2022-11-15T09:44:52-06:00 2021-12-31 410746749 CLIFTONLARSONALLEN LLP 227 WEST TRADE STREET SUITE 800 CHARLOTTE NC 28202 990 2021-01-01 540591600 SUNNYSIDE PRESBYTERIAN HOME SUNN 5405688600 600 UNIVERSITY BLVD STE L HARRISONBURG VA 22801 KEN BOWARD CFO CHIEF FINANCIAL OFFICER 5405688600 2022-11-09 1 KEN BOWARD CFO XXX-XX-XXXX JOHN NORMAN P01506766 7049985200 2022-11-09 3 AAL1 IAL1 2021 2022-09-23 18:48:47Z KEN BOWARD 600 UNIVERSITY BLVD STE L HARRISONBURG VA 22801 54125597 0 X WWW.SUNNYSIDECOMMUNITIES.COM X 1955 VA TO PROVIDE CARE AND SERVICES TO THE ELDERLY. 11 11 866 485 -9539 0 2118885 1225757 45455629 47248333 1948996 3895873 1344893 1469599 50868403 53839562 1774286 1777707 0 0 23729668 23920021 0 0 269309 20944743 22630854 46448697 48328582 4419706 5510980 146625946 155089929 108566430 108280436 38059516 46809493 TO OFFER RETIREMENT LIVING CHOICES THAT ENHANCE THE PHYSICAL, SPIRITUAL, SOCIAL, PSYCHOLOGICAL AND SECURITY NEEDS OF OLDER ADULTS IN CARING CHRISTIAN COMMUNITIES AND TO PROVIDE FELLOWSHIP SUPPORT IN THE EVENT THAT A RESIDENT OUTLIVES THEIR RESOURCES. 0 0 13134855 1247570 16461031 PROVIDED QUALITY NURSING CARE TO 117 RESIDENTS INCLUDING RESTORATIVE AND INNOVATIVE ACTIVITIES IN SUNNYSIDE'S NURSING FACILITIES. GRANTED $1,247,570 TO RESIDENTS TO HELP PAY THE COST OF CARE. 7856457 423277 11551802 PROVIDED QUALITY ASSISTED LIVING CARE TO 137 ELDERLY RESIDENTS WHO ARE UNABLE TO BE COMPLETELY INDEPENDENT BUT DO NOT REQUIRE CARE IN A NURSING FACILITY. GRANTED $423,277 TO RESIDENTS TO HELP PAY THE COST OF CARE. 17835724 106860 19235500 PROVIDED 575 ELDERLY RESIDENTS APARTMENT AND COTTAGE LIVING IN SECURE COMMUNITIES TO MAXIMIZE INDEPENDENCE AND QUALITY OF LIFE. GRANTED $106,860 TO RESIDENTS TO HELP PAY THE COST OF CARE. 38827036 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 0 0 0 0 0 0 0 0 0 1 95 0 866 1 1 1 0 0 0 0 0 0 0 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 1 1 1 VA X X KEN BOWARD CFO 5405688600 600 UNIVERSITY BLVD SUITE L HARRISONBURG VA 22801 JAMES J ROWE BOARD CHAIR 2.00 0.00 X X 0 0 0 MICHAEL W PUGH BOARD VICE CHAIR 2.00 0.00 X X 0 0 0 ELLEN R BLOSE SECRETARY 2.00 0.00 X X 0 0 0 DAVID W GARLAND BOARD MEMBER 2.00 0.00 X 0 0 0 JAMES KRAUSS BOARD MEMBER 2.00 0.00 X 0 0 0 CHRIS S KYLE BOARD MEMBER, LEFT OCT-21 2.00 0.00 X 0 0 0 JEFFREY G LENHART BOARD MEMBER 2.00 0.00 X 0 0 0 PETER A MCCOY JR BOARD MEMBER, LEFT OCT-21 2.00 0.00 X 0 0 0 KATHY MORAN BOARD MEMBER 2.00 0.00 X 0 0 0 RICHARD RJ MORIN BOARD MEMBER 2.00 0.00 X 0 0 0 EDMUND P PRICE BOARD MEMBER 2.00 0.00 X 0 0 0 H FULTON SENSABAUGH BOARD MEMBER, LEFT OCT-21 2.00 0.00 X 0 0 0 APRIL TEMPLE BOARD MEMBER 2.00 0.00 X 0 0 0 DAPHYNE S THOMAS BOARD