2024-05-06T13:37:22-05:00 2023-06-30 135565207 KPMG LLP 301 MAIN ST ONE AMERICAN PL STE 2150 BATON ROUGE LA 708011705 990 2022-07-01 710236857 ARKANSAS CHILDREN'S HOSPITAL ARKA 5013642555 1 CHILDRENS WAY LITTLE ROCK AR 72202 MARCELLA DODERER PRESIDENT & CEO 5013642555 2024-05-06 1 MARCELLA DODERER 999009999 0 RYAN HOOKS P00746825 2253444000 2 AAL1 IAL1 2022 2023-04-26 12:10:37Z MARCELLA DODERER 1 CHILDRENS WAY LITTLE ROCK AR 72202 818266374 0 X WWW.ARCHILDRENS.ORG X 1912 AR WE CHAMPION CHILDREN BY MAKING THEM BETTER TODAY AND HEALTHIER TOMORROW. 15 12 4549 534 0 0 53377352 36302216 687675434 774292402 -12895338 -2629899 9298179 10255001 737455627 818219720 28002492 9907678 0 0 331868749 372558266 0 0 0 341169721 376198314 701040962 758664258 36414665 59555462 1069940948 1251359610 155185911 277192853 914755037 974166757 X WE CHAMPION CHILDREN BY MAKING THEM BETTER TODAY AND HEALTHIER TOMORROW.CONTINUED ON SCHEDULE O.ARKANSAS CHILDREN'S WILL FUNDAMENTALLY TRANSFORM HEALTHCARE DELIVERY FOR THE CHILDREN OF ARKANSAS AND BEYOND. ARKANSAS CHILDREN'S CORE VALUES ARE THE ORGANIZATIONAL PRINCIPLES THAT HIGHLIGHT OUR REGARD FOR EACH OTHER AND THOSE WE SERVE:SAFETY: WE ARE VIGILANT ABOUT CREATING AN ERROR-FREE ENVIRONMENT FOR PATIENTS, FAMILIES, AND TEAM MEMBERS.TEAMWORK: WE DEMONSTRATE ACTIONABLE CARE AND CONCERN FOR PATIENTS, FAMILIES, AND TEAM MEMBERS.COMPASSION: WE COORDINATE, COMMUNICATE, COOPERATE, AND COLLABORATE TO ENSURE THE HIGHEST LEVEL OF SERVICE FOR OUR PATIENTS, FAMILIES, AND TEAM MEMBERS.EXCELLENCE: WE ACHIEVE THE HIGHEST OF STANDARDS AND SERVE WITH DISTINCTION IN ORDER TO BE THE BEST.SAFETY AND EXCELLENCE FRAME OUR WORK. TEAMWORK AND COMPASSION PLACE PEOPLE AT THE CENTER OF ALL WE DO. 0 0 628937463 9907678 777293088 ARKANSAS CHILDREN'S HOSPITAL (ACH) IS A NOT-FOR-PROFIT PEDIATRIC HOSPITAL THAT SERVES AS THE ONLY QUATERNARY HEALTH CARE FACILITY FOR CHILDREN IN THE STATE OF ARKANSAS. ACH HAS THE ONLY BURN CENTER IN ARKANSAS AND PROVIDES TREATMENT TO ADULTS AS WELL AS CHILDREN. ACH IS LICENSED FOR 336 OPERATING BEDS, OF WHICH 166 ARE INTENSIVE CARE BEDS AND 147 ARE MEDICAL/SURGICAL BEDS. DURING THE YEAR ENDED JUNE 30, 2023, ACH'S UTILIZATION WAS AS FOLLOWS: 15,637 ADMISSIONS WITH AN AVERAGE STAY OF 5.79 DAYS; 89,010 PATIENT DAYS; 243.9 AVERAGE DAILY CENSUS; 263,576 OUTPATIENT VISITS, EXCLUDING ER VISITS WHICH WERE 67,375; AND 16,115 SURGERIES. CONTINUED ON SCHEDULE O.IN ADDITION TO PROVIDING CHARITY CARE, ACH IS A MAGNET RECOGNIZED FACILITY OPERATING THE STATE'S ONLY LEVEL I PEDIATRIC TRAUMA CENTER; THE STATE'S ONLY BURN CENTER; THE STATE'S ONLY LEVEL IV NEONATAL INTENSIVE CARE UNIT; THE STATE'S ONLY PEDIATRIC INTENSIVE CARE UNIT; THE STATE'S ONLY PEDIATRIC SURGERY PROGRAM WITH LEVEL 1 VERIFICATION FROM THE AMERICAN COLLEGE OF SURGEONS (ACS); THE STATE'S ONLY PEDIATRIC SPECIFIC MAGNETOENCEPHALOGRAPHY (MEG) SYSTEM FOR NEUROSURGICAL PLANNING AND CUTTING-EDGE RESEARCH; AND THE STATE'S ONLY NATIONALLY RECOGNIZED PEDIATRIC TRANSPORT PROGRAM. ADDITIONALLY, ARKANSAS CHILDREN'S IS NATIONALLY RANKED BY U.S. NEWS & WORLD REPORT IN SEVEN PEDIATRIC SUBSPECIALTIES: CANCER, CARDIOLOGY & HEART SURGERY, DIABETES & ENDOCRINOLOGY, NEPHROLOGY, ORTHOPEDICS, PULMONOLOGY & LUNG SURGERY, AND UROLOGY. 628937463 1 1 0 0 0 0 0 0 0 1 1 0 0 1 1 1 0 1 0 0 0 0 0 0 0 0 1 1 1 1 1 1 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 1 0 0 0 1 268 0 1 4549 1 0 0 0 0 0 0 0 0 0 0 0 0 X 15 12 1 1 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 1 1 X GENA WINGFIELD 5013642555 1 CHILDRENS WAY LITTLE ROCK AR 72202 MARCELLA DODERER PRESIDENT/CEO 0.59 56.01 X X 0 2003751 270566 HUNTER BALE TRUSTEE/DIRECTOR 0.11 0.00 X 0 0 0 JOHN BALE JR TRUSTEE/DIRECTOR (PARTIAL YEAR) 0.24 0.14 X 0 0 0 TRAV BAXTER TRUSTEE/DIRECTOR 0.56 0.00 X 0 0 0 MELISSA GRAHAM MD TRUSTEE/DIRECTOR 0.51 0.00 X 0 0 0 DOUGLAS JACKSON VICE CHAIR 0.30 0.00 X 0 0 0 RICHARD JACOBS MD TRUSTEE/DIRECTOR 0.59 0.00 X 0 0 0 TIONNA JENKINS PHD TRUSTEE/DIRECTOR 0.47 0.00 X 0 0 0 PHILLIP JETT BOARD TREASURER 0.25 0.11 X 0 0 0 HOLLY MARR TRUSTEE/DIRECTOR 0.45 0.00 X 0 0 0 PAT MCCLELLAND TRUSTEE/DIRECTOR 0.42 0.21 X 0 0 0 BARBARA G MOORE TRUSTEE/DIRECTOR 0.31 0.17 X 0 0 0 BEVERLY A MORROW CHAIR OF THE BOARD 0.68 0.19 X 0 0 0 GRESHAM RICHTER MD TRUSTEE/DIRECTOR-CHIEF OF MED STAFF 55.56 0.00 X 649911 2275 61040 ROSS WHIPPLE TRUSTEE/DIRECTOR 0.31 0.00 X 0 0 0 DARRIN WILLIAMS TRUSTEE/DIRECTOR 0.26 0.00 X 0 0 0 GENA WINGFIELD EVP/CHIEF FINANCIAL OFFICER 0.00 48.06 X 0 819786 96771 FREDERICK BARR MD EVP-CHIEF CLINICAL & ACADEMIC OFCR 18.00 42.31 X 0 872402 96924 JAMIE WIGGINS EVP/COO 0.00 50.00 X 0 644204 71983 ERIN PARKER SVP/CIO 0.00 48.00 X 0 439171 59250 CINDY HILL FINANCIAL SERVICES VP 55.00 0.00 X 336822 0 24096 LEE ANNE EDDY PATIENT CARE SVC SVP/CNO (PARTIAL YR) 50.00 0.00 X 313762 0 5557 LE'KITA BROWN REVENUE CYCLE VP 50.00 0.00 X 309846 0 21964 CARRIE LEE PATIENT CARE SVCS VP (PARTIAL YR) 50.00 0.00 X 256741 0 25148 TAMMY DIAMOND-WELLS PATIENT CARE SERVICES VP 50.00 0.00 X 252075 0 27335 ROBIN MITCHELL VP OPERATIONS 48.00 0.00 X 219144 0 12316 ANN KRUGER INTERIM SVP/CNO (PARTIAL YEAR) 50.00 0.00 X 196380 0 16702 KENDREA JONES PHARMACY DIRECTOR 50.00 0.00 X 175029 0 27623 KRIS MADDALENA SVP/CNO (PARTIAL YEAR) 50.00 0.00 X 172236 0 3357 JOHN MCNALLY MEDICAL ADMINISTRATION DIRECTOR 50.00 0.00 X 169479 0 5099 RACHEL FRENNER DIRECTOR LABORATORY 48.00 0.00 X 157851 0 21147 STEPHANIE ROCKETT DIRECTOR PATIENT CARE SERVICES 50.00 0.00 X 157600 0 25697 AMY FALLON OPERATIONS SVP 0.00 50.00 X 20114 331727 31144 GREGORY SHARP MD SVP/CHIEF MEDICAL OFFCR (PARTIAL YR) 55.00 0.00 X 494016 0 70182 JARED CAPOUYA QUALITY & SAFETY VP (PARTIAL YEAR) 50.00 0.00 X 385981 0 28451 CHRISTIAN EISENRING SURGICAL ASSISTANT COORDINATOR 50.00 0.00 X 252404 0 25147 ANGELA GLOVER PATIENT CARE MANAGER 50.00 0.00 X 230092 0 20141 BETH PETLAK VP POPULATION HEALTH/CHS EXEC DIR 50.00 0.00 X 224894 0 15289 STEPHANIE PIERCE STRATEGIC MARKETING VP 50.00 0.00 X 221655 0 28737 SHANNON HENDRIX ACNW CHIEF ADMIN (FORMER ACH VP) 0.00 50.00 X 0 372794 62720 5196032 5486110 1154386 479 1 1 1 UNIVERSITY OF ARKANSAS FOR MEDICAL SCIEN 4301 WEST MARKHAM LITTLE ROCK AR 72205 MEDICAL SERVICES 85177852 CROSS COUNTRY STAFFING INC PO BOX 404674 ATLANTA GA 303844674 STAFFING 19674213 CROTHALL HEALTHCARE 13028 COLLECTION CENTER DRIVE CHICAGO IL 60693 PATIENT TRANSPORT/EVS/LINEN SVC 11279650 COMPASS ONE PO BOX 102289 ATLANTA GA 303682289 NUTRITION SERVICES 8951929 NABHOLZ CONSTRUCTION CORP PO BOX 2090 CONWAY AR 72033 GENERAL CONSTRUCTION CONTRACTOR 7030033 117 14212122 22090094 36302216 PAYMENTS FOR MED SVCS 622110 763553279 763553279 PHARMACY - PATIENT 456110 10739123 10739123 774292402 -2623063 -2623063 2110373 25300 2085073 2085073 2085073 14518 21354 -6836 -6836 -6836 NUTRITIONAL SERVICES 622110 3911148 3911148 CHILD ENRICHMENT 624410 1258094 1258094 3000686 3000686 8169928 818219720 777293088 0 4624416 X 9492542 9492542 415136 415136 3651983 2899259 752724 94908 94908 319420680 250034283 69386397 49390695 42567558 6823137 10098791 10015083 83708 14214 14214 146857097 129456532 17400565 675569 41715 633854 9518439 5580013 3938426 25185558 6764986 18420572 4601718 3407782 1193936 1830091 1660512 169579 757395 717682 39713 3737568 3737568 38681258 33070686 5610572 192006 192006 MEDICAL SUPPLIES 117236058 116891467 344591 OTHER ADMIN EXPENSES 13760906 12976249 784657 MINOR EQUIPMENT 1833587 1534148 299439 DUES & SUBSCRIPTIONS 1218059 1110702 107357 758664258 628937463 129726795 0 41095 28961 42557078 99396683 100142022 102881891 10889963 12063877 9211405 12980810 648830369 409716297 253231668 239114072 470577547 449753333 1812684 1841366 420545 547383 181056941 332751234 1069940948 1251359610 61798967 52758514 111272 215079 87459111 219152337 5816561 5066923 155185911 277192853 X 876472637 937282941 38282400 36883816 914755037 974166757 1069940948 1251359610 X 59555462 4056999 -4200741 X X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 337106727 2308928 22159442 7451173 354123924 374165487 10947859 -36410499 11596120 337106727 310862422 1798329 74160395 12655659 374165487 309182507 4459025 3961742 6740852 310862422 296307577 5224717 20943820 13293607 309182507 0.73970 0.13980 0.12050 0 1 1 15242556 15242556 374631789 236300458 138331331 226242368 159531875 66710493 32713656 13883964 18829692 239114072 FUNDS HELD BY TRUSTEE UNDER BOND AGREEMENTS 135699581 ESTIMATED 3RD PARTY SETTLEMENT (MCD) 164994295 SUPPLEMENTAL MEDICAID RECEIVABLE 16556338 GME RECEIVABLE 2080787 OTHER RECEIVABLES 12512162 INTEREST RECEIVABLE - FUNDED DEPR 205029 DUE FROM AFFILIATES 703042 332751234 OPERATING LEASES 2947020 CAPITAL LEASES 2119903 5066923 X PART V, LINE 4: EARNINGS FROM ENDOWMENT FUNDS WILL BE USED TO SUPPORT VARIOUS HOSPITAL PROGRAMS. THE FILING ORGANIZATION DOES NOT HOLD ANY ENDOWMENTS; ALL ENDOWMENTS ARE HELD BY ARKANSAS CHILDREN'S FOUNDATION, A RELATED ORGANIZATION. PART X, LINE 2: NOTE: THE AUDIT WAS COMPRISED OF THE CONSOLIDATED FINANCIAL STATEMENTS OF ARKANSAS CHILDREN'S, INC., ARKANSAS CHILDREN'S HOSPITAL, ARKANSAS CHILDREN'S FOUNDATION, ARKANSAS CHILDREN'S RESEARCH INSTITUTE, ARKANSAS CHILDREN'S NORTHWEST, ARKANSAS CHILDREN'S CARE NETWORK, ARKANSAS CHILDREN'S MEDICAL GROUP, AND SACOVA INSURANCE COMPANY (COLLECTIVELY, ARKANSAS CHILDREN'S). FOOTNOTE: ARKANSAS CHILDREN'S APPLIES FASB ASC TOPIC 740 (TOPIC 740), ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES. TOPIC 740 CLARIFIES THE ACCOUNTING FOR UNCERTAINTY IN INCOME TAX POSITIONS AND PROVIDES GUIDANCE ON WHEN TAX POSITIONS ARE RECOGNIZED IN AN ENTITY'S FINANCIAL STATEMENTS AND HOW THE VALUES OF THESE POSITIONS ARE DETERMINED. MANAGEMENT HAS ANALYZED THE TAX POSITIONS TAKEN BY ARKANSAS CHILDREN'S AND HAS CONCLUDED THAT AS OF JUNE 30, 2023 AND 2022, THERE ARE NO UNCERTAIN POSITIONS TAKEN OR EXPECTED TO BE TAKEN THAT WOULD REQUIRE RECOGNITION OF A LIABILITY (OR ASSET) OR DISCLOSURE IN THE CONSOLIDATED FINANCIAL STATEMENTS. 1 1 1 X 250.000000000000 1 X 0 1 0 0 17728336 17728336 0.02340 441856501 428568905 13287596 0.01750 459584837 428568905 31015932 0.04090 9172025 2791155 6380870 0.00840 25933464 10370191 15563273 0.02050 46467395 17324662 29142733 0.03840 4806781 4806781 0.00630 9734950 168535 9566415 0.01260 96114615 30654543 65460072 0.08620 555699452 459223448 96476004 0.12710 4750 485 4265 0.00000 157989 1 157988 0.00020 162739 486 162253 0.00020 1 2577540 3270500 3328019 -57519 X 1 1 1 1 ARKANSAS CHILDREN'S HOSPITAL 1 CHILDRENS WAY LITTLE ROCK AR 72202 WWW.ARCHILDRENS.ORG AR4640 X X X X X X ARKANSAS CHILDREN'S HOSPITAL 1 0 0 1 X X X X X X X X X X 21 1 1 1 1 X WWW.ARCHILDRENS.ORG/RESOURCES/COMMUNITY-NEEDS-ASSESSMENT X X 1 22 1 WWW.ARCHILDRENS.ORG/RESOURCES/COMMUNITY-NEEDS-ASSESSMENT 0 1 X 250.000000000000 1 1 X X X 1 X SEE PART V, SECTION C X SEE PART V, SECTION C X SEE PART V, SECTION C X X X X X X 1 X 0 X 1 X 0 0 ARKANSAS CHILDREN'S HOSPITAL PART V, SECTION B, LINE 3J: IN ADDITION TO THE ITEMS CHECKED IN BOXES A - I, OTHER INFORMATION WAS INCLUDED IN THE NEEDS ASSESSMENT. AS THE ONLY PEDIATRIC HEALTHCARE SYSTEM, AND ONE OF ONLY TWO PEDIATRIC HOSPITALS IN THE STATE OF ARKANSAS, ARKANSAS CHILDREN'S HOSPITAL (ACH) CONSIDERS ITS COMMUNITY TO BE ALL CHILDREN UNDER AGE 18 WHO LIVE IN THE STATE. IN 2022, THIS INCLUDED ALMOST 700,000 CHILDREN ACROSS 75 COUNTIES. THE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) CONTAINS INFORMATION ABOUT THE NATURAL WONDERS PARTNERSHIP COUNCIL, WHICH IS A DIVERSE COALITION OF CHILD HEALTH ORGANIZATIONS WHO WORK TOGETHER TO IMPROVE CHILD HEALTH. ARKANSAS CHILDREN'S CHNA'S INFORM THE GOALS AND ACTION PLANS OF THE NATURAL WONDERS PARTNERSHIP COUNCIL. IN LIMITED CASES, TO ASSIST IN DEVELOPING A CLEAR PICTURE OF PARTICULAR ISSUES, ADULT DATA WERE ACCESSED AND INCLUDED IN THE ACH CHNA. THE REPORT ALSO CONTAINS "BIG IDEAS" FROM COMMUNITY STAKEHOLDERS TO HELP INSPIRE THE WORK THAT RESULTS FROM THE CHNA. ARKANSAS CHILDREN'S HOSPITAL PART V, SECTION B, LINE 5: THE FY22 STATEWIDE CHNA WAS CONDUCTED BY ARKANSAS CHILDREN'S COMMUNITY ENGAGEMENT, ADVOCACY, AND HEALTH DIVISION. FOR PORTIONS OF THE CHNA, ARKANSAS CHILDREN'S CONTRACTED WITH BOYETTE STRATEGIC ADVISORS AND KLEIN & PARTNERS. THIS TEAM REVIEWED ALL IRS REQUIREMENTS FOR THE 2022 ASSESSMENT AND DEVELOPED A REVISED AND THOROUGH PROCESS FOR COLLECTING AND ANALYZING ALL PRIMARY AND SECONDARY DATA NEEDED TO MAKE INFORMED DECISIONS ABOUT THE CURRENT CHILDREN'S HEALTH NEEDS IN ARKANSAS. A WIDE VARIETY OF PUBLIC HEALTH AND CHILD HEALTH STAKEHOLDERS PROVIDED INPUT, REVIEWED AND VETTED THE METHODS, DATA, PRIORITIZATION PROCESS, AND FINDINGS OF THE ASSESSMENT.THE STAKEHOLDER ENGAGEMENT PROCESS, AS WELL AS PRIMARY AND SECONDARY DATA REVIEW, OCCURRED FROM JUNE 2021 THROUGH APRIL 2022. A TOTAL OF 808 STAKEHOLDERS IN ARKANSAS PROVIDED THEIR PERSPECTIVES ON THE MOST IMPORTANT CHILD HEALTH ISSUES. STAKEHOLDERS PROVIDED FEEDBACK THROUGH PARTICIPATION IN FOCUS GROUPS, KEY INFORMANT INTERVIEWS, OR A PARENT AND CAREGIVER DIGITAL SURVEY. FOCUS GROUP WERE HELD IN-PERSON AND VIA ZOOM TO SEEK INPUT FROM PARENTS/CAREGIVERS, EDUCATORS, MEDICAL PROVIDERS, AND COMMUNITY LEADERS. A TOTAL OF 19 FOCUS GROUPS ENGAGED 161 OF THESE STAKEHOLDERS. OF THE 19 FOCUS GROUPS, FOUR WERE INTENTIONALLY HELD IN-PERSON, IN SPANISH, AND IN FOUR DIFFERENT REGIONS OF THE STATE: DEQUEEN (SOUTHWEST ARKANSAS), WARREN (SOUTHEAST ARKANSAS), LITTLE ROCK (CENTRAL ARKANSAS), AND SPRINGDALE (NORTHWEST ARKANSAS). EACH FOCUS GROUP CONVERSATION LASTED 60-MINUTES AND WAS RECORDED TO ENSURE THAT ALL COMMENTS WERE CAPTURED FOR ANALYSIS. TWO TEAM MEMBERS LED THE FOCUS GROUPS ONE WHO FACILITATED THE DISCUSSION AND ONE WHO CAPTURED COMMENTS AND IDENTIFIED THEMES. A FOCUS GROUP GUIDE WAS DEVELOPED TO PROVIDE STRUCTURE