ARKANSAS CHILDRENS NORTHWEST INC: Form 990, tax year 2019
View the entire original 990 at ProPublica ↗
- Organization
- ARKANSAS CHILDRENS NORTHWEST INC (EIN 81-0817660)
- Tax period
- 2019-07-01 to 2020-06-30
- Filed
- 2021-05-13
- IRS object ID
- 202131339349302613
- 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 O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2021-05-13T10:43:49-05:00 | 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 | 301 MAIN ST ONE AMERICAN PL STE | AddressLine1Txt |
| Address Line2 | 2150 | AddressLine2Txt |
| City | BATON ROUGE | CityNm |
| State Abbreviation | LA | StateAbbreviationCd |
| ZIP | 708011705 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2019-07-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 810817660 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ARKANSAS CHILDREN'S NORTHWEST INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | ARKA | BusinessNameControlTxt |
| Phone | 4797256800 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1 CHILDRENS WAY | AddressLine1Txt |
| City | LITTLE ROCK | CityNm |
| State Abbreviation | AR | StateAbbreviationCd |
| ZIP | 72202 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | MARCELLA DODERER | PersonNm |
| Person Title | PRESIDENT/CEO | PersonTitleTxt |
| Phone | 5013648000 | PhoneNum |
| Signature | 2021-05-13 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | SHANNON KIRKPATRICK | PreparerPersonNm |
| PTIN | P00566467 | PTIN |
| Phone | 2253444000 | 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 | $80,328,935 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.ARCHILDRENS.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 2015 | FormationYr |
| Legal Domicile State | AR | LegalDomicileStateCd |
| Activity Or Mission | WE CHAMPION CHILDREN BY MAKING THEM BETTER TODAY AND HEALTHIER TOMORROW. | ActivityOrMissionDesc |
| Voting Members Governing Body | 14 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 12 | VotingMembersIndependentCnt |
| Total Employee | 518 | TotalEmployeeCnt |
| Total Volunteers | 514 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $16,865,152 | PYContributionsGrantsAmt |
| CY Contributions Grants | $11,477,259 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $55,700,670 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $67,903,094 | CYProgramServiceRevenueAmt |
| PY Investment Income | $532,723 | PYInvestmentIncomeAmt |
| CY Investment Income | $476,340 | CYInvestmentIncomeAmt |
| PY Other Revenue | $533,346 | PYOtherRevenueAmt |
| CY Other Revenue | $472,242 | CYOtherRevenueAmt |
| PY Total Revenue | $73,631,891 | PYTotalRevenueAmt |
| CY Total Revenue | $80,328,935 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $38,087 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $54,629 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $23,468,153 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $25,812,032 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $41,043,883 | PYOtherExpensesAmt |
| CY Other Expenses | $37,634,708 | CYOtherExpensesAmt |
| PY Total Expenses | $64,550,123 | PYTotalExpensesAmt |
| CY Total Expenses | $63,501,369 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $9,081,768 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $16,827,566 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $182,662,874 | TotalAssetsBOYAmt |
| Total Assets EOY | $198,332,902 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $83,078,283 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $86,482,290 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $99,584,591 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $111,850,612 | 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 | $51,529,064 | ExpenseAmt |
| Grant | $54,629 | GrantAmt |
| Revenue | $67,916,511 | RevenueAmt |
| Desc | ARKANSAS CHILDREN'S NORTHWEST (ACNW) IS A FREESTANDING CHILDREN'S HOSPITAL IN SPRINGDALE, ARKANSAS THAT OPENED ON FEBRUARY 27, 2018 AND WAS ACCREDITED BY THE JOINT COMMISSION ON THE ACCREDITATION OF HEALTHCARE ORGANIZATIONS ON APRIL 10, 2018. THE HOSPITAL IS 233,613 SQUARE FEET THAT INCLUDES INPATIENT BEDS, EMERGENCY CARE, DIAGNOSTIC SERVICES AND CLINIC SPACE. THE CAMPUS INCLUDES NATURE TRAILS AND GARDENS FOR PATIENTS AND THEIR FAMILIES, AS WELL AS A HELIPAD AND REFUELING STATION FOR THE ARKANSAS CHILDREN'S HOSPITAL HELICOPTER TRANSPORT TEAM. ACNW IS LICENSED FOR 24 OPERATING BEDS, ALL OF WHICH ARE MEDICAL/SURGICAL BEDS. CONTINUED ON SCHEDULE O.DURING THE YEAR ENDED JUNE 30, 2020, ACNW EXPERIENCED THE FOLLOWING: 2,275 ADMISSIONS WITH AN AVERAGE STAY OF 2.11 DAYS; 4,654 PATIENT DAYS; 12.72 AVERAGE DAILY CENSUS; 36,058 OUTPATIENT VISITS, EXCLUDING ER VISITS WHICH WERE 26,624; AND 2,951 SURGERIES. ACNW WILL ADVANCE PEDIATRIC HEALTHCARE IN THE NORTHWEST PORTION OF ARKANSAS AND PROVIDE CARE CLOSE TO HOME FOR MORE THAN 200,000 CHILDREN IN THE REGION BY PROVIDING THE FOLLOWING SERVICES:*24 INPATIENT BEDS TO CARE FOR CHILDREN REQUIRING OVERNIGHT STAYS*24-HOUR PEDIATRIC EMERGENCY DEPARTMENT*AN OUTPATIENT CLINIC WITH 30 EXAM ROOMS SUPPORTING MORE THAN 20 SUBSPECIALTY AREAS AND A PRIMARY CARE CLINIC*PEDIATRIC SURGERY UNIT WITH 5 OPERATING ROOMS*A FULL RANGE OF ANCILLARY AND DIAGNOSTIC SERVICES*IMAGING CAPABILITIES (MRI, CT, ULTRASOUND, AND ROUTINE X-RAY)*DIAGNOSTIC SERVICES (INFUSION, PFT, EEG, ECHO, NEUROPHYSIOLOGY, AUDIOLOGY, AND REHABILITATION)*HELIPAD AND REFUELING STATION SUPPORTING THE HELICOPTER TRANSPORT TEAM, ONE OF THE NATION'S LEADING PEDIATRIC INTENSIVE CARE TRANSPORT SERVICES | Desc |
| Total Program Service Expenses | $51,529,064 | 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 | 0 | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | Yes (1) | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (1) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (1) | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | Yes (1) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (1) | AuditedFinancialStmtAttInd |
| Grants To Organizations | Yes (1) | GrantsToOrganizationsInd |
| Grants To Individuals | Yes (1) | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | Yes (1) | TaxExemptBondsInd |
| Invest Tax Exempt Bonds | 0 | InvestTaxExemptBondsInd |
| Escrow Account | 0 | EscrowAccountInd |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuerInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | 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 | 0 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 518 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | 0 | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | 0 | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 14 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 12 | IndependentVotingMemberCnt |
| Family Or Business Rln | Yes (1) | 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 | 0 | InvestmentInJointVentureInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | GENA WINGFIELD | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 5013642555 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1 CHILDRENS WAY | AddressLine1Txt |
| City | LITTLE ROCK | CityNm |
| State Abbreviation | AR | StateAbbreviationCd |
| ZIP | 72202 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (25 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 | 0.34 | 56.51 | Yes (X) | Yes (X) | $0 | $1,422,651 | $165,970 | ||
| GENA WINGFIELD | |||||||||
| EVP AND CFO | 0.00 | 48.00 | Yes (X) | $0 | $650,992 | $82,829 | |||
| CHARLES M BOWER MD | |||||||||
| TRUSTEE/DIRECTOR-CHIEF OF STAFF | 9.25 | 50.00 | Yes (X) | $0 | $558,674 | $64,463 | |||
| PATRICIA MONTAGUE | |||||||||
| SVP/CHIEF ADMINISTRATOR | 46.75 | 8.25 | $466,310 | $0 | $52,301 | Yes (X) | |||
| CINDY HILL | |||||||||
| FINANCIAL SERVICES VP | 0.00 | 54.00 | $0 | $274,690 | $28,900 | Yes (X) | |||
| MICHAEL HOWARD | |||||||||
| VP/CHIEF NURSING OFFICER | 50.00 | 0.00 | $222,403 | $0 | $10,107 | Yes (X) | |||
| DIANA MCDANIEL | |||||||||
| OPERATIONS VP | 50.00 | 0.00 | $214,101 | $0 | $15,264 | Yes (X) | |||
| KEITH VEIT | |||||||||
| PATIENT CARE SVC DIRECTOR | 50.00 | 0.00 | $145,378 | $0 | $18,112 | Yes (X) | |||
| JAMA HUNTLEY | |||||||||
| PHARMACY MANAGER | 45.00 | 0.00 | $147,451 | $0 | $8,677 | Yes (X) | |||
| EMILY HARRIS | |||||||||
| STAFF PHARMACIST | 40.00 | 0.00 | $141,694 | $0 | $5,062 | Yes (X) | |||
| LESLIE RYLEE | |||||||||
| PATIENT CARE SVC DIRECTOR | 55.00 | 0.00 | $130,498 | $0 | $13,398 | Yes (X) | |||
| JEFFREY WILLIAMS | |||||||||
| STAFF PHARMACIST | 36.00 | 0.00 | $131,357 | $0 | $10,691 | Yes (X) | |||
| RON CLARK | |||||||||
| TRUSTEE/DIRECTOR | 0.06 | 0.33 | Yes (X) | $0 | $0 | $0 | |||
| JON DYER | |||||||||
| VICE CHAIR | 0.22 | 0.12 | Yes (X) | $0 | $0 | $0 | |||
| HARRY C ERWIN | |||||||||
| BOARD CHAIR | 0.25 | 0.46 | Yes (X) | $0 | $0 | $0 | |||
| GARY GEORGE | |||||||||
| TRUSTEE/DIRECTOR | 0.12 | 0.20 | Yes (X) | $0 | $0 | $0 | |||
| STACY LEEDS | |||||||||
| TRUSTEE/DIRECTOR | 0.13 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| PAT MCCLELLAND | |||||||||
| TRUSTEE/DIRECTOR | 0.21 | 0.42 | Yes (X) | $0 | $0 | $0 | |||
| CHARLES REDFIELD | |||||||||
| TRUSTEE/DIRECTOR | 0.13 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| JOHN ROBERTS | |||||||||
| TRUSTEE/DIRECTOR | 0.08 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| MARK SAVIERS | |||||||||
| TRUSTEE/DIRECTOR | 0.08 | 0.22 | Yes (X) | $0 | $0 | $0 | |||
| MARSHALL SAVIERS | |||||||||
| TRUSTEE/DIRECTOR | 0.03 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| KC TUCKER | |||||||||
| BOARD TREASURER | 0.25 | 0.12 | Yes (X) | $0 | $0 | $0 | |||
| BARBARA TYSON | |||||||||
| TRUSTEE/DIRECTOR | 0.11 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| NOEL WHITE | |||||||||
| TRUSTEE/DIRECTOR | 0.03 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $1,599,192 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $2,907,007 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $475,774 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 13 | 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 |
|---|---|---|---|---|---|
| CROTHALL HEALTHCARE | |||||
| 13028 COLLECTION CENTER DRIVE | CHICAGO | IL | 60693 | PATIENT TRANSPORT/EVS/LINEN SERVICES | $1,645,185 |
