Laserfiche WebLink
e <br />STATE OF ARKANSAS <br />Department of Finance <br />' A <br />and Administration <br />¢� s <br />November 8, 2000 <br />REVENUE LEGAL COUNSEL <br />Post Office Box 1272, Room 209 <br />Little Rock, Arkansas 72203-1272 <br />Phone: (501) 682-7030 <br />Fax: (501) 682-7599 <br />http://Www.state.ar.us/dfa <br />Mr. Michael Aureli <br />Executive Director <br />The Arkansas Hospice <br />2200 Fort Roots Drive pve v 1oVs 0'� j re s S <br />Building 66, Room 65 how S('DO tj (Z*_"` S E <br />North Little Rock, AR 72114-1709 AR 72204 <br />RE: Sales and Use Tax -- Exemption for Hospitals and Sanatoriums <br />Opinion Number 20001103 <br />Dear Mr. Aureli: <br />Based upon your letter of October 27, 2000 it is my understanding that The Hospice Foundation <br />Of Arkansas d/b/a the Arkansas Hospice, a charitable 501(c)(3) organization, believes that it <br />should be exempt from paying Arkansas sales tax because its hospice facility meets the criteria <br />to be a nonprofit hospital or sanatorium in Arkansas. Your position is based upon the following facts: <br />The Arkansas Hospice facility is a 40 bed unit located in leased space within the Eugene J. <br />Towbin Healthcare Center of the Central Arkansas Veterans Healthcare System. It is available <br />for any terminally ill patient in the state and offers three levels of service: 1) General inpatient <br />care. This acute care service provides aggressive palliative care treatment to manage pain and <br />other symptoms of the dying. Treatments include medications (including narcotics), medical <br />equipment, skilled nursing care, physician visits and oversight of care, therapies, counselors, and <br />pastoral care. Other services provided include lab services, x-rays, palliative chemotherapy, and <br />invasive procedures that can be performed at the bedside. The average length of stay for acute <br />care patients is five (5) days. 2) Residential care. This sanatorium type care, which may be <br />extended for several months, is provided to hospice patients who cannot receive routine hospice <br />care at home. Patients fitting this criteria include (but are not limited to) those without homes, <br />those without adequate caregivers, those with highly infectious diseases, and those with extreme <br />psychosocial needs. 3) Respite care. Patients may be placed in the hospice facility for five (5) <br />day stays to allow respite for the caregiver. <br />The Arkansas Hospice facility differs from a nursing home in focus and in intensity of medical <br />care. Generally speaking, the illness or infirmity of hospice patients requires a higher degree of <br />care than would be available in a nursing home. <br />