2018-08-15T06:49:11-07:00 2017-12-31 263596611 BORSCHNACK PELLETIER & CO 200 E COURT ST STE 608 KANKAKEE IL 609013846 990 2017-01-01 363320227 Hospice of Kankakee Valley Inc HOSP 8159363370 482 Main St NW Bourbonnais IL 60914 Cathy Boicken Treasurer 2018-08-14 true Daniel J Borschnack P00066793 8159331771 2017 2022-09-23 18:48:47Z 11111606 false false X HKVCares.org X 1982 IL To provide Hospice care and Palliative care services to terminally ill patients and their families. 17 17 104 105 0 231388 462403 8012823 8393315 382399 366240 -4248 -1088 8622362 9220870 0 0 4985364 5605132 0 0 2492090 2368107 7477454 7973239 1144908 1247631 12738758 14779129 699602 821468 12039156 13957661 To provide Hospice care and Palliative care services to terminally ill patients and their families. false false 6663882 8263207 Provide hospice care and palliative care services to individuals with terminal illnesses and their families.The average daily census for patient care during 2017 was 147.8.The estimated value of volunteer services received during 2017 was $75,281. 6663882 true true false false false false false false false false true true false false true 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 20 0 true 104 true false false false false false false true true false 0 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 8159290373 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 President 2.00 0.00 X X 0 0 0 Brenda Leiser Director 2.00 0.00 X 0 0 0 Cathy Boicken Treasurer 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 Vice 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 128794 0 41393 128794 41393 1 false true false SHIFA International LLC 1115 W 16th Street Oak Brook Terrace IL 60181 Physician Services 221062 1 462403 2392 462403 Patient service revenue 621610 8393315 8393315 8393315 148289 148289 0 0 0 2105199 1887248 217951 217951 217951 2400 3488 -1088 0 0 0 9220870 8759555 0 0 0 0 128794 128794 0 4170463 3484294 686169 181469 136102 45367 813445 684357 129088 310961 267862 43099 0 0 0 0 0 54941 54941 99094 72890 26204 0 15330 15330 0 0 139384 106720 32664 174895 171543 3352 0 61311 43071 18240 0 0 95941 82249 13692 36490 32841 3649 Medications 380176 380176 Durable medical equipment 351520 351520 Contracted services 243164 243164 Inpatient days 196479 196479 519382 410614 108768 7973239 6663882 1309357 0 71188 47971 2370343 3253321 0 2362409 1774367 0 0 0 0 126959 82464 2564204 867953 1598368 1696251 5282448 6930639 781053 802713 0 0 145990 191403 12738758 14779129 239635 367528 459967 453940 699602 821468 X 12039156 13957661 12039156 13957661 12738758 14779129 1247631 670874 X false true X true false X 575456 293023 208727 231388 462403 1770997 6457913 6342474 6912424 8012823 8328261 36053895 0 0 0 7033369 6635497 7121151 8244211 8790664 37824892 0 0 37824892 90365 111594 95781 126985 148289 573014 0 90365 111594 95781 126985 148289 573014 0 0 7123734 6747091 7216932 8371196 8938953 38397906 0.98510 0.98630 0.01490 0.01370 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 200000 200000 1816374 383036 1433338 547830 484917 62913 1696251 802713 Accrued payroll & payroll liabilities 271953 Accrued retirement 181987 453940 9830178 670874 3488 674362 9155816 65054 65054 9220870 7911673 3488 3488 7908185 65054 65054 7973239 Part XI, Line 2d: Other revenue amounts included in F/S but not included on form 990 Direct Fundraising expenses $3488 Part XI, Line 4b: Other revenue amounts included on 990 but not included in F/S Nursing Home Reimbursement netted on F/S $65054 Part XII, Line 2d: Other expenses and losses per audited F/S direct fundraising expenses $3488 Part XII, Line 4b: Other revenue amounts included on 990 but not included in F/S Nursing Home Reimbursement netted on F/S $65054 X X false false false false false false false false false false Connie Lemon Executive Dir. 113794 15000 7240 34153 170187 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.