Form 990 for tax year 2022
Filed by COMMUNITY MEMORIAL HOSPITAL & NURSING HOME.
Totals
- Total revenue
- $9,039,288
- Total expenses
- $7,596,887
- Contributions and grants received
- $14,475
- Grants paid
- $940
- Program service revenue
- $6,963,934
- Investment income
- $189,680
- Other revenue
- $1,871,199
- Total assets, end of year
- $14,042,792
- Total liabilities, end of year
- $10,913,560
- Net assets or fund balances, end of year
- $3,129,232
- Program services expenses (Part IX)
- $6,516,887
- Management and general expenses
- $1,080,000
- Fundraising expenses
- $0
- Program service expenses (Part III)
- $6,516,887
Program services were 85.8% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.
Line items
Every line the filer filed in Parts VIII, IX and X, as filed and in filed order. Blank columns are left out, and the lines are not forced to add up to the totals above.
Revenue
Part VIII, the statement of revenue.
-
1f · All other contributions, gifts and grants
$14,475
-
2a · Program service revenue: Resident Service Revenue
total $5,433,156 · related or exempt $5,433,156
-
2b · Program service revenue: Housing Revenue
total $1,362,448 · related or exempt $1,362,448
-
2c · Program service revenue: Rental Revenue
total $131,603 · related or exempt $131,603
-
2d · Program service revenue: Cable TV/Garage Revenue
total $29,185 · related or exempt $29,185
-
2f · All other program service revenue
total $7,542 · related or exempt $7,542
-
3 · Investment income
total $189,680 · excluded $189,680
-
11a · Other revenue: Employee Retention Credit
total $1,871,199 · excluded $1,871,199
-
11e · Other revenue, total
$1,871,199
Functional expenses
Part IX, the statement of functional expenses.
-
2 · Grants to domestic individuals
total $940 · program services $940
-
5 · Compensation of officers, directors and key employees
total $219,401 · management and general $219,401
-
7 · Other salaries and wages
total $3,457,762 · program services $3,144,440 · management and general $313,322
-
8 · Pension plan contributions
total $75,279 · program services $65,350 · management and general $9,929
-
9 · Other employee benefits
total $722,567 · program services $677,124 · management and general $45,443
-
10 · Payroll taxes
total $268,892 · program services $233,429 · management and general $35,463
-
11b · Fees: legal
total $2,741 · management and general $2,741
-
11c · Fees: accounting
total $230,441 · management and general $230,441
-
11g · Fees: other
total $492,694 · program services $478,308 · management and general $14,386
-
12 · Advertising and promotion
total $9,137 · program services $9,137
-
13 · Office expenses
total $43,638 · program services $43,638
-
14 · Information technology
total $57,139 · program services $57,139
-
16 · Occupancy
total $311,918 · program services $305,590 · management and general $6,328
-
17 · Travel
total $4,750 · program services $4,750
-
19 · Conferences, conventions and meetings
total $25,069 · program services $25,069
-
20 · Interest
total $384,065 · program services $376,273 · management and general $7,792
-
22 · Depreciation, depletion and amortization
total $431,120 · program services $422,373 · management and general $8,747
-
23 · Insurance
total $104,921 · program services $102,792 · management and general $2,129
-
24a · Other expenses: Supplies & Equipment
total $480,944 · program services $376,222 · management and general $104,722
-
24b · Other expenses: DHS Surcharge
total $140,750 · program services $140,750
-
24c · Other expenses: Dues & Licenses
total $22,044 · program services $22,044
-
24e · All other expenses
total $110,675 · program services $31,519 · management and general $79,156
Balance sheet
Part X, book values.
