2020-06-02T12:15:58-05:00 2019-12-31 381357951 PLANTE & MORAN PLLC 750 TRADE CENTRE WAY STE 300 PORTAGE MI 49002 990 2019-01-01 237010671 SUNSET MANOR INC SUNS 6164572770 725 BALDWIN JENISON MI 49428 STEVE BOSSENBROEK CFO 6164572770 2020-05-19 1 DAVID LOWENTHAL P00378651 2695674500 2020-05-19 75.188.137.184 2020-05-19 11:44:12 ED P DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 C549AF403F3C70DFD6C0D841F06D6C4B5C203B3A 2019 2020-09-23 17:36:50Z BROOKCREST SUNSET ASSOCIATION SUNSET AT HOME WATERFORD PLACE SUNSET RETIREMENT COMMUNITIES & SERVICES ROSE GARDEN STEVE ZUIDERVEEN 725 BALDWIN JENISON MI 49428 42564620 0 X WWW.SUNSETCOMMUNITIES.ORG X 1968 MI PROVIDE QUALITY HOUSING AND SERVICES FOR SENIORS IN KENT AND OTTAWA COUNTIES THROUGH THE OPERATION OF SENIOR COMMUNITIES, A SKILLED NURSING FACILITY AND HOME HEALTH SERVICES. 12 12 994 300 0 0 448411 1185551 28682353 32458870 3591296 1152347 0 0 32722060 34796768 0 0 0 0 14761540 16151381 0 0 0 16772583 17409963 31534123 33561344 1187937 1235424 79417169 82262240 70614042 70646630 8803127 11615610 X SUNSET ASSOCIATION PROVIDES QUALITY SERVICES FOR SENIOR ADULTS IN THE GREATER GRAND RAPIDS METROPOLITAN AREA, IN A SPIRIT OF CHRISTIAN LOVE. 0 0 18792744 0 21649046 PROVIDE QUALITY ASSISTED LIVING AND INDEPENDENT LIVING HOUSING AND SERVICES INCLUDING TRANSPORTATION, SOCIAL SERVICES, MEALS AT HOME, TO 856 SENIORS.THE CORPORATION PROVIDES CARE TO RESIDENTS WHO MEET CERTAIN CRITERIA UNDER ITS CHARITY CARE POLICY WITHOUT CHARGE OR AT AMOUNTS LESS THAN ITS ESTABLISHED RATES. BECAUSE THE CORPORATION DOES NOT PURSUE COLLECTION OF AMOUNTS DETERMINED TO QUALIFY AS CHARITY CARE, THEY ARE NOT REPORTED AS REVENUE. CHARITY CARE IS DETERMINED BASED ON ESTABLISHED POLICIES, USING RESIDENT INCOME AND ASSETS TO DETERMINE PAYMENT ABILITY. THE AMOUNT REFLECTS THE COST OF FREE OR DISCOUNTED HEALTH SERVICES, NET OF CONTRIBUTIONS AND OTHER REVENUE RECEIVED, AS DIRECT ASSISTANCE FOR THE PROVISION OF CHARITY CARE. THE ESTIMATED COST OF PROVIDING CHARITY SERVICES IS BASED ON A CALCULATION THAT APPLIES A RATIO OF COST TO CHARGES TO THE GROSS UNCOMPENSATED CHARGES ASSOCIATED WITH PROVIDING CARE TO CHARITY RESIDENTS. THE RATIO OF COST TO CHARGES IS CALCULATED BASED ON THE CORPORATION'S TOTAL EXPENSES (LESS BAD DEBT EXPENSE) DIVIDED BY GROSS REVENUE CHARGES. THE CORPORATION ESTIMATES THAT IT PROVIDED APPROXIMATELY $320,000 AND $210,000 OF SERVICES TO INDIGENT RESIDENTS DURING 2019 AND 2018, RESPECTIVELY.IN ADDITION, UNDER ARRANGEMENTS WITH VARIOUS GOVERNMENTAL INSURANCE PROGRAMS, THE CORPORATION PROVIDES SIGNIFICANT CARE TO THE LOCAL POPULATION FOR WHICH REIMBURSEMENT FOR SERVICES RENDERED IS GENERALLY LESS THAN THE COST OF PROVIDING SUCH SERVICES. AS PART OF ITS OBLIGATION TO THE LOCAL COMMUNITIES, THE CORPORATION ALSO PROVIDES NUMEROUS OTHER SERVICES THAT BENEFIT THE COMMUNITIES AND ARE GENERALLY PERFORMED AT NO CHARGE. THE CORPORATION HAS RECOGNIZED APPROXIMATELY $2,327,000 AND $2,057,000 OF IMPLICIT PRICE CONCESSIONS RELATED TO RESIDENTS UNDER THE MEDICAID PROGRAM FOR THE YEARS ENDED DECEMBER 31, 2019 AND 2018, RESPECTIVELY. 