SPRING VALLEY HEALTH CARE CENTER INC: Form 990, tax year 2009
View the entire original 990 at ProPublica ↗
- Organization
- SPRING VALLEY HEALTH CARE CENTER INC (EIN 39-0993000)
- Tax period
- 2009-07-01 to 2010-06-30
- Filed
- 2011-01-10
- IRS object ID
- 201140129349300819
- Schema version
- 2009v1.7
- 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) |
|---|---|---|
| Timestamp | 2011-01-10T16:12:36-06:00 | Timestamp |
| Tax Period End Date | 2010-06-30 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | WIPFLI LLP | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 3703 OAKWOOD HILLS PARKWAY | AddressLine1 |
| City | EAU CLAIRE | City |
| State | WI | State |
| ZIP Code | 54701 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2009-07-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 390993000 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Spring Valley Health Care Services Inc | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | SPRI | NameControl |
| Phone | 7157785545 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | W500 Spring Street Hwy 29 | AddressLine1 |
| City | Spring Valley | City |
| State | WI | State |
| ZIP Code | 54767 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | KEVIN LARSON | Name |
| Title | Administrator | Title |
| Phone | 7157785545 | Phone |
| Date Signed | 2011-01-10 | DateSigned |
| Authorize Third Party | 1 | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | HOLLY POKRANDT CPA | Name |
| Phone | 7158323407 | Phone |
| Date Prepared | 2010-12-03 | DatePrepared |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2009 | TaxYear |
| Build TS | 2016-02-24 21:20:13Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | Kevin Larson | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | W500 Spring Street Hwy 29 | AddressLine1 |
| City | Spring Valley | City |
| State | WI | State |
| ZIP Code | 54767 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 4669984 | GrossReceipts |
| Group Return For Affiliates | 0 | GroupReturnForAffiliates |
| Organization501c | X | Organization501c |
| Web Site | www.svhcs.org | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1970 | YearFormation |
| State Legal Domicile | WI | StateLegalDomicile |
| Activity Or Mission Description | 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 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. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 3 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 3 | NbrIndependentVotingMembers |
| Total Nbr Employees | 190 | TotalNbrEmployees |
| Total Nbr Volunteers | 150 | TotalNbrVolunteers |
| Total Gross UBI | 106851 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | -95099 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 141804 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 95720 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 4503240 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 4572865 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 2275 | InvestmentIncomePriorYear |
| Investment Income Current Year | 1399 | InvestmentIncomeCurrentYear |
| Other Revenue Current Year | 0 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 4647319 | TotalRevenuePriorYear |
| Total Revenue Current Year | 4669984 | TotalRevenueCurrentYear |
| Grants And Similar Amnts CY | 0 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 3335556 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 3505793 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 0 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 1100371 | OtherExpensePriorYear |
| Other Expenses Current Year | 880647 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 4435927 | TotalExpensesPriorYear |
| Total Expenses Current Year | 4386440 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 211392 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 283544 | RevenuesLessExpensesCY |
| Total Assets BOY | 1663535 | TotalAssetsBOY |
| Total Assets EOY | 4432336 | TotalAssetsEOY |
| Total Liabilities BOY | 888091 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 3373348 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 775444 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 1058988 | NetAssetsOrFundBalancesEOY |
| Mission Description | 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 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. | MissionDescription |
| Significant New Program Services | 0 | SignificantNewProgramServices |
| Significant Change | 0 | SignificantChange |
| Expense | 2826685 | Expense |
| Revenue | 3079124 | Revenue |
| Description | 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. During fiscal year 2010, the nursing facility provided 14,627 resident days. | Description |
Activity2 Activity2
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 1026798 | Expense |
| Revenue | 1386890 | Revenue |
| Description | Spring Valley Health Care Services, Inc. also provides home health care services to members of the community and surrounding areas. | Description |
Activity3 Activity3
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 195221 | Expense |
| Revenue | 106851 | Revenue |
| Description | 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. | Description |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expense | 4048704 | TotalProgramServiceExpense |
| Described In501 C3 | 1 | DescribedIn501C3 |
| Schedule B Required | 1 | ScheduleBRequired |
| Political Activities | 0 | PoliticalActivities |
