2019-08-19T13:30:12-07:00 2018-12-31 263596611 BORSCHNACK PELLETIER & CO 200 E COURT ST STE 608 KANKAKEE IL 609013846 990 2018-01-01 363320227 Hospice of Kankakee Valley Inc HOSP 8159363370 482 Main St NW Bourbonnais IL 60914 Dianne Schaafsma Treasurer 2019-08-19 true Brian L Creek P00487585 8159331771 2018 2020-03-31 21:24:44Z 482 Main St NW Bourbonnais IL 60914 13050590 false false X HKVCares.org X 1982 IL To provide Hospice care and Palliative care services to terminally ill patients and their families. 17 17 108 106 0 462403 276344 8393315 9823371 366240 522677 -1088 0 9220870 10622392 0 0 5605132 6087952 0 0 2368107 2717721 7973239 8805673 1247631 1816719 14779129 15892019 821468 1124058 13957661 14767961 To provide Hospice care and Palliative care services to terminally ill patients and their families. false false 7308265 9823371 Provide 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. 7308265 true true false false false false false false false false true true false false false false true false false false false false false false false false false false false true false false false false false false false false false false false false false false false false false false false false true 28 0 true 108 true false false false false false false false false 0 false false false false false false false false false false false false X 17 17 false false false false false false false true true false false true true true true true true true true false IL X Karen Vulich Dir of Finance 8159394141 482 Main St NW Bourbonnais IL 60914 Abraham Thomas MD Director 2.00 0.00 X 0 0 0 Bev Lemenager Director 2.00 0.00 X 0 0 0 Dianne Schaafsma Treasurer 2.00 0.00 X X 0 0 0 Brenda Leiser Director 2.00 0.00 X 0 0 0 Cathy Boicken Vice President 2.00 0.00 X X 0 0 0 Theresa Barnes Director 2.00 0.00 X 0 0 0 Gregory Deck Director 2.00 0.00 X 0 0 0 Patricia Vilt Director 2.00 0.00 X 0 0 0 Gwen Hopkins Director 2.00 0.00 X 0 0 0 John Jurica MD President 2.00 0.00 X X 0 0 0 Mary Nehls Director 2.00 0.00 X 0 0 0 Rev Doug Zimmerman Director 2.00 0.00 X 0 0 0 Rende Langlois Director 2.00 0.00 X 0 0 0 Cheryl Mosely Secretary 2.00 0.00 X X 0 0 0 Mark Hodge Director 2.00 0.00 X 0 0 0 Goldie Willbarger Director 2.00 0.00 X 0 0 0 Claire Chaplinski Director 2.00 0.00 X 0 0 0 Connie Lemon Executive Dir. 40.00 0.00 X 117566 0 37109 117566 37109 1 false true false SHIFA International LLC 1115 W 16th Street Oak Brook Terrace IL 60181 Physician Services 216649 1 276344 3840 276344 Patient service revenue 621610 9823371 9823371 9823371 178868 178868 0 0 0 2772007 2428198 343809 343809 343809 0 0 0 0 10622392 10346048 0 0 0 0 117566 117566 0 4545986 3748759 797227 205981 154486 51495 883091 739777 143314 335328 250565 84763 0 0 0 0 0 60281 60281 101244 79894 21350 0 17375 17375 0 0 136916 95771 41145 210674 205911 4763 0 54387 39970 14417 0 0 98056 83532 14524 38897 35007 3890 Medications 408801 408801 Durable medical equipment 389105 389105 Inpatient days 348531 348531 Medical supplies 217379 217379 636075 510777 125298 8805673 7308265 1497408 0 47971 268842 3253321 3386097 0 1774367 2620765 0 0 0 0 82464 140915 2699375 966008 1696251 1733367 6930639 6752436 802713 798543 0 0 191403 191054 14779129 15892019 367528 1124058 453940 821468 1124058 X 13957661 14767961 13957661 14767961 14779129 15892019 1816719 -1006419 X false true X true false X 293023 208727 231388 462403 276344 1471885 6342474 6912424 8012823 8328261 9823371 39419353 0 0 0 6635497 7121151 8244211 8790664 10099715 40891238 0 0 40891238 111594 95781 126985 148289 178868 661517 0 111594 95781 126985 148289 178868 661517 0 0 6747091 7216932 8371196 8938953 10278583 41552755 0.98410 0.98510 0.01590 0.01490 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 200000 200000 1853423 441130 1412293 645952 524878 121074 1733367 798543 9504732 -1006419 -1006419 10511151 60281 50960 111241 10622392 8694432 8694432 60281 50960 111241 8805673 Part XI, Line 4b: Other revenue amounts included on 990 but not included in F/S Nursing Home Reimbursement netted on F/S $50960 Part XII, Line 4b: Other revenue amounts included on 990 but not included in F/S Nursing Home Reimbursement netted on F/S $50960 X X false false false false false false false false false false Connie Lemon Executive Dir. 117566 37109 154675 Form 990, Part VI, Line 11b: Form 990 Review Process Form 990 is reviewed by the finance committee. Form 990, Part VI, Line 12c: Explanation of Monitoring and Enforcement of Conflicts Annually, 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 Management Officers 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 Employees Officers 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 Available Hospice of Kankakee Valley makes its documents, conflict of interest statements, and financial statements available to the public upon request.