TY 2022 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/1099-NEC)
(1) MARCELLA DODERER...................................................................... PRESIDENT/CEO	0.59 ................. 56.01	X	X	0	2,003,751	270,566
(2) HUNTER BALE...................................................................... TRUSTEE/DIRECTOR	0.11 ................. 0.00	X		0	0	0
(3) JOHN BALE JR...................................................................... TRUSTEE/DIRECTOR (PARTIAL YEAR)	0.24 ................. 0.14	X		0	0	0
(4) TRAV BAXTER...................................................................... TRUSTEE/DIRECTOR	0.56 ................. 0.00	X		0	0	0
(5) MELISSA GRAHAM MD...................................................................... TRUSTEE/DIRECTOR	0.51 ................. 0.00	X		0	0	0
(6) DOUGLAS JACKSON...................................................................... VICE CHAIR	0.30 ................. 0.00	X		0	0	0
(7) RICHARD JACOBS MD...................................................................... TRUSTEE/DIRECTOR	0.59 ................. 0.00	X		0	0	0
(8) TIONNA JENKINS PHD...................................................................... TRUSTEE/DIRECTOR	0.47 ................. 0.00	X		0	0	0
(9) PHILLIP JETT...................................................................... BOARD TREASURER	0.25 ................. 0.11	X		0	0	0
(10) HOLLY MARR...................................................................... TRUSTEE/DIRECTOR	0.45 ................. 0.00	X		0	0	0
(11) PAT MCCLELLAND...................................................................... TRUSTEE/DIRECTOR	0.42 ................. 0.21	X		0	0	0
(12) BARBARA G MOORE...................................................................... TRUSTEE/DIRECTOR	0.31 ................. 0.17	X		0	0	0
(13) BEVERLY A MORROW...................................................................... CHAIR OF THE BOARD	0.68 ................. 0.19	X		0	0	0
(14) GRESHAM RICHTER MD...................................................................... TRUSTEE/DIRECTOR-CHIEF OF MED STAFF	55.56 ................. 0.00	X		649,911	2,275	61,040
(15) ROSS WHIPPLE...................................................................... TRUSTEE/DIRECTOR	0.31 ................. 0.00	X		0	0	0
(16) DARRIN WILLIAMS...................................................................... TRUSTEE/DIRECTOR	0.26 ................. 0.00	X		0	0	0
(17) GENA WINGFIELD...................................................................... EVP/CHIEF FINANCIAL OFFICER	0.00 ................. 48.06		X	0	819,786	96,771

(A) Name and title	(B) Average hours per week (list any hours for related organizations below dotted line)	(F) Estimated amount of other compensation from the organization and related organizations
(18) FREDERICK BARR MD........................................................................ EVP-CHIEF CLINICAL & ACADEMIC OFCR	18.00 .......................42.31	X			0	872,402	96,924
(19) JAMIE WIGGINS........................................................................ EVP/COO	0.00 .......................50.00	X			0	644,204	71,983
(20) ERIN PARKER........................................................................ SVP/CIO	0.00 .......................48.00	X			0	439,171	59,250
(21) CINDY HILL........................................................................ FINANCIAL SERVICES VP	55.00 .......................0.00	X			336,822	0	24,096
(22) LEE ANNE EDDY........................................................................ PATIENT CARE SVC SVP/CNO (PARTIAL YR)	50.00 .......................0.00	X			313,762	0	5,557
(23) LE'KITA BROWN........................................................................ REVENUE CYCLE VP	50.00 .......................0.00	X			309,846	0	21,964
(24) CARRIE LEE........................................................................ PATIENT CARE SVCS VP (PARTIAL YR)	50.00 .......................0.00	X			256,741	0	25,148
(25) TAMMY DIAMOND-WELLS........................................................................ PATIENT CARE SERVICES VP	50.00 .......................0.00	X			252,075	0	27,335
(26) ROBIN MITCHELL........................................................................ VP OPERATIONS	48.00 .......................0.00	X			219,144	0	12,316
(27) ANN KRUGER........................................................................ INTERIM SVP/CNO (PARTIAL YEAR)	50.00 .......................0.00	X			196,380	0	16,702
(28) KENDREA JONES........................................................................ PHARMACY DIRECTOR	50.00 .......................0.00	X			175,029	0	27,623
(29) KRIS MADDALENA........................................................................ SVP/CNO (PARTIAL YEAR)	50.00 .......................0.00	X			172,236	0	3,357
(30) JOHN MCNALLY........................................................................ MEDICAL ADMINISTRATION DIRECTOR	50.00 .......................0.00	X			169,479	0	5,099
(31) RACHEL FRENNER........................................................................ DIRECTOR LABORATORY	48.00 .......................0.00	X			157,851	0	21,147
(32) STEPHANIE ROCKETT........................................................................ DIRECTOR PATIENT CARE SERVICES	50.00 .......................0.00	X			157,600	0	25,697
(33) AMY FALLON........................................................................ OPERATIONS SVP	0.00 .......................50.00	X			20,114	331,727	31,144
(34) GREGORY SHARP MD........................................................................ SVP/CHIEF MEDICAL OFFCR (PARTIAL YR)	55.00 .......................0.00	X			494,016	0	70,182
(35) JARED CAPOUYA........................................................................ QUALITY & SAFETY VP (PARTIAL YEAR)	50.00 .......................0.00		X		385,981	0	28,451
(36) CHRISTIAN EISENRING........................................................................ SURGICAL ASSISTANT COORDINATOR	50.00 .......................0.00		X		252,404	0	25,147
(37) ANGELA GLOVER........................................................................ PATIENT CARE MANAGER	50.00 .......................0.00		X		230,092	0	20,141
(38) BETH PETLAK........................................................................ VP POPULATION HEALTH/CHS EXEC DIR	50.00 .......................0.00		X		224,894	0	15,289
(39) STEPHANIE PIERCE........................................................................ STRATEGIC MARKETING VP	50.00 .......................0.00		X		221,655	0	28,737
(40) SHANNON HENDRIX........................................................................ ACNW CHIEF ADMIN (FORMER ACH VP)	0.00 .......................50.00			X	0	372,794	62,720

(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	85,177,852
CROSS COUNTRY STAFFING INC PO BOX 404674 ATLANTA,GA303844674	STAFFING	19,674,213
CROTHALL HEALTHCARE 13028 COLLECTION CENTER DRIVE CHICAGO,IL60693	PATIENT TRANSPORT/EVS/LINEN SVC	11,279,650
COMPASS ONE PO BOX 102289 ATLANTA,GA303682289	NUTRITION SERVICES	8,951,929
NABHOLZ CONSTRUCTION CORP PO BOX 2090 CONWAY,AR72033	GENERAL CONSTRUCTION CONTRACTOR	7,030,033
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 117

- TIN:

SCHEDULE A
(Form 990)

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.
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Attach to Form 990 or Form 990-EZ.
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Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2022

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 12, 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).)

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 agricultural research organization described in 170(b)(1)(A)(ix) operated in conjunction with a land-grant college or university or a non-land grant college of agriculture. See instructions. Enter the name, city, and state of the college or university:

An organization that normally receives: (1) more than 33 1/3% 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 33 1/3% 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 on lines 12a through 12d that describes the type of supporting organization and complete lines 12e, 12f, and 12g.

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) 2022

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 failed to qualify under the tests listed below, please complete Part III.)

Section A. Public Support

Calendar year (or fiscal year beginning in)		(a) 2018	(b) 2019	(c) 2020	(d) 2021	(e) 2022	(f) Total
1	Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grant.") ..
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) 2018	(b) 2019	(c) 2020	(d) 2021	(e) 2022	(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 5 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 2022 (line 6, column (f) divided by line 11, column (f)) .........

Public support percentage for 2020 Schedule A, Part II, line 14 ...............

16a

33 1/3% support test—2022. 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—2021. 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—2022. 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—2021. 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) 2022

Page 3

Part III

Support Schedule for Organizations Described in Section 509(a)(2)
(Complete only if you checked the box on line 10 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) 2018	(b) 2019	(c) 2020	(d) 2021	(e) 2022	(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) 2018	(b) 2019	(c) 2020	(d) 2021	(e) 2022	(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 on 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 5 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 2022 (line 8, column (f) divided by line 13, column (f)) .........

Public support percentage from 2021 Schedule A, Part III, line 15 ...............

Section D. Computation of Investment Income Percentage

Investment income percentage for 2022 (line 10c, column (f) divided by line 13, column (f)) ......

Investment income percentage from 2021 Schedule A, Part III, line 17 .............

19a

33 1/3% support tests-2022. 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—2021. 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) 2022

Page 4

Part IV

Supporting Organizations

(Complete only if you checked a box on line 12 of Part I. If you checked box 12a, of Part I, complete Sections A and B. If you checked box 12b, of Part I, complete Sections A and C. If you checked box 12c, of Part I, complete Sections A, D, and E. If you checked box12d, 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 lines 3b and 3c 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 box 12a or 12b in Part I, answer lines 4b and 4c 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 lines 5b and 5c 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) .

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

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 on 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 on 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) 2022

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 on lines 11b and 11c below, the governing body of a supported organization?

11a

A family member of a person described on 11a above?

11b

A 35% controlled entity of a person described on line 11a or 11b above? If “Yes” to 11a, 11b, or 11c, provide detail in Part VI.

11c

Section B. Type I Supporting Organizations

Yes

Did the officers, 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 line 2 above, 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 lines 2a and 2b 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 on line 2a, above 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 lines 3a and 3b 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?If "Yes" or "No", 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) 2022

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 (explain in Part VI). 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 0.015 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 0.035	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) 2022

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	1
2 Amounts paid to perform activity that directly furthers exempt purposes of supported organizations, in excess of income from activity	2
3 Administrative expenses paid to accomplish exempt purposes of supported organizations	3
4 Amounts paid to acquire exempt-use assets	4
5 Qualified set-aside amounts (prior IRS approval required - provide details in Part VI)	5
6 Other distributions (describe in Part VI). See instructions	6
7Total annual distributions. Add lines 1 through 6.	7
8 Distributions to attentive supported organizations to which the organization is responsive (provide details in Part VI). See instructions	8
9 Distributable amount for 2022 from Section C, line 6	9
10 Line 8 amount divided by Line 9 amount	10

Section E - Distribution Allocations (see instructions)		(i) Excess Distributions	(ii) Underdistributions Pre-2022	(iii) Distributable Amount for 2022
1 Distributable amount for 2022 from Section C, line 6
2 Underdistributions, if any, for years prior to 2022 (reasonable cause required-- explain in Part VI). See instructions.
3 Excess distributions carryover, if any, to 2022:
a From 2017.......
b From 2018.......
c From 2019.......
d From 2020.......
e From 2021.......
fTotal of lines 3a through e
g Applied to underdistributions of prior years
h Applied to 2022 distributable amount
i Carryover from 2017 not applied (see instructions)
j Remainder. Subtract lines 3g, 3h, and 3i from line 3f.
4Distributions for 2022 from Section D, line 7:
$
a Applied to underdistributions of prior years
b Applied to 2022 distributable amount
c Remainder. Subtract lines 4a and 4b from line 4.
5 Remaining underdistributions for years prior to 2022, if any. Subtract lines 3g and 4a from line 2. If the amount is greater than zero, explain in Part VI. See instructions.
6 Remaining underdistributions for 2022. Subtract lines 3h and 4b from line 1. If the amount is greater than zero, explain in Part VI. See instructions.
7 Excess distributions carryover to 2023. Add lines 3j and 4c.
8 Breakdown of line 7:
a Excess from 2018.....
b Excess from 2019.....
c Excess from 2020.....
d Excess from 2021.....
e Excess from 2022.....

Schedule A (Form 990) (2022)

Schedule A (Form 990) 2022

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) 2022

Additional Data

Software ID:
Software Version:

- TIN:

Schedule B
(Form 990)

Department of the Treasury
Internal Revenue Service

Schedule of Contributors

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

Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2022

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. Don't 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 isn't covered by the General Rule and/or the Special Rules doesn't 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 doesn't 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) (2022)

Schedule B (Form 990) (2022) Page 2

Name of organization ARKANSAS CHILDREN'S HOSPITAL

Part I Contributors	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) (2022)

Schedule B (Form 990) (2022)

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) (2022)

Schedule B (Form 990) (2022)

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) (2022)

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.
SchDMd Bullet

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2021

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 7/25/06, 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 FASB 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 FASB 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 FASB 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) 2021

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 ....	337,106,727	374,165,487	310,862,422	309,182,507	296,307,577
b	Contributions ...	2,308,928	10,947,859	1,798,329	4,459,025	5,224,717
c	Net investment earnings, gains, and losses	22,159,442	-36,410,499	74,160,395	3,961,742	20,943,820
d	Grants or scholarships ...
e	Other expenditures for facilities and programs ...	7,451,173	11,596,120	12,655,659	6,740,852	13,293,607
f	Administrative expenses ....
g	End of year balance ......	354,123,924	337,106,727	374,165,487	310,862,422	309,182,507

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

Board designated or quasi-endowment SchDMd Bullet

73.970 %

Permanent endowment SchDMd Bullet

13.980 %

Term endowment SchDMd Bullet

12.050 %

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 .....	15,242,556		15,242,556
b	Buildings ....	374,631,789	236,300,458	138,331,331
c	Leasehold improvements
d	Equipment ....	226,242,368	159,531,875	66,710,493
e	Other .....	32,713,656	13,883,964	18,829,692
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).)..				239,114,072

Schedule D (Form 990) 2021

Page 3

Part VII

Investments - Other 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

Investments - Program 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				135,699,581
(2)ESTIMATED 3RD PARTY SETTLEMENT (MCD)				164,994,295
(3)SUPPLEMENTAL MEDICAID RECEIVABLE				16,556,338
(4)GME RECEIVABLE				2,080,787
(5)OTHER RECEIVABLES				12,512,162
(6)INTEREST RECEIVABLE - FUNDED DEPR				205,029
(7)DUE FROM AFFILIATES				703,042
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 15.)...........				332,751,234

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
(3)
(4)
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)	5,066,923
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) 2021

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 FOUNDATION, A RELATED ORGANIZATION.

PART X, LINE 2:

NOTE: THE AUDIT WAS COMPRISED OF THE CONSOLIDATED FINANCIAL STATEMENTS OF ARKANSAS CHILDREN'S, INC., ARKANSAS CHILDREN'S HOSPITAL, ARKANSAS CHILDREN'S FOUNDATION, ARKANSAS CHILDREN'S RESEARCH INSTITUTE, ARKANSAS CHILDREN'S NORTHWEST, ARKANSAS CHILDREN'S CARE NETWORK, ARKANSAS CHILDREN'S MEDICAL GROUP, AND SACOVA INSURANCE COMPANY (COLLECTIVELY, ARKANSAS CHILDREN'S). FOOTNOTE: ARKANSAS CHILDREN'S APPLIES 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, 2023 AND 2022, 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) 2021

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 20a.
MediumBullet

Attach to Form 990.
MediumBullet

Go to www.irs.gov/Form990EZ for instructions and the latest information.

OMB No. 1545-0047

2022

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) . . .	17,728,336		17,728,336	2.340 %
b	Medicaid (from Worksheet 3, column a) . . . . .	441,856,501	428,568,905	13,287,596	1.750 %
c	Costs of other means-tested government programs (from Worksheet 3, column b) . .
d	Total Financial Assistance and Means-Tested Government Programs . . . . .	459,584,837	428,568,905	31,015,932	4.090 %
Other Benefits
e	Community health improvement services and community benefit operations (from Worksheet 4).	9,172,025	2,791,155	6,380,870	0.840 %
f	Health professions education (from Worksheet 5) . . .	25,933,464	10,370,191	15,563,273	2.050 %
g	Subsidized health services (from Worksheet 6) . . . .	46,467,395	17,324,662	29,142,733	3.840 %
h	Research (from Worksheet 7) .	4,806,781		4,806,781	0.630 %
i	Cash and in-kind contributions for community benefit (from Worksheet 8) . . . .	9,734,950	168,535	9,566,415	1.260 %
j	Total. Other Benefits . .	96,114,615	30,654,543	65,460,072	8.620 %
k	Total. Add lines 7d and 7j .	555,699,452	459,223,448	96,476,004	12.710 %

For Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2022

Schedule H (Form 990) 2022

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	(d) Direct offsetting revenue	(e) Net community building expense	(f) Percent of total expense
1	Physical improvements and housing
2	Economic development
3	Community support	4,750	485	4,265	0 %
4	Environmental improvements
5	Leadership development and training for community members
6	Coalition building
7	Community health improvement advocacy	157,989	1	157,988	0.020 %
8	Workforce development
9	Other
10	Total	162,739	486	162,253	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 Healthcare 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. ......

2,577,540

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).....

3,270,500

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

3,328,019

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

-57,519

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) 2022

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?1Name, 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) 2022

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

The impact of any actions taken to address the significant health needs identified in the hospital facility's prior CHNA(s)

Other (describe in Section C)

Indicate the tax year the hospital facility last conducted a CHNA: 20 21

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..................................

Yes

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/RESOURCES/COMMUNITY-NEEDS-ASSESSMENT

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 22

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

Yes

If "Yes" (list url): WWW.ARCHILDRENS.ORG/RESOURCES/COMMUNITY-NEEDS-ASSESSMENT

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) 2022

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 %

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)

Was widely publicized 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):

SEE PART V, SECTION C

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

SEE PART V, SECTION C

A plain language summary of the FAP was widely available on a website (list url):
SEE PART V, SECTION C

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)

Individuals were notified about the FAP by being offered a paper copy of the plain language summary of the FAP, by
receiving a conspicuous written notice about the FAP on their billing statements, and via conspicuous public displays or
other measures reasonably calculated to attract patients' attention

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

The FAP, FAP application form, and plain language summary of the FAP were translated into the primary language(s)
spoken by LEP populations

Other (describe in Section C)

Schedule H (Form 990) 2022

Page 6

Part VFacility Information (continued)

Billing and Collections

	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 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 nonpayment?..................................

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

Deferring, denying, or requiring a payment before providing medically necessary care due to nonpayment of a previous
bill for care covered under the hospital facility's FAP

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

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

Deferring , denying, or requiring a payment before providing medically necessary care due to nonpayment of a previous
bill for care covered under the hospital facility's FAP

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):

Provided a written notice about upcoming ECAs (Extraordinary Collection Action) and a plain language summary of the
FAP at least 30 days before initiating those ECAs (if not, describe in Section C)

Made a reasonable effort to orally notify individuals about the FAP and FAP application process (if not, describe in
Section C)

Processed incomplete and complete FAP applications (if not, describe in Section C)

Made presumptive eligibility determinations (if not, describe in Section C)

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)

Schedule H (Form 990) 2022

Page 7

Part VFacility Information (continued)

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

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

Yes

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 a look-back method based on claims allowed by Medicare fee-for-service during a prior 12-month period

The hospital facility used a look-back method based on claims allowed by Medicare fee-for-service and all private health insurers that pay claims to the hospital facility during a prior 12-month period

The hospital facility used a look-back method based on claims allowed by Medicaid, either alone or in combination with
Medicare fee-for-service and all private health insurers that pay claims to the hospital facility during a prior 12-month
period

