2014-05-09T14:34:19-05:00 2013-06-30 861065772 DELOITTE TAX LLP 1111 BAGBY STREET SUITE 4500 HOUSTON TX 770022591 990 2012-07-01 710236857 ARKANSAS CHILDREN'S HOSPITAL ARKA 5013642555 1 CHILDRENS WAY LITTLE ROCK AR 72202 MARCY DODERER 5013642555 2014-05-09 1 BROOKE KITCHEN P00849302 7139822000 2012 2015-11-30 17:44:51Z MARCELLA DODERER 1 CHILDRENS WAY LITTLE ROCK AR 72202 537178002 0 X WWW.ARCHILDRENS.ORG X 1912 AR TO IMPROVE CHILDREN'S HEALTH BY PROVIDING INTEGRATED PREP: PATIENT CARE, RESEARCH, EDUCATION AND PREVENTION. 31 24 4765 2717 0 0 29345293 27150943 460410861 492992212 4698496 4581341 12917588 12086901 507372238 536811397 8115383 6892049 0 0 223020222 248100785 0 0 0 235757180 245800638 466892785 500793472 40479453 36017925 720257625 722882134 214406065 203968163 505851560 518913971 X TO IMPROVE CHILDREN'S HEALTH BY PROVIDING INTEGRATED PREP: PATIENT CARE, RESEARCH, EDUCATION AND PREVENTION. 0 0 425872491 6892049 498494691 ARKANSAS 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, 2013, ACH EXPERIENCED THE FOLLOWING: 14,845 ADMISSIONS WITH AN AVERAGE STAY OF 5.32 DAYS; 81,105 PATIENT DAYS; 222.2 AVERAGE DAILY CENSUS; 338 OPERATING BEDS, INCLUDING 166 INTENSIVE CARE BEDS AND 161 MEDICAL/SURGICAL BEDS; 239,190 OUTPATIENT VISITS, EXCLUDING ER VISITS WHICH WERE 55,572; AND 14,560 SURGERIES INCLUDING 21 HEART TRANSPLANTS AND 6 KIDNEY TRANSPLANTS. IN ADDITION TO PROVIDING CHARITY CARE, ACH WORKS WITH THE CENTRAL ARKANSAS COMMUNITY AND ORGANIZATIONS THROUGHOUT THE STATE TO PROVIDE THE FOLLOWING: FREE PHYSICALS; STAFF FOR HEALTH CAMPS; PROGRAMS ON HEALTH CARE TO ELEMENTARY STUDENTS; AND INFORMATION AND LEARNING EXPERIENCES TO CHILDREN AND PARENTS AT HEALTH FAIRS AND SEMINARS. ACH IS THE STATE'S ONLY PEDIATRIC LEVEL 1 TRAUMA CENTER, AN INDICATION THAT IT PROVIDES THE HIGHEST STANDARD OF CARE FOR INJURED CHILDREN. 425872491 1 1 0 1 0 0 0 0 0 1 1 0 0 1 0 0 0 1 0 0 0 0 0 0 0 0 1 1 1 1 1 1 1 0 0 0 0 1 0 0 1 1 0 0 0 0 0 1 1 1 0 0 1 254 0 4765 1 0 0 0 0 0 0 0 0 0 0 X 31 24 1 1 1 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 1 1 X GENA WINGFIELD 5013642555 1 CHILDRENS WAY LITTLE ROCK AR 72202 JONATHAN BATES MD 40.00 4.10 X X 539488 0 83959 JOHN BALE JR 0.60 0.00 X 0 0 0 TOM BAXTER 1.90 0.00 X X 0 0 0 TRAV BAXTER 0.50 0.00 X 0 0 0 RON CLARK 1.20 0.20 X 0 0 0 HASKELL DICKINSON 0.40 0.00 X 0 0 0 EDWARD DRILLING 0.00 0.00 X 0 0 0 TAMIKA EDWARDS 0.40 0.00 X 0 0 0 HARRY C ERWIN III 0.90 0.30 X 0 0 0 JEFF GARDNER 0.20 0.00 X 0 0 0 SHARILYN GASAWAY 0.30 0.10 X 0 0 0 CHARLES GLASIER MD 0.40 0.00 X 0 0 65000 PAUL R HART 0.40 0.10 X 0 0 0 J FRENCH HILL 0.60 0.10 X 0 0 0 JUDGE MARION HUMPHREY 0.40 0.00 X 0 0 0 DORSEY JACKSON 1.60 0.00 X X 0 0 0 RICHARD JACOBS MD 8.00 17.30 X 0 0 202698 DIANE MACKEY 0.90 0.10 X 0 0 0 HOLLY MARR 1.20 0.00 X 0 0 0 TIM MARTIN MD 1.00 0.00 X 0 0 418315 MARK MCCASLIN 1.00 0.10 X X 0 0 0 PAT MCCLELLAND 0.70 0.00 X 0 0 0 BOBBI MCDANIEL 0.40 0.60 X 0 0 0 BARBARA G MOORE 1.50 0.40 X 0 0 0 BEVERLY A MORROW 0.90 0.00 X 0 0 0 W ROBERT MORROW MD 1.00 0.00 X X 0 0 230040 JEFFREY NOLAN 0.60 0.10 X 0 0 0 DANIEL RAHN MD 0.30 0.10 X 0 0 0 JAMES SKIP RUTHERFORD 0.80 0.00 X X 0 0 0 MARK SAVIERS 1.20 0.20 X X 0 0 0 RENEE TUCKER 0.20 0.00 X 0 0 0 CHARLES B WHITESIDE III 1.10 0.50 X 0 0 0 GENA WINGFIELD 40.00 4.10 X 397014 0 36466 CHARLES LARRY BECKIUS 40.00 0.00 X 191938 0 20213 DAVID BERRY 40.00 0.00 X 392090 0 54922 LORI BROWN 40.00 0.00 X 283428 0 23718 SCOTT GORDON 20.00 20.00 X 500450 0 64184 CYNTHIA HOLLAND 40.00 0.00 X 188466 0 20219 KATHERINE LEA 40.00 0.00 X 165020 0 15817 DARRELL LEONHARDT 40.00 0.00 X 250439 0 22317 MARY MCDANIEL 40.00 0.00 X 159909 0 10842 MARY SALASSI-SCOTTER 40.00 0.00 X 157949 0 17873 STEPHEN BEETSTRA 40.00 0.00 X 207477 0 21290 CARL CHIPMAN 40.00 0.00 X 223848 0 14393 JAMES KOONCE 40.00 0.00 X 327568 0 20944 KIRT SIMMONS 40.00 0.00 X 240198 0 20116 ANDREE TROSCLAIR 40.00 0.00 X 202239 0 19334 4427521 0 1382660 134 0 1 1 UNIVERSITY OF ARKANSAS FOR MEDICAL SCIEN 4301 WEST MARKHAM LITTLE ROCK AR 72205 MEDICAL SERVICES 61954651 NABHOLZ CONSTRUCTION CORP PO BOX 2090 CONWAY AR 72033 GENERAL CONSTRUCTION CONTRACTOR 6712798 MEDICAL INFORMATION TECHNOLOGY PO BOX 74569 CHICAGO IL 60696 MEDITECH SOFTWARE/SUPPORT 2340806 AMBRY GENETICS CORPORATION PO BOX 55064 IRVING CA 92619 PATIENT TESTING 1206609 HELICOPTER SUPPORT INC 124 QUARRY ROAD TRUMBULL CT 06611 HELICOPTER MAINTENANCE SUPPORT 1187803 64 11655139 15495804 27150943 PAYMENTS FOR MED SVCS 900099 492992212 492992212 492992212 4732854 4732854 9821 2594 7227 7227 7227 212498 364011 -151513 -151513 -151513 NUTRITIONAL SERVICES 900099 4088856 4088856 RENT 900099 1273581 1273581 CHILD ENRICHMENT 900099 1214758 1214758 5502479 5502479 12079674 536811397 498494691 0 11165763 X 6452887 6452887 439162 439162 4540726 2213712 2327014 203850218 169472736 34377482 7687010 6363226 1323784 17212291 14327609 2884682 14810540 12260010 2550530 2204185 1191075 1013110 447863 447863 252018 252018 104659 104659 99961266 92873465 7087801 433016 405126 27890 11817758 8048488 3769270 9876888 4983577 4893311 5312692 4355427 957265 1136690 901295 235395 296763 282501 14262 7565429 7565429 25158012 21820564 3337448 1766223 1151243 614980 MEDICAL SUPPLIES 64746977 64746977 FIXED ASSET IMPAIRMENT 3270586 3270586 PROVISION FOR BAD DEBT 2921187 2921187 MINOR EQUIPMENT 2126361 1460357 666004 6402065 5826622 575443 500793472 425872491 74920981 0 10770 11920 36969201 39240431 45462116 50585370 32126 23104 2500 7718985 7448404 3758839 9202239 498582570 245249570 258862697 253333000 264740595 246540780 479789 461560 824253 927440 101395754 115107886 720257625 722882134 55436450 51848216 158969615 152119947 214406065 203968163 X 484887352 495293881 20964208 23620090 505851560 518913971 720257625 722882134 X 36017925 -3136042 -19819472 X X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 1 0 0 0 1 84659 1 0 1 213396 298055 0 EXPLANATION OF LOBBYING ACTIVITIES: PART II-B, LINE 1: IN ORDER TO EFFECTIVELY ADVOCATE FOR AND ASSIST WITH THE IMPROVEMENT OF CHILDREN'S HEALTH, ARKANSAS CHILDREN'S HOSPITAL 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. THE ACH BOARD OF DIRECTORS MUST APPROVE ANY LEGISLATIVE OR PUBLIC ISSUE INVOLVEMENT. IN ADDITION, A PERCENTAGE OF DUES PAID TO THE AMERICAN HOSPITAL ASSOCIATION, ARKANSAS HOSPITAL ASSOCIATION, ASSOCIATION OF AMERICAN MEDICAL COLLEGES, NATIONAL ASSOCIATION OF CHILDREN'S HOSPITALS, LITTLE ROCK REGIONAL CHAMBER OF COMMERCE AND THE ARKANSAS STATE CHAMBER OF COMMERCE WAS FOR LOBBYING. 176416750 27950863 11723854 3166049 212925418 166396164 13882530 1770907 5632851 176416750 145568315 4959714 21536391 5668256 166396164 135770735 7045011 13385881 10633312 145568315 0.71700 0.15650 0.12650 0 1 1 13099002 13099002 211350445 140651239 70699206 141302567 97088546 44214021 132830556 7509785 125320771 253333000 FUNDS HELD BY TRUSTEE UNDER BOND AGREEMENTS 12314226 ESTIMATED 3RD PARTY SETTLEMENT (MCD) 81523818 UPL RECEIVABLE 8699681 GME RECEIVABLE 3622078 OTHER RECEIVABLES 4823663 BOND ISSUE COSTS 4050673 INTEREST RECEIVABLE 73747 115107886 DESCRIPTION OF INTENDED USE OF ENDOWMENT FUNDS: 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 HOSPITAL FOUNDATION, A RELATED ORGANIZATION. 1 1 X 1 X 1 X 0 1 0 1 1 13924732 0 13924732 0.02800 255098921 265657766 -10558845 0.00000 269023653 265657766 3365887 0.02800 13536961 1364270 12172691 0.02440 20406669 6370202 14036467 0.02820 41392412 19262787 22129625 0.04440 4524306 0 4524306 0.00910 957078 10789 946289 0.00190 80817426 27008048 53809378 0.10800 349841079 292665814 57175265 0.13600 2000 2000 0.00000 42645 42645 0.00010 22012 22012 0.00000 2000 2000 0.00000 18928 18928 0.00000 28236 28236 0.00010 14290 14290 0.00000 109410 109410 0.00020 239521 239521 0.00040 1 1596992 2275735 2892224 -616489 X 1 1 1 1 ARKANSAS CHILDREN'S HOSPITAL

