ARKANSAS HOSPICE FOUNDATION INC: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization
ARKANSAS HOSPICE FOUNDATION INC (EIN 71-0846826)
Tax period
2011-10-01 to 2012-09-30
Filed
2013-05-15
IRS object ID
201311359349303726
Schema version
2011v1.5
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)
Timestamp2013-05-15T09:02:28-07:00Timestamp
Tax Period End Date2012-09-30TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1Brown Rogers & Co PABusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line11 Executive Center CourtAddressLine1
CityLittle RockCity
StateARState
ZIP Code72211ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2011-10-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN710846826EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1ARKANSAS HOSPICE FOUNDATION INCBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlARKANameControl
Phone5017483300Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line114 PARKSTONE CIRCLEAddressLine1
CityNORTH LITTLE ROCKCity
StateARState
ZIP Code72116ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameJUDITH S WOOTENName
TitlePresident & CEOTitle
Date Signed2013-05-15DateSigned
Authorize Third PartytrueAuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameJames N France CPAName
Phone5012253641Phone
FieldValueIRS element (for citing)
Tax Year2011TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Gross Receipts448161GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
All Affiliates IncludedfalseAllAffiliatesIncluded
Organization501c3XOrganization501c3
Web SiteWWW.ARKANSASHOSPICE.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation2000YearFormation
State Legal DomicileARStateLegalDomicile
Activity Or Mission DescriptionARKANSAS 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.ActivityOrMissionDescription
Termination Or ContractionXTerminationOrContraction
Nbr Voting Members Governing Body17NbrVotingMembersGoverningBody
Nbr Independent Voting Members15NbrIndependentVotingMembers
Total Nbr Employees0TotalNbrEmployees
Total Nbr Volunteers17TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Contributions Grants Prior Year733247ContributionsGrantsPriorYear
Contributions Grants Current Year416401ContributionsGrantsCurrentYear
Program Service Revenue CY0ProgramServiceRevenueCY
Investment Income Prior Year32972InvestmentIncomePriorYear
Investment Income Current Year16285InvestmentIncomeCurrentYear
Other Revenue Prior Year66654OtherRevenuePriorYear
Other Revenue Current Year7917OtherRevenueCurrentYear
Total Revenue Prior Year832873TotalRevenuePriorYear
Total Revenue Current Year440603TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year1506113GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY335566GrantsAndSimilarAmntsCY
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year346419SalariesEtcPriorYear
Salaries Etc Current Year283793SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year19200TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year181743TotalFundrsngExpCurrentYear
Other Expense Prior Year154937OtherExpensePriorYear
Other Expenses Current Year108856OtherExpensesCurrentYear
Total Expenses Prior Year2026669TotalExpensesPriorYear
Total Expenses Current Year728215TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-1193796RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-287612RevenuesLessExpensesCY
Total Assets BOY1278719TotalAssetsBOY
Total Assets EOY1114990TotalAssetsEOY
Total Liabilities BOY41084TotalLiabilitiesBOY
Total Liabilities EOY111252TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY1237635NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY1003738NetAssetsOrFundBalancesEOY
Mission DescriptionARKANSAS 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.MissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense335566Expense
DescriptionTo support Arkansas Hospice programs.Description
Total Program Service Expense335566TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredtrueScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiesfalseLobbyingActivities
Subject To Proxy TaxfalseSubjectToProxyTax
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingtrueCreditCounseling
Term Or Permanent EndowmentstrueTermOrPermanentEndowments
Report Land Bldg EquiptrueReportLandBldgEquip
Report Invest Oth SecuritiesfalseReportInvestOthSecurities
Report Prog Rel InvestfalseReportProgRelInvest
Report Other AssetstrueReportOtherAssets
Report Other LiabilitiestrueReportOtherLiabilities
Report Fin48 FootnotefalseReportFin48Footnote
Independent Audit Financial StmtfalseIndependentAuditFinancialStmt
Consolidated Audit Financial StmttrueConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiesfalseForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiestrueFundraisingActivities
GamingfalseGaming
HospitalfalseHospital
Grants To OrganizationstrueGrantsToOrganizations
Grants To IndividualsfalseGrantsToIndividuals
Schedule J RequiredtrueScheduleJRequired
Tax Exempt BondsfalseTaxExemptBonds
Invest Tax Exempt BondsfalseInvestTaxExemptBonds
Escrow AccountfalseEscrowAccount
