2016-08-08T15:05:13-05:00 2015-12-31 420794029 Denman & Company LLP 1601 22nd Street Suite 400 West Des Moines IA 502661453 990 2015-01-01 421508960 Deerfield Retirement Community Inc DEER 5152885805 100 East Grand Avenue No 200 Des Moines IA 503091835 LARRY M SMITH VICE PRESIDENT & CFO 5152885805 2016-08-05 1 Bruce Cahill P00546325 5152258400 2015 2016-12-15 16:53:06Z M SLOAN BENTLEY 100 East Grand Avenue No 200 Des Moines IA 503091835 9218571 0 X N/A X 2000 IA CREATING COMMUNITIES CELEBRATING THE LIVES OF SENIORS. LIFESPACE RECOGNIZES THAT ITS MISSION CAN ONLY BE FULFILLED THROUGH THE DEDICATED EFFORTS OF ITS EMPLOYEES, THEREFORE INCLUDED IN OUR MISSION IS THE ABILITY TO PROVIDE DISASTER RELIEF FUNDS TO EMPLOYEES WHO ENCOUNTER CIRCUMSTANCES RECOGNIZED BY FEDERAL AND STATE AGENCIES AS QUALIFYING FOR EMERGENCY DISASTER RELIEF. 8 7 217 184 0 0 10815909 2441 9354468 9215714 552612 -180377 0 0 20722989 9037778 73600 101793 0 0 5940850 5749327 0 0 0 9404615 9882637 15419065 15733757 5303924 -6695979 59702175 60846163 103292770 105917034 -43590595 -45070871 X CREATING COMMUNITIES CELEBRATING THE LIVES OF SENIORS. LIFESPACE RECOGNIZES THAT ITS MISSION CAN ONLY BE FULFILLED THROUGH THE DEDICATED EFFORTS OF ITS EMPLOYEES, THEREFORE INCLUDED IN OUR MISSION IS THE ABILITY TO PROVIDE DISASTER RELIEF FUNDS TO EMPLOYEES WHO ENCOUNTER CIRCUMSTANCES RECOGNIZED BY FEDERAL AND STATE AGENCIES AS QUALIFYING FOR EMERGENCY DISASTER RELIEF. 0 0 13241485 101793 9034982 TO PROVIDE APARTMENTS AND HEALTH CARE FOR RETIRED PERSONS. RESIDENTS PAY AN INITIAL ENTRANCE FEE AND MONTHLY FEES THEREAFTER WHICH ENTITLE THEM TO USE OF THE COMMUNITY FOR LIFE AND UNLIMITED USE OF THE HEALTH CENTER. RESIDENTS DO NOT ACQUIRE TITLE TO THE PROPERTY. 13241485 1 0 0 0 0 0 0 0 0 0 1 0 0 0 1 1 1 1 0 0 0 0 0 0 0 0 0 1 1 1 1 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 1 0 0 0 1 59 0 217 1 0 0 0 0 0 0 0 0 0 0 X 8 7 0 0 0 0 1 1 0 1 1 0 0 1 1 1 1 1 1 1 1 0 X TIM NEVINS 5152885805 100 EAST GRAND AVENUE SUITE 200 DES MOINES IA 50309 JOHN J KADUCE DIRECTOR 2.00 2.50 X 0 32000 0 ANN A WAGNER-HAUSER DIRECTOR 2.00 2.50 X 0 34000 0 DONALD W BOURNE DIRECTOR 2.00 2.50 X 0 34000 0 WILLIAM R COOK PRIOR DIRECTOR 2.00 2.50 X 0 8500 0 PAULA J SHIVES DIRECTOR 2.00 2.50 X 0 32000 0 RITA M DRAGONETTE DIRECTOR & VICE-CHAIR 2.00 2.50 X 0 34000 0 E LAVERNE EPP DIRECTOR & CHAIR 6.00 6.50 X 0 40500 0 ROBERT C KEHM DIRECTOR & PRIOR CHAIR 2.00 2.50 X 0 35500 0 M SLOAN BENTLEY PRESIDENT/CEO/DIRECTOR 2.00 40.50 X X 0 688183 11901 LARRY M SMITH VICE PRES/CFO & TREASURER 2.00 40.50 X 0 328003 23098 JOEILYNN