ARKANSAS CHILDRENS HOSPITAL: Form 990, tax year 2017
View the entire original 990 at ProPublica ↗
- Organization
- ARKANSAS CHILDRENS HOSPITAL (EIN 71-0236857)
- Tax period
- 2017-07-01 to 2018-06-30
- Filed
- 2019-05-14
- IRS object ID
- 201911349349305741
- Schema version
- 2017v2.3
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
- Return header
- Form 990
- Schedule A
- Schedule B
- Schedule D
- Schedule H
- Schedule I
- Schedule J
- Schedule K
- Schedule L
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2019-05-14T13:17:13-05:00 | ReturnTs |
| Tax Period End | 2018-06-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 135565207 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | KPMG LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 303 PEACHTREE STREET NE SUITE 2000 | AddressLine1Txt |
| City | ATLANTA | CityNm |
| State Abbreviation | GA | StateAbbreviationCd |
| ZIP | 303083210 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2017-07-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 710236857 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ARKANSAS CHILDREN'S HOSPITAL | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | ARKA | BusinessNameControlTxt |
| Phone | 5013642555 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1 CHILDRENS WAY | AddressLine1Txt |
| City | LITTLE ROCK | CityNm |
| State Abbreviation | AR | StateAbbreviationCd |
| ZIP | 72202 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | MARCELLA DODERER | PersonNm |
| Person Title | PRESIDENT & CEO | PersonTitleTxt |
| Phone | 5013642555 | PhoneNum |
| Signature | 2019-05-14 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | WHITNEY BLAIR | PreparerPersonNm |
| PTIN | P01226647 | PTIN |
| Phone | 4042223000 | PhoneNum |
Filing Security Information FilingSecurityInformation
IP Address IPAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| I Pv4 Address | 71.29.92.22 | IPv4AddressTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IP | 2019-05-14 | IPDt |
| IP Tm | 13:15:55 | IPTm |
| IP Timezone | CD | IPTimezoneCd |
| Filing License Type | P | FilingLicenseTypeCd |
| At Submission Creation Device Id | BB12664BE1E3D4BC08488640412F20C0F7A39D48 | AtSubmissionCreationDeviceId |
| At Submission Filing Device Id | AB8BD5A88D4BA927D2DA994192B6818756100B67 | AtSubmissionFilingDeviceId |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2017 | TaxYr |
| Build TS | 2019-02-21 02:37:17Z | 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 | $641,425,215 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.ARCHILDRENS.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1912 | FormationYr |
| Legal Domicile State | AR | LegalDomicileStateCd |
| Activity Or Mission | WE CHAMPION CHILDREN BY MAKING THEM BETTER TODAY AND HEALTHIER TOMORROW. | ActivityOrMissionDesc |
| Voting Members Governing Body | 15 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 11 | VotingMembersIndependentCnt |
| Total Employee | 4966 | TotalEmployeeCnt |
| Total Volunteers | 1194 | TotalVolunteersCnt |
| Total Gross UBI | $111,645 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $99,580 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $41,587,452 | PYContributionsGrantsAmt |
| CY Contributions Grants | $34,671,598 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $561,221,687 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $588,717,237 | CYProgramServiceRevenueAmt |
| PY Investment Income | $5,578,471 | PYInvestmentIncomeAmt |
| CY Investment Income | $6,775,790 | CYInvestmentIncomeAmt |
| PY Other Revenue | $12,522,330 | PYOtherRevenueAmt |
| CY Other Revenue | $11,168,282 | CYOtherRevenueAmt |
| PY Total Revenue | $620,909,940 | PYTotalRevenueAmt |
| CY Total Revenue | $641,332,907 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $5,973,249 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $6,543,224 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $267,968,002 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $276,617,342 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $284,860,778 | PYOtherExpensesAmt |
| CY Other Expenses | $310,733,862 | CYOtherExpensesAmt |
| PY Total Expenses | $558,802,029 | PYTotalExpensesAmt |
| CY Total Expenses | $593,894,428 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $62,107,911 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $47,438,479 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $859,947,591 | TotalAssetsBOYAmt |
| Total Assets EOY | $868,150,306 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $166,228,616 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $140,861,965 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $693,718,975 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $727,288,341 | 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 | $480,923,469 | ExpenseAmt |
| Grant | $6,543,224 | GrantAmt |
| Revenue | $593,290,709 | RevenueAmt |
| Desc | ARKANSAS CHILDREN'S HOSPITAL (ACH) IS A NOT-FOR-PROFIT PEDIATRIC HOSPITAL THAT SERVES AS THE CENTRAL TERTIARY HEALTH CARE FACILITY FOR CHILDREN IN THE STATE OF ARKANSAS. ACH HAS THE ONLY BURN CENTER IN ARKANSAS AND PROVIDES TREATMENT TO ADULTS AS WELL AS CHILDREN. DURING THE YEAR ENDED JUNE 30, 2018, ACH EXPERIENCED THE FOLLOWING: 15,380 ADMISSIONS WITH AN AVERAGE STAY OF 5.55 DAYS; 83,891 PATIENT DAYS; 229.8 AVERAGE DAILY CENSUS; 336 OPERATING BEDS, INCLUDING 180 INTENSIVE CARE BEDS AND 143 MEDICAL/SURGICAL BEDS; 246,318 OUTPATIENT VISITS, EXCLUDING ER VISITS WHICH WERE 63,320; AND 15,586 SURGERIES. CONTINUED ON SCHEDULE O:IN ADDITION TO PROVIDING CHARITY CARE, ACH COORDINATES A VARIETY OF PROGRAMS, SERVICES AND INITIATIVES WHICH BENEFIT CHILDREN AND FAMILIES IN THE STATE. ACH IS THE BACKBONE ORGANIZATION FOR A COALITION CALLED THE NATURAL WONDERS PARTNERSHIP COUNCIL (NWPC), WHICH BRINGS TOGETHER CHILD HEALTH STAKEHOLDERS TO WORK STRATEGICALLY TO IMPROVE THE HEALTH OF CHILDREN IN ARKANSAS. ACH FUNDS SEVERAL PROGRAMS THAT HAVE BEEN IDENTIFIED AS SHARED PRIORITIES BY THE NWPC MEMBERS. FOR EXAMPLE, ACH'S INJURY PREVENTION CENTER HAS BEEN INSTRUMENTAL IN HELPING TO SIGNIFICANTLY REDUCE THE NUMBER OF CHILDREN KILLED IN AUTOMOBILE ACCIDENTS AND OTHER INJURY-RELATED DEATHS THROUGH DATA COLLECTION, PROGRAM DEVELOPMENT AND IMPLEMENTATION, AND OUTREACH. ACH HAS IMPROVED THE ORAL HEALTH OF CHILDREN THROUGH ITS MOBILE DENTAL VANS AND PORTABLE SEALANT OUTREACH EFFORTS, AND ALSO SUPPORTS A PHYSICAL ACTIVITY PROGRAM TO HELP REDUCE OBESITY FOR ELEMENTARY SCHOOL CHILDREN STATEWIDE, REACHING ALMOST 160,000 YOUNG CHILDREN. ACH PARTNERED WITH LEGAL AID OF ARKANSAS TO OPERATE A MEDICAL/LEGAL PARTNERSHIP THAT ADDRESSES HEALTH HARMING LEGAL NEEDS FOR PATIENTS ACROSS THE STATE. ADDITIONALLY, MORE THAN 30,000 CHILDREN RECEIVED FREE USDA MEALS WHILE ON CAMPUS THROUGH THE INNOVATIVE NEW CHILDREN'S MEDICAL NUTRITION AND FEEDING PROGRAM THANKS TO PARTNERSHIPS WITH FEDERAL AND STATE STAKEHOLDERS. THROUGH ITS COMMUNITY EFFORTS, ACH'S OUTREACH DEPARTMENT PROVIDED CHILDREN AND FAMILIES THROUGHOUT THE STATE WITH INFORMATIVE HEALTH EDUCATION PROGRAMS RELATING TO CHILD SAFETY, HYGIENE EDUCATION, WELLNESS AND PREVENTION ACTIVITIES, AND SEASONAL INFORMATION RELATING TO HEALTH RISKS. ACH HAS BEEN DESIGNATED BY THE ARKANSAS DEPARTMENT OF HEALTH AS THE STATE'S ONLY PEDIATRIC LEVEL 1 TRAUMA CENTER, AN INDICATION THAT IT PROVIDES THE HIGHEST STANDARD OF CARE FOR INJURED CHILDREN. | Desc |
| Total Program Service Expenses | $480,923,469 | 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 |
| Temp Or Permanent Endowments | Yes (1) | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | Yes (1) | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (1) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (1) | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | Yes (1) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (1) | AuditedFinancialStmtAttInd |
| Grants To Organizations | Yes (1) | GrantsToOrganizationsInd |
| Grants To Individuals | Yes (1) | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | Yes (1) | TaxExemptBondsInd |
| Invest Tax Exempt Bonds | 0 | InvestTaxExemptBondsInd |
| Escrow Account | 0 | EscrowAccountInd |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuerInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | Yes (1) | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | Yes (1) | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | Yes (1) | BusinessRlnWithOfficerEntInd |
| 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 | 306 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 4966 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | Yes (1) | UnrelatedBusIncmOverLimitInd |
| Form990 T Filed | Yes (1) | Form990TFiledInd |
| 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 |
| Form8282 Filed | 0 | Form8282FiledCnt |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 15 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 11 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | Yes (1) | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (1) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (1) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (1) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (1) | CompensationProcessOtherInd |
| Investment In Joint Venture | Yes (1) | InvestmentInJointVentureInd |
| Written Policy Or Procedure | Yes (1) | WrittenPolicyOrProcedureInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | GENA WINGFIELD | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 5013642555 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1 CHILDRENS WAY | AddressLine1Txt |
| City | LITTLE ROCK | CityNm |
| State Abbreviation | AR | StateAbbreviationCd |
| ZIP | 72202 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (28 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 | 11.00 | 44.00 | Yes (X) | Yes (X) | $1,011,240 | $0 | $133,113 | ||
| JOHN BALE JR | |||||||||
| TRUSTEE/DIRECTOR | 0.27 | 0.28 | Yes (X) | $0 | $0 | $0 | |||
| TOM BAXTER | |||||||||
| TRUSTEE/DIRECTOR | 0.21 | 0.27 | Yes (X) | $0 | $0 | $0 | |||
| MELISSA GRAHAM MD | |||||||||
| TRUSTEE/DIRECTOR | 0.40 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| DORSEY JACKSON | |||||||||
| TRUSTEE/DIRECTOR | 0.21 | 0.20 | Yes (X) | $0 | $0 | $0 | |||
| DOUGLAS JACKSON | |||||||||
| TRUSTEE/DIRECTOR | 0.18 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| RICHARD JACOBS MD | |||||||||
| TRUSTEE/DIRECTOR | 0.50 | 0.03 | Yes (X) | $43,460 | $0 | $6,496 | |||
| TIONNA JENKINS PHD | |||||||||
| TRUSTEE/DIRECTOR | 0.18 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| PHILLIP JETT | |||||||||
| CHAIRMAN OF THE BOARD | 0.51 | 0.03 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| HOLLY MARR | |||||||||
| TRUSTEE/DIRECTOR | 0.40 | 0.03 | Yes (X) | $0 | $0 | $0 | |||
| PAT MCCLELLAND | |||||||||
| TRUSTEE/DIRECTOR | 0.36 | 0.12 | Yes (X) | $0 | $0 | $0 | |||
| BARBARA G MOORE | |||||||||
| TREASURER | 0.27 | 0.22 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| BEVERLY A MORROW | |||||||||
| VICE CHAIR | 0.53 | 0.15 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| GREGORY SHARP MD | |||||||||
| TRUSTEE/DIRECTOR-CHIEF OF STAFF | 4.77 | 0.02 | Yes (X) | $266,250 | $0 | $55,253 | |||
| ROSS WHIPPLE | |||||||||
| TRUSTEE/DIRECTOR | 0.12 | 0.04 | Yes (X) | $0 | $0 | $0 | |||
| GENA WINGFIELD | |||||||||
| EVP/CHIEF FINANCIAL OFFICER | 12.00 | 36.00 | Yes (X) | $613,936 | $0 | $81,411 | |||
| CHANDA CHACON | |||||||||
| EVP/CHIEF OPERATING OFFICER | 35.00 | 15.00 | $511,282 | $0 | $20,476 | Yes (X) | |||
| JAY DESHPANDE | |||||||||
| SVP/CHIEF MEDICAL OFFICER | 50.00 | 0.00 | $542,819 | $0 | $68,134 | Yes (X) | |||
| LEE ANNE EDDY | |||||||||
| SVP/CHIEF NURSING OFFICER | 50.00 | 0.00 | $400,431 | $0 | $55,248 | Yes (X) | |||
| KATHERINE LEA | |||||||||
| VP ED/SURGICAL CARE | 48.00 | 0.00 | $201,244 | $0 | $18,887 | Yes (X) | |||
| MARY SALASSI-SCOTTER | |||||||||
| VP CRITICAL CARE SERVICES | 50.00 | 0.00 | $199,939 | $0 | $21,365 | Yes (X) | |||
| ANDREE TROSCLAIR | |||||||||
| SVP HUMAN RESOURCES | 10.00 | 40.00 | $310,447 | $0 | $23,776 | Yes (X) | |||
| TAMMY WEBB | |||||||||
| VP ACUTE CARE | 46.00 | 0.00 | $191,609 | $0 | $10,323 | Yes (X) | |||
| JONATHAN GOLDBERG | |||||||||
| SVP/CHIEF INFORMATION OFFICER | 0.00 | 50.00 | $425,369 | $0 | $58,591 | Yes (X) | |||
| GREGORY KEARNS | |||||||||
| SVP/CHIEF RESEARCH OFFICER | 0.00 | 40.00 | $490,233 | $0 | $63,136 | Yes (X) | |||
| PATRICIA MONTAGUE | |||||||||
| SVP/ACNW CHIEF ADMIN OFFICER | 0.00 | 55.00 | $327,634 | $0 | $51,177 | Yes (X) | |||
| FRED SCARBOROUGH | |||||||||
| ACF PRESIDENT/SVP MARKETING | 0.00 | 55.00 | $468,431 | $0 | $59,940 | Yes (X) | |||
| ROBERT STEELE | |||||||||
| SVP/CHIEF STRATEGY OFFICER | 0.00 | 50.00 | $612,905 | $0 | $74,489 | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $6,617,229 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $801,815 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 223 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | Yes (1) | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| UNIVERSITY OF ARKANSAS FOR MEDICAL SCIEN | |||||
| 4301 WEST MARKHAM | LITTLE ROCK | AR | 72205 | MEDICAL SERVICES | $69,089,125 |
| EPIC SYSTEMS CORPORATION | |||||
| PO BOX 88314 | MILWAUKEE | WI | 53288 | IT SYSTEMS DEVELOPMENT | $11,609,763 |
| NABHOLZ CONSTRUCTION CORP | |||||
| PO BOX 2090 | CONWAY | AR | 72033 | GENERAL CONSTRUCTION CONTRACTOR | $11,077,711 |
| CROSS COUNTRY TRAVCORPS INC | |||||
| PO BOX 101013 | ATLANTA | GA | 30392 | STAFFING | $10,715,503 |
| PRESIDIO NETWORKED SOLUTIONS | |||||
| PO BOX 822169 | PHILADELPHIA | PA | 19182 | IT NETWORK SERVICES | $5,870,566 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 101 | CntrctRcvdGreaterThan100KCnt |
| Related Organizations | $16,480,273 | RelatedOrganizationsAmt |
| Government Grants | $18,191,325 | GovernmentGrantsAmt |
| Total Contributions | $34,671,598 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | PAYMENTS FOR MED SVCS | Desc |
| Business | 900099 | BusinessCd |
| Total Revenue Column | $588,717,237 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $588,717,237 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $588,717,237 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $6,725,750 | TotalRevenueColumnAmt |
| Exclusion | $6,725,750 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $1,787,824 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $7,986 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $1,779,838 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $1,779,838 | TotalRevenueColumnAmt |
| Exclusion | $1,779,838 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $134,362 | OtherAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $84,322 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $50,040 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $50,040 | TotalRevenueColumnAmt |
| Exclusion | $50,040 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | ExclusionExclusionAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|---|
| NUTRITIONAL SERVICES | 900099 | $3,201,305 | $3,201,305 | |
| CHILD ENRICHMENT | 900099 | $1,502,022 | $1,502,022 | |
| PATIENT CENTERED MEDIC | 900099 | $649,236 | $649,236 |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $4,035,881 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $3,924,236 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $111,645 | UnrelatedBusinessRevenueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $9,388,444 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $641,332,907 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $593,290,709 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $111,645 | UnrelatedBusinessRevenueAmt |
