HOSPICE OF KANKAKEE VALLEY INC: Form 990, tax year 2022

View the entire original 990 at ProPublica ↗

Organization
HOSPICE OF KANKAKEE VALLEY INC (EIN 36-3320227)
Tax period
2022-01-01 to 2022-12-31
Filed
2023-08-21
IRS object ID
202312339349300531
Schema version
2022v5.0
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)
Return2023-08-21T10:42:04-07:00ReturnTs
Tax Period End2022-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN263596611PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1BORSCHNACK PELLETIER & COBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1200 E COURT ST STE 608AddressLine1Txt
CityKANKAKEECityNm
State AbbreviationILStateAbbreviationCd
ZIP60901ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2022-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN363320227EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Hospice of Kankakee Valley IncBusinessNameLine1Txt
Business Name Line2DBA UpliftedCareBusinessNameLine2Txt
FieldValueIRS element (for citing)
Business Name ControlHOSPBusinessNameControlTxt
Phone8159394141PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1482 Main St NWAddressLine1Txt
CityBourbonnaisCityNm
State AbbreviationILStateAbbreviationCd
ZIP60914ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonDianne SchaafsmaPersonNm
Person TitleTreasurerPersonTitleTxt
Signature2023-08-17SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstDiannePersonFirstNm
Person LastSchaafsmaPersonLastNm
FieldValueIRS element (for citing)
SSN999009999SSN
FieldValueIRS element (for citing)
IRS Responsible Prty Info CurrYes (true)IRSResponsiblePrtyInfoCurrInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonPaul A PelletierPreparerPersonNm
PTINP00066809PTIN
Phone8159331771PhoneNum

