Form990
Click to see attachment
Department of the Treasury
Internal Revenue Service
Return of Organization Exempt From Income Tax
Under section 501(c), 527, or 4947(a)(1) of the Internal Revenue Code (except black lung benefit trust or private foundation)

MediumBullet The organization may have to use a copy of this return to satisfy state reporting requirements.
OMB No. 1545-0047
2010
Open to Public Inspection
A For the calendar year, or tax year beginning 07-01-2010 and ending 06-30-2011
BCheck if applicable:
CName of organization
ARKANSAS CHILDREN'S HOSPITAL
 
Doing Business As
 
 
Number and street (or P.O. box if mail is not delivered to street address)
1 CHILDRENS WAY
 
Room/suite
City or town, state or country, and ZIP + 4
LITTLE ROCK, AR72202
D Employer identification number

71-0236857
E Telephone number

G Gross receipts $ 509,363,247
F Name and address of principal officer:
JONATHAN BATES MD
1 CHILDRENS WAY
LITTLE ROCK,AR72202
I
Tax-exempt status: (   ) LeftBullet (insert no.) or
J
Website:MediumBullet
WWW.ARCHILDRENS.ORG
H(a)
Is this a group return for
affiliates?
H(b)
Are all affiliates included?
If "No," attach a list. (see instructions)
H(c)
Group exemption number MediumBullet  
K Form of organization:
 
L Year of formation: 1912
M State of legal domicile: AR
Part I
Summary
Activities & Governance 1 Briefly describe the organization’s mission or most significant activities: TO PROVIDE CLINICAL SERVICES TO ENHANCE, SUSTAIN AND RESTORE THE HEALTH AND DEVELOPMENT OF CHILDREN.
2 Check this box MediumBullet
3 Number of voting members of the governing body (Part VI, line 1a) .... 3 31
4 Number of independent voting members of the governing body (Part VI, line 1b) .... 4 24
5 Total number of individuals employed in calendar year 2010 (Part V, line 2a) ... 5 4,784
6 Total number of volunteers (estimate if necessary) .... 6 2,649
7a Total unrelated business revenue from Part VIII, column (C), line 12 .. 7a 0
b Net unrelated business taxable income from Form 990-T, line 34 .. 7b 0
Revenues; Prior Year Current Year
8 Contributions and grants (Part VIII, line 1h) ......... 19,339,155 23,871,841
9 Program service revenue (Part VIII, line 2g) ......... 483,187,652 470,664,466
10 Investment income (Part VIII, column (A), lines 3, 4, and 7d ) .... 5,006,737 4,726,917
11 Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e) 5,543,785 9,902,309
12 Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)................... 513,077,329 509,165,533
Expenses; 13 Grants and similar amounts paid (Part IX, column (A), lines 1–3 )... 8,369,068 10,654,630
14 Benefits paid to or for members (Part IX, column (A), line 4) .... 0 0
15 Salaries, other compensation, employee benefits (Part IX, column (A), lines 5–10) 239,416,113 225,264,429
16a Professional fundraising fees (Part IX, column (A), line 11e).... 0 0
b Total fundraising expenses (Part IX, column (D), line 25) MediumBullet0    
17 Other expenses (Part IX, column (A), lines 11a–11d, 11f–24f).... 222,432,859 224,681,049
18 Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25) 470,218,040 460,600,108
19 Revenue less expenses. Subtract line 18 from line 12...... 42,859,289 48,565,425
Net Assets or Fund Balances; Beginning of Current Year End of Year
20 Total assets (Part X, line 16)............ 658,956,210 691,531,517
21 Total liabilities (Part X, line 26)............ 232,857,759 217,448,680
22 Net assets or fund balances. Subtract line 21 from line 20 ..... 426,098,451 474,082,837
Part II
Signature Block
Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief, it is true, correct, and complete. Declaration of preparer (other than officer) is based on all information of which preparer has any knowledge.
Sign Here
JumboBullet
Signature of officer Date
JumboBullet
Type or print name and title.
Paid Preparer's Use Only Preparer's
signatureBig Right Arrow 		Date
right pointing bullet image Preparer’s taxpayer identification number
(see instructions)
Firm’s name (or yours
if self-employed),
address, and ZIP + 4Big Right Arrow




 		EIN right pointing bullet image
Phone no. right pointing bullet image
May the IRS discuss this return with the preparer shown above? (see instructions) .........
For Privacy Act and Paperwork Reduction Act Notice, see the separate instructions.
Cat. No. 11282Y
Form 990 (2010)
Form 990 (2010)
Page 2
Part III
Statement of Program Service Accomplishments
Check if Schedule O contains a response to any question in this Part III . . . . . . . . . .
1
Briefly describe the organization’s mission: IN ORDER TO ENHANCE, SUSTAIN, AND RESTORE THE HEALTH AND DEVELOPMENT OF CHILDREN, ARKANSAS CHILDREN'S HOSPITAL PROVIDES EXCELLENT CLINICAL SERVICES, TEACHING AND RESEARCH.
2
Did the organization undertake any significant program services during the year which were not listed on
the prior Form 990 or 990-EZ? ....................
If “Yes,” describe these new services on Schedule O.
3
Did the organization cease conducting, or make significant changes in how it conducts, any program services? ..........................
If “Yes,” describe these changes on Schedule O.
4
Describe the exempt purpose achievements for each of the organization’s three largest program services by expenses.
Section 501(c)(3) and 501(c)(4) organizations and section 4947(a)(1) trusts are required to report the amount of grants and allocations to others, the total expenses, and revenue, if any, for each program service reported.
4a (Code:   ) (Expenses $ 399,595,689 including grants of $ 10,654,630 ) (Revenue $ 474,193,687 )
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 THEREFORE PROVIDES SERVICES TO ADULTS AS WELL AS CHILDREN. DURING THE YEAR ENDED JUNE 30, 2011, ACH EXPERIENCED THE FOLLOWING: 14,114 ADMISSIONS WITH AN AVERAGE STAY OF 6.00 DAYS; 81,164 PATIENT DAYS; 222.4 AVERAGE DAILY CENSUS; 306 OPERATING BEDS, INCLUDING 142 INTENSIVE CARE BEDS AND 164 MEDICAL/SURGICAL BEDS; 213,565 OUTPATIENT VISITS, EXCLUDING ER VISITS WHICH WERE 50,524; AND 13,814 SURGERIES INCLUDING 22 HEART TRANSPLANTS AND 7 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. DURING THE YEAR, ACH WAS ALSO DESIGNATED AS THE STATE'S ONLY PEDIATRIC LEVEL 1 TRAUMA CENTER, AN INDICATION THAT IT PROVIDES THE HIGHEST STANDARD OF CARE FOR INJURED CHILDREN.
4b (Code:   ) (Expenses $   including grants of $   ) (Revenue $   )
4c (Code:   ) (Expenses $   including grants of $   ) (Revenue $   )
4d Other program services. (Describe in Schedule O.)
(Expenses $   including grants of $   ) (Revenue $   )
4e Total program service expensesMediumBullet$ 399,595,689
Form 990 (2010)
Form 990 (2010)
Page 3
Part IV
Checklist of Required Schedules
Yes
No
1
Is the organization described in section 501(c)(3) or 4947(a)(1) (other than a private foundation)? If “Yes,” complete Schedule AClick to see attachment.....................
1
Yes
 
2
Is the organization required to complete Schedule B, Schedule of Contributors? Click to see attachment........
2
Yes
 
3
Did the organization engage in direct or indirect political campaign activities on behalf of or in opposition to candidates for public office? If “Yes,” complete Schedule C, Part IClick to see attachment..........
3
 
No
4
Section 501(c)(3) organizations. Did the organization engage in lobbying activities? If “Yes,” complete Schedule C,
Part IIClick to see attachment.........................
4
Yes
 
5
Is the organization a section 501(c)(4), 501(c)(5), or 501(c)(6) organization that receives membership dues, assessments, or similar amounts as defined in Revenue Procedure 98-19? If “Yes,” complete Schedule C, Part III........................
5
 
 
6
Did the organization maintain any donor advised funds or any similar funds or accounts where donors have the right to provide advice on the distribution or investment of amounts in such funds or accounts? If “Yes,” complete
Schedule D, Part IClick to see attachment.......................
6
 
No
7
Did the organization receive or hold a conservation easement, including easements to preserve open space,
the environment, historic land areas or historic structures? If “Yes,” complete Schedule D, Part IIClick to see attachment...
7
 
No
8
Did the organization maintain collections of works of art, historical treasures, or other similar assets? If “Yes,” complete Schedule D, Part III Click to see attachment....................
8
 
No
9
Did the organization report an amount in Part X, line 21; serve as a custodian for amounts not listed in Part X; or provide credit counseling, debt management, credit repair, or debt negotiation services? If “Yes,”
complete Schedule D, Part IVClick to see attachment...................
9
 
No
10
Did the organization, directly or through a related organization, hold assets in term, permanent,or quasi-endowments? If “Yes,” complete Schedule D, Part VClick to see attachment
10
Yes
 
11
If the organization’s answer to any of the following questions is ‘Yes,’ then complete Schedule D, Parts VI, VII, VIII, IX, or X as applicable:
a
Did the organization report an amount for land, buildings, and equipment in Part X, line10? If “Yes,” complete Schedule D, Part VI.Click to see attachment
11a
Yes
 
b
Did the organization report an amount for investments—other securities in Part X, line 12 that is 5% or more of its total assets reported in Part X, line 16? If “Yes,” complete Schedule D, Part VII.Click to see attachment
11b
 
No
c
Did the organization report an amount for investments—program related in Part X, line 13 that is 5% or more of its total assets reported in Part X, line 16? If “Yes,” complete Schedule D, Part VIII.Click to see attachment
11c
 
No
d
Did the organization report an amount for other assets in Part X, line 15 that is 5% or more of its total assets reported in Part X, line 16? If “Yes,” complete Schedule D, Part IX.Click to see attachment
11d
Yes
 
e
Did the organization report an amount for other liabilities in Part X, line 25? If “Yes,” complete Schedule D, Part X.Click to see attachment
11e
 
No
f
Did the organization’s separate or consolidated financial statements for the tax year include a footnote that addresses the organization’s liability for uncertain tax positions under FIN 48 (ASC 740)? If “Yes,” complete Schedule D, Part X.Click to see attachment
11f
 
No
12a
Did the organization obtain separate, independent audited financial statements for the tax year? If “Yes,” complete Schedule D, Parts XI, XII, and XIII Click to see attachment
12a
 
No
b
Was the organization included in consolidated, independent audited financial statements for the tax year? If “Yes,” and if the organization answered ‘No’ to line 12a, then completing Schedule D, Parts XI, XII, and XIII is optional Click to see attachment
12b
Yes
 
13
Is the organization a school described in section 170(b)(1)(A)(ii)? If “Yes,” complete Schedule E
13
 
No
14a
Did the organization maintain an office, employees, or agents outside of the United States?....
14a
 
No
b
Did the organization have aggregate revenues or expenses of more than $10,000 from grantmaking, fundraising, business, and program service activities outside the United States? If “Yes,” complete Schedule F, Part I.........
14b
 
No
15
Did the organization report on Part IX, column (A), line 3, more than $5,000 of grants or assistance to any organization or entity located outside the U.S.? If “Yes,” complete Schedule F, Part II..
15
 
No
16
Did the organization report on Part IX, column (A), line 3, more than $5,000 of aggregate grants or assistance to individuals located outside the U.S.? If “Yes,” complete Schedule F, Part III..
16
 
No
17
Did the organization report a total of more than $15,000, of expenses for professional fundraising services on Part IX, column (A), lines 6 and 11e? If “Yes,” complete Schedule G, Part I
17
 
No
18
Did the organization report more than $15,000 total of fundraising event gross income and contributions on Part VIII, lines 1c and 8a? If “Yes,” complete Schedule G, Part II..........
18
 
No
19
Did the organization report more than $15,000 of gross income from gaming activities on Part VIII, line 9a? If “Yes,” complete Schedule G, Part III...................
19
 
No
Form 990 (2010)
Form 990 (2010)
Page 4
Part IV
Checklist of Required Schedules (continued)
20a
Did the organization operate one or more hospitals? If “Yes,” complete Schedule H..... Click to see attachment
20a
Yes
 
b
Did the organization attach its audited financial statement to this return? Note: All Form 990 filers that operate one or more hospitals must attach audited financial statements. ..... Click to see attachment
20b
Yes
 
21
Did the organization report more than $5,000 of grants and other assistance to governments and organizations in the United States on Part IX, column (A), line 1? If “Yes,” complete Schedule I, Parts I and II.. Click to see attachment
21
Yes
 
22
Did the organization report more than $5,000 of grants and other assistance to individuals in the United States on Part IX, column (A), line 2? If “Yes,” complete Schedule I, Parts I and III..... Click to see attachment
22
Yes
 
23
Did the organization answer “Yes” to Part VII, Section A, questions 3, 4, or 5, about compensation of the organization’s current and former officers, directors, trustees, key employees, and highest compensated employees? If “Yes,” complete Schedule J................ Click to see attachment
23
Yes
 
24a
Did the organization have a tax-exempt bond issue with an outstanding principal amount of more than $100,000 as of the last day of the year, that was issued after December 31, 2002? If “Yes,” answer questions 24b–24d and complete Schedule K. If “No,” go to line 25................ Click to see attachment
24a
Yes
 
b
Did the organization invest any proceeds of tax-exempt bonds beyond a temporary period exception?...
24b
 
No
c
Did the organization maintain an escrow account other than a refunding escrow at any time during the year
to defease any tax-exempt bonds?......................
24c
 
No
d
Did the organization act as an “on behalf of” issuer for bonds outstanding at any time during the year?...
24d
 
No
25a
Section 501(c)(3) and 501(c)(4) organizations. Did the organization engage in an excess benefit transaction with a disqualified person during the year? If “Yes,” complete Schedule L, Part I...... Click to see attachment
25a
 
No
b
Is the organization aware that it engaged in an excess benefit transaction with a disqualified person in a prior year, and that the transaction has not been reported on any of the organization’s prior Forms 990 or 990-EZ? If “Yes,” complete Schedule L, Part I................ Click to see attachment
25b
 
No
26
Was a loan to or by a current or former officer, director, trustee, key employee, highly compensated employee, or disqualified person outstanding as of the end of the organization’s tax year? If “Yes,” complete Schedule L,
Part II........................... Click to see attachment
26
Yes
 
27
Did the organization provide a grant or other assistance to an officer, director, trustee, key employee, substantial contributor, or a grant selection committee member, or to a person related to such an individual? If “Yes,” complete Schedule L, Part III............... Click to see attachment
27
 
No
28
Was the organization a party to a business transaction with one of the following parties? (see Schedule L, Part IV instructions for applicable filing thresholds, conditions, and exceptions):
a
A current or former officer, director, trustee, or key employee? If “Yes,” complete Schedule L, Part IV ......................... Click to see attachment
28a
 
No
b
A family member of a current or former officer, director, trustee, or key employee? If “Yes,”
complete Schedule L, Part IV................... Click to see attachment
28b
Yes
 
c
An entity of which a current or former officer, director, trustee, or key employee (or a family member thereof) was an officer, director, trustee, or owner? If “Yes,” complete Schedule L, Part IV.. Click to see attachment
28c
Yes
 
29
Did the organization receive more than $25,000 in non-cash contributions? If “Yes,” complete Schedule M
29
 
No
30
Did the organization receive contributions of art, historical treasures, or other similar assets, or qualified conservation contributions? If “Yes,” complete Schedule M............
30
 
No
31
Did the organization liquidate, terminate, or dissolve and cease operations? If “Yes,” complete Schedule N,
Part I...........................
31
 
No
32
Did the organization sell, exchange, dispose of, or transfer more than 25% of its net assets? If “Yes,” complete Schedule N, Part II.......................
32
 
No
33
Did the organization own 100% of an entity disregarded as separate from the organization under Regulations sections 301.7701-2 and 301.7701-3? If “Yes,” complete Schedule R, Part I........ Click to see attachment
33
 
No
34
Was the organization related to any tax-exempt or taxable entity? If “Yes,” complete Schedule R, Parts II, III, IV, and V, line 1..................... Click to see attachment
34
Yes
 
35
Is any related organization a controlled entity within the meaning of section 512(b)(13)? .....
35
Yes
 
a
Did the organization receive any payment from or engage in any transaction with a controlled entity within the meaning of section 512(b)(13)? If “Yes,” complete Schedule R, Part V, line 2... Click to see attachment
36
Section 501(c)(3) organizations. Did the organization make any transfers to an exempt non-charitable related organization? If “Yes,” complete Schedule R, Part V, line 2........... Click to see attachment
36
 
No
37
Did the organization conduct more than 5% of its activities through an entity that is not a related organization and that is treated as a partnership for federal income tax purposes? If “Yes,” complete Schedule R, Part VIClick to see attachment
37
 
No
38
Did the organization complete Schedule O and provide explanations in Schedule O for Part VI, lines 11 and 19? Note. All Form 990 filers are required to complete Schedule O. ............
38
Yes
 
Form 990 (2010)
Form 990 (2010)
Page 5
Part V
Statements Regarding Other IRS Filings and Tax Compliance
Check if Schedule O contains a response to any question in this Part V . . . . . . . . . .
Yes
No
1a
Enter the number reported in Box 3 of Form 1096. Enter -0- if not applicable. .......
1a
218
b
Enter the number of Forms W-2G included in line 1a. Enter -0- if not applicable.
1b
0
c
Did the organization comply with backup withholding rules for reportable payments to vendors and reportable gaming (gambling) winnings to prize winners? ..................
1c
 
 
2a
Enter the number of employees reported on Form W-3, Transmittal of Wage and Tax Statements filed for the calendar year ending with or within the year covered by this return .....................
2a
4,784
b
If at least one is reported on line 2a, did the organization file all required federal employment tax returns?

