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ARKANSAS CHILDRENS NORTHWEST INC: Form 990, tax year 2020

View the entire original 990 at ProPublica ↗

Organization
ARKANSAS CHILDRENS NORTHWEST INC (EIN 81-0817660)
Tax period
2020-07-01 to 2021-06-30
Filed
2022-05-10
IRS object ID
202231309349303053
Schema version
2020v4.2
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 ReturnHeader

FieldValueIRS element (for citing)
Return2022-05-10T11:40:03-05:00ReturnTs
Tax Period End2021-06-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN135565207PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1KPMG LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1301 MAIN ST ONE AMERICAN PL STEAddressLine1Txt
Address Line22150AddressLine2Txt
CityBATON ROUGECityNm
State AbbreviationLAStateAbbreviationCd
ZIP708011705ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2020-07-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN810817660EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1ARKANSAS CHILDREN'S NORTHWEST INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlARKABusinessNameControlTxt
Phone4797256800PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11 CHILDRENS WAYAddressLine1Txt
CityLITTLE ROCKCityNm
State AbbreviationARStateAbbreviationCd
ZIP72202ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonMARCELLA DODERERPersonNm
Person TitlePRESIDENT/CEOPersonTitleTxt
Phone5013648000PhoneNum
Signature2022-05-10SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstMARCELLAPersonFirstNm
Person LastDODERERPersonLastNm
FieldValueIRS element (for citing)
SSN999009999SSN

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonMAXWELL E BARLOWPreparerPersonNm
PTINP01959439PTIN
Phone2253797995PhoneNum

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

FieldValueIRS element (for citing)
Trusted Customer2TrustedCustomerCd
Authentication Assurance LevelAAL1AuthenticationAssuranceLevelCd
Identity Assurance LevelIAL1IdentityAssuranceLevelCd
FieldValueIRS element (for citing)
Tax2020TaxYr
Build TS2022-09-23 18:48:47ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerMARCELLA DODERERPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line11 CHILDRENS WAYAddressLine1Txt
CityLITTLE ROCKCityNm
State AbbreviationARStateAbbreviationCd
ZIP72202ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$90,632,024GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.ARCHILDRENS.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation2015FormationYr
Legal Domicile StateARLegalDomicileStateCd
Activity Or MissionWE CHAMPION CHILDREN BY MAKING THEM BETTER TODAY AND HEALTHIER TOMORROW.ActivityOrMissionDesc
Voting Members Governing Body14VotingMembersGoverningBodyCnt
Voting Members Independent11VotingMembersIndependentCnt
Total Employee501TotalEmployeeCnt
Total Volunteers182TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$11,477,259PYContributionsGrantsAmt
CY Contributions Grants$20,914,545CYContributionsGrantsAmt
PY Program Service Revenue$67,903,094PYProgramServiceRevenueAmt
CY Program Service Revenue$68,778,958CYProgramServiceRevenueAmt
PY Investment Income$476,340PYInvestmentIncomeAmt
CY Investment Income$382,926CYInvestmentIncomeAmt
PY Other Revenue$472,242PYOtherRevenueAmt
CY Other Revenue$555,595CYOtherRevenueAmt
PY Total Revenue$80,328,935PYTotalRevenueAmt
CY Total Revenue$90,632,024CYTotalRevenueAmt
PY Grants And Similar Paid$54,629PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$54,976CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$25,812,032PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$25,788,369CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$37,634,708PYOtherExpensesAmt
CY Other Expenses$41,553,533CYOtherExpensesAmt
PY Total Expenses$63,501,369PYTotalExpensesAmt
CY Total Expenses$67,396,878CYTotalExpensesAmt
PY Revenues Less Expenses$16,827,566PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$23,235,146CYRevenuesLessExpensesAmt
Total Assets BOY$198,332,902TotalAssetsBOYAmt
Total Assets EOY$211,078,044TotalAssetsEOYAmt
Total Liabilities BOY$86,482,290TotalLiabilitiesBOYAmt
Total Liabilities EOY$80,943,168TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$111,850,612NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$130,134,876NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionWE CHAMPION CHILDREN BY MAKING THEM BETTER TODAY AND HEALTHIER TOMORROW.ARKANSAS CHILDREN'S WILL FUNDAMENTALLY TRANSFORM HEALTHCARE DELIVERY FOR THE CHILDREN OF ARKANSAS AND BEYOND. ARKANSAS CHILDREN'S CORE VALUES ARE THE ORGANIZATIONAL PRINCIPLES THAT HIGHLIGHT OUR REGARD FOR EACH OTHER AND THOSE WE SERVE:SAFETY: WE ARE VIGILANT ABOUT CREATING AN ERROR-FREE ENVIRONMENT FOR PATIENTS, FAMILIES, AND TEAM MEMBERS.TEAMWORK: WE DEMONSTRATE ACTIONABLE CARE AND CONCERN FOR PATIENTS, FAMILIES, AND TEAM MEMBERS.COMPASSION: WE COORDINATE, COMMUNICATE, COOPERATE, AND COLLABORATE TO ENSURE THE HIGHEST LEVEL OF SERVICE FOR OUR PATIENTS, FAMILIES, AND TEAM MEMBERS.EXCELLENCE: WE ACHIEVE THE HIGHEST OF STANDARDS AND SERVE WITH DISTINCTION IN ORDER TO BE THE BEST.SAFETY AND EXCELLENCE FRAME OUR WORK. TEAMWORK AND COMPASSION PLACE PEOPLE AT THE CENTER OF ALL WE DO.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$52,349,853ExpenseAmt
Grant$54,976GrantAmt
Revenue$68,929,906RevenueAmt
DescARKANSAS 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, 2021, ACNW'S UTILIZATION WAS AS FOLLOWS: 2,173 ADMISSIONS WITH AN AVERAGE STAY OF 1.86 DAYS; 3,880 PATIENT DAYS; 10.6 AVERAGE DAILY CENSUS; 42,298 OUTPATIENT VISITS, EXCLUDING ER VISITS WHICH WERE 22,594; AND 3,397 SURGERIES. CONTINUED ON SCHEDULE O.ACNW, THE REGION'S FIRST AND ONLY PEDIATRIC HOSPITAL, 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 SERVICESDesc
Total Program Service Expenses$52,349,853TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying Activities0LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Donor Rstr Or Quasi EndowmentsYes (1)DonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other AssetsYes (1)ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (1)ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate HospitalYes (1)OperateHospitalInd
Audited Financial Stmt AttYes (1)AuditedFinancialStmtAttInd
Grants To OrganizationsYes (1)GrantsToOrganizationsInd
Grants To IndividualsYes (1)GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt BondsYes (1)TaxExemptBondsInd
Invest Tax Exempt Bonds0InvestTaxExemptBondsInd
Escrow Account0EscrowAccountInd
On Behalf Of Issuer0OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With35 Ctrl EntYes (1)BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document44IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee501EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt0SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc0SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members14GoverningBodyVotingMembersCnt
Independent Voting Member11IndependentVotingMemberCnt
Family Or Business RlnYes (1)FamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesYes (1)DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or StockholdersYes (1)MembersOrStockholdersInd
Election Of Board MembersYes (1)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (1)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process OtherYes (1)CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1GENA WINGFIELDBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone5013642555PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11 CHILDRENS WAYAddressLine1Txt
CityLITTLE ROCKCityNm
State AbbreviationARStateAbbreviationCd
ZIP72202ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (28 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtKey EmployeeKeyEmployeeIndHighest Compensated EmployeeHighestCompensatedEmployeeInd
MARCELLA DODERER
PRESIDENT/CEO0.2656.17Yes (X)Yes (X)$0$1,400,777$239,655
JENNIFER AUNSPAUGH MD
TRUSTEE/DIRECTOR-CHIEF OF STAFF0.3055.00Yes (X)$0$526,288$66,519
RON CLARK
TRUSTEE/DIRECTOR0.080.42Yes (X)$0$0$0
JON DYER
CHAIR OF THE BOARD0.240.00Yes (X)$0$0$0
HARRY C ERWIN
TRUSTEE/DIRECTOR0.180.47Yes (X)$0$0$0
GARY GEORGE
TRUSTEE/DIRECTOR0.140.24Yes (X)$0$0$0
STACY LEEDS
TRUSTEE/DIRECTOR (PARTIAL YEAR)0.060.00Yes (X)$0$0$0
PAT MCCLELLAND
TRUSTEE/DIRECTOR0.390.58Yes (X)$0$0$0
KELVIN PARKS
TRUSTEE/DIRECTOR0.120.00Yes (X)$0$0$0
CHARLES REDFIELD
VICE CHAIR0.140.00Yes (X)$0$0$0
JOHN ROBERTS
TRUSTEE/DIRECTOR0.120.00Yes (X)$0$0$0
MARSHALL SAVIERS
TRUSTEE/DIRECTOR0.070.00Yes (X)$0$0$0
KC TUCKER
BOARD TREASURER0.270.16Yes (X)$0$0$0
BARBARA TYSON
TRUSTEE/DIRECTOR0.120.00Yes (X)$0$0$0
NOEL WHITE
TRUSTEE/DIRECTOR0.140.00Yes (X)$0$0$0
GENA WINGFIELD
EVP AND CFO0.0048.00Yes (X)$0$689,397$98,731
PATRICIA MONTAGUE
SVP/CHIEF ADMINISTRATOR (PARTIAL YR)31.8818.12$263,545$283,645$35,514Yes (X)
SHANNON HENDRIX
SVP/CHIEF ADMINISTRATOR4.1745.83$11,941$259,976$36,435Yes (X)
MICHAEL HOWARD
VP/CHIEF NURSING OFFICER50.000.00$220,200$0$18,700Yes (X)
DIANA MCDANIEL
OPERATIONS VP50.000.00$212,332$0$22,355Yes (X)
KEITH VEIT
PATIENT CARE SVC DIRECTOR50.000.00$153,321$0$29,897Yes (X)
JAMA HUNTLEY
PHARMACY DIRECTOR50.000.00$151,827$0$20,250Yes (X)
CINDY HILL
FINANCIAL SERVICES VP0.0055.00$0$275,767$36,700Yes (X)
JEFFREY WILLIAMS
STAFF PHARMACIST40.000.00$136,193$0$27,887Yes (X)
LESLIE RYLEE
PATIENT CARE SVC DIRECTOR55.000.00$135,977$0$16,586Yes (X)
SARAH SMITH
AMBULATORY SERVICES DIRECTOR45.000.00$129,987$0$15,781Yes (X)
SHANNON OLIVER
STAFF PHARMACIST40.000.00$118,938$0$7,224Yes (X)
DAVID THIESSEN
ADMINISTRATIVE SERVICES DIRECTOR40.000.00$118,425$0$13,436Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$1,652,686TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$3,435,850TotReportableCompRltdOrgAmt
Total Other Compensation$685,670TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K15IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other SrcsYes (1)CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
CROTHALL HEALTHCARE
13028 COLLECTION CENTER DRIVECHICAGOIL60693PATIENT TRANSPORT/EVS/LINEN SERVICES$1,683,716
COMPASS ONE
PO BOX 102289ATLANTAGA30368CAFETERIA SERVICES$1,425,708
BIOFIRE DIAGNOSTICS
PO BOX 500308ST LOUISMO63150CLINICAL DIAGNOSTIC TESTING$1,031,806
ALLIED UNIVERSAL SECURITY SERVICE
PO BOX 828854PHILADELPHIAPA19182SECURITY SERVICES$990,746
CROSS COUNTRY STAFFING
PO BOX 404674ATLANTAGA30384STAFFING SERVICES$480,439
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K12CntrctRcvdGreaterThan100KCnt
Related Organizations$9,593,916RelatedOrganizationsAmt
Government Grants$11,320,629GovernmentGrantsAmt
Total Contributions$20,914,545TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

