TY 2015 Form 990

(A) Name and Title	(B) Average hours per week (list any hours for related organizations below dotted line)	(C) Position (do not check more than one box, unless person is both an officer and a director/trustee)	(E) Reportable compensation from related organizations (W- 2/1099-MISC)
(1) MARCELLA DODERER...................................................................... PRESIDENT/CEO	48.00 ................. 2.00	X	X	740,662	118,101
(2) TOM BAXTER...................................................................... CHAIRMAN OF THE BOARD	1.02 ................. 0.43	X	X	0	0
(3) JOHN BALE JR...................................................................... TRUSTEE/DIRECTOR	0.60 ................. 0.48	X		0	0
(4) RON CLARK...................................................................... TRUSTEE/DIRECTOR (PARTIAL YEAR)	0.43 ................. 0.54	X		0	0
(5) JEREMY COBB...................................................................... TRUSTEE/DIRECTOR (PARTIAL YEAR)	0.13 ................. 0.00	X		0	0
(6) JAYANT DESHPANDE MD...................................................................... SVP AND CMO	50.00 ................. 0.00	X		521,931	0
(7) HASKELL DICKINSON...................................................................... TRUSTEE/DIRECTOR	0.44 ................. 0.00	X		0	0
(8) HARRY C ERWIN III...................................................................... TRUSTEE/DIRECTOR (PARTIAL YEAR)	0.31 ................. 0.83	X		0	0
(9) JEFF GARDNER...................................................................... TRUSTEE/DIRECTOR (PARTIAL YEAR)	0.00 ................. 0.00	X		0	0
(10) SHARILYN GASAWAY...................................................................... TRUSTEE/DIRECTOR (PARTIAL YEAR)	0.46 ................. 0.95	X		0	0
(11) MELISSA GRAHAM MD...................................................................... TRUSTEE/DIRECTOR	0.55 ................. 0.00	X		0	0
(12) PAUL R HART...................................................................... TRUSTEE/DIRECTOR (PARTIAL YEAR)	0.26 ................. 0.28	X		0	0
(13) JUDGE MARION HUMPHREY...................................................................... TRUSTEE/DIRECTOR (PARTIAL YEAR)	0.20 ................. 0.00	X		0	0
(14) DORSEY JACKSON...................................................................... TREASURER	0.78 ................. 0.05	X	X	0	0
(15) DOUGLAS JACKSON...................................................................... TRUSTEE/DIRECTOR	0.34 ................. 0.00	X		0	0
(16) RICHARD JACOBS MD...................................................................... TRUSTEE/DIRECTOR	40.00 ................. 0.18	X		107,943	0
(17) PHILLIP JETT...................................................................... VICE CHAIRMAN	0.81 ................. 0.15	X	X	0	0

(A) Name and Title	(B) Average hours per week (list any hours for related organizations below dotted line)	(C) Position (do not check more than one box, unless person is both an officer and a director/trustee)	(E) Reportable compensation from related organizations (W- 2/1099-MISC)	(F) Estimated amount of other compensation from the organization and related organizations
(18) HOLLY MARR........................................................................ TRUSTEE/DIRECTOR	0.82 .......................0.00	X				0	0
(19) MARK MCCASLIN........................................................................ TRUSTEE/DIRECTOR (PARTIAL YEAR)	0.62 .......................0.63	X				0	0
(20) PAT MCCLELLAND........................................................................ TRUSTEE/DIRECTOR	0.51 .......................0.10	X				0	0
(21) BARBARA G MOORE........................................................................ TRUSTEE/DIRECTOR	0.88 .......................0.38	X				0	0
(22) BEVERLY A MORROW........................................................................ TRUSTEE/DIRECTOR	1.06 .......................0.00	X				0	0
(23) JEFFREY NOLAN........................................................................ TRUSTEE/DIRECTOR (PARTIAL YEAR)	0.58 .......................0.42	X				0	0
(24) DANIEL RAHN MD........................................................................ TRUSTEE/DIRECTOR	0.36 .......................0.04	X				0	0
(25) JAMES SKIP RUTHERFORD........................................................................ TRUSTEE/DIRECTOR (PARTIAL YEAR)	0.42 .......................0.30	X				0	0
(26) MARK SAVIERS........................................................................ TRUSTEE/DIRECTOR (PARTIAL YEAR)	0.66 .......................0.68	X				0	0
(27) STEVE SCHEXNAYDER MD........................................................................ CHIEF OF STAFF	40.00 .......................0.00	X	X			362,906	0
(28) JENNIFER SCHUECK........................................................................ TRUSTEE/DIRECTOR (PARTIAL YEAR)	0.47 .......................1.63	X				0	0
(29) PATRICK SCHUECK........................................................................ TRUSTEE/DIRECTOR (PARTIAL YEAR)	0.47 .......................0.45	X				0	0
(30) CHARLES B WHITESIDE III........................................................................ TRUSTEE/DIRECTOR (PARTIAL YEAR)	0.71 .......................0.87	X				0	0
(31) GENA WINGFIELD........................................................................ SVP AND CFO	44.00 .......................1.00		X			505,698	82,246
(32) CHARLES LARRY BECKIUS........................................................................ VP FACILITIES	50.00 .......................0.00			X		231,799	26,461
(33) DAVID BERRY........................................................................ SVP AND COO (PARTIAL YEAR)	50.00 .......................0.00			X		469,293	31,555
(34) LEE ANNE EDDY........................................................................ SVP/CHIEF NURSING OFFICER	50.00 .......................0.00			X		342,596	51,889
(35) MICHAEL HART........................................................................ VP IT APPLICATIONS	40.00 .......................0.00			X		259,253	27,340
(36) CYNTHIA HOLLAND........................................................................ VP ANCILLARY SERVICES	50.00 .......................0.00			X		234,387	27,026
(37) KATHERINE LEA........................................................................ VP ED/SURGICAL CARE	50.00 .......................0.00			X		184,933	21,322
(38) DARRELL LEONHARDT........................................................................ SVP AND CIO (PARTIAL YEAR)	40.00 .......................0.00			X		210,523	15,740
(39) MARY SALASSI-SCOTTER........................................................................ VP CRITICAL CARE SERVICES	47.00 .......................0.00			X		183,508	22,879
(40) ROBERT STEELE........................................................................ SVP AND CSO	40.00 .......................0.00			X		526,959	66,006
(41) ANDREE TROSCLAIR........................................................................ VP HUMAN RESOURCES	40.00 .......................0.00			X		264,006	25,048
(42) TAMMY WEBB........................................................................ VP ACUTE CARE	50.00 .......................0.00			X		158,191	7,960
(43) STEPHEN M BEETSTRA........................................................................ DENTAL ASSISTANT DIRECTOR	40.00 .......................0.00				X	275,760	31,190
(44) CARL CHIPMAN........................................................................ RN 1ST ASSISTANT- CVOR	40.00 .......................0.00				X	227,733	15,500
(45) RHONDA MCKINNIS........................................................................ VP LEGAL AFFAIRS	50.00 .......................0.00				X	272,386	23,810
(46) VENT MURPHY........................................................................ DIRECTOR - DENTAL CLINICAL ED.	40.00 .......................0.00				X	261,849	20,343
(47) KIRT SIMMONS........................................................................ DIRECTOR - CRANIOFACIAL OR	48.00 .......................0.00				X	275,470	25,498

(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	53,363,747
NABHOLZ CONSTRUCTION CORP PO BOX 2090 CONWAY,AR72033	GENERAL CONSTRUCTION CONTRACTOR	11,327,410
ARAMARK 24836 NETWORK PLACE CHICAGO,IL60673	FOOD SERVICE	6,755,757
ALESSE-KEYES CONSTRUCTION CO 10623 MAUMELLE BLVD NORTH LITTLE ROCK,AR72113	GENERAL CONSTRUCTION CONTRACTOR	3,461,681
MEDICAL INFORMATION TECHNOLOGY PO BOX 74569 CHICAGO,IL60696	IT CONTRACTED SERVICES	2,922,985
2 Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 of compensation from the organization 78

- TIN:

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

Information about Schedule A (Form 990 or 990-EZ) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2015

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.)

A church, convention of churches, or association of churches described in section 170(b)(1)(A)(i).

A school described in section 170(b)(1)(A)(ii). (Attach Schedule E (Form 990 or 990-EZ))

A hospital or a cooperative hospital service organization described in section 170(b)(1)(A)(iii).

A medical research organization operated in conjunction with a hospital described in section 170(b)(1)(A)(iii). Enter the hospital's name, city, and state:

An organization operated for the benefit of a college or university owned or operated by a governmental unit described in section 170(b)(1)(A)(iv). (Complete Part II.)

A federal, state, or local government or governmental unit described in section 170(b)(1)(A)(v).

An organization that normally receives a substantial part of its support from a governmental unit or from the general public described in section 170(b)(1)(A)(vi). (Complete Part II.)

A community trust described in section 170(b)(1)(A)(vi). (Complete Part II.)

An organization that normally receives: (1) more than 331/3% of its support from contributions, membership fees, and gross 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.)

An organization organized and operated exclusively to test for public safety. See section 509(a)(4).

An organization organized and operated exclusively for the benefit of, to perform the functions of, or to carry out the purposes of one or more publicly supported organizations described in section 509(a)(1) or section 509(a)(2). See section 509(a)(3). Check the box in lines 11a through 11d that describes the type of supporting organization and complete lines 11e, 11f, and 11g.

Type I. A supporting organization operated, supervised, or controlled by its supported organization(s), typically by giving the supported organization(s) the power to regularly appoint or elect a majority of the directors or trustees of the supporting organization. You must complete Part IV, Sections A and B.

Type II. A supporting organization supervised or controlled in connection with its supported organization(s), by having control or management of the supporting organization vested in the same persons that control or manage the supported organization(s). You must complete Part IV, Sections A and C.

Type III functionally integrated. A supporting organization operated in connection with, and functionally integrated with, its supported organization(s) (see instructions). You must complete Part IV, Sections A, D, and E.

Type III non-functionally integrated. A supporting organization operated in connection with its supported organization(s) that is not functionally integrated. The organization generally must satisfy a distribution requirement and an attentiveness requirement (see instructions). You must complete Part IV, Sections A and D, and Part V.

Check this box if the organization received a written determination from the IRS that it is a Type I, Type II, Type III functionally integrated, or Type III non-functionally integrated supporting organization.

Enter the number of supported organizations ..............

Provide the following information about the supported organization(s).

(i)Name of supported organization	(ii) EIN	(iv) Is the organization listed in your governing document?		(v) Amount of monetary support (see instructions)	(vi) Amount of other support (see instructions)
(i)Name of supported organization	(ii) EIN	Yes	No	(v) Amount of monetary support (see instructions)	(vi) Amount of other support (see instructions)


Total

For Paperwork Reduction Act Notice, see the Instructions for
Form 990 or 990-EZ.

Cat. No. 11285F

Schedule A (Form 990 or 990-EZ) 2015

Page 2

Part II

Support Schedule for Organizations Described in Sections 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) 2011	(b) 2012	(c) 2013	(d) 2014	(e) 2015	(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) 2011	(b) 2012	(c) 2013	(d) 2014	(e) 2015	(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. Do not include gain or loss from the sale of capital assets (Explain in Part VI.)..
11	Total support. Add lines 7 through 10.

Gross receipts from related activities, etc. (see instructions) ..................

First five years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a section 501(c)(3) organization, check this box and stop here........................................ right arrow

Section C. Computation of Public Support Percentage

Public support percentage for 2015 (line 6, column (f) divided by line 11, column (f)) .........

Public support percentage for 2014 Schedule A, Part II, line 14 ...............

16a

33 1/3% support test—2015. If the organization did not check the box on line 13, and line 14 is 33 1/3% or more, check this box
and stop here. The organization qualifies as a publicly supported organization ....................... right arrow

33 1/3% support test—2014. If the organization did not check a box on line 13 or 16a, and line 15 is 33 1/3% or more, check this
box and stop here. The organization qualifies as a publicly supported organization ..................... right arrow

17a

10%-facts-and-circumstances test—2015. If the organization did not check a box on line 13, 16a, or 16b, and line 14
is 10% or more, and if the organization meets the facts-and-circumstances test, check this box and stop here. Explain
in Part VI how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly supported
organization ..................................................... right arrow

10%-facts-and-circumstances test—2014. If the organization did not check a box on line 13, 16a, 16b, or 17a, and line
15 is 10% or more, and if the organization meets the "facts-and-circumstances" test, check this box and stop here.
Explain in Part VI how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly
supported organization ................................................ right arrow

Private foundation. If the organization did not check a box on line 13, 16a, 16b, 17a, or 17b, check this box and see
instructions ..................................................... right arrow

Schedule A (Form 990 or 990-EZ) 2015

Page 3

Part III

Support Schedule for Organizations Described in Section 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) 2011	(b) 2012	(c) 2013	(d) 2014	(e) 2015	(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) 2011	(b) 2012	(c) 2013	(d) 2014	(e) 2015	(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 VI.) ..
13	Total support. (Add lines 9, 10c, 11, and 12.)..

First five years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a section 501(c)(3) organization,
check this box and stop here............................................. right arrow

Section C. Computation of Public Support Percentage

Public support percentage for 2015 (line 8, column (f) divided by line 13, column (f)) .........

Public support percentage from 2014 Schedule A, Part III, line 15 ...............

Section D. Computation of Investment Income Percentage

Investment income percentage for 2015 (line 10c, column (f) divided by line 13, column (f)) ......

Investment income percentage from 2014 Schedule A, Part III, line 17 .............

19a

331/3% support tests—2015. If the organization did not check the box on line 14, and line 15 is more than 33 1/3%, and line 17 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization ....... right arrow

33 1/3% support tests—2014. If the organization did not check a box on line 14 or line 19a, and line 16 is more than 33 1/3% and line 18 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization .... right arrow

Private foundation. If the organization did not check a box on line 14, 19a, or 19b, check this box and see instructions .... right arrow

Schedule A (Form 990 or 990-EZ) 2015

Page 4

Part IV

Supporting Organizations

(Complete only if you checked a box on line 11 of Part I. If you checked 11a of Part I, complete Sections A and B. If you checked 11b of Part I, complete Sections A and C. If you checked 11c of Part I, complete Sections A, D, and E. If you checked 11d of Part I, complete Sections A and D, and complete Part V.)

Section A. All Supporting Organizations

Yes

Are all of the organization’s supported organizations listed by name in the organization’s governing documents?
If "No," describe in Part VI how the supported organizations are designated. If designated by class or purpose,
describe the designation. If historic and continuing relationship, explain.

Did the organization have any supported organization that does not have an IRS determination of status under section 509(a)(1) or (2)? If "Yes," explain in Part VI how the organization determined that the supported organization was described in section 509(a)(1) or (2).

Did the organization have a supported organization described in section 501(c)(4), (5), or (6)? If "Yes," answer (b) and (c) below.

Did the organization confirm that each supported organization qualified under section 501(c)(4), (5), or (6) and satisfied the public support tests under section 509(a)(2)? If "Yes," describe in Part VI when and how the organization made the determination.

Did the organization ensure that all support to such organizations was used exclusively for section 170(c)(2)(B) purposes? If "Yes," explain in Part VI what controls the organization put in place to ensure such use.

Was any supported organization not organized in the United States ("foreign supported organization")? If “Yes” and if you checked 11a or 11b in Part I, answer (b) and (c) below.

Did the organization have ultimate control and discretion in deciding whether to make grants to the foreign supported organization? If “Yes,” describe in Part VI how the organization had such control and discretion despite being controlled or supervised by or in connection with its supported organizations.

Did the organization support any foreign supported organization that does not have an IRS determination under sections 501(c)(3) and 509(a)(1) or (2)? If “Yes,” explain in Part VI what controls the organization used to ensure that all support to the foreign supported organization was used exclusively for section 170(c)(2)(B) purposes.

Did the organization add, substitute, or remove any supported organizations during the tax year? If “Yes,” answer (b) and (c) below (if applicable). Also, provide detail in Part VI, including (i) the names and EIN numbers of the supported organizations added, substituted, or removed; (ii) the reasons for each such action; (iii) the authority under the organization's organizing document authorizing such action; and (iv) how the action was accomplished (such as by amendment to the organizing document).

Type I or Type II only. Was any added or substituted supported organization part of a class already designated in the organization's organizing document?

Substitutions only. Was the substitution the result of an event beyond the organization's control?

Did the organization provide support (whether in the form of grants or the provision of services or facilities) to anyone other than (i) its supported organizations, (ii) individuals that are part of the charitable class benefited by one or more of its supported organizations, or (iii) other supporting organizations that also support or benefit one or more of the filing organization’s supported organizations? If “Yes,” provide detail in Part VI.

Did the organization provide a grant, loan, compensation, or other similar payment to a substantial contributor (defined in section 4958(c)(3)(C)), a family member of a substantial contributor, or a 35% controlled entity with regard to a substantial contributor? If “Yes,” complete Part I of Schedule L (Form 990 or 990-EZ) .

Did the organization make a loan to a disqualified person (as defined in section 4958) not described in line 7? If “Yes,” complete Part I of Schedule L (Form 990 or 990-EZ).

Was the organization controlled directly or indirectly at any time during the tax year by one or more disqualified persons as defined in section 4946 (other than foundation managers and organizations described in section 509(a)(1) or (2))? If “Yes,” provide detail in Part VI.

Did one or more disqualified persons (as defined in line 9a) hold a controlling interest in any entity in which the supporting organization had an interest? If “Yes,” provide detail in Part VI.

Did a disqualified person (as defined in line 9a) have an ownership interest in, or derive any personal benefit from, assets in which the supporting organization also had an interest? If “Yes,” provide detail in Part VI.

10a

Was the organization subject to the excess business holdings rules of section 4943 because of section 4943(f) (regarding certain Type II supporting organizations, and all Type III non-functionally integrated supporting organizations)? If “Yes,” answer line 10b below.

10a

Did the organization have any excess business holdings in the tax year? (Use Schedule C, Form 4720, to determine whether the organization had excess business holdings).

10b

Schedule A (Form 990 or 990-EZ) 2015

Page 5

Part IV

Supporting Organizations (continued)

Yes

Has the organization accepted a gift or contribution from any of the following persons?

A person who directly or indirectly controls, either alone or together with persons described in (b) and (c) below, the governing body of a supported organization?

11a

A family member of a person described in (a) above?

11b

A 35% controlled entity of a person described in (a) or (b) above? If “Yes” to a, b, or c, provide detail in Part VI.

11c

Section B. Type I Supporting Organizations

Yes

Did the directors, trustees, or membership of one or more supported organizations have the power to regularly appoint or elect at least a majority of the organization’s directors or trustees at all times during the tax year? If “No,” describe in Part VI how the supported organization(s) effectively operated, supervised, or controlled the organization’s activities. If the organization had more than one supported organization, describe how the powers to appoint and/or remove directors or trustees were allocated among the supported organizations and what conditions or restrictions, if any, applied to such powers during the tax year.

Did the organization operate for the benefit of any supported organization other than the supported organization(s) that operated, supervised, or controlled the supporting organization? If “Yes,” explain in Part VI how providing such benefit carried out the purposes of the supported organization(s) that operated, supervised or controlled the supporting organization.

Section C. Type II Supporting Organizations

Yes

Were a majority of the organization’s directors or trustees during the tax year also a majority of the directors or trustees of each of the organization’s supported organization(s)? If “No,” describe in Part VI how control or management of the supporting organization was vested in the same persons that controlled or managed the supported organization(s).

Section D. All Type III Supporting Organizations

Yes

Did the organization provide to each of its supported organizations, by the last day of the fifth month of the organization’s tax year, (i) a written notice describing the type and amount of support provided during the prior tax year, (ii) a copy of the Form 990 that was most recently filed as of the date of notification, and (iii) copies of the organization’s governing documents in effect on the date of notification, to the extent not previously provided?

Were any of the organization’s officers, directors, or trustees either (i) appointed or elected by the supported organization(s) or (ii) serving on the governing body of a supported organization? If "No," explain in Part VI how the organization maintained a close and continuous working relationship with the supported organization(s).

By reason of the relationship described in (2), did the organization’s supported organizations have a significant voice in the organization’s investment policies and in directing the use of the organization’s income or assets at all times during the tax year? If "Yes," describe in Part VI the role the organization’s supported organizations played in this regard.

Section E. Type III Functionally-Integrated Supporting Organizations

Check the box next to the method that the organization used to satisfy the Integral Part Test during the year (see instructions):

The organization satisfied the Activities Test. Complete line 2 below.

The organization is the parent of each of its supported organizations. Complete line 3 below.

The organization supported a governmental entity. Describe in Part VI how you supported a government entity (see instructions)

Activities Test. Answer (a) and (b) below.

Yes

Did substantially all of the organization’s activities during the tax year directly further the exempt purposes of the supported organization(s) to which the organization was responsive? If "Yes," then in Part VI identify those supported organizations and explain how these activities directly furthered their exempt purposes, how the organization was responsive to those supported organizations, and how the organization determined that these activities constituted substantially all of its activities.

Did the activities described in (a) constitute activities that, but for the organization’s involvement, one or more of the organization’s supported organization(s) would have been engaged in? If "Yes," explain in Part VI the reasons for the organization’s position that its supported organization(s) would have engaged in these activities but for the organization’s involvement.

Parent of Supported Organizations. Answer (a) and (b) below.

Did the organization have the power to regularly appoint or elect a majority of the officers, directors, or trustees of each of the supported organizations? Provide details in Part VI.

Did the organization exercise a substantial degree of direction over the policies, programs and activities of each of its supported organizations? If "Yes," describe in Part VI. the role played by the organization in this regard.

Schedule A (Form 990 or 990-EZ) 2015

Page 6

Part V

Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations

Check here if the organization satisfied the Integral Part Test as a qualifying trust on Nov. 20, 1970. See instructions. All other Type III non-functionally integrated supporting organizations must complete Sections A through E.

	Section A - Adjusted Net Income		(A) Prior Year	(B) Current Year (optional)
1	Net short-term capital gain	1
2	Recoveries of prior-year distributions	2
3	Other gross income (see instructions)	3
4	Add lines 1 through 3	4
5	Depreciation and depletion	5
6	Portion of operating expenses paid or incurred for production or collection of gross income or for management, conservation, or maintenance of property held for production of income (see instructions)	6
7	Other expenses (see instructions)	7
8	Adjusted Net Income (subtract lines 5, 6 and 7 from line 4)	8

	Section B - Minimum Asset Amount		(A) Prior Year	(B) Current Year (optional)
1	Aggregate fair market value of all non-exempt-use assets (see instructions for short tax year or assets held for part of year):	1
a	Average monthly value of securities	1a
b	Average monthly cash balances	1b
c	Fair market value of other non-exempt-use assets	1c
d	Total (add lines 1a, 1b, and 1c)	1d
e	Discount claimed for blockage or other factors (explain in detail in Part VI):
2	Acquisition indebtedness applicable to non-exempt use assets	2
3	Subtract line 2 from line 1d	3
4	Cash deemed held for exempt use. Enter 1-1/2% of line 3 (for greater amount, see instructions).	4
5	Net value of non-exempt-use assets (subtract line 4 from line 3)	5
6	Multiply line 5 by .035	6
7	Recoveries of prior-year distributions	7
8	Minimum Asset Amount (add line 7 to line 6)	8

	Section C - Distributable Amount		Current Year
1	Adjusted net income for prior year (from Section A, line 8, Column A)	1
2	Enter 85% of line 1	2
3	Minimum asset amount for prior year (from Section B, line 8, Column A)	3
4	Enter greater of line 2 or line 3	4
5	Income tax imposed in prior year	5
6	Distributable Amount. Subtract line 5 from line 4, unless subject to emergency temporary reduction (see instructions)	6

Check here if the current year is the organization's first as a non-functionally-integrated Type III supporting organization (see instructions)

Schedule A (Form 990 or 990-EZ) 2015

Page 7

Part V

Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations (continued)

Section D - Distributions		Current Year
1 Amounts paid to supported organizations to accomplish exempt purposes
2 Amounts paid to perform activity that directly furthers exempt purposes of supported organizations, in excess of income from activity
3 Administrative expenses paid to accomplish exempt purposes of supported organizations
4 Amounts paid to acquire exempt-use assets
5 Qualified set-aside amounts (prior IRS approval required)
6 Other distributions (describe in Part VI). See instructions
7Total annual distributions. Add lines 1 through 6.
8 Distributions to attentive supported organizations to which the organization is responsive (provide details in Part VI). See instructions
9 Distributable amount for 2015 from Section C, line 6
10 Line 8 amount divided by Line 9 amount

Section E - Distribution Allocations (see instructions)		(i) Excess Distributions	(ii) Underdistributions Pre-2015	(iii) Distributable Amount for 2015
1 Distributable amount for 2015 from Section C, line 6
2 Underdistributions, if any, for years prior to 2015 (reasonable cause required--see instructions)
3 Excess distributions carryover, if any, to 2015:
a
b
c
d From 2013.......
e From 2014.......
fTotal of lines 3a through e
g Applied to underdistributions of prior years
h Applied to 2015 distributable amount
i Carryover from 2010 not applied (see instructions)
j Remainder. Subtract lines 3g, 3h, and 3i from 3f.
4Distributions for 2015 from Section D, line 7:
$
a Applied to underdistributions of prior years
b Applied to 2015 distributable amount
c Remainder. Subtract lines 4a and 4b from 4.
5 Remaining underdistributions for years prior to 2015, if any. Subtract lines 3g and 4a from line 2 (if amount greater than zero, see instructions)
6 Remaining underdistributions for 2015. Subtract lines 3h and 4b from line 1 (if amount greater than zero, see instructions)
7 Excess distributions carryover to 2016. Add lines 3j and 4c.
8 Breakdown of line 7:
a
b
c Excess from 2013.......
d From 2014.......
e From 2015.......

Schedule A (Form 990 or 990-EZ) (2015)

Schedule A (Form 990 or 990-EZ) 2015

Page 8

Part VI

Supplemental Information. Provide the explanations required by Part II, line 10; Part II, line 17a or 17b; Part III, line 12; Part IV, Section A, lines 1, 2, 3b, 3c, 4b, 4c, 5a, 6, 9a, 9b, 9c, 11a, 11b, and 11c; Part IV, Section B, lines 1 and 2; Part IV, Section C, line 1; Part IV, Section D, lines 2 and 3; Part IV, Section E, lines 1c, 2a, 2b, 3a and 3b; Part V, line 1; Part V, Section B, line 1e; Part V Section D, lines 5, 6, and 8; and Part V, Section E, lines 2, 5, and 6. Also complete this part for any additional information. (See instructions).

Facts And Circumstances Test

Return Reference	Explanation

Schedule A (Form 990 or 990-EZ) 2015

Additional Data

Software ID:
Software Version:

- TIN:

Schedule B
(Form 990, 990-EZ,
or 990-PF)

Department of the Treasury
Internal Revenue Service

Schedule of Contributors

Attach to Form 990, 990-EZ, or 990-PF.

Information about Schedule B (Form 990, 990-EZ, or 990-PF) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2015

Name of the organization

ARKANSAS CHILDREN'S HOSPITAL

Employer identification number

71-0236857

Organization type (check one):

Filers of:

Section:

Form 990 or 990-EZ

501(c)( ) (enter number) organization

4947(a)(1) nonexempt charitable trust not treated as a private foundation

527 political organization

Form 990-PF

501(c)(3) exempt private foundation

4947(a)(1) nonexempt charitable trust treated as a private foundation

501(c)(3) taxable private foundation

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

For an organization filing Form 990, 990-EZ, or 990-PF that received, during the year, contributions totaling $5,000 or more (in money or other property) from any one contributor. Complete Parts I and II. See instructions for determining a contributor's total contributions.

Special Rules

For an organization described in section 501(c)(3) filing Form 990 or 990-EZ that met the 33¹/3% support test of the regulations
under sections 509(a)(1) and 170(b)(1)(A)(vi), that checked Schedule A (Form 990 or 990-EZ), Part II, line 13, 16a, or 16b, and that received from any one contributor, during the year, total contributions of the greater of (1) $5,000 or (2) 2% of the amount on (i) Form 990, Part VIII, line 1h, or (ii) Form 990-EZ, line 1. Complete Parts I and II.

For an organization described in section 501(c)(7), (8), or (10) filing Form 990 or 990-EZ that received from any one contributor,
during the year, total contributions of more than $1,000 exclusively for religious, charitable, scientific, literary, or educational purposes, or for the prevention of cruelty to children or animals. Complete Parts I, II, and III.

