SPRING VALLEY HEALTH CARE CENTER INC: Form 990, tax year 2014

View the entire original 990 at ProPublica ↗

Organization
SPRING VALLEY HEALTH CARE CENTER INC (EIN 39-0993000)
Tax period
2014-07-01 to 2015-06-30
Filed
2016-02-01
IRS object ID
201600329349300630
Schema version
2014v6.0
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

FieldValueIRS element (for citing)
Return2016-02-01T10:58:24-06:00ReturnTs
Tax Period End2015-06-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN390758449PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1WIPFLI LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line13703 OAKWOOD HILLS PARKWAYAddressLine1Txt
CityEAU CLAIRECityNm
State AbbreviationWIStateAbbreviationCd
ZIP54701ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2014-07-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN390993000EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1SPRING VALLEY HEALTH CARE SERVICES INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlSPRIBusinessNameControlTxt
Phone7157785545PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1S830 WESTLAND DRIVEAddressLine1Txt
CitySPRING VALLEYCityNm
State AbbreviationWIStateAbbreviationCd
ZIP54767ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonKEVIN LARSONPersonNm
Person TitleADMINISTRATORPersonTitleTxt
Phone7157785545PhoneNum
Signature2016-01-29SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonHOLLY POKRANDT CPAPreparerPersonNm
PTINP00449155PTIN
Phone7158323407PhoneNum
Preparation2016-01-29PreparationDt
FieldValueIRS element (for citing)
Tax2014TaxYr
Build TS2016-04-25 22:37:26ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerKEVIN LARSONPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1S830 WESTLAND DRIVEAddressLine1Txt
CitySPRING VALLEYCityNm
State AbbreviationWIStateAbbreviationCd
ZIP54767ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$5,274,544GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.SVHCS.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1970FormationYr
Legal Domicile StateWILegalDomicileStateCd
Activity Or MissionTHE 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 Body3VotingMembersGoverningBodyCnt
Voting Members Independent3VotingMembersIndependentCnt
Total Employee203TotalEmployeeCnt
Total Volunteers103TotalVolunteersCnt
Total Gross UBI$186,003TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm-$105,238NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$6,077PYContributionsGrantsAmt
CY Contributions Grants$9,962CYContributionsGrantsAmt
PY Program Service Revenue$5,550,396PYProgramServiceRevenueAmt
CY Program Service Revenue$5,144,795CYProgramServiceRevenueAmt
PY Investment Income-$7,258PYInvestmentIncomeAmt
CY Investment Income$459CYInvestmentIncomeAmt
PY Other Revenue$112,568PYOtherRevenueAmt
CY Other Revenue$112,568CYOtherRevenueAmt
PY Total Revenue$5,661,783PYTotalRevenueAmt
CY Total Revenue$5,267,784CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$3,351,465PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$3,200,507CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$2,076,536PYOtherExpensesAmt
CY Other Expenses$2,048,932CYOtherExpensesAmt
PY Total Expenses$5,428,001PYTotalExpensesAmt
CY Total Expenses$5,249,439CYTotalExpensesAmt
PY Revenues Less Expenses$233,782PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$18,345CYRevenuesLessExpensesAmt
Total Assets BOY$10,565,706TotalAssetsBOYAmt
Total Assets EOY$10,175,993TotalAssetsEOYAmt
Total Liabilities BOY$9,675,978TotalLiabilitiesBOYAmt
Total Liabilities EOY$9,267,920TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$889,728NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$908,073NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionTHE 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 Srvc0SignificantNewProgramSrvcInd
Significant ChangeYes (1)SignificantChangeInd
Expense$3,342,389ExpenseAmt
Revenue$3,861,589RevenueAmt
DescSPRING 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 2015, THE NURSING FACILITY PROVIDED 15,950 RESIDENT DAYS.Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$438,684ExpenseAmt
Revenue$478,923RevenueAmt
DescSPRING VALLEY HEALTH CARE SERVICES, INC. ALSO PROVIDES HOME HEALTH CARE SERVICES TO MEMBERS OF THE COMMUNITY AND SURROUNDING AREAS.Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

