2012-08-09T10:39:13-05:00 2011-12-31 410746749 CLIFTONLARSONALLEN LLP 610 WGERMANTOWN PIKESTE 400 PLYMOUTH MTG PA 19462 990 2011-01-01 540591600 SUNNYSIDE PRESBYTERIAN HOME SUNN 5405688600 600 UNIVERSITY BLVD NO STE L HARRISONBURG VA 22801 JOHN J BROADDUS 5405688600 2012-08-09 1 BERNADETTE O'TOOLECPA P00229258 2156433900 2011 2016-02-24 21:20:13Z JOHN J BROADDUS 600 UNIVERSITY BLVD NO STE L HARRISONBURG VA 22801 59065534 0 X SUNNYSIDECOMMUNITIES.COM X 1955 VA TO PROVIDE CARE AND SERVICES TO THE ELDERLY. 13 12 695 566 -129163 -129163 759844 772001 31435519 32855976 1467349 1913977 2353366 1946583 36016078 37488537 0 0 0 0 17517026 17547638 0 0 196669 17561251 17654778 35078277 35202416 937801 2286121 105065030 100592040 90745427 85135580 14319603 15456460 TO OFFER RETIREMENT LIVING CHOICES THAT ENHANCE THE PHYSICAL, SPIRITUAL, SOCIAL, PSYCHOLOGICAL AND SECURITY NEEDS OF OLDER ADULTS IN CARING CHRISTIAN COMMUNITIES. 0 0 28949628 12112690 NURSING CARE: PROVIDED QUALITY NURSING CARE TO 134 RESIDENTS INCLUDING RESTORATIVE AND INNOVATIVE ACTIVITIES IN SUNNYSIDES' NURSING FACILITIES, GRANTED $1,703,541 TO RESIDENTS HELP PAY THE COST OF CARE. 914662 5713145 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 $914,662 TO RESIDENTS TO HELP PAY THE COST OF CARE. 15030141 PROVIDED 600 ELDERLY RESIDENTS APARTMENT AND COTTAGE LIVING IN SECURE COMMUNITIES DESIGNED TO MAXIMIZE INDEPENDENCE AND QUALITY OF LIFE. 28949628 1 1 1 1 0 0 0 0 1 0 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 0 1 99 0 1 695 1 1 1 0 0 0 0 0 0 0 0 0 X 13 12 0 0 1 0 0 0 0 1 1 0 1 1 1 1 1 1 0 0 1 1 0 VA X X CORPORATE OFFICES 5405688600 600 UNIVERSITY BLVD SUITE L HARRISONBURG VA 22801 JAMES J ROWE 2.00 X X 0 0 0 MARK B CALLAHAN 2.00 X X 0 0 0 MARGARET VANDEMAN BLACKMON 2.00 X X 0 0 0 LISA KANNEY 2.00 X X 36545 0 180 DR SHUN C LING 1.00 X 0 0 0 CRAIG B DIETRICH 1.00 X 0 0 0 RICHARD R J MORIN 1.00 X 0 0 0 LINDA MORRIS 1.00 X 0 0 0 WILLIAM G O'BRIEN 1.00 X 0 0 0 VICKI RADER 1.00 X 0 0 0 MARGARET THOMPSON 1.00 X 0 0 0 RONALD LAYNE 1.00 X 0 0 0 STEVE GORDON 1.00 X 0 0 0 HENRY C CLARK 1.00 X 0 0 0 WILLIAM FRANCK 1.00 X 0 0 0 J WHITNER KENNEDY 1.00 X 0 0 0 BRANCH R HAMMOCK 1.00 X 0 0 0 ROBERT B WOODWORTH II 1.00 X 0 0 0 JOHN J BROADDUS 40.00 X 211755 0 13386 RICH ARMENTROUT 40.00 X 182115 0 7466 JOHN DWYER 40.00 X 152140 0 12134 LINDA HARMON 40.00 X 119977 0 9764 702532 0 42930 4 0 1 0 GENESIS ELDERCARE REHABILITATION SERVICE PO BOX 679 KENNETT SQUARE PA 19348 THERAPY 1045776 LTCPCMS INC 9662 BROOK ROAD 601 GLEN ALLEN VA 23059 PHARMACY-CONSULTING 206461 JC'S PAINTING 1006 JUNIOR AVE SHENANDOAH VA 22849 PAINTING 117660 3 772001 772001 INDEPENDENT LIVING 623000 14817213 14817213 HEALTH CENTER 623000 7072844 7072844 ASSISTED LIVING 623000 5926078 5926078 MEDICARE/MEDICAID 