MEMBER 2.00 0.00 X 0 0 0 JOSH LYONS PRESIDENT AND CEO 40.00 0.00 X 288399 0 11250 KEN BOWARD TREASURER AND CFO 40.00 0.00 X 185715 0 18088 LISA KANNEY ASSISTANT SECRETARY 40.00 0.00 X 58899 0 4829 KAREN WIGGINTON CHIEF MARKETING OFFICER 40.00 0.00 X 155642 0 8483 PAULA GREENHAGEN CHIEF HUMAN RESOURCE OFFICER 40.00 0.00 X 148807 0 12499 BRIAN REINMANN EXECUTIVE DIRECTOR, SUMMIT SQUARE 40.00 0.00 X 139826 0 15062 CHARLOTTE SIBOLD EXECUTIVE DIRECTOR, SUNNYSIDE 40.00 0.00 X 159009 0 6041 JAMES SOUTER EXECUTIVE DIRECTOR, KINGS GRANT 40.00 0.00 X 137668 0 2393 JOHN J BROADDUS CONSULTANT/FORMER CEO LEFT MAR-20 40.00 0.00 X 194075 0 7763 1468040 0 86408 9 1 1 0 SPECTRUM PARENT INC & SUBSIDIARIES PO BOX 69268 BALTIMORE MD 21264 THERAPY SERVICES 1531206 SYSCO FOOD SERVICES OF VA PO BOX 20020 HARRISONBURG VA 22801 FOOD AND DINING SUPPLIES 1064831 RIDDLEBERGER BROS INC 6127 SOUTH VALLEY PIKE MOUNT CRAWFORD VA 22841 BUILDING CONTRACTOR 968777 RAN MAR CORP 501 SHENANDOAH AVENUE ELKTON VA 22827 BUILDING CONTRACTOR 918724 MORRISON MANAGEMENT SPECIALISTS INC PO BOX 102289 ATLANTA GA 303682289 DINING MANAGEMENT SERVICES 762356 49 771869 453888 1225757 RESIDENTIAL SERVICE 623000 19043523 19043523 HEALTHCARE SERVICES 623000 16419893 16419893 ASSISTED LIVING 623000 11510664 11510664 PHARMACY REVENUE 623000 274253 274253 47248333 3895873 3895873 262982 286035 -23053 -23053 -9539 -13514 MARKETING FEES 623000 328009 328009 TELEPHONE AND INTERNET 900099 229592 229592 PRESCRIPTION/DENTAL FE 623000 69468 69468 865583 865583 1492652 53839562 47248333 -9539 5375011 1777707 1777707 557180 557180 17491300 14378474 2909091 203735 370091 370091 4094648 1781370 2295260 18018 1406802 1182808 210856 13138 9247 9247 9740 9740 93815 93815 2822822 2188548 634274 242671 242671 1328826 1267062 42760 19004 4018887 3317822 700485 580 1506754 1440446 66308 7675395 7369789 304914 692 771573 771573 MEDICAL COSTS AND CHARG 2272392 2272392 RAW FOOD 1399592 1399475 117 479140 199225 275513 4402 48328582 38827036 9232237 269309 313966 172294 1698955 3042029 10500 6600 1389374 2746521 529313 506734 14095546 18494489 207812116 124119411 82958321 83692705 35389285 41348195 10139176 4978852 101510 101510 146625946 155089929 3530746 3145464 48311550 51192715 51793724 49729966 1321268 1206664 789615 644769 2819527 2360858 108566430 108280436 X 31873075 40104139 6186441 6705354 38059516 46809493 146625946 155089929 X 5510980 2196455 1042542 X X 0 1 X 1 1 0 X 1260840 1029975 466481 2118885 1225757 6101938 41375347 42478259 44703512 45455629 47248333 221261080 42636187 43508234 45169993 47574514 48474090 227363018 0 0 0 227363018 1497557 1581264 1751986 2210645 4158855 11200307 1497557 1581264 1751986 2210645 4158855 11200307 973711 949652 1475946 1373355 1492652 6265316 45107455 46039150 48397925 51158514 54125597 244828641 0.92870 0.93960 0.04570 0.03600 X SCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME: OTHER REVENUE - 2017 AMOUNT: $ 238,071. 