For an organization described in section 501(c)(7), (8), or (10) filing Form 990 or 990-EZ that received from any one contributor,
during the year, contributions exclusively for religious, charitable, etc., purposes, but no such contributions totaled more than $1,000. If this box is checked, enter here the total contributions that were received during the year for an exclusively religious, charitable, etc., purpose. Do not complete any of the parts unless the General Rule applies to this organization because it received nonexclusively religious, charitable, etc., contributions totaling $5,000 or more during the year ......... 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 on line H of its
Form 990-EZ or on its Form 990PF, Part I, line 2, 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) (2015)

Schedule B (Form 990, 990-EZ, or 990-PF) (2015) Page 2

Name of organization ARKANSAS CHILDREN'S HOSPITAL

Part I	Contributors (see instructions). Use duplicate copies of Part I if additional space is needed.
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
RESTRICTED	,	$ RESTRICTED	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
Schedule B (Form 990, 990-EZ, or 990-PF) (2015)

Schedule B (Form 990, 990-EZ, or 990-PF) (2015)

Page 3

Name of organization ARKANSAS CHILDREN'S HOSPITAL		Employer identification number 71-0236857

Part II	Noncash Property (see instructions). Use duplicate copies of Part II if additional space is needed.
(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) (2015)

Schedule B (Form 990, 990-EZ, or 990-PF) (2015)

Page 4


Name of organization ARKANSAS CHILDREN'S HOSPITAL			Employer identification number 71-0236857
Part III Exclusively religious, charitable, etc., contributions to organizations described in section 501(c)(7), (8), or (10) that total more than $1,000 for the year from any one contributor. 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.) $ Use duplicate copies of Part III if additional space is needed.

(a)
No.from Part I

(b) Purpose 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

(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

(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

(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) (2015)

Additional Data

Software ID:
Software Version:

- TIN:

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

Information about Schedule C (Form 990 or 990-EZ) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2015

Open to Public
Inspection

If the organization answered "Yes" on 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" on 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" on Form 990, Part IV, Line 5 (Proxy Tax) (see separate instructions) or Form 990-EZ, Part V, line 35c (Proxy Tax) (see separate instructions), 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.

Provide a description of the organization’s direct and indirect political campaign activities in Part IV.

Political expenditures ...................................................................................................................... SchCMd Bullet

Volunteer hours .............................................................................................................................

Part I-B

Complete if the organization is exempt under section 501(c)(3).

Enter the amount of any excise tax incurred by the organization under section 4955 ................................ SchCMd Bullet

Enter the amount of any excise tax incurred by organization managers under section 4955 ....................... SchCMd Bullet

If the organization incurred a section 4955 tax, did it file Form 4720 for this year? .........................................

Yes No

Was a correction made? ......................................................................................................................

Yes No

If "Yes," describe in Part IV.

Part I-C

Complete if the organization is exempt under section 501(c), except section 501(c)(3).

Enter the amount directly expended by the filing organization for section 527 exempt function activities ..... SchCMd Bullet

Enter the amount of the filing organization's funds contributed to other organizations for section 527 exempt function activities ............................................................................................................................ SchCMd Bullet

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

Did the filing organization file Form 1120-POL for this year? ...................................................................

Yes No

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-.
1
2
3
4
5
6

For Paperwork Reduction Act Notice, see the instructions for Form 990 or 990-EZ.

Cat. No. 50084S

Schedule C (Form 990 or 990-EZ) 2015

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 SchCMd Bullet

if the filing organization belongs to an affiliated group (and list in Part IV each affiliated group member's name, address, EIN, expenses, and share of excess lobbying expenditures).
B Check SchCMd Bullet

if the filing organization checked box A and "limited control" provisions apply.

Limits on Lobbying Expenditures (The term "expenditures" means amounts paid or incurred.)		(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? ..............................................................................................................	Yes No

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 separate instructions for lines 2a through 2f.)
Lobbying Expenditures During 4-Year Averaging Period
	Calendar year (or fiscal year beginning in)	(a) 2012	(b) 2013	(c) 2014	(d) 2015	(e) Total

2a	Lobbying nontaxable amount

b	Lobbying ceiling amount (150% of line 2a, column(e))

c	Total lobbying expenditures

d	Grassroots nontaxable amount

e	Grassroots ceiling amount (150% of line 2d, column (e))

f	Grassroots lobbying expenditures

Schedule C (Form 990 or 990-EZ) 2015

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)).

For each "Yes" response on lines 1a through 1i below, provide in Part IV a detailed description of the lobbying activity.

(a)

Yes

(b)

Amount

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:

Volunteers? ...........................................................................................................

Paid staff or management (include compensation in expenses reported on lines 1c through 1i)? ........

Yes

Media advertisements? ...................................................................................................

Mailings to members, legislators, or the public? .............................................................................

Publications, or published or broadcast statements? ...........................................................

Grants to other organizations for lobbying purposes? ..........................................................

Yes

82,510

Direct contact with legislators, their staffs, government officials, or a legislative body? .......................

Yes

Rallies, demonstrations, seminars, conventions, speeches, lectures, or any similar means? ..................

Other activities? ...................................................................................................................

Yes

232,402

Total. Add lines 1c through 1i ....................................................................................................

314,912

Did the activities in line 1 cause the organization to be not described in section 501(c)(3)? .....

If "Yes," enter the amount of any tax incurred under section 4912 ...........................................

If "Yes," enter the amount of any tax incurred by organization managers under section 4912 ...................

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

Were substantially all (90% or more) dues received nondeductible by members? ...............................................

Did the organization make only in-house lobbying expenditures of $2,000 or less? ............................................

Did the organization agree to carry over lobbying and political expenditures from the prior year? .................................

Part III-B

Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6) and if either (a) BOTH Part III-A, lines 1 and 2, are answered "No" OR (b) Part III-A, line 3, is answered “Yes."

Dues, assessments and similar amounts from members ......................................................................

Section 162(e) nondeductible lobbying and political expenditures (do not include amounts of political expenses for which the section 527(f) tax was paid).

Current year .............................................................................................................................

Carryover from last year ............................................................................................................

Total ...........................................................................................................................................

Aggregate amount reported in section 6033(e)(1)(A) notices of nondeductible section 162(e) dues .

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? ......................................................................................................................

Taxable amount of lobbying and political expenditures (see instructions) .........................................

Part IV

Supplemental Information

Provide the descriptions required for Part l-A, line 1; Part l-B, line 4; Part l-C, line 5; Part II-A (affiliated group list); Part II-A, lines 1 and 2 (see instructions), and Part ll-B, line 1. Also, complete this part for any additional information.

Return Reference	Explanation
PART II-B, LINE 1:	IN ORDER TO EFFECTIVELY ADVOCATE FOR AND ASSIST WITH THE IMPROVEMENT OF CHILDREN'S HEALTH, ARKANSAS CHILDREN'S HOSPITAL HAS AN OFFICE OF GOVERNMENT RELATIONS THAT WORKS WITH OTHER ORGANIZATIONS, ON A STATE AND NATIONAL LEVEL, TO FORMULATE POLICY AND TO ARTICULATE OUR PUBLIC POLICY AGENDA. IN ADDITION, A PERCENTAGE OF DUES PAID TO THE AMERICAN HOSPITAL ASSOCIATION, ARKANSAS HOSPITAL ASSOCIATION, ASSOCIATION OF AMERICAN MEDICAL COLLEGES, CHILDREN'S HOSPITAL ASSOCIATION, LITTLE ROCK REGIONAL CHAMBER OF COMMERCE AND THE ARKANSAS STATE CHAMBER OF COMMERCE WAS FOR LOBBYING.

Return Reference

Explanation

PART II-B, LINE 1:

IN ORDER TO EFFECTIVELY ADVOCATE FOR AND ASSIST WITH THE IMPROVEMENT OF CHILDREN'S HEALTH, ARKANSAS CHILDREN'S HOSPITAL HAS AN OFFICE OF GOVERNMENT RELATIONS THAT WORKS WITH OTHER ORGANIZATIONS, ON A STATE AND NATIONAL LEVEL, TO FORMULATE POLICY AND TO ARTICULATE OUR PUBLIC POLICY AGENDA. IN ADDITION, A PERCENTAGE OF DUES PAID TO THE AMERICAN HOSPITAL ASSOCIATION, ARKANSAS HOSPITAL ASSOCIATION, ASSOCIATION OF AMERICAN MEDICAL COLLEGES, CHILDREN'S HOSPITAL ASSOCIATION, LITTLE ROCK REGIONAL CHAMBER OF COMMERCE AND THE ARKANSAS STATE CHAMBER OF COMMERCE WAS FOR LOBBYING.

Schedule C (Form 990 or 990EZ) 2015

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE D
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Financial Statements

Complete if the organization answered "Yes," on Form 990,
Part IV, line 6, 7, 8, 9, 10, 11a, 11b, 11c, 11d, 11e, 11f, 12a, or 12b.
SchDMd Bullet

Attach to Form 990.
Information about Schedule D (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2015

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" on Form 990, Part IV, line 6.

			(a) Donor advised funds	(b) Funds and other accounts

1	Total number at end of year ....
2	Aggregate value of contributions to (during year)
3	Aggregate value of grants from (during year)
4	Aggregate value at end of year ....

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? ...........

Yes No

Did the organization inform all grantees, donors, and donor advisors in writing that grant funds can 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? ............................

Yes No

Part II

Conservation Easements. Complete if the organization answered "Yes" on Form 990, Part IV, line 7.

Purpose(s) of conservation easements held by the organization (check all that apply).

Preservation of land for public use (e.g., recreation or education) Preservation of an historically important land area

Protection of natural habitat Preservation of a certified historic structure

Preservation of open space

Complete lines 2a through 2d if the organization held a qualified conservation contribution in the form of a conservation easement on the last day of the tax 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, and not on a historic structure listed in the National Register ...	2d

Number of conservation easements modified, transferred, released, extinguished, or terminated by the organization during the
tax year SchDMd Bullet

Number of states where property subject to conservation easement is located SchDMd Bullet

Does the organization have a written policy regarding the periodic monitoring, inspection, handling of violations, and enforcement of the conservation easements it holds? ............

Yes No

Staff and volunteer hours devoted to monitoring, inspecting, handling of violations, and enforcing conservation easements during the year
SchDMd Bullet

Amount of expenses incurred in monitoring, inspecting, handling of violations, and enforcing conservation easements during the year
SchDMd Bullet

Does each conservation easement reported on line 2(d) above satisfy the requirements of section 170(h)(4)(B)(i) and section 170(h)(4)(B)(ii)? .............................

Yes No

In Part XIII, 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" on Form 990, Part IV, line 8.

If the organization elected, as permitted under SFAS 116 (ASC 958), 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 XIII, the text of the footnote to its financial statements that describes these items.

If the organization elected, as permitted under SFAS 116 (ASC 958), 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)

Revenue included on Form 990, Part VIII, line 1 ......................... SchDMd Bullet

(ii)

Assets included in Form 990, Part X ............................... SchDMd Bullet

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 (ASC 958) relating to these items:

Revenue included on Form 990, Part VIII, line 1 .......................... SchDMd Bullet

Assets included in Form 990, Part X ............................... SchDMd Bullet

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 52283D

Schedule D (Form 990) 2015

Page 2

Part III

Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets (continued)

Using the organization’s acquisition, accession, and other records, check any of the following that are a significant use of its collection items (check all that apply):

Public exhibition

Loan or exchange programs

Scholarly research

Other

Preservation for future generations

Provide a description of the organization’s collections and explain how they further the organization’s exempt purpose in
Part XIII.

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?...

Yes No

Part IV

Escrow and Custodial Arrangements. Complete if the organization answered "Yes" on Form 990, Part IV, line 9, or reported an amount on Form 990, Part X, line 21.

Is the organization an agent, trustee, custodian or other intermediary for contributions or other assets not
included on Form 990, Part X? ....................................

Yes No


b	If "Yes," explain the arrangement in Part XIII 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

Did the organization include an amount on Form 990, Part X, line 21, for escrow or custodial account liability?

Yes No

If "Yes," explain the arrangement in Part XIII. Check here if the explanation has been provided in Part XIII ........

Part V

Endowment Funds. Complete if the organization answered "Yes" on 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 ....	263,164,433	260,807,759	212,925,418	176,416,750	166,396,164
b	Contributions ...	2,013,304	2,522,174	25,377,876	27,950,863	13,882,530
c	Net investment earnings, gains, and losses	1,498,535	3,700,116	27,631,730	11,723,854	1,770,907
d	Grants or scholarships ...
e	Other expenditures for facilities and programs ...	994,115	3,865,616	5,127,265	3,166,049	5,632,851
f	Administrative expenses ....
g	End of year balance ......	265,682,157	263,164,433	260,807,759	212,925,418	176,416,750

Provide the estimated percentage of the current year end balance (line 1g, column (a)) held as:

Board designated or quasi-endowment SchDMd Bullet

72.280 %

Permanent endowment SchDMd Bullet

16.290 %

Temporarily restricted endowment SchDMd Bullet

11.430 %

The percentages on lines 2a, 2b, and 2c should equal 100%.

Are there endowment funds not in the possession of the organization that are held and administered for the
organization by:

Yes

(i) unrelated organizations .................

3a(i)

(ii) related organizations .................

3a(ii)

Yes

If "Yes" on 3a(ii), are the related organizations listed as required on Schedule R? .........

Yes

Describe in Part XIII the intended uses of the organization's endowment funds.

Part VI

Land, Buildings, and Equipment.
Complete if the organization answered 'Yes' on Form 990, Part IV, line 11a. See Form 990, Part X, line 10.

Description of property		(a) Cost or other basis (investment)	(b)Cost or other basis (other)	(c) Accumulated depreciation	(d) Book value

1a	Land ...	14,211,833		14,211,833
b	Buildings	338,641,429	171,432,346	167,209,083
c	Leasehold improvements
d	Equipment ...	188,365,749	115,815,825	72,549,924
e	Other ...	41,253,329	9,887,452	31,365,877
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).)..				285,336,717

Schedule D (Form 990) 2015

Page 3

Part VII

InvestmentsOther Securities. Complete if the organization answered 'Yes' on Form 990, Part IV, line 11b. 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
(3)Other
(A)
(B)
(C)
(D)
(E)
(F)
(G)
(H)
Total. (Column (b) must equal Form 990, Part X, col. (B) line 12.)

Part VIII

InvestmentsProgram Related. Complete if the organization answered 'Yes' on Form 990, Part IV, line 11c. See Form 990, Part X, line 13.

(a) Description of investment	(b) Book value	(c) Method of valuation: Cost or end-of-year market value

(1)
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 13.)

Part IX

Other Assets. Complete if the organization answered 'Yes' on Form 990, Part IV, line 11d. See Form 990, Part X, line 15.

(a) Description				(b) Book value
(1) FUNDS HELD BY TRUSTEE UNDER BOND AGREEMENTS				10,721,023
(2) ESTIMATED 3RD PARTY SETTLEMENT (MCD)				114,286,719
(3) UPL RECEIVABLE				9,556,269
(4) GME RECEIVABLE				1,383,943
(5) OTHER RECEIVABLES				7,175,275
(6) INTEREST RECEIVABLE - FUNDED DEPR				93,611
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 15.)...........				143,216,840

Part X

Other Liabilities. Complete if the organization answered 'Yes' on Form 990, Part IV, line 11e or 11f. See Form 990, Part X, line 25.

1.(a) Description of liability	(b) Book value
(1) Federal income taxes
OBLIGATIONS UNDER CAPITAL LEASES	249,834
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)	249,834
2. Liability for uncertain tax positions. In Part XIII, 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 (ASC 740). Check here if the text of the footnote has been provided in Part XIII

Schedule D (Form 990) 2015

Page 4

Part XI Reconciliation of Revenue per Audited Financial Statements With Revenue per Return Complete if the organization answered 'Yes' on Form 990, Part IV, line 12a.
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 (losses) on investments ....	2a
b	Donated services and use of facilities .........	2b
c	Recoveries of prior year grants ...........	2c
d	Other (Describe in Part XIII.) ............	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 XIII.) ...........	4b
c	Add lines 4a and 4b....................		4c
5	Total revenue. Add lines 3 and 4c. (This must equal Form 990, Part I, line 12.) ......		5

Part XII Reconciliation of Expenses per Audited Financial Statements With Expenses per Return. Complete if the organization answered 'Yes' on Form 990, Part IV, line 12a.
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 XIII.) ............	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 XIII.) ............	4b
c	Add lines 4a and 4b.....................		4c
5	Total expenses. Add lines 3 and 4c. (This must equal Form 990, Part I, line 18.) ......		5

Part XIII

Supplemental Information

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, line 2; Part XI, lines 2d and 4b; and Part XII, lines 2d and 4b. Also complete this part to provide any additional information.

Return Reference

Explanation

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.

PART X, LINE 2:

NOTE: THE AUDIT IS COMPRISED OF THE CONSOLIDATED FINANCIAL STATEMENTS OF ARKANSAS CHILDREN'S, INC., ARKANSAS CHILDREN'S HOSPITAL, ARKANSAS CHILDREN'S HOSPITAL FOUNDATION, ARKANSAS CHILDREN'S RESEARCH INSTITUTE, ARKANSAS CHILDREN'S NORTHWEST, AND ARKANSAS CHILDREN'S HOSPITAL BUILDING RESEARCH FACILITY (COLLECTIVELY, ARKANSAS CHILDREN'S). FOOTNOTE: ARKANSAS CHILDREN'S APPLIES FINANCIAL ACCOUNTING STANDARDS BOARD (FASB) ASC TOPIC 740 (TOPIC 740), ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES. TOPIC 740 CLARIFIES THE ACCOUNTING FOR UNCERTAINTY IN INCOME TAX POSITIONS AND PROVIDES GUIDANCE ON WHEN TAX POSITIONS ARE RECOGNIZED IN AN ENTITY'S FINANCIAL STATEMENTS AND HOW THE VALUES OF THESE POSITIONS ARE DETERMINED. MANAGEMENT HAS ANALYZED THE TAX POSITIONS TAKEN BY ARKANSAS CHILDREN'S AND HAS CONCLUDED THAT AS OF JUNE 30, 2016 AND 2015, THERE ARE NO UNCERTAIN POSITIONS TAKEN OR EXPECTED TO BE TAKEN THAT WOULD REQUIRE RECOGNITION OF A LIABILITY (OR ASSET) OR DISCLOSURE IN THE CONSOLIDATED FINANCIAL STATEMENTS.

Schedule D (Form 990) 2015

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE H
(Form 990)

Department of the Treasury
Internal Revenue Service

Hospitals

Complete if the organization answered "Yes" on Form 990, Part IV, question 20.
MediumBullet

Attach to Form 990.
MediumBullet

Information about Schedule H (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2015

Open to Public Inspection

Name of the organization

ARKANSAS CHILDREN'S HOSPITAL

Employer identification number

71-0236857

Part I

Financial Assistance and Certain Other Community Benefits at Cost

Yes

Did the organization have a financial assistance policy during the tax year? If "No," skip to question 6a . . . .

Yes

If "Yes," was it a written policy? ......................

Yes

If the organization had multiple hospital facilities, indicate which of the following best describes application of the financial assistance policy to its various hospital facilities during the tax year.

Applied uniformly to all hospital facilities Applied uniformly to most hospital facilities Generally tailored to individual hospital facilities

Answer the following based on the financial assistance eligibility criteria that applied to the largest number of the organization's patients during the tax year.

Did the organization use Federal Poverty Guidelines (FPG) as a factor in determining eligibility for providing free care?

If "Yes," indicate which of the following was the FPG family income limit for eligibility for free care:

Yes

100% 150% 200% Other 25000.0000000000 %

Did the organization use FPG as a factor in determining eligibility for providing discounted care? If "Yes," indicate

which of the following was the family income limit for eligibility for discounted care: . . . . . . . .

Yes

200% 250% 300% 350% 400% Other %

If the organization used factors other than FPG in determining eligibility, describe in Part VI the criteria used for determining eligibility for free or discounted care. Include in the description whether the organization used an asset test or other threshold, regardless of income, as a factor in determining eligibility for free or discounted care.

Did the organization's financial assistance policy that applied to the largest number of its patients during the tax year provide for free or discounted care to the "medically indigent"? . . . . . . . . . . . . .

Did the organization budget amounts for free or discounted care provided under its financial assistance policy during
the tax year? . . . . . . . . . . . . . . . . . . . . . . .

Yes

If "Yes," did the organization's financial assistance expenses exceed the budgeted amount? . . . . . .

If "Yes" to line 5b, as a result of budget considerations, was the organization unable to provide free or discountedcare to a patient who was eligibile for free or discounted care? . . . . . . . . . . . . .

Did the organization prepare a community benefit report during the tax year? . . . . . . . . .

If "Yes," did the organization make it available to the public? . . . . . . . . . . . . .

Complete the following table using the worksheets provided in the Schedule H instructions. Do not submit these worksheets with the Schedule H.

Financial Assistance and Certain Other Community Benefits at Cost

Financial Assistance and Means-Tested Government Programs		(c) Total community benefit expense	(d) Direct offsetting revenue	(e) Net community benefit expense	(f) Percent of total expense
a	Financial Assistance at cost (from Worksheet 1) . . .	10,177,925	0	10,177,925	1.960 %
b	Medicaid (from Worksheet 3, column a) . . . . .	289,027,636	300,447,547
c	Costs of other means-tested government programs (from Worksheet 3, column b) . .
d	Total Financial Assistance and Means-Tested Government Programs . . . . .	299,205,561	300,447,547	10,177,925	1.960 %
Other Benefits
e	Community health improvement services and community benefit operations (from Worksheet 4).	11,671,900	6,026,118	5,645,782	1.090 %
f	Health professions education (from Worksheet 5) . . .	24,537,123	7,013,688	17,523,435	3.380 %
g	Subsidized health services (from Worksheet 6) . . . .	41,361,784	18,508,891	22,852,893	4.410 %
h	Research (from Worksheet 7) .	8,043,777	0	8,043,777	1.550 %
i	Cash and in-kind contributions for community benefit (from Worksheet 8) . . . .	512,352	67,894	444,458	0.090 %
j	Total. Other Benefits . .	86,126,936	31,616,591	54,510,345	10.520 %
k	Total. Add lines 7d and 7j .	385,332,497	332,064,138	64,688,270	12.480 %

For Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2015

Schedule H (Form 990) 2015

Page

Part II

Community Building Activities Complete this table if the organization conducted any community building activities during the tax year, and describe in Part VI how its community building activities promoted the health of the communities it serves.

		(c) Total community building expense	(e) Net community building expense	(f) Percent of total expense
1	Physical improvements and housing
2	Economic development	25,250	25,250	0 %
3	Community support	33,265	33,265	0.010 %
4	Environmental improvements
5	Leadership development and training for community members	345	345	0 %
6	Coalition building	5,718	5,718	0 %
7	Community health improvement advocacy	53,460	53,460	0.010 %
8	Workforce development	7,000	7,000	0 %
9	Other
10	Total	125,038	125,038	0.020 %

Part III

Bad Debt, Medicare, & Collection Practices

Section A. Bad Debt Expense

Yes

Did the organization report bad debt expense in accordance with Heathcare Financial Management Association Statement No. 15? ..........................

Yes

Enter the amount of the organization's bad debt expense. Explain in Part VI the methodology used by the organization to estimate this amount. ......

500,361

Enter the estimated amount of the organization's bad debt expense attributable to patients eligible under the organization's financial assistance policy. Explain in Part VI the methodology used by the organization to estimate this amount and the rationale, if any, for including this portion of bad debt as community benefit. ......

Provide in Part VI the text of the footnote to the organization’s financial statements that describes bad debt expense or the page number on which this footnote is contained in the attached financial statements.

Section B. Medicare

Enter total revenue received from Medicare (including DSH and IME).....

1,937,443

Enter Medicare allowable costs of care relating to payments on line 5.....

1,990,847

Subtract line 6 from line 5. This is the surplus (or shortfall)........

-53,404

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:

Cost accounting system Cost to charge ratio Other

Section C. Collection Practices

Did the organization have a written debt collection policy during the tax year? ..........

Yes

If "Yes," did the organization’s collection policy that applied to the largest number of its patients during the tax year
contain provisions on the collection practices to be followed for patients who are known to qualify for financial assistance? Describe in Part VI .........................

Yes

Part IV

Management Companies and Joint Ventures(owned 10% or more by officers, directors, trustees, key employees, and physicians—see instructions)

(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) 2015

Page

Part VFacility Information

Section A. Hospital Facilities (list in order of size from largest to smallest—see instructions) How many hospital facilities did the organization operate during the tax year?1 Name, address, primary website address, and state license number (and if a group return, the name and EIN of the subordinate hospital organization that operates the hospital facility)
1	ARKANSAS CHILDREN'S HOSPITAL 1 CHILDRENS WAY LITTLE ROCK,AR72202 WWW.ARCHILDRENS.ORG AR4640	X	X	X	X	X	X

Schedule H (Form 990) 2015

Page 4

Part VFacility Information (continued)

Section B. Facility Policies and Practices

(Complete a separate Section B for each of the hospital facilities or facility reporting groups listed in Part V, Section A)

	ARKANSAS CHILDREN'S HOSPITAL
Name of hospital facility or letter of facility reporting group

Line number of hospital facility, or line numbers of hospital facilities in a facility
reporting group (from Part V, Section A):

Yes

Community Health Needs Assessment

Was the hospital facility first licensed, registered, or similarly recognized by a state as a hospital facility in the current tax year or the immediately preceding tax year?........................

Was the hospital facility acquired or placed into service as a tax-exempt hospital in the current tax year or the immediately preceding tax year? If “Yes,” provide details of the acquisition in Section C...............

During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 12......................

Yes

If "Yes," indicate what the CHNA report describes (check all that apply):

A definition of the community served by the hospital facility

Demographics of the community

Existing health care facilities and resources within the community that are available to respond to the health needs of the community

How data was obtained

The significant health needs of the community

Primary and chronic disease needs and other health issues of uninsured persons, low-income persons, and minority groups

The process for identifying and prioritizing community health needs and services to meet the community health needs

The process for consulting with persons representing the community’s interests

Information gaps that limit the hospital facility’s ability to assess the community’s health needs

Other (describe in Section C)

Indicate the tax year the hospital facility last conducted a CHNA: 20 15

In conducting its most recent CHNA, did the hospital facility take into account input from persons who represent the broad interests of the community served by the hospital facility, including those with special knowledge of or expertise in public health? If "Yes," describe in Section C how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted .................

Yes

6 a

Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Section C..................................

Was the hospital facility’s CHNA conducted with one or more organizations other than hospital facilities?” If “Yes,” list the other organizations in Section C. ............................

Yes

Did the hospital facility make its CHNA report widely available to the public?..............

Yes

If "Yes," indicate how the CHNA report was made widely available (check all that apply):

Hospital facility’s website (list url): WWW.ARCHILDRENS.ORG

Other website (list url):

Made a paper copy available for public inspection without charge at the hospital facility

Other (describe in Section C)

Did the hospital facility adopt an implementation strategy to meet the significant community health needs
identified through its most recently conducted CHNA? If "No," skip to line 11. ..............

Yes

Indicate the tax year the hospital facility last adopted an implementation strategy: 20 15

Is the hospital facility's most recently adopted implementation strategy posted on a website?.........

Yes

If "Yes" (list url): WWW.ARCHILDRENS.ORG

If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ......

10b

Describe in Section C how the hospital facility is addressing the significant needs identified in its most recently conducted CHNA and any such needs that are not being addressed together with the reasons why such needs are not being addressed.

12a

Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)?...............................

12a

If "Yes" on line 12a, did the organization file Form 4720 to report the section 4959 excise tax?........

12b

If "Yes" on line 12b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $

Schedule H (Form 990) 2015

Page 5

Part VFacility Information (continued)

Financial Assistance Policy (FAP)

	ARKANSAS CHILDREN'S HOSPITAL
Name of hospital facility or letter of facility reporting group

Yes

Did the hospital facility have in place during the tax year a written financial assistance policy that:

Explained eligibility criteria for financial assistance, and whether such assistance included free or discounted care?

Yes

If “Yes,” indicate the eligibility criteria explained in the FAP:

Federal poverty guidelines (FPG), with FPG family income limit for eligibility for free care of 250.000000000000% and FPG family income limit for eligibility for discounted care of 400.000000000000%

Income level other than FPG (describe in Section C)

Asset level

Medical indigency

Insurance status

Underinsurance discount

Residency

Other (describe in Section C)

Explained the basis for calculating amounts charged to patients?.................

Yes

Explained the method for applying for financial assistance?...................

Yes

If “Yes,” indicate how the hospital facility’s FAP or FAP application form (including accompanying instructions) explained the method for applying for financial assistance (check all that apply):

Described the information the hospital facility may require an individual to provide as part of his or her application

Described the supporting documentation the hospital facility may require an individual to submit as part of his or
her application

Provided the contact information of hospital facility staff who can provide an individual with information about the
FAP and FAP application process

Provided the contact information of nonprofit organizations or government agencies that may be sources of
assistance with FAP applications

Other (describe in Section C)

Included measures to publicize the policy within the community served by the hospital facility?........

