SPRING VALLEY HEALTH CARE CENTER INC: Form 990, tax year 2018

View the entire original 990 at ProPublica ↗

Organization: SPRING VALLEY HEALTH CARE CENTER INC (EIN 39-0993000)
Tax period: 2018-07-01 to 2019-06-30
Filed: 2020-03-20
IRS object ID: 202030809349300413
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
Form 990
Schedule A
Schedule C
Schedule D
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2020-03-20T10:38:28-05:00	ReturnTs
Tax Period End	2019-06-30	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Field	Value	IRS element (for citing)
Preparer Firm EIN	390758449	PreparerFirmEIN

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	WIPFLI LLP	BusinessNameLine1Txt

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	1502 LONDON ROAD SUITE 200	AddressLine1Txt
City	DULUTH	CityNm
State Abbreviation	MN	StateAbbreviationCd
ZIP	55812	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2018-07-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	390993000	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	SPRING VALLEY HEALTH CARE SERVICES INC	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Business Name Control	SPRI	BusinessNameControlTxt
Phone	7157785545	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	S830 WESTLAND DRIVE	AddressLine1Txt
City	SPRING VALLEY	CityNm
State Abbreviation	WI	StateAbbreviationCd
ZIP	54767	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	KEVIN LARSON	PersonNm
Person Title	ADMINISTRATOR	PersonTitleTxt
Phone	7157785545	PhoneNum
Signature	2020-02-27	SignatureDt
Discuss With Paid Preparer	Yes (1)	DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	MICHAEL J PETERSON CPA	PreparerPersonNm
PTIN	P01833529	PTIN
Phone	2187224705	PhoneNum
Preparation	2020-02-27	PreparationDt

Filing Security Information FilingSecurityInformation

IP Address IPAddress

Field	Value	IRS element (for citing)
I Pv4 Address	216.54.158.12	IPv4AddressTxt

Field	Value	IRS element (for citing)
IP	2020-02-27	IPDt
IP Tm	08:03:18	IPTm
IP Timezone	CS	IPTimezoneCd
Filing License Type	P	FilingLicenseTypeCd
At Submission Creation Device Id	DA39A3EE5E6B4B0D3255BFEF95601890AFD80709	AtSubmissionCreationDeviceId
At Submission Filing Device Id	05365E77D662BDC17E2AAA2C6021CC7EC3235B8D	AtSubmissionFilingDeviceId

