ARKANSAS CHILDRENS HOSPITAL: Form 990, tax year 2019

View the entire original 990 at ProPublica ↗

Organization: ARKANSAS CHILDRENS HOSPITAL (EIN 71-0236857)
Tax period: 2019-07-01 to 2020-06-30
Filed: 2021-05-13
IRS object ID: 202111339349301521
Schema version: 2019v5.2
Source: Download XML · Original 990 at ProPublica

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

Return header
Form 990
Schedule A
Schedule B
Schedule D
Schedule H
Schedule I
Schedule J
Schedule K
Schedule L
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2021-05-13T10:27:35-05:00	ReturnTs
Tax Period End	2020-06-30	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Field	Value	IRS element (for citing)
Preparer Firm EIN	135565207	PreparerFirmEIN

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	KPMG LLP	BusinessNameLine1Txt

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	303 PEACHTREE STREET NE SUITE 2000	AddressLine1Txt
City	ATLANTA	CityNm
State Abbreviation	GA	StateAbbreviationCd
ZIP	303083210	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2019-07-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	710236857	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	ARKANSAS CHILDREN'S HOSPITAL	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Business Name Control	ARKA	BusinessNameControlTxt
Phone	5013642555	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1 CHILDRENS WAY	AddressLine1Txt
City	LITTLE ROCK	CityNm
State Abbreviation	AR	StateAbbreviationCd
ZIP	72202	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	MARCELLA DODERER	PersonNm
Person Title	PRESIDENT & CEO	PersonTitleTxt
Phone	5013642555	PhoneNum
Signature	2021-05-13	SignatureDt
Discuss With Paid Preparer	Yes (1)	DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	WHITNEY B HEBRON	PreparerPersonNm
PTIN	P01226647	PTIN
Phone	4047395994	PhoneNum

Field	Value	IRS element (for citing)
Tax	2019	TaxYr
Build TS	2022-09-23 18:48:47Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Principal Officer	MARCELLA DODERER	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1 CHILDRENS WAY	AddressLine1Txt
City	LITTLE ROCK	CityNm
State Abbreviation	AR	StateAbbreviationCd
ZIP	72202	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$646,575,605	GrossReceiptsAmt
Group Return For Affiliates	0	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	WWW.ARCHILDRENS.ORG	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1912	FormationYr
Legal Domicile State	AR	LegalDomicileStateCd
Activity Or Mission	WE CHAMPION CHILDREN BY MAKING THEM BETTER TODAY AND HEALTHIER TOMORROW.	ActivityOrMissionDesc
Voting Members Governing Body	15	VotingMembersGoverningBodyCnt
Voting Members Independent	12	VotingMembersIndependentCnt
Total Employee	4301	TotalEmployeeCnt
Total Volunteers	1104	TotalVolunteersCnt
Total Gross UBI	$0	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$0	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$39,577,405	PYContributionsGrantsAmt
CY Contributions Grants	$38,511,132	CYContributionsGrantsAmt
PY Program Service Revenue	$587,414,091	PYProgramServiceRevenueAmt
CY Program Service Revenue	$589,565,394	CYProgramServiceRevenueAmt
PY Investment Income	$7,063,120	PYInvestmentIncomeAmt
CY Investment Income	$8,641,394	CYInvestmentIncomeAmt
PY Other Revenue	$9,976,498	PYOtherRevenueAmt
CY Other Revenue	$9,725,085	CYOtherRevenueAmt
PY Total Revenue	$644,031,114	PYTotalRevenueAmt
CY Total Revenue	$646,443,005	CYTotalRevenueAmt
PY Grants And Similar Paid	$14,111,043	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$9,359,631	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$267,256,455	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$285,868,987	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$303,082,623	PYOtherExpensesAmt
CY Other Expenses	$300,260,302	CYOtherExpensesAmt
PY Total Expenses	$584,450,121	PYTotalExpensesAmt
CY Total Expenses	$595,488,920	CYTotalExpensesAmt
PY Revenues Less Expenses	$59,580,993	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$50,954,085	CYRevenuesLessExpensesAmt
Total Assets BOY	$911,398,842	TotalAssetsBOYAmt
Total Assets EOY	$970,496,679	TotalAssetsEOYAmt
Total Liabilities BOY	$141,487,687	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$144,672,508	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$769,911,155	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$825,824,171	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	WE 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 Srvc	0	SignificantNewProgramSrvcInd
Significant Change	0	SignificantChangeInd
Expense	$487,950,018	ExpenseAmt
Grant	$9,359,631	GrantAmt
Revenue	$592,709,397	RevenueAmt
Desc	ARKANSAS CHILDREN'S HOSPITAL (ACH) IS A NOT-FOR-PROFIT PEDIATRIC HOSPITAL THAT SERVES AS THE CENTRAL TERTIARY HEALTH CARE FACILITY FOR CHILDREN IN THE STATE OF ARKANSAS. ACH HAS THE ONLY BURN CENTER IN ARKANSAS AND PROVIDES TREATMENT TO ADULTS AS WELL AS CHILDREN. ACH IS LICENSED FOR 336 OPERATING BEDS, OF WHICH 180 ARE INTENSIVE CARE BEDS AND 143 ARE MEDICAL/SURGICAL BEDS. DURING THE YEAR ENDED JUNE 30, 2020, ACH EXPERIENCED THE FOLLOWING: 15,315 ADMISSIONS WITH AN AVERAGE STAY OF 5.56 DAYS; 79,824 PATIENT DAYS; 218.1 AVERAGE DAILY CENSUS; 234,285 OUTPATIENT VISITS, EXCLUDING ER VISITS WHICH WERE 57,548; AND 14,303 SURGERIES. CONTINUED ON SCHEDULE O:IN ADDITION TO PROVIDING CHARITY CARE, ACH COORDINATES A VARIETY OF PROGRAMS, SERVICES AND INITIATIVES WHICH BENEFIT CHILDREN AND FAMILIES IN THE STATE. ACH IS THE BACKBONE ORGANIZATION FOR A COALITION CALLED THE NATURAL WONDERS PARTNERSHIP COUNCIL (NWPC), WHICH BRINGS TOGETHER CHILD HEALTH STAKEHOLDERS TO WORK STRATEGICALLY TO IMPROVE THE HEALTH OF CHILDREN IN ARKANSAS. ACH FUNDS SEVERAL PROGRAMS THAT HAVE BEEN IDENTIFIED AS SHARED PRIORITIES BY THE NWPC MEMBERS. FOR EXAMPLE, ACH'S INJURY PREVENTION CENTER HAS BEEN INSTRUMENTAL IN HELPING TO SIGNIFICANTLY REDUCE THE NUMBER OF CHILDREN KILLED IN AUTOMOBILE ACCIDENTS AND OTHER INJURY-RELATED DEATHS THROUGH DATA COLLECTION, PROGRAM DEVELOPMENT AND IMPLEMENTATION, AND OUTREACH. ACH HAS IMPROVED THE ORAL HEALTH OF CHILDREN THROUGH ITS MOBILE DENTAL VANS AND PORTABLE SEALANT OUTREACH EFFORTS, AND ALSO SUPPORTS A PHYSICAL ACTIVITY PROGRAM TO HELP REDUCE OBESITY FOR ELEMENTARY SCHOOL CHILDREN STATEWIDE, REACHING ALMOST 160,000 YOUNG CHILDREN. ACH PARTNERED WITH LEGAL AID OF ARKANSAS TO OPERATE A MEDICAL/LEGAL PARTNERSHIP THAT ADDRESSES HEALTH HARMING LEGAL NEEDS FOR PATIENTS ACROSS THE STATE. ADDITIONALLY, MORE THAN 30,000 CHILDREN RECEIVED FREE USDA MEALS WHILE ON CAMPUS THROUGH THE INNOVATIVE NEW CHILDREN'S MEDICAL NUTRITION AND FEEDING PROGRAM THANKS TO PARTNERSHIPS WITH FEDERAL AND STATE STAKEHOLDERS. THROUGH ITS COMMUNITY EFFORTS, ACH'S OUTREACH DEPARTMENT PROVIDED CHILDREN AND FAMILIES THROUGHOUT THE STATE WITH INFORMATIVE HEALTH EDUCATION PROGRAMS RELATING TO CHILD SAFETY, HYGIENE EDUCATION, WELLNESS AND PREVENTION ACTIVITIES, AND SEASONAL INFORMATION RELATING TO HEALTH RISKS. ACH HAS BEEN DESIGNATED BY THE ARKANSAS DEPARTMENT OF HEALTH AS THE STATE'S ONLY PEDIATRIC LEVEL 1 TRAUMA CENTER, AN INDICATION THAT IT PROVIDES THE HIGHEST STANDARD OF CARE FOR INJURED CHILDREN.	Desc
Total Program Service Expenses	$487,950,018	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (1)	DescribedInSection501c3Ind
Schedule B Required	Yes (1)	ScheduleBRequiredInd
Political Campaign Acty	0	PoliticalCampaignActyInd
Lobbying Activities	0	LobbyingActivitiesInd
Subject To Proxy Tax	0	SubjectToProxyTaxInd
Donor Advised Fund	0	DonorAdvisedFundInd
Conservation Easements	0	ConservationEasementsInd
Collections Of Art	0	CollectionsOfArtInd
Credit Counseling	0	CreditCounselingInd
Donor Rstr Or Quasi Endowments	Yes (1)	DonorRstrOrQuasiEndowmentsInd
Report Land Building Equipment	Yes (1)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	0	ReportInvestmentsOtherSecInd
Report Program Related Invst	0	ReportProgramRelatedInvstInd
Report Other Assets	Yes (1)	ReportOtherAssetsInd
Report Other Liabilities	Yes (1)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	Yes (1)	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	0	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (1)	ConsolidatedAuditFinclStmtInd
School Operating	0	SchoolOperatingInd
Foreign Office	0	ForeignOfficeInd
Foreign Activities	0	ForeignActivitiesInd
More Than5000 K To Org	0	MoreThan5000KToOrgInd
More Than5000 K To Individuals	0	MoreThan5000KToIndividualsInd
Professional Fundraising	0	ProfessionalFundraisingInd
Fundraising Activities	0	FundraisingActivitiesInd
Gaming Activities	0	GamingActivitiesInd
Operate Hospital	Yes (1)	OperateHospitalInd
Audited Financial Stmt Att	Yes (1)	AuditedFinancialStmtAttInd
Grants To Organizations	Yes (1)	GrantsToOrganizationsInd
Grants To Individuals	Yes (1)	GrantsToIndividualsInd
Schedule J Required	Yes (1)	ScheduleJRequiredInd
Tax Exempt Bonds	Yes (1)	TaxExemptBondsInd
Invest Tax Exempt Bonds	0	InvestTaxExemptBondsInd
Escrow Account	0	EscrowAccountInd
On Behalf Of Issuer	0	OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans	0	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	0	PYExcessBenefitTransInd
Loan Outstanding	Yes (1)	LoanOutstandingInd
Grant To Related Person	0	GrantToRelatedPersonInd
Business Rln With Org Mem	0	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	Yes (1)	BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent	0	BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri	0	DeductibleNonCashContriInd
Deductible Art Contribution	0	DeductibleArtContributionInd
Terminate Operations	0	TerminateOperationsInd
Partial Liquidation	0	PartialLiquidationInd
Disregarded Entity	0	DisregardedEntityInd
Related Entity	Yes (1)	RelatedEntityInd
Related Organization Ctrl Ent	0	RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	0	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	0	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (1)	ScheduleORequiredInd
IRP Document	393	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (1)	BackupWthldComplianceInd
Employee	4301	EmployeeCnt
Employment Tax Returns Filed	Yes (1)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	0	UnrelatedBusIncmOverLimitInd
Foreign Financial Account	0	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	0	ProhibitedTaxShelterTransInd
Taxable Party Notification	0	TaxablePartyNotificationInd
Nondeductible Contributions	0	NondeductibleContributionsInd
Quid Pro Quo Contributions	0	QuidProQuoContributionsInd
Form8282 Property Disposed Of	0	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	0	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	0	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	0	IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt	0	SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc	0	SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	15	GoverningBodyVotingMembersCnt
Independent Voting Member	12	IndependentVotingMemberCnt
Family Or Business Rln	0	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	Yes (1)	DelegationOfMgmtDutiesInd
Change To Org Documents	0	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	0	MaterialDiversionOrMisuseInd
Members Or Stockholders	Yes (1)	MembersOrStockholdersInd
Election Of Board Members	Yes (1)	ElectionOfBoardMembersInd
Decisions Subject To Approva	Yes (1)	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (1)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (1)	MinutesOfCommitteesInd
Officer Mailing Address	0	OfficerMailingAddressInd
Local Chapters	0	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (1)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (1)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (1)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (1)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (1)	WhistleblowerPolicyInd
Document Retention Policy	Yes (1)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (1)	CompensationProcessCEOInd
Compensation Process Other	Yes (1)	CompensationProcessOtherInd
Investment In Joint Venture	Yes (1)	InvestmentInJointVentureInd
Written Policy Or Procedure	Yes (1)	WrittenPolicyOrProcedureInd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	GENA WINGFIELD	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Phone	5013642555	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1 CHILDRENS WAY	AddressLine1Txt
City	LITTLE ROCK	CityNm
State Abbreviation	AR	StateAbbreviationCd
ZIP	72202	ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (38 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	OfficerOfficerInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Key EmployeeKeyEmployeeInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd
MARCELLA DODERER
PRESIDENT/CEO	0.61	56.24	Yes (X)	Yes (X)	$0	$1,422,651	$165,970
GENA WINGFIELD
EVP/CHIEF FINANCIAL OFFICER	0.00	48.00		Yes (X)	$0	$650,992	$82,829
CHANDA CHACON
EVP/COO	0.00	50.00			$0	$587,315	$24,742	Yes (X)
JONATHAN GOLDBERG
SVP/CIO	0.00	50.00			$0	$526,140	$26,975	Yes (X)
GREGORY SHARP MD
SVP/CHIEF MEDICAL OFFICER	54.88	0.12			$444,341	$0	$57,090	Yes (X)
LEE ANNE EDDY
SVP/CHIEF NURSING OFFICER	50.00	0.00			$410,941	$0	$54,280	Yes (X)
JARED CAPOUYA
VP QUALITY & SAFETY	45.00	0.00			$363,818	$0	$12,194		Yes (X)
ANN KRUGER
VP AMBULATORY CARE SVC	57.00	0.00			$302,123	$0	$29,565	Yes (X)
AMY CRESS
VP FACILITIES & SUPPORT SVC	50.00	0.00			$297,641	$0	$16,480	Yes (X)
RENEE BORNEMEIER MD
TRUSTEE/DIRECTOR-CHIEF OF STAFF	54.80	0.00	Yes (X)		$258,554	$0	$45,898
CINDY HILL
VP FINANCIAL SERVICES	54.00	0.00			$274,690	$0	$28,900	Yes (X)
LE'KITA BROWN
VP REVENUE CYCLE	50.00	0.00			$281,211	$0	$15,589	Yes (X)
SHANNON HENDRIX
VP CLINICAL/DIAG SVC	50.00	0.00			$265,773	$0	$24,390	Yes (X)
JEFF HOUSE
VP STRATEGIC MARKETING	45.00	0.00			$268,145	$0	$16,567		Yes (X)
MARY SALASSI-SCOTTER
VP PATIENT CARE SVC	50.00	0.00			$241,532	$0	$16,578	Yes (X)
CHRISTIAN EISENRING
SURGICAL ASSISTANT COORDINATOR	45.00	0.00			$244,019	$0	$8,931		Yes (X)
TAMMY WEBB
VP ACUTE CARE (PARTIAL YEAR)	46.00	0.00			$202,512	$0	$17,295	Yes (X)
BETH PETLAK
VP POPULATION HEALTH/PHO EXEC DIR	14.00	41.00			$203,227	$0	$15,759		Yes (X)
MEL STIMSON
PHARMACY DIRECTOR	50.00	0.00			$186,162	$0	$20,991	Yes (X)
JOANN STOCKS
RN III - AMBULATORY SURGERY	45.00	0.00			$164,024	$0	$22,018		Yes (X)
ART SHUMATE
PERIOPERATIVE SERVICES DIRECTOR	50.00	0.00			$170,163	$0	$4,825	Yes (X)
LUANN JONES
NEONATAL SERVICES NURSING DIRECTOR	40.00	0.00			$165,616	$0	$8,901	Yes (X)
JOHN MCNALLY
MEDICAL ADMIN DIRECTOR	40.00	0.00			$170,489	$0	$1,269	Yes (X)
CARRIE LEE
VP PATIENT CARE SERVICES	55.00	0.00			$154,706	$0	$15,215	Yes (X)
ROBIN MITCHELL
LAB ADMIN DIRECTOR	40.00	0.00			$152,492	$0	$1,221	Yes (X)
JOHN BALE JR
TRUSTEE/DIRECTOR	0.25	0.17	Yes (X)		$0	$0	$0
TOM BAXTER
TRUSTEE/DIRECTOR	0.25	0.18	Yes (X)		$0	$0	$0
MELISSA GRAHAM MD
TRUSTEE/DIRECTOR	0.28	0.00	Yes (X)		$0	$0	$0
DORSEY JACKSON
TRUSTEE/DIRECTOR	0.21	0.00	Yes (X)		$0	$0	$0
DOUGLAS JACKSON
TRUSTEE/DIRECTOR	0.25	0.00	Yes (X)		$0	$0	$0
RICHARD JACOBS MD
TRUSTEE/DIRECTOR	0.44	0.00	Yes (X)		$0	$0	$0
TIONNA JENKINS PHD
TRUSTEE/DIRECTOR	0.40	0.12	Yes (X)		$0	$0	$0
PHILLIP JETT
CHAIR OF THE BOARD	0.43	0.00	Yes (X)		$0	$0	$0
HOLLY MARR
TRUSTEE/DIRECTOR	0.47	0.00	Yes (X)		$0	$0	$0
PAT MCCLELLAND
TRUSTEE/DIRECTOR	0.42	0.21	Yes (X)		$0	$0	$0
BARBARA G MOORE
TRUSTEE/DIRECTOR	0.25	0.14	Yes (X)		$0	$0	$0
BEVERLY A MORROW
VICE CHAIR	0.48	0.06	Yes (X)		$0	$0	$0
ROSS WHIPPLE
TREASURER	0.11	0.06	Yes (X)		$0	$0	$0

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$5,222,179	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$3,187,098	TotReportableCompRltdOrgAmt
Total Other Compensation	$734,472	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	205	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	0	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (1)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	Yes (1)	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
UNIVERSITY OF ARKANSAS FOR MEDICAL SCIEN
4301 WEST MARKHAM	LITTLE ROCK	AR	72205	MEDICAL SERVICES	$67,754,145
CROTHALL HEALTHCARE
13028 COLLECTION CENTER DRIVE	CHICAGO	IL	60693	PATIENT TRANSPORT/EVS/LINEN SVC	$9,260,436
COMPASS ONE
PO BOX 102289	ATLANTA	GA	303682289	NUTRITION SERVICES	$8,926,759
NABHOLZ CONSTRUCTION CORP
PO BOX 2090	CONWAY	AR	72033	GENERAL CONSTRUCTION CONTRACTOR	$8,119,472
EPIC SYSTEMS CORPORATION
PO BOX 88314	MILWAUKEE	WI	53288	IT SYSTEMS DEVELOPMENT	$4,260,188

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	105	CntrctRcvdGreaterThan100KCnt
Related Organizations	$16,454,764	RelatedOrganizationsAmt
Government Grants	$22,056,368	GovernmentGrantsAmt
Total Contributions	$38,511,132	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

Field	Value	IRS element (for citing)
Desc	PAYMENTS FOR MED SVCS	Desc
Business	622110	BusinessCd
Total Revenue Column	$589,565,394	TotalRevenueColumnAmt
Related Or Exempt Func Income	$589,565,394	RelatedOrExemptFuncIncomeAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$589,565,394	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$8,746,877	TotalRevenueColumnAmt
Exclusion	$8,746,877	ExclusionAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$1,773,511	RealAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$12,590	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$1,760,921	RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,760,921	TotalRevenueColumnAmt
Exclusion	$1,760,921	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Other	$14,527	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Other	$120,010	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Other	-$105,483	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$105,483	TotalRevenueColumnAmt
Exclusion	-$105,483	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	ExclusionExclusionAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
NUTRITIONAL SERVICES	900099	$3,492,793	$3,492,793
CHILD ENRICHMENT	900099	$1,327,368	$1,327,368
HEARING SCREENINGS	900099	$380,056		$380,056

