2026-05-05T14:03:21-05:00 2025-06-30 135565207 KPMG LLP 301 MAIN ST ONE AMERICAN PL STE 2150 BATON ROUGE LA 708011705 990 2024-07-01 810817660 ARKANSAS CHILDREN'S NORTHWEST INC ARKA 4797256800 1 CHILDRENS WAY LITTLE ROCK AR 72202 MARCELLA DODERER PRESIDENT & CEO 5013648000 2026-05-05 1 1 RYAN HOOKS P00746825 2253444000 2024 2025-03-06 01:10:19Z MARCELLA DODERER 1 CHILDRENS WAY LITTLE ROCK AR 72202 143967490 0 X WWW.ARCHILDRENS.ORG X 2015 AR WE CHAMPION CHILDREN BY MAKING THEM BETTER TODAY AND HEALTHIER TOMORROW. 15 12 821 408 0 0 11399022 14307126 112953289 125138920 3064936 2912304 1412508 1561053 128829755 143919403 8532659 11253639 0 0 47862134 53216560 0 0 0 61921969 66858205 118316762 131328404 10512993 12590999 248875154 258674305 86730146 83870508 162145008 174803797 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 111262879 11253639 125463453 ARKANSAS CHILDREN'S NORTHWEST (ACNW) IS A PEDIATRIC HOSPITAL LOCATED IN SPRINGDALE, ARKANSAS THAT OPENED ON FEBRUARY 27, 2018. THE HOSPITAL INCLUDES INPATIENT BEDS, EMERGENCY CARE, DIAGNOSTIC SERVICES AND CLINIC SPACE. THE 37-ACRE CAMPUS INCLUDES NATURE TRAILS AND GARDENS FOR PATIENTS AND THEIR FAMILIES. DURING THE YEAR ENDED JUNE 30, 2025, ACNW'S UTILIZATION WAS AS FOLLOWS: 4,715 ADMISSIONS WITH AN AVERAGE STAY OF 1.97 DAYS; 8,624 PATIENT DAYS; 23.6 AVERAGE DAILY CENSUS; 92,768 OUTPATIENT VISITS, EXCLUDING ER VISITS WHICH WERE 46,164; AND 6,749 SURGERIES. CONTINUED ON SCHEDULE O.ACNW, THE FIRST AND ONLY PEDIATRIC HOSPITAL IN THE NORTHWEST ARKANSAS REGION, IS A LEVEL IV PEDIATRIC TRAUMA CENTER. ACNW OPERATES AN INPATIENT UNIT THAT WILL EXPAND IN 2026; A SURGICAL UNIT WITH FIVE OPERATING ROOMS; OUTPATIENT CLINICS OFFERING OVER 20 SUBSPECIALTIES; DIAGNOSTIC SERVICES; IMAGING CAPABILITIES; OCCUPATIONAL THERAPY SERVICES; AND NORTHWEST ARKANSAS' ONLY PEDIATRIC EMERGENCY DEPARTMENT. 111262879 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 0 1 0 0 0 0 0 1 0 0 0 1 58 0 1 821 1 0 0 0 0 0 0 0 0 0 0 0 0 X 15 12 1 1 1 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 X BRANDON YODER 5013643489 1 CHILDRENS WAY LITTLE ROCK AR 72202 MARCELLA DODERER PRESIDENT AND CEO 0.42 56.65 X X 0 2393424 318888 RON CLARK TRUSTEE/DIRECTOR 0.13 0.39 X 0 0 0 HARRY C ERWIN TRUSTEE/DIRECTOR (PART YR) 0.00 0.44 X 0 0 0 GARY GEORGE TRUSTEE/DIRECTOR 0.23 0.36 X 0 0 0 KEVIN HINKLE TRUSTEE/DIRECTOR-CHIEF OF MED STAFF 0.42 54.08 X 0 317026 58983 NICK HOBBS TRUSTEE/DIRECTOR 0.13 0.00 X 0 0 0 SILVIA AZRAI KAWAS TRUSTEE/DIRECTOR 0.06 0.00 X 0 0 0 AARON MARSHALL TRUSTEE/DIRECTOR 0.31 0.08 X 0 0 0 PAT MCCLELLAND TRUSTEE/DIRECTOR 0.38 0.49 X 0 0 0 CHARLES REDFIELD TRUSTEE/DIRECTOR 0.05 0.06 X 0 0 0 JOHN SPOLLEN MD TRUSTEE/DIRECTOR 0.27 0.00 X 0 0 0 STEVE STAFFORD TRUSTEE/DIRECTOR 0.22 0.08 X 0 0 0 CELIA SWANSON TRUSTEE/DIRECTOR 0.42 0.47 X 0 0 0 KC TUCKER VICE CHAIR 0.41 0.08 X X 0 0 0 BARBARA TYSON TRUSTEE/DIRECTOR 0.05 0.00 X 0 0 0 NOEL WHITE CHAIR OF THE BOARD 0.24 0.00 X X 0 0 0 GENA WINGFIELD EVP/CFO 0.04 48.82 X 0 928094 110158 FREDERICK BARR EVP/CHIEF CLIN & ACAD OFCR(PART YR) 6.00 54.35 X 0 810459 26645 CINDY MARTIN VP PRACTICE PLAN-AR CHILDREN'S 5.00 45.00 X 0 308343 26818 JAMIE WIGGINS EVP/COO 0.00 50.10 X 0 872317 95674 LE'KITA BROWN REVENUE CYCLE VP 0.00 50.00 X 0 401120 24692 CINDY HILL FINANCIAL SERVICES VP 0.00 55.00 X 0 369172 26370 RUSTIN MORSE SVP/ACNW CHIEF ADMINISTRATOR 55.00 0.00 X 314762 0 4814 MICHAEL HOWARD DIRECTOR OF OPERATIONS 45.00 0.00 X 267708 0 24649 JAMALEE HUNTLEY PHARMACY DIRECTOR 45.00 0.00 X 197776 0 18566 MARIA WLEKLINSKI DIRECTOR PATIENT CARE SERVICES 50.00 0.00 X 156682 0 17153 SARAH SMITH AMBULATORY SERVICES DIRECTOR 45.00 0.00 X 175097 0 5768 JEFFREY WILLIAMS PHARMACY COORDINATOR 45.00 0.00 X 166581 0 26856 MELISSA BALLARD RN III 50.00 0.00 X 143193 0 23477 DANIEL PRICE STAFF PHARMACIST 40.00 0.00 X 143055 0 14166 NICOLE HUDDLESTON DIRECTOR OF OPERATIONS 45.00 0.00 X 141990 0 11116 SHANNON HENDRIX FORMER ACNW CHIEF ADMIN 0.00 0.00 X 265543 0 4300 1972387 6399955 839093 48 1 1 1 NABHOLZ CONSTRUCTION CORP PO BOX 2090 CONWAY AR 72033 GENERAL CONSTRUCTION CONTRACTOR 11804553 COMPASS ONE PO BOX 102289 ATLANTA GA 30368 CAFETERIA SERVICES 2591564 CROTHALL HEALTHCARE 13028 COLLECTION CENTER DRIVE CHICAGO IL 60693 PATIENT TRANSPORT/EVS/LINEN SERVICES 1987474 POLK STANLEY WILCOX ARCHITECTS 801 S SPRING STREET LITTLE ROCK AR 72201 ARCHITECT SERVICES 1731621 ALLIED UNIVERSAL SECURITY SERVICES PO BOX 828854 PHILADELPHIA PA 19182 SECURITY SERVICES 1262005 28 14232097 75029 14307126 PMTS FOR MEDICAL SVCS 622110 125138920 125138920 125138920 2960391 2960391 48087 -48087 -48087 -48087 NUTRITIONAL SERVICES 622110 951899 951899 GIFT SHOP 459420 284621 284621 324533 324533 1561053 143919403 125463453 0 4148824 X 11149859 11149859 103780 103780 1757757 1011964 745793 42849864 39512525 3337339 8608939 7851862 757077 6225794 2760701 3465093 10090 10090 19040119 16528233 2511886 383539 33331 350208 1532893 1304087 228806 3843168 1228344 2614824 2043834 768178 1275656 161631 119059 42572 59163 49865 9298 2451904 2451904 7980093 6421670 1558423 761378 392892 368486 MEDICAL SUPPLIES 21547098 21451352 95746 MISC ADMIN EXPENSES 391967 336850 55117 DUES & SUBSCRIPTIONS 221289 65154 156135 MINOR EQUIPMENT 204245 173173 31072 131328404 111262879 20065525 0 54245115 43485101 16230105 18779814 1180408 1445059 1232566 1504303 193880935 62867676 117601554 131013259 1829613 1836450 56555793 60610319 248875154 258674305 10912723 10218758 65284416 62219048 10533007 11432702 86730146 83870508 X 141944007 160599115 20201001 14204682 162145008 174803797 248875154 258674305 X 12590999 22448 45342 X X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 11375511 58144 1327893 392986 12368562 9411167 1346986 970401 353043 11375511 6967104 1740548 963065 259550 9411167 6032250 1854372 -666773 252745 6967104 4895940 71460 1332000 267150 6032250 0.00000 0.42380 0.57620 0 1 1 7940000 7940000 130715973 38894199 91821774 29079719 23862649 5217070 26145243 110828 26034415 131013259 MEDICAID RECEIVABLE 42738915 OTHER RECEIVABLES 435758 OPERATING LEASES 11409412 DUE FROM AFFILIATES 6018728 GRANT RECEIVABLE 7506 60610319 OPERATING LEASE - NONCURRENT 10581724 OPERATING LEASE - CURRENT 827687 CAPITAL LEASE OBLIGATIONS 23291 11432702 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 IS COMPRISED OF THE CONSOLIDATED FINANCIAL STATEMENTS OF ARKANSAS CHILDREN'S, INC., ARKANSAS CHILDREN'S HOSPITAL, ARKANSAS CHILDREN'S FOUNDATION, ARKANSAS CHILDREN'S RESEARCH INSTITUTE, ARKANSAS CHILDREN'S NORTHWEST, ARKANSAS CHILDREN'S CARE NETWORK, ARKANSAS CHILDREN'S MEDICAL GROUP, AND SACOVA INSURANCE COMPANY (COLLECTIVELY, ARKANSAS CHILDREN'S). FOOTNOTE: ARKANSAS CHILDREN'S APPLIES FASB ASC TOPIC 740 (TOPIC 740), INCOME TAXES. TOPIC 740 CLARIFIES THE ACCOUNTING FOR UNCERTAINTY IN INCOME TAX POSITIONS AND PROVIDES GUIDANCE ON WHEN TAX POSITIONS ARE RECOGNIZED IN AN ENTITY'S FINANCIAL STATEMENTS AND HOW THE VALUES OF THESE POSITIONS ARE DETERMINED. MANAGEMENT HAS ANALYZED THE TAX POSITIONS TAKEN BY ARKANSAS CHILDREN'S AND HAS CONCLUDED THAT AS OF JUNE 30, 2025 AND 2024, THERE ARE NO UNCERTAIN POSITIONS TAKEN OR EXPECTED TO BE TAKEN THAT WOULD REQUIRE RECOGNITION OF A LIABILITY (OR ASSET) OR DISCLOSURE IN THE CONSOLIDATED FINANCIAL STATEMENTS. 1 1 1 X 250.000000000000 1 X 0 1 0 0 4440962 4440962 0.03380 76245823 64327162 11918661 0.09080 80686785 64327162 16359623 0.12460 1084390 29994 1054396 0.00800 82690 82690 0.00060 15416512 4283177 11133335 0.08480 11143959 400 11143559 0.08490 27727551 4313571 23413980 0.17830 108414336 68640733 39773603 0.30290 5900 5900 0.00000 5900 5900 0.00000 1 2073319 80961 89432 -8471 X 1 1 1 1 ARKANSAS CHILDREN'S NORTHWEST 2601 GENE GEORGE BLVD SPRINGDALE AR 72762 WWW.ARCHILDRENS.ORG AR5392 X X X X ARKANSAS CHILDREN'S NORTHWEST 1 0 0 1 X X X X X X X X X X 24 1 1 1 1 X HTTPS://WWW.ARCHILDRENS.ORG/RESOURCES/COMMUNITY-NEEDS-ASSESSMENT X X 1 25 1 HTTPS://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 NORTHWEST PART V, SECTION B, LINE 3J: ARKANSAS CHILDREN'S NORTHWEST (ACNW) IS A PRIVATE, NONPROFIT HOSPITAL WITHIN ARKANSAS CHILDREN'S, INC., WHICH IS THE ONLY HEALTHCARE SYSTEM IN THE STATE SOLELY DEDICATED TO CARING FOR THE CHILDREN OF ARKANSAS. ARKANSAS CHILDREN'S, INC. IS A PRIVATE, NON-PROFIT ORGANIZATION THAT INCLUDES TWO PEDIATRIC HOSPITALS, A PEDIATRIC RESEARCH INSTITUTE, A USDA NUTRITION CENTER, A NATIONAL CENTER FOR OPIOID RESEARCH (NCOR), A PHILANTHROPIC FOUNDATION, A NURSERY ALLIANCE, STATEWIDE CLINICS, AND MANY EDUCATION AND OUTREACH PROGRAMS. ACNW, THE FIRST AND ONLY PEDIATRIC HOSPITAL IN THE NORTHWEST ARKANSAS REGION, OPENED IN SPRINGDALE IN EARLY 2018. ACNW DEFINES THE COMMUNITY IT SERVES AS ALL CHILDREN FROM BIRTH TO AGE 21 IN NORTHWEST ARKANSAS, INCLUDING THE COUNTIES OF BENTON, BOONE, CARROLL, CRAWFORD, FRANKLIN, JOHNSON, LOGAN, MADISON, NEWTON, SEBASTIAN, WASHINGTON, AS WELL AS FOUR COUNTIES IN EASTERN OKLAHOMA: ADAIR, DELAWARE, LE FLORE, AND SEQUOYAH. IN 2025, THIS INCLUDED MORE THAN 200,000 CHILDREN UNDER AGE 18 IN THIS REGION. THE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) INCLUDES INFORMATION ABOUT THE NATURAL WONDERS PARTNERSHIP COUNCIL, A DIVERSE COALITION OF CHILD HEALTH ORGANIZATIONS THAT WORK TOGETHER TO IMPROVE CHILD HEALTH. ARKANSAS CHILDREN'S CHNA'S INFORM THE GOALS AND ACTION PLANS OF THE NATURAL WONDERS PARTNERSHIP COUNCIL. IN LIMITED CASES, ACNW INCLUDED ADULT DATA IN THE CHNA TO HELP DEVELOP A CLEARER PICTURE OF SPECIFIC ISSUES. THE REPORT ALSO CONTAINS "BIG IDEAS" FROM COMMUNITY STAKEHOLDERS TO HELP INSPIRE THE WORK THAT RESULTS FROM THE CHNA. ARKANSAS CHILDREN'S NORTHWEST PART V, SECTION B, LINE 5: ARKANSAS CHILDREN'S COMMUNITY ENGAGEMENT, ADVOCACY, AND HEALTH DIVISION CONDUCTED THE 2025 STATEWIDE CHNA. ARKANSAS CHILDREN'S CONTRACTED WITH BOYETTE STRATEGIC ADVISORS AND ETC INSTITUTE FOR PORTIONS OF THE CHNA. THIS TEAM REVIEWED ALL IRS REQUIREMENTS FOR THE 2025 ASSESSMENT AND DEVELOPED A REVISED, THOROUGH PROCESS FOR COLLECTING AND ANALYZING PRIMARY AND SECONDARY DATA TO INFORM