ARKANSAS HOSPICE FOUNDATION INC: Form 990, tax year 2015

View the entire original 990 at ProPublica ↗

Organization
ARKANSAS HOSPICE FOUNDATION INC (EIN 71-0846826)
Tax period
2015-10-01 to 2016-09-30
Filed
2017-05-12
IRS object ID
201731329349306893
Schema version
2015v3.0
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)
Return2017-05-12T17:22:06-05:00ReturnTs
Tax Period End2016-09-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN201776739PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1JPMS COX PLLCBusinessNameLine1Txt

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 Begin2015-10-01TaxPeriodBeginDt

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
Phone5017483300PhoneNum

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
Phone5017483300PhoneNum
Signature2017-05-12SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonMICHELLE MANNPreparerPersonNm
PTINP01064483PTIN
Phone5012275800PhoneNum
Preparation2017-05-09PreparationDt
FieldValueIRS element (for citing)
Tax2015TaxYr
Build TS2021-01-29 14:40:06ZBuildTS

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$1,094,209GrossReceiptsAmt
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 Body16VotingMembersGoverningBodyCnt
Voting Members Independent16VotingMembersIndependentCnt
Total Employee0TotalEmployeeCnt
Total Volunteers17TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$1,216,097PYContributionsGrantsAmt
CY Contributions Grants$1,040,983CYContributionsGrantsAmt
PY Program Service Revenue$0PYProgramServiceRevenueAmt
CY Program Service Revenue$0CYProgramServiceRevenueAmt
PY Investment Income$17,516PYInvestmentIncomeAmt
CY Investment Income$11,142CYInvestmentIncomeAmt
PY Other Revenue-$2,328PYOtherRevenueAmt
CY Other Revenue-$9,823CYOtherRevenueAmt
PY Total Revenue$1,231,285PYTotalRevenueAmt
CY Total Revenue$1,042,302CYTotalRevenueAmt
PY Grants And Similar Paid$231,051PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$281,299CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$381,550PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$430,803CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$402,371CYTotalFundraisingExpenseAmt
PY Other Expenses$74,244PYOtherExpensesAmt
CY Other Expenses$101,007CYOtherExpensesAmt
PY Total Expenses$686,845PYTotalExpensesAmt
CY Total Expenses$813,109CYTotalExpensesAmt
PY Revenues Less Expenses$544,440PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$229,193CYRevenuesLessExpensesAmt
Total Assets BOY$1,600,115TotalAssetsBOYAmt
Total Assets EOY$2,037,926TotalAssetsEOYAmt
Total Liabilities BOY$57,387TotalLiabilitiesBOYAmt
Total Liabilities EOY$183,744TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$1,542,728NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$1,854,182NetAssetsOrFundBalancesEOYAmt
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$206,166ExpenseAmt
Grant$206,166GrantAmt
DescTO SUPPORT ARKANSAS HOSPICE PROGRAMS.Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$75,133ExpenseAmt
Grant$75,133GrantAmt
DescTO SUPPORT ARKANSAS PALLIATIVE CARE PROGRAMS.Desc
FieldValueIRS element (for citing)
Total Program Service Expenses$281,299TotalProgramServiceExpensesAmt
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 FootnoteYes (1)IncludeFIN48FootnoteInd
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 ActivitiesYes (1)FundraisingActivitiesInd
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 Document7IRPDocumentCnt
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
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members16GoverningBodyVotingMembersCnt
Independent Voting Member16IndependentVotingMemberCnt
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 (19 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt
VIVIAN TRICKEY SMITH
CHAIR1.00Yes (X)Yes (X)$0$0$0
WALKER SLOAN
CHAIR ELECT1.00Yes (X)Yes (X)$0$0$0
ROBERT W ANDERSON
VICE CHAIR1.00Yes (X)Yes (X)$0$0$0
SHARON AURELI
SECRETARY1.00Yes (X)Yes (X)$0$0$0
LINDSEY L BAKER
TREASURER1.00Yes (X)Yes (X)$0$0$0
KENNIANN SUMMERELL
CHAIR EMERITUS1.00Yes (X)Yes (X)$0$0$0
KAY ARNOLD
MEMBER AT LARGE1.00Yes (X)$0$0$0
TERESA BURL
MEMBER AT LARGE1.00Yes (X)$0$0$0
JAMES HERDEN
MEMBER AT LARGE1.00Yes (X)$0$0$0
TIMOTHY OSTERHOLM
AH CHAIR1.00Yes (X)$0$0$0
KIMBERLY PRUITT
MEMBER AT LARGE1.00Yes (X)$0$0$0
DEBBIE SCRIVNER
MEMBER AT LARGE1.00Yes (X)$0$0$0
ELISE SIEGLER
MEMBER AT LARGE1.00Yes (X)$0$0$0
ANNE B TEDFORD
MEMBER AT LARGE1.00Yes (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
JUDITH S WOOTEN
PRESIDENT & CEO5.00Yes (X)$0$201,614$11,55335.00
DONALD WOOD
EXECUTIVE DIRECTOR35.00Yes (X)$101,490$0$8,5445.00
KATHERINE JONES
VP & CFO5.00Yes (X)$0$129,806$3,97435.00
FieldValueIRS element (for citing)
Total Reportable Comp From Org$101,490TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$331,420TotReportableCompRltdOrgAmt
Total Other Compensation$24,071TotalOtherCompensationAmt
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
Fundraising$177,743FundraisingAmt
All Other Contributions$863,240AllOtherContributionsAmt
Noncash Contributions$12,842NoncashContributionsAmt
Total Contributions$1,040,983TotalContributionsAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$22,804TotalRevenueColumnAmt
Exclusion$22,804ExclusionAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$11,662SecuritiesAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities-$11,662SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column-$11,662TotalRevenueColumnAmt
Exclusion-$11,662ExclusionAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$30,422FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event$177,743ContriRptFundraisingEventAmt
Fundraising Direct Expenses$40,245FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column-$9,823TotalRevenueColumnAmt
Exclusion-$9,823ExclusionAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,042,302TotalRevenueColumnAmt
Related Or Exempt Func Income$0RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$1,319ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$281,299TotalAmt
Program Services$281,299ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$110,034TotalAmt
Management And General$15,645ManagementAndGeneralAmt
Fundraising$94,389FundraisingAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$243,152TotalAmt
Management And General$34,572ManagementAndGeneralAmt
Fundraising$208,580FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$77,617TotalAmt
Management And General$11,036ManagementAndGeneralAmt
Fundraising$66,581FundraisingAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$3,474TotalAmt
Fundraising$3,474FundraisingAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$16,095TotalAmt
Management And General$2,211ManagementAndGeneralAmt
Fundraising$13,884FundraisingAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$21,827TotalAmt
Management And General$21,827ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$852TotalAmt
Management And General$852ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$500TotalAmt
Management And General$500ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtManagement And GeneralManagementAndGeneralAmtFundraisingFundraisingAmt
ADMINISTRATIVE EXPENSE$46,669$45,144$1,525
IN-KIND EXPENSE$11,671$11,671
MILEAGE$2,519$252$2,267
PROVISION FOR UNCOLLECT-$2,600-$2,600

