2020-06-22T09:26:14-05:00 2019-06-30 381357951 PLANTE & MORAN PLLC 8181 E TUFTS AVE SUITE 600 DENVER CO 80237 990 2018-07-01 453137352 SUN HEALTH COLONNADE SUNH 6232363700 PO BOX 6030 SUN CITY WEST AZ 85376 JOSEPH E LA RUE PRESIDENT & CEO 6232363700 2020-06-10 1 DORI J EGGETT P00645252 3037409400 2020-06-10 72.222.173.153 2020-06-10 11:52:32 MD P D1A9DA660E7E02DCE685C15CCE7766250B865EFB 321DDE24B35CC1D1467AEA03569F7C6B0A555C82 2018 2020-09-22 18:59:49Z JOSEPH E LA RUE PO BOX 6030 SUN CITY WEST AZ 85736 13555333 0 X SUNHEALTHSENIORLIVING.ORG/COLONNADE X 2011 AZ COLONNADE CHAMPIONS SUPERIOR HEALTH AND WELLBEING THROUGH PHILANTHROPY, INSPIRED LIVING AND WELLNESS PROGRAMS. SUN HEALTH ENVISIONS A WORLD WHERE PEOPLE LIVE LONGER, HEALTHIER, MORE PURPOSEFUL LIVES. 16 15 185 0 0 0 239033 175652 12098917 13260754 151777 118927 0 0 12489727 13555333 0 0 0 0 3812162 3807145 0 0 0 7826915 8373760 11639077 12180905 850650 1374428 85284093 85611903 78438968 77392350 6845125 8219553 SUN HEALTH COLONNADE SUPPORTS AND BENEFITS SUN HEALTH FOUNDATION, SUN HEALTH SENIOR LIVING, BANNER HEALTH, AND OTHER CHARITABLE ORGANIZATIONS ENGAGED IN PROMOTING/ENHANCING THE DELIVERY OF HEALTH CARE IN ARIZONA. 0 0 10024992 12474887 TO PROVIDE A CONTINUING CARE RETIREMENT COMMUNITY THAT MEETS THE NEEDS OF THE ELDERLY AND PROVIDES FOR THE PHYSICAL, SPIRITUAL, INTELLECTUAL, SOCIAL AND OTHER NEEDS OF OUR RESIDENTS. 644221 785867 SUN HEALTH AT HOME ADDRESSES THE NEEDS OF COMMUNITY MEMBERS DESIRING THE SECURITY AND PEACE OF MIND THAT LIFE CARE PROVIDES WHILE REMAINING IN THEIR HOMES. THE PROGRAM OFFERS PERSONALIZED CARE, COORDINATING SERVICES, WELLNESS SERVICES, AND QUALITY CARE, DESIGNED TO ALLOW MEMBERS TO REMAIN IN THEIR HOMES, SAFELY AND CONFIDENTLY. CONTRACT HOLDERS ARE ABLE TO ACCESS LONG-TERM CARE SERVICES INCLUDING ASSISTED LIVING, MEMORY SUPPORT AND SKILLED NURSING FACILITIES, AS DEEMED APPROPRIATE. 10669213 1 1 0 0 0 0 0 0 1 0 1 0 0 0 1 0 1 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 48 0 1 185 1 0 0 0 0 0 0 0 0 0 0 0 0 X 16 15 0 1 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 AZ X SHARON GRAMBOW 6238324335 14719 W GRAND AVE SUPRISE AZ 85374 JOEL E BARTHELEMY DIRECTOR 2.00 0.00 X 0 0 0 PATRICIA LEWIS FINNELL DIRECTOR 2.00 2.00 X 0 0 0 L BIRT KELLAM DIRECTOR 2.00 2.00 X 0 0 0 IRENE KOVALA EDD DIRECTOR 2.00 X 0 0 0 JOSEPH E LA RUE PRESIDENT & CEO SHS/SHF 32.00 8.00 X X 0 510204 63358 LEW LANCASTER TREASURER 2.00 2.00 X X 0 0 0 RICHARD V LIVENGOOD DIRECTOR 2.00 X 0 0 0 MICHAEL MANDELL CHAIRMAN 2.00 2.00 X X 0 0 0 RANDY MCGRANE DIRECTOR 2.00 X 0 0 0 DAN MINNIX CHAIRMAN 2.00 4.00 X X 0 0 0 