Note. If the sum of lines 1a and 2a is greater than 250, you may be required to e-file. (see instructions)
2b
Yes
 
3a
Did the organization have unrelated business gross income of $1,000 or more during the year?.............................
3a
 
No
b
If “Yes,” has it filed a Form 990-T for this year? If “No,” provide an explanation in Schedule O.....
3b
 
 
4a
At any time during the calendar year, did the organization have an interest in, or a signature or other authority over, a financial account in a foreign country (such as a bank account or securities account)?.......................
4a
 
No
b
If "Yes," enter the name of the foreign country: MediumBullet
See instructions for filing requirements for Form TD F 90-22.1, Report of Foreign Bank and Financial Accounts.
5a
Was the organization a party to a prohibited tax shelter transaction at any time during the tax year?..
5a
 
No
b
Did any taxable party notify the organization that it was or is a party to a prohibited tax shelter transaction?
5b
 
No
c
If “Yes” to line 5a or 5b, did the organization file Form 8886-T? ........
5c
 
 
6a
Does the organization have annual gross receipts that are normally greater than $100,000, and did the organization solicit any contributions that were not tax deductible?..........
6a
 
No
b
If “Yes,” did the organization include with every solicitation an express statement that such contributions or gifts were not tax deductible?........................
6b
 
 
7
Organizations that may receive deductible contributions under section 170(c).
a
Did the organization receive a payment in excess of $75 made partly as a contribution and partly for goods and services provided to the payor?....................
7a
 
No
b
If “Yes,” did the organization notify the donor of the value of the goods or services provided?.....
7b
 
 
c
Did the organization sell, exchange, or otherwise dispose of tangible personal property for which it was required to file Form 8282?...........................
7c
 
No
d
If “Yes,” indicate the number of Forms 8282 filed during the year ....
7d
 
e
Did the organization receive any funds, directly or indirectly, to pay premiums on a personal benefit contract?..........................
7e
 
No
f
Did the organization, during the year, pay premiums, directly or indirectly, on a personal benefit contract?..
7f
 
No
g
If the organization received a contribution of qualified intellectual property, did the organization file Form 8899 as required?...................
7g
 
 
h
If the organization received a contribution of cars, boats, airplanes, or other vehicles, did the organization file a Form 1098-C?...............
7h
 
 
8
Sponsoring organizations maintaining donor advised funds and section 509(a)(3) supporting organizations. Did the supporting organization, or a donor advised fund maintained by a sponsoring organization, have excess business holdings at any time during the year?................
8
 
 
9
Sponsoring organizations maintaining donor advised funds.
a
Did the organization make any taxable distributions under section 4966?.........
9a
 
 
b
Did the organization make a distribution to a donor, donor advisor, or related person?......
9b
 
 
10
Section 501(c)(7) organizations. Enter:
a
Initiation fees and capital contributions included on Part VIII, line 12 ...
10a
 
b
Gross receipts, included on Form 990, Part VIII, line 12, for public use of club facilities
10b
 
11
Section 501(c)(12) organizations. Enter:
a
Gross income from members or shareholders .........
11a
 
b
Gross income from other sources (Do not net amounts due or paid to other sources against amounts due or received from them.) ........
11b
 
12a
Section 4947(a)(1) non-exempt charitable trusts. Is the organization filing Form 990 in lieu of Form 1041?
12a
 
 
b
If “Yes,” enter the amount of tax-exempt interest received or accrued during the year.
12b
 
13
Section 501(c)(29) qualified nonprofit health insurance issuers.
a
Is the organization licensed to issue qualified health plans in more than one state?
Note. All 501(c)(29) organizations must list in Schedule O each state in which they are licensed to issue qualified health plans, the amount of reserves required by each state, and the amount of reserves the organization allocated to each state.
13a
 
 
b
Enter the aggregate amount of reserves the organization is required to maintain by the states in which the organization is licensed to issue qualified health plans.
13b
 
c
Enter the aggregate amount of reserves on hand.
13c
 
14a
Did the organization receive any payments for indoor tanning services during the tax year?.....
14a
 
 
b
If "Yes," has it filed a Form 720 to report these payments? If “No,” provide an explanation in Schedule O..
14b
 
 
Form 990 (2010)
Form 990 (2010)
Page 6
Part VI
Governance, Management, and Disclosure For each “Yes” response to lines 2 through 7b below, and for a “No” response to lines 8a, 8b, or 10b below, describe the circumstances, processes, or changes in Schedule O. See instructions.
Check if Schedule O contains a response to any question in this Part VI . . . . . . . . . .
Section A. Governing Body and Management
Yes
No
1a
Enter the number of voting members of the governing body at the end of the tax year ..............
1a
31
b
Enter the number of voting members included in line 1a, above, who are independent .................
1b
24
2
Did any officer, director, trustee, or key employee have a family relationship or a business relationship with any other officer, director, trustee, or key employee? .................
2
Yes
 
3
Did the organization delegate control over management duties customarily performed by or under the direct supervision of officers, directors or trustees, or key employees to a management company or other person? ..
3
Yes
 
4
Did the organization make any significant changes to its governing documents since the prior Form 990 was filed?
4
Yes
 
5
Did the organization become aware during the year of a significant diversion of the organization’s assets? .
5
 
No
6
Does the organization have members or stockholders? ................
6
 
No
7a
Does the organization have members, stockholders, or other persons who may elect one or more members of the governing body? .........................
7a
 
No
b
Are any decisions of the governing body subject to approval by members, stockholders, or other persons? ..
7b
 
No
8
Did the organization contemporaneously document the meetings held or written actions undertaken during the year by the following:
a
The governing body? .........................
8a
Yes
 
b
Each committee with authority to act on behalf of the governing body? ............
8b
Yes
 
9
Is there any officer, director, trustee, or key employee listed in Part VII, Section A, who cannot be reached at the organization’s mailing address? If “Yes,” provide the names and addresses in Schedule O .....
9
 
No
Section B. Policies (This Section B requests information about policies not required by the Internal
Revenue Code.)
Yes
No
10a
Does the organization have local chapters, branches, or affiliates? ............
10a
 
No
b
If “Yes,” does the organization have written policies and procedures governing the activities of such chapters, affiliates, and branches to ensure their operations are consistent with those of the organization? ....
10b
 
 
11a
Has the organization provided a copy of this Form 990 to all members of its governing body before filing the form?
11a
Yes
 
b
Describe in Schedule O the process, if any, used by the organization to review the Form 990. .....
12a
Does the organization have a written conflict of interest policy? If “No,” go to line 13.......
12a
Yes
 
b
Are officers, directors or trustees, and key employees required to disclose annually interests that could give rise to conflicts? ...........................
12b
Yes
 
c
Does the organization regularly and consistently monitor and enforce compliance with the policy? If “Yes,” describe in Schedule O how this is done ....................
12c
Yes
 
13
Does the organization have a written whistleblower policy? ...............
13
Yes
 
14
Does the organization have a written document retention and destruction policy? .........
14
Yes
 
15
Did the process for determining compensation of the following persons include a review and approval by independent persons, comparability data, and contemporaneous substantiation of the deliberation and decision?
a
The organization’s CEO, Executive Director, or top management official ...........
15a
Yes
 
b
Other officers or key employees of the organization ................
15b
Yes
 
If "Yes" to line a or b, describe the process in Schedule O. (See instructions.)
16a
Did the organization invest in, contribute assets to, or participate in a joint venture or similar arrangement with a taxable entity during the year? ......................
16a
Yes
 
b
If “Yes,” has the organization adopted a written policy or procedure requiring the organization to evaluate its participation in joint venture arrangements under applicable federal tax law, and taken steps to safeguard the organization’s exempt status with respect to such arrangements? ............
16b
Yes
 
Section C. Disclosure
17
List the States with which a copy of this Form 990 is required to be filedMediumBullet
AR
18
Section 6104 requires an organization to make its Form 1023 (or 1024 if applicable), 990, and 990-T (501(c)(3)s only) available for public inspection. Indicate how you make these available. Check all that apply.
19
Describe in Schedule O whether (and if so, how), the organization makes its governing documents, conflict of interest policy, and financial statements available to the public.
20
State the name, physical address, and telephone number of the person who possesses the books and records of the organization: MediumBullet
GENA WINGFIELD
1 CHILDRENS WAY
LITTLE ROCK,AR72202
(501) 364-2555
Form 990 (2010)
Form 990 (2010)
Page 7
Part VII
Compensation of Officers, Directors,Trustees, Key Employees, Highest Compensated Employees, and Independent Contractors
Check if Schedule O contains a response to any question in this Part VII . . . . . . . . . .
Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees
1a Complete this table for all persons required to be listed. Report compensation for the calendar year ending with or within the organization’s tax year.
RoundBullet List all of the organization’s current officers, directors, trustees (whether individuals or organizations), regardless of amount
of compensation, and current key employees. Enter -0- in columns (D), (E), and (F) if no compensation was paid.

RoundBullet List all of the organization’s current key employees, if any. See instructions for definition of "key employee."
RoundBullet List the organization’s five current highest compensated employees (other than an officer, director, trustee or key employee)
who received reportable compensation (Box 5 of Form W-2 and/or Box 7 of Form 1099-MISC) of more than $100,000 from the
organization and any related organizations.

RoundBullet List all of the organization’s former officers, key employees, or highest compensated employees who received more than $100,000
of reportable compensation from the organization and any related organizations.

RoundBullet List all of the organization’s former directors or trustees that received, in the capacity as a former director or trustee of the
organization, more than $10,000 of reportable compensation from the organization and any related organizations.

List persons in the following order: individual trustees or directors; institutional trustees; officers; key employees; highest
compensated employees; and former such persons.
Check this box if neither the organization nor any related organizations compensated any current or former officer, director, or trustee.
(A)
Name and Title 		(B)
Average hours per week (describe hours for related organizations in Schedule O) 		(C)
Position (check all that apply) 		(D)
Reportable compensation from the organization (W- 2/1099-MISC) 		(E)
Reportable compensation from related organizations (W- 2/1099-MISC) 		(F)
Estimated amount of other compensation from the organization and related organizations
Individual Trustee or Director; Institutional Trustee; Officer; Key Employee; Highest compensated employee; Former;
(1) JONATHAN BATES MD
PRESIDENT AND CEO
 40.00 X   X       521,420 0 92,262
(2) DORSEY JACKSON
CHAIRMAN OF THE BOARD
 2.00 X   X       0 0 0
(3) TOM BAXTER
VICE CHAIRMAN
 1.30 X   X       0 0 0
(4) J FRENCH HILL
SECRETARY
 .50 X   X       0 0 0
(5) PAUL R HART
TREASURER
 1.00 X   X       0 0 0
(6) JOHN BALE JR
TRUSTEE/DIRECTOR
 .40 X           0 0 0
(7) CHARLES M BOWER MD
TRUSTEE/DIRECTOR
 1.10 X           0 0 25,000
(8) PATRICK H CASEY MD
TRUSTEE/DIRECTOR
 .40 X           0 0 44,246
(9) RON CLARK
TRUSTEE/DIRECTOR
 .70 X           0 0 0
(10) HASKELL DICKINSON
TRUSTEE/DIRECTOR
 .40 X           0 0 0
(11) EDWARD DRILLING
TRUSTEE/DIRECTOR
 .30 X           0 0 0
(12) HARRY C ERWIN III
TRUSTEE/DIRECTOR
 .50 X           0 0 0
(13) BEVERLY FITZPATRICK
TRUSTEE/DIRECTOR
 .30 X           0 0 0
(14) JEFF GARDNER
TRUSTEE/DIRECTOR
 .30 X           0 0 0
(15) JAMES HARKINS
TRUSTEE/DIRECTOR
 .80 X           0 0 0
(16) MARY HEALEY
TRUSTEE/DIRECTOR PARTIAL YEAR
 0.00 X           0 0 0
(17) JUDGE MARION HUMPHREY
TRUSTEE/DIRECTOR
 .50 X           0 0 0
Form 990 (2010)
Form 990 (2010)
Page 8
Part VII
Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees (continued)
(A)
Name and Title 		(B)
Average hours per week (describe hours for related organizations in Schedule O) 		(C)
Position (check all that apply) 		(D)
Reportable compensation from the organization (W- 2/1099-MISC) 		(E)
Reportable compensation from related organizations (W- 2/1099-MISC) 		(F)
Estimated amount of other compensation from the organization and related organizations
Individual Trustee or Director; Institutional Trustee; Officer; Key Employee; Highest compensated employee; Former;
(18) RICHARD JACOBS MD
ACHRI PRESIDENT
 8.00 X           0 0 180,574
(19) ROBIN LOCKHART
TRUSTEE/DIRECTOR
 .50 X           0 0 0
(20) DIANE MACKEY
TRUSTEE/DIRECTOR
 1.20 X           0 0 0
(21) HOLLY MARR
TRUSTEE/DIRECTOR
 .70 X           0 0 0
(22) MARK MCCASLIN
TRUSTEE/DIRECTOR
 .50 X           0 0 0
(23) PAT MCCLELLAND
TRUSTEE/DIRECTOR
 1.20 X           0 0 0
(24) BARBARA G MOORE
TRUSTEE/DIRECTOR
 .90 X           0 0 0
(25) BEVERLY A MORROW
TRUSTEE/DIRECTOR
 .70 X           0 0 0
(26) W ROBERT MORROW
MEDICAL DIRECTOR PARTIAL YEAR
 40.00 X   X       0 0 0
(27) JEFFREY NOLAN
TRUSTEE/DIRECTOR
 .50 X           0 0 0
(28) DANIEL RAHN MD
TRUSTEE/DIRECTOR
 .40 X           0 0 0
(29) JAMES SKIP RUTHERFORD
TRUSTEE/DIRECTOR
 .50 X           0 0 0
(30) MARK SAVIERS
TRUSTEE/DIRECTOR
 .90 X           0 0 0
(31) PHILIP W SCHMIDT
TRUSTEE/DIRECTOR
 .30 X           0 0 0
(32) BONNIE TAYLOR MD
MEDICAL DIRECTOR PARTIAL YEAR
 40.00 X   X       0 0 200,347
(33) EVERETT TUCKER III
TRUSTEE/DIRECTOR PARTIAL YEAR
 0.00 X           0 0 0
(34) CHARLES B WHITESIDE III
TRUSTEE/DIRECTOR
 .90 X           0 0 0
(35) GENA WINGFIELD
SVP AND CFO
 40.00     X       397,669 0 38,759
(36) CHARLES LARRY BECKIUS
VP FACILITIES
 40.00       X     183,283 0 19,092
(37) DAVID BERRY
SVP AND COO
 40.00       X     391,484 0 52,727
(38) LORI BROWN
CHIEF NURSING OFFICER
 40.00       X     263,384 0 20,346
(39) SCOTT GORDON
EXECUTIVE VICE PRESIDENT
 40.00       X     363,925 0 176,201
(40) CYNTHIA HOLLAND
VP ANCILLARY SERVICES
 40.00       X     187,253 0 20,101
(41) DARRELL LEONHARDT
CHIEF INFORMATION OFFICER
 40.00       X     248,241 0 21,844
(42) MARY MCDANIEL
VP PATIENT CARE SERVICES
 40.00       X     159,959 0 12,584
(43) MARY SALASSI-SCOTTER
VP PATIENT CARE SERVICES
 40.00       X     156,638 0 17,624
(44) CAROLE ZYLMAN
SVP, MEDICAL SERVICES
 40.00       X     214,804 0 21,908
(45) KATHERINE BRANDON
VP PATIENT CARE SERVICES
 40.00       X     151,111 0 10,732
(46) SHERRY FURR
CHIEF COUNSEL
 40.00         X   219,662 0 18,856
(47) JAMES KOONCE
DENTIST
 40.00         X   337,681 0 20,872
(48) KIRT SIMMONS
ORTHODONIST
 40.00         X   230,929 0 24,149
(49) DAVID HIGGINSON
CHIEF INFORMATION TECHNOLOGY OFFICER
 40.00         X   206,620 0 17,965
(50) ANDREE TROSCLAIR
VP OF HUMAN RESOURCES
 40.00         X   201,457 0 18,512
1b Sub-Total................MediumBullet
c Total from continuation sheets to Part VII, Section A....MediumBullet
d Total (add lines 1b and 1c)............MediumBullet 4,435,520 0 1,054,701
2
Total number of individuals (including but not limited to those listed above) who received more than $100,000 in reportable compensation from the organizationMediumBullet199
Yes
No
3
Did the organization list any former officer, director or trustee, key employee, or highest compensated employee on line 1a? If “Yes,” complete Schedule J for such individual .............
3
 
No
4
For any individual listed on line 1a, is the sum of reportable compensation and other compensation from the organization and related organizations greater than $150,000? If “Yes,” complete Schedule J for such individual...........................
4
Yes
 
5
Did any person listed on line 1a receive or accrue compensation from any unrelated organization or individual for services rendered to the organization? If “Yes,” complete Schedule J for such person .....
5
Yes
 
