2018-11-14T16:41:21-06:00 2017-12-31 381357951 PLANTE & MORAN PLLC 8181 E TUFTS AVE SUITE 600 DENVER CO 802372579 990 2017-01-01 840438016 SUNNY VISTA LIVING CENTER SUNN 7194718700 2445 E CACHE LA POUDRE COLORADO SPRINGS CO 80909 JANET BURNS CEO 7194718700 2018-11-14 1 DORI J EGGETT P00645252 3037409400 2018-11-14 208.42.238.142 2018-11-14 16:40:46 MS P 0EB4CE1ACD44DB279B6C2D9A8476B20948576B96 8CEDF576CA043CC62ABB75A2273520B055B15DFF 2017 2019-02-21 02:37:17Z JANET BURNS 2445 E CACHE LA POUDRE COLORADO SPRINGS CO 80909 14487288 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 10 321 25 0 0 21291 27298 13614331 14273679 160519 117228 91216 58690 13887357 14476895 0 0 0 0 6721140 7010300 0 0 0 6459951 7677528 13181091 14687828 706266 -210933 49184985 48655833 44549699 44088334 4635286 4567499 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 12859634 13802037 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. 345066 485926 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. 13204700 1 0 0 0 0 0 0 0 0 1 1 0 0 1 1 1 0 1 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 13 0 1 321 1 0 0 0 0 0 1 1 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 GEORGE WAY 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 LIONEL RIVERA 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 JANET BURNS CEO 40.00 X 187557 0 2452 JENNIFER GOLDWATER CFO 40.00 X 101371 0 2589 CHRISTINE SOMMER ADMISSIONS DIRECTOR 40.00 X 102702 0 2589 ANA JONES RN 40.00 X 122796 0 0 514426 0 7630 4 0 1 0 INFINITY REHAB 25117 SW PARKWAY SUITE D WILSONVILLE OR 97070 REHAB SERVICES 1101324 SCHRYVER MEDICAL 12075 E 45TH AVE 600 DENVER CO 80239 LABRATORY SERVICES 234685 NURSECORE PO BOX 650823 DEPT 41753 DALLAS TX 75265 STAFFING SERVICES 204279 LANTZ-BOGGIO ARCHITECTS 5650 DTC PARKWAY SUITE 200 ENGLEWOOD CO 80111 ARCHITECTS 153930 LBA FF & E PROCUREMENT SERVICES LLC 5650 DTC PARKWAY SUITE 200 ENGLEWOOD CO 80111 PROCUREMENT 125943 6 26054 1244 27298 PATIENT REVENUE 623000 13787753 13787753 RENTAL INCOME 531110 480452 480452 LAUNDRY & VENDING 812300 5474 5474 14273679 117228 117228 3550 26054 10393 -6843 -6843 REBATE 900099 43986 43986 MISCELLANEOUS REVENUE 900099 14284 14284 CAFETERIA REVENUE 722514 7263 7263 65533 14476895 14287963 0 161634 X 293969 264572 29397 5569218 5015106 554112 685331 618651 66680 461782 416029 45753 12915 12915 103981 86778 17203 14838 14838 2328000 2298092 29908 248134 16637 231497 113355 18293 95062 113052 44292 68760 354882 256191 98691 20877 82 20795 1815 1815 1239211 1239211 732201 730740 1461 88252 80393 7859 MEDICAL SUPPLIES 1010319 1010262 57 MEDICAID PROVIDER FEE 392654 392654 BAD DEBT 249707 249707 DUES & SUBSCRIPTIONS 55002 7658 47344 598333 446437 151896 14687828 13204700 1483128 0 4035386 3420580 228655 244986 2540260 3128742 105834 76946 40509257 5889939 21065302 34619318 1560702 1798571 19648846 5366690 49184985 48655833 1935659 1679992 40884110 40924678 1662083 1372500 67847 111164 44549699 44088334 X 4345286 4277499 290000 290000 4635286 4567499 49184985 48655833 -210933 143146 0 X 0 1 X 1 0 X 65102 17417 25752 21291 27298 156860 13007914 13027347 13297328 13627114 14287963 67247666 21943 10232 11683 8459 7263 59580 13094959 13054996 13334763 13656864 14322524 67464106 0 0 0 67464106 64166 79065 23880 160519 117228 444858 64166 79065 23880 160519 117228 444858 51359 84677 78827 