2021-10-29T13:51:46-05:00 2020-12-31 450250958 EIDE BAILLY LLP 200 E 10TH ST STE 500 SIOUX FALLS SD 571046375 990 2020-01-01 466015658 SUNSET MANOR INC SUNS 6052633318 129 E CLAY STREET IRENE SD 57037 ROBIN STOCKLAND ADMINISTRATOR 6052633318 2021-10-28 1 ROBIN STOCKLAND 999009999 LAURIE HANSON CPA P00851848 6053391999 2021-10-28 2 AAL1 IAL1 2020 2022-09-23 18:48:47Z ROBIN STOCKLAND 129 E CLAY STREET IRENE SD 57037 5600749 0 X WWW.SUNSETMANOR.NET X 1964 SD TO PROVIDE SKILLED NURSING, ASSISTED LIVING, AND REHABILITATION SERVICES. 5 5 91 10 0 0 1232 1366602 4103901 4215688 21978 12956 0 0 4127111 5595246 250 500 0 0 2514836 2530719 0 0 0 1703826 2290510 4218912 4821729 -91801 773517 3548547 4375479 607403 659389 2941144 3716090 SUNSET MANOR AVERA HAS AS ITS MISSION, TO PROVIDE HIGH QUALITY HEALTHCARE SERVICES IN A CHRISTIAN SETTING TO THE PEOPLE WE SERVE IN IRENE AND SURROUNDING COMMUNITIES. 0 0 4466395 500 4215688 SUNSET MANOR, INC. IS A 54 BED NURSING HOME, PROVIDING SKILLED NURSING AND ASSISTED LIVING SERVICES, AS WELL AS SERVICES UNDER TRAUMATIC BRAIN INJURY AND CHALLENGING BEHAVIOR PROGRAMS. TOTAL RESIDENT DAYS DURING 2020 = 18,651. 4466395 1 1 0 0 0 0 0 0 1 0 1 1 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 0 0 0 0 0 0 0 0 0 0 1 12 0 1 91 1 0 0 0 0 0 0 0 0 0 0 0 0 X 5 5 1 1 0 0 1 1 1 1 0 0 0 1 1 1 1 1 1 0 0 0 X AUDREY KOLBECK 6052633318 129 E CLAY STREET IRENE SD 57037 X JOHN NELSON PRESIDENT 0.50 X X 0 0 0 BRIAN HANSEN VICE PRESIDENT 0.50 X X 0 0 0 BRITTANI DAVIS SECRETARY/TREASURER 0.50 X X 0 0 0 LARRY JOHNKE DIRECTOR 0.50 X 0 0 0 BERNIECE HANSEN DIRECTOR 0.50 X 0 0 0 ROBIN STOCKLAND ADMINISTRATOR 20.00 X 0 0 0 0 0 0 0 0 0 0 AEGIS THERAPIES INC PO BOX 936653 ATLANTA GA 311936653 PHYSICAL,OCCUPATIONAL, AND SPEECH THERAP 371323 ROVE STAFFING LLC (ADVANCED PARTNERS) PO BOX 31001-2434 PASADENA CA 911102434 CONTRACTED RN, LPN & C.N.A.'S 255332 HELPING HANDS NURSING SOLUTIONS 4300 S LAKEPORT ST SUITE 106 SIOUX CITY IA 51106 CONTRACTED RN, LPN & C.N.A.'S 205308 AVERA SACRED HEART HOSPITAL 501 SUMMIT YANKTON SD 57078 MANAGEMENT CONTRACT AND IT SERVICES 137159 4 1366172 430 1366602 RESIDENT SERVICE REVEN 623000 4204237 4204237 MEAL REVENUE 900099 9185 9185 MISC REVENUE 900099 1381 1381 BEAUTY/BARBER 900099 885 885 4215688 18459 18459 5503 -5503 -5503 -5503 5595246 4215688 0 12956 X 500 500 2181040 2106712 74328 26075 25186 889 169145 163381 5764 154459 149195 5264 130124 130124 35997 35997 933267 933020 247 5483 5483 313861 236357 77504 101875 99271 2604 5540 4871 669 5373 5373 212388 206233 6155 31260 30354 906 MEDICAL SUPPLIES 415197 415197 BAD DEBTS 62472 62472 REPAIRS AND MAINTENANCE 27977 27977 SALES TAX AND LICENSES 3461 3461 6235 296 5939 4821729 4466395 355334 0 560854 750757 373393 344902 28992 38148 3431 3894 4353438 3092800 1398551 1260638 1183326 1977140 3548547 4375479 249019 287141 358384 372248 607403 659389 X 2941144 3716090 2941144 3716090 3548547 4375479 X 773517 1429 X 0 1 X 1 0 X 2039 418 20 1232 1366602 1370311 4030499 3929855 4005079 4103901 4215688 20285022 4032538 3930273 4005099 4105133 5582290 21655333 0 1456646 1375481 1320597 1550985 769693 6473402 1456646 1375481 1320597 1550985 769693 6473402 15181931 4988 6681 10737 26499 18459 67364 4988 6681 10737 26499 18459 67364 4037526 3936954 4015836 4131632 5600749 21722697 0.69890 0.64410 0.00310 0.00260 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1 32398 273761 267541 38618 0 17527 17527 3351988 2356329 995659 983923 736471 247452 1260638 INTEREST IN AVERA HEALTH FOUNDATION 29960 F ASSETS LIMITED TO USE 1947180 F 1977140 X 5596675 1429 1429 5595246 0 5595246 4821729 0 4821729 0 4821729 PART IV, LINE 1B: RESIDENT FUND ACCOUNT - WE ARE PAYEE FOR SEVERAL RESIDENTS. THEIR MONEY IS KEPT IN THIS