2017-09-18T10:48:29-05:00 2016-12-31 410746749 CLIFTONLARSONALLEN LLP 610 W GERMANTOWN PIKE STE 400 PLYMOUTH MEETING PA 19462 990 2016-01-01 540591600 SUNNYSIDE PRESBYTERIAN HOME SUNN 5405688600 600 UNIVERSITY BLVD NO STE L HARRISONBURG VA 22801 JOHN J BROADDUS CHIEF EXECUTIVE OFFICER 5405688600 2017-09-14 1 BERNADETTE O'TOOLE CPA P00229258 2156433900 67.137.57.251 2017-09-14 10:58:34 ED P 99C95A981D0D28C6F98C4015289DF6597996F4F5 0527950F39E78E993E39A3872A2177C589B450EE 2016 2021-01-29 14:40:06Z JOHN J BROADDUS 600 UNIVERSITY BLVD NO STE L HARRISONBURG VA 22801 41691776 0 X WWW.SUNNYSIDECOMMUNITIES.COM X 1955 VA TO PROVIDE CARE AND SERVICES TO THE ELDERLY. 12 12 737 585 -76541 -76541 1937228 1166915 37895732 38324917 977741 1112253 659827 735433 41470528 41339518 1910397 2038388 0 0 18850816 19509457 0 0 303652 17324112 17865626 38085325 39413471 3385203 1926047 106275522 112432199 84268575 87110570 22006947 25321629 TO OFFER RETIREMENT LIVING CHOICES THAT ENHANCE THE PHYSICAL, SPIRITUAL, SOCIAL, PSYCHOLOGICAL AND SECURITY NEEDS OF OLDER ADULTS IN CARING CHRISTIAN COMMUNITIES. 0 0 13793888 15411511 PROVIDED 600 ELDERLY RESIDENTS APARTMENT AND COTTAGE LIVING IN SECURE COMMUNITIES DESIGNED TO MAXIMIZE INDEPENDENCE AND QUALITY OF LIFE. 11435716 1098280 14474339 PROVIDED QUALITY NURSING CARE TO 134 RESIDENTS INCLUDING RESTORATIVE AND INNOVATIVE ACTIVITIES IN SUNNYSIDE'S NURSING FACILITIES, GRANTED $1,098,280 TO RESIDENTS HELP PAY THE COST OF CARE. 6572134 940108 8439067 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 $940,108 TO RESIDENTS TO HELP PAY THE COST OF CARE. 31801738 1 1 0 0 0 0 0 0 1 1 1 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 1 110 0 737 1 1 1 0 0 0 0 0 0 0 0 0 0 0 X 12 12 0 0 0 0 0 0 0 1 1 0 1 1 0 1 1 1 1 1 1 1 0 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 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 2.00 X 0 0 0 LISA KANNEY ASSISTANT SECRETARY 40.00 X 41445 0 1886 KEN BOWARD TREASURER AND CFO 40.00 X 159775 0 19954 JOHN J BROADDUS PRESIDENT AND CEO 40.00 X 326634 0 22704 JOSH LYONS EXECUTIVE DIRECTOR SUNNYSI 40.00 X 157069 0 6482 ANNIE FELLERS EXECUTIVE DIRECTOR SUMMIT 40.00 X 139898 0 15018 KAREN RILEY ADMINISTRATOR HEALTH SERVI 40.00 X 103108 0 13699 TAMMY SHORTER ADMINISTRATOR KINGS GRANT 40.00 X 105447 0 4398 KAREN WIGGINTON VP MRKTING/COMMUNICATIONS 40.00 X 115565 0 4811 1148941 0 88952 7 0 1 0 CUSTOM TILE AND CARPET 12347 NORTH VALLEY PIKE BROADWAY VA 22815 CARPET SALES AND INSTALLATION 212507 STONE CABINETS 1740 KING RICHARD ROAD FERRUM VA 24088 CUSTOM CABINETS 208222 DAWSON'S SIDING AND REPLACEMENT WINDOWS 402 S SECOND STREET SHENANDOAH VA 22849 SIDING, WINDOWS AND DOORS, SALES AND INS 208072 ELITE RENOVATIONS 945 NORTHFOLK ROAD MARTINSVILLE VA 24112 CONSTRUCTION 185862 PYE INTERIORS 100 10TH STREET SUITE 201 CHARLOTTESVILLE VA 22902 INTERIOR DESIGN & FURNISHINGS 176566 8 1166915 32500 1166915 RESIDENTIAL SERVICE 623000 15411511 15411511 