2021-11-15T18:07:32-06:00 2020-12-31 410746749 CLIFTONLARSONALLEN LLP 227 WEST TRADE STREET SUITE 800 CHARLOTTE NC 28202 990 2020-01-01 540591600 SUNNYSIDE PRESBYTERIAN HOME SUNN 5405688600 600 UNIVERSITY BLVD NO STE L HARRISONBURG VA 22801 KEN BOWARD CFO CHIEF FINANCIAL OFFICER 5405688600 2021-11-15 1 KEN BOWARD CFO XXX-XX-XXXX JOHN NORMAN P01506766 7049985200 2021-11-15 2 AAL1 IAL1 2020 2022-09-23 18:48:47Z KEN BOWARD 600 UNIVERSITY BLVD NO STE L HARRISONBURG VA 22801 51158514 0 X WWW.SUNNYSIDECOMMUNITIES.COM X 1955 VA TO PROVIDE CARE AND SERVICES TO THE ELDERLY. 12 12 888 467 -14234 0 466481 2118885 44703512 45455629 1486171 1948996 1465171 1344893 48121335 50868403 1877545 1774286 0 0 22046547 23729668 0 0 314719 20894358 20944743 44818450 46448697 3302885 4419706 132441818 146625946 97742289 108566430 34699529 38059516 TO OFFER RETIREMENT LIVING CHOICES THAT ENHANCE THE PHYSICAL, SPIRITUAL, SOCIAL, PSYCHOLOGICAL AND SECURITY NEEDS OF OLDER ADULTS IN CARING CHRISTIAN COMMUNITIES AND TO PROVIDE FELLOWSHIP SUPPORT IN THE EVENT THAT A RESIDENT OUTLIVES THEIR RESOURCES. 0 0 13680600 1154721 15350010 PROVIDED QUALITY NURSING CARE TO 150 RESIDENTS INCLUDING RESTORATIVE AND INNOVATIVE ACTIVITIES IN SUNNYSIDE'S NURSING FACILITIES, GRANTED $1,154,721 TO RESIDENTS HELP PAY THE COST OF CARE. 8666604 550092 11007886 PROVIDED QUALITY ASSISTED LIVING CARE TO 156 ELDERLY RESIDENTS WHO ARE UNABLE TO BE COMPLETELY INDEPENDENT BUT DO NOT REQUIRE CARE IN A NURSING FACILITY, GRANTED $550,092 TO RESIDENT'S TO HELP PAY THE COST OF CARE. 14648743 69473 19097733 PROVIDED 588 ELDERLY RESIDENTS APARTMENT AND COTTAGE LIVING IN SECURE COMMUNITIES TO MAXIMIZE INDEPENDENCE AND QUALITY OF LIFE. GRANTED $69,473 TO RESIDENTS TO HELP PAY THE COST OF CARE. 36995947 1 1 0 0 0 0 0 0 1 1 1 1 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 121 0 888 1 1 1 0 0 0 0 0 0 0 0 0 0 0 X 12 12 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 1 1 VA X X KEN BOWARD CFO 5405688600 600 UNIVERSITY BLVD SUITE L HARRISONBURG VA 22801 JAMES J ROWE BOARD CHAIR 2.00 0.00 X X 0 0 0 STEVE H GORDON-LEFT SEP-20 BOARD VICE CHAIR 2.00 0.00 X X 0 0 0 MICHAEL W PUGH BOARD VICE CHAIR 2.00 0.00 X X 0 0 0 ELLEN R BLOSE SECRETARY 2.00 0.00 X X 0 0 0 DAVID W GARLAND BOARD MEMBER 2.00 0.00 X 0 0 0 JAMES KRAUSS BOARD MEMBER 2.00 0.00 X 0 0 0 CHRIS S KYLE BOARD MEMBER 2.00 0.00 X 0 0 0 JEFFREY G LENHART BOARD MEMBER 2.00 0.00 X 0 0 0 PETER A MCCOY JR BOARD MEMBER 2.00 0.00 X 0 0 0 KATHY MORAN BOARD MEMBER 2.00 0.00 X 0 0 0 RICHARD RJ MORIN BOARD MEMBER 2.00 0.00 X 0 0 0 H FULTON SENSABAUGH BOARD MEMBER 2.00 0.00 X 0 0 0 DAPHYNE S THOMAS BOARD MEMBER 2.00 0.00 X 0 0 0 JOSH LYONS PRESIDENT AND CEO 40.00 0.00 X 232211 0 0 JOHN J