2017-02-13T13:09:49-06:00 2016-06-30 390758449 Wipfli LLP 3703 Oakwood Hills Pkwy Eau Claire WI 54701 990 2015-07-01 390993000 Spring Valley Health Care Services Inc SPRI 7157785545 S830 Westland Drive Spring Valley WI 54767 KEVIN LARSON Administrator 7157785545 2017-02-13 1 HOLLY POKRANDT CPA P00449155 7158323407 2017-02-10 2015 2021-01-29 14:40:06Z Kevin Larson S830 Westland Drive Spring Valley WI 54767 4469028 0 X www.svhcs.org X 1970 WI 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. 3 3 175 110 178218 -116332 9962 10277 5144795 4344530 459 669 112568 112568 5267784 4468044 0 0 0 0 3200507 2881997 0 0 0 2048932 1921073 5249439 4803070 18345 -335026 10175993 9713050 9267920 9140003 908073 573047 X 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. 0 0 3353839 3500859 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. 762950 775228 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. 264211 178218 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. 16297 2793 Through June 30, 2015 Spring Valley Health Care Services, Inc. provided home health care services to members of the community and surrounding areas. 16297 2793 4397297 1 0 0 1 0 0 0 0 0 0 1 0 0 0 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 1 19 0 175 1 1 1 0 0 0 0 0 0 0 0 0 X 3 3 0 0 0 0 0 0 0 1 0 0 0 1 1 1 1 0 0 1 0 0 X Kevin Larson 7157785545 S830 WESTLAND DRIVE Spring Valley WI 54767 ROSS KEEHR PRESIDENT 1.00 X X 0 0 0 Julie DUCKLOW SECRETARY 1.00 X X 0 0 0 marsha brunkhorst TREASURER 1.00 X X 0 0 0 KEVIN LARSON CEO/ADMINISTRATOR 40.00 X 77012 0 9492 77012 0 9492 0 0 0 0 0 10277 10277 Nursing Home Revenue 623000 3485065 3485065 ASSISTED LIVING REVENU 623990 662660 662660 Child Care Revenue 624410 178218 178218 Nursing Assistant Trai 623000 15794 15794 Home Health Revenue 621610 2793 2793 4344530 1153 1153 500 984 -484 -484 -484 WHEDA loan forgiveness 623990 112568 112568 112568 4468044 4278396 178218 1153 86504 86504 2234149 2162138 72011 384181 368289 15892 177163 165740 11423 10633 10633 3848 3848 58873 58873 271465 271465 23779 23779 71639 71639 623358 623358 6411 4086 2325 3196 1847 1349 371243 371243 41855 41855 Food and supplies 317547 317547 Nursing home bed tax 102000 102000 Repairs and maintenance 25186 25186 Education and Dues/Subs 13366 7724 5642 -23326 -23326 4803070 4397297 405773 0 312566 254416 300396 283580 419474 347321 13635 21748 10627666 1962367 8982754 8665299 147168 140686 10175993 9713050 270222 377192 7728897 7547977 11400 0 1257401 1214834 9267920 9140003 X 908073 573047 908073 573047 10175993 9713050 -335026 0 X X 1 0 1 0 X 82494 5644 6077 9962 10277 114454 5678352 5350139 5366876 4958792 4166312 25520471 5760846 5355783 5372953 4968754 4176589 25634925 0 0 0 25634925 447 418 6445 2083 1153 10546 447 418 6445 2083 1153 10546 5761293 5356201 5379398 4970837 4177742 25645471 0.99960 0.99960 0.00040 0.00040 X 0 0 0 0 0 0 0 0 1 587 587 0 Part II-B, Line 1: 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. 210300 210300 9436270 1473906 7962364 981096 488461 492635 8665299 Medical Claims Payable 80000 WHEDA TAX CREDIT Note Payable 1124834 Tenant Security Deposit 10000 1214834 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. VALLEY VILLAS LLC S820 WESTLAND DRIVE SPRING VALLEY WI 54767 263498120 DEVELOPMENT AND OPERATION OF ASSISTED LIVING FACILITY WI 775228 SPRING VALLEY HEALTH CARE SERVICES Inc