2024-08-15T12:38:34-05:00 2023-09-30 440160260 FORVIS MAZARS LLP 500 RIDGEFIELD COURT ASHEVILLE NC 28806 990 2022-10-01 560614176 DEERFIELD EPISCOPAL RETIREMENT COMMUNITY INC DEER 8282741531 1617 HENDERSONVILLE ROAD ASHEVILLE NC 28803 ROBERT K CHANDLER CFO 8282741531 2024-08-15 1 0 AMY BIBBY P00445891 8282542254 2024-08-15 2022 2024-08-08 14:25:15Z ROBERT K CHANDLER 1617 HENDERSONVILLE ROAD ASHEVILLE NC 28803 45652928 0 X WWW.DEERFIELDWNC.ORG X 1955 NC LIFETIME CARE IN A RELIGIOUS ATMOSPHERE 14 13 419 120 0 0 1522508 1650416 36110794 39636610 5362933 4028920 311496 329841 43307731 45645787 1025726 1030844 0 0 17381223 17900441 0 0 161804 19823088 21957507 38230037 40888792 5077694 4756995 241626533 252466839 161664509 161003740 79962024 91463099 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 36495397 1030844 39636610 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, 2023 THE CHARGES FORGONE RELATED TO DEERFIELD'S BENEVOLENT ASSISTANCE PROGRAM WERE APPROXIMATELY $396,000.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 $303,000 DURING THE YEAR ENDED SEPTEMBER 30, 2023DEERFIELD ALSO PROVIDES NUMEROUS COMMUNITY BENEFITS WHICH INCLUDE CHARITABLE DONATIONS AND DONATED VOLUNTEER SERVICES IN THE AMOUNTS OF $1,370,000 DURING THE YEAR ENDED SEPTEMBER 30, 2023 36495397 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 1 0 0 0 0 0 1 1 1 0 0 1 79 0 1 419 1 0 0 0 0 0 0 0 0 0 0 0 0 X 14 13 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 JEFF COVINGTON BOARD MEMBER 2.00 X 0 0 0 ROBA WHITELEY CHAIR 2.00 X X 0 0 0 JOHN FLEMING BOARD MEMBER 2.00 X 0 0 0 VIRGINIA TEMPLETON BOARD MEMBER 2.00 X 0 0 0 GLENN MAYES TREASURER 2.00 X X 0 0 0 ISAAC OWOLABI BOARD MEMBER 2.00 X 0 0 0 LAUREL RADLEY BOARD MEMBER 2.00 X 0 0 0 EUGENE CARR VICE CHAIR 2.00 X X 0 0 0 BILL CLONTZ BOARD MEMBER 2.00 X 0 0 0 SUZANNE DAWKINS BOARD MEMBER 2.00 X 0 0 0 CHRIS DISMUKES BOARD MEMBER 2.00 X 0 0 0 REV TODD DONATELLI BOARD MEMBER 2.00 X 0 0 0 ROBERT KIEFFER SECRETARY 2.00 X X 0 0 0 BRENDA NASH BOARD MEMBER 2.00 X 0 0 0 PAT BAKER BOARD MEMBER 2.00 X 0 0 0 THE RT REV JOSE MCLOUGHLIN BOARD MEMBER 2.00 X 0 0 0 TOM OWENS BOARD MEMBER 2.00 X 0 0 0 DAVE BROWN BOARD MEMBER 2.00 X 0 0 0 LIBBY BUSH CEO (BEGINNING AUG. '22) 40.00 X 178842 0 4062 ROBERT F WERNET JR CEO (THROUGH SEPT. '22) 40.00 X 1863015 0 17028 ROBERT CHANDLER CFO 40.00 X 269586 0 133768 MATT SHARPE COO 40.00 X 222967 0 5768 KEITH EINSMANN DIRECTOR OF FACILITIES 40.00 X 162873 0 21400 BRIAN KING DIRECTOR OF HEALTH & WELLN 40.00 X 151075 0 22965 CINDY CLAMPETT DIRECTOR OF NURSING 40.00 X 127370 0 9423 KATHY FOSTER DIRECTOR OF MARKETING 40.00 X 133099 0 13416 3108827 0 227830 12 0 1 0 THW DESIGN 2100 RIVEREDGE PARKWAY SUITE 900 ATLANTA GA 30328 DESIGN 1898541 CORNERSTONE ELECTRICAL SERVICES 120 PEARL LANE MARS HILL NC 28754 ELECTRICIAN 997225 JIMMY WHITE BUILDERS 5 MILL RACE LANE SWANNANOA NC 28778 CONTRACTOR 858697 MECHANICAL BUILDING SYSTEMS PO BOX 765 ARDEN NC 28704 HVAC 675590 WILLIAM A STEWART SUPERIOR PO BOX 602292 ASHEVILLE NC 28816 CONTRACTOR 401387 31 387261 1263155 1650416 RESIDENT FEES 623000 28927302 28927302 AMORTIZATION OF ENTRANCE FEES 623000 10108781 10108781 ADDITIONAL RESIDENT SERVICES 900099 600527 600527 39636610 2492431 2492431 1536489 0 1536489 1536489 