| COMPASS ONE | |||||
| PO BOX 102289 | ATLANTA | GA | 30368 | CAFETERIA SERVICES | $1,505,478 |
| ALLIED UNIVERSAL SECURITY SERVICE | |||||
| PO BOX 828854 | PHILADELPHIA | PA | 19182 | SECURITY SERVICES | $969,153 |
| EXECUTIVE AIRCRAFT CHARTER SERVICE | |||||
| PO BOX 98000 | LAFAYETTE | LA | 70509 | TRANSPORTATION SERVICES | $830,688 |
| CROSS COUNTRY STAFFING | |||||
| PO BOX 404674 | ATLANTA | GA | 30384 | STAFFING SERVICES | $807,438 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 14 | CntrctRcvdGreaterThan100KCnt |
| Related Organizations | $11,301,545 | RelatedOrganizationsAmt |
| Government Grants | $175,714 | GovernmentGrantsAmt |
| Total Contributions | $11,477,259 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | PMTS FOR MEDICAL SERVI | Desc |
| Business | 622110 | BusinessCd |
| Total Revenue Column | $67,903,094 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $67,903,094 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $67,903,094 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $476,340 | TotalRevenueColumnAmt |
| Exclusion | $476,340 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | ExclusionExclusionAmt |
|---|---|---|---|
| NUTRITIONAL SERVICES | 900099 | $350,336 | $350,336 |
| GIFT SHOP | 900099 | $108,489 | $108,489 |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $13,417 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $13,417 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $472,242 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $80,328,935 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $67,916,511 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $935,165 | 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 | $36,430 | TotalAmt |
| Program Services | $36,430 | ProgramServicesAmt |
Grants To Domestic Individuals GrantsToDomesticIndividualsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $18,199 | TotalAmt |
| Program Services | $18,199 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,885,722 | TotalAmt |
| Program Services | $870,518 | ProgramServicesAmt |
| Management And General | $1,015,204 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $19,689,023 | TotalAmt |
| Program Services | $17,589,039 | ProgramServicesAmt |
| Management And General | $2,099,984 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,237,287 | TotalAmt |
| Program Services | $3,766,315 | ProgramServicesAmt |
| Management And General | $470,972 | ManagementAndGeneralAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,314,674 | TotalAmt |
| Program Services | $1,609,858 | ProgramServicesAmt |
| Management And General | $2,704,816 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,500 | TotalAmt |
| Management And General | $7,500 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,955,491 | TotalAmt |
| Program Services | $7,225,831 | ProgramServicesAmt |
| Management And General | $729,660 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $197,509 | TotalAmt |
| Management And General | $197,509 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,056,796 | TotalAmt |
| Program Services | $999,663 | ProgramServicesAmt |
| Management And General | $57,133 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,631,757 | TotalAmt |
| Program Services | $670,836 | ProgramServicesAmt |
| Management And General | $960,921 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $746,571 | TotalAmt |
| Program Services | $688,163 | ProgramServicesAmt |
| Management And General | $58,408 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $137,831 | TotalAmt |
| Program Services | $108,503 | ProgramServicesAmt |
| Management And General | $29,328 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $27,372 | TotalAmt |
| Program Services | $23,250 | ProgramServicesAmt |
| Management And General | $4,122 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,886,164 | TotalAmt |
| Management And General | $2,886,164 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $8,960,549 | TotalAmt |
| Program Services | $8,573,715 | ProgramServicesAmt |
| Management And General | $386,834 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $349,560 | TotalAmt |
| Program Services | $143,463 | ProgramServicesAmt |
| Management And General | $206,097 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| MEDICAL SUPPLIES | $8,260,519 | $8,171,756 | $88,763 |
| OTHER ADMINISTRATIVE EX | $937,623 | $916,853 | $20,770 |
| MINOR & LEASED EQUIPMEN | $107,900 | $79,908 | $27,992 |
| DUES & SUBSCRIPTIONS | $56,892 | $36,764 | $20,128 |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $63,501,369 | TotalAmt |
| Program Services | $51,529,064 | ProgramServicesAmt |
| Management And General | $11,972,305 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,934,091 | BOYAmt |
| EOY | $27,936,218 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,552,573 | BOYAmt |
| EOY | $5,494,570 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $767,571 | BOYAmt |
| EOY | $789,762 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $680,242 | BOYAmt |
| EOY | $812,013 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $150,814,486 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $21,727,149 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $137,714,182 | BOYAmt |
| EOY | $129,087,337 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,733,933 | BOYAmt |
| EOY | $1,748,092 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $27,280,282 | BOYAmt |
| EOY | $32,464,910 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $182,662,874 | BOYAmt |
| EOY | $198,332,902 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,012,854 | BOYAmt |
| EOY | $3,587,561 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $6,114,013 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $79,065,429 | BOYAmt |
| EOY | $76,473,956 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $306,760 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $83,078,283 | BOYAmt |
| EOY | $86,482,290 | 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 | $95,362,102 | BOYAmt |
| EOY | $105,561,622 | EOYAmt |
Donor Restriction Net Assets DonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,222,489 | BOYAmt |
| EOY | $6,288,990 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $99,584,591 | BOYAmt |
| EOY | $111,850,612 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $182,662,874 | BOYAmt |
| EOY | $198,332,902 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $16,827,566 | ReconcilationRevenueExpnssAmt |
| Other Changes In Net Assets | -$4,561,545 | OtherChangesInNetAssetsAmt |
| Info In Schedule O Part XII | Yes (X) | InfoInScheduleOPartXIIInd |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule D IRS990ScheduleD
CY Endwmt Fund CYEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $4,944,705 | BeginningYearBalanceAmt |
| Contributions | $41,476 | ContributionsAmt |
| Investment Earnings Or Losses | $52,607 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $142,848 | OtherExpendituresAmt |
| End Year Balance | $4,895,940 | EndYearBalanceAmt |
CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributions | $3,721,746 | ContributionsAmt |
| Investment Earnings Or Losses | $1,402,615 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $179,656 | OtherExpendituresAmt |
| End Year Balance | $4,944,705 | EndYearBalanceAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Board Designated Balance EOY | 0.00000 | BoardDesignatedBalanceEOYPct |
| Prmnnt Endowment Balance EOY | 0.64930 | PrmnntEndowmentBalanceEOYPct |
| Term Endowment Balance EOY | 0.35070 | TermEndowmentBalanceEOYPct |
| Endowments Held Unrelated Org | 0 | EndowmentsHeldUnrelatedOrgInd |
| Endowments Held Related Org | Yes (1) | EndowmentsHeldRelatedOrgInd |
| Related Org List Sch R | Yes (1) | RelatedOrgListSchRInd |
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $6,740,000 | OtherCostOrOtherBasisAmt |
| Book Value | $6,740,000 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $120,017,423 | OtherCostOrOtherBasisAmt |
| Depreciation | $12,415,338 | DepreciationAmt |
| Book Value | $107,602,085 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $23,808,411 | OtherCostOrOtherBasisAmt |
| Depreciation | $9,292,650 | DepreciationAmt |
| Book Value | $14,515,761 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $248,652 | OtherCostOrOtherBasisAmt |
| Depreciation | $19,161 | DepreciationAmt |
| Book Value | $229,491 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $129,087,337 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp (3 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| MEDICAID RECEIVABLE | $32,280,126 |
| OTHER RECEIVABLES | $168,117 |
| GRANT RECEIVABLE | $16,667 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $32,464,910 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | DEFERRED PAYROLL TAXES PAYABLE (UNDER CARES ACT) | Desc |
| Amt | $306,760 | Amt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $306,760 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART V, LINE 4: | EARNINGS FROM ENDOWMENT FUNDS WILL BE USED TO SUPPORT VARIOUS HOSPITAL PROGRAMS. THE FILING ORGANIZATION DOES NOT HOLD ANY ENDOWMENTS; ALL ENDOWMENTS ARE HELD BY ARKANSAS CHILDREN'S FOUNDATION, A RELATED ORGANIZATION. |
| PART X, LINE 2: | NOTE: THE AUDIT IS COMPRISED OF THE CONSOLIDATED FINANCIAL STATEMENTS OF ARKANSAS CHILDREN'S, INC., ARKANSAS CHILDREN'S HOSPITAL, ARKANSAS CHILDREN'S FOUNDATION, ARKANSAS CHILDREN'S RESEARCH INSTITUTE, ARKANSAS CHILDREN'S NORTHWEST, ARKANSAS CHILDREN'S CARE NETWORK, ARKANSAS CHILDREN'S MEDICAL GROUP, AND SACOVA INSURANCE COMPANY (COLLECTIVELY, ARKANSAS CHILDREN'S). FOOTNOTE: ARKANSAS CHILDREN'S APPLIES 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 | $2,207,966 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $2,207,966 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.03480 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $51,626,973 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $49,241,007 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $2,385,966 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.03760 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $53,834,939 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $49,241,007 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $4,593,932 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.07240 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $515,801 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $16,867 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $498,934 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00790 | TotalExpensePct |