FieldValueIRS element (for citing)
DescPMTS FOR MEDICAL SERVIDesc
Business622110BusinessCd
Total Revenue Column$68,778,958TotalRevenueColumnAmt
Related Or Exempt Func Income$68,778,958RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$68,778,958TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$382,926TotalRevenueColumnAmt
Exclusion$382,926ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtExclusionExclusionAmt
NUTRITIONAL SERVICES622110$323,086$323,086
GIFT SHOP459420$81,561$81,561

Miscellaneous Revenue MiscellaneousRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$150,948TotalRevenueColumnAmt
Related Or Exempt Func Income$150,948RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Other Revenue Total$555,595OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$90,632,024TotalRevenueColumnAmt
Related Or Exempt Func Income$68,929,906RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$787,573ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$30,757TotalAmt
Program Services$30,757ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$24,219TotalAmt
Program Services$24,219ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$2,121,624TotalAmt
Program Services$1,211,005ProgramServicesAmt
Management And General$910,619ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$19,670,013TotalAmt
Program Services$17,027,133ProgramServicesAmt
Management And General$2,642,880ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$3,996,732TotalAmt
Program Services$3,580,001ProgramServicesAmt
Management And General$416,731ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$3,994,335TotalAmt
Program Services$1,309,405ProgramServicesAmt
Management And General$2,684,930ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$18,667TotalAmt
Management And General$18,667ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$8,300TotalAmt
Management And General$8,300ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$9,811,759TotalAmt
Program Services$9,042,137ProgramServicesAmt
Management And General$769,622ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$511,660TotalAmt
Program Services$10,256ProgramServicesAmt
Management And General$501,404ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$1,138,504TotalAmt
Program Services$1,006,189ProgramServicesAmt
Management And General$132,315ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$1,984,180TotalAmt
Program Services$785,181ProgramServicesAmt
Management And General$1,198,999ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$817,681TotalAmt
Program Services$572,971ProgramServicesAmt
Management And General$244,710ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$174,439TotalAmt
Program Services$152,918ProgramServicesAmt
Management And General$21,521ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$41,734TotalAmt
Program Services$35,332ProgramServicesAmt
Management And General$6,402ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$2,828,906TotalAmt
Program Services$6,186ProgramServicesAmt
Management And General$2,822,720ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$8,869,912TotalAmt
Program Services$6,985,295ProgramServicesAmt
Management And General$1,884,617ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$370,277TotalAmt
Program Services$130,336ProgramServicesAmt
Management And General$239,941ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
MEDICAL SUPPLIES$8,881,567$8,794,012$87,555
OTHER ADMINISTRATIVE EX$1,530,889$1,495,594$35,295
MINOR EQUIPMENT$417,041$106,110$310,931
DUES & SUBSCRIPTIONS$153,682$44,816$108,866

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$67,396,878TotalAmt
Program Services$52,349,853ProgramServicesAmt
Management And General$15,047,025ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$27,936,218BOYAmt
EOY$34,022,815EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$5,494,570BOYAmt
EOY$7,335,877EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$789,762BOYAmt
EOY$916,674EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$812,013BOYAmt
EOY$827,072EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$153,131,994LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$30,619,543LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$129,087,337BOYAmt
EOY$122,512,451EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$1,748,092BOYAmt
EOY$1,730,136EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$32,464,910BOYAmt
EOY$43,733,019EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$198,332,902BOYAmt
EOY$211,078,044EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$3,587,561BOYAmt
EOY$5,768,436EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$6,114,013BOYAmt
EOY$0EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$76,473,956BOYAmt
EOY$73,805,519EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$306,760BOYAmt
EOY$1,369,213EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$86,482,290BOYAmt
EOY$80,943,168EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$105,561,622BOYAmt
EOY$122,844,379EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$6,288,990BOYAmt
EOY$7,290,497EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$111,850,612BOYAmt
EOY$130,134,876EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$198,332,902BOYAmt
EOY$211,078,044EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$23,235,146ReconcilationRevenueExpnssAmt
Other Changes In Net Assets-$4,950,882OtherChangesInNetAssetsAmt
Info In Schedule O Part XIIYes (X)InfoInScheduleOPartXIIInd
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$4,895,940BeginningYearBalanceAmt
Contributions$71,460ContributionsAmt
Investment Earnings Or Losses$1,332,000InvestmentEarningsOrLossesAmt
Other Expenditures$267,150OtherExpendituresAmt
End Year Balance$6,032,250EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$4,944,705BeginningYearBalanceAmt
Contributions$41,476ContributionsAmt
Investment Earnings Or Losses$52,607InvestmentEarningsOrLossesAmt
Other Expenditures$142,848OtherExpendituresAmt
End Year Balance$4,895,940EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

FieldValueIRS element (for citing)
Contributions$3,721,746ContributionsAmt
Investment Earnings Or Losses$1,402,615InvestmentEarningsOrLossesAmt
Other Expenditures$179,656OtherExpendituresAmt
End Year Balance$4,944,705EndYearBalanceAmt
FieldValueIRS element (for citing)
Board Designated Balance EOY0.00000BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY0.53880PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY0.46120TermEndowmentBalanceEOYPct
Endowments Held Unrelated Org0EndowmentsHeldUnrelatedOrgInd
Endowments Held Related OrgYes (1)EndowmentsHeldRelatedOrgInd
Related Org List Sch RYes (1)RelatedOrgListSchRInd

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$6,740,000OtherCostOrOtherBasisAmt
Book Value$6,740,000BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$120,048,604OtherCostOrOtherBasisAmt
Depreciation$17,386,403DepreciationAmt
Book Value$102,662,201BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$25,280,316OtherCostOrOtherBasisAmt
Depreciation$13,192,801DepreciationAmt
Book Value$12,087,515BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,063,074OtherCostOrOtherBasisAmt
Depreciation$40,339DepreciationAmt
Book Value$1,022,735BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$122,512,451TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (4 entries)

DescDescBook ValueBookValueAmt
MEDICAID RECEIVABLE$42,660,624
OTHER RECEIVABLES$64,535
OPERATING LEASES$903,352
DUE FROM AFFILIATES$104,508
FieldValueIRS element (for citing)
Total Book Value Other Assets$43,733,019TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (4 entries)

DescDescAmtAmt
DEFERRED PAYROLL TAXES PAYABLE (UNDER CARES ACT)$445,978
OPERATING LEASE - NONCURRENT$505,749
OPERATING LEASE - CURRENT$397,603
CAPITAL LEASE OBLIGATIONS$19,883
FieldValueIRS element (for citing)
Total Liability$1,369,213TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
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, 2021 AND 2020, 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

FieldValueIRS element (for citing)
Financial Assistance PolicyYes (1)FinancialAssistancePolicyInd
Written PolicyYes (1)WrittenPolicyInd
FPG Reference Free CareYes (1)FPGReferenceFreeCareInd

Free Care Oth Percentage FreeCareOthPercentageGrp

FieldValueIRS element (for citing)
OtherYes (X)OtherInd
Free Care Other250.000000000000FreeCareOtherPct
FieldValueIRS element (for citing)
FPG Reference Discounted CareYes (1)FPGReferenceDiscountedCareInd
Percent400Yes (X)Percent400Ind
Free Care Medically Indigent0FreeCareMedicallyIndigentInd
Financial Assistance BudgetYes (1)FinancialAssistanceBudgetInd
Expenses Exceed Budget0ExpensesExceedBudgetInd
Annual Community Bnft Report0AnnualCommunityBnftReportInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$2,138,841TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$2,138,841NetCommunityBenefitExpnsAmt
Total Expense0.03170TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$54,321,563TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$47,570,738DirectOffsettingRevenueAmt
Net Community Benefit Expns$6,750,825NetCommunityBenefitExpnsAmt
Total Expense0.10020TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$56,460,404TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$47,570,738DirectOffsettingRevenueAmt
Net Community Benefit Expns$8,889,666NetCommunityBenefitExpnsAmt
Total Expense0.13190TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$501,949TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$8,800DirectOffsettingRevenueAmt
Net Community Benefit Expns$493,149NetCommunityBenefitExpnsAmt
Total Expense0.00730TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$7,233,472TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$2,932,674DirectOffsettingRevenueAmt
Net Community Benefit Expns$4,300,798NetCommunityBenefitExpnsAmt
Total Expense0.06380TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$26,680TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$750DirectOffsettingRevenueAmt
Net Community Benefit Expns$25,930NetCommunityBenefitExpnsAmt
Total Expense0.00040TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$7,762,101TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$2,942,224DirectOffsettingRevenueAmt
Net Community Benefit Expns$4,819,877NetCommunityBenefitExpnsAmt
Total Expense0.07150TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$64,222,505TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$50,512,962DirectOffsettingRevenueAmt
Net Community Benefit Expns$13,709,543NetCommunityBenefitExpnsAmt
Total Expense0.20340TotalExpensePct