1536489 8691 7141 1550 1550 MISCELLANEOUS REVENUE 900099 328291 328291 328291 45645787 39636610 0 4358761 1016933 1016933 13911 13911 2534409 1188153 1346256 11714959 10684884 937239 92836 180818 128524 49604 2690 2472249 2065072 393182 13995 998006 867669 123595 6742 189307 189307 300986 300986 3209164 3201164 8000 220640 207325 13315 2272565 1618886 630179 23500 263317 263317 3916265 3916265 50658 7649 42298 711 50652 39017 11620 15 1547796 1547796 6680782 6680782 355401 355401 FOOD 2516953 2516953 MEDICAL SUPPLIES 321448 321448 RESIDENT EVENTS 57041 57041 EMERGENCY DISASTER 4532 4532 40888792 36495397 4231591 161804 550 550 9895700 12255886 1266174 1557309 113207 175485 301739 294850 226772561 96663480 133189787 130109081 81120741 91971738 15738635 16101940 241626533 252466839 6091486 6988856 104690543 106318066 49117892 45823744 1764588 1873074 161664509 161003740 X 71682930 81739193 8279094 9723906 79962024 91463099 241626533 252466839 X 4756995 5232537 1511543 X 0 1 X 1 0 X 1145703 1072732 1430676 1522508 1650416 6822035 35935168 37495865 36551095 36110794 39636610 185729532 14947 8156 9123 9385 8691 50302 37095818 38576753 37990894 37642687 41295717 192601869 467668 139646 151865 456430 527726 1743335 0 467668 139646 151865 456430 527726 1743335 190858534 1875255 1889086 1579830 1943476 2492431 9780078 1875255 1889086 1579830 1943476 2492431 9780078 316748 313319 308212 309896 328291 1576466 39287821 40779158 39878936 39896059 44116439 203958413 0.93580 0.94050 0.04800 0.04410 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 13966230 13966230 149378080 65470592 83907488 44280890 20792888 23488002 12121515 10400000 1721515 7025846 7025846 130109081 BOND ISSUANCE COSTS, NET 466661 INTEREST RECEIVABLE 175117 INVESTMENT IN FOUNDATION 13916533 DUE FROM RELATED PARTY 1543629 16101940 ADMISSION DEPOSITS 1873074 1873074 X 50878324 5232537 5232537 45645787 0 45645787 40888792 0 40888792 0 40888792 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, 2023 AND 2022. 1 ABCCM 20 TWENTIETH STREET ASHEVILLE NC 28806 560945001 501(C)(3) 42500 0 OPERATIONAL SUPPORT AMERICAN RED CROSS 100 EDGEWOOD ROAD ASHEVILLE NC 28804 530196605 501(C)(3) 14125 0 OPERATIONAL SUPPORT ASHEVILLE HUMANE SOCIETY 14 FOREVER FRIEND LANE ASHEVILLE NC 28806 561444098 501(C)(3) 11720 0 OPERATIONAL SUPPORT BELOVED ASHEVILLE 32 OLD CHARLOTTE HIGHWAY ASHEVILLE NC 28803 843381632 501(C)(3) 9800 0 OPERATIONAL SUPPORT CALVARY EPISCOPAL CHURCH FOOD PANTRY PO BOX 187 FLETCHER NC 28732 611657546 501(C)(3) 7750 0 OPERATIONAL SUPPORT DOCTORS WITHOUT BORDERS PO BOX 5030 HAGERSTOWN MD 21741 133433452 501(C)(3) 18715 0 OPERATIONAL SUPPORT EPISCOPAL RELIEF & DEVELOPMENT 815 SECOND AVENUE NEW YORK NY 10017 731635264 501(C)(3) 55770 0 OPERATIONAL SUPPORT FLAT ROCK PLAYHOUSE PO BOX 310 FLAT ROCK NC 28731 560571518 501(C)(3) 6600 0 OPERATIONAL SUPPORT FOUR SEASONS FOUNDATION 211 N MAIN STREET HENDERSONVILLE NC 28792 475508988 501(C)(3) 7500 0 OPERATIONAL SUPPORT HABITAT FOR HUMANITY 30 MEADOW ROAD ASHEVILLE NC 28803 561363464 501(C)(3) 21816 0 OPERATIONAL SUPPORT HAYWOOD STREET CONGREGATION & RESPITE 297 HAYWOOD STREET ASHEVILLE NC 28801 455301549 501(C)(3) 15925 0 OPERATIONAL SUPPORT HELPMATE PO BOX 2263 ASHEVILLE NC 28802 561276293 501(C)(3) 37100 