| Exclusion | $13,258,955 | 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 | $6,218,438 | TotalAmt |
| Program Services | $6,218,438 | ProgramServicesAmt |
Grants To Domestic Individuals GrantsToDomesticIndividualsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $324,786 | TotalAmt |
| Program Services | $324,786 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,998,497 | TotalAmt |
| Program Services | $2,054,171 | ProgramServicesAmt |
| Management And General | $944,326 | ManagementAndGeneralAmt |
Comp Disqual Persons CompDisqualPersonsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $78,439 | TotalAmt |
| Program Services | $78,439 | ProgramServicesAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $233,585,542 | TotalAmt |
| Program Services | $178,902,554 | ProgramServicesAmt |
| Management And General | $54,682,988 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $39,954,864 | TotalAmt |
| Program Services | $33,111,724 | ProgramServicesAmt |
| Management And General | $6,843,140 | ManagementAndGeneralAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $8,959,555 | TotalAmt |
| Program Services | $3,917,762 | ProgramServicesAmt |
| Management And General | $5,041,793 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $112,744,869 | TotalAmt |
| Program Services | $101,325,421 | ProgramServicesAmt |
| Management And General | $11,419,448 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $997,427 | TotalAmt |
| Program Services | $86,119 | ProgramServicesAmt |
| Management And General | $911,308 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $8,177,904 | TotalAmt |
| Program Services | $4,030,125 | ProgramServicesAmt |
| Management And General | $4,147,779 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $20,748,568 | TotalAmt |
| Program Services | $1,431,905 | ProgramServicesAmt |
| Management And General | $19,316,663 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,581,803 | TotalAmt |
| Program Services | $3,704,064 | ProgramServicesAmt |
| Management And General | $877,739 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,122,935 | TotalAmt |
| Program Services | $2,806,455 | ProgramServicesAmt |
| Management And General | $316,480 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $786,699 | TotalAmt |
| Program Services | $646,910 | ProgramServicesAmt |
| Management And General | $139,789 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,067,961 | TotalAmt |
| Management And General | $1,067,961 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $34,836,469 | TotalAmt |
| Program Services | $29,752,831 | ProgramServicesAmt |
| Management And General | $5,083,638 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,138 | TotalAmt |
| Program Services | $7,138 | ProgramServicesAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| MEDICAL SUPPLIES | $80,811,654 | $80,394,580 | $417,074 |
| OTHER ADMINISTRATIVE EX | $19,964,283 | $18,280,168 | $1,684,115 |
| PROVISION FOR BAD DEBT | $11,903,176 | $11,903,176 | |
| MINOR EQUIPMENT | $1,172,485 | $1,172,485 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $850,936 | TotalAmt |
| Program Services | $774,218 | ProgramServicesAmt |
| Management And General | $76,718 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $593,894,428 | TotalAmt |
| Program Services | $480,923,469 | ProgramServicesAmt |
| Management And General | $112,970,959 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $12,932 | BOYAmt |
| EOY | $12,440 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $37,411,659 | BOYAmt |
| EOY | $44,522,516 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $50,743,468 | BOYAmt |
| EOY | $74,006,853 | EOYAmt |
Receivables From Officers Etc ReceivablesFromOfficersEtcGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $80,000 | BOYAmt |
| EOY | $60,000 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $9,359,252 | BOYAmt |
| EOY | $9,412,740 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,930,683 | BOYAmt |
| EOY | $7,052,718 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $639,789,966 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $329,453,557 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $308,516,615 | BOYAmt |
| EOY | $310,336,409 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $302,132,935 | BOYAmt |
| EOY | $252,645,338 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $533,496 | BOYAmt |
| EOY | $593,319 | EOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $291,043 | BOYAmt |
| EOY | $509,622 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $143,935,508 | BOYAmt |
| EOY | $168,998,351 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $859,947,591 | BOYAmt |
| EOY | $868,150,306 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $57,769,001 | BOYAmt |
| EOY | $36,452,004 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $108,353,559 | BOYAmt |
| EOY | $104,355,474 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $106,056 | BOYAmt |
| EOY | $54,487 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $166,228,616 | BOYAmt |
| EOY | $140,861,965 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $660,211,838 | BOYAmt |
| EOY | $693,715,008 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $33,507,137 | BOYAmt |
| EOY | $33,573,333 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $693,718,975 | BOYAmt |
| EOY | $727,288,341 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $859,947,591 | BOYAmt |
| EOY | $868,150,306 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $47,438,479 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | -$4,655,476 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | -$9,213,637 | OtherChangesInNetAssetsAmt |
| Info In Schedule O Part XII | Yes (X) | InfoInScheduleOPartXIIInd |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | Yes (1) | FederalGrantAuditRequiredInd |
| Federal Grant Audit Performed | Yes (1) | FederalGrantAuditPerformedInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule B IRS990ScheduleB
Schedule D IRS990ScheduleD
CY Endwmt Fund CYEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $279,051,286 | BeginningYearBalanceAmt |
| Contributions | $1,174,503 | ContributionsAmt |
| Investment Earnings Or Losses | $24,842,576 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $8,760,788 | OtherExpendituresAmt |
| End Year Balance | $296,307,577 | EndYearBalanceAmt |
CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $265,682,157 | BeginningYearBalanceAmt |
| Contributions | $4,087,548 | ContributionsAmt |
| Investment Earnings Or Losses | $22,707,945 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $13,426,364 | OtherExpendituresAmt |
| End Year Balance | $279,051,286 | EndYearBalanceAmt |
CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $263,164,433 | BeginningYearBalanceAmt |
| Contributions | $2,013,304 | ContributionsAmt |
| Investment Earnings Or Losses | $1,498,535 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $994,115 | OtherExpendituresAmt |
| End Year Balance | $265,682,157 | EndYearBalanceAmt |
CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $260,807,759 | BeginningYearBalanceAmt |
| Contributions | $2,522,174 | ContributionsAmt |
| Investment Earnings Or Losses | $3,700,116 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $3,865,616 | OtherExpendituresAmt |
| End Year Balance | $263,164,433 | EndYearBalanceAmt |
CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $212,925,418 | BeginningYearBalanceAmt |
| Contributions | $25,377,876 | ContributionsAmt |
| Investment Earnings Or Losses | $27,631,730 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $5,127,265 | OtherExpendituresAmt |
| End Year Balance | $260,807,759 | EndYearBalanceAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Board Designated Balance EOY | 0.71430 | BoardDesignatedBalanceEOYPct |
| Prmnnt Endowment Balance EOY | 0.16170 | PrmnntEndowmentBalanceEOYPct |
| Term Endowment Balance EOY | 0.12400 | TermEndowmentBalanceEOYPct |
| Endowments Held Unrelated Org | 0 | EndowmentsHeldUnrelatedOrgInd |
| Endowments Held Related Org | Yes (1) | EndowmentsHeldRelatedOrgInd |
| Related Org List Sch R | Yes (1) | RelatedOrgListSchRInd |
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $14,306,370 | OtherCostOrOtherBasisAmt |
| Book Value | $14,306,370 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $367,734,794 | OtherCostOrOtherBasisAmt |
| Depreciation | $192,000,644 | DepreciationAmt |
| Book Value | $175,734,150 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $226,077,165 | OtherCostOrOtherBasisAmt |
| Depreciation | $125,705,694 | DepreciationAmt |
| Book Value | $100,371,471 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $31,671,637 | OtherCostOrOtherBasisAmt |
| Depreciation | $11,747,219 | DepreciationAmt |
| Book Value | $19,924,418 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $310,336,409 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp (7 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| FUNDS HELD BY TRUSTEE UNDER BOND AGREEMENTS | $2,112,882 |
| ESTIMATED 3RD PARTY SETTLEMENT (MCD) | $136,691,696 |
| UPL RECEIVABLE | $9,795,350 |
| GME RECEIVABLE | $1,832,215 |
| OTHER RECEIVABLES | $7,208,030 |
| INTEREST RECEIVABLE - FUNDED DEPR | $120,021 |
| DUE FROM FOUNDATION | $11,238,157 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $168,998,351 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | OBLIGATIONS UNDER CAPITAL LEASES | Desc |
| Amt | $54,487 | Amt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $54,487 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART V, LINE 4: | EARNINGS FROM ENDOWMENT FUNDS WILL BE USED TO SUPPORT VARIOUS HOSPITAL PROGRAMS. THE FILING ORGANIZATION DOES NOT HOLD ANY ENDOWMENTS; ALL ENDOWMENTS ARE HELD BY ARKANSAS CHILDREN'S FOUNDATION, A RELATED ORGANIZATION. |
| PART X, LINE 2: | NOTE: THE AUDIT WAS COMPRISED OF THE CONSOLIDATED FINANCIAL STATEMENTS OF ARKANSAS CHILDREN'S, INC., ARKANSAS CHILDREN'S HOSPITAL, ARKANSAS CHILDREN'S FOUNDATION, ARKANSAS CHILDREN'S RESEARCH INSTITUTE, ARKANSAS CHILDREN'S NORTHWEST, ARKANSAS CHILDREN'S CARE NETWORK, 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, 2018 AND 2017, THERE ARE NO UNCERTAIN POSITIONS TAKEN OR EXPECTED TO BE TAKEN THAT WOULD REQUIRE RECOGNITION OF A LIABILITY (OR ASSET) OR DISCLOSURE IN THE CONSOLIDATED FINANCIAL STATEMENTS. |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (1) | FinancialAssistancePolicyInd |
| Written Policy | Yes (1) | WrittenPolicyInd |
| FPG Reference Free Care | Yes (1) | FPGReferenceFreeCareInd |
Free Care Oth Percentage FreeCareOthPercentageGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | Yes (X) | OtherInd |
| Free Care Other | 250.000000000000 | FreeCareOtherPct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| FPG Reference Discounted Care | Yes (1) | FPGReferenceDiscountedCareInd |
| Percent400 | Yes (X) | Percent400Ind |
| Free Care Medically Indigent | 0 | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (1) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | 0 | ExpensesExceedBudgetInd |
| Annual Community Bnft Report | 0 | AnnualCommunityBnftReportInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $11,100,825 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $11,100,825 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01910 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $332,512,438 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $338,848,649 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $343,613,263 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $338,848,649 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $11,100,825 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01910 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $8,644,305 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $2,030,958 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $6,613,347 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01140 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $24,324,436 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $7,255,588 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $17,068,848 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.02930 | TotalExpensePct |
Subsidized Health Services SubsidizedHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $40,003,000 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $15,945,886 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $24,057,114 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.04130 | TotalExpensePct |
Research ResearchGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $9,402,164 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $9,402,164 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01620 | TotalExpensePct |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $528,773 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $75,909 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $452,864 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00080 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $82,902,678 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $25,308,341 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $57,594,337 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.09900 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $426,515,941 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $364,156,990 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $68,695,162 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.11810 | TotalExpensePct |
Physical Imprv And Housing PhysicalImprvAndHousingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $0 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
Economic Development EconomicDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $25,000 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $25,000 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Community Support CommunitySupportGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $40,849 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $40,849 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00010 | TotalExpensePct |
Environmental Improvements EnvironmentalImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $0 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
Leadership Development LeadershipDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $600 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $600 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Coalition Building CoalitionBuildingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $8,220 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $8,220 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Health Improvement Advocacy HealthImprovementAdvocacyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $57,666 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $57,666 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00010 | TotalExpensePct |
Workforce Development WorkforceDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $2,200 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $2,200 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Other Communtity Building Acty OtherCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $4,440 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $4,440 | DirectOffsettingRevenueAmt |
Total Communtity Building Acty TotalCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $138,975 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $4,440 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $134,535 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00020 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (1) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $7,263,537 | BadDebtExpenseAmt |