BROADDUS-LEFT MAR-20 CONSULTANT/FORMER CEO 40.00 0.00 X 333073 0 0 KEN BOWARD TREASURER AND CFO 40.00 0.00 X 186175 0 21979 LISA KANNEY ASSISTANT SECRETARY 40.00 0.00 X 58046 0 0 KAREN WIGGINTON CHIEF MARKETING OFFICER 40.00 0.00 X 150830 0 6948 PAULA GREENHAGEN CHIEF HUMAN RESOURCE OFFICER 40.00 0.00 X 144126 0 16751 BRIAN REINMANN EXECUTIVE DIRECTOR, SUMMIT SQUARE 40.00 0.00 X 131365 0 20719 TAMMY SHORTER HEALTH SERVICES ADMIN, KINGS GRANT 40.00 0.00 X 124182 0 0 KAREN RILEY HEALTH SERVICES ADMIN, SUNNYSIDE 40.00 0.00 X 122900 0 14591 1482908 0 80988 10 0 1 0 HARMAN CONSTRUCTION 1024 PLEASANT VALLEY ROAD HARRISONBURG VA 22801 BUILDING CONTRACTOR 3446153 SPECTRUM PARENT INC & SUBSIDIARIES PO BOX 69268 BALTIMORE MD 21264 THERAPY SERVICES 1384484 SYSCO FOOD SERVICES OF VA PO BOX 20020 HARRISONBURG VA 22801 FOOD AND DINING SUPPLIES 1073472 MCKESSON MEDICAL-SURGICAL PO BOX 630693 CINCINNATI OH 45274 PHARMACEUTICALS 680721 RAN MAR CORP 501 SHENANDOAH AVENUE ELKTON VA 22827 BUILDING CONTRACTOR 659116 27 1316193 802692 2118885 RESIDENTIAL SERVICE 623000 18842916 18842916 HEALTHCARE SERVICES 623000 15288228 15288228 ASSISTED LIVING 623000 11015578 11015578 PHARMACY REVENUE 623000 308907 308907 45455629 1948996 1948996 261649 290111 -28462 -28462 -14234 -14228 TELEPHONE AND INTERNET 900099 243520 243520 MARKETING FEES 623000 229456 229456 PRESCRIPTION/DENTAL FEES 623000 72542 72542 827837 827837 1373355 50868403 45455629 -14234 3308123 1774286 1774286 831484 831484 17028532 14092501 2697585 238446 438273 438273 4084632 1741237 2316566 26829 1346747 1129020 201225 16502 7762 7762 5826 5826 95477 95477 1984172 1460672 523500 178113 178113 1505713 1433858 49394 22461 3487365 2829899 656931 535 1543896 1462716 81180 7379912 7106631 271192 2089 743598 743598 MEDICAL COSTS AND CHARG 2272726 2272726 RAW FOOD 1372054 1371989 65 368129 134537 231561 2031 46448697 36995947 9138031 314719 1194444 313966 1261892 1698955 55800 10500 1669113 1389374 268159 529313 7681090 14095546 199647621 116689300 81387442 82958321 35061505 35389285 3760863 10139176 101510 101510 132441818 146625946 4072782 3530746 47310856 48311550 43026213 51793724 1204847 1321268 922337 789615 1205254 2819527 97742289 108566430 X 28813084 31873075 5886445 6186441 34699529 38059516 132441818 146625946 X 4419706 1818305 -2878024 X 0 1 X 1 0 X 1166915 1260840 1029975 466481 2118885 6043096 38324917 41375347 42478259 44703512 45455629 212337664 39491832 42636187 43508234 45169993 47574514 218380760 0 53348 53348 53348 53348 218327412 1334068 1497557 1581264 1751986 2210645 8375520 1334068 1497557 1581264 1751986 2210645 8375520 825918 973711 949652 1475946 1373355 5598582 41651818 45107455 46039150 48397925 51158514 232354862 0.93960 0.94180 0.03600 0.03300 X SCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME: OTHER REVENUE - 2016 AMOUNT: $ 186,833. 