DREAMS

FOR OUR CHILDREN

2012

Community Benefits Report

Table of Contents Letter from Dr. Bates....................................................................................................................1 Dreaming a Healthy Future for our Community.................................................................................. 2 Investing in the Dream ................................................................................................................. 3 Natural Wonders Partnership Council

Injury Prevention Center........................................................................................................ 4



Oral Health......................................................................................................................... 8



Health Literacy..................................................................................................................... 8



Food Security....................................................................................................................... 8



Home Visiting......................................................................................................................11



Infant Mortality................................................................................................................... 13

Reaching Out to Share the Dream................................................................................................... 14 Research: Turning Dreams into Reality............................................................................................ 16 Learning to Dream: Education and Advocacy .................................................................................... 18 Community Partnerships: The Dream Team...................................................................................... 21

Letter from Dr. Bates Dear Friends, Arkansas Children’s Hospital (ACH) has celebrated our Centennial of service to the children and families of our state: from our beginnings in 1912 as an Orphanage and Home for Children to our current role as one of the 10 largest children’s hospitals in the USA. Throughout our history, connections among our providers of care, our patients and their families and our community partners have been the foundation to successful provision of Care, Love and Hope, our dreams for the children of our community. In this report, you’ll learn about our FY12 efforts to fulfill the dream of providing outstanding care to our children, maintaining our commitment to treat all children in Arkansas regardless of their family’s ability to pay; our expansive education programs, helping to train the next generation of physicians, nurses and many other professionals; our researchers working to unlock mysteries of science leading to new and innovative treatment for many conditions; and our ever-growing network of programs and partnerships working to improve the lives of Arkansas children in their home communities. These efforts the continuing connection of ACH with the people of Arkansas… This place of Care, Love and Hope exists to work in partnership with our communities and leaders to assure that every child has the potential to develop to their fullest and become healthy, competent and productive adults. We are grateful to the many people, working together on a daily basis, to care for our children and work to improve their lives. Our initial Century of Care has been a wonderful product of collaboration; our future holds challenges and growing needs for children that will require our continued dedication to nothing less than achieving the dream for our most precious resource—our children. Sincerely,



Jonathan R. Bates, M.D. President and CEO Arkansas Children’s Hospital

Dreaming a Healthy Future for our Community The tradition of serving children’s needs and acting on dreams for their bright futures has been at the core of our initial century of service at ACH. Whether in the traditional inpatient and outpatient settings, or in our work to bring quality healthcare to children near their home, ACH has brought a sharper focus to the health status of children in our state and worked to develop and strengthen collaborations focused on improving their condition. The recent federal interest in the role that hospitals play in providing community benefit in their service area has given additional focus to our work. Based on an assessment of community health needs, we work to: • Improve access to health care services • Enhance the health of our community • Advance medical or healthcare knowledge • Relieve or reduce the burden of government or other community efforts Our community benefit strategy involves a multi-faceted approach to using our time, talent and resources to improve the lives of children and their families. We have four major areas in which this work occurs: pediatric care, research, education and prevention. In these areas, we engage in many activities including, among others: • Charity care • Unreimbursed Medicaid care • Community health improvement services • Health professions education • Subsidized health services • Community benefit programs All children develop • Research to their fullest • Community health improvement advocacy • Cash and in-kind contributions to community groups working potential. to improve health ACH has initiated and continues to convene a partnership of over 32 agencies and organizations under the banner of the Natural Wonders Partnership Council (NWPC). This group has worked since 2006 to regularly complete a comprehensive analysis of the status of children’s health in Arkansas and develop recommendations for coordinated action in major areas of concern. This effort has received national recognition as a leading example of how children’s hospitals can serve as credible conveners of key community elements, working together toward common goals for improving the health of children and their families. This report highlights our efforts in FY 2012, summarizing our collaborative efforts and bottom line commitment to the dream and goal of healthier, educated and safe children in Arkansas.

DREAM:

2

Investing in the Dream This report reflects the FY 2012 community benefit activities of Arkansas Children’s Hospital, with FY 2011 figures for comparison.