Section B. Independent Contractors
1
Complete this table for your five highest compensated independent contractors that received more than $100,000 of compensation from the organization.
(A)
Name and business address 		(B)
Description of services 		(C)
Compensation
UNIVERSITY OF ARKANSAS FOR MEDICAL SCIEN
4301 WEST MARKHAM
LITTLE ROCK,AR72205 		MEDICAL SERVICES 53,745,046
NABHOLZ CONSTRUCTION CORP
PO BOX 2090
CONWAY,AR72033 		GENERAL CONSTRUCTION CONTRACTOR 37,460,481
MUNROE-MEYER INSTITUTE
985450 NEBRASKA MEDICAL CENTER
OMAHA,NE68198 		LAB SERVICES 2,671,990
BLUEADVANTAGE ADMINISTRATORS OF ARKANSAS
PO BOX 1460
LITTLE ROCK,AR72203 		HEALTH INSURANCE PLAN ADMINISTRATOR 1,248,042
HELICOPTER SUPPORT INC
124 QUARRY ROAD
TRUMBULL,CT06611 		HELICOPTER MAINTENANCE SUPPORT 1,168,976
2
Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 in compensation from the organization MediumBullet96
Form 990 (2010)
Form 990 (2010)
Page 9
Part VIII
Statement of Revenue
(A)
Total revenue 		(B)
Related or
exempt
function
revenue 		(C)
Unrelated
business
revenue 		(D)
Revenue
excluded from
tax under sections
512, 513, or 514
Contributions, gifts, grants and other similar amounts 1a Federated campaigns..1a  
b Membership dues....1b  
c Fundraising events....1c  
d Related organizations...1d 12,090,351
e Government grants (contributions)1e 11,781,490
f All other contributions, gifts, grants, and
similar amounts not included above1f 		 
g Noncash contributions included in lines 1a-1f:$ 3,000
h Total. Add lines 1a-1f.......MediumBullet 23,871,841
Program Service Revenue Business Code
2a PAYMENTS FOR MED SVCS 900,099 470,664,466 470,664,466    
b
c
d
e
f All other program service revenue .        
g Total. Add lines 2a–2f........MediumBullet 470,664,466
Other Revenue 3 Investment income (including dividends, interest
and other similar amounts).....MediumBullet 4,813,807     4,813,807
4 Income from investment of tax-exempt bond proceeds..MediumBullet        
5 Royalties............MediumBullet 5,000 5,000    
(i) Real (ii) Personal
6a Gross Rents 9,735  
b Less: rental expenses 4,347  
c Rental income or (loss) 5,388  
d Net rental income or (loss).......MediumBullet 5,388     5,388
(i) Securities (ii) Other
7a Gross amount from sales of assets other than inventory   106,477
b Less: cost or other basis and sales expenses   193,367
c Gain or (loss)   -86,890
d Net gain or (loss)..........MediumBullet -86,890 -86,890    
8a Gross income from fundraising events (not including
$  
of contributions reported on line 1c). See Part IV, line 18 ...
a  
b Less: direct expenses ...b  
c Net income or (loss) from fundraising events..MediumBullet      
9a Gross income from gaming activities.
See Part IV, line 19 ...
a  
b Less: direct expenses ...b  
c Net income or (loss) from gaming activities...MediumBullet        
10a Gross sales of inventory, less
returns and allowances .
a  
b Less: cost of goods sold ..b  
c Net income or (loss) from sales of inventory..MediumBullet        
Miscellaneous Revenue Business Code
11a NUTRITIONAL SERVICES 900,099 3,863,124     3,863,124
b CHILD ENRICHMENT 900,099 1,231,276     1,231,276
c RENT 900,099 1,186,410     1,186,410
d All other revenue .... 3,611,111 3,611,111    
e Total. Add lines 11a–11d ......MediumBullet 9,891,921
12 Total revenue. See Instructions....MediumBullet 509,165,533 474,193,687 0 11,100,005
Form 990 (2010)
Form 990 (2010)
Page 10
Part IX
Statement of Functional Expenses
Section 501(c)(3) and 501(c)(4) organizations must complete all columns. All other organizations must complete column (A) but are not required to complete columns (B), (C), and (D).
Do not include amounts reported on lines 6b,
7b, 8b, 9b, and 10b of Part VIII. 		(A)
Total expenses 		(B)
Program service expenses 		(C)
Management and general expenses 		(D)
Fundraising expenses
1 Grants and other assistance to governments and organizations in the U.S. See Part IV, line 21 10,337,557 10,337,557
2 Grants and other assistance to individuals in the U.S. See Part IV, line 22 317,073 317,073
3 Grants and other assistance to governments, organizations, and individuals outside the U.S. See Part IV, lines 15 and 16    
4 Benefits paid to or for members    
5 Compensation of current officers, directors, trustees, and key employees .... 4,366,435 1,845,542 2,520,893  
6 Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) ....        
7 Other salaries and wages 183,841,812 154,342,430 29,499,382  
8 Pension plan contributions (include section 401(k) and section 403(b) employer contributions) .... 7,298,386 6,042,466 1,255,920  
9 Other employee benefits ....... 15,387,475 14,102,613 1,284,862  
10 Payroll taxes ........... 14,370,321 11,897,448 2,472,873  
11 Fees for services (non-employees):        
a Management ...... 2,069,654 1,142,910 926,744  
b Legal ......... 232,674   232,674  
c Accounting ........... 192,811   192,811  
d Lobbying ........... 84,485 84,485    
e Professional fundraising. See Part IV, line 17..    
f Investment management fees ......        
g Other .......... 95,727,771 92,330,181 3,397,590  
12 Advertising and promotion .... 662,698 566,912 95,786  
13 Office expenses ....... 10,674,538 6,531,832 4,142,706  
14 Information technology ...... 7,975,995 3,830,069 4,145,926  
15 Royalties ..        
16 Occupancy ........... 4,645,693 4,056,864 588,829  
17 Travel ............ 1,094,629 779,782 314,847  
18 Payments of travel or entertainment expenses for any federal, state, or local public officials ......        
19 Conferences, conventions, and meetings .... 71,313 54,207 17,106  
20 Interest ........... 2,775,048   2,775,048  
21 Payments to affiliates .......        
22 Depreciation, depletion, and amortization ..... 19,654,764 15,075,566 4,579,198  
23 Insurance .............. 1,974,544 339,451 1,635,093  
24 Other expenses. Itemize expenses not covered above. (Expenses grouped together and labeled miscellaneous may not exceed 5% of total expenses shown on line 25 below.)
a MEDICAL SUPPLIES 62,376,589 62,376,589    
b FIXED ASSET IMPAIRMENT 2,406,333 2,406,333    
c PROVISION FOR BAD DEBT 2,029,368 2,029,368    
d MINOR EQUIPMENT 1,657,981 1,183,822 474,159  
e
f All other expenses 8,374,161 7,922,189 451,972  
25 Total functional expenses. Add lines 1 through 24f 460,600,108 399,595,689 61,004,419 0
26 Joint costs. Check here MediumBullet if following
SOP 98-2 (ASC 958-720). Complete this line only if the organization reported in column (B) joint costs from a combined educational campaign and fundraising solicitation 		       
Form 990 (2010)
Form 990 (2010)
Page 11
Part X Balance Sheet
(A)
Beginning of year 		(B)
End of year
Assets 1 Cash—non-interest-bearing .......... 11,647 1 11,840
2 Savings and temporary cash investments ....... 37,381,035 2 65,992,947
3 Pledges and grants receivable, net .........   3  
4 Accounts receivable, net ......... 51,105,818 4 52,518,932
5 Receivables from current and former officers, directors, trustees, key employees, and highest compensated employees. Complete Part II of
Schedule L ..........   5 24,788
6 Receivables from other disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B). Complete Part II of
Schedule L ..........   6 12,500
7 Notes and loans receivable, net .............   7  
8 Inventories for sale or use .............. 7,468,951 8 7,406,554
9 Prepaid expenses and deferred charges ............ 2,740,113 9 3,034,964
10a Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D 10a 457,861,401
b Less: accumulated depreciation. ..... 10b 211,022,425 212,920,259 10c 246,838,976
11 Investments—publicly traded securities .......... 171,364,568 11 204,254,864
12 Investments—other securities. See Part IV, line 11 ...... 443,406 12 457,790
13 Investments—program-related. See Part IV, line 11 .. 701,502 13 891,021
14 Intangible assets .........   14  
15 Other assets. See Part IV, line 11 ........... 174,818,911 15 110,086,341
16 Total assets. Add lines 1 through 15 (must equal line 34)... 658,956,210 16 691,531,517
Liabilities 17 Accounts payable and accrued expenses . 54,784,798 17 51,813,008
18 Grants payable ..........   18  
19 Deferred revenue ..........   19  
20 Tax-exempt bond liabilities .......... 178,072,961 20 165,635,672
21 Escrow or custodial account liability. Complete Part IV of Schedule D..   21  
22 Payables to current and former officers, directors, trustees, key
employees, highest compensated employees, and disqualified
persons. Complete Part II of Schedule L..........   22  
23 Secured mortgages and notes payable to unrelated third parties ..   23  
24 Unsecured notes and loans payable to unrelated third parties ....   24  
25 Other liabilities. Complete Part X of Schedule D.....   25  
26 Total liabilities. Add lines 17 through 25..... 232,857,759 26 217,448,680
Net Assets or Fund Balance Organizations that follow SFAS 117, check here MediumBullet and complete lines 27 through 29, and lines 33 and 34.
27 Unrestricted net assets ..... 410,919,546 27 454,489,779
28 Temporarily restricted net assets ..... 15,178,905 28 19,593,058
29 Permanently restricted net assets .....   29  
Organizations that do not follow SFAS 117, check here MediumBullet and complete lines 30 through 34.
30 Capital stock or trust principal, or current funds .....   30  
31 Paid-in or capital surplus, or land, building or equipment fund .....   31  
32 Retained earnings, endowment, accumulated income, or other funds   32  
33 Total net assets or fund balances ..... 426,098,451 33 474,082,837
34 Total liabilities and net assets/fund balances ..... 658,956,210 34 691,531,517
Form 990 (2010)
Form 990 (2010)
Page 12
Part XI
Reconcilliation of Net Assets
Check if Schedule O contains a response to any question in this Part XI . . . . . . . . . .
1
Total revenue (must equal Part VIII, column (A), line 12) . . .
1
509,165,533
2
Total expenses (must equal Part IX, column (A), line 25) . . . . .
2
460,600,108
3
Revenue less expenses. Subtract line 2 from line 1 . . . .
3
48,565,425
4
Net assets or fund balances at beginning of year (must equal Part X, line 33, column (A)) . .
4
426,098,451
5
Other changes in net assets or fund balances (explain in Schedule O) . . . .
5
-581,039
6
Net assets or fund balances at end of year. Combine lines 3, 4, and 5 (must equal Part X, line 33, column (B)) . . . . . .
6
474,082,837
Part XII
Financial Statements and Reporting
Check if Schedule O contains a response to any question in this Part XII . . . . . . . . . .
Yes
No
1
Accounting method used to prepare the Form 990:  
If the organization changed its method of accounting from a prior year or checked "Other," explain in
Schedule O.
2a
Were the organization’s financial statements compiled or reviewed by an independent accountant?..
2a
 
No
b
Were the organization’s financial statements audited by an independent accountant?........
2b
Yes
 
c
If “Yes,” to 2a or 2b, does the organization have a committee that assumes responsibility for oversight of the audit, review, or compilation of its financial statements and selection of an independent accountant?
If the organization changed either its oversight process or selection process during the tax year, explain in Schedule O............................
2c
Yes
 
d
If “Yes” to line 2a or 2b, check a box below to indicate whether the financial statements for the year were issued on a separate basis, consolidated basis, or both:
3a
As a result of a federal award, was the organization required to undergo an audit or audits as set forth in the Single Audit Act and OMB Circular A-133? ................
3a
Yes
 
b
If “Yes,” did the organization undergo the required audit or audits? If the organization did not undergo the required audit or audits, explain why in Schedule O and describe any steps taken to undergo such audits. ..
3b
Yes
 
Form 990 (2010)
Additional Data


Software ID:  
Software Version:  
Form 990, Special Condition Description:
Special Condition Description
SCHEDULE A
(Form 990 or 990EZ)

Department of the Treasury
Internal Revenue Service
Public Charity Status and Public Support

Complete if the organization is a section 501(c)(3) organization or a section
4947(a)(1) nonexempt charitable trust.
right arrow Attach to Form 990 or Form 990-EZ. right arrow See separate instructions.
OMB No. 1545-0047
2010
Open to Public
Inspection
Name of the organization
ARKANSAS CHILDREN'S HOSPITAL
 
Employer identification number

71-0236857
Part I
Reason for Public Charity Status (All organizations must complete this part.) See instructions
The organization is not a private foundation because it is: (For lines 1 through 11, check only one box.)
1
2
3
4
5
section 170(b)(1)(A)(iv). (Complete Part II.)
6
7
8
9
receipts from activities related to its exempt functions—subject to certain exceptions, and (2) no more than 331/3% of
its support from gross investment income and unrelated business taxable income (less section 511 tax) from businesses
acquired by the organization after June 30, 1975. See section 509(a)(2). (Complete Part III.)
10
11
e
f
g
(i) a person who directly or indirectly controls, either alone or together with persons described in (ii)
Yes
No
and (iii) below, the governing body of the the supported organization? ................
11g(i)
 
 
(ii) a family member of a person described in (i) above? ......................
11g(ii)
 
 
(iii) a 35% controlled entity of a person described in (i) or (ii) above? ................
11g(iii)
 
 
h
(i)
Name of supported organization 		(ii)
EIN 		(iii)
Type of organization (described on lines 1- 9 above or IRC section (see instructions)) 		(iv)
Is the organization in col. (i) listed in your governing document? 		(v)
Did you notify the organization in col. (i) of your support? 		(vi)
Is the organization in col. (i) organized in the U.S.? 		(vii)
Amount of support?
Yes No Yes No Yes No
Total                  

For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 11285F
Schedule A (Form 990 or 990-EZ) 2010
Schedule A (Form 990 or 990-EZ) 2010
Page 2
Part II
Support Schedule for Organizations Described in IRC 170(b)(1)(A)(iv) and 170(b)(1)(A)(vi)
(Complete only if you checked the box on line 5, 7, or 8 of Part I or if the organization failed to qualify under Part III. If the organization fails to qualify under the tests listed below, please complete Part III.)
Section A. Public Support
Calendar year(or fiscal year beginning in) (a) 2006 (b) 2007 (c) 2008 (d) 2009 (e) 2010 (f) Total
1 Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") ....            
2 Tax revenues levied for the organization's benefit and either paid to or expended on its behalf.......            
3 The value of services or facilities furnished by a governmental unit to the organization without charge..            
4 Total. Add lines 1 through 3..            
5 The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included on line 1 that exceeds 2% of the amount shown on line 11, column (f)..            
6 Public Support. Subtract line 5 from line 4.            
Section B. Total Support
Calendar year(or fiscal year beginning in) (a) 2006 (b) 2007 (c) 2008 (d) 2009 (e) 2010 (f) Total
7 Amounts from line 4..            
8 Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..            
9 Net income from unrelated business activities, whether or not the business is regularly carried on..            
10 Other income. (Explain in Part IV.) Do not include gain or loss from the sale of capital assets..            
11 Total support (Add lines 7 through 10).            
12
12
 
13
Section C. Computation of Public Support Percentage
14
14
 
15
15
 
16a
b
17a
b
18
Schedule A (Form 990 or 990-EZ) 2010
Schedule A (Form 990 or 990-EZ) 2010
Page 3
Part III
Support Schedule for Organizations Described in IRC 509(a)(2)
(Complete only if you checked the box on line 9 of Part I or if the organization failed to qualify under Part II. If the organization fails to qualify under the tests listed below, please complete Part II.)
Section A. Public Support
Calendar year(or fiscal year beginning in) (a) 2006 (b) 2007 (c) 2008 (d) 2009 (e) 2010 (f) Total
1 Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") .            
2 Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose......            
3 Gross receipts from activities that are not an unrelated trade or business under section 513..            
4 Tax revenues levied for the organization's benefit and either paid to or expended on its behalf...            
5 The value of services or facilities furnished by a governmental unit to the organization without charge..            
6 Total. Add lines 1 through 5.            
7a Amounts included on lines 1, 2, and 3 received from disqualified persons...            
b Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year.            
c Add lines 7a and 7b..            
8 Public Support (Subtract line 7c from line 6.)            
Section B. Total Support
Calendar year (or fiscal year beginning in) (a) 2006 (b) 2007 (c) 2008 (d) 2009 (e) 2010 (f) Total
9 Amounts from line 6...            
10a Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..            
b Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975.            
c Add lines 10a and 10b.            
11 Net income from unrelated business activities not included in line 10b, whether or not the business is regularly carried on.            
12 Other income. Do not include gain or loss from the sale of capital assets (Explain in Part IV.)            
13 Total support (Add lines 9, 10c, 11 and 12.).            
14
Section C. Computation of Public Support Percentage
15
15
 
16
16
 
Section D. Computation of Investment Income Percentage
17
17
 
18
18
 
19a
b
20
Schedule A (Form 990 or 990-EZ) 2010
Schedule A (Form 990 or 990-EZ) 2010
Page 4
Part IV
Supplemental Information. Supplemental Information. Complete this part to provide the explanation required by Part II, line 10; Part II, line 17a or 17b; or Part III, line 12. Also complete this part for any additional information. (See instructions).
Facts And Circumstances Test
 
Explanation
 
 
 
 
Schedule A (Form 990 or 990-EZ) 2010

Additional Data


Software ID:  
Software Version:  
Schedule B
(Form 990, 990-EZ,
or 990-PF)
Department of the Treasury
Internal Revenue Service
Schedule of Contributors
Arrow Bullet Attach to Form 990, 990-EZ, or 990-PF.
OMB No. 1545-0047
2010
Name of organization
ARKANSAS CHILDREN'S HOSPITAL
 
Employer identification number

71-0236857
Organization type (check one):
Filers of:
Section:
Form 990 or 990-EZ





Form 990-PF




Check if your organization is covered by the General Rule or a Special Rule.  
Note. Only a section 501(c)(7), (8), or (10) organization can check boxes for both the General Rule and a Special Rule. See instructions.
General Rule—
Special Rules
......................... Arrow Bullet   $    
Caution. An Organization that is not covered by the General Rule and/or the Special Rules does not file Schedule B (Form 990,
990-EZ, or 990-PF), but it must answer “No” on Part IV, line 2 of its Form 990, or check the box in the heading of its
Form 990-EZ, or on line 2 of its Form 990-PF, to certify that it does not meet the filing requirements of Schedule B (Form 990,
990-EZ, or 990-PF).
For Paperwork Reduction Act Notice, see the Instructions
for Form 990, 990-EZ, or 990-PF.
Cat. No. 30613XSchedule B (Form 990, 990-EZ, or 990-PF) (2010)

Schedule B (Form 990, 990-EZ, or 990-PF) (2010)
Page 1 of 1 of Part I
Name of organization
ARKANSAS CHILDREN'S HOSPITAL
  		Employer identification number

71-0236857
Part I
Contributors (see Instructions)
     
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Aggregate contributions		 (d)
Type of contribution
RESTRICTED
RESTRICTED
 

     
RESTRICTED
RESTRICTED  
RESTRICTED, RESTRICTED   RESTRICTED

$RESTRICTED




(Complete Part II if there is
a noncash contribution.)
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Aggregate contributions		 (d)
Type of contribution
 
 
 

     
 
   

$  




(Complete Part II if there is
a noncash contribution.)
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Aggregate contributions		 (d)
Type of contribution
 
 
 

     
 
   

$  




(Complete Part II if there is
a noncash contribution.)
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Aggregate contributions		 (d)
Type of contribution
 
 
 

     
 
   

$  




(Complete Part II if there is
a noncash contribution.)
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Aggregate contributions		 (d)
Type of contribution
 
 
 

     
 
   

$  




(Complete Part II if there is
a noncash contribution.)
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Aggregate contributions		 (d)
Type of contribution
 
 
 

     
 
   

$  




(Complete Part II if there is
a noncash contribution.)
Schedule B (Form 990, 990-EZ, or 990-PF) (2010)

Schedule B (Form 990, 990-EZ, or 990-PF) (2010)
Page 1 of 1 of Part II
Name of organization
ARKANSAS CHILDREN'S HOSPITAL
  		Employer identification number