9362582 0 10366886 SKILLED NURSING CARE FOR 362 PERSONS WITH PHYSICAL AND DEMENTIA NEEDS REQUIRING 24 HOUR LICENSED NURSING CARE BOTH LONG TERM AND SHORT TERM REHABILITATION. 362775 0 442938 PROVIDE HOME HELP AND PRIVATE DUTY TO 115 SENIORS. 28518101 1 1 0 0 0 0 0 0 0 0 1 0 0 0 1 1 0 1 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 1 1 1 0 0 1 50 0 1 994 1 0 0 0 0 0 0 0 0 0 0 0 0 X 12 12 0 0 0 0 1 1 0 1 1 0 0 1 1 1 1 1 1 1 1 1 0 MI X STEVE BOSSENBROEK 6164572770 725 BALDWIN JENISON MI 49428 ROGER VANDERHEIDE CHAIRMAN 1.00 0.00 X X 0 0 0 RICK WIERINGA VICE CHAIRMAN 1.00 0.10 X X 0 0 0 JIM DEVRIES SECRETARY 1.00 0.00 X X 0 0 0 PAUL BAKKER DIRECTOR 1.00 0.00 X 0 0 0 MITCH DYKSTRA DIRECTOR 1.00 0.00 X 0 0 0 GRACE KREULEN DIRECTOR 1.00 0.00 X 0 0 0 DANIEL LAMORE DIRECTOR 1.00 0.00 X 0 0 0 DAVID LAWRENCE DIRECTOR 1.00 0.00 X 0 0 0 CHRISTOPHER MATTHYSSE DIRECTOR 1.00 0.00 X 0 0 0 DAVID MIEDEMA DIRECTOR 1.00 0.10 X 0 0 0 NANCY VERKAIK DIRECTOR 1.00 0.00 X 0 0 0 DAVID ZONDERVAN DIRECTOR 1.00 0.10 X 0 0 0 JUDY BAKER DIRECTOR - PART YEAR 1.00 0.00 X 0 0 0 WILLIAM BYKER DIRECTOR - PART YEAR 1.00 0.10 X 0 0 0 DARYLE KUIPER DIRECTOR - PART YEAR 1.00 0.00 X 0 0 0 STEVE ZUIDERVEEN PRESIDENT AND CEO 40.00 0.10 X 276847 0 27802 STEVEN BOSSENBROEK CFO 40.00 0.10 X 184465 0 15338 CHRISTINA MATZKE COO 40.00 0.00 X 183478 0 25814 MELISSA OHM VP HUMAN RESOURCES 40.00 0.00 X 124268 0 27274 SUE HAMM EXECUTIVE DIRECTOR 40.00 0.00 X 128993 0 24211 BEN LEAVELL EXECUTIVE DIRECTOR 40.00 0.00 X 115435 0 21458 TOM GEYER DIRECTOR OF IT 40.00 0.00 X 103168 0 13713 1116654 0 155610 7 0 1 0 HOBBS AND BLACK 100 N STATE ST ANN ARBOR MI 48104 ARCHITECTURE AND DESIGN 285762 WORKSIGHTED 275 HOOVER BLVD HOLLAND MI 49423 IT SUPPORT 201423 GREATAMERICA FINANCIAL SERVICES PO BOX 660831 DALLAS TX 752660831 PRINTERS/COPIERS 142374 3 1137413 48138 1185551 RESIDENTIAL CARE 623000 29721974 29721974 ADVANCED FEE REVENUE 623000 1350860 1350860 OTHER RESIDENT SERVICES 623000 1060809 1060809 PROCESSING FEE REVENUE 623000 224250 224250 MEALS REVENUE 722210 100977 100977 32458870 667077 667077 8253122 7767852 485270 485270 485270 34796768 32458870 0 1152347 504452 504452 12367696 11036493 1331203 521769 398587 123182 1586117 1280550 305567 1171347 1058949 112398 89380 77376 12004 149964 77376 72588 160191 160191 797391 608896 188495 207928 15500 192428 2775998 2587569 188429 1286397 1184789 101608 62664 25253 37411 93400 42383 51017 2075878 1999049 76829 3190607 3115392 75215 459539 210300 249239 MEALS 2120171 2120171 EQUIPMENT RENTAL & MAIN 1153791 1096881 56910 QAAP TAX 1125147 1125147 SUPPLIES 