FY 12

FY 11

Health Professions Education........................................... $13,045,104.................................$11,183,386 Research.........................................................................5,572,861................................... 8,132,237 Community Health Improvement Services......................................................... 9,147,691...................................6,419,354 Charity Care at Cost, Unreimbursed Medicaid, Subsidized Health Services..................................................28,251,131 ...................................5,598,201 Cash and In-Kind Contributions to the Community................................................................819,516......................................705,110

Total Community Benefit....................................... $56,836,303.............................. $32,038,228

2012 Community $56,836,303 Benefit

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Dreams Come True: Natural Wonders Partnership Council

The following pages are a summary of some partner activities in FY2012:

INJURY PREVENTION All-terrain Vehicle (ATV) Safety: seeks to reduce the number of ATV related injuries and deaths and to increase ATV safety awareness for people of all ages that ride or operate ATV’s. After partnering with the ATV Safety Program, the Ross Foundation partnered to campaign for ATV safety in Clark County in order to prevent summer time injuries and deaths from ATV crashes; three schools in the area conducted ATV safety activities to promote awareness. Methods of promotion included speaking engagements at two Rotary Clubs, radio public service announcements, a large billboard promoting ATV safety and distributing the ATV Safety Toolkit. AR Coalition Against Texting While Driving: The Coalition began the development of their web site, which is scheduled to launch in mid-September 2012. The web site will promote videos, educational materials, personal stories, and the opportunity to pledge to not text while driving. For more information, please visit www.ardrivesafe.org. Child Passenger Safety (CPS): exists to ensure every child riding in a vehicle is properly restrained. In May 2011, several deadly tornadoes swept through Arkansas leaving many families without basic needs such as car seats. This created an opportunity for the CPS program to partner with State Farm Insurance to provide car seats to tornado victims. Because of this partnership, 38 car seats were provided to families in Vilonia, Denning, and Ozark, Arkansas. In 2012, the CPS Program is developing permanent disaster recovery efforts throughout the state. Infant and Child Death Review Program: improves the response to infant and child fatalities, provide accurate information on how and why Arkansas children are dying, and ultimately reduce the number of preventable infant and child deaths through an effective review and standardized data collection system. After shadowing similar child death review programs, the Injury Prevention Center, in conjunction with the Arkansas Department of Health and the University of Arkansas for Medical Sciences, developed and implemented three pilot teams to conduct infant and child death reviews within their counties. In 2012, all three teams will be fully functional. Once these teams are running smoothly, the task of establishing a team in every trauma region will begin. Safe Routes to School (SRTS): program is a sustained effort by parents, schools, community leaders and local, state, and federal governments to improve the health and well-being of children by enabling and encouraging them to walk and bicycle to school. The Arkansas Department of Health, Arkansas State Highway and Transportation Department, American Association of Retired Persons and Children have injury the Walkable and Livable Communities Institute were also involved. Together, prevention gear and they conducted Active Living Workshops in various areas of the state. Officials knowledge and take and residents from North Little Rock, El Dorado, Harrison, Springdale and Siloam Springs met to communicate how the quality of life in a community care to use it. is affected by safe commuting. The program also promotes active lifestyles for those choosing to commute via walking or biking. Each workshop included educational presentations, identification of desired outcomes, walking audits, visioning sessions and community presentations. In 2012, preparations are underway for the first ever National Bike to School Day to complement the existing National Walk to School Day. Safety Baby Showers: seek to provide families with knowledge and tools to make their homes safe for all family members. Arkansas has one of the highest child injury rates in the nation. Many child deaths and injuries are due to unintentional mechanisms and often occur in the home and in motor vehicle crashes. Safety Baby Showers are designed to mitigate some of these problems: expectant mothers and their support systems are invited to attend a fun, interactive baby shower that provides education and safety products designed to help keep their infants safe in the first year of life. Eleven counties in Arkansas host showers regularly and eleven more have hosted at least one. The Home Safety Program hosts showers regularly in an additional six locations across the state.

DREAM:

4

DREAM:

Teens drive safely and without distraction resulting in fewer traffic injuries and deaths.