HERMAN L ORCUTT IMMEDIATE PAST CHAIRMAN 2.00 2.00 X X 0 0 0 PATRICIA ROURKE DIRECTOR 2.00 X 0 0 0 GERALD S SOLOMON VICE CHAIRMAN 2.00 2.00 X X 0 0 0 R JACK STEPHENSON DIRECTOR 2.00 X 0 0 0 DEAN L STRYCKER MD SECRETARY 2.00 X X 0 0 0 RONALD J SYMIC DIRECTOR 2.00 2.00 X 0 0 0 WILLIAM T SELLNER FORMER CFO 30.00 10.00 X 0 498947 61730 SHARON GRAMBOW COO 8.00 32.00 X 0 443025 56417 JENNIFER DRAGO VP BUS DEV SHS 40.00 X 0 341361 59349 BHAKTI B GOSALIA EXEC DIR SENIOR LIVING SHS 1.00 39.00 X 0 232699 44046 DEBRA A RICHARDS RN CARE COORD DIR 40.00 X 0 160202 23114 TAHLYA VISINTAINER CHIEF HRO 8.00 32.00 X 0 191457 18921 JOHN W TYLER FINANCE SR MGR SHS 36.00 4.00 X 0 184595 31064 RONALD D GUZIAK FORMER CEO SHS 18.00 22.00 X 0 631210 56317 0 3193700 414316 0 1 1 0 BELMONTEZ CONSTRUCTION LLC 9299 W OLIVE AVE STE 505 PEORIA AZ 85345 CONSTRUCTION 1100775 AFFORDABLE HOME CARE SOLUTIONS 9324 E RAINTREE DR STE 100 SCOTTSDALE AZ 85260 HOME CARE 113238 2 166600 9052 175652 RESIDENT SERVICES 623000 13260754 13260754 13260754 118927 118927 13555333 13260754 0 118927 3278489 2788621 489868 297703 290316 7387 230953 208266 22687 502879 502879 16540 16540 72600 72600 91076 75163 15913 126224 126224 240407 211568 28839 197922 197922 1338890 1301957 36933 20390 6550 13840 1402841 1402841 2167486 2124138 43348 130040 127439 2601 RESIDENT SUPPLIES & SER 676150 676150 RESIDENT DINING SERVICE 609768 609768 MISC EXPENSES 607863 593366 14497 RES HOUSEKEEPING SRV 126846 126846 45838 45838 12180905 10669213 1511692 0 506069 747698 14813753 2023742 1846868 1807492 1562232 1038886 36205 37535 124609 121732 86352022 10131020 63474629 76221002 2919680 3613816 85284093 85611903 5780267 2963235 20460708 21079020 234980 251362 51963013 53098733 78438968 77392350 X 6845125 8219553 6845125 8219553 85284093 85611903 1374428 0 X 0 1 X 1 0 X 4186 236764 258905 239033 175672 914560 5942714 7694202 10709663 12098917 13260754 49706250 5946900 7930966 10968568 12337950 13436426 50620810 280395 215600 166600 662595 0 280395 215600 166600 662595 49958215 4966 9266 50978 151778 118927 335915 4966 9266 50978 151778 118927 335915 5951866 7940232 11019546 12489728 13555353 50956725 0.98040 0.98000 0.00660 0.00560 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 5852783 5852783 56836968 7878633 48958335 4151274 2252387 1898887 19510997 19510997 76221002 SUN HEALTH NOTE PAYABLE 26266825 ENTRANCE FEES REFUNDABLE 26831908 53098733 13555333 0 13555333 0 13555333 12180905 0 12180905 0 12180905 X X X X X X 1 1 0 0 0 0 0 0 0 JOSEPH E LA RUE PRESIDENT & CEO SHS/SHF 0 380130 0 130074 0 0 0 29077 0 34281 0 573562 0 0 WILLIAM T SELLNER