FOR THE DISCUSSIONS. IT INCLUDED A FULL SCRIPT OF THE INTRODUCTORY INFORMATION TO BE PROVIDED TO EACH GROUP ABOUT WHY THEY HAD BEEN INVITED TO JOIN THE CONVERSATION AND HOW THE INFORMATION WOULD BE USED TO HELP IDENTIFY AND ADDRESS CHILDREN'S HEALTH NEEDS IN ARKANSAS. IT ALSO INCLUDED POLL QUESTIONS THAT WERE INSERTED INTO THE CONVERSATION INTERMITTENTLY. CONVERSATIONS OPENED WITH GENERAL QUESTIONS ABOUT THEIR THOUGHTS ABOUT THE STATUS OF CHILDREN IN ARKANSAS, FOLLOWED BY MORE SPECIFIC EXPLORATION AROUND SOCIAL DETERMINANTS OF HEALTH, ACCESS TO AND QUALITY OF CLINICAL CARE, PHYSICAL ENVIRONMENT, HEALTHY BEHAVIORS, AND SOCIAL AND ECONOMIC FACTORS IMPACTING HEALTH. EACH TOPIC PROVIDED OPPORTUNITIES FOR THE FACILITATOR TO PROBE DEEPER TO GET FULL PERSPECTIVES FROM PARTICIPANTS. EACH FOCUS GROUP CLOSED WITH PARTICIPANTS BEING GIVEN THE OPPORTUNITY TO SHARE IDEAS OF HOW THEY WOULD IMPROVE CHILDREN'S HEALTH IF UNLIMITED RESOURCES WERE AVAILABLE. A COMBINATION OF INDUCTIVE AND DEDUCTIVE ANALYSIS WAS USED ON THE NOTES AND RECORDINGS CAPTURED DURING THE FOCUS GROUP DISCUSSIONS. THEMES THAT EMERGED ACROSS MULTIPLE GROUPS, AS WELL AS ANY GROUP DYNAMICS THAT MAY HAVE INFLUENCED COMMENTS, WERE NOTED. USING INITIAL THEMES, COMMENTS AND RESPONSES WERE CODED INTO PRELIMINARY CATEGORIES. ADDITIONAL THEMES OR "SUB-THEMES" THAT SURFACED WERE THEN ADDED TO THE CATEGORIES. THE THEMES AND COMMENTS WERE ORGANIZED IN A SPREADSHEET FORMAT WITH MULTIPLE TABS FOR THEMES RELATED TO THE PARTICULAR AUDIENCE IN THE FOCUS GROUP. A SUMMARY OF HIGH-LEVEL FINDINGS WAS DEVELOPED, ALONG WITH A COMPLETE NARRATIVE REPORT OF THE FOCUS GROUPS DATA. THE POLL QUESTIONS INSERTED INTO THE DISCUSSIONS ALSO PROVIDED A LIMITED AMOUNT OF QUANTITATIVE DATA FROM THE FOCUS GROUPS.KEY INFORMANT INTERVIEWS WERE CONDUCTED VIA ZOOM BY BOYETTE STRATEGIC ADVISORS IN JULY AND AUGUST 2021. INTERVIEWS WERE HELD WITH A TOTAL OF 41 SUBJECT MATTER EXPERTS AND OTHER KEY STAKEHOLDERS, INCLUDING MEDICAL PROVIDERS, EDUCATORS, POLICY OFFICIALS, ACH SENIOR LEADERSHIP, AND COMMUNITY LEADERS. THESE INFORMANTS WERE INCLUSIVE OF LEADERS WHO REPRESENTED MINORITY AND IMMIGRANT COMMUNITIES. QUESTIONS USED FOR THE INTERVIEWS WERE CENTERED ON THE CONDITIONS THAT IMPACT HEALTH OR SOCIAL DETERMINANTS OF HEALTH, BUT ALSO PROVIDED OPPORTUNITIES FOR THE INTERVIEWEES TO SHARE THEIR THOUGHTS ABOUT A VARIETY OF POTENTIAL NEEDS AND CONCERNS. INTERVIEWS ALSO INCLUDED AN OPPORTUNITY FOR KEY INFORMANTS TO SHARE THEIR THOUGHTS ON ANY COVID-19 IMPACTS TO CHILDREN'S HEALTH THAT MAY SURFACE OVER THE NEXT THREE TO FIVE YEARS. BOYETTE COMPLETED AN INITIAL ANALYSIS OF THE INTERVIEWS BY IDENTIFYING KEY THEMES THAT EMERGED OVER THE COURSE OF ALL CONVERSATIONS. ALL INTERVIEW NOTES WERE ORGANIZED IN A SPREADSHEET FORMAT THAT ALLOWED FOR QUANTIFYING THE FREQUENCY AND DEPTH OF CONCERNS ABOUT EACH OF THE NEEDS. A SERIES OF INTERSECTING FACTORS ALSO SURFACED AS THE THEMES WERE ANALYZED. BOYETTE PROVIDED A SUMMARY OF FINDINGS FROM THE INTERVIEWS TO THE ACH TEAM, INCLUDING QUOTES FROM KEY INFORMANTS THAT ILLUSTRATED THE PERSPECTIVES THAT WERE COMMON ACROSS MOST OF THE INTERVIEWS.ACH CONTRACTED KLEIN & PARTNERS, A HEALTHCARE FOCUSED MARKET RESEARCH FIRM, TO DESIGN AND FIELD A DIGITAL PARENT AND CAREGIVER SURVEY TO GATHER PARENT/CAREGIVER PERSPECTIVES ON A VARIETY OF ISSUES THAT POTENTIALLY IMPACT CHILDREN'S HEALTH AND WELL-BEING. WHILE THE 2019 CHNA PARENT AND CAREGIVER SURVEY WAS CONDUCTED BY TELEPHONE, THIS SURVEY WAS FIELDED DIGITALLY IN ORDER TO AVOID EMERGING LIMITATIONS WITH THE TELEPHONE METHODOLOGY. THE ONLINE SURVEY WAS FIELDED BETWEEN AUGUST 26 AND SEPTEMBER 16, 2021, TO A TOTAL OF 606 RESPONDENTS ACROSS ARKANSAS. TO ENSURE A VALID AND REPRESENTATIVE SAMPLE, DATA WERE WEIGHTED BY COUNTY, INCOME, EDUCATION, AND ETHNICITY. THE SAMPLE INCLUDED PARENTS OR CAREGIVERS WHO ARE THE HEALTHCARE DECISION-MAKERS FOR THEIR CHILDREN AND DO NOT WORK IN HEALTHCARE.CHILD HEALTH STAKEHOLDERS REVIEWED EACH COMPONENT OF THE CHNA, SUCH AS THE PARENT SURVEY QUESTIONS AND FOCUS GROUP GUIDE. MANY OF THESE STAKEHOLDERS SUPPLIED INPUT THROUGH THEIR WORK AS PART OF THE NATURAL WONDERS PARTNERSHIP COUNCIL. ARKANSAS CHILDREN'S HOSPITAL PART V, SECTION B, LINE 6A: THE ARKANSAS CHILDREN'S HOSPITAL CHNA WAS CONDUCTED IN PARTNERSHIP WITH ARKANSAS CHILDREN'S NORTHWEST. BOTH HOSPITALS ARE PART OF THE ARKANSAS CHILDREN'S SYSTEM AND NORTHWEST ARKANSAS IS A SHARED COMMUNITY OF BOTH HOSPITALS. ARKANSAS CHILDREN'S HOSPITAL PART V, SECTION B, LINE 6B: THE ACH NEEDS ASSESSMENT ENGAGED INDIVIDUALS AND ORGANIZATIONS THAT REPRESENT THE COMMUNITIES SERVED. MANY REPRESENTATIVES OF ORGANIZATIONS ARE PART OF THE NATURAL WONDERS PARTNERSHIP COUNCIL. SCHOOLS, PARENTS, CAREGIVERS, AND A VARIETY OF ORGANIZATIONS WITH AN INTEREST IN THESE ISSUES WERE ENGAGED IN DEFINING THE NEEDS FOR THIS CHNA. THOSE ORGANIZATIONS INCLUDE:ARKANSAS DEPARTMENT OF HEALTHARKANSAS DEPARTMENT OF EDUCATION DIVISION OF PRIMARY AND SECONDARY EDUCATIONARKANSAS DEPARTMENT OF HUMAN SERVICESARKANSAS MINORITY HEALTH COMMISSIONTHE ARKANSAS FOOD BANKTHE NORTHWEST ARKANSAS FOOD BANKTHE UNIVERSITY OF ARKANSAS FOR MEDICAL SCIENCESARKANSAS HUNGER RELIEF ALLIANCEARKANSAS ADVOCATES FOR CHILDREN AND FAMILIESHEALTH POLICY ORGANIZATIONS INCLUDING THE ARKANSAS CENTER FOR HEALTH IMPROVEMENTHEALTH CARE PROVIDERS INCLUDING PEDIATRICIANS, FAMILY PRACTICE PHYSICIANS, NURSES, DENTISTS, AND PHARMACISTSSCHOOLS AND SCHOOL-BASED HEALTH CLINICSHEALTH RESEARCHERSARKANSAS IMMUNIZATION ACTION COALITION (IMMUNIZEAR)THE ARKANSAS FOUNDATION FOR MEDICAL CARE (AFMC)NONPROFIT ORGANIZATIONS PROVIDING DIRECT SERVICES TO CHILDRENPRIVATE HEALTH INSURANCE COMPANIESFAITH COMMUNITY REPRESENTATIVESLOW-INCOME LEGAL SERVICES ORGANIZATIONSPRIVATE FOUNDATIONS LIKE THE ARKANSAS COMMUNITY FOUNDATIONTHE ARKANSAS CAMPAIGN FOR GRADE-LEVEL READINGPRIVATE INDUSTRIES RANGING FROM PHARMACEUTICAL COMPANIES TO CHAMBERS OF COMMERCE ARKANSAS CHILDREN'S HOSPITAL PART V, SECTION B, LINE 7D: PRESENTATIONS ON THE FINDINGS FROM THE FY22 ACH CHNA HAVE BEEN PROVIDED TO THE NATURAL WONDERS PARTNERSHIP COUNCIL, ACH STAFF, ACH VOLUNTEERS, THE NORTHWEST ARKANSAS COUNCIL, NEWS MEDIA OUTLETS, AND OTHER PUBLIC ORGANIZATIONS. THE FY22 CHNA, IMPLEMENTATION STRATEGY FOR ACH, AND THE 2020-2022 NATURAL WONDERS ACTION PLAN ARE EACH AVAILABLE FOR PUBLIC VIEW ON THE ARKANSAS CHILDREN'S WEBSITE. ARKANSAS CHILDREN'S HOSPITAL PART V, SECTION B, LINE 11: COMMUNITY HEALTH IMPROVEMENT INTRODUCTION: FOR THE MOST RECENT, FY22 CHNA, ARKANSAS CHILDREN'S USED A RATING AND WEIGHTING INDEX, DESCRIBED ON PAGE 16 OF THE CHNA, TO PRIORITIZE THE COMMUNITY HEALTH NEEDS WHICH WERE IDENTIFIED. THE RATING AND WEIGHTING TOOL WAS UNIQUELY DEVELOPED BY THE ARKANSAS CHILDREN'S COMMUNITY ENGAGEMENT, ADVOCACY AND HEALTH DIVISION AND BOYETTE STRATEGIC ADVISORS. USING THIS TOOL AND METHODOLOGY, THE IDENTIFIED NEEDS WERE SCORED. THE SCORING RESULTED IN THREE TIERS OF PRIORITIES (PRIMARY PRIORITIES, SECONDARY PRIORITIES, AND SUSTAINING ACTIVITIES), AND THE DETERMINATION THAT POVERTY AND FINANCES ARE AN INTERSECTING NEED. USING THESE SCORING RESULTS, ACH WORKED TO ADDRESS THE FOLLOWING PRIORITIZED HEALTH NEEDS:PRIMARY PRIORITIES: BEHAVIORAL AND MENTAL HEALTH IMMUNIZATIONSFOOD INSECURITYSECONDARY PRIORITIES: INFANT HEALTHCHILD ABUSE AND NEGLECTSUSTAINING ACTIVITIES: ACCESS TO CAREOBESITYINJURY PREVENTIONINTERSECTING NEED:POVERTY AND FINANCES(1) PRIMARY PRIORITY: BEHAVIORAL AND MENTAL HEALTHTHE BEHAVIORAL AND MENTAL HEALTH OF ARKANSAS CHILDREN WAS ONE OF THE MOST SIGNIFICANT TOPICS IDENTIFIED IN THE 2022 CHNA, A PROBLEM NOT UNIQUE TO ARKANSAS, BUT FELT NATIONWIDE. ACCORDING TO THE 2022 UNITED HEALTH FOUNDATION "AMERICA'S HEALTH RANKINGS", THE NUMBER OF ARKANSAS CHILDREN THAT DIE BY SUICIDE IS 13.3 PER 100,000, RANKING ARKANSAS 32ND IN THE NATION. ARKANSAS ALSO EXPERIENCES A SEVERE SHORTAGE OF MENTAL HEALTH PROFESSIONALS AND CONTINUES TO HAVE A STIGMA AROUND MENTAL HEALTH, WHICH ARE BARRIERS TO TREATMENT. THE 2023-2025 ACH IMPLEMENTATION STRATEGY OUTLINES ACTION STEPS TO ADDRESS THESE ISSUES, WITH THE FIRST BEING TO TEACH PARENTS, COMMUNITY MEMBERS, AND PROFESSIONALS TO BE ADVOCATES FOR CHILDREN'S BEHAVIORAL AND MENTAL HEALTH, THROUGH EDUCATION ABOUT TOPICS LIKE BULLYING, SELF-HARM, SUICIDE PREVENTION AND EVIDENCE-BASED TRAININGS SUCH AS SAFE TALK, MOTIVATIONAL INTERVIEWING AND APPLIED SUICIDE INTERVENTION SKILLS TRAINING (ASIST). ARKANSAS CHILDREN'S STAFF ARE TRAINED IN THESE THREE EVIDENCE-BASED PROGRAMS AND HAVE MADE THE TRAININGS AVAILABLE TO SCHOOLS, COMMUNITY MEMBERS, AND WORKPLACES AS NEEDED. IN FY23, STAFF HELD EIGHT ASIST TRAININGS WITH A TOTAL OF 85 PARTICIPANTS AND FIVE MOTIVATIONAL INTERVIEWING TRAININGS WITH 143 PARTICIPANTS. ARKANSAS CHILDREN'S, IN PARTNERSHIP WITH THE UNIVERSITY OF ARKANSAS MEDICAL SCIENCES, WAS AWARDED A HEALTH RESOURCES AND SERVICES ADMINISTRATION (HRSA) GRANT FOR OVER $2 MILLION FOR BEHAVIORAL HEALTH INTEGRATION INTO PEDIATRIC PRIMARY CARE BY SUPPORTING PEDIATRIC MENTAL HEALTH CARE TELEHEALTH ACCESS PROGRAMS. DURING FY23, THE PROGRAM, ARKANSAS MENTAL HEALTH ACCESS FOR PEDIATRIC PRIMARY CARE (ARMAPP), DEVELOPED A CURRICULUM ADDRESSING MENTAL AND BEHAVIORAL HEALTH EDUCATION USING THE IECHO PLATFORM AND ESTABLISHED A TELEHEALTH CONSULTATION PROCESS FOR PRIMARY CARE PROVIDERS ACROSS THE STATE. CONSULTATIONS AND MONTHLY EDUCATIONAL SESSIONS ARE PLANNED TO COMMENCE DURING FY24. THE ARKANSAS CHILDREN'S CENTER FOR GOOD MOURNING STRIVES TO PROVIDE, IMPROVE, AND INCREASE SUPPORT AND ASSISTANCE GIVEN TO BEREAVED CHILDREN AND FAMILIES IN ARKANSAS THROUGH EDUCATION, PROGRAM DEVELOPMENT, AND GRIEF SUPPORT PROGRAMS. FROM AN E-NEWSLETTER, THE MOURNING NEWS, TO GRIEF SUPPORT GROUPS AND GRIEF RESOURCES, THE GRIEF PROGRAMMING OFFERED IS FREE-OF-CHARGE FOR FAMILIES AND GROUPS ACROSS THE STATE. IN FY23, 172 PRESENTATIONS WERE GIVEN TO 2,384 COMMUNITY ATTENDEES THROUGH THIS PROGRAM.AN INTERSECTING NEED FOR THIS AREA IS THE USE OF TOBACCO, E-CIGARETTE, AND VAPING PRODUCTS, AS USAGE OF THESE HAVE A NEGATIVE ASSOCIATION WITH MENTAL HEALTH. IN ARKANSAS, 24.3% OF HIGH SCHOOL STUDENTS VAPE AND 9.7% SMOKE, ACCORDING TO THE CAMPAIGN FOR TOBACCO-FREE KIDS IN OCTOBER OF 2023. TO ADDRESS THIS ISSUE, ARKANSAS CHILDREN'S COORDINATES, AND THE ARKANSAS DEPARTMENT OF HEALTH FUNDS, PROJECT PREVENT, THE STATEWIDE YOUTH TOBACCO PREVENTION COALITION, WHICH WORKS WITH YOUNG PEOPLE ACROSS THE STATE TO ADDRESS THE HARMFUL EFFECTS OF SMOKING, DIPPING AND VAPING. IN FY23, 2,391 STUDENT MEMBERS IN 90 PROJECT PREVENT CHAPTERS ENGAGED THEIR COMMUNITIES IN EDUCATION AND PREVENTION OUTREACH. ADDITIONALLY, PROJECT PREVENT HOSTS TWO ANNUAL CONFERENCES, AS WELL AS A FILM, AN ESSAY, AND AN ART CONTEST FOR YOUTH IN THE STATE EACH YEAR. IN FY23, THE TWO ANNUAL CONFERENCES COMBINED SAW PARTICIPATION FROM 959 YOUTH. EACH CONTEST HELD IN FY23 HAD A COMMON THEME OF "INFLUENCER", CHALLENGING YOUTH TO ENCOURAGE OTHERS TO AVOID TOBACCO PRODUCTS. THE FILM CONTEST, READY.SET.RECORD., SAW PARTICIPATION FROM 498 YOUTH IN 7TH-12TH GRADES, WHILE THE ESSAY CONTEST, MY REASON TO WRITE, SAW PARTICIPATION FROM 244 YOUTH IN 4TH-6TH GRADES, AND THE ART CONTEST, DRAWING FOR A DIFFERENCE, SAW PARTICIPATION FROM 275 YOUTH IN KINDERGARTEN THROUGH THIRD GRADE. SCHEDULE H, PART V, SECTION B, LINE 11 - CONTINUED (2) PRIMARY PRIORITY: IMMUNIZATIONSOVER THE YEARS, ARKANSAS HAS IMPROVED IN CHILDHOOD IMMUNIZATION RATES, HOWEVER, THE COVID-19 PANDEMIC NEGATIVELY AFFECTED IMMUNIZATION COVERAGE, AND WE CONTINUE TO SEE RISING RATES OF PHILOSOPHICAL EXEMPTIONS AND VACCINE HESITANCY. ARKANSAS ALSO EXPERIENCES A VACCINE ACCESS ISSUE, WHERE 12 COUNTIES IN THE STATE ONLY HAVE VACCINES FOR CHILDREN (VFC) PROVIDERS IN THE COUNTY LOCAL HEALTH UNITS (LHU'S). THESE FACTORS CAUSE IMMUNIZATIONS TO BE A CONTINUING HIGH-PRIORITY HEALTH NEED FOR THE CHILDREN OF ARKANSAS.DURING FY23, ARKANSAS CHILDREN'S CREATED A MOBILE VACCINE STRATEGY TO TARGET SEVEN ARKANSAS COUNTIES WITH LOW IMMUNIZATION RATES, HIGH EXEMPTION RATES, AND LOW VFC PROVIDER ACCESS. THESE COUNTIES INCLUDE CRAWFORD, FRANKLIN, SEBASTIAN, LOGAN, SCOTT, YELL, AND JEFFERSON. ARKANSAS CHILDREN'S CANNOT DO THIS WORK ALONE AND CONTINUES TO BUILD PARTNERSHIPS WITH ORGANIZATIONS ACROSS THE STATE WHICH CAN HELP CAUSE GREATER IMPACT IN THIS EFFORT. THROUGH THE WORK OF THIS MOBILE VACCINE STRATEGY AND PARTNERSHIPS, 709 NEEDED IMMUNIZATIONS WERE PROVIDED IN THE SEVEN TARGET LOW ACCESS COUNTIES, PLUS ADDITIONAL COUNTIES OF CARROLL AND BOONE, SUCCESSFULLY REACHING CHILDREN WHERE THEY LIVE, LEARN AND PLAY. THIS PROGRAM ACHIEVED TARGET IMMUNIZATION RATE GOALS IN ALL SEVEN TARGET COUNTIES, IMPROVING IMMUNIZATION RATES IN SOME COUNTIES BY AS MUCH AS 25% (YELL COUNTY).ONE LARGE PARTNER IN THIS VACCINATION WORK IS THE ARKANSAS IMMUNIZATION ACTION COALITION, ALSO KNOWN AS IMMUNIZEAR. IMMUNIZEAR, A LOCAL STATEWIDE COALITION FOCUSED ON INCREASING IMMUNIZATION RATES IN THE STATE, CO-LED THE NATURAL WONDERS INCREASING IMMUNIZATIONS WORKGROUP. THE WORKGROUP HAS CREATED GOALS TO RECRUIT PHARMACIES IN HIGH NEED AREAS TO BECOME VFC PROVIDERS; DEVELOP RECRUITMENT PLAN AND CAMPAIGN MESSAGES FOR PARTNER VACCINE ADVOCACY WORK; TO INCLUDE PARENTS AS IMPORTANT ADVOCATES; AND PROVIDE IMMUNIZATION EDUCATION MATERIAL FOR SCHOOL NURSES THROUGH THE ARKANSAS DEPARTMENT OF HEALTH COMMUNITY HEALTH PROMOTION SPECIALISTS AND COMMUNITY HEALTH NURSE SPECIALISTS. AS PLANNING COMMENCED FOR FY24, IT WAS DETERMINED THAT THE ARKANSAS CHILDREN'S COMMUNITY HEALTH FUND WOULD PROVIDE $50,000 TO IMMUNIZEAR TO SUPPORT THEIR WORK IN INCREASING VFC PROVIDERS IN COUNTIES WITH ONLY ONE PROVIDER DURING THE 2024 FISCAL YEAR.