ARKANSAS HOSPICE FOUNDATION INC: Form 990, tax year 2014

View the entire original 990 at ProPublica ↗

Organization
ARKANSAS HOSPICE FOUNDATION INC (EIN 71-0846826)
Tax period
2014-10-01 to 2015-09-30
Filed
2016-05-13
IRS object ID
201601349349306750
Schema version
2014v6.0
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)
Return2016-05-13T15:45:05-05:00ReturnTs
Tax Period End2015-09-30TaxPeriodEndDt

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 Begin2014-10-01TaxPeriodBeginDt

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)
PersonKATHERINE JONESPersonNm
Person TitleVICE PRESIDENT AND CFOPersonTitleTxt
Phone5017483300PhoneNum
Signature2016-05-11SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonMICHELLE MANNPreparerPersonNm
PTINP01064483PTIN
Phone5012275800PhoneNum
Preparation2016-05-11PreparationDt
FieldValueIRS element (for citing)
Tax2014TaxYr
Build TS2016-08-17 19:52:53ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerKATHERINE JONESPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line114 PARKSTONE CIRCLEAddressLine1Txt
CityNORTH LITTLE ROCKCityNm
State AbbreviationARStateAbbreviationCd
ZIP72116ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$1,235,912GrossReceiptsAmt
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 Body14VotingMembersGoverningBodyCnt
Voting Members Independent14VotingMembersIndependentCnt
Total Employee0TotalEmployeeCnt
Total Volunteers14TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$727,253PYContributionsGrantsAmt
CY Contributions Grants$1,216,097CYContributionsGrantsAmt
PY Program Service Revenue$0PYProgramServiceRevenueAmt
CY Program Service Revenue$0CYProgramServiceRevenueAmt
PY Investment Income$21,315PYInvestmentIncomeAmt
CY Investment Income$17,516CYInvestmentIncomeAmt
PY Other Revenue$6,772PYOtherRevenueAmt
CY Other Revenue-$2,328CYOtherRevenueAmt
PY Total Revenue$755,340PYTotalRevenueAmt
CY Total Revenue$1,231,285CYTotalRevenueAmt
PY Grants And Similar Paid$357,360PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$231,051CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$397,101PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$381,550CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$258,273CYTotalFundraisingExpenseAmt
PY Other Expenses$77,417PYOtherExpensesAmt
CY Other Expenses$74,244CYOtherExpensesAmt
PY Total Expenses$831,878PYTotalExpensesAmt
CY Total Expenses$686,845CYTotalExpensesAmt
PY Revenues Less Expenses-$76,538PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$544,440CYRevenuesLessExpensesAmt
Total Assets BOY$1,243,674TotalAssetsBOYAmt
Total Assets EOY$1,600,115TotalAssetsEOYAmt
Total Liabilities BOY$218,661TotalLiabilitiesBOYAmt
Total Liabilities EOY$57,387TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$1,025,013NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$1,542,728NetAssetsOrFundBalancesEOYAmt
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 PROGRAMS AND SERVICES, AND TO HELP DONORS MEET THEIR CHARITABLE GIVING GOALS.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$231,051ExpenseAmt
Grant$231,051GrantAmt
DescTO SUPPORT ARKANSAS HOSPICE PROGRAMS.Desc
Total Program Service Expenses$231,051TotalProgramServiceExpensesAmt
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 ContributionYes (1)DeductibleArtContributionInd
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 Document2IRPDocumentCnt
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 Members14GoverningBodyVotingMembersCnt
Independent Voting Member14IndependentVotingMemberCnt
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 (17 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtOfficerOfficerInd
KENNIANN SUMMERELL
CHAIR1.00Yes (X)$0$0$0
VIVIAN TRICKEY SMITH
CHAIR ELECT1.00Yes (X)$0$0$0
WALKER SLOAN
VICE CHAIR1.00Yes (X)$0$0$0
ROBERT W ANDERSON
SECRETARY1.00Yes (X)$0$0$0
LINDSEY L BAKER
TREASURER1.00Yes (X)$0$0$0
SHARON K HEFLIN
CHAIR EMERITUS1.00Yes (X)$0$0$0
SHELIA CAMPBELL
AH BOARD CHAIR1.00Yes (X)$0$0$0
SHARON AURELI
MEMBER AT LARGE1.00Yes (X)$0$0$0
JAMES HERDEN
MEMBER AT LARGE1.00Yes (X)$0$0$0
KIMBERLY PRUITT
MEMBER AT LARGE1.00Yes (X)$0$0$0
DEBBIE SCRIVNER
MEMBER AT LARGE1.00Yes (X)$0$0$0
ANNE B TEDFORD
MEMBER AT LARGE1.00Yes (X)$0$0$0
JUDY WALLER-BREECE
MEMBER AT LARGE1.00Yes (X)$0$0$0
JESSICA WORMAN
MEMBER AT LARGE1.00Yes (X)$0$0$0
JUDITH S WOOTEN
PRESIDENT & CEO5.00$0$198,350$11,19935.00Yes (X)
DONALD WOOD
EXECUTIVE DIRECTOR35.00$0$103,311$8,8095.00Yes (X)
KATHERINE JONES
VP & CFO5.00$0$123,763$3,58035.00Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$0TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$425,424TotReportableCompRltdOrgAmt
Total Other Compensation$23,588TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K0IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd
Cntrct Rcvd Greater Than100 K0CntrctRcvdGreaterThan100KCnt
Fundraising$22,250FundraisingAmt
All Other Contributions$1,193,847AllOtherContributionsAmt
Noncash Contributions$20,324NoncashContributionsAmt
Total Contributions$1,216,097TotalContributionsAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$13,107TotalRevenueColumnAmt
Exclusion$13,107ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$4,409SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$0SecuritiesAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$4,409SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$4,409TotalRevenueColumnAmt
Exclusion$4,409ExclusionAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$2,299FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event$22,250ContriRptFundraisingEventAmt
Fundraising Direct Expenses$4,627FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column-$2,328TotalRevenueColumnAmt
Exclusion-$2,328ExclusionAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,231,285TotalRevenueColumnAmt
Related Or Exempt Func Income$0RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$15,188ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$231,051TotalAmt
Program Services$231,051ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$113,469TotalAmt
Management And General$41,658ManagementAndGeneralAmt
Fundraising$71,811FundraisingAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$200,697TotalAmt
Management And General$73,682ManagementAndGeneralAmt
Fundraising$127,015FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$67,384TotalAmt
Management And General$24,739ManagementAndGeneralAmt
Fundraising$42,645FundraisingAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$154TotalAmt
Fundraising$154FundraisingAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$14,619TotalAmt
Management And General$1,878ManagementAndGeneralAmt
Fundraising$12,741FundraisingAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$21,689TotalAmt
Management And General$21,689ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$1,935TotalAmt
Management And General$1,703ManagementAndGeneralAmt
Fundraising$232FundraisingAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$536TotalAmt
Management And General$536ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtManagement And GeneralManagementAndGeneralAmtFundraisingFundraisingAmt
ADMINISTRATIVE EXPENSE$35,520$34,091$1,429
MILEAGE$1,851$566$1,285
IN-KIND EXPENSE$961$961
PROVISION FOR UNCOLLECT-$3,021-$3,021