1 CHILDRENS WAY LITTLE ROCK AR 72202

X X X X X X ARKANSAS CHILDREN'S HOSPITAL 1 1 X X X X X X X X X 12 1 0 1 X X X X X X X X X X X 0 0 1 1 200.000000000000 1 400.000000000000 0 1 1 X X X X X X 1 0 1 X 0 0 3 WEST LITTLE ROCK PEDIATRIC CLINIC

BELLA ROSA CENTER 16101 CANTRELL RD LITTLE ROCK AR 72223

OUTPATIENT HOSPITAL CLINIC CENTERS FOR CHILDREN

519 LATHAM DRIVE LOWELL AR 72745

OUTPATIENT HOSPITAL CLINIC CENTERS FOR CHILDREN

520 CARSON STREET JONESBORO AR 72401

OUTPATIENT HOSPITAL CLINIC PART I, LINE 4: ACH DOES NOT HAVE A SPECIFIC FINANCIAL ASSISTANCE PROGRAM FOR THE MEDICALLY INDIGENT, BUT WE DO PROVIDE DISCOUNTED CARE FOR INDIVIDUALS WITH HOUSEHOLD INCOMES UP TO 400% OF POVERTY. WE ALSO ASSIST 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 OUR FINANCIAL ASSISTANCE PROGRAM. WE ALSO ALLOW 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: ARKANSAS CHILDREN'S HOSPITAL (ACH) USES A COST ACCOUNTING (CA) SYSTEM AS THE BASIS FOR DETERMINING COST FOR OUR PATIENTS. ALL PATIENT ENCOUNTERS (INPATIENT, OUTPATIENT, ED, AMBULATORY SURGERY) ARE CAPTURED IN THE CA SYSTEM FOR ALL OF OUR PATIENTS (MEDICAID, INSURANCE, UNINSURED) WITH NO DIFFERENTIATION FOR TYPE OF INSURANCE, IF ANY. A BRIEF DESCRIPTION OF THE CA 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 THAT SERVICE. THIS IS DONE ON A PROCEDURE LEVEL BASIS. AS A PATIENT IS ADMITTED AND INCURS SERVICES (X-RAYS, ROOM & BOARD, LAB, ETC.) THAT PROCEDURE COST IS ASSIGNED TO THAT PATIENT. AT DISCHARGE, THE COSTS FROM THE INDIVIDUAL PROCEDURES THAT WERE PROVIDED TO THAT PATIENT ARE ADDED UP FOR A TOTAL COST OF PROVIDING CARE FOR THAT PATIENT. THE CA SYSTEM IS UPDATED ANNUALLY TO REFLECT THE CURRENT YEAR'S EXPENSES. PART I, LINE 7G: ACH PROVIDES MANY PEDIATRIC AND SOME ADULT SPECIALIZED SERVICES TO OUR COMMUNITY THAT ARE EITHER NOT AVAILABLE IN THE COMMUNITY OR BEYOND THE CAPACITY OF THE COMMUNITY TO PROVIDE THE SERVICE. MANY OF THESE SERVICES ARE PROVIDED BY ACH AT A LOSS. THESE LOSSES WERE OBTAINED FROM THE CA 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 HERE.SIMILARLY, ACH INCURS LOSSES FROM PROVIDING PEDIATRIC LAB SERVICES TO OUR MEDICARE PATIENT POPULATION THAT ARE REIMBURSED LESS THAN COST. THOSE LOSSES ARE INCLUDED HERE ALSO. PART I, L7 COL(F): BAD DEBT EXPENSE OF $2,921,187 IS INCLUDED IN THE TOTAL PRESENTED ON FORM 990, PART IX, LINE 24C. THIS AMOUNT HAS BEEN SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN SCHEDULE H, PART I, LINE 7, COLUMN F. PART I, LINES 7B AND 7K, COLUMN F: DUE TO SOFTWARE LIMITATIONS RELATED TO ELECTRONICALLY FILING THIS TAX RETURN, THE CALCULATED AMOUNT ON LINE 7B, COLUMN F SHOULD BE -2.12%, AND THE AMOUNT ON LINE 7K, COLUMN F SHOULD BE 11.48%. HOWEVER, THE SOFTWARE WOULD NOT ACCEPT A NEGATIVE PERCENTAGE, AND THEREFORE, LINE 7B COLUMN F IS BLANK, RESULTING IN 13.60% SHOWING ON LINE 7K COLUMN F. PART II: 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 WITH A WIDE VARIETY OF PROGRAMS AND AGENCIES ACROSS THE STATE TO ADDRESS THE MYRIAD NEEDS OF CHILDREN. THROUGH OUR SUPPORT OF ORGANIZATIONS DEALING WITH SPECIFIC DISEASE STATES OR CHRONIC HEALTH CONDITIONS (CANCER, HEART PROBLEMS, DIABETES, CYSTIC FIBROSIS, ETC.) OR AGENCIES SERVING CHILDREN AND THEIR FAMILIES WITH SOCIAL, CLINICAL AND ACADEMIC SERVICES, ACH IS AN ACTIVE PARTNER IN BUILDING COMMUNITIES TO BETTER SERVE THE HEALTH NEEDS OF CHILDREN. LOCALLY, ACH PARTNERS WITH A VARIETY OF COMMUNITY ORGANIZATIONS TO IMPROVE THE CONDITIONS IN WHICH CHILDREN GROW UP AND BECOME ADULT MEMBERS OF THE COMMUNITY. IN 2011, ACH BECAME INVOLVED AS A PARTNER IN THE DEVELOPMENT OF THE CENTRAL LITTLE ROCK PROMISE NEIGHBORHOOD (CLRPN). MODELED AFTER THE HARLEM CHILDREN'S ZONE, THE CLRPN INCLUDES AN AREA INCLUDING THE ACH CAMPUS AND STRETCHING WEST AND SOUTH TO INCLUDE SEVEN CENSUS TRACKS. THE PROMISE TO ALL THE CHILDREN GROWING UP IN THE CLRPN IS THAT WE, AS A COMMUNITY, HAVE TAKEN STEPS TO ENSURE THAT THEY HAVE HAPPY, HEALTHY AND PRODUCTIVE CHILDHOODS AND CAN NAVIGATE THE ROAD FROM CRADLE TO CAREER SUCCESSFULLY. WORKING WITH OTHER PARTNERS, INCLUDING THE UNIVERSITY OF ARKANSAS AT LITTLE ROCK, THE UNIVERSITY OF ARKANSAS FOR MEDICAL SCIENCE, THE CENTRAL LITTLE ROCK LIBRARY, THE CITY OF LITTLE ROCK, THE LITTLE ROCK SCHOOL DISTRICT, NEW FUTURES, AND THE LITTLE ROCK PREPARATORY ACADEMY, ACH IS HELPING ORGANIZE PROGRAMS AND SERVICES NEEDED TO FULFILL THIS PROMISE TO THE COMMUNITY. WE IDENTIFIED 10 FOCUS AREAS THAT WE CONSIDER KEYS TO KEEPING THE PROMISE. FOR EACH OF THESE AREAS, WE ARE FORMING A "PROMISE GROUP" MADE UP OF MEMBERS WHO WILL COMMIT TO ACCEPTING RESPONSIBILITY FOR KEEPING THE SERIES OF KEY PROMISES IT WILL TAKE FOR OUR COMMUNITY TO CREATE A CLEAR PATHWAY TO SUCCESS FOR ALL NEIGHBORHOOD CHILDREN TO PROGRESS ON THEIR JOURNEY TO ADULTHOOD. PROMISE GROUPS HAVE BEEN ORGANIZED AROUND A KEY PROMISE AND SPECIFIC PERFORMANCE GOALS RELATED TO THE CLRPN'S RESULTS FRAMEWORK. TO THE EXTENT POSSIBLE AND PRACTICAL, THE PROMISE GROUP PARTNERS ARE BASING THEIR EFFORTS ON RESEARCH-SUPPORTED BEST PRACTICES. ACH HAS FOCUSED ITS EFFORTS ON THE DELIVERY OF HEALTH CARE TO CHILDREN IN THE CLRPN, ESTABLISHING HOME VISITING PROGRAMS IN THE AREA, PROVIDING COMMUNITY EDUCATION/OUTREACH AROUND CHILDREN'S HEALTH ISSUES, PROVIDING HEALTH LITERACY PROGRAMMING FOR THE CLRPN SCHOOLS, AND WORKING TO PREVENT AVOIDABLE CHILD INJURIES. IN FY2012 ACH INITIATED A COMMON INTAKE PROCESS FOR THE THREE EVIDENCE BASED HOME VISITING PROGRAMS AND ONE PROMISING PROGRAM OPERATING UNDER ACH CONTRACT IN THE CLRPN. DURING THIS TIME, UAMS HAS ALSO OPENED A 12TH STREET WELLNESS CENTER PROVIDING FREE SERVICES TO MEMBERS OF THE CLRPN. THE CLRPN PROMISE GROUPS INCLUDE: PARENTING AND NURTURING SUPPORT; EARLY LEARNING; SUCCESSFUL SCHOOLS; AFTER SCHOOL/SUMMER PROGRAMS; COLLEGE/CAREER READINESS; SCHOLARSHIP; MEANINGFUL EMPLOYMENT; COMMUNITY-CENTERED FACILITIES; COMMUNITY BUILDING; AND COMMUNITY WELLNESS.ACH COLLABORATES WITH MANY PROVIDERS OF SERVICES TO CHILDREN AND THEIR FAMILIES TO ASSURE A WIDE RANGE OF ACTIVITY IN OUR COMMUNITY. INCLUDED IN OUR PARTNERSHIP EFFORTS IS OUR WORK WITH OUR NEIGHBORHOOD HIGH SCHOOL, THE CITY PARKS AND RECREATION DEPARTMENT AND LOCAL POLICE DEPARTMENT TO ENCOURAGE HEALTHY EVENTS AND CHILD SAFETY INITIATIVES FOR ALL CHILDREN IN OUR COMMUNITY. THESE EFFORTS INCLUDE SAFE GRADUATION MESSAGES AND EVENTS, COMMUNITY EVENTS IN PARKS, AND CHILD SAFETY SUPPORT IN CONCERT WITH LOCAL POLICE PROGRAMMING. ADDITIONALLY, WE PARTNER WITH VARIOUS AGENCIES TARGETING EFFORTS TO WORK WITH PARENTS OF HOSPITALIZED