2019-11-14T16:17:11-06:00 2018-12-31 381357951 PLANTE & MORAN PLLC 8181 E TUFTS AVE SUITE 600 DENVER CO 802372579 990 2018-01-01 840438016 SUNNY VISTA LIVING CENTER SUNN 7194718700 2445 E CACHE LA POUDRE COLORADO SPRINGS CO 80909 JANET BURNS CEO 7194718700 2019-11-12 1 RYAN C HARRIS P00614618 3037409400 2019-11-12 208.42.238.142 2019-11-12 11:16:57 MS P DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 5024B5EAB3048CC11255B7C3E160AB405A2B2028 2018 2020-04-17 16:48:07Z JANET BURNS 2445 E CACHE LA POUDRE COLORADO SPRINGS CO 80909 16743092 0 X WWW.SUNNYVISTA.ORG X 1911 CO PROVIDES A HOMELIKE ENVIRONMENT THROUGH A CONTINUUM OF CARE THAT ALLOWS PEOPLE TO AGE WITH DIGNITY. 10 10 408 25 0 0 27298 28638 14273679 16565656 117228 101563 58690 35480 14476895 16731337 0 0 0 0 7010300 8462423 0 0 0 7677528 10352252 14687828 18814675 -210933 -2083338 48655833 45112327 44088334 42789814 4567499 2322513 WE EXIST TO ENSURE THE ELDERLY OF OUR COMMUNITY, REGARDLESS OF THEIR ECONOMIC STATUS, HAVE DIGNIFIED ACCESS TO AFFORDABLE LONG-TERM CARE AS WELL AS SHORT TERM REHABILITATIVE HEALTH CARE SERVICES IN A COMFORTABLE AND SAFE ENVIRONMENT. 0 0 17746287 16075174 SUNNY VISTA LIVING CENTER PROVIDES SKILLED NURSING CARE FOR ELDERS; BOTH FOR LONG TERM CARE AND SHORT-TERM REHABILITATION. WE PROVIDE CARE TO MEDICAID RESIDENTS (A PROGRAM THAT SUPPORTS PEOPLE WHO ARE NOT ABLE TO PAY FOR SKILLED NURSING). THESE NEEDS OF ALL RESIDENTS ARE PROVIDED FOR: HEALTH CARE, ACTIVITIES, SOCIAL SERVICES AND DINING SERVICES. THIS GROUP GENERALLY STAYS IN OUR COMMUNITY UNTIL THEIR DEATH. WE ALSO PROVIDE MEDICARE REHABILITATION. THESE RESIDENTS WORK WITH OUR THERAPISTS FOR A SHORT TIME TO ALLOW THEM TO RETURN HOME WELL AND STRONG. WE ALSO PROVIDE HOSPICE CARE THAT PROVIDES COMFORT SERVICES TO THOSE NEEDING END OF LIFE CARE. FINALLY, WE PROVIDE PRIVATE PAY RESIDENTS WHO ARE GENERALLY HERE FOR REGULAR SKILLED NURSING CARE AND HAVE THE ABILITY TO PAY FOR THAT CARE. 401932 485751 SENIOR LOW INCOME INDEPENDENT HOUSING. THE VILLA PROVIDES COORDINATION OF PROGRAMS, SUCH AS GOLDEN CIRCLE MEAL SERVICE, ANNUAL FLU VACCINES, AND OUT-PATIENT THERAPY SERVICES WITH THE SKILLED NURSING FACILITY. 18148219 1 0 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 0 0 0 0 0 0 0 1 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 1 408 1 0 0 0 0 0 1 1 0 0 0 0 0 0 X 10 10 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 0 0 X JANET BURNS 7194718700 2445 E CACHE LA POUDRE COLORADO SPRINGS CO 80909 TOM CONE PRESIDENT 0.80 X X 0 0 0 DR JENNIFER YUGO TRUSTEE 0.80 X 0 0 0 GEORGE SANCHEZ IMMEDIATE PAST PRESDIENT 2.00 X X 0 0 0 WAYNE JENNINGS TRUSTEE 0.80 X 0 0 0 MARTHA BARTON TRUSTEE 0.80 X 0 0 0 TOM DECOTIIS TRUSTEE 0.80 X 0 0 0 PAT ELLIS VP FINANCE 0.80 X X 0 0 0 VAL ANDERS TRUSTEE 0.80 X 0 0 0 BILL GUNMAN TRUSTEE 0.80 X 0 0 0 DONALD SPRADLIN TRUSTEE 0.80 X 0 0 0 JANET BURNS CEO 40.00 X 178478 0 10371 JENNIFER GOLDWATER CFO 40.00 X 107195 0 9938 CHRISTINE SOMMER ADMISSIONS DIRECTOR 40.00 X 108606 0 10161 ANA JONES RN 40.00 X 103632 0 0 497911 0 30470 4 0 1 0 INFINITY REHAB 25117 SW PARKWAY SUITE D WILSONVILLE OR 