ARKANSAS HOSPICE FOUNDATION INC: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization
ARKANSAS HOSPICE FOUNDATION INC (EIN 71-0846826)
Tax period
2010-10-01 to 2011-09-30
Filed
2012-05-15
IRS object ID
201221369349304042
Schema version
2010v3.2
Source
Download XML · Original 990 at ProPublica

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

Return header ReturnHeader

FieldValueIRS element (for citing)
Timestamp2012-05-15T11:13:34-07:00Timestamp
Tax Period End Date2011-09-30TaxPeriodEndDate

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 Date2010-10-01TaxPeriodBeginDate

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 Signed2012-05-15DateSigned

Preparer Preparer

FieldValueIRS element (for citing)
NameJames N France CPAName
Phone5012253641Phone
FieldValueIRS element (for citing)
Tax Year2010TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Gross Receipts882022GrossReceipts
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 Body18NbrVotingMembersGoverningBody
Nbr Independent Voting Members17NbrIndependentVotingMembers
Total Nbr Employees0TotalNbrEmployees
Total Nbr Volunteers18TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Contributions Grants Prior Year1194112ContributionsGrantsPriorYear
Contributions Grants Current Year733247ContributionsGrantsCurrentYear
Program Service Revenue CY0ProgramServiceRevenueCY
Investment Income Prior Year20400InvestmentIncomePriorYear
Investment Income Current Year32972InvestmentIncomeCurrentYear
Other Revenue Prior Year59866OtherRevenuePriorYear
Other Revenue Current Year66654OtherRevenueCurrentYear
Total Revenue Prior Year1274378TotalRevenuePriorYear
Total Revenue Current Year832873TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year168442GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY1506113GrantsAndSimilarAmntsCY
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year417341SalariesEtcPriorYear
Salaries Etc Current Year346419SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY19200TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year194521TotalFundrsngExpCurrentYear
Other Expense Prior Year164400OtherExpensePriorYear
Other Expenses Current Year154937OtherExpensesCurrentYear
Total Expenses Prior Year750183TotalExpensesPriorYear
Total Expenses Current Year2026669TotalExpensesCurrentYear
Revenues Less Expenses Prior Year524195RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-1193796RevenuesLessExpensesCY
Total Assets BOY2495146TotalAssetsBOY
Total Assets EOY1278719TotalAssetsEOY
Total Liabilities BOY55091TotalLiabilitiesBOY
Total Liabilities EOY41084TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY2440055NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY1237635NetAssetsOrFundBalancesEOY
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
Expense1506113Expense
DescriptionTo support Arkansas Hospice programs, including $1,319,540 supporting the construction of Arkansas Hospice River Valley Home.Description
Total Program Service Expense1506113TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredtrueScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiesfalseLobbyingActivities
Subject To Proxy TaxfalseSubjectToProxyTax
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
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 FundraisingtrueProfessionalFundraising
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 ContributionstrueDeductibleNonCashContributions
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 With10962NumberFormsTransmittedWith1096
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 ContributionsfalseNonDeductibleContributions
Non Deductible DisclosurefalseNonDeductibleDisclosure
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 Members18NbrVotingGoverningBodyMembers
Number Independent Voting Members17NumberIndependentVotingMembers
Family Or Business RelationshipfalseFamilyOrBusinessRelationship
Delegation Of Management DutiesfalseDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholdersfalseMembersOrStockholders
Election Of Board MembersfalseElectionOfBoardMembers
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 (22 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficer
WALKER SLOAN
Director1.00X000
SHARON HEFLIN
Director1.00X000
SCOTT SHIVELY
Director1.00X000
RYAN SOLOMON
Director1.00X000
PAM LAMB
Director1.00X000
NICK FERRARA
Director1.00X000
NATASHA MARLOW
Director1.00X000
MITZI TIFFEE
Director1.00X000
MICHAEL V AURELI DECEASED
President & CEO5.0001827685533X
MARY THOMAS
Director1.00X000
KIM VAIL
Director1.00X000
KENNIANN SUMMERELL
Director1.00X000
KATHERINE JONES
CFO5.000936152861X
JUDITH S WOOTEN
President & CEO5.0001417454172X
JASON LAFRANCE
Director1.00X000
JAMES HERDEN
Director1.00X000
GINA ROUSE
Director1.00X000
FRANK FUNK
Director1.00X000
DWAYNE SHELTON
Director1.00X000
DAVID G DANIEL
Executive Direc35.000890952672X
CAROL LORD
Director1.00X000
BRAD HUDGENS
Director1.00X000
FieldValueIRS element (for citing)
Total Reportable Comp Frm Rltd Orgs507223TotalReportableCompFrmRltdOrgs
Total Other Compensation15238TotalOtherCompensation
Number Individuals GT100 K0NumberIndividualsGT100K
Formers ListedfalseFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources
Number Of Contractors GT100 K0NumberOfContractorsGT100K
Related Organizations240000RelatedOrganizations
All Other Contributions493247AllOtherContributions
Noncash Contributions37499NoncashContributions
Total Contributions733247TotalContributions
Total Program Service Revenue0TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column32972TotalRevenueColumn
Exclusion$32,972ExclusionAmount