2018 AMOUNT: $ 278,699. 2019 AMOUNT: $ 813,629. 2020 AMOUNT: $ 827,837. 2021 AMOUNT: $ 865,583. MARKETING FEES - 2017 AMOUNT: $ 310,213. 2018 AMOUNT: $ 305,339. 2019 AMOUNT: $ 343,563. 2020 AMOUNT: $ 229,456. 2021 AMOUNT: $ 328,009. SERVICE FEES - 2017 AMOUNT: $ 250,226. 2018 AMOUNT: $ 260,384. 2019 AMOUNT: $ 247,671. 2020 AMOUNT: $ 243,520. 2021 AMOUNT: $ 229,592. PHARMACY AND DENTAL FEES - 2017 AMOUNT: $ 175,201. 2018 AMOUNT: $ 105,230. 2019 AMOUNT: $ 71,083. 2020 AMOUNT: $ 72,542. 2021 AMOUNT: $ 69,468. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 1 X 6186441 8156 519051 8294 6705354 5886445 112025 475411 287440 6186441 5278222 93834 608720 94331 5886445 5612087 332929 -538177 128617 5278222 5061114 152965 431101 33093 5612087 0.00000 0.83000 0.17000 0 0 4624656 4624656 176768443 111757487 65010956 20093344 12361924 7731420 6325673 6325673 83692705 ANNUITIES PAYABLE 455350 INTEREST RATE SWAP AGREEMENT 873886 DEFERRED ADVANCE - PROVIDER RELIEF FUNDS 1031622 2360858 55872922 2196455 -449130 1747325 54125597 -286035 -286035 53839562 46550875 0 46550875 1777707 1777707 48328582 PART IV, LINE 2B: A REFUNDABLE DEPOSIT OF 5% 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 -1,777,707. CHANGE IN FV OF SWAPS 849,747. CHANGE IN FV OF PT 519,051. CHANGE IN PV OF ANNUITIES -31,927. RELEASE FROM RESTRICTIONS -8,294. PART XI, LINE 4B - OTHER ADJUSTMENTS: RENT EXPENSE INCLUDED IN REV ON 990 -286,035. PART XII, LINE 4B - OTHER ADJUSTMENTS: RESIDENT ASSISTANCE NETTED ON FS 1,777,707. 1 RESIDENT ASSISTANCE (SEE PART IV) 57 1777707 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 REVIEWED AND APPROVED BY THE EXECUTIVE DIRECTOR WITH OVERSIGHT FROM THE CHIEF FINANCIAL OFFICER. PART III COLUMN (A) - TYPE OF 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. X X X X 0 0 0 0 0 0 0 1 0 JOSH LYONS PRESIDENT AND CEO 288399 0 0 0 0 0 11162 0 88 0 299649 0 0 0 KEN BOWARD TREASURER AND CFO 171015 0 14700 0 0 0 7829 0 10259 0 203803 0 0 0 JOHN J BROADDUS CONSULTANT/FORMER CEO LEFT MAR-20 194075 0 0 0 0 0 7763 0 0 0 201838 0 0 0 CHARLOTTE SIBOLD EXECUTIVE DIRECTOR, SUNNYSIDE 143259 0 15750 0 0 0 2191 0 3850 0 165050 0 0 0 KAREN WIGGINTON CHIEF MARKETING OFFICER 140575 0 15067 0 0 0 6297 0 2186 0 164125 0 0 0 PAULA GREENHAGEN CHIEF HUMAN RESOURCE OFFICER 133407 0 15400 0 0 0 3589 0 8910 0 161306 0 0 0 BRIAN REINMANN EXECUTIVE DIRECTOR, SUMMIT SQUARE 129233 0 10593 0 0 0 5954 