2016-08-03T12:48:12-05:00 2015-12-31 410746749 CLIFTONLARSONALLEN LLP 610 W GERMANTOWN PIKE STE 400 PLYMOUTH MEETING PA 19462 990 2015-01-01 540591600 SUNNYSIDE PRESBYTERIAN HOME SUNN 5405688600 600 UNIVERSITY BLVD NO STE L HARRISONBURG VA 22801 JOHN J BROADDUS CHIEF EXECUTIVE OFFICER 5405688600 2016-08-03 1 BERNADETTE O'TOOLE CPA P00229258 2156433900 2015 2016-12-15 16:53:06Z JOHN J BROADDUS 600 UNIVERSITY BLVD NO STE L HARRISONBURG VA 22801 42305335 0 X WWW.SUNNYSIDECOMMUNITIES.COM X 1955 VA TO PROVIDE CARE AND SERVICES TO THE ELDERLY. 13 13 715 582 -134221 -134221 1060303 1937228 36789780 37895732 1609536 977741 747024 659827 40206643 41470528 2292387 1910397 0 0 18698116 18850816 0 0 296880 17046856 17324112 38037359 38085325 2169284 3385203 104623249 106275522 84067831 84268575 20555418 22006947 TO OFFER RETIREMENT LIVING CHOICES THAT ENHANCE THE PHYSICAL, SPIRITUAL, SOCIAL, PSYCHOLOGICAL AND SECURITY NEEDS OF OLDER ADULTS IN CARING CHRISTIAN COMMUNITIES. 0 0 12318675 0 15476277 PROVIDED 600 ELDERLY RESIDENTS APARTMENT AND COTTAGE LIVING IN SECURE COMMUNITIES DESIGNED TO MAXIMIZE INDEPENDENCE AND QUALITY OF LIFE. 11935584 949090 14545988 PROVIDED QUALITY NURSING CARE TO 134 RESIDENTS INCLUDING RESTORATIVE AND INNOVATIVE ACTIVITIES IN SUNNYSIDE'S NURSING FACILITIES, GRANTED $949,090 TO RESIDENTS HELP PAY THE COST OF CARE. 6546434 961307 7873467 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 $961,307 TO RESIDENTS TO HELP PAY THE COST OF CARE. 30800693 1 1 0 1 0 0 0 0 1 1 1 0 0 0 1 1 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 1 118 0 715 1 1 1 0 0 0 0 0 0 0 0 0 0 0 X 13 13 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 CHAIR, CHAIR EXECUTIVE COMMITTEE 2.00 X X 0 0 0 STEVE H GORDON VICE CHAIR, CHAIR GOVERNANCE COMMITTEE 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 FRED A HOLBROOK 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 CHAIR, AUDIT AND FINANCE COMMITTEE 2.00 X 0 0 0 KATHY MORAN BOARD MEMBER 2.00 X 0 0 0 RICHARD RJ MORIN CHAIR, STRATEGIC PLANNING COMMITTEE 2.00 X 0 0 0 DAPHYNE S THOMAS BOARD MEMBER 2.00 X 0 0 0 MARGARET THOMPSON BOARD MEMBER 2.00 X 0 0 0 MARGARET VANDEMAN BLACKMON BOARD MEMBER 2.00 X 0 0 0 JOHN J BROADDUS PRESIDENT AND CEO 40.00 X 277302 0 24913 KEN BOWARD TREASURER AND CFO 40.00 X 153751 0 25164 LISA KANNEY ASSISTANT SECRETARY 40.00 X 40362 0 3652 JOSH LYONS EXECUTIVE DIRECTOR SUNNYSIDE 40.00 X 150589 0 5892 LYNN DECAIR EXECUTIVE DIRECTOR KING'S GRANT 40.00 X 133762 0 17675 ANNIE FELLERS EXECUTIVE DIRECTOR SUMMIT SQUARE 40.00 X 132385 0 20363 KAREN RILEY ADMINISTRATOR HEALTH SERVICES SUNNYSIDE 40.00 X 103193 0 11745 TAMMY SHORTER ADMINISTRATOR KINGS GRANT 40.00 X 105413 0 8704 KAREN WIGGINTON VP MRKTING/COMMUNICATIONS 40.00 X 111864 0 9401 1208621 0 127509 8 0 1 0 HERITAGE HEALTHCARE INC 536 OLD HOWELL ROAD GREENVILLE SC 29615 THERAPY SEVICES 1239702 KJELLSTROM & LEE 1607 OWNBY LANE RICHMOND VA 23220 CONSTRUCTION 