FORMER CFO 0 358312 0 140635 0 0 0 29500 0 32230 0 560677 0 0 SHARON GRAMBOW COO 0 315139 0 127886 0 0 0 29438 0 26979 0 499442 0 0 JENNIFER DRAGO VP BUS DEV SHS 0 240970 0 100391 0 0 0 25206 0 34143 0 400710 0 0 BHAKTI B GOSALIA EXEC DIR SENIOR LIVING SHS 0 176181 0 56518 0 0 0 25568 0 18478 0 276745 0 0 DEBRA A RICHARDS RN CARE COORD DIR 0 129875 0 30327 0 0 0 5021 0 18093 0 183316 0 0 TAHLYA VISINTAINER CHIEF HRO 0 191457 0 0 0 0 0 3819 0 15102 0 210378 0 0 JOHN W TYLER FINANCE SR MGR SHS 0 122052 0 62543 0 0 0 4956 0 26108 0 215659 0 0 RONALD D GUZIAK FORMER CEO SHS 0 595761 0 35449 0 0 0 24226 0 32091 0 687527 0 0 PART I, LINE 3 SOME OFFICERS AND KEY EMPLOYEES PARTICIPATE IN A BOARD ENDORSED 457(B) PLAN. A NON-QUALIFIED 457(F) PLAN IS BOARD ENDORSED FOR CERTAIN EXECUTIVES. THIS PLAN CARRIES A SUBSTANTIAL RISK OF FORFEITURE IN THAT VESTING ONLY OCCURS THE EARLIER OF 5 YEARS FROM THE DATE OF DEPOSIT, AGE 60 OR RULE OF 80 (AGE AND SERVICE EQUALS 80 OR MORE). ALL DEPOSITS ARE EMPLOYER CONTRIBUTIONS. SHOULD A PARTICIPANT VOLUNTARILY TERMINATE EMPLOYMENT PRIOR TO A DEPOSIT VESTING, THE DEPOSIT IS FORFEITED. ALL DEPOSITS ARE PAID OUT AND TAXED UPON VESTING. SCHEDULE J PART II EFFECTIVE 9/2/08, THE COMPENSATION FOR OFFICERS AND KEY EMPLOYEES WAS PAID BY BANNER HEALTH THROUGH AN AGREEMENT BETWEEN BANNER HEALTH AND SUN HEALTH SERVICES. BANNER HEALTH IS A SEPARATE RELATED 501(C)(3) ORGANIZATION. SUN HEALTH SERVICES REIMBURSES BANNER HEALTH FOR THE AMOUNTS PAID. PART II THE SALARY AND BENEFITS INFORMATION DISCLOSED ON SCHEDULE J, PART II, REPRESENTS THE AGGREGATE COMPENSATION TO INDIVIDUALS FOR THEIR SERVICES TO SUN HEALTH SERVICES, SUN HEALTH FOUNDATION, SUN HEALTH PARTNERS, SUN HEALTH SENIOR LIVING, LA LOMA SENIOR LIVING, SUN HEALTH COLONNADE AND GRANDVIEW TERRACE; THE LATTER THREE BEING THREE DISTINCT CONTINUING CARE RETIREMENT COMMUNITIES. FORM 990, PART VI, SECTION A, LINE 3 THE BOARD OF DIRECTORS RETAINS SUN HEALTH SENIOR LIVING, LLC, A RELATED ENTITY, TO MANAGE THE OPERATION OF THE FACILITY. SUN HEALTH SENIOR LIVING, LLC IS A MEMBER OWNED BY SUN HEALTH SERVICES, SUN HEALTH COLONNADE'S SOLE MEMBER. FORM 990, PART VI, SECTION A, LINE 6 SUN HEALTH SENIOR LIVING, LLC IS A MEMBER OWNED BY SUN HEALTH SERVICES, SUN HEALTH COLONNADE'S SOLE MEMBER. FORM 990, PART VI, SECTION A, LINE 7A THE ORGANIZATION HAS A BOARD OF DIRECTORS ELECTED TO SERVE A TERM OF THREE YEARS OR UNTIL RESIGNED OR REMOVED. THE TERMS OF THE DIRECTORS ARE STAGGERED SUCH THAT APPROXIMATELY ONE-THIRD OF THE DIRECTORS ARE ELECTED EACH YEAR. DIRECTORS ARE ELIGIBLE TO SERVE A MAXIMUM OF THREE CONSECUTIVE TERMS WITHOUT