894865 905246 -10381 766652 677341 89311 33561344 28518101 5043243 0 1361889 1467640 258656 8027578 1897050 1396480 35487 54297 236700 292861 102364800 49715351 53969405 52649449 20785537 17432991 322100 322100 550345 618844 79417169 82262240 2606449 2830615 5755660 5721703 45375880 43854133 1553868 0 15322185 18240179 70614042 70646630 X 8803127 11615610 8803127 11615610 79417169 82262240 X 1235424 3728124 -2151065 X X 0 1 X 1 0 X 57822 61421 164522 448411 1185551 1917727 29101632 32798702 34090626 28682353 32458870 157132183 29159454 32860123 34255148 29130764 33644421 159049910 0 0 0 159049910 922330 1307240 787428 2461470 667077 6145545 922330 1307240 787428 2461470 667077 6145545 30081784 34167363 35042576 31592234 34311498 165195455 0.96280 0.96220 0.03720 0.03780 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 5531920 5531920 62897782 26425031 36472751 12510673 8601713 3908960 16935890 11355046 5580844 4488535 3333561 1154974 52649449 CHARITABLE GIFT ANNUITIES 40602 INTEREST RATE SWAP LIABILITY 3703961 REFUNDABLE ENTRANCE FEES AND DEPOSITS 14495616 18240179 X PART X, LINE 2: THE CORPORATION IS A NOT-FOR-PROFIT CORPORATION, AS DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE (THE "CODE"), AND IS EXEMPT FROM FEDERAL INCOME TAXES ON RELATED INCOME PURSUANT TO SECTION 501(A) OF THE CODE. THE CORPORATION IS NOT CURRENTLY UNDER EXAMINATION BY THE INTERNAL REVENUE SERVICE (IRS) OR ANY STATE OR LOCAL TAX AUTHORITIES. MANAGEMENT HAS ANALYZED THE TAX POSITIONS TAKEN BY THE CORPORATION AND HAS CONCLUDED THAT, AS OF DECEMBER 31, 2019, THERE ARE NO UNCERTAIN POSITIONS TAKEN OR EXPECTED TO BE TAKEN THAT WOULD REQUIRE RECOGNITION OF A LIABILITY OR DISCLOSURE IN THE CONSOLIDATED FINANCIAL STATEMENTS. X X X X X 0 0 0 0 0 0 0 0 0 STEVE ZUIDERVEEN PRESIDENT AND CEO 276847 0 0 0 0 0 12615 0 15187 0 304649 0 0 0 STEVEN BOSSENBROEK CFO 184465 0 0 0 0 0 9250 0 6088 0 199803 0 0 0 CHRISTINA MATZKE COO 183478 0 0 0 0 0 9250 0 16564 0 209292 0 0 0 MELISSA OHM VP HUMAN RESOURCES 124268 0 0 0 0 0 6500 0 20774 0 151542 0 0 0 SUE HAMM EXECUTIVE DIRECTOR 128993 0 0 0 0 0 5791 0 18420 0 153204 0 0 0 PART I, LINE 3 THE BOARD OF DIRECTORS HAS FORMED A COMPENSATION COMMITTEE AND ENGAGED WITH OUTSIDE COMPENSATION CONSULTANTS TO DETERMINE THE COMPENSATION OF THE CEO AND OTHER EXECUTIVE COMMITTEE MEMBERS. THIS PROCESS WAS MOST RECENTLY UNDERTAKEN IN 2019. A THE ECONOMIC DEVELOPMENT CORP OF THE TWP OF GEORGETOWN 386005370 NONEAVAIL 2016-06-30 31768721 REFUND 2014 BONDS TO MORE FAVORABLE TERMS 0 1 0 B MICHIGAN STRATEGIC FUND BONDS 386005370 NONEAVAIL 2014-05-29 19275000 FUND THE COST OF WATERFORD PHASE II 0 1 0 A 31768721 31768721 2016 1 0 1 1 B 19275000 371194 18903806 2015 0 0 1 1 A 0 0 0 0 0 0 1 B 0 0 0 0 0 0 1 A 0 0 1 0 1 0 0 0 1 B 0 0 1 0 1 0 0 0 1 A 0 B 0 FORM 990, PART I, ITEM C DBA: BROOKCREST, SUNSET