DECISIONS ON CURRENT CHILDREN'S HEALTH NEEDS IN ARKANSAS. A WIDE VARIETY OF PUBLIC HEALTH AND CHILD HEALTH STAKEHOLDERS PROVIDED INPUT, REVIEWED AND VETTED THE METHODS, DATA, PRIORITIZATION PROCESS, AND FINDINGS OF THE ASSESSMENT.BOYETTE BEGAN COLLECTING AND MONITORING SECONDARY DATA IN MARCH 2024, WHILE PRIMARY DATA COLLECTION COMMENCED IN THE SUMMER OF 2024. ONE THOUSAND ONE HUNDRED FORTY-FIVE PARTICIPANTS SHARED THEIR PERSPECTIVES ON ARKANSAS' MOST CRITICAL CHILD HEALTH ISSUES THROUGH PRIMARY DATA COLLECTION AND COMMUNITY LISTENING. THIRTY-FOUR PERCENT OF PARTICIPANTS PROVIDED FEEDBACK SPECIFIC TO THE ACNW COMMUNITY. STAKEHOLDERS PROVIDED FEEDBACK THROUGH PARTICIPATION IN FOCUS GROUPS, KEY INFORMANT INTERVIEWS, OR A DIGITAL SURVEY FOR PARENTS AND CAREGIVERS. IN ADDITION, ONE OF THE GOALS FOR THE 2025 CHNA WAS TO INCORPORATE YOUTH OPINIONS AND VOICES. IN THE FALL OF 2024, ARKANSAS CHILDREN'S LAUNCHED AN ONLINE YOUTH SURVEY TO CAPTURE THIS FEEDBACK. ARKANSAS CHILDREN'S PARTNERED WITH THE ETC INSTITUTE IN THE SUMMER OF 2024 TO SURVEY PARENTS AND CAREGIVERS ABOUT THE HEALTH NEEDS OF CHILDREN IN ARKANSAS AND EASTERN OKLAHOMA. IN SEPTEMBER AND OCTOBER 2024, ETC COLLECTED 201 RESPONSES FROM A REPRESENTATIVE SAMPLE OF HOUSEHOLDS WITH INFANTS AND CHILDREN FROM BIRTH TO AGE EIGHTEEN IN NORTHWEST ARKANSAS AND EASTERN OKLAHOMA. WITH A 95% CONFIDENCE LEVEL, THE MARGIN OF ERROR FOR THIS SAMPLE WAS +/-3.8.ARKANSAS CHILDREN'S MODELED THE QUESTIONNAIRE FOR THE YOUTH LISTENING SURVEY AFTER THE PARENT AND CAREGIVER SURVEY AND FIELDED IT IN THE FALL OF 2024. WITH SUPPORT FROM COMMUNITY PARTNERS ACROSS THE STATE, THE TEAM RECRUITED YOUTH AGES 12-18 AND COLLECTED 89 SURVEYS FROM THE ACNW COMMUNITY. NEARLY TWO-THIRDS OF RESPONDENTS WERE FEMALE. THE CHNA TEAM REVIEWED RESPONSES AND CODED OPEN-ENDED FEEDBACK TO IDENTIFY THEMES AND KEY FINDINGS FOR THIS REPORT. ARKANSAS CHILDREN'S WILL FURTHER DEVELOP THIS ASSESSMENT COMPONENT IN THE FUTURE. FOR THE KEY INFORMANT INTERVIEWS, THE CHNA TEAM IDENTIFIED AND INTERVIEWED 28 SUBJECT MATTER EXPERTS IN AUGUST AND SEPTEMBER 2024 VIA ZOOM. THESE EXPERTS INCLUDED MEDICAL PROVIDERS, POLICY OFFICIALS, COMMUNITY LEADERS AND ARKANSAS CHILDREN'S SENIOR LEADERSHIP, WHO OFTEN HAD A STATEWIDE LENS AND COULD SPEAK TO KEY ISSUES IN ARKANSAS OR OKLAHOMA. EIGHTEEN PERCENT OF STAKEHOLDERS INTERVIEWED HAD SPECIFIC EXPERTISE RELEVANT TO THE ACNW COMMUNITY. THE CHNA TEAM ASKED THE KEY INFORMANTS ABOUT PEDIATRIC HEALTH NEEDS OBSERVED IN THEIR WORK AND THEY DESCRIBED ADDITIONAL CONCERNS AFFECTING CHILDREN'S HEALTH AND QUALITY OF LIFE IN THE REGION. BOYETTE ANALYZED THE INTERVIEWS BY IDENTIFYING RECURRING THEMES AND ORGANIZING NOTES TO ASSESS THE FREQUENCY AND DEPTH OF CONCERNS. THE ANALYSIS REVEALED SEVERAL OVERLAPPING ISSUES, PARTICULARLY WITH BARRIERS TO ACCESSING QUALITY MEDICAL CARE. BOYETTE THEN PROVIDED THE ARKANSAS CHILDREN'S TEAM WITH A SUMMARY OF THE FINDINGS, SUPPORTED BY REPRESENTATIVE QUOTES FROM THE INTERVIEWS. THE CHNA TEAM CONDUCTED A SERIES OF VIRTUAL AND IN-PERSON FOCUS GROUPS TO GATHER ADDITIONAL STAKEHOLDER INPUT, COMPLETING 26 GROUPS WITH A TOTAL OF 314 PARTICIPANTS. STAKEHOLDERS INCLUDED PHYSICIANS, COMMUNITY-ENGAGED TEAM MEMBERS, THE ARKANSAS INFANT AND CHILD DEATH REVIEW STATE PANEL, THE NATURAL WONDERS PARTNERSHIP COUNCIL, PARENTS AND CAREGIVERS, EDUCATORS, MEDICAL PROVIDERS AND COMMUNITY LEADERS. OF THE 26 GROUPS, THE TEAM HELD NINE IN PERSON AND CONDUCTED 17 VIRTUALLY; FOUR ENGAGED HISPANIC PARTICIPANTS AND ONE ENGAGED THE MARSHALLESE COMMUNITY. TWENTY-TWO PERCENT OF FOCUS GROUP PARTICIPANTS LIVE IN THE ACNW COMMUNITY. THE TEAM USED A SNOWBALL RECRUITMENT APPROACH TO ENSURE BROAD AND DIVERSE PARTICIPATION, DISTRIBUTING EMAIL INVITATIONS AND PROMOTIONAL FLYERS AND INCORPORATING FEEDBACK OPPORTUNITIES INTO EXISTING PARTNER MEETINGS. THE TEAM DEVELOPED A STRUCTURED FOCUS GROUP GUIDE THAT INCLUDED INTRODUCTORY LANGUAGE, INSTANT POLL QUESTIONS AND TOPIC PROMPTS. FACILITATORS OPENED CONVERSATIONS WITH GENERAL QUESTIONS TO GATHER PARTICIPANTS' THOUGHTS ABOUT THE STATUS OF CHILDREN IN ARKANSAS, FOLLOWED BY MORE SPECIFIC EXPLORATION AROUND THE SOCIAL CONDITIONS THAT IMPACT HEALTH, ACCESS TO CLINICAL CARE AND THE QUALITY OF THAT CARE, PHYSICAL ENVIRONMENT, SOCIAL AND ECONOMIC FACTORS AFFECTING HEALTH AND HEALTH BEHAVIORS. FACILITATORS CONCLUDED EACH SESSION WITH AN INVITATION FOR PARTICIPANTS TO SHARE IDEAS FOR IMPROVING CHILDREN'S HEALTH IN A SCENARIO WHERE THEIR RESOURCES WERE UNLIMITED. THE TEAM ANALYZED FOCUS GROUPS USING BOTH INDUCTIVE AND DEDUCTIVE METHODS. A NOTE-TAKER RECORDED VERBATIM COMMENTS AND DOCUMENTED GROUP DYNAMICS WHILE ALSO RECORDING. THE TEAM IDENTIFIED EMERGING THEMES, CODED FEEDBACK INTO SPECIFIC NEEDS AND SUB-THEMES AND USED THESE CODES TO GUIDE THE ANALYSIS. THE TEAM INCORPORATED INSTANT POLL QUESTIONS INTO 12 FOCUS GROUPS, WHICH MIRRORED THE PARENT AND CAREGIVER SURVEY AND ALLOWED PARTICIPANTS TO RESPOND AND SEE IMMEDIATE RESULTS. ARKANSAS CHILDREN'S NORTHWEST PART V, SECTION B, LINE 6A: THE ARKANSAS CHILDREN'S NORTHWEST CHNA WAS CONDUCTED IN PARTNERSHIP WITH ARKANSAS CHILDREN'S HOSPITAL. BOTH HOSPITALS ARE PART OF THE ARKANSAS CHILDREN'S SYSTEM, AND NORTHWEST ARKANSAS IS A SHARED COMMUNITY OF BOTH HOSPITALS. ARKANSAS CHILDREN'S NORTHWEST PART V, SECTION B, LINE 6B: THE ACNW NEEDS ASSESSMENT ENGAGED INDIVIDUALS AND ORGANIZATIONS THAT REPRESENT THE COMMUNITIES SERVED. MANY REPRESENTATIVES OF THE ORGANIZATIONS ARE PART OF THE NATURAL WONDERS PARTNERSHIP COUNCIL. THE CHNA TEAM ENGAGED SCHOOLS, PARENTS, CAREGIVERS AND A VARIETY OF ORGANIZATIONS TO HELP DEFINE COMMUNITY NEEDS. THOSE ORGANIZATIONS INCLUDE:-ARKANSAS CHILDREN'S HOSPITAL-ARKANSAS CHILDREN'S NORTHWEST-ARKANSAS CHILDREN'S CLINICAL NETWORK-ARKANSAS DEPARTMENT OF HEALTH-ARKANSAS DEPARTMENT OF EDUCATION DIVISION OF PRIMARY AND SECONDARY EDUCATION-ARKANSAS DEPARTMENT OF HUMAN SERVICES-ARKANSAS MINORITY HEALTH COMMISSION-ARKANSAS RURAL HEALTH PARTNERSHIP-ARKANSAS COMMISSION ON CHILD ABUSE, RAPE AND DOMESTIC VIOLENCE-ARKANSAS COALITION OF MARSHALLESE-ARKANSAS HUNGER RELIEF ALLIANCE-ARKANSAS ADVOCATES FOR CHILDREN AND FAMILIES-IMMUNIZE ARKANSAS-MARSHALLESE EDUCATIONAL INITIATIVE -SCHOOL-BASED HEALTH ALLIANCE OF ARKANSAS-THE ARKANSAS FOOD BANK-THE NORTHWEST ARKANSAS FOOD BANK-THE UNIVERSITY OF ARKANSAS FOR MEDICAL SCIENCES (UAMS)-THE ARKANSAS FOUNDATION FOR MEDICAL CARE (AFMC)-HEALTH POLICY ORGANIZATIONS, INCLUDING THE ARKANSAS CENTER FOR HEALTH IMPROVEMENT-HEALTH CARE PROVIDERS, INCLUDING PEDIATRICIANS, FAMILY PRACTICE PHYSICIANS AND NURSES-HEALTH RESEARCHERS-NONPROFIT ORGANIZATIONS PROVIDING DIRECT SERVICES-PRIVATE HEALTH INSURANCE COMPANIES-FAITH COMMUNITY REPRESENTATIVES-LOW-INCOME LEGAL SERVICES ORGANIZATIONS-PRIVATE FOUNDATIONS LIKE THE ARKANSAS COMMUNITY FOUNDATION-THE ARKANSAS CAMPAIGN FOR GRADE-LEVEL READING-PRIVATE INDUSTRIES RANGING FROM PHARMACEUTICAL COMPANIES TO CHAMBERS OF COMMERCE-PARENTS AND CAREGIVERS-EDUCATORS-COMMUNITY LEADERS ARKANSAS CHILDREN'S NORTHWEST PART V, SECTION B, LINE 7D: PRESENTATIONS ON THE FINDINGS FROM THE 2025 ACNW CHNA HAVE BEEN PROVIDED TO THE STAKEHOLDER GROUPS LISTED BELOW AND WILL CONTINUE TO BE OFFERED OVER THE COMING YEARS. -THE ARKANSAS CHILDREN'S RESEARCH INSTITUTE - THE LINK -UNIVERSITY OF CENTRAL ARKANSAS - DEPARTMENT OF HEALTH SCIENCES, ENVIRONMENTAL HEALTH COURSE -THE NATURAL WONDERS PARTNERSHIP COUNCIL GENERAL MEMBERSHIP-THE NATURAL WONDERS CHILDHOOD IMMUNIZATIONS WORKGROUP-THE NATURAL WONDERS PARTNERSHIP COUNCIL LEADERSHIP TEAM-ARKANSAS DEPARTMENT OF HEALTH GRAND ROUNDS -VESTIDO ROJO-VARIOUS SCHOOL DISTRICTS-LITTLE PATIENTS, BIG TOPICS: DOP LECTURE SERIES (UAMS PHYSICIANS)-ARKANSAS CHILDREN'S STAFF-TOWN HALL STAFF AND VOLUNTEERS ARKANSAS CHILDREN'S NORTHWEST PART V, SECTION B, LINE 11: COMMUNITY HEALTH IMPROVEMENT INTRODUCTION: ARKANSAS CHILDREN'S USED A RATING AND WEIGHTING INDEX FOR THE 2025 CHNA, DESCRIBED ON PAGE 18 OF THE CHNA, TO PRIORITIZE THE COMMUNITY HEALTH NEEDS THAT EMERGED FROM THE ASSESSMENT. SEVERAL SIGNIFICANT CHILD HEALTH NEEDS WERE IDENTIFIED THROUGH THIS PROCESS, INCLUDING WELL-CHILD CARE (ACCESS TO CARE AND PREVENTIVE CARE), BEHAVIORAL AND MENTAL HEALTH, NUTRITION SECURITY, MATERNAL AND INFANT HEALTH, CHILD MALTREATMENT PREVENTION, SUBSTANCE USE PREVENTION, INJURY PREVENTION AND VIOLENCE PREVENTION.THE CHNA TEAM USED A RATING AND WEIGHTING METHODOLOGY AND DETERMINED TWO PRIORITY AREAS: WELL-CHILD CARE (WHICH INCLUDES ACCESS TO CARE AND PREVENTIVE CARE) AND BEHAVIORAL & MENTAL HEALTH. THE TEAM ALSO IDENTIFIED FINANCIAL HARDSHIP AS THE MODERATOR OF HEALTH. ACNW WILL WORK TO ADDRESS THE SAID PRIORITIES AND THE MODERATOR OF HEALTH OVER THE NEXT THREE YEARS, BASED ON THESE SCORING RESULTS. AS ACNW CONDUCTED THE 2025 CHNA DURING TAX YEAR 2024/FISCAL YEAR 2025, THE WORK CONTINUED TO ADDRESS HEALTH NEEDS IDENTIFIED IN THE 2022 CHNA AND OUTLINED IN THE 2023-2025 IMPLEMENTATION STRATEGY. THE FOLLOWING INFORMATION UPDATES THE ACTIONS AND WORK THAT TOOK PLACE DURING FY25 FOR EACH OF THE 2022 CHNA PRIORITIZED HEALTH ISSUES BELOW.