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 Events115803GrossIncomeFundraisingEvents
Fundraising Direct Expenses49149FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column66654TotalRevenueColumn
Exclusion$66,654ExclusionAmount

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 Column832873TotalRevenueColumn
Exclusion$99,626ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total1506113Total
Program Services1506113ProgramServices

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)
Total57170Total
Management And General35445ManagementAndGeneral
Fundraising21725Fundraising

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total219965Total
Management And General136379ManagementAndGeneral
Fundraising83586Fundraising

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total0Total

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total47501Total
Management And General29452ManagementAndGeneral
Fundraising18049Fundraising

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total21783Total
Management And General13505ManagementAndGeneral
Fundraising8278Fundraising

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)
Total19200Total
Fundraising19200Fundraising

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)
Total2731Total
Management And General1155ManagementAndGeneral
Fundraising1576Fundraising

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total28039Total
Management And General10597ManagementAndGeneral
Fundraising17442Fundraising

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total0Total

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total28096Total
Management And General28096ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total3184Total
Management And General903ManagementAndGeneral
Fundraising2281Fundraising

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total679Total
Management And General50ManagementAndGeneral
Fundraising629Fundraising

Interest Interest

FieldValueIRS element (for citing)
Total0Total

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total18307Total
Management And General9875ManagementAndGeneral
Fundraising8432Fundraising

Insurance Insurance

FieldValueIRS element (for citing)
Total2119Total
Fundraising2119Fundraising

Other Expenses OtherExpenses (5 entries)

DescriptionDescriptionTotalTotalManagement And GeneralManagementAndGeneralFundraisingFundraising
UNCOLLECTIBLE ACCOUNTS2574125741
PROFESSIONAL FEES51385138
MISCELLANEOUS31223122
IN-KIND EXPENSE98549854
ADMINISTRATIVE EXPENSES2657726577

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total1350Total
Fundraising1350Fundraising

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total2026669Total
Program Services1506113ProgramServices
Management And General326035ManagementAndGeneral
Fundraising194521Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY1563745BOY
EOY522301EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
EOY0EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY443097BOY
EOY208967EOY

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)
BOY64047BOY
EOY144723EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
EOY0EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY864BOY
EOY3870EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis74616LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec36337LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY56897BOY
EOY38279EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY232709BOY
EOY225443EOY

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)
BOY133787BOY
EOY135136EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY2495146BOY
EOY1278719EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY33355BOY
EOY26624EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY21736BOY
EOY14460EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY55091BOY
EOY41084EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY468683BOY
EOY428866EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY1832476BOY
EOY533124EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY138896BOY
EOY275645EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY2440055BOY
EOY1237635EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY2495146BOY
EOY1278719EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses-1193796ReconcilationRevenueExpenses
Reconcilation Other Changes-8624ReconcilationOtherChanges
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$1,478,468Amount
FieldValueIRS element (for citing)
Total Number Of Supported Orgs1TotalNumberOfSupportedOrgs
Sum Of Amounts1478468SumOfAmounts

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

Current Year CurrentYear

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

Current Year Minus1 Year CurrentYearMinus1Year

FieldValueIRS element (for citing)
Beginning Of Year Balance541463BeginningOfYearBalance
Contributions1000Contributions
Investment Earnings Or Losses28398InvestmentEarningsOrLosses
End Of Year Balance570861EndOfYearBalance

Current Year Minus2 Years CurrentYearMinus2Years

FieldValueIRS element (for citing)
Beginning Of Year Balance342637BeginningOfYearBalance
Contributions192653Contributions
Investment Earnings Or Losses6173InvestmentEarningsOrLosses
End Of Year Balance541463EndOfYearBalance
FieldValueIRS element (for citing)
Board Designated EOY Balance0.63000BoardDesignatedEOYBalance
Permanent Endowment EOY Balance0.37000PermanentEndowmentEOYBalance
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 Basis74616OtherCostOrOtherBasis
Depreciation36337Depreciation
Book Value38279BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings38279TotalOfBookValueLandBuildings

Other Assets OtherAssets

FieldValueIRS element (for citing)
DescriptionBENEFICIAL INTEREST IN ASSETS OF OTHERDescription
Book Value135136BookValue
FieldValueIRS element (for citing)
Total Book Value Other Assets135136TotalBookValueOtherAssets

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
DescriptionDUE TO AR HOSPICE INCDescription
Amount$14,460Amount
FieldValueIRS element (for citing)
Total Of Amounts14460TotalOfAmounts

