FRIENDS OF HOSPICE WAYNE COUNTY OHIO: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization: FRIENDS OF HOSPICE WAYNE COUNTY OHIO (EIN 20-1370925)
Tax period: 2010-01-01 to 2010-12-31
Filed: 2011-11-08
IRS object ID: 201143129349301934
Schema version: 2010v3.4
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
Form 990
Schedule A
Schedule B
Schedule D
Schedule I
Schedule M
Schedule O

Return header ReturnHeader

Field	Value	IRS element (for citing)
Timestamp	2011-11-08T15:56:55-06:00	Timestamp
Tax Period End Date	2010-12-31	TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	LONG COOK & SAMSA INC	BusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

Field	Value	IRS element (for citing)
Address Line1	505 N MARKET ST	AddressLine1
City	WOOSTER	City
State	OH	State
ZIP Code	44691	ZIPCode

Field	Value	IRS element (for citing)
Return Type	990	ReturnType
Tax Period Begin Date	2010-01-01	TaxPeriodBeginDate

Filer Filer

Field	Value	IRS element (for citing)
EIN	201370925	EIN

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	FRIENDS OF HOSPICE	BusinessNameLine1
Business Name Line2	WAYNE COUNTY OHIO	BusinessNameLine2

Field	Value	IRS element (for citing)
Name Control	FRIE	NameControl
Phone	3302622012	Phone

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	223 W LIBERTY STREET	AddressLine1
City	WOOSTER	City
State	OH	State
ZIP Code	44691	ZIPCode

Officer Officer

Field	Value	IRS element (for citing)
Name	MARLENE BARKHEIMER	Name
Title	TREASURER	Title
Phone	3302622012	Phone
Date Signed	2011-10-04	DateSigned
Authorize Third Party	true	AuthorizeThirdParty

Preparer Preparer

Field	Value	IRS element (for citing)
Name	JENNIFER M HALVORSEN	Name
Phone	3302627111	Phone
Date Prepared	2011-11-07	DatePrepared

Field	Value	IRS element (for citing)
Tax Year	2010	TaxYear
Build TS	2016-03-07 17:11:31Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Name Of Principal Officer Person	MARLENE BARKHEIMER	NameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

Field	Value	IRS element (for citing)
Address Line1	11 SOUTH MAIN STREET	AddressLine1
City	WEST SALEM	City
State	OH	State
ZIP Code	44287	ZIPCode