LEONHARDT VICE PRESIDENT - HR 2.00 40.50 X 0 218840 20412 KIMBERLY HULETT VICE PRESIDENT - MARKETING 2.00 40.50 X 0 277635 12827 SYDNEY J CODER CORPORATE SECRETARY 2.00 2.50 X 0 14877 0 SARA E HAMM VICE PRESIDENT - CLINICAL SALES 2.00 40.50 X 0 159311 7078 JODI HIRSCH VICE PRESIDENT & GENERAL COUNSEL 2.00 40.50 X 0 241495 1421 AMY E LACROIX REGIONAL OPERATIONS DIRECTOR 15.00 25.00 X 0 163785 4861 CYNTHIA MCNAIR EXECUTIVE DIRECTOR 40.00 X 158172 0 7535 SCOTT M HARRISON PRIOR PRESIDENT & CEO 0.00 0.00 X 0 406250 0 158172 2748879 89133 1 1 1 0 ROYAL FLOORING 9850 DOUGLAS AVE URBANDALE IA 50322 CONTRACTOR 1134717 GLYNN DEVINS ADVERTISING 11230 COLLEGE BLVD OVERLAND PARK KS 66210 MARKETING 799504 GREYSTONE DEVELOPMENT 225 E JOHN CARPENTER FREEWAY STE 7 IRVING TX 75062 CONSULTING 620469 US ARCHITECTURE INC 1414 UNDERWOOD AVENUE SUITE 301 WAUWATOSA WI 53213 CONTRACTOR 351182 US FOODS PO BOX 310347 DES MOINES IA 50331 FOOD & BEVERAGE 286722 8 2295 146 2441 APARTMENT FEES 531110 5883493 5883493 SKILLED NURSING 623000 2602011 2602011 ENTRANCE FEES 531110 730210 730210 9215714 335 335 81 61 180732 20 -180732 -180712 -180732 20 9037778 9034982 0 355 11490 11490 90303 90303 4513845 3611076 902769 27063 21650 5413 675529 540423 135106 532890 426312 106578 777193 738333 38860 653594 653594 25544 25544 77300 77300 1383410 1106728 276682 870583 870583 2625177 2493918 131259 124817 122321 2496 PLANT OPERATIONS 1045947 1045947 PROPERTY TAXES 633793 602103 31690 DIETARY 565567 565567 MEDICAL & OTHER RESIDEN 562836 562836 536876 431895 104981 15733757 13241485 2492272 0 478855 598429 1195276 2112376 33105 38161 120835 82431 79428213 23759428 54516774 55668785 112796 162027 3244534 2183954 59702175 60846163 3215524 4677275 28263598 28352865 4787359 11486800 12735860 12735860 54290429 48664234 103292770 105917034 X -43590595 -45070871 -43590595 -45070871 59702175 60846163 X -6695979 -3331 5219034 X X 0 1 X 1 0 X 3081314 5452527 14202 10815909 2441 19366393 10050171 10738650 9699763 9354468 9215714 49058766 13131485 16191177 9713965 20170377 9218155 68425159 3078699 5452527 12185 10813432 2295 19359138 0 3078699 5452527 12185 10813432 2295 19359138 49066021 153488 153134 153391 56909 335 517257 153488 153134 153391 56909 335 517257 13284973 16344311 9867356 20227286 9218490 68942416 0.71170 0.71670 0.00750 0.00950 X 2891479 2891479 74667473 22411357 52256116 1869261 1348071 521190 55668785 ENTRANCE FEE DEPOSITS 155975 DEFERRED ENTRANCE FEES & REFUNDABLE ENTRANCE FEES 41754101 UNAMORTIZED BOND PREMIUM 389603 FUTURE SERVICE OBLIGATION 6364555 48664234 X 8859000 -3331 -178000 -181331 9040331 -2553 -2553 9037778 10340000 -5216302 -5216302 15556302 177455 177455 15733757 Part X, Line 2: DEERFIELD HAS BEEN GRANTED AN EXEMPTION FROM FEDERAL INCOME TAX UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE AND HAS BEEN DESIGNATED AS A PUBLICLY SUPPORTED ORGANIZATION (RATHER THAN A PRIVATE FOUNDATION). DEERFIELD EVALUATES TAX POSITIONS TAKEN OR EXPECTED TO BE TAKEN IN THE COURSE OF PREPARING ITS TAX RETURNS TO DETERMINE WHETHER IT IS "MORE LIKELY THAN NOT" THAT EACH TAX POSITION WOULD BE SUSTAINED UPON EXAMINATION BY A TAXING AUTHORITY BASED ON THE TECHNICAL MERITS OF THE POSITION. TAX POSITIONS NOT DEEMED TO MEET THE MORE-LIKELY-THAN-NOT THRESHOLD WOULD BE RECORDED AS A TAX BENEFIT OR EXPENSE IN THE CURRENT YEAR. FOR THE YEARS ENDED DECEMBER 31, 2015 AND 2014, DEERFIELD HAS NOT RECORDED ANY SUCH TAX BENEFIT OR EXPENSE IN THE ACCOMPANYING FINANCIAL STATEMENTS. NO EXAMINATIONS ARE IN PROGRESS OR ANTICIPATED AT THIS TIME. DEERFIELD'S FEDERAL INCOME TAX RETURNS ARE OPEN TO EXAMINATION FOR THE YEARS ENDED DECEMBER 31, 2012 THROUGH DECEMBER 31, 2014. Part XI, Line 2d - Other Adjustments: PASS-THROUGH THERAPY EXPENSE (MEDICAL & OTHER RESIDENT CARE) -178,000. Part XI, Line 4b - Other Adjustments: LOSS ON DISPOSAL OF FIXED ASSETS -180,732. REVENUES NETTED AGAINST EXPENSES ON FINANCIAL STATEMENTS 178,000. VARIANCE DUE TO ROUNDED AUDITED FINANCIAL STATEMENTS 179. Part XII, Line 2d - Other Adjustments: LOSS ON DISPOSAL OF FIXED ASSETS 180,732. REVENUES NETTED AGAINST EXPENSES ON FINANCIAL STATEMENTS -178,000. DECREASE IN OBLIGATION TO PROVIDE FUTURE SERVICES -5,219,034. Part XII, Line 4b - Other Adjustments: PASS-THROUGH THERAPY EXPENSE (MEDICAL & OTHER RESIDENT CARE) 178,000. VARIANCE DUE TO ROUNDED AUDITED FINANCIAL STATEMENTS -545. 1 LIFESPACE COMMUNITIES INC 100 EAST GRAND AVENUE SUITE 200 DES MOINES IA 50309 421068850 501(C)(3) 11490 CAPITAL CONTRIBUTION 1 0 HARDSHIP ASSISTANCE - REDUCTION OF FEES 2 90303 FAIR MARKET VALUE OF REDUCTION OF FEES RESIDENTS DO FROM TIME TO TIME SEEK FINANCIAL ASSISTANCE BY REQUESTING ASSISTANCE WITH THE MONTHLY FEE. SINCE THESE RESIDENTS HAVE SIGNED A LIFE CARE CONTRACT, THE ORGANIZATION IS OBLIGATED TO LET THEM CONTINUE TO LIVE IN THE COMMUNITY. MANAGEMENT SHALL REVIEW BOARD APPROVED CRITERIA TO DETERMINE WHETHER THE RESIDENT IS A CANDIDATE TO RECEIVE A HARDSHIP DISCOUNT. IF THE RESIDENT QUALIFIES FOR A HARDSHIP DISCOUNT, THE DISCOUNT WILL BEGIN TO BE DEDUCTED FROM THE MONTHLY FEES. Part I, Line 2: THE ORGANIZATION CAN EASILY MONITOR THE USE OF THE GRANTS TO INDIVIDUALS BECAUSE