Form990 Schedule D Part XIV Form990ScheduleDPartXIV

FieldValueIRS element (for citing)
IdentifierPart V, Line 4Identifier
Return ReferencePart V, Line 4: Intended uses of the endowment fund.ReturnReference
ExplanationThe 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.Explanation

Schedule G IRS990ScheduleG

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

Fundraiser Activity Information FundraiserActivityInformation

Name Of Organization NameOfOrganization

FieldValueIRS element (for citing)
Business Name Line1GARDNER & ASSOCBusinessNameLine1
FieldValueIRS element (for citing)
ActivityENDOWMENT CONSUActivity
Fundraiser Control Of FundsfalseFundraiserControlOfFunds
Gross Receipts40555GrossReceipts
Amount Retained By Contractor19200AmountRetainedByContractor
Net To Organization21355NetToOrganization
FieldValueIRS element (for citing)
Total Gross Receipts40555TotalGrossReceipts
Total Retained By Contractors19200TotalRetainedByContractors
Total Net To Organization21355TotalNetToOrganization
Licensed StatesARLicensedStates

Events Information EventsInformation

FieldValueIRS element (for citing)
Name Of Event1SPECIAL EVENTSNameOfEvent1
Gross Receipts Event1115803GrossReceiptsEvent1
Gross Revenue Event1115803GrossRevenueEvent1
Other Direct Expenses Event149149OtherDirectExpensesEvent1
Gross Receipts Total115803GrossReceiptsTotal
Gross Revenue Total Events115803GrossRevenueTotalEvents
Other Direct Expenses Total Events49149OtherDirectExpensesTotalEvents
Direct Expense Summary Events49149DirectExpenseSummaryEvents
Net Income Summary66654NetIncomeSummary

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 Grant1478468AmountOfCashGrant
Amount Of Non Cash Assistance27645AmountOfNonCashAssistance
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

FieldValueIRS element (for citing)
Name PersonMICHAEL V AURELI DECEASEDNamePerson
Comp Based On Related Orgs182768CompBasedOnRelatedOrgs
Deferred Comp Related Orgs5533DeferredCompRelatedOrgs
Total Compensation Related Orgs188301TotalCompensationRelatedOrgs
Comp Report Prior990 Related Orgs184441CompReportPrior990RelatedOrgs

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.Vice president of development & AHF Executive Director, David Daniel left employment on July 29, 2011 and started new position at a hospital.Explanation

Schedule M IRS990ScheduleM

Food Inventory FoodInventory

FieldValueIRS element (for citing)
Non Cash CheckboxXNonCashCheckbox
Number Of Contributions34NumberOfContributions
Noncash Contribs Rptd F9902469NoncashContribsRptdF990

Drugs And Medical Supplies DrugsAndMedicalSupplies

FieldValueIRS element (for citing)
Non Cash CheckboxXNonCashCheckbox
Number Of Contributions7NumberOfContributions
Noncash Contribs Rptd F9906344NoncashContribsRptdF990

Other Non Cash Contributions Table OtherNonCashContributionsTable (4 entries)

Non Cash CheckboxNonCashCheckboxDescriptionDescriptionNumber Of ContributionsNumberOfContributionsNoncash Contribs Rptd F990NoncashContribsRptdF990
XWALL DECOR49780
XMISC245349
XTRANS & LODGING23704
XSPECIAL EVENTS779853
FieldValueIRS element (for citing)
Any Property That Must Be HeldfalseAnyPropertyThatMustBeHeld
Review Process Unusual NC GiftsfalseReviewProcessUnusualNCGifts
Third Parties UsedfalseThirdPartiesUsed

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)2010-01-0527645COMPARABLE71071313414 PARKSTONE CIRCLEN LITTLE ROCKAR72116501(C)(3)
ARKANSAS HOSPICE INC
CONTRIBUTION (CASH)2010-01-051478468ACTUAL 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 (3 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.

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 OrgtrueGiftGrantOrCapContrFrOtherOrg
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 OrgsfalsePerformOfServicesByOtherOrgs
Sharing Of FacilitiestrueSharingOfFacilities
Sharing Of Paid EmployeestrueSharingOfPaidEmployees
Reimbursement Paid To Other OrgtrueReimbursementPaidToOtherOrg
Reimbursement Paid By Other OrgtrueReimbursementPaidByOtherOrg
Other Transfer To Other OrgfalseOtherTransferToOtherOrg
Other Transfer From Other OrgtrueOtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (4 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolvedMethod Of Amt DeterminationMethodOfAmtDetermination
ARKANSAS HOSPICE INC
r240000ACTUAL COST
ARKANSAS HOSPICE INC
o346419ACTUAL COST
ARKANSAS HOSPICE INC
k534160ACTUAL COST
ARKANSAS HOSPICE INC
b1506113ACTUAL COST

Comments

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