2026-04-28T15:18:11-05:00 2025-09-30 410746749 CLIFTONLARSONALLEN LLP 2689 COMMERCE DRIVE NW SUITE 201 ROCHESTER MN 55901 990 2024-10-01 410830760 COMMUNITY MEMORIAL HOSPITAL INCORPORATED COMM 5073467381 800 MEMORIAL DRIVE SPRING VALLEY MN 559751054 DOUG PLAEHN TREASURER 5073467381 2026-04-17 1 0 KATHERINE LUTZKE CPA P01760889 5072802300 2026-04-17 2024 2025-03-06 01:10:19Z SPRING VALLEY LIVING SPRING VALLEY SENIOR LIVING DOUG PLAEHN 800 MEMORIAL DRIVE SPRING VALLEY MN 559751054 8699390 0 X WWW.SPRINGVALLEYLIVING.ORG X 1958 MN SPRING VALLEY LIVING PROVIDES HEALTH CARE SERVICES TO SPRING VALLEY AND THE SURROUNDING AREA 7 7 149 9 138183 21772 640448 57302 7759521 8454813 31259 49092 0 138183 8431228 8699390 0 0 0 0 5545611 5660479 0 0 0 2668190 3335274 8213801 8995753 217427 -296363 13715669 13241456 10369010 10191160 3346659 3050296 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 0 7785495 0 8454813 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 HOUSING WITH SERVICES AND REHABILITATION SERVICES. THE PROCEEDS ARE USED TO PROVIDE THE CARE NEEDED FOR THOSE UTILIZING OUR SERVICES IN SKILLED CARE, REHABILITATION, HOUSING WITH SERVICES, AND HOME CARE SETTINGS WITHIN THE PAST YEAR. THE PROCEEDS PROVIDE THE FINANCIAL RESOURCES TO PROVIDE THE SERVICES THAT THE COMMUNITY AND SURROUNDING AREA ARE REQUESTING OF THE ORGANIZATION. 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 RANGING FROM STATE LICENSES, MEDICARE CERTIFIED 50BED SKILLED NURSING FACILITY, CALLED SPRING VALLEY CARE CENTER. THE SPRING VALLEY CARE CENTER, IN THE FISCAL YEAR 2025, ADMITTED 72 PATIENTS WITH TOTAL PATIENT DAYS OF 15,225 OF WHICH 41% OF THOSE PATIENT DAYS WERE MEDICAL ASSISTANCE AND MEDICAL ASSISTANT MANAGED CARE PATIENTS, 13% WERE VETERAN ADMINISTRATION, AND 9% 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 26% OF THE TENANTS UTILIZED SOME SORT OF ASSISTANCE. SPRING VALLEY COMMUNITY MEMORIAL HOSPITAL, INC. OPERATING AS 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 $131,769.51 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 HEALTHCARE FACILITY PROVIDES THESE SERVICES TO THE LONGTIME 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. THIS ORGANIZATION PARTNERS WITH OTHER SERVICE ORGANIZATIONS TO EDUCATE THE COMMUNITY IN TOPICS SUCH AS FALL PREVENTION, STROKE PREVENTION, DEMENTIA CARE, AND OTHER HEALTH CONCERNS FOR THE AGING POPULATION OF THIS COMMUNITY AND THEIR FAMILIES. THIS ORGANIZATION 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.THIS ORGANIZATION PROVIDED EDUCATIONAL ASSISTANCE TO SEVERAL INDIVIDUALS IN HEALTH CARE RELATED STUDY. THIS ORGANIZATION 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. 7785495 1 1 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 9 0 1 149 1 1 1 0 0 0 0 0 0 0 0 0 0 0 X 7 7 0 0 0 0 0 0 0 1 0 0 0 1 1 1 1 1 1 1 0 0 MN X HEATHER SELLERS 5073467381 800 MEMORIAL DRIVE SPRING VALLEY MN 559751054 LUANN RUESINK CHAIR 0.50 X X 0 0 0 DAN ROOT VICE PRESIDENT 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 DONNA MCLAUGHLIN DIRECTOR 0.50 X 0 0 0 TODD JONES DIRECTOR 0.50 X 0 0 0 PENNY SOLBERG PRESIDENT/CEO 40.00 X 155940 0 62827 HEATHER SELLERS COO 40.00 X 125734 0 40357 