On Behalf Of IssuerfalseOnBehalfOfIssuer
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPfalseLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationfalseBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MemberfalseBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshpfalseOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionsfalseDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationtruePartialLiquidation
Disregarded EntityfalseDisregardedEntity
Related EntitytrueRelatedEntity
Related Org Controlled EntityfalseRelatedOrgControlledEntity
Transaction Related EntityfalseTransactionRelatedEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With10966NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees0NumberOfEmployees
Employment Tax Returns FiledfalseEmploymentTaxReturnsFiled
Unrelated Business IncomefalseUnrelatedBusinessIncome
Form990-T FiledfalseForm990-TFiled
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Form8886 T FiledfalseForm8886TFiled
Non Deductible ContributionstrueNonDeductibleContributions
Non Deductible DisclosuretrueNonDeductibleDisclosure
Quid Pro Quo ContributionstrueQuidProQuoContributions
Quid Pro Quo DisclosuretrueQuidProQuoDisclosure
Form8282 Property Disposed OffalseForm8282PropertyDisposedOf
Number Of8282 Filed0NumberOf8282Filed
Funds To Pay PremiumsfalseFundsToPayPremiums
Premiums PaidfalsePremiumsPaid
Form8899 FiledfalseForm8899Filed
Form1098 C FiledfalseForm1098CFiled
Excess Business HoldingsfalseExcessBusinessHoldings
Taxable DistributionsfalseTaxableDistributions
Distribution To DonorfalseDistributionToDonor
Filed Lieu1041falseFiledLieu1041
Licensed More Than One StatefalseLicensedMoreThanOneState
Indoor Tanning ServicesfalseIndoorTanningServices
Form720 FiledfalseForm720Filed
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members17NbrVotingGoverningBodyMembers
Number Independent Voting Members15NumberIndependentVotingMembers
Family Or Business RelationshipfalseFamilyOrBusinessRelationship
Delegation Of Management DutiesfalseDelegationOfManagementDuties
Changes To Organizing DocstrueChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholdersfalseMembersOrStockholders
Election Of Board MemberstrueElectionOfBoardMembers
Decisions Subject To ApprovalfalseDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChaptersfalseLocalChapters
Policies Reference ChaptersfalsePoliciesReferenceChapters
Form990 Provided To Governing BodyfalseForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementfalseRegularMonitoringEnforcement
Whistleblower PolicyfalseWhistleblowerPolicy
Document Retention PolicytrueDocumentRetentionPolicy
Compensation Process CEOtrueCompensationProcessCEO
Compensation Process OthertrueCompensationProcessOther
Investment In Joint VenturefalseInvestmentInJointVenture
Written Policy Or ProcedurefalseWrittenPolicyOrProcedure
States Where Copy Of Return Is FiledARStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonKATHERINE JONES VP CFONamePerson
Telephone Number5017483333TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line114 PARKSTONE CIRCLEAddressLine1
CityN LITTLE ROCKCity
StateARState
ZIP Code72116ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (24 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerFormerFormer
MITZI TIFFEE
Director1.00X000
GINA ROUSE
Director1.00X000
FRANK FUNK
Director1.00X000
DEBBIE SCRIVNER
Director1.00X000
MARY THOMAS
Director1.00X000
F GLADWIN CONNELL
Director1.00X000
CAROL LORD
Director1.00X000
SHARON HEFLIN
Director1.00X000
PAM LAMB
Director1.00X000
KENNIANN SUMMERELL
Director1.00X000
DWAYNE SHELTON
Director1.00X000
WALKER SLOAN
Director1.00X000
NATASHA MARLOW
Director1.00X000
RYAN SOLOMON
Director1.00X000
JASON LAFRANCE
Director1.00X000
BRAD HUDGENS
Director1.00X000
NICK FERRARA
Director1.00X000
KIM VAIL
Director1.00X000
JAMES HERDEN
Director1.00X000
SCOTT SHIVELY
Director1.00X000
KATHERINE JONES
VP & CFO5.000958252927X
DONALD WOOD
Executive Direc35.00000X
JUDITH S WOOTEN
President & CEO5.0001611344829X
MICHAEL V AURELI
President & CEO5.0001155743506X
FieldValueIRS element (for citing)
Total Reportable Comp Frm Rltd Orgs372533TotalReportableCompFrmRltdOrgs
Total Other Compensation11262TotalOtherCompensation
Number Individuals GT100 K0NumberIndividualsGT100K
Formers ListedtrueFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources
Number Of Contractors GT100 K0NumberOfContractorsGT100K
Related Organizations113574RelatedOrganizations
All Other Contributions302827AllOtherContributions
Noncash Contributions15212NoncashContributions
Total Contributions416401TotalContributions
Total Program Service Revenue0TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column16285TotalRevenueColumn
Exclusion$16,285ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Royalties Revenue RoyaltiesRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn
FieldValueIRS element (for citing)
Gross Income Fundraising Events15475GrossIncomeFundraisingEvents
Fundraising Direct Expenses7558FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column7917TotalRevenueColumn
Exclusion$7,917ExclusionAmount