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$2,763,947	TotalRevenueColumnAmt
Related Or Exempt Func Income	$2,763,947	RelatedOrExemptFuncIncomeAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$7,964,164	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$646,443,005	TotalRevenueColumnAmt
Related Or Exempt Func Income	$592,709,397	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$15,222,476	ExclusionAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part IX	Yes (X)	InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$8,829,534	TotalAmt
Program Services	$8,829,534	ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

Field	Value	IRS element (for citing)
Total	$530,097	TotalAmt
Program Services	$530,097	ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$5,533,033	TotalAmt
Program Services	$3,340,358	ProgramServicesAmt
Management And General	$2,192,675	ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

Field	Value	IRS element (for citing)
Total	$36,807	TotalAmt
Program Services	$36,807	ProgramServicesAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$237,276,269	TotalAmt
Program Services	$182,200,799	ProgramServicesAmt
Management And General	$55,075,470	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$43,022,878	TotalAmt
Program Services	$35,957,077	ProgramServicesAmt
Management And General	$7,065,801	ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$8,776,242	TotalAmt
Program Services	$8,697,871	ProgramServicesAmt
Management And General	$78,371	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$14,727	TotalAmt
Program Services	$14,352	ProgramServicesAmt
Management And General	$375	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$2,813	TotalAmt
Management And General	$2,813	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$123,661,674	TotalAmt
Program Services	$106,507,075	ProgramServicesAmt
Management And General	$17,154,599	ManagementAndGeneralAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$835,104	TotalAmt
Program Services	$17,342	ProgramServicesAmt
Management And General	$817,762	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$7,561,244	TotalAmt
Program Services	$4,442,488	ProgramServicesAmt
Management And General	$3,118,756	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$15,458,083	TotalAmt
Program Services	$5,219,939	ProgramServicesAmt
Management And General	$10,238,144	ManagementAndGeneralAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$4,036,931	TotalAmt
Program Services	$3,213,994	ProgramServicesAmt
Management And General	$822,937	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$1,276,744	TotalAmt
Program Services	$1,074,064	ProgramServicesAmt
Management And General	$202,680	ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$665,725	TotalAmt
Program Services	$606,028	ProgramServicesAmt
Management And General	$59,697	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$3,818,025	TotalAmt
Management And General	$3,818,025	ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$38,367,992	TotalAmt
Program Services	$32,823,617	ProgramServicesAmt
Management And General	$5,544,375	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$23,873	TotalAmt
Program Services	$23,873	ProgramServicesAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
MEDICAL SUPPLIES	$86,965,893	$86,662,004	$303,889
OTHER ADMINISTRATIVE EX	$6,296,035	$5,631,506	$664,529
MINOR EQUIPMENT	$1,269,943	$1,048,356	$221,587
DUES & SUBSCRIPTIONS	$1,229,254	$1,072,837	$156,417

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$595,488,920	TotalAmt
Program Services	$487,950,018	ProgramServicesAmt
Management And General	$107,538,902	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$44,309	BOYAmt
EOY	$46,543	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$53,307,193	BOYAmt
EOY	$92,732,526	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$78,203,326	BOYAmt
EOY	$64,274,094	EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

Field	Value	IRS element (for citing)
BOY	$40,000	BOYAmt
EOY	$25,003	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$10,056,345	BOYAmt
EOY	$10,267,148	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$7,542,340	BOYAmt
EOY	$6,800,883	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$631,426,431	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$353,418,917	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$297,230,258	BOYAmt
EOY	$278,007,514	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$310,919,650	BOYAmt
EOY	$342,562,404	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$648,106	BOYAmt
EOY	$711,818	EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
BOY	$423,585	BOYAmt
EOY	$549,433	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$152,983,730	BOYAmt
EOY	$174,519,313	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$911,398,842	BOYAmt
EOY	$970,496,679	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$40,964,551	BOYAmt
EOY	$39,187,884	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
EOY	$10,917,740	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$100,523,136	BOYAmt
EOY	$91,361,027	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$3,205,857	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$141,487,687	BOYAmt
EOY	$144,672,508	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows FASB117	Yes (X)	OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$738,898,181	BOYAmt
EOY	$792,839,818	EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$31,012,974	BOYAmt
EOY	$32,984,353	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$769,911,155	BOYAmt
EOY	$825,824,171	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$911,398,842	BOYAmt
EOY	$970,496,679	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$50,954,085	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$10,449,408	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	-$5,490,477	OtherChangesInNetAssetsAmt
Info In Schedule O Part XII	Yes (X)	InfoInScheduleOPartXIIInd
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	0	AccountantCompileOrReviewInd
FS Audited	Yes (1)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

Field	Value	IRS element (for citing)
Consolidated Basis Fincl Stmt	Yes (X)	ConsolidatedBasisFinclStmtInd

Field	Value	IRS element (for citing)
Audit Committee	Yes (1)	AuditCommitteeInd
Federal Grant Audit Required	Yes (1)	FederalGrantAuditRequiredInd
Federal Grant Audit Performed	Yes (1)	FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital	Yes (X)	HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor US Address ContributorUSAddress

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Total Contributions	RESTRICTED	TotalContributionsAmt

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$309,182,507	BeginningYearBalanceAmt
Contributions	$4,459,025	ContributionsAmt
Investment Earnings Or Losses	$3,961,742	InvestmentEarningsOrLossesAmt
Other Expenditures	$6,740,852	OtherExpendituresAmt
End Year Balance	$310,862,422	EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$296,307,577	BeginningYearBalanceAmt
Contributions	$5,224,717	ContributionsAmt
Investment Earnings Or Losses	$20,943,820	InvestmentEarningsOrLossesAmt
Other Expenditures	$13,293,607	OtherExpendituresAmt
End Year Balance	$309,182,507	EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$279,051,286	BeginningYearBalanceAmt
Contributions	$1,174,503	ContributionsAmt
Investment Earnings Or Losses	$24,842,576	InvestmentEarningsOrLossesAmt
Other Expenditures	$8,760,788	OtherExpendituresAmt
End Year Balance	$296,307,577	EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$265,682,157	BeginningYearBalanceAmt
Contributions	$4,087,548	ContributionsAmt
Investment Earnings Or Losses	$22,707,945	InvestmentEarningsOrLossesAmt
Other Expenditures	$13,426,364	OtherExpendituresAmt
End Year Balance	$279,051,286	EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$263,164,433	BeginningYearBalanceAmt
Contributions	$2,013,304	ContributionsAmt
Investment Earnings Or Losses	$1,498,535	InvestmentEarningsOrLossesAmt
Other Expenditures	$994,115	OtherExpendituresAmt
End Year Balance	$265,682,157	EndYearBalanceAmt

Field	Value	IRS element (for citing)
Board Designated Balance EOY	0.71440	BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY	0.16400	PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY	0.12160	TermEndowmentBalanceEOYPct
Endowments Held Unrelated Org	0	EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org	Yes (1)	EndowmentsHeldRelatedOrgInd
Related Org List Sch R	Yes (1)	RelatedOrgListSchRInd

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$14,749,929	OtherCostOrOtherBasisAmt
Book Value	$14,749,929	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$359,917,456	OtherCostOrOtherBasisAmt
Depreciation	$201,181,337	DepreciationAmt
Book Value	$158,736,119	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$228,530,162	OtherCostOrOtherBasisAmt
Depreciation	$140,793,838	DepreciationAmt
Book Value	$87,736,324	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$28,228,884	OtherCostOrOtherBasisAmt
Depreciation	$11,443,742	DepreciationAmt
Book Value	$16,785,142	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$278,007,514	TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (7 entries)

DescDesc	Book ValueBookValueAmt
FUNDS HELD BY TRUSTEE UNDER BOND AGREEMENTS	$1,287,824
ESTIMATED 3RD PARTY SETTLEMENT (MCD)	$147,381,051
SUPPLEMENTAL MEDICAID RECEIVABLE	$12,576,176
GME RECEIVABLE	$1,723,917
OTHER RECEIVABLES	$10,758,468
INTEREST RECEIVABLE - FUNDED DEPR	$202,900
DUE FROM AFFILIATES	$588,977

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$174,519,313	TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp

Field	Value	IRS element (for citing)
Desc	DEFERRED PAYROLL TAXES PAYABLE (UNDER CARES ACT)	Desc
Amt	$3,205,857	Amt

Field	Value	IRS element (for citing)
Total Liability	$3,205,857	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc

ExplanationExplanationTxt

PART V, LINE 4:

EARNINGS FROM ENDOWMENT FUNDS WILL BE USED TO SUPPORT VARIOUS HOSPITAL PROGRAMS. THE FILING ORGANIZATION DOES NOT HOLD ANY ENDOWMENTS; ALL ENDOWMENTS ARE HELD BY ARKANSAS CHILDREN'S FOUNDATION, A RELATED ORGANIZATION.

PART X, LINE 2:

NOTE: THE AUDIT WAS 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 FINANCIAL ACCOUNTING STANDARDS BOARD (FASB) ASC TOPIC 740 (TOPIC 740), ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES. TOPIC 740 CLARIFIES THE ACCOUNTING FOR UNCERTAINTY IN INCOME TAX POSITIONS AND PROVIDES GUIDANCE ON WHEN TAX POSITIONS ARE RECOGNIZED IN AN ENTITY'S FINANCIAL STATEMENTS AND HOW THE VALUES OF THESE POSITIONS ARE DETERMINED. MANAGEMENT HAS ANALYZED THE TAX POSITIONS TAKEN BY ARKANSAS CHILDREN'S AND HAS CONCLUDED THAT AS OF JUNE 30, 2020 AND 2019, THERE ARE NO UNCERTAIN POSITIONS TAKEN OR EXPECTED TO BE TAKEN THAT WOULD REQUIRE RECOGNITION OF A LIABILITY (OR ASSET) OR DISCLOSURE IN THE CONSOLIDATED FINANCIAL STATEMENTS.

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (1)	FinancialAssistancePolicyInd
Written Policy	Yes (1)	WrittenPolicyInd
FPG Reference Free Care	Yes (1)	FPGReferenceFreeCareInd

Free Care Oth Percentage FreeCareOthPercentageGrp

Field	Value	IRS element (for citing)
Other	Yes (X)	OtherInd
Free Care Other	250.000000000000	FreeCareOtherPct

Field	Value	IRS element (for citing)
FPG Reference Discounted Care	Yes (1)	FPGReferenceDiscountedCareInd
Percent400	Yes (X)	Percent400Ind
Free Care Medically Indigent	0	FreeCareMedicallyIndigentInd
Financial Assistance Budget	Yes (1)	FinancialAssistanceBudgetInd
Expenses Exceed Budget	0	ExpensesExceedBudgetInd
Annual Community Bnft Report	0	AnnualCommunityBnftReportInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$11,593,838	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$11,593,838	NetCommunityBenefitExpnsAmt
Total Expense	0.01950	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$355,628,294	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$347,087,052	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$8,541,242	NetCommunityBenefitExpnsAmt
Total Expense	0.01430	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$367,222,132	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$347,087,052	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$20,135,080	NetCommunityBenefitExpnsAmt
Total Expense	0.03380	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$8,735,885	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$1,414,850	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$7,321,035	NetCommunityBenefitExpnsAmt
Total Expense	0.01230	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$23,269,816	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$8,357,140	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$14,912,676	NetCommunityBenefitExpnsAmt
Total Expense	0.02500	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$39,092,530	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$17,296,752	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$21,795,778	NetCommunityBenefitExpnsAmt
Total Expense	0.03660	TotalExpensePct

Research ResearchGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$9,976,074	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$9,976,074	NetCommunityBenefitExpnsAmt
Total Expense	0.01680	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$513,061	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$36,352	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$476,709	NetCommunityBenefitExpnsAmt
Total Expense	0.00080	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$81,587,366	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$27,105,094	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$54,482,272	NetCommunityBenefitExpnsAmt
Total Expense	0.09150	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$448,809,498	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$374,192,146	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$74,617,352	NetCommunityBenefitExpnsAmt
Total Expense	0.12530	TotalExpensePct

Economic Development EconomicDevelopmentGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$11,700	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$7,700	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$4,000	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Community Support CommunitySupportGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$13,500	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$820	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$12,680	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Leadership Development LeadershipDevelopmentGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$7,500	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$675	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$6,825	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Health Improvement Advocacy HealthImprovementAdvocacyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$59,267	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$1,601	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$57,666	NetCommunityBenefitExpnsAmt
Total Expense	0.00010	TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$6,500	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$1,250	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$5,250	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Other Communtity Building Acty OtherCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$73,862	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$73,862	DirectOffsettingRevenueAmt

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$172,329	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$85,908	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$86,421	NetCommunityBenefitExpnsAmt
Total Expense	0.00010	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (1)	BadDebtExpenseReportedInd
Reimbursed By Medicare	$2,838,840	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$2,748,701	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	$90,139	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

Field	Value	IRS element (for citing)
Cost To Charge Ratio	Yes (X)	CostToChargeRatioInd

Field	Value	IRS element (for citing)
Written Debt Collection Policy	Yes (1)	WrittenDebtCollectionPolicyInd
Financial Assistance Prvsn	Yes (1)	FinancialAssistancePrvsnInd
Hospital Facilities	1	HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

Field	Value	IRS element (for citing)
Facility	1	FacilityNum

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	ARKANSAS CHILDREN'S HOSPITAL	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1 CHILDRENS WAY	AddressLine1Txt
City	LITTLE ROCK	CityNm
State Abbreviation	AR	StateAbbreviationCd
ZIP	72202	ZIPCd

Field	Value	IRS element (for citing)
Website Address	WWW.ARCHILDRENS.ORG	WebsiteAddressTxt
State License	AR4640	StateLicenseNum
Licensed Hospital	Yes (X)	LicensedHospitalInd
General Medical And Surgical	Yes (X)	GeneralMedicalAndSurgicalInd
Childrens Hospital	Yes (X)	ChildrensHospitalInd
Teaching Hospital	Yes (X)	TeachingHospitalInd
Research Facility	Yes (X)	ResearchFacilityInd
Emergency Room24 Hrs	Yes (X)	EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	ARKANSAS CHILDREN'S HOSPITAL	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Facility	1	FacilityNum
First Licensed CY Or PY	0	FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY	0	TaxExemptHospitalCYOrPYInd
CHNA Conducted	Yes (1)	CHNAConductedInd
Community Definition	Yes (X)	CommunityDefinitionInd
Community Demographics	Yes (X)	CommunityDemographicsInd
Existing Resources	Yes (X)	ExistingResourcesInd
How Data Obtained	Yes (X)	HowDataObtainedInd
Community Health Needs	Yes (X)	CommunityHealthNeedsInd
Other Health Issues	Yes (X)	OtherHealthIssuesInd
Community Hlth Needs Id Process	Yes (X)	CommunityHlthNeedsIdProcessInd
Consulting Process	Yes (X)	ConsultingProcessInd
Prior CHNA Impact	Yes (X)	PriorCHNAImpactInd
Other	Yes (X)	OtherInd
CHNA Conducted	18	CHNAConductedYr
Take Into Account Others Input	Yes (1)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	Yes (1)	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	Yes (1)	CHNAConductedWithNonFcltsInd
CHNA Report Widely Available	Yes (1)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	WWW.ARCHILDRENS.ORG/RESOURCES/COMMUNITY-NEEDS-ASSESSMENT	OwnWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Rpt Available Thru Other Method	Yes (X)	RptAvailableThruOtherMethodInd
Implementation Strategy Adopt	Yes (1)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	19	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (1)	StrategyPostedWebsiteInd
Strategy Website URL	WWW.ARCHILDRENS.ORG/RESOURCES/COMMUNITY-NEEDS-ASSESSMENT	StrategyWebsiteURLTxt
Organization Incur Excise Tax	0	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (1)	EligCriteriaExplainedInd
FPG Family Incm Lmt Free Dscnt	Yes (X)	FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care	250.000000000000	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	400.000000000000	FPGFamilyIncmLmtDscntCarePct
Explained Basis	Yes (1)	ExplainedBasisInd
App Financial Asst Expln	Yes (1)	AppFinancialAsstExplnInd
Described Info	Yes (X)	DescribedInfoInd
Described Suprt Doc	Yes (X)	DescribedSuprtDocInd
Provided Hospital Contact	Yes (X)	ProvidedHospitalContactInd
Includes Publicity Measures	Yes (1)	IncludesPublicityMeasuresInd
FAP Available On Website	Yes (X)	FAPAvailableOnWebsiteInd
FAP Available On Website URL	SEE PART V, SECTION C	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	SEE PART V, SECTION C	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	SEE PART V, SECTION C	FAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No Charge	Yes (X)	FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No Chrg	Yes (X)	FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No Chrg	Yes (X)	FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill Display	Yes (X)	NotifiedFAPCopyBillDisplayInd
Communtity Notified FAP	Yes (X)	CommuntityNotifiedFAPInd
FAP Translated	Yes (X)	FAPTranslatedInd
FAP Actions On Nonpayment	Yes (1)	FAPActionsOnNonpaymentInd
Permit No Actions	Yes (X)	PermitNoActionsInd
Collection Activities	0	CollectionActivitiesInd
None Made	Yes (X)	NoneMadeInd
Nondis Emergency Care Policy	Yes (1)	NondisEmergencyCarePolicyInd
Look Back Medicaid Medcr Prvt	Yes (X)	LookBackMedicaidMedcrPrvtInd
Amounts Generally Billed	0	AmountsGenerallyBilledInd
Gross Charges	0	GrossChargesInd