Field	Value	IRS element (for citing)
Gross Receipts	284269	GrossReceipts
Group Return For Affiliates	false	GroupReturnForAffiliates
Organization501c3	X	Organization501c3
Web Site	WWW.FRIENDTIQUE.ORG	WebSite
Type Of Organization Corporation	X	TypeOfOrganizationCorporation
Year Formation	2004	YearFormation
State Legal Domicile	OH	StateLegalDomicile
Activity Or Mission Description	FRIENDS OF HOSPICE, WAYNE COUNTY OHIO OPENED ITS DOORS ON SEPTEMBER 20, 2004. IT IS A SELF-SUSTAINING STORE SELLING FURNITURE, HOUSEHOLD ITEMS AND CLOTHING WHERE THE PROFITS ARE GIVEN TO HOSPICE & PALLIATIVE CARE OF GREATER WAYNE COUNTY OHIO TO PROVIDE AN ON-GOING SOURCE OF REVENUE FOR PATIENT CARE. MOST OF THE INVENTORY AT THE STORE IS DONATED BY THE PUBLIC. THE ORGANIZATION CLEANS AND REPAIRS DONATIONS AND HOLDS THEM FOR SALE. THE ORGANIZATION HAS A LARGE VOLUNTEER STAFF, AND IS ABLE TO OPERATE WITH TWO FULL-TIME EMPLOYEES AND ONE PART-TIME EMPLOYEE. THE BOARD OF DIRECTORS IS COMPRISED OF SIX NON-COMPENSATED MEMBERS.	ActivityOrMissionDescription
Nbr Voting Members Governing Body	6	NbrVotingMembersGoverningBody
Nbr Independent Voting Members	6	NbrIndependentVotingMembers
Total Nbr Employees	3	TotalNbrEmployees
Total Nbr Volunteers	41	TotalNbrVolunteers
Total Gross UBI	0	TotalGrossUBI
Contributions Grants Prior Year	19815	ContributionsGrantsPriorYear
Contributions Grants Current Year	16465	ContributionsGrantsCurrentYear
Program Service Revenue Prior Year	251127	ProgramServiceRevenuePriorYear
Program Service Revenue CY	254961	ProgramServiceRevenueCY
Investment Income Prior Year	561	InvestmentIncomePriorYear
Investment Income Current Year	243	InvestmentIncomeCurrentYear
Other Revenue Prior Year	12600	OtherRevenuePriorYear
Other Revenue Current Year	5755	OtherRevenueCurrentYear
Total Revenue Prior Year	284103	TotalRevenuePriorYear
Total Revenue Current Year	277424	TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year	74000	GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY	55000	GrantsAndSimilarAmntsCY
Benefits Paid To Members CY	0	BenefitsPaidToMembersCY
Salaries Etc Prior Year	60117	SalariesEtcPriorYear
Salaries Etc Current Year	70444	SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY	0	TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year	0	TotalFundrsngExpCurrentYear
Other Expense Prior Year	80602	OtherExpensePriorYear
Other Expenses Current Year	75861	OtherExpensesCurrentYear
Total Expenses Prior Year	214719	TotalExpensesPriorYear
Total Expenses Current Year	201305	TotalExpensesCurrentYear
Revenues Less Expenses Prior Year	69384	RevenuesLessExpensesPriorYear
Revenues Less Expenses CY	76119	RevenuesLessExpensesCY
Total Assets BOY	620817	TotalAssetsBOY
Total Assets EOY	653467	TotalAssetsEOY
Total Liabilities BOY	297155	TotalLiabilitiesBOY
Total Liabilities EOY	253686	TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY	323662	NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY	399781	NetAssetsOrFundBalancesEOY
Info In Schedule O Part III	X	InfoInScheduleOPartIII
Mission Description	FRIENDS OF HOSPICE, WAYNE COUNTY OHIO OPENED ITS DOORS ON SEPTEMBER 20, 2004. IT IS A SELF-SUSTAINING STORE SELLING FURNITURE, HOUSEHOLD ITEMS AND CLOTHING WHERE THE PROFITS ARE GIVEN TO HOSPICE & PALLIATIVE CARE OF GREATER WAYNE COUNTY OHIO TO PROVIDE AN ON-GOING SOURCE OF REVENUE FOR PATIENT CARE. MOST OF THE INVENTORY AT THE STORE IS DONATED BY THE PUBLIC. THE ORGANIZATION CLEANS AND REPAIRS DONATIONS AND HOLDS THEM FOR SALE. THE ORGANIZATION HAS A LARGE VOLUNTEER STAFF, AND IS ABLE TO OPERATE WITH TWO FULL-TIME EMPLOYEES AND ONE PART-TIME EMPLOYEE. THE BOARD OF DIRECTORS IS COMPRISED OF SIX NON-COMPENSATED MEMBERS.	MissionDescription
Significant New Program Services	false	SignificantNewProgramServices
Significant Change	false	SignificantChange
Expense	183742	Expense
Grants	55000	Grants
Revenue	254961	Revenue
Description	FURNITURE, HOUSEHOLD ITEMS AND CLOTHING ARE DONATED BY THE PUBLIC SORTED AND PROCESSED AND ARE THEN SOLD BACK TO THE PUBLIC. PROFITS OF WHICH ARE GIVEN TO HOSPICE & PALLIATIVE CARE OF GREATER WAYNE COUNTY OHIO TO PROVIDE ON-GOING CARE TO THEIR PATIENTS. DURING 2010 PROFITS OF 55,000 WERE GIVEN.	Description
Total Program Service Expense	183742	TotalProgramServiceExpense
Described In501 C3	true	DescribedIn501C3