Statewide Injury Prevention Program promotes violence and injury prevention across the age spectrum throughout Arkansas by providing communities with information and programs that are proven to be effective in preventing violence and injury. In addition, continuing education activities and training were available to physicians, medical students, nurses, Medical Applications of Science students, emergency medical services and Arkansas Department of Health professionals.

NUMBER OF FATALITIES

NUMBER OF FATALITIES

Statewide Building Consensus for Safer Teen Driving Program: seeks to reduce the number of injuries and deaths of teens involved in traffic crashes by conducting educational campaigns promoting teen driving safety and state motor vehicle laws, with an emphasis on community support for enforcement of the state’s Graduated Driver Licensing (GDL) Law. Highlights include: • In calendar year 2011, 122 parents and teens from different areas of the state completed the program’s two hour Parent/Teen Driving Education Class. • Approximately 8,000 high school students in the central Arkansas region received classroom presentations on safer teen driving through a partnership with Pulaski County’s Youth Accident Prevention Program (YAPP) in the 2011-2012 school year. An additional 1,600 students in the southeast region of the state also attended safer teen driving classroom presentations. • The Building Consensus for Safer Teen Driving Program also hosts the Arkansas Drive Smart Challenge, which is a student-led program designed to increase seat belt use and decrease cell phone use while driving. Approximately MOTOR VEHICLE FATALITIES BY AGE GROUP 20 high schools participated in the Source: Arkansas State Police 120 challenge across the state. Arkansas 2010 Traffic Crash Statistics • With state health agencies, legislators, 100 and supporters, Dr. Aitken, Director of the Injury Prevention Center, 80 celebrated findings from a recent 60 AGE report indicating that the Arkansas 0-5 Graduated Driver License (GDL) law, 40 6-10 in conjunction with teen driving safety 11-15 20 interventions, has saved teen lives in 16-20 Arkansas. Their report shows 21-25 0 significant progress in reducing teen 2005 2006 2007 2008 2009 2010 crashes and fatalities. There has been a MOTOR VEHICLE FATALITIES BY RESTRAINT USE 22% reduction in overall crashes 50 Source: Arkansas State Police involving 16-year-old drivers and Arkansas 2010 Traffic Crash Statistics 45 a 59% reduction in fatal crashes 40 involving teen drivers. It is estimated 35 that 32 lives were saved in 2010, the 30 first year the GDL was implemented. 25 20 15

None in Use Restrain Used Unknown or N/A

10 5 0

Age 0-5

6-10

11-15

16-20

21-25

GRADUATED DRIVER LICENSE OUTCOMES, 2008-10 REDUCTION IN RATE OF CRASHES FOR 16 YEAR OLDS.............................................. 22% REDUCTION IN FATALITIES INVOLVING TEEN DRIVERS............................................ 59% REDUCTION IN SINGLE-VEHICLE FATAL CRASHES FOR TEEN DRIVERS 16-18.............. 52% NUMBER OF LIVES SAVED IN FATAL CRASHES INVOLVING TEEN DRIVERS................... 32 LIVES REDUCTION IN CRASHES BETWEEN 11 P.M. AND 4 A.M.............................................. 76% REDUCTION IN CRASHES INVOLVING 5 OR MORE PASSENGERS.................................20% Source: AR Center for Health Improvement, Graduate Driver License Fact Sheet

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ORAL HEALTH Mobile Dental Program: Now operating three mobile dental clinics, ACH has presence in Southeast, Northwest, and Central Arkansas. In FY2012, the mobile clinics provided over 1,600 appointments to approximately 600 patients, amounting to over $400,000 of services. Since its inception in 2009, the program has treated approximately 2,325 patients and provided over $2.4 million dollars in dental treatment. Dental Sealant Program: The program was able to treat 902 children out of 1,032 that were screened, sealing 3,033 teeth. This school-based dental program helps prevent cavities through the placing of dental sealants, as well as providing oral hygiene instruction and a goodie bag for the children whose parents signed them up. Future Smiles Dental Sealant Program: The Future Smiles Dental Program at Wakefield Elementary School is another dental endeavor that ACH supports by providing a full-time dentist. This school-based dental clinic is led by the Children show more University of Arkansas at Little Rock, Children International program. This collaborative effort has grown in the last 12 years to treat nearly 3,000 underhappy, healthy, served children in six Little Rock elementary schools. In the well-nourished 2011-2012 school year, the program provided 1,197 sealants and nearly 3,000 smiles. preventative and restorative dental procedures.

