2024-03-08T10:01:02-06:00 2023-09-30 450250958 Eide Bailly LLP 800 Nicollet Mall Ste 1300 Minneapolis MN 554027033 990 2022-10-01 410830760 Community Memorial Hospital Incorporated COMM 5073467381 800 Memorial Dr Spring Valley MN 55975 Doug Plaehn Treasurer 5073467381 2024-03-07 1 Doug Plaehn 999009999 1 Deb Nelson CPA P01264758 6122536500 2024-03-07 2 AAL1 IAL1 2022 2023-04-26 12:10:37Z Spring Valley Living Spring Valley Senior Living Doug Plaehn 800 Memorial Dr Spring Valley MN 55975 9039288 0 X www.springvalleyliving.org X 1958 MN Spring Valley Living provides health care services to Spring Valley and the surrounding area 5 5 184 10 0 0 284863 14475 6023608 6963934 752 189680 0 1871199 6309223 9039288 0 940 0 0 4628491 4743901 0 0 0 2512412 2852046 7140903 7596887 -831680 1442401 13215315 14042792 11528484 10913560 1686831 3129232 X To provide housing and services that support each individual's physical, social, and spiritual needs through the aging process to enhance their quality of life. 0 1 6516887 940 6963934 Community Memorial Hospital, Inc. is a 501(c)(3) nonprofit corporation referred to as Spring Valley Living. We provide healthcare services to the citizens of Spring Valley and the surrounding communities. The organization provides services to these individuals regardless of their ability to pay. The services provided include inpatient skilled care; home care; housing with services; and rehabilitation services. (Continued on Schedule O)Community Memorial Hospital, Inc., referred to as Spring Valley Living, operates on a nondiscriminatory basis, regardless of race, color, sex, religion, or national origin. The organization provides a continuum of care to meet the long-term healthcare needs of residents, including state licenses and a Medicare Certified 50-bed skilled nursing facility (Spring Valley Care Center). The Spring Valley Care Center, in the fiscal year 2023, admitted 58 patients with total patient days of 15,736 of which 36% of those patient days were medical assistance and Medical Assistant Managed Care patients, 12 % were Veteran administration, and 11% were Medicare. There were 38 units of licensed assisted living of which 24 of those units are for memory care assisted living, and 20 units of flexible living that housed community members, providing care that was not able to be provided any longer in their previous home. The assisted living and housing with services provides housing and services for clients on elderly waiver and group residential housing as well as private pay. In the past year approximately 27% of the tenants utilized some sort of assistance. Spring Valley Living maintains continuing arrangements with other organizations and health professionals to provide access to physical, occupational, and speech therapists, podiatrists, and mental health specialists to meet the healthcare needs of its residents and there were approximately $29,859 of services that were provided to tenants that were needed, but the tenant did not have the money or source of funding through other means to pay for (charity care). This is referred to as community care in our operations. The skilled long-term health care facility provides these services to the long-time members of the city of Spring Valley and the surrounding farm communities. The organization allows for families and their loved ones to receive the care needed close to home regardless of their financial situation.This organization works with the on-the-job experience programs in coordination with the SE MN workforce centers and is a clinical site for the Rochester Technical College for some of their programs. In addition, the organization partners with other service organizations to educate the community on topics such as fall prevention, stroke prevention, dementia care, and other health concerns for the aging population of this community and their families.The organization also coordinates programs with the Kingsland School District to provide exposure to long-term care for elementary and high school students. The local FFA works with the organization in providing an avenue for members to do service work within the long-term care industry. There are programs within the school that allow Spring Valley Living to work with interested students to provide a work setting for them.The organization provided educational assistance to several individuals in healthcare-related study and provided a location for community education programs offered to those in the Spring Valley area along with meeting space for various religious and civic groups. 