ARKANSAS HOSPICE FOUNDATION INC: Form 990, tax year 2018

View the entire original 990 at ProPublica ↗

Organization
ARKANSAS HOSPICE FOUNDATION INC (EIN 71-0846826)
Tax period
2018-10-01 to 2019-09-30
Filed
2020-08-14
IRS object ID
202042279349301609
Schema version
2018v3.2
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2020-08-14T08:19:20-05:00ReturnTs
Tax Period End2019-09-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN731413977PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1HOGANTAYLOR LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line111300 CANTRELL ROAD SUITE 301AddressLine1Txt
CityLITTLE ROCKCityNm
State AbbreviationARStateAbbreviationCd
ZIP72212ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2018-10-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN710846826EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1ARKANSAS HOSPICE FOUNDATION INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlARKABusinessNameControlTxt
Phone5017483333PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line114 PARKSTONE CIRCLEAddressLine1Txt
CityNORTH LITTLE ROCKCityNm
State AbbreviationARStateAbbreviationCd
ZIP72116ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonJUDITH S WOOTENPersonNm
Person TitlePRESIDENT & CEOPersonTitleTxt
Phone5017483333PhoneNum
Signature2020-08-13SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonMICHELLE MANNPreparerPersonNm
PTINP01064483PTIN
Phone5012275800PhoneNum
Preparation2020-08-13PreparationDt