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$686,845TotalAmt
Program Services$231,051ProgramServicesAmt
Management And General$197,521ManagementAndGeneralAmt
Fundraising$258,273FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$538,679BOYAmt
EOY$966,583EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$68,573BOYAmt
EOY$19,003EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

FieldValueIRS element (for citing)
BOY$35,977BOYAmt
EOY$44,877EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$5,901BOYAmt
EOY$10,565EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$36,889LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$35,356LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$3,468BOYAmt
EOY$1,533EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$431,647BOYAmt
EOY$417,920EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$159,429BOYAmt
EOY$139,634EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$1,243,674BOYAmt
EOY$1,600,115EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$6,176BOYAmt
EOY$633EOYAmt

Deferred Revenue DeferredRevenueGrp

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

Escrow Account Liability EscrowAccountLiabilityGrp

FieldValueIRS element (for citing)
BOY$8,699BOYAmt
EOY$8,037EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$203,786BOYAmt
EOY$43,717EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$218,661BOYAmt
EOY$57,387EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$469,163BOYAmt
EOY$434,093EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$221,182BOYAmt
EOY$757,705EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$334,668BOYAmt
EOY$350,930EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$1,025,013BOYAmt
EOY$1,542,728EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$1,243,674BOYAmt
EOY$1,600,115EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$544,440ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst-$27,055NetUnrlzdGainsLossesInvstAmt
Donated Services And Use Fclts$330DonatedServicesAndUseFcltsAmt
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 Organizations1SupportedOrganizationsCnt

Supported Org Information SupportedOrgInformationGrp

Supported Organization Name SupportedOrganizationName

FieldValueIRS element (for citing)
Business Name Line1ARKANSAS HOSPICE INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
EIN710713134EIN
Organization Type9OrganizationTypeCd
Governing Document ListedYes (1)GoverningDocumentListedInd
Support$231,051SupportAmt
Other Support$0OtherSupportAmt
FieldValueIRS element (for citing)
Supported Organizations Total1SupportedOrganizationsTotalCnt
Support Sum$231,051SupportSumAmt
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$797,777BeginningYearBalanceAmt
Contributions$16,262ContributionsAmt
Investment Earnings Or Losses-$13,107InvestmentEarningsOrLossesAmt
Other Expenditures$34,345OtherExpendituresAmt
End Year Balance$766,587EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

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 Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

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 Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$623,763BeginningYearBalanceAmt
Contributions$49,250ContributionsAmt
Investment Earnings Or Losses$56,909InvestmentEarningsOrLossesAmt
End Year Balance$729,922EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$570,861BeginningYearBalanceAmt
Contributions$94,537ContributionsAmt
Investment Earnings Or Losses$141InvestmentEarningsOrLossesAmt
Other Expenditures$41,776OtherExpendituresAmt
End Year Balance$623,763EndYearBalanceAmt
FieldValueIRS element (for citing)
Board Designated Balance EOY0.53190BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY0.45780PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY0.01030TermEndowmentBalanceEOYPct
Endowments Held Unrelated OrgYes (1)EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org0EndowmentsHeldRelatedOrgInd

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$36,889OtherCostOrOtherBasisAmt
Depreciation$35,356DepreciationAmt
Book Value$1,533BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$1,533TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp

FieldValueIRS element (for citing)
DescBENEFICIAL INTEREST IN ASSETS OF OTHERDesc
Book Value$139,634BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Other Assets$139,634TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp

FieldValueIRS element (for citing)
DescDUE TO ARKANSAS HOSPICE INC.Desc
Amt$43,717Amt
FieldValueIRS element (for citing)
Total Liability$43,717TotalLiabilityAmt
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)
Event1CARNIVALEvent1Nm
Gross Receipts Event1$24,549GrossReceiptsEvent1Amt
Charitable Contri Event1$22,250CharitableContriEvent1Amt
Gross Revenue Event1$2,299GrossRevenueEvent1Amt
Other Direct Expenses Event1$4,627OtherDirectExpensesEvent1Amt
Gross Receipts Total$24,549GrossReceiptsTotalAmt
Charitable Contributions Tot$22,250CharitableContributionsTotAmt
Gross Revenue Total Events$2,299GrossRevenueTotalEventsAmt
Oth Direct Expnss Total Events$4,627OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events$4,627DirectExpenseSummaryEventsAmt
Net Income Summary-$2,328NetIncomeSummaryAmt

Schedule I IRS990ScheduleI

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

Recipient Table RecipientTable

Recipient Business Name RecipientBusinessName

FieldValueIRS element (for citing)
Business Name Line1ARKANSAS HOSPICE INCBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line114 PARKSTONE CIRCLEAddressLine1Txt
CityNORTH LITTLE ROCKCityNm
State AbbreviationARStateAbbreviationCd
ZIP72116ZIPCd
FieldValueIRS element (for citing)
Recipient EIN710713134RecipientEIN
IRC Section501(C)(3)IRCSectionDesc
Cash Grant$211,358CashGrantAmt
Non Cash Assistance$19,693NonCashAssistanceAmt
Valuation Method UsedAPPRAISALValuationMethodUsedDesc
Non Cash AssistanceARTWORK, CHAIR & MISC SUPPLIESNonCashAssistanceDesc
Purpose Of GrantSUPPORT AR HOSPICE PROGRAMSPurposeOfGrantTxt
FieldValueIRS element (for citing)
Total501c3 Org1Total501c3OrgCnt