71-0236857
Part II
Noncash Property (see Instructions)
     
(a) No.
from
Part I		 (b)
Description of noncash property given		 (c)
FMV (or estimate)
(see instructions) 		(d)
Date received
 
$    
(a) No.
from
Part I		 (b)
Description of noncash property given		 (c)
FMV (or estimate)
(see instructions) 		(d)
Date received
 
$    
(a) No.
from
Part I		 (b)
Description of noncash property given		 (c)
FMV (or estimate)
(see instructions) 		(d)
Date received
 
$    
(a) No.
from
Part I		 (b)
Description of noncash property given		 (c)
FMV (or estimate)
(see instructions) 		(d)
Date received
 
$    
(a) No.
from
Part I		 (b)
Description of noncash property given		 (c)
FMV (or estimate)
(see instructions) 		(d)
Date received
 
$    
(a) No.
from
Part I		 (b)
Description of noncash property given		 (c)
FMV (or estimate)
(see instructions) 		(d)
Date received
 
$    
Schedule B (Form 990, 990-EZ, or 990-PF) (2010)

Schedule B (Form 990, 990-EZ, or 990-PF) (2010)
Page 1 of 1 of Part III
Name of organization
ARKANSAS CHILDREN'S HOSPITAL
  		Employer identification number

71-0236857
Part III
Exclusively religious, charitable, etc., individual contributions to section 501(c)(7), (8), or (10) organizations
aggregating more than $1,000 for the year. (Complete columns (a) through (e) and the following line entry.)
For organizations completing Part III, enter the total of exclusively religious, charitable, etc.,
contributions of $1,000 or less for the year. (Enter this information once. See instructions.) Arrow Bullet $  
(a) No.
from
Part I		 (b)
Purpose of gift		 (c)
Use of gift		 (d)
Description of how gift is held
 
(e)
Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
       
 
(a) No.
from
Part I		 (b)
Purpose of gift		 (c)
Use of gift		 (d)
Description of how gift is held
 
(e)
Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
       
 
(a) No.
from
Part I		 (b)
Purpose of gift		 (c)
Use of gift		 (d)
Description of how gift is held
 
(e)
Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
       
 
(a) No.
from
Part I		 (b)
Purpose of gift		 (c)
Use of gift		 (d)
Description of how gift is held
 
(e)
Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
       
 
Schedule B (Form 990, 990-EZ, or 990-PF) (2010)

Additional Data


Software ID:  
Software Version:  
SCHEDULE C
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service
Political Campaign and Lobbying Activities

For Organizations Exempt From Income Tax Under section 501(c) and section 527
SchCMd Bullet Complete if the organization is described below.
SchCMd Bullet Attach to Form 990 or Form 990-EZ. SchCMd Bullet See separate instructions.
OMB No. 1545-0047
2010
Open to Public
Inspection
If the organization answered “Yes,” to Form 990, Part IV, Line 3, or Form 990-EZ, Part V, line 46 (Political Campaign Activities), then
Round Bullet Section 501(c)(3) organizations: Complete Parts I-A and B. Do not complete Part I-C.
Round Bullet Section 501(c) (other than section 501(c)(3)) organizations: Complete Parts I-A and C below. Do not complete Part I-B.
Round Bullet Section 527 organizations: Complete Part I-A only.
If the organization answered “Yes,” to Form 990, Part IV, Line 4, or Form 990-EZ, Part VI, line 47 (Lobbying Activities), then
Round Bullet Section 501(c)(3) organizations that have filed Form 5768 (election under section 501(h)) Complete Part II-A. Do not complete Part II-B.
Round Bullet Section 501(c)(3) organizations that have NOT filed Form 5768 (election under section 501(h)): Complete Part II-B. Do not complete Part II-A.
If the organization answered “Yes,” to Form 990, Part IV, Line 5 (Proxy Tax) or Form 990-EZ, Part V, line 35a (Proxy Tax), then
Round Bullet Section 501(c)(4), (5), or (6) organizations: Complete Part III.
Name of the organization
ARKANSAS CHILDREN'S HOSPITAL
 
Employer identification number

71-0236857
Part I-A
Complete if the organization is exempt under section 501(c) or is a section 527 organization.

1
Provide a description of the organization's direct and indirect political campaign activities on behalf of or in opposition to candidates for public office in Part IV.
2
Political expenditures ....................................SchCMd Bullet
$  
3
Volunteer hours ........................................
 

Part I-B
Complete if the organization is exempt under section 501(c)(3).
1
Enter the amount of any excise tax incurred by the organization under section 4955 .........SchCMd Bullet
$  
2
Enter the amount of any excise tax incurred by organization managers under section 4955 ......SchCMd Bullet
$  
3
If the organization incurred a section 4955 tax, did it file Form 4720 for this year? ..............
4a
Was a correction made? .........................................
b
If "Yes," describe in Part IV.
Part I-C
Complete if the organization is exempt under section 501(c) except section 501(c)(3).
1
Enter the amount directly expended by the filing organization for section 527 exempt function activities SchCMd Bullet
$  
2
Enter the amount of the filing organization's funds contributed to other organizations for section 527 exempt funtion activities ....................................SchCMd Bullet

$  
3
Total exempt function expenditures. Add lines 1 and 2. Enter here and on Form 1120-POL, line 17b..SchCMd Bullet

$  
4
Did the filing organization file Form 1120-POL for this year? ..........................
5
Enter the names, addresses and employer identification number (EIN) of all section 527 political organizations to which the filing
organization made payments. For each organization listed, enter the amount paid from the filing organization’s funds. Also enter the amount of political contributions received that were promptly and directly delivered to a separate political organization, such as a separate segregated fund or a political action committee (PAC). If additional space is needed, provide information in Part IV.
(a) Name (b) Address (c) EIN (d) Amount paid from filing organization's funds. If none, enter -0-. (e) Amount of political contributions received and promptly and directly delivered to a separate political organization. If none, enter -0-.










For Privacy Act and Paperwork Reduction Act Notice, see the instructions for Form 990.
Cat. No. 50084S
Schedule C (Form 990 or 990-EZ) 2010

Schedule C (Form 990 or 990-EZ) 2010
Page 2
Part II-A
Complete if the organization is exempt under section 501(c)(3) and filed Form 5768 (election under section 501(h)).
A Check
B Check
Limits on Lobbying Expenditures
(The term "expenditures" means amounts paid or incurred.) 		(a) Filing
Organization's
Totals 		(b) Affiliated Group
Totals
1a Total lobbying expenditures to influence public opinion (grass roots lobbying) ......    
b Total lobbying expenditures to influence a legislative body (direct lobbying) .......    
c Total lobbying expenditures (add lines 1a and 1b) ...................    
d Other exempt purpose expenditures ........................    
e Total exempt purpose expenditures (add lines 1c and 1d) ...............    
f Lobbying nontaxable amount. Enter the amount from the following table in both
columns.		    
  If the amount on line 1e, column (a) or (b) is:The lobbying nontaxable amount is:    
  Not over $500,00020% of the amount on line 1e.    
  Over $500,000 but not over $1,000,000$100,000 plus 15% of the excess over $500,000.    
  Over $1,000,000 but not over $1,500,000$175,000 plus 10% of the excess over $1,000,000.    
  Over $1,500,000 but not over $17,000,000$225,000 plus 5% of the excess over $1,500,000.    
  Over $17,000,000$1,000,000.    
       
g Grassroots nontaxable amount (enter 25% of line 1f) .................    
h Subtract line 1g from line 1a. If zero or less, enter -0-. ................    
i Subtract line 1f from line 1c. If zero or less, enter -0-. ................    
j If there is an amount other than zero on either line 1h or line 1i, did the organization file Form 4720 reporting
section 4911 tax for this year? ......................................

4-Year Averaging Period Under Section 501(h)
(Some organizations that made a section 501(h) election do not have to complete all of the five
columns below. See the instructions for lines 2a through 2f on page 4.)
Lobbying Expenditures During 4-Year Averaging Period
  Calendar year (or fiscal year
beginning in) 		(a) 2007 (b) 2008 (c) 2009 (d) 2010 (e) Total
             
2a Lobbying non-taxable amount          
             
b Lobbying ceiling amount
(150% of line 2a, column(e)) 		         
             
c Total lobbying expenditures          
             
d Grassroots non-taxable amount          
             
e Grassroots ceiling amount
(150% of line 2d, column (e))		          
             
f Grassroots lobbying expenditures          
Schedule C (Form 990 or 990-EZ) 2010


Schedule C (Form 990 or 990-EZ) 2010
Page 3
Part II-B
Complete if the organization is exempt under section 501(c)(3) and has NOT filed Form 5768 (election under section 501(h)).
(a)
Yes
No
(b)
Amount
1
During the year, did the filing organization attempt to influence foreign, national, state or local legislation, including any attempt to influence public opinion on a legislative matter or referendum, through the use of:
a
Volunteers? .........................................
 
No
b
Paid staff or management (include compensation in expenses reported on lines 1c through 1i)? ....
Yes
 
c
Media advertisements? ....................................
 
No
 
d
Mailings to members, legislators, or the public? .........................
 
No
 
e
Publications, or published or broadcast statements? .......................
 
No
 
f
Grants to other organizations for lobbying purposes? .......................
Yes
 
50,014
g
Direct contact with legislators, their staffs, government officials, or a legislative body? ........
Yes
 
 
h
Rallies, demonstrations, seminars, conventions, speeches, lectures, or any similar means? ......
 
No
 
i
Other activities? If "Yes," describe in Part IV ..........................
Yes
 
201,068
j
Total. lines 1c through 1i ...................................
251,082
2a
Did the activities in line 1 cause the organization to be not described in section 501(c)(3)? .....
 
No
b
If "Yes," enter the amount of any tax incurred under section 4912 .................
 
c
If "Yes," enter the amount of any tax incurred by organization managers under section 4912 .....
 
d
If the filing organization incurred a section 4912 tax, did it file Form 4720 for this year? .......
 
 
Part III-A
Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6).
Yes
No
1
Were substantially all (90% or more) dues received nondeductible by members? ................
1
 
 
2
Did the organization make only in-house lobbying expenditures of $2,000 or less? ................
2
 
 
3
Did the organization agree to carryover lobbying and political expenditures from the prior year? ..........
3
 
 
Part III-B
Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6) if BOTH Part III-A, lines 1 and 2 are answered “No” OR if Part III-A, line 3 is answered “Yes”.
1
Dues, assessments and similar amounts from members .....................
1
 
2
Section 162(e) non-deductible lobbying and political expenditures (do not include amounts of political
expenses for which the section 527(f) tax was paid).
a
Current year .........................................
2a
 
b
Carryover from last year ....................................
2b
 
c
Total ...........................................
2c
 
3
Aggregate amount reported in section 6033(e)(1)(A) notices of nondeductible section 162(e) dues .
3
 
4
If notices were sent and the amount on line 2c exceeds the amount on line 3, what portion of the excess does the organization agree to carryover to the reasonable estimate of nondeductible lobbying and political expenditure next year? ................................
4
 
5
Taxable amount of lobbying and political expenditures (see instructions) ..............
5
 
Part IV
Supplemental Information
Complete this part to provide the descriptions required for Part l-A, line 1; Part l-B, line 4; Part l-C, line 5; and Part ll-B, line 1i.
Also, complete this part for any additional information.
Identifier Return Reference Explanation
EXPLANATION OF OTHER LOBBYING ACTIVITIES: PART II-B, LINE 1I: 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.
Schedule C (Form 990 or 990EZ) 2010

Additional Data


Software ID:  
Software Version:  

SCHEDULE D
(Form 990)
Department of the Treasury
Internal Revenue Service
Supplemental Financial Statements
SchDMd Bullet Complete if the organization answered "Yes," to Form 990,
Part IV, line 6, 7, 8, 9, 10, 11, or 12.
SchDMd Bullet Attach to Form 990. SchDMd Bullet See separate instructions.
OMB No. 1545-0047
2010
Open to Public Inspection
Name of the organization
ARKANSAS CHILDREN'S HOSPITAL
 
Employer identification number

71-0236857
Part I
Organizations Maintaining Donor Advised Funds or Other Similar Funds or Accounts. Complete if the organization answered "Yes" to Form 990, Part IV, line 6.
(a) Donor advised funds (b) Funds and other accounts
1 Total number at end of year .......    
2 Aggregate contributions to (during year) ...    
3 Aggregate grants from (during year) ...    
4 Aggregate value at end of year .......    
5
Did the organization inform all donors and donor advisors in writing that the assets held in donor advised
funds are the organization's property, subject to the organization's exclusive legal control? ............
6
Did the organization inform all grantees, donors, and donor advisors in writing that grant funds may be
used only for charitable purposes and not for the benefit of the donor or donor advisor, or for any other purpose conferring impermissible private benefit. ...................................
Part II
Conservation Easements. Complete if the organization answered "Yes" to Form 990, Part IV, line 7.
1
Purpose(s) of conservation easements held by the organization (check all that apply).
2
Complete lines 2a–2d if the organization held a qualified conservation contribution in the form of a conservation easement on the last day of the tax year.
Held at the End of the Year
a Total number of conservation easements ....................... 2a  
b Total acreage restricted by conservation easements .................. 2b  
c Number of conservation easements on a certified historic structure included in (a) ..... 2c  
d Number of conservation easements included in (c) acquired after 8/17/06 ........ 2d  
3
Number of conservation easements modified, transferred, released, extinguished, or terminated by the organization during
the taxable year SchDMd Bullet  
4
Number of states where property subject to conservation easement is located SchDMd Bullet  
5
Does the organization have a written policy regarding the periodic monitoring, inspection, handling of violations, and
enforcement of the conservation easements it holds? .............................
6
Staff and volunteer hours devoted to monitoring, inspecting and enforcing conservation easements during the year SchDMd Bullet  
7
Amount of expenses incurred in monitoring, inspecting, and enforcing conservation easements during the year SchDMd Bullet $  
8
Does each conservation easement reported on line 2(d) above satisfy the requirements of section
170(h)(4)(B)(i) and 170(h)(4)(B)(ii)? ....................................
9
In Part XIV, describe how the organization reports conservation easements in its revenue and expense statement, and
balance sheet, and include, if applicable, the text of the footnote to the organization’s financial statements that describes
the organization’s accounting for conservation easements.
Part III
Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets.
Complete if the organization answered "Yes" to Form 990, Part IV, line 8.
1a
If the organization elected, as permitted under SFAS 116, not to report in its revenue statement and balance sheet works of
art, historical treasures, or other similar assets held for public exhibition, education or research in furtherance of public service,
provide, in Part XIV, the text of the footnote to its financial statements that describes these items.
b
If the organization elected, as permitted under SFAS 116, to report in its revenue statement and balance sheet works of art,
historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service,
provide the following amounts relating to these items:
(i)
Revenues included in Form 990, Part VIII, line 1 ........................SchDMd Bullet $  
(ii)
Assets included in Form 990, Part X ..............................SchDMd Bullet $  
2
If the organization received or held works of art, historical treasures, or other similar assets for financial gain, provide the
following amounts required to be reported under SFAS 116 relating to these items:
a
Revenues included in Form 990, Part VIII, line 1 ..........................SchDMd Bullet $  
b
Assets included in Form 990, Part X ...............................SchDMd Bullet $  
For Privacy Act and Paperwork Reduction Act Notice, see the Intructions for Form 990
Cat. No. 52283D
Schedule D (Form 990) 2010

Schedule D (Form 990) 2010
Page 2
Part III
Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets (continued)
3
Using the organization’s accession and other records, check any of the following that are a significant use of its collection
items (check all that apply):
a
d
b
e
 
c
4
Provide a description of the organization’s collections and explain how they further the organization’s exempt purpose in
Part XIV.
5
During the year, did the organization solicit or receive donations of art, historical treasures or other similar
assets to be sold to raise funds rather than to be maintained as part of the organization’s collection?........
Part IV
Escrow and Custodial Arrangements. Complete if the organization answered "Yes" to Form 990,
Part IV, line 9, or reported an amount on Form 990, Part X, line 21.
1a
Is the organization an agent, trustee, custodian or other intermediary for contributions or other assets not
included on Form 990, Part X? ....................................
b
If "Yes," explain the arrangement in Part XIV and complete the following table:
Amount
c Beginning balance ................................. 1c  
d Additions during the year .............................. 1d  
e Distributions during the year ............................. 1e  
f Ending balance ................................... 1f  
2a
Did the organization include an amount on Form 990, Part X, line 21? .....................
b
If “Yes,” explain the arrangement in Part XIV.
Part V
Endowment Funds. Complete if the organization answered "Yes" to Form 990, Part IV, line 10.
(a)Current Year (b)Prior Year (c)Two Years Back (d)Three Years Back (e)Four Years Back
1a Beginning of year balance .... 145,568,315 135,770,735  
b Contributions ........ 4,959,714 7,045,011  
c Investment earnings or losses ... 21,536,391 13,385,881  
d Grants or scholarships .....      
e Other expenditures for facilities
and programs ........ 		5,668,256 10,633,312  
f Administrative expenses ....      
g End of year balance ...... 166,396,164 145,568,315  
2
Provide the estimated percentage of the year end balance held as:
a
Board designated or quasi-endowment: SchDMd Bullet83.220 %
b
Permanent endowment: SchDMd Bullet16.780 %
c
Term endowment: SchDMd Bullet  
3a
Are there endowment funds not in the possession of the organization that are held and administered for the
organization by:

Yes
No
(i) unrelated organizations ........................
3a(i)
 
No
(ii) related organizations ........................
3a(ii)
Yes
 
b
If "Yes" to 3a(ii), are the related organizations listed as required on Schedule R? .........
3b
Yes
 
4
Describe in Part XIV the intended uses of the organization's endowment funds.
Part VI
Investments—Land, Buildings, and Equipment. See Form 990, Part X, line 10.
Description of investment (a) Cost or other basis (investment) (b)Cost or other basis (other) (c) Accumulated depreciation (d) Book value
1a Land .................   11,920,204 11,920,204
b Buildings ................   205,989,373 120,498,374 85,490,999
c Leasehold improvements ............        
d Equipment ................   134,454,874 84,995,336 49,459,538
e Other .................   105,496,950 5,528,715 99,968,235
Total. Add lines 1a-1e. (Column (d) should equal Form 990, Part X, column (B), line 10(c).)........SchDMdBullet 246,838,976
Schedule D (Form 990) 2010