Yes

If "Yes," indicate how the hospital facility publicized the policy (check all that apply):

The FAP was widely available on a website (list url):

WWW.ARCHILDRENS.ORG

The FAP application form was widely available on a website (list url):

WWW.ARCHILDRENS.ORG

A plain language summary of the FAP was widely available on a website (list url):
WWW.ARCHILDRENS.ORG

The FAP was available upon request and without charge (in public locations in the hospital facility and by mail)

The FAP application form was available upon request and without charge (in public locations in the hospital facility
and by mail)

A plain language summary of the FAP was available upon request and without charge (in public locations in the
hospital facility and by mail)

Notice of availability of the FAP was conspicuously displayed throughout the hospital facility

Notified members of the community who are most likely to require financial assistance about availability of the FAP

Other (describe in Section C)

Billing and Collections

Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy (FAP) that explained all of the actions the hospital facility or other authorized party may take upon non-payment?..................................

Yes

Check all of the following actions against an individual that were permitted under the hospital facility's policies during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP:

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

None of these actions or other similar actions were permitted

Schedule H (Form 990) 2015

Page 6

Part VFacility Information (continued)

	ARKANSAS CHILDREN'S HOSPITAL
Name of hospital facility or letter of facility reporting group

Yes

Did the hospital facility or other authorized party perform any of the following actions during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP?............

If "Yes," check all actions in which the hospital facility or a third party engaged:

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

Indicate which efforts the hospital facility or other authorized party made before initiating any of the actions listed (whether or not checked) in line 19. (check all that apply):

Notified individuals of the financial assistance policy on admission

Notified individuals of the financial assistance policy prior to discharge

Notified individuals of the financial assistance policy in communications with the individuals regarding the individuals’ bills

Documented its determination of whether individuals were eligible for financial assistance under the hospital facility’s financial assistance policy

Other (describe in Section C)

None of these efforts were made

Policy Relating to Emergency Medical Care

Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that required 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?..................

Yes

If "No," indicate why:

The hospital facility did not provide care for any emergency medical conditions

The hospital facility’s policy was not in writing

The hospital facility limited who was eligible to receive care for emergency medical conditions (describe in Section C)

Other (describe in Section C)

Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)

Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.

The hospital facility used its lowest negotiated commercial insurance rate when calculating the maximum amounts that
can be charged

The hospital facility used the average of its three lowest negotiated commercial insurance rates when calculating the maximum amounts that can be charged

The hospital facility used the Medicare rates when calculating the maximum amounts that can be charged

Other (describe in Section C)

During the tax year, did the hospital facility charge any FAP-eligible individual 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? ...............................

If "Yes," explain in Section C.

During the tax year, did the hospital facility charge any FAP-eligible individual an amount equal to the gross charge for any service provided to that individual? ...........................

If "Yes," explain in Section C.

Schedule H (Form 990) 2015

Page 7

Part V

Facility Information (continued)

Section C. Supplemental Information for Part V, Section B. Provide descriptions required for Part V, Section B, lines 2, 3j, 5, 6a, 6b, 7d, 11, 13b, 13h, 15e, 16i, 18d, 19d, 20e, 21c, 21d, 22d, 23, and 24. If applicable, provide separate descriptions for each hospital facility in a facility reporting group, designated by facility reporting group letter and hospital facility line number from Part V, Section A (“A, 1,” “A, 4,” “B, 2,” “B, 3,” etc.) and name of hospital facility.
Form and Line Reference	Explanation
ARKANSAS CHILDREN'S HOSPITAL	PART V, SECTION B, LINE 3J: IN ADDITION TO THE ITEMS CHECKED IN BOXES A - I, OTHER INFORMATION WAS INCLUDED IN THE NEEDS ASSESSMENT. AS THE ONLY PEDIATRIC HOSPITAL IN THE STATE OF ARKANSAS, ACH CONSIDERS ITS COMMUNITY TO BE ALL 710,000 CHILDREN IN THE STATE. THE NEEDS ASSESSMENT CONTAINED INFORMATION ABOUT THE STATEWIDE COALITION IT CONVENES THAT UTILIZES THE COLLECTIVE IMPACT MODEL TO IMPROVE CHILD WELL-BEING, THE NATURAL WONDERS PARTNERSHIP COUNCIL (NWPC). THE NWPC USES THE NEEDS ASSESSMENT AS ITS COMMON AGENDA FOR IMPROVING CHILD HEALTH IN ARKANSAS, INCLUDING IN AREAS THE HOSPITAL DOES NOT ADDRESS IN LEADERSHIP ROLE. SINCE CHILDREN'S HEALTH IS SO CLOSELY TIED TO ADULT HEALTH, ACH INCLUDED SOME INFORMATION ABOUT THE HEALTH STATUS OF ADULTS. THE REPORT CONTAINED "BIG IDEAS AND "VISION" FROM THE QUALITATIVE DATA COLLECTION FOR IMPROVING CHILD HEALTH TO INSPIRE THE WORK THAT RESULTS FROM THE NEEDS ASSESSMENT. THE REPORT CONTAINED INFORMATION ABOUT THE IMPACT OF THE ACTIVITIES RESULTING FROM THE PREVIOUS CHNA.
ARKANSAS CHILDREN'S HOSPITAL	PART V, SECTION B, LINE 5: THE HOSPITAL TOOK A COMPREHENSIVE APPROACH TO UNDERSTANDING CHILD HEALTH AND CONSIDERED BOTH SECONDARY AND PRIMARY DATA AT THE LOCAL, REGIONAL, AND STATE LEVEL AS IT DETERMINED THE HEALTH NEEDS OF ARKANSAS' CHILDREN. SECONDARY DATA SETS REVIEWED INCLUDE THE U.S. CENSUS BUREAU, THE ANNIE E. CASEY KIDS' COUNT DATA CENTER, ARKANSAS STATE AGENCY DATABASES, THE YOUTH RISK BEHAVIOR SURVEY, AND A VARIETY OF LOCAL ORGANIZATIONS' RESEARCH. MEMBERS OF THE NATURAL WONDERS PARTNERSHIP COUNCIL PROVIDED INPUT TO AND FEEDBACK ON THE CHNA AT ALL STAGES OF ITS DEVELOPMENT FROM DESIGN TO INITIAL OUTCOMES TO A FINAL REPORT. MANY MEMBERS ALSO PARTICIPATED BY PROVIDING DATA TO AND INTERVIEWS FOR THE CHNA TEAM. NWPC MEMBERS REPRESENT A VARIETY OF STAKEHOLDERS INCLUDING ARKANSAS DEPARTMENT OF HEALTH OFFICIALS, THE UNIVERSITY OF ARKANSAS'S COLLEGE OF PUBLIC HEALTH AND CLINTON SCHOOL OF PUBLIC SERVICE, CHILD/CONSUMER ADVOCATES, HEALTH POLICY ORGANIZATIONS, HEALTH CARE PROVIDERS, RESEARCHERS, NONPROFIT ORGANIZATIONS, MEMBERSHIP ORGANIZATIONS INCLUDING THE AMERICAN ACADEMY OF PEDIATRICS AND THE ARKANSAS HOSPITAL ASSOCIATION, THE STATE'S DEPARTMENTS OF EDUCATION AND HUMAN SERVICES, THE ARKANSAS MINORITY HEALTH COMMISSION, COMMUNITY HEALTH CENTERS, BEHAVIORAL HEALTH AGENCIES, DENTAL INSURANCE PROVIDERS, PRIVATE HEALTH INSURANCE COMPANIES, THE FAITH COMMUNITY, LOW-INCOME LEGAL SERVICES, A JUVENILE COURT JUDGE, PRIVATE FOUNDATIONS, AND A STATEWIDE EDUCATION-FOCUSED COLLECTIVE IMPACT COALITION. ALTHOUGH THE CHNA TEAM DID NOT SEEK FEEDBACK DIRECTLY FROM CHILDREN, MEANINGFUL ENGAGEMENT AND INPUT FROM A BROAD CROSS-SECTION OF ORGANIZATIONS AND INDIVIDUALS THROUGHOUT THE STATE WAS IMPORTANT TO THE SUCCESSFUL COMPLETION OF THIS CHNA. HUNDREDS OF PARENTS AND CAREGIVERS GAVE FEEDBACK ON CHILD HEALTH ASSETS AND NEEDS THROUGH FOCUS GROUPS AND A STATEWIDE TELEPHONE SURVEY. BOTH RURAL AND URBAN POPULATIONS WERE INCLUDED IN THE DATA COLLECTION, AND THE HISPANIC COMMUNITY WAS ABLE TO GIVE FEEDBACK VIA TWO FOCUS GROUPS CONDUCTED IN SPANISH. UNFORTUNATELY, LIMITED PRIMARY DATA WAS COLLECTED FROM THE SMALL BUT UNDERSERVED MARSHALLESE POPULATION IN NORTHWEST ARKANSAS.THE FOLLOWING DATA SOURCES CONTRIBUTED TO THE WIDE RANGE OF INPUT GATHERED FROM PEOPLE AND ORGANIZATIONS WHO REPRESENT CHILDREN'S HEALTH INTERESTS: ELEVEN FOCUS GROUPS TARGETED TO A DIVERSE POPULATION OF 96 PARENTS AND CHILDREN'S SERVICE PROVIDERS ACROSS ARKANSAS, THIRTY-FOUR KEY INFORMANT INTERVIEWS TARGETED TO ARKANSAS'S CHILD HEALTH THOUGHT LEADERS AND SUBJECT MATTER EXPERTS, AND A TELEPHONE SURVEY OF 400 ARKANSAS PARENTS THAT WAS STATISTICALLY SIGNIFICANT AT THE STATE LEVEL.THE FOCUS GROUPS AND KEY INFORMANT INTERVIEWS WERE PART OF A UNIFIED METHODOLOGY AND TOGETHER CREATED A STATEWIDE PURPOSEFUL SAMPLING QUALITATIVE DESIGN. THIS METHOD HELPED OBTAIN IN-DEPTH INFORMATION, OPINIONS, AND INSIGHT ABOUT IMPORTANT DIMENSIONS IN HEALTH, HEALTHCARE, AND HEALTH PROMOTION FROM CRITICAL STAKEHOLDERS IN CHILD HEALTH. TOGETHER THEY SELECTED A STATEWIDE SAMPLE TO STUDY CURRENT CHILD HEALTH NEEDS FROM SEVERAL PERSPECTIVES: PARENTS, FRONT LINE PROVIDERS, AND CHILD HEALTH EXPERTS. DIVERSITY IN GEOGRAPHIC AND RURAL/URBAN STATUS WAS PRIORITIZED, AND LANGUAGE DIVERSITY WAS PRIORITIZED BY CONDUCTING TWO FOCUS GROUPS IN SPANISH. FOCUS GROUPS ASSURED ANONYMITY FOR THE PARENTS AND CHILD SERVICE PROVIDERS WHO PARTICIPATED, SO NAMES WERE NOT COLLECTED. THE 34 KEY INFORMANT INTERVIEWS REACHED PUBLIC HEALTH OFFICIALS, HEALTH POLICY EXPERTS, HEALTH CARE PROVIDERS AND ADMINISTRATORS, NONPROFIT EXECUTIVES, STATE AGENCY LEADS, COMMUNITY LEADERS, RESEARCHERS, AND HEALTH INSURANCE REPRESENTATIVES. THE TELEPHONE SURVEY OF PARENTS DID NOT COLLECT NAMES FROM PARTICIPANTS.
ARKANSAS CHILDREN'S HOSPITAL	PART V, SECTION B, LINE 6B: ACH CONDUCTED ITS NEEDS ASSESSMENT IN PARTNERSHIP WITH OTHER MEMBERS OF THE NATURAL WONDERS PARTNERSHIP COUNCIL, WHO ALL PARTICIPATE IN A COLLECTIVE IMPACT EFFORT TO IMPROVE CHILD HEALTH USING THE CHNA AS THE COMMON AGENDA FOR CHILD HEALTH PRIORITIES AND INTERVENTIONS. MANY USE THE CHNA AS PART OF THEIR OWN NEEDS ASSESSMENTS, INCLUDING THE ARKANSAS DEPARTMENT OF HEALTH. NWPC MEMBER ORGANIZATIONS INCLUDE THE FOLLOWING: ARKANSAS CHILDREN'S HOSPITALUNIVERSITY OF ARKANSAS FOR MEDICAL SCIENCES - SEVERAL COLLEGES INCLUDING MEDICINE AND PUBLIC HEALTHAR ASSOCIATION OF EDUCATION ADMINISTRATORSCOMMUNITY HEALTH CENTERS OF ARKANSASARKANSAS DEPARTMENT OF HEALTHARKANSAS CAMPAIGN FOR GRADE-LEVEL READINGARKANSAS ADVOCATES FOR CHILDREN AND FAMILIESCLINTON FOUNDATIONARKANSAS ACCESS TO JUSTICE COMMISSIONHUMAN RIGHTS CAMPAIGN - ARKANSAS SEVERAL MEMBERS OF THE FAITH COMMUNITYARKANSAS MINORITY HEALTH COMMISSIONARKANSAS CENTER FOR HEALTH IMPROVEMENT AMERICAN ACADEMY OF PEDIATRICS, ARKANSAS CHAPTERARKANSAS DEPARTMENT OF HUMAN SERVICES, SEVERAL DIVISIONS INCLUDING MEDICAL SERVICES (MEDICAID), BEHAVIORAL HEALTH, EARLY CHILDHOOD EDUCATIONARKANSAS HOME VISITING NETWORKDELTA DENTAL OF ARKANSASARKANSAS COALITION FOR OBESITY PREVENTIONARKANSAS FOUNDATION FOR MEDICAL CAREARKANSAS FOOD BANKARKANSAS BLUE CROSS BLUE SHIELDARKANSAS DEPARTMENT OF EDUCATIONARKANSAS HOSPITAL ASSOCIATIONCLINTON SCHOOL OF PUBLIC SERVICEARKANSAS HUNGER RELIEF ALLIANCEPULASKI COUNTY JUVENILE COURTAR OUT OF SCHOOL NETWORKBLUE & YOU FOUNDATIONMARCH OF DIMES ARKANSAS CHAPTER
ARKANSAS CHILDREN'S HOSPITAL	PART V, SECTION B, LINE 7D: THE CHNA WAS DISTRIBUTED TO DOZENS OF PARTNERS THROUGH THE NATURAL WONDERS PARTNERSHIP COUNCIL AND ITS MULTIPLE SUBGROUPS. ADDITIONALLY, THE CHNA RESULTS WILL BE SIMPLIFIED AND COMBINED WITH THE COLLECTIVE IMPACT WORK PLANS FOR THE NATURAL WONDERS PARTNERSHIP COUNCIL'S LATEST REPORT.
ARKANSAS CHILDREN'S HOSPITAL	PART V, SECTION B, LINE 11: DURING TAX YEAR 2015, THE HOSPITAL COMPLETED THE FINAL YEAR OF IMPLEMENTATION RELATED TO THE 2012 CHNA. DETAILED INFORMATION ABOUT HOW THE HOSPITAL ADDRESSED THE 2012 CHNA ISSUES IS BELOW. THIS SECTION WILL ALSO INCLUDE INFORMATION FROM TAX YEAR 2016 SINCE THOSE ACTIVITIES ARE BASED ON THE "MOST RECENTLY CONDUCTED CHNA" THAT WAS COMPLETED AT THE END OF TAX YEAR 2015.DURING TAX YEAR 2015/FISCAL YEAR 2016, THE HOSPITAL CONTINUED ADDRESSING COMMUNITY NEEDS IN A NUMBER OF AREAS. IN A CAPACITY BUILDING ROLE, AT THE END OF THE PREVIOUS FISCAL YEAR, ACH HAD COMPLETED WORK WITH ITS NATURAL WONDERS PARTNERSHIP COUNCIL (NWPC) MEMBERS TO DEVELOP A COLLABORATIVE FIVE-YEAR STRATEGIC FRAMEWORK USING THE COLLECTIVE IMPACT MODEL. THIS FRAMEWORK PROVIDED STRATEGIC DIRECTION AND ENSURED BACKBONE SUPPORT FROM ACH FOR ORGANIZATIONS SEEKING TO IMPROVE THE HEALTH OF CHILDREN IN ARKANSAS. IN THIS FRAMEWORK, THE ACH CHNA IS USED AS THE "COMMON AGENDA" FOR MANY ORGANIZATIONS WORKING TOGETHER TO IMPROVE CHILD HEALTH IN ARKANSAS. THE NWPC SELECTED AN INITIAL "SHARED MEASUREMENT SYSTEM" OF DATA INDICATORS AND "MUTUALLY REINFORCING ACTIVITIES" FRAMED AS MEASURABLE GOALS TO MOVE FORWARD SHARED STRATEGIES. ACH PROVIDES "BACKBONE" FINANCIAL SUPPORT FOR THE NWPC AS WELL AS ADMINISTRATIVE GUIDANCE AND PARTNERSHIP-BUILDING FOR NWPC. PROGRAM EVALUATION CAPACITIES BEGAN TO BE DISCUSSED AND IMPLEMENTED.DURING TAX YEAR 2015 (FY 2016), ACH COMPLETED ITS SECOND TRI-ANNUAL COMMUNITY HEALTH NEEDS ASSESSMENT, WHICH HAS BEEN DETAILED IN OTHER AREAS OF THE SCHEDULE H. THIS CHNA WAS COMPLETED AND APPROVED BY THE ACH BOARD IN MAY 2016. ITS PRIMARY ISSUES ARE ALMOST IDENTICAL TO THOSE OUTLINED IN THE PREVIOUS STRATEGIC FRAMEWORK DOCUMENT. FOLLOWING THE APPROVAL OF THE MOST RECENT CHNA, ACH WORKED WITH ALL ISSUE AREAS TO UPDATE THE FRAMEWORK WITH A NEW COMMON AGENDA, SHARED MEASUREMENT SYSTEM, AND MUTUALLY REINFORCING ACTIVITIES THAT WILL BE USED FOR THE 3-YEAR CHNA CYCLE. BY OCTOBER 2016 (TAX YEAR 2016), ACH HAD COMPLETED ITS COMMUNITY HEALTH IMPLEMENTATION STRATEGY FOR FY17 - FY19 (TAX YEARS 16-18). IN PARTNERSHIP WITH HOSPITAL AND MEDICAL LEADERSHIP, A 3-YEAR PLAN WAS DEVELOPED TO HELP MEET THE NEEDS IN THE COORDINATING CHNA. AS THE NWPC BACKBONE AGENCY, TO HELP MOVE THE ISSUES AND RESOLUTIONS FORWARD, THE HOSPITAL APPROVED A NEW $200,000 "INNOVATION FUND" FOR THE NATURAL WONDERS PARTNERSHIP COUNCIL, WHICH IS CURRENTLY BEING DISTRIBUTED THROUGH CONTRACTS TO ORGANIZATIONS WORKING TO IMPROVE OUTCOMES FOR ISSUES IDENTIFIED IN THE CHNA AND IMPLEMENTATION STRATEGY. THIS CAPACITY-BUILDING WORK HAS DRAMATICALLY IMPROVED THE FUNCTIONS AROUND COMMUNITY BENEFIT WORK AND CREATED ACCOUNTABILITY STRUCTURES TO ENSURE PROGRESS IS MADE ON IMPROVING CHILD HEALTH. LASTLY, DURING TAX YEAR 2016, THE HOSPITAL HIRED TWO (2) ADDITIONAL STAFF TO SUPPORT COMMUNITY BENEFIT, THE NWPC, AND PROGRAM EVALUATION FOR INTERNAL AND NWPC INITIATIVES. THREE OTHER NEW STAFF WERE HIRED TO DO RURAL OUTREACH WORK ACROSS ARKANSAS TO ESTABLISH RELATIONSHIPS FOR NEW COMMUNITY-DRIVEN PROGRAMS, AND A COORDINATOR WAS HIRED FOR THE MEDICAL-LEGAL PARTNERSHIP. CHNA PRIORITIZED ISSUES ARE LISTED BELOW WITH THE ACTION STEPS THAT ACH TOOK TO IMPROVE THE HEALTH OF CHILDREN IN THESE AREAS. IN SOME CASES, NWPC MEMBER ORGANIZATIONS LED THE STRATEGY FOR AN ISSUE AND IDENTIFIED KEY WAYS FOR ACH TO PARTNER ON CHILD HEALTH IMPROVEMENT.ACCESS TO CARE: TY15/FY16: ACH BEGAN EXPLORING THE POSSIBILITY OF PROVIDING SCHOOL-BASED TELEMEDICINE SERVICES TO CHILDREN DURING FY16 WITH THE HOPE OF COMPLEMENTING A FEDERAL GRANT FOR TELEMEDICINE EQUIPMENT WITH PROVIDERS AND SUPPORT STAFF. THE FRANKLIN ELEMENTARY SCHOOL-BASED HEALTH CENTER CONTINUED TO SERVE PATIENTS IN A LOW-INCOME, URBAN SCHOOL NEAR THE HOSPITAL BY SUPPORTING THE COST OF A NURSE PRACTITIONER WHO WORKS AT THE SCHOOL 20 HOURS PER WEEK. ACH PARTICIPATED ACTIVELY IN THE NWPC'S ACCESS TO CARE GROUP WHICH SEEKS TO REDUCE SYSTEMIC BARRIERS TO ACCESS TO QUALITY CARE FOR CHILDREN IN ARKANSAS AND TO EXPAND SCHOOL-BASED HEALTH OFFERINGS. ON THE HOSPITAL CAMPUS, ACH FINANCIAL COUNSELORS HELPED CONNECT PATIENTS AND FAMILIES TO HEALTH CARE COVERAGE, AN AFTER-HOURS RESOURCE LINE HELPED FAMILIES ACCESS MEDICAL ADVICE AFTER-HOURS, AND INTERPRETERS ASSISTED NON-ENGLISH-SPEAKING FAMILIES TO ACCESS CARE, BEYOND TRANSLATION THAT IS REQUIRED FOR ACCREDITATION. ADDITIONALLY, THE HOSPITAL SUPPORTED CAREGIVER MEALS AND OTHER FAMILY NEEDS. ACH SUPPORTED THE CONTINUATION OF THE MEDICAL-LEGAL PARTNERSHIP, A PROGRAM IMPLEMENTED IN COLLABORATION WITH LEGAL AID OF ARKANSAS TO HELP REDUCE HEALTH-HARMING LEGAL NEEDS.TY16/FY17: THE NEW IMPLEMENTATION STRATEGY OUTLINED NEW STRATEGIES FOR THE HOSPITAL TO ADDRESS BARRIERS TO ACCESS, INCLUDING EFFORTS TO IMPROVE ACCESS TO WELL-CHILD CARE AND ASTHMA CARE AND PLANS TO EXPLORE MOBILE HEALTH OPTIONS. THE HOSPITAL ALSO OPERATIONALIZED A SCREENER FOR SOCIAL DETERMINANTS OF HEALTH THAT REFERS FAMILIES TO PROGRAMS ADDRESSING FOOD INSECURITY, HOUSING ISSUES, AND EDUCATIONAL NEEDS FOR CHILDREN. CHILDHOOD OBESITY: TY15/FY16: ACH SUPPORTS STATEWIDE ACCESS TO AN ENHANCED VERSION OF "GONOODLE", A PHYSICAL ACTIVITY PROGRAM THAT ALLOWS TEACHERS TO WORK 2-5 MINUTE "BRAIN BREAKS" INTO THE SCHOOL DAY. MORE THAN 700 SCHOOLS AND HALF OF ARKANSAS'S PUBLIC SCHOOL ELEMENTARY TEACHERS UTILIZED THE PROGRAM IN MAY 2016, IMPROVING ACTIVE MINUTES FOR ALMOST 150,000 STUDENTS. ACH'S COMMUNITY OUTREACH TEAM REACHED HUNDREDS OF SCHOOLS AND THOUSANDS OF STUDENTS THROUGH OUTREACH PROGRAMS THAT EDUCATE STUDENTS ABOUT NUTRITION AND HYGIENE. ACH ALSO SUPPORTED "COOKING MATTERS" PROGRAMS THAT TEACH LOW-INCOME RESIDENTS TO COOK HEALTHFUL, LOW-COST MEALS.TY16/FY17: ACH'S COMMUNITY OUTREACH TEAM TRANSITIONED ITS SCHOOL-BASED INTERVENTIONS TO EVIDENCE-BASED PROGRAMS "CATCH AND ORGAN WISE GUYS". THOUGH THESE PROGRAMS REACH A SMALLER NUMBER OF STUDENTS OVERALL, THEY CONNECT WITH STUDENTS MULTIPLE TIMES OVER THE COURSE OF THE SCHOOL YEAR WITH A CURRICULUM THAT IS SHOWN TO REDUCE CHILDHOOD OBESITY. THE ARKANSAS CHILDREN'S RESEARCH INSTITUTE, WHICH ACH SUPPORTS, RECEIVED A LARGE GRANT FROM THE NATIONAL INSTITUTES OF HEALTH TO INCREASE STUDIES FOCUSED ON PREVENTING CHILDHOOD OBESITY. MENTAL HEALTH AND SUBSTANCE USE: TY15-16/FY1617: THE STATE HAS SEVERAL INITIATIVES ON BEHAVIORAL HEALTH, AND ACH BEGAN EXPLORING OPPORTUNITIES FOR BEHAVIORAL HEALTH PARTNERSHIPS AS PART OF ITS STRATEGIC PLANNING PROCESS. ACH SUPPORTED A VARIETY OF EVENTS AND FUNDRAISERS IN THE BEHAVIORAL HEALTH ARENA AND ALSO PROVIDED A $1 PER YEAR LEASE TO THE CHILDREN'S PROTECTION CENTER IN ITS NEW CLARK CENTER FOR CHILDREN, A BUILDING HOUSING ALL CHILD MALTREATMENT SERVICES. ACH SUPPORTED THE "REACH" PROGRAM, HELPING COMMUNITY PROVIDERS TO HELP INTEGRATE BEHAVIORAL HEALTH BEST PRACTICES INTO PRIMARY CARE ACROSS ARKANSAS. REPRODUCTIVE HEALTH: TY15/FY16: ACH PROVIDED BACKBONE SUPPORT TO THE REPRODUCTIVE HEALTH NWPC SUB-GROUP, WHICH HAD GREAT SUCCESS IN MOVING FORWARD SHARED STRATEGIES TO REDUCE TEENAGE PREGNANCY IN ARKANSAS THROUGH A VARIETY OF INVESTMENTS. TY16/FY17: ACH CONTRIBUTED NATURAL WONDERS INNOVATION FUNDS TO PILOT EVIDENCE-BASED HEALTH EDUCATION PROGRAMS IN COMMUNITIES AROUND ARKANSAS. ACH ALSO EXPLORED POSSIBILITIES OF A MOBILE HEALTH UNIT THAT WOULD PROVIDE ADOLESCENT-FOCUSED SERVICES IN UNDERSERVED AREAS OF THE STATE. SOCIAL ISSUES: THIS WAS A NEW ISSUE IDENTIFIED IN THE TY16/FY17 IMPLEMENTATION STRATEGY, BUT IT INCORPORATED SEVERAL ISSUES THAT HAD PREVIOUSLY BEEN LISTED SEPARATELY ON THE CHNA: COMMUNITY HEALTH, HOMELESSNESS, EDUCATION, POVERTY, ETC. THE PRIMARY NWPC GROUP IS MANAGING THESE ISSUES, STARTING WITH IMPROVING COORDINATION OF MEDICAL-LEGAL PARTNERSHIP SERVICES IN COMMUNITIES AROUND THE STATE THROUGH NWPC INNOVATION FUNDS. THESE FUNDS HAVE EXPANDED SCREENING FOR SOCIAL DETERMINANTS OF HEALTH BEYOND ONE CLINIC IN THE HOSPITAL TO PILOT CLINICS ACROSS ARKANSAS, AND OTHER STRATEGIC DISCUSSIONS AT ACH HAVE INCORPORATED SCREENING AS WELL.
ARKANSAS CHILDREN'S HOSPITAL	PART V, SECTION B, LINE 16I: THE FINANCIAL ASSISTANCE POLICY (FAP) ITSELF IS NOT ATTACHED TO THE BILLING INVOICES, HOWEVER, THE FOLLOWING INFORMATION IS NOTED ON THE STATEMENTS: ARKANSAS CHILDREN'S HOSPITAL PROVIDES FINANCIAL ASSISTANCE TO OUR PATIENTS AND FAMILIES THAT QUALIFY; APPLICATION FORMS ARE AVAILABLE AT ALL REGISTRATION AREAS OR BY CONTACTING CUSTOMER SERVICE (PHONE NUMBER IS INCLUDED); IF PATIENTS ARE NOT ELIGIBLE FOR INSURANCE OR A GOVERNMENT ASSISTANCE PROGRAM, ARKANSAS CHILDREN'S HOSPITAL OFFERS A PROMPT PAY DISCOUNT AS WELL. IN ADDITION, FINANCIAL COUNSELORS ASSIST FAMILIES IN APPLYING FOR MEDICAID, SSI, AND CHILDREN'S MEDICAL SERVICES.FINANCIAL ASSISTANCE POLICY (FAP) SUMMARY FLYERS ARE DISTRIBUTED THROUGHOUT THE HOSPITAL AND IN THE CLINICS. THE FLYERS EXPLAIN THE FAP, ELIGIBILITY REQUIREMENTS, AND HOW TO APPLY. THE FOLLOWING STATEMENT IS ALSO PRESENTED ON THE FLYERS REGARDING AVAILABILITY OF INFORMATION: "A NOTICE ABOUT THE FAP IS POSTED ON THE ACH WEB SITE, IN KEY AREAS OF THE HOSPITAL, AND ON BILLING STATEMENTS. OTHER INFORMATION IS AVAILABLE ONLINE AT ARCHILDRENS.ORG/FAP INCLUDING THE FULL POLICY, THIS SUMMARY, THE APPLICATION AND SPANISH AND MARSHALLESE TRANSLATIONS."
ARKANSAS CHILDREN'S HOSPITAL	PART V, SECTION B, LINE 22D: AN AVERAGE OF THE CONTRACT RATES WAS USED.
SCHEDULE H, PART V, SECTION B, LINE 11 - CONTINUED	PARENTING SKILLS: TY15/FY16: THE FEDERALLY-FUNDED HOME VISITING NETWORK, A GRANT-FUNDED PARTNERSHIP BETWEEN THE ARKANSAS DEPARTMENT OF HEALTH AND ACH, HAS IMPROVED MATERNAL-CHILD HEALTH OUTCOMES FOR CHILDREN IN THE PROGRAM. THE HOME INSTRUCTION FOR PARENTS OF PRESCHOOL YOUNGSTERS (HIPPY) AND PARENTS AS TEACHERS STATE OFFICES ARE HOUSED AT ACH AS WELL WITH STATE-FUNDED SUPPORT. ALL OF THESE DEPARTMENTS HAVE BEEN COMBINED UNDER ONE DIRECTOR WHO WORKS AT THE STATEWIDE AND NATIONAL LEVELS TO IMPROVE VISIBILITY AND REACH FOR HOME VISITING. THE EVALUATION TEAM AND TRAINING INSTITUTE FOR THE HOME VISITING NETWORK ARE NATIONALLY RECOGNIZED FOR THEIR WORK. ACH PROVIDES HIPPY USA WITH DISCOUNTED LEASED SPACE ON THE ACH CAMPUS FOR THE NATIONAL OFFICE. ADDITIONALLY, IN FY16, ACH OPENED ITS NEW FAMILY RESOURCE CENTER, WHICH HELPS TO CONNECT FAMILIES TO RESOURCES THAT ALLOW THEM GO HOME FROM THE HOSPITAL TO RAISE HEALTHY AND HAPPY CHILDREN. OTHER HOSPITAL-BASED PROGRAMS SUCH AS GOOD MOURNING HELP TO SUPPORT GRIEVING FAMILIES IN DIFFICULT TIMES. TY16/FY17: NWPC INNOVATION FUNDS ARE SUPPORTING A NEEDS ASSESSMENT AND MESSAGING ASSISTANCE FOR PARENTING SUPPORT IN ARKANSAS, AIMING TO DETERMINE THE RIGHT WAY TO ENGAGE FAMILIES AND TALK TO THEM ABOUT IMPROVING THEIR CHILD'S HEALTH AND WELL-BEING. ORAL HEALTH: TY15/FY16: ACH CONTINUED TO SUPPORT THREE (3) MOBILE DENTAL VANS THAT PROVIDE RESTORATIVE AND PREVENTIVE TREATMENT TO CHILDREN WITHOUT A DENTAL HOME IN THE SOUTHEAST, CENTRAL, AND NORTHWEST REGIONS OF ARKANSAS. THE HOSPITAL'S SCHOOL-BASED DENTAL SEALANT PROGRAM REACHES ABOUT 50 SCHOOLS AND 3,000 CHILDREN EACH YEAR. ACH STAFFS AND SUPPORTS THE ORAL HEALTH FOR CHILDREN SUBGROUP OF THE STATEWIDE ORAL HEALTH COALITION. TY16/FY17: ACH STAFF AND CONTRACTORS, WITH SUPPORT FROM THE ARKANSAS DEPARTMENT OF HEALTH, CARRIED OUT THE FIRST STATEWIDE CHILDREN'S ORAL HEALTH SCREENING SINCE 2010. ACH ALSO EXPLORED THE IDEA OF ADDING AN ADDITIONAL MOBILE DENTAL PROGRAM FOR SOUTHWEST ARKANSAS. FOOD INSECURITY: TY15/FY16: ACH WORKS THROUGH THE NWPC WITH THE HUNGER RELIEF ALLIANCE TO IDENTIFY AND IMPLEMENT INNOVATIVE WAYS TO ADDRESS CHILDHOOD FOOD INSECURITY FOR PATIENTS. THE HOSPITAL CONTINUED TO ADDRESS FOOD INSECURITY ON THE ACH CAMPUS THROUGH A VARIETY OF INVESTMENTS. EACH YEAR, THOUSANDS OF UNITED STATES DEPARTMENT OF AGRICULTURE (USDA) MEALS ARE PROVIDED TO CHILDREN THANKS TO ACH'S EFFORTS TO ESTABLISH THE CHILDREN'S MEDICAL NUTRITION AND FEEDING PROGRAM. THE HOSPITAL'S PARTNERSHIP WITH THE NEARBY HELPING HAND FOOD PANTRY CONTINUES TO PROVIDE FOOD TO HUNGRY PATIENT FAMILIES. FAMILIES CAN ALSO ENROLL IN THE SUPPLEMENTAL NUTRITION ASSISTANCE PROGRAM (SNAP) AND WOMEN, INFANTS AND CHILDREN (WIC) ON THE ACH CAMPUS THANKS TO STATE AGENCY PARTNERSHIPS. ACH'S COMMUNITY GARDEN WAS ESTABLISHED AND EXPANDED DURING FY16, AND A GARDENCORPS MEMBER STAFFS IT AS PART OF THE ACH COMMUNITY OUTREACH TEAM. PRODUCE FROM THE GARDEN IS PROVIDED TO HELPING HAND TO SUPPLEMENT ITS FOOD DONATIONS. ACH FACILITATED THE DONATION OF A RETRO-FITTED SCHOOL BUS TURNED INTO A MOBILE FOOD PANTRY TO HELPING HAND; THE MOBILE FOOD PANTRY VISITS THE HOSPITAL EACH TUESDAY.TY16/FY17: THE NEW IMPLEMENTATION STRATEGY OUTLINED NEW STRATEGIES FOR THE HOSPITAL TO ADDRESS FOOD INSECURITY, INCLUDING AN INCREASE IN THE NUMBER OF YOUTH AND FAMILIES PARTICIPATING IN "COOKING MATTERS" EVIDENCE-BASED PROGRAMS RUN BY THE HOSPITAL. THE COMMUNITY OUTREACH TEAM BEGAN A NEW PROGRAM CALLED "POP-UP COOKING MATTERS", WHICH IS AN EVIDENCE-BASED INTERVENTION WITH HIGH SCHOOL STUDENTS AROUND THE STATE. CHILD INJURY:TY15/FY16: THE ACH INJURY PREVENTION CENTER (IPC) CONTINUED TO WORK TO REDUCE CHILD INJURIES AND DEATHS THROUGH RESEARCH AND OUTREACH ON THE ISSUES OF MOTOR VEHICLE SAFETY, SAFE SLEEP/INFANT MORTALITY, INTENTIONAL INJURIES, AND RECREATIONAL SAFETY, UTILIZING A COMPREHENSIVE APPROACH THAT INCLUDES EDUCATION, AWARENESS, AND ADVOCACY. ACH ALSO IMPLEMENTS SEVERAL GRANTS THAT HELP TO REDUCE TRAUMA AND IMPROVE TRAUMA COORDINATION FOR ARKANSAS. THE IPC'S EFFORTS HAVE GENERATED MANY PROGRAM EVENTS, ACTIVITIES, BROCHURES, FACT SHEETS, AND OTHER USEFUL EDUCATIONAL MATERIALS FOR STATEWIDE DISTRIBUTION (INCLUDING RURAL AREAS). IN ADDITION, CONTINUING EDUCATION ACTIVITIES AND TRAINING CONTINUE TO BE AVAILABLE TO PHYSICIANS, MEDICAL STUDENTS, NURSES, MEDICAL APPLICATIONS OF SCIENCE STUDENTS, EMERGENCY MEDICAL SERVICES AND ARKANSAS DEPARTMENT OF HEALTH PROFESSIONALS. LIKEWISE, THE IPC IS LEADING THE EFFORTS OF THE INFANT DEATH REVIEW TEAM FOR THE STATE TO BETTER UNDERSTAND AND PREVENT INFANT MORTALITY.TY16/FY17: IN ADDITION TO CONTINUING TO SUPPORT THE ONGOING WORK OF THE IPC, NWPC INNOVATION FUNDS HELPED SUPPORT THE BROTHERS UNITED PROJECT, WHICH WORKS WITH AFRICAN-AMERICAN FRATERNITIES TO ENGAGE FATHERS AND OTHER MEN IN INFANT MORTALITY PREVENTION. IMMUNIZATION: TY15/FY16: ACH PARTICIPATED IN THE CHILDHOOD IMMUNIZATION TASK FORCE SUBGROUP OF THE ARKANSAS IMMUNIZATION ACTION COALITION AND ALSO PROVIDED FLU VACCINES AND EDUCATION TO THE GENERAL PUBLIC.TY16/FY17: AFTER LEADERSHIP TRANSITIONS IN THE CHILDHOOD IMMUNIZATION TASK FORCE, ACH TOOK ON A STRONGER FACILITATION ROLE IN THIS NWPC SUBGROUP TO ENSURE PROJECTS MOVED FORWARD. A NWPC INNOVATION FUND PROJECT TO EXPLORE BARRIERS TO SCHOOL NURSES BEING ALLOWED TO SUBMIT DATA TO THE STATE IMMUNIZATION DATABASE HAS BEEN INVESTIGATED BUT NOT YET STARTED. IN ADDITION TO PROGRAMMATIC WORK, ACH SUPPORTED HEALTH PROFESSIONS EDUCATION, RESEARCH, AND COMMUNITY EVENTS AND ORGANIZATIONS WHOSE MISSIONS AND ACTIVITIES ALIGN WITH ACH'S MISSION TO IMPROVE CHILD HEALTH.SEVERAL ISSUES THAT WERE ON THE PREVIOUS CHNA THAT HAVE BEEN INCORPORATED INTO AREAS ABOVE OR TRANSITIONED OFF THE MOST RECENT CHNA AND IMPLEMENTATION STRATEGY INCLUDE: HIGH SCHOOL GRADUATION RATE, POVERTY, AND HOMELESSNESS.