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.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$198,000CompensationBasedOnRltdOrgsAmt
Bonus Filing Organization$0BonusFilingOrganizationAmount
Bonus Related Organizations$350BonusRelatedOrganizationsAmt
Other Compensation Filing Org$0OtherCompensationFilingOrgAmt
Other Compensation Rltd Orgs$0OtherCompensationRltdOrgsAmt
Deferred Compensation Flng Org$0DeferredCompensationFlngOrgAmt
Deferred Comp Rltd Orgs$5,453DeferredCompRltdOrgsAmt
Nontaxable Benefits Filing Org$0NontaxableBenefitsFilingOrgAmt
Nontaxable Benefits Rltd Orgs$5,746NontaxableBenefitsRltdOrgsAmt
Total Compensation Filing Org$0TotalCompensationFilingOrgAmt
Total Compensation Rltd Orgs$209,549TotalCompensationRltdOrgsAmt
Comp Report Prior990 Filing Org$0CompReportPrior990FilingOrgAmt
Comp Report Prior990 Rltd Orgs$0CompReportPrior990RltdOrgsAmt

Schedule M IRS990ScheduleM

Works Of Art WorksOfArtGrp

FieldValueIRS element (for citing)
Non Cash CheckboxYes (X)NonCashCheckboxInd
Contribution1ContributionCnt
Noncash Contributions Rpt F990$17,550NoncashContributionsRptF990Amt
Method Of Determining RevenuesAPPRAISALMethodOfDeterminingRevenuesTxt

Other Non Cash Contri Table OtherNonCashContriTableGrp (2 entries)

Non Cash CheckboxNonCashCheckboxIndDescDescContributionContributionCntNoncash Contributions Rpt F990NoncashContributionsRptF990AmtMethod Of Determining RevenuesMethodOfDeterminingRevenuesTxt
Yes (X)FOOD & SUPPLIES8$1,924FMV
Yes (X)LIFT CHAIR1$850FMV
FieldValueIRS element (for citing)
Form8283 Received1Form8283ReceivedCnt
Any Property That Must Be Held0AnyPropertyThatMustBeHeldInd
Review Process Unusual NC GiftsYes (1)ReviewProcessUnusualNCGiftsInd
Third Parties Used0ThirdPartiesUsedInd

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 MAINTAINS THE FILES AND MAKES COPIES WHEN REQUESTED.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp

Disregarded Entity Name DisregardedEntityName

FieldValueIRS element (for citing)
Business Name Line1ARKANSAS HOSPICE INCBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line114 PARKSTONE CIRCLEAddressLine1Txt
CityNORTH LITTLE ROCKCityNm
State AbbreviationARStateAbbreviationCd
ZIP72116ZIPCd
FieldValueIRS element (for citing)
EIN710713134EIN
Primary ActivitiesHOSPICE CAREPrimaryActivitiesTxt
Legal Domicile StateARLegalDomicileStateCd
Exempt Code Section501(C)(3)ExemptCodeSectionTxt
Public Charity StatusLINE 9PublicCharityStatusTxt
Controlled Organization0ControlledOrganizationInd
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 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
B$211,358ACTUAL COST
ARKANSAS HOSPICE INC
K$17,016ACTUAL COST
ARKANSAS HOSPICE INC
L$1,137,423ACTUAL COST
ARKANSAS HOSPICE INC
M$24,549ACTUAL COST
ARKANSAS HOSPICE INC
P$381,550ACTUAL COST
ARKANSAS HOSPICE INC
R$19,693ACTUAL COST
ARKANSAS HOSPICE INC
S$36,100ACTUAL COST

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