Subsidized Health Services SubsidizedHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $6,728,525 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $2,670,278 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $4,058,247 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.06390 | TotalExpensePct |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $16,960 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $2,900 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $14,060 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00020 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $7,261,286 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $2,690,045 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $4,571,241 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.07200 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $61,096,225 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $51,931,052 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $9,165,173 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.14440 | TotalExpensePct |
Community Support CommunitySupportGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $4,650 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $4,650 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00010 | TotalExpensePct |
Total Communtity Building Acty TotalCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $4,650 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $4,650 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00010 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (1) | BadDebtExpenseReportedInd |
| Reimbursed By Medicare | $40,339 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $40,973 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$634 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | Yes (X) | CostToChargeRatioInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | Yes (1) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (1) | FinancialAssistancePrvsnInd |
| Hospital Facilities | 1 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ARKANSAS CHILDREN'S NORTHWEST | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2601 GENE GEORGE BLVD | AddressLine1Txt |
| City | SPRINGDALE | CityNm |
| State Abbreviation | AR | StateAbbreviationCd |
| ZIP | 72762 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Website Address | WWW.ARCHILDRENS.ORG | WebsiteAddressTxt |
| State License | AR5392 | StateLicenseNum |
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
| General Medical And Surgical | Yes (X) | GeneralMedicalAndSurgicalInd |
| Childrens Hospital | Yes (X) | ChildrensHospitalInd |
| Emergency Room24 Hrs | Yes (X) | EmergencyRoom24HrsInd |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ARKANSAS CHILDREN'S NORTHWEST | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
| First Licensed CY Or PY | Yes (1) | 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 (10 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| ARKANSAS CHILDREN'S NORTHWEST | PART V, SECTION B, LINE 3J: ARKANSAS CHILDREN'S NORTHWEST (ACNW) IS A NONPROFIT HOSPITAL WITHIN ARKANSAS CHILDREN'S, INC., THE ONLY HEALTHCARE SYSTEM IN THE STATE SOLELY DEDICATED TO CARING FOR ARKANSAS' 700,000 CHILDREN. THIS STATUS GIVES THE ORGANIZATION A UNIQUE ABILITY TO SHAPE THE LANDSCAPE OF PEDIATRIC CARE IN ARKANSAS AND TO TRANSFORM THE HEALTH OF CHILDREN THROUGHOUT THE REGION. ARKANSAS CHILDREN'S, INC. IS A NON-PROFIT ORGANIZATION WHICH INCLUDES TWO PEDIATRIC HOSPITALS, A PEDIATRIC RESEARCH INSTITUTE AND USDA NUTRITION CENTER, A PHILANTHROPIC FOUNDATION, A NURSERY ALLIANCE, STATEWIDE CLINICS, AND MANY EDUCATION AND OUTREACH PROGRAMS. ARKANSAS CHILDREN'S NORTHWEST (ACNW), THE FIRST AND ONLY PEDIATRIC HOSPITAL IN THE NORTHWEST ARKANSAS REGION, OPENED IN SPRINGDALE IN EARLY 2018. ACNW OPERATES A 24-BED INPATIENT UNIT; A SURGICAL UNIT WITH FIVE OPERATING ROOMS; OUTPATIENT CLINICS OFFERING OVER 20 SUBSPECIALTIES; DIAGNOSTIC SERVICES; IMAGING CAPABILITIES; PHYSICAL THERAPY SERVICES; AND NORTHWEST ARKANSAS' ONLY PEDIATRIC EMERGENCY DEPARTMENT, EQUIPPED WITH 24 EXAM ROOMS. AS A PEDIATRIC MEDICAL CENTER THAT TREATS CHILDREN FROM EVERY COUNTY IN NORTHWEST ARKANSAS, AND SOME FROM NEIGHBORING AREAS, ACNW DEFINES THE COMMUNITY IT SERVES AS ALL CHILDREN FROM BIRTH TO AGE 21 IN THE 11-COUNTY NORTHWEST REGION OF ARKANSAS (BENTON, CARROL, BOONE, WASHINGTON, MADISON, NEWTON, CRAWFORD, FRANKLIN, JOHNSON, SEBASTIAN AND LOGAN). ACCORDING TO THE U.S. CENSUS BUREAU, THERE ARE ABOUT 206,000 CHILDREN UNDER AGE 18 IN THIS REGION. |
| ARKANSAS CHILDREN'S NORTHWEST | PART V, SECTION B, LINE 5: IN 2019, ARKANSAS CHILDREN'S NORTHWEST TOOK A COMPREHENSIVE APPROACH TO UNDERSTAND CHILD HEALTH, CONSIDERING BOTH PRIMARY AND SECONDARY DATA AT THE LOCAL AND 11-COUNTY REGIONAL AREA IN NORTHWEST ARKANSAS IN ORDER TO DETERMINE THE SPECIFIC HEALTH NEEDS OF CHILDREN IN THE AREA. SECONDARY DATA SETS REVIEWED INCLUDED THE U.S. CENSUS BUREAU, THE ANNIE E. CASEY KIDS COUNT DATA CENTER, ARKANSAS STATE AGENCY DATABASES, THE YOUTH RISK BEHAVIOR SURVEY, AND A VARIETY OF LOCAL ORGANIZATIONS' RESEARCH. ADDITIONAL DATA SOURCES INCLUDED FOCUS GROUPS, KEY INFORMATION INTERVIEWS, AND A TELEPHONE SURVEY OF NORTHWEST ARKANSAS PARENTS. COMMUNITY MEMBERS FROM ACROSS NORTHWEST ARKANSAS WERE INVITED TO SHARE THEIR EXPERIENCE THROUGH COMMUNITY DISCUSSIONS AS PARENTS, GUARDIANS, EDUCATORS, SERVICE PROVIDERS FOR CHILDREN IN ARKANSAS, OR STAKEHOLDERS WITH KNOWLEDGE OF CHILD HEALTH. EACH FOCUS GROUP INVOLVED RECORDED CONVERSATIONS IN GROUPS OF 5-15 PEOPLE FOR ABOUT 90 MINUTES. HOSPITAL STAFF CONDUCTED SIX TOTAL FOCUS GROUPS, WITH 76 TOTAL PARTICIPANTS, IN THREE LANGUAGES (ENGLISH, SPANISH, AND MARSHALLESE). FOCUS GROUPS WERE SPLIT AMONG CONSUMERS (THE COMMUNITY OF LEGAL PARENTS OR GUARDIANS OF CHILDREN UNDER 18 YEARS OF AGE) AND PROVIDERS (HEALTHCARE PROVIDERS OR EDUCATORS WHO SERVE CHILDREN AND THEIR FAMILIES SUCH AS SCHOOL NURSES AND TEACHERS, SOCIAL SERVICE AGENCY EMPLOYEES, AND HEALTH EDUCATORS). TO ENSURE INCLUSION OF UNDER-SERVED, LOW-INCOME AND MINORITY POPULATIONS, STAFF REACHED OUT TO DIVERSE AREAS OF THE NORTHWEST ARKANSAS COUNTIES SERVED, SEEKING FEEDBACK FROM PROVIDERS AND GUARDIANS IN CULTURALLY AND LINGUISTICALLY UNDERREPRESENTED GROUPS. STAFF LED FOCUS GROUPS IN SPANISH THROUGHOUT THE STATE AND ONE IN MARSHALLESE IN THE NORTHWEST, CONDUCTING PARTICIPANT OUTREACH THROUGH COMMUNITY REPRESENTATIVES AND ADVOCATES, NON-PROFIT COMMUNITY-BASED SERVICES, RELIGIOUS AND SECULAR ORGANIZATIONS, AND HEALTH AND EDUCATIONAL ORGANIZATIONS. COMMUNITY MEMBERS REPRESENTING NORTHWEST ARKANSAS WERE ASKED TO PARTICIPATE IN INTERVIEWS THAT WERE CONDUCTED IN PERSON OR VIA TELEPHONE BY HOSPITAL STAFF. INTERVIEWS WERE CONDUCTED WITH 17 PROVIDERS, BUSINESS AND INDUSTRY LEADERS, FAITH LEADERS, AND KEY DECISION MAKERS WHO WORK IN OR OVERSEE CHILD HEALTH PRIORITIES IN NORTHWEST ARKANSAS. QUESTIONS FOR KEY INFORMANT INTERVIEWS WERE STRUCTURED WITH BROAD TOPIC DOMAINS BASED ON THE SOCIAL DETERMINANTS OF HEALTH AS WELL AS OPEN-ENDED QUESTIONS DESIGNED TO OBTAIN SEMINAL INFORMATION.ARKANSAS CHILDREN'S CONTRACTED WITH THE UNIVERSITY OF ARKANSAS AT LITTLE ROCK (UALR) SURVEY RESEARCH CENTER (SRC) TO DESIGN AND CARRY OUT A TELEPHONE SURVEY OF PARENTS AND GUARDIANS LIVING IN NORTHWEST ARKANSAS WHO HAD CHILDREN CURRENTLY LIVING IN THEIR HOME. THE GOAL OF THE SURVEY WAS TO ASSESS ARKANSAS CAREGIVERS' VIEWS AND ATTITUDES TOWARDS THEIR CHILDREN'S HEALTH AND COMMUNITY HEALTH NEEDS. A TOTAL OF 395 COMPLETED INTERVIEWS WERE CONDUCTED WITH NORTHWEST ARKANSAS ADULT RESIDENTS WHO ARE A PARENT, STEPPARENT, OR GUARDIAN OF A CHILD UNDER THE AGE OF 18 WHO LIVES IN THE HOUSEHOLD, EITHER FULL OR PART-TIME. |
| ARKANSAS CHILDREN'S NORTHWEST | PART V, SECTION B, LINE 6A: THE ARKANSAS CHILDREN'S NORTHWEST CHNA WAS CONDUCTED IN PARTNERSHIP WITH ARKANSAS CHILDREN'S HOSPITAL. BOTH HOSPITALS ARE PART OF THE ARKANSAS CHILDREN'S SYSTEM AND NORTHWEST ARKANSAS IS A SHARED COMMUNITY OF BOTH HOSPITALS. |
| ARKANSAS CHILDREN'S NORTHWEST | PART V, SECTION B, LINE 6B: 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 NORTHWEST (ACNW), AS WELL AS ARKANSAS CHILDREN'S HOSPITAL (ACH) IN LITTLE ROCK. MANY ALSO PROVIDED DATA AND INTERVIEWS TO THE ARKANSAS CHILDREN'S STAFF MEMBERS WHO WORKED ON THE NEEDS ASSESSMENTS. THE NEEDS ASSESSMENTS OF BOTH HOSPITALS ARE USED IN CREATING THE ACTION PLAN FOR NATURAL WONDERS EFFORTS TO IMPROVE CHILD HEALTH. NATURAL WONDERS MEMBER ORGANIZATIONS INCLUDE THE FOLLOWING: AMERICAN ACADEMY OF PEDIATRICS, ARKANSAS CHAPTER ARKANSAS ACCESS TO JUSTICE COMMISSIONARKANSAS ADVOCATES FOR CHILDREN AND FAMILIESARKANSAS ASSOCIATION OF EDUCATION ADMINISTRATORSARKANSAS BLUE CROSS BLUE SHIELDARKANSAS CAMPAIGN FOR GRADE-LEVEL READINGARKANSAS CENTER FOR HEALTH IMPROVEMENT ARKANSAS CHILDREN'S HOSPITALARKANSAS COALITION FOR OBESITY PREVENTIONARKANSAS DEPARTMENT OF EDUCATIONARKANSAS DEPARTMENT OF HEALTH ARKANSAS DEPARTMENT OF HUMAN SERVICES, DIVISION OF BEHAVIORAL HEALTH SERVICESARKANSAS DEPARTMENT OF HUMAN SERVICES, DIVISION OF MEDICAL SERVICES (MEDICAID)ARKANSAS FOODBANKARKANSAS FOUNDATION FOR MEDICAL CAREARKANSAS HOME VISITING NETWORKARKANSAS HUNGER RELIEF ALLIANCEARKANSAS MINORITY HEALTH COMMISSIONARKANSAS PHARMACIST ASSOCIATIONBLUE & YOU FOUNDATIONCOMMUNITY HEALTH CENTERS OF ARKANSASDELTA DENTAL OF ARKANSASUNIVERSITY OF ARKANSAS FOR MEDICAL SCIENCES COLLEGE OF PUBLIC HEALTHUNIVERSITY OF ARKANSAS FOR MEDICAL SCIENCES COLLEGE OF MEDICINE |
| ARKANSAS CHILDREN'S NORTHWEST | PART V, SECTION B, LINE 7D: THE FY19 CHNA WAS DISTRIBUTED TO PARTNERS THROUGH THE NATURAL WONDERS PARTNERSHIP COUNCIL (NWPC) AND ITS MULTIPLE WORKGROUPS. IT IS ALSO AVAILABLE FOR PUBLIC VIEW WITHOUT CHARGE ON THE ARKANSAS CHILDREN'S WEBSITE. |