(1) PRIMARY PRIORITY: BEHAVIORAL AND MENTAL HEALTHARKANSAS CHILDREN'S AND THE UNIVERSITY OF ARKANSAS FOR MEDICAL SCIENCES (UAMS) PARTNERED TO CONTINUE THE ARKANSAS MENTAL HEALTH ACCESS FOR PEDIATRIC PRIMARY CARE (ARMAPP) PROGRAM IN FISCAL YEAR 2025. THIS PROGRAM USED A CURRICULUM THAT ADDRESSES MENTAL AND BEHAVIORAL HEALTH EDUCATION THROUGH THE IECHO PLATFORM AND A TELEHEALTH CONSULTATION PROCESS FOR PRIMARY CARE PROVIDERS ACROSS THE STATE. THE TEAM PROVIDED 49 PROVIDER CONSULTATIONS AND HELD 11 MONTHLY EDUCATIONAL SESSIONS, WITH EACH SESSION REACHING APPROXIMATELY 93 PROVIDERS. THE HEALTH RESOURCES AND SERVICES ADMINISTRATION (HRSA) AWARDED A GRANT TO SUPPORT THIS WORK.IN ADDITION, THIS NEED WAS ADDRESSED THROUGH THE ARKANSAS CHILDREN'S CENTER FOR GOOD MOURNING AND THE DEPARTMENT OF COMMUNITY IMPACT. THE CENTER FOR GOOD MOURNING STRIVES TO PROVIDE, IMPROVE AND INCREASE SUPPORT AND ASSISTANCE FOR BEREAVED CHILDREN AND FAMILIES IN ARKANSAS THROUGH EDUCATION, PROGRAM DEVELOPMENT AND GRIEF SUPPORT PROGRAMS. FROM AN E-NEWSLETTER (THE MOURNING NEWS) TO GRIEF SUPPORT GROUPS AND GRIEF RESOURCES, THE GRIEF PROGRAMMING OFFERED IS FREE-OF-CHARGE FOR FAMILIES AND GROUPS ACROSS THE STATE. IN FY25, 50 PRESENTATIONS WERE GIVEN TO MORE THAN 926 COMMUNITY ATTENDEES THROUGH THIS PROGRAM.ARKANSAS CHILDREN'S AWARDED FUNDS TO ORGANIZATIONS THAT TRAINED YOUTH MENTAL HEALTH FIRST AID FOR RURAL EMERGENCY DEPARTMENTS AND FEDERALLY QUALIFIED HEALTH CENTERS. THE FUNDING ALSO SUPPORTED TRAINING FOR THE STATE'S FIRST SPANISH-SPEAKING YOUTH MENTAL HEALTH FIRST AID INSTRUCTORS BASED IN NORTHWEST ARKANSAS. ARKANSAS CHILDREN'S ALSO SUPPORTED MENTAL HEALTH EDUCATION FOR SCHOOL NURSES THROUGH THE ARKANSAS SCHOOL NURSE VODCAST. THE VODCAST, ESTABLISHED THROUGH A MULTI-AGENCY, COLLABORATIVE PARTNERSHIP BETWEEN ARKANSAS CHILDREN'S, THE ARKANSAS DEPARTMENT OF EDUCATION AND THE ARKANSAS DEPARTMENT OF HEALTH, RESPONDS TO THE NEED TO SUPPORT SCHOOL NURSES' PROFESSIONAL DEVELOPMENT BY PROVIDING SKILLS-BASED COURSES THAT ADDRESS CURRENT PROCEDURES AND TOPICS AND HELP SUPPORT CHILD HEALTH NEEDS. THE FY25 SCHOOL NURSE VODCAST TRAINED SCHOOL NURSES ON ADHD. THE TRAINING REACHED 167 SCHOOL PARTICIPANTS FROM 95 SCHOOL DISTRICTS AND CONNECTED WITH COMMUNITIES IN ALL FOUR CORNERS OF THE STATE. BEFORE THE TRAINING, NURSES REPORTED THAT THEY OFTEN LISTENED ONLY TO ADDRESS THE ISSUES THEIR STUDENTS REPORTED EXPERIENCING, SUCH AS HEADACHES, STOMACHACHES, OR FATIGUE. AFTER THE TRAINING, NURSES REPORTED THEY SEE THE NEED TO LISTEN AND DIG DEEPER TO UNDERSTAND A STUDENT'S UNDERLYING SITUATION, SUCH AS FOOD INSECURITY, DEPRESSION, ANXIETY OR ISSUES AT HOME THAT CONTRIBUTE TO THE PHYSICAL SYMPTOMS STUDENTS PRESENT IN THEIR OFFICES.THE 2023-2025 ACNW IMPLEMENTATION STRATEGY OUTLINED ACTION STEPS TO ADDRESS THESE ISSUES, WITH THE FIRST BEING TO TEACH PARENTS, COMMUNITY MEMBERS AND HELPING PROFESSIONALS TO BE ADVOCATES FOR CHILDREN'S BEHAVIORAL AND MENTAL HEALTH THROUGH EDUCATION ON TOPICS LIKE BULLYING, SELF-HARM, SUICIDE PREVENTION AND EVIDENCE-BASED TRAININGS SUCH AS APPLIED SUICIDE INTERVENTION SKILLS TRAINING (ASIST). IN FY25, THERE WAS ONE ASIST TRAINING WITH NINE PARTICIPANTS. ARKANSAS CHILDREN'S BEHAVIORAL HEALTH RESOURCE COORDINATORS (BHRC) PROVIDE THE COMMUNITY ACCESS TO MENTAL HEALTH PROFESSIONALS WHO OFFER PERSONALIZED SUPPORT AND GUIDANCE AT NO COST WHEN FAMILIES ENCOUNTER BARRIERS TO BEHAVIORAL HEALTH SERVICES. BHRC'S HELP FAMILIES UNDERSTAND WHAT SERVICES ARE NEEDED, IDENTIFY APPROPRIATE AND AVAILABLE RESOURCES AND GUIDE THEM IN NAVIGATING BARRIERS TO CARE. BHRC'S RECEIVED 53 REFERRALS FROM THE NORTHWEST REGION.ARKANSAS CHILDREN'S SPONSORS ORGANIZATIONS THAT SUPPORT BEHAVIORAL AND MENTAL HEALTH NEEDS FOR CHILDREN. ARKANSAS CHILDREN'S SPONSORED THE AMERICAN FOUNDATION FOR SUICIDE PREVENTION, WHICH PROMOTES SUICIDE PREVENTION AWARENESS, COMMUNITY EDUCATION AND SUPPORT FOR INDIVIDUALS AND FAMILIES AFFECTED BY SUICIDE, AMONG OTHER ORGANIZATIONS. ALSO, ARKANSAS CHILDREN'S PROVIDED SUPPORT TO OTHER ORGANIZATIONS, SUCH AS CITY YEAR, WHICH PLACES SUCCESS COACHES IN SCHOOLS TO HELP IMPROVE STUDENT BEHAVIOR, ACADEMIC PERFORMANCE AND SOCIAL-EMOTIONAL DEVELOPMENT. (2) PRIMARY PRIORITY: IMMUNIZATIONSARKANSAS CONTINUES TO IMPROVE CHILDHOOD IMMUNIZATION RATES. HOWEVER, VACCINE HESITANCY, THE COVID-19 PANDEMIC AND LIMITED ACCESS TO AFFORDABLE VACCINES NEGATIVELY IMPACT ARKANSAS' IMMUNIZATION RATES.IN FY25, ACNW PRIMARY CARE NURSES WORKED WITH THE SPRINGDALE SCHOOL DISTRICT NURSE TO HOST VACCINES FOR CHILDREN (VFC) VACCINATION EVENTS IN LOCAL SCHOOLS. THE EVENTS TARGETED THE SCHOOLS WITH THE HIGHEST NEEDS, WHERE STUDENTS WERE MOST BEHIND ON IMMUNIZATIONS AND MOST QUALIFIED FOR THE VFC PROGRAM. THESE EVENTS RESULTED IN 57 VFC VACCINES ADMINISTERED TO 48 STUDENTS.ARKANSAS IMMUNIZATION ACTION COALITION, ALSO KNOWN AS IMMUNIZE-AR, IS A KEY PARTNER IN ADDRESSING IMMUNIZATION NEEDS. THIS STATEWIDE COALITION FOCUSES ON INCREASING IMMUNIZATION RATES IN ARKANSAS. IN FY25, ARKANSAS CHILDREN'S SPONSORED IMMUNIZE-AR TO PROVIDE TECHNICAL ASSISTANCE AND RECRUIT PHARMACIES TO BECOME VFC PROVIDERS. ARKANSAS CHILDREN'S ALSO SUPPORTED THE ARKANSAS CHAPTER OF THE AMERICAN ACADEMY OF PEDIATRICS FOR THEIR ANNUAL CONFERENCE FOCUSED ON IMMUNIZATIONS. SCHEDULE H, PART V, SECTION B, LINE 11 - CONTINUED (3) PRIMARY PRIORITY: FOOD INSECURITYARKANSAS CHILDREN'S USES A MULTIFACETED, SOCIO-ECOLOGICAL MODEL TO ADDRESS FOOD SECURITY THROUGH BEST PRACTICE CLINICAL INTERVENTIONS AND A PARTNERSHIP APPROACH IN COMMUNITIES TO SERVE PATIENTS, PATIENTS' FAMILIES, EMPLOYEES AND COMMUNITIES. PATIENTS' FAMILIES COMPLETE A SOCIAL DRIVERS OF HEALTH SCREENING WHEN THEY ENTER OUR SYSTEM AND ANNUALLY AFTER THAT. THE RESULTS BECOME PART OF THE ELECTRONIC MEDICAL RECORD AND WE OFFER ASSISTANCE THROUGH EMERGENCY GROCERY BAGS, SUPPORT WITH ENROLLING IN FOOD ASSISTANCE PROGRAMS SUCH AS SNAP AND WIC AND REFERRALS TO COMMUNITY FOOD PANTRIES. IN FY25, 203 EMERGENCY GROCERY BAGS WERE DISTRIBUTED TO PATIENT FAMILIES EXPERIENCING FOOD INSECURITY. IN ADDITION, ACNW FINANCIAL COUNSELORS SUPPORTED 21 FAMILIES WITH SNAP APPLICATIONS.ACNW PARTICIPATES IN THE USDA MEAL PROGRAM. IN FY25, ACNW PROVIDED 7,200 USDA MEALS TO CHILDREN FREE OF CHARGE THROUGH THE USDA SACK LUNCH PROGRAM.ACNW PROVIDED 15,676 CAREGIVER MEALS, OFFERING TWO COMPLIMENTARY MEALS PER PATIENT ROOM EACH DAY FOR LUNCH AND DINNER TO SUPPORT CAREGIVERS DURING THEIR CHILD'S HOSPITALIZATION. ACNW ALSO PROVIDED 17,803 GUEST MEALS TO BREASTFEEDING MOTHERS AND ADDITIONAL CAREGIVERS OR FAMILY MEMBERS WHEN NURSING STAFF DETERMINED THERE WAS A NEED FOR MEALS ORDERED FROM THE MENU.ARKANSAS CHILDREN'S USES A CLOSED-LOOP REFERRAL PLATFORM, ARKANSAS CHILDREN'S RESOURCE CONNECT (POWERED BY FINDHELP.ORG), TO CONNECT FAMILIES WITH FOOD PANTRIES AND OTHER RESOURCES IN THEIR COMMUNITIES. THIS PLATFORM LAUNCHED IN APRIL 2021 AND IS AVAILABLE FOR PATIENTS, FAMILIES AND STAFF AT ALL ARKANSAS CHILDREN'S CAMPUSES AND IS ALSO A PUBLIC COMMUNITY RESOURCE. MOST ACTIVITY COMES FROM EXTERNAL COMMUNITY MEMBERS AND COMMUNITY-BASED ORGANIZATIONS (CBO'S). IN FY25, USERS COMPLETED 8,021 SEARCHES ON THE PLATFORM IN THE ACNW REGION, MOST OFTEN FOR FOOD PANTRIES (484), UTILITY ASSISTANCE (275) AND HOUSING ASSISTANCE (215). THIS CLOSED-LOOP REFERRAL SYSTEM LETS CBO'S UPDATE THE STATUS OF EACH REFERRAL AND CONFIRM IF THE REFERRED PARTY RECEIVED HELP, WAS REFERRED ELSEWHERE, WAS NOT ELIGIBLE, COULD NOT BE CONTACTED, WAS NO LONGER INTERESTED OR COULD NOT BE HELPED DUE TO A LACK OF CAPACITY. THIS APPROACH HELPED US BETTER SERVE PATIENT FAMILIES AND THE COMMUNITY THROUGH RESOURCES AND PARTNERSHIPS. FOR ACNW, 458 REFERRALS WERE MADE ON THE PLATFORM, WITH 208 CLOSED LOOP. THIS DIGITAL PLATFORM IS CRITICAL TO ARKANSAS CHILDREN'S ABILITY TO CONNECT FAMILIES WITH THE RESOURCES THEY NEED, CLOSE TO HOME.ARKANSAS CHILDREN'S LEVERAGED PARTNERSHIPS TO ADDRESS FOOD INSECURITY IN THE STATE THROUGH CASH AND IN-KIND CONTRIBUTIONS. THESE CONTRIBUTIONS SUPPORTED NORTHWEST ARKANSAS ORGANIZATIONS THAT ADDRESS FOOD SECURITY, INCLUDING THE NORTHWEST ARKANSAS FOOD BANK AND TRI-CYCLE FARMS. THE PARTNERSHIP WITH THE NORTHWEST ARKANSAS FOOD BANK EQUIPPED THE ACNW HOSPITAL AND CLINICS TO PROVIDE EMERGENCY GROCERY PARCELS TO PATIENT FAMILIES WHO SCREEN AS BEING FOOD INSECURE DURING SOCIAL DRIVERS OF HEALTH SCREENINGS. TRI-CYCLE FARMS IS A COMMUNITY URBAN FARM THAT ADDRESSES FOOD INSECURITY BY GROWING AND TEACHING OTHERS TO GROW FOOD ON A 2-ACRE PLOT IN FAYETTEVILLE. THE ORGANIZATION SHARES FOOD WITH VOLUNTEERS, FOOD PANTRIES AND THE COMMUNITY, AND OPERATES A FOOD RECOVERY PROGRAM. THROUGH THE ACNW PARTNERSHIP, THEY PURCHASED EGG CARTONS TO DISTRIBUTE EGGS TO FAMILIES IN NEED.ARKANSAS CHILDREN'S TEAM MEMBERS PARTICIPATED IN THE NORTHWEST ARKANSAS COMMUNITY OF PRACTICE, FOCUSING ON SUSTAINING COLLABORATION AND PLANNING FOR LONG-TERM IMPACT AFTER THE PRIOR FUNDING ENDED. DURING THIS TIME, THE NORTHWEST ARKANSAS FOOD BANK AGREED TO SERVE AS THE LEAD ORGANIZATION AND FISCAL AGENT AND THE GROUP MET EVERY OTHER MONTH TO DEVELOP PROJECT PROPOSALS AND PLAN FUTURE INITIATIVES.(4) SECONDARY PRIORITY: INFANT HEALTHTHE SECONDARY PRIORITY OF INFANT HEALTH FOCUSES ON ADDRESSING INFANT MORTALITY AND TEEN PREGNANCY. ARKANSAS CHILDREN'S PARTNERS WITH ORGANIZATIONS ACROSS THE STATE TO ACHIEVE THESE GOALS. THE ARKANSAS HOME VISITING NETWORK (AHVN) IS A PARTNERSHIP BETWEEN ARKANSAS CHILDREN'S, THE ARKANSAS DEPARTMENT OF HEALTH, THE ARKANSAS DEPARTMENT OF HUMAN SERVICES AND THE ARKANSAS DEPARTMENT OF EDUCATION AND AIMS TO IMPROVE MATERNAL-CHILD HEALTH OUTCOMES. THE NETWORK IMPLEMENTS EIGHT EVIDENCE-BASED HOME VISITING PROGRAMS: EARLY HEAD START - HOME-BASED MODEL, FAMILY CONNECTS, FOLLOWING BABY BACK HOME, HEALTHY FAMILIES AMERICA, HOME INSTRUCTION FOR PARENTS OF PRESCHOOL YOUNGSTERS (HIPPY), NURSE-FAMILY PARTNERSHIP, PARENTS AS TEACHERS, AND SAFECARE. IN FY25, ACNW SERVED 879 FAMILIES WITH CHILDREN FROM THE PRENATAL PERIOD THROUGH AGE FIVE AND COMPLETED 11,663 HOME VISITS ACROSS THE REGION. THE UAMS FOLLOWING BABY BACK HOME PROGRAM SERVED 60 FAMILIES AND COMPLETED 314 HOME VISITS IN NORTHWEST ARKANSAS.ARKANSAS CHILDREN'S ADDRESSED THIS CHNA NEED THROUGH INFANT SAFETY EDUCATION PROVIDED VIA IN-PERSON AND VIRTUAL CLASSES. THE SAFE START TO PARENTING PROGRAM EDUCATED 144 PARENTS AND CAREGIVERS ON SAFE SLEEP, THE PERIOD OF PURPLE CRYING, AND CHILD PASSENGER SAFETY, INCLUDING CAR SEAT AND VEHICULAR HEATSTROKE EDUCATION, IN THE ACNW REGION. ARKANSAS CHILDREN'S COLLABORATED WITH UAMS TO HOST CLASSES IN THE ACNW REGION IN MARSHALLESE AND SPANISH, REACHING UNDERSERVED POPULATIONS.ARKANSAS CHILDREN'S COORDINATES THE INFANT AND CHILD DEATH REVIEW (ICDR) AS A CONTRACTOR FOR THE ARKANSAS DEPARTMENT OF HEALTH. THE PROGRAM, ESTABLISHED IN 2010 AND REQUIRED BY ARKANSAS ACT 1818 OF 2005, MANAGES 11 REGIONAL TEAMS (THREE OF WHICH ARE IN THE ACNW REGION) THAT COVER ALL 75 ARKANSAS COUNTIES TO REVIEW UNNATURAL, UNEXPECTED DEATHS OF CHILDREN FROM BIRTH TO AGE 17. THESE REVIEWS HELP INFORM