Schedule H (Form 990) 2015

Page 8

Part VFacility Information (continued)

Section D. Other Health Care Facilities That Are Not Licensed, Registered, or Similarly Recognized as a Hospital Facility (list in order of size, from largest to smallest) How many non-hospital health care facilities did the organization operate during the tax year?3
Name and address		Type of Facility (describe)
1	1 - WEST LITTLE ROCK PEDIATRIC CLINIC BELLA ROSA CENTER 16101 CANTRELL RD LITTLE ROCK,AR72223	OUTPATIENT HOSPITAL CLINIC
2	2 - CENTERS FOR CHILDREN 519 LATHAM DRIVE LOWELL,AR72745	OUTPATIENT HOSPITAL CLINIC
3	3 - CENTERS FOR CHILDREN 520 CARSON STREET JONESBORO,AR72401	OUTPATIENT HOSPITAL CLINIC
4
5
6
7
8
9
10

Schedule H (Form 990) 2015

Page 9

Part VI

Supplemental Information

Provide the following information.

1	Required descriptions. Provide the descriptions required for Part I, lines 3c, 6a, and 7; Part II and Part III, lines 2, 3, 4, 8 and 9b.
2	Needs assessment. Describe how the organization assesses the health care needs of the communities it serves, in addition to any CHNAs 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.