CHILDREN, IMPROVING MENTAL HEALTH SERVICES FOR CHILDREN, VICTIMS OF DOMESTIC VIOLENCE AND CHILD ABUSE AS WELL AS STATEWIDE SCIENCE EDUCATION NETWORKS. IN EACH OF THESE ACTIVITIES ACH REQUIRES THE PARTNER AGENCY TO SPECIFICALLY REPORT HOW OUR SUPPORT WORKS TO IMPROVE THE LIVES OF CHILDREN.ACH HAS LONG SUPPORTED TRAINING PROGRAMS FOR YOUTH FOCUSING ON VIOLENCE PREVENTION, ALTERNATIVE DISPUTE RESOLUTION AMONG STUDENTS AS WELL AS CULTURAL/DIVERSITY SENSITIVITY AMONG YOUTH. ACH IS A LEADING MEMBER OF MANY COALITIONS FOCUSING ON CHILD SAFETY MATTERS, INJURY PREVENTION, AND ENHANCED HEALTH SERVICES FOR CHILDREN. ACH SUPPORTS THE DEVELOPMENT OF INFORMATION AND EDUCATIONAL EFFORTS TO ILLUMINATE NOT ONLY PROBLEMS IN CHILD HEALTH & SAFETY BUT ALSO BEST PRACTICES TO IMPROVE IDENTIFIED ISSUES. MANY OF THESE EFFORTS ARE TARGETED TO SPECIFIC ISSUES SUCH AS CAR SEAT AND SEATBELT UTILIZATION, OBESITY PREVENTION, AND AVOIDANCE OF "RISKY" BEHAVIORS.ACH PROVIDES SUPPORT TO OUR LOCAL UNIVERSITY AFFILIATES AND OTHERS TO DEVELOP EDUCATIONAL PROGRAMS TO ADDRESS MAJOR CLINICAL ISSUES, SUCH AS CANCER, FACING CHILDREN AND OTHERS IN OUR COMMUNITY. ACH MAINTAINS ACTIVE PARTNERSHIPS THROUGH FINANCIAL SUPPORT AND KEY STAFF INVOLVEMENT WITH OUR LOCAL UNIVERSITIES TO ENCOURAGE STUDENT INTEREST IN THE VARIOUS AREAS OF PROFESSIONAL DEVELOPMENT AND TO PROVIDE TRAINING IMPORTANT TO OUR HEALTH SYSTEM OPERATION. WHETHER ENCOURAGING YOUNG WOMEN TO CHOOSE PROFESSIONAL CAREERS IN SCIENCE OR WORKING WITH UNIVERSITY PROGRAMS TO PROVIDE CLINICAL EXPERIENCE FOR STUDENTS, ACH IS A KEY PLAYER IN OUR COMMUNITY IN WORKFORCE DEVELOPMENT. ACH STAFF AND LEADERS CONTRIBUTE EXPERTISE AND LEADERSHIP IN MANY COMMUNITY SETTINGS IN PURSUIT OF OUR MISSION TO IMPROVE THE LIVES OF CHILDREN IN ARKANSAS. WHETHER WE ARE 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 OUR COMMUNITY. WE REGARD THIS AS AN IMPORTANT COMPONENT OF OUR WORK IN THE LITTLE ROCK AND ARKANSAS COMMUNITY. PART III, LINE 4: 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 TRANS UNION FOR CREDIT ANALYSIS. THOSE WITH CREDIT SCORES OF 620 AND BELOW ARE RECLASSIFIED AS CHARITY SINCE THESE WOULD QUALIFY FOR FINANCIAL ASSISTANCE HAD THE FAMILIES FURNISHED SUFFICIENT INFORMATION. THIS AMOUNT IS ADDED TO THE OTHER CHARITY ADJUSTMENTS. THE PERCENT CALCULATED IS APPLIED TO THE BAD DEBT EXPENSE FOR THE YEAR TO DETERMINE THE AMOUNT OF CHARITY AND THE REMAINDER IS BAD DEBT. 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 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.ACH INCLUDED $84,831 FROM PRIOR YEAR MEDICARE COST REPORT SETTLEMENTS THAT IS DUE TO ACH FROM THE MEDICARE PROGRAM. PART III, LINE 9B: ARKANSAS CHILDREN'S HOSPITAL'S PATIENT ACCOUNTS DEPARTMENT USES ITS BEST EFFORTS TO ASSIST OUR 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 OF OUR REGISTRATION AREAS. FINANCIAL ASSISTANCE BROCHURES ARE AVAILABLE TO OUR FAMILIES UPON REQUEST. THE GUARANTOR STATEMENTS AND OUR WEBSITE CONTAIN INFORMATION ABOUT THIS PROGRAM. THERE ARE FINANCIAL COUNSELORS AVAILABLE TO ALL THE REGISTRATION AREAS OF THE HOSPITAL TO ASSIST IN COMPLETING MEDICAID, CMS, SSI INTENTS, AND FINANCIAL ASSISTANCE APPLICATIONS. IT IS OUR STANDARD PRACTICE TO USE OUR INTERNAL RESOURCES WHICH INCLUDES OUR PATIENT ACCOUNTS DEPARTMENT AND OUR COLLECTION AGENCY HOSPITAL FINANCE CORPORATION (HFC). NO EXTRAORDINARY COLLECTION EFFORTS ARE TAKEN. WE DO 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. OUR 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. ARKANSAS CHILDREN'S HOSPITAL PART V, SECTION B, LINE 3: DATA SETS REVIEWED INCLUDE THE U.S. CENSUS BUREAU, THE ANNIE E. CASEY KIDS' COUNT DATA CENTER, ARKANSAS STATE AGENCIES DATABASES, THE ARKANSAS STATISTICAL ABSTRACT, THE YOUTH RISK BEHAVIOR SURVEY, ARKANSAS CHILDREN'S HOSPITAL PEDIATRIC HEALTH INFORMATION SYSTEM, AND A VARIETY OF LOCAL ORGANIZATIONS' RESEARCH.EIGHT FOCUS GROUPS WERE HELD IN THE CITIES OF BATESVILLE, FORREST CITY, GURDON, LAVACA, JONESBORO, SPRINGDALE, AND LITTLE ROCK, ARKANSAS. GENERALLY THESE GROUPS INCLUDED PARENTS, SCHOOL OFFICIALS, COMMUNITY LEADERS, AND ELECTED OFFICIALS. ANONYMITY WAS ASSURED AS A MEANS OF OBTAINING HONEST AND FRANK INPUT. THUS, SPECIFIC NAMES WILL NOT BE PUBLISHED.KEY STAKEHOLDER INTERVIEWS WERE HELD WITH 23 INDIVIDUALS. THESE INCLUDE THE FOLLOWING: EXECUTIVE DIRECTOR OF ARKANSAS COMMUNITY HEALTH CENTERS, DIRECTOR OF THE ARKANSAS DEPARTMENT OF HEALTH, ASSOCIATE MEDICAL DIRECTOR OF ARKANSAS BLUE CROSS/BLUE SHIELD, THE COMMISSIONER OF ARKANSAS DEPARTMENT OF EDUCATION, PROFESSOR AT THE COLLEGE OF PUBLIC HEALTH, SENIOR VICE PRESIDENT OF ARKANSAS FOUNDATION FOR MEDICAL CARE, ASSOCIATE DIRECTOR OF ARKANSAS STATE UNIVERSITY CHILDHOOD SERVICES, CHIEF OPERATING OFFICER FOR WHITE RIVER HEALTH CENTER, EXECUTIVE DIRECTOR OF BOYS, GIRLS, ADULTS COMMUNITY DEVELOPMENT CENTER, PROFESSOR OF PEDIATRICS AND DIRECTOR OF THE INJURY PREVENTION CENTER AT ACH, DIRECTOR OF SOCIAL WORK AT ACH, DIRECTOR OF DISEASE PREVENTION AND HEALTH PROMOTION AT ARKANSAS CENTER FOR HEALTH IMPROVEMENT, VICE PRESIDENT OF NURSING SERVICES AT ST. BERNARD'S HOSPITAL, EXECUTIVE DIRECTOR OF THE ARKANSAS CHILDREN'S TRUST FUND, ASSOCIATE BRANCH CHIEF OF FAMILY HEALTH BRANCH OF THE ARKANSAS DEPARTMENT OF HEALTH, BUSINESS LEADER AND MEMBER OF RONALD MCDONALD CHILDREN'S CHARITY OF ARKOMA, VICE CHAIR OF ARKANSAS CHILDREN'S BEHAVIORAL HEALTH CARE COMMISSION, DIRECTOR OF DELTA AREA HEALTH EDUCATION CENTER AT UAMS, DIRECTOR OF THE DIVISION OF CHILDCARE AND EARLY CHILDHOOD EDUCATION WITH THE ARKANSAS DEPARTMENT OF HUMAN SERVICES, ASSOCIATE PROFESSOR OF PEDIATRICS AT UAMS, SECTION CHIEF OF THE TOBACCO PREVENTION AND CESSATION PROGRAMS WITH THE ARKANSAS DEPARTMENT OF HEALTH, DEAN OF THE CLINTON SCHOOL OF PUBLIC SERVICE, AND SEVERAL ACH AMBASSADORS.IN ADDITION, A TELEPHONE SURVEY OF 1,000 RANDOMLY SELECTED FAMILIES (250 FROM EACH OF THE STATE'S FOUR CONGRESSIONAL DISTRICTS) WAS CONDUCTED. QUESTIONS FOCUSED ON VARIOUS TOPICS RELATED TO THE STATUS OF CHILDREN'S HEALTH AND ACCESS TO CARE MATTERS. ARKANSAS CHILDREN'S HOSPITAL PART V, SECTION B, LINE 5C: THE CHNA IS ALSO MADE AVAILABLE THROUGH A NEWS CONFERENCE AND THE NATURAL WONDERS PARTNERSHIP AND COMPANIES THAT COLLABORATE IN THAT GROUP. A DOCUMENT IS PUBLISHED THAT IS WIDELY DISTRIBUTED THROUGH THIS PARTNERSHIP AND MADE AVAILABLE FOR ANYONE THAT REQUESTS IT. ARKANSAS CHILDREN'S HOSPITAL PART V, SECTION B, LINE 7: THE CHNA IDENTIFIED SEVERAL AREAS IN WHICH ACH IS BEST ADDRESSED IN COLLABORATION WITH OTHERS AT THE COMMUNITY LEVEL. THUS, THE PLAN OF THE HOSPITAL IS TO WORK THROUGH THE NATURAL WONDERS PARTNERSHIP COUNCIL (NWPC) TO SUPPORT THE WORK OF OTHERS IN ADDRESSING THESE ISSUES. ACH DOES PROVIDE SPECIALTY CARE, RESEARCH, AND EDUCATION SERVICES IN MANY OF THESE AREAS TO ASSIST IN MEETING THESE NEEDS. THE AREAS FOR THE FY14-FY16 PERIOD INCLUDE:-HIGH SCHOOL GRADUATION RATE-MENTAL HEALTH-FOOD INSECURITY-SEXUAL HEALTH-SUBSTANCE ABUSE-ACCESS TO CARE-OBESITY-ASTHMA CARE-HOMELESSNESSTHE CHNA IDENTIFIED AN AREA, POVERTY INVOLVING CHILDREN, WHICH IS BEYOND THE SCOPE AND RESOURCES OF ACH TO MAKE A SIGNIFICANT, POSITIVE IMPACT. THUS, THIS AREA WILL NOT RECEIVE ACTION PLANNING