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ARKANSAS CHILDRENS HOSPITAL: Form 990, tax year 2016

View the entire original 990 at ProPublica ↗

Organization
ARKANSAS CHILDRENS HOSPITAL (EIN 71-0236857)
Tax period
2016-07-01 to 2017-06-30
Filed
2018-05-11
IRS object ID
201841319349302749
Schema version
2016v3.0
Source
Download XML · Original 990 at ProPublica

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

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2018-05-11T09:37:06-05:00ReturnTs
Tax Period End2017-06-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN135565207PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1KPMG LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1303 PEACHTREE STREET NE SUITE 2000AddressLine1Txt
CityATLANTACityNm
State AbbreviationGAStateAbbreviationCd
ZIP303083210ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2016-07-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN710236857EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1ARKANSAS CHILDREN'S HOSPITALBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlARKABusinessNameControlTxt
Phone5013642555PhoneNum

US Address USAddress

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

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonMARCELLA DODERERPersonNm
Person TitlePRESIDENT & CEOPersonTitleTxt
Phone5013642555PhoneNum
Signature2018-05-11SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonWHITNEY BLAIRPreparerPersonNm
PTINP01226647PTIN
Phone4042223000PhoneNum
FieldValueIRS element (for citing)
Tax2016TaxYr
Build TS2022-09-23 18:48:47ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerMARCELLA DODERERPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line11 CHILDRENS WAYAddressLine1Txt
CityLITTLE ROCKCityNm
State AbbreviationARStateAbbreviationCd
ZIP72202ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$621,063,296GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.ARCHILDRENS.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1912FormationYr
Legal Domicile StateARLegalDomicileStateCd
Activity Or MissionWE CHAMPION CHILDREN BY MAKING THEM BETTER TODAY AND HEALTHIER TOMORROW.ActivityOrMissionDesc
Voting Members Governing Body14VotingMembersGoverningBodyCnt
Voting Members Independent10VotingMembersIndependentCnt
Total Employee4720TotalEmployeeCnt
Total Volunteers2120TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$36,485,015PYContributionsGrantsAmt
CY Contributions Grants$41,587,452CYContributionsGrantsAmt
PY Program Service Revenue$530,747,550PYProgramServiceRevenueAmt
CY Program Service Revenue$561,221,687CYProgramServiceRevenueAmt
PY Investment Income$2,279,216PYInvestmentIncomeAmt
CY Investment Income$5,578,471CYInvestmentIncomeAmt
PY Other Revenue$12,392,068PYOtherRevenueAmt
CY Other Revenue$12,522,330CYOtherRevenueAmt
PY Total Revenue$581,903,849PYTotalRevenueAmt
CY Total Revenue$620,909,940CYTotalRevenueAmt
PY Grants And Similar Paid$5,900,130PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$5,973,249CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$262,118,276PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$267,968,002CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$250,977,764PYOtherExpensesAmt
CY Other Expenses$284,860,778CYOtherExpensesAmt
PY Total Expenses$518,996,170PYTotalExpensesAmt
CY Total Expenses$558,802,029CYTotalExpensesAmt
PY Revenues Less Expenses$62,907,679PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$62,107,911CYRevenuesLessExpensesAmt
Total Assets BOY$834,291,161TotalAssetsBOYAmt
Total Assets EOY$859,947,591TotalAssetsEOYAmt
Total Liabilities BOY$186,908,407TotalLiabilitiesBOYAmt
Total Liabilities EOY$166,228,616TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$647,382,754NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$693,718,975NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionWE CHAMPION CHILDREN BY MAKING THEM BETTER TODAY AND HEALTHIER TOMORROW.ARKANSAS CHILDREN'S WILL FUNDAMENTALLY TRANSFORM HEALTHCARE DELIVERY FOR THE CHILDREN OF ARKANSAS AND BEYOND. ARKANSAS CHILDREN'S CORE VALUES ARE THE ORGANIZATIONAL PRINCIPLES THAT HIGHLIGHT OUR REGARD FOR EACH OTHER AND THOSE WE SERVE:SAFETY: WE ARE VIGILANT ABOUT CREATING AN ERROR-FREE ENVIRONMENT FOR PATIENTS, FAMILIES, AND TEAM MEMBERS.TEAMWORK: WE DEMONSTRATE ACTIONABLE CARE AND CONCERN FOR PATIENTS, FAMILIES, AND TEAM MEMBERS.COMPASSION: WE COORDINATE, COMMUNICATE, COOPERATE, AND COLLABORATE TO ENSURE THE HIGHEST LEVEL OF SERVICE FOR OUR PATIENTS, FAMILIES, AND TEAM MEMBERS.EXCELLENCE: WE ACHIEVE THE HIGHEST OF STANDARDS AND SERVE WITH DISTINCTION IN ORDER TO BE THE BEST.SAFETY AND EXCELLENCE FRAME OUR WORK. TEAMWORK AND COMPASSION PLACE PEOPLE AT THE CENTER OF ALL WE DO.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$459,881,369ExpenseAmt
Grant$5,973,249GrantAmt
Revenue$569,499,505RevenueAmt
DescARKANSAS CHILDREN'S HOSPITAL (ACH) IS A NOT-FOR-PROFIT PEDIATRIC HOSPITAL THAT SERVES AS THE ONLY 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, 2017, ACH EXPERIENCED THE FOLLOWING: 15,308 ADMISSIONS WITH AN AVERAGE STAY OF 5.57 DAYS; 84,303 PATIENT DAYS; 231.0 AVERAGE DAILY CENSUS; 336 OPERATING BEDS, INCLUDING 180 INTENSIVE CARE BEDS AND 143 MEDICAL/SURGICAL BEDS; 255,194 OUTPATIENT VISITS, EXCLUDING ER VISITS WHICH WERE 60,046; AND 15,491 SURGERIES. CONTINUED ON SCHEDULE O:IN ADDITION TO PROVIDING CHARITY CARE, THE ACH COORDINATES A VARIETY OF PROGRAMS, SERVICES AND INITIATIVES WHICH BENEFIT CHILDREN AND FAMILIES IN THE STATE. THE 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, THE 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$459,881,369TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying ActivitiesYes (1)LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Temp Or Permanent EndowmentsYes (1)TempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other AssetsYes (1)ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (1)ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate HospitalYes (1)OperateHospitalInd
Audited Financial Stmt AttYes (1)AuditedFinancialStmtAttInd
Grants To OrganizationsYes (1)GrantsToOrganizationsInd
Grants To IndividualsYes (1)GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt BondsYes (1)TaxExemptBondsInd
Invest Tax Exempt BondsYes (1)InvestTaxExemptBondsInd
Escrow Account0EscrowAccountInd
On Behalf Of Issuer0OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan OutstandingYes (1)LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam MemYes (1)BusinessRlnWithFamMemInd
Business Rln With Officer EntYes (1)BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl EntYes (1)RelatedOrganizationCtrlEntInd
Transaction With Control EntYes (1)TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document309IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee4720EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Form8282 Filed0Form8282FiledCnt
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members14GoverningBodyVotingMembersCnt
Independent Voting Member10IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesYes (1)DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or StockholdersYes (1)MembersOrStockholdersInd
Election Of Board MembersYes (1)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (1)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process OtherYes (1)CompensationProcessOtherInd
Investment In Joint VentureYes (1)InvestmentInJointVentureInd
Written Policy Or ProcedureYes (1)WrittenPolicyOrProcedureInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

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

US Address USAddress

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

Form990 Part VII Section A Form990PartVIISectionAGrp (34 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtKey EmployeeKeyEmployeeIndHighest Compensated EmployeeHighestCompensatedEmployeeInd
MARCELLA DODERER
PRESIDENT/CEO11.0044.00Yes (X)Yes (X)$937,552$0$125,250
TOM BAXTER
CHAIRMAN OF THE BOARD0.370.19Yes (X)Yes (X)$0$0$0
JOHN BALE JR
TRUSTEE/DIRECTOR0.230.31Yes (X)$0$0$0
HASKELL DICKINSON
TRUSTEE/DIRECTOR (PARTIAL YEAR)0.070.00Yes (X)$0$0$0
MELISSA GRAHAM MD
TRUSTEE/DIRECTOR0.260.00Yes (X)$0$0$0
DORSEY JACKSON
TREASURER0.260.21Yes (X)Yes (X)$0$0$0
DOUGLAS JACKSON
TRUSTEE/DIRECTOR0.230.02Yes (X)$0$0$0
RICHARD JACOBS MD
TRUSTEE/DIRECTOR0.510.19Yes (X)$86,920$0$12,992
PHILLIP JETT
VICE CHAIR0.390.02Yes (X)Yes (X)$0$0$0
HOLLY MARR
TRUSTEE/DIRECTOR0.440.04Yes (X)$0$0$0
PAT MCCLELLAND
TRUSTEE/DIRECTOR0.380.11Yes (X)$0$0$0
BARBARA G MOORE
TRUSTEE/DIRECTOR0.260.37Yes (X)$0$0$0
BEVERLY A MORROW
TRUSTEE/DIRECTOR0.510.06Yes (X)$0$0$0
DANIEL RAHN MD
TRUSTEE/DIRECTOR0.130.00Yes (X)$0$0$0
STEVE SCHEXNAYDER MD
TRUSTEE/DIRECTOR - CHIEF OF STAFF0.410.00Yes (X)$320,372$0$63,695
GENA WINGFIELD
EVP/CHIEF FINANCIAL OFFICER9.0036.00Yes (X)$775,549$0$85,628
CHARLES LARRY BECKIUS
VP FACILITIES50.000.00$266,922$0$27,647Yes (X)
LEE ANNE EDDY
SVP/CHIEF NURSING OFFICER50.000.00$368,418$0$55,329Yes (X)
JONATHAN GOLDBERG
SVP/CHIEF INFORMATION OFFICER10.0040.00$373,469$0$51,503Yes (X)
MICHAEL HART
VP IT APPLICATIONS50.000.00$246,236$0$27,257Yes (X)
CYNTHIA HOLLAND
VP CLINICAL SERVICES50.000.00$253,453$0$27,357Yes (X)
KATHERINE LEA
VP ED/SURGICAL CARE48.000.00$196,996$0$24,505Yes (X)
PATRICIA MONTAGUE
SVP ACNW0.0050.00$312,369$0$43,243Yes (X)
MARY SALASSI-SCOTTER
VP CRITICAL CARE SERVICES50.000.00$195,441$0$23,703Yes (X)
RODERICK SMITH
VP IT OPERATIONS50.000.00$173,079$0$19,451Yes (X)
ROBERT STEELE
SVP/CHIEF STRATEGY OFFICER0.0058.00$565,197$0$76,352Yes (X)
ANDREE TROSCLAIR
VP HUMAN RESOURCES10.0040.00$287,997$0$25,539Yes (X)
TAMMY WEBB
VP ACUTE CARE50.000.00$179,791$0$8,607Yes (X)
JAY DESHPANDE
SVP/CHIEF MEDICAL OFFICER50.000.00$534,291$0$71,135Yes (X)
STEPHEN BEETSTRA
DIRECTOR - DENTAL SERVICES40.000.00$275,872$0$31,161Yes (X)
CHARLES EDWARD JOHNSON
DIRECTOR - CV SURGICAL SERVICES40.000.00$236,553$0$20,332Yes (X)
RHONDA MCKINNIS
VP LEGAL AFFAIRS10.0040.00$322,903$0$24,325Yes (X)
VENT MURPHY
DIRECTOR - DENTAL CLINICAL EDUCATION40.000.00$280,014$0$20,343Yes (X)
KIRT SIMMONS
DIRECTOR - CRANIOFACIAL ORTHO.40.000.00$279,807$0$25,400Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$7,469,201TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$890,754TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K195IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
UNIVERSITY OF ARKANSAS FOR MEDICAL SCIEN
4301 WEST MARKHAMLITTLE ROCKAR72205MEDICAL SERVICES$43,797,393
NABHOLZ CONSTRUCTION CORP
PO BOX 2090CONWAYAR72033GENERAL CONSTRUCTION CONTRACTOR$11,594,559
ARAMARK
24836 NETWORK PLACECHICAGOIL60673FOOD SERVICE$6,045,566
ALESSI-KEYES CONSTRUCTION CO
10623 MAUMELLE BLVDNORTH LITTLE ROCKAR72113GENERAL CONSTRUCTION CONTRACTOR$3,590,352
EPIC SYSTEMS CORPORATION
PO BOX 88314MILWAUKEEWI53288IT SYSTEMS DEVELOPMENT$3,553,691
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K94CntrctRcvdGreaterThan100KCnt
Related Organizations$22,820,815RelatedOrganizationsAmt
Government Grants$18,766,637GovernmentGrantsAmt
Total Contributions$41,587,452TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

FieldValueIRS element (for citing)
DescPAYMENTS FOR MED SVCSDesc
Business900099BusinessCd
Total Revenue Column$561,221,687TotalRevenueColumnAmt
Related Or Exempt Func Income$561,221,687RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$561,221,687TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$5,337,895TotalRevenueColumnAmt
Exclusion$5,337,895ExclusionAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$1,623,268RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$3,813RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$1,619,455RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,619,455TotalRevenueColumnAmt
Exclusion$1,619,455ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Other$390,119OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Other$149,543OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Other$240,576OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$240,576TotalRevenueColumnAmt
Exclusion$240,576ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtExclusionExclusionAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
NUTRITIONAL SERVICES900099$2,956,242$2,956,242
PATIENT CENTERED MEDIC900099$1,925,101$1,925,101
CHILD ENRICHMENT900099$1,537,119$1,537,119