DREAM:

HEALTH LITERACY HealthTeacher.com: The health literacy efforts continue to increase at ACH. Through the sponsorship of HealthTeacher.com in 523 schools and 79 school districts, this web-based curriculum saw a 96% increase in active schools from 267 schools to 523, as well as a 96% increase in registered users from 1,430 to 2,800. With 11,686 lesson plans and 26,428 resources accessed, health educators continue to use HealthTeacher.com to address several pressing health issues affecting Arkansas students. The top three pressing health issues are bullying, nutrition, and physical activity. The most significant change in 2012 in our efforts to improve health literacy for students in Arkansas was the new partnership between ACH and Mercy Health System to jointly sponsor HealthTeacher.com in portions of northern, western and west-central Arkansas. This groundbreaking partnership of two large healthcare providers helped expand to the dramatic increase in the numbers seen above. ACH Health Literacy through Technology Initiative: 20 schools were targeted as a part of a pilot program to engage children through interactive media to educate them about health, risky behaviors, and technology.

FOOD SECURITY No Kid Hungry Campaign includes a comprehensive approach to ending food insecurity in America. Access, education, and awareness endeavors include: • Cooking Matters is a six-week course to teach healthy cooking within a restricted budget. The head chef at ACH took the course and part of the discussion with ACH leadership was how to implement the program on campus. • Shopping Matters is a program that ACH is also looking to implement. This consists of a shopping tour, focused on obtaining healthy foods in a restricted budget. Several ACH staff members have done this tour at the Edwards grocery store on Main Street, and it is felt that it would be useful to families of our patients. The above subgroup will work on the details of this as well. Plans to have a food pantry and Supplemental Nutrition Assistance Program (SNAP) applications available on ACH campus, as well as engaging in a local summer feeding program.

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HOME VISITING The expansion of evidence-based Home Visiting Programs in Arkansas over the past year due to the successful application for Maternal Infant Early Childhood Home Visiting (MIECHV) services is moving ahead and garnering Arkansas national attention. A unique public-private partnership has emerged between the Arkansas Department of Health and ACH (representing the Arkansas Home Visiting Network) to implement this major program expansion. Program sites have been selected, staff hired and trained, a major management information system has been developed and introduced to the field, an evaluation model has been implemented and a Home Visiting Training Institute has been developed. A community-based intake model to better “fit” families to the best program is being piloted in the Little Rock Promise Neighborhood. National interest has been focused Caregivers have on these developments in our state: the first HHS Regional meeting of the tools they neeed. Home Visiting lead agencies was held in Hot Springs. This represents an expansion of over $6 Million per year for our state in this area. This amount is above the $1.4 Million Federal dollars going to the Arkansas Department of Health for expansion of their Nurse-Family Partnership program in seven Arkansas counties.

DREAM:

ARKANSAS HOME VISITING NETWORK 2011-12 EXPANSION Fulton

Carroll

Benton

Boone

2

3

Crawford

Newton

Searcy

Van Buren

Johnson Franklin

Lawrence Independence Jackson

Cleburne

Conway

Mississippi

Poinsett

Cross

White

Crittenden

Faulkner

W St. Francis

Yell

Perry

Scott

Lonoke Garland

Prairie

Pulaski

Saline

Lee Monroe

Montgomery

Polk

Craighead

Pope

Logan

Sebastian

Stone

Greene

Sharp

Izard

Madison

Washington

Clay

Randolph

Baxter Marion

Phillips Hot Spring

Howard

Arkansas

Grant

2

Pike Clark

Sevier

Dallas Cleveland

Lincoln Desha

Little River

Hempstead Nevada

Ouachita Calhoun

Drew Bradley

Miller Columbia

Union

Ashley

Chicot

Lafayette

Parents as Teachers Home Instruction for Parents of Preschool Youngsters (HIPPY) Healthy Families America Following Baby Back Home

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INFANT MORTALITY A working group led by the Arkansas Department of Health under the Natural Wonders umbrella has been reviewing the infant death rate in our state and formulating plans to reduce the number of deaths of children less than one year of age annually. While the Arkansas rate has declined, it is still greater than the national rate. Efforts to not only better understand this situation in our state, but also develop effective interventions are underway. As noted earlier, the ADH has contracted with the Injury Prevention Center at ACH to implement an Infant Death Review Process in our state; we have also been working to educate prospective parents as well as parents of infants about safe sleep, child-safe homes, and the benefits of home visiting programs to assist families through this first critical year.