HEALTHCARE SERVICES 623000 14146700 14146700 ASSISTED LIVING 623000 8439067 8439067 PHARMACY REVENUE 623000 327639 327639 38324917 1111902 1111902 222166 312651 -90485 -90485 -76541 -13944 39958 39607 351 351 351 TELEPHONE AND INTERNET 999999 252116 252116 MARKETING FEES 623000 245461 245461 PRESCRIPTION/DENTAL FEES 623000 141508 141508 186833 186833 825918 41339518 38324917 -76541 1924227 2038388 2038388 735949 735949 14788137 12995419 1589119 203599 352135 352135 2450691 71518 2339072 40101 1182545 953382 214717 14446 64373 64373 3948 3948 70190 70190 816195 644654 171541 425193 376167 49026 1951354 1638040 280891 32423 235518 235518 2087305 1713541 373764 134734 72242 53551 8941 1172292 1172292 5950115 5773116 176385 614 530104 530104 MEDICAL COSTS AND CHARG 2906402 2906402 RAW FOOD 1375187 1375187 142716 7017 136119 -420 39413471 31801738 7308081 303652 750543 1346953 3342517 1821111 524846 54980 1787981 1846491 211802 217605 902002 326314 165290362 94439167 70090140 70851195 27707746 34986134 856435 879906 101510 101510 106275522 112432199 3338396 3103189 40811136 41331363 36759275 39556707 754538 739240 1359789 1263772 1245441 1116299 84268575 87110570 X 16948250 20260515 1175303 1137617 3883394 3923497 22006947 25321629 106275522 112432199 X 1926047 1368713 19922 X 0 1 X 1 0 X 1057935 869745 1060303 1937228 1166915 6092126 32143182 33305743 36789780 37895732 38324917 178459354 33201117 34175488 37850083 39832960 39491832 184551480 0 524115 53348 577463 524115 53348 577463 183974017 1316140 1139793 1699542 1186484 1334068 6676027 1316140 1139793 1699542 1186484 1334068 6676027 1743659 386910 987096 816719 825918 4760302 36260916 35702191 40536721 41836163 41651818 195987809 0.93870 0.92860 0.03410 0.03520 X SCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME: OTHER REVENUE - 2012 AMOUNT: $ 1,743,659. 2013 AMOUNT: $ -333,994. 2014 AMOUNT: $ 328,000. 2015 AMOUNT: $ 206,916. 2016 AMOUNT: $ 186,833. MARKETING FEES - 2013 AMOUNT: $ 294,268. 2014 AMOUNT: $ 265,451. 2015 AMOUNT: $ 225,248. 2016 AMOUNT: $ 245,461. SERVICE FEES - 2013 AMOUNT: $ 260,478. 2014 AMOUNT: $ 256,580. 2015 AMOUNT: $ 253,151. 2016 AMOUNT: $ 252,116. PHARMACY AND DENTAL FEES - 2013 AMOUNT: $ 166,158. 2014 AMOUNT: $ 137,065. 2015 AMOUNT: $ 131,404. 2016 AMOUNT: $ 141,508. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 1 X 5058697 40226 16502 54311 5061114 5482893 38215 -388838 73573 5058697 5190739 436685 -82853 61678 5482893 5067176 156596 214288 247321 5190739 4635254 84021 357901 10000 5067176 0.00000 0.78000 0.22000 0 0 3416238 3416238 144979611 83838153 61141458 15427791 10601014 4826777 1466722 1466722 70851195 ANNUITIES PAYABLE 621490 INTEREST RATE SWAP AGREEMENT 494809 1116299 40984514 1368713 -2018466 -649753 41634267 -294749 -294749 41339518 37669832 294749 294749 37375083 2038388 2038388 39413471 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 -2,038,388. CHANGE IN FV OF SWAPS 157,830. CHANGE IN FV OF PT 16,502. CHANGE IN PV OF ANNUITIES -105,655. RELEASE FROM RESTRICTIONS -48,755. PART XI, LINE 4B - OTHER ADJUSTMENTS: RENT EXPENSE INCLUDED IN REV ON 990 -294,749. PART XII, LINE 2D - OTHER ADJUSTMENTS: RENT EXPENSES 294,749. PART XII, LINE 4B - OTHER ADJUSTMENTS: RESIDENT ASSISTANCE NETTED ON FS 2,038,388. 