2017 AMOUNT: $ 238,071. 2018 AMOUNT: $ 278,699. 2019 AMOUNT: $ 813,629. 2020 AMOUNT: $ 827,837. MARKETING FEES - 2016 AMOUNT: $ 245,461. 2017 AMOUNT: $ 310,213. 2018 AMOUNT: $ 305,339. 2019 AMOUNT: $ 343,563. 2020 AMOUNT: $ 229,456. SERVICE FEES - 2016 AMOUNT: $ 252,116. 2017 AMOUNT: $ 250,226. 2018 AMOUNT: $ 260,384. 2019 AMOUNT: $ 247,671. 2020 AMOUNT: $ 243,520. PHARMACY AND DENTAL FEES - 2016 AMOUNT: $ 141,508. 2017 AMOUNT: $ 175,201. 2018 AMOUNT: $ 105,230. 2019 AMOUNT: $ 71,083. 2020 AMOUNT: $ 72,542. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 1 X 5886445 112025 475411 287440 6186441 5278222 93834 608720 94331 5886445 5612087 332929 -538177 128617 5278222 5061114 152965 431101 33093 5612087 5058697 40226 16502 54311 5061114 0.00000 0.75000 0.25000 0 0 4624656 4624656 168726073 105303983 63422090 19341799 11385317 7956482 6955093 6955093 82958321 JOINT VENTURE 568306 C FIRST CHOICE HOME HEALTH 1171268 C RESTRICTED BOND AGREEMENT 8399602 C 10139176 ANNUITIES PAYABLE 517856 INTEREST RATE SWAP AGREEMENT 1723633 DEFERRED ADVANCE - PROVIDER RELIEF FUNDS 578038 2819527 50470196 1818305 -2506623 -688318 51158514 -290111 -290111 50868403 46820098 2145687 2145687 44674411 1774286 1774286 46448697 PART IV, LINE 2B: A REFUNDABLE DEPOSIT OF 10% OF THE ADVANCE FEE IS MADE AT THE TIME A RESIDENCY AGREEMENT IS EXECUTED. ADVANCE FEES RECEIVED FROM RESIDENTS UPON ADMISSION ARE SUBJECT TO THE REFUND PROVISIONS OF RESIDENTS' AGREEMENTS. FOR OUR MOST PREVALENT CONTRACT TYPE, REFUND PERIODS EXPIRE RATABLY OVER 50 MONTHS FROM THE RESIDENTS' DATE OF ENTRANCE. PART V, LINE 4: THE INTENDED USE OF THE ORGANIZATION'S ENDOWMENT FUNDS IS TO PROVIDE BENEVOLENT CARE. PART XI, LINE 2D - OTHER ADJUSTMENTS: RESIDENT ASSISTANCE NETTED ON FS -1,774,286. CHANGE IN FV OF SWAPS -1,091,206. CHANGE IN FV OF PT 475,411. CHANGE IN PV OF ANNUITIES -62,150. RELEASE FROM RESTRICTIONS -54,392. PART XI, LINE 4B - OTHER ADJUSTMENTS: RENT EXPENSE INCLUDED IN REV ON 990 -290,111. PART XII, LINE 2D - OTHER ADJUSTMENTS: RENT EXPENSES 290,111. LOSS ON EXTINGUISHMENT OF DEBT 1,855,576. PART XII, LINE 4B - OTHER ADJUSTMENTS: RESIDENT ASSISTANCE NETTED ON FS 1,774,286. 1 RESIDENT ASSISTANCE (SEE PART IV) 59 1774286 N/A N/A PART I, LINE 2: A RESIDENT, PROSPECTIVE RESIDENT, OR THE FAMILY OF A RESIDENT MAY APPLY TO THE ADMINISTRATOR, OR OTHER PERSONS DESIGNATED BY THE ADMINISTRATOR, FOR FINANCIAL ASSISTANCE. THE ADMINISTRATOR WILL REVIEW THE RESIDENT'S RESOURCES, TAKING INTO ACCOUNT ALL EXPENSES, INCLUDING INSURANCE PREMIUMS, PRESCRIPTION DRUGS, ETC., AS WELL AS AMOUNTS DUE SUNNYSIDE. THE LEVEL OF