2014-11-05T08:24:21-06:00 2013-12-31 410746749 CLIFTONLARSONALLEN LLP 610 WGERMANTOWN PIKE STE400 PLYMOUTH MEETING PA 19462 990 2013-01-01 540591600 SUNNYSIDE PRESBYTERIAN HOME SUNN 5405688600 600 UNIVERSITY BLVD STE L HARRISONBURG VA 22801 JOHN J BROADDUS CHIEF EXECUTIVE OFFICER 5405688600 2014-10-31 1 BERNADETTE O'TOOLE CPA P00229258 2156433900 2013 2015-11-30 17:44:51Z JOHN J BROADDUS 600 UNIVERSITY BLVD STE L HARRISONBURG VA 22801 41848573 0 X SUNNYSIDECOMMUNITIES.COM X 1955 VA TO PROVIDE CARE AND SERVICES TO THE ELDERLY. 12 10 616 616 -201817 -201817 1057935 869745 32034318 33305743 1467846 1212083 1662291 890254 36222390 36277825 0 0 0 0 17977279 18146504 0 0 264220 17466201 17729654 35443480 35876158 778910 401667 99901487 101202829 81893548 81318334 18007939 19884495 TO OFFER RETIREMENT LIVING CHOICES THAT ENHANCE THE PHYSICAL, SPIRITUAL, SOCIAL, PSYCHOLOGICAL AND SECURITY NEEDS OF OLDER ADULTS IN CARING CHRISTIAN COMMUNITIES. 0 0 29096353 12657820 NURSING CARE: PROVIDED QUALITY NURSING CARE TO 134 RESIDENTS INCLUDING RESTORATIVE AND INNOVATIVE ACTIVITIES IN SUNNYSIDES' NURSING FACILITIES, GRANTED $1,452,864 TO RESIDENTS HELP PAY THE COST OF CARE. 5636396 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 $987,543 TO RESIDENTS TO HELP PAY THE COST OF CARE. 15011527 PROVIDED 600 ELDERLY RESIDENTS APARTMENT AND COTTAGE LIVING IN SECURE COMMUNITIES DESIGNED TO MAXIMIZE INDEPENDENCE AND QUALITY OF LIFE. 29096353 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 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 106 0 616 1 1 1 0 0 0 0 0 0 0 0 0 X 12 10 0 0 0 0 0 0 0 1 1 0 1 1 1 1 1 1 1 0 1 1 0 VA X X CORPORATE OFFICES 5405688600 600 UNIVERSITY BLVD SUITE L HARRISONBURG VA 22801 JAMES J ROWE BOARD CHAIR / CHAIR OF EXEC COMMITTEE 2.00 X X 0 0 0 MARK B CALLAHAN SECRETARY 2.00 X X 0 0 0 MARGARET VANDEMAN BLACKMON VICE-CHAIRMAN 2.00 X X 0 0 0 LISA KANNEY ASSITANT SECRETARY 40.00 X X 37495 0 7610 DR SHUN C LING MEMBER 1.00 X 0 0 0 CRAIG B DIETRICH KG REPRESENTATIVE 1.00 X 0 0 0 RICHARD R J MORIN CHAIR OF STRATEGIC PLANNING COMMITTEE 1.00 X 0 0 0 KEN BOWARD CFO 40.00 X 109712 0 8588 PETER A MCCOY JR SSQ REPRESENTATIVE 1.00 X 0 0 0 MARGARET THOMPSON MEMBER 1.00 X 0 0 0 STEVE GORDON SS REPRESENTATIVE 1.00 X 0 0 0 FRED A HOLLBROOK MEMBER 1.00 X 0 0 0 JOHN J BROADDUS PRESIDENT & CEO 40.00 X 231000 0 21843 JOHN DWYER EX. DIRECTOR- SUNNYSIDE 40.00 X 142696 0 21837 ANNIE FELLERS EX. DIRECTOR-SUMMIT SQUARE 40.00 X 134642 0 17777 BECKY FARRAR EX. DIRECTOR-KING'S GRANT 40.00 X 107614 0 11411 763159 0 89066 5 0 1 0 GENESIS ELDERCARE REHABILITATION SERVICE PO BOX 679 KENNETT SQUARE PA 19348 THERAPY 1028587 BRYAN'S INC PO BOX 70 BROADWAY VA 22801 CONSTRUCTION 639273 LTCPCMS INC 9662 BROOK ROAD 601 GLEN ALLEN VA 23059 PHARMACY-CONSULTING 253364 SHENK'S SERVICES 419 NORTH 5TH STREET SHENANDOAH VA 22849 CONSTRUCTION 189356 TROUTMAN SANDERS 