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

FieldValueIRS element (for citing)
Trusted Customer2TrustedCustomerCd
Authentication Assurance LevelAAL1AuthenticationAssuranceLevelCd
Identity Assurance LevelIAL1IdentityAssuranceLevelCd
Federated Assurance LevelFAL1FederatedAssuranceLevelCd
FieldValueIRS element (for citing)
Tax2022TaxYr
Build TS2023-04-26 12:10:37ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerFawn HendershottPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1482 Main St NWAddressLine1Txt
CityBourbonnaisCityNm
State AbbreviationILStateAbbreviationCd
ZIP60914ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$15,438,207GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website Addressupliftedcare.orgWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1982FormationYr
Legal Domicile StateILLegalDomicileStateCd
Activity Or MissionTo provide Hospice care and Palliative care services to terminally ill patients and their families.ActivityOrMissionDesc
Voting Members Governing Body17VotingMembersGoverningBodyCnt
Voting Members Independent17VotingMembersIndependentCnt
Total Employee103TotalEmployeeCnt
Total Volunteers22TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
PY Contributions Grants$1,882,218PYContributionsGrantsAmt
CY Contributions Grants$639,405CYContributionsGrantsAmt
PY Program Service Revenue$9,332,695PYProgramServiceRevenueAmt
CY Program Service Revenue$9,240,003CYProgramServiceRevenueAmt
PY Investment Income$645,782PYInvestmentIncomeAmt
CY Investment Income$321,551CYInvestmentIncomeAmt
CY Other Revenue$0CYOtherRevenueAmt
PY Total Revenue$11,860,695PYTotalRevenueAmt
CY Total Revenue$10,200,959CYTotalRevenueAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$6,862,259PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$6,605,191CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$3,058,124PYOtherExpensesAmt
CY Other Expenses$3,309,589CYOtherExpensesAmt
PY Total Expenses$9,920,383PYTotalExpensesAmt
CY Total Expenses$9,914,780CYTotalExpensesAmt
PY Revenues Less Expenses$1,940,312PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$286,179CYRevenuesLessExpensesAmt
Total Assets BOY$24,029,362TotalAssetsBOYAmt
Total Assets EOY$21,723,991TotalAssetsEOYAmt
Total Liabilities BOY$1,355,125TotalLiabilitiesBOYAmt
Total Liabilities EOY$994,181TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$22,674,237NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$20,729,810NetAssetsOrFundBalancesEOYAmt
MissionTo provide Hospice care and Palliative care services to terminally ill patients and their families.MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$8,041,173ExpenseAmt
Revenue$9,240,003RevenueAmt
DescProvide hospice care and palliative care services to individuals with terminal illnesses and their families.The average daily census for patient care during the current year was 143.The estimated value of volunteer services received in the current year was $44,623.Desc
Total Program Service Expenses$8,041,173TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredYes (true)ScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesfalseLobbyingActivitiesInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Donor Rstr Or Quasi EndowmentsfalseDonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecYes (true)ReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsYes (true)ReportOtherAssetsInd
Report Other LiabilitiesfalseReportOtherLiabilitiesInd
Include FIN48 FootnotefalseIncludeFIN48FootnoteInd
Independent Audit Fincl StmtYes (true)IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtfalseConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesfalseForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesfalseFundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalfalseOperateHospitalInd
Grants To OrganizationsfalseGrantsToOrganizationsInd
Grants To IndividualsfalseGrantsToIndividualsInd
Schedule J RequiredfalseScheduleJRequiredInd
Tax Exempt BondsfalseTaxExemptBondsInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemfalseBusinessRlnWithOrgMemInd
Business Rln With Fam MemfalseBusinessRlnWithFamMemInd
Business Rln With35 Ctrl EntfalseBusinessRlnWith35CtrlEntInd
Deductible Non Cash ContrifalseDeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityfalseDisregardedEntityInd
Related EntityfalseRelatedEntityInd
Related Organization Ctrl EntfalseRelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document21IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee103EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitfalseUnrelatedBusIncmOverLimitInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Quid Pro Quo ContributionsfalseQuidProQuoContributionsInd
Form8282 Property Disposed OffalseForm8282PropertyDisposedOfInd
Form8282 Filed0Form8282FiledCnt
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Form8899 FiledindfalseForm8899Filedind
Form1098 C FiledfalseForm1098CFiledInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht PymtfalseSubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst IncfalseSubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members17GoverningBodyVotingMembersCnt
Independent Voting Member17IndependentVotingMemberCnt
Family Or Business RlnfalseFamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersfalseMembersOrStockholdersInd
Election Of Board MembersfalseElectionOfBoardMembersInd
Decisions Subject To ApprovafalseDecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Form990 Provided To Gvrn BodyYes (true)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (true)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (true)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (true)WhistleblowerPolicyInd
Document Retention PolicyYes (true)DocumentRetentionPolicyInd
Compensation Process CEOYes (true)CompensationProcessCEOInd
Compensation Process OtherYes (true)CompensationProcessOtherInd
Investment In Joint VenturefalseInvestmentInJointVentureInd
States Where Copy Of Return Is FldILStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonKaren Vulich Dir of FinancePersonNm
Phone8159394141PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1482 Main St NWAddressLine1Txt
CityBourbonnaisCityNm
State AbbreviationILStateAbbreviationCd
ZIP60914ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (18 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorInd
Fawn Hendershott
Executive Dir.40.000.00Yes (X)$111,429$0$20,905
Abraham Thomas MD
Director2.000.00$0$0$0Yes (X)
Bev Lemenager
Director2.000.00$0$0$0Yes (X)
Dianne Schaafsma
Treasurer2.000.00Yes (X)$0$0$0Yes (X)
Brenda Leiser
Secretary2.000.00Yes (X)$0$0$0Yes (X)
Cathy Boicken
Director2.000.00$0$0$0Yes (X)
Robert de Oliveira
Director2.000.00$0$0$0Yes (X)
Gregory Deck
Director2.000.00$0$0$0Yes (X)
Kalisha Hill
Director2.000.00$0$0$0Yes (X)
Brian Scott
Director2.000.00$0$0$0Yes (X)
John Jurica MD
Director2.000.00$0$0$0Yes (X)
Mary Nehls
Director2.000.00$0$0$0Yes (X)
Rev Doug Zimmerman
Past President2.000.00Yes (X)$0$0$0Yes (X)
Cheryl Mosely
Director2.000.00$0$0$0Yes (X)
Mark Hodge
Director2.000.00$0$0$0Yes (X)
Goldie Dawn Willbarger
President2.000.00Yes (X)$0$0$0Yes (X)
Stonewall McCuiston Jr MD
Director2.000.00$0$0$0Yes (X)
Scott Piggush
Vice President2.000.00Yes (X)$0$0$0Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$111,429TotalReportableCompFromOrgAmt
Total Other Compensation$20,905TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K1IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedfalseFormerOfcrEmployeesListedInd
Total Comp Greater Than150 KfalseTotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp

Contractor Name ContractorName

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1SHIFA International LLCBusinessNameLine1Txt