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$813,109TotalAmt
Program Services$281,299ProgramServicesAmt
Management And General$129,439ManagementAndGeneralAmt
Fundraising$402,371FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$966,583BOYAmt
EOY$1,078,297EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$19,003BOYAmt
EOY$159,199EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

FieldValueIRS element (for citing)
BOY$44,877BOYAmt
EOY$0EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$10,565BOYAmt
EOY$5,250EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$36,889LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$36,208LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$1,533BOYAmt
EOY$681EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$417,920BOYAmt
EOY$646,237EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$139,634BOYAmt
EOY$148,262EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$1,600,115BOYAmt
EOY$2,037,926EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$633BOYAmt
EOY$14,125EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$5,000BOYAmt
EOY$75,000EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

FieldValueIRS element (for citing)
BOY$8,037BOYAmt
EOY$7,708EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$43,717BOYAmt
EOY$86,911EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$57,387BOYAmt
EOY$183,744EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$434,093BOYAmt
EOY$470,118EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$757,705BOYAmt
EOY$1,008,527EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$350,930BOYAmt
EOY$375,537EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$1,542,728BOYAmt
EOY$1,854,182EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$1,600,115BOYAmt
EOY$2,037,926EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$229,193ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$82,261NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
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
7107131349Yes (1)$206,166$0
ARKANSAS PALLIATIVE CARE INC
6117668749Yes (1)$75,133$0
FieldValueIRS element (for citing)
Supported Organizations Total2SupportedOrganizationsTotalCnt
Support Sum$281,299SupportSumAmt
Other Support Sum$0OtherSupportSumAmt

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$766,587BeginningYearBalanceAmt
Contributions$24,607ContributionsAmt
Investment Earnings Or Losses$85,242InvestmentEarningsOrLossesAmt
Other Expenditures$20,388OtherExpendituresAmt
End Year Balance$856,048EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

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

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$757,967BeginningYearBalanceAmt
Contributions$11,163ContributionsAmt
Investment Earnings Or Losses$50,002InvestmentEarningsOrLossesAmt
Other Expenditures$21,355OtherExpendituresAmt
End Year Balance$797,777EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$729,922BeginningYearBalanceAmt
Contributions$26,315ContributionsAmt
Investment Earnings Or Losses$56,937InvestmentEarningsOrLossesAmt
Other Expenditures$55,207OtherExpendituresAmt
End Year Balance$757,967EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$623,763BeginningYearBalanceAmt
Contributions$49,250ContributionsAmt
Investment Earnings Or Losses$56,909InvestmentEarningsOrLossesAmt
End Year Balance$729,922EndYearBalanceAmt
FieldValueIRS element (for citing)
Board Designated Balance EOY0.51050BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY0.43870PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY0.05080TermEndowmentBalanceEOYPct
Endowments Held Unrelated OrgYes (1)EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org0EndowmentsHeldRelatedOrgInd

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$36,889OtherCostOrOtherBasisAmt
Depreciation$36,208DepreciationAmt
Book Value$681BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$681TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp

FieldValueIRS element (for citing)
DescBENEFICIAL INTEREST IN ASSETS OF OTHERDesc
Book Value$148,262BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Other Assets$148,262TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp

FieldValueIRS element (for citing)
DescDUE TO ARKANSAS HOSPICE INC.Desc
Amt$86,911Amt
FieldValueIRS element (for citing)
Total Liability$86,911TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail (3 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.
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.

