SPRING VALLEY HEALTH CARE CENTER INC: Form 990, tax year 2015

View the entire original 990 at ProPublica ↗

Organization: SPRING VALLEY HEALTH CARE CENTER INC (EIN 39-0993000)
Tax period: 2015-07-01 to 2016-06-30
Filed: 2017-02-13
IRS object ID: 201720449349301637
Schema version: 2015v3.0
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
Form 990
Schedule A
Schedule C
Schedule D
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2017-02-13T13:09:49-06:00	ReturnTs
Tax Period End	2016-06-30	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	2015-07-01	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	2017-02-13	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	2017-02-10	PreparationDt

Field	Value	IRS element (for citing)
Tax	2015	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	$4,469,028	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 THE 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	175	TotalEmployeeCnt
Total Volunteers	110	TotalVolunteersCnt
Total Gross UBI	$178,218	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	-$116,332	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$9,962	PYContributionsGrantsAmt
CY Contributions Grants	$10,277	CYContributionsGrantsAmt
PY Program Service Revenue	$5,144,795	PYProgramServiceRevenueAmt
CY Program Service Revenue	$4,344,530	CYProgramServiceRevenueAmt
PY Investment Income	$459	PYInvestmentIncomeAmt
CY Investment Income	$669	CYInvestmentIncomeAmt
PY Other Revenue	$112,568	PYOtherRevenueAmt
CY Other Revenue	$112,568	CYOtherRevenueAmt
PY Total Revenue	$5,267,784	PYTotalRevenueAmt
CY Total Revenue	$4,468,044	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	$3,200,507	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$2,881,997	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$2,048,932	PYOtherExpensesAmt
CY Other Expenses	$1,921,073	CYOtherExpensesAmt
PY Total Expenses	$5,249,439	PYTotalExpensesAmt
CY Total Expenses	$4,803,070	CYTotalExpensesAmt
PY Revenues Less Expenses	$18,345	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	-$335,026	CYRevenuesLessExpensesAmt
Total Assets BOY	$10,175,993	TotalAssetsBOYAmt
Total Assets EOY	$9,713,050	TotalAssetsEOYAmt
Total Liabilities BOY	$9,267,920	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$9,140,003	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$908,073	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$573,047	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 THE 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	$3,353,839	ExpenseAmt
Revenue	$3,500,859	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 2016, the nursing facility provided 14,553 resident days.	Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

Field	Value	IRS element (for citing)
Expense	$762,950	ExpenseAmt
Revenue	$775,228	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	$264,211	ExpenseAmt
Revenue	$178,218	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

Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp

Field	Value	IRS element (for citing)
Expense	$16,297	ExpenseAmt
Revenue	$2,793	RevenueAmt
Desc	Through June 30, 2015 Spring Valley Health Care Services, Inc. provided home health care services to members of the community and surrounding areas.	Desc

Field	Value	IRS element (for citing)
Total Other Prog Srvc Expense	$16,297	TotalOtherProgSrvcExpenseAmt
Total Other Prog Srvc Revenue	$2,793	TotalOtherProgSrvcRevenueAmt
Total Program Service Expenses	$4,397,297	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	Yes (1)	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	19	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Employee	175	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 (4 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	1.00	Yes (X)	Yes (X)	$0	$0	$0
Julie DUCKLOW
SECRETARY	1.00	Yes (X)	Yes (X)	$0	$0	$0
marsha brunkhorst
TREASURER	1.00	Yes (X)	Yes (X)	$0	$0	$0
KEVIN LARSON
CEO/ADMINISTRATOR	40.00		Yes (X)	$77,012	$0	$9,492

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$77,012	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
Cntrct Rcvd Greater Than100 K	0	CntrctRcvdGreaterThan100KCnt
All Other Contributions	$10,277	AllOtherContributionsAmt
Total Contributions	$10,277	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt
Nursing Home Revenue	623000	$3,485,065	$3,485,065
ASSISTED LIVING REVENU	623990	$662,660	$662,660
Child Care Revenue	624410	$178,218		$178,218
Nursing Assistant Trai	623000	$15,794	$15,794
Home Health Revenue	621610	$2,793	$2,793

Field	Value	IRS element (for citing)
Total Program Service Revenue	$4,344,530	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,153	TotalRevenueColumnAmt
Exclusion	$1,153	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Other	$500	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Other	$984	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Other	-$484	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$484	TotalRevenueColumnAmt
Related Or Exempt Func Income	-$484	RelatedOrExemptFuncIncomeAmt

