HOSPICE OF KANKAKEE VALLEY INC: Form 990, tax year 2020

View the entire original 990 at ProPublica ↗

Organization
HOSPICE OF KANKAKEE VALLEY INC (EIN 36-3320227)
Tax period
2020-01-01 to 2020-12-31
Filed
2021-10-07
IRS object ID
202142809349300514
Schema version
2020v4.0
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)
Return2021-10-07T06:57:54-07:00ReturnTs
Tax Period End2020-12-31TaxPeriodEndDt

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 Begin2020-01-01TaxPeriodBeginDt

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
Signature2021-10-05SignatureDt
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

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonBrian L CreekPreparerPersonNm
PTINP00487585PTIN
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)
Tax2020TaxYr
Build TS2022-09-23 18:48:47ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerConnie LemonPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1482 Main St NWAddressLine1Txt
CityBourbonnaisCityNm
State AbbreviationILStateAbbreviationCd
ZIP60914ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$14,888,926GrossReceiptsAmt
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 Employee110TotalEmployeeCnt
Total Volunteers55TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
PY Contributions Grants$1,214,405PYContributionsGrantsAmt
CY Contributions Grants$817,959CYContributionsGrantsAmt
PY Program Service Revenue$10,265,245PYProgramServiceRevenueAmt
CY Program Service Revenue$9,504,123CYProgramServiceRevenueAmt
PY Investment Income$899,028PYInvestmentIncomeAmt
CY Investment Income$95,983CYInvestmentIncomeAmt
CY Other Revenue$0CYOtherRevenueAmt
PY Total Revenue$12,378,678PYTotalRevenueAmt
CY Total Revenue$10,418,065CYTotalRevenueAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$6,657,201PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$6,958,538CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$2,985,709PYOtherExpensesAmt
CY Other Expenses$3,048,329CYOtherExpensesAmt
PY Total Expenses$9,642,910PYTotalExpensesAmt
CY Total Expenses$10,006,867CYTotalExpensesAmt
PY Revenues Less Expenses$2,735,768PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$411,198CYRevenuesLessExpensesAmt
Total Assets BOY$19,822,894TotalAssetsBOYAmt
Total Assets EOY$21,493,540TotalAssetsEOYAmt
Total Liabilities BOY$1,801,128TotalLiabilitiesBOYAmt
Total Liabilities EOY$1,827,282TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$18,021,766NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$19,666,258NetAssetsOrFundBalancesEOYAmt
MissionTo provide Hospice care and Palliative care services to terminally ill patients and their families.MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$8,234,414ExpenseAmt
Revenue$9,504,123RevenueAmt
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 158.The estimated value of volunteer services received in the current year was $22,472.Desc
Total Program Service Expenses$8,234,414TotalProgramServiceExpensesAmt
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 RequiredYes (true)ScheduleJRequiredInd
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 Document29IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee110EmployeeCnt
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
Connie Lemon
Executive Dir.40.000.00Yes (X)$157,688$0$38,747
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
Director2.000.00$0$0$0Yes (X)
Cathy Boicken
Vice President2.000.00Yes (X)$0$0$0Yes (X)
Theresa Barnes
Director2.000.00$0$0$0Yes (X)
Gregory Deck
Director2.000.00$0$0$0Yes (X)
Gwen Hopkins
Director2.000.00$0$0$0Yes (X)
John Jurica MD
President2.000.00Yes (X)$0$0$0Yes (X)
Mary Nehls
Director2.000.00$0$0$0Yes (X)
Rev Doug Zimmerman
Director2.000.00$0$0$0Yes (X)
Rende Langlois
Director2.000.00$0$0$0Yes (X)
Cheryl Mosely
Secretary2.000.00Yes (X)$0$0$0Yes (X)
Mark Hodge
Director2.000.00$0$0$0Yes (X)
Goldie Willbarger
Director2.000.00$0$0$0Yes (X)
Stonewall McCuiston Jr MD
Director2.000.00$0$0$0Yes (X)
Scott Piggush
Director2.000.00$0$0$0Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$157,688TotalReportableCompFromOrgAmt
Total Other Compensation$38,747TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K1IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedfalseFormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (true)TotalCompGreaterThan150KInd
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$222,863CompensationAmt
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K1CntrctRcvdGreaterThan100KCnt
All Other Contributions$817,959AllOtherContributionsAmt
Total Contributions$817,959TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