| Lobbying Activities | 0 | LobbyingActivities |
| Donor Advised Funds | 0 | DonorAdvisedFunds |
| Conservation Easements | 0 | ConservationEasements |
| Collections Of Art | 0 | CollectionsOfArt |
| Credit Counseling | 0 | CreditCounseling |
| Term Or Permanent Endowments | 0 | TermOrPermanentEndowments |
| Balance Sheet Amounts Reported | 1 | BalanceSheetAmountsReported |
| Independent Audit Financial Stmt | 0 | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | 1 | ConsolidatedAuditFinancialStmt |
| School | 0 | School |
| Foreign Office | 0 | ForeignOffice |
| Foreign Activities | 0 | ForeignActivities |
| More Than5000 K To Organizations | 0 | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividuals |
| Professional Fundraising | 0 | ProfessionalFundraising |
| Fundraising Activities | 0 | FundraisingActivities |
| Gaming | 0 | Gaming |
| Hospital | 0 | Hospital |
| Grants To Organizations | 0 | GrantsToOrganizations |
| Grants To Individuals | 0 | GrantsToIndividuals |
| Schedule J Required | 0 | ScheduleJRequired |
| Tax Exempt Bonds | 0 | TaxExemptBonds |
| Excess Benefit Transaction | 0 | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | 0 | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | 0 | LoanToOfficerOrDQP |
| Grant To Related Person | 0 | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | 0 | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | 0 | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | 0 | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | 1 | DeductibleNonCashContributions |
| Deductible Contributions Of Art | 0 | DeductibleContributionsOfArt |
| Terminated | 0 | Terminated |
| Partial Liquidation | 0 | PartialLiquidation |
| Disregarded Entity | 1 | DisregardedEntity |
| Related Entity | 0 | RelatedEntity |
| Related Org Controlled Entity | 0 | RelatedOrgControlledEntity |
| Transfers To Exempt Non Chrtbl Org | 0 | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | 0 | ActivitiesConductedPartnership |
| Schedule O Required | 1 | ScheduleORequired |
| Number Forms Transmitted With1096 | 13 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | 1 | ComplianceWithBackupWitholding |
| Number Of Employees | 190 | NumberOfEmployees |
| Employment Tax Returns Filed | 1 | EmploymentTaxReturnsFiled |
| Unrelated Business Income | 1 | UnrelatedBusinessIncome |
| Form990-T Filed | 1 | Form990-TFiled |
| Foreign Financial Account | 0 | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTrans |
| Taxable Party Notification | 0 | TaxablePartyNotification |
| Non Deductible Contributions | 0 | NonDeductibleContributions |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributions |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOf |
| Nbr Voting Governing Body Members | 3 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 3 | NumberIndependentVotingMembers |
| Family Or Business Relationship | 0 | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | 0 | DelegationOfManagementDuties |
| Changes To Organizing Docs | 0 | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuse |
| Members Or Stockholders | 0 | MembersOrStockholders |
| Election Of Board Members | 0 | ElectionOfBoardMembers |
| Decisions Subject To Approval | 0 | DecisionsSubjectToApproval |
| Minutes Of Governing Body | 1 | MinutesOfGoverningBody |
| Minutes Of Committees | 0 | MinutesOfCommittees |
| Officer Mailing Address | 0 | OfficerMailingAddress |
| Local Chapters | 0 | LocalChapters |
| Form990 Provided To Governing Body | 1 | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | 1 | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | 1 | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | 1 | RegularMonitoringEnforcement |
| Whistleblower Policy | 0 | WhistleblowerPolicy |
| Document Retention Policy | 0 | DocumentRetentionPolicy |
| Compensation Process CEO | 1 | CompensationProcessCEO |
| Compensation Process Other | 0 | CompensationProcessOther |
| Investment In Joint Venture | 0 | InvestmentInJointVenture |
| States Where Copy Of Return Is Filed | WI | StatesWhereCopyOfReturnIsFiled |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Person | Kevin Larson | NamePerson |
| Telephone Number | 7157785545 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | W500 Spring Street Hwy 29 | AddressLine1 |
| City | Spring Valley | City |
| State | WI | State |
| ZIP Code | 54767 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionA (4 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | OfficerOfficer |
|---|---|---|---|---|---|---|
| ROSS KEEHR | ||||||
| PRESIDENT | 1.00 | X | 0 | 0 | 0 | |
| BRIAN DUCKLOW | ||||||
| SECRETARY | 1.00 | X | 0 | 0 | 0 | |
| marsha brunkhorst | ||||||
| TREASURER | 1.00 | X | 0 | 0 | 0 | |
| KEVIN LARSON | ||||||
| CEO/ADMINISTRATOR | 50.00 | 70470 | 0 | 12401 | X | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 70470 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 0 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 12401 | TotalOtherCompensation |
| Number Individuals GT100 K | 0 | NumberIndividualsGT100K |
| Formers Listed | 0 | FormersListed |
| Total Comp GT150 K | 0 | TotalCompGT150K |
| Compensation From Other Sources | 0 | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation
Name Of Contractor NameOfContractor
Name Business NameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Tong Xeng Personal HomeCare | BusinessNameLine1 |
Address Of Contractor AddressOfContractor
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 2464 | AddressLine1 |
| City | APPLETON | City |
