2017-05-12T17:22:18-05:00 2016-09-30 201776739 JPMS COX PLLC 11300 CANTRELL ROAD SUITE 301 LITTLE ROCK AR 72212 990 2015-10-01 710713134 ARKANSAS HOSPICE INC ARKA 5017483333 14 PARKSTONE CIRCLE NORTH LITTLE ROCK AR 72116 JUDITH S WOOTEN PRESIDENT & CEO 5017483333 2017-05-12 1 MICHELLE MANN P01064483 5012275800 2017-05-10 2015 2021-01-29 14:40:06Z JUDITH S WOOTEN 14 PARKSTONE CIRCLE NORTH LITTLE ROCK AR 72116 31238071 0 X WWW.ARKANSASHOSPICE.ORG X 1992 AR TO ENHANCE THE QUALITY OF LIFE FOR THOSE FACING SERIOUS ILLNESS AND LOSS BY SURROUNDING THEM WITH LOVE AND EMBRACING THEM WITH THE BEST IN PHYSICAL, EMOTIONAL AND SPIRITUAL CARE. 20 18 557 500 0 0 231051 281299 32869233 30821813 115912 130776 744 0 33216940 31233888 0 0 0 0 21502838 20696676 0 0 0 9468674 9275537 30971512 29972213 2245428 1261675 22382143 23554856 5153104 5064142 17229039 18490714 X TO ENHANCE THE QUALITY OF LIFE FOR THOSE FACING SERIOUS ILLNESS AND LOSS BY SURROUNDING THEM WITH LOVE AND EMBRACING THEM WITH THE BEST IN PHYSICAL, EMOTIONAL AND SPIRITUAL CARE. 1 0 21596744 30630857 TO SERVE TERMINALLY ILL PATIENTS AND FAMILIES INCLUDING BEREAVEMENT CARE FOR 13 MONTHS FOLLOWING PATIENTS' DEATH. TO PROVIDE ACCESS TO ALL PATIENTS NEEDING HOSPICE CARE. 222591 190956 ARKANSAS PALLIATIVE CARE PROVIDES PALLIATIVE INPATIENT AND HOMEBASED CARE SERVICES TO PATIENTS IN NEED OF SUCH SERVICES AS WELL AS EDUCATIONAL INTERVENTIONS FOR PATIENTS, FAMILIES, PHYSICIANS AND OTHER PROVIDERS ASSOCIATED WITH CARE OF SUCH PATIENTS. 21819335 1 1 0 0 0 0 0 0 0 1 1 0 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 1 0 0 0 0 1 1 0 0 0 1 196 0 1 557 1 0 0 0 0 0 0 0 0 0 0 X 20 18 0 0 0 0 0 0 0 1 1 0 1 1 0 1 1 0 1 1 1 1 0 AR X KATHERINE JONES VP & CFO 5017483333 14 PARKSTONE CIRCLE NORTH LITTLE ROCK AR 72116 TIMOTHY OSTERHOLM CHAIR 1.00 X X 0 0 0 SHEILA CAMPBELL CHAIR EMERITUS 1.00 X X 0 0 0 DONNA BAAS CHAIR ELECT 1.00 X X 0 0 0 DAVID REDING VICE CHAIR 1.00 X X 0 0 0 DOUG WASSON SECRETARY 1.00 X X 0 0 0 MICHAEL MILLER TREASURER 1.00 X X 0 0 0 SHARON DAVIS MEMBER AT LARGE 1.00 X 0 0 0 WM CHRISTOPHER COOPER BOARD MEMBER 1.00 X 0 0 0 ODESSA DARROUGH BOARD MEMBER 1.00 X 0 0 0 FRANK FUNK BOARD MEMBER 1.00 X 0 0 0 SHARON HEFLIN BOARD MEMBER 1.00 X 0 0 0 MARY BETH INGRAM BOARD MEMBER 1.00 X 0 0 0 SCOTTY SHIVELY BOARD MEMBER 1.00 X 0 0 0 STEPHEN LANCASTER BOARD MEMBER 1.00 X 0 0 0 JOHN LILE BOARD MEMBER 1.00 X 0 0 0 DON MUNRO BOARD MEMBER 1.00 X 0 0 0 WILLIAM R PHELPS BOARD MEMBER 1.00 X 0 0 0 JOANNE WILSON BOARD MEMBER 1.00 X 0 0 0 REBECCA WINBURN BOARD MEMBER 1.00 X 0 0 0 VIVIAN TRICKEY SMITH FOUNDATION CHAIR 1.00 X 