2021-08-16T12:42:26-05:00 2020-09-30 560747981 DIXON HUGHES GOODMAN LLP 500 RIDGEFIELD COURT ASHEVILLE NC 28806 990 2019-10-01 560614176 DEERFIELD EPISCOPAL RETIREMENT COMMUNITY INC DEER 8282741531 1617 HENDERSONVILLE ROAD ASHEVILLE NC 28803 ROBERT CHANDLER CFO 8282741531 2021-08-16 1 AMY BIBBY P00445891 8282542254 2021-08-16 2019 2022-09-23 18:48:47Z ROBERT K CHANDLER 1617 HENDERSONVILLE ROAD ASHEVILLE NC 28803 41636422 0 X WWW.DEERFIELDWNC.ORG X 1955 NC LIFETIME CARE IN A RELIGIOUS ATMOSPHERE 14 14 444 120 0 0 1145703 1072732 35935168 37495865 3178818 2746350 318729 313042 40578418 41627989 1366341 1144807 0 0 15328100 16606844 0 0 121624 17193372 17002825 33887813 34754476 6690605 6873513 236202407 239910848 167745368 162460219 68457039 77450629 X THE MISSION OF DEERFIELD EPISCOPAL RETIREMENT COMMUNITY, INC. IS TO OPERATE A NONPROFIT RETIREMENT COMMUNITY GUIDED BY CHRISTIAN IDEALS, TO OFFER A CONTINUUM OF CARE TO ALL PEOPLE, TO PROMOTE INDEPENDENCE AND THE HIGHEST QUALITY OF LIFE, AND TO PROVIDE PHYSICAL AND FINANCIAL SECURITY. 0 0 30977865 1144807 37495865 DEERFIELD EPISCOPAL RETIREMENT COMMUNITY, INC. ("DEERFIELD"), A NORTH CAROLINA NONPROFIT CORPORATION, WAS ORGANIZED FOR THE PURPOSE OF OPERATING A CONTINUING CARE RETIREMENT COMMUNITY. DEERFIELD IS GOVERNED BY A BOARD OF DIRECTORS, WHICH IS COMPOSED OF INDEPENDENT CIVIC LEADERS WHO SERVE WITHOUT COMPENSATION.REV. RUL. 72-124, 1972-1 C.B. 145, SETS OUT REQUIREMENTS THAT "HOMES FOR THE AGED" MUST MEET TO QUALIFY FOR SECTION 501(C)(3) EXEMPTION. THE INTERNAL REVENUE SERVICE PROVIDED THE FOLLOWING REQUIREMENTS: (1) SATISFACTION OF THE NEED FOR HOUSING THROUGH THE PROVISION OF EMOTIONAL, RECREATIONAL, SOCIAL, RELIGIOUS, AND SIMILAR NEEDS OF AGED PERSONS; (2) SATISFACTION OF THE NEED FOR HEALTH CARE THROUGH PROVISION OF PHYSICAL AND MENTAL HEALTH SERVICES DIRECTLY OR THROUGH CONTINUING ARRANGEMENTS WITH OUTSIDE ORGANIZATIONS; AND (3) SATISFACTION OF THE NEED FOR FINANCIAL SECURITY THROUGH MAINTAINING IN RESIDENCE ANY PERSONS WHO BECOME UNABLE TO PAY THEIR REGULAR CHARGE AND THROUGH PROVIDING SERVICES AT THE LOWEST FEASIBLE COST. DEERFIELD SATISFIES ALL THREE REQUIREMENTS.IN CONJUNCTION WITH ITS COMMITMENT TO MAINTAINING PERSONS IN RESIDENCE WHO BECOME UNABLE TO PAY, DEERFIELD HAS ESTABLISHED A BENEVOLENT ASSISTANCE FUND, WHICH IS USED FOR THE EXCLUSIVE PURPOSE OF PROVIDING ASSISTANCE TO RESIDENTS IN NEED. SUCH RESIDENTS ARE IDENTIFIED BASED ON FINANCIAL INFORMATION OBTAINED FROM THE RESIDENT AND SUBSEQUENT REVIEW AND ANALYSIS. DURING THE YEAR ENDED SEPTEMBER 30, 2020, THE CHARGES FORGONE RELATED TO DEERFIELD'S BENEVOLENT ASSISTANCE PROGRAM WERE APPROXIMATELY $392,000.EXCEPT FOR SOME PRE-EXISTING FEE-FOR-SERVICE CONTRACTS, DEERFIELD OPERATES UNDER THE "LIFE CARE" CONCEPT WHEREBY RESIDENTS ENTER INTO AN AGREEMENT WITH THE ORGANIZATION THAT SPECIFIES THE SERVICES AND FACILITIES TO BE PROVIDED TO THE RESIDENT OVER HIS OR HER REMAINING LIFE. THE AGREEMENT REQUIRES PAYMENT OF A ONE-TIME ENTRANCE FEE AND DEERFIELD'S MONTHLY SERVICE FEES. UNDER THE AGREEMENT, DEERFIELD HAS THE ABILITY TO INCREASE FEES AS DEEMED NECESSARY.IN FURTHERANCE OF ITS CHARITABLE PURPOSE, DEERFIELD PROVIDES MEETING AND OFFICE SPACE FOR THREE NON-PROFIT ORGANIZATIONS ON ITS GROUNDS. THE ANNUAL RENTAL INCOME FOREGONE IS VALUED AT AN ESTIMATED $303,300 DURING THE YEAR ENDED SEPTEMBER 30, 2020.DEERFIELD ALSO PROVIDES NUMEROUS COMMUNITY BENEFITS WHICH INCLUDE CHARITABLE DONATIONS AND DONATED VOLUNTEER SERVICES IN THE AMOUNTS OF $1,255,000 DURING THE YEAR ENDED SEPTEMBER 30, 2020. 30977865 1 1 0 0 0 0 0 0 0 0 1 0 0 1 1 1 0 1 0 0 0 0 0 0 0 0 0 1 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 1 71 0 1 444 1 0 0 0 0 0 0 0 0 0 0 0 0 X 14 14 0 0 0 0 0 1 0 1 1 0 0 1 1 1 1 1 1 1 1 0 X ROBERT K CHANDLER 8282741531 1617 HENDERSONVILLE RD ASHEVILLE NC 28803 DR VIRGINIA TEMPLETON SECRETARY 2.00 X X 0 0 0 MR JEFF COVINGTON CHAIR 2.00 1.00 X X 0 0 0 MR LARRY HARRIS TREASURER 2.00 1.00 X X 0 0 0 MRS ROBA WHITELEY VICE-CHAIR 2.00 X X 0 0 0 MR BOB BURGIN BOARD MEMBER 2.00 X 0 0 0 RT REVEREND JOSE MCLOUGHLIN BOARD MEMBER 2.00 X 0 0 0 MS CHRIS DISMUKES BOARD MEMBER 2.00 1.00 X 0 0 0 MRS SUZANNE DAWKINS BOARD MEMBER 2.00 X 0 0 0 MR EUGENE CARR BOARD MEMBER 2.00 X 0 0 0 MR JACK INGERSOLL BOARD MEMBER 2.00 X 0 0 0 DR ISAAC OWOLABI BOARD MEMBER 2.00 X 0 0 0 REVEREND S ROSS JONES BOARD MEMBER 2.00 X 0 0 0 MR GLENN MAYES BOARD MEMBER 2.00 X 0 0 0 MR BILL CLONTZ BOARD MEMBER 2.00 X 0 0 0 MR ROBERT F WERNET JR PRESIDENT/CEO 40.00 1.00 X 359746 0 93739 MR ROBERT CHANDLER CFO 40.00 1.00 X 231652 0 50008 MR MATT SHARPE DIRECTOR OF RESIDENT SERVI 40.00 1.00 X 174623 0 5179 MR KEITH EINSMAN DIRECTOR OF FACILITIES 40.00 1.00 X 144496 0 19086 MR BRIAN KING DIRECTOR OF HEALTH & WELLN 40.00 1.00 X 137719 0 20370 MS CINDY CLAMPETT DIRECTOR OF NURSING 40.00 1.00 X 115014 0 8460 MS KATE PHILLIPS DIRECTOR OF ACCOUNTING 40.00 1.00 X 112022 0 19540 1275272 0 216382 10 0 1 0 THW DESIGN 2100 RIVERDEDGE PKWY ATLANTA GA 30328 DESIGN 1080965 MECHANICAL BUILDING SYSTEMS LLC PO BOX 765 ARDEN NC 28704 HVAC 883018 WILLIAM A STEWART SUPERIOR PAINTING IN PO BOX 17637 ASHEVILLE NC 28816 PAINTING 682749 CORNERTSONE ELECTRICAL SERVICE 120 PEARL LANE MARS HILL NC 28754 ELECTRICAL 502641 CAROLINA FLOORING CONTRACTORS LLC PO BOX 700 NAPLES NC 28760 