PREVENTION RECOMMENDATIONS. IN FY25, ICDR TEAMS REVIEWED THE CASES OF 172 CHILDREN WHO DIED FROM INJURIES IN 2022. THE THREE ICDR TEAMS IN THE ACNW REGION REVIEWED 47 OF THESE CASES. MOST OF THESE DEATHS WERE DUE TO UNDETERMINED/SUDDEN UNEXPECTED INFANT DEATH (SUID), ACCIDENTS, OR SUICIDE.ARKANSAS CHILDREN'S ADDRESSES THE CHNA NEED OF INFANT HEALTH BY IMPLEMENTING THE EVIDENCE-BASED HEALTHY RELATIONSHIP CURRICULUM CALLED LOVE NOTES. THIS CURRICULUM AIMS TO REDUCE TEEN PREGNANCY, A HIGH-RISK FACTOR FOR INFANT DEATHS IN ARKANSAS. FY25 MARKED THE SIXTH CONSECUTIVE SCHOOL YEAR ARKANSAS CHILDREN'S IMPLEMENTED THE CURRICULUM. ARKANSAS CHILDREN'S REACHED 1,347 HIGH SCHOOL STUDENTS IN PARTNERSHIP WITH 42 ARKANSAS HIGH SCHOOLS. OF THESE, 401 STUDENTS AND NINE SCHOOLS WERE FROM THE ACNW REGION. ARKANSAS CHILDREN'S CONTINUED TO PURCHASE CURRICULUM MATERIALS FOR THE 2024-2025 SCHOOL YEAR, SO SCHOOLS UNABLE TO AFFORD THEM COULD STILL PARTICIPATE. THERE IS A LARGE WAITING LIST OF PARTNER SCHOOLS WANTING TO IMPLEMENT THE CURRICULUM AND ARKANSAS CHILDREN'S CONTINUES TO SEEK GRANT FUNDING TO EXPAND THE PROGRAM. ARKANSAS CHILDREN'S RECEIVED A $103,275 GRANT FROM THE ARKANSAS BLUE AND YOU FOUNDATION, WHICH ENABLED IMPLEMENTATION IN 14 SCHOOLS, FOUR OF WHICH WERE IN THE ACNW REGION.ARKANSAS CHILDREN'S TEAM MEMBERS PROVIDE CAR SEAT INSPECTIONS TO PARENTS AND EDUCATE THEM ON PROPER CAR SEAT INSTALLATION AND OTHER CAR SAFETY TOPICS, SUCH AS VEHICULAR HEATSTROKE, UNSECURED PROJECTILES AND WINTER COATS UNDER SAFETY RESTRAINTS. PARENTS ACCESS THIS EDUCATION AT ARKANSAS CHILDREN'S CAMPUSES AND THROUGH 30 SATELLITE SITES AROUND THE STATE. DURING AN INSPECTION, PARENTS SOMETIMES HAVE THEIR CHILD'S CAR SEAT REPLACED IF THEY DO NOT HAVE THE PROPER SEAT, IF THE SEAT IS EXPIRED OR DAMAGED, OR IF IT CANNOT BE PROPERLY INSTALLED. IN FY25, ARKANSAS CHILDREN'S PURCHASED 2,400 CAR SEATS AND BOOSTER SEATS FOR DISTRIBUTION BY THE CHILD PASSENGER SAFETY TEAM TO FAMILIES IN NEED. THIS WAS MADE POSSIBLE PARTIALLY BY A GRANTEE PARTNERSHIP WITH THE ARKANSAS HIGHWAY SAFETY OFFICE AND OTHER DONATED FUNDS. TO FURTHER EXPAND THIS RESOURCE, THE TEAM HOSTED CHILD PASSENGER SAFETY CERTIFICATION COURSES AND TRAINED PROFESSIONALS TO PROPERLY INSTALL CAR SEATS. THE TEAM HELD 12 CERTIFICATION COURSES STATEWIDE, RESULTING IN 162 ADDITIONAL PROFESSIONALS CERTIFIED ACROSS 23 ARKANSAS COUNTIES. OF THESE, FIVE COURSES WERE HELD IN THE ACNW REGION (BENTON, BOONE, SEBASTIAN, AND WASHINGTON COUNTIES), RESULTING IN THE CERTIFICATION OF 68 PROFESSIONALS IN THE AREA. ARKANSAS CHILDREN'S ALSO SUPPORTED THE CREATION OF A PUBLIC SERVICE ANNOUNCEMENT THAT SHOWS CAREGIVERS HOW TO USE A BOOSTER SEAT CORRECTLY ONCE THEIR CHILD OUTGROWS A HARNESSED CAR SEAT. SCHEDULE H, PART V, SECTION B, LINE 11 - CONTINUED (5) SECONDARY PRIORITY: CHILD ABUSE AND NEGLECTTHE DEPARTMENT OF COMMUNITY HEALTH AND SAFETY RECEIVED $15,565 IN FUNDING FROM THE ARKANSAS COMMISSION FOR CHILD ABUSE, DOMESTIC VIOLENCE AND RAPE TO CONDUCT CHILD MALTREATMENT AND ABUSE PREVENTION EFFORTS. THE DEPARTMENT DEVELOPED PROVIDER TRAINING TO INCORPORATE RECOGNITION OF SIGNS & SYMPTOMS, SYSTEM RESPONSE, CAREGIVER OR FAMILY RESPONSE AND COMMUNITY RESPONSE. THE TEAM DELIVERED TRAINING THROUGH PEDS PLACE AND GRAND ROUNDS, REACHING 185 PHYSICIAN PROVIDERS. IN COLLABORATION WITH THE ARKANSAS STATE POLICE, ARKANSAS CHILDREN'S PROVIDED CHILD MALTREATMENT HOTLINE TRAINING FOR 339 SCHOOL NURSES. A TOTAL OF 251 CONTINUING NURSING EDUCATION (CNE) CREDITS WERE AWARDED TO NURSES FROM 110 SCHOOL DISTRICTS ACROSS 54 COUNTIES.THE AHVN AND SAFE START TO PARENTING CLASSES ALSO SUPPORT THIS CHNA NEED. AHVN PROGRAMMING IMPACTS INFANT HEALTH AND ADDRESSES CHILD ABUSE AND NEGLECT IN FOUR OF THE EIGHT HOME VISITING PROGRAMS. THE SAFE START TO PARENTING CLASSES INCLUDE EDUCATION ON THE PERIOD OF PURPLE CRYING, AN EVIDENCE-BASED ABUSIVE HEAD TRAUMA PREVENTION PROGRAM.FINALLY, ARKANSAS CHILDREN'S SPONSORS ORGANIZATIONS THAT ADDRESS THIS CHILD HEALTH NEED. THESE ORGANIZATIONS INCLUDE THE CHILDREN'S SAFETY CENTER OF WASHINGTON COUNTY TO HELP ADDRESS THIS IDENTIFIED CHILD HEALTH NEED.(6) SECONDARY PRIORITY: ACCESS TO CAREACCESS TO CARE REMAINS A LONG-STANDING NEED IDENTIFIED IN THE ARKANSAS CHILDREN'S CHNA'S.ACNW SERVES A DIVERSE PATIENT POPULATION WITH MANY NON-ENGLISH SPEAKING CHILDREN AND FAMILIES. TO ENSURE ALL PATIENTS RECEIVE CULTURALLY SENSITIVE CARE, ORGANIZATIONAL DOLLARS SUPPORT ON-SITE INTERPRETERS BEYOND WHAT ACCREDITATION REQUIRES, WHICH IS ESPECIALLY IMPORTANT TO THE MARSHALLESE AND SPANISH-SPEAKING POPULATIONS IN NORTHWEST ARKANSAS. IN FY25, THESE DOLLARS SUPPORTED 13 IN-PERSON INTERPRETERS AT ACNW. THE PROGRAM CONTINUES TO EVOLVE, OFFERING BOTH IN-PERSON AND VIRTUAL OPTIONS TO ENSURE COVERAGE AND BETTER SERVE PATIENT FAMILIES.INSURANCE COVERAGE AND A FAMILY'S ABILITY TO PAY ARE TWO KEY COMPONENTS OF EQUITABLE ACCESS TO CARE. ACNW HAS A TEAM OF FINANCIAL COUNSELORS WHO GUIDE AND SUPPORT FAMILIES TO ESTABLISH A HEALTHCARE PAYER SOURCE. ALL UNINSURED PATIENTS ARE SCREENED FOR MEDICAID AND, IF ELIGIBLE, ACNW FINANCIAL COUNSELORS BEGIN THE APPLICATION PROCESS. FINANCIAL COUNSELING IS AVAILABLE IN SPANISH, MARSHALLESE AND ENGLISH TO BEST SERVE THE NORTHWEST ARKANSAS COMMUNITY. IN FY25, ACNW FINANCIAL COUNSELORS PROCESSED 1,555 MEDICAID APPLICATIONS, 1,273 FINANCIAL ASSISTANCE PROGRAM APPLICATIONS, 190 TEFRA APPLICATIONS AND 21 SUPPLEMENTAL NUTRITION ASSISTANCE PROGRAM (SNAP) APPLICATIONS.ARKANSAS CHILDREN'S CONTINUES THE WORK OF THE ARKANSAS CHILDREN'S MEDICAL LEGAL PARTNERSHIP (MLP) THROUGH A PARTNERSHIP WITH LEGAL AID OF ARKANSAS. ATTORNEYS CONTRACTED FROM LEGAL AID AND HOUSED WITHIN THE DEPARTMENT OF COMMUNITY IMPACT HELP ELIGIBLE FAMILIES ADDRESS LEGAL NEEDS THAT COULD IMPACT PHYSICAL OR MENTAL HEALTH. IN FY25, THE MLP RECEIVED 36 REFERRALS AND CLOSED 21 CASES FROM THE ACNW REGION. CASES RANGED FROM BRIEF LEGAL ADVICE OR SERVICES TO EXTENDED REPRESENTATION. THE MLP TEAM SAVED CLIENTS $20,387 IN LEGAL FEES THROUGH THIS WORK.ARKANSAS CHILDREN'S ADVANCES ACCESS TO CARE BY SUPPORTING SCHOOL NURSES STATEWIDE THROUGH THE ARKANSAS SCHOOL NURSE ACADEMY. THE ACADEMY IS A PARTNERSHIP BETWEEN ARKANSAS CHILDREN'S, THE ARKANSAS DEPARTMENT OF EDUCATION AND THE ARKANSAS DEPARTMENT OF HEALTH. IN FY25, SCHOOL NURSE ACADEMY WAS HELD THREE TIMES AT NORTHWEST ARKANSAS EDUCATION COOPERATIVE, SOUTHWEST EDUCATION COOPERATIVE AND ARKANSAS RIVER EDUCATION COOPERATIVE. THIS TRAINING COVERED TRAUMATIC BRAIN INJURY, FUNCTIONAL NEUROLOGICAL DISORDERS, SYNCOPE AND REPRODUCTIVE HEALTH. 102 SCHOOL NURSES COMPLETED THE EVALUATION AND 560.6 CNE'S WERE AWARDED. OF THOSE PARTICIPANTS, 55 NURSES WERE FROM THE ACNW REGION AND RECEIVED 308 CNE'S. THE PROGRAM REACHED 48 SCHOOL DISTRICTS ACROSS 33 COUNTIES. ARKANSAS CHILDREN'S ALSO SUPPORTED SCHOOL NURSES THROUGH THE SCHOOL NURSE EDUCATIONAL RESOURCES WEBPAGE ON THE ARKANSAS CHILDREN'S WEBSITE. THIS WEBPAGE PROVIDES A VARIETY OF HEALTH RESOURCES TO HELP SCHOOL NURSES STAY INFORMED, SUCCESSFUL, AND CONFIDENT IN THEIR WORK CARING FOR STUDENTS. ONE KEY RESOURCE IS A VIRTUAL BROADCAST. IN FY25, SEVEN BROADCASTS REACHED 1,549 PARTICIPANTS IN ALL 75 ARKANSAS COUNTIES AND IN MARYLAND AND SOUTH CAROLINA. BROADCAST TOPICS INCLUDED SICKLE CELL ANEMIA, ADHD, MIGRAINES, CHILD MALTREATMENT HOTLINE AND INVESTIGATIONS, ASTHMA, DOCUMENTATION FOR SCHOOL NURSES, AND NALOXONE IN OPIOID EMERGENCIES. ACNW CONTRIBUTES TO THE COMMUNITY IT SERVES AT BOTH LOCAL AND REGIONAL LEVELS. IN FY25, ACNW TEAM MEMBERS PARTICIPATED IN THE NORTHWEST ARKANSAS COUNCIL, A PRIVATE NONPROFIT ORGANIZATION THAT ADVANCES JOB OPPORTUNITIES, TALENT RECRUITMENT, INFRASTRUCTURE, HEALTH CARE AND QUALITY OF LIFE IN THE ACNW SERVICE AREA.(7) SUSTAINING ACTIVITY: OBESITYIN FY25, ARKANSAS CHILDREN'S TEAM MEMBERS PARTICIPATED IN THE NORTHWEST ARKANSAS COMMUNITY OF PRACTICE, FOCUSING ON SUSTAINING COLLABORATION AND PLANNING FOR LONG-TERM IMPACT AFTER THE PRIOR FUNDING ENDED. DURING THIS TIME, THE NORTHWEST ARKANSAS FOOD BANK AGREED TO SERVE AS THE LEAD ORGANIZATION AND FISCAL AGENT AND THE GROUP MET EVERY OTHER MONTH TO DEVELOP PROJECT PROPOSALS AND PLAN FUTURE INITIATIVES.CHILDHOOD OBESITY AND FOOD SECURITY ARE INTERCONNECTED NEEDS. THE DEPARTMENT OF COMMUNITY IMPACT CONDUCTED SIX "COOKING MATTERS AT THE STORE" CLASSES AND TRAINED 16 MEDICAL STUDENT PARTICIPANTS ABOUT WAYS TO WORK WITH THE PATIENTS' FAMILIES THEY SEE ON NUTRITION AND HEALTHY EATING. SCHEDULE H, PART V, SECTION B, LINE 11 - CONTINUED (8) SUSTAINING ACTIVITY: INJURY PREVENTION ARKANSAS CHILDREN'S SUPPORTS ONGOING INJURY PREVENTION BY PROVIDING PROGRAMMING FOCUSED ON MOTOR VEHICLE SAFETY, SAFE SLEEP, RECREATIONAL SAFETY AND BURN OR FIRE PREVENTION. THIS WORK OFTEN OVERLAPS WITH OTHER CHNA NEEDS, SUCH AS INFANT HEALTH. SAFE START TO PARENTING CLASSES EDUCATE PARENTS AND CAREGIVERS ON SAFE SLEEP, THE PERIOD OF PURPLE CRYING AND CHILD PASSENGER SAFETY, INCLUDING CAR SEAT AND VEHICULAR HEATSTROKE EDUCATION. IN FY25, ARKANSAS CHILDREN'S COORDINATED THE ARKANSAS INFANT AND CHILD DEATH REVIEW (ICDR) PROGRAM AS A CONTRACTOR FOR THE ARKANSAS DEPARTMENT OF HEALTH. THIS PROGRAM REVIEWED UNNATURAL, UNEXPECTED DEATHS OF INFANTS AND CHILDREN FROM BIRTH TO AGE 17 AND CREATED RECOMMENDATIONS TO PREVENT FUTURE NON-NATURAL DEATHS. THE THREE ICDR TEAMS IN THE ACNW REGION REVIEWED 47 OF THESE CASES, AND MOST DEATHS WERE DUE TO UNDETERMINED/SUDDEN UNEXPECTED INFANT DEATH (SUID), ACCIDENTS OR SUICIDE.ARKANSAS CHILDREN'S EDUCATES PARENTS ON THE PROPER CAR SEAT INSTALLATION AND OTHER CAR SAFETY TOPICS, SUCH AS HOT CAR DEATHS, UNSECURED PROJECTILES AND THE RISK OF WEARING WINTER COATS UNDER SAFETY RESTRAINTS. PARENTS ACCESS THIS EDUCATION AT ARKANSAS CHILDREN'S CAMPUSES AND THROUGH 30 SATELLITE SITES AROUND THE STATE. DURING AN INSPECTION, PARENTS MAY HAVE THEIR CHILD'S CAR SEAT REPLACED IF THEY DO NOT HAVE THE PROPER SEAT, IF IT HAS EXPIRED, OR IF IT IS DAMAGED. IN FY25, ARKANSAS CHILDREN'S PURCHASED 2,400 CAR SEATS AND BOOSTER SEATS FOR DISTRIBUTION BY THE CHILD PASSENGER SAFETY