HOSPICE OF KANKAKEE VALLEY INC: Form 990, tax year 2018

View the entire original 990 at ProPublica ↗

Organization
HOSPICE OF KANKAKEE VALLEY INC (EIN 36-3320227)
Tax period
2018-01-01 to 2018-12-31
Filed
2019-08-19
IRS object ID
201942319349301114
Schema version
2018v3.1
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)
Return2019-08-19T13:30:12-07:00ReturnTs
Tax Period End2018-12-31TaxPeriodEndDt

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
ZIP609013846ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2018-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN363320227EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Hospice of Kankakee Valley IncBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlHOSPBusinessNameControlTxt
Phone8159363370PhoneNum

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
Signature2019-08-19SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonBrian L CreekPreparerPersonNm
PTINP00487585PTIN
Phone8159331771PhoneNum
FieldValueIRS element (for citing)
Tax2018TaxYr
Build TS2020-03-31 21:24:44ZBuildTS

Form 990 IRS990

US Address USAddress

FieldValueIRS element (for citing)
Address Line1482 Main St NWAddressLine1Txt
CityBourbonnaisCityNm
State AbbreviationILStateAbbreviationCd
ZIP60914ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$13,050,590GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
All Affiliates IncludedfalseAllAffiliatesIncludedInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressHKVCares.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 Employee108TotalEmployeeCnt
Total Volunteers106TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
PY Contributions Grants$462,403PYContributionsGrantsAmt
CY Contributions Grants$276,344CYContributionsGrantsAmt
PY Program Service Revenue$8,393,315PYProgramServiceRevenueAmt
CY Program Service Revenue$9,823,371CYProgramServiceRevenueAmt
PY Investment Income$366,240PYInvestmentIncomeAmt
CY Investment Income$522,677CYInvestmentIncomeAmt
PY Other Revenue-$1,088PYOtherRevenueAmt
CY Other Revenue$0CYOtherRevenueAmt
PY Total Revenue$9,220,870PYTotalRevenueAmt
CY Total Revenue$10,622,392CYTotalRevenueAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$5,605,132PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$6,087,952CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$2,368,107PYOtherExpensesAmt
CY Other Expenses$2,717,721CYOtherExpensesAmt
PY Total Expenses$7,973,239PYTotalExpensesAmt
CY Total Expenses$8,805,673CYTotalExpensesAmt
PY Revenues Less Expenses$1,247,631PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$1,816,719CYRevenuesLessExpensesAmt
Total Assets BOY$14,779,129TotalAssetsBOYAmt
Total Assets EOY$15,892,019TotalAssetsEOYAmt
Total Liabilities BOY$821,468TotalLiabilitiesBOYAmt
Total Liabilities EOY$1,124,058TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$13,957,661NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$14,767,961NetAssetsOrFundBalancesEOYAmt
MissionTo provide Hospice care and Palliative care services to terminally ill patients and their families.MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$7,308,265ExpenseAmt
Revenue$9,823,371RevenueAmt
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 167.The estimated value of volunteer services received in the current year was $90,709.Desc
Total Program Service Expenses$7,308,265TotalProgramServiceExpensesAmt
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
Temp Or Permanent EndowmentsfalseTempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecYes (true)ReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsfalseReportOtherAssetsInd
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
Invest Tax Exempt BondsfalseInvestTaxExemptBondsInd
Escrow AccountfalseEscrowAccountInd
On Behalf Of IssuerfalseOnBehalfOfIssuerInd
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 With Officer EntfalseBusinessRlnWithOfficerEntInd
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 Document28IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee108EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitfalseUnrelatedBusIncmOverLimitInd
Form990 T FiledfalseForm990TFiledInd
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
DAF Excess Business HoldingsfalseDAFExcessBusinessHoldingsInd
Taxable DistributionsfalseTaxableDistributionsInd
Distribution To DonorfalseDistributionToDonorInd
Org Filed In Lieu Of Form1041falseOrgFiledInLieuOfForm1041Ind
Licensed More Than One StatefalseLicensedMoreThanOneStateInd
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 OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtOfficerOfficerInd
Abraham Thomas MD
Director2.000.00Yes (X)$0$0$0
Bev Lemenager
Director2.000.00Yes (X)$0$0$0
Dianne Schaafsma
Treasurer2.000.00Yes (X)$0$0$0Yes (X)
Brenda Leiser
Director2.000.00Yes (X)$0$0$0
Cathy Boicken
Vice President2.000.00Yes (X)$0$0$0Yes (X)
Theresa Barnes
Director2.000.00Yes (X)$0$0$0
Gregory Deck
Director2.000.00Yes (X)$0$0$0
Patricia Vilt
Director2.000.00Yes (X)$0$0$0
Gwen Hopkins
Director2.000.00Yes (X)$0$0$0
John Jurica MD
President2.000.00Yes (X)$0$0$0Yes (X)
Mary Nehls
Director2.000.00Yes (X)$0$0$0
Rev Doug Zimmerman
Director2.000.00Yes (X)$0$0$0
Rende Langlois
Director2.000.00Yes (X)$0$0$0
Cheryl Mosely
Secretary2.000.00Yes (X)$0$0$0Yes (X)
Mark Hodge
Director2.000.00Yes (X)$0$0$0
Goldie Willbarger
Director2.000.00Yes (X)$0$0$0
Claire Chaplinski
Director2.000.00Yes (X)$0$0$0
Connie Lemon
Executive Dir.40.000.00$117,566$0$37,109Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$117,566TotalReportableCompFromOrgAmt
Total Other Compensation$37,109TotalOtherCompensationAmt
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 Line11115 W 16th StreetAddressLine1Txt
CityOak Brook TerraceCityNm
State AbbreviationILStateAbbreviationCd
ZIP60181ZIPCd
FieldValueIRS element (for citing)
ServicesPhysician ServicesServicesDesc
Compensation$216,649CompensationAmt
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K1CntrctRcvdGreaterThan100KCnt
All Other Contributions$276,344AllOtherContributionsAmt
Noncash Contributions$3,840NoncashContributionsAmt
Total Contributions$276,344TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