| ARKANSAS CHILDREN'S NORTHWEST | PART V, SECTION B, LINE 11: COMMUNITY HEALTH IMPROVEMENT INTRODUCTION: IN 2020, ARKANSAS CHILDREN'S NORTHWEST (ACNW) BEGAN WORK ON THE NEW ACTIONS AND CONTINUING INITIATIVES IN THE 2020-2022 ACNW IMPLEMENTATION STRATEGY. THE IMPLEMENTATION STRATEGY INCLUDES DESCRIPTIONS OF THE PROPOSED NEW ACTIONS, CONTINUING INITIATIVES AND THE ANTICIPATED IMPACT AND STAKEHOLDER GROUPS FOR SEVEN OF THE TEN CHILD HEALTH NEEDS IDENTIFIED IN THE ACNW COMMUNITY HEALTH NEEDS ASSESSMENT. THE 2020-2022 IMPLEMENTATION STRATEGY WAS APPROVED BY THE ACNW BOARD OF DIRECTORS IN FALL 2019. UPDATES ON ACTIONS UNDERTAKEN DURING FY20 FOR EACH OF THE 2019 CHNA PRIORITIZED ISSUES ARE LISTED BELOW. ADDRESSING COMMUNITY IMPACTS OF COVID-19: THE SPRING OF 2020 CREATED AN UNPRECEDENTED SITUATION THAT CHANGED THE WAY ARKANSAS CHILDREN'S WORKS TO MAKE 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 FAMILY'S 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. 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 WAS LAUNCHED ON MARCH 12, 2020 AND FACILITATED OVER 10,000 PHONE CALLS THROUGH 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 GUIDANCE TO CALLERS WITH QUESTIONS ABOUT COVID-19. ARKANSAS CHILDREN'S STRATEGIC MARKETING DEPARTMENT CREATED PUBLIC SERVICE COMMUNICATION TO ENCOURAGE HAND WASHING, SOCIAL DISTANCING, AND WEARING MASKS. THESE MESSAGES WERE SHARED WITH OTHER HEALTHCARE FACILITIES FOR COLLABORATIVE USE. ARKANSAS CHILDREN'S CHILD LIFE LEADERS SHARED EXPERT CONTENT ON PLATFORMS LIKE FACEBOOK LIVE TO GIVE ADVICE TO FAMILIES PREPARING FOR CLINIC VISITS AS WELL AS INSTRUCTION FOR 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, 11,298 CLOTH MASKS WERE DONATED TO ARKANSAS CHILDREN'S NORTHWEST FOR DISTRIBUTION TO ANY PATIENT OR CAREGIVER WHO NEEDED ONE WHEN ATTENDING AN APPOINTMENT AT AN ARKANSAS CHILDREN'S FACILITY. ARKANSAS CHILDREN'S SENIOR LEADERSHIP SERVED IN VARIOUS CAPACITIES ON LOCAL AND STATEWIDE ADVISORY BOARDS. ARKANSAS CHILDREN'S PARTICIPATED IN A COLLABORATIVE TASK FORCE THAT HAS FOCUSED ON PROVIDING RESOURCES FOR SCHOOLS, EDUCATORS, STUDENTS, AND FAMILIES, AS THE STATE PREPARED FOR A RETURN TO 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. ALL OF THESE TASK FORCES PROVIDED GUIDANCE AND INFORMATIONAL PRODUCTS THAT WERE USED ACROSS BROAD COMMUNITIES AND A VARIETY OF SECTORS IN THE STATE.(1) FOOD INSECURITY AND CHILD OBESITY THE FIRST COMPONENT OF THE IMPLEMENTATION STRATEGY IS TO IMPLEMENT EVIDENCE-BASED NUTRITION EDUCATION CURRICULUM TO ADDRESS THE FOCUS AREAS OF FOOD INSECURITY AND CHILD OBESITY. ACNW HAS WORKED WITH ARKANSAS CHILDREN'S HEALTH EDUCATORS TO PROVIDE POP-UP COOKING MATTERS CLASSES TO STUDENTS IN THE NORTHWEST ARKANSAS REGION. IN LOGAN COUNTY, TWO DIFFERENT SESSIONS WERE PRESENTED TO 43 STUDENTS. IN SPRINGDALE SCHOOL DISTRICT, ONE OF THE LARGEST IN THE STATE, 26 DIFFERENT SESSIONS WERE PRESENTED TO 725 STUDENTS. OTHER WORK TO ADDRESS FOOD SECURITY INCLUDES STOCKING THE FAMILY HOUSE FOR INPATIENT FAMILIES AT ACNW, HOWEVER, THIS AREA HAS BEEN TEMPORARILY CLOSED DUE TO COVID-19. THERE IS AN INPATIENT CAREGIVER MEAL PROGRAM THAT PROVIDES FREE MEALS TO AT-RISK FAMILIES. EMERGENCY FOOD BOXES ARE ALSO AVAILABLE TO FAMILIES WHO HAVE A CHILD BEING SEEN AT ACNW; 38 WERE DISTRIBUTED TO FAMILIES FROM JANUARY THROUGH JUNE 2020. ACNW WAS ALSO A SPONSOR OF THE NORTHWEST ARKANSAS FOOD BANK ANNUAL FUNDRAISING BENEFIT FOR 2019. THIS FINANCIAL SUPPORT ALLOWS THE NWA FOOD BANK TO HELP MEET THE FOOD SECURITY NEEDS OF FAMILIES IN THE REGION. (2) EQUITABLE ACCESS TO CARETHE SECOND COMPONENT OF THE IMPLEMENTATION STRATEGY IS TO IMPROVE ACCESS TO CARE BY PROMOTING CULTURAL AND LANGUAGE COMMUNICATION OPTIONS RELATED TO HEALTH CARE TO ADDRESS THE FOCUS AREA OF EQUITABLE ACCESS TO CARE. ACNW OFFERS INTERPRETER SERVICES IN PERSON, VIA TELEPHONE, AND OVER VIDEO CHAT. MEDICAL INTERPRETER SERVICES ARE OFFERED IN SPANISH AND MARSHALLESE. IN ADDITION TO EMPLOYING AN INTERPRETER TEAM, BILINGUAL STAFF ARE REIMBURSED FOR OBTAINING THEIR MEDICAL TRANSLATION CERTIFICATE AND RECEIVE ADDITIONAL COMPENSATION FOR THEIR SKILLS. BILINGUAL STAFF ALSO ASSIST IN NON-CLINICAL ROLES SUCH AS REGISTRATION AND SCHEDULING. WHEN IN-PERSON TRANSLATORS ARE UNAVAILABLE OR LANGUAGES OTHER THAN SPANISH OR MARSHALLESE ARE REQUESTED, SUCH AS AMERICAN SIGN LANGUAGE, ACNW HAS CONTRACTED WITH AN ONLINE TRANSLATION SERVICE, INDEMAND, TO ASSIST THESE FAMILIES. IN FY20, THERE WERE 2,080 ENCOUNTERS ON INDEMAND, LASTING IN TOTAL, OVER 25,000 MINUTES. BASED ON INFORMATION THAT IS PROVIDED BY THE PATIENT OR THE FAMILY, DATA SHOWS THAT 11% OF THE PATIENT POPULATION SERVED SPEAKS SPANISH, AND 3% OF THE PATIENT POPULATION SPEAKS MARSHALLESE. INSURANCE AND A FAMILY'S ABILITY TO PAY FOR HEALTH CARE IS AN IMPORTANT COMPONENT OF EQUITABLE ACCESS TO CARE. ARKANSAS CHILDREN'S NORTHWEST HAS ESTABLISHED A FINANCIAL COUNSELING PROGRAM WITH A GOAL TO PROVIDE ALL FAMILIES WITH GUIDANCE AND SUPPORT TO ESTABLISH A HEALTHCARE PAYER SOURCE. FINANCIAL COUNSELING SERVICES AT ACNW RANGE FROM SCREENING A PATIENT FOR MEDICAID, TO ANSWERING INSURANCE QUESTIONS, TO HELPING FAMILIES COMPLETE TEFRA APPLICATIONS AND MORE. BEGINNING IN JUNE 2019, FOCUSED EFFORTS WERE UNDERTAKEN TO ENSURE THAT PATIENTS IDENTIFYING AS SELF-PAY WERE SCREENED FOR MEDICAID AND OFFERED FINANCIAL SERVICES. ACNW FINANCIAL COUNSELING SERVICES AIM TO SCREEN 100% OF SELF-PAY PATIENTS DURING THEIR VISIT. ALL PATIENTS THAT IDENTIFY AS UNINSURED ARE SCREENED FOR MEDICAID. IF CRITERIA ARE MET, THEN ACNW FINANCIAL COUNSELING STAFF BEGIN THE APPLICATION PROCESS. STAFF ALSO WORK WITH FAMILIES TO RENEW THEIR MEDICAID SERVICES WHEN THEY HAVE LAPSED. FINANCIAL COUNSELING IS OFFERED BY BOTH SPANISH AND MARSHALLESE-SPEAKING STAFF, IN ADDITION TO ENGLISH, TO BEST SERVE THE NORTHWEST ARKANSAS COMMUNITY. IN FY20, 5,253 MEDICAID APPLICATIONS WERE COMPLETED FOR ELIGIBLE FAMILIES. (3) CHILD INJURY AND PARENTING SUPPORTSTHE THIRD COMPONENT OF THE IMPLEMENTATION STRATEGY IS TO ADDRESS CHILD INJURY BY OFFERING SAFETY MATERIALS AND EDUCATIONAL CLASSES TO PARENTS AND CAREGIVERS IN THE COMMUNITY, ADDRESSING THE FOCUS AREAS OF CHILD INJURY AND PARENTING SUPPORTS. ARKANSAS CHILDREN'S HEALTH EDUCATORS WERE ABLE TO PIVOT DURING THE PANDEMIC. FOR THE FIRST TIME, AC OFFERED A VIRTUAL TRAINING FOR ITS BABYSITTING SAFETY CLASS IN JUNE; THIS TRAINING WAS AVAILABLE TO STUDENTS AROUND THE STATE OF ARKANSAS. 35 STUDENTS WERE TRAINED DURING TWO VIRTUAL SESSIONS INCLUDING A STUDENT FROM THE NORTHWEST ARKANSAS REGION THAT ACNW SERVES. ADDITIONALLY, THE INJURY PREVENTION CENTER AT ARKANSAS CHILDREN'S HOSPITAL HAS PROVIDED TRAININGS LIKE SAFETY BABY SHOWERS TO PARENTS AROUND THE STATE, INCLUDING NORTHWEST ARKANSAS. DUE TO COVID-19, THESE TRAININGS MIGRATED ONLINE AS WELL. OTHER ACTIONS TO ADDRESS CHILD INJURY AND TO SUPPORT PARENTS INCLUDE OFFERING RESOURCES TO FAMILIES IDENTIFIED AS UNDER-RESOURCED BY SOCIAL WORK. RESOURCES GIVEN INCLUDED CAR SEATS, MEDICATION LOCK BOXES, FIREARMS STORAGE AND LOCKS, AND HALO SLEEP SACKS. |
| SCHEDULE H, PART V, SECTION B, LINE 11 - CONTINUED | (4) IMMUNIZATIONS THE FOURTH COMPONENT OF THE IMPLEMENTATION STRATEGY IS TO IMPROVE ACCESS TO IMMUNIZATIONS BY COORDINATING IMMUNIZATION PROGRAMS WITH ACTIVITIES THAT PARENTS AND FAMILIES ALREADY ATTEND. ACNW IS STILL WORKING TOWARD ITS GOAL OF HAVING A VACCINE OUTREACH PLAN BY JUNE 2021 FOR THE NORTHWEST ARKANSAS REGION, WHERE ACNW IS AN IMPORTANT PEDIATRIC PROVIDER OF VACCINATIONS. A STATEWIDE IMMUNIZATION STRATEGY IS A KEY COMPONENT OF THE 2020-2025 ARKANSAS CHILDREN'S STRATEGIC PLAN. WORK FOR THIS STRATEGY IS UNDERWAY. ACNW LEADERSHIP KNOWS THAT AN EFFECTIVE STRATEGY WILL ACCOUNT FOR THE DIVERSE POPULATIONS OF NORTHWEST ARKANSAS, INCLUDING THE HISPANIC AND MARSHALLESE COMMUNITIES. FOR FY20, ACNW PROVIDED 2,277 FLU SHOTS TO PATIENTS. ADDITIONALLY, ACNW IS ABLE TO TRACK THE IMMUNIZATION RATE OF ITS PATIENTS IN THE FINAL QUARTER OF FY20 (APRIL JUNE 2020), 53% OF ELIGIBLE PATIENTS WERE FULLY IMMUNIZED FOR THEIR AGE. (5) REPRODUCTIVE HEALTHTHE FIFTH COMPONENT OF THE IMPLEMENTATION STRATEGY IS TO IMPROVE ACCESS TO REPRODUCTIVE HEALTH EDUCATION AND RESOURCES BY EXPANDING PARTNERSHIPS WITH OTHER HEALTHCARE GROUPS, TO ADDRESS THE FOCUS AREA OF REPRODUCTIVE HEALTH. ACNW IS STILL IN THE PLANNING PHASE OF LEVERAGING CURRENT PARTNERSHIPS TO PROVIDE INCREASED REPRODUCTIVE HEALTH EDUCATION AND RESOURCES TO FAMILIES. UAMS (UNIVERSITY OF ARKANSAS FOR MEDICAL SCIENCES) IS PARTNERING WITH NINTH GRADE HEALTH CLASSES IN THE SPRINGDALE SCHOOL DISTRICT TO IMPLEMENT THE TEEN OUTREACH PROGRAM (TOP). EACH WEEK CLASSES PARTICIPATE IN LESSONS FROM A VARIETY OF TOPICS (COMMUNICATION, RELATIONSHIPS, EMOTION MANAGEMENT, DECISION MAKING, PROBLEM SOLVING) AND SPEND ONE CLASS WORKING ON A COMMUNITY SERVICE PROJECT THAT CONNECTS TO THE COMMUNITY AND THE TOPICS THEY STUDY, SUCH AS RELATIONSHIPS. (6) ORAL HEALTHTHE SIXTH COMPONENT OF THE IMPLEMENTATION STRATEGY IS TO INCREASE ACCESS TO ORAL HEALTH CARE FOR KIDS IN NORTHWEST ARKANSAS BY PROVIDING ANCILLARY SUPPORT TO A NETWORK OF PARTNERS TO ADDRESS THIS FOCUS AREA. ACNW WILL CONTINUE TO WORK TO LEVERAGE CURRENT RESOURCES TO EXPAND THE REACH OF PARTNER GROUPS PROVIDING DENTAL OUTREACH. CURRENT ACTIONS TO ADDRESS ORAL HEALTH INCLUDE THE WORK OF THE ARKANSAS CHILDREN'S HOSPITAL DENTAL VAN IN WASHINGTON AND BENTON COUNTIES. THE NORTHWEST ARKANSAS MOBILE DENTAL CLINIC HAD 592 PATIENT VISITS IN FY20. THE ARKANSAS CHILDREN'S HOSPITAL MOBILE DENTAL CLINICS CLOSED IN MID-MARCH WHEN SCHOOLS CLOSED DUE TO COVID-19, AS SCHOOLS ARE THE PRIMARY SETTING FOR THE PROGRAM. (7) SOCIAL ISSUES THE SEVENTH COMPONENT OF THE IMPLEMENTATION STRATEGY IS TO ADDRESS SOCIAL ISSUES THAT IMPACT CHILD HEALTH BY COLLABORATING WITH A BROAD NETWORK OF CHILD HEALTH STAKEHOLDERS IN NORTHWEST ARKANSAS. ACNW IS STILL IN THE PLANNING STAGE OF HOW TO DEVELOP STRONGER, STRATEGIC PARTNERSHIPS THAT SUPPORT CHILD HEALTH IN THE REGION. WORK IS BEING DONE TO UNDERSTAND HOW ADDRESSING SOCIAL ISSUES IN NORTHWEST ARKANSAS NEEDS TO FACTOR IN THE HISPANIC AND MARSHALLESE COMMUNITIES. ACNW SOCIAL WORK PROVIDES SUPPORT FOR THE SOCIAL NEEDS OF PATIENT FAMILIES, AND SERVES FAMILIES WHETHER INPATIENT OR OUTPATIENT. THROUGH SOCIAL WORK, ACNW IS ABLE TO PROVIDE GAS CARDS, WARM MEALS AND LODGING FOR ELIGIBLE FAMILIES, FINANCIAL ASSISTANCE WITH MONTHLY BILLS LIKE HOUSING AND UTILITY PAYMENTS, AND BEREAVEMENT ASSISTANCE FOR GRIEVING FAMILIES. OTHER ITEMS THAT ARE GIVEN TO MEET FAMILIES' IMMEDIATE NEEDS INCLUDE: SAFETY ITEMS, CLOTHING, TRANSPORTATION, FOOD, AND PRESCRIPTION ASSISTANCE. SAFETY ITEMS INCLUDE PRODUCTS SUCH AS PACK 'N PLAYS, CAR SEATS, AND LOCK BOXES FOR MEDICATIONS OR GUNS THAT ARE USED IN COMBINATION WITH EDUCATION TO REDUCE PREVENTABLE INJURY AND DEATH IN CHILDREN. IN FY20, 716 FAMILIES WERE SERVED BY SOCIAL WORK.