Supplemental Information SupplementalInformationGrp (12 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
ARKANSAS CHILDREN'S HOSPITAL	PART V, SECTION B, LINE 3J: IN ADDITION TO THE ITEMS CHECKED IN BOXES A - I, OTHER INFORMATION WAS INCLUDED IN THE NEEDS ASSESSMENT. AS THE CENTRAL PEDIATRIC HOSPITAL IN THE STATE OF ARKANSAS, ARKANSAS CHILDREN'S HOSPITAL (ACH) CONSIDERS ITS COMMUNITY TO INCLUDE ALL 700,000 CHILDREN IN THE STATE. THE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) CONTAINED INFORMATION ABOUT THE STATEWIDE COALITION IT CONVENES, THE NATURAL WONDERS PARTNERSHIP COUNCIL (NWPC), WHICH WORKS TOGETHER TO IMPROVE CHILD HEALTH. NATURAL WONDERS USES THE NEEDS ASSESSMENT AS ITS AGENDA FOR IMPROVING CHILD HEALTH IN ARKANSAS, INCLUDING IN AREAS THE HOSPITAL DOES NOT ADDRESS IN A LEADERSHIP ROLE. SINCE CHILDREN'S HEALTH IS SO CLOSELY TIED TO ADULT HEALTH, ACH INCLUDED SOME INFORMATION ABOUT THE HEALTH STATUS OF ADULTS. THE REPORT ALSO CONTAINED "BIG IDEAS AND "VISION" FROM THE QUALITATIVE DATA COLLECTION FOR IMPROVING CHILD HEALTH TO HELP INSPIRE THE WORK THAT RESULTS FROM THE NEEDS ASSESSMENT. THE REPORT CONTAINED INFORMATION ABOUT THE IMPACT OF THE ACTIVITIES RESULTING FROM THE PREVIOUS CHNA.
ARKANSAS CHILDREN'S HOSPITAL	PART V, SECTION B, LINE 5: IN FY19, THE HOSPITAL TOOK A COMPREHENSIVE APPROACH TO UNDERSTAND CHILD HEALTH AND CONSIDERED BOTH SECONDARY AND PRIMARY DATA AT THE LOCAL, REGIONAL, AND STATE LEVEL TO DETERMINE THE HEALTH NEEDS OF ARKANSAS' CHILDREN. SECONDARY DATA SETS REVIEWED INCLUDED: U.S. CENSUS BUREAU, CENTERS FOR DISEASE CONTROL & PREVENTION, ANNIE E. CASEY KIDS COUNT DATA CENTER, ARKANSAS STATE AGENCY DATABASES, THE YOUTH RISK BEHAVIOR SURVEILLANCE SYSTEM (YRBSS), AND RESEARCH FROM LOCAL ORGANIZATIONS.MEMBERS OF THE NATURAL WONDERS PARTNERSHIP COUNCIL PROVIDED INPUT AND FEEDBACK ON THE CHNA AT ALL STAGES OF ITS DEVELOPMENT, FROM DESIGN, TO INITIAL OUTCOMES, TO A FINAL REPORT. MANY MEMBERS ALSO PARTICIPATED BY PROVIDING DATA, TO AND INTERVIEWS FOR, THE CHNA TEAM. NATURAL WONDERS MEMBERS REPRESENT A VARIETY OF STAKEHOLDERS INCLUDING: ARKANSAS DEPARTMENT OF HEALTH OFFICIALS, THE UNIVERSITY OF ARKANSAS FOR MEDICAL SCIENCES COLLEGE OF PUBLIC HEALTH, HEALTH POLICY ORGANIZATIONS, HEALTH CARE PROVIDERS, RESEARCHERS, NONPROFIT ORGANIZATIONS, MEMBERSHIP ORGANIZATIONS INCLUDING THE AMERICAN ACADEMY OF PEDIATRICS, THE ARKANSAS DEPARTMENTS OF EDUCATION AND HUMAN SERVICES, BEHAVIORAL HEALTH AGENCIES, DENTAL INSURANCE PROVIDERS, MEMBERS OF FAITH COMMUNITIES, LOW-INCOME LEGAL AID SERVICES, PRIVATE FOUNDATIONS, AND A STATEWIDE EDUCATION-FOCUSED COLLECTIVE IMPACT COALITION.OVER 600 PEOPLE AROUND THE STATE GAVE FEEDBACK ON CHILD HEALTH ASSETS AND NEEDS THROUGH THE CHNA PROCESS, HELPING TO OBTAIN IN-DEPTH INFORMATION, OPINIONS, AND INSIGHT ABOUT IMPORTANT DIMENSIONS IN HEALTH, HEALTHCARE, AND HEALTH PROMOTION FROM THESE CRITICAL STAKEHOLDERS IN CHILD HEALTH. ALTHOUGH THE CHNA TEAM DID NOT SEEK FEEDBACK DIRECTLY FROM CHILDREN, MEANINGFUL ENGAGEMENT AND INPUT FROM A BROAD CROSS-SECTION OF ORGANIZATIONS AND INDIVIDUALS THROUGHOUT THE STATE WAS IMPORTANT TO THE SUCCESSFUL COMPLETION OF THE FY19 CHNA. AN ANONYMOUS TELEPHONE SURVEY OF 400 ARKANSAS PARENTS PROVIDED A STATISTICALLY SIGNIFICANT MEASURE OF PARENT OPINIONS AND PERCEIVED NEEDS AT THE STATE LEVEL. TO GATHER A MORE IN-DEPTH UNDERSTANDING OF STATEWIDE CHILD HEALTH NEEDS, A PURPOSEFUL SAMPLE OF 169 PARENTS AND CHILDREN'S SERVICE PROVIDERS FROM DIVERSE REGIONS AND POPULATIONS ACROSS ARKANSAS WERE ENGAGED THROUGH 16 NINETY-MINUTE FOCUS GROUPS. DIVERSITY IN GEOGRAPHIC AND RURAL/URBAN STATUS WAS PRIORITIZED, AND LANGUAGE DIVERSITY WAS PRIORITIZED BY CONDUCTING TWO FOCUS GROUPS IN SPANISH AND ONE IN MARSHALLESE. NAMES WERE NOT COLLECTED IN THE FOCUS GROUPS OR THE STATEWIDE SURVEY TO ASSURE ANONYMITY FOR THE PARENTS AND CHILD SERVICE PROVIDERS WHO PARTICIPATED. TO PROVIDE A DEEPER UNDERSTANDING OF THE SECONDARY DATA USED IN THE FY19 CHNA, ONE-HOUR INTERVIEWS WERE CONDUCTED WITH CHILD HEALTH THOUGHT LEADERS AND SUBJECT MATTER EXPERTS IN THE STATE. THE 39 KEY INFORMANT INTERVIEWS REACHED PUBLIC HEALTH OFFICIALS, HEALTH POLICY EXPERTS, HEALTH CARE PROVIDERS AND ADMINISTRATORS, NON-PROFIT EXECUTIVES, STATE AGENCY LEADS, COMMUNITY LEADERS, RESEARCHERS, AND HEALTH INSURANCE REPRESENTATIVES. THROUGH THE FY19 CHNA PROCESS THE FOLLOWING CHILD HEALTH NEEDS WERE IDENTIFIED AND PRIORITIZED WITH PARTICIPATION OF THE NWPC: PARENTING SUPPORTS, SOCIAL ISSUES, MENTAL HEALTH AND SUBSTANCE ABUSE, EQUITABLE ACCESS TO CARE, FOOD INSECURITY, CHILD OBESITY, REPRODUCTIVE HEALTH, ORAL HEALTH, CHILD INJURY, AND IMMUNIZATIONS. THESE ELEVATED AND PRIORITIZED ISSUES FORMED THE DEVELOPMENT OF THE 2020-2022 IMPLEMENTATION STRATEGY.
ARKANSAS CHILDREN'S HOSPITAL	PART V, SECTION B, LINE 6A: THE ARKANSAS CHILDREN'S HOSPITAL CHNA WAS CONDUCTED IN PARTNERSHIP WITH ARKANSAS CHILDREN'S NORTHWEST. BOTH HOSPITALS ARE PART OF THE ARKANSAS CHILDREN'S SYSTEM AND NORTHWEST ARKANSAS IS A SHARED COMMUNITY OF BOTH HOSPITALS.
ARKANSAS CHILDREN'S HOSPITAL	PART 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, PROVIDED INPUT AND FEEDBACK ON THE COMMUNITY HEALTH NEEDS ASSESSMENTS FOR ARKANSAS CHILDREN'S HOSPITAL AS WELL AS ARKANSAS CHILDREN'S NORTHWEST. 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 WERE 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 HOSPITAL	PART V, SECTION B, LINE 7D: THE 2019 CHNA WAS DISTRIBUTED TO OVER 40 OF ITS PARTNERS THROUGH THE NATURAL WONDERS PARTNERSHIP COUNCIL (NWPC) AND ITS MULTIPLE WORKGROUPS. ADDITIONALLY, THE 2019 CHNA RESULTS WERE SIMPLIFIED AND COMBINED TO GENERATE A NEW 2020-2022 NATURAL WONDERS ACTION PLAN REPORT. THE 2019 CHNA, 2020-2022 IMPLEMENTATION STRATEGY FOR ACH, AND THE 2020-2022 NATURAL WONDERS ACTION PLAN ARE EACH AVAILABLE FOR PUBLIC VIEW ON THE ARKANSAS CHILDREN'S WEBSITE.
ARKANSAS CHILDREN'S HOSPITAL	PART V, SECTION B, LINE 11: COMMUNITY HEALTH IMPROVEMENT INTRODUCTION: IN 2020, ARKANSAS CHILDREN'S HOSPITAL (ACH) BEGAN WORK ON THE NEW ACTIONS AND CONTINUING INITIATIVES IN THE 2020-2022 ACH IMPLEMENTATION STRATEGY. THE IMPLEMENTATION STRATEGY INCLUDES DESCRIPTIONS OF THE PROPOSED NEW ACTIONS, CONTINUING INITIATIVES, ANTICIPATED IMPACT, AND STAKEHOLDER GROUPS FOR EACH OF THE TEN CHILD HEALTH NEEDS IDENTIFIED IN THE 2020 ACH COMMUNITY HEALTH NEEDS ASSESSMENT. THE 2020-2022 IMPLEMENTATION STRATEGY WAS APPROVED BY THE ACH BOARD OF DIRECTORS IN OCTOBER 2019. UPDATES ON ACTIONS UNDERTAKEN DURING FY20 FOR EACH OF THE 2019 CHNA PRIORITIZED ISSUES ARE LISTED BELOW. SOME STRATEGIES WERE LED BY THE NATURAL WONDERS PARTNERSHIP COUNCIL MEMBER ORGANIZATIONS WHO IDENTIFIED KEY WAYS FOR ACH TO PARTNER WITH THEM ON CHILD HEALTH IMPROVEMENT. OTHER STRATEGIES WERE SUPPORTED THROUGH THE ARKANSAS CHILDREN'S HOSPITAL INNOVATION FUND AND COMPLETED BY A CONTRACTED PARTNER. ADDRESSING COMMUNITY IMPACTS OF COVID-19: IN THE SPRING OF 2020, AN UNPRECEDENTED SITUATION CHANGED THE WAY ARKANSAS CHILDREN'S WORKS TO FULFILL ITS MISSION OF MAKING CHILDREN BETTER TODAY AND HEALTHIER TOMORROW. THE WORLD HEALTH ORGANIZATION DECLARED COVID-19, CORONAVIRUS DISEASE 2019, A PANDEMIC ON MARCH 11, 2020. SOON AFTER, COVID-19 BEGAN TO AFFECT COMMUNITIES IN ARKANSAS WITH THE CLOSURES OF SCHOOLS, CLINICS AND OTHER COMMUNITY SPACES. ARKANSAS CHILDREN'S QUICKLY PIVOTED TO INCREASING TELEMEDICINE OPTIONS, PROVIDING NECESSARY EDUCATIONAL AND FACTUAL INFORMATION ABOUT THE SPREAD OF THE VIRUS, AND HELPING TO MEET FAMILIES' BASIC NEEDS. 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. HOWEVER, WITH THE EXPANDED TELEMEDICINE CLINIC CAPABILITIES, THAT NUMBER HAS GROWN TO OVER 200 VISITS A DAY ACROSS THE ARKANSAS CHILDREN'S SYSTEM, INCLUDING VISITS FOR PATIENTS OF ARKANSAS CHILDREN'S HOSPITAL AND ARKANSAS CHILDREN'S NORTHWEST. ADDITIONALLY, ARKANSAS CHILDREN'S SET UP A STATEWIDE HOTLINE TO FIELD CALLS RELATED TO COVID-19 AND CHILDREN'S HEALTH. THE HOTLINE BEGAN ON MARCH 12, 2020 AND FACILITATED OVER 10,000 PHONE CALLS BY THE END OF JUNE. THIS SERVICE CONTINUED FOR SEVEN MONTHS AND ENDED ON 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 GREAT COMFORT TO CAREGIVERS AND FAMILIES 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 COLLABORATION. ARKANSAS CHILDREN'S CHILD LIFE LEADERS ANSWERED QUESTIONS ON PLATFORMS LIKE FACEBOOK LIVE, GIVING ADVICE TO FAMILIES PREPARING FOR CLINIC VISITS AS WELL AS INSTRUCTION ON 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 MARCH TO JUNE 2020, 27,973 CLOTH MASKS WERE DONATED TO ARKANSAS CHILDREN'S HOSPITAL FOR DISTRIBUTION TO ANY PATIENT OR CAREGIVER THAT NEEDED ONE WHEN ATTENDING AN APPOINTMENT AT AN ARKANSAS CHILDREN'S FACILITY. DURING MAY AND JUNE, ALMOST 3,000 MASKS WERE PROVIDED TO PATIENTS OR CAREGIVERS WHO NEEDED ONE. 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 FOCUSED ON PROVIDING RESOURCES FOR SCHOOLS, EDUCATORS, STUDENTS AND FAMILIES, AS THE STATE PREPARED FOR A RETURN TO IN-PERSON LEARNING. ARKANSAS CHILDREN'S PRESIDENT AND CEO, MARCY DODERER, SERVED ON THE GOVERNANCE COMMITTEE OF THIS TASKFORCE. DR. FREDERICK (RICK) 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. THIS TASKFORCE PROVIDED IMPORTANT AND TIMELY GUIDES AND INFORMATION TO SCHOOLS AND FAMILIES ABOUT SCHOOLS REOPENING IN FALL 2020. DR. JARED CAPOUYA, VICE PRESIDENT OF QUALITY AND SAFETY, SERVED ON THE LITTLE ROCK MAYOR'S COVID-19 TASKFORCE. 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) PARENTING SUPPORTS:ACH FACILITATED THE NATURAL WONDERS PARENTING SUPPORTS WORKGROUP IN ORDER TO IDENTIFY EFFECTIVE STRATEGIES TO BETTER UNDERSTAND PARENT EDUCATIONAL NEEDS AND EXPAND THEM, PROMOTE COMMUNITY-WIDE UNDERSTANDING OF SOME CHALLENGES PARENTS AND CAREGIVERS FACE, AND EXPAND EXISTING PROGRAMS THAT HELP IMPROVE FAMILIES. COMMITTED PARENTS AND CAREGIVERS ARE VERY IMPORTANT IN THE WELL-BEING AND DEVELOPMENT OF CHILDREN. ACH AND ITS PARTNERS KNOW THAT A STRONG COMMUNITY CAN AND SHOULD PROVIDE VARIOUS SOCIAL AND COMMUNITY SUPPORTS TO HELP MORE ARKANSAS PARENTS RAISE HAPPY, HEALTHY CHILDREN CAPABLE OF LIFE-LONG LEARNING. THE ARKANSAS HOME VISITING NETWORK (AHVN), A PARTNERSHIP BETWEEN THE ARKANSAS DEPARTMENT OF HEALTH AND ACH (SUPPORTED WITH A FEDERAL GRANT TO ADH AND CONTRACTED TO ACH), HAS IMPROVED MATERNAL-CHILD HEALTH OUTCOMES FOR CHILDREN IN THE PROGRAM. AHVN IS A THRIVING COALITION OF PROVIDERS AND STAKEHOLDERS THAT WORK TOGETHER TO HELP PARENTS AND CHILDREN. THE AHVN CONTINUES TO IMPLEMENT SIX EVIDENCE-BASED HOME VISITING MODELS: FOLLOWING BABY BACK HOME (FBBH); HEALTHY FAMILIES ARKANSAS (HFA); HOME INSTRUCTION FOR PARENTS OF PRESCHOOL YOUNGSTERS (HIPPY); NURSE FAMILY PARTNERSHIP (NFP); PARENTS AS TEACHERS (PAT); AND SAFECARE. IN FY20, THESE PROGRAMS HELPED APPROXIMATELY 8,000 FAMILIES WITH CHILDREN, RANGING FROM PRENATAL TO AGE FIVE, IN 73 OF THE 75 COUNTIES IN THE STATE. IN RESPONSE TO THE COVID PANDEMIC, EACH OF THE HOME VISITING MODELS ADAPTED ITS APPROACH. THE MAJORITY OF THE MODELS STOPPED IN-PERSON HOME VISITING SERVICES AT THE END OF MARCH 2020 AND RAPIDLY TRANSITIONED TO VIRTUAL FORMATS BY EARLY MAY. HIPPY'S PROGRAM YEAR ENDED WITH MANDATORY SCHOOL CLOSING ON MARCH 23, 2020. NORMALLY, THE PROGRAM WOULD END FOR THE SUMMER IN EARLY MAY, BUT ALL PARENTS WHO HAD PARTICIPATED IN 26 WEEKS OF CURRICULUM DELIVERY (THE MINIMUM FOR OFFICIAL COMPLETION), BY MARCH 23RD WERE GRADUATED FOR 2020. APPROXIMATELY 20% OF FAMILIES SERVED THROUGH HOME VISITING MODELS HAVE NO ACCESS TO VIRTUAL MEANS FOR CONDUCTING VISITS; FOR THOSE FAMILIES, HOME VISITORS ARE CONDUCTING A MIX OF VISITS IN PERSON UTILIZING PERSONAL PROTECTIVE EQUIPMENT (PPE) AND VISITS BY PHONE. ADDITIONALLY, ACH CONTINUED TO LEASE OFFICE SPACE ON ITS CAMPUS AT A DISCOUNTED RATE OF $1 PER YEAR TO THE NATIONAL HOME VISITING PARTNER HEADQUARTERED IN LITTLE ROCK, HIPPY USA, FOR THEIR NATIONAL OFFICE.THE ARKANSAS CHILDREN'S INJURY PREVENTION CENTER (IPC) PROVIDES MANY PROGRAMS TO ASSIST PARENTS AND CAREGIVERS. THE SAFETY ZONE IS A PUBLIC SPACE ON THE ACH CAMPUS WHERE FAMILIES CAN RECEIVE EDUCATION AND PRODUCTS TO PROMOTE SAFETY. IN FY20, THE SAFETY ZONE HELPED 703 VISITORS AND DISTRIBUTED 1,734 PRODUCTS SUCH AS SMOKE ALARMS AND CABINET LOCKS. THE INJURY PREVENTION CENTER ALSO PROVIDES SAFE SLEEP TRAINING THROUGHOUT THE STATE. A GOAL FOR FY20 WAS TO TEACH MORE FIRST-RESPONDERS TO BE ABLE TO RECOGNIZE POOR SLEEPING CONDITIONS WHEN MAKING HOUSE CALLS; 433 FIREFIGHTERS WERE TRAINED IN FY20. IN RESPONSE TO THE COVID PANDEMIC, IPC STAFF PIVOTED TO PROVIDING MANY OF ITS SERVICES OVER VIDEO CALLS, INCLUDING HELPING PARENTS PROPERLY INSTALL CAR SEATS. ADDITIONALLY, STAFF ADAPTED THE SAFETY BABY SHOWER MODEL TO BE CONDUCTED THROUGH ZOOM, CONTINUING TO REACH NEW PARENTS IN A DIFFERENT WAY.IN ARKANSAS, 95% OF BIRTHING HOSPITALS ARE NOW SAFE-SLEEP CERTIFIED BY CRIBS FOR KIDS, A NATIONAL STANDARD. ARKANSAS HAS ONE OF THE HIGHEST PERCENTAGES OF CERTIFICATIONS IN THE NATION. THE INJURY PREVENTION CENTER PLAYED A LEAD ROLE IN ACCOMPLISHING THIS IN PARTNERSHIP WITH THE COLLABORATIVE GROUP CONVENED BY THE ARKANSAS DEPARTMENT OF HEALTH. INFANTS BORN IN ARKANSAS ARE NOW VERY LIKELY TO BE BORN AT HOSPITALS WHERE SAFE SLEEP IS DEMONSTRATED AND TAUGHT TO NEW PARENTS.