Community Support CommunitySupportGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$4,827TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$4,827NetCommunityBenefitExpnsAmt
Total Expense0.00010TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$4,827TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$4,827NetCommunityBenefitExpnsAmt
Total Expense0.00010TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense ReportedYes (1)BadDebtExpenseReportedInd
Bad Debt Expense$950,517BadDebtExpenseAmt
Reimbursed By Medicare$85,553ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$84,722CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall$831MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

FieldValueIRS element (for citing)
Cost To Charge RatioYes (X)CostToChargeRatioInd
FieldValueIRS element (for citing)
Written Debt Collection PolicyYes (1)WrittenDebtCollectionPolicyInd
Financial Assistance PrvsnYes (1)FinancialAssistancePrvsnInd
Hospital Facilities1HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

FieldValueIRS element (for citing)
Facility1FacilityNum

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1ARKANSAS CHILDREN'S NORTHWESTBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line12601 GENE GEORGE BLVDAddressLine1Txt
CitySPRINGDALECityNm
State AbbreviationARStateAbbreviationCd
ZIP72762ZIPCd
FieldValueIRS element (for citing)
Website AddressWWW.ARCHILDRENS.ORGWebsiteAddressTxt
State LicenseAR5392StateLicenseNum
Licensed HospitalYes (X)LicensedHospitalInd
General Medical And SurgicalYes (X)GeneralMedicalAndSurgicalInd
Childrens HospitalYes (X)ChildrensHospitalInd
Emergency Room24 HrsYes (X)EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1ARKANSAS CHILDREN'S NORTHWESTBusinessNameLine1Txt
FieldValueIRS element (for citing)
Facility1FacilityNum
First Licensed CY Or PYYes (1)FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY0TaxExemptHospitalCYOrPYInd
CHNA ConductedYes (1)CHNAConductedInd
Community DefinitionYes (X)CommunityDefinitionInd
Community DemographicsYes (X)CommunityDemographicsInd
Existing ResourcesYes (X)ExistingResourcesInd
How Data ObtainedYes (X)HowDataObtainedInd
Community Health NeedsYes (X)CommunityHealthNeedsInd
Other Health IssuesYes (X)OtherHealthIssuesInd
Community Hlth Needs Id ProcessYes (X)CommunityHlthNeedsIdProcessInd
Consulting ProcessYes (X)ConsultingProcessInd
Prior CHNA ImpactYes (X)PriorCHNAImpactInd
OtherYes (X)OtherInd
CHNA Conducted18CHNAConductedYr
Take Into Account Others InputYes (1)TakeIntoAccountOthersInputInd
CHNA Conducted With Other FcltsYes (1)CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non FcltsYes (1)CHNAConductedWithNonFcltsInd
CHNA Report Widely AvailableYes (1)CHNAReportWidelyAvailableInd
Rpt Available On Own WebsiteYes (X)RptAvailableOnOwnWebsiteInd
Own Website URLWWW.ARCHILDRENS.ORG/RESOURCES/COMMUNITY-NEEDS-ASSESSMENTOwnWebsiteURLTxt
Paper Copy Public InspectionYes (X)PaperCopyPublicInspectionInd
Rpt Available Thru Other MethodYes (X)RptAvailableThruOtherMethodInd
Implementation Strategy AdoptYes (1)ImplementationStrategyAdoptInd
Implementation Strategy Adpt19ImplementationStrategyAdptYr
Strategy Posted WebsiteYes (1)StrategyPostedWebsiteInd
Strategy Website URLWWW.ARCHILDRENS.ORG/RESOURCES/COMMUNITY-NEEDS-ASSESSMENTStrategyWebsiteURLTxt
Organization Incur Excise Tax0OrganizationIncurExciseTaxInd
Elig Criteria ExplainedYes (1)EligCriteriaExplainedInd
FPG Family Incm Lmt Free DscntYes (X)FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care250.000000000000FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care400.000000000000FPGFamilyIncmLmtDscntCarePct
Explained BasisYes (1)ExplainedBasisInd
App Financial Asst ExplnYes (1)AppFinancialAsstExplnInd
Described InfoYes (X)DescribedInfoInd
Described Suprt DocYes (X)DescribedSuprtDocInd
Provided Hospital ContactYes (X)ProvidedHospitalContactInd
Includes Publicity MeasuresYes (1)IncludesPublicityMeasuresInd
FAP Available On WebsiteYes (X)FAPAvailableOnWebsiteInd
FAP Available On Website URLSEE PART V, SECTION CFAPAvailableOnWebsiteURLTxt
FAP App Available On WebsiteYes (X)FAPAppAvailableOnWebsiteInd
FAP App Available On Website URLSEE PART V, SECTION CFAPAppAvailableOnWebsiteURLTxt
FAP Summary On WebsiteYes (X)FAPSummaryOnWebsiteInd
FAP Summary On Website URLSEE PART V, SECTION CFAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No ChargeYes (X)FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No ChrgYes (X)FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No ChrgYes (X)FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill DisplayYes (X)NotifiedFAPCopyBillDisplayInd
Communtity Notified FAPYes (X)CommuntityNotifiedFAPInd
FAP TranslatedYes (X)FAPTranslatedInd
FAP Actions On NonpaymentYes (1)FAPActionsOnNonpaymentInd
Permit No ActionsYes (X)PermitNoActionsInd
Collection Activities0CollectionActivitiesInd
None MadeYes (X)NoneMadeInd
Nondis Emergency Care PolicyYes (1)NondisEmergencyCarePolicyInd
Look Back Medicaid Medcr PrvtYes (X)LookBackMedicaidMedcrPrvtInd
Amounts Generally Billed0AmountsGenerallyBilledInd
Gross Charges0GrossChargesInd