(8) MENTAL HEALTH AND SUBSTANCE USEACNW SOCIAL WORK AND PROVIDERS ROUTINELY ASSESS FOR SUBSTANCE ABUSE, MENTAL HEALTH, AND BEHAVIORAL HEALTH NEEDS DURING INPATIENT AND OUTPATIENT VISITS. SCREENING TOOLS ARE UTILIZED FOR PATIENTS AGE TEN OR ABOVE IN ALL SETTINGS. SOCIAL WORK PROVIDES REFERRALS TO ADDRESS BOTH ACUTE AND OUTPATIENT MENTAL HEALTH AND SUBSTANCE ABUSE NEEDS. ADDITIONAL PARTNERS WORK TO ADDRESS CHILDREN'S MENTAL HEALTH AND SUBSTANCE USE IN THE NORTHWEST ARKANSAS REGION. THE ARKANSAS DEPARTMENT OF HUMAN SERVICES PROVIDES SUBSTANCE USE TREATMENT IN THE AREA. ADDITIONALLY, ARKANSAS CHILDREN'S HOSPITAL HELPS MANAGE THE STATEWIDE PROJECT PREVENT COALITION. PROJECT PREVENT IS THE STATEWIDE YOUTH TOBACCO PREVENTION COALITION IN ARKANSAS. IT CONSISTS OF LOCAL CHAPTERS ACROSS THE STATE WHOSE MEMBERS CHOOSE TO LIVE THEIR LIVES FREE FROM TOBACCO AND NICOTINE WHILE ENCOURAGING OTHERS TO DO THE SAME. PROJECT PREVENT IS COORDINATED BY ARKANSAS CHILDREN'S HOSPITAL AND FUNDED BY THE ARKANSAS DEPARTMENT OF HEALTH'S TOBACCO PREVENTION & CESSATION PROGRAM. ACROSS THE STATE THERE ARE 67 CHAPTERS IN 38 COUNTIES. THE NORTHWEST ARKANSAS REGION HAS 13 OF THOSE CHAPTERS. |
| SCHEDULE H, PART V, SECTION B, LINE 16A - FAP WEBSITE | WWW.ARCHILDRENS.ORG/PATIENTS-AND-VISITORS/BILLING-AND-INSURANCE/FINANCIAL-ASSISTANCE |
| SCHEDULE H, PART V, SECTION B, LINE 16B - FAP APPLICATION | WWW.ARCHILDRENS.ORG/PATIENTS-AND-VISITORS/BILLING-AND-INSURANCE/FINANCIAL-ASSISTANCE |
| SCHEDULE H, PART V, SECTION B, LINE 16C - FAP PLAIN LANGUAGE SUMMARY | WWW.ARCHILDRENS.ORG/PATIENTS-AND-VISITORS/BILLING-AND-INSURANCE/FINANCIAL-ASSISTANCE |
Supplemental Information Detail SupplementalInformationDetail (12 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINE 3C: | ACNW USES FEDERAL POVERTY GUIDELINES TO DETERMINE FREE OR DISCOUNTED CARE.PART I, LINE 4:ACNW DOES NOT HAVE A SPECIFIC FINANCIAL ASSISTANCE PROGRAM FOR THE "MEDICALLY INDIGENT" AS DEFINED BY AR CODE SECTION 6-64-503(A), BUT ITS FINANCIAL ASSISTANCE POLICY DOES PROVIDE FREE CARE FOR INDIVIDUALS WITH HOUSEHOLD INCOMES UP TO 250% OF POVERTY AND DISCOUNTED CARE FORINDIVIDUALS WITH HOUSEHOLD INCOMES UP TO 400% OF POVERTY. AS PART OF THE APPLICATION PROCESS, ACNW REQUESTS THAT PERSONS WITH NO INCOME AND ALSO INELIGIBLE FOR MEDICAID, MEDICARE, OR MARKETPLACE SUBSIDIES PROVIDE A WRITTEN SIGNED STATEMENT DESCRIBING HOW THEY ARE MEETING THEIR DAY TO DAY BASIC LIVING NEEDS. THE APPLICATION SPECIFIES SUCH REQUIREMENTS FOR APPLICANTS WITH "NO INCOME IN THE HOME". ACNW ALSO ASSISTS FAMILIES IN APPLYING FOR MEDICAID (INCLUDING THE TEFRA PROGRAM FOR DISABLED CHILDREN THAT ONLY CONSIDERS THE CHILD'S INCOME), SSI, CHILDREN'S MEDICAL SERVICES, AS WELL AS ACH'S OWN FINANCIAL ASSISTANCE PROGRAM. THE HOSPITAL ALSO ALLOWS INTEREST FREE PAYMENTS TO BE MADE UNTIL THE OUTSTANDING BALANCE IS PAID WITHOUT TIME CONSTRAINTS. ACNW DOES NOT REPORT TO COLLECTION AGENCIES OR TAKE OTHER EXTRAORDINARY COLLECTION EFFORTS. |
| PART I, LINE 7: | COSTING METHOD - ARKANSAS CHILDREN'S NORTHWEST (ACNW) USES A COST ACCOUNTING (CA) SYSTEM AS THE BASIS FOR DETERMINING COST FOR ITS PATIENTS. ALL PATIENT ENCOUNTERS (INPATIENT, OUTPATIENT, ED, AMBULATORY SURGERY) ARE CAPTURED IN THE COST ACCOUNTING SYSTEM FOR ALL PATIENTS (MEDICAID, INSURANCE, UNINSURED) WITH NO DIFFERENTIATION FOR TYPE OF INSURANCE, IF ANY. A BRIEF DESCRIPTION OF THE COST ACCOUNTING SYSTEM IS BELOW.THE COST ACCOUNTING SYSTEM AT ACNW IS A DETAILED PROCEDURE SYSTEM. ALL SERVICES PERFORMED BY PATIENT CARE STAFF HAVE BEEN EVALUATED AS TO THE RESOURCES UTILIZED TO PROVIDE THE SERVICES INCLUDING LABOR, DIRECT MATERIALS AND EQUIPMENT. IN ADDITION, OVERHEAD TYPE COSTS (BUILDING, UTILITIES, PAYROLL, ETC.) HAVE ALSO BEEN ALLOCATED TO THESE SERVICES. THE TWO COMPONENTS, DIRECT AND INDIRECT COSTS, ARE COMBINED AND REPRESENT THE TOTAL COST TO PROVIDE EACH SERVICE. THIS IS DONE ON A PROCEDURE LEVEL BASIS. AS A PATIENT IS ADMITTED AND INCURS SERVICES (X-RAYS, ROOM & BOARD, LAB, ETC.), THE APPLICABLE PROCEDURE COSTS ARE ASSIGNED TO EACH PARTICULAR PATIENT. UPON DISCHARGE, THE COSTS FROM THE INDIVIDUAL PROCEDURES THAT WERE PROVIDED TO EACH PATIENT ARE ADDED UP FOR A TOTAL COST OF PROVIDING CARE FOR EACH INDIVIDUAL PATIENT.THE COST ACCOUNTING SYSTEM IS UPDATED ANNUALLY TO REFLECT THE CURRENT YEAR'S EXPENSES. |
| PART I, LINE 7G: | SUBSIDIZED HEALTH SERVICES - ACNW PROVIDES MANY PEDIATRIC SPECIALIZED SERVICES TO THE COMMUNITY THAT ARE EITHER NOT AVAILABLE OR ARE BEYOND THE CAPACITY OF THE COMMUNITY TO PROVIDE. MANY OF THESE SERVICES ARE PROVIDED BY ACNW AT A LOSS. THESE LOSSES WERE OBTAINED FROM THE COST ACCOUNTING SYSTEM. |
| PART II, COMMUNITY BUILDING ACTIVITIES: | ACNW CONTRIBUTES TO THE COMMUNITY IT SERVES BOTH AT A LOCAL AND A REGIONAL LEVEL. THERE ARE MULTIPLE EXAMPLES OF ORGANIZATIONS THAT ACNW HELPS SUPPORT. FOR INSTANCE, ACNW SUPPORTED THE ANNUAL NORTHWEST ARKANSAS FUNDRAISER OF ARKANSAS ADVOCATES FOR CHILDREN AND FAMILIES. ARKANSAS ADVOCATES FOR CHILDREN AND FAMILIES WORKS TO ENSURE THAT ALL CHILDREN AND THEIR FAMILIES HAVE THE RESOURCES AND OPPORTUNITIES TO LEAD HEALTHY AND PRODUCTIVE LIVES. THEY WORK TO ACHIEVE THIS GOAL THROUGH POLICY ADVOCACY, SHARING DATA TO SUPPORT PUBLIC POLICY, AND ORGANIZING COALITIONS OF DIVERSE GROUPS TO DRIVE CHANGE. THE NORTHWEST ARKANSAS FOOD BANK WAS ALSO SUPPORTED. THIS FOOD BANK IS ONE OF SIX FEEDING AMERICA FOOD BANKS IN ARKANSAS, AND WORKS WITH OVER 160 PARTNER AGENCIES TO HELP SERVE FOOD INSECURE PEOPLE IN FOUR COUNTIES: BENTON, CARROLL, MADISON, AND WASHINGTON. ACNW HAS ALSO CONTRIBUTED TO PARENTS LEFT BEHIND, AN ANNUAL GRIEF SEMINAR, TO SUPPORT FAMILIES WHO HAVE LOST A CHILD. OTHER COMMUNITY ORGANIZATIONS HAVE BEEN SUPPORTED AS WELL, SUCH AS THE EDUCATIONAL OUTREACH OF THE SPRINGDALE FIRE DEPARTMENT IN CONTRIBUTING TO A FIRE SAFETY HOUSE. |
| PART III, LINE 4: | UNCOLLECTIBLE UNCOMPENSATED CARE GENERALLY REPRESENTS STANDARD CHARGES THAT ARE UNREALIZED DUE TO AN UNWILLINGNESS TO PAY BY THOSE RESPONSIBLE FOR PAYMENT, THEREFORE BAD DEBT. UNCOLLECTIBLE UNCOMPENSATED CARE IS REPORTED AS A DEDUCTION FROM GROSS PATIENT REVENUE.FOR UNINSURED PATIENTS WHO DO NOT QUALIFY FOR CHARITY CARE, ACNW RECOGNIZES REVENUE BASED ON ESTABLISHED RATES, SUBJECT TO CERTAIN DISCOUNTS AS DETERMINED BY ACNW. AN ESTIMATED PROVISION FOR UNCOLLECTIBLE ACCOUNTS IS RECORDED THAT RESULTS IN NET PATIENT SERVICE REVENUE BEING REPORTED AT THE NET AMOUNT EXPECTED TO BE RECEIVED. IT HAS BEEN DETERMINED, BASED ON AN ASSESSMENT AT THE CONSOLIDATED ENTITY LEVEL, THAT PATIENT SERVICE REVENUE IS PRIMARILY RECORDED PRIOR TO ASSESSING THE PATIENT'S ABILITY TO PAY AND AS SUCH, THE ENTIRE PROVISION FOR UNCOLLECTIBLE ACCOUNTS RELATED TO PATIENT REVENUE IS RECORDED AS A DEDUCTION FROM PATIENT SERVICE REVENUE IN THE ACCOMPANYING CONSOLIDATED STATEMENTS OF OPERATIONS.PATIENT RECEIVABLES ARE REDUCED BY AN ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS. PERIODICALLY THROUGHOUT THE YEAR, MANAGEMENT ASSESSES THE ADEQUACY OF THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS BASED UPON HISTORICAL WRITE OFF EXPERIENCE BY PAYOR CATEGORY. THE RESULTS OF THIS REVIEW ARE THEN USED TO MAKE MODIFICATIONS TO THE PROVISION FOR UNCOLLECTIBLE ACCOUNTS TO ESTABLISH AN APPROPRIATE ALLOWANCE FOR UNCOLLECTIBLE RECEIVABLES.FOR PATIENT RECEIVABLES ASSOCIATED WITH SELF PAY PATIENTS, INCLUDING PATIENTS WITH DEDUCTIBLE AND COPAYMENT BALANCES FOR WHICH THIRD PARTY COVERAGE PROVIDES FOR A PORTION OF THE SERVICES PROVIDED, ACNW RECORDS AN ESTIMATED PROVISION FOR UNCOLLECTIBLE ACCOUNTS IN THE YEAR OF SERVICE. |
| PART III, LINE 8: | THE ACNW MEDICARE POPULATION IS PRIMARILY RENAL PEDIATRIC PATIENTS. THEREFORE, THE MEDICARE SHORTFALL SHOULD BE INCLUDED AS A COMPONENT OF COMMUNITY BENEFIT BECAUSE THE REIMBURSEMENT IS NOT NEGOTIATED AND SERVICES CANNOT BE PROVIDED ELSEWHERE. |
| PART III, LINE 9B: | ARKANSAS CHILDREN'S USES ITS BEST EFFORTS TO ASSIST PATIENTS/GUARANTORS IN MEETING THEIR FINANCIAL RESPONSIBILITY FOR SERVICES PROVIDED AT ACNW. OUR POLICY IS TO ACT WITH INTEGRITY IN ALL ENDEAVORS; TREATING ALL PATIENTS AND THEIR FAMILIES WITH DIGNITY, RESPECT, AND COMPASSION. THE STANDARD PROCESS INCLUDES OFFERING FINANCIAL ASSISTANCE TO ELIGIBLE FAMILIES. NOTICES REGARDING THE FINANCIAL ASSISTANCE PROGRAM ARE POSTED IN ENGLISH AND SPANISH IN ALL REGISTRATION AREAS. FINANCIAL ASSISTANCE BROCHURES ARE AVAILABLE TO FAMILIES UPON REQUEST. THE GUARANTOR STATEMENTS AND THE ARKANSAS CHILDREN'S WEBSITE CONTAIN INFORMATION ABOUT THIS PROGRAM. THERE ARE FINANCIAL COUNSELORS AVAILABLE TO ALL REGISTRATION AREAS OF THE HOSPITAL TO ASSIST IN COMPLETING MEDICAID, CMS, SSI INTENTS, AND FINANCIAL ASSISTANCE APPLICATIONS. ACNW BILLING AND COLLECTIONS IS A SERVICE PROVIDED BY ARKANSAS CHILDREN'S HOSPITAL (ACH), WHICH IS AN AFFILIATED COMPANY. ACH TAKES NO EXTRAORDINARY COLLECTION EFFORTS. ACH DOES NOT REPORT TO CREDIT BUREAUS OR CHARGE INTEREST OR FILE LIENS AGAINST A PATIENT'S OR FAMILY'S RESIDENCE TO SECURE PAYMENT ON PATIENT ACCOUNT BALANCES. UPON RECEIPT OF A PERSONAL BANKRUPTCY NOTICE, ANY OUTSTANDING SELF-PAY BALANCES FOR THE ASSOCIATED PATIENT ARE WRITTEN OFF ONCE ALL OTHER PAYMENTS HAVE BEEN RECEIVED. ALL SELF-PAY COLLECTION ACTIVITY IS STOPPED UPON NOTIFICATION OF THE BANKRUPTCY.UPFRONT DISCOUNTS ON SERVICES FOR THE UNINSURED ARE OFFERED. THE FAMILY CAN ALSO REQUEST A PROMPT PAY DISCOUNT. ADDITIONALLY, ACH ATTEMPTS TO ACCOMMODATE U.S. FAMILIES WHO DESIRE TO SET UP REASONABLE PAYMENT PLANS. INTEREST IS NOT CHARGED. THE HOSPITAL'S GUARANTOR STATEMENTS ARE DESIGNED TO KEEP THE GUARANTOR UPDATED AS TO WHETHER THE ACCOUNT IS STILL PENDING RESOLUTION BY INSURANCE OR DUE FROM THE GUARANTOR. SELF-PAY COLLECTION ATTEMPTS ARE DISCONTINUED ONCE CHARGES ARE DETERMINED TO QUALIFY FOR FINANCIAL ASSISTANCE. |