FieldValueIRS element (for citing)
DescPatient service revenueDesc
Business621610BusinessCd
Total Revenue Column$9,823,371TotalRevenueColumnAmt
Related Or Exempt Func Income$9,823,371RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$9,823,371TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$178,868TotalRevenueColumnAmt
Related Or Exempt Func Income$178,868RelatedOrExemptFuncIncomeAmt

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$2,772,007SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$2,428,198SecuritiesAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$343,809SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$343,809TotalRevenueColumnAmt
Related Or Exempt Func Income$343,809RelatedOrExemptFuncIncomeAmt

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$10,622,392TotalRevenueColumnAmt
Related Or Exempt Func Income$10,346,048RelatedOrExemptFuncIncomeAmt

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$117,566TotalAmt
Management And General$117,566ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$4,545,986TotalAmt
Program Services$3,748,759ProgramServicesAmt
Management And General$797,227ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$205,981TotalAmt
Program Services$154,486ProgramServicesAmt
Management And General$51,495ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$883,091TotalAmt
Program Services$739,777ProgramServicesAmt
Management And General$143,314ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$335,328TotalAmt
Program Services$250,565ProgramServicesAmt
Management And General$84,763ManagementAndGeneralAmt

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$60,281TotalAmt
Management And General$60,281ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$101,244TotalAmt
Program Services$79,894ProgramServicesAmt
Management And General$21,350ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$17,375TotalAmt
Management And General$17,375ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Royalties RoyaltiesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$136,916TotalAmt
Program Services$95,771ProgramServicesAmt
Management And General$41,145ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$210,674TotalAmt
Program Services$205,911ProgramServicesAmt
Management And General$4,763ManagementAndGeneralAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$54,387TotalAmt
Program Services$39,970ProgramServicesAmt
Management And General$14,417ManagementAndGeneralAmt

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$98,056TotalAmt
Program Services$83,532ProgramServicesAmt
Management And General$14,524ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$38,897TotalAmt
Program Services$35,007ProgramServicesAmt
Management And General$3,890ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmt
Medications$408,801$408,801
Durable medical equipment$389,105$389,105
Inpatient days$348,531$348,531
Medical supplies$217,379$217,379

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$636,075TotalAmt
Program Services$510,777ProgramServicesAmt
Management And General$125,298ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$8,805,673TotalAmt
Program Services$7,308,265ProgramServicesAmt
Management And General$1,497,408ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$47,971BOYAmt
EOY$268,842EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$3,253,321BOYAmt
EOY$3,386,097EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$1,774,367BOYAmt
EOY$2,620,765EOYAmt