Schedule B Required	true	ScheduleBRequired
Political Activities	false	PoliticalActivities
Lobbying Activities	false	LobbyingActivities
Subject To Proxy Tax	false	SubjectToProxyTax
Donor Advised Funds	false	DonorAdvisedFunds
Conservation Easements	false	ConservationEasements
Collections Of Art	false	CollectionsOfArt
Credit Counseling	false	CreditCounseling
Term Or Permanent Endowments	false	TermOrPermanentEndowments
Report Land Bldg Equip	true	ReportLandBldgEquip
Report Invest Oth Securities	false	ReportInvestOthSecurities
Report Prog Rel Invest	false	ReportProgRelInvest
Report Other Assets	false	ReportOtherAssets
Report Other Liabilities	false	ReportOtherLiabilities
Report Fin48 Footnote	false	ReportFin48Footnote
Independent Audit Financial Stmt	false	IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt	false	ConsolidatedAuditFinancialStmt
School	false	School
Foreign Office	false	ForeignOffice
Foreign Activities	false	ForeignActivities
More Than5000 K To Organizations	false	MoreThan5000KToOrganizations
More Than5000 K To Individuals	false	MoreThan5000KToIndividuals
Professional Fundraising	false	ProfessionalFundraising
Fundraising Activities	false	FundraisingActivities
Gaming	false	Gaming
Hospital	false	Hospital
Grants To Organizations	true	GrantsToOrganizations
Grants To Individuals	false	GrantsToIndividuals
Schedule J Required	false	ScheduleJRequired
Tax Exempt Bonds	false	TaxExemptBonds
Excess Benefit Transaction	false	ExcessBenefitTransaction
Prior Excess Benefit Transaction	false	PriorExcessBenefitTransaction
Loan To Officer Or DQP	false	LoanToOfficerOrDQP
Grant To Related Person	false	GrantToRelatedPerson
Bsnss Rltnshp With Organization	false	BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member	false	BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp	false	OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions	true	DeductibleNonCashContributions
Deductible Contributions Of Art	false	DeductibleContributionsOfArt
Terminated	false	Terminated
Partial Liquidation	false	PartialLiquidation
Disregarded Entity	false	DisregardedEntity
Related Entity	false	RelatedEntity
Related Org Controlled Entity	false	RelatedOrgControlledEntity
Transaction Related Entity	false	TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org	false	TransfersToExemptNonChrtblOrg
Activities Conducted Partnership	false	ActivitiesConductedPartnership
Schedule O Required	true	ScheduleORequired
Number Forms Transmitted With1096	0	NumberFormsTransmittedWith1096
Number W2 G Included	0	NumberW2GIncluded
Number Of Employees	3	NumberOfEmployees
Employment Tax Returns Filed	true	EmploymentTaxReturnsFiled
Unrelated Business Income	false	UnrelatedBusinessIncome
Foreign Financial Account	false	ForeignFinancialAccount
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTrans
Taxable Party Notification	false	TaxablePartyNotification
Non Deductible Contributions	false	NonDeductibleContributions
Indoor Tanning Services	false	IndoorTanningServices
Info In Schedule O Part VI	X	InfoInScheduleOPartVI
Nbr Voting Governing Body Members	6	NbrVotingGoverningBodyMembers
Number Independent Voting Members	6	NumberIndependentVotingMembers
Family Or Business Relationship	false	FamilyOrBusinessRelationship
Delegation Of Management Duties	false	DelegationOfManagementDuties
Changes To Organizing Docs	false	ChangesToOrganizingDocs
Material Diversion Or Misuse	false	MaterialDiversionOrMisuse
Members Or Stockholders	false	MembersOrStockholders
Election Of Board Members	false	ElectionOfBoardMembers
Decisions Subject To Approval	false	DecisionsSubjectToApproval
Minutes Of Governing Body	true	MinutesOfGoverningBody
Minutes Of Committees	true	MinutesOfCommittees
Officer Mailing Address	false	OfficerMailingAddress
Local Chapters	false	LocalChapters
Form990 Provided To Governing Body	true	Form990ProvidedToGoverningBody
Conflict Of Interest Policy	false	ConflictOfInterestPolicy
Whistleblower Policy	false	WhistleblowerPolicy
Document Retention Policy	false	DocumentRetentionPolicy
Compensation Process CEO	true	CompensationProcessCEO
Compensation Process Other	false	CompensationProcessOther
Investment In Joint Venture	false	InvestmentInJointVenture
States Where Copy Of Return Is Filed	OH	StatesWhereCopyOfReturnIsFiled
Upon Request	X	UponRequest