The hospital facility used a prospective Medicare or Medicaid method

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) 2022

Page 8

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, 16j, 18e, 19e, 20a, 20b, 20c, 20d, 20e, 21c, 21d, 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 HEALTHCARE SYSTEM, AND ONE OF ONLY TWO PEDIATRIC HOSPITALS IN THE STATE OF ARKANSAS, ARKANSAS CHILDREN'S HOSPITAL (ACH) CONSIDERS ITS COMMUNITY TO BE ALL CHILDREN UNDER AGE 18 WHO LIVE IN THE STATE. IN 2022, THIS INCLUDED ALMOST 700,000 CHILDREN ACROSS 75 COUNTIES. THE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) CONTAINS INFORMATION ABOUT THE NATURAL WONDERS PARTNERSHIP COUNCIL, WHICH IS A DIVERSE COALITION OF CHILD HEALTH ORGANIZATIONS WHO WORK TOGETHER TO IMPROVE CHILD HEALTH. ARKANSAS CHILDREN'S CHNA'S INFORM THE GOALS AND ACTION PLANS OF THE NATURAL WONDERS PARTNERSHIP COUNCIL. IN LIMITED CASES, TO ASSIST IN DEVELOPING A CLEAR PICTURE OF PARTICULAR ISSUES, ADULT DATA WERE ACCESSED AND INCLUDED IN THE ACH CHNA. THE REPORT ALSO CONTAINS "BIG IDEAS" FROM COMMUNITY STAKEHOLDERS TO HELP INSPIRE THE WORK THAT RESULTS FROM THE CHNA.
ARKANSAS CHILDREN'S HOSPITAL	PART V, SECTION B, LINE 5: THE FY22 STATEWIDE CHNA WAS CONDUCTED BY ARKANSAS CHILDREN'S COMMUNITY ENGAGEMENT, ADVOCACY, AND HEALTH DIVISION. FOR PORTIONS OF THE CHNA, ARKANSAS CHILDREN'S CONTRACTED WITH BOYETTE STRATEGIC ADVISORS AND KLEIN & PARTNERS. THIS TEAM REVIEWED ALL IRS REQUIREMENTS FOR THE 2022 ASSESSMENT AND DEVELOPED A REVISED AND THOROUGH PROCESS FOR COLLECTING AND ANALYZING ALL PRIMARY AND SECONDARY DATA NEEDED TO MAKE INFORMED DECISIONS ABOUT THE CURRENT CHILDREN'S HEALTH NEEDS IN ARKANSAS. A WIDE VARIETY OF PUBLIC HEALTH AND CHILD HEALTH STAKEHOLDERS PROVIDED INPUT, REVIEWED AND VETTED THE METHODS, DATA, PRIORITIZATION PROCESS, AND FINDINGS OF THE ASSESSMENT.THE STAKEHOLDER ENGAGEMENT PROCESS, AS WELL AS PRIMARY AND SECONDARY DATA REVIEW, OCCURRED FROM JUNE 2021 THROUGH APRIL 2022. A TOTAL OF 808 STAKEHOLDERS IN ARKANSAS PROVIDED THEIR PERSPECTIVES ON THE MOST IMPORTANT CHILD HEALTH ISSUES. STAKEHOLDERS PROVIDED FEEDBACK THROUGH PARTICIPATION IN FOCUS GROUPS, KEY INFORMANT INTERVIEWS, OR A PARENT AND CAREGIVER DIGITAL SURVEY. FOCUS GROUP WERE HELD IN-PERSON AND VIA ZOOM TO SEEK INPUT FROM PARENTS/CAREGIVERS, EDUCATORS, MEDICAL PROVIDERS, AND COMMUNITY LEADERS. A TOTAL OF 19 FOCUS GROUPS ENGAGED 161 OF THESE STAKEHOLDERS. OF THE 19 FOCUS GROUPS, FOUR WERE INTENTIONALLY HELD IN-PERSON, IN SPANISH, AND IN FOUR DIFFERENT REGIONS OF THE STATE: DEQUEEN (SOUTHWEST ARKANSAS), WARREN (SOUTHEAST ARKANSAS), LITTLE ROCK (CENTRAL ARKANSAS), AND SPRINGDALE (NORTHWEST ARKANSAS). EACH FOCUS GROUP CONVERSATION LASTED 60-MINUTES AND WAS RECORDED TO ENSURE THAT ALL COMMENTS WERE CAPTURED FOR ANALYSIS. TWO TEAM MEMBERS LED THE FOCUS GROUPS ONE WHO FACILITATED THE DISCUSSION AND ONE WHO CAPTURED COMMENTS AND IDENTIFIED THEMES. A FOCUS GROUP GUIDE WAS DEVELOPED TO PROVIDE STRUCTURE FOR THE DISCUSSIONS. IT INCLUDED A FULL SCRIPT OF THE INTRODUCTORY INFORMATION TO BE PROVIDED TO EACH GROUP ABOUT WHY THEY HAD BEEN INVITED TO JOIN THE CONVERSATION AND HOW THE INFORMATION WOULD BE USED TO HELP IDENTIFY AND ADDRESS CHILDREN'S HEALTH NEEDS IN ARKANSAS. IT ALSO INCLUDED POLL QUESTIONS THAT WERE INSERTED INTO THE CONVERSATION INTERMITTENTLY. CONVERSATIONS OPENED WITH GENERAL QUESTIONS ABOUT THEIR THOUGHTS ABOUT THE STATUS OF CHILDREN IN ARKANSAS, FOLLOWED BY MORE SPECIFIC EXPLORATION AROUND SOCIAL DETERMINANTS OF HEALTH, ACCESS TO AND QUALITY OF CLINICAL CARE, PHYSICAL ENVIRONMENT, HEALTHY BEHAVIORS, AND SOCIAL AND ECONOMIC FACTORS IMPACTING HEALTH. EACH TOPIC PROVIDED OPPORTUNITIES FOR THE FACILITATOR TO PROBE DEEPER TO GET FULL PERSPECTIVES FROM PARTICIPANTS. EACH FOCUS GROUP CLOSED WITH PARTICIPANTS BEING GIVEN THE OPPORTUNITY TO SHARE IDEAS OF HOW THEY WOULD IMPROVE CHILDREN'S HEALTH IF UNLIMITED RESOURCES WERE AVAILABLE. A COMBINATION OF INDUCTIVE AND DEDUCTIVE ANALYSIS WAS USED ON THE NOTES AND RECORDINGS CAPTURED DURING THE FOCUS GROUP DISCUSSIONS. THEMES THAT EMERGED ACROSS MULTIPLE GROUPS, AS WELL AS ANY GROUP DYNAMICS THAT MAY HAVE INFLUENCED COMMENTS, WERE NOTED. USING INITIAL THEMES, COMMENTS AND RESPONSES WERE CODED INTO PRELIMINARY CATEGORIES. ADDITIONAL THEMES OR "SUB-THEMES" THAT SURFACED WERE THEN ADDED TO THE CATEGORIES. THE THEMES AND COMMENTS WERE ORGANIZED IN A SPREADSHEET FORMAT WITH MULTIPLE TABS FOR THEMES RELATED TO THE PARTICULAR AUDIENCE IN THE FOCUS GROUP. A SUMMARY OF HIGH-LEVEL FINDINGS WAS DEVELOPED, ALONG WITH A COMPLETE NARRATIVE REPORT OF THE FOCUS GROUPS DATA. THE POLL QUESTIONS INSERTED INTO THE DISCUSSIONS ALSO PROVIDED A LIMITED AMOUNT OF QUANTITATIVE DATA FROM THE FOCUS GROUPS.KEY INFORMANT INTERVIEWS WERE CONDUCTED VIA ZOOM BY BOYETTE STRATEGIC ADVISORS IN JULY AND AUGUST 2021. INTERVIEWS WERE HELD WITH A TOTAL OF 41 SUBJECT MATTER EXPERTS AND OTHER KEY STAKEHOLDERS, INCLUDING MEDICAL PROVIDERS, EDUCATORS, POLICY OFFICIALS, ACH SENIOR LEADERSHIP, AND COMMUNITY LEADERS. THESE INFORMANTS WERE INCLUSIVE OF LEADERS WHO REPRESENTED MINORITY AND IMMIGRANT COMMUNITIES. QUESTIONS USED FOR THE INTERVIEWS WERE CENTERED ON THE CONDITIONS THAT IMPACT HEALTH OR SOCIAL DETERMINANTS OF HEALTH, BUT ALSO PROVIDED OPPORTUNITIES FOR THE INTERVIEWEES TO SHARE THEIR THOUGHTS ABOUT A VARIETY OF POTENTIAL NEEDS AND CONCERNS. INTERVIEWS ALSO INCLUDED AN OPPORTUNITY FOR KEY INFORMANTS TO SHARE THEIR THOUGHTS ON ANY COVID-19 IMPACTS TO CHILDREN'S HEALTH THAT MAY SURFACE OVER THE NEXT THREE TO FIVE YEARS. BOYETTE COMPLETED AN INITIAL ANALYSIS OF THE INTERVIEWS BY IDENTIFYING KEY THEMES THAT EMERGED OVER THE COURSE OF ALL CONVERSATIONS. ALL INTERVIEW NOTES WERE ORGANIZED IN A SPREADSHEET FORMAT THAT ALLOWED FOR QUANTIFYING THE FREQUENCY AND DEPTH OF CONCERNS ABOUT EACH OF THE NEEDS. A SERIES OF INTERSECTING FACTORS ALSO SURFACED AS THE THEMES WERE ANALYZED. BOYETTE PROVIDED A SUMMARY OF FINDINGS FROM THE INTERVIEWS TO THE ACH TEAM, INCLUDING QUOTES FROM KEY INFORMANTS THAT ILLUSTRATED THE PERSPECTIVES THAT WERE COMMON ACROSS MOST OF THE INTERVIEWS.ACH CONTRACTED KLEIN & PARTNERS, A HEALTHCARE FOCUSED MARKET RESEARCH FIRM, TO DESIGN AND FIELD A DIGITAL PARENT AND CAREGIVER SURVEY TO GATHER PARENT/CAREGIVER PERSPECTIVES ON A VARIETY OF ISSUES THAT POTENTIALLY IMPACT CHILDREN'S HEALTH AND WELL-BEING. WHILE THE 2019 CHNA PARENT AND CAREGIVER SURVEY WAS CONDUCTED BY TELEPHONE, THIS SURVEY WAS FIELDED DIGITALLY IN ORDER TO AVOID EMERGING LIMITATIONS WITH THE TELEPHONE METHODOLOGY. THE ONLINE SURVEY WAS FIELDED BETWEEN AUGUST 26 AND SEPTEMBER 16, 2021, TO A TOTAL OF 606 RESPONDENTS ACROSS ARKANSAS. TO ENSURE A VALID AND REPRESENTATIVE SAMPLE, DATA WERE WEIGHTED BY COUNTY, INCOME, EDUCATION, AND ETHNICITY. THE SAMPLE INCLUDED PARENTS OR CAREGIVERS WHO ARE THE HEALTHCARE DECISION-MAKERS FOR THEIR CHILDREN AND DO NOT WORK IN HEALTHCARE.CHILD HEALTH STAKEHOLDERS REVIEWED EACH COMPONENT OF THE CHNA, SUCH AS THE PARENT SURVEY QUESTIONS AND FOCUS GROUP GUIDE. MANY OF THESE STAKEHOLDERS SUPPLIED INPUT THROUGH THEIR WORK AS PART OF THE NATURAL WONDERS PARTNERSHIP COUNCIL.
ARKANSAS CHILDREN'S HOSPITAL	PART V, SECTION B, LINE 6A: THE ARKANSAS CHILDREN'S HOSPITAL CHNA WAS CONDUCTED IN PARTNERSHIP WITH ARKANSAS CHILDREN'S NORTHWEST. BOTH HOSPITALS ARE PART OF THE ARKANSAS CHILDREN'S SYSTEM AND NORTHWEST ARKANSAS IS A SHARED COMMUNITY OF BOTH HOSPITALS.
ARKANSAS CHILDREN'S HOSPITAL	PART V, SECTION B, LINE 6B: THE ACH NEEDS ASSESSMENT ENGAGED INDIVIDUALS AND ORGANIZATIONS THAT REPRESENT THE COMMUNITIES SERVED. MANY REPRESENTATIVES OF ORGANIZATIONS ARE PART OF THE NATURAL WONDERS PARTNERSHIP COUNCIL. SCHOOLS, PARENTS, CAREGIVERS, AND A VARIETY OF ORGANIZATIONS WITH AN INTEREST IN THESE ISSUES WERE ENGAGED IN DEFINING THE NEEDS FOR THIS CHNA. THOSE ORGANIZATIONS INCLUDE:ARKANSAS DEPARTMENT OF HEALTHARKANSAS DEPARTMENT OF EDUCATION DIVISION OF PRIMARY AND SECONDARY EDUCATIONARKANSAS DEPARTMENT OF HUMAN SERVICESARKANSAS MINORITY HEALTH COMMISSIONTHE ARKANSAS FOOD BANKTHE NORTHWEST ARKANSAS FOOD BANKTHE UNIVERSITY OF ARKANSAS FOR MEDICAL SCIENCESARKANSAS HUNGER RELIEF ALLIANCEARKANSAS ADVOCATES FOR CHILDREN AND FAMILIESHEALTH POLICY ORGANIZATIONS INCLUDING THE ARKANSAS CENTER FOR HEALTH IMPROVEMENTHEALTH CARE PROVIDERS INCLUDING PEDIATRICIANS, FAMILY PRACTICE PHYSICIANS, NURSES, DENTISTS, AND PHARMACISTSSCHOOLS AND SCHOOL-BASED HEALTH CLINICSHEALTH RESEARCHERSARKANSAS IMMUNIZATION ACTION COALITION (IMMUNIZEAR)THE ARKANSAS FOUNDATION FOR MEDICAL CARE (AFMC)NONPROFIT ORGANIZATIONS PROVIDING DIRECT SERVICES TO CHILDRENPRIVATE HEALTH INSURANCE COMPANIESFAITH COMMUNITY REPRESENTATIVESLOW-INCOME LEGAL SERVICES ORGANIZATIONSPRIVATE FOUNDATIONS LIKE THE ARKANSAS COMMUNITY FOUNDATIONTHE ARKANSAS CAMPAIGN FOR GRADE-LEVEL READINGPRIVATE INDUSTRIES RANGING FROM PHARMACEUTICAL COMPANIES TO CHAMBERS OF COMMERCE
ARKANSAS CHILDREN'S HOSPITAL	PART V, SECTION B, LINE 7D: PRESENTATIONS ON THE FINDINGS FROM THE FY22 ACH CHNA HAVE BEEN PROVIDED TO THE NATURAL WONDERS PARTNERSHIP COUNCIL, ACH STAFF, ACH VOLUNTEERS, THE NORTHWEST ARKANSAS COUNCIL, NEWS MEDIA OUTLETS, AND OTHER PUBLIC ORGANIZATIONS. THE FY22 CHNA, IMPLEMENTATION STRATEGY FOR ACH, AND THE 2020-2022 NATURAL WONDERS ACTION PLAN ARE EACH AVAILABLE FOR PUBLIC VIEW ON THE ARKANSAS CHILDREN'S WEBSITE.
ARKANSAS CHILDREN'S HOSPITAL	PART V, SECTION B, LINE 11: COMMUNITY HEALTH IMPROVEMENT INTRODUCTION: FOR THE MOST RECENT, FY22 CHNA, ARKANSAS CHILDREN'S USED A RATING AND WEIGHTING INDEX, DESCRIBED ON PAGE 16 OF THE CHNA, TO PRIORITIZE THE COMMUNITY HEALTH NEEDS WHICH WERE IDENTIFIED. THE RATING AND WEIGHTING TOOL WAS UNIQUELY DEVELOPED BY THE ARKANSAS CHILDREN'S COMMUNITY ENGAGEMENT, ADVOCACY AND HEALTH DIVISION AND BOYETTE STRATEGIC ADVISORS. USING THIS TOOL AND METHODOLOGY, THE IDENTIFIED NEEDS WERE SCORED. THE SCORING RESULTED IN THREE TIERS OF PRIORITIES (PRIMARY PRIORITIES, SECONDARY PRIORITIES, AND SUSTAINING ACTIVITIES), AND THE DETERMINATION THAT POVERTY AND FINANCES ARE AN INTERSECTING NEED. USING THESE SCORING RESULTS, ACH WORKED TO ADDRESS THE FOLLOWING PRIORITIZED HEALTH NEEDS:PRIMARY PRIORITIES: BEHAVIORAL AND MENTAL HEALTH IMMUNIZATIONSFOOD INSECURITYSECONDARY PRIORITIES: INFANT HEALTHCHILD ABUSE AND NEGLECTSUSTAINING ACTIVITIES: ACCESS TO CAREOBESITYINJURY PREVENTIONINTERSECTING NEED:POVERTY AND FINANCES(1) PRIMARY PRIORITY: BEHAVIORAL AND MENTAL HEALTHTHE BEHAVIORAL AND MENTAL HEALTH OF ARKANSAS CHILDREN WAS ONE OF THE MOST SIGNIFICANT TOPICS IDENTIFIED IN THE 2022 CHNA, A PROBLEM NOT UNIQUE TO ARKANSAS, BUT FELT NATIONWIDE. ACCORDING TO THE 2022 UNITED HEALTH FOUNDATION "AMERICA'S HEALTH RANKINGS", THE NUMBER OF ARKANSAS CHILDREN THAT DIE BY SUICIDE IS 13.3 PER 100,000, RANKING ARKANSAS 32ND IN THE NATION. ARKANSAS ALSO EXPERIENCES A SEVERE SHORTAGE OF MENTAL HEALTH PROFESSIONALS AND CONTINUES TO HAVE A STIGMA AROUND MENTAL HEALTH, WHICH ARE BARRIERS TO TREATMENT. THE 2023-2025 ACH IMPLEMENTATION STRATEGY OUTLINES ACTION STEPS TO ADDRESS THESE ISSUES, WITH THE FIRST BEING TO TEACH PARENTS, COMMUNITY MEMBERS, AND PROFESSIONALS TO BE ADVOCATES FOR CHILDREN'S BEHAVIORAL AND MENTAL HEALTH, THROUGH EDUCATION ABOUT TOPICS LIKE BULLYING, SELF-HARM, SUICIDE PREVENTION AND EVIDENCE-BASED TRAININGS SUCH AS SAFE TALK, MOTIVATIONAL INTERVIEWING AND APPLIED SUICIDE INTERVENTION SKILLS TRAINING (ASIST). ARKANSAS CHILDREN'S STAFF ARE TRAINED IN THESE THREE EVIDENCE-BASED PROGRAMS AND HAVE MADE THE TRAININGS AVAILABLE TO SCHOOLS, COMMUNITY MEMBERS, AND WORKPLACES AS NEEDED. IN FY23, STAFF HELD EIGHT ASIST TRAININGS WITH A TOTAL OF 85 PARTICIPANTS AND FIVE MOTIVATIONAL INTERVIEWING TRAININGS WITH 143 PARTICIPANTS. ARKANSAS CHILDREN'S, IN PARTNERSHIP WITH THE UNIVERSITY OF ARKANSAS MEDICAL SCIENCES, WAS AWARDED A HEALTH RESOURCES AND SERVICES ADMINISTRATION (HRSA) GRANT FOR OVER $2 MILLION FOR BEHAVIORAL HEALTH INTEGRATION INTO PEDIATRIC PRIMARY CARE BY SUPPORTING PEDIATRIC MENTAL HEALTH CARE TELEHEALTH ACCESS PROGRAMS. DURING FY23, THE PROGRAM, ARKANSAS MENTAL HEALTH ACCESS FOR PEDIATRIC PRIMARY CARE (ARMAPP), DEVELOPED A CURRICULUM ADDRESSING MENTAL AND BEHAVIORAL HEALTH EDUCATION USING THE IECHO PLATFORM AND ESTABLISHED A TELEHEALTH CONSULTATION PROCESS FOR PRIMARY CARE PROVIDERS ACROSS THE STATE. CONSULTATIONS AND MONTHLY EDUCATIONAL SESSIONS ARE PLANNED TO COMMENCE DURING FY24. THE ARKANSAS CHILDREN'S CENTER FOR GOOD MOURNING STRIVES TO PROVIDE, IMPROVE, AND INCREASE SUPPORT AND ASSISTANCE GIVEN TO BEREAVED CHILDREN AND FAMILIES IN ARKANSAS THROUGH EDUCATION, PROGRAM DEVELOPMENT, AND GRIEF SUPPORT PROGRAMS. FROM AN E-NEWSLETTER, THE MOURNING NEWS, TO GRIEF SUPPORT GROUPS AND GRIEF RESOURCES, THE GRIEF PROGRAMMING OFFERED IS FREE-OF-CHARGE FOR FAMILIES AND GROUPS ACROSS THE STATE. IN FY23, 172 PRESENTATIONS WERE GIVEN TO 2,384 COMMUNITY ATTENDEES THROUGH THIS PROGRAM.AN INTERSECTING NEED FOR THIS AREA IS THE USE OF TOBACCO, E-CIGARETTE, AND VAPING PRODUCTS, AS USAGE OF THESE HAVE A NEGATIVE ASSOCIATION WITH MENTAL HEALTH. IN ARKANSAS, 24.3% OF HIGH SCHOOL STUDENTS VAPE AND 9.7% SMOKE, ACCORDING TO THE CAMPAIGN FOR TOBACCO-FREE KIDS IN OCTOBER OF 2023. TO ADDRESS THIS ISSUE, ARKANSAS CHILDREN'S COORDINATES, AND THE ARKANSAS DEPARTMENT OF HEALTH FUNDS, PROJECT PREVENT, THE STATEWIDE YOUTH TOBACCO PREVENTION COALITION, WHICH WORKS WITH YOUNG PEOPLE ACROSS THE STATE TO ADDRESS THE HARMFUL EFFECTS OF SMOKING, DIPPING AND VAPING. IN FY23, 2,391 STUDENT MEMBERS IN 90 PROJECT PREVENT CHAPTERS ENGAGED THEIR COMMUNITIES IN EDUCATION AND PREVENTION OUTREACH. ADDITIONALLY, PROJECT PREVENT HOSTS TWO ANNUAL CONFERENCES, AS WELL AS A FILM, AN ESSAY, AND AN ART CONTEST FOR YOUTH IN THE STATE EACH YEAR. IN FY23, THE TWO ANNUAL CONFERENCES COMBINED SAW PARTICIPATION FROM 959 YOUTH. EACH CONTEST HELD IN FY23 HAD A COMMON THEME OF "INFLUENCER", CHALLENGING YOUTH TO ENCOURAGE OTHERS TO AVOID TOBACCO PRODUCTS. THE FILM CONTEST, READY.SET.RECORD., SAW PARTICIPATION FROM 498 YOUTH IN 7TH-12TH GRADES, WHILE THE ESSAY CONTEST, MY REASON TO WRITE, SAW PARTICIPATION FROM 244 YOUTH IN 4TH-6TH GRADES, AND THE ART CONTEST, DRAWING FOR A DIFFERENCE, SAW PARTICIPATION FROM 275 YOUTH IN KINDERGARTEN THROUGH THIRD GRADE.
