STRATEGY STUDIO / PUBLIC DATA EXPLORER

FRIENDS OF HOSPICE WAYNE COUNTY OHIO: Form 990, tax year 2024

View the entire original 990 at ProPublica ↗

Organization
FRIENDS OF HOSPICE WAYNE COUNTY OHIO (EIN 20-1370925)
Tax period
2024-01-01 to 2024-12-31
Filed
2025-08-21
IRS object ID
202522339349301032
Schema version
2024v5.2
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)
Return2025-08-21T11:49:00-05:00ReturnTs
Tax Period End2024-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN341818258PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1MEADEN & MOORE LTDBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line12363 EAGLE PASS SUITE AAddressLine1Txt
CityWOOSTERCityNm
State AbbreviationOHStateAbbreviationCd
ZIP446915344ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2024-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN201370925EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1FRIENDS OF HOSPICEBusinessNameLine1Txt
Business Name Line2WAYNE COUNTY OHIOBusinessNameLine2Txt
FieldValueIRS element (for citing)
Business Name ControlFRIEBusinessNameControlTxt
Phone3302622012PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1223 W LIBERTY STREETAddressLine1Txt
CityWOOSTERCityNm
State AbbreviationOHStateAbbreviationCd
ZIP44691ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonMARLENE BARKHEIMERPersonNm
Person TitleTREASURERPersonTitleTxt
Phone3302622012PhoneNum
Signature2025-08-18SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd
FieldValueIRS element (for citing)
IRS Responsible Prty Info CurrYes (1)IRSResponsiblePrtyInfoCurrInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonKAREN B COONEYPreparerPersonNm
PTINP00285983PTIN
Phone3302647307PhoneNum
Preparation2025-08-18PreparationDt
FieldValueIRS element (for citing)
Tax2024TaxYr
Build TS2025-03-06 01:10:19ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerMARLENE BARKHEIMERPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line111 SOUTH MAIN STREETAddressLine1Txt
CityWEST SALEMCityNm
State AbbreviationOHStateAbbreviationCd
ZIP44287ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$794,648GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.FRIENDTIQUE.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation2004FormationYr
Legal Domicile StateOHLegalDomicileStateCd
Activity Or MissionA SELF-SUSTAINING STORE WHERE THE PROFITS ARE GIVEN TO LIFECARE HOSPICE FOR PATIENT CARE.ActivityOrMissionDesc
Voting Members Governing Body6VotingMembersGoverningBodyCnt
Voting Members Independent6VotingMembersIndependentCnt
Total Employee16TotalEmployeeCnt
Total Volunteers60TotalVolunteersCnt
Total Gross UBI$26,014TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$8,414NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$22,805PYContributionsGrantsAmt
CY Contributions Grants$117,169CYContributionsGrantsAmt
PY Program Service Revenue$626,428PYProgramServiceRevenueAmt
CY Program Service Revenue$644,689CYProgramServiceRevenueAmt
PY Investment Income$0PYInvestmentIncomeAmt
CY Investment Income$0CYInvestmentIncomeAmt
PY Other Revenue$16,535PYOtherRevenueAmt
CY Other Revenue$26,014CYOtherRevenueAmt
PY Total Revenue$665,768PYTotalRevenueAmt
CY Total Revenue$787,872CYTotalRevenueAmt
PY Grants And Similar Paid$50,000PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$45,000CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$250,843PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$286,010CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$9,577CYTotalFundraisingExpenseAmt
PY Other Expenses$230,360PYOtherExpensesAmt
CY Other Expenses$302,127CYOtherExpensesAmt
PY Total Expenses$531,203PYTotalExpensesAmt
CY Total Expenses$633,137CYTotalExpensesAmt
PY Revenues Less Expenses$134,565PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$154,735CYRevenuesLessExpensesAmt
Total Assets BOY$1,921,957TotalAssetsBOYAmt
Total Assets EOY$1,943,094TotalAssetsEOYAmt
Total Liabilities BOY$792,923TotalLiabilitiesBOYAmt
Total Liabilities EOY$659,325TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$1,129,034NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$1,283,769NetAssetsOrFundBalancesEOYAmt
MissionFRIENDS OF HOSPICE WAYNE COUNTY OPERATE FRIENDTIQUE AND THE NEST WHICH ARE STORES ALMOST ENTIRELY OPERATED BY VOLUNTEERS OF CURATED DONATED GOODS CREATING A UNIQUE SHOPPING EXPERIENCE. THE PROFITS SUPPORT THE OHIO LIFECARE HOSPICE.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$580,286ExpenseAmt
Grant$45,000GrantAmt
Revenue$644,689RevenueAmt
DescFURNITURE, HOUSEHOLD ITEMS, AND CLOTHING ARE DONATED BY THE PUBLIC. DONATED GOODS ARE SORTED, PROCESSED, REPAIRED, AND CURATED IN STORES FOR SALE TO THE PUBLIC. PROFITS ARE GIVEN DIRECTLY TO SUPPORT OHIO LIFECARE HOSPICE. OHIO LIFECARE HOSPICE PROVIDES ON-GOING CARE TO PATIENTS. DURING 2024, TOTAL ASSISTANCE OF $45,000 WAS GIVEN DIRECTLY TO OHIO LIFECARE HOSPICE.Desc
Total Program Service Expenses$580,286TotalProgramServiceExpensesAmt
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 Counseling0CreditCounselingInd
Donor Rstr Or Quasi Endowments0DonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 Footnote0IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt0ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To OrganizationsYes (1)GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J Required0ScheduleJRequiredInd
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 With35 Ctrl Ent0BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related Entity0RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document0IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Employee16EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitYes (1)UnrelatedBusIncmOverLimitInd
Form990 T FiledYes (1)Form990TFiledInd
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
Subj To Tax Rmnrtn Ex Prcht Pymt0SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc0SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members6GoverningBodyVotingMembersCnt
Independent Voting Member6IndependentVotingMemberCnt
Family Or Business RlnYes (1)FamilyOrBusinessRlnInd
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 Prsn0AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc0RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention Policy0DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process Other0CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
States Where Copy Of Return Is FldOHStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1MARLENE BARKHEIMERBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone3302622012PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line111 SOUTH MAIN STREETAddressLine1Txt
CityWEST SALEMCityNm
State AbbreviationOHStateAbbreviationCd
ZIP44287ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (7 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmt
RON LEATHERMAN
PRESIDENT1.00Yes (X)Yes (X)$0$0$0
FRAN SAMSON
SECRETARY1.00Yes (X)Yes (X)$0$0$0
MARLENE BARKHEIMER
TREASURER1.00Yes (X)Yes (X)$0$0$0
JOHN STANFORD
BOARD MEMBER1.00Yes (X)$0$0$0
PAMELA TAYLOR
BOARD MEMBER1.00Yes (X)$0$0$0
GAGE RIGHTER
BOARD MEMBER1.00Yes (X)$0$0$0
DAWN SCHIRM
EXECUTIVE DIRECTOR40.00Yes (X)$50,624$0$0
FieldValueIRS element (for citing)
Total Reportable Comp From Org$50,624TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$0TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K0IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K0TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd
Cntrct Rcvd Greater Than100 K0CntrctRcvdGreaterThan100KCnt
Government Grants$79,293GovernmentGrantsAmt
All Other Contributions$37,876AllOtherContributionsAmt
Total Contributions$117,169TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