0 0 0 JUDITH S WOOTEN PRESIDENT & CEO 35.00 5.00 X 201614 0 11553 DR DAVID NEAL WYATT PHYSICIAN 40.00 X 201977 0 10648 KATHERINE JONES VICE PRESIDENT & CFO 35.00 5.00 X 129806 0 3974 DONALD WOOD FOUNDATION EXEC DIR 5.00 35.00 X 0 101490 8544 DEBORAH SCHAEFER VICE PRESIDENT & CCO 40.00 X 97457 0 8514 DR ANDREA ALLEN VICE PRESIDENT & CMO 40.00 X 224623 0 8769 855477 101490 52002 4 0 1 0 WISE HOSPICE PARTNERS LLC 1733 NORMAL HILL EDMOND OK 73034 PHARMACEUTICALS 1292204 GRANT-PROGRESSIVE ELDERCARE 113 SOUTH BRIARWOOD DR SHERIDAN AR 72150 NURSING HOME ROOM AND BOARD 336713 DAVIS LIFE CARE 6810 SOUTH HAZEL PINE BLUFF AR 71603 NURSING HOME ROOM AND BOARD 325869 ALCOA - BNNC INC 3300 ALCOA ROAD BENTON AR 72015 HEALTH AND REHAB 315008 WHITE COUNTY MEDICAL CENTER 3214 EAST RACE STREET SEARCY AR 72143 HEALTHCARE 309159 30 281299 1171 281299 PATIENT CARE 623990 30613331 30613331 PALLIATIVE CARE 623990 190956 190956 RENTAL INCOME 623990 17526 17526 30821813 134959 134959 4183 -4183 -4183 -4183 31233888 30821813 0 130776 898936 214702 684234 16632607 12219036 4413571 223311 165570 57741 1631663 1178771 452892 1310159 926792 383367 197000 197000 37344 37344 90218 90218 165840 84094 81746 43068 10076 32992 363565 125084 238481 642582 531908 110674 15978 4760 11218 476595 200170 276425 220673 220673 PATIENT-RELATED EXPENSE 5869611 5867663 1948 ADMINISTRATIVE EXPENSES 587774 238216 349558 BAD DEBT EXPENSE 477666 0 477666 SUPPLIES 86452 52493 33959 1171 1171 29972213 21819335 8152878 0 12223359 13044449 112446 0 3241647 3914030 43717 228725 140420 128539 266509 242851 10105054 4310623 6146258 5794431 82156 76457 125631 125374 22382143 23554856 2568104 2599142 2585000 2465000 5153104 5064142 X 17229039 18490714 17229039 18490714 22382143 23554856 1261675 0 X 0 1 X 1 0 X 374188 293944 377466 231051 281299 1557948 26555660 28490116 30753571 32869975 30821813 149491135 26929848 28784060 31131037 33101026 31103112 151049083 14964 14964 0 14964 14964 151034119 151750 134243 227677 115912 130776 760358 151750 134243 227677 115912 130776 760358 27081598 28918303 31358714 33216938 31233888 151809441 0.99490 0.99510 0.00500 0.00470 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 766587 24607 85242 20388 856048 797777 16262 -13107 34345 766587 757967 11163 50002 21355 797777 729922 26315 56937 55207 757967 623763 49250 56909 729922 0.51050 0.43870 0.05080 0 1 1 901064 901064 5932842 1901690 4031152 554056 288870 265186 2395547 1876631 518916 321545 243432 78113 5794431 X 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. PART X, LINE 2: ACCOUNTING PRINCIPLES GENERALLY