(3) PRIMARY PRIORITY: FOOD INSECURITYACH IS FOLLOWING BEST PRACTICES TO HELP IMPROVE THE FOOD SECURITY OF CHILDREN AND THEIR FAMILIES AROUND THE STATE. THIS PROCESS BEGINS WITH A SOCIAL DETERMINANTS OF HEALTH SCREENING TO DETERMINE FOOD SECURITY NEEDS AT THE INDIVIDUAL AND FAMILY LEVEL. PATIENTS ARE SCREENED ANNUALLY, IF THEY ARE A NEW PATIENT, OR IF THEY SCREENED AS VULNERABLE AT A RECENT VISIT, AND STAFF ARE ABLE TO MAKE REFERRALS THROUGH ARKANSAS CHILDREN'S RESOURCE CONNECT TO CONNECT FAMILIES TO RESOURCES TO ADDRESS A VARIETY OF BASIC NEEDS, INCLUDING FOOD SECURITY. ARKANSAS CHILDREN'S RESOURCE CONNECT (POWERED BY FINDHELP.ORG) IS A CLOSED-LOOP REFERRAL SYSTEM, WHICH WAS LAUNCHED IN APRIL 2021 FOR USE BY PATIENTS, FAMILIES, AND STAFF AT ARKANSAS CHILDREN'S HOSPITAL AND ARKANSAS CHILDREN'S NORTHWEST. ADDITIONALLY, THE SYSTEM WAS MADE PUBLICLY AVAILABLE AS A COMMUNITY RESOURCE AND HAS SEEN THE BULK OF USE COMING FROM EXTERNAL COMMUNITY MEMBERS AND COMMUNITY-BASED ORGANIZATIONS, OFTEN CALLED CBO'S. DURING FY23, 19,619 SEARCHES OCCURRED ON THE PLATFORM, MOST COMMONLY FOR FOOD PANTRIES (1,261), HELP TO PAY FOR UTILITIES (1,190), AND HELP TO PAY FOR HOUSING (617). THE BENEFIT OF THIS CLOSED-LOOP REFERRAL SYSTEM IS THAT REFERRED CBO'S, ARE ABLE TO UPDATE THE STATUS OF THE REFERRAL, CONFIRMING IF THE REFERRED PARTY RECEIVED HELP, WAS REFERRED ELSEWHERE, WAS NOT ELIGIBLE, COULDN'T BE CONTACTED, WAS NO LONGER INTERESTED, OR COULD NOT BE HELPED DUE TO A LACK OF CAPACITY AT THE CBO. A TOTAL OF 919 REFERRALS TOOK PLACE IN FY23, WITH 232 BEING CLOSED LOOP. THIS DIGITAL SYSTEM IS GREATLY HELPING ARKANSAS CHILDREN'S REFER FAMILIES TO RESOURCES FOR A VARIETY OF NEEDS AND IS PROVIDING USEFUL INSIGHT INTO WHAT ADDITIONAL COMMUNITY NEEDS EXIST.IF APPLICABLE, FAMILIES IN NEED WERE ALSO PROVIDED IMMEDIATE RESOURCES, SUCH AS EMERGENCY FOOD, AND ASSISTED IN APPLYING FOR THE SUPPLEMENTAL NUTRITION ASSISTANCE PROGRAM (SNAP) AND OTHER PUBLIC BENEFIT PROGRAMS. IN FY23, 1,533 BAGS OF NON-PERISHABLE GROCERIES WERE DISTRIBUTED TO PATIENT FAMILIES NEEDING EMERGENCY FOOD, THROUGH PARTNERSHIPS WITH HELPING HAND AND NEIGHBOR TO NEIGHBOR FOOD PANTRIES, SAVING OUR FAMILIES $35,872. THE ON-CAMPUS ACH COMMUNITY GARDEN PRODUCED MORE THAN 1,000 POUNDS OF FRESH PRODUCE, WHICH WERE DONATED TO HELPING HAND FOOD PANTRY AND EL ZOCALO IMMIGRANT RESOURCE CENTER. PRODUCE GROWN IN THE GARDEN INCLUDES COLLARD GREENS, MUSTARD GREENS, SWISS CHARD, LETTUCE, STRAWBERRIES, BLACKBERRIES, ONIONS, CORN, TOMATOES, AND A VARIETY OF PEPPERS, SUCH AS BELL, BANANA, JALAPENO, AND ANAHEIM. THESE TYPES OF PRODUCE ARE CULTURALLY PREFERRED BY THE COMMUNITIES SERVED AT EACH FOOD PANTRY. ADDITIONALLY, THE ACH CAMPUS, AS WELL AS ARKANSAS CHILDREN'S NORTHWEST AND THE PINE BLUFF AND SOUTHWEST LITTLE ROCK CLINICS, PARTICIPATE IN THE USDA MEAL PROGRAM. IN FY23, 26,351 FREE USDA MEALS WERE PROVIDED TO CHILDREN, THANKS TO THE EFFORTS TO MAINTAIN AND GROW THE HOSPITAL'S NUTRITION AND FEEDING PROGRAMS. TO FURTHER SUPPORT THE WORK OF AREA FOOD BANKS AND PANTRIES, IN JUNE OF 2023, ARKANSAS CHILDREN'S ORGANIZED AN ANNUAL FOOD DRIVE, AND A TREMENDOUS 15,249 NON-PERISHABLE FOOD ITEMS WERE COLLECTED. TEAM MEMBERS ACROSS OUR SYSTEM LOVE THE OPPORTUNITY TO CONNECT WITH AND GIVE BACK TO OUR AREA FOOD PANTRIES. PANTRIES WHO RECEIVED DONATIONS FROM THIS FOOD DRIVE WERE HELPING HAND FOOD PANTRY, NORTHWEST ARKANSAS FOOD BANK, NEIGHBOR-TO-NEIGHBOR FOOD PANTRY, EL ZOCALO IMMIGRANT RESOURCE CENTER, AND THE FOOD BANK OF NORTHEAST ARKANSAS. THE FOOD DRIVE WAS A WONDERFUL OPPORTUNITY TO COME TOGETHER AND EMPOWER THOSE WHO DO SO MUCH FOR OUR COMMUNITIES. IN FY23, ARKANSAS CHILDREN'S FINANCIALLY CONTRIBUTED TO A VARIETY OF NONPROFIT FOOD BANKS AND FOOD PANTRIES TO HELP STRENGTHEN THE FOOD SECURITY OF FAMILIES AND THEIR CHILDREN AROUND THE STATE. ORGANIZATIONS SUPPORTED INCLUDE FOOD BANKS SERVING LARGE REGIONS OF THE STATE, LIKE THE ARKANSAS FOOD BANK, ARKANSAS HUNGER RELIEF ALLIANCE, NORTHWEST ARKANSAS FOOD BANK, FOOD BANK OF NORTHEAST ARKANSAS, RIVER VALLEY REGIONAL FOOD BANK, AND FOOD BANK OF NORTH CENTRAL ARKANSAS, AS WELL AS SMALLER ORGANIZATIONS LIKE EL ZOCALO IMMIGRANT RESOURCE CENTER, NEIGHBOR-TO-NEIGHBOR OF JEFFERSON COUNTY, HELPING HAND OF GREATER LITTLE ROCK, TRI CYCLE FARMS, AND APPLE SEEDS. TRI CYCLE FARMS WAS ABLE TO DISTRIBUTE 33,700 EGGS TO FAMILIES IN THE NORTHWEST ARKANSAS REGION THANKS TO THIS SUPPORT. SCHEDULE H, PART V, SECTION B, LINE 11 - CONTINUED (4) SECONDARY PRIORITY: INFANT HEALTHIDENTIFIED AS A SECONDARY PRIORITY IN THE 2022 CHNA, INFANT HEALTH ENCOMPASSES ARKANSAS'S POOR INFANT MORTALITY RATE AND HIGH TEEN BIRTH RATE. IN 2022, ARKANSAS HAD 272 INFANT DEATHS AND HAD THE 3RD HIGHEST INFANT MORTALITY RATE IN THE NATION AT A RATE OF 7.67 INFANT DEATHS PER 1,000 LIVE BIRTHS. WHEN LOOKING AT INFANT MORTALITY RATES BY AGE, ARKANSAS SEES THE HIGHEST RATES IN MOTHERS AGED 15-19 YEARS, AND BY RACE, THE HIGHEST RATES IN AFRICAN AMERICAN MOTHERS. RECOGNIZING THAT THIS ISSUE CANNOT BE SOLVED ALONE, ARKANSAS CHILDREN'S WORKS WITH PARTNERS ACROSS THE STATE, IN PART DUE TO THE WORK OF THE NATURAL WONDERS PARTNERSHIP COUNCIL FIRST 2100 DAYS OF LIFE AND HEALTHY RELATIONSHIPS WORKGROUPS. IN FY23, THESE GROUPS CONTINUED TO FOCUS ON THE RESOURCES AND SUPPORT THAT EXPECTING MOTHERS AND CHILDREN, ESPECIALLY THOSE FROM BIRTH TO FIVE YEARS OLD, NEED TO BE HEALTHY. THE ARKANSAS HOME VISITING NETWORK (AHVN), A PARTNERSHIP BETWEEN THE ARKANSAS DEPARTMENT OF HEALTH AND ARKANSAS CHILDREN'S, HAS IMPROVED MATERNAL-CHILD HEALTH OUTCOMES FOR CAREGIVERS AND CHILDREN IN THE PROGRAM. AHVN IS A THRIVING COALITION OF PROVIDERS AND STAKEHOLDERS THAT WORK TOGETHER TO HELP PARENTS AND CHILDREN. THE AHVN IMPLEMENTS EIGHT EVIDENCE-BASED HOME VISITING MODELS: EARLY HEAD START - HOME BASED MODEL, FAMILY CONNECTS, FOLLOWING BABY BACK HOME, HEALTHY FAMILIES AMERICA, HOME INSTRUCTION FOR PARENTS OF PRESCHOOL YOUNGSTERS (HIPPY), NURSE FAMILY PARTNERSHIP, PARENTS AS TEACHERS, AND SAFECARE. IN FY23, THESE PROGRAMS SERVED 8,725 FAMILIES WITH CHILDREN FROM BEFORE BIRTH TO AGE FIVE ACROSS ALL 75 COUNTIES IN THE STATE AND COMPLETED 126,780 HOME VISITS. ARKANSAS CHILDREN'S LEADS THE SAFETY BABY SHOWER PROGRAM, WHICH PROVIDES SAFE SLEEP EDUCATION ACROSS THE STATE. SAFETY BABY SHOWER CLASSES ARE TAUGHT TO PARENTS AND OFFERED IN A TRAIN-THE-TRAINER MODEL TO EQUIP COMMUNITY MEMBERS TO LEAD THEIR OWN CLASSES. DURING FY23, 54 SAFETY BABY SHOWERS WERE HELD, REACHING A TOTAL OF 365 PARTICIPANTS ACROSS ARKANSAS, AND 152 COMMUNITY MEMBERS WERE TRAINED TO IMPLEMENT SAFETY BABY SHOWER CLASSES IN THEIR OWN COMMUNITIES. ARKANSAS CHILDREN'S IS CONTRACTED BY THE ARKANSAS DEPARTMENT OF HEALTH TO COORDINATE THE ARKANSAS INFANT AND CHILD DEATH REVIEW PROGRAM (ICDR). ESTABLISHED IN 2010, THE ICDR PROGRAM CONSISTS OF 11 REGIONAL TEAMS THAT REVIEW UNNATURAL UNEXPECTED DEATHS OF ARKANSAS CHILDREN AGES 0-17. THE TEAMS COVER ALL 75 ARKANSAS COUNTIES, GIVING THE ICDR PROGRAM THE POTENTIAL TO EVALUATE 100% OF UNNATURAL, REVIEWABLE PEDIATRIC DEATHS, AS REQUIRED BY ARKANSAS ACT 1818 OF 2005. INFANT AND CHILD DEATH REVIEWS FOCUS ON PREVENTION OF UNNATURAL DEATHS WITH EFFECTIVE RECOMMENDATIONS TO KEEP CHILDREN HEALTHY, SAFE, AND PROTECTED. DURING FY23, ICDR TEAMS REVIEWED THE CASES OF 147 CHILDREN WHO DIED FROM INJURIES IN 2021. THE MAJORITY OF THESE DEATHS WERE DUE TO MOTOR VEHICLE CRASHES, SUICIDE AND UNDETERMINED/SUDDEN UNEXPECTED INFANT DEATH (SUID), WITH THE FOLLOWING KEY FINDINGS: FOR THE MAJORITY OF CHILD DEATHS DUE TO MOTOR VEHICLE CRASHES, CHILD SAFETY SEATS WERE EITHER NOT USED OR USED INCORRECTLY; MORE THAN HALF OF THE SUICIDE DEATHS WERE COMPLETED USING A FIREARM; AND UNSAFE SLEEP PRACTICES IN AN ADULT BED WAS THE TOP CONTRIBUTING FACTOR IN INFANT MORTALITY DEATHS. ADDITIONALLY, FAMILIES CAN ACCESS THE ACH WINNIE M. LOWE FAMILY RESOURCE CENTER AND SAFETY ZONE, A PUBLIC SPACE ON THE ACH CAMPUS TO RECEIVE EDUCATION AND PRODUCTS WHICH PROMOTE SAFETY. IN FY23, 1,089 SAFETY ASSESSMENTS WERE CONDUCTED IN THE SPACE AND SAFETY AND EDUCATIONAL PRODUCTS WERE ALSO DISTRIBUTED. THESE PRODUCTS INCLUDED SMOKE ALARMS, CABINET LOCKS, OUTLET COVERS, BIKE HELMETS AND KNEE PADS, PLAY YARDS WITH FITTED SHEETS, LIFE JACKETS, MEDICATION LOCK BOXES, AND MORE, DEPENDING ON NEEDS IDENTIFIED WITH THE FAMILY DURING THE SAFETY ASSESSMENT.ARKANSAS CHILDREN'S CHILD PASSENGER SAFETY TEAM MEMBERS ALSO PROVIDE CAR SEAT INSPECTIONS TO PARENTS, WHICH EDUCATE ON THE PROPER INSTALLATION OF CAR SEATS AND OTHER CAR SAFETY TOPICS, LIKE HOT CAR DEATHS, UNSECURED PROJECTILES, AND WEARING WINTER COATS. PARENTS HAVE ACCESS TO THIS EDUCATION AT ARKANSAS CHILDREN'S CAMPUSES, AS WELL AS THROUGH 31 SATELLITE SITES AROUND THE STATE. DURING THIS INSPECTION, PARENTS MAY ALSO HAVE THEIR CHILD'S CAR SEAT REPLACED IF THEY DO NOT HAVE A PROPER CAR SEAT FOR THEIR CHILD OR IF THE CAR SEAT THEY HAVE IS EXPIRED OR DAMAGED. DURING FY23, 1,515 CAR SEATS WERE DONATED TO FAMILIES IN NEED THROUGH THE WORK OF THE CHILD PASSENGER SAFETY TEAM AND SATELLITE SITE PARTNERSHIPS. OF THESE, 1,065 WERE FUNDED THROUGH A GRANTEE PARTNERSHIP WITH THE ARKANSAS HIGHWAY SAFETY OFFICE, AND AN ADDITIONAL 450 WERE PURCHASED WITH ARKANSAS CHILDREN'S ORGANIZATIONAL DOLLARS AND SPECIFIED PURPOSE FUNDING. TO FURTHER EXPAND THIS RESOURCE, THE TEAM HOSTS CHILD PASSENGER SAFETY CERTIFICATION COURSES, TRAINING PROFESSIONALS TO PROPERLY INSTALL CAR SEATS. IN FY23, 11 CERTIFICATION COURSES WERE HELD ACROSS THE STATE, IN BENTON, BOONE, CRAIGHEAD, GARLAND, MISSISSIPPI, OUACHITA, PHILLIPS, PULASKI, AND SEBASTIAN COUNTIES. THIS LED TO THE CERTIFICATION OF 133 ADDITIONAL PROFESSIONALS ACROSS THE STATE OF ARKANSAS, AND EVEN FROM SURROUNDING STATES OF OKLAHOMA AND MISSOURI. LOVE NOTES, AN EVIDENCE-BASED, INNOVATIVE AND COMPREHENSIVE HEALTHY RELATIONSHIP PROGRAM, CONSISTS OF 13-LESSONS AND IS GEARED TOWARD STUDENTS IN 9TH-12TH GRADES. IT BUILDS SKILLS AND KNOWLEDGE FOR HEALTHY AND SUCCESSFUL RELATIONSHIPS. A FIVE-YEAR EVALUATION, BY THE US DEPARTMENT OF HEALTH AND HUMAN SERVICES OFFICE OF ADOLESCENT HEALTH, SHOWED LOVE NOTES REDUCED TEEN PREGNANCY RATES BY 46% COMPARED TO THE CONTROL GROUP. THE STUDY ALSO FOUND THAT TEENS WHO WERE TAUGHT LOVE NOTES HAD LESS RECENT SEXUAL ACTIVITY, HAD LESS FREQUENT SEXUAL ACTIVITY OVERALL, WERE MORE LIKELY TO USE PROTECTION IF DECIDING TO STAY SEXUALLY ACTIVE, AND IF DECIDING TO REMAIN ABSTINENT, A HIGHER PERCENTAGE OF THOSE IN THE LOVE NOTES GROUP ACTUALLY REMAINED ABSTINENT.FY23 WAS THE FOURTH CONSECUTIVE SCHOOL YEAR THAT ARKANSAS CHILDREN'S HAS IMPLEMENTED THE LOVE NOTES PROGRAM, REACHING 26 SCHOOLS AND 677 HIGH SCHOOL STUDENTS ACROSS THE STATE. THE PROGRAM IS WELL-RECEIVED BY TEACHERS AND STUDENTS AND INTEREST IN THE PROGRAM CONTINUES TO GROW. AT THE END OF FY23, 25 SCHOOLS WERE ON THE EVER-GROWING WAITING LIST FOR A PARTNERSHIP OPPORTUNITY WITH THE PROGRAM. ARKANSAS CHILDREN'S CONTINUES TO EXPLORE FUNDING OPPORTUNITIES TO EXPAND THIS NEEDED PROGRAM TO THOSE ON THE WAITING LIST. PROGRAM POST-TEST EVALUATIONS DURING JUNE OF 2023 FOUND THAT 66% OF STUDENTS REPORTED THEY WERE ABLE TO RECOGNIZE THE WARNING SIGNS OF AN UNHEALTHY RELATIONSHIP AND KNOW HOW TO DEAL WITH IT, A 14% INCREASE FROM PRE-TEST, AND 70% OF THE STUDENTS REPORTED THEY HAVE A PLAN FOR THEIR OWN SEXUAL ACTIVITY, EITHER TO BE ABSTINENT OR HOW TO PACE SEXUAL INVOLVEMENT WITH A TRUSTED PARTNER, A 15% INCREASE FROM PRE-TEST. ACH CONTINUED TO PAY FOR THE TOTAL COST OF THE MATERIALS NEEDED FOR THE 2022-2023 SCHOOL YEAR, ALLOWING SCHOOLS WHO COULD NOT FINANCIALLY AFFORD TO PURCHASE THESE MATERIALS BE ABLE TO PARTICIPATE IN THIS VALUABLE PROGRAM. SCHEDULE H, PART V, SECTION B, LINE 11 - CONTINUED (5) SECONDARY PRIORITY: CHILD ABUSE AND NEGLECTCHILD ABUSE AND NEGLECT WAS IDENTIFIED AS A SECONDARY PRIORITY HEALTH NEED DURING THE 2022 ACH CHNA. THE 2021 KIDS COUNT REPORT SHOWS THAT ARKANSAS RANKS 47TH FOR CHILDREN SUBJECT TO INVESTIGATIVE REPORTING, WITH A STATE RATE OF 78 OUT OF EVERY 1,000 CHILDREN COMPARED TO THE U.S. RATE OF 47 IN EVERY 1,000 CHILDREN. THE REPORT ALSO SHOWS THAT 12 OF EVERY 1,000 ARKANSAS CHILDREN EXPERIENCE MALTREATMENT, COMPARED TO NINE OF EVERY 1,000 CHILDREN NATIONALLY. ARKANSAS CHILDREN'S TEAM MEMBERS PARTICIPATED IN THE GOVERNOR-APPOINTED BLUE RIBBON TASK FORCE TO END CHILD ABUSE. THIS TASK FORCE CONCLUDED DURING FY23 AND WAS CREATED THROUGH THE PASSING OF ACT 920 OF THE ARKANSAS LEGISLATURE. THE PURPOSE OF THE TASKFORCE WAS TO DEVELOP A SYSTEMATIC AND HOLISTIC APPROACH TO ELIMINATE CHILD ABUSE IN ARKANSAS, IN ADDITION TO ADDRESSING PRIMARY AND SECONDARY PREVENTION EFFORTS, AND IMPROVING PREVENTION NETWORKS AND PARTNERSHIPS. FOLLOWING THIS, A SECONDARY TASK FORCE WAS DEVELOPED BY EXECUTIVE ORDER 23-18: TO PROTECT CHILDREN, SUPPORT FAMILIES, AND IMPROVE THE FOSTER CARE SYSTEM. ARKANSAS CHILDREN'S WAS ASKED TO PARTICIPATE IN THIS TASKFORCE, AS WELL, TO MAKE RECOMMENDATIONS AROUND REDUCING THE NUMBER OF CHILDREN ENTERING THE FOSTER CARE SYSTEM.DURING FY23, ACH CONTINUED TO PROVIDE A $1 PER YEAR LEASE TO THE CHILDREN'S PROTECTION CENTER (CPC) WHICH IS A COMMUNITY NON-PROFIT CHILDREN'S ADVOCACY CENTER SERVING PULASKI COUNTY. THE CPC IS LOCATED WITH THREE OTHER PROGRAMS WHOSE MISSION IS TO PROVIDE SERVICES TO CHILDREN AND FAMILIES IMPACTED BY CHILD MALTREATMENT AND OTHER FORMS OF VIOLENCE IN THE DAVID M. CLARK CENTER FOR SAFE AND HEALTHY CHILDREN ON THE CAMPUS OF ACH. THE UAMS FAMILY TREATMENT PROGRAM, WHICH PROVIDES TRAUMA-FOCUSED THERAPY TO CHILDREN IMPACTED BY SEXUAL ABUSE, IS HOUSED IN THE BUILDING, AS WELL AS THE ACH MEDICAL CLINIC AND THE UAMS CHILD AND ADOLESCENT PSYCHIATRY SERVICE LINE. HAVING THE MISSION AND EXPERTISE OF THESE FOUR PROGRAMS IN ONE LOCATION ON THE ACH CAMPUS HAS BROUGHT A NEW LEVEL OF COORDINATED, EVIDENCED-BASED, EFFICIENT AND COMPREHENSIVE CARE TO