THE GRANTS ARE SIMPLY REDUCTIONS OF THE MONTHLY FEES AND ENTRANCE FEES THAT THE RESIDENT WOULD OWE IF THE HARDSHIP ASSISTANCE WAS NOT GRANTED. THE GRANT TO LIFESPACE COMMUNITIES, INC. IS AN ADDITIONAL CAPITAL CONTRIBUTION. X X X X 1 0 0 0 0 0 0 0 0 M SLOAN BENTLEY PRESIDENT/CEO/DIRECTOR 0 454018 0 234027 0 138 0 2622 0 9279 0 700084 0 0 LARRY M SMITH VICE PRES/CFO & TREASURER 0 269747 0 57998 0 258 0 9193 0 13905 0 351101 0 0 JOEILYNN LEONHARDT VICE PRESIDENT - HR 0 177670 0 41080 0 90 0 6507 0 13905 0 239252 0 0 KIMBERLY HULETT VICE PRESIDENT - MARKETING 0 127779 0 63349 0 86507 0 4815 0 8012 0 290462 0 0 SARA E HAMM VICE PRESIDENT - CLINICAL SALES 0 129060 0 30150 0 101 0 0 0 7078 0 166389 0 0 JODI HIRSCH VICE PRESIDENT & GENERAL COUNSEL 0 227032 0 14325 0 138 0 1421 0 0 0 242916 0 0 AMY E LACROIX REGIONAL OPERATIONS DIRECTOR 0 163581 0 150 0 54 0 0 0 4861 0 168646 0 0 CYNTHIA MCNAIR EXECUTIVE DIRECTOR 85619 0 43661 0 28892 0 2188 0 5347 0 165707 0 0 0 SCOTT M HARRISON PRIOR PRESIDENT & CEO 0 0 0 0 0 406250 0 0 0 0 0 406250 0 0 Part I, Line 4a SCOTT M. HARRISON (FORMER OFFICER & DIRECTOR) RECEIVED SEVERANCE PAYMENTS TOTALING $406,250 FROM LIFESPACE COMMUNITIES, INC. DURING 2015. ADDITIONAL PAYMENTS TOTALING $93,750 WILL BE MADE DURING 2016 IN ACCORDANCE WITH THE SEPARATION AGREEMENT. KIMBERLY HULETT (OFFICER) RECEIVED SEVERANCE PAYMENTS TOTALING $86,452 FROM LIFESPACE COMMUNITIES, INC. DURING 2015. CYNTHIA MCNAIR (HIGHLY COMPENSATED EMPLOYEE) RECEIVED SEVERANCE PAYMENTS TOTALING $28,807 FROM DEERFIELD RETIREMENT COMMUNITY, INC. DURING 2015. A IOWA FINANCE AUTHORITY 521699886 46247CBH1 2014-03-14 34189140 CONSTRUCT FACILITY & REFUND BOND (5/15/07) 0 0 0 B IOWA FINANCE AUTHORITY 521699886 46247CBP3 2015-10-16 33736500 CONSTRUCT FACILITY & REFUND BOND (3/14/14) 0 0 0 A 29736500 28896522 707382 28189140 2007 1 0 1 1 B 29786501 748415 50001 29736500 1 0 0 1 A 0 1 0 0 0.00300 0.00000 0.00300 0 0 1 B 0 1 0 0 0.00300 0.00000 0.00300 0 0 1 A 0 1 1 0 1 0 0 0 1 B 0 1 1 0 0 0 0 0 1 A 1 B 1 SCHEDULE K, PART I, LINES A & B, BOND ISSUES: THE 2014A, 2014B & 2014D BONDS WERE A SINGLE ISSUE (ISSUED 3/14/14). THE 2014A & 2014D BONDS WERE REISSUED AS PART OF THE 2014A, 2014D, & 2015A BONDS ISSUED ON 10/16/2015. SCHEDULE K, PART II, COLUMN A, LINE 3, TOTAL PROCEEDS OF ISSUE: THE TOTAL PROCEEDS DO NOT AGREE TO THE ISSUE PRICE IN PART I, COLUMN (E) AS THIS DEBT WAS ISSUED ON A DRAW-DOWN BASIS AND THE TOTAL PRINCIPAL AVAILABLE WAS NOT DRAWN PRIOR TO THE REISSUANCE DATE. SCHEDULE K, PART II, COLUMN B, LINE 3, TOTAL PROCEEDS OF ISSUE: THE TOTAL PROCEEDS DO NOT