Supplemental Information SupplementalInformationGrp (11 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
ARKANSAS CHILDREN'S NORTHWESTPART V, SECTION B, LINE 3J: ARKANSAS CHILDREN'S NORTHWEST (ACNW) IS A PRIVATE, NONPROFIT HOSPITAL WITHIN ARKANSAS CHILDREN'S, INC., THE ONLY HEALTHCARE SYSTEM IN THE STATE SOLELY DEDICATED TO CARING FOR ARKANSAS' 700,000 CHILDREN. THIS STATUS GIVES THE ORGANIZATION A UNIQUE ABILITY TO SHAPE THE LANDSCAPE OF PEDIATRIC CARE IN ARKANSAS AND TO TRANSFORM THE HEALTH OF CHILDREN THROUGHOUT THE REGION. 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. ACNW, THE REGIONS FIRST AND ONLY PEDIATRIC HOSPITAL, IS LOCATED ON A 37-ACRE CAMPUS IN SPRINGDALE, ARKANSAS. ACNW HAS A 24 BED INPATIENT UNIT, A PEDIATRIC 24/7 EMERGENCY ROOM EQUIPPED WITH 30 EXAM ROOMS AND IS A LEVEL IV PEDIATRIC TRAUMA CENTER. ACNW ALSO PROVIDES PRIMARY AND SPECIALTY CARE WITH OUTPATIENT CLINICS OFFERING OVER 20 SUBSPECIALTIES, A SURGERY CENTER FOR OUTPATIENT AND EMERGENCY SURGERY NEEDS, AN INFUSION CLINIC, IMAGING SERVICES, PHYSICAL, OCCUPATIONAL AND SPEECH THERAPY, AND AN OUTPATIENT LAB.AS A PEDIATRIC MEDICAL CENTER THAT TREATS CHILDREN FROM EVERY COUNTY IN NORTHWEST ARKANSAS, AND SOME FROM NEIGHBORING AREAS, ACNW DEFINES THE COMMUNITY IT SERVES AS ALL CHILDREN FROM BIRTH TO AGE 21 IN THE 11-COUNTY NORTHWEST REGION OF ARKANSAS (BENTON, CARROLL, BOONE, WASHINGTON, MADISON, NEWTON, CRAWFORD, FRANKLIN, JOHNSON, SEBASTIAN AND LOGAN). ACCORDING TO THE U.S. CENSUS BUREAU, THERE ARE ABOUT 200,000 CHILDREN UNDER AGE 18 IN THIS REGION.
ARKANSAS CHILDREN'S NORTHWESTPART V, SECTION B, LINE 5: IN 2019, ARKANSAS CHILDREN'S NORTHWEST TOOK A COMPREHENSIVE APPROACH TO UNDERSTAND CHILD HEALTH, CONSIDERING BOTH PRIMARY AND SECONDARY DATA AT THE LOCAL AND 11-COUNTY REGIONAL AREA IN NORTHWEST ARKANSAS IN ORDER TO DETERMINE THE SPECIFIC HEALTH NEEDS OF CHILDREN IN THE AREA. SECONDARY DATA SETS REVIEWED INCLUDED THE U.S. CENSUS BUREAU, THE ANNIE E. CASEY KIDS COUNT DATA CENTER, ARKANSAS STATE AGENCY DATABASES, THE YOUTH RISK BEHAVIOR SURVEY, AND A VARIETY OF LOCAL ORGANIZATIONS' RESEARCH. ADDITIONAL DATA SOURCES INCLUDED FOCUS GROUPS, KEY INFORMATION INTERVIEWS, AND A TELEPHONE SURVEY OF NORTHWEST ARKANSAS PARENTS. COMMUNITY MEMBERS FROM ACROSS NORTHWEST ARKANSAS WERE INVITED TO SHARE THEIR EXPERIENCE THROUGH COMMUNITY DISCUSSIONS AS PARENTS, GUARDIANS, EDUCATORS, SERVICE PROVIDERS FOR CHILDREN IN ARKANSAS, OR STAKEHOLDERS WITH KNOWLEDGE OF CHILD HEALTH. EACH FOCUS GROUP INVOLVED RECORDED CONVERSATIONS IN GROUPS OF 5-15 PEOPLE FOR ABOUT 90 MINUTES. HOSPITAL STAFF CONDUCTED SIX TOTAL FOCUS GROUPS, WITH 76 TOTAL PARTICIPANTS, IN THREE LANGUAGES (ENGLISH, SPANISH, AND MARSHALLESE). FOCUS GROUPS WERE SPLIT AMONG CONSUMERS (THE COMMUNITY OF LEGAL PARENTS OR GUARDIANS OF CHILDREN UNDER 18 YEARS OF AGE) AND PROVIDERS (HEALTHCARE PROVIDERS OR EDUCATORS WHO SERVE CHILDREN AND THEIR FAMILIES SUCH AS SCHOOL NURSES AND TEACHERS, SOCIAL SERVICE AGENCY EMPLOYEES, AND HEALTH EDUCATORS). TO ENSURE INCLUSION OF UNDER-SERVED, LOW-INCOME AND MINORITY POPULATIONS, STAFF REACHED OUT TO DIVERSE AREAS OF THE NORTHWEST ARKANSAS COUNTIES SERVED, SEEKING FEEDBACK FROM PROVIDERS AND GUARDIANS IN CULTURALLY AND LINGUISTICALLY UNDERREPRESENTED GROUPS. STAFF LED FOCUS GROUPS IN SPANISH THROUGHOUT THE STATE AND ONE IN MARSHALLESE IN THE NORTHWEST, CONDUCTING PARTICIPANT OUTREACH THROUGH COMMUNITY REPRESENTATIVES AND ADVOCATES, NON-PROFIT COMMUNITY-BASED SERVICES, RELIGIOUS AND SECULAR ORGANIZATIONS, AND HEALTH AND EDUCATIONAL ORGANIZATIONS. COMMUNITY MEMBERS REPRESENTING NORTHWEST ARKANSAS WERE ASKED TO PARTICIPATE IN INTERVIEWS THAT WERE CONDUCTED IN PERSON OR VIA TELEPHONE BY HOSPITAL STAFF. INTERVIEWS WERE CONDUCTED WITH 17 PROVIDERS, BUSINESS AND INDUSTRY LEADERS, FAITH LEADERS, AND KEY DECISION MAKERS WHO WORK IN OR OVERSEE CHILD HEALTH PRIORITIES IN NORTHWEST ARKANSAS. QUESTIONS FOR KEY INFORMANT INTERVIEWS WERE STRUCTURED WITH BROAD TOPIC DOMAINS BASED ON THE SOCIAL DETERMINANTS OF HEALTH AS WELL AS OPEN-ENDED QUESTIONS DESIGNED TO OBTAIN SEMINAL INFORMATION.ARKANSAS CHILDREN'S CONTRACTED WITH THE UNIVERSITY OF ARKANSAS AT LITTLE ROCK (UALR) SURVEY RESEARCH CENTER (SRC) TO DESIGN AND CARRY OUT A TELEPHONE SURVEY OF PARENTS AND GUARDIANS LIVING IN NORTHWEST ARKANSAS WHO HAD CHILDREN CURRENTLY LIVING IN THEIR HOME. THE GOAL OF THE SURVEY WAS TO ASSESS ARKANSAS CAREGIVERS' VIEWS AND ATTITUDES TOWARDS THEIR CHILDREN'S HEALTH AND COMMUNITY HEALTH NEEDS. A TOTAL OF 395 COMPLETED INTERVIEWS WERE CONDUCTED WITH NORTHWEST ARKANSAS ADULT RESIDENTS WHO ARE A PARENT, STEPPARENT, OR GUARDIAN OF A CHILD UNDER THE AGE OF 18 WHO LIVES IN THE HOUSEHOLD, EITHER FULL OR PART-TIME.
ARKANSAS CHILDREN'S NORTHWESTPART 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 NORTHWESTPART V, SECTION B, LINE 6B: ARKANSAS CHILDREN'S CONDUCTED THE NEEDS ASSESSMENTS FOR EACH OF THE TWO HOSPITALS IN PARTNERSHIP WITH ORGANIZATIONS OTHER THAN HOSPITAL FACILITIES. MEMBERS OF THE NATURAL WONDERS PARTNERSHIP COUNCIL, A COALITION OF STATEWIDE ORGANIZATIONS THAT WORK TOGETHER TO ADVANCE CHILD HEALTH, PROVIDED INPUT AND FEEDBACK ON THE COMMUNITY HEALTH NEEDS ASSESSMENTS FOR ARKANSAS CHILDREN'S NORTHWEST (ACNW), AS WELL AS ARKANSAS CHILDREN'S HOSPITAL (ACH) IN LITTLE ROCK. MANY ALSO PROVIDED DATA AND INTERVIEWS TO THE ARKANSAS CHILDREN'S STAFF MEMBERS WHO WORKED ON THE NEEDS ASSESSMENTS. THE NEEDS ASSESSMENTS OF BOTH HOSPITALS ARE USED IN CREATING THE ACTION PLAN FOR NATURAL WONDERS EFFORTS TO IMPROVE CHILD HEALTH. NATURAL WONDERS MEMBER ORGANIZATIONS INCLUDE THE FOLLOWING: AMERICAN ACADEMY OF PEDIATRICS, ARKANSAS CHAPTER ARKANSAS ACCESS TO JUSTICE COMMISSIONARKANSAS ADVOCATES FOR CHILDREN AND FAMILIESARKANSAS ASSOCIATION OF EDUCATION ADMINISTRATORSARKANSAS BLUE CROSS BLUE SHIELDARKANSAS CAMPAIGN FOR GRADE-LEVEL READINGARKANSAS CENTER FOR HEALTH IMPROVEMENT ARKANSAS CHILDREN'S HOSPITALARKANSAS COALITION FOR OBESITY PREVENTIONARKANSAS DEPARTMENT OF EDUCATIONARKANSAS DEPARTMENT OF HEALTH ARKANSAS DEPARTMENT OF HUMAN SERVICES, DIVISION OF BEHAVIORAL HEALTH SERVICESARKANSAS DEPARTMENT OF HUMAN SERVICES, DIVISION OF MEDICAL SERVICES (MEDICAID)ARKANSAS FOODBANKARKANSAS FOUNDATION FOR MEDICAL CAREARKANSAS HOME VISITING NETWORKARKANSAS HUNGER RELIEF ALLIANCEARKANSAS MINORITY HEALTH COMMISSIONARKANSAS PHARMACIST ASSOCIATIONBLUE & YOU FOUNDATIONCOMMUNITY HEALTH CENTERS OF ARKANSASDELTA DENTAL OF ARKANSASUNIVERSITY OF ARKANSAS FOR MEDICAL SCIENCES - COLLEGE OF PUBLIC HEALTHUNIVERSITY OF ARKANSAS FOR MEDICAL SCIENCES - COLLEGE OF MEDICINE
ARKANSAS CHILDREN'S NORTHWESTPART V, SECTION B, LINE 7D: THE FY19 CHNA WAS DISTRIBUTED TO PARTNERS THROUGH THE NATURAL WONDERS PARTNERSHIP COUNCIL (NWPC) AND ITS MULTIPLE WORKGROUPS. IT IS ALSO AVAILABLE FOR PUBLIC VIEW WITHOUT CHARGE ON THE ARKANSAS CHILDREN'S WEBSITE.
ARKANSAS CHILDREN'S NORTHWESTPART V, SECTION B, LINE 11: COMMUNITY HEALTH IMPROVEMENT INTRODUCTION:IN FISCAL YEAR 2021, ARKANSAS CHILDREN'S NORTHWEST (ACNW) CONTINUED WORKING ON THE GOALS FROM THE 2020-2022 ACNW IMPLEMENTATION STRATEGY. THE IMPLEMENTATION STRATEGY INCLUDES DESCRIPTIONS OF THE PROPOSED NEW ACTIONS, CONTINUING INITIATIVES AND THE ANTICIPATED IMPACT AND STAKEHOLDER GROUPS FOR SEVEN OF THE TEN CHILD HEALTH NEEDS IDENTIFIED IN THE 2020 ACNW COMMUNITY HEALTH NEEDS ASSESSMENT. THE 2020-2022 IMPLEMENTATION STRATEGY WAS APPROVED BY THE ACNW BOARD OF DIRECTORS IN AUGUST 2019. UPDATES ON ACTIONS UNDERTAKEN DURING FY21 FOR EACH OF THE 2019 CHNA PRIORITIZED ISSUES ARE LISTED BELOW. ADDRESSING COMMUNITY IMPACTS OF COVID-19: THE WORK TO ADDRESS THE SOCIAL NEEDS AND HEALTH NEEDS CREATED BY THE COVID-19 PANDEMIC HAVE STRETCHED BEYOND A SINGLE YEAR. THIS SUMMARY OF THE WORK ARKANSAS CHILDREN'S IS DOING TO ADDRESS THE SOCIAL IMPACTS OF THE COVID-19 PANDEMIC ON CHILDREN AND THEIR FAMILIES INCLUDES INITIATIVES THAT BEGAN IN MARCH 2020 AND HAVE CONTINUED TO FULFILL ONGOING NEEDS. SPECIFIC NUMBERS AND INITIATIVES MENTIONED BELOW ARE RELATED TO THE JULY 2020 TO JUNE 2021 FISCAL YEAR. THE ARKANSAS CHILDREN'S TELEHEALTH DEPARTMENT CREATED THE CAPABILITY FOR MORE THAN 70 CLINICS TO HAVE TELEMEDICINE APPOINTMENTS. BEFORE THE ONSET OF THE COVID-19 PANDEMIC, ARKANSAS CHILDREN'S HELD ANYWHERE FROM 10 TO 20 TELEMEDICINE VISITS PER DAY. WITH THE EXPANDED CAPABILITY AND THE INCREASED NEED, THE NUMBER OF TELEMEDICINE VISITS HAS INCREASED TO OVER 100 VISITS EACH DAY, INCLUDING VISITS FOR PATIENTS OF ARKANSAS CHILDREN'S HOSPITAL AND ARKANSAS CHILDREN'S NORTHWEST. OF THE TELEHEALTH VISITS SINCE JULY 2020, 29% OF THE VISITS ORIGINATED IN A RURAL COUNTY. THE OTHER TWO-THIRDS OF VISITS WERE FOR PATIENTS THAT LIVE IN COUNTIES THAT ARE PARTIALLY RURAL. TELEHEALTH IS AN IMPORTANT METHOD FOR ARKANSAS CHILDREN'S TO REACH RURAL AND VULNERABLE CHILDREN CLOSER TO THEIR HOMES. ARKANSAS CHILDREN'S SET UP A STATEWIDE HOTLINE TO RESPOND TO CALLS RELATED TO COVID-19 AND CHILDREN'S HEALTH QUESTIONS AND CONCERNS. THE HOTLINE WAS LAUNCHED ON MARCH 12, 2020 AND FACILITATED OVER 3,000 PHONE CALLS EACH MONTH. THE SERVICE CONTINUED UNTIL OCTOBER 25, 2020. CALLS WERE ANSWERED 24 HOURS A DAY, SEVEN DAYS A WEEK BY CLINICAL SUPPORT STAFF; THESE 63 TEAM MEMBERS HELPED PROVIDE INFORMATION, CLINICAL EXPERTISE, AND GUIDANCE TO CALLERS WITH QUESTIONS ABOUT COVID-19. ARKANSAS CHILDREN'S STRATEGIC MARKETING DEPARTMENT CREATED PUBLIC SERVICE COMMUNICATION TO ENCOURAGE HAND WASHING, SOCIAL DISTANCING, AND WEARING MASKS. THESE MESSAGES WERE SHARED WITH OTHER HEALTHCARE FACILITIES FOR COLLABORATIVE USE. ARKANSAS CHILDREN'S CHILD LIFE LEADERS SHARED EXPERT CONTENT ON PLATFORMS LIKE FACEBOOK LIVE TO GIVE ADVICE TO FAMILIES PREPARING FOR CLINIC VISITS, IN ADDITION TO HOW TO PROPERLY WEAR A MASK.AS ARKANSAS CHILDREN'S WORKED TO SERVE THE STATE THROUGH THE PANDEMIC, COMMUNITIES SHARED THEIR GENEROSITY WITH ARKANSAS CHILDREN'S, AS WELL. FROM JULY 2020 TO JUNE 2021, 47,330 CLOTH MASKS WERE DONATED TO THE ARKANSAS CHILDREN'S SYSTEM FOR DISTRIBUTION TO ANY PATIENT OR CAREGIVER WHO NEEDED ONE WHILE ATTENDING AN APPOINTMENT AT AN ARKANSAS CHILDREN'S FACILITY. OF THE STATEWIDE TOTAL, 4,064 MASKS WERE DONATED TO ARKANSAS CHILDREN'S NORTHWEST SPECIFICALLY, FOR REDISTRIBUTION AND USE. ARKANSAS CHILDREN'S SENIOR LEADERSHIP SERVED IN VARIOUS CAPACITIES ON LOCAL AND STATEWIDE ADVISORY BOARDS. ARKANSAS CHILDREN'S PARTICIPATED IN A COLLABORATIVE TASK FORCE THAT HAS FOCUSED ON PROVIDING RESOURCES FOR SCHOOLS, EDUCATORS, STUDENTS, AND FAMILIES, AS THE STATE PREPARED FOR A RETURN TO SAFE, IN-PERSON LEARNING. ARKANSAS CHILDREN'S PRESIDENT AND CEO, MARCY DODERER, SERVED ON THE GOVERNANCE COMMITTEE OF THIS TASKFORCE. DR. FREDERICK BARR, CHAIR OF PEDIATRICS AND PEDIATRICIAN IN CHIEF, SERVED AS THE CHAIR OF THE SCHOOL RESOURCE CENTER & HOTLINE WORK GROUP. DR. MARISHA DICARLO, VICE PRESIDENT OF COMMUNITY ENGAGEMENT, ADVOCACY, AND HEALTH, SERVED AS THE CHAIR OF THE HEALTHY SCHOOLS GUIDE WORK GROUP. ADDITIONAL TEAM MEMBERS FROM ARKANSAS CHILDREN'S SERVED IN A VARIETY OF CAPACITIES TO CONTRIBUTE TO THE ASSETS THE TASKFORCE PRODUCED. THIS TASKFORCE PROVIDED IMPORTANT AND TIMELY GUIDES AND INFORMATION TO SCHOOLS AND FAMILIES ABOUT SCHOOLS REOPENING IN FALL 2020. ALL OF THESE TASK FORCES PROVIDED GUIDANCE AND INFORMATIONAL PRODUCTS THAT WERE USED ACROSS BROAD COMMUNITIES AND A VARIETY OF SECTORS IN THE STATE.(1) FOOD INSECURITY AND CHILD OBESITY THE FIRST COMPONENT OF THE IMPLEMENTATION STRATEGY IS TO BEGIN 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. TWENTY-EIGHT PRESENTATIONS WERE GIVEN TO FOUR DIFFERENT SCHOOLS IN THE REGION WHICH REACHED 290 JUNIOR HIGH AND HIGH SCHOOL STUDENTS. 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 ARE ALSO PROVIDED TO FAMILIES WHO SCREEN AS FOOD INSECURE WHEN THEY PRESENT TO THE EMERGENCY DEPARTMENT AT ACNW. ACNW WAS A SPONSOR OF THE NORTHWEST ARKANSAS FOOD BANK ANNUAL FUNDRAISING EVENT FOR 2021. THIS FINANCIAL SUPPORT ALLOWS THE NWA FOOD BANK TO HELP MEET THE FOOD SECURITY NEEDS OF FAMILIES IN THE REGION. ADDITIONALLY, IN JUNE 2021, ARKANSAS CHILDREN'S SYSTEM FINANCIALLY CONTRIBUTED TO NONPROFIT FOOD BANKS AND FOOD PANTRIES AROUND THE STATE. THESE FOOD BANKS AND FOOD PANTRIES HAVE SUPPORTED AN INCREASED NUMBER OF CHILDREN AND FAMILIES DURING AN UNPRECEDENTED TIME, THROUGH THE ONGOING COVID-19 PANDEMIC. AS A HEALTH SYSTEM, ARKANSAS CHILDREN'S DONATED OVER $1,000,000 TO FOOD BANKS AND PANTRIES AROUND THE STATE. NORTHWEST ARKANSAS ORGANIZATIONS SUPPORTED INCLUDE SOME OF THE LARGER FOOD BANKS SERVING THE AREA, LIKE THE NORTHWEST ARKANSAS FOOD BANK, AND SMALLER ORGANIZATIONS LIKE THE SAMARITAN COMMUNITY CENTER, ARKANSAS COALITION OF THE MARSHALLESE, COMPASSION NWA, FOOD BANK OF NORTH CENTRAL ARKANSAS, AND THE NORTHWEST ARKANSAS FOOD BANK. ST. JAMES MISSIONARY BAPTIST CHURCH IN FAYETTEVILLE PROVIDED 1,094 MEALS TO 535 CHILDREN IN 1,094 FAMILIES. COMPASSION NWA IN SPRINGDALE PROVIDED 177,282 MEALS TO 8,442 CHILDREN IN 10,552 FAMILIES. RIVER VALLEY REGIONAL FOOD BANK IN FORT SMITH PROVIDED OVER 300,000 MEALS WITH THE DONATION. THESE FUNDS HELPED STRENGTHEN THE FOOD SECURITY OF FAMILIES AND THEIR CHILDREN AROUND THE NORTHWEST ARKANSAS REGION, DURING AN EXTREMELY CHALLENGING TIME.