SCHEDULE H, PART V, SECTION B, LINE 11 - CONTINUED	(2) SOCIAL ISSUES:THE ENVIRONMENTAL AND SOCIOECONOMIC NEEDS IDENTIFIED IN THE 2019 CHNA, SUCH AS POVERTY, HOUSING, LACK OF TRANSPORTATION, EDUCATION, AND DISCRIMINATION WERE BUNDLED IN A SOCIAL ISSUES STRATEGY IN THE 2020-2022 IMPLEMENTATION STRATEGY. THE ACH CIRCLE OF FRIENDS PRIMARY CARE CLINIC HAS LED THE WAY WITHIN THE ARKANSAS CHILDREN'S SYSTEM TO IDENTIFY AND HELP MEET THE NEEDS OF PATIENTS AND THEIR FAMILIES. SINCE 2016, THE SOCIAL NEEDS SCREENER HAS EXPANDED TO FOUR OTHER CLINICS, INCLUDING CIRCLE OF FRIENDS (COF) PRIMARY CARE CLINIC, SOUTHWEST LITTLE ROCK PRIMARY CARE CLINIC, GENERAL PEDIATRICS, AND THE ADOLESCENT CLINIC. THE PAPER TOOL CONTAINS 14 YES-OR-NO QUESTIONS RELATED TO FOOD INSECURITY, HOUSING AND SPECIAL EDUCATION NEEDS - ALL AREAS IN WHICH ACH IS ABLE TO INTERVENE TO HELP FAMILIES. THE SOCIAL NEEDS DATA OF PATIENTS AT THESE CLINICS HAS BEGUN TO HELP INFORM AND GUIDE DISCUSSION ON WHAT NEEDS THE HOSPITAL MAY BE APPROPRIATELY ABLE TO ADDRESS IN THE FUTURE. THE ARKANSAS CHILDREN'S MEDICAL LEGAL PARTNERSHIP IS AN EXAMPLE OF ONE OF THE REFERRALS FROM THE SOCIAL NEEDS SCREENER. FROM JULY 2019 THROUGH JUNE 2020, THE LEGAL AID PARTNER ATTORNEYS CLOSED 295 CASES FOR ELIGIBLE PATIENTS AND FAMILIES. THE MOST FREQUENT TYPES OF CASES WERE TO SUPPORT FAMILY STABILITY, INCLUDING CHILD CUSTODY, DIVORCE, AND ADDRESSING DOMESTIC VIOLENCE. (3) MENTAL HEALTH AND SUBSTANCE USE:ACH'S CENTER FOR GOOD MOURNING, A MEMBER OF THE NATIONAL ALLIANCE FOR GRIEVING CHILDREN, PROVIDED OVER 70 GRIEF SUPPORT GROUPS AROUND THE STATE WITH ABOUT 750 PEOPLE PARTICIPATING. THESE SESSIONS PROVIDED SUPPORT AND ASSISTANCE TO BEREAVED CHILDREN, FAMILIES AND PROFESSIONAL CAREGIVERS IN ARKANSAS THROUGH EDUCATION, PROGRAM DEVELOPMENT, AND GRIEF SUPPORT PROGRAMS.ACH PROVIDED A $1 PER YEAR LEASE TO THE CHILDREN'S PROTECTION CENTER IN THE CLARK CENTER FOR CHILDREN. THE DAVID M. CLARK CENTER FOR SAFE AND HEALTHY CHILDREN IS DEDICATED TO THE CARE AND TREATMENT OF NEGLECTED AND ABUSED CHILDREN AND THEIR FAMILIES. IN THIS FACILITY, CHILDREN RECEIVE MEDICAL, PSYCHOLOGICAL AND SOCIAL HEALTH SERVICES THROUGH THE FOUR MAIN SERVICE PROVIDERS IT HOUSES: CHILD AND ADOLESCENT PSYCHIATRY, CHILD MALTREATMENT, FAMILY TREATMENT PROGRAM AND THE PULASKI COUNTY CHILDREN'S ADVOCACY CENTER. THE INJURY PREVENTION CENTER USED THE CENTERS FOR DISEASE CONTROL & PREVENTION (CDC) FRAMEWORK OF INJURY PREVENTION TO ADDRESS THE PROBLEM OF INTENTIONAL INJURIES. STAFF ARE NOW TRAINED ON THREE EVIDENCE-BASED PROGRAMS FOR SUICIDE PREVENTION AND POSITIVE MENTAL HEALTH: MENTAL HEALTH FIRST AID, APPLIED SUICIDE INTERVENTION SKILLS TRAINING (ASIST), AND SAFETALK. THESE ARE AVAILABLE TO SCHOOLS, COMMUNITY MEMBERS, AND WORKPLACES AS NEEDED. A FIREARM COALITION HAS WORKED EXTENSIVELY TO DEFINE MESSAGING FOR SAFE GUN STORAGE. ADDITIONALLY, THE ACH INJURY PREVENTION CENTER IS PART OF A SMALL GROUP OF ORGANIZATIONS THAT ARE OFFERING ASSISTANCE TO SCHOOLS AND COMMUNITIES TO PREVENT INTENTIONAL INJURY. PROJECT PREVENT IS A STATEWIDE YOUTH TOBACCO PREVENTION COALITION THAT BELIEVES YOUTH HAVE THE POWER TO CHANGE SOCIAL NORMS AND SUPPORT WHAT THEY CREATE. THIS COALITION GREW DURING FY20, BEGINNING THE SCHOOL YEAR WITH 47 CHAPTERS AND INCREASING TO 78 CHAPTERS. OVER 1,200 YOUTH HAVE PARTICIPATED IN ACTIVITIES INCLUDING AN ANNUAL CONFERENCE AND A FILM CONTEST TO PROMOTE MESSAGING FOR YOUTH TO AVOID TOBACCO. AFTER BEING ESTABLISHED IN FY19, A NATURAL WONDERS BEHAVIORAL HEALTH WORKGROUP CONTINUED BUILDING STRUCTURE AND GOALS IN 2020. THE GROUP IS WORKING TO IMPROVE CHILD HEALTH IN ARKANSAS BY CREATING A CULTURE OF EMOTIONAL RESILIENCE IN SCHOOLS AND THE BROADER COMMUNITY. IN THIS FUTURE WORK, THEY WILL FOCUS ON SCHOOL AND COMMUNITY MENTAL HEALTH AND SUBSTANCE USE INTERVENTIONS, LIKE TRAINING SCHOOL PERSONNEL ON EVIDENCE-BASED MENTAL HEALTH FIRST AID. THE ARKANSAS CHILDREN'S HOSPITAL INNOVATION FUND SUPPORTED TWO DIFFERENT PROJECTS WITHIN THE MENTAL HEALTH NEED. ONE OF THE ACH INNOVATION FUND AWARDS WENT TOWARD A MENTAL HEALTH RESERVE CORPS AIMED TO DEVELOP COMMUNITY TEAMS THAT COULD SUPPORT SCHOOLS OR OTHER GROUPS AFTER TRAUMATIC EVENTS. THE PURPOSE OF THIS PROJECT IS TO GROW AWARENESS FOR COMMUNITY-LEVEL MENTAL HEALTH SUPPORT AND TO DEVELOP AN INITIAL VOLUNTEER BASE FOR THE RESERVE CORPS. THESE VOLUNTEERS CAN SUPPORT SCHOOLS AND COMMUNITIES TO RESPOND TO THE SOCIAL-EMOTIONAL CHALLENGES OF TRAUMATIC EVENTS. 103 PEOPLE COMPLETED THE FIRST TRAINING, WHICH FOCUSED ON BUILDING SKILLS, CREATING REGIONAL TEAMS AND PLANNING FOR FUTURE TRAININGS. PARTICIPANTS LEARNED ABOUT THE DIFFERENCES BETWEEN GRIEF AND TRAUMA, HOW TO RESPOND TO A CRISIS, AND GENERAL INFORMATION ABOUT ADVERSE CHILDHOOD EXPERIENCES (ACES). AN ADDITIONAL ACH INNOVATION FUND PROJECT WAS GRANTED FOR A REGIONAL MENTAL HEALTH FORUM: SCHOOL NURSE AND SCHOOL COUNSELOR TEAM APPROACH. SCHOOL NURSES ACROSS ARKANSAS ARE SEEING AN INCREASED NUMBER OF STUDENTS PRESENTING WITH MENTAL HEALTH NEEDS, AND HAVE REQUESTED MORE TRAINING TO BE ABLE TO SUPPORT STUDENTS' MENTAL AND BEHAVIORAL HEALTH. THIS TRAINING OCCURRED IN FEBRUARY 2020; 72 NURSES AND COUNSELORS REPRESENTING 38 SCHOOL DISTRICTS WERE TRAINED. THIS PROJECT BRINGS THE SCHOOL COUNSELOR AND THE SCHOOL NURSE TOGETHER TO REALIZE THEIR ROLE AS A TEAM, AND OFFER A NETWORKING OPPORTUNITY THAT WILL ENSURE A MORE ROBUST LEVEL OF COMMUNICATION AND HEALTH SERVICES. THE FEBRUARY TRAINING INCLUDED A MORNING SESSION ON INTENSE MENTAL HEALTH STRATEGIES, AFTERNOON BREAKOUT SESSIONS, AND CONCLUDED WITH TEAM NETWORKING OPPORTUNITIES.(4) ACCESS TO QUALITY CARE:RONALD MCDONALD HOUSE, THE FAMILY HOME OF THE RONALD MCDONALD HOUSE CHARITIES OF ARKANSAS, IS LOCATED ON THE CAMPUS OF ARKANSAS CHILDREN'S HOSPITAL. ACH OWNS THE LAND OF THE BUILDING'S LOCATION AND PROVIDES A $1 A YEAR LEASE AS A BENEFIT TO THE ORGANIZATION. THE RONALD MCDONALD HOUSE IS OPEN TO FAMILIES WITH A CHILD UNDER THE AGE OF 21 AND WHO LIVE MORE THAN 50-MILES AWAY FROM LITTLE ROCK. MANY FAMILIES HAVE A CHILD BEING TREATED AT ACH, BUT IT IS OPEN TO FAMILIES WITH CHILDREN TREATED AT OTHER HOSPITAL FACILITIES AS WELL. ON THE HOSPITAL CAMPUS, ACH FINANCIAL COUNSELORS HELPED PATIENTS, AS WELL AS SIBLINGS AND PARENTS, SIGN UP FOR HEALTHCARE COVERAGE. ACH DEDICATES MORE THAN $3 MILLION EACH YEAR TO SUPPORT THIS EFFORT TO INCREASE EQUITABLE ACCESS TO CARE. IN FY20, 35 FINANCIAL COUNSELORS PROCESSED 8,206 MEDICAID APPLICATIONS. FAMILIES ALSO BENEFIT FROM AN AFTER-HOURS RESOURCE LINE STAFFED BY REGISTERED NURSES AT ACH. IN FY20, DEDICATED NURSES RESPONDED TO 27,723 AFTER-HOURS CALLS IN WHICH THEY PROVIDED MEDICAL ADVICE FOR EITHER NON-EMERGENT ISSUES, OR THEY HELPED TO IDENTIFY POTENTIAL COMPLICATIONS BEFORE THEY BECAME MORE SERIOUS PROBLEMS. ANOTHER WAY ACH HELPS FAMILIES IS BY MAINTAINING ON-SITE SPANISH INTERPRETERS AND INTERPRETERS TO ASSIST NON-ENGLISH SPEAKING FAMILIES TO ACCESS CARE, BEYOND TRANSLATION THAT IS REQUIRED FOR ACCREDITATION. ACH SUPPORTED THE CONTINUATION AND EXPANSION OF THE MEDICAL-LEGAL PARTNERSHIP, A PROGRAM IMPLEMENTED IN COLLABORATION WITH LEGAL AID OF ARKANSAS TO REDUCE HEALTH-HARMING LEGAL NEEDS. SINCE 2017, THE MEDICAL-LEGAL PARTNERSHIP ATTORNEYS HAVE CLOSED MORE THAN 800 CASES FOR PATIENTS AND THEIR FAMILIES.THE STEPHENS ELEMENTARY SCHOOL-BASED HEALTH CLINIC, SUPPORTED BY ACH-FUNDED PRACTITIONERS, PERFORMED 679 VISITS IN FY20. THIS WAS A 118% INCREASE FROM 311 VISITS IN FY17. THE SCHOOL-BASED CLINIC ALSO ENSURES STUDENTS ARE CONNECTED TO OTHER TYPES OF CARE. THE CLINIC PROVIDED 393 VACCINATIONS, MADE 49 SPECIALTY CARE REFERRALS, AND 47 BEHAVIORAL HEALTH CARE REFERRALS IN FY20.
SCHEDULE H, PART V, SECTION B, LINE 11 - CONTINUED	(5) FOOD INSECURITY: IN RESPONSE TO THE COVID-19 PANDEMIC, ARKANSAS CHILDREN'S HOSPITAL WORKED TO ENSURE THAT MORE FAMILIES IN ARKANSAS DID NOT GO HUNGRY. FROM THE BEGINNING OF APRIL THROUGH THE END OF JUNE, ARKANSAS CHILDREN'S HOSPITAL PREPARED AND DELIVERED 6,248 SACK LUNCHES TO PATIENT FAMILIES ON-CAMPUS, AND TO THE SOUTHWEST LITTLE ROCK CLINIC AND WEST LITTLE ROCK CLINIC. THESE WERE PAID FOR BY ACH AND NOT REIMBURSED THROUGH THE TRADITIONAL USDA SACK LUNCH PROGRAM THAT WE TYPICALLY USE YEAR-ROUND. ADDITIONALLY, THE ARKANSAS FOOD BANK DONATED MEALS FROM PANERA BREAD ON TWO SEPARATE OCCASIONS, ONCE IN APRIL AND AGAIN IN MAY. THESE MEALS WERE DISTRIBUTED TO PATIENT FAMILIES THROUGH OUTPATIENT CLINICS. FOR THE TWO DATES COMBINED, WE RECEIVED AND DISTRIBUTED APPROXIMATELY 1,600 MEALS.ACH SUPPORTED COOKING MATTERS PROGRAMS THAT TEACH LOW-INCOME RESIDENTS TO COOK HEALTHFUL, LOW-COST MEALS IN A VARIETY OF COMMUNITY SETTINGS, INCLUDING COOKING MATTERS, COOKING MATTERS AT THE STORE, AND 'POP-UP COOKING MATTERS' (A CURRICULUM FOR HIGH SCHOOL STUDENTS). DURING FY20, THE SIX-SESSION COOKING MATTERS CLASSES ENGAGED 23 ADULTS AND 36 TEENAGERS. THE HOSPITAL CONTINUED TO ADDRESS FOOD INSECURITY ON THE ACH CAMPUS THROUGH A VARIETY OF EFFORTS. EACH YEAR, THOUSANDS OF USDA MEALS ARE PROVIDED TO CHILDREN THANKS TO ACH'S EFFORTS TO MAINTAIN AND GROW THE HOSPITAL'S NUTRITION AND FEEDING PROGRAMS. OVER 2,000 BAGS OF NON-PERISHABLE GROCERIES WERE DISTRIBUTED TO PATIENT FAMILIES THROUGH A PARTNERSHIP WITH NEARBY HELPING HAND FOOD PANTRY. THE ON-CAMPUS COMMUNITY GARDEN PRODUCED 4,425 POUNDS OF FRESH PRODUCE WHICH WERE PROVIDED TO HELPING HAND FOOD PANTRY. THE ARKANSAS CHILDREN'S HOSPITAL INNOVATION FUND SUPPORTED ONE DIFFERENT PROJECT WITHIN THE AREA OF FOOD SECURITY. THE ARKANSAS HUNGER RELIEF ALLIANCE PLANNED TO USE ITS INNOVATION FUND TO SUPPORT SCHOOLS IN ACHIEVING FIVE TO THRIVE, A STRATEGY TO ENSURE THAT SCHOOL-AGE CHILDREN GET THE MEALS AND NUTRITION THEY NEED TO SUCCEED IN THE CLASSROOM. IN THE WAKE OF COVID-19, THE HUNGER RELIEF ALLIANCE SHIFTED TO ENSURE THAT FOOD PANTRIES AND MEAL SITES SAFELY SERVE AN INCREASED NUMBER OF HUNGRY CHILDREN AND FAMILIES. FUNDING WENT TO ENSURE THAT CHILDREN WHO ARE OUT OF SCHOOL HAD SAFE ACCESS TO MEALS THROUGH PUBLIC LIBRARIES AND OTHER COMMUNITY SPACES. (6) CHILDHOOD OBESITY: IN RESPONSE TO THE COVID-19 PANDEMIC, ARKANSAS CHILDREN'S HEALTH EDUCATORS HELPED COMPILE FREE, DIGITAL RESOURCES FOR TEACHERS TO SHARE WITH THEIR STUDENTS. WE WANTED TO ENSURE THAT CHILDREN HAD ACCESS TO SAFE, AGE-APPROPRIATE DIGITAL CONTENT TO USE WHILE SHELTERING IN PLACE. IN FY20, ACH PROVIDED STATEWIDE ACCESS TO AN ENHANCED VERSION OF GONOODLE, A PHYSICAL ACTIVITY PROGRAM THAT ALLOWS TEACHERS TO UTILIZE 2-5 MINUTE "BRAIN BREAKS" THAT ACTIVATE KIDS' BODIES AND BRAINS, TRANSFORMING THE HEALTH OF ARKANSAS KIDS. FOR THE 2019-20 SCHOOL YEAR, 11,943 CLASSROOMS USED GONOODLE AT LEAST ONCE DURING THE SCHOOL YEAR; THIS INCLUDES ALMOST EVERY ELEMENTARY SCHOOL CLASSROOM IN ARKANSAS. DURING FY20, IT WAS DECIDED TO NO LONGER FUND THE ENHANCED VERSION OF GONOODLE GOING FORWARD, BEGINNING IN FY21. THERE ARE A FEW REASONS FOR THIS PIVOT. FIRST, GONOODLE WAS UNABLE TO PROVIDE MEANINGFUL DATA TO DEMONSTRATE AN IMPACT ON CHILDHOOD OBESITY. SECOND, ALTHOUGH GONOODLE WAS ABLE TO REACH YOUTH ACROSS THE STATE, THEY ARE PIVOTING THEIR PRODUCT OUTCOME FROM A FOCUS ON MOVEMENT FOR WEIGHT MANAGEMENT EFFORTS TO AN INCREASED FOCUS ON STRESS REDUCTION, WHICH DOES NOT FIT OUR 2020-2022 IMPLEMENTATION STRATEGY. RESOURCES ARE NOT BOUNDLESS, SO WE DETERMINED A NEED TO SUPPORT OTHER COMMUNITY HEALTH INITIATIVES BEYOND GONOODLE. ALL SCHOOLS IN THE STATE WILL STILL HAVE ACCESS TO A FREE VERSION OF GONOODLE. FY20 WAS THE FINAL YEAR THAT ARKANSAS CHILDREN'S HEALTH EDUCATORS IMPLEMENTED THE COORDINATED APPROACH TO CHILD HEALTH (CATCH) AND ORGAN WISE GUYS, FOCUSING ON IMPROVING NUTRITION KNOWLEDGE FOR CHILDREN AND ADOLESCENTS. ORGAN WISE GUYS REACHED TEN SCHOOLS AND CATCH REACHED 20 SCHOOLS. WHILE THESE PROGRAMS HAVE BEEN IMPACTFUL FOR THE SCHOOLS INVOLVED, DUE TO COVID RESTRICTIONS, WE WILL NOT BE ABLE TO BE PHYSICALLY PRESENT IN SCHOOLS FOR FY21 AND POTENTIALLY THE NEXT FEW YEARS. IT WAS DECIDED THAT WE SHOULD THEREFORE REDIRECT THESE EFFORTS ELSEWHERE. (7) REPRODUCTIVE HEALTH: ACH CONTINUED TO PROMOTE AND IMPLEMENT THE LOVE NOTES HEALTHY RELATIONSHIP PROGRAM. SINCE 2017, ACH HAS SUPPORTED 14 PILOTS OF THE LOVE NOTES PROGRAM. LOVE NOTES IS AN EVIDENCE-BASED PREGNANCY PREVENTION PROGRAM. ACCORDING TO UNITED STATES DEPARTMENT OF HEALTH AND HUMAN SERVICES-OFFICE OF ADOLESCENT HEALTH, IT HAS SHOWN TO INCREASE RATES OF CONTRACEPTIVE USE, DELAY THE INITIATION OF SEXUAL ACTIVITY, REDUCE THE FREQUENCY OF SEXUAL ACTIVITY, AND REDUCE RATES OF PREGNANCY OR BIRTHS AMONG 14 -18 YEAR OLDS. IT HAS DEMONSTRATED RESULTS THROUGH A CURRICULUM NOT FOCUSED SOLELY ON SEXUAL HEALTH, BUT INSTEAD INCLUDING SEXUAL HEALTH AS ONE ASPECT OF CREATING HEALTHY RELATIONSHIPS. IN FY20, ACH HEALTH EDUCATORS IMPLEMENTED THE LOVE NOTES PROGRAM IN TWO DIFFERENT HIGH SCHOOLS. IT'S AN IN-DEPTH PROGRAM TO COMPLETE AND REQUIRES THE RIGHT FIT WITH A SCHOOL AND TEACHER SPONSOR. 102 STUDENTS PARTICIPATED IN THE PROGRAM IN FY20 AND HAD FAVORABLE REVIEWS.
SCHEDULE H, PART V, SECTION B, LINE 11 - CONTINUED	(8) ORAL HEALTH:DURING FY20, 1,464 SCHOOL-AGE CHILDREN IN ARKANSAS RECEIVED 5,474 DENTAL SEALANTS. STUDENTS WERE ALSO SERVED BY MOBILE DENTAL CLINICS, WHERE 520 RESTORATIVE DENTAL VISITS AND 412 PREVENTIVE DENTAL VISITS OCCURRED. THOUGH PHILANTHROPIC AND COMMUNITY BENEFIT INVESTMENTS, ACH SUPPORTED FOUR REGIONAL, MOBILE DENTAL VANS THAT PROVIDED RESTORATIVE AND PREVENTIVE TREATMENT TO CHILDREN WITHOUT A DENTAL HOME IN DIVERSE COMMUNITY SITES IN THE CENTRAL, NORTHWEST, SOUTHEAST, AND SOUTHWEST REGIONS OF ARKANSAS. THE MOBILE DENTAL PROGRAM REACHES OVER 1,000 CHILDREN PER YEAR, OFFERING OVER $1.2 MILLION IN DENTAL SERVICES. THE HOSPITAL'S SCHOOL-BASED SEALANT PROGRAM REACHES ABOUT 60 SCHOOLS AND OVER 6,000 CHILDREN EACH YEAR. (9) CHILD INJURY:IN FY20, THE ACH INJURY PREVENTION CENTER CONTINUED TO WORK TO REDUCE CHILD INJURIES AND DEATHS THROUGH RESEARCH AND OUTREACH ON THE ISSUES OF MOTOR VEHICLE SAFETY, SAFE SLEEP/INFANT MORTALITY, INTENTIONAL INJURIES, AND RECREATIONAL SAFETY, UTILIZING A COMPREHENSIVE PUBLIC HEALTH APPROACH THAT INCLUDES EDUCATION, AWARENESS, AND ADVOCACY. THE IPC OFFERS MORE THAN 20 DIFFERENT PROGRAMS THAT REACH ACROSS ARKANSAS TO ACCOMPLISH ITS GOALS. CHILD PASSENGER SAFETY IS ONE OF THE PRIMARY FOCUSES OF THE INJURY PREVENTION CENTER. CERTIFICATION COURSES EDUCATED OVER 700 PROFESSIONALS TO PROPERLY INSTALL CAR SEATS; FAMILIES HAVE ACCESS TO 26 SATELLITE SITES AROUND THE STATE. STAFF PROVIDED 326 CAR SEAT FITTINGS, WHICH WAS A DECREASE FROM FY19 BECAUSE OF LIMITATIONS DUE TO COVID-19. TEEN DRIVING SAFETY IS ANOTHER FOCUS OF THE INJURY PREVENTION CENTER. 200 STUDENTS PARTICIPATED IN THE TEEN DRIVING LEADERSHIP CONFERENCE. THERE WERE ALSO THREE DIFFERENT TEEN DRIVING "ROADEOS" REACHING 177 TEENS AND 77 ADULTS. (10) IMMUNIZATIONS:ACH'S IMMUNIZATION-FOCUSED PROGRAMS INCREASED THE NUMBER OF CHILDREN THAT RECEIVED ALL NEEDED VACCINATIONS IN ORDER TO PROTECT THEIR LIVES AND HEALTH, AS WELL AS THE HEALTH OF THE BROADER COMMUNITY.IN FY20, IMMUNIZE ARKANSAS' EXECUTIVE DIRECTOR FACILITATED THE NATURAL WONDERS CHILDHOOD IMMUNIZATION WORKGROUP, WHICH FOCUSED ON DEVELOPING A SPECIFIC PLAN FOR SCHOOL-BASED HEALTH CENTERS TO ASSIST IN IMMUNIZING STUDENTS ESPECIALLY IN COMPLETING A VACCINE SERIES. ADDITIONALLY, THE GROUP WORKED WITH OTHER HEALTHCARE LEADERS TO COMMUNICATE THE IMPORTANCE OF CATCHING UP ON VACCINATION SERIES THAT WERE DELAYED DUE TO CLINIC CLOSURES BECAUSE OF COVID-19. ARKANSAS CHILDREN'S HOSPITAL SPONSORED THE ANNUAL SUMMIT OF IMMUNIZE ARKANSAS, WHICH BRINGS TOGETHER ARKANSAS LEADERS WHO ARE FOCUSED ON INCREASING IMMUNIZATION COVERAGE RATES STATEWIDE.
SCHEDULE H, PART V, SECTION B, LINE 16A - FAP WEBSITE	WWW.ARCHILDRENS.ORG/PATIENTS-AND-VISITORS/BILLING-AND-INSURANCE/FINANCIAL-ASSISTANCE
SCHEDULE H, PART V, SECTION B, LINE 16B - FAP APPLICATION	WWW.ARCHILDRENS.ORG/PATIENTS-AND-VISITORS/BILLING-AND-INSURANCE/FINANCIAL-ASSISTANCE
SCHEDULE H, PART V, SECTION B, LINE 16C - FAP PLAIN LANGUAGE SUMMARY	WWW.ARCHILDRENS.ORG/PATIENTS-AND-VISITORS/BILLING-AND-INSURANCE/FINANCIAL-ASSISTANCE