FieldValueIRS element (for citing)
DescPatient service revenueDesc
Business621610BusinessCd
Total Revenue Column$9,504,123TotalRevenueColumnAmt
Related Or Exempt Func Income$9,504,123RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$9,504,123TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$143,565TotalRevenueColumnAmt
Related Or Exempt Func Income$143,565RelatedOrExemptFuncIncomeAmt

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$4,423,279SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$4,470,861SecuritiesAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities-$47,582SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column-$47,582TotalRevenueColumnAmt
Related Or Exempt Func Income-$47,582RelatedOrExemptFuncIncomeAmt

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$10,418,065TotalRevenueColumnAmt
Related Or Exempt Func Income$9,600,106RelatedOrExemptFuncIncomeAmt

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$157,688TotalAmt
Management And General$157,688ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$5,211,630TotalAmt
Program Services$4,363,528ProgramServicesAmt
Management And General$848,102ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$251,243TotalAmt
Program Services$188,432ProgramServicesAmt
Management And General$62,811ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$943,484TotalAmt
Program Services$760,040ProgramServicesAmt
Management And General$183,444ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$394,493TotalAmt
Program Services$336,562ProgramServicesAmt
Management And General$57,931ManagementAndGeneralAmt

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$45,738TotalAmt
Management And General$45,738ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$211,680TotalAmt
Program Services$121,915ProgramServicesAmt
Management And General$89,765ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$21,786TotalAmt
Management And General$21,786ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Royalties RoyaltiesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$157,123TotalAmt
Program Services$124,497ProgramServicesAmt
Management And General$32,626ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$210,413TotalAmt
Program Services$208,717ProgramServicesAmt
Management And General$1,696ManagementAndGeneralAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$36,148TotalAmt
Program Services$29,819ProgramServicesAmt
Management And General$6,329ManagementAndGeneralAmt

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$153,507TotalAmt
Program Services$112,159ProgramServicesAmt
Management And General$41,348ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$49,102TotalAmt
Program Services$44,192ProgramServicesAmt
Management And General$4,910ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmt
Durable medical equipment$374,605$374,605
Inpatient days$368,373$368,373
Medications$367,470$367,470
Medical supplies$257,210$257,210

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$795,174TotalAmt
Program Services$576,895ProgramServicesAmt
Management And General$218,279ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$10,006,867TotalAmt
Program Services$8,234,414ProgramServicesAmt
Management And General$1,772,453ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$232,942BOYAmt
EOY$81,971EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$2,709,704BOYAmt
EOY$4,263,322EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$1,075,000BOYAmt
EOY$2,075EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$2,751,388BOYAmt
EOY$2,429,515EOYAmt

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$144,792BOYAmt
EOY$190,831EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$5,410,975LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$1,237,645LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$3,806,584BOYAmt
EOY$4,173,330EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$4,520,877BOYAmt
EOY$6,546,272EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$2,575,902BOYAmt
EOY$1,469,432EOYAmt

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$2,005,705BOYAmt
EOY$2,336,792EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$19,822,894BOYAmt
EOY$21,493,540EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$1,801,128BOYAmt
EOY$792,905EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
EOY$1,034,377EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$1,801,128BOYAmt
EOY$1,827,282EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$18,021,766BOYAmt
EOY$19,666,258EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$18,021,766BOYAmt
EOY$19,666,258EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$19,822,894BOYAmt
EOY$21,493,540EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$411,198ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$1,233,294NetUnrlzdGainsLossesInvstAmt
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$231,388CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$462,403CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$276,344CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$1,214,404CurrentTaxYearMinus1YearAmt
Current Tax Year$817,959CurrentTaxYearAmt
Total$3,002,498TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$8,012,823CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$8,328,261CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$9,823,371CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$10,265,245CurrentTaxYearMinus1YearAmt
Current Tax Year$9,504,123CurrentTaxYearAmt
Total$45,933,823TotalAmt