FieldValueIRS element (for citing)
DescDONATED GOODS/RETAILDesc
Business459510BusinessCd
Total Revenue Column$644,689TotalRevenueColumnAmt
Related Or Exempt Func Income$644,689RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$644,689TotalProgramServiceRevenueAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$32,790RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$6,776RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$26,014RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$26,014TotalRevenueColumnAmt
Unrelated Business Revenue$9,414UnrelatedBusinessRevenueAmt
Exclusion$16,600ExclusionAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$787,872TotalRevenueColumnAmt
Related Or Exempt Func Income$644,689RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$9,414UnrelatedBusinessRevenueAmt
Exclusion$16,600ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$45,000TotalAmt
Program Services$45,000ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$50,624TotalAmt
Program Services$45,562ProgramServicesAmt
Management And General$5,062ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$194,080TotalAmt
Program Services$174,672ProgramServicesAmt
Management And General$19,408ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$41,306TotalAmt
Program Services$37,175ProgramServicesAmt
Management And General$4,131ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$14,432TotalAmt
Management And General$14,432ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$9,289TotalAmt
Fundraising$9,289FundraisingAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$106,951TotalAmt
Program Services$106,951ProgramServicesAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$30,554TotalAmt
Program Services$30,554ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$68,641TotalAmt
Program Services$68,641ProgramServicesAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$16,849TotalAmt
Program Services$16,849ProgramServicesAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmt
MERCHANT FEES$30,117$30,117
STORE SUPPLIES$10,352$10,352
VOLUNTEER APPRECIATION$6,156$6,156
AUCTION PURCHASES - RES$3,453$3,453

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$5,333TotalAmt
Program Services$4,804ProgramServicesAmt
Management And General$241ManagementAndGeneralAmt
Fundraising$288FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$633,137TotalAmt
Program Services$580,286ProgramServicesAmt
Management And General$43,274ManagementAndGeneralAmt
Fundraising$9,577FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$177,843BOYAmt
EOY$259,399EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$9,155BOYAmt
EOY$10,394EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$2,112,001LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$438,700LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$1,734,959BOYAmt
EOY$1,673,301EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$1,921,957BOYAmt
EOY$1,943,094EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$790,827BOYAmt
EOY$642,516EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$2,096BOYAmt
EOY$16,809EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$792,923BOYAmt
EOY$659,325EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$1,129,034BOYAmt
EOY$1,283,769EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$1,129,034BOYAmt
EOY$1,283,769EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$1,921,957BOYAmt
EOY$1,943,094EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$154,735ReconcilationRevenueExpnssAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
Method Of Accounting CashYes (X)MethodOfAccountingCashInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS Audited0FSAuditedInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2Yes (X)PubliclySupportedOrg509a2Ind

Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$133CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$1,560CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$124CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$4,916CurrentTaxYearMinus1YearAmt
Current Tax Year$117,169CurrentTaxYearAmt
Total$123,902TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$369,112CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$581,947CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$547,917CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$626,428CurrentTaxYearMinus1YearAmt
Current Tax Year$644,689CurrentTaxYearAmt
Total$2,770,093TotalAmt

Total509 Total509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$369,245CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$583,507CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$548,041CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$631,344CurrentTaxYearMinus1YearAmt
Current Tax Year$761,858CurrentTaxYearAmt
Total$2,893,995TotalAmt

Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Substantial Contributors Amt SubstantialContributorsAmtGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
FieldValueIRS element (for citing)
Public Support Total509$2,893,995PublicSupportTotal509Amt

Post1975 UBTI Post1975UBTIGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$9,192CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$9,719CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$9,407CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$8,770CurrentTaxYearMinus1YearAmt
Current Tax Year$9,414CurrentTaxYearAmt
Total$46,502TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$9,192CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$9,719CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$9,407CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$8,770CurrentTaxYearMinus1YearAmt
Current Tax Year$9,414CurrentTaxYearAmt
Total$46,502TotalAmt

Other Income509 OtherIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$34,817CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$36,298CurrentTaxYearMinus3YearsAmt
Total$71,115TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$413,254CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$629,524CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$557,448CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$640,114CurrentTaxYearMinus1YearAmt
Current Tax Year$771,272CurrentTaxYearAmt
Total$3,011,612TotalAmt
FieldValueIRS element (for citing)
Public Support CY5090.96090PublicSupportCY509Pct
Public Support PY5090.95820PublicSupportPY509Pct
Investment Income CY0.01540InvestmentIncomeCYPct
Investment Income PY0.01610InvestmentIncomePYPct
Thirty Thr Pct Suprt Tests CY509Yes (X)ThirtyThrPctSuprtTestsCY509Ind

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

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$347,858OtherCostOrOtherBasisAmt
Book Value$347,858BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,166,860OtherCostOrOtherBasisAmt
Depreciation$260,381DepreciationAmt
Book Value$906,479BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$472,735OtherCostOrOtherBasisAmt
Depreciation$90,750DepreciationAmt
Book Value$381,985BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$44,952OtherCostOrOtherBasisAmt
Depreciation$38,789DepreciationAmt
Book Value$6,163BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$79,596OtherCostOrOtherBasisAmt
Depreciation$48,780DepreciationAmt
Book Value$30,816BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$1,673,301TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp

FieldValueIRS element (for citing)
DescPAYROLL LIABILITIESDesc
Amt$16,809Amt
FieldValueIRS element (for citing)
Total Liability$16,809TotalLiabilityAmt

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 Line1LIFECARE HOSPICEBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line11900 AKRON ROADAddressLine1Txt
CityWOOSTERCityNm
State AbbreviationOHStateAbbreviationCd
ZIP44691ZIPCd
FieldValueIRS element (for citing)
Recipient EIN341352875RecipientEIN
IRC Section3IRCSectionDesc
Cash Grant$45,000CashGrantAmt
Non Cash Assistance$0NonCashAssistanceAmt
Purpose Of GrantPATIENT CAREPurposeOfGrantTxt
FieldValueIRS element (for citing)
Total501c3 Org1Total501c3OrgCnt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 2MARLENE BARKHEIMER IS THE PRESIDENT/CEO OF FARMERS STATE BANK AND ALSO THE TREASURER OF FRIENDS OF HOSPICE. FRIENDS OF HOSPICE MAINTAINS CASH AND A LOAN WITH FARMERS STATE BANK. IT IS BOARD POLICY FOR ALL ACCOUNTS TO GO OUT FOR BID AND THE BOARD MUST APPROVE THE TRANSACTIONS. MS. BARKHEIMER ABSTAINS FROM VOTING ON THESE ACTIVITIES. ALL FEES/INTEREST CHARGED BY FARMERS STATE BANK TO FRIENDS OF HOSPICE ARE AT NORMAL CUSTOMARY RATES CHARGED TO ALL CUSTOMERS. FARMERS STATE BANK RENTS A BUILDING FROM FRIENDS OF HOSPICE. THE RENT IS AT MARKET VALUE AND WAS APPROVED BY THE BOARD. RENT IS $2,500 A MONTH.
FORM 990, PART VI, SECTION B, LINE 11BTHE 990 IS PREPARED BY AN INDEPENDENT ACCOUNTING FIRM AND REVIEWED BY THE TREASURER AND EXECUTIVE COMMITTEE PRIOR TO FILING. THE 990 IS MADE AVAILABLE TO THE BOARD AND REVIEWED AFTER FILING.
FORM 990, PART VI, SECTION B, LINE 15ATHE BOARD REVIEWS THE SALARY OF THE EXECUTIVE DIRECTOR AND COMPARES IT TO SIMILAR NON-PROFITS WITH COMPARABLE INCOME TYPES AND SALES FIGURES.
FORM 990, PART VI, SECTION C, LINE 19CURRENT DOCUMENTS ARE MADE AVAILABLE UPON REQUEST.