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address12.234.194.162IPv4AddressTxt
FieldValueIRS element (for citing)
IP2020-08-13IPDt
IP Tm13:56:17IPTm
IP TimezoneCDIPTimezoneCd
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device IdDA39A3EE5E6B4B0D3255BFEF95601890AFD80709AtSubmissionCreationDeviceId
At Submission Filing Device IdE4590AC16D38B6CE434F64DAFD5743A3F0502B30AtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2018TaxYr
Build TS2020-09-23 17:36:50ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerJUDITH S WOOTENPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line114 PARKSTONE CIRCLEAddressLine1Txt
CityNORTH LITTLE ROCKCityNm
State AbbreviationARStateAbbreviationCd
ZIP72116ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$1,451,650GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.ARKANSASHOSPICE.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation2000FormationYr
Legal Domicile StateARLegalDomicileStateCd
Activity Or MissionRAISING PUBLIC AWARENESS & PROVIDING FINANCIAL SUPPORT FOR ARKANSAS HOSPICE PROGRAMS & SERVICESActivityOrMissionDesc
Voting Members Governing Body15VotingMembersGoverningBodyCnt
Voting Members Independent15VotingMembersIndependentCnt
Total Employee0TotalEmployeeCnt
Total Volunteers15TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$966,449PYContributionsGrantsAmt
CY Contributions Grants$1,070,255CYContributionsGrantsAmt
PY Program Service Revenue$0PYProgramServiceRevenueAmt
CY Program Service Revenue$0CYProgramServiceRevenueAmt
PY Investment Income$46,430PYInvestmentIncomeAmt
CY Investment Income$48,751CYInvestmentIncomeAmt
PY Other Revenue-$8,056PYOtherRevenueAmt
CY Other Revenue$0CYOtherRevenueAmt
PY Total Revenue$1,004,823PYTotalRevenueAmt
CY Total Revenue$1,119,006CYTotalRevenueAmt
PY Grants And Similar Paid$266,900PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$1,243,684CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$465,387PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$441,492CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$466,880CYTotalFundraisingExpenseAmt
PY Other Expenses$131,693PYOtherExpensesAmt
CY Other Expenses$194,862CYOtherExpensesAmt
PY Total Expenses$863,980PYTotalExpensesAmt
CY Total Expenses$1,880,038CYTotalExpensesAmt
PY Revenues Less Expenses$140,843PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$761,032CYRevenuesLessExpensesAmt
Total Assets BOY$2,179,932TotalAssetsBOYAmt
Total Assets EOY$2,107,969TotalAssetsEOYAmt
Total Liabilities BOY$120,319TotalLiabilitiesBOYAmt
Total Liabilities EOY$832,577TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$2,059,613NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$1,275,392NetAssetsOrFundBalancesEOYAmt
MissionARKANSAS HOSPICE FOUNDATION IS A NON-PROFIT, CHARITABLE 501(C)(3) ORGANIZATION WHOSE MISSION IS TO RAISE PUBLIC AWARENESS AND FINANCIAL SUPPORT FOR ARKANSAS HOSPICE AND RELATED ORGANIZATIONS PROGRAMS AND SERVICES, AND TO HELP DONORS MEET THEIR CHARITABLE GIVING GOALS.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$1,106,939ExpenseAmt
Grant$1,106,939GrantAmt
DescTO SUPPORT ARKANSAS HOSPICE PROGRAMS.Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$136,745ExpenseAmt
Grant$136,745GrantAmt
DescTO SUPPORT ARKANSAS PALLIATIVE CARE PROGRAMS.Desc
FieldValueIRS element (for citing)
Total Program Service Expenses$1,243,684TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying Activities0LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit CounselingYes (1)CreditCounselingInd
Temp Or Permanent EndowmentsYes (1)TempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other AssetsYes (1)ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 Footnote0IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (1)ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To OrganizationsYes (1)GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With Officer Ent0BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document5IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee0EmployeeCnt
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt0SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc0SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members15GoverningBodyVotingMembersCnt
Independent Voting Member15IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or Stockholders0MembersOrStockholdersInd
Election Of Board Members0ElectionOfBoardMembersInd
Decisions Subject To Approva0DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn Body0Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc0RegularMonitoringEnfrcInd
Whistleblower Policy0WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process OtherYes (1)CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
States Where Copy Of Return Is FldARStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1KATHERINE JONES VP & CFOBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone5017483333PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line114 PARKSTONE CIRCLEAddressLine1Txt
CityNORTH LITTLE ROCKCityNm
State AbbreviationARStateAbbreviationCd
ZIP72116ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (18 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt
ROBERT W ANDERSON
CHAIR EMERITUS1.00Yes (X)Yes (X)$0$0$0
SHARON AURELI
CHAIR1.00Yes (X)Yes (X)$0$0$0
VIVIAN TRICKEY SMITH
MEMBER AT LARGE1.00Yes (X)$0$0$0
KAY KELLEY ARNOLD
MEMBER AT LARGE1.00Yes (X)$0$0$0
TERESA J BURL
SECRETARY1.00Yes (X)Yes (X)$0$0$0
BRUCE W HOLSTED
TREASURER1.00Yes (X)Yes (X)$0$0$0
KIMBERLY PRUITT
VICE CHAIR1.00Yes (X)Yes (X)$0$0$0
BILL SMITH
CHAIR ELECT1.00Yes (X)Yes (X)$0$0$0
JUDY WALLER-BREECE
MEMBER AT LARGE1.00Yes (X)$0$0$0
KACEY ZIEGLER
MEMBER AT LARGE1.00Yes (X)$0$0$0
MARY BETH INGRAM
AH CHAIR1.00Yes (X)Yes (X)$0$0$0
ROBERT M ARRINGTON
MEMBER AT LARGE1.00Yes (X)$0$0$0
SUSAN HILLER
MEMBER AT LARGE1.00Yes (X)$0$0$0
MARY ANN ROLLANS
MEMBER AT LARGE1.00Yes (X)$0$0$0
LEWIS SHEPHERD JR
MEMBER AT LARGE1.00Yes (X)$0$0$0
JUDITH S WOOTEN
PRESIDENT & CEO5.00Yes (X)$0$235,412$14,58935.00
RENIE RULE
EXECUTIVE DIRECTOR35.00Yes (X)$126,207$0$7,1845.00
KATHERINE JONES
VP & CFO5.00Yes (X)$0$162,500$4,87535.00
FieldValueIRS element (for citing)
Total Reportable Comp From Org$126,207TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$397,912TotReportableCompRltdOrgAmt
Total Other Compensation$26,648TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K1IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd
Cntrct Rcvd Greater Than100 K0CntrctRcvdGreaterThan100KCnt
All Other Contributions$1,070,255AllOtherContributionsAmt
Noncash Contributions$5,000NoncashContributionsAmt
Total Contributions$1,070,255TotalContributionsAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$38,084TotalRevenueColumnAmt
Exclusion$38,084ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$343,311SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$332,644SecuritiesAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$10,667SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$10,667TotalRevenueColumnAmt
Exclusion$10,667ExclusionAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,119,006TotalRevenueColumnAmt
Related Or Exempt Func Income$0RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$48,751ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$1,243,684TotalAmt
Program Services$1,243,684ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$133,391TotalAmt
Management And General$30,680ManagementAndGeneralAmt
Fundraising$102,711FundraisingAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$228,449TotalAmt
Management And General$51,996ManagementAndGeneralAmt
Fundraising$176,453FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$79,652TotalAmt
Management And General$18,352ManagementAndGeneralAmt
Fundraising$61,300FundraisingAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$47,142TotalAmt
Management And General$4,057ManagementAndGeneralAmt
Fundraising$43,085FundraisingAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$8,082TotalAmt
Fundraising$8,082FundraisingAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$28,697TotalAmt
Management And General$5,523ManagementAndGeneralAmt
Fundraising$23,174FundraisingAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$20,310TotalAmt
Management And General$20,310ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$7,823TotalAmt
Management And General$2,985ManagementAndGeneralAmt
Fundraising$4,838FundraisingAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$455TotalAmt
Management And General$455ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$688TotalAmt
Management And General$688ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (2 entries)