ACCEPTED IN THE UNITED STATES OF AMERICA REQUIRE MANAGEMENT TO EVALUATE TAX POSITIONS TAKEN BY THE ORGANIZATION AND RECOGNIZE A TAX LIABILITY IF THE ORGANIZATION HAS TAKEN AN UNCERTAIN POSITION THAT MORE LIKELY THAN NOT WOULD NOT BE SUSTAINED UPON EXAMINATION BY TAXING AUTHORITIES. MANAGEMENT EVALUATED THE ORGANIZATION'S TAX POSITIONS AND CONCLUDED THAT THE ORGANIZATION HAS TAKEN NO UNCERTAIN TAX POSITIONS THAT REQUIRE ADJUSTMENT TO THE CONSOLIDATED FINANCIAL STATEMENTS TO COMPLY WITH THE PROVISIONS OF THIS GUIDANCE. X X 0 0 0 0 0 0 0 0 0 JUDITH S WOOTEN PRESIDENT & CEO 201614 0 0 0 0 0 6159 0 5394 0 213167 0 0 0 DR DAVID NEAL WYATT PHYSICIAN 201977 0 0 0 0 0 5254 0 5394 0 212625 0 0 0 DR ANDREA ALLEN VICE PRESIDENT & CMO 224623 0 0 0 0 0 3375 0 5394 0 233392 0 0 0 A PULASKI COUNTY PUBLIC FACILITIES 710721974 74539YFA8 2010-03-01 3120000 PURCHASE & RENOVATE CORP OFFICE 0 0 0 A 3120000 125010 104950 0 0 1 1 A 0 0 0 0 0 0 0 A 0 0 0 0 0 0 0 0 0 A 1 DOUG WASSON BOARD MEMBER 12808 CONSTRUCTION COSTS PAID TO KINCO CONSTRUCTORS, FOR WHICH MR. WASSON IS THE PRESIDENT & CEO. 0 TIMOTHY OSTERHOLM BOARD MEMBER 310052 LEASE, LAB, EQUIPMENT, AND PAYMENTS FOR OTHER VARIOUS SERVICES PAID TO CHI ST. VINCENT MEDICAL CENTER, FOR WHICH MR. OSTERHOLM IS THE ADMINISTRATOR/CEO. 0 FORM 990, PART III, LINE 2 THE ORGANIZATION STARTED ARKANSAS PALLIATIVE CARE, A WHOLLY OWNED DIREGARDED ENTITY, IN THE CURRENT YEAR. SEE DESCRIPTION IN PART III, LINE 4B. FORM 990, PART VI, SECTION B, LINE 11 THE 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 15 A 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 19 THE VP & CFO MAINTAIN THE FILES AND WILL PROVIDE DOCUMENTS WHEN REQUESTED. FORM 990, PART IV, LINE 10 - ENDOWMENT FUNDS: THE QUESTION IS ANSWERED "YES" EVEN THOUGH THE FUNDS ARE BEING CARRIED ON ARKANSAS HOSPICE FOUNDATION, INC.'S (EIN 71-0846826) FORM 990, A RELATED ORGANIZATION. ARKANSAS PALLIATIVE CARE 14 PARKSTONE CIRCLE NORTH LITTLE ROCK AR 72116 611766874 PALLIATIVE CARE SERVICES AR 266089 134974 ARKANSAS HOSPICE INC ARKANSAS HOSPICE FOUNDATION INC 14 PARKSTONE CIRCLE NORTH LITTLE ROCK AR 72116 710846826 AR HOSPICE PUBLIC AWARENESS & FINANCIAL SUPPORT AR 501(C)(3) LINE 11A, I 0 0 0 1 0 0 0 0 0 0 1 0 1 1 1 1 0 1 1 1 ARKANSAS HOSPICE FOUNDATION INC C 280128 ACTUAL COST ARKANSAS HOSPICE FOUNDATION INC J 17526 ACTUAL COST ARKANSAS HOSPICE FOUNDATION INC M 872102 ACTUAL COST ARKANSAS HOSPICE FOUNDATION INC L 19650 ACTUAL COST ARKANSAS HOSPICE FOUNDATION INC Q 430803 ACTUAL COST ARKANSAS HOSPICE FOUNDATION INC S 1171 ACTUAL COST ARKANSAS HOSPICE FOUNDATION INC R 197000 ACTUAL COST