Field	Value	IRS element (for citing)
Facility	3	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (3 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	FacilityFacilityTxt
1 - WEST LITTLE ROCK PEDIATRIC CLINIC
BELLA ROSA CENTER 16101 CANTRELL RD	LITTLE ROCK	AR	72223	OUTPATIENT HOSPITAL CLINIC
2 - CENTERS FOR CHILDREN
520 CARSON STREET	JONESBORO	AR	72401	OUTPATIENT HOSPITAL CLINIC
3 - SOUTHWEST LITTLE ROCK COMMUNITY CLINIC
9015 DAILEY DRIVE	LITTLE ROCK	AR	72209	OUTPATIENT HOSPITAL CLINIC

Supplemental Information Detail SupplementalInformationDetail (12 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART I, LINE 3C:	ACH USES FEDERAL POVERTY GUIDELINES TO DETERMINE FREE OR DISCOUNTED CARE.PART I, LINE 4:ACH DOES NOT HAVE A SPECIFIC FINANCIAL ASSISTANCE PROGRAM FOR THE "MEDICALLY INDIGENT" AS DEFINED BY AR CODE SECTION 6-64-503(A), BUT ITS FINANCIAL ASSISTANCE POLICY DOES PROVIDE FREE CARE FOR INDIVIDUALS WITH HOUSEHOLD INCOMES UP TO 250% OF POVERTY AND DISCOUNTED CARE FORINDIVIDUALS WITH HOUSEHOLD INCOMES UP TO 400% OF POVERTY. AS PART OF THE APPLICATION PROCESS, ACH REQUESTS THAT PERSONS WITH NO INCOME AND ALSO INELIGIBLE FOR MEDICAID, MEDICARE, OR MARKETPLACE SUBSIDIES PROVIDE A WRITTEN SIGNED STATEMENT DESCRIBING HOW THEY ARE MEETING THEIR DAY TO DAY BASIC LIVING NEEDS. THE APPLICATION SPECIFIES SUCH REQUIREMENTS FOR APPLICANTS WITH "NO INCOME IN THE HOME". ACH ALSO ASSISTS FAMILIES IN APPLYING FOR MEDICAID (INCLUDING THE TEFRA PROGRAM FOR DISABLED CHILDREN THAT ONLY CONSIDERS THE CHILD'S INCOME), SSI, CHILDREN'S MEDICAL SERVICES, AS WELL AS ACH'S OWN FINANCIAL ASSISTANCE PROGRAM. THE HOSPITAL ALSO ALLOWS INTEREST FREE PAYMENTS TO BE MADE UNTIL THE OUTSTANDING BALANCE IS PAID WITHOUT TIME CONSTRAINTS. ACH DOES NOT REPORT TO COLLECTION AGENCIES OR TAKE OTHER EXTRAORDINARY COLLECTION EFFORTS.
PART I, LINE 7:	COSTING METHOD - ARKANSAS CHILDREN'S HOSPITAL (ACH) USES A COST ACCOUNTING (CA) SYSTEM AS THE BASIS FOR DETERMINING COST FOR ITS PATIENTS. ALL PATIENT ENCOUNTERS (INPATIENT, OUTPATIENT, ED, AMBULATORY SURGERY) ARE CAPTURED IN THE COST ACCOUNTING SYSTEM FOR ALL PATIENTS (MEDICAID, INSURANCE, UNINSURED) WITH NO DIFFERENTIATION FOR TYPE OF INSURANCE, IF ANY. A BRIEF DESCRIPTION OF THE COST ACCOUNTING SYSTEM IS BELOW.THE COST ACCOUNTING SYSTEM AT ACH IS A DETAILED PROCEDURE SYSTEM. ALL SERVICES PERFORMED BY PATIENT CARE STAFF HAVE BEEN EVALUATED AS TO THE RESOURCES UTILIZED TO PROVIDE THE SERVICES INCLUDING LABOR, DIRECT MATERIALS AND EQUIPMENT. IN ADDITION, OVERHEAD TYPE COSTS (BUILDING, UTILITIES, PAYROLL, ETC.) HAVE ALSO BEEN ALLOCATED TO THESE SERVICES. THE TWO COMPONENTS, DIRECT AND INDIRECT COSTS, ARE COMBINED AND REPRESENT THE TOTAL COST TO PROVIDE EACH SERVICE. THIS IS DONE ON A PROCEDURE LEVEL BASIS. AS A PATIENT IS ADMITTED AND INCURS SERVICES (X-RAYS, ROOM & BOARD, LAB, ETC.), THE APPLICABLE PROCEDURE COSTS ARE ASSIGNED TO EACH PARTICULAR PATIENT. UPON DISCHARGE, THE COSTS FROM THE INDIVIDUAL PROCEDURES THAT WERE PROVIDED TO EACH PATIENT ARE ADDED UP FOR A TOTAL COST OF PROVIDING CARE FOR EACH INDIVIDUAL PATIENT.THE COST ACCOUNTING SYSTEM IS UPDATED ANNUALLY TO REFLECT THE CURRENT YEAR'S EXPENSES.
PART I, LINE 7G:	SUBSIDIZED HEALTH SERVICES - ACH PROVIDES MANY PEDIATRIC AND SOME ADULT SPECIALIZED SERVICES TO THE COMMUNITY THAT ARE EITHER NOT AVAILABLE OR ARE BEYOND THE CAPACITY OF THE COMMUNITY TO PROVIDE. MANY OF THESE SERVICES ARE PROVIDED BY ACH AT A LOSS. THESE LOSSES WERE OBTAINED FROM THE COST ACCOUNTING SYSTEM.IN ADDITION, ACH PROVIDES PEDIATRIC RENAL SERVICES THAT ARE NOT PROVIDED IN THE COMMUNITY. THE COST OF THESE SERVICES PROVIDED TO PEDIATRIC PATIENTS IS MORE EXPENSIVE DUE TO THE SPECIALTY NATURE OF THE PATIENTS. THESE COSTS ARE GREATER THAN WHAT IS ALLOWED ON THE MEDICARE COST REPORT, AND THAT LOSS HAS BEEN REPORTED IN SUBSIDIZED HEALTH SERVICES.SIMILARLY, ACH INCURS LOSSES FROM PROVIDING PEDIATRIC LAB SERVICES TO ITS MEDICARE PATIENT POPULATION THAT ARE REIMBURSED LESS THAN COST. THOSE LOSSES ARE ALSO INCLUDED AS SUBSIDIZED HEALTH SERVICES.
PART II, COMMUNITY BUILDING ACTIVITIES:	ACH CONTRIBUTES TO THE COMMUNITIES IT SERVES AT A NEIGHBORHOOD, COMMUNITY, CITY AND STATE LEVEL. LOCALLY, ACH IS A MAJOR EMPLOYER IN THE DOWNTOWN LITTLE ROCK AREA AND SERVES AS AN ACTIVE MEMBER OF THE BUSINESS COMMUNITY'S WORK TO REVITALIZE THE AREA FOR BOTH COMMERCE AND LIVING. ACH SUPPORTS THE DOWNTOWN LITTLE ROCK PARTNERSHIP AND ITS WORK TO CONTINUE AND GROW A THRIVING DOWNTOWN, RICH IN BUSINESS, ARTS AND CULTURE. ACH ALSO FINANCIALLY SUPPORTS OTHER ORGANIZATIONS THAT SEEK TO ADDRESS THE NEEDS OF CHILDREN AND FAMILIES, INCLUDING THE ARKANSAS CHAPTER OF THE AMERICAN FOUNDATION FOR SUICIDE PREVENTION, WOMEN & CHILDREN FIRST, CENTERS FOR YOUTH AND FAMILIES, AND OUR HOUSE SHELTER. ACH SUPPORTS A VARIETY OF NEIGHBORHOOD-BASED ORGANIZATIONS IN THE GEOGRAPHIC AREA SURROUNDING THE HOSPITAL, INCLUDING FORMAL NEIGHBORHOOD ASSOCIATIONS, BY ATTENDING MEETINGS AND SPONSORING INITIATIVES THAT SUPPORT THE COMMUNITY. ACH SUPPORTS A VARIETY OF NONPROFIT ORGANIZATIONS AND COMMUNITY GROUPS THAT HELP BUILD SAFETY AND RESILIENCY FOR CHILDREN AND THEIR CAREGIVERS ACROSS THE STATE. THESE ORGANIZATIONS ADDRESS HOMELESSNESS, JOB SUPPORT/SKILLS, DOMESTIC VIOLENCE, EDUCATION, AND NEIGHBORHOOD ENGAGEMENT. A FEW OF THE ORGANIZATIONS THAT ACH PARTNERS WITH INCLUDE: THE BOYS AND GIRLS CLUB, WHICH HELPS KIDS AND TEENS DEVELOP ESSENTIAL SKILLS, MAKE LASTING CONNECTIONS AND HAVE FUN WITH ENRICHMENT AND EDUCATIONAL ACTIVITIES; WOMEN AND CHILDREN FIRST, WHICH ADDRESSES FAMILY VIOLENCE THROUGH SAFETY, STRENGTH, AND HOPE FOR VICTIMS OF FAMILY VIOLENCE; THE WOMEN'S FOUNDATION OF ARKANSAS, WHICH INVESTS IN YOUNG GIRLS TO PROMOTE FINANCIAL STABILITY AND EDUCATIONAL ACHIEVEMENT; ARKANSAS FOOD BANK; HELPING HAND FOOD PANTRY; AND LEGAL AIDE OF ARKANSAS. ACH PROVIDES OFFICE SPACE AT HIGHLY DISCOUNTED RATES FOR CHILD MALTREATMENT SERVICES.
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.
PART III, LINE 8:	THE ACH MEDICARE POPULATION IS PRIMARILY RENAL PEDIATRIC PATIENTS AND ADULT BURN PATIENTS. ACH IS THE ONLY BURN CENTER IN THE STATE AND SERVES BOTH PEDIATRIC AND ADULT PATIENTS. THE COST OF PROVIDING CARE FOR THE ACUTE ADULT PATIENTS IS TYPICALLY GREATER THAN THE REIMBURSEMENT THAT MEDICARE ALLOWS ON THE MEDICARE COST REPORT. THEREFORE, THE MEDICARE SHORTFALL SHOULD BE INCLUDED AS A COMPONENT OF COMMUNITY BENEFIT BECAUSE THE REIMBURSEMENT IS NOT NEGOTIATED AND SERVICES CANNOT BE PROVIDED ELSEWHERE.
PART III, LINE 9B:	ARKANSAS CHILDREN'S HOSPITAL'S PATIENT ACCOUNTS DEPARTMENT USES ITS BEST EFFORTS TO ASSIST PATIENTS/GUARANTORS IN MEETING THEIR FINANCIAL RESPONSIBILITY FOR SERVICES PROVIDED AT ACH. THE ACH POLICY IS TO ACT WITH INTEGRITY IN ALL ENDEAVORS; TREATING ALL PATIENTS AND THEIR FAMILIES WITH DIGNITY, RESPECT, AND COMPASSION. THE STANDARD PROCESS INCLUDES OFFERING FINANCIAL ASSISTANCE TO ELIGIBLE FAMILIES. NOTICES REGARDING THE FINANCIAL ASSISTANCE PROGRAM ARE POSTED IN ENGLISH AND SPANISH IN ALL REGISTRATION AREAS. FINANCIAL ASSISTANCE BROCHURES ARE OFFERED AT REGISTRATION AND ARE AVAILABLE TO FAMILIES UPON REQUEST. THE GUARANTOR STATEMENTS AND THE ACH WEBSITE CONTAIN INFORMATION ABOUT THIS PROGRAM. THERE ARE FINANCIAL COUNSELORS AVAILABLE TO ALL REGISTRATION AREAS OF THE HOSPITAL TO ASSIST IN COMPLETING MEDICAID, CMS, SSI INTENTS, AND FINANCIAL ASSISTANCE APPLICATIONS. IT IS STANDARD PRACTICE AT ACH TO UTILIZE INTERNAL RESOURCES FOR COLLECTION THROUGH THE PATIENT ACCOUNTS DEPARTMENT. NO EXTRAORDINARY COLLECTION EFFORTS ARE TAKEN. ACH DOES NOT REPORT TO CREDIT BUREAUS OR CHARGE INTEREST OR FILE LIENS AGAINST A PATIENT'S OR FAMILY'S RESIDENCE TO SECURE PAYMENT ON PATIENT ACCOUNT BALANCES. UPON RECEIPT OF A PERSONAL BANKRUPTCY NOTICE, ANY OUTSTANDING SELF-PAY BALANCES FOR THE ASSOCIATED PATIENT ARE WRITTEN OFF ONCE ALL OTHER PAYMENTS HAVE BEEN RECEIVED. ALL SELF-PAY COLLECTION ACTIVITY IS STOPPED UPON NOTIFICATION OF THE BANKRUPTCY.UPFRONT DISCOUNTS ON SERVICES FOR THE UNINSURED ARE OFFERED. THE FAMILY CAN ALSO REQUEST A PROMPT PAY DISCOUNT. ADDITIONALLY, ACH ATTEMPTS TO ACCOMMODATE U.S. FAMILIES WHO DESIRE TO SET UP REASONABLE PAYMENT PLANS. INTEREST IS NOT CHARGED. THE HOSPITAL'S GUARANTOR STATEMENTS ARE DESIGNED TO KEEP THE GUARANTOR UPDATED AS TO WHETHER THE ACCOUNT IS STILL PENDING RESOLUTION BY INSURANCE OR DUE FROM THE GUARANTOR. SELF-PAY COLLECTION ATTEMPTS ARE DISCONTINUED ONCE CHARGES ARE DETERMINED TO QUALIFY FOR FINANCIAL ASSISTANCE.
PART VI, LINE 2:	ARKANSAS CHILDREN'S HOSPITAL HAS BEEN CONDUCTING REGULAR NEEDS ASSESSMENTS OF THE STATUS OF CHILDREN'S HEALTH IN ARKANSAS SINCE 2006, WITH THE MOST RECENT CHNA AND IMPLEMENTATION STRATEGY ISSUED IN 2019. PLEASE SEE PART V, SECTION B FOR RELATED DETAILS AND DISCUSSION.BUILDING ON YEARS OF EXPERIENCE ASSESSING THE NEEDS OF THE COMMUNITY THROUGH THE NATURAL WONDERS PARTNERSHIP COUNCIL'S EFFORTS, ACH'S CHNA IS VERY COMPREHENSIVE AND REACHES STATEWIDE. HOWEVER, CLINICAL ASSESSMENT OF NEEDS HAS DRIVEN ADDITIONAL EFFORTS TO IMPROVE ACCESS TO APPROPRIATE HEALTH CARE FOR CHILDREN AND TO EDUCATE A VARIETY OF STAKEHOLDERS IN ARKANSAS. FOR EXAMPLE, REALIZING THAT SOME HEALTH CARE WORKERS (FROM FIRST RESPONDERS TO SMALL HOSPITALS' STAFF MEMBERS) WERE UNFAMILIAR WITH PEDIATRIC PROTOCOLS, ACH HAS WORKED TO EDUCATE PROFESSIONALS ACROSS THE STATE THROUGH SIMULATION EDUCATION. SCHOOL NURSES IDENTIFIED CERTAIN AREAS, SUCH AS TRACHEOSTOMY CARE, IN WHICH THEY FELT THEY NEEDED ADDITIONAL EDUCATION, AND ACH PARTNERED WITH THE AR DEPARTMENT OF HEALTH TO MEET THOSE NEEDS THROUGH THE SCHOOL NURSE ACADEMY. ACH SUPPORT OF CAMPS FOR CHILDREN WITH SPECIAL HEALTH CARE NEEDS IS ALSO DRIVEN BY STAFF MEMBERS WHO WORK IN SPECIALTY CLINICS AND INPATIENT UNITS EACH DAY. MEDICAL STAFF ALSO COLLECT AND ANALYZE DATA; FOR EXAMPLE, SEVERAL PHYSICIANS COLLECT DATA FOR CHILDREN'S HEALTH WATCH ON FOOD INSECURITY, HOUSING, AND OTHER BASIC NEEDS. ACH'S FAMILY ADVISORY BOARD HELPS GUIDE THE HOSPITAL STAFF AND BOARD REGARDING ISSUES RELATED TO ITS SERVICES AND TO CREATING A FAMILY-FRIENDLY, FAMILY-CENTERED PLACE OF CARE.
PART VI, LINE 3:	PLEASE SEE PART III, LINE 9B DESCRIPTION ON PAGE 65.
PART VI, LINE 4:	AS THE CENTRAL PEDIATRIC MEDICAL CENTER IN THE STATE, ACH DEFINES THE COMMUNITY IT SERVES AS ALL CHILDREN FROM BIRTH TO AGE 21 IN THE STATE OF ARKANSAS. THOUGH THE HOSPITAL SERVES A SMALL NUMBER OF ADULT PATIENTS WITH PEDIATRIC CHRONIC CONDITIONS OR SEVERE BURNS AND A HANDFUL OF OUT-OF-STATE PATIENTS FOR PARTICULAR HEALTH CONDITIONS, THE MAJORITY OF ITS PATIENTS ARE FROM CENTRAL ARKANSAS AND THE REMAINDER OF THE STATE. ACH DRAWS APPROXIMATELY 72.2% OF ITS OUTPATIENT POPULATION AND 62.1% OF ITS INPATIENT POPULATION FROM PULASKI COUNTY AND SURROUNDING COUNTIES, INCLUDING SALINE, FAULKNER, LONOKE, AND JEFFERSON. ACH ALSO SERVES PATIENTS FROM WHITE COUNTY IN NORTH CENTRAL ARKANSAS, GARLAND COUNTY IN EAST CENTRAL ARKANSAS, WASHINGTON COUNTY IN THE NORTHWEST CORNER OF THE STATE, AND SEBASTIAN COUNTY IN WEST CENTRAL ARKANSAS. ALTHOUGH PULASKI COUNTY IS THE HOSPITAL'S PRIMARY SERVICE AREA, WITH 42.0% OF OUTPATIENT DISCHARGES AND 26.4% OF INPATIENT DISCHARGES DURING FY2020.ACH'S CURRENT PHYSICAL LOCATIONS INCLUDE A MAIN CAMPUS AND TWO OUTPATIENT CLINICS IN LITTLE ROCK AND A CLINIC IN NORTHEAST ARKANSAS. GROWING TELEMEDICINE CAPABILITIES CONNECT ACH TO OFF-CAMPUS PROVIDERS AND ALLOW REMOTE SITES ACCESS TO SPECIALTIES INCLUDING NEONATOLOGY, EMERGENCY MEDICINE, PEDIATRIC INTENSIVE CARE, BURN, GENETICS, CARDIOLOGY, AND PULMONOLOGY. ACCORDING TO U.S. CENSUS BUREAU 2010 CENSUS DATA, POPULATION TOTALS AT THAT TIME WERE 2,915,918 FOR THE STATE OF ARKANSAS AND 382,748 FOR PULASKI COUNTY. ESTIMATED 2019 CENSUS DATA INDICATED POPULATION TOTALS TO BE 3,017,804 FOR ARKANSAS AND 391,911 FOR PULASKI COUNTY. ALSO ACCORDING TO ESTIMATED 2019 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 2019 WAS 3.5%. THE PER CAPITA PERSONAL INCOME FOR THE STATE OF ARKANSAS FOR 2019 WAS $26,577. THE PERCENT OF ALL PEOPLE IN POVERTY IN ARKANSAS WAS 17.0% AND THE PERCENT OF CHILDREN 18 OR YOUNGER IN POVERTY WAS 23.7%, INDICATING A SLIGHT IMPROVEMENT FROM THE PRIOR YEAR.ARKANSAS CHILDREN'S HOSPITAL (ACH) DEFINES ITS COMMUNITY AS ALL CHILDREN WHO RESIDE IN THE STATE. CHILDREN SERVED BY ACH COME FROM DIVERSE COMMUNITIES, RANGING FROM NORTHWEST ARKANSAS' BOOMING BUSINESS INDUSTRY TO THE PERSISTENT POVERTY OF THE MISSISSIPPI DELTA. RACIAL AND ETHNIC SUBCULTURES VARY ACROSS THE STATE INCLUDING A GROWING HISPANIC POPULATION IN THE NORTH AND WEST TO A LARGER AFRICAN AMERICAN POPULATION IN THE SOUTH AND EAST. IN GENERAL, ARKANSAS CHILDREN FARE WORSE THAN OTHERS IN THE U.S. IN TERMS OF HEALTH RISK FACTORS AND OUTCOMES, HIGHLIGHTING A NEED FOR INVESTMENTS IN PUBLIC HEALTH INITIATIVES. DESPITE THE PRESENCE OF LARGE PRIVATE EMPLOYERS INCLUDING THE CORPORATE HOMES FOR WAL-MART, TYSON FOODS, AND JONES TRUCK LINES, AND A STRONG AGRICULTURAL ECONOMY, THE CONSEQUENCES OF POVERTY ARE FELT IN MOST COMMUNITIES IN THE STATE.THE ESTIMATED 700,843 ARKANSAS CHILDREN UNDER AGE 18 REPRESENTED 23.2% OF THE STATE'S TOTAL POPULATION FOR 2019. DEMOGRAPHIC SHIFTS OCCUR RAPIDLY; THE HISPANIC CHILD POPULATION GREW DRAMATICALLY FROM 3.0% AS REPORTED IN THE 2000 CENSUS TO 9.3% AS REPORTED IN THE 2010 CENSUS, AND THE NUMBER OF AFRICAN AMERICAN CHILDREN UNDER AGE 18 ALSO GREW FROM 15.7% TO 19.3% DURING THE SAME PERIOD. ESTIMATES FOR 2019 INDICATE THAT THE HISPANIC CHILD POPULATION IN ARKANSAS WAS 12.3% AND THE AFRICAN AMERICAN CHILD POPULATION WAS 17.5%. THE RATE OF POVERTY IN ARKANSAS (2019 ESTIMATE) WAS APPROXIMATELY 17.0%, WITH APPROXIMATELY 23.7% OF CHILDREN UNDER AGE 18 LIVING IN POVERTY. WITH A PRIMARILY RURAL POPULATION LIVING IN MANY SMALL AND MEDIUM-SIZED COMMUNITIES, ACCESS TO HEALTH CARE SERVICES PRESENTS A VERY REAL CHALLENGE. ARKANSAS HAS SEEN A LARGE DECLINE IN UNINSURED CHILDREN SINCE 1990, WITH 4.8% OF CHILDREN LACKING COVERAGE AS OF 2019. ARKANSAS' "ARKIDS FIRST" HEALTH INSURANCE PROGRAM HAS BEEN A MAJOR FACTOR IN PROVIDING HEALTH INSURANCE FOR CHILDREN WHO MAY HAVE OTHERWISE GONE WITHOUT. ARKIDS FIRST WAS DESIGNED BY THE STATE OF ARKANSAS TO PROVIDE INSURANCE FOR CHILDREN OF WORKING FAMILIES WHO EARNED TOO MUCH FOR PUBLIC ASSISTANCE BUT COULD NOT AFFORD TO PURCHASE HEALTH INSURANCE.
PART VI, LINE 5:	ARKANSAS CHILDREN'S HOSPITAL IS THE CENTRAL PEDIATRIC MEDICAL CENTER IN ARKANSAS AND ONE OF THE LARGEST IN THE UNITED STATES SERVING CHILDREN FROM BIRTH TO AGE 21. THE CAMPUS SPANS OVER 36 CITY BLOCKS AND HOUSED 336 OPERATING BEDS IN FY20. THE STAFF IS COMPRISED OF APPROXIMATELY 588 PHYSICIANS, OVER 200 RESIDENTS IN PEDIATRICS AND PEDIATRIC SPECIALTIES AND APPROXIMATELY 4,300 EMPLOYEES. THE PRIVATE, NONPROFIT HEALTHCARE FACILITY BOASTS AN INTERNATIONALLY RENOWNED REPUTATION FOR MEDICAL BREAKTHROUGHS AND INTENSIVE TREATMENTS, UNIQUE SURGICAL PROCEDURES AND FORWARD-THINKING MEDICAL RESEARCH - ALL DEDICATED TO FULFILLING ITS MISSION.ARKANSAS CHILDREN'S HOSPITAL (ACH) SERVES AS THE PEDIATRIC TEACHING AFFILIATE OF THE UNIVERSITY OF ARKANSAS FOR MEDICAL SCIENCES (UAMS) AND IS HOME TO THE UAMS DEPARTMENT OF PEDIATRICS. ACH IS THE CLASSROOM WHERE MEDICAL STUDENTS STUDY THE PEDIATRIC COMPONENT OF ALL DISCIPLINES. UAMS FACULTY ON THE ACH CAMPUS ARE PRACTICING PHYSICIANS AS WELL AS TEACHERS TO UAMS STUDENTS IN MEDICINE, NURSING, PHARMACY, PUBLIC HEALTH, AND ALLIED HEALTH SPECIALTIES.ACH'S BURN CENTER IS THE ONLY ONE IN ARKANSAS AND TREATS BOTH PEDIATRIC AND ADULT BURN PATIENTS. THEIR OUTREACH PROGRAM HELPS TO PREVENT BURNS THROUGH SEVERAL OUTREACH AND EDUCATIONAL INITIATIVES. THEY EDUCATE EMERGENCY MEDICAL PERSONNEL IN THE EMERGENCY TREATMENT OF BURNS, INCLUDING EMERGENCY MEDICAL TECHNICIANS (EMTS), DOCTORS, NURSES, AND PARAMEDICS. IN ADDITION, THEY DELIVER BURN PREVENTION EDUCATION TO CHILDREN AND FAMILIES STATEWIDE THROUGH HEALTH FAIRS, SCHOOLS AND OTHER COMMUNITY-BASED VENUES. IN COLLABORATION WITH THE VOLUNTEER FIRE FIGHTERS PROGRAM, THEY DISTRIBUTE SMOKE DETECTORS TO REACH RURAL COMMUNITIES. THEY ALSO REACHED RURAL COMMUNITIES THROUGH A MAIL CAMPAIGN OF MORE THAN 6,000 BURN PREVENTION EDUCATION MATERIALS TO ALL COUNTIES OF THE STATE. ARKANSAS CHILDREN'S VOLUNTEER ENGAGEMENT GROUP'S VOLUNTEER RESOURCES ARE INTEGRATED INTO MORE THAN 35 DEPARTMENTS ACROSS BOTH ARKANSAS CHILDREN'S HOSPITAL AND ARKANSAS CHILDREN'S NORTHWEST. THERE ARE EIGHT SEPARATE VOLUNTEER PROGRAMS AT ACH INCLUDING A JUNIOR VOLUNTEER PROGRAM AND ANIMAL ASSISTED THERAPY. FROM JULY 2019 TO MARCH 2020, ACH HAD APPROXIMATELY 1,100 VOLUNTEERS, AND 27 DOG AND HANDLER TEAMS FOR ANIMAL ASSISTED INTERVENTION (AAI). DUE TO COVID-19, CAMPUS WAS CLOSED TO VOLUNTEERS FROM MID-MARCH 2020 THROUGH MAY 2020. IN JUNE 2020, 14 VOLUNTEERS WENT THROUGH AN APPROPRIATE SCREENING AND TRAINING PROCESS TO RETURN TO CAMPUS. THESE VOLUNTEERS PACKED FACE MASKS IN THE CONFERENCE SPACE OF AN OFFICE BUILDING. THESE FACE MASKS WERE AVAILABLE IN CLINICS FOR ANY PATIENT OR CAREGIVER WHO NEEDED ONE. THE HOSPITAL'S WINNIE M. LOWE FAMILY RESOURCE CENTER IS STAFFED BY THREE EMPLOYEES AND IS HOME TO A FAMILY LIBRARY, SAFETY ZONE AND MEDICAL LIBRARY. IN THE FAMILY LIBRARY, PATIENTS, FAMILIES AND COMMUNITY MEMBERS CAN ACCESS EVIDENCED-BASED, PEER-REVIEWED HEALTH INFORMATION TO LEARN ABOUT A NEW OR EXISTING DIAGNOSIS OR CONDITION. THE LIBRARY OFFERS MANY HEALTH APPS WHERE PATIENTS AND FAMILIES CAN INTERACT WITH BODY SYSTEMS IN 2D FORMAT. THE FAMILY LIBRARY INCLUDES A BIBLIOTHERAPY PROGRAM, WHICH INCLUDES CHILDREN'S BOOKS THAT CONVEY HEALTH INFORMATION. THIS MAY ALLOW A CHILD OR HIS OR HER SIBLING(S) TO UNDERSTAND WHAT MAY BE OCCURRING WITH THEIR BODY OR AN UPCOMING SURGERY OR HOSPITAL ADMISSION. THE SAFETY ZONE IS A WONDERFUL PLACE WHERE VISITORS CAN LEARN ABOUT PREVENTING INJURIES WHILE AT HOME, WHILE DRIVING, AND WHILE DOING RECREATIONAL ACTIVITIES. FAMILIES COMPLETE AN INJURY PREVENTION ASSESSMENT AND RECEIVE TAILORED, EVIDENCE-BASED INJURY PREVENTION INFORMATION. TOPICS RANGE FROM GENERAL HOME SAFETY, SLEEP SAFETY, WATER SAFETY, ATV SAFETY, GUN SAFETY, BURN PREVENTION SAFETY, CAR SEAT SAFETY AND MUCH MORE. FAMILIES WHO COMPLETE THE ASSESSMENT ARE ELIGIBLE FOR UP TO THREE FREE SAFETY PRODUCTS TO ADDRESS SAFETY RISKS IDENTIFIED. THE FAMILY RESOURCE CENTER IS ALSO THE HUB FOR PATIENT AND FAMILY ENGAGEMENT IN THE HOSPITAL. 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. THE HOSPITAL BEGAN WITH ONE FAMILY ADVISORY BOARD, BUT THIS HAS NOW GROWN TO TEN FAMILY ADVISORY BOARDS AND ONE YOUTH ADVISORY COUNCIL ACROSS THE ARKANSAS CHILDREN'S SYSTEM. THESE GROUPS HAVE BROUGHT ABOUT MANY MEANINGFUL CHANGES TO THE HOSPITAL 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 MENTORING PROGRAM, OUR E-COUNCIL, ETC. THESE ADVISORS ARE A SIGNIFICANT ASSET IN THE COMMITMENT TO PATIENT SAFETY AND TO THE HOSPITAL MISSION.THROUGH ARKANSAS CHILDREN'S SIMULATION CENTER, PREVIOUSLY CALLED THE PEDIATRIC UNDERSTANDING AND LEARNING THROUGH SIMULATIONS EDUCATION (PULSE), ARKANSAS CHILDREN'S HEALTH PROFESSIONALS, NON-ACH HEALTH PROFESSIONALS, PATIENT FAMILIES AND OTHER INTERESTED COMMUNITY MEMBERS AROUND THE STATE HAVE BEEN TRAINED ON LIFE-SAVING PEDIATRIC CARE SKILLS. THE AMOUNT OF TRAINED PEOPLE AROUND THE STATE HAS INCREASED AS MORE COMMUNITY-BASED PROGRAMMING IS PROVIDED, LIKE PROJECT ADAM TRAINING TO PREVENT SUDDEN CARDIAC ARREST.THE ADVANCE CARDIAC LIFE SUPPORT (ACLS) TRAINING, AN AMERICAN HEART ASSOCIATION COURSE, TEACHES THE RECOGNITION AND TREATMENT OF CARDIAC DYSRHYTHMIAS IN CHILDREN OVER TEN YEARS OF AGE. INSTRUCTORS HAVE HELPED SEVERAL COMMUNITIES AND BUSINESSES LEARN TOOLS FOR BASIC LIFE SUPPORT. THEY TRAIN PATIENT FAMILIES TO BE PREPARED TO TAKE CARE OF THEIR CHILD AFTER DISCHARGE; IN ADDITION TO ALSO GOING TO SCHOOLS, PLACES OF WORSHIP, YOUTH AND ADULT ACTIVITIES AND BUSINESS TO EDUCATE IN FIRST AID AND BASIC LIFE SUPPORT. THE TEAM HAS TAUGHT PEDIATRIC ASSESSMENT RECOGNITION AND STABILIZATION (PEARS) TO SCHOOL NURSES. MANY INSTRUCTORS TEACH FIRST AID TO DAYCARES AND BUSINESSES AS WELL. THE HOSPITAL'S ANGEL ONE TRANSPORT PROGRAM TRAINS HEALTHCARE PROFESSIONALS IN TWO PROGRAMS, INCLUDING NEONATAL RESUSCITATION AS WELL AS THE STABLE PROGRAMS THAT FOCUS ON IMPROVING OUTCOMES FOR NEWBORNS BY INCREASING THE NUMBER OF HEALTH CARE PROFESSIONALS TRAINED IN RURAL AND COMMUNITY HOSPITALS, WHICH MAY BE THE FIRST LINE OF INTERVENTION FOR PATIENTS.ARKANSAS CHILDREN'S CARE NETWORK (ACCN), WITHIN THE ARKANSAS CHILDREN'S SYSTEM, COLLABORATES WITH ACH. 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:	ACH IS PART OF AN AFFILIATED HEALTH CARE SYSTEM, FOR WHICH ARKANSAS CHILDRENS, INC., INCORPORATED IN DECEMBER 2015, SERVES AS THE PARENT CORPORATION. THE ARKANSAS CHILDREN'S HEALTH SYSTEM CONSISTS OF ARKANSAS CHILDREN'S, INC., ARKANSAS CHILDREN'S HOSPITAL (ACH), ARKANSAS CHILDREN'S NORTHWEST (ACNW), ARKANSAS CHILDREN'S FOUNDATION (ACF), ARKANSAS CHILDREN'S RESEARCH INSTITUTE (ACRI), ARKANSAS CHILDREN'S CARE NETWORK (ACCN), ARKANSAS CHILDREN'S MEDICAL GROUP (ACMG), AND SACOVA INSURANCE COMPANY. 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, ACH AND THE UNIVERSITY OF ARKANSAS FOR MEDICAL SCIENCES (UAMS) ARE INVOLVED IN AN AGREEMENT IN THE PURSUIT OF PROFESSIONAL EDUCATION, RESEARCH, AND CLINICAL CARE FOR CHILDREN. ALL PEDIATRIC SUB-SPECIALTY WORK IS CONDUCTED ON THE ACH CAMPUS WITH ACH PROVIDING SPACE, SUPPORTING STAFF AND SERVICES AND FUNDING FOR MAJOR EDUCATIONAL AND CLINICAL EXPERTISE.

