2016-11-15T15:21:50-06:00 2015-12-31 461497033 EKS&H LLLP 7979 E TUFTS AVENUVE 400 DENVER CO 80237 990 2015-01-01 840438016 SUNNY VISTA LIVING CENTER SUNN 7194718700 2445 E CACHE LA POUDRE COLORADO SPRINGS CO 80909 JANET BURNS CEO 7194718700 2016-11-15 1 DORI J EGGETT P00645252 3037409400 2015 2017-02-10 21:41:12Z JANET BURNS 2445 E CACHE LA POUDRE COLORADO SPRINGS CO 80909 13446095 0 X WWW.SUNNYVISTA.ORG X 1911 CO PROVIDES A HOMELIKE ENVIRONMENT THROUGH A CONTINUUM OF CARE THAT ALLOWS PEOPLE TO AGE WITH DIGNITY. 11 11 291 25 0 0 17417 25752 13015950 13284751 79065 23880 62732 99877 13175164 13434260 0 0 0 0 6929574 6608944 0 0 0 6452741 6439301 13382315 13048245 -207151 386015 24099709 48969706 17335304 44234945 6764405 4734761 X 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. 1 0 11796769 13256962 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. 23793 40366 SENIOR LOW INCOME INDEPENDENT HOUSING 11820562 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 1 1 1 0 0 1 15 0 1 291 1 0 0 0 0 0 1 1 0 0 0 0 X 11 11 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 GEORGE SANCHEZ PRESIDENT 2.00 0.50 X X 0 0 0 GEORGE WAY IMMEDIATE PAST PRESDIENT 2.00 0.50 X X 0 0 0 DICK EITEL VP ADMINISTRATION 1.00 0.30 X X 0 0 0 PAT ELLIS VP FINANCE 0.50 0.30 X X 0 0 0 LAURA MUIR SECRETARY 1.00 0.30 X X 0 0 0 DR SCOT SICKBERT TRUSTEE 0.50 0.30 X 0 0 0 TOM DECOTIIS TRUSTEE 0.50 0.30 X 0 0 0 TOM CONE TRUSTEE 0.50 0.30 X 0 0 0 JOHNATHAN SHANKLAND TRUSTEE 0.50 0.30 X 0 0 0 NICOLE RIVET TRUSTEE 0.50 0.30 X 0 0 0 DR JENNIFER YUGO TRUSTEE 0.30 0.50 X 0 0 0 JANET BURNS CEO 38.00 2.00 X 158204 8327 6255 KRISTINE MOORE NHA 40.00 0.00 X 100272 0 0 258476 8327 6255 2 0 1 0 INFINITY REHAB 25117 SW PARKWAY SUITE D WILSONVILLE OR 97070 REHAB SERVICES 1378907 LANTZ-BOGGIO ARCHITECTS 5650 DTC PARKWAY SUITE 200 ENGLEWOOD CO 80111 CONSTRUCTION 444004 COLORADO HEALTH FACILITIES AUTHORITY 3033 E 1ST AVE SUITE 301 DENVER CO 80206 FINANCING MARKET ACCESS 355934 CHRISTIAN LIVING SERVICES 700 E BELLEVIEW 150 GREENWOOD VILLAGE CO 80111 CONSTRUCTION 116183 4 20472 5280 25752 PATIENT REVENUE 623000 13244385 13244385 RENTAL INCOME 531110 39850 39850 LAUNDRY & VENDING 812300 516 516 13284751 23880 23880 2775 20472 11835 -9060 -9060 REBATE 900099 84677 84677 MISCELLANEOUS REVENUE 900099 12577 12577 CAFETERIA REVENUE 722514 11683 11683 108937 13434260 13297328 0 111180 X 164459 148013 16446 5524434 4972667 551767 485428 436958 48470 434623 391214 43409 11722 11722 103305 14038 89267 34490 34490 1966988 1949699 17289 1107 1107 65277 8989 56288 62095 62095 343411 199102 144309 16784 16784 378 151 227 797551 797551 845915 845779 136 97481 87806 9675 MEDICAL SUPPLIES 975638 975573 65 MEDICAID PROVIDER FEE 353691 353691 RAW FOOD 279627 279627 BAD DEBT 197776 197776 286065 161928 124137 13048245 11820562 1227683 0 1310214 2187754 163008 242510 2438786 2223247 80422 89728 22167381 4548304 18299936 17619077 1490608 1461507 316735 25145883 24099709 48969706 1234565 989192 14923896 42748691 1176843 497062 17335304 44234945 X 6474405 4444761 290000 290000 6764405 4734761 24099709 48969706 X 386015 -77641 -2338018 X 0 1 X 1 0 X 29432 69158 65102 17417 25752 206861 8556440 10085405 13007914 13027347 13297328 57974434 16354 15296 21943 10232 11683 75508 8602226 10169859 13094959 13054996 13334763 58256803 0 145480 145480 145480 145480 58111323 22490 42340 64166 79065 23880 231941 22490 42340 64166 79065 23880 231941 51359 84677 136036 8624716 10212199 13159125 13185420 13443320 58624780 0.99120 0.99070 0.00400 0.00510 X 233524 -9146 