FLOORING 500315 16 424316 648416 1072732 RESIDENT FEES 623000 26065201 26065201 AMORTIZATION OF ENTRANCE FEES 623000 10051121 10051121 ADDITIONAL RESIDENT SERVICES 900099 1379543 1379543 37495865 1889086 1889086 856363 901 0 0 856363 901 857264 857264 8156 8433 -277 -277 MISCELLANEOUS REVENUE 900099 313319 313319 313319 41627989 37495865 0 3059392 1095123 1095123 49684 49684 591398 591398 12552356 10887963 1598848 65545 180650 136257 42486 1907 2453655 2028599 416502 8554 828785 721958 102700 4127 69896 69896 77225 77225 1168343 1163343 5000 140139 119804 20335 1871361 1238653 614223 18485 140590 140590 2448014 2448014 17363 4043 11099 2221 19781 13525 5806 450 1784028 1784028 6067744 6067744 243878 243878 FOOD 1960824 1960824 EMERGENCY DISASTER 573162 573162 MEDICAL SUPPLIES 390235 390235 RESIDENT EVENTS 30242 30242 34754476 30977865 3654987 121624 556 550 14682260 10253906 1572376 1662205 89344 82022 156439 250610 208666131 78236688 131419907 130429443 87429843 82097819 851682 15134293 236202407 239910848 4757762 4918036 102160652 100007834 59271201 56134752 1555753 1399597 167745368 162460219 X 61137193 70167192 7319846 7283437 68457039 77450629 236202407 239910848 X 6873513 1967332 152745 X X 0 1 X 1 0 X 1598417 1440841 3456874 1145703 1072732 8714567 31848736 34680436 35158431 35935168 37495865 175118636 15069 15545 15186 14947 8156 68903 33462222 36136822 38630491 37095818 38576753 183902106 182179 86547 321740 467668 139646 1197780 0 182179 86547 321740 467668 139646 1197780 182704326 1294569 1571924 1537837 1875255 1889086 8168671 1294569 1571924 1537837 1875255 1889086 8168671 318392 325169 316482 316748 313319 1590110 35075183 38033915 40484810 39287821 40779158 193660887 0.94340 0.94820 0.04220 0.03730 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 13966230 13966230 148332104 54364460 93967644 32021628 14321139 17700489 11082715 9551089 1531626 3263454 3263454 130429443 BOND ISSUANCE COSTS, NET 653561 INTEREST RECEIVABLE 139883 INVESTMENT IN FOUNDATION 13916533 DUE FROM RELATED PARTY 424316 15134293 ADMISSION DEPOSITS 1399597 1399597 X PART X, LINE 2: DEERFIELD IS EXEMPT FROM FEDERAL INCOME TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE; ACCORDINGLY, THE ACCOMPANYING FINANCIAL STATEMENTS DO NOT REFLECT A PROVISION OR LIABILITY FOR FEDERAL AND STATE INCOME TAXES. DEERFIELD HAS DETERMINED THAT IT DOES NOT HAVE ANY MATERIAL UNRECOGNIZED TAX BENEFITS OR OBLIGATIONS AS OF SEPTEMBER 30, 2020 AND 2019. 