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Grant Records Maintained	Yes (1)	GrantRecordsMaintainedInd

Recipient Table RecipientTable (17 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Recipient EINRecipientEIN	IRC SectionIRCSectionDesc	Cash GrantCashGrantAmt	Purpose Of GrantPurposeOfGrantTxt	Non Cash AssistanceNonCashAssistanceAmt	Valuation Method UsedValuationMethodUsedDesc	Non Cash AssistanceNonCashAssistanceDesc	Address Line2USAddress/AddressLine2Txt
AMERICAN HEART ASSOCIATION
909 W 2ND STREET	LITTLE ROCK	AR	72201	132932696	501(C)(3)	$14,250	GENERAL SUPPORT
ARKANSAS ARTS CENTER FOUNDATION
PO BOX 2137	LITTLE ROCK	AR	72203	237337495	501(C)(3)	$6,000	GENERAL SUPPORT
ARKANSAS CHILDREN'S FOUNDATION
1 CHILDRENS WAY	LITTLE ROCK	AR	72202	710568795	501(C)(3)	$623,698	GI PHYSICIAN ENDOWMENT
ARKANSAS CHILDREN'S NORTHWEST
2601 GENE GEORGE BLVD	SPRINGDALE	AR	72762	810817660	501(C)(3)	$1,570,429	GENERAL SUPPORT
ARKANSAS CHILDREN'S RESEARCH INSTITUTE
13 CHILDRENS WAY	LITTLE ROCK	AR	72202	710694931	501(C)(3)	$3,843,339	GENERAL SUPPORT	$2,106,776	FMV	INDIRECT SUPPORT
CAMP ALDERSGATE
2000 ALDERSGATE RD	LITTLE ROCK	AR	72205	710265209	501(C)(3)	$15,038	CAMP SUNSHINE & CAMP LAUGHTER
CHILDREN'S PROTECTION CENTER
1123 BISHOP	LITTLE ROCK	AR	72202	261086937	501(C)(3)		GENERAL SUPPORT	$46,766	FMV	PROVIDE OFFICE SPACE
GREAT 100 NURSES FOUNDATION
2748 METAIRIE LAWN DR	METAIRIE	LA	72002	465606080	501(C)(3)	$6,900	GENERAL SUPPORT
HOME INSTRUCTION FOR PARENTS OF PRESCHOOL YOUNGSTERS (HIPPY)
1221 BISHOP	LITTLE ROCK	AR	72202	133672592	501(C)(3)		GENERAL SUPPORT	$40,535	FMV	PROVIDE OFFICE SPACE & PHONE
LITTLE ROCK ZOO
1 ZOO DRIVE	LITTLE ROCK	AR	72205	352241655	501(C)(3)	$5,000	GENERAL SUPPORT
MARCH OF DIMES
PO BOX 932852	ATLANTA	GA	31193	131846366	501(C)(3)	$5,000	GENERAL SUPPORT
RONALD MCDONALD HOUSE CHARITIES
1009 WOLFE STREET	LITTLE ROCK	AR	72202	710525252	501(C)(3)	$14,410	GENERAL SUPPORT	$20,000	FMV	PROVIDE LAND
UNIVERSITY OF ARKANSAS FOR MEDICAL SCIENCES
4301 W MARKHAM	LITTLE ROCK	AR	72205	716056774	GOV'T ENTITY	$204,000	GENERAL SUPPORT	$25,000	TRADE IN VALUE	VENTILATORS
ARKANSAS 4-H FOUNDATION
1 4-H WAY	LITTLE ROCK	AR	72223	716060767	501(C)(3)	$10,095	RETREAT FOR BURN SURVIVORS
WOMEN & CHILDREN FIRST
PO BOX 1954	LITTLE ROCK	AR	72203	710513011	501(C)(3)	$113,900	GENERAL SUPPORT
ARKANSAS FOUNDATION FOR MEDICAL CARE
1020 W 4TH STREET	LITTLE ROCK	AR	72201	237237381	501(C)(3)	$8,000	GENERAL SUPPORT
NORTHWEST ARKANSAS COUNCIL - HEALTHCARE TRANSFORMATION DIVISION
4100 CORPORATE CENTER DRIVE SUITE	SPRINGDALE	AR	72762	460807914	501(C)(3)	$60,000	GENERAL SUPPORT				205

