IN FY22 ON THE ACNW CAMPUS, 181 VOLUNTEERS SERVED A TOTAL OF 9,358 HOURS AS WELL AS AN ADDITIONAL 84 NEEDLEWORK VOLUNTEERS. . THE VOLUNTEER ENGAGEMENT TEAM SOLICITS, ACCEPTS, STEWARDS, AND DISTRIBUTES TOYS, CONVENIENCE ITEMS AND OTHER IN-KIND DONATIONS VALUED AT APPROXIMATELY $1,000,000 ANNUALLY. VOLUNTEER ENGAGEMENT ALSO PROVIDES STRATEGIC LEADERSHIP AND OPERATIONAL OVERSIGHT TO HOSPITAL GIFT SHOPS, THE MEDICAL LEGAL PARTNERSHIP AND THE ACH FAMILY RESOURCE CENTER. THE ARKANSAS CHILDREN'S PATIENT AND FAMILY ADVISOR PROGRAM ENGAGES PARENTS AND CAREGIVERS IN A VARIETY OF WAYS TO CONTINUE ADVANCING OUR COMMITMENT TO PATIENT AND FAMILY-CENTERED CARE. THERE ARE TEN DIFFERENT FAMILY ADVISORY BOARDS IN THE ARKANSAS CHILDREN'S SYSTEM. ONE OF THE FAMILY ADVISORY BOARDS IS FOR ACNW SPECIFICALLY, AND INITIATIVES AND FINDINGS ARE SHARED ACROSS ALL OF THE DIFFERENT BOARDS AND BETWEEN THE HOSPITALS. THESE GROUPS HAVE BROUGHT ABOUT MANY MEANINGFUL CHANGES TO THE HOSPITALS, INCLUDING: VIDEO STREAMING; CO-DESIGNED PATIENT SAFETY INFORMATION; A MEAL ASSISTANCE PROGRAM; AND THE DEVELOPMENT OF PATIENT AND FAMILY HEALTH INFORMATION. PATIENT AND FAMILY ADVISORS ARE ENGAGED IN OTHER CAPACITIES, INCLUDING HOSPITAL COMMITTEES, A MENTOR PROGRAM, AND AN E-COUNCIL. THE ADVISORS ARE A MAJOR ASSET IN THE COMMITMENT TO PATIENT SAFETY AND TO THE HOSPITAL MISSION.ARKANSAS CHILDREN'S CARE NETWORK (ACCN), WITHIN THE ARKANSAS CHILDREN'S SYSTEM, COLLABORATES WITH ACNW. ACCN SEEKS TO FUNDAMENTALLY AND POSITIVELY TRANSFORM HEALTH IN THE CHILDREN OF ARKANSAS THROUGH A CLINICALLY INTEGRATED NETWORK (CIN) COMPRISED OF HEALTH CARE PROFESSIONALS WHO PROVIDE COORDINATED AND ACCOUNTABLE PEDIATRIC CARE. ACCN WILL ACHIEVE THIS BY IMPROVING QUALITY, ACCESS, AND PATIENT/FAMILY EXPERIENCE, WHILE IMPACTING THE AFFORDABILITY OF HEALTH CARE AND INCREASING PHYSICIAN ENGAGEMENT AND SATISFACTION. |
| PART VI, LINE 6: | ACNW IS PART OF AN AFFILIATED HEALTH CARE SYSTEM, FOR WHICH ARKANSAS CHILDRENS, INC., INCORPORATED IN DECEMBER 2015, SERVES AS THE PARENT CORPORATION. THE ARKANSAS CHILDREN'S HEALTH SYSTEM CONSISTS OF ARKANSAS CHILDREN'S, INC., ARKANSAS CHILDREN'S HOSPITAL (ACH), ARKANSAS CHILDREN'S NORTHWEST (ACNW), ARKANSAS CHILDREN'S FOUNDATION (ACF), ARKANSAS CHILDREN'S RESEARCH INSTITUTE (ACRI), ARKANSAS CHILDREN'S CARE NETWORK (ACCN), ARKANSAS CHILDREN'S MEDICAL GROUP (ACMG), AND SACOVA INSURANCE COMPANY. ACH IS A NOT-FOR-PROFIT PEDIATRIC HOSPITAL LOCATED IN LITTLE ROCK, ARKANSAS AND SERVES AS THE ONLY QUATERNARY HEALTH CARE FACILITY FOR CHILDREN IN THE STATE OF ARKANSAS. ACNW IS A NOT-FOR-PROFIT PEDIATRIC HOSPITAL LOCATED IN SPRINGDALE, ARKANSAS, THAT OPENED IN FEBRUARY 2018. ACNW SERVES AS THE ONLY EXCLUSIVELY PEDIATRIC HEALTH CARE FACILITY FOR CHILDREN IN THE NORTHWEST REGION OF THE STATE. ACF IS A NOT-FOR-PROFIT ORGANIZATION THAT EXISTS AS THE FUNDRAISING BRANCH OF ARKANSAS CHILDREN'S. ACRI OPERATES TO SUPPORT, THROUGH CHARITABLE, SCIENTIFIC, AND EDUCATIONAL MEANS, THE MISSION OF ARKANSAS CHILDREN'S. ACCN IS A NOT-FOR-PROFIT PEDIATRIC STATEWIDE CLINICALLY INTEGRATED NETWORK. ACMG WAS FORMED TO PROVIDE PHYSICIAN SERVICES TO ACH AND ACNW. SACOVA IS A SINGLE PARENT CAPTIVE INSURANCE COMPANY PROVIDING PROFESSIONAL AND GENERAL LIABILITY AND WORKER'S COMPENSATION COVERAGE.ALTHOUGH NOT CORPORATE AFFILIATES, ACNW AND THE UNIVERSITY OF ARKANSAS FOR MEDICAL SCIENCES (UAMS) ARE INVOLVED IN AN AGREEMENT IN THE PURSUIT OF PROFESSIONAL EDUCATION, RESEARCH, AND CLINICAL CARE FOR CHILDREN. ALL PEDIATRIC SUB-SPECIALTY WORK IS CONDUCTED ON THE ACNW CAMPUS WITH ACNW PROVIDING SPACE, SUPPORTING STAFF AND SERVICES AND FUNDING FOR MAJOR EDUCATIONAL AND CLINICAL EXPERTISE. |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (1) | GrantRecordsMaintainedInd |
Recipient Table RecipientTable (2 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | Recipient EINRecipientEIN | IRC SectionIRCSectionDesc | Cash GrantCashGrantAmt | Non Cash AssistanceNonCashAssistanceAmt | Purpose Of GrantPurposeOfGrantTxt | Address Line2USAddress/AddressLine2Txt |
|---|---|---|---|---|---|---|---|---|---|
| ARKANSAS CHILDREN'S FOUNDATION | |||||||||
| 1 CHILDRENS WAY | LITTLE ROCK | AR | 72202 | 710568795 | 501(C)(3) | $152,624 | $0 | GENERAL SUPPORT | |