| Reimbursed By Medicare | $2,754,208 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $3,273,961 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$519,753 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | Yes (X) | CostToChargeRatioInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | Yes (1) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (1) | FinancialAssistancePrvsnInd |
| Hospital Facilities | 1 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ARKANSAS CHILDREN'S HOSPITAL | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1 CHILDRENS WAY | AddressLine1Txt |
| City | LITTLE ROCK | CityNm |
| State Abbreviation | AR | StateAbbreviationCd |
| ZIP | 72202 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Website Address | WWW.ARCHILDRENS.ORG | WebsiteAddressTxt |
| State License | AR4640 | StateLicenseNum |
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
| General Medical And Surgical | Yes (X) | GeneralMedicalAndSurgicalInd |
| Childrens Hospital | Yes (X) | ChildrensHospitalInd |
| Teaching Hospital | Yes (X) | TeachingHospitalInd |
| Research Facility | Yes (X) | ResearchFacilityInd |
| Emergency Room24 Hrs | Yes (X) | EmergencyRoom24HrsInd |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ARKANSAS CHILDREN'S HOSPITAL | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
| First Licensed CY Or PY | 0 | FirstLicensedCYOrPYInd |
| Tax Exempt Hospital CY Or PY | 0 | TaxExemptHospitalCYOrPYInd |
| CHNA Conducted | Yes (1) | CHNAConductedInd |
| Community Definition | Yes (X) | CommunityDefinitionInd |
| Community Demographics | Yes (X) | CommunityDemographicsInd |
| Existing Resources | Yes (X) | ExistingResourcesInd |
| How Data Obtained | Yes (X) | HowDataObtainedInd |
| Community Health Needs | Yes (X) | CommunityHealthNeedsInd |
| Other Health Issues | Yes (X) | OtherHealthIssuesInd |
| Community Hlth Needs Id Process | Yes (X) | CommunityHlthNeedsIdProcessInd |
| Consulting Process | Yes (X) | ConsultingProcessInd |
| Prior CHNA Impact | Yes (X) | PriorCHNAImpactInd |
| Other | Yes (X) | OtherInd |
| CHNA Conducted | 15 | CHNAConductedYr |
| Take Into Account Others Input | Yes (1) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | 0 | 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 | 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 | 16 | ImplementationStrategyAdptYr |
| Strategy Posted Website | Yes (1) | StrategyPostedWebsiteInd |
| Strategy Website URL | WWW.ARCHILDRENS.ORG | 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 | WWW.ARCHILDRENS.ORG | FAPAvailableOnWebsiteURLTxt |
| FAP App Available On Website | Yes (X) | FAPAppAvailableOnWebsiteInd |
| FAP App Available On Website URL | WWW.ARCHILDRENS.ORG | FAPAppAvailableOnWebsiteURLTxt |
| FAP Summary On Website | Yes (X) | FAPSummaryOnWebsiteInd |
| FAP Summary On Website URL | WWW.ARCHILDRENS.ORG | 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 (8 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| ARKANSAS CHILDREN'S HOSPITAL | PART V, SECTION B, LINE 3J: IN ADDITION TO THE ITEMS CHECKED IN BOXES A - I, OTHER INFORMATION WAS INCLUDED IN THE NEEDS ASSESSMENT. AS THE CENTRAL PEDIATRIC HOSPITAL IN THE STATE OF ARKANSAS, ACH CONSIDERS ITS COMMUNITY TO BE ALL 710,000 CHILDREN IN THE STATE. THE NEEDS ASSESSMENT REPORT CONTAINED INFORMATION ABOUT THE STATEWIDE COALITION IT CONVENES, THE NATURAL WONDERS PARTNERSHIP COUNCIL (NWPC), WHICH UTILIZES THE COLLECTIVE IMPACT MODEL TO WORK TOGETHER TO IMPROVE CHILD HEALTH. THE NWPC USES THE NEEDS ASSESSMENT AS ITS COMMON AGENDA FOR IMPROVING CHILD HEALTH IN ARKANSAS, INCLUDING IN AREAS THE HOSPITAL DOES NOT ADDRESS IN A LEADERSHIP ROLE. SINCE CHILDREN'S HEALTH IS SO CLOSELY TIED TO ADULT HEALTH, ACH INCLUDED SOME INFORMATION ABOUT THE HEALTH STATUS OF ADULTS. THE REPORT ALSO CONTAINED "BIG IDEAS AND "VISION" FROM THE QUALITATIVE DATA COLLECTION FOR IMPROVING CHILD HEALTH TO HELP INSPIRE THE WORK THAT RESULTS FROM THE NEEDS ASSESSMENT. THE REPORT CONTAINED INFORMATION ABOUT THE IMPACT OF THE ACTIVITIES RESULTING FROM THE PREVIOUS CHNA. |
| ARKANSAS CHILDREN'S HOSPITAL | PART V, SECTION B, LINE 5: IN TY15/FY16, THE HOSPITAL TOOK A COMPREHENSIVE APPROACH TO UNDERSTAND CHILD HEALTH AND CONSIDERED BOTH SECONDARY AND PRIMARY DATA AT THE LOCAL, REGIONAL, AND STATE LEVEL TO DETERMINE THE HEALTH NEEDS OF ARKANSAS' CHILDREN. SECONDARY DATA SETS REVIEWED INCLUDED 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.MEMBERS OF THE NATURAL WONDERS PARTNERSHIP COUNCIL PROVIDED INPUT TO AND FEEDBACK ON THE CHNA AT ALL STAGES OF ITS DEVELOPMENT FROM DESIGN TO INITIAL OUTCOMES TO A FINAL REPORT. MANY MEMBERS ALSO PARTICIPATED BY PROVIDING DATA TO AND INTERVIEWS FOR THE CHNA TEAM. NWPC MEMBERS REPRESENT A VARIETY OF STAKEHOLDERS INCLUDING ARKANSAS DEPARTMENT OF HEALTH OFFICIALS, THE UNIVERSITY OF ARKANSAS COLLEGE OF PUBLIC HEALTH AND CLINTON SCHOOL OF PUBLIC SERVICE, CHILD/CONSUMER ADVOCATES, HEALTH POLICY ORGANIZATIONS, HEALTH CARE PROVIDERS, RESEARCHERS, NONPROFIT ORGANIZATIONS, MEMBERSHIP ORGANIZATIONS INCLUDING THE AMERICAN ACADEMY OF PEDIATRICS AND THE ARKANSAS HOSPITAL ASSOCIATION, THE ARKANSAS DEPARTMENTS OF EDUCATION AND HUMAN SERVICES, THE ARKANSAS MINORITY HEALTH COMMISSION, COMMUNITY HEALTH CENTERS OF ARKANSAS, BEHAVIORAL HEALTH AGENCIES, DENTAL INSURANCE PROVIDERS, PRIVATE HEALTH INSURANCE COMPANIES, THE FAITH COMMUNITY, LOW-INCOME LEGAL SERVICES, A JUVENILE COURT JUDGE, PRIVATE FOUNDATIONS, AND A STATEWIDE EDUCATION-FOCUSED COLLECTIVE IMPACT COALITION.OVER 500 PEOPLE IN THE COMMUNITY THE HOSPITAL SERVES GAVE FEEDBACK ON CHILD HEALTH ASSETS AND NEEDS THROUGH THE CHNA PROCESS HELPING TO OBTAIN IN-DEPTH INFORMATION, OPINIONS, AND INSIGHT ABOUT IMPORTANT DIMENSIONS IN HEALTH, HEALTHCARE, AND HEALTH PROMOTION FROM CRITICAL STAKEHOLDERS IN CHILD HEALTH. ALTHOUGH THE CHNA TEAM DID NOT SEEK FEEDBACK DIRECTLY FROM CHILDREN, MEANINGFUL ENGAGEMENT AND INPUT FROM A BROAD CROSS-SECTION OF ORGANIZATIONS AND INDIVIDUALS THROUGHOUT THE STATE WAS IMPORTANT TO THE SUCCESSFUL COMPLETION OF THE FY16 CHNA. THE CHNA PROCESS COMBINED TECHNIQUES THAT CAPTURED PARTICIPANTS' OPINIONS IN A MEASURABLE WAY AS WELL AS IN A MORE PERSONAL AND DIRECT MANNER. AN ANONYMOUS TELEPHONE SURVEY OF 400 ARKANSAS PARENTS PROVIDED A STATISTICALLY SIGNIFICANT MEASURE OF PARENT OPINIONS AND PERCEIVED NEEDS AT THE STATE LEVEL. TO GATHER A MORE IN DEPTH UNDERSTANDING OF STATEWIDE CHILD HEALTH NEEDS, A PURPOSEFUL SAMPLE OF 96 PARENTS AND CHILDREN'S SERVICE PROVIDERS FROM DIVERSE REGIONS AND POPULATIONS ACROSS ARKANSAS WERE ENGAGED THROUGH 11 TWO-HOUR FOCUS GROUPS. DIVERSITY IN GEOGRAPHIC AND RURAL/URBAN STATUS WAS PRIORITIZED, AND LANGUAGE DIVERSITY WAS PRIORITIZED BY CONDUCTING TWO FOCUS GROUPS IN SPANISH. LIMITED PRIMARY DATA WAS COLLECTED FROM THE SMALL BUT UNDERSERVED MARSHALLESE POPULATION IN NORTHWEST ARKANSAS. NAMES WERE NOT COLLECTED IN THE FOCUS GROUPS NOR THE STATEWIDE SURVEY TO ASSURE ANONYMITY FOR THE PARENTS AND CHILD SERVICE PROVIDERS WHO PARTICIPATED. TO PROVIDE A DEEPER UNDERSTANDING OF THE SECONDARY DATA USED IN THE FY16 CHNA, ONE-HOUR INTERVIEWS WERE CONDUCTED WITH CHILD HEALTH THOUGHT LEADERS AND SUBJECT MATTER EXPERTS IN THE STATE. THE 34 KEY INFORMANT INTERVIEWS REACHED PUBLIC HEALTH OFFICIALS, HEALTH POLICY EXPERTS, HEALTH CARE PROVIDERS AND ADMINISTRATORS, NONPROFIT EXECUTIVES, STATE AGENCY LEADS, COMMUNITY LEADERS, RESEARCHERS, AND HEALTH INSURANCE REPRESENTATIVES. THROUGH THE FY16 CHNA PROCESS THE FOLLOWING CHILD HEALTH NEEDS WERE IDENTIFIED AND PRIORITIZED WITH PARTICIPATION OF THE NWPC: ACCESS TO QUALITY CARE, CHILDHOOD OBESITY, MENTAL HEALTH & SUBSTANCE USE, REPRODUCTIVE HEALTH, SOCIAL ISSUES, PARENT SUPPORTS, ORAL HEALTH, FOOD INSECURITY, CHILD INJURY, AND IMMUNIZATIONS. THESE IDENTIFIED AND PRIORITIZED ISSUES FORMED THE DEVELOPMENT OF THE 2017-2019 IMPLEMENTATION STRATEGY. |
| ARKANSAS CHILDREN'S HOSPITAL | PART V, SECTION B, LINE 6B: ACH CONDUCTED ITS NEEDS ASSESSMENT IN PARTNERSHIP WITH OTHER ORGANIZATIONS OTHER THAN HOSPITAL FACILITIES. MEMBERS OF THE NATURAL WONDERS PARTNERSHIP COUNCIL, A COALITION OF STATEWIDE SERVING ORGANIZATIONS, PROVIDED INPUT TO AND FEEDBACK ON THE CHNA AND MANY ALSO PROVIDED DATA AND INTERVIEWS TO THE CHNA TEAM. A COLLECTIVE IMPACT FRAMEWORK GUIDES THE PARTNERSHIP'S EFFORTS TO IMPROVE CHILD HEALTH USING THE CHNA AS THE COMMON AGENDA FOR CHILD HEALTH PRIORITIES AND INTERVENTIONS. MANY USE THE CHNA AS PART OF THEIR OWN NEEDS ASSESSMENTS, INCLUDING THE ARKANSAS DEPARTMENT OF HEALTH. NWPC 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 HOSPITAL ASSOCIATIONARKANSAS HUNGER RELIEF ALLIANCEARKANSAS MINORITY HEALTH COMMISSIONARKANSAS OUT OF SCHOOL NETWORKARKANSAS PHARMACIST ASSOCIATIONARKANSAS STATE UNIVERSITY - CHILDHOOD SERVICESBLUE & YOU FOUNDATIONCLINTON SCHOOL OF PUBLIC SERVICECOMMUNITY HEALTH CENTERS OF ARKANSASDELTA DENTAL OF ARKANSASFIRST ASSEMBLY OF GOD, NORTH LITTLE ROCKHUMAN RIGHTS CAMPAIGN - ARKANSAS SIXTH JUDICIAL DISTRICT CIRCUIT COURT 10TH DIVISIONTHE CLINTON FOUNDATION UNIVERSITY OF ARKANSAS FOR MEDICAL SCIENCES - COLLEGE OF PUBLIC HEALTHUNIVERSITY OF ARKANSAS FOR MEDICAL SCIENCES - COLLEGE OF MEDICINE |
| ARKANSAS CHILDREN'S HOSPITAL | PART V, SECTION B, LINE 7D: THE 2016 CHNA WAS DISTRIBUTED TO OVER 160 OF ITS PARTNERS THROUGH THE NATURAL WONDERS PARTNERSHIP COUNCIL (NWPC) AND ITS MULTIPLE SUB WORKGROUPS. ADDITIONALLY, THE 2016 CHNA RESULTS WERE SIMPLIFIED AND COMBINED WITH THE NWPC'S COLLECTIVE IMPACT STRATEGIC FRAMEWORK TO GENERATE A NEW 2017-2019 ACTION PLAN REPORT. IT IS ALSO AVAILABLE FOR PUBLIC VIEW WITHOUT CHARGE ON THE ACH WEBSITE. IN JUNE 2017, ACH CONVENED 260 NWPC MEMBERS, COMMUNITY STAKEHOLDERS, AND GUESTS FOR THE 2017 ARKANSAS HEALTHY CHILD SUMMIT. AT THIS SUMMIT ACH AND NWPC LEAD PARTNERS PRESENTED AND FACILITATED BROADER COMMUNITY CONVERSATIONS ABOUT THE ISSUES IDENTIFIED THROUGH THE 2016 CHNA, THE ACTIONS PROPOSED TO ADDRESS THEM. ACH ALSO RECOGNIZED THE 10TH ANNIVERSARY OF WORKING TOGETHER WITH NATURAL WONDERS PARTNERS TO IMPROVE CHILD HEALTH IN ARKANSAS. |
| ARKANSAS CHILDREN'S HOSPITAL | PART V, SECTION B, LINE 11: DURING TY16/FY17, ARKANSAS CHILDREN'S HOSPITAL (ACH) BEGAN TO CARRY OUT THE ACTIONS IN THE 2017-2019 IMPLEMENTATION STRATEGY BASED ON THE HOSPITAL'S 2016 CHNA WHICH WAS COMPLETED AT THE END OF TAX YEAR 2015. FROM MAY TO SEPTEMBER 2016, STAKEHOLDER GROUPS AND ACH ADMINISTRATIVE AND CLINICAL LEADERS WORKED TO IDENTIFY ACTION ORIENTED GOALS AND ACTIVITIES TO ADDRESS THE IDENTIFIED PRIORITY CHILD HEALTH NEEDS. THE 2017-2019 IMPLEMENTATION STRATEGY INCLUDES DESCRIPTIONS OF THE GOALS, EXPECTED OUTCOMES AND COLLABORATIVE PARTNERS FOR EACH CHILD HEALTH NEED. BY THE FALL OF 2016 (TY16/FY17), ACH COMPLETED AND RECEIVED APPROVAL FOR ITS COMMUNITY HEALTH IMPLEMENTATION STRATEGY FOR FY17 - FY19. BELOW IS A BRIEF BACKGROUND ON HOW THE HOSPITAL FACILITATED THE DEVELOPMENT OF THE IMPLEMENTATION STRATEGY AND UPDATED INFORMATION ON HOW THE HOSPITAL HAS ADDRESSED THE CHILD HEALTH NEEDS IDENTIFIED IN THE 2016 CHNA DURING TY17/FY18. IN A CAPACITY BUILDING ROLE, ACH COMMUNITY BENEFIT STAFF SUPPORT THE COLLECTIVE IMPACT WORK OF THE NATURAL WONDERS PARTNERSHIP COUNCIL. THE COALITION USES THE ACH CHNA AS ITS "SHARED MEASUREMENT SYSTEM" OF CHILD HEALTH INDICATORS AND DEVELOPS "MUTUALLY REINFORCING ACTIVITIES" THAT ADDRESS IDENTIFIED CHILD HEALTH NEEDS. THE COLLECTIVE IMPACT FRAMEWORK HAS PROVIDED STRATEGIC DIRECTION AND ENSURED BACKBONE SUPPORT FROM ACH FOR PARTNER ORGANIZATIONS SEEKING TO IMPROVE THE HEALTH OF CHILDREN IN ARKANSAS. ACH HAS PROVIDED THE NWPC WITH FINANCIAL SUPPORT, ADMINISTRATIVE GUIDANCE, AND PROGRAM EVALUATION CAPACITIES FOR PARTNERSHIP-DEVELOPMENT AND SUCCESSFUL REALIZATION OF THE COMMON AGENDA ADDRESSING IDENTIFIED CHILD HEALTH NEEDS. THE FY16 CHNA IDENTIFIED TWELVE CHILD HEALTH ISSUES WHICH WERE PRIORITIZED AND REGROUPED BASED ON TOPIC RELEVANCE INTO TEN CHILD HEALTH ISSUES. DURING THE SPRING AND SUMMER, ACH WORKED WITH THE NWPC TO UPDATE THE PARTNERSHIP'S "SHARED MEASUREMENT SYSTEM AND DEVELOP MEASURABLE "MUTUALLY REINFORCING ACTIVITIES" AIMED TO MOVE FORWARD PRIORITIZED CHILD HEALTH STRATEGIES DURING THE 3-YEAR CHNA CYCLE. DURING THE SAME PERIOD, COMMUNITY BENEFIT STAFF ENGAGED A VARIETY OF STAKEHOLDERS THROUGHOUT THE ARKANSAS CHILDREN'S NETWORK AND WITHIN THE ARKANSAS CHILDREN'S HOSPITAL TO IDENTIFY WAYS TO ADDRESS THE NEEDS FOUND IN THE CHNA. THESE INCLUDED HOSPITAL AND MEDICAL LEADERS, STAFF FROM PATIENT AND FAMILY-SERVING PROGRAMS IN THE HOSPITAL AND DIRECTORS AND STAFF FROM COMMUNITY-SERVING PROGRAMS. BASED ON THESE STAKEHOLDERS' INPUT, COMMUNITY BENEFIT STAFF DEVELOPED AN OPERATIONAL 3-YEAR PLAN AND IDENTIFIED APPROPRIATE INTERNAL LEADS AND RESOURCES FOR EACH OF THE ACTIONS GENERATED. BY THE FALL OF 2016 (FY17), ACH HAD COMPLETED AND APPROVED ITS COMMUNITY HEALTH IMPLEMENTATION STRATEGY. IN TY16/FY17 ACH APPROVED A $200,000 "CHILD HEALTH INNOVATION FUND" FOR THE NATURAL WONDERS PARTNERSHIP COUNCIL WHICH WAS DISTRIBUTED THROUGH CONTRACTS TO ORGANIZATIONS WORKING TO IMPROVE OUTCOMES FOR ISSUES IDENTIFIED IN THE CHNA. DURING TY16/FY17 ACH INVESTED SUBSTANTIALLY IN THE DEVELOPMENT OF ITS CHILD ADVOCACY AND PUBLIC HEALTH DIVISION BY HIRING NEW STAFF TO SUPPORT AND CONTINUE TO DEVELOP COLLABORATIVE AND COMMUNITY-INFORMED PROGRAMS THAT ADDRESS IDENTIFIED CHILD HEALTH NEEDS IN ITS SERVICE AREA. STAFF WERE HIRED TO SUPPORT COMMUNITY BENEFIT, THE NWPC, AND THE PROGRAM EVALUATION FOR INTERNAL AND NWPC INITIATIVES. ALSO, STAFF WERE HIRED TO DO RURAL OUTREACH WORK ACROSS ARKANSAS TO ESTABLISH RELATIONSHIPS FOR NEW COMMUNITY-DRIVEN PROGRAMS, AND A COORDINATOR WAS HIRED FOR THE HOSPITAL'S MEDICAL-LEGAL PARTNERSHIP PROGRAM. THIS CAPACITY-BUILDING WORK HAS IMPROVED THE FUNCTIONS AROUND COMMUNITY BENEFIT WORK AND INITIATED ACCOUNTABILITY STRUCTURES TO ENSURE PROGRESS IS MADE TOWARD IMPROVED CHILD HEALTH IN THE STATE.UPDATES ON ACTIONS UNDERTAKEN DURING TY17/FY18 FOR EACH OF THE 2016 CHNA PRIORITIZED ISSUES ARE LISTED BELOW. SOME STRATEGIES WERE LED BY NWPC MEMBER ORGANIZATIONS WHO IDENTIFIED KEY WAYS FOR ACH TO PARTNER WITH THEM ON CHILD HEALTH IMPROVEMENT OR WERE SUPPORTED THROUGH THE CHILD HEALTH INNOVATION FUND.ACCESS TO QUALITY CARE:THE ACCESS TO QUALITY CARE STRATEGY IS PRIMARILY FOCUSED ON ADDRESSING THE HEALTH CARE NEEDS OF CHILDREN AND ADOLESCENTS WHEN THEY ARE HEALTHY OR ILL IN A TIMELY MANNER, WITH HIGH QUALITY, AND WITH CARE CLOSE TO HOME. WHERE VIABLE AND APPROPRIATE, ACTIONS ALSO ADDRESSED THE HEALTH OF PARENT'S AND CARETAKERS. ON THE HOSPITAL CAMPUS, ACH FINANCIAL COUNSELORS HELPED NOT ONLY PATIENTS BUT ALSO SIBLINGS AND PARENTS SIGN UP FOR HEALTHCARE COVERAGE. IN TY17/FY18 FINANCIAL COUNSELORS PROCESSED 8,158 MEDICAID APPLICATIONS. THEY ALSO HELPED FAMILIES TO COMPLETE VARIOUS OTHER PUBLIC ASSISTANCE APPLICATIONS WHICH ARE DIRECTLY SENT TO THE DEPARTMENT OF HEALTH AND HUMAN SERVICES FOR PROCESSING. ON-CAMPUS SUPPORT FOR PATIENTS AND THEIR FAMILIES ALSO INCLUDED AN ON-SITE WIC CLINIC WITH APPROXIMATELY 50 VISITS DURING FY18.FAMILIES ARE ALSO HELPED BY AN AFTER-HOURS RESOURCE LINE, ANSWERED BY REGISTERED NURSES AT ACH. IN TY17/FY18 DEDICATED NURSES RESPONDED TO THOUSANDS OF AFTER-HOURS CALLS IN WHICH THEY PROVIDED MEDICAL ADVICE FOR EITHER NON-EMERGENT ISSUES OR HELPED IDENTIFY POTENTIAL COMPLICATIONS BEFORE THEY BECAME MORE SERIOUS PROBLEMS. ANOTHER WAY ACH HELPS FAMILIES IS BY MAINTAINING ON-SITE SPANISH INTERPRETERS OR INTERPRETERS TO ASSIST NON-ENGLISH-SPEAKING FAMILIES TO ACCESS CARE, BEYOND TRANSLATION THAT IS REQUIRED FOR ACCREDITATION. ACH SUPPORTED THE CONTINUATION AND EXPANSION OF THE MEDICAL-LEGAL PARTNERSHIP, A PROGRAM IMPLEMENTED IN COLLABORATION WITH LEGAL AID OF ARKANSAS TO REDUCE HEALTH-HARMING LEGAL NEEDS. IN TY17/FY18 THEY RECEIVED 749 REFERRALS AND HOSTED ONE