-
1 · Cash, non-interest-bearing
beginning of year $33,184 · end of year $390,923
-
2 · Savings and temporary cash investments
beginning of year $52,073 · end of year $1,008,645
-
4 · Accounts receivable
beginning of year $759,082 · end of year $662,255
-
8 · Inventories for sale or use
beginning of year $42,123 · end of year $0
-
9 · Prepaid expenses and deferred charges
beginning of year $26,942 · end of year $35,049
-
10a · Land, buildings and equipment: cost or other basis
$19,017,090
-
10b · Land, buildings and equipment: accumulated depreciation
$7,073,926
-
10c · Land, buildings and equipment, net
beginning of year $12,299,832 · end of year $11,943,164
-
15 · Other assets
beginning of year $2,079 · end of year $2,756
-
17 · Accounts payable and accrued expenses
beginning of year $764,274 · end of year $508,108
-
19 · Deferred revenue
end of year $212,988
-
20 · Tax-exempt bond liabilities
beginning of year $10,512,257 · end of year $10,189,708
-
21 · Escrow or custodial account liability
beginning of year $2,079 · end of year $2,756
-
23 · Secured mortgages and notes payable
beginning of year $249,874
-
27 · Net assets without donor restrictions
beginning of year $1,686,831 · end of year $3,129,232
Mission and programs · 2022
Mission
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.
Activities or mission (Part I)
Spring Valley Living provides health care services to Spring Valley and the surrounding area
-
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.
Expenses $6,516,887 · Grants $940 · Revenue $6,963,934
As filed on the 2022 return. The filer continues this part on Schedule O, which is not shown here.
Listed in Part VII
-
Luann Ruesink
Chair
- Total calculated
- $0
- Hours/week
- 0.5
-
Dan Root
Vice Chair
- Total calculated
- $0
- Hours/week
- 0.5
-
Doug Plaehn
Treasurer
- Total calculated
- $0
- Hours/week
- 0.5
-
Isaac Tangen
Secretary
- Total calculated
- $0
- Hours/week
- 0.5
-
Tracie Mensink
Director
- Total calculated
- $0
- Hours/week
- 0.5
-
Jason Runck
Chair (Thru Jan 23)
- Total calculated
- $0
- Hours/week
- 0.5
-
William Mettler
Vice Chair (Thru Jan 23)
- Total calculated
- $0
- Hours/week
- 0.5
-
Steve Himle
Director (Thru Jan 23)
- Total calculated
- $0
- Hours/week
- 0.5
-
Tony Archer
Director (Thru Jan 23)
- Total calculated
- $0
- Hours/week
- 0.5
-
Penny Solberg
President/CEO
- Total calculated
- $214,043
- From this org
- $162,230
- From related orgs
- $0
- Other
- $51,813
- Hours/week
- 40
Schedule J breakdown matched by us
- Base
- $162,230
- Bonus
- $0
- Other
- $0
- Deferred
- $23,268
- Nontaxable benefits
- $28,683
- Filer's total
- $214,181
-
Heather Sellers
VP of Patient Services
- Total calculated
- $130,039
- From this org
- $122,400
- From related orgs
- $0
- Other
- $7,639
- Hours/week
- 40
Compensation is as filed in Part VII: reportable pay from this organization and from related organizations, other compensation, and hours per week. The total, marked calculated, is our sum of the three dollar columns, with a blank column counted as $0; the form itself has no total. On a Form 990-EZ the columns are Part IV's instead, and on a Form 990-PF Part VIII's — compensation, contributions to benefit plans, and expense account — and the total sums those. A Schedule J breakdown is as filed: base pay, bonus, other, deferred compensation and nontaxable benefits from this organization, with any from related organizations beside each, and the filer's own total. It is shown with the Part VII listing of the same name on the same return. The form gives no key between the two, so that pairing is ours, and is marked matched by us.
Schedule J
Answered yes
- 3 · Approval by the board or compensation committee
Answered no
- 4a · Severance or change-of-control payment
- 4b · Supplemental nonqualified retirement plan
- 4c · Equity-based compensation arrangement
- 5a · Pay contingent on this organization's revenues
- 5b · Pay contingent on a related organization's revenues
- 6a · Pay contingent on this organization's net earnings
- 6b · Pay contingent on a related organization's net earnings
- 7 · Other non-fixed payments
- 8 · Paid under the initial-contract exception
Part I's answers as filed. A line not listed was left unanswered; on lines 1a and 3 that means the box was not checked.
Grants on this return
No itemized grants to organizations on this return.
Provenance
- Return type
- form_990
- Tax year
- 2022
- Filed
- 7 March 2024
- IRS schema version
- 2022v5.0
- Source object
- 202400689349301300
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