Contractor Address ContractorAddress

US Address USAddress

FieldValueIRS element (for citing)
Address Line150 Kingston DriveAddressLine1Txt
CityOak Brook TerraceCityNm
State AbbreviationILStateAbbreviationCd
ZIP60523ZIPCd
FieldValueIRS element (for citing)
ServicesPhysician ServicesServicesDesc
Compensation$196,122CompensationAmt
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K1CntrctRcvdGreaterThan100KCnt
Government Grants$481,991GovernmentGrantsAmt
All Other Contributions$157,414AllOtherContributionsAmt
Total Contributions$639,405TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

FieldValueIRS element (for citing)
DescPatient service revenueDesc
Business621610BusinessCd
Total Revenue Column$9,240,003TotalRevenueColumnAmt
Related Or Exempt Func Income$9,240,003RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$9,240,003TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$167,847TotalRevenueColumnAmt
Related Or Exempt Func Income$167,847RelatedOrExemptFuncIncomeAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Royalties Revenue RoyaltiesRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$5,348,616SecuritiesAmt
Other$42,336OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$5,237,248SecuritiesAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$111,368SecuritiesAmt
Other$42,336OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$153,704TotalRevenueColumnAmt
Related Or Exempt Func Income$153,704RelatedOrExemptFuncIncomeAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Net Income From Gaming NetIncomeFromGamingGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Net Income Or Loss NetIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
FieldValueIRS element (for citing)
Other Revenue Total$0OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$10,200,959TotalRevenueColumnAmt
Related Or Exempt Func Income$9,561,554RelatedOrExemptFuncIncomeAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Foreign Grants ForeignGrantsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Benefits To Members BenefitsToMembersGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$111,429TotalAmt
Management And General$111,429ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$4,919,547TotalAmt
Program Services$4,010,283ProgramServicesAmt
Management And General$909,264ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$176,925TotalAmt
Program Services$132,694ProgramServicesAmt
Management And General$44,231ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$1,008,709TotalAmt
Program Services$792,229ProgramServicesAmt
Management And General$216,480ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$388,581TotalAmt
Program Services$286,392ProgramServicesAmt
Management And General$102,189ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$57,160TotalAmt
Management And General$57,160ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$103,193TotalAmt
Management And General$103,193ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$175,081TotalAmt
Program Services$91,543ProgramServicesAmt
Management And General$83,538ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Royalties RoyaltiesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$196,468TotalAmt
Program Services$149,363ProgramServicesAmt
Management And General$47,105ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$203,527TotalAmt
Program Services$201,256ProgramServicesAmt
Management And General$2,271ManagementAndGeneralAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Payments To Affiliates PaymentsToAffiliatesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$162,399TotalAmt
Program Services$112,975ProgramServicesAmt
Management And General$49,424ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$42,836TotalAmt
Program Services$38,552ProgramServicesAmt
Management And General$4,284ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
Direct Care Expenses$1,551,023$1,551,023
Contracted services$200,973$200,973
Public education$183,391$130,124$53,267
Computer expense$166,920$115,491$51,429

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$266,618TotalAmt
Program Services$228,275ProgramServicesAmt
Management And General$38,343ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$9,914,780TotalAmt
Program Services$8,041,173ProgramServicesAmt
Management And General$1,873,607ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$91,725BOYAmt
EOY$75,185EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$5,061,134BOYAmt
EOY$4,552,382EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$2,396,354BOYAmt
EOY$2,754,082EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$173,218BOYAmt
EOY$149,589EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$5,476,178LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$1,589,868LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$4,025,693BOYAmt
EOY$3,886,310EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$7,915,087BOYAmt
EOY$6,240,524EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$2,447,532BOYAmt
EOY$1,486,406EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$1,918,619BOYAmt
EOY$2,579,513EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$24,029,362BOYAmt
EOY$21,723,991EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$873,134BOYAmt
EOY$994,181EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$481,991BOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$1,355,125BOYAmt
EOY$994,181EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$22,674,237BOYAmt
EOY$20,729,810EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$22,674,237BOYAmt
EOY$20,729,810EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$24,029,362BOYAmt
EOY$21,723,991EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$286,179ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst-$2,230,606NetUnrlzdGainsLossesInvstAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedYes (true)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Separate Basis Fincl StmtYes (X)SeparateBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (true)AuditCommitteeInd
Federal Grant Audit RequiredfalseFederalGrantAuditRequiredInd

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$276,344CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$1,214,404CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$817,959CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$847,841CurrentTaxYearMinus1YearAmt
Current Tax Year$639,405CurrentTaxYearAmt
Total$3,795,953TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$9,823,371CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$10,265,245CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$9,504,123CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$9,440,606CurrentTaxYearMinus1YearAmt
Current Tax Year$9,240,003CurrentTaxYearAmt
Total$48,273,348TotalAmt