| NORTHWEST ARKANSAS COUNCIL - HEALTHCARE TRANSFORMATION DIVISION | |||||||||
| 4100 CORPORATE CENTER DRIVE SUITE | SPRINGDALE | AR | 72762 | 710693739 | 501(C)(3) | $60,000 | $0 | GENERAL SUPPORT | 205 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 2 | Total501c3OrgCnt |
| Total Other Org | 0 | TotalOtherOrgCnt |
Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp (5 entries)
| Grant TypeGrantTypeTxt | RecipientRecipientCnt | Non Cash AssistanceNonCashAssistanceAmt | Valuation Method UsedValuationMethodUsedDesc | Non Cash AssistanceNonCashAssistanceDesc | Cash GrantCashGrantAmt |
|---|---|---|---|---|---|
| MEALS | 769 | $30,246 | COST | MEALS FOR PATIENT FAMILIES/CAREGIVERS | |
| TRANSPORTATION COSTS (BUS TOKENS, CAB FARE, GAS CARDS) | 231 | COST | $4,727 | ||
| RENT, MORTGAGE, UTILITIES, LODGING | 2 | COST | $724 | ||
| CLOTHING, GROCERY GIFT CARDS AND OTHER MISC. FAMILY ASSISTANCE | 123 | COST | $1,409 | ||
| FUNERAL EXPENSES | 1 | COST | $2,119 |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART I, LINE 2: | FormAndLineReferenceDesc |
| Explanation | THE HOSPITAL CONSIDERS REQUESTS FROM NON-PROFIT OR GOVERNMENTAL ENTITIES FOR PROGRAMS OR ACTIVITIES THAT ALIGN WITH ITS PLAN TO ADDRESS NEEDS AS IDENTIFIED IN THE CHNA OR THAT OTHERWISE SUPPORT THE HOSPITAL'S MISSION. THE HOSPITAL ANTICIPATES THAT THESE NON-PROFIT OR GOVERNMENTAL ENTITIES WILL MONITOR THE USE OF FUNDS IN ACCORDANCE WITH NON-PROFIT OR GOVERNMENTAL REQUIREMENTS. THE HOSPITAL PROVIDES SOME ASSISTANCE TO INDIGENT FAMILIES. THE HOSPITAL'S SOCIAL WORK DEPARTMENT EVALUATES THE NEED ON A CASE BY CASE BASIS AND PROVIDES THE APPROPRIATE ASSISTANCE, WHICH IS TYPICALLY FOOD, CLOTHING, SHELTER, OR TRAVEL VOUCHERS. CASH OR CASH EQUIVALENT ASSISTANCE IS SOMETIMES PROVIDED. THE ASSISTANCE PROVIDED IS DOCUMENTED BY THE HOSPITAL'S SOCIAL WORK DEPARTMENT. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| First Class Or Charter Travel | Yes (X) | FirstClassOrCharterTravelInd |
| Travel For Companions | Yes (X) | TravelForCompanionsInd |
| Written Policy Ref T And E Expnss | Yes (1) | WrittenPolicyRefTAndEExpnssInd |
| Substantiation Required | Yes (1) | SubstantiationRequiredInd |
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| Independent Consultant | Yes (X) | IndependentConsultantInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | Yes (1) | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (17 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| MARCELLA DODERER | ||||||||||||||
| PRESIDENT/CEO | $0 | $1,091,424 | $0 | $550,104 | $0 | $148,189 | $0 | $241,552 | $0 | $9,402 | $0 | $2,040,671 | $0 | $138,001 |
| GENA WINGFIELD | ||||||||||||||
| EVP AND CFO | $0 | $529,766 | $0 | $215,704 | $0 | $60,643 | $0 | $83,428 | $0 | $9,271 | $0 | $898,812 | $0 | $53,820 |
| FREDERICK BARR MD | ||||||||||||||
| EVP/CHIEF CLINICAL & ACADEMIC OFCR | $0 | $644,523 | $0 | $158,700 | $0 | $3,096 | $0 | $13,000 | $0 | $9,350 | $0 | $828,669 | $0 | $0 |
| JENNIFER AUNSPAUGH MD | ||||||||||||||
| TRUSTEE/DIRECTOR-CHIEF OF MED STAFF | $0 | $477,387 | $0 | $65,165 | $0 | $0 | $0 | $0 | $0 | $61,651 | $0 | $604,203 | $0 | $0 |
| PATRICIA MONTAGUE | ||||||||||||||
| FORMER EVP/COO-RETIRED 6/30/21 | $0 | $241,269 | $0 | $176,382 | $0 | $49,482 | $0 | $6,742 | $0 | $2,984 | $0 | $476,859 | $0 | $32,835 |
| SHANNON HENDRIX | ||||||||||||||
| SVP/CHIEF ADMINISTRATOR | $302,409 | $0 | $94,552 | $0 | $470 | $0 | $18,040 | $0 | $12,724 | $0 | $428,195 | $0 | $0 | $0 |
| CINDY HILL | ||||||||||||||
| FINANCIAL SERVICES VP | $0 | $250,778 | $0 | $64,954 | $0 | $1,650 | $0 | $15,685 | $0 | $8,305 | $0 | $341,372 | $0 | $0 |
| LE'KITA BROWN | ||||||||||||||
| REVENUE CYCLE VP | $0 | $237,718 | $0 | $65,001 | $0 | $376 | $0 | $18,300 | $0 | $4,898 | $0 | $326,293 | $0 | $0 |
| JAMIE WIGGINS | ||||||||||||||
| EVP/COO | $0 | $251,579 | $0 | $30,100 | $0 | $312 | $0 | $0 | $0 | $3,438 | $0 | $285,429 | $0 | $0 |
| MICHAEL HOWARD | ||||||||||||||
| VP/CHIEF NURSING OFFICER | $203,705 | $0 | $53,852 | $0 | $452 | $0 | $10,813 | $0 | $8,073 | $0 | $276,895 | $0 | $0 | $0 |
| DIANA MCDANIEL | ||||||||||||||
| OPERATIONS VP | $178,314 | $0 | $48,278 | $0 | $170 | $0 | $10,956 | $0 | $1,624 | $0 | $239,342 | $0 | $0 | $0 |