224378 234842 -1318 233524 209451 25391 234842 185479 23972 209451 217024 -31545 185479 1.00000 0 0 75000 75000 19746973 3728700 16018273 1379116 711884 667232 966292 107720 858572 17619077 ASSETS LIMITED AS TO USE 25145883 25145883 DEPOSITS FROM RESIDENTS 31871 CONDITIONAL ASSET RETIREMENT OBLIGATION 446793 DUE TO THIRD-PARTY PAYORS 18398 497062 X 12246284 -77641 -1110335 -1187976 13434260 0 13434260 13399182 350937 350937 13048245 0 13048245 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: -29.25% PERMANENT ENDOWMENT: 129.25% 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, 2015 AND 2014. 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, 2015 AND 2014. PART XI, LINE 2D - OTHER ADJUSTMENTS: CHANGE IN FAIR VALUE OF SWAP 218,095. IMPAIRMENT LOSS ON PROPERTY & EQUIPMENT -1,357,121. LOSS ON FINANCING -423,192. SUBSIDIARY'S INCOME PRIOR TO MERGER 440,048. FUNDRAISING EXPENSES 11,835. PART XII, LINE 2D - OTHER ADJUSTMENTS: FUNDRAISING EXPENSES 11,835. SUBSIDIARY'S EXPENSES PRIOR TO MERGER 339,102. ART SHOW 23247 20472 2775 11835 23247 20472 2775 11835 11835 -9060 X X X X 0 0 0 0 0 0 0 0 0 JANET BURNS CEO 124954 6577 33250 1750 0 0 0 0 6255 0 164459 8327 0 0 A COLORADO HEALTH FACILITIES AUTHORITY 840752932 19648A5H4 2015-12-03 42276406 CONSTRUCTION; REFUND PRIOR ISSUE 0 0 0 A 42276406 3096158 3497122 1432676 16651706 17598744 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 III, LINE 2 THE VILLA AT SUNNY VISTA, WHICH WAS AN AFFILIATED ORGANIZATION, MERGED INTO SUNNY VISTA LIVING CENTER DURING THE YEAR. THE VILLA AT SUNNY VISTA OPERATES LOW-INCOME HOUSING UNITS. FORM 990, PART VI, SECTION B, LINE 11 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 2,563. MANAGEMENT AND GENERAL EXPENSES 2,563. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 5,126. CONSULTING: PROGRAM SERVICE EXPENSES 87,592. MANAGEMENT AND GENERAL EXPENSES 6,706. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 94,298. CONTRACT LABOR: PROGRAM SERVICE EXPENSES 11,238. MANAGEMENT AND GENERAL EXPENSES 8,020. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 19,258. DENTAL: PROGRAM SERVICE EXPENSES 2,008. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,008. LABORATORY: PROGRAM SERVICE EXPENSES 152,126. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 152,126. MEDICAL DIRECTOR: PROGRAM SERVICE EXPENSES 18,000. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 18,000. MEDICAL SERVICES: PROGRAM SERVICE EXPENSES 32,329. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 32,329. NURSING: PROGRAM SERVICE EXPENSES 158,220. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 158,220. OCCUPATIONAL THERAPY: PROGRAM SERVICE EXPENSES 559,903. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 559,903. PHYSICAL THERAPY: PROGRAM SERVICE EXPENSES 595,972. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 595,972. RADIOLOGY: PROGRAM SERVICE EXPENSES 110,403. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 110,403. SPEECH THERAPY: PROGRAM SERVICE EXPENSES 219,345. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 219,345. FORM 990, PART XI, LINE 9: CHANGE IN FAIR VALUE OF SWAP 218,095. FINANCING LOSS -423,192. IMPAIRMENT LOSS -1,357,121. NET ASSETS OF SUBSIDIARY CONSOLIDATED -775,800. THE VILLA AT SUNNY VISTA 2480 E DALE STREET COLORADO SPRINGS CO 80909 840820082 LOW INCOME HOUSING CO 501(C)(3) LINE 9 SUNNY VISTA 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 1 THE VILLA AT SUNNY VISTA S -775801 NET ASSETS AT TIME OF MERGER THE VILLA AT SUNNY VISTA Q 97826 REIMBURSED AMOUNT