Field	Value	IRS element (for citing)
Total501c3 Org	17	Total501c3OrgCnt
Total Other Org	0	TotalOtherOrgCnt

Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp (7 entries)

Grant TypeGrantTypeTxt	RecipientRecipientCnt	Non Cash AssistanceNonCashAssistanceAmt	Valuation Method UsedValuationMethodUsedDesc	Non Cash AssistanceNonCashAssistanceDesc	Cash GrantCashGrantAmt
MEALS	5760	$221,807	COST	MEALS FOR PATIENT FAMILIES/CAREGIVERS
INSURANCE PREMIUMS	33	$61,508	COST	PAYMENT OF PREMIUMS FOR PATIENT'S FAMILIES ALLOWED BY COBRA
TRANSPORTATION COSTS (BUS TOKENS, CAB FARE, GAS CARDS)	1104		COST		$27,548
FUNERAL EXPENSES	27		COST		$11,513
RENT, MORTGAGE EXPENSE, UTILITIES, LODGING	81		COST		$41,996
CAR SEATS FOR INFANTS AND CHILDREN	797	$51,221	COST	CAR SEATS FOR INFANTS AND CHILDREN
GROCERY GIFT CARDS AND OTHER MISC. ASSISTANCE	151		COST		$114,504

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART I, LINE 2:	FormAndLineReferenceDesc
Explanation	THE HOSPITAL CONSIDERS REQUESTS FROM NON-PROFIT OR GOVERNMENTAL ENTITIES FOR PROGRAMS OR ACTIVITIES THAT ALIGN WITH ITS PLAN TO ADDRESS NEEDS AS IDENTIFIED IN THE CHNA OR THAT OTHERWISE SUPPORT THE HOSPITAL'S MISSION. THE HOSPITAL ANTICIPATES THAT THESE NON-PROFIT OR GOVERNMENTAL ENTITIES WILL MONITOR THE USE OF FUNDS IN ACCORDANCE WITH NON-PROFIT OR GOVERNMENTAL REQUIREMENTS. THE HOSPITAL PROVIDES SOME ASSISTANCE TO INDIGENT FAMILIES. THE HOSPITAL'S SOCIAL WORK DEPARTMENT EVALUATES THE NEED ON A CASE BY CASE BASIS AND PROVIDES THE APPROPRIATE ASSISTANCE, WHICH IS TYPICALLY FOOD, CLOTHING, SHELTER, OR TRAVEL VOUCHERS. CASH OR CASH EQUIVALENT ASSISTANCE IS SOMETIMES PROVIDED. THE ASSISTANCE PROVIDED IS DOCUMENTED BY THE HOSPITAL'S SOCIAL WORK DEPARTMENT.	ExplanationTxt

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
First Class Or Charter Travel	Yes (X)	FirstClassOrCharterTravelInd
Travel For Companions	Yes (X)	TravelForCompanionsInd
Written Policy Ref T And E Expnss	Yes (1)	WrittenPolicyRefTAndEExpnssInd
Substantiation Required	Yes (1)	SubstantiationRequiredInd
Compensation Committee	Yes (X)	CompensationCommitteeInd
Independent Consultant	Yes (X)	IndependentConsultantInd
Compensation Survey	Yes (X)	CompensationSurveyInd
Board Or Committee Approval	Yes (X)	BoardOrCommitteeApprovalInd
Severance Payment	0	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	Yes (1)	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	0	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	0	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	0	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	0	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	0	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	0	AnyNonFixedPaymentsInd
Initial Contract Exception	0	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (25 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
MARCELLA DODERER
PRESIDENT/CEO	$0	$936,793	$0	$368,002	$0	$117,856	$0	$155,751	$0	$10,219	$0	$1,588,621	$0	$112,801
GENA WINGFIELD
EVP/CHIEF FINANCIAL OFFICER	$0	$475,687	$0	$116,031	$0	$59,274	$0	$71,436	$0	$11,393	$0	$733,821	$0	$55,824
CHANDA CHACON
EVP/COO	$0	$474,790	$0	$112,225	$0	$300	$0	$14,750	$0	$9,992	$0	$612,057	$0	$0
JONATHAN GOLDBERG
SVP/CIO	$0	$360,408	$0	$92,056	$0	$73,676	$0	$14,582	$0	$12,393	$0	$553,115	$0	$36,375
GREGORY SHARP MD
SVP/CHIEF MEDICAL OFFICER	$394,472	$0	$49,869	$0	$0	$0	$0	$0	$57,090	$0	$501,431	$0	$0	$0
LEE ANNE EDDY
SVP/CHIEF NURSING OFFICER	$305,965	$0	$71,263	$0	$33,713	$0	$48,391	$0	$5,889	$0	$465,221	$0	$31,792	$0
JARED CAPOUYA
VP QUALITY & SAFETY	$305,375	$0	$58,143	$0	$300	$0	$0	$0	$12,194	$0	$376,012	$0	$0	$0
ANN KRUGER
VP AMBULATORY CARE SVC	$250,048	$0	$51,002	$0	$1,073	$0	$17,722	$0	$11,843	$0	$331,688	$0	$0	$0
AMY CRESS
VP FACILITIES & SUPPORT SVC	$248,614	$0	$48,801	$0	$226	$0	$5,500	$0	$10,980	$0	$314,121	$0	$0	$0
RENEE BORNEMEIER MD
TRUSTEE/DIRECTOR-CHIEF OF STAFF	$254,600	$0	$3,954	$0	$0	$0	$0	$0	$45,898	$0	$304,452	$0	$0	$0
CINDY HILL
VP FINANCIAL SERVICES	$223,389	$0	$50,355	$0	$946	$0	$17,443	$0	$11,457	$0	$303,590	$0	$0	$0
LE'KITA BROWN
VP REVENUE CYCLE	$232,111	$0	$48,876	$0	$224	$0	$5,500	$0	$10,089	$0	$296,800	$0	$0	$0
SHANNON HENDRIX
VP CLINICAL/DIAG SVC	$218,833	$0	$46,621	$0	$319	$0	$13,421	$0	$10,969	$0	$290,163	$0	$0	$0
JEFF HOUSE
VP STRATEGIC MARKETING	$226,569	$0	$41,082	$0	$494	$0	$11,517	$0	$5,050	$0	$284,712	$0	$0	$0
MARY SALASSI-SCOTTER
VP PATIENT CARE SVC	$198,574	$0	$41,733	$0	$1,225	$0	$15,294	$0	$1,284	$0	$258,110	$0	$0	$0
CHRISTIAN EISENRING
SURGICAL ASSISTANT COORDINATOR	$234,790	$0	$8,249	$0	$980	$0	$0	$0	$8,931	$0	$252,950	$0	$0	$0
TAMMY WEBB
VP ACUTE CARE (PARTIAL YEAR)	$159,298	$0	$43,002	$0	$212	$0	$6,970	$0	$10,325	$0	$219,807	$0	$0	$0
BETH PETLAK
VP POPULATION HEALTH/PHO EXEC DIR	$166,603	$0	$36,300	$0	$324	$0	$14,084	$0	$1,675	$0	$218,986	$0	$0	$0
MEL STIMSON
PHARMACY DIRECTOR	$173,580	$0	$11,926	$0	$656	$0	$12,564	$0	$8,427	$0	$207,153	$0	$0	$0
JOANN STOCKS
RN III - AMBULATORY SURGERY	$160,498	$0	$3,486	$0	$40	$0	$11,937	$0	$10,081	$0	$186,042	$0	$0	$0
ART SHUMATE
PERIOPERATIVE SERVICES DIRECTOR	$154,260	$0	$15,000	$0	$903	$0	$0	$0	$4,825	$0	$174,988	$0	$0	$0
LUANN JONES
NEONATAL SERVICES NURSING DIRECTOR	$152,138	$0	$13,282	$0	$196	$0	$4,175	$0	$4,726	$0	$174,517	$0	$0	$0
JOHN MCNALLY
MEDICAL ADMIN DIRECTOR	$155,605	$0	$14,588	$0	$296	$0	$0	$0	$1,269	$0	$171,758	$0	$0	$0
CARRIE LEE
VP PATIENT CARE SERVICES	$142,478	$0	$12,121	$0	$107	$0	$8,255	$0	$6,960	$0	$169,921	$0	$0	$0
ROBIN MITCHELL
LAB ADMIN DIRECTOR	$142,296	$0	$10,027	$0	$169	$0	$0	$0	$1,221	$0	$153,713	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART I, LINE 1A	CHARTER TRAVEL IS USED BY ARKANSAS CHILDREN'S AND AFFILIATED ENTITIES' BOARD MEMBERS AND STAFF (AND OCCASIONALLY ACCOMPANYING SPOUSES/COMPANIONS) WHEN IT IS DEEMED THE MOST EFFICIENT METHOD OF TRAVEL TO DISTANT AREAS WITHIN THE STATE OR TO SURROUNDING STATES FOR PURPOSES RELATED TO ARKANSAS CHILDREN'S BUSINESS. SEPARATE TRAVEL (NON-CHARTER) 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. NINE OFFICERS/EMPLOYEES AND ONE BOARD MEMBER USED CHARTER TRAVEL DURING THE CALENDAR YEAR. BECAUSE THE CHARTER TRAVEL WAS USED FOR ARKANSAS CHILDREN'S BUSINESS PURPOSES, IT WAS NOT CONSIDERED AS TAXABLE WAGES.
PART I, LINE 3	COMPENSATION FOR ANY ACH EXECUTIVE OR SENIOR OFFICER (PRESIDENT; EXECUTIVE VICE PRESIDENT; SENIOR VICE PRESIDENT) WHO IS NOT A CONTRACTED UAMS EMPLOYEE IS REVIEWED BY THE ARKANSAS CHILDREN'S HUMAN RESOURCES AND COMPENSATION COMMITTEE WHICH IS ESTABLISHED THROUGH THE BYLAWS OF ARKANSAS CHILDREN'S, INC. THE HUMAN RESOURCES AND COMPENSATION COMMITTEE HAS THE FULL AUTHORITY AND SPECIFIC RESPONSIBILITY FOR REVIEWING AND APPROVING COMPENSATION POLICIES, BASE SALARY AND INCENTIVE COMPENSATION LEVELS, EXECUTIVE RETIREMENT AND OTHER EXECUTIVE BENEFIT PLANS FOR HEALTH SYSTEM SENIOR MANAGEMENT, INCLUDING OFFICERS OF THE CORPORATION AND AFFILIATES WHO ARE "DISQUALIFIED PERSONS" UNDER SECTION 4958 OF THE CODE. THE POLICIES AND PROGRAMS REVIEWED AND APPROVED BY THE HUMAN RESOURCES AND COMPENSATION COMMITTEE SHALL BE DESIGNED TO ENSURE THAT THE CORPORATION AND ITS AFFILIATES REMAIN COMPETITIVE AND REASONABLE RELATIVE TO THE COMPENSATION AND BENEFITS PRACTICES OF SIMILARLY SITUATED HEALTH SYSTEMS LOCALLY AND NATIONALLY, AND TO PERMIT THE CORPORATION AND SUCH AFFILIATES TO ATTRACT AND RETAIN SUPERIOR SENIOR MANAGEMENT, IN FURTHERANCE OF THE CORPORATION'S AND AFFILIATES PURPOSES. THE HUMAN RESOURCES AND COMPENSATION COMMITTEE SHALL HAVE, TO THE FULLEST EXTENT OF THE LAW, THE AUTHORITY TO APPROVE THE COMPENSATION PACKAGES FOR SENIOR MANAGEMENT OF THE CORPORATION AND THE AFFILIATES. IN ITS PROCESS, THE COMMITTEE SHALL OBTAIN AND MUST RELY UPON APPROPRIATE DATA AS TO COMPARABILITY PRIOR TO MAKING ITS DETERMINATION OF REASONABLENESS WITH RESPECT TO THE COMPENSATION ARRANGEMENTS OF DISQUALIFIED PERSONS. APPROPRIATE DATA INCLUDES, BUT IS NOT LIMITED TO, COMPENSATION LEVELS PAID BY SIMILARLY SITUATED ORGANIZATIONS, BOTH TAXABLE AND TAX-EXEMPT, FOR FUNCTIONALLY COMPARABLE POSITIONS; THE AVAILABILITY OF SIMILAR SERVICES IN THE GEOGRAPHIC AREA OF THE CORPORATION, CURRENT COMPENSATION SURVEYS COMPILED BY INDEPENDENT FIRMS; AND ACTUAL WRITTEN OFFERS FROM SIMILAR INSTITUTIONS COMPETING FOR THE SERVICES OF THE DISQUALIFIED PERSON. THE COMMITTEE MAY RELY UPON OPINIONS OF QUALIFIED LEGAL, ACCOUNTING, VALUATION AND EXECUTIVE COMPENSATION EXPERTS. CONTEMPORANEOUSLY WITH MAKING ITS DETERMINATION OF REASONABLENESS WITH RESPECT TO THE COMPENSATION ARRANGEMENT OF THE CEO AND DISQUALIFIED PERSONS, THE COMMITTEE SHALL DOCUMENT IN ITS MINUTES THE BASIS FOR ITS DECISIONS. A VERBAL REPORT IS PROVIDED TO THE BOARD BY THE CHAIR OF THE COMMITTEE. MINUTES ARE AVAILABLE FOR REVIEW UPON BOARD MEMBER REQUEST TO THE BOARD CHAIR.
PART I, LINE 4B	SCHEDULE J, PART I, LINE 4B: AC'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 2019 (FISCAL YEAR 2020), THE FOLLOWING ACH REPORTABLE EMPLOYEES WERE ELIGIBLE AND PARTICIPATING IN THE DEFERRED COMPENSATION PLAN: - MARCELLA DODERER: ACH PRESIDENT AND CEO - $117,166 - LEE ANNE EDDY: ACH SVP AND CNO - $33,023 - JONATHAN GOLDBERG: AC SVP AND CIO - $37,782 - GENA WINGFIELD: ACH EVP AND CFO - $57,984 PER THE PLAN DOCUMENT, UPON BECOMING VESTED IN A PLAN YEAR SUBACCOUNT AND AS SOON AS ADMINISTRATIVELY PRACTICABLE AFTER SUCH VESTING DATE, BUT NO LATER THAN THE END OF THE CALENDAR YEAR IN WHICH SUCH VESTING DATE OCCURRED, INDIVIDUAL PARTICIPANTS WILL BE PAID A LUMP SUM PAYMENT EQUAL TO THE PLAN YEAR SUBACCOUNT BALANCE AS OF THE JUNE 30 IMMEDIATELY PRECEDING SUCH VESTING DATE.
FORM 990, SCHEDULE J, PART I, LINES 5-7	THE INCENTIVE PLANS FOR ALL ENTITIES CHANGED WITH THE 2013 TAX RETURNS, AND THERE ARE SPECIFIC RULES AND CALCULATIONS FOR BONUSES. NONE ARE CONTINGENT ON REVENUES OR NET EARNINGS OF THE ORGANIZATIONS (ANY), AND SINCE THEY ARE CALCULATED BASED ON A SPECIFIC FORMULA, THEY ARE NOT "NON-FIXED". THE QUESTIONS 5, 6, AND 7 IN PART I TO SCHEDULE J ARE ALL CORRECTLY ANSWERED "NO".
FORM 990, PART VII, SECTION A, LINE 5:	CHIEF MEDICAL OFFICER, GREGORY SHARP, M.D., AND DIRECTOR AND CHIEF OF MEDICAL STAFF, RENEE BORNEMEIER, M.D., WERE COMPENSATED BY UAMS AS EMPLOYEES FOR SERVICES RENDERED TO ARKANSAS CHILDREN'S HOSPITAL (ACH) AND FOR WHICH ACH REMITTED PAYMENT LISTED AS "REPORTABLE COMPENSATION FROM THE ORGANIZATION" IN PART VII. THE AMOUNTS NOTED AS COMPENSATION IN SCHEDULE J FOR THE PHYSICIANS NOTED ABOVE WERE THE DESIGNATED AMOUNTS PER THE RELATED CONTRACTS WITH UAMS.

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (2 entries)

Bond ReferenceBondReferenceCd	Bond Issuer EINBondIssuerEIN	CUSIPCUSIPNum	Bond IssuedBondIssuedDt	Issue PriceIssuePriceAmt	PurposePurposeDesc	DefeasedDefeasedInd	On Behalf Of IssuerOnBehalfOfIssuerInd	Pool FinancingPoolFinancingInd
ARKANSAS DEVELOPMENT FINANCE AUTHORITY
A	710503641	000000000	2013-09-05	$19,800,000	SEE SCHEDULE K, PART VI.	0	0	0
PULASKI COUNTY ARKANSAS
B	716006487	745392JN1	2016-08-24	$98,721,147	SEE SCHEDULE K, PART VI.	0	0	0

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (2 entries)

Bond ReferenceBondReferenceCd	RetiredRetiredAmt	Total ProceedsTotalProceedsAmt	Capital ExpendituresCapitalExpendituresAmt	Substantial CompletionSubstantialCompletionYr	Refunding Tax Exempt BondsRefundingTaxExemptBondsInd	Refunding Taxable BondsRefundingTaxableBondsInd	Final Allocation MadeFinalAllocationMadeInd	Adequate Books And Rec MaintAdequateBooksAndRecMaintInd	Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt	Other Spent ProceedsOtherSpentProceedsAmt
A	$13,573,245	$19,800,000	$19,800,000	2015	0	0	Yes (1)	Yes (1)
B	$100,000	$98,721,147		2016	0	Yes (1)	Yes (1)	Yes (1)	$702,808	$98,018,339

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (2 entries)

Bond ReferenceBondReferenceCd	Owning Bond Financed PropertyOwningBondFinancedPropertyInd	Any Lease ArrangementsAnyLeaseArrangementsInd	Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd	Any Research AgreementsAnyResearchAgreementsInd	Private Bus Use By OthersPrivateBusUseByOthersPct	Private Bus Concerning UBIPrivateBusConcerningUBIPct	Total Private Business UseTotalPrivateBusinessUsePct	Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd	Change In Use Bond Financed PropChangeInUseBondFinancedPropInd	Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd	Engage Bond Counsel ContractsEngageBondCounselContractsInd	Engage Bond Counsel ResearchEngageBondCounselResearchInd
A	0	0	0	0	0.00000	0.00000	0.00000	0	0	Yes (1)
B	0	0	Yes (1)	Yes (1)	0.00040	0.00000	0.00040	0	0	Yes (1)	Yes (1)	Yes (1)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (2 entries)

Bond ReferenceBondReferenceCd	Form8038 T FiledForm8038TFiledInd	Rebate Not Due YetRebateNotDueYetInd	Exception To RebateExceptionToRebateInd	No Rebate DueNoRebateDueInd	Variable Rate IssueVariableRateIssueInd	Hedge Identified In Bks And RecHedgeIdentifiedInBksAndRecInd	Gross Proceeds Invested In GICGrossProceedsInvestedInGICInd	Gross Proceeds InvestedGrossProceedsInvestedInd	Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd
A	0	0	Yes (1)	0	0	0	0	0	Yes (1)
B	0	Yes (1)	0	0	0	0	0	0	Yes (1)

Procedures Corrective Action ProceduresCorrectiveActionGrp (2 entries)

Bond ReferenceBondReferenceCd	Procedures Corrective ActionProceduresCorrectiveActionInd
A	Yes (1)
B	Yes (1)