1 COMMUNITY FOUNDATION OF WNC 4 VANDERBILT PARK DR 300 ASHEVILLE NC 28803 561223384 300000 MISSION SUPPORT MEMORYCARE 100 FAR HORIZONS LANE ASHEVILLE NC 28803 562178294 65325 MISSION SUPPORT ASHEVILLE HUMANE SOCIETY 14 FOREVER FRIEND LANE ASHEVILLE NC 28806 561444098 39607 MISSION SUPPORT MANNA FOOD BANK 627 SWANNANOA RIVER ROAD ASHEVILLE NC 28805 581514800 40635 MISSION SUPPORT ASHEVILLE ART MUSEUM PO BOX 1717 ASHEVILLE NC 28802 566060776 19150 MISSION SUPPORT UNITED WAY 50 SOUTH FRENCH BROAD AVENUE ASHEVILLE NC 28801 560576157 24285 MISSION SUPPORT BELOVED COMMUNITY SHELTER PO BOX 6386 ASHEVILLE NC 28816 843381632 16100 MISSION SUPPORT PISGAH LEGAL SERVICES PO BOX 2276 ASHEVILLE NC 28802 561191115 14500 MISSION SUPPORT HABITAT FOR HUMANITY 30 MEADOW ROAD ASHEVILLE NC 28803 561363464 13520 MISSION SUPPORT BUNCOMBE COUNTY SERVICE FOUNDATION 200 COLLEGE STREET SUITE 300 ASHEVILLE NC 28801 453323540 12620 MISSION SUPPORT DOCTORS WITHOUT BORDERS PO BOX 5030 HAGERSTOWN MD 21741 133433452 8710 MISSION SUPPORT ST GILES CHAPEL 1617 HENDERSONVILLE ROAD ASHEVILLE NC 28803 311799918 8450 MISSION SUPPORT SALVATION ARMY 204 HAYWOOD STREET ASHEVILLE NC 28801 580660607 8100 MISSION SUPPORT PROJECT DIGNITY OF WNC PO BOX 6104 HENDERSONVILLE NC 28793 815123670 7685 MISSION SUPPORT HOMEWARD BOUND PO BOX 1166 ASHEVILLE NC 28802 561568917 7200 MISSION SUPPORT CALVARY EPISCOPAL FOOD PANTRY PO BOX 187 FLETCHER NC 28732 611657546 6395 MISSION SUPPORT HELPMATE PO BOX 2263 ASHEVILLE NC 28802 561276293 5695 MISSION SUPPORT ABCCM 20 TWENTIETH STREET ASHEVILLE NC 28806 560945001 5450 MISSION SUPPORT CHURCH OF THE ADVOCATE 60 CHURCH STREET ASHEVILLE NC 28801 263307854 7775 MISSION SUPPORT LAKE LOGAN EPISCOPAL CENTER 25 WORMY CHESTNUT LANE CANTON NC 28716 560797521 7600 MISSION SUPPORT MEALS ON WHEELS 146 VICTORIA ROAD ASHEVILLE NC 28801 561115597 8740 MISSION SUPPORT COUNCIL ON AGING 46 SHEFFIELD CIRCLE ASHEVILLE NC 28803 237410586 52800 MISSION SUPPORT 22 0 BENEVOLENT ASSISTANCE - SHOWN AS CONTRA REVENUE ON PART VIII OF FORM 990 18 392000 COST OF PROVIDING SERVICES SERVICES PROVIDED TO RESIDENTS FREE OF CHARGE SCHOLARSHIPS 15 49684 PART I, LINE 2: THE ORGANIZATION MAINTAINS A SCHOLARSHIP PROGRAM, APPLICANTS MUST MEET THE PROGRAM CRITERIA PRIOR TO RECEIVING A SCHOLARSHIP. THE ORGANIZATION ALSO MAINTAINS A BENEVOLENT ASSISTANCE PROGRAM TO ASSIST RESIDENTS IN FINANCIAL NEED. X X X 0 1 0 0 0 0 0 0 0 MR ROBERT F WERNET JR PRESIDENT/CEO 296208 0 59222 0 4316 0 77503 0 16236 0 453485 0 0 0 MR ROBERT CHANDLER CFO 200393 0 31259 0 0 0 33772 0 16236 0 281660 0 0 0 MR MATT SHARPE DIRECTOR OF RESIDENT SERVI 153077 0 18565 0 2981 0 5179 0 0 0 179802 0 0 0 MR KEITH EINSMAN DIRECTOR OF FACILITIES 131890 0 10065 0 2541 0 2850 0 16236 0 163582 0 0 0 MR BRIAN KING DIRECTOR OF HEALTH & WELLN 122385 0 13065 0 2269 0 4131 0 16239 0 158089 