ASSOCIATION, SUNSET AT HOME, WATERFORD PLACE, SUNSET RETIREMENT COMMUNITIES & SERVICES, ROSE GARDEN, . DBA: WATERFORD REHAB CENTER, SUNSET MANOR & VILLAGES BROOKCREST CHRISTIAN NURSING HOME, WATERFORD MEMORY CARE,. DBA: WATERFORD ASSISTED LIVING, WATERFORD INDEPENDENT LIVING WATERFORD REHABILITATION CENTER, SUNSET @ HOME. FORM 990, PART VI, SECTION A, LINE 6 THE ORGANIZATION HAS MEMBERS WHO ATTEND THE ANNUAL MEETING EACH YEAR AND VOTE ON A SLATE OF BOARD MEMBERS FOR THAT YEAR. THESE MEMBERS ARE ALL RESIDENTS AND DONORS OF THE ORGANIZATION. FORM 990, PART VI, SECTION A, LINE 7A THE MEMBERS OF THE ORGANIZATION ELECT BOARD MEMBERS TO THE GOVERNING BODY AT THE ANNUAL MEETING EACH YEAR. FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 IS REVIEWED BY THE CHIEF EXECUTIVE AND CHIEF FINANCIAL OFFICERS, AND DISTRIBUTED TO THE FULL BOARD OF DIRECTORS FOR REVIEW PRIOR TO FILING WITH THE IRS. FORM 990, PART VI, SECTION B, LINE 12C THE CONFLICT OF INTEREST POLICY COVERS ANY DIRECTOR, PRINCIPAL OFFICER, OR MEMBER OF A COMMITTEE WITH GOVERNING BOARD DELEGATED POWERS, WHO HAS A DIRECT OR INDIRECT FINANCIAL INTEREST. IN CONNECTION WITH ANY ACTUAL OR POSSIBLE CONFLICT OF INTEREST, AN INTERESTED PERSON MUST DISCLOSE THE EXISTENCE OF THE FINANCIAL INTEREST AND BE GIVEN THE OPPORTUNITY TO DISCLOSE ALL MATERIAL FACTS TO THE DIRECTORS AND MEMBERS OF THE COMMITTEES. AFTER THE DISCLOSURE, THE REMAINING BOARD OR COMMITTEE MEMBERS SHALL DECIDE IF A CONFLICT OF INTEREST EXISTS. IF THE GOVERNING BOARD OR COMMITTEE HAS REASON TO BELIEVE A MEMBER HAS FAILED TO DISCLOSE ACTUAL OR POSSIBLE CONFLICTS OF INTEREST, IT SHALL INFORM THE MEMBER OF THE BASIS FOR SUCH BELIEF AND AFFORD THE MEMBER AN OPPORTUNITY TO EXPLAIN THE ALLEGED FAILURE TO DISCLOSE. IF, AFTER FURTHER INVESTIGATION, THE GOVERNING BOARD OR COMMITTEE DETERMINES THE MEMBER HAS FAILED TO DISCLOSE A CONFLICT OF INTEREST, IT WILL TAKE THE APPROPRIATE DISCIPLINARY AND CORRECTIVE ACTION. THE BOARD OF DIRECTORS IS RESPONSIBLE FOR ENFORCING AND MONITORING THE CONFLICT OF INTEREST POLICY. FORM 990, PART VI, SECTION B, LINE 15 THE BOARD OF DIRECTORS HAS FORMED A COMPENSATION COMMITTEE AND ENGAGED WITH OUTSIDE COMPENSATION CONSULTANTS WHOM INFORM THE COMPENSATION COMMITTEE THROUGH ISSUED REPORTS. THE COMPENSATION COMMITTEE TAKES UP THESE ISSUED REPORTS AS A PART OF THEIR DISCUSSION WHEN DETERMINING THE COMPENSATION OF THE CEO AND OTHER EXECUTIVE COMMITTEE MEMBERS. FORM 990, PART VI, SECTION C, LINE 19 DOCUMENTS ARE AVAILABLE UPON REQUEST. FORM 990, PART XI, LINE 9: CHANGE IN FAIR VALUE OF SWAP AGREEMENT -2,151,065. SUNSET LEGACY FOUNDATION 725 BALDWIN STREET JENISON MI 49428 453567386 SUPPORTING ORGANIZATION MI 501(C)(3) LINE 12A, I SUNSET MANOR INC 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 SUNSET LEGACY FOUNDATION C 1137413 ACTUAL SUNSET LEGACY FOUNDATION Q 270856 ACTUAL