FieldValueIRS element (for citing)
Expense$751,122ExpenseAmt
Revenue$730,848RevenueAmt
DescSPRING 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 Acty Other ProgSrvcAccomActyOtherGrp

FieldValueIRS element (for citing)
Expense$294,261ExpenseAmt
Revenue$186,003RevenueAmt
DescSPRING 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
FieldValueIRS element (for citing)
Total Other Prog Srvc Expense$294,261TotalOtherProgSrvcExpenseAmt
Total Other Prog Srvc Revenue$186,003TotalOtherProgSrvcRevenueAmt
Total Program Service Expenses$4,826,456TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B Required0ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying ActivitiesYes (1)LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Temp Or Permanent Endowments0TempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (1)ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To Organizations0GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J Required0ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With Officer Ent0BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded EntityYes (1)DisregardedEntityInd
Related Entity0RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document16IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee203EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitYes (1)UnrelatedBusIncmOverLimitInd
Form990 T FiledYes (1)Form990TFiledInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members3GoverningBodyVotingMembersCnt
Independent Voting Member3IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or Stockholders0MembersOrStockholdersInd
Election Of Board Members0ElectionOfBoardMembersInd
Decisions Subject To Approva0DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of Committees0MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower Policy0WhistleblowerPolicyInd
Document Retention Policy0DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process Other0CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonKEVIN LARSONPersonNm
Phone7157785545PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1S830 WESTLAND DRIVEAddressLine1Txt
CitySPRING VALLEYCityNm
State AbbreviationWIStateAbbreviationCd
ZIP54767ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (4 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmt
ROSS KEEHR
PRESIDENT1.00Yes (X)Yes (X)$0$0$0
JULIE DUCKLOW
SECRETARY1.00Yes (X)Yes (X)$0$0$0
MARSHA BRUNKHORST
TREASURER1.00Yes (X)Yes (X)$0$0$0
KEVIN LARSON
CEO/ADMINISTRATOR40.00Yes (X)$78,493$0$9,492
FieldValueIRS element (for citing)
Total Reportable Comp From Org$78,493TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$9,492TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K0IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K0TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd
Cntrct Rcvd Greater Than100 K0CntrctRcvdGreaterThan100KCnt
All Other Contributions$9,962AllOtherContributionsAmt
Total Contributions$9,962TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtUnrelated Business RevenueUnrelatedBusinessRevenueAmt
NURSING HOME REVENUE623000$3,845,360$3,845,360
ASSISTED LIVING REVENU623990$618,280$618,280
HOME HEALTH REVENUE621610$478,923$478,923
CHILD CARE REVENUE624410$186,003$186,003
NURSING ASSISTANT TRAI623000$16,229$16,229
FieldValueIRS element (for citing)
Total Program Service Revenue$5,144,795TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$2,083TotalRevenueColumnAmt
Exclusion$2,083ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$5,136SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$6,760SecuritiesAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities-$1,624SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column-$1,624TotalRevenueColumnAmt
Exclusion-$1,624ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp

FieldValueIRS element (for citing)
DescWHEDA LOAN FORGIVENESSDesc
Business623990BusinessCd
Total Revenue Column$112,568TotalRevenueColumnAmt
Related Or Exempt Func Income$112,568RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Other Revenue Total$112,568OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$5,267,784TotalRevenueColumnAmt
Related Or Exempt Func Income$5,071,360RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$186,003UnrelatedBusinessRevenueAmt
Exclusion$459ExclusionAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$87,985TotalAmt
Management And General$87,985ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$2,557,741TotalAmt
Program Services$2,492,636ProgramServicesAmt
Management And General$65,105ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$354,228TotalAmt
Program Services$343,908ProgramServicesAmt
Management And General$10,320ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$200,553TotalAmt
Program Services$189,628ProgramServicesAmt
Management And General$10,925ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$10,216TotalAmt
Management And General$10,216ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$3,131TotalAmt
Management And General$3,131ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$55,003TotalAmt
Management And General$55,003ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$240,662TotalAmt
Program Services$240,662ProgramServicesAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$19,029TotalAmt
Management And General$19,029ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$103,498TotalAmt
Management And General$103,498ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$625,096TotalAmt
Program Services$625,096ProgramServicesAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$14,541TotalAmt
Program Services$12,410ProgramServicesAmt
Management And General$2,131ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$7,162TotalAmt
Program Services$5,987ProgramServicesAmt
Management And General$1,175ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$379,593TotalAmt
Program Services$379,593ProgramServicesAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$44,300TotalAmt
Management And General$44,300ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
FOOD AND SUPPLIES$376,875$376,875
NURSING HOME BED TAX$102,000$102,000
REPAIRS AND MAINTENANCE$44,364$44,364
EDUCATION AND DUES/SUBS$29,377$19,212$10,165

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total-$5,915TotalAmt
Program Services-$5,915ProgramServicesAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$5,249,439TotalAmt
Program Services$4,826,456ProgramServicesAmt
Management And General$422,983ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$182,355BOYAmt
EOY$312,566EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$246,094BOYAmt
EOY$300,396EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$628,563BOYAmt
EOY$419,474EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$34,548BOYAmt
EOY$13,635EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$10,613,869LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$1,631,115LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$9,320,496BOYAmt
EOY$8,982,754EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$153,650BOYAmt
EOY$147,168EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$10,565,706BOYAmt
EOY$10,175,993EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$303,438BOYAmt
EOY$270,222EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$7,958,935BOYAmt
EOY$7,728,897EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

FieldValueIRS element (for citing)
BOY$33,636BOYAmt
EOY$11,400EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$1,379,969BOYAmt
EOY$1,257,401EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$9,675,978BOYAmt
EOY$9,267,920EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$889,728BOYAmt
EOY$908,073EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$889,728BOYAmt
EOY$908,073EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$10,565,706BOYAmt
EOY$10,175,993EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$18,345ReconcilationRevenueExpnssAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
Info In Schedule O Part XIIYes (X)InfoInScheduleOPartXIIInd
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit Committee0AuditCommitteeInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2Yes (X)PubliclySupportedOrg509a2Ind

Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$5,603CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$82,494CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$5,644CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$6,077CurrentTaxYearMinus1YearAmt
Current Tax Year$9,962CurrentTaxYearAmt
Total$109,780TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$4,764,008CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$5,678,352CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$5,350,139CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$5,366,876CurrentTaxYearMinus1YearAmt
Current Tax Year$4,958,792CurrentTaxYearAmt
Total$26,118,167TotalAmt

Total509 Total509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$4,769,611CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$5,760,846CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$5,355,783CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$5,372,953CurrentTaxYearMinus1YearAmt
Current Tax Year$4,968,754CurrentTaxYearAmt
Total$26,227,947TotalAmt

Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Substantial Contributors Amt SubstantialContributorsAmtGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
FieldValueIRS element (for citing)
Public Support Total509$26,227,947PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$943CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$447CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$418CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$6,445CurrentTaxYearMinus1YearAmt
Current Tax Year$2,083CurrentTaxYearAmt
Total$10,336TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$943CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$447CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$418CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$6,445CurrentTaxYearMinus1YearAmt
Current Tax Year$2,083CurrentTaxYearAmt
Total$10,336TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$4,770,554CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$5,761,293CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$5,356,201CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$5,379,398CurrentTaxYearMinus1YearAmt
Current Tax Year$4,970,837CurrentTaxYearAmt
Total$26,238,283TotalAmt
FieldValueIRS element (for citing)
Public Support CY5090.99960PublicSupportCY509Pct
Public Support PY5090.99960PublicSupportPY509Pct
Investment Income CY0.00040InvestmentIncomeCYPct
Investment Income PY0.00040InvestmentIncomePYPct
Thirty Thr Pct Suprt Tests CY509Yes (X)ThirtyThrPctSuprtTestsCY509Ind