Miscellaneous Revenue MiscellaneousRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$4,484,413TotalRevenueColumnAmt
Related Or Exempt Func Income$6,352,717RelatedOrExemptFuncIncomeAmt
Exclusion-$1,868,304ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$10,902,875OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$620,909,940TotalRevenueColumnAmt
Related Or Exempt Func Income$569,499,505RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$9,822,983ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$5,667,529TotalAmt
Program Services$5,667,529ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$305,720TotalAmt
Program Services$305,720ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$2,091,171TotalAmt
Program Services$1,341,819ProgramServicesAmt
Management And General$749,352ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$43,761TotalAmt
Program Services$43,761ProgramServicesAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$224,993,237TotalAmt
Program Services$182,307,675ProgramServicesAmt
Management And General$42,685,562ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$40,839,833TotalAmt
Program Services$34,212,452ProgramServicesAmt
Management And General$6,627,381ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$2,055,736TotalAmt
Program Services$1,151,577ProgramServicesAmt
Management And General$904,159ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$108,106,484TotalAmt
Program Services$96,521,108ProgramServicesAmt
Management And General$11,585,376ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$1,300,124TotalAmt
Program Services$87,799ProgramServicesAmt
Management And General$1,212,325ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$7,798,497TotalAmt
Program Services$3,553,701ProgramServicesAmt
Management And General$4,244,796ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$16,375,224TotalAmt
Program Services$3,690,262ProgramServicesAmt
Management And General$12,684,962ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$4,368,312TotalAmt
Program Services$3,625,235ProgramServicesAmt
Management And General$743,077ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$2,431,338TotalAmt
Program Services$2,040,084ProgramServicesAmt
Management And General$391,254ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$807,796TotalAmt
Program Services$670,882ProgramServicesAmt
Management And General$136,914ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$4,743,735TotalAmt
Management And General$4,743,735ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$29,601,909TotalAmt
Program Services$26,126,510ProgramServicesAmt
Management And General$3,475,399ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$5,990TotalAmt
Program Services$5,990ProgramServicesAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
MEDICAL SUPPLIES$79,978,657$79,694,508$284,149
OTHER ADMINISTRATIVE EX$17,797,070$11,261,725$6,535,345
PROVISION FOR BAD DEBT$5,025,059$5,025,059
MINOR EQUIPMENT$3,578,163$1,691,342$1,886,821

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$886,684TotalAmt
Program Services$856,631ProgramServicesAmt
Management And General$30,053ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$558,802,029TotalAmt
Program Services$459,881,369ProgramServicesAmt
Management And General$98,920,660ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$12,931BOYAmt
EOY$12,932EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$58,058,445BOYAmt
EOY$37,411,659EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$63,388,354BOYAmt
EOY$50,743,468EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

FieldValueIRS element (for citing)
BOY$100,000BOYAmt
EOY$80,000EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$8,333,021BOYAmt
EOY$9,359,252EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$5,596,371BOYAmt
EOY$6,930,683EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$616,623,139LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$308,106,524LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$285,336,717BOYAmt
EOY$308,516,615EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$269,529,289BOYAmt
EOY$302,132,935EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$485,277BOYAmt
EOY$533,496EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
BOY$233,916BOYAmt
EOY$291,043EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$143,216,840BOYAmt
EOY$143,935,508EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$834,291,161BOYAmt
EOY$859,947,591EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$68,558,363BOYAmt
EOY$57,769,001EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$118,100,210BOYAmt
EOY$108,353,559EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$249,834BOYAmt
EOY$106,056EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$186,908,407BOYAmt
EOY$166,228,616EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$620,688,454BOYAmt
EOY$660,211,838EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$26,694,300BOYAmt
EOY$33,507,137EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$647,382,754BOYAmt
EOY$693,718,975EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$834,291,161BOYAmt
EOY$859,947,591EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$62,107,911ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst-$3,772,618NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets-$11,999,072OtherChangesInNetAssetsAmt
Info In Schedule O Part XIIYes (X)InfoInScheduleOPartXIIInd
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit RequiredYes (1)FederalGrantAuditRequiredInd
Federal Grant Audit PerformedYes (1)FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

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

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Volunteers0VolunteersInd
Paid Staff Or Management0PaidStaffOrManagementInd
Media Advertisements0MediaAdvertisementsInd
Mailings Members0MailingsMembersInd
Publications Or Broadcast0PublicationsOrBroadcastInd
Grants Other OrganizationsYes (1)GrantsOtherOrganizationsInd
Grants Other Organizations$35,066GrantsOtherOrganizationsAmt
Direct Contact Legislators0DirectContactLegislatorsInd
Rallies Demonstrations0RalliesDemonstrationsInd
Other Activities0OtherActivitiesInd
Total Lobbying Expenditures$35,066TotalLobbyingExpendituresAmt
Not Described Section501c30NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART II-B, LINE 1:FormAndLineReferenceDesc
ExplanationA PERCENTAGE OF DUES PAID TO THE AMERICAN HOSPITAL ASSOCIATION, ARKANSAS HOSPITAL ASSOCIATION, ASSOCIATION OF AMERICAN MEDICAL COLLEGES, CHILDREN'S HOSPITAL ASSOCIATION, LITTLE ROCK REGIONAL CHAMBER OF COMMERCE AND THE ARKANSAS STATE CHAMBER OF COMMERCE WAS FOR LOBBYING. IN ORDER TO EFFECTIVELY ADVOCATE FOR AND ASSIST WITH THE IMPROVEMENT OF CHILDREN'S HEALTH, ARKANSAS CHILDREN'S HAS AN OFFICE OF GOVERNMENT RELATIONS THAT WORKS WITH OTHER ORGANIZATIONS, ON A STATE AND NATIONAL LEVEL, TO FORMULATE POLICY AND TO ARTICULATE OUR PUBLIC POLICY AGENDA. FOR FY17, THE MAJORITY OF THE CONTINUUM'S LOBBYING EXPENSE IS REPORTED IN THE ARKANSAS CHILDREN'S, INC. FORM 990.ExplanationTxt

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

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

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

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

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$260,807,759BeginningYearBalanceAmt
Contributions$2,522,174ContributionsAmt
Investment Earnings Or Losses$3,700,116InvestmentEarningsOrLossesAmt
Other Expenditures$3,865,616OtherExpendituresAmt
End Year Balance$263,164,433EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$212,925,418BeginningYearBalanceAmt
Contributions$25,377,876ContributionsAmt
Investment Earnings Or Losses$27,631,730InvestmentEarningsOrLossesAmt
Other Expenditures$5,127,265OtherExpendituresAmt
End Year Balance$260,807,759EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$176,416,750BeginningYearBalanceAmt
Contributions$27,950,863ContributionsAmt
Investment Earnings Or Losses$11,723,854InvestmentEarningsOrLossesAmt
Other Expenditures$3,166,049OtherExpendituresAmt
End Year Balance$212,925,418EndYearBalanceAmt
FieldValueIRS element (for citing)
Board Designated Balance EOY0.71180BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY0.16850PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY0.11970TermEndowmentBalanceEOYPct
Endowments Held Unrelated Org0EndowmentsHeldUnrelatedOrgInd
Endowments Held Related OrgYes (1)EndowmentsHeldRelatedOrgInd
Related Org List Sch RYes (1)RelatedOrgListSchRInd

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$14,211,833OtherCostOrOtherBasisAmt
Book Value$14,211,833BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$348,321,992OtherCostOrOtherBasisAmt
Depreciation$177,118,654DepreciationAmt
Book Value$171,203,338BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$187,295,883OtherCostOrOtherBasisAmt
Depreciation$120,179,088DepreciationAmt
Book Value$67,116,795BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$66,793,431OtherCostOrOtherBasisAmt
Depreciation$10,808,782DepreciationAmt
Book Value$55,984,649BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$308,516,615TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (7 entries)

DescDescBook ValueBookValueAmt
FUNDS HELD BY TRUSTEE UNDER BOND AGREEMENTS$2,092,588
ESTIMATED 3RD PARTY SETTLEMENT (MCD)$116,294,486
UPL RECEIVABLE$8,897,268
GME RECEIVABLE$1,495,290
OTHER RECEIVABLES$9,234,657
INTEREST RECEIVABLE - FUNDED DEPR$103,203
DUE FROM FOUNDATION$5,818,016
FieldValueIRS element (for citing)
Total Book Value Other Assets$143,935,508TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp

FieldValueIRS element (for citing)
DescOBLIGATIONS UNDER CAPITAL LEASESDesc
Amt$106,056Amt
FieldValueIRS element (for citing)
Total Liability$106,056TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART V, LINE 4:EARNINGS FROM ENDOWMENT FUNDS WILL BE USED TO SUPPORT VARIOUS HOSPITAL PROGRAMS. THE FILING ORGANIZATION DOES NOT HOLD ANY ENDOWMENTS; ALL ENDOWMENTS ARE HELD BY ARKANSAS CHILDREN'S FOUNDATION, A RELATED ORGANIZATION.
PART X, LINE 2:NOTE: THE AUDIT 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, AND ARKANSAS CHILDREN'S CARE NETWORK (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, 2017 AND 2016, THERE ARE NO UNCERTAIN POSITIONS TAKEN OR EXPECTED TO BE TAKEN THAT WOULD REQUIRE RECOGNITION OF A LIABILITY (OR ASSET) OR DISCLOSURE IN THE CONSOLIDATED FINANCIAL STATEMENTS.

Schedule H IRS990ScheduleH

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

Free Care Oth Percentage FreeCareOthPercentageGrp

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

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$10,863,121TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$10,863,121NetCommunityBenefitExpnsAmt
Total Expense0.01960TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$321,075,436TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$329,403,985DirectOffsettingRevenueAmt
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.00000TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$331,938,557TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$329,403,985DirectOffsettingRevenueAmt
Net Community Benefit Expns$10,863,121NetCommunityBenefitExpnsAmt
Total Expense0.01960TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$15,230,386TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$8,455,820DirectOffsettingRevenueAmt
Net Community Benefit Expns$6,774,566NetCommunityBenefitExpnsAmt
Total Expense0.01220TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$23,828,727TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$7,375,110DirectOffsettingRevenueAmt
Net Community Benefit Expns$16,453,617NetCommunityBenefitExpnsAmt
Total Expense0.02970TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$44,483,887TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$21,417,863DirectOffsettingRevenueAmt
Net Community Benefit Expns$23,066,024NetCommunityBenefitExpnsAmt
Total Expense0.04170TotalExpensePct

Research ResearchGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$8,445,320TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$8,445,320NetCommunityBenefitExpnsAmt
Total Expense0.01530TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$464,997TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$48,177DirectOffsettingRevenueAmt
Net Community Benefit Expns$416,820NetCommunityBenefitExpnsAmt
Total Expense0.00080TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$92,453,317TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$37,296,970DirectOffsettingRevenueAmt
Net Community Benefit Expns$55,156,347NetCommunityBenefitExpnsAmt
Total Expense0.09970TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$424,391,874TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$366,700,955DirectOffsettingRevenueAmt
Net Community Benefit Expns$66,019,468NetCommunityBenefitExpnsAmt
Total Expense0.11930TotalExpensePct

Physical Imprv And Housing PhysicalImprvAndHousingGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$0TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt

Economic Development EconomicDevelopmentGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$25,650TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$25,650NetCommunityBenefitExpnsAmt
Total Expense0.00000TotalExpensePct

Community Support CommunitySupportGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$38,104TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$38,104NetCommunityBenefitExpnsAmt
Total Expense0.00010TotalExpensePct

Environmental Improvements EnvironmentalImprovementsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$0TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt

Leadership Development LeadershipDevelopmentGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$600TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$600NetCommunityBenefitExpnsAmt
Total Expense0.00000TotalExpensePct

Coalition Building CoalitionBuildingGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$5,660TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$5,660NetCommunityBenefitExpnsAmt
Total Expense0.00000TotalExpensePct

Health Improvement Advocacy HealthImprovementAdvocacyGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$55,452TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$55,452NetCommunityBenefitExpnsAmt
Total Expense0.00010TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$2,200TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$2,200NetCommunityBenefitExpnsAmt
Total Expense0.00000TotalExpensePct

Other Communtity Building Acty OtherCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$110,262TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$110,262DirectOffsettingRevenueAmt

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$237,928TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$110,262DirectOffsettingRevenueAmt
Net Community Benefit Expns$127,666NetCommunityBenefitExpnsAmt
Total Expense0.00020TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense ReportedYes (1)BadDebtExpenseReportedInd
Bad Debt Expense$3,063,682BadDebtExpenseAmt
Bad Debt Expense Attributable$0BadDebtExpenseAttributableAmt
Reimbursed By Medicare$2,041,682ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$1,727,241CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall$314,441MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