The Books Are In Care Of TheBooksAreInCareOf

Field	Value	IRS element (for citing)
Name Person	MARLENE BARKHEIMER	NamePerson
Telephone Number	4198531100	TelephoneNumber

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	11 SOUTH MAIN STREET	AddressLine1
City	WEST SALEM	City
State	OH	State
ZIP Code	44287	ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (7 entries)

TitleTitle	Average Hours Per WeekAverageHoursPerWeek	Individual Trustee Or DirectorIndividualTrusteeOrDirector	Reportable Comp From OrganizationReportableCompFromOrganization	Reportable Comp From Related OrgsReportableCompFromRelatedOrgs	Other CompensationOtherCompensation	OfficerOfficer
DAWN SCHIRM
EXECUTIVE DI	40.00	X	41600	0	0
MARTHA LEARY
BOARD MEMBER	1.00	X	0	0	0
MICKEY WORKMAN
BOARD MEMBER	1.00	X	0	0	0
PAM TAYLOR
PRESIDENT	1.00		0	0	0	X
SARAH LITTLE
SECRETARY	1.00		0	0	0	X
MARLENE BARKHEIMER
TREASURER	1.00		0	0	0	X
FRED CANNON
VICE PRES.	1.00		0	0	0	X

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	41600	TotalReportableCompFromOrg
Formers Listed	false	FormersListed
Total Comp GT150 K	false	TotalCompGT150K
Compensation From Other Sources	false	CompensationFromOtherSources
All Other Contributions	16465	AllOtherContributions
Total Contributions	16465	TotalContributions

Program Service Revenue ProgramServiceRevenue

Field	Value	IRS element (for citing)
Description	DONATED GOODS/RETAIL	Description
Business Code	448000	BusinessCode
Total Revenue Column	254961	TotalRevenueColumn
Related Or Exempt Function Income	254961	RelatedOrExemptFunctionIncome

Field	Value	IRS element (for citing)
Total Program Service Revenue	254961	TotalProgramServiceRevenue

Investment Income InvestmentIncome

Field	Value	IRS element (for citing)
Total Revenue Column	243	TotalRevenueColumn
Exclusion	$243	ExclusionAmount

Gross Rents GrossRents

Field	Value	IRS element (for citing)
Real	12600	Real

Less Rental Expenses LessRentalExpenses

Field	Value	IRS element (for citing)
Real	6845	Real

Rental Income Or Loss RentalIncomeOrLoss

Field	Value	IRS element (for citing)
Real	5755	Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

Field	Value	IRS element (for citing)
Total Revenue Column	5755	TotalRevenueColumn
Exclusion	$5,755	ExclusionAmount

Total Revenue TotalRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	277424	TotalRevenueColumn
Related Or Exempt Function Income	254961	RelatedOrExemptFunctionIncome
Exclusion	$5,998	ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

Field	Value	IRS element (for citing)
Total	55000	Total
Program Services	55000	ProgramServices

Comp Current Officers Directors CompCurrentOfficersDirectors

Field	Value	IRS element (for citing)
Total	41600	Total
Program Services	41600	ProgramServices

Other Salaries And Wages OtherSalariesAndWages

Field	Value	IRS element (for citing)
Total	22667	Total
Program Services	22667	ProgramServices