THIS VULNERABLE AND AT-RISK POPULATION. AS WE ARE STILL IN YEAR ONE OF THE 2023-2025 IMPLEMENTATION PERIOD FOLLOWING THE 2022 ACH CHNA, ACH CONTINUES TO PLAN AND BUILD PROGRAMMING IN RESPONSE TO THIS HEALTH NEED. WE ARE EXPLORING PARTNERSHIPS IN NATIONALLY KNOWN FORUMS, LIKE WORKING TO REINSTATE A STATE CHAPTER OF PREVENT CHILD ABUSE AMERICA, AS WELL AS EXPLORING PARTNERSHIPS WITHIN OUR STATE, BY WORKING WITH OUR NATURAL WONDERS PARTNERSHIP COUNCIL - HEALTHY RELATIONSHIPS WORKGROUP. THIS WORKGROUP BEGAN AN ENVIRONMENTAL SCAN IN APRIL OF 2023 TO DETERMINE WHAT RESOURCES ARE AVAILABLE IN THE STATE AND WHO MIGHT BE MISSING FROM THE WORKGROUP CONVERSATION. AS MENTIONED IN THE PREVIOUS INFANT HEALTH PRIORITY NEED, THE AHVN SERVED 8,725 FAMILIES WITH CHILDREN FROM BEFORE BIRTH TO AGE FIVE ACROSS THE STATE IN FY23. THE AHVN PROGRAMMING IMPACTS INFANT HEALTH, AS WELL AS CHILD ABUSE AND NEGLECT, WITH THEIR HEALTHY FAMILIES AMERICA, SAFE CARE, HIPPY, AND PARENTS AS TEACHERS PROGRAMS POSITIVELY IMPACTING PARENT-CHILD ENGAGEMENT, PARENTING PRACTICES, RATES OF CHILD MALTREATMENT FATALITIES, AND REDUCING PARTICIPANTS DEEMED AT-RISK FOR CHILD EMOTIONAL NEGLECT. THE ARKANSAS CHILDREN'S SAFETY BABY SHOWER PROGRAM HAS CONNECTIONS TO HELP PREVENT CHILD ABUSE AND NEGLECT AS WELL, AS IT EDUCATED 365 PARTICIPANTS ON THE PERIOD OF PURPLE CRYING, AN EVIDENCE-BASED SHAKEN BABY SYNDROME/ABUSIVE HEAD TRAUMA PREVENTION PROGRAM. SCHEDULE H, PART V, SECTION B, LINE 11 - CONTINUED (6) SUSTAINING ACTIVITY: ACCESS TO CAREACCESS TO CARE WAS A CHILD HEALTH NEED MENTIONED BY VIRTUALLY EVERY STAKEHOLDER WHO PARTICIPATED IN THE 2022 ACH CHNA PROCESS, EITHER FROM A GENERAL PERSPECTIVE, OR WITH A FOCUS ON TELEHEALTH OR ORAL HEALTH. THIS NEED HAS BEEN MENTIONED AND PRIORITIZED IN CHNA'S FOR SEVERAL YEARS, AND THEREFORE, IS IDENTIFIED AS A SUSTAINING ACTIVITY. ACH SUPPORTS ACCESS TO CARE BY DEDICATING MORE THAN $3 MILLION EACH YEAR TO SUPPORT THE WORK OF THE ACH FINANCIAL COUNSELORS. THESE COUNSELORS HELP PATIENTS, AS WELL AS SIBLINGS AND PARENTS, SIGN UP FOR HEALTHCARE COVERAGE, AND IN FY23, 25 FINANCIAL COUNSELORS PROCESSED 6,475 APPLICATIONS FOR MEDICAID, 480 APPLICATIONS FOR TEFRA, 4,833 APPLICATIONS FOR OUR FINANCIAL ASSISTANCE PROGRAM (FAP), AND 316 APPLICATIONS FOR SUPPLEMENTAL NUTRITION ASSISTANCE PROGRAM (SNAP). FAMILIES ARE ALSO HELPED BY AN AFTER-HOURS RESOURCE LINE, ANSWERED BY REGISTERED NURSES AT ACH. IN FY23 DEDICATED NURSES RESPONDED TO 28,739 AFTER-HOURS CALLS IN WHICH THEY PROVIDED MEDICAL ADVICE FOR EITHER NON-EMERGENT ISSUES, OR THEY HELPED TO IDENTIFY POTENTIAL COMPLICATIONS BEFORE THEY BECAME MORE SERIOUS PROBLEMS. ANOTHER WAY ACH HELPS FAMILIES IS BY MAINTAINING ON-SITE SPANISH INTERPRETERS, BEYOND TRANSLATION THAT IS REQUIRED FOR ACCREDITATION. ACH SUPPORTED THE CONTINUATION AND EXPANSION OF THE MEDICAL LEGAL PARTNERSHIP (MLP), A PROGRAM IMPLEMENTED IN COLLABORATION WITH LEGAL AID OF ARKANSAS TO REDUCE HEALTH-HARMING LEGAL NEEDS. THE ARKANSAS CHILDREN'S MLP IS ONE OF THE REFERRALS POSSIBLE WITH ARKANSAS CHILDREN'S RESOURCE CONNECT, MENTIONED IN THE FOOD INSECURITY SECTION OF THIS REPORT. THESE LEGAL AID ATTORNEYS HELP ELIGIBLE FAMILIES WITH HEALTH-HARMING LEGAL NEEDS. DURING FY23, THE ATTORNEYS RECEIVED 688 REFERRALS AND CLOSED 315 CASES, RANGING FROM BRIEF LEGAL ADVICE AND/OR SERVICES TO EXTENDED REPRESENTATION. THE MOST FREQUENT TYPES OF CASE REFERRALS WERE RELATED TO EDUCATION (105 CASES), HOUSING AND RENTING CONDITIONS (90 CASES), ADULT GUARDIANSHIP ISSUES (87 CASES), AND SUPPLEMENTAL SECURITY INCOME/SOCIAL SECURITY DISABILITY INSURANCE (SSDI) (75 CASES). FROM THIS WORK, THE MLP TEAM ASSISTED CLIENTS WITH RECOVERING BENEFITS AND AVOIDING UNWARRANTED COSTS FOR A TOTAL VALUE OF $157,033.ACH MEDICAL PROVIDERS SUPPORT TWO SCHOOL-BASED HEALTH CENTERS IN THE LITTLE ROCK SCHOOL DISTRICT (LRSD). THE TWO CLINICS COMPLETED 1,618 VISITS WITH LRSD STUDENTS AND THEIR SIBLINGS DURING FY23. THE TOP THREE UTILIZATIONS DURING THIS TIME WERE ENCOUNTERS FOR IMMUNIZATION (876), ENCOUNTERS FOR ROUTINE CHILD HEALTH EXAMINATIONS WITH ABNORMAL FINDINGS (504), AND ENCOUNTERS FOR ROUTINE CHILD HEALTH EXAMINATIONS WITHOUT ABNORMAL FINDINGS (238). THE CLINIC PROVIDED 1,885 VACCINATIONS, MADE 337 SPECIALTY CARE REFERRALS, AND MADE 86 BEHAVIORAL HEALTH CARE REFERRALS. ACH ALSO SUPPORTS SCHOOL NURSES STATEWIDE THROUGH THE SCHOOL NURSE ACADEMY, A PARTNERSHIP BETWEEN ARKANSAS CHILDREN'S, ARKANSAS DEPARTMENT OF EDUCATION, AND ARKANSAS DEPARTMENT OF HEALTH. THROUGH THE SCHOOL NURSE ACADEMY IN FY23, 48 SCHOOL NURSES RECEIVED VIRTUAL, ASYNCHRONOUS ASTHMA MANAGEMENT TRAINING AND 143 PARTICIPANTS ATTENDED AN IN-PERSON MOTIVATIONAL INTERVIEWING TRAINING. THIS IN-PERSON TRAINING WAS HELD FIVE TIMES IN DIFFERENT REGIONS OF THE STATE AND REACHED NURSES IN 47 SCHOOL DISTRICTS. IN ADDITION, TO SUPPORT THE INCREDIBLE WORK OF SCHOOL NURSES, ARKANSAS CHILDREN'S CONTINUES TO SUPPORT A SCHOOL NURSE EDUCATIONAL RESOURCES WEBPAGE ON THEIR WEBSITE. THIS WEBPAGE MAKES AVAILABLE A VARIETY OF HEALTH RESOURCES TO KEEP SCHOOL NURSES INFORMED, SUCCESSFUL, AND CONFIDENT IN THEIR WORK TO CARE FOR STUDENTS. ONE RESOURCE AVAILABLE IS A VIRTUAL BROADCAST. IN FY23, EIGHT BROADCASTS REACHED 746 PARTICIPANTS IN 9 STATES (ARKANSAS, KENTUCKY, MARYLAND, MISSOURI, NEW YORK, OHIO, SOUTH CAROLINA, TENNESSEE, AND TEXAS) AND 70 OF 75 ARKANSAS COUNTIES. BROADCASTED TOPICS INCLUDED DIABETES: BACK-TO-SCHOOL, ALLERGIC REACTIONS, SCHOOL AGE RESPIRATORY EMERGENCIES, DEPRESSION AND ANXIETY: TOLERATING DISTRESS IS A SKILL WE ALL NEED TO LEARN, PROJECT ADAM: HEART SAFE SCHOOLS IN ARKANSAS, SEIZURES, CHILDHOOD IMMUNIZATIONS/MENINGITIS, AND HUMAN PAPILLOMA VIRUS (HPV). TO IMPROVE ACCESS TO CARE ISSUES RELATED TO LODGING, ACH SUPPORTED GOODNESS VILLAGE, RONALD MCDONALD HOUSE, AND HOME FOR HEALING. GOODNESS VILLAGE, LOCATED IN LITTLE ROCK, ARKANSAS, RECEIVED CONTRIBUTIONS HELPING TO COVER THE COSTS OF A 1-BEDROOM APARTMENT FOR THREE MONTHS FOR CAREGIVERS OF A CHILD BEING SEEN AT A CENTRAL ARKANSAS HOSPITAL. GOODNESS VILLAGE PROVIDES AFFORDABLE APARTMENT HOUSING IN LITTLE ROCK FOR PATIENTS AND THEIR FAMILIES WHO REQUIRE OUTPATIENT MEDICAL TREATMENT. RONALD MCDONALD HOUSE, THE FAMILY HOME OF THE RONALD MCDONALD HOUSE CHARITIES OF ARKANSAS, IS LOCATED ON THE CAMPUS OF ACH. THE LAND WHERE THE BUILDING IS LOCATED IS OWNED BY ACH AND PROVIDED AS A BENEFIT TO THE ORGANIZATION AT A $1 PER YEAR LEASE. THE RONALD MCDONALD HOUSE IS OPEN TO FAMILIES WITH A CHILD WHO IS AGE 21 OR YOUNGER AND LIVES 50-MILES AWAY FROM LITTLE ROCK. WHILE MANY FAMILIES HAVE A CHILD BEING TREATED AT ACH, IT IS OPEN TO FAMILIES WITH CHILDREN TREATED AT OTHER HOSPITAL FACILITIES AS WELL. ADDITIONALLY, ACH SUPPORTED HOME FOR HEALING IN LITTLE ROCK, WHICH FOR THE PAST 20 YEARS, HAS OFFERED SUPPORT TO PARENTS OF NICU INFANTS, INDIVIDUALS AND THEIR CAREGIVERS UNDERGOING CANCER TREATMENT, AND CAREGIVERS OF INDIVIDUALS WHO ARE IN INTENSIVE CARE UNITS, BY PROVIDING CONVENIENT AND FREE LODGING IN A PEACEFUL AND RESTORATIVE ENVIRONMENT.ACCESS TO CARE ISSUES CONTINUE TO EXIST IN ARKANSAS, WITH 15 COUNTIES IN ARKANSAS SCORING IN THE HIGHEST TIER OF RATING FOR DENTAL HEALTH PROFESSIONALS SHORTAGE AREAS (HPSA). DURING FY23, THE ARKANSAS CHILDREN'S DENTAL SEALANT PROGRAM OFFERED ORAL HEALTH SCREENINGS, FLUORIDE APPLICATIONS, AND DENTAL SEALANTS AT 34 SCHOOLS IN 18 COUNTIES OF THE STATE. THEY SAW 2,910 CHILDREN, IN WHICH 919 (32%) WERE IDENTIFIED TO HAVE OBVIOUS DECAY. NOTES WERE SENT HOME WITH THESE STUDENTS TO INFORM THEIR PARENTS THAT THEY NEED TO SEEK DENTAL CARE. THE PROGRAM RECEIVED POSITIVE FEEDBACK FROM SCHOOL NURSES, WHO SAID THIS PROCESS HELPED AFFIRM THE MESSAGE THEY HAD BEEN TRYING TO GET ACROSS TO PARENTS, AS WELL AS MOTIVATING PARENTS TO GET THE NEEDED DENTAL CARE FOR THEIR CHILDREN.STUDENTS WERE ALSO SERVED BY MOBILE DENTAL CLINICS, WHERE 844 PATIENTS WERE SERVED ACROSS 2,138 VISITS. IN FY23, THE MOBILE DENTAL OUTREACH PROGRAM PROVIDED PREVENTATIVE WORK, INCLUDING 2,851 SEALANTS AND 799 CLEANINGS, AND RESTORATIVE WORK, INCLUDING 140 ROOT CANALS, 290 CROWNS, 1,203 FILLINGS, 326 EXTRACTIONS, AND 7,625 OTHER PROCEDURES, SUCH AS ORAL EXAMS, X-RAYS, FLUORIDE APPLICATIONS, NITROUS ADMINISTRATION, AND PLACING SPACE MAINTAINERS.(7) SUSTAINING ACTIVITY: OBESITYCHILDHOOD OBESITY AND FOOD SECURITY ARE INTERCONNECTED NEEDS, WITH PROGRESS NEEDED IN BOTH AREAS FOR EITHER TO IMPROVE. MUCH OF THE WORK REPORTED UNDER THE FOOD INSECURITY SECTION OF THIS REPORT HAS COMPONENTS OF OBESITY PREVENTION AS WELL. TO ADDRESS OBESITY, AND THE INTERSECTING NEED OF FOOD SECURITY, AT A COMMUNITY LEVEL, ARKANSAS CHILDREN'S HEALTH EDUCATORS UTILIZED THE COOKING MATTERS CURRICULUM, PROVIDING FAMILIES AND THEIR CHILDREN WITH SPECIFIC SKILLS TO COOK HEALTHY, LOW-COST MEALS. ACH SUPPORTED COOKING MATTERS PROGRAMS INCLUDING COOKING MATTERS, COOKING MATTERS AT THE STORE, AND POP-UP COOKING MATTERS, AN INTERACTIVE CURRICULUM FOR HIGH SCHOOL STUDENTS. IN FY23, 74 POP-UP COOKING MATTERS PRESENTATIONS WERE GIVEN TO 1,629 JUNIOR HIGH AND HIGH SCHOOL STUDENTS THROUGHOUT THE STATE. AFTER COMPLETING POP-UP COOKING MATTERS, STUDENTS ARE SURVEYED TO DETERMINE INTENT TO CHANGE BEHAVIOR AROUND TOPICS LIKE COMPARING FOOD LABELS TO MAKE HEALTHY CHOICES, READING INGREDIENT LISTS TO FIND WHOLE GRAINS, AND CHOOSING FRUITS AND VEGETABLES IN ALL FORMS (FRESH, FROZEN, OR CANNED). ANOTHER FINANCIAL CONTRIBUTION WAS MADE TO APPLE SEEDS INC., A NORTHWEST ARKANSAS BASED NONPROFIT WHOSE MISSION IS TO INSPIRE HEALTHY LIVING THROUGH GARDEN-BASED EDUCATION. THEY CREATE PROGRAMS THAT EDUCATE AND EXCITE YOUNG STUDENTS ABOUT HEALTHY FOOD WHILE INCREASING THEIR ACCESS TO THOSE HEALTHY FOODS. OUR SUPPORT ASSISTED THEM IN EXPANDING THEIR GROWING MY PLATE PROGRAMMING ACROSS THE STATE, PROVIDING EDUCATION TO OVER 60 SCHOOLS AND TRAINING 68 TEACHERS IN 2022. GROWING MY PLATE PROGRAM EVALUATIONS ALSO SHOWED THAT 100% OF PARENTS REPORTED AN IMPROVEMENT IN THEIR CHILD IN A LEAST ONE BEHAVIOR AFTER IMPLEMENTATION (EITHER CHILD TALKING ABOUT NUTRITION, HEALTHY EATING, PARTICIPATION IN GROCERY SHOPPING, TRYING A NEW MEAL, AND FAMILY CONSUMPTION OF HEALTHY FOODS). SCHEDULE H, PART V, SECTION B, LINE 11 - CONTINUED (8) SUSTAINING ACTIVITY: INJURY PREVENTION IMPROVEMENTS HAVE BEEN MADE OVER THE PAST 10 YEARS IN REGARDS TO INJURY PREVENTION; HOWEVER, THE FY22 ACH CHNA FOUND THAT ARKANSAS STILL RANKS 42ND IN THE NATION FOR CHILD AND TEEN DEATH RATE AND STILL RANKS NEGATIVELY COMPARED WITH NATIONAL AVERAGES IN MOST INJURY MECHANISMS.BECAUSE OF THIS, ARKANSAS CHILDREN'S CONTINUED TO WORK TO REDUCE CHILD INJURIES AND DEATHS THROUGH PROGRAMMING FOCUSED ON THE ISSUES OF MOTOR VEHICLE SAFETY, SAFE SLEEP/INFANT MORTALITY, INTENTIONAL INJURIES, AND RECREATIONAL SAFETY, AND BURN/FIRE PREVENTION DURING FY23, UTILIZING A COMPREHENSIVE PUBLIC HEALTH APPROACH THAT INCLUDES EDUCATION, AWARENESS, AND ADVOCACY. AS PREVIOUSLY MENTIONED UNDER THE INFANT HEALTH SECONDARY PRIORITY, ARKANSAS CHILDREN'S LEADS THE SAFETY BABY SHOWER PROGRAM, WHICH PROVIDES SAFE SLEEP EDUCATION ACROSS THE STATE. SAFETY BABY SHOWER CLASSES ARE TAUGHT TO PARENTS AND OFFERED IN A TRAIN-THE-TRAINER MODEL TO EQUIP COMMUNITY MEMBERS TO LEAD THEIR OWN CLASSES. DURING FY23, 54 SAFETY BABY SHOWERS WERE HELD, TO REACH A TOTAL OF 365 PARTICIPANTS ACROSS ARKANSAS, AND 152 COMMUNITY MEMBERS WERE TRAINED TO IMPLEMENT SAFETY BABY SHOWER CLASSES IN THEIR OWN COMMUNITIES. MOTOR VEHICLE SAFETY EFFORTS WERE FOCUSED AROUND CHILD PASSENGER SAFETY AND TEEN DRIVING SAFETY DURING THE FY23 TIMEFRAME. CHILD PASSENGER SAFETY EFFORTS WERE PREVIOUSLY DISCUSSED UNDER THE INFANT HEALTH SECONDARY PRIORITY, AND INCLUDED 11 CHILD PASSENGER SAFETY CERTIFICATION COURSES, WHICH TRAINED 133 PROFESSIONALS TO PROPERLY INSTALL CAR SEATS. CLASSES AND CORRESPONDING COMMUNITY SEAT CHECK EVENTS WERE HELD IN BENTON, BOONE, CRAIGHEAD, GARLAND, MISSISSIPPI, OUACHITA, PHILLIPS, PULASKI, AND SEBASTIAN COUNTIES. FAMILIES ALSO HAVE ACCESS TO CHILD PASSENGER SAFETY EDUCATION AT ARKANSAS CHILDREN'S LOCATIONS, AS WELL AS 31 SATELLITE SITES AROUND THE STATE, WHERE 1,065 CAR SEATS WERE DONATED TO FAMILIES IN NEED THROUGH AN ARKANSAS HIGHWAY SAFETY OFFICE GRANT AND ANOTHER 450 WERE DONATED THROUGH ARKANSAS CHILDREN'S ORGANIZATIONAL DOLLARS AND SPECIFIED PURPOSE FUNDING IN FY23. TEEN DRIVING SAFETY EFFORTS WERE CONDUCTED THROUGH THE YOUTH ACCIDENT PREVENTION PROGRAM (YAPP), WHICH REACHED 2,271 STUDENTS DURING FY23, AND A PEER LED ARKANSAS DRIVE SMART CHALLENGE, WITH 13 SCHOOLS AND 342 STUDENT LEADERS TRAINED. ARKANSAS CHILDREN'S CONTINUED TO OFFER BABYSITTING 101 CLASSES IN FY23. DURING BABYSITTING 101, STUDENTS RECEIVE TRAINING IN SAFETY SKILLS, CHILD CARE SKILLS, FIRST AID AND RESCUE SKILLS, AND LIFE AND BUSINESS SKILLS. SIX CLASSES TOOK PLACE THIS YEAR (FOUR IN LITTLE ROCK, ONE IN SPRINGDALE, AND ONE IN JONESBORO), AND 72 STUDENTS WERE TRAINED FROM 10 COUNTIES TO BE SAFE BABYSITTERS.INTERSECTING NEED: POVERTY AND FINANCES AS STATED IN THE 2022 ACH CHNA, BY MOST MEASURES, ARKANSAS CONSISTENTLY RANKS AS ONE OF THE POOREST STATES IN THE NATION, AND LACK OF INCOME AND/OR MONETARY RESOURCES AFFECTS THE HEALTH OUTCOMES OF ARKANSAS CHILDREN, PERHAPS MORE SO THAN ANY OTHER SINGLE TOPIC AREA REVIEWED. VIRTUALLY EVERY STAKEHOLDER WHO PROVIDED INPUT INTO THE CHNA CONNECTED THE DOTS BETWEEN POVERTY AND CHILDREN'S HEALTH. AS MENTIONED IN PRIOR SECTIONS OF THIS NARRATIVE, ARKANSAS CHILDREN'S RESOURCE CONNECT (POWERED BY FINDHELP.ORG) AND THE ARKANSAS CHILDREN'S MEDICAL LEGAL PARTNERSHIP HAVE BOTH PROVEN TO PROVIDE GREAT RESOURCES AND ASSISTANCE TO IMPOVERISHED FAMILIES. IN FY23, ARKANSAS CHILDREN'S SUPPORTED THE ALICE IN THE CROSSCURRENTS: COVID AND FINANCIAL HARDSHIP IN ARKANSAS 2023 REPORT, WITH TEAM MEMBERS SITTING ON THE STATE RESEARCH ADVISORY COMMITTEE. THIS ALICE (ASSET LIMITED, INCOME CONSTRAINED, EMPLOYED) REPORT PROVIDES THE FIRST LOOK AT THE EXTENT OF FINANCIAL HARDSHIP IN ARKANSAS USING ALICE METRICS SINCE THE COVID-19 PANDEMIC BEGAN. UNDERSTANDING THE LINKS BETWEEN LITERACY AND POVERTY, ACH PARTNERS WITH LITERACY ACTION OF CENTRAL ARKANSAS TO OFFER LITERACY CLASSES ON CAMPUS, WITH PLANS TO EXPAND THIS RESOURCE THROUGH PHILANTHROPIC DOLLARS IN THE COMING YEAR. WHILE ARKANSAS CHILDREN'S IS NOT POSITIONED TO HAVE A SIGNIFICANT IMPACT ON INCREASING FAMILY INCOME AND DECREASING POVERTY RATES, THE SYSTEM WILL CONTINUE TO SEEK AND PARTICIPATE IN ACTIVITIES WHICH MAY CONTRIBUTE TO IMPROVING THIS NEED. SCHEDULE H, PART V, SECTION B, LINE 16A - FAP WEBSITE WWW.ARCHILDRENS.ORG/PATIENTS-AND-VISITORS/BILLING-AND-INSURANCE/FINANCIAL-ASSISTANCE SCHEDULE H, PART V, SECTION B, LINE 16B - FAP APPLICATION WWW.ARCHILDRENS.ORG/PATIENTS-AND-VISITORS/BILLING-AND-INSURANCE/FINANCIAL-ASSISTANCE SCHEDULE H, PART V, SECTION B, LINE 16C - FAP PLAIN LANGUAGE SUMMARY WWW.ARCHILDRENS.ORG/PATIENTS-AND-VISITORS/BILLING-AND-INSURANCE/FINANCIAL-ASSISTANCE SCHEDULE H, PART V, SECTION B, LINE 20 SCHEDULE H, PART V, QUESTION 20A-20E ARE NOT CHECKED BECAUSE ARKANSAS CHILDREN'S HOSPITAL DOES NOT PERFORM EXTRAORDINARY COLLECTION ACTIONS (ECA'S) OF ANY KIND. AS SUCH, NONE OF THE BOX 20 QUESTIONS OCCURRED "BEFORE INITIATING THE LISTED ACTIONS" BECAUSE THE LISTED ACTIONS WERE NEVER INITIATED. PLEASE REFER TO DESCRIPTION AT SCHEDULE H, PART III, SECTION C, QUESTION 9B FOR A COMPLETE DESCRIPTION OF ARKANSAS CHILDREN'S COLLECTION PRACTICES. 