| JAMA HUNTLEY | ||||||||||||||
| PHARMACY DIRECTOR | $171,934 | $0 | $10,476 | $0 | $135 | $0 | $13,987 | $0 | $4,395 | $0 | $200,927 | $0 | $0 | $0 |
| KEITH VEIT | ||||||||||||||
| PATIENT CARE SVC DIRECTOR | $142,117 | $0 | $15,086 | $0 | $792 | $0 | $12,911 | $0 | $10,773 | $0 | $181,679 | $0 | $0 | $0 |
| LESLIE RYLEE | ||||||||||||||
| PATIENT CARE SVC DIR (PARTIAL YR) | $148,005 | $0 | $13,285 | $0 | $103 | $0 | $6,893 | $0 | $5,605 | $0 | $173,891 | $0 | $0 | $0 |
| JEFFREY WILLIAMS | ||||||||||||||
| PHARMACY COORDINATOR | $142,936 | $0 | $3,573 | $0 | $145 | $0 | $11,922 | $0 | $11,786 | $0 | $170,362 | $0 | $0 | $0 |
| MICAH KIGHT | ||||||||||||||
| DIRECTOR OF OPERATIONS | $125,577 | $0 | $11,699 | $0 | $89 | $0 | $10,176 | $0 | $11,754 | $0 | $159,295 | $0 | $0 | $0 |
| ROBIN COOKE | ||||||||||||||
| STAFF PHARMACIST | $137,169 | $0 | $2,600 | $0 | $128 | $0 | $0 | $0 | $11,838 | $0 | $151,735 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail (5 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINE 1A | CHARTER TRAVEL IS USED BY ARKANSAS CHILDREN'S AND AFFILIATED ENTITIES' BOARD MEMBERS AND STAFF (AND OCCASIONALLY ACCOMPANYING SPOUSES/COMPANIONS) WHEN IT IS DEEMED THE MOST EFFICIENT METHOD OF TRAVEL TO DISTANT AREAS WITHIN THE STATE OR TO SURROUNDING STATES FOR PURPOSES RELATED TO ARKANSAS CHILDREN'S BUSINESS. SEPARATE (NON-CHARTER) TRAVEL FOR COMPANIONS IS REIMBURSED BY THE EMPLOYEE IF SUCH TRAVEL IS ON AN INDIVIDUAL BASIS; THUS, SUCH TRAVEL IS NOT CONSIDERED TAXABLE COMPENSATION TO THE EMPLOYEE. THREE OFFICERS/EMPLOYEES USED CHARTER TRAVEL DURING THE CALENDAR YEAR. BECAUSE THE CHARTER TRAVEL WAS USED FOR ARKANSAS CHILDREN'S BUSINESS PURPOSES, IT WAS NOT CONSIDERED AS TAXABLE WAGES. |
| PART I, LINE 3 | COMPENSATION FOR ANY ACNW EXECUTIVE OR SENIOR OFFICER (PRESIDENT; EXECUTIVE VICE PRESIDENT; SENIOR VICE PRESIDENT) WHO IS NOT A CONTRACTED UAMS EMPLOYEE IS REVIEWED BY THE ARKANSAS CHILDREN'S HUMAN RESOURCES AND COMPENSATION COMMITTEE WHICH IS ESTABLISHED THROUGH THE BYLAWS OF ARKANSAS CHILDREN'S, INC. THE HUMAN RESOURCES AND COMPENSATION COMMITTEE HAS THE FULL AUTHORITY AND SPECIFIC RESPONSIBILITY FOR REVIEWING AND APPROVING COMPENSATION POLICIES, BASE SALARY AND INCENTIVE COMPENSATION LEVELS, EXECUTIVE RETIREMENT AND OTHER EXECUTIVE BENEFIT PLANS FOR HEALTH SYSTEM SENIOR MANAGEMENT, INCLUDING OFFICERS OF THE CORPORATION AND AFFILIATES WHO ARE "DISQUALIFIED PERSONS" UNDER SECTION 4958 OF THE CODE. THE POLICIES AND PROGRAMS REVIEWED AND APPROVED BY THE HUMAN RESOURCES AND COMPENSATION COMMITTEE SHALL BE DESIGNED TO ENSURE THAT THE CORPORATION AND ITS AFFILIATES REMAIN COMPETITIVE AND REASONABLE RELATIVE TO THE COMPENSATION AND BENEFITS PRACTICES OF SIMILARLY SITUATED HEALTH SYSTEMS LOCALLY AND NATIONALLY, AND TO PERMIT THE CORPORATION AND SUCH AFFILIATES TO ATTRACT AND RETAIN SUPERIOR SENIOR MANAGEMENT, IN FURTHERANCE OF THE CORPORATION'S AND AFFILIATES PURPOSES. THE HUMAN RESOURCES AND COMPENSATION COMMITTEE SHALL HAVE, TO THE FULLEST EXTENT OF THE LAW, THE AUTHORITY TO APPROVE THE COMPENSATION PACKAGES FOR SENIOR MANAGEMENT OF THE CORPORATION AND THE AFFILIATES. IN ITS PROCESS, THE COMMITTEE SHALL OBTAIN AND MUST RELY UPON APPROPRIATE DATA AS TO COMPARABILITY PRIOR TO MAKING ITS DETERMINATION OF REASONABLENESS WITH RESPECT TO THE COMPENSATION ARRANGEMENTS OF DISQUALIFIED PERSONS. APPROPRIATE DATA INCLUDES, BUT IS NOT LIMITED TO, COMPENSATION LEVELS PAID BY SIMILARLY SITUATED ORGANIZATIONS, BOTH TAXABLE AND TAX-EXEMPT, FOR FUNCTIONALLY COMPARABLE POSITIONS; THE AVAILABILITY OF SIMILAR SERVICES IN THE GEOGRAPHIC AREA OF THE CORPORATION, CURRENT COMPENSATION SURVEYS COMPILED BY INDEPENDENT FIRMS; AND ACTUAL WRITTEN OFFERS FROM SIMILAR INSTITUTIONS COMPETING FOR THE SERVICES OF THE DISQUALIFIED PERSON. THE COMMITTEE MAY RELY UPON OPINIONS OF QUALIFIED LEGAL, ACCOUNTING, VALUATION AND EXECUTIVE COMPENSATION EXPERTS. CONTEMPORANEOUSLY WITH MAKING ITS DETERMINATION OF REASONABLENESS WITH RESPECT TO THE COMPENSATION ARRANGEMENT OF THE CEO AND DISQUALIFIED PERSONS, THE COMMITTEE SHALL DOCUMENT IN ITS MINUTES THE BASIS FOR ITS DECISIONS. A VERBAL REPORT IS PROVIDED TO THE BOARD BY THE CHAIR OF THE COMMITTEE. MINUTES ARE AVAILABLE FOR REVIEW UPON BOARD MEMBER REQUEST TO THE BOARD CHAIR. |