STATEWIDE CONFERENCE.IN THE FALL OF FY18 ACH CONTINUED ITS SCHOOL BASED TELEMEDICINE PILOT PROGRAM AT ANGIE GRANT ELEMENTARY SCHOOL, WHERE IT SAW 4 PATIENTS. THIS PILOT, WHICH DID NOT BILL FOR SERVICES, HELPED IDENTIFY BENEFITS OF THE SCHOOL BASED TELEMEDICINE PROGRAM AND THE PROCESS IMPROVEMENTS NEEDED TO PURSUE EFFORTS TO EXPAND IT IN A MORE COMPREHENSIVE AND COMMUNITY BASED WAY. PLANS TO EXPAND SCHOOL-BASED TELEMEDICINE TO RURAL DISTRICTS WITH THE HELP OF A USDA GRANT WERE SLOWED BY THE PASSAGE OF LEGISLATIVE ACT 203 OF 2017. THIS NEW STATE LAW LIMITED ACCESS TO CARE BY REQUIRING THE COLLECTION OF AUTHORIZATIONS FROM THE PRIMARY CARE PROVIDERS FOR CHILDREN WITH MEDICAID COVERAGE BEFORE PROVIDING TELEMEDICINE IN A SCHOOL SETTING, EVEN WHEN THOSE SERVICES WERE NOT BILLED. WITH THIS NEW LEGAL MANDATE, ACH WORKED TO SECURE AUTHORIZATIONS FROM PRIMARY CARE PHYSICIANS IN TARGETED SCHOOL DISTRICTS. SUBSEQUENTLY IN THE SUMMER OF FY18, NEW SCHOOL-BASED TELEMEDICINE SITES WERE ESTABLISHED AT DUMAS (SOUTHEAST ARKANSAS), BOONEVILLE (NORTHWEST ARKANSAS), AND MAGNOLIA (SOUTHWEST ARKANSAS) DISTRICTS, EXPANDING THE NUMBER OF SITES FROM 1 TO 9 OVERALL IN THE STATE. THE STEPHENS ELEMENTARY SCHOOL-BASED HEALTH CLINIC, SUPPORTED BY ACH-FUNDED PRACTITIONERS, PERFORMED 314 ACUTE-CARE AND WELLNESS VISITS DURING TY17/FY18 AND WORKED TO ADDRESS THE SCHOOL'S CULTURE OF HEALTH. IN TY17/FY18, ACH MADE SIGNIFICANT INVESTMENTS AND PREPARATIONS TO UPGRADE ITS ELECTRONIC MEDICAL RECORD TECHNOLOGY TO AFFECT IMPROVING ACCESS TO CARE THROUGH ITS PLANNED INCORPORATION OF EPIC HEALTHY PLANET INTO ITS NEW ELECTRONIC HEALTH RECORD. THIS TECHNOLOGY CAN BETTER INFORM AND HELP PLAN PLACE-BASED INITIATIVES WITH COMMUNITY BENEFIT RESOURCES. THE NWPC ACCESS TO CARE WORK GROUP ALLOWS STAKEHOLDERS, INCLUDING ACH PROGRAMS, TO MEET AND IDENTIFY SYSTEMATIC WAYS TO IMPROVE ACCESS FOR PATIENTS ACROSS THE SYSTEM OF CARE THAT SERVES CHILDREN IN ARKANSAS. ACH ENGAGED ON AVERAGE 15 ACCESS TO CARE WORKGROUP MEMBERS AND HOSTED 6 BI-MONTHLY MEETINGS. THE NWPC FACILITATED ARKIDS FIRST ENROLLMENT FOR MARSHALLESE COMMUNITY AND ORAL HEALTH OUTREACH THROUGH THE 2017-2018 INNOVATION FUND. THIS PROJECT EXPANDED ORAL HEALTH EFFORTS FOR CHILDREN IN TWO NORTHWEST ARKANSAS CITIES, BY EXPANDING DENTAL SCREENING TO PRE-K STUDENTS IN THE ROGERS SCHOOL DISTRICT AS WELL AS CONDUCTING AN EXTENSIVE OUTREACH PROGRAM TO ENROLL MARSHALLESE CHILDREN IN ARKIDS FIRST. THE COMMUNITY CLINIC'S DENTAL PROGRAM CONDUCTS ANNUAL DENTAL SCREENINGS IN PRE-K CLASSROOMS IN THE SPRINGDALE SCHOOLS. THIS PROGRAM HAS GROWN, AND IN 2017-2018, VISITED 67 CLASSROOMS AND SCREENED 1,340 PRE-K STUDENTS. THE PROGRAM ALSO HAD TWO MARSHALLESE REGISTERED DENTAL ASSISTANTS (RDA) FACILITATE 34 ORAL HEALTH OUTREACH LUNCHEONS WITH A TOTAL OF 1,337 ATTENDEES. THE PROGRAM ALSO PROVIDED ASSISTANCE TO MARSHALLESE HOUSEHOLDS IN ENROLLING IN ARKIDS BY REACHING OUT TO 1,595 MARSHALLESE.(SCHEDULE H, PART V, SECTION B, LINE 11 - CONTINUED BELOW) |
| SCHEDULE H, PART V, SECTION B, LINE 11 - CONTINUED | CHILDHOOD OBESITY: THE CHILDHOOD OBESITY STRATEGY WAS DEVELOPED WITH THE AIM TO DECREASE THE HEALTH RISKS OF OBESITY FOR ARKANSAS CHILDREN BY ADDRESSING QUALITY HEALTHY FOOD AND SAFE OPPORTUNITIES FOR PHYSICAL ACTIVITY IN CHILDREN'S HOME, SCHOOL AND COMMUNITIES. ACH WORKS CLOSELY WITH ARKANSAS COALITION FOR CHILDHOOD OBESITY (ARCOP) TO INFORM AND GUIDE THE COLLECTIVE AGENDA ON CHILDHOOD OBESITY IN ARKANSAS. IT REGULARLY SUPPORTS AND PROMOTES ARCOP INITIATIVES BY ATTENDING QUARTERLY MEETINGS AND SUPPORTING COMMUNITY EVENTS. ACH STAFF ALSO ACTIVELY PARTICIPATE IN THE HEALTHY ACTIVE ARKANSAS, A STATE-SPONSORED INITIATIVE TO ADDRESS OBESITY IN THE STATE. IN FY18 ACH CONTINUED TO SUPPORT STATEWIDE ACCESS TO AN ENHANCED VERSION OF GONOODLE, A PHYSICAL ACTIVITY PROGRAM THAT ALLOWS TEACHERS TO WORK 2-5 MINUTE "BRAIN BREAKS" THAT ACTIVATE KIDS' BODIES AND BRAINS, TRANSFORMING THE HEALTH OF ARKANSAS KIDS. MORE THAN 700 SCHOOLS AND HALF OF ARKANSAS' PUBLIC SCHOOL ELEMENTARY TEACHERS UTILIZED THE PROGRAM. IN TY17/FY18, PARTICIPATION IN THE GONOODLE PROGRAM IMPROVED ACTIVE MINUTES FOR ALMOST 150,000 STUDENTS, AND IN THE 2017-2018 SCHOOL YEAR, ARKANSAS ELEMENTARY STUDENTS ACHIEVED 66 MILLION MINUTES OF PHYSICAL ACTIVITY. IN TY17/FY18 ACH'S COMMUNITY OUTREACH TEAM, PART OF ACH'S CHILD ADVOCACY AND PUBLIC HEALTH DIVISION, TRANSITIONED ITS SCHOOL-BASED INTERVENTIONS TO EVIDENCE-BASED PROGRAMS INCLUDING THE COORDINATED APPROACH TO CHILD HEALTH (C.A.T.C.H.) AND ORGAN WISE GUYS FOCUSING ON IMPROVING NUTRITION KNOWLEDGE FOR CHILDREN AND ADOLESCENTS. THROUGH THESE TWO PROGRAMS, COMMUNITY OUTREACH IMPLEMENTED MULTI-COMPONENT HEALTH EDUCATION PROGRAMS AT MORE THAN 25 ELEMENTARY AND MIDDLE SCHOOLS IN ALL FIVE MAJOR REGIONS OF THE STATE. NUTRITION-FOCUSED INTERVENTIONS HAVE BEEN SHOWN TO REDUCE CHILDHOOD OBESITY. THE HOSPITAL HAS PARTNERED WITH THE ACRI TO MANAGE A COMMUNITY GARDEN. THE PROJECT BEGAN IN SEPTEMBER 2015. ALONG WITH A SMALL BAND OF VOLUNTEERS, A PART-TIME GARDEN MANAGER FROM ARKANSAS GARDENCORPS GREW AND HARVESTED 2,011 LBS. OF PRODUCE. ALL PRODUCE GROWN AND HARVESTED IS GIVEN TO THE NEARBY HELPING HAND FOOD PANTRY, WHICH IN TURN PROVIDES HEALTHY FOOD FOR ACH'S FOOD INSECURITY INITIATIVES.MENTAL HEALTH AND SUBSTANCE USE:IN TY16/FY17 ACH BEGAN EXPLORING OPPORTUNITIES FOR MENTAL AND BEHAVIORAL HEALTH PARTNERSHIPS AS PART OF ITS STRATEGIC PLANNING PROCESS. ACH SUPPORTED A VARIETY OF EVENTS AND FUNDRAISERS IN THE BEHAVIORAL HEALTH ARENA AS WELL SEVERAL STATE INITIATIVES ON BEHAVIORAL HEALTH. IN TY17/FY18, ACH PROVIDED A $1 PER YEAR LEASE TO THE CHILDREN'S PROTECTION CENTER IN ITS NEW CLARK CENTER FOR CHILDREN. THE NEW DAVID M. CLARK CENTER FOR SAFE AND HEALTHY CHILDREN, WHICH OPENED IN FY17, IS DEDICATED TO THE CARE AND TREATMENT OF NEGLECTED AND ABUSED CHILDREN AND THEIR FAMILIES. IN THIS FACILITY, CHILDREN RECEIVE MEDICAL, PSYCHOLOGICAL AND SOCIAL HEALTH SERVICES THROUGH THE FOUR MAIN SERVICE PROVIDERS IT HOUSES: CHILD AND ADOLESCENT PSYCHIATRY, CHILD MALTREATMENT, FAMILY TREATMENT PROGRAM AND THE PULASKI COUNTY CHILDREN'S ADVOCACY CENTER. PROGRESS IN THE PROPOSED NWPC ACTIONS TO ADDRESS MENTAL AND SUBSTANCE USE CONTINUES TO BE ON HOLD. NATURAL WONDERS PARTNERSHIP COUNCIL FACILITATED MULTIPLE CONVERSATIONS TO TRY TO FIND SHARED VISION, WITH NO SUCCESS. THE ACTIONS FOCUSED PRIMARILY ON CONVENING AND FOSTERING THE CREATION OF A NWPC AFFILIATED WORKGROUP THAT WOULD BEGIN WORK ON IDENTIFYING A VISION, SHARED AGENDA, AND MENTAL HEALTH AND SUBSTANCE USE INDICATORS TO WORK ON TOGETHER TO ENSURE THAT CHILDREN AND ADOLESCENTS REDUCE RISKY BEHAVIORS AND HAVE ACCESS TO THE FULL RANGE OF BEHAVIORAL HEALTH SERVICES THAT HELP THEM THRIVE. THESE EFFORTS HAVE BEEN DELAYED IN TY17/FY18 DUE TO THE SIGNIFICANT PAYMENT AND TREATMENT TRANSFORMATION THE STATE GOVERNMENT HAS BEEN PLANNING IN THE MENTAL HEALTH AND BEHAVIORAL SYSTEM. NWPC MEMBERS AND STAFF RECOGNIZED THAT THE TIMING TO CONVENE STAKEHOLDERS HAD TO BE POSTPONED AND WOULD BE MORE EFFECTIVE AS SYSTEM-CHANGE INITIATIVES STABILIZED.REPRODUCTIVE HEALTH:ACH AIMED TO ADDRESS ADOLESCENT REPRODUCTIVE HEALTH BY HELPING ADOLESCENTS REDUCE RISKY BEHAVIORS, DELAY SEXUAL ACTIVITY, AND PREVENT TEEN PREGNANCIES AND SEXUALLY TRANSMITTED INFECTIONS BY IMPROVING ACCESS TO NEEDED SERVICES FOR YOUTH. IN TY17/FY18ACH IMPLEMENTED THE LOVE NOTES HEALTHY RELATIONSHIP PILOT THROUGH THE NWPC INNOVATION FUND. THE GOAL OF THIS PROJECT IS TO PILOT AN EVIDENCE-BASED PROGRAM, LOVE NOTES, TO REDUCE TEEN PREGNANCIES AND BIRTHS IN ARKANSAS. LOVE NOTES IS AN EVIDENCE-BASED PREGNANCY PREVENTION PROGRAM. ACCORDING TO THE OFFICE OF ADOLESCENT HEALTH WEBSITE IT HAS SHOWN TO INCREASE RATES OF CONTRACEPTIVE USE, DELAY THE INITIATION OF SEXUAL ACTIVITY, REDUCE THE FREQUENCY OF SEXUAL ACTIVITY, AND REDUCE RATES OF PREGNANCY OR BIRTHS AMONG 14 -18 YEAR OLDS. IT HAS PROVEN RESULTS THROUGH A CURRICULUM NOT FOCUSED SOLELY ON SEXUAL HEALTH BUT INSTEAD INCLUDES SEXUAL HEALTH AS AN ASPECT OF SKILLS TO LEARN TO CREATE HEALTHY RELATIONSHIPS. THE PROGRAM IMPLEMENTED THE COURSE AT FOUR SITES, WITH 133 TOTAL YOUTH. IN TY17/FY18 ACH ALSO IMPLEMENTED AN EVALUATION OF ACT 943 THROUGH THE NWPC INNOVATION FUND. THE PROJECT DEVELOPED AND PILOTED AN EVALUATION METHODOLOGY THROUGH WHICH PARTICIPATING PUBLIC TWO- AND FOUR-YEAR COLLEGES AND UNIVERSITIES IN ARKANSAS CAN EASILY ASSESS HOW WELL THEY ARE IMPLEMENTING ACT 943'S MANDATES AS WELL AS A PROCESS EVALUATION TOOL AND MONITORING MATERIALS FOR UNIVERSITIES TO USE AT THEIR SITE.SOCIAL ISSUES:ALL THE ENVIRONMENTAL AND SOCIOECONOMIC NEEDS IDENTIFIED BY THE COMMUNITY IN THE FY16 CHNA SUCH AS COMMUNITY HEALTH, POOR HOME ENVIRONMENT, LACK OF TRANSPORTATION, HOMELESSNESS, EDUCATION, AND POVERTY WERE WRAPPED TOGETHER IN A SOCIAL ISSUES STRATEGY IN THE FY18 COMMUNITY HEALTH IMPLEMENTATION STRATEGY. THE ACH CIRCLE OF FRIENDS PRIMARY CARE CLINIC HAS LED THE WAY WITHIN THE HOSPITAL TO IDENTIFY AND HELP MEET THEIR NEEDS. IN 2016, ACH DEVELOPED AND IMPLEMENTED A CHILD SOCIAL NEEDS SCREENING TOOL IN ITS CIRCLE OF FRIENDS (COF) PRIMARY CARE CLINIC. THE SCREENING TOOL WAS IMPLEMENTED IN THE NEW SOUTHWEST LITTLE ROCK PRIMARY CARE CLINIC STARTING IN JUNE 2017 AND IN THE GENERAL PEDIATRICS CLINIC STARTING IN JUNE 2018. THE PAPER TOOL CONTAINS 14 YES-OR-NO QUESTIONS RELATED TO FOOD INSECURITY, HOUSING AND SPECIAL EDUCATION NEEDS - ALL AREAS IN WHICH ACH IS ABLE TO HELP FAMILIES WITH CURRENTLY. THE SOCIAL NEEDS DATA OF PATIENTS AT THESE CLINICS HAS BEGUN TO HELP INFORM AND GUIDE DISCUSSION ON WHAT NEEDS THE HOSPITAL MAY BE ABLE AND APPROPRIATE TO ADDRESS IN THE FUTURE. OF THE 22,926 PATIENTS SEEN IN THE COF CLINIC IN FY18 APPROXIMATELY 46% WERE SCREENED, AND ALMOST HALF (48%) HAD A POSITIVE RESULT IDENTIFYING AT LEAST ONE NEED. FOR THE CIRCLE OF FRIENDS, SOUTHWEST LITTLE ROCK, AND GPC CLINICS COMBINED OVER 13% OF THE SCREENINGS WERE CONDUCTED IN SPANISH. POSITIVE RESPONSES WERE REFERRED TO INTERNAL RESOURCES SUCH AS FINANCIAL COUNSELORS AND TO ACH'S MEDICAL-LEGAL PARTNERSHIP (MLP), AND/OR TO THE COF CLINIC'S FOOD PANTRY PROGRAM. INDEED THE TOP NEED IDENTIFIED THROUGH SCREENING WAS FOOD INSECURITY. IN COLLABORATION WITH A LOCAL FOOD PANTRY PARTNER, HELPING HAND, ACH PROVIDED 1,618 BAGS OF FOOD TO FAMILIES IN NEED. LEGAL ASSISTANCE IN HOUSING OR EDUCATIONAL NEEDS WERE ADDRESSED BY THE MLP. ACH ALSO TACKLED SOCIAL NEEDS IN COLLABORATION WITH THE NWPC CORE GROUP PARTNERS TO BEGIN TO LOOK FOR WAYS TO IMPROVE COORDINATION OF MEDICAL-LEGAL PARTNERSHIP SERVICES IN COMMUNITIES AROUND THE STATE THROUGH THE NWPC INNOVATION FUNDS. IN TY17/FY18 ACH HOSTED A MEDICAL LEGAL PARTNERSHIP SUMMIT THROUGH THE NWPC INNOVATION FUND. THE INVITATIONS EXTENDED TO MLPS IN SURROUNDING STATES, AND MEDICAL, LEGAL, AND COMMUNITY INTERESTED IN LEARNING ABOUT OR ESTABLISHING MLPS IN ARKANSAS. THE PURPOSE WAS TO BRING CURRENT PARTNERSHIPS TOGETHER FOR SUBSTANTIVE TRAINING, AND TO PROVIDE INFORMATION FOR THOSE EXPLORING THE CREATION OF NEW PARTNERSHIPS. THERE WERE 90 PEOPLE IN ATTENDANCE, INCLUDING 47 ATTORNEYS, 12 LAW STUDENTS AND LEGAL SUPPORT STAFF, 22 MEDICAL STAFF, 4 ACADEMICS, 15 NON-PROFIT AND LEADERSHIP STAFF, AND 4 STATE AGENCY STAFF. IN ADDITION TO INVESTING IN WAYS TO EXPAND THE MLP, ACH HAS ALSO SUPPORTED CHILDREN'S HEALTH WATCH REPORTS THAT DEMONSTRATE THE ISSUE OF HEALTHCARE TRADEOFFS, DEMONSTRATING THE COMPLEXITIES OF BALANCING A FAMILY'S BUDGET WHILE MEETING HEALTHCARE NEEDS. |
| SCHEDULE H, PART V, SECTION B, LINE 11 - CONTINUED | PARENTING SUPPORTS:ACH WORKED AND SUPPORTED THE NWPC PARENTING AND CAREGIVING SUPPORTS WORKGROUP TO IDENTIFY EFFECTIVE STRATEGIES TO BETTER UNDERSTAND PARENT EDUCATIONAL NEEDS AND EXPAND THEM, PROMOTE COMMUNITY-WIDE UNDERSTANDING OF SOME OF THE CHALLENGES PARENTS AND CAREGIVERS HAVE, AND EXPAND EXISTING PROGRAMS THAT HELP IMPROVE FAMILIES. PARENTS AND CAREGIVERS ARE VERY IMPORTANT IN THE WELL-BEING AND DEVELOPMENT OF CHILDREN, HOWEVER ACH AND ITS PARTNERS KNOW THAT A STRONG COMMUNITY CAN AND SHOULD PROVIDE VARIOUS SOCIAL AND COMMUNITY SUPPORTS TO HELP MORE ARKANSAS PARENTS RAISE HAPPY, HEALTHY CHILDREN CAPABLE OF LIFE-LONG LEARNING. ACH SUPPORTED AND CONVENED THIS WORKGROUP THROUGHOUT THE YEAR WITH MONTHLY MEETINGS, INNOVATION FUND SUPPORT AND STAFF TIME. IN TY17/FY18, ACH DEVELOPED A PARENT SUPPORT GAP ANALYSIS THROUGH THE NWPC INNOVATION FUND. PARENTING CAPACITY, CHALLENGES, AND EFFECTIVENESS ARE INFLUENCED BY NUMEROUS FACTORS INCLUDING CONTEXTUAL FACTORS SUCH AS ECONOMIC CIRCUMSTANCES, PHYSICAL ENVIRONMENT/SAFETY, FAMILY/SOCIAL ENVIRONMENT, FAMILY HEALTH ISSUES, AND COMMUNITY RESOURCES. CHILD AND FAMILY EVALUATION SERVICES (CAFES) WAS CONTRACTED TO DO A GAP ANALYSIS FOR PARENTING SUPPORTS IN ARKANSAS. THIS REPORT COVERED SELECT REGIONS OF ARKANSAS, AND ADDRESSED THE VARIOUS ASSETS AND NEEDS RELATED TO PARENT SUPPORT, INCLUDING AVAILABILITY AND QUALITY OF PARENTING CLASSES. THE ARKANSAS HOME VISITING NETWORK (AHVN), A PARTNERSHIP BETWEEN THE ARKANSAS DEPARTMENT OF HEALTH AND ACH SUPPORTED WITH A FEDERAL GRANT TO ADH AND CONTRACTED TO ACH, HAS IMPROVED MATERNAL-CHILD HEALTH OUTCOMES FOR CHILDREN IN THE PROGRAM. THE AHVN CONTINUES TO IMPLEMENT SIX EVIDENCE BASED MODELS (FOLLOWING BABY BACK HOME (FBBH), HEALTHY FAMILIES ARKANSAS (HFA), HOME INSTRUCTION FOR PARENTS OF PRESCHOOL YOUNGSTERS (HIPPY), NURSE FAMILY PARTNERSHIP (NFP), PARENTS AS TEACHERS (PAT), AND SAFECARE) WHICH IN FY18 HELPED APPROXIMATELY 6,600 FAMILIES AT ANY GIVEN TIME WITH CHILDREN PRENATAL TO AGE 5 IN 73 COUNTIES IN THE STATE. IT IS A THRIVING COALITION OF PROVIDERS AND STAKEHOLDERS THAT WORK TOGETHER TO HELP PARENTS AND CHILDREN. ACH DID NOT SPEND ANY COMMUNITY BENEFIT FUNDS IN FY18 FOR AVHN OPERATIONS, BUT THIS WORK IS A KEY COMPONENT OF THE STRATEGY TO ENSURE ARKANSAS PARENTS AND CAREGIVERS ARE CAPABLE AND THAT CHILDREN THRIVE. ACH CONTINUED TO LEASE OFFICE SPACE ON ITS CAMPUS AT A DISCOUNTED RATE TO THE NATIONAL HOME VISITING PARTNER HEADQUARTERED IN LITTLE ROCK, HIPPY USA, FOR THE NATIONAL OFFICE.ACH'S CENTER FOR GOOD MOURNING, A MEMBER OF THE NATIONAL ALLIANCE FOR GRIEVING CHILDREN, PROVIDED 390 COMMUNITY BASED PRESENTATIONS TO FAMILIES AND GROUPS IN ARKANSAS. THESE SESSIONS PROVIDED SUPPORT AND ASSISTANCE TO ALMOST 2,400 BEREAVED CHILDREN AND FAMILIES AND PROFESSIONAL CAREGIVERS IN ARKANSAS THROUGH EDUCATION, PROGRAM DEVELOPMENT, AND GRIEF SUPPORT PROGRAMS. CENTER STAFF SPENT 897 HOURS PREPARING, DELIVERING PRESENTATIONS, FACILITATING MEETINGS, AND PREPARING AND MAINTAINING UPDATED ONLINE RESOURCES ON THE CENTER'S ELECTRONIC PAGE IN THE ACH WEBSITE.THE NATURAL WONDERS PARENTING WORKGROUP ENSURES THAT A DIVERSE, INCLUSIVE GROUP OF STAKEHOLDERS HELPS TO BUILD STRATEGIES TO IMPROVE CAREGIVER SUPPORT. THE WORKGROUP MET MONTHLY DURING FY18.ORAL HEALTH:ACH ORAL HEALTH STRATEGIES IMPROVED ACCESS TO APPROPRIATE PREVENTIVE ORAL HEALTH AND DENTAL TREATMENT SERVICES AND INCREASED THE NUMBER OF CHILDREN AND ADOLESCENTS THAT ARE FREE FROM MOUTH OR GUM DISEASE SO THEY CAN EAT, SPEAK, PLAY, AND LEARN. ADDITIONALLY, THE NWPC HELPED FACILITATE OUTREACH IN ORAL HEALTH AS PREVIOUSLY MENTIONED IN THE ACCESS TO QUALITY CARE SECTION.DURING FY18, SCHOOL AGE CHILDREN IN ARKANSAS RECEIVED 6,874 DENTAL SCREENINGS AND 5,425 DENTAL SEALANTS THROUGH ACH'S COMMUNITY CLINICAL PROGRAMS (CCP) DEPARTMENT'S ORAL HEALTH SERVICES THROUGH THE NATURAL WONDERS PARTNERSHIP COUNCIL INNOVATION FUND FOR SCHOOL-BASED ORAL HEALTH. ACH CONTINUED TO SUPPORT ITS ORAL HEALTH AND DENTAL TREATMENT STRATEGY TO HELP ENSURE ARKANSAS CHILDREN ARE FREE FROM DENTAL DISEASE SO THEY CAN EAT HEALTHY FOOD, PLAY PAIN FREE, AND NOT MISS SCHOOL DAYS DUE TO ORAL HEALTH RELATED ILLNESS. THOUGH PHILANTHROPIC AND COMMUNITY BENEFIT INVESTMENTS, ACH SUPPORTED 3 MOBILE DENTAL VANS THAT PROVIDED RESTORATIVE AND PREVENTIVE TREATMENT TO