Form and Line Reference	Explanation
PART I, LINE 3C:	ACH USES FEDERAL POVERTY GUIDELINES TO DETERMINE FREE OR DISCOUNTED CARE.PART I, LINE 4:ACH DOES NOT HAVE A SPECIFIC FINANCIAL ASSISTANCE PROGRAM FOR THE "MEDICALLY INDIGENT" AS DEFINED BY AR CODE SECTION 6-64-503(A), BUT ITS FINANCIAL ASSISTANCE POLICY DOES PROVIDE FREE CARE FOR INDIVIDUALS WITH HOUSEHOLD INCOMES UP TO 250% OF POVERTY AND DISCOUNTED CARE FORINDIVIDUALS WITH HOUSEHOLD INCOMES UP TO 400% OF POVERTY. AS PART OF THE APPLICATION PROCESS, ACH REQUESTS THAT PERSONS WITH NO INCOME AND ALSO INELIGIBLE FOR MEDICAID, MEDICARE, OR MARKETPLACE SUBSIDIES PROVIDE A WRITTEN SIGNED STATEMENT DESCRIBING HOW THEY ARE MEETING THEIR DAY TO DAY BASIC LIVING NEEDS. THE APPLICATION SPECIFIES SUCH REQUIREMENTS FOR APPLICANTS WITH "NO INCOME IN THE HOME". ACH ALSO ASSISTS FAMILIES IN APPLYING FOR MEDICAID (INCLUDING THE TEFRA PROGRAM FOR DISABLED CHILDREN THAT ONLY CONSIDERS THE CHILD'S INCOME), SSI, CHILDREN'S MEDICAL SERVICES, AS WELL AS ACH'S OWN FINANCIAL ASSISTANCE PROGRAM. THE HOSPITAL ALSO ALLOWS INTEREST FREE PAYMENTS TO BE MADE UNTIL THE OUTSTANDING BALANCE IS PAID WITHOUT TIME CONSTRAINTS. ACH DOES NOT REPORT TO COLLECTION AGENCIES OR TAKE OTHER EXTRAORDINARY COLLECTIONEFFORTS.
PART I, LINE 7:	COSTING METHOD - ARKANSAS CHILDREN'S HOSPITAL (ACH) USES A COST ACCOUNTING (CA) SYSTEM AS THE BASIS FOR DETERMINING COST FOR ITS PATIENTS. ALL PATIENT ENCOUNTERS (INPATIENT, OUTPATIENT, ED, AMBULATORY SURGERY) ARE CAPTURED IN THE COST ACCOUNTING SYSTEM FOR ALL PATIENTS (MEDICAID, INSURANCE, UNINSURED) WITH NO DIFFERENTIATION FOR TYPE OF INSURANCE, IF ANY. A BRIEF DESCRIPTION OF THE COST ACCOUNTING SYSTEM IS BELOW.THE COST ACCOUNTING SYSTEM AT ACH IS A DETAILED PROCEDURE SYSTEM. ALL SERVICES PERFORMED BY PATIENT CARE STAFF HAVE BEEN EVALUATED AS TO THE RESOURCES UTILIZED TO PROVIDE THE SERVICES INCLUDING LABOR, DIRECT MATERIALS AND EQUIPMENT. IN ADDITION, OVERHEAD TYPE COSTS (BUILDING, UTILITIES, PAYROLL, ETC.) HAVE ALSO BEEN ALLOCATED TO THESE SERVICES. THE TWO COMPONENTS, DIRECT AND INDIRECT COSTS, ARE COMBINED AND REPRESENT THE TOTAL COST TO PROVIDE EACH SERVICE. THIS IS DONE ON A PROCEDURE LEVEL BASIS. AS A PATIENT IS ADMITTED AND INCURS SERVICES (X-RAYS, ROOM & BOARD, LAB, ETC.), THE APPLICABLE PROCEDURE COSTS ARE ASSIGNED TO EACH PARTICULAR PATIENT. UPON DISCHARGE, THE COSTS FROM THE INDIVIDUAL PROCEDURES THAT WERE PROVIDED TO EACH PATIENT ARE ADDED UP FOR A TOTAL COST OF PROVIDING CARE FOR EACH INDIVIDUAL PATIENT.THE COST ACCOUNTING SYSTEM IS UPDATED ANNUALLY TO REFLECT THE CURRENT YEAR'S EXPENSES.
PART I, LINE 7G:	SUBSIDIZED HEALTH SERVICES - ACH PROVIDES MANY PEDIATRIC AND SOME ADULT SPECIALIZED SERVICES TO THE COMMUNITY THAT ARE EITHER NOT AVAILABLE OR ARE BEYOND THE CAPACITY OF THE COMMUNITY TO PROVIDE. MANY OF THESE SERVICES ARE PROVIDED BY ACH AT A LOSS. THESE LOSSES WERE OBTAINED FROM THE COST ACCOUNTING SYSTEM.IN ADDITION, ACH PROVIDES PEDIATRIC RENAL SERVICES THAT ARE NOT PROVIDED IN THE COMMUNITY. THE COST OF THESE SERVICES PROVIDED TO PEDIATRIC PATIENTS IS MORE EXPENSIVE DUE TO THE SPECIALTY NATURE OF THE PATIENTS. THESE COSTS ARE GREATER THAN WHAT IS ALLOWED ON THE MEDICARE COST REPORT, AND THAT LOSS HAS BEEN REPORTED IN SUBSIDIZED HEALTH SERVICES.SIMILARLY, ACH INCURS LOSSES FROM PROVIDING PEDIATRIC LAB SERVICES TO ITS MEDICARE PATIENT POPULATION THAT ARE REIMBURSED LESS THAN COST. THOSE LOSSES ARE ALSO INCLUDED AS SUBSIDIZED HEALTH SERVICES.
PART I, LN 7 COL(F):	BAD DEBT EXPENSE - BAD DEBT EXPENSE OF $892,777 IS INCLUDED IN THE TOTAL PRESENTED ON FORM 990, PART IX, LINE 24D. THIS AMOUNT HAS BEEN EXCLUDED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN SCHEDULE H, PART I, LINE 7, COLUMN F.
PART II, COMMUNITY BUILDING ACTIVITIES:	ACH CONTRIBUTES TO THE COMMUNITY IT SERVES BOTH AT A NEIGHBORHOOD LEVEL AND AT A STATEWIDE LEVEL. LOCALLY, ACH IS A MAJOR EMPLOYER IN THE DOWNTOWN LITTLE ROCK AREA AND SERVES AS AN ACTIVE MEMBER OF THE BUSINESS COMMUNITY'S WORK TO RE-VITALIZE THE AREA FOR BOTH COMMERCE AND LIVING. ACH PARTICIPATES IN THE DOWNTOWN LITTLE ROCK PARTNERSHIP AND SUPPORTS EFFORTS TO IMPROVE CENTRAL ARKANSAS IN COLLABORATION WITH THE LITTLE ROCK CHAMBER OF COMMERCE, THE ARKANSAS ECONOMIC DEVELOPMENT FOUNDATION, THE LITTLE ROCK POLICE DEPARTMENT, AND THE CLINTON FOUNDATION, AMONG OTHERS. THESE ORGANIZATIONS ADDRESS ECONOMIC DEVELOPMENT, WORKFORCE ISSUES, SAFETY, AND EDUCATIONAL ACHIEVEMENT IN THE NEIGHBORHOOD AND CITY IN WHICH ACH RESIDES. ACH HAS PROVIDED SUPPORT TO BUSINESS DEVELOPMENT IN OTHER PARTS OF THE STATE WHERE THE HOSPITAL HAS CLINICAL SERVICES AS WELL. ACH SUPPORTS A VARIETY OF NEIGHBORHOOD-BASED ORGANIZATIONS IN THE GEOGRAPHIC AREA SURROUNDING THE HOSPITAL, INCLUDING FORMAL NEIGHBORHOOD ASSOCIATIONS, BY ATTENDING MEETINGS AND SPONSORING INITIATIVES THAT SUPPORT THE COMMUNITY. THESE INCLUDE NONPROFITS THAT ADDRESS HOMELESSNESS, JOB SUPPORTS/SKILLS, DOMESTIC VIOLENCE, EDUCATION, AND NEIGHBORHOOD ENGAGEMENT. ACH PROVIDES OFFICE SPACE AT HIGHLY DISCOUNTED RATES FOR CHILD MALTREATMENT SERVICES. LOCALLY AND AROUND THE STATE, ACH PARTNERS WITH COMMUNITY ORGANIZATIONS TO IMPROVE THE CONDITIONS IN WHICH CHILDREN GROW UP. ACH IS A LEADING MEMBER OF MANY COALITIONS FOCUSING ON CHILD SAFETY MATTERS, INJURY PREVENTION, AND ENHANCED HEALTH SERVICES FOR CHILDREN. ACH HAS LONG SUPPORTED EDUCATION AND TRAINING PROGRAMS FOR YOUTH AND THEIR PARENTS, FOCUSING ON VIOLENCE PREVENTION, ALTERNATIVE DISPUTE RESOLUTION AMONG STUDENTS, AND DIVERSITY AND INCLUSION AMONG YOUTH. ACH SUPPORTS THE DEVELOPMENT OF INFORMATION AND EDUCATIONAL EFFORTS TO ILLUMINATE PROBLEMS IN CHILD HEALTH & SAFETY AND IDENTIFY BEST PRACTICES TO IMPROVE IDENTIFIED ISSUES. THROUGH ITS SUPPORT OF ORGANIZATIONS DEALING WITH SPECIFIC DISEASE STATES OR CHRONIC PHYSICAL AND BEHAVIORAL HEALTH CONDITIONS, ACH REMAINS AN ACTIVE PARTNER IN BUILDING COMMUNITIES TO BETTER SERVE THE OVERALL HEALTH NEEDS OF CHILDREN. ADDITIONALLY, THE HOSPITAL PARTNERS WITH VARIOUS AGENCIES' EFFORTS TO WORK WITH PARENTS TO ADDRESS THE SOCIAL DETERMINANTS OF ISSUES THAT IMPACT CHILDREN'S HEALTH, IMPROVE MENTAL HEALTH SERVICES FOR CHILDREN, AND SUPPORT VICTIMS OF DOMESTIC VIOLENCE AND CHILD ABUSE.ACH MAINTAINS ACTIVE PARTNERSHIPS WITH LOCAL UNIVERSITIES TO ENCOURAGE STUDENT INTEREST IN THE VARIOUS AREAS OF PROFESSIONAL DEVELOPMENT AND TO PROVIDE CLINICAL AND NON-CLINICAL TRAINING IMPORTANT TO ARKANSAS' HEALTH SYSTEM OPERATION. WHETHER ENCOURAGING YOUNG WOMEN AND MINORITIES TO CHOOSE PROFESSIONAL CAREERS IN HEALTHCARE AND SCIENCE OR WORKING WITH UNIVERSITY PROGRAMS TO PROVIDE CLINICAL EXPERIENCE FOR STUDENTS, ACH IS A KEY PLAYER IN COMMUNITY WORKFORCE DEVELOPMENT.ACH STAFF AND LEADERS CONTRIBUTE EXPERTISE AND LEADERSHIP IN MANY COMMUNITY SETTINGS IN PURSUIT OF THE HOSPITAL'S MISSION TO IMPROVE THE LIVES OF CHILDREN IN ARKANSAS. WHETHER SERVING ON VARIOUS BOARDS, COMMITTEES OR ADVISORY GROUPS OR SPENDING TIME WITH STUDENTS IN SUPPORT OF EDUCATION AND DEVELOPMENT, ACH IS AN ACTIVE CORPORATE PARTNER IN ITS COMMUNITY. ACH REGARDS THIS AS AN IMPORTANT COMPONENT OF ITS WORK IN THE LITTLE ROCK AND ARKANSAS COMMUNITY.
PART III, LINE 2:	THE BAD DEBT ATTRIBUTABLE TO PATIENT ACCOUNTS DOES NOT INCLUDE THE EXPENSEFOR PATIENTS WHO ARE LIKELY TO QUALIFY FOR FINANCIAL ASSISTANCE. AT YEAREND, ALL ACCOUNTS WRITTEN OFF AS BAD DEBT ARE SENT TO TRANSUNION FORCREDIT ANALYSIS. THOSE WITH CREDIT SCORES OF 620 AND BELOW ARERECLASSIFIED AS CHARITY SINCE THESE WOULD LIKELY QUALIFY FOR FINANCIALASSISTANCE HAD THE FAMILIES FURNISHED SUFFICIENT INFORMATION. THIS AMOUNTIS ADDED TO THE OTHER CHARITY ADJUSTMENTS. FOR THOSE ACCOUNTS REMAININGCLASSIFIED AS BAD DEBT, THE COST TO CHARGE RATIO FOR EACH ACCOUNT ISCALCULATED AND APPLIED TO THE BAD DEBT WRITE OFF TO ADJUST THIS AMOUNT TOCOST.
PART III, LINE 4:	UNCOLLECTIBLE UNCOMPENSATED CARE GENERALLY REPRESENTS STANDARD CHARGES THAT ARE UNREALIZED DUE TO AN UNWILLINGNESS TO PAY BY THOSE RESPONSIBLE FOR PAYMENT, THEREFORE BAD DEBT. UNCOLLECTIBLE UNCOMPENSATED CARE IS REPORTED AS A DEDUCTION FROM GROSS PATIENT REVENUE.TEXT OF FOOTNOTE IN FINANCIAL STATEMENTS:ASC TOPIC 954 (TOPIC 954), PRESENTATION AND DISCLOSURE OF PATIENT SERVICE REVENUE, PROVISION FOR BAD DEBTS, AND THE ALLOWANCE FOR DOUBTFUL ACCOUNTS FOR CERTAIN HEALTH CARE ENTITIES, REQUIRES HEALTH CARE ENTITIES THAT RECOGNIZE SIGNIFICANT AMOUNTS OF PATIENT SERVICE REVENUE AT THE TIME THE SERVICES ARE RENDERED, EVEN THOUGH THEY DO NOT ASSESS THE PATIENT'S ABILITY TO PAY, TO PRESENT THE PROVISION FOR BAD DEBTS RELATED TO PATIENT SERVICE REVENUE AS A DEDUCTION FROM PATIENT SERVICE REVENUE (NET OF CONTRACTUAL ALLOWANCES AND DISCOUNTS) ON THE CONSOLIDATED STATEMENTS OF OPERATIONS.FOR UNINSURED PATIENTS WHO DO NOT QUALIFY FOR CHARITY CARE, ACH RECOGNIZES REVENUE BASED ON ESTABLISHED RATES, SUBJECT TO CERTAIN DISCOUNTS AS DETERMINED BY ACH. AN ESTIMATED PROVISION FOR UNCOLLECTIBLE ACCOUNTS IS RECORDED THAT RESULTS IN NET PATIENT SERVICE REVENUE BEING REPORTED AT THE NET AMOUNT EXPECTED TO BE RECEIVED. ACH HAS DETERMINED, BASED ON AN ASSESSMENT AT THE CONSOLIDATED ENTITY LEVEL, THAT PATIENT SERVICE REVENUE IS PRIMARILY RECORDED PRIOR TO ASSESSING THE PATIENT'S ABILITY TO PAY AND AS SUCH, THE ENTIRE PROVISION FOR UNCOLLECTIBLE ACCOUNTS RELATED TO PATIENT REVENUE IS RECORDED AS A DEDUCTION FROM PATIENT SERVICE REVENUE IN THE ACCOMPANYING CONSOLIDATED STATEMENTS OF OPERATIONS.PATIENT RECEIVABLES ARE REDUCED BY AN ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS. PERIODICALLY THROUGHOUT THE YEAR, MANAGEMENT ASSESSES THE ADEQUACY OF THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS BASED UPON HISTORICAL WRITE OFF EXPERIENCE BY PAYOR CATEGORY. THE RESULTS OF THIS REVIEW ARE THEN USED TO MAKE MODIFICATIONS TO THE PROVISION FOR UNCOLLECTIBLE ACCOUNTS TO ESTABLISH AN APPROPRIATE ALLOWANCE FOR UNCOLLECTIBLE RECEIVABLES.FOR PATIENT RECEIVABLES ASSOCIATED WITH SELF PAY PATIENTS, INCLUDING PATIENTS WITH DEDUCTIBLE AND COPAYMENT BALANCES FOR WHICH THIRD PARTY COVERAGE PROVIDES FOR A PORTION OF THE SERVICES PROVIDED, ACH RECORDS AN ESTIMATED PROVISION FOR UNCOLLECTIBLE ACCOUNTS IN THE YEAR OF SERVICE. ACH DOES NOT EXPERIENCE A LARGE SELF-PAY POPULATION DUE TO THE CURRENT PAYOR MIX OF ITS PATIENTS.
PART III, LINE 8:	THE ACH MEDICARE POPULATION IS PRIMARILY RENAL PEDIATRIC PATIENTS AND ADULT BURN PATIENTS. ACH IS THE ONLY BURN CENTER IN THE STATE AND SERVES BOTH PEDIATRIC AND ADULT PATIENTS. THE COST OF PROVIDING CARE FOR THE ACUTE ADULT PATIENTS IS TYPICALLY GREATER THAN THE REIMBURSEMENT THAT MEDICARE ALLOWS ON THE MEDICARE COST REPORT. THEREFORE, THE MEDICARE SHORTFALL SHOULD BE INCLUDED AS A COMPONENT OF COMMUNITY BENEFIT BECAUSE THE REIMBURSEMENT IS NOT NEGOTIATED AND SERVICES CANNOT BE PROVIDED ELSEWHERE.ACH INCLUDED $126,110 FROM PRIOR YEAR MEDICARE COST REPORT SETTLEMENTS THAT IS DUE TO ACH FROM THE MEDICARE PROGRAM.
PART III, LINE 9B:	ARKANSAS CHILDREN'S HOSPITAL'S PATIENT ACCOUNTS DEPARTMENT USES ITS BEST EFFORTS TO ASSIST PATIENTS/GUARANTORS IN MEETING THEIR FINANCIAL RESPONSIBILITY FOR SERVICES PROVIDED AT ACH. THE ACH POLICY IS TO ACT WITH INTEGRITY IN ALL ENDEAVORS; TREATING ALL PATIENTS AND THEIR FAMILIES WITH DIGNITY, RESPECT, AND COMPASSION. THE STANDARD PROCESS INCLUDES OFFERING FINANCIAL ASSISTANCE TO ELIGIBLE FAMILIES. NOTICES REGARDING THE FINANCIAL ASSISTANCE PROGRAM ARE POSTED IN ENGLISH AND SPANISH IN ALL REGISTRATION AREAS. FINANCIAL ASSISTANCE BROCHURES ARE AVAILABLE TO FAMILIES UPON REQUEST. THE GUARANTOR STATEMENTS AND THE ACH WEBSITE CONTAIN INFORMATION ABOUT THIS PROGRAM. THERE ARE FINANCIAL COUNSELORS AVAILABLE TO ALL REGISTRATION AREAS OF THE HOSPITAL TO ASSIST IN COMPLETING MEDICAID, CMS, SSI INTENTS, AND FINANCIAL ASSISTANCE APPLICATIONS. IT IS STANDARD PRACTICE AT ACH TO UTILIZE INTERNAL RESOURCES FOR COLLECTION THROUGH THE PATIENT ACCOUNTS DEPARTMENT. NO EXTRAORDINARY COLLECTION EFFORTS ARE TAKEN. ACH DOES NOT REPORT TO CREDIT BUREAUS OR CHARGE INTEREST OR FILE LIENS AGAINST A PATIENT'S OR FAMILY'S RESIDENCE TO SECURE PAYMENT ON PATIENT ACCOUNT BALANCES. UPON RECEIPT OF A PERSONAL BANKRUPTCY NOTICE, ANY OUTSTANDING SELF-PAY BALANCES FOR THE ASSOCIATED PATIENT ARE WRITTEN OFF ONCE ALL OTHER PAYMENTS HAVE BEEN RECEIVED. ALL SELF-PAY COLLECTION ACTIVITY IS STOPPED UPON NOTIFICATION OF THE BANKRUPTCY.UPFRONT DISCOUNTS ON SERVICES FOR THE UNINSURED ARE OFFERED. THE FAMILY CAN ALSO REQUEST A PROMPT PAY DISCOUNT. ADDITIONALLY, ACH ATTEMPTS TO ACCOMMODATE U.S. FAMILIES WHO DESIRE TO SET UP REASONABLE PAYMENT PLANS. INTEREST IS NOT CHARGED. THE HOSPITAL'S GUARANTOR STATEMENTS ARE DESIGNED TO KEEP THE GUARANTOR UPDATED AS TO WHETHER THE ACCOUNT IS STILL PENDING RESOLUTION BY INSURANCE OR DUE FROM THE GUARANTOR. SELF-PAY COLLECTION ATTEMPTS ARE DISCONTINUED ONCE CHARGES ARE DETERMINED TO QUALIFY FOR FINANCIAL ASSISTANCE.
PART VI, LINE 2:	ARKANSAS CHILDREN'S HOSPITAL HAS BEEN CONDUCTING REGULAR NEEDS ASSESSMENTS OF THE STATUS OF CHILDREN'S HEALTH IN ARKANSAS SINCE 2006, WITH THE MOST RECENT CHNA AND IMPLEMENTATION STRATEGY ISSUED IN 2016. PLEASE SEE PART V, SECTION B FOR RELATED DETAILS AND DISCUSSION.BUILDING ON YEARS OF EXPERIENCE ASSESSING THE NEEDS OF THE COMMUNITY THROUGH THE NATURAL WONDERS PARTNERSHIP COUNCIL'S EFFORTS, ACH'S CHNA IS VERY COMPREHENSIVE AND REACHES STATEWIDE. HOWEVER, CLINICAL ASSESSMENT OF NEEDS HAS DRIVEN ADDITIONAL EFFORTS TO IMPROVE ACCESS TO APPROPRIATE HEALTH CARE FOR CHILDREN AND TO EDUCATE A VARIETY OF STAKEHOLDERS IN ARKANSAS. FOR EXAMPLE, REALIZING THAT SOME HEALTH CARE WORKERS (FROM FIRST RESPONDERS TO SMALL HOSPITALS' STAFF MEMBERS) WERE UNFAMILIAR WITH PEDIATRIC PROTOCOLS, ACH HAS WORKED TO EDUCATE PROFESSIONALS ACROSS THE STATE THROUGH SIMULATION EDUCATION. SCHOOL NURSES IDENTIFIED CERTAIN AREAS, SUCH AS TRACHEOSTOMY CARE, IN WHICH THEY FELT THEY NEEDED ADDITIONAL EDUCATION, AND ACH PARTNERED WITH THE AR DEPARTMENT OF HEALTH TO MEET THOSE NEEDS THROUGH THE SCHOOL NURSE ACADEMY. ACH SUPPORT OF CAMPS FOR CHILDREN WITH SPECIAL HEALTH CARE NEEDS IS ALSO DRIVEN BY STAFF MEMBERS WHO WORK IN SPECIALTY CLINICS AND INPATIENT UNITS EACH DAY. MEDICAL STAFF ALSO COLLECT AND ANALYZE DATA; FOR EXAMPLE SEVERAL PHYSICIANS COLLECT DATA FOR CHILDREN'S HEALTH WATCH ON FOOD INSECURITY, HOUSING, AND OTHER BASIC NEEDS. ACH'S FAMILY ADVISORY BOARD HELPS GUIDE THE HOSPITAL STAFF AND BOARD REGARDING ISSUES RELATED TO ITS SERVICES AND TO CREATING A FAMILY-FRIENDLY, FAMILY-CENTERED PLACE OF CARE.
PART VI, LINE 3:	ARKANSAS CHILDREN'S HOSPITAL'S PATIENT ACCOUNTS DEPARTMENT USES ITS BEST EFFORTS TO ASSIST PATIENTS/GUARANTORS IN MEETING THEIR FINANCIAL RESPONSIBILITY FOR SERVICES PROVIDED AT ACH. THE ACH POLICY IS TO ACT WITH INTEGRITY IN ALL ENDEAVORS; TREATING ALL PATIENTS AND THEIR FAMILIES WITH DIGNITY, RESPECT, AND COMPASSION. THE STANDARD PROCESS INCLUDES OFFERING FINANCIAL ASSISTANCE TO ELIGIBLE FAMILIES. NOTICES REGARDING THE FINANCIAL ASSISTANCE PROGRAM ARE POSTED IN ENGLISH AND SPANISH IN ALL 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:	AS THE ONLY PEDIATRIC MEDICAL CENTER IN THE STATE, ACH DEFINES THE COMMUNITY IT SERVES AS ALL CHILDREN FROM BIRTH TO AGE 18 IN THE STATE OF ARKANSAS. THOUGH THE HOSPITAL SERVES A SMALL NUMBER OF ADULT PATIENTS WITH PEDIATRIC CHRONIC CONDITIONS OR SEVERE BURNS AND A HANDFUL OF OUT-OF-STATE PATIENTS FOR PARTICULAR HEALTH CONDITIONS, THE MAJORITY OF ITS PATIENTS ARE FROM CENTRAL ARKANSAS AND THE REMAINDER OF THE STATE. ACH DRAWS APPROXIMATELY 70.8% OF ITS OUTPATIENT POPULATION AND 58.7% OF ITS INPATIENT POPULATION FROM THE CENTRAL PART OF THE STATE (PULASKI COUNTY AND THE SURROUNDING COUNTIES OF LONOKE, FAULKNER, JEFFERSON, AND SALINE), AS WELL AS FROM WHITE COUNTY IN NORTH CENTRAL ARKANSAS, GARLAND COUNTY IN EAST CENTRAL ARKANSAS, AND BENTON, SEBASTIAN AND WASHINGTON COUNTIES IN THE NORTHWEST CORNER OF THE STATE. HOWEVER, ACH SERVES PATIENTS IN EVERY COUNTY ACROSS THE STATE AS WELL.ACH'S CURRENT PHYSICAL LOCATIONS INCLUDE A MAIN CAMPUS AND OUTPATIENT CLINIC IN LITTLE ROCK, A CLINIC IN NORTHWEST ARKANSAS, AND A CLINIC IN NORTHEAST ARKANSAS. IN ADDITION, THE HOSPITAL OFFERS REGIONAL CLINICS ACROSS THE STATE ON A PERIODIC BASIS. GROWING TELEMEDICINE CAPABILITIES CONNECT ACH TO OFF-CAMPUS PROVIDERS AND ALLOW REMOTE SITES ACCESS TO SPECIALTIES INCLUDING NEONATOLOGY, EMERGENCY MEDICINE, PEDIATRIC INTENSIVE CARE, BURN, GENETICS, CARDIOLOGY, AND PULMONOLOGY. BASED ON THE U.S. CENSUS BUREAU 2010 CENSUS DATA, POPULATION TOTALS WERE 2,915,918 FOR THE STATE OF ARKANSAS AND 382,748 FOR PULASKI COUNTY. ESTIMATED 2015 CENSUS DATA INDICATED POPULATION TOTALS TO BE 2,978,204 FOR ARKANSAS AND 392,664 FOR PULASKI COUNTY. ALSO ACCORDING TO ESTIMATED 2015 CENSUS DATA, APPROXIMATELY 23.7% OF THE ARKANSAS POPULATION WAS UNDER 18 YEARS OF AGE AND 6.4% WAS UNDER THE AGE OF 5. THE UNEMPLOYMENT RATE FOR THE STATE OF ARKANSAS FOR CALENDAR YEAR 2015 WAS 5.2%. THE PER CAPITA PERSONAL INCOME FOR THE STATE OF ARKANSAS FOR 2015 WAS $22,798. THE PERCENT OF ALL PEOPLE IN POVERTY IN AR WAS 19.3% AND THE PERCENT OF CHILDREN 18 OR YOUNGER IN POVERTY WAS 27.6%, INDICATING VERY LITTLE CHANGE FROM THE PRIOR YEAR.ARKANSAS CHILDREN'S HOSPITAL (ACH) DEFINES ITS COMMUNITY AS ALL CHILDREN WHO RESIDE IN THE STATE. CHILDREN SERVED BY ACH COME FROM DIVERSE COMMUNITIES, RANGING FROM NORTHWEST ARKANSAS' BOOMING BUSINESS INDUSTRY TO THE PERSISTENT POVERTY OF THE MISSISSIPPI DELTA. RACIAL AND ETHNIC SUBCULTURES VARY ACROSS THE STATE INCLUDING A GROWING HISPANIC POPULATION IN THE NORTH AND WEST TO A LARGER AFRICAN AMERICAN POPULATION IN THE SOUTH AND EAST. IN GENERAL, ARKANSAS CHILDREN FARE WORSE THAN OTHERS IN THE U.S. IN TERMS OF HEALTH RISK FACTORS AND OUTCOMES, HIGHLIGHTING A NEED FOR INVESTMENTS IN PUBLIC HEALTH INITIATIVES. DESPITE THE PRESENCE OF LARGE PRIVATE EMPLOYERS INCLUDING THE CORPORATE HOMES FOR WAL-MART, TYSON FOODS, AND JONES TRUCK LINES, AND A STRONG AGRICULTURAL ECONOMY, THE CONSEQUENCES OF POVERTY ARE FELT IN MOST COMMUNITIES IN THE STATE.THE ESTIMATED 703,792 ARKANSAS CHILDREN UNDER AGE 18 REPRESENTED 23.7% OF THE STATE'S TOTAL POPULATION FOR 2015. DEMOGRAPHIC SHIFTS OCCUR RAPIDLY; THE HISPANIC CHILD POPULATION GREW DRAMATICALLY FROM 3.0% AS REPORTED IN THE 2000 CENSUS TO 9.3% AS REPORTED IN THE 2010 CENSUS, AND THE NUMBER OF AFRICAN AMERICAN CHILDREN UNDER AGE 18 ALSO GREW FROM 15.7% TO 19.3% DURING THE SAME PERIOD. ESTIMATES FOR 2015 INDICATE THAT THE HISPANIC CHILD POPULATION IN ARKANSAS WAS 11.4% AND THE AFRICAN AMERICAN CHILD POPULATION WAS 18.5%. THE RATE OF POVERTY IN ARKANSAS (2015 ESTIMATE) WAS APPROXIMATELY 19.1%, WITH APPROXIMATELY 27% OF CHILDREN UNDER AGE 18 AND 32% OF CHILDREN UNDER AGE 5 LIVING IN POVERTY. WITH A PRIMARILY RURAL POPULATION LIVING IN MANY SMALL AND MEDIUM-SIZED COMMUNITIES, ACCESS TO HEALTH CARE SERVICES PRESENTS A VERY REAL CHALLENGE. ARKANSAS HAS SEEN A LARGE DECLINE IN UNINSURED CHILDREN SINCE 1990, WITH 5.4% OF CHILDREN LACKING COVERAGE AS OF 2015. ARKANSAS' "ARKIDS FIRST" HEALTH INSURANCE PROGRAM HAS BEEN A MAJOR FACTOR IN PROVIDING HEALTH INSURANCE FOR CHILDREN WHO MAY HAVE OTHERWISE GONE WITHOUT. ARKIDS FIRST WAS DESIGNED BY THE STATE OF ARKANSAS TO PROVIDE INSURANCE FOR CHILDREN OF WORKING FAMILIES WHO EARNED TOO MUCH FOR PUBLIC ASSISTANCE BUT COULD NOT AFFORD TO PURCHASE HEALTH INSURANCE.
PART VI, LINE 5:	ARKANSAS CHILDREN'S HOSPITAL IS THE ONLY PEDIATRIC MEDICAL CENTER IN ARKANSAS AND ONE OF THE LARGEST IN THE UNITED STATES SERVING CHILDREN FROM BIRTH TO AGE 21. THE CAMPUS SPANS OVER 36 CITY BLOCKS AND HOUSED 334 OPERATING BEDS IN FY16 (ACH IS LICENSED FOR 359 BEDS). THE STAFF IS COMPRISED OF APPROXIMATELY 523 PHYSICIANS, OVER 200 RESIDENTS IN PEDATRICS AND PEDIATRIC SPECIALTIES AND MORE THAN 4,400 EMPLOYEES. THE PRIVATE, NONPROFIT HEALTHCARE FACILITY BOASTS AN INTERNATIONALLY RENOWNED REPUTATION FOR MEDICAL BREAKTHROUGHS AND INTENSIVE TREATMENTS, UNIQUE SURGICAL PROCEDURES AND FORWARD-THINKING MEDICAL RESEARCH - ALL DEDICATED TO FULFILLING ITS MISSION.ACH SERVES AS THE PEDIATRIC TEACHING AFFILIATE OF UNIVERSITY OF ARKANSAS FOR MEDICAL SCIENCES (UAMS) AND IS HOME TO THE UAMS DEPARTMENT OF PEDIATRICS. ACH IS THE CLASSROOM WHERE MEDICAL STUDENTS STUDY THE PEDIATRIC COMPONENT OF ALL DISCIPLINES. UAMS FACULTY ON ACH CAMPUS ARE PRACTICING PHYSICIANS AS WELL AS TEACHERS TO UAMS STUDENTS IN MEDICINE, NURSING, PHARMACY AND ALLIED HEALTH.INPATIENT SERVICES INCLUDE: INFANT/TODDLER, CARDIOVASCULAR INTENSIVE CARE, NEONATAL INTENSIVE CARE, PEDIATRIC INTENSIVE CARE, INTERMEDIATE CARE, GENERAL MEDICINE, ORTHOPEDICS, HEMATOLOGY/ONCOLOGY, SURGERY/AMBULATORY SURGERY, NEUROSCIENCE, PROGRESSIVE/REHABILITATION, BURN CENTER, RENAL DIALYSIS, ADOLESCENT & YOUNG ADULT, EMERGENCY MEDICINE, AND EXTRACORPOREAL MEMBRANE OXYGENATION (ECMO).ACH OFFERS MORE THAN 80 SPECIALTY AND SUBSPECIALTY CLINICS, LOCATED ON THE MAIN CAMPUS, WEST LITTLE ROCK, 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. ACH MAINTAINS A PRIMARY CARE CLINIC IN THE CITY OF LOWELL, LOCATED IN NORTHWEST ARKANSAS. THE LOWELL LOCATION INCLUDES 12 EXAMINATION ROOMS STAFFED BY FOUR PHYSICIANS, AND ADJACENT CLINIC SPACE FOR LANGUAGE DEVELOPMENT AND PHYSICAL, OCCUPATIONAL, AND SPEECH THERAPIES. THIS 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 WITHOUT A PRIMARY CARE PHYSICIAN. ACH ALSO MAINTAINS A CLINIC IN JONESBORO, AR TO SERVE THE CHILDREN OF NORTHEAST ARKANSAS. THIS STATEWIDE PRESENCE HAS GROWN AS ACH CONTINUES TO EXPAND ITS REACH INTO COMMUNITIES IN NEED OF ITS SERVICES WITH INNOVATIVE NEW STRATEGIES.THE NATURAL WONDERS PARTNERSHIP COUNCIL (NWPC), NOW IN ITS TENTH YEAR, SERVES AS A CENTER OF MULTIPLE ACTIVITIES DESIGNED TO IMPROVE THE HEALTH STATUS OF CHILDREN IN OUR STATE. THE NWPC IS NATIONALLY RECOGNIZED AS AN OUTSTANDING EXAMPLE OF HOW A CHILDREN'S HOSPITAL CAN USE ITS RESOURCES AND REPUTATION AS A COMMUNITY LEADER TO BRING FOCUS AND COORDINATED ACTION TO A VARIETY OF ISSUES FACING CHILDREN AND THEIR FAMILIES. THE NWPC CONTINUES ITS EFFORTS IN ACCESS TO CARE, FOOD INSECURITY, SEXUAL HEALTH, CHILDHOOD OBESITY, INTENTIONAL AND UNINTENTIONAL INJURIES, PARENTING SKILLS, BEHAVIORAL HEALTH, ORAL HEALTH, AND IMMUNIZATIONS. THE NWPC CONTINUES TO SERVE AS THE PREFERRED FORUM FOR INFORMING, STRATEGIZING, AND SHARING INFORMATION ABOUT ISSUES IMPORTANT TO THE HEALTH AND DEVELOPMENT OF CHILDREN IN ARKANSAS.
PART VI, LINE 6:	ACH IS PART OF AN AFFILIATED HEALTH CARE SYSTEM, FOR WHICH ARKANSAS CHILDRENS, INC., INCORPORATED IN DECEMBER 2015, SERVES AS THE PARENT CORPORATION. THE ARKANSAS CHILDREN'S HEALTH SYSTEM CONSISTS OF ARKANSAS CHILDREN'S, INC., ARKANSAS CHILDREN'S HOSPITAL (ACH), ARKANSAS CHILDREN'S NORTHWEST (ACNW), ARKANSAS CHILDREN'S HOSPITAL FOUNDATION (ACHF), ARKANSAS CHILDREN'S RESEARCH INSTITUTE (ACRI) AND THE ARKANSAS CHILDREN'S BUILDING RESEARCH FACILITY (BRFI), WHICH WAS MERGED WITH ACRI DURING FISCAL YEAR 2016. ACNW IS A NOT-FOR-PROFIT PEDIATRIC HOSPITAL CURRENTLY UNDER CONSTRUCTION IN SPRINGDALE, ARKANSAS AND WILL SERVE AS THE ONLY EXCLUSIVELY PEDIATRIC HEALTH CARE FACILITY FOR CHILDREN IN THE NORTHWEST REGION OF THE STATE. ACHF IS A NOT-FOR-PROFIT ORGANIZATION THAT EXISTS AS THE FUNDRAISING BRANCH OF ARKANSAS CHILDREN'S. ACRI OPERATES TO SUPPORT, THROUGH CHARITABLE, SCIENTIFIC, AND EDUCATIONAL MEANS, THE MISSION OF ARKANSAS CHILDREN'S. ALTHOUGH NOT CORPORATE AFFILIATES, ACH AND THE UNIVERSITY OF ARKANSAS FOR MEDICAL SCIENCES (UAMS) ARE INVOLVED IN AN AGREEMENT IN THE PURSUIT OF PROFESSIONAL EDUCATION, RESEARCH, AND CLINICAL CARE FOR CHILDREN. ALL PEDIATRIC SUB-SPECIALTY WORK IS CONDUCTED ON THE ACH CAMPUS WITH ACH PROVIDING SPACE, SUPPORTING STAFF AND SERVICES AND FUNDING FOR MAJOR EDUCATIONAL AND CLINICAL EXPERTISE.

Schedule H (Form 990) 2015

Additional Data

Software ID:
Software Version:

- TIN:

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," on Form 990, Part IV, line 21 or 22.
lBullet

Attach to Form 990.
lBullet

Information about Schedule I (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2015

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

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? ........................

Yes No

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 Domestic Organizations and Domestic Governments. Complete if the organization answered "Yes" on Form 990, Part IV, line 21, for any recipient

that received more than $5,000. Part II can be duplicated if additional space is needed.

(a) Name and address of organization or government	(b) EIN	(c) IRC 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 HUNGER RELIEF ALLIANCE 1400 WEST MARKHAM SUITE 304 LITTLE ROCK,AR72201	30-0254995	501(C)(3)	7,400				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 ARTS CENTER FOUNDATION PO BOX 2137 LITTLE ROCK,AR72203	23-7337495	501(C)(3)	6,000				GENERAL SUPPORT
(4) ARKANSAS CHILDREN'S HOSPITAL RESEARCH INSTITUTE 13 CHILDRENS WAY LITTLE ROCK,AR72202	71-0694931	501(C)(3)	4,185,062	1,006,958	FMV	INDIRECT SUPPORT	GENERAL SUPPORT
(5) HOME INSTRUCTION FOR PARENTS OF PRESCHOOL YOUNGSTERS (HIPPY) 1221 BISHOP LITTLE ROCK,AR72202	13-3672592	501(C)(3)		38,870	FMV	PROVIDE OFFICE SPACE & PHONE	GENERAL SUPPORT
(6) MARCH OF DIMES PO BOX 932852 ATLANTA,GA31193	13-1846366	501(C)(3)	8,200				GENERAL SUPPORT
(7) ST BERNARD'S FOUNDATION 400 EAST STREET JONESBORO,AR72401	71-0563245	501(C)(3)	5,000				GENERAL SUPPORT
(8) RONALD MCDONALD HOUSE CHARITIES 1009 WOLFE STREET LITTLE ROCK,AR72202	71-0525252	501(C)(3)	10,600				GENERAL SUPPORT
(9) THEA FOUNDATION 401 MAIN STREET SUITE 100 NORTH LITTLE ROCK,AR72114	52-2356755	501(C)(3)	9,000				CENTRAL LR PROMISE NEIGHBORHOOD
(10) WOMEN & CHILDREN FIRST PO BOX 1954 LITTLE ROCK,AR72203	71-0513011	501(C)(3)	7,000				GENERAL SUPPORT AND CAMPS FOR CHILDREN WITH PHYSICAL CONDITIONS.
(11) NATIONAL ASSOCIATION OF CHILDREN'S HOSPITALS PO BOX 79334 BALTIMORE,MD21279	51-0120256	501(C)(6)	15,927				GME ADVOCACY
(12) CHILDREN'S PROTECTION CENTER 1123 BISHOP LITTLE ROCK,AR72202	26-1086937	501(C)(3)		49,460	FMV	PROVIDE OFFICE SPACE	GENERAL SUPPORT
(13) SUSAN G KOMEN FOUNDATION - ARKANSAS AFFILIATE 904 AUTUMN ROAD SUITE 500 LITTLE ROCK,AR72211	75-2845062	501(C)(3)	5,718				GENERAL SUPPORT
(14) LITTLE ROCK TECHNOLOGY PARK AUTHORITY ONE CHAMBER PLAZA LITTLE ROCK,AR72201	45-5531676	GOV'T UNIT	25,000				GENERAL SUPPORT
(15) WOMENS FOUNDATION OF ARKANSAS 200 RIVER MARKET AVENUE SUITE 100 LITTLE ROCK,AR72201	30-0034070	501(C)(3)	5,000				GENERAL SUPPORT

Enter total number of section 501(c)(3) and government organizations listed in the line 1 table ................. Bullet Image

Enter total number of other organizations listed in the line 1 table ........................ . Bullet Image

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50055P

Schedule I (Form 990) 2015

Page 2

Part III

Grants and Other Assistance to Domestic Individuals. Complete if the organization answered "Yes" on Form 990, Part IV, line 22.
Part III can be duplicated 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	2977		67,577	COST	MEALS FOR PATIENT FAMILIES/LACTATING MOTHERS
(2) INSURANCE PREMIUMS	47		92,415	COST	PAYMENT OF PREMIUMS FOR PATIENT'S FAMILIES ALLOWED BY COBRA
(3) TRANSPORTATION COSTS (BUS TOKENS, CAB FARE, GAS CARDS)	1062	26,861		COST
(4) FUNERAL EXPENSES	16	4,394		COST
(5) RENT, MORTGAGE EXPENSE, UTILITIES, LODGING	10	2,764		COST
(6) CAR SEATS FOR INFANTS AND CHILDREN	478		25,173	COST	CAR SEATS FOR INFANTS AND CHILDREN
(7) GROCERY GIFT CARDS AND OTHER MISC. ASSISTANCE	148	64,005		COST
(8) ADDITIONAL FAMILY ASSISTANCE (TRANSPORTATION, FOOD, GENERAL)	134	1,762

Part IV

Supplemental Information. Provide the information required in Part I, line 2, Part III, column (b), and any other additional information.

Return Reference

Explanation

PART I, LINE 2:

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

Schedule I (Form 990) 2015

Additional Data

Software ID:
Software Version:

- TIN:

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" on Form 990, Part IV, line 23.
SchJMediumBullet

Attach to Form 990.
SchJMediumBullet

Information about Schedule J (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2015

Open to Public Inspection

Name of the organization

ARKANSAS CHILDREN'S HOSPITAL

Employer identification number

71-0236857

Part I

Questions Regarding Compensation

Yes

Check the appropiate box(es) if the organization provided any of the following to or for a person listed on Form
990, Part VII, Section A, line 1a. Complete Part III to provide any relevant information regarding these items.

First-class or charter travel Housing allowance or residence for personal use

Travel for companions Payments for business use of personal residence

Tax idemnification and gross-up payments Health or social club dues or initiation fees

Discretionary spending account Personal services (e.g., maid, chauffeur, chef)

If any of the boxes in line 1a are checked, did the organization follow a written policy regarding payment or reimbursement or provision of all of the expenses described above? If "No," complete Part III to explain .........

Yes

Did the organization require substantiation prior to reimbursing or allowing expenses incurred by all
directors, trustees, officers, including the CEO/Executive Director, regarding the items checked in line 1a? ..

Yes

Indicate which, if any, of the following the filing organization used to establish the compensation of the
organization's CEO/Executive Director. Check all that apply. Do not check any boxes for methods
used by a related organization to establish compensation of the CEO/Executive Director, but explain in Part III.

Compensation committee Written employment contract

Independent compensation consultant Compensation survey or study

Form 990 of other organizations Approval by the board or compensation committee

During the year, did any person listed on Form 990, Part VII, Section A, line 1a with respect to the filing organization or a related organization:

Receive a severance payment or change-of-control payment? ................

Yes

Participate in, or receive payment from, a supplemental nonqualified retirement plan? .........

Yes

Participate in, or receive payment from, an equity-based compensation arrangement? .........

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), 501(c)(4), and 501(c)(29) organizations must complete lines 5-9.

For persons listed on Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the revenues of:

The organization? ...........................

Any related organization?

If "Yes," on line 5a or 5b, describe in Part III.

For persons listed on Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the net earnings of:

The organization?

Any related organization? .........................

If "Yes," on line 6a or 6b, describe in Part III.

For persons listed on 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 ............