TEAM TO FAMILIES IN NEED. THIS WAS MADE POSSIBLE PARTIALLY BY A GRANTEE PARTNERSHIP WITH THE ARKANSAS HIGHWAY SAFETY OFFICE AND OTHER DONATED FUNDS. TO FURTHER EXPAND THIS RESOURCE, THE TEAM HOSTED CHILD PASSENGER SAFETY CERTIFICATION COURSES AND TRAINED PROFESSIONALS TO PROPERLY INSTALL CAR SEATS. THE TEAM HELD 12 CERTIFICATION COURSES STATEWIDE, RESULTING IN 162 ADDITIONAL PROFESSIONALS CERTIFIED ACROSS 23 ARKANSAS COUNTIES. OF THESE, FIVE COURSES WERE HELD IN THE ACNW REGION (BENTON, BOONE, SEBASTIAN, AND WASHINGTON COUNTIES), LEADING TO THE CERTIFICATION OF 68 PROFESSIONALS IN THE AREA. THE CHILD PASSENGER SAFETY TEAM ALSO SUPPORTED THE CREATION OF A PUBLIC SERVICE ANNOUNCEMENT THAT SHOWS CAREGIVERS HOW TO USE A BOOSTER SEAT CORRECTLY AFTER THEIR CHILD OUTGROWS A HARNESSED CAR SEAT.IN FY25, ARKANSAS CHILDREN'S RECEIVED A $10,000 GRANT FROM UNION PACIFIC TO PROMOTE SAFETY AROUND RAILROADS WHEN OPERATING AN ALL-TERRAIN VEHICLE (ATV). WITH THIS SUPPORT, THE TEAM DEVELOPED A PUBLIC SERVICE ANNOUNCEMENT TO PROMOTE ATV SAFETY AT RAILROAD CROSSINGS. THE ATV SAFETY "TRAUMA TALK" WAS ALSO RECORDED IN COLLABORATION WITH ARKANSAS CHILDREN'S SURGEON IN CHIEF, DR. ROBERT MAXSON, AND PEDIATRIC EMERGENCY MEDICAL PHYSICIAN, DR. PATRICK AYERS. THE PROVIDERS DISCUSSED EXPERIENCES AND INJURIES RELATED TO ATV TRAUMAS AND HIGHLIGHTED THE IMPORTANCE OF PROMOTING AND PRACTICING ATV SAFETY WHEN OPERATING OFF-ROAD VEHICLES. THE ATV TRAUMA TALK WILL BE INCLUDED IN SCHOOL PRESENTATIONS WITH THE ATV SAFETY OPERATION SAFE T.R.I.P.S.S. PROGRAM AND DISPLAYED IN WAITING ROOMS SYSTEM-WIDE.THE DEPARTMENT OF COMMUNITY IMPACT CONTINUES INJURY PREVENTION EFFORTS THROUGH BABYSITTING 101 CLASSES AND BURN PREVENTION EDUCATION. BABYSITTING 101 CLASSES TEACH STUDENTS CHILDCARE SAFETY SKILLS, FIRST AID AND RESCUE, AND LIFE AND BUSINESS SKILLS. IN FY25, ACNW HOSTED TWO CLASSES AND CERTIFIED 33 STUDENTS IN NORTHWEST ARKANSAS.THE BURN AFTERCARE AND OUTREACH PROGRAM EDUCATES EMERGENCY MEDICAL PERSONNEL IN THE EMERGENCY TREATMENT OF BURNS, INCLUDING EMT'S, DOCTORS, NURSES AND PARAMEDICS. THE PROGRAM ALSO DELIVERS BURN PREVENTION EDUCATION TO CHILDREN AND FAMILIES STATEWIDE THROUGH HEALTH FAIRS, SCHOOL VISITS AND OTHER COMMUNITY-BASED VENUES. THE TEAM DISTRIBUTES SMOKE DETECTORS TO REACH RURAL COMMUNITIES IN COLLABORATION WITH THE VOLUNTEER FIREFIGHTERS PROGRAM. IN FY25, THESE EFFORTS REACHED NINE OF THE 15 COUNTIES IN THE ACNW REGION (BENTON, CRAWFORD, FRANKLIN, JOHNSON, LOGAN, NEWTON, POPE, SEBASTIAN AND WASHINGTON). ARKANSAS CHILDREN'S COLLABORATES WITH CAMP ALDERSGATE AND THE ARKANSAS PROFESSIONAL FIREFIGHTERS ASSOCIATION TO PROVIDE AN ANNUAL FOUR-DAY CAMP FOR BURN SURVIVORS, WHERE CAMPERS BUILD FRIENDSHIPS WITH OTHER CHILDREN WHO HAVE SIMILAR EXPERIENCES. IN FY25, CAMP SUNSHINE WELCOMED 23 PEDIATRIC BURN SURVIVOR CAMPERS AND 86 DEDICATED VOLUNTEERS, INCLUDING 35 MEMBERS FROM THE ARKANSAS PROFESSIONAL FIREFIGHTERS ASSOCIATION. THE PROGRAM ALSO RE-LAUNCHED THE YOUNG ADULT RETREAT, NOW KNOWN AS SUNRISE, FOR BURN SURVIVORS AGES 18-24 WHO HAVE AGED OUT OF CAMP SUNSHINE. THIS RETREAT FOCUSED ON MENTORSHIP, LEADERSHIP DEVELOPMENT AND LIFE SKILLS, CREATING A PATHWAY FOR CONTINUED ENGAGEMENT AND FUTURE VOLUNTEERISM.INTERSECTING NEED: POVERTY AND FINANCES POVERTY AND FINANCES INTERSECT WITH MANY CHILD HEALTH NEEDS IN ARKANSAS. POVERTY IS OFTEN FOUNDATIONAL TO MANY OF THE CHILD HEALTH ISSUES CHILDREN EXPERIENCE IN ARKANSAS.WHILE ARKANSAS CHILDREN'S IS NOT POSITIONED TO DECREASE POVERTY RATES STATEWIDE, THE SYSTEM SUPPORTS IMPROVEMENT AT THE INDIVIDUAL LEVEL BY CONNECTING PATIENT FAMILIES TO SOCIAL NEED RESOURCES THROUGH THE ARKANSAS CHILDREN'S RESOURCE CONNECT (POWERED BY FINDHELP.ORG) PLATFORM, AS MENTIONED PREVIOUSLY IN THE FOOD INSECURITY SECTION. FAMILIES COMMONLY USE THE PLATFORM TO FIND FOOD RESOURCES, BUT IT ALSO CONNECTS THEM TO ASSIST WITH UTILITIES, HOUSING AND MORE. IN FY25, FAMILIES COMPLETED 8,021 SEARCHES ON THE PLATFORM, INCLUDING 275 FOR UTILITY ASSISTANCE AND 215 FOR HOUSING ASSISTANCE IN THE ACNW REGION.ARKANSAS CHILDREN'S PARTICIPATED IN THE ALICE REPORT REVIEW COMMITTEE. THE ALICE REPORT ADVANCES KNOWLEDGE, DATA AND ADVOCACY AROUND ALICE (ASSET LIMITED, INCOME CONSTRAINED, EMPLOYED) HOUSEHOLDS IN ARKANSAS. SCHEDULE H, PART V, SECTION B, LINE 16A - FAP WEBSITE WWW.ARCHILDRENS.ORG/PATIENTS-AND-VISITORS/BILLING-AND-INSURANCE/FINANCIAL-ASSISTANCE SCHEDULE H, PART V, SECTION B, LINE 16B - FAP APPLICATION WWW.ARCHILDRENS.ORG/PATIENTS-AND-VISITORS/BILLING-AND-INSURANCE/FINANCIAL-ASSISTANCE SCHEDULE H, PART V, SECTION B, LINE 16C - FAP PLAIN LANGUAGE SUMMARY WWW.ARCHILDRENS.ORG/PATIENTS-AND-VISITORS/BILLING-AND-INSURANCE/FINANCIAL-ASSISTANCE SCHEDULE H, PART V, SECTION B, LINE 20 SCHEDULE H, PART V, QUESTION 20A-20E ARE NOT CHECKED BECAUSE ARKANSAS CHILDREN'S NORTHWEST DOES NOT PERFORM EXTRAORDINARY COLLECTION ACTIONS (ECA'S) OF ANY KIND. AS SUCH, NONE OF THE BOX 20 QUESTIONS OCCURRED "BEFORE INITIATING THE LISTED ACTIONS" BECAUSE THE LISTED ACTIONS WERE NEVER INITIATED. PLEASE REFER TO DESCRIPTION AT SCHEDULE H, PART III, SECTION C, QUESTION 9B FOR A COMPLETE DESCRIPTION OF ARKANSAS CHILDREN'S COLLECTION PRACTICES. 1 1 - HARVEY PEDIATRICS OPER BY AR CHILDRENS 900 SOUTH 52ND STREET 200 ROGERS AR 72758 OUTPATIENT HOSPITAL CLINIC PART I, LINE 3C: ACNW USES FEDERAL POVERTY GUIDELINES TO DETERMINE FREE OR DISCOUNTED CARE.PART I, LINE 4:ACNW DOES NOT HAVE A SPECIFIC FINANCIAL ASSISTANCE PROGRAM FOR THE "MEDICALLY INDIGENT" AS DEFINED BY AR CODE SECTION 6-64-503(A), BUT IT DOES PROVIDE FREE CARE FOR INDIVIDUALS WITH HOUSEHOLD INCOMES UP TO 250% OF POVERTY AND DISCOUNTED CARE FOR INDIVIDUALS WITH HOUSEHOLD INCOMES UP TO 400% OF POVERTY. AS PART OF THE APPLICATION PROCESS, ACNW REQUESTS THAT PERSONS WITH NO INCOME WHO ARE ALSO INELIGIBLE FOR MEDICAID, MEDICARE, OR MARKETPLACE SUBSIDIES PROVIDE A WRITTEN SIGNED STATEMENT DESCRIBING HOW THEY ARE MEETING THEIR DAY TO DAY BASIC LIVING NEEDS. THE APPLICATION SPECIFIES SUCH REQUIREMENTS FOR APPLICANTS WITH "NO INCOME IN THE HOME". ACNW ALSO ASSISTS FAMILIES IN APPLYING FOR MEDICAID (INCLUDING THE TEFRA PROGRAM FOR DISABLED CHILDREN THAT ONLY CONSIDERS THE CHILD'S INCOME), SSI, CHILDREN'S MEDICAL SERVICES, AS WELL AS ACH'S OWN FINANCIAL ASSISTANCE PROGRAM. THE HOSPITAL ALSO ALLOWS INTEREST FREE PAYMENTS TO BE MADE UNTIL THE OUTSTANDING BALANCE IS PAID WITHOUT TIME CONSTRAINTS. ACNW DOES NOT REPORT TO COLLECTION AGENCIES OR TAKE OTHER EXTRAORDINARY COLLECTION EFFORTS. PART I, LINE 7: COSTING METHOD - ARKANSAS CHILDREN'S NORTHWEST (ACNW) USES A COST ACCOUNTING (CA) SYSTEM AS THE BASIS FOR DETERMINING COST FOR ITS PATIENTS. ALL PATIENT ENCOUNTERS (INPATIENT, OUTPATIENT, ED, AMBULATORY SURGERY) ARE CAPTURED IN THE COST ACCOUNTING SYSTEM FOR ALL PATIENTS (MEDICAID, INSURANCE, UNINSURED) WITH NO DIFFERENTIATION FOR TYPE OF INSURANCE, IF ANY. A BRIEF DESCRIPTION OF THE COST ACCOUNTING SYSTEM IS BELOW.THE COST ACCOUNTING SYSTEM AT ACNW IS A DETAILED PROCEDURE SYSTEM. ALL SERVICES PERFORMED BY PATIENT CARE STAFF HAVE BEEN EVALUATED AS TO THE RESOURCES UTILIZED TO PROVIDE THE SERVICES INCLUDING LABOR, DIRECT MATERIALS AND EQUIPMENT. IN ADDITION, OVERHEAD TYPE COSTS (BUILDING, UTILITIES, PAYROLL, ETC.) HAVE ALSO BEEN ALLOCATED TO THESE SERVICES. THE TWO COMPONENTS, DIRECT AND INDIRECT COSTS, ARE COMBINED AND REPRESENT THE TOTAL COST TO PROVIDE EACH SERVICE. THIS IS DONE ON A PROCEDURE LEVEL BASIS. AS A PATIENT IS ADMITTED AND INCURS SERVICES (X-RAYS, ROOM & BOARD, LAB, ETC.), THE APPLICABLE PROCEDURE COSTS ARE ASSIGNED TO EACH PARTICULAR PATIENT. UPON DISCHARGE, THE COSTS FROM THE INDIVIDUAL PROCEDURES THAT WERE PROVIDED TO EACH PATIENT ARE ADDED UP FOR A TOTAL COST OF PROVIDING CARE FOR EACH INDIVIDUAL PATIENT.THE COST ACCOUNTING SYSTEM IS UPDATED ANNUALLY TO REFLECT THE CURRENT YEAR'S EXPENSES. PART I, LINE 7G: SUBSIDIZED HEALTH SERVICES - ACNW PROVIDES MANY PEDIATRIC SPECIALIZED SERVICES TO THE COMMUNITY THAT ARE EITHER NOT AVAILABLE OR ARE BEYOND THE CAPACITY OF THE COMMUNITY TO PROVIDE. MANY OF THESE SERVICES ARE PROVIDED BY ACNW AT A LOSS. THESE LOSSES WERE OBTAINED FROM THE COST ACCOUNTING SYSTEM.ACNW SUBSIDIZED HEALTH SERVICES INCLUDES ONE STANDALONE CLINIC. THE NET LOSS OF $1,271,029 INCLUDED FROM THIS CLINIC REPRESENTS THE FACILITY PORTION OF THE CLINIC WHICH INCLUDES THE CLINIC VISIT, VACCINE ADMINISTRATION AND POINT OF CARE TESTING. PART II, COMMUNITY BUILDING ACTIVITIES: ARKANSAS CHILDREN'S NORTHWEST PARTNERS CLOSELY WITH SCHOOLS AND MAINTAINS A FORMAL PARTNERSHIP WITH SPRINGDALE HIGH SCHOOL - MEDICAL ACADEMY, LOCATED NEAR ARKANSAS CHILDREN'S NORTHWEST. THESE PARTNERSHIPS AIM TO PROMOTE HEALTH EDUCATION, SUPPORT EXPLORATION AND LEARNING OF HEALTH CARE CAREERS AND FOSTER A CLIMATE OF INVOLVEMENT, INTERACTION AND COOPERATION BETWEEN EACH PARTY THROUGH DONATED TIME AND SUPPORT. PART III, LINE 2: BAD DEBT EXPENSE REPORTED ON LINE 2 REPRESENTS UNCOLLECTIBLE PATIENT ACCOUNTS AND IS CALCULATED ON A COST BASIS. PART III, LINE 4: UNCOLLECTIBLE UNCOMPENSATED CARE GENERALLY REPRESENTS STANDARD CHARGES THAT ARE UNREALIZED DUE TO AN UNWILLINGNESS TO PAY BY THOSE RESPONSIBLE FOR PAYMENT, THEREFORE BAD DEBT. UNCOLLECTIBLE UNCOMPENSATED CARE IS REPORTED AS A DEDUCTION FROM GROSS PATIENT REVENUE.FOR UNINSURED PATIENTS WHO DO NOT QUALIFY FOR CHARITY CARE, ACNW RECOGNIZES REVENUE BASED ON ESTABLISHED RATES, SUBJECT TO CERTAIN DISCOUNTS AS DETERMINED BY ACNW. AN ESTIMATED PROVISION FOR UNCOLLECTIBLE ACCOUNTS IS RECORDED THAT RESULTS IN NET PATIENT SERVICE REVENUE BEING REPORTED AT THE NET AMOUNT EXPECTED TO BE RECEIVED. IT HAS BEEN DETERMINED, BASED ON AN ASSESSMENT AT THE CONSOLIDATED ENTITY LEVEL, THAT PATIENT SERVICE REVENUE IS PRIMARILY RECORDED PRIOR TO ASSESSING THE PATIENT'S ABILITY TO PAY AND AS SUCH, THE ENTIRE PROVISION FOR UNCOLLECTIBLE ACCOUNTS RELATED TO PATIENT REVENUE IS RECORDED AS A DEDUCTION FROM PATIENT SERVICE REVENUE IN THE ACCOMPANYING CONSOLIDATED STATEMENTS OF OPERATIONS.PATIENT RECEIVABLES ARE REDUCED BY AN ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS. PERIODICALLY THROUGHOUT THE YEAR, MANAGEMENT ASSESSES THE ADEQUACY OF THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS BASED UPON HISTORICAL WRITE OFF EXPERIENCE BY PAYOR CATEGORY. THE RESULTS OF THIS REVIEW ARE THEN USED TO MAKE MODIFICATIONS TO THE PROVISION FOR UNCOLLECTIBLE ACCOUNTS TO ESTABLISH AN APPROPRIATE ALLOWANCE FOR UNCOLLECTIBLE RECEIVABLES.FOR PATIENT RECEIVABLES ASSOCIATED WITH SELF PAY PATIENTS, INCLUDING PATIENTS WITH DEDUCTIBLE AND COPAYMENT BALANCES FOR WHICH THIRD PARTY COVERAGE PROVIDES FOR A PORTION OF THE SERVICES PROVIDED, ACNW RECORDS AN ESTIMATED PROVISION FOR UNCOLLECTIBLE ACCOUNTS IN THE YEAR OF SERVICE. PART III, LINE 8: THE ACNW MEDICARE POPULATION IS PRIMARILY RENAL PEDIATRIC PATIENTS. THEREFORE, THE MEDICARE SHORTFALL, IF ANY, SHOULD BE INCLUDED AS A COMPONENT OF COMMUNITY BENEFIT BECAUSE THE REIMBURSEMENT IS NOT NEGOTIATED AND SERVICES CANNOT BE PROVIDED ELSEWHERE. PART III, LINE 9B: ARKANSAS CHILDREN'S USES ITS BEST EFFORTS TO ASSIST PATIENTS/GUARANTORS IN MEETING THEIR FINANCIAL RESPONSIBILITY FOR SERVICES PROVIDED AT ACNW. OUR POLICY IS TO ACT WITH INTEGRITY IN ALL ENDEAVORS; TREATING ALL PATIENTS AND THEIR FAMILIES WITH DIGNITY, RESPECT, AND COMPASSION. THE STANDARD PROCESS INCLUDES OFFERING FINANCIAL ASSISTANCE TO ELIGIBLE FAMILIES. NOTICES REGARDING THE FINANCIAL ASSISTANCE PROGRAM ARE POSTED IN ENGLISH AND SPANISH IN ALL REGISTRATION AREAS. IN ADDITION TO OFFERING FINANCIAL ASSISTANCE BROCHURES UPON ADMISSION, THEY ARE ALSO MADE AVAILABLE TO FAMILIES UPON REQUEST. THE GUARANTOR STATEMENTS AND THE ARKANSAS CHILDREN'S WEBSITE CONTAIN INFORMATION ABOUT THIS PROGRAM. THERE ARE FINANCIAL COUNSELORS AVAILABLE TO ALL REGISTRATION AREAS OF THE HOSPITAL TO ASSIST IN COMPLETING MEDICAID, CMS, SSI INTENTS, AND FINANCIAL ASSISTANCE APPLICATIONS. ACNW BILLING AND COLLECTIONS IS A SERVICE PROVIDED BY ARKANSAS CHILDREN'S HOSPITAL (ACH), WHICH IS AN AFFILIATED NON-PROFIT HOSPITAL. ACH TAKES NO EXTRAORDINARY COLLECTION EFFORTS. ACH DOES NOT REPORT TO CREDIT BUREAUS OR CHARGE INTEREST OR FILE LIENS AGAINST A PATIENT'S OR FAMILY'S RESIDENCE TO SECURE PAYMENT ON PATIENT ACCOUNT BALANCES. UPON RECEIPT OF A PERSONAL BANKRUPTCY NOTICE, ANY OUTSTANDING SELF-PAY BALANCES FOR THE ASSOCIATED PATIENT ARE WRITTEN OFF ONCE ALL OTHER PAYMENTS HAVE BEEN RECEIVED. ALL SELF-PAY COLLECTION ACTIVITY IS STOPPED UPON NOTIFICATION OF THE BANKRUPTCY.UPFRONT DISCOUNTS ON SERVICES FOR THE UNINSURED ARE OFFERED. THE FAMILY CAN ALSO REQUEST A PROMPT PAY DISCOUNT. ADDITIONALLY, ACH ATTEMPTS TO ACCOMMODATE U.S. FAMILIES WHO DESIRE TO SET UP REASONABLE PAYMENT PLANS. INTEREST IS NOT CHARGED. THE HOSPITAL'S GUARANTOR STATEMENTS ARE DESIGNED TO KEEP THE GUARANTOR UPDATED AS TO WHETHER THE ACCOUNT IS STILL PENDING RESOLUTION BY INSURANCE OR DUE FROM THE GUARANTOR. SELF-PAY COLLECTION ATTEMPTS ARE DISCONTINUED ONCE CHARGES ARE DETERMINED TO QUALIFY FOR FINANCIAL ASSISTANCE. PART VI, LINE 2: ARKANSAS CHILDREN'S NORTHWEST CONDUCTED ITS INITIAL COMMUNITY HEALTH NEEDS ASSESSMENT AND IMPLEMENTATION STRATEGY DURING FISCAL YEAR 2019 AND EARLY FISCAL YEAR 2020, AND HAS CONTINUED ASSESSMENT WITH THEIR MOST RECENT CHNA AND IMPLEMENTATION STRATEGY ISSUED IN 2024.ACNW'S CHNA IS COMPREHENSIVE AND FOCUSES ON THE HOSPITAL'S 15 COUNTY SERVICE AREA. HOWEVER, CLINICAL ASSESSMENT OF NEEDS HAS DRIVEN ADDITIONAL EFFORTS TO IMPROVE ACCESS TO APPROPRIATE HEALTH CARE FOR CHILDREN AND TO EDUCATE A VARIETY OF STAKEHOLDERS IN ARKANSAS. FOR EXAMPLE, SCHOOL NURSES IDENTIFIED CERTAIN AREAS, SUCH AS TRACHEOSTOMY CARE, IN WHICH THEY FELT THEY NEEDED ADDITIONAL EDUCATION, AND ARKANSAS CHILDREN'S PARTNERED WITH THE AR DEPARTMENT OF HEALTH TO MEET THOSE NEEDS THROUGH THE SCHOOL NURSE ACADEMY. ACNW'S FAMILY ADVISORY BOARD HELPS GUIDE THE HOSPITAL STAFF AND BOARD REGARDING ISSUES RELATED TO ITS SERVICES AND IN CREATING A FAMILY-FRIENDLY, FAMILY-CENTERED PLACE OF CARE. PART VI, LINE 3: PLEASE SEE PART III, LINE 9B DESCRIPTION. PART VI, LINE 4: AS THE REGION'S FIRST AND ONLY PEDIATRIC HOSPITAL, ACNW DEFINES THE COMMUNITY IT SERVES AS THE MORE THAN 200,000 CHILDREN LOCATED IN THE 15-COUNTY NORTHWEST ARKANSAS REGION. THOUGH THE HOSPITAL SERVES OUT-OF-STATE PATIENTS AS WELL, ACNW DREW APPROXIMATELY 76.9% OF ITS OUTPATIENTS AND 66.0% OF ITS INPATIENTS FROM WASHINGTON AND BENTON COUNTIES FOR THE FISCAL YEAR ENDING JUNE 30, 2025. ACCORDING TO THE U.S. CENSUS BUREAU 2020 CENSUS DATA, POPULATION TOTALS AT THAT TIME WERE 3,011,524 FOR THE STATE OF ARKANSAS AND 530,204 FOR WASHINGTON AND BENTON COUNTIES COMBINED. ESTIMATED 2025 CENSUS DATA INDICATED POPULATION TOTALS TO BE 3,114,791 FOR ARKANSAS AND 603,767 FOR WASHINGTON AND BENTON COUNTIES. ALSO ACCORDING TO ESTIMATED 2025 CENSUS DATA, APPROXIMATELY 22.7% OF THE ARKANSAS POPULATION WAS UNDER 18 YEARS OF AGE AND 5.8% WAS UNDER THE AGE OF 5. THE UNEMPLOYMENT RATE FOR THE STATE OF ARKANSAS FOR CALENDAR YEAR 2025 WAS 4.2%, A SLIGHT INCREASE FROM THE PREVIOUS YEAR. THE PER CAPITA PERSONAL INCOME FOR THE STATE OF ARKANSAS FOR 2024 WAS $34,812. THE PERCENT OF ALL PEOPLE IN POVERTY IN ARKANSAS DECREASED SLIGHTLY TO 15.5%, AND THE PERCENT OF CHILDREN 18 OR YOUNGER IN POVERTY WAS 20.0%, INDICATING A SLIGHT DECREASE FOR CHILDREN FROM THE PRIOR YEAR.THE ESTIMATED 695,578 ARKANSAS CHILDREN UNDER AGE 18 REPRESENTED 22.7% OF THE STATE'S TOTAL POPULATION FOR 2024. THE HISPANIC CHILD POPULATION GREW FROM 12.2% AS ESTIMATED IN THE 2020 CENSUS TO 14.1% FOR 2024. HOWEVER, THE NUMBER OF AFRICAN AMERICAN CHILDREN UNDER AGE 18 DROPPED SLIGHTLY FROM 17.1% IN THE 2020 CENSUS TO 16.2%. WITH A PRIMARILY RURAL POPULATION LIVING IN MANY SMALL AND MEDIUM-SIZED COMMUNITIES, ACCESS TO HEALTH CARE SERVICES PRESENTS A VERY REAL CHALLENGE. ARKANSAS HAS SEEN A LARGE DECLINE IN UNINSURED CHILDREN SINCE 1990, WITH 7.7% OF CHILDREN LACKING COVERAGE AS OF 2024. ARKANSAS' "ARKIDS FIRST" HEALTH INSURANCE PROGRAM HAS BEEN A MAJOR FACTOR IN PROVIDING HEALTH INSURANCE FOR CHILDREN WHO MAY HAVE OTHERWISE GONE WITHOUT. ARKIDS FIRST WAS DESIGNED BY THE STATE OF ARKANSAS TO PROVIDE INSURANCE FOR CHILDREN OF WORKING FAMILIES WHO EARNED TOO MUCH FOR PUBLIC ASSISTANCE BUT COULD STILL NOT AFFORD TO PURCHASE HEALTH INSURANCE. PART VI, LINE 5: ARKANSAS CHILDREN'S PROVIDES SYSTEM-WIDE VOLUNTEER SUPPORT TO ELEVATE PATIENT EXPERIENCE BY HELPING CAREGIVERS, PROVIDING POSITIVE DISTRACTIONS FOR PATIENTS AND SUPPORTING HARDWORKING TEAMS. IN FY25 ON THE ACNW CAMPUS, 327 ADULT, SPECIAL EVENT AND JUNIOR VOLUNTEERS SERVED A TOTAL OF 11,497 HOURS. AN ADDITIONAL 81 VOLUNTEERS PROVIDED UNIQUE HANDMADE NEEDLEWORK AND OTHER ITEMS FOR HOSPITAL PATIENTS. THE VOLUNTEER ENGAGEMENT TEAM WELCOMED HIGH SCHOOL STUDENTS FROM 12 HIGH SCHOOLS, WHO COLLECTIVELY SERVED IN VARIOUS POSITIONS THROUGHOUT ACNW. MANY ARKANSAS CHILDREN'S TEAM MEMBERS LED SESSIONS ON OPERATIONS AND ON WAYS TO CHAMPION CHILDREN THROUGH THE HEALTH CARE SYSTEM. PARTICIPANTS LEARNED ABOUT DIVERSE CAREER OPPORTUNITIES AND ENGAGED WITH LEADERS THROUGHOUT THE ORGANIZATION. HIGHLIGHTS INCLUDED A QUESTION-AND-ANSWER SESSION WITH THE ACNW SENIOR VICE PRESIDENT/CHIEF ADMINISTRATOR, TOURS OF THE LAB AND HOSPITAL OPERATIONS, AND TEAM-BUILDING EXERCISES WITH FELLOW VOLUNTEERS.THE VOLUNTEER ENGAGEMENT & CHILD HEALTH RESOURCES TEAM SOLICITS, ACCEPTS, STEWARDS AND DISTRIBUTES TOYS, CONVENIENCE ITEMS AND OTHER IN-KIND DONATIONS VALUED AT OVER $1,000,000 ANNUALLY. VOLUNTEER ENGAGEMENT ALSO PROVIDES STRATEGIC LEADERSHIP AND OPERATIONAL OVERSIGHT TO HOSPITAL GIFT SHOPS AND THE ACH FAMILY RESOURCE CENTER.THE ARKANSAS CHILDREN'S PATIENT AND FAMILY ADVISORY BOARD (FAB) PARTNERS WITH PATIENTS AND FAMILIES TO ENHANCE OUR ABILITY TO PROVIDE EXCEPTIONAL CARE BY LEVERAGING THEIR VOICES AND COLLABORATING AS A TEAM. THE PROGRAM ACTIVELY ENGAGES PATIENTS AND FAMILIES IN A VARIETY OF WAYS. IN FY25, THERE WERE 12 ACTIVE FAB'S, INCLUDING A YOUTH ADVISORY COUNCIL (WITH THE VOICES OF PATIENTS AND SIBLINGS), CARDIOLOGY FAB, CHRONIC VENT FAB, NICU FAB, EMPLOYEE/PARENT FAB, ACH FAB, ONCOLOGY/HEMATOLOGY FAB, E-COUNCIL, BLEEDING DISORDERS FAB, CYSTIC FIBROSIS FAB, PICU FAB AND NEURO/REHAB FAB. ARKANSAS CHILDREN'S CARE NETWORK (ACCN), A KEY PARTNER WITHIN THE ARKANSAS CHILDREN'S SYSTEM, WORKS CLOSELY WITH ARKANSAS CHILDREN'S HOSPITAL (ACH) TO ADVANCE THE HEALTH AND WELL-BEING OF CHILDREN ACROSS THE STATE. THROUGH A ROBUST CLINICALLY INTEGRATED NETWORK (CIN), ACCN UNITES HEALTH CARE PROFESSIONALS TO DELIVER COORDINATED, HIGH-QUALITY AND ACCOUNTABLE PEDIATRIC CARE. BY STRENGTHENING COLLABORATION AND ALIGNMENT, ACCN IMPROVES QUALITY OUTCOMES, EXPANDS ACCESS TO CARE, ENHANCES THE PATIENT AND FAMILY EXPERIENCE, ADVANCES HEALTH CARE AFFORDABILITY AND FOSTERS MEANINGFUL PHYSICIAN ENGAGEMENT AND SATISFACTION, ULTIMATELY TRANSFORMING PEDIATRIC HEALTH IN ARKANSAS. PART VI, LINE 6: ACNW IS PART OF AN AFFILIATED HEALTH CARE SYSTEM, FOR WHICH ARKANSAS CHILDRENS, INC., INCORPORATED IN DECEMBER 2015, SERVES AS THE PARENT CORPORATION. THE ARKANSAS CHILDREN'S HEALTH SYSTEM CONSISTS OF ARKANSAS CHILDREN'S, INC., ARKANSAS CHILDREN'S HOSPITAL (ACH), ARKANSAS CHILDREN'S NORTHWEST (ACNW), ARKANSAS CHILDREN'S FOUNDATION (ACF), ARKANSAS CHILDREN'S RESEARCH INSTITUTE (ACRI), ARKANSAS CHILDREN'S CARE NETWORK (ACCN), ARKANSAS CHILDREN'S MEDICAL GROUP (ACMG), AND SACOVA INSURANCE COMPANY. ACH IS A NOT-FOR-PROFIT PEDIATRIC HOSPITAL LOCATED IN LITTLE ROCK, ARKANSAS AND SERVES AS THE ONLY QUATERNARY HEALTH CARE FACILITY FOR CHILDREN IN THE STATE OF ARKANSAS. ACNW IS A NOT-FOR-PROFIT PEDIATRIC HOSPITAL LOCATED IN SPRINGDALE, ARKANSAS, THAT OPENED IN FEBRUARY 2018. ACNW SERVES AS THE ONLY EXCLUSIVELY PEDIATRIC HEALTH CARE FACILITY FOR CHILDREN IN THE NORTHWEST REGION OF THE STATE. ACF IS A NOT-FOR-PROFIT ORGANIZATION THAT EXISTS AS THE FUNDRAISING BRANCH OF ARKANSAS CHILDREN'S. ACRI OPERATES TO SUPPORT, THROUGH CHARITABLE, SCIENTIFIC, AND EDUCATIONAL MEANS, THE MISSION OF ARKANSAS CHILDREN'S. ACCN IS A NOT-FOR-PROFIT PEDIATRIC STATEWIDE CLINICALLY INTEGRATED NETWORK. ACMG WAS FORMED TO PROVIDE PHYSICIAN SERVICES TO ACH AND ACNW. SACOVA IS A SINGLE PARENT CAPTIVE INSURANCE COMPANY PROVIDING PROFESSIONAL AND GENERAL LIABILITY AND WORKER'S COMPENSATION COVERAGE.ALTHOUGH NOT CORPORATE AFFILIATES, ACNW AND THE UNIVERSITY OF ARKANSAS FOR MEDICAL SCIENCES (UAMS) ARE INVOLVED IN AN AGREEMENT IN THE PURSUIT OF PROFESSIONAL EDUCATION, RESEARCH, AND CLINICAL CARE FOR CHILDREN. ALL PEDIATRIC SUB-SPECIALTY WORK IS CONDUCTED ON THE ACNW CAMPUS WITH ACNW PROVIDING SPACE, SUPPORTING STAFF AND SERVICES AND FUNDING FOR MAJOR EDUCATIONAL AND CLINICAL EXPERTISE. 