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, 10.2% OF PATIENTS SPEAK SPANISH AS A PRIMARY LANGUAGE AND 1.9% SPEAK MARSHALLESE AS A PRIMARY LANGUAGE. TO ENSURE ALL PATIENTS ARE SERVED IN A CULTURALLY SENSITIVE MANNER, ACNW HAS 11 INTERPRETERS (SIX FULL-TIME AND FIVE PART-TIME), AND IS CONTINUALLY EVOLVING AND CUSTOMIZING INTERPRETER SERVICES BOTH IN PERSON AND VIRTUALLY. DURING FY21, 15,310 HOURS OF INTERPRETER SERVICES WERE PROVIDED TO PATIENTS AND THEIR FAMILIES. IN ADDITION TO EMPLOYING AN INTERPRETER TEAM, BILINGUAL STAFF ARE REIMBURSED FOR OBTAINING THEIR MEDICAL TRANSLATION CERTIFICATE AND RECEIVE ADDITIONAL COMPENSATION FOR THEIR SKILL. ACNW IS WORKING TO INCREASE THE NUMBER OF BILINGUAL STAFF ACROSS MANY AREAS OF THE HOSPITAL, SUCH AS REGISTRATION AND SCHEDULING. INSURANCE AND A FAMILY'S ABILITY TO PAY FOR HEALTH CARE IS AN IMPORTANT COMPONENT OF EQUITABLE ACCESS TO CARE. ARKANSAS CHILDREN'S NORTHWEST HAS ESTABLISHED A FINANCIAL COUNSELING PROGRAM WITH A GOAL TO PROVIDE ALL FAMILIES WITH GUIDANCE AND SUPPORT TO ESTABLISH A HEALTHCARE PAYER SOURCE. FINANCIAL COUNSELING SERVICES AT ACNW RANGE FROM SCREENING A PATIENT FOR MEDICAID, TO ANSWERING INSURANCE QUESTIONS, TO HELPING FAMILIES COMPLETE TAX EQUITY AND FISCAL RESPONSIBILITY ACT (TEFRA) APPLICATIONS AND MORE. BEGINNING IN JUNE 2019, FOCUSED EFFORTS WERE UNDERTAKEN TO ENSURE THAT PATIENTS IDENTIFYING AS SELF-PAY WERE SCREENED FOR MEDICAID AND OFFERED FINANCIAL SERVICES. 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. ALL PATIENTS THAT IDENTIFY AS UNINSURED ARE SCREENED FOR MEDICAID. IF CRITERIA ARE MET, THEN ACNW FINANCIAL COUNSELORS 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. OVER THE PREVIOUS TWO YEARS, 7,584 APPLICATIONS FOR MEDICAID, THE FINANCIAL ASSISTANCE PROGRAM (FAP), TEFRA, AND SUPPLEMENTAL NUTRITION ASSISTANCE PROGRAM (SNAP) WERE COMPLETED. DURING FY21, 1,682 APPLICATIONS WERE COMPLETED FOR FAMILIES WITH ASSISTANCE BY FINANCIAL COUNSELORS FOR MEDICAID AND OTHER FINANCIAL ASSISTANCE PROGRAMS. (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 HAVE ADAPTED PROGRAM DELIVERY TO ENSURE THAT PROGRAMS CAN BE SAFELY IMPLEMENTED AND EFFECTIVE DURING THE COVID-19 PANDEMIC. FOR THE SECOND TIME, ARKANSAS CHILDREN'S OFFERED A VIRTUAL TRAINING FOR ITS BABYSITTING SAFETY CLASS. IN JULY 2021, THIS TRAINING WAS OFFERED THREE TIMES AND OPEN TO STUDENTS AROUND THE STATE OF ARKANSAS. DURING THE THREE TRAININGS, 45 STUDENTS WERE TRAINED, AND 20 OF THOSE STUDENTS WERE FROM COUNTIES IN NORTHWEST ARKANSAS SERVED BY ACNW. ADDITIONALLY, THE INJURY PREVENTION CENTER AT ARKANSAS CHILDREN'S HOSPITAL HAS PROVIDED TRAININGS LIKE SAFETY BABY SHOWERS TO PARENTS AROUND THE STATE, INCLUDING NORTHWEST ARKANSAS. DUE TO COVID-19, THESE TRAININGS MIGRATED ONLINE AS WELL. OTHER ACTIONS TO ADDRESS CHILD INJURY AND TO SUPPORT PARENTS INCLUDE OFFERING RESOURCES TO FAMILIES IDENTIFIED AS UNDER-RESOURCED BY THE ARKANSAS CHILDREN'S SOCIAL WORK DEPARTMENT. THESE RESOURCES INCLUDE CAR SEATS, MEDICATION LOCK BOXES, FIREARMS STORAGE AND LOCKS, AND HALO SLEEP SACKS. THE INJURY PREVENTION CENTER TRAINED TWO STAFF MEMBERS AT ACNW TO LEAD SAFETY BABY SHOWERS AND DISTRIBUTE SAFE SLEEP AND HOT CAR BOOKS. ADDITIONALLY, ACNW MADE A FINANCIAL CONTRIBUTION TO COMPASSION HOUSE IN SPRINGDALE. FOR 30 YEARS, COMPASSION HOUSE HAS BEEN OFFERING PREGNANT TEENS A SAFE PLACE TO LIVE BY EMPOWERING EACH RESIDENT WITH LIFE SKILLS, EDUCATION, AND SUPPORT TO ALLOW THEM TO BECOME PRODUCTIVE PARENTS AND CONTRIBUTORS IN THE COMMUNITY. IN FUTURE YEARS, THE ARKANSAS CHILDREN'S INJURY PREVENTION CENTER WILL PARTNER WITH COMPASSION HOUSE TO PROVIDE NECESSARY PROGRAMS. PROGRAMS WILL INCLUDE SAFETY BABY SHOWER EVENTS AS WELL AS CAR SEAT TRAINING EVENTS TO PROVIDE EDUCATION, TRAINING AND RESOURCES FOR PREGNANT AND PARENTING TEEN MOTHERS TO HELP KEEP THEIR CHILDREN SAFE. (4) IMMUNIZATIONS THE FOURTH COMPONENT OF THE IMPLEMENTATION STRATEGY IS TO IMPROVE ACCESS TO IMMUNIZATIONS BY COORDINATING PROGRAMS WITH ACTIVITIES THAT PARENTS AND FAMILIES ALREADY ATTEND TO ADDRESS THE FOCUS AREA OF IMMUNIZATIONS. ACNW IS STILL WORKING TOWARD ITS GOAL OF HAVING A VACCINE OUTREACH PLAN FOR THE NORTHWEST ARKANSAS REGION, WHERE ACNW IS AN IMPORTANT PEDIATRIC PROVIDER OF VACCINATIONS. A STATEWIDE IMMUNIZATION STRATEGY IS A KEY COMPONENT OF THE 2020-2025 ARKANSAS CHILDREN'S STRATEGIC PLAN. WORK FOR THIS STRATEGY IS UNDERWAY. ACNW LEADERSHIP KNOWS THAT AN EFFECTIVE STRATEGY WILL NEED TO ACCOUNT FOR THE DIVERSE POPULATIONS OF NORTHWEST ARKANSAS, INCLUDING THE HISPANIC AND MARSHALLESE COMMUNITIES. FOR FY21, ACNW PROVIDED 5% MORE FLU SHOTS THAN THE PREVIOUS YEAR, FOR A TOTAL OF 3,171 VACCINATIONS. ADDITIONALLY, ACNW IS ABLE TO TRACK THE IMMUNIZATION RATE OF ITS 4,563 PRIMARY CARE MEDICAL HOME (PCMH) PATIENTS, A NEW INITIATIVE TO BENEFIT PATIENTS AND FAMILIES. FOR THE ELIGIBLE PRIMARY CARE PATIENTS, 52.57% ARE FULLY IMMUNIZED FOR THEIR AGE. 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 IS ANOTHER STATEWIDE PARTNER IN THIS WORK. DURING FY21, IMMUNIZE ARKANSAS, WITH NATURAL WONDER'S SUPPORT, HAS WORKED TO SURVEY THE VACCINE DISTRIBUTION NEEDS OF ALL SCHOOL-BASED HEALTH CENTERS IN THE STATE, INCLUDING NORTHWEST ARKANSAS. THE SURVEY IS ONGOING BUT IS IDENTIFYING WHICH SCHOOL-BASED HEALTH CENTERS NEED ASSISTANCE IN SIGNING UP FOR THE FEDERAL VACCINE FOR CHILDREN PROGRAM OR CONNECTION TO OTHER RESOURCES THAT MAKE IMMUNIZING CHILDREN AT SCHOOL EASIER.
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 BEGAN A PARTNERSHIP WITH COMPASSION HOUSE IN SPRINGDALE. COMPASSION HOUSE OFFERS IMPORTANT SUPPORT TO PREGNANT TEENS, INCLUDING A SAFE PLACE TO LIVE, LIFE SKILLS EDUCATION, AND OTHER SUPPORT. MORE DETAIL ON THIS WORK IS COVERED IN THE INJURY PREVENTION AND PARENTING SUPPORT SECTION, HOWEVER THERE IS ALSO A FOCUS ON THE OVERALL REPRODUCTIVE HEALTH NEEDS OF PREGNANT TEENAGE WOMEN. (6) ORAL HEALTHTHE SIXTH COMPONENT OF THE IMPLEMENTATION STRATEGY IS INCREASING ACCESS TO ORAL HEALTH CARE FOR CHILDREN IN NORTHWEST ARKANSAS BY PROVIDING ANCILLARY SUPPORT TO A NETWORK OF PARTNERS TO HELP ADDRESS THIS FOCUS AREA. ACNW WILL CONTINUE TO WORK TO LEVERAGE CURRENT RESOURCES TO EXPAND THE SCOPE OF PARTNER GROUPS PROVIDING DENTAL OUTREACH. CURRENT ACTIONS TO ADDRESS ORAL HEALTH INCLUDE THE WORK OF THE ARKANSAS CHILDREN'S HOSPITAL MOBILE DENTAL CLINIC IN WASHINGTON AND BENTON COUNTIES. IN FY21, THE NORTHWEST ARKANSAS MOBILE DENTAL CLINIC SERVED 167 PATIENTS THROUGH 351 VISITS, THIS INCLUDED 116 CLEANINGS AND 235 DENTAL SEALANTS APPLIED.ARKANSAS CHILDREN'S WAS ABLE TO USE ITS COMMUNITY HEALTH FUND TO SOLVE A NEED FOR SCHOOLS WHO HAVE NOT BEEN ABLE TO PARTICIPATE IN THE MOBILE DENTAL PROGRAM. THE MOBILE DENTAL CLINIC IS A LARGE RECREATION VEHICLE EQUIPPED TO BE A FULL-SERVICE DENTAL CLINIC. ITS SIZE, WEIGHT, AND CAPABILITIES MEAN IT HAS SPECIFIC REQUIREMENTS FOR ITS PARKING PAD AND ELECTRICAL NEEDS. SOME SCHOOLS, MANY WITH AT-RISK AND VULNERABLE STUDENTS, HAVE NOT HAD THE CAPABILITIES TO HOST THE MOBILE CLINIC. FUNDS PROVIDED CONCRETE PARKING PADS FOR THE MOBILE DENTAL CLINIC AND IMPROVED ELECTRICAL CAPACITY AT FOUR SCHOOLS IN THE SPRINGDALE SCHOOL DISTRICT IN WASHINGTON COUNTY. THE SCHOOLS CHOSEN HAVE A LARGE MARSHALLESE STUDENT POPULATION. IN PREVIOUS FOCUS GROUPS, MARSHALLESE COMMUNITY MEMBERS CITED ORAL HEALTH AS A MAJOR NEED FOR THEIR CHILDREN, SO THESE FUNDS WERE DIRECTED TO HELP THAT NEED. THE SPRINGDALE AREA SCHOOLS SELECTED WERE GEORGE ELEMENTARY SCHOOL, T.G. SMITH ELEMENTARY SCHOOL, TURNBOW ELEMENTARY SCHOOL, AND J.O. KELLY MIDDLE SCHOOL. THE NORTHWEST ARKANSAS MOBILE DENTAL CLINIC WILL VISIT THESE SCHOOLS IN THE NEAR FUTURE.(7) SOCIAL ISSUES THE 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 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. RESOURCE CONNECT HELPS STAFF ADDRESS SOCIAL NEEDS IN A CLINICAL SETTING AND PROVIDES CONNECTION TO COMMUNITY 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. ONE OF THE REFERRALS FOR SOCIAL NEEDS IS THE ARKANSAS CHILDREN'S MEDICAL LEGAL PARTNERSHIP. THE MEDICAL LEGAL PARTNERSHIP (MLP) WORKS TO ALLEVIATE HEALTH HARMING LEGAL NEEDS OF CHILDREN AND THEIR FAMILIES. IN FY21, THE ATTORNEYS RECEIVED OVER 300 REFERRALS FROM AROUND THE STATE, AND FOUR OF THOSE CAME FROM THE NORTHWEST ARKANSAS AREA. SCREENING FOR THE SOCIAL NEEDS OF PATIENTS AND FAMILIES, AND THEN REFERRING TO FREE AND REDUCED COST RESOURCES, BUILDS UPON A PILOT THAT ACNW IMPLEMENTED FROM NOVEMBER 2020 TO APRIL 2021. IN THE PILOT, 79 FAMILIES WERE SCREENED FOR SOCIAL NEEDS, WITH 46 OF THEM INDICATING THEY NEEDED SOME MEASURE OF ASSISTANCE. THOSE 46 FAMILIES WERE GIVEN RESOURCES OR REFERRALS TO ORGANIZATIONS THAT ASSIST WITH FOOD, UTILITY PAYMENTS, FINANCIAL EDUCATION, DENTAL CARE, ADULT EDUCATION, OR GOVERNMENTAL ASSISTANCE PROGRAMS LIKE SNAP, WOMEN, INFANTS, & CHILDREN (WIC), OR TRANSITIONAL EMPLOYMENT ASSISTANCE (TEA). THIS PILOT HELPED HIGHLIGHT THE VALUE OF SCREENING FOR SOCIAL NEEDS AND ASSISTING FAMILIES IN GETTING CONNECTED TO RESOURCES.IN ADDITION TO THESE NEWER SCREENING PROCESSES, ACNW SOCIAL WORK DEPARTMENT FOCUSES ON SUPPORTING THE BASIC NEEDS OF FAMILIES. THROUGH SOCIAL WORK, ACNW IS ABLE TO PROVIDE GAS CARDS, WARM MEALS AND LODGING FOR ELIGIBLE FAMILIES, FINANCIAL ASSISTANCE WITH MONTHLY BILLS LIKE HOUSING AND UTILITY PAYMENTS, AND BEREAVEMENT ASSISTANCE FOR GRIEVING FAMILIES. 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. THE SOCIAL WORK TEAM DEVELOPED A NEW PROCESS TO TRACK CASES THAT WERE UNRESOLVED IN ORDER TO ENSURE NEEDS WERE MET. DURING FY21, SOCIAL WORK HAD 3,770 CONSULTS WITH PATIENTS AND 83.55% OF THESE WERE ABLE TO BE RESOLVED. FUTURE OPPORTUNITIES:DUE 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 HAS CHOSEN NOT TO FOCUS ON MENTAL HEALTH AND SUBSTANCE USE FOR THE 2020 - 2022 IMPLEMENTATION STRATEGY. ACNW, HOWEVER, REMAINS COMMITTED TO ACTING ON THESE ISSUES WHEN RESOURCES BECOME AVAILABLE.
SCHEDULE H, PART V, SECTION B, LINE 16A - FAP WEBSITEWWW.ARCHILDRENS.ORG/PATIENTS-AND-VISITORS/BILLING-AND-INSURANCE/FINANCIAL-ASSISTANCE
SCHEDULE H, PART V, SECTION B, LINE 16B - FAP APPLICATIONWWW.ARCHILDRENS.ORG/PATIENTS-AND-VISITORS/BILLING-AND-INSURANCE/FINANCIAL-ASSISTANCE
SCHEDULE H, PART V, SECTION B, LINE 16C - FAP PLAIN LANGUAGE SUMMARYWWW.ARCHILDRENS.ORG/PATIENTS-AND-VISITORS/BILLING-AND-INSURANCE/FINANCIAL-ASSISTANCE