INFANT MORTALITY 2010/per thousand Fulton

Carroll

Benton

Boone

Clay

Randolph

Baxter Marion Izard

Washington

Crawford

Madison

Newton

Searcy

Van Buren

Johnson Franklin

Sebastian

Stone

Lawrence

Independence

Conway

Cross

White W

Garland

Pulaski

Saline

Lonoke

Crittenden

St. Francis

Perry

Scott

Polk

Mississippi

Jackson

Faulkner Yell

Craighead

Poinsett

Cleburne

Pope

Logan

Greene

Sharp

Prairie

Lee Monroe

Montgomery

Phillips Hot Spring

Howard

Arkansas

Grant

Pike Clark

Sevier

Dallas Cleveland

Lincoln Desha

Little River

Hempstead

Nevada

Ouachita Calhoun

Drew Bradley

Miller Columbia Lafayette

2.3-5.6 5.7-6.8 6.9-8.1 8.2-9.4 9.5+

Union

Ashley

Chicot

DREAM:

Effective interventions to allow for sweet, safe dreams.

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Getting a Kick out of Sharing the Dream Healthy Habits presentations • 65 sites visited and 201 presentations made to 16,248 children in 30 counties throughout Arkansas. F.A.N. Club (Fitness and Nutrition) presentations • 40 sites visited and 180 presentations made to 6,817 children in 19 counties throughout Arkansas. Fire Safety Houses • Five houses combined visited 58 sites and saw 17,087 children in 21 counties across Arkansas. • Also, 6 certification classes were held and 87 firefighters trained in 6 counties. Child Passenger Safety • Sponsored or assisted with 12 car seat check-up events where 291 seats were checked in 10 counties. • Another 201 car seat checks were provided to individuals by appointment. • Sponsored or assisted with 6 Technician certification courses (32-hr. each) for 65 participants in 5 counties. • Provided 2 Update classes (6-hr. each) for 23 participants in 2 counties. • Provided 1 Renewal Course (6-hr.) for 18 participants and 3 Advocate classes (4-hr.) for 29 participants. • Also, offered 1 CPS 101 class (2-hr.) for 5 participants. Booths at Events • Community Outreach provided 35 booths at a wide variety of events in 10 counties throughout Arkansas and saw 8,395 people. Babysitting 101 classes • 6 (5-hr.) classes were offered for 68 participants in Pulaski County. Speakers Bureau presentations • Healthcare professionals from the hospital visited 28 sites, made 41 presentations and saw 1,890 people in 13 counties across the state. Distribution of Materials • 144,751 ACH educational materials and giveaways were distributed by combined Outreach programs to groups and individuals in 59 counties across the state. Scout • 9 appearances made in 2 counties. Media • 8 appearances made on local TV/Radio stations. Totals:

51,185 PEOPLE SEEN 59 COUNTIES VISITED

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DREAM:

Share health information in ways that are both entertaining and educational.