0 9108 0 154888 0 0 0 PART I, LINE 7 THE BOARD OF TRUSTEE'S EXECUTIVE COMMITTEE APPROVED A 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 BONUS POOL TO BE USED BY THE CEO TO AWARD BONUSES FOR SELECT SENIOR EXECUTIVE STAFF MEMBERS OR OTHER KEY STAFF BASED ON HIS ASSESSMENT OF THE CONTRIBUTIONS MADE BY THESE EMPLOYEES DURING THE YEAR. IN DETERMINING THE REASONABLENESS OF BONUSES AWARDED, ASSESSMENTS ARE COMPARED AGAINST INDUSTRY BENCHMARKS FOR TOTAL COMPENSATION. THESE BONUSES ARE REPORTED IN PART VII OF THE FORM 990 IN COLUMN D FOR THE AMOUNTS PAID DURING 2021. A EDA OF ROCKINGHAM COUNTY VIRGINIA 541155987 2017-05-19 16000000 FUND RENOVATIONS AT CAMPUSES OF SUNNYSIDE, SUMMIT SQUARE, & KING'S GRANT 0 0 0 B EDA OF ROCKINGHAM COUNTY VIRGINIA 541155987 2020-01-08 32929461 REFINANCING AND FUND RENOVATIONS AT SUNNYSIDE CAMPUSES 0 0 0 A 739576 16000000 250000 13069880 2680120 2017 0 0 0 1 B 1774567 32929461 542630 4134930 22385606 5866295 2020 1 0 1 1 A 0 0 0 0 0.00860 0.00860 0 0 1 B 0 0 0 0 0.00860 0.00860 0 0 1 A 0 1 0 0 0 0 0 0 1 B 0 1 0 0 1 1 BB&T 5.400000000000 0 0 0 0 1 A 1 B 1 FORM 990, PART VI, SECTION A, LINE 1A 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 REVIEW IS PERFORMED BY AUDIT AND FINANCE COMMITTEE BEFORE FILING. A COPY OF THE 990 IS MADE AVAILABLE TO THE BOARD OF DIRECTORS BEFORE FILING. 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 QUANTITATIVE DATA FROM SIMILARLY SITUATED ORGANIZATIONS ARE OBTAINED AND REVIEWED BY THE EXECUTIVE COMMITTEE OF THE BOARD. CEO COMPENSATION IS REVIEWED AND SET BY THE EXECUTIVE COMMITTEE OF THE BOARD WITH FULL BOARD APPROVAL. THE COMPENSATION DETERMINATION IS CONFIRMED AND COMMUNICATED IN WRITING BY THE BOARD CHAIRPERSON AND GIVEN TO THE HR DEPARTMENT FOR IMPLEMENTATION. RECORDS ARE MAINTAINED IN THE CEO'S PERSONNEL FOLDER. FOR KEY EMPLOYEES, COMPENSATION DATA ARE BENCHMARKED USING THE MOST RECENT "LEADINGAGE LEADERSHIP COMPENSATION SURVEY OF MULTI-SITE ORGANIZATIONS." KEY EMPLOYEES/OFFICERS COMPENSATION IS REVIEWED IN CONNECTION WITH THE ANNUAL PERFORMANCE REVIEW PROCESS THAT TAKES PLACE ON THE EMPLOYMENT ANNIVERSARY. THE PERFORMANCE REVIEW IS COMPLETED AND THE CEO DETERMINES COMPENSATION FOR THE UPCOMING ANNUAL PERIOD, FACTORING IN MARKET AND PERFORMANCE DATA. 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 849,747. CHANGE IN PV OF PT 519,051. CHANGE IN PV OF ANNUITIES -31,927. RELEASE FROM RESTRICTIONS -8,294. RENT EXPENSES -286,035. LOSS ON EXTINGUISHMENT OF DEBT 0. FORM 990, PART XII, LINE 3B: SUNNYSIDE IS REQUIRED TO UNDERGO A SINGLE AUDIT OF COVID-19 PROVIDER RELIEF FUNDS (PRF). THE SINGLE AUDIT WAS COMPLETED IN ADVANCE OF THE SEPTEMBER 30, 2022 DUE DATE.