6516887 1 0 0 0 0 0 0 0 1 0 1 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 1 184 1 0 0 0 0 0 0 0 0 0 0 0 0 X 5 5 0 0 0 0 0 0 0 1 0 0 0 1 1 1 1 1 1 1 0 0 MN X Penny Solberg 5073467381 800 Memorial Drive Spring Valley MN 55975 Luann Ruesink Chair 0.50 X X 0 0 0 Dan Root Vice Chair 0.50 X X 0 0 0 Doug Plaehn Treasurer 0.50 X X 0 0 0 Isaac Tangen Secretary 0.50 X X 0 0 0 Tracie Mensink Director 0.50 X 0 0 0 Jason Runck Chair (Thru Jan 23) 0.50 X X 0 0 0 William Mettler Vice Chair (Thru Jan 23) 0.50 X X 0 0 0 Steve Himle Director (Thru Jan 23) 0.50 X 0 0 0 Tony Archer Director (Thru Jan 23) 0.50 X 0 0 0 Penny Solberg President/CEO 40.00 X 162230 0 51813 Heather Sellers VP of Patient Services 40.00 X 122400 0 7639 284630 0 59452 2 0 1 0 ProCareHR 401 N 3rd St Minneapolis MN 55401 PEO Services 3784182 Aegis Therapies 4933 Old Greenwood Road Fort Smith AK 72903 Therapy 300511 Eide Bailly 800 Nicollet Mall Ste 1300 Minneapolis MN 55402 Accounting 213942 3 14475 14475 Resident Service Revenue 623000 5433156 5433156 Housing Revenue 623000 1362448 1362448 Rental Revenue 623000 131603 131603 Cable TV/Garage Revenue 623000 29185 29185 7542 7542 6963934 189680 189680 Employee Retention Credit 900099 1871199 1871199 1871199 9039288 6963934 0 2060879 940 940 219401 219401 3457762 3144440 313322 75279 65350 9929 722567 677124 45443 268892 233429 35463 2741 2741 230441 230441 492694 478308 14386 9137 9137 43638 43638 57139 57139 311918 305590 6328 4750 4750 25069 25069 384065 376273 7792 431120 422373 8747 104921 102792 2129 Supplies & Equipment 480944 376222 104722 DHS Surcharge 140750 140750 Dues & Licenses 22044 22044 110675 31519 79156 7596887 6516887 1080000 0 33184 390923 52073 1008645 759082 662255 42123 0 26942 35049 19017090 7073926 12299832 11943164 2079 2756 13215315 14042792 764274 508108 212988 10512257 10189708 2079 2756 249874 11528484 10913560 X 1686831 3129232 1686831 3129232 13215315 14042792 1442401 0 X 0 1 X 1 0 X 21413 751499 927959 284863 227463 2213197 5399262 5037347 5506000 6023608 6963934 28930151 5420675 5788846 6433959 6308471 7191397 31143348 0 1054764 405198 57161 608756 440353 2566232 1054764 405198 57161 608756 440353 2566232 28577116 3546 1810 1060 752 189680 196848 3546 1810 1060 752 189680 196848 22059 16176 10260 48495 5446280 5806832 6445279 6309223 7381077 31388691 0.91040 0.89010 0.00630 0.00030 X Schedule A, Part III, Line 12, Explanation of Other Income: Miscellanous Revenue - 2018 Amount: $ 22,059. 2019 Amount: $ 16,176. 2020 Amount: $ 10,260. 0 1 X 12000 12000 17281059 5586233 11694826 1525127 1330338 194789 198904 157355 41549 11943164 X 9039288 0 9039288 0 9039288 7596887 0 7596887 0 7596887 Part IV, Line 2b: Under the terms of the resident admissions agreement, the organization is the trustee of certain resident funds. Cash is maintained in a savings account and funds are expended at the direction of residents for personal items. Part X, Line 2: The Organization believes that it has appropriate support for any tax positions taken affecting its annual filing requirements, and, as such, does not have any uncertain tax positions that are material to the financial statements. The Organization would recognize future accrued interest and penalties related to unrecognized tax benefits and liabilities in income tax expense, if such interest and penalties are incurred. X 0 0 0 0 0 0 0 0 0 Penny Solberg President/CEO 162230 0 0 0 0 0 23268 0 28683 0 214181 0 0 0 A City of Spring Valley Minnesota 416005554 000000000 2019-10-23 5133058 Refund Bonds Issued 6/18/2013 0 0 0 B City of Spring Valley Minnesota 416005554 000000000 2019-10-23 6500000 Capital Expenditures 0 0 0 A 1273162 5133058 1 0 1 1 B 6500000 98500 6401500 2019 0 0 1 1 A 0 0 0 0 0.00000 0.00000 0.00000 0 0 1 B 0 0 0 0 0.00000 0.00000 0.00000 0 0 1 A 0 0 0 0 1 0 0 0 0 B 0 0 0 0 1 0 0 0 0 A 1 B 1 Form 990, Part III, line 3 The organization no longer performs home health services. Form 990, Part VI, Section A, line 8b No committees have the authority to act on behalf of the board. Form 990, Part VI, Section B, line 11b A copy of the 990 is provided to the board prior to filing with the IRS. Form 990, Part VI, Section B, line 12c Conflict of interest declarations are requested annually from key staff, officers, and directors of the Spring Valley Senior Living organization. As situations arise, conflict of interest is evaluated and if there is a conflict of interest noted the person involved is required to step out of the decision making process for that situation. The proceedings are documented in the board minutes. Form 990, Part VI, Section B, line 15a Board of Directors solicit a suggestion from the CEO and have several executive sessions to determine what they are willing to pay the CEO. Information is gathered from the auditing firm on salaries. This process is documented in the board minutes and was last completed in 2022. Form 990, Part VI, Section C, line 19 Spring Valley Senior Living holds an annual meeting in January each year open to the public. This meeting reviews the financial audit of the past fiscal year, any changes in policies, and addresses the annual conflict of interest declaration for board of directors and key staff. Two weeks prior to the meeting, public notices are published in the local paper to make the public aware of the annual meeting.