Field	Value	IRS element (for citing)
Tax	2018	TaxYr
Build TS	2021-01-29 14:40:06Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Principal Officer	KEVIN LARSON	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	S830 WESTLAND DRIVE	AddressLine1Txt
City	SPRING VALLEY	CityNm
State Abbreviation	WI	StateAbbreviationCd
ZIP	54767	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$7,666,493	GrossReceiptsAmt
Group Return For Affiliates	0	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	WWW.SVHCS.ORG	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1970	FormationYr
Legal Domicile State	WI	LegalDomicileStateCd
Activity Or Mission	THE MISSION OF SPRING VALLEY HEALTH CARE SERVICES, INC. IS TO PROVIDE HEALTH AND ASSISTIVE SERVICES TO ELDERLY AND DISABLED PERSONS IN NEED OF SPRING VALLEY HEALTH CARE SERVICES, INC.'S PROGRAMS IN A MANNER THAT IS CHARITABLE AND WITH A SPIRIT OF BENEVOLENCE SO THAT AN INDIVIDUAL MAY MAINTAIN THE HIGHEST PRACTICABLE QUALITY OF LIFE, THE UTMOST INDEPENDENCE, AND THE MOST REASONABLE SAFE AND HEALTHY LIFESTYLE.	ActivityOrMissionDesc
Voting Members Governing Body	5	VotingMembersGoverningBodyCnt
Voting Members Independent	5	VotingMembersIndependentCnt
Total Employee	114	TotalEmployeeCnt
Total Volunteers	100	TotalVolunteersCnt
Total Gross UBI	$0	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$0	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$32,878	PYContributionsGrantsAmt
CY Contributions Grants	$4,198,281	CYContributionsGrantsAmt
PY Program Service Revenue	$3,614,724	PYProgramServiceRevenueAmt
CY Program Service Revenue	$3,440,463	CYProgramServiceRevenueAmt
PY Investment Income	$153	PYInvestmentIncomeAmt
CY Investment Income	$281	CYInvestmentIncomeAmt
PY Other Revenue	$112,568	PYOtherRevenueAmt
CY Other Revenue	$27,468	CYOtherRevenueAmt
PY Total Revenue	$3,760,323	PYTotalRevenueAmt
CY Total Revenue	$7,666,493	CYTotalRevenueAmt
PY Grants And Similar Paid	$0	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$0	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$2,101,747	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$2,028,676	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$1,910,908	PYOtherExpensesAmt
CY Other Expenses	$1,888,722	CYOtherExpensesAmt
PY Total Expenses	$4,012,655	PYTotalExpensesAmt
CY Total Expenses	$3,917,398	CYTotalExpensesAmt
PY Revenues Less Expenses	-$252,332	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$3,749,095	CYRevenuesLessExpensesAmt
Total Assets BOY	$8,735,635	TotalAssetsBOYAmt
Total Assets EOY	$8,578,220	TotalAssetsEOYAmt
Total Liabilities BOY	$8,780,377	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$4,873,867	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	-$44,742	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$3,704,353	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	THE MISSION OF SPRING VALLEY HEALTH CARE SERVICES, INC. IS TO PROVIDE HEALTH AND ASSISTIVE SERVICES TO ELDERLY AND DISABLED PERSONS IN NEED OF SPRING VALLEY HEALTH CARE SERVICES, INC.'S PROGRAMS IN A MANNER THAT IS CHARITABLE AND WITH A SPIRIT OF BENEVOLENCE SO THAT AN INDIVIDUAL MAY MAINTAIN THE HIGHEST PRACTICABLE QUALITY OF LIFE, THE UTMOST INDEPENDENCE, AND THE MOST REASONABLE SAFE AND HEALTHY LIFESTYLE.	MissionDesc
Significant New Program Srvc	0	SignificantNewProgramSrvcInd
Significant Change	0	SignificantChangeInd
Expense	$2,970,663	ExpenseAmt
Grant	$0	GrantAmt
Revenue	$2,863,805	RevenueAmt
Desc	SPRING VALLEY HEALTH CARE SERVICES, INC. OPERATES A 50-BED SKILLED NURSING FACILITY WHICH IS AVAILABLE TO RESIDENTS OF SPRING VALLEY AND THE SURROUNDING AREAS. PERSONALIZED NURSING CARE, REHABILITATIVE SERVICES, AND SUPPORTIVE SERVICES ARE OFFERED TO PROMOTE AND ASSIST RESIDENTS RECUPERATING FROM ILLNESS, INJURY, OR SURGERY. DURING FISCAL YEAR 2018-19, THE NURSING FACILITY PROVIDED 11,122 RESIDENT DAYS, AN OCCUPANCY RATE OF 61%. EVEN THOUGH THE ORGANIZATION IS CLEARLY DISTRESSED FINANCIALLY DUE TO INADEQUATE REIMBURSEMENTS FROM THE MEDICARE AND MEDICAID SYSTEMS, A 4 STAR RATING, AS DETERMINED THE US DHHS CENTERS FOR MEDICARE AND MEDICAID SERVICES, HAS BEEN DUTIFULLY AND CONSISTENTLY MAINTAINED BY THE ORGANIZATION.	Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

Field	Value	IRS element (for citing)
Expense	$516,139	ExpenseAmt
Grant	$0	GrantAmt
Revenue	$576,658	RevenueAmt
Desc	SPRING VALLEY HEALTH CARE SERVICES, INC IS THE SOLE CORPORATE MEMBER OF VALLEY VILLAS, LLC. VALLEY VILLAS, LLC WAS ORGANIZED AS A DISREGARDED ENTITY FOR THE PURPOSE OF OPERATING A 20-UNIT RESIDENTIAL CARE APARTMENT COMPLEX.	Desc