4 1 - ACH WEST LITTLE ROCK CLINIC BELLA ROSA CENTER 16101 CANTRELL RD LITTLE ROCK AR 72223 OUTPATIENT HOSPITAL CLINIC 2 - ACH JONESBORO CLINIC 520 CARSON STREET JONESBORO AR 72401 OUTPATIENT HOSPITAL CLINIC 3 - ACH SOUTHWEST LITTLE ROCK CLINIC 9015 DAILEY DRIVE LITTLE ROCK AR 72209 OUTPATIENT HOSPITAL CLINIC 4 - ACH PINE BLUFF CLINIC 1500 W 42ND AVENUE PINE BLUFF AR 71603 OUTPATIENT HOSPITAL CLINIC PART I, LINE 3C: ACH USES FEDERAL POVERTY GUIDELINES TO DETERMINE FREE OR DISCOUNTED CARE.PART I, LINE 4:ACH DOES NOT HAVE A SPECIFIC FINANCIAL ASSISTANCE PROGRAM FOR THE "MEDICALLY INDIGENT" AS DEFINED BY AR CODE SECTION 6-64-503(A), BUT IT DOES PROVIDE FREE CARE FOR INDIVIDUALS WITH HOUSEHOLD INCOMES UP TO 250% OF POVERTY AND DISCOUNTED CARE FOR INDIVIDUALS WITH HOUSEHOLD INCOMES UP TO 400% OF POVERTY. AS PART OF THE APPLICATION PROCESS, ACH REQUESTS THAT PERSONS WITH NO INCOME WHO ARE ALSO INELIGIBLE FOR MEDICAID, MEDICARE, OR MARKETPLACE SUBSIDIES PROVIDE A WRITTEN SIGNED STATEMENT DESCRIBING HOW THEY ARE MEETING THEIR DAY TO DAY BASIC LIVING NEEDS. THE APPLICATION SPECIFIES SUCH REQUIREMENTS FOR APPLICANTS WITH "NO INCOME IN THE HOME". ACH ALSO ASSISTS FAMILIES IN APPLYING FOR MEDICAID (INCLUDING THE TEFRA PROGRAM FOR DISABLED CHILDREN THAT ONLY CONSIDERS THE CHILD'S INCOME), SSI, CHILDREN'S MEDICAL SERVICES, AS WELL AS ACH'S OWN FINANCIAL ASSISTANCE PROGRAM. THE HOSPITAL ALSO ALLOWS INTEREST FREE PAYMENTS TO BE MADE UNTIL THE OUTSTANDING BALANCE IS PAID WITHOUT TIME CONSTRAINTS. ACH DOES NOT REPORT TO COLLECTION AGENCIES OR TAKE OTHER EXTRAORDINARY COLLECTION EFFORTS. PART I, LINE 7: COSTING METHOD - ARKANSAS CHILDREN'S HOSPITAL (ACH) USES A COST ACCOUNTING (CA) SYSTEM AS THE BASIS FOR DETERMINING COST FOR ITS PATIENTS. ALL PATIENT ENCOUNTERS (INPATIENT, OUTPATIENT, ED, AMBULATORY SURGERY) ARE CAPTURED IN THE COST ACCOUNTING SYSTEM FOR ALL PATIENTS (MEDICAID, INSURANCE, UNINSURED) WITH NO DIFFERENTIATION FOR TYPE OF INSURANCE, IF ANY. A BRIEF DESCRIPTION OF THE COST ACCOUNTING SYSTEM IS BELOW.THE COST ACCOUNTING SYSTEM AT ACH IS A DETAILED PROCEDURE SYSTEM. ALL SERVICES PERFORMED BY PATIENT CARE STAFF HAVE BEEN EVALUATED AS TO THE RESOURCES UTILIZED TO PROVIDE THE SERVICES INCLUDING LABOR, DIRECT MATERIALS AND EQUIPMENT. IN ADDITION, OVERHEAD TYPE COSTS (BUILDING, UTILITIES, PAYROLL, ETC.) HAVE ALSO BEEN ALLOCATED TO THESE SERVICES. THE TWO COMPONENTS, DIRECT AND INDIRECT COSTS, ARE COMBINED AND REPRESENT THE TOTAL COST TO PROVIDE EACH SERVICE. THIS IS DONE ON A PROCEDURE LEVEL BASIS. AS A PATIENT IS ADMITTED AND INCURS SERVICES (X-RAYS, ROOM & BOARD, LAB, ETC.), THE APPLICABLE PROCEDURE COSTS ARE ASSIGNED TO EACH PARTICULAR PATIENT. UPON DISCHARGE, THE COSTS FROM THE INDIVIDUAL PROCEDURES THAT WERE PROVIDED TO EACH PATIENT ARE ADDED UP FOR A TOTAL COST OF PROVIDING CARE FOR EACH INDIVIDUAL PATIENT.THE COST ACCOUNTING SYSTEM IS UPDATED ANNUALLY TO REFLECT THE CURRENT YEAR'S EXPENSES. PART I, LINE 7G: SUBSIDIZED HEALTH SERVICES - ACH PROVIDES MANY PEDIATRIC AND SOME ADULT SPECIALIZED SERVICES TO THE COMMUNITY THAT ARE EITHER NOT AVAILABLE OR ARE BEYOND THE CAPACITY OF THE COMMUNITY TO PROVIDE. MANY OF THESE SERVICES ARE PROVIDED BY ACH AT A LOSS. THESE LOSSES WERE OBTAINED FROM THE COST ACCOUNTING SYSTEM.ACH SUBSIDIZED HEALTH SERVICES INCLUDES ONE STANDALONE CLINIC. THE NET LOSS OF $81,963 INCLUDED FROM THIS CLINIC REPRESENTS THE FACILITY PORTION OF THE CLINIC WHICH INCLUDES THE CLINIC VISIT, VACCINE ADMINISTRATION AND POINT OF CARE TESTING.IN ADDITION, ACH PROVIDES PEDIATRIC RENAL SERVICES THAT ARE NOT PROVIDED IN THE COMMUNITY. THE COST OF THESE SERVICES PROVIDED TO PEDIATRIC PATIENTS IS MORE EXPENSIVE DUE TO THE SPECIALTY NATURE OF THE PATIENTS. THESE COSTS ARE GREATER THAN WHAT IS ALLOWED ON THE MEDICARE COST REPORT, AND THAT LOSS HAS BEEN REPORTED IN SUBSIDIZED HEALTH SERVICES.SIMILARLY, ACH INCURS LOSSES FROM PROVIDING PEDIATRIC RENAL LAB SERVICES TO ITS MEDICARE PATIENT POPULATION THAT ARE NOT REIMBURSED. THOSE LOSSES ARE ALSO INCLUDED AS SUBSIDIZED HEALTH SERVICES. PART II, COMMUNITY BUILDING ACTIVITIES: ARKANSAS CHILDREN'S HOSPITAL SEEKS TO BE AN ACTIVE MEMBER OF THE LOCAL NEIGHBORHOOD. THE HOSPITAL IS LOCATED IN AN OLDER, ESTABLISHED, HISTORIC URBAN NEIGHBORHOOD IN DOWNTOWN LITTLE ROCK. OUR CAMPUS COVERS MORE THAN 30 CITY BLOCKS AND EMPLOYS MORE THAN 4,500 PEOPLE. ACH PARTICIPATES IN LOCAL NEIGHBORHOOD ASSOCIATION MEETINGS, IN ORDER TO SHARE INFORMATION AND/OR HEAR CONCERNS AND FEEDBACK. IN ADDITION TO ATTENDANCE AT MONTHLY CENTRAL HIGH NEIGHBORHOOD ASSOCIATION MEETINGS, ARKANSAS CHILDREN'S OFTEN ASSISTS WITH NEIGHBORHOOD ACTIVITIES SUCH AS NATIONAL NIGHT OUT, PARK CLEAN-UP DAYS, COMMUNITY GARDEN VOLUNTEERING, AND SPONSORSHIP OF ACTIVITIES AT NEARBY NEIGHBORHOOD SCHOOLS CENTRAL HIGH SCHOOL AND KING ELEMENTARY. ACH ALSO SUPPORTS THE DOWNTOWN LITTLE ROCK PARTNERSHIP AND ITS WORK TO CONTINUE AND GROW A THRIVING DOWNTOWN, RICH IN BUSINESS, ARTS AND CULTURE. ACH ALSO FINANCIALLY SUPPORTS OTHER ORGANIZATIONS THAT SEEK TO ADDRESS THE NEEDS OF CHILDREN AND FAMILIES, INCLUDING THE ARKANSAS CHAPTER OF THE AMERICAN FOUNDATION FOR SUICIDE PREVENTION; WOMEN & CHILDREN FIRST, WHICH ADDRESSES FAMILY VIOLENCE THROUGH SAFETY, STRENGTH, AND HOPE FOR ALL VICTIMS OF FAMILY VIOLENCE; ARKANSAS HUNGER RELIEF ALLIANCE AND FOOD BANKS AND FOOD PANTRIES ACROSS THE STATE; HELPING HAND FOOD PANTRY, NEIGHBOR-TO-NEIGHBOR FOOD PANTY, EL ZOCALO IMMIGRANT RESOURCE CENTER, AND LEGAL AID OF ARKANSAS. ACH ALSO PROVIDES OFFICE SPACE AT HIGHLY DISCOUNTED RATES FOR CHILD MALTREATMENT SERVICES. THE CENTENNIAL GARDEN, A COMMUNITY GARDEN ON THE GROUNDS OF ACH, PLAYS AN ACTIVE ROLE IN FOOD SECURITY EFFORTS DESIGNED TO BENEFIT PATIENT FAMILIES AND THE BROADER COMMUNITY. THE GARDEN IS REGULARLY TENDED BY A PART-TIME GARDEN MANAGER AS WELL AS A NUMBER OF DEDICATED COMMUNITY VOLUNTEERS. IN FY23, MORE THAN 1,000 POUNDS OF FRESH PRODUCE WERE DONATED TO HELPING HAND FOOD PANTRY AND EL ZOCALO IMMIGRANT RESOURCE CENTER. PRODUCE GROWN INCLUDES COLLARD GREENS, MUSTARD GREENS, SWISS CHARD, LETTUCE, STRAWBERRIES, BLACKBERRIES, ONIONS, CORN, TOMATOES, AND A VARIETY OF PEPPERS, SUCH AS BELL, BANANA, JALAPENO, AND ANAHEIM. THESE ARE THE TYPES OF PRODUCE CULTURALLY PREFERRED BY THE COMMUNITIES SERVED AT EACH FOOD PANTRY.ARKANSAS CHILDREN'S CONTINUES TO CLOSELY PARTNER WITH SCHOOLS AND HAS FORMAL PARTNERSHIPS WITH KING ELEMENTARY SCHOOL, IN LITTLE ROCK NEAR THE ACH CAMPUS; CLOVERDALE MIDDLE SCHOOL, LOCATED NEAR THE ACH SOUTHWEST LITTLE ROCK CLINIC; JONESBORO HIGH SCHOOL - HEALTH AND HUMAN SERVICES ACADEMY, NEAR THE ACH JONESBORO CLINIC; SPRINGDALE HIGH SCHOOL - MEDICAL ACADEMY, LOCATED NEAR ARKANSAS CHILDREN'S NORTHWEST, AND JAMES MATTHEW ELEMENTARY, NEAR THE ACH PINE BLUFF CLINIC. GOALS FOR THESE PARTNERSHIPS INCLUDE PROMOTING HEALTH EDUCATION, PROMOTING EXPLORATION AND LEARNING OF HEALTHCARE CAREERS, AND FOSTERING A CLIMATE OF INVOLVEMENT, INTERACTION AND MUTUAL COOPERATION BETWEEN EACH PARTY. ALSO IN PINE BLUFF, WE PARTNER WITH AN AFTER-SCHOOL MENTORING PROGRAM FOR AT-RISK YOUTH, CALLED TARGETING OUR PEOPLE'S PRIORITIES WITH SERVICE (TOPPS). THIS PROGRAM PROVIDES MEALS TO MORE THAN 2,600 CHILDREN YEAR-ROUND, OFFERS AFTER-SCHOOL LEARNING SUPPORT, AND OFFERS JOB TRAINING, MENTORING AND OTHER SUPPORT PROGRAMS TO STUDENTS OVER AGE 14.ADDITIONALLY, IN APRIL OF 2023, ARKANSAS CHILDREN'S ENTERED A FORMAL PARTNERSHIP WITH SYLVAN HILLS HIGH SCHOOL AND THE PULASKI COUNTY SPECIAL SCHOOL DISTRICT TO ESTABLISH THE ARKANSAS CHILDREN'S ACADEMY OF BUSINESS AND THE ARKANSAS CHILDREN'S ACADEMY OF MEDICAL SCIENCE. LOCATED AT SYLVAN HILLS HIGH SCHOOL, THESE ACADEMIES PROVIDE ENHANCED LEARNING OPPORTUNITIES TO STUDENTS, SUCH AS CAREER EXPOSURE THROUGH CLASSROOM SPEAKERS AND GUEST LECTURERS. THESE STUDENTS WILL ATTEND A CAREER EXPOSURE EVENT WHERE ARKANSAS CHILDREN'S, ALONG WITH OTHER CENTRAL ARKANSAS BUSINESSES, WILL SHOWCASE CAREER OPPORTUNITIES. SOPHOMORE STUDENTS ARE PROVIDED FIELD TRIPS AND BUSINESS TOURS, AND JUNIOR STUDENTS ARE THEN PROVIDED JOB SHADOWING OPPORTUNITIES. TOGETHER, ARKANSAS CHILDREN'S AND SYLVAN HILLS HIGH SCHOOL DEVELOP CAPSTONE PROJECTS AND INTERNSHIP OPPORTUNITIES FOR SENIOR STUDENTS, AND ARKANSAS CHILDREN'S COLLABORATES WITH SYLVAN HILLS TEACHERS AND THE DISTRICT LEAD ACADEMY COACH ON CURRICULUM ADVISEMENT, INDUSTRY CREDENTIALS, HANDS-ON LEARNING OPPORTUNITIES TO PROVIDE REQUIRED SKILLS FOR STUDENTS, AND NEEDED FINANCIAL RESOURCES TO CREATE A LEARNING LABORATORY SPACE FOR STUDENTS. PART III, LINE 2: BAD DEBT EXPENSE REPORTED ON LINE 2 REPRESENTS UNCOLLECTIBLE PATIENT ACCOUNTS AND IS CALCULATED ON A COST BASIS. PART III, LINE 4: UNCOLLECTIBLE UNCOMPENSATED CARE GENERALLY REPRESENTS STANDARD CHARGES THAT ARE UNREALIZED DUE TO AN UNWILLINGNESS TO PAY BY THOSE RESPONSIBLE FOR PAYMENT, THEREFORE BAD DEBT. UNCOLLECTIBLE UNCOMPENSATED CARE IS REPORTED AS A DEDUCTION FROM GROSS PATIENT REVENUE.FOR UNINSURED PATIENTS WHO DO NOT QUALIFY FOR CHARITY CARE, ACH RECOGNIZES REVENUE BASED ON ESTABLISHED RATES, SUBJECT TO CERTAIN DISCOUNTS AS DETERMINED BY ACH. AN ESTIMATED PROVISION FOR UNCOLLECTIBLE ACCOUNTS IS RECORDED THAT RESULTS IN NET PATIENT SERVICE REVENUE BEING REPORTED AT THE NET AMOUNT EXPECTED TO BE RECEIVED. IT HAS BEEN DETERMINED, BASED ON AN ASSESSMENT AT THE CONSOLIDATED ENTITY LEVEL, THAT PATIENT SERVICE REVENUE IS PRIMARILY RECORDED PRIOR TO ASSESSING THE PATIENT'S ABILITY TO PAY AND AS SUCH, THE ENTIRE PROVISION FOR UNCOLLECTIBLE ACCOUNTS RELATED TO PATIENT REVENUE IS RECORDED AS A DEDUCTION FROM PATIENT SERVICE REVENUE IN THE ACCOMPANYING CONSOLIDATED STATEMENTS OF OPERATIONS.PATIENT RECEIVABLES ARE REDUCED BY AN ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS. PERIODICALLY THROUGHOUT THE YEAR, MANAGEMENT ASSESSES THE ADEQUACY OF THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS BASED UPON HISTORICAL WRITE OFF EXPERIENCE BY PAYOR CATEGORY. THE RESULTS OF THIS REVIEW ARE THEN USED TO MAKE MODIFICATIONS TO THE PROVISION FOR UNCOLLECTIBLE ACCOUNTS TO ESTABLISH AN APPROPRIATE ALLOWANCE FOR UNCOLLECTIBLE RECEIVABLES.FOR PATIENT RECEIVABLES ASSOCIATED WITH SELF PAY PATIENTS, INCLUDING PATIENTS WITH DEDUCTIBLE AND COPAYMENT BALANCES FOR WHICH THIRD PARTY COVERAGE PROVIDES FOR A PORTION OF THE SERVICES PROVIDED, ACH RECORDS AN ESTIMATED PROVISION FOR UNCOLLECTIBLE ACCOUNTS IN THE YEAR OF SERVICE. PART III, LINE 8: THE ACH MEDICARE POPULATION IS PRIMARILY RENAL PEDIATRIC PATIENTS AND ADULT BURN PATIENTS. ACH IS THE ONLY BURN CENTER IN THE STATE AND SERVES BOTH PEDIATRIC AND ADULT PATIENTS. THE COST OF PROVIDING CARE FOR THE ACUTE ADULT PATIENTS IS TYPICALLY GREATER THAN THE REIMBURSEMENT THAT MEDICARE ALLOWS ON THE MEDICARE COST REPORT. THEREFORE, THE MEDICARE SHORTFALL, IF ANY, SHOULD BE INCLUDED AS A COMPONENT OF COMMUNITY BENEFIT BECAUSE THE REIMBURSEMENT IS NOT NEGOTIATED AND SERVICES CANNOT BE PROVIDED ELSEWHERE. PART III, LINE 9B: ARKANSAS CHILDREN'S HOSPITAL'S PATIENT ACCOUNTS DEPARTMENT USES ITS BEST EFFORTS TO ASSIST PATIENTS/GUARANTORS IN MEETING THEIR FINANCIAL RESPONSIBILITY FOR SERVICES PROVIDED AT ACH. THE ACH POLICY IS TO ACT WITH INTEGRITY IN ALL ENDEAVORS; TREATING ALL PATIENTS AND THEIR FAMILIES WITH DIGNITY, RESPECT, AND COMPASSION. THE STANDARD PROCESS INCLUDES OFFERING FINANCIAL ASSISTANCE TO ELIGIBLE FAMILIES. NOTICES REGARDING THE FINANCIAL ASSISTANCE PROGRAM ARE POSTED IN ENGLISH AND SPANISH IN ALL REGISTRATION AREAS. IN ADDITION TO OFFERING FINANCIAL ASSISTANCE BROCHURES UPON ADMISSION, THEY ARE ALSO MADE AVAILABLE TO FAMILIES UPON REQUEST. THE GUARANTOR STATEMENTS AND THE ACH WEBSITE CONTAIN INFORMATION ABOUT THIS PROGRAM. THERE ARE FINANCIAL COUNSELORS AVAILABLE TO ALL REGISTRATION AREAS OF THE HOSPITAL TO ASSIST IN COMPLETING MEDICAID, CMS, SSI INTENTS, AND FINANCIAL ASSISTANCE APPLICATIONS. IT IS STANDARD PRACTICE AT ACH TO UTILIZE INTERNAL RESOURCES FOR COLLECTION THROUGH THE PATIENT ACCOUNTS DEPARTMENT. NO EXTRAORDINARY COLLECTION EFFORTS ARE TAKEN. ACH DOES NOT REPORT TO CREDIT BUREAUS OR CHARGE INTEREST OR FILE LIENS AGAINST A