OR RESOURCE ALLOCATION IN THE FY14-FY16 PLAN. ARKANSAS CHILDREN'S HOSPITAL PART V, SECTION B, LINE 14G: THE FINANCIAL ASSISTANCE POLICY ITSELF IS NOT ATTACHED TO THE 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. ARKANSAS CHILDREN'S HOSPITAL PART V, SECTION B, LINE 20D: AN AVERAGE OF THE CONTRACT RATES WAS USED. PART VI, LINE 5: THE EXPANSION OF EVIDENCE-BASED HOME VISITING PROGRAMS IN ARKANSAS OVER THE PAST YEAR, DUE TO THE SUCCESSFUL APPLICATION FOR MATERNAL, INFANT, EARLY CHILDHOOD HOME VISITING (MIECHV) SERVICES, IS MOVING AHEAD AND GARNERING ARKANSAS NATIONAL ATTENTION. A UNIQUE PUBLIC-PRIVATE PARTNERSHIP HAS EMERGED BETWEEN THE ARKANSAS DEPARTMENT OF HEALTH AND ACH (REPRESENTING THE ARKANSAS HOME VISITING NETWORK) TO IMPLEMENT THIS MAJOR PROGRAM EXPANSION. PROGRAM SITES HAVE BEEN SELECTED; STAFF HIRED AND TRAINED; A MAJOR MANAGEMENT INFORMATION SYSTEM HAS BEEN DEVELOPED AND INTRODUCED TO THE FIELD; AN EVALUATION MODEL HAS BEEN IMPLEMENTED; AND A HOME VISITING TRAINING INSTITUTE HAS BEEN DEVELOPED. A COMMUNITY-BASED INTAKE MODEL TO BETTER "FIT" FAMILIES TO THE BEST PROGRAM IS BEING PILOTED IN THE LITTLE ROCK PROMISE NEIGHBORHOOD. NATIONAL INTEREST HAS BEEN FOCUSED ON THESE DEVELOPMENTS IN OUR STATE. THIS REPRESENTS AN EXPANSION OF OVER $6 MILLION PER YEAR FOR OUR STATE IN THIS AREA. THIS AMOUNT IS IN ADDITION TO THE $1.4 MILLION OF FEDERAL DOLLARS GOING TO THE ARKANSAS DEPARTMENT OF HEALTH FOR EXPANSION OF THEIR NURSE-FAMILY PARTNERSHIP PROGRAM IN SEVEN ARKANSAS COUNTIES.AS PART OF THE NATURAL WONDERS PROGRAM, ACH IS LEADING A GROUP OF STAKEHOLDERS IN FOOD INSECURITY. THE ARKANSAS HUNGER RELIEF ALLIANCE, ONE OF ACH'S PARTNERS, IS LEADING THE ARKANSAS EFFORTS FOR THE "NO KID HUNGRY" CAMPAIGN, WHICH INCLUDES A COMPREHENSIVE APPROACH TO ENDING FOOD INSECURITY IN AMERICA. ACCESS, EDUCATION, AND AWARENESS ENDEAVORS INCLUDE:- COOKING MATTERS IS A SIX-WEEK COURSE TO TEACH HEALTHY COOKING WITHIN A RESTRICTED BUDGET. THE HEAD CHEF AT ACH WENT THROUGH THE COURSE AND PART OF THE DISCUSSION WITH ACH LEADERSHIP WAS ABOUT HOW TO IMPLEMENT THE PROGRAM ON CAMPUS.- SHOPPING MATTERS IS A PROGRAM THAT ACH PLANS TO IMPLEMENT WITHIN THE NEXT FISCAL YEAR. THIS WILL CONSIST OF A SHOPPING TOUR, GUIDED BY ACH COMMUNITY OUTREACH STAFF, THAT IS FOCUSED ON OBTAINING HEALTHY FOODS IN A RESTRICTED BUDGET.- IN ADDITION, WE DEVELOPED A PROCESS TO ACCEPT APPLICATIONS FOR SUPPLEMENTAL NUTRITION ASSISTANCE PROGRAM (SNAP) ON THE ACH CAMPUS.- IN FY2013, ACH BECAME THE ONLY HOSPITAL IN THE NATION TO IMPLEMENT A SUMMER FEEDING PROGRAM, PROVIDING 1,728 MEALS TO CHILDREN ON CAMPUS.COMMUNITY OUTREACH PROGRAMS ARE JUST ANOTHER WAY THAT ACH IS STRIVING TO MAKE A POSITIVE IMPACT ON CHILDREN THROUGHOUT OUR STATE. ACH HAS TAKEN A PROACTIVE LEADERSHIP ROLE IN REACHING CHILDREN AND FAMILIES WITH INFORMATIVE AND FUN HEALTH EDUCATION THROUGH SEVERAL STATEWIDE OUTREACH PROGRAMS WITH A FOCUS ON WELLNESS, PREVENTION, AND HEALTH PROMOTION. PART VI, LINE 2: ARKANSAS CHILDREN'S HOSPITAL BEGAN OUR FORMAL NEEDS ASSESSMENT OF THE STATUS OF CHILDREN'S HEALTH IN ARKANSAS IN 2006 WITH OUR FIRST REPORT PUBLISHED IN 2007 AND SUBSEQUENT REPORTS PUBLISHED IN 2009 AND 2011. SINCE ACH SERVES THE ENTIRE STATE OF ARKANSAS, OUR WORK IN THIS AREA ENCOMPASSES ALL CHILDREN IN THE STATE VS. A SINGLE COMMUNITY OR NEIGHBORHOOD. INITIALLY, OUR EFFORTS INCLUDED A REVIEW OF 44 SEPARATE DATASETS, EACH DEALING WITH SOME ASPECT OF CHILDREN'S HEALTH. SUCH A COMPREHENSIVE REVIEW HAD NOT PREVIOUSLY BEEN DONE IN OUR STATE. THIS FIRST NEEDS ASSESSMENT, WHICH WE REFER TO AS OUR "NATURAL WONDERS" REPORT, REFLECTED NOT ONLY THE THOUGHTS OF ACH, BUT OF THE NATURAL WONDERS PARTNERSHIP COUNCIL (NWPC), A GROUP OF THEN 11 ORGANIZATIONS AND AGENCIES COMMITTED TO COLLABORATIVE EFFORTS AIMED AT IMPROVING THE STATUS OF THE HEALTH OF THE CHILDREN OF ARKANSAS. IN 2007 AND 2008 WE EXPANDED THIS NEEDS ASSESSMENT WITH RANDOM TELEPHONE INTERVIEWS WITH OVER 2,500 FAMILIES ACROSS THE STATE TO LEARN OF THEIR HIGHEST CONCERNS REGARDING THE STATUS OF THEIR CHILDREN'S HEALTH. THIS WORK WAS SUPPLEMENTED WITH COMMUNITY FORUMS IN 5 CITIES AROUND THE STATE AND NUMEROUS FOCUS GROUPS INCLUDING HEALTHCARE PROFESSIONALS, EDUCATORS, HEALTHCARE PAYERS, AND ACADEMIC LEADERS. THIS WORK WAS PUBLISHED IN OUR SECOND REPORT IN FEBRUARY 2009. FROM THIS WORK, NINE MAJOR AREAS OF NEED WERE HIGHLIGHTED, AND ACH HAS TAKEN THE LEAD IN ADDRESSING FOUR OF THE AREAS WHILE PLAYING A SUPPORTIVE ROLE IN THE REMAINING AREAS. THE AREAS IN WHICH ACH PLAYS A LEADING ROLE INCLUDE INJURY PREVENTION, ORAL HEALTH, HEALTH LITERACY FOR CHILDREN, AND EXPANSION/IMPROVEMENT OF HOME VISITING PROGRAMS. WORK HAS CONTINUED IN ALL OF THE AREAS NOTED IN THE ORIGINAL NATURAL WONDERS REPORT WITH THE MEMBERSHIP OF THE NWPC, A COUNCIL COMPRISED OF 34 AGENCIES (AS OF FY2013).IN FY2011, THE 3RD EDITION OF THE NATURAL WONDERS REPORT WAS PUBLISHED, INCLUDING A FULL REVIEW AND UPDATE OF THE ORIGINAL DATA SETS EXAMINED IN 2006 AND NOTING PROGRESS TO DATE IN THE MANY AREAS OF NEED IDENTIFIED IN THE ORIGINAL REPORT. MANY SIGNIFICANT IMPROVEMENTS HAVE BEEN ACHIEVED IN THE PAST SIX YEARS. THE CREATION OF AN INJURY PREVENTION CENTER AT ACH HAS PROVIDED A FOCUS OF ATTENTION AND ACTIVITY AROUND THE ISSUES OF UNINTENDED INJURY AND DEATH AMONG OUR YOUNG PEOPLE. THIS HAS CONTRIBUTED IN A MAJOR WAY TO THE CREATION OF A TRAUMA SYSTEM FOR THE STATE OF ARKANSAS AS WELL AS IMPROVEMENTS SUCH AS GRADUATED DRIVERS' LICENSES, PRIMARY SEAT BELT LAWS, NO TEXTING AND DRIVING LAWS FOR MINORS, DRIVING CURFEWS FOR MINORS AND OTHER INJURY PREVENTION EFFORTS ASSOCIATED WITH THE NEW TRAUMA SYSTEM. THE HOSPITAL'S EFFORTS UNDER THE INJURY PREVENTION CENTER, IN COLLABORATION WITH THE OTHER STATE AGENCIES, HAVE RESULTED IN REDUCING THE NUMBER OF TEEN DEATHS PER YEAR DUE TO VEHICULAR CRASHES BY HALF. ACH HAS LED THE CLINICAL TEAMS IN THE DEVELOPMENT AND OPERATION OF THREE MOBILE DENTAL VANS [TWO IN PARTNERSHIP WITH DELTA DENTAL AND LOCAL RONALD MCDONALD CHARITIES] AND HAS LED THE STATE'S EFFORTS TO PROVIDE ACCESS TO DENTAL SEALANTS TO THE YOUNG PEOPLE IN OUR STATE. WE HAVE ALSO BEEN A LEADER IN THE EFFORT TO ENACT LEGISLATION TO FLUORIDATE THE DRINKING WATER IN COMMUNITIES OF 5,000 PERSONS OR MORE IN OUR STATE. ACH HAS INITIATED HEALTH LITERACY EFFORTS IN PUBLIC SCHOOLS ACROSS THE STATE AND NOW, IN PARTNERSHIP WITH OTHERS, TO MAKE THIS PROGRAM AVAILABLE TO ALL ARKANSAS SCHOOLS AND TO NEARLY 980,000 STUDENTS FREE OF CHARGE. OVER THE PAST FEW YEARS, NEWBORN HEALTH SCREENINGS HAVE BEEN GREATLY EXPANDED (FROM 6 CONDITIONS TO 29 CONDITIONS) WHICH, IN TURN, HAS MEANT THAT OVER 150 CASES OF SERIOUS DISEASE HAVE BEEN DETECTED AT BIRTH, WHICH HAS FACILITATED EARLY INTERVENTION TO TREAT AND CARE FOR THESE CHILDREN. IN JUNE 2011 ACH PARTNERED WITH THE ARKANSAS DEPARTMENT OF HEALTH TO SUBMIT A COMPETITIVE APPLICATION TO THE FEDERAL GOVERNMENT FOR EXPANSION OF HOME VISITING SERVICES IN ARKANSAS THROUGH THE MATERNAL, INFANT, AND EARLY CHILDHOOD HOME VISITING (MIECHV) GRANT. THIS APPLICATION WAS APPROVED IN SEPTEMBER 2011 AND WAS IMPLEMENTED WITH ACH AS THE PROGRAM MANAGER IN FY2012. AS OF FY2013, THE HOSPITAL CONTINUES TO MANAGE THE