REGARD TO PARTIAL TERMS DUE TO STAGGERING OR FILLING VACANCIES. FORM 990, PART VI, SECTION A, LINE 7B CERTAIN RESERVED POWERS ARE MAINTAINED BY SUN HEALTH SERVICES, AS A SOLE MEMBER. FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 IS PREPARED BY THE ORGANIZATION'S INDEPENDENT ACCOUNTANT, PLANTE & MORAN, PLLC. THE RETURN IS THEN REVIEWED BY THE AUDIT COMMITTEE OF THE BOARD OF DIRECTORS AND PROVIDED TO THE FULL BOARD OF DIRECTORS FOR COMMENT PRIOR TO BEING FILED. FORM 990, PART VI, SECTION B, LINE 12C ON AN ANNUAL BASIS, THE BOARD OF DIRECTOR MEMBERS AND MANAGEMENT STAFF ARE REQUIRED TO SUBMIT A CONFLICT OF INTEREST QUESTIONNAIRE FOR BOARD AND MANAGEMENT APPROVAL, AS APPROPRIATE. THE QUESTIONNAIRE PROVIDES SPECIFIC INSTRUCTIONS THAT THE FORM MUST BE UPDATED IF ANY SITUATIONS ARISE DURING THE YEAR THAT MIGHT CONSTITUTE A CONFLICT. THE AUDIT COMMITTEE HAS THE RESPONSIBILITY FOR INTERVENING, IF NECESSARY, ON CONFLICT OF INTEREST MATTERS. ANY INDIVIDUAL FOUND IN CONFLICT WILL ABSTAIN FROM THE DECISION MAKING PROCESS. FORM 990, PART VI, SECTION B, LINE 15 FORM 990, PART VI, SECTION B, LINE 15C, THE MANAGEMENT REVIEW COMMITTEE, AS PROVIDED IN THE ORGANIZATIONS BY-LAWS, HAS THE RESPONSIBILITY FOR COMPENSATION OF ALL SENIOR MANAGEMENT. ANNUALLY, SALARIES OF SENIOR MANAGEMENT ARE REVIEWED AND APPROVED BY THE ORGANIZATION'S BOARD OF DIRECTORS. THE DELIBERATION AND DECISION OF COMPENSATION ARRANGEMENTS ARE CONTEMPORANEOUSLY SUBSTANTIATED IN THE ORGANIZATION'S MINUTES. SUN HEALTH RETAINS AN INDEPENDENT COMPENSATION CONSULTANT TO PERIODICALLY ASSIST WITH THE DETERMINATION OF THE COMPENSATION AND BENEFITS FOR ALL SENIOR MANAGEMENT. THE COMPENSATION REVIEW PROCESS WAS LAST UNDERTAKEN IN 2018. ALL COMPENSATION IS PAID BY A RELATED ORGANIZATION. FORM 990, PART VI, SECTION C, LINE 19 GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICIES ARE NOT GENERALLY MADE AVAILABLE TO THE PUBLIC. FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST. SUN HEALTH SERVICES 14719 W GRAND AVENUE SUPRISE AZ 85374 262967251 SUPPORT ORG - HEALTH AZ 501(C)(3) LINE 11 N/A 0 LA LOMA SENIOR LIVING SERVICES 14154 DENNY BLVD LITCHFIELD PARK AZ 85340 861023848 SENIOR LIVING AZ 501(C)(3) LINE 9 SUN HEALTH SERVICES 0 SUN HEALTH FOUNDATION 14719 W GRAND AVENUE SUPRISE AZ 85374 237107959 FUNDRAISING AZ 501(C)(3) LINE 7 N/A 0 SUN HEALTH GRANDVIEW TERRACE 14515 W GRANITE VALLEY DR SUN CITY WEST AZ 85374 860795477 SENIOR LIVING AZ 501(C)(3) LINE 9 SUN HEALTH SERVICES 0 SUN HEALTH PARTNERS 14719 W GRAND AVE SUPRISE AZ 85374 860796950 INVESTMENTS AZ SUN HEALTH SERVICES C 0 0 0 1 0 1 0 0 0 0 0 0 0 1 0 1 0 0 0 0