SPRING VALLEY HEALTH CARE CENTER INC: Form 990, tax year 2016
View the entire original 990 at ProPublica ↗
- Organization
- SPRING VALLEY HEALTH CARE CENTER INC (EIN 39-0993000)
- Tax period
- 2016-07-01 to 2017-06-30
- Filed
- 2018-02-26
- IRS object ID
- 201800579349300760
- Schema version
- 2016v3.0
- 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2018-02-26T10:04:40-06:00 | ReturnTs |
| Tax Period End | 2017-06-30 | 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 | 3703 Oakwood Hills Pkwy | AddressLine1Txt |
| City | Eau Claire | CityNm |
| State Abbreviation | WI | StateAbbreviationCd |
| ZIP | 54701 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2016-07-01 | 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 | 2018-02-19 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | HOLLY POKRANDT CPA | PreparerPersonNm |
| PTIN | P00449155 | PTIN |
| Phone | 7158323407 | PhoneNum |
| Preparation | 2018-02-19 | PreparationDt |
Filing Security Information FilingSecurityInformation
IP Address IPAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| I Pv4 Address | 12.86.94.170 | IPv4AddressTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IP | 2018-02-19 | IPDt |
| IP Tm | 13:34:30 | IPTm |
| IP Timezone | CS | IPTimezoneCd |
| Filing License Type | P | FilingLicenseTypeCd |
| At Submission Creation Device Id | DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 | AtSubmissionCreationDeviceId |
| At Submission Filing Device Id | 2F3CDBAF1037015F68690DD19EBC2430D808C728 | AtSubmissionFilingDeviceId |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2016 | 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 | $4,268,325 | 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 | 3 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 3 | VotingMembersIndependentCnt |
| Total Employee | 154 | TotalEmployeeCnt |
| Total Volunteers | 100 | TotalVolunteersCnt |
| Total Gross UBI | $166,979 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | -$87,742 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $10,277 | PYContributionsGrantsAmt |
| CY Contributions Grants | $18,914 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $4,344,530 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $4,135,419 | CYProgramServiceRevenueAmt |
| PY Investment Income | $669 | PYInvestmentIncomeAmt |
| CY Investment Income | $1,424 | CYInvestmentIncomeAmt |
| PY Other Revenue | $112,568 | PYOtherRevenueAmt |
| CY Other Revenue | $112,568 | CYOtherRevenueAmt |
| PY Total Revenue | $4,468,044 | PYTotalRevenueAmt |
| CY Total Revenue | $4,268,325 | 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 | $2,881,997 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $2,758,638 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $1,921,073 | PYOtherExpensesAmt |
| CY Other Expenses | $1,875,144 | CYOtherExpensesAmt |
| PY Total Expenses | $4,803,070 | PYTotalExpensesAmt |
| CY Total Expenses | $4,633,782 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$335,026 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$365,457 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $9,585,797 | TotalAssetsBOYAmt |
| Total Assets EOY | $9,055,852 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $9,012,750 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $8,848,262 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $573,047 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $207,590 | 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 | Yes (1) | SignificantChangeInd |
| Expense | $3,222,549 | ExpenseAmt |
| Revenue | $3,319,209 | 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 recuperation from illness, injury, or surgery. During fiscal year 2017, the nursing facility provided 13,373 resident days. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $765,580 | ExpenseAmt |
| Revenue | $649,231 | 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 |
Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $239,326 | ExpenseAmt |
| Revenue | $166,979 | RevenueAmt |
| Desc | Spring Valley Health Care Services, Inc. provides child care services to children ranging in age from 6 weeks to 6 years through its licensed day care, sunshine child care and learning center. | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expenses | $4,227,455 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | 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 | 154 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | Yes (1) | UnrelatedBusIncmOverLimitInd |
| Form990 T Filed | Yes (1) | Form990TFiledInd |
| 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 |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 3 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 3 | 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 (5 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt |
|---|---|---|---|---|---|---|
| ROSS KEEHR | ||||||
| PRESIDENT(UNTIL 09/30/16) | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 |
| Julie DUCKLOW | ||||||
| SECRETARY(UNTIL 09/30/2016) TREASURER(10/01/2017) | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 |
| marsha brunkhorst | ||||||