THOUSANDS OF CHILDREN WITHOUT A DENTAL HOME IN DIVERSE COMMUNITY SITES IN THE SOUTHEAST, CENTRAL, AND NORTHWEST REGIONS OF ARKANSAS. THE MOBILE DENTAL PROGRAM REACHES OVER 1,000 CHILDREN PER YEAR, OFFERING OVER $1.2 MILLION IN DENTAL SERVICES. A FOURTH FULLY PHILANTHROPICALLY SUPPORTED VAN WAS PURCHASED IN FY18 FOR SOUTHWEST ARKANSAS. THE HOSPITAL'S SCHOOL-BASED SEALANT PROGRAM REACHES ABOUT 60 SCHOOLS AND OVER 6,000 CHILDREN EACH YEAR. ACH CCP STAFF ALSO CONVENED AND SUPPORTED 6 MEETINGS OF THE CHILDREN'S ORAL HEALTH NETWORK, A SUBGROUP OF THE ARKANSAS ORAL HEALTH COALITION.FOOD INSECURITY: ACH FOOD INSECURITY PROGRAMS HELPED ENSURE THAT MANY CHILDREN AND FAMILIES DID NOT GO HUNGRY AND HELPED IN A SMALL WAY ALLEVIATE THE HEALTH TRADEOFFS THAT FAMILIES MAKE IN ORDER TO FEED THEIR FAMILIES. IT PROVIDED IN A VARIETY OF SETTINGS NUTRITIOUS FOOD FOR EVERYONE IN THE HOME. DURING FY18, ACH WORKED WITH THE ARKANSAS HUNGER RELIEF ALLIANCE TO IDENTIFY AND IMPLEMENT INNOVATIVE WAYS TO ADDRESS CHILDHOOD FOOD INSECURITY. INITIATIVES TARGETED TO PATIENTS WERE CARRIED OUT PRIMARILY VIA THE COMMUNITY OUTREACH (CO) DEPARTMENT. ACH SUPPORTED COOKING MATTERS PROGRAMS THAT TEACH LOW-INCOME RESIDENTS TO COOK HEALTHFUL, LOW-COST MEALS IN A VARIETY OF COMMUNITY SETTINGS, INCLUDING COOKING MATTERS, COOKING MATTERS AT THE STORE, AND 'POP-UP COOKING MATTERS' A CURRICULUM FOR HIGH SCHOOL STUDENTS. THE NWPC PROMOTED THE "FIVE TO THRIVE" SCHOOL NUTRITION ASSISTANCE PROGRAM WITH THE ARKANSAS HUNGER RELIEF ALLIANCE THROUGH THE 2017-2018 INNOVATION FUND. THIS PROJECT SUPPORTED THE NO KID HUNGRY CAMPAIGN'S FIVE TO THRIVE INITIATIVE WHICH AIMS TO ASSIST ARKANSAS SCHOOL DISTRICTS TO ADD OR EXPAND BREAKFAST AFTER THE BELL, SUMMER AND/OR AFTERSCHOOL MEAL PROGRAMMING, AND COOKING MATTERS OR OTHER NUTRITION EDUCATION, PLUS FACILITATED PLANS FOR SCHOOL PANTRIES AND PHYSICAL ACTIVITY PROGRAMMING WHERE NEEDED. NINE SCHOOL DISTRICTS ACHIEVED THE FIVE TO THRIVE LABEL AS A RESULT OF THIS PROJECT. ACH NUTRITION EDUCATION TEAM REACHED 3,000 STUDENTS VIA IN-SCHOOL GROCERY STORE SIMULATION TOURS. ALL 9 DISTRICTS EITHER SUPPORTED SCHOOL-BASED PANTRIES OR PARTICIPATED IN BACKPACK PROGRAMS SUPPORTED BY THE REGIONAL FOOD BANK WITH PLANS TO EXPAND. ADDITIONALLY, ALL 9 DISTRICTS PARTICIPATED IN EITHER THE GONOODLE PROGRAM, THE FUELUPTOPLAY60 PROGRAM SPONSORED BY MIDWEST DAIRY, OR A SIMILAR PHYSICAL ACTIVITY PROGRAM.THE HOSPITAL CONTINUED TO ADDRESS FOOD INSECURITY ON THE ACH CAMPUS THROUGH A VARIETY OF INVESTMENTS. ACH PROVIDED FOOD BAGS TO INPATIENT AND CLINIC PATIENT FAMILIES IDENTIFIED TO BE FOOD INSECURE. EACH YEAR THOUSANDS OF USDA MEALS ARE PROVIDED TO CHILDREN THANKS TO ACH'S EFFORTS TO MAINTAIN AND GROW THE HOSPITAL'S NUTRITION AND FEEDING PROGRAMS. THE AT RISK & SUMMER FEEDING PROGRAM DISTRIBUTED 27,215 SACK LUNCHES TO CHILDREN UP TO 18 YEARS OF AGE AT THE RIVERBEND, A FOOD CAF LOCATED IN A HIGH TRAFFIC AND ACCESSIBLE AREA OF THE HOSPITAL. ACH PROVIDED 60,817 FREE MEAL TICKETS (LUNCH OR DINNER, AT A COST OF APPROXIMATELY $132,417) TO FAMILY MEMBERS OF PATIENTS AND WERE USED AT THE HOSPITAL'S CAFETERIA WHICH SERVES HEALTHY BALANCED FOOD OPTIONS. THE HELPING HAND FOOD BAGS DISTRIBUTED 1,486 BAGS OF NON-PERISHABLE, HEALTHY GROCERIES TO PATIENT FAMILIES. MORE THAN 132 PATIENT FAMILIES RECEIVED FRESH AND NON-PERISHABLE GROCERIES THROUGH THE MOBILE PANTRY. FAMILIES CAN OBTAIN ASSISTANCE THROUGH THE FINANCIAL COUNSELORS TO COMPLETE ENROLLMENT APPLICATIONS IN THE SUPPLEMENTAL NUTRITION ASSISTANCE PROGRAM (SNAP) AND MEET WITH ARKANSAS DEPARTMENT OF HEALTH STAFF TO ENROLL IN WOMEN, INFANTS AND CHILDREN (WIC) ON THE ACH CAMPUS THANKS TO STATE AGENCY PARTNERSHIPS. PROGRAMS THAT REACH INTO THE COMMUNITY INCLUDE COOKING MATTERS CLASSES AND TOURS. THE 6-SESSION CLASSES ENGAGED 31 ADULTS, 12 CHILDREN, AND 16 TEENS. 43 FAMILIES RECEIVED STORE TOURS ONLY. POP-UP COOKING MATTERS REACHED 24 SITES IN 11 COUNTIES AND PROVIDED 110 "TOURS" REACHING 3,442 STUDENTS. THE COMMUNITY GARDEN PRODUCED 2,011 POUNDS OF FRESH PRODUCE WHICH WERE PROVIDED TO HELPING HAND FOOD PANTRY. SCHOOL BASED OBESITY PREVENTION PROGRAMS WERE ALSO IMPLEMENTED ACROSS THE STATE (CATCH HAD 19 SCHOOLS VISITED AND 371 PRESENTATIONS MADE TO 4,024 STUDENTS IN 12 COUNTIES, AND ORGANWISE GUYS HAD 8 SITES VISITED AND 74 PRESENTATIONS MADE TO 2,405 STUDENTS IN 7 COUNTIES). |
| SCHEDULE H, PART V, SECTION B, LINE 11 - CONTINUED | CHILD INJURY:IN FY18, THE ACH INJURY PREVENTION CENTER (IPC) CONTINUED TO WORK TO REDUCE CHILD INJURIES AND DEATHS THROUGH RESEARCH AND OUTREACH ON THE ISSUES OF MOTOR VEHICLE SAFETY, SAFE SLEEP/INFANT MORTALITY, INTENTIONAL INJURIES, AND RECREATIONAL SAFETY, UTILIZING A COMPREHENSIVE PUBLIC HEALTH APPROACH THAT INCLUDES EDUCATION, AWARENESS, AND ADVOCACY. THE IPC OFFERS MORE THAN 20 DIFFERENT PROGRAMS THAT REACH ACROSS ARKANSAS TO REACH ITS GOALS. THE SAFE TRANSPORT OF PATIENTS (STOP) GAVE 234 CAR SEATS TO FAMILIES IN FY18-65 OF THOSE WERE SPECIAL MEDICAL SEATS THAT WERE LOANED AND/OR PROVIDED TO THE FAMILIES. TWENTY FIVE NEW SITES IN 22 COUNTIES WERE ADDED TO THE CHILD PASSENGER SAFETY (CPS) NETWORK WHERE BOTH CHILD PASSENGER SAFETY FITTING AND SAFE SLEEP FITTING STATIONS ARE CONDUCTED. WITH AN EXPANDED NETWORK, 8 CPS COURSES TRAINED 110 NEW CPS TECHNICIANS. THIS EXPANDED CPS NETWORK CAPACITY GENERATED 1,002 SAFE CAR SEAT FITTINGS WITH HALF OF FITTINGS AND SEATS LOANED TO FAMILIES AT COMMUNITY FITTING STATIONS.THE INJURY PREVENTION CENTER PROVIDED CONTINUING EDUCATION ACTIVITIES AND TRAINED 908 PROFESSIONALS THROUGH CURRICULUM AND CLASSES THAT CONTINUE TO BE AVAILABLE TO PHYSICIANS, MEDICAL STUDENTS, NURSES, MEDICAL APPLICATIONS OF SCIENCE STUDENTS, EMERGENCY MEDICAL SERVICES, CHILDCARE PROVIDERS AND ARKANSAS STATE EMPLOYEES. THE IPC ALSO PARTIALLY STAFFED THE SAFETY ZONE, A SAFETY PRODUCT REFERRAL LOCATION WHERE PROVIDERS CAN REFER FAMILIES FOR SAFETY CONSULTATION AND PRODUCTS. THE SAFETY ZONE EDUCATED 748 VISITORS AND DISTRIBUTED 1,749 SAFETY PRODUCTS FREE OF COST TO FAMILIES. ACH ALSO IMPLEMENTED SEVERAL GRANTS AND CONTRACTS THAT HELP TO REDUCE TRAUMA AND IMPROVE TRAUMA COORDINATION FOR ARKANSAS. THE IPC'S EFFORTS HAVE GENERATED MANY PROGRAM EVENTS, ACTIVITIES, BROCHURES, FACT SHEETS, AND OTHER USEFUL EDUCATIONAL MATERIALS FOR STATEWIDE DISTRIBUTION (INCLUDING RURAL AREAS). LIKEWISE, THE IPC LEADS THE STATEWIDE INFANT AND CHILD DEATH REVIEW TEAM FOR THE STATE TO BETTER UNDERSTAND AND PREVENT INFANT MORTALITY AND CHILD DEATHS. IN FY18, IPC CONTINUED TO PROVIDE EDUCATION AND TECHNICAL ASSISTANCE TO ALL 39 BIRTHING HOSPITALS AND ARKANSAS CHILDREN'S HOSPITAL RESULTING IN 88% OF HOSPITALS TO BE SAFE SLEEP CERTIFIED BY CRIBS FOR KIDS, WITH 3 SITES PENDING CERTIFICATION. TO REDUCE DISPARITIES IN INFANT DEATHS THE NWPC INNOVATION FUNDS CONTRACTED WITH BROTHERS UNITED, WHICH WORKED WITH AFRICAN-AMERICAN FRATERNITIES TO ENGAGE FATHERS AND OTHER MEN IN INFANT MORTALITY PREVENTION. EMERGING INJURY PREVENTION ISSUES ARE ALSO BEING ADDRESSED. IPC COMPLETED EXPLORATORY RESEARCH ON KNOWLEDGE AND ATTITUDES ABOUT FIREARM SAFETY, CONDUCTING TWELVE FOCUS GROUPS IN THREE STATES TO CREATE EDUCATIONAL MESSAGING. ACH CONTINUES TO ADMINISTER A MULTIDISCIPLINARY FIREARM SAFE STORAGE TASK FORCE AT ACH. THE IPC, IN CONJUNCTION WITH THE AMERICAN FOUNDATION FOR SUICIDE PREVENTION, DEVELOPED AND PILOTED SCHOOL BASED MESSAGING AROUND SUICIDE PREVENTION AWARENESS FOR TEENS. THE IPC ALSO DEVELOPED A PACKET FOR SCHOOLS THAT INCLUDES RESOURCES AVAILABLE STATEWIDE FOR SUICIDE PREVENTION. IMMUNIZATION:ARKANSAS CHILDREN'S HOSPITAL IMMUNIZATION FOCUSED PROGRAMS INCREASED THE NUMBER OF CHILDREN THAT RECEIVED ALL NEEDED VACCINATIONS IN ORDER TO PROTECT THEIR LIVES AND HEALTH AS WELL AS THE HEALTH OF THE BROADER COMMUNITY.IN FY18 THE ARKANSAS IMMUNIZATION ACTION COALITION'S NEW EXECUTIVE DIRECTOR BEGAN FACILITATING THE CHILDHOOD IMMUNIZATION WORKGROUP. THE GROUP HAS GAINED IMPRESSIVE MOMENTUM, HOSTING CONTINUING EDUCATION EVENTS, DRAWING 20 PLUS MEMBERS TO MEETINGS AND IMPLEMENTING MINI GRANTS. |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 4 | FacilityNum |
Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp
Oth Hlth Care Fclts OthHlthCareFcltsGrp (4 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | FacilityFacilityTxt |
|---|---|---|---|---|
| 1 - WEST LITTLE ROCK PEDIATRIC CLINIC | ||||
| BELLA ROSA CENTER 16101 CANTRELL RD | LITTLE ROCK | AR | 72223 | OUTPATIENT HOSPITAL CLINIC |
| 2 - CENTERS FOR CHILDREN | ||||
| 519 LATHAM DRIVE | LOWELL | AR | 72745 | OUTPATIENT HOSPITAL CLINIC |
| 3 - CENTERS FOR CHILDREN | ||||
| 520 CARSON STREET | JONESBORO | AR | 72401 | OUTPATIENT HOSPITAL CLINIC |
| 4 - SOUTHWEST LITTLE ROCK COMMUNITY CLINIC | ||||
| 9015 DAILEY DRIVE | LITTLE ROCK | AR | 72209 | OUTPATIENT HOSPITAL CLINIC |
Supplemental Information Detail SupplementalInformationDetail (14 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINE 3C: | ACH USES FEDERAL POVERTY GUIDELINES TO DETERMINE FREE OR DISCOUNTED CARE.PART I, LINE 4:ACH DOES NOT HAVE A SPECIFIC FINANCIAL ASSISTANCE PROGRAM FOR THE "MEDICALLY INDIGENT" AS DEFINED BY AR CODE SECTION 6-64-503(A), BUT ITS FINANCIAL ASSISTANCE POLICY DOES PROVIDE FREE CARE FOR INDIVIDUALS WITH HOUSEHOLD INCOMES UP TO 250% OF POVERTY AND DISCOUNTED CARE FORINDIVIDUALS WITH HOUSEHOLD INCOMES UP TO 400% OF POVERTY. AS PART OF THE APPLICATION PROCESS, ACH REQUESTS THAT PERSONS WITH NO INCOME AND ALSO INELIGIBLE FOR MEDICAID, MEDICARE, OR MARKETPLACE SUBSIDIES PROVIDE A WRITTEN SIGNED STATEMENT DESCRIBING HOW THEY ARE MEETING THEIR DAY TO DAY BASIC LIVING NEEDS. THE APPLICATION SPECIFIES SUCH REQUIREMENTS FOR APPLICANTS WITH "NO INCOME IN THE HOME". ACH ALSO ASSISTS FAMILIES IN APPLYING FOR MEDICAID (INCLUDING THE TEFRA PROGRAM FOR DISABLED CHILDREN THAT ONLY CONSIDERS THE CHILD'S INCOME), SSI, CHILDREN'S MEDICAL SERVICES, AS WELL AS ACH'S OWN FINANCIAL ASSISTANCE PROGRAM. THE HOSPITAL ALSO ALLOWS INTEREST FREE PAYMENTS TO BE MADE UNTIL THE OUTSTANDING BALANCE IS PAID WITHOUT TIME CONSTRAINTS. ACH DOES NOT REPORT TO COLLECTION AGENCIES OR TAKE OTHER EXTRAORDINARY COLLECTION EFFORTS. |
| PART I, LINE 7: | COSTING METHOD - ARKANSAS CHILDREN'S HOSPITAL (ACH) USES A COST ACCOUNTING (CA) SYSTEM AS THE BASIS FOR DETERMINING COST FOR ITS PATIENTS. ALL PATIENT ENCOUNTERS (INPATIENT, OUTPATIENT, ED, AMBULATORY SURGERY) ARE CAPTURED IN THE COST ACCOUNTING SYSTEM FOR ALL PATIENTS (MEDICAID, INSURANCE, UNINSURED) WITH NO DIFFERENTIATION FOR TYPE OF INSURANCE, IF ANY. A BRIEF DESCRIPTION OF THE COST ACCOUNTING SYSTEM IS BELOW.THE COST ACCOUNTING SYSTEM AT ACH IS A DETAILED PROCEDURE SYSTEM. ALL SERVICES PERFORMED BY PATIENT CARE STAFF HAVE BEEN EVALUATED AS TO THE RESOURCES UTILIZED TO PROVIDE THE SERVICES INCLUDING LABOR, DIRECT MATERIALS AND EQUIPMENT. IN ADDITION, OVERHEAD TYPE COSTS (BUILDING, UTILITIES, PAYROLL, ETC.) HAVE ALSO BEEN ALLOCATED TO THESE SERVICES. THE TWO COMPONENTS, DIRECT AND INDIRECT COSTS, ARE COMBINED AND REPRESENT THE TOTAL COST TO PROVIDE EACH SERVICE. THIS IS DONE ON A PROCEDURE LEVEL BASIS. AS A PATIENT IS ADMITTED AND INCURS SERVICES (X-RAYS, ROOM & BOARD, LAB, ETC.), THE APPLICABLE PROCEDURE COSTS ARE ASSIGNED TO EACH PARTICULAR PATIENT. UPON DISCHARGE, THE COSTS FROM THE INDIVIDUAL PROCEDURES THAT WERE PROVIDED TO EACH PATIENT ARE ADDED UP FOR A TOTAL COST OF PROVIDING CARE FOR EACH INDIVIDUAL PATIENT.THE COST ACCOUNTING SYSTEM IS UPDATED ANNUALLY TO REFLECT THE CURRENT YEAR'S EXPENSES. |
| PART I, LINE 7G: | SUBSIDIZED HEALTH SERVICES - ACH PROVIDES MANY PEDIATRIC AND SOME ADULT SPECIALIZED SERVICES TO THE COMMUNITY THAT ARE EITHER NOT AVAILABLE OR ARE BEYOND THE CAPACITY OF THE COMMUNITY TO PROVIDE. MANY OF THESE SERVICES ARE PROVIDED BY ACH AT A LOSS. THESE LOSSES WERE OBTAINED FROM THE COST ACCOUNTING SYSTEM.IN ADDITION, ACH PROVIDES PEDIATRIC RENAL SERVICES THAT ARE NOT PROVIDED IN THE COMMUNITY. THE COST OF THESE SERVICES PROVIDED TO PEDIATRIC PATIENTS IS MORE EXPENSIVE DUE TO THE SPECIALTY NATURE OF THE PATIENTS. THESE COSTS ARE GREATER THAN WHAT IS ALLOWED ON THE MEDICARE COST REPORT, AND THAT LOSS HAS BEEN REPORTED IN SUBSIDIZED HEALTH SERVICES.SIMILARLY, ACH INCURS LOSSES FROM PROVIDING PEDIATRIC LAB SERVICES TO ITS MEDICARE PATIENT POPULATION THAT ARE REIMBURSED LESS THAN COST. THOSE LOSSES ARE ALSO INCLUDED AS SUBSIDIZED HEALTH SERVICES. |
| PART I, LN 7 COL(F): | BAD DEBT EXPENSE - BAD DEBT EXPENSE OF $11,903,176 IS INCLUDED IN THE TOTAL PRESENTED ON FORM 990, PART IX, LINE 24C. THIS AMOUNT HAS BEEN EXCLUDED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN SCHEDULE H, PART I, LINE 7, COLUMN F. |
| PART II, COMMUNITY BUILDING ACTIVITIES: | ACH CONTRIBUTES TO THE COMMUNITY IT SERVES BOTH AT A NEIGHBORHOOD LEVEL AND AT A STATEWIDE LEVEL. LOCALLY, ACH IS A MAJOR EMPLOYER IN THE DOWNTOWN LITTLE ROCK AREA AND SERVES AS AN ACTIVE MEMBER OF THE BUSINESS COMMUNITY'S WORK TO RE-VITALIZE THE AREA FOR BOTH COMMERCE AND LIVING. DURING 2018 ACH STOOD BY ITS COMMITMENT TO COMMUNITY FINANCIAL WELLBEING BY INCREASING ITS MINIMUM WAGE FROM $10.10 TO $14 AN HOUR. THIS EXCEEDS THE RECENT STATE MINIMUM WAGE INCREASE OF $11. ACH PARTICIPATES IN THE DOWNTOWN LITTLE ROCK PARTNERSHIP AND SUPPORTS EFFORTS TO IMPROVE CENTRAL ARKANSAS IN COLLABORATION WITH THE LITTLE ROCK CHAMBER OF COMMERCE, THE ARKANSAS ECONOMIC DEVELOPMENT FOUNDATION, AND THE LITTLE ROCK POLICE DEPARTMENT, AMONG OTHERS. THESE ORGANIZATIONS ADDRESS ECONOMIC DEVELOPMENT, WORKFORCE ISSUES, SAFETY, AND EDUCATIONAL ACHIEVEMENT IN THE NEIGHBORHOOD AND CITY IN WHICH ACH RESIDES. ACH HAS PROVIDED SUPPORT TO BUSINESS DEVELOPMENT IN OTHER PARTS OF THE STATE WHERE THE HOSPITAL HAS CLINICAL SERVICES AS WELL. ACH SUPPORTS A VARIETY OF NEIGHBORHOOD-BASED ORGANIZATIONS IN THE GEOGRAPHIC AREA SURROUNDING THE HOSPITAL, INCLUDING FORMAL NEIGHBORHOOD ASSOCIATIONS, BY ATTENDING MEETINGS AND SPONSORING INITIATIVES THAT SUPPORT THE COMMUNITY. ACH SUPPORTED A VARIETY OF NONPROFIT ORGANIZATIONS AND COMMUNITY GROUPS THAT HELP BUILD SAFETY AND RESILIENCY FOR CHILDREN AND THEIR CARETAKERS ACROSS THE STATE. THESE ORGANIZATIONS ADDRESS HOMELESSNESS, JOB SUPPORTS/SKILLS, DOMESTIC VIOLENCE, EDUCATION, AND NEIGHBORHOOD ENGAGEMENT. THERE ARE MULTIPLE EXAMPLES OF ORGANIZATIONS THAT ACH HELPS SUPPORT. FOR INSTANCE, THE BOYS AND GIRLS CLUB HELPS KIDS AND TEENS DEVELOP ESSENTIAL SKILLS, MAKE LASTING CONNECTIONS AND HAVE FUN WITH ENRICHING AND EDUCATIONAL ACTIVITIES. WOMEN AND CHILDREN FIRST TACKLES AN OFTEN UNSPOKEN PROBLEM IN THE COMMUNITY: FAMILY VIOLENCE. IT PROVIDES SAFETY, STRENGTH, AND HOPE FOR ALL VICTIMS OF FAMILY VIOLENCE. THE THEA FOUNDATION ADVOCATES THE IMPORTANCE OF THE ARTS IN REBUILDING CHILDREN'S LIVES. ACH CONTINUED TO PROVIDE OFFICE SPACE AT HIGHLY DISCOUNTED RATES FOR CHILD MALTREATMENT SERVICES. THE ARKANSAS DREAM CENTER PROGRAMS ADDRESS HOMELESSNESS, CRIME, AND POVERTY IN ARKANSAS COMMUNITIES. THE MUSEUM OF DISCOVERY PROMOTES INTEREST IN SCIENCE AND EDUCATION FOR YOUTH IN CENTRAL ARKANSAS. THE WOMEN'S FOUNDATION OF ARKANSAS INVESTS IN YOUNG GIRLS TO PROMOTE FINANCIAL STABILITY AND EDUCATIONAL ACHIEVEMENT. |
| PART III, LINE 2: | THE BAD DEBT ATTRIBUTABLE TO PATIENT ACCOUNTS DOES NOT INCLUDE THE EXPENSE FOR PATIENTS WHO ARE LIKELY TO QUALIFY FOR FINANCIAL ASSISTANCE. AT YEAR END, ALL ACCOUNTS WRITTEN OFF AS BAD DEBT ARE SENT TO TRANSUNION FOR CREDIT ANALYSIS. THOSE WITH CREDIT SCORES OF 620 AND BELOW ARE RECLASSIFIED AS CHARITY SINCE THESE WOULD LIKELY QUALIFY FOR FINANCIAL ASSISTANCE HAD THE FAMILIES FURNISHED SUFFICIENT INFORMATION. THIS AMOUNT IS ADDED TO THE OTHER CHARITY ADJUSTMENTS. FOR THOSE ACCOUNTS REMAINING CLASSIFIED AS BAD DEBT, THE COST TO CHARGE RATIO FOR EACH ACCOUNT IS CALCULATED AND APPLIED TO THE BAD DEBT WRITE OFF TO ADJUST THIS AMOUNT TO COST. |