MIECHV GRANT AND LEAD IN THE STATEWIDE EFFORTS TO EXPAND EVIDENCE-BASED HOME VISITING PROGRAMS.ALSO IN FY2013, ARKANSAS CHILDREN'S HOSPITAL PUBLISHED THE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) THAT WAS STARTED IN FY2012. THE CHNA ASSESSES CHILD HEALTH IN ITS SERVICE AREA IN COMPLIANCE WITH NEW SECTION 501(R) REQUIREMENTS THAT WERE MET IN FY2013. FOR ITS FIRST CHNA, THE HOSPITAL COMMUNICATED WITH PUBLIC HEALTH EXPERTS, GOVERNMENT AGENCIES, AND A WIDE VARIETY OF STAKEHOLDERS FROM VARIOUS COMMUNITIES TO DETERMINE NEEDS RELATED TO CHILDREN'S HEALTH IN ARKANSAS. SPECIAL EMPHASIS WAS PLACED ON REACHING OUT TO LOW-INCOME FAMILIES AND EDUCATORS IN DETERMINING ISSUES AFFECTING CHILDREN. DATA COLLECTION EFFORTS INCLUDED THE FOLLOWING:- SECONDARY DATA ON CHILD HEALTH ISSUES- EIGHT FOCUS GROUPS- TWENTY-FOUR KEY INFORMANT INTERVIEWS- A PHONE SURVEY OF 1,000 HOUSEHOLDSAFTER COMPILING AND ANALYZING DATA, COMMON THEMES WERE IDENTIFIED AND PRIORITIZED BY NEED AND THE NUMBER OF SOURCES IN WHICH THEY WERE MENTIONED. FIVE TOPICS AROSE AS HIGH-PRIORITY:- ACCESS TO CARE- FOOD INSECURITY- SEXUAL HEALTH- OBESITY- INTENTIONAL INJURYAS ACH DETERMINES ITS COMMUNITY BENEFIT INVESTMENT STRATEGY FOR THE COMING YEARS, THIS NEEDS ASSESSMENT WILL PROVIDE A ROADMAP FOR A THREE-YEAR PLAN IN ORDER TO GUIDE THE WAY TO CHANGING THE HEALTH OF ARKANSAS CHILDREN FOR THE BETTER. THE 4TH EDITION OF THE NATURAL WONDERS REPORT WILL BE PUBLISHED DURING FY2014. PART VI, LINE 3: ARKANSAS CHILDREN'S HOSPITAL'S PATIENT ACCOUNTS DEPARTMENT USES ITS BEST EFFORTS TO ASSIST OUR 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 OF OUR REGISTRATION AREAS. THE GUARANTOR STATEMENTS AND OUR WEBSITE CONTAIN INFORMATION ABOUT THIS PROGRAM. THERE ARE FINANCIAL COUNSELORS AVAILABLE TO ALL THE REGISTRATION AREAS OF THE HOSPITAL TO ASSIST IN COMPLETING MEDICAID, CMS, SSI INTENTS, AND FINANCIAL ASSISTANCE APPLICATIONS. PART VI, LINE 4: SINCE ARKANSAS CHILDREN'S HOSPITAL IS THE ONLY PEDIATRIC MEDICAL CENTER IN ARKANSAS, WE SERVE PATIENTS THROUGHOUT THE STATE AND, ON OCCASION, FROM OTHER STATES AND COUNTRIES. ACH DRAWS APPROXIMATELY 71.6% OF OUR OUTPATIENTS AND 55.2% OF OUR INPATIENTS FROM THE CENTRAL PART OF THE STATE (PULASKI COUNTY AND THE SURROUNDING COUNTIES OF LONOKE, FAULKNER, JEFFERSON, AND SALINE), AS WELL AS FROM WHITE COUNTY IN NORTH CENTRAL ARKANSAS AND BENTON, SEBASTIAN AND WASHINGTON COUNTIES IN THE NORTHWEST CORNER OF THE STATE. HOWEVER, ACH SERVES PATIENTS IN EVERY COUNTY ACROSS THE STATE AS WELL.BASED ON THE U.S. CENSUS BUREAU 2010 CENSUS DATA, THE POPULATION WAS 382,752 FOR PULASKI COUNTY AND 2,915,916 FOR THE STATE OF ARKANSAS. 2012 ESTIMATED CENSUS DATA STATES THAT OF THE STATES' POPULATION, APPROXIMATELY 24.1% ARE UNDER 18 YEARS OF AGE AND 6.6% ARE UNDER THE AGE OF 5. THE UNEMPLOYMENT RATE FOR THE STATE OF ARKANSAS FOR CALENDAR YEAR 2012 WAS 7.3%. ACCORDING TO THE U.S. DEPARTMENT OF COMMERCE, THE PER CAPITA PERSONAL INCOME FOR THE STATE OF ARKANSAS FOR 2012 WAS $35,437. THE PERCENT OF ALL PEOPLE IN POVERTY IN OUR STATE IS 19.6% AND THE PERCENT OF CHILDREN 17 OR YOUNGER IN POVERTY IS 28.1%. 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 29 CITY BLOCKS AND HOUSES 338 OPERATING BEDS, A STAFF OF APPROXIMATELY 500 PHYSICIANS, 80 RESIDENTS IN 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 OUR MISSION OF IMPROVING CHILDREN'S HEALTH WHILE PROVIDING INTEGRATED PREP: PATIENT CARE, RESEARCH, EDUCATION AND PREVENTION. ACH SERVES AS THE PEDIATRIC TEACHING AFFILIATE OF UAMS AND IS HOME TO THE UAMS DEPARTMENT OF PEDIATRICS. ACH IS THE CLASSROOM WHERE MEDICAL STUDENTS STUDY THE PEDIATRIC COMPONENT OF ALL DISCIPLINES. IN TURN, UAMS SHARES ITS CURRENT MEDICAL BREAKTHROUGHS AND TECHNOLOGICAL ADVANCEMENTS. UAMS FACULTY ON ACH CAMPUS ARE PRACTICING PHYSICIANS AS WELL AS TEACHERS TO UAMS STUDENTS IN MEDICINE, NURSING, PHARMACY AND ALLIED HEALTH. THE GOAL OF ACH IS TO IMPROVE THE LIVES OF CHILDREN BY PROVIDING THE BEST IN WELL-CHILD CARE AS WELL AS EMERGENCY MEDICINE AND ACUTE CARE TO RESTORE, ENHANCE AND SUSTAIN A CHILD'S 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).IN CONJUNCTION WITH THE UNIVERSITY OF ARKANSAS FOR MEDICAL SCIENCES DEPARTMENT OF PEDIATRICS, ACH OFFERS MORE THAN 70 SPECIALTY AND SUBSPECIALTY CLINICS, LOCATED ON THE MAIN CAMPUS, IN WEST LITTLE ROCK, AS WELL AS IN 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. DURING FY2011, A PRIMARY CARE CLINIC WAS OPENED IN THE CENTERS FOR CHILDREN, THE NORTHWEST ARKANSAS CLINIC, WHICH INCLUDED 12 EXAMINATION ROOMS STAFFED BY FOUR PHYSICIANS AND ADJACENT-CLINIC SPACE FOR PHYSICAL, OCCUPATIONAL AND SPEECH THERAPY, AND LANGUAGE DEVELOPMENT. THE PRIMARY CARE CLINIC AND EXPANDED SERVICES IN NORTHWEST ARKANSAS WERE OFFERED IN AN EFFORT TO MEET THE NEEDS OF APPROXIMATELY 7,000 CHILDREN IN NORTHWEST ARKANSAS WHO ARE WITHOUT A PRIMARY CARE PHYSICIAN. DURING FY2013, THE CENTERS FOR CHILDREN HAD 14,839 CLINIC VISITS COMPARED TO 12,398 IN FY2012 AND HAS A TOTAL OF 30 SPECIALTY CLINICS IN ADDITION TO THE PRIMARY CARE CLINIC. ALSO IN FY2013, A SIMILAR CENTERS FOR CHILDREN WAS OPENED IN JONESBORO TO SERVE THE CHILDREN OF NORTHEAST ARKANSAS. ALTHOUGH IT OPERATED FOR ONLY A PART OF THE FISCAL YEAR, THE JONESBORO CLINIC WAS STILL ABLE TO PROVIDE 1,861 CLINIC VISITS.THE NATURAL WONDERS PARTNERSHIP COUNCIL (NWPC), NOW IN ITS SEVENTH YEAR, CURRENTLY IS COMPRISED OF 34 MEMBERS IN FY2013, 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 INJURY PREVENTION, HEALTH LITERACY, COORDINATED SCHOOL HEALTH, AND HOME VISITING, INFANT MORTALITY AND INFANT DEATH REVIEWS, SCHOOL WELLNESS PROGRAMS, TEXTING CAN WAIT, FOOD INSECURITY, AND TEENAGE PREGNANCY PREVENTION. 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. THE ACH INJURY PREVENTION CENTER (IPC) CONTINUES TO BUILD SYNERGY AROUND VARIOUS EFFORTS, COMBINING A COMPREHENSIVE APPROACH THAT INCLUDES EDUCATION, AWARENESS, AND ADVOCACY. THE IPC HAS BEEN ABLE TO CONTINUE AND EXPAND EFFORTS THAT INCLUDE SAFER TEEN DRIVING, ALL-TERRAIN VEHICLE SAFETY EDUCATION, CHILD PASSENGER SAFETY, AND SAFETY BABY SHOWERS, WHICH ARE LEARNING PARTIES FOR EXPECTANT MOTHERS AND THEIR SUPPORT SYSTEMS, WHICH FOCUS ON HOME AND CHILD PASSENGER SAFETY. THE CENTER'S EFFORTS HAVE GENERATED MANY PROGRAM EVENTS, ACTIVITIES, BROCHURES, FACT SHEETS, AND MANY OTHER USEFUL EDUCATIONAL MATERIALS FOR STATEWIDE DISTRIBUTION (INCLUDING RURAL AREAS). ALSO, THE IPC IS DEVELOPING AND MANAGING THE STATEWIDE INJURY PREVENTION PROGRAM (SIPP) FOR THE ARKANSAS TRAUMA SYSTEM. SIPP PROMOTES VIOLENCE PREVENTION AND INJURY PREVENTION ACROSS THE AGE SPECTRUM THROUGHOUT ARKANSAS BY PROVIDING COMMUNITIES WITH INFORMATION AND PROGRAMS THAT ARE PROVEN TO BE EFFECTIVE IN PREVENTING VIOLENCE AND INJURY. IN ADDITION, CONTINUING EDUCATION ACTIVITIES AND TRAINING WERE AVAILABLE TO PHYSICIANS, MEDICAL STUDENTS, NURSES, MEDICAL APPLICATIONS OF SCIENCE STUDENTS, EMERGENCY MEDICAL SERVICES AND ARKANSAS DEPARTMENT OF HEALTH PROFESSIONALS. LIKEWISE, THE IPC IS LEADING THE EFFORTS OF THE INFANT DEATH REVIEW TEAM FOR THE STATE TO BETTER UNDERSTAND AND PREVENT INFANT MORTALITY. THROUGH 2013, THE IPC HELD 17 INJURY PREVENTION CLASSES AND EDUCATED