DescDescTotalTotalAmtManagement And GeneralManagementAndGeneralAmtFundraisingFundraisingAmt
ADMINISTRATIVE EXPENSE$78,064$33,528$44,536
MILEAGE$3,601$900$2,701

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$1,880,038TotalAmt
Program Services$1,243,684ProgramServicesAmt
Management And General$169,474ManagementAndGeneralAmt
Fundraising$466,880FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$531,500BOYAmt
EOY$469,979EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$55,517BOYAmt
EOY$102,277EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$6,363BOYAmt
EOY$8,685EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$33,108LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$32,412LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$1,150BOYAmt
EOY$696EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$1,375,458BOYAmt
EOY$1,214,919EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$209,944BOYAmt
EOY$311,413EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$2,179,932BOYAmt
EOY$2,107,969EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$34,206BOYAmt
EOY$30,979EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$86,113BOYAmt
EOY$801,598EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$120,319BOYAmt
EOY$832,577EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$599,229BOYAmt
EOY-$43,064EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$1,077,897BOYAmt
EOY$931,994EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$382,487BOYAmt
EOY$386,462EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$2,059,613BOYAmt
EOY$1,275,392EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$2,179,932BOYAmt
EOY$2,107,969EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss-$761,032ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst-$23,189NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
Info In Schedule O Part XIIYes (X)InfoInScheduleOPartXIIInd
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Supporting Organization509a3Yes (X)SupportingOrganization509a3Ind
Supporting Org Type1Yes (X)SupportingOrgType1Ind
Supported Organizations2SupportedOrganizationsCnt

Supported Org Information SupportedOrgInformationGrp (2 entries)

EINEINOrganization TypeOrganizationTypeCdGoverning Document ListedGoverningDocumentListedIndSupportSupportAmtOther SupportOtherSupportAmt
ARKANSAS HOSPICE INC
71071313410Yes (1)$1,093,139$13,800
ARKANSAS PALLIATIVE CARE INC
61176687410Yes (1)$136,745$0
FieldValueIRS element (for citing)
Supported Organizations Total2SupportedOrganizationsTotalCnt
Support Sum$1,229,884SupportSumAmt
Other Support Sum$13,800OtherSupportSumAmt

Form990 Sch A Supporting Org Form990SchASupportingOrgGrp

FieldValueIRS element (for citing)
Listed By Name Governing DocYes (1)ListedByNameGoverningDocInd
Suprt Org No IRS Determination0SuprtOrgNoIRSDeterminationInd
Supported Org Section C4560SupportedOrgSectionC456Ind
Supported Org Not Organized US0SupportedOrgNotOrganizedUSInd
Organization Change Suprt Org0OrganizationChangeSuprtOrgInd
Support Non Supported Org0SupportNonSupportedOrgInd
Payment Substantial Contribtr0PaymentSubstantialContribtrInd
Loan Disqualified Person0LoanDisqualifiedPersonInd
Controlled Disqualified Prsn0ControlledDisqualifiedPrsnInd
Disqualified Prsn Controll Int0DisqualifiedPrsnControllIntInd
Disqualified Prsn Ownr Int0DisqualifiedPrsnOwnrIntInd
Excess Business Holdings Rules0ExcessBusinessHoldingsRulesInd
Contribution Controller0ContributionControllerInd
Contribution Family0ContributionFamilyInd
Contribution35 Controlled0Contribution35ControlledInd