Were any amounts reported on Form 990, Part VII, paid or accured pursuant to a contract that was
subject to the initial contract exception described in Regulations section 53.4958-4(a)(3)? If "Yes," describe
in Part III .............................

If "Yes" on line 8, did the organization also follow the rebuttable presumption procedure described in Regulations section 53.4958-6(c)? .........................

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50053T

Schedule J (Form 990) 2015

Page 2

Part II

Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees. Use duplicate copies if additional space is needed.

For each individual whose compensation must be reported on 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) for each listed individual must equal the total amount of Form 990, Part VII, Section A, line 1a, applicable column (D) and (E) amounts for that individual.

(A) Name and Title		(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 in column(B) reported as deferred on prior Form 990
(A) Name and Title		(i) Base compensation	(ii) Bonus & incentive compensation	(iii) Other reportable compensation	(C) Retirement and other deferred compensation	(D) Nontaxable benefits	(E) Total of columns (B)(i)-(D)
1MARCELLA DODERERPRESIDENT/CEO	(i) (ii)	601,672 ------------- 0	138,000 ------------- 0	990 ------------- 0	106,096 ------------- 0	12,005 ------------- 0	858,763 ------------- 0	0 ------------- 0
2JAYANT DESHPANDE MDSVP AND CMO	(i) (ii)	0 ------------- 0	0 ------------- 0	521,931 ------------- 0	0 ------------- 0	0 ------------- 0	521,931 ------------- 0	0 ------------- 0
3STEVE SCHEXNAYDER MDCHIEF OF STAFF	(i) (ii)	0 ------------- 0	0 ------------- 0	362,906 ------------- 0	0 ------------- 0	0 ------------- 0	362,906 ------------- 0	0 ------------- 0
4GENA WINGFIELDSVP AND CFO	(i) (ii)	433,163 ------------- 0	71,474 ------------- 0	1,061 ------------- 0	70,241 ------------- 0	12,005 ------------- 0	587,944 ------------- 0	0 ------------- 0
5CHARLES LARRY BECKIUSVP FACILITIES	(i) (ii)	202,787 ------------- 0	27,779 ------------- 0	1,233 ------------- 0	18,180 ------------- 0	8,281 ------------- 0	258,260 ------------- 0	0 ------------- 0
6DAVID BERRYSVP AND COO (PARTIAL YEAR)	(i) (ii)	399,355 ------------- 0	68,098 ------------- 0	1,840 ------------- 0	19,550 ------------- 0	12,005 ------------- 0	500,848 ------------- 0	0 ------------- 0
7LEE ANNE EDDYSVP/CHIEF NURSING OFFICER	(i) (ii)	292,929 ------------- 0	49,228 ------------- 0	439 ------------- 0	45,958 ------------- 0	5,931 ------------- 0	394,485 ------------- 0	0 ------------- 0
8MICHAEL HARTVP IT APPLICATIONS	(i) (ii)	201,287 ------------- 0	57,685 ------------- 0	281 ------------- 0	15,919 ------------- 0	11,421 ------------- 0	286,593 ------------- 0	0 ------------- 0
9CYNTHIA HOLLANDVP ANCILLARY SERVICES	(i) (ii)	203,953 ------------- 0	29,177 ------------- 0	1,257 ------------- 0	18,808 ------------- 0	8,218 ------------- 0	261,413 ------------- 0	0 ------------- 0
10KATHERINE LEAVP ED/SURGICAL CARE	(i) (ii)	161,552 ------------- 0	23,172 ------------- 0	209 ------------- 0	14,528 ------------- 0	6,794 ------------- 0	206,255 ------------- 0	0 ------------- 0
11DARRELL LEONHARDTSVP AND CIO (PARTIAL YEAR)	(i) (ii)	208,865 ------------- 0	0 ------------- 0	1,658 ------------- 0	11,586 ------------- 0	4,154 ------------- 0	226,263 ------------- 0	0 ------------- 0
12MARY SALASSI-SCOTTERVP CRITICAL CARE SERVICES	(i) (ii)	159,662 ------------- 0	23,192 ------------- 0	654 ------------- 0	14,943 ------------- 0	7,936 ------------- 0	206,387 ------------- 0	0 ------------- 0
13ROBERT STEELESVP AND CSO	(i) (ii)	450,293 ------------- 0	75,939 ------------- 0	727 ------------- 0	54,001 ------------- 0	12,005 ------------- 0	592,965 ------------- 0	0 ------------- 0
14ANDREE TROSCLAIRVP HUMAN RESOURCES	(i) (ii)	230,203 ------------- 0	32,599 ------------- 0	1,204 ------------- 0	19,515 ------------- 0	5,533 ------------- 0	289,054 ------------- 0	0 ------------- 0
15TAMMY WEBBVP ACUTE CARE	(i) (ii)	139,182 ------------- 0	18,863 ------------- 0	146 ------------- 0	7,012 ------------- 0	948 ------------- 0	166,151 ------------- 0	0 ------------- 0
16STEPHEN M BEETSTRADENTAL ASSISTANT DIRECTOR	(i) (ii)	260,556 ------------- 0	14,636 ------------- 0	568 ------------- 0	19,442 ------------- 0	11,748 ------------- 0	306,950 ------------- 0	0 ------------- 0
17CARL CHIPMANRN 1ST ASSISTANT- CVOR	(i) (ii)	218,268 ------------- 0	6,771 ------------- 0	2,694 ------------- 0	11,883 ------------- 0	3,617 ------------- 0	243,233 ------------- 0	0 ------------- 0
18RHONDA MCKINNISVP LEGAL AFFAIRS	(i) (ii)	239,256 ------------- 0	32,599 ------------- 0	531 ------------- 0	16,403 ------------- 0	7,407 ------------- 0	296,196 ------------- 0	0 ------------- 0
19VENT MURPHYDIRECTOR - DENTAL CLINICAL ED.	(i) (ii)	242,901 ------------- 0	17,499 ------------- 0	1,449 ------------- 0	11,830 ------------- 0	8,513 ------------- 0	282,192 ------------- 0	0 ------------- 0
20KIRT SIMMONSDIRECTOR - CRANIOFACIAL OR	(i) (ii)	268,395 ------------- 0	5,401 ------------- 0	1,674 ------------- 0	19,800 ------------- 0	5,698 ------------- 0	300,968 ------------- 0	0 ------------- 0

Schedule J (Form 990) 2015

Page 3

Part III

Supplemental Information

Provide the information, explanation, or descriptions required for Part I, lines 1a, 1b, 3, 4a, 4b, 4c, 5a, 5b, 6a, 6b, 7, and 8, and for Part II. Also complete this part for any additional information.

Return Reference	Explanation
PART I, LINE 1A	CHARTER TRAVEL IS USED BY ARKANSAS CHILDREN'S, ARKANSAS CHILDREN'S HOSPITAL, ARKANSAS CHILDREN'S HOSPITAL FOUNDATION, AND ARKANSAS CHILDREN'S RESEARCH INSTITUTE BOARD MEMBERS AND STAFF (AND OCCASIONALLY ACCOMPANYING SPOUSES/COMPANIONS) WHEN IT IS DEEMED THE MOST EFFICIENT METHOD OF TRAVEL TO DISTANT AREAS WITHIN THE STATE OR TO SURROUNDING STATES FOR PURPOSES RELATED TO ARKANSAS CHILDREN'S BUSINESS. SEPARATE (NON-CHARTER) TRAVEL FOR COMPANIONS IS REIMBURSED BY THE EMPLOYEE IF SUCH TRAVEL IS ON AN INDIVIDUAL BASIS; THUS, SUCH TRAVEL IS NOT CONSIDERED TAXABLE COMPENSATION TO THE EMPLOYEE.
PART I, LINE 3	COMPENSATION FOR ANY ARKANSAS CHILDREN'S HOSPITAL SENIOR OFFICER (PRESIDENT; SENIOR VICE PRESIDENT) WHO IS NOT A CONTRACTED UAMS EMPLOYEE IS REVIEWED BY THE ARKANSAS CHILDREN'S HUMAN RESOURCES AND COMPENSATION COMMITTEE WHICH IS ESTABLISHED THROUGH THE BYLAWS OF ARKANSAS CHILDREN'S, INC. THE HUMAN RESOURCES AND COMPENSATION COMMITTEE HAS THE FULL AUTHORITY AND SPECIFIC RESPONSIBILITY FOR REVIEWING AND APPROVING COMPENSATION POLICIES, BASE SALARY AND INCENTIVE COMPENSATION LEVELS, EXECUTIVE RETIREMENT AND OTHER EXECUTIVE BENEFIT PLANS FOR HEALTH SYSTEM SENIOR MANAGEMENT, INCLUDING OFFICERS OF THE CORPORATION AND AFFILIATES WHO ARE "DISQUALIFIED PERSONS" UNDER SECTION 4958 OF THE CODE. THE POLICIES AND PROGRAMS REVIEWED AND APPROVED BY THE HUMAN RESOURCES AND COMPENSATION COMMITTEE SHALL BE DESIGNED TO ENSURE THAT THE CORPORATION AND ITS AFFILIATES REMAIN COMPETITIVE AND REASONABLE RELATIVE TO THE COMPENSATION AND BENEFITS PRACTICES OF SIMILARLY SITUATED HEALTH SYSTEMS LOCALLY AND NATIONALLY, AND TO PERMIT THE CORPORATION AND SUCH AFFILIATES TO ATTRACT AND RETAIN SUPERIOR SENIOR MANAGEMENT, IN FURTHERANCE OF THE CORPORATION'S AND AFFILIATES PURPOSES. THE HUMAN RESOURCES AND COMPENSATION COMMITTEE SHALL HAVE, TO THE FULLEST EXTENT OF THE LAW, THE AUTHORITY TO APPROVE THE COMPENSATION PACKAGES FOR SENIOR MANAGEMENT OF THE CORPORATION AND THE AFFILIATES.
PART I, LINES 4A-B	DARRELL LEONHARDT RECEIVED APPROXIMATELY THREE (3) MONTHS OF SEVERANCE PAY FOLLOWING HIS DATE OF TERMINATION, 6/5/2015. ARKANSAS CHILDREN'S HOSPITAL HAS SUPPLEMENTAL EXECUTIVE RETIREMENT PLANS TO PROVIDE EXECUTIVES WITH RETIREMENT AND DEATH BENEFITS. THE PLANS ARE INTENDED TO CONSTITUTE UNFUNDED PLANS 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. THE ORIGINAL SUPPLEMENTAL RETIREMENT PLAN (SERP) WAS FROZEN TO NEW PARTICIPANTS IN FY14; HOWEVER, SOME EXECUTIVES REMAINED IN THE PLAN. AS OF 6/30/16, THE FOLLOWING ACH REPORTABLE INDIVIDUAL HAD A BALANCE IN THE PLAN: GENA WINGFIELD SR. VP/CFO EFFECTIVE 6/30/2014, ACH INITIATED A NEW EXECUTIVE COMPENSATION PLAN, THE "DEFERRED COMPENSATION PLAN" (DCP). THE DCP IS A 457(F) NONQUALIFIED SUPPLEMENTAL RETIREMENT PLAN, PROVIDING ANNUAL CONTRIBUTIONS TO CERTAIN EXECUTIVES AT A PERCENTAGE OF THEIR BASE SALARY IN EFFECT ON JUNE 30 OF THE PLAN YEAR. PER THE PLAN DOCUMENT, EACH DCP CONTRIBUTION FOR A PLAN YEAR AND ITS ASSOCIATED EARNINGS VEST ON THE EARLIER OF: - THE FIRST DAY OF THE PLAN YEAR FOLLOWING THREE YEARS OF SERVICE WHICH BEGINS ON THE FIRST DAY OF THE PLAN YEAR FOR WHICH THE CONTRIBUTION IS CREDITED. - ATTAINMENT OF AGE 65 AND AT LEAST 3 YEARS OF SERVICE AS A DCP PARTICIPANT - DEATH OR PERMANENT DISABILITY - INVOLUNTARY TERMINATION (OTHER THAN FOR CAUSE) - PLAN TERMINATION FOR TAX YEAR 2015 (FISCAL YEAR 2016), THE FOLLOWING ACH REPORTABLE EMPLOYEES WERE ELIGIBLE TO PARTICIPATE IN THE DCP PLAN: - MARCELLA DODERER: PRES/CEO - LEE ANN EDDY: SVP/CNO - GENA WINGFIELD: SVP/CFO - ROB STEELE: SVP/CSO NONE OF THE ELIGIBLE EMPLOYEES LISTED ABOVE RECEIVED PAYMENT FROM THE PLAN DURING THE PERIOD REPORTED.
FORM 990, SCHEDULE J, PART I, LINES 5-7	THE INCENTIVE PLANS FOR ALL ENTITIES CHANGED WITH THE 2013 TAX RETURNS, AND THERE ARE SPECIFIC RULES AND CALCULATIONS FOR BONUSES. NONE ARE CONTINGENT ON REVENUES OR NET EARNINGS OF THE ORGANIZATIONS (ANY), AND SINCE THEY ARE CALCULATED BASED ON A SPECIFIC FORMULA, THEY ARE NOT "NON-FIXED". THE QUESTIONS 5, 6, AND 7 IN PART I TO SCHEDULE J ARE ALL CORRECTLY ANSWERED "NO".
FORM 990, PART VII, SECTION A, LINE 5:	DIRECTORS JAY DESHPANDE, M.D., STEVE SCHEXNAYDER, M.D., AND RICHARD JACOBS, M.D. WERE COMPENSATED BY UAMS AS EMPLOYEES FOR SERVICES RENDERED TO ARKANSAS CHILDREN HOSPITAL (ACH) AND FOR WHICH ACH REMITTED PAYMENT LISTED AS "REPORTABLE COMPENSATION FROM THE ORGANIZATION" IN PART VII. THE AMOUNTS NOTED AS COMPENSATION IN SCHEDULE J FOR THE PHYSICIANS NOTED ABOVE WERE THE DESIGNATED AMOUNTS PER THE RELATED CONTRACTS WITH UAMS.

Schedule J (Form 990) 2015

Additional Data

Software ID:
Software Version:

- TIN:

Schedule K
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Information on Tax Exempt Bonds

Complete if the organization answered "Yes" to Form 990, Part IV, line 24a. Provide descriptions,
explanations, and any additional information in Part VI.
SchKMediumBullet

Attach to Form 990.
SchKMediumBullet

Information about Schedule K (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2015

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
(a) Issuer name		(b) Issuer EIN	(c) CUSIP #	(d) Date issued	(e) Issue price	(f) Description of purpose	Yes	No	Yes	No	Yes	No
A	PULASKI COUNTY ARKANSAS	71-6006487	745392HD5	05-28-2009	109,526,869	SEE SCHEDULE K, PART VI.		X		X		X
B	PULASKI COUNTY ARKANSAS	71-6006487	745392HR4	11-17-2010	31,051,199	SEE SCHEDULE K, PART VI.		X		X		X
C	ARKANSAS DEVELOPMENT FINANCE AUTHORITY	71-0503641	000000000	09-05-2013	19,800,000	SEE SCHEDULE K, PART VI.		X		X		X

Part II

Proceeds

	A		B		C		D
	1 Amount of bonds retired ..................	15,370,000		16,720,000		6,743,835
2 Amount of bonds legally defeased ..............
3 Total proceeds of issue ..................	111,070,517		31,051,199		19,800,000
4 Gross proceeds in reserve funds .............	7,360,415
5 Capitalized interest from proceeds .............	439,815
6 Proceeds in refunding escrows ...............
7 Issuance costs from proceeds ...............	1,296,277		192,600
8 Credit enhancement from proceeds .............	1,876,252		206,911
9 Working capital expenditures from proceeds .............
10 Capital expenditures from proceeds .............	100,097,782				19,800,000
11 Other spent proceeds .............			30,651,688
12 Other unspent proceeds .............
13 Year of substantial completion .............	2012		2010		2015
	Yes	No	Yes	No	Yes	No	Yes	No
14 Were the bonds issued as part of a current refunding issue? ....		X	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 Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50193E

Schedule K (Form 990) 2015

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 of bond-financed property? .............	X			X
b If "Yes" to line 3a, does the organization routinely engage bond counsel or other outside counsel to review any management or service contracts relating to the financed property?	X
c Are there any research agreements that may result in private business use of bond-financed property? .............	X			X
d If "Yes" to line 3c, does the organization routinely engage bond counsel or other outside counsel to review any research agreements relating to the financed property?		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 ....	0.070 %		0 %
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 .........	0 %		0 %
6 Total of lines 4 and 5 .............	0.070 %		0 %
7 Does the bond issue meet the private security or payment test? ...		X		X
8a Has there been a sale or disposition of any of the bond-financed property to a nongovernmental person other than a 501(c)(3) organization since the bonds were issued?.............		X		X
b If "Yes" to line 8a, enter the percentage of bond-financed property sold or disposed of. ..
c If "Yes" to line 8a, was any remedial action taken pursuant to Regulations sections 1.141-12 and 1.145-2? .............
9 Has the organization established written procedures to ensure that all nonqualified bonds of the issue are remediated in accordance with the requirements under Regulations sections 1.141-12 and 1.145-2? ........	X		X

Part IV

Arbitrage

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
1 Has the issuer filed Form 8038-T, Arbitrage Rebate, Yield Reduction and Penalty in Lieu of Arbitrage Rebate? ...		X		X		X
2 If "No" to line 1, did the following apply? ....
a Rebate not due yet? .......		X		X	X
b Exception to rebate? ........		X	X			X
c No rebate due? .........	X			X		X
If "Yes" to line 2c, provide in Part VI the date the rebate computation was performed ......
3 Is the bond issue a variable rate issue? .....		X		X		X
4a Has the organization or the governmental issuer entered into a qualified 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 the hedge terminated? ........

Schedule K (Form 990) 2015

Page 3

Part IV

Arbitrage (Continued)

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
5a Were gross proceeds invested in a guaranteed investment contract (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? ........
6 Were any gross proceeds invested beyond an available temporary period?	X			X		X
7 Has the organization established written procedures to monitor the requirements of section 148? ...	X		X		X

Part V

Procedures To Undertake Corrective Action

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
Has the organization established written procedures to ensure that violations of federal tax requirements are timely identified and corrected through the voluntary closing agreement program if self-remediation is not available under applicable regulations?	X		X		X

Part VI

Supplemental Information. Provide additional information for responses to questions on Schedule K (see instructions).

Return Reference

Explanation

DATE REBATE COMPUTATION PERFORMED

ISSUER NAME: PULASKI COUNTY, ARKANSAS DATE THE REBATE COMPUTATION WAS PERFORMED: 07/18/2013

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 INCLUDED MAJOR INFRASTRUCTURE IMPROVEMENTS, INCLUDING ADDED CAPACITY FOR THE SOUTH WING. THE SOUTH WING PROJECT WAS NEW CONSTRUCTION THAT ADDED APPROXIMATELY 243,114 SQUARE FEET INCLUDING A NEW EMERGENCY DEPARTMENT, ADDITIONAL OUTPATIENT CLINIC AREAS AND A NET ADDITION OF 54 INPATIENT BEDS. PART I, LINE B - DESCRIPTION OF PURPOSE. TO REFUND HOSPITAL REVENUE BONDS (ARKANSAS CHILDREN'S HOSPITAL PROJECT), SERIES 2002A AND SERIES 2002B REFUNDING, ISSUED 7/31/2002. PART I, LINE C - DESCRIPTION OF PURPOSE. PROCEEDS USED TO PURCHASE TWO SIKORSKY S-76D HELICOPTERS TO BE USED FOR MEDICAL TRANSPORT. PART II, LINE 3, BOND A - TOTAL PROCEEDS DIFFER FROM ISSUE PRICE DUE TO CUMULATIVE INVESTMENT EARNINGS. PART II, LINE 4 - THE AMOUNTS SHOWN HERE CONSIST SOLELY OF DEBT SERVICE RESERVE FUNDS. THE ORGANIZATION ALSO HAS THE FOLLOWING AMOUNTS IN BONA FIDE DEBT SERVICE FUNDS AS OF 6/30/2016: SERIES 2009: $2,559,001; SERIES 2010: $801,608. PART IV, LINE 6, BOND A - SUCH AMOUNTS WERE APPROPRIATELY YIELD RESTRICTED.

Schedule K (Form 990) 2015

Additional Data

Software ID:
Software Version:

- TIN:

Schedule L
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service

Transactions with Interested Persons

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, line 38a or 40b.
MediumBullet

Attach to Form 990 or Form 990-EZ.
MediumBullet

Information about Schedule L (Form 990 or 990-EZ) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2015

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), section 501(c)(4), and 501(c)(29) 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	(c) Description of transaction	(d) Corrected?
1(a) Name of disqualified person	(c) Description of transaction	Yes	No

Enter the amount of tax incurred by organization managers or disqualified persons during the year under section 4958. ........................... Bullet Image

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-EZ, Part V, line 38a, or Form 990, Part IV, line 26; or if the organization reported an amount on Form 990, Part X, line 5, 6, or 22

(a) Name of interested person	(b) Relationship with organization	(c) Purpose of loan	(d) Loan to or from the organization?		(e)Original principal amount	(f)Balance due	(g) In default?		(h) Approved by board or committee?		(i)Written agreement?
(a) Name of interested person	(b) Relationship with organization	(c) Purpose of loan	To	From	(e)Original principal amount	(f)Balance due	Yes	No	Yes	No	Yes	No
(1) JONATHAN GOLDBERG	CHIEF INFORMATION OFFICER	RECRUITMENT		X	50,000	50,000		No		No	Yes
(2) JONATHAN GOLDBERG	CHIEF INFORMATION OFFICER	RECRUITMENT		X	50,000	50,000		No		No	Yes








Total ............... $						100,000

Part III

Grants or Assistance Benefiting 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 assistance	(d) Type of assistance	(e) Purpose of assistance

For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.

Cat. No. 50056A

Schedule L (Form 990 or 990-EZ) 2015

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?
(a) Name of interested person		(c) Amount of transaction	(d) Description of transaction	Yes	No
(1) MISTY DAWN BERRY	FAMILY MEMBER	32,712	SEE PART V. MISTY DAWN BERRY IS A FAMILY MEMBER OF KEY EMPLOYEE DAVID BERRY, WHO IS NO LONGER WITH THE HOSPITAL. CONSISTENT WITH ARKANSAS CHILDREN'S HOSPITAL POLICY, SHE DID NOT WORK WITHIN MR. BERRY'S LINE OF AUTHORITY DURING HIS TENURE AT ACH.		No
(2) JENNIFER J BECKIUS	FAMILY MEMBER	33,608	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
(3) ALARMCO INC	PERFORMANCE OF SERVICES	133,622	BOARD MEMBER BARBARA MOORE'S SON, JOHN MOORE III, OWNS 45% OF ALARMCO INC. WHICH PROVIDES GOODS AND/OR SERVICES TO THE HOSPITAL AS AN INDEPENDENT CONTRACTOR. ACH TOTAL FOR FY16 IS $133,622.		No

Part V

Supplemental Information
Provide additional information for responses to questions on Schedule L (see instructions).

Return Reference	Explanation
SCHEDULE L, PART II -LOANS TO AND/OR FROM INTERESTED PERSONS	ALTHOUGH NOT SPECIFICALLY APPROVED BY A BOARD OR COMMITTEE, THE RECRUITMENT LOANS TO JONATHAN GOLDBERG WERE REVIEWED WITH TOM BAXTER, THE CHAIRMAN OF THE ACH BOARD.

Schedule L (Form 990 or 990-EZ) 2015

Additional Data

Software ID:
Software Version:

- TIN:

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 990-EZ or to provide any additional information.
MediumBullet

Attach to Form 990 or 990-EZ.
MediumBullet

Information about Schedule O (Form 990 or 990-EZ) and its instructions is at
www.irs.gov/form990.