| PART I, LINE 4B | THE ARKANSAS CHILDREN'S DEFERRED COMPENSATION PLAN (DCP), WAS INSTITUTED ON 6/30/2014. THE DCP IS A 457(F) NONQUALIFIED SUPPLEMENTAL RETIREMENT PLAN, PROVIDING ANNUAL CONTRIBUTIONS TO CERTAIN EXECUTIVES AT A PERCENTAGE OF THEIR BASE SALARY IN EFFECT ON JUNE 30 OF THE PLAN YEAR. THE SUPPLEMENTAL COMPENSATION SERVES TO ENCOURAGE CONTINUED EMPLOYMENT WITH ARKANSAS CHILDREN'S AND ITS AFFILIATES. THE PLAN PROVIDES THAT DEFERRED AMOUNTS ARE PAID AS SOON AS ADMINISTRATIVELY POSSIBLE AFTER BEING VESTED. IT IS INTENDED THAT SUCH PAYMENTS QUALIFY FOR THE "SHORT-TERM DEFERRAL" EXEMPTION FROM IRC SECTION 409A, AND FOR TAX DEFERRAL UNDER IRC SECTION 457(F). PER THE PLAN DOCUMENT, EACH DCP CONTRIBUTION FOR A PLAN YEAR AND ITS ASSOCIATED EARNINGS VEST AS FOLLOWS, ON THE EARLIER OF: - (SUBACCOUNT); THE FIRST DAY OF THE PLAN YEAR FOLLOWING THREE (3) CONTINUOUS PLAN YEARS OF EMPLOYMENT BY THE PARTICIPANT WITH ARKANSAS CHILDREN'S OR AFFILIATE, WHICH BEGINS ON THE FIRST DAY OF THE PLAN YEAR FOR WHICH THE CONTRIBUTION IS CREDITED. - (PRIMARY ACCOUNT, INCLUDING SUBACCOUNTS) - ATTAINMENT OF AGE 65 AND AT LEAST 3 YEARS OF SERVICE AS A DCP PARTICIPANT - (PRIMARY ACCOUNT, INCLUDING SUBACCOUNTS) - DEATH OR PERMANENT DISABILITY - (PRIMARY ACCOUNT, INCLUDING SUBACCOUNTS) - INVOLUNTARY TERMINATION (OTHER THAN FOR CAUSE) - (PRIMARY ACCOUNT, INCLUDING SUBACCOUNTS) - PLAN TERMINATION FOR TAX YEAR 2021 (FISCAL YEAR 2022), THE FOLLOWING ACNW REPORTABLE EMPLOYEES WERE ELIGIBLE AND PARTICIPATING IN THE DEFERRED COMPENSATION PLAN. THESE EMPLOYEES RECEIVED DISTRIBUTIONS PER THE PLAN DOCUMENT. SUCH AMOUNTS ARE NOTED BELOW. - MARCELLA DODERER: AC/ACH/ACNW PRESIDENT/CEO - $145,567 - TRISHA MONTAGUE: AC EVP/COO (PARTIAL YEAR) - $47,501 - GENA WINGFIELD: AC EVP AND CFO - $56,770 PER THE PLAN DOCUMENT, UPON BECOMING VESTED IN A PLAN YEAR SUBACCOUNT AND AS SOON AS ADMINISTRATIVELY PRACTICABLE AFTER SUCH VESTING DATE, BUT NO LATER THAN THE END OF THE CALENDAR YEAR IN WHICH SUCH VESTING DATE OCCURRED, INDIVIDUAL PARTICIPANTS WILL BE PAID A LUMP SUM PAYMENT EQUAL TO THE PLAN YEAR SUBACCOUNT BALANCE AS OF THE JUNE 30 IMMEDIATELY PRECEDING SUCH VESTING DATE. |
| FORM 990, SCHEDULE J, PART I, LINES 5-7 | THE INCENTIVE PLANS FOR ALL ENTITIES HAVE SPECIFIC RULES AND CALCULATIONS FOR BONUSES. NONE ARE CONTINGENT ON REVENUES OR NET EARNINGS OF THE ORGANIZATIONS (ANY), AND SINCE THEY ARE CALCULATED BASED ON A SPECIFIC FORMULA, THEY ARE NOT "NON-FIXED". |
| FORM 990, PART VII, SECTION A, LINE 5: | DIRECTOR AND CHIEF OF STAFF, JENNIFER AUNSPAUGH, M.D. WAS COMPENSATED BY UAMS AS AN EMPLOYEE FOR SERVICES RENDERED TO ARKANSAS CHILDREN'S HOSPITAL (ACH) AND ARKANSAS CHILDREN'S NORTHWEST (ACNW) FOR WHICH ACH REMITTED PAYMENT LISTED AS "REPORTABLE COMPENSATION FROM RELATED ORGANIZATIONS" IN PART VII. THE AMOUNT NOTED AS COMPENSATION IN SCHEDULE J FOR THE PHYSICIAN NOTED ABOVE WAS THE DESIGNATED AMOUNT PER THE RELATED CONTRACT WITH UAMS. |
Schedule K IRS990ScheduleK
Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
Issuer Name IssuerName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CITY OF SPRINGDALE AR PUBLIC FACILITIES BOARD | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Issuer EIN | 830465683 | BondIssuerEIN |
| CUSIP | 82025WAW1 | CUSIPNum |
| Bond Issued | 2016-06-09 | BondIssuedDt |
| Issue Price | $84,999,875 | IssuePriceAmt |
| Purpose | SEE SCHEDULE K, PART VI. | PurposeDesc |
| Defeased | 0 | DefeasedInd |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuerInd |
| Pool Financing | 0 | PoolFinancingInd |
Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Retired | $11,200,000 | RetiredAmt |
| Total Proceeds | $85,258,623 | TotalProceedsAmt |
| Issuance Costs From Proceeds | $742,725 | IssuanceCostsFromProceedsAmt |
| Capital Expenditures | $84,515,898 | CapitalExpendituresAmt |
| Substantial Completion | 2018 | SubstantialCompletionYr |
| Refunding Tax Exempt Bonds | 0 | RefundingTaxExemptBondsInd |
| Refunding Taxable Bonds | 0 | RefundingTaxableBondsInd |
| Final Allocation Made | Yes (1) | FinalAllocationMadeInd |
| Adequate Books And Rec Maint | Yes (1) | AdequateBooksAndRecMaintInd |
Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Owning Bond Financed Property | 0 | OwningBondFinancedPropertyInd |
| Any Lease Arrangements | 0 | AnyLeaseArrangementsInd |
| Mgmt Contract Bond Fincd Prop | Yes (1) | MgmtContractBondFincdPropInd |
| Engage Bond Counsel Contracts | 0 | EngageBondCounselContractsInd |
| Any Research Agreements | 0 | AnyResearchAgreementsInd |
| Private Bus Use By Others | 0.00000 | PrivateBusUseByOthersPct |
| Private Bus Concerning UBI | 0.00000 | PrivateBusConcerningUBIPct |
| Total Private Business Use | 0.00000 | TotalPrivateBusinessUsePct |
| Bond Iss Meet Prvt Sec Pymt Test | 0 | BondIssMeetPrvtSecPymtTestInd |
| Change In Use Bond Financed Prop | 0 | ChangeInUseBondFinancedPropInd |
| Procs Nonqualified Bond Remdtd | Yes (1) | ProcsNonqualifiedBondRemdtdInd |
Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Form8038 T Filed | 0 | Form8038TFiledInd |
| Rebate Not Due Yet | 0 | RebateNotDueYetInd |
| Exception To Rebate | Yes (1) | ExceptionToRebateInd |
| No Rebate Due | 0 | NoRebateDueInd |
| Variable Rate Issue | 0 | VariableRateIssueInd |
| Hedge Identified In Bks And Rec | 0 | HedgeIdentifiedInBksAndRecInd |
| Gross Proceeds Invested In GIC | 0 | GrossProceedsInvestedInGICInd |
| Gross Proceeds Invested | 0 | GrossProceedsInvestedInd |
| Written Proc To Monitor Reqs | Yes (1) | WrittenProcToMonitorReqsInd |
Procedures Corrective Action ProceduresCorrectiveActionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Procedures Corrective Action | Yes (1) | ProceduresCorrectiveActionInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE K SUPPLENTAL INFORMATION | FormAndLineReferenceDesc |
| Explanation | PART I, LINE A - DESCRIPTION OF PURPOSE. PROCEEDS USED TO (I) FINANCE THE ACQUISITION, CONSTRUCTION, AND EQUIPPING OF A PEDIATRIC HOSPITAL FACILITY TO BE LOCATED IN THE CITY OF SPRINGDALE, AR, AND (II) PAY CERTAIN EXPENSES IN CONNECTION WITH THE ISSUANCE OF THE SERIES 2016 BONDS. PART II, LINE 3, BOND A - TOTAL PROCEEDS DIFFER FROM ISSUE PRICE DUE TO CUMULATIVE INVESTMENT EARNINGS. | ExplanationTxt |
Schedule L IRS990ScheduleL
Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp
Name Of Interested NameOfInterested
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CCHWI LLC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Relationship Description | SEE PART V. ENTITY MORE-THAN-35%-OWNED BY BOARD MEMBER | RelationshipDescriptionTxt |
| Transaction | $893,276 | TransactionAmt |
| Transaction | SEE PART V. LEASE OF REAL ESTATE FROM INTERESTED PERSON. LEASE EXPENSE WAS REASONABLE AND AT FMV RATE. | TransactionDesc |
| Sharing Of Revenues | 0 | SharingOfRevenuesInd |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (14 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION A, LINE 2 | THE FOLLOWING BOARD MEMBERS HAD A BUSINESS RELATIONSHIP DURING THE FISCAL YEAR: HARRY C. ERWIN, BARBARA TYSON, AND NOEL WHITE. THE FOLLOWING BOARD MEMBERS ALSO HAD A BUSINESS RELATIONSHIP DURING THE FISCAL YEAR: GARY GEORGE AND JOHN ROBERTS. |
| FORM 990, PART VI, SECTION A, LINE 3 | ACNW'S CHIEF OF MEDICAL STAFF (CMS) POSITION IS HELD BY JENNIFER AUNSPAUGH, M.D., WHO HOLDS A FACULTY APPOINTMENT IN THE UNIVERSITY OF ARKANSAS FOR MEDICAL SCIENCES, COLLEGE OF MEDICINE. ALTHOUGH DR. AUNSPAUGH IS AN EMPLOYEE OF UAMS, AS CMS, SHE IS ALSO A DESIGNATED MEMBER OF THE ACNW BOARD OF DIRECTORS. AS A UAMS EMPLOYEE, THE HOSPITAL SYSTEM REIMBURSES UAMS FOR HER ROLE AND SERVICES RENDERED TO BOTH ACNW AND ACH. |
| FORM 990, PART VI, SECTION A, LINE 4 | ARKANSAS CHILDREN'S NORTHWEST AMENDED AND RESTATED ITS BYLAWS AS OF MAY 2022. SIGNIFICANT CHANGES AFFECTING GOVERNANCE ARE AS FOLLOWS: * REGARDING REVIEW OF THE BYLAWS - AT LEAST ONCE EVERY THREE (3) YEARS, OR PROMPTLY UPON A CHANGE IN APPLICABLE LAW, THE BOARD OF DIRECTORS SHALL REVIEW, OR DELEGATE TO AN APPROPRIATE COMMITTEE THE REVIEW OF THESE BYLAWS AND SHALL RECOMMEND TO THE MEMBER SUCH AMENDMENTS TO THESE BYLAWS AS ARE NECESSARY OR ADVISABLE TO ASSURE THE CORPORATION'S COMPLIANCE WITH ALL APPLICABLE REQUIREMENTS FOR LICENSURE AND ACCREDITATION OF THE HOSPITAL AND THE HEALTH CARE FACILITIES OF THE CORPORATION BY STATE AGENCIES AND THE JOINT COMMISSION, RESPECTIVELY. |