Form990 Sch A Type1 Suprt Org Form990SchAType1SuprtOrgGrp

FieldValueIRS element (for citing)
Power Appoint Majority Dir TrstYes (1)PowerAppointMajorityDirTrstInd
Operate Benefit Non Suprt Org0OperateBenefitNonSuprtOrgInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Agent Trustee Etc0AgentTrusteeEtcInd
Incl Escrow Custodial Acct LiabYes (1)InclEscrowCustodialAcctLiabInd
Explanation ProvidedYes (X)ExplanationProvidedInd

CY Endwmt Fund CYEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$505,109BeginningYearBalanceAmt
Contributions$3,975ContributionsAmt
Investment Earnings Or Losses$9,119InvestmentEarningsOrLossesAmt
Other Expenditures$27,450OtherExpendituresAmt
End Year Balance$490,753EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$473,413BeginningYearBalanceAmt
Contributions$2,850ContributionsAmt
Investment Earnings Or Losses$28,846InvestmentEarningsOrLossesAmt
End Year Balance$505,109EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$856,048BeginningYearBalanceAmt
Contributions$4,100ContributionsAmt
Investment Earnings Or Losses$76,193InvestmentEarningsOrLossesAmt
Other Expenditures$462,928OtherExpendituresAmt
End Year Balance$473,413EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$766,587BeginningYearBalanceAmt
Contributions$24,607ContributionsAmt
Investment Earnings Or Losses$85,242InvestmentEarningsOrLossesAmt
Other Expenditures$20,388OtherExpendituresAmt
End Year Balance$856,048EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$797,777BeginningYearBalanceAmt
Contributions$16,262ContributionsAmt
Investment Earnings Or Losses-$13,107InvestmentEarningsOrLossesAmt
Other Expenditures$34,345OtherExpendituresAmt
End Year Balance$766,587EndYearBalanceAmt
FieldValueIRS element (for citing)
Board Designated Balance EOY0.00000BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY0.29310PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY0.70690TermEndowmentBalanceEOYPct
Endowments Held Unrelated OrgYes (1)EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org0EndowmentsHeldRelatedOrgInd

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$33,108OtherCostOrOtherBasisAmt
Depreciation$32,412DepreciationAmt
Book Value$696BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$696TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (2 entries)

DescDescBook ValueBookValueAmt
BENEFICIAL INTEREST IN ASSETS OF OTHER$235,363
PLEDGES RECEIVABLE, LESS CURRENT PORTION$76,050
FieldValueIRS element (for citing)
Total Book Value Other Assets$311,413TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)

DescDescAmtAmt
PAYABLE TO ARKANSAS HOSPICE INC.$685,505
PAYABLE TO ARKANSAS PALLIATIVE CARE$109,295
CHARITABLE GIFT ANNUITY LIABILITY$6,798
FieldValueIRS element (for citing)
Total Liability$801,598TotalLiabilityAmt

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART IV, LINE 2B:CHARITABLE GIFT ANNUITIES ARE HELD.
PART V, LINE 4:THE PURPOSE OF THE FUND IS TO FINANCIALLY SUPPORT ARKANSAS HOSPICE, INC. BY PROVIDING RESOURCES FOR PROGRAMS, FACILITIES, OPERATIONS OR SUCH OTHER USES AS MAY FURTHER ITS CHARITABLE MISSION AS DETERMINED BY THE HOSPICE BOARD OF DIRECTORS.