Field	Value	IRS element (for citing)
Total Program Service Expenses	$3,486,802	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (1)	DescribedInSection501c3Ind
Schedule B Required	0	ScheduleBRequiredInd
Political Campaign Acty	0	PoliticalCampaignActyInd
Lobbying Activities	Yes (1)	LobbyingActivitiesInd
Subject To Proxy Tax	0	SubjectToProxyTaxInd
Donor Advised Fund	0	DonorAdvisedFundInd
Conservation Easements	0	ConservationEasementsInd
Collections Of Art	0	CollectionsOfArtInd
Credit Counseling	0	CreditCounselingInd
Temp Or Permanent Endowments	0	TempOrPermanentEndowmentsInd
Report Land Building Equipment	Yes (1)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	0	ReportInvestmentsOtherSecInd
Report Program Related Invst	0	ReportProgramRelatedInvstInd
Report Other Assets	0	ReportOtherAssetsInd
Report Other Liabilities	Yes (1)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	0	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	0	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	0	ConsolidatedAuditFinclStmtInd
School Operating	0	SchoolOperatingInd
Foreign Office	0	ForeignOfficeInd
Foreign Activities	0	ForeignActivitiesInd
More Than5000 K To Org	0	MoreThan5000KToOrgInd
More Than5000 K To Individuals	0	MoreThan5000KToIndividualsInd
Professional Fundraising	0	ProfessionalFundraisingInd
Fundraising Activities	0	FundraisingActivitiesInd
Gaming Activities	0	GamingActivitiesInd
Operate Hospital	0	OperateHospitalInd
Grants To Organizations	0	GrantsToOrganizationsInd
Grants To Individuals	0	GrantsToIndividualsInd
Schedule J Required	0	ScheduleJRequiredInd
Tax Exempt Bonds	0	TaxExemptBondsInd
Engaged In Excess Benefit Trans	0	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	0	PYExcessBenefitTransInd
Loan Outstanding	0	LoanOutstandingInd
Grant To Related Person	0	GrantToRelatedPersonInd
Business Rln With Org Mem	0	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	0	BusinessRlnWithFamMemInd
Business Rln With Officer Ent	0	BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri	0	DeductibleNonCashContriInd
Deductible Art Contribution	0	DeductibleArtContributionInd
Terminate Operations	0	TerminateOperationsInd
Partial Liquidation	0	PartialLiquidationInd
Disregarded Entity	Yes (1)	DisregardedEntityInd
Related Entity	0	RelatedEntityInd
Related Organization Ctrl Ent	0	RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	0	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	0	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (1)	ScheduleORequiredInd
IRP Document	9	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Employee	114	EmployeeCnt
Employment Tax Returns Filed	Yes (1)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	0	UnrelatedBusIncmOverLimitInd
Foreign Financial Account	0	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	0	ProhibitedTaxShelterTransInd
Taxable Party Notification	0	TaxablePartyNotificationInd
Nondeductible Contributions	0	NondeductibleContributionsInd
Quid Pro Quo Contributions	0	QuidProQuoContributionsInd
Form8282 Property Disposed Of	0	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	0	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	0	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	0	IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt	0	SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc	0	SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	5	GoverningBodyVotingMembersCnt
Independent Voting Member	5	IndependentVotingMemberCnt
Family Or Business Rln	0	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	0	DelegationOfMgmtDutiesInd
Change To Org Documents	0	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	0	MaterialDiversionOrMisuseInd
Members Or Stockholders	0	MembersOrStockholdersInd
Election Of Board Members	0	ElectionOfBoardMembersInd
Decisions Subject To Approva	0	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (1)	MinutesOfGoverningBodyInd
Minutes Of Committees	0	MinutesOfCommitteesInd
Officer Mailing Address	0	OfficerMailingAddressInd
Local Chapters	0	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (1)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (1)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (1)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (1)	RegularMonitoringEnfrcInd
Whistleblower Policy	0	WhistleblowerPolicyInd
Document Retention Policy	0	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (1)	CompensationProcessCEOInd
Compensation Process Other	0	CompensationProcessOtherInd
Investment In Joint Venture	0	InvestmentInJointVentureInd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Field	Value	IRS element (for citing)
Person	KEVIN LARSON	PersonNm
Phone	7157785545	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	S830 WESTLAND DRIVE	AddressLine1Txt
City	SPRING VALLEY	CityNm
State Abbreviation	WI	StateAbbreviationCd
ZIP	54767	ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (6 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	OfficerOfficerInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt
MARSHA BRUNKHORST
PRESIDENT	4.00	Yes (X)	Yes (X)	$0	$0	$0
JULIE DUCKLOW
TREASURER	3.00	Yes (X)	Yes (X)	$0	$0	$0
JAY RICHARDSON
SECRETARY	3.00	Yes (X)	Yes (X)	$0	$0	$0
JAY ARNESON
ADVISORY MEMBER	2.00	Yes (X)		$0	$0	$0
ROSS KEEHR
ADVISORY MEMBER	2.00	Yes (X)		$0	$0	$0
KEVIN LARSON
CEO/ADMINISTRATOR	40.00		Yes (X)	$79,602	$0	$9,492

