2012-11-08T14:37:22-06:00 2011-12-31 420794029 DENMAN & COMPANY LLP 1601 22ND STREET SUITE 400 WEST DES MOINES IA 502661453 990 2011-01-01 421508960 DEERFIELD RETIREMENT COMMUNITY INC DEER 5152885805 100 EAST GRAND AVENUE NO 200 DES MOINES IA 503091835 SCOTT M HARRISON 5152885805 2012-10-17 1 BRUCE CAHILL P00546325 5152258400 2011 2016-02-24 21:20:13Z SCOTT M HARRISON 100 EAST GRAND AVENUE NO 200 DES MOINES IA 503091835 15139488 0 X N/A X 2000 IA CREATING COMMUNITIES CELEBRATING THE LIVES OF SENIORS. 10 9 236 95 0 0 26981 3081314 10904418 10050171 190348 99040 0 0 11121747 13230525 0 0 0 0 4580891 4614293 0 0 0 9278493 9495743 13859384 14110036 -2737637 -879511 68741121 68581857 92965577 93682084 -24224456 -25100227 CREATING COMMUNITIES CELEBRATING THE LIVES OF SENIORS. 0 0 12728848 9990693 TO PROVIDE APARTMENT UNITS AND HEALTH CARE FOR RETIRED PERSONS. RESIDENTS PAY AN INITIAL ENTRANCE FEE AND MONTHLY SERVICE FEES THEREAFTER WHICH ENTITLE THEM TO USE OF THE FACILITY FOR LIFE AND UNLIMITED USE OF THE HEALTH CENTER. RESIDENTS DO NOT ACQUIRE TITLE TO THE PROPERTY. 12728848 1 1 0 0 0 0 0 0 0 0 1 0 0 1 1 1 1 1 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 1 0 0 0 0 1 41 0 236 1 0 0 0 0 0 0 0 0 0 0 X 10 9 0 0 0 0 1 1 0 1 1 0 0 1 1 1 1 1 1 1 1 0 X JASON BULS 5152885805 100 EAST GRAND AVENUE SUITE 200 DES MOINES IA 50309 JOHN J KADUCE 2.00 X 0 25000 0 SCOTT M HARRISON 2.00 X X 0 431813 34212 ANN A WAGNER-HAUSER 2.00 X 0 25000 0 DONALD W BOURNE 2.00 X 0 25000 0 WILLIAM R COOK 2.00 X 0 27640 0 JAMES E NOLAND 2.00 X 0 25000 0 PAULA J SHIVES 6.00 X 0 31960 0 RITA M DRAGONETTE 2.00 X 0 24000 0 E LAVERNE EPP 2.00 X 0 25000 0 ROBERT C KEHM 2.00 X 0 25000 0 LARRY M SMITH 2.00 X 0 261559 33748 JAY BIERE 2.00 X 0 248717 33101 JOEY LEONHARDT 2.00 X 0 57662 6912 KIMBERLY HULETT 2.00 X 0 97888 9613 0 1331239 117586 0 0 1 0 SPECTRUM CONSULTANTS INC 1349 EAST GARRISON BLVD STE B GASTONIA NC 28054 MARKETING 168953 GLYNNDEVINS ADVERTISING 11230 COLLEGE BLVD OVERLAND PARK KS 66210 MARKETING 164498 PERFICUT LAWN & LANDSCAPING INC PO BOX 918 ANKENY IA 50021 LANDSCAPING 137700 REHABCARE GROUP INC PO BOX 503534 ST LOUIS MO 631503534 THERAPY 124067 BAKER GROUP 4224 HUBBELL AVENUE DES MOINES IA 503174508 HVAC 104515 5 3078699 2615 3081314 APARTMENT FEES 531110 6268076 6268076 SKILLED NURSING 623000 2096480 2096480 ENTRANCE FEES 531110 1685615 1685615 10050171 153488 153488 1826859 27656 1821829 87134 5030 -59478 -54448 -59478 5030 13230525 9990693 0 158518 3748065 2998452 749613 13936 11149 2787 526015 420812 105203 326277 261022 65255 417481 396607 20874 24941 24941 38603 38603 1200 1200 534453 427562 106891 2577964 2577964 2546933 2419586 127347 135246 132541 2705 PLANT OPERATIONS 873537 873537 PROPERTY TAXES 760894 722849 38045 DIETARY 552825 552825 MEDICAL & OTHER RESIDEN 497427 497427 534239 436515 97724 14110036 12728848 1381188 0 92549 11732 361972 412359 316269 937109 35918 32565 133205 103320 74828480 14854723 61937223 59973757 1517750 5863985 5593265 68741121 68581857 3176229 3876777 42835000 42125000 5150000 7300000 41804348 40380307 92965577 93682084 X -24224456 -25100227 -24224456 -25100227 68741121 68581857 X -879511 3740 X X 0 1 1 X 0 X 72743 22551 19540 26981 3081314 3223129 9834777 9956972 10347349 10904418 10050171 51093687 9907520 9979523 10366889 10931399 13131485 54316816 14493 22551 19540 26981 3078699 3162264 0 14493 22551 19540 26981 3078699 3162264 51154552 307576 349307 241698 157899 153488 1209968 307576 349307 241698 