871948 NIELSEN BUILDERS 3588 EARLY ROAD HARRISONBURG VA 22801 CONSTRUCTION 613664 RIDDLEBERGER BROTHERS INC PO BOX 27 MT CRAWFORD VA 22841 HVAC CONTRACTOR 510721 TRUMBO ELECTRIC 258 NORTH TIMBERWAY BROADWAY VA 22815 ELECTRICAL CONTRACTOR 393532 13 1937228 486518 1937228 RESIDENTIAL SERVICE 623000 15476277 15476277 HEALTHCARE SERVICES 623000 14215623 14215623 ASSISTED LIVING 623000 7873467 7873467 PHARMACY REVENUE 623000 330365 330365 37895732 978435 978435 208049 364941 -156892 -156892 -134221 -22671 469172 469866 -694 -694 -694 TELEPHONE AND INTERNET 999999 253151 253151 MARKETING FEES 623000 225248 225248 PRESCRIPTION/DENTAL FEES 623000 131404 131404 206916 206916 816719 41470528 37895732 -134221 1771789 1910397 1910397 619125 619125 14689165 12923357 1567412 198396 334350 334350 2135929 49618 2047364 38947 1072247 935080 123244 13923 65106 65106 10569 10569 99482 99482 229194 229194 635773 546179 89594 387643 324815 62828 1802548 1506170 268982 27396 192650 192650 2263406 1905784 357622 134126 80267 46905 6954 1114293 1114293 5427562 5256812 170122 628 491049 491049 MEDICAL COSTS AND CHARG 2835263 2835263 RAW FOOD 1334354 1334354 301094 13198 287829 67 38085325 30800693 6987752 296880 654710 750543 2506835 3342517 54980 524846 2331802 1787981 235298 211802 863952 902002 158914544 88824404 68527501 70090140 29000571 27707746 346090 856435 101510 101510 104623249 106275522 3113410 3338396 40198810 40811136 37240811 36759275 765794 754538 1448574 1359789 1300432 1245441 84067831 84268575 X 15072525 16948250 1220979 1175303 4261914 3883394 20555418 22006947 104623249 106275522 3385203 -1933674 0 X 0 1 X 1 0 X 772001 1057935 869745 1060303 1937228 5697212 32855976 32143182 33305743 36789780 37895732 172990413 33627977 33201117 34175488 37850083 39832960 178687625 332458 332458 524115 524115 332458 524115 856573 177831052 1407662 1316140 1139793 1699542 1186484 6749621 1407662 1316140 1139793 1699542 1186484 6749621 2124813 1743659 386910 987096 816719 6059197 37160452 36260916 35702191 40536721 41836163 191496443 0.92860 0.91990 0.03520 0.03640 X SCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME: OTHER REVENUE - 2011 AMOUNT: $ 2,124,813. 2012 AMOUNT: $ 1,743,659. 2013 AMOUNT: $ -333,994. 2014 AMOUNT: $ 328,000. 2015 AMOUNT: $ 206,916. MARKETING FEES - 2013 AMOUNT: $ 294,268. 2014 AMOUNT: $ 265,451. 2015 AMOUNT: $ 225,248. SERVICE FEES - 2013 AMOUNT: $ 260,478. 2014 AMOUNT: $ 256,580. 2015 AMOUNT: $ 253,151. PHARMACY AND DENTAL FEES - 2013 AMOUNT: $ 166,158. 2014 AMOUNT: $ 137,065. 2015 AMOUNT: $ 131,404. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 PART II-B, LINE 1: VARIOUS EXECUTIVE STAFF MEMBERS ATTENDED LEGISLATIVE CONFERENCES SPONSORED BY LONG-TERM CARE AND NOT-FOR-PROFIT TRADE ORGANIZATIONS. EFFORTS WERE MADE TO COMMUNICATE THE CORPORATION'S POSITION ON PENDING LEGISLATION, BOTH FEDERAL AND STATE, TO LEGISLATORS AND/OR THEIR STAFF MEMBERS. NO ATTEMPT WAS MADE TO INFLUENCE ANY ELECTION OUTCOME. NO CONTRIBUTIONS WERE MADE TO ANY ELECTION CAMPAIGN EITHER DIRECTLY OR INDIRECTLY. 