| 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.TEXT OF FOOTNOTE IN FINANCIAL STATEMENTS:ASC TOPIC 954 (TOPIC 954), PRESENTATION AND DISCLOSURE OF PATIENT SERVICE REVENUE, PROVISION FOR BAD DEBTS, AND THE ALLOWANCE FOR DOUBTFUL ACCOUNTS FOR CERTAIN HEALTH CARE ENTITIES, REQUIRES HEALTH CARE ENTITIES THAT RECOGNIZE SIGNIFICANT AMOUNTS OF PATIENT SERVICE REVENUE AT THE TIME THE SERVICES ARE RENDERED, EVEN THOUGH THEY DO NOT ASSESS THE PATIENT'S ABILITY TO PAY, TO PRESENT THE PROVISION FOR BAD DEBTS RELATED TO PATIENT SERVICE REVENUE AS A DEDUCTION FROM PATIENT SERVICE REVENUE (NET OF CONTRACTUAL ALLOWANCES AND DISCOUNTS) ON THE CONSOLIDATED STATEMENTS OF OPERATIONS.FOR UNINSURED PATIENTS WHO DO NOT QUALIFY FOR CHARITY CARE, ACH RECOGNIZES REVENUE BASED ON ESTABLISHED RATES, SUBJECT TO CERTAIN DISCOUNTS AS DETERMINED BY ACH. 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. ACH HAS 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, ACH RECORDS AN ESTIMATED PROVISION FOR UNCOLLECTIBLE ACCOUNTS IN THE YEAR OF SERVICE. ACH DOES NOT EXPERIENCE A LARGE SELF-PAY POPULATION DUE TO THE CURRENT PAYOR MIX OF ITS PATIENTS. |
| PART III, LINE 8: | THE ACH MEDICARE POPULATION IS PRIMARILY RENAL PEDIATRIC PATIENTS AND ADULT BURN PATIENTS. ACH IS THE ONLY BURN CENTER IN THE STATE AND SERVES BOTH PEDIATRIC AND ADULT PATIENTS. THE COST OF PROVIDING CARE FOR THE ACUTE ADULT PATIENTS IS TYPICALLY GREATER THAN THE REIMBURSEMENT THAT MEDICARE ALLOWS ON THE MEDICARE COST REPORT. THEREFORE, THE MEDICARE SHORTFALL SHOULD BE INCLUDED AS A COMPONENT OF COMMUNITY BENEFIT BECAUSE THE REIMBURSEMENT IS NOT NEGOTIATED AND SERVICES CANNOT BE PROVIDED ELSEWHERE. |
| PART III, LINE 9B: | ARKANSAS CHILDREN'S HOSPITAL'S PATIENT ACCOUNTS DEPARTMENT USES ITS BEST EFFORTS TO ASSIST PATIENTS/GUARANTORS IN MEETING THEIR FINANCIAL RESPONSIBILITY FOR SERVICES PROVIDED AT ACH. THE ACH POLICY IS TO ACT WITH INTEGRITY IN ALL ENDEAVORS; TREATING ALL PATIENTS AND THEIR FAMILIES WITH DIGNITY, RESPECT, AND COMPASSION. THE STANDARD PROCESS INCLUDES OFFERING FINANCIAL ASSISTANCE TO ELIGIBLE FAMILIES. NOTICES REGARDING THE FINANCIAL ASSISTANCE PROGRAM ARE POSTED IN ENGLISH AND SPANISH IN ALL REGISTRATION AREAS. FINANCIAL ASSISTANCE BROCHURES ARE OFFERED AT REGISTRATION AND ARE AVAILABLE TO FAMILIES UPON REQUEST. THE GUARANTOR STATEMENTS AND THE ACH WEBSITE CONTAIN INFORMATION ABOUT THIS PROGRAM. THERE ARE FINANCIAL COUNSELORS AVAILABLE TO ALL REGISTRATION AREAS OF THE HOSPITAL TO ASSIST IN COMPLETING MEDICAID, CMS, SSI INTENTS, AND FINANCIAL ASSISTANCE APPLICATIONS. IT IS STANDARD PRACTICE AT ACH TO UTILIZE INTERNAL RESOURCES FOR COLLECTION THROUGH THE PATIENT ACCOUNTS DEPARTMENT. NO EXTRAORDINARY COLLECTION EFFORTS ARE TAKEN. ACH DOES NOT REPORT TO CREDIT BUREAUS OR CHARGE INTEREST OR FILE LIENS AGAINST A PATIENT'S OR FAMILY'S RESIDENCE TO SECURE PAYMENT ON PATIENT ACCOUNT BALANCES. UPON RECEIPT OF A PERSONAL BANKRUPTCY NOTICE, ANY OUTSTANDING SELF-PAY BALANCES FOR THE ASSOCIATED PATIENT ARE WRITTEN OFF ONCE ALL OTHER PAYMENTS HAVE BEEN RECEIVED. ALL SELF-PAY COLLECTION ACTIVITY IS STOPPED UPON NOTIFICATION OF THE BANKRUPTCY.UPFRONT DISCOUNTS ON SERVICES FOR THE UNINSURED ARE OFFERED. THE FAMILY CAN ALSO REQUEST A PROMPT PAY DISCOUNT. ADDITIONALLY, ACH ATTEMPTS TO ACCOMMODATE U.S. FAMILIES WHO DESIRE TO SET UP REASONABLE PAYMENT PLANS. INTEREST IS NOT CHARGED. THE HOSPITAL'S GUARANTOR STATEMENTS ARE DESIGNED TO KEEP THE GUARANTOR UPDATED AS TO WHETHER THE ACCOUNT IS STILL PENDING RESOLUTION BY INSURANCE OR DUE FROM THE GUARANTOR. SELF-PAY COLLECTION ATTEMPTS ARE DISCONTINUED ONCE CHARGES ARE DETERMINED TO QUALIFY FOR FINANCIAL ASSISTANCE. |
| PART VI, LINE 2: | ARKANSAS CHILDREN'S HOSPITAL HAS BEEN CONDUCTING REGULAR NEEDS ASSESSMENTS OF THE STATUS OF CHILDREN'S HEALTH IN ARKANSAS SINCE 2006, WITH THE MOST RECENT CHNA AND IMPLEMENTATION STRATEGY ISSUED IN 2016. PLEASE SEE PART V, SECTION B FOR RELATED DETAILS AND DISCUSSION.BUILDING ON YEARS OF EXPERIENCE ASSESSING THE NEEDS OF THE COMMUNITY THROUGH THE NATURAL WONDERS PARTNERSHIP COUNCIL'S EFFORTS, ACH'S CHNA IS VERY COMPREHENSIVE AND REACHES STATEWIDE. HOWEVER, CLINICAL ASSESSMENT OF NEEDS HAS DRIVEN ADDITIONAL EFFORTS TO IMPROVE ACCESS TO APPROPRIATE HEALTH CARE FOR CHILDREN AND TO EDUCATE A VARIETY OF STAKEHOLDERS IN ARKANSAS. FOR EXAMPLE, REALIZING THAT SOME HEALTH CARE WORKERS (FROM FIRST RESPONDERS TO SMALL HOSPITALS' STAFF MEMBERS) WERE UNFAMILIAR WITH PEDIATRIC PROTOCOLS, ACH HAS WORKED TO EDUCATE PROFESSIONALS ACROSS THE STATE THROUGH SIMULATION EDUCATION. SCHOOL NURSES IDENTIFIED CERTAIN AREAS, SUCH AS TRACHEOSTOMY CARE, IN WHICH THEY FELT THEY NEEDED ADDITIONAL EDUCATION, AND ACH PARTNERED WITH THE AR DEPARTMENT OF HEALTH TO MEET THOSE NEEDS THROUGH THE SCHOOL NURSE ACADEMY. ACH SUPPORT OF CAMPS FOR CHILDREN WITH SPECIAL HEALTH CARE NEEDS IS ALSO DRIVEN BY STAFF MEMBERS WHO WORK IN SPECIALTY CLINICS AND INPATIENT UNITS EACH DAY. MEDICAL STAFF ALSO COLLECT AND ANALYZE DATA; FOR EXAMPLE, SEVERAL PHYSICIANS COLLECT DATA FOR CHILDREN'S HEALTH WATCH ON FOOD INSECURITY, HOUSING, AND OTHER BASIC NEEDS. ACH'S FAMILY ADVISORY BOARD HELPS GUIDE THE HOSPITAL STAFF AND BOARD REGARDING ISSUES RELATED TO ITS SERVICES AND TO CREATING A FAMILY-FRIENDLY, FAMILY-CENTERED PLACE OF CARE. |
| PART VI, LINE 3: | PLEASE SEE PART III, LINE 9B DESCRIPTION ON PAGE 70. |
| PART VI, LINE 4: | AS THE CENTRAL PEDIATRIC MEDICAL CENTER IN THE STATE, ACH DEFINES THE COMMUNITY IT SERVES AS ALL CHILDREN FROM BIRTH TO AGE 18 IN THE STATE OF ARKANSAS. THOUGH THE HOSPITAL SERVES A SMALL NUMBER OF ADULT PATIENTS WITH PEDIATRIC CHRONIC CONDITIONS OR SEVERE BURNS AND A HANDFUL OF OUT-OF-STATE PATIENTS FOR PARTICULAR HEALTH CONDITIONS, THE MAJORITY OF ITS PATIENTS ARE FROM CENTRAL ARKANSAS AND THE REMAINDER OF THE STATE. ACH DRAWS APPROXIMATELY 72.6% OF ITS OUTPATIENT POPULATION AND 58.7% OF ITS INPATIENT POPULATION FROM PULASKI COUNTY AND SURROUNDING COUNTIES, INCLUDING SALINE, FAULKNER, LONOKE, AND JEFFERSON. ALTHOUGH PULASKI COUNTY IS THE HOSPITAL'S PRIMARY SERVICE AREA, ACH SERVES PATIENTS FROM WHITE COUNTY IN NORTH CENTRAL ARKANSAS, GARLAND COUNTY IN EAST CENTRAL ARKANSAS AND BENTON, SEBASTIAN, AND WASHINGTON COUNTIES IN THE NORTHWEST CORNER OF THE STATE. ACH'S CURRENT PHYSICAL LOCATIONS INCLUDE A MAIN CAMPUS AND TWO OUTPATIENT CLINICS IN LITTLE ROCK, A CLINIC IN NORTHWEST ARKANSAS, AND A CLINIC IN NORTHEAST ARKANSAS. GROWING TELEMEDICINE CAPABILITIES CONNECT ACH TO OFF-CAMPUS PROVIDERS AND ALLOW REMOTE SITES ACCESS TO SPECIALTIES INCLUDING NEONATOLOGY, EMERGENCY MEDICINE, PEDIATRIC INTENSIVE CARE, BURN, GENETICS, CARDIOLOGY, AND PULMONOLOGY. ACCORDING TO U.S. CENSUS BUREAU 2010 CENSUS DATA, POPULATION TOTALS AT THAT TIME WERE 2,915,918 FOR THE STATE OF ARKANSAS AND 382,748 FOR PULASKI COUNTY. ESTIMATED 2017 CENSUS DATA INDICATED POPULATION TOTALS TO BE 3,004,279 FOR ARKANSAS AND 393,956 FOR PULASKI COUNTY. ALSO ACCORDING TO ESTIMATED 2017 CENSUS DATA, APPROXIMATELY 23.5% OF THE ARKANSAS POPULATION WAS UNDER 18 YEARS OF AGE AND 6.4% WAS UNDER THE AGE OF 5. THE UNEMPLOYMENT RATE FOR THE STATE OF ARKANSAS FOR CALENDAR YEAR 2017 WAS 3.7%. THE PER CAPITA PERSONAL INCOME FOR THE STATE OF ARKANSAS FOR 2017 WAS $24,426. THE PERCENT OF ALL PEOPLE IN POVERTY IN AR WAS 18.1% AND THE PERCENT OF CHILDREN 18 OR YOUNGER IN POVERTY WAS 25.7%, INDICATING A SLIGHT IMPROVEMENT FROM THE PRIOR YEAR.ARKANSAS CHILDREN'S HOSPITAL (ACH) DEFINES ITS COMMUNITY AS ALL CHILDREN WHO RESIDE IN THE STATE. CHILDREN SERVED BY ACH COME FROM DIVERSE COMMUNITIES, RANGING FROM NORTHWEST ARKANSAS' BOOMING BUSINESS INDUSTRY TO THE PERSISTENT POVERTY OF THE MISSISSIPPI DELTA. RACIAL AND ETHNIC SUBCULTURES VARY ACROSS THE STATE INCLUDING A GROWING HISPANIC POPULATION IN THE NORTH AND WEST TO A LARGER AFRICAN AMERICAN POPULATION IN THE SOUTH AND EAST. IN GENERAL, ARKANSAS CHILDREN FARE WORSE THAN OTHERS IN THE U.S. IN TERMS OF HEALTH RISK FACTORS AND OUTCOMES, HIGHLIGHTING A NEED FOR INVESTMENTS IN PUBLIC HEALTH INITIATIVES. DESPITE THE PRESENCE OF LARGE PRIVATE EMPLOYERS INCLUDING THE CORPORATE HOMES FOR WAL-MART, TYSON FOODS, AND JONES TRUCK LINES, AND A STRONG AGRICULTURAL ECONOMY, THE CONSEQUENCES OF POVERTY ARE FELT IN MOST COMMUNITIES IN THE STATE.THE ESTIMATED 701,924 ARKANSAS CHILDREN UNDER AGE 18 REPRESENTED 23.5% OF THE STATE'S TOTAL POPULATION FOR 2017. DEMOGRAPHIC SHIFTS OCCUR RAPIDLY; THE HISPANIC CHILD POPULATION GREW DRAMATICALLY FROM 3.0% AS REPORTED IN THE 2000 CENSUS TO 9.3% AS REPORTED IN THE 2010 CENSUS, AND THE NUMBER OF AFRICAN AMERICAN CHILDREN UNDER AGE 18 ALSO GREW FROM 15.7% TO 19.3% DURING THE SAME PERIOD. ESTIMATES FOR 2017 INDICATE THAT THE HISPANIC CHILD POPULATION IN ARKANSAS WAS 11.8% AND THE AFRICAN AMERICAN CHILD POPULATION WAS 18.0%. THE RATE OF POVERTY IN ARKANSAS (2017 ESTIMATE) WAS APPROXIMATELY 18.1%, WITH APPROXIMATELY 25.7% OF CHILDREN UNDER AGE 18 LIVING IN POVERTY. WITH A PRIMARILY RURAL POPULATION LIVING IN MANY SMALL AND MEDIUM-SIZED COMMUNITIES, ACCESS TO HEALTH CARE SERVICES PRESENTS A VERY REAL CHALLENGE. ARKANSAS HAS SEEN A LARGE DECLINE IN UNINSURED CHILDREN SINCE 1990, WITH 4.9% OF CHILDREN LACKING COVERAGE AS OF 2017. ARKANSAS' "ARKIDS FIRST" HEALTH INSURANCE PROGRAM HAS BEEN A MAJOR FACTOR IN PROVIDING HEALTH INSURANCE FOR CHILDREN WHO MAY HAVE OTHERWISE GONE WITHOUT. ARKIDS FIRST WAS DESIGNED BY THE STATE OF ARKANSAS TO PROVIDE INSURANCE FOR CHILDREN OF WORKING FAMILIES WHO EARNED TOO MUCH FOR PUBLIC ASSISTANCE BUT COULD NOT AFFORD TO PURCHASE HEALTH INSURANCE. |
| PART VI, LINE 5: | ARKANSAS CHILDREN'S HOSPITAL IS THE CENTRAL PEDIATRIC MEDICAL CENTER IN ARKANSAS AND ONE OF THE LARGEST IN THE UNITED STATES SERVING CHILDREN FROM BIRTH TO AGE 21. THE CAMPUS SPANS OVER 36 CITY BLOCKS AND HOUSED 336 OPERATING BEDS IN FY18. THE STAFF IS COMPRISED OF APPROXIMATELY 549 PHYSICIANS, OVER 200 RESIDENTS IN PEDIATRICS AND PEDIATRIC SPECIALTIES AND MORE THAN 4,400 EMPLOYEES. THE PRIVATE, NONPROFIT HEALTHCARE FACILITY BOASTS AN INTERNATIONALLY RENOWNED REPUTATION FOR MEDICAL BREAKTHROUGHS AND INTENSIVE TREATMENTS, UNIQUE SURGICAL PROCEDURES AND FORWARD-THINKING MEDICAL RESEARCH - ALL DEDICATED TO FULFILLING ITS MISSION.ACH SERVES AS THE PEDIATRIC TEACHING AFFILIATE OF THE UNIVERSITY OF ARKANSAS FOR MEDICAL SCIENCES (UAMS) AND IS HOME TO THE UAMS DEPARTMENT OF PEDIATRICS. ACH IS THE CLASSROOM WHERE MEDICAL STUDENTS STUDY THE PEDIATRIC COMPONENT OF ALL DISCIPLINES. UAMS FACULTY ON ACH CAMPUS ARE PRACTICING PHYSICIANS AS WELL AS TEACHERS TO UAMS STUDENTS IN MEDICINE, NURSING, PHARMACY AND ALLIED HEALTH SPECIALTIES.ACH'S BURN CENTER IS THE ONLY ONE IN ARKANSAS AND TREATS BOTH PEDIATRIC AND ADULT BURN PATIENTS. THEIR OUTREACH PROGRAM HELPS TO PREVENT BURNS THROUGH SEVERAL OUTREACH AND EDUCATIONAL INITIATIVES. THEY PROVIDED EDUCATION IN THE EMERGENCY TREATMENT OF BURNS TO 1,393 EMERGENCY MEDICAL PERSONNEL INCLUDING EMTS, DOCTORS, NURSES, AND PARAMEDICS, NEW ABLS PROVIDERS, AND FIRST RESPONDERS THROUGHOUT THE STATE. IN ADDITION, THEY DELIVERED EDUCATION IN BURN PREVENTION TO 1,675 CHILDREN AND FAMILIES STATEWIDE THROUGH HEALTH FAIRS, SAFE KID'S DAY, SCHOOLS, CONVENTIONS, OUTPATIENTS AND INPATIENTS. THEY ALSO ANSWERED 56 REFERRALS THE YOUTH FIRESETTER INTERVENTION PROGRAM FOR ALL AGES UP TO 18 YEARS AND PROVIDED EDUCATION TO 59 VOLUNTEER FIREFIGHTERS. IN COLLABORATION WITH THE VOLUNTEER FIRE FIGHTERS PROGRAM THEY DISTRIBUTED 270 SMOKE DETECTORS TO REACH RURAL COMMUNITIES THROUGHOUT THE STATE. THEY ALSO REACHED RURAL COMMUNITIES THROUGH A MAIL CAMPAIGN OF 6,777 BURN PREVENTION EDUCATION MATERIALS TO ALL COUNTIES OF THE STATE. THERE WERE ALSO 1,300 BATH CARDS DISTRIBUTED TO SOURCES FOR THE PREVENTION OF BATHWATER SCALDS IN INFANTS.THE HOSPITAL'S CHILD ADVOCACY AND PUBLIC HEALTH DIVISION EMPLOYS ALMOST 70 STAFF FOCUSED ON HEALTH PROMOTION AND PREVENTION, HOME VISITING SERVICES FOR VULNERABLE FAMILIES, UNIQUE ACCESS TO CARE SOLUTIONS SUCH AS SCHOOL-BASED HEALTH, AND POPULATION HEALTH SERVICES SUCH AS A MEDICAL-LEGAL PARTNERSHIP. MUCH OF THIS WORK IS GRANT- OR CONTRACT-FUNDED, MEANING THAT IT IS NOT COUNTED AS COMMUNITY BENEFIT, BUT IT IS THE HOSPITAL'S INFRASTRUCTURE FOR ITS BROADER MISSION OF DELIVERING ON THE PROMISE OF A HEALTHIER TOMORROW FOR ARKANSAS CHILDREN. THE HOSPITAL'S WINNIE M. LOWE FAMILY RESOURCE CENTER IS STAFFED BY 3 EMPLOYEES AND IS HOME TO A FAMILY LIBRARY, SAFETY ZONE AND MEDICAL LIBRARY. IN THE FAMILY LIBRARY, PATIENTS, FAMILIES AND COMMUNITY MEMBERS CAN ACCESS EVIDENCED-BASED, PEER-REVIEWED HEALTH INFORMATION TO LEARN ABOUT A NEW OR EXISTING DIAGNOSIS OR CONDITION. THE LIBRARY OFFERS MANY HEALTH APPS WHERE PATIENTS AND FAMILIES CAN INTERACT WITH BODY SYSTEMS IN 2D FORMAT. THE FAMILY LIBRARY INCLUDES A BIBLIOTHERAPY PROGRAM, WHICH ARE CHILDREN'S BOOKS THAT CONVEY HEALTH INFORMATION. THIS MAY ALLOW A CHILD OR THEIR SIBLINGS TO UNDERSTAND WHAT MAY BE OCCURRING WITH THEIR BODY OR AN UPCOMING SURGERY OR HOSPITAL ADMISSION. THE SAFETY ZONE IS A WONDERFUL PLACE WHERE VISITORS CAN LEARN ABOUT INJURY PREVENTION WHILE AT HOME, WHILE DRIVING, AND WHILE DOING RECREATIONAL ACTIVITIES. FAMILIES COMPLETE AN INJURY PREVENTION ASSESSMENT AND RECEIVE TAILORED, EVIDENCED-BASED INJURY PREVENTION INFORMATION. TOPICS RANGE FROM GENERAL HOME SAFETY, SAFE SLEEP, WATER SAFETY, ATV SAFETY, GUN SAFETY, BURN PREVENTION SAFETY, CAR SEAT SAFETY AND MUCH MORE. FAMILIES WHO COMPLETE THE ASSESSMENT ARE ELIGIBLE FOR UP TO THREE FREE SAFETY PRODUCTS TO ADDRESS SAFETY RISKS IDENTIFIED. THE FAMILY RESOURCE CENTER IS ALSO THE HUB FOR PATIENT AND FAMILY ENGAGEMENT IN THE HOSPITAL. THE PATIENT AND FAMILY ADVISOR PROGRAM AT ACH ENGAGES VOLUNTEERS IN A VARIETY OF WAYS TO CONTINUE ADVANCING OUR COMMITMENT TO PATIENT AND FAMILY CENTERED CARE. THE HOSPITAL BEGAN WITH 1 FAMILY ADVISORY BOARD (FAB), BUT HAS SINCE GROWN TO 9 FAB'S AND 1 YOUTH ADVISORY COUNCIL. THESE GROUPS HAVE BROUGHT ABOUT MANY MEANINGFUL CHANGES TO THE HOSPITAL INCLUDING: VIDEO STREAMING, CO-DESIGNED PATIENT SAFETY INFORMATION, A MEAL ASSISTANCE PROGRAM, THE DEVELOPMENT OF PATIENT AND FAMILY HEALTH INFORMATION, AND MUCH MORE. PATIENT AND FAMILY ADVISORS ARE ENGAGED IN OTHER CAPACITIES, INCLUDING HOSPITAL COMMITTEES, A MENTOR PROGRAM, OUR E-COUNCIL, ETC. THE ADVISORS ARE A MAJOR ASSET IN THE COMMITMENT TO PATIENT SAFETY AND TO THE HOSPITAL MISSION.THROUGH THE HOSPITAL'S PEDIATRIC UNDERSTANDING AND LEARNING THROUGH SIMULATIONS EDUCATION (PULSE) SEVERAL DEPARTMENTS IN THE HOSPITAL HAVE TRAINED OVER 1,900 NON ACH HEALTH PROFESSIONALS, PATIENT FAMILIES AND OTHER INTERESTED COMMUNITY MEMBERS AROUND THE STATE ON LIFE SAVING PEDIATRIC CARE SKILLS. NUMBERS HAVE INCREASED AS WE PROVIDE NRP IN THE COMMUNITY, CPR IN SCHOOLS TRAINING WITH PROJECT ADAM DRIVEN BY CVICU INSTRUCTORS. ACH INSTRUCTORS ARE ALSO SEEING MORE ENGAGEMENT FROM COMMUNITY ALLIES SUCH AS CHURCHES AND BUSINESS.THE ADVANCE CARDIAC LIFE SUPPORT (ACLS), AN AMERICAN HEART ASSOCIATION COURSE, TEACHES THE RECOGNITION AND TREATMENT OF CARDIAC DYSRHYTHMIAS IN CHILDREN OVER 10 YEARS OF AGE. INSTRUCTORS HAVE HELPED SEVERAL COMMUNITIES AND BUSINESS'S LEARN TOOLS FOR BASIC LIFE SUPPORT. THEY TRAIN PATIENT FAMILIES TO TAKE THEIR CHILDREN HOME AND ALSO GO TO SCHOOLS, CHURCHES, YOUTH AND ADULT ACTIVITIES AND BUSINESS TO EDUCATE IN FIRST AID AND BASIC LIFE SUPPORT. THE TEAM HAS TAUGHT PEDIATRIC ASSESSMENT RECOGNITION AND STABILIZATION (PEARS) TO SCHOOL NURSES. MANY INSTRUCTORS TEACH FIRST AID TO DAYCARES AND BUSINESSES. BOY SCOUTS AND GIRL SCOUTS HAVE BENEFITTED FROM THIS PROGRAM. THE INSTRUCTORS ARE A PART OF THE AMERICAN HEART ASSOCIATION'S SWEETHEARTS PROGRAM WHERE 56 TEENAGE GIRLS CAME TO ACH TO LEARN CPR AS PART OF THE HEART AWARENESS PROGRAM.THE HOSPITAL'S ANGEL ONE TRANSPORT PROGRAM TAUGHT 216 HEALTHCARE PROFESSIONALS IN TWO PROGRAMS NEONATAL RESUSCITATION, AND THE STABLE PROGRAMS THAT FOCUS ON IMPROVING OUTCOMES FOR NEWBORNS BY INCREASING THE NUMBER OF HEALTH CARE PROFESSIONALS TRAINED IN RURAL AND COMMUNITY HOSPITALS WHICH MAY BE THE FIRST LINE OF INTERVENTION FOR PATIENTS.ACH IS CONTINUING TO HOLD COMMUNITY TRAININGS ACROSS THE STATE FOR A NEW CARDIAC EMERGENCY RESPONSE PLAN USING AUTOMATED EXTERNAL DEFIBRILLATORS (AEDS). THE COURSES TRAIN STAFF AND STUDENTS TO UNDERSTAND THE SIGNS OF CARDIAC ARREST AS WELL AS THE PROPER RESPONSE PROCEDURES. ACH HEART CENTER LEADERS WENT TO DUMAS COUNTY, ARKANSAS AND HELPED THE SCHOOLS THERE BECOME THE FIRST "HEART SAFE" SCHOOLS IN ARKANSAS. LATER, IN THE SUMMER OF 2018, ACH EXTENDED THE CLASSES TO OTHER AREAS. ARKANSAS CHILDREN'S CARE NETWORK (ACCN), WITHIN THE ARKANSAS CHILDREN'S SYSTEM, IS A COLLABORATOR WITH ACH. ACCN SEEKS TO FUNDAMENTALLY AND POSITIVELY TRANSFORM HEALTH IN THE CHILDREN OF ARKANSAS THROUGH A CLINICALLY INTEGRATED NETWORK (CIN) COMPRISED OF HEALTH CARE PROFESSIONALS WHO PROVIDE COORDINATED AND ACCOUNTABLE PEDIATRIC CARE. ACCN WILL ACHIEVE THIS BY IMPROVING QUALITY, ACCESS, AND PATIENT/FAMILY EXPERIENCE, WHILE IMPACTING THE AFFORDABILITY OF HEALTH CARE AND INCREASING PHYSICIAN ENGAGEMENT AND SATISFACTION. |