Payroll Taxes PayrollTaxes

Field	Value	IRS element (for citing)
Total	6177	Total
Program Services	6177	ProgramServices

Fees For Services Accounting FeesForServicesAccounting

Field	Value	IRS element (for citing)
Total	2325	Total
Management And General	2325	ManagementAndGeneral

Advertising Advertising

Field	Value	IRS element (for citing)
Total	3799	Total
Program Services	3799	ProgramServices

Office Expenses OfficeExpenses

Field	Value	IRS element (for citing)
Total	3617	Total
Program Services	3617	ProgramServices

Occupancy Occupancy

Field	Value	IRS element (for citing)
Total	19307	Total
Program Services	19307	ProgramServices

Interest Interest

Field	Value	IRS element (for citing)
Total	14677	Total
Management And General	14677	ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

Field	Value	IRS element (for citing)
Total	12479	Total
Program Services	12479	ProgramServices

Insurance Insurance

Field	Value	IRS element (for citing)
Total	4088	Total
Program Services	3588	ProgramServices
Management And General	500	ManagementAndGeneral

Other Expenses OtherExpenses (3 entries)

DescriptionDescription	TotalTotal	Program ServicesProgramServices	Management And GeneralManagementAndGeneral
AUCTION PURCHASES-RESALE	12540	12540
DISCOUNTS	2968	2968
BANK CHARGES	61		61

Total Functional Expenses TotalFunctionalExpenses

Field	Value	IRS element (for citing)
Total	201305	Total
Program Services	183742	ProgramServices
Management And General	17563	ManagementAndGeneral
Fundraising	0	Fundraising

Cash Non Interest Bearing CashNonInterestBearing

Field	Value	IRS element (for citing)
BOY	15073	BOY
EOY	29693	EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

Field	Value	IRS element (for citing)
BOY	53944	BOY
EOY	66471	EOY

Accounts Receivable AccountsReceivable

Field	Value	IRS element (for citing)
EOY	2474	EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

Field	Value	IRS element (for citing)
BOY	1486	BOY
EOY	1486	EOY

Field	Value	IRS element (for citing)
Land Buildings Equipment Basis	582121	LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec	28778	LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Field	Value	IRS element (for citing)
BOY	550314	BOY
EOY	553343	EOY

Total Assets TotalAssets

Field	Value	IRS element (for citing)
BOY	620817	BOY
EOY	653467	EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Field	Value	IRS element (for citing)
BOY	3445	BOY
EOY	36	EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

Field	Value	IRS element (for citing)
BOY	293710	BOY
EOY	253650	EOY

Total Liabilities TotalLiabilities

Field	Value	IRS element (for citing)
BOY	297155	BOY
EOY	253686	EOY

Field	Value	IRS element (for citing)
Do Not Follow SFAS117	X	DoNotFollowSFAS117

Retained Earnings Endowment Etc RetainedEarningsEndowmentEtc

Field	Value	IRS element (for citing)
BOY	323662	BOY
EOY	399781	EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	323662	BOY
EOY	399781	EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	620817	BOY
EOY	653467	EOY

Field	Value	IRS element (for citing)
Reconcilation Revenue Expenses	76119	ReconcilationRevenueExpenses
Method Of Accounting Cash	X	MethodOfAccountingCash
Accountant Compile Or Review	false	AccountantCompileOrReview
FS Audited	false	FSAudited
Federal Grant Audit Required	false	FederalGrantAuditRequired

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Publicly Supported Org509a2	X	PubliclySupportedOrg509a2

Gifts Grants Contrib Received509 GiftsGrantsContribReceived509

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	116558	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	213305	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	149441	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	19815	CurrentTaxYearMinus1Year
Current Tax Year	16465	CurrentTaxYear
Total	515584	Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	20018	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	24016	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	246905	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	251127	CurrentTaxYearMinus1Year
Current Tax Year	254961	CurrentTaxYear
Total	797027	Total