Net Income From Gaming NetIncomeFromGaming

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income Or Loss NetIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn
FieldValueIRS element (for citing)
Total Other Revenue0TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column440603TotalRevenueColumn
Exclusion$24,202ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total335566Total
Program Services335566ProgramServices

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total0Total

Foreign Grants ForeignGrants

FieldValueIRS element (for citing)
Total0Total

Benefits To Members BenefitsToMembers

FieldValueIRS element (for citing)
Total0Total

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total0Total

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total227034Total
Management And General110563ManagementAndGeneral
Fundraising116471Fundraising

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total0Total

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total56759Total
Management And General27642ManagementAndGeneral
Fundraising29117Fundraising

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total0Total

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total0Total

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total0Total

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total0Total

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total0Total

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total0Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total0Total

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total0Total

Advertising Advertising

FieldValueIRS element (for citing)
Total1997Total
Fundraising1997Fundraising

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total29111Total
Management And General10204ManagementAndGeneral
Fundraising18907Fundraising

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total14463Total
Management And General14463ManagementAndGeneral

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total27934Total
Management And General27934ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total1841Total
Management And General680ManagementAndGeneral
Fundraising1161Fundraising

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total736Total
Fundraising736Fundraising

Interest Interest

FieldValueIRS element (for citing)
Total1655Total
Management And General1655ManagementAndGeneral

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total17327Total
Management And General8895ManagementAndGeneral
Fundraising8432Fundraising

Insurance Insurance

FieldValueIRS element (for citing)
Total2640Total
Management And General2074ManagementAndGeneral
Fundraising566Fundraising

Other Expenses OtherExpenses (2 entries)

DescriptionDescriptionTotalTotalFundraisingFundraisingManagement And GeneralManagementAndGeneral
DONOR CULTIVATION43564356
ADMINISTRATIVE EXPENSES67966796

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total0Total

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total728215Total
Program Services335566ProgramServices
Management And General210906ManagementAndGeneral
Fundraising181743Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY522301BOY
EOY353044EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
EOY0EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY208967BOY
EOY136002EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
EOY0EOY

Receivables From Officers Etc ReceivablesFromOfficersEtc

FieldValueIRS element (for citing)
EOY0EOY

Receivables From Disqual Persons ReceivablesFromDisqualPersons

FieldValueIRS element (for citing)
EOY0EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
BOY144723BOY
EOY73755EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
EOY0EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY3870BOY
EOY6987EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis74446LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec51364LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY38279BOY
EOY23082EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY225443BOY
EOY368460EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
EOY0EOY