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$82,464BOYAmt
EOY$140,915EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$2,699,375LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$966,008LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$1,696,251BOYAmt
EOY$1,733,367EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$6,930,639BOYAmt
EOY$6,752,436EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$802,713BOYAmt
EOY$798,543EOYAmt

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$191,403BOYAmt
EOY$191,054EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$14,779,129BOYAmt
EOY$15,892,019EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$367,528BOYAmt
EOY$1,124,058EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$453,940BOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$821,468BOYAmt
EOY$1,124,058EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$13,957,661BOYAmt
EOY$14,767,961EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$13,957,661BOYAmt
EOY$14,767,961EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$14,779,129BOYAmt
EOY$15,892,019EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$1,816,719ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst-$1,006,419NetUnrlzdGainsLossesInvstAmt
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$293,023CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$208,727CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$231,388CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$462,403CurrentTaxYearMinus1YearAmt
Current Tax Year$276,344CurrentTaxYearAmt
Total$1,471,885TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$6,342,474CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$6,912,424CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$8,012,823CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$8,328,261CurrentTaxYearMinus1YearAmt
Current Tax Year$9,823,371CurrentTaxYearAmt
Total$39,419,353TotalAmt

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$6,635,497CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$7,121,151CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$8,244,211CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$8,790,664CurrentTaxYearMinus1YearAmt
Current Tax Year$10,099,715CurrentTaxYearAmt
Total$40,891,238TotalAmt

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$40,891,238PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$111,594CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$95,781CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$126,985CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$148,289CurrentTaxYearMinus1YearAmt
Current Tax Year$178,868CurrentTaxYearAmt
Total$661,517TotalAmt

Post1975 UBTI Post1975UBTIGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$111,594CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$95,781CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$126,985CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$148,289CurrentTaxYearMinus1YearAmt
Current Tax Year$178,868CurrentTaxYearAmt
Total$661,517TotalAmt

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$6,747,091CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$7,216,932CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$8,371,196CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$8,938,953CurrentTaxYearMinus1YearAmt
Current Tax Year$10,278,583CurrentTaxYearAmt
Total$41,552,755TotalAmt
FieldValueIRS element (for citing)
Public Support CY5090.98410PublicSupportCY509Pct
Public Support PY5090.98510PublicSupportPY509Pct
Investment Income CY0.01590InvestmentIncomeCYPct
Investment Income PY0.01490InvestmentIncomePYPct
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$1,853,423OtherCostOrOtherBasisAmt
Depreciation$441,130DepreciationAmt
Book Value$1,412,293BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$645,952OtherCostOrOtherBasisAmt
Depreciation$524,878DepreciationAmt
Book Value$121,074BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$1,733,367TotalBookValueLandBuildingsAmt
Total Book Value Securities$798,543TotalBookValueSecuritiesAmt
Total Rev Etc Audited Fincl Stmt$9,504,732TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst-$1,006,419NetUnrealizedGainsInvstAmt
Revenue Not Reported-$1,006,419RevenueNotReportedAmt
Revenue Subtotal$10,511,151RevenueSubtotalAmt
Investment Expenses Not Incld$60,281InvestmentExpensesNotIncldAmt
Other Revenues Not Included$50,960OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt$111,241RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$10,622,392TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$8,694,432TotExpnsEtcAuditedFinclStmtAmt
Expenses Subtotal$8,694,432ExpensesSubtotalAmt
Investment Expenses Not Incld2$60,281InvestmentExpensesNotIncld2Amt
Other Expenses Not Included$50,960OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt$111,241ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$8,805,673TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Part XI, Line 4b: Other revenue amounts included on 990 but not included in F/SNursing Home Reimbursement netted on F/S $50960
Part XII, Line 4b: Other revenue amounts included on 990 but not included in F/SNursing Home Reimbursement netted on F/S $50960

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
Rebuttable Presumption ProcfalseRebuttablePresumptionProcInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp

FieldValueIRS element (for citing)
PersonConnie LemonPersonNm
TitleExecutive Dir.TitleTxt
Base Compensation Filing Org$117,566BaseCompensationFilingOrgAmt
Nontaxable Benefits Filing Org$37,109NontaxableBenefitsFilingOrgAmt
Total Compensation Filing Org$154,675TotalCompensationFilingOrgAmt

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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