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$79,602	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$0	TotReportableCompRltdOrgAmt
Total Other Compensation	$9,492	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	0	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	0	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	0	TotalCompGreaterThan150KInd
Compensation From Other Srcs	0	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp

Contractor Name ContractorName

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	MIDWEST PHYSICAL THERAPY	BusinessNameLine1Txt

Contractor Address ContractorAddress

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	PO BOX 176	AddressLine1Txt
City	BLOOMER	CityNm
State Abbreviation	WI	StateAbbreviationCd
ZIP	54724	ZIPCd

Field	Value	IRS element (for citing)
Services	THERAPY SERVICES	ServicesDesc
Compensation	$173,436	CompensationAmt

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	1	CntrctRcvdGreaterThan100KCnt
Government Grants	$4,078,945	GovernmentGrantsAmt
All Other Contributions	$119,336	AllOtherContributionsAmt
Total Contributions	$4,198,281	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
NURSING HOME REVENUE	623000	$2,859,365	$2,859,365
ASSISTED LIVING REVENU	623990	$576,658	$576,658

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$4,440	TotalRevenueColumnAmt
Exclusion	$4,440	ExclusionAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$3,440,463	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$281	TotalRevenueColumnAmt
Exclusion	$281	ExclusionAmt

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$27,468	TotalRevenueColumnAmt
Exclusion	$27,468	ExclusionAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$27,468	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$7,666,493	TotalRevenueColumnAmt
Related Or Exempt Func Income	$3,436,023	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$32,189	ExclusionAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$89,494	TotalAmt
Management And General	$89,494	ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$1,639,530	TotalAmt
Program Services	$1,573,946	ProgramServicesAmt
Management And General	$65,584	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$170,083	TotalAmt
Program Services	$170,083	ProgramServicesAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$129,569	TotalAmt
Program Services	$118,599	ProgramServicesAmt
Management And General	$10,970	ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$9,666	TotalAmt
Management And General	$9,666	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$39,909	TotalAmt
Management And General	$39,909	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$49,678	TotalAmt
Management And General	$49,678	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$328,406	TotalAmt
Program Services	$328,406	ProgramServicesAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$5,414	TotalAmt
Management And General	$5,414	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$59,018	TotalAmt
Management And General	$59,018	ManagementAndGeneralAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$516,917	TotalAmt
Program Services	$516,917	ProgramServicesAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$5,078	TotalAmt
Program Services	$2,138	ProgramServicesAmt
Management And General	$2,940	ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$1,390	TotalAmt
Management And General	$1,390	ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$344,974	TotalAmt
Program Services	$344,974	ProgramServicesAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$35,901	TotalAmt
Management And General	$35,901	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
FOOD AND SUPPLIES	$260,215	$260,215
NURSING HOME BED TAX	$102,000	$102,000
REPAIRS AND MAINTENANCE	$54,416	$54,416
FINES AND PENALTIES	$53,251		$53,251