Investments Program Related InvestmentsProgramRelated

FieldValueIRS element (for citing)
EOY0EOY

Intangible Assets IntangibleAssets

FieldValueIRS element (for citing)
EOY0EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY135136BOY
EOY153660EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY1278719BOY
EOY1114990EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY26624BOY
EOY26926EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
EOY54424EOY

Escrow Account Liability EscrowAccountLiability

FieldValueIRS element (for citing)
EOY9034EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY14460BOY
EOY20868EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY41084BOY
EOY111252EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY428866BOY
EOY422865EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY533124BOY
EOY278930EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY275645BOY
EOY301943EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY1237635BOY
EOY1003738EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY1278719BOY
EOY1114990EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses-287612ReconcilationRevenueExpenses
Reconcilation Other Changes53715ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited
Audit CommitteetrueAuditCommittee
Financial Statement ConsolidatedXFinancialStatementConsolidated
Federal Grant Audit RequiredfalseFederalGrantAuditRequired
Federal Grant Audit PerformedfalseFederalGrantAuditPerformed

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Supporting Organization509a3XSupportingOrganization509a3
Supporting Org509a3 Type3 Func IntXSupportingOrg509a3Type3FuncInt
Contrib By Controlling IndividualtrueContribByControllingIndividual
Contribution By Related PartytrueContributionByRelatedParty
Contrib By35 Controlled EntityfalseContribBy35ControlledEntity

Supported Org Information SupportedOrgInformation

Name Name

FieldValueIRS element (for citing)
Business Name Line1ARKANSAS HOSPICE INCBusinessNameLine1
FieldValueIRS element (for citing)
EIN710713134EIN
Type Of Organization9TypeOfOrganization
Listed In Governing DoctrueListedInGoverningDoc
Supported Organization NotifiedtrueSupportedOrganizationNotified
Organized In UStrueOrganizedInUS
Amount$320,354Amount
FieldValueIRS element (for citing)
Total Number Of Supported Orgs1TotalNumberOfSupportedOrgs
Sum Of Amounts320354SumOfAmounts

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Agent Trustee EtcfalseAgentTrusteeEtc
Included On FStrueIncludedOnFS

Current Year CurrentYear

FieldValueIRS element (for citing)
Beginning Of Year Balance623763BeginningOfYearBalance
Contributions49250Contributions
Investment Earnings Or Losses56909InvestmentEarningsOrLosses
End Of Year Balance729922EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

FieldValueIRS element (for citing)
Beginning Of Year Balance570861BeginningOfYearBalance
Contributions94537Contributions
Investment Earnings Or Losses141InvestmentEarningsOrLosses
Other Expenditures41776OtherExpenditures
End Of Year Balance623763EndOfYearBalance

Current Year Minus2 Years CurrentYearMinus2Years

FieldValueIRS element (for citing)
Beginning Of Year Balance541463BeginningOfYearBalance
Contributions1000Contributions
Investment Earnings Or Losses28398InvestmentEarningsOrLosses
End Of Year Balance570861EndOfYearBalance
FieldValueIRS element (for citing)
Board Designated EOY Balance0.60000BoardDesignatedEOYBalance
Permanent Endowment EOY Balance0.40000PermanentEndowmentEOYBalance
Endowments Held By Unrelated OrgstrueEndowmentsHeldByUnrelatedOrgs
Endowments Held By Related OrgsfalseEndowmentsHeldByRelatedOrgs
Are Related Orgs Listed Schedule RfalseAreRelatedOrgsListedScheduleR

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis74446OtherCostOrOtherBasis
Depreciation51364Depreciation
Book Value23082BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings23082TotalOfBookValueLandBuildings