SCHEDULE H, PART V, SECTION B, LINE 11 - CONTINUED	(2) PRIMARY PRIORITY: IMMUNIZATIONSOVER THE YEARS, ARKANSAS HAS IMPROVED IN CHILDHOOD IMMUNIZATION RATES, HOWEVER, THE COVID-19 PANDEMIC NEGATIVELY AFFECTED IMMUNIZATION COVERAGE, AND WE CONTINUE TO SEE RISING RATES OF PHILOSOPHICAL EXEMPTIONS AND VACCINE HESITANCY. ARKANSAS ALSO EXPERIENCES A VACCINE ACCESS ISSUE, WHERE 12 COUNTIES IN THE STATE ONLY HAVE VACCINES FOR CHILDREN (VFC) PROVIDERS IN THE COUNTY LOCAL HEALTH UNITS (LHU'S). THESE FACTORS CAUSE IMMUNIZATIONS TO BE A CONTINUING HIGH-PRIORITY HEALTH NEED FOR THE CHILDREN OF ARKANSAS.DURING FY23, ARKANSAS CHILDREN'S CREATED A MOBILE VACCINE STRATEGY TO TARGET SEVEN ARKANSAS COUNTIES WITH LOW IMMUNIZATION RATES, HIGH EXEMPTION RATES, AND LOW VFC PROVIDER ACCESS. THESE COUNTIES INCLUDE CRAWFORD, FRANKLIN, SEBASTIAN, LOGAN, SCOTT, YELL, AND JEFFERSON. ARKANSAS CHILDREN'S CANNOT DO THIS WORK ALONE AND CONTINUES TO BUILD PARTNERSHIPS WITH ORGANIZATIONS ACROSS THE STATE WHICH CAN HELP CAUSE GREATER IMPACT IN THIS EFFORT. THROUGH THE WORK OF THIS MOBILE VACCINE STRATEGY AND PARTNERSHIPS, 709 NEEDED IMMUNIZATIONS WERE PROVIDED IN THE SEVEN TARGET LOW ACCESS COUNTIES, PLUS ADDITIONAL COUNTIES OF CARROLL AND BOONE, SUCCESSFULLY REACHING CHILDREN WHERE THEY LIVE, LEARN AND PLAY. THIS PROGRAM ACHIEVED TARGET IMMUNIZATION RATE GOALS IN ALL SEVEN TARGET COUNTIES, IMPROVING IMMUNIZATION RATES IN SOME COUNTIES BY AS MUCH AS 25% (YELL COUNTY).ONE LARGE PARTNER IN THIS VACCINATION WORK IS THE ARKANSAS IMMUNIZATION ACTION COALITION, ALSO KNOWN AS IMMUNIZEAR. IMMUNIZEAR, A LOCAL STATEWIDE COALITION FOCUSED ON INCREASING IMMUNIZATION RATES IN THE STATE, CO-LED THE NATURAL WONDERS INCREASING IMMUNIZATIONS WORKGROUP. THE WORKGROUP HAS CREATED GOALS TO RECRUIT PHARMACIES IN HIGH NEED AREAS TO BECOME VFC PROVIDERS; DEVELOP RECRUITMENT PLAN AND CAMPAIGN MESSAGES FOR PARTNER VACCINE ADVOCACY WORK; TO INCLUDE PARENTS AS IMPORTANT ADVOCATES; AND PROVIDE IMMUNIZATION EDUCATION MATERIAL FOR SCHOOL NURSES THROUGH THE ARKANSAS DEPARTMENT OF HEALTH COMMUNITY HEALTH PROMOTION SPECIALISTS AND COMMUNITY HEALTH NURSE SPECIALISTS. AS PLANNING COMMENCED FOR FY24, IT WAS DETERMINED THAT THE ARKANSAS CHILDREN'S COMMUNITY HEALTH FUND WOULD PROVIDE $50,000 TO IMMUNIZEAR TO SUPPORT THEIR WORK IN INCREASING VFC PROVIDERS IN COUNTIES WITH ONLY ONE PROVIDER DURING THE 2024 FISCAL YEAR.(3) PRIMARY PRIORITY: FOOD INSECURITYACH IS FOLLOWING BEST PRACTICES TO HELP IMPROVE THE FOOD SECURITY OF CHILDREN AND THEIR FAMILIES AROUND THE STATE. THIS PROCESS BEGINS WITH A SOCIAL DETERMINANTS OF HEALTH SCREENING TO DETERMINE FOOD SECURITY NEEDS AT THE INDIVIDUAL AND FAMILY LEVEL. PATIENTS ARE SCREENED ANNUALLY, IF THEY ARE A NEW PATIENT, OR IF THEY SCREENED AS VULNERABLE AT A RECENT VISIT, AND STAFF ARE ABLE TO MAKE REFERRALS THROUGH ARKANSAS CHILDREN'S RESOURCE CONNECT TO CONNECT FAMILIES TO RESOURCES TO ADDRESS A VARIETY OF BASIC NEEDS, INCLUDING FOOD SECURITY. ARKANSAS CHILDREN'S RESOURCE CONNECT (POWERED BY FINDHELP.ORG) IS A CLOSED-LOOP REFERRAL SYSTEM, WHICH WAS LAUNCHED IN APRIL 2021 FOR USE BY PATIENTS, FAMILIES, AND STAFF AT ARKANSAS CHILDREN'S HOSPITAL AND ARKANSAS CHILDREN'S NORTHWEST. ADDITIONALLY, THE SYSTEM WAS MADE PUBLICLY AVAILABLE AS A COMMUNITY RESOURCE AND HAS SEEN THE BULK OF USE COMING FROM EXTERNAL COMMUNITY MEMBERS AND COMMUNITY-BASED ORGANIZATIONS, OFTEN CALLED CBO'S. DURING FY23, 19,619 SEARCHES OCCURRED ON THE PLATFORM, MOST COMMONLY FOR FOOD PANTRIES (1,261), HELP TO PAY FOR UTILITIES (1,190), AND HELP TO PAY FOR HOUSING (617). THE BENEFIT OF THIS CLOSED-LOOP REFERRAL SYSTEM IS THAT REFERRED CBO'S, ARE ABLE TO UPDATE THE STATUS OF THE REFERRAL, CONFIRMING IF THE REFERRED PARTY RECEIVED HELP, WAS REFERRED ELSEWHERE, WAS NOT ELIGIBLE, COULDN'T BE CONTACTED, WAS NO LONGER INTERESTED, OR COULD NOT BE HELPED DUE TO A LACK OF CAPACITY AT THE CBO. A TOTAL OF 919 REFERRALS TOOK PLACE IN FY23, WITH 232 BEING CLOSED LOOP. THIS DIGITAL SYSTEM IS GREATLY HELPING ARKANSAS CHILDREN'S REFER FAMILIES TO RESOURCES FOR A VARIETY OF NEEDS AND IS PROVIDING USEFUL INSIGHT INTO WHAT ADDITIONAL COMMUNITY NEEDS EXIST.IF APPLICABLE, FAMILIES IN NEED WERE ALSO PROVIDED IMMEDIATE RESOURCES, SUCH AS EMERGENCY FOOD, AND ASSISTED IN APPLYING FOR THE SUPPLEMENTAL NUTRITION ASSISTANCE PROGRAM (SNAP) AND OTHER PUBLIC BENEFIT PROGRAMS. IN FY23, 1,533 BAGS OF NON-PERISHABLE GROCERIES WERE DISTRIBUTED TO PATIENT FAMILIES NEEDING EMERGENCY FOOD, THROUGH PARTNERSHIPS WITH HELPING HAND AND NEIGHBOR TO NEIGHBOR FOOD PANTRIES, SAVING OUR FAMILIES $35,872. THE ON-CAMPUS ACH COMMUNITY GARDEN PRODUCED MORE THAN 1,000 POUNDS OF FRESH PRODUCE, WHICH WERE DONATED TO HELPING HAND FOOD PANTRY AND EL ZOCALO IMMIGRANT RESOURCE CENTER. PRODUCE GROWN IN THE GARDEN INCLUDES COLLARD GREENS, MUSTARD GREENS, SWISS CHARD, LETTUCE, STRAWBERRIES, BLACKBERRIES, ONIONS, CORN, TOMATOES, AND A VARIETY OF PEPPERS, SUCH AS BELL, BANANA, JALAPENO, AND ANAHEIM. THESE TYPES OF PRODUCE ARE CULTURALLY PREFERRED BY THE COMMUNITIES SERVED AT EACH FOOD PANTRY. ADDITIONALLY, THE ACH CAMPUS, AS WELL AS ARKANSAS CHILDREN'S NORTHWEST AND THE PINE BLUFF AND SOUTHWEST LITTLE ROCK CLINICS, PARTICIPATE IN THE USDA MEAL PROGRAM. IN FY23, 26,351 FREE USDA MEALS WERE PROVIDED TO CHILDREN, THANKS TO THE EFFORTS TO MAINTAIN AND GROW THE HOSPITAL'S NUTRITION AND FEEDING PROGRAMS. TO FURTHER SUPPORT THE WORK OF AREA FOOD BANKS AND PANTRIES, IN JUNE OF 2023, ARKANSAS CHILDREN'S ORGANIZED AN ANNUAL FOOD DRIVE, AND A TREMENDOUS 15,249 NON-PERISHABLE FOOD ITEMS WERE COLLECTED. TEAM MEMBERS ACROSS OUR SYSTEM LOVE THE OPPORTUNITY TO CONNECT WITH AND GIVE BACK TO OUR AREA FOOD PANTRIES. PANTRIES WHO RECEIVED DONATIONS FROM THIS FOOD DRIVE WERE HELPING HAND FOOD PANTRY, NORTHWEST ARKANSAS FOOD BANK, NEIGHBOR-TO-NEIGHBOR FOOD PANTRY, EL ZOCALO IMMIGRANT RESOURCE CENTER, AND THE FOOD BANK OF NORTHEAST ARKANSAS. THE FOOD DRIVE WAS A WONDERFUL OPPORTUNITY TO COME TOGETHER AND EMPOWER THOSE WHO DO SO MUCH FOR OUR COMMUNITIES. IN FY23, ARKANSAS CHILDREN'S FINANCIALLY CONTRIBUTED TO A VARIETY OF NONPROFIT FOOD BANKS AND FOOD PANTRIES TO HELP STRENGTHEN THE FOOD SECURITY OF FAMILIES AND THEIR CHILDREN AROUND THE STATE. ORGANIZATIONS SUPPORTED INCLUDE FOOD BANKS SERVING LARGE REGIONS OF THE STATE, LIKE THE ARKANSAS FOOD BANK, ARKANSAS HUNGER RELIEF ALLIANCE, NORTHWEST ARKANSAS FOOD BANK, FOOD BANK OF NORTHEAST ARKANSAS, RIVER VALLEY REGIONAL FOOD BANK, AND FOOD BANK OF NORTH CENTRAL ARKANSAS, AS WELL AS SMALLER ORGANIZATIONS LIKE EL ZOCALO IMMIGRANT RESOURCE CENTER, NEIGHBOR-TO-NEIGHBOR OF JEFFERSON COUNTY, HELPING HAND OF GREATER LITTLE ROCK, TRI CYCLE FARMS, AND APPLE SEEDS. TRI CYCLE FARMS WAS ABLE TO DISTRIBUTE 33,700 EGGS TO FAMILIES IN THE NORTHWEST ARKANSAS REGION THANKS TO THIS SUPPORT.
SCHEDULE H, PART V, SECTION B, LINE 11 - CONTINUED	(4) SECONDARY PRIORITY: INFANT HEALTHIDENTIFIED AS A SECONDARY PRIORITY IN THE 2022 CHNA, INFANT HEALTH ENCOMPASSES ARKANSAS'S POOR INFANT MORTALITY RATE AND HIGH TEEN BIRTH RATE. IN 2022, ARKANSAS HAD 272 INFANT DEATHS AND HAD THE 3RD HIGHEST INFANT MORTALITY RATE IN THE NATION AT A RATE OF 7.67 INFANT DEATHS PER 1,000 LIVE BIRTHS. WHEN LOOKING AT INFANT MORTALITY RATES BY AGE, ARKANSAS SEES THE HIGHEST RATES IN MOTHERS AGED 15-19 YEARS, AND BY RACE, THE HIGHEST RATES IN AFRICAN AMERICAN MOTHERS. RECOGNIZING THAT THIS ISSUE CANNOT BE SOLVED ALONE, ARKANSAS CHILDREN'S WORKS WITH PARTNERS ACROSS THE STATE, IN PART DUE TO THE WORK OF THE NATURAL WONDERS PARTNERSHIP COUNCIL FIRST 2100 DAYS OF LIFE AND HEALTHY RELATIONSHIPS WORKGROUPS. IN FY23, THESE GROUPS CONTINUED TO FOCUS ON THE RESOURCES AND SUPPORT THAT EXPECTING MOTHERS AND CHILDREN, ESPECIALLY THOSE FROM BIRTH TO FIVE YEARS OLD, NEED TO BE HEALTHY. THE ARKANSAS HOME VISITING NETWORK (AHVN), A PARTNERSHIP BETWEEN THE ARKANSAS DEPARTMENT OF HEALTH AND ARKANSAS CHILDREN'S, HAS IMPROVED MATERNAL-CHILD HEALTH OUTCOMES FOR CAREGIVERS AND CHILDREN IN THE PROGRAM. AHVN IS A THRIVING COALITION OF PROVIDERS AND STAKEHOLDERS THAT WORK TOGETHER TO HELP PARENTS AND CHILDREN. THE AHVN IMPLEMENTS EIGHT EVIDENCE-BASED HOME VISITING MODELS: EARLY HEAD START - HOME BASED MODEL, FAMILY CONNECTS, FOLLOWING BABY BACK HOME, HEALTHY FAMILIES AMERICA, HOME INSTRUCTION FOR PARENTS OF PRESCHOOL YOUNGSTERS (HIPPY), NURSE FAMILY PARTNERSHIP, PARENTS AS TEACHERS, AND SAFECARE. IN FY23, THESE PROGRAMS SERVED 8,725 FAMILIES WITH CHILDREN FROM BEFORE BIRTH TO AGE FIVE ACROSS ALL 75 COUNTIES IN THE STATE AND COMPLETED 126,780 HOME VISITS. ARKANSAS CHILDREN'S LEADS THE SAFETY BABY SHOWER PROGRAM, WHICH PROVIDES SAFE SLEEP EDUCATION ACROSS THE STATE. SAFETY BABY SHOWER CLASSES ARE TAUGHT TO PARENTS AND OFFERED IN A TRAIN-THE-TRAINER MODEL TO EQUIP COMMUNITY MEMBERS TO LEAD THEIR OWN CLASSES. DURING FY23, 54 SAFETY BABY SHOWERS WERE HELD, REACHING A TOTAL OF 365 PARTICIPANTS ACROSS ARKANSAS, AND 152 COMMUNITY MEMBERS WERE TRAINED TO IMPLEMENT SAFETY BABY SHOWER CLASSES IN THEIR OWN COMMUNITIES. ARKANSAS CHILDREN'S IS CONTRACTED BY THE ARKANSAS DEPARTMENT OF HEALTH TO COORDINATE THE ARKANSAS INFANT AND CHILD DEATH REVIEW PROGRAM (ICDR). ESTABLISHED IN 2010, THE ICDR PROGRAM CONSISTS OF 11 REGIONAL TEAMS THAT REVIEW UNNATURAL UNEXPECTED DEATHS OF ARKANSAS CHILDREN AGES 0-17. THE TEAMS COVER ALL 75 ARKANSAS COUNTIES, GIVING THE ICDR PROGRAM THE POTENTIAL TO EVALUATE 100% OF UNNATURAL, REVIEWABLE PEDIATRIC DEATHS, AS REQUIRED BY ARKANSAS ACT 1818 OF 2005. INFANT AND CHILD DEATH REVIEWS FOCUS ON PREVENTION OF UNNATURAL DEATHS WITH EFFECTIVE RECOMMENDATIONS TO KEEP CHILDREN HEALTHY, SAFE, AND PROTECTED. DURING FY23, ICDR TEAMS REVIEWED THE CASES OF 147 CHILDREN WHO DIED FROM INJURIES IN 2021. THE MAJORITY OF THESE DEATHS WERE DUE TO MOTOR VEHICLE CRASHES, SUICIDE AND UNDETERMINED/SUDDEN UNEXPECTED INFANT DEATH (SUID), WITH THE FOLLOWING KEY FINDINGS: FOR THE MAJORITY OF CHILD DEATHS DUE TO MOTOR VEHICLE CRASHES, CHILD SAFETY SEATS WERE EITHER NOT USED OR USED INCORRECTLY; MORE THAN HALF OF THE SUICIDE DEATHS WERE COMPLETED USING A FIREARM; AND UNSAFE SLEEP PRACTICES IN AN ADULT BED WAS THE TOP CONTRIBUTING FACTOR IN INFANT MORTALITY DEATHS. ADDITIONALLY, FAMILIES CAN ACCESS THE ACH WINNIE M. LOWE FAMILY RESOURCE CENTER AND SAFETY ZONE, A PUBLIC SPACE ON THE ACH CAMPUS TO RECEIVE EDUCATION AND PRODUCTS WHICH PROMOTE SAFETY. IN FY23, 1,089 SAFETY ASSESSMENTS WERE CONDUCTED IN THE SPACE AND SAFETY AND EDUCATIONAL PRODUCTS WERE ALSO DISTRIBUTED. THESE PRODUCTS INCLUDED SMOKE ALARMS, CABINET LOCKS, OUTLET COVERS, BIKE HELMETS AND KNEE PADS, PLAY YARDS WITH FITTED SHEETS, LIFE JACKETS, MEDICATION LOCK BOXES, AND MORE, DEPENDING ON NEEDS IDENTIFIED WITH THE FAMILY DURING THE SAFETY ASSESSMENT.ARKANSAS CHILDREN'S CHILD PASSENGER SAFETY TEAM MEMBERS ALSO PROVIDE CAR SEAT INSPECTIONS TO PARENTS, WHICH EDUCATE ON THE PROPER INSTALLATION OF CAR SEATS AND OTHER CAR SAFETY TOPICS, LIKE HOT CAR DEATHS, UNSECURED PROJECTILES, AND WEARING WINTER COATS. PARENTS HAVE ACCESS TO THIS EDUCATION AT ARKANSAS CHILDREN'S CAMPUSES, AS WELL AS THROUGH 31 SATELLITE SITES AROUND THE STATE. DURING THIS INSPECTION, PARENTS MAY ALSO HAVE THEIR CHILD'S CAR SEAT REPLACED IF THEY DO NOT HAVE A PROPER CAR SEAT FOR THEIR CHILD OR IF THE CAR SEAT THEY HAVE IS EXPIRED OR DAMAGED. DURING FY23, 1,515 CAR SEATS WERE DONATED TO FAMILIES IN NEED THROUGH THE WORK OF THE CHILD PASSENGER SAFETY TEAM AND SATELLITE SITE PARTNERSHIPS. OF THESE, 1,065 WERE FUNDED THROUGH A GRANTEE PARTNERSHIP WITH THE ARKANSAS HIGHWAY SAFETY OFFICE, AND AN ADDITIONAL 450 WERE PURCHASED WITH ARKANSAS CHILDREN'S ORGANIZATIONAL DOLLARS AND SPECIFIED PURPOSE FUNDING. TO FURTHER EXPAND THIS RESOURCE, THE TEAM HOSTS CHILD PASSENGER SAFETY CERTIFICATION COURSES, TRAINING PROFESSIONALS TO PROPERLY INSTALL CAR SEATS. IN FY23, 11 CERTIFICATION COURSES WERE HELD ACROSS THE STATE, IN BENTON, BOONE, CRAIGHEAD, GARLAND, MISSISSIPPI, OUACHITA, PHILLIPS, PULASKI, AND SEBASTIAN COUNTIES. THIS LED TO THE CERTIFICATION OF 133 ADDITIONAL PROFESSIONALS ACROSS THE STATE OF ARKANSAS, AND EVEN FROM SURROUNDING STATES OF OKLAHOMA AND MISSOURI. LOVE NOTES, AN EVIDENCE-BASED, INNOVATIVE AND COMPREHENSIVE HEALTHY RELATIONSHIP PROGRAM, CONSISTS OF 13-LESSONS AND IS GEARED TOWARD STUDENTS IN 9TH-12TH GRADES. IT BUILDS SKILLS AND KNOWLEDGE FOR HEALTHY AND SUCCESSFUL RELATIONSHIPS. A FIVE-YEAR EVALUATION, BY THE US DEPARTMENT OF HEALTH AND HUMAN SERVICES OFFICE OF ADOLESCENT HEALTH, SHOWED LOVE NOTES REDUCED TEEN PREGNANCY RATES BY 46% COMPARED TO THE CONTROL GROUP. THE STUDY ALSO FOUND THAT TEENS WHO WERE TAUGHT LOVE NOTES HAD LESS RECENT SEXUAL ACTIVITY, HAD LESS FREQUENT SEXUAL ACTIVITY OVERALL, WERE MORE LIKELY TO USE PROTECTION IF DECIDING TO STAY SEXUALLY ACTIVE, AND IF DECIDING TO REMAIN ABSTINENT, A HIGHER PERCENTAGE OF THOSE IN THE LOVE NOTES GROUP ACTUALLY REMAINED ABSTINENT.FY23 WAS THE FOURTH CONSECUTIVE SCHOOL YEAR THAT ARKANSAS CHILDREN'S HAS IMPLEMENTED THE LOVE NOTES PROGRAM, REACHING 26 SCHOOLS AND 677 HIGH SCHOOL STUDENTS ACROSS THE STATE. THE PROGRAM IS WELL-RECEIVED BY TEACHERS AND STUDENTS AND INTEREST IN THE PROGRAM CONTINUES TO GROW. AT THE END OF FY23, 25 SCHOOLS WERE ON THE EVER-GROWING WAITING LIST FOR A PARTNERSHIP OPPORTUNITY WITH THE PROGRAM. ARKANSAS CHILDREN'S CONTINUES TO EXPLORE FUNDING OPPORTUNITIES TO EXPAND THIS NEEDED PROGRAM TO THOSE ON THE WAITING LIST. PROGRAM POST-TEST EVALUATIONS DURING JUNE OF 2023 FOUND THAT 66% OF STUDENTS REPORTED THEY WERE ABLE TO RECOGNIZE THE WARNING SIGNS OF AN UNHEALTHY RELATIONSHIP AND KNOW HOW TO DEAL WITH IT, A 14% INCREASE FROM PRE-TEST, AND 70% OF THE STUDENTS REPORTED THEY HAVE A PLAN FOR THEIR OWN SEXUAL ACTIVITY, EITHER TO BE ABSTINENT OR HOW TO PACE SEXUAL INVOLVEMENT WITH A TRUSTED PARTNER, A 15% INCREASE FROM PRE-TEST. ACH CONTINUED TO PAY FOR THE TOTAL COST OF THE MATERIALS NEEDED FOR THE 2022-2023 SCHOOL YEAR, ALLOWING SCHOOLS WHO COULD NOT FINANCIALLY AFFORD TO PURCHASE THESE MATERIALS BE ABLE TO PARTICIPATE IN THIS VALUABLE PROGRAM.
SCHEDULE H, PART V, SECTION B, LINE 11 - CONTINUED	(5) SECONDARY PRIORITY: CHILD ABUSE AND NEGLECTCHILD ABUSE AND NEGLECT WAS IDENTIFIED AS A SECONDARY PRIORITY HEALTH NEED DURING THE 2022 ACH CHNA. THE 2021 KIDS COUNT REPORT SHOWS THAT ARKANSAS RANKS 47TH FOR CHILDREN SUBJECT TO INVESTIGATIVE REPORTING, WITH A STATE RATE OF 78 OUT OF EVERY 1,000 CHILDREN COMPARED TO THE U.S. RATE OF 47 IN EVERY 1,000 CHILDREN. THE REPORT ALSO SHOWS THAT 12 OF EVERY 1,000 ARKANSAS CHILDREN EXPERIENCE MALTREATMENT, COMPARED TO NINE OF EVERY 1,000 CHILDREN NATIONALLY. ARKANSAS CHILDREN'S TEAM MEMBERS PARTICIPATED IN THE GOVERNOR-APPOINTED BLUE RIBBON TASK FORCE TO END CHILD ABUSE. THIS TASK FORCE CONCLUDED DURING FY23 AND WAS CREATED THROUGH THE PASSING OF ACT 920 OF THE ARKANSAS LEGISLATURE. THE PURPOSE OF THE TASKFORCE WAS TO DEVELOP A SYSTEMATIC AND HOLISTIC APPROACH TO ELIMINATE CHILD ABUSE IN ARKANSAS, IN ADDITION TO ADDRESSING PRIMARY AND SECONDARY PREVENTION EFFORTS, AND IMPROVING PREVENTION NETWORKS AND PARTNERSHIPS. FOLLOWING THIS, A SECONDARY TASK FORCE WAS DEVELOPED BY EXECUTIVE ORDER 23-18: TO PROTECT CHILDREN, SUPPORT FAMILIES, AND IMPROVE THE FOSTER CARE SYSTEM. ARKANSAS CHILDREN'S WAS ASKED TO PARTICIPATE IN THIS TASKFORCE, AS WELL, TO MAKE RECOMMENDATIONS AROUND REDUCING THE NUMBER OF CHILDREN ENTERING THE FOSTER CARE SYSTEM.DURING FY23, ACH CONTINUED TO PROVIDE A $1 PER YEAR LEASE TO THE CHILDREN'S PROTECTION CENTER (CPC) WHICH IS A COMMUNITY NON-PROFIT CHILDREN'S ADVOCACY CENTER SERVING PULASKI COUNTY. THE CPC IS LOCATED WITH THREE OTHER PROGRAMS WHOSE MISSION IS TO PROVIDE SERVICES TO CHILDREN AND FAMILIES IMPACTED BY CHILD MALTREATMENT AND OTHER FORMS OF VIOLENCE IN THE DAVID M. CLARK CENTER FOR SAFE AND HEALTHY CHILDREN ON THE CAMPUS OF ACH. THE UAMS FAMILY TREATMENT PROGRAM, WHICH PROVIDES TRAUMA-FOCUSED THERAPY TO CHILDREN IMPACTED BY SEXUAL ABUSE, IS HOUSED IN THE BUILDING, AS WELL AS THE ACH MEDICAL CLINIC AND THE UAMS CHILD AND ADOLESCENT PSYCHIATRY SERVICE LINE. HAVING THE MISSION AND EXPERTISE OF THESE FOUR PROGRAMS IN ONE LOCATION ON THE ACH CAMPUS HAS BROUGHT A NEW LEVEL OF COORDINATED, EVIDENCED-BASED, EFFICIENT AND COMPREHENSIVE CARE TO THIS VULNERABLE AND AT-RISK POPULATION. AS WE ARE STILL IN YEAR ONE OF THE 2023-2025 IMPLEMENTATION PERIOD FOLLOWING THE 2022 ACH CHNA, ACH CONTINUES TO PLAN AND BUILD PROGRAMMING IN RESPONSE TO THIS HEALTH NEED. WE ARE EXPLORING PARTNERSHIPS IN NATIONALLY KNOWN FORUMS, LIKE WORKING TO REINSTATE A STATE CHAPTER OF PREVENT CHILD ABUSE AMERICA, AS WELL AS EXPLORING PARTNERSHIPS WITHIN OUR STATE, BY WORKING WITH OUR NATURAL WONDERS PARTNERSHIP COUNCIL - HEALTHY RELATIONSHIPS WORKGROUP. THIS WORKGROUP BEGAN AN ENVIRONMENTAL SCAN IN APRIL OF 2023 TO DETERMINE WHAT RESOURCES ARE AVAILABLE IN THE STATE AND WHO MIGHT BE MISSING FROM THE WORKGROUP CONVERSATION. AS MENTIONED IN THE PREVIOUS INFANT HEALTH PRIORITY NEED, THE AHVN SERVED 8,725 FAMILIES WITH CHILDREN FROM BEFORE BIRTH TO AGE FIVE ACROSS THE STATE IN FY23. THE AHVN PROGRAMMING IMPACTS INFANT HEALTH, AS WELL AS CHILD ABUSE AND NEGLECT, WITH THEIR HEALTHY FAMILIES AMERICA, SAFE CARE, HIPPY, AND PARENTS AS TEACHERS PROGRAMS POSITIVELY IMPACTING PARENT-CHILD ENGAGEMENT, PARENTING PRACTICES, RATES OF CHILD MALTREATMENT FATALITIES, AND REDUCING PARTICIPANTS DEEMED AT-RISK FOR CHILD EMOTIONAL NEGLECT. THE ARKANSAS CHILDREN'S SAFETY BABY SHOWER PROGRAM HAS CONNECTIONS TO HELP PREVENT CHILD ABUSE AND NEGLECT AS WELL, AS IT EDUCATED 365 PARTICIPANTS ON THE PERIOD OF PURPLE CRYING, AN EVIDENCE-BASED SHAKEN BABY SYNDROME/ABUSIVE HEAD TRAUMA PREVENTION PROGRAM.