97070 REHAB SERVICES 1274251 SCHRYVER MEDICAL 12075 E 45TH AVE 600 DENVER CO 80239 LABRATORY SERVICES 252833 2 27623 1015 28638 PATIENT REVENUE 623000 16075174 16075174 RENTAL INCOME 531110 485751 485751 LAUNDRY & VENDING 812300 4731 4731 16565656 101563 101563 4237 27623 11755 -7518 -7518 MISCELLANEOUS REVENUE 900099 36883 17674 19209 CAFETERIA REVENUE 722514 6115 6115 42998 16731337 16583330 0 119369 X 305982 275384 30598 6944843 6788489 156354 643510 640764 2746 568088 554052 14036 13828 13690 138 203608 184498 19110 16363 16363 2029289 1969431 59858 253467 161733 91734 169012 140861 28151 161581 86186 75395 433357 414761 18596 31652 17283 14369 481 481 2664170 2664170 1221701 1220260 1441 141968 130270 11698 BAD DEBT 963277 963277 MEDICAL SUPPLIES 916641 916641 MEALS 410273 408657 1616 MEDICAID PROVIDER FEE 198178 198178 523406 399153 124253 18814675 18148219 666456 0 3420580 1832112 244986 219145 3128742 3589860 76946 153108 40987970 7093733 34619318 33894237 1798571 1642652 5366690 3781213 48655833 45112327 1679992 869849 40924678 40965244 1372500 928785 111164 25936 44088334 42789814 X 4277499 2072116 290000 250397 4567499 2322513 48655833 45112327 -2083338 -161648 0 X 0 1 X 1 0 X 17417 25752 21291 27298 28638 120396 13027347 13297328 13627114 14287963 16583330 70823082 10232 11683 8459 7263 6115 43752 13054996 13334763 13656864 14322524 16618083 70987230 0 0 0 70987230 79065 23880 160519 117228 101563 482255 79065 23880 160519 117228 101563 482255 51359 84677 78827 43986 19209 278058 13185420 13443320 13896210 14483738 16738855 71747543 0.98940 0.98970 0.00670 0.00650 X 273154 -22757 250397 237855 35299 273154 224378 13477 237855 233524 -9146 224378 234842 -1318 233524 1.00000 0 0 75000 75000 38094597 5604998 32489599 2601072 1350012 1251060 217301 138723 78578 33894237 ASSETS LIMITED AS TO USE 3781213 3781213 DEPOSITS FROM RESIDENTS 25936 25936 X 16534257 -161648 11755 -149893 16684150 47187 47187 16731337 18779243 11755 11755 18767488 47187 47187 18814675 PART V, LINE 4: THE INTENDED USES OF THE ORGANIZATION'S ENDOWMENT FUNDS ARE TO PROVIDE GENERAL SUPPORT TO THE ORGANIZATION AS NEEDED FROM THE EARNINGS. THE ENDOWMENT FUNDS ARE COMPRISED OF DONOR-RESTRICTED FUNDS. PART X, LINE 2: THE ORGANIZATION IS A NOT-FOR PROFIT CORPORATION AND IS EXEMPT FROM TAX UNDER THE PROVISIONS OF INTERNAL REVENUE CODE SECTION 501(C)(3). THE ORGANIZATION IS SUBJECT TO FEDERAL INCOME TAX ON ANY UNRELATED BUSINESS TAXABLE INCOME. THE ORGANIZATION HAD NO UNRELATED BUSINESS INCOME DURING THE YEARS ENDED DECEMBER 31, 2018 AND 2017. PART XI, LINE 2D - OTHER ADJUSTMENTS: FUNDRAISING EVENT EXPENSES 11,755. PART XI, LINE 4B - OTHER ADJUSTMENTS: RECAPTURE OF RESIDUAL RECEIPTS 47,187. PART XII, LINE 2D - OTHER ADJUSTMENTS: FUNDRAISING EVENT EXPENSES 11,755. PART XII, LINE 4B - OTHER ADJUSTMENTS: RECAPTURE OF RESIDUAL RECEIPTS 47,187. ART SHOW 31860 27623 4237 2734 9021 31860 27623 4237 2734 9021 11755 -7518 X X X X 0 0 0 0 0 0 0 0 0 JANET BURNS CEO 152842 0 25636 0 0 0 0 0 10371 0 188849 0 0 0 A COLORADO HEALTH FACILITIES AUTHORITY 840752932 19648A5H4 2015-12-03 42276406 CONSTRUCTION; REFUND