AGREE TO THE ISSUE PRICE IN PART I, COLUMN (E) AS THIS DEBT WAS ISSUED ON A DRAW-DOWN BASIS AND THE TOTAL PRINCIPAL AVAILABLE HAS NOT YET BEEN DRAWN. SCHEDULE K, PART II, COLUMN B, LINE 3, TOTAL PROCEEDS OF ISSUE: THE TOTAL PROCEEDS DO NOT EQUAL THE SUMMATION OF LINES 4-12 DUE TO TRANSFERRED OR REPLACEMENT PROCEEDS IN LINE 4. LIFESPACE COMMUNITIES INC RELATED CHARITABLE ORGANIZATION TAXABLE AND TAX-EXEMPT BONDS FOR CONSTRUCTION AND OPERATION OF COMMUNITY X 9023139 9023139 0 1 1 LIFESPACE COMMUNITIES INC RELATED CHARITABLE ORGANIZATION NOTES PAYABLE FOR ENTRANCE FEES REFUNDED AS PART OF OPERATION OF COMMUNITY X 2463661 2463661 0 1 1 11486800 Form 990, Part VI, Section A, line 6 LIFESPACE COMMUNITIES, INC. IS THE SOLE MEMBER OF DEERFIELD RETIREMENT COMMUNITY, INC. Form 990, Part VI, Section A, line 7a LIFESPACE COMMUNITIES, INC. HAS THE AUTHORITY TO ELECT THE MEMBERS OF THE GOVERNING BODY OF DEERFIELD RETIREMENT COMMUNITY, INC. PRESENTLY, THE BOARDS OF BOTH ORGANIZATIONS ARE IDENTICAL. Form 990, Part VI, Section B, line 11 MANAGEMENT PERFORMS A THOROUGH REVIEW OF THE FORM 990. THE RISK MANAGEMENT & AUDIT COMMITTEE OF THE BOARD OF DIRECTORS REVIEWS AND APPROVES THE FORM 990 PRIOR TO FILING. ANY CONCERNS OR SUGGESTIONS IDENTIFIED BY THE RISK MANAGEMENT & AUDIT COMMITTEE ARE REPORTED TO THE FULL BOARD OF DIRECTORS. A COPY OF THE FORM 990 WILL BE DISTRIBUTED TO THE ENTIRE BOARD OF DIRECTORS PRIOR TO FILING. MEMBERS OF THE BOARD OF DIRECTORS DIRECT ANY QUESTIONS OR CONCERNS TO THE CHIEF FINANCIAL OFFICER TO BE RESOLVED PRIOR TO FILING. Form 990, Part VI, Section B, line 12c OFFICERS AND MEMBERS OF THE BOARD OF DIRECTORS OF DEERFIELD RETIREMENT COMMUNITY, INC. AND ALL RELATED ORGANIZATIONS MUST CONDUCT THEIR PERSONAL AFFAIRS IN SUCH A MANNER AS TO AVOID ANY POSSIBLE CONFLICTS OF INTEREST WITH DUTIES AND RESPONSIBILITIES AS OFFICERS AND MEMBERS OF THE BOARD OF DIRECTORS. ALL NEW BOARD MEMBERS AND OFFICERS ARE REQUIRED TO COMPLETE A CONFLICTS OF INTEREST STATEMENT. THIS IS REVIEWED BY THE GOVERNANCE & NOMINATING COMMITTEE OF THE BOARD OF DIRECTORS FOR APPROVAL. OFFICERS AND MEMBERS OF THE BOARD OF DIRECTORS ANNUALLY ARE REQUIRED TO COMPLETE A CONFLICTS OF INTEREST STATEMENT. THESE STATEMENTS ARE REVIEWED BY THE GOVERNANCE & NOMINATING COMMITTEE TO DETERMINE IF ANY CONFLICTS OF INTEREST EXIST PRIOR TO REAPPOINTMENT TO THE BOARD AND OFFICER POSITIONS. ANY DIRECTOR HAVING A CONFLICT OF INTEREST SHALL NOT VOTE OR USE HIS OR HER PERSONAL INFLUENCE ON THE MATTER, AND SHALL NOT BE COUNTED IN DETERMINING THE QUORUM FOR THE MEETING. THE MINUTES OF THE MEETING