OMB No. 1545-0047

2015

Open to Public
Inspection

Name of the organization

ARKANSAS CHILDREN'S HOSPITAL

Employer identification number

71-0236857

Return Reference	Explanation
FORM 990, PART VI, SECTION A, LINE 1	THE BOARD OF DIRECTORS MAY DELEGATE SUCH OF ITS POWERS AS IT DEEMS NECESSARY OR ADVISABLE TO COMMITTEES OF THE BOARD; PROVIDED, HOWEVER, THAT NO COMMITTEE OF THE BOARD SHALL HAVE THE AUTHORITY TO: (I) AUTHORIZE DISTRIBUTIONS; (II) ELECT, APPOINT OR REMOVE DIRECTORS OR FILL VACANCIES ON THE BOARD OR ANY OF ITS COMMITTEES; (III) ADOPT, AMEND OR REPEAL THE ARTICLES OF INCORPORATION OR BYLAWS; OR (IV) APPOINT OR ELECT THE PRESIDENT AND CHIEF EXECUTIVE OFFICER OF THE CORPORATION. ANY COMMITTEE MAY EXERCISE SUCH OF THE BOARD'S AUTHORITY AS IS GRANTED BY THE BOARD OF DIRECTORS, SUBJECT TO THE RESTRICTIONS CONTAINED IN THE CORPORATION'S ARTICLES OF INCORPORATION OR THE BYLAWS. FORM 990, PART VI, SECTION A, LINE 2: ALTHOUGH NOT CONSIDERED COVERED RELATIONSHIPS AS NOTED IN PART VI, SECTION A, LINE 2, THE FOLLOWING DIRECTORS WERE ALL EMPLOYEES OF THE UNIVERSITY OF ARKANSAS FOR MEDICAL SCIENCES (UAMS) DURING THE TAX YEAR: JAYANT DESHPANDE, M.D., RICHARD JACOBS, M.D., STEVE SCHEXNAYDER, M.D., AND DANIEL RAHN, M.D.
FORM 990, PART VI, SECTION A, LINE 2	PATRICK SCHUECK WAS AN ELECTED MEMBER OF THE ACH BOARD OF DIRECTORS FOR PART OF FISCAL YEAR 2016. HIS WIFE, JENNIFER SCHUECK, WAS THE PRESIDENT OF THE ACH AUXILIARY BOARD AND IN THAT ROLE WAS A DESIGNATED MEMBER OF THE ACH BOARD OF DIRECTORS. BOTH OF THEIR BOARD TERMS ENDED MARCH 30, 2016.
FORM 990, PART VI, SECTION A, LINE 3	THE HOSPITAL'S SVP/CHIEF QUALITY AND CHIEF MEDICAL OFFICER POSITION IS HELD BY DR. JAY DESHPANDE WHO HOLDS FACULTY APPOINTMENTS IN THE UNIVERSITY OF ARKANSAS FOR MEDICAL SCIENCES, COLLEGE OF MEDICINE DEPARTMENTS OF PEDIATRICS AND ANESTHESIOLOGY. 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	ARKANSAS CHILDREN'S HOSPITAL AMENDED AND RESTATED ITS BY-LAWS AND ARTICLES OF INCORPORATION AS OF MARCH 30, 2016. ACH REMAINS A NON-PROFIT PUBLIC BENEFIT CORPORATION UNDER THE LAWS OF THE STATE OF ARKANSAS. SIGNIFICANT CHANGES AFFECTING GOVERNANCE ARE AS FOLLOWS: ARKANSAS CHILDREN'S HOSPITAL IS NOW PART OF THE NEWLY FORMED HEALTH SYSTEM UNDER ONE CONTROLLING ENTITY, ARKANSAS CHILDREN'S, INC. THE SOLE MEMBER OF ACH IS NOW ARKANSAS CHILDREN'S, INC. THE PURPOSE OF ACH HAS BEEN CHANGED TO THE FOLLOWING: "THE CORPORATION IS ORGANIZED EXCLUSIVELY FOR CHARITABLE, SCIENTIFIC, AND EDUCATIONAL PURPOSES, RELIEF OF THE POOR AND DISTRESSED AND LESSENING THE BURDENS OF GOVERNMENT WITHIN THE MEANING OF SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE...INCLUDING TO IMPROVE AND PROMOTE THE HEALTH AND WELFARE OF THE POPULATION OF THE STATE OF ARKANSAS AND TO SUPPORT AND PROMOTE THE ADVANCEMENT OF SCIENTIFIC AND MEDICAL EDUCATION, TRAINING, RESEARCH, AND KNOWLEDGE FOR THE BENEFIT OF THE GENERAL PUBLIC, BY: A) ESTABLISHING AND OPERATING HOSPITAL AND OUTPATIENT FACILITIES, CLINICS AND PROGRAMS FOR THE DIAGNOSIS, CARE AND TREATMENT OF SICK, INJURED AND DISABLED PERSONS, WITH AN EMPHASIS ON PEDIATRIC MEDICAL CARE, AND INCLUDING BUT NOT LIMITED TO INPATIENT CARE, OUTPATIENT CARE, EXTENDED CARE AND HOME CARE, SUBJECT TO OBTAINING SUCH LICENSURE, CONSENT AND APPROVALS AS REQUIRED BY APPLICABLE LAW; B) CONDUCTING, FACILITATING AND/OR SUPPORTING EDUCATIONAL TRAINING FOR MEDICAL AND HEALTH PROFESSIONALS; C) SUPPORTING AND FURTHERING THE CHARITABLE HEALTHCARE MISSION OF THE INTEGRATED GROUP OF AFFILIATED HEALTH CARE PROVIDERS AND RELATED ENTITIES OF WHICH THE SOLE MEMBER IS THE DIRECT OR INDIRECT SOLE MEMBER; D) BENEFITING, PROMOTING, AND FURTHERING THE PURPOSES OF THOSE SECTION 50I(C)(3) TAX-EXEMPT ORGANIZATIONS THAT ARE DIRECTLY OR INDIRECTLY CONTROLLED BY THE SOLE MEMBER, INCLUDING BY MAKING GRANTS, GUARANTEEING DEBT, PROVIDING SERVICES AND OTHER FORMS OF SUPPORT, AND/OR OTHER MEANS; E) OTHERWISE PROMOTING THE HEALTH AND WELFARE OF THE POPULATION OF THE STATE OF ARKANSAS, AND CHILDREN IN PARTICULAR " ADDITIONAL CHANGES REGARDING GOVERNANCE ARE AS FOLLOWS: IN THE EVENT OF DISSOLUTION, THE BOARD OF DIRECTORS SHALL, AFTER PAYING OR MAKING PROVISION FOR PAYMENT OF ALL LIABILITIES OF THE CORPORATION, DISTRIBUTE ITS ASSETS TO ONE OR MORE ENTITIES THAT ARE DIRECTLY OR INDIRECTLY CONTROLLED BY THE SOLE MEMBER AND/OR SUCCESSORS OF THE CORPORATION, IN SUCH PROPORTIONS AS THE BOARD SHALL DETERMINE, PROVIDED THAT EACH SUCH ORGANIZATION QUALIFIES AS EXEMPT FROM FEDERAL INCOME TAX. AS SOLE MEMBER OF ACH, ARKANSAS CHILDREN'S, INC. HAS EXCLUSIVE AUTHORITY UNDER ARKANSAS LAW AND ACH'S GOVERNING DOCUMENTS TO CERTAIN RESERVED POWERS, WHICH INCLUDE THE FOLLOWING: (A) TO APPROVE AND MODIFY THE PURPOSES AND MISSION OF ACH AND/OR AFFILIATES; (B) TO FIX THE SIZE OF THE BOARD OF DIRECTORS AND APPOINT AND/OR REMOVE ITS MEMBERS FOR ACH AND/OR AFFILIATES; (C) TO ESTABLISH FINANCIAL AND STRATEGIC PLANS OF ACH AND/OR AFFILIATES; (D) TO APPROVE ALL BUDGETS OF ACH AND/OR AFFILIATES; (E) TO CONTROL INVESTMENT OF ASSETS HELD BY OR ON BEHALF OF ACH AND/OR AFFILIATES; (F) TO APPROVE ANY UNBUDGETED CAPITAL EXPENDITURES MADE BY ACH AND/OR AFFILIATES IN ACCORDANCE WITH POLICY; (G) TO APPROVE ANY REAL OR PERSONAL PROPERTY TRANSACTION MADE BY ACH AND/OR AFFILIATES IN ACCORDANCE WITH POLICY; (H) TO APPROVE INCURRENCE OF DEBT OR GUARANTEES MADE BY ACH AND/OR AFFILIATES; (I) TO APPROVE THE INITIATION OR SETTLEMENT OF ANY MATERIAL LEGAL PROCEEDING OF ACH AND/OR AFFILIATES; (J) TO APPROVE ANY MATERIAL SETTLEMENT OF ANY GOVERNMENTAL, AUDIT OR OTHER PROCEEDING INVOLVING ACH AND/OR AFFILIATES; (K) TO APPROVE ANY UNBUDGETED CONTRACT PROCEEDING THAT OCCURS OUTSIDE THE ORDINARY COURSE OF BUSINESS OF ACH AND/OR AFFILIATES IN ACCORDANCE WITH POLICY; (L) TO APPROVE ANY EFFORTS TO RE-BRAND OR ALTER THE PUBLIC FACING IMAGE OF ACH AND/OR AFFILIATES; (M) TO APPROVE THE SALE, LEASE, EXCHANGE, OR OTHER DISPOSITION OF ALL OR SUBSTANTIALLY ALL OF THE PROPERTY OF ACH AND/OR AFFILIATES OTHER THAN IN THE REGULAR COURSE OF BUSINESS; (N) TO RATIFY ELECTION AND REMOVAL OF OFFICERS OF THE BOARD; (O) TO NOMINATE CANDIDATES FOR ELECTION OR APPOINTMENT BY ACH AS PRESIDENT AND CHIEF EXECUTIVE OFFICER, AND TO REMOVE THE PRESIDENT AND CHIEF EXECUTIVE OFFICER OF ACH, WITH OR WITHOUT CAUSE, AFTER CONSULTATION WITH ACH'S BOARD OF DIRECTORS AND THE PRESIDENT AND CHIEF EXECUTIVE OFFICER OF THE MEMBER; (P) TO RETAIN, OVERSEE, AND TERMINATE INDEPENDENT EXTERNAL AUDITORS OF ACH AND/OR AFFILIATES; (Q) TO AUTHORIZE AMENDMENT AND RESTATEMENT AND/OR REPEAL OF GOVERNANCE DOCUMENTS OF ACH AND/OR AFFILIATES; (R) TO AUTHORIZE AND CAUSE ACH AND/OR AFFILIATES TO FORM A NEW SUBSIDIARY OR OTHERWISE BECOME A MEMBER, SHAREHOLDER, OR OTHER EQUITY OWNER OF ANY OTHER LEGAL ENTITY; (S) TO AUTHORIZE MERGER, ACQUISITION, CONSOLIDATION, OR JOINT VENTURE OF ACH AND/OR AFFILIATES; (T) TO AUTHORIZE CONVERSION, REORGANIZATION, OR DISSOLUTION AND SUBSEQUENT DISPOSITION OF ASSETS OF ACH AND/OR AFFILIATES; (U) TO APPROVE ANY OTHER ACTION BY ACH AND/OR AFFILIATES ESTABLISHED FROM TIME TO TIME BY RESOLUTION OF THE SOLE MEMBER AS REQUIRING ITS APPROVAL, INCLUDING BUT NOT LIMITED TO ANY APPROVALS RELATED TO COMPLIANCE WITH ANY CREDIT AGREEMENT, MASTER INDENTURE OR LOAN AGREEMENT ASSOCIATED WITH ACH AND/OR AFFILIATES. REGARDING THE BOARD OF DIRECTORS, SPECIFIC MODIFICATIONS TO THE GOVERNING DOCUMENTS ARE AS FOLLOWS: (A) WITH RESPECT TO THE ACTIVITIES, OPERATIONS AND ASSETS OF ACH, THE BOARD OF DIRECTORS SHALL HAVE AND MAY EXERCISE ALL OF THE POWERS CONFERRED BY APPLICABLE LAW, WHICH ARE NOT INCONSISTENT WITH ACH'S ARTICLES OF INCORPORATION, BYLAWS, THE RESERVED POWERS OF THE MEMBER, OR APPLICABLE LAW. THE BOARD SHALL BE RESPONSIBLE FOR (I) MAINTENANCE OF PROPER STANDARDS OF PROFESSIONAL WORK IN THE HOSPITAL; AND (II) ENSURING THAT THE MEDICAL STAFF OF THE HOSPITAL FUNCTIONS IN CONFORMITY WITH AT LEAST REASONABLE STANDARDS OF COMPETENCY. (B) ACH'S BOARD OF DIRECTORS SHALL CONSIST OF NOT LESS THAN TWELVE (12) NOR MORE THAN FIFTEEN (15) DIRECTORS, WITH THE SPECIFIC NUMBER WITHIN THAT RANGE TO BE DETERMINED BY THE MEMBER FROM TIME TO TIME; PROVIDED, HOWEVER, THAT THE MEMBER MAY BY RESOLUTION INCREASE OR DECREASE THE NUMBER OF DIRECTORS OF THE CORPORATION TO THE EXTENT CONSISTENT WITH THE CORPORATION'S ARTICLES OF INCORPORATION, THE BYLAWS OF THE MEMBER AND APPLICABLE LAW. NO DECREASE IN THE NUMBER OF DIRECTORS SHALL SHORTEN THE TERM OF ANY INCUMBENT DIRECTOR. (C) ACH'S PRESIDENT AND CHIEF EXECUTIVE OFFICER, THE CHIEF OF THE MEDICAL STAFF OF THE HOSPITAL AND THE PRESIDENT AND CHIEF EXECUTIVE OFFICER OF THE MEMBER WILL SERVE AS EX OFFICIO VOTING MEMBERS OF THE BOARD FOR AS LONG AS THEY SERVE IN THEIR RESPECTIVE ROLES. (D) THE SOLE MEMBER SHALL APPOINT SUCH OTHER INDIVIDUALS AS THE REMAINING DIRECTORS ON THE BASIS OF A DEMONSTRATED INTEREST IN THE PURPOSES OF THE CORPORATION, THE ABILITY AND COMMITMENT TO ACTIVELY AND EFFECTIVELY PARTICIPATE IN THE BOARD'S ROLE IN FULFILLING THOSE PURPOSES, INCLUDING POSSESSION OF THE SKILLS NEEDED TO OVERSEE THE ACTIVITIES OF THE HOSPITAL (E.G., MEDICAL, LEGAL, FINANCIAL/ACCOUNTING OR OTHER BUSINESS EXPERTISE), A RECORD OF COMMUNITY INVOLVEMENT AND A REPUTATION FOR INTEGRITY, AND WITH DUE REGARD TO REPRESENTATION OF THE COMMUNITIES SERVED BY THE HOSPITAL. THE APPOINTED DIRECTORS MAY INCLUDE PHYSICIANS AND OTHER HEALTHCARE PROFESSIONALS OR OTHER PERSONS WITH EXPERIENCE AND EXPERTISE IN CHILDREN'S HEALTH AND HEALTHCARE WITHIN THE COMMUNITY SERVED BY THE HOSPITAL. (E) THE BOARD SHALL AT ALL TIMES INCLUDE AT LEAST THREE (3) INDIVIDUALS WHO DO NOT ALSO SERVE ON THE BOARD OF DIRECTORS OF ANY AFFILIATE. (F) DIRECTORS (OTHER THAN EX OFFICIO DIRECTORS) WILL BE APPOINTED AT THE SOLE MEMBER'S ANNUAL MEETING. EACH DIRECTOR WILL HOLD OFFICE FOR A TERM OF THREE (3) YEARS. THE TERMS OF APPOINTED DIRECTORS WILL BE STAGGERED SUCH THAT THE TERMS OF ONE-THIRD (1/3) OF THE DIRECTORS EXPIRE EACH YEAR. DIRECTORS TO REPLACE THOSE WHOSE TERMS ARE EXPIRING WILL BE APPOINTED AT THE SOLE MEMBER'S ANNUAL MEETING. IN ORDER TO ESTABLISH THESE STAGGERED TERMS, THE INITIAL TERMS OF 1/3 OF THE INITIAL DIRECTORS SHALL BE ONE (1) YEAR, THE INITIAL TERMS OF 1/3 OF THE INITIAL DIRECTORS SHALL BE TWO (2) YEARS, AND THE INITIAL TERMS OF 1/3 OF THE INITIAL DIRECTORS SHALL BE THREE (3) YEARS. DIRECTORS MAY SERVE ONE OR MORE SUBSEQUENT TERMS BY REAPPOINTMENT. (G) A MAJORITY OF THE NUMBER OF DIRECTORS IN OFFICE IMMEDIATELY BEFORE A MEETING BEGINS SHALL CONSTITUTE A QUORUM FOR THE TRANSACTION OF BUSINESS AT ANY MEETING OF THE BOARD OF DIRECTORS. IF LESS THAN SUCH MAJORITY IS PRESENT AT ANY TIME DURING A MEETING, A MAJORITY OF THE DIRECTORS PRESENT MAY ADJOURN THE MEETING FROM TIME TO TIME WITHOUT FURTHER NOTICE.
FORM 990, PART VI, SECTION A, LINE 6	THE SOLE MEMBER OF ARKANSAS CHILDREN'S HOSPITAL IS ARKANSAS CHILDREN'S, INC.
FORM 990, PART VI, SECTION A, LINE 7A	ARKANSAS CHILDREN'S, INC., ACH'S SOLE MEMBER, HAS THE RESERVED POWER TO FIX THE SIZE OF THE BOARD OF DIRECTORS, AND THE GOVERNING BOARD OF ANY AFFILIATE CONTROLLED BY THE CORPORATION, AND APPOINT AND REMOVE, WITH OR WITHOUT CAUSE, THE DIRECTORS OF THE CORPORATION, AND MEMBERS OF THE GOVERNING BOARD OF ANY AFFILIATE CONTROLLED BY THE CORPORATION.
FORM 990, PART VI, SECTION A, LINE 7B	ACH'S ARTICLES OF INCORPORATION ON MAY BE AMENDED, AND THE BYLAWS MAY BE ALTERED, AMENDED, OR REPEALED AND NEW BYLAWS MAY BE ADOPTED: (I) UPON THE APPROVAL OF BOTH THE BOARD AND THE SOLE MEMBER, IF THE AMENDMENT DOES NOT RELATE TO THE NUMBER OF DIRECTORS, THE COMPOSITION OF THE BOARD, THE TERM OF OFFICE OF DIRECTORS, OR THE METHOD OR WAY IN WHICH DIRECTORS ARE ELECTED OR SELECTED; OR (II) BY THE MEMBER.
FORM 990, PART VI, SECTION B, LINE 11	HOSPITAL MANAGEMENT REVIEWS THE DRAFT FORM 990 AND RECONCILES IT TO THE HOSPITAL'S INTERNAL FINANCIALS AND CONSOLIDATED AUDIT REPORT. THE REVIEWED DRAFT OF THE FORM 990 IS PRESENTED TO THE PLANNING & DEVELOPMENT COMMITTEE BY HOSPITAL MANAGEMENT. IF THE REVIEW BY THE COMMITTEE RESULTS IN REVISIONS TO THE FORM 990, THOSE REVISIONS ARE MADE. THE FORM 990 TO BE FILED IS THEN PROVIDED TO THE ENTIRE BOARD PRIOR TO FILING.
FORM 990, PART VI, SECTION B, LINE 12C	THE HOSPITAL HAS A BOARD OF DIRECTORS CONFLICT OF INTEREST POLICY THAT IS ISSUED TO AND REVIEWED WITH ALL NEW BOARD MEMBERS DURING THEIR BOARD ORIENTATION. IN ADDITION, EXTERNAL COUNSEL WILL PERIODICALLY REVIEW THE POLICY WITH THE FULL BOARD DURING A REGULAR BOARD MEETING. A DIRECTOR SHALL DISCLOSE IN WRITING TO THE BOARD OF DIRECTORS ANY ACTUAL OR POTENTIAL CONFLICT OF INTEREST WHEN THE SITUATION DEVELOPS, INCLUDING THE FACTS THAT MAKE IT AN ACTUAL OR POTENTIAL CONFLICT. EACH DIRECTOR SHALL SIGN AN INITIAL CONFLICT OF INTEREST DISCLOSURE STATEMENT UPON ELECTION TO THE BOARD OF DIRECTORS. EACH DIRECTOR ALSO SHALL SIGN AN ANNUAL CONFLICT OF INTEREST DISCLOSURE STATEMENT. IF AN ACTUAL OR POTENTIAL CONFLICT OF INTEREST DEVELOPS AFTER THE DIRECTOR'S INITIAL AND ANNUAL STATEMENTS ARE SIGNED, THE DIRECTOR SHALL IMMEDIATELY SIGN A NEW DISCLOSURE STATEMENT TO ADDRESS THE NEW SITUATION OR TRANSACTION. CONFLICT OF INTEREST DISCLOSURE STATEMENTS OR DECLARED CONFLICTS WILL BE REVIEWED BY THE DIRECTOR BOARD OFFICERS. REVIEW WILL RESULT IN ONE OF THE FOLLOWING ACTIONS BY MAJORITY VOTE: (1) DETERMINED NOT TO BE A CONFLICT; (2) CONFLICT IS ACCEPTED; OR (3) CONFLICT IS NOT ACCEPTED AND THE DIRECTOR WILL NEED TO ABSTAIN FROM PARTICIPATION IN CERTAIN VOTES. CONFLICT DISCLOSURES, FACTS AND ACTIONS WILL BE DOCUMENTED IN THE APPROPRIATE COMMITTEE OR BOARD MINUTES. A DIRECTOR WITH A CONFLICT OF INTEREST WILL NOT PARTICIPATE IN DELIBERATIONS OR VOTE BY THE BOARD OF DIRECTORS, OR COMMITTEE THEREOF, ON THE MATTER GIVING RISE TO THE CONFLICT. HE OR SHE MAY PRESENT RELEVANT INFORMATION ABOUT THE MATTER AND ALSO MAY RESPOND TO REQUESTS FOR FACTS NEEDED BY THE BOARD TO REACH AN INFORMED DECISION. AFTER ANY DISCUSSION, THE INTERESTED DIRECTOR SHALL EITHER ABSTAIN FROM VOTE OR RECUSE COMPLETELY AND BE ABSENT DURING FURTHER DELIBERATIONS AND ACTION ON THE MATTER, AS DETERMINED BY THE DIRECTOR BOARD OFFICERS OF THE ENTITY.
FORM 990, PART VI, SECTION B, LINE 15	COMPENSATION FOR ANY ACH SENIOR OFFICER (PRESIDENT; SENIOR VICE PRESIDENT) WHO IS NOT A CONTRACTED UAMS EMPLOYEE IS REVIEWED BY THE ARKANSAS CHILDREN'S HUMAN RESOURCES AND COMPENSATION COMMITTEE WHICH IS ESTABLISHED THROUGH THE BYLAWS OF ARKANSAS CHILDREN'S, INC. THE HUMAN RESOURCES AND COMPENSATION COMMITTEE HAS THE FULL AUTHORITY AND SPECIFIC RESPONSIBILITY FOR REVIEWING AND APPROVING COMPENSATION POLICIES, BASE SALARY AND INCENTIVE COMPENSATION LEVELS, EXECUTIVE RETIREMENT AND OTHER EXECUTIVE BENEFIT PLANS FOR HEALTH SYSTEM SENIOR MANAGEMENT, INCLUDING OFFICERS OF THE CORPORATION AND AFFILIATES WHO ARE "DISQUALIFIED PERSONS" UNDER SECTION 4958 OF THE CODE. THE POLICIES AND PROGRAMS REVIEWED AND APPROVED BY THE HUMAN RESOURCES AND COMPENSATION COMMITTEE SHALL BE DESIGNED TO ENSURE THAT THE CORPORATION AND ITS AFFILIATES REMAIN COMPETITIVE AND REASONABLE RELATIVE TO THE COMPENSATION AND BENEFITS PRACTICES OF SIMILARLY SITUATED HEALTH SYSTEMS LOCALLY AND NATIONALLY, AND TO PERMIT THE CORPORATION AND SUCH AFFILIATES TO ATTRACT AND RETAIN SUPERIOR SENIOR MANAGEMENT, IN FURTHERANCE OF THE CORPORATION'S AND AFFILIATES PURPOSES. THE HUMAN RESOURCES AND COMPENSATION COMMITTEE SHALL HAVE, TO THE FULLEST EXTENT OF THE LAW, THE AUTHORITY TO APPROVE THE COMPENSATION PACKAGES FOR SENIOR MANAGEMENT OF THE CORPORATION AND THE AFFILIATES.
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 VI, SECTION A, LINE 4 (CONTINUED);	REGARDING OFFICERS OF THE BOARD, SPECIFIC MODIFICATIONS TO THE GOVERNING DOCUMENTS ARE AS FOLLOWS: (A) THE OFFICERS OF ACH'S BOARD OF DIRECTORS SHALL INCLUDE A CHAIR, VICE CHAIR, SECRETARY, AND TREASURER. (B) THE OFFICERS OF THE BOARD SHALL BE APPOINTED BY THE BOARD, SUBJECT TO RATIFICATION BY THE SOLE MEMBER. WITH THE EXCEPTION OF THE SECRETARY, THE OFFICERS OF THE BOARD SHALL BE APPOINTED FROM AMONG ACH'S EXISTING DIRECTORS. (C) DUTIES OF THE CHAIR INCLUDE PRESIDING AT ALL MEETINGS OF THE BOARD OF DIRECTORS AND PERFORMING OTHER DUTIES COMMONLY ASSOCIATED BY SUCH OFFICE AND AS DESIGNATED BY THE BOARD FROM TIME TO TIME. THE CHAIR WILL BE AN EX OFFICIO VOTING MEMBER OF ALL COMMITTEES. (D) DUTIES OF THE VICE CHAIR INCLUDE ACTING AS CHAIR IN THE ABSENCE OF THE CHAIR AND PERFORMING SUCH OTHER DUTIES AS DESIGNATED BY THE CHAIR FROM TIME TO TIME. (E) DUTIES OF THE SECRETARY INCLUDE KEEPING RECORDS OF ALL MEETINGS AND PROCEEDINGS OF THE BOARD OF DIRECTORS, ACTING AS CUSTODIAN OF ALL RECORDS AND REPORTS OF THE BOARD, AUTHENTICATING THE RECORDS OF ACH, AND PERFORMING OTHER DUTIES INCIDENT TO THE OFFICE OF SECRETARY AND AS DESIGNATED BY THE BOARD FROM TIME TO TIME. (F) DUTIES OF THE TREASURER INCLUDE ASSISTING WITH SUBMITTING THE OPERATING BUDGET AND CAPITAL BUDGET TO THE SOLE MEMBER FOLLOWING APPROVAL BY THE BOARD, MONITORING OPERATING PERFORMANCE TO THE OPERATING BUDGET ON A QUARTERLY BASIS, AND PERFORMING OTHER DUTIES AS PRESCRIBED BY THE BOARD FROM TIME TO TIME. REGARDING OFFICERS OF THE CORPORATION, SPECIFIC MODIFICATIONS TO THE GOVERNING DOCUMENTS ARE AS FOLLOWS: (A) THE OFFICERS OF THE CORPORATION SHALL INCLUDE A PRESIDENT AND CHIEF EXECUTIVE OFFICER AND SUCH OTHER OFFICERS HAVING SUCH DUTIES AND AUTHORITY AS MAY BE DETERMINED FROM TIME TO TIME BY THE PRESIDENT AND CHIEF EXECUTIVE OFFICER IN HIS OR HER DISCRETION OR BY THE BOARD IN ITS DISCRETION, CONSISTENT WITH THE CORPORATION'S ARTICLES OF INCORPORATION, THE BYLAWS, THE RESERVED POWERS OF THE MEMBER, AND ARKANSAS LAW. (B) THE PRESIDENT AND CHIEF EXECUTIVE OFFICER SHALL BE THE CHIEF EXECUTIVE OFFICER OF THE CORPORATION AND SHALL BE RESPONSIBLE FOR THE OPERATIONS AND MAINTENANCE OF THE HOSPITAL. THE PRESIDENT AND CHIEF EXECUTIVE OFFICER SHALL BE RESPONSIBLE FOR THE ADMINISTRATION OF ALL DEPARTMENTS OF THE CORPORATION, SUBJECT ONLY TO THE POLICIES ADOPTED AND DECISIONS MADE BY THE BOARD OF DIRECTORS. THE PRESIDENT AND CHIEF EXECUTIVE OFFICER SHALL BE THE DIRECT EXECUTIVE REPRESENTATIVE OF THE BOARD OF DIRECTORS AND THE MEMBER IN THE MANAGEMENT OF THE OPERATIONS OF THE CORPORATION. THE PRESIDENT AND CHIEF EXECUTIVE OFFICER SHALL BE APPOINTED BY THE CORPORATION'S BOARD OF DIRECTORS FROM AMONG CANDIDATES OR A CANDIDATE NOMINATED BY THE MEMBER, AND SHALL HOLD OFFICE UNTIL HER OR HIS SUCCESSOR SHALL BE APPOINTED AND QUALIFIED OR UNTIL HER OR HIS EARLIER RESIGNATION OR REMOVAL. NOTWITHSTANDING ANYTHING TO THE CONTRARY HEREIN, THE PRESIDENT AND CHIEF EXECUTIVE OFFICER MAY ALSO SERVE AS AN OFFICER AND/OR DIRECTOR OF THE MEMBER AND/OR AN AFFILIATE THEREOF. *REGARDING COMMITTEES OF THE BOARD, SPECIFIC MODIFICATIONS TO THE GOVERNING DOCUMENTS ARE AS FOLLOWS: (A) THE BOARD OF DIRECTORS MAY FROM TIME TO TIME DESIGNATE ONE (1) OR MORE COMMITTEES OF THE BOARD WITH SUCH DUTIES AND RESPONSIBILITIES AS IT DEEMS NECESSARY, ADVISABLE OR CONVENIENT. A COMMITTEE OF THE BOARD MAY BE ESTABLISHED EITHER AS A STANDING COMMITTEE OR AS AN AD HOC COMMITTEE FOR A SPECIAL PURPOSE. EACH COMMITTEE OF THE BOARD SHALL BE ESTABLISHED BY THE BOARD OF DIRECTORS, BY AT LEAST MAJORITY VOTE, AND SHALL CONSIST OF AT LEAST THREE (3) DIRECTORS. ALL COMMITTEES SHALL REPORT TO THE BOARD OF DIRECTORS, AND SHALL SERVE AT THE PLEASURE OF THE BOARD. THE CHAIR SHALL SERVE AS AN EX OFFICIO MEMBER OF ALL COMMITTEES OF WHICH THE CHAIR IS NOT OTHERWISE A REGULAR MEMBER, TO THE EXTENT PERMITTED BY APPLICABLE LAW. THE BOARD SHALL HAVE THE POWER AT ANY TIME TO CHANGE THE MEMBERSHIP OF ANY COMMITTEE, TO FILL VACANCIES ON ANY COMMITTEE AND TO DISCHARGE ANY COMMITTEE. THE BOARD MAY DESIGNATE ONE OR MORE DIRECTORS AS ALTERNATE MEMBERS OF ANY COMMITTEE, WHO MAY REPLACE ANY ABSENT OR DISQUALIFIED MEMBER AT ANY MEETING OF SUCH COMMITTEE. (B) NON-DIRECTOR MEMBERS SHALL BE AUTHORIZED TO PARTICIPATE AS VOTING MEMBERS OF A COMMITTEE ONLY ON MATTERS WHICH WILL BE REFERRED OR RECOMMENDED TO THE BOARD OF DIRECTORS FOR ITS FINAL ACTION. NON-DIRECTOR MEMBERS SHALL BE REQUIRED TO COMPLETE A CONFLICT OF INTEREST DISCLOSURE STATEMENT ANNUALLY, AND TO COMPLY WITH THE CORPORATION'S CONFLICT OF INTEREST POLICY. SUCH NON-DIRECTOR REPRESENTATIVES SHALL SERVE EITHER FOR A ONE (1) YEAR TERM (WHICH MAY BE RENEWED) OR AT THE PLEASURE OF THE BOARD OF DIRECTORS, AS DETERMINED BY THE BOARD OF DIRECTORS FROM TIME TO TIME. NON-DIRECTOR MEMBERS OF A COMMITTEE MAY INCLUDE MEMBERS OF THE MANAGEMENT TEAM OF THE CORPORATION OR THE MEMBER. (C) THE BOARD OF DIRECTORS MAY DELEGATE SUCH OF ITS POWERS AS IT DEEMS NECESSARY OR ADVISABLE TO COMMITTEES OF THE BOARD; PROVIDED, HOWEVER, THAT NO COMMITTEE OF THE BOARD SHALL HAVE THE AUTHORITY TO: (I) AUTHORIZE DISTRIBUTIONS; (II) ELECT, APPOINT OR REMOVE DIRECTORS OR FILL VACANCIES ON THE BOARD OR ANY OF ITS COMMITTEES; (III) ADOPT, AMEND OR REPEAL THE ARTICLES OF INCORPORATION OR BYLAWS; OR (IV) APPOINT OR ELECT THE PRESIDENT OF THE CORPORATION. ANY COMMITTEE MAY EXERCISE SUCH OF THE BOARD'S AUTHORITY AS IS GRANTED BY THE BOARD OF DIRECTORS, SUBJECT TO THE RESTRICTIONS CONTAINED IN THE CORPORATION'S ARTICLES OF INCORPORATION OR THESE BYLAWS. (D) THE STANDING COMMITTEES OF THE BOARD SHALL BE: (I) QUALITY AND SAFETY COMMITTEE AND (II) PLANNING AND DEVELOPMENT COMMITTEE. (E) THE QUALITY AND SAFETY COMMITTEE SHALL CONSIST OF AT LEAST FOUR (4) DIRECTORS APPOINTED ANNUALLY BY THE CHAIR, SUBJECT TO APPROVAL BY THE BOARD, AND SHALL ALSO INCLUDE THE CHIEF OF THE MEDICAL STAFF, THE CHIEF MEDICAL OFFICER, AND THE CHIEF NURSING OFFICER OF THE HOSPITAL. (F) THE QUALITY AND SAFETY COMMITTEE SHALL BE RESPONSIBLE FOR PROVIDING OVERSIGHT FOR QUALITY IMPROVEMENT ACTIVITIES AS RELATED TO QUALITY AND SAFETY OF PATIENT CARE AS OUTLINED IN ARTICLE VIII OF THE BYLAWS, AND FOR THE FOLLOWING DUTIES: (I) PROVIDE OVERSIGHT FOR QUALITY IMPROVEMENT/PATIENT CARE ACTIVITIES; (II) ADVISE WHERE APPROPRIATE TO ENSURE THAT GOALS AND PRIORITIES OF THE BOARD OF DIRECTORS ARE BEING ADEQUATELY ADDRESSED; (III) COMMUNICATE PERTINENT ACTIONS TAKEN OR CONTEMPLATED BY THE BOARD OF DIRECTORS OR MEDICAL STAFF; (IV) DELIBERATE ISSUES AFFECTING THE DISCHARGE OF MEDICAL STAFF RESPONSIBILITIES; (V) REVIEW PROBLEMS RELATIVE TO ACHIEVING AND MAINTAINING STANDARDS OF ACCREDITING AGENCIES; (VI) REVIEW AND EVALUATE THE QUALIFICATIONS AND COMPETENCE OF THOSE INDIVIDUALS PROPOSED FOR APPOINTMENT OR REAPPOINTMENT TO THE MEDICAL, DENTAL, AND AFFILIATED STAFFS THAT HAVE BEEN REFERRED TO IT BY THE MEDICAL STAFF EXECUTIVE COMMITTEE (MSEC) AND SHALL DETERMINE MEMBERSHIP TO THE MEDICAL, DENTAL, AND AFFILIATED STAFFS AND PRIVILEGES TO PRACTICE. THE COMMITTEE SHALL PERIODICALLY REVIEW AND APPROVE THE PROCESS FOR CREDENTIALING AND PRIVILEGING AS OUTLINED IN THE MEDICAL STAFF BYLAWS. (G) THE QUALITY AND SAFETY COMMITTEE SHALL MEET AT LEAST ELEVEN TIMES PER YEAR. (H) THE PLANNING AND DEVELOPMENT COMMITTEE SHALL CONSIST OF AT LEAST FOUR (4) DIRECTORS APPOINTED ANNUALLY BY THE CHAIR, SUBJECT TO APPROVAL BY THE BOARD, AND SHALL ALSO INCLUDE THE CHIEF FINANCIAL OFFICER AND THE CHIEF STRATEGY OFFICER OF THE MEMBER. (I) THE DUTIES OF THE PLANNING AND DEVELOPMENT COMMITTEE SHALL INCLUDE THE FOLLOWING: (I) CAUSE TO BE PREPARED, AND SUBMIT TO THE BOARD FOR ITS REVIEW AND APPROVAL, AND FOR SUBMISSION TO THE MEMBER FOR APPROVAL, AT ITS LAST MEETING BEFORE THE END OF THE FISCAL YEAR, AN OPERATING BUDGET AND CAPITAL BUDGET SHOWING THE EXPECTED RECEIPTS, INCOME EXPENSES AND CAPITAL EXPENDITURES FOR THE ENSUING YEAR; (II) OVERSEE THE DEVELOPMENT, IMPLEMENTATION AND UPDATING OF THE CORPORATION'S CAPITAL PLANS AND PROGRAMS, INCLUDING THE DURATION THEREOF, AND RECOMMEND FOR APPROVAL OF THE BOARD, SUCH CAPITAL PLANS AND PROGRAMS; (III) REVIEW, PROVIDE OVERSIGHT AND MAKE RECOMMENDATIONS TO THE BOARD REGARDING NEW STRATEGIC INITIATIVES AND REVIEW AND EVALUATE PERFORMANCE AGAINST THE CORPORATION'S BUSINESS DEVELOPMENT GOALS; (IV) OVERSEE THE CONDUCT OF THE HOSPITAL'S COMMUNITY HEALTH NEEDS ASSESSMENT AND THE PREPARATION OF ITS RELATED REPORT AND IMPLEMENTATION STRATEGY IN COMPLIANCE WITH THE REQUIREMENTS IMPOSED ON THE HOSPITAL UNDER SECTION 501(R) OF THE INTERNAL REVENUE CODE OF 1986, AS AMENDED, AND THE PREPARATION OF THE HOSPITAL'S ANNUAL COMMUNITY BENEFIT REPORT. (J) THE PLANNING AND DEVELOPMENT COMMITTEE SHALL MEET AT LEAST QUARTERLY.
PART VI, SECTION A, LINE 4 (CONTINUED);	REGARDING GENERAL PROVISIONS, SPECIFIC MODIFICATIONS TO THE GOVERNING DOCUMENTS ARE AS FOLLOWS: (A) BOOKS & RECORDS - THE FOLLOWING ITEMS SHALL BE KEPT AT THE ACH OFFICE: CORRECT AND COMPLETE BOOKS OF ACCOUNT; MINUTES AND RECORDS OF THE PROCEEDINGS OF THE SOLE MEMBER ACTING IN ITS CAPACITY OF MEMBER OF THE CORPORATION AND OF THE BOARD AND COMMITTEES THEREOF, INCLUDING ANY ACTIONS TAKEN BY UNANIMOUS WRITTEN CONSENT; A CURRENT LIST OF ACH'S DIRECTORS AND OFFICERS; A COPY OF ACH'S APPLICATION FOR RECOGNITION OF ITS 501(C)(3) TAX-EXEMPT STATUS; AND COPIES OF ACH'S FILED ANNUAL IRS FORMS 990. (B) ANNUAL AUDITS - AT LEAST ONCE EACH YEAR, THE SOLE MEMBER SHALL ENGAGE AN INDEPENDENT ACCOUNTING FIRM TO CONDUCT AN AUDIT OF THE BOOKS AND ACCOUNTS OF ACH AND ITS AFFILIATES AND WILL PROVIDE A COPY OF THE AUDIT REPORT TO THE BOARD OF DIRECTORS. (C) REVIEW OF BYLAWS - AT LEAST ONCE EVERY TWO (2) YEARS, OR PROMPTLY UPON A CHANGE IN APPLICABLE LAW, THE BOARD OF DIRECTORS SHALL REVIEW, OR DELEGATE THE REVIEW OF THE BYLAWS AND SHALL RECOMMEND TO THE SOLE MEMBER ANY SUCH AMENDMENTS AS ARE NECESSARY OR ADVISABLE. (D) CONFLICT OF INTEREST POLICY - THE BOARD SHALL ADOPT, AND SHALL CAUSE THE DIRECTORS, NON-DIRECTOR COMMITTEE MEMBERS, OFFICERS, AND KEY EMPLOYEES OF THE CORPORATION TO ADHERE TO, A CONFLICT OF INTEREST POLICY THAT IS SUBSTANTIALLY CONSISTENT WITH THE PRINCIPLES AND STANDARDS ESTABLISHED FOR ADDRESSING CONFLICTS OF INTEREST BY APPLICABLE LAW, REGULATION, OR ADMINISTRATIVE GUIDANCE AND WITH PREVAILING BEST PRACTICES FOR 501(C)(3) TAX-EXEMPT ORGANIZATIONS. A COPY OF SUCH CONFLICT OF INTEREST POLICY SHALL BE PROVIDED TO EACH NEWLY APPOINTED DIRECTOR AND TO ALL DIRECTORS ON AN ANNUAL BASIS, TOGETHER WITH AN ANNUAL CONFLICT OF INTEREST DISCLOSURE STATEMENT. REGARDING MAINTAINING A UNIFIED HEALTH SYSTEM, THE BYLAWS STATE THE FOLLOWING: "IN ORDER TO ESTABLISH THE RELATIONSHIPS AMONG THE CONSTITUENT ENTITIES OF THE HEALTH SYSTEM WHICH ARE NECESSARY TO MAINTAIN AN INTEGRATED, UNIFIED SYSTEM, THE CORPORATION SHALL REQUIRE, TO THE EXTENT PERMITTED BY APPLICABLE LAW, THAT THE GOVERNING DOCUMENTS OF ANY ENTITY OF WHICH THE CORPORATION IS THE SOLE CORPORATE MEMBER OR OTHER SOLE CONTROLLING ORGANIZATION CONTAIN THE FOLLOWING: (A) PROVISIONS WHICH RESERVE TO THE CORPORATION THE POWERS OVER SUCH ENTITY AS MAY BE REQUIRED BY THESE BYLAWS, APPLICABLE HEALTH SYSTEM POLICIES OR AS OTHERWISE DETERMINED BY THE MEMBER FROM TIME TO TIME; (B) PROVISIONS WHICH RESERVE TO SUCH ENTITY SUCH POWERS OVER ORGANIZATIONS IT CONTROLS AS MAY BE REQUIRED BY THESE BYLAWS, APPLICABLE HEALTH SYSTEM POLICIES OR AS OTHERWISE DETERMINED BY THE MEMBER FROM TIME TO TIME; AND (C) PROVISIONS WHICH REQUIRE SUCH ENTITY TO REQUIRE THAT THE GOVERNING DOCUMENTS OF ORGANIZATIONS THAT IT IN TURN CONTROLS CONTAIN PROVISIONS WHICH RESERVE TO THE CORPORATION THE POWERS SET FORTH IN THESE BYLAWS, THE GOVERNING DOCUMENTS OF SUCH ENTITY, THESE BYLAWS, APPLICABLE HEALTH SYSTEM POLICIES OR AS OTHERWISE DETERMINED BY THE MEMBER FROM TIME TO TIME."
FORM 990, PART IX, LINE 11G	PHYSICIAN'S REMUNERATION: PROGRAM SERVICE EXPENSES 68,483,176. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 68,483,176. TESTING: PROGRAM SERVICE EXPENSES 3,547,629. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 3,547,629. OTHER FEES FOR SERVICE: PROGRAM SERVICE EXPENSES 11,715,556. MANAGEMENT AND GENERAL EXPENSES 6,972,504. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 18,688,060.
FORM 990, PART XI, LINE 9:	UNEXPENDED GRANT CARRYOVER ADJUSTMENTS -21,924. ASSET TRANSFER TO ACRI -9,119. TEMPORARY TRANSFER OF NET ASSETS TO ACNW -20,000,000. TRANSFER OF HIPPY FROM ACRI TO ACH 15,464.
FORM 990, PART XII, LINE 2C	IT IS PART OF THE RESERVED POWERS OF ARKANSAS CHILDREN'S, INC. TO RETAIN, OVERSEE AND TERMINATE INDEPENDENT EXTERNAL AUDITORS TO AUDIT THE FINANCIAL STATEMENTS OF ACH OR OF ANY AFFILIATE. ONE OF THE STANDING COMMITTEES OF ARKANSAS CHILDREN'S, THE FINANCIAL PLANNING AND OVERSIGHT COMMITTEE, SHALL UNDERTAKE THE FOLLOWING DUTIES IN THE AREAS OF FINANCE AND AUDITS: (I) CAUSING TO BE PREPARED, AND SUBMIT TO THE BOARD OF DIRECTORS AT ITS LAST MEETING BEFORE THE END OF THE FISCAL YEAR, THE CAPITAL AND OPERATING BUDGETS OF THE CORPORATION, AS WELL AS THE CAPITAL AND OPERATING BUDGETS OF AFFILIATES; (II) EXAMINING THE MONTHLY FINANCIAL REPORTS OF THE HEALTH SYSTEM; (III) REVIEWING THE INTERNAL AUDITING FUNCTIONS OF THE HEALTH SYSTEM; (IV) ENGAGING AN EXTERNAL AUDIT FIRM, SUBJECT TO APPROVAL BY THE BOARD OF DIRECTORS; (V) REVIEWING WITH THE INDEPENDENT AUDITOR THE SCOPE AND PLANNING OF THE AUDIT PRIOR TO THE COMMENCEMENT OF THE AUDIT, AS WELL AS UPON COMPLETION OF THE AUDIT, REVIEWING AND DISCUSSING WITH THE INDEPENDENT AUDITOR ANY MATERIAL RISKS OR WEAKNESSES IN INTERNAL CONTROLS IDENTIFIED BY THE AUDITOR, ANY RESTRICTIONS ON THE SCOPE OF THE AUDITOR'S ACTIVITIES OR ACCESS TO REQUESTED INFORMATION, ANY SIGNIFICANT DISAGREEMENTS BETWEEN THE AUDITOR AND MANAGEMENT, AND THE ADEQUACY OF THE HEALTH SYSTEM'S ACCOUNTING AND FINANCIAL REPORTING PROCESSES; (VI) ANNUALLY CONSIDERING THE PERFORMANCE AND INDEPENDENCE OF THE INDEPENDENT AUDITOR; (VII) REVIEWING AND REPORTING TO THE BOARD ON THE ANNUAL AUDITED FINANCIAL STATEMENT OF THE HEALTH SYSTEM CERTIFIED BY THE CORPORATION'S CERTIFIED PUBLIC ACCOUNTANTS, TOGETHER WITH SUCH CERTIFIED PUBLIC ACCOUNTANTS' MANAGEMENT LETTER TO THE CORPORATION WHICH THE COMMITTEE SHALL REVIEW AND REPORT ON TO THE BOARD OF DIRECTORS; (VIII) SUGGESTING MEANS TO IMPROVE FISCAL ACCOUNTABILITY AND INTERNAL AUDIT PROCEDURES FOR THOSE AREAS IDENTIFIED AS REQUIRING IMPROVEMENT; (IX) PROVIDING OVERSIGHT FOR THE HEALTH SYSTEM'S CORPORATE COMPLIANCE PROGRAM, INCLUDING CORPORATE ETHICS AND COMPLIANCE WITH LEGAL AND REGULATORY REQUIREMENTS; AND (X) REPORTING ON THE FINANCIAL PLANNING AND OVERSIGHT COMMITTEE'S ACTIVITIES TO THE FULL BOARD.
FORM 990, PART XII, LINE 3B	THE CONSOLIDATED ORGANIZATION IS REQUIRED TO UNDERGO AN AUDIT AS SET FORTH IN THE SINGLE AUDIT ACT AND OMB CIRCULAR A-133 AND DID UNDERGO THAT REQUIRED AUDIT.