SCHEDULE H, PART V, SECTION B, LINE 11 - CONTINUED	(6) SUSTAINING ACTIVITY: ACCESS TO CAREACCESS TO CARE WAS A CHILD HEALTH NEED MENTIONED BY VIRTUALLY EVERY STAKEHOLDER WHO PARTICIPATED IN THE 2022 ACH CHNA PROCESS, EITHER FROM A GENERAL PERSPECTIVE, OR WITH A FOCUS ON TELEHEALTH OR ORAL HEALTH. THIS NEED HAS BEEN MENTIONED AND PRIORITIZED IN CHNA'S FOR SEVERAL YEARS, AND THEREFORE, IS IDENTIFIED AS A SUSTAINING ACTIVITY. ACH SUPPORTS ACCESS TO CARE BY DEDICATING MORE THAN $3 MILLION EACH YEAR TO SUPPORT THE WORK OF THE ACH FINANCIAL COUNSELORS. THESE COUNSELORS HELP PATIENTS, AS WELL AS SIBLINGS AND PARENTS, SIGN UP FOR HEALTHCARE COVERAGE, AND IN FY23, 25 FINANCIAL COUNSELORS PROCESSED 6,475 APPLICATIONS FOR MEDICAID, 480 APPLICATIONS FOR TEFRA, 4,833 APPLICATIONS FOR OUR FINANCIAL ASSISTANCE PROGRAM (FAP), AND 316 APPLICATIONS FOR SUPPLEMENTAL NUTRITION ASSISTANCE PROGRAM (SNAP). FAMILIES ARE ALSO HELPED BY AN AFTER-HOURS RESOURCE LINE, ANSWERED BY REGISTERED NURSES AT ACH. IN FY23 DEDICATED NURSES RESPONDED TO 28,739 AFTER-HOURS CALLS IN WHICH THEY PROVIDED MEDICAL ADVICE FOR EITHER NON-EMERGENT ISSUES, OR THEY HELPED TO IDENTIFY POTENTIAL COMPLICATIONS BEFORE THEY BECAME MORE SERIOUS PROBLEMS. ANOTHER WAY ACH HELPS FAMILIES IS BY MAINTAINING ON-SITE SPANISH INTERPRETERS, BEYOND TRANSLATION THAT IS REQUIRED FOR ACCREDITATION. ACH SUPPORTED THE CONTINUATION AND EXPANSION OF THE MEDICAL LEGAL PARTNERSHIP (MLP), A PROGRAM IMPLEMENTED IN COLLABORATION WITH LEGAL AID OF ARKANSAS TO REDUCE HEALTH-HARMING LEGAL NEEDS. THE ARKANSAS CHILDREN'S MLP IS ONE OF THE REFERRALS POSSIBLE WITH ARKANSAS CHILDREN'S RESOURCE CONNECT, MENTIONED IN THE FOOD INSECURITY SECTION OF THIS REPORT. THESE LEGAL AID ATTORNEYS HELP ELIGIBLE FAMILIES WITH HEALTH-HARMING LEGAL NEEDS. DURING FY23, THE ATTORNEYS RECEIVED 688 REFERRALS AND CLOSED 315 CASES, RANGING FROM BRIEF LEGAL ADVICE AND/OR SERVICES TO EXTENDED REPRESENTATION. THE MOST FREQUENT TYPES OF CASE REFERRALS WERE RELATED TO EDUCATION (105 CASES), HOUSING AND RENTING CONDITIONS (90 CASES), ADULT GUARDIANSHIP ISSUES (87 CASES), AND SUPPLEMENTAL SECURITY INCOME/SOCIAL SECURITY DISABILITY INSURANCE (SSDI) (75 CASES). FROM THIS WORK, THE MLP TEAM ASSISTED CLIENTS WITH RECOVERING BENEFITS AND AVOIDING UNWARRANTED COSTS FOR A TOTAL VALUE OF $157,033.ACH MEDICAL PROVIDERS SUPPORT TWO SCHOOL-BASED HEALTH CENTERS IN THE LITTLE ROCK SCHOOL DISTRICT (LRSD). THE TWO CLINICS COMPLETED 1,618 VISITS WITH LRSD STUDENTS AND THEIR SIBLINGS DURING FY23. THE TOP THREE UTILIZATIONS DURING THIS TIME WERE ENCOUNTERS FOR IMMUNIZATION (876), ENCOUNTERS FOR ROUTINE CHILD HEALTH EXAMINATIONS WITH ABNORMAL FINDINGS (504), AND ENCOUNTERS FOR ROUTINE CHILD HEALTH EXAMINATIONS WITHOUT ABNORMAL FINDINGS (238). THE CLINIC PROVIDED 1,885 VACCINATIONS, MADE 337 SPECIALTY CARE REFERRALS, AND MADE 86 BEHAVIORAL HEALTH CARE REFERRALS. ACH ALSO SUPPORTS SCHOOL NURSES STATEWIDE THROUGH THE SCHOOL NURSE ACADEMY, A PARTNERSHIP BETWEEN ARKANSAS CHILDREN'S, ARKANSAS DEPARTMENT OF EDUCATION, AND ARKANSAS DEPARTMENT OF HEALTH. THROUGH THE SCHOOL NURSE ACADEMY IN FY23, 48 SCHOOL NURSES RECEIVED VIRTUAL, ASYNCHRONOUS ASTHMA MANAGEMENT TRAINING AND 143 PARTICIPANTS ATTENDED AN IN-PERSON MOTIVATIONAL INTERVIEWING TRAINING. THIS IN-PERSON TRAINING WAS HELD FIVE TIMES IN DIFFERENT REGIONS OF THE STATE AND REACHED NURSES IN 47 SCHOOL DISTRICTS. IN ADDITION, TO SUPPORT THE INCREDIBLE WORK OF SCHOOL NURSES, ARKANSAS CHILDREN'S CONTINUES TO SUPPORT A SCHOOL NURSE EDUCATIONAL RESOURCES WEBPAGE ON THEIR WEBSITE. THIS WEBPAGE MAKES AVAILABLE A VARIETY OF HEALTH RESOURCES TO KEEP SCHOOL NURSES INFORMED, SUCCESSFUL, AND CONFIDENT IN THEIR WORK TO CARE FOR STUDENTS. ONE RESOURCE AVAILABLE IS A VIRTUAL BROADCAST. IN FY23, EIGHT BROADCASTS REACHED 746 PARTICIPANTS IN 9 STATES (ARKANSAS, KENTUCKY, MARYLAND, MISSOURI, NEW YORK, OHIO, SOUTH CAROLINA, TENNESSEE, AND TEXAS) AND 70 OF 75 ARKANSAS COUNTIES. BROADCASTED TOPICS INCLUDED DIABETES: BACK-TO-SCHOOL, ALLERGIC REACTIONS, SCHOOL AGE RESPIRATORY EMERGENCIES, DEPRESSION AND ANXIETY: TOLERATING DISTRESS IS A SKILL WE ALL NEED TO LEARN, PROJECT ADAM: HEART SAFE SCHOOLS IN ARKANSAS, SEIZURES, CHILDHOOD IMMUNIZATIONS/MENINGITIS, AND HUMAN PAPILLOMA VIRUS (HPV). TO IMPROVE ACCESS TO CARE ISSUES RELATED TO LODGING, ACH SUPPORTED GOODNESS VILLAGE, RONALD MCDONALD HOUSE, AND HOME FOR HEALING. GOODNESS VILLAGE, LOCATED IN LITTLE ROCK, ARKANSAS, RECEIVED CONTRIBUTIONS HELPING TO COVER THE COSTS OF A 1-BEDROOM APARTMENT FOR THREE MONTHS FOR CAREGIVERS OF A CHILD BEING SEEN AT A CENTRAL ARKANSAS HOSPITAL. GOODNESS VILLAGE PROVIDES AFFORDABLE APARTMENT HOUSING IN LITTLE ROCK FOR PATIENTS AND THEIR FAMILIES WHO REQUIRE OUTPATIENT MEDICAL TREATMENT. RONALD MCDONALD HOUSE, THE FAMILY HOME OF THE RONALD MCDONALD HOUSE CHARITIES OF ARKANSAS, IS LOCATED ON THE CAMPUS OF ACH. THE LAND WHERE THE BUILDING IS LOCATED IS OWNED BY ACH AND PROVIDED AS A BENEFIT TO THE ORGANIZATION AT A $1 PER YEAR LEASE. THE RONALD MCDONALD HOUSE IS OPEN TO FAMILIES WITH A CHILD WHO IS AGE 21 OR YOUNGER AND LIVES 50-MILES AWAY FROM LITTLE ROCK. WHILE MANY FAMILIES HAVE A CHILD BEING TREATED AT ACH, IT IS OPEN TO FAMILIES WITH CHILDREN TREATED AT OTHER HOSPITAL FACILITIES AS WELL. ADDITIONALLY, ACH SUPPORTED HOME FOR HEALING IN LITTLE ROCK, WHICH FOR THE PAST 20 YEARS, HAS OFFERED SUPPORT TO PARENTS OF NICU INFANTS, INDIVIDUALS AND THEIR CAREGIVERS UNDERGOING CANCER TREATMENT, AND CAREGIVERS OF INDIVIDUALS WHO ARE IN INTENSIVE CARE UNITS, BY PROVIDING CONVENIENT AND FREE LODGING IN A PEACEFUL AND RESTORATIVE ENVIRONMENT.ACCESS TO CARE ISSUES CONTINUE TO EXIST IN ARKANSAS, WITH 15 COUNTIES IN ARKANSAS SCORING IN THE HIGHEST TIER OF RATING FOR DENTAL HEALTH PROFESSIONALS SHORTAGE AREAS (HPSA). DURING FY23, THE ARKANSAS CHILDREN'S DENTAL SEALANT PROGRAM OFFERED ORAL HEALTH SCREENINGS, FLUORIDE APPLICATIONS, AND DENTAL SEALANTS AT 34 SCHOOLS IN 18 COUNTIES OF THE STATE. THEY SAW 2,910 CHILDREN, IN WHICH 919 (32%) WERE IDENTIFIED TO HAVE OBVIOUS DECAY. NOTES WERE SENT HOME WITH THESE STUDENTS TO INFORM THEIR PARENTS THAT THEY NEED TO SEEK DENTAL CARE. THE PROGRAM RECEIVED POSITIVE FEEDBACK FROM SCHOOL NURSES, WHO SAID THIS PROCESS HELPED AFFIRM THE MESSAGE THEY HAD BEEN TRYING TO GET ACROSS TO PARENTS, AS WELL AS MOTIVATING PARENTS TO GET THE NEEDED DENTAL CARE FOR THEIR CHILDREN.STUDENTS WERE ALSO SERVED BY MOBILE DENTAL CLINICS, WHERE 844 PATIENTS WERE SERVED ACROSS 2,138 VISITS. IN FY23, THE MOBILE DENTAL OUTREACH PROGRAM PROVIDED PREVENTATIVE WORK, INCLUDING 2,851 SEALANTS AND 799 CLEANINGS, AND RESTORATIVE WORK, INCLUDING 140 ROOT CANALS, 290 CROWNS, 1,203 FILLINGS, 326 EXTRACTIONS, AND 7,625 OTHER PROCEDURES, SUCH AS ORAL EXAMS, X-RAYS, FLUORIDE APPLICATIONS, NITROUS ADMINISTRATION, AND PLACING SPACE MAINTAINERS.(7) SUSTAINING ACTIVITY: OBESITYCHILDHOOD OBESITY AND FOOD SECURITY ARE INTERCONNECTED NEEDS, WITH PROGRESS NEEDED IN BOTH AREAS FOR EITHER TO IMPROVE. MUCH OF THE WORK REPORTED UNDER THE FOOD INSECURITY SECTION OF THIS REPORT HAS COMPONENTS OF OBESITY PREVENTION AS WELL. TO ADDRESS OBESITY, AND THE INTERSECTING NEED OF FOOD SECURITY, AT A COMMUNITY LEVEL, ARKANSAS CHILDREN'S HEALTH EDUCATORS UTILIZED THE COOKING MATTERS CURRICULUM, PROVIDING FAMILIES AND THEIR CHILDREN WITH SPECIFIC SKILLS TO COOK HEALTHY, LOW-COST MEALS. ACH SUPPORTED COOKING MATTERS PROGRAMS INCLUDING COOKING MATTERS, COOKING MATTERS AT THE STORE, AND POP-UP COOKING MATTERS, AN INTERACTIVE CURRICULUM FOR HIGH SCHOOL STUDENTS. IN FY23, 74 POP-UP COOKING MATTERS PRESENTATIONS WERE GIVEN TO 1,629 JUNIOR HIGH AND HIGH SCHOOL STUDENTS THROUGHOUT THE STATE. AFTER COMPLETING POP-UP COOKING MATTERS, STUDENTS ARE SURVEYED TO DETERMINE INTENT TO CHANGE BEHAVIOR AROUND TOPICS LIKE COMPARING FOOD LABELS TO MAKE HEALTHY CHOICES, READING INGREDIENT LISTS TO FIND WHOLE GRAINS, AND CHOOSING FRUITS AND VEGETABLES IN ALL FORMS (FRESH, FROZEN, OR CANNED). ANOTHER FINANCIAL CONTRIBUTION WAS MADE TO APPLE SEEDS INC., A NORTHWEST ARKANSAS BASED NONPROFIT WHOSE MISSION IS TO INSPIRE HEALTHY LIVING THROUGH GARDEN-BASED EDUCATION. THEY CREATE PROGRAMS THAT EDUCATE AND EXCITE YOUNG STUDENTS ABOUT HEALTHY FOOD WHILE INCREASING THEIR ACCESS TO THOSE HEALTHY FOODS. OUR SUPPORT ASSISTED THEM IN EXPANDING THEIR GROWING MY PLATE PROGRAMMING ACROSS THE STATE, PROVIDING EDUCATION TO OVER 60 SCHOOLS AND TRAINING 68 TEACHERS IN 2022. GROWING MY PLATE PROGRAM EVALUATIONS ALSO SHOWED THAT 100% OF PARENTS REPORTED AN IMPROVEMENT IN THEIR CHILD IN A LEAST ONE BEHAVIOR AFTER IMPLEMENTATION (EITHER CHILD TALKING ABOUT NUTRITION, HEALTHY EATING, PARTICIPATION IN GROCERY SHOPPING, TRYING A NEW MEAL, AND FAMILY CONSUMPTION OF HEALTHY FOODS).
SCHEDULE H, PART V, SECTION B, LINE 11 - CONTINUED	(8) SUSTAINING ACTIVITY: INJURY PREVENTION IMPROVEMENTS HAVE BEEN MADE OVER THE PAST 10 YEARS IN REGARDS TO INJURY PREVENTION; HOWEVER, THE FY22 ACH CHNA FOUND THAT ARKANSAS STILL RANKS 42ND IN THE NATION FOR CHILD AND TEEN DEATH RATE AND STILL RANKS NEGATIVELY COMPARED WITH NATIONAL AVERAGES IN MOST INJURY MECHANISMS.BECAUSE OF THIS, ARKANSAS CHILDREN'S CONTINUED TO WORK TO REDUCE CHILD INJURIES AND DEATHS THROUGH PROGRAMMING FOCUSED ON THE ISSUES OF MOTOR VEHICLE SAFETY, SAFE SLEEP/INFANT MORTALITY, INTENTIONAL INJURIES, AND RECREATIONAL SAFETY, AND BURN/FIRE PREVENTION DURING FY23, UTILIZING A COMPREHENSIVE PUBLIC HEALTH APPROACH THAT INCLUDES EDUCATION, AWARENESS, AND ADVOCACY. AS PREVIOUSLY MENTIONED UNDER THE INFANT HEALTH SECONDARY PRIORITY, ARKANSAS CHILDREN'S LEADS THE SAFETY BABY SHOWER PROGRAM, WHICH PROVIDES SAFE SLEEP EDUCATION ACROSS THE STATE. SAFETY BABY SHOWER CLASSES ARE TAUGHT TO PARENTS AND OFFERED IN A TRAIN-THE-TRAINER MODEL TO EQUIP COMMUNITY MEMBERS TO LEAD THEIR OWN CLASSES. DURING FY23, 54 SAFETY BABY SHOWERS WERE HELD, TO REACH A TOTAL OF 365 PARTICIPANTS ACROSS ARKANSAS, AND 152 COMMUNITY MEMBERS WERE TRAINED TO IMPLEMENT SAFETY BABY SHOWER CLASSES IN THEIR OWN COMMUNITIES. MOTOR VEHICLE SAFETY EFFORTS WERE FOCUSED AROUND CHILD PASSENGER SAFETY AND TEEN DRIVING SAFETY DURING THE FY23 TIMEFRAME. CHILD PASSENGER SAFETY EFFORTS WERE PREVIOUSLY DISCUSSED UNDER THE INFANT HEALTH SECONDARY PRIORITY, AND INCLUDED 11 CHILD PASSENGER SAFETY CERTIFICATION COURSES, WHICH TRAINED 133 PROFESSIONALS TO PROPERLY INSTALL CAR SEATS. CLASSES AND CORRESPONDING COMMUNITY SEAT CHECK EVENTS WERE HELD IN BENTON, BOONE, CRAIGHEAD, GARLAND, MISSISSIPPI, OUACHITA, PHILLIPS, PULASKI, AND SEBASTIAN COUNTIES. FAMILIES ALSO HAVE ACCESS TO CHILD PASSENGER SAFETY EDUCATION AT ARKANSAS CHILDREN'S LOCATIONS, AS WELL AS 31 SATELLITE SITES AROUND THE STATE, WHERE 1,065 CAR SEATS WERE DONATED TO FAMILIES IN NEED THROUGH AN ARKANSAS HIGHWAY SAFETY OFFICE GRANT AND ANOTHER 450 WERE DONATED THROUGH ARKANSAS CHILDREN'S ORGANIZATIONAL DOLLARS AND SPECIFIED PURPOSE FUNDING IN FY23. TEEN DRIVING SAFETY EFFORTS WERE CONDUCTED THROUGH THE YOUTH ACCIDENT PREVENTION PROGRAM (YAPP), WHICH REACHED 2,271 STUDENTS DURING FY23, AND A PEER LED ARKANSAS DRIVE SMART CHALLENGE, WITH 13 SCHOOLS AND 342 STUDENT LEADERS TRAINED. ARKANSAS CHILDREN'S CONTINUED TO OFFER BABYSITTING 101 CLASSES IN FY23. DURING BABYSITTING 101, STUDENTS RECEIVE TRAINING IN SAFETY SKILLS, CHILD CARE SKILLS, FIRST AID AND RESCUE SKILLS, AND LIFE AND BUSINESS SKILLS. SIX CLASSES TOOK PLACE THIS YEAR (FOUR IN LITTLE ROCK, ONE IN SPRINGDALE, AND ONE IN JONESBORO), AND 72 STUDENTS WERE TRAINED FROM 10 COUNTIES TO BE SAFE BABYSITTERS.INTERSECTING NEED: POVERTY AND FINANCES AS STATED IN THE 2022 ACH CHNA, BY MOST MEASURES, ARKANSAS CONSISTENTLY RANKS AS ONE OF THE POOREST STATES IN THE NATION, AND LACK OF INCOME AND/OR MONETARY RESOURCES AFFECTS THE HEALTH OUTCOMES OF ARKANSAS CHILDREN, PERHAPS MORE SO THAN ANY OTHER SINGLE TOPIC AREA REVIEWED. VIRTUALLY EVERY STAKEHOLDER WHO PROVIDED INPUT INTO THE CHNA CONNECTED THE DOTS BETWEEN POVERTY AND CHILDREN'S HEALTH. AS MENTIONED IN PRIOR SECTIONS OF THIS NARRATIVE, ARKANSAS CHILDREN'S RESOURCE CONNECT (POWERED BY FINDHELP.ORG) AND THE ARKANSAS CHILDREN'S MEDICAL LEGAL PARTNERSHIP HAVE BOTH PROVEN TO PROVIDE GREAT RESOURCES AND ASSISTANCE TO IMPOVERISHED FAMILIES. IN FY23, ARKANSAS CHILDREN'S SUPPORTED THE ALICE IN THE CROSSCURRENTS: COVID AND FINANCIAL HARDSHIP IN ARKANSAS 2023 REPORT, WITH TEAM MEMBERS SITTING ON THE STATE RESEARCH ADVISORY COMMITTEE. THIS ALICE (ASSET LIMITED, INCOME CONSTRAINED, EMPLOYED) REPORT PROVIDES THE FIRST LOOK AT THE EXTENT OF FINANCIAL HARDSHIP IN ARKANSAS USING ALICE METRICS SINCE THE COVID-19 PANDEMIC BEGAN. UNDERSTANDING THE LINKS BETWEEN LITERACY AND POVERTY, ACH PARTNERS WITH LITERACY ACTION OF CENTRAL ARKANSAS TO OFFER LITERACY CLASSES ON CAMPUS, WITH PLANS TO EXPAND THIS RESOURCE THROUGH PHILANTHROPIC DOLLARS IN THE COMING YEAR. WHILE ARKANSAS CHILDREN'S IS NOT POSITIONED TO HAVE A SIGNIFICANT IMPACT ON INCREASING FAMILY INCOME AND DECREASING POVERTY RATES, THE SYSTEM WILL CONTINUE TO SEEK AND PARTICIPATE IN ACTIVITIES WHICH MAY CONTRIBUTE TO IMPROVING THIS NEED.
SCHEDULE H, PART V, SECTION B, LINE 16A - FAP WEBSITE	WWW.ARCHILDRENS.ORG/PATIENTS-AND-VISITORS/BILLING-AND-INSURANCE/FINANCIAL-ASSISTANCE
SCHEDULE H, PART V, SECTION B, LINE 16B - FAP APPLICATION	WWW.ARCHILDRENS.ORG/PATIENTS-AND-VISITORS/BILLING-AND-INSURANCE/FINANCIAL-ASSISTANCE
SCHEDULE H, PART V, SECTION B, LINE 16C - FAP PLAIN LANGUAGE SUMMARY	WWW.ARCHILDRENS.ORG/PATIENTS-AND-VISITORS/BILLING-AND-INSURANCE/FINANCIAL-ASSISTANCE
SCHEDULE H, PART V, SECTION B, LINE 20	SCHEDULE H, PART V, QUESTION 20A-20E ARE NOT CHECKED BECAUSE ARKANSAS CHILDREN'S HOSPITAL DOES NOT PERFORM EXTRAORDINARY COLLECTION ACTIONS (ECA'S) OF ANY KIND. AS SUCH, NONE OF THE BOX 20 QUESTIONS OCCURRED "BEFORE INITIATING THE LISTED ACTIONS" BECAUSE THE LISTED ACTIONS WERE NEVER INITIATED. PLEASE REFER TO DESCRIPTION AT SCHEDULE H, PART III, SECTION C, QUESTION 9B FOR A COMPLETE DESCRIPTION OF ARKANSAS CHILDREN'S COLLECTION PRACTICES.