Schedule D (Form 990) 2010
Page 3
Part VII
Investments—Other Securities. See Form 990, Part X, line 12.
(a) Description of security or category
(including name of security)		 (b)Book value (c) Method of valuation:
Cost or end-of-year market value
(1)Financial derivatives    
(2)Closely-held equity interests    
Other








Total. (Column (b) should equal Form 990, Part X, col.(B) line 12.)Small Bullet  
Part VIII
Investments—Program Related. See Form 990, Part X, line 13.
(a) Description of investment type (b) Book value (c) Method of valuation:
Cost or end-of-year market value








Total. (Column (b) should equal Form 990, Part X, col.(B) line 13.)Small Bullet  
Part IX
Other Assets. See Form 990, Part X, line 15.
(a) Description (b) Book value
(1) FUNDS HELD BY TRUSTEE UNDER BOND AGREEMENTS 26,657,206
(2) ESTIMATED 3RD PARTY SETTLEMENT (MCD) 64,704,418
(3) UPL RECEIVABLE 9,628,685
(4) GME RECEIVABLE 1,678,839
(5) OTHER RECEIVABLES 1,914,994
(6) BOND ISSUE COSTS 4,309,278
(7) INTEREST RECEIVABLE 1,192,921


Total. (Column (b) should equal Form 990, Part X, col.(B) line 15.)...........Small Bullet 110,086,341
Part X
Other Liabilities. See Form 990, Part X, line 25.
1.(a) Description of Liability (b) Amount
Federal Income Taxes  








Total. (Column (b) should equal Form 990, Part X, col.(B) line 25.)Small Bullet  
2. Fin 48 (ASC 740) Footnote. In Part XIV, provide the text of the footnote to the organization's financial statements that reports the organization's liability for uncertain tax positions under FIN 48 (ASC740).
Schedule D (Form 990) 2010

Schedule D (Form 990) 2010
Page 4
Part XI Reconciliation of Change in Net Assets from Form 990 to Financial Statements
1 Total revenue (Form 990, Part VIII, column (A), line 12) .................... 1  
2 Total expenses (Form 990, Part IX, column (A), line 25) ..................... 2  
3 Excess or (deficit) for the year. Subtract line 2 from line 1 ............. 3  
4 Net unrealized gains (losses) on investments .......................... 4  
5 Donated services and use of facilities ............................. 5  
6 Investment expenses ................................... 6  
7 Prior period adjustments .................................. 7  
8 Other (Describe in Part XIV) ................................. 8  
9 Total adjustments (net). Add lines 4 - 8 ............................. 9  
10 Excess or (deficit) for the year per financial statements. Combine lines 3 and 9 ......... 10  
Part XII Reconciliation of Revenue per Audited Financial Statements With Revenue per Return
1 Total revenue, gains, and other support per audited financial statements ....... 1  
2 Amounts included on line 1 but not on Form 990, Part VIII, line 12:
a Net unrealized gains on investments .......... 2a  
b Donated services and use of facilities ......... 2b  
c Recoveries of prior year grants ........... 2c  
d Other (Describe in Part XIV): ............ 2d  
e Add lines 2a through 2d ..................... 2e  
3 Subtract line 2e from line 1..................... 3  
4 Amounts included on Form 990, Part VIII, line 12, but not on line 1:
a Investment expenses not included on Form 990, Part VIII, line 7b . 4a  
b Other (Describe in Part XIV): ........... 4b  
c Add lines 4a and 4b....................... 4c  
5 Total Revenue. Add lines 3 and 4c. (This should equal Form 990, Part I, line 12.) ...... 5  
Part XIII Reconciliation of Expenses per Audited Financial Statements With Expenses per Return
1 Total expenses and losses per audited financial statements ............. 1  
2 Amounts included on line 1 but not on Form 990, Part IX, line 25:
a Donated services and use of facilities .......... 2a  
b Prior year adjustments .............. 2b  
c Other losses ................ 2c  
d Other (Describe in Part XIV): ............ 2d  
e Add lines 2a through 2d...................... 2e  
3 Subtract line 2e from line 1..................... 3  
4 Amounts included on Form 990, Part IX, line 25, but not on line 1:
a Investment expenses not included on Form 990, Part VIII, line 7b .. 4a  
b Other (Describe in Part XIV): ............ 4b  
c Add lines 4a and 4b....................... 4c  
5 Total expenses. Add lines 3 and 4c. (This should equal Form 990, Part I, line 18.) ...... 5  
Part XIV
Supplemental Information
Complete this part to provide the descriptions required for Part II, lines 3, 5, and 9; Part III, lines 1a and 4; Part lV, lines 1b and 2b;
Part V, line 4; Part X; Part XI, line 8; Part XII, lines 2d and 4b; and Part XIII, lines 2d and 4b. Also complete this part to provide any additional information.
Identifier Return Reference Explanation
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.
Schedule D (Form 990) 2010

Additional Data


Software ID:  
Software Version:  




SCHEDULE H
(Form 990)
Department of the Treasury
Internal Revenue Service
Hospitals
MediumBullet Complete if the organization answered "Yes" to Form 990, Part IV, question 20.
MediumBullet Attach to Form 990. MediumBullet See separate instructions.
OMB No. 1545-0047
2010
Open to Public Inspection
Name of the organization
ARKANSAS CHILDREN'S HOSPITAL
 
Employer identification number

71-0236857
Part I
Charity Care and Certain Other Community Benefits at Cost
Yes
No
1a
Does the organization have a charity care policy? If "No," skip to question 6a...........
1a
Yes
 
b
If "Yes," is it a written policy? .......................
1b
Yes
 
2
If the organization has multiple hospitals, indicate which of the following best describes application of the charity care policy to the various hospitals.
3
Answer the following based on the charity care eligibility criteria that applies to the largest number of the organization's patients.
a
Does the organization use Federal Poverty Guidelines (FPG) to determine eligibility for providing free care to low
income individuals? If "Yes," indicate which of the following is the FPG family income limit for eligibility for free care:
3a
Yes
 
b
Does the organization use FPG to determine eligibility for providing discounted care to low income individuals? If
"Yes," indicate which of the following is the family income limit for eligibility for discounted care: .....
3b
Yes
 
c
If the organization does not use FPG to determine eligibility, describe in Part VI the income based criteria for determining eligibility for free or discounted care. Include in the description whether the organization uses an asset test or other threshold, regardless of income, to determine eligibility for free or discounted care.
4
Does the organization's policy provide free or discounted care to the "medically indigent"? ......
4
 
No
5a
Does the organization budget amounts for free or discounted care provided under its charity care policy? ...
5a
Yes
 
b
If "Yes," did the organization's charity care expenses exceed the budgeted amount?.........
5b
 
No
c
If "Yes" to line 5b, as a result of budget considerations, was the organization unable to provide free or discounted
care to a patient who was eligibile for free or discounted care?...............
5c
 
 
6a
Does the organization prepare an annual community benefit report?.............
6a
Yes
 
6b
If "Yes," does the organization make it available to the public? ..............
6b
Yes
 
Complete the following table using the worksheets provided in the Schedule H instructions. Do not submit these worksheets with the Schedule H.
7
Charity Care and Certain Other Community Benefits at Cost
Charity Care and
Means-Tested Government Programs		 (a) Number of activities or programs (optional) (b) Persons served (optional) (c) Total community benefit expense (d) Direct offsetting revenue (e) Net community benefit expense (f) Percent of total expense
a Charity care at cost (from
Worksheets 1 and 2) .. 		    14,055,954   14,055,954 3.050 %
b Unreimbursed Medicaid (from
Worksheet 3, column a) . 		    249,120,621 276,191,366 -27,070,745 0 %
c Unreimbursed costs—other means-tested government programs (from Worksheet 3, column b) ....            
dTotal Charity Care and
Means-Tested Government Programs ..... 		    263,176,575 276,191,366 -13,014,791 3.050 %
Other Benefits
e Community health improvement
services and community
benefit operations (from
(Worksheet 4) .... 		    10,990,302 4,570,949 6,419,354 1.390 %
f Health professions education
(from Worksheet 5) .. 		    18,420,441 7,237,055 11,183,386 2.430 %
g Subsidized health services
(from Worksheet 6) .. 		    35,982,735 17,369,743 18,612,992 4.040 %
h Research (from Worksheet 7)     8,132,237   8,132,237 1.770 %
i Cash and in-kind contributions
to community groups
(from Worksheet 8) .. 		    705,110   705,110 0.150 %
jTotal Other Benefits ...     74,230,825 29,177,747 45,053,079 9.780 %
kTotal. Add lines 7d and 7j. ..     337,407,400 305,369,113 32,038,288 12.830 %
For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2010
Schedule H (Form 990) 2010
Page 2
Part II
Community Building Activities Complete this table if the organization conducted any community building activities.
(a) Number of activities or programs (optional) (b) Persons served (optional) (c) Total community building expense (d) Direct offsetting
revenue 		(e) Net community building expense (f) Percent of total expense
1 Physical improvements and housing     37,000 0 37,000 0.010 %
2 Economic development     28,850 0 28,850 0.010 %
3 Community support     19,905 0 19,905 0 %
4 Environmental improvements            
5 Leadership development and training for community members     1,000 0 1,000 0 %
6 Coalition building     23,908 0 23,908 0.010 %
7 Community health improvement advocacy     19,092 0 19,092 0 %
8 Workforce development     8,085 0 8,085 0 %
9 Other     82,001 0 82,001 0.020 %
10 Total     219,841   219,841 0.050 %
Part III
Bad Debt, Medicare, & Collection Practices
Section A. Bad Debt Expense
Yes
No
1
Does the organization report bad debt expense in accordance with Heathcare Financial Management Association Statement No. 15? ..........................
1
 
No
2
Enter the amount of the organization's bad debt expense (at cost).....
2
1,294,034
3
Enter the estimated amount of the organization's bad debt expense (at cost) attributable to patients eligible under the organization's charity care policy ..
3
 
4
Provide in Part VI the text of the footnote to the organization's financial statements that describes bad debt expense. In addition, describe the costing methodology used in determining the amounts reported on lines 2 and 3, and rationale for including a portion of bad debt amounts as community benefit.
Section B. Medicare
5
Enter total revenue received from Medicare (including DSH and IME).....
5
2,340,417
6
Enter Medicare allowable costs of care relating to payments on line 5.....
6
3,107,201
7
Subtract line 6 from line 5. This is the surplus or (shortfall)........
7
-766,784
8
Describe in Part VI the extent to which any shortfall reported in line 7 should be treated as community benefit.
Also describe in Part VI the costing methodology or source used to determine the amount reported on line 6.
Check the box that describes the method used:
Section C. Collection Practices
9a
Does the organization have a written debt collection policy? ...............
9a
Yes
 
b
If "Yes," does the organization's collection policy contain provisions on the collection practices to be followed for patients who are known to qualify for charity care or financial assistance? Describe in Part VI......
9b
Yes
 
Part IV
Management Companies and Joint Ventures
(a) Name of entity (b) Description of primary
activity of entity 		(c) Organization's
profit % or stock
ownership % 		(d) Officers, directors,
trustees, or key
employees' profit %
or stock ownership% 		(e) Physicians'
profit % or stock
ownership %
1
2
3
4
5
6
7
8
9
10
11
12
13
Schedule H (Form 990) 2010
Schedule H (Form 990) 2010
Page 3
Part VFacility Information
Section A. Hospital Facilities
(list in order of size, measured by total revenue per facility, from largest to smallest)
How many hospital facilities did the organization operate during the tax year?1
Name and address 		Licensed Hospital General-Medical-Surgical Children's Hospital Teaching Hospital Critical Hospital Research Facility ER-24Hours ER-Other Other (Describe)
1 ARKANSAS CHILDREN'S HOSPITAL
1 CHILDRENS WAY
LITTLE ROCK,AR72202 		X X X X   X X    
Schedule H (Form 990) 2010
Schedule H (Form 990) 2010
Page 4
Part VFacility Information (continued)

Section B. Facility Policies and Practices.

(Complete a separate Section B for each of the hospital facilities listed in Part V, Section A)
Name of Hospital Facility:ARKANSAS CHILDREN'S HOSPITAL
Line Number of Hospital Facility (from Schedule H, Part V, Section A):1

Yes No
Community Health Needs Assessment (Lines 1 through 7 are optional for 2010)
1 During the tax year or any prior tax year, did the hospital facility conduct a community health needs assessment (“Needs Assessment”)? If “No,” skip to question 8. ..................... 1    
If “Yes,” indicate what the Needs Assessment describes (check all that apply):
a A definition of the community served by the hospital facility
b Demographics of the community
c Existing health care facilities and resources within the community that are available to respond to the health needs of the community
d How data was obtained
e The health needs of the community
f Primary and chronic disease needs and other health issues of uninsured persons, low-income persons, and minority groups
g The process for identifying and prioritizing community health needs and services to meet those needs
h The process for consulting with persons representing the community’s interests
i Information gaps that limit the hospital facility’s ability to assess all of the community’s health needs
j Other (describe in Part VI)
2 Indicate the tax year the hospital facility last conducted a Needs Assessment: 20  
3 In conducting its most recent Needs Assessment, did the hospital facility take into account input from persons who represent the community served by the hospital facility? If “Yes,” describe in Part VI how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted. 3    
4 Was the hospital facility’s Needs Assessment conducted with one or more other hospital facilities? If “Yes,” list the other hospital facilities in Part VI............................ 4    
5 Did the hospital facility make its Needs Assessment widely available to the public? ........... 5    
If “Yes,” indicate how the Needs Assessment was made widely available (check all that apply):
a Hospital facility’s website
b Available upon request from the hospital facility
c Other (describe in Part VI)
6 If the hospital facility addressed needs identified in its most recently conducted Needs Assessment, indicate how (check all that apply):
a Adoption of an implementation strategy to address the health needs of the hospital facility’s community
b Execution of the implementation strategy
c Development of a community benefit plan for the facility
d Participation in community-wide community benefit plan
e Inclusion of a community benefit section in operational plans
f Adoption of a budget for provision of services that address the needs identified in the CHNA
g Prioritization of health needs in the community
h Prioritization of services that the hospital facility will undertake to meet health needs in its community
i Other (describe in Part VI)
7 Did the hospital facility address all of the needs identified in its most recently conducted Needs Assessment? If “No,” explain in Part VI which needs it has not addressed together with the reasons why it has not addressed such needs. 7    
Financial Assistance Policy
Did the hospital facility have in place during the tax year a written financial assistance policy that:
8 Explains eligibility criteria for financial assistance, and whether such assistance includes free or discounted care? 8    
9 Used federal poverty guidelines (FPG) to determine eligibility for providing free care to low incomeindividuals?.. 9    
If “Yes,” indicate the FPG family income limit for eligibility for free care:   %
Schedule H (Form 990) 2010
Schedule H (Form 990) 2010
Page 5
Part VFacility Information (continued)

Yes No
10 Used FPG to determine eligibility for providing discounted care to low income individuals?......... 10    
If “Yes,” indicate the FPG family income limit for eligibility for discounted care:   %
11 Explained the basis for calculating amounts charged to patients?................. 11    
If “Yes,” indicate the factors used in determining such amounts (check all that apply):
a Income level
b Asset level
c Medical indigency
d Insurance status
e Uninsured discount
f Medicaid/Medicare
g State regulation
h Other (describe in Part VI)
12 Explained the method for applying for financial assistance?................... 12    
13 Included measures to publicize the policy within the community served by the hospital facility?....... 13    
If “Yes,” indicate how the hospital facility publicized the policy (check all that apply):
a The policy was posted at all times on the hospital facility’s web site
b The policy was attached to all billing invoices
c The policy was posted in the hospital facility’s emergency rooms or waiting rooms
d The policy was posted in the hospital facility’s admissions offices
e The policy was provided, in writing, to patients upon admission to the hospital facility
f The policy was available upon request
g Other (describe in Part VI)
Billing and Collections
14 Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy that explained actions the hospital facility may take upon non-payment?........ 14    
15 Check all of the following collection actions against a patient that were permitted under the hospital facility's policies at any time during the tax year:
a Reporting to credit agency
b Lawsuits
c Liens on residences
d Body attachments or arrests
e Other (describe in Part VI)
16 Did the hospital facility engage in or authorize a third party to engage in any of the following collection actions during the tax year?................................... 16    
If “Yes,” check all collection actions in which the hospital facility or a third party engaged (check all that apply):
a Reporting to credit agency
b Lawsuits
c Liens on residences
d Body attachments
e Other (describe in Part VI)
17 Indicate which actions the hospital facility took before initiating any of the collection actions checked in question 16 (check all that apply):
a Notified patients of the financial assistance policy upon admission
b Notified patients of the financial assistance policy prior to discharge
c Notified patients of the financial assistance policy in communications with the patients regarding the patients’ bills
d Documented its determination of whether a patient who applied for financial assistance under the financial assistance policy qualified for financial assistance
e Other (describe in Part VI)
Schedule H (Form 990) 2010
Schedule H (Form 990) 2010
Page 6
Part VFacility Information (continued)

Policy Relating to Emergency Medical Care
Yes No
18 Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that requires the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?.......... 18    
If “No,” indicate the reasons why (check all that apply):
a The hospital facility did not provide care for any emergency medical conditions
b The hospital facility did not have a policy relating to emergency medical care
c The hospital facility limited who was eligible to receive care for emergency medical conditions (describe in Part VI)
d Other (describe in Part VI)
Charges for Medical Care
19 Indicate how the hospital facility determined the amounts generally billed to individuals who had insurance covering emergency or other medically necessary care (check all that apply):
a The hospital facility used the lowest negotiated commercial insurance rate for those services at the hospital facility
b The hospital facility used the average of the three lowest negotiated commercial insurance rates for those services at the hospital facility
c The hospital facility used the Medicare rate for those services
d Other (describe in Part VI)
20 Did the hospital facility charge any of its patients who were eligible for assistance under the hospital facility’s financial assistance policy, and to whom the hospital facility provided emergency or other medically necessary services, more than the amounts generally billed to individuals who had insurance covering such care?......... 20    
If “Yes,” explain in Part VI.
21 Did the hospital facility charge any of its patients an amount equal to the gross charge for services provided to that patient?................................... 21    
If “Yes,” explain in Part VI.
Schedule H (Form 990) 2010
Schedule H (Form 990) 2010
Page 7
Part VFacility Information (continued)