| FORM 990, PART VI, SECTION A, LINE 6 | THE SOLE MEMBER OF ACNW IS ARKANSAS CHILDREN'S, INC., AN ARKANSAS NONPROFIT PUBLIC BENEFIT CORPORATION (THE "SOLE MEMBER"). |
| FORM 990, PART VI, SECTION A, LINE 7A | ARKANSAS CHILDREN'S, INC., ACNW'S SOLE MEMBER, HAS THE RESERVED POWER TO FIX THE SIZE OF THE BOARD OF DIRECTORS, AND THE GOVERNING BOARD OF ANY AFFILIATE CONTROLLED BY THE CORPORATION, AND APPOINT AND REMOVE, WITH OR WITHOUT CAUSE, THE DIRECTORS OF THE CORPORATION, AND MEMBERS OF THE GOVERNING BOARD OF ANY AFFILIATE CONTROLLED BY THE CORPORATION. |
| FORM 990, PART VI, SECTION A, LINE 7B | ACNW'S ARTICLES OF INCORPORATION MAY BE AMENDED, AND THE BYLAWS MAY BE ALTERED, AMENDED, OR REPEALED AND NEW BYLAWS MAY BE ADOPTED: (I) UPON THE APPROVAL OF BOTH THE BOARD AND THE SOLE MEMBER, IF THE AMENDMENT DOES NOT RELATE TO THE NUMBER OF DIRECTORS, THE COMPOSITION OF THE BOARD, THE TERM OF OFFICE OF DIRECTORS, OR THE METHOD OR WAY IN WHICH DIRECTORS ARE ELECTED OR SELECTED; OR (II) BY THE MEMBER. |
| FORM 990, PART VI, SECTION B, LINE 11B | THE DRAFT FORM 990, WHICH IS RECONCILED TO THE ARKANSAS CHILDREN'S NORTHWEST (ACNW) INTERNAL FINANCIAL STATEMENTS AND THE ARKANSAS CHILDREN'S, INC. CONSOLIDATED AUDIT REPORT, IS INITIALLY REVIEWED IN DETAIL WITH ACNW'S SENIOR VICE PRESIDENT. THE DRAFT IS ALSO REVIEWED IN DETAIL WITH THE VP OF FINANCIAL OPERATIONS OF ARKANSAS CHILDREN'S, INC. IF THE REVIEW BY ACNW'S MANAGEMENT RESULTS IN REVISIONS TO THE DRAFT FORM 990, THOSE REVISIONS ARE MADE, AND THE FORM 990 TO BE FILED IS PROVIDED TO THE ACNW BOARD OF DIRECTORS PRIOR TO THE RETURN BEING FILED. |
| FORM 990, PART VI, SECTION B, LINE 12C | ARKANSAS CHILDREN'S, INC. (THE PARENT) HAS A BOARD OF DIRECTORS CONFLICT OF INTEREST POLICY THAT IS ISSUED TO AND REVIEWED WITH ALL NEW BOARD MEMBERS DURING THEIR BOARD ORIENTATION. IN ADDITION, THE INTERNAL GENERAL COUNSEL OR THE SYSTEM COMPLIANCE OFFICER WILL PERIODICALLY REVIEW THE POLICY WITH THE FULL BOARD DURING A REGULAR BOARD MEETING. A DIRECTOR SHALL DISCLOSE IN WRITING TO THE BOARD OF DIRECTORS ANY ACTUAL OR POTENTIAL CONFLICT OF INTEREST WHEN THE SITUATION DEVELOPS, INCLUDING THE FACTS THAT MAKE IT AN ACTUAL OR POTENTIAL CONFLICT. EACH DIRECTOR SHALL SIGN AN INITIAL CONFLICT OF INTEREST DISCLOSURE STATEMENT UPON ELECTION TO THE BOARD OF DIRECTORS. EACH DIRECTOR ALSO SHALL SIGN AN ANNUAL CONFLICT OF INTEREST DISCLOSURE STATEMENT. IF AN ACTUAL OR POTENTIAL CONFLICT OF INTEREST DEVELOPS AFTER THE DIRECTOR'S INITIAL AND ANNUAL STATEMENTS ARE SIGNED, THE DIRECTOR SHALL IMMEDIATELY SIGN A NEW DISCLOSURE STATEMENT TO ADDRESS THE NEW SITUATION OR TRANSACTION. CONFLICT OF INTEREST DISCLOSURE STATEMENTS OR DECLARED CONFLICTS WILL BE REVIEWED BY THE DIRECTOR BOARD OFFICERS. REVIEW WILL RESULT IN ONE OF THE FOLLOWING ACTIONS BY MAJORITY VOTE: (1) DETERMINED NOT TO BE A CONFLICT; (2) CONFLICT IS ACCEPTED; OR (3) CONFLICT IS NOT ACCEPTED AND THE DIRECTOR WILL NEED TO ABSTAIN FROM PARTICIPATION IN CERTAIN VOTES. CONFLICT DISCLOSURES, FACTS AND ACTIONS WILL BE DOCUMENTED IN THE APPROPRIATE COMMITTEE OR BOARD MINUTES. A DIRECTOR WITH A CONFLICT OF INTEREST WILL NOT PARTICIPATE IN DELIBERATIONS OR VOTE BY THE BOARD OF DIRECTORS, OR COMMITTEE THEREOF, ON THE MATTER GIVING RISE TO THE CONFLICT. HE OR SHE MAY PRESENT RELEVANT INFORMATION ABOUT THE MATTER AND ALSO MAY RESPOND TO REQUESTS FOR FACTS NEEDED BY THE BOARD TO REACH AN INFORMED DECISION. AFTER ANY DISCUSSION, THE INTERESTED DIRECTOR SHALL EITHER ABSTAIN FROM VOTE OR RECUSE COMPLETELY AND BE ABSENT DURING FURTHER DELIBERATIONS AND ACTION ON THE MATTER, AS DETERMINED BY THE DIRECTOR BOARD OFFICERS OF THE ENTITY. |
| FORM 990, PART VI, SECTION B, LINE 15 | COMPENSATION FOR ANY ACNW EXECUTIVE OR SENIOR OFFICER (PRESIDENT; EXECUTIVE VICE PRESIDENT; SENIOR VICE PRESIDENT) WHO IS NOT A CONTRACTED UAMS EMPLOYEE IS REVIEWED BY THE ARKANSAS CHILDREN'S HUMAN RESOURCES AND COMPENSATION COMMITTEE WHICH IS ESTABLISHED THROUGH THE BYLAWS OF ARKANSAS CHILDREN'S, INC. THE HUMAN RESOURCES AND COMPENSATION COMMITTEE HAS THE FULL AUTHORITY AND SPECIFIC RESPONSIBILITY FOR REVIEWING AND APPROVING COMPENSATION POLICIES, BASE SALARY AND INCENTIVE COMPENSATION LEVELS, EXECUTIVE RETIREMENT AND OTHER EXECUTIVE BENEFIT PLANS FOR HEALTH SYSTEM SENIOR MANAGEMENT, INCLUDING OFFICERS