AND TRAINED 238 ARKANSANS. IN ADDITION, THE CENTER HOSTED A SEMINAR IN WHICH SPEAKERS EDUCATED SCHOOL-BASED PROFESSIONALS ON TOPICS, SUCH AS PLAYGROUND SAFETY, BULLYING PREVENTION, TEEN DRIVING, AND DRUG ABUSE. THROUGH THE CENTER'S INTENTIONAL INJURY PREVENTION, OVER SEVEN APPLIED SUICIDE INTERVENTION SKILLS (ASIST) TRAININGS WERE HELD, EDUCATING 107 ATTENDEES ON THE WARNING SIGNS AND SYMPTOMS OF INDIVIDUALS AT RISK OF SUICIDE. ARKANSAS CHILDREN'S HOSPITAL CONTINUES TO SUPPORT STATEWIDE DENTAL HEALTH EFFORTS TO IMPROVE PEDIATRIC ORAL HEALTH IN ARKANSAS. TO AVOID DUPLICATION AND INCREASE SYNERGY AROUND ORAL HEALTH ISSUES, THE HOSPITAL IS PARTNERING WITH MANY OF THE MEMBERS OF THE ORAL HEALTH COALITION. ACH DENTAL OUTREACH PROGRAM CONTINUES TO PROVIDE THREE MOBILE CLINICS THAT VISIT VARIOUS UNDERSERVED AREAS IN SOUTHWEST, NORTHWEST, AND CENTRAL ARKANSAS, PROVIDING COMPREHENSIVE DENTAL CARE TO THOSE IN URGENT NEED. SINCE ITS INCEPTION IN 2009, THE PROGRAM HAS TREATED APPROXIMATELY 2,325 PATIENTS. IN ADDITION, ACH CONTINUES THE ACH DENTAL SEALANT PROGRAM, ALSO REFERRED TO AS THE "SEAL-THE-STATE" INITIATIVE, WHICH FOCUSES ON PROVIDING DENTAL SEALANTS TO ELEMENTARY SCHOOL AGE STUDENTS IN ARKANSAS PUBLIC SCHOOLS. THIS STATEWIDE COLLABORATION IS IN ITS FOURTH YEAR AND CONTINUES TO SEE AN INCREASED NUMBER OF CHILDREN AROUND ARKANSAS. IN FY2013, THE PROGRAM TREATED 1,600 CHILDREN AND SEALED NEARLY 4,800 TEETH. ACH CONTINUES ITS WORK IN THE AREA OF HEALTH LITERACY WITH THE CONTINUATION OF THE HEALTHTEACHER.COM PROGRAM IN PUBLIC SCHOOLS ACROSS ARKANSAS. IN FY2012 THE HEALTHTEACHER.COM PARTNERSHIP CONTINUED ITS MATURATION AS THE FOCUS SHIFTED FROM BRINGING NEW DISTRICTS ON BOARD TO INCREASING SCHOOL ENGAGEMENT AND ACTIVE USER ENGAGEMENT. WHILE THE NUMBER OF SCHOOL DISTRICTS REMAINED AT 79, THE NUMBER OF SCHOOLS ENGAGED IN THIS PROGRAM GREW TO 523 FROM 362 IN FY2011, A 44% INCREASE IN SCHOOLS. ACTIVE USERS GREW FROM 1,430 TO OVER 2,800 INDIVIDUALS IN THE 523 SCHOOLS, AN INCREASE OF 96% OVER FY2011 LEVELS. THIS ACTIVITY IS ALSO SEEN IN THE CONTINUED POSITIVE RESPONSE FROM TEACHERS, NURSES AND OTHER LEADERS IN THE HEALTHTEACHER SCHOOLS AS WELL AS CONTINUED HIGH LEVELS OF POSITIVE CULTURE CHANGE IN THE CLASSROOM. DURING FY2013, TWO NEW APPLICATIONS FOR SMART DEVICES WERE ROLLED OUT, INCLUDING ONE ON BULLYING PREVENTION AND ONE ON PHYSICAL ACTIVITY IN THE CLASSROOM FOR STUDENTS. IN ADDITION, A PILOT STUDY FOR A DEEP BREATHING APPLICATION HAS SHOWN POSITIVE SIGNIFICANT IMPACT ON TEST PERFORMANCE FOR STUDENTS. PART VI, LINE 6: ACH IS NOT PART OF AN AFFILIATED HEALTH CARE SYSTEM. ACH AND THE UNIVERSITY OF ARKANSAS FOR MEDICAL SCIENCES (UAMS) ARE INVOLVED IN AN AFFILIATION 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. 1 ARKANSAS ADVOCATES FOR CHILDREN & FAMILIES 1400 WEST MARKHAM SUITE 306 LITTLE ROCK AR 72201 710492205 501(C)(3) 111113 GENERAL SUPPORT ARKANSAS CENTER FOR HEALTH IMPROVEMENT (UAMS) 1401 W CAPITOL AVE SUITE 300 LITTLE ROCK AR 72201 716046242 GOV'T ENTITY 200000 HEALTH IMPROVEMENT PROGRAMS ARKANSAS CHILDREN'S HOSPITAL FOUNDATION 1 CHILDRENS WAY LITTLE ROCK AR 72202 710568795 501(C)(3) 1060576 ENDOWMENT AND GENERAL SUPPORT ARKANSAS CHILDREN'S HOSPITAL RESEARCH INSTITUTE 13 CHILDRENS WAY LITTLE ROCK AR 72202 710694931 501(C)(3) 3457520 1177456 COST INDIRECT SUPPORT GENERAL SUPPORT HOME INSTRUCTION FOR PARENTS OF PRESCHOOL YOUNGSTERS (HIPPY) 1221 BISHOP LITTLE ROCK AR 72202 133672592 501(C)(3) 200 38037 FMV PROVIDE OFFICE SPACE & PHONE GENERAL SUPPORT LITTLE ROCK MARATHON 500 W MARKHAM SUITE 108 LITTLE ROCK AR 72201 716014465 GOV'T ENTITY 10000 GENERAL SUPPORT LITTLE ROCK POLICE DEPARTMENT 600 W MARKHAM LITTLE ROCK AR 72201 716014465 GOV'T ENTITY 6978 GENERAL SUPPORT RONALD MCDONALD HOUSE CHARITIES 1009 WOLFE STREET LITTLE ROCK AR 72202 710525252 501(C)(3) 11670 GENERAL SUPPORT ARKANSAS DEPARTMENT OF HEALTH & HUMAN SERVICES PO BOX 1437 LITTLE ROCK AR 72203 710847443 GOV'T ENTITY 195000 PRENATAL CARE AND INFANT MORTALITY PREVENTION PROGRAMS AND GENERAL SUPPORT CAMP ALDERSGATE 2000 ALDERSGATE ROAD LITTLE ROCK AR 72205 680560043 501(C)(3) 25550 246 FMV MEDICAL SUPPLIES GENERAL SUPPORT AND CAMPS FOR CHILDREN WITH PHYSCIAL CONDITIONS. NATIONAL ASSOCIATION OF CHILDREN'S HOSPITALS PO BOX 79334 BALTIMORE MD 21279 510120256 501(C)(6) 42247 GME ADVOCACY CHILDREN'S PROTECTION CENTER 1123 BISHOP LITTLE ROCK AR 72202 261086937 501(C)(3) 23323 FMV PROVIDE OFFICE SPACE GENERAL SUPPORT REACH OUT AND READ PO BOX 21712 LITTLE ROCK AR 72221 331020070 501(C)(3) 15300 GENERAL SUPPORT AMERICAN HEART ASSOCIATION 909 WEST 2ND STREET LITTLE ROCK AR 72201 135613797 501(C)(3) 8724 GENERAL SUPPORT 13 1 MEALS 2396 6138 176111 COST MEALS FOR FAMILIES/LACTATING MOTHERS INSURANCE PREMIUMS 55 162113 COST PAYMENT OF PREMIUMS FOR PATIENT'S FAMILIES ALLOWED BY COBRA TRANSPORTATION COSTS (BUS TOKENS, CAB FARE, GAS CARDS) 1290 34179 FUNERAL EXPENSES 18 8979 RENT, MORTGAGE EXPENSE, UTILITIES, LODGING 49 11973 CAR SEATS FOR INFANTS AND CHILDREN 566 30807 COST CAR SEATS FOR INFANTS AND CHILDREN GROCERY GIFT CARDS AND OTHER MISC. ASSISTANCE 396 8862 PROCEDURE FOR MONITORING GRANTS IN THE U.S.: PART I, LINE 2: SCHEDULE I, PART I, LINE 2: 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 ALSO SOMETIMES PROVIDED. THE ASSISTANCE PROVIDED IS DOCUMENTED BY THE HOSPITAL'S SOCIAL WORK DEPARTMENT. X X 1 1 X X X X X 0 1 0 0 0 0 0 1 0 JONATHAN BATES MD 467993 0 65000 0 6495 0 76656 0 7303 0 623447 0 0 0 RICHARD JACOBS MD 0 0 0 0 0 0 0 0 0 0 0 0 TIM MARTIN MD 0 0 0 0 0 0 0 0 0 0 0 0 W ROBERT MORROW MD 0 0 0 0 0 0 0 0 0 0 0 0 GENA WINGFIELD 378097 0 18000 0 917 0 26170 0 10296 0 433480 0 0 0 CHARLES LARRY BECKIUS 182232 0 9000 0 706 0 13454 0 6759 0 212151 0 0 0 DAVID BERRY 375173 0 16000 0 917 0 44626 0 10296 0 447012 0 0 0 LORI BROWN 270384 0 12000 0 1044 0 15675 0 8043 0 307146 0 0 0 SCOTT GORDON 488009 0 10000 0 2441 0 53888 0 10296 0 564634 0 112496 0 CYNTHIA HOLLAND 181761 0 6000 0 705 0 13460 0 6759 0 208685 0 0 0 KATHERINE LEA 155826 0 9000 0 194 0 10189 0 5628 0 180837 0 0 0 DARRELL LEONHARDT 241039 0 7000 0 2400 0 12429 0 9888 0 272756 0 0 0 MARY MCDANIEL 157068 0 2000 0 841 0 3339 0 7503 0 170751 0 0 0 MARY SALASSI-SCOTTER 151402 0 6000 0 547 0 11291 0 6582 0 175822 0 0 0 STEPHEN BEETSTRA 206938 0 250 0 289 0 12069 0 9221 0 228767 0 0 0 CARL CHIPMAN 217020 0 4387 0 2441 0 9833 0 4560 0 238241 0 0 0 JAMES KOONCE 323127 0 250 0 4191 0 15900 0 5044 0 348512 0 0 0 KIRT SIMMONS 238939 0 244 0 1015 0 15079 0 5037 0 260314 0 0 0 ANDREE TROSCLAIR 193486 0 8000 0 753 0 14241 0 5093 0 221573 0 0 0 PART I, LINE 1A CHARTER TRAVEL IS USED FOR STAFF TO TRAVEL TO A CLINIC LOCATED IN NORTHWEST ARKANSAS. UTILIZATION OF CHARTER TRAVEL, RATHER THAN HAVING STAFF DRIVE TO THE LOCATION, IS OCCASIONALLY DEEMED THE MOST EFFICIENT METHOD OF TRAVEL. STAFF WHO TRAVEL TO THIS LOCATION MAY INCLUDE EMPLOYEES LISTED AS OFFICERS AND KEY EMPLOYEES, AS WELL AS PHYSICIANS, NURSES, AND OTHER ADMINISTRATIVE OR PATIENT CARE STAFF. TAX INDEMNIFICATION AND GROSS-UP PAYMENTS ARE DUE TO THE EDUCATION LOAN FORGIVENESS AMOUNT FOR LORI BROWN, SVP AND CNO, BEING GROSSED-UP FOR RELATED INCOME TAXES IN ACCORDANCE WITH HER