Section C. Other Facilities That Are Not Licensed, Registered, or Similarly Recognized as a Hospital Facility
(list in order of size, measured by total revenue per facility, from largest to smallest)
How many non-hospital facilities did the organization operate during the tax year?2
Name and address Type of Facility (Describe)
1 WEST LITTLE ROCK PEDIATRIC CLINIC
BELLA ROSA CENTER 16101 CANTRELL RD
LITTLE ROCK,AR72223 		OUTPATIENT HOSPITAL CLINIC
2 WEST LITTLE ROCK PEDIATRIC CLINIC
BELLA ROSA CENTER 16101 CANTRELL RD
LITTLE ROCK,AR72223 		OUTPATIENT HOSPITAL CLINIC
3
4
5
6
7
8
9
10
Schedule H (Form 990) 2010
Schedule H (Form 990) 2010
Page 8
Part VI
Supplemental Information
Complete this part to provide the following information.
1 Required descriptions. Provide the description required for Part I, lines 3c, 6a, and 7; Part II; Part III, lines 4, 8, and 9b; and Part V, Section B, lines 1j, 2, 4c, 6i, 7, 11i, 13i, 17l, 18l, 19e, 21d, 25, and 26.
2 Community health needs assessment. Describe how the organization assesses the health care needs of the communities it serves, in addition to any community health needs assessments reported in Part V, Section B.
3 Patient education of eligibility for assistance. Describe how the organization informs and educates patients and persons who may be billed for patient care about their eligibility for assistance under federal, state, or local government programs or under the organization’s financial assistance policy.
4 Community information. Describe the community the organization serves, taking into account the geographic area and demographic constituents it serves.
5 Promotion of community health. Provide any other information important to describing how the organization’s hospital facilities or other health care facilities further its exempt purpose by promoting the health of the community (e.g., open medical staff, community board, use of surplus funds, etc.).
6 Affiliated health care system. If the organization is part of an affiliated health care system, describe the respective roles of the organization and its affiliates in promoting the health of the communities served.
7 State filing of community benefit report. If applicable, identify all states with which the organization, or a related organization, files a community benefit report.
Identifier ReturnReference Explanation
    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 $2,029,368 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 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. A NEW DEVELOPMENT IN 2011 HAS BEEN THE INVOLVEMENT OF ACH 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, WILL TAKE 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 TO ORGANIZE PROGRAMS AND SERVICES NEEDED TO FULFILL THIS PROMISE TO THE COMMUNITY. WE HAVE 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 WILL BE ORGANIZED AROUND A KEY PROMISE AND SPECIFIC PERFORMANCE GOALS RELATED TO THE CLRPN'S RESULTS FRAMEWORK. WORKING CLOSELY WITH THE CLRPN STAFF, PROMISE GROUPS WILL BE RESPONSIBLE FOR SETTING ANNUAL GOALS, DEVISING THE STRATEGIES AND IMPLEMENTING THE PROGRAMS THAT WILL BE NEEDED TO MEET THESE GOALS. TO THE EXTENT POSSIBLE AND PRACTICAL, THE PROMISE GROUP PARTNERS WILL BASE THEIR EFFORTS ON RESEARCH-SUPPORTED BEST PRACTICES. ACH WILL FOCUS ITS EFFORTS ON THE DELIVERY OF HEALTH CARE TO CHILDREN IN THE CLRPN, ESTABLISH HOME VISITING PROGRAMS IN THE AREA, PROVIDE COMMUNITY EDUCATION/OUTREACH AROUND CHILDREN'S HEALTH ISSUES, PROVIDE HEALTH LITERACY PROGRAMMING FOR THE CLRPN SCHOOLS, AND WORK TO PREVENT AVOIDABLE CHILD INJURIES. 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, AVOIDANCE OF "RISKY" BEHAVIORS AND MORE GENERAL ISSUES SUCH AS THE IMPACT OF NANOTECHNOLOGY ON IMPROVING THE LIVES OF CHILDREN.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 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.ACH IS A VALUED PARTNER IN THE EFFORTS DETAILED ABOVE AND REMAINS A KEY ORGANIZATION IN IMPROVING THE LIVES OF CHILDREN, BOTH IN LITTLE ROCK AS WELL AS THE ENTIRE STATE.
    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 BURN ADULT PATIENTS. ACH IS THE ONLY CERTIFIED 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 ($227,977) FROM PRIOR YEAR MEDICARE COST REPORT SETTLEMENTS THAT WAS PAID BACK TO THE MEDICARE PROGRAM IN FISCAL YEAR 2011.
    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 REGISTRATIONS 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.
    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, 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 -5.88%, AND THE AMOUNT ON LINE 7K, COLUMN F SHOULD BE 6.96%. HOWEVER, THE SOFTWARE WOULD NOT ACCEPT A NEGATIVE PERCENTAGE, AND THEREFORE, LINE 7B COLUMN F IS BLANK, RESULTING IN 12.83% TO SHOW ON LINE 7K COLUMN F.
    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 2500 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 GROWING TO OVER 27 AGENCIES AND ORGANIZATIONS. IN FY11 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 FIVE 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. ACH HAS LED THE CLINICAL TEAMS IN THE DEVELOPMENT AND OPERATION OF THREE MOBILE DENTAL VANS [TWO IN PARTNERSHIP WITH 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 5000 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 OVER 409 SCHOOLS AND 210,100 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. THIS APPLICATION WAS APPROVED IN SEPTEMBER, 2011 AND WILL BE IMPLEMENTED WITH ACH AS THE PROGRAM MANAGER IN FY12.
    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 PEDICATRIC MEDICAL CENTER IN ARKANSAS, WE SERVE PATIENTS THROUGHOUT THE STATE AND, ON OCCASION, FROM OTHER STATES AND COUNTRIES. ACH DRAWS APPROXIMATELY 71.8% OF OUR OUTPATIENTS AND 52.2% OF OUR INPATIENTS FROM THE CENTRAL PART OF THE STATE (PULASKI COUNTY AND THE SURROUNDING COUNTIES OF JEFFERSON, LONOKE, FAULKNER, JEFFERSON, AND SALINE), AS WELL AS FROM WHITE COUNTY IN NORTH CENTRAL ARKANSAS AND SEBASTIAN AND WASHINGTON COUNTIES IN THE NORTHWEST CORNER OF THE STATE.BASED ON THE U.S. CENSUS BUREAU 2010 CENSUS DATA, THE POPULATION WAS 382,748 FOR PULASKI COUNTY AND 2,915,918 FOR THE STATE OF ARKANSAS. OF THE STATES' POPULATION, APPROXIMATELY 24.4% ARE UNDER 18 YEARS OF AGE AND 6.8% ARE UNDER THE AGE OF 5. THE UNEMPLOYMENT RATE FOR THE STATE OF ARKANSAS FOR CALENDAR YEAR 2010 WAS 7.9%.ACCORDING TO THE U.S. DEPARTMENT OF COMMERCE, THE PER CAPITA PERSONAL INCOME FOR THE STATE OF ARKANSAS FOR 2010 WAS $33,150. THE PERCENT OF ALL PEOPLE IN POVERTY IN OUR STATE IS 18.7% AND THE PERCENT OF CHILDREN 17 OR YOUNGER IN POVERTY IS 27.3%.
    PART VI, LINE 6: 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 306 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 ENHANCING, SUSTAINING AND RESTORING CHILDREN'S HEALTH AND DEVELOPMENT. ACH HAS BEEN RANKED ON FORTUNE'S "100 BEST COMPANIES TO WORK FOR" LIST FOUR YEARS, MOST RECENTLY AT NO. 75, AND WAS THE ONLY ARKANSAS-HEADQUARTERED COMPANY THAT MADE THE 2011 LIST. OUR PHYSICIANS ARE CONSISTENTLY RECOGNIZED FOR THEIR OUTSTANDING PERFORMANCE AND ACHIEVMENT IN TAKING CARE OF OUR YOUNG PATIENTS. DOCTORS FROM ACH ARE CONSISTELY LISTED ON BEST DOCTORS AND TOP DOCTOR LISTS LOCALLY AND NAATIONALLY. IN FACT, 124 ACH STAFF PHYSICIANS WERE RECOGNIZED AS 2009-2010 BEST DOCTORS IN AMERICA. ACH SERVES AS THE PEDIATRIC TEACHING AFFILIATE OF UAMS AND IS HOME TO THE DEPARTMENT OF PEDIATRICS. ACH IS THE CLASSROOM WHERE MEDICAL STUDENTS STUDY THE PEDIATRIC COMPONENT OF ALL DISCIPLINES. IN TURN, UAMS SHARES ITS CURRENT MEDICAL BREATHROUGHS 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, AND 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 THE YEAR, A PRIMARY CARE CLINIC WAS OPENED IN THE CENTERS FOR CHILDREN, THE NORTHWEST ARKANSAS CLINIC. THE CLINIC INCLUDES 12 EXAMINATION ROOMS THAT WILL BE STAFFED BY FOUR PHYSICIANS. CLINIC SPACE FOR PHYSICAL, OCCUPATIONAL AND SPEECH THERAPY, AND LANGUAGE DEVELOPMENT IS LOCATED ADJACENT TO THE PRIMARY CARE CLINIC; ALL ARE NEW SERVICE AREAS. 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. THE NATURAL WONDERS PARTNERSHIP COUNCIL (NWPC), NOW IN ITS FIFTH YEAR, HAS GROWN TO OVER 27 MEMBERS AND SERVES AS A CENTER OF MULTIPLE ACTIVITIES DESIGNED TO IMPROVE THE HEALTH STATUS OF CHILDREN IN OUR STATE. THE NWPC HAS BECOME 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. IN ADDITION TO CONTINUED EFFORTS IN INJURY PREVENTION, HEALTH LITERACY, COORDINATED SCHOOL HEALTH, AND HOME VISITING, THE NWPC HAS ACTIVE WORK GROUPS ADDRESSING 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 ABOUT ISSUES IMPORTANT TO THE HEALTH AND DEVELOPMENT OF CHILDREN IN ARKANSAS. IN 2011 A MAJOR REVIEW OF THE FUNDAMENTAL DATA SETS UNDERLYING OUR ENTIRE COMMUNITY BENEFIT EFFORT OCCURRED. THIS REVIEW, COMBINED WITH AN ANALYSIS OF PROGRESS MADE TO DATE, WAS PUBLISHED IN THE 3RD EDITION OF THE NATURAL WONDERS DOCUMENT.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). THE IPC SPONSORED OR ASSISTED IN 296 OUTREACH EVENTS AND/OR PRESENTATIONS REACHING OVER 16,000 PEOPLE, AND DISTRIBUTED OVER 200,000 PIECES OF SAFETY INFORMATION OR SAFETY PRODUCTS. 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. THROUGH THE COALITION, CHILDREN'S DENTAL HEALTH HAS MADE PROGRESS IN VARIOUS EFFORTS: THE 2011 PEW CHILDREN'S DENTAL CAMPAIGN'S REPORT, "THE STATE OF CHILDREN'S DENTAL HEALTH: MAKING COVERAGE MATTER," GRADED ARKANSAS AT A "C," A TWO-LETTER GRADE INCREASE. THE GRADE INCREASE WAS ATTRIBUTED TO AN INCREASE OF THE CHILDREN ENROLLED IN MEDICAID THAT ARE RECEIVING DENTAL CARE AND THREE PIECES OF LEGISLATION SIGNED INTO LAW IN EARLY 2011. THESE INCLUDE 1) A LAW GUARANTEED FLUORIDATED WATER TO COMMUNITIES OVER A CERTAIN POPULATION, 2) ANOTHER THAT ALLOWS PHYSICIANS TO PROVIDE PREVENTATIVE DENTAL SERVICES (E.G. FLUORIDE VARNISH), AND 3) ONE THAT ALLOWS PUBLIC HEALTH DENTAL HYGIENISTS TO BE ABLE TO PLACE SEALANTS WITHOUT A DENTIST'S PRIOR EXAM. AS FAR AS THE HOSPITAL'S EFFORTS, ACH DENTAL OUTREACH CONTINUES TO MAKE GREAT STRIDES IN ADDRESSING ACCESS TO DENTAL CARE. THREE MOBILE CLINICS VISIT VARIOUS UNDERSERVED AREAS, PROVIDING COMPREHENSIVE DENTAL CARE TO THOSE IN URGENT NEED. IN ADDITION, ACH CONTINUES TO PARTNER WITH THE ARKANSAS DEPARTMENT OF HEALTH OFFICE OF ORAL HEALTH'S "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 THIRD YEAR AND CONTINUES TO SEE AN INCREASED NUMBER OF CHILDREN AROUND ARKANSAS. IN FY 2011, THE PROGRAM SAW NEARLY 800 CHILDREN AND SEALED OVER 2,800 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 FY11, THIS PROGRAM GREW TO INCLUDE 362 SCHOOLS IN 79 DISTRICTS IN ARKANSAS. THIS YEAR SAW A 47% INCREASE IN ACTIVE USERS FROM 182 SCHOOLS TO 267, AS WELL AS A 57% INCREASE IN REGISTERED USERS FROM 917 TO 1430. THE MOST SIGNIFICANT CHANGE IN 2011 IN OUR EFFORTS TO IMPROVE HEALTH LITERACY FOR STUDENTS IN ARKANSAS WAS THE ANNOUNCEMENT OF A NEW PARTNERSHIP BETWEEN ACH AND MERCY HEALTH SYSTEM TO JOINTLY SPONSOR HEALTHTEACHER.COM IN PORTIONS OF NORTHERN, WESTERN AND WEST-CENTRAL ARKANSAS. THIS MULTI-YEAR PARTNERSHIP POTENTIALLY ADDS 63 NEW SCHOOL DISTRICTS WITH 170 NEW SCHOOLS, 9,905 NEW TEACHERS AND 129,276 NEW STUDENTS TO THIS PROGRAM. OUR EFFORTS WILL REACH A POTENTIAL OF 409 SCHOOLS AND 210,106 STUDENTS IN ARKANSAS.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 7: 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.
Schedule H (Form 990) 2010
Additional Data


Software ID:  
Software Version:  
Schedule I
(Form 990)
Department of the Treasury
Internal Revenue Service
Grants and Other Assistance to Organizations,
Governments and Individuals in the United States
Complete if the organization answered "Yes," to Form 990, Part IV, line 21 or 22.
lBullet Attach to Form 990
OMB No. 1545-0047
2010
Open to Public
Inspection
Name of the organization
ARKANSAS CHILDREN'S HOSPITAL
 
Employer identification number
71-0236857
Part I
General Information on Grants and Assistance
1
Does the organization maintain records to substantiate the amount of the grants or assistance, the grantees' eligibility for the grants or assistance, and
the selection criteria used to award the grants or assistance? ....................................
2
Describe in Part IV the organization's procedures for monitoring the use of grant funds in the United States.
Part II
Grants and Other Assistance to Governments and Organizations in the United States. Complete if the organization answered "Yes" to
Form 990, Part IV, line 21 for any recipient that received more than $5,000. Check this box if no one recipient received more than $5,000. Use
Part IV and Schedule I-1 (Form 990) if additional space is needed ......................... lBullet
(a) Name and address of organization
or government		 (b) EIN (c) IRC Code section
if applicable		 (d) Amount of cash grant (e) Amount of non-cash
assistance		 (f) Method of valuation
(book, FMV, appraisal,
other)		 (g) Description of
non-cash assistance		 (h) Purpose of grant
or assistance
(1) ARKANSAS ADVOCATES FOR CHILDREN & FAMILIES1400 WEST MARKHAM SUITE 306
LITTLE ROCK,AR72201 		71-0492205 501(C)(3) 7,900       GENERAL SUPPORT
(2) ARKANSAS CENTER FOR HEALTH IMPROVEMENT (UAMS)1401 W CAPITOL AVE SUITE 300
LITTLE ROCK,AR72201 		71-6046242 GOV'T ENTITY 200,000       HEALTH IMPROVEMENT PROGRAMS
(3) ARKANSAS CHILDREN'S HOSPITAL FOUNDATION1 CHILDRENS WAY
LITTLE ROCK,AR72202 		71-0568795 501(C)(3) 1,549,691       GENERAL SUPPORT
(4) ARKANSAS CHILDREN'S HOSPITAL RESEARCH INSTITUTE13 CHILDRENS WAY
LITTLE ROCK,AR72202 		71-0694931 501(C)(3) 5,570,224 2,663,689 COST INDIRECT SUPPORT GENERAL SUPPORT
(5) ARKANSAS DISCOVERY NETWORK500 PRESIDENT CLINTON AVE S 150
LITTLE ROCK,AR72201 		71-0391707 501(C)(3) 7,500       GENERAL SUPPORT
(6) HOME INSTRUCTION FOR PARENTS OF PRESCHOOL YOUNGSTERS (HIPPY)1221 BISHOP
LITTLE ROCK,AR72202 		13-3672592 501(C)(3)   17,061 FMV PROVIDE OFFICE SPACE & PHONE GENERAL SUPPORT
(7) LITTLE ROCK MARATHON500 W MARKHAM SUITE 108
LITTLE ROCK,AR72201 		71-6014465 GOV'T ENTITY 10,000       GENERAL SUPPORT
(8) LITTLE ROCK POLICE DEPARTMENT600 W MARKHAM
LITTLE ROCK,AR72201 		71-6014465 GOV'T ENTITY 6,938       GENERAL SUPPORT
(9) RONALD MCDONALD HOUSE CHARITIES1009 WOLFE STREET
LITTLE ROCK,AR72202 		71-0525252 501(C)(3) 10,400       GENERAL SUPPORT
(10) THE ADVOCACY FOR CHILDRENPO BOX 165815
LITTLE ROCK,AR72216 		26-1086937 501(C)(3)   14,992 FMV PROVIDE OFFICE SPACE GENERAL SUPPORT
(11) ARKANSAS DEPARTMENT OF HUMAN SERVICESPO BOX 1437
LITTLE ROCK,AR72203 		71-0847443 GOV'T ENTITY 60,000       PRENATAL CARE AND INFANT MORTALITY PREVENTION PROGRAMS
(12) CAMP ALDERSGATE2000 ALDERSGATE ROAD
LITTLE ROCK,AR72205 		68-0560043 501(C)(3) 22,060       GENERAL SUPPORT AND CAMPS FOR CHILDREN WITH PHYSCIAL CONDITIONS.
(13) THE FIRST TEE OF CENTRAL ARKANSAS1 FIRST TEE WAY
LITTLE ROCK,AR72204 		71-0845382 501(C)(3) 10,000       YOUTH OUTREACH AND OBESITY PREVENTION
(14) NATIONAL ASSOCIATION OF CHILDREN'S HOSPITALSPO BOX 79334
BALTIMORE,MD21279 		51-0120256 501(C)(6) 57,701       GME ADVOCACY
(15) ARKANSAS ZOOLOGICAL FOUNDATION1 ZOO DRIVE
LITTLE ROCK,AR72205 		58-1837949 GOV'T ENTITY 2,500 36,000 COST CONSTRUCTION OF A HANDWASHING STATION HEALTH/SAFETY AND GENERAL SUPPORT
(16) ST FRANCIS HOUSE2701 S ELM ST
LITTLE ROCK,AR722046339 		71-0460783 501(C)(3)   13,572 COST MEALS READY TO EAT COMMUNITY SUPPORT
(17) ARKANSAS DREAM CENTER1116 WEST DAISY BATES
LITTLE ROCK,AR72202 		27-0730530 501(C)(3)   13,572 COST MEALS READY TO EAT COMMUNITY SUPPORT
(18) LITTLE ROCK CHAMBER OF COMMERCEONE CHAMBER PLAZA
LITTLE ROCK,AR722011618 		71-0108510 501(C)(6) 25,000       COMMUNITY DEVELOPMENT
2
Enter total number of section 501(c)(3) and government organizations ......................... Bullet Image
16
3
Enter total number of other organizations ................................ . Bullet Image
2
For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50055P
Schedule I (Form 990) 2010