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

Hospital Facilities HospitalFacilitiesGrp

FieldValueIRS element (for citing)
Facility1FacilityNum

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1ARKANSAS CHILDREN'S HOSPITALBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line11 CHILDRENS WAYAddressLine1Txt
CityLITTLE ROCKCityNm
State AbbreviationARStateAbbreviationCd
ZIP72202ZIPCd
FieldValueIRS element (for citing)
Website AddressWWW.ARCHILDRENS.ORGWebsiteAddressTxt
State LicenseAR4640StateLicenseNum
Licensed HospitalYes (X)LicensedHospitalInd
General Medical And SurgicalYes (X)GeneralMedicalAndSurgicalInd
Childrens HospitalYes (X)ChildrensHospitalInd
Teaching HospitalYes (X)TeachingHospitalInd
Research FacilityYes (X)ResearchFacilityInd
Emergency Room24 HrsYes (X)EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1ARKANSAS CHILDREN'S HOSPITALBusinessNameLine1Txt
FieldValueIRS element (for citing)
Facility1FacilityNum
First Licensed CY Or PY0FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY0TaxExemptHospitalCYOrPYInd
CHNA ConductedYes (1)CHNAConductedInd
Community DefinitionYes (X)CommunityDefinitionInd
Community DemographicsYes (X)CommunityDemographicsInd
Existing ResourcesYes (X)ExistingResourcesInd
How Data ObtainedYes (X)HowDataObtainedInd
Community Health NeedsYes (X)CommunityHealthNeedsInd
Other Health IssuesYes (X)OtherHealthIssuesInd
Community Hlth Needs Id ProcessYes (X)CommunityHlthNeedsIdProcessInd
Consulting ProcessYes (X)ConsultingProcessInd
Prior CHNA ImpactYes (X)PriorCHNAImpactInd
OtherYes (X)OtherInd
CHNA Conducted15CHNAConductedYr
Take Into Account Others InputYes (1)TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts0CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non FcltsYes (1)CHNAConductedWithNonFcltsInd
CHNA Report Widely AvailableYes (1)CHNAReportWidelyAvailableInd
Rpt Available On Own WebsiteYes (X)RptAvailableOnOwnWebsiteInd
Own Website URLWWW.ARCHILDRENS.ORGOwnWebsiteURLTxt
Paper Copy Public InspectionYes (X)PaperCopyPublicInspectionInd
Rpt Available Thru Other MethodYes (X)RptAvailableThruOtherMethodInd
Implementation Strategy AdoptYes (1)ImplementationStrategyAdoptInd
Implementation Strategy Adpt15ImplementationStrategyAdptYr
Strategy Posted WebsiteYes (1)StrategyPostedWebsiteInd
Strategy Website URLWWW.ARCHILDRENS.ORGStrategyWebsiteURLTxt
Organization Incur Excise Tax0OrganizationIncurExciseTaxInd
Elig Criteria ExplainedYes (1)EligCriteriaExplainedInd
FPG Family Incm Lmt Free DscntYes (X)FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care250.000000000000FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care400.000000000000FPGFamilyIncmLmtDscntCarePct
Explained BasisYes (1)ExplainedBasisInd
App Financial Asst ExplnYes (1)AppFinancialAsstExplnInd
Described InfoYes (X)DescribedInfoInd
Described Suprt DocYes (X)DescribedSuprtDocInd
Provided Hospital ContactYes (X)ProvidedHospitalContactInd
Includes Publicity MeasuresYes (1)IncludesPublicityMeasuresInd
FAP Available On WebsiteYes (X)FAPAvailableOnWebsiteInd
FAP Available On Website URLWWW.ARCHILDRENS.ORGFAPAvailableOnWebsiteURLTxt
FAP App Available On WebsiteYes (X)FAPAppAvailableOnWebsiteInd
FAP App Available On Website URLWWW.ARCHILDRENS.ORGFAPAppAvailableOnWebsiteURLTxt
FAP Summary On WebsiteYes (X)FAPSummaryOnWebsiteInd
FAP Summary On Website URLWWW.ARCHILDRENS.ORGFAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No ChargeYes (X)FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No ChrgYes (X)FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No ChrgYes (X)FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill DisplayYes (X)NotifiedFAPCopyBillDisplayInd
FAP TranslatedYes (X)FAPTranslatedInd
Other PublicityYes (X)OtherPublicityInd
FAP Actions On NonpaymentYes (1)FAPActionsOnNonpaymentInd
Permit No ActionsYes (X)PermitNoActionsInd
Collection Activities0CollectionActivitiesInd
None MadeYes (X)NoneMadeInd
Nondis Emergency Care PolicyYes (1)NondisEmergencyCarePolicyInd
Look Back Medicaid Medcr PrvtYes (X)LookBackMedicaidMedcrPrvtInd
Amounts Generally Billed0AmountsGenerallyBilledInd
Gross Charges0GrossChargesInd