EMPLOYMENT AGREEMENT. PART I, LINE 4B ARKANSAS CHILDREN'S HOSPITAL HAS SUPPLEMENTAL EXECUTIVE RETIREMENT PLANS TO PROVIDE EXECUTIVES WITH RETIREMENT AND DEATH BENEFITS. THE PLAN IS INTENDED TO CONSTITUTE AN UNFUNDED PLAN FOR A SELECT GROUP OF MANAGEMENT OR HIGHLY COMPENSATED EMPLOYEES WITHIN THE MEANING OF TITLE I OF THE EMPLOYEE RETIREMENT INCOME SECURITY ACT OF 1974, AS AMENDED. DURING THE 2012 TAX YEAR, THE FOLLOWING ACH REPORTABLE INDIVIDUALS WERE ELIGIBLE TO PARTICIPATE: JONATHAN BATES, M.D. PRESIDENT/CEO DAVID BERRY SR. VP/COO SCOTT GORDON EXECUTIVE VP GENA WINGFIELD SR. VP/CFO SCOTT GORDON, EXECUTIVE VP, VESTED IN HIS SUPPLEMENTAL RETIREMENT PLAN AT AGE 63 DUE TO HAVING 20 YEARS OF SERVICE; THEREFORE THE PLAN VALUE WAS TAXABLE INCOME TO HIM AND PAYMENT WAS MADE FROM THE PLAN BENEFIT TO OFFSET THE TAX LIABILITY. THE TAX WITHHOLDING AND APPLICABLE INTEREST ON THE TAX WITHHOLDING AMOUNT WILL BE DEDUCTED FROM THE FINAL PAYMENT OF THE LUMP SUM BENEFIT AMOUNT WHICH IS NOT PAID UNTIL THE EARLIER OF TERMINATION OF EMPLOYMENT OR ATTAINMENT OF NORMAL RETIREMENT AGE OF 65. PART I, LINE 7 A BONUS TO RECOGNIZE PERFORMANCE, PAID AT THE DISCRETION OF THE BOARD OF DIRECTORS, WAS PAID BASED ON CRITERIA INCLUDING PERFORMANCE AND PERIOD OF TIME WORKED DURING THE FISCAL YEAR. FOR ALL EMPLOYEES LISTED AS KEY EMPLOYEES OR OFFICERS, THE BONUS WAS REVIEWED AND APPROVED BY THE COMPENSATION COMMITTEE. SUPPLEMENTAL INFORMATION PART III FORM 990, PART VII, SECTION A, LINE 5: DIRECTORS WILLIAM MORROW, M.D., TIM MARTIN, M.D., AND CHARLES GLASIER, M.D. WERE COMPENSATED BY UAMS AS EMPLOYEES FOR SERVICES RENDERED TO ARKANSAS CHILDREN HOSPITAL (ACH) AND FOR WHICH ACH REMITTED PAYMENT LISTED AS "OTHER COMPENSATION" IN PART VII. DIRECTOR RICHARD JACOBS, M.D., COMPENSATED BY UAMS AS THE CHAIRMAN OF THE UAMS DEPARTMENT OF PEDIATRICS, IS A MEMBER OF VARIOUS ACH ADMINISTRATIVE COMMITTEES; HOWEVER, THE "OTHER COMPENSATION" LISTED IN PART VII IS FOR COMPENSATION FOR HIS ROLE AS PRESIDENT OF THE ARKANSAS CHILDREN'S HOSPITAL RESEARCH INSTITUTE, A RELATED ORGANIZATION. A PULASKI COUNTY ARKANSAS 716006487 745392HD5 2009-05-28 109526869 SEE SCHEDULE K, PART VI. 0 0 0 B PULASKI COUNTY ARKANSAS 716006487 745392GK0 2005-12-08 33917692 SEE SCHEDULE K, PART VI. 0 0 0 C PULASKI COUNTY ARKANSAS 716006487 745392HR4 2010-11-17 31051199 SEE SCHEDULE K, PART VI. 0 0 0 A 8820000 111070517 7398856 439815 1296277 1876252 100097782 2012 0 0 1 1 B 4725000 34659477 307020 603623 33748834 2006 0 0 1 1 C 7555000 31051199 192600 206911 30651688 2010 1 0 1 1 A 0 0 1 1 0 0.00000 0.00000 0 0 1 B 0 0 1 1 0 0.00120 0.00120 0 0 1 A 0 1 0 0 0 0 0 1 1 B 0 0 0 1 0 0 0 0 1 C 0 1 0 0 0 0 0 0 1 A 1 B 1 C 1 SCHEDULE K SUPPLENTAL INFORMATION PART I, LINE A - DESCRIPTION OF PURPOSE. PROCEEDS USED TO ACCOMPLISH THE UTILITY PROJECT AND THE SOUTH WING PROJECT. THE UTILITY PROJECT INCLUDES MAJOR INFRASTRUCTURE IMPROVEMENTS, INCLUDING ADDED CAPACITY FOR THE SOUTH WING. THE SOUTH WING PROJECT IS NEW CONSTRUCTION THAT ADDED APPROXIMATELY 258,034 SQUARE FEET INCLUDING A NEW EMERGENCY DEPARTMENT, ADDITIONAL OUTPATIENT CLINIC AREAS AND A NET ADDITION OF 54 INPATIENT BEDS. PART I, LINE B - DESCRIPTION OF PURPOSE. THE PROJECT GENERALLY INCLUDED THE CONSTRUCTION OF A FOUR STORY PARKING DECK, CONSTRUCTION OF A 116,525 SQUARE FOOT OFFICE BUILDING, THE ACQUISITION OF TWO MAGNETIC RESONANCE IMAGING SYSTEMS, AND THE ACQUISITION OF OPERATING ROOM EQUIPMENT. PART I, LINE C - DESCRIPTION OF PURPOSE. TO REFUND HOSPITAL REVENUE BONDS (ARKANSAS CHILDREN'S HOSPITAL PROJECT), SERIES 2002A AND SERIES 2002B REFUNDING, ISSUED 7/31/2002. PART II, LINE 3, BOND A - TOTAL PROCEEDS DIFFER FROM ISSUE PRICE DUE TO CUMULATIVE INVESTMENT EARNINGS. PART II, LINE 3, BOND B - TOTAL PROCEEDS DIFFER FROM ISSUE PRICE DUE TO CUMULATIVE INVESTMENT EARNINGS. PART II, LINE 4 - THE AMOUNTS SHOWN HERE CONSIST SOLELY OF DEBT SERVICE RESERVE FUNDS. THE ORGANIZATION ALSO HAS THE FOLLOWING AMOUNTS IN BONA FIDE DEBT SERVICE FUNDS AS OF 6/30/2013: SERIES 2009: $2,600,129; SERIES 2005: $723,156; SERIES 2010: $1,630,526. PART IV, LINE 2C, BOND B - DATE OF REPORT WAS 8/3/2010 PART IV, LINE 6, BOND A - SUCH AMOUNTS WERE APPROPRIATELY YIELD RESTRICTED LORI BROWN ADVANCED HEALTHCARE EDUCATION X 71409 23104 0 0 1 23104 WINDSTREAM PERFORMANCE OF SERVICES 1276284 SEE PART V. WINDSTREAM IS A TELECOMMUNICATIONS SERVICES COMPANY AND DIRECTOR JEFF GARDNER IS CHAIRMAN OF THE BOARD OF WINDSTREAM. TRANSACTIONS WITH INTERESTED PERSONS WERE PERFORMED IN ACCORDANCE WITH THE ACH BOARD OF DIRECTORS CONFLICT OF INTEREST POLICY. 0 AT&T PERFORMANCE OF SERVICES 138067 SEE PART V. AT&T IS A TELECOMMUNICATIONS SERVICES COMPANY AND DIRECTOR EDWARD DRILLING IS PRESIDENT OF ARKANSAS AT&T. TRANSACTIONS WITH INTERESTED PERSONS WERE PERFORMED IN ACCORDANCE WITH THE ACH BOARD OF DIRECTORS CONFLICT OF INTEREST POLICY. 0 JENNIFER J BECKIUS FAMILY MEMBER 30573 SEE PART V. JENNIFER J. BECKIUS IS A FAMILY MEMBER OF KEY EMPLOYEE LARRY BECKIUS; HOWEVER, CONSISTENT WITH ARKANSAS CHILDREN'S HOSPITAL POLICY, SHE DOES NOT WORK WITHIN MR. BECKIUS'S LINE OF AUTHORITY. 0 MISTY DAWN BERRY FAMILY MEMBER 59366 SEE PART V. MISTY DAWN BERRY IS A FAMILY MEMBER OF KEY EMPLOYEE DAVID BERRY; HOWEVER, CONSISTENT WITH ARKANSAS CHILDREN'S HOSPITAL POLICY, SHE DOES NOT WORK WITHIN MR. BERRY'S LINE OF AUTHORITY. 0 ALARMCO INC INDIRECT OWNERSHIP 109166 SEE PART V. ALARMCO PROVIDES SALES AND INSTALLATION OF EQUIPMENT. ALARMCO IS MORE THAN 35% OWNED BY A FAMILY MEMBER OF DIRECTOR, BARBARA MOORE. TRANSACATIONS WITH INTERESTED PERSONS WERE PERFORMED IN ACCORDANCE WITH THE ACH BOARD OF DIRECTORS CONFLICT OF INTEREST POLICY. 0 FORM 990, PART VI, SECTION A, LINE 1 THE EXECUTIVE COMMITTEE CONSISTS OF THE CHAIRMAN OF THE ARKANSAS CHILDREN'S HOSPITAL (ACH) BOARD OF DIRECTORS, WHO SERVES AS THE CHAIRMAN OF THE EXECUTIVE COMMITTEE, THE VICE-CHAIRMAN, THE SECRETARY, THE TREASURER, AND THE IMMEDIATE PAST CHAIRMAN OF THE ACH BOARD OF DIRECTORS. IN ADDITION, THE EXECUTIVE COMMITTEE INCLUDES THE VICE-CHAIRMAN OF THE BOARD OF DIRECTORS OF THE ACH FOUNDATION, INC., THE CHAIRMAN OF THE BOARD OF DIRECTORS OF THE ACH RESEARCH INSTITUTE, INC., AND THREE ADDITIONAL MEMBERS OF THE ACH BOARD OF DIRECTORS ELECTED BY THE BOARD AT ITS ANNUAL MEETING FOR THE ELECTION OF DIRECTORS. THE MEDICAL DIRECTOR, THE CHIEF OF STAFF OF ACH, THE UNIVERSITY OF ARKANSAS FOR MEDICAL SCIENCES CHAIRMAN OF THE DEPARTMENT OF PEDIATRICS, AND THE PRESIDENT/CHIEF EXECUTIVE OFFICER SHALL ALSO BE EX-OFFICIO MEMBERS OF THE EXECUTIVE COMMITTEE WITHOUT VOTE. THE EXECUTIVE COMMITTEE SHALL HAVE THE POWER TO TRANSACT ALL REGULAR BUSINESS OF THE HOSPITAL DURING THE PERIOD BETWEEN THE MEETINGS OF THE BOARD, SUBJECT TO ANY PRIOR LIMITATIONS IMPOSED BY THE BOARD AND WITH THE UNDERSTANDING THAT ALL MATTERS OF MAJOR IMPORTANCE WILL BE REFERRED TO THE ACH BOARD OF DIRECTORS. THE EXECUTIVE COMMITTEE SHALL ALSO HAVE FINAL OVERSIGHT OF LONG-RANGE PLANNING ACTIVITIES. IT ALSO SHALL BE RESPONSIBLE FOR REVIEWING LEGAL ACTIVITIES INVOLVING THE HOSPITAL. MINUTES OF THE EXECUTIVE COMMITTEE ARE SUBMITTED TO THE ACH BOARD, AND ITS ACTIONS ARE SUBJECT TO THE APPROVAL OR DISAPPROVAL AS SOON AS IS PRACTICAL