0 1 X 5482893 38215 -388838 73573 5058697 5190739 436685 -82853 61678 5482893 5067176 156596 214288 247321 5190739 4635254 84021 357901 10000 5067176 5001579 10000 -376325 4635254 0.00000 0.77000 0.23000 0 0 3411238 3411238 140286320 78749402 61536918 14083343 10075002 4008341 1133643 1133643 70090140 ANNUITIES PAYABLE 592802 INTEREST RATE SWAP AGREEMENT 652639 1245441 X 37741585 -1933674 -1910397 -3844071 41585656 229194 -344322 -115128 41470528 36290056 344322 344322 35945734 229194 1910397 2139591 38085325 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 X, LINE 2: SUNNYSIDE HAS BEEN GRANTED EXEMPT STATUS RELATIVE TO FEDERAL AND STATE CORPORATE INCOME TAXES UNDER SECTION 501(C) (3) OF THE INTERNAL REVENUE CODE AND APPLICABLE STATE CODES. SUNNYSIDE FOLLOWS THE GUIDANCE IN THE INCOME TAX STANDARD REGARDING THE RECOGNITION AND MEASUREMENT OF UNCERTAIN TAX POSITIONS. THE GUIDANCE CLARIFIES THE ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES RECOGNIZED IN AN ENTITY'S FINANCIAL STATEMENTS. THE GUIDANCE FURTHER PRESCRIBES RECOGNITION AND MEASUREMENT OF TAX PROVISIONS TAKEN OR EXPECTED TO BE TAKEN ON A TAX RETURN THAT ARE NOT CERTAIN TO BE REALIZED. THE APPLICATION OF THIS STANDARD HAS NO IMPACT ON SUNNYSIDE'S FINANCIAL STATEMENTS. SUNNYSIDE'S TAX RETURNS ARE SUBJECT TO REVIEW AND EXAMINATION BY FEDERAL AND STATE AUTHORITIES. PART XI, LINE 2D - OTHER ADJUSTMENTS: RESIDENT ASSISTANCE NETTED ON FS -1,910,397. PART XI, LINE 4B - OTHER ADJUSTMENTS: RENT EXPENSE INCLUDED IN REV ON 990 -344,322. PART XII, LINE 2D - OTHER ADJUSTMENTS: RENT EXPENSES 344,322. PART XII, LINE 4B - OTHER ADJUSTMENTS: RESIDENT ASSISTANCE NETTED ON FS 1,910,397. 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. 62 1910397 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 JOHN J BROADDUS PRESIDENT AND CEO 242302 0 35000 0 0 0 7570 0 17343 0 302215 0 0 0 KEN BOWARD TREASURER AND CFO 138751 0 15000 0 0 0 6428 0 18736 0 178915 0 0 0 JOSH LYONS EXECUTIVE DIRECTOR SUNNYSIDE 138589 0 12000 0 0 0 2829 0 3063 0 156481 0 0 0 LYNN DECAIR EXECUTIVE DIRECTOR KING'S GRANT 126762 0 7000 0 0 0 4134 0 13541 0 151437 0 0 0 ANNIE FELLERS EXECUTIVE DIRECTOR SUMMIT SQUARE 122385 0 10000 0 0 0 5604 0 14759 0 152748 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 2015. 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 444263 7750303 108843 1108127 6533333 2249697 2013 1 0 1 1 B 345642 4409465 60712 61446 4287307 1165535 2013 1 0 1 1 C 427387 4961105 66739 1103281 3791085 1308895 2013 1 0 1 1 D 723760 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 730899 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 3 486518 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 11 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 OCTOBER 2015. 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.