Gross Receipts Non Unrlt Bus GrossReceiptsNonUnrltBusGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Tax Rev Levied Orgnztnl Bnft509 TaxRevLeviedOrgnztnlBnft509Grp

FieldValueIRS element (for citing)
Total$0TotalAmt

Govt Furn Srvc Fclts Vl509 GovtFurnSrvcFcltsVl509Grp

FieldValueIRS element (for citing)
Total$0TotalAmt

Total509 Total509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$10,099,715CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$11,479,649CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$10,322,082CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$10,288,447CurrentTaxYearMinus1YearAmt
Current Tax Year$9,879,408CurrentTaxYearAmt
Total$52,069,301TotalAmt

Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Substantial Contributors Amt SubstantialContributorsAmtGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
FieldValueIRS element (for citing)
Public Support Total509$52,069,301PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$178,868CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$225,228CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$143,565CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$146,845CurrentTaxYearMinus1YearAmt
Current Tax Year$167,847CurrentTaxYearAmt
Total$862,353TotalAmt

Post1975 UBTI Post1975UBTIGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$178,868CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$225,228CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$143,565CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$146,845CurrentTaxYearMinus1YearAmt
Current Tax Year$167,847CurrentTaxYearAmt
Total$862,353TotalAmt

Net Income From Other UBI NetIncomeFromOtherUBIGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Income509 OtherIncome509Grp

FieldValueIRS element (for citing)
Total$0TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$10,278,583CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$11,704,877CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$10,465,647CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$10,435,292CurrentTaxYearMinus1YearAmt
Current Tax Year$10,047,255CurrentTaxYearAmt
Total$52,931,654TotalAmt
FieldValueIRS element (for citing)
Public Support CY5090.98370PublicSupportCY509Pct
Public Support PY5090.98370PublicSupportPY509Pct
Investment Income CY0.01630InvestmentIncomeCYPct
Investment Income PY0.01630InvestmentIncomePYPct
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$200,000OtherCostOrOtherBasisAmt
Book Value$200,000BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$4,530,197OtherCostOrOtherBasisAmt
Depreciation$892,867DepreciationAmt
Book Value$3,637,330BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$745,981OtherCostOrOtherBasisAmt
Depreciation$697,001DepreciationAmt
Book Value$48,980BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$3,886,310TotalBookValueLandBuildingsAmt
Total Book Value Securities$1,486,406TotalBookValueSecuritiesAmt
Total Book Value Other Assets$2,579,513TotalBookValueOtherAssetsAmt
Total Rev Etc Audited Fincl Stmt$7,913,193TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst-$2,230,606NetUnrealizedGainsInvstAmt
Revenue Not Reported-$2,230,606RevenueNotReportedAmt
Revenue Subtotal$10,143,799RevenueSubtotalAmt
Investment Expenses Not Incld$57,160InvestmentExpensesNotIncldAmt
Revenue Not Reported Fincl Stmt$57,160RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$10,200,959TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$9,857,620TotExpnsEtcAuditedFinclStmtAmt
Expenses Subtotal$9,857,620ExpensesSubtotalAmt
Investment Expenses Not Incld2$57,160InvestmentExpensesNotIncld2Amt
Expenses Not Rpt Fincl Stmt$57,160ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$9,914,780TotalExpensesPerForm990Amt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Form 990, Part VI, Section B, Line 11bForm 990 is reviewed by the finance committee.
Form 990, Part VI, Section B, Line 12cAnnually, Board members sign a conflict of interest form that is retained by Hospice of Kankakee Valley, Inc.(HKV). Board members are expected to abstain from voting on any issues where they have a conflict of interest. However, it is not possible to review the forms to identify conflicts or dual interests for every vote.
Form 990, Part VI, Section B, Line 15aOfficers and the immediate past president meet to review compensation data gathered by HKV personnel for positions with similar responsibilities. This information is evaluated as a basis for compensation decisions. They complete a rebuttable presumption checklist required by regs under IRC 4958. This information is retained.
Form 990, Part VI, Section B, Line 15bOfficers and the immediate past president meet to review compensation data gathered by HKV personnel for positions with similar responsibilities. This information is evaluated as a basis for compensation decisions. They complete a rebuttable presumption checklist required by regs under IRC 4958. This information is retained.
Form 990, Part VI, Section C, Line 19Hospice of Kankakee Valley makes its documents, conflict of interest statements, and financial statements available to the public upon request.

Comments

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