| State | WI | State |
| ZIP Code | 54912 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description Of Services | HOME CARE | DescriptionOfServices |
| Compensation | 656558 | Compensation |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 1 | NumberOfContractorsGT100K |
| All Other Contributions | 95720 | AllOtherContributions |
| Noncash Contributions | 80300 | NoncashContributions |
| Total Contributions | 95720 | TotalContributions |
Program Service Revenue ProgramServiceRevenue (3 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome | Unrelated Business RevenueUnrelatedBusinessRevenue |
|---|---|---|---|---|
| Nursing Home Revenue | 623000 | 3079124 | 3079124 | |
| Home Health Revenue | 621610 | 1386890 | 1386890 | |
| Child Care Revenue | 624410 | 106851 | 106851 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 4572865 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 1399 | TotalRevenueColumn |
| Exclusion | $1,399 | ExclusionAmount |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 4669984 | TotalRevenueColumn |
| Related Or Exempt Function Income | 4466014 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 106851 | UnrelatedBusinessRevenue |
| Exclusion | $1,399 | ExclusionAmount |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 86292 | Total |
| Management And General | 86292 | ManagementAndGeneral |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2858252 | Total |
| Program Services | 2793317 | ProgramServices |
| Management And General | 64935 | ManagementAndGeneral |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 333068 | Total |
| Program Services | 329112 | ProgramServices |
| Management And General | 3956 | ManagementAndGeneral |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 228181 | Total |
| Program Services | 217377 | ProgramServices |
| Management And General | 10804 | ManagementAndGeneral |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 13712 | Total |
| Management And General | 13712 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 29419 | Total |
| Management And General | 29419 | ManagementAndGeneral |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 91270 | Total |
| Program Services | 91270 | ProgramServices |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 7353 | Total |
| Management And General | 7353 | ManagementAndGeneral |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 347720 | Total |
| Program Services | 279219 | ProgramServices |
| Management And General | 68501 | ManagementAndGeneral |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 101258 | Total |
| Program Services | 101258 | ProgramServices |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 25384 | Total |
| Program Services | 23690 | ProgramServices |
| Management And General | 1694 | ManagementAndGeneral |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2074 | Total |
| Program Services | 1167 | ProgramServices |
| Management And General | 907 | ManagementAndGeneral |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 76361 | Total |
| Program Services | 76361 | ProgramServices |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 38054 | Total |
| Management And General | 38054 | ManagementAndGeneral |
Other Expenses OtherExpenses (4 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral |
|---|---|---|---|
| Nursing home bed tax | 90000 | 90000 | |
| Bad debts | 37920 | 37920 | |
| Education and Dues/Subs | 17030 | 4921 | 12109 |
| Repairs and maintenance | 3092 | 3092 |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 4386440 | Total |
| Program Services | 4048704 | ProgramServices |
| Management And General | 337736 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 179180 | BOY |
| EOY | 89327 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 108384 | BOY |
| EOY | 192488 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 545661 | BOY |
| EOY | 454121 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 27800 | BOY |
| EOY | 32508 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 65716 | BOY |
| EOY | 57334 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 4435688 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 965907 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 725832 | BOY |
| EOY | 3469781 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 10962 | BOY |
| EOY | 136777 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1663535 | BOY |
| EOY | 4432336 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 660110 | BOY |
| EOY | 1362992 | EOY |
Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 152981 | BOY |
| EOY | 1936786 | EOY |
Unsecured Notes Loans Payable UnsecuredNotesLoansPayable
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 3570 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 75000 | BOY |
| EOY | 70000 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 888091 | BOY |
| EOY | 3373348 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 775444 | BOY |
| EOY | 1058988 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 775444 | BOY |
| EOY | 1058988 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1663535 | BOY |
| EOY | 4432336 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | 0 | AccountantCompileOrReview |
| FS Audited | 1 | FSAudited |
| Audit Committee | 0 | AuditCommittee |
| Financial Statement Consolidated | X | FinancialStatementConsolidated |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequired |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital170b1 Aiii | X | Hospital170b1Aiii |