Total509 Total509

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	136576	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	237321	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	396346	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	270942	CurrentTaxYearMinus1Year
Current Tax Year	271426	CurrentTaxYear
Total	1312611	Total

Amts From Subst Contributors AmtsFromSubstContributors

Field	Value	IRS element (for citing)
Current Tax Year Minus3 Years	35000	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	136000	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	8100	CurrentTaxYearMinus1Year
Current Tax Year	5043	CurrentTaxYear
Total	184143	Total

Support From DQ Ps Etc SupportFromDQPsEtc

Field	Value	IRS element (for citing)
Current Tax Year Minus3 Years	35000	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	136000	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	8100	CurrentTaxYearMinus1Year
Current Tax Year	5043	CurrentTaxYear
Total	184143	Total

Field	Value	IRS element (for citing)
Public Support Total509	1128468	PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	141	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	225	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	2891	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	13161	CurrentTaxYearMinus1Year
Current Tax Year	12843	CurrentTaxYear
Total	29261	Total

Investment Income And UBTI InvestmentIncomeAndUBTI

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	141	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	225	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	2891	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	13161	CurrentTaxYearMinus1Year
Current Tax Year	12843	CurrentTaxYear
Total	29261	Total

Total Support Total TotalSupportTotal

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	136717	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	237546	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	399237	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	284103	CurrentTaxYearMinus1Year
Current Tax Year	284269	CurrentTaxYear
Total	1341872	Total

Field	Value	IRS element (for citing)
Public Support Percentage509	0.84100	PublicSupportPercentage509
Prior Year Support Percentage	0.56890	PriorYearSupportPercentage
Investment Income Percentage	0.02000	InvestmentIncomePercentage
Prior Yr Invest Income Percentage	0.01000	PriorYrInvestIncomePercentage
Thirty Three Percnt Tests CY509	X	ThirtyThreePercntTestsCY509

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

Field	Value	IRS element (for citing)
Contributor Number	RESTRICTED	ContributorNumber

Contributor Name Business ContributorNameBusiness

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor Address US ContributorAddressUS

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Aggregate Contributions	RESTRICTED	AggregateContributions

Schedule D IRS990ScheduleD

Field	Value	IRS element (for citing)
Disclosed Orgs Legal Control	false	DisclosedOrgsLegalControl
Disclosed For Charitable Purposes	false	DisclosedForCharitablePurposes
Written Policy Monitoring	false	WrittenPolicyMonitoring
Sect170h Requirements Satisfied	false	Sect170hRequirementsSatisfied
Solicited Assets For Sale	false	SolicitedAssetsForSale
Agent Trustee Etc	false	AgentTrusteeEtc
Included On FS	false	IncludedOnFS
Endowments Held By Unrelated Orgs	false	EndowmentsHeldByUnrelatedOrgs
Endowments Held By Related Orgs	false	EndowmentsHeldByRelatedOrgs
Are Related Orgs Listed Schedule R	false	AreRelatedOrgsListedScheduleR

Land Land

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	84980	OtherCostOrOtherBasis
Book Value	84980	BookValue

Buildings Buildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	496369	OtherCostOrOtherBasis
Depreciation	28479	Depreciation
Book Value	467890	BookValue

Other Land Buildings OtherLandBuildings

Field	Value	IRS element (for citing)
Investment Cost Or Other Basis	320	InvestmentCostOrOtherBasis
Other Cost Or Other Basis	452	OtherCostOrOtherBasis
Depreciation	299	Depreciation
Book Value	473	BookValue

Field	Value	IRS element (for citing)
Total Of Book Value Land Buildings	553343	TotalOfBookValueLandBuildings

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Records Maintained	true	RecordsMaintained

Recipient Table RecipientTable

Recipient Name Business RecipientNameBusiness

Field	Value	IRS element (for citing)
Business Name Line1	HOSPICE & PALLIATIVE CARE OF GREATE	BusinessNameLine1

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	2525 BACK ORRVILLE RD	AddressLine1
City	WOOSTER	City
State	OH	State
ZIP Code	44691	ZIPCode