Schedule G IRS990ScheduleG

Fundraising Event Information FundraisingEventInformationGrp

FieldValueIRS element (for citing)
Event1SATURDAY'S FAIREvent1Nm
Gross Receipts Event1$19,650GrossReceiptsEvent1Amt
Charitable Contri Event1$18,858CharitableContriEvent1Amt
Gross Revenue Event1$792GrossRevenueEvent1Amt
Other Direct Expenses Event1$4,702OtherDirectExpensesEvent1Amt
Event2A FAIR TO REMEMBEREvent2Nm
Gross Receipts Event2$188,515GrossReceiptsEvent2Amt
Charitable Contri Event2$158,885CharitableContriEvent2Amt
Gross Revenue Event2$29,630GrossRevenueEvent2Amt
Rent Facility Costs Event2$5,708RentFacilityCostsEvent2Amt
Other Direct Expenses Event2$29,835OtherDirectExpensesEvent2Amt
Gross Receipts Total$208,165GrossReceiptsTotalAmt
Charitable Contributions Tot$177,743CharitableContributionsTotAmt
Gross Revenue Total Events$30,422GrossRevenueTotalEventsAmt
Rent Fclty Costs Total Events$5,708RentFcltyCostsTotalEventsAmt
Oth Direct Expnss Total Events$34,537OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events$40,245DirectExpenseSummaryEventsAmt
Net Income Summary-$9,823NetIncomeSummaryAmt

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)$204,995$1,171COSTSNACKS & SUPPLIESSUPPORT AR HOSPICE PROGRAMS
ARKANSAS PALLIATIVE CARE
14 PARKSTONE CIRCLENORTH LITTLE ROCKAR72116611766874501(C)(3)$75,133SUPPORT 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 A SUPPORTED ORGANIZATION. ARKANSAS PALLIATIVE CARE IS A DISREGARDED ENTITY WHOLLY OWNED BY ARKANSAS HOSPICE, INC.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation SurveyYes (X)CompensationSurveyInd
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

FieldValueIRS element (for citing)
PersonJUDITH S WOOTENPersonNm
TitlePRESIDENT & CEOTitleTxt
Base Compensation Filing Org$0BaseCompensationFilingOrgAmt
Compensation Based On Rltd Orgs$201,614CompensationBasedOnRltdOrgsAmt
Bonus Filing Organization$0BonusFilingOrganizationAmount
Bonus Related Organizations$0BonusRelatedOrganizationsAmt
Other Compensation Filing Org$0OtherCompensationFilingOrgAmt
Other Compensation Rltd Orgs$0OtherCompensationRltdOrgsAmt
Deferred Compensation Flng Org$0DeferredCompensationFlngOrgAmt
Deferred Comp Rltd Orgs$6,159DeferredCompRltdOrgsAmt
Nontaxable Benefits Filing Org$0NontaxableBenefitsFilingOrgAmt
Nontaxable Benefits Rltd Orgs$5,394NontaxableBenefitsRltdOrgsAmt
Total Compensation Filing Org$0TotalCompensationFilingOrgAmt
Total Compensation Rltd Orgs$213,167TotalCompensationRltdOrgsAmt
Comp Report Prior990 Filing Org$0CompReportPrior990FilingOrgAmt
Comp Report Prior990 Rltd Orgs$0CompReportPrior990RltdOrgsAmt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION B, LINE 11THE 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.

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 90
ARKANSAS PALLIATIVE CARE
14 PARKSTONE CIRCLENORTH LITTLE ROCKAR72116611766874PALLIATIVE CAREAR501(C)(3)LINE 90
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 OrgYes (1)PerformOfServicesByOtherOrgInd
Sharing Of FacilitiesYes (1)SharingOfFacilitiesInd
Paid Employees SharingYes (1)PaidEmployeesSharingInd
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (1)ReimbursementPaidByOtherOrgInd
Transfer To Other OrgYes (1)TransferToOtherOrgInd
Transfer From Other Org0TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (9 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
ARKANSAS HOSPICE INC
B$204,995ACTUAL COST
ARKANSAS HOSPICE INC
L$766,780ACTUAL COST
ARKANSAS HOSPICE INC
M$19,650ACTUAL COST
ARKANSAS HOSPICE INC
R$1,171ACTUAL COST
ARKANSAS HOSPICE INC
S$197,000ACTUAL COST
ARKANSAS HOSPICE INC
K$17,526ACTUAL COST
ARKANSAS HOSPICE INC
P$430,803ACTUAL COST
ARKANSAS PALLIATIVE CARE
B$75,133ACTUAL COST
ARKANSAS PALLIATIVE CARE
L$105,322ACTUAL 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

Comments

Anonymous: no account or email. Up to 2,000 characters, at most one link. Comments are checked automatically; some wait for review.