Schedule B IRS990ScheduleB
Contributor Info ContributorInfo
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor Number | RESTRICTED | ContributorNumber |
Contributor Name Business ContributorNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor Address US ContributorAddressUS
| 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) |
|---|---|---|
| Aggregate Contributions | RESTRICTED | AggregateContributions |
Schedule D IRS990ScheduleD
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 221174 | OtherCostOrOtherBasis |
| Book Value | 221174 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 794157 | OtherCostOrOtherBasis |
| Depreciation | 700774 | Depreciation |
| Book Value | 93383 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 355494 | OtherCostOrOtherBasis |
| Depreciation | 265133 | Depreciation |
| Book Value | 90361 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 3064863 | OtherCostOrOtherBasis |
| Book Value | 3064863 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 3469781 | TotalOfBookValueLandBuildings |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | Medical Claims Payable | Description |
| Amount | $70,000 | Amount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 70000 | TotalOfAmounts |
| Total Revenue | 4669984 | TotalRevenue |
| Total Expenses | 4386440 | TotalExpenses |
| Excess Or Deficit For Year | 283544 | ExcessOrDeficitForYear |
| Total Adjustments | 0 | TotalAdjustments |
| Excess Or Deficit Per FS | 283544 | ExcessOrDeficitPerFS |
| Tot Revenue Etc Audited Fincl Stmt | 4669984 | TotRevenueEtcAuditedFinclStmt |
| Revenue Not Rptd F990 | 0 | RevenueNotRptdF990 |
| Revenue Subtotal | 4669984 | RevenueSubtotal |
| Revenue Not Rptd On Fin Stmt | 0 | RevenueNotRptdOnFinStmt |
| Total Revenue Per Form990 | 4669984 | TotalRevenuePerForm990 |
| Tot Expenses Etc Audited Fincl Stmt | 4386440 | TotExpensesEtcAuditedFinclStmt |
| Expenses Not Rptd F990 | 0 | ExpensesNotRptdF990 |
| Expenses Subtotal | 4386440 | ExpensesSubtotal |
| Expenses Not Rptd On Fin Stmt | 0 | ExpensesNotRptdOnFinStmt |
| Total Expenses Per Form990 | 4386440 | TotalExpensesPerForm990 |
Form990 Schedule D Part XIV Form990ScheduleDPartXIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Explanation | Part X Balance Sheet - The balances as of the beginning of the fiscal year have been restated from the balances reported at the end of prior year. During 2010, management determined that the funds received during 2009 from West Central Wisconsin Community Action Agency, Inc. were part of a $415,800 mortgage note payable. In 2009, the funds had been accounted for as grant income. As a result, for 2009 the Organization recognized long-term debt of $120,582 and unamortized debt issuance costs of $10,962 that had previously been recorded as grant income. Management concluded that the consolidated financial statements should be restated to reflect the proper presentation of the long-term debt. | Explanation |
Schedule M IRS990ScheduleM
Real Estate Commercial RealEstateCommercial
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | X | NonCashCheckbox |
| Number Of Contributions | 1 | NumberOfContributions |
| Noncash Contribs Rptd F990 | 80300 | NoncashContribsRptdF990 |
| Method Of Determining Revenues | Land Appraisal | MethodOfDeterminingRevenues |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Any Property That Must Be Held | 0 | AnyPropertyThatMustBeHeld |
| Review Process Unusual NC Gifts | 0 | ReviewProcessUnusualNCGifts |
| Third Parties Used | 0 | ThirdPartiesUsed |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (8 entries)
| IdentifierIdentifier | ExplanationExplanation | Return ReferenceReturnReference |
|---|---|---|
| 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. However, if the timing of the board meeting doesn't make it possible to review the 990 before the submission, the 990 will be distributed to board members at the next possible meeting. | |
| 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 XI, Line 2C | Spring Valley Health Care Services, Inc. does not have a specific committee which assumes the responsibilty for oversight of the audit. The entire board of directors is responsible for selection of the independent accountant. | Oversight of the audit |
| Form 990, Part VI, Section B, Line 13 | 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 safe-guards is the protection of those Staff Persons from retribution or retaliation as result of them providing information or aid. | Whistleblower Policy |
| Form 990, Part VI, Section B, Line 14 | 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. | Document Retention and Destruction Policy |
Schedule R IRS990ScheduleR
Form990 Schedule R Part I Form990ScheduleRPartI
Name Of Disregarded Entity NameOfDisregardedEntity
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | VALLEY VILLAS LLC | BusinessNameLine1 |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | S820 WESTLAND DRIVE | AddressLine1 |
| City | SPRING VALLEY | City |
| State | WI | State |
| ZIP Code | 54767 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 263498120 | EIN |
| Primary Activities | DEVELOPMENT AND OPERATION OF ASSISTED LIVING FACILITY | PrimaryActivities |
| Legal Domicile State | WI | LegalDomicileState |
| EOY Assets | 2775894 | EOYAssets |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SPRING VALLEY HEALTH CARE SERVICES | BusinessNameLine1 |
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