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. 74 2038388 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 FILED FOR AUDIT OR REVIEW BY THE EXECUTIVE VICE PRESIDENT - FINANCE AND SUNNYSIDE'S OUTSIDE AUDIT FIRM X X X X 0 0 0 0 0 0 0 1 0 KEN BOWARD TREASURER AND CFO 142775 0 17000 0 0 0 6683 0 13271 0 179729 0 0 0 JOHN J BROADDUS PRESIDENT AND CEO 281634 0 45000 0 0 0 13407 0 9297 0 349338 0 0 0 JOSH LYONS EXECUTIVE DIRECTOR SUNNYSI 142569 0 14500 0 0 0 6302 0 180 0 163551 0 0 0 ANNIE FELLERS EXECUTIVE DIRECTOR SUMMIT 126398 0 13500 0 0 0 5915 0 9103 0 154916 0 0 0 PART I, LINE 7 THE BOARD OF TRUSTEE'S EXECUTIVE COMMITTEE APPROVED A DISCRETIONARY 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 DISCRETIONARY BONUS POOL TO BE USED BY THE CEO TO AWARD BONUSES FOR SELECT SENIOR EXECUTIVE STAFF MEMBERS BASED ON HIS ASSESSMENT OF THE CONTRIBUTIONS MADE BY THESE EMPLOYEES DURING THE YEAR. THESE BONUSES ARE REPORTED IN PART VII OF THE FORM 990 IN COLUMN D FOR THE AMOUNTS PAID DURING 2016. 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 IDA OF CITY OF HARRISONBURG VIRGINIA 542000436 2013-08-01 6270000 FUND RENOVATION OF SUNNYSIDE AND KING'S GRANT CAMPUSES 0 0 0 D IDA OF CITY OF HARRISONBURG VIRGINIA 542000436 2013-09-12 11770000 REDEEM PORTION OF OUTSTANDING PRINCIPAL BALANCE OF SERIES 2003 BONDS 0 0 0 A 618007 10000000 108843 1108127 6533333 2249697 2013 1 0 1 1 B 547747 5575000 60712 61446 4287307 1165535 2013 1 0 1 1 C 605069 6270000 66739 1103281 3791085 1308895 2013 1 0 1 1 D 1041406 11770000 131477 11638523 2013 1 0 1 1 A 0 0 0 0 1 0 1 B 0 0 0 0 1 0 1 C 0 0 0 0 1 0 1 D 0 0 0 0 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 1 0 0 0 1 D 0 1 0 0 1 0 0 0 1 A 1 B 1 C 1 D 1 A IDA OF CITY OF HARRISONBURG VIRGINIA 542000436 415674AL4 2013-09-12 10521574 REFINANCE & REDEEM PORTION OF O/S PRINCIPAL BALANCE OF SERIES 2003 BONDS 0 0 0 A 1088723 10521574 952887 210432 9358255 2013 1 0 1 1 A 0 0 0 0 1 0 1 A 0 1 0 0 0 0 0 0 1 A 1 X 1 32500 FMV 0 0 0 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 THE FORM 990 IS REVIEWED BY THE CEO, CFO, AND AUDIT AND FINANCE COMMITTEE BEFORE IT IS FILED WITH THE INTERNAL REVENUE SERVICE. 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 PERFORMED BY THE BOARD OF TRUSTEES AND THE EXECUTIVE COMMITTEE. TO COMPLETE THIS THE COMPENSATION WAS COMPARED AGAINST INDUSTRY BENCHMARK INFORMATION. EXECUTIVE COMMITTEE MINUTES ARE RECORDED AND SEALED. COMPENSATION WAS LAST REVIEWED IN JANUARY 2017. 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 157,830. CHANGE IN PV OF PT 16,502. CHANGE IN PV OF ANNUITIES -105,655. RELEASE FROM RESTRICTIONS -48,755.