1 ARKANSAS CHILDREN'S MEDICAL GROUP 1 CHILDRENS WAY LITTLE ROCK AR 72202 820771462 501(C)(3) 11126792 0 GENERAL SUPPORT 1 0 MEALS 2790 73786 COST MEALS FOR PATIENT FAMILIES/CAREGIVERS TRANSPORTATION COSTS (BUS TOKENS, CAB FARE, GAS CARDS) 137 4307 COST RENT, MORTGAGE, UTILITIES, LODGING 3 665 COST CLOTHING, GROCERY GIFT CARDS AND OTHER MISC. FAMILY ASSISTANCE 530 23897 COST CAR SEATS FOR INFANTS AND CHILDREN 9 1125 COST CAR SEATS FOR INFANTS AND CHILDREN 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 AND CEO 0 1413562 0 712327 0 267535 0 306781 0 12107 0 2712312 0 240003 GENA WINGFIELD EVP/CFO 0 660332 0 189819 0 77943 0 98851 0 11307 0 1038252 0 66353 JAMIE WIGGINS EVP/COO 0 640857 0 174292 0 57168 0 84371 0 11303 0 967991 0 51002 FREDERICK BARR EVP/CHIEF CLIN & ACAD OFCR(PART YR) 0 556203 0 174121 0 80135 0 16270 0 10375 0 837104 0 67600 LE'KITA BROWN REVENUE CYCLE VP 0 339761 0 60407 0 952 0 18100 0 6592 0 425812 0 0 CINDY HILL FINANCIAL SERVICES VP 0 307502 0 57577 0 4093 0 15951 0 10419 0 395542 0 0 KEVIN HINKLE TRUSTEE/DIRECTOR-CHIEF OF MED STAFF 0 317026 0 0 0 0 0 0 0 58983 0 376009 0 0 CINDY MARTIN VP PRACTICE PLAN-AR CHILDREN'S 0 261049 0 46393 0 901 0 11078 0 15740 0 335161 0 0 RUSTIN MORSE SVP/ACNW CHIEF ADMINISTRATOR 235593 0 75815 0 3354 0 2300 0 2514 0 319576 0 0 0 MICHAEL HOWARD DIRECTOR OF OPERATIONS 232251 0 34100 0 1357 0 14143 0 10506 0 292357 0 0 0 SHANNON HENDRIX FORMER ACNW CHIEF ADMIN 265483 0 0 0 60 0 1095 0 3205 0 269843 0 0 0 JAMALEE HUNTLEY PHARMACY DIRECTOR 176417 0 21120 0 239 0 12868 0 5698 0 216342 0 0 0 JEFFREY WILLIAMS PHARMACY COORDINATOR 164870 0 1500 0 211 0 12139 0 14717 0 193437 0 0 0 SARAH SMITH AMBULATORY SERVICES DIRECTOR 163276 0 11615 0 206 0 4339 0 1429 0 180865 0 0 0 MARIA WLEKLINSKI DIRECTOR PATIENT CARE SERVICES 145724 0 10412 0 546 0 2486 0 14667 0 173835 0 0 0 MELISSA BALLARD RN III 130569 0 12500 0 124 0 8991 0 14486 0 166670 0 0 0 DANIEL PRICE STAFF PHARMACIST 141477 0 1500 0 78 0 8718 0 5448 0 157221 0 0 0 NICOLE HUDDLESTON DIRECTOR OF OPERATIONS 133003 0 8896 0 91 0 9802 0 1314 0 153106 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 (NON-CHARTER) TRAVEL FOR COMPANIONS IS REIMBURSED BY THE EMPLOYEE IF SUCH TRAVEL IS ON AN INDIVIDUAL BASIS; THUS, SUCH TRAVEL IS NOT CONSIDERED TAXABLE COMPENSATION TO THE EMPLOYEE. FOUR OFFICERS/EMPLOYEES USED CHARTER TRAVEL DURING THE CALENDAR YEAR. BECAUSE THE CHARTER TRAVEL WAS USED FOR ARKANSAS CHILDREN'S BUSINESS PURPOSES, IT WAS NOT CONSIDERED AS TAXABLE WAGES. PART I, LINE 3 COMPENSATION FOR ANY ARKANSAS CHILDREN'S EXECUTIVE OR SENIOR OFFICER (PRESIDENT; EXECUTIVE VICE PRESIDENT; SENIOR VICE PRESIDENT) WHO IS NOT A CONTRACTED UAMS EMPLOYEE IS REVIEWED BY THE ARKANSAS CHILDREN'S HUMAN RESOURCES AND COMPENSATION COMMITTEE ("COMMITTEE") WHICH IS ESTABLISHED THROUGH THE BYLAWS OF ARKANSAS CHILDREN'S, INC. THE COMMITTEE HAS THE FULL AUTHORITY AND SPECIFIC RESPONSIBILITY FOR REVIEWING AND APPROVING EXECUTIVE COMPENSATION PRACTICES AS IT RELATES TO BASE SALARY, INCENTIVE COMPENSATION AND TOTAL REMUNERATION TARGETS. THE COMMITTEE HAS SPECIFIC RESPONSIBILITY FOR DETERMINING COMPENSATION FOR THE HEALTH SYSTEM PRESIDENT/CEO AND FOR APPROVAL OF RECOMMENDATIONS MADE BY THE CEO FOR POSITIONS DEEMED AS "DISQUALIFIED PERSONS" UNDER SECTION 4958 OF THE CODE. THE POLICIES AND PROGRAMS REVIEWED AND APPROVED BY THE COMMITTEE SHALL BE DESIGNED TO ENSURE THAT THE CORPORATION AND ITS AFFILIATES REMAIN COMPETITIVE AND REASONABLE RELATIVE TO THE COMPENSATION AND TOTAL REMUNERATION OF SIMILARLY SITUATED HEALTH SYSTEMS LOCALLY AND NATIONALLY, AND TO PERMIT THE CORPORATION AND SUCH AFFILIATES TO ATTRACT AND RETAIN SUPERIOR EXECUTIVES IN FURTHERANCE OF THE CORPORATION'S AND AFFILIATES PURPOSES. IN ITS PROCESS, THE COMMITTEE SHALL OBTAIN AND MUST RELY UPON APPROPRIATE DATA AS TO COMPARABILITY PRIOR TO MAKING ITS DETERMINATION OF REASONABLENESS WITH RESPECT TO THE COMPENSATION ARRANGEMENTS OF DISQUALIFIED PERSONS. APPROPRIATE DATA INCLUDES, BUT IS NOT LIMITED TO, COMPENSATION LEVELS PAID BY SIMILARLY SITUATED ORGANIZATIONS, BOTH TAXABLE AND TAX-EXEMPT, FOR FUNCTIONALLY COMPARABLE POSITIONS, CURRENT COMPENSATION SURVEYS COMPILED BY INDEPENDENT FIRMS; THE COMMITTEE MAY RELY UPON OPINIONS OF QUALIFIED LEGAL, ACCOUNTING, VALUATION AND EXECUTIVE COMPENSATION EXPERTS. CONTEMPORANEOUSLY WITH MAKING ITS DETERMINATION OF REASONABLENESS WITH RESPECT TO THE COMPENSATION ARRANGEMENT OF THE CEO AND DISQUALIFIED PERSONS, THE COMMITTEE SHALL DOCUMENT IN ITS MINUTES THE BASIS FOR ITS DECISIONS. A VERBAL REPORT IS PROVIDED TO THE BOARD BY THE CHAIR OF THE COMMITTEE. MINUTES ARE AVAILABLE FOR REVIEW UPON BOARD MEMBER REQUEST TO THE BOARD CHAIR. PART I, LINE 4B THE ARKANSAS CHILDREN'S DEFERRED COMPENSATION PLAN (DCP), WAS INSTITUTED ON 6/30/2014. THE DCP IS A 457(F) NONQUALIFIED SUPPLEMENTAL RETIREMENT PLAN, PROVIDING ANNUAL CONTRIBUTIONS TO CERTAIN EXECUTIVES AT A PERCENTAGE OF THEIR BASE SALARY IN EFFECT ON JUNE 30 OF THE PLAN YEAR. THE SUPPLEMENTAL COMPENSATION SERVES TO ENCOURAGE CONTINUED EMPLOYMENT WITH ARKANSAS CHILDREN'S AND ITS AFFILIATES. THE PLAN PROVIDES THAT DEFERRED AMOUNTS ARE PAID AS SOON AS ADMINISTRATIVELY POSSIBLE AFTER BEING VESTED. IT IS INTENDED THAT SUCH PAYMENTS QUALIFY FOR THE "SHORT-TERM DEFERRAL" EXEMPTION FROM IRC SECTION 409A, AND FOR TAX DEFERRAL UNDER IRC SECTION 457(F). PER THE PLAN DOCUMENT, EACH DCP CONTRIBUTION FOR A PLAN YEAR AND ITS ASSOCIATED EARNINGS VEST AS FOLLOWS, ON THE EARLIER OF: - (SUBACCOUNT); THE FIRST DAY OF THE PLAN YEAR FOLLOWING THREE (3) CONTINUOUS PLAN YEARS OF EMPLOYMENT BY THE PARTICIPANT WITH ARKANSAS CHILDREN'S OR AFFILIATE, WHICH BEGINS ON THE FIRST DAY OF THE PLAN YEAR FOR WHICH THE CONTRIBUTION IS CREDITED. - (PRIMARY ACCOUNT, INCLUDING SUBACCOUNTS) - ATTAINMENT OF AGE 65 AND AT LEAST 3 YEARS OF SERVICE AS A DCP PARTICIPANT - (PRIMARY ACCOUNT, INCLUDING SUBACCOUNTS) - DEATH OR PERMANENT DISABILITY - (PRIMARY ACCOUNT, INCLUDING SUBACCOUNTS) - INVOLUNTARY TERMINATION (OTHER THAN FOR CAUSE) - (PRIMARY ACCOUNT, INCLUDING SUBACCOUNTS) - PLAN TERMINATION FOR TAX YEAR 2024 (FISCAL YEAR 2025), FIVE REPORTABLE EMPLOYEES WERE ELIGIBLE AND PARTICIPATING IN THE DEFERRED COMPENSATION PLAN. SOME OF THESE EMPLOYEES RECEIVED DISTRIBUTIONS PER THE PLAN DOCUMENT. SUCH AMOUNTS ARE NOTED BELOW. - FREDERICK BARR: AC EVP AND CCAO - $74,259 - MARCELLA DODERER: AC/ACH/ACNW PRESIDENT AND CEO - $263,645 - JAMIE WIGGINS: AC EVP AND COO - $56,026 - GENA WINGFIELD: AC EVP AND CFO - $72,890 PER THE PLAN DOCUMENT, UPON BECOMING VESTED IN A PLAN YEAR SUBACCOUNT AND AS SOON AS ADMINISTRATIVELY PRACTICABLE AFTER SUCH VESTING DATE, BUT NO LATER THAN THE END OF THE CALENDAR YEAR IN WHICH SUCH VESTING DATE OCCURRED, INDIVIDUAL PARTICIPANTS WILL BE PAID A LUMP SUM PAYMENT EQUAL TO THE PLAN YEAR SUBACCOUNT BALANCE AS OF THE JUNE 30 IMMEDIATELY PRECEDING SUCH VESTING DATE. FORM 990, SCHEDULE J, PART I, LINES 5-7 THE INCENTIVE PLANS FOR ALL ENTITIES HAVE SPECIFIC RULES AND CALCULATIONS FOR BONUSES. NONE ARE CONTINGENT ON REVENUES OR NET EARNINGS OF THE ORGANIZATIONS (ANY), AND SINCE THEY ARE CALCULATED BASED ON A SPECIFIC FORMULA, THEY ARE NOT "NON-FIXED". FORM 990, PART VII, SECTION A, LINE 5: DIRECTOR AND CHIEF OF STAFF, KEVIN HINKLE, M.D. WAS COMPENSATED BY UAMS AS AN EMPLOYEE FOR SERVICES RENDERED TO ARKANSAS CHILDREN'S HOSPITAL (ACH) AND ARKANSAS CHILDREN'S NORTHWEST (ACNW) FOR WHICH ACH REMITTED PAYMENT LISTED AS "REPORTABLE COMPENSATION FROM RELATED ORGANIZATIONS" IN PART VII. THE AMOUNT NOTED AS COMPENSATION IN SCHEDULE J FOR THE PHYSICIAN NOTED ABOVE WAS THE DESIGNATED AMOUNT PER THE RELATED CONTRACT WITH UAMS. A CITY OF SPRINGDALE AR PUBLIC FACILITIES BOARD 830465683 82025WAW1 2016-06-09 84999875 SEE SCHEDULE K, PART VI. 0 0 0 A 18910000 85258623 742725 84515898 2018 0 0 1 1 A 0 0 1 0 0 0.00070 0.00070 0 0 1 A 0 0 1 0 0 0 0 0 1 A 1 SCHEDULE K SUPPLENTAL INFORMATION PART I, LINE A - DESCRIPTION OF PURPOSE. PROCEEDS USED TO (I) FINANCE THE ACQUISITION, CONSTRUCTION, AND EQUIPPING OF A PEDIATRIC HOSPITAL FACILITY TO BE LOCATED IN THE CITY OF SPRINGDALE, AR, AND (II) PAY CERTAIN EXPENSES IN CONNECTION WITH THE ISSUANCE OF THE SERIES 2016 BONDS. PART II, LINE 3, BOND A - TOTAL PROCEEDS DIFFER FROM ISSUE PRICE DUE TO CUMULATIVE INVESTMENT EARNINGS. CCHWI LLC SEE PART V. ENTITY MORE-THAN-35%-OWNED BY BOARD MEMBER 999713 SEE PART V. LEASE OF REAL ESTATE FROM INTERESTED PERSON. LEASE EXPENSE WAS REASONABLE AND AT FMV RATE. 0 FORM 990, PART VI, SECTION A, LINE 2 THE FOLLOWING BOARD MEMBERS HAD A BUSINESS RELATIONSHIP DURING THE FISCAL YEAR: HARRY C. ERWIN, BARBARA TYSON, AND NOEL WHITE. THE FOLLOWING BOARD MEMBERS ALSO HAD A BUSINESS RELATIONSHIP DURING THE FISCAL YEAR: GARY GEORGE AND STEVE STAFFORD. THE FOLLOWING OFFICERS HAD A BUSINESS RELATIONSHIP DURING THE FISCAL YEAR: MARCELLA DODERER AND GENA WINGFIELD. BOTH SERVED ON THE BOARDS OF THE CHILDREN'S HEALTHCARE SYSTEM AND SACOVA INSURANCE COMPANY, LTD., WHICH ARE AFFILIATED COMPANIES. FORM 990, PART VI, SECTION A, LINE 3 ACNW'S CHIEF OF MEDICAL STAFF (CMS) POSITION IS HELD BY KEVIN HINKLE, M.D., WHO HOLDS A FACULTY APPOINTMENT AT THE UNIVERSITY OF ARKANSAS FOR MEDICAL SCIENCES, COLLEGE OF MEDICINE. ALTHOUGH DR. HINKLE IS AN EMPLOYEE OF UAMS, AS CMS, HE IS ALSO A DESIGNATED MEMBER OF THE ACNW BOARD OF DIRECTORS. AS A UAMS EMPLOYEE, THE HOSPITAL SYSTEM REIMBURSES UAMS FOR HIS ROLE AND SERVICES RENDERED TO BOTH ACNW AND ACH. FORM 990, PART VI, SECTION A, LINE 4 ARKANSAS CHILDREN'S