2018-11-14T10:00:14-06:00 2017-12-31 410746749 CLIFTONLARSONALLEN LLP 610 W GERMANTOWN PIKE STE 400 PLYMOUTH MEETING PA 19462 990 2017-01-01 540591600 SUNNYSIDE PRESBYTERIAN HOME SUNN 5405688600 600 UNIVERSITY BLVD NO STE L HARRISONBURG VA 22801 JOHN J BROADDUS CHIEF EXECUTIVE OFFICER 5405688600 2018-11-02 1 JOHN A NORMAN II P01506766 2156433900 67.137.57.251 2018-11-02 15:09:43 ED P FBF91E9F6601ABEAE195131D925EE83266DF73FD E6B36A5AA947C5ABCF14DB2FEAA03B911CABFB79 2017 2019-02-21 02:37:17Z JOHN J BROADDUS 600 UNIVERSITY BLVD NO STE L HARRISONBURG VA 22801 45127988 0 X WWW.SUNNYSIDECOMMUNITIES.COM X 1955 VA TO PROVIDE CARE AND SERVICES TO THE ELDERLY. 12 12 797 572 -38524 -38525 1166915 1260840 38324917 41375347 1112253 1257997 735433 926907 41339518 44821091 2038388 1956474 0 0 19509457 19643742 0 80715 413327 17865626 18685343 39413471 40366274 1926047 4454817 112432199 116510235 87110570 85643946 25321629 30866289 TO OFFER RETIREMENT LIVING CHOICES THAT ENHANCE THE PHYSICAL, SPIRITUAL, SOCIAL, PSYCHOLOGICAL AND SECURITY NEEDS OF OLDER ADULTS IN CARING CHRISTIAN COMMUNITIES. 0 0 13568946 952499 15892717 PROVIDED QUALITY NURSING CARE TO 134 RESIDENTS INCLUDING RESTORATIVE AND INNOVATIVE ACTIVITIES IN SUNNYSIDE'S NURSING FACILITIES, GRANTED $952,499 TO RESIDENTS HELP PAY THE COST OF CARE. 12774186 1003975 8990179 PROVIDED QUALITY ASSISTED LIVING CARE TO 122 ELDERLY RESIDENTS WHO ARE UNABLE TO BE COMPLETELY INDEPENDENT BUT DO NOT REQUIRE CARE IN A NURSING FACILITY, GRANTED $1,003,975 TO RESIDENT'S TO HELP PAY THE COST OF CARE. 6636419 16492451 PROVIDED 600 ELDERLY RESIDENTS APARTMENT AND COTTAGE LIVING IN SECURE COMMUNITIES TO MAXIMIZE INDEPENDENCE AND QUALITY OF LIFE. 32979551 1 1 0 0 0 0 0 0 1 1 1 0 0 0 1 0 1 0 0 0 0 0 0 1 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 1 114 0 797 1 1 1 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 KEN BOWARD CFO 5405688600 600 UNIVERSITY BLVD SUITE L HARRISONBURG VA 22801 JAMES J ROWE BOARD CHAIR 2.00 X X 0 0 0 RICHARD RJ MORIN CHAIR, STRATEGIC PLANNING 2.00 X X 0 0 0 STEVE H GORDON BOARD VICE CHAIR 2.00 X X 0 0 0 ELLEN R BLOSE SECRETARY 2.00 X X 0 0 0 DAVID W GARLAND BOARD MEMBER 2.00 X 0 0 0 CHRIS KYLE BOARD MEMBER 2.00 X 0 0 0 DR SHUN C LING BOARD MEMBER, LEFT 10/17 2.00 X 0 0 0 PETER A MCCOY JR BOARD MEMBER 2.00 X 0 0 0 KATHY MORAN BOARD MEMBER 2.00 X 0 0 0 DAPHYNE S THOMAS BOARD MEMBER 2.00 X 0 0 0 MARGARET S THOMPSON BOARD MEMBER 2.00 X 0 0 0 MARGARET VANDEMAN BLACKMON BOARD MEMBER, LEFT 10/17 2.00 X 0 0 0 LISA KANNEY ASSISTANT SECRETARY 40.00 X 44038 0 2002 KEN BOWARD TREASURER AND CFO 40.00 X 158080 0 21310 JOHN J BROADDUS PRESIDENT AND CEO 40.00 X 325921 0 24060 JOSH LYONS EXEC. DIR. SUNNYSIDE 40.00 X 158726 0 6611 ANNIE FELLERS EXECUTIVE DIRECTOR SUMMIT 40.00 X 134314 0 6131 TAMMY SHORTER ADMINISTRATOR KINGS GRANT 40.00 X 108620 0 4483 KAREN WIGGINTON VP MRKTING/COMMUNICATIONS 40.00 X 115150 0 5058 THOMAS FITZGIBBONS EXECUTIVE DIRECTOR KING'S GRANT 40.00 X 121588 0 11402 KAREN RILEY ADMINISTRATOR OF HEALTH SERVICES 40.00 X 105637 0 14836 1272074 0 95893 8 0 1 0 HERITAGE