| TREASURER(UNTIL 09/30/2016) PRESIDENT(10/01/2017) | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 |
| Mike Lansing | ||||||
| SECRETARY | 1.00 | Yes (X) | $0 | $0 | $0 | |
| KEVIN LARSON | ||||||
| CEO/ADMINISTRATOR | 40.00 | Yes (X) | $78,392 | $0 | $9,492 | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $78,392 | 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 | $130,425 | CompensationAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 1 | CntrctRcvdGreaterThan100KCnt |
| Government Grants | $15,000 | GovernmentGrantsAmt |
| All Other Contributions | $3,914 | AllOtherContributionsAmt |
| Total Contributions | $18,914 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (4 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | Unrelated Business RevenueUnrelatedBusinessRevenueAmt |
|---|---|---|---|---|
| Nursing Home Revenue | 623000 | $3,308,127 | $3,308,127 | |
| ASSISTED LIVING REVENU | 623990 | $649,231 | $649,231 | |
| Child Care Revenue | 624410 | $166,979 | $166,979 | |
| Nursing Assistant Trai | 623000 | $11,082 | $11,082 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $4,135,419 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $1,424 | TotalRevenueColumnAmt |
| Exclusion | $1,424 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | WHEDA loan forgiveness | Desc |
| Business | 623990 | BusinessCd |
| Total Revenue Column | $112,568 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $112,568 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $112,568 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $4,268,325 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $4,081,008 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $166,979 | UnrelatedBusinessRevenueAmt |
| Exclusion | $1,424 | ExclusionAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $87,884 | TotalAmt |
| Management And General | $87,884 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,173,161 | TotalAmt |
| Program Services | $2,099,216 | ProgramServicesAmt |
| Management And General | $73,945 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $332,839 | TotalAmt |
| Program Services | $319,169 | ProgramServicesAmt |
| Management And General | $13,670 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $164,754 | TotalAmt |
| Program Services | $153,607 | ProgramServicesAmt |
| Management And General | $11,147 | ManagementAndGeneralAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $9,323 | TotalAmt |
| Management And General | $9,323 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,210 | TotalAmt |
| Management And General | $3,210 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $55,745 | TotalAmt |
| Management And General | $55,745 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $216,217 | TotalAmt |
| Program Services | $216,217 | ProgramServicesAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,960 | TotalAmt |
| Management And General | $5,960 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $87,072 | TotalAmt |
| Management And General | $87,072 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $620,285 | TotalAmt |
| Program Services | $620,285 | ProgramServicesAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,339 | TotalAmt |
| Program Services | $3,142 | ProgramServicesAmt |
| Management And General | $2,197 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,740 | TotalAmt |
| Program Services | $1,306 | ProgramServicesAmt |
| Management And General | $1,434 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $360,638 | TotalAmt |
| Program Services | $360,638 | ProgramServicesAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $46,333 | TotalAmt |
| Management And General | $46,333 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| Food and supplies | $294,715 | $294,715 | |
| Nursing home bed tax | $102,000 | $102,000 | |
| Repairs and maintenance | $40,817 | $40,817 | |
| Education and Dues/Subs | $15,825 | $7,418 | $8,407 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $8,925 | TotalAmt |
| Program Services | $8,925 | ProgramServicesAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,633,782 | TotalAmt |
| Program Services | $4,227,455 | ProgramServicesAmt |
| Management And General | $406,327 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $254,416 | BOYAmt |
| EOY | $174,929 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $283,580 | BOYAmt |
| EOY | $212,271 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $347,321 | BOYAmt |
| EOY | $324,882 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $21,748 | BOYAmt |
| EOY | $19,315 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $10,630,550 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $2,316,523 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $8,665,299 | BOYAmt |
| EOY | $8,314,027 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $13,433 | BOYAmt |
| EOY | $10,428 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $9,585,797 | BOYAmt |
| EOY | $9,055,852 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $377,192 | BOYAmt |
| EOY | $471,919 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,420,724 | BOYAmt |
| EOY | $7,232,177 | EOYAmt |
Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $99,900 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,214,834 | BOYAmt |
| EOY | $1,044,266 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $9,012,750 | BOYAmt |
| EOY | $8,848,262 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $573,047 | BOYAmt |
| EOY | $207,590 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $573,047 | BOYAmt |
| EOY | $207,590 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $9,585,797 | BOYAmt |
| EOY | $9,055,852 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | -$365,457 | ReconcilationRevenueExpnssAmt |
| Other Changes In Net Assets | $0 | OtherChangesInNetAssetsAmt |
| Info In Schedule O Part XII | Yes (X) | InfoInScheduleOPartXIIInd |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | Yes (1) | AccountantCompileOrReviewInd |
Acct Compile Or Review Basis AcctCompileOrReviewBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| FS Audited | 0 | FSAuditedInd |
| Audit Committee | Yes (1) | AuditCommitteeInd |
| 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 | $5,644 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $6,077 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $9,962 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $10,277 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $18,914 | CurrentTaxYearAmt |
| Total | $50,874 | TotalAmt |
Gross Receipts Admissions GrossReceiptsAdmissionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $5,350,139 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $5,366,876 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $4,958,792 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $4,166,312 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $3,968,440 | CurrentTaxYearAmt |
| Total | $23,810,559 | TotalAmt |
Total509 Total509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $5,355,783 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $5,372,953 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $4,968,754 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $4,176,589 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $3,987,354 | CurrentTaxYearAmt |
| Total | $23,861,433 | 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 | $23,861,433 | PublicSupportTotal509Amt |
Gross Investment Income509 GrossInvestmentIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $418 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $6,445 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $2,083 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $1,153 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $1,424 | CurrentTaxYearAmt |
| Total | $11,523 | TotalAmt |
Investment Income And UBTI InvestmentIncomeAndUBTIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $418 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $6,445 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $2,083 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $1,153 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $1,424 | CurrentTaxYearAmt |
| Total | $11,523 | TotalAmt |
Total Support Calendar Year TotalSupportCalendarYearGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $5,356,201 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $5,379,398 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $4,970,837 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $4,177,742 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $3,988,778 | CurrentTaxYearAmt |
| Total | $23,872,956 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support CY509 | 0.99950 | PublicSupportCY509Pct |
| Public Support PY509 | 0.99960 | PublicSupportPY509Pct |
| Investment Income CY | 0.00050 | InvestmentIncomeCYPct |
| Investment Income PY | 0.00040 | InvestmentIncomePYPct |
| Thirty Thr Pct Suprt Tests CY509 | Yes (X) | ThirtyThrPctSuprtTestsCY509Ind |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
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 | $876 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $876 | 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 | $1,762,808 | DepreciationAmt |
| Book Value | $7,673,462 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $983,980 | OtherCostOrOtherBasisAmt |
| Depreciation | $553,715 | DepreciationAmt |
| Book Value | $430,265 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $8,314,027 | TotalBookValueLandBuildingsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)
| DescDesc | AmtAmt |
|---|---|
| Medical Claims Payable | $23,000 |
| WHEDA TAX CREDIT Note Payable | $1,012,266 |
| Tenant Security Deposit | $9,000 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $1,044,266 | TotalLiabilityAmt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (8 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Form 990, Part III, line 3 | Spring Valley Health Care Services, Inc. discontinued providing child care services in June 2017. |
| 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 rentention 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 | $761,799 | TotalIncomeAmt |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SPRING VALLEY HEALTH CARE SERVICES Inc | BusinessNameLine1Txt |
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