623000 5039841 5039841 32855976 1407662 1407662 225674 403904 -178230 -178230 -129163 -49067 21672942 6466 21166877 6216 506065 250 506315 506315 PHARMACY 623000 1211715 1211715 DENTAL FEES 623000 163885 163885 MARKETING FEES 623000 106708 106708 642505 642505 2124813 37488537 32855976 -129163 3989723 880270 670862 202159 7249 14716267 11215398 3379680 121189 350811 267356 80566 2889 577330 323419 249041 4870 1022960 896177 118475 8308 93931 73758 20173 39250 39250 489546 469932 19614 225408 225408 4030123 3818258 210248 1617 2449635 2128838 320797 35718 370 31309 4039 71219 43311 27028 880 2310839 2310839 5015881 4804805 210093 983 605281 605281 MEDICARE CHARGES 1116308 1116308 1171639 658347 488820 24472 35202416 28949628 6056119 196669 1217273 1494454 76805 70805 1099287 1676099 355741 323722 924367 745106 143472287 68361435 78984384 75110852 21927625 20751016 378038 318476 101510 101510 105065030 100592040 1859650 2061618 37873090 34969755 42582471 40488021 3719108 3566957 4711108 4049229 90745427 85135580 X 9318024 10821206 812784 779095 4188795 3856159 14319603 15456460 105065030 100592040 X 2286121 -1149264 X X 0 1 1 X 0 X 1188515 669894 1142138 759844 772001 4532392 24955381 27911960 29936897 31435519 32855976 147095733 26143896 28581854 31079035 32195363 33627977 151628125 275790 332458 608248 0 275790 332458 608248 151019877 1339222 1204358 1153283 1190138 1407662 6294663 1339222 1204358 1153283 1190138 1407662 6294663 2899719 3239988 2634460 2533463 2124813 13432443 30382837 33026200 34866778 35918964 37160452 171355231 0.88130 0.87300 0.03670 0.03980 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 EXPLANATION OF OTHER LOBBYING ACTIVITIES: PART II-B, LINE 1I: 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 3429066 3429066 128111757 59870118 68241639 11485517 8491317 2994200 445947 445947 75110852 ANNUITIES PAYABLE 1179707 INTEREST RATE SWAP AGREEMENT 2869522 4049229 37488537 35202416 2286121 -1238215 88951 -1149264 1136857 38526684 646628 646628 37880056 -391519 -391519 37488537 37389827 1238215 949196 2187411 35202416 0 35202416 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. DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: PART X: 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 2008 TO 2010 ARE OPEN TO EXAMINATION BY FEDERAL AND STATE AUTHORITIES. PART XI, LINE 8 - OTHER ADJUSTMENTS: CHANGE IN PRESENT VALUE OF ANNUITIES PAYABLE -222,123. CHANGE IN FAIR VALUE INTEREST RATE SWAP AGREEMENTS 646,628. CHANGE IN PRESENT VALUE OF CHARITABLE REMAINDER TRUSTS -2,918. CHANGE IN PRESENT VALUE OF PERPETUAL TRUSTS -332,636. TOTAL TO SCHEDULE D, PART XI, LINE 8: 88,951. PART XII, LINE 2D - OTHER ADJUSTMENTS: CHANGE IN FAIR VALUE INTEREST RATE SWAP AGREEMENTS 646,628. PART XII, LINE 4B - OTHER ADJUSTMENTS: RENT EXPENSES -391,519. PART XIII, LINE 2D - OTHER ADJUSTMENTS: RENT EXPENSES 391,519. CHANGE IN PRESENT VALUE OF ANNUITIES PAYABLE 222,123. CHANGE IN PRESENT VALUE OF CHARITABLE REMAINDER TRUSTS 2,918. CHANGE IN PRESENT VALUE OF PERPETUAL TRUSTS 332,636. X X X X 0 0 0 0 0 0 0 0 0 JOHN J BROADDUS 211755 0 0 0 0 0 7338 0 6048 0 225141 0 0 0 RICH ARMENTROUT 182115 0 0 0 0 0 7286 0 180 0 189581 0 0 0 JOHN DWYER 152140 0 0 0 0 0 6086 0 6048 0 164274 0 0 0 IDA OF ROCKINGHAM COUNTY 541155987 773460AT7 2003-07-31 43500000 RENOVATIONS OF HEALTHCARE CENTER, ASSISTED LIVING & REFINANCING CURRENT DEBT 0 0 0 IDA OF TOWN OF BROADWAY VIRGINIA 542028957 NONEAVAIL 2009-10-29 8000000 CONSTRUCTION OF 18 TOWNHOUSES, 12 VILLAS, AND 60 COTTAGES 0 0 0 11925000 43500000 735668 186050 11195404 31382878 2006 1 0 0 0 866667 8000000 2009 1 0 0 0 0 0 0 0 0.00000 0.00000 0.00000 0 0 0 0 0 0.00000 0.00000 0.00000 0 0 1 1 BB&T BANK 10.000000000000 0 0 0 0 0 0 1 0 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 A, LINE 4 CHANGES TO BYLAWS: - THE CORPORATION SHALL BE MANAGED BY A BOARD OF A MINIMUM OF TWELVE TRUSTEES OPPOSED TO NINE IN THE PRIOR BYLAWS. - VOTING AT ANY MEETING OF THE BOARD OF TRUSTEES SHALL INCLUDE IN ADDITION TO IN PERSON; VIA EMAIL AND/OR BY TELEPHONE CONFERENCE CALL. - ESTABLISHED AND SUGGESTED RESPONSIBILITIES FOR THE FOLLOWING COMMITTEES: (1) AUDIT AND FINANCE (2) GOVERNANCE (3) STRATEGIC PLANNING (4) EXECUTIVE COMMITTEE - THE CEO MAY ESTABLISH ADVISORY COUNCILS FOR EACH CAMPUS TO PROVIDE COMMUNITY AND AREA SUPPORT TO THE EXECUTIVE DIRECTOR OF THAT OPERATING FACILITY WITH REGARD TO PUBLIC RELATIONS, MARKETING, FUNDRAISING AND DEVELOPMENT, RESIDENT CARE, AND OTHER AREAS AS REQUESTED BY THE DIRECTOR. - BYLAWS MAY BE AMENDED, REPEALED OR ALTERED IN WHOLE OR IN PART BY A TWO-THIRDS VOTE OF THOSE PRESENT AT ANY MEETING OF THE BOARD OF TRUSTEES. 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 AUDIT COMMITEE. TO COMPLETE THIS THE COMPENSATION WAS COMPARED AGAINST INDUSTRY BENCHMARK INFORMATION. COMPENSATION OF ALL OTHER OFFICERS AND KEY EMPLOYEES WAS REVIEWED AND APPROVED BY AN INDEPENDENT CONSULTANT. THE COMPENSATION FOR ALL EMPLOYEES WAS LAST REVIEWED IN 2011. 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. CHANGES IN NET ASSETS OR FUND BALANCES: FORM 990, PART XI, LINE 5: NET UNREALIZED LOSSES ON INVESTMENTS: -1,238,215. CHANGE IN PRESENT VALUE OF ANNUITIES PAYABLE -222,123. CHANGE IN FAIR VALUE INTEREST RATE SWAP AGREEMENTS 646,628. CHANGE IN PRESENT VALUE OF CHARITABLE REMAINDER TRUSTS -2,918. CHANGE IN PRESENT VALUE OF PERPETUAL TRUSTS -332,636. TOTAL TO FORM 990, PART XI, LINE 5: -1,149,264. FORM 990, PART XII, LINE 2C THE AUDIT COMMITEE PROVIDES OVERSIGHT OF THE AUDIT. THIS PROCESS HAS NOT CHANGED FROM PRIOR YEARS.