PATIENT'S OR FAMILY'S RESIDENCE TO SECURE PAYMENT ON PATIENT ACCOUNT BALANCES. UPON RECEIPT OF A PERSONAL BANKRUPTCY NOTICE, ANY OUTSTANDING SELF-PAY BALANCES FOR THE ASSOCIATED PATIENT ARE WRITTEN OFF ONCE ALL OTHER PAYMENTS HAVE BEEN RECEIVED. ALL SELF-PAY COLLECTION ACTIVITY IS STOPPED UPON NOTIFICATION OF THE BANKRUPTCY.UPFRONT DISCOUNTS ON SERVICES FOR THE UNINSURED ARE OFFERED. THE FAMILY CAN ALSO REQUEST A PROMPT PAY DISCOUNT. ADDITIONALLY, ACH ATTEMPTS TO ACCOMMODATE U.S. FAMILIES WHO DESIRE TO SET UP REASONABLE PAYMENT PLANS. INTEREST IS NOT CHARGED. THE HOSPITAL'S GUARANTOR STATEMENTS ARE DESIGNED TO KEEP THE GUARANTOR UPDATED AS TO WHETHER THE ACCOUNT IS STILL PENDING RESOLUTION BY INSURANCE OR DUE FROM THE GUARANTOR. SELF-PAY COLLECTION ATTEMPTS ARE DISCONTINUED ONCE CHARGES ARE DETERMINED TO QUALIFY FOR FINANCIAL ASSISTANCE. PART VI, LINE 2: ARKANSAS CHILDREN'S HOSPITAL HAS BEEN CONDUCTING REGULAR NEEDS ASSESSMENTS OF THE STATUS OF CHILDREN'S HEALTH IN ARKANSAS SINCE 2006, WITH THE MOST RECENT CHNA AND IMPLEMENTATION STRATEGY ISSUED IN 2022. PLEASE SEE PART V, SECTION B FOR RELATED DETAILS AND DISCUSSION.BUILDING ON YEARS OF EXPERIENCE ASSESSING THE NEEDS OF THE COMMUNITY, ACH'S CHNA IS COMPREHENSIVE AND HAS A STATEWIDE REACH. HOWEVER, CLINICAL ASSESSMENT OF NEEDS HAS DRIVEN ADDITIONAL EFFORTS TO IMPROVE ACCESS TO APPROPRIATE HEALTH CARE FOR CHILDREN AND TO EDUCATE A VARIETY OF STAKEHOLDERS IN ARKANSAS. FOR EXAMPLE, AFTER REALIZING THAT SOME HEALTH CARE WORKERS (FROM FIRST RESPONDERS TO SMALL HOSPITALS' STAFF MEMBERS) WERE UNFAMILIAR WITH PEDIATRIC PROTOCOLS, ACH HAS WORKED TO EDUCATE PROFESSIONALS ACROSS THE STATE THROUGH SIMULATION EDUCATION. SCHOOL NURSES IDENTIFIED CERTAIN AREAS, SUCH AS TRACHEOSTOMY CARE, IN WHICH THEY FELT THEY NEEDED ADDITIONAL EDUCATION, AND ACH PARTNERED WITH THE AR DEPARTMENT OF HEALTH TO MEET THOSE NEEDS THROUGH THE SCHOOL NURSE ACADEMY. ACH SUPPORTS CAMPS FOR CHILDREN WITH SPECIAL HEALTH CARE NEEDS WHICH IS DRIVEN BY STAFF MEMBERS WHO WORK IN SPECIALTY CLINICS AND INPATIENT UNITS EACH DAY. ACH'S FAMILY ADVISORY BOARD HELPS GUIDE THE HOSPITAL STAFF AND BOARD REGARDING ISSUES RELATED TO ITS SERVICES AND TO CREATING A FAMILY-FRIENDLY, FAMILY-CENTERED PLACE OF CARE. PART VI, LINE 3: PLEASE SEE PART III, LINE 9B DESCRIPTION. PART VI, LINE 4: AS THE CENTRAL PEDIATRIC MEDICAL CENTER IN THE STATE, ACH DEFINES THE COMMUNITY IT SERVES AS ALL CHILDREN FROM BIRTH TO AGE 18 IN THE STATE OF ARKANSAS. THOUGH THE HOSPITAL SERVES A SMALL NUMBER OF ADULT PATIENTS WITH PEDIATRIC CHRONIC CONDITIONS OR SEVERE BURNS AND A HANDFUL OF OUT-OF-STATE PATIENTS FOR PARTICULAR HEALTH CONDITIONS, THE MAJORITY OF ITS PATIENTS ARE FROM CENTRAL ARKANSAS AND THE REMAINDER OF THE STATE. IN FY23, ACH DREW APPROXIMATELY 74.4% OF ITS OUTPATIENTS AND 60.2% OF ITS INPATIENTS FROM PULASKI COUNTY AND THE SURROUNDING COUNTIES OF SALINE, FAULKNER, LONOKE, AND JEFFERSON, AS WELL AS FROM WHITE COUNTY IN NORTH CENTRAL ARKANSAS, GARLAND COUNTY IN EAST CENTRAL ARKANSAS, WASHINGTON AND BENTON COUNTY IN THE NORTHWEST CORNER OF THE STATE, AND POPE COUNTY IN NORTHWEST CENTRAL ARKANSAS. ALTHOUGH PULASKI COUNTY IS THE HOSPITAL'S PRIMARY SERVICE AREA, WITH 42.4% OF OUTPATIENT DISCHARGES AND 24.4% OF INPATIENT DISCHARGES DURING FY23.ACH'S CURRENT PHYSICAL LOCATIONS INCLUDE A MAIN CAMPUS AND TWO OUTPATIENT CLINICS IN LITTLE ROCK, A CLINIC IN JONESBORO IN NORTHEAST ARKANSAS, AND A CLINIC IN PINE BLUFF IN SOUTH CENTRAL ARKANSAS. GROWING TELEMEDICINE CAPABILITIES HELP CONNECT ACH TO OFF-CAMPUS PROVIDERS AND ALLOW REMOTE SITES ACCESS TO SPECIALTIES INCLUDING NEONATOLOGY, EMERGENCY MEDICINE, PEDIATRIC INTENSIVE CARE, BURN, GENETICS, CARDIOLOGY, AND PULMONOLOGY. ACCORDING TO U.S. CENSUS BUREAU 2020 CENSUS DATA, POPULATION TOTALS AT THAT TIME WERE 3,011,524 FOR THE STATE OF ARKANSAS AND 399,125 FOR PULASKI COUNTY. ESTIMATED 2023 CENSUS DATA INDICATED POPULATION TOTALS TO BE 3,067,732 FOR ARKANSAS. ALSO ACCORDING TO ESTIMATED 2023 CENSUS DATA, APPROXIMATELY 22.9% OF THE ARKANSAS POPULATION WAS UNDER 18 YEARS OF AGE AND 5.9% WAS UNDER THE AGE OF 5. THE UNEMPLOYMENT RATE FOR THE STATE OF ARKANSAS FOR CALENDAR YEAR 2022 WAS 3.3%, A DECREASE FROM THE PREVIOUS YEAR. THE PER CAPITA PERSONAL INCOME FOR THE STATE OF ARKANSAS FOR 2022 WAS $31,380. THE PERCENT OF ALL PEOPLE IN POVERTY IN ARKANSAS ROSE SLIGHTLY TO 16.8% AND THE PERCENT OF CHILDREN 18 OR YOUNGER IN POVERTY WAS 22.1%, INDICATING A SLIGHT DECREASE FOR CHILDREN FROM THE PRIOR YEAR.ARKANSAS CHILDREN'S HOSPITAL (ACH) DEFINES ITS COMMUNITY AS ALL CHILDREN WHO RESIDE IN THE STATE. CHILDREN SERVED BY ACH COME FROM DIVERSE COMMUNITIES, RANGING FROM NORTHWEST ARKANSAS' BOOMING BUSINESS INDUSTRY TO THE PERSISTENT POVERTY OF THE MISSISSIPPI DELTA. RACIAL AND ETHNIC SUBCULTURES VARY ACROSS THE STATE INCLUDING A GROWING HISPANIC POPULATION IN THE NORTH AND WEST TO A LARGER AFRICAN AMERICAN POPULATION IN THE SOUTH AND EAST. IN GENERAL, ARKANSAS CHILDREN FARE WORSE THAN OTHERS IN THE U.S. IN TERMS OF HEALTH RISK FACTORS AND OUTCOMES, HIGHLIGHTING A NEED FOR INVESTMENTS IN PUBLIC HEALTH INITIATIVES. DESPITE THE PRESENCE OF LARGE PRIVATE EMPLOYERS INCLUDING THE CORPORATE HOMES FOR WAL-MART, TYSON FOODS, AND J.B. HUNT TRANSPORT SERVICES, AND A STRONG AGRICULTURAL ECONOMY, THE CONSEQUENCES OF POVERTY ARE FELT IN MOST COMMUNITIES IN THE STATE.THE ESTIMATED 694,298 ARKANSAS CHILDREN UNDER AGE 18 REPRESENTED 22.9% OF THE STATE'S TOTAL POPULATION FOR 2022. THE HISPANIC CHILD POPULATION GREW FROM 12.2% AS ESTIMATED IN THE 2020 CENSUS TO 12.9% FOR 2022. HOWEVER, THE NUMBER OF AFRICAN AMERICAN CHILDREN UNDER AGE 18 DROPPED SLIGHTLY FROM 17.1% TO 16.0%. WITH A PRIMARILY RURAL POPULATION LIVING IN MANY SMALL AND MEDIUM-SIZED COMMUNITIES, ACCESS TO HEALTH CARE SERVICES PRESENTS A VERY REAL CHALLENGE. ARKANSAS HAS SEEN A LARGE DECLINE IN UNINSURED CHILDREN SINCE 1990, WITH 5.9% OF CHILDREN LACKING COVERAGE AS OF 2022. ARKANSAS' "ARKIDS FIRST" HEALTH INSURANCE PROGRAM HAS BEEN A MAJOR FACTOR IN PROVIDING HEALTH INSURANCE FOR CHILDREN WHO MAY HAVE OTHERWISE GONE WITHOUT. ARKIDS FIRST WAS DESIGNED BY THE STATE OF ARKANSAS TO PROVIDE INSURANCE FOR CHILDREN OF WORKING FAMILIES WHO EARNED TOO MUCH FOR PUBLIC ASSISTANCE BUT COULD STILL NOT AFFORD TO PURCHASE HEALTH INSURANCE. PART VI, LINE 5: ACH SERVES AS THE PEDIATRIC TEACHING AFFILIATE OF THE UNIVERSITY OF ARKANSAS FOR MEDICAL SCIENCES (UAMS) AND IS HOME TO THE UAMS DEPARTMENT OF PEDIATRICS. ACH IS THE CLASSROOM WHERE MEDICAL STUDENTS STUDY THE PEDIATRIC COMPONENT OF ALL DISCIPLINES. UAMS FACULTY ON THE ACH CAMPUS ARE PRACTICING PHYSICIANS AS WELL AS TEACHERS TO UAMS STUDENTS IN MEDICINE, NURSING, PHARMACY, PUBLIC HEALTH, AND ALLIED HEALTH SPECIALTIES.ARKANSAS CHILDREN'S VOLUNTEER ENGAGEMENT PROVIDES SYSTEM-WIDE VOLUNTEER SUPPORT TO ELEVATE PATIENT EXPERIENCE BY PROVIDING HELP TO CAREGIVERS, POSITIVE DISTRACTIONS FOR PATIENTS, AND SUPPORT TO HARDWORKING TEAMS. THE SYSTEM-WIDE TEAM LEADS MANY STRATEGIC HOSPITAL VOLUNTEER PROGRAMS IN ADDITION TO ENGAGING MORE THAN 250 WEEKLY ADULT VOLUNTEERS SERVING AT TWO HOSPITAL CAMPUSES. IN FY23 ON THE ACH CAMPUS, 343 ADULT, YEAR-ROUND JUNIOR AND SPECIAL EVENT VOLUNTEERS SERVED A TOTAL OF 14,275 HOURS. THERE WERE ALSO AN ADDITIONAL 191 VOLUNTEERS WHO PROVIDED UNIQUE HANDMADE NEEDLEWORK ITEMS FOR THE HOSPITAL'S PATIENTS AND PATIENT FAMILIES. THE VOLUNTEER ENGAGEMENT TEAM SOLICITS, ACCEPTS, STEWARDS, AND DISTRIBUTES TOYS, CONVENIENCE ITEMS AND OTHER IN-KIND DONATIONS VALUED AT APPROXIMATELY $1,000,000 ANNUALLY. VOLUNTEER ENGAGEMENT ALSO PROVIDES STRATEGIC LEADERSHIP AND OPERATIONAL OVERSIGHT TO HOSPITAL GIFT SHOPS AND THE ACH FAMILY RESOURCE CENTER. IN JUNE OF 2023, THE VOLUNTEER ENGAGEMENT TEAM WAS THRILLED TO WELCOME STUDENTS FOR THE 2023 SUMMER JUNIOR VOLUNTEER PROGRAM WITH 18 HIGH SCHOOL STUDENTS. THE SUMMER JUNIOR VOLUNTEERS SERVED 554 HOURS OVER THE COURSE OF TWO WEEKS, IN VARIOUS AREAS AROUND THE ACH CAMPUS, PROVIDING VALUABLE SERVICE FOR OUR PATIENTS, FAMILIES AND STAFF IN CLINICAL AND NON-CLINICAL SETTINGS. MANY ARKANSAS CHILDREN'S TEAM MEMBERS PARTICIPATED BY LEADING SESSIONS COVERING BROAD TOPICS OF OPERATIONS AND AVENUES TO CHAMPION CHILDREN THROUGH OUR HEALTHCARE SYSTEM. PARTICIPANTS WERE INTRODUCED TO DIVERSE CAREER OPPORTUNITIES AND GOT TO MEANINGFULLY ENGAGE WITH LEADERS THROUGHOUT THE ORGANIZATION DURING THE WEEKLONG PROGRAM. HIGHLIGHTS INCLUDED A TOUR OF THE ACH SIMULATION EDUCATION CENTER AND A VISIT WITH OUR ANGEL ONE TEAM THAT INCLUDED A TOUR OF ONE OF THE MEDICALLY EQUIPPED TWIN ENGINE HELICOPTERS.THE ACH WINNIE M. LOWE FAMILY RESOURCE CENTER IS HOME TO A FAMILY LIBRARY, SAFETY ZONE AND MEDICAL LIBRARY. THE FAMILY RESOURCE CENTER IS THE HUB FOR PATIENT AND FAMILY ENGAGEMENT IN THE HOSPITAL INCLUDING A DONOR-FUNDED COMPASSION CLOSET WITH NOURISHMENT AND CONVENIENCE ITEMS AND A CHILDREN'S LIBRARY WHERE EVERY CHILD MAY TAKE HOME A FREE BOOK. IN THE FAMILY & MEDICAL LIBRARY, PATIENTS, FAMILIES AND EVEN TEAM MEMBERS CAN ACCESS EVIDENCED-BASED, PEER-REVIEWED HEALTH INFORMATION TO LEARN ABOUT A NEW OR EXISTING DIAGNOSIS OR CONDITION. THE SAFETY ZONE PROVIDES PATIENT AND FAMILY EDUCATION ON INJURY PREVENTION IN THE HOME, WHILE DRIVING, AND DURING RECREATIONAL ACTIVITIES. CAREGIVERS COMPLETE AN INJURY PREVENTION ASSESSMENT AND RECEIVE TAILORED, EVIDENCED-BASED INJURY PREVENTION INFORMATION AND FREE SAFETY PRODUCTS TO ADDRESS THE RISKS IDENTIFIED. IN FY23, THERE WERE 1,089 CUSTOMIZED SAFETY ASSESSMENTS COMPLETED IN THE ACH WINNIE M. LOWE FAMILY RESOURCE CENTER/SAFETY ZONE IN WHICH FREE SAFETY PRODUCTS ARE PROVIDED BASED ON INDIVIDUAL FAMILY NEEDS. THESE ASSESSMENTS WERE THE RESULT OF ACH CLINIC REFERRALS, NINE OPEN HOUSES PROMOTING THE SPACE WITH VARIED SAFETY THEMES, AS WELL AS WORD OF MOUTH THROUGHOUT THE HOSPITAL AND COMMUNITY. IN ADDITION TO SAFETY ASSESSMENTS, FREE BOOKS WERE OFFERED TO ALL CHILDREN EACH TIME THEY VISITED THE FAMILY RESOURCE CENTER. THE ARKANSAS CHILDREN'S PATIENT AND FAMILY ADVISOR PROGRAM ENGAGES PARENTS AND CAREGIVERS IN A VARIETY OF WAYS TO CONTINUE ADVANCING OUR COMMITMENT TO PATIENT AND FAMILY-CENTERED CARE. THE HOSPITAL BEGAN WITH ONE FAMILY ADVISORY BOARD, AND THIS HAS GROWN TO TEN FAMILY ADVISORY BOARDS AND ONE YOUTH ADVISORY COUNCIL ACROSS THE ARKANSAS CHILDREN'S SYSTEM. THESE GROUPS HAVE BROUGHT ABOUT MANY MEANINGFUL CHANGES TO THE HOSPITAL INCLUDING: VIDEO STREAMING, CO-DESIGNED PATIENT SAFETY INFORMATION, A MEAL ASSISTANCE PROGRAM, THE DEVELOPMENT OF PATIENT AND FAMILY HEALTH INFORMATION. PATIENT AND FAMILY ADVISORS ARE ENGAGED IN OTHER CAPACITIES, INCLUDING HOSPITAL COMMITTEES, A MENTOR PROGRAM, AND OUR E-COUNCIL. THE ADVISORS ARE A MAJOR ASSET IN THE COMMITMENT TO PATIENT SAFETY AND TO THE HOSPITAL MISSION.ACH'S BURN CENTER IS THE ONLY ONE IN ARKANSAS AND TREATS BOTH PEDIATRIC AND ADULT BURN PATIENTS. THEIR OUTREACH PROGRAM HELPS TO PREVENT BURNS THROUGH SEVERAL OUTREACH AND EDUCATIONAL INITIATIVES. THEY EDUCATE EMERGENCY MEDICAL PERSONNEL IN THE EMERGENCY TREATMENT OF BURNS, INCLUDING EMERGENCY MEDICAL TECHNICIANS (EMTS), DOCTORS, NURSES, AND PARAMEDICS. IN ADDITION, THEY DELIVER BURN PREVENTION EDUCATION TO CHILDREN AND FAMILIES STATEWIDE THROUGH HEALTH FAIRS, SCHOOL VISITS, AND OTHER COMMUNITY-BASED VENUES. IN COLLABORATION WITH THE VOLUNTEER FIREFIGHTERS PROGRAM THEY ALSO DISTRIBUTE SMOKE DETECTORS TO REACH RURAL COMMUNITIES. ARKANSAS CHILDREN'S CARE NETWORK (ACCN), WITHIN THE ARKANSAS CHILDREN'S SYSTEM, IS A COLLABORATOR WITH ACH. ACCN SEEKS TO FUNDAMENTALLY AND POSITIVELY TRANSFORM HEALTH FOR THE CHILDREN OF ARKANSAS THROUGH A CLINICALLY INTEGRATED NETWORK (CIN) COMPRISED OF HEALTH CARE PROFESSIONALS WHO PROVIDE COORDINATED AND ACCOUNTABLE PEDIATRIC CARE. ACCN WILL ACHIEVE THIS BY IMPROVING QUALITY, ACCESS, AND PATIENT/FAMILY EXPERIENCE, WHILE IMPACTING THE AFFORDABILITY OF HEALTH CARE AND INCREASING PHYSICIAN ENGAGEMENT AND SATISFACTION. PART VI, LINE 6: ACH IS PART OF AN AFFILIATED HEALTH CARE SYSTEM, FOR WHICH ARKANSAS CHILDRENS, INC., INCORPORATED IN DECEMBER 2015, SERVES AS THE PARENT CORPORATION. THE ARKANSAS CHILDREN'S HEALTH SYSTEM CONSISTS OF ARKANSAS CHILDREN'S, INC., ARKANSAS CHILDREN'S HOSPITAL (ACH), ARKANSAS CHILDREN'S NORTHWEST (ACNW), ARKANSAS CHILDREN'S FOUNDATION (ACF), ARKANSAS CHILDREN'S RESEARCH INSTITUTE (ACRI), ARKANSAS CHILDREN'S CARE NETWORK (ACCN), ARKANSAS CHILDREN'S MEDICAL GROUP (ACMG), AND SACOVA INSURANCE COMPANY. ACNW IS A NOT-FOR-PROFIT PEDIATRIC HOSPITAL LOCATED IN SPRINGDALE, ARKANSAS, THAT OPENED IN FEBRUARY 2018. ACNW SERVES AS THE ONLY EXCLUSIVELY PEDIATRIC HEALTH CARE FACILITY FOR CHILDREN IN THE NORTHWEST REGION OF THE STATE. ACF IS A NOT-FOR-PROFIT ORGANIZATION THAT EXISTS AS THE FUNDRAISING BRANCH OF ARKANSAS CHILDREN'S. ACRI OPERATES TO SUPPORT, THROUGH CHARITABLE, SCIENTIFIC, AND EDUCATIONAL MEANS, THE MISSION OF ARKANSAS CHILDREN'S. ACCN IS A NOT-FOR-PROFIT PEDIATRIC STATEWIDE CLINICALLY INTEGRATED NETWORK. ACMG WAS FORMED TO PROVIDE PHYSICIAN SERVICES TO ACH AND ACNW. SACOVA IS A SINGLE PARENT CAPTIVE INSURANCE COMPANY PROVIDING PROFESSIONAL AND GENERAL LIABILITY AND WORKER'S COMPENSATION COVERAGE.ALTHOUGH NOT CORPORATE AFFILIATES, ACH AND THE UNIVERSITY OF ARKANSAS FOR MEDICAL SCIENCES (UAMS) ARE INVOLVED IN AN AGREEMENT IN THE PURSUIT OF PROFESSIONAL EDUCATION, RESEARCH, AND CLINICAL CARE FOR CHILDREN. ALL PEDIATRIC SUB-SPECIALTY WORK IS CONDUCTED ON THE ACH CAMPUS WITH ACH PROVIDING SPACE, SUPPORTING STAFF, SERVICES AND FUNDING FOR MAJOR EDUCATIONAL AND CLINICAL EXPERTISE. 