Other Assets OtherAssets

FieldValueIRS element (for citing)
DescriptionBENEFICIAL INTEREST IN ASSETS OF OTHERDescription
Book Value153660BookValue
FieldValueIRS element (for citing)
Total Book Value Other Assets153660TotalBookValueOtherAssets

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
DescriptionDUE TO AR HOSPICE INCDescription
Amount$20,868Amount
FieldValueIRS element (for citing)
Total Of Amounts20868TotalOfAmounts

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (2 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
Part V, Line 4Part V, Line 4: Intended uses of the endowment fund.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 IV, Line 2bPart IV, Line 2b: Explanation of escrow account liabilityCharitable gift annuities are held.

Schedule G IRS990ScheduleG

FieldValueIRS element (for citing)
Mail SolicitationsXMailSolicitations
Email SolicitationsXEmailSolicitations
Phone SolicitationsXPhoneSolicitations
In Person SolicitationsXInPersonSolicitations
Solicitation Of Non Govt GrantsXSolicitationOfNonGovtGrants
Special Fundraising EventsXSpecialFundraisingEvents
Agreement Ref FundraisingfalseAgreementRefFundraising

Events Information EventsInformation

FieldValueIRS element (for citing)
Name Of Event1SPECIAL EVENTSNameOfEvent1
Gross Receipts Event115475GrossReceiptsEvent1
Gross Revenue Event115475GrossRevenueEvent1
Other Direct Expenses Event17558OtherDirectExpensesEvent1
Gross Receipts Total15475GrossReceiptsTotal
Gross Revenue Total Events15475GrossRevenueTotalEvents
Other Direct Expenses Total Events7558OtherDirectExpensesTotalEvents
Direct Expense Summary Events7558DirectExpenseSummaryEvents
Net Income Summary7917NetIncomeSummary

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records MaintainedtrueRecordsMaintained

Recipient Table RecipientTable

Recipient Name Business RecipientNameBusiness

FieldValueIRS element (for citing)
Business Name Line1ARKANSAS HOSPICE INCBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line114 PARKSTONE CIRCLEAddressLine1
CityN LITTLE ROCKCity
StateARState
ZIP Code72116ZIPCode
FieldValueIRS element (for citing)
EIN Of Recipient710713134EINOfRecipient
IRC Section501(C)(3)IRCSection
Amount Of Cash Grant320354AmountOfCashGrant
Amount Of Non Cash Assistance15212AmountOfNonCashAssistance
Method Of ValuationCOMPARABLE FMVMethodOfValuation
Description Of Non Cash AssistanceMISC ITEMSDescriptionOfNonCashAssistance
Purpose Of GrantSUPPORT AR HOSPICE PROGRAMSPurposeOfGrant
FieldValueIRS element (for citing)
Total Nbr Of501 C3 And Govt Grants1TotalNbrOf501C3AndGovtGrants
Total Nbr Of Other Organizations0TotalNbrOfOtherOrganizations

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation SurveyXCompensationSurvey
Severance PaymentfalseSeverancePayment
Supplemental Nonqual Retire PlanfalseSupplementalNonqualRetirePlan
Equity Based Comp ArrangementfalseEquityBasedCompArrangement
Comp Based On Revenue Of Filing OrgfalseCompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related OrgsfalseCompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing OrgfalseCompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate OrgsfalseCompBasedNetEarningsRelateOrgs
Any Non Fixed PaymentsfalseAnyNonFixedPayments
Initial Contract ExceptionfalseInitialContractException
Rebuttable Presumption ProcedurefalseRebuttablePresumptionProcedure

Form990 Schedule J Part II Form990ScheduleJPartII (2 entries)

Comp Based On Related OrgsCompBasedOnRelatedOrgsDeferred Comp Related OrgsDeferredCompRelatedOrgsTotal Compensation Related OrgsTotalCompensationRelatedOrgs
MICHAEL V AURELI
1155743506119080
JUDITH S WOOTEN
1611344829165963