Supplemental Information Detail SupplementalInformationDetail (13 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
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 HELPED SELECT FOOD BANKS AND PANTRIES TO SUPPORT IN THE NORTHWEST ARKANSAS AREA, AS PART OF THE SYSTEM-WIDE ARKANSAS CHILDREN'S $1,000,000 DONATION TO FOOD BANKS AND FOOD PANTRIES AROUND THE STATE. 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 THE CHILDREN'S SAFETY CENTER OF WASHINGTON COUNTY, AMERICAN HEART ASSOCIATION, FAYETTEVILLE CHAMBER OF COMMERCE AND THE NWA HISPANIC HERITAGE FESTIVAL, SPRINGDALE PARKS AND RECREATION, AND THE RONALD MCDONALD HOUSE OF ARKOMA.
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:DURING FISCAL YEAR 2019 AND EARLY FISCAL YEAR 2020, ACNW COMPLETED ITS INITIAL COMMUNITY HEALTH NEEDS ASSESSMENT AND IMPLEMENTATION STRATEGY THAT IS GUIDING THE HOSPITAL'S COMMUNITY BENEFIT AND COMMUNITY PARTNERSHIPS TO IMPROVE HEALTH.
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 MORE THAN 200,000 CHILDREN LOCATED IN THE 11-COUNTY NORTHWEST ARKANSAS REGION. THOUGH THE HOSPITAL SERVES OUT-OF-STATE PATIENTS AS WELL, ACNW DREW APPROXIMATELY 78.7% OF ITS OUTPATIENTS AND 61.9% OF ITS INPATIENTS FROM WASHINGTON AND BENTON COUNTIES FOR THE FISCAL YEAR ENDING JUNE 30, 2021, 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 2021 CENSUS DATA INDICATED POPULATION TOTALS TO BE 3,025,891 FOR ARKANSAS. ALSO ACCORDING TO ESTIMATED 2021 CENSUS DATA, APPROXIMATELY 23.2% OF THE ARKANSAS POPULATION WAS UNDER 18 YEARS OF AGE AND 6.2% WAS UNDER THE AGE OF 5. THE UNEMPLOYMENT RATE FOR THE STATE OF ARKANSAS FOR CALENDAR YEAR 2020 WAS 6.1%, A SHARP INCREASE FROM THE PREVIOUS YEAR. THE PER CAPITA PERSONAL INCOME FOR THE STATE OF ARKANSAS FOR 2020 WAS $27,274. THE PERCENT OF ALL PEOPLE IN POVERTY IN ARKANSAS WAS 16.2% AND THE PERCENT OF CHILDREN 18 OR YOUNGER IN POVERTY WAS 22.1%, INDICATING A SLIGHT IMPROVEMENT FROM THE PRIOR YEAR.THE ESTIMATED 696,686 ARKANSAS CHILDREN UNDER AGE 18 REPRESENTED 23.2% OF THE STATE'S TOTAL POPULATION FOR 2020. THE HISPANIC CHILD POPULATION GREW FROM 9.3% AS REPORTED IN THE 2010 CENSUS TO 12.2% AS REPORTED IN THE 2020 CENSUS. HOWEVER, THE NUMBER OF AFRICAN AMERICAN CHILDREN UNDER AGE 18 DROPPED SLIGHTLY FROM 19.3% TO 17.1%. 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 5.9% OF CHILDREN LACKING COVERAGE AS OF 2020. 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 PATIENT EXPERIENCES 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 FY21, 62 VOLUNTEERS SERVED 3,208 HOURS ON THE ARKANSAS CHILDREN'S NORTHWEST CAMPUS. IN ADDITION, 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 LEARNING 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