NORTHWEST AMENDED AND RESTATED ITS BYLAWS AS OF AUGUST 2025. SIGNIFICANT CHANGES AFFECTING GOVERNANCE ARE AS FOLLOWS: * REGARDING COMMITTEES OF THE BOARD - THE QUALITY AND SAFETY COMMITTEE SHALL CONSIST OF AT LEAST FOUR (4) DIRECTORS APPOINTED ANNUALLY BY THE CHAIR, SUBJECT TO APPROVAL BY THE BOARD, AND SHALL ALSO INCLUDE THE CHIEF OF THE MEDICAL STAFF, THE CHIEF MEDICAL OFFICER, AND THE CHIEF NURSING OFFICER OF THE HOSPITAL. FORM 990, PART VI, SECTION A, LINE 6 THE SOLE MEMBER OF ACNW IS ARKANSAS CHILDREN'S, INC., AN ARKANSAS NONPROFIT PUBLIC BENEFIT CORPORATION (THE "SOLE MEMBER"). FORM 990, PART VI, SECTION A, LINE 7A ARKANSAS CHILDREN'S, INC., ACNW'S SOLE MEMBER, HAS THE RESERVED POWER TO FIX THE SIZE OF THE BOARD OF DIRECTORS, AND THE GOVERNING BOARD OF ANY AFFILIATE CONTROLLED BY THE CORPORATION, AND APPOINT AND REMOVE, WITH OR WITHOUT CAUSE, THE DIRECTORS OF THE CORPORATION, AND MEMBERS OF THE GOVERNING BOARD OF ANY AFFILIATE CONTROLLED BY THE CORPORATION. FORM 990, PART VI, SECTION A, LINE 7B ACNW'S ARTICLES OF INCORPORATION MAY BE AMENDED, AND THE BYLAWS MAY BE ALTERED, AMENDED, OR REPEALED AND NEW BYLAWS MAY BE ADOPTED: (I) UPON THE APPROVAL OF BOTH THE BOARD AND THE SOLE MEMBER, IF THE AMENDMENT DOES NOT RELATE TO THE NUMBER OF DIRECTORS, THE COMPOSITION OF THE BOARD, THE TERM OF OFFICE OF DIRECTORS, OR THE METHOD OR WAY IN WHICH DIRECTORS ARE ELECTED OR SELECTED; OR (II) BY THE MEMBER. FORM 990, PART VI, SECTION B, LINE 11B THE DRAFT FORM 990, WHICH IS RECONCILED TO THE ARKANSAS CHILDREN'S NORTHWEST (ACNW) INTERNAL FINANCIAL STATEMENTS AND THE ARKANSAS CHILDREN'S, INC. CONSOLIDATED AUDIT REPORT, IS INITIALLY REVIEWED IN DETAIL WITH THE EVP/CHIEF OPERATING OFFICER OF ARKANSAS CHILDREN'S, INC. AND THE SVP/CHIEF ADMINISTRATOR OF ACNW. THE DRAFT IS ALSO REVIEWED IN DETAIL WITH THE VP OF FINANCIAL OPERATIONS OF ARKANSAS CHILDREN'S, INC. IF THE REVIEW BY ACNW'S MANAGEMENT RESULTS IN REVISIONS TO THE DRAFT FORM 990, THOSE REVISIONS ARE MADE, AND THE FORM 990 TO BE FILED IS PROVIDED TO THE ACNW BOARD OF DIRECTORS PRIOR TO THE RETURN BEING FILED. FORM 990, PART VI, SECTION B, LINE 12C ARKANSAS CHILDREN'S HAS A BOARD OF DIRECTORS CONFLICT OF INTEREST POLICY THAT IS ISSUED TO AND REVIEWED WITH ALL NEW BOARD MEMBERS DURING THEIR BOARD ORIENTATION. IN ADDITION, THE INTERNAL GENERAL COUNSEL OR THE SYSTEM COMPLIANCE OFFICER WILL PERIODICALLY REVIEW THE POLICY WITH THE FULL BOARD DURING A REGULAR BOARD MEETING. A DIRECTOR SHALL DISCLOSE IN WRITING TO THE BOARD OF DIRECTORS ANY ACTUAL OR POTENTIAL CONFLICT OF INTEREST WHEN THE SITUATION DEVELOPS, INCLUDING THE FACTS THAT MAKE IT AN ACTUAL OR POTENTIAL CONFLICT. EACH DIRECTOR SHALL SIGN AN INITIAL CONFLICT OF INTEREST DISCLOSURE STATEMENT UPON ELECTION TO THE BOARD OF DIRECTORS. EACH DIRECTOR ALSO SHALL SIGN AN ANNUAL CONFLICT OF INTEREST DISCLOSURE STATEMENT. IF AN ACTUAL OR POTENTIAL CONFLICT OF INTEREST DEVELOPS AFTER THE DIRECTOR'S INITIAL AND ANNUAL STATEMENTS ARE SIGNED, THE DIRECTOR SHALL IMMEDIATELY SIGN A NEW DISCLOSURE STATEMENT TO ADDRESS THE NEW SITUATION OR TRANSACTION. CONFLICT OF INTEREST DISCLOSURE STATEMENTS OR DECLARED CONFLICTS WILL BE REVIEWED BY THE DIRECTOR BOARD OFFICERS. REVIEW WILL RESULT IN ONE OF THE FOLLOWING ACTIONS BY MAJORITY VOTE: (1) DETERMINED NOT TO BE A CONFLICT; (2) CONFLICT IS ACCEPTED; OR (3) CONFLICT IS NOT ACCEPTED AND THE DIRECTOR WILL NEED TO ABSTAIN FROM PARTICIPATION IN CERTAIN VOTES. CONFLICT DISCLOSURES, FACTS AND ACTIONS WILL BE DOCUMENTED IN THE APPROPRIATE COMMITTEE OR BOARD MINUTES. A DIRECTOR WITH A CONFLICT OF INTEREST WILL NOT PARTICIPATE IN DELIBERATIONS OR VOTE BY THE BOARD OF DIRECTORS, OR COMMITTEE THEREOF, ON THE MATTER GIVING RISE TO THE CONFLICT. HE OR SHE MAY PRESENT RELEVANT INFORMATION ABOUT THE MATTER AND ALSO MAY RESPOND TO REQUESTS FOR FACTS NEEDED BY THE BOARD TO REACH AN INFORMED DECISION. AFTER ANY DISCUSSION, THE INTERESTED DIRECTOR SHALL EITHER ABSTAIN FROM VOTE OR RECUSE COMPLETELY AND BE ABSENT DURING FURTHER DELIBERATIONS AND ACTION ON THE MATTER, AS DETERMINED BY THE DIRECTOR BOARD OFFICERS OF THE ENTITY. FORM 990, PART VI, SECTION B, LINE 15 COMPENSATION FOR ANY ARKANSAS CHILDREN'S EXECUTIVE OR SENIOR OFFICER (PRESIDENT; EXECUTIVE VICE PRESIDENT; SENIOR VICE PRESIDENT) WHO IS NOT A CONTRACTED UAMS EMPLOYEE IS REVIEWED BY THE ARKANSAS CHILDREN'S HUMAN RESOURCES AND COMPENSATION COMMITTEE ("COMMITTEE") WHICH IS ESTABLISHED THROUGH THE BYLAWS OF ARKANSAS CHILDREN'S, INC. THE COMMITTEE HAS THE FULL AUTHORITY AND SPECIFIC RESPONSIBILITY FOR REVIEWING AND APPROVING EXECUTIVE COMPENSATION PRACTICES AS IT RELATES TO BASE SALARY, INCENTIVE COMPENSATION AND TOTAL REMUNERATION TARGETS. THE COMMITTEE HAS SPECIFIC RESPONSIBILITY FOR DETERMINING COMPENSATION FOR THE HEALTH SYSTEM PRESIDENT/CEO AND FOR APPROVAL OF RECOMMENDATIONS MADE BY THE CEO FOR POSITIONS DEEMED AS "DISQUALIFIED PERSONS" UNDER SECTION 4958 OF THE CODE. THE POLICIES AND PROGRAMS REVIEWED AND APPROVED BY THE COMMITTEE SHALL BE DESIGNED TO ENSURE THAT THE CORPORATION AND ITS AFFILIATES REMAIN COMPETITIVE AND REASONABLE RELATIVE TO THE COMPENSATION AND TOTAL REMUNERATION OF SIMILARLY SITUATED HEALTH SYSTEMS LOCALLY AND NATIONALLY, AND TO PERMIT THE CORPORATION AND SUCH AFFILIATES TO ATTRACT AND RETAIN SUPERIOR EXECUTIVES IN FURTHERANCE OF THE CORPORATION'S AND AFFILIATES PURPOSES. IN ITS PROCESS, THE COMMITTEE SHALL OBTAIN AND MUST RELY UPON APPROPRIATE DATA AS TO COMPARABILITY PRIOR TO MAKING ITS DETERMINATION OF REASONABLENESS WITH RESPECT TO THE COMPENSATION ARRANGEMENTS OF DISQUALIFIED PERSONS. APPROPRIATE DATA INCLUDES, BUT IS NOT LIMITED TO, COMPENSATION LEVELS PAID BY SIMILARLY SITUATED ORGANIZATIONS, BOTH TAXABLE AND TAX-EXEMPT, FOR FUNCTIONALLY COMPARABLE POSITIONS, CURRENT COMPENSATION SURVEYS COMPILED BY INDEPENDENT FIRMS; THE COMMITTEE MAY RELY UPON OPINIONS OF QUALIFIED LEGAL, ACCOUNTING, VALUATION AND EXECUTIVE COMPENSATION EXPERTS. CONTEMPORANEOUSLY WITH MAKING ITS DETERMINATION OF REASONABLENESS WITH RESPECT TO THE COMPENSATION ARRANGEMENT OF THE CEO AND DISQUALIFIED PERSONS, THE COMMITTEE SHALL DOCUMENT IN ITS MINUTES THE BASIS FOR ITS DECISIONS. A VERBAL REPORT IS PROVIDED TO THE BOARD BY THE CHAIR OF THE COMMITTEE. MINUTES ARE AVAILABLE FOR REVIEW UPON BOARD MEMBER REQUEST TO THE BOARD CHAIR. FORM 990, PART VI, SECTION C, LINE 18 THE FORM 990 FOR ARKANSAS CHILDREN'S NORTHWEST IS AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART VI, SECTION C, LINE 19 ARKANSAS CHILDREN'S NORTHWEST'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST AS REQUIRED. FORM 990, PART IX, LINE 11G PHYSICIAN REMUNERATION: PROGRAM SERVICE EXPENSES 14,192,555. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 14,192,555. REFERRED TESTING: PROGRAM SERVICE EXPENSES 1,486,353. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,486,353. REPAIRS AND MAINTENANCE: PROGRAM SERVICE EXPENSES 24,750. MANAGEMENT AND GENERAL EXPENSES 583,579. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 608,329. OTHER FEES FOR SERVICES: PROGRAM SERVICE EXPENSES 824,575. MANAGEMENT AND GENERAL EXPENSES 1,928,307. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,752,882. FORM 990, PART XI, LINE 9: TRANSFER OF ASSET BETWEEN ACH AND ACNW 45,342. FORM 990, PART XII, LINE 2C IT IS PART OF THE RESERVED POWERS OF ARKANSAS CHILDREN'S, INC. TO RETAIN, OVERSEE AND TERMINATE INDEPENDENT EXTERNAL AUDITORS TO AUDIT THE FINANCIAL STATEMENTS OF ACH OR OF ANY AFFILIATE. ONE OF THE STANDING COMMITTEES OF ARKANSAS CHILDREN'S, THE FINANCIAL PLANNING AND OVERSIGHT COMMITTEE, SHALL UNDERTAKE THE FOLLOWING DUTIES IN THE AREAS OF FINANCE AND AUDITS: (I) CAUSING TO BE PREPARED, AND SUBMIT TO THE BOARD OF DIRECTORS AT ITS LAST MEETING BEFORE THE END OF THE FISCAL YEAR, THE CAPITAL AND OPERATING BUDGETS OF THE CORPORATION, AS WELL AS THE CAPITAL AND OPERATING BUDGETS OF AFFILIATES; (II) EXAMINING THE MONTHLY FINANCIAL REPORTS OF THE HEALTH SYSTEM; (III) REVIEWING THE INTERNAL AUDITING FUNCTIONS OF THE HEALTH SYSTEM; (IV) ENGAGING AN EXTERNAL AUDIT FIRM, SUBJECT TO APPROVAL BY THE BOARD OF DIRECTORS; (V) REVIEWING WITH THE INDEPENDENT AUDITOR THE SCOPE AND PLANNING OF THE AUDIT PRIOR TO THE COMMENCEMENT OF THE AUDIT, AS WELL AS UPON COMPLETION OF THE AUDIT, REVIEWING AND DISCUSSING WITH THE INDEPENDENT AUDITOR ANY MATERIAL RISKS OR WEAKNESSES IN INTERNAL CONTROLS IDENTIFIED BY THE AUDITOR, ANY RESTRICTIONS ON THE SCOPE OF THE AUDITOR'S ACTIVITIES OR ACCESS TO REQUESTED INFORMATION, ANY SIGNIFICANT DISAGREEMENTS BETWEEN THE AUDITOR AND MANAGEMENT, AND THE ADEQUACY OF THE HEALTH SYSTEM'S ACCOUNTING AND FINANCIAL REPORTING PROCESSES; (VI) ANNUALLY CONSIDERING THE PERFORMANCE AND INDEPENDENCE OF THE INDEPENDENT AUDITOR; (VII) REVIEWING AND REPORTING TO THE BOARD ON THE ANNUAL AUDITED FINANCIAL STATEMENT OF THE HEALTH SYSTEM CERTIFIED BY THE CORPORATION'S CERTIFIED PUBLIC ACCOUNTANTS, TOGETHER WITH SUCH CERTIFIED PUBLIC ACCOUNTANTS' MANAGEMENT LETTER TO THE CORPORATION WHICH THE COMMITTEE SHALL REVIEW AND REPORT ON TO THE BOARD OF DIRECTORS; (VIII) SUGGESTING MEANS TO IMPROVE FISCAL ACCOUNTABILITY AND INTERNAL AUDIT PROCEDURES FOR THOSE AREAS IDENTIFIED AS REQUIRING IMPROVEMENT; (IX) PROVIDING OVERSIGHT FOR THE HEALTH SYSTEM'S CORPORATE COMPLIANCE PROGRAM, INCLUDING CORPORATE ETHICS AND COMPLIANCE WITH LEGAL AND REGULATORY REQUIREMENTS; AND (X) REPORTING ON THE FINANCIAL PLANNING AND OVERSIGHT COMMITTEE'S ACTIVITIES TO THE FULL BOARD. ARKANSAS CHILDREN'S INC 1 CHILDRENS WAY LITTLE ROCK AR 72202 810801296 HEALTH CARE PARENT CORP AR 501(C)(3) LINE 12B, II N/A 0 ARKANSAS CHILDREN'S HOSPITAL 1 CHILDRENS WAY LITTLE ROCK AR 72202 710236857 HOSPITAL AR 501(C)(3) LINE 3 ARKANSAS CHILDREN'S INC 0 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 VIA ARKANSAS CHILDREN'S HOSPITAL AND FOUNDATION 0 ARKANSAS CHILDREN'S MEDICAL GROUP 1 CHILDRENS WAY LITTLE ROCK AR 72202 820771462 HOSPITAL/MEDICAL 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 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 0 1 0 0 0 0 1 1 1 1 1 1 1