2015-11-13T14:53:50-06:00 2014-12-31 450250958 EIDE BAILLY LLP 200 EAST 10TH ST PO BOX 5125 SIOUX FALLS SD 571175125 990 2014-01-01 466015658 SUNSET MANOR INC SUNS 6052633318 129 E CLAY STREET IRENE SD 57037 JEREMY KLINKHAMMER ADMINISTRATOR 6052633318 2015-11-13 1 LAURIE HANSON P00851848 6053391999 2015-11-11 2014 2016-02-25 16:41:14Z JEREMY KLINKHAMMER 129 E CLAY STREET IRENE SD 57037 3330334 0 X WWW.SUNSETMANOR.NET X 1964 SD TO PROVIDE HIGH QUALITY HEALTHCARE SERVICES IN A CHRISTIAN SETTING TO THE PEOPLE WE SERVE IN IRENE AND SURROUNDING COMMUNITIES. 6 5 102 15 0 0 5363 115091 2639097 3211402 5328 3841 0 0 2649788 3330334 0 525 0 0 1398789 1920900 0 0 0 1198769 1385047 2597558 3306472 52230 23862 3800097 3691423 938220 805684 2861877 2885739 X SUNSET MANOR AVERA HEALTH HAS AS ITS MISSION, TO PROVIDE HIGH QUALITY HEALTHCARE SERVICES IN A CHRISTIAN SETTING TO THE PEOPLE WE SERVE IN IRENE AND SURROUNDING COMMUNITIES. 1 0 3059442 525 3211402 TO PROVIDE NURSING CARE TO APPROXIMATELY 55 RESIDENTS. TOTAL RESIDENT DAYS DURING 2014: 18,843, INCLUDING 12,662 NURSING HOME LEVEL DAYS; SUPERVISED LIVING DAYS: 1,150; AND SUNRISE VILLA TRAUMATIC BRAIN INJURY UNIT DAYS: 2,775; CHALLENGING BEHAVIOR UNIT DAYS: 2,256. 3059442 1 1 0 0 0 0 0 0 1 0 1 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 0 0 0 0 0 0 0 0 0 1 9 0 1 102 1 0 0 0 0 0 0 0 0 0 0 X 6 5 0 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 LARRY JOHNKE SECRETARY/TREASURER 0.50 X X 0 0 0 SANDY BAK DIRECTOR 0.50 X 0 0 0 ABBY PARLETT DIRECTOR 0.50 X 0 0 0 KAREN SCHROEDERMEIER DIRECTOR 0.50 X 0 0 0 CHAD BREIDENBACH ADMINISTRATOR 20.00 X 0 0 0 0 0 0 0 0 0 0 AEGIS THERAPIES INC PO BOX 8103 FORT SMITH AR 72902 HEALTH CARE SERVICES 306513 NELSON CONSTRUCTION 44946 293RD ST IRENE SD 57037 FACILITY CONSTRUCTION 263696 AVERA SACRED HEART HOSPITAL 501 SUMMIT YANKTON SD 57078 MANAGEMENT CONTRACT 122043 ABILITY BUILDING SERVICES 909 WEST 23RD STREET YANKTON SD 57078 ADULT DAY SERVICES 107896 4 115066 25 115091 RESIDENT SERVICE REVEN 623000 3182127 3182127 MISC REVENUE 900099 20561 20561 MEAL REVENUE 900099 5055 5055 BEAUTY/BARBER 900099 3659 3659 3211402 3691 3691 150 0 150 150 150 3330334 3211402 0 3841 X 25 25 500 500 1627178 1561064 66114 11658 11184 474 166052 159305 6747 116012 110954 5058 85789 85789 23532 23532 389610 389610 12329 8216 4113 256487 210100 46387 97304 97304 17934 15003 2931 21289 21099 190 182976 182976 30865 30865 MEDICAL SUPPLIES 204933 204933 BAD DEBTS 30000 30000 REPAIRS AND MAINTENANCE 22758 22758 SALES TAX AND LICENSES 3537 3537 5704 9 5695 3306472 3059442 247030 0 1673521 1038753 531663 723839 31419 25902 4698 4145762 2265281 1538534 1880481 20262 22448 3800097 3691423 329975 239082 608245 566602 938220 805684 X 2861877 2885739 2861877 2885739 3800097 3691423 23862 0 X 0 1 X 1 0 X 30075 4464 153915 5363 25 193842 2503146 2483827 2565080 2629175 3202687 13383915 10370 9869 10313 9922 8714 49188 2543591 2498160 2729308 2644460 3211426 13626945 0 1311428 1278274 1304901 1233936 969074 6097613 1311428 