Form990 Schedule J Part III Form990ScheduleJPartIII

FieldValueIRS element (for citing)
IdentifierSch J, Part III, Additional InformationIdentifier
Return ReferencePart III, Additional InformationReturnReference
ExplanationFounding president & CEO, Michael V Aureli, deceased on June 28, 2011.Explanation

Schedule N IRS990ScheduleN

Disposition Table DispositionTable (2 entries)

Description Of AssetDescriptionOfAssetDate Of DistributionDateOfDistributionFMV Of AssetFMVOfAssetMethod Of FMV DeterminationMethodOfFMVDeterminationEINEINAddress Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeIRC SectionIRCSection
ARKANSAS HOSPICE INC
CONTRIBUTION (IN KIND)2011-01-0515212COMPARABLE71071313414 PARKSTONE CIRCLEN LITTLE ROCKAR72116501(C)(3)
ARKANSAS HOSPICE INC
CONTRIBUTION (CASH)2011-01-05320354ACTUAL COST71071313414 PARKSTONE CIRCLEN LITTLE ROCKAR72116501(C)(3)
FieldValueIRS element (for citing)
Director Of Successor2falseDirectorOfSuccessor2
Employee Of Successor2falseEmployeeOfSuccessor2
Owner Of Successor2falseOwnerOfSuccessor2
Receive Compensation2falseReceiveCompensation2

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (4 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
Form 990, Part VI, Line 19Form 990, Part VI, Line 19: Other Organization Documents Publicly AvailableVP & CFO maintains the files and makes copies when requested.
Form 990, Part VI, Line 15bForm 990, Part VI, Line 15b: Compensation Review and Approval Process for Officers and Key EmployeesA 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, Line 11Form 990, Part VI, Line 11: Form 990 Review ProcessThe 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, Line 4Form 990, Part VI, Line 4: Description of Significant Changes to Organizational DocumentsThe bylaws were changed to adjust the term of board members from a calendar to a fiscal year.

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII

Name Of Disregarded Entity NameOfDisregardedEntity

FieldValueIRS element (for citing)
Business Name Line1ARKANSAS HOSPICE INCBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line114 PARKSTONE CIRCLEAddressLine1
CityN LITTLE ROCKCity
StateARState
ZIP Code72116ZIPCode
FieldValueIRS element (for citing)
EIN710713134EIN
Primary ActivitiesHOSPICE CAREPrimaryActivities
Legal Domicile StateARLegalDomicileState
Exempt Code Section501(C)(3)ExemptCodeSection
Public Charity Status3PublicCharityStatus
Direct Controlling Entity NAN/ADirectControllingEntityNA
Controlled OrgfalseControlledOrg
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents RoyaltiesfalseReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other OrgtrueGiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other OrgfalseGiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other OrgfalseLoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other OrgfalseSaleOfAssetsToOtherOrg
Purchase Of Assets From Other OrgfalsePurchaseOfAssetsFromOtherOrg
Exchange Of AssetsfalseExchangeOfAssets
Rental Of Facilities To Other OrgsfalseRentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other OrgstrueRentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other OrgstruePerformOfServicesForOtherOrgs
Perform Of Services By Other OrgstruePerformOfServicesByOtherOrgs
Sharing Of FacilitiestrueSharingOfFacilities
Sharing Of Paid EmployeestrueSharingOfPaidEmployees
Reimbursement Paid To Other OrgtrueReimbursementPaidToOtherOrg
Reimbursement Paid By Other OrgtrueReimbursementPaidByOtherOrg
Other Transfer To Other OrgtrueOtherTransferToOtherOrg
Other Transfer From Other OrgtrueOtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (4 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolvedMethod Of Amt DeterminationMethodOfAmtDetermination
ARKANSAS HOSPICE INC
r113574ACTUAL COST
ARKANSAS HOSPICE INC
o283790ACTUAL COST
ARKANSAS HOSPICE INC
k297838ACTUAL COST
ARKANSAS HOSPICE INC
b335566ACTUAL COST

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