SHALL REFLECT THAT A DISCLOSURE WAS MADE, THE ABSTENTION FROM VOTING, AND THE QUORUM SITUATION. Form 990, Part VI, Section B, line 15 COMPENSATION FOR OFFICERS AND DIRECTORS IS REVIEWED BY THE COMPENSATION COMMITTEE ANNUALLY. AN OUTSIDE CONSULTANT IS USED EVERY OTHER YEAR TO DETERMINE THE REASONABLENESS OF OFFICER AND DIRECTOR COMPENSATION. A REPORT IS PROVIDED TO THE BOARD OF DIRECTORS BY THE CONSULTANT. IN YEARS WHEN AN OUTSIDE CONSULTANT IS NOT USED, THE COMPENSATION COMMITTEE REVIEWS SURVEY INFORMATION TO DETERMINE THE REASONABLENESS OF OFFICER AND DIRECTOR COMPENSATION. THE BOARD OF DIRECTORS APPROVES THE ANNUAL COMPENSATION BASED ON THESE REVIEWS. OFFICERS FOR WHICH THIS PROCESS IS USED ARE THE CEO AND CFO. THE SALARIES AND BENEFITS LISTED CONTAIN THE TOTAL SALARIES AND BENEFITS PAID TO EACH INDIVIDUAL THROUGH LIFESPACE COMMUNITIES, INC. AND ALL RELATED ENTITIES. Form 990, Part VI, Section C, line 19 REQUESTS FROM THIRD PARTIES FOR GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE REFERRED TO THE CHIEF FINANCIAL OFFICER. ANNUAL RETURNS AND THE APPLICATION FOR EXEMPTION ARE MADE AVAILABLE FOR PUBLIC INSPECTION AND ARE PROVIDED TO INDIVIDUALS WHO REQUEST THEM. COPIES ARE PROVIDED WITHIN 30 DAYS OF A WRITTEN REQUEST OR THE SAME DAY IF REQUESTED IN PERSON. Form 990, Part XI, line 9: DECREASE IN OBLIGATION TO PROVIDE FUTURE SERVICES 5,219,034. FORM 990, PART XII, LINE 2C: THE PROCESS OF OVERSEEING THE AUDIT AND SELECTING AN INDEPENDENT ACCOUNTANT HAS NOT CHANGED FROM THE PRIOR YEAR. LIFESPACE COMMUNITIES INC 100 EAST GRAND AVENUE SUITE 200 DES MOINES IA 50309 421068850 OPERATION OF RETIREMENT COMMUNITIES IA 501(c)(3) Line 9 0 THE LIFESPACE FOUNDATION 100 EAST GRAND AVENUE SUITE 200 DES MOINES IA 50309 421370848 SUPPORT OF RETIREMENT COMMUNITIES IA 501(c)(3) Line 11a, I 0 LIFESPACE INC 100 EAST GRAND AVENUE SUITE 200 DES MOINES IA 50309 273270337 OWNERSHIP & ADMINISTRATION OF RETIREMENT COMMUNITY PROPERTY IA 501(c)(3) Line 11b, II 0 LIFESPACE MANAGEMENT INC 100 EAST GRAND AVENUE SUITE 200 DES MOINES IA 50309 273271283 MANAGEMENT OF RETIREMENT COMMUNITIES IA 501(c)(3) Line 11b, II 0 LIFESPACE SERVICES INC 100 EAST GRAND AVENUE SUITE 200 DES MOINES IA 50309 273271147 HEALTH SERVICES AND PROGRAMS FOR RETIREMENT COMMUNITIES IA 501(c)(3) Line 9 0 PRAIRIE VIEW CLUB OF KANSAS 8101 MISSION RD PRAIRIE VILLAGE KS 66208 481159378 RESIDENT ENTERTAINMENT SERVICES KS N/A C 0 0 1 1 0 1 0 0 0 0 0 0 0 0 0 0 1 0 0 0 LIFESPACE COMMUNITIES INC B 11490 THE LIFESPACE FOUNDATION C 2295 LIFESPACE COMMUNITIES INC E 6699441 LIFESPACE COMMUNITIES INC P 777193