Schedule H (Form 990) 2022

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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?4
Name and address		Type of Facility (describe)
1	1 - ACH WEST LITTLE ROCK CLINIC BELLA ROSA CENTER 16101 CANTRELL RD LITTLE ROCK,AR72223	OUTPATIENT HOSPITAL CLINIC
2	2 - ACH JONESBORO CLINIC 520 CARSON STREET JONESBORO,AR72401	OUTPATIENT HOSPITAL CLINIC
3	3 - ACH SOUTHWEST LITTLE ROCK CLINIC 9015 DAILEY DRIVE LITTLE ROCK,AR72209	OUTPATIENT HOSPITAL CLINIC
4	4 - ACH PINE BLUFF CLINIC 1500 W 42ND AVENUE PINE BLUFF,AR71603	OUTPATIENT HOSPITAL CLINIC
5
6
7
8
9
10

Schedule H (Form 990) 2022

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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 IT DOES PROVIDE FREE CARE FOR INDIVIDUALS WITH HOUSEHOLD INCOMES UP TO 250% OF POVERTY AND DISCOUNTED CARE FOR INDIVIDUALS WITH HOUSEHOLD INCOMES UP TO 400% OF POVERTY. AS PART OF THE APPLICATION PROCESS, ACH REQUESTS THAT PERSONS WITH NO INCOME WHO ARE ALSO INELIGIBLE FOR MEDICAID, MEDICARE, OR MARKETPLACE SUBSIDIES PROVIDE A WRITTEN SIGNED STATEMENT DESCRIBING HOW THEY ARE MEETING THEIR DAY TO DAY BASIC LIVING NEEDS. THE APPLICATION SPECIFIES SUCH REQUIREMENTS FOR APPLICANTS WITH "NO INCOME IN THE HOME". ACH ALSO ASSISTS FAMILIES IN APPLYING FOR MEDICAID (INCLUDING THE TEFRA PROGRAM FOR DISABLED CHILDREN THAT ONLY CONSIDERS THE CHILD'S INCOME), SSI, CHILDREN'S MEDICAL SERVICES, AS WELL AS ACH'S OWN FINANCIAL ASSISTANCE PROGRAM. THE HOSPITAL ALSO ALLOWS INTEREST FREE PAYMENTS TO BE MADE UNTIL THE OUTSTANDING BALANCE IS PAID WITHOUT TIME CONSTRAINTS. ACH DOES NOT REPORT TO COLLECTION AGENCIES OR TAKE OTHER EXTRAORDINARY COLLECTION EFFORTS.
PART I, LINE 7:	COSTING METHOD - ARKANSAS CHILDREN'S HOSPITAL (ACH) USES A COST ACCOUNTING (CA) SYSTEM AS THE BASIS FOR DETERMINING COST FOR ITS PATIENTS. ALL PATIENT ENCOUNTERS (INPATIENT, OUTPATIENT, ED, AMBULATORY SURGERY) ARE CAPTURED IN THE COST ACCOUNTING SYSTEM FOR ALL PATIENTS (MEDICAID, INSURANCE, UNINSURED) WITH NO DIFFERENTIATION FOR TYPE OF INSURANCE, IF ANY. A BRIEF DESCRIPTION OF THE COST ACCOUNTING SYSTEM IS BELOW.THE COST ACCOUNTING SYSTEM AT ACH IS A DETAILED PROCEDURE SYSTEM. ALL SERVICES PERFORMED BY PATIENT CARE STAFF HAVE BEEN EVALUATED AS TO THE RESOURCES UTILIZED TO PROVIDE THE SERVICES INCLUDING LABOR, DIRECT MATERIALS AND EQUIPMENT. IN ADDITION, OVERHEAD TYPE COSTS (BUILDING, UTILITIES, PAYROLL, ETC.) HAVE ALSO BEEN ALLOCATED TO THESE SERVICES. THE TWO COMPONENTS, DIRECT AND INDIRECT COSTS, ARE COMBINED AND REPRESENT THE TOTAL COST TO PROVIDE EACH SERVICE. THIS IS DONE ON A PROCEDURE LEVEL BASIS. AS A PATIENT IS ADMITTED AND INCURS SERVICES (X-RAYS, ROOM & BOARD, LAB, ETC.), THE APPLICABLE PROCEDURE COSTS ARE ASSIGNED TO EACH PARTICULAR PATIENT. UPON DISCHARGE, THE COSTS FROM THE INDIVIDUAL PROCEDURES THAT WERE PROVIDED TO EACH PATIENT ARE ADDED UP FOR A TOTAL COST OF PROVIDING CARE FOR EACH INDIVIDUAL PATIENT.THE COST ACCOUNTING SYSTEM IS UPDATED ANNUALLY TO REFLECT THE CURRENT YEAR'S EXPENSES.
PART I, LINE 7G:	SUBSIDIZED HEALTH SERVICES - ACH PROVIDES MANY PEDIATRIC AND SOME ADULT SPECIALIZED SERVICES TO THE COMMUNITY THAT ARE EITHER NOT AVAILABLE OR ARE BEYOND THE CAPACITY OF THE COMMUNITY TO PROVIDE. MANY OF THESE SERVICES ARE PROVIDED BY ACH AT A LOSS. THESE LOSSES WERE OBTAINED FROM THE COST ACCOUNTING SYSTEM.ACH SUBSIDIZED HEALTH SERVICES INCLUDES ONE STANDALONE CLINIC. THE NET LOSS OF $81,963 INCLUDED FROM THIS CLINIC REPRESENTS THE FACILITY PORTION OF THE CLINIC WHICH INCLUDES THE CLINIC VISIT, VACCINE ADMINISTRATION AND POINT OF CARE TESTING.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 RENAL LAB SERVICES TO ITS MEDICARE PATIENT POPULATION THAT ARE NOT REIMBURSED. THOSE LOSSES ARE ALSO INCLUDED AS SUBSIDIZED HEALTH SERVICES.
PART II, COMMUNITY BUILDING ACTIVITIES:	ARKANSAS CHILDREN'S HOSPITAL SEEKS TO BE AN ACTIVE MEMBER OF THE LOCAL NEIGHBORHOOD. THE HOSPITAL IS LOCATED IN AN OLDER, ESTABLISHED, HISTORIC URBAN NEIGHBORHOOD IN DOWNTOWN LITTLE ROCK. OUR CAMPUS COVERS MORE THAN 30 CITY BLOCKS AND EMPLOYS MORE THAN 4,500 PEOPLE. ACH PARTICIPATES IN LOCAL NEIGHBORHOOD ASSOCIATION MEETINGS, IN ORDER TO SHARE INFORMATION AND/OR HEAR CONCERNS AND FEEDBACK. IN ADDITION TO ATTENDANCE AT MONTHLY CENTRAL HIGH NEIGHBORHOOD ASSOCIATION MEETINGS, ARKANSAS CHILDREN'S OFTEN ASSISTS WITH NEIGHBORHOOD ACTIVITIES SUCH AS NATIONAL NIGHT OUT, PARK CLEAN-UP DAYS, COMMUNITY GARDEN VOLUNTEERING, AND SPONSORSHIP OF ACTIVITIES AT NEARBY NEIGHBORHOOD SCHOOLS CENTRAL HIGH SCHOOL AND KING ELEMENTARY. ACH ALSO SUPPORTS THE DOWNTOWN LITTLE ROCK PARTNERSHIP AND ITS WORK TO CONTINUE AND GROW A THRIVING DOWNTOWN, RICH IN BUSINESS, ARTS AND CULTURE. ACH ALSO FINANCIALLY SUPPORTS OTHER ORGANIZATIONS THAT SEEK TO ADDRESS THE NEEDS OF CHILDREN AND FAMILIES, INCLUDING THE ARKANSAS CHAPTER OF THE AMERICAN FOUNDATION FOR SUICIDE PREVENTION; WOMEN & CHILDREN FIRST, WHICH ADDRESSES FAMILY VIOLENCE THROUGH SAFETY, STRENGTH, AND HOPE FOR ALL VICTIMS OF FAMILY VIOLENCE; ARKANSAS HUNGER RELIEF ALLIANCE AND FOOD BANKS AND FOOD PANTRIES ACROSS THE STATE; HELPING HAND FOOD PANTRY, NEIGHBOR-TO-NEIGHBOR FOOD PANTY, EL ZOCALO IMMIGRANT RESOURCE CENTER, AND LEGAL AID OF ARKANSAS. ACH ALSO PROVIDES OFFICE SPACE AT HIGHLY DISCOUNTED RATES FOR CHILD MALTREATMENT SERVICES. THE CENTENNIAL GARDEN, A COMMUNITY GARDEN ON THE GROUNDS OF ACH, PLAYS AN ACTIVE ROLE IN FOOD SECURITY EFFORTS DESIGNED TO BENEFIT PATIENT FAMILIES AND THE BROADER COMMUNITY. THE GARDEN IS REGULARLY TENDED BY A PART-TIME GARDEN MANAGER AS WELL AS A NUMBER OF DEDICATED COMMUNITY VOLUNTEERS. IN FY23, MORE THAN 1,000 POUNDS OF FRESH PRODUCE WERE DONATED TO HELPING HAND FOOD PANTRY AND EL ZOCALO IMMIGRANT RESOURCE CENTER. PRODUCE GROWN INCLUDES COLLARD GREENS, MUSTARD GREENS, SWISS CHARD, LETTUCE, STRAWBERRIES, BLACKBERRIES, ONIONS, CORN, TOMATOES, AND A VARIETY OF PEPPERS, SUCH AS BELL, BANANA, JALAPENO, AND ANAHEIM. THESE ARE THE TYPES OF PRODUCE CULTURALLY PREFERRED BY THE COMMUNITIES SERVED AT EACH FOOD PANTRY.ARKANSAS CHILDREN'S CONTINUES TO CLOSELY PARTNER WITH SCHOOLS AND HAS FORMAL PARTNERSHIPS WITH KING ELEMENTARY SCHOOL, IN LITTLE ROCK NEAR THE ACH CAMPUS; CLOVERDALE MIDDLE SCHOOL, LOCATED NEAR THE ACH SOUTHWEST LITTLE ROCK CLINIC; JONESBORO HIGH SCHOOL - HEALTH AND HUMAN SERVICES ACADEMY, NEAR THE ACH JONESBORO CLINIC; SPRINGDALE HIGH SCHOOL - MEDICAL ACADEMY, LOCATED NEAR ARKANSAS CHILDREN'S NORTHWEST, AND JAMES MATTHEW ELEMENTARY, NEAR THE ACH PINE BLUFF CLINIC. GOALS FOR THESE PARTNERSHIPS INCLUDE PROMOTING HEALTH EDUCATION, PROMOTING EXPLORATION AND LEARNING OF HEALTHCARE CAREERS, AND FOSTERING A CLIMATE OF INVOLVEMENT, INTERACTION AND MUTUAL COOPERATION BETWEEN EACH PARTY. ALSO IN PINE BLUFF, WE PARTNER WITH AN AFTER-SCHOOL MENTORING PROGRAM FOR AT-RISK YOUTH, CALLED TARGETING OUR PEOPLE'S PRIORITIES WITH SERVICE (TOPPS). THIS PROGRAM PROVIDES MEALS TO MORE THAN 2,600 CHILDREN YEAR-ROUND, OFFERS AFTER-SCHOOL LEARNING SUPPORT, AND OFFERS JOB TRAINING, MENTORING AND OTHER SUPPORT PROGRAMS TO STUDENTS OVER AGE 14.ADDITIONALLY, IN APRIL OF 2023, ARKANSAS CHILDREN'S ENTERED A FORMAL PARTNERSHIP WITH SYLVAN HILLS HIGH SCHOOL AND THE PULASKI COUNTY SPECIAL SCHOOL DISTRICT TO ESTABLISH THE ARKANSAS CHILDREN'S ACADEMY OF BUSINESS AND THE ARKANSAS CHILDREN'S ACADEMY OF MEDICAL SCIENCE. LOCATED AT SYLVAN HILLS HIGH SCHOOL, THESE ACADEMIES PROVIDE ENHANCED LEARNING OPPORTUNITIES TO STUDENTS, SUCH AS CAREER EXPOSURE THROUGH CLASSROOM SPEAKERS AND GUEST LECTURERS. THESE STUDENTS WILL ATTEND A CAREER EXPOSURE EVENT WHERE ARKANSAS CHILDREN'S, ALONG WITH OTHER CENTRAL ARKANSAS BUSINESSES, WILL SHOWCASE CAREER OPPORTUNITIES. SOPHOMORE STUDENTS ARE PROVIDED FIELD TRIPS AND BUSINESS TOURS, AND JUNIOR STUDENTS ARE THEN PROVIDED JOB SHADOWING OPPORTUNITIES. TOGETHER, ARKANSAS CHILDREN'S AND SYLVAN HILLS HIGH SCHOOL DEVELOP CAPSTONE PROJECTS AND INTERNSHIP OPPORTUNITIES FOR SENIOR STUDENTS, AND ARKANSAS CHILDREN'S COLLABORATES WITH SYLVAN HILLS TEACHERS AND THE DISTRICT LEAD ACADEMY COACH ON CURRICULUM ADVISEMENT, INDUSTRY CREDENTIALS, HANDS-ON LEARNING OPPORTUNITIES TO PROVIDE REQUIRED SKILLS FOR STUDENTS, AND NEEDED FINANCIAL RESOURCES TO CREATE A LEARNING LABORATORY SPACE FOR STUDENTS.
PART III, LINE 2:	BAD DEBT EXPENSE REPORTED ON LINE 2 REPRESENTS UNCOLLECTIBLE PATIENT ACCOUNTS AND IS CALCULATED ON A COST BASIS.
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.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. IT HAS BEEN 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.
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, IF ANY, SHOULD BE INCLUDED AS A COMPONENT OF COMMUNITY BENEFIT BECAUSE THE REIMBURSEMENT IS NOT NEGOTIATED AND SERVICES CANNOT BE PROVIDED ELSEWHERE.
PART III, LINE 9B:	ARKANSAS CHILDREN'S HOSPITAL'S PATIENT ACCOUNTS DEPARTMENT USES ITS BEST EFFORTS TO ASSIST PATIENTS/GUARANTORS IN MEETING THEIR FINANCIAL RESPONSIBILITY FOR SERVICES PROVIDED AT ACH. THE ACH POLICY IS TO ACT WITH INTEGRITY IN ALL ENDEAVORS; TREATING ALL PATIENTS AND THEIR FAMILIES WITH DIGNITY, RESPECT, AND COMPASSION. THE STANDARD PROCESS INCLUDES OFFERING FINANCIAL ASSISTANCE TO ELIGIBLE FAMILIES. NOTICES REGARDING THE FINANCIAL ASSISTANCE PROGRAM ARE POSTED IN ENGLISH AND SPANISH IN ALL REGISTRATION AREAS. IN ADDITION TO OFFERING FINANCIAL ASSISTANCE BROCHURES UPON ADMISSION, THEY ARE ALSO MADE 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 2022. PLEASE SEE PART V, SECTION B FOR RELATED DETAILS AND DISCUSSION.BUILDING ON YEARS OF EXPERIENCE ASSESSING THE NEEDS OF THE COMMUNITY, ACH'S CHNA IS COMPREHENSIVE AND HAS A STATEWIDE REACH. 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, AFTER 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 SUPPORTS CAMPS FOR CHILDREN WITH SPECIAL HEALTH CARE NEEDS WHICH IS DRIVEN BY STAFF MEMBERS WHO WORK IN SPECIALTY CLINICS AND INPATIENT UNITS EACH DAY. ACH'S FAMILY ADVISORY BOARD HELPS GUIDE THE HOSPITAL STAFF AND BOARD REGARDING ISSUES RELATED TO ITS SERVICES AND TO CREATING A FAMILY-FRIENDLY, FAMILY-CENTERED PLACE OF CARE.
PART VI, LINE 3:	PLEASE SEE PART III, LINE 9B DESCRIPTION.
PART VI, LINE 4:	AS THE CENTRAL PEDIATRIC MEDICAL CENTER IN THE STATE, ACH DEFINES THE COMMUNITY IT SERVES AS ALL CHILDREN FROM BIRTH TO AGE 18 IN THE STATE OF ARKANSAS. THOUGH THE HOSPITAL SERVES A SMALL NUMBER OF ADULT PATIENTS WITH PEDIATRIC CHRONIC CONDITIONS OR SEVERE BURNS AND A HANDFUL OF OUT-OF-STATE PATIENTS FOR PARTICULAR HEALTH CONDITIONS, THE MAJORITY OF ITS PATIENTS ARE FROM CENTRAL ARKANSAS AND THE REMAINDER OF THE STATE. IN FY23, ACH DREW APPROXIMATELY 74.4% OF ITS OUTPATIENTS AND 60.2% OF ITS INPATIENTS FROM PULASKI COUNTY AND THE SURROUNDING COUNTIES OF SALINE, FAULKNER, LONOKE, AND JEFFERSON, AS WELL AS FROM WHITE COUNTY IN NORTH CENTRAL ARKANSAS, GARLAND COUNTY IN EAST CENTRAL ARKANSAS, WASHINGTON AND BENTON COUNTY IN THE NORTHWEST CORNER OF THE STATE, AND POPE COUNTY IN NORTHWEST CENTRAL ARKANSAS. ALTHOUGH PULASKI COUNTY IS THE HOSPITAL'S PRIMARY SERVICE AREA, WITH 42.4% OF OUTPATIENT DISCHARGES AND 24.4% OF INPATIENT DISCHARGES DURING FY23.ACH'S CURRENT PHYSICAL LOCATIONS INCLUDE A MAIN CAMPUS AND TWO OUTPATIENT CLINICS IN LITTLE ROCK, A CLINIC IN JONESBORO IN NORTHEAST ARKANSAS, AND A CLINIC IN PINE BLUFF IN SOUTH CENTRAL ARKANSAS. GROWING TELEMEDICINE CAPABILITIES HELP CONNECT ACH TO OFF-CAMPUS PROVIDERS AND ALLOW REMOTE SITES ACCESS TO SPECIALTIES INCLUDING NEONATOLOGY, EMERGENCY MEDICINE, PEDIATRIC INTENSIVE CARE, BURN, GENETICS, CARDIOLOGY, AND PULMONOLOGY. ACCORDING TO U.S. CENSUS BUREAU 2020 CENSUS DATA, POPULATION TOTALS AT THAT TIME WERE 3,011,524 FOR THE STATE OF ARKANSAS AND 399,125 FOR PULASKI COUNTY. ESTIMATED 2023 CENSUS DATA INDICATED POPULATION TOTALS TO BE 3,067,732 FOR ARKANSAS. ALSO ACCORDING TO ESTIMATED 2023 CENSUS DATA, APPROXIMATELY 22.9% OF THE ARKANSAS POPULATION WAS UNDER 18 YEARS OF AGE AND 5.9% WAS UNDER THE AGE OF 5. THE UNEMPLOYMENT RATE FOR THE STATE OF ARKANSAS FOR CALENDAR YEAR 2022 WAS 3.3%, A DECREASE FROM THE PREVIOUS YEAR. THE PER CAPITA PERSONAL INCOME FOR THE STATE OF ARKANSAS FOR 2022 WAS $31,380. THE PERCENT OF ALL PEOPLE IN POVERTY IN ARKANSAS ROSE SLIGHTLY TO 16.8% AND THE PERCENT OF CHILDREN 18 OR YOUNGER IN POVERTY WAS 22.1%, INDICATING A SLIGHT DECREASE FOR CHILDREN 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 J.B. HUNT TRANSPORT SERVICES, AND A STRONG AGRICULTURAL ECONOMY, THE CONSEQUENCES OF POVERTY ARE FELT IN MOST COMMUNITIES IN THE STATE.THE ESTIMATED 694,298 ARKANSAS CHILDREN UNDER AGE 18 REPRESENTED 22.9% OF THE STATE'S TOTAL POPULATION FOR 2022. THE HISPANIC CHILD POPULATION GREW FROM 12.2% AS ESTIMATED IN THE 2020 CENSUS TO 12.9% FOR 2022. HOWEVER, THE NUMBER OF AFRICAN AMERICAN CHILDREN UNDER AGE 18 DROPPED SLIGHTLY FROM 17.1% TO 16.0%. 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 5.9% OF CHILDREN LACKING COVERAGE AS OF 2022. 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 STILL NOT AFFORD TO PURCHASE HEALTH INSURANCE.
PART VI, LINE 5:	ACH SERVES AS THE PEDIATRIC TEACHING AFFILIATE OF THE UNIVERSITY OF ARKANSAS FOR MEDICAL SCIENCES (UAMS) AND IS HOME TO THE UAMS DEPARTMENT OF PEDIATRICS. ACH IS THE CLASSROOM WHERE MEDICAL STUDENTS STUDY THE PEDIATRIC COMPONENT OF ALL DISCIPLINES. UAMS FACULTY ON THE ACH CAMPUS ARE PRACTICING PHYSICIANS AS WELL AS TEACHERS TO UAMS STUDENTS IN MEDICINE, NURSING, PHARMACY, PUBLIC HEALTH, AND ALLIED HEALTH SPECIALTIES.ARKANSAS CHILDREN'S VOLUNTEER ENGAGEMENT PROVIDES SYSTEM-WIDE VOLUNTEER SUPPORT TO ELEVATE PATIENT EXPERIENCE BY PROVIDING HELP TO CAREGIVERS, POSITIVE DISTRACTIONS FOR PATIENTS, AND SUPPORT TO HARDWORKING TEAMS. THE SYSTEM-WIDE TEAM LEADS MANY STRATEGIC HOSPITAL VOLUNTEER PROGRAMS IN ADDITION TO ENGAGING MORE THAN 250 WEEKLY ADULT VOLUNTEERS SERVING AT TWO HOSPITAL CAMPUSES. IN FY23 ON THE ACH CAMPUS, 343 ADULT, YEAR-ROUND JUNIOR AND SPECIAL EVENT VOLUNTEERS SERVED A TOTAL OF 14,275 HOURS. THERE WERE ALSO AN ADDITIONAL 191 VOLUNTEERS WHO PROVIDED UNIQUE HANDMADE NEEDLEWORK ITEMS FOR THE HOSPITAL'S PATIENTS AND PATIENT FAMILIES. THE VOLUNTEER ENGAGEMENT TEAM SOLICITS, ACCEPTS, STEWARDS, AND DISTRIBUTES TOYS, CONVENIENCE ITEMS AND OTHER IN-KIND DONATIONS VALUED AT APPROXIMATELY $1,000,000 ANNUALLY. VOLUNTEER ENGAGEMENT ALSO PROVIDES STRATEGIC LEADERSHIP AND OPERATIONAL OVERSIGHT TO HOSPITAL GIFT SHOPS AND THE ACH FAMILY RESOURCE CENTER. IN JUNE OF 2023, THE VOLUNTEER ENGAGEMENT TEAM WAS THRILLED TO WELCOME STUDENTS FOR THE 2023 SUMMER JUNIOR VOLUNTEER PROGRAM WITH 18 HIGH SCHOOL STUDENTS. THE SUMMER JUNIOR VOLUNTEERS SERVED 554 HOURS OVER THE COURSE OF TWO WEEKS, IN VARIOUS AREAS AROUND THE ACH CAMPUS, PROVIDING VALUABLE SERVICE FOR OUR PATIENTS, FAMILIES AND STAFF IN CLINICAL AND NON-CLINICAL SETTINGS. MANY ARKANSAS CHILDREN'S TEAM MEMBERS PARTICIPATED BY LEADING SESSIONS COVERING BROAD TOPICS OF OPERATIONS AND AVENUES TO CHAMPION CHILDREN THROUGH OUR HEALTHCARE SYSTEM. PARTICIPANTS WERE INTRODUCED TO DIVERSE CAREER OPPORTUNITIES AND GOT TO MEANINGFULLY ENGAGE WITH LEADERS THROUGHOUT THE ORGANIZATION DURING THE WEEKLONG PROGRAM. HIGHLIGHTS INCLUDED A TOUR OF THE ACH SIMULATION EDUCATION CENTER AND A VISIT WITH OUR ANGEL ONE TEAM THAT INCLUDED A TOUR OF ONE OF THE MEDICALLY EQUIPPED TWIN ENGINE HELICOPTERS.THE ACH WINNIE M. LOWE FAMILY RESOURCE CENTER IS HOME TO A FAMILY LIBRARY, SAFETY ZONE AND MEDICAL LIBRARY. THE FAMILY RESOURCE CENTER IS THE HUB FOR PATIENT AND FAMILY ENGAGEMENT IN THE HOSPITAL INCLUDING A DONOR-FUNDED COMPASSION CLOSET WITH NOURISHMENT AND CONVENIENCE ITEMS AND A CHILDREN'S LIBRARY WHERE EVERY CHILD MAY TAKE HOME A FREE BOOK. IN THE FAMILY & MEDICAL LIBRARY, PATIENTS, FAMILIES AND EVEN TEAM MEMBERS CAN ACCESS EVIDENCED-BASED, PEER-REVIEWED HEALTH INFORMATION TO LEARN ABOUT A NEW OR EXISTING DIAGNOSIS OR CONDITION. THE SAFETY ZONE PROVIDES PATIENT AND FAMILY EDUCATION ON INJURY PREVENTION IN THE HOME, WHILE DRIVING, AND DURING RECREATIONAL ACTIVITIES. CAREGIVERS COMPLETE AN INJURY PREVENTION ASSESSMENT AND RECEIVE TAILORED, EVIDENCED-BASED INJURY PREVENTION INFORMATION AND FREE SAFETY PRODUCTS TO ADDRESS THE RISKS IDENTIFIED. IN FY23, THERE WERE 1,089 CUSTOMIZED SAFETY ASSESSMENTS COMPLETED IN THE ACH WINNIE M. LOWE FAMILY RESOURCE CENTER/SAFETY ZONE IN WHICH FREE SAFETY PRODUCTS ARE PROVIDED BASED ON INDIVIDUAL FAMILY NEEDS. THESE ASSESSMENTS WERE THE RESULT OF ACH CLINIC REFERRALS, NINE OPEN HOUSES PROMOTING THE SPACE WITH VARIED SAFETY THEMES, AS WELL AS WORD OF MOUTH THROUGHOUT THE HOSPITAL AND COMMUNITY. IN ADDITION TO SAFETY ASSESSMENTS, FREE BOOKS WERE OFFERED TO ALL CHILDREN EACH TIME THEY VISITED THE FAMILY RESOURCE CENTER. THE ARKANSAS CHILDREN'S PATIENT AND FAMILY ADVISOR PROGRAM ENGAGES PARENTS AND CAREGIVERS IN A VARIETY OF WAYS TO CONTINUE ADVANCING OUR COMMITMENT TO PATIENT AND FAMILY-CENTERED CARE. THE HOSPITAL BEGAN WITH ONE FAMILY ADVISORY BOARD, AND THIS HAS GROWN TO TEN FAMILY ADVISORY BOARDS AND ONE YOUTH ADVISORY COUNCIL ACROSS THE ARKANSAS CHILDREN'S SYSTEM. THESE GROUPS HAVE BROUGHT ABOUT MANY MEANINGFUL CHANGES TO THE HOSPITAL INCLUDING: VIDEO STREAMING, CO-DESIGNED PATIENT SAFETY INFORMATION, A MEAL ASSISTANCE PROGRAM, THE DEVELOPMENT OF PATIENT AND FAMILY HEALTH INFORMATION. PATIENT AND FAMILY ADVISORS ARE ENGAGED IN OTHER CAPACITIES, INCLUDING HOSPITAL COMMITTEES, A MENTOR PROGRAM, AND OUR E-COUNCIL. THE ADVISORS ARE A MAJOR ASSET IN THE COMMITMENT TO PATIENT SAFETY AND TO THE HOSPITAL MISSION.ACH'S BURN CENTER IS THE ONLY ONE IN ARKANSAS AND TREATS BOTH PEDIATRIC AND ADULT BURN PATIENTS. THEIR OUTREACH PROGRAM HELPS TO PREVENT BURNS THROUGH SEVERAL OUTREACH AND EDUCATIONAL INITIATIVES. THEY EDUCATE EMERGENCY MEDICAL PERSONNEL IN THE EMERGENCY TREATMENT OF BURNS, INCLUDING EMERGENCY MEDICAL TECHNICIANS (EMTS), DOCTORS, NURSES, AND PARAMEDICS. IN ADDITION, THEY DELIVER BURN PREVENTION EDUCATION TO CHILDREN AND FAMILIES STATEWIDE THROUGH HEALTH FAIRS, SCHOOL VISITS, AND OTHER COMMUNITY-BASED VENUES. IN COLLABORATION WITH THE VOLUNTEER FIREFIGHTERS PROGRAM THEY ALSO DISTRIBUTE SMOKE DETECTORS TO REACH RURAL COMMUNITIES. ARKANSAS CHILDREN'S CARE NETWORK (ACCN), WITHIN THE ARKANSAS CHILDREN'S SYSTEM, IS A COLLABORATOR WITH ACH. ACCN SEEKS TO FUNDAMENTALLY AND POSITIVELY TRANSFORM HEALTH FOR THE CHILDREN OF ARKANSAS THROUGH A CLINICALLY INTEGRATED NETWORK (CIN) COMPRISED OF HEALTH CARE PROFESSIONALS WHO PROVIDE COORDINATED AND ACCOUNTABLE PEDIATRIC CARE. ACCN WILL ACHIEVE THIS BY IMPROVING QUALITY, ACCESS, AND PATIENT/FAMILY EXPERIENCE, WHILE IMPACTING THE AFFORDABILITY OF HEALTH CARE AND INCREASING PHYSICIAN ENGAGEMENT AND SATISFACTION.
PART VI, LINE 6:	ACH IS PART OF AN AFFILIATED HEALTH CARE SYSTEM, FOR WHICH ARKANSAS CHILDRENS, INC., INCORPORATED IN DECEMBER 2015, SERVES AS THE PARENT CORPORATION. THE ARKANSAS CHILDREN'S HEALTH SYSTEM CONSISTS OF ARKANSAS CHILDREN'S, INC., ARKANSAS CHILDREN'S HOSPITAL (ACH), ARKANSAS CHILDREN'S NORTHWEST (ACNW), ARKANSAS CHILDREN'S FOUNDATION (ACF), ARKANSAS CHILDREN'S RESEARCH INSTITUTE (ACRI), ARKANSAS CHILDREN'S CARE NETWORK (ACCN), ARKANSAS CHILDREN'S MEDICAL GROUP (ACMG), AND SACOVA INSURANCE COMPANY. ACNW IS A NOT-FOR-PROFIT PEDIATRIC HOSPITAL LOCATED IN SPRINGDALE, ARKANSAS, THAT OPENED IN FEBRUARY 2018. ACNW SERVES AS THE ONLY EXCLUSIVELY PEDIATRIC HEALTH CARE FACILITY FOR CHILDREN IN THE NORTHWEST REGION OF THE STATE. ACF IS A NOT-FOR-PROFIT ORGANIZATION THAT EXISTS AS THE FUNDRAISING BRANCH OF ARKANSAS CHILDREN'S. ACRI OPERATES TO SUPPORT, THROUGH CHARITABLE, SCIENTIFIC, AND EDUCATIONAL MEANS, THE MISSION OF ARKANSAS CHILDREN'S. ACCN IS A NOT-FOR-PROFIT PEDIATRIC STATEWIDE CLINICALLY INTEGRATED NETWORK. ACMG WAS FORMED TO PROVIDE PHYSICIAN SERVICES TO ACH AND ACNW. SACOVA IS A SINGLE PARENT CAPTIVE INSURANCE COMPANY PROVIDING PROFESSIONAL AND GENERAL LIABILITY AND WORKER'S COMPENSATION COVERAGE.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, SERVICES AND FUNDING FOR MAJOR EDUCATIONAL AND CLINICAL EXPERTISE.

Schedule H (Form 990) 2022

Additional Data

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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

Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2022

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 noncash assistance	(h) Purpose of grant or assistance
(1) AMERICAN HEART ASSOCIATION PO BOX 4002903 DES MOINES,IA50340	13-5613797	501(C)(3)	14,360	0			GENERAL SUPPORT
(2) APPLE SEEDS 2648 N OLD WIRE ROAD FAYETTEVILLE,AR72703	20-8081842	501(C)(3)	10,000	0			GENERAL SUPPORT
(3) ARKANSAS 4H FOUNDATION 1 4-H WAY LITTLE ROCK,AR72223	71-6060767	501(C)(3)	9,662	0			GENERAL SUPPORT
(4) ARKANSAS ADVOCATES FOR CHILDREN & FAMILIES 1400 W MARKHAM SUITE 306 LITTLE ROCK,AR72201	71-0492205	501(C)(3)	5,350	0			GENERAL SUPPORT
(5) ARKANSAS ARTS CENTER PO BOX 2137 LITTLE ROCK,AR72203	23-7337495	501(C)(3)	10,000	0			GENERAL SUPPORT
(6) ARKANSAS CHILDREN'S MEDICAL GROUP 1 CHILDRENS WAY LITTLE ROCK,AR72202	82-0771462	501(C)(3)	1,490,679	0			GENERAL SUPPORT
(7) ARKANSAS CHILDREN'S NORTHWEST 2601 GENE GEORGE BLVD SPRINGDALE,AR72762	81-0817660	501(C)(3)	111,788	0			GENERAL SUPPORT
(8) ARKANSAS CHILDREN'S RESEARCH INSTITUTE 13 CHILDRENS WAY LITTLE ROCK,AR72202	71-0694931	501(C)(3)	4,308,441	2,711,820	FMV	INDIRECT SUPPORT	GENERAL SUPPORT
(9) ARKANSAS FOODBANK 4301 W 65TH ST LITTLE ROCK,AR72209	71-0596734	501(C)(3)	79,808	0			GENERAL SUPPORT
(10) ARKANSAS FOUNDATION FOR MEDICAL CARE 401 WEST CAPITOL AVENUE SUITE 508 LITTLE ROCK,AR72201	23-7237381	501(C)(3)	10,000	0			GENERAL SUPPORT
(11) ARKANSAS IMMUNIZATION ACTION COALITION PO BOX 3798 LITTLE ROCK,AR72203	82-1825362	501(C)(3)	7,340	0			GENERAL SUPPORT
(12) CHILDREN'S PROTECTION CENTER 1123 BISHOP LITTLE ROCK,AR72202	26-1086937	501(C)(3)	0	157,988	FMV	PROVIDE OFFICE SPACE	GENERAL SUPPORT
(13) EL ZOCALO IMMIGRANT RESOURCE CENTER 5500 GEYER SPRINGS RD LITTLE ROCK,AR72209	80-0858272	501(C)(3)	10,000	0			GENERAL SUPPORT
(14) FETAL HEART SOCIETY 14750 SWEITZER LANE SUITE 100 LAUREL,MD20707	47-2144989	501(C)(3)	7,500	0			GENERAL SUPPORT
(15) FOOD BANK OF NORTHEAST ARKANSAS 3414 ONE PLACE JONESBORO,AR72402	71-0810999	501(C)(3)	27,500	0			GENERAL SUPPORT
(16) GOODNESS VILLAGE 11610 PLEASANT RIDGE ROAD SUITE 103-174 LITTLE ROCK,AR72223	84-3284848	501(C)(3)	5,500	0			GENERAL SUPPORT
(17) GREAT 100 NURSES FOUNDATION 2748 METAIRIE LAWN DRIVE METAIRIE,LA70002	46-5606080	501(C)(3)	7,500	0			GENERAL SUPPORT
(18) HUNGER RELIEF ALLIANCE 1400 W MARKHAM ST STE 304 LITTLE ROCK,AR72201	30-0254995	501(C)(3)	12,300	0			GENERAL SUPPORT
(19) NEIGHBOR TO NEIGHBOR 1419 S PINE STREET PINE BLUFF,AR72601	71-0587864	501(C)(3)	10,500	0			GENERAL SUPPORT
(20) NORTHWEST ARKANSAS FOOD BANK 1387 JUNE SELF DR SPRINGDALE,AR72764	71-0680830	501(C)(3)	10,000	0			GENERAL SUPPORT
(21) OUACHITA BAPTIST UNIVERSITY PO BOX 3754 ARKADELPHIA,AR71998	71-0239383	501(C)(3)	50,000	0			GENERAL SUPPORT
(22) PEDIATRIC HEART TRANSPLANT SOCIETY FOUNDATION PO BOX 55904 BIRMINGHAM,AL35255	27-4436351	501(C)(3)	6,000	0			GENERAL SUPPORT
(23) PHILANDER SMITH COLLEGE 900 WEST DAISY BATES DRIVE LITTLE ROCK,AR72202	71-0239729	501(C)(3)	52,500	0			GENERAL SUPPORT
(24) RONALD MCDONALD HOUSE CHARITIES 1501 W 10TH STREET LITTLE ROCK,AR72202	71-0525252	501(C)(3)	13,190	19,999	FMV	PROVIDE LAND	GENERAL SUPPORT
(25) THE HELPING HAND OF GREATER LITTLE ROCK 1601 MARSHALL ST LITTLE ROCK,AR72216	71-0588564	501(C)(3)	10,000	0			GENERAL SUPPORT
(26) TOPPS (TARGETING OUR PEOPLE'S PRIORITIES WITH SERVICE) PO BOX 2793 PINE BLUFF,AR71613	74-3041819	501(C)(3)	10,000	0			GENERAL SUPPORT
(27) UNIVERSITY OF ARKANSAS FOR MEDICAL SCIENCES 4301 W MARKHAM LITTLE ROCK,AR72205	71-6056774	GOV'T ENTITY	202,350	0			GENERAL SUPPORT
(28) WOMEN & CHILDREN FIRST PO BOX 1954 LITTLE ROCK,AR72203	71-0513011	501(C)(3)	8,800	0			GENERAL SUPPORT
(29) WOMEN'S FOUNDATION OF ARKANSAS 400 WEST CAPITOL AVENUE SUITE 1242 LITTLE ROCK,AR72201	30-0034070	501(C)(3)	24,300	0			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) 2022

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 noncash assistance	(e) Method of valuation (book, FMV, appraisal, other)	(f) Description of noncash assistance

(1) MEALS	4980		248,701	COST	MEALS FOR PATIENT FAMILIES/CAREGIVERS
(2) INSURANCE PREMIUMS	16		42,298	COST	PAYMENT OF PREMIUMS FOR PATIENT'S FAMILIES ALLOWED BY COBRA
(3) TRANSPORTATION COSTS (BUS TOKENS, CAB FARE, GAS CARDS)	820	27,965		COST
(4) FUNERAL EXPENSES	11	9,998		COST
(5) RENT, MORTGAGE EXPENSE, UTILITIES, LODGING	131	11,133		COST
(6) CAR SEATS FOR INFANTS AND CHILDREN	450		39,538	COST	CAR SEATS FOR INFANTS AND CHILDREN
(7) CLOTHING, GROCERY GIFT CARDS, AND OTHER MISC. ASSISTANCE	25	35,503		COST
(7)

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) 2022

Additional Data

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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

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2022

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 on 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 on 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? .............

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 nonfixed
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) 2022

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, 1099-MISC compensation, and/or 1099-NEC			(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 DODERER PRESIDENT/CEO	(i) (ii)	0 ------------- 1,187,391	0 ------------- 600,000	0 ------------- 216,360	0 ------------- 258,803	0 ------------- 11,763	0 ------------- 2,274,317	0 ------------- 200,000
2FREDERICK BARR MD EVP-CHIEF CLINICAL & ACADEMIC OFCR	(i) (ii)	0 ------------- 667,364	0 ------------- 200,096	0 ------------- 4,942	0 ------------- 85,600	0 ------------- 11,324	0 ------------- 969,326	0 ------------- 0
3GENA WINGFIELD EVP/CHIEF FINANCIAL OFFICER	(i) (ii)	0 ------------- 568,077	0 ------------- 184,957	0 ------------- 66,752	0 ------------- 85,609	0 ------------- 11,162	0 ------------- 916,557	0 ------------- 59,202
4JAMIE WIGGINS EVP/COO	(i) (ii)	0 ------------- 502,611	0 ------------- 140,764	0 ------------- 829	0 ------------- 60,926	0 ------------- 11,057	0 ------------- 716,187	0 ------------- 0
5GRESHAM RICHTER MD TRUSTEE/DIRECTOR-CHIEF OF MED STAFF	(i) (ii)	645,787 ------------- 2,275	4,124 ------------- 0	0 ------------- 0	0 ------------- 0	60,679 ------------- 361	710,590 ------------- 2,636	0 ------------- 0
6GREGORY SHARP MD SVP/CHIEF MEDICAL OFFCR (PARTIAL YR)	(i) (ii)	494,016 ------------- 0	0 ------------- 0	0 ------------- 0	0 ------------- 0	70,182 ------------- 0	564,198 ------------- 0	0 ------------- 0
7ERIN PARKER SVP/CIO	(i) (ii)	0 ------------- 362,202	0 ------------- 76,588	0 ------------- 381	0 ------------- 52,549	0 ------------- 6,701	0 ------------- 498,421	0 ------------- 0
8SHANNON HENDRIX ACNW CHIEF ADMIN (FORMER ACH VP)	(i) (ii)	0 ------------- 310,403	0 ------------- 61,901	0 ------------- 490	0 ------------- 47,530	0 ------------- 15,190	0 ------------- 435,514	0 ------------- 0
9JARED CAPOUYA QUALITY & SAFETY VP (PARTIAL YEAR)	(i) (ii)	325,146 ------------- 0	60,337 ------------- 0	498 ------------- 0	14,672 ------------- 0	13,779 ------------- 0	414,432 ------------- 0	0 ------------- 0
10AMY FALLON OPERATIONS SVP	(i) (ii)	20,094 ------------- 272,291	0 ------------- 59,154	20 ------------- 282	1,040 ------------- 15,010	1,161 ------------- 13,933	22,315 ------------- 360,670	0 ------------- 0
11CINDY HILL FINANCIAL SERVICES VP	(i) (ii)	276,450 ------------- 0	58,519 ------------- 0	1,853 ------------- 0	13,934 ------------- 0	10,162 ------------- 0	360,918 ------------- 0	0 ------------- 0
12LE'KITA BROWN REVENUE CYCLE VP	(i) (ii)	256,804 ------------- 0	52,647 ------------- 0	395 ------------- 0	16,050 ------------- 0	5,914 ------------- 0	331,810 ------------- 0	0 ------------- 0
13LEE ANNE EDDY PATIENT CARE SVC SVP/CNO (PARTIAL YR	(i) (ii)	313,435 ------------- 0	0 ------------- 0	327 ------------- 0	3,500 ------------- 0	2,057 ------------- 0	319,319 ------------- 0	0 ------------- 0
14CARRIE LEE PATIENT CARE SVCS VP (PARTIAL YR)	(i) (ii)	218,169 ------------- 0	38,362 ------------- 0	210 ------------- 0	15,709 ------------- 0	9,439 ------------- 0	281,889 ------------- 0	0 ------------- 0
15TAMMY DIAMOND-WELLS PATIENT CARE SERVICES VP	(i) (ii)	214,568 ------------- 0	37,028 ------------- 0	479 ------------- 0	12,692 ------------- 0	14,643 ------------- 0	279,410 ------------- 0	0 ------------- 0
16CHRISTIAN EISENRING SURGICAL ASSISTANT COORDINATOR	(i) (ii)	243,099 ------------- 0	7,800 ------------- 0	1,505 ------------- 0	11,538 ------------- 0	13,609 ------------- 0	277,551 ------------- 0	0 ------------- 0
17STEPHANIE PIERCE STRATEGIC MARKETING VP	(i) (ii)	190,035 ------------- 0	31,477 ------------- 0	143 ------------- 0	14,235 ------------- 0	14,502 ------------- 0	250,392 ------------- 0	0 ------------- 0
18ANGELA GLOVER PATIENT CARE MANAGER	(i) (ii)	215,213 ------------- 0	14,840 ------------- 0	39 ------------- 0	6,284 ------------- 0	13,857 ------------- 0	250,233 ------------- 0	0 ------------- 0
19BETH PETLAK VP POPULATION HEALTH/CHS EXEC DIR	(i) (ii)	188,080 ------------- 0	36,098 ------------- 0	716 ------------- 0	13,532 ------------- 0	1,757 ------------- 0	240,183 ------------- 0	0 ------------- 0
20ROBIN MITCHELL VP OPERATIONS	(i) (ii)	197,494 ------------- 0	21,240 ------------- 0	410 ------------- 0	11,069 ------------- 0	1,247 ------------- 0	231,460 ------------- 0	0 ------------- 0
21ANN KRUGER INTERIM SVP/CNO (PARTIAL YEAR)	(i) (ii)	164,544 ------------- 0	31,158 ------------- 0	678 ------------- 0	12,896 ------------- 0	3,806 ------------- 0	213,082 ------------- 0	0 ------------- 0
22KENDREA JONES PHARMACY DIRECTOR	(i) (ii)	160,549 ------------- 0	14,329 ------------- 0	151 ------------- 0	13,254 ------------- 0	14,369 ------------- 0	202,652 ------------- 0	0 ------------- 0
23STEPHANIE ROCKETT DIRECTOR PATIENT CARE SERVICES	(i) (ii)	146,935 ------------- 0	10,476 ------------- 0	189 ------------- 0	11,449 ------------- 0	14,248 ------------- 0	183,297 ------------- 0	0 ------------- 0
24RACHEL FRENNER DIRECTOR LABORATORY	(i) (ii)	151,861 ------------- 0	5,923 ------------- 0	67 ------------- 0	10,651 ------------- 0	10,496 ------------- 0	178,998 ------------- 0	0 ------------- 0
25KRIS MADDALENA SVP/CNO (PARTIAL YEAR)	(i) (ii)	118,043 ------------- 0	53,971 ------------- 0	222 ------------- 0	358 ------------- 0	2,999 ------------- 0	175,593 ------------- 0	0 ------------- 0
26JOHN MCNALLY MEDICAL ADMINISTRATION DIRECTOR	(i) (ii)	157,309 ------------- 0	11,593 ------------- 0	577 ------------- 0	3,501 ------------- 0	1,598 ------------- 0	174,578 ------------- 0	0 ------------- 0

Schedule J (Form 990) 2022

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 AND AFFILIATED ENTITIES' BOARD MEMBERS AND STAFF (AND OCCASIONALLY ACCOMPANYING SPOUSES/COMPANIONS) WHEN IT IS DEEMED THE MOST EFFICIENT METHOD OF TRAVEL TO DISTANT AREAS WITHIN THE STATE OR TO SURROUNDING STATES FOR PURPOSES RELATED TO ARKANSAS CHILDREN'S BUSINESS. SEPARATE TRAVEL (NON-CHARTER) FOR COMPANIONS IS REIMBURSED BY THE EMPLOYEE IF SUCH TRAVEL IS ON AN INDIVIDUAL BASIS; THUS, SUCH TRAVEL IS NOT CONSIDERED TAXABLE COMPENSATION TO THE EMPLOYEE. FOUR OFFICERS/EMPLOYEES AND ONE BOARD MEMBER USED CHARTER TRAVEL DURING THE CALENDAR YEAR. BECAUSE THE CHARTER TRAVEL WAS USED FOR ARKANSAS CHILDREN'S BUSINESS PURPOSES, IT WAS NOT CONSIDERED AS TAXABLE WAGES.
PART I, LINE 3	COMPENSATION FOR ANY ACH EXECUTIVE OR SENIOR OFFICER (PRESIDENT; EXECUTIVE VICE PRESIDENT; SENIOR VICE PRESIDENT) WHO IS NOT A CONTRACTED UAMS EMPLOYEE IS REVIEWED BY THE ARKANSAS CHILDREN'S HUMAN RESOURCES AND COMPENSATION COMMITTEE WHICH IS ESTABLISHED THROUGH THE BYLAWS OF ARKANSAS CHILDREN'S, INC. THE HUMAN RESOURCES AND COMPENSATION COMMITTEE HAS THE FULL AUTHORITY AND SPECIFIC RESPONSIBILITY FOR REVIEWING AND APPROVING COMPENSATION POLICIES, BASE SALARY AND INCENTIVE COMPENSATION LEVELS, EXECUTIVE RETIREMENT AND OTHER EXECUTIVE BENEFIT PLANS FOR HEALTH SYSTEM SENIOR MANAGEMENT, INCLUDING OFFICERS OF THE CORPORATION AND AFFILIATES WHO ARE "DISQUALIFIED PERSONS" UNDER SECTION 4958 OF THE CODE. THE POLICIES AND PROGRAMS REVIEWED AND APPROVED BY THE HUMAN RESOURCES AND COMPENSATION COMMITTEE SHALL BE DESIGNED TO ENSURE THAT THE CORPORATION AND ITS AFFILIATES REMAIN COMPETITIVE AND REASONABLE RELATIVE TO THE COMPENSATION AND BENEFITS PRACTICES OF SIMILARLY SITUATED HEALTH SYSTEMS LOCALLY AND NATIONALLY, AND TO PERMIT THE CORPORATION AND SUCH AFFILIATES TO ATTRACT AND RETAIN SUPERIOR SENIOR MANAGEMENT, IN FURTHERANCE OF THE CORPORATION'S AND AFFILIATES PURPOSES. THE HUMAN RESOURCES AND COMPENSATION COMMITTEE SHALL HAVE, TO THE FULLEST EXTENT OF THE LAW, THE AUTHORITY TO APPROVE THE COMPENSATION PACKAGES FOR SENIOR MANAGEMENT OF THE CORPORATION AND THE AFFILIATES. IN ITS PROCESS, THE COMMITTEE SHALL OBTAIN AND MUST RELY UPON APPROPRIATE DATA AS TO COMPARABILITY PRIOR TO MAKING ITS DETERMINATION OF REASONABLENESS WITH RESPECT TO THE COMPENSATION ARRANGEMENTS OF DISQUALIFIED PERSONS. APPROPRIATE DATA INCLUDES, BUT IS NOT LIMITED TO, COMPENSATION LEVELS PAID BY SIMILARLY SITUATED ORGANIZATIONS, BOTH TAXABLE AND TAX-EXEMPT, FOR FUNCTIONALLY COMPARABLE POSITIONS; THE AVAILABILITY OF SIMILAR SERVICES IN THE GEOGRAPHIC AREA OF THE CORPORATION, CURRENT COMPENSATION SURVEYS COMPILED BY INDEPENDENT FIRMS; AND ACTUAL WRITTEN OFFERS FROM SIMILAR INSTITUTIONS COMPETING FOR THE SERVICES OF THE DISQUALIFIED PERSON. THE COMMITTEE MAY RELY UPON OPINIONS OF QUALIFIED LEGAL, ACCOUNTING, VALUATION AND EXECUTIVE COMPENSATION EXPERTS. CONTEMPORANEOUSLY WITH MAKING ITS DETERMINATION OF REASONABLENESS WITH RESPECT TO THE COMPENSATION ARRANGEMENT OF THE CEO AND DISQUALIFIED PERSONS, THE COMMITTEE SHALL DOCUMENT IN ITS MINUTES THE BASIS FOR ITS DECISIONS. A VERBAL REPORT IS PROVIDED TO THE BOARD BY THE CHAIR OF THE COMMITTEE. MINUTES ARE AVAILABLE FOR REVIEW UPON BOARD MEMBER REQUEST TO THE BOARD CHAIR.
PART I, LINE 4B	SCHEDULE J, PART I, LINE 4B: AC'S DEFERRED COMPENSATION PLAN (DCP), WAS INSTITUTED ON 6/30/2014. THE DCP IS A 457(F) NONQUALIFIED SUPPLEMENTAL RETIREMENT PLAN, PROVIDING ANNUAL CONTRIBUTIONS TO CERTAIN EXECUTIVES AT A PERCENTAGE OF THEIR BASE SALARY IN EFFECT ON JUNE 30 OF THE PLAN YEAR. THE SUPPLEMENTAL COMPENSATION SERVES TO ENCOURAGE CONTINUED EMPLOYMENT WITH ARKANSAS CHILDREN'S AND ITS AFFILIATES. THE PLAN PROVIDES THAT DEFERRED AMOUNTS ARE PAID AS SOON AS ADMINISTRATIVELY POSSIBLE AFTER BEING VESTED. IT IS INTENDED THAT SUCH PAYMENTS QUALIFY FOR THE "SHORT-TERM DEFERRAL" EXEMPTION FROM IRC SECTION 409A, AND FOR TAX DEFERRAL UNDER IRC SECTION 457(F). PER THE PLAN DOCUMENT, EACH DCP CONTRIBUTION FOR A PLAN YEAR AND ITS ASSOCIATED EARNINGS VEST AS FOLLOWS, ON THE EARLIER OF: - (SUBACCOUNT)- THE FIRST DAY OF THE PLAN YEAR FOLLOWING THREE (3) CONTINUOUS PLAN YEARS OF EMPLOYMENT BY THE PARTICIPANT WITH ARKANSAS CHILDREN'S OR AFFILIATE, WHICH BEGINS ON THE FIRST DAY OF THE PLAN YEAR FOR WHICH THE CONTRIBUTION IS CREDITED. - (PRIMARY ACCOUNT, INCLUDING SUBACCOUNTS) - ATTAINMENT OF AGE 65 AND AT LEAST 3 YEARS OF SERVICE AS A DCP PARTICIPANT - (PRIMARY ACCOUNT, INCLUDING SUBACCOUNTS) - DEATH OR PERMANENT DISABILITY - (PRIMARY ACCOUNT, INCLUDING SUBACCOUNTS) - INVOLUNTARY TERMINATION (OTHER THAN FOR CAUSE) - (PRIMARY ACCOUNT, INCLUDING SUBACCOUNTS) - PLAN TERMINATION FOR TAX YEAR 2022 (FISCAL YEAR 2023), EIGHT REPORTABLE EMPLOYEES WERE ELIGIBLE AND PARTICIPATING IN THE DEFERRED COMPENSATION PLAN. SOME OF THESE EMPLOYEES RECEIVED DISTRIBUTIONS PER THE PLAN DOCUMENT. SUCH AMOUNTS ARE NOTED BELOW. - MARCELLA DODERER: AC/ACH/ACNW PRESIDENT/CEO - $211,458 - GENA WINGFIELD: AC EVP AND CFO - $62,593 PER THE PLAN DOCUMENT, UPON BECOMING VESTED IN A PLAN YEAR SUBACCOUNT AND AS SOON AS ADMINISTRATIVELY PRACTICABLE AFTER SUCH VESTING DATE, BUT NO LATER THAN THE END OF THE CALENDAR YEAR IN WHICH SUCH VESTING DATE OCCURRED, INDIVIDUAL PARTICIPANTS WILL BE PAID A LUMP SUM PAYMENT EQUAL TO THE PLAN YEAR SUBACCOUNT BALANCE AS OF THE JUNE 30 IMMEDIATELY PRECEDING SUCH VESTING DATE.
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:	CHIEF MEDICAL OFFICER, GREGORY SHARP, M.D. AND DIRECTOR AND CHIEF OF MEDICAL STAFF, GRESHAM RICHTER, M.D. WERE COMPENSATED BY UAMS AS EMPLOYEES FOR SERVICES RENDERED TO ARKANSAS CHILDREN'S HOSPITAL (ACH) AND FOR WHICH ACH REMITTED PAYMENT LISTED AS "REPORTABLE COMPENSATION FROM THE ORGANIZATION" IN PART VII. THE AMOUNTS NOTED AS COMPENSATION IN SCHEDULE J FOR THE PHYSICIANS NOTED ABOVE WERE THE DESIGNATED AMOUNTS PER THE RELATED CONTRACTS WITH UAMS.

Schedule J (Form 990) 2022

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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 Ⅵ, line 24a. Provide descriptions,
explanations, and any additional information in Part Ⅵ.
SchKMediumBullet

Attach to Form 990.
SchKMediumBullet

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2021

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	ARKANSAS DEVELOPMENT FINANCE AUTHORITY	71-0503641	000000000	09-05-2013	19,800,000	SEE SCHEDULE K, PART VI.		X		X		X
B	PULASKI COUNTY ARKANSAS	71-6006487	745392JN1	08-24-2016	98,721,147	SEE SCHEDULE K, PART VI.		X		X		X
C	PULASKI COUNTY ARKANSAS	71-6006487	745392KL3	06-28-2023	135,097,050	SEE SCHEDULE K, PART VI.		X		X		X

Part Ⅱ

Proceeds

	A		B		C		D
	1 Amount of bonds retired ..................	19,318,322		725,000
2 Amount of bonds legally defeased ..............
3 Total proceeds of issue ..................	19,800,000		98,721,147		135,097,050
4 Gross proceeds in reserve funds .............
5 Capitalized interest from proceeds .............
6 Proceeds in refunding escrows ...............
7 Issuance costs from proceeds ...............			702,808		1,093,653
8 Credit enhancement from proceeds .............
9 Working capital expenditures from proceeds .............
10 Capital expenditures from proceeds .............	19,800,000
11 Other spent proceeds .............			98,018,339
12 Other unspent proceeds .............					134,003,397
13 Year of substantial completion .............	2015		2016
	Yes	No	Yes	No	Yes	No	Yes	No
14 Were the bonds issued as part of a current refunding issue of tax-exempt bonds (or, if issued prior to 2020, a current refunding issue)? ........		X		X		X
15 Were the bonds issued as part of an advance refunding issue of taxable bonds (or, if issued prior to 2020, 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

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

Cat. No. 50193E

Schedule K (Form 990) 2021

Page 2

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		X
2 Are there any lease arrangements that may result in private business use of bond-financed property? ...............		X		X		X
3a Are there any management or service contracts that may result in private business use of bond-financed property? .............		X	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			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 %		0.050 %		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 %		0 %
6 Total of lines 4 and 5 .............	0 %		0.050 %		0 %
7 Does the bond issue meet the private security or payment test? ...		X		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		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		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

Schedule K (Form 990) 2021

Page 3

Part Ⅳ

Arbitrage (Continued)

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
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? ........
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

SCHEDULE K SUPPLENTAL INFORMATION

PART I, LINE A - DESCRIPTION OF PURPOSE. PROCEEDS USED TO PURCHASE TWO SIKORSKY S-76D HELICOPTERS TO BE USED FOR MEDICAL TRANSPORT. PART I, LINE B - DESCRIPTION OF PURPOSE. TO REFUND HOSPITAL REVENUE BONDS (ARKANSAS CHILDREN'S HOSPITAL PROJECT), SERIES 2009, ISSUED 5/28/2009. PART I, LINE C - DESCRIPTION OF PURPOSE. PROCEEDS USED TO (I) FINANCE THE ACQUISITION, CONSTRUCTION, AND EQUIPPING OF CERTAIN ADDITIONS AND IMPROVEMENTS TO ARKANSAS CHILDREN'S HOSPITAL, A PEDIATRIC HOSPITAL FACILITY LOCATED IN THE CITY OF LITTLE ROCK, AR, AND (II) PAY CERTAIN EXPENSES IN CONNECTION WITH THE ISSUANCE OF THE SERIES 2023 BONDS. PART IV, LINE 2C, COLUMN B: THE REBATE COMPUTATION WAS PERFORMED 8/30/2022. PART IV, LINE 6, COLUMN B: THIS QUESTION IS BEING ANSWERED WITHOUT REGARD TO A YIELD-RESTRICTED ADVANCE REFUNDING ESCROW FUNDED WITH PROCEEDS OF THE BONDS.

Schedule K (Form 990) 2021

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Schedule L
(Form 990)

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

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2021

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 section 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 the 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






Total ............... $

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) 2021

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) AMY KRUGER	SEE PART V. FAMILY MEMBER	94,908	SEE PART V. AMY KRUGER IS A FAMILY MEMBER OF KEY EMPLOYEE, ANN KRUGER. CONSISTENT WITH ARKANSAS CHILDREN'S HOSPITAL POLICY, SHE DID NOT WORK WITHIN ANN KRUGER'S LINE OF AUTHORITY AT ANY POINT DURING THE YEAR. HER COMPENSATION WAS REASONABLE FOR SERVICES RENDERED.		No
(2) ALARMCO INC	SEE PART V. ENTITY MORE-THAN-35%-OWNED BY FAMILY MEMBER OF DIRECTOR	159,097	SEE PART V. SECURITY SERVICES FROM INTERESTED PERSON. COST OF SERVICE WAS REASONABLE AND AT FMV RATE.		No

Part V

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

Return Reference	Explanation

Schedule L (Form 990) 2021

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SCHEDULE O
(Form 990)

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

Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2021

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 1A	THE BOARD OF DIRECTORS MAY DELEGATE SUCH OF ITS POWERS AS IT DEEMS NECESSARY OR ADVISABLE TO COMMITTEES OF THE BOARD; PROVIDED, HOWEVER, THAT NO COMMITTEE OF THE BOARD SHALL HAVE THE AUTHORITY TO: (I) AUTHORIZE DISTRIBUTIONS; (II) ELECT, APPOINT OR REMOVE DIRECTORS OR FILL VACANCIES ON THE BOARD OR ANY OF ITS COMMITTEES; (III) ADOPT, AMEND OR REPEAL THE ARTICLES OF INCORPORATION OR BYLAWS; OR (IV) APPOINT OR ELECT THE PRESIDENT AND CHIEF EXECUTIVE OFFICER OF THE CORPORATION. ANY COMMITTEE MAY EXERCISE SUCH OF THE BOARD'S AUTHORITY AS IS GRANTED BY THE BOARD OF DIRECTORS, SUBJECT TO THE RESTRICTIONS CONTAINED IN THE CORPORATION'S ARTICLES OF INCORPORATION OR THE BYLAWS. THE FOLLOWING LISTED PERSONS WERE EMPLOYEES OF THE UNIVERSITY OF ARKANSAS FOR MEDICAL SCIENCES (UAMS) DURING THE TAX YEAR: GREGORY SHARP, M.D. AND GRESHAM RICHTER, M.D. EACH WAS COMPENSATED BY ACH VIA ITS CONTRACT WITH UAMS.
FORM 990, PART VI, SECTION A, LINE 2	THE FOLLOWING BOARD MEMBERS HAD A BUSINESS RELATIONSHIP DURING THE FISCAL YEAR: MARCELLA DODERER AND PHILLIP JETT. BOTH SERVED ON THE BOARD OF ANOTHER COMPANY THAT IS NOT AFFILIATED WITH ARKANSAS CHILDREN'S. THE FOLLOWING OFFICERS HAD A BUSINESS RELATIONSHIP DURING THE FISCAL YEAR: MARCELLA DODERER AND GENA WINGFIELD. BOTH SERVED ON THE BOARDS OF THE CHILDREN'S HEALTHCARE SYSTEM AND SACOVA INSURANCE COMPANY, LTD., WHICH ARE AFFILIATED COMPANIES.
FORM 990, PART VI, SECTION A, LINE 3	THE HOSPITAL'S SVP/CHIEF MEDICAL OFFICER POSITION IS HELD BY GREGORY SHARP, M.D., WHO HOLDS A FACULTY APPOINTMENT IN THE UNIVERSITY OF ARKANSAS FOR MEDICAL SCIENCES, COLLEGE OF MEDICINE DEPARTMENT OF NEUROSCIENCES. ALTHOUGH DR. SHARP IS AN EMPLOYEE OF UAMS, AS SVP/CMO, HE IS ALSO A KEY EMPLOYEE OF ACH. AS A UAMS EMPLOYEE, THE HOSPITAL REIMBURSES UAMS FOR HIS ROLE, WHICH IS TO FURTHER DEVELOP AND ENHANCE PATIENT/FAMILY CENTERED ROUNDS WITH AN IMPROVED DELIVERY OF CARE AND PATIENT/FAMILY EXPERIENCE; TO PARTNER WITH THE CNO AND OTHERS TO FOCUS ON TEAM CARE; TO IMPROVE EFFICIENCY OF CARE; TO WORK CLOSELY WITH THE CHIEF QUALITY OFFICER; AND TO LISTEN TO MEDICAL STAFF AND TEAM MEMBERS AND FOSTER CHANGE THAT WILL POSITIVELY IMPACT PATIENT CARE.
FORM 990, PART VI, SECTION A, LINE 6	THE SOLE MEMBER OF ARKANSAS CHILDREN'S HOSPITAL IS ARKANSAS CHILDREN'S, INC.
FORM 990, PART VI, SECTION A, LINE 7A	ARKANSAS CHILDREN'S, INC., ACH'S SOLE MEMBER, HAS THE RESERVED POWER TO FIX THE SIZE OF THE BOARD OF DIRECTORS, AND THE GOVERNING BOARD OF ANY AFFILIATE CONTROLLED BY THE CORPORATION, AND APPOINT AND REMOVE, WITH OR WITHOUT CAUSE, THE DIRECTORS OF THE CORPORATION, AND MEMBERS OF THE GOVERNING BOARD OF ANY AFFILIATE CONTROLLED BY THE CORPORATION.
FORM 990, PART VI, SECTION A, LINE 7B	ACH'S ARTICLES OF INCORPORATION MAY BE AMENDED, AND THE BYLAWS MAY BE ALTERED, AMENDED, OR REPEALED AND NEW BYLAWS MAY BE ADOPTED: (I) UPON THE APPROVAL OF BOTH THE BOARD AND THE SOLE MEMBER, IF THE AMENDMENT DOES NOT RELATE TO THE NUMBER OF DIRECTORS, THE COMPOSITION OF THE BOARD, THE TERM OF OFFICE OF DIRECTORS, OR THE METHOD OR WAY IN WHICH DIRECTORS ARE ELECTED OR SELECTED; OR (II) BY THE MEMBER.
FORM 990, PART VI, SECTION B, LINE 11B	HOSPITAL MANAGEMENT REVIEWS THE DRAFT FORM 990 AND RECONCILES IT TO THE HOSPITAL'S INTERNAL FINANCIALS AND CONSOLIDATED AUDIT REPORT. THE DRAFT IS ALSO REVIEWED IN DETAIL WITH THE VP OF FINANCIAL OPERATIONS OF ARKANSAS CHILDREN'S, INC. THE REVIEWED DRAFT OF THE FORM 990 IS PROVIDED TO THE PLANNING & DEVELOPMENT COMMITTEE BY HOSPITAL MANAGEMENT. IF THE REVIEW BY THE COMMITTEE RESULTS IN REVISIONS TO THE FORM 990, THOSE REVISIONS ARE MADE. THE FORM 990 TO BE FILED IS THEN PROVIDED TO THE ENTIRE BOARD PRIOR TO FILING.
FORM 990, PART VI, SECTION B, LINE 12C	THE HOSPITAL HAS A BOARD OF DIRECTORS CONFLICT OF INTEREST POLICY THAT IS ISSUED TO AND REVIEWED WITH ALL NEW BOARD MEMBERS DURING THEIR BOARD ORIENTATION. IN ADDITION, THE INTERNAL GENERAL COUNSEL OR THE SYSTEM COMPLIANCE OFFICER WILL PERIODICALLY REVIEW THE POLICY WITH THE FULL BOARD DURING A REGULAR BOARD MEETING. A DIRECTOR SHALL DISCLOSE IN WRITING TO THE BOARD OF DIRECTORS ANY ACTUAL OR POTENTIAL CONFLICT OF INTEREST WHEN THE SITUATION DEVELOPS, INCLUDING THE FACTS THAT MAKE IT AN ACTUAL OR POTENTIAL CONFLICT. EACH DIRECTOR SHALL SIGN AN INITIAL CONFLICT OF INTEREST DISCLOSURE STATEMENT UPON ELECTION TO THE BOARD OF DIRECTORS. EACH DIRECTOR ALSO SHALL SIGN AN ANNUAL CONFLICT OF INTEREST DISCLOSURE STATEMENT. IF AN ACTUAL OR POTENTIAL CONFLICT OF INTEREST DEVELOPS AFTER THE DIRECTOR'S INITIAL AND ANNUAL STATEMENTS ARE SIGNED, THE DIRECTOR SHALL IMMEDIATELY SIGN A NEW DISCLOSURE STATEMENT TO ADDRESS THE NEW SITUATION OR TRANSACTION. CONFLICT OF INTEREST DISCLOSURE STATEMENTS OR DECLARED CONFLICTS WILL BE REVIEWED BY THE DIRECTOR BOARD OFFICERS. REVIEW WILL RESULT IN ONE OF THE FOLLOWING ACTIONS BY MAJORITY VOTE: (1) DETERMINED NOT TO BE A CONFLICT; (2) CONFLICT IS ACCEPTED; OR (3) CONFLICT IS NOT ACCEPTED AND THE DIRECTOR WILL NEED TO ABSTAIN FROM PARTICIPATION IN CERTAIN VOTES. CONFLICT DISCLOSURES, FACTS AND ACTIONS WILL BE DOCUMENTED IN THE APPROPRIATE COMMITTEE OR BOARD MINUTES. A DIRECTOR WITH A CONFLICT OF INTEREST WILL NOT PARTICIPATE IN DELIBERATIONS OR VOTE BY THE BOARD OF DIRECTORS, OR COMMITTEE THEREOF, ON THE MATTER GIVING RISE TO THE CONFLICT. HE OR SHE MAY PRESENT RELEVANT INFORMATION ABOUT THE MATTER AND ALSO MAY RESPOND TO REQUESTS FOR FACTS NEEDED BY THE BOARD TO REACH AN INFORMED DECISION. AFTER ANY DISCUSSION, THE INTERESTED DIRECTOR SHALL EITHER ABSTAIN FROM VOTE OR RECUSE COMPLETELY AND BE ABSENT DURING FURTHER DELIBERATIONS AND ACTION ON THE MATTER, AS DETERMINED BY THE DIRECTOR BOARD OFFICERS OF THE ENTITY.
FORM 990, PART VI, SECTION B, LINE 15	COMPENSATION FOR ANY ACH EXECUTIVE OR SENIOR OFFICER (PRESIDENT; EXECUTIVE VICE PRESIDENT; SENIOR VICE PRESIDENT) WHO IS NOT A CONTRACTED UAMS EMPLOYEE IS REVIEWED BY THE ARKANSAS CHILDREN'S HUMAN RESOURCES AND COMPENSATION COMMITTEE WHICH IS ESTABLISHED THROUGH THE BYLAWS OF ARKANSAS CHILDREN'S, INC. THE HUMAN RESOURCES AND COMPENSATION COMMITTEE HAS THE FULL AUTHORITY AND SPECIFIC RESPONSIBILITY FOR REVIEWING AND APPROVING COMPENSATION POLICIES, BASE SALARY AND INCENTIVE COMPENSATION LEVELS, EXECUTIVE RETIREMENT AND OTHER EXECUTIVE BENEFIT PLANS FOR HEALTH SYSTEM SENIOR MANAGEMENT, INCLUDING OFFICERS OF THE CORPORATION AND AFFILIATES WHO ARE "DISQUALIFIED PERSONS" UNDER SECTION 4958 OF THE CODE. THE POLICIES AND PROGRAMS REVIEWED AND APPROVED BY THE HUMAN RESOURCES AND COMPENSATION COMMITTEE SHALL BE DESIGNED TO ENSURE THAT THE CORPORATION AND ITS AFFILIATES REMAIN COMPETITIVE AND REASONABLE RELATIVE TO THE COMPENSATION AND BENEFITS PRACTICES OF SIMILARLY SITUATED HEALTH SYSTEMS LOCALLY AND NATIONALLY, AND TO PERMIT THE CORPORATION AND SUCH AFFILIATES TO ATTRACT AND RETAIN SUPERIOR SENIOR MANAGEMENT, IN FURTHERANCE OF THE CORPORATION'S AND AFFILIATES PURPOSES. THE HUMAN RESOURCES AND COMPENSATION COMMITTEE SHALL HAVE, TO THE FULLEST EXTENT OF THE LAW, THE AUTHORITY TO APPROVE THE COMPENSATION PACKAGES FOR SENIOR MANAGEMENT OF THE CORPORATION AND THE AFFILIATES. IN ITS PROCESS, THE COMMITTEE SHALL OBTAIN AND MUST RELY UPON APPROPRIATE DATA AS TO COMPARABILITY PRIOR TO MAKING ITS DETERMINATION OF REASONABLENESS WITH RESPECT TO THE COMPENSATION ARRANGEMENTS OF DISQUALIFIED PERSONS. APPROPRIATE DATA INCLUDES, BUT IS NOT LIMITED TO, COMPENSATION LEVELS PAID BY SIMILARLY SITUATED ORGANIZATIONS, BOTH TAXABLE AND TAX-EXEMPT, FOR FUNCTIONALLY COMPARABLE POSITIONS; THE AVAILABILITY OF SIMILAR SERVICES IN THE GEOGRAPHIC AREA OF THE CORPORATION, CURRENT COMPENSATION SURVEYS COMPILED BY INDEPENDENT FIRMS; AND ACTUAL WRITTEN OFFERS FROM SIMILAR INSTITUTIONS COMPETING FOR THE SERVICES OF THE DISQUALIFIED PERSON. THE COMMITTEE MAY RELY UPON OPINIONS OF QUALIFIED LEGAL, ACCOUNTING, VALUATION AND EXECUTIVE COMPENSATION EXPERTS. CONTEMPORANEOUSLY WITH MAKING ITS DETERMINATION OF REASONABLENESS WITH RESPECT TO THE COMPENSATION ARRANGEMENT OF THE CEO AND DISQUALIFIED PERSONS, THE COMMITTEE SHALL DOCUMENT IN ITS MINUTES THE BASIS FOR ITS DECISIONS. A VERBAL REPORT IS PROVIDED TO THE BOARD BY THE CHAIR OF THE COMMITTEE. MINUTES ARE AVAILABLE FOR REVIEW UPON BOARD MEMBER REQUEST TO THE BOARD CHAIR.
FORM 990, PART VI, SECTION C, LINE 19	THE HOSPITAL'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST AS REQUIRED.
FORM 990, PART IX, LINE 11G	PHYSICIANS' REMUNERATION: PROGRAM SERVICE EXPENSES 103,612,090. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 103,612,090. TESTING: PROGRAM SERVICE EXPENSES 4,169,347. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 4,169,347. REPAIRS & MAINTENANCE: PROGRAM SERVICE EXPENSES 5,075,783. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 5,075,783. OTHER FEES FOR SERVICE: PROGRAM SERVICE EXPENSES 16,599,312. MANAGEMENT AND GENERAL EXPENSES 17,400,565. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 33,999,877.
FORM 990, PART XI, LINE 9:	TRANSFER OF FUNDS BETWEEN ACH & AC -3,656,267. TRANSFER OF FUNDS BETWEEN ACH & ACCN -788,800. TRANSFER OF ASSETS BETWEEN ACH & ACF 244,326.
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) 2021

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE R
(Form 990)

Department of the Treasury
Internal Revenue Service

Related Organizations and Unrelated Partnerships

Complete if the organization answered "Yes" on Form 990, Part IV, line 33, 34, 35b, 36, or 37.
MediumBullet

Attach to Form 990.
MediumBullet

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2021

Open to Public Inspection

Name of the organization

ARKANSAS CHILDREN'S HOSPITAL

Employer identification number

71-0236857

Part I

Identification of Disregarded Entities. Complete if the organization answered "Yes" on Form 990, Part IV, line 33.

(a) Name, address, and EIN (if applicable) of disregarded entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Total income	(e) End-of-year assets	(f) Direct controlling entity

Part II

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

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Exempt Code section	(e) Public charity status (if section 501(c)(3))	(f) Direct controlling entity	(g) Section 512(b)(13) controlled 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 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 AUXILIARY 1 CHILDRENS WAY LITTLE ROCK,AR72202 71-0606585	FUNDRAISING & VOLUNTEERS	AR	501(C)(3)	LINE 12A, I	ARKANSAS CHILDREN'S INC THRU ARKANSAS CHILDREN'S HOSPITAL AND FOUNDATION		No
(4)ARKANSAS CHILDREN'S NORTHWEST 1 CHILDRENS WAY LITTLE ROCK,AR72202 81-0817660	HOSPITAL	AR	501(C)(3)	LINE 3	ARKANSAS CHILDREN'S INC		No
(5)ARKANSAS CHILDREN'S INC 1 CHILDRENS WAY LITTLE ROCK,AR72202 81-0801296	HEALTH CARE PARENT CORPORATION	AR	501(C)(3)	LINE 12B, II	N/A		No
(6)ARKANSAS CHILDREN'S MEDICAL GROUP 1 CHILDRENS WAY LITTLE ROCK,AR72202 82-0771462	HOSPITAL/PHYSICIAN SERVICES	AR	501(C)(3)	LINE 3	ARKANSAS CHILDREN'S INC		No

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

Cat. No. 50135Y

Schedule R (Form 990) 2021

Page 2

Part III

Identification of Related Organizations Taxable as a Partnership. Complete if the organization answered "Yes" on Form 990, Part IV, line 34, because it had one or more related organizations treated as a partnership during the tax year.

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(f) Share of total income	(g) Share of end-of-year assets	(h) Disproprtionate allocations?		(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	(j) General or managing partner?		(k) Percentage ownership
(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	(k) Percentage ownership

Part IV

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

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(e) Type of entity (C corp, S corp, or trust)	(f) Share of total income	(g) Share of end-of-year assets	(h) Percentage ownership	(i) 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) Direct controlling entity	(e) Type of entity (C corp, S corp, or trust)	(f) Share of total income	(g) Share of end-of-year assets	(h) Percentage ownership	Yes	No
(1) CHILDREN'S HEALTHCARE SYSTEM INC 1 CHILDRENS WAY LITTLE ROCK,AR72202 58-6304957	MANAGEMENT SERVICES	AR	N/A	C	275,539	854,062	50.000 %		No
(2) ARKANSAS CHILDREN'S CARE NETWORK 1 CHILDRENS WAY LITTLE ROCK,AR72202 37-1854930	CLINICALLY INTEGRATED NETWORK	AR	N/A	C					No
(3) SACOVA INSURANCE COMPANY LTD 18 FORUM LANE 2ND FLOOR CAMANA BAY,GRAND CAYMANKY1-1102 CJ 98-1472934	CAPTIVE INSURANCE COMPANY	CJ	N/A	C					No

Schedule R (Form 990) 2021

Page 3

Part V

Transactions With Related Organizations. Complete if the organization answered "Yes" on Form 990, Part IV, line 34, 35b, or 36.

Note. Complete line 1 if any entity is listed in Parts II, III, or IV of this schedule.

Yes

1 During the tax year, did the orgranization engage in any of the following transactions with one or more related organizations listed in Parts II-IV?

a Receipt of (i) interest, (ii) annuities, (iii) royalties, or (iv) rent from a controlled entity .....................

b Gift, grant, or capital contribution to related organization(s) ............................

Yes

c Gift, grant, or capital contribution from related organization(s) ............................

Yes

d Loans or loan guarantees to or for related organization(s) ............................

Yes

e Loans or loan guarantees by related organization(s) ............................

Yes

f Dividends from related organization(s) ............................

g Sale of assets to related organization(s) ............................

Yes

h Purchase of assets from related organization(s) ............................

i Exchange of assets with related organization(s) ............................

j Lease of facilities, equipment, or other assets to related organization(s) .......................

Yes

k Lease of facilities, equipment, or other assets from related organization(s) ......................

l Performance of services or membership or fundraising solicitations for related organization(s) .....................

Yes

m Performance of services or membership or fundraising solicitations by related organization(s) .................

Yes

n Sharing of facilities, equipment, mailing lists, or other assets with related organization(s) ...................

Yes

o Sharing of paid employees with related organization(s) ............................

Yes

p Reimbursement paid to related organization(s) for expenses ............................

Yes

q Reimbursement paid by related organization(s) for expenses ............................

Yes

r Other transfer of cash or property to related organization(s) ............................

Yes

s Other transfer of cash or property from related organization(s) ............................

Yes

If the answer to any of the above is "Yes," see the instructions for information on who must complete this line, including covered relationships and transaction thresholds.

(a) Name of related organization	(b) Transaction type (a-s)	(c) Amount involved	(d) Method of determining amount involved

Schedule R (Form 990) 2021

Page 4

Part VI

Unrelated Organizations Taxable as a Partnership. Complete if the organization answered "Yes" on Form 990, Part IV, line 37.

Provide the following information for each entity taxed as a partnership through which the organization conducted more than five percent of its activities (measured by total assets or gross revenue) that was not a related organization. See instructions regarding exclusion for certain investment partnerships.

(a) Name, address, and EIN of entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	(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?		(k) Percentage ownership
(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	(k) Percentage ownership

Schedule R (Form 990) 2021

Page 5

Part VII

Supplemental Information

Provide additional information for responses to questions on Schedule R. See instructions.

Return Reference	Explanation
SCHEDULE R, PART V, LINE 1E	ACH AND ARKANSAS CHILDREN'S FOUNDATION GUARANTEE THE OUTSTANDING BOND INDENTURES.

Schedule R (Form 990) 2021

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	12
5	Total number of individuals employed in calendar year 2021 (Part V, line 2a) ......	5	4,549
6	Total number of volunteers (estimate if necessary) .............	6	534
7a	Total unrelated business revenue from Part VIII, column (C), line 12 ........	7a	0
b	Net unrelated business taxable income from Form 990-T, Part I, line 11 .........	7b	0

		Prior Year	Current Year
8	Contributions and grants (Part VIII, line 1h) .........	53,377,352	36,302,216
9	Program service revenue (Part VIII, line 2g) .........	687,675,434	774,292,402
10	Investment income (Part VIII, column (A), lines 3, 4, and 7d ) ....	-12,895,338	-2,629,899
11	Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e)	9,298,179	10,255,001
12	Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)	737,455,627	818,219,720
13	Grants and similar amounts paid (Part IX, column (A), lines 1–3 )...	28,002,492	9,907,678
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)	331,868,749	372,558,266
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)....	341,169,721	376,198,314
18	Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25)	701,040,962	758,664,258
19	Revenue less expenses. Subtract line 18 from line 12.......	36,414,665	59,555,462
		Beginning of Current Year	End of Year
20	Total assets (Part X, line 16).............	1,069,940,948	1,251,359,610
21	Total liabilities (Part X, line 26).............	155,185,911	277,192,853
22	Net assets or fund balances. Subtract line 21 from line 20.....	914,755,037	974,166,757

Sign Here

	Signature of officer	Date

	Type or print name and title


4a	(Code: ) (Expenses $ 628,937,463 including grants of $ 9,907,678 ) (Revenue $ 777,293,088 )
	ARKANSAS CHILDREN'S HOSPITAL (ACH) IS A NOT-FOR-PROFIT PEDIATRIC HOSPITAL THAT SERVES AS THE ONLY QUATERNARY 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. ACH IS LICENSED FOR 336 OPERATING BEDS, OF WHICH 166 ARE INTENSIVE CARE BEDS AND 147 ARE MEDICAL/SURGICAL BEDS. DURING THE YEAR ENDED JUNE 30, 2023, ACH'S UTILIZATION WAS AS FOLLOWS: 15,637 ADMISSIONS WITH AN AVERAGE STAY OF 5.79 DAYS; 89,010 PATIENT DAYS; 243.9 AVERAGE DAILY CENSUS; 263,576 OUTPATIENT VISITS, EXCLUDING ER VISITS WHICH WERE 67,375; AND 16,115 SURGERIES. CONTINUED ON SCHEDULE O.IN ADDITION TO PROVIDING CHARITY CARE, ACH IS A MAGNET RECOGNIZED FACILITY OPERATING THE STATE'S ONLY LEVEL I PEDIATRIC TRAUMA CENTER; THE STATE'S ONLY BURN CENTER; THE STATE'S ONLY LEVEL IV NEONATAL INTENSIVE CARE UNIT; THE STATE'S ONLY PEDIATRIC INTENSIVE CARE UNIT; THE STATE'S ONLY PEDIATRIC SURGERY PROGRAM WITH LEVEL 1 VERIFICATION FROM THE AMERICAN COLLEGE OF SURGEONS (ACS); THE STATE'S ONLY PEDIATRIC SPECIFIC MAGNETOENCEPHALOGRAPHY (MEG) SYSTEM FOR NEUROSURGICAL PLANNING AND CUTTING-EDGE RESEARCH; AND THE STATE'S ONLY NATIONALLY RECOGNIZED PEDIATRIC TRANSPORT PROGRAM. ADDITIONALLY, ARKANSAS CHILDREN'S IS NATIONALLY RANKED BY U.S. NEWS & WORLD REPORT IN SEVEN PEDIATRIC SUBSPECIALTIES: CANCER, CARDIOLOGY & HEART SURGERY, DIABETES & ENDOCRINOLOGY, NEPHROLOGY, ORTHOPEDICS, PULMONOLOGY & LUNG SURGERY, AND UROLOGY.

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 expenses628,937,463

1b	Sub-Total................
c	Total from continuation sheets to Part VII, Section A....
d	Total (add lines 1b and 1c)...........	5,196,032	5,486,110	1,154,386

1a	Federated campaigns..		1a
b	Membership dues..		1b
c	Fundraising events..		1c
d	Related organizations		1d	14,212,122
e	Government grants (contributions)		1e	22,090,094

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

g	Noncash contributions included in lines 1a - 1f:$		1g

h Total. Add lines 1a-1f.......		36,302,216

		Business Code
2a	PAYMENTS FOR MED SVCS	622110	763,553,279	763,553,279
b	PHARMACY - PATIENT	456110	10,739,123	10,739,123
c
d
e
f	All other program service revenue.
g	Total. Add lines 2a–2f .....		774,292,402

3 Investment income (including dividends, interest, and othersimilar amounts) ......			-2,623,063			-2,623,063
4 Income from investment of tax-exempt bond proceeds
5 Royalties...........
		(ii) Personal	(i) Real
6a	Gross rents		2,110,373	6a
b	Less: rental expenses		25,300	6b
c	Rental income or (loss)		2,085,073	6c
d	Net rental income or (loss).......			2,085,073			2,085,073
		(ii) Other	(i) Securities
7a	Gross amount from sales of assets other than inventory	14,518		7a
b	Less: cost or other basis and sales expenses	21,354		7b
c	Gain or (loss)	-6,836		7c
d	Net gain or (loss).........			-6,836			-6,836
8a	Gross income from fundraising events (not including $ of contributions reported on line 1c). See Part IV, line 18 ....
			8a
b	Less: direct expenses ...		8b
c	Net income or (loss) from fundraising events..
9a	Gross income from gaming activities. See Part IV, line 19 ...
			9a
b	Less: direct expenses ...		9b
c	Net income or (loss) from gaming activities..
10a	Gross sales of inventory, less returns and allowances ..
			10a
b	Less: cost of goods sold ..		10b
c	Net income or (loss) from sales of inventory..
Business Code			Miscellaneous Revenue
11a	NUTRITIONAL SERVICES		622110	3,911,148			3,911,148
b	CHILD ENRICHMENT		624410	1,258,094			1,258,094
c
d	All other revenue ....			3,000,686	3,000,686
e	Total. Add lines 11a–11d ......			8,169,928
12	Total revenue. See instructions.....			818,219,720	777,293,088	0	4,624,416

1	Grants and other assistance to domestic organizations and domestic governments. See Part IV, line 21 ....	9,492,542	9,492,542
2	Grants and other assistance to domestic individuals. See Part IV, line 22 ...........	415,136	415,136
3	Grants and other assistance to foreign organizations, foreign governments, and foreign individuals. See Part IV, lines 15 and 16. .............
4	Benefits paid to or for members .......
5	Compensation of current officers, directors, trustees, and key employees ...........	3,651,983	2,899,259	752,724
6	Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) .........	94,908	94,908
7	Other salaries and wages........	319,420,680	250,034,283	69,386,397
8	Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) ....
9	Other employee benefits .......	49,390,695	42,567,558	6,823,137
10	Payroll taxes ...........
11	Fees for services (non-employees):
a	Management ......	10,098,791	10,015,083	83,708
b	Legal .........	14,214	14,214
c	Accounting ...........
d	Lobbying ...........
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)	146,857,097	129,456,532	17,400,565
12	Advertising and promotion ....	675,569	41,715	633,854
13	Office expenses .......	9,518,439	5,580,013	3,938,426
14	Information technology ......	25,185,558	6,764,986	18,420,572
15	Royalties ..
16	Occupancy ...........	4,601,718	3,407,782	1,193,936
17	Travel ............	1,830,091	1,660,512	169,579
18	Payments of travel or entertainment expenses for any federal, state, or local public officials .
19	Conferences, conventions, and meetings ....	757,395	717,682	39,713
20	Interest ...........	3,737,568		3,737,568
21	Payments to affiliates .......
22	Depreciation, depletion, and amortization ..	38,681,258	33,070,686	5,610,572
23	Insurance ...	192,006	192,006
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	117,236,058	116,891,467	344,591
b	OTHER ADMIN EXPENSES	13,760,906	12,976,249	784,657
c	MINOR EQUIPMENT	1,833,587	1,534,148	299,439
d	DUES & SUBSCRIPTIONS	1,218,059	1,110,702	107,357
e	All other expenses
25	Total functional expenses. Add lines 1 through 24e	758,664,258	628,937,463	129,726,795	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 ........			41,095	1	28,961
2	Savings and temporary cash investments .........			42,557,078	2	99,396,683
3	Pledges and grants receivable, net ......				3
4	Accounts receivable, net .............			100,142,022	4	102,881,891
5	Loans and other receivables from any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons .......
					5
6	Loans and other receivables from other disqualified persons (as defined under section 4958(f)(1)), and persons described in section 4958(c)(3)(B) ...
					6
7	Notes and loans receivable, net ...........				7
8	Inventories for sale or use ............			10,889,963	8	12,063,877
9	Prepaid expenses and deferred charges ......			9,211,405	9	12,980,810
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	648,830,369
b	Less: accumulated depreciation	10b	409,716,297	253,231,668	10c	239,114,072
11	Investments—publicly traded securities .			470,577,547	11	449,753,333
12	Investments—other securities. See Part IV, line 11 .....			1,812,684	12	1,841,366
13	Investments—program-related. See Part IV, line 11 ..			420,545	13	547,383
14	Intangible assets ...............				14
15	Other assets. See Part IV, line 11 ...........			181,056,941	15	332,751,234
16	Total assets. Add lines 1 through 15 (must equal line 33)...			1,069,940,948	16	1,251,359,610

17	Accounts payable and accrued expenses .....	61,798,967	17	52,758,514
18	Grants payable ...		18
19	Deferred revenue .........	111,272	19	215,079
20	Tax-exempt bond liabilities .........	87,459,111	20	219,152,337
21	Escrow or custodial account liability. Complete Part IV of Schedule D		21
22	Loans and other payables to any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons .........
			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	5,816,561	25	5,066,923
26	Total liabilities. Add lines 17 through 25..	155,185,911	26	277,192,853

	Organizations that follow FASB ASC 958, check here and complete lines 27, 28, 32, and 33.
27	Net assets without donor restrictions ..........	876,472,637	27	937,282,941
28	Net assets with donor restrictions ...........	38,282,400	28	36,883,816
	Organizations that do not follow FASB ASC 958, check here and complete lines 29 through 33.
29	Capital stock or trust principal, or current funds .....		29
30	Paid-in or capital surplus, or land, building or equipment fund ...		30
31	Retained earnings, endowment, accumulated income, or other funds		31
32	Total net assets or fund balances ...........	914,755,037	32	974,166,757
33	Total liabilities and net assets/fund balances ........	1,069,940,948	33	1,251,359,610