0 0 0 PART I, LINE 4B ROBERT WERNET, CEO AND ROBERT CHANDLER, CFO PARTICIPATE IN A SUPPLEMENTAL NON-QUALIFIED RETIREMENT PLAN. THE BOARD INCLUDES THESE AMOUNTS IN HIS ANNUAL COMPENSATION REVIEW AND APPROVAL PROCESS. **NOTE $67,009 AND $26,822 OF THE AMOUNT REPORTED ON THE FORM 990, PAGE 7, COLUMN (F) AND SCHEDULE J, PAGE 2, COLUMN C REFLECT AN AMOUNT NOT ACTUALLY RECEIVED BY THE CEO AND CFO RESPECTIVELY DURING THE YEAR. A NORTH CAROLINA MEDICAL CARE COMMISSION 521309402 2014-08-05 24160000 REFUND BONDS ISSUED SERIES 2004A, SERIES 1997, SERIES 2008A, AND SERIESB 0 0 0 B NORTH CAROLINA MEDICAL CARE COMMISSION 521309402 65821DUZ2 2016-08-10 46440668 REFUND BONDS SERIES 2016 0 0 0 A 11460000 24160660 284250 23875750 2014 1 0 0 1 B 750000 45783663 657005 2008 1 0 0 1 A 0 0 0 0 0 0 0 B 0 0 0 0 0 0 0 A 0 0 0 0 1 0 0 0 0 B 0 0 0 0 1 0 0 0 0 A 0 B 0 PART II, LINE 11: AMOUNTS PRESENTED ON LINE 11 WERE USED TO CURRENTLY REFUND PRIOR ISSUES. FORM 990, PART VI, SECTION A, LINE 7A THE BOARD OF DIRECTORS IS ELECTED BY THE EXECUTIVE COUNCIL OF THE EPISCOPAL DIOCESE OF WESTERN NORTH CAROLINA FROM PERSONS NOMINATED BY THE ORGANIZATION'S BOARD OF DIRECTORS. FORM 990, PART VI, SECTION B, LINE 11B THE ORGANIZATION PROVIDED A COPY OF THE 990 TO EACH BOARD MEMBER FOR PERSONAL REVIEW PRIOR TO FILING THE RETURN. THE FINANCE COMMITTEE HELD A MEETING TO FORMALLY REVIEW AND APPROVE THE 990. FORM 990, PART VI, SECTION B, LINE 12C THE COMPLIANCE OFFICER ANNUALLY REVIEWS THE CONFLICT OF INTEREST POLICY AND THAT IT IS BEING FOLLOWED. BOARD MEMBERS ARE RESPONSIBLE FOR BRINGING ANY POTENTIAL CONFLICT OF INTEREST TO ATTENTION AND REMOVING THEMSELVES FROM SITUATIONS WHERE THERE MAY BE A POTENTIAL CONFLICT. FORM 990, PART VI, SECTION B, LINE 15 THE CHAIRMAN OF THE BOARD AND THE EXECUTIVE COMMITTEE PERFORM AN ANNUAL REVIEW OF THE CEO AND OTHER MANAGEMENT OFFICIALS' COMPENSATION FOR REASONABLENESS BY COMPARING COMPENSATION TO AMOUNTS FOUND ON 990S OF SIMILAR ORGANIZATIONS AND COMPENSATION STUDIES. FORM 990, PART VI, SECTION C, LINE 18 THE ORGANZIATION'S 990 ARE MADE AVAILABLE UPON REQUEST. ALSO, RECENT FILINGS OF THE FORM 990 ARE MADE AVAILABLE AT WWW.GUIDESTAR.ORG. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE MADE AVAILABLE UPON REQUEST. FORM 990, PART XI, LINE 9: OTHER CHANGE IN DONOR RESTRICTED NET ASSETS 152,745. FORM 990, PART XII, LINE 2C THE PROCESS HAS NOT CHANGED SINCE THE PRIOR YEAR. DEERFIELD CHARITABLE FOUNDATION 1617 HENDERSONVILLE ROAD ASHEVILLE NC 28803 833913679 SUPPORT NC 501(C)(3) LINE 12A, I DEERFIELD EPISCOPAL RETIREMENT COMMUNITY INC 1 0 0 1 0 0 0 0 0 0 0 0 1 0 1 1 0 0 1 0 DEERFIELD CHARITABLE FOUNDATION C 424316 FMV