0 OPERATIONAL SUPPORT HOMEWARD BOUND PO BOX 1166 ASHEVILLE NC 28802 561568917 501(C)(3) 19875 0 OPERATIONAL SUPPORT MANNA FOOD BANK 627 SWANNANOA RIVER ROAD ASHEVILLE NC 28805 581514800 501(C)(3) 67320 0 OPERATIONAL SUPPORT MARTIN LUKTHER KING JR ASSOCIATION OF ASHEVILLE & BUNCOMBE CO PO BOX 328 ASHEVILLE NC 28802 134219513 501(C)(3) 8250 0 OPERATIONAL SUPPORT MEALS ON WHEELS 146 VICTORIA ROAD ASHEVILLE NC 28801 561115597 501(C)(3) 11650 0 OPERATIONAL SUPPORT MEMORYCARE 100 FAR HORIZONS LANE ASHEVILLE NC 28803 562178294 501(C)(3) 22650 0 OPERATIONAL SUPPORT MOUNTAINCARE INC PO BOX 5956 ASHEVILLE NC 28813 562005198 501(C)(3) 5800 0 OPERATIONAL SUPPORT NATURE CONSERVANCY 4245 N FAIRFAX DR STE 100 ARLINGTON VA 22203 530242652 501(C)(3) 6905 0 OPERATIONAL SUPPORT PBS NORTH CAROLINA 10 UNC-TV DRIVE PO BOX 14900 RESEARCH TRIANGLE PARK NC 27709 566172047 501(C)(3) 6965 0 OPERATIONAL SUPPORT PISGAH LEGAL SERVICES PO BOX 2276 ASHEVILLE NC 28802 561191115 501(C)(3) 88950 0 OPERATIONAL SUPPORT PLANNED PARENTHOOD 68 MCDOWELL STREET ASHEVILLE NC 28801 131644147 501(C)(3) 13900 0 OPERATIONAL SUPPORT PROJECT DIGNITY PO BOX 6104 HENDERSONVILLE NC 28793 815123670 501(C)(3) 8002 0 OPERATIONAL SUPPORT SALVATION ARMY 204 HAYWOOD STREET ASHEVILLE NC 28801 580660607 501(C)(3) 13150 0 OPERATIONAL SUPPORT SAMARITAN'S PURSE PO BOX 3000 BOONE NC 28607 581437002 501(C)(3) 20350 0 OPERATIONAL SUPPORT SOUTHERN POVERTY LAW CENTER 400 WASHINGTON AVENUE MONTGOMERY AL 36104 630598743 501(C)(3) 10225 0 OPERATIONAL SUPPORT ST JUDE'S CHILDRENS HOSPITAL 262 DANNY THOMAS PLACE MEMPHIS TN 38105 620646012 501(C)(3) 7050 0 OPERATIONAL SUPPORT UNITED WAY 50 SOUTH FRENCH BROAD AVENUE ASHEVILLE NC 28801 560576157 501(C)(3) 25275 0 OPERATIONAL SUPPORT VERNER CENTER FOR EARLY LEARNING 2586 RICEVILLE RD ASHEVILLE NC 28805 562040462 501(C)(3) 22250 0 OPERATIONAL SUPPORT 29 0 BENEVOLENT ASSISTANCE - SHOWN AS CONTRA REVENUE ON PART VIII OF FORM 990 7 395724 COST OF PROVIDING SERVICES SERVICES PROVIDED TO RESIDENTS FREE OF CHARGE SCHOLARSHIPS 6 13911 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 ROBERT F WERNET JR CEO (THROUGH SEPT. '22) 222723 0 62584 0 1577708 0 8623 0 8405 0 1880043 0 1432417 0 ROBERT CHANDLER CFO 223185 0 45100 0 1301 0 115335 0 18433 0 403354 0 0 0 MATT SHARPE COO 188356 0 23565 0 11046 0 5768 0 0 0 228735 0 0 0 KEITH EINSMANN DIRECTOR OF FACILITIES 145569 0 14500 0 2804 0 2967 0 18433 0 184273 0 0 0 LIBBY BUSH CEO (BEGINNING AUG. '22) 111250 0 67592 0 0 0 0 0 4062 0 182904 0 0 0 BRIAN KING DIRECTOR OF HEALTH & WELLN 132900 0 15565 0 2610 0 4532 0 18433 0 174040 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. DURING CALENDAR YEAR 2022, UNDER THE TERMS OF THE PLAN $1,432,417 WAS INCLUDED IN ROBERT WERNET, CEO'S FORM W-2 DURING CALENDAR YEAR 2022, UNDER THE TERMS OF THE PLAN $107,286 WAS ACCRUED FOR ROBERT CHANDLER, CFO 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 19070000 24160660 284250 23875750 2014 1 0 0 1 B 2080000 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. DESIGN ONE OWNED BY BOARD MEMBER 195860 PAYMENT FOR MARKETING SERVICES 0 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 1,511,543. 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 0 0 DEERFIELD CHARITABLE FOUNDATION C 387261 FMV