For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.

Cat. No. 51056K

Schedule O (Form 990 or 990-EZ) 2015

Additional Data

Software ID:
Software Version:

1	Briefly describe the organization’s mission or most significant activities: WE CHAMPION CHILDREN BY MAKING THEM BETTER TODAY AND HEALTHIER TOMORROW.
2	Check this box
3	Number of voting members of the governing body (Part VI, line 1a) ........	3	15
4	Number of independent voting members of the governing body (Part VI, line 1b) .....	4	11
5	Total number of individuals employed in calendar year 2015 (Part V, line 2a) ......	5	4,734
6	Total number of volunteers (estimate if necessary) .............	6	3,684
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

		Prior Year	Current Year
8	Contributions and grants (Part VIII, line 1h) .........	37,839,032	36,485,015
9	Program service revenue (Part VIII, line 2g) .........	506,921,438	530,747,550
10	Investment income (Part VIII, column (A), lines 3, 4, and 7d ) ....	4,021,865	2,279,216
11	Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e)	15,035,203	12,392,068
12	Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)	563,817,538	581,903,849
13	Grants and similar amounts paid (Part IX, column (A), lines 1–3 )...	6,109,741	5,900,130
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)	253,942,823	262,118,276
16a	Professional fundraising fees (Part IX, column (A), line 11e) .....	0	0
b	Total fundraising expenses (Part IX, column (D), line 25) 0
17	Other expenses (Part IX, column (A), lines 11a–11d, 11f–24e)....	246,032,776	250,977,764
18	Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25)	506,085,340	518,996,170
19	Revenue less expenses. Subtract line 18 from line 12.......	57,732,198	62,907,679
		Beginning of Current Year	End of Year
20	Total assets (Part X, line 16).............	787,814,566	834,291,161
21	Total liabilities (Part X, line 26).............	185,201,266	186,908,407
22	Net assets or fund balances. Subtract line 21 from line 20.....	602,613,300	647,382,754

Sign Here

	Signature of officer	Date

	Type or print name and title


4a	(Code: ) (Expenses $ 428,221,025 including grants of $ 5,900,130 ) (Revenue $ 536,822,799 )
	ARKANSAS CHILDREN'S HOSPITAL (ACH) IS A NOT-FOR-PROFIT PEDIATRIC HOSPITAL THAT SERVES AS THE ONLY TERTIARY HEALTH CARE FACILITY FOR CHILDREN IN THE STATE OF ARKANSAS. ACH HAS THE ONLY BURN CENTER IN ARKANSAS AND PROVIDES TREATMENT TO ADULTS AS WELL AS CHILDREN. DURING THE YEAR ENDED JUNE 30, 2016, ACH EXPERIENCED THE FOLLOWING: 14,867 ADMISSIONS WITH AN AVERAGE STAY OF 5.29 DAYS; 81,001 PATIENT DAYS; 221.3 AVERAGE DAILY CENSUS; 334 OPERATING BEDS, INCLUDING 170 INTENSIVE CARE BEDS AND 151 MEDICAL/SURGICAL BEDS; 250,000 OUTPATIENT VISITS, EXCLUDING ER VISITS WHICH WERE 60,951; AND 14,999 SURGERIES INCLUDING 9 HEART TRANSPLANTS AND 3 KIDNEY TRANSPLANTS. CONTINUED ON SCHEDULE O: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 FOR CHILDREN AND FAMILIES AT HEALTH FAIRS AND SEMINARS.ACH IS THE STATE'S ONLY PEDIATRIC LEVEL 1 TRAUMA CENTER, AN INDICATION THAT IT PROVIDES THE HIGHEST STANDARD OF CARE FOR INJURED CHILDREN.

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 expenses428,221,025

1b	Sub-Total................
c	Total from continuation sheets to Part VII, Section A....
d	Total (add lines 1b and 1c)...........	6,617,786	0	639,914

1a	Federated campaigns..		1a
b	Membership dues..		1b
c	Fundraising events..		1c
d	Related organizations		1d	18,297,952
e	Government grants (contributions)		1e	18,187,063

f	All other contributions, gifts, grants, and similar amounts not included above		1f

g	Noncash contributions included in lines 1a-1f:$
h Total.Add lines 1a-1f.......		36,485,015

			Business Code
2a	PAYMENTS FOR MED SVCS	900099	530,747,550	530,747,550
b
c
d
e
f	All other program service revenue.
g Total.Add lines 2a–2f.....			530,747,550

3 Investment income (including dividends, interest, and othersimilar amounts) ..........			4,577,970			4,577,970
4 Income from investment of tax-exempt bond proceeds
5 Royalties...........
		(ii) Personal	(i) Real
6a	Gross rents		1,340,886
b	Less: rental expenses		1,535
c	Rental income or (loss)		1,339,351
d	Net rental income or (loss)......			1,339,351			1,339,351
		(ii) Other	(i) Securities
7a	Gross amount from sales of assets other than inventory	80,450
b	Less: cost or other basis and sales expenses	2,379,204
c	Gain or (loss)	-2,298,754
d	Net gain or (loss).....			-2,298,754			-2,298,754
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..
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..
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..
Business Code			Miscellaneous Revenue
11a	NUTRITIONAL SERVICES		900099	3,510,351			3,510,351
b	PATIENT CENTERED MEDIC		900099	1,718,066	1,718,066
c	CHILD ENRICHMENT		900099	1,467,117			1,467,117
d	All other revenue ....			4,357,183	4,357,183
e	Total. Add lines 11a–11d ......			11,052,717
12	Total revenue. See Instructions......			581,903,849	536,822,799	0	8,596,035

1	Grants and other assistance to domestic organizations and domestic governments. See Part IV, line 21	5,615,179	5,615,179
2	Grants and other assistance to individuals in the United States. See Part IV, line 22	284,951	284,951
3	Grants and other assistance to governments, organizations, and individuals outside the United States. See Part IV, lines 15 and 16
4	Benefits paid to or for members
5	Compensation of current officers, directors, trustees, and key employees ....	6,528,203	2,535,034	3,993,169
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	209,845,885	167,297,367	42,548,518
8	Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) ....	10,048,677	7,948,614	2,100,063
9	Other employee benefits .......	20,099,032	16,069,005	4,030,027
10	Payroll taxes ...........	15,596,479	12,336,987	3,259,492
11	Fees for services (non-employees):
a	Management ......	2,021,859	1,108,187	913,672
b	Legal .........	824,850	7,919	816,931
c	Accounting ...........	273,366		273,366
d	Lobbying ...........	102,510	102,510
e	Professional fundraising services. See Part IV, line 17
f	Investment management fees ......
g	Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O)	90,718,865	83,746,361	6,972,504
12	Advertising and promotion ....	539,581	497,847	41,734
13	Office expenses .......	7,186,951	2,761,983	4,424,968
14	Information technology ......	12,661,372	6,695,273	5,966,099
15	Royalties ..
16	Occupancy ...........	4,673,998	3,884,771	789,227
17	Travel ............	2,249,071	1,882,702	366,369
18	Payments of travel or entertainment expenses for any federal, state, or local public officials .
19	Conferences, conventions, and meetings ....	803,288	643,820	159,468
20	Interest ...........	5,891,820		5,891,820
21	Payments to affiliates .......
22	Depreciation, depletion, and amortization ..	27,468,353	23,845,524	3,622,829
23	Insurance ...	1,541,279	1,173,009	368,270
24	Other expenses. Itemize expenses not covered above (List miscellaneous expenses in line 24e. If line 24e amount exceeds 10% of line 25, column (A) amount, list line 24e expenses on Schedule O.)
a	MEDICAL SUPPLIES	73,448,521	73,028,390	420,131
b	MINOR EQUIPMENT	4,918,498	3,465,346	1,453,152
c	DUES & SUBSCRIPTIONS	1,245,351	707,964	537,387
d	PROVISION FOR BAD DEBT	892,777	892,777
e	All other expenses	13,515,454	11,689,505	1,825,949
25	Total functional expenses. Add lines 1 through 24e	518,996,170	428,221,025	90,775,145	0
26	Joint costs. Complete this line only if the organization reported in column (B) joint costs from a combined educational campaign and fundraising solicitation. Check here if following SOP 98-2 (ASC 958-720).

1	Cash–non-interest-bearing ........			13,431	1	12,931
2	Savings and temporary cash investments .........			54,396,344	2	58,058,445
3	Pledges and grants receivable, net ......				3
4	Accounts receivable, net .............			51,645,351	4	63,388,354
5	Loans and other receivables from current and former officers, directors, trustees, key employees, and highest compensated employees. Complete Part II of Schedule L
					5	100,000
6	Loans and other receivables from other disqualified persons (as defined under section 4958(f)(1)), persons described in section 4958(c)(3)(B), and contributing employers and sponsoring organizations of section 501(c)(9) voluntary employees' beneficiary organizations (see instructions) Complete Part II of Schedule L
					6
7	Notes and loans receivable, net ....				7
8	Inventories for sale or use ........			8,228,480	8	8,333,021
9	Prepaid expenses and deferred charges ......			5,304,832	9	5,596,371
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	582,472,340
b	Less: accumulated depreciation	10b	297,135,623	285,114,777	10c	285,336,717
11	Investments—publicly traded securities .			262,774,498	11	269,529,289
12	Investments—other securities. See Part IV, line 11 .....			439,198	12	485,277
13	Investments—program-related. See Part IV, line 11 ..			368,888	13	233,916
14	Intangible assets ...............				14
15	Other assets. See Part IV, line 11 ...........			119,528,767	15	143,216,840
16	Total assets. Add lines 1 through 15 (must equal line 34)...			787,814,566	16	834,291,161

17	Accounts payable and accrued expenses .....	58,069,321	17	68,558,363
18	Grants payable ...		18
19	Deferred revenue .........		19
20	Tax-exempt bond liabilities .........	126,998,208	20	118,100,210
21	Escrow or custodial account liability. Complete Part IV of Schedule D		21
22	Loans and other 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 (including federal income tax, payables to related third parties, and other liabilities not included on lines 17-24). Complete Part X of Schedule D	133,737	25	249,834
26	Total liabilities. Add lines 17 through 25..	185,201,266	26	186,908,407

	Organizations that follow SFAS 117 (ASC 958), check here and complete lines 27 through 29, and lines 33 and 34.
27	Unrestricted net assets	576,237,364	27	620,688,454
28	Temporarily restricted net assets ...........	26,375,936	28	26,694,300
29	Permanently restricted net assets		29
	Organizations that do not follow SFAS 117 (ASC 958), check here 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 ...........	602,613,300	33	647,382,754
34	Total liabilities and net assets/fund balances ........	787,814,566	34	834,291,161

(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 entity?
(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	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 INC		No
(2)ARKANSAS CHILDREN'S RESEARCH INSTITUTE 13 CHILDRENS WAY LITTLE ROCK,AR72202 71-0694931	RESEARCH	AR	501(C)(3)	LINE 7	ARKANSAS CHILDREN'S INC		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	NA - MERGED INTO ACRI AS OF 6302016		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 INC		No
(5)ARKANSAS CHILDREN'S NORTHWEST 1 CHILDRENS WAY LITTLE ROCK,AR72202 81-0817660	HOSPITAL	AR	501(C)(3)	LINE 3	ARKANSAS CHILDREN'S INC		No
(6)ARKANSAS CHILDREN'S INC 1 CHILDRENS WAY LITTLE ROCK,AR72202 81-0801296	HEALTH CARE SYSTEM - PARENT CORPORATION	AR	501(C)(3)	LINE 11B, II	NA		No

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(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?
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(f) Share of total income	(g) Share of end-of-year assets	Yes	No	(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	Yes	No

(a) Name of related organization	(b) Transaction type (a-s)	(c) Amount involved	(d) Method of determining amount involved
(1) ARKANSAS CHILDREN'S RESEARCH INSTITUTE	B	4,221,330	FMV
(2) ARKANSAS CHILDREN'S HOSPITAL FOUNDATION	C	18,297,952	FMV
(3) ARKANSAS CHILDREN'S HOSPITAL FOUNDATION	M	6,096,127	COST
(4) CHILDREN'S HEALTHCARE SYSTEM INC	M	184,350	FMV
(5) ARKANSAS CHILDREN'S HOSPITAL FOUNDATION	N	2,246,847	COST
(6) ARKANSAS CHILDREN'S RESEARCH INSTITUTE	N	1,006,958	COST
(7) ARKANSAS CHILDREN'S HOSPITAL BUILDING RESEARCH FACILITY INC	N	58,307	COST
(8) ARKANSAS CHILDREN'S HOSPITAL AUXILIARY	N	265,560	COST
(9) CHILDREN'S HEALTHCARE SYSTEM INC	O	168,923	COST
(10) ARKANSAS CHILDREN'S HOSPITAL AUXILIARY	O	263,611	COST
(11) ARKANSAS CHILDREN'S HOSPITAL BUILDING RESEARCH FACILITY INC	O	72,656	COST
(12) ARKANSAS CHILDREN'S HOSPITAL FOUNDATION	O	383,231	COST
(13) ARKANSAS CHILDREN'S RESEARCH INSTITUTE	O	549,184	COST
(14) CHILDREN'S HEALTHCARE SYSTEM INC	Q	64,101	FMV
(15) ARKANSAS CHILDREN'S HOSPITAL AUXILIARY	Q	77,067	FMV
(16) ARKANSAS CHILDREN'S RESEARCH INSTITUTE	Q	1,197,697	FMV
(17) ARKANSAS CHILDREN'S HOSPITAL FOUNDATION	Q	563,957	FMV
(18) ARKANSAS CHILDREN'S RESEARCH INSTITUTE	R	4,117,145	FMV
(19) ARKANSAS CHILDREN'S RESEARCH INSTITUTE	S	17,970,451	FMV
(20) ARKANSAS CHILDREN'S HOSPITAL FOUNDATION	S	4,327,781	FMV
(21) ARKANSAS CHILDREN'S HOSPITAL BUILDING RESEARCH FACILITY INC	S	124,886	FMV
(22) ARKANSAS CHILDREN'S HOSPITAL AUXILIARY	S	1,379,129	FMV
(23) ARKANSAS CHILDREN'S NORTHWEST	S	3,612,512	FMV
(24) ARKANSAS CHILDREN'S NORTHWEST	R	20,000,000	COST
(25) CHILDREN'S HEALTHCARE SYSTEM INC	A	4,831	FMV

(a) Name, address, and EIN of entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	(e) Are all partners section 501(c)(3) organizations?		(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?
(a) Name, address, and EIN of entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	Yes	No	(f) Share of total income	(g) Share of end-of-year assets	Yes	No	(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	Yes	No