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Volunteers0VolunteersInd
Paid Staff Or Management0PaidStaffOrManagementInd
Media Advertisements0MediaAdvertisementsInd
Mailings Members0MailingsMembersInd
Publications Or Broadcast0PublicationsOrBroadcastInd
Grants Other Organizations0GrantsOtherOrganizationsInd
Direct Contact Legislators0DirectContactLegislatorsInd
Rallies Demonstrations0RalliesDemonstrationsInd
Other ActivitiesYes (1)OtherActivitiesInd
Other Activities$750OtherActivitiesAmt
Total Lobbying Expenditures$750TotalLobbyingExpendituresAmt
Not Described Section501c30NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART II-B, LINE 1:FormAndLineReferenceDesc
ExplanationSPRING 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

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

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$9,435,115OtherCostOrOtherBasisAmt
Depreciation$1,185,010DepreciationAmt
Book Value$8,250,105BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$968,454OtherCostOrOtherBasisAmt
Depreciation$446,105DepreciationAmt
Book Value$522,349BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$8,982,754TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)

DescDescAmtAmt
MEDICAL CLAIMS PAYABLE$20,000
WHEDA TAX CREDIT NOTE PAYABLE$1,237,401
FieldValueIRS element (for citing)
Total Liability$1,257,401TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART X, LINE 2:FormAndLineReferenceDesc
ExplanationSPRING VALLEY HEALTH CARE SERVICES, INC. IS A NONPROFIT CORPORATION AS DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE (THE "CODE") AND IS EXEMPT FROM FEDERAL INCOME TAXES ON RELATED INCOME PURSUANT TO SECTION 501(A) OF THE CODE. SPRING VALLEY HEALTH CARE SERVICES, INC. IS ALSO EXEMPT FROM STATE INCOME TAXES ON RELATED INCOME PURSUANT TO SIMILAR STATE OF WISCONSIN TAX LAWS. SPRING VALLEY HEALTH CARE SERVICES, INC. IS ALSO ENGAGED, TO A LIMITED EXTENT, IN CERTAIN ACTIVITIES SUBJECT TO TAXATION AS UNRELATED BUSINESS INCOME (UBI).ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (9 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART III, LINE 3EFFECTIVE JUNE 30, 2015, SPRING VALLEY HEALTH CARE SERVICES, INC. IS NO LONGER PROVIDING HOME HEALTH SERVICES AND HAS SINCE TRANSITIONED THE PATIENTS TO OTHER AGENCIES.
FORM 990, PART VI, SECTION A, LINE 8BTHERE 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 11THE 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 12CSPRING VALLEY HEALTH CARE SERVICES, INC. REQUIRES ITS BOARD MEMBERS TO SIGN A CONFLICT OF INTEREST STATEMENT ANNUALLY.
FORM 990, PART VI, SECTION B, LINE 15ATHE 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 19SPRING 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 IS RESPONSIBLE FOR THE SELECTION OF AN INDEPENDENT AUDITOR AND MANAGEMENT OVERSEES THE AUDIT PROCESS. THIS PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR.

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp

Disregarded Entity Name DisregardedEntityName

FieldValueIRS element (for citing)
Business Name Line1VALLEY VILLAS LLCBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1S820 WESTLAND DRIVEAddressLine1Txt
CitySPRING VALLEYCityNm
State AbbreviationWIStateAbbreviationCd
ZIP54767ZIPCd
FieldValueIRS element (for citing)
EIN263498120EIN
Primary ActivitiesDEVELOPMENT AND OPERATION OF ASSISTED LIVING FACILITYPrimaryActivitiesTxt
Legal Domicile StateWILegalDomicileStateCd
Total Income$751,122TotalIncomeAmt

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1SPRING VALLEY HEALTH CARE SERVICES INCBusinessNameLine1Txt

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