Research: Turning Dreams into Reality In FY2012, the Arkansas Children’s Hospital Research Institute (ACHRI) researchers received $27 million in grants and contracts from federal, state, and private agencies, industry sponsors, and philanthropic donations. Over 120 researchers, many of whom are physicians at ACH, conduct research on the ACH campus. In FY2012, ACHRI provided 20 college students with the opportunity to participate for 8 weeks in a mentored research project involving children’s health. The program offers valuable experience for students interested in medicine, research, and pediatrics. At an open house in April 2012, ACHRI formally launched the Childhood Obesity Prevention Program to address childhood obesity. Dr. Thomas Badger and Dr. Judith Weber serve as the Co-Directors of this endeavor. To enhance its autism research efforts, ACHRI recruited and appointed Dr. Frye as its Director of Autism Research. A noted clinician-researcher in the field of neurodevelopmental disorders, his goal is to develop an integrated program of basic science, translation, and clinical research. Dr. Jones and Dr. Scurlock with their colleagues in the National Institute of Health (NIH)-funded Consortium of Food Allergy Research (CoFAR) published a significant paper in The New England Journal of Medicine with results demonstrating that oral doses of egg white powder given daily and increasing in amounts may allow children and adolescents with egg allergy to eat egg-containing foods without an allergic reaction. Dr. Aline Andres of the Arkansas Children’s Nutrition Center (ACNC) has received worldwide attention for recent findings from the USDA-funded Beginnings study which compares growth and development among healthy breastfed, soy formula-fed, and milk formula-fed infants. This past year, the Arkansas Center for Birth Defects and Prevention successfully completed for five years of renewed funding from NIH for a project focused on determining the causes of congenital heart defects.

DREAM:

Focused research uncovers new solutions for conditions that affect children.

16

Learning to Dream: Education and Advocacy ACH continues to be a leader in children’s health in Arkansas by providing accurate, timely information for our community as well as specific information to make a positive impact on the development of public policy for children’s health. As one of the most respected organizations in our state’s children’s health arena, ACH — through its board members teams and medical staff — is a key voice in the community’s effort to improve the lives of children and their families. The various working groups and coalitions in which ACH plays an active role include the Oral Health Coalition, The Finish Line Coalition and the KIDS COUNT Coalition among many others. The Anne Hickman Lectureship, the Lynn Harris lecture and other community education events sponsored through the ACH Foundation are important aspects of our work to educate and inform Arkansans about improving the status of children’s health. Parenting in Arkansas magazine is another important effort by ACH to provide information to thousands of Arkansas families, without cost, to assist them in child-rearing activities. ACH continues to serve as a corporate sponsor for the Arkansas Center for Healthcare Improvement, an organization established to provide policy and program analysis on a variety of healthcare issues. ACH was also a key sponsor, in FY2012 of the Healthy Babies Campaign in partnership with the Arkansas Department of Human Services.

PROFESSIONAL EDUCATION PROGRAMS In keeping with our mission, ACH sponsors a wide variety of professional education, both on the ACH Campus and as an active component in our professional outreach. As the major teaching affiliate for the University of Arkansas for Medical Science, ACH serves as the site of all pediatric training programs for the UAMS College of Medicine. Additionally, most schools of Nursing in Arkansas use ACH as the primary pediatric teaching site, and many other healthcare professional schools also rotate students through our hospital as a part of their education. Many of the educational sessions at ACH are video-streamed across our state and are also available on computer from our medical library. From the Department of Pediatrics Grand Rounds series, through the PedsPLACE telemedicine program and the statewide Neonatal Consultation series and the First Tuesday in Ethics series, among others, education of health professionals continues to be an active aspect of our operation. Outreach efforts in Arkansas find ACH professionals working to provide a variety of educational courses and continuing education programs for many healthcare professionals. Foremost in these efforts is our Pediatric Understanding and Learning through Simulation Education (PULSE) Center, our burn outreach for firefighters and others, our Angel One Transport training for nurses and others in hospital emergency departments, and other courses such as Pediatric Advanced Life Support (PALS).

DREAM:

The very latest information is delivered to those professionals who need it.

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Community Partnerships: The Dream Team

In FY12, ACH is proud to have partnered with and/or supported the following organizations:

ALPHA KAPPA SORORITY

CAMP IROCK

MARCH OF DIMES

AMERICAN ASSOCIATION OF KIDNEY PATIENTS

CAMPAIGN FOR HEALTHIER BABIES (DHS)

METHODIST FAMILY HEALTH FOUNDATION

AMERICAN DIABETIC ASSOCIATION

CANDLELIGHTERS OF CENTRAL ARKANSAS

MUSCULAR DYSTROPHY ASSOCIATION (MDA)