157899 153488 1209968 10215096 10328830 10608587 11089298 13284973 55526784 0.92130 0.97320 0.02180 0.02490 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 2891479 2891479 70470679 13957514 56513165 1466322 897209 569113 59973757 ASSETS WHOSE USE IS LIMITED: ENTRANCE FEE DEPOSITS 37726 DEFERRED EXPENSES (NET) 2139725 ASSETS WHOSE USE IS LIMITED: PRINCIPAL & INTEREST 387455 ASSETS WHOSE USE IS LIMITED: DEBT SERVICE RESERVE 2994955 OTHER ASSETS 33404 5593265 ENTRANCE FEE DEPOSITS 30465 DEFERRED ENTRANCE FEES 39729323 DUE TO LIFESPACE COMMUNITIES, INC. 115208 UNAMORTIZED BOND PREMIUM 505311 40380307 13230525 14110036 -879511 3740 3740 -875771 13161000 3740 -132743 -129003 13290003 -59478 -59478 13230525 14036000 59478 59478 13976522 133514 133514 14110036 DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: PART X: 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 PERIODS ENDING DECEMBER 31, 2011 AND 2010, 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, 2008 THROUGH DECEMBER 31, 2011. PART XII, LINE 2D - OTHER ADJUSTMENTS: PASS-THROUGH THERAPY EXPENSE (MEDICAL & OTHER RESIDENT CARE) -132,743. PART XII, LINE 4B - OTHER ADJUSTMENTS: LOSS ON DISPOSAL OF FIXED ASSETS -59,478. PART XIII, LINE 2D - OTHER ADJUSTMENTS: LOSS ON DISPOSAL OF FIXED ASSETS 59,478. PART XIII, LINE 4B - OTHER ADJUSTMENTS: PASS-THROUGH THERAPY EXPENSE (MEDICAL & OTHER RESIDENT CARE) 132,743. VARIANCE DUE TO ROUNDED AUDITED FINANCIAL STATEMENTS 771. X X X X 0 0 0 0 0 0 0 0 0 SCOTT M HARRISON 0 346977 0 83670 0 1166 0 23712 0 10500 0 466025 0 0 LARRY M SMITH 0 217350 0 44071 0 138 0 17997 0 15751 0 295307 0 0 JAY BIERE 0 215859 0 32720 0 138 0 17350 0 15751 0 281818 0 0 IOWA FINANCE AUTHORITY 521699886 46247CAG4 2007-05-15 44813299 REFUND BONDS (11/13/2003) 0 0 0 2040000 44813484 2994955 896451 1067212 39854867 2007 1 0 1 1 0 1 0 0 0.00300 0.00000 0.00300 1 0 1 0 1 MORGAN STANLEY CAPITAL SERVICES 30.500000000000 1 0 1 X SCHEDULE K, PART II, LINE 3, TOTAL PROCEEDS OF ISSUE: THE TOTAL PROCEEDS DO NOT AGREE TO THE ISSUE PRICE IN PART I, COLUMN (E) DUE TO INVESTMENT EARNINGS. SCHEDULE K, PART IV, LINE 4B, NAME OF PROVIDER: MORGAN STANLEY CAPITAL SERVICES LIFESPACE COMMUNITIES INC FINANCING FOR CONSTRUCTION AND OPERATION OF HEALTH CARE FACILITIES X 7300000 7300000 0 1 1 7300000 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 AUDIT COMMITTEE OF THE BOARD OF DIRECTORS REVIEWS AND APPROVES THE FORM 990 PRIOR TO FILING. ANY CONCERNS OR SUGGESTIONS IDENTIFIED BY THE 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 MANAGEMENT DEVELOPMENT 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 MANAGEMENT DEVELOPMENT 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 MANAGEMENT DEVELOPMENT 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 MANAGEMENT DEVELOPMENT 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, COO 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. CHANGES IN NET ASSETS OR FUND BALANCES: FORM 990, PART XI, LINE 5: NET UNREALIZED GAINS ON INVESTMENTS: 3,740. 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 TRUST AGREEMENT NO ONE 1703-1787 PLEASANT DRIVE NORTH PALM BEACH FL 33408 597140558 PROPERTY PURCHASING ENTITY FL N/A T PRAIRIE VIEW CLUB OF KANSAS 8101 MISSION RD PRAIRIE VILLAGE KS 66208 481159378 RESIDENT ENTERTAINMENT SERVICES KS N/A C 0 0 1 0 1 0 0 0 0 0 0 0 0 0 1 0 0 0 THE LIFESPACE FOUNDATION C 88699 LIFESPACE COMMUNITIES INC C 2990000 LIFESPACE COMMUNITIES INC E 2150000 LIFESPACE COMMUNITIES INC O 418667