| PART VI, LINE 6: | ACH IS PART OF AN AFFILIATED HEALTH CARE SYSTEM, FOR WHICH ARKANSAS CHILDRENS, INC., INCORPORATED IN DECEMBER 2015, SERVES AS THE PARENT CORPORATION. THE ARKANSAS CHILDREN'S HEALTH SYSTEM CONSISTS OF ARKANSAS CHILDREN'S, INC., ARKANSAS CHILDREN'S HOSPITAL (ACH), ARKANSAS CHILDREN'S NORTHWEST (ACNW), ARKANSAS CHILDREN'S FOUNDATION (ACF), ARKANSAS CHILDREN'S RESEARCH INSTITUTE (ACRI) AND ARKANSAS CHILDREN'S CARE NETWORK (ACCN). 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.ALTHOUGH NOT CORPORATE AFFILIATES, ACH AND THE UNIVERSITY OF ARKANSAS FOR MEDICAL SCIENCES (UAMS) ARE INVOLVED IN AN AGREEMENT IN THE PURSUIT OF PROFESSIONAL EDUCATION, RESEARCH, AND CLINICAL CARE FOR CHILDREN. ALL PEDIATRIC SUB-SPECIALTY WORK IS CONDUCTED ON THE ACH CAMPUS WITH ACH PROVIDING SPACE, SUPPORTING STAFF AND SERVICES AND FUNDING FOR MAJOR EDUCATIONAL AND CLINICAL EXPERTISE. |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (1) | GrantRecordsMaintainedInd |
Recipient Table RecipientTable (19 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | Recipient EINRecipientEIN | IRC SectionIRCSectionDesc | Cash GrantCashGrantAmt | Purpose Of GrantPurposeOfGrantTxt | Non Cash AssistanceNonCashAssistanceAmt | Valuation Method UsedValuationMethodUsedDesc | Non Cash AssistanceNonCashAssistanceDesc |
|---|---|---|---|---|---|---|---|---|---|---|
| AMERICAN ACADEMY OF PEDIATRICS ARKANSAS CHAPTER | ||||||||||
| 1 CHILDRENS WAY SLOT 900 | LITTLE ROCK | AR | 72202 | 205824116 | 501(C)(3) | $10,000 | GENERAL SUPPORT | |||
| AMERICAN HEART ASSOCIATION | ||||||||||
| 909 W 2ND STREET | LITTLE ROCK | AR | 72201 | 132932696 | 501(C)(3) | $14,000 | GENERAL SUPPORT | |||
| ARKANSAS CAMPAIGN TO PREVENT UNPLANNED PREGNANCY | ||||||||||
| 4014 EVERGREEN DRIVE | BENTON | AR | 72015 | 815314784 | 501(C)(3) | $6,000 | GENERAL SUPPORT | |||
| ARKANSAS COALITION FOR OBESITY PREVENTION | ||||||||||
| PO BOX 1212 | GREENBRIER | AR | 72058 | 271227056 | 501(C)(3) | $12,000 | GENERAL SUPPORT | |||
| ARKANSAS HUNGER RELIEF ALLIANCE | ||||||||||
| 1400 W MARKHAM SUITE 304 | LITTLE ROCK | AR | 72201 | 300254995 | 501(C)(3) | $25,000 | GENERAL SUPPORT | |||
| ARKANSAS ADVOCATES FOR CHILDREN & FAMILIES | ||||||||||
| 1400 W MARKHAM SUITE 306 | LITTLE ROCK | AR | 72201 | 710492205 | 501(C)(3) | $13,040 | GENERAL SUPPORT | |||
| ARKANSAS ARTS CENTER FOUNDATION | ||||||||||
| PO BOX 2137 | LITTLE ROCK | AR | 72203 | 237337495 | 501(C)(3) | $6,000 | GENERAL SUPPORT | |||
| ARKANSAS CENTER FOR HEALTH IMPROVEMENT (UAMS) | ||||||||||
| 1401 W CAPITOL AVE SUITE 300 | LITTLE ROCK | AR | 72201 | 716046242 | GOV'T ENTITY | $200,000 | HEALTH IMPROVEMENT PROGRAMS | |||
| ARKANSAS CHILDREN'S RESEARCH INSTITUTE | ||||||||||
| 13 CHILDRENS WAY | LITTLE ROCK | AR | 72202 | 710694931 | 501(C)(3) | $3,492,232 | GENERAL SUPPORT | $933,344 | FMV | INDIRECT SUPPORT |
| CHILDREN'S PROTECTION CENTER | ||||||||||
| 1123 BISHOP | LITTLE ROCK | AR | 72202 | 261086937 | 501(C)(3) | $1,000 | GENERAL SUPPORT | $46,766 | FMV | PROVIDE OFFICE SPACE |
| GREAT 100 NURSES FOUNDATION | ||||||||||
| 2748 METAIRIE LAWN DR | METAIRIE | LA | 72002 | 465606080 | 501(C)(3) | $6,900 | GENERAL SUPPORT AND CAMPS FOR CHILDREN WITH PHYSICAL CONDITIONS | |||
| HOME INSTRUCTION FOR PARENTS OF PRESCHOOL YOUNGSTERS (HIPPY) | ||||||||||
| 1221 BISHOP | LITTLE ROCK | AR | 72202 | 133672592 | 501(C)(3) | GENERAL SUPPORT | $40,292 | FMV | PROVIDE OFFICE SPACE & PHONE | |
| LITTLE ROCK TECHNOLOGY PARK AUTHORITY | ||||||||||
| ONE CHAMBER PLAZA | LITTLE ROCK | AR | 72201 | 455531676 | GOV'T UNIT | $25,000 | GENERAL SUPPORT | |||
| MARCH OF DIMES | ||||||||||
| PO BOX 932852 | ATLANTA | GA | 31193 | 131846366 | 501(C)(3) | $46,997 | NICU FAMILY SUPPORT PROGRAM | |||
| RONALD MCDONALD HOUSE CHARITIES | ||||||||||
| 1009 WOLFE STREET | LITTLE ROCK | AR | 72202 | 710525252 | 501(C)(3) | $10,600 | GENERAL SUPPORT | |||
| ST BERNARD'S FOUNDATION | ||||||||||
| 400 EAST STREET | JONESBORO | AR | 72401 | 710563245 | 501(C)(3) | $10,000 | GENERAL SUPPORT | |||
| THE WISE FOUNDATION | ||||||||||
| 8177 S HARVARD AVE BOX 203 | TULSA | OK | 74137 | 463077129 | 501(C)(3) | $19,000 | GENERAL SUPPORT | |||
| WORLD WOMAN FOUNDATION | ||||||||||
| 400 NORTH UNIVERSITY AVE 611 | LITTLE ROCK | AR | 72205 | 472406131 | 501(C)(3) | $5,000 | GENERAL SUPPORT | |||
| (no name) | ||||||||||
| GENERAL SUPPORT | ||||||||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 18 | Total501c3OrgCnt |
| Total Other Org | 0 | TotalOtherOrgCnt |
Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp (8 entries)
| Grant TypeGrantTypeTxt | RecipientRecipientCnt | Non Cash AssistanceNonCashAssistanceAmt | Valuation Method UsedValuationMethodUsedDesc | Non Cash AssistanceNonCashAssistanceDesc | Cash GrantCashGrantAmt |
|---|---|---|---|---|---|
| MEALS | 5068 | $136,431 | COST | MEALS FOR PATIENT FAMILIES/CAREGIVERS | |
| INSURANCE PREMIUMS | 39 | $65,492 | COST | PAYMENT OF PREMIUMS FOR PATIENT'S FAMILIES ALLOWED BY COBRA | |
| TRANSPORTATION COSTS (BUS TOKENS, CAB FARE, GAS CARDS) | 1185 | COST | $28,575 | ||
| FUNERAL EXPENSES | 21 | COST | $11,201 | ||
| RENT, MORTGAGE EXPENSE, UTILITIES, LODGING | 21 | COST | $8,444 | ||
| CAR SEATS FOR INFANTS AND CHILDREN | 355 | $23,210 | COST | CAR SEATS FOR INFANTS AND CHILDREN | |
| GROCERY GIFT CARDS AND OTHER MISC. ASSISTANCE | 37 | COST | $50,678 | ||
| ADDITIONAL FAMILY ASSISTANCE (TRANSPORTATION, FOOD, GENERAL) | COST | $755 |
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 (15 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 | $738,882 | $0 | $178,350 | $0 | $94,008 | $0 | $129,485 | $0 | $3,628 | $0 | $1,144,353 | $0 | $89,615 | $0 |
| GREGORY SHARP MD | ||||||||||||||
| TRUSTEE/DIRECTOR-CHIEF OF STAFF | $265,000 | $0 | $1,250 | $0 | $0 | $0 | $0 | $0 | $55,253 | $0 | $321,503 | $0 | $0 | $0 |
| GENA WINGFIELD | ||||||||||||||
| EVP/CHIEF FINANCIAL OFFICER | $461,191 | $0 | $98,450 | $0 | $54,295 | $0 | $75,668 | $0 | $5,743 | $0 | $695,347 | $0 | $50,519 | $0 |
| CHANDA CHACON | ||||||||||||||
| EVP/CHIEF OPERATING OFFICER | $434,775 | $0 | $76,127 | $0 | $380 | $0 | $15,827 | $0 | $4,649 | $0 | $531,758 | $0 | $0 | $0 |
| JAY DESHPANDE | ||||||||||||||
| SVP/CHIEF MEDICAL OFFICER | $440,518 | $0 | $102,301 | $0 | $0 | $0 | $0 | $0 | $68,134 | $0 | $610,953 | $0 | $0 | $0 |
| LEE ANNE EDDY | ||||||||||||||
| SVP/CHIEF NURSING OFFICER | $303,923 | $0 | $64,367 | $0 | $32,141 | $0 | $51,631 | $0 | $3,617 | $0 | $455,679 | $0 | $30,309 | $0 |
| KATHERINE LEA | ||||||||||||||
| VP ED/SURGICAL CARE | $170,672 | $0 | $30,223 | $0 | $349 | $0 | $15,403 | $0 | $3,484 | $0 | $220,131 | $0 | $0 | $0 |
| MARY SALASSI-SCOTTER | ||||||||||||||
| VP CRITICAL CARE SERVICES | $168,234 | $0 | $30,248 | $0 | $1,457 | $0 | $16,848 | $0 | $4,517 | $0 | $221,304 | $0 | $0 | $0 |
| ANDREE TROSCLAIR | ||||||||||||||
| SVP HUMAN RESOURCES | $259,768 | $0 | $48,465 | $0 | $2,214 | $0 | $19,972 | $0 | $3,804 | $0 | $334,223 | $0 | $0 | $0 |
| TAMMY WEBB | ||||||||||||||
| VP ACUTE CARE | $163,000 | $0 | $28,028 | $0 | $581 | $0 | $8,561 | $0 | $1,762 | $0 | $201,932 | $0 | $0 | $0 |
| JONATHAN GOLDBERG | ||||||||||||||
| SVP/CHIEF INFORMATION OFFICER | $351,212 | $0 | $73,644 | $0 | $513 | $0 | $53,343 | $0 | $5,248 | $0 | $483,960 | $0 | $0 | $0 |
| GREGORY KEARNS | ||||||||||||||
| SVP/CHIEF RESEARCH OFFICER | $382,015 | $0 | $105,770 | $0 | $2,448 | $0 | $59,935 | $0 | $3,201 | $0 | $553,369 | $0 | $30,309 | $0 |
| PATRICIA MONTAGUE | ||||||||||||||
| SVP/ACNW CHIEF ADMIN OFFICER | $269,764 | $0 | $56,103 | $0 | $1,767 | $0 | $47,670 | $0 | $3,507 | $0 | $378,811 | $0 | $0 | $0 |
| FRED SCARBOROUGH | ||||||||||||||
| ACF PRESIDENT/SVP MARKETING | $347,683 | $0 | $91,959 | $0 | $28,789 | $0 | $54,785 | $0 | $5,155 | $0 | $528,371 | $0 | $27,025 | $0 |
| ROBERT STEELE | ||||||||||||||
| SVP/CHIEF STRATEGY OFFICER | $463,812 | $0 | $99,774 | $0 | $49,319 | $0 | $69,334 | $0 | $5,155 | $0 | $687,394 | $0 | $46,755 | $0 |
Supplemental Information Detail SupplementalInformationDetail (5 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINE 1A | CHARTER TRAVEL IS USED BY ARKANSAS CHILDREN'S AND AFFILIATED ENTITIES' BOARD MEMBERS AND STAFF (AND OCCASIONALLY ACCOMPANYING SPOUSES/COMPANIONS) WHEN IT IS DEEMED THE MOST EFFICIENT METHOD OF TRAVEL TO DISTANT AREAS WITHIN THE STATE OR TO SURROUNDING STATES FOR PURPOSES RELATED TO ARKANSAS CHILDREN'S BUSINESS. SEPARATE TRAVEL (NON-CHARTER) FOR COMPANIONS IS REIMBURSED BY THE EMPLOYEE IF SUCH TRAVEL IS ON AN INDIVIDUAL BASIS; THUS, SUCH TRAVEL IS NOT CONSIDERED TAXABLE COMPENSATION TO THE EMPLOYEE. FIVE OFFICERS/EMPLOYEES USED CHARTER TRAVEL DURING THE CALENDAR YEAR. BECAUSE THE CHARTER TRAVEL WAS USED FOR ARKANSAS CHILDREN'S BUSINESS PURPOSES, IT WAS NOT CONSIDERED AS TAXABLE WAGES. |
| PART I, LINE 3 | COMPENSATION FOR ANY ARKANSAS CHILDREN'S HOSPITAL EXECUTIVE OR SENIOR OFFICER (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 A WRITTEN REPORT THE BASIS FOR ITS DECISIONS AND FORWARD THE REPORT TO THE BOARD. |
| PART I, LINE 4B | SCHEDULE J; LINE 4B: AC'S DEFERRED COMPENSATION PLAN (DCP), WAS INSTITUTED ON 6/30/2014. THE DCP IS A 457(F) NONQUALIFIED SUPPLEMENTAL RETIREMENT PLAN, PROVIDING ANNUAL CONTRIBUTIONS TO CERTAIN EXECUTIVES AT A PERCENTAGE OF THEIR BASE SALARY IN EFFECT ON JUNE 30 OF THE PLAN YEAR. THE SUPPLEMENTAL COMPENSATION SERVES TO ENCOURAGE CONTINUED EMPLOYMENT WITH ARKANSAS CHILDREN'S AND ITS AFFILIATES. THE PLAN PROVIDES THAT DEFERRED AMOUNTS ARE PAID AS SOON AS ADMINISTRATIVELY POSSIBLE AFTER BEING VESTED. IT IS INTENDED THAT SUCH PAYMENTS QUALIFY FOR THE "SHORT-TERM DEFERRAL" EXEMPTION FROM IRC SECTION 409A, AND FOR TAX DEFERRAL UNDER IRC SECTION 457(F). PER THE PLAN DOCUMENT, EACH DCP CONTRIBUTION FOR A PLAN YEAR AND ITS ASSOCIATED EARNINGS VEST AS FOLLOWS, ON THE EARLIER OF: - (SUBACCOUNT)- THE FIRST DAY OF THE PLAN YEAR FOLLOWING THREE (3) CONTINUOUS PLAN YEARS OF EMPLOYMENT BY THE PARTICIPANT WITH ARKANSAS CHILDREN'S OR AFFILIATE, WHICH BEGINS ON THE FIRST DAY OF THE PLAN YEAR FOR WHICH THE CONTRIBUTION IS CREDITED. - (PRIMARY ACCOUNT, INCLUDING SUBACCOUNTS) - ATTAINMENT OF AGE 65 AND AT LEAST 3 YEARS OF SERVICE AS A DCP PARTICIPANT - (PRIMARY ACCOUNT, INCLUDING SUBACCOUNTS) - DEATH OR PERMANENT DISABILITY - (PRIMARY ACCOUNT, INCLUDING SUBACCOUNTS) - INVOLUNTARY TERMINATION (OTHER THAN FOR CAUSE) - (PRIMARY ACCOUNT, INCLUDING SUBACCOUNTS) - PLAN TERMINATION FOR TAX YEAR 2017 (FISCAL YEAR 2018), THE FOLLOWING ACH REPORTABLE EMPLOYEES WERE ELIGIBLE AND PARTICIPATING IN THE DEFERRED COMPENSATION PLAN: - MARCELLA DODERER: ACH PRESIDENT AND CEO - LEE ANNE EDDY: ACH SVP AND CNO - GENA WINGFIELD: ACH EVP AND CFO - FRED SCARBOROUGH: ACF PRESIDENT AND SVP MARKETING - ROBERT STEELE: SVP/CHIEF STRATEGY OFFICER - GREGORY KEARNS: SVP/CHIEF RESEARCH OFFICER 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. SIX ACH REPORTABLE EMPLOYEES ELIGIBLE AND PARTICIPATING IN THE PLAN RECEIVED PAYMENTS IN FY18, DISTRIBUTED AS PER THE PLAN DOCUMENT. SUCH AMOUNTS ARE 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 CHANGED WITH THE 2013 TAX RETURNS, AND THERE ARE SPECIFIC RULES AND CALCULATIONS FOR BONUSES. NONE ARE CONTINGENT ON REVENUES OR NET EARNINGS OF THE ORGANIZATIONS (ANY), AND SINCE THEY ARE CALCULATED BASED ON A SPECIFIC FORMULA, THEY ARE NOT "NON-FIXED". THE QUESTIONS 5, 6, AND 7 IN PART I TO SCHEDULE J ARE ALL CORRECTLY ANSWERED "NO". |
| FORM 990, PART VII, SECTION A, LINE 5: | SVP/CHIEF QUALITY/MEDICAL OFFICER JAY DESHPANDE, M.D. AND DIRECTOR GREGORY SHARP, M.D. WERE COMPENSATED BY UAMS AS EMPLOYEES FOR SERVICES RENDERED TO ARKANSAS CHILDREN'S HOSPITAL (ACH) AND FOR WHICH ACH REMITTED PAYMENT LISTED AS "REPORTABLE COMPENSATION FROM THE ORGANIZATION" IN PART VII. THE AMOUNTS NOTED AS COMPENSATION IN SCHEDULE J FOR THE PHYSICIANS NOTED ABOVE WERE THE DESIGNATED AMOUNTS PER THE RELATED CONTRACTS WITH UAMS. |
Schedule K IRS990ScheduleK
Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (3 entries)
| Bond ReferenceBondReferenceCd | Bond Issuer EINBondIssuerEIN | CUSIPCUSIPNum | Bond IssuedBondIssuedDt | Issue PriceIssuePriceAmt | PurposePurposeDesc | DefeasedDefeasedInd | On Behalf Of IssuerOnBehalfOfIssuerInd | Pool FinancingPoolFinancingInd |
|---|---|---|---|---|---|---|---|---|
| PULASKI COUNTY ARKANSAS | ||||||||
| A | 716006487 | 745392HR4 | 2010-11-17 | $31,051,199 | SEE SCHEDULE K, PART VI. | 0 | 0 | 0 |
| ARKANSAS DEVELOPMENT FINANCE AUTHORITY | ||||||||
| B | 710503641 | 000000000 | 2013-09-05 | $19,800,000 | SEE SCHEDULE K, PART VI. | 0 | 0 | 0 |
| PULASKI COUNTY ARKANSAS | ||||||||
| C | 716006487 | 745392JN1 | 2016-08-24 | $98,721,147 | SEE SCHEDULE K, PART VI. | 0 | 0 | 0 |
Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (3 entries)
| Bond ReferenceBondReferenceCd | RetiredRetiredAmt | Total ProceedsTotalProceedsAmt | Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt | Credit EnhancementCreditEnhancementAmt | Other Spent ProceedsOtherSpentProceedsAmt | Substantial CompletionSubstantialCompletionYr | Current RefundingCurrentRefundingInd | Advance RefundingAdvanceRefundingInd | Final Allocation MadeFinalAllocationMadeInd | Adequate Books And Rec MaintAdequateBooksAndRecMaintInd | Capital ExpendituresCapitalExpendituresAmt | Refunding EscrowRefundingEscrowAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| A | $20,670,000 | $31,051,199 | $192,600 | $206,911 | $30,651,688 | 2010 | Yes (1) | 0 | Yes (1) | Yes (1) | ||
| B | $10,164,336 | $19,800,000 | 2015 | 0 | 0 | Yes (1) | Yes (1) | $19,800,000 | ||||
| C | $98,721,147 | $702,808 | $10,688,459 | 2016 | 0 | Yes (1) | Yes (1) | Yes (1) | $88,381,665 |
Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (2 entries)
| Bond ReferenceBondReferenceCd | Owning Bond Financed PropertyOwningBondFinancedPropertyInd | Any Lease ArrangementsAnyLeaseArrangementsInd | Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd | Any Research AgreementsAnyResearchAgreementsInd | Private Bus Use By OthersPrivateBusUseByOthersPct | Private Bus Concerning UBIPrivateBusConcerningUBIPct | Total Private Business UseTotalPrivateBusinessUsePct | Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd | Change In Use Bond Financed PropChangeInUseBondFinancedPropInd | Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd | Engage Bond Counsel ContractsEngageBondCounselContractsInd | Engage Bond Counsel ResearchEngageBondCounselResearchInd |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| B | 0 | 0 | 0 | 0 | 0.00000 | 0.00000 | 0.00000 | 0 | 0 | Yes (1) | ||
| C | 0 | 0 | Yes (1) | Yes (1) | 0.00050 | 0.00000 | 0.00050 | 0 | 0 | Yes (1) | Yes (1) | Yes (1) |
Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (3 entries)
| Bond ReferenceBondReferenceCd | Form8038 T FiledForm8038TFiledInd | Rebate Not Due YetRebateNotDueYetInd | Exception To RebateExceptionToRebateInd | No Rebate DueNoRebateDueInd | Variable Rate IssueVariableRateIssueInd | Hedge Identified In Bks And RecHedgeIdentifiedInBksAndRecInd | Gross Proceeds Invested In GICGrossProceedsInvestedInGICInd | Gross Proceeds InvestedGrossProceedsInvestedInd | Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd |
|---|---|---|---|---|---|---|---|---|---|
| A | 0 | 0 | Yes (1) | 0 | 0 | 0 | 0 | 0 | Yes (1) |
| B | 0 | 0 | Yes (1) | 0 | 0 | 0 | 0 | 0 | Yes (1) |
| C | 0 | Yes (1) | 0 | 0 | 0 | 0 | 0 | 0 | Yes (1) |
Procedures Corrective Action ProceduresCorrectiveActionGrp (3 entries)
| Bond ReferenceBondReferenceCd | Procedures Corrective ActionProceduresCorrectiveActionInd |
|---|---|
| A | Yes (1) |
| B | Yes (1) |
| C | Yes (1) |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE K SUPPLENTAL INFORMATION | FormAndLineReferenceDesc |
| Explanation | PART I, LINE A - DESCRIPTION OF PURPOSE. TO REFUND HOSPITAL REVENUE BONDS (ARKANSAS CHILDREN'S HOSPITAL PROJECT), SERIES 2002A AND SERIES 2002B REFUNDING, ISSUED 7/31/2002. PART I, LINE B - DESCRIPTION OF PURPOSE. PROCEEDS USED TO PURCHASE TWO SIKORSKY S-76D HELICOPTERS TO BE USED FOR MEDICAL TRANSPORT. PART I, LINE C - DESCRIPTION OF PURPOSE. TO REFUND HOSPITAL REVENUE BONDS (ARKANSAS CHILDREN'S HOSPITAL PROJECT), SERIES 2009, ISSUED 5/28/2009. PART IV, LINE 6, COLUMN C: THIS QUESTION IS BEING ANSWERED WITHOUT REGARD TO A YIELD-RESTRICTED ADVANCE REFUNDING ESCROW FUNDED WITH PROCEEDS OF THE BONDS. | ExplanationTxt |
Schedule L IRS990ScheduleL
Loans Btwn Org Interested Prsn LoansBtwnOrgInterestedPrsnGrp (2 entries)
| Relationship With OrgRelationshipWithOrgTxt | Loan PurposeLoanPurposeTxt | Loan From OrganizationLoanFromOrganizationInd | Original PrincipalOriginalPrincipalAmt | Balance DueBalanceDueAmt | DefaultDefaultInd | Board Or Committee ApprovalBoardOrCommitteeApprovalInd | Written AgreementWrittenAgreementInd |
|---|---|---|---|---|---|---|---|
| JONATHAN GOLDBERG | |||||||
| CHIEF INFORMATION OFFICER | RECRUITMENT | Yes (X) | $50,000 | $30,000 | 0 | 0 | Yes (1) |
| JONATHAN GOLDBERG | |||||||
| CHIEF INFORMATION OFFICER | RECRUITMENT | Yes (X) | $50,000 | $30,000 | 0 | 0 | Yes (1) |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Balance Due | $60,000 | TotalBalanceDueAmt |
Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (2 entries)
| Relationship DescriptionRelationshipDescriptionTxt | TransactionTransactionAmt | TransactionTransactionDesc | Sharing Of RevenuesSharingOfRevenuesInd |
|---|---|---|---|
| ALARMCO INC | |||
| SEE PART V. ENTITY OWNED 45% BY BOARD MEMBER'S SON | $324,967 | SEE PART V. BOARD MEMBER BARBARA MOORE'S SON, JOHN MOORE III, OWNS 45% OF ALARMCO INC. WHICH PROVIDES GOODS AND/OR SERVICES TO THE HOSPITAL AS AN INDEPENDENT CONTRACTOR. ACH TOTAL FOR FY18 IS $324,967. SERVICES WERE AT FAIR MARKET VALUE AND WERE NEGOTIATED AT ARM'S LENGTH. | 0 |
| DAVID M WEBB | |||
| SEE PART V. FAMILY MEMBER | $78,439 | SEE PART V. DAVID M. WEBB IS A FAMILY MEMBER OF KEY EMPLOYEE, TAMMY WEBB. CONSISTENT WITH ARKANSAS CHILDREN'S HOSPITAL POLICY, HE DID NOT WORK WITHIN MS. WEBB'S LINE OF AUTHORITY AT ANY POINT DURING THE YEAR. HIS COMPENSATION WAS REASONABLE FOR SERVICES RENDERED. | 0 |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE L, PART II - LOANS TO AND/OR FROM INTERESTED PERSONS | FormAndLineReferenceDesc |
| Explanation | ALTHOUGH NOT SPECIFICALLY APPROVED BY A BOARD OR COMMITTEE, THE RECRUITMENT LOANS TO JONATHAN GOLDBERG WERE REVIEWED WITH TOM BAXTER, THE CHAIRMAN OF THE ACH BOARD. | ExplanationTxt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (13 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION A, LINE 1 | THE BOARD OF DIRECTORS MAY DELEGATE SUCH OF ITS POWERS AS IT DEEMS NECESSARY OR ADVISABLE TO COMMITTEES OF THE BOARD; PROVIDED, HOWEVER, THAT NO COMMITTEE OF THE BOARD SHALL HAVE THE AUTHORITY TO: (I) AUTHORIZE DISTRIBUTIONS; (II) ELECT, APPOINT OR REMOVE DIRECTORS OR FILL VACANCIES ON THE BOARD OR ANY OF ITS COMMITTEES; (III) ADOPT, AMEND OR REPEAL THE ARTICLES OF INCORPORATION OR BYLAWS; OR (IV) APPOINT OR ELECT THE PRESIDENT AND CHIEF EXECUTIVE OFFICER OF THE CORPORATION. ANY COMMITTEE MAY EXERCISE SUCH OF THE BOARD'S AUTHORITY AS IS GRANTED BY THE BOARD OF DIRECTORS, SUBJECT TO THE RESTRICTIONS CONTAINED IN THE CORPORATION'S ARTICLES OF INCORPORATION OR THE BYLAWS. THE FOLLOWING DIRECTOR WAS AN EMPLOYEE OF THE UNIVERSITY OF ARKANSAS FOR MEDICAL SCIENCES (UAMS) DURING THE TAX YEAR: GREGORY SHARP, M.D. HE WAS COMPENSATED BY ACH VIA ITS CONTRACT WITH UAMS. |
| FORM 990, PART VI, SECTION A, LINE 3 | THE HOSPITAL'S SVP/CHIEF QUALITY OFFICER AND CHIEF MEDICAL OFFICER POSITION IS HELD BY DR. JAY DESHPANDE, WHO HOLDS FACULTY APPOINTMENTS IN THE UNIVERSITY OF ARKANSAS FOR MEDICAL SCIENCES, COLLEGE OF MEDICINE DEPARTMENTS OF PEDIATRICS AND ANESTHESIOLOGY. ALTHOUGH DR. DESHPANDE IS AN EMPLOYEE OF UAMS, AS SVP/CQO AND CMO, DR. DESHPANDE IS ALSO A KEY EMPLOYEE OF ACH. SINCE HE IS A UAMS EMPLOYEE, THE HOSPITAL REIMBURSES UAMS FOR HIS ROLE, WHICH IS TO HELP BROADEN AND STRENGTHEN THE HOSPITAL'S QUALITY EFFORTS AND OVERALL QUALITY PROGRAM FOR PATIENT CARE. |
| FORM 990, PART VI, SECTION A, LINE 6 | THE SOLE MEMBER OF ARKANSAS CHILDREN'S HOSPITAL IS ARKANSAS CHILDREN'S, INC. |
| FORM 990, PART VI, SECTION A, LINE 7A | ARKANSAS CHILDREN'S, INC., ACH'S SOLE MEMBER, HAS THE RESERVED POWER TO FIX THE SIZE OF THE BOARD OF DIRECTORS, AND THE GOVERNING BOARD OF ANY AFFILIATE CONTROLLED BY THE CORPORATION, AND APPOINT AND REMOVE, WITH OR WITHOUT CAUSE, THE DIRECTORS OF THE CORPORATION, AND MEMBERS OF THE GOVERNING BOARD OF ANY AFFILIATE CONTROLLED BY THE CORPORATION. |
| FORM 990, PART VI, SECTION A, LINE 7B | ACH'S ARTICLES OF INCORPORATION MAY BE AMENDED, AND THE BYLAWS MAY BE ALTERED, AMENDED, OR REPEALED AND NEW BYLAWS MAY BE ADOPTED: (I) UPON THE APPROVAL OF BOTH THE BOARD AND THE SOLE MEMBER, IF THE AMENDMENT DOES NOT RELATE TO THE NUMBER OF DIRECTORS, THE COMPOSITION OF THE BOARD, THE TERM OF OFFICE OF DIRECTORS, OR THE METHOD OR WAY IN WHICH DIRECTORS ARE ELECTED OR SELECTED; OR (II) BY THE MEMBER. |
| FORM 990, PART VI, SECTION B, LINE 11B | HOSPITAL MANAGEMENT REVIEWS THE DRAFT FORM 990 AND RECONCILES IT TO THE HOSPITAL'S INTERNAL FINANCIALS AND CONSOLIDATED AUDIT REPORT. THE REVIEWED DRAFT OF THE FORM 990 IS PROVIDED TO THE PLANNING & DEVELOPMENT COMMITTEE BY HOSPITAL MANAGEMENT. IF THE REVIEW BY THE COMMITTEE RESULTS IN REVISIONS TO THE FORM 990, THOSE REVISIONS ARE MADE. THE FORM 990 TO BE FILED IS THEN PROVIDED TO THE ENTIRE BOARD PRIOR TO FILING. |
| FORM 990, PART VI, SECTION B, LINE 12C | THE HOSPITAL HAS A BOARD OF DIRECTORS CONFLICT OF INTEREST POLICY THAT IS ISSUED TO AND REVIEWED WITH ALL NEW BOARD MEMBERS DURING THEIR BOARD ORIENTATION. IN ADDITION, THE INTERNAL GENERAL COUNSEL OR THE SYSTEM COMPLIANCE OFFICER WILL PERIODICALLY REVIEW THE POLICY WITH THE FULL BOARD DURING A REGULAR BOARD MEETING. A DIRECTOR SHALL DISCLOSE IN WRITING TO THE BOARD OF DIRECTORS ANY ACTUAL OR POTENTIAL CONFLICT OF INTEREST WHEN THE SITUATION DEVELOPS, INCLUDING THE FACTS THAT MAKE IT AN ACTUAL OR POTENTIAL CONFLICT. EACH DIRECTOR SHALL SIGN AN INITIAL CONFLICT OF INTEREST DISCLOSURE STATEMENT UPON ELECTION TO THE BOARD OF DIRECTORS. EACH DIRECTOR ALSO SHALL SIGN AN ANNUAL CONFLICT OF INTEREST DISCLOSURE STATEMENT. IF AN ACTUAL OR POTENTIAL CONFLICT OF INTEREST DEVELOPS AFTER THE DIRECTOR'S INITIAL AND ANNUAL STATEMENTS ARE SIGNED, THE DIRECTOR SHALL IMMEDIATELY SIGN A NEW DISCLOSURE STATEMENT TO ADDRESS THE NEW SITUATION OR TRANSACTION. CONFLICT OF INTEREST DISCLOSURE STATEMENTS OR DECLARED CONFLICTS WILL BE REVIEWED BY THE DIRECTOR BOARD OFFICERS. REVIEW WILL RESULT IN ONE OF THE FOLLOWING ACTIONS BY MAJORITY VOTE: (1) DETERMINED NOT TO BE A CONFLICT; (2) CONFLICT IS ACCEPTED; OR (3) CONFLICT IS NOT ACCEPTED AND THE DIRECTOR WILL NEED TO ABSTAIN FROM PARTICIPATION IN CERTAIN VOTES. CONFLICT DISCLOSURES, FACTS AND ACTIONS WILL BE DOCUMENTED IN THE APPROPRIATE COMMITTEE OR BOARD MINUTES. A DIRECTOR WITH A CONFLICT OF INTEREST WILL NOT PARTICIPATE IN DELIBERATIONS OR VOTE BY THE BOARD OF DIRECTORS, OR COMMITTEE THEREOF, ON THE MATTER GIVING RISE TO THE CONFLICT. HE OR SHE MAY PRESENT RELEVANT INFORMATION ABOUT THE MATTER AND ALSO MAY RESPOND TO REQUESTS FOR FACTS NEEDED BY THE BOARD TO REACH AN INFORMED DECISION. AFTER ANY DISCUSSION, THE INTERESTED DIRECTOR SHALL EITHER ABSTAIN FROM VOTE OR RECUSE COMPLETELY AND BE ABSENT DURING FURTHER DELIBERATIONS AND ACTION ON THE MATTER, AS DETERMINED BY THE DIRECTOR BOARD OFFICERS OF THE ENTITY. |
| FORM 990, PART VI, SECTION B, LINE 15 | COMPENSATION FOR ANY ACH EXECUTIVE OR SENIOR OFFICER (PRESIDENT; 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 A WRITTEN REPORT THE BASIS FOR ITS DECISIONS AND FORWARD THE REPORT TO THE BOARD. |
| FORM 990, PART VI, SECTION C, LINE 19 | THE HOSPITAL'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST AS REQUIRED. |
| FORM 990, PART IX, LINE 11G | PHYSICIANS' REMUNERATION: PROGRAM SERVICE EXPENSES 79,250,355. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 79,250,355. TESTING: PROGRAM SERVICE EXPENSES 3,749,515. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 3,749,515. REPAIRS & MAINTENANCE: PROGRAM SERVICE EXPENSES 2,149,209. MANAGEMENT AND GENERAL EXPENSES 2,620,098. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 4,769,307. OTHER FEES FOR SERVICE: PROGRAM SERVICE EXPENSES 16,176,342. MANAGEMENT AND GENERAL EXPENSES 8,799,350. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 24,975,692. |
| FORM 990, PART XI, LINE 9: | UNEXPENDED GRANT CARRYOVER ADJUSTMENTS 5,687. TEMPORARY TRANSFER OF NET ASSETS TO ACNW -20,000,000. ALLOCATION OF ADDITIONAL COSTS - PARENT 12,572,513. TRANSFER OF FUNDS TO ACCN -1,280,192. TRANSFER OF FUNDS TO SACOVA -400,000. DEEMED UBTI FROM QUALIFIED PARKING FRINGE BENEFIT -111,645. |
| FORM 990, PART XII, LINE 2C | IT IS PART OF THE RESERVED POWERS OF ARKANSAS CHILDREN'S, INC. TO RETAIN, OVERSEE AND TERMINATE INDEPENDENT EXTERNAL AUDITORS TO AUDIT THE FINANCIAL STATEMENTS OF ACH OR OF ANY AFFILIATE. ONE OF THE STANDING COMMITTEES OF ARKANSAS CHILDREN'S, THE FINANCIAL PLANNING AND OVERSIGHT COMMITTEE, SHALL UNDERTAKE THE FOLLOWING DUTIES IN THE AREAS OF FINANCE AND AUDITS: (I) CAUSING TO BE PREPARED, AND SUBMIT TO THE BOARD OF DIRECTORS AT ITS LAST MEETING BEFORE THE END OF THE FISCAL YEAR, THE CAPITAL AND OPERATING BUDGETS OF THE CORPORATION, AS WELL AS THE CAPITAL AND OPERATING BUDGETS OF AFFILIATES; (II) EXAMINING THE MONTHLY FINANCIAL REPORTS OF THE HEALTH SYSTEM; (III) REVIEWING THE INTERNAL AUDITING FUNCTIONS OF THE HEALTH SYSTEM; (IV) ENGAGING AN EXTERNAL AUDIT FIRM, SUBJECT TO APPROVAL BY THE BOARD OF DIRECTORS; (V) REVIEWING WITH THE INDEPENDENT AUDITOR THE SCOPE AND PLANNING OF THE AUDIT PRIOR TO THE COMMENCEMENT OF THE AUDIT, AS WELL AS UPON COMPLETION OF THE AUDIT, REVIEWING AND DISCUSSING WITH THE INDEPENDENT AUDITOR ANY MATERIAL RISKS OR WEAKNESSES IN INTERNAL CONTROLS IDENTIFIED BY THE AUDITOR, ANY RESTRICTIONS ON THE SCOPE OF THE AUDITOR'S ACTIVITIES OR ACCESS TO REQUESTED INFORMATION, ANY SIGNIFICANT DISAGREEMENTS BETWEEN THE AUDITOR AND MANAGEMENT, AND THE ADEQUACY OF THE HEALTH SYSTEM'S ACCOUNTING AND FINANCIAL REPORTING PROCESSES; (VI) ANNUALLY CONSIDERING THE PERFORMANCE AND INDEPENDENCE OF THE INDEPENDENT AUDITOR; (VII) REVIEWING AND REPORTING TO THE BOARD ON THE ANNUAL AUDITED FINANCIAL STATEMENT OF THE HEALTH SYSTEM CERTIFIED BY THE CORPORATION'S CERTIFIED PUBLIC ACCOUNTANTS, TOGETHER WITH SUCH CERTIFIED PUBLIC ACCOUNTANTS' MANAGEMENT LETTER TO THE CORPORATION WHICH THE COMMITTEE SHALL REVIEW AND REPORT ON TO THE BOARD OF DIRECTORS; (VIII) SUGGESTING MEANS TO IMPROVE FISCAL ACCOUNTABILITY AND INTERNAL AUDIT PROCEDURES FOR THOSE AREAS IDENTIFIED AS REQUIRING IMPROVEMENT; (IX) PROVIDING OVERSIGHT FOR THE HEALTH SYSTEM'S CORPORATE COMPLIANCE PROGRAM, INCLUDING CORPORATE ETHICS AND COMPLIANCE WITH LEGAL AND REGULATORY REQUIREMENTS; AND (X) REPORTING ON THE FINANCIAL PLANNING AND OVERSIGHT COMMITTEE'S ACTIVITIES TO THE FULL BOARD. |
| FORM 990, PART XII, LINE 3B | THE CONSOLIDATED ORGANIZATION IS REQUIRED TO UNDERGO AN AUDIT AS SET FORTH IN THE SINGLE AUDIT ACT AND OMB CIRCULAR A-133 AND DID UNDERGO THAT REQUIRED AUDIT. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (6 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Controlled OrganizationControlledOrganizationInd | Direct Controlling NADirectControllingNACd |
|---|---|---|---|---|---|---|---|---|---|---|---|
| ARKANSAS CHILDREN'S FOUNDATION | |||||||||||
| 1 CHILDRENS WAY | LITTLE ROCK | AR | 72202 | 710568795 | FUNDRAISING | AR | 501(C)(3) | LINE 7 | ARKANSAS CHILDREN'S INC | 0 | |
| ARKANSAS CHILDREN'S RESEARCH INSTITUTE | |||||||||||
| 13 CHILDRENS WAY | LITTLE ROCK | AR | 72202 | 710694931 | RESEARCH | AR | 501(C)(3) | LINE 7 | ARKANSAS CHILDREN'S INC | 0 | |
| ARKANSAS CHILDREN'S HOSPITAL AUXILIARY | |||||||||||
| 1 CHILDRENS WAY | LITTLE ROCK | AR | 72202 | 710606585 | FUNDRAISING & VOLUNTEERS | AR | 501(C)(3) | LINE 12A, I | ARKANSAS CHILDREN'S INC THRU ARKANSAS CHILDREN'S HOSPITAL AND FOUNDATION | 0 | |
| ARKANSAS CHILDREN'S NORTHWEST | |||||||||||
| 1 CHILDRENS WAY | LITTLE ROCK | AR | 72202 | 810817660 | HOSPITAL | AR | 501(C)(3) | LINE 3 | ARKANSAS CHILDREN'S INC | 0 | |
| ARKANSAS CHILDREN'S INC | |||||||||||
| 1 CHILDRENS WAY | LITTLE ROCK | AR | 72202 | 810801296 | HEALTH CARE PARENT CORPORATION | AR | 501(C)(3) | LINE 12B, II | 0 | N/A | |
| ARKANSAS CHILDREN'S MEDICAL GROUP | |||||||||||
| 1 CHILDRENS WAY | LITTLE ROCK | AR | 72202 | 820771462 | HOSPITAL/PHYSICIAN SERVICES | AR | 501(C)(3) | LINE 3 | ARKANSAS CHILDREN'S INC | 0 | |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (3 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Entity TypeEntityTypeTxt | Share Of Total IncomeShareOfTotalIncomeAmt | Share Of EOY AssetsShareOfEOYAssetsAmt | OwnershipOwnershipPct | Controlled OrganizationControlledOrganizationInd | Direct Controlling NADirectControllingNACd | 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 | NA | C | $201,130 | $680,088 | 0.50000 | 0 | |||||||
| ARKANSAS CHILDREN'S CARE NETWORK | |||||||||||||||||||
| 1 CHILDRENS WAY | LITTLE ROCK | AR | 72202 | 371854930 | CLINICALLY INTEGRATED NETWORK | AR | C | 0 | N/A | ||||||||||
| SACOVA INSURANCE COMPANY LTD | |||||||||||||||||||
| 981472934 | CAPTIVE INSURANCE COMPANY | C | 0 | N/A | 18 FORUM LANE 2ND FLOOR | CAMANA BAY | GRAND CAYMEN | CJ | KY1-1102 | CJ | |||||||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | Yes (1) | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | Yes (1) | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | Yes (1) | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | Yes (1) | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | Yes (1) | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | 0 | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | Yes (1) | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | Yes (1) | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | Yes (1) | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (1) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (1) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (1) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | Yes (1) | TransferToOtherOrgInd |
| Transfer From Other Org | Yes (1) | TransferFromOtherOrgInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE R, PART V, LINE 1E | FormAndLineReferenceDesc |
| Explanation | ACH AND ARKANSAS CHILDREN'S FOUNDATION GUARANTEE THE OUTSTANDING BOND INDENTURES. | ExplanationTxt |