1001 HAXALL POINT RICHMOND VA 22849 LEGAL 165932 10 869745 869745 RESIDENTIAL SERVICE 623000 15011527 15011527 HEALTHCARE SERVICES 623000 11783713 11783713 ASSISTED LIVING 623000 5636396 5636396 PHARMACY REVENUE 623000 874107 874107 33305743 998658 998658 141135 386148 -245013 -245013 -201817 -43196 5398025 5184600 213425 213425 213425 MARKETING FEES 623000 294268 294268 SERVICE FEES 999999 260478 260478 DENTAL FEES 623000 166158 166158 414363 414363 1135267 36277825 33305743 -201817 2304154 17088883 12624298 4261436 203149 1057621 917133 127861 12627 545079 499801 45278 86941 78174 8767 39250 39250 327218 314680 12538 3936673 3527728 403007 5938 2526708 2184056 342652 42296 3964 31729 6603 43269 24815 17284 1170 1699737 1699737 5039795 4880865 157909 1021 492049 492049 MEDICARE CHARGES 1341055 1341055 1609584 1078221 506418 24945 35876158 29096353 6515585 264220 3144939 3131817 440498 239162 1876293 1506726 268048 288966 686260 868278 147956889 78397635 71664004 69559254 21405176 25186247 314759 320869 101510 101510 99901487 101202829 1930415 2339568 38199889 38783240 38439991 38348318 799134 764801 2524119 1082407 81893548 81318334 X 12940763 14693756 930785 849829 4136391 4340910 18007939 19884495 99901487 101202829 X 401667 664691 810199 X X 0 1 X 1 0 X 1142138 759844 772001 1057935 869745 4601663 29936897 31435519 32855976 32143182 33305743 159677317 31079035 32195363 33627977 33201117 34175488 164278980 332458 332458 0 332458 332458 163946522 1153283 1190138 1407662 1316140 1139793 6207016 1153283 1190138 1407662 1316140 1139793 6207016 2634460 2533463 2124813 1743659 386910 9423305 34866778 35918964 37160452 36260916 35702191 179909301 0.91130 0.89350 0.03450 0.03540 X SCHEDULE A, PART II, LINE 12, EXPLANATION OF OTHER INCOME: OTHER REVENUE - 2009 AMOUNT: $ 2,634,460. 2010 AMOUNT: $ 2,533,463. 2011 AMOUNT: $ 2,124,813. 2012 AMOUNT: $ 1,743,659. 2013 AMOUNT: $ -333,994. MARKETING FEES - 2013 AMOUNT: $ 294,268. SERVICE FEES - 2013 AMOUNT: $ 260,478. DENTAL FEES - 2013 AMOUNT: $ 166,158. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 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 5067176 156596 214288 247321 5190739 4635254 84021 357901 10000 5067176 5001579 10000 -376325 4635254 4634359 399157 31937 5001579 5892245 28795 758041 2044722 4634359 0.00000 0.84000 0.16000 0 0 3429066 3429066 131380169 69218044 62162125 12077568 9179591 2897977 1070086 1070086 69559254 ANNUITIES PAYABLE 605285 INTEREST RATE SWAP AGREEMENT 477122 1082407 X 38879166 664691 1558556 2223247 36655919 -378094 -378094 36277825 36254253 378094 378094 35876159 0 35876159 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. 