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	SCHEDULE K SUPPLENTAL INFORMATION	FormAndLineReferenceDesc
Explanation	PART I, LINE A - DESCRIPTION OF PURPOSE. PROCEEDS USED TO PURCHASE TWO SIKORSKY S-76D HELICOPTERS TO BE USED FOR MEDICAL TRANSPORT. PART I, LINE B - DESCRIPTION OF PURPOSE. TO REFUND HOSPITAL REVENUE BONDS (ARKANSAS CHILDREN'S HOSPITAL PROJECT), SERIES 2009, ISSUED 5/28/2009. PART IV, LINE 6, COLUMN B: THIS QUESTION IS BEING ANSWERED WITHOUT REGARD TO A YIELD-RESTRICTED ADVANCE REFUNDING ESCROW FUNDED WITH PROCEEDS OF THE BONDS.	ExplanationTxt

Schedule L IRS990ScheduleL

Loans Btwn Org Interested Prsn LoansBtwnOrgInterestedPrsnGrp (2 entries)

Relationship With OrgRelationshipWithOrgTxt	Loan PurposeLoanPurposeTxt	Loan From OrganizationLoanFromOrganizationInd	Original PrincipalOriginalPrincipalAmt	Balance DueBalanceDueAmt	DefaultDefaultInd	Board Or Committee ApprovalBoardOrCommitteeApprovalInd	Written AgreementWrittenAgreementInd
JONATHAN GOLDBERG
CHIEF INFORMATION OFFICER	RECRUITMENT	Yes (X)	$50,000	$12,427	0	0	Yes (1)
JONATHAN GOLDBERG
CHIEF INFORMATION OFFICER	RECRUITMENT	Yes (X)	$50,000	$12,576	0	0	Yes (1)

Field	Value	IRS element (for citing)
Total Balance Due	$25,003	TotalBalanceDueAmt

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp

Name Of Interested NameOfInterested

Field	Value	IRS element (for citing)
Person	DAVID M WEBB	PersonNm

Field	Value	IRS element (for citing)
Relationship Description	SEE PART V. FAMILY MEMBER	RelationshipDescriptionTxt
Transaction	$36,807	TransactionAmt
Transaction	SEE PART V. DAVID M. WEBB IS A FAMILY MEMBER OF KEY EMPLOYEE, TAMMY WEBB. CONSISTENT WITH ARKANSAS CHILDREN'S HOSPITAL POLICY, HE DID NOT WORK WITHIN MS. WEBB'S LINE OF AUTHORITY AT ANY POINT DURING THE YEAR. HIS COMPENSATION WAS REASONABLE FOR SERVICES RENDERED.	TransactionDesc
Sharing Of Revenues	0	SharingOfRevenuesInd

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	SCHEDULE L, PART II -LOANS TO AND/OR FROM INTERESTED PERSONS	FormAndLineReferenceDesc
Explanation	ALTHOUGH NOT SPECIFICALLY APPROVED BY A BOARD OR COMMITTEE, THE RECRUITMENT LOANS TO JONATHAN GOLDBERG WERE REVIEWED WITH TOM BAXTER, THE CHAIRMAN OF THE ACH BOARD.	ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (13 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 1	THE BOARD OF DIRECTORS MAY DELEGATE SUCH OF ITS POWERS AS IT DEEMS NECESSARY OR ADVISABLE TO COMMITTEES OF THE BOARD; PROVIDED, HOWEVER, THAT NO COMMITTEE OF THE BOARD SHALL HAVE THE AUTHORITY TO: (I) AUTHORIZE DISTRIBUTIONS; (II) ELECT, APPOINT OR REMOVE DIRECTORS OR FILL VACANCIES ON THE BOARD OR ANY OF ITS COMMITTEES; (III) ADOPT, AMEND OR REPEAL THE ARTICLES OF INCORPORATION OR BYLAWS; OR (IV) APPOINT OR ELECT THE PRESIDENT AND CHIEF EXECUTIVE OFFICER OF THE CORPORATION. ANY COMMITTEE MAY EXERCISE SUCH OF THE BOARD'S AUTHORITY AS IS GRANTED BY THE BOARD OF DIRECTORS, SUBJECT TO THE RESTRICTIONS CONTAINED IN THE CORPORATION'S ARTICLES OF INCORPORATION OR THE BYLAWS. THE FOLLOWING LISTED PERSONS WERE EMPLOYEES OF THE UNIVERSITY OF ARKANSAS FOR MEDICAL SCIENCES (UAMS) DURING THE TAX YEAR: GREGORY SHARP, M.D. AND RENEE BORNEMEIER, M.D. EACH WAS COMPENSATED BY ACH VIA ITS CONTRACT WITH UAMS.
FORM 990, PART VI, SECTION A, LINE 3	THE HOSPITAL'S SVP/CHIEF MEDICAL OFFICER POSITION IS HELD BY GREGORY SHARP, M.D., WHO HOLDS A FACULTY APPOINTMENT IN THE UNIVERSITY OF ARKANSAS FOR MEDICAL SCIENCES, COLLEGE OF MEDICINE DEPARTMENT OF NEUROSCIENCES. ALTHOUGH DR. SHARP IS AN EMPLOYEE OF UAMS, AS SVP/CMO, HE IS ALSO A KEY EMPLOYEE OF ACH. AS A UAMS EMPLOYEE, THE HOSPITAL REIMBURSES UAMS FOR HIS ROLE, WHICH IS TO FURTHER DEVELOP AND ENHANCE PATIENT/FAMILY CENTERED ROUNDS WITH AN IMPROVED DELIVERY OF CARE AND PATIENT/FAMILY EXPERIENCE; TO PARTNER WITH THE CNO AND OTHERS TO FOCUS ON TEAM CARE; TO IMPROVE EFFICIENCY OF CARE; TO WORK CLOSELY WITH CHIEF QUALITY OFFICER; AND TO LISTEN TO MEDICAL STAFF AND TEAM MEMBERS AND FOSTER CHANGE THAT WILL POSITIVELY IMPACT PATIENT CARE.
FORM 990, PART VI, SECTION A, LINE 6	THE SOLE MEMBER OF ARKANSAS CHILDREN'S HOSPITAL IS ARKANSAS CHILDREN'S, INC.
FORM 990, PART VI, SECTION A, LINE 7A	ARKANSAS CHILDREN'S, INC., ACH'S SOLE MEMBER, HAS THE RESERVED POWER TO FIX THE SIZE OF THE BOARD OF DIRECTORS, AND THE GOVERNING BOARD OF ANY AFFILIATE CONTROLLED BY THE CORPORATION, AND APPOINT AND REMOVE, WITH OR WITHOUT CAUSE, THE DIRECTORS OF THE CORPORATION, AND MEMBERS OF THE GOVERNING BOARD OF ANY AFFILIATE CONTROLLED BY THE CORPORATION.
FORM 990, PART VI, SECTION A, LINE 7B	ACH'S ARTICLES OF INCORPORATION MAY BE AMENDED, AND THE BYLAWS MAY BE ALTERED, AMENDED, OR REPEALED AND NEW BYLAWS MAY BE ADOPTED: (I) UPON THE APPROVAL OF BOTH THE BOARD AND THE SOLE MEMBER, IF THE AMENDMENT DOES NOT RELATE TO THE NUMBER OF DIRECTORS, THE COMPOSITION OF THE BOARD, THE TERM OF OFFICE OF DIRECTORS, OR THE METHOD OR WAY IN WHICH DIRECTORS ARE ELECTED OR SELECTED; OR (II) BY THE MEMBER.
FORM 990, PART VI, SECTION B, LINE 11B	HOSPITAL MANAGEMENT REVIEWS THE DRAFT FORM 990 AND RECONCILES IT TO THE HOSPITAL'S INTERNAL FINANCIALS AND CONSOLIDATED AUDIT REPORT. THE REVIEWED DRAFT OF THE FORM 990 IS PROVIDED TO THE PLANNING & DEVELOPMENT COMMITTEE BY HOSPITAL MANAGEMENT. IF THE REVIEW BY THE COMMITTEE RESULTS IN REVISIONS TO THE FORM 990, THOSE REVISIONS ARE MADE. THE FORM 990 TO BE FILED IS THEN PROVIDED TO THE ENTIRE BOARD PRIOR TO FILING.
FORM 990, PART VI, SECTION B, LINE 12C	THE HOSPITAL HAS A BOARD OF DIRECTORS CONFLICT OF INTEREST POLICY THAT IS ISSUED TO AND REVIEWED WITH ALL NEW BOARD MEMBERS DURING THEIR BOARD ORIENTATION. IN ADDITION, THE INTERNAL GENERAL COUNSEL OR THE SYSTEM COMPLIANCE OFFICER WILL PERIODICALLY REVIEW THE POLICY WITH THE FULL BOARD DURING A REGULAR BOARD MEETING. A DIRECTOR SHALL DISCLOSE IN WRITING TO THE BOARD OF DIRECTORS ANY ACTUAL OR POTENTIAL CONFLICT OF INTEREST WHEN THE SITUATION DEVELOPS, INCLUDING THE FACTS THAT MAKE IT AN ACTUAL OR POTENTIAL CONFLICT. EACH DIRECTOR SHALL SIGN AN INITIAL CONFLICT OF INTEREST DISCLOSURE STATEMENT UPON ELECTION TO THE BOARD OF DIRECTORS. EACH DIRECTOR ALSO SHALL SIGN AN ANNUAL CONFLICT OF INTEREST DISCLOSURE STATEMENT. IF AN ACTUAL OR POTENTIAL CONFLICT OF INTEREST DEVELOPS AFTER THE DIRECTOR'S INITIAL AND ANNUAL STATEMENTS ARE SIGNED, THE DIRECTOR SHALL IMMEDIATELY SIGN A NEW DISCLOSURE STATEMENT TO ADDRESS THE NEW SITUATION OR TRANSACTION. CONFLICT OF INTEREST DISCLOSURE STATEMENTS OR DECLARED CONFLICTS WILL BE REVIEWED BY THE DIRECTOR BOARD OFFICERS. REVIEW WILL RESULT IN ONE OF THE FOLLOWING ACTIONS BY MAJORITY VOTE: (1) DETERMINED NOT TO BE A CONFLICT; (2) CONFLICT IS ACCEPTED; OR (3) CONFLICT IS NOT ACCEPTED AND THE DIRECTOR WILL NEED TO ABSTAIN FROM PARTICIPATION IN CERTAIN VOTES. CONFLICT DISCLOSURES, FACTS AND ACTIONS WILL BE DOCUMENTED IN THE APPROPRIATE COMMITTEE OR BOARD MINUTES. A DIRECTOR WITH A CONFLICT OF INTEREST WILL NOT PARTICIPATE IN DELIBERATIONS OR VOTE BY THE BOARD OF DIRECTORS, OR COMMITTEE THEREOF, ON THE MATTER GIVING RISE TO THE CONFLICT. HE OR SHE MAY PRESENT RELEVANT INFORMATION ABOUT THE MATTER AND ALSO MAY RESPOND TO REQUESTS FOR FACTS NEEDED BY THE BOARD TO REACH AN INFORMED DECISION. AFTER ANY DISCUSSION, THE INTERESTED DIRECTOR SHALL EITHER ABSTAIN FROM VOTE OR RECUSE COMPLETELY AND BE ABSENT DURING FURTHER DELIBERATIONS AND ACTION ON THE MATTER, AS DETERMINED BY THE DIRECTOR BOARD OFFICERS OF THE ENTITY.
FORM 990, PART VI, SECTION B, LINE 15	COMPENSATION FOR ANY ACH 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 19	THE HOSPITAL'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST AS REQUIRED.
FORM 990, PART IX, LINE 11G	PHYSICIANS' REMUNERATION: PROGRAM SERVICE EXPENSES 84,623,268. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 84,623,268. TESTING: PROGRAM SERVICE EXPENSES 4,153,993. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 4,153,993. REPAIRS & MAINTENANCE: PROGRAM SERVICE EXPENSES 2,937,614. MANAGEMENT AND GENERAL EXPENSES 23,438. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,961,052. OTHER FEES FOR SERVICE: PROGRAM SERVICE EXPENSES 14,792,200. MANAGEMENT AND GENERAL EXPENSES 17,131,161. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 31,923,361.
FORM 990, PART XI, LINE 9:	UNEXPENDED GRANT CARRYOVER ADJUSTMENTS -162,157. ALLOCATION OF ADDITIONAL COSTS - PARENT -3,074,865. TRANSFER OF FUNDS TO ACCN -920,000. TRANSFER OF FUNDS TO ACMG -1,333,455.
FORM 990, PART XII, LINE 2C	IT IS PART OF THE RESERVED POWERS OF ARKANSAS CHILDREN'S, INC. TO RETAIN, OVERSEE AND TERMINATE INDEPENDENT EXTERNAL AUDITORS TO AUDIT THE FINANCIAL STATEMENTS OF ACH OR OF ANY AFFILIATE. ONE OF THE STANDING COMMITTEES OF ARKANSAS CHILDREN'S, THE FINANCIAL PLANNING AND OVERSIGHT COMMITTEE, SHALL UNDERTAKE THE FOLLOWING DUTIES IN THE AREAS OF FINANCE AND AUDITS: (I) CAUSING TO BE PREPARED, AND SUBMIT TO THE BOARD OF DIRECTORS AT ITS LAST MEETING BEFORE THE END OF THE FISCAL YEAR, THE CAPITAL AND OPERATING BUDGETS OF THE CORPORATION, AS WELL AS THE CAPITAL AND OPERATING BUDGETS OF AFFILIATES; (II) EXAMINING THE MONTHLY FINANCIAL REPORTS OF THE HEALTH SYSTEM; (III) REVIEWING THE INTERNAL AUDITING FUNCTIONS OF THE HEALTH SYSTEM; (IV) ENGAGING AN EXTERNAL AUDIT FIRM, SUBJECT TO APPROVAL BY THE BOARD OF DIRECTORS; (V) REVIEWING WITH THE INDEPENDENT AUDITOR THE SCOPE AND PLANNING OF THE AUDIT PRIOR TO THE COMMENCEMENT OF THE AUDIT, AS WELL AS UPON COMPLETION OF THE AUDIT, REVIEWING AND DISCUSSING WITH THE INDEPENDENT AUDITOR ANY MATERIAL RISKS OR WEAKNESSES IN INTERNAL CONTROLS IDENTIFIED BY THE AUDITOR, ANY RESTRICTIONS ON THE SCOPE OF THE AUDITOR'S ACTIVITIES OR ACCESS TO REQUESTED INFORMATION, ANY SIGNIFICANT DISAGREEMENTS BETWEEN THE AUDITOR AND MANAGEMENT, AND THE ADEQUACY OF THE HEALTH SYSTEM'S ACCOUNTING AND FINANCIAL REPORTING PROCESSES; (VI) ANNUALLY CONSIDERING THE PERFORMANCE AND INDEPENDENCE OF THE INDEPENDENT AUDITOR; (VII) REVIEWING AND REPORTING TO THE BOARD ON THE ANNUAL AUDITED FINANCIAL STATEMENT OF THE HEALTH SYSTEM CERTIFIED BY THE CORPORATION'S CERTIFIED PUBLIC ACCOUNTANTS, TOGETHER WITH SUCH CERTIFIED PUBLIC ACCOUNTANTS' MANAGEMENT LETTER TO THE CORPORATION WHICH THE COMMITTEE SHALL REVIEW AND REPORT ON TO THE BOARD OF DIRECTORS; (VIII) SUGGESTING MEANS TO IMPROVE FISCAL ACCOUNTABILITY AND INTERNAL AUDIT PROCEDURES FOR THOSE AREAS IDENTIFIED AS REQUIRING IMPROVEMENT; (IX) PROVIDING OVERSIGHT FOR THE HEALTH SYSTEM'S CORPORATE COMPLIANCE PROGRAM, INCLUDING CORPORATE ETHICS AND COMPLIANCE WITH LEGAL AND REGULATORY REQUIREMENTS; AND (X) REPORTING ON THE FINANCIAL PLANNING AND OVERSIGHT COMMITTEE'S ACTIVITIES TO THE FULL BOARD.
FORM 990, PART XII, LINE 3B	THE CONSOLIDATED ORGANIZATION IS REQUIRED TO UNDERGO AN AUDIT AS SET FORTH IN THE SINGLE AUDIT ACT AND OMB CIRCULAR A-133 AND DID UNDERGO THAT REQUIRED AUDIT.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (6 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Controlled OrganizationControlledOrganizationInd	Direct Controlling NADirectControllingNACd
ARKANSAS CHILDREN'S FOUNDATION
1 CHILDRENS WAY	LITTLE ROCK	AR	72202	710568795	FUNDRAISING	AR	501(C)(3)	LINE 7	ARKANSAS CHILDREN'S INC	0
ARKANSAS CHILDREN'S RESEARCH INSTITUTE
13 CHILDRENS WAY	LITTLE ROCK	AR	72202	710694931	RESEARCH	AR	501(C)(3)	LINE 7	ARKANSAS CHILDREN'S INC	0
ARKANSAS CHILDREN'S HOSPITAL AUXILIARY
1 CHILDRENS WAY	LITTLE ROCK	AR	72202	710606585	FUNDRAISING & VOLUNTEERS	AR	501(C)(3)	LINE 12A, I	ARKANSAS CHILDREN'S INC THRU ARKANSAS CHILDREN'S HOSPITAL AND FOUNDATION	0
ARKANSAS CHILDREN'S NORTHWEST
1 CHILDRENS WAY	LITTLE ROCK	AR	72202	810817660	HOSPITAL	AR	501(C)(3)	LINE 3	ARKANSAS CHILDREN'S INC	0
ARKANSAS CHILDREN'S INC
1 CHILDRENS WAY	LITTLE ROCK	AR	72202	810801296	HEALTH CARE PARENT CORPORATION	AR	501(C)(3)	LINE 12B, II		0	N/A
ARKANSAS CHILDREN'S MEDICAL GROUP
1 CHILDRENS WAY	LITTLE ROCK	AR	72202	820771462	HOSPITAL/PHYSICIAN SERVICES	AR	501(C)(3)	LINE 3	ARKANSAS CHILDREN'S INC	0

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (3 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Direct Controlling NADirectControllingNACd	Entity TypeEntityTypeTxt	Share Of Total IncomeShareOfTotalIncomeAmt	Share Of EOY AssetsShareOfEOYAssetsAmt	OwnershipOwnershipPct	Controlled OrganizationControlledOrganizationInd	Address Line1ForeignAddress/AddressLine1Txt	CityForeignAddress/CityNm	Province Or StateForeignAddress/ProvinceOrStateNm	CountryForeignAddress/CountryCd	Foreign PostalForeignAddress/ForeignPostalCd	Legal Domicile Foreign CountryLegalDomicileForeignCountryCd
CHILDREN'S HEALTHCARE SYSTEM INC
1 CHILDRENS WAY	LITTLE ROCK	AR	72202	586304957	MANAGEMENT SERVICES	AR	N/A	C	$224,060	$709,338	0.50000	0
ARKANSAS CHILDREN'S CARE NETWORK
1 CHILDRENS WAY	LITTLE ROCK	AR	72202	371854930	CLINICALLY INTEGRATED NETWORK	AR	N/A	C				0
SACOVA INSURANCE COMPANY LTD
				981472934	CAPTIVE INSURANCE COMPANY		N/A	C				0	18 FORUM LANE 2ND FLOOR	CAMANA BAY	GRAND CAYMAN	CJ	KY1-1102	CJ

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	0	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	Yes (1)	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	Yes (1)	GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org	Yes (1)	LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org	Yes (1)	LoansOrGuaranteesFromOthOrgInd
Div Related Organization	0	DivRelatedOrganizationInd
Asset Sale To Other Org	0	AssetSaleToOtherOrgInd
Asset Purchase From Other Org	0	AssetPurchaseFromOtherOrgInd
Asset Exchange	0	AssetExchangeInd
Rental Of Facilities To Oth Org	Yes (1)	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	0	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	Yes (1)	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	Yes (1)	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	Yes (1)	SharingOfFacilitiesInd
Paid Employees Sharing	Yes (1)	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	Yes (1)	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	Yes (1)	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	Yes (1)	TransferToOtherOrgInd
Transfer From Other Org	Yes (1)	TransferFromOtherOrgInd

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	SCHEDULE R, PART V, LINE 1E	FormAndLineReferenceDesc
Explanation	ACH AND ARKANSAS CHILDREN'S FOUNDATION GUARANTEE THE OUTSTANDING BOND INDENTURES.	ExplanationTxt