Schedule I (Form 990) 2010
Page 2
Part III
Grants and Other Assistance to Individuals in the United States. Complete if the organization answered "Yes" to Form 990, Part IV, line 22.
Use Schedule I-1 (Form 990) if additional space is needed.
(a)Type of grant or assistance (b)Number of
recipients		 (c)Amount of
cash grant		 (d)Amount of
non-cash assistance		 (e)Method of valuation (book,
FMV, appraisal, other)		 (f)Description of non-cash assistance
(1) MEALS 3038 1,790 111,685 COST MEALS FOR FAMILIES/LACTATING MOTHERS
(2) INSURANCE PREMIUMS 58   105,130 COST PAYMENT OF PREMIUMS FOR PATIENT'S FAMILIES ALLOWED BY COBRA
(3) TRANSPORTATION COSTS (BUS TOKENS, CAB FARE, GAS CARDS) 1203 34,963      
(4) FUNERAL EXPENSES 27 23,342      
(5) RENT, MORTGAGE EXPENSE, UTILITIES, LODGING 110 16,268      
(6) CAR SEATS FOR INFANTS AND CHILDREN 191   16,755 COST CAR SEATS FOR INFANTS AND CHILDREN
(7) GROCERY GIFT CARDS AND OTHER MISC. ASSISTANCE 46 7,140      

Part IV
Supplemental Information. Complete this part to provide the information required in Part I, line 2, and any other additional information.
Identifier Return Reference Explanation
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.
Schedule I (Form 990) 2010


Additional Data


Software ID:  
Software Version:  


Schedule J
(Form 990)
Department of the Treasury
Internal Revenue Service
Compensation Information
For certain Officers, Directors, Trustees, Key Employees, and Highest
Compensated Employees
SchJMediumBullet Complete if the organization answered "Yes" to Form 990,
Part IV, question 23.
SchJMediumBullet Attach to Form 990. SchJMediumBullet See separate instructions.
OMB No. 1545-0047
2010
Open to Public Inspection
Name of the organization
ARKANSAS CHILDREN'S HOSPITAL
 
Employer identification number

71-0236857
Part I
Questions Regarding Compensation
Yes
No
1a
Check the appropiate box(es) if the organization provided any of the following to or for a person listed in Form
990, Part VII, Section A, line 1a. Complete Part III to provide any relevant information regarding these items.
b
If any of the boxes in line 1a are checked, did the organization follow a written policy regarding payment or reimbursement orprovision of all the expenses described above? If "No," complete Part III to explain....
1b
Yes
 
2
Did the organization require substantiation prior to reimbursing or allowing expenses incurred by all
officers, directors, trustees, and the CEO/Executive Director, regarding the items checked in line 1a? ....
2
Yes
 
3
Indicate which, if any, of the following the organization uses to establish the compensation of the
organization's CEO/Executive Director. Check all that apply.
4
During the year, did any person listed in Form 990, Part VII, Section A, line 1a with respect to the filing organization or a related organization:
a
Receive a severance payment or change-of-control payment? ...............
4a
 
No
b
Participate in, or receive payment from, a supplemental nonqualified retirement plan? ........
4b
Yes
 
c
Participate in, or receive payment from, an equity-based compensation arrangement? ........
4c
 
No
If "Yes" to any of lines 4a-c, list the persons and provide the applicable amounts for each item in Part III.
Only 501(c)(3) and 501(c)(4) organizations only must complete lines 5-9.
5
For persons listed in form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the revenues of:
a
The organization? ...........................
5a
 
No
b
Any related organization? .........................
5b
 
No
If "Yes," to line 5a or 5b, describe in Part III.
6
For persons listed in form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the net earnings of:
a
The organization? ...........................
6a
 
No
b
Any related organization? .........................
6b
 
No
If "Yes," to line 6a or 6b, describe in Part III.
7
For persons listed in Form 990, Part VII, Section A, line 1a, did the organization provide any non-fixed
payments not described in lines 5 and 6? If "Yes," describe in Part III ............
7
Yes
 
8
Were any amounts reported in Form 990, Part VII, paid or accured pursuant to a contract that was
subject to the initial contract exception described in Regs. section 53.4958-4(a)(3)? If "Yes," describe
in Part III .............................
8
 
No
9
If "Yes" to line 8, did the organization also follow the rebuttable presumption procedure described in Regulations section 53.4958-6(c)? .........................
9
 
 
For Privacy Act and Paperwork Reduction Act Notice, see the Intructions for Form 990
Cat. No. 50053T
Schedule J (Form 990) 2010

Schedule J (Form 990) 2010
Page 2
Part II
Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees. Use Schedule J-1 if additional space needed.
For each individual whose compensation must be reported in Schedule J, report compensation from the organization on row (i) and from related organizations, described in the
instructions on row (ii). Do not list any individuals that are not listed on Form 990, Part VII.

Note. The sum of columns (B)(i)-(iii) must equal the applicable column (D) or column (E) amounts on Form 990, Part VII, line 1a.
(A) Name (B) Breakdown of W-2 and/or 1099-MISC compensation (C) Retirement and other deferred compensation (D) Nontaxable
benefits		 (E) Total of columns
(B)(i)-(D) 		(F) Compensation
reported in prior
Form 990 or
Form 990-EZ
(i) Base compensation (ii) Bonus & incentive compensation (iii) Other reportable compensation
(1) JONATHAN BATES MD (i)
(ii)		 452,459
0 		65,000
0 		3,961
0 		84,998
0 		7,264
0 		613,682
0 		0
0
(2) RICHARD JACOBS MD (i)
(ii)		 0
0 		0
0 		0
0 		0
0 		0
0 		 
  		0
0
(3) BONNIE TAYLOR MD (i)
(ii)		 0
0 		0
0 		0
0 		0
0 		0
0 		 
  		0
0
(4) GENA WINGFIELD (i)
(ii)		 362,101
0 		35,000
0 		568
0 		28,696
0 		10,063
0 		436,428
0 		0
0
(5) CHARLES LARRY BECKIUS (i)
(ii)		 169,664
0 		13,000
0 		619
0 		12,602
0 		6,490
0 		202,375
0 		0
0
(6) DAVID BERRY (i)
(ii)		 359,613
0 		31,000
0 		871
0 		42,664
0 		10,063
0 		444,211
0 		0
0
(7) LORI BROWN (i)
(ii)		 239,856
0 		23,000
0 		528
0 		15,450
0 		4,896
0 		283,730
0 		0
0
(8) SCOTT GORDON (i)
(ii)		 342,540
0 		19,000
0 		2,385
0 		166,138
0 		10,063
0 		540,126
0 		0
0
(9) CYNTHIA HOLLAND (i)
(ii)		 173,590
0 		13,000
0 		663
0 		13,546
0 		6,555
0 		207,354
0 		0
0
(10) DARRELL LEONHARDT (i)
(ii)		 230,769
0 		16,000
0 		1,472
0 		12,164
0 		9,680
0 		270,085
0 		0
0
(11) MARY MCDANIEL (i)
(ii)		 148,175
0 		11,000
0 		784
0 		8,214
0 		4,370
0 		172,543
0 		0
0
(12) MARY SALASSI-SCOTTER (i)
(ii)		 145,303
0 		11,000
0 		335
0 		11,237
0 		6,387
0 		174,262
0 		0
0
(13) CAROLE ZYLMAN (i)
(ii)		 198,590
0 		15,000
0 		1,214
0 		15,213
0 		6,695
0 		236,712
0 		0
0
(14) KATHERINE BRANDON (i)
(ii)		 140,001
0 		11,000
0 		110
0 		0
0 		10,732
0 		161,843
0 		0
0
(15) SHERRY FURR (i)
(ii)		 195,518
0 		14,000
0 		10,144
0 		14,374
0 		4,482
0 		238,518
0 		0
0
(16) JAMES KOONCE (i)
(ii)		 323,239
0 		10,251
0 		4,191
0 		15,900
0 		4,972
0 		358,553
0 		0
0
(17) KIRT SIMMONS (i)
(ii)		 229,475
0 		500
0 		954
0 		14,891
0 		9,258
0 		255,078
0 		0
0
(18) DAVID HIGGINSON (i)
(ii)		 190,458
0 		16,000
0 		162
0 		12,378
0 		5,587
0 		224,585
0 		0
0
(19) ANDREE TROSCLAIR (i)
(ii)		 184,884
0 		16,000
0 		573
0 		13,925
0 		4,587
0 		219,969
0 		0
0
Schedule J (Form 990) 2010

Schedule J (Form 990) 2010
Page 3
Part III
Supplemental Information
Complete this part to provide the information, explanation, or descriptions required for Part I, lines 1a, 1b, 4c, 5a, 5b, 6a, 6b, 7, and 8. Also complete this part for any additional information.
Identifier Return Reference Explanation
  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.
  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 2010 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 NO LISTED PLAN PARTICIPANT RECEIVED PAYMENTS FROM THE SERP OR ANY OTHER RELATED RETIREMENT PLAN DURING THE 2010 TAX YEAR.
  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., BONNIE TAYLOR, M.D., CHARLES BOWER, M.D., AND PATRICK H. CASEY, 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.
Schedule J (Form 990) 2010

Additional Data


Software ID:  
Software Version:  
Schedule K
(Form 990)
Department of the Treasury
Internal Revenue Service
Supplemental Information on Tax Exempt Bonds
SchKMediumBullet Complete if the organization answered "Yes" to Form 990, Part IV, line 24a. Provide descriptions,
explanations, and any additional information in Schedule O (Form 990).
SchKMediumBullet Attach to Form 990. SchKMediumBullet See separate instructions.
OMB No. 1545-0047
2010
Open to Public
Inspection
Name of the organization
ARKANSAS CHILDREN'S HOSPITAL
 
Employer identification number
71-0236857
Part I
Bond Issues
(a) Issuer Name (b) Issuer EIN (c) CUSIP # (d) Date Issued (e) Issue Price (f) Description of Purpose (g) Defeased (h) On
Behalf of
Issuer 		(i) Pool
financing
Yes No Yes No Yes No
A PULASKI COUNTY ARKANSAS
  		71-6006487 745392HD5 05-28-2009 109,526,869 SEE SCHEDULE K, PART V.   X   X   X
B PULASKI COUNTY ARKANSAS
  		71-6006487 745392GKO 12-08-2005 33,917,692 SEE SCHEDULE K, PART V.   X   X   X
C PULASKI COUNTY ARKANSAS
  		71-6006487 745392HR4 11-17-2010 31,051,199 SEE SCHEDULE K, PART V.   X   X   X
Part II
Proceeds
A B C D
1 Amount of bonds retired. . . . . 4,770,000 3,255,000 720,000  
2 Amount of bonds defeased . . . .        
3 Total proceeds of issue . . . . 110,920,565 34,659,477 31,051,199  
4 Gross proceeds in reserve funds . . 7,406,205      
5 Capitalized interest from proceeds. 263,490      
6 Proceeds in refunding escrow. . . . .        
7 Issuance costs from proceeds . . . 1,296,277 307,020 192,600  
8 Credit enhancement from proceeds. 1,876,252 603,623 206,911  
9 Working capital expenditures from proceeds . .        
10 Capital expenditures from proceeds . . 85,725,803 33,748,834    
11 Other spent proceeds . . 30,651,688   30,651,688  
12 Other unspent proceeds. . . 14,352,538      
13 Year of substantial completion . . . 2006 2006 2010
Yes No Yes No Yes No Yes No
14 Were the bonds issued as part of a current refunding issue?   X   X        
15 Were the bonds issued as part of an advance refunding issue?   X   X   X    
16 Has the final allocation of proceeds been made? . .   X X   X      
17 Does the organization maintain adequate books and records to support the final allocation of proceeds? . X   X   X      
Part III
Private Business Use
A B C D
Yes No Yes No Yes No Yes No
1 Was the organization a partner in a partnership, or a member of an LLC, which owned property financed by tax-exempt bonds? . . .   X   X        
2 Are there any lease arrangements that may result in private business use of bond-financed property? . . . . .   X   X        
For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50193E
Schedule K (Form 990) 2010
Schedule K (Form 990) 2010
Page 2
Part III
Private Business Use (Continued)
A B C D
Yes No Yes No Yes No Yes No
3a Are there any management or service contracts that may result in private business use?   X X          
b Are there any research agreements that may result in private business use of bond-financed property? . .   X   X        
c Does the organization routinely engage bond counsel or other outside counsel to review any management or service contracts or research agreements relating to the financed property? . X   X          
4 Enter the percentage of financed property used in a private business use by entities other than a section 501(c)(3) organization or a state or local government . . . . . . . . . . . . . SchKMediumBullet 0.120 % 0.120 %    
5 Enter the percentage of financed property used in a private business use as a result of unrelated trade or business activity carried on by your organization, another section 501(c)(3) organization, or a state or local government . SchKMediumBullet 0 % 0 %    
6 Total of lines 4 and 5 . . .. . . . . . 0.120 % 0.120 %    
7 Has the organization adopted management practices and procedures to ensure the post-issuance compliance of its tax-exempt bond liabilities? X   X          
Part IV
Arbitrage
A B C D
Yes No Yes No Yes No Yes No
1 Has a Form 8038-T, Arbitrage Rebate, Yield Reduction and Penalty in Lieu of Arbitrage Rebate, been filed with respect to the bond issue? . . .   X   X   X    
2 Is the bond issue a variable rate issue?   X   X   X    
3a Has the organization or the governmental issuer entered into a hedge with respect to the bond issue?   X   X   X    
b Name of provider .  
  		 
  		 
  		 
 
c Term of hedge . .        
d Was the hedge superintegrated? .                
e Was a hedge terminated? .                
4a Were gross proceeds invested in a GIC? .   X   X   X    
b Name of provider .  
  		 
  		 
  		 
 
c Term of GIC . .        
d Was the regulatory safe harbor for establishing the fair market value of the GIC satisfied? .                
5 Were any gross proceeds invested beyond an available temporary period? .   X   X   X    
6 Did the bond issue qualify for an exception to rebate? . . .   X X   X      
Schedule K (Form 990) 2010

Schedule K (Form 990) 2010
Page 3
Part V
Supplemental Information
Complete this part to provide additional information for responses to questions on Schedule K (see instructions).
Identifier Return Reference Explanation
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. THE SOUTH WING PROJECT IS NEW CONSTRUCTION THAT WILL ADD APPROXIMATELY 258,034 SQUARE FEET THAT WILL INCLUDE A NEW EMERGENCY DEPARTMENT, ADDITIONAL OUTPATIENT CLINIC AREAS AND A NET ADDITION OF 54 INPATIENT BEDS. PARTI, 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. PART II, LINE 3, BOND A - TOTAL PROCEEDS DIFFER FROM ISSUE PRICE DUE TO CUMULATIVE INVESTMENT EARNINGS OF $1,393,695. PART II, LINE 3, BOND B - TOTAL PROCEEDS DIFFER FROM ISSUE PRICE DUE TO CUMULATIVE INVESTMENT EARNINGS OF $741,785.
Schedule K (Form 990) 2010

Additional Data


Software ID:  
Software Version:  

Schedule L
(Form 990 or 990-EZ)
Department of the Treasury
Internal Revenue Service
Transactions with Interested Persons
MediumBullet Complete if the organization answered
"Yes" on Form 990, Part IV, lines 25a, 25b, 26, 27, 28a, 28b, or 28c,
or Form 990-EZ, Part V lines 38a or 40b.
MediumBullet Attach to Form 990 or Form 990-EZ. MediumBulletSee separate instructions.
OMB No. 1545-0047
2010
Open to Public Inspection
Name of the organization
ARKANSAS CHILDREN'S HOSPITAL
 
Employer identification number

71-0236857
Part I
Excess Benefit Transactions (section 501(c)(3) and section 501 (c)(4) organizations only).
Complete if the organization answered "Yes" on Form 990, Part IV, line 25a or 25b, or Form 990-EZ, Part V, line 40b.
1(a) Name of disqualified person (b) Description of transaction (c) Corrected?
Yes No





2
Enter the amount of tax imposed on the organization managers or disqualified persons during the year under section 4958. ......................... Bullet Image$
 