ACCOUNT ALONG WITH SPENDING MONEY DEPOSITED INTO THIS ACCOUNT BY RESIDENTS THAT WE ARE NOT THE PAYEE FOR. PART X, LINE 2: THE MANOR BELIEVES THAT IT HAS APPROPRIATE SUPPORT FOR ANY TAX POSITIONS TAKEN AFFECTING ITS ANNUAL FILING REQUIREMENTS, AND AS SUCH, DOES NOT HAVE ANY UNCERTAIN TAX POSITIONS THAT ARE MATERIAL TO THE FINANCIAL STATEMENTS. THE MANOR WOULD RECOGNIZE FUTURE ACCRUED INTEREST AND PENALTIES RELATED TO UNRECOGNIZED TAX BENEFITS AND LIABILITIES IN INCOME TAX EXPENSE IF SUCH INTEREST AND PENALTIES ARE INCURRED. PART XI, LINE 2D - OTHER ADJUSTMENTS: CHANGE IN INTEREST IN AVERA HEALTH FOUNDATION 1,429. FORM 990, PART VI, SECTION A, LINE 2 BRITTANI DAVIS AND ROBIN STOCKLAND HAVE A BUSINESS RELATIONSHIP. FORM 990, PART VI, SECTION A, LINE 3 AVERA SACRED HEART HEALTH SERVICES PROVIDES MANAGEMENT SERVICES TO SUNSET MANOR, INC. ROBIN STOCKLAND, ADMINISTRATOR IS PAID THROUGH AVERA SACRED HEART HEALTH SERVICES AND PRESIDES OVER THE DAY-TO-DAY OPERATIONS OF SUNSET MANOR, INC. COMPENSATION PROVIDED TO ROBIN FOR SERVICES TO SUNSET MANOR IS AS FOLLOWS: ROBIN STOCKLAND: COMPENSATION $ 47,816 NONTAXABLE BENEFITS $ 15,032 FORM 990, PART VI, SECTION A, LINE 6 ANY PERSON, FIRM, ASSOCIATION, CORPORATION, OR BODY POLITIC OR SUBDIVISION THEREOF, MAY BECOME A MEMBER OF THE CORPORATION, BY DONATING OR CONTRIBUTING $25 OR MORE TO THE CORPORATION. FORM 990, PART VI, SECTION A, LINE 7A THE OWNER(S) OF A MEMBERSHIP CERTIFICATE SHALL BE ENTITLED TO ONE VOTE. FORM 990, PART VI, SECTION A, LINE 7B ANY PERSON WHO IS THE HOLDER OF A MEMBERSHIP CERTIFICATE IN THE CORPORATION SHALL BE ELIGIBLE TO BE ELECTED AS A DIRECTOR OF THE CORPORATION. A CANDIDATE SHALL BE NOMINATED FROM THE FLOOR AT THE ANNUAL MEETING. EACH PERSON AS A MEMBER SHALL BE ENTITLED TO VOTE FOR A CANDIDATE. FORM 990, PART VI, SECTION A, LINE 8B THE ORGANIZATION HAS NO COMMITTEES WITH AUTHORITY TO ACT ON BEHALF OF THE GOVERNING BODY. FORM 990, PART VI, SECTION B, LINE 11B THE ADMINISTRATOR WILL REVIEW THE FORM 990. AFTER THE REVIEW, THE BOARD OF DIRECTORS WILL BE GIVEN A COPY OF THE FORM 990. THE FORM 990 WILL BE FILED WITH THE IRS AFTER BOARD MEMBERS HAVE BEEN GIVEN SUFFICIENT TIME TO REVIEW IT. FORM 990, PART VI, SECTION B, LINE 12C THE CONFLICT OF INTEREST POLICY COVERS BOARD MEMBERS AND OFFICERS. A REQUEST IS MADE ANNUALLY FOR ALL BOARD MEMBERS TO DISCLOSE ANY POTENTIAL CONFLICT OF INTEREST. THE BOARD MAKES A DETERMINATION OF WHETHER THERE IS A CONFLICT OF INTEREST AND IF SO, IMPLEMENTS THE PROCEDURE FOR EVALUATING THE ISSUE OR TRANSACTION INVOLVED. THE BOARD MEMBER OR OFFICER WITH THE CONFLICT MUST REFRAIN FROM VOTING. FORM 990, PART VI, SECTION B, LINE 15 THE ADMINISTRATOR IS AN EMPLOYEE OF AVERA SACRED HEART. THE ADMINISTRATOR'S PERFORMANCE AND SALARY ARE REVIEWED ANNUALLY BY AVERA SACRED HEART AND ANY INCREASE IS APPROVED BY THE SUNSET MANOR BOARD OF DIRECTORS. FORM 990, PART VI, SECTION C, LINE 19 NOT AVAILABLE. FORM 990, PART IX, LINE 11G THERAPY SERVICES: PROGRAM SERVICE EXPENSES 143,834. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 143,834. CONSULTING SERVICES: PROGRAM SERVICE EXPENSES 6,761. MANAGEMENT AND GENERAL EXPENSES 247. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 7,008. CONTRACTED NURSING SERVICES: PROGRAM SERVICE EXPENSES 720,068. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 720,068. CONTRACTED DIETARY SERVICES: PROGRAM SERVICE EXPENSES 3,000. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 3,000. DAY SERVICES/ABS: PROGRAM SERVICE EXPENSES 48,857. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 48,857. OTHER FEES: PROGRAM SERVICE EXPENSES 10,500. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 10,500. FORM 990, PART XI, LINE 9: CHANGE IN INTEREST IN AVERA HEALTH FOUNDATION 1,429.