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$22,489	TotalAmt
Program Services	$15,108	ProgramServicesAmt
Management And General	$7,381	ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$3,917,398	TotalAmt
Program Services	$3,486,802	ProgramServicesAmt
Management And General	$430,596	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$243,188	BOYAmt
EOY	$119,867	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$216,242	BOYAmt
EOY	$245,109	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$265,121	BOYAmt
EOY	$564,607	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$21,338	BOYAmt
EOY	$15,946	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$10,630,550	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$3,002,275	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$7,966,767	BOYAmt
EOY	$7,628,275	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$22,979	BOYAmt
EOY	$4,416	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$8,735,635	BOYAmt
EOY	$8,578,220	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$673,378	BOYAmt
EOY	$995,655	EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
BOY	$7,101,040	BOYAmt
EOY	$2,985,320	EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

Field	Value	IRS element (for citing)
BOY	$97,261	BOYAmt
EOY	$97,261	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$908,698	BOYAmt
EOY	$795,631	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$8,780,377	BOYAmt
EOY	$4,873,867	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows SFAS117	Yes (X)	OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	-$44,742	BOYAmt
EOY	$3,704,353	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	-$44,742	BOYAmt
EOY	$3,704,353	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$8,735,635	BOYAmt
EOY	$8,578,220	EOYAmt

Field	Value	IRS element (for citing)
Reconcilation Revenue Expnss	$3,749,095	ReconcilationRevenueExpnssAmt
Other Changes In Net Assets	$0	OtherChangesInNetAssetsAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	0	AccountantCompileOrReviewInd
FS Audited	0	FSAuditedInd
Federal Grant Audit Required	0	FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Publicly Supported Org509a2	Yes (X)	PubliclySupportedOrg509a2Ind

Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$9,962	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$10,277	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$18,914	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$32,878	CurrentTaxYearMinus1YearAmt
Current Tax Year	$4,198,281	CurrentTaxYearAmt
Total	$4,270,312	TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$4,958,792	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$4,166,312	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$3,968,440	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$3,614,724	CurrentTaxYearMinus1YearAmt
Current Tax Year	$3,440,463	CurrentTaxYearAmt
Total	$20,148,731	TotalAmt

Gross Receipts Non Unrlt Bus GrossReceiptsNonUnrltBusGrp

Field	Value	IRS element (for citing)
Current Tax Year	$27,468	CurrentTaxYearAmt
Total	$27,468	TotalAmt

Total509 Total509Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$4,968,754	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$4,176,589	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$3,987,354	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$3,647,602	CurrentTaxYearMinus1YearAmt
Current Tax Year	$7,666,212	CurrentTaxYearAmt
Total	$24,446,511	TotalAmt

Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Substantial Contributors Amt SubstantialContributorsAmtGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Field	Value	IRS element (for citing)
Public Support Total509	$24,446,511	PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$2,083	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$1,153	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$1,424	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$153	CurrentTaxYearMinus1YearAmt
Current Tax Year	$281	CurrentTaxYearAmt
Total	$5,094	TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$2,083	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$1,153	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$1,424	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$153	CurrentTaxYearMinus1YearAmt
Current Tax Year	$281	CurrentTaxYearAmt
Total	$5,094	TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$4,970,837	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$4,177,742	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$3,988,778	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$3,647,755	CurrentTaxYearMinus1YearAmt
Current Tax Year	$7,666,493	CurrentTaxYearAmt
Total	$24,451,605	TotalAmt