HEALTHCARE 536 OLD HOWELL ROAD GREENVILLE SC 29615 THERAPY SERVICES 1327432 FRITH CONSTRUCTION 26 TEXTILE DRIVE RIDGEWAY VA 24148 BUILDING CONTRACTOR 719727 RIDDLEBERGER BROS 6127 S VALLEY PIKE MT CRAWFORD VA 22841 HVAC CONTRACTOR 590362 WELLNESS CONCEPTS 1003 DOGWOOD AVE GROTTOES VA 24441 PHARMACY SERVICES 388114 SHENKS SERVICES 419 NORTH 5TH STREET SHENANDOAH VA 22849 BUILDING CONTRACTOR 322126 24 1260840 1260840 RESIDENTIAL SERVICE 623000 16492451 16492451 HEALTHCARE SERVICES 623000 15630688 15630688 ASSISTED LIVING 623000 8990179 8990179 PHARMACY REVENUE 623000 262029 262029 41375347 1257819 1257819 239738 286542 -46804 -46804 -38524 -8280 20533 20355 178 178 178 MARKETING FEES 623000 310213 310213 TELEPHONE AND INTERNET 999999 250226 250226 PRESCRIPTION/DENTAL FEES 623000 175201 175201 238071 238071 973711 44821091 41375347 -38524 2223428 1956474 1956474 740748 740748 15419533 13433356 1773223 212954 355016 355016 1844169 93438 1712018 38713 1284276 983798 285562 14916 69879 69879 22337 22337 77034 77034 80715 80715 733475 659267 74208 422028 348105 73923 2026831 1715705 276455 34671 258618 258618 2256872 1851580 405292 125161 77164 39736 8261 1096324 1096324 6346340 6159271 186470 599 524465 524465 MEDICAL COSTS AND CHARG 3133580 3133580 RAW FOOD 1397446 1397446 194953 4164 190628 161 40366274 32979551 6973396 413327 1346953 1519356 1821111 2119528 54980 67980 1846491 1657071 217605 219245 326314 8065048 169623017 96639674 70851195 72983343 34986134 28735812 879906 1041342 101510 101510 112432199 116510235 3103189 3220858 41331363 43335809 39556707 36645310 739240 1024770 1263772 400687 1116299 1016512 87110570 85643946 X 20260515 25254202 1137617 1199625 3923497 4412462 25321629 30866289 112432199 116510235 X 4454817 786394 303449 X 0 1 X 1 0 X 869745 1060303 1937228 1166915 1260840 6295031 33305743 36789780 37895732 38324917 41375347 187691519 34175488 37850083 39832960 39491832 42636187 193986550 0 524115 53348 577463 524115 53348 577463 193409087 1139793 1699542 1186484 1334068 1497557 6857444 1139793 1699542 1186484 1334068 1497557 6857444 386910 987096 816719 825918 973711 3990354 35702191 40536721 41836163 41651818 45107455 204834348 0.94420 0.93870 0.03350 0.03410 X SCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME: OTHER REVENUE - 2013 AMOUNT: $ -333,994. 2014 AMOUNT: $ 328,000. 2015 AMOUNT: $ 206,916. 2016 AMOUNT: $ 186,833. 2017 AMOUNT: $ 238,071. MARKETING FEES - 2013 AMOUNT: $ 294,268. 2014 AMOUNT: $ 265,451. 2015 AMOUNT: $ 225,248. 2016 AMOUNT: $ 245,461. 2017 AMOUNT: $ 310,213. SERVICE FEES - 2013 AMOUNT: $ 260,478. 2014 AMOUNT: $ 256,580. 2015 AMOUNT: $ 253,151. 2016 AMOUNT: $ 252,116. 2017 AMOUNT: $ 250,226. PHARMACY AND DENTAL FEES - 2013 AMOUNT: $ 166,158. 2014 AMOUNT: $ 137,065. 2015 AMOUNT: $ 131,404. 2016 AMOUNT: $ 141,508. 2017 AMOUNT: $ 175,201. 