| PART VI, LINE 2: | DURING FISCAL YEAR 2019 AND EARLY FISCAL YEAR 2020, ACNW COMPLETED ITS INITIAL COMMUNITY HEALTH NEEDS ASSESSMENT AND IMPLEMENTATION STRATEGY THAT WILL GUIDE THE HOSPITAL'S COMMUNITY BENEFIT AND COMMUNITY PARTNERSHIPS TO IMPROVE HEALTH. |
| PART VI, LINE 3: | PLEASE SEE PART III, LINE 9B DESCRIPTION. |
| PART VI, LINE 4: | THE ARKANSAS CHILDREN'S NORTHWEST (ACNW) HOSPITAL, WHICH OPENED FEBRUARY 27, 2018, IS 233,613 SQ. FEET ON A 37-ACRE CAMPUS LOCATED IN SPRINGDALE ARKANSAS. ACNW IS THE REGION'S FIRST AND ONLY PEDIATRIC HOSPITAL AND WILL SERVE MORE THAN 200,000 CHILDREN LOCATED IN THE 11-COUNTY NORTHWEST ARKANSAS REGION. ACNW DREW APPROXIMATELY 76.2% OF ITS OUTPATIENTS AND 68.0% OF ITS INPATIENTS FROM WASHINGTON AND BENTON COUNTIES FOR THE FISCAL YEAR ENDING JUNE 30, 2020, WITH THE MAJORITY OF THE PATIENTS COMING FROM WASHINGTON COUNTY. ACCORDING TO U.S. CENSUS BUREAU 2010 CENSUS DATA, POPULATION TOTALS AT THAT TIME WERE 2,915,918 FOR THE STATE OF ARKANSAS AND 203,065 FOR WASHINGTON COUNTY. ESTIMATED 2019 CENSUS DATA INDICATED POPULATION TOTALS TO BE 3,017,804 FOR ARKANSAS AND POPULATION TOTALS ESTIMATED TO BE 239,187 IN WASHINGTON 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.ESTIMATES FOR 2019 INDICATE THAT THE HISPANIC CHILD POPULATION IN ARKANSAS WAS 12.3% AND THE AFRICAN AMERICAN CHILD POPULATION WAS 17.5%. 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 VOLUNTEER ENGAGEMENT VOLUNTEER RESOURCES ARE INTEGRATED INTO MORE THAN 35 DEPARTMENTS ACROSS BOTH ARKANSAS CHILDREN'S HOSPITAL AND ARKANSAS CHILDREN'S NORTHWEST. FROM JULY 2019 TO MARCH 2020, ACNW HAD JUST OVER 500 VOLUNTEERS, AND TEN 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, FIVE VOLUNTEERS WENT THROUGH AN APPROPRIATE SCREENING AND TRAINING PROCESS TO RETURN FOR LIMITED ASSIGNMENTS IN THE ARKANSAS CHILDREN'S FOUNDATION OFFICE AT ACNW. THE ARKANSAS CHILDREN'S PATIENT AND FAMILY ADVISOR PROGRAM ENGAGES PARENTS AND CAREGIVERS IN A VARIETY OF WAYS TO CONTINUE ADVANCING OUR COMMITMENT TO PATIENT AND FAMILY-CENTERED CARE. THERE ARE TEN DIFFERENT FAMILY ADVISORY BOARDS IN THE ARKANSAS CHILDREN'S SYSTEM. ONE OF THE FAMILY ADVISORY BOARDS IS FOR ACNW SPECIFICALLY, AND INITIATIVES AND EDUCATION ARE SHARED ACROSS ALL OF THE DIFFERENT BOARDS AND BETWEEN THE HOSPITALS. THESE GROUPS HAVE BROUGHT ABOUT MANY MEANINGFUL CHANGES TO THE HOSPITALS, INCLUDING: VIDEO STREAMING; CO-DESIGNED PATIENT SAFETY INFORMATION; A MEAL ASSISTANCE PROGRAM; AND THE DEVELOPMENT OF PATIENT AND FAMILY HEALTH INFORMATION. PATIENT AND FAMILY ADVISORS ARE ENGAGED IN OTHER CAPACITIES, INCLUDING HOSPITAL COMMITTEES, A MENTOR PROGRAM, AND AN E-COUNCIL. THE ADVISORS ARE A MAJOR ASSET IN THE COMMITMENT TO PATIENT SAFETY AND TO THE HOSPITAL MISSION.ARKANSAS CHILDREN'S CARE NETWORK (ACCN), WITHIN THE ARKANSAS CHILDREN'S SYSTEM, COLLABORATES WITH ACNW. ACCN SEEKS TO FUNDAMENTALLY AND POSITIVELY TRANSFORM HEALTH IN THE CHILDREN OF ARKANSAS THROUGH A CLINICALLY INTEGRATED NETWORK (CIN) COMPRISED OF HEALTH CARE PROFESSIONALS WHO PROVIDE COORDINATED AND ACCOUNTABLE PEDIATRIC CARE. ACCN WILL ACHIEVE THIS BY IMPROVING QUALITY, ACCESS, AND PATIENT/FAMILY EXPERIENCE, WHILE IMPACTING THE AFFORDABILITY OF HEALTH CARE AND INCREASING PHYSICIAN ENGAGEMENT AND SATISFACTION. |
| PART VI, LINE 6: | ACNW IS PART OF AN AFFILIATED HEALTH CARE SYSTEM, FOR WHICH ARKANSAS CHILDRENS, INC., INCORPORATED IN DECEMBER 2015, SERVES AS THE PARENT CORPORATION. THE ARKANSAS CHILDREN'S HEALTH SYSTEM CONSISTS OF ARKANSAS CHILDREN'S, INC., ARKANSAS CHILDREN'S HOSPITAL (ACH), ARKANSAS CHILDREN'S NORTHWEST (ACNW), ARKANSAS CHILDREN'S FOUNDATION (ACF), ARKANSAS CHILDREN'S RESEARCH INSTITUTE (ACRI), ARKANSAS CHILDREN'S CARE NETWORK (ACCN), ARKANSAS CHILDREN'S MEDICAL GROUP (ACMG), AND SACOVA INSURANCE COMPANY. ACH IS A NOT-FOR-PROFIT PEDIATRIC HOSPITAL LOCATED IN LITTLE ROCK, ARKANSAS AND SERVES AS THE ONLY QUATERNARY HEALTH CARE FACILITY FOR CHILDREN IN THE STATE OF ARKANSAS. ACNW IS A NOT-FOR-PROFIT PEDIATRIC HOSPITAL LOCATED IN SPRINGDALE, ARKANSAS, THAT OPENED IN FEBRUARY 2018. ACNW SERVES AS THE ONLY EXCLUSIVELY PEDIATRIC HEALTH CARE FACILITY FOR CHILDREN IN THE NORTHWEST REGION OF THE STATE. ACF IS A NOT-FOR-PROFIT ORGANIZATION THAT EXISTS AS THE FUNDRAISING BRANCH OF ARKANSAS CHILDREN'S. ACRI OPERATES TO SUPPORT, THROUGH CHARITABLE, SCIENTIFIC, AND EDUCATIONAL MEANS, THE MISSION OF ARKANSAS CHILDREN'S. ACCN IS A NOT-FOR-PROFIT PEDIATRIC STATEWIDE CLINICALLY INTEGRATED NETWORK. ACMG WAS FORMED TO PROVIDE PHYSICIAN SERVICES TO ACH AND ACNW. SACOVA IS A SINGLE PARENT CAPTIVE INSURANCE COMPANY PROVIDING PROFESSIONAL AND GENERAL LIABILITY AND WORKER'S COMPENSATION COVERAGE.ALTHOUGH NOT CORPORATE AFFILIATES, ACNW AND THE UNIVERSITY OF ARKANSAS FOR MEDICAL SCIENCES (UAMS) ARE INVOLVED IN AN AGREEMENT IN THE PURSUIT OF PROFESSIONAL EDUCATION, RESEARCH, AND CLINICAL CARE FOR CHILDREN. ALL PEDIATRIC SUB-SPECIALTY WORK IS CONDUCTED ON THE ACNW CAMPUS WITH ACNW PROVIDING SPACE, SUPPORTING STAFF AND SERVICES AND FUNDING FOR MAJOR EDUCATIONAL AND CLINICAL EXPERTISE. |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (1) | GrantRecordsMaintainedInd |
Recipient Table RecipientTable (2 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | Recipient EINRecipientEIN | IRC SectionIRCSectionDesc | Cash GrantCashGrantAmt | Purpose Of GrantPurposeOfGrantTxt |
|---|---|---|---|---|---|---|---|
| ARKANSAS CHILDREN'S HOSPITAL | |||||||
| 1 CHILDRENS WAY | LITTLE ROCK | AR | 72202 | 710236857 | 501(C)(3) | $17,720 | GENERAL SUPPORT |
| CITY OF SPRINGDALE - SPRINGDALE FIRE DEPARTMENT | |||||||
| PO BOX 1521 | SPRINGDALE | AR | 72765 | 716015810 | GOV'T ENTITY | $5,000 | DONATION TOWARDS FIRE SAFETY HOUSE |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 2 | Total501c3OrgCnt |
| Total Other Org | 0 | TotalOtherOrgCnt |
Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp (5 entries)
| Grant TypeGrantTypeTxt | RecipientRecipientCnt | Non Cash AssistanceNonCashAssistanceAmt | Valuation Method UsedValuationMethodUsedDesc | Non Cash AssistanceNonCashAssistanceDesc | Cash GrantCashGrantAmt |
|---|---|---|---|---|---|
| MEALS | 52 | $2,325 | COST | MEALS FOR PATIENT FAMILIES/CAREGIVERS | |
| TRANSPORTATION COSTS (BUS TOKENS, CAB FARE, GAS CARDS) | 170 | COST | $4,492 | ||
| FUNERAL EXPENSES | 1 | COST | $1,000 | ||
| RENT, MORTGAGE, UTILITIES, LODGING | 6 | COST | $2,865 | ||
| GROCERY GIFT CARDS AND OTHER MISC. FAMILY ASSISTANCE | 490 | COST | $7,517 |
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 (9 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 AND CFO | $0 | $475,687 | $0 | $116,031 | $0 | $59,274 | $0 | $71,436 | $0 | $11,393 | $0 | $733,821 | $0 | $55,824 |
| CHARLES M BOWER MD | ||||||||||||||
| TRUSTEE/DIRECTOR-CHIEF OF STAFF | $0 | $550,000 | $0 | $8,674 | $0 | $0 | $0 | $0 | $0 | $64,463 | $0 | $623,137 | $0 | $0 |
| PATRICIA MONTAGUE | ||||||||||||||
| SVP/CHIEF ADMINISTRATOR | $326,534 | $0 | $78,804 | $0 | $60,972 | $0 | $50,347 | $0 | $1,954 | $0 | $518,611 | $0 | $27,710 | $0 |
| CINDY HILL | ||||||||||||||
| FINANCIAL SERVICES VP | $0 | $223,389 | $0 | $50,355 | $0 | $946 | $0 | $17,443 | $0 | $11,457 | $0 | $303,590 | $0 | $0 |
| MICHAEL HOWARD | ||||||||||||||
| VP/CHIEF NURSING OFFICER | $184,045 | $0 | $38,101 | $0 | $257 | $0 | $4,896 | $0 | $5,211 | $0 | $232,510 | $0 | $0 | $0 |
| DIANA MCDANIEL | ||||||||||||||
| OPERATIONS VP | $178,422 | $0 | $35,539 | $0 | $140 | $0 | $13,101 | $0 | $2,163 | $0 | $229,365 | $0 | $0 | $0 |
| KEITH VEIT | ||||||||||||||
| PATIENT CARE SVC DIRECTOR | $132,149 | $0 | $12,518 | $0 | $711 | $0 | $7,150 | $0 | $10,962 | $0 | $163,490 | $0 | $0 | $0 |
| JAMA HUNTLEY | ||||||||||||||
| PHARMACY MANAGER | $145,152 | $0 | $2,188 | $0 | $111 | $0 | $3,688 | $0 | $4,989 | $0 | $156,128 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail (5 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINE 1A | CHARTER TRAVEL IS USED BY ARKANSAS CHILDREN'S AND AFFILIATED ENTITIES' BOARD MEMBERS AND STAFF (AND OCCASIONALLY ACCOMPANYING SPOUSES/COMPANIONS) WHEN IT IS DEEMED THE MOST EFFICIENT METHOD OF TRAVEL TO DISTANT AREAS WITHIN THE STATE OR TO SURROUNDING STATES FOR PURPOSES RELATED TO ARKANSAS CHILDREN'S BUSINESS. SEPARATE (NON-CHARTER) TRAVEL FOR COMPANIONS IS REIMBURSED BY THE EMPLOYEE IF SUCH TRAVEL IS ON AN INDIVIDUAL BASIS; THUS, SUCH TRAVEL IS NOT CONSIDERED TAXABLE COMPENSATION TO THE EMPLOYEE. THREE OFFICERS/EMPLOYEES AND THREE BOARD MEMBERS USED CHARTER TRAVEL DURING THE CALENDAR YEAR. BECAUSE THE CHARTER TRAVEL WAS USED FOR ARKANSAS CHILDREN'S BUSINESS PURPOSES, IT WAS NOT CONSIDERED AS TAXABLE WAGES. |
| PART I, LINE 3 | COMPENSATION FOR ANY ACNW EXECUTIVE OR SENIOR OFFICER (PRESIDENT; EXECUTIVE VICE PRESIDENT; SENIOR VICE PRESIDENT) WHO IS NOT A CONTRACTED UAMS EMPLOYEE IS REVIEWED BY THE ARKANSAS CHILDREN'S HUMAN RESOURCES AND COMPENSATION COMMITTEE WHICH IS ESTABLISHED THROUGH THE BYLAWS OF ARKANSAS CHILDREN'S, INC. THE HUMAN RESOURCES AND COMPENSATION COMMITTEE HAS THE FULL AUTHORITY AND SPECIFIC RESPONSIBILITY FOR REVIEWING AND APPROVING COMPENSATION POLICIES, BASE SALARY AND INCENTIVE COMPENSATION LEVELS, EXECUTIVE RETIREMENT AND OTHER EXECUTIVE BENEFIT PLANS FOR HEALTH SYSTEM SENIOR MANAGEMENT, INCLUDING OFFICERS OF THE CORPORATION AND AFFILIATES WHO ARE "DISQUALIFIED PERSONS" UNDER SECTION 4958 OF THE CODE. THE POLICIES AND PROGRAMS REVIEWED AND APPROVED BY THE HUMAN RESOURCES AND COMPENSATION COMMITTEE SHALL BE DESIGNED TO ENSURE THAT THE CORPORATION AND ITS AFFILIATES REMAIN COMPETITIVE AND REASONABLE RELATIVE TO THE COMPENSATION AND BENEFITS PRACTICES OF SIMILARLY SITUATED HEALTH SYSTEMS LOCALLY AND NATIONALLY, AND TO PERMIT THE CORPORATION AND SUCH AFFILIATES TO ATTRACT AND RETAIN SUPERIOR SENIOR MANAGEMENT, IN FURTHERANCE OF THE CORPORATION'S AND AFFILIATES PURPOSES. THE HUMAN RESOURCES AND COMPENSATION COMMITTEE SHALL HAVE, TO THE FULLEST EXTENT OF THE LAW, THE AUTHORITY TO APPROVE THE COMPENSATION PACKAGES FOR SENIOR MANAGEMENT OF THE CORPORATION AND THE AFFILIATES. IN ITS PROCESS, THE COMMITTEE SHALL OBTAIN AND MUST RELY UPON APPROPRIATE DATA AS TO COMPARABILITY PRIOR TO MAKING ITS DETERMINATION OF REASONABLENESS WITH RESPECT TO THE COMPENSATION ARRANGEMENTS OF DISQUALIFIED PERSONS. APPROPRIATE DATA INCLUDES, BUT IS NOT LIMITED TO, COMPENSATION LEVELS PAID BY SIMILARLY SITUATED ORGANIZATIONS, BOTH TAXABLE AND TAX-EXEMPT, FOR FUNCTIONALLY COMPARABLE POSITIONS; THE AVAILABILITY OF SIMILAR SERVICES IN THE GEOGRAPHIC AREA OF THE CORPORATION, CURRENT COMPENSATION SURVEYS COMPILED BY INDEPENDENT FIRMS; AND ACTUAL WRITTEN OFFERS FROM SIMILAR INSTITUTIONS COMPETING FOR THE SERVICES OF THE DISQUALIFIED PERSON. THE COMMITTEE MAY RELY UPON OPINIONS OF QUALIFIED LEGAL, ACCOUNTING, VALUATION AND EXECUTIVE COMPENSATION EXPERTS. CONTEMPORANEOUSLY WITH MAKING ITS DETERMINATION OF REASONABLENESS WITH RESPECT TO THE COMPENSATION ARRANGEMENT OF THE CEO AND DISQUALIFIED PERSONS, THE COMMITTEE SHALL DOCUMENT IN ITS MINUTES THE BASIS FOR ITS DECISIONS. A VERBAL REPORT IS PROVIDED TO THE BOARD BY THE CHAIR OF THE COMMITTEE. MINUTES ARE AVAILABLE FOR REVIEW UPON BOARD MEMBER REQUEST TO THE BOARD CHAIR. |