Field	Value	IRS element (for citing)
Public Support CY509	0.99980	PublicSupportCY509Pct
Public Support PY509	0.99950	PublicSupportPY509Pct
Investment Income CY	0.00020	InvestmentIncomeCYPct
Investment Income PY	0.00050	InvestmentIncomePYPct
Thirty Thr Pct Suprt Tests CY509	Yes (X)	ThirtyThrPctSuprtTestsCY509Ind

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Volunteers	0	VolunteersInd
Paid Staff Or Management	0	PaidStaffOrManagementInd
Media Advertisements	0	MediaAdvertisementsInd
Mailings Members	0	MailingsMembersInd
Publications Or Broadcast	0	PublicationsOrBroadcastInd
Grants Other Organizations	0	GrantsOtherOrganizationsInd
Direct Contact Legislators	0	DirectContactLegislatorsInd
Rallies Demonstrations	0	RalliesDemonstrationsInd
Other Activities	Yes (1)	OtherActivitiesInd
Other Activities	$722	OtherActivitiesAmt
Total Lobbying Expenditures	$722	TotalLobbyingExpendituresAmt
Not Described Section501c3	0	NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART II-B, LINE 1:	FormAndLineReferenceDesc
Explanation	SPRING VALLEY HEALTH CARE SERVICES, INC. PAYS ANNUAL ASSOCIATION DUES TO WISCONSIN HEALTH CARE ASSOCIATION, INC. AND AMERICAN HEALTH CARE ASSOCIATION, INC. THESE DUES ARE PRIMARILY FOR ACCESS TO EDUCATION MATERIALS AND STAFF TRAINING AND DEVELOPMENT. A PORTION OF THE ANNUAL DUES WERE USED IN CONJUNCTION WITH LOBBYING ACTIVITIES WITH THE GOAL OF IMPROVING THE OVERALL INDUSTRY ENVIRONMENT.	ExplanationTxt

Schedule D IRS990ScheduleD

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$210,300	OtherCostOrOtherBasisAmt
Book Value	$210,300	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$9,436,270	OtherCostOrOtherBasisAmt
Depreciation	$2,436,282	DepreciationAmt
Book Value	$6,999,988	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$983,980	OtherCostOrOtherBasisAmt
Depreciation	$565,993	DepreciationAmt
Book Value	$417,987	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$7,628,275	TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)