Field	Value	IRS element (for citing)
EIN Of Recipient	341352875	EINOfRecipient
IRC Section	3	IRCSection
Amount Of Cash Grant	55000	AmountOfCashGrant
Purpose Of Grant	PATIENT CARE	PurposeOfGrant

Field	Value	IRS element (for citing)
Total Nbr Of501 C3 And Govt Grants	1	TotalNbrOf501C3AndGovtGrants

Schedule M IRS990ScheduleM

Clothing And Household Goods ClothingAndHouseholdGoods

Field	Value	IRS element (for citing)
Non Cash Checkbox	X	NonCashCheckbox
Noncash Contribs Rptd F990	254961	NoncashContribsRptdF990
Method Of Determining Revenues	RESALE VALUE	MethodOfDeterminingRevenues

Field	Value	IRS element (for citing)
Any Property That Must Be Held	false	AnyPropertyThatMustBeHeld
Review Process Unusual NC Gifts	false	ReviewProcessUnusualNCGifts
Third Parties Used	false	ThirdPartiesUsed

Form990 Schedule M Part II Form990ScheduleMPartII

Field	Value	IRS element (for citing)
Identifier	SUPPLEMENTAL INFORMATION	Identifier
Return Reference	SCHEDULE M, PAGE 2, PART II	ReturnReference
Explanation	THE ORGANIZATION DID NOT RECORD REVENUE RELATED TO ANY CLOTHING, HOUSEHOLD AND OTHER GOODS DONATED IN PART VIII, STATEMENT OF REVENUE, LINE 1G. THIS REVENUE WAS RECORDED IN PART VIII, LINE 2A. DONATED ITEMS HELD FOR RESALE ARE RECORDED AS PROGRAM SERVICE REVENUE AS THIS IS THE ORGANIZATIONS EXEMPT PURPOSE.	Explanation

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (4 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
ORGANIZATION'S MISSION	FORM 990 - ORGANIZATION'S MISSION	FRIENDS OF HOSPICE, WAYNE COUNTY OHIO OPENED ITS DOORS ON SEPTEMBER 20, 2004. IT IS A SELF-SUSTAINING STORE SELLING FURNITURE, HOUSEHOLD ITEMS AND CLOTHING WHERE THE PROFITS ARE GIVEN TO HOSPICE & PALLIATIVE CARE OF GREATER WAYNE COUNTY OHIO TO PROVIDE AN ON-GOING SOURCE OF REVENUE FOR PATIENT CARE. MOST OF THE INVENTORY AT THE STORE IS DONATED BY THE PUBLIC. THE ORGANIZATION CLEANS AND REPAIRS DONATIONS AND HOLDS THEM FOR SALE. THE ORGANIZATION HAS A LARGE VOLUNTEER STAFF, AND IS ABLE TO OPERATE WITH TWO FULL-TIME EMPLOYEES AND ONE PART-TIME EMPLOYEE. THE BOARD OF DIRECTORS IS COMPRISED OF SIX NON-COMPENSATED MEMBERS.
ORGANIZATION'S PROCESS USED TO REVIEW FORM 990	FORM 990, PAGE 6, PART VI, LINE 11B	THE FORM 990 WAS PROVIDED TO THE BOARD AND OFFICERS TO REVIEW. ANY QUESTIONS OR COMMENTS ARE DISCUSSED AND NECESSARY CHANGES ARE MADE.
COMPENSATION PROCESS FOR TOP OFFICIAL	FORM 990, PAGE 6, PART VI, LINE 15A	THE BOARD REVIEWS THE SALARIES AND COMPARES THEM TO SIMILAR NON-PROFITS WITH COMPARABLE INCOME TYPES AND SALES FIGURES.
GOVERNING DOCUMENTS DISCLOSURE EXPLANATION	FORM 990, PAGE 6, PART VI, LINE 19	DOCUMENTS ARE MADE AVAILABLE UPON REQUEST.