FieldValueIRS element (for citing)
Grant Records MaintainedYes (1)GrantRecordsMaintainedInd

Recipient Table RecipientTable (2 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdRecipient EINRecipientEINIRC SectionIRCSectionDescCash GrantCashGrantAmtPurpose Of GrantPurposeOfGrantTxt
CHILDREN'S SAFETY CENTER
614 E EMMA SUITE 200SPRINGDALEAR72764621671178501(C)(3)$6,000GENERAL SUPPORT
KENDRICK FINCHER HYDRATION FOR LIFE
1113 W POPLAR STREETROGERSAR72758710799587501(C)(3)$5,000GENERAL SUPPORT
FieldValueIRS element (for citing)
Total501c3 Org2Total501c3OrgCnt
Total Other Org0TotalOtherOrgCnt

Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp (4 entries)

Grant TypeGrantTypeTxtRecipientRecipientCntNon Cash AssistanceNonCashAssistanceAmtValuation Method UsedValuationMethodUsedDescNon Cash AssistanceNonCashAssistanceDescCash GrantCashGrantAmt
MEALS471$15,420COSTMEALS FOR PATIENT FAMILIES/CAREGIVERS
TRANSPORTATION COSTS (BUS TOKENS, CAB FARE, GAS CARDS)172COST$3,527
RENT, MORTGAGE, UTILITIES, LODGING2COST$216
CLOTHING, GROCERY GIFT CARDS AND OTHER MISC. FAMILY ASSISTANCE347COST$5,056

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART I, LINE 2:FormAndLineReferenceDesc
ExplanationTHE 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