ASSISTANCE WILL BE ESTABLISHED TO ALLOW SUFFICIENT FUNDS TO COVER EXPENSES AND A REASONABLE AMOUNT FOR ROUTINE DISCRETIONARY EXPENDITURES. A LISTING OF THE RESIDENT'S RESOURCES AND THE AMOUNT OF FELLOWSHIP ASSISTANCE WILL BE CREATED, AND REVIEWED AND APPROVED BY THE EXECUTIVE DIRECTOR WITH OVERSIGHT FROM THE CHIEF FINANCIAL OFFICER. PART III COLUMN (A) - TYPE OF ASSISTANCE SUNNYSIDE HAS ENJOYED A LONG HISTORY OF PROVIDING CARE TO RESIDENTS IN ALL LEVELS OF CARE WHO END UP EXHAUSTING THEIR PERSONAL RESOURCES. ONCE IN ASSISTED OR NURSING CARE SUNNYSIDE CONTINUES ITS SUPPORT ALONG WITH FUNDS THAT RESIDENTS RECEIVE FROM GOVERNMENTAL PROGRAMS SUCH AS THE VIRGINIA MEDICAL ASSISTANCE PROGRAM (MEDICAID) FOR HEALTHCARE OR OLD AGE ASSISTANCE GRANTS (AUXILIARY GRANT) FOR ASSISTED LIVING. X X X X 0 0 0 0 0 0 0 1 0 JOHN J BROADDUS-LEFT MAR-20 CONSULTANT/FORMER CEO 253073 0 80000 0 0 0 0 0 0 0 333073 0 0 0 JOSH LYONS PRESIDENT AND CEO 216711 0 15500 0 0 0 0 0 0 0 232211 0 0 0 KEN BOWARD TREASURER AND CFO 171675 0 14500 0 0 0 0 0 21979 0 208154 0 0 0 PAULA GREENHAGEN CHIEF HUMAN RESOURCE OFFICER 132126 0 12000 0 0 0 0 0 16751 0 160877 0 0 0 KAREN WIGGINTON CHIEF MARKETING OFFICER 138830 0 12000 0 0 0 0 0 6948 0 157778 0 0 0 BRIAN REINMANN EXECUTIVE DIRECTOR, SUMMIT SQUARE 127365 0 4000 0 0 0 0 0 20719 0 152084 0 0 0 PART I, LINE 7 THE BOARD OF TRUSTEE'S EXECUTIVE COMMITTEE APPROVED A BONUS TO BE PAID TO THE CEO BASED ON ITS ASSESSMENT OF HIS CONTRIBUTION MADE DURING THE YEAR TO THE COMPANY'S GOALS, OBJECTIVES AND STRATEGIC DIRECTION. ADDITIONALLY, THE EXECUTIVE COMMITTEE APPROVES A BONUS POOL TO BE USED BY THE CEO TO AWARD BONUSES FOR SELECT SENIOR EXECUTIVE STAFF MEMBERS OR OTHER KEY STAFF BASED ON HIS ASSESSMENT OF THE CONTRIBUTIONS MADE BY THESE EMPLOYEES DURING THE YEAR. IN DETERMINING THE REASONABLENESS OF BONUSES AWARDED, ASSESSMENTS ARE COMPARED AGAINST INDUSTRY BENCHMARKS FOR TOTAL COMPENSATION. THESE BONUSES ARE REPORTED IN PART VII OF THE FORM 990 IN COLUMN D FOR THE AMOUNTS PAID DURING 2020. A EDA OF ROCKINGHAM COUNTY VIRGINIA 541155987 2017-05-19 16000000 FUND RENOVATIONS AT CAMPUSES OF SUNNYSIDE, SUMMIT SQUARE, & KING'S GRANT 0 0 0 B EDA OF ROCKINGHAM COUNTY VIRGINIA 541155987 2020-01-08 32929461 REFINANCING AND FUND RENOVATIONS AT SUNNYSIDE CAMPUSES 0 0 0 A 530620 16000000 250000 13278835 2471165 2017 0 0 0 1 B 920832 32929461 542630 4988562 22385606 5012663 2020 1 0 1 1 A 0 0 0 0 0.00860 0.00860 0 0 1 B 0 0 0 0 0.00860 0.00860 0 0 1 A 0 1 0 0 0 0 0 0 1 B 0 1 0 0 1 1 BB&T 6.400000000000 0 0 0 0 1 A 1 B 1 FORM 990, PART VI, SECTION A, LINE 1 THE RESPONSIBILITIES OF THE EXECUTIVE COMMITTEE ARE AS FOLLOWS: (1) AUTHORITY TO ACT IN CONJUNCTION WITH THE PRESIDENT ON ISSUES THAT