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$8,244,211CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$8,790,664CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$10,099,715CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$11,479,649CurrentTaxYearMinus1YearAmt
Current Tax Year$10,322,082CurrentTaxYearAmt
Total$48,936,321TotalAmt

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$48,936,321PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$126,985CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$148,289CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$178,868CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$225,228CurrentTaxYearMinus1YearAmt
Current Tax Year$143,565CurrentTaxYearAmt
Total$822,935TotalAmt

Post1975 UBTI Post1975UBTIGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$126,985CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$148,289CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$178,868CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$225,228CurrentTaxYearMinus1YearAmt
Current Tax Year$143,565CurrentTaxYearAmt
Total$822,935TotalAmt

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$8,371,196CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$8,938,953CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$10,278,583CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$11,704,877CurrentTaxYearMinus1YearAmt
Current Tax Year$10,465,647CurrentTaxYearAmt
Total$49,759,256TotalAmt
FieldValueIRS element (for citing)
Public Support CY5090.98350PublicSupportCY509Pct
Public Support PY5090.98330PublicSupportPY509Pct
Investment Income CY0.01650InvestmentIncomeCYPct
Investment Income PY0.01670InvestmentIncomePYPct
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$4,487,809OtherCostOrOtherBasisAmt
Depreciation$605,546DepreciationAmt
Book Value$3,882,263BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$723,166OtherCostOrOtherBasisAmt
Depreciation$632,099DepreciationAmt
Book Value$91,067BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$4,173,330TotalBookValueLandBuildingsAmt
Total Book Value Securities$1,469,432TotalBookValueSecuritiesAmt
Total Book Value Other Assets$2,336,792TotalBookValueOtherAssetsAmt
Total Rev Etc Audited Fincl Stmt$11,701,559TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst$1,233,294NetUnrealizedGainsInvstAmt
Revenue Not Reported$1,233,294RevenueNotReportedAmt
Revenue Subtotal$10,468,265RevenueSubtotalAmt
Investment Expenses Not Incld$45,738InvestmentExpensesNotIncldAmt
Other Revenues Not Included-$95,938OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt-$50,200RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$10,418,065TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$10,057,067TotExpnsEtcAuditedFinclStmtAmt
Expenses Subtotal$10,057,067ExpensesSubtotalAmt
Investment Expenses Not Incld2$45,738InvestmentExpensesNotIncld2Amt
Other Expenses Not Included-$95,938OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt-$50,200ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$10,006,867TotalExpensesPerForm990Amt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeYes (X)CompensationCommitteeInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance PaymentfalseSeverancePaymentInd
Supplemental Nonqual Rtr PlanfalseSupplementalNonqualRtrPlanInd
Equity Based Comp ArrngmfalseEquityBasedCompArrngmInd
Comp Based On Revenue Of Flng OrgfalseCompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related OrgsfalseCompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng OrgfalseCompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd OrgsfalseCompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsfalseAnyNonFixedPaymentsInd
Initial Contract ExceptionfalseInitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp

FieldValueIRS element (for citing)
PersonConnie LemonPersonNm
TitleExecutive Dir.TitleTxt
Base Compensation Filing Org$157,688BaseCompensationFilingOrgAmt
Nontaxable Benefits Filing Org$38,747NontaxableBenefitsFilingOrgAmt
Total Compensation Filing Org$196,435TotalCompensationFilingOrgAmt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Form 990, Part VI, Line 11b: Form 990 Review ProcessForm 990 is reviewed by the finance committee.
Form 990, Part VI, Line 12c: Explanation of Monitoring and Enforcement of ConflictsAnnually, 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, Line 15a: Compensation Review & Approval Process - CEO, Top ManagementOfficers 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, Line 15b: Compensation Review and Approval Process for Officers and Key EmployeesOfficers 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, Line 19: Other Organization Documents Publicly AvailableHospice of Kankakee Valley makes its documents, conflict of interest statements, and financial statements available to the public upon request.

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