43986 258849 13159125 13185420 13443320 13896210 14483738 68167813 0.98970 0.99080 0.00650 0.00580 X 237855 35299 273154 224378 13477 237855 233524 -9146 224378 234842 -1318 233524 209451 25391 234842 1.00000 0 0 75000 75000 37681189 4690197 32990992 2535767 1067523 1468244 217301 132219 85082 34619318 ASSETS LIMITED AS TO USE 5366690 5366690 DEPOSITS FROM RESIDENTS 23841 DUE TO THIRD-PARTY PAYORS 87323 111164 X 14599367 143146 -20674 122472 14476895 0 14476895 14667154 10393 10393 14656761 31067 31067 14687828 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 BOARD DESIGNATED AND PERMANENT ENDOWMENTS. THE BREAKOUT OF THESE FUNDS ARE AS FOLLOWS: BOARD DESIGNATED: -6.17% PERMANENT ENDOWMENT: 106.17% PART X, LINE 2: THE ORGANIZATION APPLIES A MORE-LIKELY-THAN-NOT MEASUREMENT METHODOLOGY TO REFLECT THE FINANCIAL STATEMENT IMPACT OF UNCERTAIN TAX POSITIONS TAKEN OR EXPECTED TO BE TAKEN IN A TAX RETURN. AFTER EVALUATING THE TAX POSITIONS TAKEN, NONE ARE CONSIDERED TO BE UNCERTAIN; THEREFORE, NO AMOUNTS HAVE BEEN RECOGNIZED AS OF DECEMBER 31, 2017 AND 2016. IF INCURRED, INTEREST AND PENALTIES ASSOCIATED WITH TAX POSITIONS ARE RECORDED IN THE PERIOD ASSESSED AS GENERAL AND ADMINISTRATIVE EXPENSES. NO INTEREST OR PENALTIES HAVE BEEN ASSESSED AS OF DECEMBER 31, 2017 AND 2016. PART XI, LINE 2D - OTHER ADJUSTMENTS: RECAPTURE OF RESIDUAL RECEIPTS -31,067. FUNDRAISING EVENT EXPENSES 10,393. PART XII, LINE 2D - OTHER ADJUSTMENTS: FUNDRAISING EVENT EXPENSES 10,393. PART XII, LINE 4B - OTHER ADJUSTMENTS: RECAPTURE OF RESIDUAL RECEIPTS 31,067. ART SHOW 29604 26054 3550 10393 29604 26054 3550 10393 10393 -6843 X X X X 0 0 0 0 0 0 0 0 0 JANET BURNS CEO 149335 0 38222 0 0 0 0 0 2452 0 190009 0 0 0 A COLORADO HEALTH FACILITIES AUTHORITY 840752932 19648A5H4 2015-12-03 42276406 CONSTRUCTION; REFUND PRIOR ISSUE 0 0 0 A 42276406 3169529 1448 1432676 36053895 1618858 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 2,751. MANAGEMENT AND GENERAL EXPENSES 2,751. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 5,502. CONSULTING: PROGRAM SERVICE EXPENSES 251,651. MANAGEMENT AND GENERAL EXPENSES 25,132. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 276,783. CONTRACT LABOR: PROGRAM SERVICE EXPENSES 210,511. MANAGEMENT AND GENERAL EXPENSES 1,552. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 212,063. DENTAL: PROGRAM SERVICE EXPENSES 1,184. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,184. LABORATORY: PROGRAM SERVICE EXPENSES 119,765. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 119,765. MEDICAL DIRECTOR: PROGRAM SERVICE EXPENSES 18,000. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 18,000. MEDICAL SERVICES: PROGRAM SERVICE EXPENSES 38,883. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 38,883. NURSING: PROGRAM SERVICE EXPENSES 440,237. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 440,237. OCCUPATIONAL THERAPY: PROGRAM SERVICE EXPENSES 453,667. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 453,667. PHYSICAL THERAPY: PROGRAM SERVICE EXPENSES 503,819. MANAGEMENT AND GENERAL EXPENSES 473. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 504,292. RADIOLOGY: PROGRAM SERVICE EXPENSES 69,093. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 69,093. SPEECH THERAPY: PROGRAM SERVICE EXPENSES 188,531. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 188,531.