Supplemental Information SupplementalInformationGrp (9 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
ARKANSAS CHILDREN'S HOSPITALPART 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 ONLY 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 HOSPITALPART 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, OBTAINING MEANINGFUL ENGAGEMENT AND INPUT FROM A BROAD CROSS-SECTION OF ORGANIZATIONS AND INDIVIDUALS THROUGHOUT THE STATE WAS IMPORTANT TO THE SUCCESSFUL COMPLETION OF THE TY15/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 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 TY15/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 TY15/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 INFORMED THE DEVELOPMENT OF THE 2017-2019 IMPLEMENTATION STRATEGY.
ARKANSAS CHILDREN'S HOSPITALPART 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 HOSPITALPART 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 TY15/FY16 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 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 PRESENTED AND FACILITATED BROADER COMMUNITY CONVERSATIONS ABOUT THE ISSUES IDENTIFIED THROUGH THE TY15/FY16 CHNA AND THE ACTIONS PROPOSED TO ADDRESS THEM.
ARKANSAS CHILDREN'S HOSPITALPART 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 DESCRIPTION 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 TY16/FY17. 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 OF 2016, 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 ARKANSAS CHILDREN'S AND WITHIN ARKANSAS CHILDREN'S HOSPITAL TO IDENTIFY WAYS TO ADDRESS THE NEEDS FOUND IN THE CHNA. THESE INCLUDED HOSPITAL AND MEDICAL LEADERS, STAFF FROM PATIENT-/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 ARKANSAS CHILDREN'S HOSPITAL APPROVED A NEW $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 ARKANSAS CHILDREN'S HOSPITAL INVESTED SUBSTANTIALLY IN THE DEVELOPMENT OF ITS CHILD ADVOCACY AND PUBLIC HEALTH DIVISION BY HIRING ADDITIONAL EMPLOYEES TO SUPPORT AND CONTINUE TO DEVELOP COLLABORATIVE AND COMMUNITY-INFORMED PROGRAMS THAT ADDRESS IDENTIFIED CHILD HEALTH NEEDS IN ITS SERVICE AREA. ADDITIONAL STAFF WERE HIRED TO SUPPORT COMMUNITY BENEFIT, THE NWPC, AND THE PROGRAM EVALUATION FOR INTERNAL AND NWPC INITIATIVES AND TO DO RURAL OUTREACH WORK ACROSS ARKANSAS, ESTABLISHING RELATIONSHIPS FOR NEW COMMUNITY-DRIVEN PROGRAMS. IN ADDITION, A COORDINATOR WAS HIRED FOR THE HOSPITAL'S MEDICAL-LEGAL PARTNERSHIP PROGRAM. THIS CAPACITY-BUILDING WORK HAS IMPROVED THE FUNCTIONS AROUND COMMUNITY BENEFIT AND INITIATED ACCOUNTABILITY STRUCTURES TO ENSURE PROGRESS IS MADE TOWARD IMPROVED CHILD HEALTH IN THE STATE.UPDATES ON ACTIONS UNDERTAKEN DURING TY16/FY17 FOR EACH OF THE 2016 CHNA PRIORITIZED ISSUES ARE LISTED BELOW. SOME STRATEGIES WERE LED BY NWPC MEMBER ORGANIZATIONS WHO IDENTIFIED KEY WAYS TO PARTNER WITH ACH ON CHILD HEALTH IMPROVEMENT. OTHER STRATEGIES 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 HEALTHY OR ILL CHILDREN AND ADOLESCENTS IN A TIMELY MANNER, WITH HIGH QUALITY CARE CLOSE TO HOME. WHERE VIABLE AND APPROPRIATE, ACTIONS ALSO ADDRESSED THE HEALTH OF PARENTS AND CARETAKERS. ON THE HOSPITAL CAMPUS, ACH FINANCIAL COUNSELORS ASSISTED PATIENTS AND THEIR FAMILIES TO SIGN UP FOR HEALTHCARE COVERAGE. IN TY16/FY17 FINANCIAL COUNSELORS PROCESSED 6,380 MEDICAID APPLICATIONS AND ASSISTED 70 SPECIAL NEEDS PATIENTS TO OBTAIN TITLE V - CHILDREN WITH SPECIAL NEEDS HEALTHCARE. COUNSELORS ALSO HELPED FAMILIES TO COMPLETE VARIOUS OTHER PUBLIC ASSISTANCE APPLICATIONS WITH THE DEPARTMENT OF HEALTH AND HUMAN SERVICES. ANOTHER SOURCE OF ASSISTANCE FOR PATIENTS AND FAMILIES IS THE AFTER-HOURS RESOURCE LINE, ANSWERED BY REGISTERED NURSES AT ACH. IN TY16/FY17, NURSES RESPONDED TO 25,000 AFTER-HOURS CALLS IN WHICH THEY PROVIDED MEDICAL ADVICE FOR NON-EMERGENT ISSUES OR HELPED IDENTIFY POTENTIAL COMPLICATIONS BEFORE THEY BECAME MORE SERIOUS PROBLEMS. ADDITIONALLY, ACH HELPS FAMILIES BY MAINTAINING INTERPRETERS TO ASSIST NON-ENGLISH-SPEAKING FAMILIES TO ACCESS CARE. ACH SUPPORTED THE CONTINUATION OF AND EXPANSION OF THE MEDICAL-LEGAL PARTNERSHIP, A PROGRAM IMPLEMENTED IN COLLABORATION WITH LEGAL AID OF ARKANSAS TO REDUCE HEALTH-HARMING LEGAL NEEDS. IN TY16/FY17, THE PARTNERSHIP RECEIVED 541 REFERRALS AND HOSTED ONE STATEWIDE RECRUITMENT TRAINING WHICH ADDED 23 NEW PRO BONO LAWYERS TO THE NETWORK.IN THE FALL OF FY17, ACH BEGAN ITS SCHOOL BASED HEALTH (SBH) TELEMEDICINE PILOT PROGRAM, SEEING 17 PATIENTS AT ANGIE GRANT ELEMENTARY SCHOOL LOCATED IN NORTHWEST ARKANSAS. THIS PILOT HELPED IDENTIFY BENEFITS OF THE SBH TELEMEDICINE PROGRAM AND THE PROCESS IMPROVEMENTS NEEDED TO PURSUE EFFORTS TO EXPAND IT IN A MORE COMPREHENSIVE AND COMMUNITY-BASED WAY. THE FRANKLIN ELEMENTARY SCHOOL-BASED HEALTH CLINIC, SUPPORTED BY ACH-FUNDED PRACTITIONERS, PERFORMED 249 ACUTE-CARE AND WELLNESS VISITS DURING TY16/FY17 AND WORKED TO ADDRESS THE SCHOOL'S CULTURE OF HEALTH. AT THE END OF THE 2016-17 SCHOOL YEAR, FRANKLIN ELEMENTARY SCHOOL WAS CLOSED DUE TO BUDGET SHORTFALLS IN THE LITTLE ROCK SCHOOL DISTRICT. ACH QUICKLY WORKED WITH THE LITTLE ROCK SCHOOL DISTRICT AND IDENTIFIED A NEW SCHOOL TO RELOCATE THE SCHOOL-BASED HEALTH CLINIC. THE NEW SITE, STEPHENS ELEMENTARY, OPENED ITS SBH CLINIC IN THE FALL OF 2017. IN TY16/FY17, ACH BEGAN TO MAKE SIGNIFICANT INVESTMENTS AND PREPARATIONS TO UPGRADE ITS ELECTRONIC MEDICAL RECORD TECHNOLOGY TO IMPROVE 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 HOSTED MONTHLY MEETINGS, ENGAGING AN AVERAGE OF 15 ACCESS TO CARE WORKGROUP MEMBERS.(SCHEDULE H, PART V, SECTION B, LINE 11 - CONTINUED ON PAGE 52)
ARKANSAS CHILDREN'S HOSPITALPART V, SECTION B, LINE 16J: THE FINANCIAL ASSISTANCE POLICY (FAP) ITSELF IS NOT ATTACHED TO THE BILLING INVOICES, HOWEVER, THE FOLLOWING INFORMATION IS NOTED ON THE STATEMENTS: ARKANSAS CHILDREN'S HOSPITAL PROVIDES FINANCIAL ASSISTANCE TO OUR PATIENTS AND FAMILIES THAT QUALIFY; APPLICATION FORMS ARE AVAILABLE AT ALL REGISTRATION AREAS OR BY CONTACTING CUSTOMER SERVICE (PHONE NUMBER IS INCLUDED); IF PATIENTS ARE NOT ELIGIBLE FOR INSURANCE OR A GOVERNMENT ASSISTANCE PROGRAM, ARKANSAS CHILDREN'S HOSPITAL OFFERS A PROMPT PAY DISCOUNT AS WELL. IN ADDITION, FINANCIAL COUNSELORS ASSIST FAMILIES IN APPLYING FOR MEDICAID, SSI, AND CHILDREN'S MEDICAL SERVICES.FINANCIAL ASSISTANCE POLICY (FAP) SUMMARY FLYERS ARE DISTRIBUTED THROUGHOUT THE HOSPITAL AND IN THE CLINICS. THE FLYERS EXPLAIN THE FAP, ELIGIBILITY REQUIREMENTS, AND HOW TO APPLY. THE FOLLOWING STATEMENT IS ALSO PRESENTED ON THE FLYERS REGARDING AVAILABILITY OF INFORMATION: "A NOTICE ABOUT THE FAP IS POSTED ON THE ACH WEB SITE, IN KEY AREAS OF THE HOSPITAL, AND ON BILLING STATEMENTS. OTHER INFORMATION IS AVAILABLE ONLINE AT ARCHILDRENS.ORG/FAP INCLUDING THE FULL POLICY, THIS SUMMARY, THE APPLICATION AND SPANISH AND MARSHALLESE TRANSLATIONS."
SCHEDULE H, PART V, SECTION B, LINE 11 - CONTINUEDCHILDHOOD 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 HOMES, SCHOOLS, AND COMMUNITIES. ACH WORKS CLOSELY WITH THE ARKANSAS COALITION FOR OBESITY PREVENTION (ARCOP) TO INFORM AND GUIDE THE COLLECTIVE AGENDA ON CHILDHOOD OBESITY IN ARKANSAS. THE HOSPITAL REGULARLY SUPPORTS AND PROMOTES ARCOP INITIATIVES BY ATTENDING QUARTERLY MEETINGS AND SUPPORTING COMMUNITY EVENTS. ACH STAFF ALSO ACTIVELY PARTICIPATE IN "HEALTHY ACTIVE ARKANSAS", A STATE SPONSORED INITIATIVE TO ADDRESS OBESITY IN THE STATE. IN FY17 ACH CONTINUED TO SUPPORT STATEWIDE ACCESS TO AN ENHANCED VERSION OF GONOODLE, A PHYSICAL ACTIVITY PROGRAM THAT ALLOWS TEACHERS TO INCORPORATE 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 TY16/FY17, PARTICIPATION IN THE GONOODLE PROGRAM IMPROVED ACTIVE MINUTES FOR ALMOST 150,000 STUDENTS, AND IN THE 2016-2017 SCHOOL YEAR, ARKANSAS ELEMENTARY STUDENTS ACHIEVED 77 MILLION MINUTES OF PHYSICAL ACTIVITY. BUILDING SCHOOL AND TEACHER CAPACITY IN EVIDENCE-BASED PHYSICAL EDUCATION INTERVENTIONS INCREASES THE QUANTITY AND QUALITY OF PHYSICAL EDUCATION CLASSES, AND PROMOTES A CHILD'S POTENTIAL TO MAINTAIN AN ACTIVE LIFESTYLE INTO ADULTHOOD. THROUGH THE NWPC FY17 INNOVATION FUND, ACH CONTRACTED WITH THE ARKANSAS DEPARTMENT OF EDUCATION'S "SPARK IT UP! ARKANSAS" PHYSICAL EDUCATION PROJECT TO TRAIN 40 ELEMENTARY SCHOOL TEACHERS IN THE SPARK K-8 EVIDENCE-BASED CURRICULUM AND PROVIDED THE ACCOMPANYING EQUIPMENT TO IMPLEMENT THE PROGRAM. IN FY17, THE PROJECT HOSTED SEVERAL SPARK P.E. TRAININGS AND TRAINED 30 P.E. TEACHERS FROM 13 COUNTIES LOCATED IN THE ARKANSAS DELTA (CLAY, GREENE, MISSISSIPPI, CRAIGHEAD, JACKSON, POINSETT, WOODRUFF, CROSS, ST. FRANCIS, MONROE, ARKANSAS, DESHA, CHICOT, AND DREW). IN TY16/FY17 ACH'S COMMUNITY OUTREACH (COUT) 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, COUT REACHED 23 DIFFERENT COUNTIES IN ARKANSAS AND HAD 13,303 STUDENT CONTACTS THROUGH THESE NUTRITION-FOCUSED INTERVENTIONS WHICH HAVE BEEN SHOWN TO REDUCE CHILDHOOD OBESITY. THE ARKANSAS CHILDREN'S RESEARCH INSTITUTE, WHICH ACH SUPPORTS THROUGH A COMMUNITY BENEFIT INVESTMENT, RECEIVED A LARGE NATIONAL INSTITUTES OF HEALTH (NIH) GRANT TO INCREASE RESEARCH STUDIES FOCUSED ON PREVENTING CHILDHOOD OBESITY. THE HOSPITAL HAS PARTNERED WITH THE ARKANSAS CHILDREN'S RESEARCH INSTITUTE TO MANAGE A COMMUNITY GARDEN. VOLUNTEERS AND A PART-TIME GARDEN MANAGER FROM ARKANSAS GARDENCORPS GREW AND HARVESTED 2,852 LBS. OF PRODUCE IN FY17. 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. PRODUCE HAS INCLUDED TOMATOES, PEPPERS, OKRA, SQUASH, EGGPLANT, CUCUMBERS, RADISHES, ONIONS, GREEN BEANS, SNAP PEAS, PURPLE HULL PEAS, COLLARD GREENS, MUSTARD GREENS, CABBAGE, LETTUCE, CARROTS, SPINACH, STRAWBERRIES, BLACKBERRIES AND WATERMELONS. 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 AS SEVERAL STATE INITIATIVES ON BEHAVIORAL HEALTH. IN TY16/FY17, ACH PROVIDED SPACE 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 FY16, 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. NWPC HAS PROPOSED ACTIONS TO ADDRESS MENTAL AND SUBSTANCE USE, WHICH FOCUS PRIMARILY ON CONVENING AND FOSTERING THE CREATION OF A NWPC AFFILIATED WORKGROUP TO IDENTIFY A VISION, SHARED AGENDA, AND MENTAL HEALTH AND SUBSTANCE USE INDICATORS 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 WERE DELAYED IN TY16/FY17. THE FINAL TRANSFORMATION CHANGES WILL BE ENACTED AND BECOME EFFECTIVE IN THE NEXT FISCAL YEAR. 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 TY16/FY17, ACH CONTRACTED A CONSULTANT WITH NATURAL WONDERS INNOVATION FUND RESOURCES TO FIELD TEST AND IMPROVE THE EFFECTIVENESS OF THE TEEN PREGNANCY PREVENTION TOOLKIT (TPPT), A TOOL DEVELOPED BY A GRADUATE VOLUNTEER STUDENT AND TAILORED FOR USE IN ARKANSAS. THE CONSULTANT PILOTED THE USE OF THE TOOLKIT IN SEVERAL SITES TO HELP SELECT AND IMPLEMENT EVIDENCE-BASED HEALTH EDUCATION PROGRAMS IN EACH COMMUNITY. FOUR SITES, INCLUDING THE SCHOOL DISTRICTS OF MAGAZINE, YELLVILLE, LAVACA, AND THE COMMUNITY OF CAMDEN, AGREED TO PILOT TEST THE TPPT AND ULTIMATELY IMPLEMENT AN EVIDENCE-BASED OR -INFORMED CURRICULUM. IMPLEMENTATION OF THE SELECTED REPRODUCTIVE HEALTH PROGRAMS ARE PROGRAMMED TO OCCUR IN THE 2017-2018 SCHOOL YEAR. THE CHILD ADVOCACY AND PUBLIC HEALTH RURAL OUTREACH PROGRAM CONDUCTED AN EXTENSIVE ASSESSMENT IN SOUTH ARKANSAS COUNTIES TO BETTER INFORM THE HOSPITAL'S RURAL ENGAGEMENT STRATEGY AND IDENTIFY VIABLE PARTNERSHIPS FOR THE HOSPITAL TO CONSIDER. ADOLESCENT HEALTH CONCERNS WERE HIGHLIGHTED FOR EXECUTIVE LEADERS AND MAY INFORM FUTURE STRATEGIC OPPORTUNITIES.