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	$4,468,044	TotalRevenueColumnAmt
Related Or Exempt Func Income	$4,278,396	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$178,218	UnrelatedBusinessRevenueAmt
Exclusion	$1,153	ExclusionAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$86,504	TotalAmt
Management And General	$86,504	ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$2,234,149	TotalAmt
Program Services	$2,162,138	ProgramServicesAmt
Management And General	$72,011	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$384,181	TotalAmt
Program Services	$368,289	ProgramServicesAmt
Management And General	$15,892	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$177,163	TotalAmt
Program Services	$165,740	ProgramServicesAmt
Management And General	$11,423	ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$10,633	TotalAmt
Management And General	$10,633	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$3,848	TotalAmt
Management And General	$3,848	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$58,873	TotalAmt
Management And General	$58,873	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$271,465	TotalAmt
Program Services	$271,465	ProgramServicesAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$23,779	TotalAmt
Management And General	$23,779	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$71,639	TotalAmt
Management And General	$71,639	ManagementAndGeneralAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$623,358	TotalAmt
Program Services	$623,358	ProgramServicesAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$6,411	TotalAmt
Program Services	$4,086	ProgramServicesAmt
Management And General	$2,325	ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$3,196	TotalAmt
Program Services	$1,847	ProgramServicesAmt
Management And General	$1,349	ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$371,243	TotalAmt
Program Services	$371,243	ProgramServicesAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$41,855	TotalAmt
Management And General	$41,855	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
Food and supplies	$317,547	$317,547
Nursing home bed tax	$102,000	$102,000
Repairs and maintenance	$25,186	$25,186
Education and Dues/Subs	$13,366	$7,724	$5,642

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	-$23,326	TotalAmt
Program Services	-$23,326	ProgramServicesAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$4,803,070	TotalAmt
Program Services	$4,397,297	ProgramServicesAmt
Management And General	$405,773	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$312,566	BOYAmt
EOY	$254,416	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$300,396	BOYAmt
EOY	$283,580	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$419,474	BOYAmt
EOY	$347,321	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$13,635	BOYAmt
EOY	$21,748	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$10,627,666	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$1,962,367	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$8,982,754	BOYAmt
EOY	$8,665,299	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$147,168	BOYAmt
EOY	$140,686	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$10,175,993	BOYAmt
EOY	$9,713,050	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$270,222	BOYAmt
EOY	$377,192	EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
BOY	$7,728,897	BOYAmt
EOY	$7,547,977	EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

Field	Value	IRS element (for citing)
BOY	$11,400	BOYAmt
EOY	$0	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$1,257,401	BOYAmt
EOY	$1,214,834	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$9,267,920	BOYAmt
EOY	$9,140,003	EOYAmt

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

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$908,073	BOYAmt
EOY	$573,047	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$908,073	BOYAmt
EOY	$573,047	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$10,175,993	BOYAmt
EOY	$9,713,050	EOYAmt

Field	Value	IRS element (for citing)
Reconcilation Revenue Expnss	-$335,026	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
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	$82,494	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$5,644	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$6,077	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$9,962	CurrentTaxYearMinus1YearAmt
Current Tax Year	$10,277	CurrentTaxYearAmt
Total	$114,454	TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$5,678,352	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$5,350,139	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$5,366,876	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$4,958,792	CurrentTaxYearMinus1YearAmt
Current Tax Year	$4,166,312	CurrentTaxYearAmt
Total	$25,520,471	TotalAmt

Total509 Total509Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$5,760,846	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$5,355,783	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$5,372,953	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$4,968,754	CurrentTaxYearMinus1YearAmt
Current Tax Year	$4,176,589	CurrentTaxYearAmt
Total	$25,634,925	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	$25,634,925	PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$447	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$418	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$6,445	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$2,083	CurrentTaxYearMinus1YearAmt
Current Tax Year	$1,153	CurrentTaxYearAmt
Total	$10,546	TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$447	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$418	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$6,445	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$2,083	CurrentTaxYearMinus1YearAmt
Current Tax Year	$1,153	CurrentTaxYearAmt
Total	$10,546	TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$5,761,293	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$5,356,201	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$5,379,398	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$4,970,837	CurrentTaxYearMinus1YearAmt
Current Tax Year	$4,177,742	CurrentTaxYearAmt
Total	$25,645,471	TotalAmt

Field	Value	IRS element (for citing)
Public Support CY509	0.99960	PublicSupportCY509Pct
Public Support PY509	0.99960	PublicSupportPY509Pct
Investment Income CY	0.00040	InvestmentIncomeCYPct
Investment Income PY	0.00040	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	$587	OtherActivitiesAmt
Total Lobbying Expenditures	$587	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	$1,473,906	DepreciationAmt
Book Value	$7,962,364	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$981,096	OtherCostOrOtherBasisAmt
Depreciation	$488,461	DepreciationAmt
Book Value	$492,635	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$8,665,299	TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)

DescDesc	AmtAmt
Medical Claims Payable	$80,000
WHEDA TAX CREDIT Note Payable	$1,124,834
Tenant Security Deposit	$10,000

Field	Value	IRS element (for citing)
Total Liability	$1,214,834	TotalLiabilityAmt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (8 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 11	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.
FORM 990, PART XII, LINE 2C, OVERSIGHT OF THE AUDIT:	THE BOARD OF DIRECTORS OF SPRING VALLEY HEALTH CARE SERVICES, INC. REVIEWS THE AUDITED FINANCIAL STATEMENTS AT ITS BOARD MEETING AND IS RESPONSIBLE FOR THE OVERSIGHT AND SELECTION OF THE INDEPENDENT ACCOUNTANT. THE BOARD ALSO TAKES TIME DURING THE PRESENTATION OF THE ANNUAL FINANCIAL STATEMENTS TO MEET WITH THE INDEPENDENT AUDITORS. THIS PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR.

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	$775,228	TotalIncomeAmt

Direct Controlling Entity Name DirectControllingEntityName

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