0 1 X 5061114 152965 431101 33093 5612087 5058697 40226 16502 54311 5061114 5482893 38215 -388838 73573 5058697 5190739 436685 -82853 61678 5482893 5067176 156596 214288 247321 5190739 0.00000 0.79000 0.21000 0 0 4624656 4624656 147438291 87749310 59688981 14099647 8890364 5209283 3460423 3460423 72983343 ANNUITIES PAYABLE 621143 INTEREST RATE SWAP AGREEMENT 395369 1016512 44229482 786394 -1653025 -866631 45096113 -275022 -275022 44821091 38684822 275022 275022 38409800 1956474 1956474 40366274 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 -1,956,474. CHANGE IN FV OF SWAPS 99,440. CHANGE IN FV OF PT 431,101. CHANGE IN PV OF ANNUITIES -96,692. RELEASE FROM RESTRICTIONS -33,093. LOSS ON EXTINGUISHMENT OF DEBT -97,307. PART XI, LINE 4B - OTHER ADJUSTMENTS: RENT EXPENSE INCLUDED IN REV ON 990 -275,022. PART XII, LINE 2D - OTHER ADJUSTMENTS: RENT EXPENSES 275,022. PART XII, LINE 4B - OTHER ADJUSTMENTS: RESIDENT ASSISTANCE NETTED ON FS 1,956,474. X X X 1 THE CURTIS GROUP CONSULTANTS INC 2512 SHEPHERDS LANE VIRGINIA BEACH VA 23454 NONPROFIT FUNDRAISING CONSULTANTS 0 83945 80715 3230 83945 80715 3230 VA SCHEDULE G, PART I, LINE 2B, COLUMN (V) FUNDRAISING CONSULTING FEES PAID TO THE CURTIS GROUP ARE FOR THE SUMMIT SQUARE MEMORY CARE CAPITAL CAMPAIGN. THIS IS AN ONGOING FUNDRAISING CAMPAIGN WITH A PLEDGE TIME HORIZON OF 3 YEARS. 1 RESIDENT 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. 61 1956474 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. X X X X 0 0 0 0 0 0 0 1 0 KEN BOWARD TREASURER AND CFO 147080 0 11000 0 0 0 0 0 21310 0 179390 0 0 0 JOHN J BROADDUS PRESIDENT AND CEO 290921 0 35000 0 0 0 0 0 24060 0 349981 0 0 0 JOSH LYONS EXEC. DIR. SUNNYSIDE 147726 0 11000 0 0 0 0 0 6611 0 165337 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 2017. A EDA OF TOWN OF TIMBERVILLE VIRGINIA 611711863 2013-06-04 10000000 REFINANCING AND FUND RENOVATIONS OF SUNNYSIDE CAMPUS 0 0 0 B EDA OF TOWN OF WAYNESBORO VIRGINIA 061815147 2013-06-25 5575000 FUND RENOVATION OF SUMMIT SQUARE CAMPUS 0 0 0 C EDA OF ROCKINGHAM COUNTY VIRGINIA 541155987 2017-05-19 16000000 FUND RENOVATIONS AT CAMPUSES OF SUNNYSIDE, SUMMIT SQUARE, & KING'S GRANT 0 0 0 D EDA OF TOWN OF TIMBERVILLE VIRGINIA 611711863 2017-04-04 10000000 REFINANCE & REDEEM PORTION OF O/S PRINCIPAL BALANCE OF SERIES 2013 BONDS 0 0 0 A 797989 10000000 108843 1108127 8783030 2013 1 0 1 1 B 709923 5575000 60712 61446 5452842 2013 1 0 1 1 C 16000000 952887 250000 3968813 11781187 2017 0 0 0 1 D 219385 10000000 10000000 2017 1 0 1 1 A 0 0 0 0 0.00860 0.00860 1 0 1 B 0 0 0 0 0.00860 0.00860 1 0 1 C 0 0 0 0 0.00860 0.00860 1 0 1 D 0 0 0 0 0.00860 0.00860 1 0 1 A 0 1 0 0 1 0 0 0 1 B 0 1 0 0 1 0 0 0 1 C 0 1 0 0 0 0 0 0 1 D 0 1 0 0 1 0 0 0 1 A 1 B 1 C 1 D 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 THE REVIEW AND APPROVAL OF THE CEO, AND ALL OTHER OFFICERS' COMPENSATION WAS DETERMINED BY THE EXECUTIVE COMMITTEE OF BOARD WITH BOARD APPROVAL. TO COMPLETE THIS THE COMPENSATION WAS COMPARED AGAINST INDUSTRY BENCHMARK INFORMATION. EXECUTIVE COMMITTEE MINUTES ARE RECORDED AND SEALED. COMPENSATION WAS LAST REVIEWED IN 2018. 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 99,440. CHANGE IN PV OF PT 431,101. CHANGE IN PV OF ANNUITIES -96,692. RELEASE FROM RESTRICTIONS -33,093. LOSS ON EXTINGUISHMENT OF DEBT -97,307.