| PART I, LINE 4B | THE ARKANSAS CHILDREN'S DEFERRED COMPENSATION PLAN (DCP), WAS INSTITUTED ON 6/30/2014. THE DCP IS A 457(F) NONQUALIFIED SUPPLEMENTAL RETIREMENT PLAN, PROVIDING ANNUAL CONTRIBUTIONS TO CERTAIN EXECUTIVES AT A PERCENTAGE OF THEIR BASE SALARY IN EFFECT ON JUNE 30 OF THE PLAN YEAR. THE SUPPLEMENTAL COMPENSATION SERVES TO ENCOURAGE CONTINUED EMPLOYMENT WITH ARKANSAS CHILDREN'S AND ITS AFFILIATES. THE PLAN PROVIDES THAT DEFERRED AMOUNTS ARE PAID AS SOON AS ADMINISTRATIVELY POSSIBLE AFTER BEING VESTED. IT IS INTENDED THAT SUCH PAYMENTS QUALIFY FOR THE "SHORT-TERM DEFERRAL" EXEMPTION FROM IRC SECTION 409A, AND FOR TAX DEFERRAL UNDER IRC SECTION 457(F). PER THE PLAN DOCUMENT, EACH DCP CONTRIBUTION FOR A PLAN YEAR AND ITS ASSOCIATED EARNINGS VEST AS FOLLOWS, ON THE EARLIER OF: - (SUBACCOUNT); THE FIRST DAY OF THE PLAN YEAR FOLLOWING THREE (3) CONTINUOUS PLAN YEARS OF EMPLOYMENT BY THE PARTICIPANT WITH ARKANSAS CHILDREN'S OR AFFILIATE, WHICH BEGINS ON THE FIRST DAY OF THE PLAN YEAR FOR WHICH THE CONTRIBUTION IS CREDITED. - (PRIMARY ACCOUNT, INCLUDING SUBACCOUNTS) - ATTAINMENT OF AGE 65 AND AT LEAST 3 YEARS OF SERVICE AS A DCP PARTICIPANT - (PRIMARY ACCOUNT, INCLUDING SUBACCOUNTS) - DEATH OR PERMANENT DISABILITY - (PRIMARY ACCOUNT, INCLUDING SUBACCOUNTS) - INVOLUNTARY TERMINATION (OTHER THAN FOR CAUSE) - (PRIMARY ACCOUNT, INCLUDING SUBACCOUNTS) - PLAN TERMINATION FOR TAX YEAR 2019 (FISCAL YEAR 2020), THE FOLLOWING ACNW REPORTABLE EMPLOYEES WERE ELIGIBLE AND PARTICIPATING IN THE DEFERRED COMPENSATION PLAN: - MARCELLA DODERER: AC/ACH/ACNW PRESIDENT/CEO - $117,166 - GENA WINGFIELD: ACH/ACNW EVP AND CFO - $57,984 - PATRICIA MONTAGUE: ACNW SENIOR VICE PRESIDENT - $28,783 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. THREE ACNW REPORTABLE EMPLOYEES ELIGIBLE AND PARTICIPATING IN THE PLAN RECEIVED PAYMENTS IN FY20, DISTRIBUTED AS PER THE PLAN DOCUMENT. SUCH AMOUNT IS NOTED IN SCHEDULE J, PART II, COLUMN F AS PREVIOUSLY EARNED. |
| FORM 990, SCHEDULE J, PART I, LINES 5-7 | THE INCENTIVE PLANS FOR ALL ENTITIES HAVE SPECIFIC RULES AND CALCULATIONS FOR BONUSES. NONE ARE CONTINGENT ON REVENUES OR NET EARNINGS OF THE ORGANIZATIONS (ANY), AND SINCE THEY ARE CALCULATED BASED ON A SPECIFIC FORMULA, THEY ARE NOT "NON-FIXED". |
| FORM 990, PART VII, SECTION A, LINE 5: | DIRECTOR AND CHIEF OF STAFF, CHARLES BOWER, M.D. WAS COMPENSATED BY UAMS AS AN EMPLOYEE FOR SERVICES RENDERED TO ARKANSAS CHILDREN'S HOSPITAL (ACH) AND ARKANSAS CHILDREN'S NORTHWEST (ACNW) FOR WHICH ACH REMITTED PAYMENT LISTED AS "REPORTABLE COMPENSATION FROM RELATED ORGANIZATIONS" IN PART VII. THE AMOUNT NOTED AS COMPENSATION IN SCHEDULE J FOR THE PHYSICIAN NOTED ABOVE WAS THE DESIGNATED AMOUNT PER THE RELATED CONTRACT WITH UAMS. |
Schedule K IRS990ScheduleK
Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
Issuer Name IssuerName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CITY OF SPRINGDALE AR PUBLIC FACILITIES BOARD | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Issuer EIN | 830465683 | BondIssuerEIN |
| CUSIP | 82025WAW1 | CUSIPNum |
| Bond Issued | 2016-06-09 | BondIssuedDt |
| Issue Price | $84,999,875 | IssuePriceAmt |
| Purpose | SEE SCHEDULE K, PART VI. | PurposeDesc |
| Defeased | 0 | DefeasedInd |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuerInd |
| Pool Financing | 0 | PoolFinancingInd |
Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Retired | $6,500,000 | RetiredAmt |
| Total Proceeds | $85,258,623 | TotalProceedsAmt |
| Issuance Costs From Proceeds | $742,725 | IssuanceCostsFromProceedsAmt |
| Capital Expenditures | $84,515,898 | CapitalExpendituresAmt |
| Substantial Completion | 2018 | SubstantialCompletionYr |
| Refunding Tax Exempt Bonds | 0 | RefundingTaxExemptBondsInd |
| Refunding Taxable Bonds | 0 | RefundingTaxableBondsInd |
| Final Allocation Made | Yes (1) | FinalAllocationMadeInd |
| Adequate Books And Rec Maint | Yes (1) | AdequateBooksAndRecMaintInd |
Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Owning Bond Financed Property | 0 | OwningBondFinancedPropertyInd |
| Any Lease Arrangements | 0 | AnyLeaseArrangementsInd |
| Mgmt Contract Bond Fincd Prop | Yes (1) | MgmtContractBondFincdPropInd |
| Engage Bond Counsel Contracts | 0 | EngageBondCounselContractsInd |
| Any Research Agreements | 0 | AnyResearchAgreementsInd |
| Private Bus Use By Others | 0.00000 | PrivateBusUseByOthersPct |
| Private Bus Concerning UBI | 0.00000 | PrivateBusConcerningUBIPct |
| Total Private Business Use | 0.00000 | TotalPrivateBusinessUsePct |
| Bond Iss Meet Prvt Sec Pymt Test | 0 | BondIssMeetPrvtSecPymtTestInd |
| Change In Use Bond Financed Prop | 0 | ChangeInUseBondFinancedPropInd |
| Procs Nonqualified Bond Remdtd | Yes (1) | ProcsNonqualifiedBondRemdtdInd |
Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Form8038 T Filed | 0 | Form8038TFiledInd |
| Rebate Not Due Yet | 0 | RebateNotDueYetInd |
| Exception To Rebate | Yes (1) | ExceptionToRebateInd |
| No Rebate Due | 0 | NoRebateDueInd |
| Variable Rate Issue | 0 | VariableRateIssueInd |
| Hedge Identified In Bks And Rec | 0 | HedgeIdentifiedInBksAndRecInd |
| Gross Proceeds Invested In GIC | 0 | GrossProceedsInvestedInGICInd |
| Gross Proceeds Invested | 0 | GrossProceedsInvestedInd |
| Written Proc To Monitor Reqs | Yes (1) | WrittenProcToMonitorReqsInd |
Procedures Corrective Action ProceduresCorrectiveActionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Procedures Corrective Action | Yes (1) | ProceduresCorrectiveActionInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE K SUPPLENTAL INFORMATION | FormAndLineReferenceDesc |
| Explanation | PART I, LINE A - DESCRIPTION OF PURPOSE. PROCEEDS USED TO (I) FINANCE THE ACQUISITION, CONSTRUCTION, AND EQUIPPING OF A PEDIATRIC HOSPITAL FACILITY TO BE LOCATED IN THE CITY OF SPRINGDALE, AR, AND (II) PAY CERTAIN EXPENSES IN CONNECTION WITH THE ISSUANCE OF THE SERIES 2016 BONDS. PART II, LINE 3, BOND A - TOTAL PROCEEDS DIFFER FROM ISSUE PRICE DUE TO CUMULATIVE INVESTMENT EARNINGS. | ExplanationTxt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (13 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION A, LINE 2 | THE FOLLOWING BOARD MEMBERS HAD A BUSINESS RELATIONSHIP DURING THE FISCAL YEAR: RON CLARK AND MARK SAVIERS. |
| FORM 990, PART VI, SECTION A, LINE 3 | ACNW'S CHIEF OF MEDICAL STAFF (CMS) POSITION IS HELD BY CHARLES BOWER, M.D., WHO HOLDS A FACULTY APPOINTMENT IN THE UNIVERSITY OF ARKANSAS FOR MEDICAL SCIENCES, COLLEGE OF MEDICINE. ALTHOUGH DR. BOWER IS AN EMPLOYEE OF UAMS, AS CMS, HE IS ALSO A DESIGNATED MEMBER OF THE ACNW BOARD OF DIRECTORS. AS A UAMS EMPLOYEE, THE HOSPITAL SYSTEM REIMBURSES UAMS FOR HIS ROLE AND SERVICES RENDERED TO BOTH ACNW AND ACH. |
| FORM 990, PART VI, SECTION A, LINE 6 | THE SOLE MEMBER OF ACNW IS ARKANSAS CHILDREN'S, INC., AN ARKANSAS NONPROFIT PUBLIC BENEFIT CORPORATION (THE "SOLE MEMBER"). |
| FORM 990, PART VI, SECTION A, LINE 7A | ARKANSAS CHILDREN'S, INC., ACNW'S SOLE MEMBER, HAS THE RESERVED POWER TO FIX THE SIZE OF THE BOARD OF DIRECTORS, AND THE GOVERNING BOARD OF ANY AFFILIATE CONTROLLED BY THE CORPORATION, AND APPOINT AND REMOVE, WITH OR WITHOUT CAUSE, THE DIRECTORS OF THE CORPORATION, AND MEMBERS OF THE GOVERNING BOARD OF ANY AFFILIATE CONTROLLED BY THE CORPORATION. |
| FORM 990, PART VI, SECTION A, LINE 7B | ACNW'S ARTICLES OF INCORPORATION MAY BE AMENDED, AND THE BYLAWS MAY BE ALTERED, AMENDED, OR REPEALED AND NEW BYLAWS MAY BE ADOPTED: (I) UPON THE APPROVAL OF BOTH THE BOARD AND THE SOLE MEMBER, IF THE AMENDMENT DOES NOT RELATE TO THE NUMBER OF DIRECTORS, THE COMPOSITION OF THE BOARD, THE TERM OF OFFICE OF DIRECTORS, OR THE METHOD OR WAY IN WHICH DIRECTORS ARE ELECTED OR SELECTED; OR (II) BY THE MEMBER. |
| FORM 990, PART VI, SECTION B, LINE 11B | THE DRAFT FORM 990, WHICH IS RECONCILED TO THE ARKANSAS CHILDREN'S NORTHWEST (ACNW) INTERNAL FINANCIAL STATEMENTS AND THE ARKANSAS CHILDREN'S, INC. CONSOLIDATED AUDIT REPORT, IS INITIALLY REVIEWED IN DETAIL WITH ACNW'S SENIOR VICE PRESIDENT. THE DRAFT IS ALSO REVIEWED IN DETAIL WITH BOTH THE EVP/CFO AND THE VP OF FINANCIAL OPERATIONS OF ARKANSAS CHILDREN'S, INC. IF THE REVIEW BY ACNW'S MANAGEMENT RESULTS IN REVISIONS TO THE DRAFT FORM 990, THOSE REVISIONS ARE MADE, AND THE FORM 990 TO BE FILED IS PROVIDED TO THE ACNW BOARD OF DIRECTORS PRIOR TO THE RETURN BEING FILED. IN ADDITION, THE FORM 990 IS PROVIDED TO BOTH THE CHAIRMAN OF THE BOARD AND THE TREASURER OF ARKANSAS CHILDREN'S, INC. |