AT A REGULAR ACH BOARD MEETING. FORM 990, PART VI, SECTION A, LINE 2 DIRECTORS RICHARD JACOBS, ROBERT MORROW, DANIEL RAHN, CHARLES GLASIER, AND TIM MARTIN WERE ALL EMPLOYEES OF THE UNIVERSITY OF ARKANSAS FOR MEDICAL SCIENCES (UAMS) DURING THE TAX YEAR. FORM 990, PART VI, SECTION A, LINE 3 THE HOSPITAL'S SVP/CHIEF QUALITY 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. AS 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 4 THE ACH BYLAWS WERE UPDATED TO REFLECT THE FOLLOWING CHANGES: - CLARIFICATION THAT DIRECTORS THAT ARE DEFINED AS "DESIGNATED" DO NOT NEED TO BE BROUGHT FORWARD BY THE NOMINATING COMMITTEE AND DO NOT REQUIRE BOARD APPROVAL TO BE CONSIDERED AS SUCH. THESE DIRECTORS ARE IN PLACE BY VIRTUE OF THE OFFICE THAT THEY HOLD. - REVISION OF THE REGULAR MEETING SCHEDULE OF THE BOARD WHICH CALLS FOR MEETINGS TO BE HELD ON THE LAST WEDNESDAY OF EACH MONTH EXCEPT JULY AND DECEMBER. TIMES AND DATES OF ADDITIONAL MEETINGS MAY BE DESIGNATED BY THE CHAIRMAN AS NEEDED. FORM 990, PART VI, SECTION B, LINE 11 HOSPITAL MANAGEMENT REVIEWS THE DRAFT FORM 990 AND RECONCILES IT TO THE HOSPITAL'S INTERNAL FINANCIALS AND CONSOLIDATED AUDIT REPORT. THE REVIEWED DRAFT OF THE FORM 990 IS PRESENTED TO THE FINANCE COMMITTEE BY HOSPITAL MANAGEMENT. IF THE REVIEW BY THE COMMITTEE RESULTS IN REVISIONS TO THE FORM 990, THOSE REVISIONS ARE MADE. THE FORM 990 TO BE FILED IS THEN PROVIDED TO THE ENTIRE BOARD PRIOR TO FILING. FORM 990, PART VI, SECTION B, LINE 12C THE HOSPITAL HAS A BOARD OF DIRECTORS CONFLICT OF INTEREST POLICY THAT IS REVIEWED WITH ALL NEW BOARD MEMBERS DURING THEIR BOARD ORIENTATION. IN ADDITION, PERIODICALLY EXTERNAL COUNSEL WILL REVIEW THE POLICY WITH THE FULL BOARD DURING A REGULAR BOARD MEETING. ANNUAL DISCLOSURE OF POTENTIAL CONFLICTS OR AFFIRMATIVE CONFIRMATION THAT NONE EXIST IS REQUIRED OF ALL BOARD MEMBERS. THE ANNUAL DISCLOSURES ARE REVIEWED AND APPROVED BY A MAJORITY OF THE DISINTERESTED DIRECTORS ON THE EXECUTIVE COMMITTEE. ALL CONFLICT DISCLOSURES ARE THEN COMPILED AND LISTED IN THE BOARD BOOK AT THE NEXT REGULARLY SCHEDULED MEETING. DETERMINATION OF WHETHER A LISTED CONFLICT IS MATERIAL IS DETERMINED BY THE CORPORATE COMPLIANCE OFFICER, WITH ADVICE FROM LEGAL COUNSEL IF STILL UNCERTAIN. DURING THE YEAR, WHILE BOARD MEMBERS MAY PARTICIPATE IN INITIAL DISCUSSION, BOARD MEMBERS WHO HAVE A CONFLICT ARE PROHIBITED FROM PARTICIPATING IN DELIBERATIONS AND DECISIONS IN THE RELATED TRANSACTION AND ABSTAIN FROM VOTING, WHICH IS NOTED IN THE MINUTES. FORM 990, PART VI, SECTION B, LINE 15 COMPENSATION FOR THE ORGANIZATION'S CEO, SENIOR VICE PRESIDENTS, VICE PRESIDENTS, AND KEY EMPLOYEES IS REVIEWED BY THE COMPENSATION COMMITTEE WHICH IS ESTABLISHED THROUGH THE BYLAWS OF ARKANSAS CHILDREN'S HOSPITAL TO DISCHARGE THE DUTY OF THE BOARD IN FULFILLING ITS OVERSIGHT RESPONSIBILITIES FOR DETERMINING THE ADEQUACY AND REASONABLENESS OF THE COMPENSATION PAID THE CEO AND OTHER EMPLOYEES THAT THE COMMITTEE BELIEVES ARE IN A POSITION TO EXERCISE A SUBSTANTIAL INFLUENCE OVER THE AFFAIRS OF THE HOSPITAL. THE COMMITTEE IS COMPOSED OF MEMBERS WHO PERSONALLY RECEIVE NO COMPENSATION, FEES, OR OTHER BENEFITS FROM THE HOSPITAL, RELATED ORGANIZATIONS OR FROM THE UNIVERSITY OF ARKANSAS FOR MEDICAL SCIENCES. THE COMMITTEE MAY RELY UPON REASONED WRITTEN OPINIONS OF QUALIFIED LEGAL, ACCOUNTING, VALUATION AND EXECUTIVE COMPENSATION EXPERTS. THE COMMITTEE HAS THE SOLE AUTHORITY TO RETAIN AND TERMINATE ANY SPECIAL ADVISORS USED TO ASSIST IN THE EVALUATION OF COMPENSATION. THE COMMITTEE CONTEMPORANEOUSLY, WITH MAKING ITS DETERMINATION OF REASONABLENESS WITH RESPECT TO THE COMPENSATION OF DISQUALIFIED PERSONS, DOCUMENTS IN A WRITTEN REPORT TO THE EXECUTIVE COMMITTEE AND THE BOARD, THE BASIS FOR ITS DECISION. FORM 990, PART VI, SECTION C, LINE 19 THE HOSPITAL'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST AS REQUIRED. OTHER FEES FORM 990, PART IX, LINE 11G PHYSICIAN'S REMUNERATION: PROGRAM SERVICE EXPENSES 71,446,707. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 71,446,707. OTHER FEES FOR SERVICE: PROGRAM SERVICE EXPENSES 21,426,758. MANAGEMENT AND GENERAL EXPENSES 7,087,801. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 28,514,559. CHANGES IN NET ASSETS OR FUND BALANCES: FORM 990, PART XI, LINE 9: OTHER ADJUSTMENTS 27,775. ACH FUNDS INVESTED THROUGH ACHF -20,000,000. TRANSFER DUE TO DISSOLUTION OF HOSPITAL FINANCE CORPORATION 152,753. FORM 990, PART XII, LINE 3B THE CONSOLIDATED ORGANIZATION IS REQUIRED TO UNDERGO AN AUDIT AS SET FORTH IN THE SINGLE AUDIT ACT AND OMB CIRCULAR A-133 AND DID UNDERGO THAT REQUIRED AUDIT. ARKANSAS CHILDREN'S HOSPITAL FOUNDATION 1 CHILDRENS WAY LITTLE ROCK AR 72202 710568795 FUNDRAISING AR 501(C)(3) LINE 7 ARKANSAS CHILDREN'S HOSPITAL 1 ARKANSAS CHILDREN'S HOSPITAL RESEARCH INSTITUTE 13 CHILDRENS WAY LITTLE ROCK AR 72202 710694931 RESEARCH AR 501(C)(3) LINE 11A, I ARKANSAS CHILDREN'S HOSPITAL 1 ARKANSAS CHILDREN'S HOSPITAL BUILDING RESEARCH FACILITY INC 1 CHILDRENS WAY LITTLE ROCK AR 72202 911940376 BUILDING MANAGEMENT AR 501(C)(3) LINE 11A, I ARKANSAS CHILDREN'S HOSPITAL 1 ARKANSAS CHILDREN'S HOSPITAL AUXILIARY 1 CHILDRENS WAY LITTLE ROCK AR 72202 710606585 FUNDRAISING AR 501(C)(3) LINE 11A, I ARKANSAS CHILDREN'S HOSPITAL 0 HOSPITAL FINANCE CORPORATION 1 CHILDRENS WAY LITTLE ROCK AR 72202 710443671 COLLECTIONS AR ARKANSAS CHILDREN'S HOSPITAL C -50879 1.00000 1 CHILDREN'S HEALTHCARE SYSTEM INC 1 CHILDRENS WAY LITTLE ROCK AR 72202 586304957 MANAGEMENT SERVICES AR C 8672 787761 0.50000 1 CHILDREN'S HEALTH NETWORK INC 1 CHILDRENS WAY LITTLE ROCK AR 72202 710797428 MANAGEMENT SERVICES AR ARKANSAS CHILDREN'S HOSPITAL C -781 1.00000 1 1 1 1 0 1 0 0 0 0 1 0 1 1 1 1 0 1 1 1 HOSPITAL FINANCE CORPORATION INC A 2592 FMV ARKANSAS CHILDREN'S HOSPITAL FOUNDATION B 1060576 FMV ARKANSAS CHILDREN'S HOSPITAL RESEARCH INSTITUTE B 3496664 FMV ARKANSAS CHILDREN'S HOSPITAL FOUNDATION C 11648678 FMV ARKANSAS CHILDREN'S HOSPITAL FOUNDATION E 145139947 BOOK VALUE ARKANSAS CHILDREN'S HOSPITAL RESEARCH INSTITUTE L 57690 FMV ARKANSAS CHILDREN'S HOSPITAL FOUNDATION M 4753786 COST CHILDREN'S HEALTHCARE SYSTEM INC M 146475 FMV HOSPITAL FINANCE CORPORATION INC M 66697 FMV ARKANSAS CHILDREN'S HOSPITAL FOUNDATION N 1981918 COST ARKANSAS CHILDREN'S HOSPITAL RESEARCH INSTITUTE N 1177456 COST ARKANSAS CHILDREN'S HOSPITAL BUILDING RESEARCH FACILITY INC N 50647 COST ARKANSAS CHILDREN'S HOSPITAL AUXILIARY N 167148 COST HOSPITAL FINANCE CORPORATION INC O 71402 FMV CHILDREN'S HEALTHCARE SYSTEM INC O 180699 FMV ARKANSAS CHILDREN'S HOSPITAL AUXILIARY O 259672 FMV ARKANSAS CHILDREN'S HOSPITAL BUILDING RESEARCH FACILITY INC O 104523 FMV ARKANSAS CHILDREN'S HOSPITAL RESEARCH INSTITUTE O 296110 FMV ARKANSAS CHILDREN'S HOSPITAL AUXILIARY Q 61616 FMV ARKANSAS CHILDREN'S HOSPITAL RESEARCH INSTITUTE Q 966955 FMV ARKANSAS CHILDREN'S HOSPITAL FOUNDATION Q 855202 FMV ARKANSAS CHILDREN'S HOSPITAL FOUNDATION R 20000000 FMV ARKANSAS CHILDREN'S HOSPITAL RESEARCH INSTITUTE S 26184233 FMV ARKANSAS CHILDREN'S HOSPITAL FOUNDATION S 2904213 FMV ARKANSAS CHILDREN'S HOSPITAL BUILDING RESEARCH FACILITY INC S 141118 FMV ARKANSAS CHILDREN'S HOSPITAL AUXILIARY S 1226670 FMV