SCHEDULE H, PART V, SECTION B, LINE 11 - CONTINUEDSOCIAL 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 FY17 COMMUNITY HEALTH IMPLEMENTATION STRATEGY. IN FY17, ACH DEVELOPED AND IMPLEMENTED A CHILD SOCIAL NEEDS SCREENING TOOL IN ITS CIRCLE OF FRIENDS (COF) PRIMARY CARE CLINIC. THE PAPER TOOL CONTAINS 14 QUESTIONS RELATED TO FOOD INSECURITY, HOUSING, AND SPECIAL EDUCATION NEEDS; ALL AREAS IN WHICH ACH IS ABLE TO HELP FAMILIES. THE SOCIAL NEEDS DATA OF PATIENTS AT THIS CLINIC HAS BEGUN TO HELP INFORM AND GUIDE DISCUSSION ON WHAT NEEDS THE HOSPITAL MAY BE ABLE TO ADDRESS IN THE FUTURE. OF THE APPROXIMATELY 25,000 PATIENTS SEEN IN THE COF CLINIC IN FY17, APPROXIMATELY 80% WERE SCREENED, AND HALF (50%) HAD A POSITIVE RESULT IDENTIFYING AT LEAST ONE NEED. OVER 6% OF THE SCREENINGS WERE CONDUCTED IN SPANISH, AND 21% OF THE POSITIVE SCREENS WERE FOR FAMILIES WITH CHILDREN AGED 5 OR YOUNGER. POSITIVE RESPONSES WERE REFERRED TO INTERNAL RESOURCES SUCH AS FINANCIAL COUNSELORS, ACH'S MEDICAL-LEGAL PARTNERSHIP (MLP), AND/OR TO THE COF CLINIC'S FOOD PANTRY PROGRAM. THE TOP NEED IDENTIFIED THROUGH SCREENING WAS FOOD INSECURITY. IN COLLABORATION WITH A LOCAL FOOD PANTRY PARTNER, HELPING HAND, ACH PROVIDED 1,756 BAGS OF FOOD TO FAMILIES IN NEED. LEGAL ASSISTANCE IN HOUSING OR EDUCATIONAL NEEDS WERE ADDRESSED BY THE MLP. ACH ALSO ADDRESSED SOCIAL NEEDS IN COLLABORATION WITH THE NWPC CORE GROUP PARTNERS TO LOOK FOR WAYS TO IMPROVE COORDINATION OF MEDICAL-LEGAL PARTNERSHIP SERVICES IN COMMUNITIES AROUND THE STATE THROUGH THE NWPC INNOVATION FUNDS. ACH CONTRACTED WITH LEGAL AID OF ARKANSAS TO DEVELOP AN MLP PRO BONO TOOLKIT AND TO HOST "LUNCH AND LEARN" EVENTS AIMED TO RECRUIT LAWYERS ACROSS THE STATE TO PARTICIPATE IN THE PROGRAM. IN FY17, THE MLP RECRUITED 23 NEW VOLUNTEER LAWYERS AT LUNCH AND LEARN EVENTS. PLANNING ALSO BEGAN TO CONVENE A STATEWIDE MLP SUMMIT TO NETWORK, BUILD CAPACITIES, AND FIND WAYS TO CREATE COLLABORATIONS AMONG EXISTING MEDICAL LEGAL PARTNERSHIPS WITHIN ARKANSAS. IN ADDITION TO INVESTING IN WAYS TO EXPAND THE MLP, ACH HAS ALSO INVESTED IN BETTER UNDERSTANDING HOW SCREENING FOR SOCIAL DETERMINANTS OF HEALTH COULD BE ACCOMPLISHED OUTSIDE A HOSPITAL SETTING. ACH CONTRACTED THE ARKANSAS MEDICAL FOUNDATION (AFMC) TO PILOT THE SCREENING TOOL NOTED ABOVE IN FOUR TYPES OF PROVIDER CLINICS ACROSS THE STATE. THE PROJECT HAD TWO GOALS: 1) UNDERSTAND THE FEASIBILITY OF IMPLEMENTING THE TOOL STATEWIDE, AND 2) LEARN THE BENEFITS AND BARRIERS TO ITS IMPLEMENTATION IN DIFFERENT TYPES OF PEDIATRIC AND FAMILY PRACTICES. IN FY17, PILOT CLINICS USED THE TOOL FOR 4 MONTHS, COLLECTED 2,896 SCREENS, AND MADE 154 REFERRALS. LIKE AT THE ACH PRIMARY CARE CLINIC, FOOD INSECURITY ALSO HAD THE HIGHEST RATE OF POSITIVE RESPONSES. OTHER SOCIAL NEEDS IDENTIFIED BY PARTICIPATING PATIENTS INCLUDED EDUCATION SERVICES FOR CHILDREN, ACCESS TO HEALTH CARE COVERAGE, AND ASSISTANCE WITH HOUSING DISPUTES. THE PILOT CLINICS RESPONDED POSITIVELY TO THE PROJECT, AND MOST ADOPTED THE TOOL PERMANENTLY. THE MOST CITED BARRIER TO SOCIAL NEEDS SCREENING WAS THE LACK OF KNOWLEDGE ABOUT COMMUNITY RESOURCES. THESE PROJECTS HAVE HELPED BETTER UNDERSTAND THE NEED FOR IMPLEMENTATION OF A SOCIAL DETERMINANTS OF HEALTH SCREENING BEYOND A HOSPITAL CLINIC SETTING.PARENTING SUPPORTS:ACH WORKED AND SUPPORTED THE NWPC PARENTING AND CAREGIVING SUPPORTS WORKGROUP TO IDENTIFY EFFECTIVE STRATEGIES TO BETTER UNDERSTAND PARENT EDUCATIONAL NEEDS, PROMOTE COMMUNITY-WIDE UNDERSTANDING OF SOME OF THE CHALLENGES FACING PARENTS AND CAREGIVERS, AND EXPAND EXISTING PROGRAMS THAT HELP IMPROVE PARENTING SKILLS. PARENTS AND CAREGIVERS ARE VERY IMPORTANT IN THE WELL-BEING AND DEVELOPMENT OF CHILDREN, AND EVIDENCE PROVIDES THAT A STRONG COMMUNITY COULD PROVIDE VARIOUS SOCIAL AND COMMUNITY SUPPORTS TO HELP ARKANSAS PARENTS RAISE HAPPY, HEALTHY CHILDREN WHO ARE CAPABLE OF LIFE-LONG LEARNING. ACH SUPPORTED AND CONVENED THIS WORKGROUP THROUGHOUT THE YEAR WITH MONTHLY MEETINGS, INNOVATION FUND SUPPORT, AND STAFF TIME. IN TY16/FY17, NWPC INNOVATION FUNDS SUPPORTED A PROJECT TO BETTER UNDERSTAND PARENTS' NEED OF SUPPORT, AS SEEN FROM THE PARENTS' PERSPECTIVE. ACH CONTRACTED WITH UA LITTLE ROCK SURVEY RESEARCH CENTER (SRC) TO CONDUCT A TELEPHONE SURVEY WITH A REPRESENTATIVE SAMPLE OF PARENTS OR GUARDIANS CARING FOR CHILDREN UNDER 18 YEARS OF AGE. THE SURVEY ALSO ASKED ABOUT TRAUMA IN GUARDIANS' OWN CHILDHOODS TO OBTAIN THEIR ADVERSE CHILDHOOD EXPERIENCES SCORE (ACES). THE SURVEY HAD HIGH RESPONSE AND COOPERATION RATES. IN TOTAL, 409 INTERVIEWS WERE COMPLETED WITH BIOLOGICAL (89%), ADOPTIVE AND STEP (6%) PARENTS, AND GRANDPARENTS (5%). MOST RESPONDENTS WERE BETWEEN 35-54 YEARS OLD (58%), REPORTED A HIGH INCOME OF $75K+ (41%), AND HAD SOME COLLEGE OR A COLLEGE DEGREE (70%). DESPITE REACHING CAREGIVERS FROM WELL-TO-DO HOUSEHOLDS, ACES SCORES WERE HIGH. FORTY PERCENT REPORTED HAVING 2-4 ADVERSE CHILDHOOD EXPERIENCES, LEVELS ASSOCIATED WITH LONG-TERM POOR HEALTH OUTCOMES. RECENT STUDIES SUGGESTED THESE LEVELS SHOW A RELATIONSHIP TO PARENTAL STRESS. PARENTS AND CAREGIVERS SAID THEY WERE MORE LIKELY TO LOOK FOR INFORMATION AND HELP FROM SCHOOL EDUCATORS AND HEALTHCARE PROVIDERS AND RARELY REFER FROM THE INTERNET. THIS INFORMATION HELPS TO DEVELOP EFFECTIVE MESSAGES TO ENGAGE FAMILIES AND TALK ABOUT IMPROVING CHILDREN'S HEALTH AS WELL AS EDUCATING DECISION MAKERS ABOUT THE IMPORTANCE OF SOCIAL SUPPORTS TO IMPROVE PARENTING SUCCESS. THE ARKANSAS HOME VISITING NETWORK (AHVN), A PARTNERSHIP BETWEEN THE ARKANSAS DEPARTMENT OF HEALTH AND ACH, HAS IMPROVED MATERNAL-CHILD HEALTH OUTCOMES FOR CHILDREN IN THE PROGRAM. THE AHV NETWORK 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. IN FY17, THESE PROGRAMS HELPED OVER 6,900 FAMILIES WITH CHILDREN IN 73 COUNTIES IN THE STATE. THIS WORK IS A KEY COMPONENT OF THE STRATEGY TO ENSURE ARKANSAS PARENTS AND CAREGIVERS ARE CAPABLE AND THAT CHILDREN ARE ABLE TO 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 64 COMMUNITY BASED PRESENTATIONS TO FAMILIES AND GROUPS IN ARKANSAS IN FY17. THESE SESSIONS PROVIDED SUPPORT AND ASSISTANCE TO ALMOST 3,000 BEREAVED CHILDREN AND FAMILIES IN ARKANSAS THROUGH EDUCATION, PROGRAM DEVELOPMENT, AND GRIEF SUPPORT PROGRAMS. CENTER STAFF SPENT 658 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 SUPPORTS. THE WORKGROUP MET MONTHLY DURING FY17.
SCHEDULE H, PART V, SECTION B, LINE 11 - CONTINUEDORAL 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. IN FY17, ELEMENTARY STUDENTS IN ARKANSAS RECEIVED 1,698 DENTAL VISITS AND 6,645 DENTAL SEALANTS THROUGH ACH'S COMMUNITY CLINICAL PROGRAMS (CCP) DEPARTMENT'S ORAL HEALTH SERVICES. 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 READILY AVAILABLE DENTAL SERVICES WHO RESIDE IN DIVERSE COMMUNITY SITES IN THE SOUTHEAST, CENTRAL, AND NORTHWEST REGIONS OF ARKANSAS. WHILE EXPLORING OPTIONS TO DEPLOY MOBILE HEALTH CARE CLINICS, ACH'S RURAL OUTREACH EFFORTS IDENTIFIED THROUGH COMMUNITY ENGAGEMENT THAT MANY RURAL, REMOTE COMMUNITIES WERE IN NEED OF DENTAL SERVICES. A PLAN WAS PROPOSED AND ACCEPTED BY ACH LEADERSHIP TO DEPLOY A NEW MOBILE DENTAL CLINIC TO SOUTHWEST ARKANSAS DURING FY19. THE HOSPITAL'S SCHOOL-BASED DENTAL SEALANT PROGRAM REACHES ABOUT 50 SCHOOLS AND OVER 1,500 CHILDREN EACH YEAR. ACH STAFF AND CONTRACTORS, SUPPORTED BY THE OFFICE OF ORAL HEALTH AT THE ARKANSAS DEPARTMENT OF HEALTH (ADH) AND OTHERS, CARRIED OUT THE AR SMILES: ARKANSAS ORAL HEALTH SCREENING 2016 SURVEY, THE FIRST STATEWIDE CHILDREN'S ORAL HEALTH SCREENING SURVEY SINCE 2010. THE PURPOSE OF THE SURVEY WAS TO ASSESS CHILD ORAL HEALTH INDICATORS. ACH COMMUNITY CLINICAL PROGRAMS STAFF RECRUITED 81 SCHOOLS IN 51 COUNTIES. LICENSED ACH STAFF TRAINED ADH DENTAL HYGIENISTS TO USE THE BASIC SCREENING SURVEY TOOL TO CONDUCT IN-SCHOOL SCREENINGS. ACH CCP STAFF ALSO CONVENED AND SUPPORTED MONTHLY 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 CERTAIN HEALTH TRADEOFFS THAT FAMILIES MAY MAKE IN ORDER TO FEED THEIR CHILDREN. IN FY17, 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 (COUT) DEPARTMENT. ACH SUPPORTED SEVERAL COOKING MATTERS PROGRAMS, INCLUDING COOKING MATTERS, COOKING MATTERS AT THE STORE AND 'POP-UP COOKING MATTERS', ALL OF WHICH TEACH LOW-INCOME RESIDENTS TO COOK HEALTHY, LOW-COST MEALS. THROUGH THESE THREE INNOVATIVE PROGRAMS THE COUT TEAM REACHED 4,173 STUDENTS IN 9 COUNTIES AROUND THE STATE. 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 UNITED STATES DEPARTMENT OF AGRICULTURE (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 22,110 SACK LUNCHES TO CHILDREN UP TO 18 YEARS OF AGE AT RIVERBEND, A FOOD CAFE' LOCATED IN A HIGH TRAFFIC AND ACCESSIBLE AREA OF THE HOSPITAL. ACH PROVIDED 52,350 FREE MEAL TICKETS (LUNCH OR DINNER) TO FAMILY MEMBERS OF PATIENTS AND WHICH WERE USED AT THE HOSPITAL'S MAIN CAFETERIA. FAMILIES CAN ALSO 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.CHILD INJURY:IN FY17, 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 IPC RESTRUCTURED ITS CHILD PASSENGER SAFETY (CPS) STRATEGY TO REFINE AND BETTER COORDINATE PROVISION OF CHILD PASSENGER SAFETY SEATS AND CAR SEAT CHECKS TO PATIENTS, INCLUDING PATIENTS WITH SPECIAL MEDICAL NEEDS. THE SAFE TRANSPORT OF PATIENTS (S.T.O.P) TRANSITIONED TO THE INJURY PREVENTION CENTER, AND IT PROVIDED 279 CAR SEATS TO FAMILIES IN FY17, 42 OF WHICH WERE SPECIAL MEDICAL SEATS. TWENTY NEW SITES IN 17 COUNTIES WERE ADDED TO THE CPS NETWORK WHERE BOTH CHILD PASSENGER SAFETY FITTING AND SAFE SLEEP FITTING STATIONS WERE CONDUCTED. WITH AN EXPANDED NETWORK, 9 CPS COURSES TRAINED 111 NEW CPS TECHNICIANS. THIS EXPANDED CPS NETWORK CAPACITY GENERATED 1,038 SAFE CAR SEAT FITTINGS. THE INJURY PREVENTION CENTER PROVIDED CONTINUING EDUCATION ACTIVITIES AND TRAINING 357 HEALTH PROFESSIONALS THROUGH CURRICULUM AND CLASSES THAT CONTINUE TO BE AVAILABLE TO PHYSICIANS, MEDICAL STUDENTS, NURSES, MEDICAL APPLICATIONS OF SCIENCE STUDENTS, EMERGENCY MEDICAL SERVICES, AND ARKANSAS STATE EMPLOYEES. THE IPC ALSO PARTIALLY STAFFED THE SAFETY ZONE, A SAFETY PRODUCT REFERRAL LOCATION WHERE PROVIDERS CAN REFER FAMILIES FOR A SAFETY CONSULTATION AND PRODUCTS. ACH ALSO IMPLEMENTS 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). THE IPC LEADS THE STATEWIDE INFANT AND CHILD DEATH REVIEW TEAM, WHICH ACTS TO BETTER UNDERSTAND AND PREVENT INFANT MORTALITY AND CHILD DEATHS WITHIN ARKANSAS. IN FY17, IPC COMPLETED A SAFE SLEEP PRACTICES SURVEY AND CONDUCTED EDUCATION AND TECHNICAL ASSISTANCE TO ALL 40 BIRTHING HOSPITALS IN ARKANSAS, RESULTING IN 63% OF HOSPITALS BEING "SAFE SLEEP CERTIFIED" BY CRIBS FOR KIDS. TO REDUCE DISPARITIES IN INFANT DEATHS, THE NWPC INNOVATION FUNDS CONTRACTED WITH BROTHERS UNITED, WHICH WORKS WITH AFRICAN-AMERICAN FRATERNITIES TO ENGAGE FATHERS AND OTHER MEN IN INFANT MORTALITY PREVENTION. EMERGING INJURY PREVENTION ISSUES ARE ALSO CONTINUALLY BEING ADDRESSED. IPC COMPLETED EXPLORATORY RESEARCH ON KNOWLEDGE AND ATTITUDES ABOUT FIREARM SAFETY, CONDUCTING SEVEN FOCUS GROUPS IN THREE STATES TO INFORM EDUCATIONAL MESSAGING. EARLY ANALYSIS OF THE DATA HELPED IPC DEVELOP A GUIDELINE FOR RESPONSE PROTOCOL AND THE CREATION OF A MULTIDISCIPLINARY SAFE FIREARM STORAGE TASK FORCE AT ACH. IMMUNIZATION:IN FY17, 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.ACH TOOK ON A STRONGER FACILITATION ROLE IN THE CHILDHOOD IMMUNIZATION TASK FORCE, A NWPC SUBGROUP. THROUGHOUT FY17 ACH HOSTED THE CHILDHOOD IMMUNIZATION SUBGROUP MONTHLY MEETINGS. NWPC STAFF PROVIDED FACILITATION SUPPORT TO HELP THE GROUP MOVE ITS COLLECTIVE CHILDHOOD IMMUNIZATION GOALS FORWARD. A NWPC INNOVATION FUND PROJECT HELPED EXPLORE BARRIERS TO SCHOOL NURSES BEING ALLOWED TO WRITE TO THE STATE IMMUNIZATION DATABASE. ACH CONTRACTED COMMUNITY RESOURCE INNOVATIONS, A LOCAL COMMUNITY BASED CONSULTING FIRM, TO PREPARE A BRIEF THAT ADDRESSED THE POLICY AND LEGAL BARRIERS, ESPECIALLY AS THEY RELATE TO THE HEALTH INSURANCE PORTABILITY AND ACCOUNTABILITY ACT (HIPAA) AND THE FAMILY EDUCATIONAL RIGHTS AND PRIVACY ACT (FERPA), TO SCHOOL NURSES IN ARKANSAS REPORTING IN THE STATE IMMUNIZATION REGISTRY, WEBIZ. THE REPORT PROVIDED TERM-BASED RECOMMENDATIONS FOR IMPLEMENTATION AND SHARING THROUGH THE REST OF ITS ACTION PLAN PERIOD. THE BRIEF WAS WIDELY SHARED WITH THE CHILDHOOD IMMUNIZATION WORKGROUP MEMBERS. FY17 WAS A VERY PRODUCTIVE YEAR FOR THE NWPC PARTNER THE ARKANSAS IMMUNIZATION COALITION. THE COALITION OBTAINED FUNDING FROM VARIOUS SOURCES, HIRED AN EXECUTIVE DIRECTOR, LAUNCHED A MINI GRANT APPLICATION PROCESS TO SUPPORT COMMUNITY BASED IMMUNIZATIONS EFFORTS, RECEIVED NOT FOR PROFIT STATUS, HELD ITS FIRST IMMUNIZATION STATEWIDE SUMMIT AND TESTIFIED BEFORE THE PUBLIC HEALTH, WELFARE, AND LABOR SUBCOMMITTEE REGARDING IMMUNIZATION ACCESS.
FieldValueIRS element (for citing)
Facility4FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (4 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdFacilityFacilityTxt
1 - WEST LITTLE ROCK PEDIATRIC CLINIC
BELLA ROSA CENTER 16101 CANTRELL RDLITTLE ROCKAR72223OUTPATIENT HOSPITAL CLINIC
2 - CENTERS FOR CHILDREN
519 LATHAM DRIVELOWELLAR72745OUTPATIENT HOSPITAL CLINIC
3 - CENTERS FOR CHILDREN
520 CARSON STREETJONESBOROAR72401OUTPATIENT HOSPITAL CLINIC
4 - SOUTHWEST LITTLE ROCK COMMUNITY CLINIC
9015 DAILEY DRIVELITTLE ROCKAR72209OUTPATIENT HOSPITAL CLINIC