1 AMERICAN HEART ASSOCIATION PO BOX 4002903 DES MOINES IA 50340 135613797 501(C)(3) 14360 0 GENERAL SUPPORT APPLE SEEDS 2648 N OLD WIRE ROAD FAYETTEVILLE AR 72703 208081842 501(C)(3) 10000 0 GENERAL SUPPORT ARKANSAS 4H FOUNDATION 1 4-H WAY LITTLE ROCK AR 72223 716060767 501(C)(3) 9662 0 GENERAL SUPPORT ARKANSAS ADVOCATES FOR CHILDREN & FAMILIES 1400 W MARKHAM SUITE 306 LITTLE ROCK AR 72201 710492205 501(C)(3) 5350 0 GENERAL SUPPORT ARKANSAS ARTS CENTER PO BOX 2137 LITTLE ROCK AR 72203 237337495 501(C)(3) 10000 0 GENERAL SUPPORT ARKANSAS CHILDREN'S MEDICAL GROUP 1 CHILDRENS WAY LITTLE ROCK AR 72202 820771462 501(C)(3) 1490679 0 GENERAL SUPPORT ARKANSAS CHILDREN'S NORTHWEST 2601 GENE GEORGE BLVD SPRINGDALE AR 72762 810817660 501(C)(3) 111788 0 GENERAL SUPPORT ARKANSAS CHILDREN'S RESEARCH INSTITUTE 13 CHILDRENS WAY LITTLE ROCK AR 72202 710694931 501(C)(3) 4308441 2711820 FMV INDIRECT SUPPORT GENERAL SUPPORT ARKANSAS FOODBANK 4301 W 65TH ST LITTLE ROCK AR 72209 710596734 501(C)(3) 79808 0 GENERAL SUPPORT ARKANSAS FOUNDATION FOR MEDICAL CARE 401 WEST CAPITOL AVENUE SUITE 508 LITTLE ROCK AR 72201 237237381 501(C)(3) 10000 0 GENERAL SUPPORT ARKANSAS IMMUNIZATION ACTION COALITION PO BOX 3798 LITTLE ROCK AR 72203 821825362 501(C)(3) 7340 0 GENERAL SUPPORT CHILDREN'S PROTECTION CENTER 1123 BISHOP LITTLE ROCK AR 72202 261086937 501(C)(3) 0 157988 FMV PROVIDE OFFICE SPACE GENERAL SUPPORT EL ZOCALO IMMIGRANT RESOURCE CENTER 5500 GEYER SPRINGS RD LITTLE ROCK AR 72209 800858272 501(C)(3) 10000 0 GENERAL SUPPORT FETAL HEART SOCIETY 14750 SWEITZER LANE SUITE 100 LAUREL MD 20707 472144989 501(C)(3) 7500 0 GENERAL SUPPORT FOOD BANK OF NORTHEAST ARKANSAS 3414 ONE PLACE JONESBORO AR 72402 710810999 501(C)(3) 27500 0 GENERAL SUPPORT GOODNESS VILLAGE 11610 PLEASANT RIDGE ROAD SUITE 103-174 LITTLE ROCK AR 72223 843284848 501(C)(3) 5500 0 GENERAL SUPPORT GREAT 100 NURSES FOUNDATION 2748 METAIRIE LAWN DRIVE METAIRIE LA 70002 465606080 501(C)(3) 7500 0 GENERAL SUPPORT HUNGER RELIEF ALLIANCE 1400 W MARKHAM ST STE 304 LITTLE ROCK AR 72201 300254995 501(C)(3) 12300 0 GENERAL SUPPORT NEIGHBOR TO NEIGHBOR 1419 S PINE STREET PINE BLUFF AR 72601 710587864 501(C)(3) 10500 0 GENERAL SUPPORT NORTHWEST ARKANSAS FOOD BANK 1387 JUNE SELF DR SPRINGDALE AR 72764 710680830 501(C)(3) 10000 0 GENERAL SUPPORT OUACHITA BAPTIST UNIVERSITY PO BOX 3754 ARKADELPHIA AR 71998 710239383 501(C)(3) 50000 0 GENERAL SUPPORT PEDIATRIC HEART TRANSPLANT SOCIETY FOUNDATION PO BOX 55904 BIRMINGHAM AL 35255 274436351 501(C)(3) 6000 0 GENERAL SUPPORT PHILANDER SMITH COLLEGE 900 WEST DAISY BATES DRIVE LITTLE ROCK AR 72202 710239729 501(C)(3) 52500 0 GENERAL SUPPORT RONALD MCDONALD HOUSE CHARITIES 1501 W 10TH STREET LITTLE ROCK AR 72202 710525252 501(C)(3) 13190 19999 FMV PROVIDE LAND GENERAL SUPPORT THE HELPING HAND OF GREATER LITTLE ROCK 1601 MARSHALL ST LITTLE ROCK AR 72216 710588564 501(C)(3) 10000 0 GENERAL SUPPORT TOPPS (TARGETING OUR PEOPLE'S PRIORITIES WITH SERVICE) PO BOX 2793 PINE BLUFF AR 71613 743041819 501(C)(3) 10000 0 GENERAL SUPPORT UNIVERSITY OF ARKANSAS FOR MEDICAL SCIENCES 4301 W MARKHAM LITTLE ROCK AR 72205 716056774 GOV'T ENTITY 202350 0 GENERAL SUPPORT WOMEN & CHILDREN FIRST PO BOX 1954 LITTLE ROCK AR 72203 710513011 501(C)(3) 8800 0 GENERAL SUPPORT WOMEN'S FOUNDATION OF ARKANSAS 400 WEST CAPITOL AVENUE SUITE 1242 LITTLE ROCK AR 72201 300034070 501(C)(3) 24300 0 GENERAL SUPPORT 29 0 MEALS 4980 248701 COST MEALS FOR PATIENT FAMILIES/CAREGIVERS INSURANCE PREMIUMS 16 42298 COST PAYMENT OF PREMIUMS FOR PATIENT'S FAMILIES ALLOWED BY COBRA TRANSPORTATION COSTS (BUS TOKENS, CAB FARE, GAS CARDS) 820 27965 COST FUNERAL EXPENSES 11 9998 COST RENT, MORTGAGE EXPENSE, UTILITIES, LODGING 131 11133 COST CAR SEATS FOR INFANTS AND CHILDREN 450 39538 COST CAR SEATS FOR INFANTS AND CHILDREN CLOTHING, GROCERY GIFT CARDS, AND OTHER MISC. ASSISTANCE 25 35503 COST 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. X X 1 1 X X X X 0 1 0 0 0 0 0 0 0 MARCELLA DODERER PRESIDENT/CEO 0 1187391 0 600000 0 216360 0 258803 0 11763 0 2274317 0 200000 FREDERICK BARR MD EVP-CHIEF CLINICAL & ACADEMIC OFCR 0 667364 0 200096 0 4942 0 85600 0 11324 0 969326 0 0 GENA WINGFIELD EVP/CHIEF FINANCIAL OFFICER 0 568077 0 184957 0 66752 0 85609 0 11162 0 916557 0 59202 JAMIE WIGGINS EVP/COO 0 502611 0 140764 0 829 0 60926 0 11057 0 716187 0 0 GRESHAM RICHTER MD TRUSTEE/DIRECTOR-CHIEF OF MED STAFF 645787 2275 4124 0 0 0 0 0 60679 361 710590 2636 0 0 GREGORY SHARP MD SVP/CHIEF MEDICAL OFFCR (PARTIAL YR) 494016 0 0 0 0 0 0 0 70182 0 564198 0 0 0 ERIN PARKER SVP/CIO 0 362202 0 76588 0 381 0 52549 0 6701 0 498421 0 0 SHANNON HENDRIX ACNW CHIEF ADMIN (FORMER ACH VP) 0 310403 0 61901 0 490 0 47530 0 15190 0 435514 0 0 JARED CAPOUYA QUALITY & SAFETY VP (PARTIAL YEAR) 325146 0 60337 0 498 0 14672 0 13779 0 414432 0 0 0 AMY FALLON OPERATIONS SVP 20094 272291 0 59154 20 282 1040 15010 1161 13933 22315 360670 0 0 CINDY HILL FINANCIAL SERVICES VP 276450 0 58519 0 1853 0 13934 0 10162 0 360918 0 0 0 LE'KITA BROWN REVENUE CYCLE VP 256804 0 52647 0 395 0 16050 0 5914 0 331810 0 0 0 LEE ANNE EDDY PATIENT CARE SVC SVP/CNO (PARTIAL YR 313435 0 0 0 327 0 3500 0 2057 0 319319 0 0 0 CARRIE LEE PATIENT CARE SVCS VP (PARTIAL YR) 218169 0 38362 0 210 0 15709 0 9439 0 281889 0 0 0 TAMMY DIAMOND-WELLS PATIENT CARE SERVICES VP 214568 0 37028 0 479 0 12692 0 14643 0 279410 0 0 0 CHRISTIAN EISENRING SURGICAL ASSISTANT COORDINATOR 243099 0 7800 0 1505 0 11538 0 13609 0 277551 0 0 0 STEPHANIE PIERCE STRATEGIC MARKETING VP 190035 0 31477 0 143 0 14235 0 14502 0 250392 0 0 0 ANGELA GLOVER PATIENT CARE MANAGER 215213 0 14840 0 39 0 6284 0 13857 0 250233 0 0 0 BETH PETLAK VP POPULATION HEALTH/CHS EXEC DIR 188080 0 36098 0 716 0 13532 0 1757 0 240183 0 0 0 ROBIN MITCHELL VP OPERATIONS 197494 0 21240 0 410 0 11069 0 1247 0 231460 0 0 0 ANN KRUGER INTERIM SVP/CNO (PARTIAL YEAR) 164544 0 31158 0 678 0 12896 0 3806 0 213082 0 0 0 KENDREA JONES PHARMACY DIRECTOR 160549 0 14329 0 151 0 13254 0 14369 0 202652 0 0 0 STEPHANIE ROCKETT DIRECTOR PATIENT CARE SERVICES 146935 0 10476 0 189 0 11449 0 14248 0 183297 0 0 0 RACHEL FRENNER DIRECTOR LABORATORY 151861 0 5923 0 67 0 10651 0 10496 0 178998 0 0 0 KRIS MADDALENA SVP/CNO (PARTIAL YEAR) 118043 0 53971 0 222 0 358 0 2999 0 175593 0 0 0 JOHN MCNALLY MEDICAL ADMINISTRATION DIRECTOR 157309 0 11593 0 577 0 3501 0 1598 0 174578 0 0 0 PART I, LINE 1A CHARTER TRAVEL IS USED BY ARKANSAS CHILDREN'S AND AFFILIATED ENTITIES' BOARD MEMBERS AND STAFF (AND OCCASIONALLY ACCOMPANYING SPOUSES/COMPANIONS) WHEN IT IS DEEMED THE MOST EFFICIENT METHOD OF TRAVEL TO DISTANT AREAS WITHIN THE STATE OR TO SURROUNDING STATES FOR PURPOSES RELATED TO ARKANSAS CHILDREN'S BUSINESS. SEPARATE TRAVEL (NON-CHARTER) FOR COMPANIONS IS REIMBURSED BY THE EMPLOYEE IF SUCH TRAVEL IS ON AN INDIVIDUAL BASIS; THUS, SUCH TRAVEL IS NOT CONSIDERED TAXABLE COMPENSATION TO THE EMPLOYEE. FOUR OFFICERS/EMPLOYEES AND ONE BOARD MEMBER USED CHARTER TRAVEL DURING THE CALENDAR YEAR. BECAUSE THE CHARTER TRAVEL WAS USED FOR ARKANSAS CHILDREN'S BUSINESS PURPOSES, IT WAS NOT CONSIDERED AS TAXABLE WAGES. PART I, LINE 3 COMPENSATION FOR ANY ACH EXECUTIVE OR SENIOR OFFICER (PRESIDENT; EXECUTIVE VICE PRESIDENT; SENIOR VICE PRESIDENT) WHO IS NOT A CONTRACTED UAMS EMPLOYEE IS REVIEWED BY THE ARKANSAS CHILDREN'S HUMAN RESOURCES AND COMPENSATION COMMITTEE WHICH IS ESTABLISHED THROUGH THE BYLAWS OF ARKANSAS CHILDREN'S, INC. THE HUMAN RESOURCES AND COMPENSATION COMMITTEE HAS THE FULL AUTHORITY AND SPECIFIC RESPONSIBILITY FOR REVIEWING AND APPROVING COMPENSATION POLICIES, BASE SALARY AND INCENTIVE COMPENSATION LEVELS, EXECUTIVE RETIREMENT AND OTHER EXECUTIVE BENEFIT PLANS FOR HEALTH SYSTEM SENIOR MANAGEMENT, INCLUDING OFFICERS OF THE CORPORATION AND AFFILIATES WHO ARE "DISQUALIFIED PERSONS" UNDER SECTION 4958 OF THE CODE. THE POLICIES AND PROGRAMS REVIEWED AND APPROVED BY THE HUMAN RESOURCES AND COMPENSATION COMMITTEE SHALL BE DESIGNED TO ENSURE THAT THE CORPORATION AND ITS AFFILIATES REMAIN COMPETITIVE AND REASONABLE RELATIVE TO THE COMPENSATION AND BENEFITS PRACTICES OF SIMILARLY SITUATED HEALTH SYSTEMS LOCALLY AND NATIONALLY, AND TO PERMIT THE CORPORATION AND SUCH AFFILIATES TO ATTRACT AND RETAIN SUPERIOR SENIOR MANAGEMENT, IN FURTHERANCE OF THE CORPORATION'S AND AFFILIATES PURPOSES. THE HUMAN RESOURCES AND COMPENSATION COMMITTEE SHALL HAVE, TO THE FULLEST EXTENT OF THE LAW, THE AUTHORITY TO APPROVE THE COMPENSATION PACKAGES FOR SENIOR MANAGEMENT OF THE CORPORATION AND THE AFFILIATES. IN ITS PROCESS, THE COMMITTEE SHALL OBTAIN AND MUST RELY UPON APPROPRIATE DATA AS TO COMPARABILITY PRIOR TO MAKING ITS DETERMINATION OF REASONABLENESS WITH RESPECT TO THE COMPENSATION ARRANGEMENTS OF DISQUALIFIED PERSONS. APPROPRIATE DATA INCLUDES, BUT IS NOT LIMITED TO, COMPENSATION LEVELS PAID BY SIMILARLY SITUATED ORGANIZATIONS, BOTH TAXABLE AND TAX-EXEMPT, FOR FUNCTIONALLY COMPARABLE POSITIONS; THE AVAILABILITY OF SIMILAR SERVICES IN THE GEOGRAPHIC AREA OF THE CORPORATION, CURRENT COMPENSATION SURVEYS COMPILED BY INDEPENDENT FIRMS; AND ACTUAL WRITTEN OFFERS FROM SIMILAR INSTITUTIONS COMPETING FOR THE SERVICES OF THE DISQUALIFIED PERSON. THE COMMITTEE MAY RELY UPON OPINIONS OF QUALIFIED LEGAL, ACCOUNTING, VALUATION AND EXECUTIVE COMPENSATION EXPERTS. CONTEMPORANEOUSLY WITH MAKING ITS DETERMINATION OF REASONABLENESS WITH RESPECT TO THE COMPENSATION ARRANGEMENT OF THE CEO AND DISQUALIFIED PERSONS, THE COMMITTEE SHALL DOCUMENT IN ITS MINUTES THE BASIS FOR ITS DECISIONS. A VERBAL REPORT IS PROVIDED TO THE BOARD BY THE CHAIR OF THE COMMITTEE. MINUTES ARE AVAILABLE FOR REVIEW UPON BOARD MEMBER REQUEST TO THE BOARD CHAIR. PART I, LINE 4B SCHEDULE J, PART I, LINE 4B: AC'S DEFERRED COMPENSATION PLAN (DCP), WAS INSTITUTED ON 6/30/2014. THE DCP IS A 457(F) NONQUALIFIED SUPPLEMENTAL RETIREMENT PLAN, PROVIDING ANNUAL CONTRIBUTIONS TO CERTAIN EXECUTIVES AT A PERCENTAGE OF THEIR BASE SALARY IN EFFECT ON JUNE 30 OF THE PLAN YEAR. THE SUPPLEMENTAL COMPENSATION SERVES TO ENCOURAGE CONTINUED EMPLOYMENT WITH ARKANSAS CHILDREN'S AND ITS AFFILIATES. THE PLAN PROVIDES THAT DEFERRED AMOUNTS ARE PAID AS SOON AS ADMINISTRATIVELY POSSIBLE AFTER BEING VESTED. IT IS INTENDED THAT SUCH PAYMENTS QUALIFY FOR THE "SHORT-TERM DEFERRAL" EXEMPTION FROM IRC SECTION 409A, AND FOR TAX DEFERRAL UNDER IRC SECTION 457(F). PER THE PLAN DOCUMENT, EACH DCP CONTRIBUTION FOR A PLAN YEAR AND ITS ASSOCIATED EARNINGS VEST AS FOLLOWS, ON THE EARLIER OF: - (SUBACCOUNT)- THE FIRST DAY OF THE PLAN YEAR FOLLOWING THREE (3) CONTINUOUS PLAN YEARS OF EMPLOYMENT BY THE PARTICIPANT WITH ARKANSAS CHILDREN'S OR AFFILIATE, WHICH BEGINS ON THE FIRST DAY OF THE PLAN YEAR FOR WHICH THE CONTRIBUTION IS CREDITED. - (PRIMARY ACCOUNT, INCLUDING SUBACCOUNTS) - ATTAINMENT OF AGE 65 AND AT LEAST 3 YEARS OF SERVICE AS A DCP PARTICIPANT - (PRIMARY ACCOUNT, INCLUDING SUBACCOUNTS) - DEATH OR PERMANENT DISABILITY - (PRIMARY ACCOUNT, INCLUDING SUBACCOUNTS) - INVOLUNTARY TERMINATION (OTHER THAN FOR CAUSE) - (PRIMARY ACCOUNT, INCLUDING SUBACCOUNTS) - PLAN TERMINATION FOR TAX YEAR 2022 (FISCAL YEAR 2023), EIGHT REPORTABLE EMPLOYEES WERE ELIGIBLE AND PARTICIPATING IN THE DEFERRED COMPENSATION PLAN. SOME OF THESE EMPLOYEES RECEIVED DISTRIBUTIONS PER THE PLAN DOCUMENT. SUCH AMOUNTS ARE NOTED BELOW. - MARCELLA DODERER: AC/ACH/ACNW PRESIDENT/CEO - $211,458 - GENA WINGFIELD: AC EVP AND CFO - $62,593 PER THE PLAN DOCUMENT, UPON BECOMING VESTED IN A PLAN YEAR SUBACCOUNT AND AS SOON AS ADMINISTRATIVELY PRACTICABLE AFTER SUCH VESTING DATE, BUT NO LATER THAN THE END OF THE CALENDAR YEAR IN WHICH SUCH VESTING DATE OCCURRED, INDIVIDUAL PARTICIPANTS WILL BE PAID A LUMP SUM PAYMENT EQUAL TO THE PLAN YEAR SUBACCOUNT BALANCE AS OF THE JUNE 30 IMMEDIATELY PRECEDING SUCH VESTING DATE. FORM 990, SCHEDULE J, PART I, LINES 5-7 THE INCENTIVE PLANS FOR ALL ENTITIES CHANGED WITH THE 2013 TAX RETURNS, AND THERE ARE SPECIFIC RULES AND CALCULATIONS FOR BONUSES. NONE ARE CONTINGENT ON REVENUES OR NET EARNINGS OF THE ORGANIZATIONS (ANY), AND SINCE THEY ARE CALCULATED BASED ON A SPECIFIC FORMULA, THEY ARE NOT "NON-FIXED". THE QUESTIONS 5, 6, AND 7 IN PART I TO SCHEDULE J ARE ALL CORRECTLY ANSWERED "NO". FORM 990, PART VII, SECTION A, LINE 5: CHIEF MEDICAL OFFICER, GREGORY SHARP, M.D. AND DIRECTOR AND CHIEF OF MEDICAL STAFF, GRESHAM RICHTER, M.D. WERE COMPENSATED BY UAMS AS EMPLOYEES FOR SERVICES RENDERED TO ARKANSAS CHILDREN'S HOSPITAL (ACH) AND FOR WHICH ACH REMITTED PAYMENT LISTED AS "REPORTABLE COMPENSATION FROM THE ORGANIZATION" IN PART VII. THE AMOUNTS NOTED AS COMPENSATION IN SCHEDULE J FOR THE PHYSICIANS NOTED ABOVE WERE THE DESIGNATED AMOUNTS PER THE RELATED CONTRACTS WITH UAMS. A ARKANSAS DEVELOPMENT FINANCE AUTHORITY 710503641 000000000 2013-09-05 19800000 SEE SCHEDULE K, PART VI. 0 0 0 B PULASKI COUNTY ARKANSAS 716006487 745392JN1 2016-08-24 98721147 SEE SCHEDULE K, PART VI. 0 0 0 C PULASKI COUNTY ARKANSAS 716006487 745392KL3 2023-06-28 135097050 SEE SCHEDULE K, PART VI. 0 0 0 A 19318322 19800000 19800000 2015 0 0 1 1 B 725000 98721147 702808 98018339 2016 0 1 1 1 C 135097050 1093653 134003397 0 0 0 1 A 0 0 0 0 0.00000 0.00000 0.00000 0 0 1 B 0 0 1 1 1 1 0.00050 0.00000 0.00050 0 0 1 C 0 0 0 0 0.00000 0.00000 0.00000 0 0 1 A 0 0 1 0 0 0 0 0 1 B 0 0 0 1 0 0 0 0 1 C 0 1 0 0 0 0 0 0 1 A 1 B 1 C 1 SCHEDULE K SUPPLENTAL INFORMATION PART I, LINE A - DESCRIPTION OF PURPOSE. PROCEEDS USED TO PURCHASE TWO SIKORSKY S-76D HELICOPTERS TO BE USED FOR MEDICAL TRANSPORT. PART I, LINE B - DESCRIPTION OF PURPOSE. TO REFUND HOSPITAL REVENUE BONDS (ARKANSAS CHILDREN'S HOSPITAL PROJECT), SERIES 2009, ISSUED 5/28/2009. PART I, LINE C - DESCRIPTION OF PURPOSE. PROCEEDS USED TO (I) FINANCE THE ACQUISITION, CONSTRUCTION, AND EQUIPPING OF CERTAIN ADDITIONS AND IMPROVEMENTS TO ARKANSAS CHILDREN'S HOSPITAL, A PEDIATRIC HOSPITAL FACILITY LOCATED IN THE CITY OF LITTLE ROCK, AR, AND (II) PAY CERTAIN EXPENSES IN CONNECTION WITH THE ISSUANCE OF THE SERIES 2023 BONDS. PART IV, LINE 2C, COLUMN B: THE REBATE COMPUTATION WAS PERFORMED 8/30/2022. PART IV, LINE 6, COLUMN B: THIS QUESTION IS BEING ANSWERED WITHOUT REGARD TO A YIELD-RESTRICTED ADVANCE REFUNDING ESCROW FUNDED WITH PROCEEDS OF THE BONDS. AMY KRUGER SEE PART V. FAMILY MEMBER 94908 SEE PART V. AMY KRUGER IS A FAMILY MEMBER OF KEY EMPLOYEE, ANN KRUGER. CONSISTENT WITH ARKANSAS CHILDREN'S HOSPITAL POLICY, SHE DID NOT WORK WITHIN ANN KRUGER'S LINE OF AUTHORITY AT ANY POINT DURING THE YEAR. HER COMPENSATION WAS REASONABLE FOR SERVICES RENDERED. 