3
Enter the amount of tax, if any, on line 2, above, reimbursed by the organization ....... Bullet Image$
 

Part II
Loans to and/or From Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 26, or Form 990-EZ, Part V, line 38a.
(a) Name of interested person and purpose (b) Loan to or from the organization? (c)Original principal amount (d)Balance due (e) In default? (f) Approved by board or committee? (g)Written agreement?
To From Yes No Yes No Yes No
(1) LORI BROWN
ADVANCED HEALTHCARE EDUCATION 		  X 42,541 24,788   No   No Yes  
(2) JAYANT DESHPANDE
RECRUITMENT LOAN 		  X 20,000 12,500   No   No Yes  
Total ...............Small Bullet $ 37,288
Part III
Grants or Assistance Benefitting Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 27.
(a) Name of interested person (b)Relationship between interested person and the organization (c)Amount of grant or type of assistance
For Privacy Act and Paperwork Reduction Act Notice, see the
Instructions for Form 990 or 990-EZ.
Cat. No. 50056A
Schedule L (Form 990 or 990-EZ) 2010
Schedule L (Form 990 or 990-EZ) 2010
Page 2
Part IV
Business Transactions Involving Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 28a, 28b, or 28c.
(a) Name of interested person (b) Relationship between interested person and the organization (c) Amount of transaction (d) Description of transaction (e) Sharing of organization's revenues?
Yes No
(1) WINDSTREAM
  		PERFORMANCE OF SERVICES 335,829 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.   No
(2) AT&T
  		PERFORMANCE OF SERVICES 152,760 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.   No
(3) JENNIFER J BECKIUS FAMILY MEMBER 28,411 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.   No
(4) MISTY DAWN BERRY FAMILY MEMBER 43,819 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.   No
(5) BRANSON BOLDEN FAMILY MEMBER 45,044 SEE PART V. BRANSON BOLDEN IS A FAMILY MEMBER OF OFFICER GENA WINGFIELD. HE WAS A RESIDENT EMPLOYED BY UAMS; HOWEVER, ARKANSAS CHILDREN'S HOSPITAL REIMBURSES UAMS FOR RESIDENTS WORKING ON THE ACH CAMPUS THROUGH A CONTRACT WITH UAMS.   No
Part V
Supplemental Information
Complete this part to provide additional information for responses to questions on Schedule L (see instructions).
Identifier Return Reference Explanation
Schedule L (Form 990 or 990-EZ) 2010

Additional Data


Software ID:  
Software Version:  




SCHEDULE O
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service
Supplemental Information to Form 990 or 990-EZ

Complete to provide information for responses to specific questions on
Form 990 or to provide any additional information.
MediumBullet Attach to Form 990 or 990-EZ.
OMB No. 1545-0047
2010
Open to Public
Inspection
Name of the organization
ARKANSAS CHILDREN'S HOSPITAL
 
Employer identification number

71-0236857
Identifier Return Reference Explanation
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 CHARLES BOWER, PATRICK CASEY, RICHARD JACOBS, ROBERT MORROW, DANIEL RAHN, AND BONNIE TAYLOR 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 ARKANSAS CHILDREN'S HOSPITAL BYLAWS WERE CHANGED DURING THE YEAR AS FOLLOWS: (1) NON-DIRECTOR MEDICAL STAFF AND NON-DIRECTOR COMMUNITY REPRESENTATIVES MAY SERVE AT THE PLEASURE OF THE BOARD ON ANY COMMITTEE EXCEPT THE FOLLOWING: EXECUTIVE, GOVERNANCE OR COMPENSATION. THE NUMBER OF NON-DIRECTOR MEMBERS ON THE VARIOUS ALLOWABLE COMMITTEES WAS CHANGED FROM 20% TO 50%. (2) THE NUMBER OF DIRECTORS ON THE ACH FINANCE COMMITTEE CHANGED FROM THE TREASURER PLUS SIX DIRECTORS TO THE TREASURER PLUS THREE OTHER DIRECTORS. (3) THE NUMBER OF DIRECTORS ON THE GOVERNANCE COMMITTEE (PREVIOUSLY CALLED THE "NOMINATING COMMITTEE") CHANGED FROM BEING THE THREE PAST BOARD CHAIRMEN ABLE TO SERVE TO THE PAST BOARD CHAIRMEN ABLE TO SERVE. (4) THE NUMBER OF DIRECTORS ON THE SERVICES AND QUALITY COMMITTEE CHANGED FROM FIVE TO FOUR. (5) THE NUMBER OF DIRECTORS ON THE AUDIT COMMITTEE CHANGED FROM FIVE TO FOUR AND EXPLICITLY STATES THAT EACH MEMBER WILL BE BOTH INDEPENDENT AND FINANCIALLY LITERATE, WITH AT LEAST ONE MEMBER QUALIFYING AS A FINANCIAL EXPERT AS DEFINED BY SECTION 407 OF THE SARBANES-OXLEY ACT OF 2002 AND REGULATIONS THEREUNDER. THE SCOPE OF THE COMMITTEE WAS REVISED TO INDICATE THE COMMITTEE WILL ENGAGE AN INDEPENDENT AUDIT FIRM, SUBJECT TO BOARD APPROVAL.(6) THE INVESTMENT COMMITTEE WAS CHANGED TO BE COMPOSED OF FIVE MEMBERS, THREE FROM THE ACH BOARD AND 2 FROM THE ARKANSAS CHILDREN'S HOSPITAL FOUNDATION BOARD FOR A THREE YEAR APPOINTMENT. THE ACH TREASURER WILL BE AN EX OFFICIO MEMBER WITH VOTING PRIVILEGES AND THE COMMITTEE CHAIRMAN MUST BE ONE OF THE THREE ACH BOARD MEMBERS. (7) THE RESPONSIBILITY OF REVIEWING THE PERFORMANCE AND COMPENSATION OF THE CEO AND ADMINISTRATIVE OFFICERS WAS TRANSFERRED FROM THE EXECUTIVE COMMITTEE TO THE COMPENSATION COMMITTEE WITH A WRITTEN PERFORMANCE REVIEW OF THE CEO TO BE PROVIDED TO THE EXECUTIVE COMMITTEE.
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 A JOINT FINANCE AND AUDIT COMMITTEE MEETING BY HOSPITAL MANAGEMENT. IF THE REVIEW BY THE COMMITTEES 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.
  FORM 990, PART VII, SECTION A, COLUMNS E & F: COMPENSATION REPORTED IN THESE COLUMNS IS ATTRIBUTABLE TO EMPLOYEES' TIME DEVOTED EACH WEEK TO THIS ENTITY AS WELL AS RELATED ORGANIZATIONS, AS FOLLOWS: JONATHAN BATES, M.D.: ARKANSAS CHILDREN'S HOSPITAL - 40 HOURS ARKANSAS CHILDREN'S HOSPITAL FOUNDATION - 3 HOURS ARKANSAS CHILDREN'S HOSPITAL RESEARCH INSTITUTE - 1 HOUR ARKANSAS CHILDREN'S HOSPITAL BUILDING RESEARCH FACILITY - .1 HOURS RICHARD JACOBS, M.D.: ARKANSAS CHILDREN'S HOSPITAL - 8 HOURS ARKANSAS CHILDREN'S HOSPITAL FOUNDATION - 1 HOUR ARKANSAS CHILDREN'S HOSPITAL RESEARCH INSTITUTE - 16 HOURS ARKANSAS CHILDREN'S HOSPITAL BUILDING RESEARCH FACILITY - .25 HOURS GENA WINGFIELD: ARKANSAS CHILDREN'S HOSPITAL - 40 HOURS ARKANSAS CHILDREN'S HOSPITAL FOUNDATION - 2 HOURS ARKANSAS CHILDREN'S HOSPITAL RESEARCH INSTITUTE - 2 HOURS ARKANSAS CHILDREN'S HOSPITAL BUILDING RESEARCH FACILITY - .1 HOURS SCOTT GORDON: ARKANSAS CHILDREN'S HOSPITAL - 20 HOURS ARKANSAS CHILDREN'S HOSPITAL FOUNDATION - 20 HOURS ALL OTHER COMPENSATION LISTED IN COLUMNS E OR F RELATES TO EMPLOYEES' TIME THAT IS DEVOTED TO ARKANSAS CHILDREN'S HOSPITAL. ARKANSAS CHILDREN'S HOSPITAL ACCOUNTING DEPARTMENT MANAGES THE PAYROLL FUNCTION CENTRALLY FOR ARKANSAS CHILDREN'S HOSPITAL AND ALL RELATED ORGANIZATIONS.
CHANGES IN NET ASSETS OR FUND BALANCES: FORM 990, PART XI, LINE 5: NET UNREALIZED LOSSES ON INVESTMENTS: -176,952. OTHER ADJUSTMENTS -404,087. TOTAL TO FORM 990, PART XI, LINE 5: -581,039.
  FORM 990, PART XI, 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.
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.
Cat. No. 51056K
Schedule O (Form 990 or 990-EZ) 2010

Additional Data


Software ID:  
Software Version:  
SCHEDULE R
(Form 990)
Department of the Treasury
Internal Revenue Service
Related Organizations and Unrelated Partnerships
MediumBulletComplete if the organization answered "Yes" to Form 990, Part IV, line 33, 34, 35, 36, or 37.
MediumBulletAttach to Form 990. MediumBullet See separate instructions.

OMB No. 1545-0047
2010
Open to Public Inspection
Name of the organization
ARKANSAS CHILDREN'S HOSPITAL
 
Employer identification number

71-0236857
Part I
Identification of Disregarded Entities (Complete if the organization answered "Yes" on Form 990, Part IV, line 33.)
(a)
Name, address, and EIN of disregarded entity


(b)
Primary activity


 		(c)
Legal domicile (state
or foreign country)

 		(d)
Total income
(e)
End-of-year assets


 		(f)
Direct controlling
entity

















Part II
Identification of Related Tax-Exempt Organizations (Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related tax-exempt organizations during the tax year.)
(a)
Name, address, and EIN of related organization


(b)
Primary activity


 		(c)
Legal domicile (state
or foreign country)

 		(d)
Exempt Code section
(e)
Public charity status
(if section 501(c)(3))

 		(f)
Direct controlling
entity

 		(g)
Section 512(b)(13) controlled organization
Yes No
(1) ARKANSAS CHILDREN'S HOSPITAL FOUNDATION

1 CHILDRENS WAY

LITTLE ROCK,AR72202
71-0568795 		FUNDRAISING AR 501(C)(3) LINE 7 ARKANSAS CHILDREN'S HOSPITAL
 
 
No
(2) ARKANSAS CHILDREN'S HOSPITAL RESEARCH INSTITUTE

13 CHILDRENS WAY

LITTLE ROCK,AR72202
71-0694931 		RESEARCH AR 501(C)(3) LINE 11A, I ARKANSAS CHILDREN'S HOSPITAL
 
 
No
(3) ARKANSAS CHILDREN'S HOSPITAL BUILDING RESEARCH FACILITY INC

1 CHILDRENS WAY

LITTLE ROCK,AR72202
91-1940376 		BUILDING MANAGEMENT AR 501(C)(3) LINE 11A, I ARKANSAS CHILDREN'S HOSPITAL
 
 
No
(4) ARKANSAS CHILDREN'S HOSPITAL AUXILIARY

1 CHILDRENS WAY

LITTLE ROCK,AR72202
71-0606585 		FUNDRAISING AR 501(C)(3) LINE 11A, I ARKANSAS CHILDREN'S HOSPITAL
 
 
No






For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50135Y
Schedule R (Form 990) 2010
Schedule R (Form 990) 2010
Page 2
Part III
Identification of Related Organizations Taxable as a Partnership (Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a partnership during the tax year.)
(a)
Name, address, and EIN of
related organization



 		(b)
Primary activity




 		(c)
Legal
domicile
(state or foreign
country)


 		(d)
Direct controlling
entity



 		(e)
Predominant income(related, unrelated, excluded from tax under sections 512-514)

(f)
Share of total income




 		(g)
Share of end-of-year
assets



 		(h)
Disproprtionate allocations?




 		(i)
Code V—UBI
amount in box 20 of
Schedule K-1
(Form 1065)
 		(j)
General or
managing
partner?



 		(k)
Percentage
ownership
Yes No Yes No












Part IV
Identification of Related Organizations Taxable as a Corporation or Trust (Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a corporation or trust during the tax year.)
(a)
Name, address, and EIN of related organization



 		(b)
Primary activity



 		(c)
Legal domicile
(state or
foreign
country)
 		(d)
Direct controlling
entity


 		(e)
Type of entity
(C corp, S corp,
or trust)

 		(f)
Share of total income



 		(g)
Share of
end-of-year
assets

 		(h)
Percentage
ownership
(1) HOSPITAL FINANCE CORPORATION
1 CHILDRENS WAY
LITTLE ROCK,AR72202
71-0443671 		COLLECTIONS AR ARKANSAS CHILDREN'S HOSPITAL
  		C -17,584 219,581 100.000 %
(2) CHILDREN'S HEALTHCARE SYSTEM INC
1 CHILDRENS WAY
LITTLE ROCK,AR72202
58-6304957 		MANAGEMENT SERVICES AR  
C 10,743 356,449 50.000 %
(3) CHILDREN'S HEALTH NETWORK INC
1 CHILDRENS WAY
LITTLE ROCK,AR72202
71-0797428 		MANAGEMENT SERVICES AR ARKANSAS CHILDREN'S HOSPITAL
  		C -758 35,751 100.000 %








Schedule R (Form 990) 2010
Schedule R (Form 990) 2010
Page 3
Part V
Transactions With Related Organizations (Complete if the organization answered "Yes" on Form 990, Part IV, line 34, 35, 35A, or 36.)
Note. Complete line 1 if any entity is listed in Parts II, III or IV.
Yes
No
1 During the tax year, did the orgranization engage in any of the following transactions with one or more related organizations listed in Parts II-IV?
a Receipt of (i) interest (ii) annuities (iii) royalties (iv) rent from a controlled entity . . . . . . . . . . . . . . . . . . . . . . .
1a
Yes
 
b Gift, grant, or capital contribution to other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1b
Yes
 
c Gift, grant, or capital contribution from other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1c
Yes
 
d Loans or loan guarantees to or for other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1d
 
No
e Loans or loan guarantees by other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1e
Yes
 
f Sale of assets to other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1f
 
No
g Purchase of assets from other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1g
 
No
h Exchange of assets . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1h
 
No
i Lease of facilities, equipment, or other assets to other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1i
Yes
 
j Lease of facilities, equipment, or other assets from other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . .
1j
 
No
k Performance of services or membership or fundraising solicitations for other organization(s) . . . . . . . . . . . . . . . . . . . . . .
1k
Yes
 
l Performance of services or membership or fundraising solicitations by other organization(s) . . . . . . . . . . . . . . . . . . . . . .
1l
Yes
 
m Sharing of facilities, equipment, mailing lists, or other assets . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1m
Yes
 
n Sharing of paid employees . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1n
Yes
 
o Reimbursement paid to other organization for expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1o
 
No
p Reimbursement paid by other organization for expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1p
Yes
 
q Other transfer of cash or property to other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1q
Yes
 
r Other transfer of cash or property from other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1r
Yes
 
2
If the answer to any of the above is "Yes," see the instructions for information on who must complete this line, including covered relationships and transaction thresholds.
(a)
Name of other organization 		(b)
Transaction
type(a-r) 		(c)
Amount involved 		(d)
Method of determining amount involved
(1) HOSPITAL FINANCE CORPORATION INC

 A 2,592 FMV
(2) ARKANSAS CHILDREN'S HOSPITAL FOUNDATION

 B 1,549,691 FMV
(3) ARKANSAS CHILDREN'S HOSPITAL RESEARCH INSTITUTE

 B 6,642,741 FMV
(4) ARKANSAS CHILDREN'S HOSPITAL FOUNDATION

 C 12,090,351 FMV
(5) ARKANSAS CHILDREN'S HOSPITAL FOUNDATION

 L 4,526,439 COST
(6) CHILDREN'S HEALTHCARE SYSTEM INC

 L 142,200 FMV
(7) HOSPITAL FINANCE CORPORATION INC

 L 113,408 FMV
(8) ARKANSAS CHILDREN'S HOSPITAL FOUNDATION

 M 1,727,943 COST
(9) ARKANSAS CHILDREN'S HOSPITAL RESEARCH INSTITUTE

 M 2,663,689 COST
(10) ARKANSAS CHILDREN'S HOSPITAL AUXILIARY

 M 156,321 COST
(11) HOSPITAL FINANCE CORPORATION INC

 N 71,531 FMV
(12) CHILDREN'S HEALTHCARE SYSTEM INC

 N 272,018 FMV
(13) ARKANSAS CHILDREN'S HOSPITAL AUXILIARY

 N 268,803 FMV
(14) ARKANSAS CHILDREN'S HOSPITAL BUILDING RESEARCH FACILITY INC

 N 103,704 FMV
(15) ARKANSAS CHILDREN'S HOSPITAL RESEARCH INSTITUTE

 N 320,370 FMV
(16) CHILDREN'S HEALTHCARE SYSTEM INC

 P 66,192 FMV
(17) ARKANSAS CHILDREN'S HOSPITAL RESEARCH INSTITUTE

 P 1,272,683 FMV
(18) ARKANSAS CHILDREN'S HOSPITAL FOUNDATION

 P 764,188 FMV
(19) ARKANSAS CHILDREN'S HOSPITAL RESEARCH INSTITUTE

 R 25,633,237 FMV
(20) ARKANSAS CHILDREN'S HOSPITAL FOUNDATION

 R 2,258,979 FMV
(21) ARKANSAS CHILDREN'S HOSPITAL BUILDING RESEARCH FACILITY INC

 R 175,434 FMV
(22) ARKANSAS CHILDREN'S HOSPITAL AUXILIARY

 R 1,147,762 FMV
(23) ARKANSAS CHILDREN'S HOSPITAL AUXILIARY

 P 61,828 FMV
(24) CHILDREN'S HEALTHCARE SYSTEM INC

 Q 56,395 FMV
(25) ARKANSAS CHILDREN'S HOSPITAL FOUNDATION

 Q 75,539 FMV
(26) ARKANSAS CHILDREN'S HOSPITAL FOUNDATION

 E 153,446,127 BOOK VALUE
Schedule R (Form 990) 2010
Schedule R (Form 990) 2010
Page 4
Part VI
Unrelated Organizations Taxable as a Partnership (Complete if the organization answered "Yes" on Form 990, Part IV, line 37.)
Provide the following information for each entity taxed as a partnership through which the organization conducted more than five percent of its activities (measured by total assets or gross revenue) that was not a related organization. See instructions regarding exclusion for certain investment partnerships.
(a)
Name, address, and EIN of entity 		(b)
Primary activity 		(c)
Legal domicile
(state or foreign
country) 		(d)
Are all
partners
section
501(c)(3)
organizations? 		(e)
Share of
end-of-year
assets 		(f)
Disproprtionate allocations? 		(g)
Code V—UBI
amount in box
20 of Schedule K-1
(Form 1065) 		(h)
General or
managing
partner?
Yes No Yes No Yes No






























Schedule R (Form 990) 2010
Schedule R (Form 990) 2010
Page 5
Part VII
Supplemental Information
Complete this part to provide additional information for responses to questions on Schedule R (see instructions).
Identifier Return Reference Explanation
Additional Data


Software ID:  
Software Version: