TY 2024 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 AND CEO	0.42 ................. 56.65	X	X	2,393,424	318,888
(2) RON CLARK...................................................................... TRUSTEE/DIRECTOR	0.13 ................. 0.39	X		0	0
(3) HARRY C ERWIN...................................................................... TRUSTEE/DIRECTOR (PART YR)	0.00 ................. 0.44	X		0	0
(4) GARY GEORGE...................................................................... TRUSTEE/DIRECTOR	0.23 ................. 0.36	X		0	0
(5) KEVIN HINKLE...................................................................... TRUSTEE/DIRECTOR-CHIEF OF MED STAFF	0.42 ................. 54.08	X		317,026	58,983
(6) NICK HOBBS...................................................................... TRUSTEE/DIRECTOR	0.13 ................. 0.00	X		0	0
(7) SILVIA AZRAI KAWAS...................................................................... TRUSTEE/DIRECTOR	0.06 ................. 0.00	X		0	0
(8) AARON MARSHALL...................................................................... TRUSTEE/DIRECTOR	0.31 ................. 0.08	X		0	0
(9) PAT MCCLELLAND...................................................................... TRUSTEE/DIRECTOR	0.38 ................. 0.49	X		0	0
(10) CHARLES REDFIELD...................................................................... TRUSTEE/DIRECTOR	0.05 ................. 0.06	X		0	0
(11) JOHN SPOLLEN MD...................................................................... TRUSTEE/DIRECTOR	0.27 ................. 0.00	X		0	0
(12) STEVE STAFFORD...................................................................... TRUSTEE/DIRECTOR	0.22 ................. 0.08	X		0	0
(13) CELIA SWANSON...................................................................... TRUSTEE/DIRECTOR	0.42 ................. 0.47	X		0	0
(14) KC TUCKER...................................................................... VICE CHAIR	0.41 ................. 0.08	X	X	0	0
(15) BARBARA TYSON...................................................................... TRUSTEE/DIRECTOR	0.05 ................. 0.00	X		0	0
(16) NOEL WHITE...................................................................... CHAIR OF THE BOARD	0.24 ................. 0.00	X	X	0	0
(17) GENA WINGFIELD...................................................................... EVP/CFO	0.04 ................. 48.82		X	928,094	110,158

(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........................................................................ EVP/CHIEF CLIN & ACAD OFCR(PART YR)	6.00 .......................54.35	X			0	810,459	26,645
(19) CINDY MARTIN........................................................................ VP PRACTICE PLAN-AR CHILDREN'S	5.00 .......................45.00	X			0	308,343	26,818
(20) JAMIE WIGGINS........................................................................ EVP/COO	0.00 .......................50.10	X			0	872,317	95,674
(21) LE'KITA BROWN........................................................................ REVENUE CYCLE VP	0.00 .......................50.00	X			0	401,120	24,692
(22) CINDY HILL........................................................................ FINANCIAL SERVICES VP	0.00 .......................55.00	X			0	369,172	26,370
(23) RUSTIN MORSE........................................................................ SVP/ACNW CHIEF ADMINISTRATOR	55.00 .......................0.00	X			314,762	0	4,814
(24) MICHAEL HOWARD........................................................................ DIRECTOR OF OPERATIONS	45.00 .......................0.00	X			267,708	0	24,649
(25) JAMALEE HUNTLEY........................................................................ PHARMACY DIRECTOR	45.00 .......................0.00	X			197,776	0	18,566
(26) MARIA WLEKLINSKI........................................................................ DIRECTOR PATIENT CARE SERVICES	50.00 .......................0.00	X			156,682	0	17,153
(27) SARAH SMITH........................................................................ AMBULATORY SERVICES DIRECTOR	45.00 .......................0.00		X		175,097	0	5,768
(28) JEFFREY WILLIAMS........................................................................ PHARMACY COORDINATOR	45.00 .......................0.00		X		166,581	0	26,856
(29) MELISSA BALLARD........................................................................ RN III	50.00 .......................0.00		X		143,193	0	23,477
(30) DANIEL PRICE........................................................................ STAFF PHARMACIST	40.00 .......................0.00		X		143,055	0	14,166
(31) NICOLE HUDDLESTON........................................................................ DIRECTOR OF OPERATIONS	45.00 .......................0.00		X		141,990	0	11,116
(32) SHANNON HENDRIX........................................................................ FORMER ACNW CHIEF ADMIN	0.00 .......................0.00			X	265,543	0	4,300

(A) Name and business address	(B) Description of services	(C) Compensation
NABHOLZ CONSTRUCTION CORP PO BOX 2090 CONWAY,AR72033	GENERAL CONSTRUCTION CONTRACTOR	11,804,553
COMPASS ONE PO BOX 102289 ATLANTA,GA30368	CAFETERIA SERVICES	2,591,564
CROTHALL HEALTHCARE 13028 COLLECTION CENTER DRIVE CHICAGO,IL60693	PATIENT TRANSPORT/EVS/LINEN SERVICES	1,987,474
POLK STANLEY WILCOX ARCHITECTS 801 S SPRING STREET LITTLE ROCK,AR72201	ARCHITECT SERVICES	1,731,621
ALLIED UNIVERSAL SECURITY SERVICES PO BOX 828854 PHILADELPHIA,PA19182	SECURITY SERVICES	1,262,005
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 28

- 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.
right arrow

Attach to Form 990 or Form 990-EZ.
right arrow

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

OMB No. 1545-0047

2024

Open to Public
Inspection

Name of the organization

ARKANSAS CHILDREN'S NORTHWEST INC

Employer identification number

81-0817660

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) 2024

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) 2020	(b) 2021	(c) 2022	(d) 2023	(e) 2024	(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) 2020	(b) 2021	(c) 2022	(d) 2023	(e) 2024	(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 2024 (line 6, column (f) divided by line 11, column (f)) .........

Public support percentage for 2023 Schedule A, Part II, line 14 ...............

16a

33 1/3% support test—2024. 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—2023. 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—2024. 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—2023. 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) 2024

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) 2020	(b) 2021	(c) 2022	(d) 2023	(e) 2024	(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) 2020	(b) 2021	(c) 2022	(d) 2023	(e) 2024	(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 2024 (line 8, column (f) divided by line 13, column (f)) .........

Public support percentage from 2023 Schedule A, Part III, line 15 ...............

Section D. Computation of Investment Income Percentage

Investment income percentage for 2024 (line 10c, column (f) divided by line 13, column (f)) ......

Investment income percentage from 2023 Schedule A, Part III, line 17 .............

19a

33 1/3% support tests-2024. 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—2023. 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) 2024

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) 2024

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) 2024

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) 2024

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 2024 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-2024	(iii) Distributable Amount for 2024
1 Distributable amount for 2024 from Section C, line 6
2 Underdistributions, if any, for years prior to 2024 (reasonable cause required-- explain in Part VI). See instructions.
3 Excess distributions carryover, if any, to 2024:
a From 2019.......
b From 2020.......
c From 2021.......
d From 2022.......
e From 2023.......
fTotal of lines 3a through e
g Applied to underdistributions of prior years
h Applied to 2024 distributable amount
i Carryover from 2019 not applied (see instructions)
j Remainder. Subtract lines 3g, 3h, and 3i from line 3f.
4Distributions for 2024 from Section D, line 7:
$
a Applied to underdistributions of prior years
b Applied to 2024 distributable amount
c Remainder. Subtract lines 4a and 4b from line 4.
5 Remaining underdistributions for years prior to 2024, 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 2024. 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 2025. Add lines 3j and 4c.
8 Breakdown of line 7:
a Excess from 2020.....
b Excess from 2021.....
c Excess from 2022.....
d Excess from 2023.....
e Excess from 2024.....

Schedule A (Form 990) (2024)

Schedule A (Form 990) 2024

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) 2024

Additional Data

Software ID:
Software Version:

- TIN:

Schedule B
(Form 990)
(Rev. January 2025)

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

Name of the organization

ARKANSAS CHILDREN'S NORTHWEST INC

Employer identification number

81-0817660

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 ......... Right Arrow

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) (Rev. 1-2025)

Schedule B (Form 990) (Rev. 1-2025) Page 2

Name of organization ARKANSAS CHILDREN'S NORTHWEST INC

Part I	Contributors (see instructions). Use duplicate copies of Part I if additional space is needed.
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
RESTRICTED	,	$ RESTRICTED	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
Schedule B (Form 990) (Rev. 1-2025)

Schedule B (Form 990) (Rev. 1-2025)

Page 3

Name of organization ARKANSAS CHILDREN'S NORTHWEST INC		Employer identification number 81-0817660

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) (Rev. 1-2025)

Schedule B (Form 990) (Rev. 1-2025)

Page 4


Name of organization ARKANSAS CHILDREN'S NORTHWEST INC			Employer identification number 81-0817660
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) (Rev. 1-2025)

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.
right arrow

Attach to Form 990.
right arrow

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

OMB No. 1545-0047

Open to Public Inspection

Name of the organization

ARKANSAS CHILDREN'S NORTHWEST INC

Employer identification number

81-0817660

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 July 25, 2006, 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 right arrow

Number of states where property subject to conservation easement is located right arrow

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
right arrow

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

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 ......................... right arrow

(ii)

Assets included in Form 990, Part X ............................... right arrow

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 .......................... right arrow

Assets included in Form 990, Part X ............................... right arrow

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

Cat. No. 52283D

Schedule D (Form 990) (Rev. 1-2025)

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 ....	11,375,511	9,411,167	6,967,104	6,032,250	4,895,940
b	Contributions ...	58,144	1,346,986	1,740,548	1,854,372	71,460
c	Net investment earnings, gains, and losses	1,327,893	970,401	963,065	-666,773	1,332,000
d	Grants or scholarships ...
e	Other expenditures for facilities and programs ...	392,986	353,043	259,550	252,745	267,150
f	Administrative expenses ....
g	End of year balance ......	12,368,562	11,375,511	9,411,167	6,967,104	6,032,250

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

Board designated or quasi-endowment right arrow

0 %

Permanent endowment right arrow

42.380 %

Term endowment right arrow

57.620 %

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 .....	7,940,000		7,940,000
b	Buildings ....	130,715,973	38,894,199	91,821,774
c	Leasehold improvements
d	Equipment ....	29,079,719	23,862,649	5,217,070
e	Other .....	26,145,243	110,828	26,034,415
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).)..				131,013,259

Schedule D (Form 990) (Rev. 1-2025)

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)MEDICAID RECEIVABLE				42,738,915
(2)OTHER RECEIVABLES				435,758
(3)OPERATING LEASES				11,409,412
(4)DUE FROM AFFILIATES				6,018,728
(5)GRANT RECEIVABLE				7,506
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 15.)...........				60,610,319

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
OPERATING LEASE - NONCURRENT	10,581,724
OPERATING LEASE - CURRENT	827,687
CAPITAL LEASE OBLIGATIONS	23,291






Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)	11,432,702
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) (Rev. 1-2025)

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 IS 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), 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, 2025 AND 2024, 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) (Rev. 1-2025)

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.
Medium right arrow

Attach to Form 990.
Medium right arrow

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

OMB No. 1545-0047

2024

Open to Public Inspection

Name of the organization

ARKANSAS CHILDREN'S NORTHWEST INC

Employer identification number

81-0817660

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) . . .	4,440,962		4,440,962	3.380 %
b	Medicaid (from Worksheet 3, column a) . . . . .	76,245,823	64,327,162	11,918,661	9.080 %
c	Costs of other means-tested government programs (from Worksheet 3, column b) . .
d	Total Financial Assistance and Means-Tested Government Programs . . . . .	80,686,785	64,327,162	16,359,623	12.460 %
Other Benefits
e	Community health improvement services and community benefit operations (from Worksheet 4).	1,084,390	29,994	1,054,396	0.800 %
f	Health professions education (from Worksheet 5) . . .	82,690		82,690	0.060 %
g	Subsidized health services (from Worksheet 6) . . . .	15,416,512	4,283,177	11,133,335	8.480 %
h	Research (from Worksheet 7) .
i	Cash and in-kind contributions for community benefit (from Worksheet 8) . . . .	11,143,959	400	11,143,559	8.490 %
j	Total. Other Benefits . .	27,727,551	4,313,571	23,413,980	17.830 %
k	Total. Add lines 7d and 7j .	108,414,336	68,640,733	39,773,603	30.290 %

For Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2024

Schedule H (Form 990) 2024

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.

		(a) Number of activities or programs (optional)	(b) Persons served (optional)	(c) Total community building expense	(d) Direct offsetting revenue	(e) Net community building expense	(f) Percent of total expense
1	Physical improvements and housing
2	Economic development
3	Community support			5,900		5,900	0 %
4	Environmental improvements
5	Leadership development and training for community members
6	Coalition building
7	Community health improvement advocacy
8	Workforce development
9	Other
10	Total			5,900		5,900	0 %

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. ......

2,073,319

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).....

80,961

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

89,432

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

-8,471

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) 2024

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 NORTHWEST 2601 GENE GEORGE BLVD SPRINGDALE,AR72762 WWW.ARCHILDRENS.ORG AR5392	X	X	X	X

Schedule H (Form 990) 2024

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 NORTHWEST
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 24

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): HTTPS://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 25

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

Yes

If "Yes" (list url): HTTPS://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) 2024

Page 5

Part VFacility Information (continued)

Financial Assistance Policy (FAP)

	ARKANSAS CHILDREN'S NORTHWEST
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) 2024

Page 6

Part VFacility Information (continued)

Billing and Collections

	ARKANSAS CHILDREN'S NORTHWEST
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) 2024

Page 7

Part VFacility Information (continued)

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

	ARKANSAS CHILDREN'S NORTHWEST
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) 2024

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 NORTHWEST	PART V, SECTION B, LINE 3J: ARKANSAS CHILDREN'S NORTHWEST (ACNW) IS A PRIVATE, NONPROFIT HOSPITAL WITHIN ARKANSAS CHILDREN'S, INC., WHICH IS THE ONLY HEALTHCARE SYSTEM IN THE STATE SOLELY DEDICATED TO CARING FOR THE CHILDREN OF ARKANSAS. ARKANSAS CHILDREN'S, INC. IS A PRIVATE, NON-PROFIT ORGANIZATION THAT INCLUDES TWO PEDIATRIC HOSPITALS, A PEDIATRIC RESEARCH INSTITUTE, A USDA NUTRITION CENTER, A NATIONAL CENTER FOR OPIOID RESEARCH (NCOR), A PHILANTHROPIC FOUNDATION, A NURSERY ALLIANCE, STATEWIDE CLINICS, AND MANY EDUCATION AND OUTREACH PROGRAMS. ACNW, THE FIRST AND ONLY PEDIATRIC HOSPITAL IN THE NORTHWEST ARKANSAS REGION, OPENED IN SPRINGDALE IN EARLY 2018. ACNW DEFINES THE COMMUNITY IT SERVES AS ALL CHILDREN FROM BIRTH TO AGE 21 IN NORTHWEST ARKANSAS, INCLUDING THE COUNTIES OF BENTON, BOONE, CARROLL, CRAWFORD, FRANKLIN, JOHNSON, LOGAN, MADISON, NEWTON, SEBASTIAN, WASHINGTON, AS WELL AS FOUR COUNTIES IN EASTERN OKLAHOMA: ADAIR, DELAWARE, LE FLORE, AND SEQUOYAH. IN 2025, THIS INCLUDED MORE THAN 200,000 CHILDREN UNDER AGE 18 IN THIS REGION. THE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) INCLUDES INFORMATION ABOUT THE NATURAL WONDERS PARTNERSHIP COUNCIL, A DIVERSE COALITION OF CHILD HEALTH ORGANIZATIONS THAT 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, ACNW INCLUDED ADULT DATA IN THE CHNA TO HELP DEVELOP A CLEARER PICTURE OF SPECIFIC ISSUES. THE REPORT ALSO CONTAINS "BIG IDEAS" FROM COMMUNITY STAKEHOLDERS TO HELP INSPIRE THE WORK THAT RESULTS FROM THE CHNA.
ARKANSAS CHILDREN'S NORTHWEST	PART V, SECTION B, LINE 5: ARKANSAS CHILDREN'S COMMUNITY ENGAGEMENT, ADVOCACY, AND HEALTH DIVISION CONDUCTED THE 2025 STATEWIDE CHNA. ARKANSAS CHILDREN'S CONTRACTED WITH BOYETTE STRATEGIC ADVISORS AND ETC INSTITUTE FOR PORTIONS OF THE CHNA. THIS TEAM REVIEWED ALL IRS REQUIREMENTS FOR THE 2025 ASSESSMENT AND DEVELOPED A REVISED, THOROUGH PROCESS FOR COLLECTING AND ANALYZING PRIMARY AND SECONDARY DATA TO INFORM DECISIONS ON 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.BOYETTE BEGAN COLLECTING AND MONITORING SECONDARY DATA IN MARCH 2024, WHILE PRIMARY DATA COLLECTION COMMENCED IN THE SUMMER OF 2024. ONE THOUSAND ONE HUNDRED FORTY-FIVE PARTICIPANTS SHARED THEIR PERSPECTIVES ON ARKANSAS' MOST CRITICAL CHILD HEALTH ISSUES THROUGH PRIMARY DATA COLLECTION AND COMMUNITY LISTENING. THIRTY-FOUR PERCENT OF PARTICIPANTS PROVIDED FEEDBACK SPECIFIC TO THE ACNW COMMUNITY. STAKEHOLDERS PROVIDED FEEDBACK THROUGH PARTICIPATION IN FOCUS GROUPS, KEY INFORMANT INTERVIEWS, OR A DIGITAL SURVEY FOR PARENTS AND CAREGIVERS. IN ADDITION, ONE OF THE GOALS FOR THE 2025 CHNA WAS TO INCORPORATE YOUTH OPINIONS AND VOICES. IN THE FALL OF 2024, ARKANSAS CHILDREN'S LAUNCHED AN ONLINE YOUTH SURVEY TO CAPTURE THIS FEEDBACK. ARKANSAS CHILDREN'S PARTNERED WITH THE ETC INSTITUTE IN THE SUMMER OF 2024 TO SURVEY PARENTS AND CAREGIVERS ABOUT THE HEALTH NEEDS OF CHILDREN IN ARKANSAS AND EASTERN OKLAHOMA. IN SEPTEMBER AND OCTOBER 2024, ETC COLLECTED 201 RESPONSES FROM A REPRESENTATIVE SAMPLE OF HOUSEHOLDS WITH INFANTS AND CHILDREN FROM BIRTH TO AGE EIGHTEEN IN NORTHWEST ARKANSAS AND EASTERN OKLAHOMA. WITH A 95% CONFIDENCE LEVEL, THE MARGIN OF ERROR FOR THIS SAMPLE WAS +/-3.8.ARKANSAS CHILDREN'S MODELED THE QUESTIONNAIRE FOR THE YOUTH LISTENING SURVEY AFTER THE PARENT AND CAREGIVER SURVEY AND FIELDED IT IN THE FALL OF 2024. WITH SUPPORT FROM COMMUNITY PARTNERS ACROSS THE STATE, THE TEAM RECRUITED YOUTH AGES 12-18 AND COLLECTED 89 SURVEYS FROM THE ACNW COMMUNITY. NEARLY TWO-THIRDS OF RESPONDENTS WERE FEMALE. THE CHNA TEAM REVIEWED RESPONSES AND CODED OPEN-ENDED FEEDBACK TO IDENTIFY THEMES AND KEY FINDINGS FOR THIS REPORT. ARKANSAS CHILDREN'S WILL FURTHER DEVELOP THIS ASSESSMENT COMPONENT IN THE FUTURE. FOR THE KEY INFORMANT INTERVIEWS, THE CHNA TEAM IDENTIFIED AND INTERVIEWED 28 SUBJECT MATTER EXPERTS IN AUGUST AND SEPTEMBER 2024 VIA ZOOM. THESE EXPERTS INCLUDED MEDICAL PROVIDERS, POLICY OFFICIALS, COMMUNITY LEADERS AND ARKANSAS CHILDREN'S SENIOR LEADERSHIP, WHO OFTEN HAD A STATEWIDE LENS AND COULD SPEAK TO KEY ISSUES IN ARKANSAS OR OKLAHOMA. EIGHTEEN PERCENT OF STAKEHOLDERS INTERVIEWED HAD SPECIFIC EXPERTISE RELEVANT TO THE ACNW COMMUNITY. THE CHNA TEAM ASKED THE KEY INFORMANTS ABOUT PEDIATRIC HEALTH NEEDS OBSERVED IN THEIR WORK AND THEY DESCRIBED ADDITIONAL CONCERNS AFFECTING CHILDREN'S HEALTH AND QUALITY OF LIFE IN THE REGION. BOYETTE ANALYZED THE INTERVIEWS BY IDENTIFYING RECURRING THEMES AND ORGANIZING NOTES TO ASSESS THE FREQUENCY AND DEPTH OF CONCERNS. THE ANALYSIS REVEALED SEVERAL OVERLAPPING ISSUES, PARTICULARLY WITH BARRIERS TO ACCESSING QUALITY MEDICAL CARE. BOYETTE THEN PROVIDED THE ARKANSAS CHILDREN'S TEAM WITH A SUMMARY OF THE FINDINGS, SUPPORTED BY REPRESENTATIVE QUOTES FROM THE INTERVIEWS. THE CHNA TEAM CONDUCTED A SERIES OF VIRTUAL AND IN-PERSON FOCUS GROUPS TO GATHER ADDITIONAL STAKEHOLDER INPUT, COMPLETING 26 GROUPS WITH A TOTAL OF 314 PARTICIPANTS. STAKEHOLDERS INCLUDED PHYSICIANS, COMMUNITY-ENGAGED TEAM MEMBERS, THE ARKANSAS INFANT AND CHILD DEATH REVIEW STATE PANEL, THE NATURAL WONDERS PARTNERSHIP COUNCIL, PARENTS AND CAREGIVERS, EDUCATORS, MEDICAL PROVIDERS AND COMMUNITY LEADERS. OF THE 26 GROUPS, THE TEAM HELD NINE IN PERSON AND CONDUCTED 17 VIRTUALLY; FOUR ENGAGED HISPANIC PARTICIPANTS AND ONE ENGAGED THE MARSHALLESE COMMUNITY. TWENTY-TWO PERCENT OF FOCUS GROUP PARTICIPANTS LIVE IN THE ACNW COMMUNITY. THE TEAM USED A SNOWBALL RECRUITMENT APPROACH TO ENSURE BROAD AND DIVERSE PARTICIPATION, DISTRIBUTING EMAIL INVITATIONS AND PROMOTIONAL FLYERS AND INCORPORATING FEEDBACK OPPORTUNITIES INTO EXISTING PARTNER MEETINGS. THE TEAM DEVELOPED A STRUCTURED FOCUS GROUP GUIDE THAT INCLUDED INTRODUCTORY LANGUAGE, INSTANT POLL QUESTIONS AND TOPIC PROMPTS. FACILITATORS OPENED CONVERSATIONS WITH GENERAL QUESTIONS TO GATHER PARTICIPANTS' THOUGHTS ABOUT THE STATUS OF CHILDREN IN ARKANSAS, FOLLOWED BY MORE SPECIFIC EXPLORATION AROUND THE SOCIAL CONDITIONS THAT IMPACT HEALTH, ACCESS TO CLINICAL CARE AND THE QUALITY OF THAT CARE, PHYSICAL ENVIRONMENT, SOCIAL AND ECONOMIC FACTORS AFFECTING HEALTH AND HEALTH BEHAVIORS. FACILITATORS CONCLUDED EACH SESSION WITH AN INVITATION FOR PARTICIPANTS TO SHARE IDEAS FOR IMPROVING CHILDREN'S HEALTH IN A SCENARIO WHERE THEIR RESOURCES WERE UNLIMITED. THE TEAM ANALYZED FOCUS GROUPS USING BOTH INDUCTIVE AND DEDUCTIVE METHODS. A NOTE-TAKER RECORDED VERBATIM COMMENTS AND DOCUMENTED GROUP DYNAMICS WHILE ALSO RECORDING. THE TEAM IDENTIFIED EMERGING THEMES, CODED FEEDBACK INTO SPECIFIC NEEDS AND SUB-THEMES AND USED THESE CODES TO GUIDE THE ANALYSIS. THE TEAM INCORPORATED INSTANT POLL QUESTIONS INTO 12 FOCUS GROUPS, WHICH MIRRORED THE PARENT AND CAREGIVER SURVEY AND ALLOWED PARTICIPANTS TO RESPOND AND SEE IMMEDIATE RESULTS.
ARKANSAS CHILDREN'S NORTHWEST	PART V, SECTION B, LINE 6A: THE ARKANSAS CHILDREN'S NORTHWEST CHNA WAS CONDUCTED IN PARTNERSHIP WITH ARKANSAS CHILDREN'S HOSPITAL. BOTH HOSPITALS ARE PART OF THE ARKANSAS CHILDREN'S SYSTEM, AND NORTHWEST ARKANSAS IS A SHARED COMMUNITY OF BOTH HOSPITALS.
ARKANSAS CHILDREN'S NORTHWEST	PART V, SECTION B, LINE 6B: THE ACNW NEEDS ASSESSMENT ENGAGED INDIVIDUALS AND ORGANIZATIONS THAT REPRESENT THE COMMUNITIES SERVED. MANY REPRESENTATIVES OF THE ORGANIZATIONS ARE PART OF THE NATURAL WONDERS PARTNERSHIP COUNCIL. THE CHNA TEAM ENGAGED SCHOOLS, PARENTS, CAREGIVERS AND A VARIETY OF ORGANIZATIONS TO HELP DEFINE COMMUNITY NEEDS. THOSE ORGANIZATIONS INCLUDE:-ARKANSAS CHILDREN'S HOSPITAL-ARKANSAS CHILDREN'S NORTHWEST-ARKANSAS CHILDREN'S CLINICAL NETWORK-ARKANSAS DEPARTMENT OF HEALTH-ARKANSAS DEPARTMENT OF EDUCATION DIVISION OF PRIMARY AND SECONDARY EDUCATION-ARKANSAS DEPARTMENT OF HUMAN SERVICES-ARKANSAS MINORITY HEALTH COMMISSION-ARKANSAS RURAL HEALTH PARTNERSHIP-ARKANSAS COMMISSION ON CHILD ABUSE, RAPE AND DOMESTIC VIOLENCE-ARKANSAS COALITION OF MARSHALLESE-ARKANSAS HUNGER RELIEF ALLIANCE-ARKANSAS ADVOCATES FOR CHILDREN AND FAMILIES-IMMUNIZE ARKANSAS-MARSHALLESE EDUCATIONAL INITIATIVE -SCHOOL-BASED HEALTH ALLIANCE OF ARKANSAS-THE ARKANSAS FOOD BANK-THE NORTHWEST ARKANSAS FOOD BANK-THE UNIVERSITY OF ARKANSAS FOR MEDICAL SCIENCES (UAMS)-THE ARKANSAS FOUNDATION FOR MEDICAL CARE (AFMC)-HEALTH POLICY ORGANIZATIONS, INCLUDING THE ARKANSAS CENTER FOR HEALTH IMPROVEMENT-HEALTH CARE PROVIDERS, INCLUDING PEDIATRICIANS, FAMILY PRACTICE PHYSICIANS AND NURSES-HEALTH RESEARCHERS-NONPROFIT ORGANIZATIONS PROVIDING DIRECT SERVICES-PRIVATE HEALTH INSURANCE COMPANIES-FAITH COMMUNITY REPRESENTATIVES-LOW-INCOME LEGAL SERVICES ORGANIZATIONS-PRIVATE FOUNDATIONS LIKE THE ARKANSAS COMMUNITY FOUNDATION-THE ARKANSAS CAMPAIGN FOR GRADE-LEVEL READING-PRIVATE INDUSTRIES RANGING FROM PHARMACEUTICAL COMPANIES TO CHAMBERS OF COMMERCE-PARENTS AND CAREGIVERS-EDUCATORS-COMMUNITY LEADERS
ARKANSAS CHILDREN'S NORTHWEST	PART V, SECTION B, LINE 7D: PRESENTATIONS ON THE FINDINGS FROM THE 2025 ACNW CHNA HAVE BEEN PROVIDED TO THE STAKEHOLDER GROUPS LISTED BELOW AND WILL CONTINUE TO BE OFFERED OVER THE COMING YEARS. -THE ARKANSAS CHILDREN'S RESEARCH INSTITUTE - THE LINK -UNIVERSITY OF CENTRAL ARKANSAS - DEPARTMENT OF HEALTH SCIENCES, ENVIRONMENTAL HEALTH COURSE -THE NATURAL WONDERS PARTNERSHIP COUNCIL GENERAL MEMBERSHIP-THE NATURAL WONDERS CHILDHOOD IMMUNIZATIONS WORKGROUP-THE NATURAL WONDERS PARTNERSHIP COUNCIL LEADERSHIP TEAM-ARKANSAS DEPARTMENT OF HEALTH GRAND ROUNDS -VESTIDO ROJO-VARIOUS SCHOOL DISTRICTS-LITTLE PATIENTS, BIG TOPICS: DOP LECTURE SERIES (UAMS PHYSICIANS)-ARKANSAS CHILDREN'S STAFF-TOWN HALL STAFF AND VOLUNTEERS
ARKANSAS CHILDREN'S NORTHWEST	PART V, SECTION B, LINE 11: COMMUNITY HEALTH IMPROVEMENT INTRODUCTION: ARKANSAS CHILDREN'S USED A RATING AND WEIGHTING INDEX FOR THE 2025 CHNA, DESCRIBED ON PAGE 18 OF THE CHNA, TO PRIORITIZE THE COMMUNITY HEALTH NEEDS THAT EMERGED FROM THE ASSESSMENT. SEVERAL SIGNIFICANT CHILD HEALTH NEEDS WERE IDENTIFIED THROUGH THIS PROCESS, INCLUDING WELL-CHILD CARE (ACCESS TO CARE AND PREVENTIVE CARE), BEHAVIORAL AND MENTAL HEALTH, NUTRITION SECURITY, MATERNAL AND INFANT HEALTH, CHILD MALTREATMENT PREVENTION, SUBSTANCE USE PREVENTION, INJURY PREVENTION AND VIOLENCE PREVENTION.THE CHNA TEAM USED A RATING AND WEIGHTING METHODOLOGY AND DETERMINED TWO PRIORITY AREAS: WELL-CHILD CARE (WHICH INCLUDES ACCESS TO CARE AND PREVENTIVE CARE) AND BEHAVIORAL & MENTAL HEALTH. THE TEAM ALSO IDENTIFIED FINANCIAL HARDSHIP AS THE MODERATOR OF HEALTH. ACNW WILL WORK TO ADDRESS THE SAID PRIORITIES AND THE MODERATOR OF HEALTH OVER THE NEXT THREE YEARS, BASED ON THESE SCORING RESULTS. AS ACNW CONDUCTED THE 2025 CHNA DURING TAX YEAR 2024/FISCAL YEAR 2025, THE WORK CONTINUED TO ADDRESS HEALTH NEEDS IDENTIFIED IN THE 2022 CHNA AND OUTLINED IN THE 2023-2025 IMPLEMENTATION STRATEGY. THE FOLLOWING INFORMATION UPDATES THE ACTIONS AND WORK THAT TOOK PLACE DURING FY25 FOR EACH OF THE 2022 CHNA PRIORITIZED HEALTH ISSUES BELOW.(1) PRIMARY PRIORITY: BEHAVIORAL AND MENTAL HEALTHARKANSAS CHILDREN'S AND THE UNIVERSITY OF ARKANSAS FOR MEDICAL SCIENCES (UAMS) PARTNERED TO CONTINUE THE ARKANSAS MENTAL HEALTH ACCESS FOR PEDIATRIC PRIMARY CARE (ARMAPP) PROGRAM IN FISCAL YEAR 2025. THIS PROGRAM USED A CURRICULUM THAT ADDRESSES MENTAL AND BEHAVIORAL HEALTH EDUCATION THROUGH THE IECHO PLATFORM AND A TELEHEALTH CONSULTATION PROCESS FOR PRIMARY CARE PROVIDERS ACROSS THE STATE. THE TEAM PROVIDED 49 PROVIDER CONSULTATIONS AND HELD 11 MONTHLY EDUCATIONAL SESSIONS, WITH EACH SESSION REACHING APPROXIMATELY 93 PROVIDERS. THE HEALTH RESOURCES AND SERVICES ADMINISTRATION (HRSA) AWARDED A GRANT TO SUPPORT THIS WORK.IN ADDITION, THIS NEED WAS ADDRESSED THROUGH THE ARKANSAS CHILDREN'S CENTER FOR GOOD MOURNING AND THE DEPARTMENT OF COMMUNITY IMPACT. THE CENTER FOR GOOD MOURNING STRIVES TO PROVIDE, IMPROVE AND INCREASE SUPPORT AND ASSISTANCE FOR 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 FY25, 50 PRESENTATIONS WERE GIVEN TO MORE THAN 926 COMMUNITY ATTENDEES THROUGH THIS PROGRAM.ARKANSAS CHILDREN'S AWARDED FUNDS TO ORGANIZATIONS THAT TRAINED YOUTH MENTAL HEALTH FIRST AID FOR RURAL EMERGENCY DEPARTMENTS AND FEDERALLY QUALIFIED HEALTH CENTERS. THE FUNDING ALSO SUPPORTED TRAINING FOR THE STATE'S FIRST SPANISH-SPEAKING YOUTH MENTAL HEALTH FIRST AID INSTRUCTORS BASED IN NORTHWEST ARKANSAS. ARKANSAS CHILDREN'S ALSO SUPPORTED MENTAL HEALTH EDUCATION FOR SCHOOL NURSES THROUGH THE ARKANSAS SCHOOL NURSE VODCAST. THE VODCAST, ESTABLISHED THROUGH A MULTI-AGENCY, COLLABORATIVE PARTNERSHIP BETWEEN ARKANSAS CHILDREN'S, THE ARKANSAS DEPARTMENT OF EDUCATION AND THE ARKANSAS DEPARTMENT OF HEALTH, RESPONDS TO THE NEED TO SUPPORT SCHOOL NURSES' PROFESSIONAL DEVELOPMENT BY PROVIDING SKILLS-BASED COURSES THAT ADDRESS CURRENT PROCEDURES AND TOPICS AND HELP SUPPORT CHILD HEALTH NEEDS. THE FY25 SCHOOL NURSE VODCAST TRAINED SCHOOL NURSES ON ADHD. THE TRAINING REACHED 167 SCHOOL PARTICIPANTS FROM 95 SCHOOL DISTRICTS AND CONNECTED WITH COMMUNITIES IN ALL FOUR CORNERS OF THE STATE. BEFORE THE TRAINING, NURSES REPORTED THAT THEY OFTEN LISTENED ONLY TO ADDRESS THE ISSUES THEIR STUDENTS REPORTED EXPERIENCING, SUCH AS HEADACHES, STOMACHACHES, OR FATIGUE. AFTER THE TRAINING, NURSES REPORTED THEY SEE THE NEED TO LISTEN AND DIG DEEPER TO UNDERSTAND A STUDENT'S UNDERLYING SITUATION, SUCH AS FOOD INSECURITY, DEPRESSION, ANXIETY OR ISSUES AT HOME THAT CONTRIBUTE TO THE PHYSICAL SYMPTOMS STUDENTS PRESENT IN THEIR OFFICES.THE 2023-2025 ACNW IMPLEMENTATION STRATEGY OUTLINED ACTION STEPS TO ADDRESS THESE ISSUES, WITH THE FIRST BEING TO TEACH PARENTS, COMMUNITY MEMBERS AND HELPING PROFESSIONALS TO BE ADVOCATES FOR CHILDREN'S BEHAVIORAL AND MENTAL HEALTH THROUGH EDUCATION ON TOPICS LIKE BULLYING, SELF-HARM, SUICIDE PREVENTION AND EVIDENCE-BASED TRAININGS SUCH AS APPLIED SUICIDE INTERVENTION SKILLS TRAINING (ASIST). IN FY25, THERE WAS ONE ASIST TRAINING WITH NINE PARTICIPANTS. ARKANSAS CHILDREN'S BEHAVIORAL HEALTH RESOURCE COORDINATORS (BHRC) PROVIDE THE COMMUNITY ACCESS TO MENTAL HEALTH PROFESSIONALS WHO OFFER PERSONALIZED SUPPORT AND GUIDANCE AT NO COST WHEN FAMILIES ENCOUNTER BARRIERS TO BEHAVIORAL HEALTH SERVICES. BHRC'S HELP FAMILIES UNDERSTAND WHAT SERVICES ARE NEEDED, IDENTIFY APPROPRIATE AND AVAILABLE RESOURCES AND GUIDE THEM IN NAVIGATING BARRIERS TO CARE. BHRC'S RECEIVED 53 REFERRALS FROM THE NORTHWEST REGION.ARKANSAS CHILDREN'S SPONSORS ORGANIZATIONS THAT SUPPORT BEHAVIORAL AND MENTAL HEALTH NEEDS FOR CHILDREN. ARKANSAS CHILDREN'S SPONSORED THE AMERICAN FOUNDATION FOR SUICIDE PREVENTION, WHICH PROMOTES SUICIDE PREVENTION AWARENESS, COMMUNITY EDUCATION AND SUPPORT FOR INDIVIDUALS AND FAMILIES AFFECTED BY SUICIDE, AMONG OTHER ORGANIZATIONS. ALSO, ARKANSAS CHILDREN'S PROVIDED SUPPORT TO OTHER ORGANIZATIONS, SUCH AS CITY YEAR, WHICH PLACES SUCCESS COACHES IN SCHOOLS TO HELP IMPROVE STUDENT BEHAVIOR, ACADEMIC PERFORMANCE AND SOCIAL-EMOTIONAL DEVELOPMENT. (2) PRIMARY PRIORITY: IMMUNIZATIONSARKANSAS CONTINUES TO IMPROVE CHILDHOOD IMMUNIZATION RATES. HOWEVER, VACCINE HESITANCY, THE COVID-19 PANDEMIC AND LIMITED ACCESS TO AFFORDABLE VACCINES NEGATIVELY IMPACT ARKANSAS' IMMUNIZATION RATES.IN FY25, ACNW PRIMARY CARE NURSES WORKED WITH THE SPRINGDALE SCHOOL DISTRICT NURSE TO HOST VACCINES FOR CHILDREN (VFC) VACCINATION EVENTS IN LOCAL SCHOOLS. THE EVENTS TARGETED THE SCHOOLS WITH THE HIGHEST NEEDS, WHERE STUDENTS WERE MOST BEHIND ON IMMUNIZATIONS AND MOST QUALIFIED FOR THE VFC PROGRAM. THESE EVENTS RESULTED IN 57 VFC VACCINES ADMINISTERED TO 48 STUDENTS.ARKANSAS IMMUNIZATION ACTION COALITION, ALSO KNOWN AS IMMUNIZE-AR, IS A KEY PARTNER IN ADDRESSING IMMUNIZATION NEEDS. THIS STATEWIDE COALITION FOCUSES ON INCREASING IMMUNIZATION RATES IN ARKANSAS. IN FY25, ARKANSAS CHILDREN'S SPONSORED IMMUNIZE-AR TO PROVIDE TECHNICAL ASSISTANCE AND RECRUIT PHARMACIES TO BECOME VFC PROVIDERS. ARKANSAS CHILDREN'S ALSO SUPPORTED THE ARKANSAS CHAPTER OF THE AMERICAN ACADEMY OF PEDIATRICS FOR THEIR ANNUAL CONFERENCE FOCUSED ON IMMUNIZATIONS.
SCHEDULE H, PART V, SECTION B, LINE 11 - CONTINUED	(3) PRIMARY PRIORITY: FOOD INSECURITYARKANSAS CHILDREN'S USES A MULTIFACETED, SOCIO-ECOLOGICAL MODEL TO ADDRESS FOOD SECURITY THROUGH BEST PRACTICE CLINICAL INTERVENTIONS AND A PARTNERSHIP APPROACH IN COMMUNITIES TO SERVE PATIENTS, PATIENTS' FAMILIES, EMPLOYEES AND COMMUNITIES. PATIENTS' FAMILIES COMPLETE A SOCIAL DRIVERS OF HEALTH SCREENING WHEN THEY ENTER OUR SYSTEM AND ANNUALLY AFTER THAT. THE RESULTS BECOME PART OF THE ELECTRONIC MEDICAL RECORD AND WE OFFER ASSISTANCE THROUGH EMERGENCY GROCERY BAGS, SUPPORT WITH ENROLLING IN FOOD ASSISTANCE PROGRAMS SUCH AS SNAP AND WIC AND REFERRALS TO COMMUNITY FOOD PANTRIES. IN FY25, 203 EMERGENCY GROCERY BAGS WERE DISTRIBUTED TO PATIENT FAMILIES EXPERIENCING FOOD INSECURITY. IN ADDITION, ACNW FINANCIAL COUNSELORS SUPPORTED 21 FAMILIES WITH SNAP APPLICATIONS.ACNW PARTICIPATES IN THE USDA MEAL PROGRAM. IN FY25, ACNW PROVIDED 7,200 USDA MEALS TO CHILDREN FREE OF CHARGE THROUGH THE USDA SACK LUNCH PROGRAM.ACNW PROVIDED 15,676 CAREGIVER MEALS, OFFERING TWO COMPLIMENTARY MEALS PER PATIENT ROOM EACH DAY FOR LUNCH AND DINNER TO SUPPORT CAREGIVERS DURING THEIR CHILD'S HOSPITALIZATION. ACNW ALSO PROVIDED 17,803 GUEST MEALS TO BREASTFEEDING MOTHERS AND ADDITIONAL CAREGIVERS OR FAMILY MEMBERS WHEN NURSING STAFF DETERMINED THERE WAS A NEED FOR MEALS ORDERED FROM THE MENU.ARKANSAS CHILDREN'S USES A CLOSED-LOOP REFERRAL PLATFORM, ARKANSAS CHILDREN'S RESOURCE CONNECT (POWERED BY FINDHELP.ORG), TO CONNECT FAMILIES WITH FOOD PANTRIES AND OTHER RESOURCES IN THEIR COMMUNITIES. THIS PLATFORM LAUNCHED IN APRIL 2021 AND IS AVAILABLE FOR PATIENTS, FAMILIES AND STAFF AT ALL ARKANSAS CHILDREN'S CAMPUSES AND IS ALSO A PUBLIC COMMUNITY RESOURCE. MOST ACTIVITY COMES FROM EXTERNAL COMMUNITY MEMBERS AND COMMUNITY-BASED ORGANIZATIONS (CBO'S). IN FY25, USERS COMPLETED 8,021 SEARCHES ON THE PLATFORM IN THE ACNW REGION, MOST OFTEN FOR FOOD PANTRIES (484), UTILITY ASSISTANCE (275) AND HOUSING ASSISTANCE (215). THIS CLOSED-LOOP REFERRAL SYSTEM LETS CBO'S UPDATE THE STATUS OF EACH REFERRAL AND CONFIRM IF THE REFERRED PARTY RECEIVED HELP, WAS REFERRED ELSEWHERE, WAS NOT ELIGIBLE, COULD NOT BE CONTACTED, WAS NO LONGER INTERESTED OR COULD NOT BE HELPED DUE TO A LACK OF CAPACITY. THIS APPROACH HELPED US BETTER SERVE PATIENT FAMILIES AND THE COMMUNITY THROUGH RESOURCES AND PARTNERSHIPS. FOR ACNW, 458 REFERRALS WERE MADE ON THE PLATFORM, WITH 208 CLOSED LOOP. THIS DIGITAL PLATFORM IS CRITICAL TO ARKANSAS CHILDREN'S ABILITY TO CONNECT FAMILIES WITH THE RESOURCES THEY NEED, CLOSE TO HOME.ARKANSAS CHILDREN'S LEVERAGED PARTNERSHIPS TO ADDRESS FOOD INSECURITY IN THE STATE THROUGH CASH AND IN-KIND CONTRIBUTIONS. THESE CONTRIBUTIONS SUPPORTED NORTHWEST ARKANSAS ORGANIZATIONS THAT ADDRESS FOOD SECURITY, INCLUDING THE NORTHWEST ARKANSAS FOOD BANK AND TRI-CYCLE FARMS. THE PARTNERSHIP WITH THE NORTHWEST ARKANSAS FOOD BANK EQUIPPED THE ACNW HOSPITAL AND CLINICS TO PROVIDE EMERGENCY GROCERY PARCELS TO PATIENT FAMILIES WHO SCREEN AS BEING FOOD INSECURE DURING SOCIAL DRIVERS OF HEALTH SCREENINGS. TRI-CYCLE FARMS IS A COMMUNITY URBAN FARM THAT ADDRESSES FOOD INSECURITY BY GROWING AND TEACHING OTHERS TO GROW FOOD ON A 2-ACRE PLOT IN FAYETTEVILLE. THE ORGANIZATION SHARES FOOD WITH VOLUNTEERS, FOOD PANTRIES AND THE COMMUNITY, AND OPERATES A FOOD RECOVERY PROGRAM. THROUGH THE ACNW PARTNERSHIP, THEY PURCHASED EGG CARTONS TO DISTRIBUTE EGGS TO FAMILIES IN NEED.ARKANSAS CHILDREN'S TEAM MEMBERS PARTICIPATED IN THE NORTHWEST ARKANSAS COMMUNITY OF PRACTICE, FOCUSING ON SUSTAINING COLLABORATION AND PLANNING FOR LONG-TERM IMPACT AFTER THE PRIOR FUNDING ENDED. DURING THIS TIME, THE NORTHWEST ARKANSAS FOOD BANK AGREED TO SERVE AS THE LEAD ORGANIZATION AND FISCAL AGENT AND THE GROUP MET EVERY OTHER MONTH TO DEVELOP PROJECT PROPOSALS AND PLAN FUTURE INITIATIVES.(4) SECONDARY PRIORITY: INFANT HEALTHTHE SECONDARY PRIORITY OF INFANT HEALTH FOCUSES ON ADDRESSING INFANT MORTALITY AND TEEN PREGNANCY. ARKANSAS CHILDREN'S PARTNERS WITH ORGANIZATIONS ACROSS THE STATE TO ACHIEVE THESE GOALS. THE ARKANSAS HOME VISITING NETWORK (AHVN) IS A PARTNERSHIP BETWEEN ARKANSAS CHILDREN'S, THE ARKANSAS DEPARTMENT OF HEALTH, THE ARKANSAS DEPARTMENT OF HUMAN SERVICES AND THE ARKANSAS DEPARTMENT OF EDUCATION AND AIMS TO IMPROVE MATERNAL-CHILD HEALTH OUTCOMES. THE NETWORK IMPLEMENTS EIGHT EVIDENCE-BASED HOME VISITING PROGRAMS: 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 FY25, ACNW SERVED 879 FAMILIES WITH CHILDREN FROM THE PRENATAL PERIOD THROUGH AGE FIVE AND COMPLETED 11,663 HOME VISITS ACROSS THE REGION. THE UAMS FOLLOWING BABY BACK HOME PROGRAM SERVED 60 FAMILIES AND COMPLETED 314 HOME VISITS IN NORTHWEST ARKANSAS.ARKANSAS CHILDREN'S ADDRESSED THIS CHNA NEED THROUGH INFANT SAFETY EDUCATION PROVIDED VIA IN-PERSON AND VIRTUAL CLASSES. THE SAFE START TO PARENTING PROGRAM EDUCATED 144 PARENTS AND CAREGIVERS ON SAFE SLEEP, THE PERIOD OF PURPLE CRYING, AND CHILD PASSENGER SAFETY, INCLUDING CAR SEAT AND VEHICULAR HEATSTROKE EDUCATION, IN THE ACNW REGION. ARKANSAS CHILDREN'S COLLABORATED WITH UAMS TO HOST CLASSES IN THE ACNW REGION IN MARSHALLESE AND SPANISH, REACHING UNDERSERVED POPULATIONS.ARKANSAS CHILDREN'S COORDINATES THE INFANT AND CHILD DEATH REVIEW (ICDR) AS A CONTRACTOR FOR THE ARKANSAS DEPARTMENT OF HEALTH. THE PROGRAM, ESTABLISHED IN 2010 AND REQUIRED BY ARKANSAS ACT 1818 OF 2005, MANAGES 11 REGIONAL TEAMS (THREE OF WHICH ARE IN THE ACNW REGION) THAT COVER ALL 75 ARKANSAS COUNTIES TO REVIEW UNNATURAL, UNEXPECTED DEATHS OF CHILDREN FROM BIRTH TO AGE 17. THESE REVIEWS HELP INFORM PREVENTION RECOMMENDATIONS. IN FY25, ICDR TEAMS REVIEWED THE CASES OF 172 CHILDREN WHO DIED FROM INJURIES IN 2022. THE THREE ICDR TEAMS IN THE ACNW REGION REVIEWED 47 OF THESE CASES. MOST OF THESE DEATHS WERE DUE TO UNDETERMINED/SUDDEN UNEXPECTED INFANT DEATH (SUID), ACCIDENTS, OR SUICIDE.ARKANSAS CHILDREN'S ADDRESSES THE CHNA NEED OF INFANT HEALTH BY IMPLEMENTING THE EVIDENCE-BASED HEALTHY RELATIONSHIP CURRICULUM CALLED LOVE NOTES. THIS CURRICULUM AIMS TO REDUCE TEEN PREGNANCY, A HIGH-RISK FACTOR FOR INFANT DEATHS IN ARKANSAS. FY25 MARKED THE SIXTH CONSECUTIVE SCHOOL YEAR ARKANSAS CHILDREN'S IMPLEMENTED THE CURRICULUM. ARKANSAS CHILDREN'S REACHED 1,347 HIGH SCHOOL STUDENTS IN PARTNERSHIP WITH 42 ARKANSAS HIGH SCHOOLS. OF THESE, 401 STUDENTS AND NINE SCHOOLS WERE FROM THE ACNW REGION. ARKANSAS CHILDREN'S CONTINUED TO PURCHASE CURRICULUM MATERIALS FOR THE 2024-2025 SCHOOL YEAR, SO SCHOOLS UNABLE TO AFFORD THEM COULD STILL PARTICIPATE. THERE IS A LARGE WAITING LIST OF PARTNER SCHOOLS WANTING TO IMPLEMENT THE CURRICULUM AND ARKANSAS CHILDREN'S CONTINUES TO SEEK GRANT FUNDING TO EXPAND THE PROGRAM. ARKANSAS CHILDREN'S RECEIVED A $103,275 GRANT FROM THE ARKANSAS BLUE AND YOU FOUNDATION, WHICH ENABLED IMPLEMENTATION IN 14 SCHOOLS, FOUR OF WHICH WERE IN THE ACNW REGION.ARKANSAS CHILDREN'S TEAM MEMBERS PROVIDE CAR SEAT INSPECTIONS TO PARENTS AND EDUCATE THEM ON PROPER CAR SEAT INSTALLATION AND OTHER CAR SAFETY TOPICS, SUCH AS VEHICULAR HEATSTROKE, UNSECURED PROJECTILES AND WINTER COATS UNDER SAFETY RESTRAINTS. PARENTS ACCESS THIS EDUCATION AT ARKANSAS CHILDREN'S CAMPUSES AND THROUGH 30 SATELLITE SITES AROUND THE STATE. DURING AN INSPECTION, PARENTS SOMETIMES HAVE THEIR CHILD'S CAR SEAT REPLACED IF THEY DO NOT HAVE THE PROPER SEAT, IF THE SEAT IS EXPIRED OR DAMAGED, OR IF IT CANNOT BE PROPERLY INSTALLED. IN FY25, ARKANSAS CHILDREN'S PURCHASED 2,400 CAR SEATS AND BOOSTER SEATS FOR DISTRIBUTION BY THE CHILD PASSENGER SAFETY TEAM TO FAMILIES IN NEED. THIS WAS MADE POSSIBLE PARTIALLY BY A GRANTEE PARTNERSHIP WITH THE ARKANSAS HIGHWAY SAFETY OFFICE AND OTHER DONATED FUNDS. TO FURTHER EXPAND THIS RESOURCE, THE TEAM HOSTED CHILD PASSENGER SAFETY CERTIFICATION COURSES AND TRAINED PROFESSIONALS TO PROPERLY INSTALL CAR SEATS. THE TEAM HELD 12 CERTIFICATION COURSES STATEWIDE, RESULTING IN 162 ADDITIONAL PROFESSIONALS CERTIFIED ACROSS 23 ARKANSAS COUNTIES. OF THESE, FIVE COURSES WERE HELD IN THE ACNW REGION (BENTON, BOONE, SEBASTIAN, AND WASHINGTON COUNTIES), RESULTING IN THE CERTIFICATION OF 68 PROFESSIONALS IN THE AREA. ARKANSAS CHILDREN'S ALSO SUPPORTED THE CREATION OF A PUBLIC SERVICE ANNOUNCEMENT THAT SHOWS CAREGIVERS HOW TO USE A BOOSTER SEAT CORRECTLY ONCE THEIR CHILD OUTGROWS A HARNESSED CAR SEAT.
SCHEDULE H, PART V, SECTION B, LINE 11 - CONTINUED	(5) SECONDARY PRIORITY: CHILD ABUSE AND NEGLECTTHE DEPARTMENT OF COMMUNITY HEALTH AND SAFETY RECEIVED $15,565 IN FUNDING FROM THE ARKANSAS COMMISSION FOR CHILD ABUSE, DOMESTIC VIOLENCE AND RAPE TO CONDUCT CHILD MALTREATMENT AND ABUSE PREVENTION EFFORTS. THE DEPARTMENT DEVELOPED PROVIDER TRAINING TO INCORPORATE RECOGNITION OF SIGNS & SYMPTOMS, SYSTEM RESPONSE, CAREGIVER OR FAMILY RESPONSE AND COMMUNITY RESPONSE. THE TEAM DELIVERED TRAINING THROUGH PEDS PLACE AND GRAND ROUNDS, REACHING 185 PHYSICIAN PROVIDERS. IN COLLABORATION WITH THE ARKANSAS STATE POLICE, ARKANSAS CHILDREN'S PROVIDED CHILD MALTREATMENT HOTLINE TRAINING FOR 339 SCHOOL NURSES. A TOTAL OF 251 CONTINUING NURSING EDUCATION (CNE) CREDITS WERE AWARDED TO NURSES FROM 110 SCHOOL DISTRICTS ACROSS 54 COUNTIES.THE AHVN AND SAFE START TO PARENTING CLASSES ALSO SUPPORT THIS CHNA NEED. AHVN PROGRAMMING IMPACTS INFANT HEALTH AND ADDRESSES CHILD ABUSE AND NEGLECT IN FOUR OF THE EIGHT HOME VISITING PROGRAMS. THE SAFE START TO PARENTING CLASSES INCLUDE EDUCATION ON THE PERIOD OF PURPLE CRYING, AN EVIDENCE-BASED ABUSIVE HEAD TRAUMA PREVENTION PROGRAM.FINALLY, ARKANSAS CHILDREN'S SPONSORS ORGANIZATIONS THAT ADDRESS THIS CHILD HEALTH NEED. THESE ORGANIZATIONS INCLUDE THE CHILDREN'S SAFETY CENTER OF WASHINGTON COUNTY TO HELP ADDRESS THIS IDENTIFIED CHILD HEALTH NEED.(6) SECONDARY PRIORITY: ACCESS TO CAREACCESS TO CARE REMAINS A LONG-STANDING NEED IDENTIFIED IN THE ARKANSAS CHILDREN'S CHNA'S.ACNW SERVES A DIVERSE PATIENT POPULATION WITH MANY NON-ENGLISH SPEAKING CHILDREN AND FAMILIES. TO ENSURE ALL PATIENTS RECEIVE CULTURALLY SENSITIVE CARE, ORGANIZATIONAL DOLLARS SUPPORT ON-SITE INTERPRETERS BEYOND WHAT ACCREDITATION REQUIRES, WHICH IS ESPECIALLY IMPORTANT TO THE MARSHALLESE AND SPANISH-SPEAKING POPULATIONS IN NORTHWEST ARKANSAS. IN FY25, THESE DOLLARS SUPPORTED 13 IN-PERSON INTERPRETERS AT ACNW. THE PROGRAM CONTINUES TO EVOLVE, OFFERING BOTH IN-PERSON AND VIRTUAL OPTIONS TO ENSURE COVERAGE AND BETTER SERVE PATIENT FAMILIES.INSURANCE COVERAGE AND A FAMILY'S ABILITY TO PAY ARE TWO KEY COMPONENTS OF EQUITABLE ACCESS TO CARE. ACNW HAS A TEAM OF FINANCIAL COUNSELORS WHO GUIDE AND SUPPORT FAMILIES TO ESTABLISH A HEALTHCARE PAYER SOURCE. ALL UNINSURED PATIENTS ARE SCREENED FOR MEDICAID AND, IF ELIGIBLE, ACNW FINANCIAL COUNSELORS BEGIN THE APPLICATION PROCESS. FINANCIAL COUNSELING IS AVAILABLE IN SPANISH, MARSHALLESE AND ENGLISH TO BEST SERVE THE NORTHWEST ARKANSAS COMMUNITY. IN FY25, ACNW FINANCIAL COUNSELORS PROCESSED 1,555 MEDICAID APPLICATIONS, 1,273 FINANCIAL ASSISTANCE PROGRAM APPLICATIONS, 190 TEFRA APPLICATIONS AND 21 SUPPLEMENTAL NUTRITION ASSISTANCE PROGRAM (SNAP) APPLICATIONS.ARKANSAS CHILDREN'S CONTINUES THE WORK OF THE ARKANSAS CHILDREN'S MEDICAL LEGAL PARTNERSHIP (MLP) THROUGH A PARTNERSHIP WITH LEGAL AID OF ARKANSAS. ATTORNEYS CONTRACTED FROM LEGAL AID AND HOUSED WITHIN THE DEPARTMENT OF COMMUNITY IMPACT HELP ELIGIBLE FAMILIES ADDRESS LEGAL NEEDS THAT COULD IMPACT PHYSICAL OR MENTAL HEALTH. IN FY25, THE MLP RECEIVED 36 REFERRALS AND CLOSED 21 CASES FROM THE ACNW REGION. CASES RANGED FROM BRIEF LEGAL ADVICE OR SERVICES TO EXTENDED REPRESENTATION. THE MLP TEAM SAVED CLIENTS $20,387 IN LEGAL FEES THROUGH THIS WORK.ARKANSAS CHILDREN'S ADVANCES ACCESS TO CARE BY SUPPORTING SCHOOL NURSES STATEWIDE THROUGH THE ARKANSAS SCHOOL NURSE ACADEMY. THE ACADEMY IS A PARTNERSHIP BETWEEN ARKANSAS CHILDREN'S, THE ARKANSAS DEPARTMENT OF EDUCATION AND THE ARKANSAS DEPARTMENT OF HEALTH. IN FY25, SCHOOL NURSE ACADEMY WAS HELD THREE TIMES AT NORTHWEST ARKANSAS EDUCATION COOPERATIVE, SOUTHWEST EDUCATION COOPERATIVE AND ARKANSAS RIVER EDUCATION COOPERATIVE. THIS TRAINING COVERED TRAUMATIC BRAIN INJURY, FUNCTIONAL NEUROLOGICAL DISORDERS, SYNCOPE AND REPRODUCTIVE HEALTH. 102 SCHOOL NURSES COMPLETED THE EVALUATION AND 560.6 CNE'S WERE AWARDED. OF THOSE PARTICIPANTS, 55 NURSES WERE FROM THE ACNW REGION AND RECEIVED 308 CNE'S. THE PROGRAM REACHED 48 SCHOOL DISTRICTS ACROSS 33 COUNTIES. ARKANSAS CHILDREN'S ALSO SUPPORTED SCHOOL NURSES THROUGH THE SCHOOL NURSE EDUCATIONAL RESOURCES WEBPAGE ON THE ARKANSAS CHILDREN'S WEBSITE. THIS WEBPAGE PROVIDES A VARIETY OF HEALTH RESOURCES TO HELP SCHOOL NURSES STAY INFORMED, SUCCESSFUL, AND CONFIDENT IN THEIR WORK CARING FOR STUDENTS. ONE KEY RESOURCE IS A VIRTUAL BROADCAST. IN FY25, SEVEN BROADCASTS REACHED 1,549 PARTICIPANTS IN ALL 75 ARKANSAS COUNTIES AND IN MARYLAND AND SOUTH CAROLINA. BROADCAST TOPICS INCLUDED SICKLE CELL ANEMIA, ADHD, MIGRAINES, CHILD MALTREATMENT HOTLINE AND INVESTIGATIONS, ASTHMA, DOCUMENTATION FOR SCHOOL NURSES, AND NALOXONE IN OPIOID EMERGENCIES. ACNW CONTRIBUTES TO THE COMMUNITY IT SERVES AT BOTH LOCAL AND REGIONAL LEVELS. IN FY25, ACNW TEAM MEMBERS PARTICIPATED IN THE NORTHWEST ARKANSAS COUNCIL, A PRIVATE NONPROFIT ORGANIZATION THAT ADVANCES JOB OPPORTUNITIES, TALENT RECRUITMENT, INFRASTRUCTURE, HEALTH CARE AND QUALITY OF LIFE IN THE ACNW SERVICE AREA.(7) SUSTAINING ACTIVITY: OBESITYIN FY25, ARKANSAS CHILDREN'S TEAM MEMBERS PARTICIPATED IN THE NORTHWEST ARKANSAS COMMUNITY OF PRACTICE, FOCUSING ON SUSTAINING COLLABORATION AND PLANNING FOR LONG-TERM IMPACT AFTER THE PRIOR FUNDING ENDED. DURING THIS TIME, THE NORTHWEST ARKANSAS FOOD BANK AGREED TO SERVE AS THE LEAD ORGANIZATION AND FISCAL AGENT AND THE GROUP MET EVERY OTHER MONTH TO DEVELOP PROJECT PROPOSALS AND PLAN FUTURE INITIATIVES.CHILDHOOD OBESITY AND FOOD SECURITY ARE INTERCONNECTED NEEDS. THE DEPARTMENT OF COMMUNITY IMPACT CONDUCTED SIX "COOKING MATTERS AT THE STORE" CLASSES AND TRAINED 16 MEDICAL STUDENT PARTICIPANTS ABOUT WAYS TO WORK WITH THE PATIENTS' FAMILIES THEY SEE ON NUTRITION AND HEALTHY EATING.
SCHEDULE H, PART V, SECTION B, LINE 11 - CONTINUED	(8) SUSTAINING ACTIVITY: INJURY PREVENTION ARKANSAS CHILDREN'S SUPPORTS ONGOING INJURY PREVENTION BY PROVIDING PROGRAMMING FOCUSED ON MOTOR VEHICLE SAFETY, SAFE SLEEP, RECREATIONAL SAFETY AND BURN OR FIRE PREVENTION. THIS WORK OFTEN OVERLAPS WITH OTHER CHNA NEEDS, SUCH AS INFANT HEALTH. SAFE START TO PARENTING CLASSES EDUCATE PARENTS AND CAREGIVERS ON SAFE SLEEP, THE PERIOD OF PURPLE CRYING AND CHILD PASSENGER SAFETY, INCLUDING CAR SEAT AND VEHICULAR HEATSTROKE EDUCATION. IN FY25, ARKANSAS CHILDREN'S COORDINATED THE ARKANSAS INFANT AND CHILD DEATH REVIEW (ICDR) PROGRAM AS A CONTRACTOR FOR THE ARKANSAS DEPARTMENT OF HEALTH. THIS PROGRAM REVIEWED UNNATURAL, UNEXPECTED DEATHS OF INFANTS AND CHILDREN FROM BIRTH TO AGE 17 AND CREATED RECOMMENDATIONS TO PREVENT FUTURE NON-NATURAL DEATHS. THE THREE ICDR TEAMS IN THE ACNW REGION REVIEWED 47 OF THESE CASES, AND MOST DEATHS WERE DUE TO UNDETERMINED/SUDDEN UNEXPECTED INFANT DEATH (SUID), ACCIDENTS OR SUICIDE.ARKANSAS CHILDREN'S EDUCATES PARENTS ON THE PROPER CAR SEAT INSTALLATION AND OTHER CAR SAFETY TOPICS, SUCH AS HOT CAR DEATHS, UNSECURED PROJECTILES AND THE RISK OF WEARING WINTER COATS UNDER SAFETY RESTRAINTS. PARENTS ACCESS THIS EDUCATION AT ARKANSAS CHILDREN'S CAMPUSES AND THROUGH 30 SATELLITE SITES AROUND THE STATE. DURING AN INSPECTION, PARENTS MAY HAVE THEIR CHILD'S CAR SEAT REPLACED IF THEY DO NOT HAVE THE PROPER SEAT, IF IT HAS EXPIRED, OR IF IT IS DAMAGED. IN FY25, ARKANSAS CHILDREN'S PURCHASED 2,400 CAR SEATS AND BOOSTER SEATS FOR DISTRIBUTION BY THE CHILD PASSENGER SAFETY TEAM TO FAMILIES IN NEED. THIS WAS MADE POSSIBLE PARTIALLY BY A GRANTEE PARTNERSHIP WITH THE ARKANSAS HIGHWAY SAFETY OFFICE AND OTHER DONATED FUNDS. TO FURTHER EXPAND THIS RESOURCE, THE TEAM HOSTED CHILD PASSENGER SAFETY CERTIFICATION COURSES AND TRAINED PROFESSIONALS TO PROPERLY INSTALL CAR SEATS. THE TEAM HELD 12 CERTIFICATION COURSES STATEWIDE, RESULTING IN 162 ADDITIONAL PROFESSIONALS CERTIFIED ACROSS 23 ARKANSAS COUNTIES. OF THESE, FIVE COURSES WERE HELD IN THE ACNW REGION (BENTON, BOONE, SEBASTIAN, AND WASHINGTON COUNTIES), LEADING TO THE CERTIFICATION OF 68 PROFESSIONALS IN THE AREA. THE CHILD PASSENGER SAFETY TEAM ALSO SUPPORTED THE CREATION OF A PUBLIC SERVICE ANNOUNCEMENT THAT SHOWS CAREGIVERS HOW TO USE A BOOSTER SEAT CORRECTLY AFTER THEIR CHILD OUTGROWS A HARNESSED CAR SEAT.IN FY25, ARKANSAS CHILDREN'S RECEIVED A $10,000 GRANT FROM UNION PACIFIC TO PROMOTE SAFETY AROUND RAILROADS WHEN OPERATING AN ALL-TERRAIN VEHICLE (ATV). WITH THIS SUPPORT, THE TEAM DEVELOPED A PUBLIC SERVICE ANNOUNCEMENT TO PROMOTE ATV SAFETY AT RAILROAD CROSSINGS. THE ATV SAFETY "TRAUMA TALK" WAS ALSO RECORDED IN COLLABORATION WITH ARKANSAS CHILDREN'S SURGEON IN CHIEF, DR. ROBERT MAXSON, AND PEDIATRIC EMERGENCY MEDICAL PHYSICIAN, DR. PATRICK AYERS. THE PROVIDERS DISCUSSED EXPERIENCES AND INJURIES RELATED TO ATV TRAUMAS AND HIGHLIGHTED THE IMPORTANCE OF PROMOTING AND PRACTICING ATV SAFETY WHEN OPERATING OFF-ROAD VEHICLES. THE ATV TRAUMA TALK WILL BE INCLUDED IN SCHOOL PRESENTATIONS WITH THE ATV SAFETY OPERATION SAFE T.R.I.P.S.S. PROGRAM AND DISPLAYED IN WAITING ROOMS SYSTEM-WIDE.THE DEPARTMENT OF COMMUNITY IMPACT CONTINUES INJURY PREVENTION EFFORTS THROUGH BABYSITTING 101 CLASSES AND BURN PREVENTION EDUCATION. BABYSITTING 101 CLASSES TEACH STUDENTS CHILDCARE SAFETY SKILLS, FIRST AID AND RESCUE, AND LIFE AND BUSINESS SKILLS. IN FY25, ACNW HOSTED TWO CLASSES AND CERTIFIED 33 STUDENTS IN NORTHWEST ARKANSAS.THE BURN AFTERCARE AND OUTREACH PROGRAM EDUCATES EMERGENCY MEDICAL PERSONNEL IN THE EMERGENCY TREATMENT OF BURNS, INCLUDING EMT'S, DOCTORS, NURSES AND PARAMEDICS. THE PROGRAM ALSO DELIVERS BURN PREVENTION EDUCATION TO CHILDREN AND FAMILIES STATEWIDE THROUGH HEALTH FAIRS, SCHOOL VISITS AND OTHER COMMUNITY-BASED VENUES. THE TEAM DISTRIBUTES SMOKE DETECTORS TO REACH RURAL COMMUNITIES IN COLLABORATION WITH THE VOLUNTEER FIREFIGHTERS PROGRAM. IN FY25, THESE EFFORTS REACHED NINE OF THE 15 COUNTIES IN THE ACNW REGION (BENTON, CRAWFORD, FRANKLIN, JOHNSON, LOGAN, NEWTON, POPE, SEBASTIAN AND WASHINGTON). ARKANSAS CHILDREN'S COLLABORATES WITH CAMP ALDERSGATE AND THE ARKANSAS PROFESSIONAL FIREFIGHTERS ASSOCIATION TO PROVIDE AN ANNUAL FOUR-DAY CAMP FOR BURN SURVIVORS, WHERE CAMPERS BUILD FRIENDSHIPS WITH OTHER CHILDREN WHO HAVE SIMILAR EXPERIENCES. IN FY25, CAMP SUNSHINE WELCOMED 23 PEDIATRIC BURN SURVIVOR CAMPERS AND 86 DEDICATED VOLUNTEERS, INCLUDING 35 MEMBERS FROM THE ARKANSAS PROFESSIONAL FIREFIGHTERS ASSOCIATION. THE PROGRAM ALSO RE-LAUNCHED THE YOUNG ADULT RETREAT, NOW KNOWN AS SUNRISE, FOR BURN SURVIVORS AGES 18-24 WHO HAVE AGED OUT OF CAMP SUNSHINE. THIS RETREAT FOCUSED ON MENTORSHIP, LEADERSHIP DEVELOPMENT AND LIFE SKILLS, CREATING A PATHWAY FOR CONTINUED ENGAGEMENT AND FUTURE VOLUNTEERISM.INTERSECTING NEED: POVERTY AND FINANCES POVERTY AND FINANCES INTERSECT WITH MANY CHILD HEALTH NEEDS IN ARKANSAS. POVERTY IS OFTEN FOUNDATIONAL TO MANY OF THE CHILD HEALTH ISSUES CHILDREN EXPERIENCE IN ARKANSAS.WHILE ARKANSAS CHILDREN'S IS NOT POSITIONED TO DECREASE POVERTY RATES STATEWIDE, THE SYSTEM SUPPORTS IMPROVEMENT AT THE INDIVIDUAL LEVEL BY CONNECTING PATIENT FAMILIES TO SOCIAL NEED RESOURCES THROUGH THE ARKANSAS CHILDREN'S RESOURCE CONNECT (POWERED BY FINDHELP.ORG) PLATFORM, AS MENTIONED PREVIOUSLY IN THE FOOD INSECURITY SECTION. FAMILIES COMMONLY USE THE PLATFORM TO FIND FOOD RESOURCES, BUT IT ALSO CONNECTS THEM TO ASSIST WITH UTILITIES, HOUSING AND MORE. IN FY25, FAMILIES COMPLETED 8,021 SEARCHES ON THE PLATFORM, INCLUDING 275 FOR UTILITY ASSISTANCE AND 215 FOR HOUSING ASSISTANCE IN THE ACNW REGION.ARKANSAS CHILDREN'S PARTICIPATED IN THE ALICE REPORT REVIEW COMMITTEE. THE ALICE REPORT ADVANCES KNOWLEDGE, DATA AND ADVOCACY AROUND ALICE (ASSET LIMITED, INCOME CONSTRAINED, EMPLOYED) HOUSEHOLDS IN ARKANSAS.
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 NORTHWEST 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) 2024

Page 9

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?1
Name and address		Type of Facility (describe)
1	1 - HARVEY PEDIATRICS OPER BY AR CHILDRENS 900 SOUTH 52ND STREET 200 ROGERS,AR72758	OUTPATIENT HOSPITAL CLINIC
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3
4
5
6
7
8
9
10

Schedule H (Form 990) 2024

Page 10

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:	ACNW USES FEDERAL POVERTY GUIDELINES TO DETERMINE FREE OR DISCOUNTED CARE.PART I, LINE 4:ACNW 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, ACNW 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". ACNW 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. ACNW DOES NOT REPORT TO COLLECTION AGENCIES OR TAKE OTHER EXTRAORDINARY COLLECTION EFFORTS.
PART I, LINE 7:	COSTING METHOD - ARKANSAS CHILDREN'S NORTHWEST (ACNW) 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 ACNW 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 - ACNW PROVIDES MANY PEDIATRIC 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 ACNW AT A LOSS. THESE LOSSES WERE OBTAINED FROM THE COST ACCOUNTING SYSTEM.ACNW SUBSIDIZED HEALTH SERVICES INCLUDES ONE STANDALONE CLINIC. THE NET LOSS OF $1,271,029 INCLUDED FROM THIS CLINIC REPRESENTS THE FACILITY PORTION OF THE CLINIC WHICH INCLUDES THE CLINIC VISIT, VACCINE ADMINISTRATION AND POINT OF CARE TESTING.
PART II, COMMUNITY BUILDING ACTIVITIES:	ARKANSAS CHILDREN'S NORTHWEST PARTNERS CLOSELY WITH SCHOOLS AND MAINTAINS A FORMAL PARTNERSHIP WITH SPRINGDALE HIGH SCHOOL - MEDICAL ACADEMY, LOCATED NEAR ARKANSAS CHILDREN'S NORTHWEST. THESE PARTNERSHIPS AIM TO PROMOTE HEALTH EDUCATION, SUPPORT EXPLORATION AND LEARNING OF HEALTH CARE CAREERS AND FOSTER A CLIMATE OF INVOLVEMENT, INTERACTION AND COOPERATION BETWEEN EACH PARTY THROUGH DONATED TIME AND SUPPORT.
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, ACNW RECOGNIZES REVENUE BASED ON ESTABLISHED RATES, SUBJECT TO CERTAIN DISCOUNTS AS DETERMINED BY ACNW. 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, ACNW RECORDS AN ESTIMATED PROVISION FOR UNCOLLECTIBLE ACCOUNTS IN THE YEAR OF SERVICE.
PART III, LINE 8:	THE ACNW MEDICARE POPULATION IS PRIMARILY RENAL PEDIATRIC PATIENTS. 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 USES ITS BEST EFFORTS TO ASSIST PATIENTS/GUARANTORS IN MEETING THEIR FINANCIAL RESPONSIBILITY FOR SERVICES PROVIDED AT ACNW. OUR 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 ARKANSAS CHILDREN'S 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. ACNW BILLING AND COLLECTIONS IS A SERVICE PROVIDED BY ARKANSAS CHILDREN'S HOSPITAL (ACH), WHICH IS AN AFFILIATED NON-PROFIT HOSPITAL. ACH TAKES NO EXTRAORDINARY COLLECTION EFFORTS. 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 NORTHWEST CONDUCTED ITS INITIAL COMMUNITY HEALTH NEEDS ASSESSMENT AND IMPLEMENTATION STRATEGY DURING FISCAL YEAR 2019 AND EARLY FISCAL YEAR 2020, AND HAS CONTINUED ASSESSMENT WITH THEIR MOST RECENT CHNA AND IMPLEMENTATION STRATEGY ISSUED IN 2024.ACNW'S CHNA IS COMPREHENSIVE AND FOCUSES ON THE HOSPITAL'S 15 COUNTY SERVICE AREA. 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, SCHOOL NURSES IDENTIFIED CERTAIN AREAS, SUCH AS TRACHEOSTOMY CARE, IN WHICH THEY FELT THEY NEEDED ADDITIONAL EDUCATION, AND ARKANSAS CHILDREN'S PARTNERED WITH THE AR DEPARTMENT OF HEALTH TO MEET THOSE NEEDS THROUGH THE SCHOOL NURSE ACADEMY. ACNW'S FAMILY ADVISORY BOARD HELPS GUIDE THE HOSPITAL STAFF AND BOARD REGARDING ISSUES RELATED TO ITS SERVICES AND IN 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 REGION'S FIRST AND ONLY PEDIATRIC HOSPITAL, ACNW DEFINES THE COMMUNITY IT SERVES AS THE MORE THAN 200,000 CHILDREN LOCATED IN THE 15-COUNTY NORTHWEST ARKANSAS REGION. THOUGH THE HOSPITAL SERVES OUT-OF-STATE PATIENTS AS WELL, ACNW DREW APPROXIMATELY 76.9% OF ITS OUTPATIENTS AND 66.0% OF ITS INPATIENTS FROM WASHINGTON AND BENTON COUNTIES FOR THE FISCAL YEAR ENDING JUNE 30, 2025. ACCORDING TO THE U.S. CENSUS BUREAU 2020 CENSUS DATA, POPULATION TOTALS AT THAT TIME WERE 3,011,524 FOR THE STATE OF ARKANSAS AND 530,204 FOR WASHINGTON AND BENTON COUNTIES COMBINED. ESTIMATED 2025 CENSUS DATA INDICATED POPULATION TOTALS TO BE 3,114,791 FOR ARKANSAS AND 603,767 FOR WASHINGTON AND BENTON COUNTIES. ALSO ACCORDING TO ESTIMATED 2025 CENSUS DATA, APPROXIMATELY 22.7% OF THE ARKANSAS POPULATION WAS UNDER 18 YEARS OF AGE AND 5.8% WAS UNDER THE AGE OF 5. THE UNEMPLOYMENT RATE FOR THE STATE OF ARKANSAS FOR CALENDAR YEAR 2025 WAS 4.2%, A SLIGHT INCREASE FROM THE PREVIOUS YEAR. THE PER CAPITA PERSONAL INCOME FOR THE STATE OF ARKANSAS FOR 2024 WAS $34,812. THE PERCENT OF ALL PEOPLE IN POVERTY IN ARKANSAS DECREASED SLIGHTLY TO 15.5%, AND THE PERCENT OF CHILDREN 18 OR YOUNGER IN POVERTY WAS 20.0%, INDICATING A SLIGHT DECREASE FOR CHILDREN FROM THE PRIOR YEAR.THE ESTIMATED 695,578 ARKANSAS CHILDREN UNDER AGE 18 REPRESENTED 22.7% OF THE STATE'S TOTAL POPULATION FOR 2024. THE HISPANIC CHILD POPULATION GREW FROM 12.2% AS ESTIMATED IN THE 2020 CENSUS TO 14.1% FOR 2024. HOWEVER, THE NUMBER OF AFRICAN AMERICAN CHILDREN UNDER AGE 18 DROPPED SLIGHTLY FROM 17.1% IN THE 2020 CENSUS TO 16.2%. 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 7.7% OF CHILDREN LACKING COVERAGE AS OF 2024. 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:	ARKANSAS CHILDREN'S PROVIDES SYSTEM-WIDE VOLUNTEER SUPPORT TO ELEVATE PATIENT EXPERIENCE BY HELPING CAREGIVERS, PROVIDING POSITIVE DISTRACTIONS FOR PATIENTS AND SUPPORTING HARDWORKING TEAMS. IN FY25 ON THE ACNW CAMPUS, 327 ADULT, SPECIAL EVENT AND JUNIOR VOLUNTEERS SERVED A TOTAL OF 11,497 HOURS. AN ADDITIONAL 81 VOLUNTEERS PROVIDED UNIQUE HANDMADE NEEDLEWORK AND OTHER ITEMS FOR HOSPITAL PATIENTS. THE VOLUNTEER ENGAGEMENT TEAM WELCOMED HIGH SCHOOL STUDENTS FROM 12 HIGH SCHOOLS, WHO COLLECTIVELY SERVED IN VARIOUS POSITIONS THROUGHOUT ACNW. MANY ARKANSAS CHILDREN'S TEAM MEMBERS LED SESSIONS ON OPERATIONS AND ON WAYS TO CHAMPION CHILDREN THROUGH THE HEALTH CARE SYSTEM. PARTICIPANTS LEARNED ABOUT DIVERSE CAREER OPPORTUNITIES AND ENGAGED WITH LEADERS THROUGHOUT THE ORGANIZATION. HIGHLIGHTS INCLUDED A QUESTION-AND-ANSWER SESSION WITH THE ACNW SENIOR VICE PRESIDENT/CHIEF ADMINISTRATOR, TOURS OF THE LAB AND HOSPITAL OPERATIONS, AND TEAM-BUILDING EXERCISES WITH FELLOW VOLUNTEERS.THE VOLUNTEER ENGAGEMENT & CHILD HEALTH RESOURCES TEAM SOLICITS, ACCEPTS, STEWARDS AND DISTRIBUTES TOYS, CONVENIENCE ITEMS AND OTHER IN-KIND DONATIONS VALUED AT OVER $1,000,000 ANNUALLY. VOLUNTEER ENGAGEMENT ALSO PROVIDES STRATEGIC LEADERSHIP AND OPERATIONAL OVERSIGHT TO HOSPITAL GIFT SHOPS AND THE ACH FAMILY RESOURCE CENTER.THE ARKANSAS CHILDREN'S PATIENT AND FAMILY ADVISORY BOARD (FAB) PARTNERS WITH PATIENTS AND FAMILIES TO ENHANCE OUR ABILITY TO PROVIDE EXCEPTIONAL CARE BY LEVERAGING THEIR VOICES AND COLLABORATING AS A TEAM. THE PROGRAM ACTIVELY ENGAGES PATIENTS AND FAMILIES IN A VARIETY OF WAYS. IN FY25, THERE WERE 12 ACTIVE FAB'S, INCLUDING A YOUTH ADVISORY COUNCIL (WITH THE VOICES OF PATIENTS AND SIBLINGS), CARDIOLOGY FAB, CHRONIC VENT FAB, NICU FAB, EMPLOYEE/PARENT FAB, ACH FAB, ONCOLOGY/HEMATOLOGY FAB, E-COUNCIL, BLEEDING DISORDERS FAB, CYSTIC FIBROSIS FAB, PICU FAB AND NEURO/REHAB FAB. ARKANSAS CHILDREN'S CARE NETWORK (ACCN), A KEY PARTNER WITHIN THE ARKANSAS CHILDREN'S SYSTEM, WORKS CLOSELY WITH ARKANSAS CHILDREN'S HOSPITAL (ACH) TO ADVANCE THE HEALTH AND WELL-BEING OF CHILDREN ACROSS THE STATE. THROUGH A ROBUST CLINICALLY INTEGRATED NETWORK (CIN), ACCN UNITES HEALTH CARE PROFESSIONALS TO DELIVER COORDINATED, HIGH-QUALITY AND ACCOUNTABLE PEDIATRIC CARE. BY STRENGTHENING COLLABORATION AND ALIGNMENT, ACCN IMPROVES QUALITY OUTCOMES, EXPANDS ACCESS TO CARE, ENHANCES THE PATIENT AND FAMILY EXPERIENCE, ADVANCES HEALTH CARE AFFORDABILITY AND FOSTERS MEANINGFUL PHYSICIAN ENGAGEMENT AND SATISFACTION, ULTIMATELY TRANSFORMING PEDIATRIC HEALTH IN ARKANSAS.
PART VI, LINE 6:	ACNW 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. ACH IS A NOT-FOR-PROFIT PEDIATRIC HOSPITAL LOCATED IN LITTLE ROCK, ARKANSAS AND SERVES AS THE ONLY QUATERNARY HEALTH CARE FACILITY FOR CHILDREN IN THE STATE OF ARKANSAS. 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, ACNW 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 ACNW CAMPUS WITH ACNW PROVIDING SPACE, SUPPORTING STAFF AND SERVICES AND FUNDING FOR MAJOR EDUCATIONAL AND CLINICAL EXPERTISE.

Schedule H (Form 990) 2024

Additional Data

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Schedule I
(Form 990)
(Rev. January 2025)

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 instructions and the latest information.

OMB No. 1545-0047

Open to Public
Inspection

Name of the organization
ARKANSAS CHILDREN'S NORTHWEST INC

Employer identification number
81-0817660

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) ARKANSAS CHILDREN'S MEDICAL GROUP 1 CHILDRENS WAY LITTLE ROCK,AR72202	82-0771462	501(C)(3)	11,126,792	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) Rev. 1-2025

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	2790		73,786	COST	MEALS FOR PATIENT FAMILIES/CAREGIVERS
(2) TRANSPORTATION COSTS (BUS TOKENS, CAB FARE, GAS CARDS)	137	4,307		COST
(3) RENT, MORTGAGE, UTILITIES, LODGING	3	665		COST
(4) CLOTHING, GROCERY GIFT CARDS AND OTHER MISC. FAMILY ASSISTANCE	530	23,897		COST
(5) CAR SEATS FOR INFANTS AND CHILDREN	9		1,125	COST	CAR SEATS FOR INFANTS AND CHILDREN
(5)
(6)
(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) Rev. 1-2025

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Schedule J
(Form 990)
(Rev. January 2025)

Department of the Treasury
Internal Revenue Service

Compensation Information

For certain Officers, Directors, Trustees, Key Employees, and Highest
Compensated Employees
medium right arrow graphic

Complete if the organization answered "Yes" on Form 990, Part IV, line 23.
medium right arrow graphic

Attach to Form 990.
medium right arrow graphic

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

OMB No. 1545-0047

Open to Public Inspection

Name of the organization

ARKANSAS CHILDREN'S NORTHWEST INC

Employer identification number

81-0817660

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) (Rev. 1-2025)

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 AND CEO	(i) (ii)	0 ------------- 1,413,562	0 ------------- 712,327	0 ------------- 267,535	0 ------------- 306,781	0 ------------- 12,107	0 ------------- 2,712,312	0 ------------- 240,003
2GENA WINGFIELD EVP/CFO	(i) (ii)	0 ------------- 660,332	0 ------------- 189,819	0 ------------- 77,943	0 ------------- 98,851	0 ------------- 11,307	0 ------------- 1,038,252	0 ------------- 66,353
3JAMIE WIGGINS EVP/COO	(i) (ii)	0 ------------- 640,857	0 ------------- 174,292	0 ------------- 57,168	0 ------------- 84,371	0 ------------- 11,303	0 ------------- 967,991	0 ------------- 51,002
4FREDERICK BARR EVP/CHIEF CLIN & ACAD OFCR(PART YR)	(i) (ii)	0 ------------- 556,203	0 ------------- 174,121	0 ------------- 80,135	0 ------------- 16,270	0 ------------- 10,375	0 ------------- 837,104	0 ------------- 67,600
5LE'KITA BROWN REVENUE CYCLE VP	(i) (ii)	0 ------------- 339,761	0 ------------- 60,407	0 ------------- 952	0 ------------- 18,100	0 ------------- 6,592	0 ------------- 425,812	0 ------------- 0
6CINDY HILL FINANCIAL SERVICES VP	(i) (ii)	0 ------------- 307,502	0 ------------- 57,577	0 ------------- 4,093	0 ------------- 15,951	0 ------------- 10,419	0 ------------- 395,542	0 ------------- 0
7KEVIN HINKLE TRUSTEE/DIRECTOR-CHIEF OF MED STAFF	(i) (ii)	0 ------------- 317,026	0 ------------- 0	0 ------------- 0	0 ------------- 0	0 ------------- 58,983	0 ------------- 376,009	0 ------------- 0
8CINDY MARTIN VP PRACTICE PLAN-AR CHILDREN'S	(i) (ii)	0 ------------- 261,049	0 ------------- 46,393	0 ------------- 901	0 ------------- 11,078	0 ------------- 15,740	0 ------------- 335,161	0 ------------- 0
9RUSTIN MORSE SVP/ACNW CHIEF ADMINISTRATOR	(i) (ii)	235,593 ------------- 0	75,815 ------------- 0	3,354 ------------- 0	2,300 ------------- 0	2,514 ------------- 0	319,576 ------------- 0	0 ------------- 0
10MICHAEL HOWARD DIRECTOR OF OPERATIONS	(i) (ii)	232,251 ------------- 0	34,100 ------------- 0	1,357 ------------- 0	14,143 ------------- 0	10,506 ------------- 0	292,357 ------------- 0	0 ------------- 0
11SHANNON HENDRIX FORMER ACNW CHIEF ADMIN	(i) (ii)	265,483 ------------- 0	0 ------------- 0	60 ------------- 0	1,095 ------------- 0	3,205 ------------- 0	269,843 ------------- 0	0 ------------- 0
12JAMALEE HUNTLEY PHARMACY DIRECTOR	(i) (ii)	176,417 ------------- 0	21,120 ------------- 0	239 ------------- 0	12,868 ------------- 0	5,698 ------------- 0	216,342 ------------- 0	0 ------------- 0
13JEFFREY WILLIAMS PHARMACY COORDINATOR	(i) (ii)	164,870 ------------- 0	1,500 ------------- 0	211 ------------- 0	12,139 ------------- 0	14,717 ------------- 0	193,437 ------------- 0	0 ------------- 0
14SARAH SMITH AMBULATORY SERVICES DIRECTOR	(i) (ii)	163,276 ------------- 0	11,615 ------------- 0	206 ------------- 0	4,339 ------------- 0	1,429 ------------- 0	180,865 ------------- 0	0 ------------- 0
15MARIA WLEKLINSKI DIRECTOR PATIENT CARE SERVICES	(i) (ii)	145,724 ------------- 0	10,412 ------------- 0	546 ------------- 0	2,486 ------------- 0	14,667 ------------- 0	173,835 ------------- 0	0 ------------- 0
16MELISSA BALLARD RN III	(i) (ii)	130,569 ------------- 0	12,500 ------------- 0	124 ------------- 0	8,991 ------------- 0	14,486 ------------- 0	166,670 ------------- 0	0 ------------- 0
17DANIEL PRICE STAFF PHARMACIST	(i) (ii)	141,477 ------------- 0	1,500 ------------- 0	78 ------------- 0	8,718 ------------- 0	5,448 ------------- 0	157,221 ------------- 0	0 ------------- 0
18NICOLE HUDDLESTON DIRECTOR OF OPERATIONS	(i) (ii)	133,003 ------------- 0	8,896 ------------- 0	91 ------------- 0	9,802 ------------- 0	1,314 ------------- 0	153,106 ------------- 0	0 ------------- 0

Schedule J (Form 990) (Rev. 1-2025)

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 (NON-CHARTER) TRAVEL FOR COMPANIONS IS REIMBURSED BY THE EMPLOYEE IF SUCH TRAVEL IS ON AN INDIVIDUAL BASIS; THUS, SUCH TRAVEL IS NOT CONSIDERED TAXABLE COMPENSATION TO THE EMPLOYEE. FOUR OFFICERS/EMPLOYEES 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 ARKANSAS CHILDREN'S 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 ("COMMITTEE") WHICH IS ESTABLISHED THROUGH THE BYLAWS OF ARKANSAS CHILDREN'S, INC. THE COMMITTEE HAS THE FULL AUTHORITY AND SPECIFIC RESPONSIBILITY FOR REVIEWING AND APPROVING EXECUTIVE COMPENSATION PRACTICES AS IT RELATES TO BASE SALARY, INCENTIVE COMPENSATION AND TOTAL REMUNERATION TARGETS. THE COMMITTEE HAS SPECIFIC RESPONSIBILITY FOR DETERMINING COMPENSATION FOR THE HEALTH SYSTEM PRESIDENT/CEO AND FOR APPROVAL OF RECOMMENDATIONS MADE BY THE CEO FOR POSITIONS DEEMED AS "DISQUALIFIED PERSONS" UNDER SECTION 4958 OF THE CODE. THE POLICIES AND PROGRAMS REVIEWED AND APPROVED BY THE COMMITTEE SHALL BE DESIGNED TO ENSURE THAT THE CORPORATION AND ITS AFFILIATES REMAIN COMPETITIVE AND REASONABLE RELATIVE TO THE COMPENSATION AND TOTAL REMUNERATION OF SIMILARLY SITUATED HEALTH SYSTEMS LOCALLY AND NATIONALLY, AND TO PERMIT THE CORPORATION AND SUCH AFFILIATES TO ATTRACT AND RETAIN SUPERIOR EXECUTIVES IN FURTHERANCE OF THE CORPORATION'S AND AFFILIATES PURPOSES. 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, CURRENT COMPENSATION SURVEYS COMPILED BY INDEPENDENT FIRMS; 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	THE ARKANSAS CHILDREN'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 2024 (FISCAL YEAR 2025), FIVE 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. - FREDERICK BARR: AC EVP AND CCAO - $74,259 - MARCELLA DODERER: AC/ACH/ACNW PRESIDENT AND CEO - $263,645 - JAMIE WIGGINS: AC EVP AND COO - $56,026 - GENA WINGFIELD: AC EVP AND CFO - $72,890 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 HAVE 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".
FORM 990, PART VII, SECTION A, LINE 5:	DIRECTOR AND CHIEF OF STAFF, KEVIN HINKLE, M.D. WAS COMPENSATED BY UAMS AS AN EMPLOYEE FOR SERVICES RENDERED TO ARKANSAS CHILDREN'S HOSPITAL (ACH) AND ARKANSAS CHILDREN'S NORTHWEST (ACNW) FOR WHICH ACH REMITTED PAYMENT LISTED AS "REPORTABLE COMPENSATION FROM RELATED ORGANIZATIONS" IN PART VII. THE AMOUNT NOTED AS COMPENSATION IN SCHEDULE J FOR THE PHYSICIAN NOTED ABOVE WAS THE DESIGNATED AMOUNT PER THE RELATED CONTRACT WITH UAMS.

Schedule J (Form 990) (Rev. 1-2025)

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

OMB No. 1545-0047

Open to Public
Inspection

Name of the organization
ARKANSAS CHILDREN'S NORTHWEST INC

Employer identification number
81-0817660

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	CITY OF SPRINGDALE AR PUBLIC FACILITIES BOARD	83-0465683	82025WAW1	06-09-2016	84,999,875	SEE SCHEDULE K, PART VI.		X		X		X

Part Ⅱ

Proceeds

	A		B		C		D
	1 Amount of bonds retired ..................	18,910,000
2 Amount of bonds legally defeased ..............
3 Total proceeds of issue ..................	85,258,623
4 Gross proceeds in reserve funds .............
5 Capitalized interest from proceeds .............
6 Proceeds in refunding escrows ...............
7 Issuance costs from proceeds ...............	742,725
8 Credit enhancement from proceeds .............
9 Working capital expenditures from proceeds .............
10 Capital expenditures from proceeds .............	84,515,898
11 Other spent proceeds .............
12 Other unspent proceeds .............
13 Year of substantial completion .............	2018
	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
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
16 Has the final allocation of proceeds been made? ..........	X
17 Does the organization maintain adequate books and records to support the final allocation of proceeds? ..................	X

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

Cat. No. 50193E

Schedule K (Form 990) (Rev. 1-2025)

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
2 Are there any lease arrangements that may result in private business use of bond-financed property? ...............		X
3a Are there any management or service contracts that may result in private business use of bond-financed property? .............	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
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?
4 Enter the percentage of financed property used in a private business use by entities other than a section 501(c)(3) organization or a state or local government ....	0.070 %
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 .........
6 Total of lines 4 and 5 .............	0.070 %
7 Does the bond issue meet the private security or payment test? ...		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
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

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
2 If "No" to line 1, did the following apply? ....
a Rebate not due yet? .......		X
b Exception to rebate? ........	X
c No rebate due? .........		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

Schedule K (Form 990) (Rev. 1-2025)

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
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
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
7 Has the organization established written procedures to monitor the requirements of section 148? ...	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

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 (I) FINANCE THE ACQUISITION, CONSTRUCTION, AND EQUIPPING OF A PEDIATRIC HOSPITAL FACILITY TO BE LOCATED IN THE CITY OF SPRINGDALE, AR, AND (II) PAY CERTAIN EXPENSES IN CONNECTION WITH THE ISSUANCE OF THE SERIES 2016 BONDS. PART II, LINE 3, BOND A - TOTAL PROCEEDS DIFFER FROM ISSUE PRICE DUE TO CUMULATIVE INVESTMENT EARNINGS.

Schedule K (Form 990) (Rev. 1-2025)

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Schedule L
(Form 990)
(Rev. January 2025)

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

OMB No. 1545-0047

Open to Public Inspection

Name of the organization

ARKANSAS CHILDREN'S NORTHWEST INC

Employer identification number

81-0817660

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. ........................... $

Enter the amount of tax, if any, on line 2, above, reimbursed by the organization ........ $

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) (Rev. 1-2025)

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) CCHWI LLC	SEE PART V. ENTITY MORE-THAN-35%-OWNED BY BOARD MEMBER	999,713	SEE PART V. LEASE OF REAL ESTATE FROM INTERESTED PERSON. LEASE EXPENSE 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) (Rev. 1-2025)

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SCHEDULE O
(Form 990)
(Rev. January 2025)
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.
Attach to Form 990 or 990-EZ.
Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