0 ALARMCO INC SEE PART V. ENTITY MORE-THAN-35%-OWNED BY FAMILY MEMBER OF DIRECTOR 159097 SEE PART V. SECURITY SERVICES FROM INTERESTED PERSON. COST OF SERVICE WAS REASONABLE AND AT FMV RATE. 0 FORM 990, PART VI, SECTION A, LINE 1A THE BOARD OF DIRECTORS MAY DELEGATE SUCH OF ITS POWERS AS IT DEEMS NECESSARY OR ADVISABLE TO COMMITTEES OF THE BOARD; PROVIDED, HOWEVER, THAT NO COMMITTEE OF THE BOARD SHALL HAVE THE AUTHORITY TO: (I) AUTHORIZE DISTRIBUTIONS; (II) ELECT, APPOINT OR REMOVE DIRECTORS OR FILL VACANCIES ON THE BOARD OR ANY OF ITS COMMITTEES; (III) ADOPT, AMEND OR REPEAL THE ARTICLES OF INCORPORATION OR BYLAWS; OR (IV) APPOINT OR ELECT THE PRESIDENT AND CHIEF EXECUTIVE OFFICER OF THE CORPORATION. ANY COMMITTEE MAY EXERCISE SUCH OF THE BOARD'S AUTHORITY AS IS GRANTED BY THE BOARD OF DIRECTORS, SUBJECT TO THE RESTRICTIONS CONTAINED IN THE CORPORATION'S ARTICLES OF INCORPORATION OR THE BYLAWS. THE FOLLOWING LISTED PERSONS WERE EMPLOYEES OF THE UNIVERSITY OF ARKANSAS FOR MEDICAL SCIENCES (UAMS) DURING THE TAX YEAR: GREGORY SHARP, M.D. AND GRESHAM RICHTER, M.D. EACH WAS COMPENSATED BY ACH VIA ITS CONTRACT WITH UAMS. FORM 990, PART VI, SECTION A, LINE 2 THE FOLLOWING BOARD MEMBERS HAD A BUSINESS RELATIONSHIP DURING THE FISCAL YEAR: MARCELLA DODERER AND PHILLIP JETT. BOTH SERVED ON THE BOARD OF ANOTHER COMPANY THAT IS NOT AFFILIATED WITH ARKANSAS CHILDREN'S. THE FOLLOWING OFFICERS HAD A BUSINESS RELATIONSHIP DURING THE FISCAL YEAR: MARCELLA DODERER AND GENA WINGFIELD. BOTH SERVED ON THE BOARDS OF THE CHILDREN'S HEALTHCARE SYSTEM AND SACOVA INSURANCE COMPANY, LTD., WHICH ARE AFFILIATED COMPANIES. FORM 990, PART VI, SECTION A, LINE 3 THE HOSPITAL'S SVP/CHIEF MEDICAL OFFICER POSITION IS HELD BY GREGORY SHARP, M.D., WHO HOLDS A FACULTY APPOINTMENT IN THE UNIVERSITY OF ARKANSAS FOR MEDICAL SCIENCES, COLLEGE OF MEDICINE DEPARTMENT OF NEUROSCIENCES. ALTHOUGH DR. SHARP IS AN EMPLOYEE OF UAMS, AS SVP/CMO, HE IS ALSO A KEY EMPLOYEE OF ACH. AS A UAMS EMPLOYEE, THE HOSPITAL REIMBURSES UAMS FOR HIS ROLE, WHICH IS TO FURTHER DEVELOP AND ENHANCE PATIENT/FAMILY CENTERED ROUNDS WITH AN IMPROVED DELIVERY OF CARE AND PATIENT/FAMILY EXPERIENCE; TO PARTNER WITH THE CNO AND OTHERS TO FOCUS ON TEAM CARE; TO IMPROVE EFFICIENCY OF CARE; TO WORK CLOSELY WITH THE CHIEF QUALITY OFFICER; AND TO LISTEN TO MEDICAL STAFF AND TEAM MEMBERS AND FOSTER CHANGE THAT WILL POSITIVELY IMPACT PATIENT CARE. FORM 990, PART VI, SECTION A, LINE 6 THE SOLE MEMBER OF ARKANSAS CHILDREN'S HOSPITAL IS ARKANSAS CHILDREN'S, INC. FORM 990, PART VI, SECTION A, LINE 7A ARKANSAS CHILDREN'S, INC., ACH'S SOLE MEMBER, HAS THE RESERVED POWER TO FIX THE SIZE OF THE BOARD OF DIRECTORS, AND THE GOVERNING BOARD OF ANY AFFILIATE CONTROLLED BY THE CORPORATION, AND APPOINT AND REMOVE, WITH OR WITHOUT CAUSE, THE DIRECTORS OF THE CORPORATION, AND MEMBERS OF THE GOVERNING BOARD OF ANY AFFILIATE CONTROLLED BY THE CORPORATION. FORM 990, PART VI, SECTION A, LINE 7B ACH'S ARTICLES OF INCORPORATION MAY BE AMENDED, AND THE BYLAWS MAY BE ALTERED, AMENDED, OR REPEALED AND NEW BYLAWS MAY BE ADOPTED: (I) UPON THE APPROVAL OF BOTH THE BOARD AND THE SOLE MEMBER, IF THE AMENDMENT DOES NOT RELATE TO THE NUMBER OF DIRECTORS, THE COMPOSITION OF THE BOARD, THE TERM OF OFFICE OF DIRECTORS, OR THE METHOD OR WAY IN WHICH DIRECTORS ARE ELECTED OR SELECTED; OR (II) BY THE MEMBER. FORM 990, PART VI, SECTION B, LINE 11B HOSPITAL MANAGEMENT REVIEWS THE DRAFT FORM 990 AND RECONCILES IT TO THE HOSPITAL'S INTERNAL FINANCIALS AND CONSOLIDATED AUDIT REPORT. THE DRAFT IS ALSO REVIEWED IN DETAIL WITH THE VP OF FINANCIAL OPERATIONS OF ARKANSAS CHILDREN'S, INC. THE REVIEWED DRAFT OF THE FORM 990 IS PROVIDED TO THE PLANNING & DEVELOPMENT COMMITTEE BY HOSPITAL MANAGEMENT. IF THE REVIEW BY THE COMMITTEE RESULTS IN REVISIONS TO THE FORM 990, THOSE REVISIONS ARE MADE. THE FORM 990 TO BE FILED IS THEN PROVIDED TO THE ENTIRE BOARD PRIOR TO FILING. FORM 990, PART VI, SECTION B, LINE 12C THE HOSPITAL HAS A BOARD OF DIRECTORS CONFLICT OF INTEREST POLICY THAT IS ISSUED TO AND REVIEWED WITH ALL NEW BOARD MEMBERS DURING THEIR BOARD ORIENTATION. IN ADDITION, THE INTERNAL GENERAL COUNSEL OR THE SYSTEM COMPLIANCE OFFICER WILL PERIODICALLY REVIEW THE POLICY WITH THE FULL BOARD DURING A REGULAR BOARD MEETING. A DIRECTOR SHALL DISCLOSE IN WRITING TO THE BOARD OF DIRECTORS ANY ACTUAL OR POTENTIAL CONFLICT OF INTEREST WHEN THE SITUATION DEVELOPS, INCLUDING THE FACTS THAT MAKE IT AN ACTUAL OR POTENTIAL CONFLICT. EACH DIRECTOR SHALL SIGN AN INITIAL CONFLICT OF INTEREST DISCLOSURE STATEMENT UPON ELECTION TO THE BOARD OF DIRECTORS. EACH DIRECTOR ALSO SHALL SIGN AN ANNUAL CONFLICT OF INTEREST DISCLOSURE STATEMENT. IF AN ACTUAL OR POTENTIAL CONFLICT OF INTEREST DEVELOPS AFTER THE DIRECTOR'S INITIAL AND ANNUAL STATEMENTS ARE SIGNED, THE DIRECTOR SHALL IMMEDIATELY SIGN A NEW DISCLOSURE STATEMENT TO ADDRESS THE NEW SITUATION OR TRANSACTION. CONFLICT OF INTEREST DISCLOSURE STATEMENTS OR DECLARED CONFLICTS WILL BE REVIEWED BY THE DIRECTOR BOARD OFFICERS. REVIEW WILL RESULT IN ONE OF THE FOLLOWING ACTIONS BY MAJORITY VOTE: (1) DETERMINED NOT TO BE A CONFLICT; (2) CONFLICT IS ACCEPTED; OR (3) CONFLICT IS NOT ACCEPTED AND THE DIRECTOR WILL NEED TO ABSTAIN FROM PARTICIPATION IN CERTAIN VOTES. CONFLICT DISCLOSURES, FACTS AND ACTIONS WILL BE DOCUMENTED IN THE APPROPRIATE COMMITTEE OR BOARD MINUTES. A DIRECTOR WITH A CONFLICT OF INTEREST WILL NOT PARTICIPATE IN DELIBERATIONS OR VOTE BY THE BOARD OF DIRECTORS, OR COMMITTEE THEREOF, ON THE MATTER GIVING RISE TO THE CONFLICT. HE OR SHE MAY PRESENT RELEVANT INFORMATION ABOUT THE MATTER AND ALSO MAY RESPOND TO REQUESTS FOR FACTS NEEDED BY THE BOARD TO REACH AN INFORMED DECISION. AFTER ANY DISCUSSION, THE INTERESTED DIRECTOR SHALL EITHER ABSTAIN FROM VOTE OR RECUSE COMPLETELY AND BE ABSENT DURING FURTHER DELIBERATIONS AND ACTION ON THE MATTER, AS DETERMINED BY THE DIRECTOR BOARD OFFICERS OF THE ENTITY. FORM 990, PART VI, SECTION B, LINE 15 COMPENSATION FOR ANY ACH EXECUTIVE OR SENIOR OFFICER (PRESIDENT; EXECUTIVE VICE PRESIDENT; SENIOR VICE PRESIDENT) WHO IS NOT A CONTRACTED UAMS EMPLOYEE IS REVIEWED BY THE ARKANSAS CHILDREN'S HUMAN RESOURCES AND COMPENSATION COMMITTEE WHICH IS ESTABLISHED THROUGH THE BYLAWS OF ARKANSAS CHILDREN'S, INC. THE HUMAN RESOURCES AND COMPENSATION COMMITTEE HAS THE FULL AUTHORITY AND SPECIFIC RESPONSIBILITY FOR REVIEWING AND APPROVING COMPENSATION POLICIES, BASE SALARY AND INCENTIVE COMPENSATION LEVELS, EXECUTIVE RETIREMENT AND OTHER EXECUTIVE BENEFIT PLANS FOR HEALTH SYSTEM SENIOR MANAGEMENT, INCLUDING OFFICERS OF THE CORPORATION AND AFFILIATES WHO ARE "DISQUALIFIED PERSONS" UNDER SECTION 4958 OF THE CODE. THE POLICIES AND PROGRAMS REVIEWED AND APPROVED BY THE HUMAN RESOURCES AND COMPENSATION COMMITTEE SHALL BE DESIGNED TO ENSURE THAT THE CORPORATION AND ITS AFFILIATES REMAIN COMPETITIVE AND REASONABLE RELATIVE TO THE COMPENSATION AND BENEFITS PRACTICES OF SIMILARLY SITUATED HEALTH SYSTEMS LOCALLY AND NATIONALLY, AND TO PERMIT THE CORPORATION AND SUCH AFFILIATES TO ATTRACT AND RETAIN SUPERIOR SENIOR MANAGEMENT, IN FURTHERANCE OF THE CORPORATION'S AND AFFILIATES PURPOSES. THE HUMAN RESOURCES AND COMPENSATION COMMITTEE SHALL HAVE, TO THE FULLEST EXTENT OF THE LAW, THE AUTHORITY TO APPROVE THE COMPENSATION PACKAGES FOR SENIOR MANAGEMENT OF THE CORPORATION AND THE AFFILIATES. IN ITS PROCESS, THE COMMITTEE SHALL OBTAIN AND MUST RELY UPON APPROPRIATE DATA AS TO COMPARABILITY PRIOR TO MAKING ITS DETERMINATION OF REASONABLENESS WITH RESPECT TO THE COMPENSATION ARRANGEMENTS OF DISQUALIFIED PERSONS. APPROPRIATE DATA INCLUDES, BUT IS NOT LIMITED TO, COMPENSATION LEVELS PAID BY SIMILARLY SITUATED ORGANIZATIONS, BOTH TAXABLE AND TAX-EXEMPT, FOR FUNCTIONALLY COMPARABLE POSITIONS; THE AVAILABILITY OF SIMILAR SERVICES IN THE GEOGRAPHIC AREA OF THE CORPORATION, CURRENT COMPENSATION SURVEYS COMPILED BY INDEPENDENT FIRMS; AND ACTUAL WRITTEN OFFERS FROM SIMILAR INSTITUTIONS COMPETING FOR THE SERVICES OF THE DISQUALIFIED PERSON. THE COMMITTEE MAY RELY UPON OPINIONS OF QUALIFIED LEGAL, ACCOUNTING, VALUATION AND EXECUTIVE COMPENSATION EXPERTS. CONTEMPORANEOUSLY WITH MAKING ITS DETERMINATION OF REASONABLENESS WITH RESPECT TO THE COMPENSATION ARRANGEMENT OF THE CEO AND DISQUALIFIED PERSONS, THE COMMITTEE SHALL DOCUMENT IN ITS MINUTES THE BASIS FOR ITS DECISIONS. A VERBAL REPORT IS PROVIDED TO THE BOARD BY THE CHAIR OF THE COMMITTEE. MINUTES ARE AVAILABLE FOR REVIEW UPON BOARD MEMBER REQUEST TO THE BOARD CHAIR. FORM 990, PART VI, SECTION C, LINE 19 THE HOSPITAL'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST AS REQUIRED. FORM 990, PART IX, LINE 11G PHYSICIANS' REMUNERATION: PROGRAM SERVICE EXPENSES 103,612,090. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 103,612,090. TESTING: PROGRAM SERVICE EXPENSES 4,169,347. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 4,169,347. REPAIRS & MAINTENANCE: PROGRAM SERVICE EXPENSES 5,075,783. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 5,075,783. OTHER FEES FOR SERVICE: PROGRAM SERVICE EXPENSES 16,599,312. MANAGEMENT AND GENERAL EXPENSES 17,400,565. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 33,999,877. FORM 990, PART XI, LINE 9: TRANSFER OF FUNDS BETWEEN ACH & AC -3,656,267. TRANSFER OF FUNDS BETWEEN ACH & ACCN -788,800. TRANSFER OF ASSETS BETWEEN ACH & ACF 244,326. FORM 990, PART XII, LINE 2C IT IS PART OF THE RESERVED POWERS OF ARKANSAS CHILDREN'S, INC. TO RETAIN, OVERSEE AND TERMINATE INDEPENDENT EXTERNAL AUDITORS TO AUDIT THE FINANCIAL STATEMENTS OF ACH OR OF ANY AFFILIATE. ONE OF THE STANDING COMMITTEES OF ARKANSAS CHILDREN'S, THE FINANCIAL PLANNING AND OVERSIGHT COMMITTEE, SHALL UNDERTAKE THE FOLLOWING DUTIES IN THE AREAS OF FINANCE AND AUDITS: (I) CAUSING TO BE PREPARED, AND SUBMIT TO THE BOARD OF DIRECTORS AT ITS LAST MEETING BEFORE THE END OF THE FISCAL YEAR, THE CAPITAL AND OPERATING BUDGETS OF THE CORPORATION, AS WELL AS THE CAPITAL AND OPERATING BUDGETS OF AFFILIATES; (II) EXAMINING THE MONTHLY FINANCIAL REPORTS OF THE HEALTH SYSTEM; (III) REVIEWING THE INTERNAL AUDITING FUNCTIONS OF THE HEALTH SYSTEM; (IV) ENGAGING AN EXTERNAL AUDIT FIRM, SUBJECT TO APPROVAL BY THE BOARD OF DIRECTORS; (V) REVIEWING WITH THE INDEPENDENT AUDITOR THE SCOPE AND PLANNING OF THE AUDIT PRIOR TO THE COMMENCEMENT OF THE AUDIT, AS WELL AS UPON COMPLETION OF THE AUDIT, REVIEWING AND DISCUSSING WITH THE INDEPENDENT AUDITOR ANY MATERIAL RISKS OR WEAKNESSES IN INTERNAL CONTROLS IDENTIFIED BY THE AUDITOR, ANY RESTRICTIONS ON THE SCOPE OF THE AUDITOR'S ACTIVITIES OR ACCESS TO REQUESTED INFORMATION, ANY SIGNIFICANT DISAGREEMENTS BETWEEN THE AUDITOR AND MANAGEMENT, AND THE ADEQUACY OF THE HEALTH SYSTEM'S ACCOUNTING AND FINANCIAL REPORTING PROCESSES; (VI) ANNUALLY CONSIDERING THE PERFORMANCE AND INDEPENDENCE OF THE INDEPENDENT AUDITOR; (VII) REVIEWING AND REPORTING TO THE BOARD ON THE ANNUAL AUDITED FINANCIAL STATEMENT OF THE HEALTH SYSTEM CERTIFIED BY THE CORPORATION'S CERTIFIED PUBLIC ACCOUNTANTS, TOGETHER WITH SUCH CERTIFIED PUBLIC ACCOUNTANTS' MANAGEMENT LETTER TO THE CORPORATION WHICH THE COMMITTEE SHALL REVIEW AND REPORT ON TO THE BOARD OF DIRECTORS; (VIII) SUGGESTING MEANS TO IMPROVE FISCAL ACCOUNTABILITY AND INTERNAL AUDIT PROCEDURES FOR THOSE AREAS IDENTIFIED AS REQUIRING IMPROVEMENT; (IX) PROVIDING OVERSIGHT FOR THE HEALTH SYSTEM'S CORPORATE COMPLIANCE PROGRAM, INCLUDING CORPORATE ETHICS AND COMPLIANCE WITH LEGAL AND REGULATORY REQUIREMENTS; AND (X) REPORTING ON THE FINANCIAL PLANNING AND OVERSIGHT COMMITTEE'S ACTIVITIES TO THE FULL BOARD. FORM 990, PART XII, LINE 3B THE CONSOLIDATED ORGANIZATION IS REQUIRED TO UNDERGO AN AUDIT AS SET FORTH IN THE SINGLE AUDIT ACT AND OMB CIRCULAR A-133 AND DID UNDERGO THAT REQUIRED AUDIT. ARKANSAS CHILDREN'S FOUNDATION 1 CHILDRENS WAY LITTLE ROCK AR 72202 710568795 FUNDRAISING AR 501(C)(3) LINE 7 ARKANSAS CHILDREN'S INC 0 ARKANSAS CHILDREN'S RESEARCH INSTITUTE 13 CHILDRENS WAY LITTLE ROCK AR 72202 710694931 RESEARCH AR 501(C)(3) LINE 7 ARKANSAS CHILDREN'S INC 0 ARKANSAS CHILDREN'S HOSPITAL AUXILIARY 1 CHILDRENS WAY LITTLE ROCK AR 72202 710606585 FUNDRAISING & VOLUNTEERS AR 501(C)(3) LINE 12A, I ARKANSAS CHILDREN'S INC THRU ARKANSAS CHILDREN'S HOSPITAL AND FOUNDATION 0 ARKANSAS CHILDREN'S NORTHWEST 1 CHILDRENS WAY LITTLE ROCK AR 72202 810817660 HOSPITAL AR 501(C)(3) LINE 3 ARKANSAS CHILDREN'S INC 0 ARKANSAS CHILDREN'S INC 1 CHILDRENS WAY LITTLE ROCK AR 72202 810801296 HEALTH CARE PARENT CORPORATION AR 501(C)(3) LINE 12B, II N/A 0 ARKANSAS CHILDREN'S MEDICAL GROUP 1 CHILDRENS WAY LITTLE ROCK AR 72202 820771462 HOSPITAL/PHYSICIAN SERVICES AR 501(C)(3) LINE 3 ARKANSAS CHILDREN'S INC 0 CHILDREN'S HEALTHCARE SYSTEM INC 1 CHILDRENS WAY LITTLE ROCK AR 72202 586304957 MANAGEMENT SERVICES AR N/A C 275539 854062 0.50000 0 ARKANSAS CHILDREN'S CARE NETWORK 1 CHILDRENS WAY LITTLE ROCK AR 72202 371854930 CLINICALLY INTEGRATED NETWORK AR N/A C 0 SACOVA INSURANCE COMPANY LTD 18 FORUM LANE 2ND FLOOR CAMANA BAY GRAND CAYMAN CJ KY1-1102 981472934 CAPTIVE INSURANCE COMPANY CJ N/A C 0 0 1 1 1 1 0 1 0 0 1 0 1 1 1 1 1 1 1 1 SCHEDULE R, PART V, LINE 1E ACH AND ARKANSAS CHILDREN'S FOUNDATION GUARANTEE THE OUTSTANDING BOND INDENTURES.