1278274 1304901 1233936 969074 6097613 7529332 15136 10903 8534 5328 3692 43593 15136 10903 8534 5328 3692 43593 2558727 2509063 2737842 2649788 3215118 13670538 0.55080 0.47530 0.00320 0.00360 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1 21147 223447 219603 24991 0 7197 7197 3323040 1738128 1584912 815525 527153 288372 1880481 X 3330334 0 3330334 0 3330334 3306472 0 3306472 0 3306472 PART IV, LINE 1B: THE ORGANIZATION IS A CUSTODIAN OF RESIDENT TRUSTS. THE FUNDS ARE NOT REPORTED AS ASSETS ON THE BALANCE SHEET BECAUSE THIS MONEY DOES NOT BELONG TO THE ORGANIZATION. THIS MONEY BELONGS TO THE RESIDENTS WHO RESIDE AT THE ORGANIZATION. PART X, LINE 2: THE MANOR IS ORGANIZED AS A SOUTH DAKOTA NONPROFIT CORPORATION, AND HAS BEEN RECOGNIZED BY THE INTERNAL REVENUE SERVICE (IRS) AS EXEMPT FROM FEDERAL INCOME TAXES UNDER INTERNAL REVENUE CODE SECTION 501(C)(3). THE MANOR IS ANNUALLY REQUIRED TO FILE A RETURN OF ORGANIZATION EXEMPT FROM INCOME TAX (FORM 990) WITH THE IRS. IN ADDITIONA, THE MANOR IS SUBJECT TO INCOME TAX ON NET INCOME THAT IS DERIVED FROM BUSINESS ACTIVITIES THAT ARE UNRELATED TO ITS EXEMPTS PORPOSE. THE MANOR HAS DETERMINED IT IS NOT SUBJECT TO UNRELATED BUSINESS INCOME TAX AND HAS NOT FILED AN EXEMPT ORGANIZATION BUSINESS INCOME TAX RETURN (FORM 990T) WITH THE IRS. 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. NELSON CONSTRUCTION OWNER IS PRESIDENT OF THE BOARD 263696 PAYMENTS TO NELSON CONSTRUCTION FOR CONSTRUCTING NEW WING OF BUILDING 0 FORM 990, PART III, LINE 2 OPENED NEW CHALLENGING BEHAVIOR UNIT IN MAY, 2014, TO PROVIDE HEALTHCARE SERVICES TO INDIVIDUALS WITH CHALLENGING BEHAVIORS, SUCH AS SCHIZOPHRENIA, ANXIETY, DEMENTIA, OR BIPOLAR DISORDER. FORM 990, PART VI, SECTION A, LINE 3 AVERA SACRED HEART HEALTH SERVICES PROVIDES MANAGEMENT SERVICES TO SUNSET MANOR, INC. CHAD BREIDENBACH, ADMINISTRATOR, IS PAID THROUGH AVERA SACRED HEART HEALTH SERVICES AND PRESIDES OVER THE DAY-TO-DAY OPERATIONS OF SUNSET MANOR, INC. COMPENSATION PROVIDED TO CHAD FOR SERVICES TO SUNSET MANOR IS AS FOLLOWS: COMPENSATION $36,726 PENSION 762 NONTAXABLE BENEFITS 1,482 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 $100 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 11 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. HIS 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 OTHER FEES: PROGRAM SERVICE EXPENSES 8,567. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 8,567. THERAPY SERVICES: PROGRAM SERVICE EXPENSES 220,223. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 220,223. CONSULTING SERVICES: PROGRAM SERVICE EXPENSES 6,487. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 6,487. CONTRACTED NURSING SERVICES: PROGRAM SERVICE EXPENSES 36,949. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 36,949. CONTRACTED DIETARY SERVICES: PROGRAM SERVICE EXPENSES 9,060. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 9,060. DAY SERVICES/ABS: PROGRAM SERVICE EXPENSES 108,324. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 108,324.