CENTERS FOR YOUTH AND FAMILIES

MUSEUM OF DISCOVERY

AMERICAN HEART ASSOCIATION AMERICAN LUNG ASSOCIATION AMERICAN RED CROSS AR CENTER AGAINST RAPE AND DOMESTIC VIOLENCE (ARCARDV) AR DEPARTMENT OF EDUCATION AR ORAL HEALTH COALITION, INC. ARKANSAS ADVOCATES FOR CHILDREN & FAMILIES ARKANSAS AUTISM SPEAKS ARKANSAS BLACK HALL OF FAME FOUNDATION ARKANSAS CENTER FOR HEALTH IMPROVEMENT ARKANSAS DEPARTMENT OF HEALTH

CENTRAL ARKANSAS RADIATION THERAPY INSTITUTE FOUNDATION CITY YEAR COALITION FOR A TOBACCO FREE AR COMMUNITY CONNECTIONS CROHN’S AND COLITIS FOUNDATION CYSTIC FIBROSIS FOUNDATION DOWNTOWN LITTLE ROCK PARTNERSHIP

NATIONAL ASSOCIATION OF PERINATAL SOCIAL WORKERS PHILANDER SMITH COLLEGE QUAPAW AREA COUNCIL BOY SCOUTS OF AMERICA REACH OUT AND READ RIVERFEST RONALD MCDONALD HOUSE CHARITIES SAFE PLACES SPECIAL OLYMPICS

EASTER SEALS ARKANSAS

SUSAN G KOMEN FOUNDATION

FIRST TEE OF CENTRAL ARKANSAS

TEEN MOPS (MOMS OF PRESCHOOLERS)

ARKANSAS EARLY CHILDHOOD COMPREHENSIVE SYSTEM

HOME INSTRUCTION FOR PARENTS OF PRE-SCHOOL YOUNGSTERS (HIPPY)

ARKANSAS EXTENSION HOMEMAKERS COUNCIL, INC.

JUNIOR ACHIEVEMENT OF ARKANSAS

THE LEAGUE OF UNITED LATIN AMERICA CITIZENS

ARKANSAS HANDS & VOICES

JUNIOR LEAGUE OF LITTLE ROCK

THE STAND FOUNDATION

ARKANSAS HUNGER RELIEF ALLIANCE INC

JUST COMMUNITIES OF CENTRAL ARKANSAS

UNIVERSITY OF ARKANSAS AT LITTLE ROCK FOUNDATION

ARKANSAS MINORITY HEALTH COMMISSION

JUVENILE DIABETES RESEARCH FOUNDATION

ARKANSAS MISSION OF MERCY

LITTLE ROCK CENTRAL HIGH SCHOOL

UNIVERSITY OF ARKANSAS FOR MEDICAL SCIENCES FAMILY HOME & NICU

ARKANSAS PUBLIC HEALTH ASSOCIATION ARKANSAS SHERIFFS’ YOUTH RANCHES ARKANSAS SPORTS HALL OF FAME ARKANSAS STATE ATTORNEY GENERAL BIG BROTHERS BIG SISTERS OF CENTRAL ARKANSAS BOYS & GIRLS CLUB OF CENTRAL ARKANSAS BURN CENTER CAMP SUNSHINE

LITTLE ROCK CHAMBER OF COMMERCE LITTLE ROCK MARATHON LITTLE ROCK PARKS & RECREATION LITTLE ROCK POLICE DEPARTMENT NEIGHBORHOOD WATCH PROGRAM

THE BRANDON BURLSWORTH FOUNDATION

UNIVERSITY OF ARKANSAS FOR MEDICAL SCIENCES WINTHROP ROCKEFELLER CANCER INSTITUTE WOMEN & CHILDREN FIRST WOMEN’S FOUNDATION OF ARKANSAS WRIGHT AVE NEIGHBORHOOD ASSOCIATION

LITTLE ROCK REGIONAL CHAMBER OF COMMERCE LITTLE ROCK ZOO MAKE-A-WISH FOUNDATION

CAMP ALDERSGATE

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DREAM:

We all pursue these dreams together. Learn more at archildren’s.org or 501-364-9916.

Until no child needs Arkansas Children’s Hospital, we need you.