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. THE TAX RETURNS FOR THE YEARS 2010 TO 2012 ARE OPEN TO EXAMINATION BY FEDERAL AND STATE AUTHORITIES. PART XI, LINE 2D - OTHER ADJUSTMENTS: CHANGE IN FAIR VALUE INTEREST RATE SWAP AGREEMENTS 1,312,915. CHANGE IN PRESENT VALUE OF PERPETUAL TRUSTS 204,519. CHANGE IN PRESENT VALUE OF ANNUITIES PAYABLE 43,482. VALUE CHANGE IN CHARITABLE REMINDER TRUST -2,360. PART XI, LINE 4B - OTHER ADJUSTMENTS: RENT EXPENSE -378,094. PART XII, LINE 2D - OTHER ADJUSTMENTS: RENT EXPENSES 378,094. X X X X 0 0 0 0 0 0 0 1 0 JOHN J BROADDUS PRESIDENT & CEO 225000 0 6000 0 0 0 9256 0 12587 0 252843 0 0 0 JOHN DWYER EX. DIRECTOR- SUNNYSIDE 142696 0 0 0 0 0 5521 0 16316 0 164533 0 0 0 ANNIE FELLERS EX. DIRECTOR-SUMMIT SQUARE 122642 0 12000 0 0 0 5396 0 12381 0 152419 0 0 0 PART I, LINE 7 THE BOARD OF DIRECTOR'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 F FOR THE AMOUNTS PAID DURING 2013. A EDA OF TOWN OF TIMBERVILLE VIRGINIA 611711863 2013-06-04 6560765 REFINANCING AND FUND RENOVATIONS OF SUNNYSIDE CAMPUS 0 0 0 B EDA OF TOWN OF WAYNESBORO VIRGINIA 061815147 2013-06-25 4320116 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 30034 6560765 108843 6451922 2013 1 0 1 1 B 13625 4320116 60712 4259404 2013 1 0 1 1 C 25230 3798355 66739 3731616 2013 1 0 1 1 D 114717 11770000 131477 11638523 2013 1 0 1 1 A 0 0 0 0 0.00000 0.00000 0.00000 1 0 1 B 0 0 0 0 0.00000 0.00000 0.00000 1 0 1 C 0 0 0 0 0.00000 0.00000 0.00000 1 0 1 D 0 0 0 0 0.00000 0.00000 0.00000 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 SCHEDULE K SUPPLENTAL INFORMATION A) TIMBERVILLE BQ LOAN WAS ISSUED IN THE PRINCIPAL AMOUNT OF $6.6 MILLION WITH A CAPACITY TO DRAW UP TO AN AGGREGATE AMOUNT OF $10.0 MILLION. B) WAYNESBORO BQ LOAN WAS ISSUED IN THE PRINCIPAL AMOUNT OF $4.3 MILLION WITH A CAPACITY TO DRAW UP TO AN AGGREGATE AMOUNT OF $5.575 MILLION. C) HARRISONBURG BQ LOAN WAS ISSUED IN THE PRINCIPAL AMOUNT OF $3.8 MILLION WITH A CAPACITY TO DRAW UP TO AN AGGREGATE AMOUNT OF $6.27 MILLION. 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 40834 10655000 952887 210432 9358255 2013 1 0 1 1 A 0 0 0 0 0.00000 0.00000 0.00000 1 0 1 A 0 1 0 0 0 0 0 0 1 A 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 11 THE FORM 990 IS REVIEWED BY THE CEO, CFO, AUDIT AND FINANCE COMMITTEE CHAIR AND BOARD OF TRUSTEES 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'S COMPENSATION WAS PERFORMED BY THE BOARD OF DIRECTORS AND THE EXECUTIVE COMMITTEE. TO COMPLETE THIS THE COMPENSATION WAS COMPARED AGAINST INDUSTRY BENCHMARK INFORMATION. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENT, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENT AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART XI, LINE 9: CHANGE IN PRESENT VALUE OF ANNUITIES PAYABLE 43,482. CHANGE IN FAIR VALUE INTEREST RATE SWAP AGREEMENTS 1,312,915. CHANGE IN PRESENT VALUE OF CHARITABLE REMAINDER TRUSTS -2,360. CHANGE IN PRESENT VALUE OF PERPETUAL TRUSTS 204,519. LOSS ON EXTINGUISHMENT OF DEBT -748,357. FORM 990, PART XII, LINE 2C THIS PROCESS HAS NOT CHANGED SINCE THE PRIOR YEAR.