Open to Public
Inspection

Name of the organization

ARKANSAS CHILDREN'S NORTHWEST INC

Employer identification number

81-0817660

Return Reference	Explanation
FORM 990, PART VI, SECTION A, LINE 2	THE FOLLOWING BOARD MEMBERS HAD A BUSINESS RELATIONSHIP DURING THE FISCAL YEAR: HARRY C. ERWIN, BARBARA TYSON, AND NOEL WHITE. THE FOLLOWING BOARD MEMBERS ALSO HAD A BUSINESS RELATIONSHIP DURING THE FISCAL YEAR: GARY GEORGE AND STEVE STAFFORD. 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	ACNW'S CHIEF OF MEDICAL STAFF (CMS) POSITION IS HELD BY KEVIN HINKLE, M.D., WHO HOLDS A FACULTY APPOINTMENT AT THE UNIVERSITY OF ARKANSAS FOR MEDICAL SCIENCES, COLLEGE OF MEDICINE. ALTHOUGH DR. HINKLE IS AN EMPLOYEE OF UAMS, AS CMS, HE IS ALSO A DESIGNATED MEMBER OF THE ACNW BOARD OF DIRECTORS. AS A UAMS EMPLOYEE, THE HOSPITAL SYSTEM REIMBURSES UAMS FOR HIS ROLE AND SERVICES RENDERED TO BOTH ACNW AND ACH.
FORM 990, PART VI, SECTION A, LINE 4	ARKANSAS CHILDREN'S NORTHWEST AMENDED AND RESTATED ITS BYLAWS AS OF AUGUST 2025. SIGNIFICANT CHANGES AFFECTING GOVERNANCE ARE AS FOLLOWS: * REGARDING COMMITTEES OF THE BOARD - THE QUALITY AND SAFETY COMMITTEE SHALL CONSIST OF AT LEAST FOUR (4) DIRECTORS APPOINTED ANNUALLY BY THE CHAIR, SUBJECT TO APPROVAL BY THE BOARD, AND SHALL ALSO INCLUDE THE CHIEF OF THE MEDICAL STAFF, THE CHIEF MEDICAL OFFICER, AND THE CHIEF NURSING OFFICER OF THE HOSPITAL.
FORM 990, PART VI, SECTION A, LINE 6	THE SOLE MEMBER OF ACNW IS ARKANSAS CHILDREN'S, INC., AN ARKANSAS NONPROFIT PUBLIC BENEFIT CORPORATION (THE "SOLE MEMBER").
FORM 990, PART VI, SECTION A, LINE 7A	ARKANSAS CHILDREN'S, INC., ACNW'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	ACNW'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	THE DRAFT FORM 990, WHICH IS RECONCILED TO THE ARKANSAS CHILDREN'S NORTHWEST (ACNW) INTERNAL FINANCIAL STATEMENTS AND THE ARKANSAS CHILDREN'S, INC. CONSOLIDATED AUDIT REPORT, IS INITIALLY REVIEWED IN DETAIL WITH THE EVP/CHIEF OPERATING OFFICER OF ARKANSAS CHILDREN'S, INC. AND THE SVP/CHIEF ADMINISTRATOR OF ACNW. THE DRAFT IS ALSO REVIEWED IN DETAIL WITH THE VP OF FINANCIAL OPERATIONS OF ARKANSAS CHILDREN'S, INC. IF THE REVIEW BY ACNW'S MANAGEMENT RESULTS IN REVISIONS TO THE DRAFT FORM 990, THOSE REVISIONS ARE MADE, AND THE FORM 990 TO BE FILED IS PROVIDED TO THE ACNW BOARD OF DIRECTORS PRIOR TO THE RETURN BEING FILED.
FORM 990, PART VI, SECTION B, LINE 12C	ARKANSAS CHILDREN'S 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 ARKANSAS CHILDREN'S 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 ("COMMITTEE") WHICH IS ESTABLISHED THROUGH THE BYLAWS OF ARKANSAS CHILDREN'S, INC. THE COMMITTEE HAS THE FULL AUTHORITY AND SPECIFIC RESPONSIBILITY FOR REVIEWING AND APPROVING EXECUTIVE COMPENSATION PRACTICES AS IT RELATES TO BASE SALARY, INCENTIVE COMPENSATION AND TOTAL REMUNERATION TARGETS. THE COMMITTEE HAS SPECIFIC RESPONSIBILITY FOR DETERMINING COMPENSATION FOR THE HEALTH SYSTEM PRESIDENT/CEO AND FOR APPROVAL OF RECOMMENDATIONS MADE BY THE CEO FOR POSITIONS DEEMED AS "DISQUALIFIED PERSONS" UNDER SECTION 4958 OF THE CODE. THE POLICIES AND PROGRAMS REVIEWED AND APPROVED BY THE COMMITTEE SHALL BE DESIGNED TO ENSURE THAT THE CORPORATION AND ITS AFFILIATES REMAIN COMPETITIVE AND REASONABLE RELATIVE TO THE COMPENSATION AND TOTAL REMUNERATION OF SIMILARLY SITUATED HEALTH SYSTEMS LOCALLY AND NATIONALLY, AND TO PERMIT THE CORPORATION AND SUCH AFFILIATES TO ATTRACT AND RETAIN SUPERIOR EXECUTIVES IN FURTHERANCE OF THE CORPORATION'S AND AFFILIATES PURPOSES. 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, CURRENT COMPENSATION SURVEYS COMPILED BY INDEPENDENT FIRMS; 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 18	THE FORM 990 FOR ARKANSAS CHILDREN'S NORTHWEST IS AVAILABLE TO THE PUBLIC UPON REQUEST.
FORM 990, PART VI, SECTION C, LINE 19	ARKANSAS CHILDREN'S NORTHWEST'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	PHYSICIAN REMUNERATION: PROGRAM SERVICE EXPENSES 14,192,555. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 14,192,555. REFERRED TESTING: PROGRAM SERVICE EXPENSES 1,486,353. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,486,353. REPAIRS AND MAINTENANCE: PROGRAM SERVICE EXPENSES 24,750. MANAGEMENT AND GENERAL EXPENSES 583,579. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 608,329. OTHER FEES FOR SERVICES: PROGRAM SERVICE EXPENSES 824,575. MANAGEMENT AND GENERAL EXPENSES 1,928,307. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,752,882.
FORM 990, PART XI, LINE 9:	TRANSFER OF ASSET BETWEEN ACH AND ACNW 45,342.
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.

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

Cat. No. 51056K

Schedule O (Form 990) (Rev. 1-2025)

Additional Data

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SCHEDULE R
(Form 990)
(Rev. January 2025)

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

OMB No. 1545-0047

Open to Public Inspection

Name of the organization

ARKANSAS CHILDREN'S NORTHWEST INC

Employer identification number

81-0817660

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 INC 1 CHILDRENS WAY LITTLE ROCK,AR72202 81-0801296	HEALTH CARE PARENT CORP	AR	501(C)(3)	LINE 12B, II	N/A		No
(2)ARKANSAS CHILDREN'S HOSPITAL 1 CHILDRENS WAY LITTLE ROCK,AR72202 71-0236857	HOSPITAL	AR	501(C)(3)	LINE 3	ARKANSAS CHILDREN'S INC		No
(3)ARKANSAS CHILDREN'S FOUNDATION 1 CHILDRENS WAY LITTLE ROCK,AR72202 71-0568795	FUNDRAISING	AR	501(C)(3)	LINE 7	ARKANSAS CHILDREN'S INC		No
(4)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
(5)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 VIA ARKANSAS CHILDREN'S HOSPITAL AND FOUNDATION		No
(6)ARKANSAS CHILDREN'S MEDICAL GROUP 1 CHILDRENS WAY LITTLE ROCK,AR72202 82-0771462	HOSPITAL/MEDICAL 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) (Rev. 1-2025)

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					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) (Rev. 1-2025)

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) ............................

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

Yes

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

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

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) .....................

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) (Rev. 1-2025)

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) (Rev. 1-2025)

Page 5

Part VII

Supplemental Information

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

Return Reference	Explanation

Schedule R (Form 990) (Rev. 1-2025)

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 2024 (Part V, line 2a) ......	5	821
6	Total number of volunteers (estimate if necessary) .............	6	408
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) .........	11,399,022	14,307,126
9	Program service revenue (Part VIII, line 2g) .........	112,953,289	125,138,920
10	Investment income (Part VIII, column (A), lines 3, 4, and 7d ) ....	3,064,936	2,912,304
11	Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e)	1,412,508	1,561,053
12	Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)	128,829,755	143,919,403
13	Grants and similar amounts paid (Part IX, column (A), lines 1–3 )...	8,532,659	11,253,639
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)	47,862,134	53,216,560
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)....	61,921,969	66,858,205
18	Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25)	118,316,762	131,328,404
19	Revenue less expenses. Subtract line 18 from line 12.......	10,512,993	12,590,999
		Beginning of Current Year	End of Year
20	Total assets (Part X, line 16).............	248,875,154	258,674,305
21	Total liabilities (Part X, line 26).............	86,730,146	83,870,508
22	Net assets or fund balances. Subtract line 21 from line 20.....	162,145,008	174,803,797

Sign Here

	Signature of officer	Date

	Type or print name and title


4a	(Code: ) (Expenses $ 111,262,879 including grants of $ 11,253,639 ) (Revenue $ 125,463,453 )
	ARKANSAS CHILDREN'S NORTHWEST (ACNW) IS A PEDIATRIC HOSPITAL LOCATED IN SPRINGDALE, ARKANSAS THAT OPENED ON FEBRUARY 27, 2018. THE HOSPITAL INCLUDES INPATIENT BEDS, EMERGENCY CARE, DIAGNOSTIC SERVICES AND CLINIC SPACE. THE 37-ACRE CAMPUS INCLUDES NATURE TRAILS AND GARDENS FOR PATIENTS AND THEIR FAMILIES. DURING THE YEAR ENDED JUNE 30, 2025, ACNW'S UTILIZATION WAS AS FOLLOWS: 4,715 ADMISSIONS WITH AN AVERAGE STAY OF 1.97 DAYS; 8,624 PATIENT DAYS; 23.6 AVERAGE DAILY CENSUS; 92,768 OUTPATIENT VISITS, EXCLUDING ER VISITS WHICH WERE 46,164; AND 6,749 SURGERIES. CONTINUED ON SCHEDULE O.ACNW, THE FIRST AND ONLY PEDIATRIC HOSPITAL IN THE NORTHWEST ARKANSAS REGION, IS A LEVEL IV PEDIATRIC TRAUMA CENTER. ACNW OPERATES AN INPATIENT UNIT THAT WILL EXPAND IN 2026; A SURGICAL UNIT WITH FIVE OPERATING ROOMS; OUTPATIENT CLINICS OFFERING OVER 20 SUBSPECIALTIES; DIAGNOSTIC SERVICES; IMAGING CAPABILITIES; OCCUPATIONAL THERAPY SERVICES; AND NORTHWEST ARKANSAS' ONLY PEDIATRIC EMERGENCY DEPARTMENT.

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 expenses111,262,879

1b	Sub-Total..............
c	Total from continuation sheets to Part VII, Section A..
d	Total (add lines 1b and 1c).........	1,972,387	6,399,955	839,093

1a	Federated campaigns..		1a
b	Membership dues..		1b
c	Fundraising events..		1c
d	Related organizations		1d	14,232,097
e	Government grants (contributions)		1e	75,029

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.......		14,307,126

		Business Code
2a	PMTS FOR MEDICAL SVCS	622110	125,138,920	125,138,920
b
c
d
e
f	All other program service revenue.
g	Total. Add lines 2a–2f .....		125,138,920

3 Investment income (including dividends, interest, and othersimilar amounts) ......			2,960,391			2,960,391
4 Income from investment of tax-exempt bond proceeds
5 Royalties...........
			(i) Real	(ii) Personal
6a	Gross rents	6a
b	Less: rental expenses	6b
c	Rental income or (loss)	6c
d	Net rental income or (loss).......
			(i) Securities	(ii) Other
7a	Gross amount from sales of assets other than inventory	7a
b	Less: cost or other basis and sales expenses	7b		48,087
c	Gain or (loss)	7c		-48,087
d	Net gain or (loss).........			-48,087			-48,087
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
11a	NUTRITIONAL SERVICES		622110	951,899			951,899
b	GIFT SHOP		459420	284,621			284,621
c
d	All other revenue ....			324,533	324,533
e	Total. Add lines 11a–11d ......			1,561,053
12	Total revenue. See instructions.....			143,919,403	125,463,453	0	4,148,824

1	Grants and other assistance to domestic organizations and domestic governments. See Part IV, line 21 ....	11,149,859	11,149,859
2	Grants and other assistance to domestic individuals. See Part IV, line 22 ...........	103,780	103,780
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 ...........	1,757,757	1,011,964	745,793
6	Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) .........
7	Other salaries and wages........	42,849,864	39,512,525	3,337,339
8	Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) ....
9	Other employee benefits .......	8,608,939	7,851,862	757,077
10	Payroll taxes ...........
11	Fees for services (non-employees):
a	Management ......	6,225,794	2,760,701	3,465,093
b	Legal .........
c	Accounting ...........	10,090		10,090
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)	19,040,119	16,528,233	2,511,886
12	Advertising and promotion ....	383,539	33,331	350,208
13	Office expenses .......	1,532,893	1,304,087	228,806
14	Information technology ......	3,843,168	1,228,344	2,614,824
15	Royalties ..
16	Occupancy ...........	2,043,834	768,178	1,275,656
17	Travel ............	161,631	119,059	42,572
18	Payments of travel or entertainment expenses for any federal, state, or local public officials .
19	Conferences, conventions, and meetings ....	59,163	49,865	9,298
20	Interest ...........	2,451,904		2,451,904
21	Payments to affiliates .......
22	Depreciation, depletion, and amortization ..	7,980,093	6,421,670	1,558,423
23	Insurance ...	761,378	392,892	368,486
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	21,547,098	21,451,352	95,746
b	MISC ADMIN EXPENSES	391,967	336,850	55,117
c	DUES & SUBSCRIPTIONS	221,289	65,154	156,135
d	MINOR EQUIPMENT	204,245	173,173	31,072
e	All other expenses
25	Total functional expenses. Add lines 1 through 24e	131,328,404	111,262,879	20,065,525	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 ........				1
2	Savings and temporary cash investments .........			54,245,115	2	43,485,101
3	Pledges and grants receivable, net ......				3
4	Accounts receivable, net .............			16,230,105	4	18,779,814
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 ............			1,180,408	8	1,445,059
9	Prepaid expenses and deferred charges ......			1,232,566	9	1,504,303
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	193,880,935
b	Less: accumulated depreciation	10b	62,867,676	117,601,554	10c	131,013,259
11	Investments—publicly traded securities .			1,829,613	11	1,836,450
12	Investments—other securities. See Part IV, line 11 .....				12
13	Investments—program-related. See Part IV, line 11 ..				13
14	Intangible assets ...............				14
15	Other assets. See Part IV, line 11 ...........			56,555,793	15	60,610,319
16	Total assets. Add lines 1 through 15 (must equal line 33)...			248,875,154	16	258,674,305

17	Accounts payable and accrued expenses .....	10,912,723	17	10,218,758
18	Grants payable ...		18
19	Deferred revenue .........		19
20	Tax-exempt bond liabilities .........	65,284,416	20	62,219,048
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	10,533,007	25	11,432,702
26	Total liabilities. Add lines 17 through 25..	86,730,146	26	83,870,508

	Organizations that follow FASB ASC 958, check here and complete lines 27, 28, 32, and 33.
27	Net assets without donor restrictions ..........	141,944,007	27	160,599,115
28	Net assets with donor restrictions ...........	20,201,001	28	14,204,682
	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 ...........	162,145,008	32	174,803,797
33	Total liabilities and net assets/fund balances ........	248,875,154	33	258,674,305