Supplemental Information Detail SupplementalInformationDetail (14 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
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 $5,025,059 IS INCLUDED IN THE TOTAL PRESENTED ON FORM 990, PART IX, LINE 24D. 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. 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, THE LITTLE ROCK POLICE DEPARTMENT, AND THE CLINTON FOUNDATION, 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. ACH CONTINUED TO PROVIDE OFFICE SPACE AT HIGHLY DISCOUNTED RATES FOR CHILD MALTREATMENT SERVICES. LOCALLY AND AROUND THE STATE, ACH PARTNERS WITH COMMUNITY ORGANIZATIONS TO IMPROVE THE CONDITIONS IN WHICH CHILDREN GROW UP. ACH IS A LEADING MEMBER OF MANY COALITIONS FOCUSING ON CHILD SAFETY MATTERS, INJURY PREVENTION, AND ENHANCED HEALTH SERVICES FOR CHILDREN. ACH HAS LONG SUPPORTED EDUCATION AND TRAINING PROGRAMS FOR YOUTH AND THEIR PARENTS, FOCUSING ON VIOLENCE PREVENTION, ALTERNATIVE DISPUTE RESOLUTION AMONG STUDENTS, AND DIVERSITY AND INCLUSION AMONG YOUTH. ACH SUPPORTS THE DEVELOPMENT OF INFORMATION AND EDUCATIONAL EFFORTS TO ILLUMINATE PROBLEMS IN CHILD HEALTH & SAFETY AND IDENTIFY BEST PRACTICES TO IMPROVE IDENTIFIED ISSUES. THROUGH ITS SUPPORT OF ORGANIZATIONS DEALING WITH SPECIFIC DISEASE STATES OR CHRONIC PHYSICAL AND BEHAVIORAL HEALTH CONDITIONS, ACH REMAINS AN ACTIVE PARTNER IN BUILDING COMMUNITIES TO BETTER SERVE THE OVERALL HEALTH NEEDS OF CHILDREN. ADDITIONALLY, THE HOSPITAL PARTNERS WITH VARIOUS AGENCIES' EFFORTS TO WORK WITH PARENTS TO ADDRESS THE SOCIAL DETERMINANTS OF ISSUES THAT IMPACT CHILDREN'S HEALTH, IMPROVE MENTAL HEALTH SERVICES FOR CHILDREN, AND SUPPORT VICTIMS OF DOMESTIC VIOLENCE AND CHILD ABUSE.ACH MAINTAINS ACTIVE PARTNERSHIPS WITH LOCAL UNIVERSITIES TO ENCOURAGE STUDENT INTEREST IN THE VARIOUS AREAS OF PROFESSIONAL DEVELOPMENT AND TO PROVIDE CLINICAL AND NON-CLINICAL TRAINING IMPORTANT TO ARKANSAS' HEALTH SYSTEM OPERATION. WHETHER ENCOURAGING YOUNG WOMEN AND MINORITIES TO CHOOSE PROFESSIONAL CAREERS IN HEALTHCARE AND SCIENCE OR WORKING WITH UNIVERSITY PROGRAMS TO PROVIDE CLINICAL EXPERIENCE FOR STUDENTS, ACH IS A KEY PLAYER IN COMMUNITY WORKFORCE DEVELOPMENT.ACH STAFF AND LEADERS CONTRIBUTE EXPERTISE AND LEADERSHIP IN MANY COMMUNITY SETTINGS IN PURSUIT OF THE HOSPITAL'S MISSION TO IMPROVE THE LIVES OF CHILDREN IN ARKANSAS. WHETHER SERVING ON VARIOUS BOARDS, COMMITTEES OR ADVISORY GROUPS OR SPENDING TIME WITH STUDENTS IN SUPPORT OF EDUCATION AND DEVELOPMENT, ACH IS AN ACTIVE CORPORATE PARTNER IN ITS COMMUNITY. ACH REGARDS THIS AS AN IMPORTANT COMPONENT OF ITS WORK IN THE LITTLE ROCK AND ARKANSAS COMMUNITY.
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 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.
PART VI, LINE 4:AS THE ONLY 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 70.7% OF ITS OUTPATIENT POPULATION AND 58.8% 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 2016 CENSUS DATA INDICATED POPULATION TOTALS TO BE 2,988,248 FOR ARKANSAS AND 393,250 FOR PULASKI COUNTY. ALSO ACCORDING TO ESTIMATED 2016 CENSUS DATA, APPROXIMATELY 23.6% 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 2016 WAS 3.9%. THE PER CAPITA PERSONAL INCOME FOR THE STATE OF ARKANSAS FOR 2016 WAS $23,401. THE PERCENT OF ALL PEOPLE IN POVERTY IN AR WAS 18.8% AND THE PERCENT OF CHILDREN 18 OR YOUNGER IN POVERTY WAS 26.8%, 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 703,357 ARKANSAS CHILDREN UNDER AGE 18 REPRESENTED 23.6% OF THE STATE'S TOTAL POPULATION FOR 2016. 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 2016 INDICATE THAT THE HISPANIC CHILD POPULATION IN ARKANSAS WAS 11.6% AND THE AFRICAN AMERICAN CHILD POPULATION WAS 18.3%. THE RATE OF POVERTY IN ARKANSAS (2016 ESTIMATE) WAS APPROXIMATELY 18.8%, WITH APPROXIMATELY 26.8% 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 2016. 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 ONLY 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 FY17 (ACH IS LICENSED FOR 359 BEDS). THE STAFF IS COMPRISED OF APPROXIMATELY 522 PHYSICIANS, OVER 200 RESIDENTS IN PEDATRICS 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 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.INPATIENT SERVICES INCLUDE: INFANT/TODDLER, CARDIOVASCULAR INTENSIVE CARE, NEONATAL INTENSIVE CARE, PEDIATRIC INTENSIVE CARE, INTERMEDIATE CARE, GENERAL MEDICINE, ORTHOPEDICS, HEMATOLOGY/ONCOLOGY, SURGERY/AMBULATORY SURGERY, NEUROSCIENCE, PROGRESSIVE/REHABILITATION, BURN CENTER, RENAL DIALYSIS, ADOLESCENT & YOUNG ADULT, EMERGENCY MEDICINE, AND EXTRACORPOREAL MEMBRANE OXYGENATION (ECMO).ACH OFFERS MORE THAN 80 SPECIALTY AND SUBSPECIALTY CLINICS, LOCATED ON THE MAIN CAMPUS, WEST LITTLE ROCK, SOUTHWEST LITTLE ROCK, NORTHWEST ARKANSAS, AND OTHER AREAS OF THE STATE. THESE INCLUDE: ADOLESCENT & SPORTS MEDICINE, ASTHMA/ALLERGY, AUDIOLOGY/SPEECH PATHOLOGY, GENETICS, CARDIOLOGY, GASTROENTEROLOGY, HIGH RISK NEWBORN, OTOLARYNGOLOGY, CYSTIC FIBROSIS/PULMONARY, OPHTHALMOLOGY, SPINA BIFIDA, AND NUTRITION RESEARCH. THE SOUTHWEST LITTLE ROCK COMMUNITY CLINIC IS ACH'S NEWEST CLINIC LOCATION, OPENED IN JUNE 2017 TO EXPAND ACCESS TO PRIMARY CARE FOR THOUSANDS OF CHILDREN WHO LIVE NEARBY, MANY OF WHOM ARE FROM SPANISH-SPEAKING FAMILIES. THE CLINIC OFFERS BILINGUAL PRIMARY CARE FOR ALL CHILDREN IN THE AREA, WITH 15 EXAM ROOMS, A LABORATORY AND X-RAY SERVICES. ACH HAS MAINTAINED A PRIMARY CARE CLINIC IN THE CITY OF LOWELL, LOCATED IN NORTHWEST ARKANSAS. THE LOWELL LOCATION MOVED TO THE ACNW CAMPUS IN THE FIRST QUARTER OF 2018. IT NOW INCLUDES ACCESS TO 30 EXAMINATION ROOMS SUPPORTING MORE THAN 20 SUBSPECIALTY AREAS AND A GENERAL PEDIATRIC CLINIC. THIS PRIMARY CARE CLINIC AND EXPANDED SERVICES IN NORTHWEST ARKANSAS WERE OFFERED IN AN EFFORT TO MEET THE NEEDS OF CHILDREN IN NORTHWEST ARKANSAS WHO HAVE LITTLE ACCESS TO A PRIMARY CARE PHYSICIAN. ACH ALSO MAINTAINS A CLINIC IN JONESBORO, AR TO SERVE THE CHILDREN OF NORTHEAST ARKANSAS. THE JONESBORO LOCATION OFFERS SUBSPECIALTY AND DEVELOPMENTAL CARE FOR CHILDREN IN THE AREA, OFFERING A NEUROLOGY CLINIC AND CARDIOLOGY CLINIC AT THE SITE. ACH'S STATEWIDE PRESENCE HAS GROWN AS IT CONTINUES TO EXPAND ITS REACH INTO COMMUNITIES IN NEED OF ITS SERVICES WITH INNOVATIVE NEW STRATEGIES.THE NATURAL WONDERS PARTNERSHIP COUNCIL (NWPC), NOW IN ITS ELEVENTH YEAR, SERVES AS A CENTER OF MULTIPLE ACTIVITIES DESIGNED TO IMPROVE THE HEALTH STATUS OF CHILDREN IN OUR STATE. THE NWPC IS NATIONALLY RECOGNIZED AS AN OUTSTANDING EXAMPLE OF HOW A CHILDREN'S HOSPITAL CAN USE ITS RESOURCES AND REPUTATION AS A COMMUNITY LEADER TO BRING FOCUS AND COORDINATED ACTION TO A VARIETY OF ISSUES FACING CHILDREN AND THEIR FAMILIES. THE NWPC CONTINUES ITS EFFORTS IN ACCESS TO CARE, FOOD INSECURITY, SEXUAL HEALTH, CHILDHOOD OBESITY, INTENTIONAL AND UNINTENTIONAL INJURIES, PARENTING SKILLS, BEHAVIORAL HEALTH, ORAL HEALTH, AND IMMUNIZATIONS. THE NWPC CONTINUES TO SERVE AS THE PREFERRED FORUM FOR INFORMING, STRATEGIZING, AND SHARING INFORMATION ABOUT ISSUES IMPORTANT TO THE HEALTH AND DEVELOPMENT OF CHILDREN IN ARKANSAS.
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 HOSPITAL FOUNDATION (ACHF), 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, OPENING IN THE FIRST QUARTER OF 2018. ACNW WILL SERVE AS THE ONLY EXCLUSIVELY PEDIATRIC HEALTH CARE FACILITY FOR CHILDREN IN THE NORTHWEST REGION OF THE STATE. ACHF 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