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records MaintainedYes (1)GrantRecordsMaintainedInd

Recipient Table RecipientTable (2 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdRecipient EINRecipientEINIRC SectionIRCSectionDescCash GrantCashGrantAmtNon Cash AssistanceNonCashAssistanceAmtValuation Method UsedValuationMethodUsedDescNon Cash AssistanceNonCashAssistanceDescPurpose Of GrantPurposeOfGrantTxt
ARKANSAS HOSPICE INC
14 PARKSTONE CIRCLENORTH LITTLE ROCKAR72116710713134501(C)(3)$1,093,139$13,800FMVARTWORKSUPPORT AR HOSPICE PROGRAMS
ARKANSAS PALLIATIVE CARE
14 PARKSTONE CIRCLENORTH LITTLE ROCKAR72116611766874501(C)(3)$136,745SUPPORT AR PALLIATIVE CARE PROGRAMS
FieldValueIRS element (for citing)
Total501c3 Org2Total501c3OrgCnt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE I, PART I, LINE 2:FormAndLineReferenceDesc
ExplanationGRANT FUNDS ARE PAID TO ARKANSAS HOSPICE, A SUPPORTED ORGANIZATION. ARKANSAS PALLIATIVE CARE IS A DISREGARDED ENTITY WHOLLY OWNED BY ARKANSAS HOSPICE, INC. AND BOTH ORGANIZATIONS RECEIVED GRANT FUNDING THROUGH ARKANSAS HOSPICE FOUNDATION INC.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance Payment0SeverancePaymentInd
Supplemental Nonqual Rtr Plan0SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments0AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (2 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
JUDITH S WOOTEN
PRESIDENT & CEO$0$235,412$0$0$0$0$0$7,106$0$7,483$0$250,001$0$0
KATHERINE JONES
VP & CFO$0$162,500$0$0$0$0$0$4,875$0$0$0$167,375$0$0

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION B, LINE 11BTHE FINANCE COMMITTEE, A SUB-COMMITTEE OF THE BOARD OF DIRECTORS, RECEIVES AND REVIEWS THE COMPLETE FORM 990. THE FINANCE COMMITTEE HAS THE EXPERTISE TO DO THIS REVIEW.
FORM 990, PART VI, SECTION B, LINE 15A SALARY SURVEY IS OBTAINED IN REFERENCE TO THE CEO'S SALARY AND THEN SUBMITTED TO THE BOARD OF DIRECTORS. THE BOARD ALSO DOES AN ANNUAL REVIEW WITHIN THE BUDGET PROCESS ON AN ORGANIZATION WIDE ANNUAL INCREASE.
FORM 990, PART VI, SECTION C, LINE 19VP & CFO, FINANCE DIRECTOR, AND FOUNDATION OPERATIONS COORDINATOR MAINTAIN THE FILES AND MAKE COPIES WHEN REQUESTED.
FORM 990, PART XII, LINE 2CNO CHANGE.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (2 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtControlled OrganizationControlledOrganizationInd
ARKANSAS HOSPICE INC
14 PARKSTONE CIRCLENORTH LITTLE ROCKAR72116710713134HOSPICE CAREAR501(C)(3)LINE 100
ARKANSAS PALLIATIVE CARE LLC
14 PARKSTONE CIRCLENORTH LITTLE ROCKAR72116611766874PALLIATIVE CAREAR501(C)(3)LINE 100
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgYes (1)GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org0GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org0LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth Org0RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgYes (1)RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgYes (1)PerformOfServicesForOthOrgInd
Perform Of Services By Other Org0PerformOfServicesByOtherOrgInd
Sharing Of FacilitiesYes (1)SharingOfFacilitiesInd
Paid Employees SharingYes (1)PaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (1)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrgInd
Transfer To Other OrgYes (1)TransferToOtherOrgInd
Transfer From Other OrgYes (1)TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (7 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
ARKANSAS HOSPICE INC
K$17,526ACTUAL COST
ARKANSAS HOSPICE INC
B$1,106,939ACTUAL COST
ARKANSAS PALLIATIVE CARE
B$136,745ACTUAL COST
ARKANSAS HOSPICE INC
L$761,451ACTUAL COST
ARKANSAS HOSPICE INC
P$438,492ACTUAL COST
ARKANSAS HOSPICE INC
S$405,000ACTUAL COST
ARKANSAS HOSPICE INC
R$229,650ACTUAL COST

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE R, PART II:FormAndLineReferenceDesc
ExplanationTHOUGH LISTED AS A SEPARATE ORGANIZATION, ARKANSAS PALLIATIVE CARE IS A DISREGARDED ENTITY WHOLLY OWNED BY ARKANSAS HOSPICE, INC.ExplanationTxt

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