DescDesc	AmtAmt
WHEDA TAX CREDIT NOTE PAYABLE	$787,131
TENANT SECURITY DEPOSIT	$8,500

Field	Value	IRS element (for citing)
Total Liability	$795,631	TotalLiabilityAmt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (7 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 8B	THERE ARE NO COMMITTEES OF THE BOARD OF DIRECTORS WHICH HAVE AUTHORITY TO ACT ON BEHALF OF THE ENTIRE GOVERNING BODY.
FORM 990, PART VI, SECTION B, LINE 11B	THE 990 WILL BE DISTRIBUTED TO THE BOARD OF DIRECTORS AS PART OF THE BOARD PACKET FOR REVIEW AT THE BOARD MEETING PRIOR TO THE 990 BEING SUBMITTED.
FORM 990, PART VI, SECTION B, LINE 12C	SPRING VALLEY HEALTH CARE SERVICES, INC. REQUIRES ITS BOARD MEMBERS TO SIGN A CONFLICT OF INTEREST STATEMENT ANNUALLY.
FORM 990, PART VI, SECTION B, LINE 15A	THE SPRING VALLEY HEALTH CARE SERVICES, INC.'S BOARD OF DIRECTORS SETS THE SALARY AND BENEFIT PACKAGE FOR THE ADMINISTRATOR/CEO. THE BOARD OF DIRECTORS UTILIZES MULTIPLE SOURCES FOR SETTING THE COMPENSATION INCLUDING VARIOUS SALARY SURVEYS FROM THIRD PARTY SOURCES SUCH AS THE AMERICAN COLLEGE OF HEALTH CARE ADMINISTRATORS, THE LONG TERM CARE NEWS, AND AMERICAN HEALTH CARE ASSOCIATION PROVIDER PUBLICATION. THE SALARY AND BENEFIT PACKAGE FOR OTHER MANAGEMENT-SENIOR LEVEL STAFF PERSONS IS DETERMINED BY THE ADMINISTRATOR WITH CONSULTATION FROM THE BOARD OF DIRECTORS AND WITHIN THE PARAMETERS OF THE ORGANIZATION'S OPERATING BUDGET WHICH IS APPROVED BY THE BOARD OF DIRECTORS.
FORM 990, PART VI, SECTION C, LINE 19	SPRING VALLEY HEALTH CARE SERVICES, INC. MAKES ITS FINANCIAL STATEMENTS AND GOVERNING DOCUMENTS AVAILABLE TO THE PUBLIC ON A PER REQUEST BASIS.
FORM 990, PART VI, SECTION B, LINE 13, WHISTLEBLOWER POLICY:	SPRING VALLEY HEALTH CARE SERVICES, INC. DOES NOT HAVE A FORMAL WHISTLEBLOWER POLICY. HOWEVER, SPRING VALLEY HEALTH CARE SERVICE, INC.'S ANTI-FRAUD PROTECTIONS INCLUDE SAFE-GUARDS AFFORDED TO THOSE INDIVIDUALS REPORTING OR PROVIDING INFORMATION OR ASSISTANCE WITH CONCERNS OR SITUATIONS RELATED TO POSSIBLE FRAUD, THEFT, ABUSE, OR DETRIMENTAL ACTIVITY BY STAFF PERSONS OR INDIVIDUALS WHO MAY BE AFFILIATED OR ASSOCIATED WITH THE OPERATIONS OF SPRING VALLEY HEALTH CARE SERVICES, INC. THE CRITICAL ELEMENT WITH THE SAFEGUARDS IS THE PROTECTION OF THOSE STAFF PERSONS FROM RETRIBUTION OR RETALIATION AS A RESULT OF THEM PROVIDING INFORMATION OR AID.
FORM 990, PART VI, SECTION B, LINE 14,	DOCUMENT RETENTION AND DESTRUCTION POLICY: SPRING VALLEY HEALTH CARE SERVICES, INC. DOES NOT HAVE A FORMAL DOCUMENT RETENTION AND DESTRUCTION POLICY. HOWEVER, SPRING VALLEY HEALTH CARE SERVICES, INC. FOLLOWS ALL STATUTORY REQUIREMENTS GOVERNING RECORD RETENTION. THE STANDARD GUIDELINE UTILIZED IS THE 7 YEAR RETENTION PERIOD FOR RECORDS AND FILES. THE 7 YEAR PERIOD BEGINS WITH THE CLOSING OF THE FILE OR RECORD. STAFF EMPLOYMENT RECORDS CONTAINING ANY MEDICAL OR HEALTH INFORMATION ARE MAINTAINED FOR 30 YEARS ACCORDING TO STATUTORY REQUIREMENTS.

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp

Disregarded Entity Name DisregardedEntityName

Field	Value	IRS element (for citing)
Business Name Line1	VALLEY VILLAS LLC	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	S820 WESTLAND DRIVE	AddressLine1Txt
City	SPRING VALLEY	CityNm
State Abbreviation	WI	StateAbbreviationCd
ZIP	54767	ZIPCd

Field	Value	IRS element (for citing)
EIN	263498120	EIN
Primary Activities	DEVELOPMENT AND OPERATION OF ASSISTED LIVING FACILITY	PrimaryActivitiesTxt
Legal Domicile State	WI	LegalDomicileStateCd
Total Income	$456,197	TotalIncomeAmt
End Of Year Assets	$2,174,223	EndOfYearAssetsAmt

Direct Controlling Entity Name DirectControllingEntityName

Field	Value	IRS element (for citing)
Business Name Line1	SPRING VALLEY HEALTH CARE SERVICES INC	BusinessNameLine1Txt