OF THE CORPORATION AND AFFILIATES WHO ARE "DISQUALIFIED PERSONS" UNDER SECTION 4958 OF THE CODE. THE POLICIES AND PROGRAMS REVIEWED AND APPROVED BY THE HUMAN RESOURCES AND COMPENSATION COMMITTEE SHALL BE DESIGNED TO ENSURE THAT THE CORPORATION AND ITS AFFILIATES REMAIN COMPETITIVE AND REASONABLE RELATIVE TO THE COMPENSATION AND BENEFITS PRACTICES OF SIMILARLY SITUATED HEALTH SYSTEMS LOCALLY AND NATIONALLY, AND TO PERMIT THE CORPORATION AND SUCH AFFILIATES TO ATTRACT AND RETAIN SUPERIOR SENIOR MANAGEMENT, IN FURTHERANCE OF THE CORPORATION'S AND AFFILIATES PURPOSES. THE HUMAN RESOURCES AND COMPENSATION COMMITTEE SHALL HAVE, TO THE FULLEST EXTENT OF THE LAW, THE AUTHORITY TO APPROVE THE COMPENSATION PACKAGES FOR SENIOR MANAGEMENT OF THE CORPORATION AND THE AFFILIATES. IN ITS PROCESS, THE COMMITTEE SHALL OBTAIN AND MUST RELY UPON APPROPRIATE DATA AS TO COMPARABILITY PRIOR TO MAKING ITS DETERMINATION OF REASONABLENESS WITH RESPECT TO THE COMPENSATION ARRANGEMENTS OF DISQUALIFIED PERSONS. APPROPRIATE DATA INCLUDES, BUT IS NOT LIMITED TO, COMPENSATION LEVELS PAID BY SIMILARLY SITUATED ORGANIZATIONS, BOTH TAXABLE AND TAX-EXEMPT, FOR FUNCTIONALLY COMPARABLE POSITIONS; THE AVAILABILITY OF SIMILAR SERVICES IN THE GEOGRAPHIC AREA OF THE CORPORATION, CURRENT COMPENSATION SURVEYS COMPILED BY INDEPENDENT FIRMS; AND ACTUAL WRITTEN OFFERS FROM SIMILAR INSTITUTIONS COMPETING FOR THE SERVICES OF THE DISQUALIFIED PERSON. THE COMMITTEE MAY RELY UPON OPINIONS OF QUALIFIED LEGAL, ACCOUNTING, VALUATION AND EXECUTIVE COMPENSATION EXPERTS. CONTEMPORANEOUSLY WITH MAKING ITS DETERMINATION OF REASONABLENESS WITH RESPECT TO THE COMPENSATION ARRANGEMENT OF THE CEO AND DISQUALIFIED PERSONS, THE COMMITTEE SHALL DOCUMENT IN ITS MINUTES THE BASIS FOR ITS DECISIONS. A VERBAL REPORT IS PROVIDED TO THE BOARD BY THE CHAIR OF THE COMMITTEE. MINUTES ARE AVAILABLE FOR REVIEW UPON BOARD MEMBER REQUEST TO THE BOARD CHAIR. |
| FORM 990, PART VI, SECTION C, LINE 18 | THE FORM 990 FOR ARKANSAS CHILDREN'S NORTHWEST IS AVAILABLE TO THE PUBLIC UPON REQUEST. |
| FORM 990, PART VI, SECTION C, LINE 19 | ARKANSAS CHILDREN'S NORTHWEST'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST AS REQUIRED. |
| FORM 990, PART IX, LINE 11G | PHYSICIAN REMUNERATION: PROGRAM SERVICE EXPENSES 8,047,253. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 8,047,253. REFERRED TESTING: PROGRAM SERVICE EXPENSES 1,404,964. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,404,964. REPAIRS AND MAINTENANCE: PROGRAM SERVICE EXPENSES 703,709. MANAGEMENT AND GENERAL EXPENSES 230,340. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 934,049. OTHER FEES FOR SERVICES: PROGRAM SERVICE EXPENSES 172,624. MANAGEMENT AND GENERAL EXPENSES 1,292,130. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,464,754. |
| FORM 990, PART XI, LINE 9: | TRANSFER OF FUNDS BETWEEN ACNW & ACMG -4,436,102. |
| FORM 990, PART XII, LINE 2C | IT IS PART OF THE RESERVED POWERS OF ARKANSAS CHILDREN'S, INC. TO RETAIN, OVERSEE AND TERMINATE INDEPENDENT EXTERNAL AUDITORS TO AUDIT THE FINANCIAL STATEMENTS OF ACH OR OF ANY AFFILIATE. ONE OF THE STANDING COMMITTEES OF ARKANSAS CHILDREN'S, THE FINANCIAL PLANNING AND OVERSIGHT COMMITTEE, SHALL UNDERTAKE THE FOLLOWING DUTIES IN THE AREAS OF FINANCE AND AUDITS: (I) CAUSING TO BE PREPARED, AND SUBMIT TO THE BOARD OF DIRECTORS AT ITS LAST MEETING BEFORE THE END OF THE FISCAL YEAR, THE CAPITAL AND OPERATING BUDGETS OF THE CORPORATION, AS WELL AS THE CAPITAL AND OPERATING BUDGETS OF AFFILIATES; (II) EXAMINING THE MONTHLY FINANCIAL REPORTS OF THE HEALTH SYSTEM; (III) REVIEWING THE INTERNAL AUDITING FUNCTIONS OF THE HEALTH SYSTEM; (IV) ENGAGING AN EXTERNAL AUDIT FIRM, SUBJECT TO APPROVAL BY THE BOARD OF DIRECTORS; (V) REVIEWING WITH THE INDEPENDENT AUDITOR THE SCOPE AND PLANNING OF THE AUDIT PRIOR TO THE COMMENCEMENT OF THE AUDIT, AS WELL AS UPON COMPLETION OF THE AUDIT, REVIEWING AND DISCUSSING WITH THE INDEPENDENT AUDITOR ANY MATERIAL RISKS OR WEAKNESSES IN INTERNAL CONTROLS IDENTIFIED BY THE AUDITOR, ANY RESTRICTIONS ON THE SCOPE OF THE AUDITOR'S ACTIVITIES OR ACCESS TO REQUESTED INFORMATION, ANY SIGNIFICANT DISAGREEMENTS BETWEEN THE AUDITOR AND MANAGEMENT, AND THE ADEQUACY OF THE HEALTH SYSTEM'S ACCOUNTING AND FINANCIAL