281674 0 103184 2 0 1 0 0 23809 33493 57302 RESIDENT SERVICE REVEN 623000 6151563 6151563 HOUSING WITH SERVICES 623000 1887013 1887013 EVERGREENS RENTAL REVE 623000 378360 378360 CABLE TV/GARAGE REVENU 623000 27693 27693 OTHER INCOME 900099 10184 10184 8454813 49092 49092 138183 0 138183 138183 138183 8699390 8454813 138183 49092 212106 212106 3976836 3573098 403738 77898 76225 1673 1082146 936635 145511 311493 267059 44434 11179 11179 442051 345826 96225 10055 10055 725267 651228 74039 402767 402767 10615 6229 4386 26019 20270 5749 485956 485956 433164 433164 119588 119588 THERAPY EXPENSES 430000 430000 DHS SURCHARGE 116119 116119 OTHER EXPENSES 114825 33250 81575 LICENSES AND PERMITS 7669 7669 8995753 7785495 1210258 0 274259 600299 943673 530983 791500 736734 1894 7334 19217145 7854192 11701842 11362953 2501 3153 13715669 13241456 510211 628682 9856298 9559325 2501 3153 10369010 10191160 X 3346659 3050296 3346659 3050296 13715669 13241456 -296363 0 X 0 1 X 1 0 X 927959 284863 1885674 640448 57302 3796246 5506000 6023608 6963934 7759521 8454813 34707876 6433959 6308471 8849608 8399969 8512115 38504122 0 57161 608756 440353 360587 81295 1548152 57161 608756 440353 360587 81295 1548152 36955970 1060 752 189680 31259 49092 271843 138183 138183 1060 752 189680 31259 187275 410026 10260 10260 6445279 6309223 9039288 8431228 8699390 38924408 0.94940 0.93820 0.01050 0.00650 X SCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME: OTHER INCOME - 2020 AMOUNT: $ 10,260. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 1 X 12000 12000 16230402 5531235 10699167 2771939 2150312 621627 202804 172645 30159 11362953 X 8699390 0 8699390 0 8699390 8995753 0 8995753 0 8995753 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 IS ORGANIZED AS A MINNESOTA NONPROFIT CORPORATION AND HAS BEEN RECOGNIZED BY THE INTERNAL REVENUE SERVICE (IRS) AS EXEMPT FROM FEDERAL INCOME TAXES UNDER INTERNAL REVENUE CODE SECTION 501(C)(3). THE ORGANIZATION IS REQUIRED TO FILE A RETURN OF ORGANIZATION EXEMPT FROM INCOME TAX (FORM 990) WITH THE IRS ANNUALLY. IN ADDITION, THE ORGANIZATION IS SUBJECT TO INCOME TAX ON ANY NET INCOME THAT IS DERIVED FROM BUSINESS ACTIVITIES THAT ARE UNRELATED TO ITS EXEMPT PURPOSE. THE ORGANIZATION HAS DETERMINED IT IS NOT SUBJECT TO UNRELATED BUSINESS INCOME TAX AND HAS NOT FILED AN EXEMPT ORGANIZATION BUSINESS INCOME TAX RETURN (FORM 990T) WITH THE IRS. 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 155940 0 0 0 0 0 23852 0 38975 0 218767 0 0 0 HEATHER SELLERS COO 125734 0 0 0 0 0 9605 0 30752 0 166091 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 1966810 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 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 THE BOARD OF DIRECTORS SOLICITS SUGGESTIONS FROM THE CEO AND HOLDS SEVERAL BOARD MEETINGS TO DETERMINE WHAT THEY ARE WILLING TO PAY THE CEO. INFORMATION IS GATHERED FROM THE AUDITING FIRM ON SALARIES. SALARIES AND BENEFITS ARE ALSO REVIEWED BY THE BOARD AND THE CEO DURING THE BUDGET REVIEW PROCESS, BEFORE APPROVAL AND IMPLEMENTATION. THIS WAS LAST COMPLETED DURING THE OCTOBER 28TH BOARD MEETING. 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.