REQUIRE TIMELY ATTENTION WITH SUBSEQUENT REVIEW BY THE BOARD (2) COORDINATE EVALUATION OF PRESIDENT (3) SERVES, AS APPROPRIATE, AS A 'SOUNDING BOARD' FOR THE PRESIDENT FORM 990, PART VI, SECTION B, LINE 11B REVIEW WILL BE MADE BY AUDIT AND FINANCE COMMITTEE AT BOARD MEETING. A COPY OF THE 990 IS MADE AVAILABLE TO THE BOARD OF DIRECTORS BEFORE FILING. FORM 990, PART VI, SECTION B, LINE 12C EACH DIRECTOR, PRINCIPAL OFFICER, OR MEMBER OF A COMMITTEE WITH BOARD DELEGATED POWERS ARE COVERED UNDER THE CONFLICT OF INTEREST POLICY. THEY ARE REQUIRED TO ANNUALLY SIGN A STATEMENT WHICH AFFIRMS THAT SUCH PERSON HAS RECEIVED A COPY OF THE CONFLICTS OF INTEREST POLICY, HAS READ AND UNDERSTANDS THE POLICY AND HAS AGREED TO COMPLY WITH THE POLICY. THE POLICY OUTLINES THE GUIDING PRINCIPLES, DISCLOSURE REQUIREMENTS, AND PROCEDURES FOR DEALING WITH CONFLICTS OF INTEREST. A PERSON WITH A CONFLICT SHALL LEAVE THE BOARD OR COMMITTEE MEETING WHILE THE DETERMINATION OF A CONFLICT OF INTEREST IS DISCUSSED AND VOTED UPON. THE REMAINING BOARD OR COMMITTEE MEMBERS SHALL DECIDE IF A CONFLICT OF INTEREST EXISTS. IF IT IS DETERMINED A CONFLICT OF INTEREST EXISTS, THE PERSON WITH A CONFLICT SHALL LEAVE THE MEETING DURING DISCUSSION OF, AND THE VOTE ON, THE TRANSACTION OR ARRANGEMENT THAT RESULTS IN THE CONFLICT OF INTEREST. THE REMAINING BOARD OR COMMITTEE MEMBERS WILL REVIEW AND ADDRESS THE ACTUAL CONFLICT ACCORDING TO PROCEDURES AS SET FORTH IN THE ORGANIZATION'S CONFLICT OF INTEREST POLICY. FORM 990, PART VI, SECTION B, LINE 15 QUANTITATIVE DATA FROM SIMILARLY SITUATED ORGANIZATIONS ARE OBTAINED AND REVIEWED BY THE EXECUTIVE COMMITTEE OF THE BOARD. CEO COMPENSATION IS REVIEWED AND SET BY THE EXECUTIVE COMMITTEE OF THE BOARD WITH FULL BOARD APPROVAL. THE COMPENSATION DETERMINATION IS CONFIRMED AND COMMUNICATED IN WRITING BY THE BOARD CHAIRPERSON AND GIVEN TO THE HR DEPARTMENT FOR IMPLEMENTATION. RECORDS ARE MAINTAINED IN THE CEO'S PERSONNEL FOLDER. FOR KEY EMPLOYEES, COMPENSATION DATA ARE BENCHMARKED USING THE MOST RECENT "LEADINGAGE LEADERSHIP COMPENSATION SURVEY OF MULTI-SITE ORGANIZATIONS." KEY EMPLOYEES/OFFICERS COMPENSATION IS REVIEWED IN CONNECTION WITH THE ANNUAL PERFORMANCE REVIEW PROCESS THAT TAKES PLACE ON THE EMPLOYMENT ANNIVERSARY. THE PERFORMANCE REVIEW IS COMPLETED AND THE CEO DETERMINES COMPENSATION FOR THE UPCOMING ANNUAL PERIOD, FACTORING IN MARKET AND PERFORMANCE DATA. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENT AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART XI, LINE 9: CHANGE IN FV OF SWAPS -1,091,206. CHANGE IN PV OF PT 475,411. CHANGE IN PV OF ANNUITIES -62,150. RELEASE FROM RESTRICTIONS -54,392. RENT EXPENSES -290,111. LOSS ON EXTINGUISHMENT OF DEBT -1,855,576.