PRIOR ISSUE 0 0 0 A 42276406 3232816 1471 1432676 37112221 497222 1 0 1 1 A 0 0 0 0 0 0 1 A 0 1 0 0 1 0 0 0 0 A 1 FORM 990, PART VI, SECTION B, LINE 11B A COPY OF THE FORM 990 IS PREPARED BY A THIRD PARTY AND PROVIDED TO THE BOARD FOR APPROVAL BEFORE IT IS FILED. THE CEO EXAMINES THE FORM 990 FOR ACCURACY OF FINANCIAL AND INFORMATIONAL DATA AND DISCUSSES ANY ISSUES WITH THE PREPARER. FORM 990, PART VI, SECTION B, LINE 12C BOARD MEMBERS ARE REMINDED AT MEETINGS TO DISCLOSE ANY CONFLICT OF INTEREST THEY MAY HAVE. NO DIRECTOR OR OFFICER OF THE CORPORATION SHALL ENGAGE IN ANY COURSE OF CONDUCT WHICH MAY RESULT IN A CONFLICT OF INTEREST OR HAVE ANY FINANCIAL INTEREST IN ANY CONTRACTUAL ARRANGEMENT ENTERED INTO BY THE CORPORATION IN CONNECTION WITH THE RENDITION OF SERVICES, THE PROVISIONS OF GOODS OR SUPPLIES, MANAGEMENT OF THE FACILITY, PROCUREMENT OF FURNISHINGS OR EQUIPMENT OR OTHER MATTERS WHATSOEVER. WHEN DECISIONS ARE MADE BY THE BOARD, THE PRESIDENT OF THE BOARD WILL ASK IF ANYONE HAS A CONFLICT OF INTEREST ON THAT PARTICULAR ISSUE. IF THAT PERSON DOES, THEY ARE RECUSED FROM VOTING ON THE ISSUE. FORM 990, PART VI, SECTION B, LINE 15A DURING 2013, THE ORGANIZATION ENGAGED AN OUTSIDE FIRM TO PERFORM AN EXECUTIVE COMPENSATION STUDY. A COMPENSATION COMMITTEE APPROVES COMPENSATION CHANGES AND WILL CONDUCT SEMI-ANNUAL MEASUREMENT MEETINGS WITH THE CEO. ALL DELIBERATIONS AND DECISIONS ARE DOCUMENTED IN THE BOARD MINUTES. FORM 990, PART VI, SECTION C, LINE 19 THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST. INTERESTED PARTIES MAY USE THE CONTACT INFORMATION LISTED ON PART VI OF FORM 990 TO REQUEST REVIEW OF THESE RECORDS. FORM 990, PART IX, LINE 11G COMMUNITY RELATIONS: PROGRAM SERVICE EXPENSES 4,409. MANAGEMENT AND GENERAL EXPENSES 96. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 4,505. CONSULTING: PROGRAM SERVICE EXPENSES 258,200. MANAGEMENT AND GENERAL EXPENSES 58,104. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 316,304. CONTRACT LABOR: PROGRAM SERVICE EXPENSES 256,595. MANAGEMENT AND GENERAL EXPENSES 1,658. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 258,253. DENTAL: PROGRAM SERVICE EXPENSES 518. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 518. LABORATORY: PROGRAM SERVICE EXPENSES 100,541. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 100,541. MEDICAL DIRECTOR: PROGRAM SERVICE EXPENSES 18,000. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 18,000. MEDICAL SERVICES: PROGRAM SERVICE EXPENSES 44,548. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 44,548. NURSING: PROGRAM SERVICE EXPENSES 22,302. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 22,302. OCCUPATIONAL THERAPY: PROGRAM SERVICE EXPENSES 479,513. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 479,513. PHYSICAL THERAPY: PROGRAM SERVICE EXPENSES 533,406. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 533,406. RADIOLOGY: PROGRAM SERVICE EXPENSES 80,777. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 80,777. SPEECH THERAPY: PROGRAM SERVICE EXPENSES 170,622. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 170,622.