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

Recipient Table RecipientTable (15 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdRecipient EINRecipientEINIRC SectionIRCSectionDescCash GrantCashGrantAmtPurpose Of GrantPurposeOfGrantTxtNon Cash AssistanceNonCashAssistanceAmtValuation Method UsedValuationMethodUsedDescNon Cash AssistanceNonCashAssistanceDesc
ARKANSAS ADVOCATES FOR CHILDREN & FAMILIES
1400 W MARKHAM SUITE 306LITTLE ROCKAR72201710492205501(C)(3)$15,040GENERAL SUPPORT
ARKANSAS CENTER FOR HEALTH IMPROVEMENT (UAMS)
1401 W CAPITOL AVE SUITE 300LITTLE ROCKAR72201716046242GOV'T ENTITY$200,000HEALTH IMPROVEMENT PROGRAMS
ARKANSAS ARTS CENTER FOUNDATION
PO BOX 2137LITTLE ROCKAR72203237337495501(C)(3)$6,000GENERAL SUPPORT
ARKANSAS CHILDREN'S RESEARCH INSTITUTE
13 CHILDRENS WAYLITTLE ROCKAR72202710694931501(C)(3)$3,332,322GENERAL SUPPORT$1,486,686FMVINDIRECT SUPPORT
HOME INSTRUCTION FOR PARENTS OF PRESCHOOL YOUNGSTERS (HIPPY)
1221 BISHOPLITTLE ROCKAR72202133672592501(C)(3)GENERAL SUPPORT$40,015FMVPROVIDE OFFICE SPACE & PHONE
AMERICAN ACADEMY OF PEDIATRICS ARKANSAS CHAPTER
1 CHILDRENS WAY SLOT 900LITTLE ROCKAR72202205824116501(C)(3)$10,000GENERAL SUPPORT
ST BERNARD'S FOUNDATION
400 EAST STREETJONESBOROAR72401710563245501(C)(3)$9,650GENERAL SUPPORT
RONALD MCDONALD HOUSE CHARITIES
1009 WOLFE STREETLITTLE ROCKAR72202710525252501(C)(3)$6,500GENERAL SUPPORT
THEA FOUNDATION
401 MAIN STREET SUITE 100NORTH LITTLE ROCKAR72114522356755501(C)(3)$9,000CENTRAL LR PROMISE NEIGHBORHOOD
GREAT 100 NURSES FOUNDATION
2748 METAIRIE LAWN DRMETAIRIELA72002465606080501(C)(3)$6,000GENERAL SUPPORT AND CAMPS FOR CHILDREN WITH PHYSICAL CONDITIONS.
NATIONAL ASSOCIATION OF CHILDREN'S HOSPITALS
PO BOX 79334BALTIMOREMD21279510120256501(C)(6)$16,821GME ADVOCACY
CHILDREN'S PROTECTION CENTER
1123 BISHOPLITTLE ROCKAR72202261086937501(C)(3)$1,000GENERAL SUPPORT$44,852FMVPROVIDE OFFICE SPACE
SUSAN G KOMEN FOUNDATION - ARKANSAS AFFILIATE
904 AUTUMN ROAD SUITE 500LITTLE ROCKAR72211752845062501(C)(3)$5,660GENERAL SUPPORT
LITTLE ROCK TECHNOLOGY PARK AUTHORITY
ONE CHAMBER PLAZALITTLE ROCKAR72201455531676GOV'T UNIT$25,000GENERAL SUPPORT
AR DEPARTMENT OF HUMAN SERVICES OFFICE OF MINORITY HEALTH
4815 W MARKHAM STREETLITTLE ROCKAR72205710847443GOV'T UNIT$5,000GENERAL SUPPORT
FieldValueIRS element (for citing)
Total501c3 Org14Total501c3OrgCnt
Total Other Org1TotalOtherOrgCnt

Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp (8 entries)

Grant TypeGrantTypeTxtRecipientRecipientCntNon Cash AssistanceNonCashAssistanceAmtValuation Method UsedValuationMethodUsedDescNon Cash AssistanceNonCashAssistanceDescCash GrantCashGrantAmt
MEALS5136$138,244COSTMEALS FOR PATIENT FAMILIES/CAREGIVERS
INSURANCE PREMIUMS44$50,389COSTPAYMENT OF PREMIUMS FOR PATIENT'S FAMILIES ALLOWED BY COBRA
TRANSPORTATION COSTS (BUS TOKENS, CAB FARE, GAS CARDS)1075COST$26,473
FUNERAL EXPENSES18COST$7,863
RENT, MORTGAGE EXPENSE, UTILITIES, LODGING10COST$2,250
CAR SEATS FOR INFANTS AND CHILDREN611$33,693COSTCAR SEATS FOR INFANTS AND CHILDREN
GROCERY GIFT CARDS AND OTHER MISC. ASSISTANCE108COST$45,258
ADDITIONAL FAMILY ASSISTANCE (TRANSPORTATION, FOOD, GENERAL)COST$1,550

Supplemental Information Detail SupplementalInformationDetail

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

Schedule J IRS990ScheduleJ

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

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (21 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
MARCELLA DODERER
PRESIDENT/CEO$676,445$0$175,000$0$86,107$0$117,813$0$7,437$0$1,062,802$0$81,793$0
STEVE SCHEXNAYDER MD
TRUSTEE/DIRECTOR - CHIEF OF STAFF$303,701$0$16,671$0$0$0$0$0$63,695$0$384,067$0$0$0
GENA WINGFIELD
EVP/CHIEF FINANCIAL OFFICER$452,626$0$102,656$0$220,267$0$74,219$0$11,409$0$861,177$0$217,059$0
CHARLES LARRY BECKIUS
VP FACILITIES$223,891$0$41,621$0$1,410$0$19,482$0$8,165$0$294,569$0$0$0
LEE ANNE EDDY
SVP/CHIEF NURSING OFFICER$300,624$0$67,280$0$514$0$49,482$0$5,847$0$423,747$0$0$0
JONATHAN GOLDBERG
SVP/CHIEF INFORMATION OFFICER$331,625$0$41,346$0$498$0$40,502$0$11,001$0$424,972$0$0$0
MICHAEL HART
VP IT APPLICATIONS$206,645$0$39,300$0$291$0$16,800$0$10,457$0$273,493$0$0$0
CYNTHIA HOLLAND
VP CLINICAL SERVICES$212,364$0$39,776$0$1,313$0$19,303$0$8,054$0$280,810$0$0$0
KATHERINE LEA
VP ED/SURGICAL CARE$165,161$0$31,590$0$245$0$14,890$0$9,615$0$221,501$0$0$0
PATRICIA MONTAGUE
SVP ACNW$260,684$0$50,003$0$1,682$0$38,000$0$5,243$0$355,612$0$0$0
MARY SALASSI-SCOTTER
VP CRITICAL CARE SERVICES$162,873$0$31,617$0$951$0$15,973$0$7,730$0$219,144$0$0$0
RODERICK SMITH
VP IT OPERATIONS$143,727$0$28,532$0$820$0$11,827$0$7,624$0$192,530$0$0$0
ROBERT STEELE
SVP/CHIEF STRATEGY OFFICER$460,411$0$104,036$0$750$0$64,943$0$11,409$0$641,549$0$0$0
ANDREE TROSCLAIR
VP HUMAN RESOURCES$241,897$0$44,554$0$1,546$0$19,946$0$5,593$0$313,536$0$0$0
TAMMY WEBB
VP ACUTE CARE$152,141$0$27,468$0$182$0$7,570$0$1,037$0$188,398$0$0$0
JAY DESHPANDE
SVP/CHIEF MEDICAL OFFICER$436,156$0$98,135$0$0$0$0$0$71,135$0$605,426$0$0$0
STEPHEN BEETSTRA
DIRECTOR - DENTAL SERVICES$255,772$0$19,514$0$586$0$19,950$0$11,211$0$307,033$0$0$0
CHARLES EDWARD JOHNSON
DIRECTOR - CV SURGICAL SERVICES$215,169$0$20,629$0$755$0$15,439$0$4,893$0$256,885$0$0$0
RHONDA MCKINNIS
VP LEGAL AFFAIRS$272,933$0$49,347$0$623$0$16,888$0$7,437$0$347,228$0$0$0
VENT MURPHY
DIRECTOR - DENTAL CLINICAL EDUCATION$258,451$0$19,884$0$1,679$0$12,000$0$8,343$0$300,357$0$0$0
KIRT SIMMONS
DIRECTOR - CRANIOFACIAL ORTHO.$276,874$0$1,125$0$1,808$0$19,946$0$5,454$0$305,207$0$0$0

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART I, LINE 1ACHARTER TRAVEL IS USED BY ARKANSAS CHILDREN'S AND AFFILIATED ENTITIES' BOARD MEMBERS AND STAFF (AND OCCASIONALLY ACCOMPANYING SPOUSES/COMPANIONS) WHEN IT IS DEEMED THE MOST EFFICIENT METHOD OF TRAVEL TO DISTANT AREAS WITHIN THE STATE OR TO SURROUNDING STATES FOR PURPOSES RELATED TO ARKANSAS CHILDREN'S BUSINESS. SEPARATE 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. GROSS-UP PAYMENTS ARE PROVIDED ON AN INFREQUENT BASIS. IN FY17, ONE KEY EMPLOYEE RECEIVED REIMBURSEMENT FOR HOUSING WHICH WAS GROSSED UP FOR TAX PURPOSES. NO OTHER OFFICERS, DIRECTORS, KEY EMPLOYEES, OR HIGHLY COMPENSATED EMPLOYEES RECEIVED ANY GROSS-UP PAYMENTS.
PART I, LINE 3COMPENSATION 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 4BSCHEDULE 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 2016 (FISCAL YEAR 2017), THE FOLLOWING ACH REPORTABLE EMPLOYEES WERE ELIGIBLE AND PARTICIPATING IN THE DEFERRED COMPENSATION PLAN: - MARCELLA DODERER: ACH PRESIDENT/CEO - LEE ANNE EDDY: ACH SVP AND CNO - JONATHAN GOLDBERG: ACH SVP AND CIO - PATRICIA MONTAGUE: SVP ACNW - ROBERT STEELE: ACH SVP AND CSO - GENA WINGFIELD: ACH EVP AND CFO 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. TWO ACH REPORTABLE EMPLOYEES ELIGIBLE AND PARTICIPATING IN THE PLAN RECEIVED PAYMENTS IN FY17, DISTRIBUTED AS PER THE PLAN DOCUMENT. SUCH AMOUNTS ARE NOTED IN SCHEDULE J, PART II, COLUMN F AS PREVIOUSLY EARNED. IN ADDITION, ONE ACH REPORTABLE EMPLOYEE RECEIVED PAYMENT OF FINAL BALANCE FROM THE PREVIOUS SUPPLEMENTAL RETIREMENT PLAN (SERP), WHICH WAS DISSOLVED IN FY17. THE FINAL BALANCE PAYMENT AMOUNT IS NOTED IN SCHEDULE J, PART II, COLUMN F AS PREVIOUSLY EARNED.
FORM 990, SCHEDULE J, PART I, LINES 5-7THE 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 DIRECTORS STEVE SCHEXNAYDER, M.D., AND RICHARD JACOBS, M.D. WERE COMPENSATED BY UAMS AS EMPLOYEES FOR SERVICES RENDERED TO ARKANSAS CHILDREN 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 ReferenceBondReferenceCdBond Issuer EINBondIssuerEINCUSIPCUSIPNumBond IssuedBondIssuedDtIssue PriceIssuePriceAmtPurposePurposeDescDefeasedDefeasedIndOn Behalf Of IssuerOnBehalfOfIssuerIndPool FinancingPoolFinancingInd
PULASKI COUNTY ARKANSAS
A716006487745392HR42010-11-17$31,051,199SEE SCHEDULE K, PART VI.000
ARKANSAS DEVELOPMENT FINANCE AUTHORITY
B7105036410000000002013-09-05$19,800,000SEE SCHEDULE K, PART VI.000
PULASKI COUNTY ARKANSAS
C716006487745392JN12016-08-24$98,721,147SEE SCHEDULE K, PART VI.000

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (3 entries)

Bond ReferenceBondReferenceCdRetiredRetiredAmtTotal ProceedsTotalProceedsAmtIssuance Costs From ProceedsIssuanceCostsFromProceedsAmtCredit EnhancementCreditEnhancementAmtOther Spent ProceedsOtherSpentProceedsAmtSubstantial CompletionSubstantialCompletionYrCurrent RefundingCurrentRefundingIndAdvance RefundingAdvanceRefundingIndFinal Allocation MadeFinalAllocationMadeIndAdequate Books And Rec MaintAdequateBooksAndRecMaintIndCapital ExpendituresCapitalExpendituresAmtRefunding EscrowRefundingEscrowAmt
A$18,585,000$31,051,199$192,600$206,911$30,651,6882010Yes (1)0Yes (1)Yes (1)
B$8,436,930$19,800,000201500Yes (1)Yes (1)$19,800,000
C$98,721,147$702,808$3,852,22720160Yes (1)Yes (1)Yes (1)$94,497,635

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (2 entries)

Bond ReferenceBondReferenceCdOwning Bond Financed PropertyOwningBondFinancedPropertyIndAny Lease ArrangementsAnyLeaseArrangementsIndMgmt Contract Bond Fincd PropMgmtContractBondFincdPropIndAny Research AgreementsAnyResearchAgreementsIndPrivate Bus Use By OthersPrivateBusUseByOthersPctPrivate Bus Concerning UBIPrivateBusConcerningUBIPctTotal Private Business UseTotalPrivateBusinessUsePctBond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestIndChange In Use Bond Financed PropChangeInUseBondFinancedPropIndProcs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdIndEngage Bond Counsel ContractsEngageBondCounselContractsIndEngage Bond Counsel ResearchEngageBondCounselResearchInd
B00000.000000.000000.0000000Yes (1)
C00Yes (1)Yes (1)0.000800.000000.0008000Yes (1)Yes (1)Yes (1)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (3 entries)

Bond ReferenceBondReferenceCdForm8038 T FiledForm8038TFiledIndRebate Not Due YetRebateNotDueYetIndException To RebateExceptionToRebateIndNo Rebate DueNoRebateDueIndVariable Rate IssueVariableRateIssueIndHedge Identified In Bks And RecHedgeIdentifiedInBksAndRecIndGross Proceeds Invested In GICGrossProceedsInvestedInGICIndGross Proceeds InvestedGrossProceedsInvestedIndWritten Proc To Monitor ReqsWrittenProcToMonitorReqsInd
A00Yes (1)00000Yes (1)
B0Yes (1)000000Yes (1)
C0Yes (1)000000Yes (1)