REPORTING PROCESSES; (VI) ANNUALLY CONSIDERING THE PERFORMANCE AND INDEPENDENCE OF THE INDEPENDENT AUDITOR; (VII) REVIEWING AND REPORTING TO THE BOARD ON THE ANNUAL AUDITED FINANCIAL STATEMENT OF THE HEALTH SYSTEM CERTIFIED BY THE CORPORATION'S CERTIFIED PUBLIC ACCOUNTANTS, TOGETHER WITH SUCH CERTIFIED PUBLIC ACCOUNTANTS' MANAGEMENT LETTER TO THE CORPORATION WHICH THE COMMITTEE SHALL REVIEW AND REPORT ON TO THE BOARD OF DIRECTORS; (VIII) SUGGESTING MEANS TO IMPROVE FISCAL ACCOUNTABILITY AND INTERNAL AUDIT PROCEDURES FOR THOSE AREAS IDENTIFIED AS REQUIRING IMPROVEMENT; (IX) PROVIDING OVERSIGHT FOR THE HEALTH SYSTEM'S CORPORATE COMPLIANCE PROGRAM, INCLUDING CORPORATE ETHICS AND COMPLIANCE WITH LEGAL AND REGULATORY REQUIREMENTS; AND (X) REPORTING ON THE FINANCIAL PLANNING AND OVERSIGHT COMMITTEE'S ACTIVITIES TO THE FULL BOARD. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (6 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Direct Controlling NADirectControllingNACd | Controlled OrganizationControlledOrganizationInd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt |
|---|---|---|---|---|---|---|---|---|---|---|---|
| ARKANSAS CHILDREN'S INC | |||||||||||
| 1 CHILDRENS WAY | LITTLE ROCK | AR | 72202 | 810801296 | HEALTH CARE PARENT CORP | AR | 501(C)(3) | LINE 12B, II | N/A | 0 | |
| ARKANSAS CHILDREN'S HOSPITAL | |||||||||||
| 1 CHILDRENS WAY | LITTLE ROCK | AR | 72202 | 710236857 | HOSPITAL | AR | 501(C)(3) | LINE 3 | 0 | ARKANSAS CHILDREN'S INC | |
| ARKANSAS CHILDREN'S FOUNDATION | |||||||||||
| 1 CHILDRENS WAY | LITTLE ROCK | AR | 72202 | 710568795 | FUNDRAISING | AR | 501(C)(3) | LINE 7 | 0 | ARKANSAS CHILDREN'S INC | |
| ARKANSAS CHILDREN'S RESEARCH INSTITUTE | |||||||||||
| 13 CHILDRENS WAY | LITTLE ROCK | AR | 72202 | 710694931 | RESEARCH | AR | 501(C)(3) | LINE 7 | 0 | ARKANSAS CHILDREN'S INC | |
| ARKANSAS CHILDREN'S HOSPITAL AUXILIARY | |||||||||||
| 1 CHILDRENS WAY | LITTLE ROCK | AR | 72202 | 710606585 | FUNDRAISING & VOLUNTEERS | AR | 501(C)(3) | LINE 12A, I | 0 | ARKANSAS CHILDREN'S INC VIA ARKANSAS CHILDREN'S HOSPITAL AND FOUNDATION | |
| ARKANSAS CHILDREN'S MEDICAL GROUP | |||||||||||
| 1 CHILDRENS WAY | LITTLE ROCK | AR | 72202 | 820771462 | HOSPITAL/MEDICAL SERVICES | AR | 501(C)(3) | LINE 3 | 0 | ARKANSAS CHILDREN'S INC | |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (3 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Direct Controlling NADirectControllingNACd | Entity TypeEntityTypeTxt | Controlled OrganizationControlledOrganizationInd | Address Line1ForeignAddress/AddressLine1Txt | CityForeignAddress/CityNm | Province Or StateForeignAddress/ProvinceOrStateNm | CountryForeignAddress/CountryCd | Foreign PostalForeignAddress/ForeignPostalCd | Legal Domicile Foreign CountryLegalDomicileForeignCountryCd |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| CHILDREN'S HEALTHCARE SYSTEM INC | |||||||||||||||
| 1 CHILDRENS WAY | LITTLE ROCK | AR | 72202 | 586304957 | MANAGEMENT SERVICES | AR | N/A | C | 0 | ||||||
| ARKANSAS CHILDREN'S CARE NETWORK | |||||||||||||||
| 1 CHILDRENS WAY | LITTLE ROCK | AR | 72202 | 371854930 | CLINICALLY INTEGRATED NETWORK | AR | N/A | C | 0 | ||||||
| SACOVA INSURANCE COMPANY LTD | |||||||||||||||
| 981472934 | CAPTIVE INSURANCE COMPANY | N/A | C | 0 | 18 FORUM LANE 2ND FLOOR | CAMANA BAY | GRAND CAYMAN | CJ | KY1-1102 | CJ | |||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | Yes (1) | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | Yes (1) | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | Yes (1) | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | Yes (1) | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | 0 | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | 0 | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | 0 | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | Yes (1) | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | Yes (1) | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (1) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (1) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (1) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | Yes (1) | TransferToOtherOrgInd |
| Transfer From Other Org | Yes (1) | TransferFromOtherOrgInd |