FieldValueIRS element (for citing)
First Class Or Charter TravelYes (X)FirstClassOrCharterTravelInd
Travel For CompanionsYes (X)TravelForCompanionsInd
Written Policy Ref T And E ExpnssYes (1)WrittenPolicyRefTAndEExpnssInd
Substantiation RequiredYes (1)SubstantiationRequiredInd
Compensation CommitteeYes (X)CompensationCommitteeInd
Independent ConsultantYes (X)IndependentConsultantInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance Payment0SeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (1)SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments0AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (12 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
MARCELLA DODERER
PRESIDENT/CEO$0$1,033,366$0$236,539$0$130,872$0$231,100$0$8,555$0$1,640,432$0$120,001
GENA WINGFIELD
EVP AND CFO$0$528,461$0$100,975$0$59,961$0$90,295$0$8,436$0$788,128$0$53,820
JENNIFER AUNSPAUGH MD
TRUSTEE/DIRECTOR-CHIEF OF STAFF$0$475,023$0$51,265$0$0$0$0$0$66,519$0$592,807$0$0
PATRICIA MONTAGUE
SVP/CHIEF ADMINISTRATOR (PARTIAL YR)$231,978$163,459$0$50,295$31,567$69,891$20,068$10,019$3,620$1,807$287,233$295,471$0$28,835
CINDY HILL
FINANCIAL SERVICES VP$0$244,095$0$30,068$0$1,604$0$25,077$0$11,623$0$312,467$0$0
SHANNON HENDRIX
SVP/CHIEF ADMINISTRATOR$11,923$230,246$0$29,390$18$340$1,035$23,805$483$11,112$13,459$294,893$0$0
MICHAEL HOWARD
VP/CHIEF NURSING OFFICER$195,416$0$24,363$0$421$0$11,535$0$7,165$0$238,900$0$0$0
DIANA MCDANIEL
OPERATIONS VP$189,458$0$22,724$0$150$0$20,826$0$1,529$0$234,687$0$0$0
KEITH VEIT
PATIENT CARE SVC DIRECTOR$145,221$0$7,302$0$798$0$18,781$0$11,116$0$183,218$0$0$0
JAMA HUNTLEY
PHARMACY DIRECTOR$150,459$0$1,250$0$118$0$16,172$0$4,078$0$172,077$0$0$0
JEFFREY WILLIAMS
STAFF PHARMACIST$135,046$0$1,000$0$147$0$16,860$0$11,027$0$164,080$0$0$0
LESLIE RYLEE
PATIENT CARE SVC DIRECTOR$129,400$0$6,476$0$101$0$9,764$0$6,822$0$152,563$0$0$0

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART I, LINE 1ACHARTER 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. TWO 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 3COMPENSATION 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 4BTHE 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 2020 (FISCAL YEAR 2021), 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 - $128,223 - GENA WINGFIELD: ACH/ACNW EVP AND CFO - $57,507 - PATRICIA MONTAGUE: ACNW SVP (PARTIAL YEAR) / AC EVP/COO - $30,811 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 5-7THE 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

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd

Issuer Name IssuerName

FieldValueIRS element (for citing)
Business Name Line1CITY OF SPRINGDALE AR PUBLIC FACILITIES BOARDBusinessNameLine1Txt
FieldValueIRS element (for citing)
Bond Issuer EIN830465683BondIssuerEIN
CUSIP82025WAW1CUSIPNum
Bond Issued2016-06-09BondIssuedDt
Issue Price$84,999,875IssuePriceAmt
PurposeSEE SCHEDULE K, PART VI.PurposeDesc
Defeased0DefeasedInd
On Behalf Of Issuer0OnBehalfOfIssuerInd
Pool Financing0PoolFinancingInd

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Retired$8,825,000RetiredAmt
Total Proceeds$85,258,623TotalProceedsAmt
Issuance Costs From Proceeds$742,725IssuanceCostsFromProceedsAmt
Capital Expenditures$84,515,898CapitalExpendituresAmt
Substantial Completion2018SubstantialCompletionYr
Refunding Tax Exempt Bonds0RefundingTaxExemptBondsInd
Refunding Taxable Bonds0RefundingTaxableBondsInd
Final Allocation MadeYes (1)FinalAllocationMadeInd
Adequate Books And Rec MaintYes (1)AdequateBooksAndRecMaintInd

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Owning Bond Financed Property0OwningBondFinancedPropertyInd
Any Lease Arrangements0AnyLeaseArrangementsInd
Mgmt Contract Bond Fincd PropYes (1)MgmtContractBondFincdPropInd
Engage Bond Counsel Contracts0EngageBondCounselContractsInd
Any Research Agreements0AnyResearchAgreementsInd
Private Bus Use By Others0.00000PrivateBusUseByOthersPct
Private Bus Concerning UBI0.00000PrivateBusConcerningUBIPct
Total Private Business Use0.00000TotalPrivateBusinessUsePct
Bond Iss Meet Prvt Sec Pymt Test0BondIssMeetPrvtSecPymtTestInd
Change In Use Bond Financed Prop0ChangeInUseBondFinancedPropInd
Procs Nonqualified Bond RemdtdYes (1)ProcsNonqualifiedBondRemdtdInd

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Form8038 T Filed0Form8038TFiledInd
Rebate Not Due Yet0RebateNotDueYetInd
Exception To RebateYes (1)ExceptionToRebateInd
No Rebate Due0NoRebateDueInd
Variable Rate Issue0VariableRateIssueInd
Hedge Identified In Bks And Rec0HedgeIdentifiedInBksAndRecInd
Gross Proceeds Invested In GIC0GrossProceedsInvestedInGICInd
Gross Proceeds Invested0GrossProceedsInvestedInd
Written Proc To Monitor ReqsYes (1)WrittenProcToMonitorReqsInd

Procedures Corrective Action ProceduresCorrectiveActionGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Procedures Corrective ActionYes (1)ProceduresCorrectiveActionInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE K SUPPLENTAL INFORMATIONFormAndLineReferenceDesc
ExplanationPART 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

FieldValueIRS element (for citing)
Business Name Line1CCHWI LLCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Relationship DescriptionSEE PART V. ENTITY MORE-THAN-35%-OWNED BY BOARD MEMBERRelationshipDescriptionTxt
Transaction$783,909TransactionAmt
TransactionSEE PART V. LEASE OF REAL ESTATE FROM INTERESTED PERSON. LEASE EXPENSE WAS REASONABLE AND AT FMV RATE.TransactionDesc
Sharing Of Revenues0SharingOfRevenuesInd

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (13 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 2THE 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 3ACNW'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 6THE 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 7AARKANSAS 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 7BACNW'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 11BTHE 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. IN ADDITION, THE FORM 990 IS PROVIDED TO BOTH THE CHAIRMAN OF THE BOARD AND THE TREASURER OF ARKANSAS CHILDREN'S, INC.
FORM 990, PART VI, SECTION B, LINE 12CARKANSAS 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 15COMPENSATION 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 18THE FORM 990 FOR ARKANSAS CHILDREN'S NORTHWEST IS AVAILABLE TO THE PUBLIC UPON REQUEST.
FORM 990, PART VI, SECTION C, LINE 19ARKANSAS 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 11GPHYSICIAN REMUNERATION: PROGRAM SERVICE EXPENSES 6,784,757. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 6,784,757. REFERRED TESTING: PROGRAM SERVICE EXPENSES 1,077,602. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,077,602. REPAIRS AND MAINTENANCE: PROGRAM SERVICE EXPENSES 556,638. MANAGEMENT AND GENERAL EXPENSES 222,296. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 778,934. OTHER FEES FOR SERVICES: PROGRAM SERVICE EXPENSES 623,140. MANAGEMENT AND GENERAL EXPENSES 547,326. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,170,466.
FORM 990, PART XI, LINE 9:TRANSFER OF FUNDS BETWEEN ACNW & ACMG -4,975,499. ASSET TRANSFER FROM ACH 24,617.
FORM 990, PART XII, LINE 2CIT 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/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtDirect Controlling NADirectControllingNACdControlled OrganizationControlledOrganizationIndBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Txt
ARKANSAS CHILDREN'S INC
1 CHILDRENS WAYLITTLE ROCKAR72202810801296HEALTH CARE PARENT CORPAR501(C)(3)LINE 12B, IIN/A0
ARKANSAS CHILDREN'S HOSPITAL
1 CHILDRENS WAYLITTLE ROCKAR72202710236857HOSPITALAR501(C)(3)LINE 30ARKANSAS CHILDREN'S INC
ARKANSAS CHILDREN'S FOUNDATION
1 CHILDRENS WAYLITTLE ROCKAR72202710568795FUNDRAISINGAR501(C)(3)LINE 70ARKANSAS CHILDREN'S INC
ARKANSAS CHILDREN'S RESEARCH INSTITUTE
13 CHILDRENS WAYLITTLE ROCKAR72202710694931RESEARCHAR501(C)(3)LINE 70ARKANSAS CHILDREN'S INC
ARKANSAS CHILDREN'S HOSPITAL AUXILIARY
1 CHILDRENS WAYLITTLE ROCKAR72202710606585FUNDRAISING & VOLUNTEERSAR501(C)(3)LINE 12A, I0ARKANSAS CHILDREN'S INC VIA ARKANSAS CHILDREN'S HOSPITAL AND FOUNDATION
ARKANSAS CHILDREN'S MEDICAL GROUP
1 CHILDRENS WAYLITTLE ROCKAR72202820771462HOSPITAL/MEDICAL SERVICESAR501(C)(3)LINE 30ARKANSAS CHILDREN'S INC

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (3 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdDirect Controlling NADirectControllingNACdEntity TypeEntityTypeTxtControlled OrganizationControlledOrganizationIndAddress Line1ForeignAddress/AddressLine1TxtCityForeignAddress/CityNmProvince Or StateForeignAddress/ProvinceOrStateNmCountryForeignAddress/CountryCdForeign PostalForeignAddress/ForeignPostalCdLegal Domicile Foreign CountryLegalDomicileForeignCountryCd
CHILDREN'S HEALTHCARE SYSTEM INC
1 CHILDRENS WAYLITTLE ROCKAR72202586304957MANAGEMENT SERVICESARN/AC0
ARKANSAS CHILDREN'S CARE NETWORK
1 CHILDRENS WAYLITTLE ROCKAR72202371854930CLINICALLY INTEGRATED NETWORKARN/AC0
SACOVA INSURANCE COMPANY LTD
981472934CAPTIVE INSURANCE COMPANYN/AC018 FORUM LANE 2ND FLOORCAMANA BAYGRAND CAYMANCJKY1-1102CJ
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgYes (1)GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (1)GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgYes (1)LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgYes (1)LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other OrgYes (1)AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth Org0RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org0RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org0PerformOfServicesForOthOrgInd
Perform Of Services By Other OrgYes (1)PerformOfServicesByOtherOrgInd
Sharing Of FacilitiesYes (1)SharingOfFacilitiesInd
Paid Employees SharingYes (1)PaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (1)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (1)ReimbursementPaidByOtherOrgInd
Transfer To Other OrgYes (1)TransferToOtherOrgInd
Transfer From Other OrgYes (1)TransferFromOtherOrgInd