| FORM 990, PART VI, SECTION B, LINE 12C | ARKANSAS CHILDREN'S, INC. (THE PARENT) HAS A BOARD OF DIRECTORS CONFLICT OF INTEREST POLICY THAT IS ISSUED TO AND REVIEWED WITH ALL NEW BOARD MEMBERS DURING THEIR BOARD ORIENTATION. IN ADDITION, THE INTERNAL GENERAL COUNSEL OR THE SYSTEM COMPLIANCE OFFICER WILL PERIODICALLY REVIEW THE POLICY WITH THE FULL BOARD DURING A REGULAR BOARD MEETING. A DIRECTOR SHALL DISCLOSE IN WRITING TO THE BOARD OF DIRECTORS ANY ACTUAL OR POTENTIAL CONFLICT OF INTEREST WHEN THE SITUATION DEVELOPS, INCLUDING THE FACTS THAT MAKE IT AN ACTUAL OR POTENTIAL CONFLICT. EACH DIRECTOR SHALL SIGN AN INITIAL CONFLICT OF INTEREST DISCLOSURE STATEMENT UPON ELECTION TO THE BOARD OF DIRECTORS. EACH DIRECTOR ALSO SHALL SIGN AN ANNUAL CONFLICT OF INTEREST DISCLOSURE STATEMENT. IF AN ACTUAL OR POTENTIAL CONFLICT OF INTEREST DEVELOPS AFTER THE DIRECTOR'S INITIAL AND ANNUAL STATEMENTS ARE SIGNED, THE DIRECTOR SHALL IMMEDIATELY SIGN A NEW DISCLOSURE STATEMENT TO ADDRESS THE NEW SITUATION OR TRANSACTION. CONFLICT OF INTEREST DISCLOSURE STATEMENTS OR DECLARED CONFLICTS WILL BE REVIEWED BY THE DIRECTOR BOARD OFFICERS. REVIEW WILL RESULT IN ONE OF THE FOLLOWING ACTIONS BY MAJORITY VOTE: (1) DETERMINED NOT TO BE A CONFLICT; (2) CONFLICT IS ACCEPTED; OR (3) CONFLICT IS NOT ACCEPTED AND THE DIRECTOR WILL NEED TO ABSTAIN FROM PARTICIPATION IN CERTAIN VOTES. CONFLICT DISCLOSURES, FACTS AND ACTIONS WILL BE DOCUMENTED IN THE APPROPRIATE COMMITTEE OR BOARD MINUTES. A DIRECTOR WITH A CONFLICT OF INTEREST WILL NOT PARTICIPATE IN DELIBERATIONS OR VOTE BY THE BOARD OF DIRECTORS, OR COMMITTEE THEREOF, ON THE MATTER GIVING RISE TO THE CONFLICT. HE OR SHE MAY PRESENT RELEVANT INFORMATION ABOUT THE MATTER AND ALSO MAY RESPOND TO REQUESTS FOR FACTS NEEDED BY THE BOARD TO REACH AN INFORMED DECISION. AFTER ANY DISCUSSION, THE INTERESTED DIRECTOR SHALL EITHER ABSTAIN FROM VOTE OR RECUSE COMPLETELY AND BE ABSENT DURING FURTHER DELIBERATIONS AND ACTION ON THE MATTER, AS DETERMINED BY THE DIRECTOR BOARD OFFICERS OF THE ENTITY. |
| FORM 990, PART VI, SECTION B, LINE 15 | COMPENSATION FOR ANY ACNW EXECUTIVE OR SENIOR OFFICER (PRESIDENT; EXECUTIVE VICE PRESIDENT; SENIOR VICE PRESIDENT) WHO IS NOT A CONTRACTED UAMS EMPLOYEE IS REVIEWED BY THE ARKANSAS CHILDREN'S HUMAN RESOURCES AND COMPENSATION COMMITTEE WHICH IS ESTABLISHED THROUGH THE BYLAWS OF ARKANSAS CHILDREN'S, INC. THE HUMAN RESOURCES AND COMPENSATION COMMITTEE HAS THE FULL AUTHORITY AND SPECIFIC RESPONSIBILITY FOR REVIEWING AND APPROVING COMPENSATION POLICIES, BASE SALARY AND INCENTIVE COMPENSATION LEVELS, EXECUTIVE RETIREMENT AND OTHER EXECUTIVE BENEFIT PLANS FOR HEALTH SYSTEM SENIOR MANAGEMENT, INCLUDING OFFICERS OF THE CORPORATION AND AFFILIATES WHO ARE "DISQUALIFIED PERSONS" UNDER SECTION 4958 OF THE CODE. THE POLICIES AND PROGRAMS REVIEWED AND APPROVED BY THE HUMAN RESOURCES AND COMPENSATION COMMITTEE SHALL BE DESIGNED TO ENSURE THAT THE CORPORATION AND ITS AFFILIATES REMAIN COMPETITIVE AND REASONABLE RELATIVE TO THE COMPENSATION AND BENEFITS PRACTICES OF SIMILARLY SITUATED HEALTH SYSTEMS LOCALLY AND NATIONALLY, AND TO PERMIT THE CORPORATION AND SUCH AFFILIATES TO ATTRACT AND RETAIN SUPERIOR SENIOR MANAGEMENT, IN FURTHERANCE OF THE CORPORATION'S AND AFFILIATES PURPOSES. THE HUMAN RESOURCES AND COMPENSATION COMMITTEE SHALL HAVE, TO THE FULLEST EXTENT OF THE LAW, THE AUTHORITY TO APPROVE THE COMPENSATION PACKAGES FOR SENIOR MANAGEMENT OF THE CORPORATION AND THE AFFILIATES. IN ITS PROCESS, THE COMMITTEE SHALL OBTAIN AND MUST RELY UPON APPROPRIATE DATA AS TO COMPARABILITY PRIOR TO MAKING ITS DETERMINATION OF REASONABLENESS WITH RESPECT TO THE COMPENSATION ARRANGEMENTS OF DISQUALIFIED PERSONS. APPROPRIATE DATA INCLUDES, BUT IS NOT LIMITED TO, COMPENSATION LEVELS PAID BY SIMILARLY SITUATED ORGANIZATIONS, BOTH TAXABLE AND TAX-EXEMPT, FOR FUNCTIONALLY COMPARABLE POSITIONS; THE AVAILABILITY OF SIMILAR SERVICES IN THE GEOGRAPHIC AREA OF THE CORPORATION, CURRENT COMPENSATION SURVEYS COMPILED BY INDEPENDENT FIRMS; AND ACTUAL WRITTEN OFFERS FROM SIMILAR INSTITUTIONS COMPETING FOR THE SERVICES OF THE DISQUALIFIED PERSON. THE COMMITTEE MAY RELY UPON OPINIONS OF QUALIFIED LEGAL, ACCOUNTING, VALUATION AND EXECUTIVE COMPENSATION EXPERTS. CONTEMPORANEOUSLY WITH MAKING ITS DETERMINATION OF REASONABLENESS WITH RESPECT TO THE COMPENSATION ARRANGEMENT OF THE CEO AND DISQUALIFIED PERSONS, THE COMMITTEE SHALL DOCUMENT IN ITS MINUTES THE BASIS FOR ITS DECISIONS. A VERBAL REPORT IS PROVIDED TO THE BOARD BY THE CHAIR OF THE COMMITTEE. MINUTES ARE AVAILABLE FOR REVIEW UPON BOARD MEMBER REQUEST TO THE BOARD CHAIR. |
| FORM 990, PART VI, SECTION C, LINE 18 | ARKANSAS CHILDREN'S NORTHWEST'S FORM 990 IS AVAILABLE TO THE PUBLIC UPON REQUEST. |
| FORM 990, PART VI, SECTION C, LINE 19 | ARKANSAS CHILDREN'S NORTHWEST'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST AS REQUIRED. |
| FORM 990, PART IX, LINE 11G | PHYSICIAN REMUNERATION: PROGRAM SERVICE EXPENSES 5,077,459. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 5,077,459. REFERRED TESTING: PROGRAM SERVICE EXPENSES 1,048,679. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,048,679. REPAIRS AND MAINTENANCE: PROGRAM SERVICE EXPENSES 62,448. MANAGEMENT AND GENERAL EXPENSES 104,464. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 166,912. OTHER FEES FOR SERVICES: PROGRAM SERVICE EXPENSES 1,037,245. MANAGEMENT AND GENERAL EXPENSES 625,196. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,662,441. |
| FORM 990, PART XI, LINE 9: | TRANSFER OF FUNDS TO ACMG -4,561,545. |
| FORM 990, PART XII, LINE 2C | IT IS PART OF THE RESERVED POWERS OF ARKANSAS CHILDREN'S, INC. TO RETAIN, OVERSEE AND TERMINATE INDEPENDENT EXTERNAL AUDITORS TO AUDIT THE FINANCIAL STATEMENTS OF ACH OR OF ANY AFFILIATE. ONE OF THE STANDING COMMITTEES OF ARKANSAS CHILDREN'S, THE FINANCIAL PLANNING AND OVERSIGHT COMMITTEE, SHALL UNDERTAKE THE FOLLOWING DUTIES IN THE AREAS OF FINANCE AND AUDITS: (I) CAUSING TO BE PREPARED, AND SUBMIT TO THE BOARD OF DIRECTORS AT ITS LAST MEETING BEFORE THE END OF THE FISCAL YEAR, THE CAPITAL AND OPERATING BUDGETS OF THE CORPORATION, AS WELL AS THE CAPITAL AND OPERATING BUDGETS OF AFFILIATES; (II) EXAMINING THE MONTHLY FINANCIAL REPORTS OF THE HEALTH SYSTEM; (III) REVIEWING THE INTERNAL AUDITING FUNCTIONS OF THE HEALTH SYSTEM; (IV) ENGAGING AN EXTERNAL AUDIT FIRM, SUBJECT TO APPROVAL BY THE BOARD OF DIRECTORS; (V) REVIEWING WITH THE INDEPENDENT AUDITOR THE SCOPE AND PLANNING OF THE AUDIT PRIOR TO THE COMMENCEMENT OF THE AUDIT, AS WELL AS UPON COMPLETION OF THE AUDIT, REVIEWING AND DISCUSSING WITH THE INDEPENDENT AUDITOR ANY MATERIAL RISKS OR WEAKNESSES IN INTERNAL CONTROLS IDENTIFIED BY THE AUDITOR, ANY RESTRICTIONS ON THE SCOPE OF THE AUDITOR'S ACTIVITIES OR ACCESS TO REQUESTED INFORMATION, ANY SIGNIFICANT DISAGREEMENTS BETWEEN THE AUDITOR AND MANAGEMENT, AND THE ADEQUACY OF THE HEALTH SYSTEM'S ACCOUNTING AND FINANCIAL REPORTING PROCESSES; (VI) ANNUALLY CONSIDERING THE PERFORMANCE AND INDEPENDENCE OF THE INDEPENDENT AUDITOR; (VII) REVIEWING AND REPORTING TO THE BOARD ON THE ANNUAL AUDITED FINANCIAL STATEMENT OF THE HEALTH SYSTEM CERTIFIED BY THE CORPORATION'S CERTIFIED PUBLIC ACCOUNTANTS, TOGETHER WITH SUCH CERTIFIED PUBLIC ACCOUNTANTS' MANAGEMENT LETTER TO THE CORPORATION WHICH THE COMMITTEE SHALL REVIEW AND REPORT ON TO THE BOARD OF DIRECTORS; (VIII) SUGGESTING MEANS TO IMPROVE FISCAL ACCOUNTABILITY AND INTERNAL AUDIT PROCEDURES FOR THOSE AREAS IDENTIFIED AS REQUIRING IMPROVEMENT; (IX) PROVIDING OVERSIGHT FOR THE HEALTH SYSTEM'S CORPORATE COMPLIANCE PROGRAM, INCLUDING CORPORATE ETHICS AND COMPLIANCE WITH LEGAL AND REGULATORY REQUIREMENTS; AND (X) REPORTING ON THE FINANCIAL PLANNING AND OVERSIGHT COMMITTEE'S ACTIVITIES TO THE FULL BOARD. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (6 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Direct Controlling NADirectControllingNACd | Controlled OrganizationControlledOrganizationInd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt |
|---|---|---|---|---|---|---|---|---|---|---|---|
| ARKANSAS CHILDREN'S INC | |||||||||||
| 1 CHILDRENS WAY | LITTLE ROCK | AR | 72202 | 810801296 | HEALTH CARE PARENT CORP | AR | 501(C)(3) | LINE 12B, II | N/A | 0 | |
| ARKANSAS CHILDREN'S HOSPITAL | |||||||||||
| 1 CHILDRENS WAY | LITTLE ROCK | AR | 72202 | 710236857 | HOSPITAL | AR | 501(C)(3) | LINE 3 | 0 | ARKANSAS CHILDREN'S INC | |
| ARKANSAS CHILDREN'S FOUNDATION | |||||||||||
| 1 CHILDRENS WAY | LITTLE ROCK | AR | 72202 | 710568795 | FUNDRAISING | AR | 501(C)(3) | LINE 7 | 0 | ARKANSAS CHILDREN'S INC | |
| ARKANSAS CHILDREN'S RESEARCH INSTITUTE | |||||||||||
| 13 CHILDRENS WAY | LITTLE ROCK | AR | 72202 | 710694931 | RESEARCH | AR | 501(C)(3) | LINE 7 | 0 | ARKANSAS CHILDREN'S INC | |
| ARKANSAS CHILDREN'S HOSPITAL AUXILIARY | |||||||||||
| 1 CHILDRENS WAY | LITTLE ROCK | AR | 72202 | 710606585 | FUNDRAISING & VOLUNTEERS | AR | 501(C)(3) | LINE 12A, I | 0 | ARKANSAS CHILDREN'S INC VIA ARKANSAS CHILDREN'S HOSPITAL AND FOUNDATION | |
| ARKANSAS CHILDREN'S MEDICAL GROUP | |||||||||||
| 1 CHILDRENS WAY | LITTLE ROCK | AR | 72202 | 820771462 | HOSPITAL/MEDICAL SERVICES | AR | 501(C)(3) | LINE 3 | 0 | ARKANSAS CHILDREN'S INC | |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (3 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Direct Controlling NADirectControllingNACd | Entity TypeEntityTypeTxt | Controlled OrganizationControlledOrganizationInd | Address Line1ForeignAddress/AddressLine1Txt | CityForeignAddress/CityNm | Province Or StateForeignAddress/ProvinceOrStateNm | CountryForeignAddress/CountryCd | Foreign PostalForeignAddress/ForeignPostalCd | Legal Domicile Foreign CountryLegalDomicileForeignCountryCd |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| CHILDREN'S HEALTHCARE SYSTEM INC | |||||||||||||||
| 1 CHILDRENS WAY | LITTLE ROCK | AR | 72202 | 586304957 | MANAGEMENT SERVICES | AR | N/A | C | 0 | ||||||
| ARKANSAS CHILDREN'S CARE NETWORK | |||||||||||||||
| 1 CHILDRENS WAY | LITTLE ROCK | AR | 72202 | 371854930 | CLINICALLY INTEGRATED NETWORK | AR | N/A | C | 0 | ||||||
| SACOVA INSURANCE COMPANY LTD | |||||||||||||||
| 981472934 | CAPTIVE INSURANCE COMPANY | N/A | C | 0 | 18 FORUM LANE 2ND FLOOR | CAMANA BAY | GRAND CAYMAN | CJ | KY1-1102 | CJ | |||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | Yes (1) | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | Yes (1) | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | Yes (1) | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | Yes (1) | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | Yes (1) | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | 0 | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | 0 | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | 0 | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | Yes (1) | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | Yes (1) | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (1) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (1) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (1) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | Yes (1) | TransferToOtherOrgInd |
| Transfer From Other Org | Yes (1) | TransferFromOtherOrgInd |