Procedures Corrective Action ProceduresCorrectiveActionGrp (3 entries)

Bond ReferenceBondReferenceCdProcedures Corrective ActionProceduresCorrectiveActionInd
AYes (1)
BYes (1)
CYes (1)

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE K SUPPLENTAL INFORMATIONFormAndLineReferenceDesc
ExplanationPART 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 OrgRelationshipWithOrgTxtLoan PurposeLoanPurposeTxtLoan From OrganizationLoanFromOrganizationIndOriginal PrincipalOriginalPrincipalAmtBalance DueBalanceDueAmtDefaultDefaultIndBoard Or Committee ApprovalBoardOrCommitteeApprovalIndWritten AgreementWrittenAgreementInd
JONATHAN GOLDBERG
CHIEF INFORMATION OFFICERRECRUITMENTYes (X)$50,000$40,00000Yes (1)
JONATHAN GOLDBERG
CHIEF INFORMATION OFFICERRECRUITMENTYes (X)$50,000$40,00000Yes (1)
FieldValueIRS element (for citing)
Total Balance Due$80,000TotalBalanceDueAmt

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (2 entries)

Relationship DescriptionRelationshipDescriptionTxtTransactionTransactionAmtTransactionTransactionDescSharing Of RevenuesSharingOfRevenuesInd
JENNIFER J BECKIUS
FAMILY MEMBER$43,761SEE PART V. JENNIFER J. BECKIUS IS A FAMILY MEMBER OF KEY EMPLOYEE LARRY BECKIUS, WHO RETIRED IN MAY 2017. CONSISTENT WITH ARKANSAS CHILDREN'S HOSPITAL POLICY, SHE DID NOT WORK WITHIN MR. BECKIUS'S LINE OF AUTHORITY DURING HIS TENURE AT ACH. HER COMPENSATION WAS REASONABLE FOR SERVICES RENDERED.0
ALARMCO INC
PERFORMANCE OF SERVICES$189,887BOARD 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 FY17 IS $189,887. SERVICES WERE AT FAIR MARKET VALUE AND WERE NEGOTIATED AT ARM'S LENGTH.0

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE L, PART II -LOANS TO AND/OR FROM INTERESTED PERSONSFormAndLineReferenceDesc
ExplanationALTHOUGH 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 ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 1THE 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 DIRECTORS WERE EMPLOYEES OF THE UNIVERSITY OF ARKANSAS FOR MEDICAL SCIENCES (UAMS) DURING THE TAX YEAR: RICHARD JACOBS, M.D. AND STEVE SCHEXNAYDER, M.D. EACH WAS COMPENSATED BY ACH VIA ITS CONTRACT WITH UAMS.
FORM 990, PART VI, SECTION A, LINE 3THE 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 6THE SOLE MEMBER OF ARKANSAS CHILDREN'S HOSPITAL IS ARKANSAS CHILDREN'S, INC.
FORM 990, PART VI, SECTION A, LINE 7AARKANSAS 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 7BACH'S ARTICLES OF INCORPORATION ON 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 11BHOSPITAL 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 PRESENTED 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 12CTHE 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 15COMPENSATION 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 19THE 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 11GPHYSICIANS' REMUNERATION: PROGRAM SERVICE EXPENSES 78,036,128. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 78,036,128. TESTING: PROGRAM SERVICE EXPENSES 3,490,151. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 3,490,151. REPAIRS & MAINTENANCE: PROGRAM SERVICE EXPENSES 1,435,725. MANAGEMENT AND GENERAL EXPENSES 2,149,968. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 3,585,693. OTHER FEES FOR SERVICE: PROGRAM SERVICE EXPENSES 13,559,104. MANAGEMENT AND GENERAL EXPENSES 9,435,408. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 22,994,512.
FORM 990, PART XI, LINE 9:UNEXPENDED GRANT CARRYOVER ADJUSTMENTS -4,523. TEMPORARY TRANSFER OF NET ASSETS TO ACNW -20,000,000. ALLOCATION OF ADDITIONAL COSTS - PARENT 9,819,382. TRANSFER OF FUNDS TO ACCN -1,813,931.
FORM 990, PART XII, LINE 2CIT IS PART OF THE RESERVED POWERS OF ARKANSAS CHILDREN'S, INC. TO RETAIN, OVERSEE AND TERMINATE INDEPENDENT EXTERNAL AUDITORS TO AUDIT THE FINANCIAL STATEMENTS OF ACH OR OF ANY AFFILIATE. ONE OF THE STANDING COMMITTEES OF ARKANSAS CHILDREN'S, THE FINANCIAL PLANNING AND OVERSIGHT COMMITTEE, SHALL UNDERTAKE THE FOLLOWING DUTIES IN THE AREAS OF FINANCE AND AUDITS: (I) CAUSING TO BE PREPARED, AND SUBMIT TO THE BOARD OF DIRECTORS AT ITS LAST MEETING BEFORE THE END OF THE FISCAL YEAR, THE CAPITAL AND OPERATING BUDGETS OF THE CORPORATION, AS WELL AS THE CAPITAL AND OPERATING BUDGETS OF AFFILIATES; (II) EXAMINING THE MONTHLY FINANCIAL REPORTS OF THE HEALTH SYSTEM; (III) REVIEWING THE INTERNAL AUDITING FUNCTIONS OF THE HEALTH SYSTEM; (IV) ENGAGING AN EXTERNAL AUDIT FIRM, SUBJECT TO APPROVAL BY THE BOARD OF DIRECTORS; (V) REVIEWING WITH THE INDEPENDENT AUDITOR THE SCOPE AND PLANNING OF THE AUDIT PRIOR TO THE COMMENCEMENT OF THE AUDIT, AS WELL AS UPON COMPLETION OF THE AUDIT, REVIEWING AND DISCUSSING WITH THE INDEPENDENT AUDITOR ANY MATERIAL RISKS OR WEAKNESSES IN INTERNAL CONTROLS IDENTIFIED BY THE AUDITOR, ANY RESTRICTIONS ON THE SCOPE OF THE AUDITOR'S ACTIVITIES OR ACCESS TO REQUESTED INFORMATION, ANY SIGNIFICANT DISAGREEMENTS BETWEEN THE AUDITOR AND MANAGEMENT, AND THE ADEQUACY OF THE HEALTH SYSTEM'S ACCOUNTING AND FINANCIAL REPORTING PROCESSES; (VI) ANNUALLY CONSIDERING THE PERFORMANCE AND INDEPENDENCE OF THE INDEPENDENT AUDITOR; (VII) REVIEWING AND REPORTING TO THE BOARD ON THE ANNUAL AUDITED FINANCIAL STATEMENT OF THE HEALTH SYSTEM CERTIFIED BY THE CORPORATION'S CERTIFIED PUBLIC ACCOUNTANTS, TOGETHER WITH SUCH CERTIFIED PUBLIC ACCOUNTANTS' MANAGEMENT LETTER TO THE CORPORATION WHICH THE COMMITTEE SHALL REVIEW AND REPORT ON TO THE BOARD OF DIRECTORS; (VIII) SUGGESTING MEANS TO IMPROVE FISCAL ACCOUNTABILITY AND INTERNAL AUDIT PROCEDURES FOR THOSE AREAS IDENTIFIED AS REQUIRING IMPROVEMENT; (IX) PROVIDING OVERSIGHT FOR THE HEALTH SYSTEM'S CORPORATE COMPLIANCE PROGRAM, INCLUDING CORPORATE ETHICS AND COMPLIANCE WITH LEGAL AND REGULATORY REQUIREMENTS; AND (X) REPORTING ON THE FINANCIAL PLANNING AND OVERSIGHT COMMITTEE'S ACTIVITIES TO THE FULL BOARD.
FORM 990, PART XII, LINE 3BTHE 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 (5 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtControlled OrganizationControlledOrganizationIndDirect Controlling NADirectControllingNACd
ARKANSAS CHILDREN'S FOUNDATION
1 CHILDRENS WAYLITTLE ROCKAR72202710568795FUNDRAISINGAR501(C)(3)LINE 7ARKANSAS CHILDREN'S INC0
ARKANSAS CHILDREN'S RESEARCH INSTITUTE
13 CHILDRENS WAYLITTLE ROCKAR72202710694931RESEARCHAR501(C)(3)LINE 7ARKANSAS CHILDREN'S INC0
ARKANSAS CHILDREN'S HOSPITAL AUXILIARY
1 CHILDRENS WAYLITTLE ROCKAR72202710606585FUNDRAISING & VOLUNTEERSAR501(C)(3)LINE 12A, IARKANSAS CHILDREN'S INC THRU ARKANSAS CHILDREN'S HOSPITAL AND FOUNDATION0
ARKANSAS CHILDREN'S NORTHWEST
1 CHILDRENS WAYLITTLE ROCKAR72202810817660HOSPITAL (UNDER CONSTRUCTION)AR501(C)(3)LINE 3ARKANSAS CHILDREN'S INC0
ARKANSAS CHILDREN'S INC
1 CHILDRENS WAYLITTLE ROCKAR72202810801296HEALTH CARE PARENT CORPORATIONAR501(C)(3)LINE 12B, II0N/A

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (2 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtEntity TypeEntityTypeTxtShare Of Total IncomeShareOfTotalIncomeAmtShare Of EOY AssetsShareOfEOYAssetsAmtOwnershipOwnershipPctControlled OrganizationControlledOrganizationIndDirect Controlling NADirectControllingNACd
CHILDREN'S HEALTHCARE SYSTEM INC
1 CHILDRENS WAYLITTLE ROCKAR72202586304957MANAGEMENT SERVICESARARKANSAS CHILDREN'S HOSPITALC$182,095$644,3500.50000Yes (1)
ARKANSAS CHILDREN'S CARE NETWORK
1 CHILDRENS WAYLITTLE ROCKAR72202371854930CLINICALLY INTEGRATED NETWORKARC0N/A
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts RyltsYes (1)ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgYes (1)GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (1)GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgYes (1)LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgYes (1)LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other OrgYes (1)AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth OrgYes (1)RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org0RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgYes (1)PerformOfServicesForOthOrgInd
Perform Of Services By Other OrgYes (1)PerformOfServicesByOtherOrgInd
Sharing Of FacilitiesYes (1)SharingOfFacilitiesInd
Paid Employees SharingYes (1)PaidEmployeesSharingInd
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (1)ReimbursementPaidByOtherOrgInd
Transfer To Other OrgYes (1)TransferToOtherOrgInd
Transfer From Other OrgYes (1)TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (32 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
ARKANSAS CHILDREN'S RESEARCH INSTITUTE
B$3,341,967FMV
ARKANSAS CHILDREN'S FOUNDATION
C$22,814,815FMV
ARKANSAS CHILDREN'S FOUNDATION
B$258,308FMV
CHILDREN'S HEALTHCARE SYSTEM INC
M$197,575FMV
ARKANSAS CHILDREN'S FOUNDATION
M$2,981,823COST
ARKANSAS CHILDREN'S RESEARCH INSTITUTE
L$53,486COST
ARKANSAS CHILDREN'S FOUNDATION
N$1,262,225COST
ARKANSAS CHILDREN'S RESEARCH INSTITUTE
N$1,544,829COST
ARKANSAS CHILDREN'S HOSPITAL AUXILIARY
N$330,314COST
CHILDREN'S HEALTHCARE SYSTEM INC
O$160,329COST
ARKANSAS CHILDREN'S HOSPITAL AUXILIARY
O$260,449COST
ARKANSAS CHILDREN'S FOUNDATION
O$436,737COST
ARKANSAS CHILDREN'S RESEARCH INSTITUTE
O$611,981COST
ARKANSAS CHILDREN'S NORTHWEST
O$484,028COST
ARKANSAS CHILDREN'S CARE NETWORK
O$260,761COST
CHILDREN'S HEALTHCARE SYSTEM INC
Q$66,263FMV
ARKANSAS CHILDREN'S HOSPITAL AUXILIARY
Q$80,327FMV
ARKANSAS CHILDREN'S RESEARCH INSTITUTE
R$4,137,392FMV
ARKANSAS CHILDREN'S RESEARCH INSTITUTE
S$18,707,978FMV
ARKANSAS CHILDREN'S FOUNDATION
S$6,124,239FMV
ARKANSAS CHILDREN'S CARE NETWORK
S$1,462,646FMV
ARKANSAS CHILDREN'S HOSPITAL AUXILIARY
S$1,190,014FMV
ARKANSAS CHILDREN'S NORTHWEST
S$64,129,936FMV
ARKANSAS CHILDREN'S NORTHWEST
R$20,000,000COST
CHILDREN'S HEALTHCARE SYSTEM INC
A$4,836FMV
ARKANSAS CHILDREN'S CARE NETWORK
Q$80,732FMV
ARKANSAS CHILDREN'S NORTHWEST
Q$238,014FMV
ARKANSAS CHILDREN'S RESEARCH INSTITUTE
Q$1,366,116FMV
ARKANSAS CHILDREN'S FOUNDATION
Q$514,705FMV
ARKANSAS CHILDREN'S CARE NETWORK
R$1,813,931COST
ARKANSAS CHILDREN'S INC
R$10,108,501COST
ARKANSAS CHILDREN'S FOUNDATION
R$178,666COST

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE R, PART V, LINE 1EFormAndLineReferenceDesc
ExplanationACH AND ARKANSAS CHILDREN'S FOUNDATION GUARANTEE THE OUTSTANDING BOND INDENTURES.ExplanationTxt